Podcasts about AHA

This week, primary care doctors Mark Ebell, Kate Rowland, Henry Barry and Gary Ferenchick discuss four new studies: whether water is better than diet drinks in diabetes, a new RCT of Paxlovid for COVID in contemporary patients, to switch or not to switch antiplatelet agents after a stroke, and the latest AHA 2026 dietary advice for heart health.Drinks for diabetes: ttps://pubmed.ncbi.nlm.nih.gov/41369640/ Antiplatelet agents after stroke on aspirin: https://pubmed.ncbi.nlm.nih.gov/41347302/ New Paxlovid trial: https://pubmed.ncbi.nlm.nih.gov/42019019/ AHA 2026 dietary guidance: https://pubmed.ncbi.nlm.nih.gov/41914202/

First, I want to give a big fat thank you to our friend Joan Kanner who hooked me up with Hazel, knowing this would be a great conversation! It's fun when things just line up really perfectly - for me, at least. Last week we heard from Austin French, of the More Than Outdoors podcast, and it was just chance that today we're learning from Hazel Stark, of The Maine Outdoor School - both in Maine, both focusing on outdoor activities. Seriously,  how fun is that? AND I had asked Austin what a State Guide does, because is co-host is a Maine Guide, but Hazel is as well, so I get to have my curiosity satisfied!Hazel, Naturalist Educator, Registered Maine Guide, and Wilderness First Responder is from Maine- she explored, as people do, and after studying in California for a year, she knew what she had to bring to Maine. Maine Outdoor school was born in 2016. Hazel's business partner left it to her after several years, and in 2025 Hazel became the sole Owner and CEO. The school offers classes for children and adults, but it is so much more - they offer public school programming, professional development, homeschool programs, virtual programming, outdoor adventures...Hazel shared some really profound things: one is a quote from Erin K Kenny "kids can't bounce off the walls if there are no walls." I've heard that many times, but it felt more meaningful in this container. She also says "If nature isn't being taught, it's being taught as not important." And also "Nature isn't a nicety, it's a NECESSITY."  SO much wisdom was shared here to note it all.I had a huge AHA talking with Hazel; growing up in a larger town in Maine, I didn't spend a lot of time outside - my sister and I watched a lot of Soap Operas after school instead of playing outside (insert shoulder shrug emoji), so I don't have a lot of experience, other than gardening - I said a few times here that I wonder if my life would be different now, had I had more of an outdoor influence...Learn even more about what's offered through the Maine Outdoor School here: https://www.maineoutdoorschool.org/Check out the Women for Healthy Rural Living site here: https://whrl.org/Maine Outdoor School on Instagram: https://www.instagram.com/maineoutdoorschool/Send me a message!Support the showLike this episode? Send me a message!Please follow the podcast on Instagram here YouTube channel Email me at amysgardenjam@gmail.com Amy's Garden Jam site (podcast has its own tab on this site!)Amy's email newsletter: How Do I Get There From Here by Jane Bolduc - hear more at https://www.janebolduc.com/Podcast cover by Becca Kofron- follow here on Instagram here https://www.instagram.com/skate_cute_but_loud/ and check out her awesome art projects. Grounded in Maine Podcast is hosted by Buzzsprout, the easiest podcast hosting platform with the BEST customer service! Learn more at https://www.buzzsprout.com/?referrer_id=1851361 You can support this podcast one time (or many) with the Buy me a coffee/Hot Chocolate link here: https://www.buymeacoffee.com/groundedinmaine Grounded in Maine Podcast is sponsored by ESG Review. Learn more about the good they're doing at https://esg...

The American Hospital Association and West Health Institute have launched a national accelerator focused on helping hospitals scale technology-enabled care solutions. The initiative will focus on electronic health record optimization, virtual care, and AI integration as health systems work to reduce administrative burden and improve care delivery. On today's episode, the AHA's Chief Physician Executive and Senior Vice President Chris DeRienzo, M.D., returns to the show. We examine what the accelerator could mean for health systems navigating clinician burnout, administrative burden, and growing pressure to modernize care delivery. You can find more information about the program at nationalaccelerator.org. Hosted on Acast. See acast.com/privacy for more information.

Had an AHA or Insight? Share it:Tarkan Salar on Living Inside an Unfinished TransformationTarkan Salar did not lose his business. He dismantled it. Deliberately, painfully, over eighteen months, canceling contracts, unwinding supplier relationships, letting go of nearly 2,000 employees, absorbing millions in losses, all while his marriage fell apart, his father died, and the people closest to him told him he was making a mistake.He had built a $50Mill dollar fashion company supplying H&M and major European retailers. Family members were on payroll. His identity, his relationships, his entire world was wrapped inside that company. He walked away from all of it because he could not do it anymore. He had no plan. He had a one-way ticket to Bali and left it all behind.The hustle part is done. What has not arrived yet is everything else.The people he thought were friends turned away the moment he stopped being useful. The family members he had carried for years are still angry. And Tarkan is in what he calls the void, no identity, no clear purpose, no confirmation that any of it is going to lead somewhere worth going. The next chapter is not here. He is living in the gap.In this conversation, Tarkan shares what it looks like to be inside that gap right now. The Sufism framework that helps him make sense of why everything was taken away. The 5am Club audiobook that cracked something open in Bali. The 12,000 hours of self-development that have compounded into something he is still learning how to bring into the world. And the honest admission that he does not know what comes next.Beate brings her own rawness to this one. Two people in the exact same spot, on different parts of the world, mapping the terrain of an unfinished transformation together.About Tarkan Salar.Tarkan Salar, is a consumer brand strategist, inventor, and operator with 26+ years building and scaling global fashion and consumer goods brands.Connect with Tarkan SalarWebsite| LinkedIn |Instagram_____________________We appreciate you, thank you for listening. Let us know in the comments what resonated in this episode, we want to hear from you. Leave a comment, like, share with one person who needs to hear the message our guest shared. Take our QUIZ and find out what your talent is worth in this market:  What's Your Talent Worth (http://WhatsYourTalentWorth.com)Follow us on Instagram:Check us out on Tik Tok: Work With Us

Season 15, Episode 397 revisits research and real-world practice showing movement is more than fitness: it activates the brain, boosts attention, enhances learning, and sustains motivation. Dr. Chuck Hillman's studies reveal how even short bouts of exercise light up brain activity, while Paul Zientarski's Naperville program demonstrates how heart-rate monitoring and purposeful movement improve readiness, recovery, and academic performance. In EP 397: Movement, Motivation, and Brain Activation with Dr. Chuck Hillman and Paul Zientarski, we explore why movement may be one of the most powerful tools we have for improving brain function, learning, motivation, and performance. In this episode, we cover: ✅ Why most children are not meeting the recommended daily physical activity guidelines and what we can do to change that. ✅ How exposing children to a variety of activities helps them discover movement they enjoy—and are more likely to continue throughout their lives. ✅ Why there is no perfect exercise program, and why the best exercise is the one you'll consistently do. ✅ How enjoyment, reward, and dopamine reinforce healthy habits and keep the Motivation Loop repeating. ✅ What Naperville Central High School learned from heart rate monitoring and how recovery impacts performance. ✅ Why peak performance requires both effort and recovery. ✅ How exercise changes the brain, improving attention, learning, memory, and cognitive performance. ✅ The groundbreaking research behind Spark: The Revolutionary New Science of Exercise and the Brain and how it changed the way educators think about learning. ✅ Why movement is not a break from learning—but one of the most effective ways to prepare the brain for learning. ✅ How movement fits into our Phase 2 Motivation Loop, helping transform motivation into action and sustaining long-term performance. The biggest takeaway? Movement isn't just exercise. It's activation. It's preparation. It's performance. When we move our bodies, we activate the brain systems responsible for attention, learning, motivation, and success. The episode highlights practical takeaways: expose children to varied enjoyable activities, prioritize consistency over intensity, use movement as cognitive preparation, and track recovery to protect motivation. Movement becomes a bridge between motivation and sustained performance—improving focus today and long-term brain health tomorrow. Welcome back to Season 15 of the Neuroscience Meets Social and Emotional Learning Podcast. I'm Andrea Samadi, and on this podcast, we bridge the science behind social and emotional learning, emotional intelligence, and practical neuroscience so we can create measurable improvements in well-being, achievement, productivity, and results. Movement, Motivation, and Brain Activation with Dr. Chuck Hillman and Paul Zientarski This week, we continue our journey through Phase 2: Neurochemistry and Motivation, where we've been exploring one central question: What drives sustained effort and forward movement? So far, we've learned that motivation begins with belief and meaning from Bob Proctor[i], is shaped by our thought patterns with Dr. Caroline Leaf,[ii] strengthened through attention and reward with Dr. John Medina[iii], and powered by the brain's dopamine-based motivation system through Dr. Anna Lembke's[iv] work. But today, we arrive at a fascinating question: What happens when we actually move? Because motivation isn't just something that happens in the mind. The brain was designed to work in partnership with the body. And according to our review of today's two guests, one of the most powerful ways to activate attention, learning, memory, and motivation is through movement itself. This week we're revisiting insights from two pioneers whose work helped transform our understanding of movement and learning. First, Dr. Chuck Hillman, one of the world's leading researchers on exercise and brain function, whose groundbreaking research has shown how physical activity improves attention, executive function, learning, memory, and academic performance from EP 123[v] back in April 2021. Next, we will review Paul Zientarski, the former Physical Education Coordinator and football coach at Naperville Central High School, (In Illinois) whose work with the school's innovative Zero Hour PE Program helped put Naperville on the map for extraordinary academic achievement. Alongside his colleagues at Naperville, Paul demonstrated that exercise wasn't simply improving fitness—it was preparing students' brains to learn. Together, Dr. Hillman provides the science, while Paul Zientarski helps to demonstrate what that science looks like in the real world. Their combined work shows us that movement is far more than a physical activity. It is a powerful tool for activating the brain, enhancing learning, improving focus, and supporting the motivation needed for sustained performance. In other words, movement is the bridge between motivation and sustaining our performance. Let's dive in with Dr. Chuck Hillman and discover the science behind The Power of Movement and Brain Activation. CLIP 1: Getting Kids Moving for Life Summary In this clip, Dr. Chuck Hillman highlights a growing concern: the vast majority of children are not meeting the recommended physical activity guidelines. Current recommendations suggest that children should engage in at least 60 minutes of moderate-to-vigorous physical activity each day, including aerobic exercise and activities that strengthen bones and muscles. Dr. Hillman explains that the challenge isn't simply knowing the guidelines—it's finding ways to engage children in movement when many adults aren't meeting the recommendations themselves. This is why childhood is such an important time to expose young people to a wide variety of physical activities, helping them discover forms of movement they enjoy and can continue throughout their lives. Key Takeaways ✔ Most children are not getting enough physical activity. Many young people fall short of the recommended 60 minutes of daily movement needed for optimal physical and cognitive development. ✔ Movement supports both brain and body health. Exercise is not just about fitness—it supports attention, learning, memory, emotional regulation, and overall well-being. ✔ Children need exposure to different activities. Not every child will enjoy the same sport or activity. The goal is to help them discover movement they genuinely enjoy. ✔ Parents and adults model behavior. Children are more likely to be active when the adults around them value and participate in physical activity. ✔ Early habits can last a lifetime. The activities children enjoy today often become the healthy habits they carry into adulthood. Tips to Implement Expose Children to Variety

What was that one moment that inspired you to become an entrepreneur? For some, it could be a transformative experience, a piece of life-changing advice, an AHA moment, an epiphany, or even a misfortune such as getting fired.  In this episode of The Greatness Machine, Darius takes a look back at his life before he became an entrepreneur – the time he almost got fired from his job at the White House and how at that moment he knew he would never work for anyone else ever again. This video walks you through his experience working for the Clinton Administration, handing out the President's schedule, and going through and responding to every single request the POTUS gets to come to an event. Two days into the job, Darius realized he didn't want a job and would rather become an entrepreneur. His election as the Social Chair of the interns, later on, became his ticket out of the administration job and all the paperwork.  Aside from having the honor to work at the White House, his ultimate goal back then was to get a picture with the President. When that did not happen at first, Darius made a rash move to write a massive email expressing his dismay, it almost got him fired.  That experience made him realize three things: 1) That you don't rock the boat, you respect the office; 2) That if you want to get out of the things that you don't like, go and create value for other people elsewhere; and 3) Darius learned that he can never have a job working for anybody but himself and that's how he became an entrepreneur. Connect with Darius: Website: https://therealdarius.com/ Linkedin: https://www.linkedin.com/in/dariusmirshahzadeh/ Instagram: https://www.instagram.com/imthedarius/ YouTube: https://www.youtube.com/@Thegreatnessmachine  Book: The Core Value Equation https://www.amazon.com/Core-Value-Equation-Framework-Limitless/dp/1544506708 Write a review for The Greatness Machine using this link: https://ratethispodcast.com/spreadinggreatness.  Learn more about your ad choices. Visit megaphone.fm/adchoices

865. The USDA unveiled the 2025–2030 Dietary Guidelines for Americans, and the "Inverted Pyramid" has been sparking a lot of discussion. After a decade of MyPlate, why is the government returning to a pyramid visual—and why is it upside down?In this episode, Monica breaks down the major shifts in the new US guidance, including:The protein pivot: Why protein is taking center stage and what it means for your health.The plant-based omission: Why beans and legumes were left out of the new visuals despite the scientific evidence.The global gap: How the new US pyramid compares to the UK's Eatwell Guide and Canada's food plate.AHA vs. USDA: Why the American Heart Association is issuing its own "course correction" on salt and saturated fat.This episode will help you navigate these changes without losing sight of common-sense nutrition.Nutrition Diva is a Quick and Dirty Tips podcast, hosted by Monica Reinegal.New to Nutrition Diva? Check out our special Spotify playlist for a collection of the best episodes curated by our team and Monica herself! We've also curated some great playlists on specific episode topics including Staying Strong as We Age, Diabetes, Weight Loss That Lasts and Gut Health! Also, find a playlist of our bone health series, Stronger Bones at Every Age. Have a question for Nutrition Diva? Email: nutrition@quickanddirtytips.comFind Monica at wellnessworkshere.comDiscover more from Nutrition Diva:Facebook LinkedInNewsletterTranscripts available at QuickandDirtyTips.com. Hosted on Acast. See acast.com/privacy for more information.

An Aha moment that felt worthy of a share!

