Podcasts about afib

TALK TO ME, TEXT ITA routine surgery that spiraled into emergency reentry. A viral exchange where a doctor stumbled over a basic question. An ICE arrest that exposes years of enforcement gaps. A Disney stunt gone sideways and a veteran cast member who shielded a crowd from a 400‑pound runaway prop. Then, to end on a laugh, a baggage carousel spitting out socks and underwear before the suitcase finally limps into view.We pull the thread through all of it: when institutions wobble, people look for clear language, steady systems, and ordinary courage. The health update reminds us how non-linear recovery can be—ICU complications, AFib, and the long road back from anemia demand patience and honest timelines. The Capitol Hill clip sparks a frank talk about medical clarity: compassion and precision are not enemies, and patients deserve words they can trust. The immigration case highlights the difference between lawful entry and later violent convictions, and why transparency in removal timelines is key for public safety and confidence.On the ground, a 30‑year Disney cast member models duty in real time, stepping between danger and families. We unpack how safety culture, redundancy, and on‑stage authority prevent small failures from becoming tragedies. We also wrestle with parental risk at public events—when does protection turn into exposure—and give credit to early advocates who helped shape the debate over women's sports. Finally, that luggage fiasco is ridiculous and revealing: small process failures become viral when reliability slips, so we offer practical travel safeguards to keep your gear off the “carousel of shame.”Listen, share your take, and tell us your worst travel story. If this resonated, follow the show, leave a quick review, and send the episode to a friend who loves sharp takes and stranger‑than‑fiction moments. Your stories and shares help us keep the conversation honest and lively.Buzzsprout - Let's get your podcast launched!Start for FREE Thanks for listening! Liberty Line each week on Sunday, look for topics on my X file @americanistblog and submit your 1-3 audio opinions to anamericanistblog@gmail.com and you'll be featured on the podcast. Buzzsprout - Let's get your podcast launched!Start for FREESupport the showTip Jar for coffee $ - Thanks Music by Alehandro Vodnik from Pixabay Blog - AnAmericanist.comX - @americanistblog

Dr. Kanwar Singh, electrophysiologist at Cardiovascular Institute of the South in Houma and Thibodaux, Louisiana, explains atrial fibrillation (AFib), including its causes, symptoms, risk factors, and treatment options such as AFib ablation.Visit www.cardio.com for more information or to schedule an appointment with one of our providers.

Send us a textDr. Michael Koren joins Kevin Geddings to discuss atrial fibrillation. This heart condition is caused by rapid, irregular heartbeats originating in the upper chambers and is a critical risk factor for strokes. Dr. Koren talks about the current standard-of-care medicines for atrial fibrillation, blood thinners, and  their shortcomings. He finishes with an explanation of how clinical trials are looking for new ways to lower the risk of stroke in those with atrial fibrillation with a better side effect profile than current blood thinners.Be a part of advancing science by participating in clinical research.Have a question for Dr. Koren? Email him at askDrKoren@MedEvidence.comListen on SpotifyListen on Apple PodcastsWatch on YouTubeShare with a friend. Rate, Review, and Subscribe to the MedEvidence! podcast to be notified when new episodes are released.Follow us on Social Media:FacebookInstagramX (Formerly Twitter)LinkedInWant to learn more? Checkout our entire library of podcasts, videos, articles and presentations at www.MedEvidence.comMusic: Storyblocks - Corporate InspiredThank you for listening!

Doug Reynolds welcomes listeners back to the LowCarbUSA® Podcast with a guest who works in one of the most specialized—and most misunderstood—corners of cardiovascular medicine: the heart's electrical system.  Dr. David Nabert is an electrophysiologist ("EP" doctor), focused on heart rhythm disorders, and he's one of the featured speakers at the Boca Symposium for Metabolic Health (January 23–25)—including the event's full day-plus dedicated to cardiovascular conditions. What gives this episode its pull is the combination of clinical depth and lived experience. David isn't just talking about rhythm problems from a textbook perspective—he's explaining how his own curiosity about metabolic health evolved, what shifted when he started questioning conventional assumptions, and why those questions matter for real patients in the real world. David describes how his entry point into metabolic health didn't begin in a clinic—it began with a random Google search. In 2021, while looking up a cardiology formula, he accidentally landed on a Nina Teicholz talk at the Cato Institute. "I started to watch it, and all of a sudden, an hour and a half passed," he says—one of those moments where interest turns into momentum. He listened to Teicholz's book, The Big Fat Surprise, then began searching for more voices in the low-carb space and quickly reconnected with familiar names, including Dr. Robert Cywes and Dr. Eric Westman (both will also be presenting in Boca), whom he calls mentors. That exploration ultimately led him to the Society of Metabolic Health Practitioners (The SMHP) and, importantly, a willingness to test ideas on himself. David is candid about his own weight journey. He describes a time when a body mass index under 25 felt "skinny" to him, and he's open about losing weight, regaining some after a series of hip surgeries, and continuing to work on it. What ultimately shifted, though, wasn't just the number on the scale—it was how he began to rethink what "doing everything right" actually means. For years, he approached weight loss the way many clinicians were trained to: low-fat, high willpower, endure the hunger. He describes his old strategy bluntly: "The only way I had lost weight… was by doing protein sparing modified fast… I was just eating almost no fat." Predictably, it wasn't sustainable. When he later shifted to a lower-carb, higher-fat approach—"bacon, eggs, hamburger"—he was "amazed at how quickly I started to lose weight," and he began seeing changes in markers that traditional cardiology often de-emphasizes. After stopping long-term statin therapy (which he had been on for 25 years), he saw his LDL return to roughly where it had been earlier in life, but other changes caught his attention: triglycerides dropped to the lowest he'd ever seen, HDL improved, and fasting insulin improved as well. Just as meaningful were the changes he felt: "Every 10 or 20 pounds I lost, my hips got better," he says, attributing it not only to less load, but "also part of it was less inflammation." From there, the episode moves into the heart of why David is speaking during the cardiovascular-focused programming in Boca: rhythm, electricity, and the surprising overlap between conditions that seem unrelated—like seizures and arrhythmias. David explains that early ketogenic diet research in the 1920s focused on refractory seizures, and he argues the connection matters because many antiarrhythmic drugs and antiseizure drugs overlap mechanistically. In his view, these aren't separate worlds. "Treating seizures or treating cardiac arrhythmias is basically two faces of the same coin," he says—and that opens a practical question: if ketosis can help reduce seizures, might it also influence certain rhythm symptoms? He shares a striking clinical example that stuck with him: a former submariner with PTSD and episodes of fast heart rates who said, "I know when I'm… ketogenic… when I fall off the wagon… then I start having palpitations and fast heart rates." David later learned the patient was experiencing atrial fibrillation, and while he's careful not to overpromise, he describes a pattern he's observed: in earlier stages of rhythm problems, being in a ketogenic state may reduce symptoms and potentially slow progression for some people. "It doesn't cure atrial fibrillation," he emphasizes, but he's seen ketosis "improves symptoms," not only in AFib, but in other rhythm issues like SVT and PVCs—especially early on. From there, David widens the frame to what he's seeing in younger patients—particularly young women—showing up with palpitations, rapid heart rate, anxiety, and signs of metabolic dysfunction even when they don't "look" unhealthy by BMI alone. "Only 90% of them are metabolically unhealthy," he says, describing a familiar cluster: A1C not quite normal, resting heart rates high, daytime heart rates that shouldn't be running 100–120, and a nervous system dialed up in what he calls a "hyper adrenergic state." The mainstream response is often medication—beta blockers, for example—but David argues metabolic context matters, and he's exploring how nutritional strategies (including ketosis, sometimes even supplemental ketones) may reduce symptom burden in certain cases. He also discusses POTS (Postural Orthostatic Tachycardia Syndrome), noting it can be associated with viral infections and has become more common since "the bad virus we had five years ago." Again, he's measured in his claims: ketosis isn't a cure, but he's seen it help reduce symptoms in select patients who have tried many other standard approaches first. The second half of the conversation touches on medications and the tension between "lower the number" cardiology and whole-person outcomes. David brings up PCSK9 inhibitors and recalls being troubled by early data patterns: "You were less likely to die from that, but you're more likely to die from cancer or infection… And… the overall mortality was the same." That line of thinking captures what pushed him toward metabolic health: a concern that focusing on a single marker can obscure the bigger picture of risk, resilience, and long-term outcomes. He also discusses SGLT2 inhibitors (like Jardiance and Farxiga) as potentially useful tools—especially in heart failure and diabetes—while stressing the importance of monitoring and hydration. In a moment that captures both his clinical caution and his enthusiasm for empowered patients, he tells people who go low carb on these meds to "get a Keto Mojo to check your ketone levels," because the goal is to use tools intelligently, not blindly. As the episode closes, Doug returns to the bigger mission behind the upcoming Boca program: helping attendees develop a confident, educated response to the most common fear tactic people face when they change their diet—LDL, heart attacks, and the assumption that low carb automatically means danger. Doug notes there are still "so few that really do get it and support it and talk about it," which is exactly why the cardiovascular-focused day-plus at the Boca Symposium for Metabolic Health (January 23–25) matters. David, for his part, is grateful to be part of it—and to be healthy enough to show up differently than last time. He reminds Doug that at previous events he was "either walking with one or two canes," but now, "I'm actually not going to run up on the stage, but I'll be moving pretty quickly." That moment captures the heart of the episode: metabolic health isn't theoretical. It's lived. And in Boca, that lived experience meets serious clinical discussion—especially for anyone trying to better understand cardiovascular risk, rhythm disorders, and the metabolic foundations that too often go unaddressed. If this conversation sparks your curiosity, the next step is obvious: join the community in Boca January 23–25 and immerse yourself in a day and a half of cardiovascular-focused talks designed to help you think more clearly, speak more confidently, and act more effectively—whether you're a clinician, a patient, or someone trying to help the people you love. Learn more about the Boca Symposium and register here.

To have Dr. Morse answer a question, visit: https://drmorses.tv/ask/   00:00:00 - Intro - New Teas! 00:15:48 - Weight - Hormones  00:32:34 - Diverticulitis 00:40:55 - Hyperthyroidism 00:47:50 - Bladder Cancer 00:54:58 - Lungs - Mucous - Breathlessness 01:13:43 - Myasthenia Gravis (MG) - Psoriasis - Afib (Atrial Fibrillation) 00:15:48 - Weight - Hormones  Is the extra weight holding back the flow of things? 00:32:34 - Diverticulitis I was told to have colorectal surgery to remove my entire large colon due to the bleeding. 00:40:55 - Hyperthyroidism The day after a vaccine, I started shedding my hair. 00:47:50 - Bladder Cancer Please tell me how I can rid my bladder of the chemo and restore the cells? 00:54:58 - Lungs - Mucous - Breathlessness Could you please talk about fasting one's way into a breatharian lifestyle? 01:13:43 - Myasthenia Gravis (MG) - Psoriasis - Afib (Atrial Fibrillation) I'm a MD from Mexico, living for a long time in the United States.

Nutritionist Leyla Muedin discusses the crucial importance of Omega-3 fats, particularly emphasizing their role in mental and heart health. She highlights a recent UK Biobank study demonstrating that higher Omega-3 levels are linked to a significantly lower risk of self-harm and suicidal ideation. Additionally, another study in the Journal of the American Heart Association reveals that elevated Omega-3 levels correlate with a reduced risk of atrial fibrillation (AFib). Leyla underscores the necessity of a balanced diet rich in Omega-3 sources like fatty fish and grass-fed meats, arguing that these nutrients are crucial for optimal mental and heart health.

Think you know the Health app? Think again. This episode unpacks Apple's quiet rollout of powerful and important features, from crash detection to real-time medication reminders, that are quietly transforming the way you can track your wellbeing. • Dive into emergency SOS, medical ID, and safety alerts • Apple Watch-exclusive notifications: heart rate, crash, fall, and walking steadiness • Hypertension and blood pressure notifications arrive for Apple Watch users • Cardio fitness, ECG, and irregular rhythm alerts explained • Court drama and a workaround for Apple's blood oxygen feature • Monitoring vitals, hearing safety, and sleep apnea detection • AFib history versus irregular rhythm notifications • Health data trends and fresh health records notifications • Sleep tracking, wind down routines, and schedule-based alerts • Medication reminders with smart time zone adjustments • Mental wellbeing tracking with state-of-mind check-ins and depression/anxiety quizzes • Walking steadiness notifications and quick access to the checklist Host: Mikah Sargent Download or subscribe to Hands-On Apple at https://twit.tv/shows/hands-on-apple Want access to the ad-free audio and video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Think you know the Health app? Think again. This episode unpacks Apple's quiet rollout of powerful and important features, from crash detection to real-time medication reminders, that are quietly transforming the way you can track your wellbeing. Dive into emergency SOS, medical ID, and safety alerts Apple Watch-exclusive notifications: heart rate, crash, fall, and walking steadiness Hypertension and blood pressure notifications arrive for Apple Watch users Cardio fitness, ECG, and irregular rhythm alerts explained Court drama and a workaround for Apple's blood oxygen feature Monitoring vitals, hearing safety, and sleep apnea detection AFib history versus irregular rhythm notifications Health data trends and fresh health records notifications Sleep tracking, wind down routines, and schedule-based alerts Medication reminders with smart time zone adjustments Mental wellbeing tracking with state-of-mind check-ins and depression/anxiety quizzes Walking steadiness notifications and quick access to the checklist Host: Mikah Sargent Download or subscribe to Hands-On Apple at https://twit.tv/shows/hands-on-apple Want access to the ad-free audio and video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

Think you know the Health app? Think again. This episode unpacks Apple's quiet rollout of powerful and important features, from crash detection to real-time medication reminders, that are quietly transforming the way you can track your wellbeing. Dive into emergency SOS, medical ID, and safety alerts Apple Watch-exclusive notifications: heart rate, crash, fall, and walking steadiness Hypertension and blood pressure notifications arrive for Apple Watch users Cardio fitness, ECG, and irregular rhythm alerts explained Court drama and a workaround for Apple's blood oxygen feature Monitoring vitals, hearing safety, and sleep apnea detection AFib history versus irregular rhythm notifications Health data trends and fresh health records notifications Sleep tracking, wind down routines, and schedule-based alerts Medication reminders with smart time zone adjustments Mental wellbeing tracking with state-of-mind check-ins and depression/anxiety quizzes Walking steadiness notifications and quick access to the checklist Host: Mikah Sargent Download or subscribe to Hands-On Apple at https://twit.tv/shows/hands-on-apple Want access to the ad-free audio and video and exclusive features? Become a member of Club TWiT today! https://twit.tv/clubtwit Club TWiT members can discuss this episode and leave feedback in the Club TWiT Discord.

