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Sometimes the biggest breakthroughs begin with life's hardest setbacks. Andrew Garcia never expected a career in law enforcement. He also never expected a violent encounter in the line of duty to leave him facing multiple surgeries, devastating injuries, and uncertainty about his future. In this powerful episode of The Tuesday Crew, Andrew shares the journey that transformed him from police officer and detective into entrepreneur, innovator, and CEO of Syndicus USA. As the first member of his family to graduate college, Andrew built a life centered around service, discipline, and hard work. After entering law enforcement, he quickly learned the realities of protecting communities, making split-second decisions, and navigating the pressures of modern policing. Everything changed after a violent confrontation with a suspect under the influence of PCP left Andrew severely injured. Faced with a long recovery and difficult questions about what came next, he chose not to focus on what he had lost. Instead, he focused on what he could build. During this conversation, Andrew discusses: • Growing up in Southern California • Becoming the first college graduate in his family • Leadership lessons learned through law enforcement • The incident that nearly ended his career • Recovery, resilience, and rebuilding confidence • Entrepreneurship and launching a company from scratch • Building a team and learning to delegate • Burnout and founder challenges • Innovation in public safety technology • Creating products designed to serve first responders • Why adversity often reveals purpose • What legacy truly means Andrew's story is a powerful reminder that setbacks don't have to become endings. Sometimes they're simply redirections toward something greater. If you've ever faced a major obstacle, career uncertainty, personal adversity, or the challenge of starting over, this episode will leave you inspired to keep moving forward. ✓ Leadership requires humility ✓ Burnout often comes from refusing to delegate ✓ Adversity creates opportunities for growth ✓ Purpose can evolve over time ✓ Success is built through persistence, not perfection ✓ Great leaders leave tools for others to build upon Key Takeaways Learn more about your ad choices. Visit megaphone.fm/adchoices
A proposta de Prestação Social Única do Governo gera polémica antes ainda de chegar ao Parlamento. Francisco Mendes da Silva considera que o Governo “introduziu notas de polémica ideológica totalmente desnecessárias”, nomeadamente na questão do trabalho social, que classifica como “desproporcionada” e sem aplicação prática real. Daniel Oliveira vai mais longe e defende que a medida reflete uma visão da pobreza “como resultado do vício e da preguiça.” Ambos apontam os riscos da dependência crescente do Chega para aprovar legislação, numa altura em que os eleitores do PSD são, segundo as sondagens, os que mais rejeitam o partido de André Ventura. No Médio Oriente, Israel continua a atacar o sul do Líbano numa quadratura do círculo que compromete qualquer acordo. Para Francisco Mendes da Silva, o Irão não tem incentivos para negociar sem garantias sólidas. Daniel Oliveira sublinha que a comunidade internacional permitiu que as coisas chegassem a um ponto em que “até uma teocracia como o Irão é vista como a única capaz de travar o que ali está a acontecer”, o que é “duplamente trágico”. Ouça a análise dos comentadores no Antes Pelo Contrário em podcast, emitido na SIC Notícias a 9 de junho. Para ver a versão vídeo deste episódio, clique aqui * A sinopse deste episódio foi criada com o apoio de IA. Saiba mais sobre a aplicação de Inteligência Artificial nas Redações da Impresa See omnystudio.com/listener for privacy information.
Emergency department performance is often shaped long before a patient is admitted, or discharged. This episode features a presentation from the recently held ROI-Centered Care Summit, a half-day virtual summit produced by Bright Spots Ventures in partnership with TytoCare and the American Telemedicine Association (ATA). In this episode, Robert Sumter, PhD, FACHE, EVP / Market Chief Operating Officer at Ascension Illinois, shares how his team redesigned the emergency department front door to improve patient flow, reduce waiting, and strengthen both operational and financial performance. Rather than treating ED congestion as a staffing problem alone, Ascension focused on redesigning throughput across the full process: front-end intake, middle-care treatment, and back-end disposition and transition. The goal was not simply to move faster, but to build a more coordinated operating model that improves access, creates capacity, and supports a better experience for patients and staff alike. You'll hear how Ascension Illinois: Uses a "pull to full" model to reduce waiting room congestion by moving patients directly into treatment areas Combines triage nurse and provider teamwork to accelerate assessment and initiate care earlier Deploys discharge nurses to free up clinical staff, improve transitions, and arrange PCP follow-up Uses standing order sets, bi-hourly huddles, and dedicated patient transport to reduce bottlenecks and keep patients moving Focuses on "heads in the bed" to move admitted patients to assigned beds in under 30 minutes and preserve ED capacity Key topics covered: Why ED throughput is about more than speed The emergency department as the true front door of the health system Reducing overcrowding, LWOT/AMA, and staff burnout through workflow redesign Connecting patient flow to consumer satisfaction and financial sustainability Building operational discipline without compromising quality of care Ascension reported an average door-to-doc time of 4 minutes and median outpatient throughput under 145 minutes, alongside a broader focus on improving patient experience, reducing overcrowding, stabilizing staffing, and increasing capacity without simply expanding footprint. If you're a hospital operations leader, ED executive, or health system decision-maker working to improve access, throughput, and sustainability, this episode offers a practical look at what it takes to redesign the front door of care in a way that actually performs. Link to Rob Sumter's Presentation: https://www.brightspotsinhealthcare.com/wp-content/uploads/2026/06/Improving-Patient-Access.pdf Bio: Robert Sumter, PhD has more than 25 years of healthcare leadership experience driving operational excellence, strategic growth, and innovation across hospitals and health systems. He currently serves as Market COO for Ascension, where he oversees operations and strategic initiatives focused on improving patient outcomes, financial performance, and care delivery. Prior to Ascension, Robert served with UnitedHealth Group as the Interim Deputy COO and Chief Operating Officer for UnitedHealthcare Community & State. His leadership experience also includes executive roles at Hawaii Pacific Health, Regional One Health in Memphis, Tennessee, and Spectrum Health, where he served as Chief Operating Officer. Throughout his career, he has consistently led initiatives that improved patient satisfaction, reduced hospital length of stay, increased operational efficiency, and enhanced financial performance. Robert is widely recognized for his ability to lead large-scale operational transformations and build high-performing teams focused on delivering quality care and sustainable growth. His expertise spans hospital operations, healthcare strategy, population health, performance improvement, and executive leadership. Thank You to Our Episode Partner, TytoCare. TytoCare enables health systems and plans to deliver high-quality remote exams anytime, anywhere. Their FDA-cleared devices and AI-powered diagnostic platform support virtual specialty care, school-based programs, and home health models, reducing unnecessary ED visits and improving patient experience. To learn more, visit tytocare.com. Schedule a Meeting with a Senior Leader at TytoCare: To explore how TytoCare can help your organization expand virtual specialty access and improve care coordination, reach out to jtenzer@brightspotsventures.com to schedule a meeting. About Bright Spots Ventures: Bright Spots Ventures exists to help healthcare organizations accelerate the adoption of what's actually working. Healthcare does not suffer from a lack of innovation. It suffers from slow adoption, fragmented learning, and limited trust between stakeholders. For example, one health plan or provider may solve a major operational or clinical challenge while others spend the next 5–10 years rediscovering the same answer. We close that gap by creating trusted environments where health plans, providers, and innovators can share practical strategies, operational lessons, and scalable models that drive measurable improvement. Through the Bright Spots in Healthcare podcast, leadership councils, executive roundtables, curated events, and strategic advisory work, we help organizations build credibility, strengthen strategic relationships, and accelerate the spread of proven ideas across healthcare.
ennifer Thomas hosts a special CFHA Integrated Care Podcast episode featuring board-certified psychiatrist and addiction medicine specialist Dr. Virmarie “Dr. V” Diaz-Hernandez, national medical director at Concert Health, discussing psychiatric consultation in primary care within the Collaborative Care Model. Dr. V shares her training in Puerto Rico and the U.S., how stigma and fragmented systems drive the need for integrated care, and her early CoCM training through the AIMS Center. She explains the CoCM “triangle” roles (PCP, behavioral health care manager, and psychiatric consultant), how consultation differs from traditional psychiatry, and why it can be rewarding through population-level impact. They cover lessons learned—clear roles, flexible workflows, strong communication, weekly systematic case reviews using a registry, and avoiding program drift—plus how remote teams work and resources like CFHA training, the job board, and the CFHA annual conference (Oct 8–10 in St. Louis).
Primary care is where healthcare either works or quietly breaks, and Dr. Harry Albers helps us say the uncomfortable parts out loud. We talk about the emotional reality of managing chronic disease without instant wins, and the operational reality that burns physicians down: EMR documentation, inbox overload, prior authorizations, and the steady creep of uncompensated work after hours. When you stack that on top of low reimbursement and high overhead, it's no mystery why so many primary care physicians feel trapped in a system that rewards speed over relationships. We also dig into the RVU treadmill and what it does to quality, continuity, and professional confidence. If primary care can't get paid for time spent on prevention, lifestyle change, and complex decision-making, the incentives push referrals and volume. That has downstream effects for patients who struggle to see their own doctor, get routed to urgent care, or wait months to see a specialist. Access becomes the product, not just the outcome. From there, we explore concierge medicine and what “high-touch” care really means, including Dr. Albers' move into MD Squared and why a small patient panel can restore the core promise of primary care: access, advocacy, and a clinician who actually knows you. We don't ignore the hard question either, whether concierge and direct primary care models can scale during a national primary care shortage. We close with concrete advice for young doctors, health systems considering employment models, and patients who want to choose a PCP wisely, plus where AI in healthcare may reduce administrative burden soon. If you found this helpful, subscribe, share the show with a friend, and leave a review so more people can find these conversations. What's the biggest barrier you've faced getting timely primary care?Support the showEngage the conversation on Substack at The Common Bridge!
Especialistas analisam a greve e a crise na representação sindical. No Parlamento, o Chega alinha-se com a CGTP contra a reforma laboral e o PCP procura uma prova de vida perante a baixa adesão.See omnystudio.com/listener for privacy information.
O processo de criação da Prestação Social Única (PSU) está a gerar fortes críticas no Parlamento e o Chega anunciou já que vai votar contra a autorização legislativa pedida pelo Governo. Esta tarde foi a votos, na Assembleia da República, o processo de urgência solicitado pelo executivo, que prevê uma discussão na especialidade num máximo de dez dias — e que foi aprovado com os votos da AD e da IL, a abstenção de PS, PAN e JPP e o voto contra de Chega, Livre, PCP e BE. Mas o que explica esta aproximação do PS ao Governo neste tema?See omnystudio.com/listener for privacy information.
Send us Fan Mail“Survivor” sounds like a finish line. For many people, it feels more like a label you're handed while you're still trying to process what just happened. Cara and Missi get personal about cancer survivorship, using Missi's breast cancer journey to talk about the part nobody can fully prepare you for: living in the in-between, where every new ache can trigger scanxiety and “life after” doesn't come with a clear map.We walk through what survivorship means clinically and emotionally, including the three phases often described in the literature and why the extended phase can feel like a muddy mess. We also unpack the real-world logistics of post-cancer care: how your team can grow from a PCP and OB-GYN to a surgical oncologist, medical oncologist, breast navigator, physical therapy, lymphatic therapy, and mental health support. If you've ever felt overwhelmed by appointments, paperwork, and the mental load of decision-making, you'll feel seen.We dig into high-interest survivorship topics for breast cancer patients and the clinicians who care for them: endocrine therapy (aromatase inhibitors like anastrozole and SERMs like tamoxifen), fatigue and brain fog, bone density loss and DEXA scans, osteoporosis treatment options such as bisphosphonates, Zometa, and Prolia, and the evolving guidance on topical vaginal estrogen for genitourinary syndrome of menopause. Cara also shares what she's learned about lymphatics, lymphedema, compression sleeves for travel, and why protecting an arm after lymph node removal can be a forever habit.If this conversation helps, subscribe, share it with someone who needs it, and leave a review. Send us the topics you want next, and come see us in Kansas City in October for the annual meeting.#CancerSurvivorship #BreastCancer #BoneHealth #Lymphedema #LifeAfterCancer #BodyMindSpirit #TheNewNormal
Send us Fan Mail“Survivor” sounds like a finish line. For many people, it feels more like a label you're handed while you're still trying to process what just happened. Cara and Missi get personal about cancer survivorship, using Missi's breast cancer journey to talk about the part nobody can fully prepare you for: living in the in-between, where every new ache can trigger scanxiety and “life after” doesn't come with a clear map.We walk through what survivorship means clinically and emotionally, including the three phases often described in the literature and why the extended phase can feel like a muddy mess. We also unpack the real-world logistics of post-cancer care: how your team can grow from a PCP and OB-GYN to a surgical oncologist, medical oncologist, breast navigator, physical therapy, lymphatic therapy, and mental health support. If you've ever felt overwhelmed by appointments, paperwork, and the mental load of decision-making, you'll feel seen.We dig into high-interest survivorship topics for breast cancer patients and the clinicians who care for them: endocrine therapy (aromatase inhibitors like anastrozole and SERMs like tamoxifen), fatigue and brain fog, bone density loss and DEXA scans, osteoporosis treatment options such as bisphosphonates, Zometa, and Prolia, and the evolving guidance on topical vaginal estrogen for genitourinary syndrome of menopause. Cara also shares what she's learned about lymphatics, lymphedema, compression sleeves for travel, and why protecting an arm after lymph node removal can be a forever habit.If this conversation helps, subscribe, share it with someone who needs it, and leave a review. Send us the topics you want next, and come see us in Kansas City in October for the annual meeting.#CancerSurvivorship #BreastCancer #BoneHealth #Lymphedema #LifeAfterCancer #BodyMindSpirit #TheNewNormal
We are humbled to have Dr. Ben Page back on the podcast and the wealth of knowledge that he brings with it. In today's episode, Carter and Dr. Page talk about your overall well being - This ranges from the food you eat to what your blood tests say about your health. Topics such as the Driscoll fruit fiasco, the fear of fat in food, and basic blood tests are discussed in detail. Driscoll fruit is found to have chemicals still in its fruit when being sold and consumed. We have been raised to stay away from good fats in our lives that commonly found in red meat. And lastly, we are too quick to look at the basic blood tests from our PCP's and take a pill to fix what might be considered "out of range" in medicinal practices, but in reality, you are a healthy human being.
