Podcasts about Speech

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners. This short episode covers the mental status exam.Hosts: Dr. Matthew Cho (PGY1) and Dr. Angad Singh (PGY2)Audio editing: Dr. Angad Singh (PGY2)Episode Evaluation: Shelly Palchik (MS4)Timestamps:(0:20) Basics of the mental status exam(2:05) Appearance(4:00) Behaviour(5:00) Cooperation(6:20) Speech(7:18) Emotions(9:12) Perception(10:15) Thought process(12:35) Thought content(13:28) Insight(14:10) Judgement(14:46) CognitionReference: Donnelly, J., Rosenberg, M., & Fleeson, W. P. (1970). The evolution of the mental status—past and future. American Journal of Psychiatry, 126(7), 997-1002.Folstein, M. F., Folstein, S. E., & McHugh, P. R. (1975). “Mini-mental state”: a practical method for grading the cognitive state of patients for the clinician. Journal of psychiatric research, 12(3), 189-198.Norris, D. R., Clark, M. S., & Shipley, S. (2016). The mental status examination. American family physician, 94(8), 635-641.PsychDB. (2024, Jan 18). Mental Status Exam. https://www.psychdb.com/teaching/mental-status-exam-mseVoss, R., & Das, J. (2024). Mental status examination. StatPearls.If you want to learn more about the mental status exam, check out our longer episode about this topic: https://www.psychedpodcast.org/blog/mseFor more PsychEd, follow us on Instagram (@psyched.podcast),  Facebook (PsychEd Podcast), X (@psychedpodcast), and Bluesky (@psychedpodcast.bsky.social‬). You can email us at psychedpodcast@gmail.com and visit our website at psychedpodcast.org.

In Ngaaruawaahia the people of Tainui waka and followers of the Kiingitanga are gathering for the annual Koroneihana celebrations. Reporter Tuwhenuaroa Natanahira spoke to Ingrid Hipkiss.

At the TechBBQ conference last week in Copenhagen, I had the opportunity to conduct an interview with Carles Reina from ElevenLabs. ElevenLabs is that AI startup for audio applications like voice cloning, text-to-speech, and music generation, which is now valued at $3.3 billion and is among the global stars of the GenAI movement.I had a pretty exciting and open conversation with Carles, not just about audio AI, but also about a possible AI bubble, about copyright, and about what AI startups will soon be facing - listen in, it's absolutely worth it!1. From First Investor to Go-to-Market LeaderWhy Carles Reina switched from investor to operator roleThe vision of AI Voice as fundamental communication infrastructure2. Competitive Moats: More than just TechnologyResearch and model quality as core USPThe Voice Marketplace: Artists earn with their voicesMulti-layered Defensibility: The "Onion Principle"3. Competition with Tech Giants: David vs. GoliathWhy OpenAI and Google don't keep Carles up at nightThe advantage of specialization over Big TechQuality vs. Distribution: Who wins?4. Growth and ProfitabilityFrom 0 to $100M ARR in 17 monthsUnit Economics and the path to profitabilityWhy AI is not a bubbleThe Future of Startup Financing2022: Foundation Models, 2023: Applications, 2024: Distribution Why Go-to-Market becomes the new investment priority Distribution strategies for different markets5. Partnerships and LicensingWhy Apple and Meta increasingly rely on partnershipsElevenLabs Music: The legal path through record label dealsTelcos as new sexy distribution partnersSpeech-to-Speech and Real-Time Conversations6. The Future of Voice AIExpanding from 70 to 500 languagesOmni-Models: Music, voice and sounds from one modelEnterprise as fastest growing segmentGlobal expansion and new officesThe vision: ElevenLabs in every moment of the day

Libby talks to Joel Roskin, who was diagnosed with Developmental Language Disorder (DLD) as an adult. He is an amazing advocate for DLD and has a story that both inspires and informs. He is happy to be contacted and would make an ideal speaker for your CEN or support group. I certainly want to pick his brains for several projects that I have in mind and look forward to working with him again soon joelroskin1@hotmail.co.uk

At Legacy Church in Albuquerque, New Mexico, Charlie hammers home one of his most important and consistent lessons: The Left is coming after your towns, your schools, your churches, and your states. What will you do about it? He takes questions on homeschooling, if he's considering running for office, the Muslim takeover, and more. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

Matthew 7:7-12To discover more messages of hope go to tallowood.org/sermons/.Follow us on Instagram, X, and YouTube @tallowoodbc.Follow us on FaceBook @tallowoodbaptist

Brother Nick looks at Christian's speech from Colossians chapter four.

In this episode we are speaking with Irene Walsh, recently retired Associate Professor of Speech and Language Therapy in Trinity College Dublin. Irene discusses her career as a Speech and Language Therapist from being in the first SLT class in Trinity College to the highs and lows of her career as a clinician, author and associate professor.

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Click here to receive today's free gift on the Radio Page: Grieving with Hope – In Grieving with Hope, Randy gives perspective and practical advice to help readers on the grieving journey, so that in time, your grief will be accompanied by joy and hope. Use the coupon code: RADIOGIFT for free shipping!*Limit one copy per person* --------Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org. Find more encouragement on Instagram, TikTok, Facebook, and YouTube.

Security workers at Woodman's grocery vote to join SMART Local 565, a nationwide AFL-CIO bus tour hits Eau Claire and a Central Labor Council leader there speaks to Labor Radio, W&W dairy workers who are on strike receive a show of support in Madison, AFL-CIO President Liz Schuler's Labor Day speech slams Trump but also says workers can't depend on Democrats, Laborers union member Jose Ramirez speaks of his union rise and the labor movement in a segment by the Milwaukee Area Labor Council, SMART union member Kilmar Abrego Garcia is jailed again and faces exile by a vindictive Trump administration, and organized labor and immigrants rights advocates come out to support activist Catalina "Xochitl" Santiago who has been detained by federal agents.

