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In today's podcast, Abundance Community member Ashley and I explore the growth of her Tampa-based private practice, where she's managing 50 clients and feeling the strain of 32 weekly sessions. We talk through burnout, fee adjustments, and the impact of charging $80 per session in a high-cost area. Ashley shares her interest in refining her ADHD niche, especially with medication-resistant adults, and we discuss balancing strategy work with deeper emotional processing. We also look at ways to build referral networks, incorporate EMDR, and create a more sustainable, values-aligned practice. Sponsored by TherapyNotes®: Use promo code Abundant for 2 months free Links You'll Love: Is your practice full but you're miserable? Join our Fall 2025 Limitless Practice cohort: https://www.abundancepracticebuilding.com/lp Grab our FREE tools to grow your practice—weekly worksheets, the Tasky Checklist, and more: www.abundancepracticebuilding.com/links Ready to fill your practice faster? Join the Abundance Party today and get 75% off your first month with promo code PODCAST: www.abundancepracticebuilding.com/abundanceparty Have a question for me about practice building? Submit it via our Ask Allison form, and I'll add it to the queue: https://www.abundancepracticebuilding.com/ask_allison Prefer video? This episode is also available to stream on our YouTube channel!
The Billy & Lisa Show cover a whole bunch of topics during today's show including, the Red Bull cliff divers renting a sailboat, Lisa's Book Club out in Tampa and Boston Restaurant recommendations for Jeremy Piven! Listen to Billy & Lisa weekdays from 6-10AM on Kiss 108!
Dallas loses their first match of the season and Tampa continues to struggle. All that and more!
Baker Mayfield does it again. Tampa wins on the road for a second straight week. Matt is back to talk about both Monday Night Football games and look ahead to this weekend's college games.
The Tampa Bay Buccaneers survived a primetime thriller against the Houston Texans, pulling out a nail-biting win on Monday Night Football. We break down the turning points, standout performances, and what the Bucs still need to clean up moving forward — plus we're taking your calls and live reactions.
Send us a textHave you ever wondered how to truly measure spiritual growth? Church attendance numbers, building projects, and budget goals, Podcast talking about different approach by examining what actually matters in our walk with Christ.Listen now and join us what truly matters in our spiritual lives. Have questions about spiritual growth or church life? Submit them through the link on your podcast platform for future episodes!
HOW TO HAVE ETERNAL LIFE : https://www.youtube.com/watch?v=vX6NdGnm_vA00:00 - INTRO01:00 - Opening Remarks06:00 - Matthew 25 Parable?10:00 - How does Christ's death apply to the unbeliever?17:00 - I am having trouble reaching my friends.26:00 - Calvinist behind closed doors?37:00 - Is faith or salvation the gift of God?43:00 - Am I wrong in "looking for Jesus?"50:00 - Chat questions57:00 - Am I part of the elect?1:00:00 - Closing Remarks1:02:00 - OutroSUBSCRIBE https://www.youtube.com/c/biblelineLIKE https://www.facebook.com/biblelineminCOMMENT ask us a question!SHARE with all your friends and familyDo you have a Bible question? Send your question to questions@biblelineministries.org!Support Bibleline - https://www.calvaryoftampa.org/donate/Bibleline is a ministry of Calvary Community Church in Tampa, Florida and is hosted by Pastor Jesse Martinez.LIKE THIS? CHECK THESE GUYS OUT:@Northlandchurchstc@YankeeArnoldMinistries@focusevangelisticministriesinc@TheKeesBoerMinistryChannel@FishersWithFaithMinistries@QuentinRoad@NorthsideChurchAthens@C4CApologetics@OnoDiamante#bibleline #salvation #liveshow #s2 #truth #bible #qna #questions #answers
Ready to turn your passion for wellness into the thriving business you've been dreaming of? Our special guest Sally Rivers — a Tampa-based yoga teacher, mentor, and retreat leader — shares how you too can build a soulful, sustainable yoga career beyond the studio grind.She shares her inspiring journey from teaching classes to launching mentorship programs, filling international retreats, and creating a vibrant online presence.Whether you're a wellness entrepreneur, yoga teacher, or simply seeking inspiration. This episode is packed with actionable insights and heartfelt advice.Connect with Sally on Instagram: @sallyriversyogaDon't miss her upcoming retreats and mentorship opportunities!Key Takeaways from the Episode:How Sally transitioned from studio classes to a multi-faceted yoga businessThe power of mentorship for yoga teachers and how to structure your own programUsing social media authentically to connect, grow your audience, and even go viralTurning creative ideas into sold-out workshops and retreatsThe importance of intention, community, and staying a lifelong studentSally's next big leap: opening her own inclusive yoga sanctuaryFollow me on Instagram → igniteyourwellnessbusinessGet into the Instagram Message Makeover Clinic by 9/26/25 here: https://alison-mclean.mykajabi.com/messaging-makeover-clinicReady to work with me? Book a consultation call on my website!→ https://igniteurwellness.com/business-coach-for-health-coaches/
We're back—fashionably late thanks to last week's tech gremlins—but the Virgo Vixen energy is intact. Kiki and Medinah kick things off with the Virgo Vixen cocktail, then catch up on names vs. nicknames, a quick shout to Lula's Legacy of Love (Breast Cancer walk 10/25 in Tampa), and Kiki's Drinks & Reads book club featuring author Kimberly Brown.Kiki recaps Podcast Movement (anxiety to applause), a heavenly stop at Southern Classic Daiquiri Factory, and why her birthday plan is all about volunteering with Meals on Wheels (53 friends confirmed!). We get into Hedonism plans for December, TikTok family moments, sweet-16 prep, clubbing at Revel, and a real talk segment on dating while on a “soft pop-out”—fly-outs with boundaries, bundles discourse, and why “a lot” isn't an insult.Medinah opens up about Paradise & Vibe Sedona: the celebrity no-show, the lessons learned, and how an intimate Lion Babe performance turned into a tiny-desk-style moment.Send us: Advice letters → advice@cocktalespod.com |Cocktales → cocktales@cocktalespod.com Visit soakingwet.com and use code COCKTALES for 10% off
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Thank you for tuning in to Episode 305 of the Down Cellar Studio Podcast. Full show notes with photos can be found on my website. This week's segments included: Off the Needles, Hook or Bobbins On the Needles, Hook or Bobbins From the Armchair KAL News Events Ask Me Anything On a Happy Note Quote of the Week Thank you to this episode's sponsors: Skein & Co and Handmade Hygge Off the Needles, Hook or Bobbins Tie Dye Day Socks Yarn: Legacy Fiber Artz Steel Toes base in the Tie Dye Day Colorway Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry) Needles: US 1.5 (2.5 mm) Ravelry Project Page 262.3 meters for Stash Dash Four Leaf Clover Granny Square Blanket Pattern: Four Leaf Clover Granny Square by Apinya Roszko Hook: H (5.0 mm) Yarn: Knit Picks Brava 500 in colorway Mint & Loops and Threads Impeccable in Colorway 01808 Center square (in darker green)- 4g. Three rounds on outside of clover (in mint)- 12g Size: 6 inch square. 5x7 blanket (30x42”) before border. Modification- the pattern calls for attaching new yarn (at the end of the square) to make the stem for the clover. I just chain to get to the center, make the stem and cut the yarn. I find it easy to crochet the granny square around it in Mint. No issues and one less end to weave in. I am joining squares as I go. I used this YouTube tutorial to remind me how to do this. 1186.1 meters for Stash Dash 10,426.8 meters for Stash Dash this year. 716 Splash Pad Socks Yarn: 716 Knit Sock Set in the 716sock base in the colorway: It needs to be ok with getting on a boat with Levar Burton and never coming back. Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry) Needles: US 1.5 (2.5 mm) Ravelry Project Page About the yarn: stripe of black, stripe of bright poolside colors (orange, yellow, peach, greens & aquas . 344.2 yards/ 86 grams used. On the Needles, Hook or Bobbins Sweetly Striped Hat Pattern: Sweetly Striped Hat by Chit Chat Knits. $4.50 knitting pattern available on Ravelry Yarn: Berroco Vintage in colorway 5185 Tide Pool Needles: US 6 (4.0 mm) & US 8 (5.0 mm) Ravelry Project Page Pattern: Snack Shack Sponsor- Chit Chat Knits- 20 points Project Bag & Notions Pouch- Pro Shop Sponsor The Huckleberry Girl- 40 pts each= 80 points Traveler Sweater Pattern: The Traveler by Andrea Mowry ($9 pattern available on Ravelry & the designer's website) Yarn: Hazel Knits Small Batch Sport (90/10 SW/Nylon) Needles: US 3 (3.25 mm) & US 4 (3.5 mm) Ravelry Project Page Progress: 5 purl ridges done Mayor of Halloween Town Socks Yarn: Woolens & Nosh Targhee Sock in the Mayor of Halloween Town colorway Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry) Needles: US 1.5 (2.5 mm) Ravelry Project Page Cast on 9/4 for Pigskin Party Project bag: Pro Shop Sponsor Wandering Purl (40 pts) Yarn: Pro Shop Sponsor Woolens & Nosh (40 pts) About the yarn: Light gray- larger stripes with smaller stripes of dark gray, white and orange Born to Be Mild Socks Yarn: Hypnotic Yarn Plush Sock in the Born to Be Mild Colorway Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry) Needles: US 1.5 (2.5 mm) Ravelry Project Page Progress- just into the leg of the first sock. About the yarn: tan base with browns and robin's egg. It reminds me of a robin's nest. From the Armchair Writers & Lovers by Lily King. Amazon Affiliate Link. Check out Season 3 Episode 6 of the Books, Beach & Beyond podcast with Elin Hilderbrand with Lily King Euphoria by Lily King. Amazon Affiliate Link. Project Hail Mary by Andy Weir. Amazon Affiliate Link. One Golden Summer by Carley Fortune. Amazon Affiliate Link. In the Likely Event by Rebecca Yarros. Amazon Affiliate Link. Lily King talking on Books, Beach & Beyond (2025)- on love "Love is really the most important thing to us and possibly the thing, the only thing that is going to save us from our other impulses. I am extremely concerned about the state of mind of this country and what we are allowing and what we have voted in and what we are experiencing and, in in some ways, our lack of resistance to it, and our our silence and our complicity. And it all really comes down to love. And if we lose that ability, I don't think AI is going to help us with love, I don't think Instagram is going to help us with love. I feel like all of our habits that are increasing and increasing are pulling us apart even giving us the illusion that its not, but we are, and we have to remember what it is like to love people. In all of those forms. It is the thing that makes us human. And we have to stay human." Lily King A few of my other favorite quotes from Writers & Lovers “When my mother died, I sort of felt her inside me sometimes,' I say. ‘Like I'd swallowed her.' He laughs. ‘Swallowed her.' ‘I still have moments when I feel that, when it feels like she's inside me, and there's no difference between us or that the difference doesn't matter.” ― Lily King, Writers & Lovers “I can tell he lost someone close somehow. You can feel that in people, an openness, or maybe it's