Podcasts about american society

Estelle Erasmus brings her 30 years of experience to Let's Talk Memoir for a conversation about what it takes to break through submission slushpiles, the key to exemplary essays, honing our writer's voice and giving editors what they need, pitching story vs. topic, the art of companion pieces, conveying our passion and investment, and her new book Writing That Gets Noticed.   Also in this episode: -podcasts as a way to reach readers -the pace of online outlets  -researching before you pitch   Books mentioned in this episode: On Writing Well by William Zinsser The Situation and the Story by VIvian Gornick  When She Comes Back by Ronit Plank   Estelle Erasmus, author of Writing That Gets Noticed: Find Your Voice, Become a Better Storyteller, Get Published (June 2023), is a professor of writing at New York University, the host of the Freelance Writing Direct podcast, and former “All About the Pitch” columnist for Writer's Digest where she also teaches classes on pitching, personal essay writing, and getting started in writing. She has written about a variety of subjects (health, beauty, fitness, publishing, business, travel) for numerous publications. Her articles for the New York Times and Washington Post have gone globally viral (with more than 500 comments on her New York Times piece, “How to Bullyproof Your Child”). She has appeared on Good Morning America and has had her articles discussed on The View. She has also taught, coached, and mentored many writers who have gone on to be widely published in top publications. She received the 2023 NYU School of Professional Studies Teaching Excellence Award, is an American Society of Journalists and Authors award winner, and was a cast member in the inaugural New York City production of the Listen to Your Mother storytelling show. Learn more at www.EstelleSErasmus.com and register for her latest classes. Also, follow Estelle on Instagram, TikTok, and X, and sign up for her Substack Connect with Estelle: Author of WRITING THAT GETS NOTICED  Available to order now. www.estelleserasmus.com (sign up for her newsletter) Sign up for her substack Adjunct Instructor, NYU (Sign up for my latest classes) Recipient 2023 NYU SPS Teaching Excellence Award Freelance Writing Direct Podcast (iTunes) (She speaks to Cheryl Strayed, Ann Hood, Noah Michelson, Alan Henry, and more) Freelance Writing Direct Podcast (YouTube) Follow me: Twitter, Instagram, TikTok Writer's Digest: What to Do to Maximize Your Launch Week And Get Your Book Noticed https://estelleserasmus.com   – Ronit Plank is a writer, teacher, and editor whose work has been featured in The Atlantic, The Washington Post, The New York Times, Writer's Digest, The Rumpus, American Literary Review, Hippocampus, The Iowa Review, and elsewhere. Her memoir WHEN SHE COMES BACK about the loss of her mother to the guru Bhagwan Shree Rajneesh and their eventual reconciliation was named a 2021 Best True Crime Book by Book Riot and was a Finalist in the National Indie Excellence Awards, the Housatonic Book Awards, and the Book of the Year Awards. Her fiction and creative nonfiction have been nominated for Pushcart Prizes, the Best of the Net, and the Best Microfiction Anthology, and her short story collection HOME IS A MADE-UP PLACE won Hidden River Arts' Eludia Award. She is creative nonfiction editor at The Citron Review and lives in Seattle with her family where she is working on her next book.   More about Ronit: https://ronitplank.com Sign up for monthly podcast and writing updates: https://bit.ly/33nyTKd Follow on Instagram: https://www.instagram.com/ronitplank/ More about WHEN SHE COMES BACK, a memoir: https://ronitplank.com/book/ More about HOME IS A MADE-UP PLACE, a short story collection: https://ronitplank.com/home-is-a-made-up-place/   Connect with Ronit: https://www.instagram.com/ronitplank/ https://twitter.com/RonitPlank https://www.facebook.com/RonitPlank   Background photo: Canva Headshot photo credit: Sarah Anne Photography Theme music: Isaac Joel, Dead Moll's Fingers

