Podcasts about Spontaneous

This week on our Vino Lingo segment William Simons, Wine Director & Director of Operations, Albi, Washington DC, defines the term “Spontaneous”.  Learn more by visiting albicd.com

 We are less than two weeks away from the start of Thom's Australia visit. We have a range of tour events scheduled, including free introductory talks and a learn to meditate course for those who are new to Vedic Meditation. If you've completed a qualified Vedic Meditation course, we invite you to join Tom for knowledge sessions, group meditations and a one-day retreat he has scheduled in Sydney.  Thom is also offering a five-day four-night retreat in Gerringong, south of Sydney, as well as private mentoring sessions throughout the month.  You can find out more about all of these offerings at thomknoles.com/sydney. Detachment is frequently sold as a necessary step for spiritual progress. We're taught that attachment is often the root of our suffering, so it stands to reason therefore, that detachment will bring about the opposite of suffering.But as Thom explains in this podcast episode, it's an understandable yet inaccurate conclusion that actually causes more suffering.Thom brings clarity to the subject, using the Vedic concept of vairagya, a state of being that allows us to fully enjoy the fruits of life, without the bondage of attachment.Episode Highlights[00:45] Maharishi Patanjali's Yoga Sutras[02:56] Siddhis - Developing Extraordinary Human Capabilities[05:36] A Spontaneous State of Non-attachment[09:48] A Witnessing Phenomenon[12:55] A Consequence of the Practice of Vedic Meditation[16:23] An Indication of Cosmic Consciousness[19:08] The Freedom of Spontaneous Non-attachmentUseful Linksinfo@thomknoles.com https://thomknoles.com/https://www.instagram.com/thethomknoleshttps://www.facebook.com/thethomknoleshttps://www.youtube.com/c/thomknoleshttps://thomknoles.com/ask-thom-anything/

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll.

Stay sharp, sound confident, and speak with impact — even when you're put on the spot.Communicating clearly is challenging enough when there's time to prepare. But in most situations — whether in meetings, casual conversations, or high-stakes moments — we rarely have the luxury of scripting our words. We must think and speak in real time.Spontaneous communication is a daily challenge, yet few of us receive formal training in how to handle it with poise and confidence. So how can we stay composed and communicate effectively when put on the spot? Drawing on years of experience, our expert coaches — including a sports broadcaster, FBI negotiator, UN interpreter, game show host, NFL referee, and Sotheby's auctioneer — share their final pieces of advice to help answer that question.In this special episode of Think Fast, Talk Smart, the Spontaneous Speaking miniseries concludes with powerful tools, frameworks, and tips for staying calm, organizing your thoughts, and speaking with clarity under pressure. Matt Abrahams shares practical strategies and exercises designed to help you build lasting habits and sharpen your impromptu speaking skills.Whether you tend to freeze when caught off guard or simply want to express your ideas more effectively on the fly, this final installment will equip you to not only think fast — but speak smart.Episode Reference Links:Chris Voss - Former FBI Negotiator, Keynote SpeakerChris Voss's Book: Empathy and Understanding In Business  Annabelle Williams - Paralympic Champion, Sports BroadcasterGiampaolo Bianchi - United Nations InterpreterBrad Rogers - NFL Referee, ProfessorPhyllis Kao - Sotheby's AuctioneerPeter D Sagal - Game Show Host, AuthorConnect:Premium Signup >>>> Think Fast Talk Smart PremiumEmail Questions & Feedback >>> hello@fastersmarter.ioEpisode Transcripts >>> Think Fast Talk Smart WebsiteNewsletter Signup + English Language Learning >>> FasterSmarter.ioThink Fast Talk Smart >>> LinkedIn, Instagram, YouTubeMatt Abrahams >>> LinkedInChapters:(00:00) - Introduction (01:56) - The Power of Structure (05:48) - Expert Tip: Trust Yourself (06:09) - Expert Tip: Project Confidence & Provide Value (07:48) - Expert Tip: Ask for What You Need & Visualization (10:15) - Expert Tip: Review & Reflect (12:15) - Expert Tip: Use an Encouraging Tone (12:36) - Expert Tip: Turn Observation into Storytelling (14:29) - Conclusion    ********This episode is sponsored by Grammarly. Let Grammarly take the busywork off your plate so you can focus on high-impact work. Download Grammarly for free today Become a Faster Smarter Supporter by joining TFTS Premium.   

Adam Friedman, MD, FAAD interviewed by Sabrina Shearer, MD, FAAD

In my explanation of my current stats project (Blame Banks), I take you behind the scenes of my madness and we spend WAY too much time talking about D-Lo Brown, whom one Cagematch commenter has called "The Greatest Mid-Carder of all time".

Dr. Jessica Ailani and Dr. Kathleen Digre discuss the evolution of spontaneous intracranial hypotension (SIH) diagnosis and treatment over the past decade.

Hi guys,You probably already know this, but in addition to publishing a daily letter on Substack—and posting all sorts of other content all over the place too—I also record a weekly video podcast.Today I got into a bit of on overthinking spiral about whether to keep doing both the letters and the podcast, since there tends to be a lot of overlap between them.At some point today, I also changed podcast hosting platforms—from Spotify to Substack—as part of my Walden Year energy of simplifying & consolidating platforms. It just sorta happened.After the podcast fully switched over to Substack (which still distributes to Spotify, Apple Podcasts, & even YouTube, by the way) I suddenly became a bit worried that I was making my Substack too cluttered and that I'd annoy people with two emails coming through on Fridays.However… I did post this one time on Instagram…So… erm…I guess here goes!Something I could do if enough people reply to this email and tell me “I'm annoyed” is I could uncheck the “email” button when I post podcast episodes to Substack, that way they will just show up on the podcast platforms like normal without any emails coming through.But also…As Arthur Russel once said…It's my worldIt's my songDidn't ask you to come along!So you can always just unfollow me if you're annoyed.No but seriously I love you guys dearly.Dearly.Talk soon, and have a beautiful weekend.Love,Georgie P This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit georgepoulos.substack.com

Temple Ball...audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

really spontaneous selections...audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

Experimental/Electronic with pxe, dAs & univac...audio http://feeds.feedburner.com/RadioTroubleArchives

Earth Day...audiohttp://feeds.feedburner.com/RadioTroubleArchives

spontaneous selections...audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

Dr. Jessica Ailani talks with Dr. Kathleen Digre about the evolution of spontaneous intracranial hypotension (SIH) diagnosis and treatment over the past decade. Disclosures can be found at Neurology.org. 

Once too many...audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll.

Spontaneous short episodes recorded Off The Cuff from the heart and life of Matt Knoll.

Spontaneous twin pregnancies occur in about 1 out of every 250 pregnancies. A real world clinical question has to do with dating a spontaneous twin gestation: Do we use the smaller crown rump length or the larger for dating in the 1st trimester? Do we use the smaller or larger measurement of biometry in the 2nd trimester? We had this discussion today in our prenatal clinic, and in true form and fashion, I turned it into an episode! PLUS, there is practice guidance from Jan 2025 (ISUOG) to settle the debate. Listen in for details.

