Podcasts about Zervos

Michael Zervos explains why North Korea is the toughest country to visit. Watch the video interview Listen to all 6 of my interviews with Zervos. Timeline 00:00 Why North Korea is the toughest 05:30 How Zervos makes videos 11:00 What's the upcoming schedule Follow him on Instagram More info To leave an anonymous voicemail that I could use on the podcast, go to SpeakPipe.com/FTapon You can post comments, ask questions, and sign up for my newsletter at http://wanderlearn.com. If you like this podcast, subscribe and share!  On social media, my username is always FTapon. Connect with me on: Facebook Twitter YouTube Instagram Tiktok LinkedIn Pinterest Tumblr My Patrons sponsored this show! Claim your monthly reward by becoming a patron at http://Patreon.com/FTapon Rewards start at just $2/month! Affiliate links Start your podcast with my company, Podbean, and get one month free! In the USA, I recommend trading crypto with Kraken.  Outside the USA, trade crypto with Binance and get 5% off your trading fees! For backpacking gear, buy from Gossamer Gear.

Michael Zervos of The Project Kosmos is two-thirds through his trip to every country. He's on track to break the record for visiting all the countries faster than anyone else. We talked while he was in Lviv, Ukraine in December 2024. Listen to all 6 of my interviews with Zervos. Timeline 00:00 Intro 05:00 Ukraine War 11:00 USA Election reactions 14:30 Palestine Follow him on https://www.instagram.com/theprojectkosmos Feedback Leave an anonymous voicemail on SpeakPipe.com/FTapon Or go to Wanderlearn.com, click on this episode, and write a comment. More info You can post comments, ask questions, and sign up for my newsletter at http://wanderlearn.com. If you like this podcast, subscribe and share!  On social media, my username is always FTapon. Connect with me on: Facebook Twitter YouTube Instagram TikTok LinkedIn Pinterest Tumblr My Patrons sponsored this show! Claim your monthly reward by becoming a patron at http://Patreon.com/FTapon Rewards start at just $2/month! Affiliate links Get 25% off when you sign up to Trusted Housesitters, a site that helps you find sitters or homes to sit in. Start your podcast with my company, Podbean, and get one month free! In the USA, I recommend trading crypto with Kraken.  Outside the USA, trade crypto with Binance and get 5% off your trading fees! For backpacking gear, buy from Gossamer Gear.

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I interviewed Michael Zervos in Cote d'Ivoire a few months ago. He was 10% done with his every-country-speed tour.  I interviewed him today, June 27, when he's halfway done! Watch the Video In the second half of the show, Michael Zervos reflects on Africa. 00:00 Intro 03:30 Sudan 07:00 Africa   More info To leave an anonymous voicemail that I could use on the podcast, go to SpeakPipe.com/FTapon You can post comments, ask questions, and sign up for my newsletter at http://wanderlearn.com. If you like this podcast, subscribe and share!  On social media, my username is always FTapon. Connect with me on: Facebook Twitter YouTube Instagram Tiktok LinkedIn Pinterest Tumblr My Patrons sponsored this show! Claim your monthly reward by becoming a patron at http://Patreon.com/FTapon Rewards start at just $2/month! Affiliate links Start your podcast with my company, Podbean, and get one month free! In the USA, I recommend trading crypto with Kraken.  Outside the USA, trade crypto with Binance and get 5% off your trading fees! For backpacking gear, buy from Gossamer Gear.