What if the toughest moments in your life were preparing you to lead better, serve deeper, and live with more purpose? In this episode of Unstoppable Mindset, I sit down with Greg Hess, known to many as Coach Hess, for a wide-ranging conversation about leadership, resilience, trust, and what it really means to help others grow. Greg shares lessons shaped by a lifetime of coaching athletes, leading business teams, surviving pancreatic cancer, and building companies rooted in service and inclusion. We talk about why humor matters, how trust is built in real life, and why great leaders stop focusing on control and start focusing on growth. Along the way, Greg reflects on teamwork, diversity, vision, and the mindset shifts that turn adversity into opportunity. I believe you will find this conversation practical, honest, and deeply encouraging. Highlights: 00:10 – Hear how Greg Hess's early life and love of sports shaped his leadership values. 04:04 – Learn why humor and laughter are essential tools for reducing stress and building connection. 11:59 – Discover how chasing the right learning curve redirected Greg's career path. 18:27 – Understand how a pancreatic cancer diagnosis reshaped Greg's purpose and priorities. 31:32 – Hear how reframing adversity builds lasting resilience. 56:22 – Learn the mindset shift leaders need to grow people and strengthen teams. About the Guest: Amazon Best-Selling Author | Award-Winning Business Coach | Voted Best Coach in Katy, TX Greg Hess—widely known as Coach Hess—is a celebrated mentor, author, and leader whose journey from athletic excellence to business mastery spans decades and continents. A graduate of the University of Calgary (1978), he captained the basketball team, earned All-Conference honors, and later competed against legends like John Stockton and Dennis Rodman. His coaching career began in the high school ranks and evolved to the collegiate level, where he led programs with distinction and managed high-profile events like Magic Johnson's basketball camps. During this time, he also earned his MBA from California Lutheran University in just 18 months. Transitioning from sports to business in the early '90s, Coach Hess embarked on a solo bicycle tour from Jasper, Alberta to Thousand Oaks, California—symbolizing a personal and professional reinvention. He went on to lead teams and divisions across multiple industries, ultimately becoming Chief Advisor for Cloud Services at Halliburton. Despite his corporate success, he was always “Coach” at heart—known for inspiring teams, shaping strategy, and unlocking human potential. In 2015, a diagnosis of pancreatic cancer became a pivotal moment. Surviving and recovering from the disease renewed his commitment to purpose. He left the corporate world to build the Coach Hess brand—dedicated to transforming lives through coaching. Today, Coach Hess is recognized as a Best Coach in Katy, TX and an Amazon Best-Selling Author, known for helping entrepreneurs, professionals, and teams achieve breakthrough results. Coach Hess is the author of: Peak Experiences Breaking the Business Code Achieving Peak Performance: The Entrepreneur's Journey He resides in Houston, Texas with his wife Karen and continues to empower clients across the globe through one-on-one coaching, strategic planning workshops, and his Empower Your Team program. Ways to connect with Greg**:** Email:  coach@coachhess.comWebsite: www.CoachHess.com LinkedIn: https://www.linkedin.com/in/coachhess Facebook: https://www.facebook.com/CoachHessSuccess Instagram: https://www.instagram.com/coachhess_official/ About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset . Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes: Michael Hingson  00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. Michael Hingson  01:21 Well, hi everyone. I am Michael Hinkson. Your host for unstoppable mindset. And today we get to enter, well, I won't say interview, because it's really more of a conversation. We get to have a conversation with Greg. Hess better known as coach Hess and we'll have to learn more about that, but he has accomplished a lot in the world over the past 70 or so years. He's a best selling author. He's a business coach. He's done a number of things. He's managed magic Johnson's basketball camps, and, my gosh, I don't know what all, but he does, and he's going to tell us. So Coach, welcome to unstoppable mindset. We're really glad that we have a chance to be with you today. Greg Hess  02:07 I'm honored to be here. Michael, thank you very much, and it's just a pleasure to be a part of your program and the unstoppable mindset. Thank you for having me. Michael Hingson  02:17 Well, we're glad you're here and looking forward to having a lot of fun. Why don't we start? I love to start with tell us about kind of the early Greg growing up and all that stuff. Greg Hess  02:30 Oh boy, yeah, I was awfully fortunate, I think, to have a couple of parents that were paying attention to me, I guess. You know, as I grew up, at the same time they were growing up my my father was a Marine returned from the Korean War, and I was born shortly after that, and he worked for Westinghouse Electric as a nuclear engineer. We lived in Southern California for a while, but I was pretty much raised in Idaho, small town called Pocatello, Idaho, and Idaho State Universities there and I, I found a love for sports. I was, you know, again, I was very fortunate to be able to be kind of coordinated and do well with baseball, football, basketball, of course, with the sports that we tend to do. But yeah, I had a lot of fun doing that and growing up, you know, under a, you know, the son of a Marine is kind of like being the son of a Marine. I guess, in a way, there was certain ways you had to function and, you know, and morals and values that you carried forward and pride and doing good work that I learned through, through my youth. And so, you know, right, being raised in Idaho was a real great experience. How so well, a very open space. I mean, in those days, you know, we see kids today and kids being brought up. I think one of the things that often is missing, that was not missing for me as a youth, is that we would get together as a group in the neighborhood, and we'd figure out the rules of the game. We'd figure out whatever we were playing, whether it was basketball or, you know, kick the can or you name it, but we would organize ourselves and have a great time doing that as a community in our neighborhood, and as kids, we learn to be leaders and kind of organize ourselves. Today, that is not the case. And so I think so many kids are built into, you know, the parents are helicopter, and all the kids to all the events and non stop going, going, going. And I think we're losing that leadership potential of just organizing and planning a little bit which I was fortunate to have that experience, and I think it had a big influence on how I grew up and built built into the leader that I believe I am today. Michael Hingson  04:52 I had a conversation with someone earlier today on another podcast episode, and one of the observations. Sense that he made is that we don't laugh at ourselves today. We don't have humor today. Everything is taken so seriously we don't laugh, and the result of that is that we become very stressed out. Greg Hess  05:15 Yeah, well, if you can't laugh at yourself, you know, but as far as I know, you've got a large background in your sales world and so on. But I found that in working with people, to to get them to be clients or to be a part of my world, is that if they can laugh with me, or I can laugh with them, or we can get them laughing, there's a high tendency of conversion and them wanting to work with you. There's just something about relationships and be able to laugh with people. I think that draw us closer in a different way, and I agree it's missing. How do we make that happen more often? Tell more jokes or what? Michael Hingson  05:51 Well, one of the things that he suggests, and he's a coach, a business coach, also he he tells people, turn off the TV, unplug your phone, go read a book. And he said, especially, go buy a joke book. Just find some ways to make yourself laugh. And he spends a lot of time talking to people about humor and laughter. And the whole idea is to deal with getting rid of stress, and if you can laugh, you're going to be a whole lot less stressful. Greg Hess  06:23 There's something that you just feel so good after a good laugh, you know, I mean, guy, I feel that way sometimes after a good cry. You know, when I'm I tend to, you know, like Bambi comes on, and I know what happens to that little fawn, or whatever, the mother and I can't, you know, but cry during the credits. What's up with that? Michael Hingson  06:45 Well, and my wife was a teacher. My late wife was a teacher for 10 years, and she read Old Yeller. And eventually it got to the point where she had to have somebody else read the part of the book where, where yeller gets killed. Oh, yeah. Remember that book? Well, I do too. I like it was a great it's a great book and a great movie. Well, you know, talk about humor, and I think it's really important that we laugh at ourselves, too. And you mentioned Westinghouse, I have a Westinghouse story, so I'll tell it. I sold a lot of products to Westinghouse, and one day I was getting ready to travel back there, the first time I went back to meet the folks in Pittsburgh, and I had also received an order, and they said this order has to be here. It's got to get it's urgent, so we did all the right things. And I even went out to the loading dock the day before I left for Westinghouse, because that was the day it was supposed to ship. And I even touched the boxes, and the shipping guy said, these are them. They're labeled. They're ready to go. So I left the next morning, went to Westinghouse, and the following day, I met the people who I had worked with over the years, and I had even told them I saw the I saw the pack, the packages on the dock, and when they didn't come in, and I was on an airplane, so I didn't Know this. They called and they spoke to somebody else at at the company, and they said the boxes aren't here, and they're supposed to be here, and and she's in, the lady said, I'll check on it. And they said, Well, Mike said he saw him on the dock, and she burst out laughing because she knew. And they said, What are you laughing at? And he said, he saw him on the dock. You know, he's blind, don't you? And so when I got there, when I got there, they had and it wasn't fun, but, well, not totally, because what happened was that the President decided to intercept the boxes and send it to somebody else who he thought was more important, more important than Westinghouse. I have a problem with that. But anyway, so they shipped out, and they got there the day I arrived, so they had arrived a day late. Well, that was okay, but of course, they lectured me, you didn't see him on the dock. I said, No, no, no, you don't understand, and this is what you have to think about. Yeah, I didn't tell you I was blind. Why should I the definition of to see in the dictionary is to perceive you don't have to use your eyes to see things. You know, that's the problem with you. Light dependent people. You got to see everything with your eyes. Well, I don't have to, and they were on the dock, and anyway, we had a lot of fun with it, but I have, but you got to have humor, and we've got to not take things so seriously. I agree with what we talked about earlier, with with this other guest. It's it really is important to to not take life so seriously that you can't have some fun. And I agree that. There are serious times, but still, you got to have fun. Greg Hess  10:02 Yeah, no kidding. Well, I've got a short story for you. Maybe it fits in with that. That one of the things I did when I I'll give a little background on this. I, I was a basketball coach and school teacher for 14 years, and had an opportunity to take over an assistant coach job at California Lutheran University. And I was able to choose whatever I wanted to in terms of doing graduate work. And so I said, you know, and I'd always been a bike rider. So I decided to ride my bike from up from Jasper, Alberta, all the way down to 1000 Oaks California on a solo bike ride, which was going to be a big event, but I wanted to think about what I really wanted to do. And, you know, I loved riding, and I thought was a good time to do that tour, so I did it. And so I'm riding down the coast, and once I got into California, there's a bunch of big redwoods there and so on, yeah, and I had, I set up my camp. You know, every night I camped out. I was totally solo. I didn't have any support, and so I put up my tent and everything. And here a guy came in, big, tall guy, a German guy, and he had ski poles sticking out of the back of his backpack, you know, he set up camp, and we're talking that evening. And I had, you know, sitting around the fire. I said, Look, his name was Axel. I said, Hey, Axel, what's up with the ski poles? And he says, Well, I was up in Alaska and, you know, and I was climbing around in glaciers or whatever, and when I started to ride here, they're pretty light. I just take them with me. And I'm thinking, that's crazy. I mean, you're thinking every ounce, every ounce matters when you're riding those long distances. Anyway, the story goes on. Next morning, I get on my bike, and I head down the road, and, you know, I go for a day, I don't see sea axle or anything, but the next morning, I'm can't stop at a place around Modesto California, something, whether a cafe, and I'm sitting in the cafe, and there's, probably, it's a place where a lot of cyclists hang out. So there was, like, 20 or 30 cycles leaning against the building, and I showed up with, you know, kind of a bit of an anomaly. I'd ridden a long time, probably 1500 miles or so at that point in 15 days, and these people were all kind of talking to me and so on. Well, then all sudden, I look up why I'm eating breakfast, and here goes the ski poles down the road. And I went, Oh my gosh, that's got to be him. So I jump up out of my chair, and I run out, and I yell, hey Axel. Hey Axel, loud as I could. And he stops and starts coming back. And then I look back at the cafe, and all these people have their faces up on the windows, kind of looking like, oh, what's going to happen? And they thought that I was saying, mistakenly, Hey, asshole, oh gosh, Michael Hingson  12:46 well, hopefully you straighten that out somehow. Immediately. Greg Hess  12:50 We had a great time and a nice breakfast and moved on. But what an experience. Yeah, sometimes we cross up on our communications. People don't quite get what's going on, they're taking things too seriously, maybe, huh? Michael Hingson  13:03 Oh, yeah, we always, sometimes hear what we want to hear. Well, so what did you get your college degree in? Greg Hess  13:10 Originally? My first Yeah, well, I'd love the question my first degree. I had a bachelor of education for years, but then I went on, and then I had my choice here of graduate work, right? And, you know, I looked at education, I thought, gosh, you know, if I answered committee on every test, I'll probably pass. I said, I need something more than this. So I in the bike ride, what I what I came to a conclusion was that the command line being DOS command line was the way we were computing. Yeah, that time in the 90s, we were moving into something we call graphical user interface, of course, now it's the way we live in so many ways. And I thought, you know, that's the curve. I'm going to chase that. And so I did an MBA in business process re engineering at Cal Lu, and knocked that off in 18 months, where I had a lot of great experiences learning, you know, being an assistant coach, and got to do some of magic Johnson's camps for him while I was there, California. Lutheran University's campus is where the Cowboys used to do their training camp, right? So they had very nice facilities, and so putting on camps like that and stuff were a good thing. And fairly close to the LA scene, of course, 1000 Oaks, right? You know that area? Michael Hingson  14:25 Oh, I do, yeah, I do. I do pretty well, yeah. So, so you, you, you're always involved in doing coaching. That was just one of the things. When you started to get involved in sports, in addition to playing them, you found that coaching was a useful thing for you to do. Absolutely. Greg Hess  14:45 I loved it. I loved the game. I love to see people grow. And yeah, it was just a thrill to be a part of it. I got published a few times, and some of the things that I did within it, but it was mostly. Right, being able to change a community. Let me share this with you. When I went to West Lake Village High School, this was a very, very wealthy area, I had, like Frankie avalon's kid in my class and stuff. And, you know, I'm riding bike every day, so these kids are driving up in Mercedes and BMW parking lot. And as I looked around the school and saw and we build a basketball and I needed to build more pride, I think in the in the community, I felt was important part of me as the head coach, they kind of think that the head coach of their basketball program, I think, is more important than the mayor. I never could figure that one out, but that was where I was Michael Hingson  15:37 spend some time in North Carolina, around Raleigh, Durham, you'll understand, Greg Hess  15:41 yeah, yeah, I get that. So Kentucky, yeah, yeah, yeah, big basketball places, yeah. So what I concluded, and I'd worked before in building, working with Special Olympics, and I thought, You know what we can do with this school, is we can have a special olympics tournament, because I got to know the people in LA County that were running, especially in Ventura County, and we brought them together, and we ran a tournament, and we had a tournament of, I don't know, maybe 24 teams in total. It was a big deal, and it was really great to get the community together, because part of my program was that I kind of expected everybody, you know, pretty strong expectation, so to say, of 20 hours of community service. If you're in our basketball program, you got to have some way, whether it's with your church or whatever, I want to recognize that you're you're out there doing something for the community. And of course, I set this Special Olympics event up so that everybody had the opportunity to do that. And what a change it made on the community. What a change it made on the school. Yeah, it was great for the Special Olympians, and then they had a blast. But it was the kids that now were part of our program, the athletes that had special skills, so to say, in their world, all of a sudden realized that the world was a different place, and it made a big difference in the community. People supported us in a different way. I was just really proud to have that as kind of a feather in my calf for being there and recognizing that and doing it was great. Michael Hingson  17:08 So cool. And now, where are you now? I'm in West Houston. That's right, you're in Houston now. So yeah, Katie, Texas area. Yeah, you've moved around well, so you, you started coaching. And how long did you? Did you do that? Greg Hess  17:30 Well, I coached for 14 years in basketball, right? And then I went into business after I graduated my MBA, and I chased the learning curve. Michael, of that learning curve I talked about a few minutes ago. You know, it was the graphical user interface and the compute and how all that was going to affect us going forward. And I continued to chase that learning curve, and had all kinds of roles and positions in the process, and they paid me a little more money as I went along. It was great. Ended up being the chief advisor for cloud services at Halliburton. Yeah, so I was an upstream guy, if you know that, I mean seismic data, and where we're storing seismic data now, the transition was going, I'm not putting that in the cloud. You kidding me? That proprietary data? Of course, today we know how we exist, but in those days, we had to, you know, build little separate silos to carry the data and deliver it accordingly for the geophysicists and people to make the decision on the drill bit. So we did really well at that in that role. Or I did really well and the team that I had just what did fantastic. You know, I was real proud I just got when I was having my 70th birthday party, I invited one of the individuals on that team, guy named Will Rivera. And will ended up going to Google after he'd worked us in there. I talked him into, or kind of convinced him so to say, or pushed him, however you do that in coaching. Coached him into getting an MBA, and then he's gone on and he tells me, You better be sitting down, coach. When he talked to him a couple days ago, I just got my PhD from George Washington University in AI technology, and I just turned inside out with happiness. It was so thrilling to hear that you know somebody you'd worked with. But while I was at Halliburton, I got diagnosed with pancreatic cancer, Michael, and so that's what changed me into where I am today, as a transition and transformation. Michael Hingson  19:21 Well, how did that happen? Because I know usually people say pancreatic cancer is pretty undetectable. How did it happen that you were fortunate enough to get it diagnosed? It obviously, what might have been a somewhat early age or early early Greg Hess  19:35 time, kind of a miracle, I guess. You know. I mean, I was traveling to my niece's high school graduation in Helena, Montana. And when we were returning back to Houston, we flew through Denver, and I was suffering from some very serious a fib. Was going up 200 beats a minute, and, you know, down to 100 and it was, it was all. Over the place. And I got the plane. I wasn't feeling well, of course, and they put me on a gurney. And next thing you know, I'm on the way the hospital. And, you know, they were getting ready for an embolotic, nimbalism potential, those type of things. And, and I went to the hospital, they're testing everything out, getting, you know, saying, Well, before we put your put the shock paddles on your on your heart to get back, we better do a CAT scan. And so they CAT scan me, and came back from the CAT scan and said, Well, you know what, there's no blood clot issues, but this mass in your pancreas is a concern. And so that was the discovery of that. And 14 days from that point, I had had surgery. And you know, there was no guarantees even at that point, even though we, you know, we knew we were early that, you know, I had to get things in order. And I was told to put things in order, a little bit going into it. But miracles upon miracles, they got it all. I came away with a drainage situation where they drained my pancreas for almost six months. It was a terrible pancreatic fluids, not good stuff. It really eats up your skin, and it was bad news. But here I am, you know, and when I came away from that, a lot of people thought I was going to die because I heard pancreatic cancer, and I got messages from people that were absolutely powerful in the difference I'd made in their life by being a coach and a mentor and helping them along in their life, and I realized that the big guy upstairs saved me for a reason, and I made my put my stake in the ground, and said, You know what? I'm going to do this the best I can, and that's what I've been doing for the last eight years. Michael Hingson  21:32 So what caused the afib? Greg Hess  21:35 Yeah, not sure. Okay, so when they came, I became the clipboard kid a little bit, you know. Because what the assumption was is that as soon as I came out of surgery, and they took this tumor out of me, because I was in a fib, throughout all of surgery, AFib went away. And they're thinking now, the stress of a tumor could be based on the, you know, it's a stress disease, or so on the a fib, there could be high correlation. And so they started looking into that, and I think they still are. But you know, if you got a fib, maybe we should look for tumors somewhere else is the potential they were thinking. And, yeah, that, Michael Hingson  22:14 but removing the tumor, when you tumor was removed, the AFib went away. Yeah, wow, Greg Hess  22:22 yeah, disappeared. Wow, yeah. Michael Hingson  22:26 I had someone who came on the podcast some time ago, and he had a an interesting story. He was at a bar one night. Everything was fine, and suddenly he had this incredible pain down in his his testicles. Actually went to the hospital to discover that he had very serious prostate cancer, and had no clue that that was even in the system until the pain and and so. But even so, they got it early enough that, or was in such a place where they got it and he's fine. Greg Hess  23:07 Wow, whoa. Well, stuff they do with medicine these days, the heart and everything else. I mean, it's just fantastic. I I recently got a new hip put in, and it's been like a new lease on life for me. Michael, I am, I'm golfing like I did 10 years ago, and I'm, you know, able to ride my bike and not limp around, you know, and with just pain every time I stepped and it's just so fantastic. I'm so grateful for that technology and what they can do with that. Michael Hingson  23:36 Well, I went through heart valve replacement earlier this year, and I had had a physical 20 years ago or or more, and they, they said, as part of it, we did an EKG or an echo cardiogram. And he said, You got a slightly leaky heart valve. It may never amount to anything, but it might well. It finally did, apparently. And so we went in and they, they orthoscopically went in and they replaced the valve. So it was really cool. It took an hour, and we were all done, no open heart surgery or anything, which was great. And, yeah, I know exactly what you mean. I feel a whole lot better Greg Hess  24:13 that you do does a lot. Yeah, it's fantastic. Well, making that commitment to coaching was a big deal for me, but, you know, it, it's brought me more joy and happiness. And, you know, I just, I'll share with you in terms of the why situation for me. When I came away from that, I started thinking about, why am I, kind of, you know, a lot of what's behind what you're what you're doing, and what brings you joy? And I went back to when I was eight years old. I remember dribbling the ball down the basketball court, making a fake, threw a pass over to one of my buddies. They scored the layup, and we won the game. That moment, at that time, passing and being a part of sharing with someone else, and growing as a group, and kind of feeling a joy, is what I continued to probably for. To all my life. You know, you think about success, and it's how much money you make and how much this and whatever else we were in certain points of our life. I look back on all this and go, you know, when I had real happiness, and what mattered to me is when I was bringing joy to others by giving assist in whatever. And so I'm at home now, and it's a shame I didn't understand that at 60 until I was 62 years old, but I'm very focused, and I know that's what brings me joy, so that's what I like to do, and that's what I do. Michael Hingson  25:30 I know for me, I have the honor and the joy of being a speaker and traveling to so many places and speaking and so on. And one of the things that I tell people, and I'm sure they don't believe it until they experience it for themselves, is this isn't about me. I'm not in it for me. I am in it to help you to do what I can to make your event better. When I travel somewhere to speak, I'm a guest, and my job is to make your life as easy as possible and not complicated. And I'm I know that there are a lot of people who don't necessarily buy that, until it actually happens. And I go there and and it all goes very successfully, but people, you know today, were so cynical about so many things, it's just hard to convince people. Greg Hess  26:18 Yeah, yeah. Well, I know you're speaking over 100 times a year these days. I think that's that's a lot of work, a lot of getting around Michael Hingson  26:27 it's fun to speak, so I enjoy it. Well, how did you get involved in doing things like managing the Magic Johnson camps? Greg Hess  26:37 Well, because I was doing my MBA and I was part of the basketball program at Cal Lu, you know, working under Mike Dunlap. It just he needed a little bit of organization on how to do the business management side of it. And I got involved with that. I had a lunch with magic, and then it was, well, gee, why don't you help us coordinate all our camps or all our station work? And so I was fortunate enough to be able to do that for him. I'll just share a couple things from that that I remember really well. One of the things that magic just kind of, I don't know, patted me on the back, like I'm a superstar in a way. And you remember that from a guy like magic, I put everybody's name on the side of their shoe when they register. Have 100 kids in the camp, but everybody's name is on the right side of their shoe. And magic saw that, and he realized being a leader, that he is, that he could use his name and working, you know, their name by looking there, how powerful that was for him to be more connected in which he wants to be. That's the kind of guy he was. So that was one thing, just the idea of name. Now, obviously, as a teacher, I've always kind of done the name thing, and I know that's important, but, you know, I second thing that's really cool with the magic camp is that the idea of camaraderie and kind of tradition and bringing things together every morning we'd be sitting in the gym, magic could do a little story, you know, kind of tell everybody something that would inspire him, you know, from his past and so on. But each group had their own sound off. Michael, so if he pointed at your group, it would be like, or whatever it was. Each group had a different type of sound, and every once in a while we'd use it and point it kind of be a motivator. And I never really put two and two together until the last day of the camp on Friday. Magic says, When I point to your group, make your sound. And so he starts pointing to all the different groups. And it turns out to be Michigan State Spartans fight song to the tee. Figured that out. It was just fantastic. It gives me chills just telling you about it now, remembering how powerful was when everybody kind of came together. Now, you being a speaker, I'm sure you felt those things when you bring everybody together, and it all hits hard, but that was, that was one I remember. Michael Hingson  28:50 Well, wow, that's pretty funny, cute, yeah, yeah. Well, I mean, he has always been a leader, and it's very clear that he was, and I remember the days it was Magic Johnson versus Larry Bird. Greg Hess  29:10 Yeah, yeah. Well, when he came to LA you know, they had Kareem and Byron Scott, a whole bunch of senior players, and he came in as a 19 year old rookie, and by the end of that year, he was leading that team. Yeah, he was the guy driving the ship