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Mary O'Grady. Mary O'Grady discusses Cuba's persistent electricity crisis, explaining that chronic blackouts result from decades of infrastructure deterioration in the power grid and heavy oil plants, rather than solely being caused by losing Venezuelan oil supplies.1969
Your pool pH isn't “random” or “stubborn” and once you understand what's actually driving the rise, you can finally stop the endless acid cycle. We dig into the real reason pH climbs week after week: CO2 off gassing. Total alkalinity controls how much carbon dioxide wants to escape, and when alkalinity is too high, the water is essentially overcarbonated. As CO2 leaves the water to reach equilibrium with the air, pH rises, and the problem repeats.We also get honest about the pools that fight you the hardest: feature pools with negative edges, spillways, waterfalls, scuppers, rock cascades, spa jets, and blowers. All that aeration and turbulence accelerates CO2 loss, which means faster pH drift no matter how “perfect” your numbers look on paper. You'll hear a simple spa-style experiment that makes the aeration effect impossible to ignore, plus the hard truth that some extreme designs may require a CO2 injection system if you want truly stable pH.Saltwater chlorine generator pools add their own twist. We explain how SWGs raise pH through hydroxide production and continuous aeration inside the cell, then talk through practical ways to reduce generator runtime by cutting chlorine demand. That leads into borates, cyanuric acid strategy, and why dialing in free chlorine as a percentage of CYA can work better than a one-size-fits-all target. We also clear up a long-running pool chemistry myth: liquid chlorine and calcium hypochlorite don't create a lasting pH rise after chlorine is consumed.If you want fewer corrections, steadier readings, and a repeatable method for controlling rising pool pH, hit play, then subscribe, share this with a pool owner or pool pro who's fighting pH, and leave a review with your biggest pH question.We break down why pool pH keeps rising and why the real driver is often CO2 off gassing tied to total alkalinity and aeration. We share practical targets and field-tested fixes for salt pools, feature pools, and new plaster so you can stop chasing pH every week. • total alkalinity controlling CO2 off gassing and pH drift • why high TA makes pH rise faster and more often • setting realistic TA targets and lowering TA to stabilize pH • how waterfalls, spillways, negative edges, jets, and turbulence push pH up • when a CO2 injector becomes the only realistic path • saltwater chlorine generator effects including hydroxide production and aeration in the cell • using borates to reduce chlorine demand and slow pH rise • balancing cyanuric acid and free chlorine as a percentage strategy • plaster hydration in new pools raising pH for months • why liquid chlorine and cal hypo do not cause lasting pH rise after chlorine is spent Learn more at SwimmingPoollearning.com. If you're interested in the coaching program, you can learn more at pullguycoaching.com. Send us Fan MailSupport the Pool Guy Podcast Show Sponsors! HASA https://bit.ly/HASAThe Bottom Feeder. Save $100 with Code: DVB100https://store.thebottomfeeder.com/Try Skimmer FREE for 30 days:https://getskimmer.com/poolguy Get UPA Liability Insurance $64 a month! https://forms.gle/F9YoTWNQ8WnvT4QBAPool Guy Coaching: https://bit.ly/40wFE6y
Are you stubborn or persistent? At first glance, the two words seem closely related. They can describe similar behaviors and actions. But one usually feels negative, while the other feels positive. Most of us would rather be called persistent than stubborn. And as leaders, that distinction matters. In this episode, Kevin Eikenberry explains why the labels we use shape the way we see people, interact with them, and lead them. If we label someone as stubborn, we may approach them with frustration or resistance. If we label them as persistent, we may respond with more curiosity, patience, and respect. The reminder is simple but important: how you label people influences how you treat them. Take your labels seriously. In This Episode Why "stubborn" and "persistent" are similar but not the same How labels influence our expectations and interactions Why leaders should be careful about the words they use for others How choosing a different label can change your leadership approach The organizational value of assuming benign intent Remarkable Reminder How you label people influences how you treat them. Take your labels seriously. Resources Mentioned Subscribe to Kevin's free weekly newsletter, Your Remarkable Day: https://kevineikenberry.com/newsletters
Are You Listening to God? Zechariah 7:8-14 “And the word of the Lord came again to Zechariah: ‘This is what the Lord Almighty said: Administer true justice; show mercy and compassion to one another. Do not oppress the widow or the fatherless, the foreigner or the poor. Do not plot evil against each other.'” This is more verses than I usually cover in one day, but I wanted to include the whole passage because the context is important. What stood out to me most was the beginning: “Administer true justice; show mercy and compassion to one another. Do not oppress the widow or the fatherless, the foreigner or the poor.” There are two reasons this struck me. The first is because of a retirement ceremony I attended for my husband Tony's boss. Several people spoke about him, and one phrase came up repeatedly: “Sometimes you just need to give a little grace.” That phrase has stayed with Tony for years. I think we need more of that today. We are often quick to become offended, angry, or frustrated. Someone cuts us off in traffic, speaks sharply to us, or has a bad day, and we let it affect us for hours. I'm not saying bad behavior is okay. I'm saying that we all have bad moments. We all need grace sometimes. Think about the last time you got upset. If you had stopped and given that person a little grace, would it have changed the situation? The second reason this passage stood out to me is because of what God specifically tells us: “Show mercy and compassion to one another. Do not oppress the widow or the fatherless, the foreigner or the poor.” This is not a political statement. It is a biblical one. No matter where we stand politically, we should ask ourselves: Am I being compassionate? Am I showing mercy? Am I treating others the way God asks me to treat them? God does not tell us to show compassion only to people who think like us, vote like us, look like us, or agree with us. He tells us to show compassion to those who need it. One phrase that stands out to me is “the foreigner.” We don't know people's stories. We don't know what they have escaped, what they have endured, or what burdens they carry. It can be frustrating when communication is difficult, but imagine living every day struggling to understand and be understood. God calls us to compassion. The passage then continues: “But they refused to pay attention; stubbornly they turned their backs and covered their ears. They made their hearts as hard as flint and would not listen.” That part convicted me. Are we listening to God? Or are we allowing social media, news, culture, and our own opinions to shape us more than Scripture? God's Word has not changed. Yet sometimes we harden our hearts little by little until we stop hearing what He is saying. I think many of us struggle to make time for God and then wonder why we feel distant from Him. The people in this passage refused to listen to the Lord. As a result, the passage says: “When I called, they did not listen; so when they called, I would not listen.” That verse stopped me in my tracks. Does this mean God sometimes ignores our prayers? I wanted to be careful before answering that question, so I did some research. The answer I found was essentially this: Persistent, willful rejection of God's voice creates a barrier in our relationship with Him. Not because God stops loving us, but because we are turning away from Him. The barrier is built by us, not by Him. This passage is not meant to create fear. It is meant to invite conversion. God is constantly calling us back to Himself. The Catechism teaches that authentic prayer flows from a converted heart. The saints repeatedly taught that how we live affects how we pray and whether our prayers bear fruit. This does not mean that every time we sin, God stops listening to us. If that were true, none of us would have hope. I believe this passage is talking about a persistent hardening of the heart—a repeated refusal to listen to God and live according to His ways. That should cause all of us to pause and ask: How am I treating the widow? How am I treating the fatherless? How am I treating the foreigner? How am I treating the poor? Am I listening when God calls me to show compassion? I want to leave you with one final question: In what area of your life might God be calling you to listen—and are you giving Him the silence He needs to speak? Dear Heavenly Father, I ask you to bless each person listening to this episode today. Lord, help us recognize anything that may be creating a barrier between us and you. Help us show compassion to the widow, the fatherless, the foreigner, and the poor. Help us give people a little grace. Help us listen when you speak. Soften our hearts and make them more like yours. We love you, Lord, and we ask all of this in accordance with your will and in Jesus' holy name, Amen. Thank you so much for joining me on this journey to walk boldly with Jesus. If you've been feeling distant from God lately, but you're not sure why, I created a free quiz called "What's Quietly Blocking Your Connection With God?" In just a few minutes, you'll discover one of four common obstacles that may be affecting your relationship with God. CLICK HERE. I look forward to meeting you here again tomorrow. Remember, Jesus loves you, just as you are, and so do I! Have a blessed day! Today's Word from the Lord was received in November 2025 by a member of my Catholic Charismatic Prayer Group. If you have any questions about the prayer group, these words, or how to join us for a meeting, please email CatholicCharismaticPrayerGroup@gmail.com. Today's Word from the Lord is, “Look at them, I say to you, my father. See them, father? They try hard, Father. They see them all through their obstacles. They put their own needs on the shelf to be there for others. I am so proud.” www.findingtruenorthcoaching.comCLICK HERE TO DONATECLICK HERE to sign up for Mentoring CLICK HERE to sign up for Daily "Word from the Lord" emailsCLICK HERE to sign up for my newsletter & receive a free audio training about inviting Jesus into your daily lifeCLICK HERE to buy my book Total Trust in God's Safe Embrace
learn more at https://ThePrayerOfFreedom.com Why do some faithful Christians pray for healing for years while others experience breakthrough? In this live presentation from Costa Rica, Beatty Carmichael explores what the Bible says about the connection between sin, sickness, suffering, and healing. Walking through ten key passages of Scripture from the Old Testament and New Testament, he addresses a question that has challenged believers for generations: Can unresolved spiritual issues contribute to physical, emotional, or relational struggles? You'll discover what the Bible teaches about confession, repentance, forgiveness, spiritual oppression, and the role they may play in persistent conditions such as anxiety, depression, chronic pain, trauma, addiction, and relationship conflicts. Drawing on James 5:16 and other biblical passages, Beatty explains how hidden spiritual roots can sometimes keep people stuck—even after years of prayer, counseling, and medical treatment. This episode also includes a live demonstration with a man who had struggled with anxiety and bipolar disorder for most of his life and experienced immediate relief after applying these biblical principles. If you've ever wondered why healing prayer sometimes seems ineffective—or whether there may be a missing piece you've never considered—this teaching offers a practical, Scripture-based framework for pursuing healing and freedom. Topics covered: biblical healing, Christian healing, healing prayer, spiritual warfare, repentance, confession, forgiveness, deliverance ministry, James 5:16, anxiety, depression, chronic pain, trauma, addiction, bipolar disorder, spiritual roots of illness, emotional healing, and freedom in Christ.
