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This week we're getting way too honest with Reggie Conquest in the turtle lair! We're talking hygiene confessions, church scandals, Chris Brown concerts, and why men really only showered “for girls.” Let the soap drip down (pause) for another splendiferous episode! LIKE, SHARE & SUBSCRIBE https://www.youtube.com/channel/UCLAUp-4rTF4q4XLujbJ51YQ TOUR DATES https://www.linktr.ee/nnfaMERCH https://nnfa.creator-spring.com/ BONUS CONTENT https://www.patreon.com/c/ImDaveTemple?utm_medium=clipboard_copy&utm_source=copyLink -----------------Follow host Derek GainesIG https://www.instagram.com/thegreatboy/ Follow host Dave TempleIG https://www.instagram.com/imdavetemple/ YouTube https://www.youtube.com/@DAT46Follow guest Reggie ConquestIG - https://www.instagram.com/reggconquest/ Follow No Need for ApologiesInstagram https://www.instagram.com/nnfapodcast/ TikTok https://www.tiktok.com/@noneedforapologies Facebook https://www.facebook.com/noneedforapologies/Produced by Teona SashaIG https://www.instagram.com/teonasasha/TikTok https://www.tiktok.com/@teonasasha -----------------To advertise your product on our podcasts please email jimmy@gasdigitalmarketing.com with a brief description about your product and any shows you may be interested in advertising on.SEND US MAIL:GaS Digital StudiosAttn: NNFA151 1st Ave # 311New York, NY 10003"No Need for Apologies" - NEW Episodes every Saturday at 3PM/ET on YouTube-----------------See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Segment 1 • Gallup reports a growing exodus from church with a surprising population. • Churches pour energy into kids and young families but neglect the elderly. • Scripture calls the older generation essential — for wisdom, discipleship, and stability. Segment 2 • Topical preaching isn't always wrong, but it's risky when it replaces text-driven sermons. • The culture is catechizing your kids faster than the pulpit can. • Polls reveal Gen Z's distorted view of marriage, kids, and purpose. Segment 3 • 690+ LGBT books in a single school district - this is cultural catechism in action. • Drag queens, “gender play,” and normalization of sin are targeting children. • The battle for your child's worldview is being waged at story time. Segment 4 • Churches split over silliness: beards and whether the worship leader's eyes were open. • Healthy churches handle conflict biblically—talk, forgive, reconcile. • How your church argues says more about its health than its attendance numbers. ___ Thanks for listening! Wretched Radio would not be possible without the financial support of our Gospel Partners. If you would like to support Wretched Radio we would be extremely grateful. VISIT https://fortisinstitute.org/donate/ If you are already a Gospel Partner we couldn't be more thankful for you if we tried!
Never put this on your face! Even natural ingredients can cause skin problems if misused. In this video, I'll share 11 things you should never put on your face. To achieve healthy, clear skin, avoid these common skincare mistakes. 0:00 Introduction: Skincare mistakes to avoid0:20 Skin damage explained 1:28 What not to use on your face2:31 Lemon juice and sun exposure5:25 Rubbing alcohol and bad skin products7:07 Topical steroids and skincare mistakes8:30 More skincare do's and don'ts Your skin is the largest organ in your body. On top of the skin, especially the face, is the acid mantle. This acidic, protective barrier houses millions of microbes that protect you.Putting the wrong products on your skin can negatively affect this environment, leading to redness, rashes, acne, dry skin, and other skin problems. Avoid the following 11 products that ruin your skin! 1. Apple cider vinegarACV is too acidic for the skin. It can cause irritation and redness. If you want to use it on your skin, dilute one teaspoon into 8 ounces of water.2. Lemon juice Don't put lemon juice on your face or hair! It contains a phytochemical that can cause problems when you're exposed to sunlight.3. Essential oils Some essential oils, such as cedarwood and tea tree oil, are simply too strong for the skin.4. Bergamot Combining bergamot with sun exposure can cause skin inflammation. 5. Baking sodaWith a pH of 9, baking soda is too alkaline for the skin. It can damage the acidic environment, compromising the beneficial microbes on the skin.6. ToothpasteHarsh ingredients like peroxide and fluoride should not be used on your skin.7. Rubbing alcoholAlcohol kills the microbes on the surface of your skin. This can allow the overgrowth of unfriendly bacteria. Many creams and lotions contain alcohol, so be sure to check the ingredients of your skin care products.8. Hydrogen peroxide This is effective for removing stains on the teeth and for cleaning, but it's not suitable for use on the face.9. Hair dyeHair dye used for your eyebrows and eyelashes can be very dangerous to your eyes. 10. Topical steroids Redness, irritation, and flakiness are often treated with topical steroids without second thought. Topical steroids stop the growth of skin cells and the production of collagen. 11. Exfoliating scrubsFrequent use of exfoliating scrubs can scrub off the microbiome of your face. It's beneficial to get a filter for your shower head to reduce skin exposure to chlorine and fluoride. Opt for makeup that is free of chemicals and fragrance! Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients, so he can focus on educating people as a full-time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose, and it is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on tonight's show, Shelley talks about how things in politics have not changed, who is actually not ready for a woman to be president, asks the listeners when their first kiss was, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, on tonight's show, Shelley talks to Kyle Wade with the Atlanta Community Food Bank about the Triple Team Traffic Food Drive on Friday, talks about the big game half time show, wonders about a song, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Wind Farms. Topical. Controversial. Eco-Economical. Many Words; Many Opinions; Many Turbines. SO! With controversy once more about a local wind farm project, we talked to a wind farmers neighbour to find out the goss. See omnystudio.com/listener for privacy information.
