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Listen to ASCO's JCO Oncology Practice, Art of Oncology Practice article, "An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last” by Dr. David Johnson, who is a clinical oncologist at University of Texas Southwestern Medical School. The article is followed by an interview with Johnson and host Dr. Mikkael Sekeres. Through humor and irony, Johnson critiques how overspecialization and poor presentation practices have eroded what was once internal medicine's premier educational forum. Transcript Narrator: An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last, by David H. Johnson, MD, MACP, FASCO   Over the past five decades, I have attended hundreds of medical conferences—some insightful and illuminating, others tedious and forgettable. Among these countless gatherings, Medical Grand Rounds (MGRs) has always held a special place. Originally conceived as a forum for discussing complex clinical cases, emerging research, and best practices in patient care, MGRs served as a unifying platform for clinicians across all specialties, along with medical students, residents, and other health care professionals. Expert speakers—whether esteemed faculty or distinguished guests—would discuss challenging cases, using them as a springboard to explore the latest advances in diagnosis and treatment. During my early years as a medical student, resident, and junior faculty member, Grand Rounds consistently attracted large, engaged audiences. However, as medicine became increasingly subspecialized, attendance began to wane. Lectures grew more technically intricate, often straying from broad clinical relevance. The patient-centered discussions that once brought together diverse medical professionals gradually gave way to hyperspecialized presentations. Subspecialists, once eager to share their insights with the wider medical community, increasingly withdrew to their own specialty-specific conferences, further fragmenting the exchange of knowledge across disciplines. As a former Chair of Internal Medicine and a veteran of numerous MGRs, I observed firsthand how these sessions shifted from dynamic educational exchanges to highly specialized, often impenetrable discussions. One of the most striking trends in recent years has been the decline in presentation quality at MGR—even among local and visiting world-renowned experts. While these speakers are often brilliant clinicians and investigators, they can also be remarkably poor lecturers, delivering some of the most uninspiring talks I have encountered. Their presentations are so consistently lackluster that one might suspect an underlying strategy at play—an unspoken method to ensure that they are never invited back. Having observed this pattern repeatedly, I am convinced that these speakers must be adhering to a set of unwritten rules to avoid future MGR presentations. To assist those unfamiliar with this apparent strategy, I have distilled the key principles that, when followed correctly, all but guarantee that a presenter will not be asked to give another MGR lecture—thus sparing them the burden of preparing one in the future. Drawing on my experience as an oncologist, I illustrate these principles using an oncology-based example although I suspect similar rules apply across other subspecialties. It will be up to my colleagues in cardiology, endocrinology, rheumatology, and beyond to identify and document their own versions—tasks for which I claim no expertise. What follows are the seven “Rules for Presenting a Bad Medical Oncology Medical Grand Rounds.” 1.  Microscopic Mayhem: Always begin with an excruciatingly detailed breakdown of the tumor's histology and molecular markers, emphasizing how these have evolved over the years (eg, PAP v prostate-specific antigen)—except, of course, when they have not (eg, estrogen receptor, progesterone receptor, etc). These nuances, while of limited relevance to general internists or most subspecialists (aside from oncologists), are guaranteed to induce eye-glazing boredom and quiet despair among your audience. 2. TNM Torture: Next, cover every nuance of the newest staging system … this is always a real crowd pleaser. For illustrative purposes, show a TNM chart in the smallest possible font. It is particularly helpful if you provide a lengthy review of previous versions of the staging system and painstakingly cover each and every change in the system. Importantly, this activity will allow you to disavow the relevance of all previous literature studies to which you will subsequently refer during the course of your presentation … to wit—“these data are based on the OLD staging system and therefore may not pertain …” This phrase is pure gold—use it often if you can. NB: You will know you have “captured” your audience if you observe audience members “shifting in their seats” … it occurs almost every time … but if you have failed to “move” the audience … by all means, continue reading … there is more! 3. Mechanism of Action Meltdown: Discuss in detail every drug ever used to treat the cancer under discussion; this works best if you also give a detailed description of each drug's mechanism of action (MOA). General internists and subspecialists just LOVE hearing a detailed discussion of the drug's MOA … especially if it is not at all relevant to the objectives of your talk. At this point, if you observe a wave of slack-jawed faces slowly slumping toward their desktops, you will know you are on your way to successfully crushing your audience's collective spirit. Keep going—you are almost there. 4. Dosage Deadlock: One must discuss “dose response” … there is absolutely nothing like a dose response presentation to a group of internists to induce cries of anguish. A wonderful example of how one might weave this into a lecture to generalists or a mixed audience of subspecialists is to discuss details that ONLY an oncologist would care about—such as the need to dose escalate imatinib in GIST patients with exon 9 mutations as compared with those with exon 11 mutations. This is a definite winner! 5. Criteria Catatonia: Do not forget to discuss the newest computed tomography or positron emission tomography criteria for determining response … especially if you plan to discuss an obscure malignancy that even oncologists rarely encounter (eg, esthesioneuroblastoma). Should you plan to discuss a common disease you can ensure ennui only if you will spend extra time discussing RECIST criteria. Now if you do this well, some audience members may begin fashioning their breakfast burritos into projectiles—each one aimed squarely at YOU. Be brave … soldier on! 6. Kaplan-Meier Killer: Make sure to discuss the arcane details of multiple negative phase II and III trials pertaining to the cancer under discussion. It is best to show several inconsequential and hard-to-read Kaplan-Meier plots. To make sure that you do a bad job, divide this portion of your presentation into two sections … one focused on adjuvant treatment; the second part should consist of a long boring soliloquy on the management of metastatic disease. Provide detailed information of little interest even to the most ardent fan of the disease you are discussing. This alone will almost certainly ensure that you will never, ever be asked to give Medicine Grand Rounds again. 7. Lymph Node Lobotomy: For the coup de grâce, be sure to include an exhaustive discussion of the latest surgical techniques, down to the precise number of lymph nodes required for an “adequate dissection.” To be fair, such details can be invaluable in specialized settings like a tumor board, where they send subspecialists into rapturous delight. But in the context of MGR—where the audience spans multiple disciplines—it will almost certainly induce a stultifying torpor. If dullness were an art, this would be its masterpiece—capable of lulling even the most caffeinated minds into a stupor. If you have carefully followed the above set of rules, at this point, some members of the audience should be banging their heads against the nearest hard surface. If you then hear a loud THUD … and you're still standing … you will know you have succeeded in giving the world's worst Medical Grand Rounds!   Final Thoughts I hope that these rules shed light on what makes for a truly dreadful oncology MGR presentation—which, by inverse reasoning, might just serve as a blueprint for an excellent one. At its best, an outstanding lecture defies expectations. One of the most memorable MGRs I have attended, for instance, was on prostaglandin function—not a subject typically associated with edge-of-your-seat suspense. Given by a biochemist and physician from another subspecialty, it could have easily devolved into a labyrinth of enzymatic pathways and chemical structures. Instead, the speaker took a different approach: rather than focusing on biochemical minutiae, he illustrated how prostaglandins influence nearly every major physiologic system—modulating inflammation, regulating cardiovascular function, protecting the gut, aiding reproduction, supporting renal function, and even influencing the nervous system—without a single slide depicting the prostaglandin structure. The result? A room full of clinicians—not biochemists—walked away with a far richer understanding of how prostaglandins affect their daily practice. What is even more remarkable is that the talk's clarity did not just inform—it sparked new collaborations that shaped years of NIH-funded research. Now that was an MGR masterpiece. At its core, effective scientific communication boils down to three deceptively simple principles: understanding your audience, focusing on relevance, and making complex information accessible.2 The best MGRs do not drown the audience in details, but rather illuminate why those details matter. A great lecture is not about showing how much you know, but about ensuring your audience leaves knowing something they didn't before. For those who prefer the structured wisdom of a written guide over the ramblings of a curmudgeon, an excellent review of these principles—complete with a handy checklist—is available.2 But fair warning: if you follow these principles, you may find yourself invited back to present another stellar MGRs. Perish the thought! Dr. Mikkael SekeresHello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the oncology field. I'm your host, Mikkael Sekeres. I'm Professor of Medicine and Chief of the Division of Hematology at the Sylvester Comprehensive Cancer Center, University of Miami.  What a pleasure it is today to be joined by Dr. David Johnson, clinical oncologist at the University of Texas Southwestern Medical School. In this episode, we will be discussing his Art of Oncology Practice article, "An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last."  Our guest's disclosures will be linked in the transcript.  David, welcome to our podcast and thanks so much for joining us. Dr. David JohnsonGreat to be here, Mikkael. Thanks for inviting me. Dr. Mikkael SekeresI was wondering if we could start with just- give us a sense about you. Can you tell us about yourself? Where are you from? And walk us through your career. Dr. David JohnsonSure. I grew up in a small rural community in Northwest Georgia about 30 miles south of Chattanooga, Tennessee, in the Appalachian Mountains. I met my wife in kindergarten. Dr. Mikkael SekeresOh my. Dr. David JohnsonThere are laws in Georgia. We didn't get married till the third grade. But we dated in high school and got married after college. And so we've literally been with one another my entire life, our entire lives. Dr. Mikkael SekeresMy word. Dr. David JohnsonI went to medical school in Georgia. I did my training in multiple sites, including my oncology training at Vanderbilt, where I completed my training. I spent the next 30 years there, where I had a wonderful career. Got an opportunity to be a Division Chief and a Deputy Director of, and the founder of, a cancer center there. And in 2010, I was recruited to UT Southwestern as the Chairman of Medicine. Not a position I had particularly aspired to, but I was interested in taking on that challenge, and it proved to be quite a challenge for me. I had to relearn internal medicine, and really all the subspecialties of medicine really became quite challenging to me. So my career has spanned sort of the entire spectrum, I suppose, as a clinical investigator, as an administrator, and now as a near end-of-my-career guy who writes ridiculous articles about grand rounds. Dr. Mikkael SekeresNot ridiculous at all. It was terrific. What was that like, having to retool? And this is a theme you cover a little bit in your essay, also, from something that's super specialized. I mean, you have had this storied career with the focus on lung cancer, and then having to expand not only to all of hematology oncology, but all of medicine. Dr. David JohnsonIt was a challenge, but it was also incredibly fun. My first few days in the chair's office, I met with a number of individuals, but perhaps the most important individuals