Are air rifles just toys for kids, or a legitimate training tool for serious shooters? In this episode of the Guns Podcast, Brent Wheat and Roy Huntington dive into the world of air guns — exploring how these accessible, affordable firearms can help you hone your marksmanship skills without the hassle or expense of visiting a crowded indoor range. From classic Daisy BB guns to high-powered pre-charged pneumatics (PCP), we break down the different types of air rifles and pistols available for every budget. We also cover crucial air gun safety tips, including why you should never use petroleum-based lubricants and the unique recoil impulses that can destroy standard optics. Whether you are setting up a cardboard box trap in your garage or stalking grasshoppers on a backyard safari, this episode will show you why every gun enthusiast needs an air rifle in their collection. Plus, stay tuned to the end as we read some hilarious comments from our listeners, discussing what it means to be a low-speed, high-drag Fudd! Key Takeaways Air rifles provide a cost-effective and highly accessible way to practice shooting fundamentals without going to a public range. You do not need a massive backyard; a simple cardboard box and paper targets in a garage are perfect for close-range air gun training. Avoid using petroleum-based lubricants on air guns, as it can rot the seals and cause dieseling inside the chamber. Break-barrel air rifles have powerful springs and forward recoil impulses that can destroy traditional scopes — always use air-gun-rated optics. High-quality replica airguns and airsoft guns are excellent for teaching the manual of arms safely and effectively. Don't overlook airsoft for force-on-force training, as many tactical professionals use them for realistic practice. --- Have a topic idea or a guest you'd like to see in a future episode? Let us know in the comments or email editor@gunspodcast.us Never miss an episode! Subscribe to our YouTube channel @gunspodcastus or sign up for our newsletter to get the Guns Podcast delivered straight to your inbox each week. Buy our Merch! Visit Gunspodcast.us
We've got a gem from the archives today! The Last Boy Scout (1991) has one of the craziest opening sequences we've ever seen. A banger song, PCP, and Billy Blanks with the blicky, all in a matter of 5 minutes. The rest of the movie is downhill from here as we discuss sleepy Bruce Willis, the total misuse of Halle Berry, and the logistics of shooting a football from a horse. This weeks caucacity is a bit dated but also fuck Aidin Ross. We've got some plans for the summer! Book club finally, some streaming and some fun mini episodes! More to come soon but keep up with us on IG and TikTok at @whitepeoplewontsaveyoupod! We'll be back soon with more caucacity!
Send us Fan MailHello Fellow Airgun Geeks,The airgun world is moving fast, and this episode of The Airgun Geeks is packed with news every shooter should be watching.Pat and Bill discuss recent legal action in New York that could affect air rifles, pellet guns, BB guns, PCP airguns, youth shooting, backyard plinking, competition shooting, and airgun retailers. Pending New York bills S9215 and A10701 have drawn attention because they would expand the definition of “imitation weapon” to include air rifles, pellet guns, and BB guns, with language affecting sales, marketing, and future airgun ownership in the state.We also recap our visit to the Florida Outdoor Expo, an outdoor sports event featuring categories like hunting, fishing, camping, archery, boating, backyard living, motorsports, and more. From there, we talk about Bill's new relationship with Pinty Airguns, Pat's new gig with Sling Guru, and the recent IPAC competition in Florida, a precision long-range airgun event featuring benchrest, PRS/ELR-style challenges, and extreme-distance airgun shooting.This episode is for PCP airgun users, pellet gun shooters, backyard shooters, field target competitors, benchrest shooters, big bore airgun fans, airgun hunters, plinkers, youth shooting supporters, 2A-minded airgun owners, gear reviewers, outdoor sports fans, and anyone following the future of airguns in America.If you care about where the airgun industry is headed, this is one you do not want to miss.Drop a comment below with your thoughts on the New York airgun issue, IPAC, Pinty Airguns, Sling Guru, or where you think the sport is headed next. Please like, subscribe, and share this episode with another airgunner who needs to stay informed.Some links may be affiliate links. Using those links helps support The Airgun Geeks at no additional cost to you, and we truly appreciate that support.airgun news, New York airgun laws, NY airgun bill, PCP airguns, pellet guns, BB guns, air rifles, airgun legal update, airgun competition, IPAC Florida, precision airgun shooting, long range airguns, Pinty Airguns, Sling Guru, Florida Outdoor Expo, backyard shooting, field target, benchrest airgun, airgun hunting, airgun community, The Airgun GeeksHashtags#AirgunGeeks#Airguns#PCPAirguns#PelletGun#AirgunNews#NewYorkAirgunLaw#IPAC2026#PintyAirguns#SlingGuru#BackyardShootingSupport the show
Reformed Brotherhood | Sound Doctrine, Systematic Theology, and Brotherly Love
In this profound exploration of Matthew 21:40-46, Tony Arsenal and Jesse Schwamb unpack the Parable of the Wicked Tenants and its devastating indictment of Israel's religious leadership. The hosts navigate the complex theological terrain of kingdom transfer, covenant faithfulness, and the identity of God's people across redemptive history. With careful attention to the text's original context and its implications for the church today, they examine how Christ presents himself as the rejected cornerstone—the one upon whom people either fall in repentance or are crushed in judgment. This episode offers rich insights into supersessionism, the remnant theology of Romans 11, and the practical call for Christians to examine whether they're submitting to Christ as the true cornerstone or attempting to usurp his rightful place. Key Takeaways The Self-Condemning Verdict: The chief priests and Pharisees unknowingly pronounce judgment upon themselves when they declare the wicked tenants deserve destruction, demonstrating how the natural conscience can discern God's justice even when blind to personal complicity. Kingdom Transfer as Covenant Transition: The "taking away" of the kingdom represents not the abandonment of God's elect remnant but the historical-redemptive transition from the typological Old Covenant administration to the New Covenant church gathered from all nations. The Cornerstone's Double Judgment: Christ as the cornerstone presents two modes of encounter—those who fall upon him in repentance are broken but healed; those upon whom he falls in final judgment are ground to powder with no remedy. Visible vs. Invisible Church Distinction: The visible identification of God's people shifted from the geopolitical nation of Israel to the universal church, while the invisible elect have always been saved by grace through faith in the coming Messiah. Fear of Man vs. Fear of God: The Pharisees' restraint from seizing Jesus due to fear of the crowds (rather than fear of God) exemplifies how the wicked are dominated by human opinion rather than divine accountability. Infant Baptism and Covenant Community: The joyful inclusion of children in the visible covenant community through baptism reflects God's gracious promise sealed to those who contribute nothing to their own covenant status. Fruit-Bearing as Evidence: The "new tenants" are characterized not by works-righteousness but by evidential fruit—the genuine works that flow from "true and lively faith" worked by the Holy Spirit. Key Concepts The Irony of Self-Condemnation The theological and pastoral power of this parable reaches its climax when the religious leaders, failing to perceive themselves as the wicked tenants in Jesus's story, pronounce harsh judgment upon the hypothetical villains: "He will bring those wretches to a wretched end." This moment mirrors Nathan's confrontation of David after the Bathsheba affair, yet with a tragic difference—these leaders never experience David's repentance. Calvin observes that the natural conscience, even when blind to personal guilt, retains an "hidden impulse to identify with justice." The Pharisees demonstrate total depravity in high definition: they possess enough moral clarity to recognize egregious covenant-breaking in the abstract, yet remain entirely blind to their own embodiment of that very wickedness. This irony serves as both judgment and warning—we all possess an uncanny ability to see sin clearly everywhere except in the mirror. Kingdom Transfer: Covenant Continuity and Discontinuity The phrase "the kingdom of God will be taken away from you and given to a nation producing its fruit" requires careful theological handling to avoid both replacement theology (in its pejorative sense) and dispensational fragmentation. The Reformed understanding maintains covenant continuity: there has always been one people of God, defined not ethnically but by faith in the Messiah. What changes is the visible administration of the covenant. Under the Old Covenant, the visible church was largely coterminous with ethnic Israel—a geopolitical reality with boundaries, a zip code, and national identity. Under the New Covenant, the visible church explodes these ethnic and geographic boundaries, fulfilling God's promise to Abraham that "in your seed all nations will be blessed." This is not Plan B; it's the eschatological unveiling of what was always intended. The "breaking off of natural branches" (Romans 11) refers to covenant unfaithfulness resulting in exclusion from visible covenant privileges, while the faithful Jewish remnant—the apostles, early believers, and the ongoing elect from Israel—remain fully incorporated into the church. The vineyard hasn't been abandoned; it's been opened to "other tenants" who will render the proper fruit: Gentiles grafted in alongside believing Jews into the one olive tree of God's redemptive purposes. The Cornerstone: Salvation or Destruction Christ's invocation of Psalm 118:22—"the stone which the builders rejected has become the chief cornerstone"—followed by his dual judgment ("whoever falls on this stone will be broken...on whomever it falls, it will scatter him like dust") presents two exhaustive options for relating to Jesus. The cornerstone in ancient construction was the foundational stone by which all other stones found their proper alignment and orientation. To fall upon this stone willingly—in repentance, faith, and self-abandonment—is painful. It shatters pride, self-righteousness, and autonomy. But this breaking leads to healing, to being properly "squared" and aligned with reality as God has constructed it. The alternative is catastrophic: to have the cornerstone fall upon you in final eschatological judgment is to experience irreversible, total destruction—being "ground to powder" with no possibility of remedy. The practical application is urgent: we must examine ourselves continually to ensure we're not attempting to be our own cornerstone, measuring righteousness by our own standards, aligning the universe to ourselves rather than submitting to Christ as the measure of all things. Memorable Quotes "There's never a time where that righteousness is removed or unapplied, but we are constantly faced with a choice as to whether we want to be the kind of people who render our fruit unto the Lord, as the faithful tenants when the unfaithful tenants are replaced. Or do we wanna be the people that reap wicked fruit and keep for ourselves?" — Tony Arsenal "The vineyard of God is still let out, the fruit is still demanded, the cornerstone is still laid. Blessed are they who receive him—and also get those babies into church." — Jesse Schwamb "This is not a wall you're gonna run through. Like you're gonna smash into this wall and it's gonna crush you. And if you are not properly assigning the cornerstone its place... the whole thing is gonna crush you." — Tony Arsenal Full Episode Transcript [00:01:05] Jesse Schwamb: Welcome to episode 492 of The Reformed Brotherhood. I'm Jesse. [00:01:14] Tony Arsenal: And I'm Tony. And this is the podcast with ears to hear. Hey brother. [00:01:18] Jesse Schwamb: Hey brother. [00:01:19] Parable Recap [00:01:19] Jesse Schwamb: Well, the time has finally come for us to close out our discussion in Matthew 21. This is the Parable of the Vine growers, and everybody should just go back and list everything we said so far, but I think here's how we could sum it up. Jesus's authority gets challenged and he sets a trap so beautiful that we should put it into a museum. He tells basically the religious bigwigs, this whole story where tenants speed up servants, they kill the air. They generally behave like it's an HOA literally run by the devil. And then he asks them this question, so what should the owner of the vineyard do And the chief priest. Chest puffed up. Basically shout out the answers to their own indictment. Smoke 'em. Give the vineyard to somebody who isn't garbage. Listen fellas, you just preached your own funeral. So in this we get to see this total depravity in 4K. Sovereign grace skips the credential gatekeepers and it lands on the tax collectors and the gentiles. They elect the vineyard, the self-righteous, get the rock. And we're gonna close out what all of that means, including probably not a small amount of talk about the kingdom being transferred, whatever that means, and maybe a little engrafting. Aah, Romans 11 style. It's all there for us. And that is what is coming up. [00:02:34] Affirmations Setup [00:02:34] Jesse Schwamb: Of course before we can do any of that, we can't even get there. Tony, before we do affirmations, denials, you and I both know it's our contractual obligation. It's what the people want all over the world. If we skip this, there will be some kind of riot revolt. So we gotta start there. Let's not get too excited yet. So I'm curious as always, are you affirming with something or you not against something for this episode? [00:02:58] Tony Arsenal: I am, I'm affirming, uh, this is gonna be like people are gonna grow and roll their eyes a little bit. [00:03:04] Infant Baptism Joy [00:03:04] Tony Arsenal: I'm affirming infant baptism today. We had a lovely infant baptism at church, um, and a couple recently had a child. Um, there's been, this was a kind of a particularly, um, poignant baptism. Um, the, the mother was in the hospital for several weeks before the baby was born, um, with some medical challenges, so was in. In the hospital. In the hospital for like, I want to say probably four weeks, which is a long time. Um, they have several other children, which makes it even harder. Um, and then, uh, then the baby was in the hospital for quite some time. He came a little early and then had some other issues. Um, and so this family was out of church for quite some time dealing with these health issues, and we, we all miss them very much. So it was a very sweet moment. Um, and it's just a, a good reminder, right? And, and the way our church does it is, you know, the pastor, the family comes up, they do vows, they do the baptism, but he calls all the children forward and the children come and sit, uh, right in the front row and they watch this all happen. Um. Which is, is very sweet. And you know, I, I went up there with Augie, and Augie was sitting on my lap and he was very, he was like super locked into this, this whole thing, which is, uh, which was nice to see. So I'm affirming infant baptism. It's a beautiful, beautiful picture of the gospel. Um, it's, it's God's promise being sealed to someone who contributes nothing to, um, to that promise contributes nothing to, uh, their own, um, position in the church or status in the church. They contribute nothing. Um, in most cases they're not even aware of what's going on. So I know not all of our listeners are, uh, are covenant infant Baptists, uh, type people. Um, so yes, I get it. You disagree, but there is something just sweet and beautiful, uh, even I think even for people who aren't quite sold on infant baptism. Um, and I think even sometimes for people who are kind of opposed to infant baptism, I think we've commented in the PA past that there's kind of this impulse that I think all Christian parents have that their children should be. Treated in a certain way that's different than how a non-Christian family treats their children. Right. Um, so there is kind of this instinct that the, there's, whether it's a formal status or just sort of a, a way of thinking about things, there is this impulse that the children of believers are somehow set apart in different, and of course, the, the Presbyterian Covenant Baptist, um, position would, would formalize that through the rite of baptism, uh, at least in part. So I'm affirming infant baptism, both theologically, but also just experimentally today. Like it was just, it was just a balm to my soul to see this, um. And like I said, the congregation has been praying for a long time for the health, uh, and the, the welfare of this family, um, and been, you know, doing meal trains and all the stuff that churches do. But it was, it was a very sweet moment, um, to see the pastor scoop this little baby up in his arms and be able to sort of introduce him to the church as the newest covenant member of the congregation. Uh, it was just a very nice moment. [00:05:59] Baptism Dedication Common Ground [00:05:59] Jesse Schwamb: I think you're right. We can all agree that there's something really beautiful about God growing his church, at least the visible church, through just the multiplicative effect of. People having children, there's something beautiful about that, and then welcoming them in an official way into your congregation, into your midst. Interestingly, in my church, there was a baby dedication today and I was also equally moved though like I would say the promises that were invoked during that time, the equipment's made