What if the problem isn't your strategy, your people, or your tools, but the lens you're looking through? In this first conversation with Andrew Stotz, quality educator Balaji Reddie explains why so many organizations chase Deming's 14 Points and prizes but miss the philosophy underneath. He also gets into what changes once you start seeing your organization as one connected system. There are a few surprises along the way, like why his employees actually celebrated the day he got rid of performance appraisals. 0:00:01.9 Andrew Stotz: My name is Andrew Stotz and I'll be your host as we continue our journey into the teachings of Dr. W. Edwards Deming. Today I'm here with featured guest Balaji Reddie, who is an educator and trainer in teaching of Dr. Deming and quality management generally. Now the topic for today is a deeper perspective of the teachings of Dr. Deming. Balaji, how are you?   0:00:29.6 Balaji Reddie: I am fine. It's wonderful to see you this morning. I have been looking forward to this for quite some time now.   0:00:37.0 Andrew Stotz: Yeah. In fact, we've been talking back and forth in the past and then we had a meeting recently to get going on this because you've got so much to share. And one of the things I just said is a deeper perspective on the teachings of Dr. Deming. Maybe you could just give a little background of yourself for those people that have never heard of your journey. Maybe tell us a little bit about your journey, the Deming journey, as well as what you're doing now.   0:01:02.2 Balaji Reddie: All right. So I am an electrical engineer by profession and my first job which I got was in a lamp, a bulb manufacturing company which made automotive lamps. And that's where I chose to be in the quality department because I was being shunted around in all the different departments and the owner of the company asked me, "Where would you like to be?" and I said, "Quality." I don't know, when I look back why I chose. I think it appealed to me as an engineer and also the fact that I wanted to be a manager. It combined engineering and something to do with managing people. I don't want to sound dramatic, but I don't think I chose quality, I think quality chose me. But what I did after that was conscious. I did a postgraduate diploma in quality management, the first structured course in the country, and then went on to a Master of Science in quality management here in India.   0:02:00.2 Balaji Reddie: So that's been my journey here as far as working. I worked a lot. I used to teach part-time, but I made this switch 20 years ago to be an educator primarily and decided to put all my focus into creating the next gen of managers. At the same time, during the bit of a free time that I have, I do consult, but that's not the core profession of mine. So, yes, I'm an educator and a trainer. You can say that. I teach quality management, anything to do with operations, supply chain, et cetera, but there's always been a Deming slant to it. Along with that, I've also liked to... Because I went into the works of Dr. Juran, I got a good chance to meet with him and be in touch with him. It was only the last six years of his life, but I think he had very little time to give me, but he gave me time. So I have a good perspective of both these gentlemen. And if you know quality, they're the pioneers.   0:03:01.5 Andrew Stotz: Yeah. And I'm curious, when you first started out with the degrees and the, as you mentioned, getting a diploma and then a master's, was Deming front and center in there or was that a secondary thing? What was it like in the beginning?   0:03:19.6 Balaji Reddie: Oh, my entire focus was actually Deming. I needed to be qualified in that. I wanted to qualify myself in quality, that's what I meant here, because there was no... I was looking for a structured course on the subject. You had these training programs, certificate courses, but this one caught my attention when they said we have a diploma in quality. And part of the course was we had to, there was a project like a dissertation, and we had to show how we implemented this in our companies where we were working. And for those who were not working, they were provided companies where you go and actually implement these. So it was a win-win. So the company gained and you gained. That's how it was. That's what I liked about that course. Same with the masters. It was a complete two-year course. This was a year-and-a-half or three semesters. That was more elaborate, the masters. So, yeah.   0:04:18.0 Andrew Stotz: And what is the state of Deming and the teachings of Dr. Deming in India? We know that many companies in India have implemented the teachings of Deming over the years. But of course, there's a lot of people that just know nothing. I'm just curious, what is the state right now as far as the teachings of Dr. Deming?   0:04:40.3 Balaji Reddie: Oh, I'd like to... Just a slight correction there. We have the highest number of Deming Prize winners, but that does not necessarily mean that they're implementing the teachings of Dr. Deming. In fact, many of them after having got the prize... I worked in a company, we were suppliers to one of them. And when they came to do a vendor assessment to our factory, obviously there's a lot of buzz. Everyone in the company, they called me the Deming man. They used to call me that. And so when these guys came down and they were talking and when they gave their business card which had the Deming Prize logo, so they said, "Oh, we have... You know, Balaji is here and he's our Deming man." So who's he and what is this? And so they came and met me and they said that, "We got the Deming Prize." I said, "Excellent." But I said, "Just because you got the Deming Prize, I mean, have you worked on the Deming philosophy?" "Isn't this the same?" And I said, "No." And I, of course, joked with them, and they said, "So how do we learn?" And I said, "Pay me." [laughter] Anyway, yeah, then we got talking and they realized that there was such a big gap in what they were doing. For instance, when I spoke to them about performance appraisals and having quotas and things like that, they were like, "What?"   0:06:04.9 Andrew Stotz: Interesting. And when we talk about the Deming Prize, when I asked you that, we're talking about the Deming Prize which is offered by the Union of Japanese Scientists and Engineers through their Deming Prize Committee. This isn't something done through the Deming Institute.   0:06:12.3 Balaji Reddie: No.   0:06:19.7 Andrew Stotz: Yep. Okay. And do people study Deming there in India anymore or is it fading out or...   0:06:26.7 Balaji Reddie: Well, yeah, that's what I said, they do know. The good part is that because of the fact that the Deming Prize winners are there, at least they know about Dr. Deming. And then they're curious to know, "Oh, what did he teach?" Because again, they've been given that perspective that he taught, well, wrongly, PDCA, and he focused on the 14 points. And then when they read the 14 points and then they get... Because when you read it just without understanding, you can actually... It can put off certain people. You may get a little repulsed and say, "Oh, my God, what's he saying?" But then there are certain people who get intrigued and say, "Wait a minute. This is challenging. He's saying that we need not have quotas? Then how are you going to get work done?" And that's where the questioning begins. And there have been normally these trends where some companies where they called me over, I shall not name one of them, one of the students I was teaching in class and I was talking about the 14 points, and then she comes up to me and she says, "I've spoken about you to my father, and he's working in this company, and they're going for the Deming Prize. He wants to meet you." And then she brings him to the college the next morning and then we had a lovely discussion. And he said, "We've been discussing the 14 points." And I said, "You know what? You're putting the cart before the horse. You need to discuss profound knowledge first." So he said, "I'll put you in touch with my HR, the human resource." And then that lady got in touch with me, then we had a good chat and I explained to her and she understood very quickly. Incidentally, Andrew, that's something very amazing, when I speak about these things to the HR people, they take to it like a fish takes to water. They say, "You're right. What can we do about appraisals? Appraisals are wrong." But they also know they're shackled. They do not have the authority to break and come out of it. There have been some cases where they've been bold enough, but many of them... That's one of the things I've seen over these last 20 years that I've been teaching, that everybody principally agrees, but they also say that we're bound by it.   0:08:37.6 Andrew Stotz: That reminds me when I attended my first seminar when I was 24, and I was very intimidated by all the people in the room. I was just fresh out of university, working at Pepsi in Los Angeles. I flew into Washington, D.C., and so I sat right in the front row and I just decided I'm not gonna look at anybody behind me because they're all bigwig executives. But then when I heard Deming really show no mercy and really be tough to them, I was like, "Wow, wow, this is interesting." And he was getting to the... As a factory supervisor, which is what I was at Pepsi, I could just see he was getting to the heart of the matter. And so, yeah, a lot of things are very obvious to people in the factory, but then it's the leadership that is an issue. I'm curious when we think about... Let's imagine that someone listening to this has never heard of Dr. Deming and it's their first time, they stumbled upon this, they're hearing you speak. They're gonna ask the question, "Why does this matter? What benefit do I get from this?" How would you describe that to someone who knows nothing about Dr. Deming and his teachings?   0:09:59.3 Balaji Reddie: Oh, well, when you start getting aware of what this man had to say, let me tell you, when you start actually getting to it, you'll find that what you've been missing all this time in life. And then when you actually get to implement this, it'll be way, way better than where you are right now, sometimes totally in a very, very different direction. And you begin to realize that you had an illusion of knowledge, that you thought you were correct, and then suddenly a new perspective comes in. Just to make a point here, I don't want to be boastful about this, but I'm really proud to say this, that in all the companies that I worked, I removed performance appraisal. None of the companies I worked in had performance appraisal. And the day we removed it in one of the companies, there were actually celebrations.   [laughter]   0:10:56.7 Andrew Stotz: Yeah. Which for many people listening that don't know anything about the teachings of Dr. Deming may think, "That's crazy, because I thought that we run business through performance appraisals, KPIs, and the like." One of the ways I was thinking when you were just speaking was it's a little bit like Deming's... You're a fish, and Dr. Deming is a guy that's gonna come up and tell you, "Oh, by the way, you're surrounded by water." And you're like, "Wait, what do you mean? What's water?" And then all of a sudden he brings this awareness like, "What am I swimming in? I am swimming in something, and it's called water." And it's like everything that's going on, the concept of how we learn, the concept of variation, the concept of psychology, it's like all of these are foundational things that we've been swimming in, but we really haven't been paying attention to. And I think he woke me up to a lot of that. So what should we talk about today? What do you got on your mind?   0:11:55.7 Balaji Reddie: Well, I presume that the audience would be someone who's read about Deming, or if they have not read, I can go it either way.   0:12:05.9 Andrew Stotz: Yeah, I mean, I would say just let's go into what your learnings are and what you want to teach us today and share with us, and then people can follow along.   0:12:17.4 Balaji Reddie: All right. So let's begin with what he meant by Profound Knowledge, because that was something he put together only towards the end of his life. I'm reminded of a few things that led to me thinking about these things. One of the very first books that was written on him was by Mary Walton, The Deming Management Method. And with due respect, she was an excellent journalist, and so she followed him around. Everyone was intrigued to know who this man is because he had just gained popularity. If Japan Can... Why Can't We? And so she wrote this book, I think as early as '84, if I'm not mistaken. And she followed him around for almost three years before she actually published the book. So she attended four-day seminars, and she's trying to understand what this man was. So the biography bit of it was very nice. But if you go there in the preface and in one of the chapters, there's a very interesting conversation where she says, "I asked Deming that why don't you set up a body, an organization? Why are you doing this all alone?" And he didn't say a word to her, and he just mentioned to her, "I'm good." So I believe he was still looking for the answers to offer something to the world. He had it all in uncoordinated stuff here and there, but that came much later, I think in 1989, when he finally put it all together and called it Profound Knowledge. Because that was when a year, a month or so before he passed away, he set up the Deming Institute. I think he thought he was ready now to leave behind a legacy that others could build upon, right?   0:14:08.0 Balaji Reddie: And so that he called it... Again, I'm looking for the missing link here—. Apparently, when he wrote it, as he called it deep knowledge, but it was someone who gave him the word profound, and that's how the name stuck. So I'm still trying to find out who did that. I saw this in one of the letters to Henry Neave, where he was writing to all of his colleagues, he called them, and taking feedback from them. And in that, he said that, "I profess this is deep, this is wide." And somebody said, "It's profound." I forget. I really want to find out who it is. I asked Bill Scherkenbach, and he said, no, it wasn't him. Henry, of course, no. I asked Bill Latzko, and he said, "No way. I never said that." So I really don't know who said it, but he christened it "profound." And we all know now, it sounded very pompous to begin with when you hear profound, and then you say, "Wait a minute." When you start getting into it, you say, "He's right. There's no other word to describe this. It is profound." So what exactly is Profound Knowledge? Now, it's a different way of looking at things around you. And especially he designed this or created this for man-made systems, organizations that you and I work in, helping us to look at things differently, right? And that's why he said it's a different lens. And when you see things differently, you ask different questions, right? When you ask different questions, you get different answers. When you get different answers, you draw different conclusions. When you draw different conclusions, you take different decisions. And when you take different decisions, that's when you get different results. It's insanity to expect different results by asking the same questions every single time. All right.   0:15:53.8 Balaji Reddie: Now, what exactly is, again, what do you mean by this whole thing, the lens? He brought together four seemingly disconnected sciences, right? He never invented any single one of them, but he saw the interconnections. All right. And the four sciences, he felt that if you had good knowledge, working knowledge of these four sciences, you need not be an expert in them, just enough for you to understand what's going on around you. All right? And in no order of importance, he had his title for each of those sciences. One was he called it appreciation for a system, which I would like to say very simply is connectedness, right? Because when people say systems thinking, okay, then you have the systems thinking experts who jumped into the picture. And I think they were caught napping. To be quite honest, Andrew, I think the people from the world of management were suddenly caught napping, and the experts were completely caught napping because they realized they'd missed the bus. Here's this man who caught everything together and put it into place, right? And so when they were... When they said systems thinking, so the systems experts came in and started trying to find out, "Oh, but he missed out on this, and he's confusing this with that." That's where it is. Dr. Deming knew where to start. All right? He said, "Yes, of course, it's all about systems, appreciation for a system, the fact that nothing exists in isolation." So I would like to say connectedness. Everything's connected to everything. When you start having that systemic approach, you realize you're not dealing with events, you're dealing with eventualities, and that there are always a huge myriad of inputs that create the outputs that you see in front of your eyes, right? And there's so many other attributes that they're separated in time and space, et cetera. We can talk for this forever. But the short word here is connectedness. Second...   0:17:56.1 Andrew Stotz: And I would say that the systems experts retreated soon after because they're nowhere to be found when we look at it these days, because everything's divide and conquer.   0:18:07.6 Balaji Reddie: Yes. Yeah, because there were people like Russell Ackoff, Stafford Beer was mentioned many times, and then their books. Now, I went on to read their books and I found, yes, they were going deep, but Dr. Deming knew where to draw the line and said, "That's it. Please don't go beyond this," and it depends on where you are, what you want to study. So draw your line around that and say that's it. And I think that thinking came from the next science which I'm talking about, which is understanding of variation, right? Now, although we say understanding of variation and people talk about the control chart, I think that's just the manifestation. If you look at the philosophy behind it, what Walter Shewhart actually was trying to do was to draw a line between when to act on the process and when to leave it alone, right? He came out with... He demarcated, and that's where it turned into the control chart with data. But broadly, Deming started applying this everywhere, right? He said that there are some things which are in my control and some things out of my control, and so he drew a line. And same with systems thinking, that how big and how deep should I go? And that's why he said every system must have an aim. Without an aim... So the aim and the purpose decide where you're gonna stop. You can't just keep on saying, "Oh, yeah, finally, okay, the whole world is a system." Fine, great, I get that. But I'm trying to study this, okay? My company, my organization, this process, these people. So you draw the line and say, "This is my purpose, so let me restrict." Again, I repeat, he knew where to stop. People tend to go overboard. And so he always said, "Begin with the aim, begin with the purpose." The purpose is the reason the system exists, and the aim is the direction in which you're headed. So you keep going there, keep revisiting that to let yourself remind yourself that I need to stop right here. Okay, and that's it. When I come to it later, because he said... Coming to the third part of Profound Knowledge, where he said you must have a theory of knowledge.   0:20:13.4 Balaji Reddie: Now, when people hear the word theory they get very put off. At least in my country, the broad doctrine is that theory is the opposite of practice. And so they think that theory belongs to the books and theory belongs at home. And when you come into the company, we all believe in being practical, right? And as you go through what Dr. Deming had to say about theory, you realize theory is a guide to better practice. And all the great practitioners are actually theorists. It's just that they don't know it, and we need to remind them. I've had enough of experience on this in my own company. And I remember when I turned on the light bulb for one of the very, very senior people in my company, he went completely quiet. He did not say anything, but I loved the way he reacted or responded to this when he started doing things very differently after the interaction that we had once. So that's with theory of knowledge. And...   0:21:19.9 Andrew Stotz: And would you say that theory of knowledge, would you correct my description of it, which is that you need to have a method of... You need to understand how you acquire knowledge?   0:21:40.1 Balaji Reddie: Yeah.   0:21:40.2 Andrew Stotz: And you gotta figure out, because acquiring knowledge, for instance, as an individual, we can play around lots of different ideas and experiments and stuff like that, but acquiring knowledge within an organization is a much harder thing. And so first is the idea that there's a level of rigor that you need in an organization to make knowledge stick.   0:22:06.9 Balaji Reddie: I think it's more about awareness. When you become aware of how you're converting information into knowledge. When you... He makes you aware of that, right? Dr. Deming gets you aware, he makes aware, "Okay, okay, wait, what's happening here?" Now, that method and all turned out to be the Plan-Do-Study-Act, whatever you call it. But he helped you understand how you're doing this, right? And you become cognizant. You get your cognitive behavior, you get very aware of things happening around you, right? You start asking the question, "Why? Why is this happening?" And then you get to the bottom of it. "Oh, when I do this, I get this." And that's when it becomes powerful for you. And then you also, "When I do this, I do not get this." And the more the theory fails, the more powerful it gets for you, because you know where it fails. So that's the awareness thing. So connectedness, being aware of the fact that it's beyond just numbers. It's about where, the variation bit, the third bit is about awareness, like I said, about learning, and the fourth, of course, about people. And he said here that all of us are born with a learning system, right? Each one of us has a learning system, a system of learning, but every single one of us has a different system of learning. We learn differently, and we learn at different speeds, at different paces, right? And so understanding the learning process of a person and then putting that person on the right job, right? He said you have to stop that person from working, and that's where joy in work comes in. People enjoy their work. I think the bottom line there is empathy when you start understanding why people do what they do, whether it's your people in the company, the customers, your suppliers, the entire system. So he says the learning process of every person needs to be understood. You want to control the market, you need to understand what makes the customer tick. You want to keep the suppliers with you, you want to understand what makes the suppliers tick, right? And what makes them tick.   0:24:23.3 Balaji Reddie: So that's the fourth part, which I would put as the word empathy. Trying to empathize. So putting this all together, he said that's what he called as Profound. So if you look at it in a broad sense, connectedness and empathy are very philosophical, and the variation and theory are very scientific. So he wanted us to be scientific and philosophical simultaneously. It's not either-or, it's and. And that's difficult to do, right? You have the big divide. You have a set of people who say, "Oh, I believe only in data. Show me the data, show me the results." And then there's a whole other set of people who says, "You gotta feel. You gotta feel for the company. Motivate." Yeah, but neither is wrong, but neither is complete. And this is complete. So this is where I found that I think we could begin, that we need to look at all these four sciences together. And of course, then came the 14 points which he laid out for us. Now, these 14 points, now if you look at them, because I just discussed the four... Of course, I've not gone into depth of each of the sciences, but I think good enough to understand what we are trying to deal with here, then you'd see that the 14 points are actually 14 consequences of this way of thinking. That you don't try to do the 14 points. When you start thinking this way, you end up with the 14 points, right? And there are some things which need to be done, right, and we need to start somewhere with this. And one of the main things that he always said is that people need to be educated about this, that people need to learn about this. And so education and training is important even when it comes to profound knowledge. And he said someone has to take the lead, all right? Someone has to get things done. And so that was his point number 14, that create a critical mass of people in the company that understand, believe, and will work towards these 14 points, right? So I'm gonna begin right there.   0:26:43.1 Andrew Stotz: I was just thinking about his saying, "One need not be an expert in any one point, [chuckle] any one of these areas." With the System of Profound Knowledge, the more I've studied it recently, which I've been working on a project recently where I had to go back to the System of Profound Knowledge, you really see that he's trying to provide a coherent, holistic system.   0:27:16.1 Balaji Reddie: Yes. I call it as a theory of leadership and management.   0:27:23.6 Andrew Stotz: Yeah. And then you start to realize that if you can understand these four things, which isn't that... It doesn't have to be that complex, it can be pretty amazing. And I know one part of my business is investing, which I do on behalf of my clients. And one of the things that makes me stand out as unique is that I don't get distracted by the random variation in the markets. And so that doesn't mean that I'm gonna get it right all the time, but what it means is that my mind is much more clear when I understand. And as I tell people about variation, I say, if you think about just your birth, the beginning of your life is a random event. You had no influence over that, who you were born of. And therefore we at least know that randomness plays one role in your life. But when you start exploring the possibility that randomness is all around you just like water, it just wakes you up and you start to realize, "Aha, I've been reacting to things," and punishing and rewarding and all of that stuff that's happening in companies. And what I'm really doing is I'm just chasing my tail. Or as Dr. Deming would say, putting out a fire. A man could run... A manager could run... Could put out fires their whole career and never improve the system.   0:29:02.8 Balaji Reddie: Yeah. A lot of activity, no work.   0:29:04.5 Andrew Stotz: Yeah.   0:29:06.2 Balaji Reddie: Okay. Incidentally, when you said about investing, one of my students who did something fascinating, I've yet to get to the bottom of it, I never sat down and asked him how he did it, but he used control charts for the stock market. And one day he explained to me, he was trying to rather, because I never... I'm not into all of that investing. That's done by my wife. I just sign the papers and she puts it in. So I... I mean, I might as well be shown the Constitution and say, "Okay, this is what it is," you know? But yeah, so he... I remember sharing with him and he said, "Can I use this for stock market?" I said, "Look, son, I don't know how this works, but I presume what you can do is this. If you had yesterday's Sensex numbers and you have today's, then you can draw a control chart for the differences, you know? And then you get an upper limit and a lower limit. And then if today's closing is so much, it can rise up to the upper control limit, that is the difference. You can add the difference to today's closing and say it can rise to so much, it can fall by so much, and likewise to the lower control limit." And then his eyes just lit up and he said, "I know what to do." And that was it. And I didn't meet him for a week. And a week later, I meet him and he says, "I want to show you something." And he opened his laptop and there were control charts all over the place and I just couldn't figure out, "So what was all this?" And then he said, "I've been following these. There are some blue chip companies and there are some..." I don't know, I don't understand these things much, but he said that, "I'm drawing a control chart for these and so I know that when it crosses the upper control limits, that's the max I can get for the share, so I sell."   0:30:55.7 Andrew Stotz: Yeah. I mean, the hard part... The stock market is purely random most of the time and it's a challenge. But one of the things... I gave a speech to my investors and I did control charts and I did it as a way of helping them understand the markets.   0:31:04.2 Balaji Reddie: Okay.   0:31:12.7 Andrew Stotz: To predict the markets is hard.   0:31:15.7 Balaji Reddie: It's hard.   0:31:16.4 Andrew Stotz: But the control chart allows us to kind of.. It allows us to understand that most of the variation is just normal ups and downs.   0:31:24.8 Balaji Reddie: Yes.   0:31:26.5 Andrew Stotz: And so don't freak out about it. That's the first thing that really helps me. So that area of variation I find very fascinating.   0:31:34.7 Balaji Reddie: Very fascinating. I used it for COVID data, by the way. And there was a lot of criticism about that, but I knew I was going in the right direction because I was plotting the charts for the percentage positive and not the number of cases that were being tested positive every day. And so if the percentage positive lay within limits, then we were safe. I mean, everyone wants a zero, I get that. But I'm just saying here, having said that we're collecting the data and we are turning out so much of positive every day, then it should lie within certain controllable or predictable limits. And when it crosses the limit is when we get a little worried. And that's what I used this for initially. I remember it was Lloyd Provost who stood by me, whereas the other practitioners were saying, "No, you cannot use control chart for COVID and for data and for epidemic and pandemic." Whereas Deming himself used it for an epidemic of cholera somewhere. I read it in his work and where he used the c-chart and he saw that areas where the points were outside limits and then they tested the water and well, well, whatever it was, it turned out to be that he found the special cause and blah, blah, blah. So that's what gave me the idea of using the control chart for COVID and it was quite fascinating.   0:32:56.5 Andrew Stotz: Yeah. Yeah, unfortunately there wasn't a lot of independent thinking during that time.   0:33:02.5 Balaji Reddie: Yeah. [laughter]   0:33:03.0 Andrew Stotz: Real serious groupthink at that time. So I had my experience in my PhD research and my job as an analyst all my life where... And I teach my students believe nothing, believe no one, demand evidence. And so I'm constantly digging and that's just the heart of being an analyst. But when I go back... I want to go back to when I was starting at Pepsi. The reason why my boss recommended me to go to the Deming seminar was simple because I knew how to work a computer. And that was 1989 when I went to work at Pepsi. And what I had, all of these loaders that were loading up trucks with Pepsi each night. We would load about 80, 90 trucks each night. And in the heat of the summer, we would work till 2:00 or 3:00 in the morning, but generally we would finish at 11:00 or midnight. But they were just... I would go to the drivers in the morning and then the drivers would come back in the afternoon and complain that the product that they needed was not on the truck. And there was just... And I went to the loaders, they go, "I put it on the truck. I don't know what you're talking about." And so there was this battle between the night loaders and the truck drivers. And so what I just did originally was I just started... I did inspection. The first thing I did is I said, "Look, before you close the doors on the trucks at night, I just want to count myself to understand what's happening here." And then I started keeping a record of that and I put that in Excel, it was Lotus 1-2-3 at the time, and then I put up charts of each person's error rate each night. And so we had a long chart. And I never actually even told them what I was doing, I just put up on the wall. And then they started looking at it over time and talking about it and then asking me questions. And it wasn't for the purpose of blaming, it was the purpose of just understanding.   0:35:01.2 Andrew Stotz: But then what we really started to see was that some people were much more accurate than others. And then we started to ask the question, "Well, how are they doing it?" And then they explained how they kept records of what they were doing and all that. And so we started to see that we could improve this. And we started to improve those numbers quite dramatically until we got to the point where I told the loaders when they were done that they were to lock the trucks and seal them and the drivers were not allowed to open them. They had to take them as is. And when everybody realized we really have to build from the beginning that this is loaded right, then we started to have massive efficiency. In the number of... Let's say you have 50 or 100 truck drivers that come in at 5:00 in the morning. It could take you till 9:00 AM to get them out the door if they've got problems and they're checking their trucks and all that. But if you've got it set right and you've done it right, we were able to rush people through the door and the drivers would get out to the LA freeways much earlier and that makes a difference for the whole day. So that was my first experience with it all. And then my boss just said, "Well, seems like you know about statistical quality control." I said, "I have no idea. I have no idea what that is." But he said, "You should go to Washington, D.C. And study with Dr. Deming." And that's my little story.   0:36:20.4 Balaji Reddie: Oh, wow. Okay.   0:36:21.6 Andrew Stotz: So how would we... What's the best way to wrap this up and think about what somebody who doesn't really necessarily have experience with the System of Profound Knowledge, you've given them some good overview. What would you like them to take away from this?   0:36:39.2 Balaji Reddie: Well, if you have now come to know about what this is, I think you could go to the W. Edwards Deming Institute website and you could subscribe and start looking into the learning pathways, systems thinking, there are a lot of catalogs available there and they've done a great job of putting things together. So they could do that reading, of course, you need to start reading, but the danger in reading Dr. Deming's work is it could put you off sometimes. And I would recommend a good place to start reading and understanding the Deming philosophy would be Henry Neve's book, The Deming Dimension. It's a very good start, one of the best introductions. You could always build upon that. So along with having Out of the Crisis, The New Economics, and Essential Deming, which was put together by Joyce Orsini, these are the three essential Deming books which contain papers, his own works, and then use Deming Dimension as a guide, so to say. You could read the books together and you could read profound knowledge to begin with. And once you get a good idea about what there is, then the question comes is where do we start? And that's where I just ended by saying that we start at point number 14 about creating a critical mass and take on leadership, right? So somebody has to take the lead. So what we could do is, I think the next time we meet, we could begin with that, how do we start? So we'll talk about the principles of leadership that W. Edwards Deming spoke of and what did he expect the leaders to do once you've decided or you've started seeing things differently and you say, "No, I need to do something about this. I need to start somewhere." And so we'll start with the principles of leadership. That's the way I look at it.   0:38:44.5 Andrew Stotz: Fantastic. Well, I look forward to our next conversation, how we can start to think about how we take this information and make a better world and make a better company, feel better. And so from everybody at the Deming Institute, I want to thank you again for this discussion. And for listeners, remember to go to deming.org and jump into DemingNext to continue your journey.   0:39:09.7 Balaji Reddie: Yes.   0:39:11.1 Andrew Stotz: It's an exciting tool. And this is your host, Andrew Stotz, and I'll leave you with one of my favorite quotes from Dr. Deming, and that is: "People are entitled to joy in work."

When you feel you've tried everything and nothing changes, your marriage may need a "lightbulb moment." On this Building Relationships with Dr. Gary Chapman, Dr. Emerson Eggerichs says there are twelve biblically sound truths couples describe as “Aha” or “Eureka” moments that change everything. If you need some help and hope for your marriage, don’t miss Building Relationships with Dr. Gary Chapman. Featured resource: Lightbulb Moments in Marriage: 12 Biblical Perspectives for Successful and Satisfied CouplesDonate to Moody Radio: http://moodyradio.org/donateto/buildingrelationshipsSee omnystudio.com/listener for privacy information.

Writing and publishing in today's world is NOT as hard as most believe. To “ease the overwhelm and stress,” preparation in doing your research is part of the formula. Joining Judith Briles today is Barb Wilson, an author herself, and an editor with over 30 years of working with authors and editing their manuscripts. Think of this session as Fire Horse Writing and Editing! -Make sure your manuscript is in the best shape possible BEFORE moving it to your editor. Ditto, if you are submitting to an agent for representation. -Always read comments on Amazon that are 3-star and below for grumbles by readers—what is missing? -Never stop learning about the craft of writing. -Pay attention to trends. -Even if the genre you write in is not trending—just keep writing. There are plenty of followers of whatever your trend is. -Write what you want to write—NOT what you think will sell. Readers are smart—they will know if you are faking it. -Editing takes time—it's not an overnight process that many authors think it should be. -Aha … the best way to sell more books? Write another one! Join in ... you will learn a lot! Tune in for lots of ideas and how-to tactics via the AuthorU-Your Guide to Book Publishing podcast. It's ranked in the Top Ten of bookmarketing campaigns. Since its inception seven years ago, the AuthorU-Your Guide to Book Publishing podcast with over 22 million listeners downloading various shows for practical advice and guidance.

This week’s guest is Andy Olrich. Ron and Andy discussed the roles of people and tools in continuous improvement, what NOT to do when building a lean culture, teaching younger generations, and more. An MP3 audio version of this episode is available for download here. In this episode you’ll learn: The quote Andy likes (3:40) His background (4:25) Andy’s “Aha” moment when it comes to lean (13:33) How his perspective has changed (16:58) What not to do when building a culture of lean (22:47) Andy’s work with younger generations (29:28) His advice for those just getting started (39:08) Podcast Resources Right Click to Download this Podcast as an MP3 Andy on LinkedIn The Lean Solutions Podcast Get All the Latest News from Gemba Academy Our newsletter is a great way to receive updates on new courses, blog posts, and more. Sign up here. What Do You Think? What was your lean “Aha” moment?

Discover all of the podcasts in our network, search for specific episodes, get the Optimal Living Daily workbook, and learn more at: OLDPodcast.com. Episode 3013: Dr. Laura Markham offers compassionate, practical guidance for helping a young child navigate the emotional upheaval of divorce with honesty, stability, and reassurance. She explains how parents can reduce fear and confusion, support healthy emotional expression, and preserve a strong sense of love and security during a major family transition. Read along with the original article(s) here: https://www.peacefulparenthappykids.com/read/divorce-supporting-your-child Quotes to ponder: "Divorce is a loss, regardless of the positives that can eventually result. And it's a loss for our children, as well as for us." "Let him rage, cry, and vent. This will feel like a death to him, and in fact it is: the death of his family." "Remember that your child did not get divorced." Episode references: Aha! Parenting: https://www.ahaparenting.com/ Learn more about your ad choices. Visit megaphone.fm/adchoices

The Arabian horse has influenced the equestrian world for generations, and today that influence continues in exciting new ways within the modern sport horse landscape.In this episode of the We LOVE Arabian Horses Podcast, host Paul Kostial is joined by Michael Miller and Natalie DiBerardinis, President, American Hanoverian Society, for a thoughtful conversation about Arabians and Hanoverians, and the Warmblood crosses, sport horse breeding, inspections, registry opportunities, and the future growth of both breeds.Together, they discuss:• Why Arabian blood continues to play an important role in sport horse breeding• How the American Hanoverian Society inspection and approval process works• The educational and market value of Warmblood evaluations• Opportunities involving USEF, AHA, and registry alignment• How these programs may help expand visibility and opportunity for Arabian horses in dressage, jumping, and sport horse disciplinesThis episode is about more than breeding. It is about creating new pathways, introducing Arabian horses to new audiences, and helping more people understand the versatility, athleticism, and long-standing influence of the Arabian breed.Whether you are an Arabian breeder, sport horse enthusiast, dressage rider, or simply curious about where the industry is headed, this conversation opens doors.❤️ We LOVE Arabian Horses®, Locally to Global

Graue Haare kommen nicht nur mit dem Alter. Forschende sehen auch Stress, Ernährung und Umweltfaktoren als mögliche Auslöser. Warum manche Menschen früher ergrauen als andere – und unter welchen Bedingungen Haare ihre Farbe zurückbekommen können, das erklärt in dieser Folge Prof. Ulrike Blume-Peytavi, stellvertretende Klinikdirektorin der Klinik für Dermatologie, Venerologie und Allergologie der Charité – Universitätsmedizin Berlin. Außerdem geht es um die Frage, warum wir vor 150 Jahren noch circa 15 cm kleiner waren. Hier findet Ihr die Studie zu grauen Haaren: https://pubmed.ncbi.nlm.nih.gov/22716034/ Produktion: Serdar Deniz Redaktion: Antonia Beckermann Ab sofort könnt Ihr als WELT-Abonnentin oder WELT-Abonnent jeden Montag eine Sonderfolge von Aha hören. In den ersten sechs Folgen geht es um Themen rund um Sexualität. "Aha! Zehn Minuten Alltags-Wissen" ist der Wissenschafts-Podcast von WELT. Wir freuen uns über Feedback an wissen@welt.de. Impressum: https://www.welt.de/services/article7893735/Impressum.html Datenschutz: https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html

Laut Thomas Gordnon gibt es 12 Kategorien von Antworten, die sofort zu einer "Kommunikationssperre" führen. Als mir neulich eine Freundin davon erzählte, und wir diese 12 Kategorien durchgegangen sind, hatte ich so viele Aha-Momente, dass ich wusste: das muss ich mit euch teilen! In diesem AHA! Moment stelle ich euch die 12 Kommunikationssperren nach Thomas Gordon vor, und zeige euch eine super simple Alternative, die jedes Mal genau das Gegenteil bewirkt: ihr kommt in die Kommunikation, stärkt dadurch eure Beziehung und Verbindung und erfahrt dadurch so viel mehr von eurem Kind und dem eigentlichen Thema hinter einer Aussage...Du bekommst: ✔ alltagsnahe Beispiele (mit typischen Eltern-Sätzen) ✔ zu jeder Kommunikations-Sperre eine simple Alternative, die Verbindung öffnet statt schließtFür weniger Machtkampf und mehr „Ich fühl mich gesehen“.