I met with were the incoming chief residents who were, and are, brilliant men and women. And we made a pact. I promised to teach them as much as I could about oncology if they would teach me as much as they could about internal medicine. And so I spent that first year literally trying to relearn medicine. And I had great teachers. Several of those chiefs are now on the faculty here or elsewhere. And that continued on for the next several years. Every group of chief residents imparted their wisdom to me, and I gave them what little bit I could provide back to them in the oncology world. It was a lot of fun. And I have to say, I don't necessarily recommend everybody go into administration. It's not necessarily the most fun thing in the world to do. But the opportunity to deal one-on-one closely with really brilliant men and women like the chief residents was probably the highlight of my time as Chair of Medicine. Dr. Mikkael SekeresThat sounds incredible. I can imagine, just reflecting over the two decades that I've been in hematology oncology and thinking about the changes in how we diagnose and care for people over that time period, I can only imagine what the changes had been in internal medicine since I was last immersed in that, which would be my residency. Dr. David JohnsonWell, I trained in the 70s in internal medicine, and what transpired in the 70s was kind of ‘monkey see, monkey do'. We didn't really have a lot of understanding of pathophysiology except at the most basic level. Things have changed enormously, as you well know, certainly in the field of oncology and hematology, but in all the other fields as well. And so I came in with what I thought was a pretty good foundation of knowledge, and I realized it was completely worthless, what I had learned as an intern and resident. And when I say I had to relearn medicine, I mean, I had to relearn medicine. It was like being an intern. Actually, it was like being a medical student all over again. Dr. Mikkael SekeresOh, wow. Dr. David JohnsonSo it's quite challenging.  Dr. Mikkael SekeresWell, and it's just so interesting. You're so deliberate in your writing and thinking through something like grand rounds. It's not a surprise, David, that you were also deliberate in how you were going to approach relearning medicine. So I wonder if we could pivot to talking about grand rounds, because part of being a Chair of Medicine, of course, is having Department of Medicine grand rounds. And whether those are in a cancer center or a department of medicine, it's an honor to be invited to give a grand rounds talk. How do you think grand rounds have changed over the past few decades? Can you give an example of what grand rounds looked like in the 1990s compared to what they look like now? Dr. David JohnsonWell, I should all go back to the 70s and and talk about grand rounds in the 70s. And I referenced an article in my essay written by Dr. Ingelfinger, who many people remember Dr. Ingelfinger as the Ingelfinger Rule, which the New England Journal used to apply. You couldn't publish in the New England Journal if you had published or publicly presented your data prior to its presentation in the New England Journal. Anyway, Dr. Ingelfinger wrote an article which, as I say, I referenced in my essay, about the graying of grand rounds, when he talked about what grand rounds used to be like. It was a very almost sacred event where patients were presented, and then experts in the field would discuss the case and impart to the audience their wisdom and knowledge garnered over years of caring for patients with that particular problem, might- a disease like AML, or lung cancer, or adrenal insufficiency, and talk about it not just from a pathophysiologic standpoint, but from a clinician standpoint. How do these patients present? What do you do? How do you go about diagnosing and what can you do to take care of those kinds of patients? It was very patient-centric. And often times the patient, him or herself, was presented at the grand rounds. And then experts sitting in the front row would often query the speaker and put him or her under a lot of stress to answer very specific questions about the case or about the disease itself.  Over time, that evolved, and some would say devolved, but evolved into more specialized and nuanced presentations, generally without a patient present, or maybe even not even referred to, but very specifically about the molecular biology of disease, which is marvelous and wonderful to talk about, but not necessarily in a grand round setting where you've got cardiologists sitting next to endocrinologists, seated next to nephrologists, seated next to primary care physicians and, you know, an MS1 and an MS2 and et cetera. So it was very evident to me that what I had witnessed in my early years in medicine had really become more and more subspecialized. As a result, grand rounds, which used to be packed and standing room only, became echo chambers. It was like a C-SPAN presentation, you know, where local representative got up and gave a talk and the chambers were completely empty. And so we had to go to do things like force people to attend grand rounds like a Soviet Union-style rally or something, you know. You have to pay them to go. But it was really that observation that got me to thinking about it.  And by the way, I love oncology and I'm, I think there's so much exciting progress that's being made that I want the presentations to be exciting to everybody, not just to the oncologist or the hematologist, for example. And what I was witnessing was kind of a formula that, almost like a pancake formula, that everybody followed the same rules. You know, “This disease is the third most common cancer and it presents in this way and that way.” And it was very, very formulaic. It wasn't energizing and exciting as it had been when we were discussing individual patients. So, you know, it just is what it is. I mean, progress is progress and you can't stop it. And I'm not trying to make America great again, you know, by going back to the 70s, but I do think sometimes we overthink what medical grand rounds ought to be as compared to a presentation at ASH or ASCO where you're talking to subspecialists who understand the nuances and you don't have to explain the abbreviations, you know, that type of thing. Dr. Mikkael SekeresSo I wonder, you talk about the echo chamber of the grand rounds nowadays, right? It's not as well attended. It used to be a packed event, and it used to be almost a who's who of, of who's in the department. You'd see some very famous people who would attend every grand rounds and some up-and-comers, and it was a chance for the chief residents to shine as well. How do you think COVID and the use of Zoom has changed the personality and energy of grand rounds? Is it better because, frankly, more people attend—they just attend virtually. Last time I attended, I mean, I attend our Department of Medicine grand rounds weekly, and I'll often see 150, 200 people on the Zoom. Or is it worse because the interaction's limited? Dr. David JohnsonYeah, I don't want to be one of those old curmudgeons that says, you know, the way it used to be is always better. But there's no question that the convenience of Zoom or similar media, virtual events, is remarkable. I do like being able to sit in my office where I am right now and watch a conference across campus that I don't have to walk 30 minutes to get to. I like that, although I need the exercise. But at the same time, I think one of the most important aspects of coming together is lost with virtual meetings, and that's the casual conversation that takes place. I mentioned in my essay an example of the grand rounds that I attended given by someone in a different specialty who was both a physician and a PhD in biochemistry, and he was talking about prostaglandin metabolism. And talk about a yawner of a title; you almost have to prop your eyelids open with toothpicks. But it turned out to be one of the most fascinating, engaging conversations I've ever encountered. And moreover, it completely opened my eyes to an area of research that I had not been exposed to at all. And it became immediately obvious to me that it was relevant to the area of my interest, which was lung cancer. This individual happened to be just studying colon cancer. He's not an oncologist, but he was studying colon cancer. But it was really interesting what he was talking about. And he made it very relevant to every subspecialist and generalist in the audience because he talked about how prostaglandin has made a difference in various aspects of human physiology.  The other grand rounds which always sticks in my mind was presented by a long standing program director at my former institution of Vanderbilt. He's passed away many years ago, but he gave a fascinating grand rounds where he presented the case of a homeless person. I can't remember the title of his grand rounds exactly, but I think it was “Care of the Homeless” or something like that. So again, not something that necessarily had people rushing to the audience. What he did is he presented this case as a mysterious case, you know, “what is it?” And he slowly built up the presentation of this individual who repeatedly came to the emergency department for various and sundry complaints. And to make a long story short, he presented a case that turned out to be lead poisoning. Everybody was on the edge of their seat trying to figure out what it was. And he was challenging members of the audience and senior members of the audience, including the Cair, and saying, “What do you think?” And it turned out that the patient became intoxicated not by eating paint chips or drinking lead infused liquids. He was burning car batteries to stay alive and inhaling lead fumes, which itself was fascinating, you know, so it was a fabulous grand rounds. And I mean, everybody learned something about the disease that they might otherwise have ignored, you know, if it'd been a title “Lead Poisoning”, I'm not sure a lot of people would have shown up. Dr. Mikkael Sekeres That story, David, reminds me of Tracy Kidder, who's a master of the nonfiction narrative, will choose a subject and kind of just go into great depth about it, and that subject could be a person. And he wrote a book called Rough Sleepers about Jim O'Connell - and Jim O'Connell was one of my attendings when I did my residency at Mass General - and about his life and what he learned about the homeless. And it's this same kind of engaging, “Wow, I never thought about that.” And it takes you in a different direction.  And you know, in your essay, you make a really interesting comment. You reflect that subspecialists, once eager to share their insight with the wider medical community, increasingly withdraw to their own specialty specific conferences, further fragmenting the exchange of knowledge across disciplines. How do you think this affects their ability to gain new insights into their research when they hear from a broader audience and get questions that they usually don't face, as opposed to being sucked into the groupthink of other subspecialists who are similarly isolated? Dr. David Johnson That's one of the reasons I chose to illustrate that prostaglandin presentation, because again, that was not something that I specifically knew much about. And as I said, I went to the grand rounds more out of a sense of obligation than a sense of engagement. Moreover, our Chair at that institution forced us to go, so I was there, not by choice, but I'm so glad I was, because like you say, I got insight into an area that I had not really thought about and that cross pollination and fertilization is really a critical aspect. I think that you can gain at a broad conference like Medical Grand Rounds as opposed to a niche conference where you're talking about APL. You know, everybody's an APL expert, but they never thought about diabetes and how that might impact on their research. So it's not like there's an ‘aha' moment at every Grand Rounds, but I do think that those kinds of broad based audiences can sometimes bring a different perspective that even the speaker, him or herself had not thought of. Dr. Mikkael SekeresI think that's a great place to end and to thank David Johnson, who's a clinical oncologist at the University of Texas Southwestern Medical School and just penned the essay in JCO Art of Oncology Practice entitled "An Oncologist's Guide to Ensuring Your First Medical Grand Rounds Will Be Your Last."  Until next time, thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe so you never miss an episode. You can find all of ASCO's shows at asco.org/podcasts.  David, once again, I want to thank you for joining me today. Dr. David JohnsonThank you very much for having me. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement.    Show notes: Like, share and subscribe so you never miss an episode and leave a rating or review.  Guest Bio: Dr David Johnson is a clinical oncologist at the University of Texas Southwestern Medical School.