Doctors Vamsi Velcheti, Sandip Patel, and Michael Zervos discuss recent updates on the management of early-stage non-small cell lung cancer (NSCLC), including the optimization of neoadjuvant and adjuvant treatment options for patients and the role of surgery in the era of targeted therapy and immuno-oncology in lung cancer. TRANSCRIPT Dr. Vamsi Velcheti: Hello, I'm Dr. Vamsi Velcheti, your guest host for the ASCO Daily News Podcast today. I am a professor of medicine and director of thoracic medical oncology at the Perlmutter Cancer Center at NYU Langone Health. On today's episode, we'll be discussing recent updates on the management of early-stage non-small cell lung cancer (NSCLC), including the optimization of neoadjuvant and adjuvant treatment options for our patients, and the evolving role of surgery in the era of targeted therapy and immuno-oncology in lung cancer.  Today, I am delighted to be joined by two renowned experts in this space, Dr. Sandip Patel and Dr. Michael Zervos. Dr. Patel is a professor of medicine and a medical oncologist specializing in lung cancer at UCSD. Dr. Mike Zervos is the clinical chief of the Division of Robotic Thoracic Surgery and Director of General Thoracic Surgery at NYU Langone. Our full disclosures are available in the transcript of this episode, and disclosures relating to all episodes of the podcast are available at asco.org/DNpod. Dr. Patel and Dr. Zervos, it's a great honor to have you on the podcast today. Welcome aboard. Dr. Sandip Patel: Great to be joining you.  Dr. Vamsi Velcheti:  Let's get started with Dr. Patel. As you know, over the last decade we've had dramatic advances in systemic therapy options for patients with metastatic non-small cell lung cancer, in both the realms of targeted therapy and immunotherapy. These have significantly improved outcomes for our patients with metastatic lung cancer. What's exciting is that more recently, we've seen the incorporation of these agents, both targeted therapies and immunotherapies, in early-stage non-small cell lung cancer. Dr. Patel, can you tell our listeners about these exciting recent advances and why do you think it's so important to incorporate these personalized systemic therapy options for our early-stage patients? Dr. Sandip Patel: I think it's a great point and a great question. And so, I think one thing to understand is that non-small cell lung cancer is actually multiple diseases. We give it one name based on how it looks under the microscope, but the vast majority of our advances to improve outcomes for patients have come from our ability to understand specific subgroups.  Many of our therapies have had activity in the advanced setting. We have our patients with metastatic or more widespread disease, which naturally led to the thought that could we utilize these therapies in earlier stage disease and potentially increase the rate of cure for many of our patients, lung cancer being the most common cancer killer worldwide. And so to your point, trying to understand how to best treat a patient really involves personalized medicine, typically driven by understanding the genomic profile of their tumor and two of the genes that have graduated from being tested for in the metastatic setting and now in the localized setting are EGFR and ALK. And these in particular are mutations that confer sensitivity to small molecule inhibitors, EGFR with osimertinib, ALK in the localized setting with alectinib based on the data that we've seen.  And so, one of the areas that's been particularly exciting is our ability to maximize a patient's chance for durable remissions by integrating these therapies after surgery, after chemotherapy when appropriate, and continuing generally for a finite amount of time, two to three years depending on the agent in the study we're discussing for these patients. Additionally, immunotherapy, which has revolutionized our treatment of patients with metastatic disease, may be particularly well-suited for the localized setting of non-small cell lung cancer as well. Dr. Vamsi Velcheti: Excellent points, Sandip. You're absolutely right, in the metastatic setting, we've all come to accept molecular testing, sequencing, and biomarker profiling as a standard, but unfortunately, that hasn't quite yet percolated into the early-stage setting. Can you talk about some of the challenges that we face as we have these therapeutic options available now for more early-stage patients? Dr. Sandip Patel: So, I think there are 3 flavors of localized therapy in non-small cell lung cancer. One is the advanced, unresectable stage 3, for which the approach is often concurrent chemo-radiation followed by some form of consolidated therapy. We're about to hear the results of LAURA, which is the study looking at EGFR-mutated non-small cell lung cancer.  For other patients, historically, the treatment has been durvalumab, an anti-PD-L1 directed immunotherapy. The other two are operative treatment of localized cancer: adjuvant treatment after surgery, or neoadjuvant or perioperative, in which chemoimmunotherapy begins before surgery. And testing depends on the settings. For the stage 3 patient who's likely getting concurrent chemo-radiation, they may have a very small amount of tissue, and so often these are done by pulmonary EBUS biopsies and that's how we pathologically confirm that advanced stage 3B. There may not be a lot of tissue available for molecular testing. In fact, if you look at the PACIFIC analysis, just looking at PD-L1, which is just an IHC off a single slide, a third of patients weren't able to even get a PD-L1, let alone a genomic result. And so, I think that's one of the areas of LAURA that's going to be particularly interesting to see as we try to implement it into our practice after seeing the full data.  I think in the adjuvant setting, we're lucky because our surgeons, Dr. Mike Zervos here, will get us a large amount of tissue in the surgical resection specimen, so we tend to get enough tissue to do genomics while they're under chemotherapy, there tends to be time to wait for their genomic result. Where this really gets complicated is in the neoadjuvant or perioperative setting, where time is everything.  The most important thing we can do for a patient in the localized space is get them to the operating room, get them started on radiation, their curative local modality, and that's where we have a time pressure but also a sample pressure because that is a diagnostic biopsy. It's a very small piece of tissue. Initially, there are multiple stains that have to be done to identify this lung cancer as opposed to another tumor. And so that's an area that I think we're going to need additional approaches given that cell-free DNA tends to have lower yield in lower stage disease in giving us a result. Dr. Vamsi Velcheti: Great points, Sandip. How do you deal with this issue in San Diego? The challenge is now we have a lot of trials, we'll talk about those neoadjuvant immunotherapy trials, but we know that immunotherapy may not be as effective in all patients, especially those with EGFR or ALK or some of these non-smoker, oncogene-driven tumors. So, we don't want to be giving patients treatments that may not necessarily be effective in the neoadjuvant space, especially when there is a time crunch, and we want to get them to surgery and all the complications that come with giving them targeted therapy post-IO with potential risk for adverse events. Dr. Sandip Patel: Absolutely. It is a great point. And so, the multidisciplinary team approach is key, and having a close relationship with the interventional pulmonary oncs, interventional radiology surgery, and radiation oncology to ensure that we get the best treatment for our patients. With the molecularly guided therapies, they are currently more on the adjuvant setting in terms of actually treating. But as you mentioned, when we're making a decision around neoadjuvant or perioperative chemo IO, it's actually the absence of EGFR now that we're looking for because our intervention at the current time is to give chemoimmunotherapy. Going back to the future, we used to use single gene EGFR within 24 hours, which was insufficient for a metastatic panel, but it often required five slides of tissue input. ALK can be done by IHC, and so some of these ‘oldie but goodie' pathologic techniques, and that pathologists, if I haven't emphasized, understanding what we're trying to do at a different context is so key because they are the ones who really hold the result. In the neoadjuvant and perioperative setting, which many of us favor, especially for stage 3A and stage 2B disease, understanding how we can get that result so that we can get the patient to the operating room in an expeditious way is so important. There is a time pressure that we always had in the metastatic setting, but I think we feel much more acutely in the neoadjuvant and perioperative setting in my opinion. Dr. Vamsi Velcheti: Fascinating insights, Dr. Patel.  Turning to Dr. Zervos, from a surgical perspective, there has been an evolution in terms of minimally invasive techniques, robotic approaches, and enhanced recovery protocols, significantly improving outcomes in our patients post-surgery. How do you see the role of surgery evolving, especially with the increasing complexity and efficacy of these systemic therapies? How do you envision the role of surgery in managing these early-stage patients, and what are the key considerations for surgeons in this new era? Dr. Michael Zervos: Thanks, Vamsi. Thanks, Sandip. Thank you for having me on the podcast. Obviously, it's an honor to be a part of such a high-level discussion. I have to say, from a surgeon's perspective, we often listen to you guys talk and realize that there's been a lot of change in this landscape. And I think the thing that I've seen is that the paradigm here has also changed. If we were having this discussion 10 years ago, a lot of the patients that I am operating on now, I would not be operating on. It really has been amazing. And I think the thing that stands out to me the most is how all of this has changed with neoadjuvant chemotherapy checkpoint inhibition. I think, for us as surgeons, that's really been the key. Whether it's CheckMate 816 or whatever you're following, like PACIFIC, the data supports this. And I think what we're seeing is that we're able to do the surgery, we're able to do it safely, and I think that the resectability rates are definitely high up there in the 90% range. And what we're seeing is pretty significant pathologic responses, which I think is really amazing to me.  We're also seeing that this has now shifted over to the oligometastatic realm, and a lot of those patients are also being treated similarly and then getting surgery, which is something that we would not have even thought of ever. When you look at the trials, I think a lot of the surgery, up to this point, has been done more traditionally. There's a specific reason why that happens, specifically, more through thoracotomy, less with VATS, and less with robotic. Sandip, I think you guys have a pretty robust robotic program at UCSD, so I'm sure you're pretty used to seeing that.   