What if the reason you aren't enjoying golf has nothing to do with your swing? The governing bodies tell us participation is up, yet nearly 4 million golfers quit annually in the U.S. alone, and half of all on-course players don't even call themselves "golfers" because they don't feel "good enough." In this powerful episode, host Colin Weston sits down with Kris Lynch - a former finance professional turned golf mindset coach - who argues that golf is broken by a performance-obsessed culture. If you have ever felt like a "hacker" who doesn't belong, Kris has a radical prescription: forget your handicap, join the "Happy Hackers," and discover why belonging is more powerful than performance. Key takeaways in this episode with Kris that you will discover: The "Fitting In" vs "Belonging" Trap Kris explains the difference between conforming to outdated golf etiquette (fitting in) and actually being accepted for your authentic self (belonging). You'll learn why most mental health initiatives for men fail and how golf can actually be the solution. The $150 Solution Kris highlights how a new wave of "proprietor-owned" clubs (like Parc Golf Club and Pottergate) are thriving by ditching committees, welcoming non-golfers for Sunday lunch, and offering low-cost memberships - proving that the future of golf is agility, not red tape. Why You Should Be a "Happy Hacker Discover the psychology behind reclaiming the insult "hacker." Kris details how his free WhatsApp community and mindset coaching helps golfers separate their self-worth from their scorecard, using the game as a tool for resilience rather than a report card. Three Quotable Moments from Kris: On the industry's blind spot: "Golf does not have a participation problem. It has an experience problem." On the pressure to perform: "Golf has defined success too narrowly. We are average, everyday golfers, and we need to be at peace with that. We need a philosophy of happiness first, handicap later." On the power of community over instruction: "Culture shapes experience more than instruction does. We lead with a technical-first mindset rather than a people-centric approach. Golf talks to itself, and we forget that not everyone speaks that language." Episode Chapters 00:00 – Introduction: The big connector of golf 04:30 – Kris's origin story: From hacking in Scotland to burnout in London finance 09:00 – The "Aha" moment: Leaving corporate HR to launch Golf Yourself Healthy 12:30 – The Experience Problem: Why 4 million golfers quit every year 17:00 – Culture vs. Instruction: The "belonging" principle and Brene Brown's influence 24:00 – Success Stories: How nine-hole courses and inclusive short-game areas are saving the game 30:00 – What is a "Happy Hacker"? Building a community for average golfers 38:00 – Mental health in golf: Meeting men where they are (statistics on suicide prevention and connection) 44:00 – How to join the movement and connect with Kris

431 The Art of Aging - Featuring Diane Place   In today's episode Sarah Elkins and Diane Place discuss the art and beauty in aging and how it allows us to collect amazing stories, learn new things about ourselves, and how we can use these experiences to help others.    Highlights Aha moments and how trusting yourself will most often take you to better places in life. Bringing in other story tellers to enlighten yourself with intergenerational, interracial, and interhuman connections.  Reframing aging and how we perceive aging, in that it is never too late to do anything and you don't need to step back just because of a number.  The stories we tell ourselves and the stories told around us shape our perceptions, and we need to take active steps to make sure that it is positive and healthy instead of cutting ourselves and others down.     Quotes "I've had "Aha" moments in my life that led me to make crazy decisions. Some of them didn't go so well most of them did because I trusted my heart." "Find connections with who we are not just what we've done." "We need to seek the new stories if we have some of those old stories. We need to ditch them. We need to erase them, and reinvent them."    Dear Listeners it is now your turn, What part of this conversation made you realize something about your own aging and maybe your internal messages that are affecting who you are and that you're modeling and sharing with younger people. If you're one of the younger listeners, under 50, what part of this conversation made you eager to hear the stories of people around you that you've only ever known skin deep? I would love to hear what resonated with you in this conversation.       And, as always, thank you for listening.    About Diane (From her LinkedIn) After years of dancing on the edges of my passions through a roller coaster life and career,  it was the coincidence of four lightning strike experiences: a cancer diagnosis, loss of a business, my 60th birthday, and a soon-to-be empty nest, that compelled me to dig deep to focus on what I truly wanted to do with my "one wild & precious life."     This became my "third act quest."   Our  "third act" CAN be the most exciting chapter in our life's story.   My mission became clear - to inspire women and reframe the perception & experience of what life can be after 50.    I've unearthed what had been calling me all along. Now, I couldn't imagine doing anything else!   ______________   Creating Third Act Quest to inspire and connect women 50+ is the most exciting and rewarding venture in my career journey (so far!)      I launched Third Act Quest in 2018, with the dream to reframe the perception and experience of aging through initiatives that connect and inspire women as they create the most exciting chapter in their life's story — their "third act." Third Act Quest initiatives:  the 333 Collective, "AHA" Third Act Stories, Quest Year, and QUEST, a biennial gathering & celebration. _______   My 35+ year career: - Leaps of faith to embrace my passions and talents to have an impact - My values and dreams are my GPS - Synchronicity  - Resilience   My professional career includes: a decade in Boston with an international ad agency; ten years with America Online (AOL/Time Warner) in a leadership role during the early days of the internet culminating in a role as Senior Vice President; and four unique entrepreneurial ventures.   In the early 90's, I founded a cause-marketing firm.  Later, post-AOL, I launched a photography business and The Global Design Post.  Though each of these experiences expanded my life and my mind, it's what happened around my corporate career, the breadcrumbs that I followed, that has driven me, and has been "calling" me all these years.  I've finally put my personal passion front and center. _____   All of your life's experiences; the highs & the lows, the turning points & transitions, shape how you see yourself and the world.     Within just a few generations, 30 years have been added to our life expectancy.  Our 50's & 60's can be a turning point; not time to step back, but time to expand, engage & thrive.  It can be our time to unearth dreams that have been buried and create a vision for how we truly want to live,love, work and contribute.   "What is it you plan to do with your one wild & precious life?"  (Mary Oliver)  Be sure to check out Diane's LinkedIn, and especially Third Act Quest!    About Sarah Sarah is a Montana based workplace communication trainer, TEDx speaker, DisruptHR speaker, public speaking coach, professional storyteller, musician, and podcast host. Her workshops and coaching packages with teams and their leaders are known to address and reduce miscommunication – the most common cause of tension and stress in the workplace. Using the team's results from the StrengthsFinder assessment, she guides teams in learning to speak each other's "language", learning to value each other's strengths and connecting with each other through enhanced self-reflection and effective listening.  Sarah's nearly 20 years working in government agencies inspired her to complete her MBA and to achieve her StrengthsFinder certification to improve work environments for others, guiding teams toward increased satisfaction, productivity, and happiness. Visit her website to purchase her book, Your Stories Don't Define You in paperback or audiobook.

What does truly integrated care look like in practice? Host Matt Crespin captured the conversations at ADHA's first-ever Integrated Care Summit in Broomfield, Colorado this past weekend — bringing together physicians, dentists, periodontists, and public health professionals making the case for breaking down silos. (1:56) Dr. Mychi Nguyen, Chief Medical Officer at Asian Health Services, shares how a patient's powerful words — "How can I be healthy if I don't have teeth?" — launched a dental clinic at her FQHC and explains the AHA's Healthy Smiles, Healthy Hearts initiative transforming dental visits into preventive health opportunities. (8:48) AGD President-elect George J. Schmidt reflects on the growing ADHA-AGD collaboration. (15:19) Dr. Elizabeth Ramos of the American Academy of Periodontology makes the case for hygienists as key communicators of the perio-systemic connection. (24:08) Michael Lazzara, VP of International Business Development of Dento, introduces oral health biomarker testing that gives patients real-time data to motivate behavior change. And (35:37) Holly Kingsbury of the Colorado Community Health Network walks through a promising model for integrating behavioral health screenings into dental visits at FQHCs statewide.Guests: Mychi Nguyen, MD; George J. Schmidt, DMD, FAGD, FICOI; Elizabeth D. Ramos, DDS, MSD, EdD; Michael Lazzara, Dento; Holly Kingsbury, MPHHost: Matt Crespin, MPH, RDH, FADHA

After a nice team lunch, JB and Billy are ready to go with the All Sports Report, as Billy goes with a tired joke. Horse Racing legend Glen Boss calls in to talk about joining Channel 7's racing commentary team, but Billy has a quiz for him as well. Topics Brayshaw wants to know when you arrived at the wrong destination, we replay some of the funniest times a commentator got a player's name wrong, and Billy takes us through last night's AHA awards. Shaun Micallef is in studio to chat about his new documentary Going for Broke - a look into Australia's relationship with gambling. Finally, Billy has a joke about an Alaskan Christmas Party to close the show.See omnystudio.com/listener for privacy information.

Familial hypercholesterolemia (FH) affects 1 in 250 individuals, and genetic testing for patients and families is an important part of diagnosis and management. Guest Seth Martin, MD, reviews FH risk factors, at what ages and when genetic testing is recommended, and the roles of a genetic counselor and other team members.Related resources:NLA Statement on Genetic Testing: https://www.lipid.org/nla/genetic-testing-dyslipidemia FH Diagnosis: Dutch & Simon Broome criteria: https://familyheart.org/diagnostic-criteria-for-familia-hypercholesterolemia2 AHA criteria: https://www.ahajournals.org/doi/10.1161/JAHA.119.013225Familial Hypercholesterolemia Resources from PCNA:* What is Familial Hypercholesterolemia patient fact sheet: https://pcna.net/resource/what-is-familial-hypercholesterolemia-fact-sheet/* What is Homozygous Familial Hypercholesterolemia (fact sheet for families): https://pcna.net/resource/what-is-homozygous-familial-hypercholesterolemia-fact-sheet/See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Körperliche Erfahrungen prägen unser Verhalten oft stärker, als wir glauben. Das sogenannte Körpergedächtnis beeinflusst, was wir meiden, was uns guttut und was uns Angst macht. Aber wie genau speichert unser Körper Erfahrungen ab? Welche Rolle spielt dabei das Gehirn? Und können wir negative Erinnerungen vielleicht sogar verändern? Darum geht es in dieser Folge von "Aha! Zehn Minuten Alltagswissen" zusammen mit der Neurologin Prof. Esther Kühn vom vom Hertie-Institut für Klinische Hirnforschung in Tübingen. Unser zweites Thema im Podcast ist: Minze – und warum Menthol im Mund kalt wirkt, obwohl es gar nicht kalt ist. Wenn ihr an der Forschung von Frau Kühn teilnehmen wollt, findet ihr hier alle Infos zur App "Somacsape": https://eur01.safelinks.protection.outlook.com/?url=https%3A%2F%2Fwww.estherkuehn-science.org%2Fsomascape_d.html&data=05%7C02%7Csophia.haeglsperger%40axelspringer.com%7C4c35580b7f8447f8e2ca08de9fad52f4%7Ca1e7a36c6a4847689d653f679c0f3b12%7C0%7C0%7C639123763946362516%7CUnknown%7CTWFpbGZsb3d8eyJFbXB0eU1hcGkiOnRydWUsIlYiOiIwLjAuMDAwMCIsIlAiOiJXaW4zMiIsIkFOIjoiTWFpbCIsIldUIjoyfQ%3D%3D%7C0%7C%7C%7C&sdata=CySKTsM02634es2k25pB2gL7LrCPzMlprCG1jMdFxwk%3D&reserved=0 "Aha! Zehn Minuten Alltags-Wissen" ist der Wissenschafts-Podcast von WELT. Wir freuen uns über Feedback an wissen@welt.de. Produktion: Serdar Deniz Redaktion: Sophia Häglsperger Impressum: https://www.welt.de/services/article7893735/Impressum.html https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html

If you want to hear what a laughing rat sounds like this podcast is for you. From why the sound of laughter triggers us to join in, to how a laughing yoga class starts, to the difference between AHA and HAHA in science, IDEAS contributor Peter Brown takes us on a joyride to reveal the mystery of laugher. Will this podcast make you laugh? Most likely. But it's better than catching a cold. *This episode originally aired on Nov. 4, 2020.

