Relation between objects in which one object designates, or acts as a means by which to connect to or link to, another object
POPULARITY
Categories
The Buddha said that the minds of his followers should "constantly, day and night, delight in spiritual practice." But what practice can we stitch into the fabric of ordinary days? This fan-favorite epsiode explores a spiritual thread that can run through work, family, errands, and all the passing moments that make up our lives. Cherishing others requires no shrine, no retreat, no special circumstance—only a special intention. To cherish another means we think and act on this intention, "Your happiness matters. I will work for your happiness." Whether it's the barista, a child, a colleague, or a stranger in the grocery store, cherishing others transforms every interaction into a step on the spiritual path. Cherishing others is loving-kindness, or metta, in action. This practice softens the heart. It also dismantles the walls of self-cherishing (selfishness), our habit of "me first" that actually gives rise to our own pain. The Buddha taught that cherishing others is the root of all good qualities, from patience to compassion, and the sacred root from which enlightenment eventually blossoms. The Buddha also taught that cherishing others helps solve problems and creates the causes of happiness (through creating good karma). And science, centuries later, agrees. A 2024 study involving three countries and 4,000 people found that even one act of kindness a week toward others decreased loneliness, social anxiety, neighborhood conflict, and isolation. Even our bodies rejoice when we cherish others. Researchers at the University of British Columbia found that people who regularly performed kind acts had lower blood pressure and reduced inflammatory markers—key factors in long-term health. And a study from Carnegie Mellon University showed that offering support to loved ones was linked to lower cortisol levels and improved immune response. Cherishing others is beneficial for the mind and weaves joy into everyday life. What if, day and night, we delighted in this? If you are interested in working with JoAnn Fox as a Life/Spiritual Coach, visit https://buddhismforeveryone.com/coaching References and Links Buddha. The Dhammapada, Translated by Gil Fronsdale. (Kindle). Shambala, Boston and London, 2011, pp. 76 Gill, Sharman. (Nov. 2024). BYU study shows that even one act of kindness a week improves wellbeings for individuals, communites. Retrieved from: https://www.verywellmind.com/how-random-acts-of-kindness-can-boost-your-health-5105301 Find us athe links below: Facebook:https://www.facebook.com/Buddhismforeveryone Facebook Group: Join our private group at: https://www.facebook.com/groups/sanghatalk/ Instagram: @buddhism4everyone X: @Joannfox77 TikTok: @buddhism4everyone To learn more about virtual classes with JoAnn Fox: Buddhist Study Program
In this week's episode, host Kristin Hayes talks with Kristen McCormack, Resources for the Future's newest research fellow, about McCormack's scholarly work on the impact of extreme temperatures on student behavior, educational outcomes, disciplinary infractions, and later-life outcomes. McCormack explains how she combined student data from a large urban school district in the United States, information about the presence or absence of air-conditioning, and environmental data to understand the causal link between classroom temperature and student behavior. McCormack's data reveal that hot temperatures lead to an increase in absences and disciplinary referrals but that temperature adaptation measures, like air-conditioning, are especially important in schools to maintain a safe learning environment as extreme temperatures become more common. References and recommendations: “Education Under Extremes: Temperature, Student Absenteeism, and Disciplinary Infractions” by Kristen McCormack; https://kristen-mccormack.com/files/mccormack_jmp.pdf “The School to Prison Pipeline: Long-Run Impacts of School Suspensions on Adult Crime” by Andrew Bacher-Hicks, Stephen B. Billings, and David J. Deming; https://www.nber.org/papers/w26257 “How Much Hotter Is Your Hometown Than When You Were Born?” interactive infographic from the New York Times; https://www.nytimes.com/interactive/2018/08/30/climate/how-much-hotter-is-your-hometown.html “Meadowlark Sings and I Greet Him in Return,” a poem from the collection “Devotions” by Mary Oliver; https://www.penguinrandomhouse.com/books/536247/devotions-a-read-with-jenna-pick-by-mary-oliver/
In this week's episode of the Coin Stories News Block powered exclusively by Ledn, we cover these major headlines related to Bitcoin, macroeconomics, and global finance: Bitcoin price has doubled since 2024...are recent pullbacks just another healthy correction? Whales unload billions in BTC, but will demand keep absorbing the sell pressure? Trump targets Fed Governor Cook amid mortgage fraud allegations, raising questions of Fed control in coming months Gold surges toward record highs...are there signs Bitcoin will follow its lead in Q3/Q4? From Asia to Mexico to Hollywood, Bitcoin's influence is spreading worldwide ---- The News Block is powered exclusively by Ledn – the global leader in Bitcoin-backed loans, issuing over $9 billion in loans since 2018, and they were the first to offer proof of reserves. With Ledn, you get custody loans, no credit checks, no monthly payments, and more. My followers get .25% off their first loan. Learn more at www.ledn.io/natalie ---- Read every story in the News Block with visuals and charts! Join our mailing list and subscribe to our free Bitcoin newsletter: https://thenewsblock.substack.com ---- References mentioned in the episode: Hollywood Stars Are Making “Killing Satoshi” Movie Glassnode Chart Illustrating OGs Taking Profit Checkmate's Tweet on OG Selling Pressure River Chart on Bitcoin Ownership Distribution Bitcoin Whale Continues to Sell More Bitcoin Trump's Truth Social Post Firing Dr. Lisa Cook Trump Moves to Fire Fed Governor Dr. Lisa Cook Trump Says He “Will Have Fed Majority” Soon Gold Nears ATHs as Potential Rate Cuts Near Macroscope's Tweet on Gold/Bitcoin Relationship Macroscope's Tweet on Gold Signal for Bitcoin New Bitcoin Treasury Company in Korea New Bitcoin Treasury Company in Mexico Coin Stories Interview with Norma Chu UNBANKED Documentary God Bless Bitcoin Documentary ---- Upcoming events/speaking engagements: Bitcoin 2026 will be here before you know it. Get 10% off Early Bird passes using the code HODL: https://tickets.b.tc/event/bitcoin-2026?promoCodeTask=apply&promoCodeInput= Your Bitcoin oasis awaits at Camp Nakamoto: A retreat for Bitcoiners, by Bitcoiners. Code HODL for discounted passes: https://massadoptionbtc.ticketspice.com/camp-nakamoto ---- This podcast is for educational purposes and should not be construed as official investment advice. ---- VALUE FOR VALUE — SUPPORT NATALIE'S SHOWS Strike ID https://strike.me/coinstoriesnat/ Cash App $CoinStories #money #Bitcoin #investing
An apology for all the unnecessary sound effects, but Pumpkin learned how to use the sound buttons. Listening to this episode all these years later makes it clear how far we have come. References to our myspace fans and the newness of twitter sounds nuts nowadays. Also out of date is our Las Vegas recommendations. Several of our top picks are long gone. Farwell to the Mirage volcano and Parasol Down to name a few.
In this Episode: Dr. Jeremy Lucabaugh, Tom Bradshaw, Nic Krueger, Lee Crowson, Jason Hamil, LindaAnn Rogers I/O Career Accelerator Course: https://www.seboc.com/job (Use code AWARE32 for 30% off in August 2025) Visit us https://www.seboc.com/ Follow us on LinkedIn: https://bit.ly/sebocLI Join an open-mic event: https://www.seboc.com/events References: https://www.boredpanda.com/funny-crazy-interview-experience/ Davron. (2023). The History of the Resume. Retrieved from https://www.davron.net/history-of-the-resume/ Fuller, J., Sesser, B., & Leeds, W. (2025). Job Interviews Aren't Evaluating the Right Skills. Retrieved from https://hbr.org/2025/08/job-interviews-arent-evaluating-the-right-skills?ab=HP-hero-latest-2 Gonzalez, Y. (2025). Beyond the Lightbulb: Thomas Edison and the Origins of the Job Interview: People ACCIONA. Retrieved from https://people.acciona.com/trends-and-inspiration/history-job-interview/ Sapoznikov, M. (2018). History of the Resume: 1900's to Now. Retrieved from https://impactbusinessgroup.com/history-resume-1900s-now/
Skip the banter: 00:04:34 (give or take a minute depending on ads) This case is especially close to us as Mike's sister was originally scheduled to work on the day of this massacre. We'll tell you all the details. On a freezing February morning in 2008, five women were executed in the back room of a Lane Bryant store in Tinley Park, Illinois. A sixth survived by pretending to be dead. The man responsible walked in without a mask, stayed for nearly an hour, and left behind duct tape, trauma, and almost no evidence. Seventeen years later, despite a witness and a police response within minutes, he's still unidentified. Allison tells us the rest of the story that changed one Chicago suburb forever—and how a twist of fate saved someone very close to our family. Support us and become a Patron! Over 150 bonus episodes: https://www.patreon.com/crimeandcoffeecouple Our Amazon Shop (stuff we like that we share on the show): https://www.amazon.com/shop/crimeandcoffee2 All our links (YouTube, Instagram, TikTok, Merch, etc): https://linktr.ee/crimeandcoffee Facebook Group to discuss episodes: www.facebook.com/groups/crimeandcoffeecouplepodcast/ References available at https://www.crimeandcoffeecouple.com a few days after this podcast airs. Case Suggestions Form: https://forms.gle/RQbthyDvd98SGpVq8 Remember to subscribe to our podcast in your favorite podcast player. Do it before you forget! If you're listening on Spotify please leave us a 5-star review, and leave a comment on today's episode! If you're on an iPhone, review us on Apple Podcasts please! Scroll to the bottom of the page and hit the stars ;) Ma and Pa appreciate you more than you know. Reminder: Support us and become a Patron! Over 100 bonus episodes: https://www.patreon.com/crimeandcoffeecouple Podcast Intro and Outro music: Seductress Dubstep or TrippinCoffee by Audionautix http://audionautix.com Creative Commons Music by Jason Shaw on Audionautix.com
Do you have Neptune in the 3rd? How has it manefested for you? This week I am covering the chart of a 13 year old boy who sadly died and continued to communicate with his parents after his death. Paul's Book : Vers le soleil de dieu https://amzn.to/45Vg512 * Arnaud Gourvennec Libra Asc, Sun Pisces in 6th, Moon Leo in 11th, Neptune in Sagittarius in 3rd Showing transits in green in outside circle on the day he sadly died Paul Gourvennec Libra Asc, Sun in Gemini in the 9th, Moon in Aquarius in 4th Showing transits in green in outside circle on the day Arnaud died Nicole Gourvennec Virgo Asc, Sun Capricorn in 5th, Moon Sagittarius in 4th Showing transits in green in outside circle on the day Arnaud died References https://www.astro.com/astro-databank/Gourvennec,_Arnaud https://mouvement-esperance-arnaud-gourvennec.org/ https://mouvement-esperance-arnaud-gourvennec.org/nouvelles-de-nicole/ * I may earn a small commission if you click the link
Resources: Rutherford Chapters (10th ed.): 174, 175, 177, 178 Prior Holding Pressure episode on AV access creation: https://www.audiblebleeding.com/vsite-hd-access/ The Society for Vascular Surgery: Clinical practice guidelines for the surgical placement and maintenance of arteriovenous hemodialysis access: https://www.jvascsurg.org/article/S0741-5214%2808%2901399-2/fulltext KDOQI Clinical Practice Guideline for Vascular Access: 2019 Update: https://pubmed.ncbi.nlm.nih.gov/32778223/ Venous Hypertension Definition A functioning AV circuit delivers high volume arterial flow towards a stenotic venous segment, causing buildup in pressure and venous hypertension. If there are few or no branching veins between the access and stenosis, thrombosis could occur Etiology The most common etiology is venous stenosis caused by a history of vessel wall trauma by centrally-inserted venous devices such as tunneled and non-tunneled dialysis catheters, central lines, pacemakers, or defibrillator. In a study performed at a large academic medical center1, new hemodynamically significant central venous stenosis was associated with the duration of catheter dependence (26% in patients with CVCs for more than 6 months, versus 11% in patients with CVCs for less than 6 months). PICC lines can directly damage cephalic and basilic veins Venous stenosis can often go undetected until AV access creation occurs Patient Presentation Symptoms of venous insufficiency will be present– most commonly regional edema, in the area of venous stenosis. If there are patent venous branches between the AV anastomosis and the stenotic area, swelling can occur throughout the arm. Pigmentation, induration, dermatosclerosis, and ulceration may also be observed. An extensive collateral network of veins may be visible throughout anterior chest, shoulder, or flank SVC obstruction can result in swelling of the head, neck and shoulders, as well as a feeling of head and neck fullness, airway compromise, and visual problems Normal palpable thrill can be replaced by a strong pulse Dialysis can be complicated by difficulty with needle access, recirculation syndrome, and arm swelling after dialysis sessions. Workup Central vein thrombosis can be hard to detect on ultrasound because clavicle and sternum can block transmission Venography is essential to determine the presence and severity of venous stenosis or occlusion. Prevention The ideal scenario is to avoid central dialysis catheters completely, and this involves