all the time, and he loved to give those assists. He was a great guy for that. Michael Hingson  29:30 And that's really the issue, is that as a as a real leader, it wasn't all about him at all. It was about how he could enhance the team. And I've always felt that way. And I you know, when I hire people, I always told them, I figure you convince me that you can do the job that I hired you to do. I'm not going to be your boss and boss you around. What I want to do is to work with you and figure out how the talents that I have can complement the talents that you have so that we can. Enhance and make you more successful than you otherwise would be. Some people got it, and unfortunately, all too many people didn't, and they ended up not being nearly as successful. But the people who got it and who I had the joy to work with and really enhance what they did, and obviously they helped me as well, but we they were more successful, and that was what was really important. Greg Hess  30:24 Yeah, yeah, I appreciate that. It's not about controlling, about growing. I mean, people grow, grow, grow, and, you know, helping them certainly. There's a reason. There's no I in team, right? And we've heard that in many times before. It's all about the group, group, pulling together. And what a lot of fun to have working in all throughout my life, in pulling teams together and seeing that happen. You know, one plus one equals three. I guess we call it synergy, that type of thinking, Michael Hingson  30:56 Yeah, well, you've faced a lot of adversity. Is, is the pancreatic cancer, maybe the answer to this, but what? What's a situation where you've really faced a lot of adversity and how it changed your life? You know you had to overcome major adversity, and you know what you learned from it? Greg Hess  31:16 Sure, I think being 100% honest and transparent. I'd say I went through a divorce in my life, and I think that was the most difficult thing I've gone through, you know, times where I'm talking to myself and being crazy and thinking stupid things and whatever. And I think the adversity that you learn and the resilience that you learn as you go, hey, I can move forward. I can go forward. And when you you see the light on the other side, and you start to create what's what's new and different for you, and be able to kind of leave the pain, but keep the happiness that connects from behind and go forward. I think that was a big part of that. But having resilience and transforming from whatever the event might be, obviously, pancreatic cancer, I talked about a transformation there. Anytime we kind of change things that I think the unstoppable mindset is really, you know what's within this program is about understanding that opportunities come from challenges. When we've got problems, we can turn them into opportunities. And so the adversity and the resilience that I think I'd like to try to learn and build and be a part of and helping people is taking what you see as a problem and changing your mindset into making it an opportunity. Michael Hingson  32:40 Yeah, yeah. Well, you've obviously had things that guided you. You had a good sense of vision and so on. And I talked a lot about, don't let your sight get in the way of your vision. But how's a good sense of vision guided you when necessarily the path wasn't totally obvious to you, have you had situations like that? Absolutely. Greg Hess  33:03 And I think the whole whole I write about it in my book in peak experiences, about having vision in terms of your future self, your future, think where you're going, visualize how that's going to happen. Certainly, as a basketball player, I would play the whole game before the game ever happened by visualizing it and getting it in my mind as to how it was going to happen. I do that with golf today. I'll look at every hole and I'll visualize what that vision is that I want to have in terms of getting it done. Now, when I have a vision where things kind of don't match up and I have to change that on the fly. Well, that's okay, you know that that's just part of life. And I think having resilience, because things don't always go your way, that's for sure. But the mindset you have around what happens when they don't go your way, you know, is big. My as a coach, as a business coach today, every one of my clients write a three, three month or 90 day plan every quarter that gets down to what their personal goal is, their must have goal. And then another kind of which is all about getting vision in place to start putting in actual tactical strategies to make all of that happen for the 90 day period. And that's a big part, I think, of kind of establishing the vision in you got to look in front of us what's going to happen, and we can control it if we have a good feel of it, you know, for ourselves, and get the lives and fulfillment we want out of life. I think, yeah, Michael Hingson  34:39 you've clearly been pretty resilient in a lot of ways, and you continue to exhibit it. What kinds of practices and processes have you developed that help you keep resilience personally and professionally? Greg Hess  34:54 I think one of them for sure is that I've I've lived a life where I've spent you. I'm going to say five out of seven days where I will do a serious type of workout. And right now bike riding. I'll ride several days a week, and, you know, get in 10 to 15 miles, not a lot, but, I mean, I've done but keeping the physical, physical being in the time, just to come down the time to think about what you're doing, and at the same time, for me, it's having a physical activity while I'm doing that, but it's a wind down time. I also do meditation. Every morning. I spend 15 minutes more or less doing affirmations associated to meditation, and that's really helped me get focused in my day. Basically, I look at my calendar and I have a little talk with every one of the things that are on my calendar about how I'm setting my day, you know? And that's my affirmation time. But yeah, those time things, I think report having habits that keep you resilient, and I think physical health has been important for me, and it's really helped me in a lot of ways at the same time, bringing my mind to, I think, accepting, in a transition of learning a little bit accepting the platinum rule, rather than the golden rule, I got to do unto others as they'd like to be treated by me. I don't need to treat people like they'd like to like I'd like to be treated. I need to treat them how they'd like to be treated by me, because they're not me, and I've had to learn that over time, better and better as I've got older. And how important that is? Michael Hingson  36:33 Well, yeah, undoubtedly, undoubtedly so. And I think that we, we don't put enough effort into thinking about, how does the other person really want to be treated? We again, it gets back, maybe in to a degree, in to our discussion about humor earlier we are we're so much into what is it all about for me, and we don't look at the other person, and the excuse is, well, they're not looking out for me. Why should I look out for them? Greg Hess  37:07 You know, one of the biggest breakthroughs I've had is working with a couple that own a business and Insurance Agency, and the they were doing okay when I started, when they've done much better. And you know, it's besides the story. The big part of the story is how they adjusted and adapted, and that she I think you're probably familiar with disc and I think most people that will be listening on the podcast are but D is a high D, dominant kind of person that likes to win and probably doesn't have a lot of time for the other people's feelings. Let's just put it that way to somebody that's a very high seed is very interested in the technology and everything else. And the two of them were having some challenges, you know, and and once we got the understanding of each other through looking at their disc profiles, all of a sudden things cleared up, a whole, whole bunch. And since then, they've just been a pinnacle of growth between the two of them. And it was just as simple as getting an understanding of going, you know, I got to look at it through your eyes, rather than my eyes. When it comes to being a leader in this company and how sure I'm still going to be demanding, still I'm going to be the I'm not going to apologize about it, but what I got him to do is carry a Q tip in his pocket, and so every time she got on him, kind of in the Bossy way. He just took out, pulled out the Q tip, and I said, that stands for quit taking it personal. Don't you love it? Michael Hingson  38:29 Yeah, well, and it's so important that we learn to communicate better. And I'm sure that had a lot to do with what happened with them. They started communicating better, yeah, yeah. Do you ever watch Do you ever watch a TV show on the Food Network channel? I haven't watched it for a while. Restaurant impossible. Greg Hess  38:51 Oh, restaurant impossible. Yeah, I think is that guy? Michael Hingson  38:55 No, that's not guy. It's my Michael. I'm blanking out Greg Hess  39:00 whatever. He goes in and fixes up a restaurant. Michael Hingson  39:03 He fixes up restaurants, yeah, and there was one show where that exact sort of thing was going on that people were not communicating, and some of the people relatives were about to leave, and so on. And he got them to really talk and be honest with each other, and it just cleared the whole thing up. Greg Hess  39:25 Yeah, yeah. It's amazing how that works. Michael Hingson  39:28 He's He's just so good at at analyzing situations like that. And I think that's one of the things that mostly we don't learn to do individually, much less collectively, is we don't work at being very introspective. So we don't analyze what we do and why what we do works or doesn't work, or how we could improve it. We don't take the time every day to do that, which is so unfortunate. Greg Hess  39:54 Oh boy, yeah, that continuous improvement Kaizen, all of that type of world. Critical to getting better, you know. And again, that comes back, I think, a little bit to mindset and saying, Hey, I'm gonna but also systems. I mean, I've always got systems in place that go, let's go back and look at that, and how, what can we do better? And if you keep doing it every time, you know, in a certain period, things get a lot better, and you have very fine tuning, and that's how you get distinguished businesses. I think, yeah, Michael Hingson  40:27 yeah, it's all about it's all about working together. So go ahead, I Greg Hess  40:31 was working with a guy at Disney, or guy had been at Disney, and he was talking about how they do touch point analysis for every every place that a customer could possibly touch anything in whatever happens in their environment, and how they analyze that on a, I think it was a monthly, or even at least a quarterly basis, where they go through the whole park and do an analysis on that. How can we make it better? Michael Hingson  40:55 Yeah, and I'm sure a lot of that goes back to Walt having a great influence. I wonder if they're doing as much of that as they used to. Greg Hess  41:04 Yeah, I don't know. I don't know, yeah, because it's getting pretty big and times change. Hopefully, culture Go ahead. I was gonna say a cultural perspective. I just thought of something I'd share with you that when I went into West Lake Village High School as a basketball coach, I walked into the gym and there was a lot of very tall I mean, it's a very competitive team and a competitive school, 611, six, nine kids, you know, that are only 16 years old. And I looked around and I realized that I'm kid from Canada here, you know, I gotta figure out how to make this all work in a quick, fast, in a hurry way. And I thought these kids were a little more interested in looking good than rather being good. And I think I'd been around enough basketball to see that and know that. And so I just developed a whole philosophy called psycho D right on the spot almost, which meant that we were going to build a culture around trying to hold teams under a common goal of 50 points, common goal, goal for successful teams. And so we had this. I started to lay that out as this is the way this program is going to work, guys and son of a gun, if we didn't send five of those guys onto division one full rides. And I don't think they would have got that if they you know, every college coach loves a kid who can play defense. Yeah, that's what we prided ourselves in. And, of course, the band got into it, the cheerleaders got into it, the whole thing. Of course, they bring in that special olympics thing, and that's part of that whole culture. Guess what? I mean, we exploded for the really powerful culture of of a good thing going on. I think you got to find that rallying point for all companies and groups that you work with. Don't you to kind of have that strong culture? Obviously, you have a very huge culture around your your world. Michael Hingson  42:54 Well, try and it's all about again, enhancing other people, and I want to do what I can do, but it's all about enhancing and helping others as well. Yeah. How about trust? I mean, that's very important in leadership. I'm sure you would, you would agree with that, whereas trust been a major part of things that you do, and what's an example of a place where trust really made all the difference in leadership and in endeavor that you were involved with? Greg Hess  43:29 Yeah, so often, clients that I've had probably don't have the they don't have the same knowledge and background in certain areas of you know, we all have to help each other and growing and having them to trust in terms of knowing their numbers and sharing with me what their previous six month P and L, or year to date, P and L, that kind of thing, so that I can take that profit and loss and build out a pro forma and build where we're going with the business. There's an element of trust that you have to have to give somebody all your numbers like that, and I'm asking for it on my first coaching session. And so how do I get that trust that quickly? I'm not sure exactly. It seems to work well for me. One of the things that I focus on in understanding people when I first meet and start to work with them is that by asking a simple question, I'll ask them something like, how was your weekend? And by their response, I can get a good bit of an idea whether I need to get to get them to trust me before they like me, or whether they get to get them to like me before they trust me. And if the response is, had a great weekend without any social response at all connected to it, then I know that I've got to get those people to trust me, and so I've got to present myself in a way that's very much under trust, where another the response might be. Had a great weekend, went out golfing with my buddies. Soon as I hear with the now I know I need to get that person to like. Me before they trust me. And so that's a skill set that I've developed, I think, and just recognizing who I'm trying and building trust. But it's critical. And once, once you trust somebody, and you'd show and they, you don't give them reason to not trust you, you know, you show up on time, you do all the right things. It gets pretty strong. Yeah, it doesn't take but, you know, five or six positive, that's what the guy said he's going to do. He's done it, and he's on top of it to start trusting people. I think, Well, Michael Hingson  45:31 I think that that trust is all around us. And, you know, we we keep hearing about people don't trust each other, and there's no trust anymore in the world. I think there's a lot of trust in the world. The issue isn't really a lack of trust totally. It's more we're not open to trust because we think everyone is out to get us. And unfortunately, there are all too many ways and times that that's been proven that people haven't earned our trust, and maybe we trusted someone, and we got burned for it, and so we we shut down, which we shouldn't do, but, but the reality is that trust is all around us. I mean, we trust that the internet is going to keep this conversation going for a while. I shouldn't say that, because now we're going to disappear, right? But, but, trust is really all around us, and one of the things that I tell people regularly is, look, I want to trust and I want people to trust me. If I find that I am giving my trust to someone and they don't reciprocate or they take advantage of it. That tells me something, and I won't deal with that person anymore, but I'm not going to give up on the idea of trust, because trust is so important, and I think most people really want to trust and I think that they do want to have trusting relationships. Greg Hess  47:02 Yeah, totally agree with you on that, you know. And when it's one of those things, when you know you have it, you don't have to talk about it, you just have it, you know, it's there, right? Michael Hingson  47:16 Yeah, and then, well, it's, it's like, I talk about, well, in the book that I wrote last year, live, it was published last year, live like a guide dog. Guide Dogs do love unconditionally, I'm absolutely certain about that, but they don't trust unconditionally. But the difference between them and us, unless there's something that is just completely traumatized them, which isn't usually the case, they're open to trust, and they want to trust and they want to develop trusting relationships. They want us to be the pack leaders. They know we're supposed to be able to do that. They want to know what we expect of them. But they're open to trust, and even so, when I'm working with like a new guide dog. I think it takes close to a year to really develop a full, complete, two way trusting relationship, so that we really essentially know what each other's thinking. But when you get that relationship, it's second to none. Greg Hess  48:15 Yeah, isn't that interesting? How long were you with Rosella? Before the event, Michael Hingson  48:21 Rosella and I were together. Let's see we Oh, what was it? It was February or May. No, it was the November of 1999 so it was good two year. Good two years. Yeah, wow, yeah. So, you know, we we knew each other. And you know, even so, I know that in that in any kind of a stressful situation, and even not in a stressful situation, my job is to make sure that I'm transmitting competence and trust to Roselle, or now to Alamo. And the idea is that on September 11, I all the way down the stairs just continue to praise her, what a good job. You're doing a great job. And it was important, because I needed her to know first of all that I was okay, because she had to sense all of the concern that people had. None of us knew what was going on on the stairwell, but we knew that something was going on, and we figured out an airplane hit the building because we smelled jet fuel, but we didn't know the details, but clearly something was going on, so I needed to send her the message, I'm okay, and I'm with you and trust you and all that. And the result of that was that she continued to be okay, and if suddenly she were to suddenly behave in a manner that I didn't expect, then that would tell me that there's something different and something unusual that's going on that I have to look for. But we didn't have to have that, fortunately, which was great. It's. About trust, and it's all about developing a two way trust, yeah, Greg Hess  50:05 yeah, amazing. Well, and it's funny how, when you say trust, when in a situation where trust is lost, it's not so easily repaired, no, Michael Hingson  50:16 you know, yeah. And if it's really lost, it's because somebody's done something to betray the trust, unless somebody misinterprets, in which case you've got to communicate and get that, that that confidence level back, which can be done too. Greg Hess  50:33 Yeah, yeah. Important to be tuned and tuned into that, Michael Hingson  50:40 but it is important to really work to develop trust. And as I said, I think most people want to, but they're more often than not, they're just gun shy, so you have to really work at developing the trust. But if you can do it, what a relationship you get with people. Greg Hess  50:57 Circumstances, you know, and situational analysis change the level of trust, of course, in so many ways. And some people are trusting people where they shouldn't, you know, and in the right in the wrong environment. Sometimes you know, you have to be aware. I think people are fearful of that. I mean, just even in our electronic world, the scammers and those people you gotta, we get, we get one or two of those, you know, messages every day, probably people trying to get you to open a bank account or something on them. Better be aware. Don't want to be losing all your money. Yeah, but it's not to have trust, right? Michael Hingson  51:41 Yeah, it's one we got to work on well, so you you support the whole concept of diversity, and how has embracing diversity of people, perspectives or ideas unlocked new opportunities for you and the people you work with. Greg Hess  52:00 I got a great story for you on that. Michael A when I got into this coaching business, one of the one of the clients I was lucky enough to secure was a group called shredding on the go. And so the mother was kind of running the show, but her son was the president, and kind of the one that was in charge of the company. Now he's wheelchair, 100% wheelchair bound, nonverbal, very, very, I don't remember the exact name, but I mean very, very restrictive. And so what she figured out in time was his young is that he could actually take paper and like putting paper into a shredder. So she grew the idea of saying, Gosh, something James can do, we can build a business. This, this kid's, you know, gonna, I'm gonna get behind this and start to develop it. And so she did, and we created, she had created a company. She only had two employees when she hired me, but we went out and recruited and ended up growing it up to about 20 employees, and we had all the shredders set up so that the paper and all of our delivery and so on. And we promoted that company and supporting these people and making real money for real jobs that you know they were doing. So it was all, you know, basically all disabled autism to, you name it. And it was just a great experience. And so we took that show to the road. And so when we had Earth Day, I'd go out and we'd have a big event, and then everybody would come in and contribute to that and be a part of growing that company. Eventually, we got to the company to the point where the mother was worried about the the owner, the son's health was getting, you know, his life expectancy is beyond it, and she didn't want to have this company and still be running and when he wasn't there. And so we worked out a way to sell the company to a shredding company, of course, and they loved the the client. We had over 50 clients going, and they ended up making quite a bit of money that they put back into helping people with disabilities. So it was just a great cycle and a great opportunity to do that and give people an opportunity. I got to be their business coach, and what a lot of fun I included myself in the shredding I was involved with all parts of the company, and at one point, what a lot of fun I had with everybody. Michael Hingson  54:22 Yeah, yeah. There's something to be said for really learning what other people do in a company and learning the jobs. I think that's important. It's not that you're going to do it every day, but you need to develop that level of understanding. Greg Hess  54:37 Michael, you'll love this. Our best Shredder was blind. She did more than anybody, and she was blind. People go, you can't be doing that when you're What do you mean? She had it figured out. Yeah. Michael Hingson  54:48 What's the deal? Yeah, no, Shredder doesn't overheat, you know? But that's another step, yeah. So what's an example you've worked with a lot of teams. And so on. What's an example where a collaborative effort really created something and caused something to be able to be done that otherwise wouldn't have happened? Right? Greg Hess  55:10 Well, I referred back real quickly to the psycho D thing, where he had a common goal, common pride in taking it, and we just were on it. And I think that was a really, really transformational kind of thing to make everybody better as one whole area in a team. Now that's probably the first thing that comes to mind. I think the the idea of bringing the team together, you know, and really getting them to all work as one is that everybody has to understand everybody else's action plan. What's their plan? What is their vision? Where are they going in terms of, you know, playing basketball, to whether you're on the sales team, whether you're on the marketing team, or whatever part of the business you're in, do you have an action plan? And you can openly show that, and you feel like you're 100% participating in the group's common goal. I can't over emphasize an element of a common goal. I think, in team building, whatever that may be, you know, typically, the companies I'm working with now, we try to change it up every quarter, and we shoot quarter by quarter to a common goal that we all and then we build our plans to reach and achieve that for each individual within a company. And it works really well in building teams. And it's a lot of fun when everything comes together. You know, example of how a team, once you built that, and the team's there, and then you run into adversity, we have a team of five people that are selling insurance, basically, and one of them lost her father unexpectedly and very hard, Hispanic, Hispanic background, and just devastating to her and to her mother and everything. Well, we've got a machine going in terms of work. And so what happened is everybody else picked up her piece, and all did the parts and got behind her and supported her. And it took her about five months to go through her morning phase, and she's come back, and now she's going to be our top employee. Now going forward, it's just amazing how everybody rallied around her. We were worried about her. She comes back, and she's stronger than ever, and she'd had her time, and it was just nice to see the team of a group of company kind of treat somebody like family. That's a good thing. Michael Hingson  57:30 That's cool. What a great story. What mindset shift Do you think entrepreneurs and leaders really need to undergo in order to be successful. Greg Hess  57:45 Boy, you know, we talked a little bit earlier about the idea of looking through it, through other people's eyes, right? And then as a leader, you know, the same thing you were mentioning earlier, Michael, was that you draw the strength out of the people, rather than demand kind of what you want them to do in order to get things done, it's build them up as people. And I think that that's a critical piece in in growing people and getting that whole element of leadership in place. Yeah, what was the other part of that question? Again, let me give you another piece of that, because I think of some Go ahead. Yeah. I was just remember, what did you ask me again, I want to make sure I'm right Michael Hingson  58:28 from your books and coaching work. The question was, what kind of mindset shift Do you think that entrepreneurs and leaders have to adopt? Greg Hess  58:39 Yeah, yeah. So that's one part of the mindset, but the big one is recognizing that it's a growth world that we need to look at how we can grow our company, how we can grow individuals, how we can all get better and continuous improvement. And I think that is an example of taking a problem and recognizing as an opportunity. And that's part of the mindset right there that you got to have. I got a big problem here. How are we going to make that so that we're we're way better from that problem each time it happens and keep improving? Michael Hingson  59:10 Yeah, that makes sense. Well, if you could leave everyone who's listening and watching this today with one key principle that would help them live and lead with an unstoppable mindset. What would that be? What, what? What advice do you have? Greg Hess  59:30 Yeah, my advice is make sure you understand your passion and what, what your purpose is, and have a strong, strong desire to make that happen. Otherwise, it's not really a purpose, is it? And then be true to yourself. Be true to yourself in terms of what you spend your time on, what you do, in terms of reaching that purpose. It's to be the best grandparent there you can be in the world. Go get it done, but make sure you're spending time to grandkids. Don't just talk it so talks cheap and action matters. You know, and I think, figure out where you're spending your time and make sure that fits in with what you really want to gather happen in your life and fulfilling it. Michael Hingson  1:00:09 Well, I like that talks cheap and action matters. That's it. Yeah, I tell that. I tell that to my cat all the time when she doesn't care. But cats are like that? Well, we all know that dogs have Masters, but cats have staff, so she's a great kitty. That's good. It's a wonderful kitty. And I'm glad that she's in my life, and we get to visit with her every day too. So it works out well, and she and the Dog get along. So, you know, you can't do better than that. That's a good thing. Well, I want to thank you for being here. This has been absolutely super. I we've I think we've talked a lot, and I've learned a lot, and I hope other people have too, and I think you've had a lot of good insights. If people would like to reach out to you and maybe use your services as a coach or whatever, how do they do that? Greg Hess  1:01:00 Well, my website is coach, hess.com Michael Hingson  1:01:06 H, E, S, S, Greg Hess  1:01:07 yeah, C, O, A, C, H, H, E, S, s.com, that's my website. You can get a hold of me at coach. At coach, hess.com that's my email. Love to hear from you, and certainly I'm all over LinkedIn. My YouTube channel is desk of coach s. Got a bunch of YouTubes up there and on and on. You know, all through the social media, you can look me up and find me under Coach. Coach S, is my brand Cool? Michael Hingson  1:01:38 Well, that it's a well worth it brand for people to go interact with, and I hope people will so Oh, I appreciate that. Well, I want to thank you all for listening and watching us today. Reach out to coach Hess, I'd love to hear from you. Love to hear what you think of today's episode. So please give us an email at Michael H i, at accessibe, A, C, C, E, S, S, i, b, e.com, wherever you're monitoring our podcast, please give us a five star rating. We value it. And if you know anyone who might be a good guest to come on and tell their story, please introduce us. We're always looking for more people to come on and and chat with us. Coach you as well. If you know anyone, I'm sure you must love to to get more people. Now, if you could get Magic Johnson, that'd be super but that's probably a little tougher, but it'd be, it'd be fun. Any, anyone t