Join Michaela in this live workshop recording as she discusses the best way to learn tantra, what it means to be a well matched couple, the art and practice of ecstatic intimacy, how to live a joyous life, and the jar exercise. 00:00 - Well matched couples 02:01 - The best way to learn tantra 03:24 - The preliminaries and essence of tantric intimacy 07:00 - Spontaneous ecstasy and practices of bliss 08:48 - Central channel and NLMM 10:19 - Code words and quick communication 12:39 - How to live a joyous life 14:48 - The jar exercise Buy Michaela's Relationship Course: https://www.michaelaboehm.com/workshops/instant-access-the-untamed-heart-the-relationship-course/ Attend the Relationship Bootcamps in: - London, 28-29th June - https://www.michaelaboehm.com/workshops/june-28-29-the-relationship-bootcamp-weekend-intensive-london/ - Ojai, California, 19-21th September - https://www.michaelaboehm.com/workshops/september-19-21-the-relationship-bootcamp-a-3-day-intensive/ For retreats, workshops, teacher trainings and courses: https://www.michaelaboehm.com To order Michaela's book "The Wild Woman's Way" : https://amzn.to/2BQ5WpY Music ‘Deva Dasi' by Steve James at https://www.guruviking.com

Welcome back to a new episode of Spontaneous! This week, Brittney and Keilani, our favorite newly downtown girls, are still excited despite the exhaustion of moving. In this episode, the girls will share stories about Keilani's sister, brother-in-law, and niece, who visited the city for Easter weekend. They had an amazing time exploring, from visiting Bluey's house and going to museums to enjoying delicious food, spending time at the park, and so much more!One of the girls even had a funny encounter that inspired this week's episode title—you'll want to hear about it! New Episodes Every Saturday! Instagram @spontaneouspod @brittneyscardina @keilanipeleti TikTok: @spontaneouspod8Email: spontaneouspod@gmail.com

In this episode, I am joined by Lopon Yudron Wangmo, American teacher of Tibetan Buddhism and author of several books including her recent “Clearing the Way to Awakening”. Lopon Yudron Wangmo offers an analysis of the shortcomings of today's Buddhist literature, details the writing process for “Clearing the Way to Awakening”, and reveals the stylistic and language choices she made to better reach the average reader. Lopon Yudron Wangmo describes the power of the ngondro preliminary practices of Tibetan Buddhism and explains the techniques of mantra recitation, prostrations, mandala offerings, bodhicitta generation, tummo, śamata, and more. Lopon Yudron Wangmo extols the benefits of turning away from worldly life and towards religion, reports the fruits of her own practice such as profound peace and joy, warns about the danger of following a guru without first testing him, and advises on how to work with the supernatural dimension of Buddhism. … Video version: https://www.guruviking.com/podcast/ep303-clearing-the-way-to-awakening-lopon-yudron-wangmo Also available on Youtube, iTunes, & Spotify – search ‘Guru Viking Podcast'. … Topics include: 00:00 - Intro 01:04 - Clearing the Way to Awakening 01:52 - The problem with today's Buddhist literature 03:20 - Sublime topics 04:22 - Style considerations for today's reading level 06:03 - Learning to write more simply for the average reader 07:18 - Patrul Rinpoche and avoiding imitation 08:30 - What is awakening? 09:09 - Local context in Buddhist cultures 10:34 - Buddha's description of his awakening 12:37 - Working with the supernatural dimension of Buddhism 14:25 - The ālaya vijñāna and the unconscious mind 17:34 - Buddha nature vs being driven and unconscious 18:57 - Gradualist vs subitist awakening 20:22 - The role of ngondro and the power of visualisation 22:51 - The power of recitation 24:05 - The power of prostrations 26:17 - The power of maṇḍala offerings 28:13 - Why esoteric practices are not appropriate for most people 30:00 - The secrets to completing your ngondro 32:27 - The importance of motivation 33:15 - The anti-climax of realising the nature of mind 35:33 - Tummo and śamata 36:50 - Origin of the ngondro system + Theravada critique 39:17 - Taking refuge 40:30 - Generating bodhicitta and practicing the four immeasurables 41:12 - Vajrasattva and purification practice 42:21 - Merit making and guru yoga 44:06 - If you don't like it, don't practice it 45:04 - Yudron asks for Steve's opinion 46:58 - Choose your Buddhism 48:23 - Disillusionment with saṃsāra and choosing Buddhism later in life 50:03 - The power of choice and acquired ADHD 51:43 - Get on it 52:38 - The power of disillusionment and renunciation 55:07 - The peace and joy of turning away from the world 57:41 - The suffering of loneliness and the fruits of practice 01:00:09 - The mechanism of spiritual contentment 01:02:04 - Yudron on the importance of disclosing attainments 01:03:28 - Spiritual saints 01:04:13 - Political lamas and checking out gurus 01:05:32 - Personal relationship with the guru 01:07:13 - We're all devoted to something 01:09:09 - Pitfalls of ngondro: anxiety, OCD, depression, and PTSD 01:14:06 - Yudron's struggles with depression and anxiety 01:19:34 - Boomer Buddhists 01:20:04 - Preliminary or foundational? 01:22:06 - Jetsunma Tenzin Palmo's advice about retreat 01:23:38 - Congratulated by Vajrasattva and the ontology of deities 01:26:45 - Spontaneous feelings of love To find out more about Lopon Yudron Wangmo, visit: - https://www.yudronwangmo.com/ For more interviews, videos, and more visit: - https://www.guruviking.com Music ‘Deva Dasi' by Steve James

The lads discuss shower enclosures, organised craic and influencers getting scammed out of it.

This three-part miniseries is all about keeping your cool when speaking on the spot.Communicating effectively can be challenging enough, even with plenty of time to prepare what we want to say. But for most of our communication, there's no time to plan, practice, or perfect — we have to respond in the moment.Spontaneous communication is a part of our everyday lives, but few of us have been trained to handle these impromptu situations with confidence. What does it take to flow, not freeze, when put on the spot? This special three-part series turns to experts for guidance, from a sports commentator, FBI hostage negotiator, and UN translator to a game show host, NFL referee and Sotheby's auctioneer.Part 1: Preparation and MindsetDiscover how to prepare for the unpredictable, manage anxiety, and find the right headspace for success.Part 2: Mastering the MomentLearn to stay present, read the room, and use techniques like mirroring and pacing to connect with your audience.Part 3: When Things Go WrongFind out how to recover from inevitable mishaps and keep moving forward with confidence, turning mistakes into gold.In addition to insight-packed discussions, this Think Fast, Talk Smart miniseries offers practical exercises and homework assignments to help you implement what you've learned. Whether you draw blanks when put on the spot or simply want to articulate your thoughts more clearly in the moment, these episodes will transform how you think — and speak — on your feet.Episode Reference Links:Chris Voss - Former FBI Negotiator, Keynote SpeakerChris Voss's Book: Empathy and Understanding In Business  Annabelle Williams - Paralympic Champion, Sports BroadcasterGiampaolo Bianchi - United Nations InterpreterBrad Rogers - NFL Referee, ProfessorPhyllis Kao - Sotheby's AuctioneerPeter D Sagal - Game Show Host, AuthorConnect:Premium Signup >>>> Think Fast Talk Smart PremiumEmail Questions & Feedback >>> hello@fastersmarter.ioEpisode Transcripts >>> Think Fast Talk Smart WebsiteNewsletter Signup + English Language Learning >>> FasterSmarter.ioThink Fast Talk Smart >>> LinkedIn, Instagram, YouTubeMatt Abrahams >>> LinkedInChapters:(00:00) - Introduction (02:42) - Focus on What's Next, Not What Went Wrong (04:40) - Failure with Confidence (06:45) - Flexibility Over a Fixed Plan (08:28) - Staying Cool in Public Slip-Ups (10:36) - Using Laughter to Reset (13:05) - Gracefully Correcting Yourself (14:42) - Staying Calm Under Pressure (19:40) - Listener Exercises on Reflecting to Improve (21:56) - Conclusion   *****Stay up to date on the next great discovery at Stanford by signing up for the Stanford ReportBecome a Faster Smarter Supporter by joining TFTS Premium.      