TNM's 2025 festival summer begins with Incineration descending upon Camden for extreme metal sets from the likes of Lamp of Murmuur, Blackbraid, Spectral Wound, Blood Incantation debuting Absolute Elsewhere in the UK, & a mountain-moving Celtic Frost performance by Triptykon. Ough.Releases:Sijjin - Helljjin CombatPUP - Who Will Look After The Dogs?Propagandhi - At PeacePress Club - To All The Ones That I LoveBleed - BleedModel/Actriz - PirouetteKnives - GlitterYour Spirit Dies - My Gnawing Pains Will Never RestParadise Slaves - With Hell In His EyesSlung - In WavesSnooze - I Know How You Will DieShearling - Motherfucker, I am Both: “Amen” and “Hallelujah”...Dispyt - Från Melankoli till MeningslöshetHate - Bellum RegiisFroglord - MetamorphosisSleep Token - Even In ArcadiaBehemoth - The Shit ov GodTetrarch - The Ugly Side of MeMcClusky - The World is Still Here and So Are WePeter Murphy - Silver ShadeDeath SS - The EntityGhost Bath - Rose Thorn NecklaceSvarta Havet - Månen ska lysa din vägJade - Mysteries of a Flowery DreamCandlemass - Black StarHarms Way - Other World

In this episode of Working Class Audio, Matt welcomes Producer Michael Roache who has worked for Halo/KDA, Blizzard, Formosa, Rebound, and TNM. Now he is launching a new company called Broken Stick. Pyramind Producing Game Sound Blizzard Formosa Mental Health Storytelling Across Mediums Consulting Broken Stick Productions Guest: Michael Roache Host/Engineer/Producer: Matt Boudreau WCA Theme Music: Cliff Truesdell The Voice: Chuck Smith In This Episode, We Discuss:Links and Show Notes:Matt's Rant: Staying Well RoundedCredits:

Send us a textCancer staging is very important to guide treatment decisions and eligibility in studies. When an oncologist delivers a diagnosis it will include stage, but what does that mean? After an agonizing period of tests, waits for results, and finally an answer, many people go numb as soon as they hear the word "cancer" and fail to ask for clarification about terminology. Learn what you need to know to be an active participant in your care. Show Notes: https://bit.ly/41q519XIn this Episode:01:45 - Recipe: Alabama Lane Cake, featured in "To Kill a Mockingbird"03:13 - A Short Guide to a Happy Life by Anna Quindlen07:23 - What You Need to Know About Cancer Staging09:48 -  The Exceptions to Staging11:02 - Understanding Staging with a Stomach Cancer Example18:11 - Cancer Staging Sub-Categories20:44 - TNM Categories24:15 - Discussion - Thoughts About Stage 430:22 - A Letter Attributed to David Bowie, Who Died from Liver Cancer32:57 - OutroWhat is Cancer Staging?Our focus today is to help you understand the cancer staging system. The stage of disease measures if the cancer has spread, and how far is has spread from where it started.  Cancer staging is a way to communicate the extent of cancer in the body so that everyone involved is speaking the same language.Cancer Staging Example: Stomach CancerDr. Matzo used stomach cancer as a way to understand staging. Visit our show notes for an image and detailed explanations.Marianne also shared about cancer sub-categories, such as 1a, 2c, etc. This further refines the definition of how far the cancer has spread.Cancer Staging with TNM CategoriesThe Tumor-Node-Metastasis notation is an even more refined way to define the extent of cancer spread. TNM helps to establish the anatomic extent of the disease, and the combination of the 3 factors can define the overall tumor stage. This method allows for simplification, with cancers staged from I-IV, with stage IV being the most severe stage. Related Episodes:S5E45: Why Does Cancer Exist? Empower Yourself With UnderstandingS5E46: “Why Do I Have Cancer?” Kismet, Chastisement or Coincidence?S5E47: MythBusters – Cancer Edition; Clarifying Common Cancer Myths & MisconceptionsS5E48: How to Read a CT Scan Report – Learn the Sections Relevant to Your DiagnosisS5E49: Are there Miracle Cures for Cancer? With Dr. Jeanna FordS4E46: What You Need to Know about Stomach Cancer – Part 1S4E47: What You Need To Know About Stomach Cancer, Part 2Support the showGet show notes and resources at our website: every1dies.org. Facebook | Instagram | YouTube | mail@every1dies.org

What if the discomfort you're avoiding is the key to healing? Mary has been working on her relationship with alcohol but has kept it to herself out of fear of what others might think if she fails. When she tried to take a break before, she found herself drinking again and wasn't sure how to make a lasting change. Meanwhile, Nancy spent years avoiding her emotions, turning to alcohol after overcoming an eating disorder. Her rocky relationship with her father and siblings made it hard for her to process feelings in a healthy way. In this episode, Coach Rina helps Mary embrace genuine support and let go of the fear of failure. Nancy learns to sit with her emotions, process them healthily, and set boundaries to protect her well-being. In Mary's session: - Keeping her journey private out of fear of failure - Trying to live a healthy lifestyle while drinking  - Recognizing patterns in past attempts to change - Finding support that feels right for her - The power of a compassionate support system - Enjoying an alcohol-free wedding experience - Setting short-term goals for lasting change - Exploring healthier ways to relax and unwind - Focusing on progress, not perfection In Dawn's session: - Struggling to sit with uncomfortable emotions - Using alcohol to cope with difficult feelings - Navigating a complex relationship with family - Fearing a return to old coping habits, like binge eating - Feeling triggered by hurtful words or tone - Understanding anger as a valid emotion - Using awareness to break old patterns - Setting boundaries to support her well-being - Finding healthier ways to process emotions Rina Bowring is a certified TNM Senior Coach. She built a successful career in the outdoor advertising industry, but after discovering This Naked Mind and transforming her relationship with alcohol, she decided to pursue her passion as an alcohol freedom coach. Inspired by the changes she experienced, Rina now shares the TNM method with the Christian community. She is committed to helping people break free from harmful habits, overcome guilt and shame, and rediscover joy. Learn more about Coach Rina: https://thisnakedmind.com/coach/rina-bowring/ Related Episodes: EP 246: Reader Question – How Do You Deal With Anger or Emotions When Alcohol-Free? https://thisnakedmind.com/ep-246-reader-question-how-do-you-deal-with-anger-or-emotions-when-alcohol-free  EP 616: Reader's Question – Getting Past Emotional Drinking Triggers https://thisnakedmind.com/ep-616-readers-question-getting-past-emotional-drinking-triggers/  EP 620: Reader's Question – Sharing Your Personal Journey with Alcohol: A Guide to Honest Conversations and Healing Connections https://thisnakedmind.com/ep-618-readers-question-annie-graces-tips-for-dealing-with-family-members-who-continue-to-drink-2/  Ready to take the next step on your journey?  Visit https://learn.thisnakedmind.com/podcast-resources for free resources, programs, and more. Until next week, stay curious!

