Podcasts about repetitive

Microsoft legit just dropped a book of AI updates at the Build Conference.We're going to go over the 5 most impactful AI-powered Microsoft Copilot updates and how they will change the future of work. Newsletter: Sign up for our free daily newsletterMore on this Episode: Episode PageJoin the discussion: Have a question? Join the convo here.Upcoming Episodes: Check out the upcoming Everyday AI Livestream lineupWebsite: YourEverydayAI.comEmail The Show: info@youreverydayai.comConnect with Jordan on LinkedInTopics Covered in This Episode:GitHub Copilot's Autonomous Coding Partner UpdateCopilot Tuning for Enterprise CustomizationIntroducing Agent Foundry on AzureMulti-Agent Orchestration in Copilot StudioComputer Use Automation in CopilotMCP Native Support in Microsoft SystemsTimestamps:00:00 "Everyday AI: Transform Your Business"06:42 AI Coding Assistant Evolution09:29 Copilot Tuning for Business Leaders10:56 Data Privacy Concerns in Cloud Use16:52 "AI Collaboration Among Tech Giants"20:48 "Multi-Agent Orchestration Cautions"22:59 "Multi-Agent Orchestration in Copilot Studio"25:27 OpenAI Copilot Access and Availability29:38 Copilot Pro: Versatile AI Agent35:13 Microsoft Embraces Open AI Collaboration36:57 "Security Concerns Slow AI Rollout"39:44 Subscribe & Review RequestKeywords:Microsoft Build 2025, AI updates, Copilot AI updates, GitHub Copilot, GitHub Copilot coding agent, Autonomous coding partner, Visual Studio Code, Multimodal understanding, Natural language prompts, MCP protocol, Model context protocol, Anthropic, Microsoft 365 Copilot, Business leaders, Copilot tuning, Organization's internal data, Low code model tuning, Task specific agents, Secure service boundary, Azure, Agent foundry, AI agent playground, Enterprise grade AI agents, Grok, Elon Musk, Microsoft Azure, Agent to agent protocol, A to A, Multi agent orchestration, Copilot Studio, Agents collaboration, Agentic memory, Automated validation tools, Computer use in Copilot, Desktop applications, Repetitive tasks, MCP native support, Windows 11, Future of work, Third party applications, Agentic web, Security and access controls.Send Everyday AI and Jordan a text message. (We can't reply back unless you leave contact info) Ready for ROI on GenAI? Go to youreverydayai.com/partner

Your mindset can make or break your healing journey. With 60,000 plus thoughts per day swirling through your mind and many being repetitive, you can see the power of your thoughts to potentially affect your mood and behaviour. Repetitive thoughts can become entrenched beliefs, which create habits, which ultimately shape your life. As Lao Tzu aptly said: - ‘Watch your thoughts, they become your words; watch your words, they become your actions; watch your actions, they become your habits; watch your habits, they become your character; watch your character, it becomes your destiny'. Your thoughts can be hugely impactful in your eating disorder recovery. In this episode, I explore practical tips to support you on your journey. I hope that you find it helpful.   Harriet's Substack: https://substack.com/@theeatingdisordertherapist   Harriet Frew's current offers: - Online 10 Steps to Intuitive Eating Course https://www.theeatingdisordertherapist.co.uk/online-courses.html Online Breaking Free from Bulimia  https://www.theeatingdisordertherapist.co.uk/bulimia-nervosa-online-course.html Eating Disorders Training for Professionals https://www.theeatingdisordertherapist.co.uk/eating-disorders-training-with-harriet-frew.html Body Image Training for Professionals https://www.theeatingdisordertherapist.co.uk/body-image-training-with-harriet-frew.html

Episode SummaryIn this episode, Ryan Swanson delivers a compelling installment of the Satisfied program, part of the _Mind War_series on the thought life. He exposes how the enemy capitalizes on repeated patterns of temptation and how ignoring spiritual warning signs leads to the same destructive outcome. Through candid storytelling and scriptural insight, Ryan challenges listeners to end the cycle by taking every thought captive—immediately.Topics DiscussedWhy your temptations are often familiarSatan's strategy: repetition over innovationReal-life account of facing temptation at a gas stationHow to respond when the Holy Spirit warns youWhat it means to truly take a thought captive (2 Corinthians 10:5)The deadly trajectory of unchecked thoughtsPractical hope for teens caught in secret sinVictory through surrender and vigilanceKey TakeawaysThe enemy's predictability is his power—unless you break the cycle.Taking thoughts captive must be immediate, not delayed.Ignoring the Spirit leads to spiritual defeat.Repetitive temptation is a sign that the war is raging in your thought life.Victory is possible when you expose sin, seek accountability, and yield to Christ.Ready to download the Cord App? Find it here!Download the Satisfied Battle Plan or listen to the rest of the series here!Satisfied is a monthly program on the Thee Generation Podcast designed to offer practical tools based on biblical principles so that anyone can experience full purity and lead others to do the same. To ask questions or share testimonies, send an email to satisfied@theegeneration.org. If you've been encouraged by this podcast, please take the time to give us a five-star rating and write a brief review. That would help tremendously in getting the word out and raising the visibility of the Thee Generation for others. For more faith inspiring resources and information about joining Thee Generation, please visit theegeneration.org.

Arlene Watson, a product and engineering leader in the cybersecurity space with experience at CrowdStrike, ServiceNow, and Tenable, joins the show to unpack the critical challenges facing cybersecurity teams today. We dive into breach realities, the need for proactive defenses, how automation is reshaping security operations, and why AI is both a threat and an essential tool. If you're building, managing, or securing software in today's threat landscape, this episode is for you.

Welcome to Episode 139. We're talking about one of the most beloved games in recent years. And we hate it.The Game:SpidermanIntro Song "Letting Go" by Emerge.Title Art by Devious.Pixel.Internet Presence Preamble "Dystopian Psychophants" by Cherished Ghosts.Podcast edited by Brian Owsley.The Internet: TwitchYouTubeBlue SkyTwitter(X)DiscordFacebookInstagramLock Stock StorePatreonSuspension of DisbeliefBlake's Story "They Come This Night"2smokingcontrollers@gmail.comThe End

Still experimenting with AI?Cool. While you tinker with prompts and pilot projects, real businesses are stacking wins—and actual revenue.They're not chasing shiny tools.They're building unfair advantages.They're automating what matters and scaling faster than their competition can.And no, it's not just Big Tech.It's manufacturers. Retailers. Healthcare companies. Real people solving real problems—with AI that works today.You've got two options:

Sich viele Gedanken über etwas machen, das kennt Nele. Sie neigt zum Overthinking. Was Ursachen für das übermäßige Nachdenken sind und wie wir das Gedankenkarussell wieder verlassen können, erklären zwei Expertinnen.**********Ihr hört: Gesprächspartnerin: Nele, grübelt vor und nach sozialen Situationen Gesprächspartnerin: Julia Funk, Psychologin, Wissenschaftliche Mitarbeiterin an der Ludwig-Maximilians-Universität München, hat zu repititivem negativen Denken promoviert Gesprächspartnerin: Birgit Derntl, Professorin für psychische Gesundheit und Gehirnfunktion von Frauen, Universitätsklinik für Psychiatrie und Psychotherapie am Universitätsklinikum Tübingen Autor und Host: Przemek Żuk Redaktion: Friederike Seeger, Stefan Krombach, Lena Mempel, Lara Lorenz Produktion: Susanne Beyer**********Quellen:Funk, J. (2025): Repetitive negative thinking in adolescents and young adults: key features, etiological factors and psychological interventions. Dissertation, LMU München: Fakultät für Psychologie und Pädagogik.Hilmer, H. (2021). Mit Grübeln umgehen. In: Konflikte in Projekten. Springer Gabler, Berlin, Heidelberg.Rosenbaum, D. et al. (2021). Insights from a laboratory and naturalistic investigation on stress, rumination and frontal brain functioning in MDD: An fNIRS study. Neurobiology of Stress 15, Nov. 2021.**********Mehr zum Thema bei Deutschlandfunk Nova:Overthinking: Wenn wir unsicher sind, wie wir rüberkommenPsychologie: Woran wir denken, wenn wir "nichts Besonderes" denkenStille und Lärm: Achtsam mit unseren Gedanken umgehen lernen**********Den Artikel zum Stück findet ihr hier.**********Ihr könnt uns auch auf diesen Kanälen folgen: TikTok und Instagram .**********Meldet euch!Ihr könnt das Team von Facts & Feelings über Whatsapp erreichen.Uns interessiert: Was beschäftigt euch? Habt ihr ein Thema, über das wir unbedingt in der Sendung und im Podcast sprechen sollen?Schickt uns eine Sprachnachricht oder schreibt uns per 0160-91360852 oder an factsundfeelings@deutschlandradio.de.Wichtig: Wenn ihr diese Nummer speichert und uns eine Nachricht schickt, akzeptiert ihr unsere Regeln zum Datenschutz und bei Whatsapp die Datenschutzrichtlinien von Whatsapp.

Welcome to the Leading Edge in Emotionally Focused Therapy, hosted by Drs. James Hawkins, Ph.D., LPC, and Ryan Rana, Ph.D., LMFT, LPC—Renowned ICEEFT Therapists, Supervisors, and Trainers. We're thrilled to have you with us. We believe this podcast, a valuable resource, will empower you to push the boundaries in your work, helping individuals and couples connect more deeply with themselves and each other. This "Push the Leading Edge" podcast episode explores the concept of the "Attachment Dilemma" in therapy, focusing on how therapists can effectively work with resistant clients. Hosts Dr. James Hawkins and Dr. Ryan Reyna provide insights, personal stories, and practical techniques for understanding and navigating client resistance using Emotionally Focused Therapy (EFT) principles. Conversation Outline: 1. Introduction - Upcoming EFT training events - Appreciation for EFT community leaders and volunteers 2. Attachment Dilemma Concept - Defining resistance in therapy - Metaphors: Bomb-sniffing dog, technology troubleshooting - Core idea: Clients are stuck between connection longing and protection strategies 3. Therapeutic Approach - Slow down the therapeutic process - Validate client's experience - Recognize there are "no good moves" in their current cycle - Demonstrate understanding of their stuck position 4. Demonstration Techniques - Exploring pursuer and withdrawer attachment patterns - Repetitive validation of the client's experience - Focusing on the emotional experience, not problem-solving 5. Key Takeaways - Trust the therapeutic process - Repeat understanding to help client's nervous system feel seen - Aim to help clients recognize their cyclical patterns The episode provides a deep dive into compassionate, nuanced therapeutic intervention for challenging client situations. To support our mission and help us continue producing impactful content, your financial contributions via Venmo (@leftpodcast) are greatly appreciated. They play a significant role in keeping this valuable resource available and are a testament to your commitment to our cause. We aim to equip therapists with practical tools and encouragement for addressing relational distress. We're also excited to be part of the team behind Success in Vulnerability (SV)—your premier online education platform. SV offers innovative instruction to enhance your therapeutic effectiveness through exclusive modules and in-depth clinical examples.  Stay connected with us: Facebook: Follow our page @pushtheleadingedge Ryan: Follow @ryanranaprofessionaltraining on Facebook and visit his website James: Follow @dochawklpc on Facebook and Instagram, or visit his website at dochawklpc.com George Faller: Visit georgefaller.com If you like the concepts discussed on this podcast you can explore our online training program, Success in Vulnerability (SV). Thank you for being part of our community. Let's push the leading edge together! SV Focus Lab-https://www.svfocuslab.com/ Training Opportunities with James.  Externship in Bend, Oregon - https://www.counseloregon.com/coeft/externship Core Skills in Hourston - https://hceft.org/events/ Core Skills in Boulder Colorado - https://courses.efft.org/courses/2025-core-skills-colorado Training Opportunities with Ryan.  Externship in Indiana - https://www.indyeft.com/general-7 Externship in Northwest Arkansas - https://www.arkansaseft.com/events/externship  

Music Not Diving is supported by AC55ID... head over to www.ac55id.com to check out the fastest growing electronic music marketplace, a central hub for music discovery, streaming and purchasing!And for artists and labels... use the code Scuba6 for six months free use of the platform!!--Watch the full video version of this episode over at youtube.com/@WeNotDivingWhat's the link between repetitive beats, wellness, neuroscience, and phones in nightclubs?We discover on this week's episode with someone who has written a very interesting book, 'Music Is Medicine', covering these topics and a lot more besides. Emma Marshall's career in the industry was initially in roles at giants such as CAA & Sony, but the wider story told in the book led her to found Movement is Medicine, a groundbreaking education and research platform that explores how rhythm, BPM, and tempo influence the body and mind.As well as discussing her personal journey, we cover topics including the reimagining of nightclubs, the significance of repetitive rhythms in societies throughout history, music therapy, as well as the cost of those cameras intruding into the rave. This is a really interesting one... get involved! --If you're into what we're doing here on the pod then you can support the show on Patreon! There are two tiers - "Solidarity" for $4 a month, which features the show without ads, regular bonus podcasts, and extra content. And "Musicality" which for a mere $10 a month gets you all the music we release on Hotflush and affiliate labels AND other music too, some of which never comes out anywhere else.You can also make a one-off donation to the podcast using a card, with Paypal, or your Ethereum wallet! Head over to scubaofficial.io/support.Plus there's also a private area for Patreon supporters in the Hotflush Discord Server... but anyone can join the conversation in the public channels.Listen to the music discussed on the show via the Music Not Diving Podcast Spotify playlist Hosted on Acast. See acast.com/privacy for more information.