KP chats with worship artist Kory Miller about how he became apart of Red Rocks Worship, writing songs like "Never Gets Old" and "Doorkeeper", life changing moments in the presence of God and so much more. This episode is packed with so much anointing.  Connect with Kory: Instagram: @korydmiller  Website: www.korydmiller.com Music: https://open.spotify.com/artist/0QCjdltvL9ZrRhayylw97h?si=83Vk2HlgTDu46UfTMkFXuQ ++++++ This episode was brought to you by PraiseCharts. If you are a Worship leader or musician, when it comes to leading in church or playing worship music, you need reliable, high-quality music resources. That's exactly what PraiseCharts provides. With tens of thousands of songs available in chord charts through orchestrations plus stems, you won't struggle to find the songs you want and make things work for your setting—just instant access to the music your team needs. Check out PraiseCharts.com today and see how it can transform your worship ministry! ++++++++++ To learn more about Kurtis' book Worshipology: www.worshipologybook.com or www.kurtisparks.com 

It's time for another spontaneous life update! In this unscripted episode, I share some major changes and exciting announcements – including new books, moving overseas, the launch of the Autistically ED-Free Membership, reflections on the fear of relapse, and how I'm dealing with my own fear of failure.

Welcome back to another episode of Spontaneous! It's official—Brittney and Keilani have finally moved into their new apartment! This is the first podcast recorded in their new place, and the girls are overflowing with emotions. They can't believe how exciting it is to be in this new neighborhood and are determined to make the most of it.In this episode, the girls will share their experiences of moving from one apartment to another, expressing their gratitude for the incredible team of movers who helped them. Plus, they can't help but notice that there are hot guys everywhere now!This is a short episode, as the girls wanted to give you something to enjoy while they settle in. It's a great catch-up about the move, and they'll be back next week with even more content!New Episodes Every Saturday! Instagram @spontaneouspod @brittneyscardina @keilanipeleti TikTok: @spontaneouspod8Email: spontaneouspod@gmail.com

traveling...audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

spontaneous selections...audio / playlisthttp://feeds.feedburner.com/RadioTroubleArchives

What if your client's tremor, stretch, or undulation wasn't a symptom—but a sign of healing? In this episode, Alex sits down with physical therapist, somatic educator and TRE Provider, Joel Begin to explore the natural, spontaneous movements that often arise in bodywork, movement therapy, and somatic healing—but are still largely misunderstood.Joel shares the story behind his 2022 paper, “Characterizing a Common Class of Spontaneous Movements,” a collaborative work that brings together perspectives from across the globe to map out how tremors, shakes, and fluid movements emerge across therapeutic, spiritual, and cultural contexts. From TRE® and myofascial unwinding to Qigong and authentic movement, Joel helps us reframe these expressions not as random or pathological—but as beneceptive and healing.Together, we explore the potential of spontaneous movement as a doorway into nervous system regulation, trauma resolution, and embodied intelligence. This episode invites you to see what might already be happening in your sessions with new eyes—and perhaps, to trust the body just a little more.Key Highlights: [00:02:00] The Paper That Sparked It All: Characterizing a Common Class of Spontaneous Movements[00:08:00] What Is Myofascial Unwinding?[00:14:30] Modalities That Evoke Spontaneous Movement[00:17:45] Spiritual Practices & Movement States[00:24:00] Case Study: Spontaneous Movement After Surgery[00:27:00] When Movement Feels Uncomfortable[00:33:00] TRE®, Trauma, and the Polyvagal Lens[00:38:45] Understanding Freeze Through Biotensegrity[00:41:00] What Makes These Movements Arise?[00:43:30] Creating a Container for CuriosityLinks & ResourcesJoel Begin's 2022 Paper: “Characterizing a Common Class of Spontaneous Movements” Read the full paper in the International Journal of Therapeutic Massage and BodyworkJoel Begin's Practice – Creative Pathways PTContinuum Movement: https://continuummovement.com/ Somatic Experiencing by Peter Levine: https://www.somaticexperiencing.com/about-peter Polyvagal Theory by Dr. Stephen Porges: https://www.stephenporges.com/ Myofascial Release John F. BarnesFind us Online: Sign up for our newsletter to learn more about the power of embodiment:https://www.redbeardsomatictherapy.com/Follow us on social media:Facebook: https://www.facebook.com/RedBeardSomaticTherapyInstagram: https://www.instagram.com/redbeardsomatictherapyLinkedin: https://www.linkedin.com/in/alexandermgreene

This three-part miniseries is all about keeping your cool when speaking on the spot.Communicating effectively can be challenging enough, even with plenty of time to prepare what we want to say. But for most of our communication, there's no time to plan, practice, or perfect — we have to respond in the moment.Spontaneous communication is a part of our everyday lives, but few of us have been trained to handle these impromptu situations with confidence. What does it take to flow, not freeze, when put on the spot? This special three-part series turns to experts for guidance, from a sports commentator, FBI hostage negotiator, and UN translator to a game show host, NFL referee and Sotheby's auctioneer.Part 1: Preparation and MindsetDiscover how to prepare for the unpredictable, manage anxiety, and find the right headspace for success.Part 2: Mastering the MomentLearn to stay present, read the room, and use techniques like mirroring and pacing to connect with your audience.Part 3: When Things Go WrongFind out how to recover from inevitable mishaps and keep moving forward with confidence, turning mistakes into gold.In addition to insight-packed discussions, this Think Fast, Talk Smart miniseries offers practical exercises and homework assignments to help you implement what you've learned. Whether you draw blanks when put on the spot or simply want to articulate your thoughts more clearly in the moment, these episodes will transform how you think — and speak — on your feet.Episode Reference Links:Chris Voss - Former FBI Negotiator, Keynote SpeakerChris Voss's Book: Empathy and Understanding In Business  Annabelle Williams - Paralympic Champion, Sports BroadcasterGiampaolo Bianchi - United Nations InterpreterBrad Rogers - NFL Referee, ProfessorPhyllis Kao - Sotheby's AuctioneerPeter D Sagal - Game Show Host, AuthorConnect:Premium Signup >>>> Think Fast Talk Smart PremiumEmail Questions & Feedback >>> hello@fastersmarter.ioEpisode Transcripts >>> Think Fast Talk Smart WebsiteNewsletter Signup + English Language Learning >>> FasterSmarter.ioThink Fast Talk Smart >>> LinkedIn, Instagram, YouTubeMatt Abrahams >>> LinkedInChapters:(00:00) - Introduction (02:25) - Letting Go of the Script (05:37) - Visual Listening (06:56) - Nonverbal Communication (09:45) - Tools of Connection (13:06) - Pacing for Pressure (14:06) - The Power of Pausing (16:40) - How to Make a Great Introduction (18:30) - Being Gracious in Conversation (20:54) - Listener Exercises on Active Listening (23:48) - Conclusion  *****Stay Informed on Stanford's world changing research by signing up for the Stanford ReportBecome a Faster Smarter Supporter by joining TFTS Premium.     