As you guys have become so much more sophisticated with the treatments, we have also had to modify what we do operatively to be able to step up to the plate and accept that challenge. But what we are seeing is yes, these treatments work, but the surgeries are slightly more complicated. And when I say slightly, I'm minimizing that a little bit.  And what's complicated about it is that the treatment effect is that the chemo-immune check inhibition actually has a significant response to the tumor antigen, which is the tumor. So it's going to necrose it, it's going to fibrose it, and wherever there is a tumor, that response on the surgical baseline level is going to be significant. In other words, there are going to be lymph nodes that are stuck to the pulmonary artery, lymph nodes that are stuck to the airway, and we've had to modify our approaches to be able to address that.   Now, fortunately, we've been able to innovate and use the existing technology to our advantage. Personally, I think robotics is the way we have progressed with all this, and we are doing these surgeries robotically, mainly because I think it is allowing us, not only to visualize things better, but to have sort of a better understanding of what we're looking at. And for that matter, we are able to do a better lymph node dissection, which is usually the key with a lot of these more complicated surgeries, and then really venturing out into more complicated things, like controlling the pulmonary artery. How do we address all this without having significant complications or injuries during the surgery? Getting these patients through after they've successfully completed their neoadjuvant treatment, getting them to surgery, doing the surgery successfully, and hopefully, with minimal to no morbidity, because at the end, they may be going on to further adjuvant treatment. All of these things I think are super important. I think although it has changed the landscape of how we think of things, it has made it slightly more complicated, but we are up for the challenge. I am definitely excited about all of this. Dr. Vamsi Velcheti: For some reason, like medical oncologists, we only get fixated on the drugs and how much better we're doing, but we don't really talk much about the advances in surgery and the advances in terms of outcomes, like post-op mortality has gone down significantly, especially in larger tertiary care centers. So, our way of thinking, traditionally, the whole intergroup trials, the whole paradigm of pneumonectomies being bad and bad outcomes overall, I think we can't judge and decide on current treatment standards based on surgical standards from decades ago. And I think that's really important to recognize.  Dr. Michael Zervos: All of this stuff has really changed over the past 10 years, and I think technology has helped us evolve over time. And as the science has evolved for you with the clinical trials, the technology has evolved for us to be able to compensate for that and to be able to deal with that. The data is real for this. Personally, what I'm seeing is that the data is better for this than it was for the old intergroup trials. We're able to do the surgery in a better, more efficient, and safer way. The majority of these surgeries for this are not going to be pneumonectomies, they are going to be mostly lobectomies. I think that makes sense. I think for the surgeons who might be listening, it doesn't really matter how you're actually doing these operations. I think if you don't have a very extensive minimally invasive or robotic experience, doing the surgery as open is fine, as long as you're doing the surgery safely and doing it to the standard that you might expect with complete lymph node clearance, mediastinal lymph node clearance, and intrapulmonary lymph node clearance. Really, I think that's where we have to sort of drive home the point, really less about the actual approach, even though our bias is to do it robotically because we feel it's less morbidity for the patient. The patients will recover faster from the treatment and then be able to go on to the next phase treatments. Dr. Vamsi Velcheti: In some of the pre-operative trials, the neoadjuvant trials, there have been some concerns raised about 20% of patients not being able to make it to surgery after induction chemo immunotherapy. Can you comment on that, and why do you think that is the case, Sandip?  Dr. Sandip Patel: Well, I think there are multiple reasons. If you look, about half due to progression of disease, which they might not have been great operative candidates to begin with, because they would have early progression afterwards. And some small minority in a given study, maybe 1% to 2%, it's an immune-related adverse event that's severe. So, it's something that we definitely need to think about. The flip side of that coin, only about 2 in 3 patients get adjuvant therapy, whether it be chemotherapy, immunotherapy, or targeted therapy. And so, our goal is to deliver a full multimodal package, where, of course, the local therapy is hugely important, but also many of these other molecular or immunologically guided agents have a substantial impact.  And I do think the point around neoadjuvant and perioperative is well taken. I think this is a discussion we have to have with our patients. I think, in particular, when you look at higher stage disease, like stage 3A, for example, the risk-benefit calculus of giving therapy upfront given the really phenomenal outcomes we have seen, really frankly starting with the NADIM study, CheckMate816, now moving on into studies like KEYNOTE-671, AEGEAN, it really opens your eyes in stage 3. Now, for someone who's stage 1/1b, is this a patient who's eager to get a tumor out? Is there as much of an impact when we give neoadjuvant therapy, especially if they're not going to respond and may progress from stage 1 and beyond? I think that's a reasonable concern. How to handle stage II is very heterogeneous. I think two points that kind of happen as you give neoadjuvant therapy, especially chemo-IO that I think is worth for folks to understand and this goes to Mike's earlier point, that is this concept if they do get a scan during your neoadjuvant chemo immunotherapy, there is a chance of that nodal flare, where the lymph nodes actually look worse and look like their disease is progressing. Their primary tumor may be smaller or maybe the same. But when we actually go to the OR, those lymph nodes are chock-full of immune cells. There's actually no cancer in those lymph nodes. And so that's a bit of a red herring to watch out for.   And so, I think as we're learning together how to deliver these therapies, because the curative-intent modality is, in my opinion, a local modality. It's what Mike does in the OR, my colleagues here do in the OR. My goal is to maximize the chance of that or really maximize the long-term cure rates. And we know, even as long as the surgery can go, if only 2 or 3 patients are going to get adjuvant therapy then 1 in 10, of which half of those or 1 in 20, are not getting the surgery and that's, of course, a big problem. It's a concern. I think better selecting towards those patients and thinking about how to make these choices is going to be hugely important as we go over. Because in a clinical trial, it's a very selective population. A real-world use of these treatments is different. I think one cautionary tale is that we don't have an approval for the use of neoadjuvant or perioperative therapy for conversion therapy, meaning, someone who's “borderline resectable.” At the time at which you meet the patient, they will be resectable at that moment. That's where our best evidence is, at the current time, for neoadjuvant or perioperative approaches.  Dr. Vamsi Velcheti:   I think the other major issue is like the optimal sequencing of immune checkpoint here. Obviously, at this point, we have multiple different trial readouts, and there are some options that patients can have just neoadjuvant without any adjuvant. Still, we have to figure out how to de-escalate post-surgery immunotherapy interventions. And I think there's a lot of work that needs to be done, and you're certainly involved in some of those exciting clinical trials. What do you do right now in your current clinical practice when you have patients who have a complete pathologic response to neoadjuvant immunotherapy? What is the discussion you have with your patients at that point? Do they need more immunotherapy, or are you ready to de-escalate?  Dr. Sandip Patel: I think MRD-based technologies, cell-free DNA technologies will hopefully help us guide this. Right now, we are flying blind along two axes. One is we don't actually know the contribution of the post-operative component for patients who get preoperative chemo-IO. And so this is actually going to be an ongoing discussion. And for a patient with a pCR, we know the outcomes are really quite good based on CheckMate816, which is a pure neoadjuvant or front-end only approach. Where I actually struggle is where patients who maybe have 50% tumor killing. If a patient has only 10% tumor killing ... the analogy I think in clinic is a traffic light, so the green light if you got a pCR, a yellow light if you have that anywhere from 20%-70% residual viable tumor, and then anything greater than that, you didn't get that much with chemo-IO and you're wondering if getting more chemo-IO, what would that actually do? It's a bit of a red light. And I'm curious, we don't have any data, but my guess would be the benefit of the post-op IO is because patients are in that kind of yellow light zone. So maybe a couple more cycles, we'll get them an even more durable response. But I am curious if we're going to start relying more on MRD-based technologies to define treatment duration. But I think it's a very complicated problem. I think folks want to balance toxicity, both medical and financial, with delivering a curative-intent therapy. And I am curious if this maybe, as we're looking at some of the data, some of the reasons around preferring a perioperative approach where you scale it back, as opposed to a neoadjuvant-only approach where there's not a clean way to add on therapy, if you think that makes sense. But it's probably the most complicated discussions we have in clinic and the discussion around a non-pCR. And frankly, even the tumor board discussions around localized non-small cell lung cancer have gone very complex, for the benefit of our patients, though we just don't have clean data to say this is the right path.   