Podcasts about preexisting

Identifying Risk Factors for Preexisting or Developing Low Back Pain in Youth, High School, and Collegiate Lacrosse Players Using 3-Dimensional Motion Analysis Wasser JG, Bruner ML, Chen C, et al. Orthop J Sports Med. 2024;12(3):23259671241231960. doi:10.1177/23259671241231958 Due to copyright laws, unless the article is open source we cannot legally post the PDF on the website for the world to download at will. Brought to you by our sponsors at: CSMi – https://www.humacnorm.com/ptinquest Learn more about/Buy Erik/Jason/Chris's courses – The Science PT Support us on the Patreons! Music for PT Inquest: “The Science of Selling Yourself Short” by Less Than Jake Used by Permission Other Music by Kevin MacLeod – incompetech.com: MidRoll Promo – Mining by Moonlight Koal Challenge – Sam Roux

How the Plan B pill fails - Gut Health prevents food poisoning - Defining a FUPA - Sperm races - Creating a new ocean - How everything kills you: stats provided - English lessons for OTR truck drivers all this and so much more

Commentary by Gabriel Aleixo

Transfer portal and NIL are creating a new hierarchy of the preexisting power structure in college sports

In this episode of The Pulling Curls Podcast, host Hilary Erickson discusses who health shares are good for. She shares her personal experience with health shares and gives advice on who should not consider a health share as an insurance option. Hilary also explains the limitations and coverage exclusions of health shares, such as preexisting conditions and small expenses. If you're interested in learning more about health shares, make sure to check out the full episode. Big thanks to our sponsor my healthshare tips (find on my site) Links for you: My Liberty Healthshare Review Why Left Liberty Healthshare How Does a Healthshare Work? with Heather Eden from Zion Healthshare — Episode 126 Making the Choice to use a Christian Healthshare — Episode 065 Using a Direct Primary Care Membership with Dr Bradley Shumway – Episode 086 Timestamps: 00:01:40 Stipends, health plan, deductibles, health shares. 00:04:18 Progressive coverage for preexisting conditions in health insurance. 00:07:10 Don't switch to health share if pregnant. Keypoints: Health shares are not for everyone - if you have a great plan that you like, stick with it. Health shares are not insurance - they do not have the same coverage and benefits. If you have preexisting conditions, a health share may not be the right option for you. Preexisting conditions may not be covered initially, but may be gradually covered over time. Health shares do not cover small expenses or routine visits, so if you rely on insurance for these, it may not be a good fit. Health shares typically have an initial unshared amount (IUA) that you have to pay before they start covering expenses. If you have multiple expenses over the IUA, the health share may waive it. Pregnancy is considered a preexisting condition and may not be covered by health shares. Consider Medicaid or alternative insurance options. If you have a stable, affordable plan with a low deductible, it may be better to stick with it than switch to a health share. Always do your research and consider your specific healthcare needs before deciding on a health share. Producer: Drew Erickson

In this episode we're discussing one of those difficult situations that can come up with major medical problems, and that is pre-existing conditions. And we have a guest with us, Becky Blaesing, who is the owner of Blazing Kiss Media and the co-producer of the Medicare Misty Podcast. Becky just completed a year of treatments for breast cancer, including a double mastectomy, and she and Misty discuss the problems that can sometimes occur with insurance coverage for those dealing with breast cancer. Misty also details what to look for in Medicare coverage to make sure your treatments are covered. Great information! Medicare Misty is not endorsed by or affiliated with any government agency. www.medicaremisty.com. Produced by Blazing Kiss Media. This podcast is powered by ZenCast.fm

Arthroscopic ankle arthrodesis (AAA) is a successful treatment for end-stage ankle arthritis. A significant early complication of AAA is symptomatic nonunion. Published nonunion rates range from 8% to 13%. Longer term, there is concern that it predisposes to subtalar joint (STJ) fusion. To better understand these risks, we undertook a retrospective investigation of primary AAA.   In conclusion, as the largest study of AAA in the literature, our findings suggest prior triple fusion is a major independent risk factor for AAA nonunion. These patients should be counseled of this high risk and may benefit from alternative surgical options.   Click here to read the article.

Interview with Jenica N. Upshaw, MD, MS, author of Association of Preexisting Heart Failure With Outcomes in Older Patients With Diffuse Large B-Cell Lymphoma, and Ana Barac, MD, PhD, author of Assessing Heart Failure vs Lymphoma Treatment Risks and Benefits—It Takes Two to Tango. Hosted by Robert Bonow, MD. Related Content: Association of Preexisting Heart Failure With Outcomes in Older Patients With Diffuse Large B-Cell Lymphoma Assessing Heart Failure vs Lymphoma Treatment Risks and Benefits—It Takes Two to Tango

Interview with Jenica N. Upshaw, MD, MS, author of Association of Preexisting Heart Failure With Outcomes in Older Patients With Diffuse Large B-Cell Lymphoma, and Ana Barac, MD, PhD, author of Assessing Heart Failure vs Lymphoma Treatment Risks and Benefits—It Takes Two to Tango. Hosted by Robert Bonow, MD. Related Content: Association of Preexisting Heart Failure With Outcomes in Older Patients With Diffuse Large B-Cell Lymphoma Assessing Heart Failure vs Lymphoma Treatment Risks and Benefits—It Takes Two to Tango