evaluating CKD patients and placing AVF or AVG before the need for dialysis arises. If a patient presents placement of an AVF/AVG, it is important to perform venography if a patient has a history of a central venous catheter or clinical signs of venous hypertension. A history of SVC obstruction from any cause can preclude permanent AV access creation in both upper extremities Treatment Endovascular approaches to venous outflow stenosis can be first-line treatment options, due to their minimal risk. They can also be performed at the same time as a diagnostic venogram. Angioplasty alone or with stenting are the endovascular options. In a study by Bakken et al2 that compared primary high-pressure balloon angioplasty versus stenting, primary patency was equivalent between groups, with 30-day rates of 76% for both groups and 12-month rates of 29% for angioplasty and 21% for stenting. Assisted primary patency was also equivalent with a 30-day patency rate of 81% and 12-month rate of 73% for the angioplasty group, 84% at 30 days, and 46% at 12 months for the stenting group. This study, along with others, shows that the major downside of endovascular interventions, whether angioplasty or stenting, often require repeat intervention and have poor long-term patency. For subclavian vein stenosis, angioplasty alone is appropriate due to its anatomical location that can put a stent at risk for extrinsic compression from the first rib and clavicle. Surgical bypass can be performed Possible bypasses include axillary-axillary, axillary-jugular, axillary-right atrial, and axillary-femoral. In these bypasses, the preferred conduits are autogenous saphenous or femoral veins. In cases where the proximal subclavian vein is obstructed, a jugular vein turndown can be performed. In this procedure the distal jugular vein is transected, sewed end-to-side at the distal subclavian vein, effectively acting as a bypass route for that obstructed segment. The Hemoaccess Reliable Outflow (HeRO) Vascular Access Device can be used as a hybrid approach, combining endovascular and open surgical techniques to bypass a central venous occlusion and provide a reliable outflow for dialysis. This device has a PTFE inflow limb that is sewn end-to-side onto the brachial artery. This limb is tunneled subcutaneously and connected to a silicone-coated nitinol outflow catheter that is inserted into a central vein and tracked directly into the right atrium. This effectively bypasses central venous stenoses. In the largest study to date on HeRO access grafts placed in 167 patients,3 HeRO primary and secondary patency was 48.8% and 90.8%, respectively, at 12 months. Interventions to maintain or re-establish patency were required in 71.3% of patients resulting in an intervention rate of 1.5/year. Access-related infections were reported in 4.3% patients. The authors concluded that HeRO device had performed comparably to standard AVGs and had proven superior to tunneled dialysis catheters in terms of patency, intervention, and infection rates. If no treatment options for venous hypertension or outflow obstruction are available, an alternate AV access site can be created, either in the contralateral arm if the SVC is uninvolved, or through placement of femoral AV access or a peritoneal dialysis catheter. Bleeding Access Site Etiology and Risk Factors Bleeding can be caused by high venous pressure after dialysis, pseudoaneurysm rupture, or trauma. Patients with end stage renal disease (ESRD) have a baseline elevated risk of bleeding due to uremia-induced platelet dysfunction and use of systemic anticoagulation within the hemodialysis circuit. Additional risk factors include dialysis through an AV graft, hypertension, longer duration of access use, and compromised integrity of the vascular access due to complications (clotting, infection) or invasive procedures. Dual antiplatelet therapy is also associated with overall bleeding events in ESRD patients. Dialysis patients could be on antiplatelet therapy for management of comorbid cardiovascular risk and/or patency of AV graft Patients with bleeding fistulas often present from their dialysis unit when standard digital pressure at the cannulation site fails to stop the bleeding. This is a very serious condition since most mature fistulas have high blood flow and the patients are at risk for hemorrhagic shock and death. Initial Management The first step of management is to obtain hemostasis. Elevate the limb above the level of the heart and apply firm and directed pressure at the site of bleeding using gauze for at least 30-40 minutes Milosevic et al4 reviewed non-operative management of bleeding fistulas and grafts and found that compared to standard dressings, the use of specialized hemostatic dressings decreased bleeding time at arterial and venous cannulation sites. These hemostatic materials included the IRIS compression bandage and cellulose-based, chitosan-based, poly-N-acetyl glucosamine-based, and thrombin-soaked dressings. There has been a “bottlecap method” described where the hollow side of a bottlecap is pressed on top of the puncture site. Maintaining pressure on the cap will cause the cap to fill with blood and clot, which tamponades the bleeding. The provider can also place a shallow figure-of-8 or purse string stitch just below the skin surface to aid in hemostasis. It is important to avoid placing the suture too deep as this can cause inadvertent fistula ligation. During this process, an assistant applies pressure just proximal and distal to the bleeding site to stop blood flow so the sutures can be placed. If these methods fail to achieve hemostasis, apply a tourniquet proximal to the fistula and tighten it until bleeding stops and the radial pulse is lost. This signifies complete occlusion of arterial inflow to the fistula. Tourniquet use should be limited to 3 hours or less, since limb ischemia beyond this timepoint is associated with permanent neuromuscular damage. Regardless of the method used for initial hemostasis, the patient is at risk for repeat hemorrhage, hematoma formation, vessel stenosis, and thrombosis. They should be evaluated by a vascular surgeon as soon as possible. Definitive Management Definitive management depends on etiology of each case, and there are a variety of interventions that can be pursued (i.e. aneurysmorrhaphy for aneurysmal bleeding) If skin erosion over the conduit is present, it should be assumed that the AV access is infected and emergency intervention should be pursued. A jump graft can be placed through with healthy tissue. A covered stent could be introduced through a separate percutaneous puncture site Finally, coagulopathy can be addressed by administering cryoprecipitate, DDAVP, erythropoietin, estrogen, tranexamic acid. Aneurysms and Pseudoaneurysms Definition and Etiology Aneurysms involve all three layers of the vessel wall and they develop due to hemodynamic changes causing remodeling of the vein wall in an AV fistula. This is necessary for vein maturation, but becomes problematic if the post-anastomotic vein continues to dilate and becomes aneurysmal. Aneurysms can also occur at anastomosis sites due to technical aspects of the surgery. Pseudoaneurysms only involve some layers of the vessel wall caused by repeated puncture for hemodialysis. Both aneurysms and pseudoaneurysms can enlarge due to venous outflow stenosis causing increased intraluminal pressures. Both true aneurysms and pseudoaneurysms can lead to overlying skin erosion and subsequent hemorrhage, pain, AV access dysfunction, and cannulation difficulties. Dialysis cannulation should be avoided at the aneurysmal sites to prevent bleeding complications. Diagnosis They can be diagnosed on ultrasound, which also provide information on flow rates, presence inflow/outflow/stenoses, and vessel diameters. Indications for Treatment Treatment is indicated for aneurysms that are rapidly expanding or ulcerating through the skin surface. These are at high risk for rupture and hemorrhage, which is life-threatening. Treatment is also indicated when the aneurysm occurs at the anastomotic site of the AV fistula, the patient has a cosmetic concern, cannulation becomes difficult, there is concern for infection, or the patient has high-output heart failure that could be exacerbated by high flow through the fistula. Treatment is not indicated in asymptomatic aneurysms, regardless of their size. True aneurysms and pseudoaneurysms are not prone to spontaneous rupture. Treatment Options Aneurysmorrhaphy is the most common treatment. It involves the resection of the aneurysmal vein wall to restore a normal diameter and removal of excess skin. Anastomosis is performed along the lateral wall to prevent issues with cannulation along the suture line. Aneurysm resection with interposition grafting is also possible. If multiple aneurysmal segments require treatment, staging their repairs can allow for continuation of dialysis without needing to place a temporary dialysis catheter. AV access ligation is an appropriate alternative to AV access salvage in certain situations but usually requires excision of the aneurysm/pseudoaneurysm due to the potential to develop thrombophlebitis and the cosmetic appearance of the thrombosed segment. If there is concern for an infected pseudoaneurysm or aneurysm, surgery should include removal of all infected material. References 1. Al-Balas A, Almehmi A, Varma R, Al-Balas H, Allon M. De Novo Central Vein Stenosis in Hemodialysis Patients Following Initial Tunneled Central Vein Catheter Placement. Kidney360. 2022;3(1):99-102. doi:10.34067/KID.0005202021 2. Bakken AM, Protack CD, Saad WE, Lee DE, Waldman DL, Davies MG. Long-term outcomes of primary angioplasty and primary stenting of central venous stenosis in hemodialysis patients. J Vasc Surg. 2007;45(4):776-783. doi:10.1016/j.jvs.2006.12.046 3. Gage SM, Katzman HE, Ross JR, et al. Multi-center Experience of 164 Consecutive Hemodialysis Reliable Outflow [HeRO] Graft Implants for Hemodialysis Treatment. Eur J Vasc Endovasc Surg. 2012;44(1):93-99. doi:10.1016/j.ejvs.2012.04.011 4. Milosevic E, Forster A, Moist L, Rehman F, Thomson B. Non-surgical interventions to control bleeding from arteriovenous fistulas and grafts inside and outside the hemodialysis unit: a scoping review. Clin Kidney J. 2024;17(5):sfae089. doi:10.1093/ckj/sfae089
For Patreon subscriber Jim Fields! Fact of the Day: UPS founder James E. Casey wanted yellow vehicles, but a partner said they'd be hard to keep clean. They chose Pullman Brown instead - a colour that hides dirt, mud, and grime, and is still used on UPS trucks today. Triple Connections: Allanite, Lizardite, Stibarsen THE FIRST TRIVIA QUESTION STARTS AT 01:18 SUPPORT THE SHOW MONTHLY, LISTEN AD-FREE FOR JUST $1 A MONTH: www.Patreon.com/TriviaWithBudds INSTANT DOWNLOAD DIGITAL TRIVIA GAMES ON ETSY, GRAB ONE NOW! GET A CUSTOM EPISODE FOR YOUR LOVED ONES: Email ryanbudds@gmail.com Theme song by www.soundcloud.com/Frawsty Bed Music: "EDM Detection Mode" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License http://creativecommons.org/licenses/by/4.0/ http://TriviaWithBudds.com http://Facebook.com/TriviaWithBudds http://Instagram.com/ryanbudds Book a party, corporate event, or fundraiser anytime by emailing ryanbudds@gmail.com or use the contact form here: https://www.triviawithbudds.com/contact SPECIAL THANKS TO ALL MY AMAZING PATREON SUBSCRIBERS INCLUDING: Mollie Dominic Vernon Heagy Brian Clough Nathalie Avelar Becky and Joe Heiman Natasha raina Waqas Ali leslie gerhardt Skilletbrew Bringeka Brooks Martin Yves Bouyssounouse Sam Diane White Youngblood Evan Lemons Trophy Husband Trivia Rye Josloff Lynnette Keel Nathan Stenstrom Lillian Campbell Jerry Loven Ansley Bennett Gee Jamie Greig Jeremy Yoder Adam Jacoby rondell Adam Suzan Chelsea Walker Tiffany Poplin Bill Bavar Sarah Dan Katelyn Turner Keiva Brannigan Keith Martin Sue First Steve Hoeker Jessica Allen Michael Anthony White Lauren Glassman Brian Williams Henry Wagner Brett Livaudais Linda Elswick Carter A. Fourqurean KC Khoury Tonya Charles Justly Maya Brandon Lavin Kathy McHale Chuck Nealen Courtney French Nikki Long Mark Zarate Laura Palmer JT Dean Bratton Kristy Erin Burgess Chris Arneson Trenton Sullivan Jen and Nic Michele Lindemann Ben Stitzel Michael Redman Timothy Heavner Jeff Foust Richard Lefdal Myles Bagby Jenna Leatherman Albert Thomas Kimberly Brown Tracy Oldaker Sara Zimmerman Madeleine Garvey Jenni Yetter JohnB Patrick Leahy Dillon Enderby James Brown Christy Shipley Alexander Calder Ricky Carney Paul McLaughlin Casey OConnor Willy Powell Robert Casey Rich Hyjack Matthew Frost Brian Salyer Greg Bristow Megan Donnelly Jim Fields Mo Martinez Luke Mckay Simon Time Feana Nevel
In this episode Dan (@timely_moments) sits down with AJ (@ajbarse) and Joe (@seikoded), all catch up for the first time in the same room as a trio. They discuss AJ's trip, Fuji cameras, watches and The Analog Explorer Magazine. References for this episode are below.Dan - @timely_moments / timelymomentsphotography92@gmail.comBuy me a brew - https://www.buymeacoffee.com/pmgwgzwbq7q?l=fr AJ - @ajbarseJoe - @seikodedState of the Collection - https://www.youtube.com/@sotcwatchThe Analog Explorer Magazine - https://ajbarse.com/the-analog-explorer/