an opening that you're talking into. With other people, people who haven't been through something like that, you feel the solid wall. Your words go scattershot off of it.” ― Lily King, Writers & Lovers “When I was visiting her a few years ago she hugged me and said, ‘Tomorrow after you leave I will stand here at this window and remember that yesterday you were right here with me.' And now she's dead and I have that feeling all the time, no matter where I stand.” ― Lily King, Writers & Lovers “I look into my eyes, but they aren't really mine, not the eyes I used to have. They're the eyes of someone very tired and very sad, and once I see them I feel even sadder and then I see that sadness, that compassion, for the sadness in my eyes, and I see the water rising in them. I'm both the sad person and the person wanting to comfort the sad person. And then I feel sad for that person who has so much compassion because she's clearly been through the same thing, too. And the cycle keeps repeating. It's like when you go into a dressing room with a three-paneled mirror and you line them up just right to see the long narrowing hallway of yourselves diminishing into infinity. It feels like that, like I'm sad for an infinite number of my selves.” ― Lily King, Writers & Lovers Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases. KAL News Pigskin Party '25 Event Dates: KAL Dates- Thursday September 4, 2025- Monday February 9, 2026 Find everything you need in the Start Here Thread in the Ravelry Group Official Rules Registration Form (you must be Registered to be eligible for prizes) Enter your projects using the Point Tally Form Find the full list of Sponsors in this Google Doc. Coupon Codes are listed in this Ravelry Thread Exclusive Items from our Pro Shop Sponsors are listed in this Ravelry Thread Questions- ask them in this Ravelry Thread or email Jen at downcellarstudio @ gmail.com Our Official Sponsor for Quarter 1 (October): Love in Stitches with Knitty Natty is hosting a Cozy Up Challenge. The challenge doesn't start until 10/1 but you can start planning now. Check out the details in this Ravelry Thread. Join Knitty Natty & me for a special zoom hangout Thursday 10/2 at 8p Eastern. Details will be shared in the Start Here Thread. Check out this Ravelry Thread with helpful tips for the event, crowd sourced from our incredible players. Updates In This Episode Thanks to Mary for her Commentator report. She talked specifically about these 2 large projects that have already been finished. 904Stephanie (my teammate!) has already finished a blanket- Ravelry photo & cmfamigli has already finished a pullover- check out her Ravelry Project Thanks to Sarah for starting a Pigskin Tips Ravelry Thread! Add your Super Bowl Prediction- details in this Ravelry Thread Our first Official Sponsor of the Quarter is Love in Stitches! Check out all of the details in this Ravelry Post. Join Knitty Natty & me for a special zoom hangout Thursday 10/2 at 8p Eastern. Cast on, chat, learn about some of Natalie's cool cozy patterns and have some fun. Official Sponsor for Quarter 2 (November)- Twice Sheared Sheep Official Sponsor for Quarter 3 (December)- Suburban Stitcher Official Sponsor for Quarter 4 (January)- Yarnaceous Fibers Events DFW Fiber Fest Sept 19-21 in Irving Texas Adirondack Wool & Arts Festival September 20 & 21 in Greenwich, New York. Greater Boston Yarn Crawl. September 26-28 - 16 shops Cape and South Shore Yarn Haul. September 25-28- 8 shops Vermont Sheep & Wool. October 4 & 5 Indie Untangled. October 17 CAKEpalooza. October 17 A Woolen Affair. October 17 NY Sheep & Wool (aka Rhinebeck). October 18 & 19. Down Cellar Studio Meet up at Saturday 2p at the Pavilion to the left of the beer tent! Come and say hi. The Fiber Festival of New England. November 1 & 2 Sunkissed Fiber Festival: January 24-25, 2026- just outside Tampa, FL Ask Me Anything Tune in to hear my answer to kjkrochet's question: How did you come up with the concept for Pigskin Party? On a Happy Note Saturday of Labor Day weekend- Clear the Needles Event w/ Love in Stitches group 2 fun pool days over Labor Day Weekend complete with cornhole tournament I gifted my friend Megg her "I'll bring the dance moves" hat to go with my "I'll bring the alcohol" hat since my dad always teases her for dancing constantly. Dinner with Melissa of Maple Roots Creative Dinner with friends including my dance teacher from middle/high school Pigskin Paty Kick Off Weekend was so much fun! Seeing Passengers at American Repertory Theater Quote of the Week “It's a particular kind of pleasure, of intimacy, loving a book with someone.” ― Lily King, Writers & Lovers Thank you for tuning in! Contact Information: Check out the Down Cellar Studio Patreon! Ravelry: BostonJen & Down Cellar Studio Podcast Ravelry Group Instagram: BostonJen1 YouTube: Down Cellar Studio Facebook: https://www.facebook.com/downcellarstudio Sign up for my email newsletter to get the latest on everything happening in the Down Cellar Studio Check out my Down Cellar Studio YouTube Channel Knit Picks Affiliate Link Bookshop Affiliate Link Yarnable Subscription Box Affiliate Link FearLESS Living Fund to benefit the Blind Center of Nevada Music -"Soft Orange Glow" by Josh Woodward. Free download: http://joshwoodward.com/ Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases.
In this “Just the Babes” episode, we're diving into the latest health headlines regarding GLP-1s & Ozempic teeth, microplastics, "Soft Clubbing", and Gen Z's alcohol downtrend. We share some of the biohacks we've been experimenting with lately, and also open up about surgery and injury recovery—what's been working, what hasn't, and the lessons we're learning along the way. While we love exploring new tools and tech, we keep coming back to the reminder that the best biohacks are free, simple, and accessible to everyone. Think sunlight, breath, sleep, movement, and hydration—these are the true foundations that make everything else work better. We break down how these practices show up in our own lives and why they're essential for long-term resilience and vitality.SHOW NOTES:0:39 Welcome to the show!3:24 Alcohol consumption5:59 Better mocktails8:24 “Soft Clubbing”11:45 Microplastics15:34 Renee's travel tips17:44 Ozempic teeth21:12 Support while on a GLP-122:42 Renee's surgery recovery28:32 Peptides for healing30:48 Lauren's injury recovery37:00 HRV Biofeedback38:31 Our top biohacks for you40:08 Grounding shoes42:19 Sun exposure44:22 Sleep hygiene51:29 Fasting54:10 Exercise vs Movement56:21 Upcoming Events56:49 Thanks for tuning in!RESOURCES:New Brew - code: BHBABES24Mycology PsychologyOptimal HRV (HRV Biofeedback)Eight Sleep - code: BIOHACKERBABESMimio - code: BIOHACKERBABESEp 304: Sober Lifestyle with Amanda KudaEp 301: Mimio Fasting with Dr. Chris RhodesEVENTS:Ultimate Wellness in Miami, FL - code: BIOHACKERBABESHealthspan Summit in Los Angeles, CA - code: BIOHACKERBABESHack Your Health in Tampa, FL - code: BIOHACKERBABESSupport this podcast at — https://redcircle.com/biohacker-babes-podcast/donationsAdvertising Inquiries: https://redcircle.com/brands
Munaf Manji and Mackenzie Rivers talk NFL betting for Week 2. The guys also discuss two MNF games. SOVAM Weekend Rewind and MNF PreviewOpening (0:15 – 1:02) Munaf Manji welcomed listeners to the Week 2 recap and double-MNF preview, joined by Mackenzie Rivers. He promised instant reactions, contest updates, and best bets. Munaf contrasted Week 1's fireworks with Week 2's defense-heavy slate: “It took about 57 minutes for us to see the first touchdown of the game from Mr. 1, Tyler Algier.” The Falcons beat the Vikings 22–6. Team stats: Falcons 326 yards vs Vikings 198; time of possession 36:32 to 23:28; turnovers 4–1 against Minnesota. Despite five red-zone trips, Atlanta settled mostly for field goals. Bijan Robinson shined, but rookie QB J.J. McCarthy faltered with sacks and giveaways. Mackenzie noted his new fatherhood could explain the struggles, but warned: “You do have to prove positively that you are an improvement over Sam Darnold.” In SERCA Survivor, most entries leaned on the Cardinals (5,169) and Ravens (4,420). Steelers and Vikings picks led to hundreds of eliminations. In Circa Millions, top sides (Cowboys, Jets, Broncos) all failed, with only the Eagles cashing. Mackenzie marveled at long field goals: “People kick 64-yarders in overtime… wow.” Mackenzie's top risers: Packers – line moved from -7 to -9, driven by defense and Micah Parsons. Bills – from -10.5 to -13 after dominating the Jets. Colts – Daniel Jones looked sharp, Taylor balanced the attack. Munaf agreed, adding the Lions, who dropped 52 on the Bears, proving Ben Johnson's departure didn't stall the offense. Mackenzie listed three fallers: Jets – QB Justin Fields left concussed; 3-of-11 for 25 yards. Bears – crushed despite Caleb Williams' 207 yards, 2 TDs, 1 INT. Dolphins – porous defense, Tua's late INT sealed loss to Patriots. Munaf added Bengals, with Joe Burrow sidelined by a toe injury. Mackenzie said: “A 4.5-point move from Joe Burrow to Jake Browning… probably the end of the Zach Taylor era if it's three months.” Munaf admitted a blunder starting Justin Fields, who netted 3.8 points, but his roster (Taylor, Neighbors, Adams) carried him. Mackenzie joked his own fantasy team was “trash.” Texans -2.5, total 42.5. Injuries: Bucs missing Wirfs and Godwin, Texans without Mixon. Munaf stressed the Texans are 8-3 to the under as home favorites under DeMeco Ryans. Both leaned Tampa and under 42.5. Raiders +3.5, total 46.5. Mackenzie liked the Chargers' road edge and prep advantage. Munaf emphasized Justin Herbert's dominance in Vegas, topping 314 passing yards in all four appearances. His best bet: Herbert over 253.5 yards. Both suggested Chargers could cover alternate spreads like -13.5. Mackenzie: Clippers -8 vs Jazz in their NBA opener, expecting focus after off-court drama. Munaf: Justin Herbert over 253.5 yards vs Raiders. The hosts closed by thanking listeners, promoting Pregame.com's Touchdown25 code, and inviting feedback, including prop bet requests. Sunday Night Football (1:02 – 7:40)Contest Carnage (8:26 – 12:34)Upgrades (12:35 – 17:24)Downgrades (17:25 – 24:57)Fantasy Talk (26:17 – 28:12)MNF Doubleheader (28:12 – 37:10)Texans vs BuccaneersRaiders vs ChargersBest Bets & Close (38:02 – 43:07) Learn more about your ad choices. Visit megaphone.fm/adchoices
Samantha Cevasco is an actress based in Tampa, Florida and the star of Jeff's directorial debut, "Thanksgiving, Again?!" Her professional acting career began with small roles in theatre productions and independent films. Samantha attended Point Park University in Pittsburgh, Pennsylvania, and the American Musical and Dramatic Academy in New York City. Follow Sam: https://www.instagram.com/samcevasco/BetterHelp: Go to https://betterhelp.com/macolino for 10% off your first month of therapy with BetterHelp and get matched with a therapist who will listen and help #sponsoredYouTube: https://www.youtube.com/c/JeffMacolinoFollow Me!!! https://twitter.com/saintjmachttps://www.facebook.com/jeffmacolinopodcasthttps://www.instagram.com/saintjmac/IMDB: https://www.imdb.com/title/tt17046562/?ref_=nm_knf_t1TikTok: https://www.tiktok.com/@jeffmacolinoArt Credit: Chase Henderson
September 15, 2025 Hour 4. John Harris breaks down the Tampa v Houston game from the Houston side. Where is the best double cheeseburger? Today was the day when?
