Podcasts about paths

In this episode, the CardioNerds (Dr. Natalie Tapaskar, Dr. Jenna Skowronski, and Dr. Shazli Khan) discuss the process of heart transplantation from the initial donor selection to the time a patient is discharged with Dr. Dave Kaczorowski and Dr. Jason Katz. We dissect a case where we understand criteria for donor selection, the differences between DBD and DCD organ donors, the choice of vasoactive agents in the post-operative period, complications such as cardiac tamponade, and the choice of immunosuppression in the immediate post-operative period. Most importantly, we highlight the importance of multi-disciplinary teams in the care of transplant patients. Audio editing for this episode was performed by CardioNerds Intern, Dr. Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls When thinking about donor selection, you need to consider how much physiologic stress your recipient can tolerate, and this may guide your selection of “higher risk” or “lower risk” donors.   The use of DCD donors has increased the potential donor pool and shortened waitlist times with very similar perioperative outcomes to DBD transplantation.  Post-operative critical care management rests on a fundamental principle to apply as much inotropic/vasoactive therapy as needed to achieve some reasonable physiologic hemostasis, and then getting “the heck out of the way!” There are no standard regimens as practices vary across centers, but rest on providing adequate RV support, maintaining AV synchrony, and early resuscitation.   The RV is fickle and doesn't take a joke too well. RV dysfunction post-transplant is important to watch for, and it can be transient or require aggressive support. Don't miss assessing for cardiac tamponade which can require surgical evacuation- “where there's space, that space can be filled with fluid.”   Induction immunosuppression post-transplant varies across centers, but some considerations for use may include (1) high sensitization of the patient, (2) high risk immunologic donor-recipient matching, and (3) recipient renal dysfunction to provide a calcineurin inhibitor (CNI) sparing regimen long term.  Management of heart transplant patients is a multi-disciplinary effort that requires coordination amongst heart failure/transplant cardiologists, cardiac surgeons, anesthesiologists, pathology/immunologists and a slew of ancillary services. Without a dynamic and collaborative team, successful cardiac transplantation could not be possible.  Notes Notes: Notes drafted by Dr. Natalie Tapaskar  What are the basic components of donor heart selection? In practicality, it can be a very inexact science, but we use some basic selection criteria such as: (1) size matching (2) ischemic time (3) donor graft function (4) immunologic compatibility (5) age of the potential donor and recipient (6) severity of illness of the recipient (7) regional variation in donor availability When thinking about accepting older donors (>50 years old), we ideally would screen for donor coronary disease and try to keep ischemic times as short as possible. We may accept an older donor for a recipient who is highly sensitized, which leaves a smaller potential donor pool. There is no clear consensus on size matching, but the predicted heart mass is most used. We are generally more comfortable oversizing than under-sizing donor hearts. Serial echocardiography is important in potential donors as initially reduced ejection fractions can improve on repeat testing, and these organs should not be disregarded automatically. For recipients who are more surgically complex, (i.e. multiple prior sternotomies or complex anatomy), it's probably preferable to avoid older donors with some graft dysfunction and favor donors with shorter ischemic times. What is the difference between DBD and DCD? DBD is donation after brain death- these donors meet criteria for brain death. Uniform Determination of Death Act 1980: the death of an individual is The irreversible cessation of circulatory and respiratory functions or The irreversible cessation of all functions of the entire brain, including those of the brain stem DCD is donation after circulatory death- donation of the heart after confirming that circulatory function has irreversibly ceased. Only donors in category 3 of the Maastricht Classification of DCD donors are considered for DCD donations: anticipated circulatory arrest (planned withdrawal of life-support treatment). DCD hearts can be procured via direct procurement or normothermic regional perfusion (NRP). The basic difference is the way the hearts are assessed, either on an external circuit or in the donor body. For the most complex recipient, DCD may not be utilized at some centers due to concern for higher rates of delayed graft function, but this is center specific and data is still evolving. What are some features surgeons consider when procuring the donor heart? Visual assessment of the donor heart is key in DBD or NRP cases. LV function may be hard to assess, but visually the RV can be inspected. Palpation of the coronary arteries is important to assess any calcifications or abnormalities. Ventricular arrhythmias at the time of procurement may be concerning. Key considerations in the procurement process: (1) Ensuring the heart remains decompressed at all times and doesn't become distended (2) adequate cardioplegia delivery (3) aorta is cross-clamped properly all the way across the vessel (4) avoiding injury to adjacent structures during procurement What hemodynamic parameters should we monitor and what vasoactive agents are used peri-heart transplant? There is no consensus regarding vasoactive agent use post-transplant and practice varies across institutions. Some commonly seen regimens may include: (1) AAI pacing around 110 bpm to support RV function and preserve AV synchrony (2) inotropic agents such as epinephrine and dobutamine to support RV function (3) pulmonary vasodilators such as inhaled nitric oxide to optimize RV afterload Early post-transplant patients tend to have low cardiac filling pressures and require preload monitoring and resuscitation initially. Slow weaning of inotropes as the patient shows signs of stable graft function and hemodynamics. RV dysfunction may manifest as elevated central venous pressure with low cardiac index or hypotension with reducing urine output. Optimize inotropic support, volume status, metabolic status (acidosis and hypoxia), afterload (pulmonary hypertension), and assess for cardiac tamponade. Tamponade requires urgent take-back to the operating room to evacuate material. Refractory RV failure requires mechanical circulatory support, with early consideration of VA-ECMO. Isolated RV MCS may be used in the right clinical context. Why do pericardial effusions/cardiac tamponade happen after transplant? They are not uncommon after transplant and can be due to: Inherent size differences between the donor and recipient (i.e. if the donor heart is much smaller than the recipient's original heart) Bleeding from suture lines and anastomoses, pacing wires, and cannulation sites Depending on the hemodynamic stability of the patient and the location of the effusion, these effusions may require urgent return to the OR for drainage/clot evacuation via reopening the sternotomy, mini thoracotomy, and possible pericardial windows. What are the basics of immunosuppression post-transplant? Induction immunosuppression is variably used and is center-specific. Considerations for using induction therapy may include: (1) high sensitization of the patient (2) younger patients or multiparous women with theoretically more robust immune systems (3) crossing of recipient antibodies with donor antigens (3) renal function to provide a CNI sparing regimen long term Some considerations for avoiding induction may include: (1) older age of the recipient (2) underlying comorbid conditions such as infections or frailty of the recipient What are expected activity restrictions post-transplant? Sternal precautions are important to maintain sternal wire integrity. Generally avoiding lifting >10 pounds in the first 4-12 weeks, no driving usually in the first 4 weeks, monitoring for signs and symptoms of wound infections, and optimizing nutrition and physical activity. Cardiac rehabilitation is incredibly important as soon as feasible. References Kharawala A , Nagraj S , Seo J , et al. Donation after circulatory death heart transplant: current state and future directions. Circ: Heart Failure. 2024;17(7). doi: 10.1161/circheartfailure.124.011678  Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. The Journal of Heart and Lung Transplantation. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030  Moayedifar R, Shudo Y, Kawabori M, et al. Recipient Outcomes With Extended Criteria Donors Using Advanced Heart Preservation: An Analysis of the GUARDIAN-Heart Registry. J Heart Lung Transplant. 2024;43(4):673-680. doi:10.1016/j.healun.2023.12.013  Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678  Copeland H, Hayanga JWA, Neyrinck A, et al. Donor heart and lung procurement: A consensus statement. J Heart Lung Transplant. 2020;39(6):501-517.