Laurel is back for episode three of season six! Join Kt and Laurel as they jump into the tumultuous era of McCarthyism, exploring the rise and fall of Wisconsin Senator Joseph McCarthy and the widespread fear of communism in America. Grab some snacks, libation of choice and join your favorite stoner history sisters in the Smoke Circle as we discover the impact of the Red Scare on American society, the Lavender Scare's hidden history, and the lessons we can learn from this period.~~~~~*The Socials and Patreon!Patreon-- The Best Buds Club! Instagram - @HighTalesofHistory TikTok- @HighTalesofHistoryPod YouTube-- @High Tales of HistoryFacebook -High Tales of History or @HighTalesofHistory Email—hightailingthroughhistory@gmail.com ~~~~~*Mentioned in the Stories:Constitution and the Smithsonian Under Attack—https://www.the-independent.com/news/world/americas/constitution-trump-congress-website-removed-b2804095.htmlhttps://www.pbs.org/newshour/politics/smithsonian-removes-trump-from-an-exhibits-impeachment-display-but-says-its-temporaryhttps://www.pbs.org/newshour/politics/trump-amplifies-attacks-on-out-of-control-smithsonian-museums-for-including-negative-parts-of-american-historyhttps://www.npr.org/2025/08/12/nx-s1-5500550/smithsonian-trump-reviewWhen McCarthy Defended Nazis—https://www.smithsonianmag.com/history/senator-mccarthys-nazi-problem-180975174/ Episodes mentioned in the show—The Night Witches EpisodeThe Lavender Scare Episode ~~~~~~*Source Material and References:https://www.eisenhowerlibrary.gov/research/online-documents/mccarthyism-red-scarehttps://www.history.com/articles/joseph-mccarthyhttps://www.britannica.com/event/McCarthyismhttps://www.senate.gov/about/powers-procedures/censure/133Joseph_McCarthy.htm#:~:text=The%20select%20committee%20unanimously%20recommended,constitute%20a%20basis%20for%20censure.%22https://www.historynet.com/fact-from-fiction-joseph-mccarthy-the-tail-gunner/https://www.biography.com/political-figures/joseph-mccarthyhttps://firstamendment.mtsu.edu/article/mccarthyism/~~~~~~~*Intro/outro music: "Loopster" by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/
*Listen to the Show notes and podcast transcript with this multi-language player. INTRODUCTION: Of all the attributes of God, one of the greatest is His forgiveness. Forgiveness and mercy is something we can yearn for, but we cannot demand. Jesus said, “Blessed are the merciful, for they shall obtain mercy.” How two parties process a problem between them will determine how their hearts are able to be reconciled past that point. Let's seek to minister the mercy and forgiveness that Christ has made available. SHOW NOTES: When we reach an impasse in our relating to someone, it's important to draw on the Lord's attribute of forgiveness. The initiative to bring a reconciliation with the party you are having problems with is up to you-don't wait for him. A good starting point is the Lord's Prayer: “forgive us our trespasses as we forgive those who trespass against us.” See that God has called the lame, the halt, and the blind, then realize that even though we have all failed, He has forgiven us all. The state of heart is the real issue; we choose to forgive. We believe in the forgiveness of God when we need it in times of our own weaknesses and faults; let us also believe in it for others. QUOTATIONS: I am responsible to forgive: I give up my right to be unforgiving. To be able to just erase things that come up in your brain against your brother, whoever it is, you just erase them. Have mercy, love, grace, forgiveness: That's the eraser. It was mentioned as an eraser and then as a discipline, and then as a practice. We build that like a muscle, we build that up. It is a very good thing to forgive, like our Father forgave us. He is forgiving! The Lord says to Zaccaeus (the tax collector), today salvation has come to this house, because he too is a son of Abraham. No matter what people thought in their hatred toward this man, Christ saw the heart of this man. Hatred just blinds everything. Christ saw the man's heart, and that's what really mattered. He who is forgiven much, loves much. REFERENCES:
Laurel is back for episode three of season six! Join Kt and Laurel as they jump into the tumultuous era of McCarthyism, exploring the rise and fall of Wisconsin Senator Joseph McCarthy and the widespread fear of communism in America. Grab some snacks, libation of choice and join your favorite stoner history sisters in the Smoke Circle as we discover the impact of the Red Scare on American society, the Lavender Scare's hidden history, and the lessons we can learn from this period.~~~~~*The Socials and Patreon!Patreon-- The Best Buds Club! Instagram - @HighTalesofHistory TikTok- @HighTalesofHistoryPod YouTube-- @High Tales of HistoryFacebook -High Tales of History or @HighTalesofHistory Email—hightailingthroughhistory@gmail.com ~~~~~*Mentioned in the Stories:Constitution and the Smithsonian Under Attack—https://www.the-independent.com/news/world/americas/constitution-trump-congress-website-removed-b2804095.htmlhttps://www.pbs.org/newshour/politics/smithsonian-removes-trump-from-an-exhibits-impeachment-display-but-says-its-temporaryhttps://www.pbs.org/newshour/politics/trump-amplifies-attacks-on-out-of-control-smithsonian-museums-for-including-negative-parts-of-american-historyhttps://www.npr.org/2025/08/12/nx-s1-5500550/smithsonian-trump-reviewWhen McCarthy Defended Nazis—https://www.smithsonianmag.com/history/senator-mccarthys-nazi-problem-180975174/ Episodes mentioned in the show—The Night Witches EpisodeThe Lavender Scare Episode ~~~~~~*Source Material and References:https://www.eisenhowerlibrary.gov/research/online-documents/mccarthyism-red-scarehttps://www.history.com/articles/joseph-mccarthyhttps://www.britannica.com/event/McCarthyismhttps://www.senate.gov/about/powers-procedures/censure/133Joseph_McCarthy.htm#:~:text=The%20select%20committee%20unanimously%20recommended,constitute%20a%20basis%20for%20censure.%22https://www.historynet.com/fact-from-fiction-joseph-mccarthy-the-tail-gunner/https://www.biography.com/political-figures/joseph-mccarthyhttps://firstamendment.mtsu.edu/article/mccarthyism/~~~~~~~*Intro/outro music: "Loopster" by Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 3.0 License http://creativecommons.org/licenses/by/3.0/
Summary of Events The shooter, identified as Robin Westman (born Robert Westman, 23 years old), carried out an attack at a Catholic church and school during mass. Weapons used: pistol, rifle, and shotgun. Casualties reported: 2 children (ages 8 and 10) killed, 17 others injured (14 children and 3 adults). The shooter allegedly took their own life inside the church. The FBI labeled the case as a hate crime and domestic terrorism targeting Catholics, though local police had not fully confirmed the motive. Shooter Background Legally changed name from Robert to Robin at age 17. Described as transgender by commentators in the text. Left behind videos, writings, and a manifesto with disturbing content: Admiration for previous mass shooters. Anti-Catholic, anti-Trump, and anti-Israel messages written on firearms and magazines (e.g., “Kill Donald Trump,” “Israel must fall”). Obsession with school shootings and extremist rhetoric. Mother previously worked at the same school; shooter graduated from it in 2017. Political & Media Reactions Trump administration officials and FBI leadership framed the shooting as an act of religiously motivated hate. Commentary in the document accuses Democrats and liberal media of downplaying the hate-crime angle and focusing instead on gun control. References to Amy Klobuchar, Jen Psaki, and the Minneapolis mayor, criticizing their calls for tighter gun laws and for allegedly ignoring the ideological/mental health aspects. The mayor’s emotional remarks about gun violence and children’s safety are quoted, but framed as anti-gun rhetoric. The commentary repeatedly emphasizes a pattern of transgender shooters and accuses mainstream media of suppressing that detail. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the The Ben Ferguson Show Podcast and Verdict with Ted Cruz Wherever You get You're Podcasts. And don't forget to follow the show on Social Media so you never miss a moment! Thanks for Listening X: https://x.com/benfergusonshowYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.
Send JKO a Text MessageDo you find yourself always trying to earn love, safety, or belonging in relationships? Then, this episode is for you. Discover the signs of emotional hustle culture in relationships, its effects on mental and physical health, and how to heal and deal with it. Nuggets of wisdom in this episode Links between hustling for love and health issues like insomnia, anxiety, and weight gain The standard for real love Practical healing tools and practices Key scriptures: 1 Corinthians 13:4–7, Genesis 29:31–35 References How to Talk to People Who Don't Like You, episode from The Crappy Childhood Fairy Support the show If Messy Can't Stop Her blesses or inspires you, please consider supporting it at supportmessycantstopher.buzzsprout.com. Thank you for being part of this journey. If you would love to share your story on the #MessyCantStopHer podcast, click here to let me know. Thank you so much for listening. Music Credit: https://indiefy.me/wanted-carter
Professor Theresa Gannon is a Professor of Forensic Psychology at University of Kent and has worked in forensic psychology practice for nearly two decades in NHS and prison settings. She has published widely in the areas of rehabilitation, sexual offending and fire setting and has make a significant contribution to advancing theory and practice.References for all texts cited in this podcast are on our Linktree.Presenters: Dr. Sally Tilt and Dr. Kerensa HockenProducer: Andrew WilkieAssistant Producer: Richie MakepeaceYou can follow this podcast on LinkedIn by clicking here.The Forensic Psychology Podcast is a co-production between HM Prison and Probation Service and the Prison Radio Association charity. Hosted on Acast. See acast.com/privacy for more information.
Want to grow your business? Download your free roadmap today: coltivar.com/growth What does it take to be a truly strategic CFO in today's construction industry? In this episode, Steve sits down with Brad Collins, CFO of Barrett Industries—a regional construction leader and part of global infrastructure giant Colas. They dive deep into how finance leaders can drive real business value beyond spreadsheets, why strategic alignment across teams matters, and what CFOs can do to shift from being number crunchers to strategic partners. Brad shares insights on regional autonomy, KPI execution, operational efficiency, and the true ROI of financial leadership—plus, what he wishes he knew five years ago. If you're building a finance team or leading a P&L, this one's packed with practical, hard-won advice. Disclaimer: The views expressed here are those of the individual Coltivar Group, LLC (“Coltivar”) personnel quoted and are not the views of Coltivar or its affiliates. Certain information contained in here has been obtained from third-party sources. While taken from sources believed to be reliable, Coltivar has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. The Company is not registered or licensed by any governing body in any jurisdiction to give investing advice or provide investment recommendations. The Company is not affiliated with, nor does it receive compensation from, any specific security. Please see https://www.coltivar.com/privacy-policy-and-terms-of-use for additional important information. Win a free custom KPI Dashboard for your business. Apply now before the September 10th drawing: coltivar.com/kpisLinkedIn | YouTube coltivar.com
Check out the best podcast show notes on the internet at www.thelongterminvestor.com ----- Mutual funds, ETFs, and SMAs all give you access to the market — but the way they handle taxes, costs, and control can lead to very different outcomes. In this episode, I break down how each vehicle works, where it shines, and when it falls short. If you've ever wondered which is best for your portfolio, this is the episode you'll want to hear. Listen now and learn: ► Why mutual funds can leave you paying for other investors' decisions — and how ETFs and SMAs solve that problem. ► The key differences between mutual funds, ETFs, and SMAs in terms of tax efficiency, cost, and customization. ► When an SMA makes sense (and when it doesn't) — including how tax-loss harvesting at the stock level creates “tax alpha.” ► The future of investing vehicles: why ETFs dominate flows, how SMAs are growing, and why mutual funds still matter in retirement plans. Editing and post-production work for this episode was provided by The Podcast Consultant (https://thepodcastconsultant.com). Disclosure: This content, which contains security-related opinions and/or information, is provided for informational purposes only and should not be relied upon in any manner as professional advice, or an endorsement of any practices, products or services. There can be no guarantees or assurances that the views expressed here will be applicable for any particular facts or circumstances, and should not be relied upon in any manner. You should consult your own advisers as to legal, business, tax, and other related matters concerning any investment. The commentary in this “post” (including any related blog, podcasts, videos, and social media) reflects the personal opinions, viewpoints, and analyses of the Plancorp LLC employees providing such comments, and should not be regarded the views of Plancorp LLC. or its respective affiliates or as a description of advisory services provided by Plancorp LLC or performance returns of any Plancorp LLC client. References to any securities or digital assets, or performance data, are for illustrative purposes only and do not constitute an investment recommendation or offer to provide investment advisory services. Charts and graphs provided within are for informational purposes solely and should not be relied upon when making any investment decision. Past performance is not indicative of future results. The content speaks only as of the date indicated. Any projections, estimates, forecasts, targets, prospects, and/or opinions expressed in these materials are subject to change without notice and may differ or be contrary to opinions expressed by others. Please see disclosures here.