Photobiomodulation Stroke Recovery: How Laser Therapy Is Restarting Damaged Brains After Stroke For seven years, a woman lived unable to remember faces. She had developed prosopagnosia, a condition that turned every person she met into a stranger, no matter how many times they had been introduced. She kept notes. She took photographs. She built systems to compensate for what her brain could no longer do on its own. Then she sat down for a single laser therapy session with Dr. Robert Hedaya. One session later, the problem was gone. “I can remember the face of the person I worked with this morning and his wife and the dimple on his face,” she told him, describing something she hadn’t been able to do in nearly a decade. What Dr. Hedaya witnessed that day and what he now works to replicate for stroke survivors, people living with aphasia, early dementia, and Parkinson’s, is the result of a therapy called photobiomodulation. And the principle behind it may fundamentally change how you understand your own recovery ceiling. Your Neurons May Not Be Dead. They May Just Be Stuck When a stroke occurs, conventional medicine draws a clear line. Tissue that is destroyed is gone. Deficits that persist beyond the early recovery window are considered permanent. Survivors are told, sometimes gently, sometimes bluntly, that they have plateaued. Dr. Hedaya challenges that directly. In his clinical experience, there is often a population of neurons that survived the stroke intact but are no longer functioning. They are alive. Their cellular architecture is preserved. But they have lost their energy supply, specifically, the ability to produce ATP, the molecule that powers every cellular process in the body. Without energy, these neurons go quiet. They stop firing. From the outside, this looks like permanent damage. But it isn’t. It is dormancy. This mirrors the concept of the chronic penumbra explored in hyperbaric oxygen therapy research, where viable tissue sits in a suspended state, waiting for conditions to change. Dr. Hedaya’s approach is different in method but identical in premise: the brain has not finished recovering. It is waiting for the right signal. Photobiomodulation provides that signal. What Photobiomodulation Actually Does “After the first laser treatment, the problem was gone. Gone. She told me — I can remember the face of the person I worked with this morning.” — Dr. Robert Hedaya Photobiomodulation, also called transcranial laser therapy, delivers precise wavelengths of near-infrared light to targeted areas of the scalp. The photons penetrate through the skull, meninges, and tissue to reach dormant neurons, where they act on the fourth complex of the mitochondrial electron transport chain, the site where nitric oxide accumulates and blocks ATP production. The photons dislodge that nitric oxide. The mitochondria resume normal energy output. The neuron now has what it needs to resume its function. The downstream effects are significant: new synapses form through a process called synaptogenesis, brain-derived neurotrophic factor (BDNF) is produced, inflammation decreases, and misfolded proteins associated with cognitive decline begin to clear. Given energy, the brain begins repairing itself, not because the laser forces it to, but because the cells already know what to do. They were just waiting for the fuel. How QEEG Makes It Precise Not every stroke survivor responds to the same laser parameters or needs treatment in the same regions. This is where Dr. Hedaya’s approach clearly separates from consumer LED helmets or generic light therapy devices. Before any laser is applied, he conducts a quantitative EEG, a brain mapping process that measures electrical activity at 19 points across the scalp. Unlike a standard EEG, which relies on a clinician reading scrolling waveforms visually, QEEG uses AI to analyse thousands of data points and reverse-engineer the source. The result is a functional map: which networks are underperforming, which are overactive, and where pathways between regions have broken down. This is paired with a neuroquant MRI that measures 30 to 40 distinct brain structures volumetrically. Together, they function as a GPS triangulating exactly where the laser should be directed, at what wavelength, power, pulse frequency, and joule delivery for each individual patient. These parameters are adjusted as the patient responds, session by session. This level of precision is what distinguishes clinical photobiomodulation from anything available over the counter. A half-watt LED helmet delivering diffuse light through hair and scalp is not the same intervention. Depression After Stroke – And the Whole-Body Connection Roughly 30% of stroke survivors experience depression in the aftermath. This is not simply an emotional response to a difficult event – it is a physiological outcome with identifiable drivers that conventional psychiatry often does not investigate. Dr. Hedaya’s model, which he calls whole psychiatry, treats post-stroke depression as a downstream expression of broader disruption: hypothyroidism, hormonal imbalance, B12 deficiency, elevated mercury from dietary sources, gut dysbiosis, chronic inflammation, and unresolved neurological stress all play measurable roles. In one of his current stroke cases, treating low thyroid function triggered seizure sensitivity because post-stroke tissue is more vulnerable to excitatory input. That kind of complexity is precisely why a comprehensive functional evaluation must precede treatment. For survivors too depleted to engage with lifestyle changes, Dr. Hedaya will now often begin with laser therapy directly. Once cellular energy is restored, the motivation and capacity to make further changes typically follow. The jump-start, he has found, enables everything else. Is Recovery Still Possible After a Plateau? If you have been told you have reached your ceiling, the core message of this episode is worth sitting with: the plateau is often not a biological fact. It is frequently the consequence of underlying conditions that haven’t been identified, and dormant tissue that hasn’t been activated. “The brain is incredibly plastic,” Dr. Hedaya says. “When you challenge it and give it everything it needs, nutrients, light, hormones, and remove the toxins, great things can happen. There is hope. There is so much hope.” His practice, the Whole Psychiatry and Brain Recovery Center, offers initial consultations via Zoom for those who cannot travel to New Jersey. For survivors with a local physician willing to collaborate, educational consultation is also available. Reach Dr. Hedaya at wholepsychiatry.com. If this episode opened something up for you, Bill’s book – The Unexpected Way That A Stroke Became The Best Thing That Happened follows the full arc of what recovery can become when you stop accepting the ceiling and start questioning it. Find it at recoveryafterstroke.com/book. If the Recovery After Stroke podcast has supported your journey, you can support the show at patreon.com/recoveryafterstroke. This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. The Laser That Restarts Brains – Dr. Robert Hedaya on Photobiomodulation, QEEG, and Whole Psychiatry After Stroke A laser pointed at the right spot in your brain can restart neurons that stopped working. Dr. Robert Hedaya explains how and who it can help. Hyperbaric Oxygen Therapy – Dr. Amir Hadanny Highlights: 00:00 Introduction – Photobiomodulation Stroke Recovery 01:09 Dr. Hedaya’s Medical Journey 07:55 Transition to Functional Medicine 10:31 Photobiomodulation Stroke Recovery Applications 19:21 Understanding Laser Mechanisms 24:36 Jumpstarting Healing with Laser Therapy 29:48 Understanding EEG vs. QEEG 34:10 Addressing Depression Post-Stroke 39:38 Holistic Approaches to Recovery 46:20 Patient-Centered Care and Follow-Up 51:38 The Role of Spirituality in Healing Transcript: Introduction – Photobiomodulation Stroke Recovery Dr Bob Hedaya (00:00) After the first laser treatment, the problem was gone. Gone. She told me, she said, my God, I can remember the face of the person I worked with this morning and his wife and the dimple on the face. And I said, what are you talking about? She says, have prosopagnosia. I said, says, can’t remember faces. I have to write down everything that I do and take pictures of everything and every person. I said, my God, it’s gone, gone. that’s when I went home that night and I was like, this doesn’t make any sense. How could this be? There’s nothing about a neurological condition being turned around in one minute. It makes no sense. Dr. Hedaya’s Medical Journey Bill Gasiamis (00:41) Welcome everyone to the Recovery After Stroke podcast. I’m Bill Gasiamis and my guest today is Dr. Robert Hedaya, a board-certified psychiatrist, functional medicine practitioner, and the founder of the Hull Psychiatry and Brain Recovery Center in New Jersey. Dr. Hedaya trained at Georgetown and the National Institute of Mental Health. And over the course of his career, he moved from conventional psychopharmacology into functional medicine after discovering of what was driving his patient’s symptoms had nothing to do with their medications and everything to do with their biology. In more recent years, Dr. Hedaya has added a tool that very few practitioners anywhere in the world are using, QEEG, guided transcranial photobiomodulation. That’s laser therapy, precisely using a functional brain map to reactivate neurons that survived the stroke but stopped working. In this conversation, we get into the science behind photobiomodulation and what it actually does inside the cell. How QEEG brain mapping removes the guesswork from treatment, why post-stroke depression is so often mismanaged, the role of nutrition, hormones, and toxin load in recovery. and why Dr. Hedaya believes the plateau most survivors are told about is not the biological sealing they’ve been led to believe it is. Now, before we get into this episode, if you found this podcast helpful in your recovery, my book, The Unexpected Way That a Stroke Became the Best Thing That Happened goes deeper into the tools and mindset shifts that support long-term recovery and personal transformation. You can find it at recoveryafterstroke.com/book. And if this show has supported you, you can support it at patreon.com/recoveryafterstroke. Now let’s get into it. Bill Gasiamis (02:38) Dr. Hedaya. Welcome to the podcast. Dr Bob Hedaya (02:41) Thank you. Pleasure to be here. Bill Gasiamis (02:43) It is a very good pleasure to have you here as well. The reason being is because I, what we’re going to discuss, but B the way that you came to be on my podcast was through somebody who listens to my podcast, reaching out and saying, need to have this gentleman on your podcast. And I get that a lot. And sometimes it’s like, thank you for the referral, but maybe that’s not for me, but this is definitely for me. Can you give me a little bit of. Dr Bob Hedaya (03:01) Mm-hmm. Mm-hmm. Bill Gasiamis (03:13) background for people who are listening to understand how it is that you and I came to be on the podcast today, but more importantly, like your medical journey to today. Dr Bob Hedaya (03:26) Well, so first of all, I ⁓ was treating a woman who was, let’s say, about 50 years old. She had several strokes. And her husband looked me up, and they came here for treatment. in New Jersey. And ⁓ she had significant improvement in her ability to speak over a short period of time. That’s a little. kind of summary of the situation, but it was ⁓ profound. She still has work to do, a lot of work to do, but she’s doing it and she’s progressing nicely. So that’s, he basically, I guess, decided this needs to get out. And so he contacted you, et cetera, et cetera. In terms of my journey, ⁓ that could take a few hours. So let me try and summarize it. I will say I basically went to medical school, took off six months to study medicine on my own after two years because I really, lot of reasons, but one of them was I just was memorizing things and I didn’t really understand what I was doing. And so I took off six months and I really learned about the human body. I studied, I had a schedule, a very fixed schedule, about 10 hours a day of studying and exercise and eat. was very, you know, I was young and regimented. And I had six books, six subjects that I wanted to get through and I did. And I learned all about the body and different parts of the body, how they interact with each other. And also I was able to understand and predict even certain kinds of processes and problems in the body. So that was an integrative experience, which ⁓ later really served as the foundation for what I do. Fast forward, I was going to be a surgeon, decided to be a psychiatrist instead, because I was fascinated by by the human mind. And what happened was I was trained at Georgetown National Institute of Mental Health in Washington, DC. And then I was in practice for about a year. And I was treating a woman who had panic attacks. And they weren’t getting better after a year. And panic attacks are pretty easy to treat. And so I was like, what’s going on here? She paged me one night after a year, Saturday night. And I remember I had a little beeper, you know, and I went to find a phone booth and, hey, Joanne, what’s going on? It’s midnight, right? She’s talking to me, I’m having a panic attack. And I mean, I still remember the anguish in her voice. You know, it was really, really, really rough to listen to. So Monday morning, I went into the office very early and I’m like, I’m missing something. What am I missing? So I found I had one piece of blood work. had a blood count and the size of her red blood cells was large. and I had seen that and didn’t know what it meant and ignored it. Very little. It wasn’t very large. It was just a little bit out of the norm. And I was trained in hospitals. know, in hospitals, you don’t worry about the little things. You worry about the train wrecks, right? So you never really learn what the little things mean. So here was a so-called little thing and it was ruining her life. Meanwhile, I did some research. It was a B12 deficiency. I gave her B12 injection. And with the first injection, her panic was gone. Transition to Functional Medicine I mean, gone, gone, gone. And I was like, whoa, what else am I missing? Because psychiatry, neuropsychiatry, it’s a revolving door. You go to this doctor, you take these meds, you do this therapy. That works for a while, then you go somewhere else. I figured I’m missing a lot of stuff. And basically, ended up learning. I didn’t know it was called functional medicine, but I ended up learning functional medicine on my own. Wrote a book, got introduced. to Jeff Bland at IFM. contacted me and took formal training and then, you know, that was what I was doing. And I did that, ⁓ put out a second book ⁓ and that was a best seller. And ⁓ the book was called the Anti-Depressant Survival Program. But really it was functional medicine psychiatry or whole psychiatry, which I like to call it. But it’s functional medicine psychiatry, but the publisher wanted… you know, a nice fancy title that would, know, so they decided to call it the Anti-Depressant Program, you know, survival program. Anyway, the best seller and we had thousands of phone calls, we had a lot of publicity and I couldn’t obviously see everybody. So I picked people who had treatment resistant depression and people who had the resources and the motivation or the support to be able to do what they needed to do. And I just treated them with functional medicine. And at this time, you’ve got to realize I was a psychopharmacologist. I was also trained as a psychopharmacologist. So I was doing a lot of psychopharmacology. I mean, a lot. And now I’m doing functional medicine on everybody. And after about three years, I’m noticing that I’m not actually doing that much psychopharmacology anymore. And everybody’s getting better. And the diabetes is going away. and osteoporosis is going away and one woman’s MS lesion in her brain went away and I’m like, what’s going on here? You know what? I might be lying to myself. So maybe I’m paying attention to the positive cases and I’m ignoring the negative. So I hired a statistician to go over all my cases over the course of this period of time, it two or three years. Ended up in 23 cases of treatment resistant depression. ⁓ I wasn’t lying to myself. Every single person went into recovery, not partial remission, not 50 % better, fully recovered by 10 months, every single one. And I was just blown away that, you know, I mean, I was blown away before, but then it was like, well, you’re not really lying to yourself. So that’s what I was doing until 2014 when I retired. I had actually an inaccurate diagnosis. I retired and… turned out it was incorrect. So it was actually really good to be retired, although I missed it terribly, really missed medicine terribly. But it gave me some time. And this is where this kind of starts to relate more to your audience. ⁓ I’m sitting on a hammock for six hours reading a book. Well, you can’t do that when you’re in practice. Bill Gasiamis (10:07) Good thing to do. Yeah. Photobiomodulation Stroke Recovery Applications Dr Bob Hedaya (10:13) That doesn’t happen. So but I was you know in retirement, so I’m reading this book and put two and two together over the course of time and I learned about laser which which they were using in Russia in 1980s and learned how the laser worked and And I was like whoa this could really help the brain and Then I was thinking now. I’m not in practice right, but I’m then I’m thinking but how would I know where to? point the laser in the brain for a patient. And then I keep reading in the book, and then they start talking about in the next chapter about quantitative EEG. And I’m like, oh, that’s how I would know. So I spent the next three years or so actually studying these methodologies. And then in 2017, I want to say, or 2018, I treated my first patient who had early dementia. published this case actually. I was treating her for early dementia. And I had treated her for six months with functional medicine, know, hormones and treating infections, et cetera, et cetera. And she really was much better. And then I was ready to do my first quantitative EEG. And she’s doing much better. She still has some symptoms. And I do the QEG. And actually, if I could share my I don’t know if I can, Okay, so basically what I just sent you is ⁓ how her brain looked after six months of functional medicine, right? So I was shocked because I thought her brain would look much better. And then I said, okay, let’s do the laser. So I knew where to point it because the QEG and this was the shocker. With the first laser, she had a problem. before the laser treatment of facial blindness. I don’t know if you know what that is. It’s people who can’t remember faces. They just met someone, they can’t remember the face. It’s called prosopagnosia. She had acquired it seven years earlier. Bill Gasiamis (12:11) I do. Yeah. Dr Bob Hedaya (12:21) After the first laser treatment, the problem was gone. Gone. She told me, she said, my God, I can remember the face of the person I worked with this morning and his wife and the dimple on the face. And I said, what are you talking about? She says, have prosopagnosia. I said, what? What is proto-diagnosia? I don’t know what that is. She says, can’t remember faces. I have to write down everything that I do and take pictures of everything and every person. I said, my God, it’s gone, gone. that’s when I went home that night and I was like, this doesn’t make any sense. How could this be? There’s nothing about a neurological condition being turned around in one minute. It makes no sense. But then I realized, I reasoned it out, realized, well, she had a population of neurons that were kind of alive, but they were not really functioning. And then I kind of jump started them with the laser and they went about their business and did their job. Bill Gasiamis (13:19) I love it. So, that’s a contrast on what you’re doing as in psychiatry, because psychiatry from, you know, my understanding is, you know, if you, if you speak to somebody who’s been through psychiatry and you ask them, how’s your condition or how is your situation or what has improved, very few people can say, ⁓ well, I’m, I’m better. I’ve overcome it. We’ve moved beyond the resolve that Dr Bob Hedaya (13:27) Yeah. Bill Gasiamis (13:47) Nobody really does that. They kind of just continue to go through the motions of another appointment, another medication, another adjustment in the amount of medication, et cetera. And what you said also seems a little bit ridiculous and kind of too quick. How do you get that kind of a solution that’s meant to take ages? You’re supposed to go through the typical times and it’s supposed to be costly and Dr Bob Hedaya (14:06) Too quick. Bill Gasiamis (14:16) unattainable and all these things. And it makes people feel sometimes I know stroke survivors who come across promises like that from other ⁓ people who talk about ⁓ perhaps ⁓ non-studied, ⁓ no scientific background kind of solutions to stroke and then kind of give everyone a blanket. If we do this, we’ll fix your stroke deficits, which is not true. ⁓ And then And then it leaves people feeling like they got ripped off. If they paid money, it leaves people lost for hope that there is no hope, cetera. And we kind of find ourselves in a, okay, desperate, what do we do now situation, right? And that’s kind of why I got excited when your patient’s husband reached out and said that we should chat. And I had a bit of a look into the kind of work that you do. ⁓ Functional medicine, I’ve heard about heaps. Dr Bob Hedaya (15:00) Hmm. Bill Gasiamis (15:14) And I love that it’s merged with psychiatry because when I started my journey in 2012, overcoming the first brain bladed and the second brain blade six weeks later, I went into functional medicine study to find out not formally, but I started doing what I didn’t know at the time was studying functional medicine and understanding like how I can decrease the inflammation in my brain. and provide the right environment for healing. And the first thing I came across was a book by somebody that you’re gonna know, Mark Hyman. And the book was, ⁓ the book was, ⁓ Eight Fat Get Thin. I read it, not wanting to get thin, I read it ⁓ because it ticked the boxes for the diet that I was gonna use to reduce inflammation in my brain. Dr Bob Hedaya (15:54) Okay. Bill Gasiamis (16:12) And the side effect was I thin. I wasn’t going for that because I was taking medication. was taking ⁓ dexamethasone, which made me put on weight and made these like all these types of ⁓ terrible side effects, but it was helping reduce the inflammation in my brain. So I, I was happy to have it, but I needed to achieve the same outcome as dexamethasone. Dr Bob Hedaya (16:13) I’m kidding. Bill Gasiamis (16:41) or a similar outcome as dexamethasone on a permanent basis without taking dexamethasone to improve the situation in my brain. And then I started to realize that I had a lot of power and I was ⁓ only not guided properly because my physicians, my doctors weren’t able to offer advice in that space. And had I not been the curious kind of guy that I was, I never would have come across Dr. Hyman and some other amazing guys who wrote books at around about that time that were similar in nature. so you’re, and then, and then a little while later, I found there was a Tasmanian, ⁓ psychiatrist, forget her name, but I have her book on my shelf upstairs who wrote a book about, ⁓ psychiatry and food and, the link between food and a good psychiatric outcome. Dr Bob Hedaya (17:15) huh. Bill Gasiamis (17:39) in the brain. And I just thought, okay, there’s much, much more that needs to happen here. Now, this the connections, there’s a lot of connections here. So recently on my YouTube channel, somebody left a comment I wanted to know about red light therapy, and will it help their brain? And I’m like, I have no idea. But let me do some research. I went on to PubMed, I found some articles and wouldn’t you believe it, there is a whole bunch of ⁓ proper data that Dr Bob Hedaya (17:40) You know what? Come on. Bill Gasiamis (18:08) suggests that there is a benefit. The only challenge that I always have with all of these potentially beneficial interventions is there’s no diagnosis done in the first place to determine whether somebody actually is eligible for a particular intervention. And what it sounds like you’re able to do is the diagnostics part and determine their eligibility. Tell me a little bit about why that is important. Dr Bob Hedaya (18:35) Right. Okay, so let me back, I wanna back up, because you said something very important, then I wanna reiterate it. I just gave you before a case of a woman who in five minutes, her problem was gone, right? Not, people should not think that’s the norm, okay? Not the norm. Occasionally it happens, I have a guy who had a head injury and had light sensitivity and confusion in certain situations with light, and one treatment, boom, gone. Understanding Laser Mechanisms People, you know, I have cases like that, but most of the time this is a gradual process. So people should not think it’s a cure-all for everybody. We do have to know who it’s good for. So what we do diagnostically before we do this is I will look at their brain, you know, obviously take some history and all of that business, but we do a quantitative neuroquant MRI. So we look at the different structures inside the brain. You know, we look at… Bill Gasiamis (19:32) Lovely. Dr Bob Hedaya (19:32) 30, 40 different structures. And then we also do a quantitative EEG, which is an electroencephalogram. We measure the electricity in the brain in 19 different places. And then there’s this really AI that takes all this data and it reverse engineers it. It’s called the inverse solution. And you can actually see the pathways, all of the pathways in the brain and the surface areas of the brain. And you can look at that, correlate that with the person’s symptoms. with the neuroquant MRI, it’s like a GPS, right? A triangulation of information and then assuming there’s not a mass or an aneurysm or some reason not to do the laser like an overactive brain or something like that, then we could consider using the laser. And then we also know where we want to do it based on the symptoms, based on the QEG, based on the neuroquant. We will decide what we’re going to target. And then we combine that, sometimes, not always. Bill Gasiamis (20:05) Hmm. Dr Bob Hedaya (20:31) with neurofeedback so we can exercise the areas that we want to exercise or calm down the areas that we want to calm down. And sometimes with hyperbaric oxygen, things like that. And hormones, using hormones or things like that. Bill Gasiamis (20:42) Yep. Hyperbaric oxygen has been a topic that I’ve discussed as well on the podcast and the people that I spoke to about hyperbaric oxygen and guys, I can’t remember right now, but I’ll put a link in the show notes for anyone listening so that you can go and find that episode and have a listen to it. Basically, what I loved about their approach was that they did a massive amount of diagnosis beforehand to determine where the penumbras were and then target those penumbras while the person was in the chamber. by getting them to do certain exercises that would activate those areas and therefore be targeted. So it sounds like the laser therapy is similar. Tell me about the laser. What kind of a laser is it? How does it get targeted to a specific spot? And what does it do when it goes there? I mean, I imagine it just doesn’t point there and go, I’ll illuminate that and it’ll be better. How does it actually work? Dr Bob Hedaya (21:18) Mm-hmm. Mm-hmm. Okay, so the laser, there are a bunch of different parameters that we have to adjust for each person. So it’s the frequency, how fast is the wavelength? What’s the wavelength? How many times per second is it pulsed? 10 times per second, 40 times per second, 50 times per second. Is it a 8, 10 nanometer wavelength or is it a 1064 wavelength? How many joules are we delivering? you know, where are we delivering it? So there are lots and lots of parameters to adjust, right? ⁓ What does it do? So simple, the first thing that it does, it does many, many things, right? But the very, very first thing it does is it actually releases ATP, the energy molecule, from your mitochondria. So it basically, the photon goes to the fourth channel, the fourth complex in the mitochondria, bumps off the nitric oxide, and that opens the flow of ATP. Well, if your brain, if your neurons have energy, they say, ⁓ energy, ⁓ well, we know what to do with energy. Let’s fix the puddles. Let’s build the roads. Let’s make the connections. Let’s do whatever we got to do. So now you’re getting energy flow. You also get synaptogenesis. You build new synapses. You get production of brain-derived neurotrophic factor. Bill Gasiamis (23:01) Wow. Dr Bob Hedaya (23:05) You get reduction of inflammation, get reduction of tau proteins and misfolded proteins. ⁓ You get, subjectively, get cognitive enhancement. aphasia, you know, people can start to speak. I mean, I can tell you one story. We used to shave people before doing the laser because I wanted to… Remember, you got a skull, you got the skin, you got all this stuff, right? How are you going to get the light into the brain, right? So we know that only about Bill Gasiamis (23:31) Mmm. Dr Bob Hedaya (23:35) 2.6 % of the light goes through the skull and the meninges and all the layers, right? So we used to shave people because I want to get the hair out of the way, right? At least get rid of some of it. So I had this woman who came to me, this is probably seven years ago, I guess. And at that time, I would not use the laser until I had done functional medicine on the patient. Because I figured, you know, let’s get the terrain straight. the nutrients, the hormones, get rid of the infections, get rid of the toxins, then we’ll apply the sunlight to the brain, to the plant, right? That was my logic. I thought that made perfect sense. So this woman came to me. She was 70 years old, obese. The husband wanted me to give her the laser. She wouldn’t change her diet, not an iota. High blood pressure, obesity. She could not speak. She would not take a medicine. She would not… Bill Gasiamis (24:04) Mm-hmm. Mm. Jumpstarting Healing with Laser Therapy Dr Bob Hedaya (24:33) Like, you name it, non-compliant all the way. Maybe you could say a word or two, that was it. Her husband begged me. I said, listen, it’s a waste, okay? It’s just a waste. I can’t ask her to shave her head. It’s not gonna work. I’m not doing it. He did not stop. So finally, I said, okay, fine, I’ll do it. So I was in my office and I’m making the laser plan. And I’m just writing, and something pops out of my mouth, God, I need a miracle. So I go into the laser room, and I start doing the laser. She starts talking. I have tears. He has tears. She starts talking. So by the end of like 20 sessions, I’m sitting with her having a 45-minute therapy session, because it turns out she was really severely abused when she was young. ⁓ She’s having a whole conversation with me. Turns out she’s psychotic also now. She’s also a psychotic and we didn’t know. So she needs to take some medicine for the psychosis because in the middle of the night, she’s going around with a baseball bat and she wants to like do, and she wouldn’t take medicines, I had to stop the laser. But that was an amazing thing because that was one, but with aphasia, typically it’s more gradual, much more gradual. But I have had a couple of patients where, and a woman came from Chicago and she just started talking also. So everyone’s different. You can’t necessarily come into this expecting that kind of thing is wonderful when it happens, but you Bill Gasiamis (26:14) Yeah. I love the fact that you can intervene with a laser, but also people can intervene with all the things that you said that that patient wasn’t doing beforehand. And that you that’s the top of the hierarchy of how you approach healing the brain is you do all those things. And then you supplement with ⁓ with a therapy like laser or whatever. And you kind of combine that and you make Dr Bob Hedaya (26:25) Yeah, yeah, you got it. Bill Gasiamis (26:42) like the, you make a soup of amazing things that all come together at the same time to support you together. And laser is just one of those things, but all the hierarchy like is so important because Dr Bob Hedaya (26:48) Yeah. It’s all important, all important. But I will tell you this. I have come to the point now where I believe that like people come to me and they don’t want to do anything and I’m like, okay, because I can jumpstart you, assuming you’re a good candidate. I can jumpstart you with the laser. I could just jumpstart you and then once I’ve jumpstarted you, say, ⁓ yeah, okay, I’ll do this. ⁓ okay, I’ll do a little of this. I’ll do a little. Because I’m bypassing everything and I’m giving you energy. Right? And so if you have energy, then, you know, there’s a lot that you can do that you couldn’t do before. So I kind of switched my model, really, only because of the accident of this guy who insisted I give his wife the laser, you know. Bill Gasiamis (27:30) Yeah. That’s not a way to go. mean, ⁓ there isn’t one way to solve a problem. there’s probably many iterations of, know, like how you can put that particular, like intervention together for a person that could specify for that individual, we’re going to go down this approach for you. You were going to go down this approach to get you going. Since you have all these, ⁓ challenges and energy is difficult. Maybe we’ll go directly with the laser and then Dr Bob Hedaya (27:46) Bye. Mm-hmm. Bill Gasiamis (28:09) We give you the skills, the energy, Dr Bob Hedaya (28:09) That’s right. That’s right. Bill Gasiamis (28:12) the training, the coaching, the support to implement the rest of the stuff that you need to implement to continue providing the right ⁓ space for your brain to heal in ongoing so you’re not just relying on laser. Dr Bob Hedaya (28:14) Yeah. ⁓ Yeah, yeah Yeah, if someone comes to me post stroke for example and the laser is appropriate I’m not gonna say well, we’ll get around to laser in six months. I’m not gonna do that They need relief they need help if it can help them Let’s do that. Let’s jump on that and you know, and then is the other stuff we need to do will do it And there’s usually stuff to do ⁓ But I want to get the healing remember the laser is healing It’s clearing out proteins, reducing inflammation, increasing blood flow, synaptogenesis, doing all these good things over the course of time. So you really want to get that process going, I feel, as soon as you can. then, okay, now you can work on the diet that’s going to take some time, check the hormones, make sure there’s no infections, toxic element, you know, all that functional medicine stuff. Maybe you need some medication for depression, you know, it’s having a… a phaser or a stroke or a head injury or some of things like this, they turn your life upside down better than I know. It’s ⁓ incomprehensible, really. Bill Gasiamis (29:26) Yeah, really. Yeah, really challenging. With a laser, how much laser for how long, how often? Understanding EEG vs. QEEG Dr Bob Hedaya (29:37) Great question. So let me say a couple of things. First of all, we have laser and then we have the LED helmets, right? You’ve read about and read the helmets, right? So there are a lot of studies on the helmets. There’s a question of whether they’re really having a direct effect because for a few reasons. Number one, it’s LED, it’s not a laser. Number two, the voltage is so low, if you’re only getting 2.6 % through and it’s so low to begin with, what do you think you’re actually delivering into the tissue? know, it’s hard to imagine that you’re delivering much. there, know, Henderson, I think, wrote an article where he showed there’s no penetration into the brain. But the studies do show cognitive benefit. So it could be an indirect effect or, you know, all the studies are done by the companies that make the… the helmet, there could be some bias. I don’t know the answer there. The laser ⁓ itself is more potent, so we’re doing, say, 30 watts. So the equivalent of a 30-watt light bulb, right? They might be doing half a watt, a very, very, very dim light bulb. We’re doing 30 watts. Now, we’re targeting the area or areas that we want to hit. Now, it goes through 2.6. Bill Gasiamis (30:34) devices. Dr Bob Hedaya (31:03) 5 % of it goes through. And then of course it’s going to be diffused, right? And it’s going to hit the surface tissues more. 1064 will penetrate deeper into the brain, but you don’t really have to go that deep because there’s downstream effects that happen, right? So we really, and then we adjust the parameters depending on how someone does. for example, you know, I had a woman who I was treating And actually it was the patient who her husband contacted you. I was treating her with a certain amount of energy and then after about five sessions I went up, I doubled the energy and boom, she had a response. But we have no way of knowing that’s what she needed. It’s all a calculation. But she, you know… Bill Gasiamis (31:39) Yes. Dr Bob Hedaya (32:00) Whatever it is, the thickness of the skull or the membranes or whatever it is, that’s what you needed and that’s what worked. Bill Gasiamis (32:06) Yeah. Tell me about ⁓ QEEG. So let’s dive deeper into it a little bit because we kind of glossed over it. I think it’s important to discuss how it’s different from EEG, ⁓ what EEG is and then what the Q adds to EEG. Dr Bob Hedaya (32:24) OK, so the EEG, imagine somebody, you put a cap on, and it has all these electrical wires that are measuring the electricity that comes, that’s on your scalp. It’s coming from your brain, but it’s measured at the scalp. And each one is measuring the energy from that spot, comparing it to other spots. And then you might, your viewers might remember. all those squiggly lines, you’ll see like 19 or 20 squiggly lines and you’re like, what is this spaghetti? I don’t know what this is. And I mean, even in medical school, we looked at it and our eyes would glaze over because who knows what it is. So the neurologists look at it and they’ll scroll through it and look for certain patterns to see is there a seizure or is there area of damage where there’s a lot of slowing like the frequency of the electricity slows down if there’s tissue damage, right? And they look visually to see what they can find. But we know with AI, you can get the patterns that you can determine. There’s no way the human mind, the human eye, a trained eye, I don’t care how long you’ve been looking at EEGs, there’s no way you can extract this data that we now extract. So the quantitative is actually looking at the quantity of this, what’s going on here versus the quantity of electricity that’s here versus what’s here versus what’s here. And then all of that is calculated and they say, ⁓ well, if this is high and this is here and this is low here and this is this, well, that means they’re coming from this deeper place here and that’s under functioning. And, you know, that’s done over thousands, thousands of points in a very short order, very short order. It’s amazing. I can’t imagine practicing without this. So now I can look at the thalamus. I can look at the putamen. Addressing Depression Post-Stroke Bill Gasiamis (34:07) Mm-hmm. Dr Bob Hedaya (34:17) In my office, I can do these tests in my office. If a patient is my patient, I can send the QEG to their home and do it in their home. And I get this imagery that’s immensely better than a spec scan. It’s not an MRI, an MRI structure. This is function. Okay, this is function. It tells us how different parts are functioning. Bill Gasiamis (34:40) What’s lighting up? What’s not lighting up? What could be lighting up better? What’s not going to light up anymore? Dr Bob Hedaya (34:45) What’s the information flow? How is the flow going from here to here? How about this network? Is this network working? Is this network overworking? Is it underworking? How about the neuron populations that are firing when I’m relaxed? How are they doing? How about the ones when I’m thinking? How about the ones when I’m thinking fast? How about the populations when I’m emotional? We can look at all those populations and see what’s going on with those populations. And then we can actually target them. train them, et cetera. And then we have that data that we treat, and then we measure and see is it getting better? Do we need to change the protocol? It’s not helping, it is helping, et cetera. Bill Gasiamis (35:29) Yeah. with stroke, so many things come from stroke that people are not equipped to handle. You know, firstly, all of the, ⁓ the parts relating to, ⁓ simply the person discovering them, they’re, they’re immortal after all, you know, you become a mere mortal immediately and you kind of work out the most terrible thing that could have happened to me happened. My brain is injured and all these things go away. Right. And then. Unfortunately, like I think it’s 30 % the studies of people who experienced stroke will then also experience depression. Like as if recovering from stroke isn’t enough and all the deficits that you also have to recover from depression. What’s it like? How can that be supported with this particular method, this approach that we’re discussing here today? Dr Bob Hedaya (36:28) So ⁓ kind of separate from stroke, ⁓ treat treatment resistant depression with laser all the time. With stroke, we use the laser, but you have to watch the QEG to make sure you’re not getting overstimulation, number one. Number two, I learned this with the patient that referred me to you, ⁓ that after, put us in touch, there was actually a central Bill Gasiamis (36:44) huh. for us in touch. Dr Bob Hedaya (36:58) hypothyroidism, meaning the low thyroid function, right? And we had to treat that, but the problem was as we treated that, there was a supersensitivity and because the tissues after stroke are more vulnerable to seizures, the patient actually had a seizure. She was actually having seizures we didn’t know, mild seizures. And then when we treated the thyroid, then we actually ended up having seizures. now we have to support, you need thyroid function to be good in order to not be depressed, right? If you have low thyroid, you’re much more likely to be depressed in the face of a stroke or other stresses. So we were kind of a little bit of a bind there because we went and treated, but it’s too sensitive. So anyway, we’re actually threading that needle nicely and we’re moving slowly and carefully and keeping, there’s no seizure activity now. But you have to treat the depression because of the depression itself. Bill Gasiamis (37:29) Yep. Dr Bob Hedaya (37:55) is a big problem because you know to recover from stroke, man, you gotta work hard. You gotta keep a good attitude. gotta have your eye on the ball. There’s no room for like… I’m going to give up. There’s no room for that. I mean, of course you feel it and I mean, it’s all natural feelings, but you have to really be determined and that’s essential. so with depression that is ⁓ really can get in the way. So we treat it. The laser can treat it. Sometimes pharmacology, sometimes therapy, sometimes yoga, know, hyperbaric, all these things that we do with the nutrition, making sure the hormones are right. All these things work together, you know. Bill Gasiamis (38:14) Yeah. I love all of those things that you mentioned. And then all of a sudden you just throw in yoga. mean, it just, it’s so counterintuitive, isn’t it? When you have a conversation about all these acronyms and all these tests and lasers and all that kind of stuff, and then you just throw in yoga casually like that. It’s, and we underplay it, but it’s such a massive thing in the picture of what creates the environment for a good recovery, but also I love that you mentioned the thyroid in that conversation as well about depression and what can also be a trigger to depression and people may have depression, never check their thyroid and not know that it’s a thing. Now I’ve had thyroid surgery, have ⁓ half of my thyroid removed because I had a massive ⁓ goiter on one side and that was such a difficult thing to discover and have to go through 16 months after brain surgery. but they only discovered it after my brain surgery when they did a chest x-ray, because I wasn’t recovering properly and they found that I had this goitre which would have been there for a long, long time impacting my health and all sorts of things. And I make that point because often people who have had a stroke and can’t speak, for example, have aphasia, ⁓ or their arm doesn’t work or the leg doesn’t work properly, will say, I just wanna fix this thing. If I could speak, Dr Bob Hedaya (39:40) No. Holistic Approaches to Recovery Bill Gasiamis (40:09) everything’s better, but they’ve never looked at the other things that may be contributing to keeping the speech at a level which is not good enough for them, for example, to be comfortable with. And it’s like this one track mind, I’ll just get my speech back, I’ll get my speech back, you what do I need to do? Or make it go, get back for me. There’s often no looking into the other things that might be causing depression, for example. Dr Bob Hedaya (40:31) Thank you. Bill Gasiamis (40:38) After stroke, know for a fact that the gut gets impacted ⁓ very dramatically from a stroke and the gut is highly linked to ⁓ mood and how you feel. And nutrition is what supports the gut to feel better and taking out things from the diet that are ⁓ making the gut sluggish and not work appropriately will ⁓ improve your mood and how you feel. It’ll make a difference and Dr Bob Hedaya (40:59) Okay. Yeah. Bill Gasiamis (41:08) and it’ll add to one of those little tools that supports depression and makes depression less impactful and you have less swings, et cetera. And that’s kind of the point that you’re making is that you don’t just turn up and do psychiatry. We’re gonna do psychiatry, treat you pharmacologically and then send you on your way and then see you in six, 12, eight months again or whatever and then just repeat the process again. It’s a whole, know, holistic is the word that you hear, but it is a broader conversation that people need to be having. And that sounds like what you guys do. It sounds like the conversation doesn’t encompass, it encompasses everything. It doesn’t just focus on one intervention. Dr Bob Hedaya (41:56) That’s why I call it whole psychiatry. But it really should be whole neuropsychiatry or whole brain or, you know, but it’s whole body, whatever you want to call it. It’s really more than the body because obviously the social connections play a big role as well, you know. So yeah, everything you’re saying is 100 % true and it’s all real. Everything you’re saying is real. Everything you do. mean, simple things going back to the B12. You you need B12 to… Bill Gasiamis (41:58) Yeah. Dr Bob Hedaya (42:26) remyelinate your neurons. need to keep the mercury, by the way, got to keep the mercury levels low. know, the mercury, if you’re eating tuna fish or swordfish and you have high mercury levels, know, the mercury will actually prevent you from making new branches. The mercury actually will bind on tubulin, which is like a brick that you need to build new roads. And it will prevent the tubulin from building new roads in your brain. So here you are working hard trying to… Bill Gasiamis (42:28) Mmm. Dr Bob Hedaya (42:54) do things and you’re a can of ⁓ whatever tuna fish with loads of mercury two, three, four times a week. Well, that’s not working, you know. So that’s why you really want to look at the whole thing. It’s a lot. It’s really a lot. You know, it’s a big program, but you you take, take steps. Everybody has different needs or not everybody has to do everything. Bill Gasiamis (43:04) Yeah. Yeah. Not everybody needs to do everything to achieve significant results, but it’d be amazing to be able to find the things and target those, the ones that you’re to get the most bang for buck on. So you’re to putting time and effort into things that are not getting results. For example, an led hat from, uh, Amazon for $9 that you put on your head. And it’s basically just a red light hat. It’s not really doing the thing, right? Dr Bob Hedaya (43:32) Hmm. Ha ha ha. Bill Gasiamis (43:49) And that’s kind of why I started to have that conversation and do a little bit of research in what they, know, what’s medically known as or scientifically known as photo bio modulation, you know, the idea is great, but then it came to me from somebody who I imagine was looking at a seven or eight or $9, $10 cap with red lights that put on the head and they Dr Bob Hedaya (44:00) Right. Bill Gasiamis (44:15) paid money for a cap and hoping for an outcome and they didn’t get an outcome and then they’re wondering why. I suggest when people are looking into those topics, is gonna go and have a look at the science, what it says about the nanometers of the type of light that you need to be experiencing, how, where, who, and always do these things with medical supervision. It really challenges me when I find out people do things like, know, methylene blue was a thing. Dr Bob Hedaya (44:44) Right. Bill Gasiamis (44:45) uh, very recently and people will just go get a bottle of Methylene blue from somewhere and just start taking it and have no idea what they’re doing and, and, and, know, what they could hope for. They could be making things worse than for themselves and actually making themselves, um, like make things a lot harder for themselves. So, uh, my point is this all needs to be done under medical supervision. Typically when you, somebody reaches out to you, how do you begin the conversation and then how does that person engage with you? And then what happens after they’re treated? Because often I know from my experience with all my neurologists, et cetera, very rarely do I see anybody a second time, six months, 12 months, 18 months, five years down the track. You usually go in, they patch you up, they send you home, you get back to your life and then maybe you do one MRI. Dr Bob Hedaya (45:36) Really? Bill Gasiamis (45:44) ⁓ for a few years after brain surgery just to make sure that everything’s stable. But that’s about it. Nobody follows up with you. Dr Bob Hedaya (45:52) No, it’s a whole different ball game with us. No. So what we do first is ⁓ if someone will contact us through the website, which is wholepsychiatry.com, they will actually fill out a form. And if we feel that it looks like we might be able to be helpful to them, then we will send them a welcome letter. And then they will have the opportunity to meet with our new patient coordinator at no charge. Patient-Centered Care and Follow-Up and she’ll talk with them for 15 to 30 minutes and kind of tell them what’s going on and see if they, you know, the fit is good, et cetera. And then they have an opportunity if they want to meet with me on Zoom for 15 to 30 minutes and ⁓ I’ll figure out, can I help them? Can I not help them? Is it a good fit, et cetera? And then if it looks like, you know, green light and they decide they want to move forward and it makes sense, then we’ll schedule an evaluation. The time duration of the evaluation depends on what kind of patient. It could be a couple of hours, could be four and a half hours. But usually for neurological patients, straightforward, it’s a shorter evaluation. And before the evaluation, we’ll collect the neuro-quant and the QEG and the old records, et cetera. And then I will go through all of that data plus lab data that we collect. And I will then have an idea. Okay, what’s going on here? Now there’s all these things. There’s digestion, there’s nutrition, there’s immune function, inflammation, toxins, hormones, all the hormones, structural issues, chiropractic issues, traumatic brain injury, cardiovascular issues, et cetera. We look at all of that and then to see what are the players here and spiritual, social resources, connectivity. We look at all of this. And then we have a whole picture of what’s going on. And then we can figure out, okay, how do we want to approach this? And sometimes we approach it very lightly. Say we just start with the laser, that’s it. Or sometimes somebody says, no, I want to really get in there and fix everything that’s wrong. Okay, well, we identified these five or six things that need correction. So let’s stage this in order. And that’s what we’ll do. And everyone’s different. And then we have follow-up depending on what we need in two weeks, in a month, six weeks, not usually six weeks. Once things are stable, it could be every two, three months or four months. But in the meantime, I’m in the boat rowing, paddling with them. That’s the way I do it. I treat people, really, I try to treat people just like I would want to be treated myself, like I would want my family to be treated. I do the very best. I love what I do, you know what I mean? I just love what I do and I try to do the best, highest quality. And it’s not that I’m perfect, not that I don’t make mistakes, ⁓ not that I know everything because that’s for sure that I don’t, but that’s my approach. So I try to be in the boat with the patient. As long as the patient’s paddling, I’m paddling just as hard, if not. Bill Gasiamis (49:02) Yeah, it sounds like at least if things, if you don’t make the right approach initially, there’s a whole bunch of tools and resources and things that you can kind of focus on. And one of the things you mentioned, again, you glossed over it, but I love that you do this is spiritual. Like it might be a spiritual journey that the person needs to take. And it’s so overlooked because people, you know, do have… Dr Bob Hedaya (49:22) yeah. yeah, yeah. Bill Gasiamis (49:30) existential crisis after a stroke. it’s like a spirituality helps somehow for a lot of people ease, heal that, ⁓ help people move through, you know, the weeds and come out into the opening and then kind of see the opportunities and where they need to go next. And people don’t need to engage with somebody like you to go on a spiritual journey. That might just be something they’ve ever looked and they can just go, you know what, I’m going to pick up the Bible or ⁓ I’m going to learn about this particular ⁓ spiritual journey or whatever and go through it and do whatever it is that they need to do to kind of start beginning the healing journey in their own special unique way. It’s really important that spirituality gets addressed and it’s not glossed over. And I’m not saying that you did or I did or we do, but in the back of the minds, stroke survivors may not consider that being important. The Role of Spirituality in Healing Dr Bob Hedaya (50:31) Yeah, first of all, I’m passionate about spirituality. I mean, passionate because the truth, in my opinion, is that consciousness, your level of awareness is really consciousness is the foundation, the substrate of everything that exists. The material is an outflow from consciousness. So I could talk about this forever. Not everyone is oriented this way. So, you know, I just saw a businessman, very successful businessman ⁓ last week. He doesn’t want to just, you know, get me back online. OK, I don’t want to hear this mumbo jumbo and I just can’t. I don’t want to delve into it. Just get me better. know. But other people are like, I want to find the meaning, you know, and it’s very important. to find the when I think generally for most people finding the meaning in it is critical. And I’ll say one thing, my mother, may she rest in peace, was in the emergency room, probably 25, 30 years ago, I don’t know, something was wrong, she was in the emergency room for seven, eight hours or whatever, and some guy comes by and says, ma’am, can I get you a sandwich? And she says, oh yeah, please, please get me a sandwich. He gets her a tuna fish sandwich, whatever it is, right? He leaves. She’s so grateful. She’s so grateful that she volunteers in the hospital for 20 years. Okay? This guy has no idea what he did and all the people that he helped through her, right? So you’re, you you and you’re not just you, but we, each of us in our small minds, we have no idea. the impact we have on other people. So if it’s important to a person to have a meaningful life, understand that you don’t have to be running a company. You can smile at a stranger, change their day. There are things that you can do and you have an impact. Now, that’s a small consolation when you’re dealing with a stroke, obviously, but that’s when you kind of want to work to a meaningful ⁓ attitude and a good attitude. So yes, the spirituality is… many people very important. Bill Gasiamis (52:54) David who brought us together ⁓ wanted me to meet you so I could interview you. that part of the role that he played in what happened to his wife ended becoming something that helped other people. Isn’t it interesting? The whole journey started on. Dr Bob Hedaya (53:15) Exactly. Bill Gasiamis (53:20) He contacted me because he wanted to make something good come of what happened to his wife, which I’m sure his wife was also interested in. And he said, you need to get Dr. Hedaya on because we need to share more information, make this stuff aware. so, and I’m like, well, that’s perfect. Of course I do. Whoever comes to me with that kind of information because they want to help other stroke survivors because he’s hoping that other caregivers that are in his shoes have a better outcome. They have more support. They have more information. They have more tools. Dr Bob Hedaya (53:27) Mm-hmm. Bill Gasiamis (53:50) That’s the spiritual journey. You don’t have to call it ⁓ Christianity, Judaism. You don’t have to call it something. You don’t have to label it, but that is what spirituality looks like in practice. Dr Bob Hedaya (53:56) Right. Right. That’s exactly it. That’s exactly it. And it gives me chills because, you know, I know his wife is suffering, you know, and ⁓ but she’s making really great headway, but it’s hard, you know. But look at look that he’s reaching out and he cares enough about other people and to and make her journey and what she’s gone through and what she’s learned be useful to other people. That’s it. That’s just beautiful. I mean, that that speaks volumes about him and her. Bill Gasiamis (54:32) It does absolutely and her and your work because your work is not unique. You’re not the only one doing this kind of work. I think there’s only kind of a small percentage of ⁓ medical professionals in the field that are practicing in this way. And hopefully that continues to grow. ⁓ If somebody wanted to, well, somebody lots of people are listening to this today. If anyone wanted to reach out ⁓ who thinks, you know, that they might be able to ⁓ benefit from or go down this kind of approach. How should they go about that? What questions should they be asking of you, et cetera? Like how do they begin? Because this is a different conversation than I have ⁓ neurological injury, have aphasia. It needs to be positioned differently, this conversation. Dr Bob Hedaya (55:29) Tell me what you mean. I’m not really clear what you’re saying. Bill Gasiamis (55:33) If somebody wants to find a clinician who practices the way that you practice, you guys, for example, you know, you know, who thinks about the brain in a different way. What, what should they be looking for and what. Dr Bob Hedaya (55:38) Aha, I see, I see. I would say that they should go to the website for the Institute for Functional Medicine. And there’s a tab. This is find the practitioner. And make sure you look for a practitioner that is certified, fully certified. And then investigate the practitioners who are in your area and see if they experience. in this area. there are not I’m not aware of, there’s a guy somewhere in the Midwest here who’s using a laser, I believe. And then maybe other people that I don’t know about using lasers, but I’m not aware of anybody that I could say, go see this person for this quantitative EEG guided transcranial photobiomodulation. I’m not saying that that is readily available. It’s not. But the whole functional medicine thing, there are a lot of practitioners. And I think that’s the way to go there. Just do your homework. Bill Gasiamis (56:48) Yeah. Yeah. Cool. Your organization is whole psychiatry and the brain recovery center. Is that right? Okay. So the psychiatry part of it, ⁓ people might be listening and going, well, that doesn’t apply to me, the specific word specifically doesn’t need to apply to an individual to engage with you because, we’re not just dealing with the psychiatry part of somebody’s recovery. Dr Bob Hedaya (56:56) Yeah. Right. Thank you. No, no, we’re dealing, we treat psychiatric, but we treat neurological. You know, I started as a psychiatrist. was, you know, certified by the American Board of Psychiatry and Neurology, but I was doing psychiatry. then, you know, just following, you know, learning and whatever, I ended up, you know, doing some neurology here. And so, but we didn’t change the name to the whole neuropsychiatry and brain recovery. Maybe we should, or maybe the whole brain recovery center or something like that. So, you we do both, no, and if, and if, I can’t be helpful, of course, I’m going to tell people this, we really don’t want to waste people’s time, energy, money, et cetera. ⁓ But it’s, it’s been, you know, I have to say an amazing journey. And I would say when you follow for me, this is me, my life, following my passion of learning about the brain and understanding the brain and Bill Gasiamis (57:45) Yeah. Dr Bob Hedaya (58:14) looking for the fundamentals of how do things work and just there’s a common sense in medicine. I looked at the laser when I was reading that book and I was like, wow, ATP in the brain, that could really help the brain. How would I

