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John is joined by Christopher P. Bogart, CEO and Co-Founder of Burford Capital. They discuss the evolving landscape of capital investment in law firms, focusing on the emergence of non-lawyer equity participation and managed service organization structures as potential solutions to long-standing financing constraints within the legal industry. Traditionally, U.S. law firms have been prohibited from allowing non-lawyer ownership, a rule rooted in the belief that outside investors could compromise lawyers' undivided duty of loyalty to clients. Because of this restriction, firms have largely been limited to partner capital and debt financing, preventing them from accessing equity markets or monetizing the enterprise value they build over time. This limitation affects not only firm expansion and technology investment, but also partner retirement, succession planning, and talent retention.Other common law jurisdictions, particularly the United Kingdom and Australia, have relaxed these restrictions, permitting outside investment and even public listings. Still, large elite firms have been slow to adopt such models, due in part to risk aversion and concerns about partner compensation. In the United States, regulatory change has been fragmented because lawyer governance operates state by state. Arizona and Utah have experimented with loosening ownership rules, but geographic limits and regulatory pushback have constrained broader adoption of looser ownership rules.Recently, attention has shifted to alternative structures, particularly managed service organizations. These arrangements divide a law firm into two entities: one engaged in practicing law and a separate services company handling operational functions that can be outsourced such as litigation support, staffing, technology, and trial logistics. While non-lawyer investors could not own the legal practice, they could invest in the services entity, creating a vehicle for external capital, equity incentives, and infrastructure funding. However, implementing such structures within established firms would be complex from operational, management, and tax perspectives.Despite the slow pace, external capital is widely viewed as inevitable given the legal industry's scale, profitability, and growing technological demands. Meaningful acceleration across the market will likely require several major firms to demonstrate workable models that others can follow.Podcast Link: Law-disrupted.fmHost: John B. Quinn Producer: Alexis HydeMusic and Editing by: Alexander Rossi
Bee Season in Full Swing: The February 18 edition of the AgNet News Hour focused on one of the most critical — and often overlooked — inputs in California agriculture: bees. With almond bloom underway across the Central Valley and storms rolling through the state, hosts Nick Papagni and Josh McGill dedicated much of the program to pollination, hive health, and why timing is everything during this narrow three- to four-week window. Papagni opened the show reflecting on recent rainstorms and the importance of moisture heading into peak bloom. While rain is welcome for reservoirs and soil profiles, it complicates pollination logistics. Bees don't fly in heavy rain, cold temperatures, or high winds, and muddy orchards can delay hive placement. With bloom percentages already climbing, growers without secured hives could find themselves in a tight spot. The episode featured an in-depth interview with Daniel Taran, Field Marketing Manager for BeeHero, who explained how technology is changing the pollination game. Traditionally, growers rely on a standard rate of two hives per acre. BeeHero takes a more data-driven approach, using in-hive sensors to measure colony strength and frame counts before deployment. That transparency gives growers confidence they're receiving strong, active colonies — not underperforming boxes. Taran noted that nearly every commercial beehive in the country eventually makes its way to California for almond pollination. Given the scale of the industry, even minor colony losses can tighten supply. Last year's elevated losses due to Varroa mite resistance highlighted how fragile the system can be. While conditions appear improved this season, demand remains extremely high, and theft of beehives — sometimes worth hundreds of dollars each — continues to be an issue across rural counties. The hosts also emphasized the biological side of the story. Bees are responsible for pollinating roughly one-third of the food humans consume. Worker bees live about 30 to 40 days, while queens can live several years. During bloom, bees work quickly and methodically, foraging from the closest flowers and returning repeatedly to their hive. With only one shot at pollination each season, successful bloom directly determines final yields. Beyond bees, the program also featured interviews from World Ag Expo, including Alexandra Duarte's California Senate campaign update and agronomic insights from AgroLiquid and Valent on post-rain nutrition and pest management. But pollination remained the central theme: without bees, there is no almond crop. As Papagni put it, water, labor, freight, and regulations matter — but without healthy hives in the orchard right now, nothing else counts.
Our Head of U.S. Internet Research Brian Nowak joins U.S. Small and Mid-Cap Internet Analyst Nathan Feather to explain why the future of agentic commerce is closer than you think.Read more insights from Morgan Stanley.----- Transcript -----Brian Nowak: Welcome to Thoughts on the Market. I'm Brian Nowak, Morgan Stanley's Head of U.S. Internet ResearchNathan Feather: And I'm Nathan Feather, U.S. Small and Mid-Cap Internet Analyst.Brian Nowak: Today, how AI-powered shopping assistants are set to revolutionize the e-commerce experience.It's Tuesday, February 17th at 8am in New York.Nathan, let's talk a little bit about agentic commerce. When was the last time you reordered groceries? Or bought household packaged goods? Or compared prices for items you [b]ought online and said, ‘Boy, I wish there was an easier way to do this. I wish technology could solve this for me.'Nathan Feather: Yeah. Yesterday, about 24 hours ago.Brian Nowak: Well, our work on agentic commerce shows a lot of these capabilities could be [coming] sooner than a lot of people appreciate. We believe that agentic commerce could grow to be 10 to 20 percent of overall U.S. e-commerce by 2030, and potentially add 100 to 300 basis points of overall growth to e-commerce.There are certain categories of spend we think are going to be particularly large unlocks for agentic commerce. I mentioned grocery, I mentioned household essentials. We think these are some of the items that agentic commerce is really going to drive a further digitization of over the next five years.So maybe Nathan, let's start at the very top. Our work we did together shows that 40 to 50 percent of consumers in the U.S. already use different AI tools for product research, but only a mid single digit percentage of them are actually really starting their shopping journey or buying things today. What does that gap tell you about the agentic opportunity and some of the hurdles we have to overcome to close that gap from research to actual purchasing?Nathan Feather: Well, I think what it shows is that clearly there is demand from consumers for these products. We think agentic opens up both evolutionary and revolutionary ways to shop online for consumers. But at the moment, the tools aren't fully developed and the consumer behavior isn't yet there. And so, we think it'll take time for these tools to develop. But once they do, it's clear that the consumer use case is there and you'll start to see adoption.And building on that, Brian, on the large cap side, you've done a lot of work here on how the shopping funnel itself could evolve. Traditionally discovery has flowed through search, social or direct traffic. Now we're seeing agents begin to sit in the start of the funnel acting as the gatekeeper to the transaction. For the biggest platforms with massive reach, how meaningful is that shift?Brian Nowak: It is very meaningful. And I think that this agentic shift in how people research products, price compare products, purchase products, is going to lead to even more advertis[ing] and value creation opportunity for the big social media platforms, for the big video platforms. Because essentially these big platforms that have large corpuses of users, spending a lot of time on them are going to be more important than ever for companies that want to launch new products. Companies that want to introduce their products to new customers.People that want to start new businesses entirely, it's going to be harder to reach new potential customers in an agentic world. So, I think some of these leading social and reach based video platforms are going to go up in value and you'll see more spend on those for people to build awareness around new and existing products.On this point of the products, you know, our work shows that grocery and consumer packaged goods are probably going to be one of the largest category unlocks. You know, we already know that over 50 percent of incremental e-commerce growth in the U.S. is going to come from grocery and CPG. And we think agentic is going to be a similar dynamic where grocery and CPG is going to drive a lot of agentic spend.Why do you think that is? And sort of walk us through, what has to happen in your mind for people to really pivot and start using agents to shop for their weekly grocery basket?Nathan Feather: I think one of the key things about the grocery category is it's a very high friction category online. You have to go through and select each individual ingredient you want [in] the order, ensure that you have the right brand, the right number of units, and ensure that the substitutions – when somebody actually gets to the store – are correct.And so for a user, it just takes a substantial amount of time to build a basket for online grocery. We think agentic can change that by becoming your personal digital shopper. You can say something as simple as, ‘I want to make steak tacos for dinner.' And it can add all of the ingredients you want to your order. Go from the grocery store you like. And hey, it'll know your preferences. It'll know you already like a certain brand of tortillas, and it'll add those to the cart. And so it just dramatically reduces the friction.Now, that will take time to build the tools. The tools aren't there today, but we think that can come sooner than people expect. Even over the next one to two years that you start to get this revolutionary grocery experience.And so, it's coming. And from your perspective, Brian, once agentic grocery shopping does start to work, how does that impact the broader e-commerce adoption curve? Does it pull forward agentic behavior in other categories as well?Brian Nowak: I think it does. I think it does lead to more durable multi-year, overall e-commerce growth. And potentially in some of our more bull case scenarios, we've built out – even an acceleration in e-commerce growth, even though the numbers and the dollars added are getting larger. But there is some tension around profitability.We are in a world where a lot of e-commerce companies, they generate an outsized percentage of their profit from advertising and retail media that is attached to current transactions. Agentic commerce and agents wedging themself between the consumer and these platforms potentially put some of these high-margin retail media ad dollars at risk.So talk us through some of the math that we've run on that potential risk to any of the companies that are feeding into these agents for people to shop through.Nathan Feather: Well, in our work for most e-commerce companies, a majority – or sometimes even all – of their e-commerce profitability comes from the advertising side. And so this is the key profit pool for e-commerce. To the extent that goes away, there is one potential offset here, which is the lower fee that agentic offers for companies that currently have high marketing spend. To the extent that agentic offers a lower take rate, that could be an offset.But we think it's going to be very important for companies to monitor the retail media landscape and ensure they can try to keep direct traffic as best as possible. And things like onsite agents could be really important to making sure you're staying top of mind and owning that customer relationship.Now, on the platform side, search today captures an implied take rates that are 5-10 times higher than what we're seeing in the early agentic transaction fees. If this model does shift from CPC – or cost per click – towards a more commission based model, Brian, how do you think search platforms respond?Brian Nowak: I think the punchline is the percentage of traffic and transactions that retailers or brands or companies selling their items online that's paid is going to go up. You know, while search is a relatively more expensive channel on a per transaction basis, search works because there's a very large amount of unpaid and direct traffic that retailers benefit from post the first time they spend on search.Just some math on this. We're still at a situation where 80 percent of retailers' online traffic is free. Or direct. And so if we do get into a situation where there's a transition from a higher monetizing per transaction search to a lower monetizing per transaction agent, I would expect the search platforms to react by essentially making it more challenging to get free and direct and unpaid traffic. And we'll have that transition from more transactions at a lower rate; as opposed to fewer transactions at a higher rate, which is what we have now,Nathan, in our work, we also talked about a Five I's framework. We talked about inventory, infrastructure, innovation, incrementality and income statement, sort of a retailer framework to assess positioning within the agentic transition. Maybe walk us through what your big takeaways were from the Five I's framework and what it means that retailers need to be mindful of throughout this agentic transition.Nathan Feather: Well, for retailers, I think it's going to be very important that you're winning by differentiation. Having unique, competitively priced inventory with infrastructure that can fulfill that quickly to the consumer and critically staying on the leading edge of innovation.It's one thing to have the inventory. It's another thing to be able to be actively plugged into these agentic tools and make sure you're developing good experiences for your customers that actually are on this cutting edge. In addition, it's one thing to have all of that, but you want to make sure there's also incrementality opportunity.So [the] ability to go out, expand the TAM and gain market share. And of course what we just talked about with the margin risk, I think all of those are going to be very important. And so on balance for retailers, we do see a lot of opportunity. That's balanced with a lot of risk. But this is one of those key transition moments that we think companies that really execute and perform well should be able to perform nicely.Now finally, Brian, over the next five years, how do you think agent commerce reshapes competitive dynamics across the internet ecosystem?Brian Nowak: I think over the next few years, we're going to realize that agentic commerce is no longer a fringe experiment or a concept. It's a reality. And we may get to the point where we don't even talk about agentic commerce or agentic shopping. We just say, “‘This cool thing I did through my browser.' Or, ‘Look at what my search portal can do. Look at how my search portal found me this product. Look at how my groceries got delivered.' And it'll become part of recurring life. It'll become normal.So right now we say it's agentic, it's far off. It's going to take time to develop. But I would argue that every year that goes by, it's going to be becoming more part of normal life. And we'll just say, ‘This is how I shop online.'Nathan, thanks for taking the time todayNathan Feather: It was great speaking with you, Brian.Brian Nowak: And thanks for listening. If you enjoy Thoughts on the Market, please leave us a review wherever you listen. And share the podcast with a friend or colleague today.
Are your clients technically improving… but not actually moving forward? In this episode of The Financial Coaches Podcast, Cody and Maria unpack a subtle but powerful shift in strategy that has helped certain clients break out of stagnation and finally start making meaningful progress. Traditionally, Cody has taught clients to “backload” their goals — waiting until the end of the month to apply surplus toward debt, savings, or investing. And for many people, that works well. But for clients who struggle with consistency and spending habits, that structure can unintentionally keep them stuck. So what's the alternative? In this episode, you'll learn: The difference between backloading and frontloading financial goals Why some clients plateau even when they stop going backward How to identify which clients need a strategic shift The psychology behind “which hard would you rather choose?” How to balance risk with forward momentum When deeper mindset work is required (and not just a tactic tweak) This conversation is about more than cash flow timing. It's about knowing your client, recognizing patterns, and adjusting your coaching approach so progress actually sticks. Because sometimes the breakthrough isn't working harder. It's structuring the plan differently.
"People don't know what they want, not before they see it. Every object of desire is a found object. Traditionally, anyway." - William Gibson Thanks to Decibel Wines.
"People don't know what they want, not before they see it. Every object of desire is a found object. Traditionally, anyway." - William Gibson Thanks to Decibel Wines.
If there were ever a holiday that felt personally designed for me, it's Bolludagur, Iceland's cream bun day and, in my opinion, Iceland's most delicious holiday. Bolludagur takes place every year on the Monday before Lent. And on this day, Iceland collectively agrees to eat an unreasonable amount of cream bun without guilt, without shame, and usually without stopping at just one. What Is a Bolla, Exactly? A bolla is an Icelandic cream bun. Traditionally, it's made from a light choux-style pastry that's sliced open, filled generously with whipped cream and sometimes jam, and then topped with chocolate glaze or icing. That's the classic version, but modern Bolludagur has evolved far beyond that. These days, bakeries get wildly creative with flavors, fillings, and toppings, which is exactly why this day has become such a big deal. Why Bolludagur Is a Thing in Iceland? Bolludagur is part of Iceland's version of Carnival, leading into Lent. Historically, it was about indulging before a period of restraint, but in true Icelandic fashion, it turned into a full-blown pastry event. How Much Do Cream Buns Cost in Iceland? Before we get into the bakeries, let's talk price. As of 2026, most Icelandic cream buns fall somewhere between: 575 ISK ($4.70) – 925 ISK ($7.56) per bun Prices vary depending on the bakery, the size, and how elaborate the bun is. This is just an estimate based on current offerings — prices may be higher or lower in the future, so always check directly with the bakery. 5 Places Worth Visiting for Cream Buns in Reykjavík 1. Plantan Kaffihús and Bistro Plantan is a plant-based favorite in Reykjavík, and for Bolludagur they're going all in with six different cream buns this year: Snickers Swedish Semla Biscoff Cheesecake Classic Matcha Raspberry If you're vegan, plant-based, lactose intolerant, or just curious, Plantan is absolutely worth a stop. 2. Brauð & Co. One of Reykjavík's most recognizable bakeries, Brauð & Co. is offering five varieties: Classic Vanilla Nougat Yuzu Lemon Vegan Caramel If you want something that feels both traditional and playful, this is a great place to check out 3. Passion Reykjavík Passion Reykjavík wins for sheer variety. They're offering 15 different cream buns, which is honestly impressive. Some of their flavors include: After Eight Hressobolla (rumored “cream bun of the year” for 2026) Classic Croissant-style Irish Strawberry Caramel Coconut Nóa Kropp (Icelandic candy) Oreo Púnd (rum cream with sifted icing sugar) Snickers & Banana Twix Valentine's Edition Vegan version If you want options — a lot of options — this is the place. 4. IKEA Yes. IKEA. IKEA in Iceland fully participates in Bolludagur and offers seven cream buns: Strawberry Banana cream & hazelnut butter Chocolate & licorice Classic with chocolate sauce Classic with caramel Vegan with chocolate Vegan with caramel These are also typically the most affordable cream buns you'll find. 5. Deig Deig keeps things refined but flavorful with five varieties: Rosehip jam Raspberry jam Vanilla almond Nutella Pistachio If you like pastries that feel a little more elegant, Deig is a solid choice. Random Fact of the Episode Every year for Bolludagur, over one million cream buns are made and sold across Iceland — making it one of the most pastry-intensive days of the entire year. Icelandic Word of the Episode Bolluvöndur – A decorated stick children use on Bolludagur to playfully “demand” cream buns by tapping their parents and chanting “Bolla! Bolla! Bolla!” Share this with a Friend Pinterest Facebook Email Let’s Be Social Youtube Instagram Tiktok Facebook
To meet future water demands we will have to embrace water reuse and advanced water recycling. What's possible? What's best practice? What do the public think? Traditionally there has been a public perception challenge over reusing water (the so-called "yuck factor") - how do we get past that?The UK is just starting to really get going on water reuse, while in the USA they're further ahead. So, in this episode we talk to experts on both sides of the pond to get the latest thinking...UK Experts:Simon Langley from MWH Treatment and Heather Smith from Cranfield UniversityUS Experts:Paul Pitt and Gaya Ram Mohan from Hazen and Sawyer Credits Presented & Produced by Niki RoachExecutive Producer Andy Taylor - Bwlb LimitedWith thanks to Alastair ChisholmHonorary Executive Producer Jane Boland
Sam Stovall covers the broad market action, noting that “February is the second-worst month of the year,” and that along with a midterm election year signals a potential soft patch in the back half of the month. Traditionally, markets take a “deeper dive” from May through the summer, and then come back in the fall, usually finishing higher, he notes. He thinks there may be a June rate cut and another in the back half of the year.======== Schwab Network ========Empowering every investor and trader, every market day.Options involve risks and are not suitable for all investors. Before trading, read the Options Disclosure Document. http://bit.ly/2v9tH6DSubscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about
This Day in Legal History: Opium is Prohibited in the USOn February 9, 1909, the United States took its first significant federal step toward regulating narcotics when Congress passed a law banning the importation of opium for non-medical purposes. The act, officially titled “An Act to Prohibit the Importation and Use of Opium for Other Than Medicinal Purposes,” marked the beginning of a century-long evolution in American drug policy. While opium had long been associated with addiction and social issues—particularly in Chinese immigrant communities—prior regulation had occurred mostly at the state and local levels. This federal statute aimed to curb both domestic consumption and the growing international trade in opium, which had become a concern for moral reformers, physicians, and public officials.The 1909 law was as much a product of racialized anxieties and diplomatic concerns as it was a health policy. U.S. officials were influenced by the growing global temperance movement and international agreements like those discussed at the International Opium Commission in Shanghai that same year. Domestically, the law paved the way for a broader federal role in drug control, leading to later landmark legislation such as the Harrison Narcotics Tax Act of 1914. It also helped define narcotics as a matter of federal concern rather than simply a moral or local issue.While the 1909 statute was limited in scope—it did not criminalize possession or use, only importation—it established the principle that Congress could regulate substances in the interest of public health and welfare. That principle would be expanded in later decades as the War on Drugs developed. The opium ban illustrates how early 20th-century American legal policy began to intertwine with international diplomacy, race, and evolving conceptions of public health.A landmark trial began this week in a California state court to determine whether Instagram and YouTube can be held liable for allegedly harming a young woman's mental health through addictive platform design. The plaintiff, a 20-year-old woman identified as K.G.M., claims that Meta (parent company of Instagram and Facebook) and Google (which owns YouTube) designed their platforms in a way that fostered addiction from a young age, contributing to her depression and suicidal ideation. Her legal team argues the companies were negligent, failed to provide warnings, and that the platforms substantially contributed to her psychological harm.A verdict in her favor could open the door for thousands of similar lawsuits currently pending against major tech firms like Meta, Google, Snap, and TikTok. Notably, Snap and TikTok settled with the plaintiff before trial, while Meta CEO Mark Zuckerberg is expected to testify. The defense plans to emphasize external influences in K.G.M.'s life and highlight efforts they've made around youth safety.The case challenges longstanding U.S. legal protections under Section 230 of the Communications Decency Act, which generally shields internet companies from liability for user-generated content. However, if the jury accepts the argument that the harm stems from platform design rather than content, it could weaken those defenses. Parallel legal battles are underway, including over 2,300 federal lawsuits and a separate trial in New Mexico where Meta is accused of enabling child sexual exploitation.Instagram, YouTube addiction trial kicks off in Los Angeles | ReutersThe Trump administration has appealed a federal court ruling that requires the U.S. Department of Transportation to release frozen funding for the $16 billion Hudson Tunnel Project, which aims to upgrade vital rail infrastructure connecting New York and New Jersey. Judge Jeannette Vargas issued a preliminary injunction ordering the unfreezing of the funds after officials from both states warned that construction would cease due to lack of financing. The administration filed a notice of appeal two days later.The funding had been halted in September pending a review of the project's adherence to new federal restrictions on race- and sex-based criteria in contracting. According to a source, Trump recently proposed unfreezing the money if Democrats agreed to rename Washington Dulles Airport and New York's Penn Station after him—an offer that was widely condemned.The Hudson Tunnel, which was damaged during Hurricane Sandy in 2012, remains a critical piece of rail infrastructure, handling over 200,000 passengers and 425 trains each day. The Gateway Development Commission, which oversees the project, expressed readiness to resume work once funding is reinstated. Approximately $2 billion of the $15 billion federal allocation—approved under the Biden administration—has already been spent.Trump administration appeals ruling on releasing New York City tunnel funds | ReutersA divided panel of the U.S. Court of Appeals for the Fifth Circuit upheld the Trump administration's policy of mandating detention without bond for individuals arrested during immigration enforcement operations. The 2-1 decision is the first appellate ruling to affirm the policy, despite widespread opposition from hundreds of lower-court judges across the country who have deemed it unlawful. The ruling applies to Texas and Louisiana, states that hold the largest populations of immigration detainees.The policy relies on an expanded interpretation of the term “applicants for admission” under federal immigration law. Traditionally applied to individuals arriving at the border, the Department of Homeland Security argued in 2025 that it also applies to undocumented individuals already residing in the U.S. This interpretation was adopted by the Board of Immigration Appeals and made mandatory by immigration judges nationwide.The case before the court involved two Mexican nationals, Victor Buenrostro-Mendez and Jose Padron Covarrubias, who had previously persuaded lower courts they were wrongly denied bond hearings. The appeals court reversed those rulings, with Judge Edith Jones writing that the statute's plain text supported the administration's view. Judge Dana Douglas dissented, arguing that the interpretation stretched beyond what Congress intended in the 1996 immigration law.Other circuit courts are expected to weigh in on similar challenges, and the issue may ultimately reach the U.S. Supreme Court.US appeals court upholds Trump's immigration detention policy | ReutersA federal appeals court has denied the Trump administration's request to delay proceedings in its appeal to reinstate executive orders targeting four major U.S. law firms. The U.S. Court of Appeals for the D.C. Circuit ruled that the cases—challenging orders against Perkins Coie, WilmerHale, Jenner & Block, and Susman Godfrey—will move forward and be combined with a related appeal involving attorney Mark Zaid's revoked government security clearance.The Justice Department had sought to postpone the law firm appeals until after the Zaid case was decided, a move that could have delayed resolution for months. But the court rejected that approach, siding with the law firms, which argued they deserved a timely judgment on whether the government unlawfully targeted them.Trump's executive orders accused the firms of using the legal system against him and criticized their diversity policies, directing the government to strip them of security access and limit their interactions with federal agencies. Four federal judges previously struck down the orders as unconstitutional, finding they violated free speech and due process rights. The administration is now appealing both those rulings and the one involving Zaid.Trump administration loses bid to delay appeals over law firm executive orders | Reuters This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit www.minimumcomp.com/subscribe
In the ever-evolving landscape of home automation and robotics, the introduction of Mammotion's latest innovation, the Spino S1 Pro pool-cleaning robot, marks a significant milestone. As the national sales director for North America, James Loria, emphasizes that this new robot is not just another addition to the market; it represents a game-changer in the pool maintenance industry. With its advanced features and user-friendly design, the Spino S1 Pro is poised to revolutionize how pool owners manage the cleanliness and upkeep of their pools.The Future of Pool MaintenanceMammotion has established itself as a leader in the lawn robot category, but the Spino S1 Pro signifies its ambitious expansion into the realm of pool cleaning. The robot is equipped with a unique arm that features a hook, allowing it to autonomously lift itself out of the water, effectively draining any residual water in the process. This feature addresses one of the most cumbersome aspects of pool maintenance: removing the robot from the pool after cleaning. Traditionally, pool robots can weigh over 25 pounds, and when submerged, their weight can increase significantly, making them difficult to handle. With the Spino S1 Pro, this problem is alleviated, enhancing convenience for users.Convenient Pool Cleaning with App ControlOne of the standout features of the Spino S1 Pro is its robust cleaning capabilities. The robot is designed to clean pools with a flow rate of 6,800 gallons per minute, ensuring that both the bottom and walls of the pool are thoroughly cleaned. Moreover, it effectively tackles the often pesky scum line that accumulates at the water's edge, a common issue for pool owners, particularly in sunny regions where sunscreen and oils can create unsightly residue. As Loria notes, the robot's ability to maintain cleanliness is essential for pool owners, especially in warmer climates like Florida and Arizona, where pools are used extensively throughout the year.The Spino S1 Pro is not merely a mechanical device; it embodies the integration of artificial intelligence in everyday tasks. The robot features intelligent path navigation and can be controlled via a smartphone app, allowing users to monitor and manage their pool cleaning remotely. This level of automation not only simplifies the cleaning process but also ensures that the robot operates efficiently, returning to its docking station to recharge automatically when needed. The incorporation of AI technology signifies a shift towards smarter home maintenance solutions, making pool care more accessible and less labor-intensive.While the Spino S1 Pro is set to debut in July, with pre-orders available through Mammotion's website, its anticipated price point of under $2,300 positions it as a valuable investment for pool owners. Loria argues that despite the initial cost, the long-term benefits of having a reliable and efficient cleaning robot far outweigh the expense. For those who regularly maintain pools, the time and effort saved can be substantial, allowing owners to enjoy their pools without the hassle of manual cleaning.ConclusionIn conclusion, the unveiling of the Spino S1 Pro pool-cleaning robot by Mammotion represents a significant advancement in pool maintenance technology. With its innovative design, powerful cleaning capabilities, and integration of artificial intelligence, this robot is set to transform the way pool owners approach upkeep. As we move towards an increasingly automated future, products like the Spino S1 Pro not only enhance convenience but also redefine our expectations of home maintenance. The future of pool cleaning is here, and it promises to make life a little easier for pool enthusiasts everywhere.Interview by Don Baine, The Gadget Professor.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the ever-evolving landscape of home automation and robotics, the introduction of Mammotion's latest innovation, the Spino S1 Pro pool-cleaning robot, marks a significant milestone. As the national sales director for North America, James Loria, emphasizes that this new robot is not just another addition to the market; it represents a game-changer in the pool maintenance industry. With its advanced features and user-friendly design, the Spino S1 Pro is poised to revolutionize how pool owners manage the cleanliness and upkeep of their pools.The Future of Pool MaintenanceMammotion has established itself as a leader in the lawn robot category, but the Spino S1 Pro signifies its ambitious expansion into the realm of pool cleaning. The robot is equipped with a unique arm that features a hook, allowing it to autonomously lift itself out of the water, effectively draining any residual water in the process. This feature addresses one of the most cumbersome aspects of pool maintenance: removing the robot from the pool after cleaning. Traditionally, pool robots can weigh over 25 pounds, and when submerged, their weight can increase significantly, making them difficult to handle. With the Spino S1 Pro, this problem is alleviated, enhancing convenience for users.Convenient Pool Cleaning with App ControlOne of the standout features of the Spino S1 Pro is its robust cleaning capabilities. The robot is designed to clean pools with a flow rate of 6,800 gallons per minute, ensuring that both the bottom and walls of the pool are thoroughly cleaned. Moreover, it effectively tackles the often pesky scum line that accumulates at the water's edge, a common issue for pool owners, particularly in sunny regions where sunscreen and oils can create unsightly residue. As Loria notes, the robot's ability to maintain cleanliness is essential for pool owners, especially in warmer climates like Florida and Arizona, where pools are used extensively throughout the year.The Spino S1 Pro is not merely a mechanical device; it embodies the integration of artificial intelligence in everyday tasks. The robot features intelligent path navigation and can be controlled via a smartphone app, allowing users to monitor and manage their pool cleaning remotely. This level of automation not only simplifies the cleaning process but also ensures that the robot operates efficiently, returning to its docking station to recharge automatically when needed. The incorporation of AI technology signifies a shift towards smarter home maintenance solutions, making pool care more accessible and less labor-intensive.While the Spino S1 Pro is set to debut in July, with pre-orders available through Mammotion's website, its anticipated price point of under $2,300 positions it as a valuable investment for pool owners. Loria argues that despite the initial cost, the long-term benefits of having a reliable and efficient cleaning robot far outweigh the expense. For those who regularly maintain pools, the time and effort saved can be substantial, allowing owners to enjoy their pools without the hassle of manual cleaning.ConclusionIn conclusion, the unveiling of the Spino S1 Pro pool-cleaning robot by Mammotion represents a significant advancement in pool maintenance technology. With its innovative design, powerful cleaning capabilities, and integration of artificial intelligence, this robot is set to transform the way pool owners approach upkeep. As we move towards an increasingly automated future, products like the Spino S1 Pro not only enhance convenience but also redefine our expectations of home maintenance. The future of pool cleaning is here, and it promises to make life a little easier for pool enthusiasts everywhere.Interview by Don Baine, The Gadget Professor.