H3 - Segment 3 - Fri Aug 29 2025 - Texter said Charlie Your speech on radio like German in reverse Bunch of people walked out at the CDC and i'm glad

MeidasTouch host Ben Meiselas highlights Prime Minister Carney's powerful speech at a military base in Latvia where he sent a powerful message about Canada's military readiness. Get 50% off your one-month trial at https://drinktrade.com/MEIDAS Visit https://meidasplus.com for more! Remember to subscribe to ALL the MeidasTouch Network Podcasts: MeidasTouch: https://www.meidastouch.com/tag/meidastouch-podcast Legal AF: https://www.meidastouch.com/tag/legal-af MissTrial: https://meidasnews.com/tag/miss-trial The PoliticsGirl Podcast: https://www.meidastouch.com/tag/the-politicsgirl-podcast The Influence Continuum: https://www.meidastouch.com/tag/the-influence-continuum-with-dr-steven-hassan Mea Culpa with Michael Cohen: https://www.meidastouch.com/tag/mea-culpa-with-michael-cohen The Weekend Show: https://www.meidastouch.com/tag/the-weekend-show Burn the Boats: https://www.meidastouch.com/tag/burn-the-boats Majority 54: https://www.meidastouch.com/tag/majority-54 Political Beatdown: https://www.meidastouch.com/tag/political-beatdown On Democracy with FP Wellman: https://www.meidastouch.com/tag/on-democracy-with-fpwellman Uncovered: https://www.meidastouch.com/tag/maga-uncovered Coalition of the Sane: https://meidasnews.com/tag/coalition-of-the-sane Learn more about your ad choices. Visit megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices

Given by Rabbi Mendel Kessin Weekly Hashkafa Shiur #184 torahthinking.org This series of lectures provides an in-depth exploration of the nature of prophecy, Divine inspiration and spiritual states that were available in Biblical times, and will be prevalent during Messianic times. Baruch Hashem! After 2 years of hard work, countless hours, and incredible teamwork, Rabbi Kessin's book, The True Power of Speech, is finally published! It's now available for sale at bookstores across the US and Israel, and on Feldheim's website and Amazon. We're so grateful for everyone's support along the way. May this sefer bring much inspiration and zechus to Klal Yisrael!

Fire us up Producer Josh!

Are your speech therapy goals actually creating change or just filling space on an IEP? In this episode, I share the three biggest mistakes I made in writing goals (and what to do instead). You'll learn how to: Write measurable annual goals that track real growth. Use complex clusters and the complexity approach to accelerate progress. Show parents exactly how to cue, fade prompts, and buy-in to accomplish the quarterly objective so they become co-interventionists right from the start. Avoid clunky goals that stall progress and force unnecessary amendments. Want done-for-you treatment targets, cueing visuals, and movement-rich literacy-based activities? Join the SIS Membership today at www.kellyvess.com/sis . You'll get ready-to-use weekly therapy materials that help you write smarter goals, coach parents with confidence, and create massive speech gains — without reinventing the wheel. Work smarter, not harder. Don't delay and download my free goal cheat sheet by clicking on the link in 'The Preschool SLP Facebook Group': https://www.facebook.com/groups/thepreschoolslp P.S. This week's episode was excerpted from my recent 'How to Write Speech Goal that WORK' Workshop. To access the free workshop and free accompanying goals sheets, go to 'The Preschool SLP Facebook Group': https://www.facebook.com/groups/thepreschoolslp

Back on this day in 1963 Martin Luther King Jr delivered his "I Have a Dream" speech. He gave the speech in front of about 250,000 people gathered in support of equal rights at the Lincoln Memorial in Washington D.C.

What information do we receive from the sound around us? Hear thoughts from Matt Goupell (University of Maryland) and Brian Monson (University of Illinois, Urbana-Champaign), who join the podcast to discuss their research, along with findings on speech in noisy environments and spatial awareness.Goupell and Monson are presenting at the 2025 ASHA Research Symposium on Hearing at the ASHA Convention. As part of ASHA Voices' annual coverage of that symposium, they join the podcast to discuss their presentations and research.First, Monson shares what we can learn from extended high frequencies—those frequencies higher than 8,000 Hz. He shares thoughts on why these quieter frequencies may be the first to go. Then, Goupell tells us what bilateral cochlear implants are doing well, and how he hopes to see them improve in the future.Learn More:Research Symposium on HearingASHA Voices: A Promising Outlook for Gene Therapy and Hearing LossASHA Voices: The Community Link to Hearing Care AccessTranscript

Ever wonder how you can help your little one start building language skills from the very beginning? In this episode, I'm joined by The Speech Sisters, two speech-language pathologists and moms who are passionate about helping parents support their baby's communication journey.  We're chatting about what's normal in those early months, how to spot red flags, and easy ways to make everyday moments language-rich. Whether your baby is in your belly, cooing, babbling, or starting to say words, you'll walk away with practical tips you can use right away!

King's Speech - Week 3 - Highest Priority - August 25, 2025| Crossland Community Church

Why are we so much chattier than other species? Madeleine Beekman has a surprising answer: blame the babies. Madeleine is professor emerita of evolutionary biology at the University of Sydney, and in her new book, The Origin of Language: How We Learned to Speak and Why, she explains that due to a series of evolutionary accidents, human infants were born so helpless that survival depended on coordinating care. Language, she argues, evolved as a kind of project-management system for baby-rearing. In other words, we didn't start talking because we were geniuses; we started talking because we were exhausted parents.