Join primary care physicians Kate, Gary, Henry and Mark as they discuss 4 new POEM (Patient Oriented Evidence that Matters), chosen for their potential to change practice and improve patient outcomes: Mediterranean diet to prevent diabetes, an update to the community-acquired pneumonia guideline, coffee or decaf for afib, and safety of meds for acute agitation in the elderly. North Dakota Academy of Family Physicians Conference in Big Sky: https://www.ndafp.org/cme/big-sky-conference/ Essential Evidence Plus and all the POEMs: www.essentialevidenceplus.comMed diet to prevent diabetes: https://pubmed.ncbi.nlm.nih.gov/40854218/ Safety of meds for agitation in elderly: https://pubmed.ncbi.nlm.nih.gov/40275439/Updated pneumonia guidelines from ATS/IDSA: https://pubmed.ncbi.nlm.nih.gov/40679934/ Coffee or decaf with afib:  https://pubmed.ncbi.nlm.nih.gov/41206802/

In this Podcast, I sit down with a great mate called Rich. He talks very frankly about his experience of getting AFib, all the tests he went through to make sure he could continue to ride his bike safely, and some of the ups and downs. He shares how he emotionally dealt with it, and how he's come out the other side understanding AFib a lot better, not worried, but very aware of what he should and shouldn't do to remain healthy and keep riding.Because he's mindful, eats well, trains consistently, listens to his body, and uses tools like WHOOP, he's learned how his body deals with fatigue, sleep, hydration, and nutrition. Afib has not stopped him from racing at a high level on Zwift or tackling big solo challenges like riding through France on his gravel bike. So hopefully Rich's story inspires others who might be going through the same thing.Keep on keeping on, Simon 

In this interview with an experienced cardiac nurse, we break down the heart health risks cyclists should understand, especially as we get older. You'll learn the clear difference between AFib (often manageable) and VFib (a medical emergency), why endurance athletes can be more prone to AFib, and how to reduce risk with smart, consistent training and better habits around hydration, sleep, stress, alcohol, and caffeine. We also cover what to do if you feel palpitations on a ride, including when to stop, when to get checked, and when to call 999. This is education, not medical advice, so always speak to your GP if symptoms are recurring or worrying.

Send us a textCoffee and heart rhythm don't have to be enemies. We dig into a new randomized trial across the US, Canada, and Australia suggesting that caffeinated coffee may lower the risk of recurrent atrial fibrillation compared with abstaining, then connect the dots with real-world monitoring, ablation strategy, and day-to-day choices that influence heart health.We start by grounding AFib in plain terms: what it is, why so many people never feel it, and how stroke risk rises when the atria stop driving a steady beat. From there, we step into the electrophysiology lab to explain why trouble often starts near the pulmonary veins and how clinicians map and ablate rogue electrical tissue. Along the way, we highlight the role of wearables like Apple Watch in catching silent arrhythmias and guiding decisions, a shift that is rapidly improving detection and management outside the clinic.Then we unpack the DECAF trial's headline: coffee drinkers showed meaningfully lower recurrence of AFib or flutter over six months versus those who abstained. We explore possible reasons, from caffeine's adenosine receptor antagonism and calcium signaling effects to the antioxidant and mitochondrial support offered by coffee's polyphenols. We also compare with NEJM data in the general population showing no significant increase in ectopy, putting fears into perspective. Finally, we get practical: dosing and timing to protect sleep, what brewing methods change, how dairy proteins can blunt polyphenol absorption, and when unfiltered versus filtered makes sense if you're balancing lipids and antioxidants.If you enjoy coffee and live with AFib, these insights can help you personalize your cup without losing sight of the fundamentals: anticoagulation when indicated, smart rate or rhythm control, and balanced training that avoids chronic overload. If this conversation helps you think differently about caffeine, subscribe, share with someone who cares about heart health, and leave a review so others can find it.For powerpoint slide deck, video recording and reference open-source articles go to: www.thehealthedgepodcast.com

Thanks to our Partner, NAPA Autotech Training and Pico TechnologyWatch Full Video EpisodeIn this episode, Matt shares a personal Thanksgiving story that turned into a real medical emergency. A long-time family friend suddenly becomes unresponsive at the dinner table, and Matt walks through the moment he had to decide whether to act, despite not being “formally” current on CPR.He talks candidly about what it felt like to drag her to the floor, check for breathing, make the call to start chest compressions, hear ribs crack—and then watch her come back. From there, he connects the experience to life in an automotive shop: CPR and first-aid readiness, AEDs, fire extinguishers, panic, freezing, and why “somebody will know what to do” is not a plan.It's a conversation about preparedness, stress, and how our greatest weapon really is the thought we choose when everything suddenly goes sideways.Episode HighlightsOpening with the quote: “Our greatest weapon against stress is our ability to choose one thought over another.”Matt fighting a cold and joking about his “Nat King Cole” voice.Thanksgiving at his parents' house: Family and close friends gathered, including a 75-year-old family friend (“Jane”) who's been part of the family's holidays for years.Jane says she's really dizzy; Matt gets up to escort her to the living room.Her chin suddenly drops to her chest, she becomes unresponsive, cold, and clammy.The decision point:Matt checks for airway, tries to feel for a pulse, listens for breathing—only hears gurgling.Admits he doesn't fully trust his own ability to feel a pulse with his heart pounding.The mental calculus: If you can't be sure, what else is there to do but chest compressions?Starting chest compressions:Dragging her to the floor and focusing completely on her while the rest of the room “disappears.”Locking his elbows, using the beat of “Stayin' Alive” as a guide.First compression: feeling and hearing the sternum/ribs crack—and taking that as feedback that he's at the right depth.Before the second compression, her eyes fly open and she lets out a sound.The immediate emotional whiplash:First feeling isn't relief, but anger and self-doubt: “Did I just overreact?” “Did I crack her ribs for nothing?” “Was this some dramatic hero move I didn't need to make?”Reorienting to the reality that she was unresponsive and now is awake, talking, and oriented.EMS arrives:Very low blood pressure at the house (around 70/40).Hooked up to a 4-lead, showing atrial fibrillation with PVCs.Matt nerds out on the waveforms and explains AFib and PVCs in plain terms.EMTs jokingly ask if he's a doctor because of how well he reads the traces.Later imaging reveals:A cracked or stress-fractured sternum from compressions.Multiple blood clots in her lungs.The doctor tells her that sternum fractures are common with CPR and adds:Don't be mad at him — he saved your life.For Matt, the key relief is not the “hero” label, but confirmation that he did the right thing by acting.Connecting it back to shops and real life:Afterward, Matt starts calling around trying to set up CPR and first-aid training.Hard question: if he drops at the shop, who's going to act?Extending the concern beyond employees: what about customers?Preparedness checklist for shops:Is there an AED on-site, and does anyone actually know how to use it?Has anyone at the shop had recent CPR and first-aid training?Do...

JCO Editor-in-Chief Dr. Jonathan Friedberg is joined by colleagues Dr. Jennifer Woyach, Dr. Wojciech Jurczak, and Dr. Matthew Davids to discuss simultaneous publications presented at ASH 2025 on pertibrutinib, a new upfront treatment option for patients with chronic lymphocytic leukemia. TRANSCRIPT The disclosures for guests on this podcast can be found in the show notes. Dr. Jonathan Friedberg: I'm Jonathan Friedberg, editor of Journal of Clinical Oncology, and welcome to JCO After Hours, where we are covering two manuscripts that were presented at the American Society of Hematology meeting 2025 in Orlando, Florida. I am delighted to be joined by colleagues on this call to discuss these pivotal manuscripts which cover the topic of pirtobrutinib, a new upfront treatment option for patients with chronic lymphocytic leukemia. I will first just introduce our guests, Dr. Woyach. Dr. Jennifer Woyach: Hi, my name is Jennifer Woyach. I am from the Ohio State University. Dr. Wojciech Jurczak: Hello, I am Wojciech Jurczak, working at the National Research Institute of Oncology in Krakow, Poland. Dr. Matthew Davids: Hi, I am Matthew Davids from Dana-Farber Cancer Institute in Boston. Dr. Jonathan Friedberg: We are going to start by just learning a little bit about these two trials that were both large, randomized phase 3 studies that I think answered some definitive questions. We will start with your study, Jennifer. If you could just describe the design of your study and the patient population. Dr. Jennifer Woyach: Absolutely. So this is the BRUIN CLL-314 study, and this is a phase 3 randomized trial of pirtobrutinib versus ibrutinib in patients with CLL or SLL who had not previously been treated with a covalent BTK inhibitor. The patients were both treatment-naive and relapsed/refractory, about one-third of the patients treatment-naive, the rest relapsed/refractory, and they were stratified based upon 17p deletion and the number of prior lines of therapy. The primary objective was looking at non-inferiority of overall response rate over the entire treated population as well as the relapsed/refractory patient population. Key secondary objectives included progression-free survival in the intention-to-treat and the smaller relapsed/refractory and treatment-naive populations. Dr. Jonathan Friedberg: And just comment a little bit on the risk of the patients. Dr. Jennifer Woyach: This study was fairly typical of this cohort of patients. Within the relapsed/refractory patient population, there was a median of one prior line of therapy in each of the groups, up to nine prior lines of therapy in the patients included on the study. For the overall cohort, about two-thirds of the patients were IGHV unmutated, about 15% had 17p deletion, 30% had TP53 mutations, and about 35% to 40% had a complex karyotype, which is three or more abnormalities. Dr. Jonathan Friedberg: And what were your findings? Dr. Jennifer Woyach: Regarding the primary outcome, which is the focus of the publication, we did find that pirtobrutinib was indeed non-inferior and actually superior to ibrutinib for overall response rate throughout the entire patient population and in both the relapsed/refractory and treatment-naive cohorts. PFS is a little bit immature at this time but is trending towards also being significantly better in pirtobrutinib-treated patients compared with ibrutinib-treated patients. Probably most significantly, we found this to be the case in the treatment-naive cohort where there was a striking trend to an advantage of pirtobrutinib versus ibrutinib. Dr. Jonathan Friedberg: And the follow-up that you have on that progression-free survival? Dr. Jennifer Woyach: So we have about 18 months follow-up on progression-free survival. Dr. Jonathan Friedberg: The second study, Wojciech, can you just go through the design and patient population that you treated? Dr. Wojciech Jurczak: Thank you, Dr. Friedberg, for this question. So the BRUIN CLL-313 study was, in fact, the first phase 3 study with pirtobrutinib in exclusively untreated CLL patients. It was a randomized study where we challenged pirtobrutinib versus bendamustine-rituximab. At the time we designed the protocol, bendamustine-rituximab was an option as a standard of care, and Bruton tyrosine kinase monotherapy was used far more commonly than nowadays. The primary target of the study was progression-free survival. We took all untreated patients except for those with 17p deletions. Therefore, it is a good representation for intermediate risk. We had about 60% of the population, 56 to be precise, which was unmutated, evenly distributed into two treatment arms. 17p deleted cases were excluded, but we had about 7% and 8% of TP53 mutated patients as well as about 11% and 7%, respectively, in the pirtobrutinib and bendamustine-rituximab arm of patients with complex karyotype. The progression-free survival was in favor of pirtobrutinib and was assessed by an independent review committee. What is important is that the progression-free survival of the bendamustine-rituximab arm was actually similar to the other studies addressing the same questions, like the comparison with ibrutinib in the ALLIANCE study or zanubrutinib in the SEQUOIA study. What was different was the hazard ratio. In our study, it was 0.20. It was one of the longest effect sizes noted in the frontline BTK study. It represented an 80% reduction in progression-free survival or death. If we compare it to ibrutinib or zanubrutinib, it was 0.39 and 0.42 respectively. Presumably, this great effect contributed towards a trend of overall survival difference. Although survival data are not mature enough, there is a clear trend represented by three patients we lost in the pirtobrutinib arm versus 10 patients lost in the bendamustine-rituximab arm. This trend in overall survival is becoming statistically significant despite the fact that there was a possibility of crossover, and effectively 52.9 patients, which means 18 out of 34 patients relapsing in the bendamustine-rituximab arm, were treated by pirtobrutinib. Dr. Jonathan Friedberg: I am going to turn it over to Matt. The question is: why study pirtobrutinib in this patient population? And then with these two studies, how do you find the patients that were treated, are they representative of people who you see? And do you see this maybe being approved and more widely available? Dr. Matthew Davids: I think in terms of the first question, why study this in a frontline population, we have seen very impressive data with pirtobrutinib in a very difficult-to-treat population of CLL patients. This was from the original BRUIN phase 1/2 study where most of the patients had at least two or three lines of therapy, often both a covalent BTK inhibitor and the BCL2 inhibitor venetoclax, and yet they were still responding to pirtobrutinib. The drug was also very well tolerated in that early phase experience. And actually, we have seen phase 3 data from the BRUIN 321 study comparing pirtobrutinib to bendamustine and rituximab in a relapse population as well. So I think that really motivated these studies to look at pirtobrutinib as a first therapy. You know, often in other cancers of course, we want to use our best therapy first, and I think these studies are an initial step at looking at that. In terms of the second question around the patient population, these are pretty representative patient populations, I would say, for most frontline CLL studies. We see patients who are a bit younger and fitter than sort of the general population of CLL patients who are treated in clinical practice, and I think that is true here as well. Median age in the sort of mid-60s here is a bit younger than the typical patients we are treating in practice. But that is not different from other CLL frontline studies that we have seen recently, so I think it makes it a little bit easier as we kind of think across studies to feel comfortable that these are relatively similar populations. Dr. Jonathan Friedberg: How do you see this either getting regulatory approval or potentially being used compared to current standard of care options? Dr. Matthew Davids: So my understanding is that both of these trials were designed with registrational intent in the frontline setting, and they are both positive studies. That is certainly very encouraging in terms of the potential for an approval here. We have seen in terms of the FDA recently some concerns around the proportion of patients who are coming from North America, and my understanding is that is relatively low on these two studies. But nonetheless, the datasets are very impressive, and so I think it is certainly supportive of regulatory approval for frontline pirtobrutinib. Dr. Jonathan Friedberg: I will ask Jennifer a question. The control arm in your study was ibrutinib, and I think many in the audience may recognize that newer, second-generation BTK inhibitors like acalabrutinib and zanubrutinib are more frequently used now if monotherapy is decided. How do you respond to that, and how would you put your results in your pirtobrutinib arm in context with what has been observed with those agents? Dr. Jennifer Woyach: Yeah, that is a great question. Even though in the United States we are predominantly using acalabrutinib or zanubrutinib when choosing a monotherapy BTK inhibitor, this is actually not the case throughout the entire world where ibrutinib is still used very frequently. The head-to-head studies of both acalabrutinib and zanubrutinib compared to ibrutinib have shown us pretty well what the safety profile and efficacy profile of the second-generation BTK inhibitors is. So even though we do not have a head-to-head study of acalabrutinib or zanubrutinib versus pirtobrutinib, I think, given the entirety of data that we have with all of the covalent BTK inhibitors, I think we can safely look at the pirtobrutinib arm here, how the ibrutinib arm compares or performs in context with those other clinical trials. And though we really can not say anything about pirtobrutinib versus acalabrutinib or zanubrutinib, I think we can still get a good idea of what might be the clinical scenarios in which you might want to choose pirtobrutinib. Dr. Jonathan Friedberg: And Wojciech, do you agree with that? Obviously, I think you have acknowledged that chemoimmunotherapy is rarely used anymore as part of upfront treatment for CLL. So, I guess a similar question. If you were to put the pirtobrutinib result in your study in context with, I guess, more contemporary type controls, would you agree that it is competitive? Dr. Wojciech Jurczak: Well, I think that that was the last study ever where bendamustine-rituximab was used as a comparator arm. So we should notice that smashing difference. Because if we look at the progression-free survival at two years, we have 93.4% in pirtobrutinib arm versus 70.7% in bendamustine-rituximab arm. Bendamustine-rituximab arm did the same as in the other trials, like ALLIANCE or SEQUOIA. Pirtobrutinib did exceptionally well, as pirto is not just the very best BTK inhibitor overcoming the resistance, but perhaps even more important for the first line, it is very well tolerated and is a very selective drug. Now, if we look at treatment-related adverse events, the discontinuation rate, they were hardly ever seen. If we compared the adverse events in exposure-adjusted incidence, literally all adverse events were two or three times higher in bendamustine-rituximab arm except for the bleeding tendency, which however was predominantly in CTCAE grade 1 and 2 with just 0.7% of grade 3 hemorrhage. Therefore, I think that we should actually put the best and the safest drugs upfront if we may, and pirtobrutinib is, or should be, the first choice if we choose monotherapy. Now, I understand that we are not presenting you the data of pirtobrutinib in combination with anti-CD20 or with BCL2 inhibitors, but that is to come. Dr. Jonathan Friedberg: Matt, how would you envision, were regulatory approval granted and this were an option, using this in the upfront patient population? Is there anybody who you would preferentially use this or start on this treatment? Or would this be something that you would tend to reserve for second line? Dr. Matthew Davids: So I would say that in general for most of my patients who would want to start with a continuous BTK inhibitor, I would still use a covalent BTK inhibitor, and I say that for a couple of reasons despite the very promising data from these studies. The first is that the follow-up for both of these phase 3 trials is still quite short, in the range of a median 18 to 24 months. And we know that CLL is a marathon, not a sprint, and these patients are going to probably be living for a very long time. And we do have much longer follow-up from the covalent BTK inhibitors, median of 10-year follow-up with ibrutinib and five to six years with zanubrutinib and acalabrutinib respectively. And you know, I do not think that the pirtobrutinib is going to fall off a cliff after two years, but on the other hand, I think there is a lot of value to long-term data in this disease, and that is why I think for most of my patients I would stick with covalent BTK inhibitors. But the other important factor that we need to consider is patients who are younger and may have many different CLL treatments over the years. We have to be very careful, I think, about how we sequence these drugs. We know right now that we can start with covalent BTK inhibitors and then subsequently patients will respond well to the non-covalent inhibitor pirtobrutinib in later lines of therapy. But right now we do not have prospective data the other way around. So how will the patients on these studies who progress on pirtobrutinib respond to covalent BTK inhibitors? We do not know yet. There have not been a lot of progression events, which is great, but we would like to see some data in that respect to feel more comfortable with that sequence. Now, I do think that particularly for older patients and those who have significant cardiovascular comorbidities, if they wanted to go on a continuous BTK inhibitor, I do think these data really strongly support using pirtobrutinib as the BTK inhibitor of choice in that population. In particular, the cardiovascular risks with pirtobrutinib seem to be quite low. I was very struck in the comparison with BR that the rate of AFib was equivalent between the two arms of the study. And that is really the first time we have seen that with any of these BTK inhibitors, no elevated risk of AFib in a randomized study. I think that is the population where it will get the most traction first, is the upfront, sort of older patient with significant cardiovascular comorbidities. And as the data from these studies mature, I think that we will start to see more widespread use of pirtobrutinib in the frontline setting. Dr. Jonathan Friedberg: Jennifer, I am just curious if you have any personal experience or heard anecdotally about after progression on pirtobrutinib the use of other BTK inhibitors and whether there is a growing experience there. Dr. Jennifer Woyach: I do not think that there is much clinical experience, you know, as Matt alluded to, it certainly has not been tested yet. There has been some data in relapsed CLL suggesting that in people who have resistance mutations to covalent BTK inhibitors after treatment with pirtobrutinib, sometimes those mutations go away. I think most of us are concerned that they are probably not actually gone but maybe in compartments that we just have not sampled, suggesting that sort of approach where you might sequence a covalent inhibitor after a non-covalent in somebody who had already been resistant probably would not work that well. But, you know, in this setting where people had never been exposed to a covalent BTK inhibitor before, we really have no idea what the resistance patterns are going to be like. We assume they will be the same as what we have seen in relapsed CLL, but I think we just need some longer follow-up to know for sure. Dr. Wojciech Jurczak: If I may confront Dr. Davids about the use of covalent BTK inhibitors upfront, well, I think that we should abandon the idea of using the first and the second and the third generation, at least if we don't have medical lines. If we endlessly block the same pathway, it is not going to be effective. So if pirtobrutinib gets approval in first, second line, we do not necessarily have to use it in the first line. I am not here in a position to defend that we should treat patients with pirtobrutinib upfront and not BCL2 time-limited regimen. However, the way I look at CLL patients when choosing therapy is not just how should I treat them now, but what would be the best regimen in 5, 10 years if I have to re-treat them. And in some instances, the idea may be that in this setting we would like to have a BTK inhibitor upfront to have a BCL2 inhibitor later to make it time-limited. Although I understand and I agree with Matthew that if we have an elderly, fragile population, then the charm of having a drug taken once a day in a tablet with literally few cardiovascular adverse events might be an option. Dr. Jonathan Friedberg: And I will give Matt the last word whether he wants to respond to that, and also just as a forward-looking issue, I know both investigators have implied that there will be future studies looking at combinations with pirtobrutinib, and if you have any sense as to what you would be looking for there. Dr. Matthew Davids: The field really is heading toward time-limited therapy for most patients, I would say. There is a bit of a discrepancy right now in the field between sort of what we are doing in academic practice and what is done sort of more widely in community practice. And so right now we are going to see evolving datasets comparing these approaches. We are already seeing data now from the CLL17 study with ibrutinib comparing continuous to time-limited venetoclax-based therapy, and we are seeing similar efficacy benefits from these time-limited therapies without the need for continuous treatment. And so that is where I think some of the future studies with pirtobrutinib combining it with venetoclax and other partners are so important. Fortunately, several of these studies are already ongoing, including a phase 3 trial called CLL18, which is looking at pirtobrutinib with venetoclax, comparing that to venetoclax and obinutuzumab. So I am optimistic that we are going to be developing these very robust datasets where we can actually use pirtobrutinib in the frontline setting as a time-limited therapy as a component of a multi-drug regimen. So far, those early data are very promising. Dr. Wojciech Jurczak: Perhaps last but not least, in a single center we have treated over 300 patients with pirtobrutinib. So eventually some of them relapsed. And I must say that our experience on BCL2 inhibitors, not just venetoclax but including sonrotoclax, are appealingly good. Therefore, by using pirtobrutinib even earlier, we do not block the efficacy of other compounds. Dr. Jonathan Friedberg: All right. Well, I want to thank all of our speakers. I also want to congratulate our two guests who presented these very influential papers at the ASH Annual Meeting, and chose to publish them in JCO, so we thank you for that, and Dr. Davids for your commentary - really appreciated. That is this episode of JCO After Hours. Thank you for your attention. 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.   Disclosures Dr. Wojciech Jurczak Consulting or Advisory Role: BeiGene, Lilly, Abbvie/Genentech, Takeda, Roche, AstraZeneca Research Funding: Roche, Takeda, Janssen-Cilag, BeiGene, AstraZeneca, Lilly, Abbvie/Genentech Dr. Jennifer Woyach Consulting or Advisory Role: Pharmacyclics, Janssen, AstraZeneca, Beigene, Loxo, Newave Pharmaceutical, Genentech, Abbvie, Merck Research Funding: Company name: Janssen, Schrodinger, beone, Abbvie, Merck, Loxo/Lilly Dr. Matthew Davids Honoraria: Curio Science, Aptitude Health, Bio Ascend, PlatformQ Health, Plexus Consulting or Advisory Role: Genentech, Janssen, Abbvie, AstraZeneca, Adaptive Biotechnologies, Ascentage Pharma, BeiGene, Lilly, Bristol-Myers Squibb, Genmab, Merck, MEI Pharma, Nuvalent, Inc., Galapagos NV, Schroedinger Research Funding: Ascentage Pharma, Novartis, MEI Pharma, AstraZeneca  