Michael hosts a compelling conversation centered around immigration, undocumented workers, and the everyday realities of hiring day laborers—sparked by a memorable and candid call from "Tom in Texas." This came after a conversation with Philip Bump at the Washington Post about how the story of Kilmar Abrego García - the Maryland man mistakenly deported to El Salvador after being arrested trying to get day labor work outside a Home Depot - tells us far more than the narrative on immigration and deportation we are hearing from the Trump White House. Original air date 17 April 2025.

Welcome back to another episode of Spontaneous! Today's episode is filled with emotions surrounding Brittney and Keilani's big move. Although they will have already moved by the time you listen to this, you'll get to hear all about their thoughts before the packing began. Next, we dive into the highlight of this week's catch-up: Keilani's niece Layla's first trip to New York with Grandma Jane! They had an amazing time exploring Central Park, enjoying a surprise day at the Natural History Museum, seeing Aladdin on Broadway, and taking a ferry to visit Ellis Island and the Statue of Liberty. Brittney had a nostalgic moment as she recalled her first trip to New York with her grandma and aunt, making it a full-circle experience! As always, the girls share their thoughts on the finale of The White Lotus! If you haven't seen it yet or want to avoid spoilers, be sure to stop listening when you hear them start to talk about it! New Episodes Every Saturday! Instagram @spontaneouspod @brittneyscardina @keilanipeleti TikTok: @spontaneouspod8Email: spontaneouspod@gmail.com

Matt is joined by Darold Gleason to talk about their recent trip to Columbia County, Georgia and Clarks Hill Lake (along with the Masters).  In the second half of the show, the always positive Charlie Hartley jumps on to talk about the Open in Mississippi.  

His far-reaching career acting, writing and producing on television and film spans voicing a sloth in the movie Ice Age to hosting a PBS series on the untold history of Latinos in the US. He's fast talking, funny, outspoken and possesses a rare quality in his acting – on display in his new movie Bob Trevino Likes It.

This three-part miniseries is all about keeping your cool when speaking on the spot.Communicating effectively can be challenging enough, even with plenty of time to prepare what we want to say. But for most of our communication, there's no time to plan, practice, or perfect — we have to respond in the moment.Spontaneous communication is a part of our everyday lives, but few of us have been trained to handle these impromptu situations with confidence. What does it take to flow, not freeze, when put on the spot? This special three-part series turns to experts for guidance, from a sports commentator, FBI hostage negotiator, and UN translator to a game show host, NFL referee and Sotheby's auctioneer.Part 1: Preparation and MindsetDiscover how to prepare for the unpredictable, manage anxiety, and find the right headspace for success.Part 2: Mastering the MomentLearn to stay present, read the room, and use techniques like mirroring and pacing to connect with your audience.Part 3: When Things Go WrongFind out how to recover from inevitable mishaps and keep moving forward with confidence, turning mistakes into gold.In addition to insight-packed discussions, this Think Fast, Talk Smart miniseries offers practical exercises and homework assignments to help you implement what you've learned. Whether you draw blanks when put on the spot or simply want to articulate your thoughts more clearly in the moment, these episodes will transform how you think — and speak — on your feet.Episode Reference Links:Chris Voss - Former FBI Negotiator, Keynote SpeakerChris Voss's Book: Empathy and Understanding In Business  Annabelle Williams - Paralympic Champion, Sports BroadcasterGiampaolo Bianchi - United Nations InterpreterBrad Rogers - NFL Referee, ProfessorPhyllis Kao - Sotheby's AuctioneerPeter D Sagal - Game Show Host, AuthorConnect:Premium Signup >>>> Think Fast Talk Smart PremiumEmail Questions & Feedback >>> hello@fastersmarter.ioEpisode Transcripts >>> Think Fast Talk Smart WebsiteNewsletter Signup + English Language Learning >>> FasterSmarter.ioThink Fast Talk Smart >>> LinkedIn, Instagram, YouTubeMatt Abrahams >>> LinkedInChapters:(00:00) - Introduction (04:12) - Pressure and Preparation (06:03) - Cognitive Load and Focus (08:47) - Speaking with Clarity (10:25) - Building Instinct Through Practice (12:29) - Overthinking vs. Acting Fast (14:09) - Staying Present Under Pressure (14:49) - Make It About the Audience (15:50) - Handling Public Scrutiny (17:54) - Physical Rituals to Manage Nerves (19:27) - Grounding Techniques Before Speaking (22:01) - Listener Exercises for Better Speaking (25:18) - Conclusion  *****Stay Informed on Stanford's world changing research by signing up for the Stanford ReportBecome a Faster Smarter Supporter by joining TFTS Premium.     

This episode is chaotic af in the best way. Only abundant, rich, gorgeous vibes for my manifest and hustle girls

