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Why can't you divide by zero? Neil deGrasse Tyson and Chuck Nice discuss higher dimensions, dividing by zero, and math's unsolved questions with math YouTuber Grant Sanderson (3blue1brown).NOTE: StarTalk+ Patrons can listen to this entire episode commercial-free here:https://startalkmedia.com/show/the-language-of-the-universe-with-grant-sanderson-3blue1brown/Thanks to our Patrons Nicolas Alcayaga, Ryan Harris, Ken Carter, Ryan, Marine Mike USMC, VARD, Mile Milkovski, Gideon Grimm Gaming, Shams.Shafiei, Ben Goldman, Zayed Ahmed, Matt Nash, Stardust Detective, Leanice, morgoth7, Mary O'Hara, David TIlley, Eddie, Adam Isbell-Thorp. Armen Danielyan, Tavi, Matthew S Goodman, Jeremy Brownstein, Eric Springer, Viggo Edvard Hoff, Katie, Kate Snyder, Jamelith, Stanislaw, Ringo Nixon, Barbara Rothstein, Mike Kerklin, Wenis, Ron Sonntag, Susan Brown, Anti alluvion, Basel Dadsi, LoveliestDreams, Jenrose81, Raymond, David Burr, Shadi Al Abani, Bromopar, Zachary Sherwood, VP, Southwest Virginia accountability, Georgina Satchell, Nathan Arroyo, Jason Williams, Spencer Bladow, Sankalp Shinde, John Parker, Edward Clausen Jr, William Duncanson, Mark, and Dalton Evans for supporting us this week. Subscribe to SiriusXM Podcasts+ to listen to new episodes of StarTalk Radio ad-free and a whole week early.Start a free trial now on Apple Podcasts or by visiting siriusxm.com/podcastsplus.
Is gold still undervalued, even after hitting record highs? Tavi Costa says yes, and makes the case for $20,000+ gold. In this insightful interview, Crescat Capital's macro strategist Tavi Costa joins Trey Reik to explain why we're in the early stages of a “Great Rotation” out of overvalued U.S. equities and into hard assets like gold, silver, and commodities. Tavi also lays out why traditional 60/40 portfolios are set to underperform for years, how U.S. debt levels and deglobalization are pressuring the dollar, and why central banks (and possibly even the U.S. Treasury) are quietly turning back to gold. He also reveals: - Why the 2-year Treasury yield could collapse - Why the S&P 500's best years may be behind it - Why silver may be “the cheapest metal on Earth” - And how AI, onshoring, and infrastructure needs are creating a boom in commodity demand Chapters:01:09 - Crescat's Three‑Pronged Strategy 05:45 - Defining the “Great Market Rotation” 10:14 - What's Driving Crescat's 2025 Outperformance 13:38 - Why the 60/40 Portfolio Is in Trouble 16:49 - Commodities vs. Equities: The Historic Discount 20:36 - Three Forces Fueling Gold's Surge 24:36 - Why This Gold Cycle Could Be the Biggest Yet 30:03 - When Will It Be Time to Sell Gold? 36:32 - Valuing Gold: A $20K+ Playbook? 41:25 - Gold's Role in the Next Monetary System 44:48 - 2025 Outlook: Rates, Commodities, and Markets 47:35 - Is Silver the Cheapest Metal on Earth? Volatility got you concerned? Get a free portfolio review with Wealthion's endorsed financial advisors at https://bit.ly/3SBaGpv Hard Assets Alliance - The Best Way to Invest in Gold and Silver: https://www.hardassetsalliance.com/?aff=WTH Connect with us online: Website: https://www.wealthion.com X: https://www.x.com/wealthion Instagram: https://www.instagram.com/wealthionofficial/ LinkedIn: https://www.linkedin.com/company/wealthion/ #Wealthion #Wealth #Finance #Investing #Gold #Silver #Commodities #MacroEconomics #DeDollarization #GreatRotation #TaviCosta #EconomicShift #MonetaryPolicy #MarketOutlook #Mag7 ________________________________________________________________________ The opinions and information shared by Tavi in this discussion are his own, and not necessarily those of Crescat. Any investments discussed may or may not be held by Crescat. Investments carry risk including risk of loss. ________________________________________________________________________ IMPORTANT NOTE: The information, opinions, and insights expressed by our guests do not necessarily reflect the views of Wealthion. They are intended to provide a diverse perspective on the economy, investing, and other relevant topics to enrich your understanding of these complex fields. While we value and appreciate the insights shared by our esteemed guests, they are to be viewed as personal opinions and not as investment advice or recommendations from Wealthion. These opinions should not replace your own due diligence or the advice of a professional financial advisor. We strongly encourage all of our audience members to seek out the guidance of a financial advisor who can provide advice based on your individual circumstances and financial goals. Wealthion has a distinguished network of advisors who are available to guide you on your financial journey. However, should you choose to seek guidance elsewhere, we respect and support your decision to do so. The world of finance and investment is intricate and diverse. It's our mission at Wealthion to provide you with a variety of insights and perspectives to help you navigate it more effectively. We thank you for your understanding and your trust. Learn more about your ad choices. Visit megaphone.fm/adchoices
Mirza Umair Khalid, MD, social media editor of JACC: Cardiovascular Interventions, and Patrick Badertscher, MD, discuss analysis from SWISS-TAVI registry regarding long-term outcomes of patients requiring pacemaker implantation after TAVI.
Tom welcomes back Tavi Costa, Portfolio Manager at Crescat Capital, to discuss the current state of gold, silver, mining stocks, and broader economic trends. Costa emphasizes that despite technical indicators suggesting overbought conditions in gold, the underlying macroeconomic factors point to continued strength in precious metals. He highlights the role of central banks, particularly in emerging markets like China, Russia, and Turkey, which have been significant buyers of gold. Costa argues that gold's revaluation is driven by global debt imbalances, de-globalization trends, and countries seeking to stabilize their monetary systems. He also explains how higher gold prices can increase the U.S. Treasury's cash reserves, enabling buybacks of Treasuries without quantitative easing, which he believes will be a critical tool for managing debt. Costa is bullish on mining stocks, noting they are historically undervalued relative to U.S. equities and have outperformed over the past decade. He suggests that as global infrastructure needs grow and supply chains shift, mining companies will play a crucial role in meeting demand for essential commodities. Additionally, he points out the attractive valuations of silver, given its high gold-to-silver ratio, which he believes could lead to significant price appreciation. The discussion also touches on the U.S. dollar's structural downtrend, driven by high debt levels and interest payment burdens, and how this impacts emerging markets positively. Costa predicts that lower yields on short-term Treasuries will benefit miners and other sectors. He concludes by advocating for increased exposure to energy stocks due to geopolitical tensions and rising oil prices. Time Stamp References:0:00 - Introductions0:38 - Technical Bear Signals?5:54 - Monetizing U.S. Assets11:08 - Gold Re-Valuation Chart15:00 - Tariffs & Fed Policy20:08 - Dollar Struct Downtrend26:10 - Mining Stock Value31:30 - A Correction Coming?35:33 - GS Ratio Imbalances40:09 - Gaining Metal Exposure43:43 - Education & Sentiment47:00 - Mkt. Rotation & Wrap Up Guest Links:X: https://x.com/tavicostaX: https://x.com/crescat_capitalWebsite: https://crescat.net Otavio ("Tavi") Costa is a Member and Portfolio Manager at Crescat Capital and has been with the firm since 2013. He built Crescat's macro model that identifies the current stage of the U.S. economic cycle through a combination of 16 factors. His research is regularly featured in financial publications such as Bloomberg, The Wall Street Journal, CCN, Financial Post, The Globe and Mail, Real Vision, and Reuters. Tavi is a native of São Paulo, Brazil, and fluent in Portuguese, Spanish, and English. Before joining Crescat, he worked with the underwriting of financial products and international business at Braservice, a large logistics company in Brazil. Tavi graduated cum laude from Lindenwood University in St. Louis with a B.A. degree in Business Administration with an emphasis in Finance and a minor in Spanish. Tavi played NCAA Division 1 tennis for Liberty University.
Ultramarathoner Tavi Wallace, who has completed two 100 mile races along with 78 marathons, will pace runners in this week's Kentucky Derby Festival Marathon and miniMarathon.60 different pacers organized by Dallas Harshfield will run at various speeds to keep runners at their desired speeds. Tavi, for instance, will carry a sign that reads 3:55 PACE. That means she will run 8:57 per mile for the entire 26.2 miles of the marathon course. Any runner who is properly trained to stay at that pace will earn a sub-4 hour final race time of 3 hours and 55 minutes.Other paces will scoot along at varying paces from a 3:15 finish time all the way up to a 6 full hours pace to finish the marathon.Let's run, baby!
TAVI with ACURATE NEO2 vs. Sapien/Evolut: A SWEDEHEART Target Trial Emulation Study
No Click Valvar de hoje temos grandes insights sobre a durabilidade de TAVI e dados dos pacientes de baixo risco.
Witam Państwa, nazywam się Jarosław Drożdż, pracuję w Centralnym Szpitalu Klinicznym Uniwersytetu Medycznego w Łodzi, skąd nagrywam podcast Kardio Know-How. W tym odcinku omawiam doniesienia z ACC 2025.Szczegółowy TRANSKRYPT do odcinka.Podcast jest przeznaczony wyłącznie dla osób z profesjonalnym wykształceniem medycznym.