Dr. Bill Ahearn joins me in Session 299 of Behavioral Observation. I met Bill a few times at conferences and I'm so glad we finally had a chance to sit down and record a podcast together. Bill is the Director of Research at The New England Center for Children. Long time listeners may recall that NECC sponsored a series of episodes, and in this podcast, we talked about some of the great research that has come out of that storied institution. As an aside, if you want to learn more about NECC, particularly working at NECC, you can find more information about that here. We covered a lot of ground in this conversation, including: Bill's early experiences as a grad student and clinician. His early work in addressing feeding problems. The research that he and his colleagues have conducted at NECC. How he construes stereotypic and self-injurious behavior as being forms of repetitive behavior. What he's learned about addressing stereotypy, including when and when not to intervene. We talk at length about Response Interruption and Redirection, particularly when it is and isn't necessary as an intervention. The behavioral interpretation of anxiety, and interventions that he and his team have brought to bear on related repertoires. I ask a few lighter questions on some topics of mutual interest (you'll have to listen towards the end to hear that). If you listen to nothing else from this podcast, towards the end of the show, Bill talks about why he is proud to be a Behavior Analyst. Please listen to that segment, as I think he makes some excellent points that are more than worth sharing. We also talked about tons of papers. I've done my best to track as many down as possible. Piazza et al. (2000). An evaluation of the effects of matched stimuli on behaviors maintained by automatic reinforcement. Rapp and Vollmer (2005). Stereotypy I: A review of behavioral assessment and treatment. Ahearn et al. (2007). Assessing and treating vocal stereotypy in children with autism. Colón et al. (2012). The effects of verbal operant training and response interruption and redirection on appropriate and inappropriate vocalizations. Rodriguez et al. (2013). Arranging and ordering in autism spectrum disorder: Characteristics, severity, and environmental correlates. Steinhauser et al. (2021). Examining stereotypy in naturalistic contexts: Differential reinforcement and context-specific redirection. Moore et al. (2022). Assessing and Treating Anxiety in Individuals with Autism. Fergus (2024). Functional Analysis and Delineating Subtypes of Restricted Repetitive Behavior in Individuals with Autism Spectrum Disorder. This podcast is brought to you by: Frontera. Consider taking a demo of Frontera's Assessment Builder and see how the ethical application of AI technologies can help you serve clients and save you time! Your first assessment report is free. And if you use code BOP25 you'll get an additional five assessments for just $100. So head to fronterahealth.com to check it out! CEUs from Behavioral Observations. Learn from your favorite podcast guests while you're commuting, walking the dog, or whatever else you do while listening to podcasts. New events are being added all the time, so check them out here.  The Behavioral Toolbox. Check out our courses for school-based and other behavioral professionals, including our newest one, Motivational Interviewing: Getting Educator Buy-In. Behavior University. Their mission is to provide university quality professional development for the busy Behavior Analyst. Learn about their CEU offerings, including their 8-hour Supervision Course, as well as their RBT offerings over at behavioruniversity.com/observations. Don't forget to use the coupon code, PODCAST to save at checkout!

"Deep into that darkness peering, long I stood there wondering, fearing, doubting, listening to Wide Flank..."Sean and Alon are joined by three-peat guest Hayden aka Hac to dive deep into the darkness that lives eternally within us all. This month's Game Club is 2002's Lovecraftian cult classic Eternal Darkness: Sanity's Requiem, developed by Silicon Knights and published by Nintendo for the Nintendo GameCube.—Do YOU want to submit games for Game Club consideration?Subscribe to the Wide Flank Patreon to join the ranks of The High Council on Discord, TODAY!PATREON: https://www.patreon.com/wideflankDISCORD: https://discord.gg/ACbDjNhMpJTHE REST: https://linktr.ee/wideflank—Timestamps:00:00:00 - Intro00:00:56 - Admin stuff00:01:18 - What'd you think of the game overall?00:03:46 - Game overview00:05:34 - One character vs different characters00:08:07 - Repetitive areas and overdesigning00:11:40 - The different colors (ancients)00:16:26 - Going insane (diegetic insanity)00:24:19 - What makes repetition interesting in games?00:34:11 - The spell system00:47:12 - How much do you need to learn (onboarding?)00:52:12 - This is such a Video Game00:59:35 - The camera01:03:32 - The sound design and fear01:11:39 - The ending01:16:59 - Chapter 9 Boss (Black Guardian)01:23:30 - Sean Cheats01:33:33 - Mystery package at the door?01:35:01 - Another game to add insanity effects to01:39:06 - Hayden Silicon Knights story

Marketing can feel like a never-ending to-do list—especially for financial professionals juggling deadlines, client calls, and everything in between. If you've ever second-guessed repeating yourself or felt pressure to constantly create new content, this episode is a must-listen.   In this episode, I chat about: Why repeating yourself in your content is actually a smart strategy How repurposing saves time and builds trust How to shift your mindset from “I'm being repetitive” to “I'm being remembered” A simple way to think about content repurposing using your favorite pair of jeans How to turn one piece of long-form content into an entire week of marketing   Episode 12:  Simplified Marketing | Simplified Marketing Strategies for Financial Professionals   Services: Services - Simplified Marketing Services Book a Free Call: Contact - Simplified Marketing Services Let's Connect: Website: https://simplifiedmarketingservices.com/  LinkedIn: https://www.linkedin.com/in/biancamarissasmith/ Instagram: http://www.instagram.com/simplifiedmarketingservices  

https://jo.my/nsnvsq Ergonomics & Injury Prevention: Avoiding Repetitive Motion Strains Repetitive motion injuries are among the most common hazards in today's facilities. These injuries can creep up slowly, often unnoticed, until pain or discomfort interferes with daily tasks. They affect muscles, tendons, and nerves, often in the hands, wrists, shoulders, neck, and back. Whether lifting, scanning, reaching, or typing, repeating the same motion for hours can cause long-term damage if not addressed. A strong safety culture prioritizes identifying these risks early and taking steps to reduce strain before it turns into injury. Preventing repetitive motion injuries isn't just about comfort—it's about protecting long-term health, maintaining productivity, and supporting team members so they can perform safely and effectively throughout their shift. Here are a few tips to assist you with reducing strains from repetitive motion: Rotate tasks frequently: Switching between tasks breaks your body from repeated motions. It allows different muscle groups to work while others recover. Take microbreaks: Short breaks—30 seconds to 2 minutes—can make a big difference. Stretch, shake out your arms, and reset your posture. These simple actions can help prevent fatigue and reduce tension. Incorporate stretching: Daily pre-shift and mid-shift stretches help warm up muscles and maintain flexibility. Focus on the most used areas, like the wrists, shoulders, and lower back. Use ergonomic equipment: Choose tools that reduce force and vibration. Padded grips, adjustable workstations, and anti-fatigue mats help minimize physical stress. Keep a steady pace: Working too fast increases the risk of injury. Stay mindful of your movements and avoid rushing, especially with repetitive tasks. Proactively managing repetitive motion hazards builds a safer and more sustainable work environment. When people feel good physically, they work more comfortably and confidently. Encouraging proper body mechanics, providing ergonomic tools, and building rest into the day shows a facility's commitment to its team. Strain-related injuries can be avoided with simple, consistent practices. Ensure everyone understands the risks and the steps they can take to protect themselves and others. Over time, these efforts reduce incidents and build a stronger, more injury-resistant workforce. Thank you for being part of another episode of Warehouse Safety Tips. Until we meet next time - have a great week, and STAY SAFE! #Safety #SafetyFIRST #SafetyALWAYS #StaySafe #SafetyCulture #WarehouseSafety #SafeOperations #WorkplaceSafety #JobRotation #LiftAssist #RepetitiveStrainInjury #Ergonomics #StretchBreaks

You know that argument you've had 27 times—the one where you both say the same things, take the same positions, and walk away just as frustrated?Yeah, we're talking about that one.But what if the way you've been taught to communicate... is only half the story?In today's episode of the podcast, we're diving into one of the most requested (and needed!) topics: How to navigate conversations when the other person doesn't have the tools or interest to meet you halfway.Yes, exactly —without needing the other person to do anything differently.If you stick for this episode you'll learn:

Welcome to today's episode, where we're exploring the often-debated topic of repetitive prayer. Is it just empty words, or can there be genuine value in praying the same things again and again? Is regular, repetitive prayer inauthentic? Notes: https://www.malcolmcox.org/the-parable-of-the-bramley-apple-tree-malcolm-cox-quiet-time-coaching-episode-565-2/ Inspired by the “After Class Podcast: https://pca.st/podcast/5d5dcbe0-36c3-0136-fa7b-0fe84b59566d Please add your comments on this week's topic. We learn best when we learn in community. Do you have a question about teaching the Bible? Is it theological, technical, or practical? Could you send me your questions or suggestions? Here's the email: malcolm@malcolmcox.org. If you'd like a copy of my free eBook on spiritual disciplines, “How God Grows His People”, sign up at my website: http://www.malcolmcox.org. Please pass the link on, subscribe, and leave a review. God bless, Malcolm  "Carpe Diem" Kevin MacLeod (incompetech.com) Licensed under Creative Commons: By Attribution 4.0 License  http://creativecommons.org/licenses/by/4.0/

Repetitive mistakes are draining time, energy, and profits from builders and trades businesses. In this episode of The ToolShed Podcast, I talk to Luke Canham from Multiply Me about how video training and AI-powered automation can transform how businesses communicate, train teams, and eliminate recurring mistakes. You'll learn: • The real cost of repetitive mistakes and how they impact your bottom line • Why traditional training methods are outdated and ineffective • How AI and video content can replace time-wasting meetings • The power of short, engaging videos in keeping teams informed and compliant • How to use technology to create better systems and processes If you're a builder, contractor, or business owner looking to improve team efficiency, training compliance, and profitability, this episode is packed with actionable insights. To connect with Luke, check the links below: Website: https://multiplyme.com.au/ Instagram: https://www.instagram.com/multiply_me_system Facebook: https://www.facebook.com/multiplymesystem# Youtube: https://www.youtube.com/@multiplymesystem Most Building businesses have one major roadblock. Find it and fix it, and a heap of other annoying issues go away, too. The secret is to know what to fix first. Take the Builders Success Scorecard, and find out where to focus your efforts. Take The Scorecard Here: https://bit.ly/BuildersSuccessScorecard  Stay tuned next week when we talk about it. So, don't forget to subscribe to the show to get that episode as soon it gets released. Until then, stay healthy. #ConstructionBusiness #BuilderProductivity #ToolShedPodcast #AITraining #VideoTraining #ConstructionTechnology #MultiplyMe #TradesBusiness #TimeManagementForBuilders  

Still experimenting with AI?Cool. While you tinker with prompts and pilot projects, real businesses are stacking wins—and actual revenue.They're not chasing shiny tools.They're building unfair advantages.They're automating what matters and scaling faster than their competition can.And no, it's not just Big Tech.It's manufacturers. Retailers. Healthcare companies. Real people solving real problems—with AI that works today.You've got two options:

In this episode, we dive into why hidden and repetitive porn use and cheating is emotional and psychological abuse, what an abuse cycle is, and what trauma bonds areReady to transform your life after discovering his betrayal (cheating, p*rn use, etc.)? Book a 1-on-1 Support Call: click here Free Webinar: Click here Self-paced, online course "Betrayal Survival Guide: Transforming Pain Into Power": Click here Apply for my 3-month coaching package: Click here Click below for more resources: TikTok Instagram Join my Women's Support Group "WTF Do I Do Now?" Website **Please subscribe and rate the show so the algorithm can help more girls find this resource and know they aren't alone in their healing journey from his cheating, p*rn use, etc.!