This week we sit down with yet another friend of the pod, Michelle Duffy from Life Time. We catch up on the upcoming kickoff for the 2023 Life Time Grand Prix and some of the changes in store for athletes and fans. Episode Sponsor: Athletic Greens Support the Podcast Join The Ridership  Automated Transcription, please excuse the typos: [00:00:00] Craig Dalton: Hello, and welcome to the gravel ride podcast, where we go deep on the sport of gravel cycling through in-depth interviews with product designers, event organizers and athletes. Who are pioneering the sport I'm your host, Craig Dalton, a lifelong cyclist who discovered gravel cycling back in 2016 and made all the mistakes you don't need to make. I approach each episode as a beginner down, unlock all the knowledge you need to become a great gravel cyclist. This week on the show, I'm excited to welcome back Michelle Duffy from lifetime to talk about the lifetime grand Prix for 2023. I know this show. Isn't all about racing, but I'm a fan of the sport. I love riding. I love participating in my own way at the back of the pack. But also like following the front of the pack. And I found that the lifetime grand Prix added a lot of fun to my 2022 fandom. As I was able to follow the battles throughout the year. And even after the season, I was able to relive some of those moments through a YouTube series that lifetime published about the grand Prix that allowed us to get behind the scenes with some of the athletes and see some of the personalities and some of the action and drama we might not have seen. As a casual fan, the lifetime grand Prix is back for 2023. They've made some tweaks to the number of events you can now drop to events. So I wanted to have Michelle back at the beginning of the season to just talk about some of those changes. To reflect on the action from 2022 and just generally catch up. Michelle puts a lot of energy into the gravel cycling community, and I'm always happy to highlight those efforts. Before we jump in, I do need to thank this week. Sponsor athletic greens. Athletic greens and AIG. One is a comprehensive daily nutrition made from simple, powerful ingredients. It's made up of 75 high quality, whole food sourced ingredients. Carefully curated to nourish all the body's systems holistically. As many of you know, I've been an athletic greens user for many, many years, predating the podcast. So I've been super stoked that athletic greens has been a big partner for what I do The key to ag one is that it replaces key health products in one simple scoop. AIG one combines nine health products working together as one, replacing your multivitamin. Multimineral. Pre and probiotics. Immunity support and more, that means ag one does more for your body and saves you time, money and confusion compared to taking multiple unique products. And that is a hundred percent key for me. I do one scoop in the morning, mixed up with a little bit of ice, and I feel like I've got some of my nutritional basis started before I've even begun the day. If you're interested in learning more about athletic greens, go to www.athleticgreens.com/the gravel ride. For podcast listeners, our friends at athletic greens have given us a free year supply of vitamin D and five free travel packs. If you ordered today. Simply visit athletic greens.com/the gravel ride to get your age. The one on the way today. With that said let's dive right into my conversation with Michelle Duffy. [00:03:23] Craig Dalton: Hey Michelle, welcome back to the show. [00:03:25] Michelle Duffy: Thank you for having me back. [00:03:27] Craig Dalton: It's good to see you. I was looking back in my notes and it looks like it was just, just a little less than a year ago. We sat down at Sea Otter, which was the first event of the inaugural lifetime Grand Prix. [00:03:40] Michelle Duffy: Yes. It's crazy to think it's almost the otter time again. [00:03:44] Craig Dalton: I know I've been getting the emails and I'm like, gosh, I gotta get my stuff together, and it's exciting to have it kick off. [00:03:51] Michelle Duffy: Oh yeah. It's like the kickoff of everyone's cycling year. I feel like. [00:03:56] Craig Dalton: And such a big one at that with all the, the expo activity and the so many different forms of racing going on, it literally does cover like every discipline of cycling. I feel like. [00:04:07] Michelle Duffy: I, yeah, that's what's so special, like from the industry perspective, mountain biking, road gravelly, everyone's together. Um, so I'm really looking forward to getting back to Monterey. [00:04:17] Craig Dalton: Yeah, for sure. I thought it would be a good opportunity to just sit down with you again and reflect back on that inaugural season of the Lifetime Grand Prix. Such a interesting series to kind of infuse into the gravel world, and I'm sure you learned a lot along the way. I just wanted to sort of get your basic reflections of the season. Maybe some of the key moments that you'd highlight. [00:04:42] Michelle Duffy: Yeah, definitely. And I'm, I'm excited that sometime has passed too. We, we definitely reflected immediately after and during. Um, but now that sometimes passed and we're heading into the new year, it feels. There's been more time to sit back and think about, you know, both constructively, what we would've changed, but also celebrate our wins, which is often hard at times, um, because you're always looking for ways to be better. But, uh, enough times pass that. I think we have a clearer vision of what went right and wrong and [00:05:15] Craig Dalton: Yeah. Yeah, and I know, I know from hearing from some of the athletes that you guys were collecting feedback along the way, which was great as well. I know you went into this whole process really talking to athletes, getting a lot of feedback. It was difficult to make a series that was gonna make everybody happy, whether it was the events or the points or what have you. But it seems like in evidence from talking to athletes, you guys really went out there and just asked questions and got feedback along the way, which is great. [00:05:49] Michelle Duffy: Yeah. I think in the ideation phase it was easier for us to speak to those athletes that are, you know, in our networks, right? Like, Preexisting relationships. Um, but that doesn't necessarily cover all of the participants that were in the Lifetime Grand Prix. So it was important for us at just over the halfway point, we collected feedback and then, um, at the end of the season, both face to face and through email and phone call, have had many a conversation with athletes and brands and, um, just trying to understand needs. But at the end of the day, we have. I mean, 75 to 80% of last year's field is back with us this year. So while there were definitely areas for us to, to work through, I also feel like that that's a win. Right. Um, having so many of our inaugural class back. [00:06:42] Craig Dalton: just to set the stage a little bit, so last year's series was 30 men and 30 women. in the series. The series was, and correct me if I'm wrong here, six events with the option to drop one score. [00:06:57] Michelle Duffy: That's right. Yes. [00:06:59] Craig Dalton: Okay. So looking back at 2022, what were some of the biggest surprises that you found throughout the year? [00:07:07] Michelle Duffy: Um, I think some of the, the major surprises were just the nuances that go into building a series like this. Um, , you know, these events were preexisting for us. So in terms of operationally executing the series, um, that, that comes second nature to the team. But all of the other nuance that comes with building a series, especially one that kind of grew to be, I mean, I don't wanna use, you know, too premium of a word choice here, but, that did become kind of this revered thing in, in North America in just a year. Um, there were many a time where we had internal conversations and we're like, okay, what are we building? Like, what can, what can the lifetime Grand Prix be if we, um, focus and invest in this properly? And not just financially invest, but. , you know, that gathering the insights, investing the resources and time, um, to really lay the groundwork to build something that can be huge for American cycling five, seven years down the road. And I think that was the biggest surprise, just like how much it took off and continued. Uh, think we're still seeing like new. New, um, comers to the series through some of the content that we've created and like the momentum there. Um, but then also just the, the nuance that became a, a bit intimidating at times. [00:08:44] Craig Dalton: when, when you think about sort of the goals you set out for, uh, for the Grand Prix last year. Were you guys successful in achieving them and what were they? Are you looking to kind of, I know you're looking obviously to foster the growth of off-road cycling in the United States. You're presumably also looking to continue to grow the, the Lifetime brand and those specific lifetime events. Has it had that type of net effect? [00:09:11] Michelle Duffy: I think so. Well, no, I, I, I do believe, yes, it has, um, our primary goal with the Lifetime Grand Prix is to create fans. I, I mean, most simply put the word we use internally as fandom, but to regenerate the interest from not. Professional cycling enthusiasts, but people who ride a bike to care about what's going on at the, the front of the pack. And like, why, you know, why does, why should the journey person care? Um, I think it creating fans creates more professionalism around a sport. And, you know, more professionalism inspires youth to wanna ride a bike, be like x to be like Keegan Swenson or Hailey Smith. And. . If we can create that, if we can create more fans of the sport from a particip participatory perspective and then also inspire more youth to want to stay on a bike, then we're inadvertently fostering the growth of the sport of cycling from a mass participation perspective as well. Um, and do I think we accomplished that? I think yes, but I think it's a long-term commitment to truly, uh, be able to make change. We did, and I think Keegan says this in the docu-series, like there is maybe in the last few minutes of the big sugar episode, people came up to him who previously didn't know who he was, and they. he inspired them to get on a bike or they became a fan of him through the Lifetime Grand Prix. And that's, that's what we're trying to create, um, this like symbiotic relationship between math participant and elite athlete coming together in one place, a shared goal. Um, and then with the Doerries, which I'm sure. Get into at some point. But we did create this six episode docu-series that lives on YouTube. By YouTube because there's no barrier of entry because to create fans, you need to eliminate barriers. Um, that audience has, has grown. We're up and over 350,000 views across the series right now. And, you know, we don't have 350,000 participants at our events. Right? So they're coming from else. [00:11:28] Craig Dalton: Yeah. That's amazing. I mean, I think going back for a minute, definitely the structure of the season allowed fans to. , like look forward to something. I think prior to the existence of this type of series, you might see someone do well at Unbound and then totally lose them for the rest of the year. So this was a really nice way as a fan to kind of just start to get familiar with the names and have something to look forward to for that next event in the series. And definitely for me, like it did accumulate over the course of the year so that everything got more interesting. Post crusher in the tusher to figure out, well, who could possibly win this entire series, and, uh, particularly on the women's side. It was just really exciting throughout the entire year. [00:12:18] Michelle Duffy: Um, yeah. And, and while Keegan rode away with it for a first, for the men's side, there was also a really tight, um, tight field there going on leading into big sugar. So both for the women's and men's, um, overalls there a lot was riding on that last event, which made it really interesting to follow through the whole. [00:12:40] Craig Dalton: Yeah, and I think what was interesting with only one potential, um, event to drop at the onset, when I heard that, that seemed totally reasonable. But when you saw injuries and illness come into play and people being forced to drop races early in the season, it really did become, uh, pretty onerous for them to make sure that they did well at every remaining event. [00:13:04] Michelle Duffy: Absolutely. And that, that did, um, come into play when leading into 2023 and some adjustments we've made. [00:13:11] Craig Dalton: Yeah, and we can get into that. Since you did mention the, the Call of a Lifetime series, which was super well produced. I mean, just speaking from my own perspective, I very much enjoyed watching it, and I encourage everybody to do so on YouTube because you did get a glimpse at some of the interpersonal relationships of the riders, some of the. Rivalries that exist out there, and just general insight into the personalities. I know originally at the beginning of last year, um, you were working with flow bikes. I'm trying to do some live coverage. Had the call of the Wild Series also been in the works for the entire year or was that something that happened in lieu of flow? Not really being able to get into the action as you had hoped. [00:13:54] Michelle Duffy: We were focused on both initiatives. So we contracted Shannon with cold collaborative, uh, prior to Sea Otter, and he was out there recording already. Um, actually, , that was our primary focus, and then later in the conversation flow came in and um, we were excited to be able to provide both opportunities. Um, obviously that didn't pan out all year, uh, but the cold collaborative and Call of a Lifetime series was always in the works. [00:14:24] Craig Dalton: Got it. It must have been pretty challenging that for them to kind of figure out which athletes to focus on. Were they, were they filming across the board with numerous athletes and we only ended up to getting to see a couple storylines just given the amount of time they had for the episodes. [00:14:40] Michelle Duffy: Um, I think this was a, a challenge and a learning, but can't, I mean, there's no way that we can really storyline across. 60, 70 athletes. So we'll take a, a slightly different approach this year into to mining those stories. But we pretty much got to meet everyone that spent time on camera. Um, the cold collaborative team, we, we trusted, we trust them and, um, put. Them in a position where they had creative freedom because they are so amazing at what they do. And so they did mine a lot of the stories and really there's a lot of focus, of course, on the front of pac because it was a more consolidated story for us to be able to tell. Um, some adjustments we're looking for towards next year is like, uh, widening that net and ensuring that we're telling the stories of not just those in the top five with the preexisting platform, but you know, mirroring the. Fully supported professional athlete with the young rider that's still in college because That's interesting for people too. [00:15:48] Craig Dalton: Yeah, for sure. I mean, across all those athletes, I'm sure there's, last year there was 30 great female stories, 30 great male stories that could have been told, [00:15:57] Michelle Duffy: Exactly. [00:15:59] Craig Dalton: but that's awesome. And it sounds like that project is gonna continue through this year. [00:16:04] Michelle Duffy: Yep, we're, we're finalizing exactly what our content plan looks like and hopefully we can go out with that soon. You know, we, something that was hard for us all years. We were investing all of this time, effort. Energy finances into producing Call of a Lifetime. But there was no product really to show for it until, you know, the end of end of 2022, beginning of 2023. Um, but this year, now that we've set the, the groundwork, we'll be able to go out with what our, what our plans are. And we are working right now with Shannon on developing something really cool for [00:16:39] Craig Dalton: Yeah, I think that's, there's an interesting opportunity there. Cause I had, I sort of totally forgot frankly, about like the possibility of a video series and then when you announced it earlier this year, I was super enthusiastic to watch it. But, I would've probably liked to have seen snippets from other athletes earlier in the year, even if it's just on social media, just to get to know them and again, increase my fandom of someone that I wasn't familiar with prior to the season. [00:17:06] Michelle Duffy: Yep, exactly. And we, we partnered with Mazda and, and have a multi-year commitment with them to produce these athlete vignettes. So we did dig a little bit deeper into six of their stories, and those are available on YouTube as well. Um, shameless plug, but, uh, we'll be digging in and, and telling more stories. This year, um, whether that's from the Grand Prix perspective or just the community that rallies around the Grand Prix, I think both of those are really interesting and, um, throughout the planning of the Grand Prix, it was important for us to outline like, who is our audience. And I always talk about it in this like reverse funnel where you have your bullseye, that's this person's an avid cyclist and they know who is winning the events. And then it kind of, the net gets broader, um, from there. But it's important that the content that we're creating doesn't just speak to the preexisting cycling. , um, which I think the series does a really good job of being relatable, broader than that. But if you take that out, then it's like, okay, who, what about the person that rides a bike, but maybe they don't necessarily participate in events? What inspires them to wanna participate in events? And then it's set further than that. It's like the outdoor recreator. I'm a backcountry skier, but I understand the content that you're producing. And now I'm inspired to get on a bike. And so like they're all kind of working. making someone a fan, but first they need to get on a bike. And then when they get on a bike, they participate and then they get to meet the athlete. And, um, then they really care about what you're produc. [00:18:37] Craig Dalton: Yeah, that's true. You know, it's interesting, I was talking to an athlete yesterday and I think one of the challenges, obviously like the, the marquee distance and the professional distance of these races is quite challenging. Regardless of whether it's an Unbound 200 or the climbing at Crusher and the Tusher, they can seem very intimidating, obviously, to the new athlete. Yet almost all these events, probably all of 'em do have shorter distances, which are. To be more inviting for the recreational athlete to pin on their first number. And I think there's probably an opportunity for all of us in in interested in events to kind of continue to embrace and make sure that audience feels welcome and accomplished for finishing a 40 mile event. They don't need to do a 200 mile event. [00:19:23] Michelle Duffy: Exactly. Yeah. And that's the Grand Prix is so amazing and uh, we were already seeing more elites coming to the events and that kind of inspire the Grand Prix, right? It's like this is happening, people are making a living off of participating in these events and we can ignore the fact that it's happening or we can create something. produces good for the mass participant as well, because at the end of the day, the, the paying customer or a mass participant like that is the ethos of the event. That's the person that's one supporting the events in the business that we're creating. They're supporting the communities that they're visiting, and we, we can't get, we can't let the Grand Prix distract us from like what the actual heartbeat of the event is. And that'll be important for us this year in storytelling as well as like, This is happening at the front of the event, and that's super special. And let's let you peek behind the curtain and understand that, you know, Sarah Stern felt a ton of pressure going to all of these events the same way. You probably put a lot of pressure on yourself going to these events, but, but it's different. But you can relate, um, But also what about the community that's making up these events? Because that is what the elites are coming to be a part of. It's not the in, it's the inverse for some, some are now coming to some of these events because the elites are there, but the elites wanted to come to be a part of the mass participant experience. Um, so it'll be really important for us to, I mean, never lose focus of that. That's our north. [00:20:54] Craig Dalton: Yeah, it's been interesting as some of the announcements came out around the changes of for Unbound and the professional and the rules as they apply to the Mass Start and Arrow bars, how clearly you guys were conscious of the fact that. , just because you're making a decision for the professional athletes doesn't mean that same decision should apply to the recreational athletes, specifically around the idea of arrow bars. I thought that discussion was quite interesting. [00:21:23] Michelle Duffy: Yeah. And look like there's no right answer to a lot of these things because the space is evolving and gravel cycling while it has existed for. At, well, it's existed forever. You could always ride on gravel, but as a quantifiable sport for 15 plus years, you know, going on 20 years now, that's still new. It's junior, like the game of basketball has existed for over a century. Um, so we're still in this like new phase. The athlete, the professional. , you know, we've been trying to listen and make decisions that are the best decisions for the safety of the athlete and the integrity of the event. Um, that doesn't mean it's the solution for everyone right now. And as we were going through, what does, you know, arrow bars or no arrow bars and all the, like the drama, um, surrounding the elites as they're figuring out what it means to be an elite in the sport. is the person that's coming from Alabama that's gonna take them, you know, the maximum amount of time to complete 200 miles, and they're gonna ride majority of the event out there solo. And they need to have the ability to be in comfort positions just for them to get across the finish line. And that's always been a part of the experience. So while we were having a lot of internal debate and external debate, when we stepped back and thought about it, it's like, well, who's to say? if they're, I've always stood really strong in like, no, they're coming out here to experience the mass participant experience, and that's why the elites started to come. At the same time, they're making a livelihood and we need to ensure that in order for them to continue to make that livelihood, we're providing. an experience that, you know, someone taking them out with arrow bars in the first seven miles doesn't make or break the paycheck that they bring home. That's not the case for everyone. So if we separate these two starts, it allows us to ensure that the integrity of the event for those that are racing for their livelihood and their paycheck , um, we can isolate that experience. [00:23:41] Craig Dalton: Yeah, [00:23:42] Michelle Duffy: And, you know, we made the joke like, we're gonna get you the heck outta Dodge, but like, let's get the. out of there, and then we can provide the same experience we've provided for 16 years to everybody else. [00:23:54] Craig Dalton: yeah. And I mean, obviously it's up to each individual rider to make good decisions around when they should be in arrow bars. That's the challenge, right? Like some, it's like they're perfectly fine if you're out there by yourself, but cornering and doing the things that you shouldn't do in Aerobars, that's just, people just need to make good choices there. [00:24:11] Michelle Duffy: Yeah. Agree. And, and there's other events in our portfolio that remove, we are removing the use of Arrow bars in general, an event like Crusher has never allowed Arrow bars because you climb up and you descend and there's never a time that you're on flats and should be in arrow bars in that event. [00:24:28] Craig Dalton: Yeah. The other thing that obviously you've had to grapple with is just, uh, the women and men starting together or separate. Do you wanna talk about like, the thought process behind how that's panning out this year? [00:24:42] Michelle Duffy: Yeah. I mean, continuing to, to listen. I think there. I mean, there's been a couple years now of debate on what is the right, the right way to approach at a mass participation event, the start of the women to ensure that they have a level playing field. Um, our approach is varying, depending on course, uh, speaking for, you know, sea Otter and Schwam again, and Crusher, for example. Women do have their own start. , but for an event like Unbound, they've always been in with the masses and there's just a huge difference between the field sizes and um, that many people rolling out of Emporia as well as from a media coverage perspective. It's super challenging. Um, To cover and we, I think, have done a very good job of making a cognizant effort to ensure we assign a team specific to the women. However, to give that like equal playing field from a media coverage perspective, a safety perspective rolling out of town, and then also an awareness of where the competitors are. For Unbound, the women will have their own elite women will have their own separate. two minutes after the elite men and eight minutes before the masses. Uh, an event like Big Sugar or the Rad we're still evaluating, but that very well could be a mass. A mass start there. [00:26:08] Craig Dalton: yeah. I think it's super interesting and a lot of event organizers I've spoken to this year. Are just playing around with different models and I think to your point, a lot of it will be course dependent. A lot of it will be just affording tens of minutes with the women having their own isolated experience, cuz obviously once. The rest of the mass participants start several minutes before. Eventually there will be intermingling and there will be the same types of drafting opportunities that have been in the sport forever for the women. But I do think it's meaningful that the women will be able to understand who is ahead of them, who is behind them at that moment in time in which integration happens. And then most of the women athletes that I've spoken to kind of acknowledge that, you know, there's a strategy around drafting with men, and sometimes you're gonna get in over your head and you're gonna go too hard. But that might be an investment in your strategy to get ahead early on in the race and then plug away on your own while others will roll the dice and play the strategy a little differently. [00:27:11] Michelle Duffy: Yeah, exactly. And. , um, I think through, through the Grand Prix. I hope and, and believe that it has also deepened the field, um, of women out there. And if you look at an event like Big Sugar, we saw more women riding together at big sugar. Granted, there were points on the line, and so a lot of them did stay together. But I mean, there was a pack of nine women in places, you know, two through 10 working together for, for much of that event. And, um, we haven't seen that at a, at a lot of events. Usually the women are dispersed, so I think their strategies are changing as. [00:27:55] Craig Dalton: Yeah. Yeah. And I, yeah, I mean, and all this comes into play in the background with the points of the Grand Prix in general, like how they need to ride, how aggressive they need to be on a, on a particular day. I do imagine that you'll start seeing athletes just really taking a lot of risk because they've got nothing to lose. Like you think about Page. Big sugar, like she had nothing to lose at that point, to roll the dice and go long in solo and see what happened. [00:28:22] Michelle Duffy: Yeah, exactly. [00:28:24] Craig Dalton: Yeah. As you look back to 2022, and I know we've drifted a little bit into 2023 already, but were there any sort of favorite or surprising moments that stood out for you? [00:28:34] Michelle Duffy: Yeah, I mean, you just touched on one, but, uh, Paige on Weller and Brayton Langs wins at Big Sugar and Schwam again, I. Love the underdog dark horse story. Um, PA both Paige and Braden were, I mean, transparently were fringe riders for us in the selection process going into 2022. Um, There were a few team members, myself included, making cases for each of them as to why they should be selected. And, um, they were, they were both dark courses and, um, it was really, really special for not just myself, but members of our team to see those two take a win. You know, Braden being the youngest male in the field last year and an up and coming talent, you just love to see and hope that it inspires. The other individuals riding in his age range, where it'll often we see drop off on the bike, um, you know, if they can, you know, see what he's accomplishing. Maybe it inspires them to keep riding or those young riders that have looked up to him. And this year we have even younger riders as part of the Grand Prix. And then someone like Paige coming from a running background. We dug into, into her during the application process and saw, you know, she was fifth at gravel world on a borrowed bike and , she was doing some eSports on Swift and, um, there was potential there we thought. And to see that come to fruition for her was really, really special. [00:30:10] Craig Dalton: Yeah, and super cool. I had her on at the end of last year just to see her be afforded the sponsorship support to really lean into it and not have to, you know, do double duty between her work and the hospital is, it's great to see. [00:30:25] Michelle Duffy: Yeah. Agree. I mean, I think that's the case for, for both of those two, honestly, that those wins for both Braden and Paige. I think. Um, Allowed them, the opportunity enabled, helped enable them to have some of the sponsorship opportunities that they have this year, [00:30:44] Craig Dalton: Yeah. [00:30:45] Michelle Duffy: and it switched things up. We were talking about the same few riders all year because that top three was kind of interchanging, so that was cool [00:30:53] Craig Dalton: Yeah, absolutely. So as we talk about 2023, what are kind of the major changes that have happened kind of structurally in the Grand Prix that we should be aware of? [00:31:04] Michelle Duffy: Yeah, I think our goal with the Grand Prix, is to keep things simple so that people can follow it. Um, you know, no slight to, to the world tour, but it can be hard to follow things like the Tour de France because if you're not ingrained in the sport, it's like how many points did they get? And what does this Jersey mean Um, our goal is really to keep things simple so that, you know, those that are new to following cycling can follow it and, and. Still the goal this year we evaluated our point structure because right now it's just waterfall point structure. Um, your points are the inverse of your place. So last year we had 30 men and women. So if you finished first, you got 30 points. If you finished second, you got 29. And so it flowed. So this year we decided to keep the point structure the same. Um, however we are. , uh, looking at 70 athletes, 35 men and 35 women. So an extra five men and women. Um, I think we're gonna stay at this number. Uh, I don't, you know, next year's I hope isn't gonna be 40 and, and so on. Um, but the intent for that change is the drop off that occurred throughout the year. Um, by the end of the season, we had just over 20 men and 20 women remain. . And so our, our goal is to have, you know, a, a deep field and ensure that it's, it's deep across every event. So that extra five on each side, also just based on demand, uh, felt like the right move. And then additionally, instead of six events, um, we are going to have seven, one of which we called the wild cards. So Grand Prix athletes applied for the series before we revealed what that seventh event will be. And noting that our intent is that our events do. So next year, um, in 2024, I don't, it may not just be the wild card event that rotates. We may switch up all of the events. Um, you know, we'll probably have a few, like an Unbound and a Leadville and a big sugar that would remain. But we could see some of the other events, uh, switching up each year. Um, but one will remain a wild card in which athletes don't know what it will be. and, um, they can drop two events instead of one. And this was something, this was a decision that we made after overwhelming feedback in our surveys around, um, some of the challenges. And you mentioned it earlier in the call with injury and sickness. Um, Were forced to drop out even if they weren't prepared because maybe they, uh, flattered and dnf at an event and that still counts. But then they got sick and had to miss an event. Like they're pretty much out of the points now because they have two zeros on their scorecard. So allowing them the ability to miss two events for everything we're hearing is like athletes intend to come to just about every event. Um, but the other thing that it does allow, , and this is important, is understanding that our season is demanding and it spans from April to October and it is the primary focus on, on the calendar. But there are other events that, um, there's either sponsor obligations to attend or just like for the health of the sport. It can't just be lifetime events that these riders are attending. So, Hope and obviously expect that athletes are showing up to, to at least five and, and hope they come to more than that, but it does allow if there's a conflict with another event them to go and attend that event as well. [00:34:51] Craig Dalton: Yeah, like everything, I think it's just gonna be interesting to see whether it, it, you know, in many cases this past year, it would've allowed, you know, like Payson or someone who had to miss two events to be competitive in the standings, having missed those two events. But for athletes that it were healthy throughout the year. If we start seeing strategy around dropping an event, knowing that they have to, you know, they're, I think with the exception, Unbound and maybe crusher that have their own very specific skillset, maybe that is required for them. You know, whether some people just opt out of one or two of those just saying, Hey, I'm not a climber. It's not worth burying myself to try to be competitive and crusher because I have these two drop races that I can apply. [00:35:36] Michelle Duffy: I do think that's true, and I kind of view that as like the negative to having the two drop events. But I think it's the right move. We believe it's the right move. Um, just for like the health of. The athlete. What we also don't want to happen is an athlete feel like, like Pete, he wrote on a broken hand at Sea Otter because he knew that like with his wife expecting there was a chance he was gonna miss another event. So it was really important for him to finish that event. Um, whereas like knowing that there could have been two drops, like we don't want an athlete, Hannah Otto, she. Unbound consciously. Like she didn't want to bury herself at Unbound. And then she followed concussion protocol, but felt the pressure to it to participate in, um, schwa again, because otherwise she'd be out of the series and she did not, you know, enjoy the experience out there. And it was probably premature. Would she have made a different decision had we. allowed two drops last year maybe. And I think that's something that's also really important I didn't touch on is the, just the overall health of the athlete. And we heard that too in the feedback like there's pressure to show up and race sick because you, you could have only dropped one event. So I think this change will, I mean, it's seemingly well received. The negative is. You know, athletes that aren't good on a mountain bike, and so they're just gonna drop two mountain bike events and or like, not wanna bury themselves like you said. So they're gonna skip unbound and let Bill. That's, we hope that we don't see too much of that, but risk like those, that those that were in the top 10 pretty much were consistent in their attendance across the whole series. [00:37:24] Craig Dalton: Yeah, I think it strikes the right balance. I mean, obviously we'll have this conversation a year from now and we'll see how it came to play, but I don't suspect, to your point, like the people at the front end of both categories, they're not gonna make, they're not gonna drop things willy nilly. In fact, I was speaking to a professional athlete yesterday and they were like, look, if someone was hyper-competitive in the Grand Prix and did not do un. There may very well be an asterisk in their victory at the end of the year to say like, but they didn't do this one thing, [00:37:55] Michelle Duffy: Yeah. Yeah, I agree. I think just looking at, at the overall scorecard and talking to many of the athletes, it's like, well, of course we're gonna show up to all of the events. Like that's our intent. Because if you can knock off a. A bad day, a 10th place that could make or break your odds of being in the top three. [00:38:15] Craig Dalton: Yeah. Yeah, for sure. You mentioned the expansion of the rider numbers from 30 to 35 in each category. Um, super cool to see. Did you see like a different profile of athlete, whether it be different nationalities or what have you start to come to the table this year? Cause I understand, and you commented on this earlier, that, you know, the first year it was the first year, people didn't know. It seemed like it was gonna be a great idea, but I did talk to a few athletes. Well, I just dunno how it's gonna pan out. I already had my schedule figured out, so I didn't, didn't apply. Just curious like what this year's application looked like and, and what were your takeaways from it? [00:38:53] Michelle Duffy: Yeah. Well, we had more applications in year two than year one and more qualified applicants. And I don't, I don't mean to, um, that as a, any, uh, derogatory, uh, towards the VA first year's applications, but in year one there was a lot of. either jokes, , some, some people that were, I don't know if they were joking around or, you know, just not in contention. Um, at the everyday cyclist, you know, some applicant applications that said things around, like, I've applied for the Leadville lottery four times and this is, you know, just another opportunity for me to, to apply. Um, there was also a lot of, uh, like sub. Applications that came through in the first year. And of course there were dozens of elite applications that came through because look at the depth of field. I think in year two what we saw happen is elites, many, many of them, um, that live here in the US and Canada, but then also internationally. And then we had to make some hard decisions around like equal athlete, um, athletic ability. Someone lives internationally versus domestically. And we do have an international field this year with riders coming from, you know, South Africa and Australia and um, Canada and a few other countries. But, uh, those that were like fringe , we, I, we did prioritize domestic, um, because. you know, our, our hope is to create some, some heroes here in the us. [00:40:42] Craig Dalton: Yeah, that's interesting. Sometimes it's easy to forget that lifetime is a business as well. And you know, growing an international audience only has certain value to you guys versus domestic audience. [00:40:55] Michelle Duffy: Yeah, and it's actually like we talked about that at length because. Having all of these different countries represented would be really cool. But beyond the business piece of it, it's like the health of cycling fandom in Europe is doing just fine. But if you have a bike race in Europe, like. And you can get access to the downtown of a major city and you have tens of thousands of people show up to cheer 'em in and they're lining the streets. You have a bike race here and it's like, look at like road cycling. They're far and few between. There's barely any fans that show up. And so the goal, like we're, we can't lose sight of the goal and that's to make sure that we're converting people who live here into fans of the sport. Not even. from a future participatory perspective, but just in, you know, to become fans simply. [00:41:51] Craig Dalton: Yeah. Yeah, that makes sense. One of the things we didn't dig into was the addition of that wildcard event and what that wildcard event ended up being. Can you talk about which event you selected and why? [00:42:05] Michelle Duffy: Yeah, we selected an event in Trinidad, Colorado going into its third year called the Rad Dirt Fest. Um, it is a gravel event. The distance is 110 miles, and it's a high altitude, gravel, gravel race. Um, the difference between this and like a big sugar beyond the altitude is it's, uh, big long climbing miles and. It's fast gravel, . It's, you know, champagne gravel, as they say. It's, it's almost like road in many ways. It's not very technical at all. Um, we. . There's a few reasons why this became the Wild Card. Part of it is schedule because our 2023 event calendar is already planned, and we wanted to give some breathing room between events because some of our events kind of stack up against one another. For example, like Tahoe Trail, mountain Bike Race is the week after Crusher and the Tusher. Um, so getting from Utah to Tahoe, and coming right off of Crusher, like that just wasn't super viable. So if you like go through the list, there's also like some Northwood events that we have, like lut in 99 er, but they're already going up there for Schwam again. So wanna be mindful of travel costs because while it's not expensive to stay in cable, Wisconsin, it's expensive to get there, and um, to have someone, to have a rider go up for loosen as well, like that's just a big. , it has a big impact on them and travel. The travel expenses to do the series are super high. So those were factors as well as like we do care deeply about the communities that these events are taking place in. And Trinidad is a community that. is up and coming. I kind of view it as like an Emporia many years ago with a completely different personality. It's a hidden gem right on the border of New Mexico. It's funky, spunky, artsy down home. Like if there, if Lifetime was capable of producing a grassroots, gravel event, the Rad Dirt Fest, is it? And after seeing the. Elation out of athletes after Schwam again, which is like a good down home mountain bike event up in northern Wisconsin. This feels like the gravel version of that. It's just, it's truly like an endearing, eclectic place. And the vibes are good and the just, it's a, it's such a fun event. Um, our team actually says it's like one of our favorite events in the portfolio. and then selfishly, like, I hope the event grows . I'll just be be honest about that. Like we're into the third event, uh, third year and, um, that wasn't the deciding factor at all. But I really do hope that the event grows because I really will. Even Trinidad as a community, they're, they're being heavily invested in right now, just from people moving out of Denver. But, um, hopefully they can, they can keep up, keep up with that. They've been a boomer bus town, but they're really focused on outdoor. [00:45:16] Craig Dalton: Yeah. It's a town that listeners of the podcast may be familiar with because we had, uh, local one Del Roka on who. Developed the original Trinidad Gravel field guide and put down some amazing routes down there, and came on the podcast just to talk all those things about the community. So I do think it's really interested and, and I'm excited to see that event grow as well, and hopefully just contributed to that town and that community in the same way that Unbound has contributed to Emporia. [00:45:45] Michelle Duffy: Yeah. Juan has kind of been that, um, steer head in that, in that community and, and showing people. These roads, you can go out and, and utilize them with your bicycle and, uh, you know, the big hu hunting culture around there, but how are we celebrating outdoor rec? And they've also just brought in really great figureheads for their, like, economic development and, um, outdoor recreation, et cetera. So I, I, I'm excited to see how that town. [00:46:16] Craig Dalton: Yeah. On that, on that decision to make the Rad Fest, uh, the wildcard event. You mentioned the many things that kind of went into that. One of the kind of things that have been hanging over the Grand Prix for a few years is just this balance of mountain bikey gravel racing. How are you guys trying to strike that balance? Because obviously adding another pure gravel event into the series isn't making it any more technical for the mountain bike cruise. [00:46:45] Michelle Duffy: Yeah, it's not, and that could change in 2024. Um, I think it's important to note that like this is an off-road series surrounding mass participation events and some of the like super technical type courses that have kind of been thrown our way. It's like, well that doesn't necessarily always cater to the mass participant. And that's the most important thing is that we're marry. This series with mass participation events. So like that is one factor. The second is there's seven events, so there's gonna be an off kilter there between mountain bike and gravel, but um, that can change every year. And maybe we'll see more mountain bike in 2024. Um, I think that there's a good chance that we will, but, for this year. I mean, it's an off-road series. I, I think there's so many sensitivities and I totally respect all of the elite athletes. So I say this tongue in cheek, but I'm also like, you guys get over it. Like this is the lineup and it's gonna be a good time. And I mean, yeah. [00:47:58] Craig Dalton: I think one of the most exciting things that you've revealed in this podcast is just the notion that 2024 could look a lot different. [00:48:06] Michelle Duffy: Yeah. Yeah. Yeah. I think that's like part of the, the freedom that we have because we're playing within the confines of like all of these events are, are lifetime events and it's, you know, the same team working on the production of the event and the Grand Prix, and it gives us the ability to be flexible now. five years down the road, are we ending up in a structure that it doesn't have as much freedom because this thing's so established that it has to be the same events? I don't know the answer to that question, but um, we're still in test phase and that's what I think, you know, earlier I said we've had time to celebrate some of our wins. I think that. So important, like early on we definitely received some, you know, there was like tension and criticism and like welcome all of it from, you know, athlete and fan alike. It's also so important to remember and like communicating even to our teams that are on the frontline, like. , these are humans putting on the event. And we're humans that are really just trying to, and supported by a company who is also just trying to make a difference. Like the Grand Prix is not a revenue driver for our, for our company, but we're trying to align ourself with like positive change in cycling and there's gonna be growing pains with that. Um, but I don't even view them as growing pains. Right. It's like they're just, it's a developmental. Of, of establishing something that hopefully changes the face of North American cycling. And you know what? There's a couple more series on the calendar this year, and I think that's really rad. I, I don't wanna attest that to the Grand Prix, but I think it's super cool to see that other groups are thinking in the same way, whether that's like happening on the road with the N C L, whether that survives or not. But they're trying. And you have the group that's putting together a true mountain bike series around the country and like all of these different things are gonna start to create more fans in, in the us and that's super cool. It's, we're really, I feel like everyone in, in the cycling space right now, like what a cool time to be involved in, in. [00:50:17] Craig Dalton: Yeah, a hundred percent. Like I think we all need to be thankful for Lifetime's involvement in this series and everybody else who's putting energy into North American cycling because agree, like. I think we're in a great place in terms of the equipment and the joy that gravel bikes can bring to athletes. I think there's plenty of great events out there in the world, but it takes a lot of energy and financial commitment to make these events happen and you guys are putting a lot of money behind this series and investing in growing fandom in the United States, and that's amazing because I think we do need more fans of racing. I'm quick to acknowledge like this podcast is definitely not about the front end of the pack for the most part. Well, I certainly enjoy talking to the professional athletes and learning how they get into the sport at the end of the day, like it's really the, the mass participant that gets me most excited cuz that's certainly where I sit in these events. Um, so it's super cool that you guys continue to invest and I appreciate you taking the time and just walking me through last year and this year and hopefully we get to see each other in a few months down in Monte. [00:51:20] Michelle Duffy: I know we will. Thank you, [00:51:23] Craig Dalton: Thanks, Rashelle. That's going to do it for this week's edition of the gravel ride podcast. Big, thanks to Michelle for joining us and bringing us up to speed on the lifetime grand Prix. We are now just around the corner from the first event in April. And I'm excited. As I'm sure some of you are to watch the action. Down at the seawater classic and kick off another year. Big thanks to athletic greens and AIG one for supporting the podcast. Simply visit athletic greens.com/the gravel ride. And you can get that free one-year supply of vitamin D and B12. If you're interested in connecting with me. Please visit the ridership. That's www.theridership.com. Or if you have a moment, ratings and reviews are hugely appreciated in the podcast game, it really helps with our discoverability. Until next time. Here's to finding some dirt under your wheels  