Bill Holter: Gold & Silver LOVED Powell's 'Special' Jackson Hole Speech! Jerome Powell gave his yearly Jackson Hole speech on Friday, and gold and silver prices shot higher as he was talking. While the main takeaway was that he let the world know that it's time for more interest rate cuts, there were some really important unanswered questions left behind. Fortunately, gold and silver precious metals veteran Bill Holter joined me on the show to talk about some of the wild things that Powell said, that left the precious metals soaring. Bill also talks about silver as a potential strategic mineral in the US, the reports of Saudi Arabia investing in SLV, and his thoughts on why we haven't heard more about the Fort Knox gold audit. So to hear what Bill had to say, click to watch the video now! - To get access to Bill's research go to: https://billholter.com/ - To find out more about the latest First Majestic drill results at San Dimas go to: https://firstmajestic.com/investors/news-releases/first-majestic-announces-positive-exploration-results-at-san-dimas - Get access to Arcadia's Daily Gold and Silver updates here: https://goldandsilverdaily.substack.com/ - To get your very own 'Silver Chopper Ben' statue go to: https://arcadiaeconomics.com/chopper-ben-landing-page/ - Join our free email list to be notified when a new video comes out: click here: https://arcadiaeconomics.com/email-signup/ - Follow Arcadia Economics on twitter at: https://x.com/ArcadiaEconomic - To get your copy of 'The Big Silver Short' (paperback or audio) go to: https://arcadiaeconomics.com/thebigsilvershort/ - Listen to Arcadia Economics on your favorite Podcast platforms: Spotify - https://open.spotify.com/show/75OH2PpgUpriBA5mYf5kyY Apple - https://podcasts.apple.com/us/podcast/arcadia-economics/id1505398976 - #silver #silverprice #gold And remember to get outside and have some fun every once in a while!:) (URL0VD) This video was sponsored by First Majestic Silver, and Arcadia Economics does receive compensation. For our full disclaimer go to: https://arcadiaeconomics.com/disclaimer-first-majestic-silver/Subscribe to Arcadia Economics on Soundwise