How do you make real, lasting changes when motivation comes and goes? Dwayne has been through major life changes, including the end of two marriages, and has noticed alcohol becoming more present over time. He wants to make a change but struggles to stay consistent. On some days, he can, on other days, he just can't help it. Roz also wants to shift her habits but finds it hard to follow through. She starts off motivated, but after a long day at an emotionally demanding job, having a drink feels like the easiest way to relax. In this episode, Coach Rina helps Dwayne and Roz explore simple, lasting ways to create change. She shows them that while motivation fades, real progress comes from self-awareness and small, steady steps forward. In Dwayne's session: - Struggling to find lasting motivation for change - Finding comfort in his drinking routine - Coping with the end of two long-term marriages - How childhood experiences shaped his drinking habits - Noticing his drinking habits increase over time - Identifying feelings that trigger his cravings - Pausing to check in with emotions before drinking - Focusing on awareness instead of relying on willpower - Recognizing patterns through mindful drinking  - Prioritizing his health and role as a father - Building new habits that align with his goals In Roz's session: - Struggling to stay motivated without relying on her feelings - Using alcohol to relax after a long day at work - Observing how emotions affect her drinking habits - Experimenting with mindful drinking - Feeling bored and lonely without alcohol - Learning to enjoy free time as a chance to rest - Discovering new ways to unwind after work - Staying committed to activities that bring joy - Building small, lasting habits instead of quick fixes Rina Bowring is a certified TNM Senior Coach who built a successful career in the outdoor advertising industry. After discovering This Naked Mind and transforming her relationship with alcohol, she decided to pursue her passion as an alcohol freedom coach. Inspired by the changes she experienced, Rina now shares the TNM method with the Christian community. She wants to help people break free from harmful habits, let go of guilt and shame, and find joy again. Learn more about Coach Rina: https://thisnakedmind.com/coach/rina-bowring/ Related Episodes: EP 116: Reader Question – Does Alcohol Really Relax Us? https://thisnakedmind.com/ep-116-reader-question-alcohol-really-relax-us/  EP 670: Reader's Question – How Do You Stay Motivated to Be Alcohol-Free? https://thisnakedmind.com/ep-670-readers-question-how-do-you-stay-motivated-to-be-alcohol-free/  EP 754: Embracing Joy in the Moment: ​​Alcohol Freedom Coaching https://thisnakedmind.com/embracing-joy-in-the-moment-alcohol-freedom-coaching-e754/  Ready to take the next step on your journey?  Visit https://learn.thisnakedmind.com/podcast-resources for free resources, programs, and more. Until next week, stay curious!

Send us a textWelcome to the "Feel Lit Alcohol Free Podcast." In this episode, hosts Susan Larkin and Ruby Williams are joined by Kate Nichols. Kate shares her transformative journey of living an alcohol-free life, highlighting the profound impact it had on her relationships, health, and travel experiences. From savoring sophisticated mocktails like the Moscow Mule to embracing vibrant adventures in Cambodia and the Amazon, Kate illustrates how sobriety has enriched her life. She also touches on  the ripple effects of her decision on her loved ones.  How has sobriety enriched Kate's life and what can you learn from her experiences? Tune in for an empowering episode filled with actionable insights, and let's explore this path to a vibrant, alcohol-free life together! Kate Nichols is an Alcohol Freedom Coach certified by TNM and ALP trained. Find out more about Kate on her website: www.freedomaffect.comFollow Kate: @kate_sobrietyandfitness LinkedIN: https://www.linkedin.com/in/kate-nichols-af/Leave a review on Apple Podcasts, and ask us any questions you have about breaking free from wine or living an alcohol-free lifestyle. Your question could be the highlight of a future episode! Join our Feel Lit AF Facebook Community for amazing support and connection! Watch Episode on Youtube! https://www.youtube.com/@FeelLitAlcoholFreePodcast/videosWebsites:Susan Larkin Coaching https://www.susanlarkincoaching.com/ Ruby Williams at Freedom Renegade Coaching https://www.freedomrenegadecoaching.com/Follow Susan: @drinklesswithsusanFollow Ruby: @rubywilliamscoachingIt is strongly recommended that you seek professional advice regarding your health before attempting to take a break from alcohol. The creators, hosts, and producers of the The Feel Lit Alcohol Free podcast are not healthcare practitioners and therefore do not give medical, or psychological advice nor do they intend for the podcast, any resource or communication on behalf of the podcast or otherwise to be a substitute for such.

Our first TNM reviews of 2025 hit the runway with The Night Flight Orchestra, Wardruna, The Halo Effect, The Great Old Ones, Trauma Bond, & Grief Ritual, and we pay tribute to one of the greatest left-field artists and dreamers of all time David Lynch.The Night Flight Orchestra 45:00Wardruna 1:07:53The Halo Effect 1:28:45The Great Old Ones 1:44:48Trauma Bond 2:00:34Grief Ritual 2:10:30

Les vents se lèvent à Los Angeles et c'est un très mauvais signe. Mme Chantal pourrait perdre son brevet d’enseignement. Fin des subventions pour les voitures électriques. Francois Arnaud de retour sur les planches après 16 ans.. au TNM pour la pièce fête d’enfants présentée jusqu’au 8 décembre! Tour de table entre Isabelle Perron, Alexandre Dubé et Mario Dumont. Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

Is your fear of being judged holding you back? Molly grew up relying on people's opinions to feel good about herself. As a physician, she struggles to talk about alcohol use without fear of being misunderstood and judged. She worries that people will think something is wrong with her for choosing to live alcohol-free. Since her self-worth has relied heavily on external validation and appearing perfect, being judged by others would hurt her self-esteem. In this episode, Coach Rina helps Molly see that her fear of judgment is really about how she judges herself. By learning to be kinder to herself and letting go of the pressure to be perfect, Molly can start living a more authentic, balanced life. In this episode, Coach Rina and Molly will discuss: - The fear of being judged for choosing to stop drinking - Letting go of the need for external validation - Dealing with the pressure to be perfect - Feeling misunderstood about her choices regarding alcohol - Different views on what healthy drinking looks like - Protecting her professional life while sharing her story - Worrying about what others will think if she drinks again - How her parents' struggles with alcohol shaped her journey - Her choice to parent differently from the way she grew up - Taking ownership of your journey without blaming others - Learning to show compassion to yourself - And other topics… Rina Bowring is a certified TNM Senior Coach who built a successful career in the outdoor advertising industry. After discovering This Naked Mind and transforming her relationship with alcohol, she decided to pursue her passion as an alcohol freedom coach. Inspired by the changes she experienced, Rina now shares the TNM method with the Christian community. She wants to help people break free from harmful habits, let go of guilt and shame, and find joy again. Learn more about Coach Rina: https://thisnakedmind.com/coach/rina-bowring/ Related Episodes: EP 540: Reader Question – How do you not force self-compassion? https://thisnakedmind.com/ep-540-reader-question-how-do-you-not-force-self-compassion/ EP 604: Reader Question – Embracing Your Authentic Self: Overcoming Self-Judgment and Insecurities https://thisnakedmind.com/ep-604-reader-question-embracing-your-authentic-self-overcoming-self-judgment-and-insecurities/  EP 734: Shed the Fear of Judgment – Alcohol Freedom Coaching https://thisnakedmind.com/shed-the-fear-of-judgment-alcohol-freedom-coaching-ep-734/

Dominique Pélicot reconnu coupable et condamné à 20 ans de prison. Le meurtrier ayant décimé sa famille veut purger sa peine dans un pénitencier pour femmes en raison de son seul ressenti… et il a théoriquement le droit! Mark Carney ne rejoindra pas les libéraux, l’entourage de Trudeau évalue ses options. Trump s’attribue déjà le mérite du plan canadien à la frontière. D’autres clandestins interceptés à la frontière. La Bourse de New York finit en forte baisse. Québec résilie le contrat du PDG d’Urgences Santé. Puff Daddy a comparu mercredi devant le tribunal avant son procès. 88 personnalités sont nommées à l’Ordre du Canada. Inauguration hier au TNM. Le tour de l’actualité avec Alexandre Dubé, Isabelle Perron, Alexandre Moranville-Ouellet et Alexandre Dubé. Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