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the rapidly evolving landscape of data science, the need for efficient and effective predictive modeling is more critical than ever. As organizations strive to leverage data for informed decision-making, the traditional methods of creating predictive models often prove to be cumbersome and time-consuming. However, the advent of autonomous data science agents, such as ELAI, is revolutionizing this process by automating predictive model creation and democratizing access to predictive analytics.The Challenge of Traditional Predictive ModelingHistorically, the creation of predictive models has been a labor-intensive endeavor, often requiring extensive manual effort. Organizations typically face significant roadblocks in data readiness, including issues related to data integration, cleaning, and enrichment. The process can take anywhere from six to nine months to develop a single predictive model, which is a considerable investment of time and resources. This lengthy timeline not only hinders the agility of businesses but also limits their ability to respond to market changes and customer needs effectively.Introducing ELAI: The Autonomous Data Science AgentELAI, described by its CEO Antonio Sciuto, is an autonomous data science agent designed to streamline the end-to-end workflow of predictive modeling. By combining a robust reasoning engine with machine learning capabilities, ELAI can automate the tasks associated with data integration, cleaning, enrichment, model deployment, backtesting, and maintenance. This innovative approach significantly reduces the time required to create predictive models, allowing organizations to transition from a six-to-nine-month timeline to just a few hours.ELAI's architecture is built to handle complex data environments. It can automatically integrate existing customer data with over 650 social and economic indicators, enriching the dataset and enhancing the predictive capabilities of the model. For instance, in the case of a company like QNX, which provides infotainment systems in vehicles, ELAI can analyze customer data to identify the best products for cross-selling, thereby optimizing sales strategies and improving customer satisfaction.Democratizing Predictive AIOne of the most significant contributions of ELAI is its potential to democratize predictive AI across various business functions. Traditionally, predictive modeling has been confined to specialized teams within organizations, limiting its accessibility. However, by automating the intricate processes involved in model creation, ELAI enables a broader range of stakeholders to engage with predictive analytics.Predictive models can now be applied to diverse areas such as human resources, where organizations can assess employee attrition risks and development needs; supply chain management, which benefits from enhanced forecasting and predictive maintenance; and customer relationship management, where businesses can optimize their offerings based on customer behavior and preferences. This democratization of predictive AI empowers organizations to make data-driven decisions across all functions, enhancing overall operational efficiency.The Future of Predictive ModelingAs the demand for data-driven insights continues to grow, the automation of predictive model creation represents a significant advancement in the field of data science. By reducing the time and complexity associated with traditional methods, autonomous agents like ELAI are enabling organizations to harness the power of predictive analytics more effectively. The implications of this shift are profound, as businesses can now respond rapidly to changing market dynamics and customer needs, ultimately leading to improved outcomes and competitive advantages.ConclusionIn conclusion, automating predictive model creation is not just a technological innovation; it is a transformative approach that redefines how organizations leverage data. By streamlining the modeling process and making predictive analytics accessible to a wider audience, tools like ELAI are paving the way for a future where data-driven decision-making is the norm, rather than the exception. As we embrace this new era of data science, the potential for enhanced insights and improved business performance is limitless.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the rapidly evolving landscape of corporate training, artificial intelligence (AI) has emerged as a transformative force, streamlining processes and enhancing the effectiveness of learning initiatives. The integration of AI into corporate training is not just a trend; it represents a fundamental shift in how organizations approach employee development. Lorenzo Pria, Business Developer for WhoTeach, explores the ways in which AI simplifies corporate training processes, through the company at the forefront of this innovation.AI Simplifies Corporate Training ProcessesAt the heart of WhoTeach's approach is a digital learning platform that leverages AI to address the complexities of corporate training. Traditionally, creating effective training programs has been a labor-intensive process, often requiring significant time and resources to develop relevant content. However, WhoTeach's platform introduces a two-pronged solution that fundamentally alters this paradigm. The first component is a recommendation system that curates valuable resources based on user preferences, including categories, difficulty levels, and languages. This system significantly reduces the time spent searching for appropriate training materials, allowing educators and corporate trainers to focus on the actual delivery of content rather than its preparation.The second component of WhoTeach's innovative platform is generative AI, which enables users to create customized training materials in a matter of minutes. By inputting selected resources into the generative AI, users can quickly generate presentations, quizzes, and assessments in formats such as HTML or PowerPoint. This capability not only accelerates the course creation process but also enhances the quality of training programs by ensuring that the content is tailored to the specific needs of the organization. As Lorenzo points out, the ability to produce a comprehensive course in 10 to 15 minutes is nothing short of astonishing, making AI an invaluable asset in the realm of corporate training.Predictint Future Training NeedsThe implications of this technology extend beyond mere efficiency; they also address some of the inherent challenges in corporate training. One of the key issues is the quality of suggested resources. Often, individuals may articulate their training needs inaccurately, leading to a mismatch between available resources and actual requirements. AI's ability to analyze vast datasets allows it to discern patterns and provide recommendations that may better align with the underlying needs of the organization, even when those needs are not explicitly stated by users. This data-driven approach enhances the effectiveness of training programs, ensuring that employees receive the most relevant and impactful learning experiences.Moreover, the scalability of AI-driven training solutions is a significant advantage for organizations of all sizes. As Lorenzo notes, the total addressable market for such technologies is estimated to reach around three billion, with the education technology market projected to grow to 600 billion by 2032. This growth indicates a robust demand for AI-driven solutions that can cater to diverse industries, from manufacturing to healthcare and logistics. By simplifying the training process, AI enables organizations to invest in employee development more effectively, ultimately leading to improved productivity and performance.While the potential of AI in corporate training is vast, it is not without its challenges. Lorenzo emphasizes the importance of having a quality dataset to ensure the effectiveness of AI recommendations. Companies must be willing to invest in the necessary resources and data collection processes to maximize the benefits of AI-driven training solutions. Furthermore, as organizations seek to implement these technologies, they must also consider the need for ongoing support and training for their employees to adapt to new systems and methodologies.ConclusionIn conclusion, AI is revolutionizing corporate training processes by simplifying course creation, enhancing resource recommendations, and providing scalable solutions that cater to a variety of industries. As demonstrated by WhoTeach's innovative platform, the integration of AI not only streamlines the training process but also improves the quality and relevance of learning experiences. As organizations increasingly recognize the value of AI in employee development, the future of corporate training promises to be more efficient, effective, and tailored to the unique needs of each organization. Embracing these advancements will be crucial for companies aiming to foster a culture of continuous learning and adaptability in an ever-changing business landscape.Interview by Scott Ertz of PLUGHITZ Live.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the rapidly evolving landscape of data science, the need for efficient and effective predictive modeling is more critical than ever. As organizations strive to leverage data for informed decision-making, the traditional methods of creating predictive models often prove to be cumbersome and time-consuming. However, the advent of autonomous data science agents, such as ELAI, is revolutionizing this process by automating predictive model creation and democratizing access to predictive analytics.The Challenge of Traditional Predictive ModelingHistorically, the creation of predictive models has been a labor-intensive endeavor, often requiring extensive manual effort. Organizations typically face significant roadblocks in data readiness, including issues related to data integration, cleaning, and enrichment. The process can take anywhere from six to nine months to develop a single predictive model, which is a considerable investment of time and resources. This lengthy timeline not only hinders the agility of businesses but also limits their ability to respond to market changes and customer needs effectively.Introducing ELAI: The Autonomous Data Science AgentELAI, described by its CEO Antonio Sciuto, is an autonomous data science agent designed to streamline the end-to-end workflow of predictive modeling. By combining a robust reasoning engine with machine learning capabilities, ELAI can automate the tasks associated with data integration, cleaning, enrichment, model deployment, backtesting, and maintenance. This innovative approach significantly reduces the time required to create predictive models, allowing organizations to transition from a six-to-nine-month timeline to just a few hours.ELAI's architecture is built to handle complex data environments. It can automatically integrate existing customer data with over 650 social and economic indicators, enriching the dataset and enhancing the predictive capabilities of the model. For instance, in the case of a company like QNX, which provides infotainment systems in vehicles, ELAI can analyze customer data to identify the best products for cross-selling, thereby optimizing sales strategies and improving customer satisfaction.Democratizing Predictive AIOne of the most significant contributions of ELAI is its potential to democratize predictive AI across various business functions. Traditionally, predictive modeling has been confined to specialized teams within organizations, limiting its accessibility. However, by automating the intricate processes involved in model creation, ELAI enables a broader range of stakeholders to engage with predictive analytics.Predictive models can now be applied to diverse areas such as human resources, where organizations can assess employee attrition risks and development needs; supply chain management, which benefits from enhanced forecasting and predictive maintenance; and customer relationship management, where businesses can optimize their offerings based on customer behavior and preferences. This democratization of predictive AI empowers organizations to make data-driven decisions across all functions, enhancing overall operational efficiency.The Future of Predictive ModelingAs the demand for data-driven insights continues to grow, the automation of predictive model creation represents a significant advancement in the field of data science. By reducing the time and complexity associated with traditional methods, autonomous agents like ELAI are enabling organizations to harness the power of predictive analytics more effectively. The implications of this shift are profound, as businesses can now respond rapidly to changing market dynamics and customer needs, ultimately leading to improved outcomes and competitive advantages.ConclusionIn conclusion, automating predictive model creation is not just a technological innovation; it is a transformative approach that redefines how organizations leverage data. By streamlining the modeling process and making predictive analytics accessible to a wider audience, tools like ELAI are paving the way for a future where data-driven decision-making is the norm, rather than the exception. As we embrace this new era of data science, the potential for enhanced insights and improved business performance is limitless.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the rapidly evolving landscape of corporate training, artificial intelligence (AI) has emerged as a transformative force, streamlining processes and enhancing the effectiveness of learning initiatives. The integration of AI into corporate training is not just a trend; it represents a fundamental shift in how organizations approach employee development. Lorenzo Pria, Business Developer for WhoTeach, explores the ways in which AI simplifies corporate training processes, through the company at the forefront of this innovation.AI Simplifies Corporate Training ProcessesAt the heart of WhoTeach's approach is a digital learning platform that leverages AI to address the complexities of corporate training. Traditionally, creating effective training programs has been a labor-intensive process, often requiring significant time and resources to develop relevant content. However, WhoTeach's platform introduces a two-pronged solution that fundamentally alters this paradigm. The first component is a recommendation system that curates valuable resources based on user preferences, including categories, difficulty levels, and languages. This system significantly reduces the time spent searching for appropriate training materials, allowing educators and corporate trainers to focus on the actual delivery of content rather than its preparation.The second component of WhoTeach's innovative platform is generative AI, which enables users to create customized training materials in a matter of minutes. By inputting selected resources into the generative AI, users can quickly generate presentations, quizzes, and assessments in formats such as HTML or PowerPoint. This capability not only accelerates the course creation process but also enhances the quality of training programs by ensuring that the content is tailored to the specific needs of the organization. As Lorenzo points out, the ability to produce a comprehensive course in 10 to 15 minutes is nothing short of astonishing, making AI an invaluable asset in the realm of corporate training.Predictint Future Training NeedsThe implications of this technology extend beyond mere efficiency; they also address some of the inherent challenges in corporate training. One of the key issues is the quality of suggested resources. Often, individuals may articulate their training needs inaccurately, leading to a mismatch between available resources and actual requirements. AI's ability to analyze vast datasets allows it to discern patterns and provide recommendations that may better align with the underlying needs of the organization, even when those needs are not explicitly stated by users. This data-driven approach enhances the effectiveness of training programs, ensuring that employees receive the most relevant and impactful learning experiences.Moreover, the scalability of AI-driven training solutions is a significant advantage for organizations of all sizes. As Lorenzo notes, the total addressable market for such technologies is estimated to reach around three billion, with the education technology market projected to grow to 600 billion by 2032. This growth indicates a robust demand for AI-driven solutions that can cater to diverse industries, from manufacturing to healthcare and logistics. By simplifying the training process, AI enables organizations to invest in employee development more effectively, ultimately leading to improved productivity and performance.While the potential of AI in corporate training is vast, it is not without its challenges. Lorenzo emphasizes the importance of having a quality dataset to ensure the effectiveness of AI recommendations. Companies must be willing to invest in the necessary resources and data collection processes to maximize the benefits of AI-driven training solutions. Furthermore, as organizations seek to implement these technologies, they must also consider the need for ongoing support and training for their employees to adapt to new systems and methodologies.ConclusionIn conclusion, AI is revolutionizing corporate training processes by simplifying course creation, enhancing resource recommendations, and providing scalable solutions that cater to a variety of industries. As demonstrated by WhoTeach's innovative platform, the integration of AI not only streamlines the training process but also improves the quality and relevance of learning experiences. As organizations increasingly recognize the value of AI in employee development, the future of corporate training promises to be more efficient, effective, and tailored to the unique needs of each organization. Embracing these advancements will be crucial for companies aiming to foster a culture of continuous learning and adaptability in an ever-changing business landscape.Interview by Scott Ertz of PLUGHITZ Live.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the ever-evolving landscape of healthcare, the integration of technology has become paramount, particularly in the realm of home care. As the demand for home health services continues to rise, so too does the need for efficient documentation processes. One innovative solution emerging in this space is Nara, a software package designed to automate documentation and streamline compliance for home care agencies. By leveraging artificial intelligence, Nara not only enhances operational efficiency but also improves the quality of care provided to clients.Automating Home Care Documentation EfficientlyAt the heart of Nara's functionality is its ability to automate care plan creation. Traditionally, home care agencies face the daunting task of conducting intake consultations, which often involve extensive note-taking and documentation. Grishma Shukla, a USC engineering student and the founder of Nara, describes how the software allows care managers to focus on the client during these consultations. By simply recording the conversation through the Nara app, the care manager can engage with the client without the distraction of manual note-taking. The app's AI technology then transcribes the conversation and generates a customized care plan, ensuring that no critical information is overlooked.This automation addresses a significant pain point in home care: the fallibility of human memory. Care managers often juggle numerous responsibilities, and it is common for important details to slip through the cracks. The reliance on memory can lead to repeated calls to clients for clarification, wasting valuable time for both the agency and the client. By offloading the burden of documentation to Nara, care managers can devote their full attention to the client, fostering a more personalized and effective care experience.Integration With the IndustryMoreover, Nara's commitment to integrating with existing Electronic Medical Records (EMRs) and Customer Relationship Management (CRM) systems is a game-changer for home care agencies. The healthcare sector is notoriously slow to adopt new technologies, primarily due to the complexity and costs involved in transitioning to new systems. By ensuring compatibility with established EMRs and CRMs, Nara alleviates the apprehension agencies may have about adopting new technology. This seamless integration allows for a smoother transition, enabling agencies to save time on manual processes and focus on what truly matters-delivering quality care to clients.The Future of Care ManagementThe impact of Nara extends beyond mere efficiency; it also enhances the overall quality of care delivered. With the automation of documentation, care managers can develop more comprehensive and accurate care plans tailored to the unique needs of each client. This personalized approach not only improves client satisfaction but also contributes to better health outcomes. As the industry continues to evolve, the importance of leveraging technology to enhance care delivery cannot be overstated.Nara's journey has just begun, having already established operations in seven locations across California and partnerships with notable organizations such as Momentum Senior Living and Jewish Family Services. As Grishma Shukla aims to expand Nara's reach, her presence at industry events like CES underscores the growing recognition of the need for innovative solutions in home care.ConclusionIn conclusion, the automation of home care documentation represents a significant advancement in the efficiency and effectiveness of care management. By harnessing the power of artificial intelligence, Nara is paving the way for a future where home care agencies can operate more efficiently, ultimately leading to improved client care. As the healthcare industry continues to embrace technological innovations, solutions like Nara will play a crucial role in shaping the future of home health services.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In the ever-evolving landscape of healthcare, the integration of technology has become paramount, particularly in the realm of home care. As the demand for home health services continues to rise, so too does the need for efficient documentation processes. One innovative solution emerging in this space is Nara, a software package designed to automate documentation and streamline compliance for home care agencies. By leveraging artificial intelligence, Nara not only enhances operational efficiency but also improves the quality of care provided to clients.Automating Home Care Documentation EfficientlyAt the heart of Nara's functionality is its ability to automate care plan creation. Traditionally, home care agencies face the daunting task of conducting intake consultations, which often involve extensive note-taking and documentation. Grishma Shukla, a USC engineering student and the founder of Nara, describes how the software allows care managers to focus on the client during these consultations. By simply recording the conversation through the Nara app, the care manager can engage with the client without the distraction of manual note-taking. The app's AI technology then transcribes the conversation and generates a customized care plan, ensuring that no critical information is overlooked.This automation addresses a significant pain point in home care: the fallibility of human memory. Care managers often juggle numerous responsibilities, and it is common for important details to slip through the cracks. The reliance on memory can lead to repeated calls to clients for clarification, wasting valuable time for both the agency and the client. By offloading the burden of documentation to Nara, care managers can devote their full attention to the client, fostering a more personalized and effective care experience.Integration With the IndustryMoreover, Nara's commitment to integrating with existing Electronic Medical Records (EMRs) and Customer Relationship Management (CRM) systems is a game-changer for home care agencies. The healthcare sector is notoriously slow to adopt new technologies, primarily due to the complexity and costs involved in transitioning to new systems. By ensuring compatibility with established EMRs and CRMs, Nara alleviates the apprehension agencies may have about adopting new technology. This seamless integration allows for a smoother transition, enabling agencies to save time on manual processes and focus on what truly matters-delivering quality care to clients.The Future of Care ManagementThe impact of Nara extends beyond mere efficiency; it also enhances the overall quality of care delivered. With the automation of documentation, care managers can develop more comprehensive and accurate care plans tailored to the unique needs of each client. This personalized approach not only improves client satisfaction but also contributes to better health outcomes. As the industry continues to evolve, the importance of leveraging technology to enhance care delivery cannot be overstated.Nara's journey has just begun, having already established operations in seven locations across California and partnerships with notable organizations such as Momentum Senior Living and Jewish Family Services. As Grishma Shukla aims to expand Nara's reach, her presence at industry events like CES underscores the growing recognition of the need for innovative solutions in home care.ConclusionIn conclusion, the automation of home care documentation represents a significant advancement in the efficiency and effectiveness of care management. By harnessing the power of artificial intelligence, Nara is paving the way for a future where home care agencies can operate more efficiently, ultimately leading to improved client care. As the healthcare industry continues to embrace technological innovations, solutions like Nara will play a crucial role in shaping the future of home health services.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
This episode of EM Pulse dives into one of the most stressful scenarios in the ED: the febrile infant in the first month of life. Traditionally, a fever in this age group has meant an automatic “full septic workup,” including the dreaded lumbar puncture (LP). But times are changing. We sit down with experts Dr. Nate Kuppermann and Dr. Brett Burstein to discuss a landmark JAMA study that suggests we might finally be able to safely skip the LP in many of our tiniest patients. The Study: A Game Changer for Neonates Our discussion centers on a massive international pooled study evaluating the PECARN Febrile Infant Rule specifically in infants aged 0–28 days. While previous guidelines were conservative due to a lack of data for this specific age bracket, this study provides the evidence we've been waiting for. The Cohort: A large pool of infants across multiple countries. The Findings: The PECARN rule demonstrated an exceptionally high negative predictive value for invasive bacterial infections. The Big Win: The rule missed zero cases of bacterial meningitis. Defining the Danger: SBI vs. IBI The experts break down why we are shifting our terminology and our clinical focus. Serious Bacterial Infection (SBI) Historically, this was a “catch-all” term including Urinary Tract Infections (UTIs), bacteremia, and meningitis. However, UTIs are generally more common, easily identified via urinalysis, and typically less life-threatening than the other two. Invasive Bacterial Infection (IBI) This term refers specifically to bacteremia and bacterial meningitis. These are the “high-stakes” infections the PECARN rule is designed to rule out. Dr. Kuppermann notes that we should ideally view bacteremia and meningitis as distinct entities, as the clinical implications of a missed meningitis case are far more severe. The HSV Elephant in the Room One of the primary reasons clinicians hesitate to skip an LP in a neonate is the fear of missing Herpes Simplex Virus (HSV) infection. Low Baseline Risk: While the overall risk of HSV in a febrile infant is low, the risk of “isolated” HSV (meningitis without other signs or symptoms) is even rarer. Screening Tools: Most infants with HSV appear clinically ill. Clinicians can also use ALT (liver function) testing as a secondary screen – transaminase elevation is a common marker for systemic HSV. Clinical Judgment: If the baby is well-appearing, has no maternal history of HSV, no vesicles, and no seizures, the risk of missing HSV by skipping the LP is exceptionally low. Practical Application: Shared Decision-Making This isn’t just about the numbers—it’s about the parents. “Families don’t mind their babies being admitted… They do not want the lumbar puncture. It is the single most anxiety-provoking aspect of care.” — Dr. Brett Burstein The PECARN “Low-Risk” Criteria: (Remember, this rule applies only to infants who are not ill-appearing.) Urinalysis: Negative Absolute Neutrophil Count (ANC): ≤ 4,000/mm³ Procalcitonin (PCT): ≤ 0.5 ng/mL The Bottom Line: If an infant is well-appearing and meets these criteria, physicians can have a nuanced conversation with parents about the risks and benefits of forgoing the LP, while still admitting the child for observation (often without empiric antibiotics) while cultures brew. Key Takeaways The “Well-Appearing” Filter: If an infant looks ill, the rule does not apply. These patients require a full workup, including an LP, regardless of lab results. Meticulous Physical Exam: Assess for a strong suck, normal muscle tone, brisk capillary refill, and any rashes or vesicles. History is Key: Always ask about maternal GBS/HSV status, pregnancy or birth complications, prematurity, sick contacts, and any changes in feeding, stooling or activity. Procalcitonin: PCT is the superior inflammatory marker for this rule. If your facility only offers traditional markers like CRP, the PECARN negative predictive value cannot be strictly applied. In the words of Dr. Kuppermann: “If you don’t have it, for God’s sakes, just get it! ALT to Screen for HSV: While not part of the official PECARN rule, our experts suggest that significantly elevated liver enzymes should raise suspicion for systemic HSV. Observe, Don’t Discharge: Being “low risk” does not mean the infant goes home. All infants ≤ 28 days still require admission for 24-hour observation and blood/urine cultures. We want to hear from you! Does this change how you approach febrile neonates in the ED? How do you handle shared decision-making with parents? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guests: Dr. Nate Kuppermann, Executive Vice President and Chief Academic Officer; Director, Children’s National Research Institute; Department Chair, Pediatrics, George Washington University School of Medicine and Health Sciences Dr. Brett Burstein, Clinician-Scientist and Pediatric Emergency Medicine Physician at Montreal Children’s Hospital, McGill University Resources: Burstein B, Waterfield T, Umana E, Xie J, Kuppermann N. Prediction of Bacteremia and Bacterial Meningitis Among Febrile Infants Aged 28 Days or Younger. JAMA. 2026 Feb 3;335(5):425-433. doi: 10.1001/jama.2025.21454. PMID: 41359314; PMCID: PMC12687207“Hot” Off the Press: Infant Fever Rule “Hot” Off the Press: Infant Fever Rule Do I really need to LP a febrile infant with a UTI? PECARN Infant Fever Update: 61-90 Days Kuppermann N, Dayan PS, Levine DA, Vitale M, Tzimenatos L, Tunik MG, Saunders M, Ruddy RM, Roosevelt G, Rogers AJ, Powell EC, Nigrovic LE, Muenzer J, Linakis JG, Grisanti K, Jaffe DM, Hoyle JD Jr, Greenberg R, Gattu R, Cruz AT, Crain EF, Cohen DM, Brayer A, Borgialli D, Bonsu B, Browne L, Blumberg S, Bennett JE, Atabaki SM, Anders J, Alpern ER, Miller B, Casper TC, Dean JM, Ramilo O, Mahajan P; Febrile Infant Working Group of the Pediatric Emergency Care Applied Research Network (PECARN). A Clinical Prediction Rule to Identify Febrile Infants 60 Days and Younger at Low Risk for Serious Bacterial Infections. JAMA Pediatr. 2019 Apr 1;173(4):342-351. doi: 10.1001/jamapediatrics.2018.5501. PMID: 30776077; PMCID: PMC6450281. Pantell RH, Roberts KB, Adams WG, Dreyer BP, Kuppermann N, O’Leary ST, Okechukwu K, Woods CR Jr; SUBCOMMITTEE ON FEBRILE INFANTS. Evaluation and Management of Well-Appearing Febrile Infants 8 to 60 Days Old. Pediatrics. 2021 Aug;148(2):e2021052228. doi: 10.1542/peds.2021-052228. Epub 2021 Jul 19. Erratum in: Pediatrics. 2021 Nov;148(5):e2021054063. doi: 10.1542/peds.2021-054063. PMID: 34281996. ****Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
Traditionally on Science Fiction 101, we follow up our "old magazine" review with a review of its modern counterpart - and this year is no exception, as in this episode we cast our eyes over a very recent issue of Asimov's Science Fiction magazine, dated Nov/Dec 2025.No time for a quiz this time (shock horror!), but it will return in our next episode.But we do make time for our usual round-up of what's notable in past, present and future SF.For the full shownotes or to leave a comment, visit our blog at 101sf.blogspot.com
Welcome back to February's Papers of the Month! We start this month looking a the right place to perform a prehospital anaesthetic. Traditionally we've been taught it should be somewhere with 360-degree access to allow the greatest safety, which means intubating in an ambulance and other locations are a no-go. But does it actually reduce complications, and what about other locations and situations? This paper explores whether location is associated with outcomes, or whether it might actually be a reasonable and sometimes advantageous to forgo that 360 access. We've talked a lot about pad position in cardiac arrest recently, mainly in the context of DSD, but what about initial pad position? Our second paper may be even more important than DSD! This one takes a look at initial pad position, antero–lateral versus antero–posterior placement and asks whether initial pad position influences return of spontaneous circulation. Finally, we take on one of the most debated topics in emergency and critical care airway management, with choice of induction agent. We look at a brilliant RCT which compares Etomidate to Ketamine and their haemodynamic stability. This one challenges some widely held assumptions, in an attempt to provide some much-needed clarity in what we should be using. Once again we'd love to hear any thoughts or feedback either on the website or via X @TheResusRoom! Simon & Rob
Summary In this conversation, Amas Tenumah and Bob Furniss discuss the implications of AI in quality assurance within contact centers. They explore the benefits of AI, such as increased coverage and trend spotting, while also addressing concerns about accuracy and the potential for AI to replace human interaction. The discussion emphasizes the importance of using AI to enhance human capabilities rather than eliminate them, and the need for effective coaching and data utilization to improve agent performance. Main Content: Understanding AI in Quality Assurance The podcast opens with a light-hearted discussion about the weather, but it quickly shifts focus to a pressing topic: the use of AI in quality assurance. Amas and Bob agree that deploying AI in this area can be beneficial, especially regarding monitoring agent performance. One of the primary advantages they mention is the ability to achieve 100% call coverage. Traditionally, QA teams may only review a small percentage of calls, leading to inaccurate assessments of agent performance. With AI, contact centers can analyze every call, providing a more accurate picture of quality and performance. Spotting Trends and Gaining Insights Another significant benefit of AI mentioned in the podcast is its capability to spot trends in customer interactions. Bob highlights the importance of understanding call spikes, such as the recent increase in calls related to a coupon offer. AI can analyze large data sets quickly, allowing managers to respond to customer needs more effectively. This capability not only improves the customer experience but also empowers managers to make informed decisions based on real-time data. The Risks of Relying Solely on AI While Amas and Bob are enthusiastic about the potential of AI, they also express concern over its limitations. One critical issue is the accuracy of AI assessments. Amas warns that AI systems are often trained on human data, which can lead to discrepancies in scoring calls. He emphasizes the need for a human touch in QA processes, suggesting that AI should assist rather than replace human judgment. Without human oversight, there's a risk that AI can misinterpret nuances in customer-agent interactions, leading to misguided conclusions. The Importance of Human Interaction The conversation takes a deeper turn as they discuss the nature of customer service as a human interaction. Bob argues that technology should enhance the capabilities of QA teams, not eliminate them. He points out that while AI can streamline processes, it cannot replicate the empathy and understanding that a human agent brings to a conversation. The hosts advocate for a balanced approach where AI tools are used to support agents rather than replace them, ensuring that customer experiences remain positive and personalized. Conclusion: In conclusion, while AI presents exciting opportunities for enhancing quality assurance in contact centers, it is essential to approach its implementation with caution. Amas and Bob remind us that technology should complement human skills and insights rather than undermine them. By finding the right balance, organizations can leverage AI to improve performance while maintaining the human touch that is vital in customer service. Key Takeaways: 1. AI can enhance quality assurance by providing 100% call coverage and spotting trends in customer interactions. 2. The accuracy of AI assessments can be problematic; human oversight is crucial in the QA process. 3. Customer service is fundamentally a human interaction, and technology should support, not replace, human agents. Tags: AI, Quality Assurance, Contact Centers, Customer Service, Technology, Human Interaction, Trends in Customer Experience, Agent Performance, Podcast Insights
A top Russian archaeologist is currently under arrest in Poland. Alexander Butyagin is waiting for courts to decide on a request from Ukraine for him to be extradited. He is a scholar at the Hermitage, Russia's largest art museum in St Petersburg, and has been digging in an ancient site in Crimea since 1999. Ukrainian authorities claim that he is criminally damaging and looting the site, making the most of Russian occupation, Butyagin himself denies all charges. It is a story that Grigor Atenesian of BBC Russian has been looking into.The Kalbeliya community is a nomadic tribe from Rajasthan in India, known for its distinctive folk music and the Kalbeliya dance form. Traditionally, Kalbeliya families have led a nomadic life, though some have settled permanently over the years. They follow a type of Hinduism in which burial, rather than cremation, is a religious requirement after death. Community members say that even those who are settled often do not have legal access to land for burial, leaving families struggling to perform last rites. Ashay Yegde, who reports for the BBC in India, recently travelled to meet the Kalbeliya to hear their story. AI-generated caricatures of middle-aged men decked out in street wear, clutching an iPhone have gone viral on social media in South Korea. They are being called 'Young 40s' by younger generations. Teasing of an older person is very unusual in South Korea, where age difference, even by a year, forms the basis of social hierarchy. But the Young 40 memes also represent Korean youth's growing scepticism of this reverence for elders. Hyojung Kim of BBC Korean has been looking into the internet phenomenon, and shares what it tells us about South Korean society today. This episode of The Documentary comes to you from The Fifth Floor, the show at the heart of global storytelling, with BBC journalists from all around the world. Presented by Faranak AmidiProduced by Laura Thomas and Caroline Ferguson (Photo: Faranak Amidi. Credit: Tricia Yourkevich.)