Had an AHA or Insight? Share it:Hatch Beauty Founder Tracy Holland on the hidden cost of building at all costs. Tracy Holland built Hatch Beauty into a $100 million beauty empire in five and a half years. Self-funded.Three kids under five. EY Entrepreneur of the Year. A manufacturing facility in Durham, North Carolina.Business with some of the biggest retailers in the world. Every metric of success you could point to and say, she made it. And then she could not keep up with her own success.One morning at 7:15, after another three-hour sleep night, with 14 minutes and 30 seconds calculated to get coffee, use the bathroom and make it to her 7:15 AM appointment, she pulled over on Pico Boulevard and thought three steps into traffic would fix everything.That is where this conversation starts.We talk about secret keeping. About what it does to you when the outside image and the inside reality stop matching. When everyone around you sees the success, the beautiful children, the thriving business,the awards and you cannot find a single person you trust enough to tell the truth to. About perfectionism and the refusal to give yourself any grace. About the identity that gets built around being the one who has it together, who never breaks, who figures it out. And how that identity becomes its own kind of prison.We talk about the cost of the hustle and growth-at-all-cost culture. The real version. The marriage held together with one hand while building a company with the other. And what happens when your life getstired of waiting and screams back at you.Tracy shares the turning point. The daily practices that recalibrated her thinking. How she rebuilt a $27 million business in 24 months after walking away from everything. And the question that changed everything for her. Listen to the episode and find out.I know Tracy personally. I watched her. She always looked amazing on the outside. Truly an inspiring woman and founder. After this conversation I love her even more because of her raw honesty and willingness to share the hard things from her journey.This is one of the most honest conversations I have had on this show. If you have ever built something and wondered what it is costing you, this episode is for you.About Tracy Holland I'm a founder, investor, and operator who has spent more than two decades building brands and businesses with women who lead. I co-founded HATCHBEAUTY and helped scale it to over $750M in cumulative wholesale revenue, launching and growing brands like Naturewell, Nuance by Salma Hayek, BLISS Color, FOUND Active, and Orlando Pita Haircare.The pod discusses alignment of spirituality and strategy.:My work sits at the intersection of mindset, intuition, and strategic execution. I believe true business growth happens when you align who you are with how you lead, combining inner clarity with smart, scalable strategy. I help women step into their power by strengthening both their mindset and their business strategy. That means building confidence, trusting their instincts, and pairing that with proven frameworks to grow, scale, and lead. It's not either/or, it's both.LINKS & RESOURCESInstagram| LinkedIn | Facebook |Website_____________________We appreciate you, thank you for listening. Let us know in the comments what resonated in this episode, we want to hear from you. Leave a comment, like, share with one person who needs to hear the message our guest shared. Take our QUIZ and find out what your talent is worth in this market:  What's Your Talent Worth (http://WhatsYourTalentWorth.com)Follow us on Instagram:Check us out on Tik Tok: Work With Us

This episode of VHHA's Patients Come First podcast features Ed Markowski, Director of Threat Assessment at the University of Virginia, who joins us for a conversation about his work, the application of behavioral health threat assessment and management concepts to keep staff and patients safe, a FBI and AHA report on that topic, and more. Send questions, comments, feedback, or guest suggestions to pcfpodcast@vhha.com or contact us on X (Twitter) or Instagram using the #PatientsComeFirst hashtag.

„Du musst einfach konsequenter sein“ Wenn du ein neurodivergentes Kind hast, kennst du diesen Satz wahrscheinlich. Und vielleicht glaubst du insgeheim: Wenn es eskaliert, bin ich nicht konsequent genug.In diesem AHA! Moment räume ich damit auf.Du erfährst kurz & klar:✔ warum „klassische konsequente Erziehung“ bei neurodivergenten Kindern das Nervensystem erst recht in Alarm bringt ✔ was dein Kind dabei wirklich lernt ✔ wie Konsequenz bei neurodivergenten Kindern aussehen darf ✔ 5 alltagstaugliche Ideen, die du sofort nutzen kannst

Die Haut ist ein wichtiger Teil unseres Immunsystems und unserer Immunabwehr. Sind wir gestresst, reagiert unsere Haut: Akne, Neurodermitis oder Schuppenflechte können sich in belastenden Phasen verschlimmern. Warum das so ist und wie eine ganzheitliche Behandlung von Hautproblemen aus Perspektive der Psychodermatolgie aussehen könnte, das erklärt Prof. Eva Peters in dieser Folge von "Aha! Zehn Minuten Alltagswissen". Danach geht es um die Frage: wie viel Pupsen ist eigentlich normal? "Aha! Zehn Minuten Alltags-Wissen" ist der Wissenschafts-Podcast von WELT. Wir freuen uns über Feedback an wissen@welt.de. Produktion: Serdar Deniz Redaktion: Sophia Häglsperger Impressum: https://www.welt.de/services/article7893735/Impressum.html https://www.welt.de/services/article157550705/Datenschutzerklaerung-WELT-DIGITAL.html

Today's crossword was — depending on which cohost you ask — a slightly crunchier than usual Sunday, or a puzzle just a shade less difficult than decrypting the Rosetta Stone in the dark while wearing gloves. Regardless, the puzzle could be solved, and the payoff was extraordinary, with the AHA! moment in the center of the grid being particularly epic. Deets inside.Show note imagery: Feng Wang, playing an EHRU.We love feedback! Send us a text...Contact Info:We love listener mail! Drop us a line, crosswordpodcast@icloud.com.Also, we're on FaceBook, so feel free to drop by there and strike up a conversation!