Dr. Vamsi Velcheti: I think that the need for a really true multidisciplinary approach and discussing these patients in the tumor board has never been more significant. Large academic centers, we have the luxury of having all the expertise on hand. How do we scale this approach to the broader community is a big challenge, I think, especially in early-stage patients. Of course, not everyone can travel to Dr. Zervos or you for care at a large tertiary cancer centers. So, I think there needs to be a lot of effort in terms of trying to educate community surgeons, community oncologists on managing these patients. I think it's going to be a challenge. Dr. Michael Zervos: If I could just add one thing here, and I completely agree with everything that has been said. I think the challenge is knowing beforehand. Could you predict which patients are going to have a complete response? And for that matter, say, “Okay. Well, this one has a complete response. Do we necessarily need to operate on this patient?” And that's really the big question that I add. I personally have seen some complete response, but what I'm mostly seeing is major pathologic response, not necessarily CR, but we are seeing more and more CR, I do have to say. The question is how are you going to predict that? Is looking for minimal residual disease after treatment going to be the way to do that? If you guys could speak to that, I think that is just tremendously interesting.  Dr. Vamsi Velcheti: I think as Sandip said, MRD is looking very promising, but I just want to caution that it's not ready for primetime clinical decision making yet. I am really excited about the MRD approach of selecting patients for de-escalation or escalation and surgery or no surgery. I think this is probably not quite there yet in terms of surgery or no surgery decision. Especially for patients who have early-stage cancer, we talk about curative-intent treatment here and surgery is a curative treatment, and not going to surgery is going to be a heavy lift. And I don't think we're anywhere close to that. Yet, I'm glad that we are having those discussions, but I think it may be too hard at this point based on the available technologies to kind of predict CR. We're not there.  Dr. Michael Zervos: Can I ask you guys what your thought process is for evaluating the patient? So, when you're actually thinking about, “Hey, this patient actually had a good response. I'm going to ask the surgeons to come and take a look at this.” What imaging studies are you actually using? Are you just using strictly CT or are you looking for the PET? Should we also be thinking about restaging a lot of these patients? Because obviously, one of the things that I hate as a surgeon is getting into the operating room only to find out that I have multiple nodal stations that are positive. Which really, in my opinion, that's sort of a red flag. And for me, if I have that, I'm thinking more along the lines of not completing that surgery because I'm concerned about not being able to provide an R0 resection or even having surgical staple lines within proximity of cancer, which is not going to be good. It's going to be fraught with complications.  So, a lot of the things that we as surgeons struggle with have to do with this. Personally, I like to evaluate the patients with an IV intravenous CT scan to get a better idea of the nodal involvement, proximity to major blood vessels, and potentially even a PET scan. And though I think in this day and age, a lot of the patients will get the PET beforehand, not necessarily get it approved afterwards. So that's a challenge. And then the one thing I do have to say that I definitely have found helpful is, if there's any question, doing the restaging or the re-EBUS at that point to be particularly helpful.  Dr. Sandip Patel: Yeah, I would concur that having that pathologic nodal assessment is probably one of the most important things we can do for our patients. For a patient with multinodal positive disease, the honest truth is that at our tumor board, that patient is probably going to get definitive chemoradiation followed by their immunotherapy, or potentially soon, if they have an EGFR mutation, osimertinib. For those patients who are clean in the mediastinum and then potentially have nodal flare, oftentimes what our surgeons will do as the first stage of the operation, they'll actually have the EBUS repeated during that same anesthesia session and then go straight into surgery. And so far the vast majority of those patients have proceeded to go to surgery because all we found are immune cells in those lymph nodes.  So, I think it's a great point that it's really the pathologic staging that's driving this and having a close relationship with our pathologists is key. But I think one point that I think we all could agree on is the way that we're going to find more of these patients to help and cure with these therapies is through improved utilization of low-dose CT screening in the appropriate population in primary care. And so, getting buy-in from our primary care doctors so that they can do the appropriate low-dose CT screening along with smoking cessation, and find these patients so that we can offer them these therapies, I think is something that we really, as a community, need to advocate on. Because a lot of what we do with next-generation therapies, at least on the medical oncology side, is kind of preaching to the choir. But getting the buy-in so we can find more of these cases at stage 1, 2 or 3, as opposed to stage 4, I think, is one of the ways we can really make a positive impact for patients. Dr. Vamsi Velcheti: I just want to go back to Mike's point about the nodal, especially for those with nodal multistation disease. In my opinion, those anatomic unresectability is a moving target, especially with evolving, improving systemic therapy options. The utilization for chemo radiation has actually gone down. I think that's a different clinical subgroup that we need to kind of think differently in terms of how we do the next iteration or generation of clinical trials, are they really benefiting from chemo-IO induction? And maybe we can get a subset of those patients in surgery. I personally think surgery is probably a more optimal, higher yield to potentially cure these patients versus chemo radiation. But I think how we identify those patients is a big challenge. And maybe we should do a sequential approach induction chemo-IO with the intent to kind of restage them for surgery. And if they don't, they go to chemo consolidation radiation, I guess. So, I think we need to rethink our approach to those anatomically unresectable stage 3s. But I think it's fascinating that we're having these discussions. You know, we've come to accept chemo radiation as a gold standard, but now we're kind of challenging those assumptions, and I think that means we're really doing well in terms of systemic therapy options for our patients to drive increased cures for these patients. Dr. Michael Zervos: I think from my perspective as a surgeon, if I'm looking at a CT scan and trying to evaluate whether a patient is resectable or not, one of the things that I'm looking for is the extent of the tumor, proximity to mediastinal invasion, lymph nodes size. But if that particular patient is resectable upfront, then usually, that patient that receives induction chemo checkpoint inhibition is going to be resectable afterwards. The ones that are harder are the ones that are borderline resectable upfront or not resectable. And then you're trying to figure out on the back end whether you can actually do the surgery.  Fortunately, we're not really taking many patients to the operating room under those circumstances to find that they're not resectable. Having said that, I did have one of those cases recently where I got in there and there were multiple lymph node stations that were positive. And I have to say that the CT really underestimated the extent of disease that I saw in the operating room. So, there are some challenges surrounding all of these things. Dr. Sandip Patel: Absolutely. And I think for those patients, if upfront identification by EBUS showed multi nodal involvement, we've had excellent outcomes by working with radiation oncologists using modern radiotherapy techniques, with concurrent chemo radiation, followed by their immunotherapy, more targeted therapy, at least it looks like soon. I think finding the right path for the patient is so key, and I think getting that mediastinal pathologic assessment, as opposed to just guessing based on what the PET CT looks like, is so important. If you look at some of the series, 8% to 10% of patients will get a false-positive PET on their mediastinal lymph nodes due to coccidioidomycosis or sarcoidosis or various other things. And the flip side is there's a false-negative rate as well. I think Mike summarized that as well, so I think imaging is helpful, but for me, imaging is really just pointing the target at where we need to get pathologic sampling, most commonly by EBUS. And getting our interventional pulmonary colleagues to help us do that, I think is so important because we have really nice therapeutic options, whether it's curative-intent surgery, curative-intent chemo radiation, where we as medical oncologists can really contribute to that curative-intent local therapy, in my opinion.  Dr. Vamsi Velcheti: Thank you so much Sandip and Mike, it's been an amazing and insightful discussion, with a really dynamic interplay between systemic therapy and surgical innovations. These are really exciting times for our patients and for us. Thank you so much for sharing your expertise and insights with us today on the ASCO Daily News Podcast.   I want to also thank our listeners today for your time. If you value the insights that you hear today, please take a moment to rate, review, and subscribe to the podcast wherever you get your podcasts. Thank you so much. [FH1]   Dr. Sandip Patel: Thank you. Dr. Michael Zervos: 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. Vamsidhar Velcheti @VamsiVelcheti Dr. Sandip Patel @PatelOncology Dr. Michael Zervos   Follow ASCO on social media: @ASCO on X (formerly Twitter) ASCO on Facebook ASCO on LinkedIn   Disclosures:  Dr. Vamsidhar Velcheti: Honoraria: ITeos Therapeutics Consulting or Advisory Role: Bristol-Myers Squibb, Merck, Foundation Medicine, AstraZeneca/MedImmune, Novartis, Lilly, EMD Serono, GSK, Amgen, Elevation Oncology, Taiho Oncology, Merus Research Funding (Inst.): Genentech, Trovagene, Eisai, OncoPlex Diagnostics, Alkermes, NantOmics, Genoptix, Altor BioScience, Merck, Bristol-Myers Squibb, Atreca, Heat Biologics, Leap Therapeutics, RSIP Vision, GlaxoSmithKline   Dr. Sandip Patel: Consulting or Advisory Role: Lilly, Novartis, Bristol-Myers Squibb, AstraZeneca/MedImmune, Nektar, Compugen, Illumina, Amgen, Certis, Eli Lilly, Roche/Genentech, Merck, Pfizer, Tempus, Iovance Biotherapeutics. Speakers' Bureau: Merck, Boehringer Ingelheim Research Funding (Inst.):Rubius, Bristol-Myers Squibb, Pfizer, Roche/Genentech, Amgen AstraZenece/MedImmune, Fate, Merck, Iovance, Takeda   Dr. Michael Zervos: No relationships to disclose