Join us as we enjoy Him together! The Table Fellowship's Sermon of the Week for June 21st 2026.
For patient referrals: call 480-733-7400What if one of the most common sports-related injuries was still being treated with outdated advice? In this episode of Beyond the Rounds, we explore two rapidly evolving areas of sports medicine: concussion management and orthobiologic therapies. Dr. Nolan Fisher sits down with sports medicine physician Dr. Evan Werk to discuss why strict rest is no longer considered best practice for concussion recovery, how multidisciplinary treatment is improving outcomes and where therapies such as platelet-rich plasma (PRP) fit into modern musculoskeletal care.For years, concussion management centered on prolonged rest and symptom avoidance. Today, evidence supports earlier return to activity, targeted rehabilitation and individualized treatment plans based on specific symptom patterns. Dr. Werk explains how clinicians can identify concussion subtypes, guide safe return-to-play decisions and address persistent symptoms through coordinated care.The conversation also examines the growing role of orthobiologics, including PRP and bone marrow aspirate therapies. As interest in regenerative medicine continues to grow, understanding what the evidence supports—and where limitations remain—is critical for helping patients make informed treatment decisions.This episode is designed for physicians, advanced practice providers and clinicians seeking practical insights into concussion care, sports medicine and evidence-based approaches to musculoskeletal treatment.What We Cover• Why the "dark room" approach to concussion recovery is outdated• The role of early activity and active rehabilitation after concussion• How concussion subtypes guide treatment decisions• Return-to-play protocols and objective concussion assessment• Persistent post-concussion symptoms and multidisciplinary management• Common misconceptions about regenerative medicine• What PRP is and when it may be appropriate for tendinopathy and osteoarthritis• Bone marrow aspirate therapy and current evidence• The risks of overpromising results from orthobiologic treatments• How sports medicine bridges primary care, rehabilitation and orthopedic surgeryKey Topics for Clinicians• Sports medicine• Concussion management• Return-to-play protocols• Vestibular rehabilitation• Post-concussion syndrome• Platelet-rich plasma (PRP)• Orthobiologics• Bone marrow aspirate therapy• Tendinopathy• Osteoarthritis• Musculoskeletal ultrasound• Exercise medicine• Active aging• Evidence-based sports medicineAbout Our GuestDr. Evan Werk is a board-certified sports medicine physician with Banner – University Medical Group. Trained in both family medicine and sports medicine, he specializes in concussion care, musculoskeletal injuries, ultrasound-guided procedures and orthobiologic therapies. His clinical practice focuses on helping athletes and active individuals safely return to the activities that matter most to them through evidence-based, patient-centered care.He sees patients at: Banner Sports Medicine Scottsdale 7400 N. Dobson Rd., Ste. 201, Scottsdale, AZ 85256Phone: 480-733-7400Fax: 480-207-2118How to Refer a Patient Banner Health providers: Use Cerner's Ambulatory Referral Management (ARM) tool. Community providers: Fax referrals to 480-207-2118 or call 480-733-7400 to schedule a patient for evaluation. Disclaimer This podcast is intended for educational purposes only and is designed for a clinical audience. Any patient scenarios discussed are modified and de-identified to protect privacy. No protected health information (PHI) is disclosed. The information presented should not replace independent medical judgment or individualized patient care decisions. Subscribe to Beyond the Rounds for physician-focused conversations on clinical innovation, specialty collaboration and evolving standards of care.
Pastor Philip Jeffries Meadowthorpe Baptist Church http://www.meadowthorpebaptistchurch.com 330 Larch Lane, Lexington, KY 40511 (859) 523-3815
Send us Fan MailIn this episode of the Talk Architecture Podcast, we dive deep into a heartfelt reply to a 2nd-year architecture student asking what needs to change in architecture education. The core issue? Too many graduates lack confidence when entering the profession — a direct result of being spoon-fed throughout their studies. Instead of nurturing independent decision-making through studio critiques, presentations, and personal design journeys, current teaching approaches often leave students reliant on tutors, eroding their ability to trust their own vision and creative instincts.From emotional vs. logical design approaches to the real-world demands of client interactions, business acumen, and the versatility of an architectural mindset, this conversation challenges both students and educators. Persistent curiosity, owning your mistakes, and building genuine confidence are essential. Academics, take note: stop spoon-feeding — empower the next generation to become decisive, resilient architects ready for practice.Copyright 2026 Talk Architecture, Author: Naziaty Mohd YaacobSupport the showDo subscribe for premium content and special features which will help to support and sustain Talk Architecture podcast on a more in-depth explanation on design thesis and processes. These special commentaries and ‘how to' explanations are valuable insights and knowledge not found elsewhere!
(1 Thessalonians 5:1-11) As we approach the end of Paul's first letter to the Thessalonian church, he takes the opportunity to encourage them to be ready for Jesus' return. As he does so he also encourages them about the Armor of God and the need to encourage one another. Join us as Philip unpacks this part of the letter, and encourages us to be ready for Jesus' return
Have you been told to strengthen your core to fix your back pain, yet despite doing countless planks, crunches, and core workouts, your discomfort keeps returning?You're not alone.In this episode of the Somatic Movement & Mindset Podcast, Heidi Hadley explores a hidden reason why traditional core exercises may not be delivering the results you expected.While core strength has become one of the most common recommendations for back pain, many people are unknowingly developing chronic muscular bracing and co-contraction—a state where muscles remain excessively contracted, limiting mobility, reducing shock absorbency, and increasing tension throughout the body.Discover why stability and rigidity are not the same thing, and how true movement health depends on your ability to both contract and release.In This Episode You'll Discover:✅ Why strengthening your core isn't always the answer to back pain✅ What co-contraction is and how it develops✅ How excessive abdominal bracing can reduce mobility and movement efficiency✅ Why chronic muscle tension increases compressive forces on the spine✅ The relationship between breathing, posture, and back pain✅ How reduced shock absorbency affects your body from head to toe✅ Why stiffness is often mistaken for stability✅ The role of the nervous system in chronic tension and recurring pain✅ Why flexibility alone isn't the solution✅ How pandiculation helps retrain the brain and release chronic muscular holding patternsUnderstanding Co-ContractionYour body is designed to move with adaptability, efficiency, and ease.However, when muscles around a joint contract simultaneously and remain partially engaged for prolonged periods, movement becomes restricted. This phenomenon, known as co-contraction, is often driven by stress, injury, fear of movement, repetitive habits, or well-intentioned advice to constantly "engage your core."Over time, this can lead to: Increased muscle fatigue Reduced mobility Restricted breathing Increased spinal compression Poor shock absorption Persistent pain and stiffness The result? A body that feels tight, guarded, and less capable of moving naturally.Why More Tension Isn't More StabilityMany people associate a strong core with a healthy back.But true stability comes from adaptability—not rigidity.A healthy neuromuscular system allows muscles to contract when needed and release when they're not.When muscles remain switched on unnecessarily, the nervous system loses efficiency, movement becomes less fluid, and pain often persists.A Different Approach: PandiculationPandiculation is a natural process that works directly with the brain and nervous system to help restore voluntary control of muscles.Rather than forcing muscles to lengthen temporarily, pandiculation helps reset chronic tension patterns by improving communication between the brain and body.This can help: Reduce chronic muscle tension Improve mobility Enhance posture Support better breathing mechanics Improve shock absorbency Create more efficient movement patterns Reduce recurring pain and discomfort Key TakeawayThe goal isn't simply to build a stronger core.The goal is to create a body that can respond appropriately to the demands placed upon it—contracting when necessary and releasing when possible.When we learn to reduce unnecessary muscular bracing and improve nervous system regulation, we create the conditions for more comfortable, efficient movement.Ready to Learn More?Inside the Total Somatics Membership, you'll find an extensive library of guided Clinical Somatic Movement lessons, pandiculation practices, nervous system regulation techniques, mindfulness sessions, and educational resources designed to help you:✨ Reduce chronic pain ✨ Improve posture and mobility ✨ Release persistent muscle tension ✨ Enhance body awareness ✨ Move with greater comfort and confidenceJoin a supportive global community of members from over 45 countries and discover a smarter way to care for your body.