Ageless Athlete - Fireside Chats with Adventure Sports Icons
For more than five decades, Jim Donini has defined what it means to be an alpinist. Not by chasing the tallest mountains or summit glory, but by seeking out the hardest lines in the world's most remote ranges — places where storms, hunger, and survival itself are never guaranteed.Now at 82, Jim is still climbing, still dreaming, and still teaching us what resilience looks like. In this first of a two-part conversation, he opens up about receiving a surprise cancer diagnosis, how he approaches adversity with the same directness he once brought to multi-week storms in the Karakoram, and why he has never lost his motivation to keep moving forward.We cover:Why the highest peaks never interested him — and why difficulty mattered more than altitudeThe philosophy of retreat: “Getting to the top is optional. Getting back down is mandatory”His early days in Yosemite and how confidence and boldness shaped his pathStories from Torre Egger, Latok I, and the Karakoram — some of the most consequential climbs in modern alpinismHow he keeps looking ahead despite health challenges and the odds of ageJim's story is one of awe, resilience, and optimism. It's a reminder that survival is never guaranteed — but meaning can be found in the way we choose our lines, on the mountain and off.
Even the most capable professionals can struggle in interviews. In this episode, Brian and job interview coach Tali Shlafer break down why, and what to do instead. Overview In this episode of the Agile Mentors Podcast, Brian welcomes interview coach Tali Shlafer for a practical, clear-eyed conversation about how to approach job interviews as a skill, not a personality trait. Tali shares why being great at your job doesn’t automatically translate to interview success, especially in collaborative fields like product development, Agile coaching, and project management. She outlines a straightforward way to prepare for interviews by identifying the real challenges behind a role and building stories that speak directly to them, without sounding rehearsed or robotic. From reframing “bragging” as problem-solving to handling tough questions with clarity and self-awareness, this episode is full of grounded advice for professionals navigating their next move. References and resources mentioned in the show: Tali Shlafer Free Job Interview Tip Vault Tali's LinkedIn Tali's Instagram #93: The Rise of Human Skills and Agile Acumen with Evan Leybourn #111: Adapting to the Future of Work with Heather McGowan Blog: Entry-Level Scrum Masters: Seven Tips on How to Get Your First Scrum Master Job by Mike Cohn AI Prompt Pack for Product Owners & Scrum Masters Subscribe to the Agile Mentors Podcast Want to get involved? This show is designed for you, and we’d love your input. Enjoyed what you heard today? Please leave a rating and a review. It really helps, and we read every single one. Got an Agile subject you’d like us to discuss or a question that needs an answer? Share your thoughts with us at podcast@mountaingoatsoftware.com This episode’s presenters are: Brian Milner is a Certified Scrum Trainer®, Certified Scrum Professional®, Certified ScrumMaster®, and Certified Scrum Product Owner®, and host of the Agile Mentors Podcast training at Mountain Goat Software. He's passionate about making a difference in people's day-to-day work, influenced by his own experience of transitioning to Scrum and seeing improvements in work/life balance, honesty, respect, and the quality of work. Tali Shlafer is a certified interview coach who helps high performers turn nerves into clarity and confidence so they can land roles they’re truly excited about. Her practical frameworks—rooted in psychology, communication, and performance—ditch the gimmicks and empower candidates to show up as their best, most authentic selves. Auto-generated Transcript: Brian Milner (00:00) Welcome in everyone. We're back for another episode of the Agile Mentors Podcast. I'm with you as always, Brian Milner. And today I have Miss Tali Schläufer with us. Welcome in Tali. Tali Shlafer (00:11) Thanks, Brian. I'm excited to be here. Brian Milner (00:13) Very excited to have Tali with us. She is a job interview coach so you can kind of See the direction we're going in here one of her tagline is that she she helps you know professionals get offers they're really excited about and She's got some really interesting insights here because I know in today's world in today's environment There is a lot of shifting going on. There's a lot of transitioning between different places of work. And that interview is always kind of the forgotten portion of it, right? You get past all the other stuff, you get to the point where you're in the interview. So Tali, from your perspective, I know you see and help a lot of people with that portion of it. What are some of the biggest mistakes that people make that you see routinely as you help people prepare for their interviews? Tali Shlafer (01:01) Yeah, absolutely. I think one of the things that you just mentioned where, you know, people really struggling with the interview piece, you do all this work in your job search to update your resume, update your LinkedIn network, all this stuff, and then you get to the interview and it's like, okay, we're close. It's actually the interview is actually a completely different stage than anything else. And one mistake that I often see people making is just the mindset around interviews. A lot of people think, if I'm great at my job, I'll just interview really well. Like I'm a top performer. I'm good to go. But interviewing is actually a skill that's completely separate from anything else we do in the workplace. It requires you to be able to articulate what you've done in the workplace and the results and the impact that you brought in a way that most of us don't have to do in our day-to-day jobs. And you have to do it better than everybody else. So just because you are a top performer doesn't necessarily mean that that translates into your ability. to talk about yourself and talk about your career, especially in a way that resonates with the specific job culture and the specific job that you're applying for. So I think that's kind of the top mistake that I would just from a mindset level, is seeing interviews as something that you're naturally good at rather than as a skill that you can really develop and build in order to set yourself up for success. Brian Milner (02:12) Yeah. Yeah, that's a great point because, know, just because, as you said, just because I'm a top performer in something that I do, have a huge skill set or knowledge area that I'm really good at, doesn't mean that I'm necessarily good at an interview process because it is kind of a whole set of other communication skills that you have to have in that kind of environment. I know when I've talked to people about it sometimes, they feel sort of this, I don't know, dichotomy a little bit back and forth about... I know I'm supposed to plug myself here. I know I'm supposed to kind of brag a little bit, but I also don't want to sound cocky. I don't want to sound, you know, I don't know, just brash or anything. How do you help people or what do you advise people about in that area? Tali Shlafer (03:06) Yeah, and I think this is really common for people who are top performers and people who are very team oriented and collaboration oriented. It's really difficult for those folks to go, hey, I did all this stuff by myself and to kind of put themselves in that spotlight. So it's a very common challenge. It's also very common for folks who are really good at their job and have been doing this for a long time to actually be able to articulate. what that secret sauce is, like why they're actually good at their job, which is part of the challenge. Remind me the question that you just asked. Brian Milner (03:38) No, I'm just, in talking about kind of like how people prepare for these kind of things, the way they communicate this stuff, sometimes it's kind of more this worry about am I being a little too overbearing or brash in how I'm bragging about myself? Will I come off seeming cocky? or overconfident, how do they walk that fine line? Tali Shlafer (04:03) Yeah, I think this is a really big mindset piece where a lot of people who are those top performers and are very collaborative in nature are afraid to talk about themselves and be in the spotlight and kind of take credit where, especially in something like in the agile world or project management, product management, it's a very collaborative space. people are afraid to like, people are afraid to say, here's what I did. And Part of the mindset shift that I really encourage clients and job seekers to have is rather than to see it as, hey, the interview is all about you and the spotlight's on you and you're a used car salesman trying to promo yourself and it feels really icky so we don't want to do it. We end up not doing it at all. Think of it rather as you're trying to help this employer solve a problem. You're on the same side of the table with them. You're essentially a consultant for them. Their problem is... Hey, I've got this role. I have this challenge in my company. I have this opportunity. I have this thing that I need help with and I need to find who's going to be able to help me do that. And so you're essentially being an advisor for them and sharing here's how my previous experiences and what I've done in the past might be able to help you with your challenges. So it's really, it's really a partnership type of conversation where you're exploring, well, what are you struggling with? and how, let me share ways that I think I might be able to help. I think having that mindset is a lot more helpful for people who are more collaborative in nature. I think there's also a part of it that is getting really clear on how your work has actually delivered results. Being really confident, a lot of folks who are more collaborative in nature, which is a lot of people that I work with. tend to really get stuck in the we. So they say, we deliver this, we manage this, we strategize in this way. And then the interviewer ends up losing the thread of, well, what did this person sitting across from me do? What did they lead? What did they manage versus what did they do collaboratively? so getting really clear and even getting some language around how to talk about your contributions with respect to the team. So saying, I led this strategy session or I facilitated the collaboration of this, or I made the suggestion to people who then made a decision. Those kind of nuanced pieces of communication can help us feel more comfortable with actually owning our story in a way that doesn't feel gross. Brian Milner (06:39) Yeah, I think you make a great point there about the partnership aspect of it because having been on both sides of the table there, I know when I was hiring people as a software manager of some kind, the thought is always when the person comes in, you want to hire them. When they've reached that stage, when you finally bring them in, you're excited about the people that you decided to bring in and you're pulling for them. You want them to actually be successful. So I think it's important to keep that in mind too, that they want you to be successful. They want that role filled or they wouldn't have put out the job wreck and all the other things. If you, so let's just kind of talk through on a practical level. If you, you've done the work, you've put out the resume, you've got the call, maybe you've even gone through, well, I guess we should talk about that as well. Kind of the difference between a virtual or phone interview and an in-person interview. Is there a difference in level of prep or in how you, you know. tricks to being more successful if it's virtual versus in person. Tali Shlafer (07:50) I think the preparation itself should be the same. At the end of the day, your preparation should be about what are the challenges that this company, that this organization is facing and how does this role help solve those challenges? What are the skills? What are the top five skills that I need to demonstrate? Hard and soft skills. And in order to show them that I can be the top performer for this role and what are stories that I can share for each one of those skills. to prove that, I have what it takes, I can actually walk the walk as well. I've gotten results in this area before. So the prep work itself in the days leading up to the interview should be more or less the same. I would say the difference between a virtual interview versus an in-person interview is just people's comfort level. I think a lot of people are really comfortable in in-person interviews because it feels like you're actually talking to a human, right? You have a full-size person sitting across from the table from you. So it's a lot more comfortable. And I think even though through COVID, we had a lot more virtual conversations, there's still a very performative feeling element to it when it comes to virtual interviews. So one of my top tips for virtual interviews is please turn off your self view. So if you're in the Zoom call and if you're in a meeting, because it makes people so nervous and self-conscious. So when you get on that Zoom call, that Teams call, whatever platform you're using, make sure you're in the frame, right? Make sure that your lighting is good, all that stuff, and then turn off that camera so that you're not just watching yourself and being super self-conscious the entire time. Because think about it, in what other context in your life, when you're having a conversation with someone, do you have a mirror that you're looking at? Brian Milner (09:36) Right, right, I mean, if you're in their interview room, unless there's a mirror all the way around, you're not really getting that view. And even if you did, you probably wouldn't watch yourself in the mirror the entire time. So yeah, that's a great tip. And I think you're absolutely right. It can lead to being very, very self-conscious then. I think it's, I want to go back a little bit to the prep because I think your tip there is a really important thing is to try to understand the challenges, understand what it is they're looking for. And it just struck me as you were saying that it seems very similar to, in my kind of line of work, I do a lot of consulting work with people. And when I have a client that's a prospective client, it's almost the same thing. where you have to research a little bit about the company ahead of time. If you're doing kind of a sales call prior to the engagement, it's very similar. And I just thought about that. There is an overlap there between that and job interviews because you are selling yourself. You are selling your services to that company. Tali Shlafer (10:36) And a lot of people, here's another mistake that a lot of people, a lot of well-meaning people make is as part of their prep work, going online and finding a bunch of questions that they can then prepare for. So it's a very, I kind of call it whack-a-mole where, hey, let me try to figure out all the possible questions I might get asked and write out answers for those. Brian Milner (10:51) Ha ha. Tali Shlafer (10:59) That might get some people results. And if it's getting you results, that's great. But what I really encourage people to do is really reverse engineer your talking points from the job description, from what you know, even, you know, once you've had the conversation with the recruiter, you know, a little bit more about the position than maybe is even listed on the job description. So compile everything that you know about this opportunity and figure out, okay, what are the most important things for me to be able to articulate rather than just guessing at. random questions that the internet says you might get asked. Brian Milner (11:32) Yeah, that's a great point. I know we all want to get past that and get to the job, but I think there's also an element there of, let's say you do memorize these questions and they just happen to ask you the exact questions you had prepared for. If you don't really have that knowledge, then you're not going to really do well in that job even if you get it. So it's almost a blessing to not get that job, you know, if you didn't know that information, because they're going to be counting on you to do that. And you're not going to be a you're not going to do your job well then. Yeah. Tali Shlafer (12:06) Yeah, and the memorizing piece that you just mentioned is really, really easy for people to fall into the trap of trying to memorize their answers, especially with chat GPT and AI. Everybody's thinking, well, let's use these AI tools to help us come up with interview answers. so we plug in, job seekers will plug in, here's a bunch of questions that I might get. Look at my resume, tell me how can I answer these questions? And it feels safe. It feels like, this very smart robot or technology is gonna say this in a better way than I can. Brian Milner (12:36) you Tali Shlafer (12:40) But it really sets people up for failure most of the time because number one, most