https://psychiatry.dev/wp-content/uploads/speaker/post-10753.mp3?cb=1668017962.mp3 Playback speed: 0.8x 1x 1.3x 1.6x 2x Download: Preexisting Neuropsychiatric Conditions and Associated Risk of Severe COVID-19 Infection and Other Acute Respiratory Infections – Tom Alan Ranger et al. JAMAFull EntryPreexisting Neuropsychiatric Conditions and Associated Risk of Severe COVID-19 Infection and Other Acute Respiratory Infections –

This week on Side Grace we are talking about values. I share my personal values and ask for all that are listening to bring their own curiosity on their values. Join me this week to get back to the basic's

Pregnancies affected by pregestational (also called preexisting) diabetes has significantly improved over the past several decades as insulin management improved and tighter glycemic control is achieved with glucose monitors. Diabetes in pregnancy is classifed as followes:   ●Type 1 diabetes (autoimmune beta cell destruction, usually leading to absolute insulin deficiency): a. Without vascular complications b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc) ●Type 2 diabetes (progressive loss of insulin secretion, often in the setting of insulin resistance): a. Without vascular complications b. With vascular complications (eg, nephropathy, retinopathy, hypertension, atherosclerotic cardiovascular disease, etc) ●Gestational diabetes (diabetes of during pregnancy and not clearly overt [eg, type 1 or type 2 diabetes]) ●Other diabetes (eg, genetic origin, drug- or chemical-induced) This episode focuses on type 1 and type 2 diabetes in pregnancy and the principles of management.     Our practice website can be found at: Maternal Resources: https://www.maternalresources.org/ Remember to subscribe wherever you get your podcasts.  Please consider leaving us a review.  Our Social Channels are as follows Twitter: https://twitter.com/integrativeob YouTube: https://www.youtube.com/maternalresources IG: https://www.instagram.com/integrativeobgyn/ Facebook: https://www.facebook.com/IntegrativeOB    

You may have noticed that I've been rotating through topics on this show to make sure there's something for every one of you no matter where you are in your dog adoption journey. There's been the occasional tangent and some shows help with multiple aspects of the process but in general, there's the search, the adoption and the integration of your dog into your home.This episode is mainly about the dog adoption search and even the decision to adopt versus purchase a puppy. I often hear that people have fears about getting a rescue dog and that's why they go the other route. Well, one of the most common fears amongst people looking to adopt is adopting a rescue dog with pre-existing health conditions. This could mean getting a dog that has undiagnosed issues, chronic issues or concerns that are not disclosed to the adopter.Certainly, this fear is not unfounded. I myself adopted two sick cats that had to be euthanized just months following adoption. However, I look back now and know there are some questions I could have asked that may have helped me avoid this. So, I have some great tips in this episode to serve you well while you do your best to get a healthy new member of the family.However, first I want to address how people often remark that this fear is why they got a puppy; ‘it's a ‘fresh start' with a puppy'. Although, it's not untrue that it can be a ‘fresh start' when it comes to training as you are starting at square one. It is not true that getting a puppy means they will not have or develop, it doesn't develop health conditions. As an RVT working in an animal hospital, I've seen many puppy owners struggle with chronic diarrhea, allergies and malocclusions (teeth abnormalities) among other things, shortly after they settle into their new home. So let's just agree that no matter what way you choose to get a dog, there can be health concerns that arise - you will not always know what is coming down the pipe. This is why I think it's best to be prepared and get pet insurance, have money allocated monthly toward your pet or have an emergency fund set aside to cover routine healthcare concerns and emergency expenses as well. Tips to avoid adopting a dog with preexisting health conditions:BREED - If you're looking for a specific breed or come across a mixed or purebred dog that you're interested in, look up the common health concerns for that breed. This way you can be aware of possible conditions that could arise or that can aid you in asking more specific health questions prior to adoption. For example, I knew some of the main health concerns for dalmatians when I was considering adopting Rory: bladder stones, allergies, blindness/deafness and epilepsy were among them. This helped me ask detailed questions to the rescue about her diet and if she has shown any symptoms of any of these conditions. It also helped me watch for any signs of those conditions during the meet and greet. The Discovery Planet list of dog breeds I mention in this episode is no longer available. However, Petfinder has a comprehensive resource for dog breeds that includes a health section under each breed, this is a great place to start your research.RECENT VETTING - Only adopt a dog that has been seen by a veterinarian recently. Reputable rescues will ensure that any dog they take in is up to date on vaccinations and spayed or neutered. These occasions require physical exams and ensure that any health concerns that are observed are communicated with the rescue. Make sure to ask outright that the dog has been given a clean bill of health from a vet and when they were last seen. REPUTABLE RESCUES - A reputable dog rescue will be upfront with potential adopters about health concerns in the dog's adoption profile. This is because they have the rescue dog's best interest at heart and want to ensure the adoptive family is ready and willing to take on any preexisting conditions. Check out my podcast on How To Use Petfinder and Avoid Petfinder Scams to find some criteria that will help you decipher reputable rescues from scams. CHECKLIST - Use a checklist during your search and even during the meet & greet to remind you to assess the rescue dog's health. When you become a member of the Pawdoption Guide Membership Experience, you get access to a detailed checklist that walks you through what to look for during your meet and greet and what questions to ask before and during it to be as informed as possible before deciding to adopt a rescue dog. Just a reminder that my membership is launching soon in 2022 and you can join the waitlist if you're interested in finding out more. For now, make sure you have assessed the dog's:skinhair coateyesearsmouthnosefeet walkIf you notice any abnormalities, ask about them! Upon Rory's meet & greet, we noticed she had red bumps on her under belly skin. I asked the rescue about allergies and they didn't have concerns. As it did not seem to bother her so I wasn't too concerned. It turned out to be a bacterial skin issue and she was good as new following one course of antibiotics. In all honesty, you can do all of these things and still find health concerns following adoption but this is no different than the health concerns that could arise with a puppy. This is simply a possibility with dog ownership.The great news is that reputable rescues have improved their transparency about health conditions as well as their response. Whenever possible they have usually started treatment or fully treated issues prior to adoption. Dog adoption has really come a long way in this regard. The best way to safeguard yourself from taking on a dog with a preexisting health condition is to follow the tips I've shared with you today and get pet insurance. Being a responsible dog owner means being there for your dog through sickness and health and the best way to do that is by having secure funds which support you in taking them to the vet whenever the need arises.

Don't we all enjoy other people's technology they engineered for us to interact with.Whos technology have you used that made your life easier --- Support this podcast: https://anchor.fm/change-griot/support

Thanks to everyone who supports TMBH at patreon.com/thetmbhpodcast You're the reason we can all do this together! Discuss the episode here Music written and performed by Jeff Foote.

Nihilism is a philosophy that looks to reject aspects of human existence such as objective truth, knowledge, morality, values, or meaning. In this episode, Alex argues that nihilism is a major factor that is driving extreme and divisive politics in the United States and around the world. He gives a case for why nihilism (or apathy) towards democracy and our institutions has led to angry populism and violent rhetoric.    In this discussion, he feels that nihilism has become a preexisting condition as to why many Americans believe democracy is no longer working. He uses a range of examples as to why society has become so nihilistic, these include    An Atlantic article from 2016 that reads “there is no meaning (in politics) other than political theater behind it. The consequences of this political nihilism will be catastrophic and will reverberate down through the decades of the 21st century. If you doubt this, think of climate change and the global economy…”    Leaks like the Pandora papers, which “reveal hidden wealth, tax avoidance and, in some cases, money laundering by some of the world's rich and powerful.” The papers also show that South Dakota is a new tax haven where “hundreds of billions of dollars sequestered in South Dakota trusts generate no taxes and are effectively off-limits to anybody who might have a legitimate claim on them.”    The Commissioner of the IRS wants banks to report annual cash flows for ordinary account holders who have over $600 dollars in their accounts. The justification is to find people that are dodging taxes, but some skeptics think taxing everyone a small amount could bring in more revenue than expending resources and time to get the wealthy to pay more in taxes.    The “race to the bottom” in welfare program quality between states in the US. Because different states have different welfare programs with different costs and different levels of quality, other states don't want to be over-generous if other states are stingy, so they all are just stingy. This leads to a lowering of welfare coverage for those that may need it the most.   Nihilism has culminated in the rise of political grifters who don't care about ethics or the truth. Trump may be the ultimate grifter who has come out of American distrust in the system. The problem with what Trump did was that he mixed his own nihilism about democracy at a time when the American people's nihilism towards the system was growing as well. This was a perfect cocktail of systematic disdain that lead to Trump's unique form of populism. 

hjrp2904 Your Hosts: Stu, Stork, Kurt In This Episode: Albin from Finland writes in about two RPG related products. Jo Lene revisits pre-existing settings but with a twist.

We discuss the dark history of medical experimentation on Black Americans from colonial times to the present. We also critique the mass media for manufacturing consent. We use an interview of Medical Apartheid Author Harriet A. Washington as the foundation of this discussion. We play clips of Dr. Frances Cress Welsing, NPR, Dr. Rupa Marya & Edward Bernays to add context.