Investor Fuel Real Estate Investing Mastermind - Audio Version
In this episode of the Investor Fuel podcast, host Leo Wehdeking speaks with Mark Toro, a prominent figure in the Tampa real estate market. Mark shares insights into his design-driven rehab projects, the importance of community and collaboration through his mastermind group, and the adaptability required to succeed in the ever-changing real estate landscape. He emphasizes the significance of building relationships and networking to foster growth and success in the industry. Professional Real Estate Investors - How we can help you: Investor Fuel Mastermind: Learn more about the Investor Fuel Mastermind, including 100% deal financing, massive discounts from vendors and sponsors you're already using, our world class community of over 150 members, and SO much more here: http://www.investorfuel.com/apply Investor Machine Marketing Partnership: Are you looking for consistent, high quality lead generation? Investor Machine is America's #1 lead generation service professional investors. Investor Machine provides true ‘white glove' support to help you build the perfect marketing plan, then we'll execute it for you…talking and working together on an ongoing basis to help you hit YOUR goals! Learn more here: http://www.investormachine.com Coaching with Mike Hambright: Interested in 1 on 1 coaching with Mike Hambright? Mike coaches entrepreneurs looking to level up, build coaching or service based businesses (Mike runs multiple 7 and 8 figure a year businesses), building a coaching program and more. Learn more here: https://investorfuel.com/coachingwithmike Attend a Vacation/Mastermind Retreat with Mike Hambright: Interested in joining a “mini-mastermind” with Mike and his private clients on an upcoming “Retreat”, either at locations like Cabo San Lucas, Napa, Park City ski trip, Yellowstone, or even at Mike's East Texas “Big H Ranch”? Learn more here: http://www.investorfuel.com/retreat Property Insurance: Join the largest and most investor friendly property insurance provider in 2 minutes. Free to join, and insure all your flips and rentals within minutes! There is NO easier insurance provider on the planet (turn insurance on or off in 1 minute without talking to anyone!), and there's no 15-30% agent mark up through this platform! Register here: https://myinvestorinsurance.com/ New Real Estate Investors - How we can work together: Investor Fuel Club (Coaching and Deal Partner Community): Looking to kickstart your real estate investing career? Join our one of a kind Coaching Community, Investor Fuel Club, where you'll get trained by some of the best real estate investors in America, and partner with them on deals! You don't need $ for deals…we'll partner with you and hold your hand along the way! Learn More here: http://www.investorfuel.com/club —--------------------
Jeff Blair and Kevin Barker get set for Blue Jays' top prospect Trey Yesavage's MLB debut to kick off the team's series against the Tampa Bay Rays. They share expectations for the young starter, takeaways from the Jays' weekend sweep over the Baltimore Orioles, Addison Barger's push for a larger role, and much more. Later, Rays TV analyst and former pitcher Brian Anderson (32:40) joins the show to discuss what's behind Tampa's streaky season, Junior Caminero's breakout year, and how the Rays' bats might attack Yesavage's tricky release point.The views and opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the position of Rogers Sports & Media or any affiliates.
Is a recession looming? How will tariffs impact business? Where is the market headed? Are we doomed? Patrick Luce and Jeremy Bess have surprising answers. Both are senior economists at Stantec and have been a tag team duo ever since they graduated from University of Tampa with their B.A. and USF with their masters. Equal parts fun and informative, this lively episode is sure to be anything but normal. And they have props – penalty flags that they throw at each other when they think the other is out of line. Listen in as they give their expert insights and answer some of the more difficult questions we have all been asking about the global economy and how it impacts the Tampa Bay area. The Bank of Tampa | Member FDIC
On this episode of Skin in the Game, Saxon Baum sits down with longtime friends and powerhouse entrepreneurs Nick Friedman and Omar Soliman, the co-founders of College Hunks Hauling Junk & Moving and Trash Butler. From detention in high school to becoming nationally recognized leaders, Nick and Omar share the raw story behind building two iconic brands from scratch.They talk about what it really means to bootstrap a company, the sleepless nights and skepticism they faced early on, and how they turned a beat-up cargo van into a viral, multi-million-dollar business. Along the way, they share how franchising became both their greatest challenge and smartest growth strategy, why brand and PR were everything, and the lessons they learned about scaling people, culture, and systems.The conversation dives deep into Tampa's rise as an entrepreneurial hub and why they believe the city's collaborative spirit gives it a unique edge. They also open up about the evolution of Trash Butler, how raising outside capital differed from their bootstrapped journey, and what it's really like answering to a board after running their own show for so long.This episode is full of entrepreneurial wisdom, gritty stories, and quotable one-liners—from “teams win championships, families watch them” to “bootstrapping is the MBA, raising capital is the rocket fuel.”If you're an entrepreneur, investor, or simply curious about what it takes to build enduring businesses from the ground up, this conversation with Nick and Omar is a masterclass you won't want to miss. Hosted on Acast. See acast.com/privacy for more information.
JD Drinkard enlisted in the Alabama National Guard as the result of September 11th and would be deployed to Iraq with his unit. As the result of injuries sustained in country, he would be medically retired. He would be introduced to adaptive sports through the Warrior Transition Battalion, starting with wheelchair basketball. He now plays in the USA Wheelchair Football League with the Birmingham Hammers, including the Tampa tournament this month. JD is also working on his MBA and continues to hear the call to serve through nonprofit work.
Holly Baxter (@hollytbaxter) is an APD (Accredited Practicing Dietitian), IFBB Bikini Pro, and online physique coach with 13 years of experience in health and fitness. Originally from Australia and now based in Tampa, Florida, she holds a Master's in Dietetics, authored Muscle Hypertrophy. We discuss the ways women can achieve the body they desire! Whether it be fat loss, muscle growth, or simply feeling healthier, we discuss how to reach your health and fitness goals. You can subscribe to Holly's YouTube channel at https://www.youtube.com/@HollyTBaxter and join her website https://bia-body.com/ Join the FREE Facebook group for The Michael Brian Show at https://www.facebook.com/groups/themichaelbrianshow Follow Mike on Facebook Instagram & Twitter
& we're back. This week, football is back and Tampa's USF Bulls are ranked 18 in the country. No help to an AP writer who forgot the Bulls beat the Gators last weekend and instead gave a horrible response as to why she didn't put the Bulls in the Top 25. Creative Pinellas gets defunded and I don't know how to feel about it. Bubba the Love Sponge's new documentary is on hold after a judge places an injunction on it. We will be back live next week on Wednesday at 6:00PM over at WillsYouTube.com Get in touch with the show and leave a voice or text message at: (813) 693-2124 or shoot me an email at thehomemadebroadcast@gmail.com LINKS: https://linktr.ee/hmbradio The #HMB airs Sunday's on Sunshine FM 96.7 in downtown St. Petersburg & anywhere in the world at Radio St. Pete @ 6:10PM & Monday's at 10:15PM or on demand via your favorite podcast app, just search "HMBradio Tampa Bay".
The Texans' season opener against the Los Angeles Rams left a lot to be desired. It doesn't exactly get easier for them in the home opener on Monday Night Football against the Tampa Bay Buccaneers. Houston has its hands full, with Tampa's defensive front, with Baker Mayfield and strong group of weapons. Brandon Scott breaks down the matchup, but not before he bemoans the fact that his college football teams don't look very good at the moment. Subscribe to the B-Block podcast wherever you get your podcasts. The B-Block is a Foolish Club Media production.
Playing below .500 and playing outside, 2025 has been a so so year for the Rays. Ed Kasputis shares about his recent Tampa roadtrip while he interviews Louis Schiff about the Baseball Karen incident at Marlins Park on September 5.
Sho Alli and Julia Kreuz break down the Blue Jays' 11-2 win over the Orioles to complete the series sweep in Toronto! They take your calls and texts, and discuss the team's 87th win of the year - with 13 games to go, what's still ahead for the Jays? They get into the offence knocking around the Orioles bullpen, as Ernie Clement, George Springer, and Addison Barger all provided standout moments, and discuss Shane Bieber throwing six innings of one-run ball. Plus, they discuss Trey Yesavage getting the call to the majors, as he is scheduled to make a start for the Blue Jays in Tampa on Monday. The views and opinions expressed in this podcast are those of the hosts and guests and do not necessarily reflect the position of Rogers Sports & Media or any affiliates.
The Tampa Bay Buccaneers have struggled under the bright lights in recent years — but can they finally flip the script? We're breaking down whether the Bucs can overcome their primetime woes, what it will take to secure a statement win, and which key players must step up under the national spotlight. We're joined by @MrBucsNation to preview the Bucs vs. Texans on Monday Night Football!
Seth and Sean discuss the Astros 6-0 loss last night being the worst this year, what DeMeco Ryans has seen from the Bucs, go through the day's Headlines, stack the matchup card for Sunday's most intriguing NFL action, assemble the most blue-collar Circle of SWARM in its short history, assess if Nick Caley is getting a pass for the game he called in week 1, discuss if Joe Espada could get fired if things keep up for the Astros like they were last night, lay out 5 reasons to hate the Buccaneers, and DeMeco insisting that the team is "together" and what that actually means, see if Brian Callahan, Cam Ward, a McAfee minion or Adam Silver can dethrone Ochocinco & Shannon Sharpe in Take-a-Mania, dive into some issues Tom Brady takes with how the NFL is developing QBs nowadays, what Nick Caserio says he's seen from the Tampa defense, and Reggie and Lopez's question of the day.
Seth and Sean see if Brian Callahan, Cam Ward, a McAfee minion or Adam Silver can dethrone Ochocinco & Shannon Sharpe in Take-a-Mania, dive into some issues Tom Brady takes with how the NFL is developing QBs nowadays, what Nick Caserio says he's seen from the Tampa defense, and Reggie and Lopez's question of the day.