Host Carter Yates and senior writer Mike Craven preview the CFP with a prediction of each first round game, an examination of Texas Tech and Texasm A&M's paths to the championship and CFP Title picks. Learn more about your ad choices. Visit megaphone.fm/adchoices

The naturalization ceremony is the final step of a lengthy, often years-long legal process to become a U.S. citizen. In cities across the country in recent weeks, they've been abruptly canceled for immigrants from 19 countries deemed "high-risk" by President Trump. Amna Nawaz discussed those caught in legal limbo with Gail Breslow of Project Citizenship. PBS News is supported by - https://www.pbs.org/newshour/about/funders. Hosted on Acast. See acast.com/privacy

Air Force veteran and serial entrepreneur Michael "Buzz" Buzinski details his decade of military service and his post-transition path, which began with a recording studio before evolving into a 100% remote, strategy-first marketing firm. Buzz argues that businesses need to move past "random acts of marketing" and adopt a structured approach, focused on a clear strategy for predictable growth. His company's mission is to help owners build a scalable business that can operate beyond the founder, a goal directly tied to his broader mission of creating 17 million jobs in America by empowering entrepreneurs to scale past the point of being a self-employed business owner. Episode Resources: Buzzworthy Marketing The Rule of 26 Warrior Rising Owners In Honor   About Our Guest Michael is a decorated US Air Force veteran, serial entrepreneur, host of a US top 12 marketing podcast, best-selling author and dubbed a visionary marketer by the American Marketing Association. Buzz, as most call him, is on a mission to create 17 million jobs in America by 2040 in an effort to rebuild its middle class and enrich entrepreneurs with financial independence, entrepreneurial freedom, and the power of impact. About Our Sponsors Navy Federal Credit Union   Navy Federal Credit Union offers exclusive benefits to all of their members. All Veterans, Active Duty and their families can become members. Have you been saving up for the season of cheer and joy that is just around the corner? With Navy Federal Credit Union's cashRewards and cashRewards Plus cards, you could earn a $250 cash bonus when you spend $2,500 in the first 90 days. Offer ends 1/1/26. You could earn up to 2% unlimited cash back with the cashRewards and cashRewards Plus cards. With Navy Federal, members have access to financial advice and money management and 24/7 access to award-winning service. Whether you're a Veteran of the Army, Marine Corps, Navy, Air Force, Space Force or Coast Guard, you and your family can become members. Join now at Navy Federal Credit Union. At Navy Federal, our members are the mission.    Join the conversation on Facebook! Check out Veteran on the Move on Facebook to connect with our guests and other listeners. A place where you can network with other like-minded veterans who are transitioning to entrepreneurship and get updates on people, programs and resources to help you in YOUR transition to entrepreneurship.   Want to be our next guest? Send us an email at interview@veteranonthemove.com.  Did you love this episode? Leave us a 5-star rating and review!  Download Joe Crane's Top 7 Paths to Freedom or get it on your mobile device. Text VETERAN to 38470. Veteran On the Move podcast has published 500 episodes. Our listeners have the opportunity to hear in-depth interviews conducted by host Joe Crane. The podcast features people, programs, and resources to assist veterans in their transition to entrepreneurship.  As a result, Veteran On the Move has over 7,000,000 verified downloads through Stitcher Radio, SoundCloud, iTunes and RSS Feed Syndication making it one of the most popular Military Entrepreneur Shows on the Internet Today.

The Festival of Tor Kai is again at hand!  Some new and familiar faces come together to save the holiday.Produced by Remember Tommy Productions for the May Contain Action Media network.  Check out all of May Contain Action's awesome shows by clicking here. Want to sponsor a show? Email us at mcapods@gmail.com for all promotional inquiries.Support us and unlock rewards on Ko-Fi, at ko-fi.com/forgottenpathspodcast.Join our Discord and follow by visiting linktr.ee/forgottenpaths.Music by @ApproachingNirvana.Art by @EvanEckard.

What happens when the life you've worked for—your city, your career, even your identity—dies overnight? In this tender, hope-filled conversation, Ginny sits down with Bible teacher and missionary kid Mikella Van Dyke, whose childhood stretched from refugee camps on the Thai–Myanmar border to hiking the Himalayas and dancing for the princess of Thailand. As a “third culture kid” who never quite fit in either Thailand or the U.S., Mikella shares how a lonely ninth-grade year, culture shock, and years of bouncing between countries left her with a deep identity crisis that eventually drove her into the pages of Scripture. Later, an unplanned pregnancy ended her dream of dancing professionally in New York City—and yet that loss became the doorway to Chasing Sacred, the ministry and new calling she never could have imagined. Learn more about Mikella's story and her new book Chasing Sacred. Together, Ginny and Mikella explore a simple, powerful way to read the Bible through the inductive Bible study method—asking good questions, honoring context, and letting God's Word move from head knowledge to heart change in the middle of real life with kids, frogs, dirt bikes, and dishes. They talk about daily “manna” moments in Scripture, how to spot teaching that's pulled out of context online, why courage sometimes means defying cultural norms, and how family missions trips to Little Lambs International in Guatemala have given their children a bigger vision for God's world. If you've ever felt like your dreams died with motherhood—or you're longing for an anchor in the chaos—this episode will invite you to see your own story, and your hours outside, as sacred ground. Learn more about your ad choices. Visit megaphone.fm/adchoices

December 14, 2025 Daily Devotional: “Straight Paths in a Crooked World” ​Proverbs 3:5-6  "Trust in the Lord with all your heart and lean not on your own understanding; in all your ways submit to him, and he will make your paths straight." ​What a powerful verse that offers a complete roadmap for a life of peace and divine guidance! It acknowledges a fundamental tension in the human experience which is the pull between our own understanding and God's wisdom. The Word of the Lord commands us to "Trust in the Lord with all your heart." The heart, in biblical terms, is the seat of our will, emotions, and intellect, it's the whole inner person. This isn't a partial trust, but a complete, unconditional surrender. When we fully entrust the steering wheel of our lives to God, we are then empowered to fulfill the second part of the instruction that is to "lean not on your own understanding." ​Our understanding is often limited, clouded by fear, self-interest, and finite knowledge. It's like trying to navigate a vast, unknown territory using only a small, local map. God, however, holds the entire blueprint. The promise comesat the end: "he will make your paths straight." This doesn't mean the path will be easy or free of challenge, but it will be clear, direct, and aligned with His perfect will. When we choose to submit and acknowledge God in everything we do, in our work, our relationships, our decisions, and even our failures, He takes responsibility for our destination. ​Today, where are you leaning? Is it on your own exhausted calculations, or on the infinite wisdom of the Lord? ​ Can you identify one major decision or area of uncertainty you are currently facing? Instead of trying to "figure it out" for the next hour, intentionally pause. Say a quick prayer acknowledging God's sovereignty over it. Write downthe phrase: "I will lean on God, not my own understanding, for my challenges.

Our Patreon subscribers chose an army for Dan to buy, build, paint and take to a tournament. He's finally finished it and taken it to two tournaments. Join us in this episode as we explore further how army performed at the two tournaments as well as discussing how Dan found them generally as an army. If you want to get involved in more stuff like this, or support us directly, join our Patreon!https://linktr.ee/ahobbitspodcast

The price of bitcoin (BTC-USD) and ether (ETH-USD) slipped lower on Thursday despite the US Federal Reserve cutting interest rates, as Fed chair Jerome Powell signalled the central bank will proceed cautiously into 2026.~This Episode is sponsored by BTCC & Mevolaxy~BTCC 10% Deposit Bonus! ➜ https://bit.ly/PBNBTCCMevolaxy - get a 50% discount on the Pro account & a 10% bonus on your first MEV-stake. The offer is valid for 48 hours!https://bit.ly/MevolaxyPBN00:00 Intro00:10 Sponsor: BTCC00:45 Neutral01:30 Crypto is lagging02:15 No Santa rally?03:00 Fear & greed03:30 Silver Surges04:30 Elizabeth Warren: Should they have cut 50?06:30 Paths to more cuts in 202608:00 Global cuts happening08:30 Will Bitcoin hit $70K soon?09:00 QE here?10:10 Bloomberg: This sounds like QE12:00 Steve Eisman on AI: It's not about the Fed14:50 Manifesting crashes16:50 Sponsor: Mevolaxy19:00 ETH vs BTC20:10 Solana Breakpoint21:30 Borrow against Polymarket positions… Disaster waiting to happen?22:20 Crypto Regulation on the edge23:00 HYPE Dead?23:30 Outro#Crypto #bitcoin #ethereum~Fed Rate Cut Reaction