are very different than what you might hear during kind of pedo infant baptism. You're right in that the spirit of this that is like a representation kind of bringing forward of the child to say he or she is part of us and we're making a commitment to raise them in admonition of the Lord is a really lovely thing. It's like a public recognition that God is providing a manifest blessing in our midst, and that he is growing and working out his church and he's doing it by just bringing new people into it who are being, who are the subjects of procreation. Creation itself, but procreation and how can you not be like, just excited about that. And, and also a little bit like it's also, and I'm not trying to denigrate any practice here, but also just on the face also super adorable. Like when you, when you see a pastor scoop up, like you said, a little child, whether that's to pray with them and dedication or to baptize them. Either way, it's super just like lovely and just pulls in your heartstrings. Yeah. In like this very spiritual way, not just in kind of an emotional kind of way. [00:07:26] Tony Arsenal: Yeah. Yeah. And I, you know, I don't, I think, um, when I think back, you know, Augie's, obviously you know this, but Augie was dedicated, um, Addie was not. Um, but when I think back to the vows we took, when we dedicated Augie, there are some differences, but there's also a lot that's not different like the sure close to like, raise up your child in the church and to like, pray for them and set a good example. And then, and then the sort of reciprocal vows that the congregation typically takes, that the congregation will do what they can to support the family as they, they raise this child and the Lord. Um, you know, even in, even in a lot of contexts, like in the Presbyterian church, I'm in like prayers that this, this child would come to know Jesus and would, would come to confess the faith for themselves and become a full, you know, full communicate member of the church. Like, those things are all present. So as much as I think, um. As much as I wanna acknowledge that infant baptism or, or covenant, I, I say covenant baptism versus, um, sort of like baptist theology writ, large credo Baptist theology, which is covenantal, but differently covenantal in most cases. Right. Um, even though that is a dividing line, and I think like it's a real dividing line. There's a real division that exists and that there's good theological historical reasons why those divisions exist. There still is so much that is the same. Um, in terms of how Baptists and, and Presbyterians or however formed, you know, PR Christians, um, re reflect on and think about their children. There's some differences, but in terms of like. We all want our children to come to know Jesus. We all want their first memory to be worshiping in the church and loving the Lord. We, we don't want them to ever remember a time where the name of Christ was not on their lips as their savior. Um, all those things are the same and even the, the way we promise before God and, and primarily before God, but before others, even the way we promise to nourish them in, in right doctrine and nourish them in good teaching and bring them into the church and, and set a faithful example. All of those things are the same. So I I I, I never want to diminish the fact that there are differences 'cause there are real differences and there are important differences. But I also think we often sort of like. I think because we've talked about this before, like Reformed Baptists and Presbyterians are so close that we have to bicker over the things that are different. It's like you're, it's like when you fight with your brother on whose side of the room it's on. Like you're so close that you have to find the little things to really bicker about and then you really, really bicker about them. And I think that kind of like describes the, the Presbyterian Baptist divide in a lot of ways. I know there's a lot of people that would say like, Lutherans are closer to Presbyterians and those people are just, I dunno, they're just wrong. Um, on, on, maybe on baptism, they're, they're not wrong. But in terms of general theological principles, like, you know, Westminster Confession, London Baptists, confession, like, it, it's 95% the same content. Sure. Um, and 95% like the same confession, not just the same like words, but the same meaning of the words. And, um, so yeah. Anyway, that's my affirmation. Infant baptism. It was a joy. I was happy to see it. Um, uh, we have a ton of little, little babies in the, the church. It's funny 'cause another, another, um. A couple announced today that they were expecting, and we've, we've had basically pregnant women in the church for, you know, obviously like at least nine months if someone is still pregnant. But like we've had, we've had this like rotation of, of women delivering babies for like, at least, probably, at least 16, 18 months of, of constantly having people who are, are expecting, which is really a great joy to see. So I, I love it. I love the church. I love the Presbyterian church. Um, and this was just another great example of, of the beauty of, uh, a robust confessionalism and a robust presbyterianism. [00:11:08] Jesse Schwamb: The way in which you said that made it sound like you're about to make like a grand historical statement. Like, we've had pregnant people in the church since the first century. [00:11:18] Tony Arsenal: Well, I mean that's probably true, but [00:11:19] Jesse Schwamb: yeah, it definitely [00:11:20] Tony Arsenal: true. Not, not our church. Our church has only been around, our particular church has only been around for like 10 years, so I'm sure there have been times during that period where there were not pregnant people [00:11:29] Jesse Schwamb: pregnant. It just sounded like we were going all the way back as if like to, again emphasize and maybe this isn't, this is as fair statement, like how faithful God has been like from the beginning. There's always been. Pregnant lady Church. Look, look at how faithful God is. [00:11:42] Mic Grabbing Babies [00:11:42] Jesse Schwamb: And, and this is true, I like to play this game when there is a baby dedication. I'm not sure what the sound system is like in your church, but often our, our pastors wear like the tiny little like Backstreet Boys style. It's probably outdated reference, but microphone that comes over the ear and to the mouth and it's very discreet. But the game I like to play is like once, once he takes the child for a time of dedication or specifically prayer, the, the goal is to see like how long before that baby goes for the mic. Because as soon as like a baby sees a mic right there, it's like, oh yeah, this is the best thing that's happened to me in my tiny little life. [00:12:20] Tony Arsenal: Yeah, it's like an angler fish is really what it is. Yes. It's like that glowing bulb that just sits in front of its face and it's, the baby's just gotta grab it. [00:12:27] Jesse Schwamb: It's just too tempting. It's just too tempting. And I, and I love, you can tell like our pastors are really adept at being able to keep the prayer going and like discreetly maneuver the child, keep the child happy. It's, it's really an amazing thing. So altogether, I'm totally with you on so many levels. It's so good to see that happen in the church. And I'm with you on that. We gotta take joy in that For sure. [00:12:48] Tony Arsenal: Yeah. Jesse, what do you got for us tonight? [00:12:50] Book Breath Pick [00:12:50] Jesse Schwamb: Yeah, something that's entirely unlike everything you just said. Certainly. Well, maybe, I guess there is a large spiritual component to this, but it's, I would say, for me, totally unexpected book recommendation and I came across this 'cause it was recommended to me and a while back, the keen or the listener who's been with us for a really long time, or a member that we talked about the book or why we sleep, this book became for me, like the equivalent of that in a totally different kind of topic or genre. It's called breath. The New Signs of a Lost Art by James Nestor and it explores how the way that humans breathe profoundly affects our health, our performance, our longevity. It's a book that is filled with both science and pseudoscience, which the author is really good at distinguishing and calling you to think about those things. But it's really totally changed how I understand like this little pattern in Habits of breathing. And it's a really interesting book of course. Like he draws from a lot of like religious influences, including of course the Judeo-Christian one. And I think that it even drew me back to understanding how God created us. And he did in a very specific way that text's giving some great description to the breadth that he gives us and how he gives us that breath. So if you're looking, I guess, for a little bit of a read, so that might surprise you about something that you might thought was automatic and simple in life and also that might. Be able to bring you some recommendations on how to better your health. Again, we're not doctors, but we are routinely considered among the top 50 healthcare podcasts. Then I would say this would be an interesting book for you to check out. [00:14:19] Tony Arsenal: Yeah. Yeah. I haven't read it, but it's been recommended to me and one of the, one of the takeaways, actually, I think it might have been my doctor, my my PCP who mentioned this to me is like, if you wanna improve your health drastically, like just make it a practice of breathing through your nose. Yes. Like something that simple and straightforward has pretty significant health impacts of like. Like the way that your brain processes breath when it comes through your nose, the way that like, there's more filtering that happens with breath, so the air that gets to your lungs is cleaner. There's just a lot of, um, I haven't read it. I've, I think I actually have it somewhere, but I have not read it yet. Um, I, I should, I should take a look at it. I, I've heard good things about it. [00:15:01] Jesse Schwamb: At the very least, if you're a Christian, it'll cause you to marvel again. That's how beautifully complex God has made the human body and how it seems entirely impossible that anyone could even logically reasonably conclude that somehow we are just time plus matter, plus chance, and that all these things got worked out. I don't wanna spoil some of the punchline. A part of the book is about this. Breathe through your nose, which you might think was just kind of an innocuous decision. Breathe through your nose, breathe your mouth. How, how different could it be? They actually do an experiment where they plug their noses, the author and somebody else for, uh, several, like 10 days straight. And do all these these things under medical supervision to see what the impact is. And I'll leave you to read it so you can hear that. There's also something fascinating, absolutely fascinating about carbon dioxide and a study that's done where they actually have people inhale a little bit of carbon dioxide and what it does to the body. In other words, like the system that God has put into play to ensure that the body gets the kind of right amount of oxygen that it needs and how it functions when it's given the warning side of carbon dioxide, even when. Your lung capacity and your oxygen, your blood doesn't change. There's a fascinating section on that. So I didn't expect to be this interested in the book and generally I take a little time before I recommend a book. I finished this a couple weeks ago and I'm still thinking about it. So, and I'm trying to put some things into practice, including I try to do some running and for the longest time I just thought, well, when you run, like even at any like moderate speed, like you have to breathe through your mouth, this book challenges some of that. So lo and behold, I went out and started to try just a little bit to see if I could just breathe through my nose. It turns out it's totally possible, like all this time I just thought that was impossible, like God didn't make us that way, and it's actually improving how I feel when I run and the running that I'm able to do. So I am surprised, I, I'm shocked by all this, and it's just as simple as understanding breath. Who would've guessed. [00:16:56] Tony Arsenal: Yeah. I mean, I've heard it's a great book. I, I, I. It never ceases to amaze that the, the more we look at the human body, the more we look at God's creation, the more we see the fingerprints of our creators. So not, not [00:17:07] Jesse Schwamb: right. [00:17:07] Tony Arsenal: Sounds like a great book. I can't recommend it from personal experience, uh, although I've heard very good things. [00:17:12] Reading Matthew 21 [00:17:12] Tony Arsenal: So, Jesse, I think we should probably just get into it because this is now week three of, uh, one week episode and, uh, we want to wanna dig in and we wanna wrap it up so we can move on to the next best thing out there, which is of course, the parables of Christ. [00:17:26] Jesse Schwamb: Let's get some. So I'm gonna read for us starting in verse 40 because if you've been tracking then you've already been with us through the first part of this parable, and it's notoriously or variously called parable the vine growers, or I kinda like the husband men, just because that's fun to say, and you don't get to drop husband men like very often. But vine dressers, vine growers, vine workers, it's all the same. But here's starting in verse 40. This is after Jesus has already explained the parable. He set it up for them and he's gonna bring for the indictment. So Jesus says, and therefore, when the owner of the vineyard comes, what will he do to these vine growers? They said to him, he will bring those wretches to a wretched end and he will rent out the vineyard to other vine growers who will pay him the proceeds at the proper seasons. Jesus said to them, did you never read in the scriptures the stone, which the builders rejected? This has become the chief cornerstone. This came about from the Lord in his, marvelous in our eyes. Therefore I say to you, the kingdom of God will be taken away from you and given to a nation producing the fruit of it. And he who falls on this stone will be broken to pieces, but on whomever it falls, it will scatter him like dust. And when the chief priests and the Pharisees heard his parables, they understood that he was speaking about them. And although they were seeking to seize him, they feared the crowds because they were guarding him to be a prophet. [00:18:48] Irony Blind Leaders [00:18:48] Tony Arsenal: Yeah, that, that last little section here is just such, it's like dripping with such irony, [00:18:53] Jesse Schwamb: so good [00:18:54] Tony Arsenal: that like they, they are so blinded by their own, um, I dunno, ambition isn't, maybe isn't even the right word, but something in that, that neighborhood, they're so blinded by their desire to. Maintain their own status quo, their own uh, their own status. That they fear the crowds because the crowds hold them to be a prophet, [00:19:15] Jesse Schwamb: right? [00:19:16] Tony Arsenal: When in reality, like there is a prophet in their midst and much more than a prophet, uh, and they can't see it because of their own blindness. So I'm stoked to get into it. This is such, like we said, this is such a, like on the nose, paril, it's crazy. This is so much like, you know, Nathan's, you are the man kind of parable. Like yes, that's right, except there never is a, you are the man moment for them. They never get it, which is. Stunning. Like I, I, it just sort of is like, I don't even know what to make of that. [00:19:41] Jesse Schwamb: Yeah. There is like a wild blindness. I've been thinking about that a lot in our past conversations, but it culminates here. These chief priests and elders, I would say strangely, but I think that this is probably true of all of us, and maybe especially me, perhaps not yet, like perceiving themselves to be the vine growers here in view, they render this verdict of severe justice. It seems like you, you wanna say to them? Like, guys, guys, pull up, hold up a second. Yeah. Take a step back before you overreact here, because you're about to condemn yourselves and in the Greek here, this expression like, miserably destroy these wicked men. Or it gets like this double wretched in our translations. Mostly he will bring those wretches to a wretched end. It's this rhetorical intensification. It's incredible. And I, I think there's at least like two truths here. That come to my mind. One is, we've talked about before, but is in line with what you're saying, that the natural conscience, when not even aware of its own complicity, can still discern the justice of God's judgments. So here are these men who are so prone almost, I think what Calvin says elsewhere, like that we have this hidden impulse to identify with justice. Even when we can't see that we are the ones perpetrating something of injustice, still we can't help but cry out. We can't even help but identify it. And here they. Accurately identify it. And even though they're putting themselves exactly in the cross here, they cannot help but basically cry out that how egregious this behavior is of these vine growers that Jesus has basically, you know, created in this hypothetical environment, even still there, they're filled with rage and the rage gets turned on them. So the Pharisees here, of course, function as this unwitting witness to the righteousness of God's wrath against covenant breakers, even though they, they don't see it. [00:21:29] Kingdom Transfer Talk [00:21:29] Jesse Schwamb: Uh, the second thing I think that comes to my mind, and maybe this is like more to the point, is that. The verse foreshadows this transfer of the kingdom from the Jewish nation to a new people that would bring forth its fruits, which I realize if I bring that up right now, that we've just committed to like six episodes just on that topic probably. But yeah, but