In this episode, Eric discusses the Law of Repetitive Motion, which helps to explain why traumatic and overuse injuries occur. The I = NF/AR equation can be an invaluable tool for programming and coaching healthy and injured athletes alike.

Are you still manually repeating the same tasks in your business?Repetitive work slows you down, drains your team, and steals time from high-value strategy. But what if you could automate those tasks with AI—without hiring a developer?In this episode of Leveraging AI, Isar Meitis breaks down how business leaders can build powerful, no-code AI automations using Custom GPTs inside ChatGPT. Plus, you'll discover free alternatives on platforms like Google Gemini, Perplexity, and Anthropic Claude.From streamlining internal processes to boosting productivity, this episode is packed with practical insights you can apply today.In this session, you'll discover:✅ What Custom GPTs are and how they work ✅ How to create AI-driven automations to save hours of work ✅ A breakdown of free alternatives like Gems, Spaces, and Projects ✅ Step-by-step guidance on building your own Custom GPT ✅ Pro tips for structuring GPT instructions for maximum efficiency ✅ How to integrate AI automation seamlessly into your businessIf you're not using Custom GPTs yet, you're leaving massive opportunities on the table. Tune in now to take your productivity to the next level!About Leveraging AI The Ultimate AI Course for Business People: https://multiplai.ai/ai-course/ YouTube Full Episodes: https://www.youtube.com/@Multiplai_AI/ Connect with Isar Meitis: https://www.linkedin.com/in/isarmeitis/ Free AI Consultation: https://multiplai.ai/book-a-call/ Join our Live Sessions, AI Hangouts and newsletter: https://services.multiplai.ai/events If you've enjoyed or benefited from some of the insights of this episode, leave us a five-star review on your favorite podcast platform, and let us know what you learned, found helpful, or liked most about this show!

Send us a textEmail Lennie at lennielawson2020@gmail.com

Episode 187: Autism FundamentalsFuture Dr. Ayyagari explains the recommended screenings for autism, how to diagnose it and sheds some light on the management. Dr. Arreaza mentions the Savant Syndrome and the need to recognize ASD as a spectrum and not a “black or white” condition.Written by Tejasvi Ayyagari, MSIV, Ross University School of Medicine. Comments by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.Introduction:Autism, or Autism Spectrum Disorder (ASD), is a neurodevelopmental disorder that affects how a person thinks, interacts with others, and experiences the world. It is characterized by deficits in social communication and interaction and restricted and/or repetitive behavior patterns, interests, and activities. Autism is considered a "spectrum" disorder because it encompasses a wide range of symptoms, skills, and levels of functioning, including Asperger's, Auditory processing disorder, Rett syndrome, etc. The exact causes of autism are not fully understood, but many question genetic and environmental factors at play.  What are some of the main characteristics of autism?1. Social difficulties: Individuals with autism may experience trouble understanding social cues or body language, leading to difficulty forming meaningful relationships. Children may display little interest in playing with others or engage in limited imaginative play (doll playing, pretend playing).2. Repetitive behaviors and interests: People with autism may engage in repetitive movements with their arms or hands and focus intensely on specific topics or activities. They may become distressed when routines are disrupted.3. Overstimulation: Individuals with autism may find multiple stimuli too overwhelming and gravitate towards either minimal stimulation or certain appealing stimulations best suited for their needs. 4. Intellectual variation: People with autism can have varying intellectual abilities, from severe mental disabilities to those who excel in specific disciplines, such as accounting or history (savants). Savant syndrome. It is a syndrome popularized by movies, TV shows and social media. The Good Doctor is a good example of it. Savant syndrome manifests by having a superior specific set of skills in a developmentally disabled person. Savants are like human supercomputers—while the rest of us are buffering, they can recall in 4K. We must not assume all people with autism are savants, unless we are particularly told about their exceptional talent.Another famous person with Savant syndrome was Kim Peek, portrayed by Dustin Hoffman in the 1988 movie The Rain Man. Kim Peek was later diagnosed with the FG syndrome and not autism spectrum disorder.What is the prevalence of autism?Worldwide, it is estimated that about 1 in 100 to 1 in 150 children are diagnosed with autism, though this number can vary based on the country and diagnostic practices. In the United States, according to the CDC, as of 2023, approximately 1 in 36 children are diagnosed with autism.  Some studies even claim that boys are 4x more likely to be diagnosed with autism than girls.It is a very prevalent condition, and we have some recommendations about screenings. I feel like most parents have a “feeling” that something may be wrong with their kid, but I think most parents may feel that way, especially when they have their first baby.The American Academy of Pediatrics recommends that all children should be screened for autism at 18 months and 24 months of age during routine well-child visits, using standardized tools like the Modified Checklist for Autism in Toddlers (M-CHAT) or other validated autism screening tools.   MCHAT is a two-step screening that requires a second visit if the first test shows moderate risk. Also, we must continue to follow up the development of kids in well child visits and be on the lookout for signs of autism, even outside of the recommended screening ages. How is autism diagnosed?Autism is typically diagnosed between the ages of 2 and 3, but it is often identified in early childhood. According to the DSM-5, there are two main clusters of symptoms for autism.- Cluster A: Involves social communication and interaction impairments in various settings.- Cluster B: Involves repetitive behavioral patterns, limited areas of interest, and atypical sensory behaviors/experiences.According to the DSM-5-TR criteria, a diagnosis of ASD requires that the following criteria are met:All three of the following Cluster A symptoms:- Social-emotional reciprocity: Difficulty engaging in mutually enjoyable conversations or interactions due to a lack of shared interests or understanding of others' thoughts and feelings.- Nonverbal communicative behaviors to socialize, such as using aspects with eye contact, facial expressions, gestures, and tone of voice, which makes communication more difficult.- Difficulty developing, understanding, and maintaining relationships: This could manifest as difficulty adjusting behavior to social settings, an inability to show expected social behaviors, a lack of interest in socializing, or difficulty making friends despite wanting to.Two or more of the following Cluster B symptoms:- Stereotyped or repetitive movements, use of objects, or speech: Echolalia or flapping the hands repeatedly.- Persistent sameness, where patients require adherence to routines or ritualized patterns of behavior, such as difficulty with transitions or a need to eat the same food each day.- Highly restricted, fixated interests: This may include an intense focus on specific objects (trains) or topics (such as dinosaurs or natural disasters).- Sensory response variations, including heightened or diminished responses to sensory input, such as adverse reactions to sounds, indifference to temperature, or excessive touching/smelling of objects.Additionally, the symptoms must:- Significantly impair social, academic/occupational, and daily functioning,- Not be better explained by intellectual disability or global developmental delay, and- Be present in early childhood. (However, symptoms may only become apparent when social demands exceed the child's capacity; in later life, they may be masked by learned strategies.)How can we go about managing autism?There is no "cure" for Autism. However, various therapies can help manage the condition. Treatment tailors to the individual's age, strengths, and weaknesses. Our main goal is to maximize function, encourage independence, and improve the patient's overall quality of life.During office visits as primary care doctors, we have to use different strategies to make the visits more focused on individual needs, making sure the caregivers are involved as well as the patient. We communicate with caregivers before and during the visit to optimize patient compliance, allow enough time for the family/caregiver to talk about the patient's history, allow the patient to play with instruments/materials provided, and use simple instructions. Sometimes, the physical exam can be the most challenging aspect of the exam because it is so overstimulating for the patient. Hence, allowing enough time for the patient to be comfortable is key.This is a multidisciplinary management that includes, family med, pediatricians, social workers, behavioral health, etc.Personal experiences interacting and managing patients with autism in the clinic or in the hospital:Dr. Arreaza: I have seen a lot of adult patients with autism.I see a challenge commonly found is agitation and the use of medications. I prefer to defer any prescriptions to psychiatry, if needed, but behavioral concerns can be successfully managed by behavioral health with participation of family, caregivers, and especial education.TJ:  Personal story with Auditory Processing Disorder (APD).Conclusions: Dr. Arreaza: Autism is a spectrum, not all persons with ASD are the same. They are not all geniuses, and they are not all developmentally delayed, they are not just black or white, but there are several shades of gray in between. TJ:  Not one doctor or one family will take care all responsibility, it requires a multifaceted approach.People with autism can live a long and meaningful lives.Thank you for listening to this week's episode on Autism. We will see you next time.  Have a nice day.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! _____________________References:Centers for Disease Control and Prevention. Data and statistics on autism spectrum disorder. CDC.gov. Accessed on March 13, 2025. https://www.cdc.gov/autism/data-research/index.htmlWeissman Hale, Laura, “Autism spectrum disorder in children and adolescents: Overview of management and prognosis,” UpToDate, accessed on March 13, 2025. https://www.uptodate.com/contents/autism-spectrum-disorder-in-children-and-adolescents-overview-of-management-and-prognosis.Volkers, N. (2016). Early Signs. The ASHA Leader.https://doi.org/10.1044/leader.ftr1.21042016.44Urquhart-White, Alaina, “'The Good Doctor' Puts The Spotlight On A Rare, Mysterious Syndrome,” Bustle, September 25, 2017. https://www.bustle.com/p/whats-real-about-savant-syndrome-is-something-the-good-doctor-should-explore-2439405Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/. 

In this conversation, ⁠Krish Palaniappan⁠ and ⁠Jason Crum⁠ discuss the impact of AI on software development, exploring skepticism towards AI predictions, societal implications, and the future of jobs. They delve into corporate spending on AI, the quality of content generated by AI, and the importance of talent acquisition in tech companies. The discussion highlights the dual perspectives of developers and non-developers regarding AI's role in their professional and personal lives, emphasizing the need for adaptation in a rapidly changing technological landscape. Takeaways AI is predicted to take over many developer tasks. Skepticism exists regarding the timeline of AI advancements. Investment in AI is driven by fear of missing out. Companies are hiring top talent to leverage AI effectively. Repetitive tasks are most susceptible to AI automation. Quality of AI-generated content is a concern. The future of jobs in AI is uncertain and complex. AI tools can enhance productivity for developers. Corporate spending on AI is a significant trend. Automating tasks can save time, but AI tools may not always deliver expected results. Understanding the underlying technology is crucial when using AI tools. AI's ability to create is limited by existing data and patterns. Reliance on AI tools can lead to a decline in critical thinking skills. Creativity in art and music may not be fully replicable by AI. AI can assist in repetitive tasks but may struggle with complex problem-solving. Human intuition and reasoning are still essential in many fields. Relying too much on AI can diminish our intellectual engagement. Small businesses can thrive with fewer resources due to AI. The disparity between the wealthy and the poor may worsen with AI. Meaningful contributions to society are essential in a tech-driven world. Adapting to change is crucial in the workforce, particularly with evolving technologies. Continuous learning is essential to remain relevant in the job market. AI is transforming job roles, especially in areas that are repetitive and easily automated. Developing a diverse skill set can enhance job security and marketability. Being creative and standing out is vital in a world where everyone has access to the same tools. Chapters 00:00 Introduction to AI's Impact on Software Development 03:01 Skepticism Towards AI Predictions 06:03 Dual Perspectives: Developer vs. Non-Developer 08:54 Societal Implications of AI 12:14 The Future of Jobs in AI 14:53 Investment Trends in AI 18:13 Content Quality and AI's Role 20:53 Corporate Spending on AI 24:05 Talent Acquisition in Tech Companies 27:00 The Role of Repetitive Tasks in AI Adoption 36:48 Automating Media Management with Python 40:48 Challenges in AI-Assisted Coding 44:42 The Future of Jobs in the Age of AI 49:53 Creativity and AI: A Complex Relationship 57:51 The Role of Intellect in a Tech-Driven World 01:12:40 Navigating the Reliability of AI Tools 01:15:10 The Rise of Small Businesses in the AI Era 01:19:49 Geographical Disparities in AI Impact 01:23:51 Geopolitical Implications of AI and Job Displacement 01:30:53 The Role of Meaningful Contribution in a Tech-Driven World 01:47:54 Miscommunication and Cultural Context 01:49:12 Adapting to Change in the Workforce 01:51:10 The Impact of AI on Job Security 01:53:01 Skills for the Future: Learning and Adaptation 01:54:34 Exploring Global Perspectives and Personal Aspirations 02:03:20 The American Spirit: Hard Work and Risk-Taking 02:09:52 Closing Thoughts: Being a Producer, Not a Consumer