I did this thing a long time ago and I did it on accident and it's been the driving force of my life and it's kind of messed up. It means that I chose to not take the traditional path and I've continued to choose to not take the traditional path. My spirituality, my health choices, my food choices, and everyone looks at it and says, "Oh, that's amazing. You have all of these gifts." Yes, I'm grateful. Exceptionally grateful. And at this time of year, even more grateful because gratitude resonates so much higher than love.   I learned the gratitude thing actually from my little mama son. And the thing that I did really was forced upon me after the loss of my spouse. And it doesn't mean that I didn't choose the next steps. It just means that I chose my spirituality and how I was here to help people. How I really have something to share that if I can get one person out of pain in their physical body, their mental body, their business life, their relationships, then I have done my work.   And it takes a lot to stay in that uncommon path. It takes a lot to really stick with it. I know. And I don't call any of it a sacrifice, but I do call it a choice. So, what choice are you making? Are you choosing to not be in faith? Are you choosing to step into something bigger and beautifuler and unknown? The unknown is scary. Trust me, I know that the unknown is scary. I've done so much of the unknown and it's helped me help a lot of folks, yet I'm not done.   And so the choice that we make is moment by moment. I was sitting outside of a business growth conference the other day that I've been part of for many years and this guy sits beside me and he's whispering kind of like this and I didn't understand and we got into a long conversation and it's somebody that I had a conversation with several years ago and I said, "Oh, I remember you. I remember your booming voice." He said, "Oh, I had cancer." And I said, "Well, I'm always sitting at the right table where creator has put me that I need to have the right conversation." And he said to me, "Wow, I don't have that kind of faith." I said, "Well, the only way for me to live in this unique way of choosing is to have faith."   And so choosing faith is a moment-by-moment choice. It's simple, but it's not easy. And it's not simple and it's not easy. It's all of these things all at once. However, we abdicate our choices to others, to blame, to shame, to guilt. And our choices are our power. Our choices are our soul's commitment to what we're doing next.   So, what's your soul's commitment to what you're doing next? Is it your personality or is it your truth what's next? Because faith requires that you choose. And faith requires that you say, you know what, I'm smart. I can figure this out. I can have the income. I can totally do this. And I've walked a lot of people, a lot a lot a lot of clients, small businesses off the ledge of I don't have the money. I don't have what it takes. And it takes faith. It takes active faith to pursue it consistently and to choose it.   So, what are you grateful for? What are you in faith about or not in faith about? And what are you choosing?   Follow & Let's Get in Touch!   Official Links Website: https://sheevaunmoran.com/ Conference: http://epiclifesuccesssummit.com Blog: https://blog.sheevaunmoran.com/   Let's Connect on Social Media Twitter:   / sheevaun   LinkedIn:   / sheevaunmoran   Facebook:    / sheevaunmoran   Instagram:   / sheevaunmoran    

Ever wonder what it takes to excel as a leader when your path is unconventional? In this episode, Nicole McMackin interviews Carmella Cassetta, an accomplished healthcare CIO, to explore the realities behind career advancement, overcoming internal challenges, and the true meaning of giving back. Carmella's journey from humble beginnings challenges the idea that success requires a traditional background, a linear trajectory, or permission from gatekeepers.If you are seeking inspiration to move beyond self-doubt and embrace new perspectives on leadership in technology, healthcare, and beyond, this conversation offers valuable insights. Discover the mindset shifts that drive impactful leadership because the most important lessons are not taught, but revealed.Listen now to join the discussion.Timestamped Highlights[00:02:22] – A murder mystery author puts Carmella's name in his novel… what did this teach her about leaving an impression?[00:04:49] – Grit, scarcity, and invisible obstacles: The untold story behind Carmella's tough Connecticut upbringing—and the power of “happy, but challenging.”[00:13:47] – “You can't, you can't, you can't…” How to flip rejection and make doubters your biggest fans[00:17:19] – Starting in retail, pivoting to technology: The surprising ‘aha' moments that nobody saw coming[00:23:33] – The hidden technique that gets projects approved… and why “the meeting before the meeting” is the real boardroom superpower[00:28:02] – Turning critics into advocates: How Carmella wins over the toughest personalities (and you can, too)[00:36:14] – Facing imposter syndrome, even at the top: Real talk about self-worth and how high-achievers shatter insecurity[00:46:00] – 4 pillars most leaders overlook: Why being current, mastering business, and building relationships spell victoryAbout The GuestCarmella Cassetta is the Chief Information Officer (CIO) at Hoag Memorial Hospital Presbyterian, one of Southern California's most respected healthcare institutions. With more than two decades in technology leadership, Carmella's reputation is built on relentless advocacy for women, pioneering operational transformation, and her rare blend of compassion and business grit. She's an active board member for the Association of Women in Technology, sits on multiple leadership groups, and is a sought-after influencer in both healthcare and tech.

In this episode of the International Enneagram Association podcast, we listen to story booth conversations with Sam Michel Kopterski, Doug Lyman and Hillary Stark. These brief interviews explore their introduction to the Enneagram and how it has played in their professional and personal life. Sam discusses how the Enneagram helped her see her type patterns more clearly while Hillary shares how it brought some healing to her and her husband. We also hear how Doug went from the Marine Corps to becoming a monk to then becoming an investment advisor and author of the book, “Taming Your Money Monster: 9 Paths to Money Mastery with the Enneagram.”Connect with us:Web: internationalenneagram.orgIEA Enneagram Experience 2025: ieaexperience.comJoin the email list: administration@internationalenneagram.orgDoug Lyman:Web: douglynam.comEmail: doug@douglynam.comLinkedIn: linkedin.com/in/doug-lynamYouTube: youtube.com/@douglynamFacebook: facebook.com/monktomoneymanagerBook: Taming Your Money Monster: 9 Paths to Money Mastery with the EnneagramSeth "Creek" Creekmore: IG: @_creekmorePod: Fathoms | An Enneagram PodcastPod: Awareness to Action Enneagram PodcastPod: Delusional Optimism with Dr. BLindsey Marks:IG: @lindseyfaithdmPod: Fathoms | An Enneagram PodcastLee Fields:Web: enneagrammatic.comIG: @enneagrammaticSeth Abram:IG: @integratedenneagramPod: Fathoms | An Enneagram PodcastFlemming Christensen:Web: flemmingchristensen.comTrainings: flemmingchristensen.com/trainingThe Enneagram Life Theme:

Chris Lee and Jay Greeson share their thoughts on a variety of SEC and NCAA football topics. YEARLY CO Use promo code SE16KIT for a free sizing kit! https://yearlyco.com/ ROKFORM Use promo code SEC25 for 25% off! The world's strongest magnetic phone case! https://www.rokform.com/ JOIN OUR MEMBERSHIP Join the "It Just Means More" tier for bonus videos and live streams! Join Link: https://www.youtube.com/channel/UCv1w_TRbiB0yHCEb7r2IrBg/join FOLLOW US ON SOCIAL MEDIA Twitter: https://twitter.com/16Southeastern ADVERTISE WITH SOUTHEASTERN 16 Reach out to caroline.bellcow@gmail.com to find out how your product or service can be seen by over 200,000 unique viewers each month! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The new Precious Paths season is underway, the debut of Nacli and Clobbopus are here, Honedge makes it into eggs, Inadequance does it again, new movesets shake up the meta, and it's still called the Championship Series Cup in GBL...? Get The Battle Catz Podcast merchandise here: https://the-battle-catz-podcast-shop.fourthwall.com/ Where to find us! YouTube - https://youtube.com/@thebattlecatzpodcast X - https://twitter.com/BattleCatzPod Caleb Peng YouTube - https://youtube.com/calebpeng  X - https://twitter.com/CalebPeng Twitch - https://twitch.tv/calebpeng  HurricaneKaz X - https://x.com/thehurricanekaz Steve YouTube - https://www.youtube.com/PvPSteve X - https://x.com/PvPSteve1 Twitch - https://twitch.tv/PvPSteve7 Podcast - https://www.youtube.com/@GdayBattlers Twastell X - https://x.com/pogoTwastell 0:00:00 - Intro & In Game Events 0:30:22 - Championship Series 0:38:21 - GO Battle League 1:26:53 - YouTube Comments