What does persistent faith look like when God's response seems difficult or delayed? In Episode 171 of the 2 Minute Disciple podcast, we meditate on Mark 7:24–30, one of the most challenging and profound encounters in the Gospels. A Gentile woman approaches Jesus, pleading for her daughter's healing, and receives an unexpected response. Yet instead of walking away discouraged, she responds with remarkable humility, courage, and unwavering faith. Her simple reply—“Even the dogs under the table are allowed to eat the scraps from the children's plates”—reveals a heart that trusts completely in the mercy of Christ. Jesus honors her faith, and her daughter is healed. This contemplative devotional explores the beauty of persistent prayer, humble faith, and trusting God's goodness even when His timing or His answers are difficult to understand. Through guided prayer, Scripture reflection, and a practical spiritual exercise, you'll be encouraged to bring your unanswered prayers back to Jesus with renewed confidence. Whether you're praying for healing, reconciliation, direction, or breakthrough, this episode reminds us that the mercy of Jesus is more than enough—and that faithful persistence is never wasted. In this episode: • Mark 7:24–30 devotional reflection • The faith of the Syrophoenician woman • Persistent prayer and humble trust • God's mercy for all people • Christian meditation and contemplative prayer • Trusting Jesus through delayed answers • Growing in resilient faith
Concussions are often treated as short-term injuries, but what if the real issue is how the brain recovers afterward? In this episode, Dr. Rob Silverman sits down with Dr. Brett Jarosz, an ACA endorsed Fellow Sports & Exercise Chiropractor, to explore the evolving science of concussion recovery and brain health. Together, they challenge outdated approaches that rely on complete rest and discuss why modern rehabilitation focuses on restoring function through targeted movement, individualized therapy, and metabolic support. Dr. Jarosz explains why a concussion is more than just a structural injury, how persistent symptoms can stem from dysfunction across multiple systems, and why factors such as autonomic regulation, inflammation, and brain energy production play critical roles in recovery. The conversation also dives into emerging therapies like photobiomodulation, the science behind red light therapy, and why personalized rehabilitation may be the future of concussion care. Whether you're a clinician, athlete, coach, or someone recovering from a brain injury, this episode offers practical insights into helping the brain heal and perform at its best. Key takeaways: Concussion is an energy crisis in the brain, affecting metabolism, blood flow, and neurological function. New models of concussion treatment emphasize controlled exercise and targeted rehabilitation over complete rest. Photobiomodulation, especially low-level laser therapy, shows promising results in improving brain recovery post-concussion. Persistent post-concussion symptoms could be multi-faceted, involving neuroinflammation, metabolic dysfunction, and autonomic nervous systems. Female athletes experience different concussion recovery processes due to biological and structural differences. More About Dr. Brett Jarosz: Dr. Brett Jarosz is an ACA endorsed Fellow Sports & Exercise Chiropractor (AICE 2019), Neurorehabilitation Chiropractor (AICE 2022), researcher and international lecturer. He has worked with the World Surf League, as a part of the medical team at the Rip Curl Pro Bells Beach, as well as Surfing Australia at the 2024 Paris Olympics. He consults with the Melbourne Storm NRL Team, along with several AFL teams, Olympic and elite athletes on neurotrauma, with his work being featured on 60 Minutes Australia, Apple TV, The Age, Herald Sun, and more. For the past decade, Dr. Brett lectured within the Chiropractic degrees at RMIT University in Melbourne, and currently maintains a role as a lecturer for a number of post-graduate education programs. Website Instagram Connect with me! Website Instagram Facebook YouTube
Anxiety. What comes to mind when you think about that word? A stress response? Persistent worry? An affliction that only affects children and women? The answers are surprising as many men also suffer from one of anxiety's many forms. We cover the different forms of anxiety as well as some treatment options. And please remember. This show is a safe haven, we are here to help. You Are Not Alone. Please like, share, and subscribe! Resources:Headsupguys Men's Mental Health and Suicide Prevention | HeadsUpGuysMantherapy Man Therapy® | The Manliest Tool for Men's Mental HealthMovember Movember - Changing the face of men's health. - MovemberNAMI National Alliance on Mental Illness (NAMI)Anxiety Home - Anxiety Disorders and universal Health Care - Anxiety Disorders and universal Health CareOur Email Soi.mensmentalhealth@gmail.com
What if the secret to better behaviour support in forest school isn't focusing on the child at all?Lewis and Wem are back for a wide-ranging, woodland-based chat that opens with lime plaster, kilts, and a mosaic pizza oven before diving into some genuinely rich territory: what does it actually mean to take an intraaction-based approach to behaviour? How do you move away from old-school "fix the child" thinking without sliding into permissiveness? And what can a day of interpretive dance, collective poetry, and drama research in Bristol teach us about forest school pedagogy? Plus: squirrels, rabbits round the fire pit, the Southwest FSA Gathering, tenon cutters, and Wem's mysterious single-name workshop listing at the national conference.Chapter Titles and Timestamps:0:00 - Lime plaster, kilts, and a mosaic pizza oven2:00 - Wearing messy, child-made things as a badge of honour4:29 - Following up on Dr Wendy Russell: intraaction and behaviour support6:54 - Old-school behaviour management vs. shifting what you can actually control8:50 - The soup of a person: inner worlds, neuroplasticity, and fixed mindset language14:20 - Persistent offering and not closing doors too early17:53 - Is intraaction-based behaviour support just permissive?20:02 - The communal cooking example: setting people up to succeed22:27 - How loudly does John's sadness exist? On heterarchy and roles26:07 - The Tangled Roots of Creative Research and Social Justice, Bristol33:42 - The Conference of Trees and the value of cross-disciplinary spaces35:49 - Space-setting intentions vs. ground rules: lessons from a research day40:12 - The Southwest FSA Gathering at Hateford Woods41:10 - Tenon cutters, turmeric dyeing, and beatboxing44:29 - National conference plans, and Wem's workshop: Looking at Play Playfully46:45 - Beech overhang, approaching rain, and goodbyeSupportive Elements:Listen back to the episode with Dr Wendy Russell on play, posthumanism, and spatial justice for children, which this conversation directly follows on from. We also reference our previous episode on Nonviolent Communication. Find everything at www.children-of-the-forest.com. Support the show from around £2/month at www.patreon.com/theforestschoolpodcast , and leave us a voice message via the SpeakPipe link on the website.