like, we're gonna have to come to it because there's so much here. And the phrase of this, like, let out his vineyard unto other vine growers or husbandman, it does to me like anticipate this calling of the Gentiles and the formation of the Christian Church and in, in this way. It's not to me. The abandonment of the elect, remnant of Israel, but it is like the breaking off of the natural branches and then this engrafting of the wild olive shoots that come through like Allah, Romans 11. So it's, it's not like from one nation to another simply, but from like the carnal seed to a spiritual seed gathered out of all the nations, that that's wild. Right? I, I think that's all in view here. And it's like a kind of a crazy thing to say. It's certainly like a wild thing to say, no pun intended. And I imagine like, unexpected thing to say. [00:22:38] Tony Arsenal: Yeah. Yeah. [00:22:40] Supersessionism Clarified [00:22:40] Tony Arsenal: Let's think about that a little bit because I think too, there's, there's almost an element of, um. Man, I'm gonna get a lot of flack for saying this. You're, there's almost like a legitimate replacement theology here, right? Like replacement theology. I got covenant theology, you know, reformed, um, reformed theology often gets slandered as, you know, supersessionism or replacement theology, uh, with this idea that like, it's, it's interest. Uh, you have to have dispensational presuppositions for that phrase to even make sense because like the reformed paradigm is that there is one people of God full stop. And yes, like the identity of the one people of God seems to sort of like morph from the Jewish national people to now like Jews and Gentiles and actually predominantly Gentiles in the scope of like the whole history of the church. But what I mean by this is like, there's a visible church in the Old Testament, in the old, under the old Covenant, and the visible church under the old covenant is the national people of, of Israel. Right. By and large. Right. Um, and there are, there are sort of like Gentile, um, Clingons, not like the Star Trek people, but like gentile, like attachments to that throughout the history of, of Old Testament, um, theology. Um. That visible, that visible identification of this is the people of God being the Jewish people. Uh, these are the people that are the vineyard, the, they're the, the owner or the tenants of the vineyard or the, the visible Jewish people of the geopolitical nation of Israel under the old covenant that does sort of like get superseded by the church in the church age, in the new covenant, right? [00:24:24] Tony Arsenal: But where, where Supersessionism or the accusation of Supersessionism goes wrong is that there is this distinction between the visible and invisible church. And that distinction is what prevents us from being like, sort of like true replacement theologians in the way that the, the dispensationalist wanna paint us. So I, I think you're right that there is a lot to say here about the fact that, um, and, and this is where it gets, um. We have to be careful systematically. Right. God, God doesn't have to pivot. He doesn't have like a plan B. It's not like the Gentiles are the plan B, but there is a sense in almost in which the way that this is presented, the way that it appears in the scriptures is actually, yeah, there is almost like this plan B, like there is the geopolitical ethnic people of, of Israel, the Jewish people under the old covenant. And, and they don't do what they're supposed to do. They don't follow the terms of their covenant. They don't accept the kingdom that is bequeathed to them under the terms of the old covenant. And they, they reject that kingdom because of a disobedience. And, and I think what Christ here is narrowing in on is it's not just disobedience, right? It's not sort of like, um, accidental ancillary disobedience. It's not generalized disobedience. It is this sort of like usurpation of God's rightful status as the ruler and king of the nation. That's right. The the people, the, the Pharisees. And the chief priests and the scribes and the Sadducees, they want to be the rulers of the nation. They want to, they, they seem to wanna take the place of God, at least as far as Christ is presenting it. In this, they wanna usurp the kingdom. They want to take the heirs, uh, rightful inheritance, and they want to claim it for themselves. That is not a generalized disobedience, it's a special t type of covenant unfaithfulness that causes God to causes and kind of air quotes that causes God to hand over the kingdom to another people. Right. Partially, I think, uh, we don't need to get into Romans, the Romans 11 stuff, but partially I think because that's actually the way that he's going to ultimately save the Jewish people, right, is by sort of making, making them jealous of the Gentiles. Like there's a, there's a real element of that, that the salvation of the Gentiles is actually for, in some sense is for or unto the salvation of the Jewish people or the, the faithful Jewish remnant that's all here. And, and you can't really get past that in this parable. Um, this is why I think a, a lot of dispensationalist, um, uh, some of the classic dispensational sources would actually see like this, this is not for the Jewish church. This, this is for the Gentiles. This is actually part of the parentheses, um. You know, and, and again, dispensationalist divide all that stuff up differently, but this is a really interesting section for us to talk about that we can't, we can't just gloss over that. [00:27:11] Jesse Schwamb: I certainly don't mean to imply that it's wild because it's unexpected. I think it's wild because interestingly, the Pharisees, the teachers here, they challenge Jesus authority and his response to that is to challenge their covenant faithfulness. [00:27:24] Tony Arsenal: Right? [00:27:25] Jesse Schwamb: So it's not just if he turns it around, he uses this opportunity to explain what's going to happen to them as those who are, like you said, were supposed to be representative. And I think critically like the qualifying phrase. That that's using the text here, which shall render him the fruits in their seasons. That's like really important because these new vine growers are characterized by their fruitfulness. So this is not like a doctrine of works righteousness, but it's evidential fruit. And that's why, and I had to look this up and the Westminster Confession confession, chapter 16, good works are quote the fruits and evidences of true and lively faith, which I love. I was trying to find that language true and lively faith. So the visible church under that new administration is identified by the fruits of repentance, faith, and obedience worked out by the Holy Spirit. Again, I think that's all that is in view here, that that's a lot to say. But you know, famously, like you've kind of intimated, when we go back to the Old Testament, even we find when the Israelites leave triumphantly from Egypt, that they're accompanied by those outside of Israel. We find that other characters like Grh who continually want to identify with a Yahweh whom God is saving and drawing onto himself and here is kind. Him, Jesus, at least representing as the son of God. That kind of cli climactic view. Speaking from the prophet register again saying, this is what I was saying to Abraham. I said, like from your seed, all these nations in this spiritual sense will be gathered out. So there'll be a single nation as it were in Christ. And even now, I'm telling you, I'm breaking down those boundaries. But I think to your point, importantly Tony, in part because you have failed in the covenant promises and you who were to represent and to heed and to lead, have fallen down. And so now you're gonna trip over this stone and it's going to crush you. And as a result of that, the vine, the vine growers will be, or the vineyard itself will be turned over to those who bear this true and lively fruit. [00:29:22] Tony Arsenal: Yeah. Yeah. [00:29:23] Israel Failure Remnant [00:29:23] Tony Arsenal: There's an interesting, um. There's an interesting dynamic here that actually strikes me as kind of similar. It's a little bit more opaque, but similar to, uh, like Joseph in, uh, in Egypt, right when his brothers come and he says, you meant this for evil, but God meant it for good. Mm-hmm. There's a, there's an element of here, we've talked about the parables. That's sort of like systematic theology in story form. Um, there's a reality here that it's both true, that God always intended for the kingdom to be expansive and, and to expand beyond the nation of Israel. To be this universal, global lowercase c Catholic, universal church universal in the sense that it's not bound by any particular nation, by any particular geopolitical reality. Um. That's true, but it's also true that the reason, uh, on a sort of like horizontal level that that's true is that Israel failed. Right? It so God always intended for Israel to fail, yet Israel is responsible for the fact that they failed. Yes, that's right. Um, and, and, and again, we, we, we sort of commented on this before, like there are some in our broader reformed circles that turn this into a sort of antisemitism, like a sort of hatred for the Jewish people. And I don't think, I don't think that there's any warrant in scripture for that. In fact, I think scripture speaks strongly against that. Is that, um. Not necessarily because there's any particular unique special affection that God has for Israel, like, like the modern Jewish people, but, but that, like racism in general is prohibited by the Bible. But I think where we do need to be clear though, is that there is a real failure. It's a true, genuine failure on the part of the first century Jewish. Leaders and people, um, with a faithful remnant. Right? There was, um, we're, we're getting, you know, we're in the springtime and we've already had, uh, we've already had discussions about this. We've already done Easter, but like there is always conversations around Palm Sunday of like, are the crowds that are following Jesus into, into town screaming, you know, yelling, Hosanna? Is that the same crowds that are yelling crucify him a couple days later? Um, I tend to think like, no, like actually, like the people who are saying crucified, crucify Christ are probably like the Jews who live in Jerusalem or like the, primarily the religious leaders. There's a whole host of Jewish believers and kind of the hoy pallo, the, the people out in the country that absolutely follow Jesus. Like they follow him as the Messiah. They, they confess him in many cases. They convince him to be, um, they confess him to be God, to to be the savior, to be the, the figure from Daniel seven, the son of man. Um. There's a reality in which the Jewish remnant absolutely recognize Christ and they persist in the church, right? The earliest Christians were all Jews, and you know, there was a few Gentiles along the way, you know, and maybe not even Gentiles like Samaritans. I don't even know if you would call them gentiles. They're kind of this midway point, but in Jewish gentil. But there are people throughout Christ's ministry, right? Cornelius or not Cornelius, the Centurion recognizes that this is the son of God. Like there are people, the s Phoenician woman, there are people who are not part of Israel proper, who even in the, in the midst of Christ's ministry are recognizing him as God and as Messiah and as the savior of the world. But, but by and large, the earliest Christian movement was Jewish people. It was the faithful remnant of, of Israel who recognized that their Messiah had come. That is true. And at the same time. The, probably the majority, and especially the rulers and the leaders of the Israel, you know, the Jewish faith in the first century absolutely rejected him. And this is what I, this is what I think is wild, is I think sometimes we think that, um, the prophecies and the understanding of Christ and what the messiah, who the Messiah was to be and what to expect, we think of those as like super obscured and super hidden until Christ comes and then all of a sudden they're really obvious. Christ doesn't seem to treat them that way. Right? Right. He tells this parable and they rightly identify that, and this is a, this is such a thinly veiled parable. Like this is like, you killed the prophets. You're going to kill me. And there's going to be consequences. Like he practically says that outright. Um. He treats that as like they should obviously know this, right? The, have you never read in the scriptures, the stone, the builder rejected has become the cornerstone, right? This was the lord's doing. It is, and it is marvelous in their eyes that have you never read? [00:34:06] Decree in Rejection [00:34:06] Tony Arsenal: That is a, that's a rhetorical question with the implied answer of, of course, you've read exactly like he's not, he's not teaching them something that he anticipated is new to them. He maybe is teaching them something that he anticipated they maybe you didn't recognize. But actually I think probably like, uh, there probably were many among them that were like, oh yeah, we are doing this. But then almost like we're powerless to stop themselves from moving forward in that. [00:34:32] Jesse Schwamb: Right. [00:34:32] Tony Arsenal: Sort of like wicked plan. [00:34:34] Jesse Schwamb: Right. Yeah. And I think we could extend that as well to say that this rejection of Christ by this Jewish leadership, which of course was a incredible failure, like you're saying, it wasn't an accident, it wasn't an unforeseen tragedy. So just like interestingly in Acts four in his sermon where Peter quotes from the same Old Testament passage about Christ being the cornerstone, you know, it was prophesied long before. And so the doctrine of God's eternal decree, I think finds v vivid illustration even here. This is all the Lord's doing. Yeah. And even the wicked rejection of the Messiah is serving this purpose, this sovereign purpose of God's great exaltation. And so it's fascinating, and we should marvel at the fact that, again, like God means what he says when he says like He uses what is weak to overcome that which is strong, or to embarrass the strong, he uses that which seems foolish. To make the wise themselves, the ones who are actually foolish in the same way. [00:35:29] Cornerstone Unites Church [00:35:29] Jesse Schwamb: This very stone, which men in their malice cast aside on that day. God is in his wisdom setting as this chief cornerstone. And I love like that idea of this phrase, this head of the corner denoting that amazing preeminence of Christ, that Christ is not merely included in the building of the new Covenant church. He is its chief and constituent stone that joining together both like the Jew and the Gentile, finally into one structure. And that's really, I think to your point, that's the great mystery of the hidden ages from the past. That that's the thing which Christ is bringing to like this grand display, like out on the stage in the open, in front of everybody. He's drawing it up, he's calling it to account. And so in that way, the same Jesus that was rejected by men is in God's account of inestimable value. And that should be like, I think, familiar to most of us because like there a form tradition has always insisted that. The true theology always issues in doxology and the cross and exaltation of Christ are not merely these facts, which we give these intellectual ascent, but we, we confess them as mysteries which provoke us to adoration of who God is. It's the excellency of Christ expounding at length, like the wondrous conjunction of Christ's humiliation and his exaltation, which finds its pattern here, rejected by men, glorified by God. [00:36:50] Tony Arsenal: Yeah. Yeah. [00:36:52] Works Covenant Failures [00:36:52] Tony Arsenal: And, and this is, um, we, we commented in our first, uh, episode on this par ball. This is not isolated to just the rulers of Israel at the time of Christ, right? This is in reality, kind of like a reflection of every failure of the covenant of works. In some sense, every failure to hold the covenant of works boils down to an attempt to make oneself, God. Right. This was Adam's failure in the garden. Um, Eve, Eve was the first person to eat the fruit, but Adam, Adam was responsible for that and he, he also ate the fruit and they, they did so in part because they thought it was useful to make them like God and, and in an illegitimate fashion. And they knew it was an illegitimate fashion. It's not as though Adam and Eve suddenly were like, maybe we can eat the fruit. Maybe like we actually are fine to do it. Like they knew it was still forbidden. Right. They did it anyways. And the Pharisees here, um, are in a real attempt. Um, they are trying to take the role of Messiah for the people. They're trying to be the savior of the people in sort of shepherding and guiding them into this like. Ultra legalistic Puritan, like puritanical in the worst sense, um, kind of approach to the law. Um, this is the, the story of Old Testament Israel, right? What is the first thing that the Israelites do? Um, at Mount Sinai? The first thing they do is try to fashion gods so that they have a tame God that they can control and that they can actually be God's over. So I think this is really key and, and this is where it becomes practical for us, is that. I think we always are faced with a choice, right? There's, there's obviously those who are Christ, who the son is set free. He's set free indeed, and they will never not be his people. Like you never become not justified. If you were justified, you always forever more are justified. Justified is a final. It's, it's the future judgment of God's people dragged and dropped into the present and applied. It's the righteousness of Christ applied. So there, there's never a time where that righteousness is like removed or unapplied, but we are constantly faced with a choice as to whether we want to be the kind of