In this episode, Wade sits down with Wonjun Jeong, Co-Founder & CEO of Supermove, to talk about how he went from working from a tech background to transforming the moving industry. After experiencing firsthand the frustrations of moving — from paper contracts to scratched-down credit card numbers — Wonjun saw an opportunity to bring technology into one of the most paper-heavy industries in America. He shares the origin story of Supermove, the challenges of convincing companies to embrace digital tools, and how their platform helps moving businesses run more efficiently from end to end. From sales to scheduling, dispatching, payments, and even customer tracking, Supermove is redefining what's possible for movers and their customers alike. Connect with Wonjun Jeong: https://www.linkedin.com/in/wonjunjeong wj@supermove.com Know more about Supermove: https://www.supermove.com/ Shop Wade's book - Hometown Titan: Build A Local Business That Dominates Your Market: https://a.co/d/8zLXZMC Become a MOVING TITAN at the next Moving Titan Retreat https://www.movingtitanretreats.com/ Tighten up your moving company operations with TITAN UP TRAINING https://www.titanuptraining.com/ This episode is powered by Hyre (formerly Hey Lieu) Virtual Assistants: https://www.hyreup.com/ https://www.linkedin.com/company/hyre https://www.instagram.com/hyre.up https://www.facebook.com/hyre.up This episode is sponsored by: Moversville - an online marketing company and resource for movers, consumers, and those involved in the moving process. https://www.moversville.com/wade About the Show Wade Swikle is the CEO of 2 College Brothers Moving, Storage and Franchising, currently with locations in Tampa, Gainesville, and Orlando, Florida. https://2collegebrothers.com/ Learn more and connect with Wade Swikle: Wade's website: https://2collegebrothers.com/ LinkedIn: https://www.linkedin.com/in/wadeswikle/ Youtube: https://www.youtube.com/@2CollegeBrothersMovingStorage Instagram: https://www.instagram.com/wadeswikle/
Send us a textThis episode began after an actor that was rumored for decades to be dead, actually died. I thought it was a lighthearted way to touch death and feel more alive than ever, a sort of auditory momento mori, but after outlining the stories, it can also serve as a cautionary tale. Leave instructions, pinned to your shirt front or tucked into your wallet by your ID, to have a coroner check for your pulse, then check again and again. Ask that your family grin and bears it if they are asked to identify your remains. It may just be someone that looks like you, and works at the same car wash, and if someone publishes your obit before your death day? Have a laugh and host a living wake at your local tavern.Let's get into it.Show Sources and MaterialsSubscribe to my substack, Thoughts Scribbled in a Notebook, here! (and thank you!)Family Was Given His Ashes, then he turned up alive in Oregon, Tacoma News-Tribune8 People Who Were Mistakenly Pronounced Dead, EverplansPrematurely Reported Obituaries, Wikipedia13 People Who Faked Their Own Deaths, Readers' Digest10 Mysterious Times People Faked Their Own Deaths, WatchMojo.com, YouTubeSupposedly Dead Celebrities who are most probably dead, CRACKEDThe Lazarus Effect Surfaces Again after Woman Declared Dead Comes to Life, New York PostMan Who Came back to Life Dies Two Weeks Later, CNNCelebrity Death Hoaxes, Spyscape.com150-Year-Olds ARE NOT Getting Social Security Checks, Center for Retirement Research at Boston College, Alicia H. MunnellStrange Love: The Morbid Obsession of Carl, American Hauntings InkI don't accept sponsors and paid advertisers. I choose people, podcasts and authors I believe in to highlight in the ad segment. That's why I've been shining a spotlight on Derek Condit at Mystical Wares. He is both talented and generous with those gifts. Please give his books a look on the Mystical Wares website.Curious Cat Crew on Socials:Curious Cat on Twitter (X)Curious Cat on InstagramCurious Cat on TikTokArt Director, Nora, has a handmade, ethically-sourced jewelry company!
HOW TO HAVE ETERNAL LIFE : https://www.youtube.com/watch?v=vX6NdGnm_vASUBSCRIBE https://www.youtube.com/c/biblelineLIKE https://www.facebook.com/biblelineminCOMMENT ask us a question!SHARE with all your friends and familyDo you have a Bible question? Send your question to questions@biblelineministries.org!Support Bibleline - https://www.calvaryoftampa.org/donate/Bibleline is a ministry of Calvary Community Church in Tampa, Florida and is hosted by Pastor Jesse Martinez.LIKE THIS? CHECK THESE GUYS OUT:@Northlandchurchstc@YankeeArnoldMinistries@focusevangelisticministriesinc@TheKeesBoerMinistryChannel@FishersWithFaithMinistries@QuentinRoad@NorthsideChurchAthens@C4CApologetics@OnoDiamante#bibleline #salvation #thankyou
SEGMENTS | Eliot Kleinberg's 'Peace River' | Remembering The Theme Park Splendid China | National Urban League in Tampa
Episode 150 of the TBD POD dives into Tampa's recent issues: the City Council's $6 million streetcar expansion study, the debate over parking minimums in Ybor, and how micro retail like Casa Azul shapes small business success. Garrett and David break down the city's $1.9 billion budget and cover the high-stakes District 5 special election. They also explore how social media is reshaping politics, why Tampa is now the least affordable city in Florida, and what national housing trends could mean for the city's future.0:00:00 - Streetcar Extension0:01:56 - Casa Azul0:05:35 - Streetcar Extension PT.20:10:54 - Parking Minimums0:33:07 - City of Tampa Budget0:46:21 - District 5 Special Election0:59:03 - Zohran Mamdani1:09:24 - Least Affordable City Article1:10:03 - Political Priorities
Inflation rose 0.4% in August, doubling July's pace, and a new WalletHub report shows which U.S. metro areas are being hit the hardest. Among 23 cities analyzed, Tampa was the most impacted, followed by San Diego, Philadelphia, Anchorage and Los Angeles. Houston, Miami, Boston, Dallas and Honolulu had the lowest recent inflation rates, while Atlanta, Phoenix, Houston, Dallas and Detroit had the lowest year-over-year increases. WalletHub used Bureau of Labor Statistics CPI data to compare regional inflation disparities across the country. Subscribe to our newsletter to stay informed with the latest news from a leading Black-owned & controlled media company: https://aurn.com/newsletter Learn more about your ad choices. Visit megaphone.fm/adchoices
Supermarkets and big box stores are great. But nothing beats the feeling of shopping in a bodega. These small, often family-owned convenience stores are a fixture in New York City's Latinx neighborhoods. In them, you'll find everything from milk and lottery tickets to hot foods like empanadas and chicken with yellow rice.New Jerseyan Ivette Rivera wanted to bring the spirit of bodegas to her adopted home state of Florida. So she founded Loiza Foods, a company whose signature product is a line of seasonings called Bodega Flava.The Tampa resident visited our studio on the University of South Florida campus. In this conversation, Ivette shares how she went from sleeping in her vehicle to creating a food brand that celebrates what she loves about being Puerto Rican. Here is Ivette's story from car to cocina.Related episodes:How to Have a Puerto Rican-Style Holiday Feast in Florida“Latino Orlando” Author Dr. Simone Delerme on the Rise of Florida's Hispanic Restaurants & MarketsFood Memories of Latin America
Bleav Host Robert Land asks Texans Analyst Jacob Barzilla (with Texans Probe) about the intelligence of a DeMeco Ryans' coached team, Nick Caserio poor roster construction, Laken Tomlinson's terrible performance, Pierce & Ogunbowale's value, the use of Jaylin Noel and CJ Stroud's recurring major issue. We're presented by FanDuel! (:34) How do you replace TE Cade Stover? (1:57) Which Texans position is jinxed? (2:36) Stroud Week 1 Takes? (3:52) Is Stroud part of disorganization? (5:28) Did Jaylin Noel need more snaps? (6:27) Texans Penalty Problem? (7:39) Hope for Texans Offense from Week 1? (9:30) Jake Andrews vs. Jarrett Patterson? (10:40) Scruggs: Bust? (11:50) Did Caley mismanage RB's in Week 1? (13:18) Can Texans cover Tampa 2.5 spread? (14:34) Is Over/Under easy money vs. Bucs? (15:44) Is DeMeco using Pitre wrong? (18:21) Are the Texans a dumb team under DeMeco? (22:35) Caserio mismanaging roster? (24:05) Caserio/DeMeco on hot seat soon? Subscribe on Youtube, Spotify, Apple & iHeart X @HSTPodcast #texans #cjstroud #demecoryans
In this Summer Coolers edition of NHL Wraparound, Neil Smith and Vic Morren turn their sights to the Toronto Maple Leafs, a franchise with sky-high expectations and one of the longest championship droughts in professional sports.Despite finishing first in the Atlantic Division with 108 points, the Leafs fell in seven games to Florida—with especially disappointing efforts in Games 5 and 7. And this offseason, the biggest domino fell: Mitch Marner was traded to Vegas for center Nicolas Roy, ending his nine-year tenure with the team.With Matthew Knies elevated to the new "Core Four", is this version of the Leafs any closer to a Cup? Or are we staring down another April collapse?
211 - Henry Paul (the Outlaws, Blackhawk) In episode 211 of “Have Guitar Will Travel”, presented by Vintage Guitar Magazine, host James Patrick Regan speaks with singer and guitarist with both Outlaws and Blackhawk, Henry Paul. In their conversation Henry discusses how he keeps the two bands material straight often touring with both band on coinciding dates. Henry takes us through his musical upbringing talking about his hero's early on and gives us insight as to what the music scene was like in Tampa in the ‘60's and early '70's having bands like Lynyrd Skynyrd and the Allman's nearby and going to see the Beatles at Shea Stadium. Henry takes us through the formation of the Outlaws and what it was like to be band with a huge hit “Green Grass and High Tides”. Henry talks about his retirement and having his son taking the band over and what it's like touring in his 70's with his son in the band. Henry discusses moving to Nashville in 1990 ahead of the masses. Henry describes his guitar travels starting at a young age playing Gibson and Martin's and eventually getting a white Gibson ES 330 like his hero Richie Furay. Henry also talks about Gurian guitars one of his favorites. Henry tells us a bit about his car collection. Henry finally tells us about his book “the Last Outlaw” that's available now and why he's written it. To find out more about Henry you can go to his website: henrypaul.com Please subscribe, like, comment, share and review this podcast! #VintageGuitarMagazine #HenryPaul #TheOutlaws #JamesPatrickRegan #GibsonGuitar #theDeadlies #GibsonES330 #Blackhawk #haveguitarwilltravelpodcast #HGWT #theLastOutlaw #GreenGrassandHighTides #LynyrdSkynyrd #tourlife Please like, comment, and share this podcast! Download Link
Segment 1: George Birge Joins the Show George reacts to the dramatic intro (“Felt like I was walking into the WWE ring!”)Hosts welcome George back and reflect on his first appearanceDiscuss his rise in popularity: the “pleasant surprise” of last year's Guitar Pull Segment 2: Behind the Scenes at the Guitar Pull George shares why he loves the Guitar Pull format:Personal vibeTelling stories behind songsConnecting with fans differently than at full band showsGeorge reflects on why Tampa is one of his favorite markets Segment 3: Golf Talk with George Hosts bring up George's golfing skillsGeorge dishes on:College golf vs. country music buddiesFriendly competition with artists like Matt Stell, Jake Owen, and Zach TopJake Owen's home golf simulatorGeorge confirms: still undefeated on the golf coursePlans to golf while in Florida — “One of my favorite places to tee it” Segment 4: Story Behind “It Won't Be Long” Hosts ask about the inspiration for his current singleGeorge shares emotional story:Thanksgiving moment with his dad and sonNostalgic BB gun memory sparked the songWrote it that afternoon with songwriting friendsEvery lyric is true and personalAsking Kara outFirst houseKidsBaseball jersey number “7”Song is resonating with fans because of its authenticityGeorge calls it his “favorite song I've ever written” Segment 5: Closing Vibes & Event Plug Hosts praise George's storytelling and musicPlug for QYK Guitar Pull on November 9thGeorge says he's bringing his clubs — and maybe Kara and the kids tooFunny moment:Hosts promise not to let the sales team harass Kara again
Support the pod and get so much extra content for $5/month at https://www.patreon.com/stiffsockspod Bonus eps also available on Apple Podcasts! https://www.apple.co/socks Internet cult icon Dax Flame joins the guys for a deep dive into stand-up struggles, bad dates, and his journey from Project X and 21 Jump Street to comedy. From being roasted by friends to awkward podcast appearances and even landing a MrBeast cameo, Dax brings his unfiltered honesty while Trevor and Michael help him turn life's weirdest moments into actual punchlines. Follow Dax Fame Tik Tok: https://www.tiktok.com/@thedaxflame Youtube: https://www.youtube.com/DaxFlame https://www.instagram.com/daxflame/
Seth and Sean discuss Luis Garcia leaving early in last night's loss to the Blue Jays, what DeMeco Ryans had to say about the Texans injuries and 'lollygagging,' go through the day's Headlines, discuss if what DeMeco had to say about the penalties, lollygagging and lack of Nico Collins targets made them feel any better, talk about the Browns being salty that the Ravens are celebrating their 30th anniversary of moving from Cleveland to Baltimore in a game against the Browns, assess how the Astros' core stacks up to the rest of the AL, if CBS is grooming JJ Watt to eventually replace Tony Romo on the first team, react to Nick Caserio explaining what's perhaps the least surprising game day superstition ever, start to move on from the Texans' week 1 loss by hearing what DeMeco's seen from the Tampa offense, discuss the Rockets being sneaky winners in town this week with everyone being displeased with the Texans and Astros, discuss why Sean thinks he's picked some of the leaders to be fired first, and see what Lopez and Reggie have for the question of the day.