This episode is also available as a blog post: http://donnyferguson.com/2018/11/19/polls-voters-oppose-preexisting-condition-coverage-when-told-the-costs/ --- Send in a voice message: https://anchor.fm/donny-ferguson/message

On today’s episode, Kimberlé and a group of leading champions for equitable healthcare take us behind the “white coat” of medical racism, and explore its disproportionate impact on Black women and girls. Guests share their own stories being mistreated and ignored as patients, and reflect on the struggles they’ve endured as Black woman doctors working in a medical system with roots in eugenics and racialized violence. The conversation analyzes the lessons learned from the tragic case of Dr. Susan Moore, examines how the experiences of Black women in healthcare relate to historical racism and sexism, and asks what it would take to deconstruct the misogynoir that “lurks behind the white coat.” With: Dr. Karen Scott, epidemiologist, educator and obstetric doctor; Dr. Gail Wyatt, professor at UCLA, psychologist, and board certified sex therapist; Dr. Alisha Liggett, board certified family medicine doctor with a clinical practice based in New York City; Dr. Joia Crear Perry, the founder and president of the National Birth Equity Collaborative. Hosted by Kimberlé Crenshaw (@sandylocks)
 Produced and edited by Julia Sharpe-Levine This episode was co-produced by Amarachi Anakaraonye Supported provided by Rebecca Scheckman, Destiny Spruill, and the African American Policy Forum
 Music by Blue Dot Sessions
 Follow us at @intersectionalitymatters, @IMKC_podcast

This week on The Reluctant Adult Podcast — How good is the Bad Batch? Dogcoin to the moon! And into the Christopher Nolanverse! Instagram @TheReluctantAdultPodcast Twitter @Reluctant_Pod

A renowned pulmonary critical care doctor testified that George Floyd’s preexisting conditions and drug use had no impact on his death and that he died from “low level of oxygen” when former Minneapolis police officer Derek Chauvin pinned him to the street. Shareeduh Tate is George Floyd’s cousin and the president of the George Floyd Foundation. She joins AC360 to discuss the trial and says she “feels good about what the prosecution is doing.” Plus, at least one person was killed and five others were wounded in a shooting in Texas just hours after President Biden announced limited gun restrictions. Rep. Lucy McBath has been fighting in Congress for legislation around gun safety after her son was shot and killed in 2012. She tells Anderson Cooper that Biden is acting to save lives but it’s up to Congress to “do right by Americans and put forth life saving measures.”  Airdate: April 8, 2021 Guests: Shareeduh Tate Rep. Lucy McBathTo learn more about how CNN protects listener privacy, visit cnn.com/privacy

Preexisting retirement accounts are almost always factored into divorce negotiations, especially if one spouse was the family's primary income. But if an ex-spouse receives money from a normally scheduled IRA distribution, is it considered income? What if funds are withdrawn before the IRA matures? If the divorce is finalized and an ex-spouse receives an IRA from an inheritance, can the funds be subject to alimony or child support? Read the full article here: https://www.oflaherty-law.com/learn-about-law/ira-withdrawals-impact This article will discuss if IRA withdrawals are considered income and should be subject to alimony and child support in Illinois. We will discuss the following topics: How do Illinois courts define "income?", Inherited Versus Preexisting IRAs, Is the law the same across all of Illinois? O'Flaherty Law now serves over 105 counties across Illinois, Iowa, and Indiana. If you have any questions regarding a case or would like to speak to one of our attorneys after watching a #LearnAboutLaw video, give us a call at (630) 324-6666 or send us an email at info@oflaherty-law.com to get in contact with someone from our team. Subscribe to our channel for daily videos dedicated to all things law and leave a comment with any questions about this topic. Find us online for more legal content and to stay connected with our team - Website: https://www.oflaherty-law.com/ - LinkedIn: https://www.linkedin.com/company/oflahertylaw - Instagram: https://www.instagram.com/oflahertylaw - Facebook: https://www.facebook.com/oflahertylawGroup/ [One more sentence about video description including keywords] **None of the content in this series is intended as paid legal advice.

The PreExisting Conditions That Enable COVID19 To Sweep Through Americas Prisons Tune in and listen to Lamont Banks and Cliff Stewart of A Just Cause, a nonprofit, social justice organization discuss what happens when the wheels of justice trample unbridled over the rights of innocent Americans.   Our Special Guests for tonight's show are Elizabeth "Beth" Blackwood, Counsel and Director for the First Step Act Resource Center at the National Association of Criminal Defense Lawyers (NACDL) and Annala d’ Diors, CPR Development Assistant at The National Incarceration Association. Please feel free to dial-in and ask questions or share you thoughts on tonight's topic! A Just Cause continues to campaign for the exoneration of the remaining "FreeTheIRP5," who was wrongly imprisoned in Florence, CO for 8 years for a crime they didn't commit. Read their full story: www.freetheirp6.org.  For more information, about A Just Cause and to Donate, please visit www.a-justcause.com. Follow us on Twitter: @AJCRadio, @A_JustCause, @FreeTheeIRP6,  @FreeeTheIRP6 and Like our Facebook Pages:  https://www.facebook.com/AJustCauseCO, and https://www.facebook.com/FreetheIRP6 Thank you for your support!

If there ever truly was a "civil war" for control over the Republican Party, is it over? Did Donald Trump win? As the former president goes to CPAC this weekend, we'll go In Depth on how the GOP remains firmly in the grip of Mr. Trump......and what it means for the rest of the political universe. Speaking of which, the political universe here in California is likely to get a lot more chaotic ... as those behind the recall effort against Governor Newsom say they'll be successful in putting it on the ballot.  We'll also be hearing from one of the chief economic advisors to the governor ... for more on the plan get to billions of dollars in support into the hands of businesses. Do you have dreams of dancing and singing at a festival or concert this year. Free of pandemic stress. Well. Maybe you can. U.S. intelligence puts the blame for the brutal murder of dissident journalist Jamal Khashoggi firmly on Saudi Arabia. What does President Biden do? And actress Jamie Lee Curtis will stop by In Depth to help raise money for Children's Hospital Los Angeles. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Only 42 percent of Hoosiers have what is considered a good paying job according to a new report released Wednesday by the Brookings Institution . It details issues facing Indiana’s economy and what can be done to improve conditions.