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Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, on tonight's show, Shelley talks about the Atlanta Public School Board elections and what he sees going on there, Trump's poll numbers with Hispanics plummeting, takes calls about that, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on tonight's show, Shelley talks about Marjorie Taylor Greene and how she has never changed, brings Debra Morton on the show to talk about the 50 year mortgage, the Epstein files, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Evan S. Dellon, MD, and Elizabeth T. Jensen, PhD, about a paper they published on predictors of patients receiving no medication for treatment of eosinophilic esophagitis. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own. Key Takeaways: [:52] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz. [1:14] Holly introduces today's topic, predictors of not using medication for EoE, and today's guests, Dr. Evan Dellon and Dr. Elizabeth Jensen. [1:29] Dr. Dellon is an Adjunct Professor of Epidemiology at the University of North Carolina School of Medicine in Chapel Hill. He is also the Director of the UNC Center for Esophageal Diseases and Swallowing. [1:42] Dr. Dellon's main research interest is in the epidemiology, pathogenesis, diagnosis, treatment, and outcomes of eosinophilic esophagitis (EoE) and eosinophilic GI diseases (EGIDs). [1:55] Dr. Jensen is a Professor of Epidemiology with a specific expertise in reproductive, perinatal, and pediatric epidemiology. She has appointments at both Wake Forest University School of Medicine and the University of North Carolina at Chapel Hill. [2:07] Her research primarily focuses on etiologic factors in the development of pediatric immune-mediated chronic diseases, including understanding factors contributing to disparities in health outcomes. [2:19] Both Dr. Dellon and Dr. Jensen also serve on the Steering Committee for EGID Partners Registry. [2:24] Ryan thanks Dr. Dellon and Dr. Jensen for joining the podcast today. [2:29] Dr. Dellon was the first guest on this podcast. It is wonderful to have him back for the 50th episode! Dr. Dellon is one of Ryan's GI specialists. Ryan recently went to North Carolina to get a scope with him. [3:03] Dr. Dellon is an adult gastroenterologist at the University of North Carolina at Chapel Hill. He directs the Center for Esophageal Diseases and Swallowing. Clinically and research-wise, he is focused on EoE and other eosinophilic GI diseases. [3:19] His research interests span the entire field, from epidemiology, diagnosis, biomarkers, risk factors, outcomes, and a lot of work, more recently, on treatments. [3:33] Dr. Jensen has been on the podcast before, on Episode 27. Holly invites Dr. Jensen to tell the listeners more about herself and her work with eosinophilic diseases. [3:46] Dr. Jensen has been working on eosinophilic gastrointestinal diseases for about 15 years. She started some of the early work around understanding possible risk factors for the development of disease. [4:04] She has gone on to support lots of other research projects, including some with Dr. Dellon, where they're looking at gene-environment interactions in relation to developing EoE. [4:15] She is also looking at reproductive factors as they relate to EoE, disparities in diagnosis, and more. It's been an exciting research trajectory, starting with what we knew very little about and building to an increasing understanding of why EoE develops. [5:00] Dr. Dellon explains that EoE stands for eosinophilic esophagitis, a chronic allergic condition of the esophagus. [5:08] You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have EoE, it is a long-term condition. [5:24] Eosinophils are a type of white blood cell, specializing in allergy responses. Normally, they are not in the esophagus. When we see them there, we worry about an allergic process. When that happens, that's EoE. [5:40] Over time, the inflammation seen in EoE and other allergic cell activity causes swelling and irritation in the esophagus. Early on, this often leads to a range of upper GI symptoms — including poor growth or failure to thrive in young children, abdominal pain, nausea, and symptoms that can mimic reflux. [5:58] In older kids, symptoms are more about trouble swallowing. That's because the swelling that happens initially, over time, may turn into scar tissue. So the esophagus can narrow and cause swallowing symptoms like food impaction. [6:16] Ryan speaks of living with EoE for decades and trying the full range of treatment options: food elimination, PPIs, steroids, and, more recently, biologics. [6:36] Dr. Dellon says Ryan's history is a good overview of how EoE is treated. There are two general approaches to treating the underlying condition: using medicines and/or eliminating foods that we think may trigger EoE from the diet. [6:57] For a lot of people, EoE is a food-triggered allergic condition. [7:01] The other thing that has to happen in parallel is surveying for scar tissue in the esophagus. If that's present and people have trouble swallowing, sometimes stretching the esophagus is needed through esophageal dilation. [7:14] There are three categories of medicines used for treatment. Proton pump inhibitors are reflux meds, but they also have an anti-allergy effect in the esophagus. [7:29] Topical steroids are used to coat the esophagus and produce an anti-inflammatory effect. The FDA has approved a budesonide oral suspension for that. [7:39] Biologics, which are generally systemic medications, often injectable, can target different allergic factors. Dupilumab is approved now, and there are other biologics that are being researched as potential treatments. [7:51] Even though EoE is considered an allergic condition, we don't have a test to tell people what they are allergic to. If it's a food allergy, we do an empiric elimination diet because allergy tests aren't accurate enough to tell us what the EoE triggers are. [8:10] People will eliminate foods that we know are the most common triggers, like milk protein, dairy, wheat, egg, soy, and other top allergens. You can create a diet like that and then have a response to the diet elimination. [8:31] Dr. Jensen and Dr. Dellon recently published an abstract in the American Journal of Gastroenterology about people with EoE who are not taking any medicine for it. Dr. Jensen calls it a real-world data study, leveraging electronic health record patient data. [8:51] It gives you an impression of what is actually happening, in terms of treatments for patients, as opposed to a randomized control trial, which is a fairly selected patient population. This is everybody who has been diagnosed, and then what happens with them. [9:10] Because of that, it gives you a wide spectrum of patients. Some patients are going to be relatively asymptomatic. It may be that we arrived at their diagnosis while working them up for other potential diagnoses. [9:28] Other patients are going to have rather significant impacts from the disease. We wanted to get an idea of what is actually happening out there with the full breadth of the patient population that is getting diagnosed with EoE. [9:45] Dr. Jensen was not surprised to learn that there are patients who had no pharmacologic treatment. [9:58] Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are early in their disease process and still exploring dietary treatment options. [10:28] Holly sees patients from infancy to geriatrics, and if they're not having symptoms, they wonder why bother treating it. [10:42] Dr. Jensen says it's a point of debate on the implications of somebody who has the disease and goes untreated. What does that look like long-term? Are they going to develop more of that fibrostenotic pattern in their esophagus without treatment? [11:07] This is a question we're still trying to answer. There is some suggestion that for some patients who don't manage their disease, we very well may be looking at a food impaction in the future. [11:19] Dr. Dellon says we know overall for the population of EoE patients, but it's hard to know for a specific patient. We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. [11:39] Some people get symptoms and get diagnosed right away. Others might have symptoms for 20 or 30 years that they ignore, or don't have access to healthcare, or the diagnosis is missed. [11:51] What we see consistently is that people who may be diagnosed within a year or two may only have a 10 or 20% chance of having that stricture and scar tissue in the esophagus, whereas people who go 20 years, it might be 80% or more. [12:06] It's not everybody who has EoE who might end up with that scar tissue, but certainly, it's suggested that it's a large majority. [12:16] That's before diagnosis. We have data that shows that after diagnosis, if people go a long time without treatment or without being seen in care, they also have an increasing rate of developing strictures. [12:29] In general, the idea is yes, you should treat EoE, because on average, people are going to develop scar tissue and more symptoms. For the patient in front of you with EoE but no symptoms, what are the chances it's going to get worse? You don't know. [13:04] There are two caveats with that. The first is what we mean by symptoms. Kids may have vomiting and growth problems. Adults can eat carefully, avoiding foods that hang up in the esophagus, like breads and overcooked meats, sticky rice, and other foods. [13:24] Adults can eat slowly, drink a lot of liquid, and not perceive they have symptoms. When someone tells Dr. Dellon they don't have symptoms, he will quiz them about that. He'll even ask about swallowing pills. [13:40] Often, you can pick up symptoms that maybe the person didn't even realize they were having. In that case, that can give you some impetus to treat. [13:48] If there really are no symptoms, Dr. Dellon thinks we're at a point where we don't really know what to do. [13:54] Dr. Dellon just saw a patient who had a lot of eosinophils in their small bowel with absolutely no GI symptoms. He said, "I can't diagnose you with eosinophilic enteritis, but you may develop symptoms." People like that, he will monitor in the clinic. [14:14] Dr. Dellon will discuss it with them each time they come back for a