Featuring articles on cancer-associated venous thromboembolism, endovascular treatment for stroke, dapagliflozin in patients undergoing TAVI, screening for prostate cancer, and extrachromosomal DNA; a review article on otitis media in young children; a case report of a woman with flank pain, fever, and hypoxemia; and Perspectives on some efforts toward equity and on breaking the sacred promise.
In this episode, we speak with Tavi Costa, partner at Crescat Capital, about global macroeconomic shifts, rising gold prices, and the potential rotation from large-cap tech into commodities. Tavi explains why he sees significant opportunities in gold, silver, and emerging markets amid a weakening dollar and ongoing de-globalization. We dive into how policy decisions, geopolitical trends, and market valuations are shaping investment strategies, including what this means for metals like copper, silver, and lithium. CHAPTERS
Graduation Day. Book 3 in 18 parts, By FinalStand. Listen to the ► Podcast at Explicit Novels."You know nothing of what you speak of, Ishara, yet you now feel free to insult us," she simmered."Don't know, don't care. It was all before my time. I care about the 'here-and-now' as well as what we do in the future. What I am asking you is what concrete item or 'thing' can be provided to House Zorja to put this blood feud behind you. Name it and House Ishara will endeavor to procure it for you.""We are not merchants," Jana's eyes narrowed."No. I didn't imply you were. If you want new sandals for everyone in your House, I'll find you new sandals. If you want 100,000 acres of ranchland, I'll find you the land. Name it," I persisted."Our prestige cannot be bought," she 'explained'."No, but a blood feud with House Ishara can be avoided by making a request of us in the same way as expressing your desire to harm my daughter can be expressed by denying my offer," I hardened. "And 'fuck you very much' if you think I won't use every son, daughter, mother, aunt, and uncle of Ishara when I come gunning for House Zorja too.""You wouldn't dare bring outsiders into this," Klavdiya interjected."Why not? The offices of Ishara handed House Zorja the coup of the century ~ the capture of the People's Liberation Army Navy nuclear carrier. A member of House Zorja commanded that task, yet they did so by leading forces marshalled by House Ishara, outsider forces. You may wish to keep playing by old rules concerning who is and isn't part of a House, but I am not so constrained, sisters.""So Klavdiya, if House Meenakshi pursues its blood feud with House Zorja, House Ishara will gleefully join them in the pummeling. And we have Isharans in the 9 Clans, the Khanate and the Illuminati who will gladly help us out in slapping them around like the old-fashion curmudgeons they are showing themselves to be, or, House Zorja may request a gift from House Ishara and we will happily clear accounts between them and House Meenakshi in the name of our daughter, Parvati. Their choice.""You are still on the mats," Elsa reminded me. Sikia coiled protectively next to us."And you said something about a lesson being long overdue," Pamela smirked, "Kitten.""Cáel Ishara," Shawnee said in a soft voice, "perhaps it is germane to the argument: the fault of the blood feud rests with House Zorja, not House Meenakshi."I fell on my back, carrying Tad fi with me. She gasped out in surprise while remaining closely cuddled with me. Her right hand never left my lips."Why does no one tell me this shit?" I moaned."You are hard," Tad fi announced. "Are you ready to have more sex?" She was sounding upbeat about our prospects. She was also ignorant of our surroundings being deaf and blind to the mortal realm."Gossamer Wing," I created a pet name for the augur, "we are lying on the sparring mats of a large combat arena in the central Full-blooded training center for Havenstone with roughly 500 sisters in attendance (the audience had grown). While I am enticed by your scent, words, proximity and sweet memories of what we've shared, I'm probably going to be badly beaten up really soon for a terrific diplomatic snafu.""But then we can have sex?""Yeah. I'm totally up for having sex with you after they release me from Medical," I assured her. I looked around her to a very unhappy Mahdi."Can you find it in your heart to forgive House Zorja? Anything I can,""Yes," she abruptly cut me off.What the fuck?"At this time, my hatred of House Ishara, and you in particular, make any grievance I have with House Zorja pale in comparison. You have bewitched my only daughter. She bares your child, and it will be a wonderful child if the soiled augur you've stuck your cock in is to be believed," she ground out bitterly. "I want to go home. I want to find enemies to kill. And when I do, Cáel Ishara, know each and every one of them will carry your face in my mind."She turned to Jana. "Do you agree that we both hate Ishara enough to put aside our current differences?"Jana studied Mahdi, me, then Mahdi again and agreed. She stood. Mahdi stood. They clasped arms like Amazons, then hugged like sisters."Agreed. He is much worse."My thoughts on the matter. Woot! I was having sex! Oh, and I was making Aya happy by ending a blood feud."My admiration of you continues to increase," Krasimira looked at me. "This diplomacy stuff is harder than it looks yet you pull it off so effortlessly.""Yay me!" I muttered."Keeper, are we done?" Sikia asked Krasimira."I believe so," the older Amazon rose to her feet. Sikia was far faster in rising."Mahdi of Meenakshi, you have insulted me and my augur. Defend yourself," she snarled. If Tad fi hadn't been immediately present, Mahdi wouldn't have even warranted a warning no doubt."Had you done your job," Mahdi flowed into her fighting stance, "you both wouldn't be pregnant.""Whoa now," I struggled to rise while keeping Tad fi close and my body between her and the Meenakshi/Zorja side of the mat. "Sikia, I can't let you fight. You're pregnant too.""Don't be stupid, Cáel Ishara," Sikia retreated off the mat, so she could shed her jacket and footwear. "Amazons have fought pregnant for thousands of years.""Hold on now," NYPD Sgt. Larisa Kutuzov said in English as she moved forward. I was a millisecond too late. Larisa's foot touched down on the mat and Marlene Zorja popped her one, a hand chop to the larynx. The senior cop stumbled forward."Mom!" shouted Nikita. Marlene followed up with a leg sweep, putting Larisa face first on the mats, then a fist strike to the back of the head, knocking her out. Neat and tidy in less than two seconds.Nikita was about to charge in when Chaz stopped her."Footwear," he advised in the tone of voice I had learned to associate with him and imminent violence. The moment he stopped her, he was quickly removing his own socks and shoes. Virginia and Pamela were doing the same. I was allowed freedom of movement because I was holding Tad fi. Krasimira exited because of her unique status. The rest were already barefoot."Gale, could you please stay with Tad fi," I tried to hand her off."No," Gale looked me over. "I will fight." No hint on whose side she would be fighting on. Krasimira came to my rescue."I'll take her.""Tad fi," I told the augur, "I have to go get beaten up now, but I promise I will be back for you directly.""This is not your fight," Krasimira said. "The words and deeds are Sikia's.""A, she carries my child and B, the deeds being called into question are my fault.""You told me once they were the Will of Ishara," Krasimira mused."We are one in the same," I gave a lopsided grin."Be careful," Tad fi pleaded. "Your future is a chaotic jumble, I cannot see,""Eh, I've been very bad. We'll talk about it later. Gotta go," I headed onto the mats.Pamela was giving the ground rules to the 'normals': No 'fair warnings'. No 'fair play'. No 'time outs'. You fought until unconscious, or you surrendered."This is going to suck," Virginia assessed our odds. Two Amazons had removed Larisa from the mats and were tending to her. Nikita was kneeling by her side until she heard Virginia, then came our way.Besides Sikia, we had Pamela, Chaz, Virginia, myself and Nikita. Oneida stepping up was nice. She wasn't a great combatant, but we dearly needed the help. Gale joining us was, unsettling. Amazons don't play fair, so this could be a ruse.Against us were all three Zorja and both Meenakshi ~ I imagined Rhada felt she had something to prove to her mother. They'd picked up ten other Amazons and Rhonwenn Nemain. Klavdiya joined them to counterbalance her baby sister. Eight to seventeen ~ ouch."Damn," a familiar voice from my first days on the job spoke up from behind me, "we almost missed this." I didn't dare look over my shoulder. Desiree stepped between Chaz and Virginia. Rachel came up on my left and Tiger Lily on my right. At the tail end of our line was Mona, Meridian, Brielle and Wiesława. Fifteen to seventeen was looking much better, especially considering Desiree had brought five Security Detail warriors with her, all of whom were moving to further bolster our numbers."Rachel," Elsa looked to her underling, "you have no idea why you are fighting.""It is for Cáel. So it must be for a better tomorrow," Rachel laughed."Very well," Elsa smirked."You!" Mahdi pointed at me, and we both charged. It was a jumbled nightmare of clashing bodies, war cries and flashes of movement all around. Our side had two main advantages -While Chaz was by no means the best hand-to-hand combatant present, he knew the basic Amazon style and most Amazons didn't know his. Added to his overall height and bulk advantages, he bought us time.Of greater importance, Rachel, Tiger Lily and Mona had extensive training working as a team, which none of the opponents had.Elsa was the most dangerous individual on the mat. Pamela was the second most dangerous, so Elsa grabbed a couple of partners and ganged up on her to drive her off the mats. Chaz went next, out-Elsa'ed and beaten unconscious. The issue was, it took her too long to accomplish those two feats. By the time she rounded on me, Rachel and Tiger Lily, our half of the field had wiped out theirs. It was six of us (me, Rachel, Tiger Lily, Gale, Wiesława and Desiree) versus four of them (Elsa, Marlene, Klavdiya and Rhonwenn).Still, I was facing Elsa, so a judicious bit of treachery was required."Gale," I huffed and puffed, "please retire. I don't want you to fight your sister.""What?" Gale snapped. She'd taken a beating, yet remained feisty."No, fighting her sister is okay with me," Desiree scowled. "We are still facing fucking Elsa.""All the other women you have mated with have failed. I remain," Gale trumpeted."Oh, you are right," I half-turned. "All the reason you are more precious to me.""Really?""Of course," I deepened my introspective appreciation of her."Oh," and Klavdiya punched Rhonwenn. That was an 'oh, Cáel Ishara must actually care for my baby sister and not be just a Playa' on Klavdiya's part. Yeah. I'm a horrible fucking person at times.Rachel, Tiger Lily and I rushed Elsa. Marlene pivoted to ward against Klavdiya while Gale and Wiesława stormed in against her. Desiree helped Klavdiya