It's been almost a year since the pandemic ended mass gatherings. A year without live music and festivals has taken its toll on many of us. When will they start up again? In this episode I discuss the latest COVID science to try to find an answer to that question.   Rough Transcript Hi everyone. I’m back, and once again . . . I know it’s been a long time since my last episode. I’m not even gonna apologize this time, because in the end just gets ridiculous. All I’m gonna say is that I do INTEND to produce episodes more regularly. And I will at some point. But … so much has been happening in my life it’s crazy. I’ll tell you about it briefly, and then we’ll get into the episode, which is about covid and festivals. Basically… when festivals are likely to start happening again. Ok, but me first… Here’s what’s happening… A few months ago, in my last episode I told you about my mom and her dementia. And thank you everyone who wrote me with your sympathy and words of encouragement, and those who asked me how she was doing. It’s actually quite interesting. She’s doing maybe 70% better, but she does still have dementia. It wasn’t all about the medication she was on. If you remember I was hopeful her problems were all about this one medication called pramipexole, and that once I got her doctors to discontinue it, she would get better. But it really wasn’t that. It was another whole month before she improved. But here’s the thing… I believe it was the covid that fucked with her brain, and that during those few months she had it, IT was responsible for wiping out her short term memory. I mean she couldn’t remember what we spoke about from moment to moment. She’d literally say the same thing over and over, not realizing she just said it. But when she finally beat the covid, she slowly got better… I mean… 70% better, which is huge… and that just doesn’t happen with typical Alzheimer’s. With typical Alzheimers, it’s a steady downhill. You don’t get better like that. You may have good days and bad days, but her improvement is dramatic. I really have my mom back. And I plan to visit her as soon as I’m allowed to travel internationally, and as soon I get a covid vaccine. She just got her first shot herself a few days ago. But here’s why I think the covid affected her brain so much. You see, this virus can strike anywhere in the body, and there’s a lot of cases of people who get cognitive problems when they get covid, problems that can last a quite while. You’ve probably hear of post-covid brain fog. There’s a lot of people talking about that, but there’s even covid-psychosis. Seriously. Some people who get covid literally become psychotic, as in full-on schizophrenia type psychotic. It doesn’t seem to be permanent, but these are people with no history of mental illness. Totally weird. So we know this virus can affect the brain, and it can also produce lots of different symptoms all over the body. And so… here’s my theory… Again it’s just just a theory. But what I think is that some of these non-standard symptoms that some people get… meaning more than a cough and fever and stuff, depend on the particulars of a person’s immune system, and particularly, where that person might be experiencing inflammation. Preexisting inflammation. Everyone has SOME degree of inflammation. There’s so many toxins in our environment these days. So many foreign things getting into our bodies. And our immune system tries to recognize them and attack them, but sometimes it gets confused and attacks our own tissues instead, even after those toxins are gone. And this can cause chronic pain and disease. Inflammation is so common in fact that we take it for granted. Inflammation is the number 1 cause of pain and illness … by far. When it gets way out of hand people get diagnosed with autoimmune disorders, like ALS, multiple sclerosis, arthritis. You name it. There are so many. But … for the vast majority of us, inflammation remains mild. So we just take ibuprofen on occasion. But the thing is… it tends to strike in the same place when it does. Wherever a person might get inflammation, that’s generally where it stays. And so Alzheimers is correlated with brain inflammation. My mom was already in the early stages of Alzheimers when she got covid, which means she already HAD some inflammation happening in her brain. Then she got COVID and her main symptoms were in her brain. A total loss of short term memory. So I think what’s going on is that her immune system was already primed to attack the neurons in her brain. So when she got covid, the cytokines that attack foreign invaders, as well as that cause inflammation, mainly went there, and they went to town there. So I think that covid is more likely to affect areas in your body if you already have inflammation going on there. And this is why it’s hitting people with preexisting diseases so hard, because so many of them, like Alzheimers, are a result of inflammation, of the immune system being a bit out of whack. Anyway, that’s my theory. And that’s my mom. She’s doing so much better. Again thank you everyone who wrote me, with your love and support. And let me just say one more thing before I move on from this. Remember in my last episode I gave a list of things you can do to prevent dementia. Well, here’s one more thing I learned… Tack this on to the list I gave in my last episode. And that is. Eat more fiber. You see, fiber feeds the good bacteria in your colon that excrete anti-inflammatory molecules that prevent brain inflammation, molecules that sweep up cytokines and keep them in balance. And Alzheimers is highly correlated with low levels of these molecules. This could be why Alzheimers is on the rise… especially in the west, in the US and Northern Europe, because our diets suck and we don’t get enough fiber. So what are these bacteria in our colon that we need to keep happy? The first thing to know is they aren’t acidophilus and bifodus. Those are good bacteria also, and you can buy those in supplement form. Everyone knows about those. But we’re talking about different bacteria, lower down in your colon. And you can’t eat them for whatever reason. They can’t be put into supplements. So how do you increase them if you can’t eat them? And the answer is… you feed them. Well, you could also get a fecal transplant where you stick some healthier person’s poop up your butt… and yes, this is really a thing. But let’s not go there right now. And easier way to increase the number of these good bacteria in your butt is simply to eat fiber. That’s what they live on. So eat more vegetables people. I know I sound like your mom, but in this case your mom was right. Feed those good bugs in your poop and they will reward you by pooping out anti-inflammatory molecules in their poop, which will prevent dementia later in life. No joke. And remember to exercise and take your psychedelics regularly also. So another reason I haven’t put out any new episodes in a few months is that … a few weeks after my last episode, I had to go to Florida, because the pandemic basically killed my family business and I had to go down there to shut it down. It’s a dry cleaners… which has been in my family since 1937. My sister and I inherited it when our father passed away in 2012. But when covid hit people stopped going into the office for work, and so they stopped wearing dry cleanable clothes. So we lost 60% of our business almost instantly last March, and it hasn’t improved at all. So we basically had to close it, and I’ve been dealing with that, which is a lot of work. But at the same time I wanna tell you something really good that’s happened in my life, and that has ALSO taken up a lot of my time. And that is I’ve met someone super awesome. Her name is Becky and she lives in Michigan. She’s a friend of friend and we started chatting back in September and we really hit it off and so we’ve been spending time together. She flew down to Florida when I was there and stayed with me in my RV and we took a trip around Florida and I just recently drove her back to Michigan, where I am right now. So… in the middle of all this trauma and death and financial collapse and NO FESTIVALS… something actually really good happened to me in 2020. Anyway, that’s what’s been happening with me. Living in my RV. Mailing out fentanyl testing strips. Get them at DanceSafe.org everyone. Test it before you ingest it. Okay… let’s get on to the episode! Festivals. When are they gonna happen again? And let me say first I’m talking here about commercial festivals. I’m not talking about small private events. I’m talking about the big festivals we all love. With music and drugs and port-potties and thousands or tens of thousands of people. I miss them so much! The last one I attended was Hulaween in Florida, back in October of 2019. And the last indoor concert I saw was Mark Farina in El Paso in early March. I took 2C-B and holy shit! We danced for hours in a packed nightclub wall to wall with tons of sweaty strangers. I mean, if anyone had covid in there we all would have gotten it. But it was so much fun. Dancing to music on psychedelics with others… is my medicine. Like it is for so many people. And we haven’t been able to do that, really, in a year. And people are suffering because of it. Depression and mental illness are skyrocketing. Not just because of the lack of festivals, but the entire social distancing phenomena. A friend of mine just posted on Facebook today a photo of herself crying because of what she says has been the lack of human touch since the pandemic started. I think I’ve faired better … emotionally … than a lot of people. I get so much of my social interaction online anyway, and verbal communication is really my mainstay. Speaking and writing. So I’ve been able to maintain that. I also don’t get depressed much anyway. I’m lucky in that regard. But I miss live music and dancing in groups. Dancing alone just isn’t the same. And recorded music isn’t the same as live music. Seriously there’s evolutionary, biological reasons for that. I’m actually gonna do a podcast episode about it one day. Humans ability to appreciate music… evolved in us for social bonding purposes. It’s really important for our mental health. And one of the problems in general with modern society in general is that those experiences are often limited. To begin with. Even before covid. But now it’s terrible. I miss festivals for another reason too. And that is… usually, I attend festivals with DanceSafe, the nonprofit I founded … 22 years ago. I spend a lot of time at festivals at the DanceSafe booth testing drugs for people. We’d actually just finished fundraising for two spectroscopy machines that we were going to start bringing to festivals before covid hit. These machines shoot a laser into the powder … and because every molecule reflects a different spectrum of light, it can tell every drug in the sample with precision. Super cool drug checking technology. And right when we got the money to buy them… Boom. Covid ends festivals. The last event DanceSafe did was Gem and Jam in Arizona last February. That actually may have been the last big festival that’s happened in the United States. Almost year ago. I’m also worried about the chapters. The DanceSafe national office is doing ok. People are still buying test kits. But because there’s no festivals, our local chapters around the country have nothing to do, and I’m really worried if this situation lasts another year, we may have to almost start all over again, organizing local chapters. The festival culture … OUR festival culture … is beautiful. And I miss it so much. Burning Man, Lightning in a Bottle, Shambala, Symbiosis … My favorites. Electric Forest… there’s too many to name. When are they going to start up again? That’s what I’m gonna talk about now. And of course, it’s all about the pandemic. So I’m gonna get into the science of covid…. Covid science… virology, immunology, epidemiology … it’s kind of taken over my intellectual life this past year. I been a non-stop researcher. It’s actually one of the reasons I decided to do this episode. To get some of it out of my system. Maybe then I can get back to making regular podcast episodes about drugs. But anyway, here’s the main thing about when festivals will happen again. They won’t happen again until they’re safe… until they won’t become super-spreader events that lead to deadly covid outbreaks. And this applies to all mass gatherings. The most dangerous events of all… the one’s that lead to the most fatalities in the long run, are large, mass gatherings … because you have thousands of strangers coming together, and then they go back to their respective communities, spreading the virus far and wide. So when will mass gatherings no longer lead to deadly covid outbreaks? Or specifically, when will enough scientists, public health professionals, lawmakers, promoters and attendees, BELIEVE this to be the case. Because that’s really when they’ll happen again. And so I think the general answer to this… or where the discussion begins is … when enough people are vaccinated. It’s more complicate than that, but let’s start with that. Let me tell you about the vaccines first. The main thing to know about the two current vaccines out there, the Pfizer and Moderna vaccines, is that they likely won’t prevent you from getting infected with covid and spreading it to others. They will only prevent you from getting a severe, systemic infection. Fauci and the media aren’t really talking about this too much. I think they don’t want to turn people off from getting the vaccine, so they aren’t saying things that could be construed as negative. But many virologists doubt that the vaccines will prevent infections and transmissions. Why? … It has to do with the route of administration. The vaccines are injected into your arm. They contain messenger RNA that cause the muscle cells in your arm to temporarily produce molecules that resemble parts of the coronavirus spike protein. These molecules then stimulate your immune system to produce antibodies, which circulate in your blood. But these antibodies don’t easily get into the epithelial cells in your upper respiratory tract. So what they think is that the coronavirus will likely still be able to take hold there, infect the cells in your nose and throat, and start to multiply. And then you can breathe those virus particles out and infect others around you. Immunologists have actually known about the importance of vaccine route of administration for a long time. It’s the reason why the later polio vaccine was oral rather than injected. You see… the first polio vaccine prevented severe illness, paralysis and death, but it didn’t prevent people from actually getting polio and passing it on to others. And this is because the antibodies had a hard time reaching the epithelial cells in the gut, where polio first takes hold. Polio is spread from feces. Virus particles in feces can get onto food or in water in a number of ways and then when someone else ingests them, they bind to epithelial cells in the intestines, where the antibodies in the blood can’t easily reach. Epithelial cells, by the way, are the cells that divide the inside of us from the outside of us. Like skin cells. So they’re at the periphery. The farthest place from blood flow. So when scientists realized this was happening, they developed a second polio vaccine that you swallow. The weakened virus particles in the oral vaccine then hit the epithelial cells in the gut first, stimulating a direct, localized immune memory right where it needs to be. An immune response that involves T cells and B cells, which I’ll talk about soon, but the oral vaccine is the only reason we’ve pretty much eliminated polio from the world today. Not entirely but almost. So … why not make a covid vaccine that you inhale, or squirt up your nose? Well the answer to that they’re too dangerous. Inhaled or insufflated vaccines, in animal studies, cause way too much inflammation in the upper respiratory tract. Many of the animals die or have severe complications. So we’re nowhere close to getting an upper respiratory tract administered vaccine. It’s gonna be an injection in the arm, and so it’s likely only going to prevent severe covid infections. I just read an article yesterday, btw, about the NovaVax vaccine, which isn’t available yet, but which seems more likely to prevent all forms of infection. Even mild infection. Even though it’s also an injection in the arm. I need to research it more. But basically it’s a different type of vaccine from the mRNA vaccine that causes triggers T-cell and B-cell adaptive memory more than the Pfizer and Moderna vaccines. So keep that in the back of your mind. I’m only talking here about the two vaccines currently available. And what they indicate… is that we’re not going to see vaccine festival passports. In other words, we’re not going to see festivals where you can go if you prove you’ve had a vaccine. Because even though you and the other attendees aren’t likely to get severely sick, you will likely still be able to spread the virus around to each other, and then take it back home and spread it to people in your community. So that means we really need to see enough people vaccinated… as in at least a few hundred millions people in the US, before ay mass gatherings will happen. You know, everyone’s talking about this 80% figure to reach herd immunity, but herd immunity is a dubious concept with coronaviruses. There is no herd immunity with any of the other coronaviruses that produce colds, despite them being around for thousands of years and the entire population getting infected. And that’s because antibodies for coronaviruses typically fade away rapidly. And we’re finding the same this is true with this coronavirus. It looks like antibodies last about six months. Maybe more and maybe less for some people. But there’s already been hundreds of documented cases of people who have gotten covid twice. There’s no herd immunity with the flu either. Right? So … covid, like the flu, and like other coronaviruses, may never go away. We may never eradicate it. And if not, there’s never gonna be herd immunity, despite what the media is saying. We’ll just have to learn to live with it. This is seriously something to consider. One piece of good news here is that there is some t-cell and b-cell adaptive immune system memory that happens with natural infections. Not just antibodies. And that may mean, over time, subsequent infections get less and less severe. Some virologists think that the other coronaviruses, the other common colds, may have begun with more deadly viruses, and then became milder over time, after initially killing a lot of people. So that may happen with this one too. We don’t know. But either way, if that IS true, it would definitely take a long time. The better news is that the vaccines seem to work well in preventing severe infections. So if enough people get the vaccine, and if they confer this immunity to severe infection for long enough… then festivals SHOULD be able start up again. Which leads to how long will it take to assess whether this is the case. But before I get to that, let’s talk about the potential problem of all those people who aren’t going to get vaccine I the first place. People have various different reasons for being skeptical of the vaccine. But in general there’s two large groups. This is from national surveys. The first large group are Republicans, Trump supporters most likely And the second large group are African Americans. The reasons these two groups are skeptical of the vaccines are probably different, but they’re both because of political beliefs, not science. Republicans are generally more opposed to public health because they see individual liberty as paramount, which is why there is a large percentage of Republicans who oppose the vaccines. And African Americans have a long history of being experimented on medically. Including vaccines. It’s a horrible history and I won’t get into it here, but that has caused some skepticism in a large percentage of the Black community. Of course you’ve also got some people who are skeptical of the covid vaccines for scientific reasons. But that’s a much smaller number of people. Those first two groups are by far the largest. And so… how many people are we talking about who might refuse to get a covid vaccine? And how is that going to impact the reopening of festivals? Surveys show it’s about a quarter of the population. Maybe up to a third. So we’re talking 25% to 33%… that puts us somewhere close to the 80% mark Fauci is talking about that we need for pretend herd immunity. I call it pretend because again, if they don’t prevent infections and transmissions, but just severe infections, then there is no herd immunity. But anyway, nobody knows whether we’ll get to that 80% of the population vaccination figure. Also, I don’t think the vaccine will be mandatory, at least not for many years. There are mandatory vaccines, of course. Measles, etc. But I can’t see the government making covid vaccines mandatory until they have a long enough tract record of safety and efficacy. Plus, covid doesn’t kill very many children, so unvaccinated people aren’t jeopardizing children. That’s an important piece of this. Also, the vaccine may not prevent transmissions anyway, so unvaccinated people may not be different in that regard to vaccinated people. Anyway, the point is just that there isn’t going to mandatory vaccines. So how many people need to voluntarily get a covid vaccine to prevent festivals from causing deadly outbreaks? That’s a hard one to answer. But it might be the wrong question, anyway. Because I think that once the vaccine has been around long enough for anyone who WANTS to get vaccinated CAN get vaccinated, then at some point we just gotta say that anyone who refuses to get vaccinated is pretty much only putting themself at risk. I mean they’re making that choice… and it doesn’t really impact others that much… right? Because children aren’t at high risk to begin with, and the vaccines themselves are likely NOT going to stop transmissions. So one would think at some point down the line, when the vaccines have been available long enough to everyone who wants one… and if they remain as safe as they appear to be now, and if they protect from severe infection for a significant amount of time, say at least a year… then even if a quarter or a third of the population refuses to get one… at that point … we should be able to have festivals again. Right? Maybe. I think the real determining factor is going to be the numbers, but before I get into that, I want to talk a bit about how covid is transmitted, and how infections happen, and how someone can protect themselves, and others, from severe infection. Because one big part of this is staying outdoors, and so you would think that because festivals are outdoors, they might be able to happen sooner than indoor mass gatherings. And they might. But it’s more complicated than that. I personally think being outdoors, with six feet of spacing between people, with masks, is 100% safe. This theoretically means outdoor music gatherings can happen right now safely if they mandate proper social distancing. And some events are doing that. But obviously these aren’t mass gatherings. They’re small outdoor events. I don’t think large festivals could do this. There’s just too many people. The dance floors are too crowded. Keep in mind it only takes 15 minutes to become infected if you’re standing outdoors within six feet of someone who is shedding, without a mask. That’s what the CDC defines as exposure. There’s no way most people are going to be able to avoid this kind of exposure at a festival. Masks might prolong the exposure time period, but then again we’re talking about people dancing, which means they’re breathing way more heavily. And people never keep their masks on all the time. And you can’t enforce this. And then you got the whole porta-potty thing. So while I think it’s possible to have socially distanced outdoor music events, I don’t think it applies to the kind of large festivals we’re talking about. So let’s talk more specifically about how covid is transmitted. The first thing to know is that the virus is airborne, and the vast majority if transmissions happen from breathing it in. In fact, there isn’t a single known case of surface to mouth transmissions. I’m not gonna say it can’t happen, but it’s just never been documented. So it’s not nearly as important to wash your hands as it is to avoid contaminated air. Restaurants that disinfect surfaces but don’t have ventilation and air filters aren’t doing anything to help. That’s just theater. And make no mistake. This virus is airborne in EVERY meaning of the term. It can become fully aerosolized and float around all by itself in the air, AND it can float around in micro droplets that come out of people’s nose and mouth when they breath and talk. In the air in both senses of the term. We knew this back in April. Scientists knew it. And it was a scandal that it took the World Health Organization until the Summer to finally admitted it. But that’s another story I won’t get into here. The good news is that one particle isn’t going to infect you. You need to breathe in a large enough dose of the virus to actually get infected. Exactly how much, as in how many particles, nobody knows. Doing studies on this, called “challenge studies,” would be unethical. But the concept here is very important. And to understand why it’s case, I’ll walk you through how an infection happens… So… say your standing close to someone without a mask and they are infected and breathing out virus particles, or say you’re indoors where there are virus particles floating around in the air everywhere. You breathe these particles in and out your lungs, and depending on how many you breathe in, some of them get trapped in the mucus membranes of your nose, in your sinus cavities, and in your throat. Possibly some even get trapped in your upper bronchi, but that’s less likely because there isn’t much mucus in your lungs. Some of those virus particles die in the mucus, but some make their way through the mucus to the epithelial cells below them, and attach to ace-2 receptors where they can enter the cell. If they do get in, the virus hijacks its DNA and gets the cell to start making more of itself. At least that’s what it WANTS to do. And if it gets that far, it’s called an infection. But there’s a chance, if you get a light enough exposure, that your killer T-cells will kill them all off before they start replicating. Killer T-cells can recognize when a cell in your body has a virus attached to its surface, and they kill the cell. Killer T-cells are an important part of our immune system. They don’t kill the virus itself. They kill cells infected with a virus. And they can kill them quickly, potentially even before the cell starts replacing the virus. This means you can be exposed to the virus without getting infected, if it’s a light enough dose. And this can stimulate an adaptive immune response among your T-cells, which may be a bit helpful later on if you get exposed again. And … you can also get MILDLY infected, where the virus DOES start replicating, but it doesn’t spread very far. In fact, most infections appear to be mild like this. The killer T-cells kill the infected cells quickly, and antibodies kill the rest of the virus directly, before many other cells become infected. To be specific… You have killer T-cells that recognize when when of your own cells has a virus attached to it, and it kills the cell. Then you have helper T-cells which recognize the virus and tell the B-cells to create antibodies for it. The B-cells create the antibodies, which bind to the virus and mark it for destruction. Then other immune cells come along and destroy it. So it’s pretty complicated. You’ve got killer T-cells and helper T-cells. B-cells that make the antibodies. And then a bunch of other cells, called cytokines, that come along and kill any virus that has an antibody attached to it. You really don’t need to remember all this. The important take-away is just that most infections are resolved naturally by T-cells, B-cells and antibodies in the upper respiratory tract. And some exposures are resolved by T-cells even BEFORE any antibodies are produced. That’s good news obviously… so long as you get a light enough exposure. But you’re not out of the woods just because you got exposed once and had a mild case, or were asymptomatic. Having a mild or asymptomatic infection is a factor of BOTH your general state of health and your immune system AS WELL AS the amount of virus you were exposed to initially. The second time around you might get a gigantic exposure, which could overwhelm your immune system. We really don’t know how this will play out yet. It’s still too early. But the point is that, just like with drugs, dose matters. So even if you are older, or have preexisting health conditions that make you more susceptible to a severe reaction, if you get a small enough initial dose you may be okay. And the reverse is also true… even if you are young and healthy with no preexisting conditions, if you get a massive initial dose. Like say your on a cruise ship… Say your on Jam Cruise, and twenty people on the ship are shedding the virus, and all the air is being recirculated and you’re breathing in virus particles with every breath… that many virus particles could overwhelm your T-cells and B-cells and antibodies and might make you sick, or kill you, even if you’re healthy. Scientists call the initial dose the “viral inoculum.” How much of the virus you get inoculated with. This is different from viral LOAD, which is the maximum amount of virus IN your body at a given time during the course of your infection, AFTER it has started replicating. Virus inoculum is the reason indoor locations are the most dangerous places you can be, and it’s why fatalities are skyrocketing now too, during the winter. Because people are spending more time indoors. Also the cold and dry air tends to evaporate respiratory droplets faster, releasing the virus and making it airborne more quickly, before the droplet can fall down to the ground, bringing the virus with it. Winter increases not only transmissions, but the average dose people get, leading to more fatalities and raising the case fatality ratio. This is why I try not to share indoor space with people outside my quaran-TEAM. Right now that means me and Becky. And this is also why masks remain so important. Masks reduce the amount of virus that gets into you. Remember those cruise ships early on where tons of people were dying? The case-fatality ratio on those ships was enormous. Like 15%. Then we had the initial lockdowns, and then later some cruises started up again, but this time with mandatory mask mandates. On these masked cruises that had outbreaks, the results are telling. They had pretty much the same percentage of infections. But the case-fatality rate was far lower. This is because masks reduced the amount of virus people were getting exposed to… so even though they got infected, they were less likely to die. This is just one of many pieces of evidence that masks really do work. Anyway, back to festivals and when are they gonna happen again? I think with all the science I just explained, as well as a sizable percentage of the population skeptical of the vaccines, it’s gonna be a while. They’re definitely not gonna happen this year. Fauci says we may have enough vaccines rolled out for everyone by the end of the Summer. And technically that’s before Burning Man, and before Hulaween. But I don’t think they’re gonna happen, because even if we get 75 or 80% of the US population vaccinated by then, we still don’t know how long the vaccines work. What if they only last six months? Like natural antibodies? I think we need to know this first. And other things. So the real measure is in the numbers. What’s really going to decide when mass gatherings can happen again are when we see the rate and number of covid deaths drop significantly, and stay down for a long time. Only this is going to demonstrate that the vaccines are working. Steady declining numbers. How many daily deaths do we need to get down to, and for how long? I don’t know. But consider this… In a BAD flu year we have maybe 50,000 deaths. We’re going on 500,000 deaths in the first year with covid, and that’s even WITH all the social distancing we’re doing. Without social distancing it would have been many millions. So I’d say we’re gonna need to see fatalities get down to more than 100,000 a year, or about 275 deaths a day, before anyone thinks we have the pandemic under control. That’s a death rate about twice that of the worst flu year. So if the national fatality rate can get down to under 275 deaths per day and stay there for say, six months at least, I’d venture to say festivals will start again. And for sure that’s not going to be until Summer of 2022 at the earliest. Keep in mind also that other things will reopen first, like restaurants and movie theaters, long before mass gatherings. But if the fatality rate stays low during the reopening process, festivals and mass gatherings will follow. In fact they will symbolize the end of the pandemic. Can we keep our culture together until then? I don’t know. I don’t even know if it’s TOGETHER right now. We may need to start over to some degree. DanceSafe will likely need to create many new chapters from scratch. And what about all the other folks in the industry? Vendors, medical teams… A lot of them went out of business. Some may have new jobs. And with no profits for two years, will promoters even have the capital to hire enough staff right away? Seriously, it might take a while to build the culture back up. But we’ll do it, right? I mean it’s our culture. We love the music. We love the dancing. We love the drugs. We love the music and dancing and drugs TOGETHER with other people. It’s medicine. It’s in our genes. Nobody has ever been able to stop music and dancing and drugs. So be patient. We’ll get there eventually. Right now we just need to stay safe.

Dr. Kevin Most joins host Jon Hansen, filling in for Bob Sirott, to talk about the latest updates on the COVID-19 vaccine, the road to herd immunity and coping with stress while we learn more along the way. Plus he answers questions from listeners. Is the vaccine recommended if you have a preexisting health condition?

Do you have a financial question you'd like one of our Financial Nerds to answer? Submit your questions at https://askthemoneynerds.com and watch for our response on an upcoming episode!In this episode of Ask the Money Nerds, Garrett and Amanda answer a question from Kason.Kason wrote in with a question about creating a Cash Flow Banking policy and how to do so with a preexisting condition. Would you like to use Cash Flow Banking but have had a health issue preventing you from getting the rating you want? What other options are there? Today, we explore some of the options you might have even if you have a preexisting condition or have simply been denied a policy in the past.Interested in talking with a cash flow banking expert? Visit: https://cashflowbanking.com***If you enjoy the podcast, consider leaving a short review on Apple Podcasts/iTunes for us. It takes less than 60 seconds, and it really makes a difference. I also love reading the reviews!Check Out Garrett's Books:Killing Sacred Cows - https://amzn.to/2lMbX1iWhat Would Billionaires Do - https://wlth.co/yt-garretts-billionaire-bookConnect with Garrett:Facebook: https://www.facebook.com/garrettbgundersonTwitter: https://twitter.com/GBGundersonInstagram: https://www.instagram.com/garrettbgundersonLinkedIn: https://www.linkedin.com/in/garrett-gunderson-651359b3/Website: https://wealthfactory.com/

Exploring being aware of preexisting beliefs and ideologies with neutrality and openness; how the inner growth journey, mindset and lifestyle get you to see and pursue your explorations of this in cosmic consciousness; how it is always a choice at your disposal, accessible by you in any and all moments; what changes this brings to your life when faced with life moments and circumstances; how mind and heart flow are a part of the process too; why your higher infinite human potential is always a major player and accessible through your ability to tap into your higher cosmic consciousness; and how the determining factor will always be you, your belief in life and yourself and whether or not you allow your heart to lead the way in flow with unconditional love and neutrality towards self and others, particularly when the unknown elements of life, the void space of tomorrow's unknown, presents itself to your conscious mind. --- Support this podcast: https://anchor.fm/maria-florio/support

O isolamento social e a falta da escola geraram consequências desastrosas na saúde física, mental e social das crianças. Elas estão adoecendo, tendo seu desenvolvimento prejudicado e vivendo situações de risco. Se isso se repetir em 2021, as consequências serão catastróficas para crianças, famílias e sociedade. Aguardar a vacina não é uma opção. Nos muitos países que promoveram a reabertura das escolas com protocolos de segurança, inclusive em meio à segunda onda, não houve aumento de casos nem surtos escolares. Trabalhos mostram que os surtos raramente se iniciam nas escolas, que escolas com protocolos são seguras tanto para crianças quanto para educadores, e que é incomum a criança transmitir o vírus para outra criança ou adulto. Em síntese: escolas fechadas não diminuem o número de casos e escolas abertas não aumentam este número. Escola boa protege alunos e professores! Reabrir a escola pública é um imperativo moral para o Brasil, validado pela ciência e por experiências internacionais. Mas que exige condições adequadas: reformas, equipamentos, suprimentos, treinamentos dos profissionais e da comunidade. A Campanha "Lugar de Criança é na Escola" tem como objetivo mobilizar a sociedade para o retorno seguro às escolas públicas em 2021. O Ausculta Cast de hoje entrevista o Dr. Rubens Cat e Eduardo Cat, idealizadores da campanha para conversar a respeito dela, dos processos envolvidos em sua produção e das evidências científicas sobre a COVID-19 em Crianças. Referências: Christakis, Cleve, Zimmerman; Estimation of US Children’s Educational Attainment and Years of Life Lost Associated With Primary School Closures During the Coronavirus Pandemic; JAMA Network Open, 2020 Heudorf, Steul, Gottschalk; Sars-Cov-2 in children – insights and conclusions from the mandatory reporting data in Frankfurt am Main, Germany; GMS Hygiene and Infection Control, 2020 Viner et al.; School closure and management practices during coronavirus outbreaks including COVID-19: a rapid systematic review; The Lancet, 2020 Gilliam et al.; COVID-19 Transmission in US Child Care Programs; American Academy of Pediatrics, 2020 Conto et al.; COVID-19: Effects of School Closures on Foundational Skills and Promising Practices for Monitoring and Mitigating Learning Loss; UNICEF, 2020 What we know about COVID-19 transmission in schools; WHO, 2020 K. W. Ng et al.; Preexisting and de novo humoral immunity to SARS-CoV-2 in humans; Science, 2020 Hageman JR.; Can students safely return to school in the age of COVID-19?; Pediatr Ann., 2020 Link da Campanha: https://drive.google.com/file/d/1_ZPHKI_CvCfkI8NfBsF51IusvtZ6lzYV/view