UnHerd's Freddie Sayers talks to eminent economist and social scientist Professor Glenn Loury about a troubling new shift in American discourse: the rise of Right-wing identity politics. Traditionally a critic of the woke Left, Loury turns his sights on the world's wealthiest man, arguing that Elon Musk is making a "category mistake" by importing South African racial anxieties into the American context. By embracing white solidarity and racial essentialism, Loury argues, the Right is not defeating identity politics, but is instead adopting a politically destructive mirror image of the very ideology they claim to oppose. Hosted on Acast. See acast.com/privacy for more information.
In this JCO Precision Oncology Article Insights episode, host Dr. Jiasen He summaries the article, "Longitudinal Evaluation of Circulating Tumor DNA as a Prognostic Biomarker to Detect Molecular Residual Disease in Germ Cell Tumors," by Hassoun et al. TRANSCRIPT Jiasen He: Hello, and welcome to the JCO Precision Oncology Article Insights. I'm your host, Jiasen He, and today, we'll be discussing the JCO Precision Oncology article, "Longitudinal Evaluation of Circulating Tumor DNA as a Prognostic Biomarker to Detect Molecular Residual Disease in Germ Cell Tumors," by Dr. Rebecca Hassoun and colleagues. Traditionally, treatment response for solid tumors has relied on imaging, which focuses on visible anatomic changes in the tumor. However, imaging does not always reflect molecular or cellular changes and cannot detect microscopic disease, which is clinically important and often linked to relapse. Liquid biopsy, on the other hand, is minimally invasive and can be used for cancer monitoring by analyzing circulating biomarkers in biofluids such as blood. One type of liquid biopsy is circulating tumor DNA, or ctDNA, which measures small fragments of DNA released by tumor cells into the bloodstream. ctDNA can allow precise monitoring of tumor-specific mutations and be a powerful tool for assessing treatment responses. ctDNA has already been applied in clinical settings for cancers such as non-small cell lung cancer and breast cancer, etcetera. However, there is still limited data on the use of ctDNA for germ cell tumors. Germ cell tumors are the most common malignancy affecting men aged 15 to 35 years. Accurate risk stratification and disease monitoring is key to risk-adapted therapy, maximizing the chance of cure while minimizing side effects. One unique tool we use currently for diagnosis, staging, and monitoring is serum tumor markers, such as AFP, beta-hCG, and LDH. However, these markers have limitations, including false elevation in certain clinical scenarios, and studies have shown that they can be normal in up to 40 percent of patients with germ cell tumor. This creates an unmet need for other sensitive and specific biomarkers to improve patient care. In this paper, the authors investigated the use of ctDNA in a cohort of patients with germ cell tumor at various disease time points. They compared ctDNA results with traditional serum tumor markers to evaluate whether ctDNA can predict relapse and survival outcomes. This multi-institutional retrospective study included patients with stage I, II, and III germ cell tumors, primarily testicular cancer, who had at least one ctDNA test result. ctDNA was evaluated longitudinally at different time points, including pre-orchiectomy, during the molecular residual disease, or MRD, window, defined as 1 to 12 weeks post-orchiectomy but before primary therapy, and during the surveillance window, defined as more than 12 weeks post-orchiectomy or follow retroperitoneal lymph node dissection or post-chemotherapy. ctDNA analysis was performed using a tumor-informed 16 multiplex PCR next-generation sequencing assay. A total of 324 plasma samples were analyzed from 74 patients in this cohort. The majority had stage I disease, around 40 percent, and nonseminomatous histology, around 70 percent. 15 patients were evaluated in the pre-orchiectomy window, and only one patient tested negative for ctDNA. This patient had stage I disease. The authors further assessed ctDNA positivity in both the MRD window and surveillance window, evaluating its association with event-free survival. They found that ctDNA outperformed serum tumor markers in both settings. ctDNA positivity was associated with significantly worse event-free survival compared with ctDNA-negative patients. Among the 14 patients with stage II to III disease who had ctDNA assessed in both the MRD window and surveillance window, nine patients consistently had a negative ctDNA or converted from positive to negative over time. In contrast, five patients demonstrated persistent ctDNA positivity, and all of these patients subsequently relapsed. Among the 38 patients who had both ctDNA and serum tumor marker tests during the MRD window, nine patients showed discordant biomarker results. Of these, 6 patients were ctDNA-negative but serum tumor marker-positive, and one of them experienced recurrence. Three patients were ctDNA-positive but serum tumor marker-negative, and one of these patients also recurred. During the surveillance window, 46 patients had both biomarkers available, and 10 showed discordant results. Three patients were ctDNA-negative but serum tumor marker-positive, and none of them recurred. In contrast, all seven patients who were ctDNA-positive but serum tumor marker-negative experienced recurrence. This intriguing data strongly support the potential role of ctDNA in patients with stage I, II, and III germ cell tumors. However, as the authors noted, the retrospective nature of the study presents limitations, as treatment approaches, imaging schedules, and the timing of testing were not standardized, and ctDNA testing varies among participating institutions. Larger prospective trials with standardized protocols and long-term follow-up will be essential to validate these findings and determine how ctDNA can be reliably integrated into clinical practice. Thank you for tuning in to JCO Precision Oncology Article Insights. Don't forget to subscribe and join us next time as we explore more groundbreaking research shaping the future of oncology. 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.
Imbolc sits pretty quietly on the Wheel of the Year for most of us. It is right between the deep stillness of winter and the first real stirrings of spring. It usually falls on February 1st or 2nd, when the days are noticeably getting longer (even if the weather has not warmed up yet). This is the sabbat of light returning.Traditionally, Imbolc is connected to fire, hearth, and renewal, but not the kind of renewal that bursts out of the ground all at once. This is the internal renewal that is happening right now. The kind that happens when something inside you quietly says “Okay… I think I'm ready to keep going.” Seeds are still underground. Plans are still forming. But the energy has in fact …. shifted. Winter is no longer just about resting. It is now … about preparing.So let's spend a little time together today as we step into Imbolc, the sabbat of the returning light. It is going to be about the tiny shifts, the longer days, and that subtle inner knowing that something is starting to warm up again. We are talking about gentle momentum, unfinished beginnings, and the courage it takes all of us … to keep going without rushing the process. Today we are going to honor where we are right now on the Wheel of the Year. Tending the flame, trusting the timing, and welcoming the light back in, one small moment at a time.We've got this!CharleneHearth & HenPatreonWitchy Work Wishes
The readings for this homily: https://bible.usccb.org/bible/readings/012626.cfmFather Chris Alar, MIC addresses one of the most misunderstood teachings in all of Scripture: Is there truly a sin that God will not forgive?Jesus warns that a house divided cannot stand (cf. Mk 3:25), and Fr. Chris explains that the most dangerous division is not political or cultural — it is spiritual. It is the division that occurs when a soul refuses mercy. The Church teaches clearly: there is no sin beyond the mercy of God — except the refusal to ask for it.Drawing from Sacred Scripture, St. Augustine, St. Thomas Aquinas, and the Catechism of the Catholic Church, paragraph 1864, Fr. Chris explains the meaning of the sin against the Holy Spirit. Traditionally called final impenitence, it appears in three forms: presumption (“I don't need forgiveness”), despair (“God won't forgive me”), and refusal (“I will not ask”). Though they look different, all share the same root — a hardened heart that rejects mercy.Fr. Chris then deepens the teaching using Aquinas' framework. Sins of weakness (against the Father) and sins of ignorance (against the Son) are forgivable. But sins of malice — the deliberate choosing of evil against goodness itself — are said to be against the Holy Spirit. Even so, the homily offers powerful reassurance: the very moment a soul repents, mercy is already at work. Simply walking into the confessional is proof that the unforgivable sin is no longer present.The homily concludes with hope drawn from Aquinas and St. Faustina: while this sin is unpardonable in itself, we must never stop praying for mercy — for ourselves or for others. God's mercy is not limited by our past, only by our refusal.If you fear that you are beyond forgiveness, this teaching is not meant to condemn you — it is meant to call you home. ★ Support this podcast ★
On the eighth day of the 12th month on the Chinese calendar, which falls on Monday this year, the aroma of laba porridge will drift across Beijing and the rest of the country, signaling the arrival of the Chinese New Year season.农历十二月八日，今年恰逢周一，腊八粥的香气将飘荡在北京及全国各地，宣告春节时节的到来。The character "la" refers to the 12th month on the Chinese calendar, while "ba" means the number eight. For most people, savoring labaporridge— which is typically made of at least eight ingredients including glutinous rice and red beans — is more than a traditional ritual, because it marks the moment when the year-end countdown starts and serves as the prelude to new beginnings.“腊”字指农历十二月，”八”则代表数字八。对多数人而言，品尝腊八粥——这种通常由糯米、红豆等至少八种食材熬制的粥品——不仅是传统习俗，更标志着岁末倒计时的开始，为新年的启程奏响序曲。Despite the cold spell in the Chinese capital, warmth will fill the halls of its historical temples on Monday. Yonghegong, also known as Lama Temple, a magnificent testament to Beijing's rich culture and spiritual heritage, will launch its annual laba porridge distribution, as will Guanghua, Tanzhe and other temples, drawing large crowds of visitors.尽管北京正值寒潮，在周一，这座历史名城的寺庙殿堂里却将充满暖意。作为北京丰富文化与精神遗产的壮丽见证，雍和宫（又称喇嘛寺）将启动年度腊八粥发放活动，广化寺、潭柘寺等寺庙也将同步开展，吸引大批游客前来。Temple-based porridge distribution remains central to the laba tradition in Beijing, with Yonghegong being the most anticipated site. Bowl after bowl of steaming hot porridge there is not only expected to help buffer the winter chill, but also provides people with a shared sense of hope.寺庙供粥仍是北京腊八传统的核心环节，其中雍和宫是最受期待的地点。一碗碗热气腾腾的粥不仅能驱散冬日的寒意，更传递着人们共同的希望。Since the Qing Dynasty (1644-1911), laba porridge prepared at the temple has been one of the city's most significant seasonal events. From emperors to ordinary residents, everyone believed — and still believes — that partaking of a bowl of the temple's porridge brings good fortune and peace in the year ahead.自清朝（1644-1911）以来，寺庙里熬制的腊八粥便成为这座城市最重要的季节性盛事之一。从帝王到百姓，人人都相信，时至今日也依然如此——品尝一碗寺庙的腊八粥，便能为来年带来好运与平安。Historical records show that Emperor Yongzheng attached particular importance to the laba ceremony, elevating it to a rigorously regulated imperial ritual. Preparations began as early as the first day of the 12th month of the Chinese calendar and continued for eight days.史料记载，雍正帝格外重视腊八节庆典，将其提升为规制严谨的皇家仪式。筹备工作早在农历十二月初一便已启动，持续八日之久。According to Qing Dynasty archives, a single ceremony required more than 720 kilograms of primary ingredients, with the total weight of all ingredients reaching 1,000 kg. About 5,000 kg of firewood was used to prepare laba porridge, reflecting the scale and solemnity of the event.据清代档案记载，单次仪式需耗费720余公斤主料，所有食材总重达千斤。烹制腊八粥约需五千斤柴火，足见其规模之宏大、仪式之隆重。Visitors to Lama Temple today can still see the massive copper cauldron once used exclusively for making laba porridge. Crafted by the erstwhile imperial workshop, the vessel measures about two meters in diameter and 1.5 meters in depth, and weighs around 8 metric tons.今日造访雍和宫的游客，仍可见到那口专用于熬制腊八粥的巨型铜锅。这口由昔日皇家工坊打造的巨器，直径约两米，深约一米五，重达八吨。Originally placed near the temple's eastern gate, the cauldron stood over a deep earthen stove supported by iron pillars to ensure steady heat, offering a glimpse into the grandeur of past ceremonies.这口铜鼎原置于寺庙东门附近，架设在由铁柱支撑的深土灶上以保持恒温，让人得以窥见昔日仪式的恢弘盛况。Traditionally, laba porridge at Lama Temple was made in the same pot six times, with each preparation serving a distinct purpose. The first pot was offered to the statues of Buddha, including those in the Forbidden City and imperial gardens. The second was presented to the imperial family, enriched with cream and preserved fruit to reflect royal refinement.传统上，雍和宫的腊八粥需在同一口锅中煮制六次，每次熬煮皆有特定用途。首锅粥供奉于佛像，包括紫禁城及皇家园林中的佛像；第二锅则呈献给皇室，特意加入奶油与蜜饯，彰显皇室的精致品味。Subsequent pots were distributed among senior officials and monks, while the sixth one was shared with members of the public, embodying the ideal of celebrating together with the people.后续的锅次则分于高级官员和僧侣，而第六锅则与民众共享，体现了与百姓同庆的理想。The ingredients reflected imperial standards. For example, during Emperor Qianlong's reign, laba porridge was made of 13 ingredients, including millet, rice, beans, red dates, chestnuts, almonds and brown sugar.在腊八粥的食材中也体现着皇室标准。例如乾隆年间，腊八粥由小米、大米、豆类、红枣、栗子、杏仁和红糖等十三种食材熬制而成。Other ancient shrines in Beijing have their own laba rituals. The Guangji and Guanghua temples begin distributing the porridge before dawn, with residents lining up in the dark to be among the first to receive a bowl. Tanzhe Temple, which boasts a history of more than 1,700 years, offers what many longtime Beijing residents regard as "a symbol of peace and good health".北京其他古刹也有各自的腊八节仪式。广济寺和广化寺在黎明前就开始分发粥，居民们在黑暗中排队，争相成为最早领到一碗粥的人。拥有1700多年历史的槐树寺所供奉的粥，被许多老北京人视为“平安健康之象征”。Beyond temples, the laba tradition also finds expression in everyday urban life. Huguosi Snack, a well-known eatery in the Chinese capital, recently launched a laba porridge variety on its menu, featuring more than 20 ingredients.除了寺庙，腊八传统也在都市日常生活中得到体现。北京知名护国寺小吃街近日推出腊八粥新品，内含二十余种食材。Aoliao Jiaxin, a user on social media platform Xiaohongshu, or RedNote, said she tried the porridge at Huguosi on the first day and found it "packed with real ingredients and very satisfying".社交媒体平台小红书用户阿寮佳欣（音译）表示，她在开市首日品尝了护国寺的粥品，表示“食材真实饱满，非常满足”。Across China, regional variations lend laba porridge distinct local character. Northern versions tend to be thick and hearty, often paired with pickled laba garlic. The porridge in Jiangnan, or the southern region in the lower reaches of the Yangtze River, is lighter and delicately sweet, with some prepared in savory form. In the northwest, lamb is a key ingredient for extra warmth.在中国各地，地域差异赋予腊八粥独特的本土风味。北方版本通常浓稠饱满，常佐以腌制腊八蒜。江南地区（长江下游的南方区域）的粥品则清淡甘美，有些还会制作咸味版本。在西北地区，羊肉作为重要食材，为粥品增添额外的暖意。Yet everywhere, laba porridge emphasizes harmony, with the blend of grains symbolizing abundance and envisaging a prosperous year ahead.然而无论何处，腊八粥都强调和谐，杂粮的融合象征着丰饶，预示着来年繁荣昌盛。ritual/ˈrɪtʃuəl/n.仪式；例行公事prelude/ˈpreljuːd/n.序曲；开端cauldron/ˈkɔːldrən/n.大锅；鼎hearty/ˈhɑːti/adj.丰盛的；浓郁的
Read Online“Amen, I say to you, all sins and all blasphemies that people utter will be forgiven them. But whoever blasphemes against the Holy Spirit will never have forgiveness, but is guilty of an everlasting sin.” For they had said, “He has an unclean spirit.” Mark 3:28–30Consider the sobering reality of suffering the guilt of everlasting sin. Though alarming and unpleasant, understanding this possibility is foundational to a healthy spiritual life. This is best illustrated in the Spiritual Exercises of Saint Ignatius of Loyola, one of the co-founders of the Jesuits. The Spiritual Exercises are considered one of the most transforming retreat formats ever written. They guide spiritual directors who lead retreatants through a thirty-day retreat, helping them experience profound conversion and make major life decisions. The first week of those exercises contains various meditations on the horror of hell and the seriousness of one mortal sin.Today's Gospel is not only ideal for those beginning a thirty-day retreat, but also for everyone serious about spiritual growth. On our spiritual journey, we often must do that which is initially difficult and unpleasant so as to reap the fruit of that exercise. One such exercise is to meditate on our Lord's words: “But whoever blasphemes against the Holy Spirit will never have forgiveness, but is guilty of an everlasting sin.”In commenting on this, the Catechism of the Catholic Church states, “There are no limits to the mercy of God, but anyone who deliberately refuses to accept his mercy by repenting, rejects the forgiveness of his sins and the salvation offered by the Holy Spirit. Such hardness of heart can lead to final impenitence and eternal loss” (#1864).Traditionally, the sin this Gospel refers to has been called the “Sin Against the Holy Spirit.” Saint Thomas Aquinas, in the Summa Theologica (II-II, Question 14, Articles 1–3), articulates six ways that one can be guilty of this sin:Despair: rejecting God's mercy and refusing to believe one's sins can be forgiven.Presumption: believing one can attain salvation without grace or repentance.Impenitence: a refusal to repent for past sins.Obstinacy: a hardened resolve to remain in sin.Resisting the Known Truth: deliberately rejecting the truths of the faith to justify sin.Envy of Another's Grace: resenting the Holy Spirit's work in others.God alone knows the depths of our human heart and comprehends our guilt or mitigating circumstances.God alone is the perfect Judge. He judges with divine equity, His perfect justice and mercy united as one.Though God's mercy is limitless, this does not mean that everyone goes to Heaven. Recall Jesus' teaching: “Enter through the narrow gate; for the gate is wide and the road broad that leads to destruction, and those who enter through it are many. How narrow the gate and constricted the road that leads to life. And those who find it are few” (Matthew 7:13–14).The common thread in the ways Saint Thomas articulates this “everlasting sin” is an obstinate refusal to see our sins in the light of eternal Truth and then to repent and change. When properly understood, attaining Heaven is easy! All we need to do is be honest, turn from sin, and abandon ourselves to our loving God—especially in the Sacrament of Reconciliation. A thorough and honest confession is a sure path through the narrow gate that leads to eternal life. Reflect today on the serious and consequential demands God places on us. His generosity knows no bounds, but we must receive that generosity on His terms. Ideally, today's Gospel will inspire us with the spiritual gift of Fear of the Lord. The perfection of this gift is not a fear of punishment, but a deep reverence and love for God that moves us to avoid anything that might offend Him. It deepens our relationship with Him and strengthens our resolve to walk the narrow path. If you find yourself obstinate at times, beware of the danger of that interior disposition. Most merciful Lord, please free me from all obstinacy and help me to see my sin as You see it. I repent of my sin and profess my need for Your Divine Mercy. Please open the gate to that Mercy so that I can be with You forever in Heaven. Jesus, I trust in You.Image: Spurzem - Lothar Spurzem, CC BY-SA 2.0 DE, via Wikimedia CommonsSource: Free RSS feed from catholic-daily-reflections.com — Copyright © 2026 My Catholic Life! Inc. All rights reserved. This content is provided solely for personal, non-commercial use. Redistribution, republication, or commercial use — including use within apps with advertising — is strictly prohibited without written permission.