In this deeply honest and inspiring conversation, Lucas Mack welcomes back Matthew Gauger of Greenhorn Grove for a second episode that goes far beyond gardening tips. Matthew shares his unlikely journey from nightclub promoter in Charlotte to homesteader and social media mentor, describing how a simple tomato from his first, very imperfect garden became a life-changing “AHA” moment that set him on a totally new path. Matthew opens up about building a 25-acre homestead in South Carolina, launching his charity Here We Grow, and his mission to grow thousands of pounds of food to feed the homeless, nursing homes, churches, and schools—often doing the physical work alone with just his dog for company. He also talks about partnering with the Better Together Coalition to help rebuild over 300 homes in Western North Carolina after devastating floods. The conversation then moves into a raw and vulnerable space as Matthew shares how divorce, the possible loss of his land, and six months without seeing his kids have tested his faith. Together, Lucas and Matthew explore darkness vs. light, the duality of this world vs. the oneness of God, and how nature, seeds, weeds, and even the golden ratio in creation reveal the fingerprints of a divine Artist. Along the way, they touch on Blue Zones, whole-food living, resilience, continual learning, and the spiritual lessons of homesteading. This episode is an invitation to see gardening and homesteading as a path to healing, faith, and personal freedom—and a reminder that even when life feels upside down, planting seeds (both in the ground and in the heart) can still lead to unexpected abundance. https://www.instagram.com/greenhorngrove Thank you for listening – if you're struggling to break free and need support – go to my website and www.lucasmack.com. There's you'll find resources like videos and eBooks and information on how to work with me for coaching.

Off Topic初の書籍化！新刊『未来検索』予約受付中Amazon（特典あり）：https://www.amazon.co.jp/dp/4295412279楽天（特典あり）：https://books.rakuten.co.jp/rb/18611190/楽天（通常）：https://books.rakuten.co.jp/rb/18611189/北米文化とPODCAST – PODCAST EXPO (5/9 Sat) https://podcastexpo.jp/session/day1-omega-05/＜目次＞(0:00) 急遽来たOff Topic最終回(1:59) 解散の理由(4:36) 告知①：2026年5月9日のPodcast Expoで登壇(6:34) 告知②：2026年9月18日にOff Topicが本「未来検索」受付中(10:36) 草野さんがOff Topicを始めた理由(14:16) サイドプロジェクトからの進化、"きっかけ"を与えるミッション(17:12) ビジネスの境目が無くなる現象、自分のAHA体験を伝える(22:18) Off Topicで重要視する"ニュアンス"の提供する考え方(25:22) 私たちが言っていることも疑ってほしい、矛盾だらけのOff Topic(28:15) フレームワークや人間の根本にたどり着いたコンテンツ(32:56) 1人で語るコンテンツとしては成り立たなかった(38:25) 振り返り：Podcast Awardのノミネート(40:05) 振り返り：コロナ期間中に人気アプリDispoの日本展開の支援(41:21) 振り返り：Off Topic公式グッズの販売(43:02) 振り返り：USテックスタートアップのイベント招待 + インタビュー(44:50) 振り返り：インタビューシリーズ、Andurilで感じた緊張感(46:54) 振り返り：Nightを招待したイベント開催、リスナーと会えたミートアップ(49:28) 振り返り：note記事とテキストコンテンツを活用したグロース(51:22) とりあえずコンテンツを出す(52:22) 感謝したい人(57:38) 点からフレームワークに転換(59:13) 世の中を理解する努力(1:02:21) プロセスを好きになる重要性(1:07:31) 人を動かす力の凄さ(1:11:24) Off Topicスエットのタグの秘密(1:12:58) Off Topicロゴの考え方(1:13:55) 7年半で1,000以上のポッドキャストを配信(1:17:34) Off Topicからの唯一のお願い(1:19:11) 2,722日間、お疲れ様でした！＜About Off Topic＞Podcast:Apple - https://apple.co/2UZCQwzSpotify - https://spoti.fi/2JakzKmOff Topic Clubhttps://note.com/offtopic/membershipX - https://twitter.com/OffTopicJP草野ミキ:https://twitter.com/mikikusanohttps://www.instagram.com/mikikusano宮武テツロー: https://twitter.com/tmiyatake1

Dein Kind haut, tritt oder boxt dich (oder andere) – und obwohl du den Grund verstehst, tut es dir weh – und muss sich ändern? Dann ist dieser AHA! Moment für dich. In dieser Folge klären wir, warum körperliche Wut bei neurodivergenten Kindern (Autismus/ADHS) so häufig vorkommt – und was euch beiden im Alltag wirklich hilft.Du bekommst: ✔ eine klare Einordnung ✔ den 1-Satz-Stopp für die Tabuzone Körper ✔ einfache Deeskalationsschritte, die ihr üben könnt, bevor es knallt ✔ sichere Alternativen

Rural Health News is a weekly segment of Rural Health Today, a podcast by Hillsdale Hospital. News sources for this episode: Gary L. Roth, DO, “Fact Check: Drug Pricing Savings Are the Lifeline to Community Healthcare Services,” April 30, 2026, https://www.mha.org/newsroom/fact-check-drug-pricing-savings-are-the-lifeline-to-community-healthcare-services/, Michigan Health and Hospital Association.  American Hospital Association, “AHA urges HRSA to act as Eli Lilly threatens 340B discounts over claims data submission policy,” April 27, 2026, https://www.aha.org/news/headline/2026-04-27-aha-urges-hrsa-act-eli-lilly-threatens-340b-discounts-over-claims-data-submission-policy.  American Hospital Association, “Washington Post publishes AHA letter in response to anti-340B editorial,” April 22, 2025, https://www.aha.org/news/headline/2026-04-22-washington-post-publishes-aha-letter-response-anti-340b-editorial. Jennifer Wessel, JD, MPH, “Commercial Insurers' Payments to Hospitals Closer to Medicare Rates in Arkansas Than in Any Other State,” May 15, 2024, https://achi.net/newsroom/commercial-insurers-payments-to-hospitals-closer-to-medicare-rates-in-arkansas-than-in-any-other-state/, Arkansas Center for Health Improvement. Tess Vrbin, “Low reimbursement rates force Arkansas hospitals to scale back services,” April 21, 2026, https://arkansasadvocate.com/2026/04/21/low-reimbursement-rates-force-arkansas-hospitals-to-scale-back-services/, Arkansas Advocate. Rural Health Today is a production of Hillsdale Hospital in Hillsdale, Michigan and a member of the Health Podcast Network. Our host is JJ Hodshire, our producer is Kyrsten Newlon, and our audio engineer is Kenji Ulmer. Special thanks to our special guests for sharing their expertise on the show, and also to the Hillsdale Hospital marketing team. If you want to submit a question for us to answer on the podcast or learn more about Rural Health Today, visit ruralhealthtoday.com.

Had an AHA or Insight? Share it:You are using AI. That's the right thing to do. You are enamored with how fast and intelligent it is. But you are getting inconsistent results. And you are worried it's your prompts.You have been using AI. Getting inconsistent results. Pushing back when it ignores your instructions. Telling it the same thing ten times. And wondering if you are just doing it wrong. You are not doing it wrong. You are misunderstanding what it is. Michael Toguchi builds AI systems for universities, nonprofits, and some of the largest mission-driven organizations in the country. Stanford. University of California. Major associations with hundreds of thousands of members. Places where an inconsistent output or hallucinations are not just annoying, they have real consequences. What he has found is that the AI problem is almost never an AI problem. It is a foundation problem. Organizations that struggle with AI outputs almost always have unclear goals, inconsistent data, and no governance before they touched that tool. AI does not fix the crack in your foundation. It runs on top of it. And if the foundation is broken, AI produces mediocre output at extraordinary speed. In this episode of The Business Growth Architect Show: Founders of the Future, Beate and Michael dig into what it means to stop expecting AI to figure you out,  and start taking responsibility for what you are asking it to do. We talk about the comprehension shift that changes how you use every tool. The follow-up problem every business owner has and how AI can solve it at every level. When to build your own agent and when to hire a one-time build. And the data protection moves every founder should make before they go any further. Michael also brings a framework most tech conversations skip entirely: the stewardship test. Did you design this system to help the people who will use it,  or to bypass them? That question, he says, tells you more about the health of your AI strategy than any compliance framework. This episode is for the founder who uses AI every day and still does not fully trust it. Who has been frustrated by the inconsistency and is not sure whether the problem is the tool or the approach. The answer is in this conversation.About Michael ToguchiMichael Toguchi is the Chief Strategy Officer at eResources, where he leads platform direction for application management systems that streamline complex processes like scholarships, grants, admissions, and accessibility services. With over 25 years of experience driving digital transformation for universities, non-profits, foundations, and associations, Michael specializes in simplifying internal workflows to help mission-driven teams reduce manual work, scale sustainably, and strengthen compliance. His work powers organizations including Stanford, UC Davis, PG&E, the Roddenberry Foundation, and Google's Certified Innovator Program. At the core of his mission is a commitment to building technology that enables teams to focus less on managing systems, and more on delivering meanin_____________________We appreciate you, thank you for listening. Let us know in the comments what resonated in this episode, we want to hear from you. Leave a comment, like, share with one person who needs to hear the message our guest shared. Take our QUIZ and find out what your talent is worth in this market:  What's Your Talent Worth (http://WhatsYourTalentWorth.com)Follow us on Instagram:Check us out on Tik Tok: Work With Us

Air Date: May 4, 2026 Transcript: https://tinyurl.com/bdfvsnj3 Kayla Jordan (PhD cand. University of Alabama) is a member of the Young Scholars Program of the Alabama Historical Association Speakers Bureau. She discusses her two Speakers Bureau presentations concerning ghost lore in the US South, “Control the Dead and the Dead with Control: The Social Used of Spirits in southern Ghostlore,” and “More than Ectoplasm: A Study of Civil War Memory and Southern Ghostlore.” LINKS MENTIONED IN THIS EPISODE Alabama Historical Association: https://www.alabamahistory.net/ Alabama Historical Association Speakers Bureau: https://www.alabamahistory.net/speakersbureau University of Alabama History Department: https://history.ua.edu/ Katheryn Tucker Windham: https://encyclopediaofalabama.org/article/kathryn-tucker-windham/ 13 Alabama Ghosts and Jeffrey: https://archive.org/details/13alabamaghostsj0000wind Mississippi State Meridian: https://www.meridian.msstate.edu/ Mississippi State: https://www.msstate.edu/ Tiya Miles' Tales from the Haunted South: https://uncpress.org/9781469636146/tales-from-the-haunted-south/ Marengo County: https://encyclopediaofalabama.org/article/marengo-county/ Half Acre, AL: https://en.wikipedia.org/wiki/Half_Acre,_Alabama Bluff Hall (Museum): https://encyclopediaofalabama.org/article/bluff-hall/ Dr. Eugene Allen Smith: https://encyclopediaofalabama.org/article/eugene-allen-smith/ The Alabama History Podcast's producer is Marty Olliff. Founded in 1947, the Alabama Historical Association is the oldest statewide historical society in Alabama. The AHA provides opportunities for meaningful engagement with the past through publications, meetings, historical markers, and other programs. See the website www.alabamahistory.net.

As teachers, we've all felt the frustration of watching a student fall through the cracks because the curriculum is moving faster than they are. We've all wondered: how do we actually catch them up without just ‘watering down' the work? In this episode, Brendan Lee is joined by Dr. Kent Johnson and Andrew Kieta from Morningside Academy. What makes this conversation so special is that it's not just theory. Morningside has spent over 40 years in their Seattle lab school proving that these challenges have answers. They have essentially "cracked the code" on the most persistent problems we face in schools. They dive into their world-renowned model of Generative Instruction, exploring how they use "Precision Teaching" to build effortless fluency and why they group students by achievement rather than age. You'll learn why a student who is 100% accurate can still be struggling and how a "Money Back Guarantee" on student growth is actually possible when you engineer instruction with this much precision. This is a deep look at how we can stop "praying and spraying" our teaching and start giving every student the success they deserve. Resources mentioned: MorningsideAcademy.org Morningside Summer Institute John Dewey: How We Think Lev Vygotsky Michael Maloney Israel Goldiamond Tom Gilbert - Mathetics Ogden Lindsley Carl Binder Owen White Norris Haring B.F. Skinner Jerome Bruner Fred Keller Brendan Lee: "Engineering the Aha! When Discovery Learning Actually Works" Ryan O'Donnell's documentary about Morningside Academy: The Morningside Model of Generative Instruction You can connect with Kent: Linkedin You can connect with Andrew: Linkedin   You can connect with Brendan: Twitter/X: @learnwithmrlee Facebook: @learningwithmrlee Linkedin: @brendan-lee-kft Website: learnwithlee.net   Support the Knowledge for Teachers Podcast:  https://www.patreon.com/KnowledgeforTeachersPodcast