Wives get to thinking about how life is too short.Based on the works of CoyoteHoward. Listen to the Podcast at Steamy Stories. Jenny & The Barbeque GatheringIt was the picture of Americana in southwest Idaho.A partly cloudy sky, with more sun than shade. Deep green grass. Horses munching away in the pasture while the kids, whose ages ranged from 2-16, played on the trampoline and playset.The husbands primarily were under the porch overhang, gathered around the grill, while Osvaldo and his 8 year old son Elliot jokingly played corn-hole in the grass.Their wives were on the furniture on the other end of the porch, doing as women do, keeping an eye on the children for the most part and enjoying their own trials and tribulations. Most of which focused on family dramas, future plans and prices for various groceries."Yeah, so what I'd like to do," Brady said, beginning to flip the burgers from the top left, "is kinda what you did, but I'd like to do 4 rails instead."Steve nodded and took a drink of beer from his Payette Brewing Co. bottle. He absentmindedly watched Brady do so, his left thumb tucked into the front pocket of his jeans, shifting his cowboy booted feet to equal distribution instead of one leg being cocked slightly. His slight belly showed his 36 years of age, and while he didn't like it, and wished he could find the consistent motivation to work out, his wife didn't mind, and his shirts still fit, including the plain white t-shirt he wore now."Yeah I don't mind the three, but the three inch- I wish I'd of been able to afford the three and a half," Steve said, shifting the bottle to his left and adjusting his multicam hat on his head, though it needn't be done. His brown, fade cut hair wasn't bothering him, it was more just a habit."You did your fence yourself?" Jeff asked. He was blond, worked out tons and was wearing a polo, cargo shorts and flip flops.Steve nodded, "Yeah the little mustang got out suddenly last year, little shit."The women meanwhile were discussing flowers."I'm so jealous of your little play area Jenny," Hannah said, taking a sip of her soda.She was married to Brady, and three of the tikes running around were hers. She was 36, was 5'7" and 133 pounds. She knew she was attractive, as all the women here were, but her husband appreciated her the most, and that's exactly the way she prefered it.They'd been married for well over 10 years, he was the father of all her babies, and they led a great life."Well it's been a lot of work, but yeah, it's coming together," Jenny said. "We've done a ton of work just to try and keep the weeds away." Her husband was Steve, and as she finished her sentence she looked over at her man.They'd been together the longest of the group of six couples, having been dating since junior year of high school, over 18 years prior. They had the second oldest child there, at 15, and the second youngest as well, a three year old girl.They'd been the ones to leave though, he going into the Army right after high school and finally leaving six years prior, and they'd all reconnected.Steve was still her king though, and she his queen, as they routinely told each other. Even now, as Heather, a half-asian, half-hispanic woman asked her about the newest berry they'd planted Jenny couldn't help but think about what her king had done to her last night, and her panties got warm under her flowery, blue, spaghetti-strapped sundress.Steve noticed her looking at him, and flashed her a smile, giving his queen a fun wink.And that's why she couldn't help but love him. He just did those little kinds of things that other men didn't with their wives. Sure he had a temper, he played video games, his memory was horrible.But his positives more than made up for it."I'd like to plant blackberries, especially if they have uh, no thorns," Amanda winked, and took a bite of potato salad. She was a short, slightly heavy black haired woman married to Osvaldo.She looked over and saw her son and husband playing cornhole still, though Jeff and Joe had gone over to play with them. They were married to Heather and Ellen, respectively, to Amanda's left."Yeah me too," Hannah said, to which the others laughed slightly."Bullshit," Kelly said, deciphering the code words; "You have too much going on already. Brady would strangle you!""Oh he'd be a little upset, but he always cools off," Hannah said, chuckling.But Jenny couldn't get the thought out of her mind now. The thought of how Steve had taken extra care to put the baby to bed, to not play Mass Effect, and to take her to bed.He'd sweetly pulled her jeans off, then nuzzled and licked at her cunt through her panties until she'd cum, THEN he had proceeded to have his way with her, bringing her off several more times before finishing off inside her.She imagined she could still feel his cum, making her wetter still.She suddenly looked at the whole situation. At everyone around her and the thought of them getting old, tired, and ending..."Hannah, watch Claire for me. I'm gonna go get fucked silly in your powder room," she said, locking eyes with her friend and rising with a slight smirk.Hannah's eyes went wide as she choked slightly and let out a huge smile."What?!" she exclaimed, but Jenny was already striding across the patio to her man."Did she just-""What did she say?""Whoa!""Hahaha! Oh shit she's really doing it!"Jenny had reached Steve, grabbed him by the belt buckle with one hand and had begun leading him away, walking forward as if leading a stud to a mare."Hey babe, whoa, what's up?" he asked.She turned and smirked a small smile at him, and she knew it achieved the desired affect. Her intentions must have been written all over her face, because he couldn't help but put his beer down and follow, his own smile bursting forth.She lead him through the door and didn't give him time to properly shut it, but he was able to with a strong hand."Jen, what are you doing?" Steve asked, grabbing her wrist. She was closer to her target though."I need you," she said, suddenly breathless as she kissed him deeply, her sexy body pressing up against his.She made sure to press her bra'ed 34C breasts into his chest, her left hand around his back, her right up in his short hair.Steve's hands went around her pinched waist first, then his left up her side and back while his right went around and down to her plump ass, cupping and kneading.She moaned at the touches, then broke the french kiss and backed away towards the half-bath by the front door.Steve followed eagerly and suddenly they were in the little bathroom, finding the light and locking the door behind them."Hun, what's gotten int-ohh shit!" Steve started, but she hushed him by immediately dropping to her knees, and getting his jeans undone."Damn girl, the fuck has gotten into you suddenly?" he asked, as she got the front of his pants open, not pausing and pulled down his underwear too. But his hands went to her head, lightly rubbing the sides and back encouragingly."Can't I just want my husband?" she asked before throating his semi-hard, 6 inch cock in one go."Ah fuck," he said, his biology taking over for a moment as he thrust his hips an inch forward, his hands tightening on her head.Her tongue was going crazy on the underside of his shaft, the tip even coming past her bottom lip slightly to lick his balls as much as she could, and he got rigid hard in moments.He gasped and breathed as if he were in pain, but she knew he wasn't. Jenny didn't give him head very often, so this must be a real treat for him. Though truth be told, this was a means to an end. She bobbed her face on his crotch for a dozen or so pumps, until she felt his cockhead nudge the back of her throat. That end was now.She rose, looked him in the eye as her right hand grasped his hard prick, some of her hair in her eye as she did so, stroking it in short strokes as she turned to the vanity and mirror.God she looked slutty. One of her spaghetti straps had fallen off her shoulder and her lips were an excited red from having just been stretched in an obscene 'O' around his magnificent cock.But she could still FEEL her sex drive though, his taste still in her mouth. Her boobs were hypersensitive in their confines, feeling wonderfully constrained as she breathed, and her panties were probably soaked through.She pulled up the hem of her dress and bent over the counter, looking back at him over her right shoulder."God, just fuck me. Fuck me!" she said, "I need it."Steve couldn't refuse this personification of pure lust in front of him. She wasn't his wife in this moment. She was a bitch in heat. A mare in season. And he was going to give her the beast she needed.He grabbed her brief-cut panties with both hands and yanked them down with animalistic urgency to her feet, where she stepped out with one sandaled foot.He then rose and put his right hand to her cunt, immediately confirming how wanton she was by the heat and wetness he found there, easily one of the wettest times he'd ever seen her."Oh fuck," she said, finding her own lustful gaze looking back at her in the vanity mirror, feeling his fingers run through her sex from her clit(which he brushed ever so slightly) right up to her asshole. She knew he must've thought about playing with it, as she'd let him take her ass several times in the past year, finally.But he didn't linger, instead he stepped right up to her bent over body and slid his steel hard cock into her cunt, all in one go."Oh! Oh fuck! Oh god that feels soo good!" she practically screamed, but huskily.His hands went to her wide hips, finding her pelvic bones that made the perfect obscene handles, beginning to piston her cunt, slowly.But she wanted more, she wanted to be fucked, and fucked well.She looked over her shoulder at him, "Steve, god damnit, Fuck me!" With each stressed word she pushed herself back on his cock, sparks flying from her sopping cunt through her body as she did so as his rod plowed her depths.Out at the patio, the ladies' conversation suddenly halted when the screams and moans were faintly heard coming from the little vent, high on the side of the house. It piped the narrative from the powder room, just on the other side of the brick exterior. First Claire took notice, then all the ladies went silent, their devilish grins showing their vicarious delight. A couple of the guys noticed the silence over at the other end of the covered patio, then all the guys heard the faint echo of a raging hormonal woman's voice could just barely be heard yelling; “Steve, God damnit. Fuck me!”Jenny was rewarded with her stud pulling her hips back so that she'd fall backwards if he wasn't there, cock lodged inside her. Her hands were wrapped tightly around the spout of the faucet, now somewhat in front of her as her hair swung with his thrusts. Her tits were swaying as much as her bra would allow, and the pulling on her chest added to her sexual experience. The thumb of her left hand subconsciously rubbed the underside of the chrome spout, but in her entranced state, she imagined it was Steve's turgid cock.In moments he was fucking her hard. Fast. Making her ass jiggle with every impact of his pelvis. She felt his cock running though her with abandon, the heat from her cunt quickly turning into a fire, then a blaze, until stars burst in her vision and she screamed a carnal, drawn out "ah" in orgasm, her legs shaking uncontrollably. “Steve, you beast!” she screamed in satisfaction.Her hands slipped as they clenched and gripped the sink, Steve stepping up as her hips were pushed forward against the edge of the counter.Whereas moments before she'd cum from her assertive pushing back, now she was trapped with nowhere to go. More precisely, her hole couldn't get away from the prick fucking it.Jenny realized that she'd be forced to cum at least again, maybe more even. Her king had slowed as he'd trapped her, bringing his hands up to her shoulders and finding new grips with which to pound her.She looked up and saw her sweaty self in the mirror again, her jaw dropped open as she breathed heavy with sexual arousal, her whole body jarring with each impact of Steve's hips against her ass.God she was so sexy, and her cunt was doing such a good job of clenching around the invader, her body doing as it was designed to do, trying to bring the penis inside it to orgasm. Her hole wanted his semen. That was its purpose, to get fucked and filled by cum, so she could carry his child.And it was working, her own voice raising with every fourth or fifth quickening thrust as she felt her second orgasm building in her depths, Steve's cock hitting amazing pockets of nerves inside her.It suddenly was upon her as her left hand pressed against the mirror, her right coming around to grab Steve's hip as her cunt exploded in pleasure, her eyes wide. She rocked herself back as he tried to pull out for another thrust, trying to keep him inside her as she came, throwing her head in an out of control nodding motion and half panting, half exclaiming "ahs.”Steve for his part wasn't faring well on holding out. He regularly told Jenny that her orgasms would collect massive amounts of cash on the internet, and they usually brought him off. But Jenny had never been this needy before, and though she did have bouts of increased sexual activity, this was a whole new level.As she came again for the second time, the thrashing of her head, her hair flying and her hand on the mirror, almost got him.It was her hand landing on his right side, hip and ass cheek coupled with her rocking cunt clenching on his shaft that got him. He slammed forward to the hilt as his cum rose from his balls, rocketing down his weapon until it fired into her hot sheathe.Again and again it fired, "Oh yeah! Uh! Uh! Uh! Take it baby!" he said through blurred vision and clenched teeth.Out on the patio, the ladies were squirming; embarrassed, but getting aroused. Claire was frustrated when she had to go comfort a child who tripped and fell in the play area; “Tell me what I'm missing, Kelly.”

