Podcasts about tweetable

Tweetable quote from Fr. Seán“Life is a dream that the ego is having, the ego is a dream that the soul is having, and the soul is a dream that spirit is having.”SummaryJoin us for a profound conversation as we explore the depths of spirituality, faith, and the teachings of Christ with Fr. Seán ÓLaoire. He introduces the concept of Christ consciousness as a recognition of the inner divinity present in all beings. The dialogue explores the importance of small, supportive communities in spiritual growth, the significance of understanding sacred texts through a mystical lens, and the transformative power of personal experiences in healing and self-discovery.About our guest:Fr. Seán ÓLaoire, PhD, born in Cork, Ireland, holds a BSc in Mathematics and a PhD in Transpersonal Psychology. Ordained as a Catholic priest in 1972, he spent 14 years serving in East Africa and is fluent in six languages. He is a licensed Clinical Psychologist, author, and researcher focused on the effects of prayer. Fr. Seán is Co-Founder and Spiritual Director of Companions on the Journey, a non-hierarchical spiritual community that honors personal experience, interfaith wisdom, and the divine in all.

Tweetable quote from Jerry“We're physical beings, but we have a metaphysical kind of foundation.”SummaryIn this episode, Dr Espen is joined by Jerry Sargeant, a globally renowned healer and transformational alchemist. Jerry shares his incredible story of overcoming a tumultuous past filled with challenges. Discover the power of Star Magic Healing, a unique approach that taps into our dormant DNA and helps activate our superhuman potential. Jerry explains how this living, breathing technology resides within each of us, waiting to be unlocked.About our guest:Jerry Sargeant is a transformational alchemist and globally renowned healer who is redefining what it means to live in full-spectrum health and sovereignty. As the founder of Star Magic Healing and creator of Infinity, the world's leading Ascension Platform, Jerry has guided millions across the planet into deeper states of healing, expansion, and personal mastery.He is the author of four transformational books, including Maximum Wealth, Into the Light, Healing with Light Frequencies, and his latest, Activate Your Superhuman Potential: The Ultimate 5D Toolkit. His mission is crystal clear: to awaken human potential, unify humanity, expand consciousness, and elevate Earth into a new era of love and power.With over 75 countries reached, thousands trained in Star Magic Healing and millions more activated around the globe, Jerry is now building his first healing center in the mystical Transylvanian Mountains of Romania. His workshops, online activations, and the Infinity App (available on Apple and Android) are portals of frequency, freedom, and remembrance.Jerry Sargeant is here to activate a sovereign and unified world!

Tweetable quote from Paul“If you have a big enough dream, you don't need a crisis.”SummaryIn this episode, Dr Espen is joined by a world-renowned expert in stress management, holistic wellness, and integrative lifestyle, Paul Chek. Together, they explore the profound themes of awakening, the nature of love and God, and the role of pain in personal growth. Paul Chek discusses the concept of the 'Pain Teacher', introduces his Four Doctors model and shares insights about his Spirit Gym program.About our guest:Paul Chek is a world-renowned expert in the fields of corrective and high-performance exercise kinesiology, stress management, holistic wellness and integrative lifestyle management. For over forty years, Paul's unique, integrated approach to coaching and education has changed the lives of many of his clients, his students and their clients. By treating the body as an integrated system of systems and finding the root cause of a problem, Paul has been successful where traditional approaches have consistently failed. Author of numerous books, videos and professional development courses, he is the creator of Spirit Gym, founder of the CHEK Institute, and the host of the popular Spirit Gym with Paul Chek podcast.

Tweetable quote from Zach“There's no such thing as free will. But the human being is gifted with the infinite free will to decide how it's going to experience its reality.”SummaryIn this powerful conversation, Dr Espen is joined by Zach Bush, MD, an internationally recognised educator and thought leader. They discuss the profound connections between gut health, the microbiome, and our relationship with Mother Earth. Zach emphasizes the importance of holistic medicine,  emotional aspects of health, how unresolved emotions can manifest as physical ailments and the importance of reconnecting with nature for healing.About our guest:Zach Bush, MD is a physician specializing in internal medicine, endocrinology and hospice care. He is an internationally recognized educator and thought leader on the microbiome as it relates to health, disease, and food systems. Zach Bush, MD founded *Seraphic Group and the non-profit Farmer's Footprint to develop root-cause solutions for human and ecological health. His passion for education reaches across many disciplines, including topics such as the role of soil and water ecosystems in human genomics, immunity, and gut/brain health. His education has highlighted the need for a radical departure from chemical farming and pharmacy, and his ongoing efforts are providing a path for consumers, farmers, and mega-industries to work together for a healthy future for people and the planet. His work in for-profit and nonprofit arenas is creating avenues for collaborative action for all stakeholders in our global community for a regenerative future of health for the planet and our children.

Tweetable quote from Guy"Every decision is an emotional decision."SummaryIn this episode, Dr Espen is joined by the renowned psychologist, Guy Winch. They discuss the critical importance of emotional health, the dangers of chronic loneliness, and the impact of childhood experiences on emotional patterns. Throughout our conversation, they explored the nature of emotions and their role in shaping our lives.About our guest:Internationally renowned psychologist Guy Winch advocates for integrating the science of emotional health into our daily lives. His science-based self-help books have been translated into 30 languages and his 3 TED Talks have garnered over 35 million views. He is the author of the Get Wrong Do Right Emotional Health Newsletter and the Dear Guy column for TED, and he is the co-host of the Ambie Nominated Dear Therapists podcast from iHeartRadio.

Tweetable quote from Lee“Heart energy is the currency of the future.”SummaryIn this episode, Dr Espen had a conversation with intuitive channeler and healer, Lee Harris. With over 20 years of experience, Lee shares his insights on the concept of channeling, the role of guides, and the transformative power of grief. Together, they explore the essence of channeling, Lee's journey of discovering his guides and the significance of the heart in our healing and awakening processes.About our guest:Lee Harris is the author of The Future Human and several other titles. A gifted energy intuitive and channeler, he leads a vibrant online community that reaches 1 million people every month. His acclaimed online events and members community, which is called The Portal, are adventures into the deepest aspects of living, loving, and awakening. Lee is also an accomplished music producer and singer-songwriter whose acclaimed albums have charted as high as No. 1 on the iTunes and Amazon New Age charts.

Tweetable quote from Dr. Nelson"We're living in an age where the consciousness level of the world is expanding a little bit more every single day. And it's never going to return to where it was."SummaryIn this eye-opening episode, Dr Espen sits down with Dr. Bradley Nelson, creator of The Emotion Code and expert on natural healing methods. Dr. Nelson reveals how trapped emotions can cause physical pain, disease, and emotional struggles. Tune in to discover practical tools to improve your emotional and physical wellbeing by tapping into the body's innate healing abilities. This conversation will change how you think about emotions, health, and healing.About our guest:Dr. Bradley Nelson is a holistic chiropractor, medical intuitive, and best-selling author known for his groundbreaking work in energy healing. He is the creator of The Emotion Code and The Body Code, systems that help people identify and release trapped emotional energies that contribute to physical and emotional pain. With over two decades of experience, Dr. Nelson has trained thousands of practitioners worldwide and is a leading voice in the field of natural and energy-based healing. His mission is to empower individuals to heal themselves and live healthier, more fulfilling lives.