SummaryIn this engaging episode of the Metabolism, Muscles, & Mindset Podcast, Dr. Ali Novitsky, a board-certified obesity medicine expert and muscle optimization specialist, explores the concept of energy blockages and the process of releasing them.Dr. Novitsky explains that an energy blockage manifests as physical discomfort, emotional stagnation, and repetitive negative thought patterns that hinder one's ability to move forward.Through a series of tangible examples — from a lingering Verizon box in the dining room to a cluttered fridge and even the ambiance of an infrared sauna — she illustrates how everyday circumstances can block our natural energy.Emphasizing that releasing these blockages is an ongoing journey, Dr, Ali provides actionable strategies that range from simple physical reorganization to deeper emotional regulation and cognitive reframing. Listeners are encouraged to recognize when energy is stuck, to release it with intention, and to foster a growth mindset that leads to enhanced well-being.Key Points• Defining Energy Blockages: Energy blockages occur when physical clutter, unresolved emotions, or negative thought patterns impede the free flow of energy.• Physical Examples: Tangible blockages, such as an unwanted box or a messy environment (e.g., cluttered fridge), can create a sense of stagnation and restlessness.• Emotional Awareness: Negative emotions like disappointment, anxiety, or frustration often signal that energy is being trapped; releasing these may involve forgiveness and setting healthy emotional boundaries.• Mental Shifts: Overcoming repetitive thought spirals by adopting a growth mindset helps to clear mental blockages and supports emotional regulation.• Actionable Strategies: Simple actions — like cleaning up clutter, reorganizing physical spaces, or reframing negative thoughts — can effectively release energy blockages, freeing up energy for new pursuits.• The Journey of Release: Recognizing and releasing blockages is a continual process that evolves over time; small shifts in thought and behavior can accumulate to create lasting positive change.Timestamps• 00:02 – Defining an energy blockage and how it manifests as physical discomfort and repetitive thought patterns.• 02:23 – Recognizing energy blockages• 04:38 – An example of a physical energy block & how even simple clutter can affect energy flow.• 06:41 – The infrared sauna as a regulating tool and creating an environment that supports energy release.• 09:03 – The messy fridge is highlighted as another example of a physical energy blockage hindering healthy eating habits and overall well-being.• 11:27 – Emotional blockages, negative feelings and unresolved relationships contributing to energy stagnation.• 13:51 – Repetitive thought patterns and fixed mindsets prevent emotional regulation and maintain energy blockages.• 16:10 – Slowing down thought spirals and cultivating a more balanced, growth-oriented mindset.• 18:17 – The need for emotional regulation to counteract thought distortions, thereby facilitating the release of mental blockages.• 20:38 – Practicing the release of energy blockages—whether physical, emotional, or mental—is key to living a more joyful and resilient life.Follow Dr. Ali Novitsky on ⁠⁠⁠⁠⁠⁠⁠TikTok⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠ | ⁠⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠⁠Subscribe to the Muscles and Mindset Podcast on ⁠Spotify⁠ | ⁠Apple Podcasts⁠Work with Dr. Ali• Beginner Strength Training Program – 12 months for only $199! ⁠Enroll TODAY⁠• Transform® 9.0 – Enrollment is now open! Kickoff on May 5th; start bonus content today. ⁠Learn more HERE⁠• Total Fitness Program – A 12-month mind and body fitness experience. ⁠Enroll HERE⁠• The Fit Collective® is affiliated with InBody USA and Canada. ⁠Click HERE⁠ for 15% off select models (small referral commission may apply).

Emergency treatment may be necessary after a person's first seizure or at the onset of abnormal acute repetitive (cluster) seizures; it is required for status epilepticus. Treatment for these emergencies is dictated by myriad clinical factors and informed by published guidance as well as emerging research.   In this episode, Lyell K. Jones, MD, FAAN, speaks with David G. Vossler, MD, FAAN, FACNS, FAES, author of the article “First Seizures, Acute Repetitive Seizures, and Status Epilepticus,” in the Continuum® February 2025 Epilepsy issue. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Vossler a clinical professor of neurology at the University of Washington School of Medicine in Seattle, Washington. Additional Resources Read the article: First Seizures, Acute Repetitive Seizures, and Status Epilepticus Subscribe to Continuum: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ  Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum, the premier topic-based neurology clinical review and CME journal from the American Academy of Neurology. Thank you for joining us on Continuum Audio, which features conversations with Continuum's guest editors and authors who are the leading experts in their fields. Subscribers to the Continuum journal can read the full article or listen to verbatim recordings of the article and have access to exclusive interviews not featured on the podcast. Please visit the link in the episode notes for more information on the article, subscribing to the journal, and how to get CME. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today, I'm interviewing Dr Dave Vossler, who has recently authored an article on emergent seizure management, taking care of patients with the first seizure, acute repetitive seizures, and status epilepticus, which is an article in our latest issue of Continuum covering all topics related to epilepsy. Dr Vossler is a neurologist at the University of Washington, where he's a clinical professor of neurology and has an active clinical and research practice in epileptology. Dr Vossler, welcome. Thank you for joining us today. Why don't you introduce yourself to our listeners? Dr Vossler: Thank you very much for the introduction, Lyell. It's a pleasure to speak with you on this podcast, and I hope to go over a lot of important new information in the management of seizure emergencies. As you said, I'm a clinical professor in neurology at University of Washington, been in medicine for many decades now and have published and done research in this area. So, I'm anxious to give you not only my academic experience, but also talk about my own management of patients with status epilepticus over the last four decades. Dr Jones: Yeah, that's fantastic. And I always appreciate hearing from experienced clinicians, and I think our readers and our listeners do appreciate that voice of clinical expertise. And I'll tell you this is a topic, you know, as a neurologist who doesn't see many patients with acute seizure emergencies in my own practice, I think this is a topic that gives many clinicians, including neurologists, some anxiety. Your article, Dr Vossler, is really chock-full of helpful and clinically relevant considerations in the acute management of seizures. So, you now have the full attention of a huge audience of mostly neurologists. What's the one most important practice change that you would like to see in the care of patients with either first or acute prolonged seizures? Dr Vossler: Without a doubt, the most important clinical takeaway with regard to the status epilepticus---and for status epilepticus, many, many clinical trials, research trials have been done over the last couple decades and they all consistently show the same thing, that by and large most patients who have status epilepticus are underdosed and undertreated and treated too slowly in the initial stages of the status epilepticus. And it's important to use full bolus dosages of benzodiazepines to prevent mortality, morbidity, and later disability of these patients. To prevent the respiratory depression, many physicians are afraid to use higher doses of benzodiazepines, even guideline-recommended doses of benzodiazepines for fear of respiratory depression. But it's actually counterintuitive. It turns out that most cases of respiratory depression are due to inadequate doses and due to the status epilepticus itself. We know there's greater mortality, we know there's greater morbidity and we know that there's greater need for higher dose, subsequent, anti-seizure medications, prolonged status, if we don't use the proper doses. So, we'll kind of go over that a little bit, but that is the one clinical takeaway that I really would like our listeners to have. Dr Jones: Let's follow that thread a little bit. Dave, I know obviously we will speak in hypotheticals here. We're not going to talk about actual patients, but I think we've all been in the clinical situation where you have a patient who comes into the emergency room usually who's actively seizing, unknown history, don't know much about the patient, don't know much about the circumstances of the onset of the seizure. But we now have a patient with prolonged convulsive seizures. How do we walk through that? What are the first steps in the management of that patient? Dr Vossler: Yeah, well, I'll try to be brief for the purposes of the podcast. We do, of course, go through all of that in detail in the Continuum article, which hopefully everybody will look at very carefully. Really in the first table, the very first table of the article, I go through the recommended guideline for the American Epilepsy Society on the management of what we call established status epilepticus. The scenario you're talking about is just exactly that: established status epilepticus. It's not sort of evolving or developing status. We're okay they're having a few seizures and we're kind of getting there. No, this patient is now having evidence of convulsive seizure activity and it's continuing or it's repeated seizures without recovery. And so, the first phase is definitely a benzodiazepine and then the second phase is then a longer-acting bolus of a drug like phosphenotoine, valproic acid or levetiracetam. I could get into the details about dosing of the benzodiazepines, but maybe I'll let you guide me on whether we wanted to get into that kind of detail right at the outset. It's going to be a little bit different. For children, its weight-based dosing, but for adults, whether you use lorazepam or you use diazepam or you use midazolam, the doses are a little bit different. But they are standardized, and gets back to this point that I made earlier, we're acting too slow. We're not getting these patients quick enough, for various reasons, and the doses that are most commonly used are below what the guidelines call for. Dr Jones: That's great to know, and I think it's fine for the details to refer our listeners to the article because there are great details in there about a step-by-step approach to the established status epilepticus. The nomenclature and the definitions have evolved, haven't they, Dr Vossler, over time? Refractory status epilepticus, new-onset refractory status epilepticus, super refractory status epilepticus. Tell us about those entities, how they're distinguished and how you approach those. Dr Vossler: That's an important thing to kind of go over. They- in 2015, the International League Against Epilepsy, ILAE, which is, again, our international organization that guides our understanding of all kinds of things epileptic in nature around the world. In 2015 they put out a definition of status epilepticus, but it used to be that patients had thirty minutes of continuous seizure activity or repetitive obvious motor seizures with impairment of awareness and they don't recover impairment between these seizures. And that goes on for thirty minutes. That was the old definition of status epilepticus. Now, the operational definition is five minutes. And I think that's key to understand that, after five minutes of this kind of overt seizure activity, you need to intervene. And that's what's called T1 in the 2015 guideline, the international guideline. There are a bunch of different axes in the classification of status that talk about semiology, etiology, EEG patterns, and what age group you're talking about. We won't really get into those in the Continuum article because that's really more detailed than a clinician really should be. Needing to think about the stages, what we call the stages of status epilepticus that you mentioned and I alluded to earlier are important. And that is sort of new nomenclature, and I think probably general neurologists and most emergency room physicians aren't familiar with those. So, it just briefly goes through those. Developing status epilepticus is where you're starting- the patient's starting to have more frequent seizures, and it's heading essentially in the wrong direction, if you will. Established status epilepticus, as I mentioned, is, you know, this seizure act, convulsive or major, major outward overt seizure activity lasting five minutes or more, at which time therapy needs to begin. Again, getting back to my point, what doesn't happen often enough is we're not- we're intervening too late. Third is refractory status epilepticus, which refers to status epilepticus which continues despite adequate doses of an initial benzodiazepine given parenterally followed by a full loading dose of a single non-sedating anti-seizure medicine, which today includes phosphenotoine IV valproic acid or IV levetiracetam. In the United States, and increasingly around the world, people really are using levetiracetam. First, it has some advantages. There's now proof from a class one NIH-funded trial. We know that these three drugs are equivalent at the full doses that I go over in the article. You have your kind of dealer's choice on those. Phenobarbital, which we used to use and I used as a resident as long as forty years ago, is really a second choice drug because of its sedating and other side effects. But around the world in resource-poor countries phenobarbital can be used and, in a pinch, certainly is an appropriate drug. And then finally, you mentioned super refractory status epilepticus and that's status that's persisting for more than twenty four hours. Now, despite initial benzo and non-sedating anti-seizure medicine, but also lasting more than twenty four hours while receiving an intravenous infusional sedating, anesthetizing anti-seizure medicine like ketamine, propofol, pentobarbital or midazolam drips. Dr Jones: So, it sounds like the definitions have evolved in a way that improves the outcomes, right? To do earlier identification of status epilepticus and more aggressive management, I think that's a great takeaway. If we move all the way to the other end of the spectrum, let's move to the ambulatory setting and we have a patient who comes in and they've had one seizure, they're an adult; one seizure, the first seizure. The key question is, how do we anticipate the risk of future seizures? But walk us through how you talk to that patient, how you evaluate that patient to decide if and when to start anti-seizure medicines. Dr Vossler: Well, it depends a little bit if it's an adult or a child, but the decision making process and the data behind it is pretty robust now. And the decision making process is pretty similar for adults and children, with some differences which I can talk about. First of all, first seizures. I think it's really important to stress that there's been so much research in this area. I'd like to get a cross point that they're not as innocuous as I think many general neurologists might suspect. We know that there is a two- to threefold increased risk of death in children and adults following a first seizure. Moreover, the risk of a second seizure, both in kids and adults, is about 36% two years after that first seizure. It's about 46% five years after that first seizure. It's really pretty substantial. The risk of a second seizure is increased twofold. It doubled in the presence of any kind of a history of prior brain insults that could result in seizures. Could be infections, it could be a prior stroke, it could be prior significant brain trauma. It's also doubled in the presence of an EEG, which shows epileptiform discharges like spikes and sharp waves---and not just a sort of borderline things like sharply contoured rhythmic Theta activity. That's really not what we're talking about. We're talking about overt epileptiform discharges. It's doubled in the presence of lesion that can be seen on imaging studies, and it's doubled in the presence of seizures if that first seizure occurs during sleep. So, we have a number of things that double the risks, above the risk of a second seizure, above that 36% at two years and 46% at five years that I spoke about. And so those things need to be considered when you're counseling a patient about that. Should you be on an anti-seizure medicine after that first seizure? Specifically, to the point of anti-seizure medications, the guideline that was done, the 2015 guideline that was done by the American Academy of Neurology for adults, and the 2003 guideline was actually a practice parameter that was done by the Academy and the American Epilepsy Society for children, are really kind of out of date. They talk about the adverse effects of anti-seizure medications, but when you look back at the studies that were included in developing that practice parameter for kids and guidelines for adults, they are the old drugs: carbamazepine, phenytoin, phenobarbital and valproate. Well, I don't think I need to tell this audience, this well-educated audience, that we don't use those drugs anymore. We are using more modern anti-seizure medicines that have been developed since 1995; things like lamotrigine, levetiracetam, and lecosamide. Those three in particular have very low adverse events. So, the guideline that the Academy, American Academy Neurology and American Epilepsy Society put together for kids and for adults talks about this high adverse event profile. And so, you need to take a look at the risks that I talked about of a seizure recurrence and balance that against adverse effects. But I'm here to tell you that the newer anti-seizure medicines---and by newer I'm talking in the last thirty years since lamotrigine was approved in 1995---these drugs have much better side effect profiles. And I think all epileptologists would agree with that. They're not necessarily more effective, but they are better tolerated. That makes the discussion of the risk of a second seizure, the risk of mortality versus side effects of drugs, it really pushes the risk category higher on the first side and not on the side of drugs. We know that if you take an anti-seizure medicine, you reduce your risk of a second seizure by half. Now, that's not sustained over five years, but over the first two years, you've reduced it by half. In a person who's driving, needs to get to work, has to take the kids to school, whatever, most of my patients are like, yeah, okay, sign me up. These drugs are really pretty well tolerated. There's a substantial risk of a second seizure. So, I'll do that. In a kid,  a child that's, you know, not driving yet, that might be a different discussion. And the parents might say, well, I'd rather not have my son exposed, my daughter exposed to this. They're trying to go to school. They're trying to learn. We don't want to hinder that. We'll wait for a second seizure and then if they have a second seizure, which by the way is, you know, one of the definitions of epilepsy, well then they have epilepsy, then they probably will need to go on the seizure medication. Dr Jones: Great summary, Dr Vossler, and it is worth our audience being aware that the evidence has evolved alongside the improvement in the adverse effect profile. And sounds like your threshold is a little lower to treat then maybe it would have been some time ago, right? Dr Vossler: I would say that's exactly correct in my opinion. Particularly for adults, absolutely. Dr Jones: That's fantastic, Dr Vossler. I imagine there are a lot of aspects of caring for these patients that are challenging, and I imagine many scenarios are actually pretty rewarding. What do you find the most rewarding aspect of caring for patients with acute seizure management? Dr Vossler: Yes, I mean, that is really true. I would say that the most challenging things are treating refractory status epilepticus, but worse yet, new onset refractory status epilepticus and the super refractory status epilepticus, which I talk extensively about or write extensively about in the article and provide a lot of guidance on. Really, those conditions are so challenging because they can go on for such a long time. Patients are hospitalized for a long time. A lot of really good clinical guidance doesn't exist yet. There is a tremendous amount of research in that area which I find exciting, and really there's an amazing amount of international research on that, I think most of our audience probably is unaware of. And certainly, with those conditions, there is a high risk of later disability and mortality. We go through all of that in the article. The rewards really come from helping these people. When someone was super refractory status and it were non- sorry, new onset refractory status epilepticus, has been in the hospital for thirty days, it gets really hard for everybody; the family, the patient. And for us, it wears on us. Yet when they walk out the door, and I've had these people come back to the epilepsy clinic and see me later. We're managing their anti-seizure medications. They've survived. The NORSE patients often have substantial disability. They have cognitive and memory and even some psychiatric disability. But yet we can help them. It's not just management in the hospital, but it's getting to know these people, and I take them from the hospital and see them in my clinic and manage them long-term. I get a lot of great satisfaction out of that. We're hoping to do even better, stop patients' status early and get them to recover with no sequelae. Dr Jones: What a great visual, seeing those patients who have a devastating problem and they come back to clinic and you get the full circle. And what a great place to end. Dr Vossler, thank you so much for joining us, and thank you for such a thorough and fascinating discussion on the importance of understanding and managing patients with the first seizure, acute repetitive seizures, and status epilepticus. Dr Vossler: Thank you very much, Lyell. Dr Jones: Again, we've been speaking with Dr Dave Vossler, author of an article on emergent seizure management, first seizures, acute repetitive seizures and status epilepticus in Continuum's most recent issue on epilepsy. Please check it out, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use this link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

