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In episode 502 of The Reformed Brotherhood, Tony and Jesse begin what promises to be a multi-part deep dive into the Parable of the Good Samaritan — one of the most culturally embedded and theologically rich stories Jesus ever told. But before a single character hits the Jericho road, the hosts ground listeners in something easily overlooked: the charged context in which this parable is told. A lawyer — trained, confident, adversarial — steps forward not to learn but to test. What follows is a masterclass in how Jesus turns the law back on those who wield it as a weapon. This episode covers Luke 10:21–36, explores the covenant of works and covenant of grace, the noetic effects of sin, and why the Good Samaritan is far more than a lesson in being a helpful neighbor. Buckle up. Key Takeaways The lawyer's question is self-contradictory from the start. Asking "what must I do to inherit eternal life?" smuggles a works-righteousness assumption into the very grammar of the question. Inheritance by definition is received, not earned. Jesus does not give the lawyer a new paradigm — He reorients him to the true one. The covenant of grace is not a New Testament innovation. It runs through every Old Testament covenant administration. The lawyer should have already known this. "Do this and you will live" is not a Pelagian concession. Christ is holding out the law's own terms — perfect, total, unrelenting obedience — not to suggest it is achievable, but to expose its impossibility and drive the lawyer (and us) to the only alternative: mercy. "Desiring to justify himself" is more complex than it first appears. Tony argues that the desire to fulfill the covenant of works is not inherently wicked — it is the misguided belief that one can which is the problem. This distinction creates room for reading Christ's response as genuinely merciful instruction, not merely rebuke. The noetic effects of sin mean accurate theology can be deployed in service of self. The lawyer knows the right answers and still uses them to avoid repentance. Correct doctrine alone does not save. The fundamental human problem is not ignorance — it is the will's bondage and the heart's self-love. The parable is primarily Christological, not merely ethical. Jesus is the Good Samaritan. The story is not first about mercy ministry; it is about who binds up our wounds when we are left for dead on the road, unable to save ourselves. The priest and the Levite are not exonerated by their ritual obligations. Considerable ink has been spilled trying to justify their passing by on grounds of Levitical purity concerns. The parable refuses that exit. Everyone in the story — and everyone listening — already knows what the right thing to do was. Key Concepts The Covenant of Works Is Not a Black Box One of the more quietly important arguments Tony makes in this episode is that the covenant of works was never meant to be mysterious or inaccessible. When Jesus responds to the lawyer's question by asking, "What is written in the law? How do you read it?" — He does so with a visible assumption: there is a clear, knowable answer, and the lawyer should be able to give it. And he does. Love God completely, love your neighbor as yourself. The covenant of works was always coherent and comprehensible. The problem has never been that its demands were obscure. The problem is that no one — save the Mediator — has ever kept them. Jesus is not introducing a new ethical framework. He is forcing the lawyer to confront a standard he has always known and has never met. The Lawyer as a Warning to Reformed Christians Jesse closes the episode's first movement with a pointed and personal application that cuts across theological self-satisfaction. The lawyer is not a caricature of ignorance — he is a portrait of someone with accurate, affirmed theological knowledge who instinctively deploys it in the service of self-justification the moment he senses conviction. Jesse names this directly as a danger particularly acute in Reformed circles, where doctrinal precision can become a subtle mechanism of self-defense rather than an occasion for repentance. The Reformation's great recovery of grace must not become a new form of the very disease it diagnosed. Knowing the right words about total depravity, the covenant of grace, and the mediator does not exempt anyone from the need to actually be humbled by them. Theology is not armor against repentance — it is, rightly received, the road toward it. Context Is Not Just Setup — It Is Part of the Lesson Tony and Jesse both emphasize that Luke 10:21–24 is not merely throat-clearing before the real content begins. The theological statement embedded there — that the Father has hidden these things from the wise and revealed them to little children, that no one knows the Son except the Father or the Father except the Son and those to whom the Son chooses to reveal Him — is the hermeneutical key to everything that follows. The lawyer approaches Jesus as one rabbi testing another. But Luke has already told his readers that this is not a conversation between equals debating interpretive options. It is the Lawgiver being questioned by someone who does not recognize Him. The parable that follows is not just an answer to a legal question. It is a revelation — the kind that only happens when the Son chooses to give it. Memorable Quotes You do not want to pit the law against the one who has given the law, the one whose character is represented in the law — because you're always going to get owned, and you'll get owned before you realize you've just gotten owned on multiple levels. - Jesse Schwamb Jesus is trying to sort of reorient them back to the true paradigm of grace that is present under all of the Old Covenant administrations. It's not so much a matter of developing a new framework and imposing it on this guy. It's really trying to say, 'Listen — think about this for a second. Think about the fact that, yes, you know you have to love the Lord your God with your whole heart, your whole soul, your whole strength, your whole mind, and you have to love your neighbor as yourself. You've answered correctly. If you can do those things, you will live.' — with the subtext: and of course you cannot possibly do those things. - Tony Arsenal The fundamental human problem is not primarily ignorance, but the will's bondage and the heart's self-love. It's a problem no amount of correct discipline or doctrine alone can fix apart from some kind of regenerating grace — which is exactly what Jesus is going to illustrate for us in the mercy he's about to display in this parable. - Jesse Schwamb Full Transcript Tony Arsenal: [00:00:00] This parable is not primarily about us figuring out how to do mercy ministry. Like, that's important. It's probably an outcome of this. It's probably something for us to think about. But really, this is actually Christ saying, like, "Hold on a second here, dude." Like, "Let's just think about this." Do you need someone who is going to tell you to pick yourself up off your bootstraps and cross to the other side of the street and leave you to your own devices? Or do you need someone who's gonna throw you on their donkey, who's gonna bind up your wounds, who's gonna pay the innkeeper, and is gonna pledge to pay everything that is owed for your salvation? Right? That's not too on the nose here, I think. Welcome to episode 502 of The Reformed Brotherhood. I'm [00:01:00] Jesse  And I'm Tony, and this is the podcast with ears to hear. Hey, brother.  Jesse Schwamb: Hey, brother. Well, we've got a big one to talk about on this episode. We're marching further and further into all of the glorious parables Jesus told as part of His teaching. And as you and I kind of joked before we began, I mean, what did you call it? Did you say this is, uh, the big daddy?  Tony Arsenal: It's the big daddy, one of the big daddy parables.  Jesse Schwamb: It's one of the big daddy parables. Now, this one is probably second maybe only to the prodigal son. Yeah But in terms of its ubiquity and its kind of just common knowledge in culture, this one ranks right up there. And before I reveal what it is, which you may already know, I was thinking how so many times we look at the Beatitudes as expression of a master class in Jesus teaching the law, and I think that's true. But as I was reading and thinking about this particular parable, I thought, "I don't know. I think this one is, uh, right up there," because [00:02:00] this is like law on law. It's double law. Yeah It's law coming back at the law giver who's trying to use the law to test Jesus, and then Jesus tests him with the law that He himself gave His people. It's... I'm already getting too excited- ... and we've got something to do before we get there. But we're talking about the parable of the Good Samaritan. And so I can't imagine, can I just make a prediction up front? I, you know where I'm going with this, and probably everybody else does. Uh, this is gonna be like two conversations-  Tony Arsenal: At least ...  Jesse Schwamb: probably.  Tony Arsenal: Yeah, at least two.  Jesse Schwamb: Is that fair? Because I realize we, of course, wanna get to the parable itself, and oh, my goodness, how much ink has been spilled. Even going back to, like, if you read, like, Augustine or, like, the early church, like the Patristics, the Church Fathers, there are so much that could be said, and maybe some stuff that just shouldn't be said about all the allegorical potential intent here about these characters. But [00:03:00] there's so much amazing stuff that happens in the opening of this, that's not just the setup, but it is its own lesson, and I'm real excited actually to talk about that with you before we even get into, like, all the good stuff that everybody expects that you wanna talk about. So we're gonna do it all. Tony Arsenal: Yeah.  Jesse Schwamb: We're gonna do it all, but it'll take time.  Tony Arsenal: Yeah. I'm interested to see if we're even on the same page about where to start reading, 'cause I, I think we might not be, and that's gonna be fun. So we'll, we'll let it fly and see what happens. It'll be our own little, uh, podcast game.  Jesse Schwamb: But, uh, I think- Well, I mean, we're gonna be in Luke chapter 10, but I guess to your point, we should be starting in Luke chapter one to get to this. Yeah.  Tony Arsenal: Exactly. But  Jesse Schwamb: we, we do have to back up quite a bit, and I was gonna ask you about that. Yeah. But I, apparently we're just gonna play that on the fly and see where we go.  Affirmations Denials Segment Jesse Schwamb: But of course, the Reformers had their five solos. Chalcedon had its, what, seven withouts. We've got opinions, and we're just as confident about ours, so of course it's time for affirmations, denials, where we affirm something that we think is good or awesome or [00:04:00] we wanna recommend, and we deny, again, something that is not so great or maybe just plain annoying. So before we talk about the Parable of the Good Samaritan, Tony, what do you got for us on this episode? Are you affirming with something, or are you gonna come in with a denial?  Tony Arsenal: Well, I've got two affirmations. That's fine. One is just- I will allow it ... a declaration of joy, and one is, like, a real affirmation. I, I just can't... It would be remiss of me not to share with our podcasting family that my son August and my daughter Adeline, uh, joined the visible church today as- Hear, hear ... uh, non-communicant members. Uh, Augie and Addie were baptized on the 16th of August of 2026, uh, into the visible church, into the name of Jesus Christ. Uh, was, it was just a great service. Um, it's funny because I've been- been talking with Augie. One of the thing with toddlers when you're doing something big like this is you kinda have to talk about it and practice and rehearse, rehearse it and, and get them ready for it. And up until maybe, like, I don't know, three days [00:05:00] ago, every time it would come up he would be saying, "I don't wanna be baptized. I don't wanna be baptized." And, um, you know, I, I, I, you know, I don't wanna force him to do something, but also, like, I make him eat vegetables. But, um- ... he, I, I think it was nerves, and I think something clicked in his head and all of a sudden he was very excited to be baptized. So, um, it was great. We've been talking about, you know, what baptism is, God's promise to you that if you trust him he'll save you. And so today he- Right ... he was like, "God's gonna make a promise to me to save me." So he was very excited. Nice. And he did a great job just standing quietly and listening to the pastor talk. Uh, and Addie was, was, was just a beautiful little girl, and she, um, she loved it as well. So that's just a bonus affirmation. I don't know that I could get through a podcast without gushing over that.  Glorify App and Devotionals Tony Arsenal: Uh, but the, the affirmation I have, uh, this is an, an app that I think some of our listeners may have heard of. Um, some may roll their eyes at it, to be honest with you. Um, I stumbled on this because, uh, you have an Oura Ring, don't you, Jesse? Jesse Schwamb: I do.  Tony Arsenal: You [00:06:00] do, yeah. So for those who don't know, an Oura Ring is like a little wearable ring that's like a, almost like a fitness tracker, but it tracks biometrics, pulse rate, temperature, all these different things, sleep. Um, there's a startup, uh, that has been doing a GoFundMe or a funding kind of thing for, uh, what they're calling like a Christian version of an Oura Ring. So it does a lot of the same things, sleep tracking, basic biometric tracking. Hmm. But it also has like alerts built in, and it's tied into an app that they use for devotionals. So it'll, it'll remind you to pray. It'll remind you, you know, bring you to an app to do a devotion. But the app it uses is a standalone app that I looked up, and it's called Glorify. Have you ever heard of this app before this evening? I have heard of  Jesse Schwamb: this, yeah.  Tony Arsenal: So Glorify is just a small devotional app. Uh, it's not much different than you would expect based on the name. It is connected to this, uh, to this Glorify ring, which again is, is sort of like an Oura Ring tied into this app. But this app basically is, is [00:07:00] designed to help you complete short daily devotional exercises, and they're usually very brief. They're based on a very brief, um, a very brief passage of scripture. Today's passage, uh, c- there's a quote. So today's quote is from Dietrich Bonhoeffer. It says, "True love does not consist in finding the perfect person, but in faithfully loving an imperfect one." Not sure why this devotional app is using a romance, uh, quote from Bonhoeffer of all people. But that was today's. Um, and the passage is Proverbs 5:15-17. So it's a, it's a devotional based on two verses, which is fine. So you read the passage. There's a very brief devotional on that passage, and then sort of a guided prayer, and they have both premium and free models. The premium model includes like you can listen to the devotional, you can listen to the prayer. Um, but just for example, today's prayer, it, it's very simple. "Loving Father, thank you for, uh, thank you because you're faithful and unchanging. In a world [00:08:00] marked by broken promises, disposable relationships, you remain the same. Teach me to reflect that faithfulness in my relationships. Help me to love with perseverance, grace, and commitment following the example of Christ. Protect marriages, strengthen families, restore what needs healing. May every relationship be marked by respect, truth, and genuine love. Shape in me a heart of integrity that honors you in both the small and significant choices of life. In Jesus' name, amen." So I think what I love about this, and this, I mentioned last week that there was, this is kind of like, sort of like the fluffy evangelical devotions. Like- Right ... there's not a ton of like solid doctrinal meat- But like, it's still nourishing. And sometimes we need a little bit of help. Sometimes we don't know what to pray, we don't know what to read, we're not sure. Sometimes in, I think in our Reformed circles, we feel like if we're not reading large portions of scripture and reading deep theological treaties or long, complex devotionals, that we're really not doing anything, and that's just not the [00:09:00] truth. So I've been using this in addition to other devotional studies I'm doing. I don't do it every day. I mean, there's some like streak functionality, kinda like habit tracking type stuff that's built into it. Um, but it's nice. It's nice to be able to pick it up, read a very short scripture, a brief devotional thought, and then have some guided prayer. I know one of the reasons I don't pray as often as I ought to is because I struggle to know what and how to pray. So even having some written prayers, I mean, this is why the Psalms are good, things like the Valley of Visions are good. Um, having some pre-written prayers that you genuinely pray but you're not having to come up with in the moment can really help. Right. So the app is called Glorify. I know it's available on iPhone. I'm not sure about Android. I'm sure it probably is. I'm sure they wanna have a pretty broad ecosystem. Um, and, and it's good. Again, it's, it's not anything fancy. It's not anything like super technical. Uh, and as I kind of alluded, like some of it's a little weird. Um, I, I didn't read the proverb. I think maybe the proverb is about romantic relationships, why they're, why they're tying in that, um, Bonhoeffer quote in, in the prayer. [00:10:00] But, um, even that, like it's pretty innocuous. And the quotes, like you don't have to read the quotes. It's not like you have to have to do that. Um, you could jump in, just read the scripture or just read the devotion and just do the prayer and you would be fine. So check it out. It's called Glorify, available on iPhone for sure. I'm pretty sure it's on, on Android. And maybe it's something you add daily, you know, this kinda thing like you do when you're on the bus or you're waiting at the grocery store, something quick you can do when you might be wasting that time just sorta sitting around or scrolling Twitter. Again, Twitter's fine. You can use your leisure time as you see fit. But if you wanna fill it with something like this, something that is more spiritual, then this would be a good option to just add a little bit of, uh, a little bit of nourishment to your diet where you might not otherwise be getting it  Jesse Schwamb: I have no proof of this, but I just keep saying it anyway. It might be that we're living in the golden age of really great- ... daily worship resources. Like, something to actually cultivate, not just, like, a devotional nugget, but something that actually leads you into a pattern and a habit of [00:11:00]worship, giving your attentive focus on Jesus. And I love that. So, uh, uh, 'cause I was just thinking, like, I was trying to look back on some of our past affirmations here. We've talked about the book Walking in Faith. I just gave everybody Awake My Soul last week. You're coming in with the Glorify app. I- we've talked about Dwell, if not recently, we've talked about that for some time. It's like a great Bible reading app, and there's lots and lots of new features, by the way, coming out on that- Yeah that are fantastic. And then, yes, all these other great prayers. I, I see, like, these books on prayer, like, actually, I'm sorry, like, prayer books, I guess, as, like, a great way to kinda... It's like a jumper for your car. You know what I mean? Like, just gets you started. What a, what a lovely thing to come into a place and have a launching pad. And I've been using a lot of Into His Presence, which is a collection of Puritan prayers, sometimes because, for instance, this just happened, where I wanted to pray for someone who was just going through a rough time, a good friend of mine. And I went to that place to kinda start and frame, knowing that I was gonna sit down with him and pray, how I might be able to do that well and [00:12:00] effectively. And these things are just, like, really phenomenal resources. It's just an amazing time to have all these things at our disposal. So that's another great option. It's, it's really more about, like you and I have talked about, Tony, like, whatever gets us into that pattern, whatever gets us, like, authentically experiencing under our own volition, coming in the discipline of sitting before God in daily worship with that expression being pretty broad in its representation- Yeah is to really include something of devotional time in the scriptures, memorization, metabolation, metabolizing. Metabolation, I'm just gonna make that up as, like- ... what happens when you, when you take the scripture and metabolize it into your own life. Meditating on it and, you know, again, maybe looking through the confessions and creeds that have shaped our distilled understanding of what the scripture teaches so that we're enhancing and edifying our mind. We're also engaging the heart, and then we're engaging God and ourselves in communication with Him through prayer. I'm all for anything [00:13:00] that gets us into those rhythms, reminds us of the importance of them, and like we talked about last week, makes it so that when we think about what it means to be married to Christ, so to speak, it's not just about whipping out some kind of marriage certificate to prove that, but that we actually have a frame and a behavioral pattern that fits a married person, that- Yeah how they act, how they think, how they behave, how they communicate, they're never too far away from their lovely spouse in some way or another. And so I think that these tools are great ways to get us exactly into that kind of mindset and practice.  Tony Arsenal: Yeah, absolutely. And like I said, like, I think- In our Reformed circles, we can, you know, we, we tend to be maybe a little eggheaded, and we, we tend to be a little more intellectual and, and a little more, I don't know, studious. And there's nothing wrong with that. Um, but I think sometimes it can breed a sort of, uh, elitism and arrogance. Sure. Uh, this is a perfectly valid devotional tool. Yes. Mm-hmm. And, and I think, [00:14:00] you know, kinda like the old adage, like, well, what's the best translation of scripture? Well, whichever one you're gonna read. Exactly. Like, what's the best devotional tool? Whichever one you're gonna use, whichever one's actually gonna bring you into the Word, uh, on a, on a regular basis. Um, and again, like, two verses of the scripture is two verses of the scripture that you might- Right ... not have other spent time, otherwise spent time reading. And it really is short enough, and it saves your progress. Like, you can do, you can do the quote in the morning, and then you can check the scripture on the way to the, you know, the word work, on a stoplight or whatever. Um, if you have the, the paid subscription, you can listen to this stuff, you know, on the, the bus or whatever. Um, so check it out. Glorify app, they have a ring they're making. It's in funding, I guess, if you wanna check it out, you can check that out too. I am neither affirming nor denying whatever this Glory ring is, Glorify ring. But, um, but yeah, the app is great. The, the app is free, and it's, it's worth even just checking out and adding once in a while to your day  Jesse Schwamb: The glory ring or the glorify ring sounds like almost too Tolkien, even for me  Tony Arsenal: Yeah. Yeah. It's the one ring to rule all of your devotions. [00:15:00] Uh, and in the, and in the morning bind them. Jesse, save me from the trail I was about to go on, and, and I was gonna speak in the language of Mordor, I think, on accident. Uh, save us from this. What are you affirming or denying?  Jesse Schwamb: That's  Tony Arsenal: beautiful. Please tell me it's the language of Mordor. Elvish AI and Music Pick Jesse Schwamb: Uh, no, but can I just say at the risk of really taking us really far afield so early on, which is not necessarily off-brand for us, I have done this... I, I don't know if I should be ashamed by this or I should be excited by this. But- ... um, the Elvish tongue in the Tolkien universe-  Tony Arsenal: Oh, no. ...  Jesse Schwamb: is like, there's several... If you're super nerdy, you'll know there's like several different kind of iterations or formulas of it, and there's no, like, official language like Klingon, but there ha- it has been studied, and basically, like, it's kind of like the Eugene Peterson of the language. Like, there's, like, just kind of a dynamic equivalent or an expression of words. Anyway, all that to say- ... there's several languages that, uh, Microsoft Copilot will just not [00:16:00] translate because it says, like, "This one, this language doesn't actually exist. There's not enough for me to do anything." Let me tell you something. Tolkien Elvish is not one of those languages, and I actually built an agent, because I have a coworker who can, uh, who can appreciate all this stuff, that takes a text, translates it into this kind of academic high-level Elvish from Tolkien, and then translates it back to English. That makes anything you're saying way better and far more poetic and just absolutely amazing. So if you wanna have some fun, go and do that with whatever your favorite AI model is. Anyway, that's free of charge. Real quick, my affirmation is more music. It just turns out I've found this band, and I've been listening to them a lot. The band's name is Thronebreaker, which is just a phenomenal name, I think, for any group. Uh, it's amazing. Uh, th- this is... I'm gonna read you their description from Spotify. It just says, "Thronebreaker is Christian metalcore built for the bruised, the doubting, and the ones still fighting their way home." And what I've really been [00:17:00] loving about them is it is kind of like Wolves at the Gate adjacent. It's really lovely music. It is melodic, so it's, there's not just that there's that kind of hard edge, but that is present in it. But, uh, the music is really lovely and beautiful, and in part that's because they're going through this, like, drip of releasing music where they're taking, like, old hymns or maybe songs if you're of a certain age like I am of kind of childhood Sunday school- And they're taking the lyrics, not the melody, and they're reimagining them. So they have two versions of Jesus Loves Me that they just released. They have the old We're Gonna Cross, a song called Glory to the King Most High. These songs are just saturated with gospel. Like, they're just all power, all encouragement, and all authority represented in Jesus Christ. They're incredible, and I've j- where I've, what I've been really blessed by is these two versions of Jesus Love Me are just fantastic. Like, they're orchestral. There is a children's kind of chorus at one point, and it got me [00:18:00] singing that song again, and really, maybe to what you were saying before, Tony, like sitting in those three words, which are really phenomenal words to hear. And so I have been surprised at how moved I've been by what really I, I first understood, of course, as a children's song with simple truth that seems, you know, depending on how long you've known some part of the gospel, obvious. And yet I found them all new again, and a, a really lovely way of just sitting in the truth of God in music that I didn't expect to find. So if you're interested in any of that or maybe just curious of what it would sound like if a Christian metalcore band took Jesus Loves Me and turned it into their genre, then honestly you should just go check out Throne Breaker. I mean, you pretty much have to at this point.  Tony Arsenal: I, I don't ever have anything to add to your musical affirmations or denials, 'cause I, I just don't. What I do have to add is that Throne Breaker actually sounds like some sort of really [00:19:00] amazing, like, mace-type weapon in Lord of the Rings. Yes.  Jesse Schwamb: Yes,  Tony Arsenal: it does. Or like a big hammer that a dwarf carries. And I would also like to say that if you ask Google Gemini to translate something into Tolkien English, it not only will do it, it will tell you how to pronounce it.  Google Elf: A ava aini Ilai amel i trona se.  Tony Arsenal: What do you think that was, Jesse?  Jesse Schwamb: No idea.  Tony Arsenal: First of all, that was elevated Quenya, a Quenya. Yes.  Jesse Schwamb: Yes, that's  Tony Arsenal: the one. Classic Quenya.  Jesse Schwamb: Yes.  Google Elf: A leta Ilai amel aima.  Tony Arsenal: I would be willing to bet... Actually, let's do this.  Jesse Schwamb: Ugh.  Tony Arsenal: Uh, we don't give out prizes very often. Uh, I will say to anyone who can tell me what that is, the first person that emails, uh, or, or goes into the Telegram chat, we'll do this. We'll be professional podcasters and drive people to one of our channels. Here we  Jesse Schwamb: go.  Tony Arsenal: The first person who goes to our telephone, our Telegram chat and tells me what that [00:20:00] means, what that, uh, Elvish means, will get a Reformed Brotherhood T-shirt.  Jesse Schwamb: Oh, that is big.  Tony Arsenal: Yeah.  Jesse Schwamb: That-  Tony Arsenal: So I'm gonna, I'm gonna play it one more time.  Jesse Schwamb: Okay, here we go. Everybody listen. Every- All right, pull over. Stop your vehicles. Here we go.  Google Elf: A leta Ilai amel aima.  Tony Arsenal: There it is, everybody.  Jesse Schwamb: I'm not being a cry- I have a guess, but I, I, I wanna try to win the T-shirt, so I'm gonna- Yes ... wi- withhold. All right. Uh, yeah, that's, that's super fun. Did it, um... Did you also translate it back into English from that  Tony Arsenal: just to see- No, I'll do that later, 'cause that would give away the, that would  Jesse Schwamb: give away the prize. Yeah, it's, it's... We'll have to save that for next week, because that, that is the fun. It creates, like, what I was doing to, to have fun with this coworker is take very technical, like, work-related emails, and I would send it through. It would go through that iterative process, and I actually loved how it, it was talking. Like, it wa- this was an email about risk, and it, it gave, like, these beautiful grand metaphors that didn't sound corny or cheesy. That's the beautiful thing. That's amazing. It [00:21:00] was like true Elvish. Like, you were just like, "I wish I spoke that way all the time about, about risk." And it, like I said, it wasn't just like... You could, you could obviously throw something in and be like, "Make this Shakespearean," or, you know, "Make this, you know, sound like, you know, Milton." This is way better. This is way better, because it's not, like, actually trying to manipulate what you're saying. It's takes, like, the dynamic equivalent of what you said, then translates it back with way more kind of poetic infrastructure while maintaining, like, the essential meaning that you have. I'm, I'm selling this too hard. Everybody just has to go out and try it. So, all right, you know what's at stake here, but here's how you have to win this. If you want a chance, if you want a chance at winning this, you gotta go to t.me/reformedbrotherhood, t.me/reformedbrotherhood, and that link will take you to the Telegram app and our little corner of it, and you're gonna find there's a bunch of chats there. You gotta go to the affirmations or denials chat, and then you gotta put in what is the translation of what Tony just played.[00:22:00] I just love... Isn't it amazing, though, that, like, y- as you discovered, there's more than one version of Elvish available? Yeah. And they do differentiate between the various kinds. This is a big deal. I learned there are actually scholars who have, like, again, filled in kind of like the details of the language- Oh, yeah taking as a basis what Tolkien had there. Yeah. So I think that this is the best. We couldn't have conceived of this if we'd actually tried and planned for it, so-  Tony Arsenal: It's true ...  Jesse Schwamb: it's just better that it all happened in, in real time. It's true. And, and speaking of which, I think now we get to have the fun of figuring out, uh, where in Luke chapter 10 are we gonna begin? Or should we just start in Luke 1 and just let's see how far we can get reading  Tony Arsenal: in this- I could have, I could have Google Gemini read it in elevated Kenya, Quenya I did try to get it to put it in Sindarin, and it wouldn't do it for some reason. I'm not sure. Maybe this anti-Sindarin bias in Gemini,  Jesse Schwamb: man. Disappointing.  Tony Arsenal: It's disappointing.  Jesse Schwamb: Dis- disappointing. So let's kick off some Good Samaritan talk, which again, I think is gonna take us [00:23:00] through maybe in the next couple of conversations, in part because, like I said, we're not even gonna start at, uh, verse 25 because there is so much more that needs to be said, I think, before that. Tony Arsenal: Yeah. Yeah. I, I think actually the proper place to start this, and I, I'm guessing Jesse probably, whether he was there or not, he probably figured out where I was going, uh, over the course of the last 20 minutes or whatever. Um, I actually think the proper place to start, at least one of the proper places to start, is in verse 21. Yeah. Um, and I- we'll talk about why that is. And I'll... I'm gonna read here, um, 21, uh, through the end of the parable. Uh, and this is Jesus talking. He says in this, uh... Well, it, this is, um... Yes, uh, I'll just read it here. "In the same hour He rejoiced in the Holy Spirit and said, 'I thank you, Father, Lord of heaven and earth, that You have hidden these things from the wise and understanding and revealed them to little children. Yes, Father, for such was Your gracious will. All things have been handed over to Me by My Father, and no one who knows who the Son is except... No, no one knows who the Son is [00:24:00] except the Father, or who the Father is except the Son, and anyone to whom the Son chooses to reveal Himself.'" Then turning to the disciples, he said privately, "Blessed are the eyes that see what you see. For I tell you that many prophets and kings desired to see what you see and did not see it, and hear what you hear and did not hear it." And behold, a lawyer stood up to put him to the test, saying, "Teacher, what shall I do to inherit eternal life?" He said to him, "What is written in the Law? How do you read it?" And he answered, "You shall love the Lord your God with all your heart, with all your soul, and with all your strength, and with all your mind, and your neighbor as yourself." And he said to him, "You have answered correctly. Do this and you will live." But he, desiring to justify himself, said to Jesus, "And who is my neighbor?" Jesus replied, "A man was going down from Jerusalem to Jericho, and he fell among robbers who stripped him and beat him and departed, leaving him half dead. Now by chance a priest was going down that road, and he saw him and passed on the other side. So likewise a Levite, [00:25:00] when he came to the place and saw him, passed by on the other side. But a Samaritan, as he journeyed, came to where he was, and when he saw him he had compassion. He went to him and bound up his wounds, pouring on oil and wine. And he set him on his own animal and brought him to an inn and took care of him. The next day he took out two denarii, gave them to the innkeeper, saying, 'Take good care of him. Whatever you, whatever more you spend I will repay you when I come back.' Which of these three do you think proved to be a neighbor to the man who fell among the robbers?" And he said, "The one who showed him mercy." Jesus said to him, "You go and do likewise."  Jesse Schwamb: I think you're right, of course, to back us up into verse 21 because I don't want to keep saying it's always a setup, but Jesus is certainly giving us like the right context in which... Well, Luke of course is the author here and as he's explaining the teaching of Jesus, he does so well to start out with some irony that we don't realize is gonna be ironic until we get to the, to verse 25 [00:26:00] when we realize who's testing Jesus, who's setting this all up. So this idea that the Holy Spirit, everybody rejoicing in the Holy Spirit and the knowledge and the wisdom, the intelligence that's revealed through the Holy Spirit to all of these lesser people and in particular here emblematic the infants That here we have kings and rulers, and in this case, this beloved scholar of the law, who all have this adventure in missing the point. They think, in fact, they're looking for the one who is to set them free, and they can't even see that it's Him who is before him. And yet, incidentally, God has already revealed all these things to the lowest, to the ones who are the most humble, the meek, the mild, the down and outs, the ones who are weak by the view of everybody else. And so it's amazing that if we just kinda, again, like blow past it into, like, just all the characters, we don't see that the teaching starts actually well above this, that even everything we're about to understand, that unfolds in our lives, ev- every spiritual incarnation and insight that we have [00:27:00] first starts with God himself in his revealing it to us both in his general revelation, but of course, in the specific revelation of his teaching. So I like that you started us there, because I, I'm with you. That's where this whole thing launches off, right?  Tony Arsenal: Yeah.  Parables Reveal and Conceal Tony Arsenal: Yeah, and as we come into when we very, like very start of this, uh, series, the, the parable series, Jesus sort of embeds a theology of parables into this introduction, right? Or I should say Luke does. But this, uh, this is written a- as though all of this is occurring as sort of one event. Right. And likely it was, right? So sometimes, uh, in the Gospels, events are kind of, like, moved next to each other for thematic reasons. It's possible that that's the case. It seems like this may have actually just been one, one teaching, and I'll, I'll talk about why that is in a second here. Um, but at the very least, this is placed next to each other in the Gospel almost as, like a, "Here's the theology of parables. Now, here's actually that happening in real [00:28:00] time."  Jesse Schwamb: Yes.  Tony Arsenal: And then also, like, a parable kinda demonstrating it, right? So the theology of the parable here is that there are many prophets, kings who desire to see what it is that, that, uh, uh, the disciples are seeing, right? And all things have been handed over to the Father or to, to the Son, by the Father, and no one knows who the Son is except the Father. No one who knows who the Father is except the Son, and anyone to whom the Son chooses to reveal, right? So the, the theology of parables here presented in Luke is that the parable itself is being used as a way to reveal the Father and the Son to those whom the Son chooses to reveal it to. The Lawyer as the Fool Tony Arsenal: And that leaves us with this lawyer, um, sort of playing, playing the fool in almost like a dramatic sense, right? In a lot of drama, there's kind of like the fool character who's sort of like the foil or the idiot of the thing who's, who's unaware and is almost like made an example of, right? Um, I, I can't think of any examples off the top of my head, but there's often a character in a play who's like, uh, it's [00:29:00] almost like the opposite of the everyman, right? The everyman in a, in a play- Right ... or in a movie is sort of like the outsider who things gets explained to, and he's sort of the proxy for, for the audience. Um, I think like, um, Hawkeye in Avengers is kind of the everyman. He's sort of just like this regular dude swept up in this thing, and oftentimes he's the one that, uh, the big characters are explaining things to. And really what that is is the big characters are explaining that to the audience through this proxy. There's also this concept of the fool in a lot of these plays or movies who's sort of like the dummy, the idiot of the play, who things are explained to, and it's still a way to explain it to the audience, but the character doesn't get it. And so that's kind of, kind of the role that this lawyer is playing in this, this narrative here. He, he steps forward. He's like, "What must I do to inherit eternal life?" Jesus answers his question, and then in this like sort of like stunning moment of, like unawareness, he's trying to justify himself. He says, "Well, who is my neighbor?"[00:30:00] As though that's a question that needed to be asked, right? I think, like, we sort of think of it as like, "Oh, yeah, that's a valid question." I actually don't think it is. Like, it's pretty obvious, in the Old Testament at least, who your neighbor is. It's the people who live immediately with you. It's the other people of Israel. It's the people in your immediate concentric circles, the people you have direct access to. Um, and so then Jesus explains it through this parable, and whether or not he gets it at the end, I guess is maybe a little bit unclear. We can talk about that as we get there. But at least in the beginning, he's portrayed as this sort of, like, fool who doesn't understand what Jesus is saying, and then this parable is taught. So it's this theology of, um, revelation to those whom it is intended to, and further obscuring from those it's intended not to, not to illuminate, which is identical. Uh, maybe it's a different flavor of the same thing, but it's the same thing as what Matthew had and what Jesus taught- Right ... in Matthew with the parables. Jesse Schwamb: Right. It definitely is, again, illustrating, again, God's divine prerogative. I think you really have to do a lot of theological gymnastics [00:31:00] to try to work yourself out of a place here that says, like, "Well, this, this knowledge is accessible to all people."  Tony Arsenal: Right.  Jesse Schwamb: That if somehow we just work hard enough, study hard enough, come even before God with the right attitude or do the right things, that somehow all this will be made plain to us, and that's certainly not the truth here. In fact, again, the ironic setup is you have this lawyer asking this question, which creates this strange contrast because here's a man trained in the law, and he approaches the very wisdom of God to test him while the little children already perceive what this fool cannot. So it's irony upon irony, and then I, I like what you're saying. I think, and we'll get to this to anticipate a bit, I'm reading this as he's hoping that the answer to whom is my neighbor, just like he- he's received the affirmative from Jesus saying, "Yes, you understand. Go and do these things. This is life," and we'll get to all of what that means, I think, as well in terms of the covenant of works and the covenant of grace. But I think he's hoping that the definition of neighbor is gonna mean that he has [00:32:00] already accomplished the thing then, so that if there's somehow- Yeah ... he could just set the right boundaries. He could say, "Ah, yeah, I'm already good then, Jesus. I already, already did all that stuff." So- It's wild to me that it, it all starts with, of course, like some kind of scribal specialist in the Torah, of course, likely some kind of Pharisee by theological alignment. And as I'm looking at the notes here, what I find particularly stunning as we start this out is that Luke, of course, is able to speak several times in this parable to the intent. And so he says right away with great kind of fanfare and description that the intent here from this scribal Torah person was to test or to tempt, which is the same verb used of Satan's temptation of Christ and of Israel's testing of God in Deuteronomy 6, which of course Jesus is gonna quote here later on. So it's not, of course, like sincere inquiry, like you're saying. It, it is like adversarial probing. It is like really profound setup. It is dripping with like [00:33:00] ulterior motive. It's seeking to expose Jesus as either like heterodox or as diminishing the law's demands. And I think we've talked about this before, so Tony, correct me if I'm wrong, but I'm pretty sure in one of the previous parables we talked about sometimes how these get set up with this kind of weird like oxymoronic setting. Inherit Eternal Life Debate Jesse Schwamb: So like this question of se- uh, uh, itself, what shall I do to inherit eternal life?  Tony Arsenal: Yeah.  Jesse Schwamb: It's like more than just theologically revealing. Biblically it's self-contradictory, 'cause of course like we talked about inheritance, I think actually when we went through the, the parable of the prodigal. By definition, that's received, of course, on the ba- basis of relationship or promise. It's not earned by performance. And if the inheritance comes by a law, it no longer comes by promise, right? I think that's like Galatians. So the lawyer's question already portray- portrays like some kind of weird works righteous paradigm. E- even if you think he's really after trying to understand the true intent of God's heart [00:34:00] behind the law, he is assuming at least in this question that eternal life is some kind of wage that he can earn rather than a gift to be received by grace through faith. And that's a fundamental error that the entire subsequent exchange, including the parable, is designed to expose. It's both, like you're saying, Tony, he has not learned yet what it means to be in the kingdom of God. He's outside of that, and so he's trying... Now Jesus is bringing in this corrective action, as it were, set up in a story, but he's gonna turn the law on him, which, which I don't wanna get too excited about that yet. But he's... But essentially, here we have somebody who's the expert in the law trying to leverage the law by way of force against the one who he does not understand has all leverage and authority over him, and is in fact the law giver himself So he's gonna, Jesus is gonna drive him to see his own ability to keep the law that he claims to honor, and that's more than just brilliant. This is what the law does. You do not wanna pit the law against the one who has given the law, the [00:35:00] one whose character is represented in the law, because you're always going to get owned, and you'll get owned before you realize you've just gotten owned on multiple levels, and I think that's what basically unfolds here. Tony Arsenal: Yeah. Yeah, I, I have a little bit of a different take on the, the word inherit here. Um, I don't think what you're saying is wrong, um, but I think there's a little different flavor here, and actually, I, I think it, it still sort of propels us forward to the conversation we have to have, um, about the law and the gospel and the covenant of works, the covenant of grace. The, the Greek that lays under this word is, uh, it's a compound word of the word for, like, lot or portion and the word for law. And so, so the, this force of the word is more along the lines of, like, what shall I do to have a legal right to eternal life? Like- Right ... inherit, I think we hear inherit, and we think of, like, um, like what you get when someone dies, and so, like, obviously there's nothing you do to earn it, and that's certainly an element of the way this [00:36:00] word is used in some instances. I think reading this and kind of how, how the rest of the text plays out, this lawyer is coming forward and he's like, "What do I need to do to have a rightful legal claim to eternal life?" Right? We might even be able, and this is where it comes into the covenant of grace, covenant of works k- kind of paradigm. We might even be able to say that what this lawyer or this person comes forward to ask Jesus is, how do I gain, how do I gain the benefits of the covenant of works, right?  Jesse Schwamb: Right.  Tony Arsenal: Yep. That's language that was developed later that's not, not, like, biblical language in terms of, like, the actual language within the text, but that's the force of what he's saying. What must I do to be a rightful legal... Uh, what must I do to have a rightful legal claim on all of the blessings of the covenant of works, is really the question that's here. And so Jesus' answer is so instructive- Right ... 'cause what he says is, "Well, what's written in the law?" Like, he, he basically says, like, "Well, you should be able to tell me, teacher- Exactly of [00:37:00] the law, like, what, what needs to happen there." And there's an assumption on Christ's part that, like, there is an answer. I think sometimes, sometimes we, we, uh, we make an error in thinking that the covenant of works was never attainable, that it's somehow this, like, um, it's almost like a black box. Like, nobody could know what we have to do to, like, obtain eternal life. That's absolutely not the assumption Jesus makes. Jesus not only knows that there's an answer, it's such a straightforward answer that he expects this scribe to be able to answer it, right? And the scribe can, right? The scribe says, "Well, you shall love the Lord your God with all your heart, your soul, your mind, your strength, and your neighbor as yourself," right? The summary of the law. Just good old classic Westminster larger, shorter catechism. Where's the law summarily comprehended? Summarily comprehended in the Ten Commandments. And then, then again, I don't know the questions exactly, but then it also, like, says, like, "Where does Christ summarize this?" Well, you should love the Lord your God, and you should love your [00:38:00] neighbor as yourself, right? Covenant Works and Grace Tony Arsenal: So the, the lawyer comes forward and says, "What do I need to do to have a legal right to all of the blessings of the covenant of works?" Christ says, "Well, what do you think?" He says, "Well, you obey the entirety of the law." And he says, "You've answered correctly. Do this. Obey the entirety of the law and you will live." So the parable itself doesn't necessarily speak to this law, gospel, covenant of works, covenant of grace paradigm. The, the parable is used to show that not only does this lawyer know what is required of him, but that he won't do it.  Jesse Schwamb: Right.  Tony Arsenal: And I think that's really key, because even in the parable, within the parable itself, there are these figures that know what they should do, right? I, I think, um, we'll get into it, but there's a lot of ink spilled on almost like, um, explaining [00:39:00] why the priest and the Phar- phar- and the, the Levite almost like did the right thing by going to the other side of the room, and it points to like, well, their priestly and Levitical responsibilities, if they touch a dead body, like they can't do those things, and those things are so important. Like, there's a lot of ink spilled trying to almost explain why what they did is right, when the point of the parable is that actually we all know what the right thing to do in that sense was. And even the most righteous people in the mind of the hearers, the Levites and the priests, the most righteous people, even they don't do what they're supposed to do. Jesse Schwamb: Right.  Tony Arsenal: This, this paradigm, this gospel law paradigm, law gospel paradigm, this covenant of works, covenant of grace paradigm, is so baked into the very like fabric of, of human thought that it's just there. And Christ takes this time to point out to this lawyer, like, "You know what's expected of you." And so that's why the phrase desiring to justify himself is so key [00:40:00] here. I actually think that the, the, the I don't wanna go so far as to say, like, that this person was regenerated in the midst of this conversation, 'cause I don't know that. But I actually think that there's a forward movement of this lawyer as he interacts with Christ that is optimistic. I'm optimistic about it, right? Right. He starts out trying to test Jesus, then he star- then he moves to having a desire to justify himself. I think we hear that, we read that, desiring to justify himself, we automatically think that that's a negative thing. But if we think about justifying himself in terms of what he's talking about, how do I fulfill the obligations of the covenant of works, that's not a bad thing to wanna do. Right. It's not bad to wanna obey God's law and to lay claim to His promises. It's a misguided notion of something we can't accomplish, but in itself, desiring to justify himself is to desire to fulfill the obligations of the covenant of works. That's not necessarily a bad thing. And so I think this is a merciful, a merciful [00:41:00] teaching on Christ's part. He's trying to instruct this guy to say, "Look, you can't do it. And even if you could do it, you wouldn't do it. So let's, let's talk about mercy instead and what that looks like." And that's where we get to kind of the end of the, uh, the end of the parable.  Jesse Schwamb: And again, we have to remember that we know that the intent here is actually to test or try Jesus, so He's certainly being merciful by using this opportunity not to just put him on blast, but to actually provide true instruction. And of course, like, that was, to some degree, this turning the question back would've been, like, a rabbinic pedagogical technique, but theologically, this is what floors me, is from the jump, Jesus refuses to let this man treat Him merely as one more voice among competing rabbis. Yeah. Instead, He holds that lawyer to the standard of God's own revealed word by, like you said, asking not just what does it say, but how do you read it? Mm-hmm. He's pressing not just for, like, some kind of recitation, but for the lawyer's own understanding and application, and Jesus is gonna hold him [00:42:00] accountable to his own hermeneutic. So by, by the time we get the answer, we know as readers, and all those present would've understood, he already knows the right answer, and he's not ignorant to God's requirements. He already summarizes the whole moral law correctly, encompassing both tables of the Decalogue. And so I think that does lead us then to this statement that we probably should spend a little time on, like, do this and you will live, like you introduced for us. Like, what does that even mean? Because i- it's not, like, in my view It's not like a Pelagian or Arminian concession that law keeping actually saves. I mean, it is the covenant of works principle stated truly inexorably that the law as law does promise life to perfect obedience. But that's the exact problem. I, I like what you said that it's not as if we can't understand what it would be to comprehend or contemplate this perfect law and what it means to fall under the covenant of works. It's just that he also presents for us at the same time this covenant of grace in which life is [00:43:00] granted freely through faith in the mediator who alone fulfills all of these laws' demands. So it's wild in this back and forth that's happening here where it's... I don't even know if it's fair to say this is like the most incredible subtext ever. I'm imagining trying to process this in real time and realizing everything that's being said, not just listening to what's being said and like the technical answers going back and forth. But I think like you said, that the Spirit even here is at work, I would like to believe, in the life and at the heart and the mind of this lawyer who's bringing forward this question with nefarious intent first to test and to undermine, and then is being drawn in almost inexorably into this debate to more profound understanding about a covenant based on works that cannot be accomplished, uh, in perfect obedience except through the mediator who organizes and distributes liberally this covenant of grace to his children for whom he has accomplished at least passively and then actively in his obedience in life and death. And so Jesus' reply is, I [00:44:00] think, thus a very genuine like if that functions to expose an impossibility. I, I don't think he's teaching salvation by works here, of course. He is holding out the law's own terms so that the lawyer and everybody else listening, and even us as well, can discover through this narrative which is about to happen the impossibility of self-produced righteousness, which again is what this gentleman is theologically all about. He's trying to justify himself. And that is precisely the pedagogical strategy like Paul uses later when he systemizes all of this by saying that the law was our guardian or school master until Christ came in order that we might be justified by faith. I think- Yeah ... and it's only because God is good to us and we might sit in some of this teaching, I think this is all in play. So, so I ask you, like, have I gone too far with all this? Like, how much do you think in the real time was being processed? And maybe that's a horrible question to ask because we know the Spirit does this work of illumination and enlightenment, and we're on the other [00:45:00] side of this and have this time to sit and to kind of parse and to really kind of just be pickled in all of this. But there's so much happening here, right?  Tony Arsenal: Yeah. Yeah. Uh, maybe I'll answer the question a, a little bit of a different way. I think, um- We often can think about Old Testament religion, if we wanna kinda call it that. We think about Old Testament religion as though it was totally uniform and, um, entirely legalistic. Right. Uh, my- the, the listener is gonna panic a little bit when I say this, so please don't freak out, but I, I think N.T. Wright, uh, and some of the new perspective on Paul stuff is a, a little bit helpful in this, in that it gives us a foil to sorta push against. Yes. The new perspective on Paul is this idea that, um- Paul was not saying that Judaism was legalistic and Christianity is a grace-based religion, right? He, m- [00:46:00] um, N- NPP is not, is saying, um, Paul was not correcting New or Old Testament religion. And where they go wrong is that they say that Paul actually retains this concept of covenantal faithfulness, covenantal nomism fidelity. Uh, where I think, where I think they're right is that this idea that, like, the Old Testament religion is entirely legalistic and Paul was just sort of correcting that, I think that's way too simplistic. And the reason I say that is that the Mosaic Covenant for, you know, w- and predominantly this podcast is coming from a sort of Westminster Confession of Faith Presbyterian perspective, give or take, right? The, the broad Reformed tradition would say that the, the Mosaic, uh, covenant, the Davidic Covenant, all of the covenants of the Old Testament, and we can break them up in all sorts of different ways, but all of the covenants of the Old Testament, [00:47:00] um, with maybe the exception of the Noahic Covenant, and there's some debate about that, all of those are They're not just, like, supporting structures for the covenant of grace, but they actually are the covenant of grace in various administrations. If that's true, and of course we believe that it is, if that's true, then the people of those covenants understood that on some level. Right. Right? So to think that, like, people under the administration of the covenant of grace somehow thought that they were operating under a legalistic framework doesn't make any sense. Jesse Schwamb: Yeah,  Tony Arsenal: that's true. So, so where I think that applies here is I think this person coming forward, it's not as though the concept of the covenant of grace... Again, that's language that we would develop later, but the concept that God graciously saves His people by the counsel of His own will, apart from their works of righteousness, apart from their meritorious effort, that God [00:48:00] simply extends His grace and conveys the cov- the blessings of the covenant of works to those who trust in the mediator, those who trust in the one to come, the, the forthcoming serpent-crushing seed, right, if you wanna use- Right language from Genesis 3. The, the idea that God simply graciously conveys the blessings of the covenant of works to those people Um, that's not something that's alien to the Old Testament, right? It's not alien to the, even to the Mosaic economy. The most law-based of all of the Old Testament, um, covenants, even that starts with the concept that these people are God's people who he redeemed out of Egypt, right? Right. The redemption out of Egypt comes before the giving of the law, and the giving of the law is a result of the redemption out of Egypt. So to think that this lawyer comes forward, and again, this had been sort of corrupted and distorted and had become a very works-based, uh, [00:49:00] meritorious-based understanding. But the idea that this framework of a covenant of grace is totally alien to this guy just doesn't, it just doesn't, I think it doesn't play. And so I think rather than us read this as I think sometimes we do, of Christ as kind of like giving this guy, trying to give this guy an entirely new paradigm, or like the rich young ruler is very much a parallel kind of situation. We read this, this guy comes forward, he's like, "What do I gotta do to earn eternal life?" Christ is like, kinda basically says like, "Well, you dum-dum, you can't. And I'm gonna demonstrate for you that you can't by- Right ... taking sort of like this situation that you can't possibly believe that you fulfilled and telling you to fulfill it." That's the outcome of this. We'll get to that when we get to the end of the parable. Um, he's not trying to give them a new paradigm. He's trying, in my opinion, he's trying to sort of reorient them back to the true paradigm of grace that is present under all of the Old Covenant administrations. So it's not so much a matter of like [00:50:00] developing a new framework and impli- like imposing this new framework on this guy. It's really trying to say like, "Listen- Think about this for a second, dude. Think about this, right? Think about the fact that, yes, you know you have to love the Lord your God with your whole heart, your whole soul, your whole strength, your whole mind, and you have to love your neighbor as yourself, right? You've answered correctly. If you can do those things, you will live. With the subtext, which I think is what you're getting at, the subtext of, like, and of course you cannot possibly do those things. Right. Right. So what's the alternative, my friend? The alternative is not justifying yourself by somehow identifying who the person is that you have to love the most. The, the, the, um, the... Well, we'll get this when we get to the parable itself, but the, the alternative is... This will be interesting, 'cause I'm not sure that we... I don't know where you are on this, but, um, the alternative is that there's someone out there who shows us mercy. [00:51:00] Right. There's someone out there who takes care of our need despite our total inability to do so. Jesse Schwamb: That's right.  Tony Arsenal: That's the alternative to the covenant of works, is the covenant of grace. I m- maybe I'm, like, hinting at it too much, so I'll just say it. Like, Jesus is the Good Samaritan, right? Like, there's something for us to learn about our own justification here and our own- Right ... like, um, our own need to be merciful, to treat people as our neighbors. But just like we talked about when we talked about, like, what does the least of these mean, this parable, uh, I'm totally, like, burying the lede for next, next week, but that's fine. This parable is not primarily about us figuring out how to do mercy ministry. Right. Like, that's important. It's probably an outcome of this. It's probably something for us to think about. But really, this is actually Christ saying, like, "Hold on a second here, dude." Like, "Let's just think about this." Do you need someone who is going to tell you to pick yourself up off your bootstraps and cross to the other side of the street and leave you to [00:52:00] your own devices? Or do you need someone who's gonna throw you on their donkey, who's gonna bind up your wounds, who's gonna pay the innkeeper, and is gonna pledge to play- pay everything that is owed for your salvation? Right? That's not too on the nose here, I think. Right. And, and I really look forward to, like, unpacking that, although maybe we don't need to now, but I think, like, this parable is so much more about how salvation works than it is about, like, what it means to have a good neighbor and to be a good neighbor. I think we get bogged down in that, and I just am really excited to talk more about, like, what I think this parable actually gets at.  Jesse Schwamb: I agree, and it's happening in the contex