In this episode of The Lead, host Christopher C. Cheung, MD, MPH, FHRS, is joined by Edward P. Gerstenfeld, MD, MS, FHRS, and Paul C. Zei, MD, PhD, FHRS, to discuss the journal article, A Prospective Randomized Multicenter Global Study Comparing Pulsed Field Ablation versus Anti-Arrhythmic Drug Therapy as a First Line Treatment for Persistent Atrial Fibrillation (AVANT GUARD). Together, they review the study design and findings, examining pulsed field ablation and anti-arrhythmic drug therapy as first-line treatment approaches for patients with persistent atrial fibrillation. Learning Objectives Review the design and key findings of the AVANT GUARD study comparing pulsed field ablation with anti-arrhythmic drug therapy as first-line treatment for persistent atrial fibrillation. Discuss the potential role of pulsed field ablation as an initial treatment strategy for patients with persistent atrial fibrillation. Examine the comparative considerations of ablation-based and pharmacologic approaches in the management of persistent atrial fibrillation. Podcast Contributors: Host: Christopher C Cheung, MD, MPH, FHRS Guests: Edward P. Gerstenfeld, MD, MS, FHRS and Paul C Zei, MD, PhD, FHRS Disclosures: Christopher C Cheung, MD, MPH, FHRS Honoraria/Speaking/Consulting Fee: Medtronic, Inc., Biotronik, Biosense Webster, Inc., Abbott Edward P. Gerstenfeld, MD, MS, FHRS Honoraria/Speaking/Consulting Fee: Medtronic, Inc., Biosense Webster, Inc., Abbott, Boston Scientific, Varian Medical Systems Other Non-Financial Relationships: Adagio Medical, Boston Scientific, Abbott Medical Research: Abbott Medical Officer, Trustee, Director, Committee Chair, or Other Fiduciary Role: American College of Cardiology Paul C Zei, MD, PhD, FHRS Honoraria/Speaking/Consulting Fee/Speaker's Bureau: Varian Medical Systems, Biosense Webster, Inc., Abbott, Boston Scientific, APT Medical Research: Biosense Webster, Inc.
Markets sold off this week, but not because of a single headline.Instead, investors were forced to digest multiple developments at the same time:• A potentially historic SpaceX IPO• Stronger-than-expected employment data• Persistent inflation concerns• Rising geopolitical tensions in the Middle EastIn this episode, we break down what's actually driving market sentiment — and whether this pullback is a warning sign or simply a repricing of expectations.⭐ Sponsored by Podcast10x - Podcasting agency for VCs - https://podcast10x.comKey topics we explore:– Why strong jobs data can be bad news for stocks– How inflation is influencing interest rate expectations– The potential impact of a massive SpaceX IPO on market liquidity– Why geopolitical tensions matter for energy prices and inflation– Whether AI and technology stocks have gotten ahead of fundamentals– What investors should be watching over the next few monthsThe bigger question:Is this the start of a broader correction, or just the market adjusting to a more realistic macro environment?For investors, understanding the interaction between rates, inflation, liquidity, geopolitics, and AI valuations has never been more important.LINKSPrashant Choubey - https://www.linkedin.com/in/choubeysahabSubscribe to VC10X newsletter - https://vc10x.beehiiv.comSubscribe on YouTube - https://youtube.com/@VC10X Subscribe on Apple Podcasts - https://podcasts.apple.com/us/podcast/vc10x-investing-venture-capital-asset-management-private/id1632806986Subscribe on Spotify - https://open.spotify.com/show/7F7KEhXNhTx1bKTBFgzv3k?si=WgQ4ozMiQJ-6nowj6wBgqQVC10X website - https://vc10x.comFor sponsorship queries reach out to prashantchoubey3@gmail.comThis channel is for asset managers, allocators, and investors who want analysis that holds up — not headlines dressed as insight.Subscribe for weekly data-driven breakdowns of the forces reshaping capital markets.#Markets #Investing #SpaceX #AI #Inflation #FederalReserve #Stocks #TechStocks #VC10X #MacroEconomics #Nvidia #Tesla #Micron #OpenAI #Anthropic #Finance #VentureCapital #Geopolitics #InterestRates #WallStreet
National security scholar Herbert S. Lin joins us to discuss his latest TNSR article, "On Optimism About New Military Technologies." Lin argues that political incentives and cognitive traps like the "fallacy of the last move" often blind planners to the complex, systemic realities of new capabilities. He also maps out the crucial distinction between artifactual hardware and architectural technologies like AI. Hosts: Sheena Chestnut Greitens and Ryan Vest, PhD Producer: Jordan Morning
In the halls of our Venice, Italy retreat house are priceless paintings and works of art. Clearly, the owner is a serious collector. But one piece stopped me. It hangs in a second-story hallway—gold-framed, almost sculpted into the canvas itself. It's not just a painting; it has depth, dimension, movement. Figures seem to step forward out of the frame and cast real shadows on the wall. And it tells a story. A man is kneeling in prayer, hands lifted, eyes fixed on a crucifix of Jesus on the wall before him. His posture is steady. His focus is anchored. But beside him stands another figure—dark, winged, intent. Not attacking violently, but persistently present. Watching. Pressing. Distracting. And yet the man does not turn. He stays fixed on Jesus. That image is not just art—it is a spiritual reality. We live in that scene. There is always a battle for the mind. Not always loud. Not always dramatic. Often subtle. Persistent. Relentless. The enemy does not need to destroy you if he can distract you. Because where your attention goes, your life follows. My friends, this is a real picture of what is continually going on around us. The spiritual battle of Satan's demons forever against us, flying around, shooting flaming arrows, throwing threats and insults – all while Jesus is strong and steady above it all. The question is, where are we looking? What are we focusing on? What gets our mind? If your mind isn't saved by Jesus, then it is completely vulnerable to the attacks of the enemy. If you're not focused on Jesus, you are continually distracted by the forces of darkness, acts of evil, and threats of terror. Your mind is the battlefield of this spiritual war. If the enemy captures your thoughts, he doesn't just influence your mood—he distorts your vision. If he gets your thoughts, you spiral in fear. If he gets your focus, you lose peace. If he gets your attention, you forget truth. This is why Scripture is so direct: The battle is not first in your circumstances—it is in your mind. For this battle, God offers a very specific piece of armor over your mind – the helmet of salvation. Ephesians 6:17, “Put on salvation as your helmet.” It's the final piece of your defensive armor. The belt of truth, the breastplate of righteousness, the shoes of peace, the shield of faith, and finally the helmet of salvation. “Put on salvation as your helmet.” This is not decorative language. It is defensive language. A helmet exists for one reason: to protect what cannot afford to be struck. Your head. Your mind. Your thoughts. In Roman warfare, the helmet marked identity and provided protection. It told others who you belonged to—and it guarded what could end the fight instantly. Because a blow to the head ends everything. So Paul is saying something deeply practical and deeply spiritual: God is not only saving your soul—He is guarding your mind. The phrase translated “take” or “put on” carries the idea of receiving what is being handed to you. This matters. Because salvation is not self-produced. It is not achieved through willpower or positive thinking. It is received. You don't fabricate salvation. You accept it. You don't defend yourself from the enemy by willpower alone. You stand under what God has already given. The word “salvation” here is not abstract. It means rescue. Deliverance. Being pulled out of danger you could not escape on your own. So the “helmet of salvation” is not just: “I am forgiven.” It is also: “My mind belongs to the One who rescued me.” It is the assurance that “I am saved, I am held, I am not defenseless in my mind.” The enemy rarely begins with destruction. He begins with intrusion. The crafty enemy of our is soul doing everything he can to distract us, torment us, fill us with doubts and fears. He says, “take off that helmet and let me get in your head!” That's the battle. If he can saturate your thoughts, he doesn't need to change your circumstances. He simply convinces you that darkness is all there is. But the helmet of salvation interrupts that lie. Girl, did you take off your helmet? Did you let the devil get in your head? Are you filled with doubts, worries and fears? Oh, my sister, your eyes aren't on Jesus because your head isn't protected. God is offering you a helmet to protect your mind, but it's always up to you to accept it and put it on. The helmet of salvation reminds us of this: WE ARE SAVED, WE ARE REDEEMED and WE ARE PROMISED A FUTURE. When your mind knows that full well, it changes the way you live. You're no longer distracted by the wispers of Hell. You're no longer fearful of the pokes of Satan. You're locked in to Jesus. There is an old story often told of two wolves—one feeding darkness, one feeding life. It goes like this: An old Cherokee is teaching his grandson about life: “A fight is going on inside of me,” he said to the boy. “It is a terrible fight and it is between 2 wolves. One wolf is evil – he is anger, envy, sorrow, regret, greed, arrogance, self-pity, guilt, resentment, jealousy, lies, false pride, superiority and ego.” He continued, “The other wolf is good – he is joy, peace, love, hope, serenity, humility, kindness, empathy, generosity, truth, compassion and faith. The same fight is going on inside of you – and inside of every other person too.” The grandson thought about it for a minute and then asked his grandfather, “Which wolf will win?” The old Cherokee simply replied, “The one you feed.” Whatever you feed grows stronger. And the truth is simple: Your thoughts are your daily feeding ground. What are you feeding? Isaiah 26:3, “You will keep in perfect peace all who trust in you, all whose THOUGHTS ARE FIXED ON YOU.” This is not for those who are partially focused. Not for those who are occasionally focused. This is for those who have a FIXED FOCUS on God. That's what the helmet does. It fixes our focus. The helmet of salvation is not just protection from attack—it is alignment of attention. It brings your mind back into place. Back to truth. Back to Christ. Back to peace. Not shallow peace. Not temporary peace. But perfect peace. “You will keep in perfect peace all who trust in you, all whose