Tweetable quote from Dr. Jeff“You can't fabricate something you don't have the capacity to do.”SummaryIn this episode, Dr Espen sits with Dr. Jeff Spencer, a world-renowned chiropractor and elite performance coach. With a remarkable history as an Olympian cyclist and a career dedicated to helping individuals reach their highest potential, Dr. Spencer shares invaluable insights on achieving excellence in all areas of life—physical, mental, emotional, and even spiritual.About our guest:Dr. Jeff Spencer is a world-renowned chiropractor, elite performance coach, and former Olympian. A 1972 Munich Olympics cyclist, he later earned a master's in sports science and became International Sports Chiropractor of the Year. He developed The Champion's Blueprint, helping clients like Tiger Woods, Sir Richard Branson, and U2 achieve peak performance. His coaching has led to over 40 gold medals and eight Tour de France wins. Beyond coaching, he's an author, speaker, and glass-blowing artist. Dr. Spencer continues to mentor high achievers in sports, business, and life.

Tweetable quote from Lee“Qi is not for hurting people. It's for healing.”SummaryIn this episode, Dr Espen has the pleasure of welcoming back Lee Holden, a renowned Qigong teacher and a personal mentor of mine. Their conversation dives deep into the concept of chi, prana, or life force energy—an essential element that connects us all and influences our well-being. Lee also discusses his new book, "Ready, Set, Slow," and how active relaxation can lead to greater efficiency and joy in life.About our guest:Lee is an internationally recognized master of Qigong, licensed acupuncturist, herbalist, and bestselling author. Known for making ancient wisdom accessible to modern life, he has helped tens of thousands of students improve their health, vitality, and well-being through Qigong. Lee's teachings have been featured on PBS stations across the U.S. and Canada, and he offers classes, workshops, and a teacher certification program. His work empowers individuals to heal from injury, slow the aging process, and enhance their energy and quality of life.

Tweetable quote from Sheleana“Sometimes the people who are the best for us are going to feel the worst for us when our nervous system is dysregulated.”SummaryIn this episode, Dr Espen sit down with Sheleana Aiyana, founder of Rising Woman, to explore the power of conscious relationships. They dive into self-trust, emotional awareness, and the role of personal responsibility in building deeper connections. Sheleana shares insights on recognizing red flags, navigating breakups, and embracing ritual and spirituality in relationships. If you're seeking to transform your approach to love and connection, this episode is a must-listen!About our guest:Sheleana Aiyana is the founder of Rising Woman, a global community with over 3 million readers dedicated to healing, self-discovery, and conscious relationships. An international best-selling author, Sheleana's work is informed by her training in somatic healing, inherited family trauma, and Imago couples therapy. As a writer, mother, and wife, she weaves her own transformative life experiences with the wisdom of nature. Her teachings guide others toward deeper intimacy, self-awareness, and connection with the natural world, inspiring them to heal old wounds and cultivate love in all areas of life.

Tweetable quote from Charles“Let's not predict it. Let's declare it.”SummaryIn this episode of The Dr Espen Podcast, host Dr Espen is joined by Charles Eisenstein, a visionary author, speaker, and philosopher. Together, they explore the shifting narratives that shape our society and individual lives.About our guest:Charles Eisenstein is a teacher, public speaker, and author who examines the unspoken narratives that direct our society and our lives. His work covers a wide range of topics, including the history of human civilization, consciousness, economics, spirituality, interdependence, ecology, and how myth and story influence culture. He is the author of The More Beautiful World our Hearts Know is Possible, Sacred Economics, and The Ascent of Humanity.

Tweetable quote from Jeff“Chronic disease is the result of chronic ease.”SummaryIn this episode, Dr Espen is joined by Jeff Krasno, co-founder and CEO of Commune. They discuss the power of good stress and its benefits for our physical and mental health, the importance of deliberately placing ourselves in discomfort and practical tools and strategies for building emotional resilience, including meditation, breathwork, and engaging in difficult conversations.About our guest:Jeff Krasno is the co-founder and CEO of Commune, a masterclass platform for personal and societal well-being and co-creator of Wanderlust, a global series of wellness events. He hosts the Commune podcast, interviewing a wide variety of luminaries from Deepak Chopra and Marianne Williamson to Matthew McConaughey and Gabor Maté. His latest venture expands Jeff's personal story and protocols into a book,Good Stress: The Benefits of Doing Hard Things (Hay House, March 2025). The book dives deeper into the concepts from the course, distilling insights from over 400 podcast conversations Jeff has conducted, along with his personal experiences applying these ideas to transform his own health. It explores deliberate, self-imposed behaviors that promote social, psychological, and physical well-being, offering both a philosophical exploration of true wellness and practical steps to achieve it.

Tweetable quote from Dr. John“If you perceive happiness as a pleasure without pain, a happy without sadness, a positive without a negative, it's only going to teach you that it doesn't occur.”SummaryIn this episode, Dr Espen welcomes back the renowned Dr. John Demartini, a world-leading expert in human behavior and personal development. Dr. John shares his transformative insights on the nature of happiness, the importance of understanding our own behaviors and judgments and revealing how they often reflect our internal struggles. Through the lens of the Demartini Method, he provides practical tools for achieving emotional balance and self-awareness.About our guest:Dr. John Demartini is a polymath and a world-renowned human behavior expert. He has over 4 decades of research across multiple disciplines. His work has been described by students as the "most comprehensive body of work", "an extensive library of wisdom" and ""wisdom of the highest and most valuable order."Dr. Demartini's mission and vision is to share knowledge and wisdom that empowers you to become a master of your own life and destiny.He's an internationally published author, a global educator and the founder of the Demartini Method, a revolutionary tool in modern psychology.His education curriculum ranges from personal growth seminars to corporate empowerment programs. He shares life, business, financial, relationship and leadership empowerment strategies and empowerment tools that have stood the test of time.