Michael Zervos's attempt to set a speed record to travel to every country began with a stumble in Russia. Watch the interview on YouTube! Check out all my interviews with Michael. On 4/4/24, he wrote to me: "Maputo has a lot of bribing but I never felt in danger. It was just pathetic at a point. The cops not even bothering to make infractions up sometimes. They just walked away with our documents. There were some more serious issues in DRC but I'll have to tell you about them at a later time." More info To leave an anonymous voicemail that I could use on the podcast, go to SpeakPipe.com/FTapon You can post comments, ask questions, and sign up for my newsletter at http://wanderlearn.com. If you like this podcast, subscribe and share!  On social media, my username is always FTapon. Connect with me on: Facebook Twitter YouTube Instagram Tiktok LinkedIn Pinterest Tumblr My Patrons sponsored this show! Claim your monthly reward by becoming a patron at http://Patreon.com/FTapon Rewards start at just $2/month! Affiliate links Start your podcast with my company, Podbean, and get one month free! In the USA, I recommend trading crypto with Kraken.  Outside the USA, trade crypto with Binance and get 5% off your trading fees! For backpacking gear, buy from Gossamer Gear.

Michael Zervos is trying to visit every country faster than anyone else while recounting the happiest moments in people's lives. In this interview series, we talk about his Project Kosmos. Periodically throughout 2024 and 2025, I will interview Michael Zervos about his 1.5-year quest to travel to all the nations in the world faster than anyone else! #1 Who is Michael Zervos & what is Project Kosmos? Michael Zervos explains Project Kosmos and why he's trying to be the fastest person to travel to every country. Watch this interview on YouTube Follow him on social media to see if he pulls it off. Michael Zervos makes well-produced social media content. Visit Michael Zervos's Linktree for all his links. More info To leave an anonymous voicemail that I could use on the podcast, go to SpeakPipe.com/FTapon You can post comments, ask questions, and sign up for my newsletter at http://wanderlearn.com. If you like this podcast, subscribe and share!  On social media, my username is always FTapon. Connect with me on: Facebook Twitter YouTube Instagram Tiktok LinkedIn Pinterest Tumblr My Patrons sponsored this show! Claim your monthly reward by becoming a patron at http://Patreon.com/FTapon Rewards start at just $2/month! Affiliate links Start your podcast with my company, Podbean, and get one month free! In the USA, I recommend trading crypto with Kraken.  Outside the USA, trade crypto with Binance and get 5% off your trading fees! For backpacking gear, buy from Gossamer Gear.  