DISCLAIMER: Please note that I use collector's nicknames for some of the dishes and not the official names they were produced with.— Bex Scott brings back a fan-favorite guest from Season One. In Season One he was called Rex but his actual name is Rob, Bex's husband. Rob returns to test his Pyrex knowledge (and how well he listens to his wife talk about her Pyrex collecting) by naming Pyrex patterns shown to him. How well does Rob do? Is he a Pyrex savant? Or is he just winging it here? See how you do against Rob by following along with the photo links in the Resources section. Rob's final score is one. One point. Which one did he get right? No spoilers here. Lessons were learned in this episode. Rob definitely believes he's better at naming Pyrex patterns than Pyrex was. The 60s and 70s were a wild time for Pyrex colors. Bex throws out some 14-year-old slang terms. Rob learns what a hugger is. And we all learn what the Pyrex names really are for some very interesting and classic patterns. Test your own knowledge along with Rob. And contact Bex to let her know what you think of Rob's names. Resources discussed in this episode:Pyrex One Rob's name: Primary Colors Plus an AttaboyPyrex Two Rob's name: Alternating White Wine Red Wine Vine SetPyrex Three Rob's name: 70s Throw Up FadePyrex Four Rob's name: Grenaded GardenPyrex Five Rob's name: Viney Vinny's Knobby Dish DelightPyrex Six Rob's name: Viking's BreadbasketPyrex Seven Rob's name: MagnaDoodle Acid TripPyrex Eight Rob's name: Hypnotic Salad BowlPyrex Nine Rob's name: 70s Jello Fruit Salad Thingamabobber Calls To YouPyrex Ten Rob's name: Gandalf's GardenPyrex Eleven Rob's name: Blood Red Christmas Doves Sharing a PomegranatePyrex Twelve Rob's name: Cretaceous Era Battle for Middle Earth—Contact Rebecca Scott | Pyrex With Bex: Website: PyrexWithBex.comInstagram: @pyrexwithbex—TranscriptBex Scott: [00:00:02] Hey everybody, it's Bex Scott and welcome to the Pyrex with Bex podcast where, you guessed it, I talk about vintage Pyrex, but also all things vintage housewares. I'll take you on my latest thrifting adventures, talk about reselling, chat with other enthusiasts about their collections, and learn about a bunch of really awesome items from the past. Subscribe now on Apple, Spotify, or wherever you love listening to podcasts so you don't miss a beat. Hey everybody, this is Bex Scott and you are listening to the Pyrex with Bex podcast. And on today's episode, I am bringing back one of your most favorite guests, formerly known as Rex in season one of the podcast. It is my husband, Rob. Welcome, Rob. Rob: [00:00:48] Thanks for having me back. I'm really excited. Bex Scott: [00:00:50] It feels like a very long, hard road getting to this recording, because we just spent the last half hour trying to fix my mic, and thank goodness that your mic wasn't working because you were playing jeopardy music in the background, trying to provoke me. Rob: [00:01:05] It was much needed. There was so much suspense. Bex Scott: [00:01:09] There was suspense if we were going to get this done. If, yeah, just all the suspense. So suspenseful that I'm lost for words. Rob: [00:01:18] I can see that. Bex Scott: [00:01:19] That made no sense. Anyway, back to the episode. Today, I thought it would be fun to play a little game with Rob to see just how well he knows his Pyrex patterns, and I've gone in and selected 12 different Pyrex patterns. I'm going to show him the picture. And because all of you wonderful people can't see what I'm showing Rob, I'm going to describe it first, and he'll give his best guess as to what the pattern is. So it's going to be a lot of learning together to see just how much Rob pays attention to me and to my love of Pyrex. Here we go. So I invite all of you to join along and make your best guess and see just how good you are with your patterns as well. I know that going through this, it was very enlightening because Pyrex didn't come up with a lot of unique, exciting names for some of their patterns and their dishes. So you'll realize that as we go through some of these. So I figured it would be nice to start off easy, give Rob a little bit of a break on his first go. Rob: [00:02:34] And you'll understand that by asking me these questions that I should have been chosen by Pyrex to name these patterns. Bex Scott: [00:02:43] I hope so, maybe the names you give will be so amazing that collectors around the world will just adopt them. Rob: [00:02:50] There'll be a fee for that, but no problem. Bex Scott: [00:02:53] Okay, we'll see how great they are, how creative you're feeling. Okay, here's the first set. So for those of you listening right now, it is a four piece mixing bowl set starting with blue, going to red, then green, then yellow. Rob, what is the name of this bowl set or pattern? Rob: [00:03:17] I would call it Primary Colors, plus an Attaboy. Because the green is not a primary color. So you have the primary colors plus the attaboy. Bex Scott: [00:03:31] You would be correct. Rob: [00:03:33] Oh, it's called with the attaboy. Nice. Bex Scott: [00:03:35] Well. No, but I like that rendition better than just the plain old Primary. So. Good job. 1 out of 12. Rob: [00:03:44] Oh, it's called Primary. Okay. Bex Scott: [00:03:45] Yeah. You're winning so far. Next up, we have a lot of this in our house, I'm looking at it right now. Okay. For everybody out there. It is a Cinderella Bowl set, and it goes from white to pink to white to pink, and it has some nice little without giving anything away foliage vine situations on it. Rob, what do you think this set pattern is called? Rob: [00:04:16] I have to call it the Alternating White Wine Red Wine Vine set. Bex Scott: [00:04:29] That's quite the name. Rob: [00:04:31] Well, yeah. Like I said, I should have been hired for this job. Bex Scott: [00:04:35] At first, I thought you were going to say wine spritzer. Rob: [00:04:38] Well, yeah. Well, if you smash them, you could make a spritzer. It'd be kind of pink. Bex Scott: [00:04:44] It's a spritzer. Okay, this is Gooseberry. Rob: [00:04:47] Oh I was close. Bex Scott: [00:04:48] You couldn't have been further away, but that's okay. It has a little, it's hard to see, but there's little gooseberries on there. They kind of look like onions, to be honest. That's okay. Rob: [00:05:02] I couldn't see it in the picture very clearly. Bex Scott: [00:05:05] I'm sorry. That was my fault. Rob: [00:05:07] Absolutely. Anyway. Carry on. Bex Scott: [00:05:10] Okay, next up, we have another mixing bowl set. It's an ombre. An ombre moment, as the kids would say. And it's kind of an orangey yellowy going into a more orangey. Wow. That's a terrible description. Rob: [00:05:30] See why I should have been hired? Bex Scott: [00:05:34] It's an orange ombre. There we go. Rob: [00:05:37] Well, it brings back some traumatic memories of the colors that my parents made me wear. So I would call that the 70s Throw Up Fade pattern. Bex Scott: [00:05:50] Oh, the PTSD is strong in this one. Rob: [00:05:54] Yeah, it goes from like a horrific orange that I remember I had to wear down to like a nasty pastel yellow that I also had to wear. Bex Scott: [00:06:04] The jumper? Rob: [00:06:05] Yeah. Where's me jumper? Bex Scott: [00:06:10] Okay. Rob: [00:06:11] I'm sure that's probably not quite what Pyrex might have used, but it probably should have been. Bex Scott: [00:06:16] So is that your your real guess? Rob: [00:06:19] Okay, fine. Um. Let's see. I would call that. Oh, let's get all fluffy. A fading sunset. Bex Scott: [00:06:29] Oh that's deep. That's a romantic set of bowls. Rob: [00:06:34] Don't worry. I've got that in me. Bex Scott: [00:06:35] Off into the fading sunset. It's called Flame Glo. Rob: [00:06:40] Same thing. Bex Scott: [00:06:43] Glow with no w. Yeah. Throw that wrench in there. Rob: [00:06:47] Is there two dots over the o? Bex Scott: [00:06:48] No. Flame Glo. Rob: [00:06:53] Yeah, it's the the German division of Pyrex. Yeah. Bex Scott: [00:06:58] Okay, this next one is good. Okay, I have to blow it up really big so you can see the extreme importance of the detail. So this is a Cinderella Bowl. It is green. It has a salad theme to it. Rob: [00:07:17] I thought that's what I saw. So I would call that the Grenaded Garden pattern. Looks like somebody threw a bomb into a garden. And there's just lettuce and radishes and stuff exploded all over the place. Bex Scott: [00:07:30] I actually like that. That's good. Rob: [00:07:32] And it's got alliteration, right? Grenaded Garden. Final answer. Bex Scott: [00:07:38] Ding! You are not correct. This one is interesting. This is called the Fetus Bowl. Rob: [00:07:46] Well. I don't understand that. Bex Scott: [00:07:48] I'm pretty sure it wasn't made and called the fetus. I think that's probably what people have called it over the years. But if you can see there's a little fetus outline right there, can you see it? Rob: [00:08:02] Yeah. To me it looks like a kid sitting on like a Hot Wheels. You know, those green machines? Like, from when I was a kid. The three wheeled machines. It looks like a little kid sitting on one of those just ripping it up, obviously tearing up a garden patch. Bex Scott: [00:08:18] Oh, it looks like a little kid cuddling with a leaf. But fun thing is, I was researching this while preparing for our discussion, and I learned that it comes with a pair of sparkly salad tongs back in the day. Rob: [00:08:38] Well, everybody needs a set of bedazzler salad tongs. Bex Scott: [00:08:41] You absolutely do. Bedazzler scooping it from your Fetus bowl. Rob: [00:08:46] Nothing improves your appetite more than hearing that. Bex Scott: [00:08:51] I'd like some salad right now. Rob: [00:08:52] How would you like to have some salad out of my Fetus bowl? Yes, please. Bex Scott: [00:09:02] Okay. Next one. And you can't really tell, Rob, but that's pink. Oh, this is a hard one to show. Okay, here we go. One second. I'll explain it to you. So it is pink. It has the knob lid. It's an 024, a nice light pink color with more vines. They really like their vines, but they're tiny little flowers. Tiny little flowered vine. Kind of like a bad tattoo. Rob: [00:09:33] I would call this Viney Vinny's Knobby Dish Delight. I don't know. You know, Vinny cooks up a meal. Bex Scott: [00:09:46] Viney Vinny. Viney Vinny. Oh, no. Images. This is called Duchess. Rob: [00:09:55] Vinny the Duchess. Bex Scott: [00:09:58] Uh, it's my unicorn piece. My most coveted piece of Pyrex is the Duchess. The next piece is a lovely dish in a wicker basket. It is blue. It has the opal lid with a very intricate blue design of tiny flowers. And what else is on here? It's an artistic line art design. This is harder than I thought it would be to explain what's on the lid. So blue base, opal lid, intricate little blue design on the top. Rob: [00:10:45] Hmm. Bex Scott: [00:10:47] Reminds