Tweetable quote from Suzy“Be what you want to receive and sit in that beautiful place of harmony and coherence so that your body can live the best possible life ever.”SummaryIn this episode, Dr Espen is joined by the founder of Bottoms Up, Suzy Wilson. Together, they discuss how water can be a powerful ally in your health journey and learn why regular colonics may be essential for maintaining optimal well-being. Suzy shares fascinating insights from her 25+ years of experience, including client success stories and cutting-edge research on water.About our guest:Suzy Wilson is a passionate advocate for individuals on their healing journeys, employing a range of holistic approaches to foster well-being. With a solid background in counseling, Suzy has dedicated her career to supporting children and families impacted by trauma, offering compassionate guidance and deep understanding.In addition to her counseling work, Suzy has developed a distinctive method for enhancing gut health through closed colonics, called the Rojas technique, skilfully blending ancient wisdom with modern practices to promote overall wellness. She draws inspiration from the healing properties of water, recognizing its vital life force.Having personally navigated significant health challenges, including a recent journey with cancer, Suzy has honed effective strategies for healing on physical, emotional, and spiritual levels. Her insights and practical advice empower others to take charge of their health, reminding them that they possess the innate ability to heal themselves, should they connect to their bodies' wisdom.

Tweetable quote from John“If you build the right habits, the right habits then build you.”SummaryIn this episode, Dr Espen is joined by renowned mindset and success expert, John Azaroff. They dive deep into the power of mindset and how it can transform your life. John shares his incredible journey from being broke to building five multi-million dollar companies, emphasizing the importance of empowering habits and self-talk. Discover practical tools and techniques that high achievers use to enhance their mental fitness, including the revolutionary app, Innercise, designed to help you train your brain for success.About our guest:John Assaraf is a world renowned mindset and success expert who has appeared numerous times on Larry King Live, Anderson Cooper, and The Ellen DeGeneres Show.He has built 5 multimillion dollar companies, written 14 books including 2 New York Times best sellers and appeared in 16 movies including the blockbuster hit “The Secret” and “Quest For Success” with Richard Branson and the Dalai Lama.He is passionate in helping people tap into their brain's superpower so they shatter limitations and achieve their fullest potential.John founded MyNeuroGym.com which is revolutionizing mindset coaching and mental fitness training. His powerful “Innercise app” helps people rewire their brain for unstoppable success.

Tweetable quote from Nicole “Your nervous system perceives your repressed emotional world as a greater predator to your life than your physical symptoms.” Summary In this episode,Dr. Espen dive deep into the world of mind-body medicine with the incredible Nicole Sachs. She is a passionate advocate for mind-body medicine and healing from chronic pain. Nicole shared her personal journey, which began at the age of 19 when she was diagnosed with a severe degenerative spinal condition that left her in debilitating pain. After discovering the work of Dr. John Sarno, she transformed her life through mind-body medicine, ultimately eliminating her chronic pain and reclaiming her health. About our guest: Diagnosed with a degenerative spinal condition, Nicole Sachs faced a future of debilitating pain. After discovering Dr. John Sarno's work in her mid-twenties, she reclaimed her life through Mindbody medicine. She transitioned from Sarno's patient to his colleague, lecturing with him at NYU, supporting his patients through her private psychotherapy practice, and continuing his work. For over 20 years, Nicole has researched chronic conditions and guided many to freedom from chronic illness. Her Mindbody approach delineates the brain science behind chronic illness and explains how our physical, mental, and emotional systems are working together to keep us safe. As she lays out in clear and relatable stories and steps, most chronic conditions result from a dysregulated nervous system stuck in long-term fight or flight - a misguided attempt to protect us from our inevitable repressed emotions and trauma. 

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Tweetable quote from Nick “Your brain's for having ideas, not holding ideas.” Summary In this episode, we dive deep into the world of business efficiency with Nick Sonnenberg, entrepreneur, best-selling author of "Come Up For Air," and founder of Leverage. After experiencing a challenging business partner breakup and nearly going bankrupt, Nick discovered the importance of operational efficiency and effective communication in the workplace. Nick shares valuable insights on how to create systems that allow teams to work together seamlessly, ensuring that everyone is aligned and focused on their unique strengths. Whether you're running a small startup or a large corporation, this episode is packed with actionable advice to help you run your business like a well-oiled machine. About our guest: Nick Sonnenberg is an entrepreneur, Inc. columnist, guest lecturer at Columbia University, and the WSJ bestselling author of Come Up for Air: How Teams Can Leverage Systems and Tools to Stop Drowning in Work. He is the Founder and CEO of Leverage, a leading operational efficiency consultancy that helps companies implement his CPR® Business Efficiency Framework. This is the culmination of Nick's unique perspective on the value of time, efficiency, and automation which stems in part from the eight years he spent working as a high-frequency trader on Wall Street. The CPR (Communication, Planning, and Resources) Framework consistently results in greater output, less stress, happier employees, and the potential to gain an extra full day per week in productivity per person—just by using the right tools in the right way, at the right time. Nick and his team have worked with organizations of all sizes and across all industries, from high-growth startups to the Fortune 100.