Channel Seven crime reporter Cassie Zervos was at Ballarat Magistrate Court this afternoon and revealed when the former footballer son's next court appearance will be.See omnystudio.com/listener for privacy information.

On Episode 12 of Season 11 Robert is joined by filmmaker Michael Angelo Zervos who is about to travel the world, break a world record and make a film ontop of it all. Enjoy! Find Michael: https://www.instagram.com/theprojectkosmos/ Find Robert: https://www.instagram.com/bobbythebank   Sponsored by Bullet Wealth  https://www.youtube.com/c/BulletWealth   Visit our Shop: https://SheathUnderwear.com Use code 'RPG' for 20% off storewide

This is the Trump on Trial podcast and this is your update for 10-16-2023.Good morning, listeners. Here's the latest on the legal proceedings surrounding former and disgraced President Donald Trump from across the country:In Georgia, on October 12th, a Fulton County judge has ruled against Trump's bid to move his election interference case to a federal jurisdiction. The trial has been marked for March 6, 2024. The following day, Trump's legal team introduced a motion to dismiss, asserting that the grand jury was improperly formed. The court has yet to issue a decision on this motion. Meanwhile, the state's special prosecutor, Fani Willis, disclosed on October 14th her intentions to probe Trump on potential racketeering charges.Switching to New York, a judge, on the 12th, declared that Trump is required to give testimony in a civil lawsuit initiated by Summer Zervos, a past participant of 'The Apprentice'. Zervos alleges that Trump acted inappropriately towards her. Trump's counsel, on October 13th, moved to delay the Zervos case until the conclusion of his ongoing criminal trials. The decision on this request remains pending. In another update, on October 14th, Attorney General Letitia James unveiled a $250 million civil lawsuit against both Trump and the Trump Organization, accusing them of business misconduct.Finally, in Washington, D.C., the special counsel delving into the January 6th Capitol incident, Jack Smith, on October 12th, served Trump with a grand jury subpoena. Trump's lawyers quickly reacted the next day, suggesting that Trump, as a former president, should be exempt from such legal proceedings. The court's decision on this matter is still in the offing. Smith, on October 14th, declared an expansion in the breadth of his inquiry, now covering Trump's activities leading up to and during the January 6th event.Stay tuned for more updates as these stories develop.

Watch the Screenplay Reading: https://www.youtube.com/watch?v=T8DK5KJ2MqU The story follows Jamie Rommen, a man suffering in silence with grief, loneliness, and depression. The loss of his family weighs on him heavily a year later; still reliving the events of their death, alone in the new world of COVID quarantine. He's out of work. Bills are piling up. His life falling apart. From the writer: In Silence is about a guy who struggles internally with depression and PTSD, stemming from a lifetime of mental and emotional abuse, exacerbated by the loss of his family over a short period of time. The purpose of the story is to show how the devastating effects of depressing and PTSD, both forms of brain trauma, can spiral out of control if not addressed. A lesser theme of the film shows the pitfall of the male mindset that says “I'm a man, I don't need help”, “I can do it on my own”, which is a bunch of archaic non-sense that needs to go away. It's OK to cry, guys. There's nothing wrong with asking for help. This story is inspired by my own experiences, so take my word for it. I am Jamie Rommen. You can sign up for the 7 day free trial at www.wildsound.ca (available on your streaming services and APPS). There is a DAILY film festival to watch, plus a selection of award winning films on the platform. Then it's only $3.99 per month. Subscribe to the podcast: https://twitter.com/wildsoundpod https://www.instagram.com/wildsoundpod/ https://www.facebook.com/wildsoundpod

On this weeks show join George and Pokuah as they chat to Jack Zervos. They also discuss the Socceroos and Graham Arnold's success at the World Cup, as well as some of the potential developments for football in Australia.

In this episode we Wadeoutthere with George Zervos from Utica, New York.  George is a fly fishing guide who loves teaching on the Salmon River and surrounding trout streams in central New York.  We discuss the balance between understanding and leveraging the complexities of fly fishing with keeping things simple, the details of Atlantic Salmon migration, and George's favorite trout waters that have been there from the beginning of his fly fishing journey, to where he now has his own guide service at On the Fly Guide.To schedule a guided trip or learn more about the fisheries in Central New York, visit George online online at:https://ontheflyguide.com/For more fly fishing stories, lessons learned, and artwork check out my blog and online gallery at:https://wadeoutthere.com/

Businessman and lifelong football fan Jack Zervos tells us about putting together the Australian Football Legacy program in Sydney, his and Rale Rasic's dream of an Australian football museum, and his thoughts on a National Second Division.

George & Josh chat to Melbourne City defender Tori Tumeth about growing up with her competitive brothers, playing at Sydney Uni under Alex Epakis, learning a new system and style of play at City, and the chemistry and camaraderie in the City squad. Businessman and lifelong football fan Jack Zervos tells us about putting together the Australian Football Legacy program in Sydney, his and Rale Rasic's dream of an Australian football museum, and his thoughts on a National Second Division. Plus, we discuss Messi's penalty miss, and Mbappe's moment of inspiration against Real Madrid.

Just 22 days after Steve Bannon was referred to the Department of Justice for contempt of Congress, we have an indictment. Is that a long time? No, very much not. Ken says that's the speed you'd expect for someone who's robbed a break or something “showy that involves guns.” What happens next? What does the government have to prove here? And what message does this send to the other people defying subpoenas? Then: Summer Zervos, a former contestant on “The Apprentice,” has dropped her long-running defamation lawsuit against former Presidnet Trump, not long before he was supposed to finally be deposed. Zervos accused Trump of groping her at the Beverly Hills Hotel in 2007, and in 2016, Trump denied meeting her or greeting her inappropriately. She sued him for defamation, and he successfully delayed the litigation through his presidency. Lately though, it appeared that lawyers were negotiating his deposition. Now Zervos's lawyers say she “no longer wishes to litigate against the defendant and has secured the right to speak freely about her experience.” Josh and Ken read the tea leaves here. Plus: an update on the National Archives documents, Alex Jones, and Sidney Powell and the curious story of the supposed capture of CIA Director Gina Haspel…(what???)