What if the only thing standing between you and your breakthrough year… is your comfort zone? In this powerful solo episode, Dr. Lauryn gets radically honest about the habits, mindset shifts, and uncomfortable changes required to create a life, business, and level of health that don't just look good on a vision board — but actually happen in real life. If you're tired of feeling stagnant, overwhelmed, or stuck in the same patterns, this episode will wake you up in the best way.Lauryn dives into the truths most high achievers avoid: why comfort quietly kills momentum, how ceilings form inside us long before they show up in our numbers, and why the body always keeps the score when ambition goes unchecked. She shares her 2026 plan with total transparency — from tightening her health habits after an unexpected AFib diagnosis, to leveling up her business strategy, to grounding her goals in faith and intention. If you're ready for a year that asks more of you (and rewards you for it), this is your roadmap.Key TakeawaysGrowth requires discomfort — every time. Lauryn breaks down why comfort zones create stagnation, how to identify the real ceilings in your life and business, and what it takes to push through them with intention and clarity.Your health is part of your success strategy. After facing a surprising AFib diagnosis, Lauryn shares how stress, ambition, and ignored habits catch up — and why your body will always force changes you don't willingly make.Big goals demand real systems. Learn how to reverse-engineer revenue, plan launches, delegate effectively, and treat your business like a business rather than “fun money.”Your relationships and faith must evolve with your ambitions. Lauryn explores how marriage, spirituality, and emotional grounding become non-negotiable when you're scaling your life in any direction.Resources:Join The Uncharted CEO: An 8-week immersive experience for clinic owners designed to increase revenue, maximize profits, and build cash flow systems that create freedom NOW, not at 65.Follow Dr. Lauryn: Instagram | X | LinkedIn | FacebookFollow She Slays on YouTubeSign up for the Weekly Slay newsletter!Mentioned in this episode:Go from surviving to thriving with Genesis Chiropractic Software. Learn more and get your special discount using the link below!Genesis Chiropractic SoftwareHolistic Marketing HubHolistic Marketing HubTo learn more about CLA and the INSiGHT scanner go to the link below and enter code SHESLAYS when prompted.CLADo you need help in your practice with the busy work that you or your staff don't like doing? If you said yes, then you've got to check out the virtual chiropractic assistants offered by Chiro Matchmakers.Chiro MatchmakersLearn more about Sunlighten Saunas and get your She Slays discount by clicking the link...

Updates on coffee and AFib, a polypill approach for HFrEF, the first oral PCSK9 inhibitor, vitamin D supplementation for secondary prevention, and more: Joanna Chikwe, MD, chair of the American Heart Association's Scientific Sessions conference and of the Department of Cardiac Surgery in the Smidt Heart Institute at Cedars-Sinai Medical Center, shares clinical research highlights from the recent meeting. Related Content: Coffee and AFib, Oral PCSK9 Drugs, an HFrEF Polypill, and Vitamin D Post-MI—Highlights From AHA 2025

In this episode of The Healthspan Podcast, Dr. Robert Todd Hurst, MD, FACC, FASE, explores the powerful intersection between sleep, heart health, and medical innovation.   Joining him is Dr. Ruchir Sehra, a physician, cardiologist, and medical device entrepreneur whose career spans electrophysiology, venture capital, and health technology. Together, they discuss how better sleep can prevent heart disease, why modern healthcare must evolve beyond reactive care, and how technology and AI are reshaping medicine for the age of longevity.   They discuss the connection between sleep apnea and atrial fibrillation (AFib), the importance of lifestyle medicine, and how future healthcare models can extend both lifespan and healthspan.   About the Guest:   Dr. Ruchir Sehra is a cardiologist, electrophysiologist, and healthcare innovator with decades of experience at the intersection of medicine, business, and technology. He has led and advised multiple medical device startups and continues to champion innovation that advances preventive and personalized healthcare. His work spans arrhythmia treatment, sleep health, and AI-driven patient solutions.

Afib is on the rise with significant effects on morbidity and mortality. Afib is a progressive disease with various treatment methods to match to your patients' risk factors and health goals. Stroke prevention is a crucial risk factor to evaluate on the progressive journey of a patient experiencing Afib. Learn more about the assessment and identification of patients with Afib at risk for stroke and next steps in prevention.https://www.ahajournals.org/doi/10.1161/CIR.0000000000001193https://chads2vasccalculator.com/https://www.uptodate.com/contents/image?imageKey=HEME%2F75259https://pcna.net/resource/afib-prepare-for-your-next-visit-discussion-guide/https://pcna.net/resource/the-beat-goes-on-living-with-atrial-fibrillation-online-interactive-patient-guide/https://pcna.net/resource/afib-and-stroke-infographic/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Afib is on the rise with significant effects on morbidity and mortality. The stagnation of blood in the left atrium and left atrial appendage (LAA) places patients at risk for thromboembolism and stroke. By ligating or closing off the LAA, the risk can be significantly reduced. This intervention offers a valuable alternative to medication, improving safety and quality of life for patients through a minimally invasive, durable stroke prevention strategy. Learn more about the procedure and steps for referring your eligible patient. https://chads2vasccalculator.com/https://www.watchman.com/en-us-hcp/oac-alternative.html?utm_source=oth_site&utm_medium=display-direct&utm_campaign=ic-wm-us-dtr-hcp_app&utm_content=pcna_podcast_oac_alternative-n-n-n&cid=dsp10020937https://www.watchman.com/en-us-hcp/patient-selection-referrals/patient-pre-screening-tool.html?utm_source=oth_site&utm_medium=display-direct&utm_campaign=ic-wm-us-dtr-hcp_app&utm_content=pcna_podcast_patient_screener-n-n-n&cid=dsp10020938https://pcna.net/resource/afib-prepare-for-your-next-visit-discussion-guide/https://pcna.net/resource/the-beat-goes-on-living-with-atrial-fibrillation-online-interactive-patient-guide/https://pcna.net/resource/afib-and-stroke-infographic/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On today's Good Day Health Show - ON DEMAND…Host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) cover a number of topics affecting our health. First up, Doug and Dr. Ken discuss the biggest news stories in the medical world, starting with new research on early Alzheimer's warnings, particularly for those with hearing loss. This news continues to emphasize the importance of getting your hearing tested, especially if your loved ones point out you aren't hearing them (since many don't want to acknowledge hearing issues themselves). Additionally, a study suggested listening to music may lower your rate of dementia. Because there is no cure for dementia, prevention is important. Listening to music is helpful, and playing an instrument is even better. Next up, a new blood test can help diagnose the severity of head trauma when a concussion occurs, good news out of the Mayo Clinic looking at a minor procedure to get a stint in a blood vessel instead of a major surgery with the carotid artery, and the benefits of a low-dose aspirin for heart health in some (it is no longer universally recommended), and how it is also being shown to help diabetic patients specifically.Moving on, there's new data on coffee consumption, looking at drinking one cup of caffeinated coffee per day may significantly lower a person's risk of recurrent A-Fib episodes by as much as 39%. Rounding out the conversation, Doug and Dr. Ken answer listener questions, including colitis flare ups post-Thanksgiving indulgence, as well as causes and symptoms, in addition to foods that have microplastics in them at a higher rate than ever before. Those foods include sea salt, beer, shellfish, rice, apples, carrots, even tea. Now, the question begs, is this enough to be causing harm, or is this just a measurement used as a scare tactic. Doug and Dr. Ken discuss.  Website: GoodDayHealthrShow.com Social Media: @GoodDayNetworks

Welcome back to this week's Friday Review where I can't wait to share with you the best of the week!     I'm looking forward to reviewing:     Beacon40 (product review) Artificial Sweeteners & AFib Risk (research) Blood Markers & Depression Link     For all the details tune into this week's Cabral Concept 3584 – Enjoy the show and let me know what you thought!   - - - For Everything Mentioned In Today's Show: StephenCabral.com/3584 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Weird Thanksgiving Side Dishes...Thanksgiving Trending...Ask The Morning Crew -- PLUS -- we want Friday off, coffee & Afib, Titanic watch vs. Superman, and much more

In this episode of The Healthspan Podcast, Dr. Robert Todd Hurst, MD, FACC, FASE, sits down with electrophysiologist Dr. Varma to break down everything you need to know about AFib, from stroke prevention and rhythm control to lifestyle modification and quality of life strategies. You'll learn about the four core pillars of AFib management, how modern ablation techniques have evolved, and why understanding your triggers is key to getting your life back. Meet Our Guest Dr. Varma is a board-certified cardiologist and electrophysiologist who specializes in heart rhythm disorders. With a passion for personalized, whole-person care, she brings a modern, patient-centered approach to treating AFib and helping people regain control over their health and quality of life. ⏱️ Timestamps 00:00 – Introduction from Dr. Robert Todd Hurst, MD, FACC, FASE 00:50 – The four pillars of atrial fibrillation treatment 02:30 – What “contemporary rhythm control” really means 03:15 – Why early ablation is now a top recommendation 04:00 – Lifestyle and risk factor modification explained 05:30 – Treating sleep apnea, obesity, alcohol use, and more 06:45 – How much do genetics actually matter? 07:40 – The surprising mental and emotional toll of AFib 08:15 – Dr. Varma's approach to quality of life in AFib patients 09:30 – Final advice: take charge, see a specialist, reclaim your life 10:30 – How HealthspanMD can help with personalized heart longevity care   This information is for educational purposes only and is not medical advice. Don't make any decisions about your medical treatment without first talking to your doctor. *Connect* *with* *HealthspanMD* :

Send us a textAccording to the American Heart Association, Afib affects an estimated 5 million Americans today, and 12 million are projected to have it by 2030. Returning to the podcast to discuss Atrial Fibrillation is Dr. Talha Farid, cardiologist with St. Luke's Heart Care Clinic. To learn more about heart care services at St. Luke's Hospital, visit unitypoint.org/cr-heart.Do you have a question about a trending medical topic? Ask Dr. Arnold! Submit your question and it may be answered by Dr. Arnold on the podcast! Submit your questions at: https://www.unitypoint.org/cedarrapids/submit-a-question-for-the-mailbag.aspxIf you have a topic you'd like Dr. Arnold to discuss with a guest on the podcast, shoot us an email at stlukescr@unitypoint.org.

Program notes:0:50 Fish oil supplements and hemodialysis1:50 1200 individuals to fish oil or not2:50 Needs another study3:11 PCSK9 inhibitor in people without MI or stroke4:13 3- or 4-point MACE5:11 Getting LDL down helps6:11 Addition of more than one oral agent6:50 Right therapy for afib and a stent7:50 Noninferiority trial8:50 After 12 months single agent works9:27 Anticoagulation after afib tx10:30 Low primary safety outcomes11:25 96% won't have a stroke12:16 End

Family nurse practitioner Karen re-airs a timely episode on “holiday heart syndrome,” the spike in alcohol-triggered arrhythmias (often AFib) that can strike otherwise healthy people during festive gatherings. She explains what binge drinking looks like, key symptoms to watch for (from palpitations and chest pressure to shortness of breath), why it raises stroke risk, and simple prevention steps.Visit our website itchyandbitchy.com to read blog posts on the many topics we have covered on the show.