finish drubbing Rhonwenn before they combined to force Marlene off the mats. Elsa chose to go down swinging in a dogpile of bodies. I took an ear-ringing blow to the head which allowed Rachel to apply a chokehold and it was lights out for the Head of SD.After some water bottles went around and those concussed returned to wakefulness, the resolution of the brawl was decided. Mahdi apologized to Sikia. It was short, terse and sparing of any empathy, yet was within the bounds of Amazon etiquette. She departed with Rhada, which left me to pick up the pieces, starting with Nikita's mom."Oh," the older woman moaned then, "Ms. Fredrickson? What are you doing here?""Avenging you, Mother," Nikita fluffed up the truth. "She, Cáel and the others cleaned house on the woman who jumped you and her allies.""Desk Sergeant," Desiree gave a curt nod."This isn't over," Larisa winced as she moved to a sitting position."Mrs. Kutuzov, it is over," I headed off a colossal waste of time. "This is my daily life and part of your daughter's life with JIKIT. You will find scant witnesses and no tape recordings of these events. This craziness is just another day in the life here at Havenstone. You stepped on the mat and thus became fair game to any physical confrontation an opponent cared to mete out. Consider this sovereign soil of an independent nation-state.""We," she looked around. "You kicked their asses?""Definitely," Pamela gave a feral snarl."This is plain nuts," she shook her head, winced in cranial pain, then put her aching head in her hands."One of the reasons we've put our dating in hiatus," Nikita comforted her mother while looking at me, and smiling affectionately.Ah, for fuck sakes! I was engaged to someone else and having a dozen kids by ten different women. How could I still possibly be considered viable dating material? Oh yeah, martial valor, laughing at death, I hung out with truly exceptional cool people and I would always be in need of saving, a plus for a crusader like Nikita.I had so many allies to tend to, but only one who seemed to be making an exit. I swooped down on Tad fi long enough to place her fingers to my lips."I'll be right back, friend of a friend in need," and off I went. I caught Tavi of House Stolgos just outside the door. She wasn't avoiding me. She'd been observing Chaz and he had been otherwise occupied.My British companion had played a pivotal role in the combat and taken his beating like a man. He'd been rendered unconscious. So had many others, so no stigma was attached to his loss. Post-battle, he had chosen to sit on his haunches, knees up, talking to several of the Amazons, both kneeling and standing. A few had been bystanders and a few others foes.He stayed on his ass to reduce his height advantage. Letting Amazons make eye contact while not having to look up at you created definite benefits. His good natured approach to his role in the fight and pummeling earned him positive vibes as well. He made it clear the tussle to him was not macho-personal. He was my 'brother / sister / sibling' spiritually-speaking via Pamela adopting us both as her 'grandsons', so my fights were his fights. Sikia had my (Cáel's) child, so that bond extended to her as well ~ family.Pamela and I had schooled him on Amazon psychology and those lessons were now paying serious dividends. 'The Male' hadn't wanted to fight them ~ 'Amazons are tough' he'd confessed, he knew this because he worked with several every day on JIKIT~ but family was on the line, so he fought. Mahdi had apologized, so the matter was settled. The other Amazons he'd fought? They had fought for their reasons and he was okay with not questioning them about it.Why? He was conscious of his conspicuous status as a 'guest', knew he was in no way an Amazon, and was not privy to what motivated them. He didn't want to be an Amazon. He had his own, much younger, martial tradition he was proud of, yet was eager to learn from the vastly greater Amazon war lore because 'winners' didn't have a gender-bias and no other tradition could compete with the Amazons' 3,000 years.Under normal circumstances, the women around him wouldn't have given credence to his praise. He was a male after all. Through the tiny tear I'd created in their insulating social fabric, Chaz was building upon his own exploits. In the after-battle analysis, the Amazons reflected on the realization Elsa had concentrated on him as her number two objective, second only to Pamela who scared everyone who knew anything about her. That bolstered Chaz's appeal.For the Amazons who thought a male would get all pouty and cry over being beaten up by a girl/girls, Chaz was breaking the mold. He wasn't angry. He was amused. The fight had been a learning experience and he'd felt honored to watch, no matter how briefly, a warrior of Elsa's caliber fight. He'd explained 'I', Cáel Wakko Ishara, considered Elsa one of the top 5 combatants I'd ever seen, which included Ajax the Unconquered. The others were Sakuniyas, reborn Amazon and former Queen of Assyria, Saint Marie, the Golden Mare, and Pamela, the Cliff-walker.More happy Amazons because the list's only non-Amazon was a dead Hero from the Trojan Wars and it was well known I 'got around' (aka dealt with violent outsiders.) Chaz was telling the truth, almost. The 'fifth' person on the list was Alal, but explaining him would be difficult, so Chaz edited him for this particular audience. Good man.In the hallway, "Tavi, a moment," I called out. She slowed down, took a few more steps allowing me to catch up."Yes Ishara?" she gave me her best neutral look. Yep. She was jealous."I beg two favors from you," I quickly went down to one knee in her path. That caught her off guard and left her in the awkward position of me being terribly close and staring up at her."I, I will listen," she muttered."I would like to know if you are pregnant," I asked very softly. Yes, she was, but she didn't want to tell me. She contemplated pushing past me. It would be very easy. "I know I am stepping beyond the boundaries between warriors. Please. My destiny has brought you two together. I am at fault here." 'Fault' was the key word."If I have a son, he will be given to the Queen," Tavi's face was stern and unforgiving. "He will live.""That's not what he's worried about," I shook my head. "He wants to be a father to your daughter, Tavi. He wants to introduce you to his mother and grandmothers, maybe his sisters too, if that can be arranged.""Huh?""He is not like me, Tavi. There is no other in his life, but you.""I, I will not leave my House for him," she protested angrily."He would never ask you. That doesn't mean he doesn't want to remain at your side for years to come. He can be a father to your child and not be a part of House Stolgos in the same way you can be a mother to your child and not be a part of Clan Tomorrow.""Oh," she furrowed her brow. "How would this possibly work?""I have an 'in' with the Queen," I winked. "I'll work out something.""He knows I will never stop being an Amazon," she elucidated intensely."Absolutely. He is an intelligence operative after all. He's figured a few things out for himself.""Why doesn't he tell me these things?""Tavi, he threw his body on top of me to shield me from a bomb blast, so he's undoubtedly brave, but telling you what is in his heart is scary for him. As his brother, I see behind his silence,""Oh, what should I do?" she was vexed."Go back in there, demand to speak with him and tell him the truth," I stood up."The truth?""That you are going to have a little StolgosTomorrow-ite running around sometime next year," I exuded confidential friendliness."Cáel Ishara," she tilted her head slightly, "you don't know much about infants, do you?""Nope," I pseudo-confessed. I actually did know something about newborns. I'd studied up so I could make a move on a cute girl whose free time was eaten up by babysitting, so I 'helped out'. Oink."They aren't 'running around'," she turned to head back into the gym, "until the ninth month at the earliest. Normally, running doesn't happen until the eighteenth month.""My fiancée has a three-year old, so she should be able to help me through some of the hardest parts," I babbled along. Tavi didn't give a crap.In we went. Tavi stormed straight toward the bevy of Amazon babes concentrating on 'her' Chaz."Color Sergeant Tomorrow," she abruptly interrupted. "A moment of your time.""Ladies," Chaz uncoiled himself from the surrounding women. The Amazons were either mildly put off, they thought they were about to get laid, or pissed off, they were sure they were about to get laid, and Tavi was stomping on their happy."Yes, Ms. Gentry," Chaz linked his hands behind his back in a 'rest easy' stance. 'Gentry' was the fake last name Tavi used in the outside world. She motioned toward the windows with her head. Off they went. I couldn't hear what was being said, but my lip reading skills were up to the task.T: (I am pregnant)C: (I love you)T: (Oh) ~ stunned. Go Chaz!C: (Well, I don't imagine the Amazons have a marriage ceremony and an Anglican service would be inappropriate, so perhaps we could research a Scythian ritual which could make both families happy) ~ delivered in the patented smooth Chaz style.T: (Marriage? To you?)C: (I will not submit to being anyone's slave nor would I ever ask you to submit to me. Outside of that, will you be my partner and my partner alone until the cliffs separate us?)T: (Amazons are not monogamous)C: (I am)T: (I will, I mean, can I think about this?)C: (I am not going anywhere, Tavi){Pause}T: (Did you put Ishara, Cáel Ishara up to this?)C: (Yes)T: (Why?)C: (I imagine he explained what I am feeling better than I could)T: (Oh, do you want me to meet your mother and grandmothers?)C: (Absolutely)T: (Okay)C: (Okay ~ you would like to meet my Mother and Grandmothers?)T: (No, yes, I mean, yes I would like to meet them and I am okay with you being with no other woman until the cliffs separate us, and I will do the same, no other males)C: (If I pick you up, hug you and kiss you, will your sisters freak out?)T: (I don't know)So Chaz swept Tavi up until her head was higher than his (a feat, considering their 8" height differential) and kissed her deeply. Mumbled words followed. Tavi wrapped her legs around Chaz's waist and out they went. Around me were angry murmurings of the 'did that Amazon just run off with our man' variety. Not my problem. I had plenty of different Amazons wanting my attention. Hallelujah!