Seth and Sean start to move on from the Texans' week 1 loss by hearing what DeMeco's seen from the Tampa offense, discuss the Rockets being sneaky winners in town this week with everyone being displeased with the Texans and Astros, discuss why Sean thinks he's picked some of the leaders to be fired first, and see what Lopez and Reggie have for the question of the day.
We're joined by Michael Pless of @RealBucsTalk as the Tampa Bay Buccaneers escape with a 23-20 win over the Atlanta Falcons. We open with Jamel Dean's restructured contract and what it could mean for his future. Key takeaways from NFL week 1 and what this win means for Tampa Bay moving forward.
Unity isn't just a buzzword. It's the foundation for business growth and community impact. In this episode of Building Texas Business, I sit down with Jeff Williams, president of Graham Associates, to talk about how bringing people together drives both engineering success and civic transformation. Working with his firm who design iconic Texas projects including AT&T Stadium and Southlake Town Square, and during his three terms as Arlington mayor, he demonstrats how unity principles scale from boardroom to city hall. Jeff shares his approach to bridging generational divides through Friday "High Five" meetings that transformed skeptical baby boomers and millennials into collaborative teammates. His engineering firm rebuilt their office culture post-COVID by creating collaboration spaces and displaying core values throughout their workspace, showing employees they're not just designing roads but contributing to state-of-the-art hospitals. When people understand their larger purpose, engagement naturally follows. His upcoming book "The Unity Blueprint" captures lessons from leading Arlington through the pandemic faster than any other U.S. city, according to NYU research, and emphasizes that modern leadership requires teaching over commanding, with trust and value as non-negotiables for today's workforce. Success comes from transforming "my plan" into "our plan" through genuine input and buy-in, whether you're managing engineers or running a city. This conversation reveals how Texas businesses thrive by embracing partnerships over politics, with Jeff's $8 million citywide rideshare solution versus $50 million per mile for light rail proving that innovation beats tradition when unity guides decisions. SHOW HIGHLIGHTS Discover how weekly "High Five" meetings turned skeptical senior engineers into collaboration champions, bridging baby boomers and millennials Jeff details how Arlington saved millions by implementing $8 million annual autonomous rideshare instead of $50 million per mile light rail Learn why being the first U.S. city to run autonomous shuttles attracted Uber, Lyft, and Via to compete for Arlington's contract Hear how post-COVID office renovations with collaboration spaces and visible core values brought remote workers back to rebuild culture Jeff shares how a devastating referendum loss taught him that expertise means nothing if political consultants silence your voice Understand why the Medal of Honor Museum chose Arlington over Washington D.C.—Texas builds in years what takes decades elsewhere LINKSShow Notes Previous Episodes About BoyarMiller About Graham Associates GUESTS Jeff WilliamsAbout Jeff TRANSCRIPT (AI transcript provided as supporting material and may contain errors) Chris: In this episode, you'll meet Jeff Williams, CEO of Graham Associates and former mayor of Arlington, Texas. Jeff stresses the power of creating unity within a company to foster a strong culture and how training and developing your people it's critical to success. Jeff, I want to thank you for taking the time and welcome to Building Texas Business. It's great to be here. Jeff: Chris, it's always great to talk about Texas and especially business. Chris: Yes. So let's start with just introducing yourself and tell us what it is you do. What's your company known for? Jeff: Well, I own a civil engineering firm and we build communities. We design public infrastructure, highways, roads, utilities, but we also do sports facilities, churches, schools there. We've done a lot of different things. Some of our projects you might recognize in at and t Stadium, we were the civil engineers for it. And yes, we did work with the Jones family and we also also know Chris: Is Jerry World, right? Jeff: Absolutely. And it was an exciting project to work on and then it's amazing how well it's aged and still the top special event center here in the country. But then we've had South Lake Town Square, which was kind of the granddaddy of all of the town centers that's here and a really special place. Nebraska Furniture Mark. We got to work for Warren Buffett there and doing his grand scape development here in the Metroplex. But then we've also, we have Prestonwood Baptist Church, which one of the largest churches in the Southwest. So rewarding to be able to do that. And then we've got Westlake Academy, actually Westlake, Texas. We actually got to start from scratch there. It was a town that we got in on the very beginning. They had one subdivision and now they've got Fidelity's headquarters. Schwab is there, Deloitte, and then Viro, one of the most upscale developments in the state of Texas. So those are some of the fun projects that we've gotten to do. I think it's very rewarding. Chris: Yeah, no, I mean it sounds not just fun but impactful and kind of be able to look around and see how you've changed the landscape of your community, Jeff: Chris. That is so, so true. There's nothing better than to be able to take your family and friends to be able to show them what you've done, but even more importantly, to actually be at one of your projects and see people coming together and families enjoying a special place that we created. And of course that moves to unity and that's one of the things that I have grown to value more than anything else is bringing people together to make a difference. That's great. Well, Chris: We have the benefit here at Warrior Miller represent a lot of very successful real estate developers. And so I think I know our real estate team feels the same way is right working with the client to bring projects like that together and being able to, the benefit of doing the legal work for that and just see to go by years later and go, we worked on that project or that park or that building or that community center is really rewarding stuff. Jeff: Really is the mission of our company is to be an integral partner in building communities. Chris: I like that. So let's talk a little, I mean, what was the inspiration? Obviously you're engineer I guess by education, but what's been the inspiration for you to stay in this industry and build the company that you've Jeff: Built? Well, we just hit it. I feel like it's such an important part of being able to build these communities for people to live, work and play in. And then that actually led me to being actually recruited to run for mayor here in Arlington and to serve there. I served three terms as mayor. That's very unusual for engineers to move into that. I didn't realize it until after I was elected and there aren't many engineers that do that. But however, as an engineer, we have designed public infrastructure. We have to sell our projects to the citizens so many times we also understand schedules and budgets and being able to work through that. And so it really was a great fit for me there, although it's very challenging and people go, well, why would you do that? Well, the reason we'd do it, it's rewarding. It's the most rewarding job I've ever had. But it also is the hardest because you're working with so many different people. But it really increased my awareness that the last thing we need to be doing is to be having dissension and conflict all the time. Instead, we need to be bringing people together to make a difference and actually work on projects that can actually, people can get behind and have passion and discover their purpose. And then of course, the results of that have been actually to forge friendships. Chris: So I guess, how have you taken some of those lessons and lessons along the way and incorporated them into the company at Graham Associates to kind of build the team there? Jeff: Well, as I came out of serving as mayor, I ended my last term in 2021. We'd come out of the pandemic. There still were the lingering effects of it. People wanted to work from home. So however, in our business, in so many businesses, teamwork is a big part of what we need. Chris: Absolutely. Jeff: I read everything I could get ahold of because we are at the beginning of a technology revolution, but we also have societal changes that happen every few months or perhaps even sometimes monthly. So I needed to understand the young people, but also needed to figure out how to create an atmosphere to where our people wanted to be. So literally our offices, we redid everything in the way of so that we could be a very inviting place that our employees could be proud of, but also that our clients would want to come because those face-to-face meetings are still important. And then part of that impact too was that we try to create special places for collaboration and we have several collaboration rooms there. And so that was a key. But also in our Collins areas, we wanted to be uplifting. So in our kitchens we have those stocked, but we also put up positive phrases there that really epitomize our core values and we have our core values that our employees actually fed into. They're displayed everywhere. But then I ran into a roadblock because our older engineers said, Hey, why are we doing all of this? And then we started in on doing a Friday staff meeting where everyone came together and we call it our high five meeting, an opportunity for us to encourage each other and to be able to share some of the stories that happened that week. And man, my older engineer said, man, that's a whole hour of billable time that we could be having. And they didn't like it at all for the first couple of months. And then magic started happening. They started getting to know each other better. And so I had millennials getting along with the older baby boomers, they're an understanding each other and now they all look forward to it. And we do soft skill training and IT team building there also. But it is a time that we all look forward to and it built that camaraderie because we need teamwork and it helps to get them there. And so then I still allow my people to work one day a week at all. But then our project managers actually make the decision on how much more if someone wants to work from home more because it depends on the project and what we've got going, but yet our team understands now that they've got to be able to build those relationships. Well, I like what you pointed Chris: Out there is it's not a one size fits all game. You got to be flexible and listen. And I think as leaders, if you can communicate that so that your employees understand that they'll understand when you can't be as flexible as maybe they would like because the circumstances don't warrant that. But then when you can, you allow it, Jeff: Chris. That is so true, and you've got to value people and be able to listen to them. No longer can a manager when they ask you, why are we doing something? Because you can't say because I said so. Chris: No, Jeff: It's Chris: Because it's the way we've always done it. Jeff: Oh yes, that's another great line. That is a dinosaur that can't act more. But it's actually exciting to be able to share with our people why we're doing things and to be able to understand the big picture of that, Hey, this isn't that You're just designing a roadway to a hospital. You are contributing to the overall wellbeing of actually being a part of the team that constructs a state-of-the-art hospital that, Chris: Well, I think the other thing you've discovered, we see it here. It was certainly part of our culture before COVID and it's become an important part post COVID to regain connection. And that's getting people together in community, in the office, lunches, happy hours, breakfast, whatever, because then you use the word magic started to happen. I think that's right, that as we gain connection with our coworkers, that helps with retention, it helps with collaboration because we get to know each other a little better. Especially important I think not just in a post COVID world, but in the multi-generational office that we're dealing with. Right? Four and five generations in one office together don't necessarily see things eye to eye, but if you get to know somebody, you can break those barriers. Jeff: That's right. And that leads to something else that I've discovered. Even if you're an introvert and you think you don't need other people, it is amazing because God made us to live in community. And when you're coming together and aligning people with a purpose and you are working together, suddenly those barriers get broken down. And it doesn't matter the age difference, the color of your skin, all of those differences disappear because you're working together to make a difference. And suddenly, again, I'll mention you end up with friendships that are forged. In fact, if you think about it, probably your best friends are the ones that you worked on a project with. It might be for school, for church or in your work. And certainly it's awesome to be able to forge great friendships at your workplace. Chris: I love it. We haven't used the word really much, but it sounds like you're defining the culture that you're trying to build and nurture there. How would you describe the culture and anything else other than these kind of high five meetings and such that you're doing to try to help nurture the culture? Jeff: Well, I think the other part to round it out is that we have got to be focused on teaching and training. I think the culture has really got to be a teaching atmosphere. People don't respond to that type A manager that is forceful and raises their voice and all of that. It's more they've got to see that you value them, each one of these employees do. But then also it's not just in how you truth them. You need to take action in teaching and training them and show them how they are going to be able to help themselves and help the team overall by learning. And then of course, we also have to create that accountability because we aren't professional teachers. In fact, no matter what business we're in, most of us are not professional