Thank you for listening to our video-based podcast on your favorite podcast app or viewing the video version on our YouTube or Rumble channel.Our podcast is available on all major podcast apps, radio apps, and music apps.Feel Free to also listen to our A.G.E. Podcast from your browser on our website by simply copying and pasting our link https://arigoldexperience.simplecast.com/ into your browser of choice or simply clicking on the link from your mobile phone or tablet if you don't have any mobile podcast apps or music apps to listen to our podcast.  This is our custom podcast website offered by our podcast host to enable our valuable listeners the universal ability to access and tune in to all of our podcast episodes directly from their mobile phones, tablets, desktops, or notebook browsers and listen to our daily podcast over the browser-based Simplecast Web Player directly from their browser of choice from anywhere in the world.If you enjoyed the podcast, feel free to subscribe to the podcast on whatever podcast station you're listening to your podcasts on. If you are listening to us on Apple Podcast App,  feel free to write us a review of your listening experience and that will help us rank in the Apple Podcast category pool and in return we will do a shoutout of your name and read your review in our newest podcast since we make our podcasts on the daily on the day of to stay current and live in the moment.  Thanks again for your time and listen!  Enjoy!!!  Much love, Ari GoldIf you enjoyed the content and wish to check out my content and projects on other platforms on the internet, you may do so by checking out the links and addresses below:Visit Our Linktree https://linktr.ee/chosen_energy by Copying & Pasting this URL address to your browser to access all the links to our platforms in a tab format with One-Click/Tap n Go feature) Enjoy!!!Follow us on Parler: @arigoldexperienceFollow us on Twitter: @arichosenenergyFollow us on Facebook: @chosenenergy22Follow our Facebook Group: @pendulumenergygroupFollow our Podcast on ANY Podcast & Music App, by searching: ARI GOLD EXPERIENCEFollow my Podcast on Apple Podcast App, by searching: ARI GOLD EXPERIENCEFollow me on TikTok @youtubrplates “Have a super day and always live in the moment to feel alive”  - Ari Gold

#1 in an Advent Series: The Advent of the Son of God

Daniel Griffin provides a clinical report on COVID-19, Kathleen Crowley explains the role of Environmental Health & Safety departments, update on SARS-CoV-2 transmission in farmed mink, and the presence of pre-existing antibodies to SARS-CoV-2 in unexposed individuals. Hosts: Vincent Racaniello, Dickson Despommier, Alan Dove, Rich Condit, and Brianne Barker Guests: Daniel Griffin and Kathleen A. Crowley Subscribe (free): iTunes, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode Pfizer vaccine efficacy (Pfizer) Pfizer vaccine (Stat) Distribution of Pfizer vaccine (NY Times) LSTMH vaccine tracker SARS-CoV-2 humans to mink and back in Netherlands (Science) SARS-CoV-2 mink isolates in Denmark (pdf) Preexisting antibodies to SARS-CoV-2 in humans (Science) Letters read on TWiV 681 Timestamps by Jolene. Thanks! Weekly Science Picks Dickson – OSIRIS-REx | NASA Brianne – Virtual Science Museum Tours Alan – Ring Fit Adventure Rich – BUGSS Baltimore Underground Science Space Vincent – Trilobite glassworks Listener Pick Gina and Joe – COVID Fan Tutte Intro music is by Ronald Jenkees Send your virology questions and comments to twiv@microbe.tv

Daniel Griffin provides a clinical report on COVID-19, Kathleen Crowley explains the role of Environmental Health & Safety departments, update on SARS-CoV-2 transmission in farmed mink, and the presence of pre-existing antibodies to SARS-CoV-2 in unexposed individuals. Hosts: Vincent Racaniello, Dickson Despommier, Alan Dove, Rich Condit, and Brianne Barker Guests: Daniel Griffin and Kathleen A. Crowley Subscribe (free): iTunes, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode Pfizer vaccine efficacy (Pfizer) Pfizer vaccine (Stat) Distribution of Pfizer vaccine (NY Times) LSTMH vaccine tracker SARS-CoV-2 humans to mink and back in Netherlands (Science) SARS-CoV-2 mink isolates in Denmark (pdf) Preexisting antibodies to SARS-CoV-2 in humans (Science) Letters read on TWiV 681 Timestamps by Jolene. Thanks! Weekly Science Picks Dickson – OSIRIS-REx | NASA Brianne – Virtual Science Museum Tours Alan – Ring Fit Adventure Rich – BUGSS Baltimore Underground Science Space Vincent – Trilobite glassworks Listener Pick Gina and Joe – COVID Fan Tutte Intro music is by Ronald Jenkees Send your virology questions and comments to twiv@microbe.tv

COVID-19 in and of itself is frightening and confusing. Now imagine you are a patient who is immunocompromised, already living with a respiratory illness, or are receiving infusion therapy. Access to medication and care became much more complicated as did concerns about COVID-19’s impact on these serious conditions. Providers who were already stressed faced incredible issues in delivering care, keeping their staff and colleagues not just safe but — in many cases — employed at all.In this episode, inVibe expert Kathryn Ticknor Robinson and host Rich Schwartz explore some of the insights that inVibe uncovered from these patients and physicians. We will hear directly from those with serious conditions about what they need from life science manufacturers and explore how these insights from the worst of times can help us all in better times. 

We discuss the risks and benefits of a potential Internet of Bodies revolution; what happens if the ACA is struck down and COVID-19 is considered to be a preexisting condition; a drop in the use of preventive care; how much Americans value their health during the pandemic; and science-based strategies for dealing with election anxiety. For more information on this week’s episode, visit rand.org/podcast.

As part of our election series, Stephanie Desmon talks with Dr. Gerry Anderson, an expert in health policy at Johns Hopkins. They discuss what the election could mean for the coverage of preexisting conditions, Medicaid expansion, and drug pricing. They also talk about a Supreme Court hearing in November that may determine the future of the Affordable Care Act, the similarities and differences between the candidates’ views of the ACA, and a fact check on whether insulin really is as cheap as water.

An enormous new data set peers into the health of the world's population before 2020—and how the coronavirus turned that into a global disaster.

Rod Arquette Show Daily Rundown – Thursday, October 22, 20204:20 pm: Dr. Mary Tipton, an internal medicine and pediatric specialist, joins the show to discuss why she says Republicans are not out to get people with pre-existing conditions4:35 pm: Columnist Michelle Quist of the Salt Lake Tribune joins the show to discuss her piece about the political civility, and incivility, in Utah5:05 pm: Jim McConkie, the attorney for the family of slain University of Utah student Lauren McCluskey, joins Rod to discuss the details of the settlement of the lawsuit that was announced today

Episode 8: In this week's episode - learn from Nationwide Long Term Disability and ERISA Attorney Nancy L. Cavey about How Disability Insurance Carriers Take Advantage of Their Policy Holders and the Preexisting Condition Exclusion.Resources Mentioned In This Episode:LINK TO ROBBED: https://caveylaw.com/get-free-reports/get-disability-book/LINK TO PROFESSIONAL BOOK: https://caveylaw.com/get-free-reports/disability-insurance-claim-survival-guide-professionals/FREE CONSULT LINK: https://caveylaw.com/contact-us/Need Help Today?Need help with your Long Term Disability or ERISA claim? Have questions? Please feel free to reach out to use for a FREE consultation. Just mention you listened to our Podcast!Review like and give us a thumbs up! We love to see your feedback about our Podcast!

GOD'S people have become a NEW CREATURE; A NEW CREATION!! ALL of the OLD things have passed away and should not be spoken, accepted, expected or received EVER AGAIN

A longtime friend of the pod Zach Rayment joins the podcast yet again as we discuss life in a COVID world with a preexisting condition. We take the serpentine road as we come full circle, touching on Prime Day, Healthcare, Doggface208, partisan leadership, and more!

The U.K. this week recorded its highest single-day increase in new coronavirus cases so far, and its biggest one-day death toll since July. Today on Trend Lines, The Atlantic’s Tom McTague joins WPR’s Elliot Waldman to discuss the structural failures that undermined Britain’s COVID-19 response. If you like what you hear on Trend Lines and what you’ve read on WPR, you can sign up for our free newsletter to get our uncompromising analysis delivered straight to your inbox. The newsletter offers a free preview article every day of the week, plus three more complimentary articles in our weekly roundup every Friday. Sign up here. Then subscribe. Relevant Articles on WPR: For the U.K. and Ireland, Brexit and COVID-19 Are a Perfect Storm Will Ireland and the U.K.’s Divided Responses to COVID-19 Fuel Irish Unification? ‘It Was Always Going to Be Horrible.’ Britain’s Former Top Emergency Planner on COVID-19 Boris Johnson Is Hurtling the U.K. Toward Another Brexit Cliff Trend Lines is produced and edited by Peter Dörrie, a freelance jo urnalist and analyst focusing on security and resource politics in Africa. You can follow him on Twitter at @peterdoerrie. To send feedback or questions, email us at podcast@worldpoliticsreview.com.

Medicare is a topic that’s often discussed – and often misunderstood. June Kim is a community relations specialist with Blue Cross Blue Shield of Texas that specializes in Medicare, and she’s here this week to separate the fact from fiction. Though it can be confusing at times, she’s passionate about making healthcare a more approachable, understandable topic for seniors. This week Lori and June will discuss key differences between the original Medicare plan and Medicare Advantage, the limitations of each, and who might benefit from each of the plans. There are also opportunities to switch the plan and inherent risks of doing so. For instance, seniors must be healthy to enroll in a Medicare supplement program, but they couldn’t get coverage for preexisting conditions such as cancer. Based on knowledge like this, June offers insights and tips to help seniors navigate their healthcare.Takeaways from this episode:- Seniors aged 65+ are eligible for Medicare, and there are 2 types: Original Medicare and Medicare Advantage.- Medicare is strictly for medical insurance and doesn’t cover senior living facilities (assisted or independent). - Everyone should take advantage of Medicare Part A, which is free and covers hospital costs- Medicare Part B covers doctor visits, X-rays, outpatient care, and more – which requires a monthly premium and increases each year.- Original Medicare (consisting of Parts A and B) and does not cover everything, just 80%, so patients must pay the remaining 20% in addition to the normal Original Medicare monthly premium.- Those who choose Original Medicare can supplement with “Medigap” coverage, which can cover the remaining 20% – but to be eligible, patients can’t have preexisting conditions.- Those who still have medical insurance through their employer don’t need to sign up for Part B healthcare plan because it’s essentially double-paying.- Medicare Advantage is Part C, which is a local plan that often requires co-pays, making it an attractive option for those who seldom visit doctors or don’t have the resources to pay larger monthly premiums.- Part D helps cover the cost of prescription drugs, so they’re more affordable.- Medicare Advantage is an “all-in-one” plan that often bundles in add-ons like drugs, transportation, hearing aids, and even basic vision and dental.- Medicare Advantage is also very localized, so if you move, you’d need to enroll in a different Medicare Advantage plan. - There’s a risk involved with switching from Medicare Original to Advantage – if you want the Original plan again because you’ve become ill with a disease, you wouldn’t qualify for the supplement plan. Topics discussed- Medicare plans and supplements- Prescription drug coverage- Home health / rehab- Hospital visits- Preexisting conditions- Medicare enrollment- Switching Medicare plans (life changes)For more information about plans and the brochure mentioned in this episode, please visit:www.Thinkbluetx.comTo contact June Kim:June_kim@bcbstx.com214-783- 7901For more detailed and up to date information please go to:www.medicare.gov and for social security www.ssa.govTo suggest a topic, be a guest or to support the podcast please email Lori@Loriwilliams-seniorservices.com or reach out online:https://www.facebook.com/LoriWilliamsSeniorServices/https://www.instagram.com/theloriwilliams/https://www.linkedin.com/in/theloriwilliams/https://loriwilliams-seniorservices.com/aging-in-style-podcast/

Montana's Secretary of State loses his battle to keep Green Party candidates on the ballot. New campaign ads focus on family and gun rights. The two candidates for governor release their health care plans. The national party conventions may hold little sway over Montana races. And Governor Bullock rebukes State School Superintendent Elsie Arntzen in their ongoing dispute over school masking policy Listen now on Campaign Beat with Sally Mauk, Rob Saldin and Holly Michels.

Montana's Secretary of State loses his battle to keep Green Party candidates on the ballot. New campaign ads focus on family and gun rights. The two candidates for governor release their health care plans. The national party conventions may hold little sway over Montana races. And Governor Bullock rebukes State School Superintendent Elsie Arntzen in their ongoing dispute over school masking policy Listen now on Campaign Beat with Sally Mauk, Rob Saldin and Holly Michels.

Montana's Secretary of State loses his battle to keep Green Party candidates on the ballot. New campaign ads focus on family and gun rights. The two candidates for governor release their health care plans. The national party conventions may hold little sway over Montana races. And Governor Bullock rebukes State School Superintendent Elsie Arntzen in their ongoing dispute over school masking policy Listen now on Campaign Beat with Sally Mauk, Rob Saldin and Holly Michels.

Allison Lane on "American exceptionalism was our preexisting condition" On "American exceptionalism was our preexisting condition" in The Washington Post Donate to our Patreon

Whitecaps player Tosaint Ricketts says it's tough to swallow that he can't play in the MLS is Back tournament but medicine he's taking for a preexisting condition compromises his immune system. Tosaint says he expected the start of the bubble to not go smoothly but the hope is everyone will follow protocols while in Orlando.

Medical anthropology may not be the first discipline we associate with public health, but it provides perspectives that are vital to understanding the many and complex intersections at the root of health disparities.

Medical anthropology may not be the first discipline we associate with public health, but it provides perspectives that are vital to understanding the many and complex intersections at the root of health disparities.

Medical anthropology may not be the first discipline we associate with public health, but it provides perspectives that are vital to understanding the many and complex intersections at the root of health disparities.

How do poverty and racism put people at risk for COVID-19, and how do we protect those most vulnerable? On the latest episode of Add Passion & Stir, Sojourners Founder and President Jim Wallis and Billy Shore discuss how the COVID-19 pandemic is exposing the inequities in our society. “Poverty and racism are preexisting conditions that help you get the disease,” says Wallis. “We need to consider how can we redeem this time not just for immediate response, but also how will this change us going forward.” As the two discuss Wallis’ work addressing those in need within the faith community and Shore’s work feeding hungry kids and families through the No Kid Hungry campaign, these two change-makers reflect on the need for leadership – political and otherwise - now more than ever. “SNAP [the federal food stamp program] is maybe the most effective way to serve people’s immediate needs and revitalize the economy at the same time... We need politicians from both sides of the aisle to prioritize poor people,” Wallis believes. “One of our responsibilities from a leadership point of view is to help people see how we can make some permanent changes, so that the next time there’s such a crisis, the vulnerable are not as vulnerable,” says Shore.