{8:00 pmDon't try this at home.I covered my face with a pillow and pressed down hard. I'd already tried breathing exercises, meditation and even contemplated more cranial trauma before thinking up this particular crazy idea. It took some mental effort and accessing some of my Alal-'pain sorting' skills to accomplish, but in the end, I felt myself 'let go'.I sat up."Hello," Tad fi beamed."Hey," I took a deep breath. Since we were talking, I must have passed out. Her eyes wandered over the room."Is this the world as you see it?" she wondered. Oh yeah, I had to be creating the environment for her to enjoy.Sikia was kneeling on the bed a foot away, her gaze moving between the two of us. The 'grayness' of her form suggested she was wholly in reality and not in the 'Ishara-space' the goddess had shown me and I was now sharing with my augur."This is how you see me?" she examined her fingers, her wrists, then some long locks of her hair."You are more beautiful," I answered. The impact of my words crossing over drew her eyes back to me. It was the magic of hearing for the normally deaf girl. I concentrated, peeled back some fantasy and attached a realistic form to Sikia. Tad fi followed my gaze."Your hair," she addressed her guardian, "It is lighter than I imagined."Sikia said something I couldn't understand, muffled as it was by my dreaming."I cannot hear you, but I see you through his eyes," the augur carried on her conversation. They touched. It had to be somewhat bizarre for Sikia. As she reached for Tad fi's hand, her friend intercepted the extended member. Their fingers intertwined before completing the journey to the guardian's lips."Don't cry, no, we couldn't have, no, we shouldn't have knocked him out sooner. I don't think he was aware of this discipline when we first met. Were you, Cáel?""No. Perhaps if I had understood more about the consequences of seeing ghosts, I might have," I tapered off. "Now that we know. I can try this more often.""Your health?" Tad fi worried."I might be immortal," I confessed. I was confessing because I was desperately seeking a way to share some of my genetic quirkiness with her ~ some strength to carry her through this pregnancy and spare her life, Dot Ishara be damned."And you would seek a way to spare me," she graced me with her gentle presence. Lying in the 'spirit' world was a whole lot tougher than in the flesh."Yeah. I've got some arcane lore rattling around in my head, plus I have a few outside sources I can ask for help. I'm not giving up on you.""I have foreseen my death.""Well, un-foresee it," I scolded her. "Dot Ishara told me we see what might happen, though nothing is guaranteed. So even your death isn't an absolute. Since it hasn't happened, I see no reason to let it happen. You are going to live to hold our daughter. If not, my immortality is worthless.""You can never save everyone. Sometimes you must let a few go to save the rest," she advised."If I find someone I'm not attached to, I'll let them go. I promise. Until then, I'm, ugh, I'm fading, and I'm keeping you.""We shall see," she murmured. I fell back into my body and into wakefulness."Now we have sex," Tad fi announced in a melodic voice."He is ready to perform," Sikia agreed. She was fondling my balls with one hand while her breath played across my rod. I sat up to see the augur climbing up the bed between my thighs. She kissed my glans, licked across its top, then kissed it again."I've got it from here," she told Sikia."What?" Sikia was confused. Tad fi's lips began to engulf my sceptre."Sikia, come here," I gently pulled on her arm. She was conflicted yet up some came.We started out with tender kisses on the lips. I kept drawing her toward me. My lips and tongue migrated down her chin and throat to her breasts. When she thought my target was her breasts, she was all onboard. That was a mere stop-off point on my journey, though I played around for a while.At the same time, I had to use subtle movements with my hips and clenches with my gluts to school Tad fi on her fellatio. Thankfully, I was doubly-blessed. This wasn't my first time schooling two girls at once and Tad fi could determine more from such minimal reactions due to her heightened sense of my muscle contractions through her touch than any other woman I'd ever met.When I began running my tongue in large lashes underneath her breasts, I confused Sikia once more. She was resistant as my hands on her hips pulled her higher so that my lips and teeth could tease her taut stomach while I twirled my tongue in her belly button. She giggled.I had been slowly wiggling down the bed, backing Tad fi up, so when it came time to mount Sikia on my face, I had the headboard room. I kept her muscular thighs securely in hand because the moment I had her happy, I pushed her up. She looked down, seeking guidance and I motioned her to turn around. She did the eye-ball math, realized she'd be facing her augur, and hastily obeyed. Of course, her movement on the bed alerted Tad fi through mattress vibrations.Sikia was sitting on my face, leaning down so she could run her hands through Tad fi's hair and along her face and lips (and my phallus). I kept my hands pressed between our bodies. My right made the sojourn to my pubic area to play around and give them both something else to suck on, my fingers. My left loitered around between Sikia's breasts and her clitoris when my lips were otherwise occupied.I could cup her clit with my tongue in a U-shape, rubbing it along my taste buds. Most of my time was taken up with my tongue broad lashing her vulva or tightly-twisted and delving into her cunt and my nose pushing against her brown hole. I could tilt myself up so I could make tongue-intrusions into her back passage as well. The first time, she squealed.Before she could decide if she wanted to make me stop (she did, virtually all first timers always default to asking their partner to stop, so you have to distract them), Tad fi wanted to know what had brought her reaction on. Then came Sikia's troubled revelation of what I was doing, how the augur shouldn't suffer through it, despite the increasing pleasure she was receiving, only to finally be unable to supply the answer as to why Tad fi shouldn't experience it too.Sikia shot me a treasured look of bewilderment. I'd brought her to orgasm with my tongue alone. I was a guy after all."Switch?" I suggested. Tad fi was still administering one of the slowest, most considerate blowjobs I'd ever experienced. She wasn't rushing toward anything. Sure, she was unschooled, but was devoting her incredible sensitivities to my pleasure and taking pleasure in her ability to bring me to such excitement."Change places?" she mused. "Okay." Tad fi's lips slid off me with one final, loud 'pop', then she used her spider-like fingers to climb up my body while Sikia traveled south. She lavished butterfly kisses on my face ~ childish, yet so very appropriate between us ~ and I mirrored the gesture.With some reluctance, she mounted me, facing Sikia. My tongue flicking across her clit on its first exploration brought out a joyous gasp. It only got better from there.The Long Slide Into Domestic Life:"Twins?" Hana snuggled into my arms. We were at her place, naked in bed together after a late late-night unscheduled meeting with some VIPs. Despite the late/early hour, she was alert, tense even. It had been a mentally stimulating late night encounter which had brought me to her bed."Yes. That is what Tad fi predicted," I inserted between raining kisses down on her forehead. Hana liked non-distracting attention when she was in this kind of mood. She was exhausting herself mentally as she was building up to being amorous."Ana-Călina and rp d?" she worked over the names on her tongue. "They have a special meaning?""Only if you are Hungarian and Romanian," I teased her. She elbowed me slightly. " rp d was the semi-mystical pagan warlord who led the Ten Tribes who became known as the Hungarians ~ the Magyar peoples ~ into the Carpathian Basin, present day Hungary. Ana-Călina was born a Byzantine princess of the storied House of Basarab; she married Radu Negru, thus becoming the first Princess of a free Wallachia ~ the foundation for a free Romania. She was also the great-grandmother of Dracula.""So they are famous names with regional historical significance, did they live long, happy lives?"" Árpád, no one knows for sure. His kids were quarrelsome, but they did manage to found a dynasty at the start of the second millennia which ruled for three centuries.""Ana-Călina, yeah. I think so," I continued. "She lived into her seventies and her eldest son left his country stronger, richer and safer than when he received it. She did out live her husband by over fifty years, and got to see her youngest grandson bury most of his rivals, the kids from her husband's first marriage.""Ah, what?" Hana rose up until we were eye to eye. Since she was naked, her boobs swayed slightly as she did so. My eye flickered. "Eyes forward, Mister," she playfully barked. "What happened to all her other grandsons?""Wallachia in the 15th century was a tad rough and tumble," I evaded."They killed one another?""Mostly they were killed by conspiracies amongst their boyars, nobles of the time.""Why does, Tad fi want to dredge up these names again?" she kept eye contact."Not a clue," I pleaded."But you think it is important?""No. I think you are important. Screw Fate. It can name its own kids. We can chose whatever names make you happy, except 'Up'. Up's been taken.""You've named another of your offspring 'Up'? That's cruel, or does that mean something in another language I'm unaware of?" she shifted her shoulders so her boobs wobbled again. Of course, I broke eye contact. I hadn't had sex in hours and her boobies were right there, damn it!"Actually, Pamela and I named this secret agent in Hungary that, just to fuck with his head," I divulged."Oh. Pamela. I should have known," she slowly smiled. "You are being very well behaved," she added. Woot! She noticed I wasn't throwing her down and pawing her delectable flesh. "One more thing before the nookie.""Name them. Their dead," I pledged."Not necessary," her sigh turned into a giggle. "If I'm going to be having twins, I'm going to be rather big come late March. We need an earlier wedding date."Oh, fuck me!"What do you have in mind?" I tried to keep the creeping dread out of my voice."New Year's Day?" she suggested. I did a quick calculation. That was annihilating 78 days out of what remained of my bachelor life. In 114 days my life would cease having any meaning whatsoever. I'd be a Mr. to someone's Mrs. The end"Sure, I can arrange to be killed before then," stumbled out of my mouth."What was that?" Hana pouted."Nothing Dear. Cosmic psychic intersection with an Al -demon; don't know what came over me," I fibbed."Man up," Hana bit my nose. "Our marriage won't be that bad if we both work at it. It isn't like I'm demanding celibacy from you." Then she mouthed 'yet'."Wait. Did you mean celibacy, as in no fun at all, or monogamy, as in only 'happy time' with you?" I desperately sought clarification."Oh," she pursed her lips. "I meant monogamy. I didn't mean to scare you.""Oh, thank goodness," I sighed."Here," her gaze turned tender. "Let me make it up to you." Hana placed one hand on my shoulder and rose up my body until my face was gently nestled in her bosom. Then she wiggled back and forth, basically because I'm a big baby and easy to please. I was alternating which nipple I was kissing in no time."Mmm," she murmured. "I've missed you." Her other hand's fingernails coasted down my abdomen and found 'Mr. Happy' had risen to attention. Okay, he'd been hopping up and down on my groin since she'd said we were 'going to bed' 30 minutes ago. Hana decided