Le conseil du jour, c'est une minute pour prendre du recul, respirer, et avancer un peu plus sereinement dans votre travail. Un conseil simple, concret, applicable dès aujourd'hui. Un format court de Happy Work, par Gaël Chatelain-Berry.NOUVEAU : retrouvez moi sur WhatsApp sur la chaîne Happy Work... pas de spam, c'est gratuit et il n'y a que du feelgood !!! : https://whatsapp.com/channel/0029VbBSSbM6BIEm0yskHH2gEt pour retrouver tous mes contenus, tests, articles, vidéos : www.gchatelain.comSoutenez ce podcast http://supporter.acast.com/happy-work. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Les canicules et la sécheresse que la France connaît cet été remettent au cœur du débat des thématiques portés par les écologistes depuis de nombreuses années. Des sujets qui pourraient rythmer l'année 2027 et la campagne à venir. Delphine Batho, députée du groupe Ecologiste et Social des Deux-Sèvres, ancienne Ministre de l'Ecologie, et candidate à l'élection présidentielle, est l'invitée de Sébasiten Rouxel dans RTL Matin. Ecoutez L'invité de RTL Matin avec Vincent Derosier du 10 août 2026.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Cible d'une fausse vidéo impliquant notamment sa compagne Léa Salamé, l'eurodéputé et potentiel candidat à la présidentielle de 2027 dénonce une ingérence russe dans le cadre d'une élection française qui représente un "enjeu fondamental" pour la Russie.Ecoutez L'invité de RTL Matin avec Vincent Derosier du 05 août 2026.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Le conseil du jour, c'est une minute pour prendre du recul, respirer, et avancer un peu plus sereinement dans votre travail. Un conseil simple, concret, applicable dès aujourd'hui. Un format court de Happy Work, par Gaël Chatelain-Berry.NOUVEAU : retrouvez moi sur WhatsApp sur la chaîne Happy Work... pas de spam, c'est gratuit et il n'y a que du feelgood !!! : https://whatsapp.com/channel/0029VbBSSbM6BIEm0yskHH2gEt pour retrouver tous mes contenus, tests, articles, vidéos : www.gchatelain.comSoutenez ce podcast http://supporter.acast.com/happy-work. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