Fluent Fiction - Japanese: New Year, New Paths: A Journey to Self-Discovery at Seifukuji Find the full episode transcript, vocabulary words, and more:fluentfiction.com/ja/episode/2025-12-10-08-38-20-ja Story Transcript:Ja: 冬の日、風が冷たく吹く。En: On a winter day, the wind blows cold.Ja: 広島と明は、静かな雪の中の山寺、聖福寺へと向かっていた。En: Hiroshima and Akira were heading to the mountain temple, Seifukuji, nestled in the quiet snow.Ja: 年末の疲れを癒し、新しい年へ向けた準備をするためだ。En: It was to heal their year-end fatigue and prepare for the new year.Ja: 広島は、毎日忙しい仕事に追われて疲れきっていた。En: Hiroshima was exhausted, overwhelmed by his busy daily work.Ja: 「このままでいいのか」と自問する日々が続く。En: Days of questioning himself, "Is this okay as it is?" continued.Ja: 友人の明は、フリーのアーティストとして自由な人生を楽しんでいる。En: His friend Akira enjoyed a free life as a freelance artist.Ja: 明は広島に言った。「新しい道を探しなよ、人生は一度きりだよ。」En: Akira told Hiroshima, "Search for a new path, we only live once."Ja: 広島は悩む。En: Hiroshima was troubled.Ja: 「仕事を辞める勇気なんてない。En: "I don't have the courage to quit my job.Ja: でも、このままでは自分を見失ってしまう。」En: But if I go on like this, I'll lose myself."Ja: 聖福寺に着くと、雪に包まれた美しい景色が広がっていた。En: When they arrived at Seifukuji, a beautiful snow-covered scene spread out before them.Ja: 松の森が寺を囲み、小川のせせらぎが静かに聞こえる。En: A pine forest surrounded the temple, and the gentle murmur of a brook could be quietly heard.Ja: 寺の鐘の音が心を落ち着かせる。En: The sound of the temple bell calmed their hearts.Ja: 夕方の座禅に参加することにした二人。En: The two decided to participate in the evening meditation.Ja: 座禅の時間、寺の静けさの中で、広島は目を閉じた。En: During the meditation session, in the silence of the temple, Hiroshima closed his eyes.Ja: 心の中で湧き上がる様々な思いを静かに見つめる。En: He quietly observed the various thoughts that welled up within him.Ja: 同時に、明の言葉を思い出した。「自分の道を見つけるんだ。」En: At the same time, he recalled Akira's words, "Find your own path."Ja: しばらくすると、広島の中で何かが変わった。En: After a while, something changed within Hiroshima.Ja: 心が軽くなり、新しい道を選ぶ勇気が湧いてきた。En: His heart felt lighter, and he summoned the courage to choose a new path.Ja: 彼は決意した。「少しずつでいい。En: He made a decision, "It's okay to go slowly.Ja: 自分の時間を作って、好きなことに挑戦しよう。」En: I'll make time for myself and challenge the things I love."Ja: 夜、二人は寺の中庭で話した。En: That night, the two talked in the temple courtyard.Ja: 明が笑顔で言った。「そうだよ、変化は怖いものじゃないよ。En: With a smile, Akira said, "That's right, change isn't something to fear.Ja: 少しずつ進めばいいんだ。」En: You can proceed little by little."Ja: 広島は微笑んだ。En: Hiroshima smiled.Ja: 「ありがとう、明。En: "Thank you, Akira.Ja: 一歩ずつ進んでみるよ。」En: I'll try advancing one step at a time."Ja: 大晦日の夜、鐘が鳴り響く中、広島は新しい年に希望を抱いていた。En: On New Year's Eve night, as the bell resonated, Hiroshima held hope for the new year.Ja: 仕事も大切にしながら、自分の本当の気持ちを忘れない。En: While valuing his work, he wouldn't forget his true feelings.Ja: 広島の決意が新しい光を灯した。En: Hiroshima's resolve lit a new light.Ja: そうして、広島と明は、心に新しい風を感じながら、聖福寺を後にした。En: And so, with a new breeze in their hearts, Hiroshima and Akira left Seifukuji.Ja: お寺の静かな冬景色が、二人の新しい出発を優しく見守っていた。En: The temple's quiet winter scenery gently watched over the start of their new journey. Vocabulary Words:fatigue: 疲れoverwhelmed: 追われてmeditation: 座禅courage: 勇気murmer: せせらぎrecall: 思い出すsummon: 湧いてきたadvance: 進むresonate: 鳴り響くresolve: 決意observe: 見つめるchallenge: 挑戦prepare: 準備nestle: 包まれたmurmur: せせらぎquiet: 静かspread: 広がるproceed: 進むchange: 変化path: 道heart: 心light: 灯すdecide: 決意heal: 癒しclasp: 抱くbell: 鐘gently: 優しくbrotherhood: 友人snow-covered: 雪に包まれたobservance: 見守っていた

Team insiders Ryan Mink and Garrett Downing discuss the fallout from the controversial calls in the Ravens' loss to the Steelers, John Harbaugh's take on Daniel Faalele, how DeAndre Hopkins can be used more, how the Ravens can still with the AFC North and more.See omnystudio.com/listener for privacy information.

3 Choices When You're Thinking About Starting a Cash PT Clinic In this episode, Doc Danny Matta breaks down the real decision points for clinicians who are thinking about starting their own cash-based practice. He explains why staying stuck in "research mode" is dangerous, what it actually takes to make the leap, and the three clear paths you can choose—staying employed, going solo, or getting guided support. Quick Ask If this episode helps you get clarity on your next move, share it with another clinician who's on the fence about starting a practice—and tag @dannymattaPT so he can see what resonated with you. Episode Summary Claire math: If Claire saves a staff PT 6 hours/week, even using 3 of those for patient visits at $200/visit can add ~$30k/year in revenue per clinician. Why decisions feel awful: Danny compares making a big move (like starting a clinic) to knowing you're about to throw up—you dread it, but feel better once it's done. The real problem: Most people hide in endless "learning" (podcasts, books, courses) instead of making an actual decision. 3 choices you actually have: Stay in your current role and own that decision. Go the DIY route and figure business out alone. Get guided support from people who've already done it. Who shouldn't start a clinic: Highly risk-averse, conflict-avoidant, or extremely introverted clinicians may be better off in a great employed role. The trap of DIY: Going solo usually means slower progress, more expensive mistakes, more stress, and more risk for your family. The case for mentorship: Guided support is like residency/fellowship for business—it speeds up results and increases your odds of success. Why this is serious: Your business is how you pay rent, buy groceries, and take care of your family—treat it like it matters. Decision purgatory: Staying stuck in "maybe" is the worst place to live—nothing changes, and frustration grows. Lessons & Takeaways Indecision is a decision: Avoiding a choice is still choosing—the status quo wins by default. Acceptance can be powerful: If you stay employed, own it, and aim to be world-class—not secretly resentful. DIY has a cost: You'll likely spend more time, more money, and experience more stress figuring everything out on your own. Guided support = faster, safer: Proven systems and mentorship are like insurance for one of the biggest financial decisions of your life. Business is a skill set: Just like clinical skills, business skills can be learned with the right teachers and reps. Mindset & Motivation Stop chasing greener grass: Comparing yourself to other owners while doing nothing is a recipe for misery. Own your path: Whether you're an employed PT or a clinic owner, commit to excellence in the lane you choose. Respect the risk: When your business feeds your family, being "proudly stubborn" is not a strategy—it's a liability. Decisiveness is a superpower: Successful entrepreneurs make decisions, take action, and adjust as they go. Pro Tips for Clinicians on the Fence Be brutally honest: Do you truly want to be a business owner, or do you just want a better job? Know your wiring: If you hate uncertainty and change, ownership may not be the right move right now. Count the real cost: Time, money, stress, and impact on your family—not just the price of a program or course. Treat support like insurance: Mentorship isn't cheating; it's reducing the odds that you crash your business (and savings) in the first few years. Get out of research purgatory: Podcasts and books are great—but only if they eventually lead to action. How Claire Fits In Save clinician time: Claire is saving staff clinicians about six hours a week on documentation. Turn time into revenue: Even converting half that into extra patient visits can generate ~$30,000 per clinician per year. Protect your team: Use tech to increase volume without burning clinicians out. Try it free: Test Claire with a 7-day free trial at MeetClaire AI. Notable Quotes "If nothing changes, nothing changes." "For some of you, you have no business starting a clinic—and that's okay." "Guided support is basically residency and fellowship for your business." "Purgatory for your future is endlessly gathering information and never making a decision." Action Items Decide your lane: Are you going to stay employed, go DIY, or pursue guided support? Audit your reasons: Write down why you actually want a clinic—is it meaning, freedom, income, or all of the above? Count the risk: Look at your family, your bills, and your responsibilities. What level of risk are you really willing to take? Set a deadline: Give yourself a hard date to decide and take your first concrete step. Explore support options: If guided help makes sense, look into programs built specifically for cash PT clinic owners. Programs Mentioned PT Biz Part-Time to Full-Time 5-Day Challenge (Free): Get crystal clear on your numbers, your plan, and the steps to replace your income and go all-in on your practice. Join here. Resources & Links PT Biz Website Free 5-Day PT Biz Challenge MeetClaire AI — Free 7-day trial for PTs About the Host: Doc Danny Matta is a physical therapist, entrepreneur, and founder of PT Biz and Athlete's Potential. He's helped over 1,000 clinicians start, grow, and scale successful cash practices and is committed to helping PTs build businesses that support real time and financial freedom.