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children's Hospital Medical Center. Dr. Collins was a member of the task force that produced the Guidelines on Childhood EGIDs Beyond EoE. In this interview, Dr. Collins discusses the guidelines and how they were created and shares some of the results, including an algorithm for diagnosing non-EoE EGIDs. She shares why she specialized in EGIDs and what her hopes are for the future development of the guidelines. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:49] Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron, and co-host, Holly Knotowicz.   [1:13] Holly introduces today's topic, guidelines for childhood eosinophilic gastrointestinal disorders (EGIDs) beyond eosinophilic esophagitis (EoE).   [1:27] Holly introduces today's guest, Dr. Margaret Collins, a professor of pathology at the University of Cincinnati and a staff pathologist at Cincinnati Children's Hospital Medical Center.   [1:38] Dr. Collins specializes in the pathology of pediatric gastrointestinal disease, especially EGIDs, and is a central pathology reviewer for the Consortium of Eosinophilic Gastrointestinal Researchers (CEGIR), as well as a member of APFED's Health Sciences Advisory Council.   [2:11] As a pathologist, Dr. Collins examines biopsies microscopically. For EGIDs, she determines the peak count of eosinophils per high-power field, or reports the numbers of eosinophils in multiple high-power fields, and analyzes the tissue for additional abnormalities.   [2:33] Dr. Collins then issues a report that becomes part of the patient's medical record and is provided to the patient's doctor.   [2:41] The biopsies Dr. Collins examines may be the first biopsies for a diagnosis, or follow-up biopsies to determine response to therapy, or as part of ongoing monitoring to determine if inflammation has returned even if the patient has no symptoms.   [3:07] Dr. Collins was inspired to specialize in EGIDs after speaking with patients with EGIDs. She used to give tours of the pathology lab at Cincinnati Children's Hospital. She met affected children and their caregivers. Their courage and gratitude moved her.   [3:43] Ryan mentions the wonderful patients and their families in the APFED community. Holly says that as a patient, it's fascinating to meet a pathologist. Pathologists are generally behind the scenes.   [4:42] Dr. Collins specializes in GI pathology, including eosinophilic-related conditions in the GI tract. EoE, eosinophilic gastritis, eosinophilic enteritis, and eosinophilic colitis.   [5:16] In January 2024, “Guidelines on Childhood EGIDs Beyond EoE” were published in the Journal of Pediatric Gastroenterology and Nutrition. Dr. Collins served on the task force that prepared the guidelines.   [5:35] Non-EoE EGIDs affect all sites of the GI tract except the esophagus. All sites of the GI tract except the esophagus normally have eosinophils in the mucosa, which complicates the diagnosis.   [6:03] Like EoE, the diagnosis of non-EoE EGIDs is made after known causes of tissue eosinophilia are excluded.   [6:28] Consensus guidelines help bring attention to best practices and encourage uniformity of practices.    [6:50] This is especially important for rare diseases and for centers that see fewer patients with rare diseases than the more specialized centers. Guidelines based on the best information available help these centers.   [8:03] The best distribution of guidelines is to publish them in the medical literature and sometimes in multiple journals to target audiences of allergists, gastroenterologists, and pathologists. Guidelines may be presented at national meetings to increase awareness.   [8:36] Several specialties are involved in the care of patients who have EGIDs. If patients or caregivers learn of published guidelines, they can also inform their providers.   [9:23] Insurance is a big issue for so many patients. Getting coverage for both diagnostic and treatment options can be complex.    [9:50] The guidelines may be helpful to insurance companies to accept that a certain drug is needed by a patient with a certain condition. However, if the sequence suggested in the guidelines is not followed, there may be difficulty getting coverage in the U.S.   [11:11] Patients can advocate for themselves with insurance companies by explaining that the order of testing is not important but getting the recommended tests done is important.    [11:55] The greatest challenge the task force faced was the lack of large clinical studies and quality research reports. We're making progress in this field but we're at the beginning. Dr. Collins is hopeful that progress will be made in the next two to three years.   [12:24] When there were knowledge gaps, the task force filled them in with their published research and their own experiences. It's always reassuring to have a well-conducted clinical study that verifies that your thinking is correct.   [13:29] How long did it take the task force to create these guidelines? Longer than they wanted it to take! The years they put into composing these guidelines were greater due to the interruption caused by the [COVID] pandemic. They all felt good when they finished.   [14:18] The guidelines were written by 26 authors from five continents. These are international guidelines.   [14:44] Dr. Collins highlights the pathology. The guidelines state that non-EoE EGIDs should be considered clinicopathologic diagnoses, as EoE is, meaning that biopsies from the affected site in the bowel must show excess eosinophils.   [15:10] The guidelines, for the first time, recommend threshold eosinophil values for a diagnosis in the parts of the GI tract other than the esophagus. For a diagnosis of EoE, a threshold value of greater than or equal to 15 eosinophils per high-power field.    [15:36] The guidelines now recommend that for a diagnosis of eosinophilic gastritis, a threshold value of greater than or equal to 30 eosinophils per high-power field is present.   [15:48] For a diagnosis of eosinophilic duodenitis, a threshold value of greater than or equal to 50 eosinophils per high-power field. For a diagnosis of eosinophilic ileitis, a threshold value of greater than or equal to 60 eosinophils per high-power field.   [16:03] For a diagnosis of eosinophilic colitis in the right colon, a threshold value of greater than or equal to 100 eosinophils per high-power field. For a diagnosis of eosinophilic colitis in the transverse and descending colon, a threshold value of greater than or equal to 80 eosinophils per high-power field. [16:12] For a diagnosis in the rectosigmoid, a threshold of greater than or equal to 60 eosinophils per high-power field.   [16:18] These numbers may change over time. One or more thresholds will likely change as we gain more experience with these diseases. The pattern won't change.   [16:29] Several studies have shown that the normal pattern of eosinophil presence in the mucosa in the GI tract is that the number increases from the stomach to the right colon and then decreases throughout the colon to the rectosigmoid.   [17:40] When giving tours of the hospital, Dr. Collins found that people understood better when they knew the numbers and could see the slides of their biopsies.   [18:48] Dr. Collins found literature reviews that suggested that the GI mucosa was often normal in non-EoE EGIDs. She believes that in the next few years, as we publish more and gain more experience, we will realize that is not the case.   [19:14] There is already a method for scoring the mucosa in the stomach in eosinophilic gastritis (EoG) and there are abnormalities found in a majority of patients. We have to work on the rest of the GI tract.   [19:35] Dr. Collins was surprised that there's not very good information about the use of proton pump inhibitors (PPIs) in eosinophilic gastritis and eosinophilic duodenitis. There haven't been studies about that. We need to work on that, too.   [20:47] Dr. Collins isn't sure we can recognize misconceptions about non-EoE EGIDs at this point. It might be premature to label any belief as a misconception. We thought that eosinophils were responsible for all symptoms in EoE, but we know now that is not true.   [21:10] Dr. Collins thinks we need to wait a bit before we decide that we know for sure all about non-EoE EGIDs. Ryan is excited to learn what the research will show us next.   [21:44] Holly loved learning about the algorithm in the guidelines.   [22:01] Dr. Collins says this is the first effort to create uniformity in the way in which non-EoE EGIDs are diagnosed. This algorithm can change over time. It provides signposts for the diagnosis, based on the information we have currently.   [22:20] The diagnosis of non-EoE EGIDs should rest on symptoms and the detection of dense eosinophilic inflammation in the mucosa by biopsy and the absence of evidence of other diseases, such as parasitic and other diseases, that might cause dense eosinophilic inflammation in the GI tract.   [22:46] The algorithm suggests that the particular anatomic site or sites in the GI tract responsible for the symptoms should be determined, for example, eosinophilic gastritis or eosinophilic colitis.   [23:03] The algorithm also suggests that the involved part of the wall in the involved anatomic site should be identified.   [23:13] For example, if the symptoms are suggestive of mucosal disease, without deeper mural or wall involvement, the clinical investigation can proceed directly to endoscopy.   [23:26] However, if symptoms suggest partial or complete bowel obstruction, which is typical of deep muscular involvement, then imaging studies should be considered before proceeding to endoscopy, to confirm or refute that there is a bowel obstruction.   [23:47] If the obstruction is identified, a full-thickness biopsy of the bowel wall may be indicated, possibly requiring a non-endoscopic surgical procedure. If obstruction is not identified, then the investigation can proceed to endoscopy.   [24:05] If there is abdominal distension, suggestive of fluid accumulation, consideration should be given to sampling the fluid, using a needle to pull some fluid out to determine if there are numerous eosinophils in the fluid that would indicate eosinophilic ascites, with the eosinophilic inflammation involving the outer lining of the bowel wall.   [24:41] The signposts are a little involved. They are a reasonable way to approach working up a diagnosis of non-EoE EGIDs.   [25:34] How is EoE ruled out before using this algorithm? It's sometimes difficult to distinguish symptoms that are relevant only to the esophagus and symptoms that are relevant only to the stomach.   [26:26] Someone with upper tract symptoms only will have an upper tract endoscopy, especially if that person has mucosal symptoms that seem to be relevant to the mucosa only. The best thing is to take biopsies of the esophagus, stomach, and duodenum to be sure where the eosinophil infiltrate is.   [27:06] If the person has lower tract involvement only, such as diarrhea and lower abdominal pain, and no upper tract symptoms, a transnasal endoscopy could be used to determine if there is EoE in addition to the non-EoE EGIDs. Each case is different.   [29:12] As a pathologist, Dr. Collins has seen the guidelines for treating eosinophilic conditions evolve. They've become more specific as our knowledge of the data concerning the disease has increased. PPIs are now considered a treatment for EoE.   [30:12] Dr. Collins says we need clinical trials testing therapies in children and adults with non-EoE EGIDs. We need to determine which patients have single-site disease and will only have single-site disease, and which patients may develop multi-site EGIDs.   [30:42] Those aspects will be addressed in the next version of CEGIR, if it's funded.   [30:49] Ryan tells Dr. Collins it's been fantastic having her on the show. This has been a good overview of non-EoE EGIDs and the new methods clinicians are looking into to help people get a better diagnosis and treatment.   [31:11] Dr. Collins says we don't have validated instruments yet to measure symptoms, evaluate the mucosa, and evaluate the biopsies under the microscopes. We need to create those validated tools to help us determine the significance of our findings.   [31:31] Some data strongly suggest that eosinophilic colitis is different from the rest of the EGIDs; certainly from the upper tract EGIDs. We need to move more deeply into what eosinophilic colitis actually is.   [32:05] For our listeners, feel free to check out the article we've been mentioning in the show notes. We'll include a link to it.   [32:11] For those of you who would like to learn more about eosinophilic disorders, please visit APFED.org and check out the links in the show notes.   [32:18] If you're looking to find a specialist who treats eosinophilic disorders, we encourage you to use APFED's Specialist Finder at APFED.org/specialist.   [32:27] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections.   [32:36] Ryan thanks Dr. Collins for joining us today for this great conversation. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron for supporting this episode.   Mentioned in This Episode: Margaret H. Collins, M.D., A.G.A.F., Director, Gastrointestinal Pathology Division of Pathology ML 1035 Cincinnati Children's Hospital Medical Center “Guidelines on Childhood EGIDs Beyond EoE,” Journal of Pediatric Gastroenterology and Nutrition.   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, and Regeneron.   Tweetables:   “The best distribution of guidelines is accomplished by publishing them in the medical literature; sometimes in multiple journals to target audiences of allergists, gastroenterologists, and pathologists.” — Dr. Margaret H. Collins    “Guidelines may be helpful to insurance companies to accept that a certain drug is needed by a patient with a certain condition.” — Dr. Margaret H. Collins    “It's always reassuring to have a well-conducted clinical study that verifies that your thinking is correct.” — Dr. Margaret H. Collins    “This is the first effort to create uniformity in the way in which non-EoE EGIDs are diagnosed. This algorithm can change over time. It provides signposts for the diagnosis, based on the information we have currently.” — Dr. Margaret H. Collins   “We don't have validated instruments yet to measure symptoms [for non-EoE EGIDs], evaluate the mucosa, and evaluate the biopsies under the microscopes. We need to create those validated tools to help us determine the significance of our findings.” — Dr. Margaret H. Collins  