me of something I would doodle on my arm when I was in high school. Rob: [00:10:50] Right. I would say... Bex Scott: [00:10:52] Right. Rob: [00:10:54] That is the, it almost looks like old Viking type print. So I'm going to call that the Vikings Breadbasket. Rob: [00:11:07] Because of the wicker. Bex Scott: [00:11:09] Blue Doily. Rob: [00:11:11] Pretty close. Bex Scott: [00:11:11] Yeah. The Vikings Doily. Rob: [00:11:14] Has something to do with Vikings, doesn't it? Bex Scott: [00:11:16] Oh, a better name is the Viking Doily. There we go. Rob: [00:11:20] There you go. Bex Scott: [00:11:21] Viking Doily. Rob: [00:11:23] RagnarDoily. There we go. The RagnarDoily. Bex Scott: [00:11:30] Oh, this is a fun one. Okay, here we go. Here we go. Rob: [00:11:33] I thought the last one was a fun one. Bex Scott: [00:11:35] This is even more fun. Rob: [00:11:36] Oh my gosh. Bex Scott: [00:11:37] Okay, so this is a nice bright blue bottom, a clear top. It's a round casserole and it has, how do you explain this? Like a line art green and blue... Rob: [00:11:54] Flower. Bex Scott: [00:11:55] Repetitive flower looking. Yeah. Flower looking design on the top. But it's not a flower. Rob: [00:12:00] I just remembered what it's called from my childhood. It's called the Magna Doodle Acid Trip. That's what that's called. Bex Scott: [00:12:09] For a second, I thought you were actually going to get the name. Rob: [00:12:13] Oh, God. No. Never. There is this cool coloring thing when I was a kid, and anybody who's of my vintage, which is like, you know, 29, that there was this coloring set called the Magna Doodle and it had like these round disks that you could put a pen in, and they had different pieces you could put in, and you just kept drawing your pen around, around the circle. And it made a pattern. Bex Scott: [00:12:38] But what's another name for that? Rob: [00:12:41] The Magna Doodle Acid Trip. Bex Scott: [00:12:44] What's another name for the Magna Doodle? Rob: [00:12:46] Oh, um, the.. Superman Acid Hit. Bex Scott: [00:12:52] The Spirograph. Rob: [00:12:55] Well, okay, if you want to get technical, sure. Bex Scott: [00:12:57] That's what this is called. Spirograph. Rob: [00:13:01] I like my name better. Let's see what your listeners have to say. Bex Scott: [00:13:07] We should get them to vote on all of your names after this. Rob: [00:13:10] 100%. Bex Scott: [00:13:13] I feel like I need to get better at describing them, though. This is really not setting you up for success. Okay, next is another round casserole. This one has a hugger. A nice brown plastic hugger. Rob: [00:13:27] What is a hugger? Bex Scott: [00:13:29] It's so that you don't burn your table or your hands. It hugs the dish and keeps the table safe. Rob: [00:13:37] Is it like a rubber thing or something? Bex Scott: [00:13:39] It's just like a plastic. A hard plastic. Rob: [00:13:43] Okay. Bex Scott: [00:13:44] Okay. And this one is, it's hard to tell, but it's like, the only way I can explain the color is like a granny panty color. It's a nice beige on the bottom. And then it has some... Rob: [00:14:03] Powder blue? Bex Scott: [00:14:04] No, that's opal. That's white on the top. So it has... Rob: [00:14:08] The darker color. Bex Scott: [00:14:11] On the top of the lid? Bex Scott: [00:14:13] Yeah, it's just brown. It's just a bad picture. Rob: [00:14:16] Oh, sorry. The picture makes it look... Bex Scott: [00:14:18] So it's a white lid with circles on top. There's three sets of circles, like line drawn circles, line drawn. Obviously it's a line drawn circle, anyway. Oh, no. Moving on. And then there's. Rob: [00:14:41] See, maybe you should have named them. Bex Scott: [00:14:44] And then it looks like leaves with more line drawn circles. Kind of like a bulb or something on the front. Okay. Rob: [00:14:54] I will call this the Hypnotic Salad Bowl because it looks like a hypnotic situation going on with the lid. Like they're trying to will children into eating salad and green foods. That's definitely what that was used for. It's like an evil adult-- Bex Scott: [00:15:18] Evil eye. Rob: [00:15:19] -- tool. Bex Scott: [00:15:20] Sucking you into the vegetables. Rob: [00:15:23] Eat your veggies. Yep. That's you will love your green beans. Bex Scott: [00:15:28] This casserole, I have to say, is very ugly. Rob: [00:15:33] Yeah, it's not going to be on our table. Bex Scott: [00:15:35] No. Okay, wait, did you already give me a name? Oh, yeah. You did. It was so great, I forgot. Okay. It's called Brown Onion. Rob: [00:15:48] It's called the Hypnotic Salad Bowl. I looked it up. Bex Scott: [00:15:55] Just Brown Onion. Rob: [00:15:57] The Brown Onion Hypnotic Salad Bowl. Bex Scott: [00:15:59] Here's another one. It's another one with a hugger. It's a brown casserole with a clear green hugger. The bottom is a nice green color. The lid is opal, and there is a nice fruit. A purple and green fruit. What's the word I'm saying? I don't know. It's gone. Gone from my mind. It's a fruit. I'm trying not to use words that will give away the the name of it. Rob: [00:16:32] Looks like grapes or something. Bex Scott: [00:16:34] Yeah, and the box, I actually really like the box. Okay. What would you say this one's called? Rob: [00:16:41] The 70s Jello Fruit Salad Thingamabobber Calls To You. Or is calling? Yes. It's very, very, very 70s colors. Bex Scott: [00:16:57] It is. I don't mind this one. Rob: [00:17:00] Or 60s. Bex Scott: [00:17:02] It's just called Grapes. That's another-- Rob: [00:17:06] Way to dumb it down. Bex Scott: [00:17:07] I know. That's why I was saying at the beginning they didn't come up with the most exciting names. Okay, here we go. Rob: [00:17:14] That's why they should have hired me. Okay. Bex Scott: [00:17:17] Next up, mixing bowl set. There's three of them. There are some cute little mushrooms on there. And some grass. And some flowers. No. No flowers. Just grass. Grass and mushrooms. And it's a beigey speckly color. Rob: [00:17:37] Well, this is pretty obvious what this should be called. It's the Hobbit. Hobbit Town. And Gandalf's Garden was what the three different bowls are called. Bex Scott: [00:17:59] Oh, I actually like that. I could see that in a little, what are the hobbit huts called in the Shire? Rob: [00:18:08] I don't know. Bex Scott: [00:18:09] They're little houses. Rob: [00:18:11] Like burrows or something. Yeah, something like that. Anyway, yeah. Bex Scott: [00:18:17] I digress. Forest Fancies. Rob: [00:18:21] I wasn't too far off. Bex Scott: [00:18:22] I actually like yours better. I think they'd sell. Rob: [00:18:27] You. You'd reign in the LOTR folks, that's for sure. Bex Scott: [00:18:32] Okay. Next up. I like this pattern. We don't have any of it because it's a slippery slope. There's lots of it and I just can't start another collection, as you know. Okay, so this is alternating opal with a pattern, red opal with a pattern and then a nice orangey color. It's a mixing bowl set. Some cute little birds on it and some flowers and leaves in nice orange red. Oh no. Yeah. Orange red and nope, just orange and red. I'm having trouble seeing. Rob: [00:19:19] It must be called the Blood Red Christmas Doves Sharing a Pomegranate. Bex Scott: [00:19:30] That's a very good description. So that people will know out there that are listening what it is. Rob: [00:19:38] I can't tell what's on the, behind the birds. Is that like a teddy bear? What is that? Bex Scott: [00:19:45] No, that's a a floral decoration of sorts. Like a tulip. It's a tulip. Rob: [00:19:55] Oh. It looks like a bear. Bex Scott: [00:19:58] It's a tulip adjacent. This is called Friendship. Rob: [00:20:04] Oh, well, I mean, two Blood Red Doves Sharing a Pomegranate is friendship. So that, it's just the simplified version of my name. Bex Scott: [00:20:18] I was going to say something. No. In the teenage speak of a 14 year old. But I couldn't think of anything. Like bro-ing up or something. Or bro-ing down. Or they're just bro-ing. Rob: [00:20:33] No, they're just skibidiing on a pomegranate together. Bex Scott: [00:20:37] It's a skibidi Pyrex. Oh I've just lost all of my listeners. Okay. Rob: [00:20:43] I think so. Here we go. Bex Scott: [00:20:44] I'm ashamed. I'm ashamed. Okay. Next up. Rob: [00:20:48] Oh, that looks familiar. Bex Scott: [00:20:49] You've spent a lot of time with this pattern with all your cooking and baking. It is a mixing bowl set. It is a speckly beigey brown with a really nice blue floral pattern on it. Rob: [00:21:06] Well, the side pieces almost look like little armored, well armored shrimps. So I'm going to call this the Cretaceous Era Battle for Middle Earth. Bex Scott: [00:21:26] Now all I'm seeing is shrimp in a squid. Rob: [00:21:30] But the shrimp are wearing armor, like. Bex Scott: [00:21:32] They're ready to get in there. Rob: [00:21:33] They're front line. Ready to go. Bex Scott: [00:21:35] Yeah. Yeah. This is called Homestead. Rob: [00:21:42] Well, maybe they were fighting in their homeland, so it's called homestead. The homestead shrimp. Bex Scott: [00:21:48] Shrimp on the range. Home on the range. Rob: [00:21:51] Yeah. Bex Scott: [00:21:53] I like it. Rob: [00:21:54] The range being the beach, I guess. Bex Scott: [00:21:58] Okay, that was it. Those are all the ones that I chose for us. So. Lessons learned-- Rob: [00:22:07] Interesting patterns. Bex Scott: [00:22:09] -- is that Rob can go very deep when naming things. Another lesson learned is that I am ashamed that I didn't know what color was on the Duchess, having spoken about it in many episodes. And what else? I need some sparkly salad tongs. And yeah, those are those the main takeaways. Rob: [00:22:36] Go to Value Village and find one of those old bedazzler sets and really do up a set for you. Bex Scott: [00:22:42] I think we might have to. Rob: [00:22:45] And one-up those. Bex Scott: [00:22:48] Well, I think we might have to do a second round of this down the road. Maybe you can do some studying and thrifting and Pyrex research to expand your vocabulary of names and in the meantime, I'll keep saving to buy my Duchess to secretly bring it into the house and hide it from you. Rob: [00:23:14] No, that is the wrong answer. Bex Scott: [00:23:20] But anyway, I'd love to know what everybody listening guessed for the Pyrex names. If you aren't a collector, if you don't know your Pyrex patterns, let me know! Find me on Instagram or Facebook at Pyrex with Bex and we will hopefully hear from Rob again down the road with more Pyrex naming and knowledge. So thank you everybody for listening. And thank you, Rob, for being here again. Rob: [00:23:48] My pleasure. And please people comment on whether you think that my names are superior to that of Pyrex's boring shortened names. Bex Scott: [00:24:03] I'll be sure to let you know what they say in the comments. Rob: [00:24:06] Yes, please. That'd be great. 