durée : 01:13:54 - Les Nuits de France Culture - par : Albane Penaranda - En 1978, à l'occasion des 20 ans de la Constitution de 1958, Michel Debré et André Chandernagor étaient invités à débattre du bilan de cette dernière dans l'émission "Dialogues", tout en abordant également les problématiques essentielles des circonscriptions et de la décentralisation. - équipe : Mathias Le Gargasson, Antoine Dhulster, Rafik Zénine, Vincent Abouchar, Emily Vallat, Hassane M'Béchour, INA Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Changement à la direction de l'hôpital de Haguenau. Mathieu Rocher, à la tête depuis près de deux ans du groupement réunissant les trois hôpitaux nord-alsaciens, va prendre la direction de Colmar. Dès la rentrée, il exercera aux hôpitaux civils. Son successeur est en cours de recrutement. Lauriane Sladek, directrice déléguée du Centre hospitalier départemental de Bischwiller, assurera l'intérim.A Artolsheim, le jeune homme disparu a été retrouvé décédé dans le Rhin. Âgé de 23 ans, il n'avait plus donné signe de vie depuis jeudi dernier. Son corps a finalement été découvert samedi par un plaisancier, en aval de l'écluse de Marckolsheim. La victime souffrant d'une maladie pouvant le désorienter, la piste accidentelle est privilégiée. Cambriolage à la bijouterie Roelly de Sélestat. Un homme d'une trentaine d'années a été retrouvé dans la nuit de mercredi à jeudi caché sous une voiture, avec un pied de biche et des bijoux d'une valeur de 33 000 euros. Il aurait levé le rideau de fer de la boutique et cassé une vitrine, avant de s'emparer de son butin. Lors de son interpellation, le cambrioleur présumé avait 0,7 gramme d'alcool par litre de sang. Il sera présenté aujourd'hui au tribunal judiciaire de Colmar. Transfert record pour le Racing Club de Strasbourg. Sans grande surprise, le départ de l'international argentin Valentin Barco a été officialisé hier soir. Le milieu de terrain disputera la prochaine saison sous les couleurs de Chelsea, autre club sous le giron de Blue Co, propriétaire du Racing. Son transfert est estimé à 35 millions d'euros. Soit dix millions de plus que le précédent record.Le rendez-vous des petits et des grands est de retour à Sélestat ! La fête foraine d'été a été inaugurée samedi sur le quai de l'Ill. La fête foraine de Sélestat se tient jusqu'au 16 août. Hébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Re-releasing a Dental A-Team podcast favorite! Tiff is on the pod to chat with Kiera about an office she just visited which needed some attention on its collections and accounts receivable. To give an idea of where this practice sits at, its collections are at 80% and case acceptance is at 56%. Tiff shares three points she touched on with this office: Three tactics to put into place to raise collections Establish tracking methods Spun complaints in a positive direction Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today we are bringing you something so special. I am so excited because this is one of our most popular episodes from the archives. Whether you're hearing this for the first time or catching it again, I am so excited because it's jam packed with a ton of takeaways that you can start using right now in your practice. We have released thousands, literally thousands of episodes. And I wanted to start bringing a few of these amazing episodes back for you. So I hope you enjoy. And as always, thanks for listening and I'll catch you next time.   on the Dental A Team podcast.   speaker-0 (00:32) and you guys don't worry. We say we travel in the Dental A Team, and this time you might actually hear proof of it because I have the one and only Tiffanie Trader back on the podcast. She is getting ready to fly home, just finish up with an office, and we definitely got her to podcast while she's at the airport. So Tiff, where are you at today? How is this podcasting going?   speaker-1 (00:54) podcasting is gonna be fantastic because it is because I put it out there into the universe and I am I'm actually in DC, which is funny because it's funny because I thought I I thought I booked a different airport and I thought I booked an airport I had been to and then on the way here I was like, Yeah, I've surely never actually even been to DC and anyways it's been fun. This is how my life is.   speaker-0 (01:18) So funny travel story about Tiffanie and airports. We always giggle about this. Tiff, do you want to tell about the one time like this is like real life consulting one one for you guys? Do you remember the time that you maybe missed your alarm? You set like twenty five of them, but that's fine. Like I've seen your phone and there are seriously like, Wake up, no, like really wake up. No, like you've got to get out of bed. Like that's all your alarms that you have. But like what happened that time? Because it was a really funny travel experience.   speaker-1 (01:42) Here's the thing, Kiera. I just want to point out that I am in Virginia right now. It's   speaker-0 (01:47) Yeah.   speaker-1 (01:48) the only state that I have ever, ever, ever had any travel mishaps of any sort have been either coming to or leaving Virginia. I have Virginia stuck   speaker-0 (01:59) Is your   speaker-1 (02:00) here. I've gotten stuck here on a layover. Like Virginia just doesn't want me to leave, I think. So I slept through my alarm leaving New York, coming to Virginia.   because my flight was at six thirty in the morning, which is if you know me at all is not   speaker-0 (02:16) It's okay. It's all right. We all make decisions that we shouldn't have done. And I'll be honest, sometimes when we're like booking the travel, we're like, yeah, that seems like a really good idea until we actually have to live the travel we booked for ourselves and we're like, That was a really bad idea. So   speaker-1 (02:30) It was a poor choice.   speaker-0 (02:32) You're   up late. I remember you were texting me late at night that night and I'm like, Tiff, your freaking flight leaves so early tomorrow and you're like, I'll be fine   speaker-1 (02:40) Yes, but I was fine because I actually figured out that it was quicker to drive to where I needed to be than to fly anyway. So   speaker-0 (02:49) Only after she missed her flight. So it was you know a win.   speaker-1 (02:52) Because   I had to pivot. I had to be at an office that afternoon and I was like, shoot, how do I do this? So pivot or die is like what we live and breathe by. so I mapped it and I went and I got a car and the car rental guy was like, my gosh, this is absurd. so I drove a car from New York to Virginia and it was by far my favorite road trip of working experience because it was beautiful. I got this in so many I went through   It was like fall time, but I got snow, I got fall leaves changing. I have like every possible season.   speaker-0 (03:27) It's   one of favorite stories that I definitely feel like needed to be recorded for all of our posterity to hear and all of you listeners. So this might be mine and Tiff's like journal time over here. But this is liter   speaker-1 (03:36) I think I've I think I've now flown out as of today. I will have flown in and out of every airport in Virginia.   speaker-0 (03:45) Well, I'm glad that you're able to get the last one knocked off your list today. but you guys, that's literally the day in life of a consultant. I think it's it's fun to point out the fact that like in offices when things don't go as planned, like literally pivot. I know Tip and I have many times, I mean the time that I almost got deported out of Canada, hashtag I was literally a one hour drive across the border, but no, I flew back down to New Jersey and then back trying to get across the border.   And it would have been way better had I just driven. So I think also it's like looking at it. I mean, had we mapped it, now when people are booking travel, we're always thinking like, Could you drive there faster than flying? 'Cause there's always alternatives. So I love it. Welcome to Virginia. I'm glad you're coming home. Glad your office was there. Let's kinda like   speaker-1 (04:29) office was in New Orleans. It's   fine.   speaker-0 (04:34) Everything's fine, guys. Everything's fine. We are totally competent in dental offices and we're about like seventy-five, eighty percent competent traveling. We have that like twenty percent lack that we definitely are not great at.   speaker-1 (04:44) It   just needed to hit Virginia as a state this year, so I got it in.   speaker-0 (04:48) Good job, Tiff. So actually let's like deep dive on your practice you just came from. this is not the topic we were going to go on, but I just realized like we're talking about you leaving an office. Kinda walk us through some of the things you just implemented in that practice that you were in, just so people can kind of get an experience of what it's like having a consultant in their practice.   speaker-1 (05:05) Yeah, I think that's fun. Yep. So this was and I love a bit or die.   speaker-0 (05:10) Don't worry, we had a totally different topic, but like why not why not just keep with this consulting travel theme?   speaker-1 (05:16) I like it. So yes. this is my second time in the practice. This was Ashley actually saw this practice probably like a year ago, I suppose. so she saw them first and Ashley's no longer with us, wildfires, crying, lots of tears.   speaker-0 (05:29) Decided   to get married and move away and become a practice manager. It's fine. That office got real lucky. I shout out to them.   speaker-1 (05:37) Yeah. So anyways, this is their third visit. So it's really cool to see the progression and the growth that they've experienced, but then also like the holdups that they've had. So it's like, yes, we've been consulting them for a little over a year now. but there's still so much to be done. So this week what we did yesterday and today was we focused really heavily on collections and AR because they're just   struggling a little bit in that area and they're having a hard time dialing it into where it's coming from. So it was really fun because we saw the issue and then what I did was I kind of worked my way backwards, right? Because I think in any practice you can find something that's wrong and then I can tackle that person. Right. So I can go straight for the billing representative and the office manager and be like, why aren't you collecting? Where's your money? But it's not just them.   that are the the only cause of that, right? So the only effect of the cause. So we backtracked, we looked at everything, we realized, hey, patients aren't always getting signed treatment plans. Like patients aren't even they're not always getting told what they're going to owe in the first place. So then when they're coming in, it's a little bit more difficult to collect because I noticed we have a crown you know, a crown was in last week and they paid a hundred dollars. And so if you know anything about   Crowns in dental insurance, typically a hundred dollars is not going to be the copay required. So I thought, okay, why is this patient only paid a hundred dollars? Well, probably because this patient was not prepared to pay the six hundred dollars that he had owed when he came in. So we kind of backtracked. So we figured out, okay, our collections percentage is low. It's about 86% for last month, and overall for the year they're hovering in the mid 80s.   I like to see ninety eight percent for my practices or higher. I usually tell my Medicaid practices, Medicaid slash PPO providers, ninety-three to ninety-five percent just because Medicaid takes so long. So ninety-eight percent is what we're looking for here in this practice. So eighty six percent was like, my gosh, how are how are we paying the bills? So we back chopped and we started implementing they did NDTR for us like a boss. We've done that twice to the guys don't know the N D T   speaker-0 (08:00) And you're new, that's a perfect handoff. So next visit, date, time, recare. And I will say it's magic sauce when people do it. So good to know this office was which is great. It's good. Like Tip, I love that you're breaking this down. And I think offices should do this. Like when you find a gaping hole, don't go after it. Look at all the pieces that factor in to find out where is the true breakdown. So we already know that the handoff and the doctor exam   is spot on. We are crushing that. Our handoffs are good. Our doctor exams are great. So that's not the cause of the collections being low. Like good job Tiff of checking that box to ensure and I hope people are able to see that that that's what you're doing in this. Like you're assessing to find out where the breakdown is at.   speaker-1 (08:38) And I think that's right. And as you're saying that, it made me think of like treatment planning, right? So doctors, you go in the operatory and if you just looked at a tooth and you saw this this piece of decay, right? No x-ray, nothing else. You just look at the tooth, you're like, okay, there's decay there. We need to get it out. Let's do a filling. Okay. So you do a filling, you get in there, because you haven't looked at the x-ray yet, you get in there and you're like, holy cow, that's not the only problem. So I think of it as like   You go in, you look at the tooth, but you also look at the x-rays and all the other evidence that you have. You look at you know, intra-oral photos, you look at structure, all of these items to assess what the patient needs on that tooth. So if you look at the x-ray, maybe the x-ray shows like all of this patient's pain is actually stemming from a huge abscess at the root of the tooth. Had we not looked at the x-ray, we might have just tried to fill it, right? So I kind of think of that of something like that when I go into practices. So I do see, okay, there's an   issue so we're we're bleeding money right so there's an issue but what's the root cause of it so I think that's great what you said Kiera because it made me think of that like it's really we go in and we dig for the root cause so overhead is high collections are low so what's the root cause so handoffs are working great the diagnosis is there the treatments there the schedule's pretty full right they're producing 120 grand with two doctors and two hygienists that's not bad per month   so we really diagnosed. So we ramped up treatment planning with the front office, ramped up treatment planning, which should ramp up over the counter collections, and then we tackled cancellations, which I think cancellations across the board, across the country, and all of my practices have been really high lately. I think it's just a product of the mentality that we're living in right now, and a product of what we've become. So that aside, we just set some new goals. So   Over the counter collections and collections in general, they I set them another goal. So their goal now is 98% by the end of the year. Okay, and remember they're at about 86% now. Case acceptance, they're doing dollar for dollar. So case acceptance, dollar for dollar is set at 75% is their goal. They're hovering at about 56% right now. And then I want to see cancellations at less than 10% every day. So they'll do that by week and they're tracking all of those items.   It is actually really fun to hammer in the collections because the front office ladies are like, I don't know what I don't know why she keeps saying collections, collections, why are you saying collections is an issue? We collect the money. We collect all the money over-the-counter. We we don't let patients leave without paying. And so I said, Okay, totally fine. So, what we did was we set, we created a new tracker, right? So I created a tracker for them for over-the-counter collections. If they do not   collect in full from a patient, they've got to put it on the tracker. So it's just in their Google spreadsheets, something the office manager can check in on, but it's going to hold them accountable. So number one, I saw that you know we had a few patients we weren't collecting over-the-counter 100% from. So there should be some names on there. Number two, they're not going to want to fill out the tracker and they're not going to want anyone to see your name on there. So hopefully it will ramp up that over-the-counter collections.   But then also they had a good point. If they feel like they're collecting over the counter correctly, maybe it's on the back end where it's like our claims, you know, our treatment plans are are not accounting for downgrades, and maybe our claims are coming in, EOVs are being paid, and we're left with balances, it will show. So I took the problem, diagnosed what needed to happen, implemented three items and three different goals that should help. And then   allowed them the grace and the space to say, okay, fantastic. We're gonna push real hard on these items to ensure that your over the counter collections is happening exactly how you're saying that it is, just because I want you guys to kill it. And the proof will be in the end. Right. So if I see that over the counter collections is better and now our overhead is decreasing our collections is higher, then I know we tackle the problem.   If it's not and it stays where it is, and we start saying, okay, it's actually left over after insurance, we actually tackled that problem as well because we've we have our insurance, the team who's doing the insurance verifications are gonna start they're putting down grades in now. so that should be resolved as well. But it was kind of fun to see where it's like sometimes we think we're doing something and we can say, like, I always do this thing, which always and never are never accurate, right? So like   always well whenever I think like I always do it I'm like okay so I don't always do it so I need to like back off and take a look at the area where I probably could improve. So as soon as I hear something that I'm like okay I totally get it. It's like a it's a defensive space and we do feel like we're killing it in that area and it's great if we are you might be so we're gonna put this into place to see that to show it. So let's prove that you are doing the things and it's not you on the opposite side of the spectrum.   We're putting attention on it and so no matter what, whether you were doing it before and you're doing it y now you're doing it even more or you're doing it the same as before or you weren't ever doing it, it's going to improve no matter what, because we're putting attention on it.   speaker-0 (14:01) I love it.   speaker-1 (14:03) That's what we did in this caucus.   speaker-0 (14:05) So I think there's like a c quite a few pieces I wanna highlight from it is number one, I love that you talked about how you see an issue, but that issue is usually a symptom of a bigger problem. And so it was collections are low. And so you found three other areas to fix. I also love that you put tracking into place. And I also love that you took what people said of I'm always collecting and spun it into a really positive way. Cause some people be like, Okay, well, I get that you say you're always doing this, but the reality is we're not collecting. You didn't make them wrong. You said, Hey   I hear you. Let's actually track this and prove that you guys are really doing it. So like I'm on your team versus I'm making you wrong. And so I hope a lot of people listened and heard that. And I think that that's one of the beauties of coming in person. Because over the phone, I can't we can't move and navigate as easily as we can in person. In person we're able to see, okay, here's this broken piece. Let's go fix, let's look at the whole way up the chain to see where is the broken link. Because down below we know something further up is broken. But then we can get the in   entire team working on it. So you see quick, fast changes in a practice that are usually sustainable. So Tiff, I thought you did so many awesome things in it. And I know you tackled so many more pieces. Like that's just a quick, I mean, we're talking 15 minute synopsis right here where you're like, hey, I was there for a day and a half, but let me give you a quick 15 minutes. But I hope people took that. And so I'm like digesting this in for an office of how do you take this and make this applicable to you is number one, when you find a problem, look to see like what are all the pieces up ahead of that problem that got there.   To get to collections, what has to happen before collections? Insurance verification, inputting information, sending claims, getting the checks back from insurance. Are they getting lost in the mail? Do we have EFTs set up? How are we posting it? What about downgrades? What about our write-offs? Then you also looked at like, okay, what creates that copay amount for the patient portion? That's treatment plans. Are we giving every patient a treatment plan and having it signed and putting that copay amount or the amount that they owe in the appointment box so that way everybody knows and we just collect that?   Then let's go back even further and say, first and foremost, how's our case acceptance? Like, are we even having good handoffs to get the treatment that's diagnosed, to get the case acceptance, to get the schedule, to be able to then send it out. So that's why we love what we do. Like I just broke all that down. I'm like, that is what we freaking do, and we love it. We love it so much. But I hope you guys take it and diagnose that. And if you have a hard time seeing up that chain, Tiff and I are really good at seeing like, okay, here's the billing system, here's the case acceptance system, here is our new patient acceptance.   system like here are all these systems that could be impacting your collections. Let's look to see where it's at. Let's come up with some tracking. Let's give your team goals and then let's see magic happen. So if you guys are needing help with that, always email us Hello@TheDentalATeam.com. But gosh Tip like way to way to kill it at that practice. I love I love hearing your recaps after a practice.   speaker-1 (16:52) Thank you. Yeah. And you're right. We did a ton more, especially on the collection side. but yeah, I love it. And I love the diagnosis piece and really seeing like the light bulbs go off and doctors and teams too. So and I think you're right. I think it it can be done over the phone. It just takes a lot longer. And and I think we do miss pieces because it's a biased opinion. I'm I'm relying on the team or the doctor to provide me the information. I'm not seeing it firsthand. So   It is much more effective when we're able to get in practice and probably I'd say the f first one in office is like, okay, this is a good starting point. Second and third in office are really where we really I mean, we dig deep on those suckers because we know we know the practice at that point. So totally. I love it. I love it.   speaker-0 (17:38) So fun. Well, Tiff, as always, I love you headed to offices. I love you representing our company. And it's fun to see. So I hope you guys like take this into yourself. Put on the Tiffanie Kiera consultant hat. Look at your practice. See if you can uncover those spots and where it might be broken further up the chain. And if you can't see it or you also want to pick our brains, email us. Hello@TheDentalATeam.com. And as always, thank you all. Thank you, Tiffanie. Thank you all for listening. And we'll catch you next time   Kiera Dent (18:04) I hope you all loved today's episode as much as I did. It is crazy to think that this many episodes have been released since we started the Dental A Team Podcast. And I started looking to say, my goodness, our listeners need to be reminded of some of the things they may have learned a year ago or two years ago or five years ago, because so many things in our practices weren't relevant back then when we heard them, but they are relevant today. And I would be doing you a huge disservice if I didn't re-release some of these episodes for you to remember, to refine.   to optimize and really truly if you ever need a topic or you're like, my gosh, I wonder if the Dental A Team has anything like this, go onto our website, TheDentalATeam.com, click on our podcast tab and you can literally search any topic. So whether it's overhead or hiring or firing or team morale or engagement or case acceptance or hygiene or associate onboarding or whatever it is, we have so many episodes for you. And so I am going to intentionally be   re-releasing some of the top best episodes for you, pulling back some of the ones that I needed to remember, some of the things that I feel for you to really, really relearn right now and to re-remember, or if it's the first time, welcome. I'm so happy you're listening to it, but I hope you truly enjoyed today's episode. I hope that you share this with somebody. I hope that you go and implement today because we only have one day. We only get today. And so making today the best that it possibly can be. If we can help you in any way, shape or form, reach out Hello@TheDentalATeam.com.   And as always, thanks for listening and we'll catch you next time on the Dental A Team Podcast.  

Eliot Deval revient, sans concession, sur tous les sujets qui font l'actualité. Vous voulez réagir ? Appelez le 01.80.20.39.21 (numéro non surtaxé) ou rendez-vous sur les réseaux sociaux d'Europe 1 pour livrer votre opinion et débattre sur les grandes thématiques développées dans l'émission du jour.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

Ils ne sont ni policiers ni gendarmes, mais mènent l'enquête : généalogiste, détective privé ou simples citoyens engagés… RFI vous plonge cette semaine dans le quotidien de ces limiers particuliers. Aujourd'hui, nous allons à la rencontre de Neila Moore, la présidente de la Team Moore, une association d'une cinquantaine de bénévoles qui « chassent » les pédocriminels sur internet pour les faire traduire en justice. Nous sommes dans un petit village du sud-ouest. Impossible d'en dire plus. La Team Moore est régulièrement menacée de mort, notamment sa présidente, Neila Moore. C'est d'ailleurs un pseudo, celui de cette aide à domicile qui traque depuis 2019 des pédocriminels via de faux profils d'enfants, puis les signale à la justice. « Alors là, c'est une petite fille qui a onze ans, qui habite dans le sud de la France. On va se comporter comme n'importe quel enfant sur les réseaux. Donc, on va faire des publications sur nos chanteurs préférés, nos youtubeurs, les animaux, etc. Et une fois sa mise en ligne, le constat est affligeant. Très vite, cette enfant est contactée par des pédocriminels. » « On n'a pas le droit de démarcher le prédateur » Un exemple de messages reçus par ce profil de petite fille. Attention, même expurgé du pire, l'extrait peut choquer. « Tu ne montres pas ton vagin, je vais te tuer. Je vais te défoncer ta putain de gueule, petite salope de sixième », entend-on. « C'est en quelques minutes et c'est plusieurs contacts. Soit ce sont des individus qui vont alpaguer l'enfant sous statut d'adulte, soit on a vu ces dernières années une évolution de techniques du prédateur justement qui vont créer des profils d'enfants. Donc, vraiment rappeler que derrière l'écran, on ne sait jamais qui est derrière », rappelle Neila Moore. Cette association agit dans un cadre légal qui se fonde sur « l'article 227-22-1 du Code pénal. Le fait d'un majeur qui fait des propositions sexuelles à un mineur de quinze ans ou à une personne se présentant comme tel est passible de deux ans de prison, etc. Nous, nous sommes cette personne se présentant comme telle », explique la présidente. Dans cette traque, il y a des règles vis-à-vis du droit. « On n'a pas le droit de démarcher le prédateur. C'est-à-dire qu'on n'a pas le droit de faire une demande d'ami ou d'engager une conversation si on a une cible ou quelque chose comme ça. Également, pendant les échanges, on ne va jamais provoquer l'auteur, c'est à lui de faire ses propositions sexuelles, de montrer son sexe, de se masturber en vidéo, etc. Pourquoi ? Parce que dans le cas contraire, ça peut être considéré comme de l'incitation. » À lire aussiTraque de pédophiles: jusqu'où peuvent aller les justiciers d'internet? En 2024, la Team Moore a transmis plus de 224 signalements La Team Moore est d'autant plus vigilante au droit qu'elle le sait. Sa démarche ne fait pas l'unanimité au sein des autorités, notamment. Certains s'inquiètent de voir des citoyens endosser des prérogatives qu'ils considèrent réservées aux forces de l'ordre. « Au départ, c'était mal perçu. Ce qu'il faut faire comprendre, c'est que nous étions les pionniers en France. Ce phénomène des chasseurs de pédophiles, c'est vraiment quelque chose de culturel dans les pays anglo-saxons. À savoir qu'en Angleterre, 50 % des arrestations de pédocriminels sont à l'initiative de citoyens ordinaires. Mais on a depuis des années maintenant des soutiens publics, de policiers, de magistrats. On a une reconnaissance aussi dans les tribunaux. Par exemple, en 2024, on a transmis plus de 224 signalements. Vous allez avoir le procureur ou le président qui va nous remercier de la qualité de notre travail et qui reconnaît que, sans nous, ces individus passeraient sous les radars. » En 2023, l'association était reçue par un ministre pour évoquer son intégration à la Réserve citoyenne numérique, un statut que Neïla attend avec impatience. « Aujourd'hui, la collaboration, elle existe, mais elle est officieuse. Ça fait des années qu'on demande un cadre, un espace d'agrément, que quand on envoie un signalement, on traite. Il faut que ce soit automatique. Au Canada, on a un lien direct. En Allemagne, on est en train de le faire. Ils prennent en charge nos signalements. Et en France, au bout de sept ans, après des centaines de signalements, de condamnations, on ne l'a toujours pas. Pourquoi ? En France, pour le narcotrafic, on travaille avec des civils. On peut être réserviste dans l'armée, chez les pompiers. On peut être réserviste à la gendarmerie. Comment on peut contester que des citoyens ordinaires permettent de mettre hors d'état de nuire des pédocriminels et d'identifier des victimes ? Ce n'est pas audible. » Depuis mai dernier, la réserve numérique existe officiellement. La Team Moore attend la réponse à sa demande d'agrément. À lire aussiLes limiers particuliers: les bénévoles de l'ARPD à la recherche des personnes disparues [3/5]

Ils ne sont ni policiers ni gendarmes, mais mènent l'enquête : généalogistes, détectives privés ou simples citoyens engagés... Cette semaine, RFI vous plonge dans le quotidien de ces limiers particuliers. Portrait aujourd'hui d'Audrey Lustrement, généalogiste successorale, qui enquête pour régler les successions sans ayant droit. Comme elle, ils sont 1 500 en France à enquêter dans l'intimité des familles. Comme souvent lorsqu'elle prend la voiture, Audrey Lustrement se rend aux archives départementales de Rennes, dans l'ouest de la France. Plus précisément dans la salle de consultation, une pièce froide et studieuse, où chaque personne qui en fait la demande peut parcourir les précieux documents en silence. Sur une table en inox, elle déroule un tableau généalogique établi sur du papier à musique. Un notaire a mandaté Coutot-Roehrig, l'entreprise dont elle dirige la succursale rennaise, pour retrouver les ayants droit d'une succession après le décès d'un homme qui n'a aucun héritier connu et qui n'a pas laissé de testament. Un travail de fourmi débute. « Il faut d'abord remonter aux parents et s'assurer qu'ils n'avaient pas de postérité. Si tel est le cas, on regarde s'ils n'avaient pas des frères et sœurs, des neveux et nièces. S'il n'y en a toujours pas, on remonte jusqu'au quatrième, au cinquième et au sixième degré, dernier degré successible », déroule Audrey Lustrement. Au-delà, les biens de la personne décédée reviennent à l'État. Avec Stéphane de Montlivault, un collègue, elle se plonge dans les registres de mariage, de naissance et de décès, jaunis par le temps. Il faut s'assurer qu'aucun autre héritier, que ceux déjà trouvés, n'existe. Minutieusement, le binôme explore toutes les pistes en croisant les informations de l'arbre généalogique avec celles apportées par les documents de l'état civil. Après 20 minutes d'investigation, le constat tombe : « Du côté de la branche maternelle, nous n'aurons pas de cousins au cinquième degré », conclut Stéphane de Montlivault en chuchotant. Toutes les portes ont été refermées, la quête s'arrête là. Mais la seconde étape du processus peut s'enclencher : « Désormais, nous allons contacter les héritiers pour leur soumettre un contrat de révélation, leur annoncer l'identité du défunt dont ils héritent », reprend Audrey Lustrement. « Il m'arrive de révéler des adultères » Cette phase est l'une des plus délicates car bien souvent, les héritiers retrouvés n'ont jamais connu le défunt en question. « ​​​​​​​Quand ils reçoivent notre courrier, beaucoup croient à une arnaque et le jettent à la poubelle, sourit Audrey Lustrement. Nous les rappelons pour leur expliquer notre démarche et notre métier. » Son collègue abonde : « ​​​​​​​Bien souvent, nous savons davantage de choses qu'eux-mêmes sur leur propre famille, cela crédibilise notre parole. » D'autres cas sont plus sensibles. Car lorsqu'elle enquête, Audrey Lustrement ne trouve pas seulement des héritiers. Elle soulève parfois des secrets de famille. De belles histoires, bien sûr. Parfois pas. « ​​​​​​​Il m'arrive de révéler des adultères. Cela m'est arrivé dans un dossier récemment : j'édite l'arbre généalogique et je me rends compte que l'homme a eu deux enfants avec deux femmes différentes – l'officielle et l'officieuse, disons. Aujourd'hui, l'enfant adultérin a les mêmes droits que l'enfant légitime. Ce qui est toujours un moment délicat à annoncer. » De fait, les structures familiales traditionnelles ont largement évolué depuis l'après-guerre. Les statistiques de l'Insee le prouvent : le nombre de naissances hors mariage a été multiplié par sept depuis 1946, les divorces ont quadruplé depuis 1950, le nombre de familles monoparentales a triplé depuis 1975. « ​​​​​​​Le travail de généalogiste s'est complexifié avec le temps », confirme Audrey Lustrement. Les individus sont aussi plus mobiles qu'à l'époque : « Aujourd'hui, un dossier sur quatre peut nous amener à l'étranger. » Pour l'heure, c'est dans un appartement du centre-ville de Rennes qu'elle se rend. Celui d'un homme décédé en septembre 2024. Dans cet autre dossier, elle a déjà retrouvé et contacté les héritiers. Ils sont au nombre de dix : une cousine au quatrième degré dans la ligne maternelle et neuf cousins et cousines au sixième degré dans la branche paternelle. L'une d'elles a renoncé à l'héritage. C'est l'autre volet du métier : régler les successions. Cela débute toujours par la réalisation d'un inventaire des biens dans le domicile du défunt. Audrey Lustrement représente les héritiers, absents. Elle est accompagnée d'une notaire et d'une commissaire-priseur qui, pendant trois heures, va ausculter chaque pièce de fond en comble. Dans l'intimité de la personne La généalogiste fait de même : « ​​​​​​​Je regarde s'il y a notamment des objets de valeur pour informer les héritiers du montant de la succession. On ne sait jamais vraiment sur quoi on va tomber. » Elle admet son malaise au moment d'ouvrir le tiroir d'une commode dans la chambre du défunt : « ​​​​​​​C'est délicat, on est plongé dans l'intimité de la personne. » Sur une table, un courrier d'assurance jamais ouvert, là une chemise de nuit et une paire de lunettes... La pièce est figée depuis le décès du vieil homme. Il y demeure une odeur de renfermé. Il va sans dire que la toile de maître dans la poussière d'un grenier ou le lingot d'or caché dans un faux plafond sont l'exception. « ​​​​​​​Dans une majorité de dossiers, le patrimoine à léguer oscille entre 200 000 et 300 000 euros », explique Audrey Lustrement. D'ailleurs, aucun objet de valeur n'est trouvé ce jour-là dans l'appartement. Alors l'équipe descend au garage. Une dizaine de cartons s'y entassent. Il faut les ouvrir un par un. La commissaire-priseur s'y colle. Premier carton : de la vaisselle. Le deuxième déclenche une plaisanterie : « Ça revient à la mode, les nains de jardin ? » On s'esclaffe sans gêne. Après tout, ce travail, c'est leur quotidien. Le troisième emballage révèle une minaudière en cotte de maille, un sac à main porté comme accessoire de mode par les femmes dans les années 1930. Celui-ci pourrait bien valoir un petit quelque chose. Dans le dernier carton : une photo du défunt. « ​​​​​​​On peut enfin mettre un visage sur un nom », sourit Audrey Lustrement, qui n'avait trouvé aucune photo du vieil homme dans l'appartement. Ce cliché, pas plus grand qu'une photo d'identité, est peut-être l'objet le plus important trouvé jusqu'ici. La généalogiste va le conserver précieusement : « Les héritiers ne veulent pas forcément récupérer du mobilier. En revanche, ils sont souvent intéressés par une photo de la personne dont ils héritent, donc je vais la mettre de côté. » La plupart des dossiers se concluent de la même façon : les biens immobiliers et les meubles sont vendus par les héritiers qui se partagent la succession. Audrey Lustrement touche un pourcentage qui dépend de la valeur du patrimoine légué et du degré de parenté des héritiers avec le défunt. Soit entre 10% et 40% de la somme finale, les dossiers étant inégaux. Tous les ans, 150 000 héritiers sont retrouvés dans l'Hexagone et à l'étranger. Ils se répartissent un milliard d'euros d'actifs, après paiement des droits de succession. À lire aussiLes limiers particuliers: détective privé, «se glisser dans plusieurs personnages» pour voir sans être vu [2/5]

✨tu peux m'envoyer un message ici ✨Salut à Toi Ce podcast marque la fin de la saison 6. Les temps que nous traversons sont particulièrement déterminants. Le climat astrologique (et pas que) nous invite à regarder bien en face les changements à opérer. Entre individu rugissant du côté du Lion et collectif émotionnel du côté du Verseau, nous avons à trouver notre alignement, notre équilibre dans l'axe le plus évolutif possible.Les actualités du moment nous proposent un reflet assez authentique des bascules opérantes.Nous sommes déjà en période karmique depuis la dernière Nouvelle Lune et nus avançons à présent vers l'éclipse du 12 Aout prochain, qui nous promet bien des choses. Et nous ouvrirons ensemble la saison 7, les férus de numérologue apprécieront cette évolution 

So It's A Forever Decision To Live In Rental For San Diegans Former San Diego Couple Gets Heat/Viral For Explaining Why They Moved Comic Con Heat Wave Wrap Up

So It's A Forever Decision To Live In Rental For San Diegans Former San Diego Couple Gets Heat/Viral For Explaining Why They Moved Comic Con Heat Wave Wrap UpSee omnystudio.com/listener for privacy information.