In this Faces of Digital Health episode Dr. David Dodick, Chief Science and Medical Officer at the Atria Health Institute and Co-Chair of the Atria Research Institute talks about brain health, dementia prevention, the rapidly evolving science of Alzheimer's, and how digital tools and AI are transforming care. We also cover why women face higher Alzheimer's risk, the microvasculature's role in cognition, and the biggest leap in migraine treatment: CGRP-targeting therapies. A must-watch if you're curious about prevention, personalized risk, and which consumer tech is actually useful today. Dr. David Dodick trained at the Mayo Clinic and served on the faculty there for more than three decades. At the Mayo Clinic, he founded the Neurology Residency Program, the Headache Fellowship Program, the Sports Neurology and Concussion Program, the Migraine and Headache Program, and co-founded the Vascular Neurology/Stroke Program. What you'll learn: 1. How much dementia is realistically preventable—and how to lower your risk 2. Why amyloid ≠ destiny, and what “biological vs. clinical” Alzheimer's means 3. The role of sleep, hearing, blood pressure, metabolic health, and social connection 4. Smart wearables that matter (AFib, BP, CGM) and what's just hype 5. How AI “diagnostic orchestrators” could supercharge clinicians and empower patients 6. Migraine red flags (when to go to the ER) and the CGRP revolution in treatment

Im Triathlon-Chat geht es heute natürlich um die 70.3 WM in Marbella. Wir tippen bei den Männern und Frauen das Podium und schauen in die große Pushing Limits Glaskugel, wie sich das Rennen entwickeln könnte und wer eine Rolle spielen wird.Anzeige: CURREX ⁠⁠⁠⁠⁠⁠⁠bietet für jede Sportart die perfekte Einlegesohle. Von Laufen über Radfahren bis hin zum Wandern! Inzwischen schwören zahlreiche Profis auf CURREX, darunter Frederic Funk, Carolin Lehrieder, David Schönherr und Alex „Sockensieggi“ Siegmund.  Aber warum eigentlich? Nicht nur das erfahrt ihr unter⁠⁠ ⁠⁠ ⁠⁠⁠⁠⁠www.currex.de/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠, hier sichert ihr euch auch mit dem Code PUSHINGLIMITS10 satte 10 Prozent Rabatt beim nächsten Einkauf im Onlineshop von CURREX.>>> Hier geht's direkt zur⁠⁠⁠⁠⁠ ⁠⁠⁠⁠Page von CURREX⁠⁠⁠⁠⁠⁠⁠!⁠⁠Anzeige: WHOOP ​Jetzt einen Monat kostenlos testen. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠join.whoop.com/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The most advanced WHOOP devices yet, built to give you deeper insights into your health, performance, and longevity.3 new memberships Introducing 3 software tiers: One, Peak, and Life. Each experience is tailored to your goals—whether you want to improve fitness, monitor key vitals, or optimize longevity.14+ day battery lifeAlmost triple the current battery day life and a wireless PowerPack means you'll never miss a beat.7% smaller7% smaller than current WHOOP 4.0, making it sleeker and easier to wear than ever before.Advanced health sensing capabilities WHOOP MG features a “scalloped” indent that enables ECG functionality, included exclusively with the Life membership. WHOOP Life also features new Blood Pressure Insights and AFib detection (EMA cleared April 2025).⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠join.whoop.com/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Back on the Free Outside podcast, I'm catching up with Will Murray after a wild eight months. Since Black Canyon he's gone all-in: new coach (CTS's John Fitzgerald), smarter long runs, and a rock-solid mindset that turned Javelina into a masterclass in steady, no surges. We talk about why he wore a pack while the front pack rocked belts (spoiler: seven bottles a lap and an ice pocket), how he practices mantras on long runs, and the simple crew rule that keeps big races from falling apart: do simple better. Will opens up about the detour through AFib, an ankle injury, a bout of giardia, and how cycling + hiking rebuilt fitness and trust. We also wander into big ideas—Western States, training camps, and what a Grand Tour of trail running could look like. It's process over hype, and it's really, really good.Chapters00:00 Intro & catching up05:30 All-in since Black Canyon08:30 Why get a coach (CTS/John)11:00 Race plan: steady, no surges13:30 Lap themes & mindset15:30 Pack choice & hydration (7 bottles/lap)18:00 Mantras in training20:30 Crew: “Do simple better”23:00 AFib, ankle, giardia detour26:00 Rebuilding with cycling & hiking29:00 Western States lessons32:00 Future goals & balance34:00 Shoes talk (Catamount, super shoes?)36:00 Stage-race / team ideas38:00 Wrap & outroSubscribe to Substack: http://freeoutside.substack.comSupport this content on patreon: HTTP://patreon.com/freeoutsideBuy my book "Free Outside" on Amazon: https://amzn.to/39LpoSFEmail me to buy a signed copy of my book, "Free Outside" at jeff@freeoutside.comWatch the movie about setting the record on the Colorado Trail: https://tubitv.com/movies/100019916/free-outsideWebsite: www.Freeoutside.comInstagram: thefreeoutsidefacebook: www.facebook.com/freeoutside

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Program notes:0:40 Nicotine reduction for various subgroups1:40 Native American and Alaskan populations benefit most2:42 Black, rural populations 10 million lives saved3:40 19-39 million life years saved4:00 Food insecurity and blood pressure5:00 Food vouchers most successful6:00 May be more involved and motivated6:35 PFAS and infant brain architecture7:35 Children assessed with MRI8:30 Didn't correct for various factors9:31 Other types of plasticized chemicals9:50 Afib after cardiac surgery10:50 Only found with implantable monitor11:50 Very short duration of afib12:51 End

This week, we’re going sans internet topics, real salt of the earth kind of conversation including Dan’s AFIB, Mike’s Hymn […]

In der heutigen Folge vom Triathlonchat geht es natürlich um den Ironman Hawaii und unsere Sicht auf das Rennen, den Rennverlauf und die Favoritinnen. Nils und Nick tippen ihre Top5 und schauen tief in die Glaskugel. Außerdem geht es um den Last Soul Ultra. Nick war kurz vor Ort, schildert seien Eindrücke und erklärt Nils, was das alles überhaupt ist und was das soll. Spoiler: Überzeugt werden konnte Nils vom Format nicht.Werbung:Partner der heutigen Episode ist wieder ⁠icTrainer.⁠Gutscheincode „P L P 25“Preislich der Discounter unter den Indoor Cycling Apps für nur 29,99€ pro Jahr, d.h. unter 2,50€ pro Monat.Funktioniert auf allen Systemen (PC, Mac, Android, Apple, Fire) und hat Schnittstellen zu fast Software-Plattformen und Hardware-Anbietern.Das alles kannst du jetzt kostenlos ausprobieren - lade dir die Software gleich runter unter „⁠icTrainer.de⁠“ – ich buchstabiere „I C Trainer – wie der Indoor Cycling Trainer. Gib in der App den Gutscheincode „P L P 25“ ein und teste sie zwei Monate kostenlos - gültig bis Ende des Jahres 2025.Anzeige: WHOOP ​Jetzt einen Monat kostenlos testen. ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠join.whoop.com/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠The most advanced WHOOP devices yet, built to give you deeper insights into your health, performance, and longevity.3 new memberships Introducing 3 software tiers: One, Peak, and Life. Each experience is tailored to your goals—whether you want to improve fitness, monitor key vitals, or optimize longevity.14+ day battery lifeAlmost triple the current battery day life and a wireless PowerPack means you'll never miss a beat.7% smaller7% smaller than current WHOOP 4.0, making it sleeker and easier to wear than ever before.Advanced health sensing capabilities WHOOP MG features a “scalloped” indent that enables ECG functionality, included exclusively with the Life membership. WHOOP Life also features new Blood Pressure Insights and AFib detection (EMA cleared April 2025).⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠join.whoop.com/pushinglimits⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠

Atrial fibrillation raises stroke risk fivefold. But what if blood thinners are too dangerous after a brain bleed or major fall?A new monthly injection, abelacimab, may prevent strokes without the bleeding risk of traditional anticoagulants.Is this the future for AFib patients who can't take blood thinners? Cardiologist Dr. Alain Bouchard discusses this groundbreaking drug with Dr. Charles V. Pollack, a consultant clinical scientist and professional educator with Novartis, owner of abelacimab.About the TeamDr. Alain Bouchard is a clinical cardiologist at Cardiology Specialists of Birmingham, AL. He is a native of Quebec, Canada and trained in Internal Medicine at McGill University in Montreal. He continued as a Research Fellow at the Montreal Heart Institute. He did a clinical cardiology fellowship at the University of California in San Francisco. He joined the faculty at the University of Alabama Birmingham from 1986 to 1990. He worked at CardiologyPC and Baptist Medical Center at Princeton from 1990-2019. He is now part of the Cardiology Specialists of Birmingham at UAB Medicine.Dr. Philip Johnson is originally from Selma, AL. Philip began his studies at Vanderbilt University in Nashville, TN, where he double majored in Biomedical and Electrical Engineering. After a year in the “real world” working for his father as a machine design engineer, he went to graduate school at UAB in Birmingham, AL, where he completed a Masters and PhD in Biomedical Engineering before becoming a research assistant professor in Biomedical Engineering. After a short stint in academics, he continued his education at UAB in Medical School, Internal Medicine Residency, and is currently a cardiology fellow in training with a special interest in cardiac electrophysiology.Medical DisclaimerThe contents of the MyHeart.net podcast, including as textual content, graphical content, images, and any other content contained in the Podcast (“Content”) are purely for informational purposes. The Content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or heard on the Podcast!If you think you may have a medical emergency, call your doctor or 911 immediately. MyHeart.net does not recommend or endorse any specific tests, physicians, products, procedures, opinions, or other information that may be mentioned on the Podcast. Reliance on any information provided by MyHeart.net, MyHeart.net employees, others appearing on the Podcast at the invitation of MyHeart.net, or other visitors to the Podcast is solely at your own risk.The Podcast and the Content are provided on an “as is” basis.

We've got a three-peat favorite back on the mic—Dr. Karl Jandrey, DVM, DACVECC, emergency & critical care specialist at UC Davis School of Veterinary Medicine. In this “Ask the Vet” deep dive, Dr. Jandrey breaks down how heart disease shows up in pets, what to watch for at home, and what your vet does first in the ER.You'll learn the stealth early signs in dogs (like true exercise intolerance vs. stubbornness), when coughing and increased breathing effort mean “go now,” and why small breeds often face mitral valve disease while large breeds are at risk for dilated cardiomyopathy (including the grain-free/taurine connection). We also cover arrhythmias (like AFib) and dramatic collapses, the core ER toolkit (oxygen, ultrasound, diuretics), and practical home monitoring (why ≤30 breaths/min at rest matters).For cats, Dr. Jandrey explains hypertrophic cardiomyopathy (HCM)—why it's so hard to spot, the realities of sudden distress or clots (ATE), and what treatment and prognosis can look like. Plus: a quick detour into exciting oncology advances (hello, Lola the Golden Retriever!) and a feel-good moment with Dr. Jandrey's lab, Danson, a veteran blood donor.Send us your questions for a future Ask the Vet!Highlights / What You'll Learn:- Early, often-missed signs of cardiac disease in dogs- Mitral valve disease vs. dilated cardiomyopathy—who's at risk and why- ER playbook: oxygen, Lasix (furosemide), rhythm control, point-of-care ultrasound- Home check: how to count resting respiratory rate and what numbers matter- Cats & HCM: silent disease, clots, emergency steps, and tough decisions- Meds 101: pimobendan, digoxin, diuretics—where they fit- Diet note: taurine and the grain-free discussionWe also briefly discuss:pet heart disease, dog coughing heart, resting respiratory rate dog, dilated cardiomyopathy dogs, mitral valve disease small dogs, hypertrophic cardiomyopathy cats, cat blood clot back legs, veterinary ER, pimobendan for dogs, taurine deficiency grain-freehttps://www.vetmed.ucdavis.edu/faculty/karl-e-jandrey--What started during the COVID-19 lockdown with one baby gorilla at the Cleveland Zoo has grown into a channel loved by animal fans around the world. I'm a one-person operation—filming, editing, narrating, and sharing the most heartfelt moments of baby gorillas, orangutans, elephants, and other zoo animals. Whether it's Jameela's emotional journey or Clementine's first steps, each video brings you closer to the animals and their stories. If you love watching real animal behavior, learning fun facts, and supporting conservation through storytelling—this is your place! Subscribe to Larry's Animal Safari on YouTube @larrysanimalsafari ---Support our sponsor for this episode Blue Buffalo by visiting bluebuffalo.com. BLUE Natural Veterinary Diet formulas offer the natural alternative in nutritional therapy. At Blue Buffalo, we have an in-house Research & Development (R&D) team with over 300 years' experience in well-pet and veterinary therapeutic diets, over 600 scientific publications, and over 50 U.S. patents. At Blue Buffalo, we have an in-house Research & Development (R&D) team with over 300 years' experience in well-pet and veterinary therapeutic diets, over 600 scientific publications, and over 50 U.S. patents.---All footage is owned by SLA Video Productions.