wrap up my shaft with her hand, then applied a few tender strokes. I reciprocated by cupping her left tit in one hand, forming a mound with her areola at the center, and began to twirl from the outside inward to her hardened nipple with just the tip of my tongue.It was 4 a.m. Why was I taking it slow when I had my final work review with Katrina in three hours? Hana deserved this and more. Why was Hana doing it? She was her own boss, plus her life was careening wildly outside of anything she'd imagined before she'd first laid eyes on me. Half of the financial empire she shared with her father was suddenly in the hands of a military dictatorship, her beloved father was dealing with the murder of her hated step-brother and she was marrying a Prince in a European cathedral which required someone high in the Vatican's approval process to use.Yeah, her life had gone nuts. Worse, she loved me. And I wasn't the kind of man she ever thought she'd love. She'd thought she'd never love anyone again after her life with her asshole of an ex-husband and their bitter, contentious divorce. I was barely someone she could classify, and Hana was a terribly ordered and organized person. Saying my life was messy was being generous. I was some mysterious warrior-diplomat-playboy-aristocrat who hung out with people more bizarre than me.Hana picked up her tempo. I switched breasts. Her motor was really starting to hum. Any other night, I could have moved straight to revving her up to an orgasm. I had the time to make it two without any problems. A good one and Hana would be happy and drift off to sleep. Instead, I intuited she wanted more, so we developed our own game of cat and mouse with her climax, and its suspension, being our ultimate goal.My left hand danced down the back of her ribcage like playing keys on a piano. It was a light, teasing gesture. Her hair the color of tarnished gold cascaded down as she began placing her own kisses upon my crown. Each move by one partner evoked a response by the other. Hana ran my glans over her glistening labia, getting it nice and slick. I worked down her waist, cupped her ass, and then glided over her thigh to the back of her knee where I started tickling her. She snickered."You are distracting me," she murmured. I wasn't. I knew these things."I like to get the feel of every inch of your flesh," I responded. More mirthful noises from her. Slowly, her gooey vestibule rubbed against and over the top, until I felt myself entering. There, she hesitated. I propelled my hips an inch up, twisted right then left before falling back down, a micro-fuck."Ah," she emoted her approval. "My turn." Hana's knees spread to the side, making a memorable sound on the silk sheets as she impaled herself. This time she rolled her hips forward, back, then did a slow 360 with me inside her, letting the slow progress over her spark memories for her to savor. "I never believed sex could be like this," Hana hiccupped."How so?" I knew the answer, but wanted her to put her chaotic passions to words. It would make her happier."Experimenting, silly. Stopping in the middle and doing, this," she reversed her hip rotations this time. "I never imagined a lover having such patience, or,""Yourself as being so openly sexually adventurous?" I finished."Yeah," she huffed. "I really, really owe your college professor, plus you and all your diligence, for this," at the last moment, she encountered the gateway to her G-spot. I knew precisely where that gem was. Previously, Hana had gained a vague idea where it was from the perspective of masturbation and our prior lovemaking. Now I had let Hana rediscover that joy with my cock as her tool to utilize as she wished."You realize pregnant women want even more sex," she hummed. She was vigorously working my cock now. Hana had bridged a huge gap, sexually. Normally, a woman of Hana's quality tried to please her man first with the hope her orgasm would soon follow. I was different. My greatest sexual gratification came from her ecstasy. She was confident in that now. By bringing herself to climax, she was making me excited for what would come next."That's okay," I propped myself up on one elbow now that Hana was riding me cowgirl-style. "I dig big chicks." The open-palm slap to the chest was a given."Hercege, you, you are horrible," she growled around a feral smile. The lip-biting, tongue-sucking kiss was equally vicious, primal and leading Hana to the end of her tether. Not only was Hana's sexual trust in me/us expanding, she was putting extra effort into her physical workout regime too. She might still have a ways to go to compete with an Amazon, but it was still going to be a great night."Hercegn , I am nothing but a twisted shadow of masculine lust whose every contour is cast by your muliebrous glow," I teased. Her eyes twinkled. Yes, definitely still going to be a great night."Okay," Hana yawned, "I give up. What does 'muliebrous' mean?" She'd been holding on to that for an hour and a half. It was five-thirty and I was dressing in my biking clothes before heading into work."From the Latin 'muliebri' which means 'womanly'," I answered. Her sleepy eyes drank in both my response and my physique. I had discovered another thing Hana liked and that was to expand her academic/linguistic frontiers. She was enchanted with the idea that I liked to engage her mind along with her body, sparking on all cylinders.She'd crawled over to my side of the bed, her head resting on my pillow, soaking up my scent as she watched me. I knelt down, kissed her on her ear, cheek and finally the side of her lips. Hana was beat."Have a good day and be careful," she mumbled. Her eyes closed. Her chest rose with one last, waking breath before her sleep rhythms took her."Ditto," I whispered. I snuck into Annela's room and planted a kiss on her head as well. The craziness of my life had a way of cascading over to the ones I loved. Loved? Oh boy,7:00 am Monday, September 8th, Graduation Day!Brielle and her buddy were humming along as the elevator doors closed. Once more, my 'hellish' schedule demanded I change in the elevator. I'd gone to gun practice with my bike clothes on, so I absolutely had to change into business attire in the magic box, in front of them.Juanita adjusting my tie was a less than subtle attempt to strangle me. I was about to be late to my final 'start of day' meeting as an intern in Executive Services, so her chastisement would have to wait. Who would have thunk it? Juanita would have to wait outside for this ceremony. Paula raced with me to be the last one in, only to have Daphne grace us with the 'news':"The meeting won't start for another fifteen minutes," she grinned. "Katrina is bringing up the 'new hires' for the fall program."I finger-flicked my head. The 84 days as an intern was merely the 'training wheels' period. To really be a member of ES was at least a two year training process. The Amazons around me had started their training for this gig when they were fifteen and were eighteen and nineteen now, their ID's said they were older for legal purposes.In theory, my four years in college was counted as 'preliminary' training and provided things such as acclimation to outsider culture ~ aka 'acting normal'. Logically, I would train under someone like Desiree or Buffy for a year before being a full-fledged member of the service."How many this time?" I asked Daphne since she seemed to be in the know."Twenty," she grinned. "We are getting two."I noticed there was still only my tiny desk in Katrina's office. That meant the new guys would be out in the office pool with everyone else. Probably for the best. The ladies were now used to having a male around, so would be careful in what they did and didn't say. I yawned."Tired," Fabiola smirked."Oh yeah," I stifled another yawn. "Met an emissary from the Pope." Fabiola glowered. "No. Seriously. I met an emissary from Holy See. I let Hana know I wanted to get married in a highly improbable place, a ruined cathedral, so she contacted the Catholic Church and one of their guys wanted to meet with me.""That had to be fun," Tigger grinned. "What does the Cult of the Nazarene think of you and the Goddess Ishara?""We actually discussed polytheism and the place of an omnipotent, omnipresent being in the scope of things," I placed my hands behind my back and rocked back and forth. "It was quite interesting. The guy knew his shit."By that, I meant he was probably with the Pope's Secret Service as well as a Brainiac with a PhD in something. He'd promised to be in touch as soon as he heard back from his superiors. He had this hot chick with him who I suspected was a nun. And if his driver wasn't ex-military, it was because he was still in the service. On the plus side, Hana had been beaming when we left, which assured me the meeting had gone well, so we had sex from 4 AM until 5:30, thus my current fatigued state."Are you going to abandon your faith?" Fabiola taunted me."I don't have faith, Fabiola of Minerva. Faith would imply I don't know there are supernatural entities screwing with our lives. I know they do exist, I've met a few. To satisfy your disingenuous curiosity, we discussed the nature of the Weave and it being the possible manifestation of God's Will.""How did that go?" Paula appeared interested."He strongly suggested I should 'revisit my Catholic roots' soon. By that, I think he meant I'm supposed to start attending church regularly," I shrugged. "The Pope is sending an envoy to the Great Khan too, so odds are good I'm getting married," I pronounced the last bit as the doom-laden prediction it was."Oh, yes," Fabiola reached passed Paula and smacked me in the chest with the back of her hand. "That is for insinuating you and I had intercourse to my Mother and the Council.""Was that chastising me for lying, or for not making it so?" I winked."Ah, no!" she pouted. "Stop lying about me."I looked down at my phone."We've got twelve minutes," I double-pumped my eyebrows. "Want to go to Katrina's bathroom?""What! No!" Fabiola
Tavi Costa believes credit is “starting to deteriorate” and is looking at credit spreads to play that idea. He considers immigration changes as a bigger economic impact than Trump's tariffs. He thinks the administration is trying to devalue the dollar and bring interest rates down. Tavi also thinks gold could go up “10 times” from its current level.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about
Send us a textNesse episódio nosso Host Luís Carvalho recebe o convidado Wersley Araújo Silva para falar tudo sobre TAVI: indicações, contraindicações, acessos, complicações, passo a passo do procedimento e estratégia de antiagregação/anticoagulação após. É só apertar o play e conferir esse episódio imperdível!Convidado: Wersley Araújo SilvaCardiologista Clínico e Intervencionista pelo Instituto Dante Pazzanese de Cardiologia --Sócio Titular da SBC e SBHCI Presidente da SBC Regional Sergipe no biênio 2024-2025 Certificado no Implante Transcateter da Valva Aórtica (TAVI) pela SBHCI Cardiologista Clínico e Intervencionista do Hospital São Lucas/Rede D'or, da Rede Primavera e da Clínica AngioCor.