people aren't good at memorizing things, right? Most of us don't have to do that as our job. So most of us are really bad at memorizing. Number two, it makes you sound like a robot. It doesn't sound human. You lose the attention of the person who you're talking with. And number three, doesn't when you just memorize answers rather than thinking about it as what are talking points that I can riff off, riff on and kind of reuse and recycle and tell stories with. When you memorize, it puts you in the position of, well, yeah, it's great if they ask you that exact question. And some questions you will get asked, like tell me about yourself, you're going to get 99 % of the time. But for the most part, if you memorize a set of 10 questions and one of those questions gets a slight variation, or they ask a question that's not on there, you end up panicking. You don't know how to think on your feet because you're reliant on your tool. You've used AI or you've used your script as a strategy rather than a tool. Brian Milner (13:42) Yeah, that's a great point. I'm kind of wanting to get your take on this because this is a big thing that I know often comes up in these kinds of interviews is those questions that we all hate to get that you just know, no one ever knows how to answer these things. So I'm just curious how you advise people, you know, the awful question like, you know, give me some of your weaknesses or give me some of the things that you're not good at. How do you advise people to handle those kind of questions when they get asked in interviews? Tali Shlafer (14:14) Yeah, so there are definitely some questions that we tend to hear more often than others, especially when it comes to those recruiter interviews. The tell me about yourself, what are your strengths? What are your weaknesses? Tell me about a time you had to deal with a conflict. Tell me about a time you had to deal with a mistake. Those are pretty common, I would say, in that initial recruiter conversation. It's always an interview in my book. The weakness question I know is one of the that and the tell me about yourself is what really stresses people out. Brian Milner (14:40) Ha Tali Shlafer (14:43) My general advice for the weakness is actually something that I heard Adam Grant, who's an organizational psychology at Wharton share, which is pick something that is real but not disqualifying. So if you're an Agilist, your weakness should probably not be scrum or not be, you know, understanding business requirements. But it could be something like public speaking. Brian Milner (15:00) Ha Tali Shlafer (15:08) Or it could be something like delegating, where, you know, it's something real and it's not... It's something authentic. Authenticity is really, really important, especially nowadays in interviews. But it doesn't stop you from being able to perform well. So what I typically advise is pick a weakness, like Adam Grant says, that's real but not disqualifying. And this is important, and where a lot of people miss out, share what are you doing to actually address it? Because what we want to do, the point of that question isn't tell us what's wrong with you so we can judge you and disqualify you from the job. It's the subcontext of it is do you have self-awareness? Are you somebody who is aware enough and humble enough to know your shortcomings? And are you someone who's proactive about fixing them? and about becoming a better person. So the second part of that answer should be, well, what have you done to try to improve? What are specific steps that you've taken in order to improve? Brian Milner (16:09) Yeah, that's a great response. I know I've heard the traditional, you try to say one of your strengths as, I guess my weakness is I work too hard, like that kind of thing. Which I agree, it's not sincere. If I'm hearing that and I'm interviewing someone, that could disqualify him in my book, because I could think, this person is not going be honest with me. ⁓ Tali Shlafer (16:20) Yeah. or the I'm a perfectionist piece? The most common answer to that question. Brian Milner (16:33) Alright, I'm a perfectionist, right? Yeah, exactly. Well, you hit on the other big one too, the tell me about yourself. How do you advise people to handle that? Do you have a script in mind? you kind of detail out a couple of things? What's important to hit when someone asks you to just tell me about yourself? Tali Shlafer (16:54) Yeah, I'm a big fan of formulas over scripts. So I'll share my formula, but let me share a couple things that derail people. Let's kind of establish what's not helpful. And then we can kind of talk about this formula, which by the way, lots of different career coaches have different formulas. There's not necessarily one that works. It's just pick something and learn to do it really well. A lot of people will go in and start well. I graduated from the University of Washington in 1995, and they give kind of their entire history. And we lose the interviewer right away when we do that. So rather than giving them a chronological history of everything that's happened in your career and asking them, when we do that, we are essentially asking them, hey, here's all this information and data. You make sense of it. You figure out how it's relevant to you. I think it's actually really kind to use a formula to help them understand. Here's everything you need to know about me as it pertains to this role. So taking everything, taking your history and your career through the filter of what is important to demonstrate for this role. So the formula that I teach is sharing a super quick background. Hey, I'm Tali, I've been a project manager for the last 10 years. That's not true, that's not, let me reset that. So I think starting with a very brief. Brian Milner (18:12) You Tali Shlafer (18:16) sentence about yourself, your relevant role, how long you've had experience. Hey, I'm John. I've been project manager for the last 10 years, sharing the three key skills that you need to have in order to succeed at this job. And for each of those three skills, can you list an accomplishment or a metric or a success story? And we're not telling a whole story. We're just giving them here's the highlight reel, here's the headline, and then you'll click into all of those stories later. So quick little background about yourself, three main skills that you've developed that are relevant for this role, and super high level accomplishment to demonstrate those skills. So that's a little bit, that kind of is the first half, and that talks more about your previous experiences. And then in the second half of this answer, we want to pivot it to the future. So the first half is really about the past, it's about yourself. And then in the second half, we want to pivot to the future. what are you looking for in your next role? And hopefully that thing is also in that, that whatever you're looking for in your next role should dovetail really nicely into what they're offering as a company and as, as a, as an organization. What are you looking for specifically in your next role? And why are you so excited about interviewing with this company? And we want to share something really specific that We want to share something specific that feels personal. Where a lot of people go wrong is they'll share something like, I really want growth in my next role. And I'm excited about this team because I know you guys really value innovation. That doesn't really tell us anything. So we want one level of detail lower. So I'm really excited. What I really want in my next role is more leadership opportunities, so opportunities to mentor. And I'm really excited about this particular opportunities because I looked on your website, I looked at your blog posts, I looked at your, you know, CEO's posts that they share on LinkedIn. And I can tell that this is a really important part of your culture is being able to mentor people up into higher positions, right? Getting that specific, and there's not a right answer. I remember when I was interviewing for... out of college, I was interviewing for T-Mobile for an internship. And my answer was, I've talked to a lot of people, I've networked with a lot of people at T-Mobile. And one thing that really strikes me is the fact that a lot of people will leave for local companies like Microsoft, Amazon, and then they come back. There's a lot of people who spend a lot of time here. really does. There's a lot of loyalty and the culture, like I shared things that are specific to the culture and there's not a right answer here. It just needs to be. specific and it needs to be something that when you talk about it you kind of start getting butterflies because that's contagious. Brian Milner (21:07) That's awesome. Well, I want to ask about kind of the other half of the interview or the other portion of the interview as well. They, you know, I often hear people say, you know, you should walk into the interview understanding that it's a two way interview. They're interviewing you, but you're interviewing them as well because you want to know, is this the right place for me? So I can make the right decision about where I'm going to end up. What kind of things do you advise people to ask about or to focus on? What are some things that might expose some hidden things about the organization, warning signs or anything like that that might pop up in an interview to ask about? Tali Shlafer (21:45) That's a really good question. think one thing, it really depends on the opportunity and what you're looking for. So I don't think that there's one magic question that if you ask it, oh, the person's gonna be super impressed. Let me back up. What I really like about what you just said, is the framing of the questions that you ask at the end as a two-way conversation and as a way for you to understand more about the company so you can see if it's a good fit. I think a lot of people, especially in tough job markets, tend to kind of close their eyes and hope they get something and they almost blind themselves to the fact that they need to also do the work to make sure that it's a good fit. Or I see a lot of people who go, well, what can I ask that's impressive? What questions can I ask that's going to really wow them at the end, rather than seeing it as an opportunity to really understand what they offer more? So I would sit down and prioritize what is really important for you in a culture. if getting feedback, if growth is important for you, making sure to ask about, can you tell me about recently on your team, somebody who was promoted or how you helped somebody grow in the company? The best way that we can learn about something is through examples. The best proof that somebody values something is through the examples that they share. So we want to ask, kind of like you hear behavioral questions, you get asked, like, tell me about a time when. You can also use that, figure out what's important for you, and then create. Ask questions specifically about those things. One question that I think can be really helpful to get you to get a sense of what kind of person succeeds on this team and what the team really values is kind of the inverse of that. can you tell me about, can you tell me about what type of person doesn't do well here? Because then if they say, you know, The type of person who doesn't do well here isn't committed to working 60 hours a week. They expect to take their vacations and not be able to unplug. That kind of being able to hear who isn't successful gives you some context around some of their values as well. Brian Milner (24:01) Yeah, that's an excellent question because I agree. Presumably, this is someone you're going to be working with if you get the job. That immediate relationship, think, is going to really be impactful on the expectations, that sort of thing. Yeah, if I'm interviewing and I ask that kind of question, and they do come back and say, yeah, the person who doesn't work 60 hours or anything. Yeah, that's a good sign that maybe this is, I don't know, unless I enjoy working 60 hours a week, that maybe this is not the right cultural fit for me. So that's an excellent question, because I think that would expose some of that behind the scenes stuff, cultural things. ⁓ Tali Shlafer (24:42) And you really want to ask about questions about your dynamic with the manager. So what kind of people succeed under them? Because that's the number one people. I believe I'd have to fact check this, but you always hear that the number one people reason people don't like their jobs or people leave their jobs is because of their boss. So you want to understand you're essentially going on a date with them and you want to understand what is it like to hang out with you for 40 hours a week? Brian Milner (25:05) you Tali Shlafer (25:09) So asking specific questions to really understand what's their working style, what are their expectations, what are their positive experiences, what does feedback look like? Is it a once a year thing? Is it a every time we touch base during our one-on-ones you get feedback? That is really important. The other thing that's important to think about is do you understand the role itself? Like what questions do you have? What gaps in your understanding do you have about the role? Really clarifying to make sure that you know what you're signing up for. Brian Milner (25:40) Yeah, that's a great response as well. I know I remember from back in the day getting told that it's a good kind of question to ask what would success look like? If you really got someone to nail this and you were really happy with the hire and it was perfect, what would be the biggest thing that would contribute to that? And I've always liked that approach as well because it kind of gives you the expectation from the start to know here's what's most important in that manager's mind of what they're looking for. Yeah, just in my memory of interviewing people, would say I've never, I don't think I've ever not hired someone because of a question that they asked at the end, but... I have felt sometimes like when they don't ask questions that they're a little unprepared. Tali Shlafer (26:30) Yeah, and I think it, I think part of the not asking questions, one is being not prepared, not thinking thoroughly about the job. But it's also a little bit of a sense of desperation, like, I've been applying for four months, I don't care, I'm willing to take anything. So I don't have questions, because let me just take any first job that comes available. There's kind of that mindset. And I think it manifests as, I don't have any questions. And I think Brian Milner (26:48) You Tali Shlafer (26:58) People can kind of feel that when you're not critical, when you're not trying to figure out, am I really going to be able to succeed here? People kind of pick up on that and it either looks like desperation or it looks like disengagement and disinterest. We want people not, we don't want to hire the first person off the street who can do the job. We want to hire somebody who's excited to be there and who we know isn't going to leave six months later when they find something better. Brian Milner (27:23) Yeah, that's really good. Well, this has been really enlightening. I think there's a lot of gems in here that I think people can apply. we all find ourselves in that position from time to time of having to interview for things. As I said, even as a consultant, it's an interview when you talk to a potential new client. So I think these are all really great tips for that. We're going to make sure that there's contact information for Tali at the show notes of this so you can get a hold of her. Anything you want to shout out about, any places you want to point people to to get in contact with you? Tali Shlafer (27:56) So for the last few years, I've been posting usually about two short form videos a day to LinkedIn, all the social medias. Over the last couple of years, I've posted over 700 short form videos on social media. I've actually had over a hundred million views on LinkedIn, which is really crazy. Somebody recognized me at the dog park the other day, which was wild. But I created an interview tip-ball that took the best... The most helpful videos the ones that have gone viral received the best feedback gotten people the biggest results in their interviews And I compiled them all in one Interview tip bolt so that's my little thing that I like to share with people You'll see everything in there from how to tell me about yourself To answering why do people ramble and what other mistakes are people making? and also special tips for senior leaders and executives. So that's my little freebie that I like to share out for folks who are interested in the stuff that I'm talking about. Brian Milner (28:56) Awesome, awesome. we will definitely make that available to people in the show notes and links to your socials as well so people can follow you and stay on top of your tips as they come out. So thank you so much for coming on, Tali, and I appreciate you spending some time with us and sharing your knowledge with us. Tali Shlafer (29:13) Thanks so much, Brian. It was a pleasure.