Progressive supranuclear palsy and corticobasal syndrome are closely related neurodegenerative disorders that present with progressive parkinsonism and multiple other features that overlap clinically and neuropathologically. Early recognition is critical to provide appropriate treatment and supportive care. In this episode, Teshamae Monteith, MD, FAAN speaks with Nikolaus R. McFarland, MD, PhD, FAAN, author of the article “Progressive Supranuclear Palsy and Corticobasal Syndrome” in the Continuum® August 2025 Movement Disorders issue. Dr. Monteith is the associate editor of Continuum® Audio and an associate professor of clinical neurology at the University of Miami Miller School of Medicine in Miami, Florida. Dr. McFarland is an associate professor of neurology at the University of Florida College of Medicine at the Norman Fixel Institute for Neurological Diseases in Gainesville, Florida. Additional Resources  Read the article: Progressive Supranuclear Palsy and Corticobasal Syndrome Subscribe to Continuum®: shop.lww.com/Continuum Earn CME (available only to AAN members): continpub.com/AudioCME Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @headacheMD Full episode transcript available here Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about earning CME, subscribing to the journal, and exclusive access to interviews not featured on the podcast. Dr Monteith: Hi, this is Dr Teshamae Monteith. Today I'm interviewing Dr Nikolaus McFarland about his article on progressive supranuclear palsy and cortical basilar syndrome, which appears in the August 2025 Continuum issue on movement disorders. Welcome, how are you? Dr Farland: I'm great. Thank you for inviting me to do this. This is a great opportunity. I had fun putting this article together, and it's part of my passion. Dr Monteith: Yes, I know that. You sit on the board with me in the Florida Society of Neurology and I've seen your lectures. You're very passionate about this. And so why don't you first start off with introducing yourself, and then tell us just a little bit about what got you interested in this field. Dr Farland: I'm Dr Nicholas McFarlane. I'm an associate professor at the University of Florida, and I work at the Norman Fixel Institute for Neurological Diseases. I am a director of a number of different centers. So, I actually direct the cure PSP Center of Care and the MSA Center of Excellence at the University of Florida; I also direct the Huntington's clinic there as well. But for many years my focus has been on atypical parkinsonisms. And, you know, I've treated these patients for years, and one of my focuses is actually these patients who suffer from progressive supranuclear palsy and corticobasal syndrome. So that's kind of what this review is all about. Dr Monteith: You probably were born excited, but I want to know what got you interested in this in particular? Dr Farland: So, what got me interested in this in particular was really the disease and the challenges that's involved in it. So, Parkinson's disease is pretty common, and we see a lot of that in our clinic. Yet many times, roughly about 10 to 15% of my patients present with these atypical disorders. And they're quite fascinating. They present in different ways. They're fairly uncommon. They're complex disorders that progress fairly rapidly, and they have multiple different features. They're sort of exciting to see clinically as a neurologist. I think they're really interesting from an academic standpoint, but also in the standpoint of really trying to bring together sort of a team. We have built a multidisciplinary team here at the University of Florida to take care of these patients. They require a number of folks on that team to take care of them. And so, what's exciting, really, is the challenge of treating these patients. There are very limited numbers of therapies that are available, and the current therapies that we have often really aren't great and over time they fail. And so, part of the challenge is actually doing research. And so, there's actually a lot of new research that's been going on in this field. Recently, there's been some revisions to the clinical criteria to help diagnose these disorders. So, that's really what's exciting. The field is really moving forward fairly rapidly with a number of new diagnostics, therapeutics coming out. And hopefully we can make a real difference for these patients. And so that's what really got me into this field, the challenge of trying to treat these patients, help them, advocate for them and make them better. Dr Monteith: And so, tell me what the essential points of this article. Dr Farland: So, the essential points, really, of this article is: number one, you know, just to recognize the new clinical criteria for both PSP and corticobasal syndrome, the diagnosis for these disorders or the phenotypic spectrum has really expanded over the years. So, we now recognize many different phenotypes of these disorders, and the diagnosis has gotten fairly complicated. And so, one of the goals of this article was to review those new diagnostic criteria and the different phenotypic ways these diseases present. I wanted to discuss, also, some of the neuropathology and clinicopathological overlap that's occurred in these diseases as well as some of the new diagnostic tests that are available. That's definitely growing. Some of the new studies that are out, in terms of research and clinical trials. And then wanted to review some of the approaches for treatment for neurologists. Particularly, we're hoping that, you know, this article educates folks. If you're a general neurologist, we're hoping that recognizing these diseases early on will prompt you to refer these patients to specialty clinics or movement disorder specialists early on so they can get appropriate care, confirm your diagnosis, as well as get them involved in trials if they are available. Dr Monteith: And how has the clinical criteria for PSP and cortical basilar syndrome changed? Dr Farland: I think I already mentioned there's been an evolution of the clinical criteria for PSP. There's new diagnostic criteria that were recently published, and it recognizes the multiple clinical phenotypes and the spectrum of the disease that's out there, which is much broader than we thought about. Corticobasal clinical criteria are the Dr Armstrong criteria from 2013. They have not been updated, but they are in the works of being updated. But it does recognize the classic presentation of corticobasal syndrome, plus a frontal executive predominant and then a variant that actually overlaps with PSP. So, there's a lot more overlap in these two diseases than we originally recognized. Dr Monteith: And so, you spoke a bit about FTD spectrum. So why don't you tell us a little bit about what that is? I know you mentioned multiple phenotypes. Dr Farland: What I really want to say is that both PSP and corticobasal syndrome, they're relatively rare, and what- sort of as to common features, they both are progressive Parkinson disorders, but they have variable features. While they're commonly associated with Parkinson's, they also fit within this frontotemporal lobar spectrum, having features that overlap both clinically and neuropathologically. I just want folks to understand that overlap. One of this pathological overlap here is the predominant Tau pathology in the brain, an increasing recognology- recognition of sort of the pathological heterogeneity within these disorders. So, there's an initial description, a classic of PSP, as Richardson syndrome. But now we recognize there are lots of different features to it and there are different ways it presents, and there's definitely a lot of clinical pathological overlap. Dr Monteith: Why don't we just talk about some red flags for PSP? Dr Farland: Yeah, sure. So, some of the red flags for PSP and even corticobasal syndrome are: number one is rapid progression with early onset of falls, gait difficulty, falling typically backwards, early speech and swallow problems that are more prominent than you see in Parkinson's disease, as well as eye gaze issues. So, ocular motor features, particularly vertical gaze palsy. In particular what we talk about is the supranuclear gaze palsy, and one of the most sensitive features that we've seen with these is downgaze limitation or slowed downgaze, and eventually a full vertical gaze palsy and followed supranuclear gaze palsy. So, there's some of the red flags that we see. So, while we think about the lack of response to levodopa frequently as something that's a red flag for Parkinson's, there are many times that we see Parkinson's patients, and about a quarter of them don't really respond. There's some features that don't respond to levodopa that may not be so specific, but also can be helpful in this disease. Dr Monteith: And what about the red flags for cortical basilar syndrome? Dr Farland: So, for cortical basilar syndrome, some of the red flags again are this rapidly depressive syndrome tends to be, at least in its classical present presentation, more asymmetric in its presentation of parkinsonism, with features including things like dystonic features, okay? For limb dystonia and apraxias---so, inability to do a learned behavior. One of those red flags is a patient who comes in and says, my hand doesn't work anymore, which is something extremely uncommon that you hear in Parkinson's disease. Most of those patients will present, say, I might have a tremor, but they very rarely will tell you that I can't use my hand. So look out for that sign. Dr Monteith: And let's talk a little bit about some of the advances in the fields you mentioned, evolving biomarker and imaging capacities. So, how are these advances useful in helping us understand these conditions, especially when there's so much heterogeneity? Dr Farland: I might start by talking a little bit about some of the clinical criteria that have advanced. Why don't we start there and just discuss some of the advances? I think in PSP, I think, originally we had both probable and possible diagnoses of PSP, and the diagnostic criteria were basically focused on what was what's called “classical PSP” or “Richardson syndrome”. But now we recognize that there are multiple phenotypes. There's an overlap with Parkinsonism that's slower in progression and morphs into PSP, the classical form. There's a frontal behavioral variant where patients present with that frontal behavioral kind of thing. There's a speech-language variant that can overlap with PSP. So they have prominent speech language, potentially even apraxia speech. So, recognition of these different phenotypes is sort of a new thing in this field. There's even overlap with cortical basal syndrome and PSP, and we note that the pathology can overlap as well. So, I think that's one of the things that have changed over time. And these were- recently came out in 2017 in a new publication in the Movement Disorders Society. So, in terms of diagnostic tests as well---and there's been quite a bit of evolution---really still to date, our best diagnostic test is imaging. MRI is really one of our best tests currently. Currently blood tests, spinal fluid, there's new biomarkers in terms of skin… they're still in the research phase and not necessarily very specific yet. So, we rely heavily on imaging still; and for PSP, what we're looking for largely are changes in the brain stem, and particularly focused on the midbrain. So disproportionate midbrain atrophy compared to the pons and the rest of the midbrain is a fairly specific intensive sign for PSP. Whereas in MSA we see more of a pontine atrophy compared to the midbrain. So that can be really helpful, and there are lots of different new measurements that can be done. PET scans are also being used as well. And