As a nurse with MS, I’m interviewed about AI’s real role in care: pattern recognition, human-in-the-loop skepticism, and the Three T’s and Two C’s framework. Click here to view the printable newsletter. More readable than a transcript. Click here for a verbatim transcript Summary I sit in the guest chair on Practical AI in Healthcare with Steve Labkoff. I walk through my experience feeding my own symptom logs, lab results, and ten years of clinician notes into an AI LLM: a physical therapy referral I needed and hadn’t scheduled, a medication side effect my neurologist later confirmed, and a rating scale buried in my chart that no one had surfaced. I describe the less impressive side: the four-pound box of unsorted paper my primary care practice mailed me and the 296 pages of unsearchable PDFs I got back from another system in fifteen minutes. Along the way, I lay out my framework for judging any digital health tool, the Three T’s and Two C’s: time, trust, talk, control, and connection, and explain why I insist on keeping humans in the loop even though the research on that is more complicated than people assume. This isn’t a pitch for AI in healthcare. It’s a working nurse and patient’s honest field report. What’s your experience been feeding your own health data into an AI LLM? Tell us in the comments. Episode Transcript Proem I usually ask the questions. This time I'm the guest. I met Drs. Steve Labkoff and Leon Rozenblit a couple of years ago at a DCI Network conference. They host Practical AI in Healthcare, a show I've listened to steadily, though it creates more tension for me than any other podcast I keep coming back to. Usually, I jettison podcasts that do that. I stay with this one because I approach AI in healthcare the way I approach best health; I'm an N of one and resist generalizing, while most guests do a fair amount of it. I bristle at most of them, wanting the shades of gray that reflect deep understanding. In four of 33 episodes, the guest has had lived experience: ePatient Dave DeBronkart, Amy Price, Hugo Campos, and me. I invited Steve and Leon to join my virtual Reckoning group, which I've hosted since 2019. We give podcasters warm critiques of selected episodes: the kind of feedback you give when you've made a hundred mistakes yourself, can spot them quickly in someone else's cut, and have endless thoughts about production, audience, dissemination, and life. They took the critique well. When Steve later asked me to come on his show to talk about how I use AI, not the theory but the daily grind, I readily agreed. They let me publish it here unchanged, apart from this Proem and Reflection. I struggled to prepare for this conversation. I wanted to wear all my hats, but had to narrow my focus to two. I chose my lived experience and nurse hats. Underneath it all was the question I keep circling back to. Not a cure. Best health, the most function, and Hello, and welcome to this week’s edition of Practical AI in Healthcare. My name is Dr. Steven Lapcoff, and this week I’m actually on my own because my partner, Dr. Leon Rosenblatt, is actually on spring break with his kids, so I am covering for him and he’ll be back in the next week. This week we have a guest who we met at a conference in Boston a few months ago at the Beth Israel at the DCI network. Steven Labkoff: We have Danny van Leeuwen. Danny is a nurse. He has background in giving actual physical care to patients. He actually runs his own podcast called Health Hats, the Podcast, and he’s been using AI in both his personal life and in his professional life very extensively. Also, Danny has a significant medical condition, and I’ll let him explain that in the course of the discussion because it’s with that lens that we got introduced at our patient-centric AI conference, and that’s why we thought it’d be a good idea to have Danny come and have a chat with us. So welcome to the podcast, Danny. How are you today? Health Hats: I’m good. Thank you. Thanks for having me. I appreciate it. Steven Labkoff: So Danny, as you probably have heard because you’ve helped us with our podcast, and for that I want to say thank you. For those who are listening in, Danny runs actually a group that actually helps folks running podcasts improve their podcasts, and he’s had Leon and I on many times to listen to critiques and feedback, and it’s been very, very helpful. Danny, we often start our podcast with asking for folks’ origin stories, like how did they get their cape and their superhero tights. What did you do to get you to this point in your life? And just tell us the background of what brought you here. Health Hats: Oh, thanks. So I’m a child of Holocaust survivors, and my parents– when I was young, my parents were active in the civil rights and fair housing movement in the ’60s. And when I was 16 and I was thinking about the war in Vietnam and worried about getting drafted, I wanted to learn what I could learn about the draft and how I could protect myself and manage. And I went to a church in downtown Detroit, and I went for a session of draft counseling as, you know, a little precocious at 16, and I found it fascinating, and they found me fascinating, and they encouraged me to become a draft counselor. And so I, uh, I actually took their course and became a draft counselor, and what I learned is that you change systems from the inside, not the outside. And I learned how the sausage was made, and that, uh, really pointed me in a direction. The way I got into nursing is really because I didn’t want to cut my hair I had an opportunity for a job at one point, and I could have read water meters or become an aide at the Detroit Psychiatric Institute. And reading water meters paid more, but I didn’t wanna cut my hair, so I got the job as, as nurse’s aide. And while I was there, they introduced me to the idea of going to nursing school, which was amazing. Steven Labkoff: It was more– You got paid more to read meters, water meters, than you did- Health Hats: Yes. Steven Labkoff: That’s unbelievable. Life gives you some real interesting turns and twists, doesn’t it? Health Hats: It does. And I was really fortunate because my first jobs in nursing were in physical rehabilitation and home care. I just happened to be in a place where the Holyoke Visiting Nurses was dying to hire a guy, and I was a brand-new nurse, and they ended up hiring me. And so my first introduction to nursing was not in acute care. It was in home care, and actually, I was the first male public health nurse in Western Massachusetts in 1976. And really, what I learned there was that most healthcare does not occur in the medical system. It occurs outside the medical system. And so when I ended up getting into medical care, it was always so interesting to me that everybody there thought this is where, you know, health happened, which it doesn’t. So over the 20 years of working as a nurse, I’ve worked in, other than the rehab and home care, I’ve worked in the emergency department, I’ve worked in ICU, I worked in pediatrics, behavioral health. And after about 15, 20 years, I shifted from becoming a student of individual health to a student o- of organizational health. And what I mean by that is I got into performance improvement. I led a couple of electronic health record implementations. I had a couple of gigs in the C-suite. I did some consulting. Now, in 2009, I was diagnosed with multiple sclerosis, and when I was diagnosed, I learned that I had had it for 25 years. And since my father died young, he died at 45 when I was 19 of his second heart attack, and so every time I would have some kind of episode, I would get a cardiac workup. And by the time the cardiac workup was done, you know, the episode was over, and this went on two, three, four times a year for a long time. And there was a pattern there, and nobody was connecting the dots for 25 years. That’s very important to me because the pattern of what was going on was in my records for 25 years, but nobody had synthesized it. Steven Labkoff: Yeah, they may have been biased, right? Because of your family history and having these episodes, you know, as a clinician, you get very biased by family history, and that can actually lead you down roads which may not be correct, and it sounds like that’s precisely what happened with you. Health Hats: So I’ve– I wanna bring in the caregiver role because I have been a caregiver for my grandmother, my mother, and a son in their end-of-life journeys. So I’ve been on many sides of very difficult decisions. As you said, that my shtick is health hats, and I’m health hats because I’m a patient, I’m a caregiver, I’m a nurse, I’m an advocate, I’m an informaticist, I’m a podcast host. I wear a lot of hats. And wearing many hats has gotten me a seat at many tables because they can check off boxes. When it was really different to be bringing patients o-on board, I was an easy choice. Uh, I was at the table for technical expert panels at CMS, at National Academy of Medicine, at AHRQ, National Quality Forum, PCORI, Patient-Centered Outcomes Research Institute. But really, I wasn’t really there in it for the seat itself. My goal was always to open seats for people who weren’t there yet Now let’s build the bridge, since this is a podcast about AI, let’s build that little bit of that bridge. So my first, like, serious experience with– Well, I don’t know about my first. I was involved in something that you probably are familiar with, which was the Blue Button Plus program, and my goal in that, I was there both as a patient and as somebody who was working with people with disabilities. I, I was VP of quality for an organization that supported about 40,000 people with disabilities. And my goal for that couple of years of weekly or every other week, I can’t remember, calls was, uh, to add a f- a caregiver field to the data set, and to also introduce the idea that what people needed was information that would be able to say what works for me when I’m in pain and what works for me when I’m afraid, which was an issue for me, and it was an issue for the organization that I was working with at the time. Now, I have to say that the caregiver field got added, so I felt some success in that. But as a nurse leader in the informatics group I was part of, really they were only interested in putting a name in the field, not doing anything with that information, which I- Just collecting, so just collecting the data. Steven Labkoff: They didn’t care what the data was used for? Is that what you’re saying? Health Hats: Correct. Yeah. And I couldn’t– got no traction on the pain and fear, which now that I’m older, I understand why, how difficult that is. Nevertheless, it’s something that’s important to patients and caregivers. So I think I would close this section with that I am both an early adopter of technology and a rapid skeptic, that I’m kinda making this number up, but I’ve probably tried over 100 health apps, and I would say that I’ve used five more than three times. And so I think there’s a gap between what’s promised with digital technology and what’s useful for people. So that’s really why I’m here and what’s guiding for me in this. Steven Labkoff: So let’s take it to the next step. In our prequel, I didn’t even know about your personal background to that degree. Mm-hmm. We can take that one offline later about the Holocaust survivor issues. We, we have family, I have family in that same situation, frankly. Let’s change gears and talk about the challenges that you’ve seen. You opened the door a little bit on that a few minutes ago- Yeah … in terms of people wanting to collect data but not necessarily doing much with the data, not being able to understand the true value of the data to some degree. And you said it yourself, people weren’t connecting the dots. Medical records have always been complicated. They’ve always been bulky. They’ve always been full of information, some of which is really relevant, a lot of which is not so relevant, and connecting the dots to making that a, uh, an important information source is not always an obvious task. So what, what was the particular angle on that challenge that you were trying to gun at? Health Hats: Well, I think we have to take a step back- and think about what is– Well, I’m just gonna speak for myself, okay? I know that I often, you know, as I said, I get asked to sit at the table because people can, you know, check boxes, like is that I’m a patient. I wanna be clear that I’m a privileged white old man with MS living in Boston, but I’m an N of one, and I don’t represent other patients. I’m representing myself here and my perspectives. My goal in terms of my health is best health, and what I mean by best health is optimal health and function, physical, mental, spiritual. Not a cure, but best health for where I am, what I have right now. And to get there, I need my own health data, not just what’s in my clinician’s chart, but what I know about myself, my circumstances, my environment, my history, my habits. Not just my medical history, my life history, my treatment responses. And so that’s like patient-reported data, and that’s stuff that’s only exists because I observe it and sometimes I record it And that’s where it falls apart right away. You were just alluding to some of it, that there’s all this medical data and what’s useful about that. I think Dave DeBronkart was a guest on your show. And when he launched his Gimme My Damn Data campaign, I responded to him with, “Watch what you wish for. You’ll be trying to drink dirty water from a fire hose.” And, and that was years ago, and it’s still true. So six months ago, I, I’d been on a mission to gather my medical data, and my– I’d been with my, uh, primary care practice since 2011, and I wanted all that data from 2011 to 2025. This was, like, in December I started on this crusade of trying to get my data. And actually, two months later, I got a box, a four-pound box of paper, and it was paper that was not in chronological order. And it’s just sitting right here. I’ve scanned it in. It’s not, um- Was it in– Steven Labkoff: Was it a printout of Epic or something, or was it actual- Health Hats: It’s a computer printout. It seems like it’s a vendor that they use to- Steven Labkoff: It wasn’t digital. They sent you, literally sent you a box of paper. Health Hats: Yeah, it was a box of paper. Oh. And then I use a lot the, the Beth Israel Lahey Mount Auburn system, and I asked for the last three months of my records, and I got 296 pages of redundant, non-searchable PDFs, and I got that in 15 minutes. Uh, I see a lot of doctors, so maybe I had seen Hmm. I think I had maybe eight or nine visits, and it just happened to be a three-month period that was busy for me, but I got s- 296 pages. And so that really adds to your comment, which is that access to data and access to usable data are really different. Steven Labkoff: Oh, absolutely. And yeah, I’ll tell you, in my world, I think you know that I’ve worked in the life sciences for many, many years, and we are consumers of healthcare data on many levels. We consume medical claims, we consume electronic medical records, and one of the hardest things about using medical records for research or for outcome studies and things like that is the very fact you’re describing, which is the data tends to be sparse, it tends to be poorly organized. It doesn’t always come in an encoded fashion. Thank God most of what we get these days is at least digital. No boxes of paper for us these days, but it wasn’t so long ago that when it was all paper, we couldn’t get that data in the first place. It just wasn’t even gettable. So at least you’ve made some progress. And- Yeah … yeah, I know that you sit on some national level boards, uh, around outcomes, and you can talk about that in a moment. But those are, you know, those boards are trying very hard to come up with outcome studies and ways of– Let me back that up. They’re coming up with ways of using data to perform outcome studies by harmonizing and, and distilling down to usable forms of this EHR data, which is so challenging. Health Hats: I think what’s key, I– like I, I think I w- I’d like to focus on my data. And so what I wanna do is I wanna see patterns. I wanna see patterns that takes my circumstances, my environment, my habits, my treatment over time, and because I think that these patterns are how I formulate the right questions, so the right questions before I go into a clinical encounter. They’re how I track when something is actually working, and it helps me to coordinate across care teams that don’t talk to each other and make decisions that I can live with that help me attain this goal of best health. So that’s the job, formulate better questions, g- seek better answers, make better decisions. And AI is the tool that I try to use to do it. Now, whether it’s up to the task or not is different. I wanna stick in the nursing angle, if you don’t mind- You know, one of the things that I learned the way I got started in nursing is that my goal as a nurse was to put myself out of a job. Steven Labkoff: So that sounds counterintuitive, but what I mean is from minute one with a patient and family, I’m planning my exit. Like, and to do that, I need maximum face time. I need real present, real conversation, real relationships, not less charting. I was gonna say not charting, not documentation, so that’s just ridiculous. Health Hats: But less, you know. The way you do that, I think, is, you know, less charting, less documentation, you know, not hunting through information you can’t find. And that’s where nursing, that’s a genuine promise. So pattern recognition across specific cohorts of patients. So as a nurse, even though I worked a lot of different places, in each place I worked, there was commonalities. In– When I lived in West Virginia and I was an ER nurse in a super rural hospital, if I had had more information about my patients, their families, I could get– an AI could help me surface those patterns that exist for the people that I’m taking care of, I think I could get time back as a nurse. And if the nurse gets time back, then the patient and family gets the presence of the clinician. So that’s the trade that I’m interested in I wanna go back to that thing about pain and fear. I wanna add what I’ve learned working on the blue button, plus I wanna add cognition. So when you think about it, the data almost never captures the variability of pain, fear, and cognition, and those things are really important because pain changes what you can do and what you can decide. Fear closes your heart. It closes your mind. And so when you’re scared in a clinical encounter, you’re not making good decisions. You’re just saying yes to end it. And cognition is, you know, it varies. Like I can absorb better at 10 in the morning on a good day compared to 3:00 in the afternoon when I’m spent. You know, you could extrapolate this to other people. They have their own particular patterns and circumstances. But I think What I’m trying to get at in all of this is it isn’t first about the data, it’s first about what about life and what about the things that are important to people, uh, patients, caregivers, and the clinicians that they partner with, and how can AI help them? Steven Labkoff: So you’ve explained to me in the pre-call that you’re doing some of this work, so maybe you can unpack a little bit about what it is you’re actually doing with it and how it’s helping or, in some cases, not helping those efforts. Health Hats: Well, what have I done? I, I’ve done different things. One of the things that, that I’ve done is to try to build my toolkit. You know? So when I say build my toolkit, I’m a, I’m a, a conglomeration of symptoms. I mean, you know, I’m, I’m not MS, I’m not my symptoms, but they’re big and they’re there, and I feel like I’m trying to, I’m trying to figure out for anything that I have to deal with, whether it’s any of the different kinds of pains I have, my, my anxiety, my bladder, you know, my mobility, I have challenges, and I, I need a toolbox. I need a toolbox, and the way I think is I need at least three things that will work so that when they happen, I got something I can go do, and pretty much the most common thing is drink water. Drink water is by far the most successful intervention across all of my symptoms. It’s kind of amazing. It’s so cheap, so easy. It isn’t the drugs. Okay, but so how do I do that? Well, for me, I’ve done that partially just in my head. Partially I’ve done that by keeping lists. Like, I keep track of the steps I take. I keep track of the amount of time I play music. I keep track of my falls. I keep track of my weight. And so I use digital tools to do that when I can. Steven Labkoff: I also record my clinician visits because- When you say record, do you mean like audio record or dig- Health Hats: Yeah. Yeah, audio record, right. And, uh, until recently I used Abridge, which is a company that, um- Steven Labkoff: How did you get to use Abridge? You– I thought Abridge was only selling basically into doctor’s offices, uh, from the clinician side. Do you- Health Hats: So I was before that. Ah. And they started as a patient-facing product, and actually they sponsored my podcast for three years. So I was pre that. So putting all that together, so I play with, you know, trying to put into Claude There’s nothing magic or special. You know, it’s me playing, just trying stuff. You know, some of it, you know, my wife will say, “Hey,” she sees a pattern. My kids will see a pattern, or I’ll- Steven Labkoff: Give, give, give us an example of what, of what this looks like. I mean, you’re saying you’re giving Claude or another LLM- Yeah … a series of symptoms, or you’re giving it a series of, plus your data. Like, unpack it and let us know. Yeah. What have you did- Okay, so what- … with the system, and how is it working for you? Health Hats: I’ve done a couple of different things. One is, you know, I have a spreadsheet, and I just put the spreadsheet in, you know, as a document or whatever you call it when you have a project and, you know, you load. I load my spreadsheet. I keep a annual summary, and I keep the year that I’m working on. And I will have fits of journaling. You know, I, this is not something that I am, like, super consistent on, but I’ll, especially when I’m struggling with something, if I’m struggling with my blood pressure or I’m struggling with my mood. I have a progressive mobility thing going on, and I’ll put that in and I’ll prompt. I’ll say, “Can you– do you see a pattern in this?” You know, and I’ve gotten, you know, that there’s- Steven Labkoff: Has it given you some insights? Is it… Like, give me an example of some of the insights it’s actually given you that you didn’t see yourself. Health Hats: Well, I’ve gotten, like, uh, it’s kind of humorous. But, but I’ve gotten, like, you know, “Have you thought about seeing a physical therapist?” And I, I have. You know, I have a physical therapist, uh, that I don’t go to very often. You know, my relationship with her is I go for a tune-up. But they’ll– I, I want– It’ll show, like, I’ll do my sort of things are clearly, you know, I’m not walking as far, I’ve fell on a few times, you know, and I’ll get this suggestion, you know. I also– What else have I done? Oh, oh, uh, once I had a medication that I was taking for neuropathy, and I was– my mood had, like, changed considerably and, you know, I got a thing on that might be a side effect. You know, “Have you talked to your doctor about this?” Steven Labkoff: And I- And you got that out of the LLM? You fed that to the LLM? Health Hats: I did. Yeah. Steven Labkoff: And it suggested it was a side effect, which you didn’t figure out. Health Hats: I didn’t. A neurologist said that he thought– He said, “It sounds like you have an allergy to it.” And, you know, he wanted it to be listed as an allergy because he thought it was very possible that he’s had people that have had a problem. Steven Labkoff: When you tell me that you’ve loaded your data, you give the LLM your signs, your symptoms, you give it your labs, you give it what’s in, in the system, and it comes up with a recommendation that you hadn’t thought– Now, you’re a clinician. You’re a nurse. Yeah. You’ve been a nurse for many, many decades. Health Hats: 50 years. Steven Labkoff: 50 years. And does it surprise you that it comes up with stuff that you didn’t see? Health Hats: No. Steven Labkoff: Cause I, to be honest with you- I- … if I, if I did what you just said and it came up with something completely radical that I’d never thought of and it was right- I would be scratching my head and thinking, “Okay, that’s in- that’s beyond interesting. I better pay more attention to this, and maybe I wanna use it differently.” Because not, it’s not just yous using it. Like, people around everywhere are starting to use it for the same, in the same sim- in the same exact way. So that’s the simplification of the medical system, right? Health Hats: It does. I mean, like when I tell my neurologist, he laughs, and he’s like a whatever works kinda guy, you know? That he feels like he doesn’t have all the answers, and that he likes- those stories. I feel like I’ve learned, I think you know Amy Price, right? Steven Labkoff: Yeah, very well. Health Hats: Yeah. We’re buddies. And so one of the things that I’ve learned from her is how to query and how to be skeptical and how to ask questions from different angles, from different perspectives so that you– And that’s why I think that’s where the unexpected comes up. Steven Labkoff: Well, you’re describing something that we did at the conference. I don’t know if you were in the room in the working group that we did this on, but you’re describing, and actually we’re submitting a paper on it very shortly, on AI literacy. Yeah. And you, you didn’t label it as such, but you’re describing yourself as being AI literate and understanding how to use the tools, most importantly, how to be skeptical of the answers, how to interpret the information that’s being presented to you. Health Hats: A- and that, those are all components of literacy, of AI literacy specifically. One of the things I’m finding in my world is that painfully few people are indeed AI literate. Even the folks in IT departments in large life science companies or hospitals who even work in the space and think that they’re good at it and are literate sometimes are not. That has other implications, which are if people are taking on these really impressively powerful tools and they don’t quite know how to use them as well as they should, and if they query them incorrectly, to your point earlier about making good queries, the responses that come out may or may not be the point. And if patients use that information inappropriately because they didn’t know how to ask the right questions to start with, that could have deep implications to the healthcare system. You could say that same thing about doctors. Steven Labkoff: I will say it about doctors. I mean, not about AI, about the advice that doctors give. Health Hats: There’s a, a tremendous variation, and it is very different. When I am feeling good enough to be organized and to be directive in the conversation with a clinician, I get a very different output than when I’m not. And I still have to be skeptical of what doctors tell me, and until I build some trust. And, and then I, you know, then there’s just too many decisions to make when you’re a person with chronic illness. It’s like putting in a kitchen. There’s so many decisions to make, and I’m happy for the doctors that I trust to make the decisions for me. But there are certain decisions I don’t want to give to the doctor or to AI, like I don’t wanna mess with my pathological optimism. I wanna progress as slowly as possible, and I wanna keep playing my horn. These are really important things to me, and I don’t give those decisions that affect that, I don’t give up. But all the rest of it I do, and, and I’ve worked really hard to build the team that I have that appreciates me and my strangeness and my assertiveness, and, you know, they’re not threatened by it. Steven Labkoff: Is your team AI literate? Do they also use the, these same tools in your care? Health Hats: Uh, like I don’t know. I mean, AI literate is like, is huge. You know? I mean, that’s just such a big thing. Do they use AI? Yes. Do I know how they use AI? Well, you know, they use what’s attached to Epic. I know that. Uh, I mean, look, my neurologist, who I just love, he thinks like he uses, he uses the portal well because he takes– he just keeps adding things to the end of the, a note. Yeah. And so he feels like… Well, I don’t find his notes at all useful, and I tell him that. I tell him, “What I really wanna know is, how am I doing? Am I getting better? Am I getting worse? Am I stable? What should I be paying attention to in the next six months till I see you again?” And I can’t find that in his note. That’s true. Yeah. Now, on the other hand, I’ve taken his note and asked Claude and say, “Here’s the note. How am I doing? You know, have I progressed? H-how is he measuring it?” Oh, well, then I find he’s using this scale, right? And it’ll come up with looking through this note, which is like 10 years running, and it’ll find, I can’t remember the name of it, but there’s a scale that he uses. And then we go back and I’ll say to him, “Oh, you’re using this scale.” And he goes, “Yeah.” And I say, “Well, why don’t you like put that at the top of your note?” You know, so that I can find it. You know, so we have that kind of conversation- Yeah … that AI has helped. Steven Labkoff: Well, that’s actually an interesting perspective that AI is helping to reorganize things, ’cause one of the use cases that has been discussed at, at length actually, and it was discussed at our conference, is using AI to digest medical records. Health Hats: And when I say digest, it’s not about like ingesting them, which is slightly different, but digesting, which means find all the different pieces, put them together, come up with a narrative that summarizes perhaps 300 pages of information which may be sparse and may be poorly organized, and bring it all together. And that’s actually a task that AI is actually turning out to be pretty darn good at. And that again changes the nature of the healthcare system and the healthcare journey. You know- And it does a fair job. You say it’s really good at it. So- It’s better than I could do. It’s better than I could do. Well, yes. Well, you’re not– First of all, that’s not your training, and you don’t have the time for it. And you still have to review it. Yeah, of course. Because I have never used AI that gave me a, “Oh, this is great.” I mean, the first time I read it pretty much every time I think it’s amazing. And then, you know, my rule is sleep on it and check it again. And then it’s like, oh my God, this, first of all, it either just said nothing very fancy or it got some very basic things wrong. And then I’ll say, “Oh, you know, you missed this and you missed that.” And it’ll go, “Oh, you’re right, I did.” You know? Steven Labkoff: Well, that also speaks to the concept of keeping a human in the loop- Yeah which is something that you espouse and many folks in the healthcare aisle- I do … espouse. Ironically, you know Adam Rodman, I think. He was at our conference, he spoke. Yeah. Uh, he’s done a study which shows actually having a human in the loop in some cases actually makes the conclusions worse, believe it or not. Ah. Which is w- a non-intuitive finding. You would think that the two together would be better than either one alone, but so that’s, that’s now relatively n- well, it’s not even that new anymore. That information came out about a year ago. So I, we gotta start wrapping up in a few minutes here. Yeah. You know, we didn’t cover the concept around outcomes around your three T’s and two C’s. Maybe we can cover that in the last bit here, and then we can get to closing. Health Hats: Okay. So I feel like one of the questions that you’ve asked is how AI helped, right? And so what I need to tell you is the framework that I’ve developed over the years, which I’ve actually shared in my AI Claude project that’s Danny’s Health, what I call the three T’s and the two C’s, and this is like the framework I use to evaluate any digital health technology. And so they are time, trust, talk, control, and connection. What I mean by that is time is, you know, you need time to learn, to plan, to talk, to build trust. So I say the clock isn’t the enemy, it’s the, the wrong things filling the time, so the, the time. The second is trust. You know, trust can take a really long time. It can happen really quickly. Sometimes you never have it, and you know in your gut when you don’t have it. And most digital health tools, AI, have a trust deficit, I think, not because they’re untru- untrustworthy, which maybe they are, but it’s really because the people who use them, use the tools, don’t, don’t trust them, and I think it’s really important. You c- you can’t shortcut trust in the use of any tool. I think talk is really important. It’s woven through all of it, real conversation. There is nothing like actual conversation that is making decisions together, which is a lot of what healthcare is about, is making decisions. AI can help you prepare for it, and it can help process it. And then control. I trust more when I have power in a situation. So if I’m feeling like an ant ready to be crushed, I’m not making good decisions. And finally, I would say connection is, it’s the human lifeline. You know, when somebody greets you when you cross a threshold, that’s a connection. When someone’s been where you’re going and they can say, “Oh, that helped me.” AI can extend that connection. They can help people find communities that are available at 3:00 in the morning, but you can’t manufacture it. I, I think that connection is really important, so that’s where I g- you know, time, talk, trust, control, and connection, and I use that framework when I’m evaluating. Steven Labkoff: And that framework gives you a better, you know, a how do I say this right? It gives you a, like a rubric, if you will, to go- Yes … through, uh, the information that’s coming out of it. Danny- Yeah … we’re gonna have to wrap up here in a second. Sure. Are there any last comments you wanna make that, that will, you know, help other patients in the, in the space in terms of how they might wanna think about adopting- an AI tool in their world? Health Hats: I think that I would say use it, use AI, keep using it, experiment with it. That, that i- i- just like anything else, it takes time to learn. It takes time to be comfortable with it. Use it. I would say advocate for humans in the loop. I don’t care what the study says. It’s about humans. We are human. Keep it humans in the loop. I would say find a buddy, you know. Do this with somebody else. Find a buddy- That’s good advice … and experiment. I would say, yeah, talk to your clinician about it. It’s a good barometer of a physician. If they don’t wanna talk or blow you off, that tells you something. Absolutely right. And I would say if you’re comfortable with it, mentor. You know- That’s a good idea … be the buddy. And for clinicians and for systems and developers, I would say you need to have patients, caregivers, and practicing partner clinicians in the design. They need to be there from the beginning. And, you know, so i- it solves the problems people have, not the problems that the developers think are there or the venture capitalists thinks are gonna make money. You know, y- and if you have an opportunity, join, you know, participate. Steven Labkoff: All good advice. Well, Danny, I wanna thank you very much for your participation in, in today’s discussion. Hopefully that there are other patients out there who listen to the podcast, they’ll take something away. For the clinicians out there who are listening, you know, you’ve heard it straight out from a patient who happens to be a healthcare provider himself, and he’s got very strong perspectives on how this can be used in a positive and productive way, and I think the framework that he’s put together is very useful. Danny, I wanna just say thank you for all the help that you’ve provided helping this podcast get off the ground. That’s been really incredibly generous of you and your friends who have helped us a lot, and a lot of the things that have happened on our podcast, uh, for improvement’s sake, have come directly from those conversations, so thank you for that. I wanna thank you for being a guest and sharing your journey and sharing your experiences here. And for the rest of us, I’m gonna say thank you for joining us, and we will see you again next time on another episode of Practical AI in Healthcare. Thank you for listening. Thank you for joining us this week on Practical AI in Healthcare. If you’re ready to go beyond buzzwords and hype and explore how AI is truly transforming healthcare, stay tuned for more conversations that get us to what works. Until next time, stay practical Reflection When Steve interviewed me, he didn't know that everything I told him is the origin story of TrustMyOwn.Health. The box of paper. The 296 pages that were technically my data and practically useless. Twenty-five years of a pattern that sat in my chart the whole time, that it took a person, my PCP, a year to put together. Could AI have done it in an afternoon?  I got tired of that being the normal experience instead of the exception. [Add: what specifically prompted starting TMOH, and when.] TMOH starts from a premise I didn't have language for until I said it out loud to Steve: trust isn't a feature you bolt onto a health platform after the engineering is done. It's the whole structure, or the whole thing fails. The three T's and two C's I use to size up any digital health tool turn out to be close to a design spec. Time, because a vault of your whole health history takes patience to build, not a single import. Trust, built into governance rather than promised in marketing; TMOH's Data Sovereignty Covenant binds the board and investors to the same terms as everyone else, which is the only version of trust I believe in. Talk, because the point was never to replace the conversation with my clinician, it was to walk in more prepared for it. Control, because I decide what goes in the vault and who sees it, the same way I decide which of my own decisions I hand to a doctor or an AI and which ones I keep for myself. Connection, which no vault can manufacture, but a good one can make room for. I told Steve that AI found a pattern in my chart that twenty-five years of clinicians missed. That's not really a story about AI being smart. It's a story about who owned the data long enough to ask the question. That's the whole bet behind TMOH: put the owner at the center, and let the rest of the ecosystem, the networks, the vendors, the AI, earn its place around that. See you around the block. Practical AI in Healthcare Episodes https://open.spotify.com/episode/4wA4ltjmZfIZ5VpmTeTTOF?si=KbEvc2_ERNWakJ3JeP2Ddg https://open.spotify.com/episode/0LDetUFJJrSV1cy6LtpGFx?si=qAqoqKBBSNm9PiwPjSIXYA https://open.spotify.com/episode/0wXEm1KnnGorOvTt9GTh7o?si=K_DKXzGyThusBPA6KoVkCg https://open.spotify.com/episode/6krV94ob6Lcv7VNo0qahZ5?si=B6lZDkvsQ9y2Z2FhkXzQGQ Referenced in episode Patient data access history: “Introducing Blue Button Plus: The Next Generation in PHRs” — HealthIT.gov (Office of the National Coordinator for Health IT) — https://www.healthit.gov/blog/consumer/introducing-blue-button/ The “Gimme My Damn Data” campaign Danny references: “Gimme My Damn Data (and Let Patients Help!): The #GimmeMyDamnData Manifesto” — Dave deBronkart, Journal of Medical Internet Research — https://www.jmir.org/2019/11/e17045/ Amy Price, mentioned as a mentor in questioning and skepticism: “Welcoming Dr. Amy Price as Editor-in-Chief” — Society for Participatory Medicine — https://participatorymedicine.org/2024/welcoming-dr-amy-price-dphil-as-the-editor-in-chief-for-the-journal-of-participatory-medicine/ AI literacy for patients, the concept Steve names in the episode: “Critical AI Health Literacy as Liberation Technology: A New Skill for Patient Empowerment” — National Academy of Medicine — https://nam.edu/perspectives/critical-ai-health-literacy-as-liberation-technology-a-new-skill-for-patient-empowerment/ Human-in-the-loop research Danny and Steve discuss (Adam Rodman): “AI and the Evolution of Medical Thought with Dr. Adam Rodman” — NEJM AI Grand Rounds (podcast) — https://ai-podcast.nejm.org/e/ai-and-the-evolution-of-medical-thought-with-dr-adam-rodman/ Abridge, the ambient AI scribe tool Danny mentions using: “Pioneers in Generative AI for Healthcare” — Abridge — https://www.abridge.com/about The DCI Network conference where Danny met the hosts: “About DCI Network” — DCI Network, Beth Israel Deaconess Medical Center — https://www.dcinetwork.org/about-us Please comment and ask questions: at the comment section at the bottom of the show notes on LinkedIn  via email YouTube channel  DM on Instagram, TikTok to @healthhats Substack Patreon Production Team Kayla Nelson: Web and Social Media Coach, Dissemination, Help Desk  Leon van Leeuwen: editing and site management Oscar van Leeuwen: video editing Julia Higgins: Digital marketing therapy Steve Heatherington: Help Desk and podcast production counseling Joey van Leeuwen, Drummer, Composer, and Arranger, provided the music for the intro, outro, proem, and reflection Claude, Perplexity, Auphonic, Descript, Grammarly, DaVinci Resolve, DaVinci AI Art Generator, OpenArt AI Creator Studio Inspired by and Grateful to: Steve Labkoff, Leon Rosenbilt, Amy Price, Leon and Oscar van Leeuwen, Laura Marcial Artificial Intelligence in Podcast Production Health Hats, the Podcast, utilizes AI tools for production tasks such as editing, transcription, and content suggestions. While AI assists with various aspects, including image creation, most AI suggestions are modified. All creative decisions remain my own, with AI sources referenced as usual. Questions are welcome. Creative Commons Licensing CC BY-NC-SA This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:    BY: credit must be given to the creator.   NC: Only noncommercial uses of the work are permitted.    SA: Adaptations must be shared under the same terms. Please let me know. dannyhealthhats@gmail.com  Material on this site created by others is theirs, and use follows their guidelines. Disclaimer The views and opinions presented in this podcast and publication are solely my responsibility and do not necessarily represent the views of the Patient-Centered Outcomes Research Institute®  (PCORI®), its Board of Governors, or Methodology Committee. Danny van Leeuwen (Health Hats)