Michael Kohan  Elevate Life Project:  Mindfulness | Spirituality | Success | Personal Growth Elevate Life Project Podcast :  The Best Ways to Cope With Repetitive Negative Thoughts What's your true purpose?  Free Quiz by visiting https://elevatelifeproject.com/purpose  If you liked this Podcast, please subscribe and write us a review.  This is what helps us stand out, so more people can find this show.  To Write us a Review please open up this Podcast in the your app  on your computer and search for Living Life on Purpose https://elevatelifeproject.com/podcast  Show Notes:

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We would love to pray for you! Please send us your request here:https://joniandfriends.org/contact-us/?department=Radio --------Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org. Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Immersive Artist Darren Emerson shares the challenges and experiences of bringing the multi-award-winning VR experience ‘In Pursuit of Repetitive Beats' to audiences in the UK and Internationally.This talk was recorded at the Immersive Experience Network Summit in October 2024 and is supported by Arts Council England and our industry partners Illusion Design & Construct, Mance Communications, White Light, Deterministic, Immersif, d&b audiotechnik, Scene2, Little Lion Entertainment, Entourage, and Vista Insurance.Discover more content from IEN: https://immersiveexperience.network/articles/Watch the YouTube video: https://youtu.be/rzgCM1reeTQ Hosted on Acast. See acast.com/privacy for more information.

TWiN discusses a study showing that repetitive injury reactivates HSV-1 in a human brain tissue model and induces phenotypes associated with Alzheimer's disease. Hosts: Vincent Racaniello and Tim Cheung Subscribe (free): Apple Podcasts, Google Podcasts, RSS Links for this episode MicrobeTV Discord Server Repetitive injury, herpes, and Alzheimers (Sci Signal) The tau of herpesvirus (TWiV 1187) Fishing for viruses in senile (TWiV 519) Timestamps by Jolene Ramsey. Thanks! Music is by Ronald Jenkees Send your neuroscience questions and comments to twin@microbe.tv

Does life sometimes feel like an endless cycle? We wake, work, sleep, and repeat. It's as if we're part of the same rhythm that moves the sun, the wind, and the streams—but where is it all heading? Welcome to the Daily. We go through the bible verse-by-verse, chapter-by-chapter, every single day. Our text today is Ecclesiastes 1:5-7. The sun rises, and the sun goes down, and hastens to the place where it rises. The wind blows to the south and goes around to the north; around and around goes the wind, and on its circuits the wind returns. All streams run to the sea, but the sea is not full; to the place where the streams flow, there they flow again. — Ecclesiastes 1:5-7 Solomon paints a vivid picture of perpetual motion in nature: the sun's endless cycle, the wind's unceasing currents, and the streams flowing relentlessly into a sea that's never filled. He reflects on the repetitive rhythms of creation, pointing out the monotony of life "under the sun"—a life that can feel like it's stuck in an endless loop. But where does it all lead? Why does everything repeat? This isn't just poetic observation. Solomon challenges us to look beyond the physical cycles of life to the spiritual reality that gives them meaning. The natural world may operate in relentless loops, but these cycles signal something deeper—a longing in the human heart for purpose, direction, and fulfillment. Maybe you've felt caught in this loop. Maybe you've reached out for prayer, like many others, feeling frustrated by the grind. And while it's tempting to think we need to break the loop, Solomon's point is this: we can't change the loop—we can only reach beyond it. If life feels like an endless grind, a series of routines that never truly change, take heart—you're not alone. But instead of living in frustration, shift your focus. Recenter your perspective on God's design and sovereignty. The loops of the sun, wind, and water may seem mundane, but they remind us of a Creator who sustains all things with perfect order and consistency. Live with eternity in mind. Don't just live in the loop—learn the lesson behind the loop. #EternalPerspective, #DailyDevotional, #BibleReflection ASK THIS: What daily routines or cycles in your life feel repetitive or monotonous? How do the natural rhythms in Ecclesiastes 1 remind you of God's design and sovereignty? What would it look like to live with eternity in mind in your daily grind? How can you trust God's purpose when life feels stuck in a loop? DO THIS: Take five minutes today to reflect on a repetitive cycle in your life and ask God to reveal His purpose within it. PRAY THIS: Lord, when life feels like an endless cycle, help me to see Your hand at work in the rhythms of my days. Teach me to live with eternity in mind, trusting in Your purpose and plan. Amen. PLAY THIS: Made For More.

In this episode, we delve into defining the Autistic Phenotypes, emphasizing that while these traits are straightforward to identify, understanding their depth and impact requires integrating real-life data and personal experiences. We explore the characteristics of repetitive behaviors, habits, restricted interests, and a rigid adherence to schedules, which are pivotal to the Autistic Phenotypes. We will also discuss the Basal Ganglia pathways, specifically how the direct and indirect pathways influence these behaviors, touching upon how these neural connections relate to both the strengths (Superpowers) and challenges (Superdeficits) faced by individuals on the spectrum.Our discussion extends into the biological and social aspects of autism, examining how the inherent biology of autism can lead to comfort within oneself, yet creates struggles when forced into societal norms. We'll address the notion of conflict within the nervous system, explaining how it responds reflexively to disruptions in established patterns or expectations. The episode will also cover the neurological underpinnings of autism, including the roles of dopamine, GABA, and the substantia nigra in modulating behaviors and habits. We'll connect these insights to the adaptive responses or the lack thereof, which are central to understanding why individuals with Autism might resist changes in routines or show intense focus on specific interests. Practical implications and the historical context from early Autism studies by Leo Kanner and Hans Asperger are revisited, offering a comprehensive view on how these traits manifest in real-life scenarios and affect social interactions00:00 Understanding Autistic Phenotypes: Repetitive behaviors, restricted interests, and adherence to schedules. Basal Ganglia & strengths (superpowers) and challenges (superdeficits).05:23 Neurological Mechanisms: Basal Ganglia's pathways (direct and indirect) & Autistic behaviors. Repetitive actions, learning, and habit formation; dopamine, excitation and GABA; Stemming and the discomfort with unpredictability in social contexts.10:39 "Motivation", Movement, and Social Interaction: "Motivation" and motor movements & the basal ganglia & Autism; Social interactions & unpredictable, significant challenges & predictability. The segment also links these neurological pathways to DSM criteria for autism, highlighting the interrelation between motor and social behaviors.15:55 Neuroplasticity and Adaptation: Neuroplasticity & the repeated strengthening of neural connections shape Autistic traits; adaptive responses managed by the prefrontal cortex, and resisting changes or adhere to routines. 20:52 Biological Energy: brain's energy management for learning and habit formation works in Autism; acetylcholine for focus, dopamine for persistenceX: https://x.com/rps47586Hopp: https://www.hopp.bio/fromthespectrumYT: https://www.youtube.com/channel/UCGxEzLKXkjppo3nqmpXpzuATikTok: (I don't love it) https://www.tiktok.com/@fromthespectrumpodcastemail: info.fromthespectrum@gmail.com

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I interviewed producer Dan Tucker at IDFA DocLab 2024 about the lessons learned from touring In Pursuit of Repetitive Beats across 20 different venues over the past couple of years. See the transcript down below for more context on our conversation." See more context in the rough transcript below. This is the last episode from my series of interviews from IDFA DocLab 2024. You can see all of the interviews in the list below: #1492: IDFA DocLab Curators Preview 2024 Slate of AI & XR Immersive Documentaries #1493: "About a Hero" IDFA Opening Night Doc Blends Realities, Written by AI Trained on Werner Herzog Corpus #1495: Getting Roasted by Unfiltered "AI & Me" Photobooth Installation #1496: Using GenAI to Recreate Erased Family Photos with "Burn From Absence" 4-Channel Video #1497: Experimental VR Doc "Rapture II: Portal" Blends Hypnotic Audio with Spatial Scan of War-Abandoned Home #1498: Immersive Installation Frames Provocative "Töngö Sondi" Animation on Langauge, Censorship, & Identity #1499: From Interactive Biohacking Lecture to Speakeasy with "Drinking Brecht: An Automated Laboratory Performance" #1500: Sharing Indigenous Knowledge with AR on 360 Video and Embodied Rituals in "Ancestral Secrets VR" #1501: Roaming as Resistance: "Entropic Fields of Displacement" wins DocLab Digital Storytelling Award #1502: Candid Audio Clips Juxtaposed with Poetic GenAI Video in "Sincerely Victor Pike" #1503: "The Liminal" Spatial Audio Installation Blends Audio Doc with Specualtive Arab Futurism #1504: Open World, GenAI Podcast "Drift" Reflects on Climate Change from 500 Years in the Future #1505: Immersive Journalist Features Volumetric Sexual Harrassment Testimonies in "Walking Alone, Text You When I'm Home" #1506: Going on a Virtual Date in "ROAMance" that Generates Novel Encounters with Defamiliarization #1507: From Selfies to Virtual Offspring, "Ancestors" Turns Strangers into Family and Intergenerational Speculative Futures #1508: Virtual Architecture Vibes Part 1: "Limbotopia" VR & Dome at Film Gate Interactive #1509: Virtual Architecture Vibes Part 2: "Limbophobia" VR & Dome at IDFA DocLab #1510: Poetic VR Exploration of Iranian Protest Blindings in "Speechless Witness of a Wandering Tree" #1511: Cultivating Virtual LGBTQIA+ Safe Spaces in VRChat with "Dollhouse for Queer Imaginaries" #1512: DocLab Immersive Non-Fiction Winner "Me, A Depiction" Performance Installation Confronts Objectifying Gaze #1513: From Daily News to GenAI Irish Sean-nós Songs in "You Can Sing Me on My Way" Audio Installation #1514: Creating GenAI Flower Ecosystem with "Future Botanica" AR App #1515: VR Researcher Julia Scott-Stevenson on Embodiment in Story & Why Docs are Perfect to Explore AI #1516: Myriam Achard on Phi Studio's Expansion into LBE Distribution & the Fusion of Immersive Art at Phi Contemporary #1517: LBE Lessons Learned from 20-Venue Tour of "In Pursuit of Repetitive Beats" with Producer Dan Tucker This is a listener-supported podcast through the Voices of VR Patreon. Music: Fatality