there are new PET markers, but they still remain kind of research-based, but are becoming more and more prevalent and may be available soon for potential use. Although there's some overlap with PET tracers with Alzheimer's disease and different Tau isoforms. So, something to be wary about, but we will be seeing some of these soon coming out as well. More kind of up-to-date things include things like the spinal fluid as well as even some of the skin biopsies. And I think we've heard some word of recent studies that have come out that potentially in the very near future we might actually have some Tau protein tests that we can look at Tau either in spinal fluid or even in a skin biopsy. But again, still remains research-based and, we still need more information as to whether these tests can be reproducible and how sensitive or specific they are. Dr Monteith: It sounds like, when really approaching these patients, still, it's a lot of back to the history, back to the clinical and some basic imaging that we should be able to identify to distinguish these types of patients, and we're not quite where we need to be yet for biomarker. Dr Farland: I totally agree with you. I think it starts, really, with the clinical exam and that's our main focus here; and understanding some of the new clinical criteria which are more sensitive, but also specific, too. And they're really useful to look at. So, I think reviewing those; patients do progress, following them over time can be really useful. And then for diagnosis, getting imaging if you suspect a patient has an atypical presentation of parkinsonism, to look for signs or features that might be specific for these different disorders. Dr Monteith: Why don't we take a typical case, a typical patient that you would see in clinic, and walk us through the thought process---especially, maybe they presented somewhat early---and the different treatment approaches to helping the patient, and of course their family. Dr Farland: Yeah, sure. So, a typical patient might be someone who comes in with, like, a three year history of progressive gait problems and falling. And let's say the patient says, I'm falling backwards frequently. They may have had, like, a rib fracture, or they hit their head once, and they're describing some speech issues as well. Now they're relying on a walker and family members saying they rarely let them be by themselves. And there may be some slowing of their cognitive function and maybe a bit of withdrawal. So that's a typical patient. So, the approach here is really, what are some of the red flags? I think already you hear a red flag of a rapidly progressive disease. So, Parkinson's disease patients rarely have frequent falls within the first five years. So, this is within three years or less. You're already hearing early onset of gait problems and falling, and particularly falling backwards rather than forwards as often Parkinson's disease patients do. You're hearing early speech problems and maybe a subtle hint of cognitive slowing and some withdrawal. So, a lot of things that sort of are red flags. So, our approach really would be examining this patient really closely. Okay? We'd be listening to the history, looking at the patient. One thing is that some of these patients come in, they may be in a wheelchair already. That's a red flag for us. If they're wearing sunglasses---sometimes we see that patients, they have photosensitivity and they're in a chair and they're wearing sunglasses---you take the glasses off and you look at their face and they have that sort of a facial stare to them---not just the masked face, but the stare---and their eyes really aren't moving. So, another kind of clue, maybe this is probably something atypical, particularly PSP is what I'm thinking about. So, the approach is really, do a thorough exam. I always recommend looking at eye movements and starting with volitional saccades, not giving them a target necessarily, but asking them to look up and then look down. And then particularly look at the speed of downgaze and whether they actually have full versions down, are able to do that. That's probably your most sensitive test for a patient who has PSP. Not the upgaze, which can be- upgaze impairment in older patients can be nonspecific. So, look for that down gaze. So, if I can get out one message, that's one thing that can be easily done and examined fairly quickly for diagnosis of these patients. And then just look for signs of rigidity, bradykinesia, maybe even some myelopraxia, and then look at their gait carefully so that there's a high suspicion. Again, if there's some atypical features, imaging is really important. So, my next step would be probably getting an MRI to evaluate whether- do they have brain somatrophy or other widespread atrophy or other signs? You need to think about your differential diagnosis for some of these patients as well. So, common things are common; vascular disease, you can't have vascular parkinsonism or even signs of NPH. Both of those can present with progressive gait difficulty and falls. So, the gait may look more like Parkinson's rather than ataxic gait that we see in classic PSP, but still they have early gait issues, and that can be a mimicker of PSP, So looking for both of those things in your imaging. Think about sort of autoimmune potentially causes. So, if they have a really rapid progressive cause, there are some rare autoimmune things. There have been recent reports of things like IgLON5, although there's limited cases, but we're doing more screening for some of those autoimmune causes. And then even some infectious causes like Whipples, that are rarely present like this. Okay? And have other signs and features. Dr Monteith: So, let's say you diagnose this patient with PSP and you're assessing the patients to see how you can improve their quality of life. So, what are some potential symptomatic managements that will help our patient? Dr Farland: I recommend for most all of these patients… while the literature indicates that many patients with PSP, and especially corticobasal syndrome, don't respond well to levodopa. So, the classic treatment for parkinsonism. However, we all recommend a trial of levodopa. These patients may respond partially to doses of levodopa, and we try to push the doses a bit higher. So, the recommended trial is usually a dose up to roughly 1000 milligrams of levodopa per day. And give it some time, at least two, if not actually three months of a trial. If not well-tolerated, you can back off. If there's no response at all or no improvement, then slowly back off and taper patients off and ask them to tell you whether they feel like they're actually worsening. So, many patients, sometimes, don't recognize the improvements, or family members don't recognize it until we actually taper them back off. And they may end up saying there are some other things that even recognize. Even some nonmotor benefits can be seen with levodopa. In some cases, we do keep them on levodopa, but levodopa's our best therapy for this. Dopamine agonists, MAO inhibitors, have all been sort of tried and they've been studied, but often don't really help or fail to help benefit these patients and could be fraught with some other side effects. I think many people do also turn to Amantadine as a treatment for Parkinson's, gait problems, freezing, if you see it in these disorders. Yet Amantadine is fraught with issues of side effects, including cognitive issues, and I think is not well-tolerated. But there are the rare patient who actually does respond to this or claims they respond to this. By and large, these patients relentlessly progress, unfortunately. So, beside treatment of other symptoms, I think it's really important to recognize that they require supportive cares and therapy. So, starting those early on and getting your allied healthcares kind of involved. So that includes people like physical, occupational therapy for the gait issues, the falls, occupational therapy for doing daily activities. Speech language pathology can be really a critical player for these because of the early speech and language issues, as well as swallow difficulties. Swallow is compared quickly in these patients. And so, we do recommend the screening evaluation, then often following patients either every six- or even annually, at least, with a swallow evaluation. And we recommend the fluoroscopic-guided kind of modified barium swallow for these patients.  Dr Monteith: And how does that differ if, let's say, the patient had cortical basilar syndrome? What are some of the symptomatic treatments that would be high on your consideration? Dr Farland: So actually, these patients also have a very similar approach, and they often have some overlapping features. Maybe a little bit of difference in terms of the level of apraxia and some dystonic features that you see in corticobasal syndrome. So, as I mentioned earlier that these patients have a more typ- when they present, typically have a more asymmetric presentation. And one of the biggest issues is this limb apraxia. They may have abnormal movements as well as, like, the alien limb-type phenomena as well. So, the focus of therapy, while similar in the sense we focus on the parkinsonism, I do always try levodopa and try to ramp up the doses to see if it benefits. It does often fail, but it's definitely worth trying. The other focus of these patients is trying to treat symptoms. Dystonia, those features… in some cases, we can help; if it's painful or uncomfortable, muscle relaxants can be used. If it's vocal, things like Botox can be really helpful. Often times it is more palliative than actually restorative in terms of function, but still can be really helpful for patients who ask about pain and discomfort and trying to treat. And then of course, again, the focus on our supportive care. We need to build that network and build that team of folks, the therapists, the physical, occupational, and the speech therapist to help them. If they have language problems---like either in PSP or corticobasal---I'll also include my request to a speech language pathologist to work on cognitive function. That's a special, additional thing you have to ask for and then specifically request when you make a referral to a speech language pathologist. Dr Monteith: That is so important. I think keeping the simulation, keeping the social support, and I would probably guess that you would also include screening for sleep and mood disorder. Dr Farland: Absolutely. Mood disorders are really big in these diseases. Patients are suffering terribly. You do hear about labile mood in both of these diseases, particularly PSP; and even what's called pseudobulbar palsy, where the mood is not always congruent with the affect. So they may laugh or cry inappropriately, and particularly the crying can be very disturbing to family and caregivers to see that. And so, treating those things can be really important. So always asking about the mood issues. Depression in particular is something that we're very sensitive about, and there is a higher incidence of suicidal ideations. Asking about that and feeling and making sure that they are in a safe environment can be really important. Dr Monteith: Thank you so much. Dr Farland: Thank you. Dr Monteith: Today I've been interviewing Dr Nikolaus McFarland about his article on progressive supranuclear palsy and cortical basilar syndrome, which appears in the August 2025 Continuum issue on movement disorders. Be sure to check out Continuum Audio episodes from this and other issues, and thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. AAN members, you can get CME for listening to this interview by completing the evaluation at continpub.com/audioCME. Thank you for listening to Continuum Audio.