THOUGHTS ARE FIXED ON YOU.” Remember the art work in the Venice retreat house – the man kneeling in prayer with his eyes fixed on Jesus even while Satan's demon is present and making his attack. The protected mind that knows it is saved by Jesus is unbothered, held in perfect peace. And so the works of God grows in his life while the works of Satan diminish. Have you been giving the enemy daily food with your thoughts? Has he been growing stronger and stronger in your life because you've allowed your mind to be attacked by him? Girl, put on your helmet. Your helmet reminds you who God is and who you are in him. You are saved. You are redeemed. You are promised a future with him. A soldier's helmet includes a marking identifying who they are fighting with and for. A crest or emblem on their helmet would signify their allegiance. When you put on the helmet of salvation, you're taking a stand in this spiritual battle of whose side you're on. But when your identity is unclear, your thoughts become vulnerable. You gotta know your identity in Jesus – then you know who you are saved, redeemed, held, secured, and the accusations from Hell lose their power. The enemy cannot easily dominate a mind anchored in identity. You're standing with Jesus in victory. Your enemy has already been defeated – he fights from a place of defeat, settling for the spoils of your wandering thoughts and dark corners of your mind left unprotected. Give him NOTHING. The bad wolf gets NOTHING from you. Starve him out! Satan doesn't even get the crumbs of your thoughts today. Nothing. Give him no space in your mind. Billy Graham said this, “If you get your mind off Christ and you get it on some things you shouldn't be thinking about, then you pray, ‘Lord, forgive me and help me to get my mind back on Christ.’ I do many times.” This is the action of putting the helmet of salvation on. The moment you recognize your mind is wandering, you get it back under the protection of your salvation offered in Jesus! This is the discipline of the helmet. Not striving. Not panic. Just returning. Again and again. To Jesus. That painting in Venice shows it clearly: A man kneeling in prayer. Darkness present—but not dominant. Eyes fixed on Christ. That is the helmet of salvation. A protected mind is not a mind that never sees darkness. It is a mind that refuses to be ruled by it. So keep your focus. Keep your identity. Keep your helmet on. Because you are not fighting for victory. You are standing in it. Follow Pamela on Instagram – https://instagram.com/headmamapamela Or Facebook – https://www.facebook.com/pamela.crim Find out more about BIG Life – http://biglifehq.com
Today Ginger and Sara reflect on Romans 12:12, this year's convention theme. Life is full of opportunities to Rejoice in Hope, Be Patient in Affliction, and Persistent in Prayer. Homeschooling is not for the faint of heart, but there is a whole community of homeschoolers out there just waiting to support you in your journey! Listen in for encouragement, a touch of "I'm not the only one!", and directions on how to connect with those who can lift you up through this season and on to the next.Chattin' with CHAP is a series of informational podcasts designed to equip and encourage families on their homeschooling journeys. CHAP is the Christian Homeschool Association of Pennsylvania and has provided year-round support to homeschoolers since 1994. Find valuable resources at https://www.chaponline.comLearn more about the CHAP Convention at https://conv.chaponline.com/Got PA Homeschool law questions? Check out https://www.homeschoolpennsylvania.org Contact us at https://www.chaponline.com/contact-us with your questions or topics for discussion.Don't miss out on the latest in PA homeschool news! Subscribe to our eNews at https://chaponline.com/subscribe-to-enews/Donate to support CHAP in the endeavor to encourage, connect, equip, and protect homeschoolers at https://chaponline.com/donate/
A guide to diagnosing, imaging, and managing acute renal colic and nephrolithiasis in the ED. Hosts: Brian Gilberti, MD Avir Mitra, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Nephrolithiasis.mp3 Download Leave a Comment Tags: Kidney Stones, Urology Show Notes 1. CLINICAL CORE & PHYSIOLOGIC FRAMEWORK Epidemiologic Risk Profiles Lifetime incidence parameters hover around 1 in 11, presenting with a prominent male sex skew. Peak demographic manifestation concentrated within the 30–60 age band. High-yield temporal parameter: 50% recurrence vector within a 5-year post-initial-insult window. Mineralogical Composition Vectors Calcium oxalate crystals represent the predominant structural matrix. Struvite configurations (magnesium ammonium phosphate matrix) account for 1–2% of cohorts. Struvite stones function explicitly as infection-driven configurations secondary to upper tract proliferation; higher distribution index noted in female cohorts. Etiological & Modifiable Relational Dynamics Profound systemic dehydration or low baseline fluid throughput states. High-sodium diet structures and heavy animal-protein consumption loads. Positive genetic/familial history variables. Relative risk modulation: Each variable independently operates to expand baseline risk by a factor of 2x to 3x. Pathophysiologic Symptom Complexes Acute, sudden-onset, maximum-intensity (10/10) unilateral flank pain. Classic structural radiation vector tracking downward toward the ipsilateral groin/genitourinary dermatomes. Distinctive behavioral marker: Renal colic pacing/writhing behavior with zero antalgic position availability. Concomitant autonomic triggers: Nausea and emesis manifest in 50% of acute presentations. Physical Exam Discordance Metrics Severe subjective distress contrasted with a characteristically soft, completely non-tender abdominal palpation exam. CVA tenderness is completely variable and lacks reliable negative predictive value. Atypical Presentation Classifications Vague, poorly localized abdominal pain presentations occurring in up to 20% of active cases. Isolated lower urinary tract irritative signs including acute frequency or severe urgency. Incidental & Asymptomatic Dynamics Silent intrarenal or ureteral stones found incidentally. Longitudinal tracking demonstrates up to 33.3% of initially asymptomatic cohorts convert to fully symptomatic renal colic within a multi-year tracking window. 2. EXCLUSION DIAGNOSES & CRITICAL PATHWAY RED FLAGS Vascular Mimics: AAA rupture/expansion. This is a mandatory exclusion pathway in elderly cohorts presenting with acute flank or back pain. Physical tracking requires active exploration for an expansile, pulsatile abdominal mass. Gynecologic Emergencies: Ruptured ectopic pregnancy. Demands universal screening protocols via rapid beta-hCG testing in all female patients of childbearing potential presenting with lower abdominal/pelvic localization. Infectious Upper Tract Decompensation: Acute uncomplicated pyelonephritis. Differentiated via persistent high spikes, high fevers, systemic shaking chills, and profound pyuria. Genitourinary Structural Crises: Acute testicular torsion. Mandates a thorough, explicit scrotal/testicular structural exam if the flank pain radiates into the scrotum. Gastrointestinal and Adnexal Torsional Confounds: Acute appendicitis variants, acute mesenteric/bowel ischemia, and ovarian torsion syndromes. 3. LABORATORY TESTING & PHYSIOLOGIC EVALUATION Urinalysis Interpretation Nuances Microscopic or gross hematuria presents in approximately 66% to 90% of acute cases. Critical Pathological Caveat: Complete absence of hematuria documented in 20% to 33.3% of confirmed, acute obstructing ureteral stones. Diagnostic rule: A pristine urinalysis with zero red blood cells is entirely insufficient to exclude acute ureterolithiasis. Urinary pH as a Composition Clue Consistently low urinary pH parameters (pH < 5.5) point strongly toward a uric acid crystalline composition. Elevated urinary pH parameters (pH > 7.5) indicate the presence of urease-producing microbial pathogens, pointing toward a struvite infection stone. Infectious Screening Metrics Active tracking for marked pyuria, positive leukocyte esterase, and bacterial nitrites to rule out an obstructed, infected upper urinary tract system. BMP Immediate quantification of baseline serum creatinine to establish accurate eGFR values. Targeting detection of post-renal AKI from bilateral obstruction, unilateral obstruction in a single functioning kidney, or severe volume depletion. CBC Evaluation for marked leukocytosis. Physiologic Nuance: Mild-to-moderate white blood cell count elevations frequently represent non-specific stress demargination driven by severe pain and repetitive vomiting. High-grade white blood cell shifts demand immediate exclusion of systemic bacteremia or an infected, obstructed urinary system. Adjunctive Lab Pathways Rapid qualitative urine hCG testing. Reflex urine culture execution whenever urinalysis metrics display significant inflammatory profiles or clinical suspicion of UTI is high. 4. IMAGING MODALITIES & ALGORITHMIC CLINICAL SELECTION Non-Contrast CT Diagnostics Gold standard; diagnostic sensitivity and specificity parameters exceed 95% for stones >2 mm. Provides precise quantification of stone diameter (mm), exact localization (proximal, mid, or distal ureter), and degree of secondary hydronephrosis. Excellent structural visualization for detecting or ruling out alternate retroperitoneal, vascular, or intra-abdominal pathologies. Contrast-Enhanced CT Protocols Indicated when alternative intra-abdominal surgical pathology is highly suspected over isolated renal colic. Retains diagnostic capability to identify urinary tract stones >3 mm even within contrast-enhanced phases. NCCT Structural Architecture Limitations Standard stone protocol CT scans are executed in a prone position without IV contrast enhancement. It does not opacify the ureteral lumen. Presents a cumulative radiation exposure penalty when utilized serially across recurrent ED presentations. POCUS / Radiology Ultrasound Direct stone visualization capabilities are modest, operating at approximately 50% to 60% sensitivity, and is highly dependent on anatomical positioning at the extreme proximal ureter or the UVJ. Secondary obstruction tracking: Demonstration of hydronephrosis operates at a high sensitivity of approximately 80%. POCUS Clinical Utility Metrics Eliminates ionizing radiation exposure and allows immediate, rapid real-time execution directly at the patient’s bedside. Confirmation of significant hydronephrosis within a classic clinical presentation yields high post-test probability for stone presence while lowering suspicion for vascular catastrophes like a AAA. KUB Radiography Extremely poor overall diagnostic sensitivity, hovering around 57%. Fails to image radiolucent configurations (pure uric acid matrices) or small stones measuring