What if joy was already here, waiting to be embraced? Joanne has been working on building a healthier relationship with alcohol for the past eight months. Through this journey, she's noticed that her joy feels different. It's sometimes unpredictable, but also more hopeful. She finds it hard to balance work, daily tasks, and future worries with the joy she feels in the moment. In this episode, Coach Rina shares how the brain begins to find balance after changing drinking habits and suggests simple actions to help Joanne focus on the present moment. She also encourages Joanne to let go of big expectations and enjoy the little things in life. In this episode, Coach Rina and Joanne will discuss: - Dealing with unpredictable joy - Balancing work with joyful activities - Feeling content in daily life - The power of staying in the present - How journaling and the 30-day ACT challenge helped Joanne - Building gratitude through everyday moments - Focusing on small actions that bring joy - Redirecting your thoughts by asking better questions - Finding joy by letting go of expectations - And other topics… Rina Bowring is a certified TNM Senior Coach who built a successful career in the outdoor advertising industry. After discovering This Naked Mind and transforming her relationship with alcohol, she decided to pursue her passion as an alcohol freedom coach. Inspired by the changes she experienced, Rina now shares the TNM method with the Christian community. She wants to help people break free from harmful habits, let go of guilt and shame, and find joy again. Learn more about Coach Rina: https://thisnakedmind.com/coach/rina-bowring/ Related Episodes: EP 445: Finding Joy with Catherine Gray https://thisnakedmind.com/ep-445-finding-joy-with-catherine-gray  EP 606: Reader Question – Dealing with Discomfort in the Alcohol-free Journey https://thisnakedmind.com/ep-606-reader-question-dealing-with-discomfort-in-the-alcohol-free-journey/  EP 698: Reader's Question – What's the Link Between Alcohol and Depression? https://thisnakedmind.com/ep-698-readers-question-whats-the-link-between-alcohol-and-depression/  Ready to take the next step on your journey?  Visit https://learn.thisnakedmind.com/podcast-resources for free resources, programs, and more. Until next week, stay curious!

Scaling up in a competitive sector, integrating new tech capabilities and responding to the continual push on fees, are all challenges that you're probably wrestling with for your consultancy right now. And that's why we invited today's guest on to share his insights on how to solve these problems, having faced these challenges head on for both his own business and his clients. Jonathan Corrie has helped numerous consultancy firms navigate their way through these tricky waters and seize revenue-growing opportunities as CEO of Precursive, a professional services automation platform that helps turn services into repeatable products. In this episode of Climb in Consulting, Nick and Jonathan dive into the nitty gritty of productisation, discussing how consulting firms can make the leap from delivering one-off projects to providing a subscription-based service that drives up the value of your business. Nick and Jonathan explore the key elements to successfully productising all or part of your service, and some pitfalls to watch out for, including: - How to move from time and materials (TNM) to re-occurring to recurring revenue. - Why providing a repeatable service doesn't mean you can't charge premium fees. - How to design a product that harnesses the power of AI to accelerate and scale your service but doesn't decimate the fees you can charge. - And why it's so important that consultants stop talking like consultants. If you're looking for new ways to grow your consultancy and want to harness the power of technology, Jonathan is the person to listen to. We hope you enjoy the show! Reach out to Jonathan: https://www.linkedin.com/in/jonathanfcorrie/ Learn more about Precursive: https://www.precursive.com/

Depuis sa sortie du Conservatoire d'art dramatique de Montréal en 2007, Cynthia a cumulé les premiers rôles dans une multitude d'émissions et de séries télévisées, tels que Trauma, Tactik, L'Appart du 5e, Mémoires vives, Plan B,L'Âge adulte, Alix et les merveilleux, Virage, Le 422, Une autre histoire et Classé secret. Elle a été de la distribution des 7 saisons de District 31, où elle a défendu le rôle de Da-Xia Bernard, rôle qui lui a valu une nomination aux Prix Gémeaux en 2018, dans la catégorie « Meilleur rôle de soutien féminin : série dramatique annuelle ». Sur le web, on peut la voir dans la série Vidanges. Elle se retrouve aussi dans la distribution de Bête noire. Au théâtre nous avons pu la voir sur la scène du Théâtre Denise-Pelletier entre autres, dans les pièces L'Avare, La princesse Turandot, Médée, puis Prouesses et épouvantables digestions du redouté Pantagruel. Elle était de la création de la pièce Yukonstyle, présentée au Théâtre d'Aujourd'hui en 2013. Elle fut également marionnettiste dans le spectacle Alice au pays des merveilles, de la compagnie Tout-à-Trac. En 2019, elle était de la production de Consentementau Théâtre Jean-Duceppe, dans une mise en scène de Frédéric Blanchette. Cynthia revient au théâtre en 2023, où on la voit à l'oeuvre sur les planches du TNM dans Le rêveur dans son bain et Le projet Polytechnique ainsi qu'au Théâtre d'Aujourd'hui dans Beau gars.Au cinéma, elle a incarné Jade Bossé dans le film L'Empire Bo$$é, réalisé par Claude Desrosiers et plus récemment, elle a interprété le rôle de Julie dans L'Origine des espèces, du réalisateur Dominic Goyer. Ce rôle lui a valu une nomination comme «Meilleure actrice de soutien » en 2017, au Gala Québec Cinéma. Instagram :https://www.instagram.com/laprescriptiondrfred/?hl=frFacebook :https://www.facebook.com/people/La-prescription-avec-Dr-Fred-Lambert/100078674880976/ Hébergé par Acast. Visitez acast.com/privacy pour plus d'informations.

Déraillement à Longueuil: avis de confinement levé! Combat de boxe sur Netflix. La première de Kukum au TNM était hier soir ! Tour de table entre Isabelle Perron, Charles D'Amboise et Mario Dumont.  Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

Sondage fédéral: les libéraux de Justin Trudeau en chute libre! Alphas: un influenceur radical est au bord de la faillite! Geneviève Biron de Santé Québec veut livrer la marchandise! Biden reçoit Trump à la Maison-Blanche. Kukum au TNM jusqu'au 15 décembre!  Tour de table entre Isabelle Perron, Charles D'Amboise et Mario Dumont.  Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

We once again convene for a review of the UK's biggest underground event at Damnation Festival and witness legendary returns from Dragged Into Sunlight, Nails, Cradle of Filth, Bleeding Through, Inter Arma, and so many other TNM faves absolutely tearing it up.Elliot's audio is beaming in through the internet on this one, but we'll be back sounding proper soon.Releases:Make Them Suffer - Make Them SufferSólstafir - Hin helga kvolState Champs - State ChampsThe Arrival Note - …Home is So Far From HereThe Body - The Crying Out of ThingsThank - I Have A Physical Body That Can Be HarmedKlone - The UnseenMassacre - NecrolutionYoth Iria - Blazing InfernoPaysage d'Hiver - Die BergeCounterparts - Heaven Let Them Die

An electricity blackout, suicide cases, no dividends for TNM shareholders, the Old Mutual hotel, the MUST festival, a Ballon d'Or nominee, and much more! Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at info@rorshok.com You can also contact us on Instagram @rorshok_malawi or Twitter @RorshokMalawiLike what you hear? Subscribe, share, and tell your buds.The MUST Cultural and Research Innovation Festival: MUST on X: "Save the Date! MUST's 2nd Cultural and Research Innovation Festival is coming! Join us to celebrate culture and innovation. https://t.co/MHw7j7CZzT" / XThe Malawi Engineering Institution To Host Annual Conference: https://web.facebook.com/photo/?fbid=977376070856864&set=a.203064598288019We want to get to know you! Please fill in this mini survey: https://forms.gle/NV3h5jN13cRDp2r66Wanna avoid ads and help us financially? Follow the link: https://bit.ly/rorshok-donateOops! It looks like we made a mistake. In 0:28, the reader should have said "bodies," in 2:03, "thirty," and in 2:25 (in this whole story), the reader should have said, "TNM."Sorry for the inconvenience!