In this episode of Retire With Style, Alex Murguia and Wade Pfau explore core themes in retirement planning, including the 4 percent rule, sequence of returns risk, and how to balance discretionary and essential spending. They discuss how these factors shape retirement income strategies, the role of reliable income sources, and when a rising equity glide path can be beneficial. The conversation highlights why retirees may need a more flexible and adaptive approach rather than relying on traditional rules of thumb.   Takeaways The 4% rule is not a constant and can vary based on market conditions. Sequence of return risk is a real concern but may be overstated for average investors. Discretionary spending in retirement should be carefully planned to avoid future regrets. Variable spending strategies can help manage sequence risk effectively. Reliable income sources are crucial for covering essential expenses in retirement. Investors should consider the implications of longevity risk on their withdrawal strategies. The rising equity glide path can be a useful strategy for managing investment risk in retirement. Dividend income should not be the sole focus for retirement income planning. The retirement planning community often relies on outdated paradigms that may not serve current needs. Education on retirement income strategies should start early, even in high school. Chapters 00:00 Introduction to Retirement Planning Themes 06:11 Understanding the 4% Rule and Withdrawal Strategies 12:03 Exploring Sequence of Return Risk 17:59 Discretionary vs. Essential Spending in Retirement 24:13 The Role of Dividend Income in Retirement 30:06 Rising Equity Glide Path Strategies 36:04 The Shift from Traditional Drawdown Paradigms   Links    Explore the New RetireWithStyle.com! We've launched a brand-new home for the podcast! Visit RetireWithStyle.com to catch up on all our latest episodes, explore topics by category, and send us your questions or ideas for future episodes. If there's something you've been wondering about retirement, we want to hear it! The Retirement Planning Guidebook: 2nd Edition has just been updated for 2025! Visit your preferred book retailer or simply click here to order your copy today: https://www.wadepfau.com/books/ This episode is sponsored by Retirement Researcher https://retirementresearcher.com/. Download their free eBook, 8 Tips to Becoming A Retirement Income Investor at retirementresearcher.com/8tips

On this episode, Dave Lambert of Right Side Capital Management shares what thousands of early-stage investments reveal about how pre-VC companies actually grow. Get clarity on how to evaluate early traction, set realistic fundraising paths and use capital efficiency to extend runway long enough for product-market fit to emerge.Tune in to hear how founders can avoid common mistakes in defining their ICP, structure rounds that keep exit options open and use real market data to understand what later-stage investors are looking for. 

Thanks for reading! This post is public so feel free to share it.Thank you for Tips / Donations: * https://ko-fi.com/cedorsett * https://patreon.com/cedorsett * https://cash.app/$CreationsPaths* Substack: https://www.creationspaths.com/New to The Seraphic Grove learn more For Educational Resource: https://wisdomscry.com Creation's Paths: A Creation Spirituality Primer Social Connections: * BlueSky https://bsky.app/profile/creationspaths.com * Threads https://www.threads.net/@creationspaths * Instagram https://www.instagram.com/creationspaths/#christopagan #creationspirituality #druidry #blackmadonna #originalblessing #advent #winterSolstice #MaryMotherOfGod #creationtheology #viaTransformativaChapters:00:00 Introduction to Advent and Mary00:25 Mary's Integral Role in the Story01:11 Today's Focus: The Black Madonna02:10 What is Advent?03:07 The Immaculate Conception Revelation04:23 Reframing the Immaculate Conception05:34 Why Mary Corrected the Church06:02 Augustine's Original Sin: New and Novel08:06 Original Sin as a Tool of Control10:17 Mary as Original Grace11:41 The Struggle with Original Blessing12:42 Original Sin and Empire15:43 The American Context of Original Sin16:04 Mary's Choice and Community19:09 Modern Example: Rejecting the Needy20:20 Mary the Refugee23:28 The God Who Casts Down the Mighty23:54 Shifting from Original Sin to Original Blessing26:08 Finding Grace by Giving Grace Get full access to Creation's Paths at www.creationspaths.com/subscribe

Veteran Ron Beckner, who served 24 years across the U.S. Navy, Coast Guard, and Naval Reserves, shares his unique story from a career as a pipe fitter to the founder of Peaks Integrity Wealth Management. Driven by his working-class background and military integrity, Ron emphasizes the critical need for financial education among working-class Americans, viewing money as a tool and stressing smarter tax strategies. He introduces his Financial STAR process as a blueprint for financial planning, and discusses his book, "A Blueprint and Financial Guide for the Working-Class American." Ron utilizes a hands-on approach to ensure client investments meet their lifestyle and goals, ultimately advising aspiring financial professionals to enter the industry with genuine passion. Episode Resources: Peaks Integrity - Westcliffe, CO  Phone: 719-581-7325     About Our Guest A military veteran of 24 years that included the US Navy, US Coast Guard and the US Naval reserves, Ron blends integrity, hard work and willingness to focus on each client as if they are the only client in the world. Ron uses a hands-on approach when meeting clients to ensure suitability of their investments meets their lifestyle and sustains their objectives for life. The Financial STAR process is one of the main keys to helping working-class Americans understand and plan for their financial future. Ron also has recently published a book titled, "A Blueprint and Financial Guide for the Working-Class American" that is currently available on Amazon.   About Our Sponsors Navy Federal Credit Union   Navy Federal Credit Union offers exclusive benefits to all of their members. All Veterans, Active Duty and their families can become members. Have you been saving up for the season of cheer and joy that is just around the corner? With Navy Federal Credit Union's cashRewards and cashRewards Plus cards, you could earn a $250 cash bonus when you spend $2,500 in the first 90 days. Offer ends 1/1/26. You could earn up to 2% unlimited cash back with the cashRewards and cashRewards Plus cards. With Navy Federal, members have access to financial advice and money management and 24/7 access to award-winning service. Whether you're a Veteran of the Army, Marine Corps, Navy, Air Force, Space Force or Coast Guard, you and your family can become members. Join now at Navy Federal Credit Union. At Navy Federal, our members are the mission.      Join the conversation on Facebook! Check out Veteran on the Move on Facebook to connect with our guests and other listeners. A place where you can network with other like-minded veterans who are transitioning to entrepreneurship and get updates on people, programs and resources to help you in YOUR transition to entrepreneurship.   Want to be our next guest? Send us an email at interview@veteranonthemove.com.  Did you love this episode? Leave us a 5-star rating and review!  Download Joe Crane's Top 7 Paths to Freedom or get it on your mobile device. Text VETERAN to 38470. Veteran On the Move podcast has published 500 episodes. Our listeners have the opportunity to hear in-depth interviews conducted by host Joe Crane. The podcast features people, programs, and resources to assist veterans in their transition to entrepreneurship.  As a result, Veteran On the Move has over 7,000,000 verified downloads through Stitcher Radio, SoundCloud, iTunes and RSS Feed Syndication making it one of the most popular Military Entrepreneur Shows on the Internet Today.

The Festival of Tor Kai is again at hand!  Some new and familiar faces come together to save the holiday.Produced by Remember Tommy Productions for the May Contain Action Media network.  Check out all of May Contain Action's awesome shows by clicking here. Want to sponsor a show? Email us at mcapods@gmail.com for all promotional inquiries.Support us and unlock rewards on Ko-Fi, at ko-fi.com/forgottenpathspodcast.Join our Discord and follow by visiting linktr.ee/forgottenpaths.Music by @ApproachingNirvana.Art by @EvanEckard.

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Pastor Steven preaches from Isaiah 11:1-10 and Matthew 3:1-12Let us know you heard the message. Send us a text!Welcome to Pastor Steven G. Lightfoot's Podcast. Sermons and homilies by Rev. Steven G. Lightfoot. Pastor Steven is an ordained elder in the Global Methodist Church and serves as Senior Pastor to First Methodist Church Splendora and Shepherd Methodist Church in Southeast Texas. Thanks for listening! Join us each week for a new message. May God bless you and keep you.

Discussion with Vincent Moore - Aug 12, 2025 We talked about opinions and the impact of negative thoughts, prison chaplaincy and the doors that open when you adjust your attitude, activism and changing the world by exploring your self, the need to abstain in order to perceive the nature of your attachments, and the importance of recognizing your enormous potential.