"We still expect the Fed to be on an extended pause," says Charles Schwab's Collin Martin. Persistent inflation and a stronger-than-expected jobs market create a tricky situation for a Kevin Warsh-led Fed, though Collin believes jobs need to show more weakness for an interest rate hike to manifest. He later outlines portfolio strategies to consider in corporate bonds and preferred securities. ======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
In this podcast, Pastor Justin preaches into how our victory & breakthrough is connected to the sound we release in praise.Support the show
Genuine food insecurity in which people don't know where their next meal is coming from is a subject that merits a lot of attention. By any fair assessment the fact that literally millions of North Carolinians – a large percentage of them children – go to bed hungry in the world's richest nation is, or at least ought to be, a gigantic scandal. As grim as some of these numbers are, recent actions in Washington – most notably big cuts to federal food assistance and the rising prices caused by the war in Iran – have conspired to make the situation even more dire. Recently, to take stock of just how desperate things have gotten and some of the things average folks can do to help respond, Newsline recently caught up with the President and CEO of the Foodbank of Central and Eastern North Carolina, Amy Beros. Click here to listen to the full interview with Amy Beros, President and CEO of the Foodbank of Central and Eastern North Carolina.
Segment 1: Mark Hamrick, Washington Bureau Chief and Senior Economic Analyst for Bankrate.com, and author of ‘The Hamrick Brief‘ on Substack, talks to John about the great jobs numbers released on Friday, the ongoing inflation concern, the likelihood that the Fed raises interest rates this year, and the date behind Mark’s Hamrick American Prosperity Index. Segment 2: Jim Dallke, […]
You are viewing the sermon given during the morning worship service at Reformed Baptist Church of McKinney, Texas on Sunday, June 07, 2026 at 10:30 am. The weekly live stream of the Worship service begins at 10:30 am (US Central Time) every Lord's Day Sunday on facebook, youtube, and our website. For more information about the life of our church, visit our website at https://rbcmckinney.comTo support our ministry and give of your tithes and offerings, click on the link below: https://rbcmckinney.churchcenter.com/givingFacebook/Instagram/X: @rbcmckinney McKinney, Texas
Jason England highlights three straight months of strong payroll growth with gains spreading beyond healthcare. Inflation remains sticky above the Fed's target, keeping pressure on rates and lifting bond yields. Stocks stay resilient, pushing to new highs despite geopolitical tensions.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
This summer, we will be looking at what we believe are some of the most important questions Jesus asks. On Sunday, Pete began with the question Jesus asks in Luke 18v8, “…when the Son of Man returns, will He find faith on the earth?” This question shifts our focus away from religious activity and toward a faith that endures. Persistent faith is hope stretched over time—a steady trust in God's character that keeps praying, obeying, and waiting even when answers are delayed and circumstances remain unchanged. Because our hope is anchored in God's faithfulness rather than in outcomes, we can persevere with confidence until Christ returns. Faith believes His promises, hope waits for His timing, and love expresses His heart; together they mark a life that remains steadfast, Spirit-filled, and ready for His coming.
“Every woman deserves the chance to have a real discussion about hormone therapy — and make whatever decision is right for her. I'm here to give information and answer questions. It's your body.”— Dr. Jacqueline RiedelThe doctor who finally has time for youDr. Jacqueline Riedel, DO spent 15 years in family medicine where she learned this: women's hormonal health in midlife was profoundly under-treated and misunderstood. In a busy hospital-based clinic, she'd start a long-overdue conversation with a patient about perimenopause symptoms… and have to cut it off because the schedule demanded it.So she left. She opened Magnolia Midlife Women's Health, a direct-care practice built on something simple but radical: unhurried, conversational visits where women can actually ask their questions, get real answers, and leave feeling seen.In this conversation, she covers what's really happening hormonally in your 30s, 40s, and 50s and why everything you were told to fear about hormone therapy probably isn't the full story.Perimenopause starts earlier than you thinkDr. Riedel sees women with perimenopause symptoms long before any changes in the menstrual cycle. If you've been dismissed, or told your symptoms are just stress or mom-brain, you're not alone. Symptoms she commonly sees:• New insomnia: can't fall asleep or waking for no apparent reason• Anxiety, often misread as “just life stress”• Persistent, unexplained fatigue• Hot flashes and night sweats• Mood changes including irritability, low mood, brain fog• Cycle irregularities such as heavier periods, irregular timingDr. Riedel's approach: map symptoms to your cycle. When do they happen? Are there patterns? She also rules out other common causes, including thyroid issues and iron deficiency before exploring hormone therapy as an option.MYTH BUSTINGThe fears holding women back from reliefTwo decades after the Women's Health Initiative (WHI) study was misread and sensationalized, fear still dominates the conversation around hormone therapy. Dr. Riedel sets the record straight.Myth 1: Hormone therapy causes breast cancer.Fact: Long-term WHI follow-up showed women in the hormone treatment group had lower rates of breast cancer. Even a first-degree family history is not a contraindication. And if breast cancer does occur in someone using MHT, their risk of dying is actually lower than in those not using it.Myth 2: The doses in MHT are dangerously high.Fact: Menopausal hormone therapy doses are far lower than those in oral contraceptive pills. If you'd prescribe the pill, you can't logically call MHT dangerous.Myth 3: Vaginal estrogen has systemic effects and should be avoided in cancer history.Fact: Topical vaginal estrogen has negligible systemic absorption. It reduces UTIs, yeast infections, urinary frequency, and pelvic floor dysfunction, even in women under active breast cancer treatment, per emerging oncology research. The FDA recently removed the black-box warning.TREATMENT OVERVIEWHow Dr. Riedel approaches careThere's no single protocol. Dr. Riedel listens first, identifying the top two or three symptoms most affecting quality of life, and builds from there.Progesterone for sleep & anxiety• Stimulates GABA production, a calming neurotransmitter• Helps with sleep onset and staying asleep• Reduces the racing mind at 2am• Often the first place she startsEstrogen for vasomotor symptoms• Addresses night sweats, hot flashes, palpitations• Keeps estrogen levels from dropping to “empty”• Preferred as transdermal (patch, gel, spray) to avoid blood clot risk• Added when progesterone alone isn't enoughVaginal estrogen for urogenital health• Reduces painful intercourse and dryness• Decreases UTIs and yeast infections• Supports pelvic floor health long-term• About 50% of women need this even on systemic estrogenNon-hormonal options when hormones aren't right• Newer medications targeting particular neurons in the hypothalamus (hot flash regulation)Things you can do and questions to askDr. Riedel's conversation offers practical starting points for women navigating this transition on their own or with a provider.01. Track your symptoms in relation to your cycleSleep disruption, anxiety, and mood changes that follow a cyclic pattern are often hormonal in origin. Note when in your cycle you feel worst because this information is gold for any provider visit.02. Ask your doctor to rule out thyroid and iron firstFatigue, brain fog, and sleep issues can also come from iron deficiency or thyroid dysfunction. Simple labs can clarify what you're actually dealing with before hormones enter the picture.03. Reconsider what's in your sleep toolkitAlcohol before bed worsens sleep, hot flashes, and anxiety, even though it feels like it helps. Benadryl/ZQuil, Ambien, and benzodiazepines disrupt true sleep architecture. CBT for insomnia has strong evidence and virtually zero side effects. 06. Consider this a second puberty — not a declineMidlife is a genuine developmental threshold. Dr. Riedel and Margaret Mead's concept of “postmenopausal zest” both point in the same direction: this can be a time of clarity, reclaimed energy, and real possibility if you get the support your body actually needs.REFERENCES & RESOURCES[Podcast] Kelly Casperson, MD — You Are Not BrokenUrologist and leading voice in the menopause space. Dr. Riedel's “gateway” into this field. Highly recommended for patients and providers alike.[Course] Rachel Rubin, MD — Physician Webinar SeriesSex medicine specialist and urologist based in Washington, D.C. Physician-only course covering the science of hormones, common fears, and evidence-based prescribing. Her tagline: “What are you afraid of?”[Course] Heather Hirsch, MD — Menopause EducationA well-regarded course for providers wanting to build competence in this space.[Organization] The Menopause Society (formerly NAMS)Membership, certification exam, slide decks, and a comprehensive textbook. menopause.org[Supplement Review] Labdoor.comIndependent third-party testing of supplement brands for purity and label accuracy.FIND DR. RIEDELMagnolia Midlife Women's HealthA direct-care practice built for women who are tired of feeling rushed, dismissed, and underserved. Long visits. Real conversations. Evidence-based care from a physician who actually gets it.Free 15-min consult Not sure if you need this kind of care? Book a quick call to talk through your symptoms and see if Magnolia is the right fit.Website: magnoliamidlife.comInstagram: @magnolia_midlifeUpcoming Event — June 30 Free public lecture at the Haddonfield Public Library: “Is It a Fad?” An evening on perimenopause, evidence, and what women deserve to know. Register through the library website.Thanks for reading A Mind of Her Own! This post is public so feel free to share it.