people who render our fruit unto the Lord, uh, as the faithful, the sort of the implied faithful tenants that are going to be brought forward when the, the unfaithful tenants are replaced. Or do we wanna be the people that reap wicked fruit and keep for ourselves? And I think that's, that's really the thing. Like we're either gonna rep. Fruit of wickedness, or we're gonna reap fruit of righteousness. And the only thing to do with fruit of righteousness is surrender it to the Lord. But we often are faced with that choice, like, are we gonna reap our own wicked fruit and keep it all to ourselves right, uh, to our own detriment? Or are we gonna go ahead and be the faithful tenants that give the Lord what he deserves? [00:39:46] Kingdom Transfer Explained [00:39:46] Jesse Schwamb: We're seeing so much of the simplicity of God here that like you and I have said so many times before that his loving kindness, his long suffering ness is his righteousness, is his justice, is his wrath. And so I think it's helpful, again, to remind ourselves that we're, we are talking, or he specifically is speaking of the kingdom of God here. And again referring to this visible administration of the covenant of grace, not to the inward and invisible kingdom of saving grace, which as you just said, can never be lost from those who possess it, which by the way is a really important distinctive of reform theology. There are many that would disagree with that statement, and I think really much to their harm in, in disagreement with the scriptures themselves, this one in particular, but it is this external administration, the privileges, the ordinances, the oracles of God. That is being transferred from the Jewish nation as a corporate body to a new and broader people of God. And because I know that sounds very extreme, I did look up Calvin and his commentary on this and let me read what he says because this is interesting. I think even this could possibly mis be misunderstood. But here's Calvin who can say it better than I. He says, quote by these words, he means that God would deprive the Jews of the honor and the privilege of being his peculiar people and would call the Gentiles that out of them he might form a church end quote. And going back to what you said earlier, I'm with you. I, I. I mean, this is not, I think as some have wrongly concluded, like replacement theology in like a wooden sense. I, I see this still as like this historical redemptive transition from the typological administration of the old covenant to the eschatological fulfillment of the new. And the elect remnant of Israel is not cast off, but the national like typological privileges are being transferred to the Catholic church, gathered from all nations. And in that, I really do see this wonderful confluence of God's loving kindness, his, his fidelity to the promises that he's made and his wrath being manifested all at once. And somehow Jesus, of course, in complete perfection, can bring that all to bear in this tiny little story. [00:41:51] Tony Arsenal: Yeah. Yeah. And and isn't it just like the master teacher to like, put all of this baked into this? I mean, that's right. We think of this as like a long parable, like I think, [00:42:02] Jesse Schwamb: right? [00:42:02] Tony Arsenal: I think like it's, it's amazing how we think of parables as, you know, like this is a short one. A short one is a couple sentences, a long one is like a half a dozen sentences. Like, and of course like Christ is teaching broader than this. He's teaching more than this. Just, this is what's recorded by the inspiration of the Holy Spirit. This is what Matthews preserved for us. [00:42:22] Stone Breaks or Crushes [00:42:22] Tony Arsenal: But you're right, there's so much baked into this little parable and I think, um, there's something to be said about this idea of like. Not only do those who smash against the, the rock, the, the cornerstone, those who smash against the rock, like those who who fall on the rock are broken to pieces, but also the rock falls on others and smashes them to pieces. Right? And, and there's something to be said about the fact that, and I'm not exactly sure how I wanna articulate this, but it's only those who like recognize the proper place of the rock and don't either let it fall on them or don't smash themselves against it. You know, we always joke about like running through a wall. Like this is not a wall you're gonna run through. Like you're gonna smash into this wall and it's gonna crush you. And if you are, if you're not properly assigning the cornerstone it's placed, right? The cornerstone is, is the stone that's placed in the foundation of a building that all the other stones find their orientation and their proper alignment based on. [00:43:26] Jesse Schwamb: Right. [00:43:26] Tony Arsenal: You might think of this sometimes. I've heard this articulated as like the, the arch stone. I think it's a little bit different than that. Um, but it, the, the idea is the same, right? Like there's a stone in an arch. If you think of like a classic Roman arch, you have these piles of stones until you put the final arch stone in. That, in that stone is what makes the arch stable. Until that point, either side can fall, but if you don't properly set that arch stone where it's supposed to be, then the whole thing is gonna crush you. It's gonna fall down on top of you at some point. I think this is a little different. This is the cornerstone of a, this is more like the cornerstone of a building. This is the stone that the rest of the building, building is oriented against and is aligned with. If you get that wrong, then you have a, you have like a crooked wall, a wall that's not set, that's not straight. It's not stable. What this is saying and what this, this prophecy right from, from Psalm one 10, I think I should probably look it up, but I haven't yet. But this prophecy that Christ is referring to this, this prophetic statement in the Psalms that he's assuming the audience is familiar with, right? I think that's a really important point. Like he's not only assuming that they're familiar with it, there's rhetorical force of kind of like, of course you understand this principle that there is a cornerstone coming. There is something or someone who is coming that all other things will be measured against. And if you're either in alignment with this, with this person who is coming or you're out of alignment with reality, this thing is understood by them. It just is so critical and I think like the, the, a lot of the parables don't have explanations built into them. Some of them do. We've talked about some of them. A lot of them don't, this one does, but it's kind of like a really surprising way to explain it. And there's so much, um, the more that I look at this, the more we talk about it, this really is so similar to David and Nathan, right? Right. When with the, the affair with Bathsheba, he is saying to the Pharisees, look, you're the man. Like, you're the one here. You're the guy. You guys are the wicked tenants that are gonna, you've killed the prophets. Right? Um, I'm losing my, my timeline a little bit, but John the Baptist either had been executed or would be executed shortly at this point, right? So like the, the most recent prophet either was already killed or, or Christ knew of course he was going to be killed. Um, he's saying, look, you guys are the ones that are doing this and you're going to kill me. Right. And this is obviously what the prophecy is, that you think you're going to come against the cornerstone, but in reality you're going to shatter yourself upon me. You think you're gonna come against me, I'm going to crush you. And rather than say, you know, as ba, you know, as David does, where he repents, he, he fasts and he, he refuses to eat. He's, he's in mourning over both the loss of his infant, but, but more so over his own sin, I think is the picture the text gives us. Um, he's mourning trying to uh, sort of like reverse God's decision, but there's a genuine repentance to it, right? That's where we get Psalm 51, like creating, clean me a clean heart, oh God, renew a right spirit in me. There's none of that for the Pharisees, there's none of that for the sadist of the chief priests. They just continue to smash themselves against this rock, not recognizing that it's actually the rock that is crushing them. [00:47:05] Jesse Schwamb: Yeah, it's, it's a bit like, I'm gonna speak like a little maybe beyond my depth here, but there's a little bit of like that Nathan, like Strategem, and then this is where I'm outside my own experience. And then a little bit like maybe like WWE the rock in terms of like. If you want some come and get some, right? It's a little of both. And of course the passage ends very tragically, well ends humorously by them, you know, saying that at some point they were like, they understood in these parables, again, this is one of three of the same kind of topic of variety, but that Jesus was referring to them, which is funny. You wanna be like, yeah, it took a, took a long enough, I guess, guys, but you finally got it. But then that last sentence of like, they still sought to kill him. So to your point, even after all of this, there wasn't repentance. And we do get these, I think, two very distinct judgements that are depicted here, which you've already kinda led us into this first, like, whoever shall fall on the stone shall be broken. You know, to me, I think that's invoking this idea that in this life, there we are, we can be brought to brokenness through the gospel and to fall upon Christ. And repentance. And faith is to be broken in self, in pride and self-righteous. It's a breaking that does lead to healing. But this second judgment, you know the one, but on whomever it shall fall, it will grind him to powder, grind him to dust, I mean. Man, think about what a vivid image that is. I mean, that's like the more terrible of the two. That that's like the, yeah. Final Es logical judgment of those who persist in unbelief and it, it admits there's like no remedy. So there are only two ways to relate to Christ. You either fall upon him willingly in faith and repentance, which is painful, but it is saving, you know, to have him fall upon us in judgment is final in damning, and so that's what Christ presents here. [00:48:48] Psalm 118 in Context [00:48:48] Jesse Schwamb: It's, it's both of these things and you're right, it is brilliant that he goes to Psalm one 18 even that as a setup, because as you've kind of already said, I love to think, of course that's, can you manner the tone in which this was said to these scribes and Pharisees? Because of course the, the secondary indictment here is like, listen, you guys who like your great pride is that, you know, the scriptures really well. Have you read this part is familiar to you. Yeah. Can you tell me where that is? So like, we, we should go there just, just quickly. This is Psalm one 18 because I think that here again is, as I'm hearing it in context. There are some verses surrounding this that I think we might be surprised that they come right on the heels of this idea of the stone. So just a couple verses. In Psalm one 18 being in verse 22, the stone, which the builders rejected, has become the chief cornerstone. This is from Yahweh. It is marvelous in our eyes. Here's the verses that we might not recognize. Come right after it. This is the day which Yahweh has made. Let us rejoice and be glad in it. Oh, Yahweh, save. Oh, Yahweh, succeed. Blessed is the one who comes in the name of Yahweh. We have blessed you from the house of Yahweh. Yahweh is God, and he has given us light by the festival sacrifice with corns to the horns of the altar. You are my God, and I give thanks to you. You are my God, and I exalt you. Give thanks to Yahweh for his good, for his loving kindness endures forever. And so this idea that there's rejoicing in which day, I mean, usually we kinda say that it's like, well, it's a beautiful day out. It's the Lord's day. This is the day that Yahweh is like that. That's true. But also here in particular, it is this blessed day of Yahweh giving the stone, which the builders reject and which has become the chief cornerstone. And that stone is some will run headlong into and shipwreck their lives and others will be crushed underneath it. And guess what? This is the day which Yahweh has made and we're gonna rejoice and be glad in that. [00:50:41] Tony Arsenal: Yeah. Yeah. [00:50:43] Mark's Angle on Fear [00:50:43] Tony Arsenal: The other thing I think, you know, we. Should, um, maybe not spend any time on, 'cause we're at like, out, like minute 50 of a 60 minute podcast. But just going to, to Mark's version of this parable real quick. Um, starting in verse, uh, this is chapter 12, verse 12. It says, and they were seeking to arrest him, but feared the people for, they perceived that he had told the parable against them. So they left him and went away. And the, the main difference here, the reason I'm reading this is Mark chooses a d. Concerning them. The verb is, or the preposition is Perry. So it's kind of like this idea that he was, he was sort of speaking around them. He was talking about them. Mark uses the, the preposition, proce, which is not, um, not against, in like the same, uh, direct sense. We might use the word against. That would be something like Kada. Um, but he's, he's speaking this parable towards them or to them, um, against them. He's, he's directing the parable at them. And this is, this is, we, we commented on this a little bit in the, the first episode here. Um, he is speaking to the crowds. But he's telling the parable about or against or concerning the Pharisees and the scribes, and they perceive this, right. The, the gospels here don't say that the crowds perceive this. Right. And I think that's key. Like the Pharisees basically look at this and say, uh, we better get this under control because he's talking about us. Right, right. Like, I'm just picturing Paul Washer's. I'm not trying to say Paul Washer is a Pharisee, although some people would probably make that connection. But like I'm, I'm just hearing Paul Washer's voice saying like, I don't know why you're clapping. I'm talking about you. He's speaking to the Pharisees here. And it's interesting because Matthew associates the, the, uh, Pharisees. Cowardice in acting against Christ, uh, because they fear the crowds and because the crowds believe Christ is a parable or is a prophet Mark associates. And again, both of these things are true, right? This is holy scripture. This is inspired, these are not contradictory accounts. This is facets of the same diamond. Mark associates this with, they fear the crowds. Um, because they had taken him. They, they understood that the parable was being spoken against them, right? So there's this element that the Pharisees are not only understanding that the, the parable is about them, they feared them because the crowds believe that Christ is a prophet and that prophet is speaking this parable against them, right? So like they're, they're recognizing full on that it's only a matter of time before the, the general population, the general people that are listening to Christ recognize that he's overturning. Not only the Pharisees, the entire geopolitical nation of Israel, he's overturning the ethnic based reality, the geopolitical based reality, that God's people have a zip code and that zip code is Jerusalem. That zip code is this little si, this little tract of land the size of like Vermont and New Hampshire in the Mediterranean, like off the Mediterranean Sea. He's overturning that. And the, the Pharisees, the educated people, the, the Sadducees, the chief priests, the rulers, they recognize it's only a matter of time before the people understand what Christ is doing. They, they follow him as a prophet and this is what he's prophesying. And
Trump nem sequer leu até ao fim a resposta do Irão. A trégua na guerra está em “respiração assistida” e o mundo de respiração suspensa, à espera de um milagre que faça com que o petróleo volte a fluir pelo estreito de Ormuz, evitando um cenário de racionamento, um dia destes. Enquanto isso, Passos Coelho voltou a zurzir Montenegro, recusando as “histórias da carochinha” do João Ratão de São Bento. E o PCP voltou a ser zurzido por ter publicado, a propósito da morte de Carlos Brito, uma mensagem de ‘apesar’, uma espécie de voto de pesar contrariado. Tudo isto na semana em que o primeiro-ministro foi a Fátima acender uma velinha e em que o governo ainda espera um milagre para poder aprovar o pacote laboral.See omnystudio.com/listener for privacy information.
No "Realpolitik", Sérgio Sousa Pinto e Miguel Pinheiro falam sobre a reação do PCP à morte de Carlos Brito, sobre a História dos conflitos no Médio Oriente e sobre as eleições no Reino Unido.See omnystudio.com/listener for privacy information.
No "Realpolitik", Sérgio Sousa Pinto e Miguel Pinheiro falam sobre a reação do PCP à morte de Carlos Brito, sobre a História dos conflitos no Médio Oriente e sobre as eleições no Reino Unido.See omnystudio.com/listener for privacy information.
No "Realpolitik", Sérgio Sousa Pinto e Miguel Pinheiro falam sobre a reação do PCP à morte de Carlos Brito, sobre a História dos conflitos no Médio Oriente e sobre as eleições no Reino Unido.See omnystudio.com/listener for privacy information.
O futuro ex-presidente do TC (que vai finalmente sair), o PCP (que errou em tudo) e a Ordem dos Advogados (que não está a punir de forma rápida) são o Bom, o Mau e o Vilão.See omnystudio.com/listener for privacy information.
No "Realpolitik", Sérgio Sousa Pinto e Miguel Pinheiro falam sobre a reação do PCP à morte de Carlos Brito, sobre a História dos conflitos no Médio Oriente e sobre as eleições no Reino Unido.See omnystudio.com/listener for privacy information.
Aguiar Branco (que fez o que o PCP devia ter feito), o SNS (que continua a piorar) e o Presidente da República (que insiste num Pacto) são o Bom, o Mau e o Vilão.See omnystudio.com/listener for privacy information.