teachers. So we need our employees to be willing to ask questions and to be willing to be vulnerable, say, I really don't understand this. I need help on this. And that's where it's got to be a two-way street, but yet you cannot. You got to really foster that culture where they are willing to ask questions and to let you know that they don't know it there. But then we have the ability to focus in on what do they not understand and be able to get that training to help fill in that hole. Chris: Yeah, that's so important. So true. Let's just talk a little bit about technology and innovation. What are some of the things that you see and that you've tried to incorporate there from an innovative way of doing your work or how technology's changing the trends of how you go about your work? Jeff: Well, Chris, this is one of my favorite topics, and of course no surprise with me being an engineer, but we are really at the beginning of a technology revolution. In fact, I'll never forget, a few years ago I heard the head of IBM technology that was actually out of Belgium, and he said exactly that We are at the beginning of a technology revolution like the world has never seen, and we are going to see more change than we have ever experienced. Well, there is a little bit of a problem because most people don't like change. And yet we have got to be willing to adapt to that. And I challenge our engineers throughout when I'm speaking to engineering groups. So you guys have got to take the lead in that we, engineers are typically very conservative. They find a great way to do something or they want to stick with it. But however, because of new technology, we've got to be researching that technology. We've got to be looking to see what technology is good, what is not. We even need to be helping in the regulation of it. And so consequently, I'll say this, we have got to be researching AI and software that is coming out constantly. I have two people dedicated to that. Larger firms probably have whole departments that are dedicated because we have an opportunity to be able to do things better faster, but we've got to be able to be competitive. I don't want to wake up one day and all my competitors are being able to do things 30% cheaper than I can and beating my price point and actually able to serve the clients better. And I do equate it to when computers really came online in the eighties, we were all worried about, well, are we going to have a job? Oh, well. And then others would say, well, we're only going to work three days a week now because of computers. No, we saw ourselves become more productive and we will become more productive with AI and other technologies, but also even with the technology being able to incorporate how you use it. I'll give you an example of that. When I was serving as mayor, we were the first city in America to run an autonomous shuttle, a driverless shuttle there on a public streets. And it was amazing at work that we were all scared of it, but we actually challenged our city staff to be looking at new technologies that we could use to be able for transportation. And we said, Hey, let's open up our city as a laboratory. And so consequently, our staff came up with the idea that we really could have Uber and Lyft type process and actually have driverless shuttles that are seven passenger vans that could be going out throughout our city in a very cost effective way. That'd be much cheaper than high speed rail or light rail there. Of course, high speed rail is still a ways off. But anyway, long story short, we went out and did an RFQ, Uber, Lyft and a accompanied by the name of Via all proposed on it. And we ended up being the first city in America to implement technology rideshare and then added the autonomous vehicle to it. And now cities across America are doing that. And instead of paying 50 million a mile for light rail, we are end up calling actually covering our whole city 99 square miles for $8 million a year. It's an amazing thing and very cost effective. Everybody's business. We've got to look at how can we do things different and more cost effective utilizing the technology. Chris: Let's talk about a corollary to that. What are some of the trends you're seeing in your industry that we should be prepared for and maybe how is being based in Texas influencing those trends? Jeff: Well, it's growth, Chris. The growth is a big change in our business there because in growth is so big and so consequently the biggest resource we need or people, it's not, we can all buy our software, we can all buy our computers, but it's really about people. Every business I talk to, it's all about finding those people and then yet we've got to be willing to train them up there. And of course, really when you're hiring experienced people, many times that's just a stop gap because they don't quite fit what you need. So I think the big change that we're seeing trend that businesses are needing to train their workforce up and do that as fast as you can because we need more people to be able to fill those positions. So again, we've got to become teachers, we've got to be able to be efficient. And then I still think one of the biggest challenges in business and really in fact in America is that we have so much dissension. People have a tough time getting along with each other. Arguments come up and then suddenly that cancel culture comes and there's no forgiveness. It's I'm done with you. And that is a poison for business there. And none of us as managers want to spend all our time in conflict resolution. So to that, right? Chris: One of the things I talk about a lot is that if we can remember to give grace in the business world, we do have a personal life a lot, but for some reason we get into, then we think we switch and put the corporate hat on or business hat on and we kind of forget that. I think that is an important aspect to remember, to your point, it helps diffuse conflict. We're imperfect human beings. And so learning to have accountability but also with a touch of grace can help resolve conflict, avoid conflict mitigated in the workplace. Jeff: That's so true. Chris. I had an interesting thing happen along these same lines as New York University actually studied Arlington when I was mayor, and they got attracted initially that we had become the sports capital of the nation, but yet they looked at how we did things. And I needed help as a mayor, so I sought out people. I needed experts, I needed people that would work. I needed input from our citizens. And so we ended up working together to accomplish a lot of things. We had to work to keep the Texas Rangers here in town. There were a lot of other cities that wanted to move them out of our community. We also had not been bringing in jobs there. And in 2014, the year before I came in, the big headlines read that the DFW Metropolitan area had created more jobs in any other metropolitan area in the country, and Arlington was not doing that. And so we had to jumpstart that economy and then yet I needed to unite our leaders and we did that. And throughout the pandemic and so forth, New York University studied us and they believed we came out of the pandemic quicker than any other city in America, both physically and economically. And so they encouraged me to write a book on Unity and how you did it. And they also then took it a step further and they went to Forbes and I ended up signing a book contract with Forbes and were releasing the Unity Blueprint on September the ninth. That really is that plan. Therefore being able to bring people together in both your personal life, your life, and then even our civic involvement and so forth there. And that has been a big change for me really since I came into office. I always valued people, but now getting it, taking it to the next step of unity because how much time is wasted there when your employees are fighting with each other or arguing and then it's a lasting effect. They never work together as well. And so working and creating that culture and actually adding forgiveness to your core value I think is a very important thing. But then also getting people to adopt character values themselves, to have a foundation that they can work with. And when you see people working to be a person of character, there can be forgiveness, but there's not much room for forgiveness when it's constantly on the other person. It's a tough deal. Right. Well, Chris: I didn't realize about the book. That sounds, I'm excited to see it and read it, and I don't know if there's anything that kind of comes out of that as a tidbit that you might be able to share with us now the listeners about maybe obviously the lessons you've learned along the way, kind of that something that you've incorporated into your kind of leadership style that has helped foster unity within the organizations you've run. Jeff: Always amazed when a person gets appointed president of his company or gets elected to a position and many times they don't have a plan. And then in addition to that, if they do have a plan, many times they didn't get any input on it. They literally concocted a plan of their own versus the opportunity for you to work on a vision and a plan after you have researched it, and then you take it to your employees and get feedback from them. And suddenly that plan transforms from your plan to our plan. And it's amazing when you get that buy-in, how it can really work together, and you're not having to sell your plan all the time. They're doing it for you, and it makes all the difference. I'm very excited about being able to move out there around the country and pushing towards unity as a matter of fact, and our book has already reached the number one new release by Amazon. They're in both business and Christian leadership, so I'm pumped about that. That's awesome. Congratulations. But we're not perfect people. We all need the space, but if you're employees can see that you're working towards it, if your fellow employees can see you are working towards being that person of character and wanting to do it. Now, we landed in the middle of honor museum here in Arlington there. We were in a 20 city competition for that, and it's probably one of the greatest things I've ever been involved in. We had a six month journey there and competing against the other cities and it was a national museum. And you go, well, why didn't they go to Washington dc? Well, the reason they didn't is going to take 20 years to get it built. And we in Texas here, can get things built quick, can't we? Right. You've got great contractors, architects, engineers to make that happen. And real estate people, Chris real estate people, government. Chris: That wants to get stuff done, right? That's right. Yeah. Rather than being an impediment to getting stuff done. Jeff: Well, the middle of honor museum or the Medal of Honor recipients that were leading that recognize that very thing, they also saw that we are the center of patriotism and we can get things done. We have a track record do it. Chris: I had there's, we could do a whole episode I think just on that museum. I had the privilege, Texas Capital Bank did a little Texas tour and they hosted something here in Houston that I was invited to all about the museum, what it is, how it came about. Very unique, very special, very proud that it's going to be in Texas and hopefully more people will take time to get to know what this is all about and then go visit it once it opens. Jeff: Well, the thing that surprised me is when I actually visited with these Living Medal of Honor recipients, and each one of them has pledged to spend the rest of their life making more of a difference there. And what they're doing is they are pushing character values, integrity, sacrifice, courage, commitment, citizenship and patriotism. Well, that's what all of us need. And currently the state board of education here in Texas has adopted a two week curriculum that our students will study in school and then they'll be able to take a field trip to the museum or a virtual field trip. And I think that's gotten everybody excited that that is happening. And then of course, it's not just the youth, our adults too. So there are adult programs that are going on, but it had me reassess my core values. It had me to, I really wanted to reassess my character values and so forth. And in business it always starts with you got to do what you say you're going to do. But then I had an interesting thing happen and I pretty well knew the answer when I asked it, but I was speaking to 20 Chick-fil-A managers, and of course Chick-fil-A is number one in service, aren't they? Chris: Right? Jeff: I asked them, I said, guys, what are you looking for and you're leader? And they immediately spoke up and they said, we are looking for a leader that we can trust, and then we're looking for a leader that values us. I think that's where it starts for us then in Texas. We know that we get that right and we believe in partnerships and collaboration, and I think that separates us from so many other places in the country. Chris: So kind of tagging on with leadership, lots of theories and about how to become a leader, how to grow as a leader. I think you hit it on the nail on the head when you said you got to be a man of your word or a person of your word. Do what you say you're going to do when you say you're going to do it. It's kind of a foundational element, but I know from my own personal experience and talking to others, we learn a lot as leaders from mistakes we've made. And I'm just curious to know if you could share one of those rather than a mistake. I call it a learning moment where it didn't go as planned, but you learned from that and from that it actually probably accelerated your leadership skills because of it. Jeff: Yes, no doubt about it. That's very easy for me to say because one of the biggest disappointments I had in my career is we had worked on a Johnson Creek Greenway here in Arlington. It was a nine mile creek beautiful creek, and we also were going to be doing a river walk in the entertainment district around those stadiums and so forth. And we had done all the preliminary planning there. It got through the core of engineers, and we also had held major charettes. We were winning awards from all over the country. I was actually traveling and speaking on that. I had an incredible partner with me, a guy by the name of Jim Richards. I loved working with our team and I thought, this is what I'm going to be doing the next 10 years. But however, the