BioPhil Allen, Jr., PhD is a theologian and ethicist whose research and writings include the intersections of social structure, race, culture, and theology and ethics of justice. He has authored two books: Open Wounds: A Story of Racial Tragedy, Trauma, and Redemption and The Prophetic Lens: The Camera and Black Moral Agency From MLK to Darnella Frazier. He is an affiliate assistant professor at Fuller Theological Seminary, a poet, and documentary filmmaker. Dr. Allen is also founder of the nonprofit Racial Solidarity Project based in Pasadena, CA. As a former Division 1 college basketball player, he has enjoyed opportunities as a guest chaplain for college and professional sports teams.Phil Allen Jr., PhDAffiliate Assistant Professor | Fuller Theological SeminaryPresident: Racial Solidarity Project (RSP)Philallenjr.com | openwoundsdoc.comInstagram: @philallenjrig | @the_rspThreads: @philallenjrigFacebook: Phil Allen, Jr.Substack: @philallenjrLinkedIn: @philallenjrWelcome to the Arise podcast, conversations in Reality centered on our same themes, faith, race, justice, gender in the church. So happy to welcome my buddy and a colleague, just a phenomenal human being. Dr. Phil Allen, Jr. He has a PhD. He's a theologian and an ethicist whose research and writings include intersections of social structure, race, culture, and theology, and the ethics of justice. He has also authored two books, open Wounds, A Story of Racial Tragedy, trauma and Redemption, and the Prophetic Lens, the Camera and the Black Moral Agency from MLK to Dan Darnell Frazier. He's an affiliate assistant professor at Fuller Theological Seminary, a poet and a documentary filmmaker. Dr. Allen is also founder of the nonprofit Racial Solidarity Project based in Pasadena, California as a former division one college basketball player. Yes, he has enjoyed opportunities as a guest chaplain for college and professional sports. Hey, you're not going to be disappointed. You're going to find questions, curiosity ways to interact with the material here. Please just open up your mindset and your heart to what is shared today, and I encourage you to share and spread the word. Hey, Phil. Here we find ourselves back again talking about similar subjects.Danielle (00:18):Welcome to the Arise podcast, conversations in Reality centered on our same themes, faith, race, justice, gender in the church. So happy to welcome my buddy and a colleague, just a phenomenal human being. Dr. Phil Allen, Jr. He has a PhD. He's a theologian and an ethicist whose research and writings include intersections of social structure, race, culture, and theology, and the ethics of justice. He has also authored two books, open Wounds, A Story of Racial Tragedy, trauma and Redemption, and the Prophetic Lens, the Camera and the Black Moral Agency from MLK to Dan Darnell Frazier. He's an affiliate assistant professor at Fuller Theological Seminary, a poet and a documentary filmmaker. Dr. Allen is also founder of the nonprofit Racial Solidarity Project based in Pasadena, California as a former division one college basketball player. Yes, he has enjoyed opportunities as a guest chaplain for college and professional sports. Hey, you're not going to be disappointed. You're going to find questions, curiosity ways to interact with the material here. Please just open up your mindset and your heart to what is shared today, and I encourage you to share and spread the word. Hey, Phil. Here we find ourselves back again talking about similar subjects.Unfortunately. Well, how are you coming in today? How is your body? How's your mind? How are you coming in? Just first of all,Phil Allen Jr. (01:51):I am coming in probably in one of the best places, spaces in a long time. The last two days have been very, very encouraging and uplifting, having nothing to do with what's happening in the world. I turned 52, I told you I turned 52 yesterday. So whenever I see the happy birthdays and the messages, text messages, social media messages, literally it just lifts me up. But in that, I also had two people share something that I preached. Oh, 10 years ago, what? And one other person, it was 17 years ago, something I taught that came full circle. One person used it in a message for a group of people, and the other person was just saying, 10 years ago, about 10 years ago, you preached a message that was, it impacted me seriously. He didn't know who I was, and he the dots, and he realized, oh, that's the guy that preached when we went to that. And so that, to me, it was so encouraging to hear thoseBecause you never know where your messages land, how impactful they are, and for people to bring that up. That just had me light. Then I did 20 miles, so physically 20I feel great after that. I'm not sore. I'm not tired. I could go run right now, another 10, but I'm not. Okay. Okay, good. Today is rest day good? Yes, I did a crim community resiliency model present workshop.I dunno if you're familiar with, are you familiar with crim?Crim was developed by Trauma Resource Institute here in Claremont, California by Elaine Miller Carra, and they go around the world. They have trainees and people around the world that go into places that just experienced traumatic eventsThe tsunami in Indonesia to school shootings around the country. So here, obviously we had the fires from January, and so we did a workshop to help. What it is is helping people develop the skills, practical skills. There are six skills to regulate the nervous systems, even in the moments. I was certified in 2020 to do that, and so I did a co-led presentation. It was great, very well received. I had fun doing it. So empowering to give people these skills. I use them every day, resourcing, just like when you asked me, how are you in your body? So for a moment, I have to track, I have to notice what's going on with my body. That's the firstSo we teach people those skills and it is just the last few days, Monday, Tuesday, and today already. I just feel light and it's no coincidence I didn't watch the news at all yesterday.Okay. Even on social media, there's no coincidence. I feel light not having engaged those things. So I feel good coming in this morning.Danielle (05:32):Okay, I like that. Well, I know I texted you, I texted you a couple months ago. I was like, let's record a podcast. And then as you alluded to, the world's kept moving at a rapid pace and we connected. And I've been doing a lot of thinking for a long time, and I know you and I have had conversations about what does it look like to stay in our bodies, be in our bodies in this time, and I've been thinking about it, how does that form our reality? And as you and I have talked about faith, I guess I'm coming back to that for you, for how you think about faith and how it informs your reality, how you're in reality, how you're grounding yourself, especially as you alluded to. We do know we can't be involved every second with what's happening, but we do know that things are happening. So yeah, just curious, just open up the conversation like that.Phil Allen Jr. (06:28):Yeah, I think I'm going to go back to your first question. I think your first question you asked me sets the tone for everything. And I actually answered this similarly to someone yesterday when you said, how are you in your body? And for me, that's the first I've learned, and a lot of it has to do with community resiliency model that I just talked about, to pay attention to what's going on in my body. That tells me a lot. That tells me if I'm good, I can't fake it. You can fake how you feel. You can fake and perform what you think, but you can't with the sensations and the response of your body to different circumstances, that's going to be as real, as tangible. So I pay attention first to that. That tells me how much I'm going to engage a subject matter. It tells me how much I want to stay in that space, whether it's the news, whether it's conversation with someone. My body tells me a lot now, and I don't separate that from my faith. We can go through biblical narrative and we can see where things that are going on physically with someone is addressed or is at least acknowledged. It is just not in the forefront emphasized. So we don't think that paying attention to what's going on in your body matters,When you have that dualistic approach to faith where the soul is all that matters. Your body is just this flesh thing. No, God created all of it. Therefore, all of it's valuable and we need to pay attention to all of it. So that's the first place I start. And then in terms of faith, I'm a realist. I'm a Christian realist, so I put things in perspective. The love ethic of Jesus is an ideal. Scripture is an ideal. It's telling us when you look at Christ, Jesus is the son of God. Jesus is also called the son of man. And from my understanding and my learnings, son of man refers to the human one, the ideal human one, right? He is divinity, but he's deity, but he's also a human, and he's the human that we look to for the ideal way to live. And so this perfect ideal of love, the love ethic of Jesus, I believe it's unattainable on this side of heaven. I think we should always strive to love our enemies. But how many people actually love their enemies? Bless them. I saw what Eric, I think his name, first name is Erica Kirk forgave theOkay? I'm not here to judge whether that's real or if she felt obligated because I know some Christians, they wrestle because they feel obligated to forgive almost immediately. I don't feel that obligation if my body is not in a place where I can just say, I forgive you. I need to get to a place where I can forgive. But let's just say it's very real. She is. I forgive this young man. How many people can do that? We admire it. How many Christians will just say, I forgive, genuinely say, I forgive the person who killed my children's father. So it's not that it can't be done, but sustained. There are few people who could do what in terms of relative to how many people in the world, what Mother Teresa did. There are few people who can do that. There are few people who could do what Martin Luther King did who could practice non-violence, risk, jail and life and limb for an extended period of time. So I'm not saying it can't be done, but sustained by many or the most of us. I just don't believe that's realistic. I believe it's always something we aspire to. And we're always challenged throughout life to live up to that ideal. But we're going to fall short probably more often than we want to admit.(11:12):So I don't try to put the pressure on myself to be this perfect Christian. I try to understand where I am in my maturity in this particular area. There's some things I can do better than others, and then I go from there. So I look at what's happening in the world through that lens. How would I really respond? There are people I don't want to deal with. They are toxic and harmful to me because here's the other part, there's also wisdom. That's faith too.Holy Spirit, when the Holy Spirit comes, the Holy Spirit shall come upon you, shall lead you in. I'm paraphrasing a bit, but the Holy Spirit shall lead you. No, the spirit of wisdom is what I'm trying to get to in John. This Holy Spirit is called the spirit of wisdom. Holy Spirit is going to lead you into all truth, but it's also called the spirit of wisdom.Is faith too. And it is there no one way of doing things.It's where I feel the most settled, even if I don't want to do something.I went through a divorce separated 10 years ago, divorce finalized a couple of years later. And I wanted so badly to share my story through people at my former church, family, friends. I wanted to tell, let me tell what happened. I never had peace about that in my body. My body never felt settled.Settled, okay.Because I knew I was doing it from a place of wanting to get vindication, maybe revenge. It wasn't just as innocent as, let me tell my side of the story, if I'm honest.It was, I'm going to throw you under the bus.But in that moment, I didn't because I didn't feel settled in my spirit. People say settled in my spirit. Really, it is also my body that I should do that wisdom says, let God handle it. Let God bring it to the surface. In due time, people will know who need to know. You don't have to take revenge. When they go low, you go high. In that moment, that's what I felt at peace to do. And I don't regret it to this day. I don't regret it. I'm glad I didn't because it would just been even more messy.I have conversations with my grandmother who's no longer with us, or I recall conversations we had. So when I was young, and I tell people unapologetically, I'm a mama's boy and a grandmama's boy. Women played a significant role raising me. So I'm close to mom, grandma, grandmothers, aunts, cousins, my sisters, and I'm the oldest of all my siblings, but women. So my grandmother, rather than going out to parties a lot, I would prefer to go to her house. I lived in high school with one grandmother, but sometimes I would go to my other grandmother's house and just sit and she would have a glass of wine, and we would just talk for hours. And she would tell me stories When she was young,Would ask her questions. I miss, and I loved those times. An external resource, if this can be an external no longer here, but she's a person. She was a real person. I think about what if I'm having a conversation with her, and she would never really be impulsive with me. She would just pause and just think, well, and I know she's going to drop some wisdom, right?So that's one of my sources. My grandmother, both of them to a degree, but my mom's mom for sure is I would say her feet. So I'd have these conversations. I still don't want to embarrass them. I don't want to make them look bad. I want them to be proud of me toDay. So that helps me make decisions. It helps me a lot of times on how I respond in the same way we believe that God is ever present and omniscient and knowing what we're doing and what we're thinking and feeling and watching, not watching in a surveillance type of way, but watching over us like a parent. If we believe that in those moments, I pretend because I don't know, but I pretend that my grandmother is, she's in heaven and she's watching over all right now, and I'm not offering a theological position that when they die and go to heaven, they're still present with us omnipresent. Now, I'm not saying any of that, just in my mind. I tell myself, grandma could be watching me. What will grandma do? Type of thing. So that becomes an external resource for me as well as mentors that I've had in my life. Even if I can't get in touch with them, I would recall conversations we've had, and they're still alive. I recall conversations we've had and how would they guide me in this? And so I remember their words. I remember more than I even realized.Danielle (17:59):And that feels so lovely and so profound that those roots, those, I want to say ancestors, but family, family connections, that they're resourcing us before they even know they're resourcing us.So they're not unfamiliar with suffering and pain and love and joy. So they may not know exactly what we're going through in this moment, 2025, but they do know what it is to suffer. They do know what it is to walk through life. It's heavy sometimes.Phil Allen Jr. (18:43):Yes, yes, yes. They prepared me and my siblings well, and my mom is the encourager. My mom is the person that just says it's going to be okay. It's going to work out. And sometimes I don't want to hear that, but my grandparents would say a little bit more, they were more sagacious in their words, and they would share that wisdom from their life, 80 plus years. And even with my mom, sometimes I'll look back and be like, she was right. I knew she was right. I knew she was right because she'd been through so much and it is going to be okay. It's going to be okay. It always is. And so I don't take that lightly either.Danielle (19:40):When you come to this current moment with your ancestors, your faith, those kinds of things with you, how then do you form a picture of where we are at, maybe as a faith, and I'm speaking specifically to the United States, and you might speak more specifically to your own cultural context. I know for Latino, for Latinx folks, there was some belief that was fairly strong, especially among immigrant men. I would say that to vote for particular party could mean hope and access to power. And so now there's a backtrack of grappling with this has actually meant pain and hate and dissolve of my family. And so what did that mean for my faith? So I think we're having a different experience, but I'm wondering from your experience, how then are you forming a picture of today?Phil Allen Jr. (20:47):I knew where we were headed. Nothing surprises me because my faith teaches me to look at core underlying causes, root causes in an individual. When we talk about character, what are the patterns of this person that's going to tell us a lot about who this person is, they're in leadership, where they're going to lead us, what are the patterns of a particular group, the patterns that a lot of people don't pay attention to or are unaware of? What are those patterns? And even then, you may have to take a genealogical approach, historical approach, and track those patterns going back generations and coming to the current time to tell us where we'reAnd then do the same thing broadly with the United States. And if you pay attention to patterns, I'm a patterns person. If you pay attention to patterns, it'll tell you where you're going. It'll tell you where you're headed. So my faith has taught me to pay attention to even the scripture that says from the heart, the mouth speaks. So if I want to know a person, I just pay attention to what they're saying. I'm just going to listen. And if I listen intently, carefully, what they've said over time tells me how they will lead us, tells me how they will respond. It tells me everything about their ethics, their morality. It tells me what I need to know. If I pay attention, nothing surprises me where we are, the term MAGA is not just a campaign slogan, it's a vision statement. Make America great again. Each of these words, carry weight again, tells me, and it's not even a vision statement, it's nostalgic. It's not creative. It's not taking us into a new future with a new, something new and fresh. It is looking backwards. Again, let's take what we did. It might look a little differently. Let's take what we did and we're going to bring that to 2025. Great. What is great? That's a relative statement. That's a relative word.(23:36):I always ask people, give me one decade. In the last 400 plus years since Europeans encountered, 500 years since Europeans encountered indigenous people, give me one decade of greatness, moral greatness. Not just economic or militarily, but moral greatness where the society was just equitable, fair and loving. I can't find one.Because the first 127 years with interaction with indigenous people was massacre violence, conquest of land, beginning with a narrative that said that they were savages. Then you got 246 years of slavery,Years of reconstruction. And from 1877 to 19 68, 91 years of Jim Crow. So you can't start until you get to 1970.And then you got mass incarceration, the prison industrial complex and racial profiling. So for black folks, especially seventies, and you had the crack of it, the war on drugs was really a war on the communities because it wasn't the same response of the opioid addiction just a few years ago in the suburbs, in the white suburbs, it was a war, whereas this was called a health crisis. So people were in prison, it was violence industry. So now we're in 1990s, and we still can start talking about police brutality, excessive force. And since 1989, you, it's been revealed 50 plus percent of exonerations are African-Americans. So that means throughout the seventies, eighties, and nineties, people who have been put in prison, who unjustly. And that affects an entire community that affects families. And you got school shootings starting with Columbine and mass shootings. So tell me one decade of America greatness.So if I pay attention to the patterns, I should not be surprised with where we are. Make America great. Again, that's a vision statement, but it's nostalgic. It's not innovative. It's taking us back to a time when it was great for people, certain people, and also it was telegraphed. These ice raids were telegraphed.2015, the campaign started with they're sending their rapists and their murder. So the narrative began to create a threat out of brown bodies. From the beginning, he told us,Yeah, right. So project 2025, if you actually paid attention to it, said exactly what they were wanting to do. Nothing surprises me. Go back to the response to Obama as president first, black president, white supremacist group, hate groups rose and still cause more violence than any other group in the country. But they have an ally in the office. So nothing surprises me. My faith tells me, pay attention to the underlying, pay attention to the root causes. Pay attention to the patterns of what people ignore and what they don't pay attention to. And it'll tell you where you're headed. So nothing surprises me,Danielle (27:39):Phil, you'll know this better than me, but Matthew five, that's the beatitudes, right? And I think that's where Jesus hits on this, right? He's like, you said this and I'm saying this. He's saying, pay attention to what's underneath the surface. Don't just say you love someone. What will you do for them? What will you do for your enemy? What will you do for your neighbor? And the reward is opposite. So a lot of times I've been talking with friends and I'm like, it's almost, I love Marvel movies. And you know how they time travel to try to get all the reality stones back and endgame? IA lot of movies. Okay, well, they time travel.Following you. Yeah. They time travel. And I feel like we're in an alternate time, like an alternate, alternate time zone where Jesus is back, he's facing temptations with Satan. And instead of saying no, he's like, bring it on. Give me the world. And we're living in an alternate space where faith, where we're seeing a faith played out with the name of Jesus, but the Jesus being worshiped is this person that would've said yes to the devil that would've said, yes, give me all the kingdoms of the world. Let rule everything. Yes, I'm going to jump. I know you're going to catch me. I can be reckless with my power and my resources. That's what I feel like all the bread I want. Of course I'm hungry. I'm going to take it all for myself. I feel like we're living in that era. It just feels like there's this timeline where this is the Jesus that's being worshiped. Jesus.That's how I feel. And so it's hard for me, and it's good for me to hear you talk about body. It's hard for me to then mix that reality. Because when I talk to someone, I'm like, man, I love Jesus. I love the faith you're talking about. And when I'm out there, I feel such bristle, such bristle and such angst in my body, anxiety like fear when I hear the name of Jesus, that Jesus, does that make sense?Phil Allen Jr. (30:05):Yes. Yeah. And that's so good. And I would you make me think about white Jesus?Like the aesthetics of Jesus. And that was intentional. And so my question for you real quick, how do you feel? What do you sense happening in your body when you see a brown Jesus, when you see an unattractive Palestinian, maybe even Moroccan Ethiopian looking, Jesus, brown skin, darker skin, any shade of brown to depict what Jesus, let's say, someone trying to depict what Jesus might've looked like. I've seen some images that said Jesus would've looked like this. And I don't know if that's true or not, but he was brown. Very different than the European. Jesus with blue eyes, brought blonde hair. What do you sense in, have you ever seen a picture, an image like that? And what do you remember about your response, your bodily response to that?Danielle (31:14):Well, it makes me feel like crying, just to hear you talk about it. I feel relief. I think I feel like I could settle. I would be calm. Some sort of deep resonance. It's interesting you say, I lived in Morocco for two years with my husband, and he's Mexican. Mexican, born there Mexican. And everybody thought he was Moroccan or Egyptian or they were like, who are you? And then they would find out he was Mexican. And they're like, oh man, we're brothers. That's literally an Arabic. They was like, we're brothers. We're brothers. Like, oh yeah, that's the feeling I have. We would be welcomed in.Phil Allen Jr. (32:00):Wow. I asked that question because whenever I've taught, I used teach in my discipleship group a class before they were put into small mentoring groups. I'd have a six, seven week class that I taught on just foundational doctrine and stuff like that. And when I talked about the doctrine of get into Christology, I would present a black Jesus or a brown Jesus, Palestinian Jesus. And you could feel the tension in the room. And usually somebody would push back speaking on behalf of most of the people in the room would push back. And I would just engage in conversation.(32:52):And usually after I would speak to them about and get them to understand some things, then they would start to settle. When I would get them to think about when was the white Jesus, when was Jesus presented as white and by whom and why? And why would Jesus look this way? Everybody else in that era, that time and that spade, that region would've looked very differently. Why do you think this is okay? And then someone would inevitably say, well, his race doesn't matter. And I heard a professor of mine say it mattered enough to change it. Absolutely. Why not be historically accurate? And that was when the light switch came on for many of them. But initially they were disoriented. They were not settled in their bodies. And that to me tells a lot about that's that alternative. Jesus, the one who would've jumped, the one who would've saved himself, the one who would've fallen into the temptation. I would say that that's the white Jesus, that what we call Christian, lowercase c Christian nationalism or even American conservative evangelicalism, which has also been rooted in white supremacy historically. That's the Jesus that's being worshiped. I've said all along, we worship different gods.(34:30):We perceive Jesus very differently. That's why the debates with people who are far left, right or conservative, the debates are pointless because we worship different gods. We're not talking about the same Jesus. So I think your illustration is dead on. I'm seeing a movie already in my head.Danielle (34:58):I have tried to think, how can I have a picture of our world having been raised by one part of my family that's extremely conservative. And then the other part not how do I find a picture of what's happening, maybe even inside of me, like the invitation to the alternate reality, which we're talking about to what's comfortable, to what's the common narrative and also the reality of like, oh, wait, that's not how it worked for all of my family. It was struggle. It was like, what? So I think, but I do think that our faith, like you said, invites us to wrestle with that. Jesus asks questions all the time.Phil Allen Jr. (35:46):Yes, I am learning more and more to be comfortable setting a table rather than trying to figure out whose table I go to, whether it's in the family, friends, whomever. I'm comfortable setting a table that I believe is invitational, a table of grace as well as standards. I mean, I don't believe in just anything goes either. I'm not swinging a pendulum all the way to the other side, but I do believe it's a table of grace and truly, truly, rather than trying to make people believe and live out that faith the way I think they should, inviting them to a space where hopefully they can meet with God and let God do that work, whatever it is that they need to do. But I'm comfortable creating a table and saying, Hey, I'm going to be at this table that's toxic. That table over there is toxic. That table over there is unhealthy. I'm going to be at this table.Danielle (37:05):How practically do you see that working out? What does that look like in your everyday life or maybe in the discipleship settings you're in? How does that look?Phil Allen Jr. (37:16):I'm very careful in the company I keep. I'm very careful in who I give my time to. You might get me one time, you're not going to get me twice if there's toxicity and ignorance. And so for example, I'm in the coffee shop all the time. I rotate, but I have my favorites and I meet people all the time who want to have coffee. And I'm able to just yesterday three hours with someone and I'm able to put my pastoral hat on and just sit and be present with people. That's me creating a table. Had that conversation gone differently, I would say it certainly would not have lasted three hours. And I'm not making space and giving energy to them anymore because I know what they're bringing to do is toxic for me. It's unhealthy for me. Now, if we turned around and we had some conversations and can get on the same page, again, I'm not saying you have to agree with me on everything, but I'm also talking about tone. I'm talking about the energy, the spirit that person carries. I'm talking about their end goal. That's me giving an example. That's an example of me setting a table. The sacred spaces that I create, I'm willing to invite you in. And if we can maintain that peace and that joy, and it can be life-giving, and again, we don't even have to agree and we don't have to be in the same faith.(39:03):I have conversations all the time, people of other faiths or non-faith, and it's been life-giving for me, incredibly life-giving for me, for both of us I think. But I won't do that for, I've also had a couple of times when the person was far right, or in my dms on social media, someone appears to want to have a civil conversation, but really it was a bait. It was debate me into debate. And then next thing you know, insults and I block. And so I block because I'm not giving you space my space anymore. I'm not giving you access to do that to me anymore. So for me, it's creating a table is all the spaces I occupy that are mine, social media spaces, platform, a coffee shop. Where am I attend church,Right now I don't. And my church is in that coffee shop When I have those, when Jesus says with two or more gathered, there I am in the midst. I take that very seriously.When we gather, when me and someone or three of us are sitting and talking, and I'm trusting that God is present, God is in the space between us and it is been life-giving for us. So all that to say, wherever my body is, wherever I'm present, the table is present, the metaphorical table is there, and I'm careful about who I invite into that space because it's sacred for me. My health is at stake,Time and energy is at stake. And so that's how I've been living my life in the last five years or so is again, I don't even accept every invitation to preach anymore because I have to ask myself, I have have to check in my body.Right? No, I don't think this is what I'm supposed to do. And then there's sometimes I'm like, yeah, I want to preach there. I like that space. I trust them. And so that's me sharing a table. I'm going to their location, but I also bring in my table and I'm asking them to join me at the table.Danielle (41:46):I love that you check in with your body. I was even just about to ask you that. What do you notice in your body when you're setting up that table? Phil? What would you recommend? Someone's listening, they're like, these guys are crazy. I've never checked in my body once in my life. Can you share how you started doing that or what it was just at the beginning?Phil Allen Jr. (42:13):So community resiliency model, the first thing we teach is tracking,Noticing and paying attention to the sensations that's going on in your body,They're pleasant or unpleasant or neutral. And for me, one of the things I noticed long before I ever got connected to this was when something didn't feel right for me, I could sometimes feel a knot in my stomach. My heart rate would start increasing, and that's not always bad. So I had to wait. I had to learn to wait and see what that meant. Sometimes it just means nervousness, excitement, but I know God is calling me to it. So I had to wait to make sure it was that. Or was it like, I'm not supposed to do this thing.So we use this term called body literacy, learning to read, paying attention to what's happening in the body. And that could mean sometimes palms get sweaty, your body temperature rises and muscles get tight. Maybe there's some twitching, right? All these little things that we just ignore, our bodies are telling us something. And I don't disconnect that from the Holy Spirit. The Holy Spirit knowing how to reach us, how to speak, not just a word of revelation, but in our bodies. And once I learned that, I trusted that God was in that. So I learned years ago when I was supposed to say something publicly, if I'm in a public space, I knew when I was supposed to say something. It took me a couple of years and I figured it out. And this is before ever learning, tracking and all this stuff.My heart would start racing and it would not stop. And it'd be the sense of urgency, that thing that thought you have, you have to say it now.I'm an introvert. I speak for a living. I present, but I don't like to say anything unless I have to. And I learned I could sit through something and be calm and comfortable and not have to say a word. But then I also learned that there were times when I'm supposed to say something here and I started listening to that. So paying attention to those sensations, those things that we ignore, that's happening in our bodies because our nervous system is activated for some reason.Danielle (44:57):I love to hear you say it. And also it's one of the things I think we naturally want to turn off when we're in a high trauma environment or come from a high trauma background. Or maybe you don't know what to do with the sensations, right?Can you just say a couple things about what moved you over that hump? How did you step into that despite maybe even any kind of, I don't know, reservations or just difficultiesTracking your body?Phil Allen Jr. (45:33):Getting language for what I was already doing, because with crim, one of the things that was revelatory for me was I was like, wait a minute. I already do a lot of these things. So for instance, touch and feel can settle out. Nervous systems, surfaces, you can put your hand, I have my hand on my armrest. It's smooth. If I'm nervous about something, I can literally just rub this smooth surface. It feels really good, and it can settle my nervous system, right? A sip of water, a drink of water can settle your nervous system. These are not just imaginations. This is literally how the body responds. You know this. So when they gave me language for things I had already been doing, so for instance, resourcing. And you had asked me earlier, and I mentioned my grandmother, if you paid attention to my face, I probably had a smile on my face talking about her.Because that resource, it brings up sensations in my body that are pleasant.My heart rate slows down. I could feel the warmth in my cheeks from smiling. So that's something that I tap into. And that's one of the ways that you can understand tracking when you think about a person, place, or thing that is pleasant, and then pay attention to what's going on in your body. And it might be neutral because it takes a while to be able to learn how to identify these things. And when I started doing that and I realized, wait a minute, my body, I feel settled. I feel at peace when I do this or do that. And that's when I said, okay, there's science behind this. And so that's when five years ago is when I started really like, I'm going to continue to do this and share this and practice this. I use it in my nonprofit racial solidarity project because this is how we stay engaged in the conversation about race. We get triggered, we get activated. A nervous system says threat. This person is threat, or this idea is a threat, especially when it disorients what we've been taught all our lives. And we get defensive, we get impulsive, and we argue and then we out.(48:18):So I use this as part of mentoring people to stay engaged by giving them the skills to regulate their nervous system when they're in those conversations, or if they're watching the news and they don't like what they see, they want to turn the news or they want to just shut it off. Some people hear the word critical race theory and it's already triggering for them,Absolutely. And what do you do? You check out, you disengage. You get defensive. Well, that's not necessarily how they feel. It's what they're sensing in their body. Their nervous system is triggered. So if they had the skills to settle that regulate their nervous system, they could probably stay engaged enough to listen to what's actually being said. It might actually come to, oh, I didn't realize that.Danielle (49:18):It's so good to hear you talk about it though. It's so encouraging. It's like, oh man. Being in our bodies, I think is one way. We know our faith more, and I actually think it's one way we can start to step in and cross and understand one another. But I think if we're not in our bodies, I think if we maintain some sort of rigidity or separation that it's going to be even harder for us to come together.Phil Allen Jr. (49:51):I'm crazy a little bit, but I ran running, taught me how to breathe. No other practice in my faith taught me how to breathe. And I don't mean in a meditative kind of way, religious kind of way. I mean just literally breathing properly.That's healthy.Danielle (50:13):It is healthy. Breathing is great. Yeah.Phil Allen Jr. (50:16):I want to be actually alive. But running forces you to have to pay attention to your body breathing. What type of pain is this in my knee? Is this the type of pain that says stop running? Or is this the type of pain that says this is minor and it's probably going to go away within the next half a mile?Right. Which then teaches us lessons in life. This pain, this emotional pain that I'm feeling, does it say, stop doing the thing that I'm doing, or is this something I have to go through because God is trying to reveal something to me?Running has taught me that. That's why running is a spiritual discipline for me. The spiritual discipline I didn't know I needed.Danielle (51:07):Yep. You're going to have to, yeah, keep going. Keep going.Phil Allen Jr. (51:10):Sorry. I was going to say, it taught me how to pay attention to my body, from my feet to my breathing. It taught me to pay attention to my body. When I dealt with AFib last year is because I pay attention to my body. When my heart wasn't beating the right way, it was like something ain't right. So I didn't try to push through it like I would have 10, 15, 20 years ago, paying attention to my body, said, stop. Go to urgent care. Next thing you know, I'm in an emergency room. I didn't know that with all this stuff attached to me. Next thing you know, I got these diagnoses. Next thing you know, I'm on medication. And fortunately the medication has everything stabilized. I still have some episodes of arrhythmia. I don't know if it's ever going to go away. Hopefully I can get off of these medications. I feel great. Matter of fact, I didn't take my medication this morning. I got to take 'em when we get done, brother. So all that to say, man, paying attention to what's happening in my body has helped me to deal with this current reality. It's helped me to stay grounded, helped me to make wise decisions. I trust that God, that though what I'm reading in my body, that the spirit of God is in that,(52:46):Is knowing how to speak to me, knowing what I'm going to pay attention to, what I'm going to respond to. Oh, that's how you read that. You're going to respond to that. Okay. That I'm going to urge you and prompt you through these bodily sensations, if you will.Danielle (53:10):Yeah. I don't really have a lot to say to answer that. It's just really beautiful and gorgeous. And also, please take your medicine. How can people reach you? How can they find out more about your work? How can they read what you're writing and what you're thinking? Where can they find you?Phil Allen Jr. (53:33):So on social media, everything is Phil Allen Jr. So whether that's Instagram. Instagram is actually Phil Allen Jr. PhD.It. LinkedIn and Facebook. Phil Allen Jr. On Facebook, there's a regular page and there's an author page. I don't really use the author page. I'm trying to figure out how to delete that. But the regular page, Phil Allen, Jr. Threads, Phil Allen Jr. I don't do X, but LinkedIn, Phil Allen Jr. My book Open Wounds. You can either go to your local bookstore, I want to support local bookstores. You can ask them if they have it, open Wounds, the Story of Racial Trauma, racial Tragedy, trauma and Redemption. And my other book, the Prophetic Lens, the Camera and Black Moral Agency from MLK to Darnella Frazier. You can find those books on Amazon, or you can go to your local bookstore and ask them to order it for you because it supports your local bookstore. Or you can go directly to fortress press.com and order it. It goes directly. You're supporting the publisher that publish my books, which helps, which actually helps me most. But those are three ways you can get those books. And then hopefully in the next year or so, I have three book projects. I'm kind of in different stages of right now that I'm working on, and hopefully one comes out in the next year.Yeah. Year and a half. We'll see.Danielle (55:21):That's exciting. Well, Phil, thank you so much. I'm going to stop recording. As always, thank you for joining us and at the end of the podcast, our notes and resources, and I encourage you to stay connected to those who are loving in your path and in your community. Stay tuned.Kitsap County & Washington State Crisis and Mental Health ResourcesIf you or someone else is in immediate danger, please call 911.This resource list provides crisis and mental health contacts for Kitsap County and across Washington State.Kitsap County / Local ResourcesResourceContact InfoWhat They OfferSalish Regional Crisis Line / Kitsap Mental Health 24/7 Crisis Call LinePhone: 1‑888‑910‑0416Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/24/7 emotional support for suicide or mental health crises; mobile crisis outreach; connection to services.KMHS Youth Mobile Crisis Outreach TeamEmergencies via Salish Crisis Line: 1‑888‑910‑0416Website: https://sync.salishbehavioralhealth.org/youth-mobile-crisis-outreach-team/Crisis outreach for minors and youth experiencing behavioral health emergencies.Kitsap Mental Health Services (KMHS)Main: 360‑373‑5031; Toll‑free: 888‑816‑0488; TDD: 360‑478‑2715Website: https://www.kitsapmentalhealth.org/crisis-24-7-services/Outpatient, inpatient, crisis triage, substance use treatment, stabilization, behavioral health services.Kitsap County Suicide Prevention / “Need Help Now”Call the Salish Regional Crisis Line at 1‑888‑910‑0416Website: https://www.kitsap.gov/hs/Pages/Suicide-Prevention-Website.aspx24/7/365 emotional support; connects people to resources; suicide prevention assistance.Crisis Clinic of the PeninsulasPhone: 360‑479‑3033 or 1‑800‑843‑4793Website: https://www.bainbridgewa.gov/607/Mental-Health-ResourcesLocal crisis intervention services, referrals, and emotional support.NAMI Kitsap CountyWebsite: https://namikitsap.org/Peer support groups, education, and resources for individuals and families affected by mental illness.Statewide & National Crisis ResourcesResourceContact InfoWhat They Offer988 Suicide & Crisis Lifeline (WA‑988)Call or text 988; Website: https://wa988.org/Free, 24/7 support for suicidal thoughts, emotional distress, relationship problems, and substance concerns.Washington Recovery Help Line1‑866‑789‑1511Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesHelp for mental health, substance use, and problem gambling; 24/7 statewide support.WA Warm Line877‑500‑9276Website: https://www.crisisconnections.org/wa-warm-line/Peer-support line for emotional or mental health distress; support outside of crisis moments.Native & Strong Crisis LifelineDial 988 then press 4Website: https://doh.wa.gov/you-and-your-family/injury-and-violence-prevention/suicide-prevention/hotline-text-and-chat-resourcesCulturally relevant crisis counseling by Indigenous counselors.Additional Helpful Tools & Tips• Behavioral Health Services Access: Request assessments and access to outpatient, residential, or inpatient care through the Salish Behavioral Health Organization. Website: https://www.kitsap.gov/hs/Pages/SBHO-Get-Behaviroal-Health-Services.aspx• Deaf / Hard of Hearing: Use your preferred relay service (for example dial 711 then the appropriate number) to access crisis services.• Warning Signs & Risk Factors: If someone is talking about harming themselves, giving away possessions, expressing hopelessness, or showing extreme behavior changes, contact crisis resources immediately.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that. Well, first I guess I would have to believe that there was or is an actual political dialogue taking place that I could potentially be a part of. And honestly, I'm not sure that I believe that.