Why do people go back to drinking? Our first episode of the Alcohol Freedom Coaching series offers some insight into what triggers people to drink again, even after experiencing success with quitting. Listen in as This Naked Mind Certified Coach Ellie Crowe gives you an inside look at two intimate alcohol coaching sessions. First, Ellie helps Laurie explore her fears about cravings returning and how to build a strong foundation for lasting alcohol freedom. Then, in a deeply moving conversation, Tina opens up about her complicated relationship with food and alcohol, uncovering the link between her past and her current struggles with binge eating and drinking. Coach Ellie guides both Laurie and Tina through using tools like self-compassion and self-awareness to gain confidence in themselves and their relationships with alcohol. In Lauri's session: - The joy of reaching 30 days without alcohol - The fear of slipping back into old habits - Discovering a world of amazing non-alcoholic drinks - The hidden costs of relying on alcohol - The TNM tools that helped Lauri with her cravings - Finding strength in each small step forward - Trusting in the process, not the destination In Tina's session: - How Tina's childhood fueled her bingeing  - Finding freedom by dismantling old patterns - The power of confronting our complex emotions - Healing through self-forgiveness and acceptance - How childhood survival mechanisms evolve into self-sabotage - Building self-compassion to support lasting change - The joy of letting go of perfection Ellie Crowe is a Senior Certified TNM Coach and co-host of the Present & Sober podcast. As a once-strung-out, working mom of three who understands the trap of using wine to escape, Ellie's mission is to help her clients discover joy, peace, and contentment by living wholeheartedly in the present moment. Learn more about Coach Ellie: https://thisnakedmind.com/coach/ellie-crowe/ Related Episodes: EP 707: Naked Life Story - Roberta R.: https://thisnakedmind.com/ep-707-naked-life-story-roberta-r/  EP 719: Naked Life Story - Katie W.: https://thisnakedmind.com/ep-719-naked-life-story-katie-w/  Ready to take the next step on your journey?  Visit https://learn.thisnakedmind.com/podcast-resources for free resources, programs, and more. Until next week, stay curious!

TNM fintech innovations, the PP departure from Tonse Alliance, a new clinical research center, the academic calendar, bank customers' losses, and much more!Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at info@rorshok.com Like what you hear? Subscribe, share, and tell your buds.UNIMA Theatre Festival Application Form: https://forms.gle/aCCzt92AyzUGDLuw8We want to get to know you! Please fill in this mini survey: https://forms.gle/NV3h5jN13cRDp2r66Wanna avoid ads and help us financially? Follow the link: https://bit.ly/rorshok-donatec

Welcome back to the Texas News Podcast. It's been a little while, and we have some exciting things to catch up on. The mainstream media is finally taking notice – I was featured on Dr. Phil Primetime to discuss TNM and the TEXIT movement. It's vital that we go over and discuss what was edited out, if it was fair coverage, and my response to Dr. Phil's closing remarks that called me “reckless.” We also show you a clip of Dan Golvach's video testimony, Carla Gericke's remarks, and talk about how hard it is to truly convey a message when a panel is as large as it was and a show is restricted to an hour. It all boils down to this: We were set up for success with the people on the panel, and editing is a natural part of media, whether it helps the cause or not. As much as I appreciate Dr. Phil's invite onto his show, his closing remarks showed an unrealistic and perhaps delusional approach to fixing America. There's a danger to assuming everyone will link pinkies and sing kumbaya without an amicable solution. Texans are suffering and it continues to be true – we need political independence.

The week Tenacious D implode in the least predictable circumstances, TNM reviews and gives judgement on albums from Scene Queen, Speed, Crossfaith, 200 Stab Wounds, Ulcerate, Crypt Sermon, & Blind Girls.Scene Queen 18:55Speed 51:00Crossfaith 1:03:30200 Stab Wounds 1:22:57Ulcerate 1:41:53Crypt Sermon 2:03:52Blind Girls 2:15:14

Late Chilima laid to rest, a twenty-one-day mourning, Ufulu Festival postponed, Flames out of COSAFA Cup games, the World Bank's grant, free mosquito nets, TNM loans, inmates to go to university, and much more!Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at info@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Chilima Tribute: https://x.com/ghm927/status/1801657143332114647We want to get to know you! Please fill in this mini survey:https://forms.gle/NV3h5jN13cRDp2r66Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donate

A World Bank grant, 2025 election preparations, substandard medicines, TNM's internet outage, dental surgeries, and much more!Thanks for tuning in!Let us know what you think and what we can improve on by emailing us at malawi@rorshok.com Like what you hear? Subscribe, share, and tell your buds.Contact us at:info@rorshok.comRorshok's Ourzines: https://rorshok.com/ourzines/We want to get to know you! Please fill in this mini survey:https://forms.gle/NV3h5jN13cRDp2r66Wanna avoid ads and help us financially? Follow the link:https://bit.ly/rorshok-donate

Michael Bungay Stanier and I sat down for a conversation. If you hear seagulls in the background, it's because this episode was recorded in the beautiful coty of Tangier, Morocco. It began during a dinner he hosted as part of the House of Beautiful Business gathering, under the intriguing theme – How to Be a Stranger. We explored the delicate balance between having an outsider perspective and feeling a sense of belonging. What is your tendency? This conversation was a combination of an interview and a coaching session. We dived into fascinating topics that Michael often explores in his coaching career, such as: when you want to do something that matters - how to begin, the true meaning of commitment, and the dance between thrilling, important, and daunting. Tune in to join the conversation. For show notes & links visit TNM official website

Today's episode is dedicated to Steve Albini, the patron saint of alternative music, architect of the 90s, engineer of some of our greatest works of art across five different decades, and one of TNM's true heroes.Releases:Knocked Loose - You Won't Go Before You're Supposed ToLike Moths to Flames - The Cycles of Trying to CopePowerman 5000 - Abandon ShipKill II This - VariantHot Water Music - VowsIndoor Pets - Pathetic ApatheticUncle Acid & the Deadbeats - Nell' Ora BluUnleash the Archers - PhantomaFreedom Call - Silver RomanceAnette Olzon - RaptureSebastian Bach - Child Within the ManArab Strap - I'm totally fine with it

April releases went absolutely crazy, and so this time on TNM we reviews albums from Pearl Jam, The Ghost Inside, Inter Arma, SeeYouSpaceCowboy, Dool, Castle Rat, High On Fire, & Dvne, as well as singles from Motley Crue and Unto Others, and live trips to Pupil Slicer and Underdark/Devil Master.36:49 Pearl Jam55:25 The Ghost Inside1:14:48 Inter Arma1:47:10 SeeYouSpaceCowboy...2:05:26 Dool2:25:13 Castle Rat2:39:12 High On Fire2:57:07 Dvne

Colorectal cancer is one of the most common cancers diagnosed each year worldwide. This highly anticipated series will take an in-depth look at this disease. In this first episode, we discuss the basics, including staging, tumor markers, and microsatellite instability testing, before tackling the management of colorectal cancer in upcoming episodes. Content: - What is the incidence of colorectal cancer (CRC) in the US?- How are CRC patients staged? - What is the role of CEA? - What are microsatellites and mismatch repair proteins, and how do they come into play for treatment purposes?- Who needs germline testing? - What is the TNM staging for CRC? - What are some high risk factors we need to pay attention to on the pathology report? ** Want to review the show notes for this episode and others? Check out our website: https://www.thefellowoncall.com/our-episodesLove what you hear? Tell a friend and leave a review on our podcast streaming platforms!Twitter: @TheFellowOnCallInstagram: @TheFellowOnCallListen in on: Apple Podcast, Spotify, and Google Podcast

Hyperblasts brings a report from London's Celestial Darkness Festival checking out rare bookings in the worlds of black, doom, & goth and sets from the likes of Primordial, Tribulation, & Ihsahn, and salute a formative band for TNM as Palm Reader announce their farewell.Releases:Judas Priest - Invincible ShieldSonata Arctica - Clear Cold BeyondMyrath - KarmaKill the Lights - Death MelodiesMidnight - Hellish ExpectationsGost - ProphecyExhorder - Defectum OmniumSkeletal Remains - Fragments of the AgelessSlimelord - Chytridiomycosis RelinquishedMerrimack - Of Gravity and GraceIsenordal - Requiem for Eirênê

La pièce Le Père de Florian Zeller sera jouée au TNM du 19 mars au 13 avril 2024. Marc Messier vient nous parler du rôle principal qu'il incarnera et de son ami récemment décédé: Paul Houde.  Entrevue avec Marc Messier, comédien et humoriste.Pour de l'information concernant l'utilisation de vos données personnelles - https://omnystudio.com/policies/listener/fr

Welcome back to the Texas News Podcast, where we dive into all things Texas politics and the future of independence in the state of Texas. On today's show, we're going to be discussing the campaign shenanigans against Texas First pledge signers. The political establishment is doing everything it possibly can to defeat pro-Texan candidates. But first, we announce the TNM's brand-new online response corps. If you want to help us wage the war against misinformation, head over to tnm.me/orc and sign up today. Then, we briefly discuss the wildfires that are happening in the Panhandle. Our hearts go out to every one of our Texans who are up there dealing with this nightmare scenario. Also, on today's podcast, we're going to talk to one of those Pro-Texan candidates: Cody Clark. You might remember his story from a recent episode, but Cody gives us his unique perspective on how he was canceled by one of the biggest newspapers in Texas and still landed on his feet. This is a jam-packed episode that you won't want to miss.