city had to pass a sales tax selection to fund the project, and they hired a political consultant that came in and said, Hey, I think you guys ought to attach an arts referendum on this. The Johnson Creek project is so popular, the Riverwalk will go, let's attach that to it. And then there was one other thing that came in that was so unique, and that was that some of our people had actually gotten a agreement with Smithsonian to build a branch museum on this Johnson Creek river wall. And so they put that on the agenda there for an election, but the political consultants said, we don't want anybody doing anything. They said, we do not want Jeff Williams and my other partner going out and speaking, what if you make a mistake and you say the wrong thing or you stir people up? And then they also did not really realize that our refer referendum was very popular. We lost that election by a few hundred loaves. It was one of the most devastating things. And it's taken 20 years. A lot of it's been And it changed my whole career there because I had to study why did this happen? How did it happen? And I said, I have got to learn about how to handle sales tax and bond elections. And so I studied hard and in fact, I learned a lot on the Cowboys sales tax election because we had that coming up a few years after that. And we were prepared when we got into the Cowboys sales tax election. And I ran several school and city bond elections after that. There's times when you have to learn more and to be able to take control. And little did I know that it's going to prepare me for serving as mayor later on too. But I'll never forget, in 2008, we had a recession and y'all may recall that. And we had a bond program going on for public works and parks, and I was not mayor then of just engineer. And we were in trouble because if we didn't get these road projects through, and actually some of these parts projects, we had buildings that were in badly needed repair wreck centers, so forth, we had to again, engage more people and raise more money. And we went ahead with that sales tax or I should say bond program, and we were able to get it passed in the midst of that. And again, I think unity and learning about knowledge there played a huge pull. I'm a big researcher. I love to, and there are so many books out there, but also generally we never come up. We think that we come up with some creative idea that no one has ever done well, especially in business. Somebody has done it. Find them, find and you can learn from their mistakes and hopefully not make your own, but also learn from their successes. But great question, Chris. Chris: Yeah, no, you're so right. I mean, I tell people never stop learning. Be curious. We learn from our mistakes. We can learn from others and we can learn from our successes because sometimes we're successful despite ourselves or despite the plan. Lots of people will tell you it's good to be lucky every now and again. So sometimes that happens. But if you take the time to learn the why behind the success or the failure you will have learning and then that learning you will grow from Jeff: You just spur the thought that I think is so important as you are a success as you grow in your success in business. There, the ego definitely comes up. And then we all know that we've got to be careful and be humble, but I want to create a definition for humbleness because so many times when we hear humble, it goes, oh, well, you need to be modest. You never to don't need to show that confidence and so forth are really, I think the important thing about humbleness is that you need to realize that you are vulnerable and that we need other people. And you can't do it alone and you don't need to do it alone because you'll not really succeed as well. So as a leader, you walk along a cliff every day and we need people to be able to keep us from falling off. And I think you've got to continue to remember that every step of the way and there's always somebody that has a better idea. Let's go find it. Chris: Yeah, that's great. Jeff, this has been a great conversation. Just love your insights and your input. Can't wait to see the book. Unity. I want to turn just a little before we wrap up, is there a favorite spot in Texas that enjoy visiting or just kind of think about when are not doing all the engineering work and planning communities? Jeff: I love Texas. There are so many rural areas and cities, but I've got to share with you about three quick ones right here. One, Arlington, Texas has become the destination between Orlando and Vegas. And it is amazing how you can come now to the metroplex and you can see all kinds of events that are taking place there in our stadiums. And it may not be sporting, it may be concerts, it may be wrestling, who knows what it may be there going on. But then also we have the premier park in the state of Texas, I believe in River Legacy Parks, 1300 acres on the Trinity River bottoms and all of the tree growth and everything is still there. Amazing place with a world-class nature center there in it. But then you can go to Fort Worth and experience the Texas experience, the Stockyards, and then the world-class museum. And so we do staycations here because we don't want to take advantage of that. But then I'll hit two others real quick. Lubbock, Texas, I know you're going to go what in the world? Check out that restaurant scene and check out the music scene that is out there. And then Tex always got things going on, but of course we love Austin, San Antonio there in particular, Fredericksburg, east Texas and Tyler is awesome, but we have found a great beach in Port Aransas, har cinnamon chores for sure. We love it Chris: A lot to offer, right? Big state. A lot to offer. We accommodate all types and tastes. Right. Well that's one of the things I love about the state of Texas is if you can kind of find anything that any interest you have, we can satisfied. Jeff: That's right. That's Chris: Maybe not snow skiing. We hadn't figured that one out yet. But other than that, I think we got you covered. Jeff: Yeah, that's right. And of course Colorado's worried Texans are going to take over Colorado. We do head up there to do our skiing Chris: For sure. Okay, last question. Do you prefer Tex-Mex or barbecue? Jeff: Oh my goodness. I hate to make this choice, but I've got to talk barbecue. We have a really neat story here in Arlington with Harto Barbecue. This was a guy that was a backyard barbecue or Brandon, he's Texas monthly now has him in the top 50. But it was really neat. We had the first neutral World Series here in Arlington. You remember during the pandemic they picked us to in the LA Dodgers in Tampa came to town. The LA Dodgers found the small little barbecue spot of Hertado here in downtown Arlington and it went viral. They put it on social media. Everybody found Brandon Hertado, including Taylor Sheridan and Taylor Sheridan with Ellison started having him out to his parties and now he signed an agreement with four six's ranch that Taylor owns to supply the beef. And he's now got several restaurants. It's just a really neat story. And how many times is it so fun for us in Texas to discover that next new barbecue spot? Got 'em all over the place. It's awesome. That is a cool Chris: Story. I've not heard of that, but now I'm going to have to go try some, so love it. Well, Jeff, this has been great. I really appreciate you taking the time, love your story and just congratulations for all the success you've had, and I know you'll continue to that into the future. Jeff: Thank you, Chris, and look forward to continuing this relationship. And thank you for what you're doing here on the podcast. Chris: Absolutely. Jeff: And remember, let's build Unity and the Unity blueprint. Special Guest: Jeff Williams.
Ataxia is a neurologic symptom that refers to incoordination of voluntary movement, typically causing gait dysfunction and imbalance. Genetic testing and counseling can be used to identify the type of ataxia and to assess the risk for unaffected family members. In this episode, Katie Grouse, MD, FAAN, speaks with Theresa A. Zesiewicz, MD, FAAN, author of the article “Ataxia” in the Continuum® August 2025 Movement Disorders issue. Dr. Grouse is a Continuum® Audio interviewer and a clinical assistant professor at the University of California San Francisco in San Francisco, California. Dr. Zesiewicz is a professor of neurology and director at the University of South Florida Ataxia Research Center, and the medical director at the University of South Florida Movement Disorders Neuromodulation Center at the University of South Florida and at the James A. Haley Veteran's Hospital in Tampa, Florida. Additional Resources Read the article: Ataxia 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 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 Grouse: This is Dr Katie Grouse. Today I'm interviewing Dr Theresa Zesiewicz about her article on ataxia, which appears in the August 2025 Continuum issue on movement disorders. Welcome to the podcast, and please introduce yourself to our audience. Dr Zesiewicz: Well, thank you, Dr Grouse. I'm Dr Theresa Zesiewicz, otherwise known as Dr Z, and I'm happy to be here. Dr Grouse: I have to say, I really enjoyed reading your article. It was a really great refresher for myself as a general neurologist on the topic of ataxia and a really great reminder on a great framework to approach diagnosis and management. But I wanted to start off by asking what you feel is the key message that you hope our listeners will take away from reading your article. Dr Zesiewicz: Yes, so, thanks. I think one of the key messages is that there has been an explosion and renaissance of genetic testing in the past 10 years that has really revolutionized the field of ataxia and has made diagnosis easier for us, more manageable, and hopefully will lead to treatments in the future. So, I think that's a major step forward for our field in terms of genetic techniques over the last 10 years, and even over the last 30 years. There's just been so many diseases that have been identified genetically. So, I think that's a really important take-home message. The other take-home message is that the first drug to treat Friedreich's ataxia, called omaveloxolone, came about about two years ago. This was also a really landmark discovery. As you know, a lot of these ataxias are very difficult to treat. Dr Grouse: Now pivoting back to thinking about the approach to diagnosis of ataxia, how does the timeline of the onset of ataxia symptoms inform your approach? Dr Zesiewicz: The timeline is important because ataxia can be acute, subacute or chronic in nature. And the timeline is important because, if it's acute, it may mean that the ataxia took place over seconds to hours. This may mean a toxic problem or a hypoxic problem. Whereas a chronic ataxia can occur over many years, and that can inform more of a neurodegenerative or more of a genetic etiology. So, taking a very detailed history on the patient is very important. Sometimes I ask them, what is the last time you remember that you walked normal? And that can be a wedding, that can be a graduation. Just some timeline, some point, that the patient actually walked correctly before they remember having to hold onto a railing or taking extra steps to make sure that they didn't fall down, that they didn't have imbalance. That sometimes that's a good way to ask the patient when is the last time they had a problem. And they can help you to try to figure out how long these symptoms have been going on. Dr Grouse: I really appreciate that advice. I will say that I agree, it can sometimes be really hard to get patients to really think back to when they really started to notice something was different. So, I like the idea of referencing back to a big event that may be more memorable to them. Now, given that framework of, you know, thinking through the timeline, could you walk us through your approach to the evaluation of a patient who presents to your clinic with that balance difficulties once you've established that? Dr Zesiewicz: Sure. So, the first thing is to determine whether the patient truly has ataxia. So, do they have imbalance? Do they have a wide base gait? That's very important because patients come in frequently to your clinic and they'll have balance problems, but they can have knee issues or hip issues, neuropathy, something like that. And sometimes what we say to the residents and the students is, usually ataxia or cerebellar symptoms go together with other problems, like ocular problems are really common in cerebellar syndromes. Or dysmetria, pass pointing, speech disorder like dysarthria. So, not only do you need to look at the gait, but you should look at the other symptoms surrounding the gait to see if you think that the patient actually has a cerebellar syndrome. Or do they have something like a vestibular ataxia which would have more vertigo? Or do they have a sensory ataxia, which would occur if a person closes his eyes or has more ataxia when he or she is in the dark? So, you have to think about what you're looking at is the cerebellar syndrome. And then once we look to see if the patient truly has a cerebellar syndrome, then we look at the age, we look at---as you said before, the timeline. Is this acute, subacute, or chronic? And usually I think of ataxia as falling into three categories. It's either acquired, it's either hereditary, or it's neurodegenerative. It can be hereditary. And if it's not hereditary, is it acquired, or is it something like a multiple system atrophy or a parkinsonism or something like that? So, we try to put that together and start to narrow down on the diagnosis, thinking about those parameters. Dr Grouse: That's really a helpful way to think through it. And it is true, it can get very complex when patients come in with balance difficulties. There's so many things you need to think about, but that is a great way to think about it. Of course, we know that most people who come in to the Movements Disorders clinic are getting MRI scans of their brains. But I'm curious, in which cases of patients with cerebellar ataxia do you find the MRI to be particularly helpful in the diagnosis? Dr Zesiewicz: So, an MRI can be very important. Not always, but- so, something like multiple system atrophy type C where you may see a hot cross bun sign or a pontine hyperintensity on the T2-weighted image, that would be helpful. But of course, that doesn't make the diagnosis. It's something that may help