Mike talks about La Mission Meal Deals, nice weather and lawn care (He hates those darn dandelions). Stay tuned to hear him speak with the proprietor of La Mission Mexican Restaurant, Michael Lucero, about their wonderful menu. Later, hear Mike tell you about his recent trip to Nebraska, where he went to the pepper pod, Carhenge, and saw the majestic Sandhill Crane Migration. This and more on Hour 2 of the Mike Boyle Restaurant Show!See omnystudio.com/listener for privacy information.

We look at our pooping stats, Narking on your parents, Foodie round up-another episode of FUCK MY LIFE and we ask-is it sexy?-or painful?

On this episode of the 4:13, we're diving into the joy-filled adventure of chasing whimsy—a path to discovering the uplifting, inspiring, and unexpected possibilities that await you every single day. With his signature storytelling and winsome take on life, bestselling author Bob Goff reveals how whimsy isn't just about enthusiasm—it's a deeply purposeful way of living. It's where intentionality meets curiosity, where interruptions become invitations, and where delight flips the script on your bad days. You'll learn how to embrace spontaneity with anticipation and wonder, use humor as a tool to broaden your perspective, and see life's mundane moments as onramps to meaningful experiences.  So, if you're ready to wake up to the marvelous adventure that is your life, hit play, and let's chase some whimsy together! SHOW NOTES: 413Podcast.com/345 Enter to win the GIVEAWAY and read the episode TRANSCRIPT in the show notes. Get my weekly email, Java with Jennifer, to be notified when a new podcast episode releases. Subscribe HERE.

There are real benefits of being spontaneous. During today's ten-minute walk, Dave talks about five benefits of spontaneity. Check out Walking is Fitness on YouTube Support the podcast with a virtual coffee through Buy Me A Coffee Download your free 90 Days To A Walking Habit You'll Love Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode, Kim debuts a new segment called “Surprise Dial,” where she checks in with Valerie Vaughan, a TMA mentor and mother of three, including a newborn. Valerie shares insights on balancing business and motherhood, emphasizing the importance of outsourcing and giving herself grace during this season. We're also teasing upcoming resources for TMA members, including email templates and a film photography guide designed to help photographers at all stages. Connect with Valerie: https://valeriecallan.com/ Connect with TMA: Website | Membership | Courses: www.themotherhoodanthology.com Free Community: https://www.facebook.com/groups/themotherhoodanthology  Our Instagram: instagram.com/themotherhoodanthology Connect with Kim: Site: https://kimbox.com  IG https://www.instagram.com/kimbox 

Sometimes, the best stories come from the unexpected, so let's dive into the joy of spontaneity and the magic of unplanned adventures. From taking a last-minute trip to Paris with my daughter to embracing the uncertainty of travel without a fixed itinerary, we explore how some of life's best moments happen when we step out of our comfort zones - and calendars! It's a celebration of creating unforgettable memories—whether it's with your children, friends, partner, or simply by yourself. Tune in for a few thoughts on how letting go of control can lead to the most rewarding experiences!www.PaigeKornblue.com

Feeling like the only wife who wants sex more than her husband? You're not broken - and you're not alone. In this episode, the KS team dives deep into the heart of the higher drive wife: the identity struggles, the church silence, and the ache of rejection. We're breaking the silence, offering real tools, and reminding you that your desire is not shameful - it's sacred. Watch the episode on YouTube!! Links from today's episode: Figuring Out What I Like Guide Responsive vs Spontaneous (episode 177) ⁠⁠Join Unite & Ignite ⁠⁠ Want more from Kingdom Sexuality? Come hang out! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Facebook Group⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Patreon⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Website⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