Alberto Gonçalves comenta o comentário do PCP à morte de Carlos Brito.See omnystudio.com/listener for privacy information.
A presidente da Câmara de Setúbal deixou a militância do PCP há pouco tempo e não quer ouvir comunistas. O "Preço Incerto" do Bloco de Esquerda e Cotrim a querer menos tarifas e mais tacos.See omnystudio.com/listener for privacy information.
Carlos Brito morreu, o PCP só reagiu porque lhe pediram e mostrou que continua fiel a si próprio. E a Lei da nacionalidade não passou no TC. É uma semi-derrota para o Chega? See omnystudio.com/listener for privacy information.
Aguiar Branco (que pode propor a extinção da CNE), Mário Mourão (que fala em "escravatura") e o PCP (que nunca perdoou os dissidentes) são o Bom, o Mau e o Vilão.See omnystudio.com/listener for privacy information.
A direita criticou o PCP por ter faltado à sessão com o presidente do Parlamento ucraniano e Paula Santos lembrou o tempo da União Soviética.See omnystudio.com/listener for privacy information.
O partido social democrata limpou as inconstitucionalidades e tirou o tapete ao líder do Chega. E ainda, o isolamento do PCP e o juiz "exibicionista" que defende negacionistas.See omnystudio.com/listener for privacy information.
O partido social democrata limpou as inconstitucionalidades e tirou o tapete ao líder do Chega. E ainda, o isolamento do PCP e o juiz "exibicionista" que defende negacionistas.See omnystudio.com/listener for privacy information.
Dave Marquess grew up inside a reality most people only glimpse in headlines. Raised by a meth cook and heroin addict, his childhood was less about homework and more about survival. By eighth grade, violence had already entered the story. By his teens, he was moving through a world of escorts, hustles, and whatever could be stolen, stripped, and sold. PCP showed up early. Heroin followed. At one point, he even called his own mother to learn how to shoot it.The crash was inevitable. Jail forced a brutal detox and a confrontation with everything he had been outrunning. What came next was not a clean, cinematic turnaround but something more interesting. He started rebuilding from a place he had abandoned long ago: his childhood creativity.Dave tapped back into his artistic instincts and turned them into something functional, designing a game specifically for people in recovery. Not as a gimmick, but as a tool. A way to engage addicts in their own healing using strategy, storytelling, and choice. The same mind that once engineered survival in the streets now builds systems for growth.This conversation moves through trauma, accountability, and the strange alchemy of turning pain into purpose. It is about what happens when someone stops trying to escape their story and instead rewrites the rules of the game entirely.Check out Dave's games hereConnect with Dave on InstagramDM me on InstagramMessage me on FacebookListen AD FREE & workout with me on Patreon Connect with me on TikTokEmail me chasingheroine@gmail.comSee you next week!
Entre planos de reconstrução com verbas milionárias, debates sobre transparência política e portas giratórias, e uma esquerda à procura de identidade, Portugal enfrenta vários dilemas em simultâneo. O governo de Montenegro apresentou um ambicioso plano de 22 mil milhões de euros para reconstruir o país após as catástrofes recentes, mas será que tem capacidade para o cumprir? A polémica entre Pedro Delgado Alves e Aguiar-Branco reacendeu o debate sobre conflitos de interesse e a transparência dos políticos. E com Pedro Nuno Santos a pairar sobre o PS, conseguirá a esquerda reorganizar-se e encontrar uma nova força política capaz de desafiar a direita? Ouça a análise de Nuno Ramos de Almeida e Francisco Mendes da Silva no Antes Pelo Contrário em podcast, emitido na SIC Notícias a 28 de abril. Para ver a versão vídeo deste episódio clique aqui * A sinopse deste episódio foi criada com o apoio de IA. Saiba mais sobre a aplicação de Inteligência Artificial nas Redações da Impresa See omnystudio.com/listener for privacy information.
Thank you for joining us for our 2nd Cabral HouseCall of the weekend! I'm looking forward to sharing with you some of our community's questions that have come in over the past few weeks… Eve: God bless you for all you do. I had a routine mammogram in early 2025, followed by a bilateral breast ultrasound, they recommended 6 month monitoring due to multiple small cysts/masses (I have very dense breasts). I was advised to continue to monitor with ultrasounds every 6 months. At my March 2026 follow-up, they recommended a biopsy because one mass at the 9 o'clock position increased from 1 cm to 1.5 cm. For context, I had a benign biopsy in 2024 in the same breast (10 o'clock) and regret doing it out of fear. I feel that poking and probing can be more harmful. I'm worried about unnecessary procedures but don't want to ignore anything serious. Would short-term monitoring (repeat ultrasound in 3 months) be reasonable? The tech seemed inexperienced, could measurement error be possible? Eve: Hi it's me again, I wrote in yesterday and after I spoke to my PCP about my hesitation on getting a breast biopsy, she was supportive and said why don't we do an MRI instead to be certain instead of poking and probing before knowing what it really is. The only thing is that it would have to be with contrast. What do you think? Less invasive, more real answers, but the contrast makes me anxious. Can I do a detox if I opt for the MRI vs the breast biopsy? Ty Doc. Anonymous: Hi! Can you help provide advice on how to help with orange hands/elbows/feet? I've tested extremely high for beta carotene. I'm not sure why as I wasn't eating bushels of carrots, just trying to get a diversity of plants in each week but guess I steer towards vegetables with higher concentrations (squash, dark leafy greens, broccoli etc). I've practically eliminated all sources of it, but still seems not to improve much. Any advice would be helpful as it is embarrassing. Thanks! Anonymous: Hi! What are your thoughts on using clean sources of nicotine treat things like long COVID, chronic fatigue, brain fog etc.. Thanks! Nikita: Hi Dr Cabral, After 4 years of heavy hairloss, I finally corrected my iron-deficiency anemia (through prescription iron pills- only thing that worked). 6 months later my hairloss has finally slowed down a lot. However, I'm not noticing any type of regrowth. I'd love to get some of my density back after those 4 years of bad hairloss. I wanted to know your opinion on starting minoxidil for a temporary period of time just to wake up the hair follicles? I never took it before bc I don't want to commit to it forever, but do you think it could work for this case and then maybe I can stop it and the hair won't fall out again because now Thank you for tuning into this weekend's Cabral HouseCalls and be sure to check back tomorrow for our Mindset & Motivation Monday show to get your week started off right! - - - Show Notes and Resources: StephenCabral.com/3733 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!
Jared Dashevsky, MD (Healthcare Huddle) and Ala Alenazi, PhD (Kinnevik) join Mustafa to discuss:Healthcare spends 75% on services and 3–4% on IT -- yet every AI startup is pitching a copilot. Sequoia's new thesis: the next trillion-dollar healthcare company won't sell software at all. It'll just do the work.The PCP Apocalypse. Urgent care has tripled, PCP density is down 22%, and behavioral health visits just overtook primary care. We debate whether the answer is more PCPs or changing the role.Kalshi for clinical trials. A Stanford PhD built a public market where nine frontier AI models bet on Phase 3 outcomes. Ala calls it "capitalism's final boss" and explains why it might be the most dangerous innovation in pharma this year.
A heavy but important re-listen this week about survival. So many of us feel like we are constantly in the arena battling to survive and in this ep we discuss how real and tough that can be with two messages sent in from the beautiful PCP community. Thank you all for helping us to keep moving forward and we hope this helps in some small way too. We can't wait to host a Patreon live Q&A at the end of this PCP Guides bundle on supporting neurodivergent kids too!
In this episode, we explore the vital role primary care providers, like Miranda Cervinskas, FNP-C, play in mental health support. Learn how to bring up mental health concerns with your PCP and the tools they use for screenings and treatments. Understanding this connection can empower you to seek the help you need. Don't hesitate—your mental wellness matters!
Send us Fan MailHello Fellow, Airgun Geeks, In this episode of The Airgun Geeks, Pat and Bill dig into the evolving 2026 competitive airgun landscape and talk through what serious shooters, hobbyists, and curious newcomers may want to keep an eye on. From shifting trends in competitive airgun shooting to the continuing conversation around Beeman legacy, this episode covers history, opinion, performance, and the kind of real-world insight that airgunners actually care about.We also discuss a curious book Bill just finished, what stood out about it, and why it sparked conversation worth having in the wider airgun community. Along the way, we take a hard look at the Beeman name, what has held up over time, what still matters, and what simply does not hit the mark anymore.Whether you're into PCP air rifles, pellet guns, spring-piston airguns, backyard shooting, field target, benchrest, precision practice, airgun collecting, or airgun history, this episode has something for you. If you follow the sport for competition, nostalgia, gear evolution, or just to hear honest discussion from experienced voices in the space, this one is for you.Topics in this episode include:2026 competitive airgun trendsThe changing face of match shootingBeeman legacy in the airgun worldWhat works and what does notAirgun history, design, and shooter expectationsA book discussion with lessons for today's shootersIf you enjoy thoughtful conversations about airgun competition, PCP rifles, pellet shooting, vintage airguns, shooting sports, and practical gear talk, make sure to like, comment, and subscribe. Drop your thoughts in the comments: What do you think the 2026 competition scene will look like, and what does the Beeman legacy mean to you today?Some links may be affiliate links, which help support the channel at no extra cost to you.Hashtags#AirgunGeeks#Airguns#PCPAirguns#PelletGun#AirgunCompetition#Beeman#FieldTarget#BackyardShooting#AirRifle#ShootingSportsSupport the show
Today we're delighted to talk with Anne Walling, Neil Wenger, and Rebecca Sudore about a pragmatic implementation trial aimed at increasing advance care planning for primary care patients with serious illness in University of California clinics, published in Annals of Internal Medicine. Seriously ill primary care patients were identified using structured data fields (meaning routinely captured without needing to read the chart or use natural language processing). This study focused on patients without a completed advance directive or POLST form. This was a 3 arm trial that tested a nudge in the patient portal and a mailed advanced directive vs. the nudge plus a link to PrepareForYourCare vs. the nudge plus PrepareForYourCare plus a navigator reminding patients to talk with their doctor and bring any completed advance directives or POLST forms to the PCP visit. In brief, the study found that at 2 years there were higher rates of advance directive or POLST in the electronic health record (about 20%) in the arm with the nudge plus PrepareForYourCare plus the navigator compared to the other 2 arms (around 13%). Rates of advance care planning discussions with primary care providers were similarly higher in the 3rd arm. Health care utilization, however, did not differ between arms. Please see links to articles describing the intervention in detail and incorporation of stakeholder perspectives. I'm going to cut to the pushback to this article right up front: The study's primary outcomes were advanced directives or completion of POLST forms - haven't we moved beyond thinking completion of forms should be the primary outcome of advance care planning research? There was no control condition. Observed increases in advance directive or POLST in the electronic health record may have occurred without any intervention. People with serious illness get sicker with time and the sicker they are the more likely they are to engage in advance care planning, without any intervention. This is particularly true as the study occurred during the hight of the Covid pandemic, when there was a global effort to increase advance care planning. How much did these interventions contribute on top of that rise that might have occurred without intervention? Observed documentation - 13-20% - was low. Is it worth the effort of getting buy-in to automate these EHR nudges and spend FTE to hire a navigator? Particularly as health systems, who pushed for focusing on seriously ill patients because they are the most expensive/highest utilizers, did not get what they wanted, i.e. no difference in utilization of acute healthcare services between arms? Our guests provide a strong defense and additional context, which you can and should listen to on the podcast. And I have to point out, setting aside the advance care planning aspect, the method of identifying upstream primary care patients with serious illness is a major contribution to the field in and of itself. Pioneers in the field, led by Amy Kelley, have been working to identify the seriously ill population for over a decade. And a fun fact about All You Need is Love - the verses are in 7/4 time! -Alex Smith
Are you being manipulated daily? Behaviour Expert Chase Hughes on the secret formula and hacks behind influence! Chase Hughes is a former US Navy Chief who spent 20 years specialising in applied behavior and interrogation, and a specialist in understanding psychological operations. He is the author of the bestselling book, ‘The Behavior Operations Manual: Neuro-cognitive Intelligence Training Manual'. He explains: ◼️The 4-step psyop model that secretly controls your behaviour ◼️How to read anyone instantly using behavioural profiling ◼️The “PCP” method that lets you influence any decision ◼️How social media and AI are rewiring your identity ◼️The subtle manipulation tactics used by governments and media 00:00 Intro 00:05:33 Why The PCP Model Might Be Your Edge In An AI-Dominated World 00:08:31 How Breaking Social Scripts Changes The Way People See You 00:10:54 The Hidden Framework That Makes You Instantly More Persuasive 00:21:39 How To Get People To Open Up (Without Forcing It) 00:25:21 Why Precommitment Quietly Controls Your Future Decisions 00:31:24 How To Eliminate Anxiety By Resolving Inner Conflict 00:36:05 What Your Leadership Style Reveals (And What It's Costing You) 00:38:49 What “Authenticity” Really Means—And Why Most People Get It Wrong 00:40:40 The Childhood Triangle That Still Shapes Your Behavior Today 00:49:46 How Your Childhood Is Secretly Running Your Adult Life 00:56:06 How To Rewire Your Brain Without Realizing It 01:02:00 Why This Break Matters More Than You Think 01:04:03 The Most Dangerous Persuasion Skill (And How It's Used On You) 01:06:23 Why “The Rich Are Evil” Is More Complicated Than It Sounds 01:09:03 How Psychology Wins Courtrooms (And Everyday Arguments) 01:17:02 How To Apply These Skills Before It's Too Late 01:26:29 How Changing Your Perspective Can Transform Your Mental Health 01:28:09 What A DMT Experience Actually Feels Like 01:30:34 Are We Living In A Simulation—And Does It Even Matter? 01:35:11 How DMT Can Completely Reshape Your View Of Religion 01:36:55 The DMT Waiting Room Explained (And Why It's So Unsettling) 01:40:45 What If Consciousness Isn't Inside Your Body? 01:42:44 How To Make Anyone Feel Truly Seen And Heard 01:46:41 Why Your Insecurities Aren't What You Think They Are 01:48:42 Why Life Is Supposed To Be Fun (But Doesn't Feel Like It) 01:49:42 How Expanding Your Skills Might Be The Key To Happiness Follow Chase: YouTube - https://link.thediaryofaceo.com/6PdAJ3p Instagram - https://link.thediaryofaceo.com/6Rhy1yz You can purchase Chase's book, ‘Tongue: A Cognitive Hazard', here: https://link.thediaryofaceo.com/GgAsWW8 The Diary Of A CEO: ▪️Join DOAC circle here - https://doaccircle.com/ ▪️Buy The Diary Of A CEO book here - https://smarturl.it/DOACbook ▪️The 1% Diary is back - limited time only: https://bit.ly/3YFbJbt ▪️The Diary Of A CEO Conversation Cards (Second Edition): https://g2ul0.app.link/f31dsUttKKb ▪️Get email updates - https://bit.ly/diary-of-a-ceo-yt ▪️Follow Steven - https://g2ul0.app.link/gnGqL4IsKKb Sponsors: Stan - Visit https://coach.stan.store/?ref=stevenbartlett&utm_source=youtube&utm_medium=podcast&utm_campaign=episode2 LinkedIn Marketing - https://www.linkedin.com/DIARY Vivobarefoot - https://vivobarefoot.com/DOAC with code STEVENB15 for15% off
In this episode of NDS Chronicles, Raven and TopLobsta read through a stack of listener-submitted supernatural testimonies, strange experiences, and spiritually charged follow-up emails ranging from drug-induced entity encounters to alien sightings in Alaska, disturbing childhood dreams, and a wild email from a listener claiming he was “possessed by the Holy Spirit.”The episode opens with the usual NDS Chronicles format: listeners send in their most unsettling, unexplained, or spiritually confusing experiences to chroniclesnds@gmail.com, and the boys read them on air, react in real time, and try to sort through what's demonic, psychological, paranormal, or just plain insane.This installment includes:Greg's story, which starts with skipping school and spirals into deeper spiritual weirdness“Dead Hands”, a story involving salvia / wet PCP, a gasoline-smelling rip, a reality-warping trip, and a creature that looked like Kangaskhan“Alaska Alien,” where a soldier near Fairbanks, Alaska hears a strange high-pitched ringing in the woods before seeing a gray / white-faced being with huge glowing eyesDavid K's email, which turns into the infamous “Possessed by Holy Spirit” segment and a hilarious live attempt to draft him a reply emailKatie's “Indiana Dreams” follow-up, featuring a terrifying tunnel / cave / priest / slaughtered children dream, a “spider priest,” and childhood astral-style dreams of being ripped out of her body into a ceiling fanA heartfelt message from Pastor Ben, explaining why he left institutional church life over blind support for Israel and the lack of belief in the spiritual nature of the faithGeorge B's “Experience with a Witch,” involving a girl descended from witches, generational witchcraft, evil spirits, hexing, and Texas/Mexican cryptid talkThis is one of the most chaotic and story-dense NDS Chronicles episodes — part comedy, part pastoral reaction, part paranormal campfire.00:00 – Intro Theme00:54 – Welcome to NDS Chronicles01:09 – How to Submit Your Stories (chroniclesnds@gmail.com)
What happens when a lifelong friendship meets a shared frustration with broken systems? Mike Ranfone and Dr. Marko Lujic did something most people only talk about — they actually built the gym-medical hybrid model that the health and fitness industry has been circling around for years. In this episode, Dr. Lujic opens up about the moment he realized he wasn't practicing healthcare — he was practicing sick care — and how that wake-up call led him and Mike to launch RTS Health in Hampton, Connecticut. Together, they walk us through their full client experience: from DEXA scans and comprehensive biomarker labs to concierge medicine, personalized training, and registered dietitian support — all under one roof for around $1,000/month. They also get real about why collaboration beats territorialism, why most people are "majoring in the minors" when it comes to longevity, and what it actually takes to build a business model at the intersection of fitness and functional medicine. If you've ever felt like the fitness and medical worlds should be talking to each other but aren't — this episode is for you. Episode Takeaways:
Few episodes are more important and full of practical tips than this one! In this re-listen we reflect on what we can do to support our kids in healthy sleep. Poor sleep impacts 30-40% of children with up to 80% of neurodivergent children experiencing childhood insomnia. We hope you like this PCP Guide and please listen to the reflection episode 20 as it's full of gold form the beautiful PCP community. We hope this helps your child sleep better and succeed more in their waking hours.