Andrew returns with his latest blueprint for a gothic mystery, and the coaching quickly zeroes in on what will make it work: a clear, compelling villain and twists that truly land. With help from thriller coach and Thrillerfest executive director Samantha Skal, the discussion unpacks the hidden layer of the story—what the villain is actually doing—and how that contrasts with the protagonist's assumptions.As they dig in, it becomes clear that strengthening the mystery means making the murders more personal, introducing a convincing false suspect, and mapping both the visible story and the truth underneath it. By the end, Andrew has a sharper path forward: deepen the villain's motive, raise the stakes earlier, and build each twist so it feels both surprising and inevitable.#AmWriting is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.About Book Coach Sam SkalA fan of the scary, mysterious, and suspenseful, Samantha Skal is the Executive Director of ThrillerFest, the co-founder of Shadows & Secrets writing retreats, and an Author Accelerator-certified book coach who specializes in coaching mystery, thriller, horror, and suspense authors. Sam writes stories that keep her up at night, is a breast cancer survivor, and lives in the beautiful Pacific Northwest. Learn more at www.samanthaskal.com and www.shadowsandsecrets.com. Catch Up on Andrew's Hot Seat Coaching JourneyTranscriptHi, I'm Jennie Nash, and you're listening to the #amwriting podcast, the place where we help writers of all kinds play big in your writing life, love the process, and stick with it long enough to finish what matters most.This is a hot seat coaching episode where we work through a real challenge in real time.And today we're back talking with Andrew Perella, the hashtag am writing podcast producer who has stepped out from behind the mic to work on a novel. And where we left Andrew last time was you'd worked through the whole blueprint and you were tasked with completing. Inside outline. So before we get into our guest and, um, what we're gonna do today, how was that, what was it like for you?Um, I mean, it was, it was, uh, really hard. Uh, but it was, it was, uh, it was really gratifying and it was, it was a lot of fun to do as well. Um. Because I think, um, part of, part of the assignment, you, you, you left for me, [00:01:00] Jenny, was to also beef out certain elements of certain, certain, the presence of certain characters, um, and certain and certain elements of the book.And so I was trying to do that as well as. As, as crafting the outline. Um, and so yeah, it was, it was a long, it was a struggle. It was a struggle, especially to get it to three, to keep it to three, to get it down to three pages. I know, and I'm very strict about that for reasons you are. Um, and. Did you feel a sense of accomplishment when you did it though?Like, oh, this is a book and I'm writing it, or how did that land? Yeah, I mean, like at first I just started writing. I started writing the scene bullets and the, and the points, and just started like, okay, what are all the, what are all the elements that that. I have in my head that I need to get down onto paper and it was like 6, 7, 8 pages.And I was like, okay, now I gotta get this down to three pages. Um, and, and, and I was like, okay, I can combine these two scenes or maybe I don't need this. So I just ended up cutting a lot and cutting a lot [00:02:00] and getting it down. So like, yes, there was a sense of like. Completion. Um, that was certainly gratifying, uh, to get that.And, uh, I had a couple of late nights, um, getting that, getting that squared away, but yeah, it also feels, feels more real now. Um, and it's like, yeah, there's, there's, there's a, there's a there here, which I'm pretty excited about. I'm excited about too, and I'm also excited because we're doing something really cool today.Um, and we have with us Samantha Skull, who I will introduce in a hot second. But hi Samantha. Hi. Thanks so much for having me. I'm so excited to be here. Well, I'm excited too because, um. Sam, as I call her, um, I've known for quite some time. She's one of the OG author, accelerator certified coaches. And Sam, you actually don't know this, but I use you.Probably every day.Oh my God, I'm so flattered as an example of [00:03:00] what a great book coach should do, which is to focus and choose who you're gonna serve and how you're gonna serve them, and to really go deep into what you love and what you wanna do all day. Right? The read books all day and get paid for it thing like do what you love and you.Do that. You've done that just so powerfully and it's so visible on your website, which we'll link to in the show notes so folks can go see, but. Sam loves all the dark and suspenseful and scary mystery, twisty things, which always just cracked me up because I don't, and that's what's so beautiful about book coaching and writing for that matters.Everybody has their own thing and, and that's part of the work of writing Big is. What is your thing? You know? So the reason that I wanted Sam to come is she's built a whole business on this type of work and with, um, another author, [00:04:00] accelerator coach, she runs a really cool, uh, writing retreat that is, um, it's always in Salem.Right. It is in a haunted hotel, which, um, Carrie Savage, who is my co-founder in shadows and secrets, uh, loves being haunted. I do not choose to be haunted, so I choose the non haunted floor. So they have that retreat and they, um, have just started taking it virtual and just all kinds of tools and resources and things for people writing this kind of work.And in addition to that, I. I just am always impressed by your trajectory of having gone from. A volunteer at the Thriller Fest. Well, for a participant at the Thriller Fest conference to being a volunteer, to running the Pitch Fest piece of the thing. And now you're, well then you were co-director, now you're running the whole thing.You're, you're, yes, I am. You're running the entire [00:05:00] Thriller Fest conference, which is how many writers every year. Oh, we have around a thousand and I have a team behind me. Just to be clear. This would not happen without a village, but uh, yes, we have around a thousand thriller authors who come to New York and we, uh, we talk about the dark stuff all week.It's absolutely the, the best time. And it's in two weeks. I can't, I mean, when this comes out, it may have already passed, but yeah, can't wait. No, this is coming out right before, so if anybody wants a quick getaway to New York, they should go. But also just the programming, watch the programming coming out of it and we're so excited.Yeah, it's really good. So, um, I just, I love the career you've built for yourself. It's always just really inspiring to me. And, um, also a recent breast cancer survivor, so we're, uh, always wanna shout out to that. Yes. Get your scans. That's my PSA. Always love it. Same. Love it. Love it. So I wanted Sam to come look at Andrew's inside [00:06:00] outline because I knew that the thing he has to work on is this, what I call in my not totally expertise in this area.I call the twisties of it. That there's a, you know, it's a mystery. It's a murder, it's a gothic, it's horror. It's all the things. And it, those twists have to land. And this is so much Sam's expertise that the whole time I was talking to Andrew about it and guiding him and coaching him, I just kept thinking, we need Sam in here.So, so we got Sam in here. And so, um, Andrew completed his inside outline and Sam very graciously, um, agreed to look through it and to look through his whole blueprint. So before we get into what you saw and what you found, Sam. I just love to hear, I mean, this is so self-serving. I just like nothing more than reading a blueprint.I think it's so fun. Um, just to like, [00:07:00] kind of peel back the, the cover and see what's in there. Did, did you have fun with that? Oh my gosh. So much fun. Andrew. This story is, is so cool. And I love the historical elements and the rethinking of, you know, vampires are running around London and everyone's just like, that's fine.You know, and then how does, how does this all go down? And we have this very agency filled, moxie filled main character who's just a delight and yeah, I loved it. I have, I have so many fun questions to ask you. So Andrew, how does that feel? I mean, it feels great and I, I was reading through, uh, through both of your notes, um, in the, in the, in the outline and like you're asking all of these questions.Um. Some of them that I have not thought of before and like, so I'm, so I'm really excited to kind of dig into these and talk through them. But I'm, I'm, it's really gratifying to hear that this, that this idea is, is, is, is an interesting one. Yeah. I loved it. I a hundred [00:08:00] percent read this book. I'd, I'd see it and be like, yes, I want, I want to be in that world.Cool. Well that's why you're here. Because I would be like, no, too scary. Too scary for me. So, um, I'm gonna let. Sam sort of take it away and, uh, we could talk for days, I'm sure about this, but one of the, the things I love about book coaches who are well trained is they'll hone in on the most important, the most important things.So. What do you think, Sam? What's the most important thing Andrew should be thinking about in his next iteration of this outline? Yeah, so my favorite thing to talk about outta the gate with Mr. Thriller and suspense and gothic horror, depending on how dark you wanna make this, um, is who is the person who's really behind all these murders and why are they committing them?Right? I like to think of MTS mystery full or suspense as the villain's journey as experienced by the [00:09:00] protagonist. Mm-hmm. Right. So we, we must know what's going on beneath the surface in order for those twists to land, because twists are just assumptions about what's going on that the protagonist makes.And when the truth, you know, what's really going on with the villain is revealed, it's twisty because it's unexpected. Mm-hmm. So if we don't, therefore if we don't know who's. Who's behind, who's doing all these villainous things. Um, we struggle to make those twists land and we struggle to get a blueprint that we can actually follow.So tell me your thoughts on who this mastermind murderer is and why they're doing what they're doing. Um, so. So Jack Seward is the, is the, is the Mastermind behind this. And I've been, I've been thinking a lot about it this week since I, since I finished the, since I finished the outline. And a lot of other things have occurred to me about who this gentleman is and how he's doing what he's doing.But I think the why is, um, he is committed to the status quo. He is committed [00:10:00] to, uh, uh, uh, uh, a, you know, uh. He is committed to the manosphere. He is committed to the patriarchy. He has committed to, um, the previous way of doing things. Um. In, in, in society, in politics, in medicine. And so like he's seeing this sea change, um, in all of those areas.Um, with the advent of this, of this, um, medical school for women, uh, with the, with this vote, um, vote, uh, that is happening. Um, and he disapproves and so his goal is to disrupt all of those, um. Disruptions di uh, by pitting them against each other. Got it. So if he can, if he can. Create this illusion that vampires are preying on Suffr jets.They will be too busy fighting each other to try and find any sort of, uh, agency for [00:11:00] themselves. Aha. Very, very well thought out. I love that. As a, as a mastermind villain goal. So here's the other thing, is that mm-hmm. In the genre expectation for any sort of modern mystery, full or suspense, is that we have three twists.We have one at the mid and we can have more. Right. But we have one at the midpoint, which is just the midpoint turn. Like it's, it's a classic story thing, which you already have. You have a great midpoint currently. Mm-hmm. Um, and the climactic twist is the reveal of, uh, as, as Carrie, my co-founder and shadows and secrets likes to say, um, the climactic.Confrontation answers the story question, which is presented in the inciting incident and typically in mysteries, the inciting incident is who's doing the killing? Right? Like, who's behind this dead body that we have early on? And we'll talk about that in just a second. Um, so the climactic answers that question, and then we have a final twist, which is typically the reveal of this gentleman who wants to keep things as is.And he [00:12:00] meanwhile. During the course of the story is going to be taking action to stop, uh, our plucky protagonist from stopping him, right? Mm-hmm. So he's a full antagonist to our protagonist. And in that way we need a fake villain, right? We need someone that he can have set up so that she thinks this is the person behind everything in the climactic scene.And then she gets to the end and is like, oh my gosh, I've. You know, I've conquered, I've brought chaos to order, I've solved this thing, and now, oh my God, now there's somebody else who's actually behind everything. And actually we're still in grave danger and we didn't even know to be worried about this.And that's how you get that like, you know, 85 to 98% just ripping through the pages readers, you know, being so hooked to figure out what happened. Right. Um, so. Tell me a little bit more about who Seward could have set up or manipulated or something [00:13:00] else to commit these murders so that he gets done what he wants to get done, but he also protects himself.And if you don't know the answer, that's okay. We can brainstorm. But if you do, then that's great. So this is, this is kind of part of the, the, the thought, the idea that I've had since I, since I finished the, the, the, uh, the outline is. Because the, the syringe idea mm-hmm. The double-headed syringe idea always felt a little tenuous.Uh, like I, I wasn't quite sure that that was gonna hold, but, so my new thought about this is, is. Because he is, uh, he is the, uh, director of a mental institution. Um, and so, and so, like, that's a whole other politic where he has people who are, uh, who are in his thra essentially. And so is there a way that he can coerce, um, a vampire who needs him to commit these murders on his behalf, thereby kind of insulating himself from the actions.Perfect. And [00:14:00] so I think that could, so the climactic twist would then be. It's a vampire I disco discovering that the, the, this is the vampires committing the murders. But then the, the, the final twist is, oh s**t, he's been doing this at the behest of, of Seward, who's her, you know, kind of Yes, yes. As it were in quotation.Okay. Yes. That sounds amazing. And it also, you know, when we step into this story, um, in your initial scene, we have. Vampires feeding on people and Abby's just like, uh, okay, that's, that's normal. Right? And so is that, did I read that right? Is that the world that we're in? Is that We have vampires existing and Van Helsing, you know, was the one who kept them in check.And we have all that like lore that we're dealing with that the reader brings in. So tell me more about the world I'm walking into here. So, yeah, I think I'm still developing this world. So we're 20 years. Around 20 years after the events of Dracula. Okay. The, the, the novel. And so, and I think, I think people are now aware that [00:15:00] vampires exist.And I think, you know, at this, at the same time, they're being used as like this bogey man or, or, or straw man of like, everything that is wrong with, with British society. Um, but they're also. Not the monsters, right? They're, they're just another, another, um, community that is trying to, uh, eke out, eke out some sort of existence.Um, I love that so much. It's just such a fun, sort of new twist on. Know a story that's so well known and has been in our collective conscience for a hundred years. You know, I don't know when, when Dracula came out. Correct me if I'm wrong, but a long time, right? A little over a hundred years. Yeah. It's been a minute.It's been a minute. Um, and so I, so it's still very much a period of transition as, as you know, London and the world are still trying to figure out what that means, that these things actually exist and live among us. Um, and, uh, and so. There were [00:16:00] some things that didn't make it into the outline like I had.There was this one scene where they're walking down the street and there's someone on the soapbox at speaker's Corner at Hyde Park who's railing against, who's railing against, uh, um, vampires as like a sturge on society and things of that nature. And, and there'll be things in the newspaper. I think that kind of addressed this new, this new politic, um, that, that the characters interact with.And so I'm still feeling out what exactly it means. That vampires exist and are part of the public consciousness. Yeah. So one sort of logical question that comes up for me there is, you know, if we're in society and there's just like monsters living among us who occasionally pick people off on the street, that would create a level of, um, extreme tension.Okay. Right. One might say, right, like, yeah, if I'm wandering down the street and I see a vampire eating somebody that's not just like a, you know, we would be taking steps to protect ourselves because humans are always going to protect themselves, and so yes. You [00:17:00] know what, if you change it where the vampires are only allowed to feed on like livestock or something.Mm-hmm. Mm-hmm. You know, something that's like the, nobody's happy, right? Yeah. Like, like most, uh, um, situations where we, we agree on something and we're, we're all giving something up. Yeah. But that allows them to exist in society and live among us. Right? Like the, the veil has been lifted. Vampires are here.But they've agreed to only eat livestock, and then the fact that they're murdering people by eating them then becomes. A huge deal. Right? Because this Deante that we've had with them is now broken. Mm-hmm. Um, something like that, because I think if we, if we have it just being casual that they're, they're eating people in alleys or whatever, it reduces, I mean, that's a fun story, don't get me wrong.Yeah, yeah. But that reduces the impact of the murders that we are seeking to solve with this and Right. You know, you said this was, this was a mystery. And so currently [00:18:00] we don't have a ton of mystery on the page like we have. The midpoint is where, um, she discovers that things might not be what they seem, which I love.But in order for that to have impact, we need something earlier. And that could be, you know, these murders have been happening for a few days. That could be the last year. It could be she sees the first murder. Um. Something along those lines, but we need something early. So we, we understand the tension and we understand the mystery story question because you have a ton of other story questions in here, but if this is mystery first, the mystery story question needs to be who committed, who is committing these murders and why?Yep. Yeah. Does that kind of, that makes sense? Land? Yes. No, absolutely. Absolutely. Okay. Now as a, as as I was, I was rereading the outline, the other, the other, the, the other night. And I was like, I feel, I feel like there needs to be another murder scene. Yeah. Earlier we gotta up the body count in the, the book.Yeah. You know, it's a, it's a, it's a conversation I have every day. [00:19:00] Yeah. Not, not enough dead bodies. Not enough dead. Not enough dead bodies. Yeah. So, you know, and so if she is, if she's really worried about, you know, that's their question is why, why is she so involved in solving these murders? How do we make it personal to her?Mm-hmm. And so could this be a friend? Could this be. You know, um, a sister, could this be an aunt, like some something that's related to her so that this person is taken out. And then that becomes Seward has targeted her because she's the, she's, you know, van sing's niece, right? Yep. Yeah. So she's a public figure that if he takes out by having a vampire.Quote, you know, kill her. Then he will have achieved his goal of disrupting this whole thing and be like, look how dangerous it's for women to be out in the world and you know. Mm-hmm. We should put a stop to this. Like that achieves his goal, but she won't know. Right. Obviously that [00:20:00] that's his goal. Right.But he also needs to create the unrest, so it's not just, you know, she's the one who's murdered. That's going to be the climactic plan and he will have killed other people in the meantime. Right. Okay. Something like that. Like we need to make, yeah. Whatever it is that needs to be personal to her. And if she paint, if she paints a target on her back later on by being a ksky, amateur sleuth, which is classic.Um. That works well as well. But I like, you know, one of the questions I love to ask is, what was your villain doing on the day that their prote, the pro protagonist, decided to ruin their life by deciding to go after and stop them from villain. And so maybe she had nothing to do with any of this and she's researching and becomes a problem.That's the other way you could play it. Mm-hmm. Um. But, you know, if he has this grand plan and he's like, Ooh, Abby would make a great sort of like, figurehead to the end of all these murders, and that's the one that I'm gonna point at it and be like, [00:21:00] look, we can't, you know, I, we can't have these women out here.Right? Something like that could work well. Um, what do you think? What, what's, what's your brain do when I say all those things? Um, it's interesting. I hadn't considered, I hadn't considered that her uncle would be targeting her. One of the things I've been grappling with was like. One of the reasons he targets people around her is to scare her away from med school to scare her away from the cause, okay.Um, and kind of pin her in further to the existing, to the existing, um, um, status quo. Um, and so I hadn't considered him using her. Sacrificing her for his, uh, for his ultimate goals. Yeah. Um, and that's an in, that's an interesting idea. And, and if she were to discover that would certainly up to stakes, um, that would certainly up to stakes for her.It would. And so if you want him to be a little more [00:22:00] empathetic Right. We don't need to go like full dark if you don't want to. Right. Um, he could be trying to protect her. By killing other people, which is misguided. Yeah. But, uh, fun. Right? And then that would make sense. So when she figures out it's actually him, he could be like, I was doing all of this to protect you because I love you.You're in my family. Right? Yeah. That also works. But we need to have whatever his, his plan is for causing, you know, using these murders to achieve his goal. If she's, she needs to be the target of it so that it's very personal to her as she moves through this story. Um, and upping the stakes is always great.It amps the tension, right? Yeah. And again, she's not gonna know any of this until she gets to that final twist. And so one of like the most fine chilling, you know, tingly things that you can do with mysteries is that reveal at the very end. We as through the protagonist, understand how much danger we were in [00:23:00] this entire story, and we had no idea.Right? And that moment is the one that we're seeking with readers and for ourselves, right? It's like, how do we have that moment that reveal have the biggest impact possible? Yeah, yeah, yeah, yeah. Something like that. Yeah. I, I see Andrew just grinning, like, what are you, whatcha feeling? He's just like, got his giant grin on his face.I mean, like, and like I said, I've been trying to figure out how, because it, because as I was reading, as I was reading through the outline, it did feel like, like abriana was just kind of like adjacent to mm-hmm. All of the murders. Um, and, and Jenny, you and I had talked about whether there was an active investigation and, and, and Sam, I think you kind of alluded to that in, in the notes, is there, is there an active investigation and like, is she, is, is Abriana being.Is, uh, uh, coroner does a suspect by the, by the investigators. Um, is that, why, is that why she is doing her own investigation? Um, [00:24:00] which is another, which is another way to to, to up the stakes. Mm-hmm. Also, um, I, yeah, I'm, I'm, that's an interest, that's an interesting way though to, that's an interesting take on Seward, who's, um, an avuncular figure.He's not, like, he's not a blood relation. To Abriana, but like he is, he is determined in his goal and like, you know, he would, he probably would stop at nothing to get that done, even if it meant, even if it meant, uh, the daughter of a friend of his got killed. Yeah, I mean, just thinking through, and this is your homework, really, is to think through how dark do you want to make him, right?Because you can have a villain who starts off with. A, uh, a goal and decides to achieve it through very ill-advised means, but still wants to protect the people around them, right? Like they can be both. We don't have to have it be a hundred percent. [00:25:00] This person is so evil and willing to burn it all down, right?And so, but that can also be a series of bad decisions. It's like bad decision one leads to, oh my God, like people are finding out that these aren't really vampires. Now I have to really like double down to make it really seem like vampires, so I don't get caught. Because guess what, if I get caught, my life is ruined.Right? And you know, as Abby gets closer, he realizes. I have to kill her. Right? Yeah. She's, she's gonna ruin everything. Yeah. And that sort of angst and that, you know, that would be very painful for him. That could be the thing that when she confronts him at the end, and there will be a de Ma, right? We're gonna have something where he's like, I did all these things for this reason.And it doesn't have to be Yeah. Pages, but we do have a, that's a classic mystery thing. Mm-hmm. She'll understand if you like this, that you know, he was trying to protect her and then. He'll be like, you did this to yourself. You know, like, right. Yeah. You're the one who got in the way. Um, something like [00:26:00] that.And he's like, mm-hmm. My only choice now is to kill you. And then of course she will not allow that because she's our lucky protagonist and will survive because chaos will be brought to order. That's the other big thing is we wanna wrap this up unless you're going who, in which case. It gets worse at the very end.Um, is, is that, is that, is that allowed? Yeah, we, yeah. Well, to keep chaos on the chaos, absolutely. We just need it genre bending is. So hot right now, right? Um, and it's really fun, right? So you can have both, you can have the main mystery wrapped up, like she can, Abby can figure out, okay, this wasn't actually vampires and someone is posing as a vampire.And so that actually changes your midpoint, by the way. We'll talk about that in a second. But if that's the arc, right? She thinks it's vampires. She is, when she does the climactic confrontation, she's like, it's vampires like someone, you know, what are they doing? Why are they doing this? And then realizes [00:27:00] in that, that it wasn't vampires and it's actually someone else.Um, the chaos will be brought to order in that way, right? Like we have, we have a right, we have figured out that someone was posing as a vampire. But what if you have a final, final twist where you know, there actually are vampires. Killing people as well. Like seaward only admits to three of these murders and then there's someone else doing, you know, and it's just like we end it with like, oh no.You know? Right. Yeah. Or by, maybe there's something mystical with like by imitating a vampire or that, you know, the vampires have been gathering their energy for the last 20 years by feeding on goats and you know, they're ready to, we need a new van Helsing to, to keep them under control or something. And Abby takes up that mantle and, you know.You can, you can totally play it where there's an unanswered. Okay. Oh no, it's worse at the end, but we do need some sort of wrap up of the story. Gotcha. But there does seem to be some cover resolution. Yeah, yeah, yeah. Okay. I see what you're saying. That makes sense. Yeah, that makes sense. So it strikes [00:28:00] me, I'm not sure that you picked this up, Sam, and you might not have, but that there's a.Uh, um, Mina the Vampire. Mina, yeah, yeah, yeah. Is is her mother. Right. I did pick up on that, and that's a question I have. Okay. Yeah. Great. Because it seems like what you're all talking about that could play a really important role in any of these twists and arcs. Right. I. Yes. Yes. Plus one. Yeah. Everything you just said.Um, yeah. So Mina being her mother, fantastic. One of your final twists, right? And particularly if you have Seward being like the final confrontation, final twist person, and then, you know, you have this lovely final scene where she's like, oh my God, it's my mother. Um, yeah. But the logical question there is why would Mina Hyde, what's she after?Why would she not have tried to help Abby? Right? Because you're dealing with reader expectations that mothers will do anything to protect their children. Right? And so you can, we can twist that. Maybe she is trying to protect her from what's coming, right? [00:29:00] Like what's actually going on. Maybe she's the one who's been protecting her the whole time by warding off the vampires that have been attacking her, her friends at medical school.Um. And that's why there's so many mistaken identity things, right? Because you have two where, where Abby's like, whoops. I think that was supposed to be for me. Yeah. Um, and so the reader's gonna wonder why are they so bad at killing her, right? Like, if these were assassin attempts, like why wouldn't what, what's going on?And so that answers that question. If it's Mina stepping in, but you know, we need to understand what Mina's really after and why she didn't step forward sooner. That's a huge question that, you know, yeah. Everyone will have. Yeah, it is a huge question. Like, like where has she been for the last 18 years?Mm-hmm. Why has Aubrianna not seen her since, since, since her birth? Um, and I haven't quite nailed that down yet. Like, is there some sort of like vampire code? I don't like, I don't know. Is it, is it that she's, is that she, that Mina. Knows [00:30:00] Jonathan, her husband too well, and knows that, that he would not allow a vampire, uh, to interact with his children.Like. And so I think there, I think there are a couple of answers to that, but I haven't like, landed on one yet. Um, but I, like, I, I like the idea of Mina working kind of behind the scenes to protect, to actively protect, um. Abriana, which is what that, that opening that, that, that scene in the alley earlier on is about, is like she comes to her aid at that point.Um, and, uh, and, and and physically puts herself between, between Abri and Abriana and the violence, which Abriana misunderstands, uh, and runs away terrified. But I think, I, I think there are ways to incorporate that, as you say. Elsewhere in the, elsewhere in the story. Yeah. Well, I mean she, to make to a fantastic twist would be, she assumes Mina is the one after her, right?Right. Yeah. Like she recalls in this opening scene that Mina was coming at her and is like, Ooh, that's the vampire that wants to kill me. Yeah, yeah. And [00:31:00] you know, sees her around. And so that's her assumption. And this is how you create twists, right? Her assumption is that Nina is the person behind all of this, and why, but.You run the risk of when she starts investigating Mina and figuring out who she is? It would be, we'd figure out we need some very good reason that she couldn't figure out that was that Mina was her mother, right? Yeah. Yes. So in that case, I would suggest having some other vampire be the one that she thinks is behind everything.Um, which leads me to the midpoint. So currently this is where she discovers that these bite marks are not bite marks at all. They are. Other Marks syringes. Right, right. Like the, yeah. Yeah. Um, so if that's the midpoint, which I like, again, that means that she's going to assume that there is a human or a vampire who's lost her teeth.I don't know, um, behind all of this. And the climactic confrontation will be with that, [00:32:00] with that knowledge that this is not a vampire doing these villainous things. Um. So how does that feel? Like do if, do we, is there someone in the cast that we can sort of have her assume is that person that's not Seward.Not, not someone that I've identified yet. Um, okay. But I, I, I, I agree with you. We need, we need someone that she, that she's pursuing and, uh, in, at, in, in that sense. Um, and, and she believed, I, I, I see, I see. Now I see what you're saying. That the, the importance of her making that, that, that incorrect assumption that this is the person who's, who's doing, who's doing the, the killings.And I don't know who that is yet. I don't know if there's someone actively in the, in the cha in the cast that we have, or if I need, if I need a new character. Okay. I mean, you can also play with, you know, so this is the thing about mysteries, it gets very quickly complicated, is on the surface we have all the assumptions which are incorrect.[00:33:00] Right? Right. And so we have to build up that, those plots and make it plausible. Yeah. Because we need, you know, the example I like to give is like, let's say you, you come home and you're expecting that no one else is there and there's an open window and there is a earring back on the counter and a bloody footprint on your.You know, nice white carpet and you know, um, a knocked over plant and then you recall, oh yes, you know the nab I've been babysitting the neighbor's cat, they knocked over the plant. So that's solved. But this bloody footprint is really freaking me out because clearly somebody came in here and made a bloody footprint and that's terrifying.You're focusing on the bloody footprint because that's the most obvious thing, but the earring back is the thing that is the villain clue. Right, and that, that's the person that came in and misled you by putting the bloody footprint on the carpet for reasons, capital R, whatever it is in this story, right?But we have clocked on screen, on the page what the clue is and ignored it. And so yeah, [00:34:00] this is how you can go back in on a revision and you know, you maybe we don't know who this other person is that's actually doing this, but they will have a vested interest in not being caught. Right? Mm-hmm. And so these little clues that we put on the page later are ignored, and then we're following the story that we've already created.Mm-hmm. Um, but keeping track of all these layers feels complicated, which is why Jenny's outline with three pages is so, so useful. Um, right. Because what the, what's on the page is the, is the story that you already, that we're focusing on, right? Mm-hmm. And then what really happened? Mm-hmm. Is the thing beneath the surface that we don't learn until the truth is revealed in one of these twists.Does that make sense? Yeah, yeah. No, that absolutely makes sense. That Absolutely. That also feels like a lot to think about. It is. Yeah. Yeah. Yeah. And I don't have, I don't have enough red earrings. I don't have enough mis, I don't have enough misdirecting. Misdirecting clues, as it were. Right. Well, those are fun to brainstorm, right?Because we start thinking [00:35:00] about who really, it comes back to Seward. Like what would he be doing to misdirect Abby away from this? Right. To keep her safe, if you like that as a goal. Yeah. And also to make the, make society freak out about how vampires are killing again. Mm-hmm. Um, what would he plant, who would he manipulate?Who would he pay off? You know? Mm-hmm. Maybe there's a vampire who knows about all of this, and. Is trying to kill the person that Seward is hired to do the syringes because Seward's not going around and doing this. Abby would've seen him or you know mm-hmm. Recognized him or something. So he will have paid someone to, or it has someone in his organization who also believes in the cause.Yeah. And is doing this, and maybe that person's a vampire. I don't know. I do love the double syringe. I mean, I hope that stays. Yeah. Yeah. It's good. It's good. Is it? Yeah. I heard you say, I heard you kind of dismiss it, Andrew, but it, to me, that would be a perfect misdirection if [00:36:00] somebody finds that and now there's this whole thread of assumptions about what that means and Yeah, but that it's not really what it is or it's not being used the way we think, or so.Oh, okay. Yeah. Okay. Sam, you mentioned something because I was, I was getting close to like throwing that overboard. No, it's good. No. Okay. Okay. I think it is good. So, so, so, so, but that could still be, that could still be used as a, that could still, I could still use it as a red herring potentially, uh, because it could still be a vampire at Seward's behest committing the murders.But maybe they're doing it with the syringe or maybe they're, and or maybe they're doing it a little bit with their own or Right. Or not. Yeah. Yeah. I mean, to Jenny's point, this could be a total, maybe. Maybe it's not used for what we think. Maybe the double syringe is something completely unrelated and it's like the best way to draw out the.I don't know. I mean, depending on, maybe he is drugging the people in the [00:37:00] asylum, like giving them more drugs than they're supposed to have. Right, right. And, and he devised, I mean, you know, devised a double syringe to deliver it and doesn't want anybody to know that that's what he is doing, you know? Yeah, yeah.Okay. Yeah, yeah. But if you wanna play with the idea that there's also a vampire involved who believes in Seward's? Cause then that, you know. That's very interesting because it's like, well, why? What do they want? You know? Yeah, yeah. Or even just someone who is, is being coerced by him, who does, doesn't necessarily Yes.Believe in the cause, but is perhaps is, has perhaps been assigned to his asylum. Mm-hmm. And he's taking advantage of, I love. Which I think, I think really makes sewer to a, a pretty despicable individual on a number of levels, which I, which I can like, well, I mean, he's already killing people, so, right. You know, slippery slope.But that's what, you know, it's, that's the, [00:38:00] that's the thing is that his, his goals. We need to make logical sense when we get to the end and Right. You know, Abby figures out what's going on, but he, he can also be empathetic. Right? Yeah. Like, why is he so scared of women? Yeah. Being in society, what is, what is that deep fear about?And that's definitely something to explore as well. Yeah. Yeah. Absolutely. Yeah, so we could, like I said, talk for days, for days about these things, but, um, it feels like this is a good place to leave Andrew with a whole bunch of work to do. And I'm just laughing because, um, this is such a perfect example of.Why we do a blueprint, right? There's so much to work out. There's so much to think about. There's so many layers and levels to every story. And, uh, you know, we, we heard you today, Andrew, sort of going, well, I don't know. I haven't thought about it. I don't know. I, I'll have to see, you know, that's, that's the work and being in that.[00:39:00] Discomfort and that not knowing mm-hmm. And the, all the possibilities and making your choices. That's, that's a work, right Sam? Like that's, it is, it's so fun. But yeah, it's mysteries are puzzles, right? Yeah. And we wanna guide the reader through the puzzle in a way that gives them maximum impact and maximum joy.For every reveal that we decide to put out there, right? We, we, we don't want to casually have a reveal. Everything is on purpose. Um, and so I was gonna say on, on the inside outline that you have, um, a parallel one, or, you know, if you make it even tighter just to flow the flow of events, you can have a, what really happened?Um, line which tracks what the villain is actually doing. And I do find that that can be really helpful because it does get overwhelming with figuring out, okay, we have assumptions. Yeah. And those assumptions are, you know, lead to action and this is how we get a repulsive plot. But those assumptions are.Not going to be the [00:40:00] actual thing that is the truth. And so we need to track what the truth is and what our villain is doing to stop our protagonist from stopping them because Yeah, forces of opposition, you know, so just for our listeners to clarify that makes sense. What Sam's talking about is a parallel inside outline is, is to literally do.An a three page outline for the, the villain? Yes, yes. Or to put a bullet point or a, a subpoint on the protagonists inside. Outline that. Tracks that, um, sometimes people color code that. Mm-hmm. Yeah. You know, but the, that's why we keep this so tight because if you start making it nine pages or 15 pages and then you layer these things, all of a sudden you have a 30 page outline, and now you've just got one of those giant story grid things that I find to be impossible to, to manipulate.Like we still want this to be manipulatable, right. So that you [00:41:00] can. Hold it in your hands and see it and, and then get to a place where you say, I can write that story. I love this story. I can write this story. That's, so that's what we're going for. So, yeah. Um, Sam, could you maybe just summarize, um, Andrew will take some time to work on this next iteration to show me.Can you give him direction on key thing to think about and me direction on the key thing to look for? Yeah, of course. So the biggest thing is figure out what Seward's really, why he's really doing what he's doing and how it relates directly to Abby. Right. What is, what action can he take that is about her, and that's either protecting her or, you know.Um, killing someone close to her to scare her away, but then why, right? Mm-hmm. So figure out the, figure out what he's really doing, and then look and see what actions, what other actions would he take about who this other person [00:42:00] is that he's framing or manipulating, or blackmailing or whatever. And if that's a vampire, then.You know, why does that work when we, when it's revealed? Like, what else could be going on? That makes sense. Perhaps the vampires don't want women and suffragettes to have this power because it threatens the power that they have in society currently, or something like that, or mm-hmm. Whatever it is. But figure out what, what's really going on.That's your homework, that's your big homework. Mm-hmm. And then, you know, for the next iteration. More murder on the page, right? We need the attention to rise and we need to understand why Abby, as she takes her steps based on assumptions, what are those assumptions? Why is she so personally invested in this?Why doesn't she just give up, right? Because that's the big logical question that I always ask is for both the antagonist and your protagonist, why don't they just walk away? Why do they keep doing this when it gets hard, right? Because when someone's actively trying to [00:43:00] stop you as the protagonist is. For the antagonist, why would the antagonist not just be like, okay, this is too tough, right?Like, I'm, I'm out, uh, this is, my goal isn't going to be achieved. So why do they both keep going? And the answer is usually we're in too deep, right? We can't, the only way out is through, um, which is what the midpoint establishes. Usually. It's like, well, shoot, you know, I can't leave this story. I have to keep going.Right? So the three twists, right? We want the assumptions to be present on the inside outline. So we have a midpoint twist. We have an inciting incident that presents the mystery story question, murder usually. Mm-hmm. And then climactic twist, who is this fake villain? And then final villain, Seward. And then final, final twist.Mina is actually involved, right? And has been protecting her the whole time or whatever, right? Yeah. Okay. So on the page, assumptions is second part of that homework, but you have to figure out what really happened in order to have the assumptions, which are Yeah, not [00:44:00] right. Yeah. So drawing, drawing out those two timelines of the, what, what actually happened, timeline, and then the assumptions, timeline and how they, well, the assumptions are gonna be on the page, right?Those will be on your protagonist inside outline, right? Because it, it informs her actions. And so everything you have about her fighting to go to med school and like all these things, all that works. All we're doing is just tweaking it a little bit so that the mystery is more. Front and center, and she's taking action based on, okay, I have this clue, what do I do?Now I have this clue. What do I do now? What stands in the way of each time I do this? Oops, I'm wrong about that. So what now? You know? Okay. And in the meantime it's clear that her personal stakes are rising and she is becoming a target. There's more attempts on her life and, and you know, then what? Right.Once you have a target on your back, you can't run. Yeah. Yeah. So. Yeah. Make it scarier. That's your homework. Yeah, I do. I do. I have to put her in [00:45:00] peril. I have to put her in peril. Right? You do. Yeah. Yeah. And the final thing I'll mention about this is when you actually get to writing the way that you, even if it's, even if the actions are a little less intense, right?We don't actually have an assassin coming at her every page because we'd get bored with that. So through interiority, through inner thought, she's going to think about what she's scared of throughout the entire book. Mm-hmm. It's not just gonna be, oh, I assume this thing. It's like I assume this thing. And also I'm terrified because you know what, if this is about that, and that's how you create those red herrings too, is because she's going to make assumptions about what's happening, and those assumptions will be based in fear.Right. Love it. Right. That makes sense. Love it. That makes sense. Thank you. My God. You're so welcome. Love this story. Can't wait to read it. Are you still with us, Andrew? You're not. You're not walking away. Right. You're not like, I'm in too deep now. No. Yeah. Okay. Okay. Just past the midpoint. Yeah, I was gonna say good.Good. No, that's why, that's why I'm, that's why I'm grinning so [00:46:00] much. It's like, it's like, ‘cause we're talking about this as if it's an actual, real thing. It's not just, it's not just an idea that I've, I've, I've had and been, I've been telling my wife about this is an actual, this is an actual thing I'm talking with people about.Um, and so this is, this is real. This is. It is real. It's exciting. Um, we will, uh, see how this unfolds for Andrew and Sam, I just wanna thank you so much for joining us and talking about all this. Um, and I'm gonna tell our listeners that if you want this kind of twisty help, um, that's Samantha's website, which is samantha skull.com and that's SKAL.She has a really cool, um, very inexpensive twist. Course, which you can, um, take. It's just awesome. And it's, um, she got some blueprint stuff on there, all kinds of things. And you can learn also about the retreat that she runs with carrieSavage@shadowsandsecrets.com. And you can go to Thriller [00:47:00] Fest and see all of the big work she's doing for this community of writers out in the world.So Sam, thank you for coming on. Oh, thank you so much for having me. And I just wanna say, Jenny, the reason that I focused, I mean, yes, I love this stuff and I have, I've loved it my whole life, but I listened to you. This was your. To focus in on what I love and I did. And it's just the best I get to wake up every day and talk about murder, which sounds like a terrible hobby, but I love it.So here we are. I know. That's why I talk about you all the time. Maybe that's it. ‘cause you listen toI, I, uh, I push people a lot harder now, let's put it that way. Um. Amazing. That's, that is my craft. But thank you Andrew, again, for being so willing to be doing this in public. It's not easy for those listening just to be on the hot seat like this for so long, so often really hard. So, um, you, [00:48:00] huge, huge shout out to Andrew and shout.Um, just for our listeners, thanks for tuning in and let's get back to work. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit amwriting.substack.com/subscribe