(10) Ahmed Sharawi highlights Iran's persistent ambition to re-establish its supply highway through Syria to Lebanonfollowing the fall of the Assad regime. Sharawi reports that Iran continues to target Kurdish groups in Iraq, making Iraqi Kurdistan the second most targeted area by Iran after the UAE. In Syria, the government's recent local elections are described as a "selection" process aimed at showcasing a false political process to the West. This centralization of power under President Al-Shara is criticized for failing to represent the actual needs of the Syrian people and refugees.1914
Commentary by Dr. Jian'an Wang.
Preview for Later Today: Ahmed Sharawi discusses Iran's persistent ambition to dominate Syria and rebuild the strategic highway to Beirut. He emphasizes that Iran continues exploiting Syrian territory to empower and rearm its regional proxies, specifically the Hezbollah militia.1909
How to Have Breakthrough in Prayer | Persistent Faith | Abundant Life Church | Pastor Sean Thomas
In this podcast, Pastor Justin preaches into how we must cultivate and exercise biblical faith in order to overcome opposition and step into breakthrough. Support the show
When you immigrate to the United States from a former communist country, your point of view about opportunity is different. Kristof's first visit to the US was to New York and he thought it was all like that. As a Top high school decathlete in Poland, he had the chance to come to the United States and he chose Wichita USA. As an outstanding athlete for the Wichita State Shockers, he soon wanted to apply his dedication and capabilities to the business world. Many of us in the US take for granted our opportunities. Chief Credit Officer of Equity Bank, Kristof Slupkowski shares in our conversation how difficult it is to legally immigrate so that you can take advantage of the wonderful opportunities in the land of the free. He is an outstanding disciplined human being, and I am grateful to share his story.
In this episode of The Lead, host Melissa Middeldorp, MPH, PhD, FHRS is joined by Jenelle Dziano, PhD candidate, Clinical Exercise Physiologist and Adrian D. Elliott, PhD for a discussion of the recent journal article, Exercise Capacity and Quality-of-Life Improvements after Catheter Ablation in Patients with Clinically Asymptomatic Persistent Atrial Fibrillation. Together, they explore the study findings and discuss the impact of catheter ablation on exercise capacity and quality of life in patients with clinically asymptomatic persistent atrial fibrillation. Learning Objectives Review the key findings from the journal article examining exercise capacity and quality-of-life outcomes after catheter ablation in patients with clinically asymptomatic persistent atrial fibrillation. Discuss the potential clinical implications of catheter ablation for patients who may not report traditional atrial fibrillation symptoms. Explore the role of exercise capacity and quality-of-life measures in evaluating treatment outcomes for persistent atrial fibrillation. Podcast Contributors: Host: Melissa Middeldorp, MPH, PhD, FHRS Guests: Jenelle Dziano, PhD candidate, Clinical Exercise Physiologist and Adrian D. Elliott, PhD Host and Contributor Disclosure(s): M. Middeldorp: Nothing to disclose J. Dziano: Nothing to disclose A. Elliiott: Nothing to disclose
Joseph Sternberg details the political melodrama in London, focusing on Keir Starmer's leadership crisis and Labour's poor performance. He highlights the rise of Nigel Farage's Reform Party and the persistent Brexit debate. (14)1919
Send us Fan MailC4 Leaders – the ONLY nonprofit to utilize the pizza making process to create space for our companions to be seen, heard, and loved. We work with businesses, sports teams, hospitals, churches…anyone looking to RISE TOGETHER. We also write children's books and use the most amazing handmade, hand-tossed, sourdough pizza to bring out the best in each other. Please check out c4leaders.org to support our important work. Season 6 Episode #14 Ron Platt is coming from St. Peterburg, Florida (inform, inspire, & transform)You can find Ron via his website https://www.nasdf.orgA serial entrepreneur with over 35 years of experience across insurance, real estate, and social advocacy, Ron has built a career defined by innovation and impact. But it's his personal experience, both as a foster parent and advocate for families in crisis that shaped his true mission: to reform the systems that fail single-parent and divorced households. This passion led to the creation of NASDF (National Association for Single and Divorced Families), a first-of-its-kind membership organization offering an umbrella of products, services, support and resources to support families nationwide. Ron is also responsible for creating and launching the only divorce insurance product on the market called Support Insured, which guarantees the continuation of child support and alimony payments for up to one-year should the payor die, become disabled, involuntarily unemployed or declares a business bankruptcy. Ron, thanks for sharing your gifts with children and families and thanks for being our guest on Life's Essential Ingredients.TOTD – “Happiness is when what you think, what you say, and what you do are in harmony.” GandhiBuild a habit - to create intention - to live your purpose! In this episode:What was life like growing up?Florida State graduate…what was life like back then…Very successful real estate career (over 300 million in sales)….what does it take to be successful in that field…Why is it so important to advocate for children…What changes would you implement if you were in charge of the foster care systemGap in care, finances, education, social workers…Kids need stability but that is the missing ingredient…how do we fix thatIngredients that we all need to be a familyRelationshipsBest part of building your familyGap in Insurance and how you and your father filled itLegacy
In this podcast, Pastor Rachelle preaches into how we must walk in righteousness before God in order to walk in our full spiritual authority. Support the show
In this podcast, Pastor Justin lays out how we must prioritize God and His family first in our lives to position ourselves for His blessing and favor to flow freely.Support the show
Dr. Marty Makary out as FDA Commissioner—was he the victim of a BigPharma purge? Are “liquid biopsies” useful for predicting recurrences, as well as guiding therapy, for cancer? Nighttime smartphone by adolescents surges, eroding kids' sleep needs; Persistent itch may require an “all of the above” approach to break its vicious cycle—could topical vitamin B12 provide an answer? Study critiques research methods that fast-tracked new Alzheimer's drugs.
Mark Huelsing (Brand Manager at Exo Mtn Gear and host of Hunt Backcountry Podcast) joins the MTNTOUGH Podcast for a raw conversation on intentional business, US-made gear, long-term mindset over short-term growth, and why mental toughness separates good hunters from great ones. They dive into the Experience Challenge, death hikes, avoiding rage-content culture, persistence on multi-day hunts, and how to train your mind like your body. Packed with practical wisdom for backcountry hunters who want to level up physically, mentally, and ethically.Join Dustin Diefenderfer, Founder of MTNTOUGH Fitness Lab and creator of the MTNTOUGH+ Fitness App in the top podcast for Mental Toughness and Mindset. (P.S.