Aujourd'hui, Sandrine Pégand, avocate, Emmanuel de Villiers, entrepreneur, et Abel Boyi, éducateur, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Témoignage de Jeanne et Mathieu de la Touche

Aujourd'hui, Charles Consigny, avocat, Joëlle Dago-Serry, coach de vie, et Ophélie Roque, prof de lettres et essayiste, débattent de l'actualité autour d'Olivier Truchot.

Aujourd'hui, Charles Consigny, avocat, Jean-Loup Bonnamy, professeur de philosophie, et Fatima Aït Bounoua, professeure de français, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Aujourd'hui, Charles Consigny, avocat, Jean-Loup Bonnamy, professeur de philosophie, et Fatima Aït Bounoua, professeure de français, débattent de l'actualité autour d'Olivier Truchot.

Le conseil du jour, c'est une minute pour prendre du recul, respirer, et avancer un peu plus sereinement dans votre travail. Un conseil simple, concret, applicable dès aujourd'hui. Un format court de Happy Work, par Gaël Chatelain-Berry.NOUVEAU : retrouvez moi sur WhatsApp sur la chaîne Happy Work... pas de spam, c'est gratuit et il n'y a que du feelgood !!! : https://whatsapp.com/channel/0029VbBSSbM6BIEm0yskHH2gEt pour retrouver tous mes contenus, tests, articles, vidéos : www.gchatelain.comSoutenez ce podcast http://supporter.acast.com/happy-work. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Jérôme Rothen se chauffe contre un autre consultant, un éditorialiste ou un acteur du foot.

Aujourd'hui, Barbara Lefebvre, prof d'histoire-géographie, Fatima Aït Bounoua, prof de français, et Abel Boyi, éducateur, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Aujourd'hui, Barbara Lefebvre, prof d'histoire-géo, Fatima Aït Bounoua, prof de français, et Abel Boyi, éducateur, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Pascal Praud revient pendant deux heures, sans concession, sur tous les sujets qui font l'actualité. Vous voulez réagir ? Appelez le 01.80.20.39.21 (numéro non surtaxé) ou rendez-vous sur les réseaux sociaux d'Europe 1 pour livrer votre opinion et débattre sur les grandes thématiques développées dans l'émission du jourVous voulez réagir ? Appelez-le 01.80.20.39.21 (numéro non surtaxé) ou rendez-vous sur les réseaux sociaux d'Europe 1 pour livrer votre opinion et débattre sur grandes thématiques développées dans l'émission du jour.Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

In this episode of In-Ear Insights, the Trust Insights podcast, Katie and Chris discuss the release of Microsoft Copilot Cowork and its hidden financial implications for your business. You’ll learn how to calculate potential costs by categorizing your daily tasks into light, medium, and heavy workloads. You’ll discover how to apply the 5P framework to prevent runaway AI spending in your organization. You’ll identify specific strategies to optimize your workflows by separating planning from execution. You’ll explore how command-line tools can help you maintain efficiency without burning through expensive credits. 00:00 – Introduction 03:15 – Categorizing AI tasks 08:45 – The shock of the credit-based bill 14:20 – Applying the 5P framework for cost control 19:10 – Using planning to save money 25:30 – Call to action Watch this episode now to learn how to keep your enterprise AI costs under control before you start using Microsoft Copilot Cowork. Use the free Trust Insights Microsoft Copilot Cowork Cost Calculator! Watch the video here: Can’t see anything? Watch it on YouTube here. Listen to the audio here: https://traffic.libsyn.com/inearinsights/tipodcast-how-to-manage-microsoft-copilot-cowork-costs.mp3 Download the MP3 audio here. Need help with your company’s data and analytics? Let us know! Join our free Slack group for marketers interested in analytics! [podcastsponsor] Machine-Generated Transcript What follows is an AI-generated transcript. The transcript may contain errors and is not a substitute for listening to the episode. Christopher S. Penn: In this week’s In-Ear Insights, let’s talk about the newly generally available Microsoft Copilot Cowork, which is a licensed version of Claude Cowork. So Katie, you have spent a lot of time with Claude Cowork. You teach for Smarter X for their AI Academy on all the different uses of Claude Cowork. You’ll be doing an entire workshop at the Marketing AI conference on the Claude ecosystem and stuff like that. So when you hear that now Microsoft, the largest enterprise AI deployment system, has made effectively a copy of Claude Cowork available, what comes to mind? Katie Robbert: Endless opportunities. I have never met someone who is like, “Yay, Microsoft.” And we’ve talked about why a lot of companies are tied into Microsoft and a lot of it comes down to security and privacy. Chris, you have a whole series on enterprise AI, so enterprise AI not being the size of the company, but really more of the security and governance requirements needed. Microsoft as a workforce software, Microsoft 365, tends to check the most of those boxes, which is why so many large companies or companies in general tend to be tied into Microsoft. Which also means what we hear is, “Well, I can’t use Claude or I can’t use OpenAI, I can only use Copilot. I want all the bells and whistles that I’m seeing you guys talking about.” Very quick anecdote. My husband, who I’ve mentioned numerous times, is not a technology person—that is not the nature of his job—was lamenting that the new version of Microsoft is hiding all the replies to his emails from the entry-level user to the expert user. I don’t know anyone who enjoys using Microsoft, but I’m hoping now that this little bell and whistle is something that could bring people around on the users. Because Claude Cowork has been such a literal game changer for the way that I operate. The amount of things that I can get done that I couldn’t get done before because I’m just one person is infinite. Just the other day, I’ve always done the company financial projections—it’s very laborious. I have a spreadsheet, I have to check numbers from four or five different places. That’s something that Cowork can now not only help me with, but build an interactive dashboard for. And it’s like, “Yeah, you got multiple data sets, I got this, I can build that for you.” The amount of time it saves me is immense because it unlocks my time to do things like, “Hey, what’s a new target market we need to go after? What does that look like?” I didn’t have the brain space to do that before because I was so bogged down. So when I hear that Microsoft now has their version of Cowork, I’m like, “Wow, people are going to get so much done if they want to, if they see the opportunities within the software, if they’re curious.” Christopher S. Penn: If they can afford it. So that’s what I want to talk about on today’s show because Microsoft has released an Excel spreadsheet, of course, a calculator for how much Cowork will cost you because it is pay-as-you-go, it is not flat rate. So let’s talk about some of the tasks that you do, Katie. They define tasks in three categories: light, medium, or heavy. A light task is basically prompt and chat, no tool calls, one deliverable. And they classify this by the four different categories: corporate knowledge workers, customer-facing knowledge workers, technical workers, and managers and senior leaders. Now I would say that you are a manager and senior leader—I think that’s who you are, what you do. I am a technical worker. We have Kelsey who is a customer-facing knowledge worker—she’s our account manager—and we have John who is our corporate knowledge worker. John is our head of business development. So we actually check the box on each of these Cowork types of people. Now on a daily basis, Katie, you for sure have at least one Cowork process that calls more than one tool because you send out a daily update. So you have at least one of those that’s a medium-level task that sends up our daily sales report. What other daily tasks do you have Coworks have to do? Katie Robbert: I have Cowork Daily set up to send me a daily writing prompt. All it’s doing is writing to a Word document. I would imagine that’s a lightweight task. Basically, one of the things that I’m doing for my own professional development is I’m trying to make sure I don’t lose that writing muscle. As AI makes it so easy to replicate our voices, I want to make sure I don’t lose it. So I spend a few minutes every morning writing to a randomly generated prompt. So I would imagine that’s a lightweight thing. You mentioned the update that I send to the team. This is calling on our CRM data, and that I would imagine is sort of a medium because that’s only one piece of software. But once a month, I’m calling on our CRM and our financial data and a couple of other sources, so that would be a heavy task. So on a day-to-day basis, the scheduled tasks that I have are fairly lightweight. But then when I get into the real thinking, that’s when—so I was working on something this morning on behalf of the team. I was engaging a plug-in, I was engaging the Google Drive connector, I was engaging the Google Search connector, I was engaging that deep thinking of “put all this information together,” and all of the skills that are involved: the skill of building a Word doc, the skill of building a PDF, the skill of building an HTML interactive page, the skill of building a PowerPoint—all of those in one specific task. So I would say that is a heavy task, even though it looks at the surface like a lightweight task. Christopher S. Penn: I would say, and I think this is a fair characterization, you probably do two heavy projects a day in Cowork because you’re constantly doing deep strategy and things. So I’m going to put two a day—this is a monthly calculus—put down 60 there. Now for Kelsey, I would say Kelsey at least does at least one light and one medium task in Claude per day. I think it’s actually more than that, but I’m going to put that down as a starting point. What do you think? Katie Robbert: I think that’s a fair starting point. Christopher S. Penn: Okay. For me, I work in Claude code, which is slightly different, but since we’re just trying to get a sense of what Cowork will cost, I’m going to do the equivalent. On a day-to-day basis, I probably do five tasks that are light, so that’s going to be 150 of those a month. I probably do 10 tasks that are medium, so that’s going to be 300 a month. And I probably—actually, I know I do over 10 tasks a day that are heavy, that are like pure heavy code lifting. So that’s going to be another 300 there for John. John really doesn’t use Claude much at all, I don’t think. So maybe like 30 at most. Katie Robbert: Yeah, I think so. We have a skill that was built specifically with his role in mind, and he runs it maybe once every couple of weeks. When I look at the weekly tasks—so this is looking at a month at a glance—I would actually bump up the medium tasks for me because I have weekly reports that are run that engagement, the Claude Chrome extension, the connections to our CRM, connections to our project management software. I have eight of those weekly. Christopher S. Penn: Okay, so you’re basically running two mediums a day. Effectively. Katie Robbert: Yeah. Christopher S. Penn: Claude or Microsoft Copilot Cowork bills on what are called credits because why make this easy? Light tasks bill 125 credits, medium tasks bill 500 credits, and heavy tasks bill 1,200 credits. The cost is a penny per credit. So our Microsoft Copilot Cowork cost—are you ready for this, Katie? $1,600 a month. Katie Robbert: Get out. We’re going back to candlelight and whittling pencils. Christopher S. Penn: That is because it’s a penny per credit, which they do to make it sound cheap, not realizing that a single heavy task is 1,200 credits. So a single task is $12. So for me to do one QA run on a piece of software is swipe the credit card for $12. On a monthly basis, we are consuming effectively 657,000 credits, which is $6,570 total, all in. It’s $1,600 per user. So Katie, our Trust Insights Copilot Cowork bill is $6,570. Katie Robbert: I have no words. That is insane. And to be fair, so you and I, Chris, I would say are power users. We are turning to these tools to do all kinds of things all day long. Even with trying to do things and schedule them off-hours to not be during peak usage, we’re still using up usage. And yeah, we are a small team. If we take out the work that Kelsey does just for the sake of this example, you and I are still eating up the majority of the cost. If we take out you, I’m still eating up a majority of the cost. I don’t know how a company or team is supposed to be able to afford to use this. It’s a real bait and switch. Shame on Microsoft. Christopher S. Penn: Well, this is enterprise. They can do this. Katie Robbert: Yeah, they can. It doesn’t mean they should. Christopher S. Penn: So your usage, because a credit is a penny, your usage of Copilot Cowork a month would be $1,057.50. That is how much you consume in equivalent credits in the system. Now granted, we pay for the four of us to share a Claude Max 20 account; we pay $200 a month for it. This at the enterprise level, you’re talking four people, $1,600 for four people, one of whom barely will use it. Realistically, like you said, we’re probably going to average $3,000 an employee is what it will cost to use Cowork. Katie Robbert: Which is an insane amount. For some companies that don’t even blink at that, but that’s a very small handful of companies who would feel that way about $3,000 a month. One of the things that we’re doing with a lot of our clients right now is trying to help them find cost savings in their tech stack—like how many tools can they reduce or licenses they can let go of and replace with things like Claude Code or Claude Cowork. But if they’re like, “Yeah, I want to do that exercise,” and what I have is Microsoft Cowork, I would say, “Cool, we’re not doing that exercise until Microsoft changes the billing,” because it’s going to cost you 10x more than it’s costing you now. It’s not worth it. Which is a real shame because Microsoft users have been waiting for this kind of functionality. Christopher S. Penn: And so what I wanted to talk about on today’s podcast episode, now that we’ve worked out that this thing is going to cost you three grand a month—because one of the things that people have pointed out on LinkedIn is, “Oh great, you fired all these people so you can switch to AI; now AI is going to cost you more than the people did”—is how do we reduce AI costs? How do we use AI more efficiently? Because this is clearly a lot of money. Katie Robbert: If only we had a few things to start with. I’m going to shock and dazzle everyone and say, “Guess what? Start with the 5P framework by Trust Insights.” You can learn more about it at TrustInsights.ai/5P-framework. At a high level, the five Ps are: Purpose—what the heck are you doing? People—who the heck’s involved? Process—how do you do the thing? (These are your SOPs). Platform—what tools are you using? (Not just the AI, but also your external data sources). And Performance—did you do the thing? It sounds really straightforward because it is. However, a lot of people go straight to pushing the buttons and “vibe coding” and, “Hey, build a thing.” “What do you want it to be?” “I don’t know, you pick.” Without doing this work up front, yeah, you’re going to find yourself at $650,000 a month very quickly. There is no tool that allows you to skip over good planning upfront, good governance up front. Microsoft Cowork is no different from any other large language model in that you still need to have good requirements, you still need to have good prompting, you still need to have good governance, even if you’re just using it internally on your own systems. Enterprise companies, any company, has sensitive data somewhere within their SharePoint stack, within their databases, their document repositories. You don’t want to accidentally or carelessly give a large language model access to that because you didn’t plan ahead. So that’s my soapbox. I’m coming down off of it. Chris, what would you add to how to make AI efficient? Christopher S. Penn: So planning, yes, 100% is going to make the most of the tools you have. The other question is, given these outlandish costs, is Microsoft the right system for you to use? Because Claude in Anthropic’s enterprise level is just as expensive. Companies have recently seen their burn through their entire Claude usage for the year, their budget in weeks. I think it’s Uber that burned their 12-month budget in a month and a half in terms of their token budget. So when we look at these prices, Katie, you remember a while back I had said, “Hey, Nvidia’s got this cool little desktop box. It’s $5,000.” You’re like, “You’re not buying $5,000 worth of hardware.” Absolutely not. Now if Microsoft or Anthropic said, “Hey Katie, you need to pay us $6,500 a month,” you’d be like, “You know what, Chris, go and buy one of those boxes; let’s buy one for each of the team and we’re going to drop Anthropic because we are not paying $6,500 a month for AI.” Right? Katie Robbert: You know, and so it’s an interesting question because where we started the conversation was saying there’s a reason why people are wedded to using Microsoft because of the security and privacy. I don’t know that introducing an Nvidia box would comply with the regulations set forth by that company. I mean, that’s a big question. It’s an interesting workaround, but it’s not going to work for everybody, especially the more regulated the industry gets. It just might not be an option. Christopher S. Penn: Yeah, it’s going to very heavily depend on IT. However, because it lives literally in your infrastructure, you do have a lot more governance over it because it’s literally a box that sits on your desk that you control. But more importantly, today’s top local models match a lot of the cloud foundation models and capabilities. GPU AI’s new GLM 5.2 matches Claude Opus 4.8 capabilities. Now you’re going to need a few of those Nvidia boxes to be able to load and run it well for a small cluster of employees. But for the lighter models like Qwen 3.6 or Google’s Gemma 4 if you have to, or Nvidia’s Neotron Ultra if you have to use a US-based model because of regulatory reasons—like you’re not allowed to use anything Chinese, regardless of the fact that it’s on your infrastructure—those are options that you would then use a tool like Open Cowork to handle the inference for it. So my suggestion is that to Katie’s point, use the 5Ps and then drill down and say, “What are the things that we absolutely positively have to use Cowork for?” Or can we make that task as deterministic as possible using command-line tools and stuff that do not require AI? So for example, Katie, when you query HubSpot every day with Claude Cowork, that is using the MCP connector that uses a ton of tokens back and forth. Now we don’t see it because we’re on an individual plan. The moment we’re forced to switch to a team or an enterprise plan, we will say, “Okay, we’re going to use the HubSpot command-line tool which can fetch data in and out.” And then the AI just says, “Hey tool, give me the thing,” and it goes off and does the back and forth and brings the data back and hands it to the AI. That will dramatically cut the amount of AI usage you have because a non-AI tool is getting data for you. Katie Robbert: As you’re describing it, I want to sort of make sure I understand because you’re making it sound like it’s an easy switch from the process that I currently have built in Cowork to, “Okay, just use a command-line tool.” I’m not someone who’s well-versed in command-line tools. You’re someone who is. However, you have your own set of things to do right now. So it’s time. It’s internal resources to make those switches to make the cost savings. I just want to be clear about that; it’s not a, “Oh well, in order to save money, let me just go ahead and use a command-line tool.” Like you still have to set it up. Christopher S. Penn: Yes, and corporate IT will be very busy doing that. However, corporate IT also likes us because they can then govern it. They can say, “Okay, we will ensure that this suite of 10 command-line tools is installed on every computer in the company, and there’s a joint service key that we can maintain programmatically and rotate every 30 days and stuff like that.” So that infrastructure, which corporate IT is very well-versed in, is going to be much happier with that than kind of like the whole shadow IT where people are like, “Oh, I’ll just have Claude make me this thing.” No, they would much rather say, “I would like to have control over the command-line tools that are installed on every machine in the company.” Katie Robbert: So work that out. You’ve worked with IT teams before. How likely is it that they’re going to—if you say, “Hey, I would like to have control over the command-line tools on every machine in the company,” they’re like, “Yeah, sure, Chris, no problem. Let me bump you to the top of the list. You’re a priority now.” I think you’re going to have a hard time. Like, we see the value in it, we know that it’s a useful thing. I just want to be realistic, and I’m trying not to derail the conversation too much, but I just want to be realistic that, like, yes, that’s the thing. If you have the skills to do it and if you don’t have to go through your IT team to do it, absolutely do it. If you have to go through your IT team and they have to set it up, get comfy, get in line; you’re not a top priority right now. Christopher S. Penn: Yeah, well, my perspective is IT would want to do that. It would be like, “We would love to have more control over this to stop the shadow IT that’s happening all over the place because of AI.” So IT in its MDM config would say, “Okay, these are the 10 tools that we’re going to drop on every machine, and we’re going to also programmatically alter your Claude MD files and stuff to tell Claude this is what’s installed. You must use it so that it cuts those costs.” And IT can then say, “We certify these 10 command-line applications are safe to use.” Katie Robbert: Provided it has the time to get skilled up to do that. So yeah, I like to make sure that we’re very clear about caveats because in the 25 to 30 minutes we have for a podcast, we go through things like “do this, do this,” and then it’s, “Well, what do you mean? It said no.” So let’s get back to—Microsoft has started to release Cowork, their version of Cowork, and we’re talking about AI efficiencies. When you think about starting places for someone who’s using Microsoft, someone who’s using their Cowork version, what is the first thing you think somebody should do before they start burning tokens or usage or spending pennies? Christopher S. Penn: The five Ps, the planning, and build all of your prompts and all of your infrastructure for Cowork in regular Copilot, because regular Copilot is very smart. Now in regular Copilot, if you go in the upper right-hand side, there’s a little menu, a little drop-down saying “models,” and you should choose for planning. Choose GPT 5.5, soon to be 5.6—”think deeper,” that’s the smartest model that’s available. And say—and that’s where you have your conversation like, “Oh, I want to do this in Cowork. I don’t want to do this, I want to do this. Help me figure this out. Ask me questions. Let’s plan this out. Here’s the Trust Insights 5P framework. Help me use this to come up with these plans.” So you do all of your planning and all that heavy token usage in regular Copilot to build the skills and the pieces that you can then drop into Cowork, so you don’t have to use Cowork to plan because Cowork is going to chew up your usage. That way, if you can use regular Copilot, it should be a little bit lighter on your budget. Katie Robbert: And I think one of the questions that you should add into your planning is, “Can I do this in Copilot or do I need Cowork for this?” And you know, I want you to use your human judgment, but it would be a good idea to ask the large language model like, “Do you have the capabilities to do this within Copilot or do I need to bring this into Cowork to actually execute it?” Because you may be surprised. You know, to Chris’s point, the models are getting smarter every day. And so you may not need to execute what you think you need to execute in Cowork; you may be fine with using Copilot. Yes, I get it’s not as shiny and as exciting, but you know what’s also not exciting? Being told you owe the company $60,000. That’s not exciting. Christopher S. Penn: Exactly. Even for something like scheduled tasks—Microsoft Copilot tasks are scheduled tasks—so if it’s not something that needs Cowork’s horsepower, that will obviously keep you from chewing up those extra credits over there. Katie Robbert: Yeah, and I think that’s a good best practice for a lot of these tools, you know? So can you do your planning in Claude Chat before bringing it into Cowork? Can you do your planning in Gemini before bringing it into their version of whatever that is? And that’s just a good best practice for efficiency in general. Christopher S. Penn: Yeah, I mean, when I do my planning for even software builds and stuff like that, the first thing I do is I have a master planning prompt. It’s actually a skill that incorporates the 5P framework by Trust Insights. And so I have the model ask me questions from the 5P framework: “What are you doing? Who’s it for? How should it work? What are the additional command-line tools that we should be using? What is the definition of done?” And all of that is stuff that if I don’t dictate it out loud, it knows to ask me for it. So I can plan first, and then the language model rebuilds the prompt into something that meets all of those conditions and produces a really solid output that I can then go use to build requirements documents and all the stuff. You will save so much time and money by investing more heavily in planning up front, and you can then hand off the execution of the plan to a very small, fast model. Katie Robbert: And I think that’s a really good pro tip. And I just want to give a small plug—you can actually download, we have for sale in our academy at Academy.TrustInsights.ai, a “prompt-to-skill.” So basically, as Chris was just describing, he has a specific process for building those requirements. This prompt-to-skill will help you do that and get more efficient at building those requirements. And then what you may find that you have is a reusable template, and it makes that even more efficient. So start with that. Go to Academy.TrustInsights.ai, purchase the prompt-to-skill—it’s very awkward to say that—and then start building out those requirements before you bring it into something like Cowork. And you’re going to save yourself a lot of time and money, and people are going to be like, “Wow, you did that really fast. How did you do that?” And you’ll be like, “I don’t know, I’m just that good.” But in the back of your mind you’re like, “I use the 5P framework by Trust Insights. It got me there faster.” Christopher S. Penn: Exactly. So Copilot Cowork from Microsoft is now generally available. Before you type one character into it, please take the time to use the 5P framework by Trust Insights. Take the time to understand what your company has budgeted. Take the time to understand what tasks fall in each category, and as best as you can, try to reserve it for the things that truly need Cowork’s capabilities. And don’t just make it the default. If you’ve got some thoughts about the new Microsoft Copilot Cowork that you want to share, pop by our free Slack group. Go to TrustInsights.ai/analytics-for-marketers where you and over 4,700 other marketers are asking and answering each other’s questions every single day. And wherever it is you watch or listen to the show, if there’s a channel you’d rather have it on instead, go to TrustInsights.ai/TI-Podcast. You can find us in all the places fine podcasts are served. Thanks for tuning in. We’ll talk to you on the next one. Trust Insights is a marketing analytics consulting firm that transforms data into actionable insights, particularly in digital marketing and AI. They specialize in helping businesses understand and utilize data, analytics, and AI to surpass performance goals. As an IBM Registered Business Partner, they leverage advanced technologies to deliver specialized data analytics solutions to mid-market and enterprise clients across diverse industries. Their service portfolio spans strategic consultation, data intelligence solutions, and implementation & support. Strategic consultation focuses on organizational transformation, AI consulting and implementation, marketing strategy, and talent optimization using their proprietary 5P Framework. Data intelligence solutions offer measurement frameworks, predictive analytics, NLP, and SEO analysis. Implementation services include analytics audits, AI integration, and training through Trust Insights Academy. Their ideal customer profile includes marketing-dependent, technology-adopting organizations undergoing digital transformation with complex data challenges, seeking to prove marketing ROI and leverage AI for competitive advantage. Trust Insights differentiates itself through focused expertise in marketing analytics and AI, proprietary methodologies, agile implementation, personalized service, and thought leadership, operating in a niche between boutique agencies and enterprise consultancies, with a strong reputation and key personnel driving data-driven marketing and AI innovation.