clinic visit. [14:19] Holly is a speech pathologist, but also sees people for feeding and swallowing. The local gastroenterologist refers patients who choose not to treat their EoE to her. Holly teaches them things they should be looking out for. [14:39] If your pills get stuck or if you're downing 18 ounces during a mealtime, maybe it's time to treat it. People don't see these coping mechanisms they use that are impacting their quality of life. They've normalized it. [15:30] Dr. Dellon says, of these people who aren't treated, there's probably a subset who appropriately are being observed and don't have a medicine treatment or are on a diet elimination. [15:43] There's also probably a subset who are inappropriately not on treatment. It especially can happen with students who were under good control with their pediatric provider, but moved away to college and didn't transfer to adult care. [16:08] They ultimately come back with a lot of symptoms that have progressed over six to eight years. [16:18] Ryan meets newly diagnosed adult patients at APFED's conferences, who say they have no symptoms, but chicken gets caught in their throat. They got diagnosed when they went to the ER with a food impaction. [16:38] Ryan says you have to wonder at what point that starts to get reflected in patient charts. Are those cases documented where someone is untreated and now has EoE? [16:49] Ryan asks in the study, "What is the target EGID Cohort and why was it selected to study EoE? What sort of patients were captured as part of that data set?" [16:58] Dr. Jensen said they identified patients with the ICD-10 code for a diagnosis of EoE. Then they looked to see if there was evidence of symptoms or complications in relation to EoE. This was hard; some of these are relatively non-specific symptoms. [17:23] These patients may have been seeking care and may have been experiencing some symptoms that may or may not have made it into the chart. That's one of the challenges with real-world data analyses. [17:38] Dr. Jensen says they are using data that was collected for documenting clinical care and for billing for clinical care, not for research, so it comes with some caveats when doing research with this data. [18:08] Research using electronic health records gives a real-world perspective on patients who are seeking care or have a diagnosis of EoE, as opposed to a study trying to enroll a patient population that potentially isn't representative of the breadth of individuals living with EoE. [18:39] Dr. Dellon says another advantage of real-world data is the number of patients. The largest randomized controlled trials in EoE might have 400 patients, and they are incredibly expensive to do. [18:52] A study of electronic health records (EHR) is reporting on the analysis of just under 1,000. The cohort, combined from three different centers, has more than 1,400 people, a more representative, larger population. [19:16] Dr. Dellon says when you read the results, understand the limitations and strengths of a study of health records, to help contextualize the information. [19:41] Dr. Dellon says it's always easier to recognize the typical presentations. Materials about EoE and studies he has done that led to medicine approvals have focused on trouble swallowing. That can be relatively easily measured. [20:01] Patients often come to receive care with a food impaction, which can be impactful on life, and somewhat public, if in a restaurant or at work. Typical symptoms are also the ones that get you diagnosed and may be easier to treat. [20:26] Dr. Dellon wonders if maybe people don't treat some of the atypical symptoms because it's not appreciated that they can be related to EoE. [20:42] Holly was diagnosed as an adult. Ryan was diagnosed as a toddler. Holly asks what are some of the challenges people face in getting an EoE diagnosis. [20:56] Dr. Jensen says symptoms can sometimes be fairly non-specific. There's some ongoing work by the CEGIR Consortium trying to understand what happens when patients come into the emergency department with a food bolus impaction. [21:28] Dr. Jensen explains that we see there's quite a bit of variation in how that gets managed, and if they get a biopsy. You have to have a biopsy of the esophagus to get a diagnosis of EoE. [21:45] If you think about the steps that need to happen to get a diagnosis of EoE, that can present barriers for some groups to ultimately get that diagnosis. [21:56] There's also been some literature around a potential assumption about which patients are more likely to be at risk. Some of that is still ongoing. We know that EoE occurs more commonly in males in roughly a two-to-one ratio. Not exclusively in males, obviously, but a little more often in males. [22:20] We don't know anything about other groups of patients that may be at higher risk. That's ongoing work that we're still trying to understand. That in itself can also be a barrier when there are assumptions about who is or isn't likely to have EoE. [23:02] Dr. Dellon says that in adolescents and adults, the typical symptoms are trouble swallowing and food sticking, which have many causes besides EoE, some of which are more common. [23:18] In that population, heartburn is common. Patients may report terrible reflux that, on questioning, sounds more like trouble swallowing than GERD. Sometimes, with EoE, you may have reflux that doesn't improve. Is it EoE, reflux, or both? [24:05] Some people will have chest discomfort. There are some reports of worsening symptoms with exercise, which brings up cardiac questions that have to be ruled out first. [24:19] Dr. Dellon mentions some more atypical symptoms. An adult having pain in the upper abdomen could have EoE. In children, the symptoms could be anything in the GI tract. Some women might have atypical symptoms with less trouble swallowing. [24:58] Some racial minorities may have those kinds of symptoms, as well. If you're not thinking of the condition, it's hard to make the diagnosis. [25:08] Dr. Jensen notes that there are different cultural norms around expressing symptoms and dietary patterns, which may make it difficult to parse out a diagnosis. [25:27] Ryan cites a past episode where access to a GI specialist played a role in diagnosing patients with EoE. Do white males have more EoE, or are their concerns just listened to more seriously? [25:57] Ryan's parents were told when he was two that he was throwing up for attention. He believes that these days, he'd have a much easier time convincing a doctor to listen to him. From speaking to physicians, Ryan believes access is a wide issue in the field. [26:23] Dr. Dellon tells of working with researchers at Mayo in Arizona and the Children's Hospital of Phoenix. They have a large population of Hispanic children with EoE, much larger than has been reported elsewhere. They're working on characterizing that. [26:49] Dr. Dellon describes an experience with a visiting trainee from Mexico City, where there was not a lot of EoE reported. The trainee went back and looked at the biopsies there, and it turned out they were not performing biopsies on patients with dysphagia in Mexico City. [27:13] When he looked at the patients who ended up getting biopsies, they found EoE in 10% of patients. That's similar to what's reported out of centers in the developed world. As people are thinking about it more, we will see more detection of it. [27:30] Dr. Dellon believes those kinds of papers will be out in the next couple of months, to a year. [27:36] Holly has had licensure in Arizona for about 11 years. She has had nine referrals recently of children with EoE from Arizona. Normally, it's been one or two that she met at a conference. [28:00] Ryan asks about the research on patients not having their EoE treated pharmacologically. Some treat it with food avoidance and dietary therapy. Ryan notes that he can't have applesauce, as it is a trigger for his EoE. [28:54] Dr. Jensen says that's one of the challenges in using the EHR data. That kind of information is only available to the researchers through free text. That's a limitation of the study, assessing the use of dietary elimination approaches. [29:11] Holly says some of her patients have things listed as allergies that are food sensitivities. Ryan says it's helpful for the patients to have their food sensitivities listed along with their food allergies, but it makes records more difficult to parse for research. [30:14] Dr. Dellon says they identify EoE by billing code, but the codes are not always used accurately. Natural Language Processing can train a computer system to find important phrases. Their collaborators working on the real-world data are using it. [30:59] Dr. Dellon hopes that this will be a future direction for this research to find anything in the text related to diet elimination. [31:32] Dr. Jensen says that older patients were less likely to seek medication therapy. She says it's probably for a couple of reasons. First, older patients may have been living with the disease for a long time and have had compensatory mechanisms in place. [32:03] The other reason may be senescence or burnout of the disease, long-term. Patients may be less symptomatic as they get older. That's a question that remains to be answered for EoE. It has been seen in some other disease processes. [32:32] Dr. Dellon says there's not much data specifically looking at EoE in the older population. Dr. Dellon did work years ago with another doctor, and they found that older patients had a better response to some treatments, particularly topical steroids. [32:54] It wasn't clear whether it was a milder aspect of the disease, easier to treat, or because they were older and more responsible, taking their medicines as prescribed, and having a better response rate. It's the flip side of work in the pediatric population. [33:16] There is an increasingly aging population with EoE. Young EoE patients will someday be over 65. Dr. Dellon hopes there will be a cure by that point, but it's an expanding population now. [33:38] Dr. Jensen says only a few sites are contributing data, so they hope to add additional sites to the study. For some of the less common outcomes, they need a pretty large patient sample to ask some of those kinds of questions. [33:55] They will continue to follow up on