Subscribe to the Better Part podcast today! Gospel reflection for 6-9 year olds for the 2nd Sunday of Advent, year A.   Video to prepare for 1st Reconciliation: https://youtu.be/zOM4bvjovyQ Video to refresh our memory about Reconciliation: https://youtu.be/WroZNuoQ9QM  

Exploring the connections between Bharata Natyam dance and zazen, Anusha Enryu Fernando helps listeners remember the joy of practice.This conversation was originally recorded on the Paths of Practice Podcast. Listen to more episodes HERE.Today's podcast is brought to you by BetterHelp. Give online therapy a try at betterhelp.com/beherenow and get on your way to being your best self.This time on the BHNN Guest Podcast, Anusha and Vincent discuss:Zen practice and doing full-body meditationsBharata Natyam: a sacred and ancient dance that focuses on the mind-body connectionPaying attention to the body so intently that there is no space for thoughtThe non-abiding mind and continuing to move through human experienceUnderstanding the devotional gestures that are built into zen practiceAnusha's profound experience learning Sanskrit for both ancient dance and studying the dharma The most important vow: to really be alive in this lifeFood preparations, making offerings, and connecting with the ancestors through foodHow people get stuck on the first noble truth and forget that there is joy in practiceCheck out The Great Vow Zen Monastery in Oregon and learn more about residencies, workshops, and more.About Anusha Enryu Fernando:Anusha Enryu Fernando was born in Sri Lanka to a Theravadin Buddhist family. Her grandparents founded the Vipassana Meditation Centre located in Colombo, Sri Lanka in 1957. She began practicing Zen Meditation with Hogen and Chozen Roshi in 2007, and became a dharma holder in 2021. She holds a BA in Religious Studies, specializing in Buddhism and Hinduism from McGill University, and a Masters of Arts in Asian Studies from the University of British Columbia, specializing in Sanskrit. In her dissertation, she translated a Sanskrit poem of the life story of the Buddha, called the Padyacudamani. Enryu has been a teacher and performer of Bharata Natyam, a form of Indian Classical Dance, for the past thirty years and is the founder and Artistic Director of Shakti Dance Society. She has also been the book purchaser at Banyen Books and Sound, Vancouver's iconic spiritual and metaphysical bookstore, for the past twenty-eight years. She is the mother of an adult daughter and lives with her husband, parents, and multiple furry friends in Vancouver, Canada. Read more about Anusha's work in Shakti Dance HERE."Movement is a huge part of the experience of zazen. You're not sitting there like a fallen rock. The connecting with just the aliveness of that experience, that juicy, wonderful aliveness which is movement, is the practice.” –Anusha Enryu FernandoAbout Vincent Moore:Vincent Moore is a creative and creative consultant living in San Francisco, California, with over a decade of experience in the entertainment industry and holds a graduate degree in Buddhist Studies. For years, he performed regularly at the Upright Citizens Brigade Theatre, an improv and sketch comedy theatre based in New York and Los Angeles. As an actor, Vincent performed on Comedy Central, The Tonight Show Starring Jimmy Fallon, The Late Show with Seth Meyers, Above Average, and The UCB Show on Seeso. As a writer, he developed for television as well as stage, including work with the Blue Man Group, and his own written projects have been featured on websites such as Funny or Die. Additionally, he received a Masters of Buddhist Studies from the Institute of Buddhist Studies with a Certificate in Soto Zen Studies and engages in a personal Buddhist practice within the Soto Zen tradition. Vincent is also the creator and host of the podcast, Paths of Practice, which features interviews with Buddhists from all over the world. Learn more on Vincent's website HERE.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

-Missed Opportunity- I love sharing conversations.  Hosting requires show prep.  My podcasting platforms feature thousands of guests.  What you don't have access to are the missed opportunities. The show prep was completed.  The conversation didn't happen.  I keep all my notes! Paths will cross again.  Let me explain Missed Opportunity.  It's my questions and statements without their answers.  I'm leaving open enough space at the end of each question hoping they'll download the talk and insert their answers.Missed Opportunity is a lost piece of history.  Like a message in a bottle tossed out to sea. I hope to locate a destination…  This week we're putting focus on my missed opportunity with writer and director Troy Duffy. Missed Opportunity.  A lost piece of history.  You know the questions.  Let's locate the reactions.  The door is always open.  If you are or know Troy Duffy please reach out to me at arroec@gmail.com that's arroec@gmail.com Be brilliant!Become a supporter of this podcast: https://www.spreaker.com/podcast/arroe-collins-unplugged-totally-uncut--994165/support.

-Missed Opportunity- I love sharing conversations.  Hosting requires show prep.  My podcasting platforms feature thousands of guests.  What you don't have access to are the missed opportunities. The show prep was completed.  The conversation didn't happen.  I keep all my notes! Paths will cross again.  Let me explain Missed Opportunity.  It's my questions and statements without their answers.  I'm leaving open enough space at the end of each question hoping they'll download the talk and insert their answers.Missed Opportunity is a lost piece of history.  Like a message in a bottle tossed out to sea. I hope to locate a destination…  This week we're putting focus on my missed opportunity with writer and director Troy Duffy. Missed Opportunity.  A lost piece of history.  You know the questions.  Let's locate the reactions.  The door is always open.  If you are or know Troy Duffy please reach out to me at arroec@gmail.com that's arroec@gmail.com Be brilliant!Become a supporter of this podcast: https://www.spreaker.com/podcast/arroe-collins-like-it-s-live--4113802/support.

Hey everyone in today's episode we talk about the season of precious paths , the welcome to paldea event and the December community day.

Feel free to skip this and keep living your life but there are a lot of questions and confusion out there so the Spreadsheets & Tailgates newsletter's Michael Bryan stopped in for a concise look at the process, metrics, odds and conspiracy theories that could or could not affect the Fighting Irish's playoff fate on Sunday. Guns up. Sign up for the newsletter and/or browse the merch here: https://linktr.ee/rakesreport

The only way to grow is to think about growth ahead of time. Whether you're thinking about a team of assistant coaches or looking for alternative paths, this conversation dives into how it's done, and what you need to focus on right now. –I'll create a profitable profile for you in minutes. Click to attract high-paying clients. https://go.taelerdehaes.com/bio-surveyJoin our Fit Pro Business Secrets Made Simple group over on Facebook for exclusive resources, trainings and help as you're growing your online fitness business. https://www.facebook.com/groups/fitprobusinesssecrets/  Follow Taeler on Instagram. https://www.instagram.com/taelerfit/Learn more about working with Taeler, whether you're just starting your online coaching business or scaling to multi-6/7-figures. https://taelerdehaes.com/ 

The Compas take a deep dive into the NFL playoff picture as the season hits the stretch run. What will the Chargers and Rams need to secure a postseason spot? We break down the magic numbers, the key matchups, and which teams are truly in the hunt.Who's in? Who's out? And who still has a chance to sneak into the playoffs?Plus, we look at potential tiebreakers, schedules, and the biggest threats to both LA teams. Don't miss this full playoff breakdown!Make sure to like, comment and subscribe for more NFL coverage with the Compas!COMPAS ON THE BEAT MERCHhttps://compas-on-the-beat.myshopify.com/DONATIONS: https://www.paypal.com/donate/?hosted_button_id=FQEW7RNJW7GNASUBSCRIBE TO THE COMPAS YOUTUBE CHANNELSCompas on the BeatCombat CompasWhat's Up BoltsHouse of HornsFOLLOW THE COMPAS ON SOCIALTikTok: @compasonthebeatInstagram: @compasonthebeatTwitter: @CompasOTBTwitter: @gmanzano24Twitter: @realframirez

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/EBAC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SGD865. CME/MOC/EBAC/NCPD/CPE/AAPA/IPCE credit will be available until December 12, 2026.Charting New Paths in the Treatment of ER+, HER2- MBC: Seeking Clarity and Consensus Through Evidence-Aligned Clinical Cases In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

Stay ahead in NSCLC management with this accredited podcast! HER2 alterations, including gene mutations and protein overexpression, are key therapeutic targets, but their complexity can challenge treatment decisions. In Module 1 of this podcast, Dr. Julia Kathleen Rotow, Clinical Director of the Lowe Center for Thoracic Oncology at Dana-Farber Cancer Institute and Assistant Professor of Medicine at Harvard Medical School, provides essential insights and testing recommendations to optimize patient care. Listen now! Click here to claim CME/NCPD credit: bit.ly/49NCaQu

Stay ahead in NSCLC management with our accredited podccast! HER2 alterations, including gene amplifications, mutations, and protein overexpression, are critical therapeutic targets, but their heterogeneity can complicate treatment strategies. In Module 2, Dr. Julia Kathleen Rotow, Clinical Director of the Lowe Center for Thoracic Oncology at Dana-Farber Cancer Institute and Assistant Professor of Medicine at Harvard Medical School, explores advanced testing methodologies and strategies to navigate HER2 complexities and optimize patient outcomes. Listen now! Click here to claim CME/NCPD credit: bit.ly/405xEJO

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/EBAC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SGD865. CME/MOC/EBAC/NCPD/CPE/AAPA/IPCE credit will be available until December 12, 2026.Charting New Paths in the Treatment of ER+, HER2- MBC: Seeking Clarity and Consensus Through Evidence-Aligned Clinical Cases In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/EBAC/NCPD/CPE/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/SGD865. CME/MOC/EBAC/NCPD/CPE/AAPA/IPCE credit will be available until December 12, 2026.Charting New Paths in the Treatment of ER+, HER2- MBC: Seeking Clarity and Consensus Through Evidence-Aligned Clinical Cases In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an educational grant from Lilly.Disclosure information is available at the beginning of the video presentation.