Do you struggle with repetitive thoughts in sports? Do you keep thinking about mistakes over and over again or worry about what will happen in the upcoming game? These type of repetitive thoughts, also known as rumination, drive fear and anxiety and keep you from playing with confidence. In this episode, I cover four tips you can use to stop repetitive thinking as an athlete.  ➡️ Interested in 1-1 mental performance coaching? Schedule your free introductory call to learn more: https://www.successstartswithin.com/get-coaching

"Music is always visual for me, so tried to make it so, figuratively and literally.  The bells from Hyde park caught my attention first, so I've developed bell-like sounds through the composition using Yamaha FS1R synth and my Eurorack modular system. "Also it's impossible to ignore the band playing at the beginning of the recording, so I've found the perfect loop and created the rhythmic backbone for the center of a composition. Repetitive, kraut-like and slightly bluesy.  And I've done something which had never done before for Cities and Memory projects - recorded my own voice, put it through convolution reverb (using bell sounds from original recording as impulse response source for reverb). Hence my voice here works as ambient bed for more somber parts and like a dialog (jam) with the band when they start to play. "Also I'm quite pleased how it slightly reminds the first piece I've submitted to Cities and Memory (Perforator Pop). And yet it's different of course, like me and the times have changed."  Hyde Park, Sydney, reimagined by Vlad Suppish.

A hypnotic introduction draws you in, its precision captivating from the first bars. Without delay, the drums take the lead, driving an energy that fuses IDM, D&B, and techno. Munich-based Dycide is known for his fluidity between styles, and this track exemplifies just that. Sharing its name with the LP, Cult of the Black Moon, it feels thematic, capturing the transformative pull of the moon - immersive and powerful. Released on co-founded IO Records, the EP will be available in digital format on 28th November. Repetitive drum sequences and intelligent edge define the track's concise yet impactful nature. Balancing precision, visceral energy, and minimalism, it's a brief but potent journey—you'll hear this and immediately think, Dycide. @dycide www.instagram.com/dycide/ @iorecs www.instagram.com/io.records/ Write up by @danpeplow Follow us on social media: @itsdelayed linktr.ee/delayed www.delayed.nyc www.facebook.com/itsdelayed www.instagram.com/_____delayed www.youtube.com/@_____delayed

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Youtube Channel:  https://www.youtube.com/@theocdandanxetypodcast Book your free session directly, visit: www.robertjamescoaching.com Welcome to episode 444 of The OCD and Anxiety Podcast, where we tackle one of the most challenging aspects of OCD: walking away from a compulsion halfway through. This episode delves into the difficulties and discomfort of stopping a compulsion in its tracks, but also highlights the immense positive impact it can have on your journey to recovery. Join us as we explore practical tips and techniques that can make this daunting task a game-changer. Learn how to embrace discomfort and make it an exposure activity, helping you to gradually take back control from OCD. We'll discuss the importance of labeling obsessions, refocusing on your values, and engaging in purposeful activities to break the compulsion loop. Whether you're struggling with OCD or looking for ways to better manage anxiety, this episode offers insights and strategies to help you step back from compulsions and live the life you choose. Don't forget to check out our YouTube channel for more tips and exclusive content. Remember, progress is a journey, and every small success counts Disclaimer: Robert James Pizey (of Robert James Coaching) is not a medical professional and is also not providing therapy or medical treatment. Robert James Pizey recommends that anyone experiencing anxiety or OCD to seek professional medical help straight away to get a medical opinion and rule out other conditions or illnesses. The comments and opinions as written on this site are simply that and are not to be taken as professional medical opinions. Robert James Pizey provides coaching, education, accountability and peer support around Anxiety through his own personal experiences.        

Do you ever feel like you're caught on life's hamster wheel? In this episode, Sarah Grynberg dives into that frustrating sense of being stuck in a constant cycle of busyness—always moving but never truly progressing. The first step is recognising the rut you're in, but how do you escape it? Sarah breaks down your day-to-day and shares practical tips for shaking up the routine that's left you feeling trapped. You might be surprised to find that even the smallest adjustments can lead to powerful, positive results. Are you ready to create a balance that feels right and adds more joy to your everyday life? Then this is the episode for you!  Lauryn & Michael Bosstick: Growing a Thriving Business While Prioritising Family / Listen to the full episode here. Purchase Sarah's book: Living A Life Of Greatness here. Watch A Life of Greatness Episodes On Youtube here. Purchase Sarah's Meditations here.  Instagram: @sarahgrynberg   Website: https://sarahgrynberg.com/ Facebook: facebook.com/sarahgrynberg Twitter: twitter.com/sarahgrynbergSee omnystudio.com/listener for privacy information.

Join our Fantasy League: https://fantasy.premierleague.com/leagues/auto-join/kn7vdpTom presents a daily show on The Gooner Talk covering all the latest Arsenal news, Arsenal transfer news, match reaction, press conferences and much more plus a Q&A session taking questions from the LIVE chat. Get all your Arsenal news now and every day. Links to Fantasy code, Twitter, Instagram, audio-only platforms and our channel membership scheme including entry to the Discord community: https://linktr.ee/TheGoonerTalk Become a member at https://plus.acast.com/s/the-gooner-talk. Hosted on Acast. See acast.com/privacy for more information.

Denmark and Sweden come to blows once again and both kings are eager for some quick successes. But alas, the armies mainly end up chasing each other back and forth across Scandinavia and dying of starvation or disease... We do get to see an angry King Fredrik deliver a one-liner worthy of James Bond though!    Shoutout once again to the excellent Presidencies of the United States podcast! Check them out wherever you get your podcasts or online at https://www.presidenciespodcast.com

PLEASE ALWAYS READ THIS INFO BOX WHEN YOU VISIT TMVP BLOG. ***Especially please do not send any gift unless you have read & understood the instructions below.*** Thank you. WEBSITE: THE-MASTERS-VOICE.COM PLEASE READ CAREFULLY: If you'd like to support this work, it is appreciated. Kindly use PayPal or email me for other options at mastersvoice@mail.com, and *please* give me some time to respond. If using PayPal PLEASE DO NOT send any gift with "Purchase Protection". I have an ordinary PayPal account, not a seller marketplace, so please do not damage my account by using "purchase protection" on your donation (as if I were making a sale to you). If you are not sure (especially if you sent in the past), please check the format of your gift on the PayPal receipt before sending. It is a freewill offering, I am not selling goods or services. Please use *only* the "Friends & Family" sending option. If you're outside the USA please DO NOT use PayPal, contact me instead at the email listed here & allow me a good window to respond. Thank you, God bless. PayPal ------- mastersvoice@mail.com.

Are you feeling overwhelmed by the repetitive tasks involved in dementia caregiving? From answering the same questions to managing daily routines, it can feel like you're stuck in an endless loop of caregiving duties.  One of the most challenging aspects of dementia caregiving is the emotional toll of dealing with repetitive behaviors. Whether it's answering the same question over and over or assisting with daily tasks like bathing and dressing, these routines can become exhausting. This constant repetition often leads caregivers to feel frustrated and even burnt out. Lizette provides practical solutions for managing the repetitive tasks and emotional challenges of dementia caregiving. By simplifying routines, using technology, and responding with grace, you can reduce the mental load and improve your caregiving experience.  Remember, you don't have to do it all perfectly—you just need to take small steps to make caregiving a little easier each day. Ever Wonder How To Know What Is Causing Your Caregiver Stress? Take Our FREE Caregiver Stress Assessment Today! https://www.thinkdifferentdementia.com/quiz   Join the FREE Dementia Caregiver Support Facebook Group today for more support:  https://www.facebook.com/groups/1301886810018410   Are You A Christian Dementia Caregiver Struggling To Cope With Caregiving? Join the FREE "Ask the Dementia Coach" Monthly Meet Up! And be on the podcast, get support and your questions answered.  https://thinkdifferentdementia.com/ask Register For Your Personalized Dementia Care Audit Get Individual Guidance & Support! Only One Available Per Month. Be a Co-Creator of the podcast and get a customized audit of your caregiving journey.  https://www.thinkdifferentdementia.com/audit   Enjoy our podcast? Please take a moment to leave us a review on Apple Podcasts and Spotify —it really supports our show! https://podcasts.apple.com/us/podcast/dementia-caregiving-for-families/id1716187550    

For several recent episodes, I've been interviewing people with autism about their perspectives and experiences. We are discussing the DSM criteria, stereotypes about autism, and how autism affects the lives of both children and adults. An autism diagnosis can have many different nuances, and there is so much more to autism than the DSM criteria. Today's guest, Kerry Magro, shares his experience in this episode. Join us to learn more! Show Highlights: Kerry's growing up years with mostly communication and sensory-based challenges, love and support from his family, and his success as a professional certified speaker Kerry's various college and graduate degrees Stereotypes about autism Understanding autism as a true spectrum with a wide range of complexities and strengths Kerry's challenges with eye contact and other social norms Understanding “autism burnout,” masking, representation, and “honoring” the disability Kerry's perspective on autism and relationships “Repetitive and restricted behaviors” in adulthood Kerry's experience as an adult, dealing with sensory sensitivities and learning to speak up for accommodations Kerry's experience with autism and physical touch Advice for parents Resources and Links: Connect with KC: Website, TikTok, Instagram, and Facebook Get KC's book, How to Keep House While Drowning We love the sponsors that make this show possible! You can always find all the special deals and codes for all our current sponsors on our website: www.strugglecare.com/promo-codes.

“For his steadfast love endures forever” appears 26 times in Psalm 136. What might we learn from this psalm about the right kind of repetition in worship?

Forget what you thought you knew about memory! Why We Remember author Charan Ranganath joins us to share surprising insights into how we recall the past. What We Discuss with Charan Ranganath: Memories are not literal recordings of the past, but are constructed in the moment based on bits and pieces of information. We often forget most details, and what we do remember can be distorted by our current context, beliefs, and the act of retelling memories. Emotion and attention play a key role in memory formation. Emotionally charged events tend to be remembered more vividly because chemicals like norepinephrine promote neural plasticity. Distinctive, attention-grabbing elements of an experience are more likely to be encoded into long-term memory. Memories can be unreliable in group settings due to interference between different people's recollections and the influence of dominant personalities. Eyewitness testimony is often flawed because of how malleable and suggestible human memory is. The sense that time is passing slowly or quickly is tied to the distinctiveness of our episodic memories. Repetitive, non-distinctive experiences (like pandemic lockdowns) can make days feel long but weeks pass in a blur due to a lack of memorable event boundaries. To improve your everyday memory, try to be mindful and limit distractions in the moment. You can deliberately create memory cues by vividly imagining a visual reminder that will help you recall information later. Diversifying your experiences and learning new things also helps keep your mind sharp and allows you to make creative connections. With some practice, you can harness your episodic memory to enrich your life. And much more... Full show notes and resources can be found here: jordanharbinger.com/1002 This Episode Is Brought To You By Our Fine Sponsors: jordanharbinger.com/deals Sign up for Six-Minute Networking — our free networking and relationship development mini course — at jordanharbinger.com/course! Like this show? Please leave us a review here — even one sentence helps! Consider including your Twitter handle so we can thank you personally!