This episode is also posted on the IPH YouTube podcast.IHP content is for people who are interested in topics, stories, & guidance for personal development, self-help, spirituality journey, the 5D mystic path, & enlightenment the human way. It's for people who choose the human love narrative, not the human suffering narrative. Don't tune in if you don't love life & humanity because this won't be for you. Don't tune in if you still believe in evil or the devil. Topic not ideal for ego-sensitive or emotionally sensitive people. Please don't tune in. Thank you! All IHP content resonates with people who want to achieve enlightenment the human way & are emotionally accountable. IHP podcast host Maria Florio shares voices, stories & perspectives from her 5D mystic enlightenment functional adult life to give examples of what it's like to know emotional self-regulation skills, experience secure attachment, have functional adult conversations & experiences & 5D relationships.Inspiring Human Potential Inner Growth 5D Self-Empowered Enlightened Expanding Consciousness Voices, Stories & Perspectives5D Mystic Enlightenment Functional Adult Relationships New Stories To Heal Trauma Together & Bring Forth Your Humanity5D collective are functional adults who unconditionally love with flaws & imperfections that want to bring forth the authentic self, the inner child adult, & use functional adult direct open-hearted communication.You find your authentic self with self-awareness of your inner & outer mental, emotional & physical well-being as you choose to expand consciousness through integration of the brain, learning to love yourself and other(s) unconditionally - family, community, society, & world.To be you means you're able to actively feel alive, energized & ready for life's adventures (thanks to engaging your mammalian social engagement system - the ventral vagal state). You're ready to bring forth the future with the 5D collective (mystics & educators, etc.) & support humanity to move into another day of life & beyond.With a twin flame there is no saga or obsession; just unconditional love with a deep knowing of one's bond, oversoul connection, lifetimes together.Bringing Together Human, Spiritual, & Spirituality Elements to Explore Human Evolution & ConsciousnessBringing together the human elements (existentialism, psychology, sociology, neuroscience, somatics informed, trauma informed, interpersonal neurobiology informed, etc.), spiritual elements (ascension, the four clairs, astrology, metastrology, metaphysics, 3D, 4D, 5D - dimensions, spiritual awakening, tarot, Akashic records, etc.), & spirituality elements to explore human evolution & consciousness.When we can unconditionally love with flaws & imperfections in all our relationships, we always grow & expand consciousness. We get to experience authentic & genuine aspects that go beyond what words can describe.All our relationships support our expansion of consciousness.We are fragments of each other.Relationships that are unconditionally loving with flaws & imperfections hold the opportunity to support learning how to express & be your true self & tap into your infinite higher human consciousness potential in this lifetime, not the next one.I am life.I am love.I am expanding consciousness.I am infinite higher human potential.I am you.Love, Maria ♾️

Want more impactful spontaneous worship moments? Bethel Music's Emmy Rose shares the exact tips that help her flow with the Spirit—and the surprising ways those same tips can totally backfire.  Whether you're just learning how to flow or you've been chasing those spontaneous moments for years, this episode will challenge, equip, and stretch you.  Hit play… but consider this your warning—what helps you might also hurt you if you're not paying attention.  Worship Online is your new secret weapon for preparing each week. With detailed song tutorials and resources, you and your team will save hours every single week, and remove the stress from preparing for a set. Try a free trial at WorshipOnline.com and see the transformation!   Mentioned in the Episode  Tend by Emmy Rose  ---  If you like what you hear, please leave us a review! Also, shoot us an e-mail at podcast@worshiponline.com. We want to know how we can better serve you and your church through this podcast.  Don't forget to sign up for your FREE 2-week subscription to Worship Online at WorshipOnline.com!  The Worship Online Podcast is produced by Worship Online in Nashville, TN. 

N Engl J Med 2005;353:1095-1104Background: Prior trials on revascularization in patients with acute coronary syndromes without ST-segment elevation have yielded mixed results. While FRISC II and TACTICS-TIMI 18 demonstrated a significant reduction in myocardial infarction, this benefit was not observed in RITA 3. None of these trials showed a significant reduction in mortality. Further research is needed to guide treatment strategies in this population, particularly after the introduction of early use of clopidogrel and intensive lipid-lowering therapy.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber.The Invasive versus Conservative Treatment in Unstable Coronary Syndromes (ICTUS) trial sough to test the hypothesis that an early invasive strategy is superior to selective invasive strategy for patients with non-ST elevation myocardial infarction (NSTEMI).Patients: Eligible patients had to have all of the following: Worsening symptoms of ischemia or symptoms at rest with the last episode being 24 hours before randomization, elevated cardiac troponin T level (≥0.03 μg per liter); and either ischemic EKG changes (defined as ST-segment depression or transient ST-segment elevation exceeding 0.05 mV, or T-wave inversion of ≥0.2 mV in two contiguous leads) or a documented history of coronary artery disease.Patients were excluded if they were older than 80 years, had an indication for primary percutaneous coronary intervention or fibrinolytic therapy, hemodynamic instability or overt congestive heart failure, oral anticoagulant drugs use in the past 7 days, fibrinolytic treatment within the past 96 hours, percutaneous coronary intervention within the past 14 days, elevated bleeding risk, plus others.Baseline characteristics: The trial randomized 1,200 patients from 42 Dutch hospitals – 604 randomized to early invasive strategy and 596 randomized to selective invasive strategy.The average age of patients was 62 years and 74% were men. Approximately 39% had hypertension, 14% had diabetes, 35% had hyperlipidemia, 23% had prior myocardial infarction and 41% were current smokers.Approximately 48% of the patients had ST deviation equal to or greater than 0.1 mV.Procedures: Patients were randomly assigned in a 1:1 ratio to undergo early invasive vs selective invasive strategy.Patients received 300 mg of aspirin at the time of randomization, followed by at least 75 mg daily indefinitely, and enoxaparin (1 mg/kg for a maximum of 80 mg) subcutaneously twice daily for at least 48 hours. The early use of clopidogrel (300 mg immediately, followed by 75 mg daily) in addition to aspirin was recommended to the investigators after the drug was approved for acute coronary syndrome in 2002. Intensive lipid-lowering therapy, preferably atorvastatin 80 mg daily or the equivalent was recommended as soon as possible after randomization. All interventional procedures during the index admission were performed with the use of abciximab.Patients assigned to the early invasive strategy were scheduled to undergo angiography within 24 - 48 hours after randomization. Patients assigned to the selective invasive strategy underwent coronary angiography if they had refractory angina despite optimal medical therapy, hemodynamic or rhythm instability, or significant ischemia on pre-discharge exercise test.In both groups, percutaneous coronary intervention (PCI) was performed when appropriate, without providing more details in the manuscript.The level of creatine kinase MB was measured at 6-hour intervals during the first day, after each new clinical episode of ischemia, and after each percutaneous revascularization procedure.Endpoints: The primary endpoint was a composite of all-cause death, myocardial infarction, or rehospitalization for angina at 1-year.The estimated sample size to provide 80% power to detect 25% relative risk difference between the two treatment groups at 5% alpha was 1,200 patients. This assumed that 21% of the patients in the early invasive arm would experience the primary outcome.Results: During the index admission, 98% of the patients in the early invasive strategy arm underwent coronary angiogram compared to 53% in the selective invasive arm. At 1-year, 79% of the patients in the early invasive strategy arm underwent revascularization compared to 54% in the selective invasive arm.The primary outcome was not significantly different between both treatment groups (22.7% with early invasive vs 21.2% with selective invasive, RR: 1.07; 95% CI: 0.87 - 1.33; p= 0.33). All-cause death was the same in both groups (2.5%). Myocardial infarction was significantly higher with the early invasive strategy (15.0% vs. 10.0%, RR: 1.50, 95% CI: 1.10 – 2.04; p= 0.005), while rehospitalization for angina was lower with early invasive (7.4% vs. 10.9%, RR: 0.68, 95% CI: 0.47 – 0.98; p= 0.04). Most myocardial infarctions were revascularization related and these were significantly more frequent with early invasive (11.3% vs 5.4%). Spontaneous myocardial infarctions were 3.7% with early invasive and 4.6% with selective invasive and this was not statistically significant.Major bleeding, not related CABG, during the index admission was more frequent with the early invasive strategy (3.1% vs 1.7%).There were no significant subgroup interactions for the primary outcome, including based on ST deviation and troponin levels.Conclusion: In patients with NSTEMI, an early invasive strategy was not superior to selective invasive strategy in reducing the composite endpoint of all-cause death, myocardial infarction, or rehospitalization for angina at 1-year. An early invasive strategy was associated with more myocardial infarctions with a number needed to harm of 20 patients, which was secondary to revascularization related myocardial infarction. An early invasive strategy reduced rehospitalization for angina with a number needed to treat of approximately 29 patients.The ICTUS trial showed that revascularization can cause harm and highlighted how counting procedural myocardial infarctions can influence outcome estimates. While there is ongoing debate about the significance of periprocedural myocardial infarctions, evidence indicates an association with increased mortality. Whether periprocedural myocardial infarctions are 'less severe' than spontaneous myocardial infarctions remains controversial, as their impact varies based on infarct size and patient characteristics. This underscores the importance of including all-cause mortality or advanced systolic heart failure as endpoints in trials of revascularization.Patients in ICTUS received better background medical therapy compared to prior trials in this area. While this could be responsible for the divergent results compared to other prior trials. It also highlights the heterogeneity of NSTEMI patients and that an invasive strategy is not appropriate for all.Cardiology Trial's Substack is a reader-supported publication. To receive new posts and support our work, consider becoming a free or paid subscriber. Get full access to Cardiology Trial's Substack at cardiologytrials.substack.com/subscribe