some of the work that this abstract touched on and try to understand some of these issues more deeply. [34:06] Dr. Dellon mentions other work within the cohort. Using Natural Language Processing, they are looking at characterizing endoscopy information and reporting it without a manual review of reports and codes. You can't get that from billing data. [34:29] Similarly, they are trying to classify patient severity by the Index of Severity with EoE, and layer that on looking at treatments and outcomes based on disease severity. Those are a couple of other directions where this cohort is going. [34:43] Holly mentions that this is one of many research projects Dr. Jensen and Dr. Dellon have collaborated on together. They also collaborate through EGID Partners. Holly asks them to share a little bit about that. [34:53] Dr. Jensen says EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. [35:07] EGID Partners also needs people who don't live with an EGID to join, as controls. That gives the ability to compare those who are experiencing an EGID relative to those who aren't. [35:22] When you join EGID Partners, they provide you with a set of questionnaires to complete. Periodically, they push out a few more questionnaires. [35:33] EGID Partners has provided some really great information about patient experience and answered questions that patients want to know about, like joint pain and symptoms outside the GI tract. [36:04] To date, there are close to 900 participants in the registry from all over the world. As it continues to grow, it will give the ability to look at the patient experience in different geographical areas. [36:26] Dr. Dellon says we try to have it be interactive, because it is a collaboration with patients. The Steering Committee works with APFED and other patient advocacy groups from around the world. [36:41] The EGID Partners website shows general patient locations anonymously. It shows the breakdown of adults with the condition and caregivers of children with the condition, the symptom distribution, and the treatment distribution. [37:03] As papers get published and abstracts are presented, EGID Partners puts them on the website. Once someone joins, they can suggest a research idea. Many of the studies they have done have come from patient suggestions. [37:20] If there's an interesting idea for a survey, EGID Partners can push out a survey to everybody in the group and answer questions relatively quickly. [37:57] Dr. Dellon says a paper came out recently about telehealth. EoE care, in particular, is a good model for telehealth because it can expand access for patients who don't have providers in their area. [38:22] EoE is a condition where care involves a lot of discussion but not a lot of need for physical exams and direct contact, so telehealth can make things very efficient. [38:52] EGID Partners surveyed patients about telehealth. They thought it was efficient and saved time, and they had the same kind of interactions as in person. In general, in-state insurance covered it. Patients were happy to do those kinds of visits again. [39:27] Holly says Dr. Furuta, herself, and others were published in the Gastroenterology journal in 2019 about starting to do telehealth because patients coming to the Children's Hospital of Colorado from out of state had no local access to feeding therapy. [39:50] Holly went to the board, and they allowed her to get licensure in different states. She started with some of the most impacted patients in Texas and Florida in 2011 and 2012. They collected data. They published in 2019 about telehealth's positive impact. [40:13] When 2020 rolled around, Holly had trained a bunch of people on how to do feeding therapy via telehealth. You have to do all kinds of things, like make yourself disappear, to keep the kids engaged and in their chairs! [40:25] Now it is Holly's primary practice. She has licenses in nine states. She sees people all over the country. With her diagnosis, her physicians at Mass General have telehealth licensure in Maine. She gets to do telehealth with them instead of driving two hours. [40:53] Dr. Jensen tells of two of the things they hope to do at EGID Partners. One is trying to understand more about reproductive health for patients with an EGID diagnosis. Only a few studies have looked at this question, and with very small samples. [41:15] As more people register for EGID Partners, Dr. Jensen is hoping to be able to ask some questions related to reproductive health outcomes. [41:27] The second goal is a survey suggested by the Student Advisory Committee, asking questions related to the burden of disease specific to the teen population. [41:48] This diagnosis can hit that population particularly hard, at a time when they are trying to build and sustain friendships and are transitioning to adult care and moving away from home. This patient population has a unique perspective we wanted to hear. [42:11] Dr. Jensen and Dr. Dellon work on all kinds of other projects, too. [42:22] Dr. Dellon says they have done a lot of work on the early-life factors that may predispose to EoE. They are working on a large epidemiologic study to get some insight into early-life factors, including factors that can be measured in baby teeth. [42:42] That's outside of EGID Partners. It's been ongoing, and they're getting close, maybe over the next couple of years, to having some results. [43:03] Ryan says all of those projects sound so interesting. We need to have you guys back to dive into those results when you have something finalized. [43:15] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below. [43:22] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist. [43:31] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections. [43:41] Ryan thanks Dr. Dellon and Dr. Jensen for joining us today. This was a fantastic conversation. Holly also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode. Mentioned in This Episode: Evan S. Dellon, MD, MPH, Academic Gastroenterologist, University of North Carolina School of Medicine Elizabeth T. Jensen, MPH, PhD, Epidemiologist, Wake Forest University School of Medicine, University of North Carolina at Chapel Hill Predictors of Patients Receiving No Medication for Treatment of Eosinophilic Esophagitis in the United States: Data from the TARGET-EGIDS Cohort Episode 15: Access to Specialty Care for Eosinophilic Esophagitis (EoE) APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda. Tweetables: "I've been working on eosinophilic gastrointestinal diseases for about 15 years. I started some of the early work around understanding possible risk factors for the development of disease. I've gone on to support lots of other research projects." — Elizabeth T. Jensen, MPH, PhD "You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have it, it really is a long-term condition." — Evan S. Dellon, MD, MPH "There are two general approaches to treating the underlying condition, … using medicines and/or eliminating foods from the diet that we think may trigger EoE. I should say, for a lot of people, EoE is a food-triggered allergic condition." — Evan S. Dellon, MD, MPH "I didn't find it that surprising [that there are patients who had no treatment]. Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are … still exploring dietary treatment options." — Elizabeth T. Jensen, MPH, PhD "We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. Some people get symptoms and are diagnosed right away. Other people might have symptoms for 20 or 30 years." — Evan S. Dellon, MD, MPH "EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. EGID Partners also needs people who don't live with an EGID to join, as controls." — Elizabeth T. Jensen, MPH, PhD
The US has no shortage of lidocaine patch television commercials. Topical lidocaine has a role for local, topical, minor aches and pains. What about lidocaine patches for post-op cesarean section pain? Is there data for that? A brand-new meta-analysis in AJOG-MFM (Nov 13, 2025) looks at this option. However, there has been 3 prior reviews on the same topic from 2019, 2022, and 2023. Do they all arrive at the same result? Listen in for details!1. Smoker J, Cohen A, Rasouli MR, Schwenk ES. TransdermalLidocaine for Perioperative Pain: A Systematic Review of the Literature. Current Pain and Headache Reports.2019;23(12):89. doi:10.1007/s11916-019-0830-9.2. Koo CH, Kim J, Na HS, Ryu JH, Shin HJ. TheEffect of Lidocaine Patch for Postoperative Pain: A Meta-Analysis of Randomized Controlled Trials. Journal of Clinical Anesthesia. 2022;81:110918.doi:10.1016/j.jclinane.2022.110918.3. Wu X, Wei X, Jiang L, et al. Is Lidocaine PatchBeneficial for Postoperative Pain?: A Meta-Analysis of Randomized Clinical Trials. The Clinical Journal of Pain. 2023;39(9):484-490. doi:10.1097/AJP.00000000000011354. Parisi, Nadia et al.Lidocaine patches aftercesarean delivery: a meta-analysis of randomized controlled trials. American Journal of Obstetrics & Gynecology MFM, Volume 0, Issue 0, 101832
Let's reflect on Heaven, Hell and Purgatory
Cookies afternoon show
The Uncut Podcast with Beatrice, Tammy & Sharon.Make sure you follow our page and like, comment, and share this episode with your friends and family if you enjoyed it!Follow / Subscribe to Cam:IG: @Topical_JuiceYT: https://www.youtube.com/@TopicalJuiceFor extra, EXCLUSIVE content every single week subscribe to our Patreon: https://www.patreon.com/THEUNCUTPODCASTSend us your dilemma here: https://uncutpodcast.komi.ioFollow us on our personal Instagram accounts:Beatrice - https://www.instagram.com/beatriceakn/Tammy - https://www.instagram.com/tammymontero/Sharon - https://www.instagram.com/sharonodu/OUR SPOTIFY PLAYLIST: https://open.spotify.com/playlist/40twtNh14y2qomPUPuFlj8?si=4d3340a1c2de4719OUR APPLE MUSIC PLAYLIST: https://music.apple.com/gb/playlist/bts-song-of-the-week/pl.u-RRbVY4RueR8gyGConnect with us:Instagram: https://www.instagram.com/theuncutpodcast/TikTok: https://www.tiktok.com/@theuncutpodcast_X: https://x.com/theuncutpodcastSnapchat: https://www.snapchat.com/add/theuncutpodcastWhatsapp Channels: https://www.whatsapp.com/channel/0029Vao6ZsWId7nFFpo3A83X?fbclid=PAZXh0bgNhZW0CMTEAAaaTn0l6nmk6QCRy7hwbPt7ArWIT91nSJw4wgMKEw9RO-QQppHQ1yhTmzq0_aem_mH5QBC-N5WKGzQ54BLrHjA Hosted on Acast. See acast.com/privacy for more information.