In this episode, Dr. Valentin Fuster summarizes the March 11, 2025 issue of the JACC, which features groundbreaking research on transcatheter aortic valve replacement (TAVR) and its expanding applications. The podcast delves into the latest studies on TAVR's impact on heart failure patients, the need for better patient selection, and how new findings are shaping the future of aortic stenosis treatment.
The US dollar has been very strong for several years now. Among other implications, capital from the rest of the world has flooded into US stocks as a result.Today's guest predicts that for many reasons, especially America's need to get bond yields lower in order to make its debt more serviceable, the dollar will fall materially over the coming year.If that happens, it will likely be unfavorable for US stocks, but add a tailwind to other assets, some trading at attractive discounts todaySo where do the best opportunities lie for investors?To find out, we turn to macro and commodities expert Tavi Costa of Crescat Capital.TIME'S RUNNING OUT! BUY YOUR TICKET AT THE EARLY BIRD PRICE FOR OUR MARCH 15 CONFERENCE at https://thoughtfulmoney.com/conference
Tavi Costa from Crescat Capital gives us a macroeconomic outlook and gold, silver, the miners, and artificial intelligence are all looking pretty good. Again. no financial advice is offered. However Tavi is one of the leading researchers and macroeconomists out there. Come see what Tavi Costa had to say.
Darshan H. Brahmbhatt, Podcast Editor of JACC: Advances, discusses a recently published original research paper on Multiorgan Dysfunction and its Association With Congestion and Outcome in Aortic Stenosis Treated With TAVI
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by Dr Anvesha Singh from the University of Leicester. They discuss her paper on trends in SAVR and TAVI for aortic stenosis over the last two decades and whether outcomes have changed across various sociodemographic groups. If you enjoy the show, please leave us a podcast review wherever you get your podcast - it's very helpful to us! Link to published paper: https://heart.bmj.com/content/early/2024/11/27/heartjnl-2024-324918?rss=1
The POPular PAUSE TAVI trial investigated whether continuing or interrupting oral anticoagulation during transcatheter aortic valve implantation (TAVI) affected clinical outcomes. The randomized, open-label, noninferiority study included 858 patients and assessed a composite primary outcome of cardiovascular death, stroke, myocardial infarction, major vascular complications, or major bleeding at 30 days. The trial found that continuation was not noninferior to interruption, with higher bleeding risk but no significant difference in thromboembolic events, supporting interruption of anticoagulation in high-bleeding-risk TAVI patients.
The TCW Trial compared TAVI + FFR-guided PCI versus SAVR + CABG in patients with severe aortic stenosis and complex coronary artery disease. This multicenter, randomized controlled trial included 172 patients aged ≥70 years. At 1 year, the primary composite endpoint (death, MI, stroke, revascularization, valve reintervention, or major bleeding) was significantly lower in the TAVI + PCI group (4%) compared to SAVR + CABG (23%), meeting both noninferiority and superiority criteria. The study suggests TAVI + PCI as a safer, less invasive alternative with reduced mortality and bleeding risks in selected patients.
Commentary by Dr. Jian'an Wang
This medical and educational podcast was supported by Edwards Lifesciences and is intended for healthcare professionals. In this final episode, we learn about how Interventional Cardiologist can play a key role in improving the referral pathway of TAVI patients Moderator Jonathan Sackier - EMJ Speakers: Derk Frank – Interventional Cardiologist, Professor of internal medicine, critical care, and cardiology and Director of the Department for Internal Medicine III (Cardiology, Angiology and Intensive Care Medicine,) at the University Hospital Schleswig-Holstein in Kiel, Germany and the German Centre for Cardiovascular Research Sagar Doshi – Consultant Interventional Cardiologist and Director of the Transcatheter Aortic Valve Implantation (TAVI) programme at the Queen Elizabeth Hospital Birmingham. and Professor of Cardiology Honorary Associate Clinical Professor at the University of Birmingham, and an Honorary Professor at University College Birmingham, in the UK.
Featuring articles on heart failure and obesity, oral anticoagulation during TAVI, hemophilia A, hereditary angioedema, and tuberculosis; a review article on sport-related concussion; a case report of a man with syncope, ankle swelling, and abnormal chest imaging; and Perspectives on e-cigarettes at the Supreme Court, on providing interstate telehealth abortion services to patients in restrictive states, on listening to TikTok, and on what is the relative value of a baby.
Dólar vai a US$ 6,03 à espera de Trump. Prepare-se para a segunda metade do dia sabendo de tudo que mexeu com o mercado nas primeiras horas do pregão. Informação e análise com Roberto Motta e participação de Tavi Costa. O Resumo da Manhã é transmitido de segunda a sexta, às 13h. Ative as notificações do programa e acompanhe ao vivo!
ACCESS TAVI: Randomized Comparison of Strategies for Vascular Access Closure After Transcatheter Aortic Valve Implantation
Host: Tracy Shuchart for MicDropMarketsGuests: Tavi CostaTavi is a Member and Macro Strategist at Crescat Capital and has been with the firm since 2013. He is responsible for developing Crescat's macro models as part of our thematic investment process. His research has been featured in financial publications such as Bloomberg, The Wall Street Journal, Reuters, Yahoo Finance, Real Vision, and others.Before joining Crescat, he worked with the underwriting of financial products and in international business at Braservice, a large logistics company in Brazil. Tavi graduated cum laude from Lindenwood University in St. Louis with a B.A. degree in Business Administration with an emphasis in FinanceJennifer ShaigecJennifer began her professional career in 1998 as an analyst on TC Energy's Calgary trading floor. After taking a hiatus to focus on raising her three children, she returned to the workforce and established herself as a successful junior mining stock speculator. Jennifer serves as the Principal of Sandpiper Trading, a family fund focused exclusively on small-cap resource equities that has consistently generated impressive returns since its inception.A regular contributor to media platforms like CommonStock, Jennifer's expertise and engaging style have made her a sought-after moderator for industry executives on X spaces.Leveraging her extensive social media reach, Jennifer raises awareness about critical issues such as supply chain challenges and declining enrollment in post-secondary extractive industry programs. Her commitment to these causes highlights her dedication to the sustainable development and future of the natural resource sector.Disclaimer: This material is presented solely for informational and entertainment purposes and is not to be construed as a recommendation, solicitation, or an offer to buy or sell / long or short any securities, commodities, or any related financial instruments. Please contact a licensed professional before making any investment or trading decisions
In this episode, Dr. Valentin Fuster discusses the five-year results of the SOFT TAVI trial, which compared self-expanding and balloon-expanding valves for transcatheter aortic valve replacement (TAVR) in patients with severe aortic stenosis. The findings reveal similar long-term outcomes for both valve types and anesthesia strategies, with subtle differences in stroke rates and pacemaker implantations, emphasizing the growing safety and efficacy of conscious sedation in TAVR procedures.
En este episodio tenemos de invitado a Don Tavi en donde nos cuenta historias chidas, anécdotas del mundo musical y consejos para quienes quieren adentrarse en la creación de contenido o en la escena del urbano. ¡Dale play y acompáñanos en este episodio! VagandoIG: / vagandopodcast X: / vagandopodcast FB: / vagandopodcast TikTok: / vagandopodcast The Basement https://www.instagram.com/basement.li... Búfalo Azul https://www.instagram.com/buffalo_azu...