Traditionally viewed as an entry-level role, the leasing agent position has evolved. Today's agents must bring strong professionalism and specialized skills to the job. Finding a home can be stressful, and prospects deserve knowledgeable, well-trained agents who focus on building relationships—not just closing transactions.Stephanie Oehler, Founder of Savvy Leasing, joins the podcast to discuss why sales is such an important part of the leasing process. Stephanie shares her top three tips for leasing and sales training: using value language to communicate what it feels like to live in your community; effective follow-up, which requires consistency, creativity, and customization; and changing your perspective so that you can be prepared, feel refreshed, and have a positive attitude when working with potential renters.Further, she covers common misconceptions about the leasing and sales processes, and speaks to some of the services she provides.Explore additional Beyond Rent episodes by connecting with us on Facebook, Instagram, TikTok, LinkedIn, and YouTube.You can learn more about Stephanie Oehler on LinkedIn, and Savvy Leasing on the company's website.Visit RentManager.com/Podcast to submit an idea for an upcoming episode of Beyond Rent and discover more about the program.Learn more about Rent Manager's industry-leading accounting, reporting, maintenance, and communication features at RentManager.com, or connect with us on LinkedIn, Facebook, Instagram, YouTube, and X.
In recent years, the smart home industry has burgeoned, with a plethora of devices designed to enhance convenience and efficiency in our daily lives. However, a significant barrier has remained: the reliance on Wi-Fi and mobile applications to operate these devices. Tim Suri, Executive Vice President of IAI Smart, introduced a groundbreaking solution at CES that promises to revolutionize how we interact with household appliances by eliminating the need for Wi-Fi, apps, and hubs. This innovation not only simplifies the user experience but also addresses critical concerns regarding privacy and security.The Concept of Voice ActivationVoice-activated appliances represent a significant leap in technology, allowing users to control devices through simple vocal commands. Traditionally, smart devices such as lights, fans, and kitchen appliances required a stable internet connection and a compatible app to function. This often led to confusion and frustration, especially for those less tech-savvy or unwilling to navigate complex setups. IAI Smart's approach, however, is refreshingly straightforward: their devices operate independently of the internet, relying solely on built-in voice recognition technology.For instance, Suri describes a dual wall plug from the Emerson brand that not only serves as a regular power outlet but also includes voice activation capabilities. Users can command the device to turn lights on or off, set timers, and execute a variety of functions without needing to interact with an app or connect to Wi-Fi. This plug-and-play model is indicative of a broader trend toward simplifying technology, making it accessible to a wider audience.The Advantages of Wi-Fi IndependenceOne of the most compelling advantages of IAI Smart's voice-activated appliances is the enhanced privacy and security they offer. In a world increasingly concerned with data breaches and privacy violations, the absence of Wi-Fi connectivity means that users are not sharing their personal information with third-party services. This feature is particularly appealing to consumers who are wary of the data collection practices associated with many smart devices. By eliminating the need for internet access, IAI Smart ensures that users maintain control over their information and can use their appliances without fear of unwanted surveillance.Moreover, the simplicity of these devices enhances user experience. With no apps to download or complicated setups to navigate, consumers can plug in their appliances and begin using them immediately. This approach is particularly beneficial for individuals who may find traditional smart home technology intimidating or cumbersome. The ease of use fosters a more inclusive environment, encouraging a broader range of people to embrace smart home innovations.Interactive Cooking and Daily TasksSuri emphasizes the practicality of their voice-activated air fryer as an example of how these appliances can transform everyday tasks. Instead of searching online for cooking times and temperatures, users can simply approach the air fryer and verbally request assistance. The appliance responds with the necessary settings, making cooking more intuitive and less burdensome. This interaction exemplifies how voice-activated technology can streamline mundane tasks, allowing users to focus on enjoying their time in the kitchen rather than getting bogged down by technical details.The interactive nature of these devices extends beyond just cooking. For instance, users can control fans, heaters, and other household items with voice commands, creating a seamless and convenient home environment. The ability to set timers, adjust settings, and receive feedback from the appliances enhances the overall user experience, making daily routines more efficient.ConclusionThe introduction of voice-activated appliances without Wi-Fi marks a significant advancement in smart home technology. By prioritizing user experience, privacy, and simplicity, IAI Smart is paving the way for a new generation of household devices that are both innovative and accessible. As consumers increasingly seek convenience and security in their everyday lives, the appeal of these Wi-Fi-independent appliances is likely to grow. This shift not only reflects changing consumer preferences but also highlights the potential for technology to enhance our lives in meaningful ways, making smart homes more intuitive and user-friendly than ever before.IAI Smart devices are currently available from Amazon, Walmart, and more.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In an era where technology continuously shapes our world, the integration of community-driven approaches into asset monitoring presents a transformative opportunity. The recent discussion with Claudia Masciulli, CEO and co-founder of IntelligEarth, sheds light on this innovative paradigm. Founded in 2023 from the esteemed Sapienza University of Rome, IntelligEarth is pioneering a new deep tech solution aimed at enhancing the monitoring and inspection of various assets, including structural health and environmental conditions. Don Baine's CES 2026 conversation explores the significance of community-driven asset monitoring, the challenges it addresses, and the potential it holds for the future.The Concept of Community-Driven MonitoringAt its core, community-driven asset monitoring leverages the power of citizen science and crowdsourced data collection. Rather than relying solely on trained technicians to gather and analyze data, this approach empowers individuals within a community to contribute to the monitoring process. As Masciulli articulates, the technology developed by IntelligEarth taps into the everyday observations of people, allowing them to collect valuable information about their surroundings. This democratization of data collection not only enhances the volume of information available but also fosters a sense of ownership and responsibility among community members regarding their environment.Addressing Urgent ChallengesThe traditional methods of asset monitoring often come with significant limitations. High costs, the need for specialized technicians, and bureaucratic hurdles can hinder effective monitoring, especially in regions where infrastructure is at risk. In Italy, for instance, the alarming rate of building collapses underscores the urgent need for innovative solutions. IntelligEarth's technology addresses these challenges by lowering monitoring costs by up to 19% and expediting the inspection process. By harnessing the collective efforts of the community, the company is not only making monitoring more accessible but also more efficient.The Role of TechnologyIntelligEarth's approach is rooted in advanced technology, including satellite sensors and Earth observation tools. However, the real innovation lies in its ability to transform raw data into actionable insights. Traditionally, sophisticated technologies require significant interpretation by experts, which can limit their application. By involving the community, IntelligEarth creates a system where data collection becomes a shared responsibility, enabling faster and more comprehensive assessments of infrastructure and environmental health. This shift represents a significant leap forward in how we approach asset monitoring, making it more inclusive and responsive to real-time needs.Building Partnerships and AwarenessAs Masciulli represents IntelligEarth at CES, her goals extend beyond showcasing their technology. She aims to raise awareness about the importance of community involvement in monitoring efforts. By engaging potential clients, partners, and investors, she seeks to establish a network that can amplify the impact of their innovations. The participation of the Italian government in supporting her presence at CES highlights the recognition of this approach as a valuable contribution to both technological advancement and societal well-being.ConclusionCommunity-driven asset monitoring represents a significant innovation in how we understand and manage our built and natural environments. By empowering individuals to participate in the monitoring process, companies like IntelligEarth are not only enhancing the efficiency and effectiveness of inspections but also fostering a culture of shared responsibility. As we face increasing challenges related to infrastructure and environmental sustainability, the integration of community insights into monitoring practices will be crucial. The future of asset monitoring lies in collaboration, and through community-driven initiatives, we can create safer, more resilient communities equipped to address the complexities of our world.Interview by Don Baine, The Gadget Professor.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In recent years, the smart home industry has burgeoned, with a plethora of devices designed to enhance convenience and efficiency in our daily lives. However, a significant barrier has remained: the reliance on Wi-Fi and mobile applications to operate these devices. Tim Suri, Executive Vice President of IAI Smart, introduced a groundbreaking solution at CES that promises to revolutionize how we interact with household appliances by eliminating the need for Wi-Fi, apps, and hubs. This innovation not only simplifies the user experience but also addresses critical concerns regarding privacy and security.The Concept of Voice ActivationVoice-activated appliances represent a significant leap in technology, allowing users to control devices through simple vocal commands. Traditionally, smart devices such as lights, fans, and kitchen appliances required a stable internet connection and a compatible app to function. This often led to confusion and frustration, especially for those less tech-savvy or unwilling to navigate complex setups. IAI Smart's approach, however, is refreshingly straightforward: their devices operate independently of the internet, relying solely on built-in voice recognition technology.For instance, Suri describes a dual wall plug from the Emerson brand that not only serves as a regular power outlet but also includes voice activation capabilities. Users can command the device to turn lights on or off, set timers, and execute a variety of functions without needing to interact with an app or connect to Wi-Fi. This plug-and-play model is indicative of a broader trend toward simplifying technology, making it accessible to a wider audience.The Advantages of Wi-Fi IndependenceOne of the most compelling advantages of IAI Smart's voice-activated appliances is the enhanced privacy and security they offer. In a world increasingly concerned with data breaches and privacy violations, the absence of Wi-Fi connectivity means that users are not sharing their personal information with third-party services. This feature is particularly appealing to consumers who are wary of the data collection practices associated with many smart devices. By eliminating the need for internet access, IAI Smart ensures that users maintain control over their information and can use their appliances without fear of unwanted surveillance.Moreover, the simplicity of these devices enhances user experience. With no apps to download or complicated setups to navigate, consumers can plug in their appliances and begin using them immediately. This approach is particularly beneficial for individuals who may find traditional smart home technology intimidating or cumbersome. The ease of use fosters a more inclusive environment, encouraging a broader range of people to embrace smart home innovations.Interactive Cooking and Daily TasksSuri emphasizes the practicality of their voice-activated air fryer as an example of how these appliances can transform everyday tasks. Instead of searching online for cooking times and temperatures, users can simply approach the air fryer and verbally request assistance. The appliance responds with the necessary settings, making cooking more intuitive and less burdensome. This interaction exemplifies how voice-activated technology can streamline mundane tasks, allowing users to focus on enjoying their time in the kitchen rather than getting bogged down by technical details.The interactive nature of these devices extends beyond just cooking. For instance, users can control fans, heaters, and other household items with voice commands, creating a seamless and convenient home environment. The ability to set timers, adjust settings, and receive feedback from the appliances enhances the overall user experience, making daily routines more efficient.ConclusionThe introduction of voice-activated appliances without Wi-Fi marks a significant advancement in smart home technology. By prioritizing user experience, privacy, and simplicity, IAI Smart is paving the way for a new generation of household devices that are both innovative and accessible. As consumers increasingly seek convenience and security in their everyday lives, the appeal of these Wi-Fi-independent appliances is likely to grow. This shift not only reflects changing consumer preferences but also highlights the potential for technology to enhance our lives in meaningful ways, making smart homes more intuitive and user-friendly than ever before.IAI Smart devices are currently available from Amazon, Walmart, and more.Interview by Scott Ertz of F5 Live: Refreshing Technology.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
In an era where technology continuously shapes our world, the integration of community-driven approaches into asset monitoring presents a transformative opportunity. The recent discussion with Claudia Masciulli, CEO and co-founder of IntelligEarth, sheds light on this innovative paradigm. Founded in 2023 from the esteemed Sapienza University of Rome, IntelligEarth is pioneering a new deep tech solution aimed at enhancing the monitoring and inspection of various assets, including structural health and environmental conditions. Don Baine's CES 2026 conversation explores the significance of community-driven asset monitoring, the challenges it addresses, and the potential it holds for the future.The Concept of Community-Driven MonitoringAt its core, community-driven asset monitoring leverages the power of citizen science and crowdsourced data collection. Rather than relying solely on trained technicians to gather and analyze data, this approach empowers individuals within a community to contribute to the monitoring process. As Masciulli articulates, the technology developed by IntelligEarth taps into the everyday observations of people, allowing them to collect valuable information about their surroundings. This democratization of data collection not only enhances the volume of information available but also fosters a sense of ownership and responsibility among community members regarding their environment.Addressing Urgent ChallengesThe traditional methods of asset monitoring often come with significant limitations. High costs, the need for specialized technicians, and bureaucratic hurdles can hinder effective monitoring, especially in regions where infrastructure is at risk. In Italy, for instance, the alarming rate of building collapses underscores the urgent need for innovative solutions. IntelligEarth's technology addresses these challenges by lowering monitoring costs by up to 19% and expediting the inspection process. By harnessing the collective efforts of the community, the company is not only making monitoring more accessible but also more efficient.The Role of TechnologyIntelligEarth's approach is rooted in advanced technology, including satellite sensors and Earth observation tools. However, the real innovation lies in its ability to transform raw data into actionable insights. Traditionally, sophisticated technologies require significant interpretation by experts, which can limit their application. By involving the community, IntelligEarth creates a system where data collection becomes a shared responsibility, enabling faster and more comprehensive assessments of infrastructure and environmental health. This shift represents a significant leap forward in how we approach asset monitoring, making it more inclusive and responsive to real-time needs.Building Partnerships and AwarenessAs Masciulli represents IntelligEarth at CES, her goals extend beyond showcasing their technology. She aims to raise awareness about the importance of community involvement in monitoring efforts. By engaging potential clients, partners, and investors, she seeks to establish a network that can amplify the impact of their innovations. The participation of the Italian government in supporting her presence at CES highlights the recognition of this approach as a valuable contribution to both technological advancement and societal well-being.ConclusionCommunity-driven asset monitoring represents a significant innovation in how we understand and manage our built and natural environments. By empowering individuals to participate in the monitoring process, companies like IntelligEarth are not only enhancing the efficiency and effectiveness of inspections but also fostering a culture of shared responsibility. As we face increasing challenges related to infrastructure and environmental sustainability, the integration of community insights into monitoring practices will be crucial. The future of asset monitoring lies in collaboration, and through community-driven initiatives, we can create safer, more resilient communities equipped to address the complexities of our world.Interview by Don Baine, The Gadget Professor.Sponsored by: Get $5 to protect your credit card information online with Privacy. Amazon Prime gives you more than just free shipping. Get free music, TV shows, movies, videogames and more. Secure your connection and unlock a faster, safer internet by signing up for PureVPN today.
What if the most transformative thing you can do for your writing craft and author business is to face what you fear? How can you can find gold in your Shadow in the year ahead? In this episode, I share chapters from Writing the Shadow: Turn Your Inner Darkness Into Words. In the intro, curated book boxes from Bridgerton's Julia Quinn; Google's agentic shopping, and powering Apple's Siri; ChatGPT Ads; and Claude CoWork. Balancing Certainty and Uncertainty [MoonShots with Tony Robbins]; and three trends for authors with me and Orna Ross [Self-Publishing with ALLi Podcast]; plus, Bones of the Deep, Business for Authors, and Indie Author Lab. This show is supported by my Patrons. Join my Community at Patreon.com/thecreativepenn Joanna Penn writes non-fiction for authors and is an award-winning, New York Times and USA Today bestselling author of thrillers, dark fantasy, and memoir as J.F. Penn. She's also an award-winning podcaster, creative entrepreneur, and international professional speaker. What is the Shadow? The ‘creative wound' and the Shadow in writing The Shadow in traditional publishing The Shadow in self-publishing or being an indie author The Shadow in work The Shadow in money You can find Writing the Shadow in all formats on all stores, as well as special edition, workbook and bundles at www.TheCreativePenn.com/shadowbook Writing the Shadow: Turn Your Inner Darkness Into Words The following chapters are excerpted from Writing the Shadow: Turn Your Inner Darkness Into Words by Joanna Penn. Introduction. What is the Shadow? “How can I be substantial if I do not cast a shadow? I must have a dark side also if I am to be whole.” —C.G. Jung, Modern Man in Search of a Soul We all have a Shadow side and it is the work of a lifetime to recognise what lies within and spin that base material into gold. Think of it as a seedling in a little pot that you're given when you're young. It's a bit misshapen and weird, not something you would display in your living room, so you place it in a dark corner of the basement. You don't look at it for years. You almost forget about it. Then one day you notice tendrils of something wild poking up through the floorboards. They're ugly and don't fit with your Scandi-minimalist interior design. You chop the tendrils away and pour weedkiller on what's left, trying to hide the fact that they were ever there. But the creeping stems keep coming. At some point, you know you have to go down there and face the wild thing your seedling has become. When you eventually pluck up enough courage to go down into the basement, you discover that the plant has wound its roots deep into the foundations of your home. Its vines weave in and out of the cracks in the walls, and it has beautiful flowers and strange fruit. It holds your world together. Perhaps you don't need to destroy the wild tendrils. Perhaps you can let them wind up into the light and allow their rich beauty to weave through your home. It will change the look you have so carefully cultivated, but maybe that's just what the place needs. The Shadow in psychology Carl Gustav Jung was a Swiss psychologist and the founder of analytical psychology. He described the Shadow as an unconscious aspect of the human personality, those parts of us that don't match up to what is expected of us by family and society, or to our own ideals. The Shadow is not necessarily evil or illegal or immoral, although of course it can be. It's also not necessarily caused by trauma, abuse, or any other severely damaging event, although again, it can be. It depends on the individual. What is in your Shadow is based on your life and your experiences, as well as your culture and society, so it will be different for everyone. Psychologist Connie Zweig, in The Inner Work of Age, explains, “The Shadow is that part of us that lies beneath or behind the light of awareness. It contains our rejected, unacceptable traits and feelings. It contains our hidden gifts and talents that have remained unexpressed or unlived. As Jung put it, the essence of the Shadow is pure gold.” To further illustrate the concept, Robert Bly, in A Little Book on the Human Shadow,uses the following metaphor: “When we are young, we carry behind us an invisible bag, into which we stuff any feelings, thoughts, or behaviours that bring disapproval or loss of love—anger, tears, neediness, laziness. By the time we go to school, our bags are already a mile long. In high school, our peer groups pressure us to stuff the bags with even more—individuality, sexuality, spontaneity, different opinions. We spend our life until we're twenty deciding which parts of ourselves to put into the bag and we spend the rest of our lives trying to get them out again.” As authors, we can use what's in the ‘bag' to enrich our writing — but only if we can access it. My intention with this book is to help you venture into your Shadow and bring some of what's hidden into the light and into your words. I'll reveal aspects of my Shadow in these pages but ultimately, this book is about you. Your Shadow is unique. There may be elements we share, but much will be different. Each chapter has questions for you to consider that may help you explore at least the edges of your Shadow, but it's not easy. As Jung said, “One does not become enlightened by imagining figures of light, but by making the darkness conscious. The latter procedure, however, is disagreeable and therefore not popular.” But take heart, Creative. You don't need courage when things are easy. You need it when you know what you face will be difficult, but you do it anyway. We are authors. We know how to do hard things. We turn ideas into books. We manifest thoughts into ink on paper. We change lives with our writing. First, our own, then other people's. It's worth the effort to delve into Shadow, so I hope you will join me on the journey. The creative wound and the Shadow in writing “Whatever pain you can't get rid of, make it your creative offering.” —Susan Cain, Bittersweet The more we long for something, the more extreme our desire, the more likely it is to have a Shadow side. For those of us who love books, the author life may well be a long-held dream and thus, it is filled with Shadow. Books have long been objects of desire, power, and authority. They hold a mythic status in our lives. We escaped into stories as children; we studied books at school and college; we read them now for escape and entertainment, education and inspiration. We collect beautiful books to put on our shelves. We go to them for solace and answers to the deepest questions of life. Writers are similarly held in high esteem. They shape culture, win literary prizes, give important speeches, and are quoted in the mainstream media. Their books are on the shelves in libraries and bookstores. Writers are revered, held up as rare, talented creatures made separate from us by their brilliance and insight. For bibliophile children, books were everything and to write one was a cherished dream. To become an author? Well, that would mean we might be someone special, someone worthy. Perhaps when you were young, you thought the dream of being a writer was possible — then you told someone about it. That's probably when you heard the first criticism of such a ridiculous idea, the first laughter, the first dismissal. So you abandoned the dream, pushed the idea of being a writer into the Shadow, and got on with your life. Or if it wasn't then, it came later, when you actually put pen to paper and someone — a parent, teacher, partner, or friend, perhaps even a literary agent or publisher, someone whose opinion you valued — told you it was worthless. Here are some things you might have heard: Writing is a hobby. Get a real job. You're not good enough. You don't have any writing talent. You don't have enough education. You don't know what you're doing. Your writing is derivative / unoriginal / boring / useless / doesn't make sense. The genre you write in is dead / worthless / unacceptable / morally wrong / frivolous / useless. Who do you think you are? No one would want to read what you write. You can't even use proper grammar, so how could you write a whole book? You're wasting your time. You'll never make it as a writer. You shouldn't write those things (or even think about those things). Why don't you write something nice? Insert other derogatory comment here! Mark Pierce describes the effect of this experience in his book The Creative Wound, which “occurs when an event, or someone's actions or words, pierce you, causing a kind of rift in your soul. A comment—even offhand and unintentional—is enough to cause one.” He goes on to say that such words can inflict “damage to the core of who we are as creators. It is an attack on our artistic identity, resulting in us believing that whatever we make is somehow tainted or invalid, because shame has convinced us there is something intrinsically tainted or invalid about ourselves.” As adults, we might brush off such wounds, belittling them as unimportant in the grand scheme of things. We might even find ourselves saying the same words to other people. After all, it's easier to criticise than to create. But if you picture your younger self, bright eyed as you lose yourself in your favourite book, perhaps you might catch a glimpse of what you longed for before your dreams were dashed on the rocks of other people's reality. As Mark Pierce goes on to say, “A Creative Wound has the power to delay our pursuits—sometimes for years—and it can even derail our lives completely… Anything that makes us feel ashamed of ourselves or our work can render us incapable of the self-expression we yearn for.” This is certainly what happened to me, and it took decades to unwind. Your creative wounds will differ to mine but perhaps my experience will help you explore your own. To be clear, your Shadow may not reside in elements of horror as mine do, but hopefully you can use my example to consider where your creative wounds might lie. “You shouldn't write things like that.” It happened at secondary school around 1986 or 1987, so I would have been around eleven or twelve years old. English was one of my favourite subjects and the room we had our lessons in looked out onto a vibrant garden. I loved going to that class because it was all about books, and they were always my favourite things. One day, we were asked to write a story. I can't remember the specifics of what the teacher asked us to write, but I fictionalised a recurring nightmare. I stood in a dark room. On one side, my mum and my brother, Rod, were tied up next to a cauldron of boiling oil, ready to be thrown in. On the other side, my dad and my little sister, Lucy, were threatened with decapitation by men with machetes. I had to choose who would die. I always woke up, my heart pounding, before I had to choose. Looking back now, it clearly represented an internal conflict about having to pick sides between the two halves of my family. Not an unexpected issue from a child of divorce. Perhaps these days, I might have been sent to the school counsellor, but it was the eighties and I don't think we even had such a thing. Even so, the meaning of the story isn't the point. It was the reaction to it that left scars. “You shouldn't write things like that,” my teacher said, and I still remember her look of disappointment, even disgust. Certainly judgment. She said my writing was too dark. It wasn't a proper story. It wasn't appropriate for the class. As if horrible things never happened in stories — or in life. As if literature could not include dark tales. As if the only acceptable writing was the kind she approved of. We were taught The Prime of Miss Jean Brodie that year, which says a lot about the type of writing considered appropriate. Or perhaps the issue stemmed from the school motto, “So hateth she derknesse,” from Chaucer's The Legend of Good Women: “For fear of night, so she hates the darkness.” I had won a scholarship to a private girls' school, and their mission was to turn us all into proper young ladies. Horror was never on the curriculum. Perhaps if my teacher had encouraged me to write my darkness back then, my nightmares would have dissolved on the page. Perhaps if we had studied Mary Shelley's Frankenstein, or H.P. Lovecraft stories, or Bram Stoker's Dracula, I could have embraced the darker side of literature earlier in my life. My need to push darker thoughts into my Shadow was compounded by my (wonderful) mum's best intentions. We were brought up on the principles of The Power of Positive Thinking by Norman Vincent Peale and she tried to shield me and my brother from anything harmful or horrible. We weren't allowed to watch TV much, and even the British school drama Grange Hill was deemed inappropriate. So much of what I've achieved is because my mum instilled in me a “can do” attitude that anything is possible. I'm so grateful to her for that. (I love you, Mum!) But all that happy positivity, my desire to please her, to be a good girl, to make my teachers proud, and to be acceptable to society, meant that I pushed my darker thoughts into Shadow. They were inappropriate. They were taboo. They must be repressed, kept secret, and I must be outwardly happy and positive at all times. You cannot hold back the darkness “The night is dark and full of terrors.” —George R.R. Martin, A Storm of Swords It turned out that horror was on the curriculum, much of it in the form of educational films we watched during lessons. In English Literature, we watched Romeo drink poison and Juliet stab herself in Zeffirelli's Romeo and Juliet. In Religious Studies, we watched Jesus beaten, tortured, and crucified in The Greatest Story Ever Told, and learned of the variety of gruesome ways that Christian saints were martyred. In Classical Civilisation, we watched gladiators slaughter each other in Spartacus. In Sex Education at the peak of the AIDS crisis in the mid-'80s, we were told of the many ways we could get infected and die. In History, we studied the Holocaust with images of skeletal bodies thrown into mass graves, medical experiments on humans, and grainy videos of marching soldiers giving the Nazi salute. One of my first overseas school field trips was to the World War I battlegrounds of Flanders Fields in Belgium, where we studied the inhuman conditions of the trenches, walked through mass graves, and read war poetry by candlelight. As John McCrae wrote: We are the Dead. Short days agoWe lived, felt dawn, saw sunset glow,Loved and were loved, and now we lie, In Flanders fields. Did the teachers not realise how deeply a sensitive teenager might feel the darkness of that place? Or have I always been unusual in that places of blood echo deep inside me? And the horrors kept coming. We lived in Bristol, England back then and I learned at school how the city had been part of the slave trade, its wealth built on the backs of people stolen from their homes, sold, and worked to death in the colonies. I had been at school for a year in Malawi, Africa and imagined the Black people I knew drowning, being beaten, and dying on those ships. In my teenage years, the news was filled with ethnic cleansing, mass rape, and massacres during the Balkan wars, and images of bodies hacked apart during the Rwandan genocide. Evil committed by humans against other humans was not a historical aberration. I'm lucky and I certainly acknowledge my privilege. Nothing terrible or horrifying has happened to me — but bad things certainly happen to others. I wasn't bullied or abused. I wasn't raped or beaten or tortured. But you don't have to go through things to be afraid of them, and for your imagination to conjure the possibility of them. My mum doesn't read my fiction now as it gives her nightmares (Sorry, Mum!). I know she worries that somehow she's responsible for my darkness, but I've had a safe and (mostly) happy life, for which I'm truly grateful. But the world is not an entirely safe and happy place, and for a sensitive child with a vivid imagination, the world is dark and scary. It can be brutal and violent, and bad things happen, even to good people. No parent can shield their child from the reality of the world. They can only help them do their best to live in it, develop resilience, and find ways to deal with whatever comes. Story has always been a way that humans have used to learn how to live and deal with difficult times. The best authors, the ones that readers adore and can't get enough of, write their darkness into story to channel their experience, and help others who fear the same. In an interview on writing the Shadow on The Creative Penn Podcast, Michaelbrent Collings shared how he incorporated a personally devastating experience into his writing: “My wife and I lost a child years back, and that became the root of one of my most terrifying books, Apparition. It's not terrifying because it's the greatest book of all time, but just the concept that there's this thing out there… like a demon, and it consumes the blood and fear of the