On February 25, 1956, Soviet Premier Nikita Khrushchev delivered his now infamous “Secret Speech” — On the Cult of Personality and Its Consequences — during the 20th Party Congress of the USSR. In a shocking four-hour oration, Khrushchev denounced Josef Stalin, exposing his crimes and human rights abuses. But this speech went far deeper than a denunciation of Stalin's dictatorship. Dr. Jerome Corsi reveals:The real political motives behind Khrushchev's attack on StalinWhy Mao Zedong saw it as an attack on Communism itself and a challenge to his Cultural RevolutionThe worldwide ripple effects that reshaped the Cold War and global politicsThis episode takes you beyond the headlines and history books to uncover what the Secret Speech really meant — and why it still matters today.

Elon Musk Speech At SpaceX Starship Launch #10

It is very likely that someone has said “one hundred percent” to you when what they actually mean is “yes”, but why has this affirmation become so commonplace?Joining Seán to unpack this is Gail Flanagan, Researcher in Applied Linguistics at the University of Limerick...

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Harmful speech comes from a corrupt heart and corrupts others.

Harmful speech comes from a corrupt heart and corrupts others.

At last week's Jackson Hole gathering, Jerome Powell delivered his final speech as Fed Chair. On the surface it was dry and technical, but markets read it as a dovish signal—and risk assets surged. In today's Breakdown, NLW digs into what Powell actually said, why markets reacted so strongly, and what the revisions to the Fed's monetary policy framework mean for inflation, employment, and the future of central bank independence. Brought to you by: Grayscale offers more than 20 different crypto investment products. Explore the full suite at grayscale.com. Invest in your share of the future. Investing involves risk and possible loss of principal. To learn more, visit ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Grayscale.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ -- ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.grayscale.com//?utm_source=blockworks&utm_medium=paid-other&utm_campaign=brand&utm_id=&utm_term=&utm_content=audio-thebreakdown)⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Enjoying this content? SUBSCRIBE to the Podcast: https://pod.link/1438693620 Watch on YouTube: https://www.youtube.com/@TheBreakdownBW Subscribe to the newsletter: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://blockworks.co/newsletter/thebreakdown⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ Join the discussion: https://discord.gg/VrKRrfKCz8 Follow on Twitter: NLW: https://twitter.com/nlw Breakdown: https://twitter.com/BreakdownBW