Tweetable quote from Jillian “You have to let go of what you thought life was supposed to be like.” Summary Are you ready to unlock the secrets to self-love and transform your relationships? In this episode of the Dr Espen Podcast, I sit down with Jillian Turecki—certified relationship coach, author, and host of Jillian on Love—to dive deep into the emotional roots of love, connection, and self-worth. Jillian shares her journey from yoga teacher to relationship coach, revealing how the mind-body connection shapes our emotional and relational well-being. We explore the true meaning of self-love, which Jillian defines as self-acceptance, and uncover why embracing our imperfections is key to building healthy connections. About our guest: Jillian Turecki is a certified relationship coach, teacher, author, and host of the Podcast, Jillian On Love.  Fueled by an insatiable curiosity about what makes a relationship thrive, Jillian has helped thousands over the last 20 years through her teachings, courses, and writing to revolutionize their relationship with themselves so that they transform their romantic relationships. Jillian is sought out for her compassionate, direct, and very authentic style of coaching, teaching and writing.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate special guests discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, Pastor Ric and a few special guests discuss things unrelated but related to the message from Sunday.   Check out Transformation Church in Español at https://www.youtube.com/@transformationpensacolaespanol

Description: Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Jason Ingraham, an adult living with eosinophilic fasciitis (EF), and Dr. Catherine Sims, a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans' Affairs Hospital. They discuss Jason's experiences living with EF and Dr. Sims's experience treating EF. They share Jason's journey to diagnosis and the importance of working with a group of specialists. They share tips on medication and physical therapy, how to communicate with your medical team, and manage your activity and mindset. Disclaimer: The information provided in this podcast is designed to support, not replace the relationship that exists between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:50] Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron, and co-host, Holly Knotowicz.   [1:14] Holly introduces today's topic, eosinophilic fasciitis, with guests, Jason Ingraham and Dr. Catherine Sims.   [1:25] Jason is an adult living with eosinophilic fasciitis (EF). Dr. Sims is a rheumatologist at Duke University and a Health Services Research Fellow at the Durham Veterans' Affairs Hospital.   [1:52] Dr. Sims explains what EF is. Patients may present with symptoms of large plaques on their skin, edema of arms and legs, Raynaud's Phenomenon, contractures of arms or legs, limited mobility, or loss of the ability to do tasks they used to do.   [2:42] EF, as with most eosinophilic disorders, doesn't follow the textbook. Some people will present with one symptom and some with multiple symptoms. There is a disconnect between how we diagnose conditions like EF and how patients present.   [3:01] There are major and minor criteria for the diagnosis. As in Jason's case, it takes time for the symptoms to present. Things develop over time. It took multiple specialists to diagnose Jason.   [3:38] Eosinophilic conditions are incredibly different from each other. When Dr. Sims sees a patient with high eosinophils, she thinks of three major buckets: infection, autoimmune diseases, and cancer.   [4:12] Patients will often see many different specialists. In Jason's case, they had done a skin biopsy that wasn't as helpful as they hoped. That led him to get a deep muscle biopsy to collect the lining of the muscle.   [4:47] Fasciitis is the inflammation of the muscle lining or fascia. A sample of the fascia can demonstrate under the microscope if there is a thickening, swelling, or inflammation of the lining of the muscle.   [5:24] Dr. Sims as a rheumatologist treats a number of rare diseases. Eosinophilic fasciitis is an ultra-rare disease.    [5:43] Jason had a local primary care doctor and a rheumatologist who both did a really good job and referred him to Dr. Sims. She had the benefit of their hard work to guide her next steps. Because EF is so rare, she has pitched Jason's case twice in rheumatology grand rounds sessions.   [6:18] During one of these sessions, Dr. Sims was advised to get the fascial biopsy that ultimately led to the diagnosis. She benefited from the intelligence and input of dozens of doctors.   [6:59] In the Fall of 2022, while hiking on vacation with his wife, Jason was extremely fatigued, and his forearms and lower legs swelled. His socks left deep impressions. It was difficult to reach his feet to put socks on. He spent a lot of time uncharacteristically resting.   [8:09] Jason's primary care doctor ran lots of blood tests. He thought it might be a tick bite. Jason started seeing specialists, having tests and hospital visits.   [8:57] Jason worked with a rheumatologist in Wilmington, an infectious disease doctor, and a hematologist/oncologist who reached out to a Duke expert. He also saw a pulmonologist and a dermatologist. He got the referral to Dr. Sims for March of 2023.   [9:57] The first diagnosis Jason received was after his first hospital stay in January of 2023, when he had bone marrow biopsies, CT scans, ultrasound, and other tests. He was deemed to have idiopathic hypereosinophilic syndrome (IHES).   [10:30] It was only a few weeks before his local rheumatologist said his panels were back and one tipped it from an IHES diagnosis to eosinophilic granulomatosis with polyangiitis (EGPA). He joined the Vasculitis Foundation and researched EGPA.   [11:03] Dr. Sims told Jason that EGPA was a working diagnosis but he didn't check all the boxes. There was the underlying thought that maybe it was something else. He had a second flare when he came off of prednisone in June of 2023.   [11:48] Dr. Sims scheduled Jason for a muscle biopsy while he was off steroids. That's how he got the diagnosis of eosinophilic fasciitis (EF). Jason says the disorder is hard for him to pronounce and he can barely spell the words.   [12:52] Jason's wife Michelle encouraged Jason to track his symptoms and medications and keep track of data. Going from specialist to specialist, the first thing he did was give the history.   [13:31] Jason found it helpful to create a spreadsheet of data with blood test results, meds, how he was feeling each day, his weight, and even notes about when he had difficulty putting his socks on. Jason is an advocate of owning your continuity of care as you see different doctors.   [14:42] Jason says the doctors at Duke talk very well between themselves.   [14:49] Jason likes to look back at that spreadsheet and see how far he's come, looking at the dosage he was on during and after flares and the dosage he's on now, or zero, on some of the medications. That's a little bit of a victory.   [15:16] Holly works at a private hospital without Epic or CareEverywhere so she gives physical notes to her patients to give to their doctors. She comments that a great PCP, like the one Jason had, can make all the difference in the world.   [16:18] Jason's PCP, Dr. Cosgrove, referred Jason to Duke for a second opinion. That was where he met Dr. Sims. He's glad to have both Dr. Sims and his PCP accessible.   [17:35] Jason says the number of questions you have with this type of thing is immense. When you look up EF, you find very little and the literature isn't easily digestible by patients. Being able to reach out to your doctors for a quick question is super helpful. [17:56] Jason has been able to do telehealth follow-ups and not always have to travel or take off work, which has been extremely helpful. He has been at Duke a good handful of times for various things but remote follow-ups are helpful.   [18:52] Dr. Sims says people just don't know about EF as it is an ultra-rare diagnosis. Even physicians don't understand what causes it. It's lumped in with all other eosinophilic conditions but these disorders don't all present the same way.   [19:19] EoE doesn't look like EF, even though they're both driven by the same immune cells. Dr. Sims says the first need is educating providers and patients on what the diagnosis is; awareness in general when a patient is having this swelling of extremities.   [19:44] Dr. Sims says at his baseline, Jason is very active with multi-mile hikes. When Dr. Sims met him, he was off from the baseline of what he was able to do. Being aware of your baseline and changes from that is very informative for doctors.   [20:07] Dr. Sims talks about the patient being a liaison between multiple specialists. Bringing data to your subspecialist always helps facilitate care and come up with a bigger picture of what's happening.   [20:23] Jason first went to Dr. Sims with the diagnosis of EGPA. She said, let's treat the EGPA and see what happens but they kept an open mind. With ultra-rare diseases, sometimes it's difficult for patients not to have a label for their condition.   [20:45] Dr. Sims explains to her patients that sometimes we live in the discomfort of not having a label. She keeps an open mind and doesn't limit herself to just one diagnosis. She seeks feedback from providers who have seen this before and know what works.   [21:07] Just as Jason described, you will go through multiple diagnoses. Is this cancer? Is it a parasitic infection? Where did you travel? You will see many subspecialists. It's extremely anxiety-provoking.   [21:31] When Dr. Sims did her grand rounds, she gave a third of the presentation, and the other two thirds were presented by an infectious disease doctor and a hematologist. In these cases, you need more than one subspecialist to complete the workup.   [22:10] Dr. Sims says there are a lot of misconceptions that the patient will get the diagnosis right away and the right therapy and get better. There are multiple therapies, not just medications. There are lifestyle and work modifications; it's a gradual process.   [22:22] One of Dr. Sims's goals for Jason and Michelle is to get back to doing the things that they enjoy, tennis and hiking. That's a measurement of the quality of life that a patient has.   [22:34] Talking to your doctors about how you're feeling and how you're functioning is huge. It may be that this is your new normal, but it may also be that we can make adjustments to maximize your quality of life.   [23:00] There are misconceptions about the journey of diagnosis and treatment. Have a close relationship with your subspecialist. PCPs have a high burden of expectations. As a rheumatologist who treats rare diseases, it's helpful to take on a part of that burden.   [22:31] If you don't have good communication with your providers and they aren't listening to you, you can always go get another opinion. The provider relationship is life-long.   [23:43] It's important for your provider to take what's important to you into consideration when they make treatment decisions.   [25:00] As a rheumatologist, steroids are a first-line therapy for Dr. Sims. Their role is the quick control of inflammation. The goal is always to get you off of the steroids as soon as possible, in the safest way possible.   [25:17] When Jason came to Dr. Sims, he was on mepolizumab for the working diagnosis of EGPA. Mepolizumab is one of the primary therapies for EGPA. They talked about not making treatment changes as they were navigating what was happening.   [25:40] They didn't want to make a change of medication and then have that be mistaken for disease activity. They didn't want too many variables moving at once.   [25:47] Typically, the first-line therapy is steroids, meant to help with the swelling, pain, and tightness that patients will get lining their muscles and give them a bit more functionality and decreased pain.   [26:00] Long-term, Dr. Sims gives immunosuppressant medication. She prescribed methotrexate for Jason. In EF, the immune system is overly activated, attacking the lining of the muscles and causing the symptoms.   [26:51] If you suppress the immune system activity, that leads to decreased inflammation and symptoms in the patient. Steroid use, over a few months, is detrimental, with low bone density, weight gain, high blood pressure, and diabetes.   [27:14] Dr. Sims starts with prednisone and folds in medications like mycophenolate or methotrexate.   [27:19] Mepolizumab is an interleukin 5 blocker. Interleukin 5 is part of the immune system and is necessary for eosinophils to grow, function, and multiply. The goal of using mepolizumab is to lower the eosinophils that are contributing to the disease symptoms.   [27:48] Methotrexate, prednisone, and mepolizumab can work synergistically or independently. Most rheumatologists start with methotrexate or mycophenolate which have fewer side effects and have been around longer. We know how to manage those.   [28:08] If there is no response, we may add something like mepolizumab. As Jason was already on mepolizumab, Dr. Sims added methotrexate.   [28:20] IVIG, an infusion of immunoglobulin, has also been used as a quick way to control inflammation. It is used in other autoimmune diseases like myositis, which is inflammation of the muscle itself.   [29:08] With untreated eosinophilic fasciitis, the lining of the muscle may continue to be inflamed and can lead to fibrosis, damage that cannot be reversed. The patient can become very disabled. Contracture is one result of this.   [30:16] Jason says when he tried a new medication, he monitored if it was a good fit and if the side effects were less impactful than the underlying disease. Dr. Sims adjusted his dosages or tried to get off certain medicines as needed.   [30:59] After his muscle biopsy from his left calf, it took about a month to get back to walking easily. He was already in physical therapy, going many times for a variety of things. He had back pain, potentially related to his EF. His physical therapist was great.   [31:56] The stretches alternated between upper and lower body. Jason bought tools to do the stretches at home. When he's not feeling as well, he goes back to some of those same stretches. When he was on steroids, he took long walks to strengthen his bones.   [32:39] Jason started making phone calls to supportive family and friends on his walks and started listening to podcasts related to his condition or medications. Getting back to tennis and hiking is important to Jason. He's happy to be out there.   [33:20] Jason was open with his employer about his condition. Some of the weekly meds can make him not feel well. His employer gives him some flexibility. He has good days that far outnumber the bad days. He doesn't have to think about EF too much now.   [34:33] It's nothing like when he was in a flare, especially when he was in a flare before being diagnosed. What gets him through a bad day is giving himself some grace and understanding while he waits for his meds to catch up. He rests more than he wants to.   [35:33] Low-impact exercises like walking help Jason. He's trying to find a support network that gets EF. That led him to APFED, to find anyone experiencing something like what he was. He saw a conference that included a session on EF.   [36:09] Jason signed up for the conference and there he met Ryan's mother who has EF. They were each the first person the other had met with EF. They decided to connect after the conference. They talked on the phone for about an hour.   [36:39] She told Jason how she got into APFED and talked a lot about her son who had eosinophilic diseases. Soon after, Jason talked to Ryan as a primer for this podcast.    [38:15] Having a community to relate to, even if it's one person, is massive. It can make you feel less isolated.   [38:42] Holly says it's hard having a chronic illness. She thanks both Jason and Dr. Sims for sharing so much information and their journey and she asks for last words.   [38:58] Dr. Sims believes finding a community is critical. She interviews a lot of patients for research and isolation is a frequent theme. Even the doctor doesn't know what it's like to live with the condition you live with daily. As Jason said, give yourself grace.   [39:33] Dr. Sims tells her patients that they're different from the general population because they have to spend so much time and energy managing their condition that they can't do x, y, or z today, and that is OK. She says to stay motivated and positive.   [40:12] Find what works for you. Walking is good for your physical and mental health. Have the goal of getting back to what makes you happy. Take initiative and find non-medication ways to recuperate. You have control over ways you can feel better.   [40:43] Connect with others and share your story, like Jason did today. It may make someone's journey a little easier and make them feel less alone. Utilize your condition for good, for a bigger purpose.   [41:04] Jason had wished he could meet someone who could tell him what EF would be like over the years. He says to stay positive and find out what you have control over. Jason believes the future is bright for being able to do many things for a long time.   [42:26] For our listeners who would like to learn more about eosinophilic fasciitis, please visit APFED.org and check out the links in the shownotes.   [42:33] If you're looking to find a specialist who treats eosinophilic disorders, like Dr. Sims, you can use APFED's Specialist Finder at APFED.org/specialist.   [42:43] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at APFED.org/connections/.   [42:55] Ryan thanks Jason and Dr. Sims for joining us for this excellent conversation. Holly also thanks APFED's Education Partners Bristol Myers Squibb, GSK, Sanofi, and Regeneron for supporting this episode.   Mentioned in This Episode: Dr. Catherine Sims, rheumatologist Duke University Hospital Durham VA Medical Center   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of Bristol Myers Squibb, GSK, Sanofi, and Regeneron.   Tweetables:   “EF patients may present with large plaques on their skin, edema of arms and legs, Raynaud's Phenomenon, contractures of arms or legs, limited mobility, or loss of the ability to do tasks they used to do.” — Dr. Catherine Sims   “Steroids are … first-line therapy. Their role is the quick control of inflammation. The goal is always to get you off steroids as soon as possible, in the safest way possible.” — Dr. Catherine Sims   “Methotrexate, prednisone, and mepolizumab can work synergistically or independently. Most rheumatologists start with methotrexate or mycophenolate which have fewer side effects and have been around longer.” — Dr. Catherine Sims   “Stay positive and find out what you have control over. The future is bright for being able to do many things for a long time.” — Jason Ingraham