The Uncut Podcast with Beatricd, Tammy & Sharon.Make sure you follow our page and like, comment, and share this episode with your friends and family if you enjoyed it!Follow / Subscribe to Cam:IG: @Topical_JuiceYT: https://www.youtube.com/@TopicalJuiceFor extra, EXCLUSIVE content every single week subscribe to our Patreon: https://www.patreon.com/THEUNCUTPODCASTSend us your dilemma here: https://uncutpodcast.komi.ioFollow us on our personal Instagram accounts:Beatrice - https://www.instagram.com/beatriceakn/Tammy - https://www.instagram.com/tammymontero/Sharon - https://www.instagram.com/sharonodu/OUR SPOTIFY PLAYLIST: https://open.spotify.com/playlist/40twtNh14y2qomPUPuFlj8?si=4d3340a1c2de4719OUR APPLE MUSIC PLAYLIST: https://music.apple.com/gb/playlist/bts-song-of-the-week/pl.u-RRbVY4RueR8gyGConnect with us:Instagram: https://www.instagram.com/theuncutpodcast/TikTok: https://www.tiktok.com/@theuncutpodcast_X: https://x.com/theuncutpodcastSnapchat: https://www.snapchat.com/add/theuncutpodcastWhatsapp Channels: https://www.whatsapp.com/channel/0029Vao6ZsWId7nFFpo3A83X?fbclid=PAZXh0bgNhZW0CMTEAAaaTn0l6nmk6QCRy7hwbPt7ArWIT91nSJw4wgMKEw9RO-QQppHQ1yhTmzq0_aem_mH5QBC-N5WKGzQ54BLrHjA Hosted on Acast. See acast.com/privacy for more information.
This week we welcome Maddi Mays to the lair for another splendiferous episode! We're talking white woman empathy, cloned dogs, NBA YoungBoy, anime and so much more. PLUS stick around as we test out Maddi's Black AF1 Energy! LIKE, SHARE & SUBSCRIBE to NNFA https://www.youtube.com/channel/UCLAUp-4rTF4q4XLujbJ51YQ NO NEED FOR APOLOGIES TOUR DATES https://www.linktr.ee/nnfaNNFA MERCH https://nnfa.creator-spring.com/ BONUS EPISODES https://www.patreon.com/c/ImDaveTemple?utm_medium=clipboard_copy&utm_source=copyLink -----------------Follow host Derek GainesIG https://www.instagram.com/thegreatboy/ Follow host Dave TempleIG https://www.instagram.com/imdavetemple/ YouTube https://www.youtube.com/@DAT46Follow Maddi MaysIG -https://www.instagram.com/maddimays/ Follow No Need for ApologiesInstagram https://www.instagram.com/nnfapodcast/ TikTok https://www.tiktok.com/@noneedforapologies Facebook https://www.facebook.com/noneedforapologies/Produced by Teona SashaIG https://www.instagram.com/teonasasha/TikTok https://www.tiktok.com/@teonasasha -----------------To advertise your product on our podcasts please email jimmy@gasdigitalmarketing.com with a brief description about your product and any shows you may be interested in advertising on.SEND US MAIL:GaS Digital StudiosAttn: NNFA151 1st Ave # 311New York, NY 10003"No Need for Apologies" - NEW Episodes every Saturday at 3PM/ET on YouTube-----------------See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on tonight's show, Shelley talks about Charlie Brown trying to kick the football, why he continues to do it, and why the democrats are just like that, talks about manufacturing jobs what he may do tonight since he is off early, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, on tonight's show, this is a short hour, Shelley talks tech stocks selling and what he think it may mean, takes calls, and talks about New Tork's new Mayor speaking against Starbucks, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
In this third installment, James shares a collection of clips answering foundational IBC® questions. He highlights why the policy owner's actions such as capitalization, premium payments, and loan repayments ultimately shape long-term results. As always, we hope you enjoy the episode and thank you for listening!Make sure to like and subscribe to join us weekly on the Banking With Life Podcast!━━━Become a client! ➫ www.bankingwithlife.com/how-to-fast-t…ur-own-bankerBuy Nelson Nash's 6.5 hour Seminar on DVD here: ➫ www.bankingwithlife.com/product/the-5…ecorded-live/ (Call us at (817) 790-0405 or email us at myteam@bankingwithlife.com for a DISCOUNT CODE)Register for our free webinar to learn more about Infinite Banking... ➫ www.bankingwithlife.com/getting-started-webinar━━━Implement the Infinite Banking Concept® with the Infinite Banking Starter Kit...The Starter Kit includes Becoming Your Own Banker by R. Nelson Nash and the Banking With Life DVD by James Neathery.It's the perfect primer for everyone interested in becoming their own banker.Buy your starter kit here: ➫ www.bankingwithlife.com/product/becom…pecial-offer/━━━Learn more about James Neathery here: ➫ bankingwithlife.com━━━Listen on your iPhone with Apple Podcasts: ➫ podcasts.apple.com/us/podcast/bank…st/id1451730017Listen on your Android through Stitcher: ➫ www.stitcher.com/podcast/bank...Listen on Soundcloud: ➫ @banking-with-life-podcast━━━Follow us on Facebook: ➳ www.facebook.com/jamescneathery/━━━Disclaimer:All content on this site is for informational purposes only. The content shared is not intended to be a substitute for consultation with the appropriate professional. Opinions expressed herein are solely those of James C. Neathery & Associates, Inc., unless otherwise specifically cited. The data that is presented is believed to be from reliable sources and no representations are made by James C. Neathery & Associates, Inc. as to another party's informational accuracy or completeness. All information or ideas provided should be discussed in detail with your Adviser, Financial Planner, Tax Consultant, Attorney, Investment Adviser or the appropriate professional prior to taking any action.