Welcome back! Today, we will review Pramipexole (Mirapex) and take a look at a recent study published in The Lancet Psychiatry regarding its use in treatment-resistant depression.References:https://pubmed.ncbi.nlm.nih.gov/17854248/https://pmc.ncbi.nlm.nih.gov/articles/PMC10034846/https://www.thelancet.com/journals/lanpsy/article/PIIS2215-0366(25)00194-4/fulltext
Selling Affordable Care Act Insurance plans can be a lucrative addition to your business! Register with Ritter Insurance Marketing Contact the Agent Survival Guide Podcast! Email us ASGPodcast@Ritterim.com or call 1-717-562-7211 and leave a voicemail. Resources: 6 Ways to Generate ACA Leads 2026 ACA Exchange & FFM Certification Info ACA Enrollment Periods Explained Agent Requirements for ACA Sales Everything Agents Need to Know About Selling in State-Based Marketplaces How to Become Certified for ACA Marketplace Sales with Federally Facilitated Marketplace (FFM) Training Operating From a People-First Mentality ft. Scott Zimmerman The Complete Guide to Selling Affordable Care Act Plans – FREE eBook Download What is the Health Insurance Marketplace? References: “5 Steps to Start Selling Marketplace Health & Dental Plans.” HealthCare.Gov, https://www.healthcare.gov/agent-broker-quick-start/. Accessed 5 Aug. 2025. “Low Cost Marketplace Health Care, Qualifying Income Levels.” HealthCare.Gov, https://www.healthcare.gov/lower-costs/. Accessed 5 Aug. 2025. “Marketplace Enrollment, 2014-2025.” KFF, 8 July 2025, https://www.kff.org/affordable-care-act/state-indicator/marketplace-enrollment/. “New Agents' and Brokers' Guide to Plan Year 2025 Marketplace Registration and Training.” Centers for Medicare & Medicaid Services, https://www.cms.gov/files/document/new-agents-and-brokers-guide-marketplace-registration-and-training.pdf. Accessed 5 Aug. 2025. “Over 24 Million Consumers Selected Affordable Health Coverage in ACA Marketplace for 2025.” CMS.Gov, https://www.cms.gov/newsroom/press-releases/over-24-million-consumers-selected-affordable-health-coverage-aca-marketplace-2025. Accessed 5 Aug. 2025. “Registration and Training for Marketplace Agents and Brokers.” CMS.Gov, https://www.cms.gov/marketplace/agents-brokers/registration-training. Accessed 5 Aug. 2025. Follow Us on Social! Ritter on Facebook, https://www.facebook.com/RitterIM Instagram, https://www.instagram.com/ritter.insurance.marketing/ LinkedIn, https://www.linkedin.com/company/ritter-insurance-marketing TikTok, https://www.tiktok.com/@ritterim X, https://x.com/RitterIM and YouTube, https://www.youtube.com/user/RitterInsurance Sarah on LinkedIn, https://www.linkedin.com/in/sjrueppel/ Instagram, https://www.instagram.com/thesarahjrueppel/ and Threads, https://www.threads.net/@thesarahjrueppel Tina on LinkedIn, https://www.linkedin.com/in/tina-lamoreux-6384b7199/ Not affiliated with or endorsed by Medicare or any government agency.
Want to grow your business? Download your free roadmap today: coltivar.com/growth Growing fast feels exciting—but grow too quickly without enough cash and you'll find yourself in big trouble. In this episode, Steve breaks down the simple formula every business owner needs to know: how to figure out the maximum speed your company can grow before you run out of money. He also shares a free calculator so you can plug in your numbers and see for yourself. If you've ever wondered whether your growth plans are realistic or risky, this will give you the clarity to scale with confidence. Disclaimer: BYFIQ, LLC is a wholly owned entity of Coltivar Group, LLC. The views expressed here are those of the individual Coltivar Group, LLC (“Coltivar”) personnel quoted and are not the views of Coltivar or its affiliates. Certain information contained in here has been obtained from third-party sources. While taken from sources believed to be reliable, Coltivar has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. The Company is not registered or licensed by any governing body in any jurisdiction to give investing advice or provide investment recommendations. The Company is not affiliated with, nor does it receive compensation from, any specific security. Please see https://www.coltivar.com/terms-and-privacy-policy for additional important information. LinkedIn | YouTube coltivar.com/byfiq
Once upon a time, in a land far, far away, several different European countries came together to make a new body horror black comedy. A fairytale retelling from the perspective of a traditional Cinderella side character, The Ugly Stepsister (2025) doesn't shy away from how gruesome those classic stories can be. This flick was also a near-winner for our quarterly Patreon poll, so we figured the best way to end Au-Guessed You Might Want Us to Continue the New Release Theme Into August would be to throw it back several centuries to the days of yore. Join us on our latest Spooky Tuesday as we talk tape worm eggs, try our hands at improv, and ponder the never-ending pressure to be young and beautiful. References:https://youtu.be/iXHCOR-FPrE?si=Q-SDIAf3Yk41oJTGhttps://youtu.be/TeEAlWSIY3E?si=gaMGpu7r7qWI-Vq8https://www.grimmstories.com/en/grimm_fairy-tales/aschenputtelhttps://sites.pitt.edu/~dash/grimm021.htmlhttps://sites.pitt.edu/~dash/type0510a.htmlhttps://plasticsurgeryofboston.com/the-origin-of-plastic-surgery/https://www.123dentist.com/123-dentist-presents-history-braces/https://www.tiktok.com/@history_with_amy/video/7281247339480681761https://www.indiewire.com/criticism/movies/the-ugly-stepsister-review-1235087462/https://www.vulture.com/article/review-the-ugly-stepsister-is-fairy-tale-body-horror.html
Daniel's Faith: Standing Firm in a World of Compromise
While testing a special new training collar, wacky scientist Rick accidentally swaps bodies with his pet dog Jonas. Now Rick has to figure out how to swap back, stop his boss from selling the technology to the military, and try to keep his life in order, all while in the body of a golden retriever. Meanwhile, Jonas is loving life now that he's off the leash!References and TranscriptSubscribe to the show:Apple PodcastsSpotifyRSSConnect with us:FacebookInstagramBlueskyMastodonThreadsDiscord
What's lurking inside in the environment, inside of us, and what's waiting to emerge? Virologist Dr. Christopher Stobart joins the Public Health Insight Podcast to explore the vast universe of viruses—how they infect, adapt, and sometimes leap from animals to humans. We break down the science behind how they spread, the resurgence of diseases like measles, and what could be the next big threat.References for Our Discussion◼️ How the anti-vaccine movement weaponized a 6-year-old's measles death◼️ Butler University Public Health Faculty & Staff◼️ Rate My Professor: Dr. StobartGuest◼️Dr. Christopher Stobart, Associate Professor of Biology at Butler UniversityHost(s) & Producer(s)◼️ Gordon Thane, BMSc, MPH, PMP®Production Notes◼️ Music from Johnny Harris x Tom Fox: The Music RoomSubscribe to the NewsletterSubscribe to The Insight newsletter so you don't miss out on the latest podcast episodes, live events, job skills, learning opportunities, and other engaging professional development content here.Leave Us Some FeedbackIf you enjoy our podcasts, be sure to subscribe and leave us a rating on Apple Podcast or Spotify, and spread the word to your friends to help us get discovered by more people. You can also interact directly with the podcast episodes on Spotify using the new “comment” feature! We'd love to hear what you think.Send us a Text Message to let us know what you think.
In this week's episode of the Coin Stories News Block powered exclusively by Ledn, we cover these major headlines related to Bitcoin, macroeconomics, and global finance: Markets rally as Powell signals rate cuts are coming...days later Bitcoin flash crashes Are Bitcoin whales to blame for recent selloff or market manipulation on Wall Street? Trump may have the chance to reshape Fed board – is Fed becoming too politicized? U.S. government takes 10% equity stake in Intel Unpacking the economic reordering taking place globally SoFi launches Bitcoin product for global payments ---- The News Block is powered exclusively by Ledn – the global leader in Bitcoin-backed loans, issuing over $9 billion in loans since 2018, and they were the first to offer proof of reserves. With Ledn, you get custody loans, no credit checks, no monthly payments, and more. My followers get .25% off their first loan. Learn more at www.ledn.io/natalie ---- Read every story in the News Block with visuals and charts! Join our mailing list and subscribe to our free Bitcoin newsletter: https://thenewsblock.substack.com ---- References mentioned in the episode: Wall Street Gets the Rally Signal From Powell SEC Chair Attends Wyoming Blockchain Symposium Jerome Powell's Jackson Hole Symposium Speech Crypto Industry Takes Over Jackson Hole Crypto Industry Hosts Rival Gathering in Jackson Hole Christopher Waller's Comments from Crypto Symposium Fed's Lisa Cook Says She Will Not Be Bullied by Trump Trump Says He Will Fire Fed Governor Lisa Cook FT: Investors Warn of “Era of Fiscal Dominance” Powell Indicates that the Fed May Restart Rate Cuts Stock and Bond Market Rally After Powell's Speech David Marcus's Tweet on Sofi and Lightspark Partnership Pulte's Tweet Asking For Dr. Lisa Cook's Resignation Pulte's Tweet Announcing Evidence of Cook's Fraud Donald Trump's Post on Federal Board of Directors Fed's Cook Says She Won't Be Bullied Into Resigning US Takes Nearly 10% Intel Stake, Clinching Deal President Trump, Intel Agree to 10% U.S. Stake SoFi Announces Partnership with Lightspark CFTC Launches Next Phase of “Crypto Sprint” Dan Tapiero's Tweet on Morgan Stanely Survey The Pentagon Invests In Rare Earth Miner ---- Natalie's upcoming events: Bitcoin 2026 will be here before you know it. Get 10% off Early Bird passes using the code HODL: https://tickets.b.tc/event/bitcoin-2026?promoCodeTask=apply&promoCodeInput= Your Bitcoin oasis awaits at Camp Nakamoto: A retreat for Bitcoiners, by Bitcoiners. Code HODL for discounted passes: https://massadoptionbtc.ticketspice.com/camp-nakamoto ---- This podcast is for educational purposes and should not be construed as official investment advice. ---- VALUE FOR VALUE — SUPPORT NATALIE'S SHOWS Strike ID https://strike.me/coinstoriesnat/ Cash App $CoinStories #money #Bitcoin #investing
Contributor: Taylor Lynch, MD Educational Pearls: What is atrial fibrillation with rapid ventricular response (AFib with RVR) and how does it differ from atrial fibrillation (AFib)? AFib is an abnormal heart rhythm in which the heart has disorganized atrial electrical activity. This causes the atria to quiver with only select signals being conducted through the Atrioventricular (AV) Node to reach the ventricles and result in ventricular contraction. Often described as “irregularly irregular”, a patient's EKG will present with no discernible P-waves, and irregular R-R intervals. AFib with RVR is distinguished from AFib when the patient's ventricular rate is greater than 100-110 beats per minute in AFib with RVR. What is the treatment for AFib with RVR? Diltiazem is considered one of the first line therapeutic agents in the treatment of AFib with RVR. Diltiazem inhibits L-Type calcium channels in the AV Node, reducing the amount of signals conducted to the ventricles, thus reducing the ventricular rate. Why pretreat patients receiving Diltiazem for AFib with RVR with calcium? While diltiazem inhibits cardiac calcium channels, it may also cause peripheral vasodilation, resulting in diltiazem-induced hypotension. A recent study found that this hypotension can be blunted by pretreating with 1-2g IV Calcium Chloride (IV Calcium Gluconate can be used in the ED). Calcium is thought to peripherally stabilize the vascular smooth muscle, preventing vasodilation without impacting the desired calcium channel blocker action at the AV node. Key takeaways? In combination with slower pushes of diltiazem for patients in AFib with RVR (AFib with ventricular rate >100-110 bpm) with borderline low blood pressures, 1-2 g of IV Calcium Gluconate can combat diltiazem induced hypotension peripherally without negating the cardiac effect of diltiazem to reduce the heart rate. References 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e1-e156. doi:10.1161/CIR.0000000000001193 Az A, Sogut O, Dogan Y, et al. Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. Am J Emerg Med. 2025;88:23-28. doi:10.1016/j.ajem.2024.11.033 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Get your tickets to Tox Talks Event, Sept 11, 2025: https://emergencymedicalminute.org/events-2/ Donate: https://emergencymedicalminute.org/donate/
Homelessness is something everyone agrees is a problem. Yet, no one seems to know how to solve it. Scholar, speaker, community activist and author of From Dropout to Doctorate Dr. Terrence Lester joins Nathan Clarkson and Joseph Holmes to share his life story and data-driven solutions on how to make a difference in the lives of those experiencing this devastating life situation. References and resources Homelessness definition: https://www.merriam-webster.com/dictionary/homeless Homelessness stats: https://www.britannica.com/topic/homelessness Websites The Overthinkers: theoverthinkersjournal.world Nathan Clarkson: nathanclarkson.me Joseph Holmes: josephholmesstudios.com Terrence Lester: https://terencelester.com/
Over the next four weeks, we're diving into a connection most people never think about: the link between your gut health and migraines. If you've ever shrugged off constipation, bloating, or “just not going regularly” as normal, this series will be an eye-opener. Your gut is your body's highway for removing toxins. When it's backed up or out of balance, the “traffic jam” can set off a cascade of inflammation that triggers migraines. In the first episode of this series, I'll walk you through: Why your bathroom habits are a telltale sign of what's happening in your gut What's normal when it comes to elimination (spoiler: it's not 3 wipes and a rabbit pellet) How gut dysfunction could be fueling your migraine attacks Simple signs your stool is sending you every day, and how to read them