Well this is a big one folks! Thanks to so many amazing questions, reflections and advice about motivating our kids this episode is jam packed with PCP gold. Dr Nick gets a little emotional at the end as he reads out guiding advice from an amazing paediatric OT about how he brings motivation and strength into his work with children and the families who support them. We hope this episode helps to guide the kids you love and care for and thanks for guiding us too.
This week on DOPEY! We welcome Philly Junky, Artist, Book and Game Designer Dave Marques! We start reading the Jenni Spotify comments. Play Allison voicemail (paramedic blowjob in ambulance post-Christian rehab relapse), Miles voicemail (veins wrecked by crack run, imaging lab vein scan horror, switched to sniffing/smoking/femoral). Reads Dana email (using while listening to dopey, Philly trank/xylazine hell, 10-year heroin/PCP run, funny bad gas station robbery story). Dave connects deeply, offers help (Dopey Nation socials/Zoom, 25 meetings/week), we stress that recovery is doable. Dave Marquez (Philly artist, inventor of Relapse vs Recovery game/activity book, ~10 years sober 6/9/16). Dave Marquez interview highlights (starts ~27:52): Early life/family addiction — Kindergarten stealing at Nativity school, mom prison check fraud/coke/heroin, dad PCP/meth/LSD chemist (horse dewormer contract, biker gang supplier), Moonies kidnapping half-brother Jesse, parents split kids no custody, dad took Dave after mom prison/grandma rehab/aunt binge, dad sober then full alcoholic (nice sloppy drunk, Eagles yelling). Teen years/drugs — Pot/PCP 7th grade (~12), "love boat" blunts, rainy days romance, graffiti start 97–98 (SEV/Shiva tag), stabbed kid 8th grade (utility cutter), juvie Pittsburgh 18 months (school + D&A program, "yes them" to get out). High school fall — Ankle bracelet 9th grade, friend OD heroin, vice principal fight on PCP, multiple expulsions ($80k graffiti damage), umpiring/job purpose lost to girl/drugs. Adult spiral — Daughter born 2004, dad death 2007 heart attack (no 911 to save ambulance cost), inherited $30k → oxy dealer → heroin, escort driving (pinching bags, chaos), scams (Dave & Buster's tickets, college copper theft, steak return scam with mom, fake bills), lost everything, daughter's mom left after needles found. Jail/fentanyl era — Multiple arrests (shoplifting, attempted carjacking hiding in dryer), fentanyl OD in jail (snorted 2 bags, turned purple, lawyer visit saved him, pre-Narcan), worst detox Montgomery County (puking bile, shitting bunk, Ativan shower), 3 weeks hole (disoriented, makeshift chess/solitaire). Bottom & recovery — Turned down free bag in Gen Pop (first "no" in 20 years), parole home, 3 months clean no detox spot, self-made meeting papers judge accepted, mom helped (attic, toiletries), reconnected daughter at 16–18, good relationship now. Sober life/art — Car painting job via Ray (wash → prep), murals/barber shops, enamel pins/coloring books, Relapse vs Recovery game (card game from New Year's inspiration, recovery/12-step jargon humor, Instagram @relapsevsrecoverygame, gamecrafter.com, Amazon/Meta struggles drug content). Ends grateful for purpose/creativity in sobriety, teases Patreon video game play. Safe Spot overdose line (1-800-972-0590), customstickers.com MORE MORE MORE on the world's greatest podcast on drugs addiction and dumb shit. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Hunter Keegan interviews Dr. Robert "Bob" Smith. Bob is a primary care physician (PCP) who wants to change the way doctors think about treating mental illness. Bob is the author of "Has Medicine Lost Its Mind? Why Our Mental Health System Is Failing Us and What Should Be Done to Cure It" (Prometheus Books, March 2025). Bob's website link: www.robertcsmithmd.com Bob's book ("Has Medicine Lost Its Mind?") link: https://www.amazon.com/Has-Medicine-Lost-Its-Mind/dp/1493087657/ref=sr_1_1?crid=2K74J2YKQFRJL&dib=eyJ2IjoiMSJ9.H97tqFOZUHXwurxVn5OfpfmJqlanxs9anwsPeWL50DapexRLvRAEJ2RZ00rsvB1r-r8BDTg0ql8YNURHZT6k7J6V9R5Sl32F1vhs54YDshBnZlPWOL79TIpN3OpLzkL00UWpDrJasYh-BM2pyg6a8dk6hs28uVwMaEsWIv7khtHbO1Nhu3HULNFGBQ7CRF2pZDCsQlJnXueXgFAHimAoFTxHCEqCWe4AiyZm_8OaSog.PmCQ4yDmoOAlfSnraZWjLy07jwQcPb1JyhexHDz5JAk&dib_tag=se&keywords=Has+Medicine+Lost+Its+Mind%3F&qid=1727370905&sprefix=has+medicine+lost+its+mind+,aps,98&sr=8-1 Bipolar Recorder's website link: www.bipolarrecorder.com Hunter's book (Happy Valleys: A Bipolar Journey) link: https://www.amazon.com/Happy-Valleys-Bipolar-Hunter-Keegan-ebook/dp/B0DTP8XLMY/ref=tmm_kin_swatch_0?_encoding=UTF8&dib_tag=se&dib=eyJ2IjoiMSJ9.R6Cd_x-S6xklVN1kLS8Jpd3qzbOfcZgmc2bZ-21NDvqhMklitmedFMOJN9qxnJdH_DAtT57bZEKLd2dxQxSgH393po3Q7g3mX52TnuN-_ewnXHvB_pQ2YHD7dG2RAhTtvMibs8AZFYtA3NYRcjGO--73jP4SSVsHI4-qV8N3pqb0iEHVY0-v69tERtvIYsSdc88fwE-YSZRDShWv0q0pBDwuYSnki0_1Pgx6IJxDL0A.7-qo3uB8FMbW_2j9S7E73h3_TOmiovqGQq2uiMAsXcM&qid=1738581745&sr=8-1 Thanks for listening! DONATE AND BUY MERCH AT www.bipolarrecorder.com/shop
listen without ads at www.patreon.com/dopeypodcast buy tickets for dopey wood 2026 at https://www.showclix.com/event/dopeywood-2026 Today on Dopey! this week on Dopey — We reconnect with Jenni G. Rochester rave survivor, Purchase/White Plains running buddy via Aurora. They unpack decades: Jenni's attic stoner days, early acid/coke/ecstasy raves (Toronto runs, Sputnik parties, Rabbit in the Moon Doors cover), PCP bong hits, heavy heroin spiral (via Dave/Todd/DK circle), Brooklyn dope-sick chaos (doom sessions, Afrin-bottle tar smoking), California sober shift (mushrooms epiphany, divorce, working out), and current North Carolina life (California sober, thrifting, no heroin/ecstasy since kids). Jenny opens up about childhood trauma (abusive junkie dad, sexual abuse), brother's $300K safe heist gone wrong, jail/probation dodging, and cold-turkey quit post-pregnancy. Dave reflects on linked timelines (heroin origins, shared friends, Southern roots insight), misses Todd, plugs sponsors (Oro, Mountainside, Orchard, Recovery Unplugged), reads Spotify comments on Kevin McEnroe ep, teases Dopeywood 2026, and closes with listener's raw “Good So Bad” cover. Nostalgic, intense, hopeful — stay strong/toodles. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
This is a preview for an Unresolved bonus episode, available for those that support the show on Patreon. If you'd like to listen along to this and other Patreon Exclusive bonus episodes, become a supporter at https://patreon.com/unresolvedpod or by clicking on the link below: The Titanic Poisoning - Unresolved (Patreon)Become a supporter of this podcast: https://www.spreaker.com/podcast/unresolved--3266604/support.