Send me a question or story!As dermatologists, we LOVE topical therapy. However there are some basic things that need to be considered when suggesting a protocol. What are you treating?What is the ultimate goal?What do you or the owner have?Can it happen?Check out some simple tips on this week's episode of The Derm Vet podcast!00:00 – Intro01:15 – Q1: Why Are You Using Topical Therapy?04:41 – Q2: What is the Goal of the Product?05:58 – Q3: What Do You Have Available?08:45 – Q4: Can the Owner Do It?11:34 – Overview12:44 – Outro
In this episode of Tea with Dr D, host James Q. Del Rosso, DO, is joined by Christopher Bunick, MD, PhD, and later Lisa Swanson, MD, for a deep look at phosphodiesterase-4 (PDE4) inhibition in dermatology, with a special focus on topical roflumilast. Dr Bunick opens with a primer on the science of PDE4, an enzyme that degrades cyclic AMP (cAMP), an intracellular messenger that regulates anti-inflammatory pathways. In conditions such as atopic dermatitis (AD) and psoriasis, overactive PDE4 leads to reduced cAMP and amplified inflammation. By “gumming up” PDE4, roflumilast restores a more balanced, anti-inflammatory state. He explains why PDE4 inhibition is relevant across multiple inflammatory pathways, including Th1, Th2, and Th17, and why roflumilast has demonstrated stronger efficacy than earlier inhibitors like crisaborole. Molecularly, roflumilast mimics cyclic AMP's binding to PDE4 across 3 key sites, producing far tighter binding than apremilast and crisaborole, which translates to superior clinical potency. Dr Bunick illustrates this with a case of palmoplantar pustular psoriasis that cleared dramatically within 8 weeks on topical roflumilast after multiple biologic and corticosteroid failures, highlighting its durability and barrier-restoring properties. He and Dr Del Rosso contrast this with the limitations of chronic steroid use, noting that roflumilast supports long-term control without barrier compromise. The discussion also touches on vitiligo, where Dr Bunick shares an early case of repigmentation following roflumilast treatment, suggesting possible cAMP-mediated stimulation of melanogenesis. They highlight the molecule's innovative aqueous-based formulation, optimized for skin-compatible pH and excellent tolerability. In Part 2, Dr Swanson joins to discuss pediatric use. She reviews the 0.15% cream for AD in patients ≥6 years and the 0.05% cream for ages 2–5, both once-daily, steroid-free options that minimize burning and stinging compared with earlier PDE4 inhibitors. They review clinical data that demonstrate rapid itch relief, strong efficacy across IGA and EASI end points, and sustained control with twice-weekly maintenance. Tune in to hear how PDE4 inhibition, and particularly topical roflumilast, is redefining nonsteroidal therapy across age groups and disease states in dermatology.
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, on tonight's show, the shutdown finally comes to an end, Shelley talks about it, he wonders if he should be upset that his bosses want him to take more time off and asks the audience if they noticed the government was shutdown, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on tonight's show, Shelley talks about a quote Trump just made about needed people with H! Visas to work in certain factories, because we do not have enough good America workers, talks about how DEI was bad because it put a label on something that did not need it, counts down to the vote to end the shutdown, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on tonight's show, Shelley talks about Veteran's Day, about the students he spoke with today, and how they shaped his outlook on the future, Tucker Carlson, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, Shelley talks to Carolyn Bourdeaux this is not their usual Wednesday night talk about politics, but with the shutdown coming to an end, Shelley wanted to talk to Carolyn about how she feels, talks the woman who told him to call WSB to get his job, talks about something you should be concerned about your kids doing, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Do you get this Michael D joke?Tuck into Dave's Bad Jokes to brighten your day.
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, on tonight's show, Shelley send prayers out for a good friend of his, talks about the idea of a 50-year mortgage, talks about playing rock paper scissors, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
The church is more than a building, a denomination or a place we go on Sundays. You are the Church!
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on tonight's show, Shelley talks about the shutdown supposedly ending, talks about another special election, plays an interview he had with Derek Dooley, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
2 Samuel 11-12 - Lessons from David's Sin - Pastor TJ EveMESSAGE NOTES:http://www.calvaryword.com/Topical/a1429.pdf
Welcome back to another wild episode of NNFA Podcast with the Casey Jones of NNFA, Simeon Goodson! He's back fresh off a casino run with Hannibal Buress, still lit from Dave & Buster's, and ready to drop gems (and chaos). Dave and Simeon dive into everything from Ozempic and Bad Bunny fandoms to Atlantic City pastors and hood dogs. It's raw, hilarious, and splendiferous! LIKE, SHARE & SUBSCRIBE to NNFA https://www.youtube.com/channel/UCLAUp-4rTF4q4XLujbJ51YQ NO NEED FOR APOLOGIES TOUR DATES https://www.linktr.ee/nnfaNNFA MERCH https://nnfa.creator-spring.com/ BONUS EPISODES https://www.patreon.com/c/ImDaveTemple?utm_medium=clipboard_copy&utm_source=copyLink -----------------Follow host Derek GainesIG https://www.instagram.com/thegreatboy/ Follow host Dave TempleIG https://www.instagram.com/imdavetemple/ YouTube https://www.youtube.com/@DAT46Follow Simeon GoodsonIG - https://www.instagram.com/simdelacreme/ Follow No Need for ApologiesInstagram https://www.instagram.com/nnfapodcast/ TikTok https://www.tiktok.com/@noneedforapologies Facebook https://www.facebook.com/noneedforapologies/Produced by Teona SashaIG https://www.instagram.com/teonasasha/TikTok https://www.tiktok.com/@teonasasha -----------------To advertise your product on our podcasts please email jimmy@gasdigitalmarketing.com with a brief description about your product and any shows you may be interested in advertising on.SEND US MAIL:GaS Digital StudiosAttn: NNFA151 1st Ave # 311New York, NY 10003"No Need for Apologies" - NEW Episodes every Saturday at 3PM/ET on YouTube-----------------See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Unique, Fearless and Topical where you provide the balance to our content. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
In this second installment, James shares a collection of clips discussing Universal Life insurance within the Infinite Banking Concept®. He highlights why Nelson Nash emphasized dividend-paying whole life, and how the structure and guarantees differ over time. As always, we hope you enjoy the episode and thank you for listening!Make sure to like and subscribe to join us weekly on the Banking With Life Podcast!━━━Become a client! ➫ www.bankingwithlife.com/how-to-fast-t…ur-own-bankerBuy Nelson Nash's 6.5 hour Seminar on DVD here: ➫ www.bankingwithlife.com/product/the-5…ecorded-live/ (Call us at (817) 790-0405 or email us at myteam@bankingwithlife.com for a DISCOUNT CODE)Register for our free webinar to learn more about Infinite Banking... ➫ www.bankingwithlife.com/getting-started-webinar━━━Implement the Infinite Banking Concept® with the Infinite Banking Starter Kit...The Starter Kit includes Becoming Your Own Banker by R. Nelson Nash and the Banking With Life DVD by James Neathery.It's the perfect primer for everyone interested in becoming their own banker.Buy your starter kit here: ➫ www.bankingwithlife.com/product/becom…pecial-offer/━━━Learn more about James Neathery here: ➫ bankingwithlife.com━━━Listen on your iPhone with Apple Podcasts: ➫ podcasts.apple.com/us/podcast/bank…st/id1451730017Listen on your Android through Stitcher: ➫ www.stitcher.com/podcast/bank...Listen on Soundcloud: ➫ @banking-with-life-podcast━━━Follow us on Facebook: ➳ www.facebook.com/jamescneathery/━━━Disclaimer:All content on this site is for informational purposes only. The content shared is not intended to be a substitute for consultation with the appropriate professional. Opinions expressed herein are solely those of James C. Neathery & Associates, Inc., unless otherwise specifically cited. The data that is presented is believed to be from reliable sources and no representations are made by James C. Neathery & Associates, Inc. as to another party's informational accuracy or completeness. All information or ideas provided should be discussed in detail with your Adviser, Financial Planner, Tax Consultant, Attorney, Investment Adviser or the appropriate professional prior to taking any action.