For All Abilities – The Podcast Lanie Zipoy - Life is a Preexisting Condition     In this episode, I interview Lanie Zipoy-     . On the podcast, Lanie talks about her ongoing diagnosis of several concussions and living and working with a brain injury. We discuss her career as a filmmaker and working from home and COVID 19 with a disability.  To connect with Lanie, please follow her  on LinkedIn (Lanie Zipoy) or on her website at LanieZipoy.com or the website of her movie, The Subject at https://www.thesubjectmovie.com    Go to our website www.forallabilities.com for information on our software that enables employers to support their employees with ADHD, Dyslexia, Learning Differences and Autism. Thanks for listening!  Betsy     Thanks for listening to For All Abilities today!    Share the podcast with your friends, they’ll thank you for it!   Get our newsletter and stay up to date! The newsletter link is on our website www.forallabilities.com   Follow me   Twitter: @betsyfurler   Instagram: @forallabilities   Facebook: @forallabilites   LinkedIn: @BetsyFurler   Website: www.forallabilities.com   Full Transcription from Otter.ai             Betsy Furler  0:03   Hi, everybody, thank you so much for tuning into for all abilities, the podcast, I am so glad you're all here to hear from yet another person who is living life with a brain that may be a little bit different from other people's brains, but has really led her into an amazing career. It's super exciting for us to have Lanie Zipoy here with us today. And Lanie and I met because we were on a panel at Dell. Lanie is a filmmaker and she's going to tell us all about herself. So lanie thank you so much for being here. Welcome. And why don't you introduce yourself to my audience and tell them kind of a little bit about you?   Lanie Zipoy  0:48   Great. Thanks, Betsy. I love your podcast, so I'm very happy to be on. Yes. As you said, I'm landing. Boy. I'm a Brooklyn based filmmaker. And I have been doing And for the last nine years, over the course of those years for different traumatic brain injuries, or as people know them as concussions, and it's just changed the way that I live really changed everything about my life, and but in ways that were profound and have been helpful, in some ways, as well as challenging.   Betsy Furler  1:22   So as you know, and other listeners know, usually I asked you what you were like as a child and for you, it's a little different because when you were a child, you were a totally neurotypical person. So, but I still want to hear I still like to hear people's childhood stories. So tell us a little bit about what you were like as a kid how school was, what you love to do, what college was like for you just give us a little a little glimpse into your life as a child and young adult.   Lanie Zipoy  1:53   Yeah, I grew up in Memphis, Tennessee and a blended family that had two older brothers a younger sister, and we were pretty far apart in age, all of us so that was pretty interesting. But like you said, I grew up very neuro typical and that I was a pretty high achiever. I loved all subjects, but you know, particularly shown in science and in English, I love those. I also loved theater and a bunch of things. I was an athlete, I played softball, volleyball, basketball, and even some tennis and golf and bowling. Yeah, I was very active and I played softball through college and volleyball. So you know, was a very high achiever, both on the field and then academically. I love school. I loved going every day. My mom always joked that when I would come home, I would sit right down, do my homework was very focused. And then she had my sister and my sister would come in and she expected her to do the exact same thing. And my sister never ever sat down. And did our homework it was always much more of a struggle. She was like, wait, what happened? What did I do, right? It was just we were very different. My sister also was very high achieving academically, but not focused in the same way that I was. And so then I went off to college and, you know, got to study about different cultures and, and also studied some biology. I did some biology research when I was in high school and through college and really loved that, but ended up doing something really studying more academically in the arts, which I ended up loving. And then right after college, I did something that was a little bit different is that I went to massage therapy school in Seattle. And it was a very medically based massage therapy school. So it blended a lot of what I knew in terms of anatomy, physiology, kinesiology, and that stuff, but also with hands on healing. And then I moved to New York and things sort of changed from there.   Betsy Furler  3:57   So when Where did you go to college?   Lanie Zipoy  4:00   I went to the University of Pennsylvania in Philadelphia. Oh, nice.   Betsy Furler  4:04   And I am well, I grew up in Texas. I also kind of have a piece of Tennessee in my heart and my childhood because my dad got his doctorate in a program that was Vanderbilt and University of the south and so on a Tennessee. Mm hmm. And so we spent every summer for I think, seven years. And Suwanee, Tennessee.   Lanie Zipoy  4:26   That's a beautiful place. It's a   Betsy Furler  4:27   great place. It couldn't have been more perfect right to get to his little girl to get to run around there. So I love Tennessee. So once you so I guess let's fast forward, what did you tell us about what your career was and then how you acquired the pen injury, and then how your career has changed.   Lanie Zipoy  4:49   Wow. So for about a decade when I moved to New York, I needed a job and I ended up working in fashion. And I loved it. I was creative in some ways, and Through part of it, I got to work with fashion designers from Target to Marc Jacobs in terms of developing color stories and what that is, what are going to be the hot colors this year, what's going to be what everybody's going to want to wear in both jewelry and clothing. And to to arrive at that you look at like what movies are coming out what paintings or what artwork is really circling right now where is the world. And so it sort of brought a lot of the things that I like humanity is studying culture and put it into color. And so I did that for about a decade. And then I have the opportunity to transition to work more in the arts, in theater and PR because I had done some PR while I was in college and had had helped some people on the side while I was working in fashion. And I started doing PR for theater and I loved it. It was great. But I quickly transitioned into producing theater because I saw a lot of plays that I loved and they weren't getting the attention that they deserved in terms of getting longer productions and people being aware of them. So I started producing theater. And it was jury producing theater that I sustained my first concussion light in a theater fell on my head. And I had a skull fracture. And I'm very lucky that I survived that it was about nine years ago this week, actually. And it was it was really hard to recover. You know, I was working for myself without a lot of support. And so now I'm a huge advocate with anybody that I know who suffers a concussion, that the time immediately after is so essential to taking care of yourself to self isolating, to making sure that you're not doing anything that causes harm later on. And also to understand that some of these effects for some people go away in a couple of weeks if they're mild. If they're more severe, they can have more or less lifelong effects and understanding what those are is really important.   Betsy Furler  7:05   Well and I think as people who are very highly motivated and very you know, I guess product driven as we are, that that's really hard to take that time to slow down. And it's hard for the people around you to realize you need that time. You know, I'm sure people were just like happy you were alive and then like, Okay, come on, let's go on with life as it was before.   Lanie Zipoy  7:37   Oh, completely, they expect that you're going to just snap your fingers and you're going to be back at one right ready to hit the ground running. And you're just not I mean, both physically, mentally, socially, emotionally. Like in every aspect, you're not ready to go. I mean, I I describe it that for me, particularly after the first one and then unfortunately, I had a Second one that was an accident on the subway about six months later that was in the same location. So that was really not great for my brain. But you know, the recovery from those two took a long, long time. And there were often times where I describe it where I didn't feel like my brain was attached to my body. I felt like I really had no, it was wobbly. It moved and I wasn't sure which way it was going to move. It was slightly like being constantly seasick or just not feeling like you had your feet firmly on the ground, not able to think and if you've ever had a computer that's getting old and you feel like the processing and everything is running down and it's really slow, and the green gears are grinding, it would have that sort of effect as well. And then if you top it with other side effects such as insomnia, and then later for me some other things I've had which are choking and inability to swallow and stuff. It just it becomes Pretty monumental in your life. It's sort of takes over. And everybody's like, oh, but you're fine. You're alive. You can you can   Betsy Furler  9:07   talk. Look, you look okay. Like you always have   Lanie Zipoy  9:09   lunch. And exactly. And that is really the thing is that everybody thinks that you're you are processing everything the same way that you were and you just aren't. I have, I've luckily been able to go to some support groups, and those have been really wonderful. And I remember the first time I went this woman who had been in a terrible car accident, and it said, and that it killed her fiance she had lived but had had a really terrible brain injury. She said, you know, that's the day I died. She was I was reborn as somebody new and different, but who I was before. I've never been that person again. And I really feel that I've never been the person I was nine years ago. And, but I've learned how to live with it. And I'm grateful for it. In many ways. It's been a great teacher, but there are still days or times Where you kind of miss that person that you were right before the accident.   Betsy Furler  10:04   And things were probably much easier for you prior to the accident.   Lanie Zipoy  10:09   And they were they were but you know, I now know if problems or things come up that I'm probably a little bit more resilient than I was, you know, there was something that was great about being able to learn really easily thinking like being able to have a great memory that actually would scare people at times that I could remember figures and things about them. They're like, wait, what, what's going on? Are you how do you remember that and I just did naturally. But in some ways, I'm kind of grateful now that I have developed new tools, new skills, new abilities, to not give up and to keep trying, and also to be kind with myself, when I don't remember something. Or, or if it takes me a little bit longer. I'm just like, I'll come back to it and I'm not judging myself about it. I'm just like, okay. You will remember it at some point because even though I've had four traumatic brain injuries, the thing I know at the end whenever they happen is okay, I will come back in some fashion maybe not exactly the way I was, but I will figure out a way to function.   Betsy Furler  11:16   Right, right. So tell us what you were doing now for work professionally and because it's really super fascinating and as my audience already knows, I love film and I also got to be the a consultant on a film as the disability consultant. I've just had so much fun on the SAT with them and, and then getting to see the final. The final product is so amazing and it's in on the the film, what do you call it? I've lost I've lost the word.   Lanie Zipoy  11:56   Excel, is it streaming or is it   Betsy Furler  11:58   no film festival circuit. Oh, that's great. Yeah. Which, who knows what's gonna happen with that? But anyway, the Yeah, so it's it's been super exciting. So I just can't i can't wait to hear more about your film. So I wanted to tell our audience kind of what you're doing now and, and how your brain in this different way your brain works has kind of kind of like played a factor in that.   Lanie Zipoy  12:24   Yeah you know thank you yeah I'm very excited and I'm with you Betsy being part of film has always been a dream when I was when I was little I loved adult films, not cartoons I would make my mom take me to see films in the theater that were for adults, and she would and we would discuss that it was great, but I get you know, I get the chance to admit some short films, but I got the chance to direct feature film called the subject which stars Jason Biggs known for American Pie and many other things in a dramatic role where he plays a documentarian who in the making of his previous film, caught the murder of his subject and African American teen on tape. And two years later, he's dealing with the moral fallout of that and the ramifications of Could he have done something? And as an artist, how was he responsible to this kid he was filming and what should he do? And how should we be in the world? And, you know, I think with everybody having cell phone cameras now, we're all we're probably all going to be faced with that at some point. Do you film What's happening? Or do you ever jump in if you see something in front of you, and what is our calling, so it deals with that and it also stars ingenue Ellis, who I've been a big fan of for about two decades, and she was just Emmy nominated for when they see us on Netflix and Annabel Acosta and Mr. Patterson, I got to work with some really fantastic actors they knew from both screen and from stage so for me, it was really a delight. And it was great because sort of as concussions teach you that you know, to be resilient But also that you can't do everything yourself, which was maybe before I had my traumatic brain injuries, I probably thought I could do more by myself than I do now. That film and I think you would have seen it when you onset is so collaborative, it takes everybody to make amazing   Betsy Furler  14:19   i get i that surprised me. When I got to have that experience, and I was so blown away by how, how much everyone works together and helps each other so much. And it felt so giving. And so yeah, so collaborative. That's the perfect word for it. Yeah,   Lanie Zipoy  14:41   yeah. And it's wonderful. And that's why the credits are so long at the end of the film, because it takes every single one of those people to make it happen. And so for me, what was great about it was that being the director, you listen to everybody from all the different departments, but you get to make the final decision in terms of how things are going to proceed. Are we going to shoot this way? Do we need to do another take? What do the actors needs? And the truth is I think concussions were very helpful for me and becoming a better director and really listening and asking the actors, first of all, what do you need? And you know, when you and I were talking about during this interview, one of the questions you asked me was, what time of day is good for you? And that was so refreshing to hear. Because most people won't think about that. But because of my concussions because I have ongoing insomnia that I'm okay with, I can manage. I'm not great in the morning is much better for me to meet in the afternoon. So, you know, I talked to the actors, like how do they like best to work what is good for them? And you know, that sort of care and attention like one of them said to me, I've never been asked that ever. And I think that those sorts of lessons those small, actually can impact your day. I mean, whether you get what you want on any given shoot day. or you don't. So I feel very fortunate that I'm getting to work in a field that I love. And part of the reason that I made this pivot to directing was because I knew after going through all my concussions that I was resilient that I could make it through, but that I needed to live out what my dream was, and what I really wanted to do, and that is to direct film.   Betsy Furler  16:21   That's amazing. And I do think that sometimes when something traumatic happens to you, or you have an injury, or in my case, it's my son, my I have a 22 year old, he's medically complex. I learned, you know, before I had him, I really thought I was in control of this world. And I quickly learned that I'm not Yeah, and you know, it's and I've learned that more and more and more over the years. It's kind of a lesson I need to keep learning but I think that sometimes when something like your traumatic brain injury happens, you realize that kind of two things One that you're not in control, yes, but also that you are steering the ship and you, and you only have this one life to live. And so doing something you love is really important.   Lanie Zipoy  17:17   It's it's so true. And as I mentioned, I'm really into sports. And as I was making my movie, there's a lot of stress. I mean, making a movie is like starting your own company with about 200 people working for you and getting everything off the ground. So there's a lot. And, you know, there were just a couple of things that I would think about with regard to control. One is, just take the next step. Don't go beyond that. take the next step, and then you'll find the next one. But the other thing is, I'm a huge baseball fan. I love the New York Mets. And I've gotten more into them actually post traumatic brain injury because another thing it's taught me is find your joy. Find the things that make you happy and lean into those wherever you So I'm a huge one direction fan. I love corgis. I love the Mets. And I have no qualms about those. Because if I need to, I can watch any of those things, and I'll feel better and it'll set me for a good day. But while I was making my film, one of the Mets pitchers, Jacob Grom was having this amazing season. But the Mets weren't playing well behind them. They would never score new runs, he wouldn't win the game, but he would pitch phenomenally each time he went out. And after every interview, they would ask him, how are you able to do that? And he said, I'm only focused on what I can control. And, you know, as I that was my mantra, so every day I would wake up and I would say, what would Jacob Grom do today? Like what what is in my control? And that's all I can answer. And you know, just to have that reminder in sports, where every every day is a winner law elute you know, you win or lose every day. Yeah. Which is really like, Oh, this is great. This is how I can set myself up to win every day is to think about what is in my control and work on that.   Betsy Furler  19:02   Yeah, I'm amazed by elite athletes. I'm not I'm not an athlete in itself. And so I never I never thought about this world until really like, a few years ago, but I'm amazed by elite athletes and, and their mindset and ability to get past all sorts of obstacles, you know, because there's lots of people who are have the physical talent, and, but they're not that many people who can have the physical talent and the talent with using their mindset in the right way. And I think the same thing with, you know, directors of film and therapists and, you know, business owners and everything, like that mindset piece is so, so important.   Lanie Zipoy  19:51   It makes or breaks anything and having, you know, been an athlete myself and pitching at the collegiate level. It does how you how you end Winter will change everything. And so yeah, so it's great to have to have those lessons. And you know, as I went into my production, the other thing that I really wanted to think about was how to control the environment where not only is the film, what people are going to see out in the audience, something that I would be proud of, but the environment in which we worked, I would be proud of. And I think that that's the call for everybody as well working and as we said, we met on that conference call with Dell, when I've been so, you know, inspired by is the work that they are doing to support their staff in ways and that means so much. And so, you know, for me, that was the other part of being the director and being sort of, you know, front and center is how can I support the other people I'm working with, they may not have had concussions but a lot of people are dealing with something right like life is a pre existing condition is what I say.   It brings you something   Betsy Furler  21:00   Yeah, and that's true. And we all have differences in the way we think and, and work. And the more you can make someone comfortable, the more you can get out of them. You know, from just a selfish standpoint, whether you're an actor or a company, the more you can, the more comfortable and valued that your employees feel, the better they're going to work for you. So, you know, whether you're making a film or making computers, that is so important, and I think it also, you know, you also gain the respect and the loyalty in that way, as I'm sure that people loved everyone who, who worked on your film just absolutely loved it and will carry it with them forever because of they felt that respect.   Lanie Zipoy  21:53   Thank you. Yeah, I think they did. We're all still in each other's orbits and still keep in touch. You know, we're sort of family In a way is what it would it created. And we're all looking for ways to work together again, because it was so joyous, we looked forward to every day, even if it meant we were on set at 6am. We were very happy to be there, you know, and that, that says something. And you know, the other part was honestly, I didn't write the script that was by CISA, Hutchinson, but it has something to say about this world. And so when you also work on projects that people feel engaged with and feel are really important. That also helps. So I was very fortunate to have that on my side as well.   Betsy Furler  22:33   Yes. So since we are all in various forms of quarantine or shelter in place, and would you be willing to talk a little bit about how you have reacted to, I think your shelter in place, correct?   Lanie Zipoy  22:47   Yeah, yeah, I'm a shelter in place in New York City. You know, I have, I think that a lot of things have really prepared me for this moment. And this is where you know, somebody He said to me, Well, your concussions have been your greatest teacher. And I think that that is true even if I didn't want to accept that at certain points. But you know, there are a couple of things that happen when you have a traumatic brain injury. First of all, it happens in an instant and your life has changed. You're completely different, how you orient to the world, the things that I need to do now, to prep myself for a project are different than they were before. And that changed immediately in a heartbeat. And I had no control over that. And that's sort of I think, what we're feeling right now, it didn't happen immediately, but pretty quickly that we went into shelter in place. And so I'm feeling like, oh, my goodness, my life is totally different. Additionally, because of my concussions I've been working from home for for quite a while, partially because of my insomnia. It's just much better, that I don't have a nine to five job where I have to be somewhere for long periods of time at the same time in the morning. I can get up some mornings or on a film shoot it's a few weeks ago. Do that. But this way I can control my schedule. I think the other thing is is that you know, when you're when you have the compression often you're off devices and I highly recommend that to people I think be as connected as you can be, but definitely find time not to be connected. And just be with yourself and let your mind rest because that is really good, especially when things seem scary and overwhelming out in the world. And then like I said, you know, alluded to earlier, you know, I, if I'm feeling down or out of place, I find something whether it's listening to a silly pop song or watching a Corgi video, and I just give myself that breath to do it or if it's meditation, whatever it is, that we need to sort of set us right is really, really important. And you know, I feel like those are great lessons that I've learned from from concussions also I've to heal. I've also had to self isolate, but I I will say I do remember in the early days of my self isolation from concussions just how difficult that was because I am naturally gregarious person, I am a New Yorker I do like going out and enjoying it. So I understand the sort of existential dilemma and crisis we're in, but then the real need for, for people and for seen others and I get it. It's really, really tough and challenging. But I think as we do it more and as we get more used to it, it becomes a little bit easier.   Betsy Furler  25:32   Yeah, I say that I'm, I'm a very extreme extrovert and I don't just need to talk to people and see them on zoom. Or see one person at a time I need 150 feet or on the street or whatever. Like that is 100% where I get my energy and so I've been really having to be creative about how I how I get, you know, get enough people time into my life. My my son, my 22 year old son, which my podcast listeners know, but yeah, he had, he's had a very rare autoimmune disease his whole life. And then he developed autoimmune encephalitis and he has a acquired brain injury because of it. He's doing absolutely great. But there are times you know, still, like you were saying, where his brain just doesn't work the same as it did before. But he is really rocked this whole shelter in place thing, we have pretty much quarantine him from the beginning, because we don't want him to catch it. And so, you know, we've also isolated him a bit from the rest of the family. And because he's been in the hospital so many times and sick so much, he's just like, you know, hey, yeah, let me sit and watch Disney Channel for, you know, 12 hours. And, and yeah, I mean, he's still coming out and we try to walk and everything but it's really been so much easier on him than that. The rest of my extremely extroverted family, we're all extroverts. And and so, you know, we're all like, Hey, where can we drive? Is Starbucks drive thru open?   Lanie Zipoy  27:10   Right, right. Yeah, I think it is a combination of figuring out what it is that you can possibly do to, you know, stop yourself from, you know, having anxiety about this or not seeing people. I totally, I totally think that but I also just know, and I think this is that we're adaptable. And sometimes we think we're not, or that we can't handle change. But I have seen people faced with so much in my lifetime, and they've been able to figure out a way to make it through and whether that's illness, whether that's, you know, changing in the brain, you know, brain injury, whatever it is, but I trust that we can figure out a way you know, a friend of mine on zoom last night, I was talking to a friend but her husband was in the background. He yelled off camera. Manny, is there any hope? And I said, Yeah, there's always hope. There's always hope.   Betsy Furler  28:05   Absolutely. There is always hope. And I think one thing that people with any sort of disability are difference and you know, diagnosed with any kind of condition or medical problem. And, you know, people will say, oh, they're so resilient. And it's like, Yeah, they are. But you know what, we all are that resilient. But they've had the chance to prove that. Yes. So you've had so you now know, you can get hit on the head and almost die and, and then make this amazing film. Yeah. Wait, before that. You probably thought if I got hit on the head. I'm done.   Lanie Zipoy  28:45   Yeah, yeah, I would have never imagined I would recover in the way that I did. Right. And I didn't know that I could live with certain things day to day. The way that I the way that I do and I but I'm not the only one. I see that. I have a lot of friends who have suffered traumatic brain injuries and other things. And I watch what they do and I marvel. And the truth is, is use. As you mentioned earlier, a lot of times when people see me or see my friends who have TBI is they have no idea. Like none like we don't we don't present anything that wouldn't necessarily make them think that we are living a little bit differently. And so yeah, but I have seen resilience and in all of its forms, and I know that even though this is tough, but we will find ways to make it through   Betsy Furler  29:31   we will and will probably be much better off to all said and done. I just see. I know, you know, just the slowing down of our society, the less time spent in traffic the less quote unquote busy for the sake of being busy. You know, we we would go out to dinner and spend so much time just driving back and forth from the restaurant or all sorts of different things where it's like yeah, Now that we're not doing that anymore, I really, I really don't miss it. I'm really enjoying walking in my neighborhood and chatting with neighbors I haven't seen in 15 years sometime. And I think I think that it's I think it's all gonna be okay.   Lanie Zipoy  30:16   Yeah, I mean, I think I think it will be really rough before it's okay. But I think it will be too. I think it's just us learning new ways and learning new ways of support. You know, in the short term, yes, I'm concerned because most of my friends are part of the gig economy. And they're artists without a job. So yeah, so so in the short term carrying a lot of fear, and I'm concerned about them. But you know, another thing I learned that is also helping me in this is that my film has been accepted to a few festivals, but as to when they are happening, I'm not sure and I'm waiting to hear from a bunch of other festivals, but also they don't know what's happening, right. So there's all this like, right, what's next, I was planning on having the premiere of my festival in just about six weeks and now it's like, I I don't know when it's gonna happen. But I saw this film about a month ago at BAM called Kane river that was made in the 1980s and independent African American film. And the filmmaker at 41 died of a heart attack right before anything was going to happen and is shown at one festival. This movie took almost 40 years to be released into cinemas, I cried, you know, as a filmmaker, I cried when I watched it thinking about that. But his children who were 10 years old around the time that he passed away, got to see it. And they said that it was like having their father standing right next to them again, which is going to choke me out thinking about what I thought there is a way like this is not the way he envisioned this is probably not what he would have wanted. But audiences got to connect with this film 40 years later. And there was something about that, that as you know, as I was starting to understand that the pandemic would also affect the release of my film in some way that I was like, Okay, I can be okay with that. I'm not in control, it will happen in some way. I hope it's not four years from now that it's seen, but I will just trust that it will happen in the way that it's supposed to at this point.   Betsy Furler  32:11   Well, and I actually had like an incredible week. So as you know, and I think my listeners know, I have a start up as a start up and my saw I have a software solution for employers to use to support their employees with all different kinds of brains. Yep. And, you know, I thought as this was kind of coming on, and I've known since China, hey, I was like, it's gonna come here like, this is logical, right? So what am I gonna do? And I thought, you know, at first I thought, whoa, I'm not gonna get any funding for my company. This is going to be so hard. I'm not going to get to pitch I'm, Oh, my goodness. Now South by Southwest is, you know, not happy and, and then last week, I had my virtual pitch event on Monday of last week, you and I spoke to Dell on what it was that Thursday. Yep. And another computer company. He contacted me like just off of LinkedIn out of the blue. Like, tell us about your software, we might need to use it. I mean, it was just like kind of a amazing week. And I love it. I love it. And it just shows that even though it's not happening in the way we thought it was gonna happen. Again, we're not really in control of that. So yeah, so I know your film is going to thrive, and I personally can't wait to see it. Thank you. And I would love for our audience to be able to follow you keep in touch. So how can they find out more about you find out more about the film and keep in touch with you.   Lanie Zipoy  33:40   Yeah, that would be great. So if they go to my website, which is just my name laniezipoy.com that is one place that they can keep in touch with me. And the film is at the subject. movie.com and yeah, those are two great places to keep In Touch, and we'll be announcing everything either on my site or probably both about what's coming up for the premieres   Betsy Furler  34:07   Awesome. Well, yes, I look so forward to staying in touch and, and then I'll share all of that information in the show notes for this podcast. But then, as I get information from you in the future, I'll also share it on my pages so my audience can see that   Lanie Zipoy  34:22   well, but say, I want to just say thank you so much. This has been great. I've really enjoyed and learned a lot from listening to the other guests who have been on your podcast and I'm just grateful to be able to talk to you today.   Betsy Furler  34:33   Well, thank you so much. And thank you to my audience for listening today. And please subscribe to the podcast review rate the podcast, you can do it on whatever podcast platform you're listening to this on. And please continue to listen, listen to the shows. You can contact me on LinkedIn at Betsy Furler. It's Fs and Frank. You are le AR my software can be. You can find out more about that. At www dot for all abilities COMM And through there you can also get to my blog where you can also find out more about me and other things that I do. So thanks for listening today. I will talk to you soon