With David Erlinge and Sasha Koul, Lund University, Lund - Sweden Read the European Heart Journal paper Read the European Heart Journal editorial

This study examined outcomes of patients with atrial fibrillation treated with pulsed field ablation (PFA) and found a notably high incidence of phrenic nerve injury during the procedure. Most injuries were transient, but some persisted beyond the immediate peri-procedural period, raising concerns about long-term safety. The findings highlight the need for refined techniques and monitoring strategies to mitigate phrenic nerve injury risk with PFA. Please join host Michael S. Lloyd, MD, FHRS as he discusses the finding of this study with his guests Andrea M. Russo, MD, FHRS and Birju Rao, MD, Msci in Atlanta at the HRX Live 2025 conference. Learning Objective:  Examine outcomes of patients with atrial fibrillation treated with pulsed field ablation (PFA). Article AuthorsLouis Chéhirlian, MD, Linda Koutbi, MD, Julien Mancini, MD, PhD, Jérôme Hourdain, MD, Robin Richard-Vitton, MD, Marie Wilkin, MD, Jean-Claude Deharo, MD, Baptiste Maille, MD, PhD, Frédéric Franceschi, MD, PhD  Podcast Contributors Michael S. Lloyd, MD, FHRS | Emory University Andrea M. Russo, MD, FHRS | Cooper University Health Care Birju Rao, MD, Msci | Emory University Contributor Disclosure(s): M. Lloyd:   •Membership on Advisory Committees: Boston Scientific •Speaking/Teaching/Consulting: Medtronic, ArgaMedtech, Circa Scientific   B. Rao •Nothing relevant to disclose. A. Russo: •Honoraria/Speaking/Consulting: Pacemate, Abbott Medical, Medtronic, BiosenseWebster, Inc., AtriCure, Inc., Bayer Healthcare Pharmaceuticals, Boston Scientific •Research: Medtronic, Boston Scientific, Abbott, Bayer Healthcare Pharmaceuticals •Royalty Income: UpToDate,Inc. •Fellowship Support: Medtronic, Inc.   Bonus video of this episode, recorded at HRX Live 2025 in Atalnta, can be found on HRS365 and the HRX Innovation Hub.

In this episode of Quality Talks with Peggy O'Kane, Peggy welcomes Anna Taylor, Associate Vice President for Population Health and Value-Based Care at MultiCare Connected Care in Tacoma, Washington. From the outset, Peggy is captivated by Anna's clarity, conviction and optimism. Anna doesn't just understand the technical challenges of digital transformation—she makes them accessible and inspiring. With a natural gift for storytelling and empathy for patients and providers alike, Anna explains why interoperability and value-based care are not just buzzwords but essential pathways to a better system. Anna's personal anecdotes, including her father's experience with AFib, bring urgency and humanity to the conversation. Peggy calls Anna an ally in the movement for quality, and it's easy to see why: Anna's vision is practical, inclusive and motivating.Listen to learn about:Embracing Imperfection to Drive Innovation: Anna challenges the perfectionist mindset in the quality world, advocating for iterative improvement and a willingness to try, fail and learn.Reengineering Workflows for Better Care: Anna has a specific vision for redesigning administrative tasks like prior authorization so clinicians are free to focus on meaningful patient interactions.Proving the Power of Web-Based Reporting: Anna discusses an initiative that shows how API-driven reporting can scale quality measurement affordably and accurately.This episode will resonate with clinicians, policymakers and technology leaders who are eager to rethink how care is delivered—and who appreciate the power of clear, passionate communication to drive change.Key Quote: I know there's a better way to do this because you can see it in your mind how it can flow. It's just not the culture that's built into a fee-for-service world. We have to go on a cultural journey and exploration on why we're really here to do this work and figure out how do we get to those workflows that are going to: Number one, give us more space in our schedule for patients. Number two, get the patients who need the most care, be able to stratify patients and be able to monitor more. Getting that cultural mind shift is hard. And the quality outcomes could be better if we can get all this data together to make better decisions about a care plan. I'm really thankful for my dad's ability to outlive his father and so on because of modern medicine. We can do better. We can do so much better in the care we provide our patients.-- Anna TaylorTime Stamps:(06:22) Value-Based Care and Misaligned Incentives(09:45) Anna's Story: Technology, Data, and Her Father's Care(12:48) How Digitalization Helps Primary Care(17:59) Embracing Imperfection and Driving Innovation(27:45) Peggy's ReflectionsLinks:Connect with Anna Taylor Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Atrial fibrillation, or AFib, is the most common heart rhythm disorder though many people don't even know they have it. In this episode of Baptist HealthTalk, Dr. Brian Wilner, electrophysiologist at Baptist Health Miami Cardiac & Vascular Institute, explains how AFib is detected, who's most at risk and why untreated AFib raises your chances of having a stroke.You'll also hear what AFib feels like, the latest treatment options - from medications and ablation to the WATCHMAN device - and how lifestyle choices like exercise, sleep and alcohol can impact your heart health. Think you might have AFib? Talk to your cardiologist or an electrophysiologist about testing and treatment. Host:Willard ShepardAward-Winning JournalistGuest:Bryan Wilner, M.D.Cardiac ElectrophysiologistBaptist Health Miami Cardiac & Vascular Institute

Flossing takes only minutes yet slashes health risks, with regular flossers showing up to 44% lower odds of certain strokes and reduced chances of irregular heart rhythms Long-term research following more than 6,000 adults found flossing even once a week is linked to healthier arteries, fewer strokes, and protection against atrial fibrillation (AFib), a dangerous heart rhythm disorder Scientists concluded that flossing itself stood out as protective, offering benefits independent of brushing, dentist visits, or other lifestyle habits that usually influence cardiovascular and overall health outcomes Gum bacteria that escape into the bloodstream trigger inflammation, artery hardening, and clots; flossing interrupts this chain reaction, giving your heart and brain measurable protection over time Beyond heart health, studies show flossing daily reduces all-cause mortality by lowering systemic inflammation, suggesting this habit not only extends life but also safeguards brain function and memory

Contributor: Taylor Lynch, MD Educational Pearls: What is atrial fibrillation with rapid ventricular response (AFib with RVR) and how does it differ from atrial fibrillation (AFib)? AFib is an abnormal heart rhythm in which the heart has disorganized atrial electrical activity. This causes the atria to quiver with only select signals being conducted through the Atrioventricular (AV) Node to reach the ventricles and result in ventricular contraction. Often described as “irregularly irregular”, a patient's EKG will present with no discernible P-waves, and irregular R-R intervals. AFib with RVR is distinguished from AFib when the patient's ventricular rate is greater than 100-110 beats per minute in AFib with RVR. What is the treatment for AFib with RVR? Diltiazem is considered one of the first line therapeutic agents in the treatment of AFib with RVR. Diltiazem inhibits L-Type calcium channels in the AV Node, reducing the amount of signals conducted to the ventricles, thus reducing the ventricular rate. Why pretreat patients receiving Diltiazem for AFib with RVR with calcium? While diltiazem inhibits cardiac calcium channels, it may also cause peripheral vasodilation, resulting in diltiazem-induced hypotension. A recent study found that this hypotension can be blunted by pretreating with 1-2g IV Calcium Chloride (IV Calcium Gluconate can be used in the ED). Calcium is thought to peripherally stabilize the vascular smooth muscle, preventing vasodilation without impacting the desired calcium channel blocker action at the AV node. Key takeaways? In combination with slower pushes of diltiazem for patients in AFib with RVR (AFib with ventricular rate >100-110 bpm) with borderline low blood pressures, 1-2 g of IV Calcium Gluconate can combat diltiazem induced hypotension peripherally without negating the cardiac effect of diltiazem to reduce the heart rate.  References 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e1-e156. doi:10.1161/CIR.0000000000001193 Az A, Sogut O, Dogan Y, et al. Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. Am J Emerg Med. 2025;88:23-28. doi:10.1016/j.ajem.2024.11.033 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Get your tickets to Tox Talks Event, Sept 11, 2025: https://emergencymedicalminute.org/events-2/ Donate: https://emergencymedicalminute.org/donate/  

Dr. Dan Ackerman talks with Dr. Urs Fischer about the optimal timing of anticoagulation after ischemic stroke in patients with atrial fibrillation.  show reference: https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(25)00439-8/fulltext  

In this episode we discuss:   Jay Campbell, Hunter Williams, and Mark Bell's supplement stacks for staying insulin sensitive on the sugar diet   Whether using Metformin while on the sugar diet helps improve insulin sensitivity   The major differences between the sugar diet and the bioenergetic approach   Real-life examples of weight regain and other negative experiences after the sugar diet   Free Energy Balance Food Guide: https://jayfeldmanwellness.com/guide The Nutrition Blueprint: https://mikefave.com/the-nutrition-blueprint/ Theresa's Instagram: https://www.instagram.com/livingrootswellness/   Timestamps: 0:00 – intro  0:24 – the costs of metformin: mitochondrial toxicity, increased lactate, inefficient ATP production, and slowed metabolism  5:22 – is using Metformin a good idea on the sugar diet?  10:30 – the dangers of increasing FGF21 while on Metformin  13:53 – increasing FGF21 activity is counter to the bioenergetic view of health  20:23 – Hunter Williams' supplement stack for insulin sensitivity: metformin, Jardiance, retatrutide, and dihydroberberine  21:42 – the negative effects of Jardiance  24:59 – whether retatrutide and other GLP-1 agonists are healthy from a bioenergetic perspective  27:30 – whether there are any benefits to using medications like metformin, Jardiance, retatrutide, and dihydroberberine  31:54 – how increasing FGF21 with the sugar diet could lead to heart problems such as arrhythmias and atrial fibrillation (AFIB)  38:58 – does the sugar diet boost metabolic rate the same way the bioenergetic approach does?  46:27 – examples of how the sugar diet downregulates metabolism through stress  50:51 – the cumulative effects of stress: how much stress can we handle?  55:15 – how to recover from the negative effects of the sugar diet  58:24 – is stress beneficial? is it possible to avoid stress altogether?  59:51 – problems with dropping fat too low, especially in lean individuals  1:03:50 – the risks of rapid weight loss and the importance of keeping long-term goals in mind  1:08:02 – why cutting out entire macronutrient groups can backfire and what to do instead  1:11:20 – how extreme diets prime our bodies for weight regain  1:14:54 – real-life examples of weight regain after the sugar diet and why it happens  1:20:18 – is there a smarter way to do the sugar diet?  1:24:01 – are there legitimate benefits to the sugar diet? 

Dr. Dan Ackerman talks with Dr. Urs Fischer about the optimal timing of anticoagulation after ischemic stroke in patients with atrial fibrillation.  Read the related article in The Lancet.  Disclosures can be found at Neurology.org.