Discovering your travel personality might be the key to your most enjoyable adventures yet. Do you meticulously plan every detail with color-coded spreadsheets, or do you prefer throwing caution to the wind and seeing where the journey takes you? The truth is, neither approach is inherently better—they simply reflect different personality types and comfort levels.Planned travel offers undeniable advantages: guaranteed access to popular attractions (like my recently secured Blue Lagoon reservation in Iceland that was nearly sold out weeks in advance), better pricing on accommodations, and that comforting sense of security that comes from knowing exactly where you'll be each day. It's particularly valuable for those new to solo travel or visiting highly touristed destinations during peak season. Yet this approach can transform your vacation into a rushed checklist exercise, leaving little room for those magical unplanned moments that often become our most cherished travel memories.Spontaneous travelers enjoy the freedom to extend stays in places they love, change direction on a whim, and discover hidden gems not found in guidebooks. This approach creates space for authentic local experiences and serendipitous encounters. However, as I recently discovered when I missed out on a recommended guesthouse in Iceland, this freedom comes at a price—potentially missing must-see attractions that require advance booking or facing limited accommodation options at premium prices. The sweet spot for most experienced travelers lies somewhere in between—perhaps securing flights, accommodations, and must-see attractions while deliberately leaving space for wandering and discovery. Your ideal approach should match your personality while considering your destination, travel experience, and the time of year you're visiting.What's your travel planning style? Has it evolved as you've gained more travel experience? Share your thoughts and join our community of solo adventurers who are constantly learning and growing through their journeys around the world!Instagram @solotraveladventures50Facebook community: Solo Travel for Women Over 50 https://www.facebook.com/groups/860865768609200Send me a message or share your solo travel story with me.https://www.speakpipe.com/SoloTravelAdventuresLeave a review:https://podcasts.apple.com/us/podcast/solo-travel-adventures-safe-travel-for-women-preparing-for-a-trip-overcoming-fear-travel-tips/id1650161410

Send us a textFor the past several years, the "Trick or Treat Radio Killers" have wreaked havoc on listeners ears with their unique brand of auditory assault. This episode is no different than the previous 659, no one is safe. On Episode 660 of Trick or Treat Radio we discuss the film Heart Eyes from director Josh Ruben! We also talk about the new Toxic Avenger teaser, some of our favorite romantic horror flicks, and when movies don't toe the line between genres enough. So grab your extending cupid arrows, make sure not to have public displays of affection on Valentines Day, and strap on for the world's most dangerous podcast!Stuff we talk about: Stephen King, living in Maine, Joe Hill, King Sorrow, Darren Aronofsky, Cujo, Mother, The Wrestler, Requiem For A Dream, The Omen III: The Final Conflict, The Funhouse, Tobe Hooper, Herschel Gordon Lewis, 2000 Maniacs, Holly Hunter, Sam Raimi, Tom Towles, Sam Neill, Basic Instinct, Fanboys, Vice Squad, RIP Wings Hauser, John Carpenter, My Bloody Valentine, April Fool's Day, Valentine, Shaun of the Dead, Edgar Wright, Lisa Frankenstein, Crimson Peak, Only Lovers Left Alive, The Shape of Water, Spontaneous, Brian Duffield, May, Spring, Fresh, Warm Bodies, Last Night in Soho, Sgt. Rock, Colin Farrell, Penguin, Toxic Avenger teaser, Poultrygeist, Peter Dinklage, Luisa Guerreiro, Eastbound and Down, the AED gimmick, Jizzam, Heart Eyes, Josh Ruben, Jordana Brewster, Devon Sawa, Mason Gooding, Cobra Kai, Olivia Holt, the weather in Seattle in February, Valentines Day, RomComHorror, investing in the cat box, Patreon Takeover, Creepygirl, Milk and Serial, All You Need is Blood, Chuck, FU Dean Cain, Superman, Ubermensch, Queen of the Ring, Ash Avildsen, The Karate Kid, Rocky, John Avildsen, Talk is Jericho, William Zabka, Arrivedici DOGEbags, Dink Days Don't Come Cheap, Second Hand Luke, and the sinking cinematic cinderblock.Support us on Patreon: https://www.patreon.com/trickortreatradioJoin our Discord Community: discord.trickortreatradio.comSend Email/Voicemail: mailto:podcast@trickortreatradio.comVisit our website: http://trickortreatradio.comStart your own podcast: https://www.buzzsprout.com/?referrer_id=386Use our Amazon link: http://amzn.to/2CTdZzKFB Group: http://www.facebook.com/groups/trickortreatradioTwitter: http://twitter.com/TrickTreatRadioFacebook: http://facebook.com/TrickOrTreatRadioYouTube: http://youtube.com/TrickOrTreatRadioInstagram: http://instagram.com/TrickorTreatRadioSupport the show