In this episode, I teach from John 1:1. In the beginning, was the Word. There is no force on earth more powerful than the Word of God. The Bible says that God honors His Word above His name! The Word of God is literally God-breathed. So when you speak the Word, you release the breath of God, and the breath of God is a life-giving spirit. Catch this, it will stir you up! Sow a seed and help us change this generation before it's too late: http://bit.ly/2B81pjY Give by PayPal: https://www.paypal.me/miracleword Give by CashApp or Venmo: $MWgive Get exclusive emails and our free magazine here: http://bit.ly/2WlgS6N Get text messages from me: http://bit.ly/2XoOapG I want to highly recommend our online training courses found at https://www.miraclewordu.com/ Each course is designed to equip you with biblical knowledge that will give you the fuel to overcome in every area of life. Our brand new course "Mountain Moving Faith" is now available in Miracle Word University!  For more great content, follow me on Instagram: @tedshuttlesworth and Facebook: @MiracleWordMinistries

Dr. Plate from Cleveland Clinic Akron General discusses patients with preexisting conditions, such as asthma, and the possible affect of COVID-19 on them.

From arthritis to diabetes, exercising with a preexisting condition can be intimidating. Hosts Eric and Sam are joined by Dr. Campbell, a primary care physician in College Station, to discuss safety tips to keep in mind when working out with anything from tendonitis to heart disease.

In this episode of the Acquisition Talk podcast, I speak with Richard Dunn about commercial contracting, and in particular, Other Transactions Authority(OTAs). He is the founder of the Strategic Institute, and has had a long career in government including General Counsel of DARPA. Rick argues that the traditional Federal Acquisition Regulation (FAR) does not have enough flexibility to allow for commercial contracting. Instead of focusing on value and innovation, the FAR narrows government's focus on cost. The system is "fundamentally unfair," he said. If it were fair, we should expect to see greater business participation. One study found that just the top ten regulations contribute to an 18 percent cost premium. Why would any firm take on that cost at the expense of being noncompetitive in their commercial markets? Other Transactions, by contrast, allow the government to legally negotiate terms and conditions without reference to the FAR. In other words, the government can do business like any commercial firm, leading to lower transaction costs. However, the adoption of OTs have been stymied for decades because of proactive resistance. Preexisting learning stops subsequent learning, and contracting officers tend to think in terms of FAR language. Rick suggests how to break out of that mindset. During the conversation, we discussed: - The reason Norm Augustine said Lockheed couldn't do commercial business - How contract regulations became so burdensome - Why are most OT consortia are only "so-called" consortia - The effect of telling contract officers they will go to jail for non-compliance - How OTs "shop problems" while the FAR "shops requirements" - How startups can use unfunded OTs to gain access to government capital and users - Why payable milestones are outside of the FAR - The history of OTs, including Paul Demling, NASA, and the Telestar satellite This podcast was produced by Eric Lofgren. Soundtrack by urmymuse: "reflections of u". You can follow us on Twitter @AcqTalk and find more information at AcquisitionTalk.com.

LA comedy sweetheart and Roast Battle staple, Joshua Meyrowitz takes us deep into the mind of a person living with Asperger’s.

From Adderall to sugar to psychedelics, now-sober comedian and Emmy-award winning writer Matt Lieb talks about living with ADHD.Follow us: https://www.instagram.com/walipriyankahttps://www.instagram.com/sammyobeidhttps://www.instagram.com/comedypopuphttps://www.instagram.com/cpupodcasts

After doing too much Bhangra in college, Zahra Ali battles with a torn meniscus in a world that favors people who do squats.Follow us: https://www.instagram.com/walipriyankahttps://www.instagram.com/sammyobeidhttps://www.instagram.com/comedypopuphttps://www.instagram.com/cpupodcasts

Comedian Chris Cope has a near-death experience after touching himself - was it the final stroke?Follow us: https://www.instagram.com/walipriyankahttps://www.instagram.com/sammyobeidhttps://www.instagram.com/comedypopuphttps://www.instagram.com/cpupodcasts

With so many different parts to the whole health insurance debate, this week noted Houston based neurologist and founder of the Houston Healthcare Initiative Dr. Steven Goldstein will take one piece of it and that is the pre-existing condition. If you want to learn more about the Houston Healthcare Initiative CO-OP please visit the web site at www.houstonhealthcareinitiative.org and of course please come back next time for another edition of the Houston Healthcare Initiative CO-OP podcast.

After struggling with back pain for years, comedian Richard Sarvate (@RichardSarvate) finally heals it in a non-traditional way once and for all. Footnote: “Mind-Body Prescription,” Dr. John Sarno.Follow us: https://www.instagram.com/walipriyankahttps://www.instagram.com/sammyobeidhttps://www.instagram.com/comedypopuphttps://www.instagram.com/cpupodcasts

Obamacare is back in court. Vox’s Li Zhou explains how the healthcare bill might finally meet its maker and Ezra Klein explains why that might be great news for Democrats in 2020. Learn more about your ad choices. Visit megaphone.fm/adchoices

Editor's Summary by Howard Bauchner, MD, Editor in Chief of JAMA, the Journal of the American Medical Association, for the May 14, 2019 issue

Welcome to the Harvard Lunch Club Political Podcast for December 17, 2018 it’s the Angry White Men edition of the show #204 with your bitter clinger White Hosts, radio guy Todd Feinburg and AI guy Mike Stopa (the handsome one). This week we ask: if the Dems are the party of inclusion, then why is […]Join the conversation and comment on this podcast episode: https://ricochet.com/podcast/harvard-lunch-club/angry-white-men/.Now become a Ricochet member for only $5.00 a month! Join and see what you’ve been missing: https://ricochet.com/membership/.Subscribe to Harvard Lunch Club in Apple Podcasts (and leave a 5-star review, please!), or by RSS feed. For all our podcasts in one place, subscribe to the Ricochet Audio Network Superfeed in Apple Podcasts or by RSS feed.

Republican candidates around the country now insist they support protection for those with pre-existing conditions. And Republican lawmakers from every part of the nation are working to get their healthcare promises declared illegal. Here's how. - More -

In this episode of KHN’s “What the Health?” Julie Rovner of Kaiser Health News, Rebecca Adams of CQ Roll Call, Stephanie Armour of The Wall Street Journal and Joanne Kenen of Politico discuss how protections for people with preexisting conditions have become a top issue in the elections, Trump administration efforts to make prescription drug prices more transparent and the start of Medicare’s annual open-enrollment period. Plus, Julie interviews California Attorney General Xavier Becerra.

Democrats are pummeling Republican gubernatorial and senate candidates over a pending lawsuit by 20 GOP-led states that could allow insurance companies to stop covering people with preexisting medical conditions.

John shares our take on what happened in health care at the end of August including the NYU at the frontier of offering free tuition to medical students, as well as how a few Republican senators have introduced legislation to protect Affordable Care Act’s provisions for people with pre-existing conditions. The New York University School of Medicine announced that it is now offering free tuition for medical students, becoming the first major medical school in the U.S. to offer tuition-free education. “Our full-tuition scholarships make it possible for aspiring physicians to choose a specialty based on their talent and inclinations to better serve the communities who need it most, and to more easily pursue scientific breakthroughs that improve how we care for patients.” Ten Republican senators have introduced legislation that purports to protect the Affordable Care Act’s provisions for people with pre-existing conditions. The language offering protections would be effected by amending the Health Insurance Portability and Accountability Act. About Darwin Research Group Darwin Research Group Inc. provides advanced market intelligence and in-depth customer insights to health care executives, with a strategic focus on health care delivery systems and the global shift toward value-based care. Darwin’s client list includes forward-thinking biopharmaceutical and medical device companies, as well as health care providers, private equity, and venture capital firms. The company was founded in 2010 as Darwin Advisory Partners, LLC and is headquartered in Scottsdale, Ariz. with a satellite office in Princeton, N.J.

Lilly and Aaron break down a renewed effort to undermine the Affordable Care Act by stripping out the legislation's protections for those living with pre-existing conditions (a list which includes...acne and...(checks notes) pregnancy?). They also chat about the new Right to Try legislation that has recently passed and the various thoughts the patient and pharmaceutical communities had about it.  Mentioned on the pod:  Follow @mattbc, aka Medicare Matt, Esq, who is a lawyer living with a chronic illness who fights for patient rights - his analysis of legislation and the latest legal battles are incredibly helpful.  If you want to get more involve and make your voice heard, a great tool is 5calls.org. It'll find your representatives, their phone numbers, and even provide scripts for you to use when you get through to them.    Patients have power; make sure you to exercise yours everyday. 

Sunday, May 7, 2017 | Billy Michael Honor, Pastor

This week we talk about Insecure, Relationships, Rick Ross Comments, OJ out on parole and more!

The "smarmy" little weasle leading the Republicans in the U.S. Senate, Senate Leader Mitch McConnell Of Kentucky, is attempting to ram the Republican version of health care through that body, by Friday, in a take-it or leave-it fashion, with no more than a total of 10 hours for floor debate. Here are just a few of the highlights comprising this piece of legislation: 1.  The guarantee of coverage for individuals with pre-existing conditions may or may not survive this piece of legislation, but even if it does, it'll come with an exhorbitant price, making insurance for those individuals far greater than under Obamacare.  The Senate bill will include a provision allowing individual states to opt out of Obamacare's uncondition guarantee for those with pre-existing conditions that will thereby allow such states the option of continuing coverage for this segment but with sharp hikes in insurance premiums  2.  A disaster for those lower income individuals whose only access to health care through Obamacare is via Medicaid.  But if the GOP has their way, Medicaid will be severely curtailed in the next few years such that millions of folks will be left high and dry with no reasonable access to any health insurance coverage.  The formula for "gutting" Medicaid" is a stealth-like tactic dreamed up by this current GOP leadership.  Currently, Medicaid funding is increased each and every year based upon the increase in the costs of medical coverage.  Under the new formula proposed by McConnell & "crew", funding for Medicaid will be based upon the overall increase in the cost of all goods and services.  It's well-established that year-over-year price increases for just medical care is much greater than that for the general price increase for all goods and services.   

"Jesus And Preexisting Conditions" Romans 5:17; Luke 13:11-12 Pastor Richard B. Haynes | 05/28/2017 11:00am

Another bumper crop of American grown stupidity including pre-existing conditions, LGBT erasure bills, and the return of Edward Snowden!  All this and a wonderful young child's quote of the week will make this a must-listen episode... even for the acronymically impaired. (My spell-check didn't like 'listen' but was ok with 'acronymically'?  I thought I made that word up.) www.theFWOTshow.com

Today Curtis talks with Steve Adubato on Trump Care, Bo Dietl on his Mayoral campaign, and Nathan Bomey on Puerto Rico's bankruptcy.

Devon & Sarah discuss the AHCA dumpster fire, how to get the dickwads out in 2018, James Comey, and some fucking female Trump official who doesn't believe in birth control. They interview Marcus Johnson, a writer and political scientist. The round out the week by awarding the Maxine Waters Award in Badassery.

Preview of the President's meeting with Abbas, and update on the UN anti-Israel resolution, with winners and losers.

Today we will speak about Jesus as The Son of God.

How to minimize frustrations associated with having a pet insurance claim denied because the company considered the condition pre-existing.

Authoritarianism running rampant. This is it the end of empire.

Ralph Weber, President of Medibid Inc and author of MediCrats: Medical Bureaucrats that Rule your Health Care, joins me for a discussion.  We talk about why the cost of healthcare keeps rising, and how his company, Medibid, can reduce those costs by stepping outside the system and enabling the free market.    We discuss the ridiculousness of Obamacare, pre-existing conditions, insurance fraud, and more!   Find more from Ralph here:  http://www.medibid.com/   Also mentioned during the show, Anesthesia Fraud:  http://newportbeach.patch.com/groups/editors-picks/p/uci-medical-center-fined-1-2-million-in-whistleblower-case     Choice Conversations is now on Facebook.  Stop in, say hi, discuss the shows, and more!  If you like Choice Conversations then "like" me on facebook, get notifications, and then share the page with your friends:  https://www.facebook.com/ChoiceConversationsPodcast   Help the Podcast!  I would greatly appreciate it if you went to itunes, wrote a quick review and rated the show.  This is a great way to increase downloads and to help the show grow.  The more downloads, the more easily I can book high profile guests:  https://itunes.apple.com/us/podcast/choice-conversations/id315666764       Bumper music:  http://www.youtube.com/watch?v=wOI6H2UT5FM

Failure often confirms a pre-existing negative belief we hold of ourselves. That is why many of us fear failure so much. If we can look at those beliefs and some how learn to change them, then current failures and mistakes won’t be such a problem anymore. The following is a 5 minute audio clip from […] The post Preexisting Negative Beliefs appeared first on Paul Elmore.

We are doing an open forum with a focus on the new Health Care program passed by congress. All callers welcome!

We are doing an open forum with a focus on the new Health Care program passed by congress. All callers welcome!