children, and then it withdraws and consumes the madness of the parents… I wrote that in large measure as a way of working through what I was experiencing.” I've learned much from Michaelbrent. I've read many of his (excellent) books and he's been on my podcast multiple times talking about his depression and mental health issues, as well as difficulties in his author career. Writing darkness is not in Michaelbrent's Shadow and only he can say what lies there for him. But from his example, and from that of other authors, I too learned how to write my Shadow into my books. Twenty-three years after that English lesson, in November 2009, I did NaNoWriMo, National Novel Writing Month, and wrote five thousand words of what eventually became Stone of Fire, my first novel. In the initial chapter, I burned a nun alive on the ghats of Varanasi on the banks of the Ganges River. I had watched the bodies burn by night on pyres from a boat bobbing in the current a few years before, and the image was still crystal clear in my mind. The only way to deal with how it made me feel about death was to write about it — and since then, I've never stopped writing. Returning to the nightmare from my school days, I've never had to choose between the two halves of my family, but the threat of losing them remains a theme in my fiction. In my ARKANE thriller series, Morgan Sierra will do anything to save her sister and her niece. Their safety drives her to continue to fight against evil. Our deepest fears emerge in our writing, and that's the safest place for them. I wish I'd been taught how to turn my nightmares into words back at school, but at least now I've learned to write my Shadow onto the page. I wish the same for you. The Shadow in traditional publishing If becoming an author is your dream, then publishing a book is deeply entwined with that. But as Mark Pierce says in The Creative Wound, “We feel pain the most where it matters the most… Desire highlights whatever we consider to be truly significant.” There is a lot of desire around publishing for those of us who love books! It can give you: Validation that your writing is good enough Status and credibility Acceptance by an industry held in esteem The potential of financial reward and critical acclaim Support from a team of professionals who know how to make fantastic books A sense of belonging to an elite community Pride in achieving a long-held goal, resulting in a confidence boost and self-esteem Although not guaranteed, traditional publishing can give you all these things and more, but as with everything, there is a potential Shadow side. Denying it risks the potential of being disillusioned, disappointed, and even damaged. But remember, forewarned is forearmed, as the saying goes. Preparation can help you avoid potential issues and help you feel less alone if you encounter them. The myth of success… and the reality of experience There is a pervasive myth of success in the traditional publishing industry, perpetuated by media reporting on brand name and breakout authors, those few outliers whose experience is almost impossible to replicate. Because of such examples, many new traditionally published authors think that their first book will hit the top of the bestseller charts or win an award, as well as make them a million dollars — or at least a big chunk of cash. They will be able to leave their job, write in a beautiful house overlooking the ocean, and swan around the world attending conferences, while writing more bestselling books. It will be a charmed life. But that is not the reality. Perhaps it never was. Even so, the life of a traditionally published author represents a mythic career with the truth hidden behind a veil of obscurity. In April 2023, The Bookseller in the UK reported that “more than half of authors (54%) responding to a survey on their experiences of publishing their debut book have said the process negatively affected their mental health. Though views were mixed, just 22%… described a positive experience overall… Among the majority who said they had a negative experience of debut publication, anxiety, stress, depression and ‘lowered' self-esteem were cited, with lack of support, guidance or clear and professional communication from their publisher among the factors that contributed.” Many authors who have negative experiences around publishing will push them into the Shadow with denial or self-blame, preferring to keep the dream alive. They won't talk about things in public as this may negatively affect their careers, but private discussions are often held in the corners of writing conferences or social media groups online. Some of the issues are as follows: Repeated rejection by agents and publishers may lead to the author thinking they are not good enough as a writer, which can lead to feeling unworthy as a person. If an author gets a deal, the amount of advance and the name and status of the publisher compared to others create a hierarchy that impacts self-esteem. A deal for a book may be much lower than an author might have been expecting, with low or no advance, and the resulting experience with the publisher beneath expectations. The launch process may be disappointing, and the book may appear without fanfare, with few sales and no bestseller chart position. In The Bookseller report, one author described her launch day as “a total wasteland… You have expectations about what publication day will be like, but in reality, nothing really happens.” The book may receive negative reviews by critics or readers or more publicly on social media, which can make an author feel attacked. The book might not sell as well as expected, and the author may feel like it's their fault. Commercial success can sometimes feel tied to self-worth and an author can't help but compare their sales to others, with resulting embarrassment or shame. The communication from the publisher may be less than expected. One author in The Bookseller report said, “I was shocked by the lack of clarity and shared information and the cynicism that underlies the superficial charm of this industry.” There is often more of a focus on debut authors in publishing houses, so those who have been writing and publishing in the midlist for years can feel ignored and undervalued. In The Bookseller report, 48 percent of authors reported “their publisher supported them for less than a year,” with one saying, “I got no support and felt like a commodity, like the team had moved on completely to the next book.” If an author is not successful enough, the next deal may be lower than the last, less effort is made with marketing, and they may be let go. In The Bookseller report, “six authors—debut and otherwise—cited being dropped by their publisher, some with no explanation.” Even if everything goes well and an author is considered successful by others, they may experience imposter syndrome, feeling like a fraud when speaking at conferences or doing book signings. And the list goes on … All these things can lead to feelings of shame, inadequacy, and embarrassment; loss of status in the eyes of peers; and a sense of failure if a publishing career is not successful enough. The author feels like it's their fault, like they weren't good enough — although, of course, the reality is that the conditions were not right at the time. A failure of a book is not a failure of the person, but it can certainly feel like it! When you acknowledge the Shadow, it loses its power Despite all the potential negatives of traditional publishing, if you know what could happen, you can mitigate them. You can prepare yourself for various scenarios and protect yourself from potential fall-out. It's clear from The Bookseller report that too many authors have unrealistic expectations of the industry. But publishers are businesses, not charities. It's not their job to make you feel good as an author. It's their job to sell books and pay you. The best thing they can do is to continue to be a viable business so they can keep putting books on the shelves and keep paying authors, staff, and company shareholders. When you license your creative work to a publisher, you're giving up control of your intellectual property in exchange for money and status. Bring your fears and issues out of the Shadow, acknowledge them, and deal with them early, so they do not get pushed down and re-emerge later in blame and bitterness. Educate yourself on the business of publishing. Be clear on what you want to achieve with any deal. Empower yourself as an author, take responsibility for your career, and you will have a much better experience. The Shadow in self-publishing or being an indie author Self-publishing, or being an independent (indie) author, can be a fantastic, pro-active choice for getting your book into the world. Holding your first book in your hand and saying “I made this” is pretty exciting, and even after more than forty books, I still get excited about seeing ideas in my head turn into a physical product in the world. Self-publishing can give an author: Creative control over what to write, editorial and cover design choices, when and how often to publish, and how to market Empowerment over your author career and the ability to make choices that impact success without asking for permission Ownership and control of intellectual property assets, resulting in increased opportunity around licensing and new markets Independence and the potential for recurring income for the long term Autonomy and flexibility around timelines, publishing options, and the ability to easily pivot into new genres and business models Validation based on positive reader reviews and money earned Personal growth and learning through the acquisition of new skills, resulting in a boost in confidence and self-esteem A sense of belonging to an active and vibrant community of indie authors around the world Being an indie author can give you all this and more, but once again, there is a Shadow side and preparation can help you navigate potential issues. The myth of success… and the reality of experience As with traditional publishing, the indie author world has perpetuated a myth of success in the example of the breakout indie author like E.L. James with Fifty Shades of Grey, Hugh Howey with Wool, or Andy Weir with The Martian. The emphasis on financial success is also fuelled online by authors who share screenshots showing six-figure months or seven-figure years, without sharing marketing costs and other outgoings, or the amount of time spent on the business. Yes, these can inspire some, but it can also make others feel inadequate and potentially lead to bad choices about how to publish and market based on comparison. The indie author world is full of just as much ego and a desire for status and money as traditional publishing. This is not a surprise! Most authors, regardless of publishing choices, are a mix of massive ego and chronic self-doubt. We are human, so the same issues will re-occur. A different publishing method doesn't cure all ills. Some of the issues are as follows: You learn everything you need to know about writing and editing, only to find that you need to learn a whole new set of skills in order to self-publish and market your book. This can take a lot of time and effort you did not expect, and things change all the time so you have to keep learning. Being in control of every aspect of the publishing process, from writing to cover design to marketing, can be overwhelming, leading to indecision, perfectionism, stress, and even burnout as you try to do all the things. You try to find people to help, but building your team is a challenge, and working with others has its own difficulties. People say negative things about self-publishing that may arouse feelings of embarrassment or shame. These might be little niggles, but they needle you, nonetheless. You wonder whether you made the right choice. You struggle with self-doubt and if you go to an event with traditional published authors, you compare yourself to them and feel like an imposter. Are you good enough to be an author if a traditional publisher hasn't chosen you? Is it just vanity to self-publish? Are your books unworthy? Even though you worked with a professional editor, you still get one-star reviews and you hate criticism from readers. You wonder whether you're wasting your time. You might be ripped off by an author services company who promise the world, only to leave you with a pile of printed books in your garage and no way to sell them. When you finally publish your book, it languishes at the bottom of the charts while other authors hit the top of the list over and over, raking in the cash while you are left out of pocket. You don't admit to over-spending on marketing as it makes you ashamed. You resist book marketing and make critical comments about writers who embrace it. You believe that quality rises to the top and if a book is good enough, people will buy it anyway. This can lead to disappointment and disillusionment when you launch your book and it doesn't sell many copies because nobody knows about it. You try to do what everyone advises, but you still can't make decent money as an author. You're jealous of other authors' success and put it down to them ‘selling out' or writing things you can't or ‘using AI' or ‘using a ghostwriter' or having a specific business model you consider impossible to replicate. And the list goes on… When you acknowledge the Shadow, it loses its power Being in control of your books and your author career is a double-edged sword. Traditionally published authors can criticise their publishers or agents or the marketing team or the bookstores or the media, but indie authors have to take responsibility for it all. Sure, we can blame ‘the algorithms' or social media platforms, or criticise other authors for having more experience or more money to invest in marketing, or attribute their success to writing in a more popular genre — but we also know there are always people who do well regardless of the challenges. Once more, we're back to acknowledging and integrating the Shadow side of our choices. We are flawed humans. There will always be good times and bad, and difficulties to offset the high points. This too shall pass, as the old saying goes. I know that being an indie author has plenty of Shadow. I've been doing this since 2008 and despite the hard times, I'm still here. I'm still writing. I'm still publishing. This life is not for everyone, but it's my choice. You must make yours. The Shadow in work You work hard. You make a living. Nothing wrong with that attitude, right? It's what we're taught from an early age and, like so much of life, it's not a problem until it goes to extremes. Not achieving what you want to? Work harder. Can't get ahead? Work harder. Not making a good enough living? Work harder. People who don't work hard are lazy. They don't deserve handouts or benefits. People who don't work hard aren't useful, so they are not valued members of our culture and community. But what about the old or the sick, the mentally ill, or those with disabilities? What about children? What about the unemployed? The under-employed? What about those who are — or will be — displaced by technology, those called “the useless class” by historian Yuval Noah Harari in his book Homo Deus? What if we become one of these in the future? Who am I if I cannot work? The Shadow side of my attitude to work became clear when I caught COVID in the summer of 2021. I was the sickest I'd ever been. I spent two weeks in bed unable to even think properly, and six weeks after that, I was barely able to work more than an hour a day before lying in the dark and waiting for my energy to return. I was limited in what I could do for another six months after that. At times, I wondered if I would ever get better. Jonathan kept urging me to be patient and rest. But I don't know how to rest. I know how to work and how to sleep. I can do ‘active rest,' which usually involves walking a long way or traveling somewhere interesting, but those require a stronger mind and body than I had during those months. It struck me that even if I recovered from the virus, I had glimpsed my future self. One day, I will be weak in body and mind. If I'm lucky, that will be many years away and hopefully for a short time before I die — but it will happen. I am an animal. I will die. My body and mind will pass on and I will be no more. Before then I will be weak. Before then, I will be useless. Before then, I will be a burden. I will not be able to work… But who am I if I cannot work? What is the point of me? I can't answer these questions right now, because although I recognise them as part of my Shadow, I've not progressed far enough to have dealt with them entirely. My months of COVID gave me some much-needed empathy for those who cannot work, even if they want to. We need to reframe what work is as a society, and value humans for different things, especially as technology changes what work even means. That starts with each of us. “Illness, affliction of body and soul, can be life-altering. It has the potential to reveal the most fundamental conflict of the human condition: the tension between our infinite, glorious dreams and desires and our limited, vulnerable, decaying physicality.” —Connie Zweig, The Inner Work of Age: Shifting from Role to Soul The Shadow in money In the Greek myth, King Midas was a wealthy ruler who loved gold above all else. His palace was adorned with golden sculptures and furniture, and he took immense pleasure in his riches. Yet, despite his vast wealth, he yearned for more. After doing a favour for Dionysus, the god of wine and revelry, Midas was granted a single wish. Intoxicated by greed, he wished that everything he touched would turn to gold — and it was so. At first, it was a lot of fun. Midas turned everything else in his palace to gold, even the trees and stones of his estate. After a morning of turning things to gold, he fancied a spot of lunch. But when he tried to eat, the food and drink turned to gold in his mouth. He became thirsty and hungry — and increasingly desperate. As he sat in despair on his golden throne, his beloved young daughter ran to comfort him. For a moment, he forgot his wish — and as she wrapped her arms around him and kissed his cheek, she turned into a golden statue, frozen in precious metal. King Midas cried out to the gods to forgive him, to reverse the wish. He renounced his greed and gave away all his wealth, and his daughter was returned to life. The moral of the story: Wealth and greed are bad. In Charles Dickens's A Christmas Carol, Ebenezer Scrooge is described as a “squeezing, wrenching, grasping, scraping, clutching, covetous, old sinner.” He's wealthy but does not share, considering Christmas spending to be frivolous and giving to charity to be worthless. He's saved by a confrontation with his lonely future and becomes a generous man and benefactor of the poor. Wealth is good if you share it with others. The gospel of Matthew, chapter 25: 14-30, tells the parable of the bags of gold, in which a rich man goes on a journey and entrusts his servants with varying amounts of gold. On his return, the servants who multiplied the gold through their efforts and investments are rewarded, while the one who merely returned the gold with no interest is punished: “For whoever has will be given more, and they will have an abundance. Whoever does not have, even what they have will be taken from them.” Making money is good, making more money is even better. If you can't make any money, you don't deserve to have any. Within the same gospel, in Matthew 19:24, Jesus encounters a wealthy man and tells him to sell all his possessions and give the money to the poor, which the man is unable to do. Jesus says, “It is easier for a camel to go through the eye of a needle than for someone who is rich to enter the kingdom of God.” Wealth is bad. Give it all away and you'll go to heaven. With all these contradictory messages, no wonder we're so conflicted about money! How do you think and feel about money? While money is mostly tied to our work, it's far more than just a transactional object for most people. It's loaded with complex symbolism and judgment handed down by family, religion, and culture. You are likely to find elements of Shadow by examining your attitudes around money. Consider which of the following statements resonate with you or write your own. Money stresses me out. I don't want to talk about it or think about it. Some people hoard money, so there is inequality. Rich people are bad and we should take away their wealth and give it to the poor. I can never make enough money to pay the bills, or to give my family what I want to provide. Money doesn't grow on trees. It's wasteful to spend money as you might need it later, so I'm frugal and don't spend money unless absolutely necessary. It is better and more ethical to be poor than to be rich. I want more money. I read books and watch TV shows about rich people because I want to live like that. Sometimes I spend too much on things for a glimpse of what that might be like. I buy lottery tickets and dream of winning all that money. I'm jealous of people who have money. I want more of it and I resent those who have it. I'm no good with money. I don't like to look at my bank statement or credit card statement. I live off my overdraft and I'm in debt. I will never earn enough to get out of debt and start saving, so I don't think too much about it. I don't know enough about money. Talking about it makes me feel stupid, so I just ignore it. People like me aren't educated about money. I need to make more money. If I can make lots of money, then people will look up to me. If I make lots of money, I will be secure, nothing can touch me, I will be safe. I never want to be poor. I would be ashamed to be poor. I will never go on benefits. My net worth is my self worth. Money is good. We have the best standard of living in history because of the increase in wealth over time. Even the richest kings of the past didn't have what many middle-class people have today in terms of access to food, water, technology, healthcare, education, and more. The richest people give the most money to the poor through taxation and charity, as well as through building companies that employ people and invent new things. The very richest give away much of their fortunes. They provide far more benefit to the world than the poor. I love money. Money loves me. Money comes easily and quickly to me. I attract money in multiple streams of income. It flows to me in so many ways. I spend money. I invest money. I give money. I'm happy and grateful for all that I receive. The Shadow around money for authors in particular Many writers and other creatives have issues around money and wealth. How often have you heard the following, and which do you agree with? You can't make money with your writing. You'll be a poor author in a garret, a starving artist. You can't write ‘good quality' books and make money. If you make money writing, you're a hack, you're selling out. You are less worthy than someone who writes only for the Muse. Your books are commercial, not artistic. If you spend money on marketing, then your books are clearly not good enough to sell on their own. My agent / publisher / accountant / partner deals with the money side. I like to focus on the creative side of things. My money story Note: This is not financial or investment advice. Please talk to a professional about your situation. I've had money issues over the years — haven't we all! But I have been through a (long) process to bring money out of my Shadow and into the light. There will always be more to discover, but hopefully my money story will help you, or at least give you an opportunity to reflect. Like most people, I didn't grow up with a lot of money. My parents started out as teachers, but later my mum — who I lived with, along with my brother — became a change management consultant, moving to the USA and earning a lot more. I'm grateful that she moved into business because her example changed the way I saw money and provided some valuable lessons. (1) You can change your circumstances by learning more and then applying that to leverage opportunity into a new job or career Mum taught English at a school in Bristol when we moved back from Malawi, Africa, in the mid '80s but I remember how stressful it was for her, and how little money she made. She wanted a better future for us all, so she took a year out to do a master's degree in management. In the same way, when I wanted to change careers and leave consulting to become an author, I spent time and money learning about the writing craft and the business of publishing. I still invest a considerable chunk on continuous learning, as this industry changes all the time. (2) You might have to downsize in order to leap forward The year my mum did her degree, we lived in the attic of another family's house; we ate a lot of one-pot casserole and our treat was having a Yorkie bar on the walk back from the museum. We wore hand-me-down clothes, and I remember one day at school when another girl said I was wearing her dress. I denied it, of course, but there in back of the dress was her name tag. I still remember her name and I can still feel that flush of shame and embarrassment. I was determined to never feel like that again. But what I didn't realize at the time was that I was also learning the power of downsizing. Mum got her degree and then a new job in management in Bristol. She bought a house, and we settled for a few years. I had lots of different jobs as a teenager. My favourite was working in the delicatessen because we got a free lunch made from delicious produce. After I finished A-levels, I went to the University of Oxford, and my mum and brother moved to the USA for further opportunities. I've downsized multiple times over the years, taking a step back in order to take a step forward. The biggest was in 2010 when I decided to leave consulting. Jonathan and I sold our three-bedroom house and investments in Brisbane, Australia, and rented a one-bedroom flat in London, so we could be debt-free and live on less while I built up a new career. It was a decade before we bought another house. (3) Comparison can be deadly: there will always be people with more money than you Oxford was an education in many ways and relevant to this chapter is how much I didn't know about things people with money took for granted. I learned about formal hall and wine pairings, and how to make a perfect gin and tonic. I ate smoked salmon for the first time. I learned how to fit in with people who had a lot more money than I did, and I definitely wanted to have money of my own to play with. (4) Income is not wealth You can earn lots but have nothing to show for it after years of working. I learned this in my first few years of IT consulting after university. I earned a great salary and then went contracting, earning even more money at a daily rate. I had a wonderful time. I traveled, ate and drank and generally made merry, but I always had to go back to the day job when the money ran out. I couldn't work out how I could ever stop this cycle. Then I read Rich Dad, Poor Dad by Robert Kiyosaki, a book I still recommend, especially if you're from a family that values academic over financial education. I learned how to escape the rat race by building and/or accumulating assets that pay even when you're not working. It was a revelation! The ‘poor dad' in the book is a university professor. He knows so much about so many things, but he ends up poor as he did not educate himself about money. The ‘rich dad' has little formal education, but he knows about money and wealth because he learned about it, as we can do at any stage in our lives. (5) Not all investments suit every person, so find the right one for you Once I discovered the world of investing, I read all the books and did courses and in-person events. I joined communities and I up-skilled big time. Of course, I made mistakes and learned lots along the way. I tried property investing and renovated a couple of houses for rental (with more practical partners and skilled contractors). But while I could see that property investing might work for some people, I did not care enough about the details to make it work for me, and it was certainly not passive income. I tried other things. My first husband was a boat skipper and scuba diving instructor, so we started a charter. With the variable costs of fuel, the vagaries of New Zealand weather — and our divorce — it didn't last long! From all these experiments, I learned I wanted to run a business, but it needed to be online and not based on a physical location, physical premises, or other people. That was 2006, around the time that blogging started taking off and it became possible to make a living online. I could see the potential and a year later, the iPhone and the Amazon Kindle launched, which became the basis of my business as an author. (6) Boring, automatic saving and investing works best Between 2007 and 2011, I contracted in Australia, where they have compulsory superannuation contributions, meaning you have to save and invest a percentage of your salary or self-employed income. I'd never done that before, because I didn't understand it. I'd ploughed all my excess income into property or the business instead. But in Australia I didn't notice the money going out because it was automatic. I chose a particular fund and it auto-invested every month. The pot grew pretty fast since I didn't touch it, and years later, it's still growing. I discovered the power of compound interest and time in the market, both of which are super boring. This type of investing is not a get rich quick scheme. It's a slow process of automatically putting money into boring investments and doing that month in, month out, year in, year out, automatically for decades while you get on with your life. I still do this. I earn money as an author entrepreneur and I put a percentage of that into boring investments automatically every month. I also have a small amount which is for fun and higher risk investments, but mostly I'm a conservative, risk-averse investor planning ahead for the future. This is not financial advice, so I'm not giving any specifics. I have a list of recommended money books at www.TheCreativePenn.com/moneybooks if you want to learn more. Learning from the Shadow When I look back, my Shadow side around money eventually drove me to learn more and resulted in a better outcome (so far!). I was ashamed of being poor when I had to wear hand-me-down clothes at school. That drove a fear of not having any money, which partially explains my workaholism. I was embarrassed at Oxford because I didn't know how to behave in certain settings, and I wanted to be like the rich people I saw there. I spent too much money in my early years as a consultant because I wanted to experience a “rich” life and didn't understand saving and investing would lead to better things in the future. I invested too much in the wrong things because I didn't know myself well enough and I was trying to get rich quick so I could leave my job and ‘be happy.' But eventually, I discovered that I could grow my net worth with boring, long-term investments while doing a job I loved as an author entrepreneur. My only regret is that I didn't discover this earlier and put a percentage of my income into investments as soon as I started work. It took several decades to get started, but at least I did (eventually) start. My money story isn't over yet, and I keep learning new things, but hopefully my experience will help you reflect on your own and avoid the issue if it's still in Shadow. These chapters are excerpted from Writing the Shadow: Turn Your Inner Darkness Into Words by Joanna Penn The post Writing The Shadow: The Creative Wound, Publishing, And Money, With Joanna Penn first appeared on The Creative Penn.
Read Online“The sabbath was made for man, not man for the sabbath. That is why the Son of Man is lord even of the sabbath” Mark 2:27–28Today's Gospel should console those who struggle with a legalistic and scrupulous mindset. This is an easy trap to fall into for those who desire to keep God's commandments and remain faithful to His holy will. Despite the best intentions, it's easy for those who are deeply sincere in their fidelity to God to misunderstand how best to please and glorify Him. One common trap is to think that meticulous observance of the external Law is sufficient. While obedience to God's Law is essential, it is equally important to understand the authentic requirements of His Law—what it truly demands and what it does not.Today's Gospel takes place toward the beginning of Jesus' public ministry, after He had named His Twelve Apostles and begun preaching and healing. As they walked to another town on the Sabbath so Jesus could continue His mission, they passed through a field. The Apostles, being hungry, forged a path through the grain and picked some of it to eat. When the Pharisees saw them doing this, they seized the opportunity to condemn them, saying, “Look, why are they doing what is unlawful on the sabbath?” (Mark 2:24).Without getting too philosophical, it's important to understand what we call God's Eternal Law. The Eternal Law encompasses reality—physical, moral, and spiritual truths. All that God has established as true must be our guide through life. The goal of the evil one is to deceive us by leading us into a false understanding of that reality.Traditionally, the Eternal Law has been divided into two distinct aspects: the Natural and Divine Laws. The Divine Law is all that is known only through divine revelation—all that the Scriptures reveal, especially through Christ's humanity and mission. The Natural Law, on the other hand, is written upon creation itself, including our own human nature. Natural Law is written on our consciences and discerned through reason. For example, we instinctively know it is wrong to lie, steal, and murder. Though God's Divine Law confirms this through the Ten Commandments, these basic moral truths are already evident to us when we reflect clearly.In today's Gospel, the Apostles' actions were perfectly aligned with right reason—the Natural Law—showing how their choices reflected God's design for human flourishing. They were eating grain as they journeyed with Jesus so He could continue His mission. Their need for sustenance, especially while in service to Christ, took precedence over rigid legalistic interpretations of the Sabbath. The Pharisees, however, mistook the Sabbath for an end in itself. They focused solely on external observance and failed to understand that the Sabbath was instituted as a gift for humanity—a day for rest, worship, and renewal in communion with God.What's freeing and beautiful to note is that the Natural Law, written on our human reason, and the Divine Law, revealed through the Scriptures, are in perfect harmony. Both flow from God. Through His mission, Jesus shows us how the Divine Law elevates and perfects the Natural Law, orienting both toward love and mercy. The Pharisees' legalism obscured this harmony, reducing the Law to a burdensome set of rules rather than as a pathway to life and freedom.Reflect today on your own approach to God's Law. If you find it burdensome, reevaluate your thinking. Properly understood and embraced, God's Law is not a weight; it's the source of freedom. The Sabbath, in particular, invites us to rest and trust in God's providence. When we live according to the Eternal Law—both Natural and Divine—we discover harmony within our souls that refreshes and elevates us. Resolve to follow God's Law with love, avoiding both scrupulosity and laxity, and you will find the freedom and joy for which you were created.Divine Law-Giver, all that You have spoken and established is Truth. You are the Source of Truth and Truth Itself. Please free me from both laxity and scrupulosity as I strive to live in accord with Your will. May I find in Your Law the pathway to freedom and joy. Jesus, I trust in You.Source of content: catholic-daily-reflections.comCopyright © 2026 My Catholic Life! Inc. All rights reserved. Used with permission via RSS feed.