Paul reminds us that we proclaim the Good News of Jesus Christ through clear and godly speech that is highlighted by the gentle compassion of our hearts. (Lectionary #426) August 26, 2025 - Cathedral Rectory - Superior, WI Fr. Andrew Ricci - www.studyprayserve.com  

Jessica is a speech pathologist from West Babylon, Long Island, who combines her 14-year medical career with intuitive astrology. As a Gemini Sun, Virgo Rising, Aquarius Moon, she helps patients with communication and swallowing disorders while incorporating astrological insights to better understand patient motivation and approach. Jessica comes from a psychic family lineage - her mother is also a medium/psychic, and she began experiencing spiritual connections around age 11. After a spiritual awakening in 2021, she developed her intuitive abilities and now offers astrological readings, Akashic Records work, and energy healing alongside her medical practice. The conversation explores her journey integrating traditional medicine with metaphysical practices, family astrological patterns, and her holistic approach to healing.(05:20) - Living on Long Island, New York's Gemini energy(13:11) - Jessica's astrological journey: From magazine horoscopes to deep study(18:30) - Career path: Speech pathology work with geriatric population, Gemini Sun in 10th House conjunct Chiron(25:32) - Managing Cancer placements: Learning boundaries as an empath and highly sensitive person(31:52) - Spiritual awakening in 2021: Developing intuitive abilities and finding community(34:33) - Family psychic lineage: Second-generation intuitive, mother's abilities, childhood Spirit connections(41:02) - Family astrological patterns: Same Rising/Sun/Moon signs, generational sign repetition(56:26) - Meeting her husband: Same big three (Gemini Sun, Virgo Rising, Aquarius Moon)(63:18) - Integrating astrology into medical practice: Understanding patient motivation during COVID(75:55) - Speech pathology explained: Working with communication, swallowing, and cognitive disorders(80:16) - Core principles: Respecting patient autonomy, holding space, counseling skills(85:47) - Intuitive work methods: Akashic Records, energy healing, personalized spiritual guidance(92:26) - Closing thoughts: Astrology as transformative toolFollow Jessica on Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.theweeklytransit.com/

Josh explains the controversy surrounding President Trump's bold new executive order seeking to recriminalize flag burning. He analyzes what the First Amendment says, what the Supreme Court cases say, and more. Josh doesn't hold back as he tears into the heart of the fight: Is torching the American flag an act of "speech"—or an act of subversive conduct that crosses the line?See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Do you feel like most CEUs aren't very beneficial? You're not alone—60% of my audience across the field feels the same way.That's why I created The ABA Speech Connection CEU Membership—a program designed to foster collaboration, provide access to current research, and deliver engaging, practical CEUs that actually help you support your learners in communicating with the world.ABA Speech Connection is both ASHA and ACE approved, with a strong focus on meaningful outcomes. Since launching, more than 500 professionals have joined. Each month, members can attend at least one live course (often more) and access our growing catalog of CEUs. Whether you're an SLP, RBT, or BCBA, you'll find everything you need to earn your continuing education in one place.Membership is just $25 per month or $247 per year, with group pricing available as well.What's Inside:ASHA and ACE approved CEUs.A space for collaboration for SLPs, RBTs, and BCBAs. Mentioned In This Episode:Speech Membership - ABA Speech  ABA Speech: Home

Carney's FAILURES Listed By Pierre PoilievreBecome a supporter of this podcast: https://www.spreaker.com/podcast/radio-baloney-the-richie-baloney-show--4036781/support.

MeidasTouch host Ben Meiselas reports on Prime Minister Carney giving a powerful speech with President Zelenskyy inside Ukraine showing what true leadership looks like and standing up to Trump and Vance. For free and unbiased Medicare help, dial 82-MEDICARE (826-334-2273) to speak with our trusted partner, Chapter, or go to https://askchapter.org/mtn Disclaimer: Chapter and its affiliates are not connected with or endorsed by any government entity or the federal Medicare program. Chapter Advisory, LLC represents Medicare Advantage HMO, PPO, and PFFS organizations and stand alone prescription drug plans that have a Medicare contract. Enrollment depends on the plan's contract renewal. While we have a database of every Medicare plan nationwide and can help you to search among all plans, we have contracts with many but not all plans. As a result, we do not offer every plan available in your area. Currently we represent 50 organizations which offer 18,160 products nationwide. We search and recommend all plans, even those we don't directly offer. You can contact a licensed Chapter agent to find out the number of products available in your specific area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all of your options. Visit https://meidasplus.com for more! Remember to subscribe to ALL the MeidasTouch Network Podcasts: MeidasTouch: https://www.meidastouch.com/tag/meidastouch-podcast Legal AF: https://www.meidastouch.com/tag/legal-af MissTrial: https://meidasnews.com/tag/miss-trial The PoliticsGirl Podcast: https://www.meidastouch.com/tag/the-politicsgirl-podcast The Influence Continuum: https://www.meidastouch.com/tag/the-influence-continuum-with-dr-steven-hassan Mea Culpa with Michael Cohen: https://www.meidastouch.com/tag/mea-culpa-with-michael-cohen The Weekend Show: https://www.meidastouch.com/tag/the-weekend-show Burn the Boats: https://www.meidastouch.com/tag/burn-the-boats Majority 54: https://www.meidastouch.com/tag/majority-54 Political Beatdown: https://www.meidastouch.com/tag/political-beatdown On Democracy with FP Wellman: https://www.meidastouch.com/tag/on-democracy-with-fpwellman Uncovered: https://www.meidastouch.com/tag/maga-uncovered Coalition of the Sane: https://meidasnews.com/tag/coalition-of-the-sane Learn more about your ad choices. Visit megaphone.fm/adchoices Learn more about your ad choices. Visit megaphone.fm/adchoices

Federal Reserve Chair Powell's speech at Jackson Hole last week was classic Powell. That is not a terribly good thing. Powell signaled an increased probability of a September rate cut to counter the damage of trade taxes on the US economy. Markets liked that. But this was essentially the “data dependent” mantra padded with additional rhetoric.