This episode of Veteran On the Move features Navy Veteran Robert DeLaurentis, a successful real estate entrepreneur, two-time solo aviation circumnavigator, and the founder of the Citizen of the World for the World peace movement. In this episode, Robert details his transition from service, explaining how he applied military qualities like honesty, hard work, and relationships to successfully build his San Diego real estate portfolio. He shares the inspiration behind his decision to pursue solo aviation after retirement and provides insight into his ambitious Pole-to-Pole flights, the upcoming Peace Pilot movie, and the strategies he used for handling major project sponsorship.  Episode Resources: www.PoleToPoleFlight.com   About Our Guest Peace Pilot Robert DeLaurentis is an aviation circumnavigator, author, speaker, pilot, real estate entrepreneur, philanthropist, and Navy Gulf War veteran. He is the founder of the Citizen of the World for the World global peace movement to connect humanity through the wonder of flight and the power of courageous action. His books include the best-selling Zen Pilot: Flight of the Passion and the Journey Within, Flying Thru Life: How to Grow Your Business and Relationships Through Applied Spirituality, and his two newest books, Peace Pilot: To the Ends of the Earth and Beyond (coming 2021) and the children's book The Little Plane that Could.  .   About Our Sponsors Navy Federal Credit Union   Navy Federal Credit Union offers exclusive benefits to all of their members. All Veterans, Active Duty and their families can become members. Have you been saving up for the season of cheer and joy that is just around the corner? With Navy Federal Credit Union's cashRewards and cashRewards Plus cards, you could earn a $250 cash bonus when you spend $2,500 in the first 90 days. Offer ends 1/1/26. You could earn up to 2% unlimited cash back with the cashRewards and cashRewards Plus cards. With Navy Federal, members have access to financial advice and money management and 24/7 access to award-winning service. Whether you're a Veteran of the Army, Marine Corps, Navy, Air Force, Space Force or Coast Guard, you and your family can become members. Join now at Navy Federal Credit Union.   At Navy Federal, our members are the mission.    Join the conversation on Facebook! Check out Veteran on the Move on Facebook to connect with our guests and other listeners. A place where you can network with other like-minded veterans who are transitioning to entrepreneurship and get updates on people, programs and resources to help you in YOUR transition to entrepreneurship.   Want to be our next guest? Send us an email at interview@veteranonthemove.com.  Did you love this episode? Leave us a 5-star rating and review!  Download Joe Crane's Top 7 Paths to Freedom or get it on your mobile device. Text VETERAN to 38470. Veteran On the Move podcast has published 500 episodes. Our listeners have the opportunity to hear in-depth interviews conducted by host Joe Crane. The podcast features people, programs, and resources to assist veterans in their transition to entrepreneurship.  As a result, Veteran On the Move has over 7,000,000 verified downloads through Stitcher Radio, SoundCloud, iTunes and RSS Feed Syndication making it one of the most popular Military Entrepreneur Shows on the Internet Today.

Today's episode explores how our family of origin shapes our emotional regulation, our habits, and our relationships. At some point we all wonder whether our struggles are all a result of baggage from childhood; and, as parents, we worry about how we are scarring our own children. Rebecca discusses attachment, generational patterns, and explores practical steps like genograms and memory work, setting boundaries, seeking reconciliation, and how faith and God's reparenting can help us change and heal. For more information on Rebecca Maxwell and her practice, visit Jesusandyourmentalhealth.com  Order your copy of Rebecca's latest book here.  Watch us on Youtube here.   

The Festival of Tor Kai is again at hand!  Some new and familiar faces come together to save the holiday.Produced by Remember Tommy Productions for the May Contain Action Media network.  Check out all of May Contain Action's awesome shows by clicking here. Want to sponsor a show? Email us at mcapods@gmail.com for all promotional inquiries.Support us and unlock rewards on Ko-Fi, at ko-fi.com/forgottenpathspodcast.Join our Discord and follow by visiting linktr.ee/forgottenpaths.Music by @ApproachingNirvana.Art by @EvanEckard.

Send us a textThis week,We kick things off with Mark's electrifying warning: “DANGER DANGER! HIGH VOLTAGE!” as the trio deliver their full High Voltage event review. From spawns and bonuses to frustrations, surprises, and standout catches, nothing escapes their inspection — followed by a quick but spark-filled? chat about Dynamax Eevee.Next up, the boys revive a classic favourite: What The Ducklett (OG Edition) — where they attempt to guess the Pokémon using only its Pokédex entry. Expect chaos. Expect confusion. Expect Ian to overthink it.Then it's time for Ask The Intern, as the hosts address the new Pokémon GO ban wave that hit countless Trainers — including many who insist they weren't cheating. What went wrong? What does it mean? And how do players protect themselves going forward?The episode surges into The News, spotlighting the brand-new Pokémon GO Season: Precious Paths. The hosts break down the highlights, early impressions, and gameplay shifts, before Mark introduces the details of GO Pass December— including GO Pass vs. GO Pass Deluxe, featured Pokémon, reward tracks, and those mysterious timed incubator bonuses.Finally, the squad wraps things up with the community's favourite segment: Shinies of the Week, celebrating YOUR newest sparkles.We'd like to say a massive thank you to all of our Patrons for your support, with credited Patrons from featured tiers below:#GOLDJB, Kerry & Zachary, Barside2, Mandy Croft, Mr Mossom, Mufti, DeanDHL, Masterlaxus42 & DamonMac08.#SILVERKLXVI, Dell Hazard, Spindiana, Lori Beck, Steve In Norway, CeeCeeismad, Macfloof, Saul Haberfield, Lizzie George, Sander Van Den Dreiesche, Neonnet, Ellen Rushton, James Alexander, Northern Soph, Tom Cattle, Charley Todd, Robert Wilson, MissSummerOf69, Malcolm Grinter, Jordi Castel, Thehotweasel, shinyikeamom, TonyOfPride, Joohno, Malcolm Burgess & mrj4ck4l.The Gaming BlenderWe mash genres. We pitch games. You question our sanity.Listen on: Apple Podcasts SpotifySupport the showFind us on Niantic Campfire: CLICK MESend us a voice message on WhatsApp: +44 7592695696Email us: contact@incensedpodcast.comIf you'd like to buy merch, you can find us by clicking HERE for U.K. store, HERE for U.S. Oceana store or copy this link: https://incensedpodcast.myspreadshop.net/ for U.K. store or this link: https://incensed-podcast.myspreadshop.com/ for U.S. Oceana store!Hosted By: PoGoMiloUK, Ian Waterfall & Masterful 27. Produced & Edited By: Ian Waterfall & PoGoMiloUK. Administrators: HermesNinja & IAMP1RU5.Pokémon is Copyright Gamefreak, Nintendo and The Pokémon Company 2001-2016All names owned and trademarked by Nintendo, Niantic, The Pokémon Company, and Gamefreak are property of their respective owners.

Join us in this episode as former monk turned financial advisor Douglas Lynam shares how to overcome money anxieties so you can build wealth as a powerful tool for serving a suffering world. Douglas is a keynote speaker, celebrity coach, and best-selling author with a mission to help people transform their relationship with money through his Four Pillars of Finance. Using a values-based, spiritually grounded framework, he teaches people how to make ethical, prosperous, and emotionally healthy financial decisions — across any faith, culture, or worldview… Douglas brings a rare combination of financial expertise, military discipline, and monastic wisdom. His work bridges spirituality and money, offering a compassionate approach to wealth-building that focuses on purpose, service, and long-term freedom. Hit play to find out: The dangers of weaponizing money.  How Douglas uses his monastic past as a financial tool for others. The ways in which spiritual and financial challenges can coincide with each other.  What the Four Pillars of Finance are, and how to leverage them to your advantage.  What it means to be financially literate.  For an in-depth view of Douglas's mindset, be sure to read From Monk to Money Manager: A Former Monk's Financial Guide to Becoming a Little Bit Wealthy – and Why That's Okay. You can also learn more about his writing, speaking, and coaching work on his website!