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, Shelley talks to Carolyn Bourdeaux for their usual Wednesday night talk about politics, takes calls, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 1, on this election night edition of the show Shelley take time to honor a friend of his who passed away, talks about the races in Georgia, Nick Fuentes, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
Unique, Fearless and Topical where you provide the balance to our content. Tonight, in Hour 2, on this election night edition of the show Shelley updates everyone on the incoming election results, talks to Carolyn Bourdeaux about the elections and what she is seeing from the results, he talks about helping Jamacia, and much more. Listen LIVE weeknights 7pm-9pm on 95.5 WSB
In this episode, Dr. Patti Farris is joined by dermatologists Dr. Mona Gohara and Dr. Kavita Mariwalla to discuss the impact of menopause on skin health. They explore common skin concerns during menopause, effective skincare recommendations, the importance of retinol and sunscreen, and the controversial topic of topical estrogens. The conversation emphasizes the need for accessible skincare solutions and the importance of understanding the changes that occur in the skin during this life stage. To watch this an other episodes, be sure to check out our YouTube page A big thank you to our sponsor Neutrogena® To learn more about the products discussed in this episode, please visit: Dedicated to Dermatology Professionals | NeutrogenaMD® Takeaways Menopause is a significant topic in medicine and skincare.Common skin concerns during menopause include dryness, dullness, and sensitivity.Retinol remains the gold standard in skincare for aging skin.Daily sunscreen use is crucial for skin protection, regardless of the weather.Neutrogena's Hydro Boost line is effective for post-procedure care.Topical estrogens are still under research and not widely recommended for facial use.Retinol provides multiple benefits, including collagen production and skin tone improvement.Patients should be educated on the importance of skincare routines during menopause.Accessibility to effective skincare products is essential for all women.Simplicity in skincare routines can help manage the complexities of menopause. Disclaimer: This podcast is not intended to provide diagnosis, treatment, or medical advice. Content provided in this podcast is for educational purposes only. Please consult with a physician regarding any health-related diagnosis or treatment.See omnystudio.com/listener for privacy information.
All of us are called to remember the past, to rejoice in the present and to Be renewed in faith to journey forward.
Ever mix up what God declares, what we practice, and what we're promised? We walk through the Bible's three-part map of the Christian life—justification, sanctification, and glorification—with clear definitions, vivid analogies, and a stack of Scripture you can mark up and revisit. You'll hear why no amount of future good deeds can pay for past sin, how faith unites us to Christ's righteousness, and why justification is a one-time verdict from God that secures real assurance.From there, we shift to growth. Sanctification isn't a ladder to earn acceptance; it's the Spirit-led process of becoming more like Jesus. We talk about what “set apart” looks like in ordinary days: learning God's ways, resisting old patterns, forming new habits, and trusting the Holy Spirit's quiet conviction. You'll see why the Corinthians could be “sanctified” and still need correction, and how that tension makes sense of uneven progress without surrendering the call to holiness.Finally, we lift our eyes to glorification. Drawing from 1 Corinthians 15, Philippians 3, and Revelation 21–22, we unpack the hope of resurrection bodies, a world made new, and tears wiped away. Glorification is not ethereal; it's embodied, joyful, and just. We explore the promise that the saints will be raised imperishable and share in Christ's glory, and how that future anchors courage, endurance, and meaningful work today.If you're hungry for gospel clarity and practical wisdom, this conversation will steady your heart and sharpen your steps. Listen, share with a friend who needs assurance, and leave a review to help others find the show.Support the showThank you for listening!! Please give us a five-star rating to help your podcast provider's algorithm spread RTTB among their listeners. You can find free study and leader resources at the following link - Resource Page - Reasoning Through the Bible Please prayerfully consider supporting RTTB to help us to continue providing content and free resources. You can do that at this link - Support RTTB - Reasoning Through the Bible May God Bless you!! - Glenn and Steve
Chris Riggins hits the NNFA turtle lair to do a deep dive into Halloween madness, the viral “Studstitute” clips, and Dave's controversial decision to stop speaking Spanish
Episode 205: Atopic Dermatitis Kara Willbanks (medical student) explains the definition, pathophysiology, and treatment of eczema. Dr. Arreaza adds some input about bleach baths and topical steroids. Written by Kara Willbanks, MSIV, American University of the Caribbean. Comments and edits by Hector Arreaza, MD.You are listening to Rio Bravo qWeek Podcast, your weekly dose of knowledge brought to you by the Rio Bravo Family Medicine Residency Program from Bakersfield, California, a UCLA-affiliated program sponsored by Clinica Sierra Vista, Let Us Be Your Healthcare Home. This podcast was created for educational purposes only. Visit your primary care provider for additional medical advice.October is the Eczema Awareness Month!What Is Atopic Dermatitis? Atopic dermatitis, a form of eczema, is a chronic, relapsing inflammatory skin disorder that often begins in childhood but can affect people of all ages. Other eczematous dermatoses include seborrheic dermatitis, contact dermatitis, juvenile plantar dermatosis, and stasis dermatitis. Atopic dermatitis is one of the most common skin conditions in the developed world, typically affecting up to 20% of children and 5-10% of adults. Patients usually present with severe pruritus (itchiness) and dry, inflamed patches of skin. Common sites include the face and extensor surfaces in infants, and flexural areas — like the elbows and knees — in older children and adults. Atopic dermatitis is often associated with other allergic conditions like asthma and allergic rhinitis — what we call the “atopic triad.” These conditions should also be considered when diagnosing someone with atopic dermatitis. PathophysiologyAtopic dermatitis is believed to occur due to a combination of genetic, immune, and environmental factors. A major component is a defective skin barrier, often linked to mutations in the filaggrin gene. This allows irritants, allergens, and microbes to penetrate the skin more easily, triggering inflammation.Differential DiagnosisAtopic dermatitis can sometimes mimic other skin conditions, so it's important to keep a differential in mind: -Contact dermatitis – triggered by allergens or irritants; often limited to the area of exposure but also tends to be very itchy. -Seborrheic dermatitis – greasy scales, typically on the scalp, eyebrows, and nasolabial folds -Psoriasis – well-demarcated plaques with silvery scales; sometimes found in similar areas of the body as eczema. -Tinea (fungal infections) – ring-shaped lesions with active, scaly borders -Important to note that treatment of tinea with topical steroids can make the rash much worse. -Scabies – intense itching, especially at night, with burrows between fingers. Ruling out these conditions helps guide the right treatment and prevent chronic mismanagement. As a recap our main differential diagnosis: contact dermatitis, seborrheic dermatitis, psoriasis, tinea, and scabies.The treatment cornerstone: Moisturizers The most important daily treatment for atopic dermatitis is regular moisturizing. Moisturizers repair the skin barrier, reduce water loss, and protect against irritants. They should be applied at least twice daily, ideally right after bathing while the skin is still damp (within 3 minutes is most ideal). Use greasy ointments or thick creams rather than lotions — think products with ceramides or glycerin (hydrates and protects skin). It is best to choose ointments or creams without additives, perfumes or fragrances. Greasier ointments are the preferred vessel; however, patient compliance may be less as they may be unpleasant to some.Bleach Baths For patients with frequent skin infections or severe eczema, dilute bleach baths can be a game-changer. How to do it? Use ¼ to ½ cup of household bleach in a full standard bathtub of water (about 40 gallons) and soak for 10 minutes, twice a week. This helps reduce bacterial colonization — particularly Staphylococcus aureus — which commonly worsens eczema. After the bath, pat the skin dry and immediately apply a moisturizer (within 3 minutes). Bleach baths are endorsed by the American Academy of Pediatrics and the American Academy of Dermatology as an adjunctive treatment for atopic dermatitis, especially in patients with moderate to severe disease and frequent bacterial infections, but the evidence for their efficacy is mixed, and further well-designed studies are needed.Medical Treatments-Topical corticosteroids: When moisturizers alone aren't enough, we move to anti-inflammatory therapy. Topical corticosteroids are the first-line treatment for flares. Some studies suggest that a short burst of a high-potency topical corticosteroid to rapidly control active disease, followed by a quick taper in potency, is most effective, whereas others use the lowest-potency agent thought to be needed and adjust upward only if this fails. Common steroids used are hydrocortisone (low potency), triamcinolone (medium potency), or betamethasone (high potency). -High-potency steroids should never be applied to sensitive skin like the face. With short-term use of lower-potency steroids, there is a low likelihood of skin atrophy but use for more than 6 months is linked with greater levels of skin thinning -Wet wrap therapy: Wet wrap therapy improves absorption of topic steroid. Apply a topical steroid, then layer a wet dressing and then a dry dressing over the top of that. This can be beneficial in providing both relief of symptoms and prevention of itching. In pediatric patients it is called “daddy's socks therapy” because large socks may be used to cover the arms of kids.