Aujourd'hui, Zohra Bitan, fonctionnaire, Fatima Aït Bounoua, prof de français, et Didier Giraud, agriculteur en Saône-et-Loire, débattent de l'actualité autour d'Alain Marschall.

durée : 00:54:55 - Les interviews d'Inter - par : Victoria Koussa - Thomas Ménagé, député du Loiret et porte-parole du groupe Rassemblement national à l'Assemblée nationale, est l'invité de Questions politiques ce dimanche. Une émission présentée par Victoria Koussa avec Neila Latrous (France Télévisions) et Françoise Fressoz (Le Monde). - équipe : Fabienne Le Moal - invités : Thomas Ménagé Homme politique français Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

durée : 00:54:55 - Questions politiques - par : Victoria Koussa - Thomas Ménagé, député du Loiret et porte-parole du groupe Rassemblement national à l'Assemblée nationale, est l'invité de Questions politiques ce dimanche. Une émission présentée par Victoria Koussa avec Neila Latrous (France Télévisions) et Françoise Fressoz (Le Monde). - équipe : Fabienne Le Moal - invités : Thomas Ménagé Homme politique français Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Chéri, je la vois performer pour la première fois en 2019. Quasiment 7 ans plus tard, Chéri est au micro de deadline et nous parle de son histoire. Elle nous raconte comment elle a trouvé sa voix très jeune puis la littéralement perdue. On parle de transition de genre, de précarité, de perdre un proche et de vivre sa vie comme on l'entend. Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Aujourd'hui, Sandrine Pégand, avocate, Jean-Loup Bonnamy, professeur de philosophie, et Abel Boyi, éducateur, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Organisée pour la première fois sur trois pays et avec un format inédit de 48 équipes, la Coupe du monde 2026 marque une rupture économique majeure. Derrière l'augmentation du nombre de matchs, la Fifa fait évoluer son modèle publicitaire en s'appuyant sur les géants de la tech, l'intelligence artificielle et les plateformes numériques pour générer de nouvelles sources de revenus. La Coupe du monde 2026 sera celle de tous les records. Organisée aux États-Unis, au Canada et au Mexique, elle réunira 48 équipes et comptera 104 matchs, contre 64 lors des éditions précédentes. Soit près de 65% de contenu supplémentaire à monétiser. Pendant des décennies, le modèle économique de la Fifa reposait sur trois piliers : la vente de billets, les droits télévisés et les revenus issus des sponsors traditionnels grâce aux panneaux publicitaires autour des terrains. Ce modèle reste d'actualité, mais il évolue rapidement pour s'adapter à une compétition devenue plus grande et plus coûteuse. Cette transformation se traduit notamment par l'arrivée de nouveaux partenaires issus de la technologie. Lenovo, Google, TikTok ou encore YouTube ne se contentent plus d'acheter de la visibilité. Ils fournissent également des infrastructures numériques, des services technologiques et des outils d'intelligence artificielle qui participent directement au fonctionnement de la compétition. Des sponsors qui ne vendent plus seulement leur image mais aussi leurs technologies Aujourd'hui, payer plusieurs millions d'euros pour afficher son logo pendant 90 minutes autour d'un terrain ne suffit plus. Les entreprises technologiques cherchent désormais à proposer des services qui améliorent l'expérience des spectateurs et des organisateurs. L'exemple de Lenovo illustre parfaitement cette évolution. Pour la Coupe du monde 2026, le groupe déploie près de 10 000 équipements informatiques et mobilise plusieurs centaines d'ingénieurs afin d'accompagner l'organisation de l'événement. Pour la Fifa, cette stratégie présente un double avantage. D'une part, ces entreprises contribuent au financement de la plus grande compétition de football au monde. D'autre part, elles permettent de créer de nouvelles sources de revenus liées aux usages numériques qui n'existaient pas il y a encore quelques années. Les habitudes de consommation ont profondément changé. Les supporters ne regardent plus seulement un match à la télévision. Ils commentent les actions sur les réseaux sociaux, consultent les statistiques en direct sur leur smartphone ou visionnent les ralentis sur TikTok. Cette multiplication des écrans ouvre de nouvelles opportunités commerciales pour les annonceurs comme pour la Fifa. Le supporter devient une donnée économique et chaque contenu peut être monétisé Cette évolution transforme également le rôle du spectateur. Il n'est plus seulement une audience, mais devient une source de données permettant de personnaliser les campagnes publicitaires. Grâce à l'ultra-personnalisation, les annonceurs peuvent cibler beaucoup plus précisément les consommateurs qui les intéressent. Un jeune supporter sénégalais, par exemple, pourra recevoir sur son téléphone des publicités adaptées à sa région, à ses habitudes de consommation ou à ses centres d'intérêt, alors même qu'il regarde le même match qu'un supporter européen ou américain. Au fond, un match de football de 90 minutes n'est plus le seul produit commercialisé. Il devient le point de départ d'un écosystème beaucoup plus vaste où chaque extrait vidéo, chaque ralenti, chaque publication sur les réseaux sociaux ou chaque contenu diffusé avant et après la rencontre peut générer des revenus. Les recettes de la Fifa ne proviennent donc plus uniquement des chaînes de télévision qui diffusent les matchs, mais également des plateformes numériques qui exploitent les extraits et les contenus associés. L'objectif est clair : augmenter les revenus de la compétition en répondant aux nouveaux usages des consommateurs et en allant chercher la valeur là où se trouve désormais l'attention du public. La Coupe du monde 2026 pourrait ainsi marquer l'entrée définitive du football dans l'économie des plateformes numériques, où la donnée et l'expérience utilisateur deviennent presque aussi importantes que le spectacle sur le terrain.

durée : 00:04:11 - Les Matins de France Culture - Mettant en avant la baisse démographique des élèves, le ministère de l'Éducation a décidé de supprimer 4 000 postes d'enseignants l'an prochain. Soit des milliers de fermetures de classes dans le pays. La Seine-Saint-Denis sera l'un des départements les plus touchés. Reportage à Aubervilliers. - équipe : La Rédaction de France Culture, Caroline Bennetot, Éric Chaverou Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

(Ps 96 (97), 1-2, 3-4, 5-6, 7.10ab)R/ Que le Seigneur soit votre joie, hommes justes ! (Ps 96, 12a)Le Seigneur est roi ! Exulte la terre !Joie pour les îles sans nombre !Ténèbre et nuée l'entourent,justice et droit sont l'appui de son trône.Devant lui s'avance un feuqui consume alentour ses ennemis.Quand ses éclairs illuminèrent le monde,la terre le vit et s'affola.Les montagnes fondaient comme cire devant le Seigneur,devant le Maître de toute la terre.Les cieux ont proclamé sa justice,et tous les peuples ont vu sa gloire.Honte aux serviteurs d'idoles qui se vantent de vanités !À genoux devant lui, tous les dieux !Haïssez le mal, vous qui aimez le Seigneur,car il garde la vie de ses fidèles.Retrouvez tous nos contenus, articles et épisodes sur rcf.frSi vous avez apprécié cet épisode, participez à sa production en soutenant RCF.Vous pouvez également laisser un commentaire ou une note afin de nous aider à le faire rayonner sur la plateforme.Retrouvez d'autres contenus de vie spirituelle ci-dessous :Halte spirituelle : https://audmns.com/pMJdJHhB. A. -BA du christianisme : https://audmns.com/oiwPyKoLe Saint du Jour : https://audmns.com/yFRfglMEnfin une Bonne Nouvelle : https://audmns.com/afqCkPVConnaître le judaïsme : https://audmns.com/VTjtdyaEnfin, n'hésitez pas à vous abonner pour ne manquer aucun nouvel épisode.À bientôt à l'écoute de RCF sur les ondes ou sur rcf.fr !Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

En RDC, le changement de Constitution proposé par le pouvoir provoque une vive réaction de l'opposition, qui y voit une manœuvre du président Tshisekedi pour faire un troisième mandat. Vendredi à Kinshasa, une manifestation de la coalition « Article 64 » s'est terminée par des affrontements. Quatre leaders de l'opposition ont été blessés. Parmi eux, il y a Delly Sesanga, qui a été ministre du Plan de 2003 à 2006 et qui préside aujourd'hui le parti Envol. En ligne de Kinshasa, il témoigne au micro de C. Boisbouvier. RFI : Vous avez été blessé lors de la manifestation du 12 juin à Kinshasa. Qu'est-ce qui vous est arrivé ? Delly Sesanga : Nous avons été ciblés par les escadrons envoyés par le régime qui a visé le leadership de la C64, pour décourager le peuple, comme ils ont peur du peuple congolais. Ils ont voulu désamorcer la mobilisation et la démonstration que l'on voulait faire devant le Palais du peuple. Et donc, il y a eu ce tir qui m'a atteint dans mon intégrité physique et qui a conduit à une incapacité à ce jour. Une sonde m'a été placée et je suis mis au repos pour au moins une dizaine de jours. Alors vous dites que vous avez été touché par un tir. Un tir de quoi ? Ce que je sais, c'est que le premier engin, qui a atterri entre mes jambes et qui visiblement faisait l'objet d'un tir ciblé, est un engin à déflagration. Parce que quand il est arrivé, il a éclaté et on a eu des éclats dans les jambes qui faisaient très mal. Et le deuxième, ça a été un tir d'une balle qui m'a éraflé au bas-ventre et a touché mes appareils urinaires et ainsi de suite. Ce qui a nécessité les soins que je subis aujourd'hui. Et savez-vous qui a tiré ces deux projectiles sur vous ? Nous avions en face de nous une police qui était accompagnée des Forces du progrès, qui est la milice de Monsieur Tshisekedi et de l'UDPS [Union pour la démocratie et le progrès social, le parti du chef de l'État, NDLR], qui est enrôlée aujourd'hui pour faire de la répression contre l'opposition. Ceux qui ont tiré sur moi portaient les tenues de la police. Mais je ne peux pas certifier qu'il s'agit des policiers parce qu'aujourd'hui nous sommes dans un chaos créé par Monsieur Tshisekedi, où la police se confond avec les Forces du progrès parce que les Forces du progrès sont aujourd'hui habillées en tenue de la police pour faire usage de la force. Donc, ce sont les deux mélangées. Monsieur Tshisekedi utilise une milice privée dans les forces armées et dans les forces de l'ordre pour assurer son entreprise de répression. Le gouvernement provincial de la ville de Kinshasa fait état d'un bilan de 20 blessés légers, dont 15 policiers et cinq manifestants. Est-ce que vous confirmez ? C'est complètement faux. On a vu d'abord des cadavres qui ont été récupérés par la police. Ce que nous lui demandons de restituer. Ensuite, le nombre de blessés est au-delà de ce chiffre donné. Rien que parmi les leaders de la C64, vous avez Ados Ndombasi qui a été blessé, vous avez moi-même. Vous avez Martin Fayulu, vous avez Jean-Marc Kabund. Et quand je prends les deux gardes du corps qui ont été évacués en même temps que moi et tous ceux qui sont dans les établissements ici sur place, on est au-delà de ces chiffres. Donc, c'est un mensonge éhonté. D'ailleurs, ce mardi, nous allons nous réunir à la conférence des présidents de la C64 et nous allons rendre public le bilan complet. Vous parlez de cadavres : y a-t-il eu des morts ? Il y a eu un corps qui a été récupéré au niveau de la police. Nous lui demandons de pouvoir restituer celui-ci. Et puis il a été fait état d'autres victimes de la répression qui ont perdu la vie. Après le sit-in que vous avez organisé devant le siège du parti de Martin Fayulu, les autorités vous reprochent d'avoir voulu marcher en direction du Palais du peuple, c'est-à-dire du Parlement, alors que vous n'y étiez pas autorisés. D'abord, ce sont des grands irresponsables parce que ces autorités de la ville, nous leur avons demandé de faire le sit-in à l'esplanade du Palais du peuple, le lieu où ils ont autorisé, il y a encore quelques semaines, les membres de la majorité à pouvoir s'y présenter. Nous sommes des citoyens congolais. On ne peut pas nous interdire, au nom de l'égalité de droit, de jouir des mêmes droits que la majorité. Donc, nous voulions être à l'esplanade du Palais du peuple. Donc, il n'a jamais été question de marcher sur le Palais du peuple, mais d'être plutôt à l'esplanade du Palais du peuple. Votre coalition de l'opposition s'appelle Article 64. Pourquoi pointez-vous en particulier cet article de la Constitution congolaise ? Parce que l'article 64, c'est le dernier refuge de tous les démocrates pour assurer le respect de l'ordre constitutionnel. Cet article fait un devoir à chaque Congolais de faire échec à toute personne qui veut prendre le pouvoir en violation de la Constitution, ou l'exercer en violation de celle-ci. Et l'entreprise que Monsieur Tshisekedi a initiée actuellement de vouloir changer de constitution pour se donner un troisième mandat à la tête de notre pays, c'est une tentative de renversement de l'ordre constitutionnel, une violation de son serment, une violation intentionnelle de la Constitution. C'est pourquoi nous nous mobilisons sur ce dernier refuge de la loi et de la Constitution, pour faire échec à son entreprise et pour pouvoir le plaquer au sol. Parce que le nombre et la durée des mandats du président de la République ne peuvent pas faire l'objet d'une révision de la Constitution. Et nous nous mobilisons pour faire en sorte que l'ordre constitutionnel dans notre pays soit respecté. À lire aussiRévision de la Constitution en RDC: le Sénat adopte la proposition de loi pour un référendum

Domaine de la Petite Gallée, Millery, Coteaux du lyonnaisAlerte pépite ! Au printemps 2025, je me suis rendu dans la banlieue de Lyon. C'est là que se trouve le domaine de la Petite Gallée, en appellation Coteaux du lyonnais. Un domaine à la notoriété encore modeste mais qui devrait bientôt crever l'écran et ce pour plusieurs raisons. Pour commencer, les vins sont délicieux avec le gamay en fer de lance et un travail très intéressant sur l'aligoté et la syrah. Ensuite, on reste dans des tarifs accessibles avec des vins en-dessous de 20€. Enfin et surtout grâce à Pierre Thollet. Pierre est revenu au domaine il y a peu avec des diplômes, de riches expériences en France et à l'étranger, des idées claires et la tête sur les épaules. Soit des ingrédients indispensables pour mener un domaine très haut. Alors en route pour Millery à la découverte de la Petite Gallée et des coteaux du lyonnais.Réalisation : Romain BeckerEnregistrement : Romain BeckerPost-production : Emmanuel NappeyMusique originale : Emmanuel DoréGraphismes : ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Léna Mazilu⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠On se retrouve très vite pour de nouvelles aventures viticoles. D'ici-là éclatez-vous et buvez bon !Le Bon Grain de l'Ivresse, le podcast vin----------------------------------------------------------Retrouvez les dernières infos sur Instagram et FacebookContactez-nous par mailVisitez le site internet du Bon GrainHébergé par Ausha. Visitez ausha.co/politique-de-confidentialite pour plus d'informations.

Aujourd'hui, Mourad Boudjellal, éditeur de BD, Joëlle Dago-Serry, coach de vie, et Charles Consigny, avocat, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

Vous connaissez les “bullshit jobs”, ces boulots peu intéressants, aux tâches répétitives, parfois même inutiles et vides de sens ? J'espère que vous n'êtes pas directement concernés, et si c'est le cas, laissez vous consoler : le “bullshit job” c'est peut-être le mal du siècle, mais autrefois certains emplois relevaient carrément de l'enfer sur terre ! Soit ils ont disparu, soit ils sont devenus très différents, alors aujourd'hui je vous présente la troisième fournée des pires jobs de l'histoire !Bonne écoute !