you with the diagnosis. In FXTAS, which is fragile X tremor/ataxia syndrome, the patient may have the middle cerebellar peduncle sign or the symmetric hyperintensity in the middle cerebellar peduncles, which is often visible but not always. Something like Wernicke's, where you see an abnormality of the mammillary bodies. Wilson's disease, which is quite rare, T2-weighted image may show hyperintensities in the putamen in something like Wilson's disease. Those are the main MRI abnormalities, I think, with ataxia. And then we look at the cerebellum itself. I mean, that seems self-evident, but if you look at a sagittal section of the MRI and you see just a really significant atrophy of the cerebellum, that's going to help you determine whether you really have a cerebellar syndrome. Dr Grouse: That's really encouraging to hear a good message for all of us who sometimes feel like maybe we're missing something. It's good to know that information can always come up down the line to make things more clear. Your article does a great review of spinal cerebellar ataxia, but I found it interesting learning about the more recently described syndrome of SCA 27B. Would you mind telling us more about that and other really common forms of SCA that's good to keep in mind? Dr Zesiewicz: Sure. So, there are now 49 types of spinal cerebellar ataxia that have been identified. The most common are the polyglutamine repeat diseases: so, spinocerebellar ataxia type 3 or type 2, type 6, are probably the most common. One of the most recent spinocerebellar ataxias to be genetically identified and clinically identified is spinocerebellar ataxia 27B. This is caused by a GAA expansion repeat in the first intron of the fibroblast growth factor on chromosome 13. And the symptoms do include ataxia, eye problems, downbeat nystagmus, other nystagmus, vertical, and diplopia. It appears to be a more common form of adult-onset ataxia, and probably more common than was originally thought. It may account for a substantial number of ataxias, like, a substantial percentage of ataxias that we didn't know about. So, this was really a amazing discovery on SCA 27B. Dr Grouse: Now a lot of us I think feel a little anxious when we think about genetic testing for ataxia simply because there's so many forms, things are changing quickly. Do you have a rule of thumb or a kind of a framework that we can think of as we approach how we should be thinking about getting genetic testing for the subset of patients? Dr Zesiewicz: Sure. And I think that this is where age comes into play a lot. So, if you have a child who's 10, 11, or 12 who's having balance problems in the schoolyard, does not have a history of ataxia in the family, the teachers are telling you that the child is not running correctly, they're having problems with physical education, that is someone who you would think about testing for Friedreich's ataxia. A preteen or a child, that would be one thing that would be important to test. When you talk to your patient, it's important to really take a detailed family history. Not just mom or dad, but ethnicity, grandparents, etc. And sometimes, once in a while, you come up with a known spinal cerebellar ataxia. Then you can just test for that. So, if a person is from Portugal or has Portugal background and they have ataxia and the parents had ataxia, you would think of spinal cerebellar ataxia type 3. Or if they're Brazilian, or if the person is from a certain area of Cuba and mom and dad had ataxia and that person has ataxia, you would think of spinal cerebellar ataxia type 2. Or if a person has ataxia and their parent had blindness or visual problems, you may be more likely to think of spinal cerebellar ataxia type 7, for example. If they have that---either they have a known genetic cause in in the family, first degree family, or they come from an area of the world in which we can pinpoint what type we think it is---you can go ahead and get those tests. If not, you can take an ataxia comprehensive panel. Many times now, if you take the panel and the panel is negative, it will reflex to the whole exome gene sequencing, where we're finding really unusual and more rare types of ataxia, which are very interesting. Spinal cerebellar ataxia type 32, spinal cerebellar ataxia type 36, I had a spinal cerebellar ataxia type 15. So, I think you should start with the age, then the family history, then where the person is from. And then, if none of those work out, you can get a comprehensive panel, and then go on to whole exome gene sequencing. Dr Grouse: That's really, really useful. Thank you so much for breaking that down in a really simple way that a lot of us can take with us. Pivoting a little bit now back towards different types of acquired ataxias, what are some typical lab tests that you recommend for that type of workup? Dr Zesiewicz: Again, if there's no genetic history and the person does not appear to have a neurodegenerative disease, we do test for acquired ataxias. Acquired ataxias can be complex. Many times, they are in the autoimmune family. So, what we start with are just basic labs like a CBC or a CMP, but then we tried to look at some of the other abnormalities that could cause ataxia. So, celiac disease, stiff person syndrome. So, you would look at anti-glutamic acid decarboxylase antibodies, Hashimoto's---so, antithyroglobulin antibodies or antithyroperoxidase antibodies would be helpful. You know, in a case of where the patients may have an underlying neoplasm, maybe even a paraneoplastic workup, such as an anti-Hu, anti-Yo, anti-Ri. A person has breast cancer, for example, you may want to take a paraneoplastic panel. I've been getting more of the anti-autoimmune encephalitis panels in some cases, that were- that are very interesting. And then, you know, things that sometimes we forget now like the syphilis test, thyroid-stimulating test, take a B12 and folate, for example. That would be important. Those are some of the labs. We just have on our electronic chart a group of acquired labs for ataxia. If we can't find any other reason, we just go ahead and try to get those. Dr Grouse: Now, I'm curious what you think is the most challenging aspect of diagnosing a patient with cerebellar ataxia? Dr Zesiewicz: So, for those of us who see many of these patients a day, some of the hardest patients are the ones that---regardless of the workup that we do, we've narrowed it down, it's not hereditary. You know, they've been through the whole exome gene sequencing and we've done the acquired ataxia workup. It doesn't appear to be that. And then we've looked for parkinsonism and neurodegenerative diseases, and it doesn't appear to be that either; like, the alpha-synuclein will be negative. Those are the toughest patients, where we think we've done everything and we still don't have the answer. So, I've had patients in whom I've taken care of family members years and years ago, they had a presumed diagnosis, and later on I've seen their children or other family members. And with the advent of the genetic tests that we have, like whole exome gene sequencing, we have now been able to give the patient and the family a definitive diagnosis that they didn't have 25 years ago. So, I would say don't give up hope. Retesting is important, and as science continues and we get more information and we make more landmark discoveries in genetics, you may be better able to diagnose the patient. Dr Grouse: I was wondering if you had any recommendations regarding either some tips and tricks, some pearls of wisdom you can impart to us regarding the work of ataxia, or conversely, any big pitfalls that you can help us avoid? I would love to hear about it. Dr Zesiewicz: Yeah, there's no easy way to treat or diagnose ataxia patients. I've always felt that the more patients you see- and sounds easy, but the more patients you see, the better you're going to become at it, and eventually things are going to fall into place. You'll begin to see similarities in patients, etc. I think it's important not only to make sure that a person has ataxia, but again, look at the other signs and symptoms that may point to ataxia that you'll see in a cerebellar syndrome. I think it's important to do a full neuroexam. If a person has spasticity, that may point you more towards a certain type of ataxia than if a person has no reflexes, for example, that we see in Friedreich's ataxia. Some of the ocular findings are very interesting as well. It's important to know if a person has a tremor. I've seen several Wilson's disease cases in my life with ataxia. They're very important. I think a full neuroexam and also a very detailed history would be very helpful. Dr Grouse: Tell us about some promising developments in the diagnosis and management of ataxia that we should be on the lookout for. Dr Zesiewicz: The first drug for Friedreich's ataxia was FDA-approved two years ago, which was an NRF2 activator, which was extremely exciting and promising. There are also several medications that are now in front of the FDA that may also be very promising and have gone through long clinical trials. There's a medication that's related to riluzole, which is a medication used for amyotrophic lateral sclerosis, that has been through about seven years of testing. That is before the FDA as well for spinal cerebellar ataxia. Friedreich's ataxia has now completed the first cardiac gene therapy program with AAV vectors, which- we're waiting for full results, but that's a cardiac test. But I would assume that in the future, neurological gene therapy is not far behind if we've already done cardiac gene therapy and Friedreich's ataxia. So, you know, some of these AAV vector-based genetic therapies may be very helpful, as well as ASO, antisense oligonucleotides, for example. And I think in the future, other things to think about are the CRISPR/Cas9 technology for potential treatment of ataxia. It is a very exciting time, and some major promising therapies have been realized in the past 2 to 3 years. Dr Grouse: Well, that's really exciting, and we'll all look forward to seeing these becoming more clinically applicable in the future. So, thank you so much for coming to talk with us today. Dr Zesiewicz: Thank you. Dr Grouse: Again, today I've been interviewing Dr Theresa Zesiewicz about her article on ataxia, 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.
Host Ryan Woldt chats with Shonali Paul, the founder of Paul John Caffeine Co., based in Tampa, FL, about their entrepreneurial journey, the coffee growing region of India, and why getting a job for someone else just wasn't an option.https://pauljohncaffeine.com/https://www.instagram.com/pauljohncaffeineCoffee People is presented by Roastar, Inc., the premier coffee packaging company utilizing digital printing. Roastar enables small-to-gigantic coffee businesses tell a big story. Learn more at https://bit.ly/4gIsHff.Follow @roastar on Instagram Coffee People is one of the premier coffee and entrepreneurship podcasts, featuring interviews with professionals in the coffee industry and coffee education. Host Ryan Woldt interviews roastery founders, head roasters, coffee shop owners, scientists, artists, baristas, farmers, green coffee brokers, and more. This show is also supported by Marea Coffee , Cape Horn Green Coffee Importers, Sivitz Roasting Machines, Relative Coffee Company, Coffee Cycle Roasting, MAMU Coffee, and Hacea Coffee Source.Head to www.coffeepeoplepodcast.com for show recaps, coffee education, guest list and coffee news.Register to become an organ donor at: https://registerme.org/.*Clicking these links to purchase will also support Roast! West Coast through their affiliate marketing programs.
In this episode of NHL Wraparound's Summer Coolers, Neil Smith and Vic Morren break down the Tampa Bay Lightning, a team loaded with offensive firepower—but still struggling to get out of the first round of the playoffs.Despite finishing second in the Atlantic and ranking #1 in league scoring, the Lightning were eliminated in the first round by the Panthers for the third consecutive season. With John Cooper entering his 14th season behind the bench and Steven Stamkos gone to free agency, is this still a contender—or a team quietly slipping?The hosts discuss Tampa's cap-strained strategy, new bottom-six reinforcements, and whether this team can still fight for another Cup before the window closes.
Send us a textIn this episode of the L3 Leadership Podcast, Doug sits down with Matt Higgins, Executive Director of Hope Children's Home in Tampa, Florida. Matt shares the powerful mission of providing a loving home and education to children from difficult circumstances, along with their new Bundles of Hope initiative that gives mothers in crisis pregnancies the gift of time and support.Links:Hope Children's HomeEpisode Highlights:00:00 Doug introduces Matt Higgins and the story of how they connected04:00 The mission and model of Hope Children's Home08:00 Four pillars: physical needs, family environment, education, and faith14:00 Stories of transformation from children at Hope17:00 Aftercare and staying connected with alumni18:00 Bundles of Hope initiative and no-cost adoption vision25:00 Matt on taking over as CEO after his father's leadership28:00 The unseen weight of leadership and why encouragement matters31:00 How to become the obvious choice for leadership roles33:00 Dealing with self-doubt and imposter syndrome34:00 The power of mastermind groups and surrounding yourself with stronger leaders39:00 Cutting meetings in half and lessons on leadership rhythms44:00 What went well and what went wrong in succession planning47:00 Best advice, parenting wisdom, and Matt's legacy visionThe L3 Leadership Podcast is sponsored by Andocia Marketing Solutions. Andocia exists to bring leaders' visions to life. Visit https://andocia.com to learn more.
Heading into the second week of the college football season, it was not the highly-anticipated schedule that Week 1 was, but there were some epic performances and several surprises. Folks in Tampa, Nashville, Starkville and Columbia, Mo. are happy. The Big 12 program in Oklahoma does not have a lot of happy folks, but the SEC program in that state surely does. JC and Mike dive into it all. Note: Our scheduled guest Cody Campbell had a last-minute conflict, so we will catch up with him soon. We also look ahead to Week 3. To learn more about listener data and our privacy practices visit: https://www.audacyinc.com/privacy-policy Learn more about your ad choices. Visit https://podcastchoices.com/adchoices