What Powell's Jackson Hole Speech Means For Gold, Silver, & The Miners Jerome Powell's inspirational Jackson Hole speech on Friday left the gold and silver prices soaring. As despite inflation being above the Fed's mandate for over four years now, Powell confirmed that the plan to get inflation lower is to finally start cutting interest rates. So, what will this mean for gold, silver, and the mining stocks? Vince Lanci digs explains in this morning's show. And to find out more, click to watch the video now! - To get access to Vince's research in 'Goldfix Premium' go to: https://vblgoldfix.substack.com/ - Get access to Arcadia's Daily Gold and Silver updates here: https://goldandsilverdaily.substack.com/ - To get your very own 'Silver Chopper Ben' statue go to: https://arcadiaeconomics.com/chopper-ben-landing-page/ - Join our free email list to be notified when a new video comes out: click here: https://arcadiaeconomics.com/email-signup/ - Follow Arcadia Economics on twitter at: https://x.com/ArcadiaEconomic - To get your copy of 'The Big Silver Short' (paperback or audio) go to: https://arcadiaeconomics.com/thebigsilvershort/ - Listen to Arcadia Economics on your favorite Podcast platforms: Spotify - https://open.spotify.com/show/75OH2PpgUpriBA5mYf5kyY Apple - https://podcasts.apple.com/us/podcast/arcadia-economics/id1505398976 - #silver #silverprice #gold And remember to get outside and have some fun every once in a while!:) (URL0VD)Subscribe to Arcadia Economics on Soundwise

"Inflation is still here, inflation is still sticky," says Charles Schwab's Collin Martin. He makes the case that the markets put too much focus on the jobs portion of Jerome Powell's Jackson Hole speech, which investors interpreted as bullish for an interest rate cut in September. He adds that Friday's core PCE report can completely flip the Fed's script. Liz Ann Sonders adds to that point, telling investors to look beyond September. She believes Wall Street needs to focus on the long-term impacts of interest rate cuts and what they mean for the economy's health.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about

Islam is rising across the lands of the formerly Christian West. Is Islam really just another faith among many? Is it equally compatible with Western civilization? Charlie argues the answers are "No" and "No." Islam is a unique threat to the West and will overrun it if not taken seriously. It's a warning that all Christians raised in the fog of decades of pro-diversity propaganda. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

Islam is rising across the lands of the formerly Christian West. Is Islam really just another faith among many? Is it equally compatible with Western civilization? Charlie argues the answers are "No" and "No." Islam is a unique threat to the West and will overrun it if not taken seriously. It's a warning that all Christians raised in the fog of decades of pro-diversity propaganda. Watch every episode ad-free on members.charliekirk.com! Get new merch at charliekirkstore.com!Support the show: http://www.charliekirk.com/supportSee omnystudio.com/listener for privacy information.

Matthew 7:1-6To discover more messages of hope go to tallowood.org/sermons/.Follow us on Instagram, X, and YouTube @tallowoodbc.Follow us on FaceBook @tallowoodbaptist

The King's Speech - Week 2 - The Missing Link! - August 17, 2025 - | Crossland Community Church

On a day Wall Street and the global markets had been waiting for, Carl Quintanilla, Sara Eisen and Mike Santoli covered all of the bases and set the stage for Fed Chair Jerome Powell's Friday keynote speech at the Fed symposium in Jackson Hole, Wyoming. The anchors discussed market expectations, tariffs, inflation and President Trump putting pressure on the Fed to cut interest rates in September. Apollo Global Management Chief Economist Torsten Slok joined the program at Post 9 to offer his perspective on Powell and the future for rates. Also in focus: What Nvidia CEO Jensen Huang said in Taiwan about his company's AI chips and China amid a rough week for the stock,  market rotation out of big tech, earnings movers. Squawk on the Street Disclaimer

Bitcoin sits near $110K as all eyes turn to Jerome Powell's Jackson Hole decision and whether the Fed will signal rate cuts or stick with “higher-for-longer.” Washington heats up with Senator Lummis pushing a crypto market structure bill, the DOJ easing enforcement on developers, and banks lobbying to reshape the GENIUS Act. Globally, China explores yuan-backed stablecoins, while whales shift from Bitcoin into Ethereum and BlackRock doubles down on ETH. Even the Kanye West memecoin shows the risks of speculation. With policy, institutions, and macro all colliding, the key question remains: will the Fed's decision spark Bitcoin's next big move?

Bill rambles with comedian and writer Carol Leifer about her new book 'How To Write A Funny Speech', Seinfeld, and cruise line shows. (00:00) - Thursday Afternoon Podcast(59:11) - Thursday Afternoon Throwback 8-21-25 Bill rambles about gambling on baseball, Adam and Eve, and snooping. Thursday Afternoon Interlude: Greyboy - Ruffneck Jazz

For the first time, scientists have created a brain implant that can "hear" and vocalize words a person is only imagining in their head. Would we want this? Lunchbox brings in audio proof that Taylor Swift and Travis Kelce are fake after they did their podcast together. A listener calls in to defend Lunchbox and his in-law situation where his wife wants to pay them $500 for babysitting. Bobby shared the draft results for the Best Songs that start with C. Bobby shares how he feels about leaving behind a legacy. We talked about a 22-year-old tycoon who shared brutally honest advice on getting rich and warned that having a social life keeps people 'comfortably mediocre'.See omnystudio.com/listener for privacy information.