With the National Guard rolling out troops and humvees across our capital, it's a question worth asking. When the federal or state government declares martial law it's the complete suspension of all local laws, civil authority, and local judiciaries. The commanding officer substitutes temporary laws and military tribunals. The Military commander has virtually unlimited authority to govern an area. Surprisingly, the Constitution doesn't define nor does it specify who can declare martial law. Despite this, federal and state governments had declared martial law more than 60 times. In fact, SCOTUS has held that states can declare martial law, but has never said a president can. *** REFERENCES: https://www.brennancenter.org/our-work/research-reports/posse-comitatus-act-explained https://www.law.cornell.edu/uscode/text/18/1385 https://www.independent.co.uk/news/world/americas/us-politics/trump-dc-crime-national-guard-b2807122.html https://www.the-independent.com/news/world/americas/us-politics/trump-national-guard-military-states-cities-b2812837.html https://www.independent.co.uk/news/world/americas/dc-national-guard-armed-weapons-hegseth-b2812838.html https://x.com/JesseBWatters/status/1958690745189376151 https://www.yahoo.com/news/articles/d-c-under-martial-law-185336902.html https://x.com/nicksortor/status/1958290355545067588 https://x.com/ScooterCasterNY/status/1955434390005354731 https://www.brennancenter.org/our-work/research-reports/guide-declarations-martial-law-united-states *** Thanks for listening to Overnight Opinions, a recurring news show on topics the mainstream media isn't telling you. Here you'll get current events blended with spicy commentary directed at our elected leaders. You can check out Ladies Love Politics website to read a transcript/references of this episode at www.ladieslovepolitics.com. Be sure to follow the Ladies Love Politics channel on TikTok, Instagram, YouTube, Truth Social, Brighteon Social, Threads, and Twitter. Content also available on Apple Podcasts, Google Podcasts, Spotify, and wherever else you stream podcasts. Background Music Credit: Music: Hang for Days - Silent Partner https://youtu.be/A41A0XeU2ds
Want to grow your business? Download your free roadmap today: coltivar.com/growth Most business owners say they have a strategy. But is it actually creating value? Or is it just a poster on the wall? In this episode, Steve breaks down the 3 types of companies when it comes to strategy—and how most end up stuck in the middle, grinding hard without getting ahead. You'll learn how to test whether your strategy is really working using one critical metric. Plus, he shares the one simple question to ask your team today that will instantly reveal if your strategy is clear, or just noise. If you want to grow your business and increase profit, this is the clarity you've been missing. Disclaimer: The views expressed here are those of the individual Coltivar Group, LLC (“Coltivar”) personnel quoted and are not the views of Coltivar or its affiliates. Certain information contained in here has been obtained from third-party sources. While taken from sources believed to be reliable, Coltivar has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. The Company is not registered or licensed by any governing body in any jurisdiction to give investing advice or provide investment recommendations. The Company is not affiliated with, nor does it receive compensation from, any specific security. Please see https://www.coltivar.com/privacy-policy-and-terms-of-use for additional important information. LinkedIn | YouTube coltivar.com
Want to grow your business? Download your free roadmap today: coltivar.com/growth Levers of Profit Calculator: coltivar.com/levers-of-profit-calculator Most business owners look at their income statement but don't really know what it's telling them. In this episode, Steve breaks it down so you can see where profit is really made and where it's slipping away. He explains how to read revenue, cost of goods sold, and gross profit, and then shows you what operating profit reveals about your overhead and efficiency. You'll also learn the three levers that drive profitability and how to use them to improve margins and protect cash flow. If you've ever wondered why your sales keep growing but your bank account doesn't, this episode will give you the clarity to spot hidden profit and make smarter financial decisions. Disclaimer: BYFIQ, LLC is a wholly owned entity of Coltivar Group, LLC. The views expressed here are those of the individual Coltivar Group, LLC (“Coltivar”) personnel quoted and are not the views of Coltivar or its affiliates. Certain information contained in here has been obtained from third-party sources. While taken from sources believed to be reliable, Coltivar has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. The Company is not registered or licensed by any governing body in any jurisdiction to give investing advice or provide investment recommendations. The Company is not affiliated with, nor does it receive compensation from, any specific security. Please see https://www.coltivar.com/terms-and-privacy-policy for additional important information. LinkedIn | YouTube coltivar.com/byfiq
Podcast for a deep examination into the career and life choices of Adam Sandler (again). Patrick and Joe take a trip down memory lane, this time going back all the way to ten years ago! In an attempt to white wash history, the WTHHTT team decides to clean up their old podcasting mishaps. Will they be successful? Will they celebrate their aluminum anniversary in style? Find out on this week's remixed episode of 'What the Hell Happened to Them?' Email the cast at whathappenedtothem@gmail.com Disclaimer: This episode was recorded in August 2025. References may feel confusing and/or dated unusually quickly. 'Going Overboard' available on DVD and VHS (also streaming on our unofficial sponsor, Tubi): https://www.amazon.com/Going-Overboard-Adam-Sandler/dp/1573625574/ Music from "Clint Eastwood" by Gorillaz Artwork by BJ West quixotic, united, skeyhill, vekeman, sandler, syzygy, going, overboard, tenth, ten, anniversary, decade, boat, brill, covert, zane, letterboxd, low, budget, comedy, comedian, phoenix
Skip the banter: about 00:07:49 On Mother's Day 2020, Suzanne Morphew vanished from her mountain home in Colorado. Her daughters' texts went unanswered. Her bike was found tossed in a ravine. As the truth unraveled, so did a marriage that had long been quietly unraveling. Allison tells us the rest of this story that ends in a shallow grave and one hell of a chemical twist. Support us and become a Patron! Over 150 bonus episodes: https://www.patreon.com/crimeandcoffeecouple Our Amazon Shop (stuff we like that we share on the show): https://www.amazon.com/shop/crimeandcoffee2 All our links (YouTube, Instagram, TikTok, Merch, etc): https://linktr.ee/crimeandcoffee Facebook Group to discuss episodes: www.facebook.com/groups/crimeandcoffeecouplepodcast/ References available at https://www.crimeandcoffeecouple.com a few days after this podcast airs. Case Suggestions Form: https://forms.gle/RQbthyDvd98SGpVq8 Remember to subscribe to our podcast in your favorite podcast player. Do it before you forget! If you're listening on Spotify please leave us a 5-star review, and leave a comment on today's episode! If you're on an iPhone, review us on Apple Podcasts please! Scroll to the bottom of the page and hit the stars ;) Ma and Pa appreciate you more than you know. Reminder: Support us and become a Patron! Over 100 bonus episodes: https://www.patreon.com/crimeandcoffeecouple Podcast Intro and Outro music: Seductress Dubstep or TrippinCoffee by Audionautix http://audionautix.com Creative Commons Music by Jason Shaw on Audionautix.com
Episode 0929 - Ajahn Chah & Core Buddhism, I (Click on the above link, or here, for audio.) Introduction to the Thai Forest Tradition and core Buddhist principles, from Collected Teachings of Ajahn Chah (compiled by Ajahn Munindo, 2011). Commentary on the book's Introduction from Ajahn Amaro (pages iii-vi), Buddhist history, and the incarnative mode of "straight and narrow."References from
Episode 0928 - July 2025 Update -- WWIII 100% (!?) (Click on the above link, or here, for audio.) Short comments on Martin Armstrong's prediction of Middel East/European war potentials, humanity & 3D-cycle closing, Wanderers' responsibility & personal balance, detachment & world service. Relevant quotes from George Orwell & Gustave Le Bon.References from Pali Buddha-Dhamma,
The Conjunction of Saturn and Neptune in Aries. If you're affected by this present transit, do get in touch. Ephemeries 2025 https://www.astro.com/swisseph/ae/2000/ae_2025.pdf Ephemeris 1703 https://www.astro.com/swisseph/ae/1700/ae_1703.pdf https://www.astro.com/swisseph/ae/1700/ae_1738.pdf John Wesley Sun Cancer, Moon Sag (possibly), Mercury Leo, Saturn/Neptune in Aries The date of his conversion John dies References https://wesley.nnu.edu/ https://wesley.nnu.edu/john-wesley/the-life-of-john-wesley-by-john-telford/ https://wesley.nnu.edu/?id=103
What happens if ChatGPT makes you a training plan? Will wearing a weighted vest protect you from the symptoms of perimenopause? Are continuous glucose monitors the tool for improving your nutrition? We tackle several social media trends and give our unfiltered, evidence-based hot takes.Thank you to our sponsors:✨ Tailwind: Complete sport nutrition made simple, including hydration mixes, high-carb sport drinks, endurance fuel, and recovery mixes. Use code TREADLIGHTLY20 at https://tailwindnutrition.com/TREADLIGHTLY for 20% off your first purpose.✨ Previnex: Previnex creates clinically effective, third-party tested supplements made with high-quality ingredients, including Muscle Health Plus (creatine). Use the code treadlightly for 15% off your first order at previnex.comIn this episode, you will learn:✅ Do you need electrolytes?✅ Our hot take on AI coaching✅ Do nasal strips improve running performance?✅ Are continuous glucose monitors beneficial?✅ Do carbon plated shoes increase your injury risk?✅ Should you change your workouts based on your menstrual cycle (cycle syncing)?✅ Does weighted vest training help perimenopausal athletes?References:
Are the antiques in the Tower of Terror just a bunch of old junk, or are they actually telling a story you haven't noticed before?Drop in with us on this episode of Distory with Kate & Kirk as we check into the Hollywood Tower Hotel to decipher the history, secrets, and stories hidden within the design. In this episode, we focus on identifying the artifacts found in the second half of the Echo library preshow room, exploring the details and artifacts you may have missed. Along the way, we discover some props that have changed, explore women's fashion in the 1930s, and discover a unique way of keeping the Hollywood Tower Hotel guests sober. Kate explains a few Twilight Zone connections, Kirk teaches us about Napoleon and some odd golden shoes, and we both ponder the greater meaning behind the props, the story they are telling, and their location within the library. Join us LIVE on YouTube every week! Be notified by subscribing to Kate's Youtube: @disneyciceroneYou can also find us on Instagram, Facebook, and at disneycicerone.com & walruscarp.comView full video versions of each episode at Disney Cicerone's YouTube channel HERE OR on the Spotify version of our podcast.Many thanks to Disney historian Joshua at E82 | The Epcot Legacy for contributing resources for this episode!Kate's books on AmazonWalrusCarp T-shirts & MerchMOWD appDistory T-shirts and StickersKate's Substack
Believing that we each possess limitless wisdom, courage and compassion—what we call Buddhability—can be a daily battle. Many of us impose limitations on ourselves, believing that we're not capable of accomplishing our dreams and becoming happy. Today's guest, Daniel Sun, of Boston, shares how he used Buddhism to overcome his limiting beliefs and become an accomplished Harvard scientist and scholar. We discuss the key role chanting Nam-myoho-renge-kyo and studying Buddhism played in his ability to shift his mindset. References mentioned:A Piece of Mirror and Other Essays, pp. 39-43The Hope-Filled Teachings of Nichiren Daishonin, p. 133 The Writings of Nichiren Daishonin, vol. 1, pp. 3–4The Light of Learning, p. 130
Stress isn't just “in your head”—it changes your biology. It depletes nutrients like magnesium, vitamin C, B vitamins, and zinc, and keeps your body in survival mode. Supplements can help, but they won't heal you if the root cause—stress—remains. In this episode, I talk about why stress management is as critical as nutrition, how CBT and EMDR support your healing, and why lab testing matters before wasting money on supplements. References from this episode: Juster R-P, McEwen BS, Lupien SJ. (2020). Allostatic load and allostatic overload: Clinical implications. Frontiers in Behavioral Neuroscience. https://doi.org/10.3389/fnbeh.2020.00046 Singewald N, et al. (2004). Magnesium-deficient diet alters anxiety-related behavior in mice. Journal of the American College of Nutrition. https://doi.org/10.1080/07315724.2004.10719406 Harrison FE, May JM. (2009). Vitamin C function in the brain: New evidence links ascorbate to neurotransmitter function. Brain Research Bulletin. https://doi.org/10.1016/j.brainresbull.2009.05.018 de Oliveira IJL, et al. (2015). Effects of oral vitamin C supplementation on anxiety in students. Nutrition Journal. https://doi.org/10.1186/1475-2891-14-36 Stough C, et al. (2011). The effects of 90-day administration of a high-dose B-complex vitamin on work stress. Human Psychopharmacology. https://doi.org/10.1002/hup.1190 Singh A, et al. (1991). Effect of acute stress on plasma zinc. Biological Trace Element Research. https://doi.org/10.1007/BF02990385 Hofmann SG, Asnaani A, Vonk IJJ, Sawyer AT, Fang A. (2018). The efficacy of cognitive behavioral therapy: A review of meta-analyses. Frontiers in Psychology. https://doi.org/10.3389/fpsyg.2012.00117 Shaw RJ, et al. (2019). Mindfulness-based stress reduction and CBT for HPA axis habituation. Psychoneuroendocrinology. https://doi.org/10.1016/j.psyneuen.2019.104420 Chen Y-R, Hung K-W, Tsai J-C, et al. (2014). Efficacy of EMDR for PTSD: A meta-analysis. PLoS ONE. https://doi.org/10.1371/journal.pone.0103676 Explore more support: Better Than Before Breast Cancer Life Coaching Membership: https://www.thebreastcancerrecoverycoach.com/lifecoaching Creating a Life You Love in 168 Hours a Week: https://www.thebreastcancerrecoverycoach.com/168-hours-sp Let's Connect! If this episode helped you breathe a little easier, please share it with a friend or leave a review. Every share helps spread this message of hope, healing, and whole-person wellness.