If you've spent years pouring yourself out for everyone around you — your children, your husband, your aging parent, your clients, your church — and you're exhausted, resentful, or just not feeling well, this episode is for you. In this conversation, we're talking honestly about what happens when self-neglect goes unchecked. Not from a self-help angle, but from a faith-centered, whole-person perspective that takes both your body and your calling seriously. This episode is for the Christian woman who is done spinning her wheels, done running on fumes, and ready to start seeing herself the way God sees her. --- Why Good Women Stop Taking Care of Themselves It often doesn't start with a dramatic decision. It starts with one more yes. One more skipped meal. One more night staying up too late to get everything done. Over time, those small compromises quietly add up — and so do the consequences. A friend who worked in the pharmaceutical industry for over a decade watched this happen to someone she loved. Her colleague, a deeply dependable and caring woman, worked around the clock, rarely stopped to eat, took on the work of multiple people, and slowly stopped doing the things that once brought her joy — like traveling through Europe. Year after year, the workload got heavier, the complaints got louder, and yet the boundaries never came. The hard truth? The problem wasn't only the unreasonable management or the impossible workload. The deeper issue was that she didn't yet value herself enough to say no. This pattern doesn't stay in the workplace. It shows up in our homes, our marriages, our friendships, and our churches. --- What the Church Sometimes Gets Wrong About Sacrifice If you've spent any meaningful time in church, there's a chance you've walked away with an unspoken message: that giving everything, constantly, is what godliness looks like. That more sacrifice always equals more faithfulness. But that's not the full picture Scripture paints. You were made in the image of God. The same God who cares deeply about the child you're raising, the parent you're caring for, and the friend you drop everything for — that same God cares about you. Holistic health isn't just about what you eat or how you sleep. It's about recognizing that your body, your emotions, and your energy are worth stewarding — because they belong to Him. --- Three Things That Happen When You Stop Taking Care of Yourself 1. Bitterness can take root. When you give and give without boundaries, and no one seems to notice or reciprocate, resentment builds. It's not always loud. Sometimes it's just a quiet, growing heaviness that colors how you see everyone around you. 2. You end up tolerating sin. This one is uncomfortable, but it needs to be said. When we stay quiet, keep the peace at all costs, and never address what's actually wrong, we're not being gracious — we're enabling. Sin that's never confronted rarely changes. The book And the Shofar Blew by Francine Rivers illustrates this heartbreakingly well: a pastor's hidden sin went unaddressed for generations because the women closest to him chose silence over truth. Tolerating what God calls wrong isn't humility. It's harm. 3. Your body starts to break down. This is where holistic health and faith genuinely intersect. Dr. Josh Axe observed in his clinical practice that many of his patients dealing with autoimmune issues, chronic fatigue, and other persistent symptoms were young mothers — women who were deeply devoted to caring for others but had stopped caring for themselves. The body keeps score. Chronic stress, emotional depletion, and poor self-care are not just spiritual issues — they show up physically. --- Jesus Had Boundaries — And So Can You The most powerful person to ever walk the earth did not spend every moment helping people. Jesus stepped away from the crowds. He retreated to pray. He protected his time with the Father even when people needed him, even when they were looking for him. If Jesus modeled rest, solitude, and limits — you are not being selfish when you do the same. You're being faithful. --- Practical Next Steps Worth Considering - Read Boundaries or Boundaries in Marriage by Dr. Henry Cloud and Dr. John Townsend — widely recommended for a reason - Consider speaking with a counselor or pastor if you're struggling to identify or hold limits in your relationships - Ask for help — and be specific. Tell your husband, your friend, or your church community exactly what you need - Remember Matthew 11:28-29: "Come to me, all who labor and are heavy laden, and I will give you rest." That's an invitation, not a suggestion --- Timestamped Highlights 0:00 — Opening truth: neglecting yourself isn't humility 0:30 — The story of Molly: what a decade of no boundaries actually looks like 3:52 — This isn't just a workplace problem — it shows up in our homes, marriages, and caregiving 4:19 — What the church sometimes gets wrong about sacrifice 5:17 — Three consequences of self-neglect: bitterness, tolerating sin, and getting sick 6:13 — And the Shofar Blew: what happens when we stay quiet about sin 8:08 — The physical toll: Dr. Josh Axe's observations on autoimmune issues and chronic fatigue in caregivers 9:08 — Practical resources: Boundaries books, counseling, and asking for specific help 9:37 — Jesus had boundaries too — and He's your model 10:36 — Closing encouragement and invitation --- Key Takeaways - Self-neglect is not a virtue. It has real spiritual, emotional, and physical consequences. - Bitterness, enabling sin, and chronic illness are three outcomes that often trace back to a pattern of giving without limits. - Jesus modeled boundaries consistently — stepping away, resting, and protecting time with the Father. - Asking for help and being specific about what you need is not weakness. It's wisdom. - Your body is worth paying attention to. Persistent fatigue, autoimmune symptoms, and emotional burnout are signals, not character flaws. --- Ready to Stop Waiting and Start Feeling Better? If this episode hit close to home — if you recognized yourself in Molly's story, or you've been running on empty for longer than you can remember — this is your sign to take the next step. A More Energy Strategy Session is designed for the woman who is done being overwhelmed and ready for a clear, focused path forward. You don't need another resource to sit on your nightstand. You need someone who understands both the clinical and the faith side of what's happening in your body — and can help you figure out what to do about it. Visit herholistichealing.com/services to book your session. Your health is worth fighting for — and so are you. This content is not meant to be medical advice.
Thank you to Quince for sponsoring this video! Explore all of Quince's vitamins and supplements at https://quince.yt.link/zoj14IS to get free shipping on your order and 365-day returns. #QuincePartnerDaily Superfood Greens: https://quince.yt.link/1q7YpIMEveryday Zero Sugar Hydration: https://quince.yt.link/EeQD9Nw100% Organic Cotton Quarter-Zip Sweater: https://quince.yt.link/JNiPTOQWhat if your depression never really “goes away”… it just becomes your normal? Persistent Depressive Disorder (formerly dysthymia) is a chronic form of depression that can make life feel emotionally flat, exhausting, and hopeless for years at a time.In this video, I break down the difference between major depressive disorder and persistent depressive disorder, plus the treatments, lifestyle changes, and mindset shifts that tend to help people living with chronic low mood.And most importantly, I talk about something I think matters deeply with long-term depression: how to keep building a meaningful life even during periods where joy feels out of reach.If the usual depression advice hasn't helped, it might be because it wasn't built for your type of depression. I created short quiz to help you identify your pattern and what to do about it.https://bit.ly/DrScottDepressionTypeNext Steps:
1. Local Government Infiltration Case A former Arcadia, California mayor (Wang) allegedly: Admitted to acting as an undisclosed agent for the Chinese government. Faces a felony charge with potential prison time. Prosecutors claim she: Worked with Chinese officials for years before and during her time in office. Helped spread pro‑Beijing propaganda. 2. Use of Media for Influence Wang allegedly operated a Chinese-language website (“US News Center”) that: Posed as independent news. Was actually used to publish content directed by Chinese officials. The platform: Targeted Chinese-American audiences. Distributed messaging favorable to the Chinese Communist Party. 3. Direct Coordination with Chinese Officials Communication reportedly occurred via WeChat. Chinese officials: Sent prewritten propaganda articles. Requested edits and monitored engagement. Wang allegedly: Published content quickly. Sent analytics and performance data back to officials. 4. Narrative Control Example One cited article denied: Forced labor and human rights abuses in China. This illustrates: Efforts to shape U.S. perceptions of sensitive geopolitical issues. 5. Escalation to Political Power Concern heightened because: Wang rose into elected office while allegedly maintaining these ties. Suggests potential for policy influence at municipal level. 6. Federal Espionage Recruitment Attempt A second case involves: A House committee staffer being approached by a suspected Chinese operative. The offer: Up to $10,000+ for policy insights. Included advance payment to build trust. Targeted information: U.S. foreign policy, trade, and national security issues. 7. Spy Recruitment Tactics Alleged methods include: Financial incentives (“easy money” offers). Gradual relationship-building (“trial period”). Persistent communication and probing questions. Reflects a strategy of incremental access to sensitive information. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the The Ben Ferguson Show Podcast and Verdict with Ted Cruz Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.
Malcolm Hoenlein reports on the heavy infrastructure damage to U.S. interests in the Gulf and the persistent threat of Iranian missiles. He observes that public opinion in Gaza is shifting against Hamas as citizens desire reconstruction. Meanwhile, Palestinian authorities continue promoting "jihad and martyrdom" through school textbooks. (5/16)1942
Jessica Grose, opinion writer at The New York Times, discusses the still-mostly-unequal division of household labor. Photo: Two women wash dishes in a kitchen in Australia in 1944. (Credit: Jim Fitzpatrick via National Library of Australia/Wikimedia Commons) Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.