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Pastor Ric discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and a few special guests discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Pastor Ric discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Pastor Ric discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and John discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, Nate and Kyle discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Kyle discuss things unrelated but related to the message from Sunday. Resources: Total Forgiveness by R.T. Kindle

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Justin, Pastor Brad, Nate, and a special guest discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Justin, Pastor Ric, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Pastor Ric discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to Episode 12 of Constructing with Care, a Podcast for healthcare executives to discuss topics affecting capital projects today. Your host for today's episode is Leslie Tullio, Enterprise Leader Brand and Communication. Leslie welcomes two special guests, Hector Torres from DC Advisory and Supina Mapon from DPR Construction, for the second of two episodes. They continue the conversation about the shifting paradigms in healthcare real estate strategies and dive deeper into optimizing real estate for future value.   Key Takeaways: [:53] About “The Rationalized Portfolio,” what are the key considerations for health systems when restructuring leases and divesting non-core assets? [4:14] Hector discusses "The Redistributed Portfolio" in more detail. How can health systems effectively integrate community nodes of care into their real estate strategies? [6:54] Supina addresses "The Re-envisioned Portfolio," explaining how health systems can balance physical and virtual resources to support continuous health. [9:03] Supina shares practical suggestions to incorporate the re-envisioned portfolio as a strategy. [10:25] Hector adds the value of collaborating to achieve a re-envisioned portfolio. [12:54] Supina emphasizes the importance of leaders flexibility in how they plan for technology.  [13:24] Supina and Hector elaborate on the concept of "The Refocused Portfolio." How are hospitals evolving from universal anchors to specialty centers? [16:45] Hector and Supina advise hospital and healthcare leaders regarding their real estate portfolio.   Mentioned in this episode: Constructing with Care Brought to you by DPR Construction, A trusted healthcare builder. Follow DPR Construction on Facebook, Twitter, YouTube, Instagram, and LinkedIn.   Tweetables and Quotes: "The redistributed portfolio strategy requires forward-thinking partnerships and innovative facility designs to enhance care accessibility and reduce costs."   “Rationalizing real estate portfolios is not just a strategy; it's a necessity for health systems to optimize operations and enhance strategic objectives."   Hector Torres    "Investing in and operating real estate portfolios as we did before will not lead to financial viability. We must adapt to realize unrealized value."   Supina Mapon

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Nate discuss things unrelated but related to the message from Sunday.