-Topical calcineurin inhibitors — like tacrolimus — are great alternatives for sensitive areas or for maintenance once inflammation is under control. They may burn upon application which can scare patients away from their use.-PO antihistamines can help with itching, especially at night, but they don't treat inflammation itself.-Systemic therapies, like dupilumab (Dupixent®), an IL-4 receptor antagonist, are reserved for moderate to severe cases unresponsive to topical therapy. This is a great time to refer to your local dermatologist for management! Many of the newer treatments are highly effective but can require more frequent monitoring.Recent Research One recent study is the 2024 Cochrane network meta-analysis comparing effectiveness of topical anti-inflammatory treatments for eczema that was recently published in the AFP Journal in July of 2025.Here are the highlights:-Over 291 RCTs with ~45,846 participants were included. -The analysis ranked potent topical corticosteroids, JAK inhibitors (for example ruxolitinib (Opzelura® 1.5 %), and tacrolimus 0.1 % among the most effective for reducing signs and symptoms of eczema. -In contrast, PDE-4 inhibitors [like crisaborole (Eucrisa®) 2 %] were among the least effective in this comparison. -Regarding side effects: tacrolimus and crisaborole were more likely to cause burning or stinging at the application site; corticosteroids were less likely in the short term to cause local irritation.-Long-term outcomes regarding effectiveness or safety of treatments for eczema were not addressed by the review because they are rarely reported.”-Another insight from this study is considering cost when initiating treatment. Most topical steroids are significantly more cost effective than JAK inhibitors or calcineurin inhibitors so it may be best to start with a cheaper solution in an uninsured patient considering their relative effectiveness. Additional Tips & Lifestyle -Keep baths and showers short and in lukewarm water.-Avoid harsh soaps and detergents — use gentle, fragrance-free cleansers.-Wear soft cotton clothing instead of wool or synthetics.-Identify and avoid triggers — common ones include stress, sweating, allergens, and certain foods (especially in kids).-Ice packs can help reduce itching and relieve any burning sensation.-Keep fingernails short, especially in children, help cause less trauma to the skin from repeated itching. Living with eczema Many celebrities like Kerry Washington, Jessica Simpson, Kelly Rowland, Brad Pitt and Kristen Bell have spoken out about their lives with eczema. They have shared personal stories about how they were diagnosed, what treatment works for them, and the general impact it has had on their lives and mental health. I feel like it can be so important for celebrities to speak out about their lives with certain conditions because it helps to normalize the condition, raise awareness of the struggles, and encourages more open dialogue.It is important to remember that for patients living with eczema, the persistent itch-scratch cycle can be very distressing, causing patients to struggle with their sleep and day-to-day activities. Anxiety and depression are common in patients with eczema so as physicians it is vital to monitor for signs of distress. Support groups can be incredibly helpful for patients [National Eczema Association]If you are interested in providing additional information to your patients or getting this for yourself, you can find more resources on altogethereczema.org or nationaleczema.org. Key Takeaways Atopic dermatitis is chronic but manageable. Moisturizers are the foundation of treatment. Topical steroids and calcineurin inhibitors control inflammation. Bleach baths help reduce bacterial load and flare severity. Always rule out other skin conditions to ensure appropriate management. Atopic dermatitis can be managed by the primary care physician but in certain cases (cases refractory to standard topical treatment, recurrent infections, etc.), a referral to dermatology can be especially helpful.Even without trying, every night you go to bed a little wiser. Thanks for listening to Rio Bravo qWeek Podcast. We want to hear from you, send us an email at RioBravoqWeek@clinicasierravista.org, or visit our website riobravofmrp.org/qweek. See you next week! References:Coping with eczema. Allergy & Asthma Network. (2025, May 20). https://allergyasthmanetwork.org/what-is-eczema/coping-with-eczema/.Eichenfield LF, Tom WL, Chamlin SL, et al. Guidelines of care for the management of atopic dermatitis: section 1. Diagnosis and assessment of atopic dermatitis. J Am Acad Dermatol. 2014 Feb;70(2):338-51. doi: 10.1016/j.jaad.2013.10.010. Epub 2013 Nov 27. PMID: 24290431; PMCID: PMC4410183. https://pubmed.ncbi.nlm.nih.gov/24290431/.Yancey, J. R., & Green, S. (2025, July 15). Effectiveness of topical anti-inflammatory drugs for eczema. American Family Physician. https://www.aafp.org/pubs/afp/issues/2025/0700/cochrane-eczema.html.Theme song, Works All The Time by Dominik Schwarzer, YouTube ID: CUBDNERZU8HXUHBS, purchased from https://www.premiumbeat.com/.
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Topical style teaching using Proverbs CH 3:5-6 and Luke CH 17:5-10 dealing with trusting in God. This teaching will examine another unique relationship with trust and faith associated with the parable of the mustard seed account recorded in the gospel of Luke. We will also examine several amazing promises guaranteed to those who put their trust in the Lord, as well as the devastating consequences for those who chose not to do so, in the hopes that all would chose to trust in Jesus Christ. Taught by Assistant Pastor Mac at Calvary Kaneohe Hawaii.
Topical style teaching using Proverbs CH 3:5-6 and 1st Samuel CH 17:34-37 dealing with trusting in God. This teaching will examine the unique relationship with trust and faith, and show the importance of our current individual responsibilities that will have future impacts concerning our overall trust. We will expound on what trusting the Lord is, as well as how this trusting and acknowledging of the Lord should be conducted, by those who believe in the name of Jesus Christ. Taught by Assistant Pastor Mac at Calvary Kaneohe Hawaii.
This week we've got Petey DeAbreu in the turtle lair for the first time! MLK is AI, America is protesting and Dave confesses who was hanging in his grandmother's kitchen. We also take a look at Sabrina Carpenter's Espresso lyrics and watch Trump's wild interview clips — this episode is packed with chaos, comedy, and splendiferous laughs!LIKE, SHARE & SUBSCRIBE to NNFA https://www.youtube.com/channel/UCLAUp-4rTF4q4XLujbJ51YQ NO NEED FOR APOLOGIES TOUR DATES https://www.linktr.ee/nnfaNNFA MERCH https://nnfa.creator-spring.com/ BONUS EPISODES https://www.patreon.com/c/ImDaveTemple?utm_medium=clipboard_copy&utm_source=copyLink -----------------Follow host Derek GainesIG https://www.instagram.com/thegreatboy/ Follow host Dave TempleIG https://www.instagram.com/imdavetemple/ YouTube https://www.youtube.com/@DAT46Follow Petey DeAbreuIG - https://www.instagram.com/peteydeabreu/ Follow No Need for ApologiesInstagram https://www.instagram.com/nnfapodcast/ TikTok https://www.tiktok.com/@noneedforapologies Facebook https://www.facebook.com/noneedforapologies/Produced by Teona SashaIG https://www.instagram.com/teonasasha/TikTok https://www.tiktok.com/@teonasasha -----------------To advertise your product on our podcasts please email jimmy@gasdigitalmarketing.com with a brief description about your product and any shows you may be interested in advertising on.SEND US MAIL:GaS Digital StudiosAttn: NNFA151 1st Ave # 311New York, NY 10003"No Need for Apologies" - NEW Episodes every Saturday at 3PM/ET on YouTube-----------------See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.