In this episode, the witches welcome the quiet, hopeful turning of the wheel with a deep dive into Imbolc, the ancient Celtic festival that marks the halfway point between the Winter Solstice and the Spring Equinox. Traditionally celebrated around February 1st and 2nd, Imbolc is a threshold moment, when the land is still cold and dark, but the return of the light has begun. Laylla and Chelle explore Imbolc's roots, its meaning of “in the belly,” and its long association with new life, purification, and preparation.They talk about the goddess Brigid, her sacred flame, poetry, prophecy, and craft, as well as her deep connections to hearth, milk, and inspiration. The conversation also weaves in other powerful figures of the season, including the Cailleach, whose weather on Imbolc foretells the length of winter, and Danu, whose fertile waters and ancient presence remind us that life is already stirring beneath the surface. From there, the episode turns practical. Laylla and Chelle talk about how to celebrate Imbolc today, from candle magic to house cleansing and protection work. They explore why cleaning and warding at Imbolc is so powerful, especially when the festival aligns with a full moon, and share a wealth of simple but potent practices including ritual sweeping, boundary-setting, witch bottles, mirror wards, eggshell protection, and working with house spirits.The episode also includes a detailed look at Brigid's Fire Tarot Spread, a ten-card layout shaped like a rising flame that helps you see what you're building, what's stirring, and what you're truly reaching for as the year unfolds toward Beltane. Grounded, hopeful, and deeply intentional, this episode invites you to tend your inner fire, clear winter's residue, and prepare your space, your spirit, and your magic for the season of growth ahead.Got a question? Send the witches a message here!Support the showWant to send us a letter? Witchy things to review?We have a mailing address!Back on the BroomstickPO Box 106Salem MA 01970Email: backonthebroomstick@gmail.comYoutube FacebookInstagramBack on the Broomstick Website
Doctors have long recommended regular cervical cancer screenings. Traditionally doctors perform these exams using a speculum, which often say is uncomfortable and, for many, quite painful. Some recent developments could make a large number of these screenings easier. In early January, the Health Resources and Services Administration, which is part of the Department of Health and Human Services, updated its guidelines to say that self-administered tests are an acceptable way to screen for human papillomavirus. HPV is a sexually-transmitted disease that causes the majority of cervical cancer cases. OB-GYNs are hopeful that at-home testing will make cervical cancer screenings easier to access…. and significantly more comfortable. Guests: Dr. Linda Eckert, professor of Obstetrics and Gynecology at the University of Washington School of Medicine Related links: New Guidelines Endorse Self-Swab Alternative to Pap Smear for Cervical Cancer Testing - The New York Times Cervical Cancer Risk Factors | Cervical Cancer | CDC The FDA has approved an at-home HPV test. What you need to know : NPR Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.
Mary Kelly Jagim, principal consultant at CenTrak, describes the role and benefits of real-time location services (RTLS) and how indoor GPS can improve facility management, patient safety, and staff morale. The use of RTLS in the development of smart hospitals helps mitigate staff burnout by reducing time-wasting tasks, such as searching for equipment, and by providing safety features like badge access and tracking. This technology is also being used to enhance the human touch in the clinical setting by providing more accurate, real-time patient location information and updates to clinical staff and family members. Mary explains, "So, let's say we're talking about a medium to large hospital with lots of people in the building, lots of equipment in the building, lots of things that they might be able to leverage real-time location systems for. And so those organizations are generally looking for a formal deal. They want to be able to keep track of equipment, and they want to provide a safe environment with a security solution for their staff. They might also want to look at safety around hand hygiene, so they're seeking a solution to make sure staff are washing their hands. We also might be looking at medication and other safety measures through environmental monitoring that we can provide. And then, in addition to that, they might be looking at getting into integration with their electronic health record and be able to incorporate patient flow." "RTLS-enabled patient flow ensures they can always see the actual location of their patients. Traditionally, they're used for seeing the assigned room, but that might not actually be where the patient is at that point in time. So, we can offer things like that, and that can be a real patient experience satisfier. And then you can also help with electronic health record integration, we can help them to capture major milestone pieces. " #HealthTech #SmartHospitals #PatientSafety #HealthcareInnovation #RTLS #RealTimeLocationSystems #AIinHealthcare #PatientExperience #HealthcareEfficiency #MedicalTechnology #DigitalHealth #AI #Burnout #Safety #StaffDuress #PatientCare CenTrak.com Download the transcript here
Mary Kelly Jagim, principal consultant at CenTrak, describes the role and benefits of real-time location services (RTLS) and how indoor GPS can improve facility management, patient safety, and staff morale. The use of RTLS in the development of smart hospitals helps mitigate staff burnout by reducing time-wasting tasks, such as searching for equipment, and by providing safety features like badge access and tracking. This technology is also being used to enhance the human touch in the clinical setting by providing more accurate, real-time patient location information and updates to clinical staff and family members. Mary explains, "So, let's say we're talking about a medium to large hospital with lots of people in the building, lots of equipment in the building, lots of things that they might be able to leverage real-time location systems for. And so those organizations are generally looking for a formal deal. They want to be able to keep track of equipment, and they want to provide a safe environment with a security solution for their staff. They might also want to look at safety around hand hygiene, so they're seeking a solution to make sure staff are washing their hands. We also might be looking at medication and other safety measures through environmental monitoring that we can provide. And then, in addition to that, they might be looking at getting into integration with their electronic health record and be able to incorporate patient flow." "RTLS-enabled patient flow ensures they can always see the actual location of their patients. Traditionally, they're used for seeing the assigned room, but that might not actually be where the patient is at that point in time. So, we can offer things like that, and that can be a real patient experience satisfier. And then you can also help with electronic health record integration, we can help them to capture major milestone pieces. " #HealthTech #SmartHospitals #PatientSafety #HealthcareInnovation #RTLS #RealTimeLocationSystems #AIinHealthcare #PatientExperience #HealthcareEfficiency #MedicalTechnology #DigitalHealth #AI #Burnout #Safety #StaffDuress #PatientCare CenTrak.com Listen to the podcast here
Federal Tech Podcast: Listen and learn how successful companies get federal contracts
Connect to John Gilroy on LinkedIn https://www.linkedin.com/in/john-gilroy/ Want to listen to other episodes? www.Federaltechpodcast.com Today, we have an experienced tech veteran, Bob Stevens from GitLab, offering insights on how he sees the federal government overcoming three main technology challenges in 2026. Challenge ONE: Software improvement on scale. Stevens observed that everyone has seen AI's ability to review code. It has passed the basic phase, and now, in 2026, it cannot only review code but also identify security vulnerabilities, ensure compliance, and even generate documentation. This means that older, expensive-to-maintain systems can be transitioned to more flexible, economical cloud models. Challenge TWO: Going away from reacting. The word "continuous" has been the goal for cyber defenders for the past several years. Fortunately, AI is allowing that noble goal to be put into practice. When applied appropriately, newer technology can achieve lower breach rates and faster threat response times. Challenge THREE: emergence of a "universal" developer. Traditionally, requirements would be gathered by an intermediary and then translated into instructions for software developers. Stevens shows how newer AI-based approaches can eliminate that intermediary step. In other words, a pilot can precisely describe what they want in an avionics system, and the developers can work from that description. That means solving domain-specific problems with traditional development skills. Ideally, subject matter experts directly translate their knowledge into functional software systems. Some call this the "universal" developer approach. Stevens emphasized the importance of AI, security, and flexibility for future developers. GitLab's DevSecOps platform integrates AI across the entire software development process.
Travis Timmons shares with host Andrew Stotz how a decade of frustration running his physical therapy practice turned into joy once he discovered Deming's philosophy and embraced systems thinking. Through PDSA cycles, clearer processes, and genuine team involvement, he transformed Fitness Matters from chaotic growth to a scalable organization getting stellar outcomes. His story shows how small businesses can create stability, joy in work, and remarkable results by improving the system rather than pushing harder. TRANSCRIPT 0:00:02.1 Andrew Stotz: My name is Andrew Stotz and I'll be your host as we continue our journey into the teachings of Dr. W. Edwards Deming. Today I'm here with featured guest Travis Timmons. Travis, are you ready to tell us about your Deming journey? 0:00:19.7 Travis Timmons: Hey Andrew, thanks for having me. And yeah, very excited to share our journey and how impactful it's been on both our company, but also me personally and my family. So, super excited to kind of share where we started before Deming and where we're at today. So I'll just dive right in if that sounds like a good... 0:00:39.9 Andrew Stotz: Yeah. And I think just for the audience here, I'll just mention that Travis is physical therapist, founder and president of Fitness Matters in Columbus, Ohio, going on his 27th year of business. And you know, you and I have had some discussions. You've had a lot of great things that you've written and we've gone through and I think it's really an exciting story, particularly for a small mid sized business owner who's just frustrated as hell that things aren't going the way that they want. And I think your frustration a long time ago was a driving force. So I'm excited for you to share your story. So yeah, take it away. 0:01:22.6 Travis Timmons: Yeah, very excited. Yeah, 2000 is when we started, January 2000. So coming up on 27 years, as you mentioned, do physical therapy and wellness. And the first 10 years I was in business, pretty good at being a physical therapist. Started my own business and had no idea how to run a business. I knew a lot about physical therapy, but just kind of shooting from the hip in regard to business. Spent about a decade struggling, frustrated. We were growing, but growing slowly, growing chaotically. No process, it was just a, it was a heavy burden, to be honest with you. We were growing, but it was kind of Herculean effort on my part. 0:02:10.1 Andrew Stotz: I'm just curious how you were feeling at that time. Like there's gotta be a better way or this is the way business is and I just gotta muscle through this or how were you feeling at the time? 0:02:21.0 Travis Timmons: I was feeling frustrated and isolated. Didn't quite know where to turn. Yeah, I guess that's how, and just a burden. Didn't want to let the team down, I did not want the business to fail. I knew we had something different to offer. Just really had no idea how to scale that in a professional way. And along the journey was very fortunate to have a client who had a very successful business, took me under his wing. Ray Crook is his name. Started mentoring me and as luck would have it, he was familiar with Dr. Deming and a very long story short, after several meetings with him over time, some mentoring, I'd read the book along the way, the E-Myth Revisited and had some learnings from that book that really jumped out at me and came to the conclusion, both with reading that book and some feedback from Ray of basically, hey, it's time to grow up and turn this into a real business. If you're going to do this, let's do it right. And at that, around that time he introduced me to Kelly Allen with the Deming Institute. And you know, so we were 10 years into some chaos, had really no process, just would try stuff, see if it stuck or didn't. 0:03:43.5 Travis Timmons: If that didn't work, didn't really have any way to measure if stuff was working well. So really just a lot of chaos. And became introduced to Deming through Kelly Allen about 10 to 11 years into our journey and man, was that a breath of fresh air in terms of like having a direction to go in. After a few meetings with Kelly, him getting a better understanding of what was important to me, I think him just really understanding that I was serious about wanting to turn our organization into a large, professionally run and well run organization that would have a positive impact on people's lives, both team members and clients. I think he kind of, I think that we were so bad off he took pity on me to begin with, just to be honest with you, and he was like, man, this guy needs a lot of help. He could do some good in the world with what the services they have to offer. But if he doesn't figure out how to run a business professionally, they're never going to scale. 0:04:44.0 Andrew Stotz: And it's interesting that you reached out. I mean, there's a lot of people that are stuck in that situation and they really don't, either they don't reach out or they're afraid to reach out or you know, maybe they think there's no solution or nobody's going to help me. And you know, certainly when you're small, you also don't have huge budgets to hire people to come in and fix your business. You know, I'm just curious, like what drove you to even reach out? 0:05:09.8 Travis Timmons: I think I was fortunate enough to, A, have the mentor with Ray. And then secondly, have always been a believer in you got to check your ego at the door and know that you don't know everything. I think I've seen Business owners that are afraid to admit they don't know everything and so they keep things insulated and that just doesn't get you anywhere. 0:05:35.7 Andrew Stotz: Yeah. 0:05:36.3 Travis Timmons: So I just was fortunate kind of how I was raised as arrogance isn't a good thing, so check your ego at the door and learn from, learn from people smarter than you. And so I kind of took that fully at heart and like, all right, I have no idea how to run a business. I need to learn how to do that from really smart people. Read a lot of business books over the years, but the Deming philosophy, when I was introduced to that at the two and a half day seminar, went to that. I got to the Deming two and a half day in, I think that was 2013. So I was 13 years into the entire journey by the time I had met with Kelly, done some learning. And then at a time where the Deming two and a half day was offered in Ohio to where I could get to it, to your point earlier, budget plays into things for small businesses. So I was able to drive to that one and that two and a half day seminar just opened my eyes up to things that I knew in my heart but had no idea how to make that happen. 0:06:46.2 Travis Timmons: And what I mean by that, Andrew, is one of the key things I took away from that first two and a half day is Deming's belief that roughly 96% of issues within an organization are not people issues, but they're process and system issues. And that aligned with my worldview of if you hire good people, which we did, they show up every day wanting to do a good job as long as they have a good system and process to work within something that's professionally put together. So that was takeaway number one that really resonated with me. And the person responsible for said system is me. There's no passing the buck as the owner. And that resonated with me. It's a big responsibility to own a business in terms of the people and clients you're responsible for. And there's no passing the buck. You're responsible for the system at the end of the day. 0:07:42.3 Andrew Stotz: Yeah. I remember when I was 24 attending Deming seminar, when I was working for Pepsi, and it was a little bit different situation than yours. I could see, though, the same thing resonated with me. I could see that people were hemmed in by the system. And even though many people in the factory had really good intentions and they wanted to do a better job, they literally couldn't because they didn't have the tools or the budget or the this or the that. And a lot of times it's easy for senior management, particularly in a big company, to say figure it out, your job is to figure it out. But that only goes so far and there's eventually a point of exasperation for people working in a company that, like, I just, there's a limit here and I'm not going to kill myself trying to do something that I can't change. And so it just, I was coming from a very different perspective as an employee in a huge company versus you at a perspective of, this is my company, I set the rules. 0:08:46.5 Travis Timmons: Yeah, can do whatever we want. And you mentioned something there. It reminds me of a quote from that first two and a half day, and it still sticks with me a decade and a half later. Almost a lot of businesses complain about the term. We have a lot of dead wood in terms of employees. And the quote, I remember Kelly sharing this, it's like, well, did you hire dead wood? Because if you did, that's on you. Or did you hire live wood and kill it and that's on you from your standpoint of, from a system. And I'm like, man, 100% true. And I hired, I had good people on our team, but we didn't have good processes to keep from killing that live wood I would say. So, yeah. And to your point on budget, yeah, I had and still do have quite a bit different budget than Pepsi. Right. So one of the other things that jumped out at me early on that made Deming very approachable and something I could engage with very easily as a small business owner was the concept of PDSAs, the Plan-Do-Study-Act. 0:09:58.5 Travis Timmons: That was a game changer for us because I was like, all right, I don't have to hire a big business consultant. We don't have to hire or pay for a bunch of software. There's very simple things we can do via the Plan, Do Study Act PDSA method that we can create systems or improve upon systems and those little experimental ways and not have to bet the farm. You know, you see a lot of businesses that try to go through these huge transformative activities, bring in a new software to fix all their problems. Things that are very expensive with no real way of understanding what their aim is, what their theory is, or even if it'll work. So, yeah, your comment on budget there, I think, is what makes Deming so approachable for any size organization, but the budget's really not a limit from the PDSA standpoint. So those were some of my key takeaways very early on on my first two and a half day Deming, it was an eye opener and just really resonated with how, how I saw the world in terms of from a human level. Just had zero idea as a physical therapist with no business training on how to implement and run a professional organization. 0:11:13.8 Travis Timmons: So as things evolved, kind of went from the kind of the term chaos to process. So after that two and a half day, I went back to our team, which was small at the time. I think we had, we were a very small company at the time. I think we had 10 employees, nine or 10 team members at the time and just presented to them like, hey, this is going to be how we run our organization. There's this thing I heard about this guy called Dr. Deming. Some of it's going to seem a little odd, but this is how we're going to do things. And just started out early on, like just with PDSA, educated them on what that meant and we're all going to work on things together. So immediately it started enforcing a culture of improvement and collaboration and voice. Rather than Travis just coming up with random ideas, we worked on them together, made the system visible and then put some experiments in place. I talked to them about operational definition. That was a new term to me and gave them some examples. We wanted every client to have a good visit with us. 0:12:29.2 Travis Timmons: What in the heck does a good visit mean? Right. We didn't have an operational definition of that, so we created an operational definition of this is a good visit at Fitness Matters. So those were some fun things early on. 0:12:42.3 Andrew Stotz: I'm curious. There's two things, the first one is for someone that really doesn't know anything about PDSA, the Plan, Do, Study, Act process or cycle. Could you give an example either of one that you did early on or one that you think is the best illustration of the application of PDSA so people can understand what you're saying, because I know it's a big part of what one of the, let's say, tools that you've used in your process. 0:13:10.1 Travis Timmons: Yeah, one of the early on ones we did that was fun to do with the team because it changed our pricing model for our private pay team. Quick example, like we do personal training and Pilates muscle activation technique. Traditionally in that world, people buy those visits one at a time or you'll buy a package of 10 or 20 at a time at a discounted rate, volume, volume pricing, right. So we had that, we had 10 pack and 20 pack of personal training. We had a 10 pack and 20 pack of Pilates, same for muscle activation technique. And we had clients that would do sometimes all three of those services, but for them to be able to optimize their discount, they had to buy a 20 pack of Pilates, a 20 pack of personal training, and then the same with muscle activation technique. So after learning some things with Dr. Deming at the two and a half day that Kelly presented at, it's like we got to be easier to do business with. Be easy to do business with and how can we do that? So our PDSA was how can we change our pricing model on the private pay services to be easier to do business with and optimize how clients can move in our system freely. 0:14:25.9 Travis Timmons: So part of the concept of PDSA is you trial it, you put your whole theory together of what you think will be true. How are you going to study it? How long are you going to try it? So we had four clients that we knew well, that we told them, we're trying this new pricing model. Would you be willing to experiment on this with us? So we didn't roll it out company wide. We just tried it with a small segment, and we called it Fitness Matters Dollars and the do the Fitness Matters Dollars package. Then the client could use that discounted bundle of money for any of our services. So the discount applied to any of the services they did rather than having to buy a bunch of different packages. So the beauty of it is you can try it small. Had we gotten it wrong, we could have thrown it out and only five clients would have experienced the error. And they knew they were part of an experiment and they were happy to help us improve. It was a big win. That was 12 years ago. That's still how we do our pricing today. 0:15:29.1 Travis Timmons: It makes it very easy for clients to optimize their health within our system and not have to spend a bunch of money with us and have a lot of monetary resistance moving about our system. So that's one example that comes to mind. 0:15:41.4 Andrew Stotz: That's a good one. And I think if you think about, let's say an accountant may say, well, but wait a minute, the cost of three different services is different and that's the idea of how do we simplify this for the client, and that's interesting. Now, did you write it down, did you go to a Whiteboard. How did you actually go through that process? 0:16:02.9 Travis Timmons: Oh, that's 13 years ago. You're testing my... 0:16:06.5 Andrew Stotz: Oh, well, you can think about a current one, too. 0:16:09.6 Travis Timmons: 12 years ago. Yeah. When we're doing a current one, we'll get together as a team. Like, we're having our annual team off-site the end of January. And we'll come up, we try to come away with three, maybe four PDSAs as a team, and we'll write it up on the whiteboard. What's the problem we're trying to solve? Another key quote I've learned from Kelly Allen over the years is "the problem named, is the problem solved." So we want to make sure we're naming the right problem first. What really is the problem? So we talk about that through our entire company so that I'm getting feedback from all pieces of the system and then we'll map it out. Sometimes we'll do fishbone charts to look where in the process are we trying to do an experiment? And then there's the PDSA kind of chart that we'll use for bigger ones so we can study it. What's our aim? What's our theory? What do we think is going to happen with this experiment? How long are we going to study it, and what's our expected outcome? So part of the PDSA magic, as you know, is what are you trying to accomplish by what method, in what time frame, and what do you think is going to happen so you can go back and test your theory after you've studied it? So, yeah, sometimes we, if it's something bigger system-wide, we put it down on paper. We have a PDF that's fillable for each new PDSA. 0:17:35.5 Andrew Stotz: And for some people listening, they may think, well, I mean, isn't that what business does? I mean like owner comes up with an idea and says, yeah, I think we could try this and see what happens. Right. And ultimately everybody's kind of poking in the dark in business. We're not given a manual nobody really knows what we're doing. What's the difference between the way that you are poking in the dark, trying to hey, let's try this, let's try that compared to the PDSA. 0:18:08.5 Travis Timmons: I don't think I learned that till my second Deming two and a half day. So the second time I went, I took some senior team members with me so we could get more eyes around what in the world is this Deming person, who is Dr. Deming? What's this System of Profound Knowledge? To answer your question, I think the realization I had that I didn't have before, kind of going down the Deming journey is I didn't view our business as an entire system. I lacked that awareness of system view versus pieces and parts view. Pre-Deming, there's a problem over here and you go chase that fire and then another problem pop up over here, and to your point like there's lots of books out there on how to solve problems or you know, you hear like there's books out there on ownership thinking. And you know, it's like, well, do you have a culture and a system and by what method do you give people the ability to have that ownership thinking? Yeah, I think that's was the big aha of looking at the entire system. Whereas previously I was looking at it in silos and only trying to solve problems when a fire arose rather than system operationally efficient, trying to get efficient and optimizing the entire system. So that was probably one of the big aha's for me. Didn't happen day one. But as I got to understand Deming more, the system view of how it all has to be working together for optimization just changes your lens totally. 0:19:51.5 Andrew Stotz: So you've talked about PDSA, you've talked about operational definitions, you've talked about systems thinking, three core principles. One last thing on PDSA is like, I wonder what percent of the total value of doing PDSA comes from doing PDSA. In other words, the actual part of forcing yourself to get people in a room to discuss what's the problem, the Fishbone diagram, think about what's our aim, what's our theory, what's our hypothesis? Let's write that down. How are we going to study that? How we know if our hypothesis was true and you know, that type of thing. And sometimes I, after listening to you, I was thinking it, I suspect that a large amount of the final benefit you get from a PDSA is really front end loaded in all the work that you do to set it up. 0:20:48.3 Travis Timmons: Yeah, yeah. Going back to your comment earlier Andrew, on when you were at Pepsi, if I heard you correctly, you didn't really have the ability to share voice or to have an impact on the system. I think you're spot on, the PDSA itself, a couple things, number one as a small business owner, you got to check your ego at the door. Your team sees stuff happening that you don't have visibility on and they're probably going to have better ideas on how to fix it than you might if you're removed from it a step or two. And then the culture of like, oh, Travis is going to listen to my ideas. I find value in that. And then when we implement a change, like nobody likes change. Right? But when you've worked on it collectively as a team and you're ready to move forward with it, that's a game changer. You're not pushing a string at that point. Everybody's leaning in because they understand they're part of the solution and you're allowing that. Where a lot of businesses are top down, command and control, that doesn't usually work very well. So yeah, I think you're spot on, Andrew. 0:22:02.5 Travis Timmons: I think that so much happens with the PDSA process from a culture and team involvement. And if you don't have that, you're going to have a hard time retaining team members, in my opinion. 0:22:16.9 Andrew Stotz: So you look like a pretty relaxed guy compared to probably what you were like many years ago when this all was going on. Maybe take us through. Okay, so you're implementing these things and what's happening, what changes are happening, what transformation is going on with you and with your organization? 0:22:36.9 Travis Timmons: Yeah, so it's a multi-year process that we went through. Still a lot of work, you know, it's not like, hey, this just solves every problem. It just changes all the lenses you look through and you have a by what method path. Here's how we are going to think about our business. So that got rid of a lot of confusion for me. I knew how we were going to go from this size business to my, we had a BHAG, Big Hairy Audacious Goal from Good to Great. We wanted to have four facilities. At the time I went through Deming, we had one. We wanted to have four facilities or more to see if we could replicate our high level of care, team member engagement, all those things. So we were working, I was working just as many hours then. It just was not frustrating, it was exciting. It was a lot of collaboration that was energizing and everything as we scaled got easier. I was not going to be able to scale our business with what I was doing because had I scaled it, the headaches would have just been out of control. The loss of revenue, like there would have just been so much inefficiency on our organization. 0:24:00.4 Travis Timmons: So I would say for that next from 2013 through 2018, we got really locked in. So we spent about, I was a little conservative at the time. I was also in Army National Guard, so had a trip across the pond and just wasn't quite at a point where I could financially roll the dice and start multiplying locations and stuff like that. But around 2018, 2019, we got to the point where the team knew Deming well. I felt like we put a lot of systems, processes in place that were replicatable and I'm like, all right, here comes a real big PDSA. We're going to go get another clinic, we're going to go do another location, and we're going to test it. So that was a big PDSA. A lot of the ones we had done up to that were small. At some point you got to go a little bigger. And we were very confident in our model. So we acquired a practice in our town and like, hey, 80% of what they do is what we do, 20% is not Deming and service lines and stuff like that. So our theory, our PDSA, was can we acquire and put Fitness Matters, culture and process in place and grow? 0:25:26.3 Travis Timmons: And we did. We were very successful with that. I had team member retention with that. You know, a lot of times when you buy out another business kind of, people head for the doors, including the owner. That owner is still working with us six years later, then we started growing. It's like, all right, here we go. We can do another one. We can do another one. Put leadership in place at each location that understand Deming. We have our processes written down. We have operational definitions written down. People know what PDSA is. If they're new to our team, it takes them about six months to figure out what all these acronyms mean. So now we're going quicker since, you know, since in the last four years, as an example, we've tripled our physical therapy volume and doubled our private pay wellness volume. And in the service line, that's fairly fast growth. Probably not fast in the IT world, but in the service line growth in a very competitive market with how physical therapy and referrals work. There aren't many private practices left out there because it's so competitive where we're thriving. 