In this December Ask the Expert episode, Craig Hemke is joined by Tavi Costa, Portfolio Manager at Crescat Capital, to discuss critical trends shaping the gold and silver markets as 2024 comes to a close. Tavi shares expert insights into the challenges of an unsound monetary system, rising market volatility, and the role of precious metals as safe-haven assets. He also breaks down supply and demand dynamics, predictions for gold and silver in 2025, and key strategies to protect and grow your wealth during uncertain times. 00:00 - Introduction 02:25 - The Dollar's Future and Macro Trends 2025 11:45 - Insights on the Mining Sector and Natural Resources 21:45 - Closing ✅ Shop Gold and Silver in the USA - https://shorturl.at/ptzWX ✅ Shop Gold and Silver in Canada - https://shorturl.at/htyKN
In this week's Parallax, Dr Ankur Kalra welcomes back Dr Sukhjinder Nijjer for their much-anticipated annual review of advancements in cardiovascular medicine that defined the year 2024. Dr Nijjer, a Consultant Cardiologist in the UK, serves as the President of the Royal Society of Medicine and is an Honorary Senior Clinical Lecturer at Imperial College London. This episode explores emerging trends in the treatment of valvular heart disease, focussing on TAVI procedures and transcatheter interventions. It also covers recent advancements in pharmacological management for cardiovascular conditions. Drs Kalra and Nijjer share their perspectives and experiences, offering valuable insights, practical tips and considerations when interpreting this year's most impactful trials: EARLY TAVR RESHAPE 2 MATTERHORN TRILUMINATE TOPSPIN FINEARTS-HF What are the most impactful cardiovascular trials of 2024? How do Dr Kalra and Dr Nijjer integrate the latest information into their daily practices?
Welcome to The KE Report Weekend Show. This weekend we focus on the junior resource market with a fund manager and newsletter writer outlining...
Welcome to The KE Report Weekend Show. This weekend we focus on the junior resource market with a fund manager and newsletter writer outlining the opportunities they see, recapping recent news and discussing the overall sentiment for the sector. We hope you all enjoy this weekend's show! Please keep in touch with us through email. Our email addresses are Fleck@kereport.com and Shad@kereport.com. Segment 1 and 2 - Tavi Costa, Partner at Crescat Capital kicks off the show discussing the investment environment for exploration stocks and the opportunities in acquiring producing assets. As more focus is being shifted to producing assets we outline the red and green flags to look for. Click here to visit the Crescat Capital website. Segment 3 and 4 - Brian Leni, Editor of the Junior Stock Review, wraps up the show by recapping a trip to Japan to visit Irving Resources (CSE:IRV), and discussing recent news out of Montague Gold (TSX.V:MAU) and FPX Nickel (TSX.V:FPX). Click here to visit the Junior Stock Review website to keep up to date on what Brian is investing in.
O que preciso avaliar antes da TAVI? by Cardiopapers
Today, we're delving into transcatheter aortic valve implantation, commonly referred to as TAVI. Specifically, we'll be exploring the nuances of treatment for female patients with aortic stenosis and the pivotal role valve choice plays in their health outcomes.This podcast is made possible by Medtronic. However, the views expressed here are not necessarily those of Medtronic.To delve deeper into this topic, the interview will be conducted by cardiologist Doctor Camilla Wainwright from St Vincent's Private Hospital. And to discuss the latest data and its implications for female patients with aortic stenosis, we're joined by interventional cardiologist Doctor David Roy from St Vincent's Hospital.
POPular PAUSE TAVI – Continuation or Interruption of Oral Anticoagulation During TAVI?
In this episode of the Heart podcast, Digital Media Editor, Professor James Rudd, is joined by cardiac surgeon Professor Marjan Jahangiri from St George's Hospital, London. They discuss how to manage this condition and how and why TAVI might be used. If you enjoy the show, please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2 or wherever you get your podcasts - it's really helpful. Link to published paper: https://heart.bmj.com/content/110/22/1291
Quando a TAVI não é a solução? by Cardiopapers
“Oil looks even more attractive than gold right now” says portfolio manager Tavi Costa of Crescat Capital. Tavi Costa shares that even though he expects gold over $2900/oz and silver touching over $40/oz before year-end 2024, he is even more bullish oil and possibly other non-precious metals. A year from now, Tavi sees inflation running significantly higher while the Federal Reserve refuses to rate interest rates. When this happens, metals and commodity prices will run higher, he anticipates. Tavi also reveals Crescat's approach to portfolio allocation in the mining sector. Tavi is a Member and Portfolio Manager at Crescat Capital and has been with the firm since 2013. He is responsible for developing Crescat's macro models as part of our thematic investment process. His research has been featured in financial publications such as Bloomberg, The Wall Street Journal, Reuters, Yahoo Finance, Real Vision, and others. Tavi is a native of São Paulo, Brazil and is fluent in Portuguese, Spanish, and English. Before joining Crescat, he worked with the underwriting of financial products and in international business at Braservice, a large logistics company in Brazil. Tavi graduated cum laude from Lindenwood University in St. Louis with a B.A. degree in Business Administration with an emphasis in Finance and a minor in Spanish. Tavi played NCAA Division 1 tennis for Liberty University. 0:00 Introduction 1:01 US Interest Payments 4:18 Foreign ownership of US Debt 9:59 CBDCs role in the future 17:45 Mieli Effect? 24:46 Is Brazil the next economy to truly emerge? 27:15 Tensions in the Middle East 28:44 Silver 29:54 Oil is more attractive than gold now 31:15 AI potentially fixes USA debt problem 34:46 Inflation vs Metal Prices 41:13 Crescat Portfolio Allocation 48:44 Gold Price above US$2900/oz? 49:09 Silver Price above US$40/oz? 50:38 Crescat's Live Market Call Crescat Capital: https://www.crescat.net/ Tavi's Twitter: https://twitter.com/TaviCosta Sign up for our free newsletter and receive interview transcripts, stock profiles and investment ideas: http://eepurl.com/cHxJ39 Mining Stock Education (MSE) offers informational content based on available data but it does not constitute investment, tax, or legal advice. It may not be appropriate for all situations or objectives. Readers and listeners should seek professional advice, make independent investigations and assessments before investing. MSE does not guarantee the accuracy or completeness of its content and should not be solely relied upon for investment decisions. MSE and its owner may hold financial interests in the companies discussed and can trade such securities without notice. If you buy stock in a company featured on MSE, for your own protection, you should assume that it is MSE's owner personally selling you that stock. MSE is biased towards its advertising sponsors which make this platform possible. MSE is not liable for representations, warranties, or omissions in its content. By accessing MSE content, users agree that MSE and its affiliates bear no liability related to the information provided or the investment decisions you make. Full disclaimer: https://www.miningstockeducation.com/disclaimer/
This week Ione and Gina are joined for an extra special long episode with writer, actor, producer and all round internet legend Tavi Gevinson! The three centre their conversation around class differences in the dying days of influencer culture, the changing face of fandom, and the performance of life online. Tavi's newest project, the Audible Original series Glimpses Of The Moon, an adaptation of the 1922 Edith Wharton novel of the same name, is available to listen to now. Support our work and become a Polyester Podcast member
Tom welcomes back Tavi Costa, Portfolio Manager at Crescat Capital, for an enlightening conversation about the gold industry and commodity space. Costa expresses his views on the current market landscape, suggesting that the Federal Reserve's rate cuts could signal a structural bear market for the US dollar, with significant consequences for inflation, gold, and emerging market stocks. He also explores the potential labor market weakness and its possible link to an impending recession, emphasizing the significance of investing in industries with compelling growth prospects. Costa delves into the subject of gold and silver markets, debating the importance of focusing on percentage gains versus supply and demand factors. He points out the long-term underperformance of the mining industry relative to gold due to a dearth of new discoveries, delayed capital flows from larger miners to smaller ones, and the general reluctance to invest in this sector. Despite these hurdles, Tavi remains hopeful about the future of the mining industry, viewing it as a promising venture rather than a mere gamble. He stress the value of acquiring expertise, focusing on scalability, and keeping abreast of market developments. When it comes to assessing miners, explorers, and developers, Tavi advocates for zeroing in on successful ventures and overlooked assets for potential value creation. Costa voices his concerns about analysts' inconsistent forecasts, particularly with respect to gold prices and future earnings, regarding this disparity as a lucrative opportunity for savvy investors. He also delves into the role of royalty companies in the mining industry and their influence on various sectors. Tavi stress the significance of recognizing incentives and their impact on industry dynamics. Lastly, they explores the substantial decline in mining investment and the repercussions of government funding and Chinese competition in securing mining assets. Tavi expresses enthusiasm for the prospective rewards in the mining sector. Time Stamp References:0:00 - Introductions0:55 - Market Turning Point4:23 - Weak Dollar Outlook11:04 - Labor & Job Numbers15:34 - Inflation & Commodities22:00 - 2024 P.M. Performance29:33 - Gold Vs. Miners35:03 - Investment or Speculation39:33 - Analyzing Mine Sector48:36 - Royalty Plays?51:53 - Shift to Resources59:06 - Strategic Metals1:07:28 - Capital Necessities1:10:16 - Chinese Investment1:12:36 - Vision & Success1:14:12 - Wrap Up Guest Links:X: https://x.com/tavicostaX: https://x.com/crescat_capitalWebsite: https://crescat.net Talking Points From This Episode Tavi Costa predicts a US dollar bear market due to Fed rate cuts, impacting gold, inflation, and emerging markets. Tavi emphasizes expertise, scalability, and market knowledge for success in mining industry. Tavi Costa sees potential in overlooked mining assets, despite challenges like analyst uncertainty and declining capital investment. Otavio ("Tavi") Costa is a Member and Portfolio Manager at Crescat Capital and has been with the firm since 2013. He built Crescat's macro model that identifies the current stage of the U.S. economic cycle through a combination of 16 factors. His research is regularly featured in financial publications such as Bloomberg, The Wall Street Journal, CCN, Financial Post, The Globe and Mail, Real Vision, and Reuters. Tavi is a native of São Paulo, Brazil, and fluent in Portuguese, Spanish, and English. Before joining Crescat, he worked with the underwriting of financial products and international business at Braservice, a large logistics company in Brazil. Tavi graduated cum laude from Lindenwood University in St. Louis with a B.A. degree in Business Administration with an emphasis in Finance and a minor in Spanish. Tavi played NCAA Division 1 tennis for Liberty University.