In this sponsored episode from Novartis Pharmaceuticals Corporation, a leading preventive cardiologist walks through the 2026 cholesterol guideline update and what it means in practice. Seth J. Baum, a Columbia-trained preventive cardiologist, founder of Flourish Research, chairman of the Family Heart Foundation, and past president of the American Society of Preventive Cardiology, breaks down the major changes in the March 2026 ACC and AHA guideline release. You will hear why LDL targets are explicit again after nearly a decade, why universal lipoprotein A screening is now recommended, why a coronary calcium score above 300 places a patient in the highest-risk treatment tier, and why apolipoprotein B measurement can refine risk assessment when LDL is at goal. Baum also covers the alternatives available when a patient cannot tolerate a statin, including ezetimibe, PCSK9 inhibitors, inclisiran, and bempedoic acid, along with practical framing for the statin-hesitant patient. You will also hear his approach to discussing cholesterol with patients, from the science of lipoprotein physiology to the case for earlier and more aggressive lipid-lowering treatment. Dr. Baum was not compensated for his participation in today's episode. The opinions expressed are his alone and do not represent the opinions of Novartis Pharmaceuticals Corporation. At Novartis, our mission is to ensure no heart is lost too soon. We envision a world where preventable CV deaths are no longer part of our lives. We're proud of the positive impact we've made over the past 40 years and remain dedicated to tackling the most challenging problems in CVD. Through cutting-edge science and technology, we are focusing on areas of high unmet need, including scaling our xRNA platform across multiple risk factors and pioneering breakthroughs for genetically driven CVD risk factors and common heart conditions, including atrial fibrillation. We also work with patients, healthcare professionals, and organizations around the world to improve CV care beyond medicine alone. Together, we can help people with CVD enjoy longer, healthier lives and more time with their loved ones. Learn more here: https://Novartis.us/cardiovascular-disease VISIT SPONSOR → https://Novartis.us/cardiovascular-disease SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended

In 1969, Harvard pathologist Kilmer McCully discovered elevated homocysteine causes arterial damage and heart disease. He was forced out of Harvard. The Framingham Heart Study confirmed him. Then the AHA buried it anyway.CHAPTERS:00:00 - McCully discovery and suppression01:20 - Part 1: What homocysteine does to arteries (6 mechanisms)03:25 - Part 2: The evidence they ignored03:40 - Every 5 umol/L: 20-30% higher CAD risk, 60% stroke risk04:50 - Alzheimers risk +48% (meta-analysis, 7,474 subjects)06:10 - Part 3: Why it was abandoned (VISP, NORVIT, HOPE-2)07:50 - Cochrane: B vitamins reduced stroke 10%08:20 - CSPPT: folic acid reduced stroke 21% to 73%09:10 - Part 4: Your brain on homocysteine09:25 - VITACOG: brain atrophy 30% slower, 53% in high-Hcy group10:05 - PNAS 2013: 7x less hippocampal atrophy11:00 - Part 5: What to do11:10 - Test fasting homocysteine: target under 8-10 umol11:40 - Methylfolate, methylcobalamin, P5PREFERENCES:Homocysteine CVD Risk 2025: PMC12564181VITACOG Trial (PLoS ONE, 2010): PMC2935890VITACOG 2025 Metabolomics: PubMed 40684250Homocysteine Alzheimers Risk: PMC12280720Cochrane B Vitamins Stroke: CochraneCSPPT Folic Acid: ACCJAMA 2010 Meta-Analysis: JAMAHOST: Dr. Robert Lufkin MD | robertlufkinmd.com⭐ Enjoying the show? Please leave a 5-star review on Apple Podcasts — it takes 30 seconds and helps more people discover the science of health and longevity. Thank you!New episodes every Tuesday & Thursday. Subscribe so you don't miss one.Continue this conversation on Substack: https://robertlufkinmd.substack.comLies I Taught In Medical School — Free sample chapter: https://www.robertlufkinmd.com/lies/Web: https://www.robertlufkinmd.comYouTube: https://www.youtube.com/robertlufkinmdX: https://x.com/robertlufkinmdInstagram: https://www.instagram.com/robertlufkinmd/TikTok: https://www.tiktok.com/@robertlufkinLinkedIn: https://www.linkedin.com/in/robertlufkinmd/

Myslela jsem si, že podnikání je o strategii, a že všichni dost dobře ví, co dělají. Omyl. Kam mizí peníze?Proč všichni skloňují slovo  „momentum“?A proč je někdy důležitější být cheerleader než CEO?7 AHA momentů z byznysu, které bych si sama před lety přála vědět. 

The JournalFeed podcast for the week of April 20-24, 2026.These are summaries from just 2 of the 5 articles we cover every week! For access to more, please visit JournalFeed.org for details about becoming a member.Thursday's Spoon Feed:In Part 1, catch up on the new PE guidelines from the AHA on diagnosis, imaging, risk categories, and disposition!Friday's Spoon Feed:This is the follow-up to Part 1 and touches on anticoagulation, reperfusion therapy, and hemodynamic management.

Getting ROSC is not always the win we sometimes think it is. It's what we're looking for the entire resuscitation, but the real challenge begins once we get it… and what we do in the next few hours has a major impact on patient outcomes.In this episode, Sarah shares a real rapid response case to walk through the physiology, decision-making, and advocacy of post-arrest care. The 2025 AHA post resuscitation guidelines have brought important shifts to post-ROSC management, from how aggressively to oxygenate to when it's safe to prognosticate. Don't miss the full breakdown!Topics discussed in this episode:Oxygenation and ventilation: how to avoid hyperoxia and hypoxiaPerfusion, pressors, and the limits of MAPTemperature management guidelinesSedation, analgesia, and the paralyzed-but-awake patientDiagnostics: timing, priorities, and what to rule outHow to use neuroprognostication the right wayHow to talk to families without giving false hopeNursing priorities and how to advocate for your patientsCheck out the new Post Resuscitation Guidelines:https://www.ahajournals.org/doi/10.1161/CIR.0000000000001375Listen to episode 73 — Resuscitate Before You Intubate: How to NOT KILL YOUR PATIENT When You Intubate: https://podcasts.apple.com/us/podcast/73-resuscitate-before-you-intubate-how-to-not-kill/id1535997752?i=1000630431016Mentioned in this episode:AND If you are planning to sit for your CCRN and would like to take the Critical Care Academy CCRN prep course you can visit https://www.ccrnacademy.com and use coupon code RAPID10 to get 10% off the cost of the course!CONNECT

Episode 2791 - Vinnie Tortorich and Chris Shaffer discuss Changes in AHA recommendations and the impact of junk food on various ethnic groups, and more. https://vinnietortorich.com/2026/04/the-impact-of-junk-food-episode-2791 PLEASE SUPPORT OUR SPONSORS Pure Vitamin Club Pure Coffee Club NSNG® Foods VILLA CAPPELLI EAT HAPPY KITCHEN YOU CAN WATCH THIS EPISODE ON YOUTUBE - @FitnessConfidential Podcast Vinnie's workout videos are available to purchase! Choose from a 2-day, 4-day, or 6-day workout–or buy all three at a discount! TO PURCHASE VINNIE'S WORKOUT VIDEOS, CLICK THIS LINK: https://vinnietortorich.com/workout The Impact of Junk Food Trad wives and old coffee commercials. (5:00) The AHA has flipped guidelines around coffee consumption. (10:45) There are other dietary guidelines about full-fat dairy and saturated fats that it still struggles with. A long-term study suggests that ultra-processed foods may have a greater impact on some ethnic groups. (32:30) Some prominent vegan doctors make misleading claims. (52:00) It's unclear what is meant by "impacting" various groups: biologically, financially, or something else. Some claims accuse food systems of being institutionally racist. The NSNG® VIP GROUP IS NOW CLOSED AGAIN AS OF SUNDAY, MARCH 15TH Anna's next cookbook, Eat Happy Cocktail Hour, is filled with cocktails, mocktails, and appetizers and is available for pre-order right now. If you pre-order, you'll get bonus goodies! You can preorder from a wide variety of booksellers at https://eathappycocktailhour.com/ Save your receipt from wherever you preorder, you'll need it for your bonuses! Physical Release Date is October 2026 A New Sponsor Jaspr Air Scrubbers has a discount code, VINNIE, that gets you $300 off for a limited time. Jaspr offers a lifetime warranty. Go to Jaspr.co for more information or to purchase. (1:05:00) You can book a consultation with Vinnie to get guidance on your goals. https://vinnietortorich.com/phone-consultation-2/ More News Serena has added some of her clothing suggestions and beauty product suggestions to Vinnie's Amazon Recommended Products link. Self Care, Beauty, and Grooming Products that Actually Work! https://www.amazon.com/shop/vinnietortorich/list/3GPVU29UHHPMY?ref_=aipsflist Don't forget to check out Serena Scott Thomas on Days of Our Lives on the Peacock channel. "Dirty Keto" is available on Amazon! You can purchase or rent it here.https://amzn.to/4d9agj1 Please make sure to watch, rate, and review it! Eat Happy Italian, Anna's second cookbook, is available! You can go to https://eathappyitalian.com You can order it from Vinnie's Book Club. https://amzn.to/3ucIXm Anna's recipes are in her cookbooks, on her website, and on Substack —they will spice up your day! https://annavocino.substack.com/ PURCHASE DIRTY KETO (2024) The documentary launched in August 2024! Order it TODAY! This is Vinnie's fourth documentary in just over five years. Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries Then, please share my fact-based, health-focused documentary series with your friends and family. Additionally, the more views it receives, the better it ranks, so please watch it again with a new friend! REVIEWS: Please submit your REVIEW after you watch my films. Your positive REVIEW does matter! PURCHASE BEYOND IMPOSSIBLE (2022) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY 2 (2021) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries FAT: A DOCUMENTARY (2019) Visit my new Documentaries HQ to find my films everywhere: https://vinnietortorich.com/documentaries

In this solo episode, Meg opens with a candid confession about her early coaching tendency to rescue and solve, and she uses it as a springboard into one of the deepest conversations in her coaching philosophy: the discipline of restraint. Drawing on decades of coaching and mentoring more than 2,000 coaches, Meg explores what it truly means to stay in wonder rather than knowing, to harvest before you plant, and to hold every offering with open hands. This episode is an invitation to coaches at every stage to examine where they may be shortcutting client transformation—and how to stop.Show Highlights:My confession about the Rescuer in meThe coach who robs their client with their knowing: Learn what it looks like.The neuroscience behind the struggle to create meaning, ownership, and the Aha experience (The journey is where transformation lives.)What it means to stay in wonder rather than knowing (It's the difference between a coach who's waiting for their turn to speak and a coach who is genuinely present to what's unfolding.)The art of coaching is the art of getting out of the way. (Being helpful is not the same as being transformative.)Questioning to create an invitation instead of presuming the answerA coach's most powerful tool: helping the client examine what they believe to be trueUnderstanding the coach's role in dealing with blocks AND openings (Learn to expand the lens.)The “harvest before you plant” metaphor as it applies to coaching (The coach must fully receive before offering something.)A strong attachment to our offering harms the coaching process and makes it “all about us.”Understanding partnership as fundamental equalityThe differences between a coach-driven session and a client-driven session5 practices to try:Notice your impulses to share.Ask one more open question before you offer anything.Harvest before every plant.Practice the language of non-attachment.Fall in love with the pause. (Silence is beautiful—not a failure.)Continue to cultivate the habit of wonder.Resources:Connect with MegExplore the STaR Coach Show Mentor Program. We are enrolling NOW for this summer!Subscribe to the STaR Coach Show YouTube Channel!Explore over 480 past episodes and other helpful resources at www.STaRcoachshow.com.Mentioned in this episode:Enroll More Clients: Clarity SprintDo you love coaching, but when it comes to enrolling clients, writing your bio, or posting online, you freeze? Or fall into “coach speak” that doesn't actually connect? That's not a you problem. It's a messaging problem—and it's costing you clients. Join me for my free, live five-day experience: Enroll More Clients: Clarity Sprint. From March 16–20 at 9 a.m. Central, I'll help you get crystal clear on your ideal client, refine your message so it actually resonates, and create a confidence statement that makes booking a call the obvious next step. No fluff, just clarity, you can use immediately. Grab your free spot at: https://starcoachshow.com/5dayEnroll More Clients: Clarity Sprint

Send us Fan MailWhat if the brain isn't just an organ—but the context for everything we experience?In this episode of the Autonomic Homeostasis Activation Podcast, Ruth Lorensson and Tom Pals explore the mystery of the brain, moving beyond a purely scientific lens into something more expansive. Together, they challenge the common assumption that the mind and brain are the same—and instead suggest that the mind is just one function of a much larger system.They unpack what happens when we stop trying to solve problems through the mind alone and begin engaging the brain itself—through interoception, homeostasis, and the practices behind AHA. From real-life examples to deeper philosophical questions, this conversation opens up a different way of understanding consciousness, identity, and human potential.This episode doesn't aim to give definitive answers. Instead, it invites curiosity—and a shift in perspective.Because the real question might not be how your brain works… but what your brain actually is.Support the showThanks for listening!You can follow us onFacebook Instagram Leave us a review on Apple Podcasts Check out the Autonomic Healing Website & InnerWorkings WebsiteEmail Tom thomasjpals@innerworkings.orgEmail Ruth ruth@bridgeandrhino.comSupport usWe appreciate you!

What if the pain you're told is "just a muscle cramp" is actually a life-altering vascular emergency? In this high-impact episode of The Heart of Innovation, Kym McNicholas sits down with interventional cardiologist Dr. Hady Lichaa and his patient, Camille, to discuss a Peripheral Artery Disease (PAD) diagnosis that was almost missed until it was too late. Camille was a mom just trying to walk to her car after her son's baseball game, but the claudication pain was so severe it brought her to tears. Despite visiting the Emergency Room twice, she was sent home with muscle relaxers while her leg was actively dying. In this episode, we unpack: The ER Red Flags: Why leg pain is often misdiagnosed as muscle cramps or venous clots. Arterial vs. Venous: The critical question a Nurse Practitioner asked that saved Camille's leg. The Reality of Bypass Surgery: The complex journey of multiple surgeries and complications. Smoking & Vascular Health: The honest truth about the role of smoking and the "Aha!" moment that led Camille to quit for good. Limb Salvage: How to find the right specialist when you are weeks away from an amputation. This is more than a patient story; it's a manual for self-advocacy. If you have leg cramping while walking, heavy legs, or non-healing wounds, do not wait. RECLAIM YOUR HEALTH: 

Send us Fan MailWelcome to The Plaidchat- an extension of The Plaidcast where we expand upon conversations in our sport and discuss the most recent issue of The Plaid Horse Magazine. Piper speaks with the newly appointed CEO of the Arabian Horse Association, Taryl O'Shea. Listen in and share with friends!Host: Piper Klemm, publisher of The Plaid HorseGuest: Taryl O'Shea is the newly appointed CEO of the Arabian Horse Association. Taryl has more than 25 years of experience in the Arabian horse industry. She previously served as Executive Director of the Arabian Horse Association of Arizona for more than two decades, where she successfully managed and led the internationally recognized Scottsdale Arabian Horse Show. She has also served as Director of the Global Champions Arabians Tour – Americas, in addition to holding leadership roles in the automotive industry. O'Shea has been a member of AHA for nearly three decades. Her educational background includes a bachelor's degree in psychology, a master's degree in business marketing, and executive education programs from Yale University and the University of Pennsylvania.Subscribe To: The Plaid Horse MagazineRead the Latest Issue of The Plaid Horse MagazineSponsors: Taylor, Harris Insurance Services and Sentinel  Join us at an upcoming Plaidcast in Person event!

The AHA just updated the playbook on acute pulmonary embolism. The old classification system is gone. Heparin drips are no longer the default. And if your instinct is to push for intubation, that could be the thing that makes your patient worse.In this episode, Dr. Mark Creager, lead author of the 2026 AHA Multi-Society Guideline on Acute Pulmonary Embolism, breaks down exactly what's changed, how the new guidelines help teams make better decisions faster, and what nurses need to know about frontline PE management.Learn what the data says about oxygen therapy, anticoagulation, vasopressors, and the decisions that matter most when your PE patient starts to slide.Topics discussed in this episode:The new A to E classification system and how to categorize patientsClinical signs that your PE patient is deterioratingOxygen therapy: why intubation can be dangerousVasopressor therapy and when to add vasopressinLow-molecular-weight heparin vs. unfractionated heparinPE response teams: when to activate and who should be on the teamWhat you can do when your hospital has no PERTWhen to transfer by classification (and when it may be too late)The nurse's role in early recognition and escalationAnd you can check out the full AHA/ACC 2026 updated PE guideline here:https://www.ahajournals.org/doi/10.1161/CIR.0000000000001415Mentioned in this episode:Xshears are the best shearscheck em out here: https://xshear.com//discount/Rapid10 and you can use code RAPID10 to get 10% off your purchaseCONNECT

Life is undeniably difficult, but your morning routine changes how you face the darkness. Discover the biblical practice of lament: starting with honest grief, but intentionally calling God's faithfulness to mind. Learn how avoiding early screen time and inviting Jesus into your space primes your heart for His new mercies.Guest SpeakerKYLE IDLEMAN is the senior pastor at Southeast Christian Church in Louisville, Kentucky. He is the bestselling and award-winning author of Not a Fan, Aha, and Grace Is Greater. He is a frequent speaker at national conventions and influential churches across the country. Kyle and his wife, DesiRae, have four children and live on a farm where he doesn't do any actual farming.Broadcast ResourcesMessage NotesAdditional ResourcesBecome a Monthly PartnerTrue Spirituality BookTake the Real You Assessment FreeWhat Every New Believer Needs to KnowConnect888-333-6003WebsiteChip Ingram AppInstagramFacebookTwitterPartner With UsDonate Online888-333-6003

Even when life feels heavy and headlines are discouraging, you can still experience a life of joy and gratitude. Kyle Idleman explores the importance of "winning the morning" by taking your thoughts captive the moment you wake up. Using Jeremiah's example in Lamentations 3, discover how to reframe your daily lament into a declaration of God's new mercies and faithfulness.Guest SpeakerKYLE IDLEMAN is the senior pastor at Southeast Christian Church in Louisville, Kentucky. He is the bestselling and award-winning author of Not a Fan, Aha, and Grace Is Greater. He is a frequent speaker at national conventions and influential churches across the country. Kyle and his wife, DesiRae, have four children and live on a farm where he doesn't do any actual farming.Broadcast ResourcesMessage NotesAdditional ResourcesBecome a Monthly PartnerTrue Spirituality BookTake the Real You Assessment FreeWhat Every New Believer Needs to KnowConnect888-333-6003WebsiteChip Ingram AppInstagramFacebookTwitterPartner With UsDonate Online888-333-6003