Welcome to the eighth episode of Talking Prisoner. Hosts Ken Mulholland and Matt Batten sat down with one of Australia's most successful and enduring performers Maria Mercedes. We spoke in depth about Maria's life growing up as a child, the racism that she experienced towards her and her family, how she always wanted to pursue acting and performing from a very young age, why she is an animal activist and eats a plant based diet, Maria also shares with us how she got two parts on Prisoner and a very funny story about Shelia Florance, what it was like in the early days of Prisoner and the later seasons when she came back as Yemil. We also spoke about her experience working with Kerry Armstrong and Peta Toppano and how she would have loved to have stayed longer and develop the part of Yemil more, please subscribe to our YouTube channel and like our FaceBook page.#cellblockh #prisoner #mariamercedes #wentworth

re/st your mind νιούζλετερ - διαλογισμός για να ξεκουράσεις το νου σου, ένα email που δεν θα σε αγχώνει https://denaargyropoulou.substack.com/GET DENA'S book "CLARITY OF MIND IS POWER: a 5-week journal to support your meditation practice and train your mind to see clearly." https://theonefierceheart.com/shop-the-journalIn each episode Dena, a mindfulness meditation teacher discusses with other teachers how meditation has helped them find clarity, inspiration, creativity, wisdom, strength, and the ability to manage stress and challenges in life with courage and compassion. Meditation is a powerful tool that helps reconnect with ourselves and the world around us.FIND DENAtheonefierceheart.com.IG: dena.argyropoulouProduced, created and hosted by Dena Argyropoulou. Sound mixing and editing done by Matrix Recording Studio in Athens, Greece.FIND KONSTANTINO:Konstantinos holds an ΜSc in Ηealth Promotion and Health Education, is a registered Mindfulness based Nutritionist, Master Practitioner on Eating Disorder and Obesity, Certified Wellcoach and International bodyART instructor Level 1&2.www.konstantinoszervos.gr www.eatt.gr fb: ΕΑΤΤ: μαθαίνω να τρώω με επίγνωση

Welcome to Fitness Education Online Podcast! In this episode of the Fitness Education Online Podcast, Jonathon Petrohilos interviews Ria Zervos. Ria Zervos is a Fitness Business Coach and the creator of Client Attraction Blueprint. She helps Fitness Professionals build a profitable online business w/o a ton of followers. Follow Ria Instagram https://www.instagram.com/_ria_z/ Website https://www.riazervos.org/ -- Note: Podcast episodes are hosted by either Jono Petrohilos, Travis Mattern or Claudia Li Fitness Education Online www.fitnesseducationonline.com.au Click the link below to join our Community Facebook Group (we have over 13 000 Fitness Professionals / Personal Trainers in there and we all share tips and ideas) rebrand.ly/FEOFBPodcast

Michael Angelo Zervos, Producer, Writer, Director: More to the StoryWe sat down with Michigan native Michael Angelo Zervos, whose impressive resume includes writing, directing, and producing many films such as Wolf Who Cried Boy, Mind Your Business, and Tommy Battles the Silver Sea Dragon.http://www.confessionalmagazine.comFollow us on Instagram: @ConfessionalMagazineSupport the show (https://paypal.com/ConfessionalMagazine)

March 29, 2021 ~ The Wayne State University Professors and local Doctors talk to Paul about their role in creating the Moderna and Johnson and Johnson vaccines and say all vaccines are effective.

What is up, everyone?  Welcome back to the show!  Today, I get to speak with Hannah Zervos, owner and founder of Palindrome Fitness.  Hannah interned with us here at Made 2 Move and now she operates a training studio out of her own home.  Hannah shares her story of why Yves told her not to go to PT school.  Hannah's purpose is helping people achieve their goals and movement is her passion.  Tune in today to hear more on Hannah and more about Palindrome Fitness! Reach out to Hannah: Via Instagram: @palindromefitness & hannahdunbarzervos Via website: www.palindromefitness.com

What is up, everyone?  Welcome back to the show!  Today, I get to speak with Hannah Zervos, owner and founder of Palindrome Fitness.  Hannah interned with us here at Made 2 Move and now she operates a training studio out of her own home.  Hannah shares her story of why Yves told her not to go to PT school.  Hannah's purpose is helping people achieve their goals and movement is her passion.  Tune in today to hear more on Hannah and more about Palindrome Fitness! Reach out to Hannah: Via Instagram: @palindromefitness & hannahdunbarzervos Via website: www.palindromefitness.com

Monday, July 6, 2020 ~ Division Head of Infectious Disease for Henry Ford Health System Dr. Marcus Zervos, – On Henry Ford Health System’s study showing that hydroxychloroquine is helping is preventing deaths related to COVID-19.

Monday, July 6, 2020 ~ Division Head of Infectious Disease for Henry Ford Health System Dr. Marcus Zervos, – On Henry Ford Health System’s study showing that hydroxychloroquine is helping is preventing deaths related to COVID-19.

Nu we bijna weer de eerste stappen richting 'normaal' mogen gaan zetten, is het een goed moment om even terug te kijken op de afgelopen periode. We hebben de afgelopen tijd geprobeerd handvatten te geven om deze periode goed door te komen én om jullie een beter gevoel de podcast uit te laten komen dan dat je ermee inkwam. Een prima moment om te kijken hoe wij er zelf uit zijn gekomen, dus gaat Tim in gesprek met beste vriend en eindredacteur van BOOS, Leon Zervos. Een open gesprek over dingen die ze bij zichzelf en de maatschappij hebben opgemerkt, veranderd en omarmd hebben.

Thanks for listening on SoundCloud, Spotify, iTunes and Google Play! Please subscribe to us so you don't miss future episodes of Bobcat Tracks. Ohio soccer senior Alivia Milesky chats about being apart of the program's turnaround, her older sister's influence on her and more (2:04 - 16:08) Football's Louie Zervos chats about his career and Ohio starting conference play this week (17:45 - 21:34)

durée : 00:23:50 - France Bleu Auxerre Midi

In this episode of The Sherman Show, David Zervos, Ph.D., Chief Market Strategist for Jefferies LLC and Chief Investment Officer for the Global Macro Division of Jefferies Investment Advisers, LLC, describes how his academic path mutated to macroeconomics from electrical ... Read More

On this week's 100th episode of Versus Trump, Charlie, Easha, and Jason offer a few quick hits and then have a discussion about the effect of litigation against the President personally and against the Administration.Charlie begins with a quick hit on the Devin Nunes defamation lawsuit (which Charlie says "reads like it's written by a crazy person"), and Easha mentions a new case by a Russian oligarch who claims he shouldn't be sanctioned by the U.S. Jason then highlights recent developments in the case of Summer Zervos, who was allegedly sexually harassed by the President before he took office, and a case about the Emoluments Clauses. This leads to a big picture discussion of where've been and where we're going.Thanks to Take Care for hosting us for 100 episodes, to We Edit Podcasts for editing most of the 100, and, most of all, to our listeners for tuning each week. We look forward to many more—but not too, too many, to be honest. This is a podcast that we hope does not go on forever.You can find us at @VersusTrumpPod on twitter, or send us an email at versustrumppodcast@gmail.com. You can buy t-shirts and other goods with our super-cool logo here. NotesThe Nunes complaint is here.The Zervos decision is here. See acast.com/privacy for privacy and opt-out information.