Welcome to the Transformation Church Message Re-Cap Podcast! Each week Executive Pastor Justin Oswald and Lead Pastor Brad Livingston follow up, break down and discuss the week's Sunday message. Join them in their conversation of each message preached at TC. You'll gain deeper insight into the message and may even experience the occasional mind-shattering, face-melting, lip-quivering, Tweetable, quotable, mic-drop one-liner! Enjoy.   This week, Pastor Brad, Pastor Justin, and Pastor Ric discuss things unrelated but related to the message from Sunday.

Why you've got to check out today's episode:Discover the reasons why it's not advisable to constantly share the podcast host's link when you appear as a guest on their showFind out why relying solely on the podcast host to carry the weight of your appearance on their show may not be beneficial for youUncover the potential in repurposing the raw audio from the podcast where you were a guest and leverage it to your benefitResources/Links:Leverage and repurpose your podcast opportunities and generate quality leads and clients. Click here: leverageyourpodcast.com/guestSummary:Are you making guest appearances on different podcast shows and depending solely on the podcast host to handle all the promotions for you?Why not take advantage of those guest appearances and create your own call to action on your platforms? This way, you can generate more leads and attract new clients.Host of Leverage Your Podcast Show, Lyndsay Phillips, of Smooth Business Podcasting, helps all podcasters leverage and repurpose their episodes to create authority-boosting content that attracts leads and clients.In this episode, Lyndsay discusses strategies for repurposing podcast guest opportunities to effectively attract high-quality leads and clients for yourself, rather than solely benefiting the podcast host.Check out these episode highlights:02:51 - Lyndsay's ideal client: I would say authors, speakers, entrepreneurs that have a business model.03:28 - The problem her clients face: A lot of guests are relying on the host to do all the heavy lifting, promote for them. It helps, but it's not your ticket to winning.04:56 - Symptoms to her client's problem: It's sharing the host's links all the time.06:50 - Lyndsay's Valuable Free Action [VFA]: Make sure that you're publishing it on your own website.08:23 - Her Valuable Free Resource: Learn to repurpose your podcast guest opportunities and get more leads and clients: leverageyourpodcast.com/guest08:34 - Q: What is the missing piece of how and what you need to repurpose from those episodes?A: And that would be reels and YouTube shorts. Tweetable episode from this episode:“Ask for the raw video from the host so that you can use that to select the sound bites and nuggets, reels, so that you're showcased in the way that you want to be showcased." - Lyndsay Phillips

Exploring AI's Role in Legal Research, Data Analysis, and Client Management Tanner Jones, your host and Vice President of Business Development at Consultwebs, welcomes you to another episode of the LAWsome Podcast by Consultwebs. In this episode, he is joined by Karl Seelbach, an attorney, founder of Skribe.ai, and expert in legal marketing. They discuss the evolution of AI in the legal field and how AI tools have transformed legal research, data analysis, and legal marketing. Karl shares his experiences with different AI tools and the challenges of implementing them. They also explore the role of AI in decision-making, client management, and running a law firm. Karl provides insights on how to get started with AI in the legal field and emphasizes the importance of testing and evaluating different tools. Key Takeaways: AI tools have revolutionized legal research, enhancing efficiency and enabling natural language interactions with software. Implementing AI tools in the legal field can present challenges, such as choosing the right tool and addressing risks like hallucinations. AI can assist in decision-making by analyzing large data sets, spotting inconsistencies, and assessing exposure or potential jury verdicts. AI tech can also be leveraged to improve client management, from intake processes to chatbots and AI-powered phone support. Staying ahead in the legal tech space required resting and evaluating different AI solutions, considering cost-benefit analysis, and attending legal tech conferences.  Timestamps: 00:01 - Introduction to Karl Seelbach 01:45 - Evolution of AI in Legal Research 03:49 - Challenges of Implementing AI in Legal Research 04:10 - Leveraging AI Tools for Legal Research 08:10 - AI in Data Analysis and Case Evaluation 11:26 - Using AI for Assessing Jury Verdicts and Risk 12:07 - Starting with AI in Legal Practices 14:15 - AI in Medical Record Analysis 15:15 - AI in Client Management and Intake 18:22 - The Future of AI in Legal Marketing 19:14 - Ethical Considerations and Deep Fakes 21:35 - Introducing Scribd AI 22:43 - Speed and Efficiency in Legal Practices 25:25 - Staying Ahead with Legal Tech 27:20 - Final Thoughts and Advice Best way to contact Karl:  https://www.linkedin.com/in/kwseelbach/  Tweetables and Quotes:  “If you're not online, you're invisible to potential clients. A strong digital presence is no longer optional, it's essential.” @consultwebs “ SEO is about making sure your law firm is found by those who need your services. It's about visibility and relevance.” @consultwebs “Content marketing is about providing value. If you can educate and inform your audience, you'll build trust and credibility.”  @consultwebs “Social media is a powerful tool for law firms. It allows you to engage with your audience and build relationships.”   @consultwebs “PPC advertising can be a game-changer for law firms. It's about reaching the right people at the right time.”   @consultwebs   Do you want to find ways to connect with other lawyers whose practice areas align with your cross-referrals? This podcast is for you: To keep up with issues, trends, and problems in their clients' industries To meet and interact with current clients, former clients, potential new clients, and referral sources To connect with other lawyers whose practice areas align with theirs for cross-referrals To earn continuing legal education (CLE) credits To get away from the office and de-stress Subscribe to LAWsome by Consultwebs on Apple Podcasts, Google Podcasts, and Spotify   Learn more about Consultwebs Digital marketing for Lawyers and Law firms: Digital marketing SEO Web design PPC Local Services Ads Email marketing Search engine marketing Content marketing Social media marketing Video marketing Email marketing   Digital marketing Case studies for Law firms Marketing Resources for Lawyers   Consultwebs 8601 Six Forks Rd #400 Raleigh, NC 27615 (800) 872-6590 https://www.consultwebs.com  https://maps.app.goo.gl/p99f5Q2V2HeoYDmYA