It's the Ranch It Up Radio Show Herd It Here Weekly Report! A 3-minute look at cattle markets, reports, news info, or anything that has to do with those of us who live at the end of dirt roads. Join Jeff 'Tigger' Erhardt, the Boss Lady Rebecca Wanner aka 'BEC' by subscribing on your favorite podcasting app or on the Ranch It Up Radio Show YouTube Channel. EPISODE 95 DETAILS Beyond Meat Rumored To File Chapter 11 Bankruptcy Plant-Based Beyond Meat Rumored Bankruptcy, They Deny According to TheStreet.Com, Beyond Meat, the plant-based meat company has reported falling sales and dwindling cash. Beyond Meat recently hired a corporate restructuring expert and has let go of 44 employees in North America (6% of its global workforce). Sales in the second quarter dropped by nearly 20% year-over-year. Beyond Meat pushed back against rumors that it has filed bankruptcy, calling recent media reports "unequivocally false.” The statement comes amid a highly publicized and difficult financial period for Beyond Meat. The company, which played a key role in establishing the market for hyper-realistic meat analogues when it launched in 2009, has seen sales stagnate as the market becomes more competitive and consumers move away from “ultra-processed” alternative proteins. REFERENCES: https://www.thestreet.com/restaurants/beyond-meat-is-headed-to-chapter-11-bankruptcy https://plantbasednews.org/news/economics/beyond-meat-denies-filing-for-bankruptcy/ Upcoming Bull & Heifer Sales On RanchChannel.Com Lot's of bull and heifer sales coming up on the RanchChannel.Com sale calendar. Check out the full line up HERE. SPONSORS American Gelbvieh Association https://gelbvieh.org/ @AmericanGelbvieh Axiota Animal Health https://axiota.com/ @MultiminUSA Jorgensen Land & Cattle https://jorgensenfarms.com/ @JorLandCat Ranch Channel https://ranchchannel.com/ @RanchChannel Superior Livestock Auctions https://superiorlivestock.com/ @SuperiorLivestockAuctions Wulf Cattle https://www.wulfcattle.com/ @WulfCattle Questions & Concerns From The Field? Call or Text your questions, or comments to 707-RANCH20 or 707-726-2420 Or email RanchItUpShow@gmail.com FOLLOW Facebook/Instagram: @RanchItUpShow SUBSCRIBE to the Ranch It Up YouTube Channel: @ranchitup Website: RanchItUpShow.com https://ranchitupshow.com/ The Ranch It Up Podcast is available on ALL podcasting apps. https://ranchitup.podbean.com/ Rural America is center-stage on this outfit. AND how is that? Because of Tigger & BEC... Live This Western Lifestyle. Tigger & BEC represent the Working Ranch world by providing the cowboys, cowgirls, beef cattle producers & successful farmers the knowledge and education needed to bring high-quality beef & meat to your table for dinner. Learn more about Jeff 'Tigger' Erhardt & Rebecca Wanner aka BEC here: TiggerandBEC.com https://tiggerandbec.com/
The Rich Zeoli Show- Full Show (08/20/2025): 3:05pm- California Governor Gavin Newsom is now mimicking President Donald Trump's social media style. For example, after Dana Perino critiqued his strategy to garner attention, Newsom's press office posted to X: “DANA ‘DING DONG' PERINO (NEVER HEARD OF HER UNTIL TODAY!) IS MELTING DOWN BECAUSE OF ME, GAVIN C. NEWSOM! FOX HATES THAT I AM AMERICA'S MOST FAVORITE GOVERNOR (‘RATINGS KING') SAVING AMERICA—WHILE TRUMP CAN'T EVEN CONQUER THE ‘BIG' STAIRS ON AIR FORCE ONE ANYMORE!!! TRUMP HAS “LOST HIS STEP” AND FOX IS LOSING IT BECAUSE WHEN I TYPE, AMERICA NOW WINS!!! THANK YOU FOR YOUR ATTENTION TO THIS MATTER.” While outlets like Pod Save America and Politico praise the posts, are they going to help win Newsom any support in 2028? Unlikely. 3:30pm- Rich is taping at Fox News on Friday and is on vacation next week. And when he comes back, he'll be preempted for a Philadelphia Phillies broadcast—consequently, it is possible Rich will be able to break his own record for shortest radio show in 1210 WPHT history. His previous record was 13-minutes! 3:50pm- Manhattan Federal Judge Richard Berman has rejected the Justice Department's request to release grand jury testimony related to Jeffrey Epstein. 4:05pm- On Wednesday, Vice President JD Vance and Defense Secretary Pete Hegseth visited National Guard troops who were placed at Union Station in Washington, D.C. as part of the Trump Administration's efforts to reduce violent crime in the nation's capital. White House Deputy Chief of Staff Stephen Miller commented on protesters in opposition to the crime crackdown: "We're going to ignore these stupid white hippies that all need to go home and take a nap because they're all over 90 years old." 4:25pm- During a Wednesday Zoom conversation, Texas Representative Nicole Collier was informed that she was needed on the Texas House floor to participate in a vote on redistricting. Collier fled the state earlier this month in an attempt to deny the Texas House a quorum—effectively preventing a vote on redistricting and halting a vote on providing financial relief for families impacted by last month's devastating floods that killed more than 120 people. In response to Collier's forced departure from the Zoom meeting, Sen. Cory Booker screamed: “freaking outrageous!” 4:30pm- In response to Hurricane Erin, Governor Phil Murphy said: "I don't want to be the Amityville mayor from Jaws, but the fact of the matter is, I think going in the ocean for the next number of days is something you got to avoid.” 4:45pm- Rep. Eric Swalwell posted a video of himself buying groceries. At least he's buying cheese now instead of cutting it on television! Matt plays his favorite audio: Swalwell's gassy appearance on MSNBC with Chris Matthews from 2019. 5:05pm- Bill D'Agostino—Senior Research Analyst at Media Research Center—joins The Rich Zeoli Show to break down some of the best (and worst) moments from corporate media and Democrats. PLUS, NewsBusters celebrates its 20th birthday with a compilation of the craziest clips from the last two decades! 5:30pm- While speaking with Miranda Devine, EPA Director Lee Zeldin revealed that since taking office he has unearthed examples of billions of dollars from the Inflation Reduction Act being sent to several NGOs with conflicting interests/ties to the Obama and Biden Administrations. 6:00pm- Judge Announces Wrong Verdict in Murder Case: A Fulton County jury acquitted Alton Oliver of murdering off-duty Deputy James Thomas, agreeing he acted out of fear after repeated late-night advances and confrontations. In court, however, Judge Henry M. Newkirk mistakenly read the verdict as “guilty” before being corrected that the official verdict form declared Oliver “not guilty” on all counts. 6:10pm- Rhode Island Assistant Attorney General Devon Flanagan (a Democrat appointee) was arrested after refusing to leave a restaurant. In the viral video, Flanagan—who appears to be intoxic ...
We chat about neuromuscular blockade, monitoring, and reversal in the ICU, including why sugammadex isn't more widely used, with Sara J Hyland, PharmD, BCCCP, FCCP, researcher and clinical pharmacist in perioperative and emergency medicine. Learn more at the Intensive Care Academy! Takeaway lessons References
Dr. John Bombaro of St. James Lutheran-Lafayette, IN Spatial References as Homiletical Device The post Spatial References and Christian Preaching – Dr. John Bombaro, 8/18/25 (2301) first appeared on Issues, Etc..
Primary hyperparathyroidism is an underdiagnosed condition which leads to decreased bone mineral density, fracture, renal disease, among other symptoms that can decrease the quality of a patient's life. Moreover, once diagnosed, only a small fraction of patients with the diease end up being offered surgery. Whether it is because of misunderstood indications and benefits of surgery, non-localization of disease, or various other reasons, we thought it was worthwhile to review relevant literature. Hosts: Dr. Becky Sippel is an endowed professor of surgery at Division Chief of endocrine surgery at University of Wisconsin Madison and she is the most recent past president of the AAES. She is an internationally recognized leader in the field of endocrine surgery. She has over 250 publications. She was the PI for a RCT which studies prophylactic central neck dissections which is a widely read and quoted study in endocrine surgery. Dr. Amanda Doubleday is a fellowship trained endocrine surgeon in private practice with an affiliation to UW Health. Her primary practice is with Waukesha Surgical Specialists in Waukesha WI. Dr. Simon Holoubek is a fellowship trained endocrine surgeons affiliated with UW Health. He works for UW Health with privileges at UW Madison and UW Northern Illinois. His clinical interests are aggressive variants of thyroid cancer, parathyroid autofluorescence, and nerve monitoring. Learning Objectives: 1 Understand the natural history of primary hyperparathyroidism and how the disease process can affect bone mineral density. 2 Learn about fracture risk associated with primary hyperparathyroidism. 3 Learn about decreased fracture risk in patients with primary hyperparathyroidism who have parathyroidectomy compared to those who are observed. References: 1 Rubin MR, Bilezikian JP, McMahon DJ, Jacobs T, Shane E, Siris E, Udesky J, Silverberg SJ. The natural history of primary hyperparathyroidism with or without parathyroid surgery after 15 years. J Clin Endocrinol Metab. 2008 Sep;93(9):3462-70. doi: 10.1210/jc.2007-1215. Epub 2008 Jun 10. PMID: 18544625; PMCID: PMC2567863. https://pubmed.ncbi.nlm.nih.gov/18544625/ 2 Frey S, Gérard M, Guillot P, Wargny M, Bach-Ngohou K, Bigot-Corbel E, Renaud Moreau N, Caillard C, Mirallié E, Cariou B, Blanchard C. Parathyroidectomy Improves Bone Density in Women With Primary Hyperparathyroidism and Preoperative Osteopenia. J Clin Endocrinol Metab. 2024 May 17;109(6):1494-1504. doi: 10.1210/clinem/dgad718. PMID: 38152848. https://pubmed.ncbi.nlm.nih.gov/38152848/ 3 VanderWalde LH, Liu IL, Haigh PI. Effect of bone mineral density and parathyroidectomy on fracture risk in primary hyperparathyroidism. World J Surg. 2009 Mar;33(3):406-11. doi: 10.1007/s00268-008-9720-8. PMID: 18763015. https://pubmed.ncbi.nlm.nih.gov/18763015/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://app.behindtheknife.org/listen
Allegations of Intelligence Manipulation (Russia Hoax) Claims that high-level intelligence officials (James Clapper, John Brennan, James Comey) deliberately rushed and politicized the 2017 Intelligence Community Assessment (ICA) to damage Donald Trump before his inauguration. Tulsi Gabbard is cited as revealing declassified emails suggesting the intelligence process was compromised. NSA Director Mike Rogers expressed concern over insufficient time and access to intelligence data. Big Tech Bias Accusations against Google for flagging Republican fundraising emails as spam while allowing Democratic ones through. References to psychologist Robert Epstein’s research on Google’s influence on elections. Claims that Google was the top donor to Hillary Clinton’s 2016 campaign. Gavin Newsom and Redistricting Criticism of California Governor Gavin Newsom’s response to Texas redistricting efforts. Discussion of gerrymandering in Democratic states like California, New York, Illinois, and Massachusetts. Comparison of partisan representation in congressional delegations across states. “Sandwich Gate” Incident A humorous but serious account of a DOJ employee allegedly assaulting a federal law enforcement officer with a Subway sandwich. The individual was arrested and fired, with the incident used to highlight perceived radical behavior among leftists. Please Hit Subscribe to this podcast Right Now. Also Please Subscribe to the 47 Morning Update with Ben Ferguson and the Ben Ferguson Show Podcast Wherever You get You're Podcasts. Thanks for Listening #seanhannity #hannity #marklevin #levin #charliekirk #megynkelly #tucker #tuckercarlson #glennbeck #benshapiro #shapiro #trump #sexton #bucksexton#rushlimbaugh #limbaugh #whitehouse #senate #congress #thehouse #democrats#republicans #conservative #senator #congressman #congressmen #congresswoman #capitol #president #vicepresident #POTUS #presidentoftheunitedstatesofamerica#SCOTUS #Supremecourt #DonaldTrump #PresidentDonaldTrump #DT #TedCruz #Benferguson #Verdict #justicecorrupted #UnwokeHowtoDefeatCulturalMarxisminAmericaYouTube: https://www.youtube.com/@VerdictwithTedCruzSee omnystudio.com/listener for privacy information.