Today we are discussing transcatheter aortic valve implantation, also known as TAVI. TAVI that has become pivotal in the cardiology space since its introduction in 2002, and today we'll compare TAVI to surgical aortic valve replacement. We'll also discuss the importance of shared decision making. This podcast is sponsored by Medtronic. The views expressed in this podcast are not necessarily those of Medtronic. To learn more, we are joined by consultant cardiologists Dr Jason Sharp & Dr Dennis Wang from the Sydney Adventist Hospital to discuss some key updates in the TAVI space.
Quando indicar a TAVI? by Cardiopapers
Crescat Capital Macro Strategist Tavi Costa explains how rising U.S. interest payments and unchecked fiscal spending have trapped the Federal Reserve, forcing last week's aggressive rate cut that could reignite inflation and weaken the U.S. dollar. As recession risks grow and equity markets hit peak valuations, he joins James Connor to unpack why commodities like oil and gold are poised to thrive, offering critical insights into the economic challenges and opportunities ahead. Investment Concerns? Get a free portfolio review with Wealthion's endorsed financial advisors at https://www.wealthion.com/free Hard Assets Alliance - The Best Way to Invest in Gold and Silver - https://www.hardassetsalliance.com/?aff=WTH This interview is sponsored by BetterHelp. Give online therapy a try at https://www.betterhelp.com/Wealthion and get on your way to being your best self. Chapters: 01:01 - The Fed's Conundrum: Debt and Interest Payments vs. Inflation 06:20 - Inflation, Stagflation & Fiscal Spending 10:07 - Yield Curve Inversions and Recession Signals 13:07 - Is The US Economy In Recession? 16:52 - Is the Fed Seeing Something Worse? 22:32 - U.S. Equity Markets vs. Emerging Markets & Commodities 30:20 - Tavi's Bullish Case for Oil 39:50 - Tavi's Bullish Case for Gold and Gold Miners 48:06 - Weaker USD, Higher Gold? Connect with us online: Website: https://www.wealthion.com X: https://www.x.com/wealthion Instagram: https://www.instagram.com/wealthionofficial/ LinkedIn: https://www.linkedin.com/company/wealthion/ #Fed #FederalReserve #Inflation #USDebt #Commodities #Gold #Oil #MacroEconomics #InterestRates #Recession #TaviCosta #Wealthion #Wealth #Finance #Economy #Macro Learn more about your ad choices. Visit megaphone.fm/adchoices
IN THE PAST, Roscoe & Tavi meet each other on the Kalalani Island chain. Silvertongues is produced by Acorn Arts & Entertainment. Written by Michael Alan Herman & Josie Eli Herman. Directed by Josie Eli Herman. Associate producer Christopher Nelson. Original scoring by Jesse Haugen. Please check out his website: https://www.jessehaugen.com/ Featuring music by TrackTribe. “Island Wave” @TrackTribe If you enjoyed our show and thought it was worth the price of a cup of coffee, please throw us a buck at: https://www.acornartsandentertainment.com/silvertongues or join our Patreon at: https://www.patreon.com/acornartsandentertainment/ This episode stars (in order of appearance) Will Myers as Seth Budarocci Dan Johnson as Roscoe Talbott Sabrina Dahlgren as Tavi Jones Reach out to us: Email: acornartsandentertainment@gmail.com Instagram: https://www.instagram.com/silvertonguespodcast/ Facebook: https://www.facebook.com/silvertonguesthepodcast/ Threads: https://www.threads.net/@silvertonguespodcast X.com: https://twitter.com/silvertonguesp
4th ESC 2024: PAUSE TAVI Trial
In the sixth episode of SILVERTONGUES, Roscoe and Tavi squad up with rebels of Kalalani to break Kai's hold on the island. Silvertongues is produced by Acorn Arts & Entertainment. Written by Michael Alan Herman & Josie Eli Herman. Directed by Josie Eli Herman. Associate producer Christopher Nelson. Original scoring by Jesse Haugen. Please check out his website: https://www.jessehaugen.com/ Featuring music by Scott Buckley. 'Hiraeth' by Scott Buckley - released under CC-BY 4.0. www.scottbuckley.com.au Featuring music by Fuzzeke. 'Plan A' by Fuzzeke Featuring music by Tunetank. 'Flying in the Clouds' by Tunetank If you enjoyed our show and thought it was worth the price of a cup of coffee, please throw us a buck at: https://www.acornartsandentertainment.com/silvertongues or join our Patreon at: https://www.patreon.com/acornartsandentertainment/ This episode stars (in order of appearance) Will Myers as Seth Budarocci Michael Alan Herman as Kai and Darcy Savannah Jordan as Rebeccah the Radio Intern Dan Johnson as Roscoe Talbott Sabrina Dahlgren as Tavi Jones Callie Bussell as Anika Perry Collin Wojcik as The Gas Station Clerk Annie Dilworth as Fargo Kaminski Josie Eli Herman as Tasch Dale Dobson as the Pilates Team Leader Jalen Wilson-Nelem as Officer Lennon Daniel Santillana as Elio Perry Reach out to us: Email: acornartsandentertainment@gmail.com Instagram: https://www.instagram.com/silvertonguespodcast/ Facebook: https://www.facebook.com/silvertonguesthepodcast/ Threads: https://www.threads.net/@silvertonguespodcast X.com: https://twitter.com/silvertonguesp
IN THE PAST, Roscoe & Tavi contemplate their next steps after their visit to Kai's resort. Silvertongues is produced by Acorn Arts & Entertainment. Written by Michael Alan Herman & Josie Eli Herman. Directed by Josie Eli Herman. Associate producer Christopher Nelson. Original scoring by Jesse Haugen. Please check out his website: https://www.jessehaugen.com/ Featuring music by Scott Buckley. 'Shadow and Dust”' by Scott Buckley - released under CC-BY 4.0. www.scottbuckley.com.au 'Filaments”' by Scott Buckley - released under CC-BY 4.0. www.scottbuckley.com.au “Nameless” by Fuzzeke - copyright free music If you enjoyed our show and thought it was worth the price of a cup of coffee, please throw us a buck at: https://www.acornartsandentertainment.com/silvertongues or join our Patreon at: https://www.patreon.com/acornartsandentertainment/ This episode stars (in order of appearance) Dan Johnson as Roscoe Talbott Sabrina Dahlgren as Tavi Jones Michael Alan Herman as Kai Reach out to us: Email: acornartsandentertainment@gmail.com Instagram: https://www.instagram.com/silvertonguespodcast/ Facebook: https://www.facebook.com/silvertonguesthepodcast/ Threads: https://www.threads.net/@silvertonguespodcast X.com: https://twitter.com/silvertonguesp
On this weeks Huddle +, Patrick welcomes back to the show, Tavi Costa. Tavi gives us an update on precious metals, mining, his thoughts on the economy, and the impact of the AI boom. Check out ‘Crescat Capital': www.crescat.net Follow Tavi on X: https://www.x.com/tavicosta *Got questions for Kevin and Patrick? Submit your questions to: nostupidquestions@markethuddle.com Visit our merch store!!! https://www.themarkethuddlemerch.com/ To receive our emails with the charts and links each week, please register at: https://markethuddle.com/
An Impella update, another TAVI vs SAVR trial, two studies on angina and PCI, another null substudy from REVIVED-BCIS, and semaglutide are the topics John Mandrola, MD, covers in this week's podcast. This podcast is intended for healthcare professionals only. To read a partial transcript or to comment, visit: https://www.medscape.com/twic I. Impella Update CHRIP BCIS 3 https://classic.clinicaltrials.gov/ct2/show/NCT05003817 Danger-Shock Podcast https://www.medscape.com/viewarticle/1000675 II. TAVI vs SAVR Notion 2 Trial EHJ https://doi.org/10.1093/eurheartj/ehae331 DEDICATE-DZHK6 III. Angina and PCI Orbita 2 Sub-analysis Orbita Star https://www.jacc.org/doi/10.1016/j.jacc.2024.04.001 IV. Complete Revascularization Main REVIVED trial https://www.nejm.org/doi/full/10.1056/NEJMoa2206606 JACC Substudy https://www.jacc.org/doi/10.1016/j.jacc.2024.04.043 V. Semaglutide Semaglutide CV Benefits Irrespective of Weight Loss: 4-Year SELECT Data https://www.medscape.com/viewarticle/semaglutide-cv-benefits-irrespective-weight-loss-4-year-2024a100095z Nature Med substudy https://www.nature.com/articles/s41591-024-02996-7 SELECT Main paper https://www.nejm.org/doi/full/10.1056/NEJMoa2307563 You may also like: The Bob Harrington Show with the Stephen and Suzanne Weiss Dean of Weill Cornell Medicine, Robert A. Harrington, MD. https://www.medscape.com/author/bob-harrington Questions or feedback, please contact news@medscape.net