Improvisation Paths: Blues, Bebop, Modern

In this special live episode recorded at Sleep Medicine Disruptors in Austin, Texas, host Dr. Seema Khosla sits down with two standout innovators whose technologies captured the spirit of disruptive innovation in sleep medicine. Dr. Jason McKeown from Neurovalens and Dr. Onur Kilic from Bairitone Health present groundbreaking approaches to treating insomnia and personalizing obstructive sleep apnea therapy. Dr. McKeown, a neurologist, introduces his FDA-cleared non-pharmacological treatment for insomnia using vestibular nerve stimulation. He explains how the technology works, why stimulating nerves in this manner is safe, and how it differs from vagus nerve devices. The conversation explores the relationship with cognitive behavioral therapy for insomnia (CBT-I), addresses the placebo effect question, and clarifies whether this is a long-term solution or temporary intervention. Dr. McKeown discusses contraindications including pregnancy and Inspire therapy, potential side effects, and ideal patient populations. Dr. Kilic presents his sensor technology that enables non-invasive assessment of airway collapse location and severity—what he calls an "anatomic PSG." This innovation addresses a critical challenge: predicting which patients will respond to specific treatments like oral appliances, Inspire, or PAP therapy based on individual anatomical collapse patterns. Using a cheek-mounted sensor, the device identifies obstruction levels, differentiates between primary and secondary collapse sites, and detects collapse at the velopharyngeal level. The discussion explores whether this represents a scalable alternative to drug-induced sleep endoscopy (DISE), how it integrates with OSA endotyping, and practical applications during titration studies to identify optimal pressure ranges and guide combination therapies. Both innovators emphasize moving beyond one-size-fits-all approaches toward personalized, anatomy-based treatment selection. Whether you're interested in non-pharmacological insomnia treatments, precision medicine approaches to OSA, or the future of sleep diagnostics, this episode showcases innovative thinking driving the next generation of sleep medicine. Join us for this exciting live conversation from Sleep Medicine Disruptors.

If you're looking to accelerate your career growth, this episode gives you what may feel like hard truths about the path forward. So many engineers fall into traps of overthinking, chasing minor optimizations (like 5% or 10% productivity boosts), or playing the games of politics and networking. While these sideline activities aren't necessarily useless, I want to help you focus on the "big engines" and "primary considerations"—the things that will make the monumental difference in your career building strategy.• I explain why arguments based on nuance—such as trying to convince your manager that your work is valuable despite low throughput, or doing "glue work"—are often based on flawed strategies that cause your career to suffer and not grow easily.• I use an allegory (discussing the primary path of treatment for low testosterone) to illustrate that many engineers are trying to fix a fundamental, mainline career problem with a sideline, nuanced solution, instead of focusing on the gold standard primary path.• I debunk the skill collection fallacy: the misconception that broadening your skill set (learning more languages, frameworks, or techniques) provides the same level of career benefit as it did early on.• Discover the fundamental path to growth: I advise you to set down new languages and skill sets and instead become a craftsman of a limited set of tools, fully understanding the domain, business problems, and how value flows through the organization.• Learn why the most important factor that substitutes for very few other things is engaging in the deliberate practice of solving a sheer volume of problems encountered and solved over and over.• I detail how to avoid the comfort zone: while solving problems is vital, you must ensure those problems progress with you by increasing complexity, scope, responsibility, or sheer volume of work, otherwise, your potential for growth will become limited and you will stall out.• I caution that a lack of challenge (feeling no discomfort ever) can lead to boredom, disengagement, and eventual burnout, because your brain adapts, reducing the flow state you experience. I suggest finding ways to introduce discomfort that pushes you.• Understand that the primary course of treatment for a failing or stalled career is simple: become incredibly good at your core set of responsibilities, making things like networking, resume writing, and managing relationships easier as a result.

In this episode, the CardioNerds (Dr. Rachel Goodman, Dr. Shazli Khan, and Dr. Jenna Skowronski) discuss a case of AMI-shock with a focus on listing for heart transplant with faculty expert Dr. Kelly Schlendorf. We dive into the world of pre-transplant management, discuss the current allocation system, and additional factors that impact transplant timing, such as sensitization. We conclude by discussing efforts to increase the donor pool.  Audio editing for this episode was performed by CardioNerds Intern, Julia Marques Fernandes. Enjoy this Circulation 2022 Paths to Discovery article to learn about the CardioNerds story, mission, and values. CardioNerds Heart Success Series PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls The current iteration of heart allocation listing is based on priority, with status 1 being the highest priority.  The are multiple donor and recipient characteristics to consider when listing a patient for heart transplantation and accepting a heart offer.  Desensitization is an option for patients who need heart transplantation but are highly sensitized.  Protocols vary by center.  Acceptance of DCD hearts is one of many efforts to expand the donor pool   Notes Notes: Notes drafted by Dr. Rachel Goodman  Once a patient is determined to be a candidate for heart transplantation, how is priority determined?  The current iteration of heart listing statuses was implemented in 2018.  Priority is determined by acuity, with higher statuses indicating higher acuity and given higher priority.  Status 1 is the highest priority status, and Status 7 is inactive patients. (1,2)  What criteria should be considered in organ selection when listing a patient for heart transplant?  Once it is determined that a patient will be listed for heart transplantation, there are certain criteria that should be assessed.  These factors may impact pre-transplant care and/or donor matching (3).  (1) PVR  (2) Height/weight   (3) Milage listing criteria  (4) Blood typing/cPRA/HLA typing  What is desensitization and why would it be considered?  Desensitization is an attempt to reduce or remove anti-HLA antibodies in the recipient.  It is done to increase the donor pool.  In general, desensitization is reserved for patients who are highly sensitized.  Desensitization protocols vary by transplant center, and some may opt against it.  When considering desensitization, it is important to note two key things: first, there is no promise that it will work, and second desensitization involves the use of immunosuppressive agents, thereby putting patients at increased risk of infection and cytopenia. (4)  Can you explain DCD and DBD transplant?  DBD: donor that have met the requirements for legal definition of brain death.   DCD: donors that have not met the legal definition of brain death but have been determined to have circulatory death.  Because the brain death criteria have not been met, organ recovery can only take place once death is confirmed based on cessation of circulatory and respiratory function. Life support is only withdrawn following declaration of circulatory death—once the heart has stopped beating and spontaneous respirations have stopped. (5,6)  References 1: Maitra NS, Dugger SJ, Balachandran IC, Civitello AB, Khazanie P, Rogers JG. Impact of the 2018 UNOS Heart Transplant Policy Changes on Patient Outcomes. JACC Heart Fail. 2023;11(5):491-503. doi:10.1016/j.jchf.2023.01.009  2:  Shore S, Golbus JR, Aaronson KD, Nallamothu BK. Changes in the United States Adult Heart Allocation Policy: Challenges and Opportunities. Circ Cardiovasc Qual Outcomes. 2020;13(10):e005795. doi:10.1161/CIRCOUTCOMES.119.005795  3:  Copeland H, Knezevic I, Baran DA, et al. Donor heart selection: Evidence-based guidelines for providers. J Heart Lung Transplant. 2023;42(1):7-29. doi:10.1016/j.healun.2022.08.030  4: Kittleson MM. Management of the sensitized heart transplant candidate. Curr Opin Organ Transplant. 2023;28(5):362-369. doi:10.1097/MOT.0000000000001096  5:  Kharawala A, Nagraj S, Seo J, et al. Donation After Circulatory Death Heart Transplant: Current State and Future Directions. Circ Heart Fail. 2024;17(7):e011678. doi:10.1161/CIRCHEARTFAILURE.124.011678  6: Siddiqi HK, Trahanas J, Xu M, et al. Outcomes of Heart Transplant Donation After Circulatory Death. J Am Coll Cardiol. 2023;82(15):1512-1520. doi:10.1016/j.jacc.2023.08.006 

Today we are hitting some listener Q&A submissions: How do you know what buck to hold out for? How do you e-scout land out of state that you can't put boots on the ground on? How do you determine a bucks path of travel? We also cover tracking Jacob's Iowa buck, and some major shifts happening right now across much of the southeast when it comes to deer movement. Got a question for the show? Submit a listener Q&A form - https://l.linklyhq.com/l/1uMXP Grab some Southern Outdoorsmen merch here - https://l.linklyhq.com/l/1u4aK Join Woodsman Wire - https://l.linklyhq.com/l/1u4aR Use the promo code “southern” for a discount on your OnX Hunt membership here - https://l.linklyhq.com/l/1tyfm Use code SOUTHERN10 for a discount on Outdoor Edge Knives - https://linkly.link/2EvPX Check out Latitude Outdoors for your mobile hunting gear - https://2ly.link/1zVDI Use code TSOP15 for a discount on Mossy Oak - https://linkly.link/2ERb8 Save 10% on your next Vortex Optics order at eurooptic.com using the Promo Code “southern10” - https://2ly.link/1wyYO Use code SOUTHERN20 for a discount on all vortex apparel, including eyewear Use code “SOUTHERN25” for a discount on Houndstooth Game Calls: https://2ly.link/24tFz Have you tagged a deer using something you heard on the show? Submit your listener success story here - Share Your Story Here Come chat with us on our Thursday Hunter Hangouts! Join our patreon - https://l.linklyhq.com/l/1uMXU NOTE: Not all advertisements run on this show are endorsed by The Southern Outdoorsmen Podcast unless an ad is read by one of the hosts.  Learn more about your ad choices. Visit megaphone.fm/adchoices