0:26:41.4 Andrew Stotz: It seems like a hard business. It seems like a hard business to scale because there's this personal aspect, there's this interaction. You know, think about the exact opposite. I don't know, let's say Instagram or whatever. There's zero personal interaction. It can scale to billions. What are the constraints to growth that you feel in your business. 0:27:03.3 Travis Timmons: So constraints are reimbursement from health insurance, referrals from physicians, because health care is consolidating. So a health care system buys up smaller organizations, physicians, and then they have physical therapy within those systems and then they're highly encouraged to refer their physical therapy in-house. So that's a big challenge for us. So we don't, we're not owned by physicians. So we have to, we have to be the best at what we do for physicians and clients to want to choose us. So one of the things Dr. Deming really big on at quality, right. You have to continually have a system that has improving quality as you grow. And the way we grow is we have our outcomes. So how well a patient does at the end of a plan of care is roughly 35% higher than national average. We're 35% above the competition because of our processes, our system, our clients, how we look at integrating our clients from the first visit, the first phone call, follow-on visits, the entire, again, thinking back to that system conversation. And I think a lot of businesses, if they haven't been exposed to Deming, they miss that very critical piece of, if your sales isn't aligned with your implementation, isn't aligned with your billing process, anywhere along that service line, going through that fishbone, if it's all not good, like we could give excellent physical therapy care, but if we have a horrible billing system, we lose clients, end of story. If we have a horrible process of answering the phone to schedule evaluations, we're out of business. 0:29:00.0 Travis Timmons: Could have the best physical therapists in the world. So, yeah, that's what it's allowed us to do from a scaling and fun standpoint. And kind of now almost 27 years in we're at a point where, one of the litmus tests I had, like, if we do this well, if we really are all-in on Deming and it's system process definitions and we have it mapped out, this should run without Travis. And I see a lot of business owners are the choke point. Like they want to be the problem solver for everything. Everything has to flow through them, slow stuff down. You're not getting all of the information from your team that could solve problems so much quicker. So one of my litmus tests early on was like, if this really works well, the business should run without me present certainly for weeks and weeks at a time. And we're there. So that's why I look Relaxed now. I didn't look this relaxed a decade ago. So, it's fun, it's fun. 0:30:11.5 Andrew Stotz: I was looking for my Out of the Crisis book, but I went online and I wanted to highlight two of the 14 points because it's something that you mentioned about improving your process and all of that. And the first one is the first point and you know, it's the first point for a reason. And number one is "create constancy of purpose towards improvement of product and service with the aim to become competitive and stay in business and provide jobs." And number five is "improve constantly and forever, the system of production and service to improve quality and productivity and thus constantly decrease costs." So how do you embody that in your business, this, because when I first read the "constancy of purpose," I originally thought it meant pick your direction and stay constant with that. But then I started to realize, no, no, it's about how are we improving our product and service. 0:31:18.9 Travis Timmons: Yeah. So if you're not evolving with, technology is everywhere. Right. So if you're not paying attention to that within how it impacts your business and constantly trying to optimize how technology interfaces with your business, you're in trouble. So, like, we're right now getting ready to, I'd say once a year we do something fairly large within technology. Next year we're going to probably be changing our documentation software because there's a newer one out there that instead of having four different softwares we have to interface with, there'll be one. So that cuts down on rework, that cuts down on learning time for a new team member. There's less resistance for clients to understand how scheduling and billing work. So I don't know if I'm answering your question, Andrew, but I think from a standpoint of, I think it was Jack Welch I heard say years ago in an interview, "there's two ways a business is going. You're either growing or you're dying." And that resonated with me, there's no sitting still because if you do, you're going to get run over. So that's always looking through, can we make it easier to schedule? 0:32:40.0 Travis Timmons: Like right now we don't offer online scheduling for physical therapy. We will in 2026. And if we don't figure that out, it could be a reason that we would eventually go out of business. So I just looked through that mindset. There's always somebody coming after you. 0:32:58.7 Andrew Stotz: Yeah, yeah, that's... 0:33:00.3 Travis Timmons: Complacency doesn't work. 0:33:01.3 Andrew Stotz: I like to think about when I was young and I took a break and I stood still. I was standing on the flat ground, no problem. But now with my 87 year old mother, if she goes one day, two days, three days without movement, she's going backwards and it's harder to catch back up. And I start to realize she's operating on a plane that has been slanted against her. And eventually the slant will win against all of us. But in the world of business if you think, well it's not about growing or dying, well, there's someone out there trying to take your business by providing a better product or service. And that's just the reality that actually is invigorating to know that, and as Dr. Deming said to have a great competitor is such a valuable thing. If you're just poking around and you're doing okay in market you're probably not going to improve as much. So that the focus on improvement is something that I just find really fascinating. There's another question that I have which is these days, way I look at like the job of leadership is that it's like imagine a very strong magnet ahead of you and you're constantly pulled to that magnet. 0:34:37.7 Andrew Stotz: That magnet is the average, the consensus what everybody's doing. And you can't help but feel that force. And if you don't realize that you're being affected by that force, you're just being pulled into it. And what I mean by that is if you say, well, what if we tried something different, a different way of doing something and then you go to customers, no, sorry, your competitor does this. If you don't do that, I'm not going to give you the business. And so you're naturally drawn towards the center or towards consensus, but what you're doing is trying to pull your business and yourself and your thinking and your team away from that and saying there's a different way. And how hard is that? 0:35:24.4 Travis Timmons: It's hard. You have to have a different lens. Comment earlier, the problem named is the problem solved. One of the things, I love that analogy. I've never heard it described that way. In physical therapy it's very common for a physical therapist to have two or three patients scheduled at the same time because the problem that was named by most organizations is poor arrival rate. And if you have holes in your schedule you're not getting paid. So they look at that as a revenue loss. So to answer your question, that's where our industry is. Like you got a double, triple book or you're going to have lower revenue. Well, what that does is it increases, in my opinion, increases the likelihood that people are not going to come because they're going to have a bad experience, they're going to have poor outcomes. Physicians are going to stop referring because their patients aren't getting better. So problem named is the problem solved? And we pulled, I like that magnet. I'm going to use that one. But pulled away and said, no, if we provide one on one care at a very high level and the entire system works well for the patient, they're going to show up, they're going to continue to show up. 0:36:49.0 Travis Timmons: They're going to be happy to pay for the service we're offering because it's going to be exceptional. And because they show up, they're going to get better. And because they get better, they're going to go tell their doctor and then more doctors are going to refer to us. And that's thinking much differently. So that gets to the problem name, problem solved. Or using your magnet example, we are like, physicians come and talk to us all the time. They're like, are you really only seeing the patients one-on-one? Are you really doing that? Because nobody else says they can do that. It's like, yes, we are. That's exactly how we're doing it. And that's why you're here talking to us right now. Because it's so much different. You can't, there's some things that are just immeasurable. Like Dr. Deming talks about that quite a bit. We don't have to market, we don't spend... I shouldn't say, we don't have to market. We don't spend nearly the amount of money on marketing that our competitors do because we have physicians saying, hey, what's different over there? That's invisible. Right? That's invisible. 0:37:56.9 Andrew Stotz: And they weren't saying that in the beginning, but over the time they got that... 0:38:01.4 Travis Timmons: Yeah, yeah. It's a process, but you know, like the flywheel. We use that flywheel example. And now it's like, we're having a hard time hiring enough team members to keep up with the growth. One of the other thing's, "joy in work." Dr. Deming talks about joy in work a lot. And that's to your question earlier about continual improvement and jobs. So we exist, there's a lot of burnout in healthcare. You can't hardly open a business article. 0:38:37.7 Andrew Stotz: Seems paradoxical. 0:38:40.4 Travis Timmons: But it's because two and three patients at a time burdened with administrative stuff. So we also exist because, man, it's so fun when you have a team member join you from one of those other organizations and we've had eight new team members we've hired since July. And I have what I call a fresh eyes lunch with them a month in. And every one of them has said, my spouse can't believe how much happier and more enjoyable I am to be around. If that doesn't motivate you to want to continue to grow, I don't know what does. So that's the joy in work piece that Dr. Deming talked about a lot. 0:39:24.6 Andrew Stotz: And let's now talk about one other thing, which is I was just talking, I gave a speech last night in Bangkok to some business owners and then we had a dinner out and I was explaining to them that like, there's a disease that's come from America, not from Wuhan, China, in this case. It's come America, it's spread all across Thailand. And you really have to be careful with this disease. It's a deadly disease. And I said, and particularly Thailand, where there's harmony. People enjoy working together. They want a fun environment, they want to make friends at work. It's a little, it's very different from a US work environment where it's like, go there, deliver, go home, separate lives. That's not the way Thai people see work. And the disease is, the disease of individual KPIs and saying everybody, by optimizing each individual, we are optimizing the whole. And I'm trying to get them to realize like, there's another way. And I'm curious I'm sure if you're getting people from the bigger institutions and stuff, they're being KPI'd to death. And how do you, how do you manage the idea that I don't want to optimize the individual, I want to optimize the whole system, but yet I also want employees to know they gotta do a good job. So how do you manage that? 0:41:03.2 Travis Timmons: It's hard when somebody comes, because you're right, there's a lot of PTSD. I've got an example from today. So we turned on, within our system, there's a net promoter score that can be sent out to patients automatically after their first couple visits with us. And we turn it off and on from time to time just to get the voice of the customer, right. I think Dr. Deming talks about the voice of the customer and who all. So it's like, hey, we haven't done that in a while. We're going to turn it back on. And there were several therapists that were like, wait a minute, you're scoring me? And then if I get a low score, I'm in trouble. So we have to spend a lot of time educating the team on some of that old head trash. It's like, no, this is to study the system and where we can improve either improving our operational definition, whatever it is, give the team member tools on how to handle a difficult client. But to your point, you have, people's brains are so wired in the way you just described. So part of it is we, we let them know up front, like, here's why we don't have employee of the month at Fitness Matters. 0:42:15.4 Travis Timmons: Here's why we don't have the parking lot for employee of the month at Fitness. Like, all of those rewards, how all of the negative unintended consequences that can go along with that. Like even giving an individual an award in a group setting. Like, we had a team who's one of my clinic directors, the business she came from before, they had like a WWE, like the heavyweight wrestling, big champion belt. They had one of those. And each week somebody would give the belt to whoever they thought was the best employee that week. And she didn't get it for like two months in a row. And she was crushed. She's like, people don't like me. So it's fun to talk about the negative unintended consequences of the individual reward, the individual competitions. We could talk for an hour about motivating via monetary motivation. That's probably a whole nother podcast. But to answer your question, we have to make it very known why we don't do those things. Because as much as people hate some of that stuff, they also expect it. Yeah, why don't, why don't we have employee of the month? You mean I'm not going to get in trouble if I get a low net promoter score from one patient? 0:43:34.3 Travis Timmons: It's like, no, we know we hire good people. We know you do your best job every day. They could be upset because their billing didn't go correctly. So we just need to know. So I don't know if that answers your question, but it's a big thing because you do have to still track KPIs or you're out of business. Like, you do have to know what's going on within your system to measure it. It's just that concept of we all are responsible for the output of the system and the system has to produce exceptional results. 0:44:06.7 Andrew Stotz: Yeah, yeah. 0:44:07.9 Travis Timmons: And we have to have a weight by what method. We have to have a system to create whether you're doing plumbing, electrical work. Like if you're going to scale a business, you have to have a repeatable product that can scale. 0:44:23.2 Andrew Stotz: Yeah. And one of the answers to that too is if you believe 94% of the problems come from the system, then even when an employee is identified as having a bad net promoter score, then the question is, does the 94% apply in that situation? Well, generally yes. And so let's dig in. I have some people that ask me like my, one of the guys last night at this event works for a bank and they have put KPIs into everything. And he was saying, I just can't escape. But another guy was like, well, I have my own business and I can do what I want. I've implemented KPIs, but what should I do? I said the first step in disentangling yourself from this individual KPI situation is just to disconnect compensation to the KPI. So just right there, there's still incentive for the employee to do something bad for the organization to do their best. But when you remove that compensation aspect, you've really taken away a huge part of the incentive. So even if you have to keep KPIs, take away the tie to compensation and then they say, well, that's the whole reason why we're supposed to do it is have the tie to compensation. 0:45:44.5 Andrew Stotz: And I said, yes, it's a little bit of a circular references cannot be resolved. 0:45:49.7 Travis Timmons: Right. Yeah. And I think we even give examples to the team as much as we can around why we don't do those type of things. Here's what would happen. And most people have worked in organizations when you point it out to them. So again, Dr. Deming talks about making the system visible. Point it out to them. If I bonused you like you see this, this used to be a thing at car dealerships. When you're buying a car, hey, you're going to get a call to rate your experience with me. If you don't give me a 10, it's going to impact my pay. And you're like, what? So we talk about that like hey, the net promoter score. If we did the same thing here and bonused you on every 10, then you're going to be bothering your patients to fill that survey out. Or if you're afraid they're going to give you low score, you're not going to, you're going to encourage them not to do it. And then me as the owner, I'm not going to hear about system breakdowns. So to answer your, I think it's an important thing that a lot of businesses like number one, don't tie compensation to your KPIs. 0:46:58.3 Travis Timmons: Like just, it's an output of the system and then explaining it to them and giving examples over time because their brains even though they hated it, like we don't do performance reviews, annual performance review. And people hate them. And I still get asked like hey, when are you doing my annual performance review? It's like do you want to do one? Well no. 0:47:21.2 Andrew Stotz: Yeah. We dropped performance appraisals in 2016 in my coffee business here in Thailand and we never looked back. We didn't come up with any particular stunning replacement. We just knew it was bad and we were willing to just walk away from what was bad. I want to wrap up and just get into the... What are the, let's talk about kind of extrinsic versus intrinsic. There's some external factors that we can say this Deming implementation provided these benefits to our company and then there's this internal or intrinsic benefits that you're getting. Maybe you can go through some of those benefits of where you're at now, what you're able to do now and we'll close it on that note of kind of what's the hope for somebody that's stuck in the situation. They're the entrepreneurial seizure, they're the technician, they're great at physical therapy, they start their physical therapy business and they're just scaling chaos basically. Tell us about, give us hope. 0:48:37.8 Travis Timmons: Yeah, no, happy to, the reason I have had the opportunity to speak in a lot of different settings about Dr. Deming and the reason I do it is because it's brought so much joy to me personally and to a ever growing team. It's having a positive impact on lives and the more I can do that, that gets to the intrinsic motivation. So the joy in work, there's a lot of bad organizations out there that just suck the life out of people. So that's my intrinsic motivation at this stage of the game of if Fitness Matters is bigger, so more jobs, there's more people having a positive experience in life and our outcomes being 35% higher, our community is getting healthier. So that's the intrinsic motivation at this stage. It's fun. I know again, we're not perfect. So continuous improvement to our conversation earlier. But the intrinsic motivation is the busier Fitness Matters gets, the busier Fitness Matters gets because of high outcomes and it's positive experience for more people in life. Extrinsically, I guess that gets to community outcomes. So that's intrinsic and extrinsic. You know, extrinsically, if you get this figured out, it's very easy to scale a business. 0:50:06.0 Andrew Stotz: And tell us about your scale, where are you at or where are your averages versus national averages? You know, what have you accomplished that's driving that external factors, let's call it. 0:50:19.4 Travis Timmons: Yeah. So a couple things. One, externally, a practice like ours nationally on average is growing at 9% to 10%. We're currently clipping along at 25% to 30%. So you know, that flywheel effect and chaos is no longer there. So we have process, so it's easier to scale. The other extrinsic piece is because of our outcomes and continuing scale, we're able to negotiate better rates with our insurance companies to reinforce our strong desire to keep one-on-one care model. So Deming talks about who all is part of your system. So insurance companies are part of our system and we don't have a lot of control over them. But because our data is so powerful externally, we have been able to negotiate higher rates than most of our competitors because our data speaks for itself. 0:51:23.2 Andrew Stotz: Faster growth, the ability to negotiate better terms because you're delivering better product and service generally means higher profit margins. 0:51:34.2 Travis Timmons: Yes. 0:51:34.6 Andrew Stotz: Fast growth with higher profit margins generally means you're generating more cash and you're no longer in cash crisis all the time and you have resources to decide, okay, now we want to expand or we want to invest or whatever. 0:51:50.9 Travis Timmons: Right. 0:51:51.4 Andrew Stotz: Is that... 0:51:51.9 Travis Timmons: Yeah, the cash crunch was real those first 10 years. So yeah, to your point, when you get to the other side of that and process is a big part of that so you're having a whole counting process, but yeah, you get to that size. But yeah, the intrinsic piece, one of the reasons I talk about Deming as much as I can. I've got two sons that are in college. My hope is there's more companies in the world today than there were 10 years ago that know about Deming, because that means there's a higher likelihood that my boys will work at a Deming company. And just seeing what a lot of companies do to people, we as owners have a big responsibility, I feel, we have a big responsibility to have a positive impact on our employees. And you're, as an owner, are responsible for that, in my opinion. And if you get it right, man, is it fun to look in the mirror or sit down with a team member or their spouse and be proud of, be proud of what you built. That's at the end of the day, the intrinsic motivation. 0:52:57.9 Travis Timmons: If you can be proud of what your product is and proud of the impact you're having on your team to where you're not sucking the life out of them, but actually intrinsically motivating them. There's not much else you can accomplish in business that was worth more than that, in my opinion. 0:53:18.5 Andrew Stotz: Yeah, wonderful. That's a great way to end it. What's the likelihood that our children are going to be working in a Deming company? Well, that's the whole reason why we are here talking about it. So, Travis, I want to say on behalf of everyone at the Deming Institute, I want to thank you for this discussion and of course, for listeners out there and viewers, remember to go to deming.org to continue your journey. This is your host, Andrew Stotz. I'll leave you with one of my favorite quotes from Dr. Deming, and I believe it's probably one of Travis's too people are entitled to joy in work. 0:53:56.0 Travis Timmons: Love it. Love it. Thank you, Andrew. 0:53:58.0 Andrew Stotz: Yep.
Dr. Hope Rugo and Dr. Vivek Subbiah discuss innovative trial designs to enable robust studies for smaller patient populations, as well as the promise of precision medicine, novel therapeutic approaches, and global partnerships to advance rare cancer research and improve patient outcomes. TRANSCRIPT Dr. Hope Rugo: Hello and welcome to By the Book, a podcast series from ASCO that features engaging conversations between editors and authors of the ASCO Educational Book. I am your host, Dr. Hope Rugo. I am the director of the Women's Cancers Program and division chief of breast medical oncology at the City of Hope Cancer Center [in Los Angeles]. The field of rare cancer research is rapidly transforming thanks to progress in clinical trials and treatment strategies, as well as improvements in precision medicine and next-generation sequencing that enable biomarker identification. According to the National Cancer Institute, rare cancers occur in fewer than 150 cases per million each year, but collectively, they represent a significant portion of all cancer diagnoses. And we struggle with the appropriate treatment for these rare cancers in clinical practice. Today, I am delighted to be joined by Dr. Vivek Subbiah, a medical oncologist and the chief of early-phase drug development at the Sarah Cannon Research Institute in Nashville, Tennessee. Dr. Subbiah is the lead author of a paper in the ASCO Educational Book titled "Designing Clinical Trials for Patients with Rare Cancers: Connecting the Zebras," a great title for this topic. He will be telling us about innovative trial designs to enable robust studies for small patient populations, the promise of precision medicine, and novel therapeutic approaches to improve outcomes, and how we can leverage AI now to enroll more patients with rare cancers in clinical trials. Our full disclosures are available in the transcript of this episode. Dr. Subbiah, it is great to have you on the podcast today. Thanks so much for being here. Dr. Vivek Subbiah: Thank you so much, Dr. Rugo, and it is an honor and pleasure being here. And thank you for doing this podcast for rare cancers. Dr. Hope Rugo: Absolutely. We are excited to talk to you. And congratulations on this fantastic paper. It is such a great resource for our community to better understand what is new in the field of rare cancer research. Of course, rare cancers are complex and multifaceted diseases. And this is a huge challenge for clinical oncologists. You know, our clinics, of course, cannot be designed as we are being very uni-cancer focused to just be for one cancer that is very rare. So, oncologists have to be a jack of all trades in this area. Your paper notes that there are approximately 200 distinct types of rare and ultra-rare cancers. And, by definition, all pediatric cancers are rare cancers. Of course, clinical trials are essential for developing new treatment strategies and improving patient outcomes, and in your paper, you highlight some unique challenges in conducting trials in this rare cancer space. Can you tell us about the challenges and how really innovative trial designs, I think a key issue, are being tailored to the specific needs of patients with rare cancer and, importantly, for these trials? Dr. Vivek Subbiah: Rare cancers present a perfect storm of challenges. First, the patient populations are very small, which makes it really hard to recruit enough participants for traditional type trials. Second, these patients are often geographically dispersed across multiple cities, across multiple states, across multiple countries, across multiple zip codes. So, logistics become complicated. Third, there is often limited awareness among clinicians, which delays referrals and diagnosis. Add to that regulatory hurdles, funding constraints, and you can see why rare cancer trials are so tough to execute. To overcome these barriers, we are seeing some really creative novel trial designs. And there are four different types of trial designs that are helping with enrolling patients with rare cancers. The first one is the basket trial. So let us talk about what basket studies are. Basket studies group patients based on shared genetic biomarkers or shared genetic mutations rather than tumor type. So instead of running separate 20 to 30 to 40 trials, you can study one therapy across multiple cancers. The second type of trial is the umbrella trial. The umbrella trials flip that concept of basket studies. They focus on one cancer type but test multiple targeted therapies within it. The third category of innovative trials are the platform studies. Platform trials are another exciting innovation. They allow new treatment arms to be added or removed as the data matures and as the data evolves, making trials more adaptive and efficient. The final category are decentralized tools in traditional trials, which are helping patients participate closer to where they are so that they can sleep in their own bed, which is, I think, a game changer for accessibility. These designs maximize efficiency and feasibility for rare cancer research and rare cancer clinical trials. Dr. Hope Rugo: I love the idea of the platform trials that are decentralized. And I know that there is a trial being worked on with ARPA-H (Advanced Research Projects Agency for Health) funding in triple-negative breast cancer as well as in lung cancer, I think, and others with this idea of a platform trial. But it is challenged, I think, by precision medicine and next-generation sequencing where some patients do not have targetable markers, or there isn't a drug to target the marker. I think those are almost the same thing. We have really seen that these precision medicine ideas and NGS have moved the needle in helping to identify genetic alterations. This helps us to be more personalized. It actually helps with platform studies to customize trial enrollment. And we hope that this will result in better outcomes. It also allows us, I think, to study drugs even in the early stage setting more effectively. How can these advances be best applied to the future of rare cancers, as well as the challenges of not finding a marker or not having a drug? Dr. Vivek Subbiah: Thank you so much for that question. I think precision medicine and next-gen sequencing, or NGS, are truly the backbone of modern precision oncology. They have transformed how we think about cancer treatment. Instead of treating based on where the tumor originated or where the tumor started, we now look at the genetic blueprint of cancer. The NGS or next-gen sequencing allows us to sequence millions of DNA fragments quickly. Twenty, 30 years ago, they said we cannot sequence a human genome. Then it took almost a decade to sequence the first human genome. Right now, we have academic centers and commercial sequencing companies that are really democratizing NGS across all sites, not just in academic centers, across all the community sites, so that NGS is now accessible. This means that we can identify these actionable alterations like picking needles in haystacks, like NTRK fusions, RET fusions, or BRAF V600E alterations, high tumor mutational burden. This might occur across not one tumor type, across several different tumor types. So for rare cancers, this is critical because some of these mutations often define the best treatment option. Here is why this matters. Personalized therapy, right? Instead of a one-size-fits-all approach, we can tailor treatment to the patient's unique molecular profile. For trial enrollment, this can definitely help because patients can join biomarker-driven trials even if their cancer type is rare or ultra-rare. NGS technology has also helped us in designing rational studies. Many times monotherapy does not work in these cancers. So we are thinking about rational combination strategies. So NGS technology is helping us. Looking ahead, I see NGS becoming routine in clinical practice, not just at major niche academic centers, but everywhere. We will see more tumor-agnostic approvals, more molecular tumor boards guiding treatment decisions in real time. And I think we are seeing an expanded biomarker setup. Previously, we used to have only a few drugs and a handful of mutations. Now with homologous recombination defects, BRCA1/2 mutation, and expanding the HRD and also immunohistochemistry, we are expanding the biomarker portfolio. So again, I personally believe that the future is precision. What I mean by precision is delivering the right drug to the right patient at the right time. And for rare cancers, this isn't just progress. It is survival. And it is maybe the only way that they can have access to these cutting-edge precision medicines. Dr. Hope Rugo: That is so important. You mentioned an important area we will get to in a moment, the tumor-agnostic therapies. But as part of talking about that, do you think that the trials should also include just standard therapies? You know, who do you give an ADC to and when with these rare cancers? Because some of them do not have biomarkers to target and it is so disappointing for patients and providers where you are trying to screen a patient for a trial or a platform trial where you have one arm with this mutation, one arm with that, and they do not qualify because they only have a p53 loss, you know? They just do not