February reviews on TNM pop the hell off with Chelsea Wolfe, Alkaline Trio, Ihsahn, Job for a Cowboy, Darkest Hour, Spectral Voice, Hulder & Slope, and reactions to the bamboozling news of Slayer's return and Ascendancy + The Poison tours.Chelsea Wolfe 57:00Alkaline Trio 1:23:40Ihsahn 1:39:18Job for a Cowboy 2:01:12Darkest Hour 2:19:57Spectral Voice 2:35:21Hulder 2:55:38Slope 3:09:25

A mega edition of Hyperblasts finds TNM conducting a critical reflection on the legacy of YMAS with the news of their impending farewell, a moment you either feared would come or never come. There's also crazy new music in the form of Kaonashi's new EP, and some crazy choices in the form of Download's stage splits.Releases:Frank Carter & the Rattlesnakes - Dark RainbowAlkaline Trio - Blood, Hair, and EyeballsThe Infernal Sea - HellfenlicOlhava - SacrificeUnsouling - Vampiric Spiritual DrainKnoll - As SpokenEye Flys - Eye FlysJunta - JuntaDeath Killer - Total Destruction of the Entire UniverseMountain Caller - Chronicle II: HypergenesisGUHTS - RegenerationSlower - SlowerCaligula's Horse - Charcoal GraceMadder Mortem - Old Eyes, New HeartVitriol - Suffer & BecomeCognizance - PhantazeinWhitechapel - Live in the ValleyDream State - Still DreamingKaonashi - The 3 Faces of Beauty: A Violent Misinterpretation of Morgan MontgomeryMilitarie Gun - Life Under the SunJesu - Hard to ReachEnterprise Earth - Death: An AnthologyBeing as an Ocean - Death Can WaitReconciler - Art for Our Sakemeth. - ShameUtopia - ShameBipolar Architecture - MetaphysicizeMyrath - KarmaStriker - OverpowerNecrowretch - Swords of DajjalDwarrowdelf - The Fallen LeavesStages of Decomposition - Raptures of PsychopathyGhoul - Noxious ConcoctionsPersefone - Lingua Ignota: Part I

One of the most farcical yet often great review gauntlets opens TNM 2024, with efforts from Green Day, Neck Deep, Saxon, Lucifer, Upon Stone, Rough Justice... and Lord of the Lost's 90 minute cover album.Green Day 3:35Neck Deep 34:19Lord of the Lost 52:08Saxon 1:18:19Lucifer 1:41:15Upon Stone 1:55:35Rough Justice 2:13:36

Welcome back to Texas News, where we dive into all things Texas politics and the future of independence in the state of Texas. On today's show, we begin with updates on our legal fight with the Republican Party of Texas over the TEXIT Petition. Instead of following the law, the Texas GOP gamed the system to keep Texans from voting on TEXIT. The fact is, the TNM followed the letter and spirit of the law, but the Texas GOP is still denying us legal recourse, thereby screwing over 139,000 TEXIT petition signers and millions of Texans who want a vote on TEXIT.  This fight is far from over, and one way to fight back now is by electing pro-Texas candidates, candidates who will truly listen to their constituents and put their needs and wants above everything else. In this episode, none other than Texas House Candidate for District 117, Ben Mostyn, joins us to discuss his background and what drove him to get involved in Texas politics. Having signed our Texas First Pledge back in August of 2023, Ben shares his views on the mass disconnect between the will of the people and the political establishment.

Welcome back to the Texas News podcast where we dive into all things Texas politics and the future of Texas independence. On today's show, we discuss our ongoing legal battle with the RPT and how the TNM is working day and night to ensure that 139,000+ petition signers have their voices heard. We also tear apart a piece of propaganda from the San Antonio Current, talk about some very interesting developments in our litigation, and discuss the importance of electing Texas First candidates.  As you know, we have been in the throws of a battle with the Republican Party of Texas since early January. After rejecting 139,000+ petition signatures in support of putting the TEXIT referendum on the 2024 Primary ballot, it's safe to say the RPT is trying to circumvent the law and trying to deny the people's vote on TEXIT. So in this episode, we lay some of the groundwork and context about our litigation, and then we talk about what this could all look like moving forward. It's about time the political establishment stops treating the law like a cafeteria plan.

The news of Texas covered today includes:Our Lone Star story of the day: The Texas Nationalist Movement has, in my opinion, wrongly been trying to use the Republican Party of Texas to do its bidding. Upset that TEXIT couldn't put its resolution on the Republican Party primary ballot, the group went to the Supreme Court for relief but the Texas Supreme Court denied its mandamus petition. Now the group has gone to a Democrat Travis County district court to try and get a TRO to stop GOP ballots from being printed without its resolution.All you need know about the authentic serious of this group is summed up in this from The Texan:“Thirteen days after the rejection, TNM asked the state Supreme Court to overrule the RPT and order that proposition's placement on the ballot, stating, “[We] filed this petition directly with the Texas Supreme Court because time is of the essence.” TNM's attorney Paul Davis previously said the filing delay occurred because the rejection came while he was on a pre-scheduled vacation.” – emphasis added.Much other political and campaign news.Our Lone Star story of the day is sponsored by Allied Compliance Services providing the best service in DOT, business and personal drug and alcohol testing since 1995.Yesterday I said Lubbock conservatives need a candidate for city council District 3 with proven conservative councilman Mark McBrayer running for mayor. David Glasheen, last of the bitter HD84 race, has now filed for District 3.Not treating Eagle Pass the way Governor Abbott says the Feds should treat Texas: Texas takes control of city park in Eagle Pass over illegal immigration, surprising mayor.The latest from Current Revolt: Of Course: Texas Taxpayers Fund Sex Fetish Club.Two abortion stories from Hearst I discuss: Lawyers: Anti-abortion language comes up again in 5th Circuit ruling Texas counties ban travel for abortions despite questions of legality Listen on the radio, or station stream, at 5pm Central. Click for our radio and streaming affiliates.www.PrattonTexas.com

Welcome to the Texas News Podcast, where we dive into all things Texas politics and the future of independence in the state of Texas. On today's show, we discuss how the Texas GOP rejected 139,456 petition signatures that were submitted to put TEXIT on the ballot this upcoming March. In this act, the Texas GOP has essentially screwed over the voters of Texas. So, we break down what happens next and how we plan to fight for the inherent political power of the people. When you hear this saga and the incompetent reasons that RPT Chairman Matt Rinaldi gives for the petition's rejection, you are going to roll over in your seat. At this point, the political establishment is dancing on the graves of the petition signers. Mark my words, the TNM is going to fight for 139,456 petition signers who believed that the law would be honored by government officials whose job is to listen and respect the wills of their constituents. This is not an episode you'll want to miss.

TNM.ME My apologies for a poor quality phone recording! The content is well worth it! Matt

Welcome to the Texas News Podcast, where we dive into all things Texas politics and the future of independence in the state of Texas. On today's show, we are going to take a deep dive into the TNM's Texas First Pledge. This pledge is a key component of our strategy to advance our mission of Texas independence. First, begin by telling you everything you need to know about the pledge, for example, what it is and what inspired its' genesis. In previous years, some Texas officials have expressed their support of the TNM, and as we progressed, especially in this last cycle, we needed a way for candidates to be held accountable to the TNM's values and mission. Then, we briefly discuss what political candidates have pledged their support so far. Last but not least, we're even joined by one of those pledge signers: State Representative Candidate Mitch Little. You may know Mitch from his phenomenal work on the Ken Paxton impeachment trial, and he joins us today to discuss the great divorce between politicians and the people. People feel more disenfranchised now more than ever, and we're seeing that play out more and more in our legislature. Mitch brings a fresh perspective to the all-out, open GOP civil war here in Texas. This is not an episode you'll want to miss! 

Welcome to the Texas News Podcast, where we dive into all things Texas politics and the future of independence in the state of Texas. On today's show, we're going to discuss the 139,000+ petition signatures that were presented this week to the Texas GOP and what the future could look like for the Texas Nationalist Movement. On Monday, December 11th, we hit the road and drove to the Republican Party headquarters in Austin to deliver all our petition signatures to force the TEXIT question on the March 2024 ballot. Let me tell you, it was a historic moment. Anyone who has ever run or been involved with a statewide petition campaign knows that the process can be a monster. So, we at the TNM are very grateful for your support, and the final count of signatures alone is something to awe at.  We understand that this is going to be a slog all the way to the finish line. So stay strong, friends, because it ain't over yet. We're entering into a presidential election year, so there are a lot of big issues at stake here, but we at the TNM have been fighting this fight since the beginning, and we are ready to rock and roll. In other news, you'll never guess who expressed their support for TEXIT: X's new generative AI called GROK. You won't want to miss this episode, so stay tuned for updates on the petition signatures.

The end of the year at TNM is nigh; it's time to cut the ribbon and begin crowning our top 20 albums, as Perran and Elliot start off with all of the great musical colour and invention that has graced our ears in 2023.