Dr. Deb Muth 00:00:09 Hi there, how are you? Bob Miller 00:00:10 Excellent! Pedaling as fast as humanly possible, but doing okay. Dr. Deb Muth 00:00:14 Good, good. Well, I’m looking forward to our conversation today. This should be amazing. Bob Miller 00:00:20 Yeah, it should be a lot of fun. Dr. Deb Muth 00:00:22 Yeah, anything that’s off-limits for you in, our conversation? Bob Miller 00:00:28 No. Dr. Deb Muth 00:00:29 Okay, anything you want me to make sure we cover for you? Bob Miller 00:00:33 Well, I mean, is it okay if we put a little plug-in for our software? Dr. Deb Muth 00:00:35 Absolutely. Bob Miller 00:00:36 Yeah. Dr. Deb Muth 00:00:37 Absolutely. Bob Miller 00:00:36 Yeah. Dr. Deb Muth 00:00:37 Absolutely. Bob Miller 00:00:38 Hey, can we… can we do a screen share? Yes, we can. Yeah, because I want to show you some maps, and… Dr. Deb Muth 00:00:43 Okay. Things like that, yeah, so… Perfect. So just let me know when you want to do screen share. Bob Miller 00:00:48 Okay. Dr. Deb Muth 00:00:49 And yeah, feel free to plug your software wherever you want to. Bob Miller 00:00:53 Okay, well, good. Let me pull up a, a slide for that, and give me one second, I just want to shut the door to my office to get the noise down. Dr. Deb Muth 00:01:01 No worries. Bob Miller 00:01:16 And, how should I refer to you? Dr. Debb? Dr. Muth, what do you like? Dr. Deb Muth 00:01:18 Dr. Deb is great, or Deb, either way, I’m pretty informal, so… Bob Miller 00:01:22 Yeah, and… Bob is fine for me. Okay. Yeah. Yeah, there you go. Why people feel like they need this, son. Special name, it’s like, seriously. Dr. Deb Muth 00:01:33 Right? I agree. Bob Miller 00:01:35 When I work with my clients, it’s like, Dr. Millison, just, just bop, just, just bop. Dr. Deb Muth 00:01:41 Yep, that’s how I am, too. Just call me Deb, it’s good. Dr. Deb Muth 00:01:44 They feel a little awkward with that, you know? They’re not used to that, but… Bob Miller 00:01:48 Alright. And you’re a naturopath, medical doctor. Dr. Deb Muth 00:01:52 A nastropathic doctor and a nurse practitioner. Oh, nice. Yeah, so I got the best of both worlds, right? Bob Miller 00:01:58 Yeah, damn. Okay. Alright, so here we go… There we go. Alright, so I got that ready, and then I will do a, I will do a screen share. I think you’re gonna really, appreciate what we’ve come up with. We’ve come up with the concept of, Cellular CPR. Dr. Deb Muth 00:02:23 Oh, nice! Bob Miller 00:02:24 And that is, construct the cell membrane, Protect the cell membrane. And restore it if it’s damaged. Dr. Deb Muth 00:02:32 Love that. Bob Miller 00:02:34 I love that. Yeah, so that’s what we’re focusing on, and then how, You know, we want to get to the point that, you know, most people think of genetics, they think of, like, 23andMe or Ancestry. Dr. Deb Muth 00:02:44 Yeah. Bob Miller 00:02:45 And then you have the professional geneticists who are looking at, you know, odd things that could create a disease. We’re looking at functional genomics. Dr. Deb Muth 00:02:54 Which is so much better. Bob Miller 00:02:56 Yeah. Are you familiar with what we do here, or… Dr. Deb Muth 00:02:58 A little bit, a little bit. So, it’ll be new to me, too, so I’m excited. Bob Miller 00:03:03 And how much time do we have? Dr. Deb Muth 00:03:04 We have an hour, give or take a little bit on either side. Do you have a hard stop anywhere? Bob Miller 00:03:10 No, no, I put a, I moved my clients around, and I don’t have anybody till, 3.30, so we’re good. Okay. Dr. Deb Muth 00:03:16 Perfect. Alright. Bob Miller 00:03:18 It’s like we’re getting started early as well, so… Dr. Deb Muth 00:03:19 Yeah, we’re getting started a little bit early, so that’s good. Bob Miller 00:03:22 Yeah, I just got my office cleaned up, so… Dr. Deb Muth 00:03:23 Okay, good. All right, are you all set to get started? Bob Miller 00:03:28 I’m good to go, my friend. Dr. Deb Muth 00:03:29 I’m gonna just record a little intro and a little bit of a, hook for people, and then we’ll get started. I’ll ask you to kind of tell us a little bit about yourself, and then we’ll just take this conversation wherever it’s supposed to go. Bob Miller 00:03:39 Okay, you got it. Dr. Deb Muth 00:03:40 Alright, sounds good. So what if the reason you’re not healing isn’t your diet, your supplements, or your labs, but it’s actually your genes? Dr. Bob Miller is uncovering how genetic variants, when combined with modern toxins, explain why some of us stay sick no matter what we try. Today, we’re talking genetic pathways, detox blocks, and the new science every wellness warrior needs to know. Welcome back to Let’s Talk Wellness Now, the show where we uncover the root causes of chronic illness, exploring cutting-edge regenerative medicine, and empower you to heal from the inside out. I’m Dr. Deb, your medical detective, and today, our guest, Dr. Bob Miller, is a true pioneer in functional genomics. He’s a board-certified traditional naturopath and the founder of Neutrogenetic Research Institute. And he’s the leading groundbreaking research on how genetic variants influence chronic illness, inflammation, and detoxification. His work has been recognized on international stages, uncovering links between genetic expression and conditions like Lyme disease, mast cell activation, or MCAS, and mitochondrial dysfunction. I’m so excited to talk to Dr. Bob today. He is gonna reveal some things that even I don’t know about, so I’m excited to learn alongside of you guys. So… Dr. Bob, let’s get started. Tell us a little bit about yourself, and kind of how you got on this journey. Bob Miller 00:05:04 Well, that’s, that’s interesting. I was sort of like a mid-career coming to the natural health field, because in my early 30s, I found myself with a severe case of ulcerative colitis. Bob Miller 00:05:15 And I was in the hospital for 21 days. probably within hours of death, pleading to death. And they told me I’ve got one option, and that is cut out the colon and wear a bag. Didn’t sound like a lot of fun. Dr. Deb Muth 00:05:27 Not an option I would want. Bob Miller 00:05:29 So, you know, the medical folks wasn’t real happy with me, but I said, yeah, I’d like to explore some alternative things.Never thinking that I’d get into this field, and then I just, you know, worked with some herbalists and things that I found absolutely fascinating. So, that’s how I got into this around 30 years ago. And, haven’t looked back since, and just having a… having a blast as we now move into how our genetics impacts things. So, that’s what we’re gonna… that’s what we’re gonna talk about today. Dr. Deb Muth 00:05:58 I’m excited to talk about this genetic thing. When you started over 30 years ago, what kind of patience and problems first inspired you to dig deeper into that root cause healing and kind of get into the genetic piece of it? Bob Miller 00:06:10 Sure. Well, you know, as a… now, I’m in a part of the country called Lancaster County, Pennsylvania, where there’s a lot of Amish and Mennonite, and they gravitate towards these things.So, this is their first thing to do, and that doesn’t work, then they’ll go other routes. So, you know, back then, we just saw typical, you know, a little tired, constipation. You know, a little bit of fatigue, arthritis, those kind of things. But things have changed dramatically over the years, as people are now getting more chronically sick. You know, it’s worse than it’s ever been. And what we’re finding is the, the culprits Primarily is mold exposure and Lyme disease. When people get those two together, they’re just… it’s an inflammatory cascade that nobody can seem to unravel. So that’s where we spend a lot of our time. And we’re also spending a lot of time looking at mental health, like ADD, ADHD. And, we give… this year I’ll be speaking at three autism conferences. And we can dig into that a little bit as to why we think we’re seeing such a dramatic increase. And aside from autism, that used to be 1 out of 1,000, now it’s 1 out of 33, or 23. You know, we’re also seeing dramatic increases in ADD, ADHD. People are stressed out. And today, I think we’ll have the time to actually go through and show how environmental factors combine with genetics to cause that to happen. So we’ll… we should have a fun visit here today. And today, I think we’ll have the time to actually go through and show how environmental factors combine with genetics to cause that to happen. So we’ll… we should have a fun visit here today. Dr. Deb Muth 00:07:37 This should be a fun visit. We can cover lots of topics. I am so excited. So, you founded Nutri Genetic Research Institute in 2015. What did you hope to accomplish, and what kind of surprised you in your findings so far about that? Bob Miller 00:07:51 Well, you know, let’s back up at what, you know, genetics is used for. Everybody’s familiar with 23andMe and Ancestry that, you know, tells you where your ancestors came from. Then you have your professional geneticists. I mean, these are people with a degree in genetics. And they’ll look for, you know, very odd sort of things that are prone to relate to a disease. So there are disease-related genetics. Well, in functional, we don’t look at either of those. We look at For example, how you’re breaking down your fats and utilizing them. How you’re recycling your glutathione. How you might be handling your iron. And none of those are disease-causing on their own.And none of those are disease-causing on their own. But when they pile up on you, and then combine that with environmental factors, that’s when things start to go south on us. So, that’s what we’re doing, we’re looking at patterns. And our first foray into this was, we did studies on Lyme disease. And our first foray into this was, we did studies on Lyme disease. So, we looked at, like, I think 50 people with Lyme disease. We looked at their genome. So, we looked at, like, I think 50 people with Lyme disease. We looked at their genome. And we found patterns that were more evident in those with Lyme. Now, this doesn’t… these genetics don’t mean you get Lyme, it just means if you get Lyme, you react worse to it. And we found patterns that were more evident in those with Lyme. Now, this doesn’t… these genetics don’t mean you get Lyme, it just means if you get Lyme, you react worse to it. So, as you know, some people get Lyme, they go on a round of antibiotics, and they’re done. So, as you know, some people get Lyme, they go on a round of antibiotics, and they’re done. Others have a little more struggle, and then others are struggling terribly for years. So there’s an old adage of genetics loads the gun, environment pulls the trigger. Dr. Deb Muth 00:09:14 Yeah, that is so true, and I think when we’re talking about Lyme and mold and things like that, we forget sometimes that our genetics can predispose us to be more sensitive to those things, and if we have genetic pathways where we don’t clear things properly, it’s harder for us to get them out of the body. And then you add on that whole rain barrel effect that we’ve always used as a functional medicine term, right? If the barrel’s half full, you’re okay. If it’s full, and now it’s spilling over, it’s a bigger problem. Have you guys found, too, that some of these environmental things actually are changing the genetics of people, or how they’re processing their own genetics? Bob Miller 00:09:53 Well, let’s go back to, Genetics 101. But we’ll go back a little bit further. So, what an interesting mechanism, what a miracle the body is. Bob Miller 00:10:03 Fats, carbohydrates, proteins, drink water, breathe air, expose the sunlight, and somehow everything gets made. I mean, when you just step back and think about that, it’s like, It’s pretty darn amazing. Dr. Deb Muth 00:10:15 I always tell women, you know, the fact that we get pregnant and we have healthy pregnancies and births is a miracle, because if we had to try to control that, that wouldn’t work so well. Bob Miller 00:10:25 Right. Well, that’s another miracle. These microscopic sperm and egg, human being, 9 months later, it’s like. But even inside of us. We are making our hair, our skin, our nails, our blood vessels, our ATP, our energy, it’s all being created. Well, that gets created by enzymes. So, enzymes take one substance, combine it with something else, and make something new. Then another enzyme comes along and does the same thing. Your DNA is the instructions on how to make the enzymes. So, when we are conceived. If it’s a, if it’s a female, of course, it’s the XX, the two chromosomes. You know, we’ve… everybody’s seen those… the genetics that… Listed pair. So, if it’s a female, the father donated the X enzyme. And the mother has no choice but to give the eggs, so that’s female. If the father donates the Y, you have a male that’s in chromosome number 1. Then 2 through 23 is the rest of the instructions on how to make enzymes. So, what can happen? We can get what are called SNPs, single nucleotide polymorphisms. And SNPs just mean that the instructions to make the enzyme’s not quite as good. So, if one parent gives a SNP on the making of an enzyme, The enzyme’s fine. It works. But, general rule of thumb, It may only work at 70-80% of efficiency. Now, a good analogy is think of an 8-cylinder and a 6-cylinder car. If parents give you good information, that’s like having an 8-cylinder car. If one parent gives you that snip, it’s like having a 6-cylinder car. Now, is a 6-cylinder car a fine car? Sure. It’ll get you from point A to point B, but it’s just going to have the power of an 8-cylinder. Then if both parents give you a SNP on the same enzyme, it may be 30-40%, and that’s like having a 4-cylinder car. Sits in the driveway, looks the same, puts gas in it, everything. But if you’ve got a 4-cylinder car. Probably not a good idea to go cross-country pulling a trailer behind you up and down mountains. Dr. Deb Muth 00:12:29 This is true. Bob Miller 00:12:32 So… We can get an 8-cylinder, 6-cylinder, or 4-cylinder enzyme. Now, if it’s not under a lot of stress, if that 4-cylinder car is just taking you to the bank and the grocery store. It’s just as good as an 8-cylinder car. But if you gotta pull that trailer, and there’s a lot of stress on it, being mountains, it’s gonna struggle. Now, there’s one other little caveat to this, and that is some genetic mutations are gain-of-function. They actually work faster. Now, we have enzymes that do all kinds of things. We have enzymes that make and recycle our antioxidants, but we also have enzymes that make inflammation. No, that’s a good thing, because if we get a virus or bacteria, if you didn’t make inflammation to kill it, well, we’d all die of infection. So, you know, we tend to think of free radicals as bad, antioxidants as good. They both play an important role. But interestingly, some of the major enzymes that make inflammation, they can be overactive. They can be turbocharged. And when they’re stimulated by environmental toxins, they overreact. Bob Miller 00:13:40 And therein lies the problem. When they overreact, we have a problem. Bob Miller 00:13:46 So, if we have genes that overreact when stimulated. And then the enzymes that take care of inflammation are underactive. Then you’re gonna be more inflamed. You know, the majority of people that, you know, come for functional medicine Or naturopathic help, or… Inflammation that they can’t seem to get under control. Dr. Deb Muth 00:14:06 Right. Bob Miller 00:14:07 And we will be, you know, during this hour, we’re going to look at some of the pathways that make that happen. So, what we can do then, we can’t change our genetics. When you’re conceived, that’s the hand you’re dealt. When your life would be over, if someone would take some tissue and measure, it’d be exactly the same as conception. Does it change. Bob Miller 00:14:28 The enzyme’s ability to do its job may be compromised. Because remember I said there’s a, the enzyme takes a cofactor. So an enzyme takes substance A, cofactor, make substance B. Well, if that cofactor’s not there, the enzyme’s not going to work either. So, you could have an 8-cylinder car, and if there’s no gas in it, it’s not going anywhere. So… It’s the strength of the enzyme, it’s the cofactor to do the A to B conversion. And that’s what we’re going to get into. So, many people say, well, where did these SNPs come from? Nobody knows for sure. Sometimes they’re what’s just called de novo, when the sperm and egg go together, the instructions get mixed up a little bit. We do believe a lot of it came from a long time ago, when we were almost wiped out by sexually transmitted diseases. And those STDs were altering the genes when the conception, in other words, when the sperm went into the egg, the STDs were interfering. And causing the problem, so… I often joke, if you want to blame somebody. Blame your great-great-great-great-great-great-great-grandparents for, being a bit promiscuous, so… Dr. Deb Muth 00:15:31 Yeah, for being… having a little too much fun, right? Bob Miller 00:15:35 So, we don’t know for sure, but, you know, there are some that, But most of the SNPs that we get inherit from our parents. So, if you look at a child. And you look at the SNPs. 99.9% of the time, it came from one of the parents. Dr. Deb Muth 00:15:50 In identical twins, do they have the exact same identical makeup? Bob Miller 00:15:54 Yep, Dr. Deb Muth 00:15:56 But not in fraternal twins, correct? Bob Miller 00:15:59 No, no, those could be different, Jeff. Dr. Deb Muth 00:16:00 It could be different because they have different sacs, they’re not sharing that same genetic makeup. Bob Miller 00:16:04 Yeah, so keep in mind, both your mother and your father have, you know, the two And so you get one from one parent, one from another. Dr. Deb Muth 00:16:13 So… Bob Miller 00:16:14 Interesting situation. I had, 3, 3 boys. And, we were looking at an enzyme related to breaking down oxalates. Now, the mother and father each had one SNP, and that’s called heterozygous. Three boys, and they all come together, they’re Amish boys, they’re a lot of fun. And I looked at their genomes, and the one boy didn’t have any SNPs at all. And one had won. And the other one had two. Dr. Deb Muth 00:16:41 Interesting. Bob Miller 00:16:42 So, we don’t quite know how these things get handed off, but with the parents each having one, you could have a child with none, one, or two. So, the one, his ability to break down oxalates, which is fine. The other one was slightly impaired, and the other one was dramatically impaired. So, you can have 3 children, and it all depends what the parents have. Now, if a parent has a homozygous, or 2 copies. And the other parent has nothing. Every child will have one. Okay. If both parents are homozygous, that they both have two, Every child will have two. Dr. Deb Muth 00:17:19 too. Bob Miller 00:17:20 Yes, so that’s the way it works, but, you know, but it’s somewhat rare that both parents are homozygous on an enzyme, but it can happen. Dr. Deb Muth 00:17:27 Do we think that infections today, like Lyme disease or mold exposure, things like that, if the parent, the woman, primarily, I’m thinking, is pregnant, and she actively has these infections. Can those infections affect the genetics, kind of like a past sexual transmission did where we thought back in the day? Bob Miller 00:17:47 Yeah, I… I mean, I’m not that much of a geneticist to answer that for sure, but my thought would be no, that at conception, the pattern’s made. Dr. Deb Muth 00:17:55 Okay. And then that’s… that’s the hand you’re dealt. Bob Miller 00:17:58 Yeah. So, I tell people we have good news and bad news. The good news is we can compensate for the weakness. The bad news is we can compensate for the weakness. Dr. Deb Muth 00:18:09 That is so very true. Bob Miller 00:18:11 Yeah, we can’t, because I often get asked, so we’ll do some things now, and we’ll check my genes again, and they’ll be better. It’s like, nope. Dr. Deb Muth 00:18:18 Oh, – – Bob Miller 00:18:19 You gotta play the hands you’re dealt, so… Dr. Deb Muth 00:18:21 That’s right. Bob Miller 00:18:22 You can test your genetics… if you’re looking at the same enzyme, you can test it every year. It’s not gonna change. It’s like the blueprint. Dr. Deb Muth 00:18:30 It’s good and bad, right? It’s the one test you only have to do once in your lifetime. Bob Miller 00:18:34 No, unless, you know, like, our. Dr. Deb Muth 00:18:36 All the time. Bob Miller 00:18:37 Yeah, now our test looks at, called the Functional Genomic Analysis Test of your genomic Resource. We look at 220,000 steps. Dr. Deb Muth 00:18:46 Wow, that’s a lot. Bob Miller 00:18:47 That’s not all of them. Dr. Deb Muth 00:18:49 Right. Bob Miller 00:18:50 So, maybe in the next year, we’re gonna come out with our third version of the chip. And then, if someone wants to get those new things that weren’t on it, they’d have to repeat. But whatever we measured is gonna stay the same. Dr. Deb Muth 00:19:03 That’s a lot of SNPs to look at. Bob Miller 00:19:05 Keeps us busy. Dr. Deb Muth 00:19:06 But there’s still, but there’s still SNPs that we. Bob Miller 00:19:09 That we’d like to have that we don’t have, so… Bob Miller 00:19:11 We started out with version 1 on our genetic test, then we worked with version 2, and we’re already compiling a list of what version 3 would look like. So if somebody has our version 2, And we’re saying, you know what, it’d be nice if we could see these, well, then you’d repeat, but it won’t change what you already know, so… Dr. Deb Muth 00:19:29 Got it, got it. So, when you started out, and you started looking at the research of Lyme disease and chronic infections, which detox pathways are most important for people who struggle with those conditions? Bob Miller 00:19:43 Okay. You know what might make sense as we do a screen share, and I’ll actually show you the pathway. Does that make sense? Bob Miller 00:19:48 Alright, so… let’s see if I… let me just press the share… Dr. Deb Muth 00:19:52 Yep, you should just be able to press share. Bob Miller 00:19:54 And… number 2. Okay. Are we seeing the screen there? Bob Miller 00:20:01 Okay. Dr. Deb Muth 00:20:02 So, this is a map that we made. Bob Miller 00:20:05 And by the way, this is not… All-inclusive of all the things we look at, but we believe this is a core issue. So, where we’re going to start here, there’s something called the microglia. And the microglia are glial cells. They’re in the brain and the central nervous system. And they’re very interesting little creatures, because most of the time, and this is just a drawing of what they sort of look like. Most of the time, they’re in what’s called the M2 anti-inflammatory mood. What that means, these little guys pick up dirt, debris, Recycle them. Turns on an enzyme called interleukin-10 that’s anti-inflammatory. And just kind of does general housekeeping. And just kind of does general housekeeping. However, when a trigger comes along. However, when a trigger comes along. They… it’s the same glial cell, but it moves over to a very pro-inflammatory enzyme. A pro-inflammatory glial cell. And it triggers these 3 enzymes, Actually, these four. That are pro-inflammatory. Tumor necrosis vector alpha, Interleukin-6. NF Kappa B, Inos. Now, these create inflammation. So you might think, well, why is that good? Well, if you have some foreign invader, virus, bacteria coming in, parasite. If you didn’t have these guys coming to the rescue, you would just die of infection. So, these guys are your friend unless they’re your worst enemy. Because TNFA, and we’ll show you when we actually do a demo account, TNFA can be overactive. So, in other words, it over-responds. Interleukin-6 can be overactive. And if Kappa-B can be overactive. The INOS, and I’ll explain each of these as we go through a demo, can be overactive. Now, what that means is, you’re very good at killing virus and bacteria. But this is where autoimmune disease comes in, and just inflammatory conditions. Now, this is just speculation, but we think what happened is, as you know. Thousands of years ago, we didn’t have refrigeration, we didn’t have sewer, we didn’t have pure water, and we didn’t have antibiotics. So, if you made it to 40, you were an old-timer, because everybody was dying of infection. So, what we believe happened is, by what’s called natural selection, Having these overactive. A thousand years ago was to your advantage. Dr. Deb Muth 00:22:31 Hmm. Bob Miller 00:22:32 But now… We have pure water, we have refrigeration, we have sewers, we have antibiotics. But now we have environmental factors that are stimulating them. Now it’s to our disadvantage. And we’ll talk about that a little bit as it relates to the hemochromatosis genes and maybe the G6PD. Dr. Deb Muth 00:22:48 Yep. Bob Miller 00:22:49 Now, why are we becoming so inflamed? Let’s look at the triggers. Now, one of my, favorite expressions is. I was born all the way back in 1954. Dr. Deb Muth 00:23:01 And it was a different world back then. Bob Miller 00:23:05 These are some of the triggers. And we’ll get into these, but right now, high fructose corn syrup, And the high-fat diet. High fructose corn syrup only came about in 1968. So now we’re being exposed to high fructose corn syrup. Then… we didn’t have these, these viruses like COVID. Dr. Deb Muth 00:23:26 Yeah. Bob Miller 00:23:27 Now, there’s now pretty strong evidence that COVID Was actually, you know, made as a gain of function. It’s debated, and I’m not taking an opinion on it, but there’s some people who believe Lyme disease was also a part of experimentation. Dr. Deb Muth 00:23:40 Go. Bob Miller 00:23:41 Then we have molds, and it appears as though mold is getting stronger. you know, 20 years ago, when I was seeing folks, mold wasn’t on the radar. I would say 7 out of the 10 folks we speak to today have mold problems. Yeah, 20 years ago, we talked more about mold allergy being an issue versus mold toxicity being an issue. Right. So… I know some folks are, you know, speculating what’s happening, but one of the theories out there is that EMF is strengthening mold. I don’t know if you ever heard that theory, and I don’t… Dr. Deb Muth 00:24:13 I have. Bob Miller 00:24:14 I’m not claiming it’s true, but it’s an interesting theory. Then even, you know, your black mold from water-damaged buildings. Then our air pollution is getting worse. We’re getting more toxic metals. Dr. Deb Muth 00:24:26 You know, if we have a… Bob Miller 00:24:27 You know, we’re gonna look back someday and say, what were we thinking, smearing aluminum into our armpits? The, what were we doing putting mercury in our teeth? Then, you know, glyphosate. When I was a kid, there was no glyphosate. So, all of these herbicides and pesticides. Polychlorinated biphenols, And then EMF. So, we love our cell phones, you know, and I think unless you, or in the middle of the desert, or down in a cave, you’re being exposed to EMF somewhere. So, you know, we have our cell phones with us, we have, We have Wi-Fi, the towers are everywhere. And we don’t know long-term, but we may find that this can… this creates some inflammation. And I don’t know if you get any folks, but do you have any folks that have… are they EMF sensitive? Dr. Deb Muth 00:25:16 Oh yeah, we have a whole bunch of them. Bob Miller 00:25:18 Yeah, and then if you have any TBIs, So, plenty of things here. that will stimulate into the microglia, M1. Now, you could say, well. We’re all pretty much exposed to the same thing. Why do some people get hit harder than others? So here’s where we’re gonna start. There’s an enzyme called Nrf2 and RF2. And Nrf2 is the enzyme that senses when there’s inflammation. And turns on hundreds of anti-inflammatory enzymes. We’ll show when we do the demo, you can have genetic weakness on NERF2. And NERF2 inhibits and slows down microglia M1. supports M2. Now, if it’s not complicated enough, there’s an enzyme called KEEP1. And KEEP1 inhibits NRF2. And you can actually have gain of function on keep 1, that makes Keap 1 stronger. So… A lot of the people who land on my doorstep So… A lot of the people who land on my doorstep Both parents gave a mutation on KEEP1, making it overactive. Both parents gave a mutation on KEEP1, making it overactive. Dr. Deb Muth 00:26:31 Hmm. Dr. Deb Muth 00:26:31 Hmm. Bob Miller 00:26:32 Suppressing Nrf2, nerve 2 might be weak. So, nobody’s putting the brakes on, M1. And by the same token, Nerve 2 supports M2. Then there’s a process called mTOR and autophagy. mTOR stands for mammalian tard of rapamycin, the growth of new cells. And then autophagy, taking our dead cells and recycling them. We need a balance between the two of them. If we didn’t have mTOR, the sperm and the egg would never become the baby, the baby would never become the adult, we wouldn’t make new cells. But our cells are constantly, you know, the old cells dying off. Autophagy is where we take that debris from the cell and recycle it, just like a farmer Plows the crop under at the end of the year. The dead plant then becomes the fuel for the spring, your dead cell becomes the fuel for the spring, and that’s autophagy. So we’re gonna look back someday and say, what were we thinking? We give our animals growth hormones so they get fatter faster. Oh my. So, we consume those animals, and inventory runs faster. Now, for anybody who’s, You know, maybe above 40, 45 years old. Think back when you were 12, and what did girls look like? They were primarily flat-chested little girls. Now they look like 16-year-olds. Because environmentally, we’re jacking up mTOR. So, mTOR stimulates microglia M1, suppresses microglia M2. Probably 80% of the folks we visit with. This is the part of the problem. NRF2 is weak. mTOR is strong. Environmental factors come along. And this guy gets carried away. He doesn’t do that burst and move back. Stays here. We’re calling that How environmental factors create a locked-in, pro-inflammatory. and neurotoxic phenotype. In other words, once it starts, it just keeps… Feeding upon itself. Alright, so what happens now when microglia is overactive. it triggers these 3 enzymes, TNFA, N of kappa B, And interleukin-6. Each one of these can have genetics that make them run stronger. Then it stimulates an enzyme called NLRP3, Which makes what are called inflammasomes. Now, guess what inflammasomes can be? Your best friend or your worst enemy? Because they will, if you’ve got, again, a virus or bacteria, or possibly even some bad cells in the body. They will zap them. Well, that’s good. Unless it’s overactive. Unless it’s overactive. And then what it does, through interleukin-1 beta, makes excess glutamate. And then what it does, through interleukin-1 beta, makes excess glutamate. Anxiety, gut inflammation, OCD, ADD, autism. And, you know, glutamate, we’ll talk about that a little bit, but glutamate makes you intelligent, highly motivated go-getter. but can also be excitatory. And then, look what it does. Let’s see, do I have the drawing tool here? Yes, I do. Okay. So, it comes down through here, Makes the glutamate. Comes back up through here. through the ADORA 2A enzyme, Then we’ve got a feedback loop that feeds upon itself. Then, through interleukin-18, we make histamine. and mast cells. And then through histamine receptor site number 1, we come back and spin it. And now you’ve just got this spinning feedback loop. So, the glutamate will make you anxious, the histamine will give you allergies and make you anxious. And you’re allergic to everything, and you’re feeling horrible. Now, it doesn’t end there, Dr. Dad. It then goes on to make something called gast dermins that creates pyroptosis, where it actually starts punching a hole in the cell membrane. And you’re only going to be as healthy as your cells are. Just a little background. You know, we’re made up of trillions of cells, and each one of them has what’s called a lipid bilayer, made from lipids, which comes from fats. And you’re only going to be as healthy as those membranes are. So that’s why we coined an interesting phrase. Cellular CPR. Construct the cell. Protect the cell. And restore the cell membrane. And we believe that’s going to be revolutionary in the functional medicine world. So… It’s not hard to figure out that if you start punching holes in the cell membrane, that’s not a good thing, okay? Bob Miller 00:31:22 Now… There’s an interesting molecule called NAD. Thicotide adenoside dinucleotide. And anybody who’s in the, you know, listening to the health podcasts and things, they’re… They’re, they’re learning about NAD. And I’m going to show you a chart later, all the good things that NAD does, but For the most part, it helps what’s called sirtuins. And sirtuins are quite interesting. If anybody’s looking at longevity. The sirtuins is where they’re looking at.Because sirtuins turn on good things. Turn off bad things. And I’ll show some charts on that later. So for right here, this sirtuin uses NAD, to slow down NF-kappa-B. CERT 2 uses NAD to slow down an ORP3. So, if we’ve got genetic weakness on these, or we don’t have enough NAD, We don’t hold this pathway back. Make sense? Dr. Deb Muth 00:32:24 Yeah, makes perfect sense. Bob Miller 00:32:25 Now, I’ll show this a little bit later. So, people are like, oh, well, I’m gonna start taking some NAD. Dr. Deb Muth 00:32:31 Right. Bob Miller 00:32:32 And there’s functional doctors who give NAD intravenous. It was just this morning, I was talking to a woman who said, Oh my gosh. I went and got intravenous NAD, and it took me a month to recover from that. Dr. Deb Muth 00:32:45 Hmm. Bob Miller 00:32:46 what happens is, and I’ll show this in a little more detail, there’s an enzyme called CD38, that’s stimulated by NF-kappa-B. And it takes NAD, To make intracellular calcium. that stimulates NLRP3 and actually makes things worse. So, if we have this guy upregulated, and I’ll show a chart what does that. taking NAD will make you worse. Again, when I go into the software, I’ll show you that whole pathway, so… I would encourage people, you know, just don’t go out and start taking massive amounts of NAD, you know, stick your toe in the water, see how you do. Because everything you’ve heard about, how good it is, is true, unless this guy says, oh, thank you very much, let me make more inflammation. Now, this might be part of our innate immune system, that if we have some pathogen that’s gonna kill us. By golly, we want that to happen. But if this is happening by environmental factors, Then it’s detrimental. So the immune system that protected us a thousand years ago now might be turning on us because of the environmental factors that we showed earlier. All right. Then there’s an enzyme called PARP that’s NAD-dependent, and that actually repairs strain breaks in your DNA. Now, the next thing that happens… is there’s an enzyme called NADPH oxidase that gets stimulated. and something called INOS. Now, I’m sure most people know about nitric oxide. It’s a gas that dilates your blood vessels. That’s why sometimes they’ll even give people drugs, nitroglycerin, to boost their nitric oxide. That’s why people are doing beetroots and other things to boost their nitric oxide. But there’s an OS3 enzyme that makes the nitric oxide that’s good for blood flow. But there’s an INOS That makes nitric oxide to kill pathogens. probably might be the third or fourth time I’ve said this. That’s a good thing, unless it isn’t. So, if it’s killing some pathogen, great. It was just misfiring. it combines… With superoxide that’s made by this enzyme, and makes something called peroxynitrite, which is one nasty free radical that chews you up and spits you out. So, the NOx enzyme, NADPH oxidase, uses NADPH, To make this free radical called superoxide. If we have time, we’ll get into it. NADPH is what your body needs to recycle your antioxidants.So, I coined the phrase, the NADPH steel. Where the NOX enzyme takes this very important NADPH, And rather than being useful, makes superoxide. Now, again, is that fine if you’ve got some bacteria to kill? Of course. But if it’s just chronically running, it’s just making all this chronic inflammation. Then it makes something called hydrogen peroxide. And we need to clear hydrogen peroxide by 3 enzymes, catalase, thyroid reduction. And glutathione peroxidase. If we have genetic issues on here, or we don’t have the cofactors. There’s something called the Fenton reaction, discovered in 1895 by Dr. Fenton. Where hydrogen peroxide combines with iron to make what are called hydroxyl radicals. And guess what they do? They create lipid peroxides, That damages your cell membranes. Now, again, the body’s pretty darn amazing. We have glutathione, And here’s where your body’s taking glutathione and recycling it. But look who’s needed to recycle it. NADPH. So, if this guy up here is chewing it up, We don’t recycle our glutathione. And then an enzyme called glufon peroxidase 4, Takes this damaged lipid and repairs it. So, here we’ve got this protecting, we want to protect it by not having this happen. But then we also need this guy to do the restoration. So, there’s a lot that can go wrong in here, Dr. Deb. Dr. Deb Muth 00:37:07 There’s a lot that could go wrong. And I can imagine some of my listeners are thinking that lipid peroxidase, is that the same thing as what they’re thinking of when we talk about lipids and cholesterol? Is that the same process that’s happening there? Bob Miller 00:37:22 Well, no, no, the lipids can be used to make cholesterol, but here we’re talking about where they’re going to build the cell membrane. And they’re being… and they’re being, destroyed. If anybody would like to see a visual representation of this, just go on YouTube. And type in, ferrooptosis Animation. cool little video, it’s about 3 minutes long, and it shows the lipids coming over, being oxidized, and now GPX4 fixes them, so… YouTube, Pharaoptosis Animation, cute little video. It’s just that really… Shows vividly what we’re… what we’re talking about here. Now, this is… Dr. Deb Muth 00:37:59 And so this is very common, too. Like, a lot of people do hydrogen peroxide IVs. Dr. Deb Muth 00:38:04 And so, if somebody doesn’t know their genetics, they could have a problem with doing those, just like they could doing the NADHIVs, correct? Bob Miller 00:38:13 Sure, yeah, yeah, yeah. So, I’ve talked to so many, you know, of course, the hydrogen peroxide kills pathogens. I mean, that’s what it does. So… but I’ve spoken to so many people that said. I had one client that said they’ve never been the same after having one hydrogen peroxide infusion. Dr. Deb Muth 00:38:30 Interesting. Bob Miller 00:38:31 Yeah. So… it can be… I see why people use it, because it. Bob Miller 00:38:36 pathogens, But on the other hand. And now’s a good time to speak about… I don’t have it on here, but there’s a, there’s an enzyme called the HFE gene. And that is what causes you to absorb iron. And there’s mutations in it that cause something called hemochromatosis. Were you overabsorb iron? Now, true hemochromatosis is when both parents give you a mutation. But there’s now growing evidence even a heterozygous can cause a little bit more iron absorption, not to the human chromatosis point, but overabsorption. So, if you overabsorb iron, And you have too much hydrogen peroxide that’s not cleared, All kinds of inflammation. Now, what’s happened is sometimes this inflammation Will damage the red blood cells. And some well-meaning doctor says, oh, you need some iron. And they take iron and it makes it worse. So, can’t tell you how many people I’ve said, you’ve got the overabsorption of iron, and they say, well, that can’t be right, because I’m low in iron. Well, that could be because it’s being chewed up here. Dr. Deb Muth 00:39:40 Sure. GPX1 and TXN turn it into, to water. The, catalase turns it into water and oxygen. Dr. Deb Muth 00:39:58 Now, I see a lot of my clients who have mutations or SNPs on that GPX gene, on that glutathione gene. And they really struggle to clear a lot of their toxins. Bob Miller 00:40:12 Sure. Dr. Deb Muth 00:40:14 Yeah, absolutely. Well, GPX4. Bob Miller 00:40:18 is what, repairs, but you can see GPX1 Is what uses glutathione. To turn hydrogen peroxide. So, but it all depends upon having enough glutathione. Dr. Deb Muth 00:40:30 Yeah. Bob Miller 00:40:31 Well, guess who controls making a glutathione? Dr. Deb Muth 00:40:34 Nerf 2. Bob Miller 00:40:37 So, if you have a keep one weakness, or strength to two… I’m sorry, keep one is too strong. Nrf2 is too weak. You don’t make glutathione. So, when a lot of people do that, it’s like, well, I’m gonna take glutathione. Dr. Deb Muth 00:40:51 Right. Bob Miller 00:40:52 And some do great, and some do poorly. You know, because… and I’ll show this on one of the other charts. You can see here that the, The glutathione has to be recycled. And if we don’t recycle it, it actually turns into superoxide free radical. So… NADPH are the cofactors, For taking the oxidi… here’s oxidized glutathione, here’s reduced. So, this is a good glutathione. After it does its job, you can see it becomes oxidized.We need to recycle it. Well, if we have weakness on the enzyme that does that, or a weakness in Nrf2, or not enough NADPH. The oxidized glutathione never gets recycled. So, I’ve talked to a lot of people who said, oh, glutathione made me so sick, and say, well. Dr. Deb Muth 00:41:43 Yeah. Bob Miller 00:41:44 You need it, but you need to recycle it. Dr. Deb Muth 00:41:46 Can you speak for just a brief moment, too, about MTHFR? That is a very popular gene, it’s all over social media as the major gene, but can you speak to a little bit about that, and how that fits into this whole process of things? Because it is just such a small piece. Dr. Deb Muth 00:42:04 understanding genetics. Bob Miller 00:42:06 Yeah, to be honest, it drives me nuts. Dr. Deb Muth 00:42:08 Me too. Bob Miller 00:42:11 Alright, so… You know, there are people on social media I won’t say what I think, I’ll be kind. But… But the, And, you know, they might mean well. But they talk about, if you have MTHFR and COMT and PEMT, that’s… oh my goodness, that’s horrible, and we’ll fix that for you, and you’ll be fine. Bob Miller 00:42:36 it just irritates me to no end. And it really could get anybody who’s doing this legitimately in trouble. I mean, I’m afraid someday, you know, there might be some cracking down on this kind of nonsense. Now, to answer your question about MTHFR. Dr. Deb Muth 00:42:51 I mean, it really is, but I’ll tell you what, why don’t we hold that thought until I go to another map and I can actually… Okay. Bob Miller 00:42:56 But the real… the cliff notes is the MTHFR puts a methyl group on your folate, which is needed, but it has gotten way, way, way too much attention. And people learn they have MTHFR, and they start taking a multivitamin with methylfolate, then they take a B vitamin with methylfolate. Dr. Deb Muth 00:43:13 And they’re pushing it too hard. Bob Miller 00:43:15 Yeah. So I can’t tell you how many people I’ve helped by saying, stop it. Dr. Deb Muth 00:43:20 Yeah, take less of it. Bob Miller 00:43:21 Take less of it, yeah. So, yeah. Yeah, there’s a… If somebody, say, ranked the enzymes at their level of importance, MTHFR might be 40 or 50 on a scale of 100, you know. Keep one Nerf two. big deals. Dr. Deb Muth 00:43:40 deals. Bob Miller 00:43:41 NQO1 that I didn’t even talk about yet, NQO1, takes your, NA… your NAD goes into NADH, To make electrons for the electron transport chain. you need NQ01 to bring that back. If that’s not working, and I’ll show you on the NAD map how disastrous that can be. Now, the next piece is here, and I think You know, if you talk to any school teachers and say, if you’ve taught for more than 10 years, how are the kids today? Every one of them says, more ADD, ADHD, more autism. Just look at human beings, we’ve never been so agitated. You know, everybody, and it might be a social media thing, but people take a position on something, and if anybody doesn’t share that position, they view them as the enemy. Dr. Deb Muth 00:44:29 And it’s kind of scary what’s happening to us. Bob Miller 00:44:33 So, we can’t agree to disagree anymore. We see anybody who has a differing opinion as the enemy. And, you know, there was… there’s people that didn’t have Christmas dinners together, because they had political differences, like… Dr. Deb Muth 00:44:44 Excuse me. Bob Miller 00:44:45 can’t you put your political differences aside to have Christmas together, you know? Dr. Deb Muth 00:44:49 Right? Bob Miller 00:44:50 become that, you know, no matter what your position is, and I’m not saying anyone’s right or wrong, I’m just saying. You know, in the old days, they used to say that the Republicans and Democrats in Congress would argue policy and then go have dinner together. And now everybody’s all up in arms, angry. Dr. Deb Muth 00:45:05 Yeah. Bob Miller 00:45:06 So… There’s likely multiple reasons for that. But let me show you one of them. That, you know, to what degree this is… very important, we don’t know, but I think We’re beginning to believe this is very important. So, there’s something… there’s a neurotransmitter called GABA. And God buys the don’t worry, relax, be happy. Chill. Okay. Dr. Deb Muth 00:45:31 Nobody has enough of that anymore. Bob Miller 00:45:33 Well, yeah, you’ll be surprised what I’m gonna show you. So, let me see if I can find a, Let me see if I can find the right slide here. Let me look for it here. So, there’s something called a GABA receptor site. And here you can see… This is a neuron, and this is where you, The neuron normally is excitatory. However, there’s normally low chloride in the neuron. Dr. Deb Muth 00:46:09 Hmm. Bob Miller 00:46:10 So, GABA itself is neither relaxing. For excitatory, all GABA does, it opens up what’s called a chloride channel. And then chloride, which has a negative charge, will flow into the neuron. Follow me there? Dr. Deb Muth 00:46:26 Yep. Bob Miller 00:46:27 And as it does, it changes this from a positive charge to a negative charge, And it’s relaxing. and inhibitory. Dr. Deb Muth 00:46:34 Hmm. Bob Miller 00:46:36 Now, on the other hand, there’s enzymes called NKCC1, That will push chloride in. and KCC2 that will bring chlor… oops and bring chloride out. And then there’s a sodium channel. And, sodium has a positive charge. And glutamate will push that in. So, as long as this is happening. And GABA says, receptor sites, open, chloride goes in, Chill. However, If NKCC1 Pushes extra chloride in. KCC2 doesn’t pull it out. and GABA hits the receptor site, the GABA comes flowing out, Sodium comes in, And now it’s excitatory. So Gabba didn’t change. GABA just opened the receptor site, that’s all it does. Dr. Deb Muth 00:47:33 Yeah. Bob Miller 00:47:34 But it’s the chloride balance that’s going to determine whether this is relaxing or not. Now, these are the things that go along with when they lose that KCC2 or gain NKCC1. Pain and sensitivity, burning electrical, neuropathic pain. Normal touch hurts. Sound and light sensitivity. Tinnitus can flare. Headaches and migraines. Seizure tendency. Body jolts. Spasticity, cramps, stiffness, startle reflex. Trouble falling asleep, non-restorative sleep. Anxiety, stress, reactivity, that’s what we have now. Hyperarousal, panic-like surges, irritability, racing thoughts. Brain fog, slowed processing, working memory slip-ups. Mental fatigue. Episodes of racing hearts, sweaty palms, guts on edge. Those are all the things that happen when this GABA switch occurs. Now, here’s what happens, and this is what I’m going to be presenting at an autism conference. When you have a newborn, they need that NKCC dominant to develop. By early childhood, it should… or, sorry, early adulthood. we should move over to the KCC dominant, that’s the taking the chloride out. Nice-looking 25-year-old boys, functioning very well. However, when we get microglia M1 upregulated. Because of environmental toxins, processed foods, Tylenol, aluminum. they stay in NKCC1 dominant, and there’s ADD, ADHD, Autism, the whole spectrum. because… They’ve not moved over to the… They’ve not moved over to the KCC2. And again, this is caused by… Environmental factors. Stimulating the microglia. And then, interleukin-1, interleukin-18 weakens KCC2, interleukin-1 beta, Strengthens NKCC1. high chloride. We open up the chloride channel, In Rebell Excitatory. So, I think when, When the pediatricians get ahold of this, they’re going to be very excited to know that This could be why we’re seeing such a rise, and not just autism, but ADD, ADHD, anxiety, the whole shit mess. Dr. Deb Muth 00:49:58 thing. Bob Miller 00:49:59 Yeah, so… and you can see NF-kappa-B stimulates that. These stimulate it, and I think that’s why everyone’s getting so anxious. Now, there’s a little bit more to it, and we’ll get into this when we look at some of the maps, but… The, the glutamate, Which is excitatory. will stimulate the NMDA receptor, make more glutamate, And glutamate will inhibit KCC2. And then we also need an astrocyte To, take both ammonia And glutamate, and… Turn them back into glutamine. And I’m going to talk to you a little bit about arachidenic acid, and if we have too much arachidenic acid. or TNFA is upregulated, that doesn’t happen. Ammonia goes up, and there may be multiple reasons for this, but this is a reason why some of the autistic kids do flapping. Dr. Deb Muth 00:50:49 Hmm. Bob Miller 00:50:50 Because they’re not clearing their ammonia. And you can tell if somebody has high ammonia by… they get that old person smell, you know. Dr. Deb Muth 00:51:00 Yup. Bob Miller 00:51:01 your vehicle cycle’s not taking out the, the ammonia. Now, last pathway here. There’s growing interest in mast cell activation. So, back here, we talked about peroxynitride. And that will stimulate mast cells, and those are white blood cells that are your best friend, unless they’re your worst enemy. Then it’ll make histamine. And there’s enzymes called histidine decarboxylase that’ll make more. Dr. Deb Muth 00:51:28 I’m sure everybody’s heard of DAO, the enzyme that degrades histamine. Yep. Bob Miller 00:51:31 We can have genetic weakness, we don’t make that. There’s an enzyme called histamine and methyltransferase, That, That breaks down the histamine. Then if we don’t do that, it’ll get stuck in the histamine receptor site. And then it’ll make something called, renin. Which will cause angiotensinogen to turn into angiotensin. One, that turns into angiotensin II,And that’s where people make aldosterone, where they’ll get the, The swollen ankles and high blood pressure. But interestingly, there’s an enzyme called ACE2, that takes this guy and turns it into angiotensin 1-7, Which is anti-inflammatory and also inhibits… TNFA. Now, you can have weakness on ACE2, But… and anybody’s saying, that sounds familiar? Dr. Deb Muth 00:52:25 That’s where COVID comes in, using ACE2. Bob Miller 00:52:28 And now we just found there’s literature that if you get COVID long enough, it can actually make ACE2 not be able to work as well. So look what it does. It comes down here, stimulates the NADPH oxidase, More superoxide. More peroxynitrite. And we’re on a cycle here. We’ve actually named this the Home Cycle Hypothesis, the proposed feed-forward loop. That just keeps feeding on itself. All being caused by… Primarily, The environmental factors. But hitting those who have genetic weakness the hardest. That’s why. Dr. Deb Muth 00:53:08 To the people. Bob Miller 00:53:09 Don’t live in a moldy house. One person is sick as can be, and the other person says, well, you must be imagining things, because I don’t feel anything. Dr. Deb Muth Yeah. Same thing with long haul, right? Two people can both get sick, one gets sick and never seems to recover, and somebody else gets sick, and they have absolutely no problems with it at all. Bob Miller 00:53:30 Sure. Well, think about it, if you get COVID, and ACE2 is weak, and some of this other stuff is going on. This thing just starts feeding upon itself. Dr. Deb Muth 00:53:38 Keep creating more inflammation, more complications, nothing’s calming down. Bob Miller 00:53:43 Yeah. Now, you, you ask about, MTHFR. So, this is the, this is the, the software called Functional Genomic Analysis. There’s a demo report we have. So, let’s talk a little bit about, MTHFR. So, we actually have a map called a methylation map. Now, what happens is, when you do your saliva test, you, you know, you spit, you put some saliva. in a collection kit, goes to a lab, takes out the DNA data, sends it to the computer, and now you can actually see it visually. Okay. So, it’s gonna take a second for this, data to load up, it’s, and each of these Circles, each of these ovals, is an enzyme. And the data gets loaded up to see where it is. So, until it gets loaded up here, I didn’t preload this. There it goes. So… The primary thing about methylation is There’s a nasty substance called homocysteine that, if it’s too high, can really be detrimental. The body takes methylfolate, and combines with methyl B12, To bring this back up to methionine. And then through the MAT genes, we make SAMI, S-adml methionine. Which is involved in so many processes. Then after it does its thing, it turns back into homocysteine. And this thing needs to keep spinning around. That’s why, you know, it’s a good idea to keep homocysteine at, do you have a number that you’d like? 7, 8? What do you like for a number? Dr. Deb Muth 00:55:24 Yeah, I like mine below 7. Bob Miller 00:55:26 Yeah. So if the homocysteine goes too high. It, caused all kinds of problems. So, here’s where you ask about the MTHFR. So, here you can see on this individual. I click on MTHFR, and you can see it comes up here, here’s the C677. And you can see here where it says, variants. I’ll… I’ll draw in case somebody’s having a hard time seeing that. So, you can see there’s nothing in there. That means there’s no genetic mutations. If one parent would have given a mutation, there’d be a 1. If both parents did, there’d be a 2. Now, here’s why Yes, methylation is important, I’m not saying it isn’t important, but look at this MTHFRC677. In my software. Only 42.5% of the population does not have a mutation. 44.7% have won. 12.9 have 2. So, this isn’t some rare, oh my god, I’m gonna die… Kind of thing, yeah. Dr. Deb Muth 00:56:27 Right. Bob Miller 00:56:28 So, And then what happens is that, and again, I’m not dismissing methylation, I… we could do a whole show on methylation. Bob Miller 00:56:36 get it. But I think that what people are doing is they’re, they’re learning about MTHFR, they get it measured, they panic. They start taking massive amounts of methylfolate, which many times is to their detriment. Dr. Deb Muth 00:56:50 Well, it’s… and isn’t it true, too, with MTHFR, like, you have to also look at MTR, MTRR, and the more we stack up of those, the more complicated than MTHFR can be. It’s not… it’s not as simple as just saying MTHFR 677 versus 1298. It’s more complex than that, kind of like what you’ve already shown with some of the other things. There’s more to it than just that one little sliver. Bob Miller 00:57:17 Oh, sure, well, let’s take a look. So, remember I said there’s a cofactor? One of the cofactors is called FAD. Just a Bob Miller observation, that’s all. But when people have trouble with their riboflavin and they don’t have enough FAD, They’re doing much worse than people who have just a C677. So, right here, you could have perfect C677th. And if you don’t have the cofactor, it’s not gonna work, okay? Dr. Deb Muth 00:57:48 And as you said, there’s an MTR enzyme. Bob Miller 00:57:51 that takes methylfolate and methyl B12, to spin it around. So, here on this individual. here’s your… here’s your B vitamins, or I’m sorry, your B12s. There’s an enzyme called TCN1 that takes it from the stomach into the blood. Then there’s other enzymes that take it from the blood into the tissue. And if you’re having trouble here. Well, then you’re not going to have this working, so… Even if you don’t have MTHFR, And you have MTR, like this, no, I’m sorry, this person doesn’t. But they have the MTRR, and then they don’t have enough B12, this isn’t gonna work, aside from that. And then there’s a middle pathway. And then there’s enzymes called the MAT1. they take the methionine to the salmon. If that’s not working, we stick… we get stuck in methionine. So, it’s, it’s not just an MTHFR. And then, one of the things that people forget about. is through these CBS enzymes and CTH, We make cysteine, which is needed to make glutathione. The master antioxidant. So, it really is that… I call it the, The 3D chess game played underwater. Dr. Deb Muth 00:59:07 It really is. I mean, I see people who have CVS, COMT, glutathione, MGHFR genes. And some of them function just fine. Like, they have Like, I look at this person and I’m like, oh my gosh, I don’t know how they’re functioning because they’re double mutated on so many pathways, but yet they don’t have a lot of symptoms, they don’t have a lot of complications. Somehow their body has figured out a way to adapt to what it has so it can stay alive and it can function at a high functioning level. Bob Miller 00:59:36 Yeah, and they may be, you know, eating right? Yeah. Staying out of a moldy house. reducing stress. So, it’s diet, it’s stress, it’s genetics, environmental factors. So, yeah, we can’t just say somebody’s gonna be good or somebody’s gonna be bad. You know, some people get scared, oh, I got all these, it’s like, well… Bob Miller 00:59:56 Are you living in a moldy house? You know, and if you live in a moldy house and your glucuronidation pathway doesn’t do well, or if you’re, you know, a smoker, or you’re constantly eating junk food, I mean, all. Bob Miller 01:00:07 things come together. Although, you know, when we focus on genetics, we’re well aware that this is just a piece of it. You know, you could have identical twins, Genetically, and if one… Is exposed to mold and smokes and drinks and stressed out. They’re gonna be a whole lot sicker than their sibling. Bob Miller 01:00:28 Yep. Dr. Deb Muth 01:00:29 Yeah, it’s that concept of taking twins, and one gets raced with one family, and one gets raced with another family, and they don’t have the same… problems that… that each other have, you know? It’s a very unique situation, we don’t think about that enough. Bob Miller 01:00:44 Alright, so again, genetics loads the gun, environment pulls the trigger. So, if you’ve got a loaded gun, but you don’t have the triggers, you’re okay. Dr. Deb Muth 01:00:53 Yeah. Bob Miller 01:00:54 Yeah. So, remember I said I was going to talk about NAD? So, here’s NAD, and what it does, it turns into NADH. And what NADH does, it, Comes down this pathway, what’s called the electron transport chain. And that makes your ATP, that’s your energy. So, if this wasn’t working, we wouldn’t be alive, because we wouldn’t have energy. So it donates an electron, that’s why it’s called electron transport chain. So, we need NAD, To make this, to make the energy. But remember I said that NQ01, this would probably be, like, on my top 10 list of… Bob Miller 01:01:36 Much more important than MTHFR. This one takes NADH back to NAD. If we’re stuck over here, We’re low in this NAD+, But what happens is, NQO1 also provides CoQ10. And CoQ10 Is what’s needed for the electron transport chain to flow. So if we get too many electrons up here. And they don’t turn them into energy. They make a nasty free radical called superoxide. Okay. Now, NAD plus also makes NADPH, And that is needed. Remember I said we need to recycle our antioxidants. So, if we have a problem with FAD from riboflavin. Yeah, we don’t have enough NADPH, Glutathione’s not getting recycled, and you’re gonna be inflamed. And you take glutathione, you’ll feel worse. There’s another enzyme called thimoredoxin. Same thing, needs NADPH and FAD. And same way with your nitric oxide, there’s an enzyme called NOS3, That makes the nitric oxide that dilates your blood vessels. And if we don’t have enough NADPH or fat, You’re gonna make superoxide. Rather than nitric oxide. Now, remember