Hello, all you and the Relentless Health Tribe trying to figure out how to do right by patients and the folks footing the bill. Welcome to it. This is episode 499, one episode before episode 500. So, come back next week for that one. For a full transcript of this episode, click here. If you enjoy this podcast, be sure to subscribe to the free weekly newsletter to be a member of the Relentless Tribe. All right, so today, let's talk about the inches that are all around us. Let's find some. Musculoskeletal spend, otherwise known as MSK spend, for any given plan sponsor adds up to the tune of something like 20% or 30% of total plan spending, depending on the member demographic. MSK rolls in at $16 PMPM, I just saw, according to a report Keith Passwater sent me a couple of weeks ago. It's the third most costly spend apparently overall. And it's easy to see why, right? On any given day, odds are good any given plan member is gonna do something that, in hindsight, was fairly obviously a bad idea and wind up getting hurt in some low-acuity way. For example, I remember that one time I twisted my ankle on a curb getting outta my car. Given the right space, enough time, and concentration, I can do the worst parking job you've ever seen in your life and manage to twist my ankle in the process. But I digress. Here's the point. MSK spend adds up really fast. Add to that something like 50% of spine surgeries are said to be unnecessary. The same thing goes true from injuries like twisted ankles, for example, that would have healed themselves without an ER visit, without any intervention aside from ice, rest, and elevate. Because it turns out that something like 80% of those twisted-ankle, banged-up-the-back types of MSK injuries are actually low acuity, and a huge percentage of those will heal by themselves. On that point, let me bring in some context here, some late-breaking news. I was reading Dana Prommel's newsletter. She wrote, and I'm reading this, she wrote, "The 2026 National Healthcare Expenditure data reports are out, and it is another sobering reflection of our current system. Personal healthcare spending has surged by over 8%, and our healthcare spend as a share of the GDP has followed that same aggressive trajectory." Then Dana writes, "The most troubling takeaway from the 2026 report is the lack of a 'health dividend.' Despite [this] 8% increase in spending, we aren't seeing a corresponding 8% increase in longevity, wellness, or chronic disease management. People aren't getting significantly healthier; they are just getting more 'care.' And that 'care' isn't always good care, or the right care, or care by the right type of clinician, at the right time, in the right setting." Is that not the perfect segue or what? Because this is what we're talking about on the show today in regard to, again, MSK care—care that can wind up costing millions of dollars across plan members, and it might be unnecessary because, again, the twisted ankle or the pain in the lower back would have healed itself without any care, without an ER visit. But if an ER visit was had, that patient probably is gonna wind up with a bunch of imaging. Probably is gonna wind up with a referral to a surgeon. And now there's a surgery scheduled, and the patient has been off work for however long all that took. There's a lot of direct and indirect costs that may or may not add up to any given health dividend or health span or whatever you wanna call it—better quality of life. Why does all this happen? How does it happen? One reason is what Dr. Jay Kimmel calls the white space of MSK care. This is where a patient does a truly breathtaking job parking the car, twists her ankle, starts to swell up, and now a decision has to be made: Go to the ER. Go to urgent care. Go home. Or what if it's a parent making this choice for a kid? In the olden days, maybe that patient would've called up his or her longtime family doctor and asked what to do, and maybe if that longtime family doctor didn't know, he or she would have called up the local ortho and gotten their opinion. Or maybe the two were sitting together in the doctor's lounge at the time, or maybe they rounded together in the hospital and, and, and … There used to be lots of opportunities for spontaneous questions and answers and curbside consults. But not today most of the time, really, unless you're a patient with a doctor in the family. But even for a PCP, who wants an ortho consult? Amy Scanlan, MD, and I discussed this quite a bit in an earlier episode (EP402). There's no doctor lounges anymore. There's no coffee klatch down in radiology either. There's just a lot of cultural shifts, in other words. But all of this, everything I have said thus far, all adds up to one big takeaway: These excess costs that don't have commensurate improved clinical outcomes, they happen because patients are on their own to triage themselves. They look at their black-and-blue whatever, or they're standing there listening to their kid cry and they are deciding what to do. And the thing is, if they choose the ER—because, again, they don't have a doctor, anybody they can just call with the right kind of clinical background—once they head into that ER and sit there for six hours and demand an MRI because now it has to be worth their time because they sat there for six hours; but now there's a false positive and the ER docs are being conservative because of malpractice or whatever and they refer them to some sort of surgeon … Look, everybody's doing their best with the information that they have at the time, but you can see how easy it is for a person to avoidably wind up costing a lot of money for a musculoskeletal injury that would have healed by itself. So, yeah, let's talk about how we can get patients some help in that so-called white space. How can we get them, triage before the triage, as I managed to say more than once in the conversation that follows? Let's get them on a good trajectory to start. Today, my guest is Dr. Jay Kimmel. Dr. Kimmel is an orthopedic surgeon, and he's been in practice in Connecticut for over 35 years. He and Steve Schutzer, MD, co-founded Upswing Health. I talked with Dr. Steve Schutzer about Centers of Excellence in an earlier episode (EP294). Upswing Health provides members with the opportunity to talk with an athletic trainer within 15 minutes and an orthopedic specialist within 24 hours. So, instead of having a panic attack of indecision and ultimately winding up in the ER, getting coughed on in the waiting room, members have somebody helping them in this white space so they can get triaged before the triage. I need to thank Upswing Health. I am so appreciative they donated some financial support to cover the costs of this episode. This podcast is sponsored by Aventria Health Group with an assist from Upswing Health. Also mentioned in this episode are Upswing Health; Keith Passwater; Dana Prommel; Amy Scanlan, MD; Steve Schutzer, MD; Eric Bricker, MD; Al Lewis; Nikki King, DHA; Matt McQuide; Christine Hale, MD, MBA; and Chris Deacon. For a list of healthcare industry acronyms and terms that may be unfamiliar to you, click here. You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn. Jay Kimmel, MD, is the president and co-founder of Upswing Health, the country's first virtual orthopedic clinic. He founded Upswing with Steve Schutzer, MD, to rapidly assess, triage, and manage orthopedic conditions in a cost-effective, high-value manner, helping patients avoid unnecessary imaging, procedures, and delays in care. Dr. Kimmel had a long and distinguished career as a practicing orthopedic surgeon with Advanced Orthopedics New England. He earned his undergraduate degree from Cornell University and his medical degree from the University of Rochester. He completed his orthopedic residency at Columbia Presbyterian Medical Center, where he trained with leaders in shoulder surgery, followed by a sports medicine fellowship at Temple University Center for Sports Medicine, where he participated in the care of Division I collegiate athletes. He is board-certified in orthopedic surgery and is a Fellow of the American Academy of Orthopedic Surgeons. Dr. Kimmel specializes in sports medicine with an emphasis on shoulder and knee injuries and holds a subspecialty certificate in orthopedic sports medicine from the American Board of Orthopedic Surgery. He is also a member of the American Orthopedic Society for Sports Medicine. Dr. Kimmel co-founded the Connecticut Sports Medicine Institute at Saint Francis Hospital, a multidisciplinary center dedicated to providing high-quality care for athletes at all levels, and served as its co-director for many years. He has a strong commitment to education and served for over 20 years as an assistant clinical professor in both family medicine and orthopedics at the University of Connecticut. He has also served as a team physician at the professional, collegiate, and high school levels. 07:49 EP472 with Eric Bricker, MD, on high-cost claimants. 08:01 What is the "white space" in MSK spend? 10:43 Statistics on Connecticut's spending on plan members with low-acuity MSK injuries. 13:30 How back pain also easily transitions from a low-acuity issue to a high-acuity problem. 15:11 How plan sponsors can detect their white space downstream spend. 16:58 EP464 with Al Lewis. 17:02 EP470 with Nikki King, DHA. 18:15 Why where patients start their journey often dictates where they wind up and how costly that medical pathway is. 20:48 Where PCPs fit into this MSK spend issue. 25:26 EP468 with Matt McQuide. 25:34 EP471 with Christine Hale, MD, MBA. 25:39 Why access is key. You can learn more at upswinghealth.com and follow Dr. Kimmel on LinkedIn. Jay Kimmel, MD, of @upswinghealth discusses #MSKspend on our #healthcarepodcast. #healthcare #podcast #financialhealth #patientoutcomes #primarycare #digitalhealth #healthcareleadership #healthcaretransformation #healthcareinnovation #musculoskeletal Recent past interviews: Click a guest's name for their latest RHV episode! Mark Noel, Gary Campbell (Take Two: EP341), Zack Kanter, Mark Newman, Stacey Richter (INBW45), Stacey Richter (INBW44), Marilyn Bartlett (Encore! EP450), Dr Mick Connors
On this week's Wrap Party, Zeth is talking about the PCP-laced seafood chowder that the cast and crew of ‘Titanic' unknowingly consumed, and with your help, we make a list of the best films about poison. Plus, your emails, calls, and DMs! Become an All Access member today by visiting disgracelandpod.com. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices
On this week's Wrap Party, Zeth is talking about the PCP-laced seafood chowder that the cast and crew of ‘Titanic' unknowingly consumed, and with your help, we make a list of the best films about poison. Plus, your emails, calls, and DMs! Become an All Access member today by visiting disgracelandpod.com. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoicesSee omnystudio.com/listener for privacy information.
no inserted ads: www.patreon.com/dopeypodcastThis Week on a super classic episode of Dopey! Dave is visited by local Long Islander - Will P. AKA Hairy Tongue Will. Dave opens the show drinking Ryze mushroom coffee while talking about how cold his recording room is. He announces that Dopey will be releasing five episodes per week throughout December, including replays, Patreon teasers, deep cuts, and new interviews.He gives sobriety shoutouts — notably Lauren's three-year milestone and Maddie Veitch from Leftover Salmon celebrating her own recovery marker. He encourages listeners to email in clean-time milestones for future episodes.Dave then goes through a lengthy run of Spotify comments left on the Darrell Hammond episode. The comments range from people complaining about the “This or That” game, others defending it, jokes about possums, encouragement about psychedelics, questions about whether Darrell is truly sober, praise for the episode, frustration with the interview pacing, random remarks about Lime Drive and “Mike's Amazing Stuff,” plus multiple requests for stickers. Dave reads each comment and jokes along, sometimes offering to send merch.Ads for Mountainside and Link Diagnostics follow. Dave talks about how Mountainside is central to the history of Dopey and how Link Diagnostics offers drug testing services that help people “stay positive and test negative.”Dave then plays an LSD voicemail from Henry in San Francisco, who took two hits of acid alone in college. Henry becomes one with his bicycle, panics at a house fumigation tent he interprets as a circus, fears he'll be mutated by pesticides, runs home, listens to the Butthole Surfers, sees Aztec gods appearing from shifting ceiling patterns, and eventually rides it out. He is now 15 months sober and credits Dopey Nation for support.Next he reads an email from Jerry, who describes crazy addiction history including fighting cops on PCP, overdoses, ventilators, and robbing heroin dealers. Jerry discovered Dopey by typing “heroin” into the podcast search bar while newly out of rehab in 2018. His biggest complaint is that Dave has never watched Joe Dirt.The episode opens with your intro, then the bulk of the show is Hairy Tongue Will's massive, chaotic, detailed telling of his addiction, near-death runs, arrests, relapse cycles, dead friends, and eventual recovery.Will describes the early Long Island chaos with Richie, Mike, and Lenny—everyone strung out on heroin, crack, coke, and whatever they could get. He recalls the first serious turn: showing up to a house where Lenny was passed out after a three-day crack run, realizing “the demons are taking over.” Mike and Richie spiral deeper, and Will keeps managing to “hold it together” thanks to jobs, work ethic, and a strange electrical-job stabilizer that kept him semi-functional.He details years of DUIs, probation, manipulating drug tests, smoking crack constantly while still working 16-hour electrician shifts, and thriving socially because coworkers lived vicariously through him. He normalized chaos, missing only “one no-call/no-show every two weeks,” which he considered acceptable.Will then dives into his first short attempt at stability, living in a basement apartment. His probation officer surprises him the day after a holiday: the apartment is filled with beer cans, bongs, baggies. He fails the test, is sent back to rehab/jail cycles, and explains why Long Island addicts often choose jail over treatment. He describes his surreal time in jail—being sent to the Montauk Lighthouse on work crews, eating egg sandwiches and black-and-milds with the guards, becoming “the useful guy,” actually feeling respected and purposeful.Back outside, he tries again, fails again, collects DUIs, cycles through companies, loses jobs, hustles side work, and repeatedly relapses. A wedding night leads to another DUI. COVID hits while he's in jail. He gets out, starts working nonstop, earns money, piles cash in a closet, stacks crypto, reads self-help books, sleeps on a mattress on the floor, becomes obsessed with success and control.Then he meets a girl in Tennessee. He drinks again “successfully” only when he flies there. He builds a double life—working himself numb, drinking out of state, convincing himself he's different.Eventually, on a work trip, he gambles, wins big, drinks an old fashioned, and secretly cooks his boss's cocaine into crack. This reignites the obsession. Will starts traveling the Northeast and Midwest, repeatedly pulling crack-seeking missions: gas stations, high-crime neighborhoods, asking strangers, “I'm looking for some hard.” He builds drug contacts in Bridgeport, Dayton, Maine, Virginia, wherever the job sends him. He smokes in hotels, hallucinates blood on floors, changes rooms repeatedly.He recounts the deaths of friends:Mike, whose father turned their home into a sheet-walled trap house with dealers and bikers living inside.How Mike died with his father selling sneakers off his dead son's body.Richie, who got sober then died of fentanyl after nearly two years clean.Will's life collapses further—obsession, resentment toward God, jealousy, terminal uniqueness. He becomes a “demon,” wanting to die like his friends. He terrifies his girlfriend with delusional FaceTimes, nine-day runs, psychosis. She moves in without knowing the truth and becomes trapped in codependency.He stays high for 26 straight days, manipulates her with antihistamine allergy episodes to cover his psychosis, hides crack pipes around the house with ring cameras everywhere. He finally admits some truth, gives her $5,000 to escape, but she stays another nine months.He tells insane stories:Pretending he's a trust-fund baby to get free crackGetting shot at by a dealer after a misunderstanding over “two grams” vs “two ounces”Driving through wooded roads barefoot at gas stationsDealers trying to jump himBecoming a mule for a recently-released dealer (Ace)Near misses, violence, and pure street insanityEventually, during a pickup, he gets chased, prays for police lights, and his car breaks down. Cops descend. He gets a mountain of charges (“five decades worth”). He thinks he'll die in prison. Bail reform gets him released. He immediately uses again for 17 more days.A sober lawyer tries pushing him toward St. Christopher's. Will resists, manipulates LICR, relapses again, cancels his own insurance, tries to die, and after weeks of chaos his mother gets him re-approved. He enters St. Chris, still delusional, still dangerous.There he breaks. He admits suicidal thoughts, gets a guard stationed outside his door, hears the blunt truth—you're the worst-off guy here and you did this to yourself. It lands. Will begins working the program: spiritual direction, grief groups, codependency, meetings, kitchen duty, everything. He reconnects with his mother in sobriety. He attends court in suits provided by the facility and ultimately receives an unexpectedly generous plea deal.He comes home early, tries to run his own program, stays sober for months, but on Mother's Day runs into an old acquaintance who shows him a Newport box with a pipe inside. He relapses immediately for three days, misses Mother's Day entirely.That night, suicidal again, he receives a series of calls: first from Jordan, then from his tough sponsor, who gives him clear direction—go to a sober house, go to daily groups, go to nightly meetings, call people, build structure. Will frauds his urine to get in, but once inside, follows every instruction. He stabilizes.He recounts being 18 months sober now, having been at meetings nearly every night, with a recent slip in commitment due to chasing an “intimate partner godshot” that didn't work out. You reassure him that it's fine and that balance is part of recovery.More or less thats the whole thing! On a brand new fucko, crackead episode of that good old dopey show! Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In this episode of The Fighter and the Kid, Brendan and Bryan sit down with comedian and wrestler Nick Simmons, who joins right as the guys finally address the years of Reddit hate, online criticism, and the wild narratives fans have created about the show.They dive into the hilarious but eye-opening ways women underestimate real strength, why self-defense fantasies don't match physics, and how pepper spray, bear spray, and knives work in real-world scenarios.Nick shares his insane PCP pandemic home-intruder story — including the break-ins, the stairwell fight, the loose slice of pizza, and the moment the cops let the guy go… right before he bit one officer's nose and an EMT's Achilles tendon.They compare this to the Anthony Smith intruder fight, breaking down why meth and PCP shut off the “governor” in the brain and create freak-level strength.From there, the guys get into Mongolian and Polynesian genetics, strength competitions, football concussions, stingers, and the brutal gap between normal athletes and genetic freaks.Nick also opens up about moving from NYC to Austin, meeting his girlfriend's intimidating dad, being a regular at iconic NYC clubs, and the new comedic grind of trying to get passed at The Comedy Mothership.The guys finish by roasting each other's outfits, shoes, and the chaos of performing comedy while your friends try to mess with your head backstage.A funny, honest, chaotic episode with one of the best young comics in Austin.DraftKings - Download the DraftKings Pick6 app now and use code FIGHTER. That's code FIGHTER — New DraftKings customers can play just $5, and get $50 in Pick6 credits.O'Reilly Auto Parts- https://oreillyauto.com/FIGHTERTrue Classic - True Classic - Upgrade your wardrobe and save on @trueclassic at https://trueclassic.com/fighter ! #trueclassicpodMagic Mind - https://magicmind.com/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
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