Today's Rapid Response Friday revisits some cases we've previously discussed with recent positive developments:  the Summer Zervos lawsuit and the future of political gerrymandering in Pennsylvania. We begin with the Zervos lawsuit we first covered in Episode 176, in which a state trial court judge has ordered Donald Trump to respond to discovery served by Zervos's attorney.  What's next for the President and why does it have Yodel Mountain implications?  You'll have to listen and find out! After that, we revisit our discussion from Episodes 146 and 148 regarding the Pennsylvania Supreme Court's opinion redrawing congressional maps in that state.  The U.S. Supreme Court -- and yes, that's the Brett Kavanaugh-and-Neil-Gorsuch-laden Supreme Court! -- just declined to intervene to protect the Republicans.  Why is that, and how is that a map forward?  We tell all! Then, we return to the Gary Hart story we discussed last episode.  Was Hart really set up?  Listen and find out! Finally, we end with an all new Thomas Takes The Bar Exam #100 that is the dreaded real property question Thomas needs to get right in order to hit "60% at the half."  Can he do it?!??  You'll have to listen and find out!  And, of course, if you'd like to play along with us, just retweet our episode on Twitter or share it on Facebook along with your guess and the #TTTBE hashtag.  We'll release the answer on next Tuesday's episode along with our favorite entry! Appearances None!  If you'd like to have either of us as a guest on your show, drop us an email at openarguments@gmail.com. Show Notes & Links Click here to read the cert petition in Turzai v. Brandt and here to read the opposition. This is the James Savage response on Gary Hart. Support us on Patreon at:  patreon.com/law Follow us on Twitter:  @Openargs Facebook:  https://www.facebook.com/openargs/ Don't forget the OA Facebook Community! For show-related questions, check out the Opening Arguments Wiki And email us at openarguments@gmail.com  

In this week's episode, Jason and Charlie revisit two lawsuits in which the Plaintiffs have recently successfully fought off motions to dismiss and been allowed to proceed. And in a new installment of "Sanctions Corner with Uncle Charlie," Charlie answers questions about the FBI raid on the office of Trump lawyer Michael Cohen.Jason and Charlie start the discussion by discussing DC and Maryland v. Trump, an Emoluments Clause case. They discuss the district court's recent decision holding that the state plaintiffs there had standing to proceed, and they explain why parts of the decision make good sense, while other aspects are a bit harder to understand. They then move on to the New York state court case of Summer Zervos v. Trump, in which former Apprentice contestant Summer Zervos has sued Trump for defamation. A trial court judge in New York recently denied Trump's request to kick the case out of court on the grounds that Zervos could not litigate in state court against a sitting President, and Jason and Charlie have good things to say about the court's concise and elegant opinion. Finally, Uncle Charlie—always on the lookout for lawyer misconduct—answers a few questions about the recent FBI raid on Michael Cohen's office, even though he has to rely on press reports because the search warrant has not yet been made public.You can find us at @VersusTrumpPod on twitter, or send us an email at versustrumppodcast@gmail.com. And you can buy t-shirts and other goods with our super-cool logo here. See acast.com/privacy for privacy and opt-out information.

You can comment on this podcast at the Libsyn webpage and at Bluerootsradio. What a day yesterday, the Senate finally takes measures to protect our elections while Trump praises Putin for making a sham of democracy. Some Senators and Trump's advisors are pissed. Meanwhile the Facebook data breach continues to widen as the Cambridge Analytica CEO is caught in an undercover reporting interview where he brags about helping trump by using undercover tactics.  Back at the Facebook campus crickets from Zuckerberg. Lastly the best things come in 3's as two more trump sexual victims make headway in court. Ooh la la. America is the new France! Thanks for listening.  Please think about giving a like and review in iTunes.

On this week’s episode of Versus Trump, Charlie, Jason, and Easha talk about a defamation lawsuit brought by Summer Zervos, a woman who alleges that she was sexually assaulted by President Trump in a hotel room in 2007. Charlie, Easha, and Jason begin by discussing the facts in the lawsuit and then [at 5:00] quickly move to the first reason that President Trump has asked the court in New York to dismiss the case: the sitting President cannot be sued in state court. That leads to some deep cuts about the relationship between federal and state power [at 13:00] and then a wonky discussion [at 26:30] of how California's so-called Anti-SLAPP statute works and why Zervos may have been trying to avoid it. They then turn [at 32:30] to the President's second argument, which is that the statements calling Zervos a liar were protected by the First Amendment because they were made in the context of a political campaign.No Trump Nuggets this week, but stay tuned for the big end-of-year recap, coming soon!Please share or provide feedback, and rate us in iTunes. You can find us at @VersusTrumpPod on twitter, or send us an email at versustrumppodcast@gmail.com. See acast.com/privacy for privacy and opt-out information.

Mister Mustache - Z-----------------------------------------------------------------Zhu - cocaine modelZhu - faded (spada remix)Zedd - spectrum (deepjack & temur remix)Zedd feat. foxes - clarity (jay joel deep mix)Zhu - paradise awaits (rÜfÜs remix)Zero 7 - mock n'toof remix (everything up)Zoo brasil - monde (original mix)Zervos p - peace of mind (original mix)Zervos p - teardrops (re-edit mix)Zervos p - feel my love (original mix)Zhu - stay closer (strong r. &  droplex remix)Zoo brasil - kalle (albin myers remix)Zoo brasil feat. rasmus keller - there is hopemistermustache.ru

A pancreatic cancer diagnosis can be shocking for both the patient and their family. The team at Leo W. Jenkins Cancer Center, Vidant Health, at East Carolina University Medical Center supports eastern North Carolina patients. Emmanuel E. Zervos, MD, surgical oncologist, and Prashanti M. Atluri, MD, oncologist, and their team facilitate healthy patient care on every level. Host Joni Aldrich, www.jonialdrich.com.

Zervos reads a few epigrams that share a loose Ars Poetica theme.