Welcome back to the Texas News Podcast, where we dive into all things Texas politics and the future of Texas independence. We are officially back from the TEXIT Conference, and quite honestly, we at the TNM are still riding the high from a simply amazing weekend. Beyond a shadow of a doubt, everyone who attended left the conference with their life changed. While we share some TEXITCon highlights on today's episode, our primary focus will be the media's shady coverage of this historic event.  Without a doubt, the TEXIT conference was impactful. We had massive crowds come in from all over, not just as speakers but to participate and to carry this idea of independence back to their respective states. However, these numbers are different from what the media wants to portray. Now, the TNM has seen the media go through gymnastics to avoid talking about any success that the TNM has ever had, so it shouldn't be a surprise that they want to criticize and downplay the real impact of TEXITCon. But the numbers don't lie. So, no matter who is trying to discourage people or mischaracterize TEXIT to deter others from joining this cause, the TEXIT snowball will continue to roll downhill.

Welcome back to the Texas News Podcast, where we dive into all things Texas politics and the future of Texas independence. On today's show, we are joined by a very special guest: Connor Boyack. He is the president of the Libertas Institute and creator of the popular children's book series, The Tuttle Twins. Boyack joins us today to discuss the importance of consent for a governed people. His belief in the “consent of the governed” has led him to support national divorce. Then, the biggest independence conference in the world is happening soon, right here in your backyard. In just two weeks, TEXITCon will be happening in Waco, Texas. Our lineup of speakers is impressive and the list continues to grow. Take a listen and learn how you can get your tickets. Last but not least, the third special session of the Texas House has been rather boring up to this point, so we've decided to spice things up on our end. We have some major changes here at the TNM and we're excited to share them with you! You won't want to miss this episode. 

In the busiest month of the year TNM reviews Corey Taylor, Baroness, Sylosis, Blood Command, Kvelertak, Empire State Bastard, Cannibal Corpse, & Hexvessel, toast the achievements of the departing Dawn Ray'd, and ask... WHO did Stef Carpenter tell about the new Deftones album?!Corey Taylor 38:00Baroness 1:06:37Sylosis 1:25:31Blood Command 1:43:35Kvelertak 2:06:11Empire State Bastard 2:21:57Cannibal Corpse 2:37:48Hexvessel 2:55:27

Welcome back to the Texas News Podcast, where we discuss all things Texas politics and the future of Texas independence. In today's episode, we deep dive into the current impeachment trial for Attorney General Ken Paxton. This trial should be the buzz for anyone who has any sort of interest in Texas Politics. Why? Because it's history in the making. We discuss how this trial is publically exposing some of the political shenanigans of the Texas government.  We also take a stab at some of the questions the impeachment trial is raising and how the political establishment is choosing to respond, or not respond. Without a doubt, the dam built by the political establishment is bursting. And honestly, it's about time. Then we bring you some BIG NEWS about Congresswoman Major Taylor Greene. Her stance on independence movements proves that TEXIT supporters are NOT the minority and that Biden's border policies are nothing short of disastrous. Lastly, we end by giving you some TNM updates! You won't want to skip this episode.

Welcome back to the Texas News Podcast where we dive into all things Texas politics and the future of Texas independence. On this week's episode, we begin with a good old-fashioned update on current events, starting with Greg Abbott's “controversial” floating border. Globalist propaganda says it's a humanitarian disaster, but it's actually working where it's been deployed. Yet, the Federal Government still is suing Texas. Then, we dissect how recent legislation passed in Harris County can lead to and promote more election integrity. Additionally, we give you an update on Texas Attorney General Ken Paxton and his impeachment trial. No matter what you believe on these matters, it's safe to say these are historic times.  This current cycle of events is exactly why we need TEXIT to happen. To discuss more about this, we are joined by a very special guest and Executive Director of the TNM, Nate Smith. We discuss TEXITCon coming to Waco on November 9-12th. TEXITCon will be a Texas-Independence-focused conference and it shaping up to be the most awesome, largest gathering of Texit supporters ever. With over 50 speakers, 50 sessions, and many vendors and exhibitors, it's gonna be one for the ages. So, listen to this episode to find out more!

TNM returns to Bloodstock Festival for the 2023 event as Perran reports on sets from Killswitch Engage, Megadeth, Triptykon, Meshuggah, Knocked Loose, Employed to Serve, and generally more heavy metal than you could shake a stick at.

The news of Texas covered today includes:Our Lone Star story of the day: Pornographers (Houston Chronicle calls them “adult entertainment” advocates) sue Texas to fight against HB 1181 which requires age verification to enter the online pornography websites. Additionally, in an absurd assertion, the pornographers claim that pornography is not addictive and want the provisions of the bill that require a warning of such to be ruled unconstitutional. I guess we know where the plaintiffs in this case stand: They appear to want children and youth to have access to their pornography. Could that be because they know it is addictive and getting them early is better for business? That was the claim against the cigarette makers.Our Lone Star story of the day is sponsored by Allied Compliance Services providing the best service in DOT, business and personal drug and alcohol testing since 1995.Child dies on an illegal alien voluntary transport bus provided by Texas, State Senator Roland Gutierrez again shows his mental deficiency: “This child died because in all likelihood they were on a bus that they could not get out of.” Really? Getting off a bus (she did get off when EMS were called) stops progression of disease? Gutierrez is a joke. Lawsuit against Rep. Jeff Leach by Texas Nationalist Movement and group member Morgan McComb dismissed. The filing of the case is one of the reasons I have little respect for this TEXIT movement by TNM and why I keep my distance. Gosh, this case shows them as bad as the worst D.C. Democrat on political liberty and free speech.Lubbock County commissioners need to learn that people don't need more government per capita but less through economies of scale. County spending has skyrocketed for years so if the D.A.'s office needs more money: First, make sure it is being effectively run before handing it more money (I've been told by judges and attorneys it is very poorly managed by the incumbent D.A.) and second, take money that has put into growing the county government beyond basic functions and move it to the D.A. Listen on the radio, or station stream, at 5pm Central. Click for our radio and streaming affiliates, or hear the podcast of the show after 6pm Central here.

In this episode, our team provides a comprehensive review of the differential diagnosis for mediastinal masses, their workup, and biopsy considerations. Listen as we dive deeper into the perioperative planning and operative approach for resection of these masses with special considerations for patients with thymoma.  Learning Objectives: -Discuss the differential diagnosis of a mediastinal mass -Review the workup of a mediastinal mass -Outline indications for biopsy and describe the various approaches -Describe the operative techniques for thymectomy, pearls & potential pitfalls   Hosts:  Megan Lenihan MD, Kelly Daus MD, Peter White MD, and Brian Louie MD Referenced Material https://pubmed.ncbi.nlm.nih.gov/21847052/ Detterbeck FC, Nicholson AG, Kondo K, Van Schil P, Moran C. The Masaoka-Koga stage classification for thymic malignancies: clarification and definition of terms. J Thorac Oncol. 2011 Jul;6(7 Suppl 3):S1710-6. doi: 10.1097/JTO.0b013e31821e8cff. PMID: 21847052. https://pubmed.ncbi.nlm.nih.gov/33468329/ Ahmad U. The eighth edition TNM stage classification for thymic tumors: What do I need to know? J Thorac Cardiovasc Surg. 2021 Apr;161(4):1524-1529. doi: 10.1016/j.jtcvs.2020.10.131. Epub 2020 Nov 13. PMID: 33468329. https://pubmed.ncbi.nlm.nih.gov/34695605/ Marx A, et al. The 2021 WHO Classification of Tumors of the Thymus and Mediastinum: What Is New in Thymic Epithelial, Germ Cell, and Mesenchymal Tumors? J Thorac Oncol. 2022 Feb;17(2):200-213. doi: 10.1016/j.jtho.2021.10.010. Epub 2021 Oct 22. PMID: 34695605. https://pubmed.ncbi.nlm.nih.gov/22882218/ Meriggioli MN, Sanders DB. Muscle autoantibodies in myasthenia gravis: beyond diagnosis? Expert Rev Clin Immunol. 2012 Jul;8(5):427-38. doi: 10.1586/eci.12.34. PMID: 22882218; PMCID: PMC3505488. https://pubmed.ncbi.nlm.nih.gov/34339670/ Raja SM, Guptill JT, McConnell A, Al-Khalidi HR, Hartwig MG, Klapper JA. Perioperative Outcomes of Thymectomy in Myasthenia Gravis: A Thoracic Surgery Database Analysis. Ann Thorac Surg. 2022 Mar;113(3):904-910. doi: 10.1016/j.athoracsur.2021.06.071. Epub 2021 Jul 30. PMID: 34339670. Ad referenced in episode: A team at the Brooke Army Medical Center is working to better define proficiency-based metrics for competency in commonly performed general surgery procedures. If you are a PGY4/5 general surgery resident or practicing surgeon who performs robotic assisted cholecystectomies or inguinal hernia repairs, reach out to the PI, Robert Laverty, MD, at rblaverty@gmail.com, for more information on how you could be compensated up to $400 for recording and submitting those videos. Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out other clinical challenge episodes here: https://behindtheknife.org/podcast-series/clinical-challenges/