durée : 00:57:29 - Théâtre - Milène Tournier, poétesse et marcheuse, nous invite à arpenter avec elle le 18e arrondissement de Paris pour voir et entendre la ville autrement. Quand la poésie peut surgir à chaque instant… - réalisation : Laure Egoroff, Céline Geoffroy, Juliette Heymann Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

durée : 00:57:29 - Samedi fiction - Milène Tournier, poétesse et marcheuse, nous invite à arpenter avec elle le 18e arrondissement de Paris pour voir et entendre la ville autrement. Quand la poésie peut surgir à chaque instant… - réalisation : Laure Egoroff, Céline Geoffroy, Juliette Heymann Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

durée : 00:58:28 - Le Cours de l'histoire - par : Xavier Mauduit - Au début du 20ᵉ siècle, le pacifisme socialiste progresse en Europe en réponse à la progression des conflits sur le continent. Des congrès internationaux aux journaux pacifistes, la lutte pour la paix s'organise à l'échelle européenne. Quelles ont été les voix du pacifisme socialiste avant 1914 ? - réalisation : Maïwenn Guiziou, Thomas Beau, Jeanne Delecroix, Jeanne Coppey, Raphaël Laloum, Chloé Rouillon, Solène Roy - invités : Adeline Blaszkiewicz-Maison Maîtresse de conférences en histoire contemporaine à l'université Paris 1 Panthéon-Sorbonne, membre du Centre d'histoire sociale des mondes contemporains, Julien Chuzeville Historien, spécialiste de l'histoire du mouvement ouvrier, du socialisme et du communisme, Jean-Numa Ducange Historien, professeur à l'Université de Rouen Normandie, spécialiste de l'histoire des gauches, des mouvements ouvriers et socialistes européens Vous aimez ce podcast ? Pour écouter tous les épisodes sans limite, rendez-vous sur Radio France

Och, och, och wat zijn wij mensen dom. Woonplaatsen afzeiken, superieur doen, zogenaamd expert zijn maar eigenlijk niks weten, onze domheid is grenzeloos. Aan kleine, onbedoelde stommiteiten maken we ons allemaal soms schuldig. Naar de winkel gaan met een piepklein tasje, time management hebben van een amoebe, verdwalen te midden van intensieve bewegwijzering, niks is ons vreemd. Soit. Maar domheid gepaard aan daadkracht en macht kan kwaadaardige bergen verzetten. Oliedomme leiders kunnen als de rattenvanger van Hamelen enorme TikTok-rijen verzamelen, op weg naar iets afschuwelijks. Dommerds weten dingen heel zeker maar kunnen enorm op de teentjes getrapt zijn als er tegengas is. Nee! Kom eens lekker ergens op terug! Zeg eens sorry als je een stomme uitspraak hebt gedaan. Het is verfrissend en getuigt van wijsheid om toe te geven dat je het weleens mis hebt. Als je iets niet weet, ben je niet meteen dom. Zeg eens lekker: ‘ik weet het niet’ en wees er trots op. Wees nieuwsgierig naar hoe anderen over iets denken en vraag je dingen af. Een complex probleem valt niet op te lossen met een soundbite, hoe graag we dat ook willen. Het is tobben, wikken en wegen om uiteindelijk tot de minst slechte oplossing te komen.Is het probleem van de luisteraar op te lossen met twee losse dekbedden of twee aparte bedden?Gezellig lepeltje lepeltje liggen is niet altijd gezond, maar wel gezellig. Hoe nu verder?Onze goeroe is bloedmooi en zit keihard in haar Sophia-fase. Bravo! Iedereen kan op zijn eigen manier meedoen en kleine stapjes maken die al een verschil maken. Kijk voor alle tips en tricks op Eneco.nl/verlicht Lees de hele zomer voor maar € 1,- per week! Klik hier voor de deal

Avec Fouad Hassoun et Sœur Marie-Emmanuelle de Medjugorje https://www.le-phoenix.org/

Aujourd'hui, Zohra Bitan, fonctionnaire, Jean-Loup Bonnamy, prof de philo, et Sam Zirah, animateur et créateur de contenu, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.

" Dieu a envoyé son Fils, pour que, par lui, le monde soit sauvé "Méditation de l'évangile (Jn 3, 16-18) par le père Eric CourtoisChant final : "Revenez à moi" par Soeur AgatheRetrouvez tous nos contenus, articles et épisodes sur rcf.frSi vous avez apprécié cet épisode, participez à sa production en soutenant RCF.Vous pouvez également laisser un commentaire ou une note afin de nous aider à le faire rayonner sur la plateforme.Retrouvez d'autres contenus de vie spirituelle ci-dessous :Halte spirituelle : https://audmns.com/pMJdJHhB. A. -BA du christianisme : https://audmns.com/oiwPyKoLe Saint du Jour : https://audmns.com/yFRfglMEnfin une Bonne Nouvelle : https://audmns.com/afqCkPVConnaître le judaïsme : https://audmns.com/VTjtdyaEnfin, n'hésitez pas à vous abonner pour ne manquer aucun nouvel épisode.À bientôt à l'écoute de RCF sur les ondes ou sur rcf.fr !Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.

À Vienne, l'association Nachbarinnen (« voisines » en français) est partie d'un constat : on attend des migrants qu'ils viennent d'eux-mêmes demander de l'aide auprès des différentes associations et institutions, or, beaucoup ne le font pas, notamment à cause de la langue. La conséquence : un isolement, voire une marginalisation, en particulier des femmes. Une situation que l'association essaie de renverser. L'association Nachbarinnen emploie uniquement des femmes, des assistantes sociales mobiles, immigrées elles aussi, qui se rendent directement chez les familles. Le but ? Mieux repérer les situations problématiques, voire dangereuses pour les femmes, mieux les accompagner et finalement, mieux les intégrer à la société. Fatima Keblawi est l'une des dix assistantes sociales mobiles. D'origine syrienne, elle se déplace chez les familles qu'elle aide. Aujourd'hui, elle rend visite à Sherine, Syrienne comme elle, qui vit seule avec ses trois enfants. Aide dans les difficultés du quotidien, administratives et personnelles, mais aussi pour apprendre l'allemand ou chercher un travail : l'éventail de Nachbarinnen est très large. Aujourd'hui, Fatima et Sherine discutent des enfants, en particulier du petit dernier, Abbas, 8 ans. Fatima explique à l'enfant qu'il doit être sage à l'école.  Sherine a des années difficiles derrière elle. Arrivée en Autriche en 2015, son mari, plus âgé qu'elle, l'a enfermée chez eux, nous raconte-t-elle, il l'empêchait d'avoir des amis, un travail. Elle a trouvé la force de divorcer en 2018, mais s'est alors retrouvée seule avec ses enfants. Être accompagnée aujourd'hui par Nachbarinnen représente beaucoup pour elle. « Tu veux pleurer, mais tu n'as personne à qui te confier, nous explique Sherine, avec ses mots. Les murs des endroits où j'ai vécu, eux, se souviennent. Ils connaissent mieux que quiconque les souffrances que j'ai endurées, moi et mes enfants, témoigne-t-elle. Mais depuis que j'ai rencontré Fatima, il y a eu un changement dans ma vie. Je pense maintenant au travail, à améliorer mon niveau de langue, ça m'a donné le courage de sortir, de parler, d'apprendre et de travailler. » À ses côtés, son fils, Abbas, acquiesce : « Oui, Fatima est très gentille : elle nous achète des autocollants par exemple, et nous aide quand nous en avons besoin, car nous sommes seuls, sans père. » À écouter dans 8 milliards de voisinsQuelles réalités pour les femmes en exil ? « Toutes ces femmes ont un même problème : elles sont isolées » Pour Fatima, qui travaille chez Nachbarinnen depuis deux ans, venir de la même culture et aller chez les familles permet de mieux repérer et mieux aborder les situations dangereuses pour les femmes. « 70 % des familles à qui je rends visite sont touchées par la violence. Soit le père est violent envers la mère, soit parfois aussi envers les enfants. Sherine, par exemple, a été victime de violence, souligne l'assistante sociale. Mais toutes ces femmes ont un même problème : elles sont isolées. Elles ont besoin de quelqu'un qui leur tende la main. Le lien de confiance, c'est le plus important. Et ça ne vient pas tout de suite. Mais nous avons la même culture, la même mentalité, la même langue, ce sont des clés et sans elles, les familles ne m'accepteraient pas. » Depuis sa création en 2014, l'association a aidé plus de 4 600 familles.  À écouter dans 8 milliards de voisinsComment sortir les femmes migrantes de l‘ombre ?

Do You Get Stressed Over News Stories About a Bunch of People Getting Sick With a Disease You’ve Never Even Heard Of? Lately, It’s the Hantavirus. But Here’s the Thing. These Outbreaks Have Been Around for Thousands of Years. Problem Is, You Can’t Ignore What’s Happening, but the Anxiety Can Really Gnaw at You. So It’s Better to Know the Origin Story, Because Like They Say… Knowledge Is Power. Feel Free to DM Me if You Have a Story You’d Like Me to Cover… on Facebook It’s Patty Steele and on Instagram Real Patty SteeleSee omnystudio.com/listener for privacy information.