have the marker that helps them. But we see this in breast cancer all the time. And it is tough because we don't have good information on the sequencing. So I wonder, you know, just because for some of these rare cancers it is not even clear what to use when with standard treatments. And then that kind of gets into this idea of the tumor-agnostic therapies that you mentioned. There are a lot of new treatments that are being evaluated. We have seen approval of some treatments in the last few years that are tumor-agnostic and based on a biomarker. Is that the best approach as we go forward for rare cancers? And what new treatment options are most exciting to you right now? Dr. Vivek Subbiah: Tumor-agnostic therapies, really close to my heart, are real breakthrough therapies and represent a major paradigm shift in oncology. Traditionally, for the broad listeners here, we are used to thinking about designing clinical trials and therapy like where the cancer originated, breast cancer, kidney cancer, prostate cancer, lung cancer. A tumor-agnostic therapy flips that model. Instead of focusing on the organ, they target the specific genetic alteration or biomarker that drives cancer growth regardless of where the tumor started, regardless of the location of the tumor, regardless of the zip code of the tumor. So why is this so important for rare cancers? Because many rare cancers share molecular features with more common cancers. For instance, NTRK fusion might occur in pediatric sarcoma, a salivary gland tumor, or a thyroid cancer. Historically, each of these would require separate trials, which is nearly impossible, unfeasible to conduct in these ultra-rare cancers like salivary gland cancer or pediatric sarcomas. Tumor-agnostic therapies allow us to treat all those cancers with the same targeted drug if they share that biomarker. Again, we are in 2025. The first tissue-agnostic approval, the historic precedent, was in fact an immunotherapy. Pembrolizumab was approved in 2017, May 2017, as the first immunotherapy to be approved in a tumor-agnostic way for a genomic biomarker, for MSI-High and dMMR cancers. Then came the NTRK inhibitors. So today we have not one, not two, but three different NTRK inhibitors: larotrectinib, entrectinib, and repotrectinib, which show response rates of nearly more than 60 to 75% across a handful of dozens and dozens of cancer types. Then, of course, we have RET inhibitors like selpercatinib, which is approved tissue-agnostic, and pralsetinib, which also shows tissue-agnostic activity across multiple cancers. And more recently, combination therapy with a BRAF and MEK combination, dabrafenib and trametinib, received tumor-agnostic approval for all BRAF V600E tumors with the exception of colorectal cancer. And even recently, you mentioned about antibody drug conjugates. Again, I think we live in an era of antibody drug conjugates. And Enhertu, trastuzumab deruxtecan, which was used first in breast cancer, now it is approved in a histology-agnostic manner for all HER2-positive tumors defined by immunohistochemistry 3+. So again, beyond NGS, now immunohistochemistry for HER2 is also becoming a biomarker. So again, for the broad listeners here, in addition to comprehensive NGS that may allow patients to find treatment options for these rare cancers for NTRK, RET, and BRAF, immunohistochemistry for HER2 positivity is also emerging as a biomarker given that we have a new FDA approval for this. So I would say personally that these therapies are game changers because they open doors for patients who previously had no options. Instead of waiting for years for a trial in their specific cancer type, they can access a treatment based on their molecular profile. I think it is precision medicine at its finest and best. Looking ahead, the third question you asked me is what is exciting going on? I think we will see more of these approvals. My hope is that today, I think we have nine to ten approvals. My hope is that within the next 25 to 50 years, we will have at least 50 to 100 drugs approved in this space based on a biomarker, not based on a location of the tumor type. Drug targeting rare alterations like FGFR2 fusions, FGFR amplifications, ALK fusions, and even complex signatures like high tumor mutational burden. I think we will be seeing hopefully more and more drugs approved. And as sequencing becomes routine, we will identify more patients for these therapies. I think for rare cancers, this is not just innovative approach. This is essential for them to access these novel precision medicines. Dr. Hope Rugo: Yeah, that is such a good point. I do think it is critical. Interestingly in breast cancer, it hasn't been, you know, there is always like two patients in these tumor-agnostic trials, or if that. You know, I think I have seen one NTRK fusion ever. I think that highlights the importance for rare cancers. And you know, I am hoping that that will translate into some new directions for some of our rarer and impossible-to-treat subtypes of breast cancer. It is this kind of research that is really going to make a difference. But what about those people who do not have biomarkers? What if you do not fit into that? Do you think there is a possibility of trying to do treatments for rare cancers in some prospective way that would help with that? You know, it is really a huge challenge. Dr. Vivek Subbiah: Absolutely. I think, you know, you're right, usually many of these rare cancers are driven by specific biomarkers. And again, some of the pediatric salivary gland tumors or pediatric sarcomas like fibrosarcomas, they are pathognomonic with NTRK fusions. And again, given that we have a tumor-agnostic approval, now these patients have access to these therapies. And I do not think that we would have had a trial just for pediatric fibrosarcomas with NTRK fusions. So that is one way. Another way is SWOG, right? The SWOG DART [1609] had this combination dual checkpoint, it was called the DART study dual combination chemotherapy with ipi/nivo. Now here the rare cancer subtype itself becomes a biomarker and they showed activity across multiple rare cancer subtypes. They didn't require a biomarker. As long as it was a rare or ultra-rare cancer, these patients were enrolled into the SWOG DART trial and multiple arms have read out. Angiosarcoma, Kaposi sarcoma, even gestational trophoblastic disease. Again, they have shown responses in these ultra-rare, rare cancers. Sometimes they might be seeing one or two cases a whole year. And I think this SWOG effort, this cooperative group effort, really highlighted the need for such studies without biomarkers as well. Dr. Hope Rugo: That is such a fantastic example of how to try and treat patients in a collaborative way. And in the paper, you also emphasize the need for collaborative research efforts, you know, uniting resource expertise across different ways of doing research. So cooperative groups, advocacy organizations that can really help advance rare cancer research, improve access to new therapies, and I think importantly influence policy changes. I think this already happened with the agnostic approvals. Could you tell us more about that? How can we move forward with this most effectively? Dr. Vivek Subbiah: Personally, I believe that collaboration is absolutely critical and essential for rare cancer research. No single institution, no single individual, or no single state or entity can tackle these challenges alone. The patient populations are small and dispersed. So pooling resources is the only way to run these meaningful trials. Again, it is not like singing, it is like putting a huge, huge, I would say, an opera piece together. It is not a solo, vocal therapy, but rather putting a huge opera piece like Turandot. You know, you mentioned cooperative groups. Cooperative groups, as I mentioned earlier, the SWOG DART program, the ASCO [TAPUR study]. ASCO is doing a phenomenal work of the TAPUR study. Again, this ASCO TAPUR program has enrolled so many patients with rare cancers who otherwise would not have treatment options. NCI-MATCH, the global effort, right? NCI-MATCH and the ComboMATCH are great examples. They bring together hundreds of sites, thousands of clinicians to run large-scale trials that would be impossible for any individual center or institution. These trials have already changed practice. For instance, the DART demonstrated the power of immunotherapy in rare cancers and influenced NCCN guidelines. One of the arms of the NCI-MATCH study from the BRAF V600E arm contributed towards the BRAF V600E tissue-agnostic approval. So, the BRAF V600E tissue-agnostic approval was by a pooled analysis of several studies. The ROAR study, the Rare Oncology Agnostic Research study, the NCI-MATCH dataset of tumor-agnostic cohort, and another pediatric trial, and also evidence from literature and evidence of case reports. And all this pooled analysis contributed to the tissue-agnostic approval of BRAF V600E across multiple rare cancers. There are several patient advocacy organizations which are the real unsung heroes here. Groups like, for instance, we mentioned in the paper, Target Cancer Foundation, don't just raise awareness for rare cancer research, they actively connect patients to trials providing financial, emotional support, and even run their own studies like the TRACK trial. They also influence policy to make access easier. On a global scale, initiatives like DRUP in the Netherlands, the ROME study in Italy, the PCM4EU in Europe are expanding precision medicine across these borders. These collaborations accelerate research, improve trial enrollment, and ensure patients everywhere can have access to these cutting-edge therapies. Again, it is truly a team effort, right? It is a multi-stakeholder approach. Researchers, clinicians, investigators, industry, regulators, academia, patients, patient advocates, and their caregivers all working together. And it takes a village. Dr. Hope Rugo: Absolutely. I mean, what a nice response to that. And I think really exciting and it is great to see your passion about this as well. But it helps all of us, I think, getting discouraged in treating these cancers to understand what is happening moving forward. And I think it is also a fabulous opportunity for our junior colleagues as they rise up in academics to be involved in these international collaborative efforts which are further expanding. One of the things that comes up for clinical trials for patients, and I think it is highlighted with rare cancers because, as you mentioned, people are all over the place, you know, they are so rare. They are all far away. Our patients are always saying to us, "Should I go here for a phase 1 trial?" Can you talk a little bit about how we can overcome these financial and geographic burdens for the patients? You talked about having trials locally, but it is a big financial and just social burden for patients. Dr. Vivek Subbiah: Great point. Financial cost is a major barrier in rare cancer clinical trials. It is a major barrier not just in rare cancer clinical trials, but in clinical trials in general. The economics of rare cancer research are one of the toughest challenges we face. Developing a new drug is already expensive, often billions of dollars. On an average, it takes 2 billion dollars or 2.8 billion dollars according to some data from drug discovery to approval. For rare cancers, the market is tiny, which means the pharmaceutical companies have really little financial incentive to invest. That is why initiatives like the Orphan Drug Act were created to provide tax credits, grants, and market exclusivity to encourage development for rare diseases. Clinical trials themselves are expensive because the small patient populations mean longer recruitment times and higher per-patient costs. Geographic dispersion, as you mentioned, for the patients adds travel, coordination. That is why we need to think out of the box about decentralized trial infrastructure so that we can mitigate some of these expenses. Complex trial designs like basket or platform trials sometimes require sophisticated data systems and regulatory oversight. That is a challenge. And I think some of the pragmatic studies like ASCO TAPUR have overcome those challenges. Advanced technologies like next-gen sequencing and molecular profiling also add significant upfront cost to this. Funding is also limited because rare cancers receive less attention compared to common cancers. Public funding and cooperative group trials help a lot, but I think they cannot cover everything. Patient advocacy organizations sometimes step in to bridge these gaps, but sustainable financing remains a huge challenge. So, the bottom line is without financial incentives and collaborating funding models, many promising therapies for rare cancers would never make it to patients. That is why we need system-wide policy changes, global partnerships, and innovative, effective, seamless trial designs which are so critical so that they can help reduce the cost and make research feasible so that we can deliver the right drug to the right patient at the right time. Dr. Hope Rugo: There is a lot of excitement about the future integration of AI in screening. Just at the San Antonio Breast Cancer meetings, we have a number of different presentations about AI to find markers, even like HER2, and using AI where you would screen and then match patients to clinical trials. Do you have any guidance for the rare cancer community on how to leverage this technology in order to optimize patient enrollment and, I think, identification of the best treatment matches? Dr. Vivek Subbiah: I think artificial intelligence, AI, is a game-changer in the making. Right now, clinical trial is clunky. Matching patients to trial is often manual, time consuming, laborious. You need a lot of personnel to do that. AI can automate this process by analyzing genomic data, medical records, and trial eligibility criteria to find the best matches quickly, accurately, and effectively. For the community, the key is to invest in data standardization and interoperability because AI needs clean, structured data to work effectively. Dr. Hope Rugo: Thank you so much, Dr. Subbiah, for sharing these fantastic insights with us on the podcast today and for your excellent article. Dr. Vivek Subbiah: Thank you so much. Dr. Hope Rugo: We thank you, our listeners, for joining us today. You will find a link to Dr. Subbiah's Educational Book article in the transcript of this episode. And please join us again next month on By the Book for more insightful views on key issues and innovations that are shaping modern oncology. Thank you. Disclaimer: 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. Follow today's speakers: Dr. Hope Rugo @hoperugo Dr. Vivek Subbiah @VivekSubbiah Follow ASCO on social media: ASCO on X ASCO on Bluesky ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. Hope Rugo: Honoraria: Mylan/Viatris, Chugai Pharma Consulting/Advisory Role: Napo Pharmaceuticals, Sanofi, Bristol Myer Research Funding (Inst.): OBI Pharma, Pfizer, Novartis, Lilly, Merck, Daiichi Sankyo, AstraZeneca, Gilead Sciences, Hoffman La-Roche AG/Genentech, In., Stemline Therapeutics, Ambryx Dr. Vivek Subbiah: Consulting/Advisory Role: Loxo/Lilly, Illumina, AADI, Foundation Medicine, Relay Therapeutics, Pfizer, Roche, Bayer, Incyte, Novartis, Pheon Therapeutics, Abbvie Research Funding (Inst.): Novartis, GlaxoSmithKline, NanoCarrier, Northwest Biotherapeutics, Genentech/Roche, Berg Pharma, Bayer, Incyte, Fujifilm, PharmaMar, D3 Oncology Solutions, Pfizer, Amgen, Abbvie, Mutlivir, Blueprint Medicines, Loxo, Vegenics, Takeda, Alfasigma, Agensys, Idera, Boston Biomedical, Inhibrx, Exelixis, Amgen, Turningpoint Therapeutics, Relay Therapeutics Other Relationship: Medscape, Clinical Care Options
It isn't as normal, or rather heard of, to make idols or to worship other gods. We don't live in a society where everyone goes to a pagan temple once a week to make their sacrifice and worship Baal. Don't get me wrong, some people do still worship pagan gods, but nowadays we have made all kinds of new idols. In today's message, Pastor Mark will teach that anything can be an idol. Traditionally, you may think an idol is just a physical object or person that someone idolizes, but anything can be idolized…Your phone, your job, and even your family. Anything that you value more or put above God is an idol.
In today's episode, Gina discusses the brain and contemporary thought concerning the plastic and changeable nature of the brain. The ability of individuals to exploit the brain's adaptability with their own minds and guidance is highlighted. Specific steps to change your brain and reduce your anxiety are included.Please visit our Sponsor Page to find all the links and codes for our awesome sponsors!https://www.theanxietycoachespodcast.com/sponsors/ Thank you for supporting The Anxiety Coaches Podcast. FREE MUST-HAVE RESOURCE FOR Calming Your Anxious Mind10-Minute Body-Scan Meditation for Anxiety Anxiety Coaches Podcast Group Coaching linkACPGroupCoaching.comTo learn more, go to:Website https://www.theanxietycoachespodcast.comJoin our Group Coaching Full or Mini Membership ProgramLearn more about our One-on-One Coaching What is anxiety? Find even more peace and calm with our Supercast premium access membership:For $5 a month, all episodes are ad-free! https://anxietycoaches.supercast.com/Here's what's included for $5/month:❤ New Ad-Free episodes every Sunday and Wednesday❤ Access to the entire Ad-free back-catalog with over 600 episodes❤ Premium meditations recorded with you in mind❤ And more fun surprises along the way!All this in your favorite podcast app!Chapters0:26 Embracing the Changeable Brain3:38 The Power of Mindfulness6:20 Understanding Anxiety and Hope8:11 The Role of Repetition in Change9:45 Practical Steps for Transformation12:57 Taking Responsibility for ChangeSummaryIn this episode of the Anxiety Coaches Podcast, I dive into the fascinating concept of the changeable brain, exploring the implications of neuroplasticity and its profound effects on our mental health. Traditionally, many of us were led to believe that our brains reach a fixed state in adulthood, but recent scientific breakthroughs reveal an exciting reality: our brains are not hardwired and, instead, possess remarkable adaptability and the capacity to change throughout our lives. This understanding offers a sense of hope, empowering us to take charge of our mental wellness.I emphasize the importance of retraining our brains to navigate away from anxiety. To break free from the anxiety cycle, we must forge new neuropathways while simultaneously dismantling the old ones that tether us to fear. This process is not merely an academic exercise; it happens organically as our brains utilize the remnants of old pathways to build new connections. Thus, whether we consciously train our brains or not, change is inevitable, making it essential for us to guide that change purposefully.Mindfulness emerges as a cornerstone in this journey, enabling us to cultivate awareness and intentionality in our daily lives. I discuss the impactful role that mindfulness plays in breaking free from automatic responses, compelling us to engage more fully with our thoughts and experiences. By becoming vigilant about our mental habits, we create space for healthier, more peaceful thoughts to flourish. I draw an analogy of a rider managing a horse; just as the rider must train the horse to move in the desired direction, we must learn to direct our thoughts consciously to foster the change we seek.#anxiety, #neuroplasticity, #mentalhealth, #mindfulness, #anxietyrecovery, #brainhealth, #stressrelief, #wellness, #selfcare, #personalgrowth, #healing, #mindset, #calm, #podcast, #mentalwellness, #ginaryan, #anxietycoachespodcast, #brainplasticity, #overcominganxiety, #meditation, #intentionality, #selfhealing, #neuroscience, #mentalhealthmatters, #innerpeace, #journaling, #anxietysupport, #healthyliving, #positivity, #growthmindsetSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
Success isn't accidental; it follows principles that most people prefer to ignore.In this episode, I show you how to focus on the things that really matter: the timeless principles that will make your success inevitable.Traditionally around this time, we produce an episode focused on the outlook for the year ahead but, heading into 2026, we decided to do something a little different.I'm going to focus on the success principles that will make a genuine difference. Your job is to distil the one or two that are most important to you, and work out how to embrace them in the coming year. There's some work in this for you… it's not just a casual listen. But I know you're up for it! It will make ALL the difference to your mindset as you head into another year.————————FREE QUIZ: I've developed a 3-question quiz that'll give you a free personalised podcast playlist tailored to where you are right now in your leadership career!Click here to take the 30-second quiz now to get your on-the-go playlist————————You can connect with me at:Website: https://www.yourceomentor.comFacebook: https://www.facebook.com/yourceomentorInstagram: https://www.instagram.com/yourceomentorLinkedin: https://www.linkedin.com/in/martin-moore-075b001/Youtube: https://www.youtube.com/@YourCEOMentor————————Our mission here at Your CEO Mentor is to improve the quality of leaders, globally.
A meditation preached on January 31, 2025, last day of the year, at Lyncroft centre. Traditionally, in the old Mass, after the priest had given the blessing, before returning to the sacristy, he would read the prologue of John's Gospel about the preexistence of the Word, from all eternity that had now become flesh. This Gospel was a way to seal the Mass with the mystery of the incarnation, reminding the faithful of what they had received. Our faith is an encounter with the incarnate Logos, not merely an ethical system of good ideas. The apostles were energized by this truth at Pentecost. Now we too feel this same sense of mission as we embark on 2026.Music: O Come O Come Emmanuel. On X from Catholic Arena.Thumbnail: Icon of the enthroned Virgin and Child with saints George, Theodore and angels, 6th century, Saint Catherine's Monastery, Mount Sinai.St. Catherine's Monastery, Sinai, Egypt)
//The Wire//2300Z December 29, 2025////ROUTINE////BLUF: PRESIDENT TRUMP QUIETLY CONFIRMS LAND-BASED STRIKES HAVE BEGUN IN VENEZUELA. CHINA LAUNCHES LARGE-SCALE MILITARY EXERCISES NEAR TAIWAN.// -----BEGIN TEARLINE----- -International Events-Far East: This morning China kicked off their large-scale yearly military exercise in the waters surrounding Taiwan. This year's exercise has been titled "Justice Mission 2025" and focuses on combined arms warfare techniques that will be necessary for the invasion of Taiwan. In the graphics and AI-generated content provided on the exercises by China, the focus for the drills is openly to deter a Taiwanese bid for independence.Analyst Comment: As usual, all eyes are on the drills this year to assess whether or not China will be capable of taking Taiwan when the time comes. Traditionally, China never announces their military drills ahead of time. In this case, approximately one hour elapsed between the official announcement of the drills, and the first aircraft detected on Taiwanese radar. Somewhat interestingly this year, China has leaned into camouflage as a concept. Ironically, China directly stole the idea of "urban camouflage" from Taiwan, which has taken the form of Chinese units camouflaging ICBM launchers to appear to be construction cranes...a tactic Taiwan has been using for many years. Due to the nature of the expected urban combat of Taipei, Taiwan has had to come up with unique ways for military equipment to survive as long as possible in the event that war kicks off. Turns out, China has also replicated much of this urban camouflage doctrine, which indirectly confirms that China is expecting missiles to be landing within their homeland as well.-----END TEARLINE-----Analyst Comments: This afternoon, President Trump received Prime Minister Netanyahu at his Mar-a-Lago residence to conduct talks on the Middle East and other various topics. While this visit was quite standard (as these visits have become fairly regular over the past year), several very important items of note took place during the reception.As Prime Minister Netanyahu was welcomed, a brief press conference was called as is common for dignitary visits. As journalists were present asking questions, the topic of conversation turned to Venezuela. During this off-the-cuff press briefing, President Trump casually stated that the United States had conducted at least one land-based strike within Venezuela. President Trump stated that an "implementation area" (sic) was struck, which he described as being a dock area where boats were being loaded with drugs.This leaves more questions than answers, and when pressed by journalists about this rather important conflict, President Trump stated that he did not want to comment on the matter any further. As this short 30 second clip is all we have to go on, there's not much that can be discerned at present, however it's almost certain that ground strikes have already quietly started throughout the region.Throughout this short presser, various other topics came up as well. President Trump reiterated the commitment to continue strikes in Iran, which is not surprising but still notable as it confirms that this conflict is certainly far from over. President Trump also confirmed that he took an unscheduled call from President Putin regarding an event that occurred this morning. In Moscow, the Kremlin reported a Ukrainian drone strike being conducted at an undisclosed location which targeted one of Putin's personal residences. Ukraine has denied this attack outright, and has stated that the whole affair has been fabricated from the ground up.During this morning's ad hoc press briefing in Florida, President Trump stated that the phone call had taken place, and that the US stopped the sale of Tomahawks to Ukraine for this reason (presumably to prevent them from using these munition
Friends of the Rosary,Today, Sunday, December 28, the Fourth Day within the Octave of Christmas, is the Feast of the Holy Family, an invitation to every Christian family to live in harmony and in prayer, which are the pledges of joy and union.At the end of the past century, Pope Leo XIII promoted this feast to present the Holy Family of Jesus, Mary, and Joseph as the model of all Christian families.Although they were the holiest family that ever lived, or ever will live, on earth, as they were God's closest friends, they had more than their share of this world's troubles. Today's Gospel from Matthew 2:13-15; 19-23 tells us of some of these earthly woes and sufferings.They had just settled in Bethlehem, and the Baby Jesus was only a few months old when, to avoid his murder at the hands of Herod, they had to flee from Bethlehem and become displaced persons in a foreign and pagan land.This story is a message of encouragement and consolation for every one of us. If the Holy Family suffered such trials and hardships, we should be ready to bear the trials that God sends us for our own eternal welfare.The devotion to the Holy Family was born in Bethlehem, together with the Baby Jesus. The shepherds went to adore the Child and, at the same time, to honor His family. Later, in a similar way, the three wise men came from the East to adore and give honor to the newborn King with gifts of gold, frankincense, and myrrh that His family would safeguard.Christ Himself showed His devotion to His mother and foster father by submitting Himself, with infinite humility, to the duty of filial obedience towards them.Today's celebration demonstrates Christ's humility and obedience regarding the fourth commandment, whilst also highlighting the loving care that His parents exercised in keeping Him.Let us imitate the Holy Family in our Christian families, and our families will be a prefiguration of the heavenly family. We say a prayer dedicating your family to the Holy Family. Also, we pray for all families to uphold the sanctity of the marriage bond, today under attack.Traditionally, the Feast of the Holy Innocents is celebrated on December 28th. Still, since that falls on a Sunday this year, many Western churches, like those in the Archdiocese of NY, observe it on Monday, December 29, 2025, to commemorate the baby boys killed by King Herod, honoring them as the first martyrs for Christ.Ave MariaCome, Holy Spirit, come!To Jesus through Mary!Here I am, Lord; I come to do your will.Please give us the grace to respond with joy!+ Mikel Amigot w/ María Blanca | RosaryNetwork.com, New YorkNew Upgrade! Enhance your faith with the new Holy Rosary University app:Apple iOS | New! Android Google Play• December 28, 2025, Today's Rosary on YouTube | Daily broadcast at 7:30 pm ET
Jacks joins us this week to break down the final two episodes of the Hallmark Channel Christmas show, Twelve Dates 'Til Christmas.ABOUT: TWELVE DATES 'TIL CHRISTMAS (EPISODE 5 & EPISODE 6)Episode 5: Kate has difficult decisions to make, and turns to Delilah for help. Despite Laura's commitment not to meddle, she wants to make things right for Callum and Kate.Episode 6: As the twelfth date draws near, Kate is feeling confident in her choices. But when new information comes to light, she can no longer deny her true feelings.AIR DATE & NETWORK FOR: TWELVE DATES 'TIL CHRISTMAS (EPISODE 5 & EPISODE 6)December 19, 2025 | Hallmark Mystery ChannelCAST & CREW OF: TWELVE DATES 'TIL CHRISTMAS (EPISODE 5 & EPISODE 6)Mae Whitman as KateJulian Morris as CallumJane Seymour as EvelynNathaniel Parker as MacBRAN'S TWELVE DATES 'TIL CHRISTMAS (EPISODE 5 & EPISODE 6) SYNOPSISKate is on a train, replaying the kiss in her head — and Cal is doing the exact same thing when Oliver shows up. Oliver wants to clear the air after Dates & Mates, reassuring Cal that telling the truth was the right thing to do… a comment that clearly hits deeper than intended.On the train, Kate's mom sits down across from her and gently asks what's going on. Kate admits she kissed Cal. Her mom offers unexpected advice: find a third man — perspective is everything. Kate takes the advice and goes on a date with Charlie, an American.But things get complicated fast when Kate bumps into Richard, who's out on yet another date. Awkward all around.Kate later confronts Cal for running away after the kiss and leaving her alone to process everything. Wanting to make things right, Laura and Cal work with the event organizer to set up a special do-over for Date 11. Unfortunately, Richard beats Cal to the punch, sending a car to pick Kate up and whisk her away for a carefully planned romantic night.Meanwhile, Delilah continues aggressively pursuing Mac. Determined to clear things up, Mac goes to Evelyn to confess his feelings — and they kiss. He's ecstatic… until he heads to the bathroom, gives himself a pep talk, and suddenly believes he's having a heart attack.Back on Richard's date, Kate is making out with him when Cal calls — three times. She finally answers and rushes to the hospital, where she learns her dad hasn't had a heart attack after all, but a panic attack. When she returns home, she discovers her mom has moved out.Soon after, Kate learns her mom bought a nearby house. Her mom apologizes for not being present, tells Kate she's too talented to be working for someone else, and asks her to decorate the new house. She promises she's ready to change and will be there whenever Kate is ready.Kate goes to tell Cal — but he's clearly upset. He explains that he planned the do-over date. Kate insists she didn't know. They argue, and Cal leaves, telling her he doesn't know what she wants but hopes she finds it. Kate quietly replies, “Maybe I already have.” Laura tries to convince Kate to fight for Cal, but Kate believes Richard is the right choice.Evelyn comes to check on Mac, and the two of them end up kissing again.While out with Richard, Kate learns he's been heavily flirting with other women throughout the dating experiment. When she confronts him, he explains they were both allowed to date — but in the end, he chose her. As they slow dance, Richard admits he chose her because it made for a good story. That's the final straw. Kate wishes him a Merry Christmas and walks away.Kate finds her dad, breaks down in his arms, and cries. He tells her he now understands his panic attacks and knows how to manage them. He reassures her that he has Evelyn — Kate doesn't need to worry about him anymore. She can focus on herself.Kate reconnects with her mom, grateful that she'll finally be around, and the family spends Christmas together.Later, Kate meets Laura. Traditionally, she'd spend Christmas night with Laura and Cal — but Cal doesn't show. Kate gives Laura a gift she had taken from Cal's place: a framed picture of a drawing Kate made years ago.Realizing what she truly wants, Kate runs to Cal. She tells him she wants him. Cal steps outside, turns on the lights, and they share a big, emotional kiss.Christmas is finally complete — together. Watch the show on Youtube - www.deckthehallmark.com/youtubeInterested in advertising on the show? Email bran@deckthehallmark.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
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