Today on the podcast we welcome Greater Nashville REALTORS CEO Jarron Springer. Jarron, who joined the staff in February 2014, is a Middle Tennessee native. He attended Battle Ground Academy and has a degree in Communications & Public Relations from the University of Alabama. He received his JD from the Nashville School of Law. He holds the Certified Association Executive (CAE) designation, the highest designation in the association industry provided by the American Society of Association Executives (ASAE) as well as the Realtor Certified Executive (RCE), the only professional designation designed specifically for Realtor association executives by NAR.  Please reach out and let us know how you are doing and any questions you have for us.  podcast@wilsongrouprealestate.com Learn more about Scott - https://crosscountrymortgage.com/Layden-Team/Scott-Layden/ Let's Connect: Instagram: instagram.com/movinguppodcast/ Facebook: facebook.com/TheWilsonGroupRealEstate Learn about Studio Bank: studiobank.com Learn about ATA Certified Public Accountants & Business Advisors: atacpa.net David Hart, dhart@atacpa.net

We open discussing the opening of Jonathan Majors trial and the trailer for "The American Society of Magical Negros." Buff shouts out Alabama A&M leading the Macy's Day Parade and explains how Players Ball is a Christmas song. We talk about Brendan Depa and if it's all his fault for attacking a teacher. We jump into the questions and Razi brings up Ric Flair's interview on Club Shay Shay. The Nature Boy gave his Mt Rushmore of wrestlers and Razi asks for the brothers Rushmore of wrestlers. We continue discussing one of our social media posts and ask what would we eliminate if we could eliminate one thing/concepts. We close discussing Josh Giddy's allegations and how he is being treated differently than some others. We can't end without discussing Andre 3000's new album shouting out FAMU and Howard in the celebration bowl. Enjoy the convo and give us your thoughts!! --- Send in a voice message: https://podcasters.spotify.com/pod/show/threebrothersnosense/message Support this podcast: https://podcasters.spotify.com/pod/show/threebrothersnosense/support

Most people have self-limiting beliefs that they are not good enough or worthy enough for something (or someone). This causes them to act according to this belief system. The American Society of Training and Development (ASTD) did a study on accountability for people trying to reach a goal. Here's what they found: The probability of you completing a goal IF: -You have an idea of wanting to lose weight: 10% -You consciously decide or declare you will do it: 25% -You decide WHEN you will do it: 40% -You plan HOW you will do it: 50% -You commit to someone you will do it: 65% -You commit financially that you will do it and have specific accountability appointments with the person or coach you committed to: 95% What's a self-limiting belief you have? Do you tell yourself you aren't cut out for it? Like you can't be good enough? It's important to distinguish between something that is important vs something that is essential to you. Self-sabotaging happens when there's a mismatch between our values and our behavior. Listen in as Sue and Alex discuss how your self-limiting beliefs could be holding you back from your goals, common struggles or objections when looking for an online coach, and how to vet coaches so you find the best coach for YOU. Timestamps: (0:00) About today's episode (0:25) Catching up with Sue & Alex (2:25) Today's topic: How self-limiting beliefs could be holding you back from your goals (2:47) Some of our own self-limiting beliefs (8:06) Why does self-sabotage happen? What helps us overcome it? (16:03) Determining value in a goal (24:04) The BEST way to ensure you complete a goal (based on research) (27:25) Common struggles or objections when looking to start with an online coach (& how to better vet them) (27:46) "I'm struggling to trust in what the coach prescribes" (38:19) "The coach's physique is not how I would like it to look" (43:04) "I've worked with other coaches and not seen the results I wanted... why would this be any different?" (48:17) "I'm afraid that my coach won't actually help me to reach the goals I've set" (51:35) Wrap-up Additional Resources: FREE Online Coach Questions checklist: https://dedicated-artist-6006.ck.page/698ea9eff1?utm_source=Email&utm_medium=Podcast&utm_campaign=OnlineCoachFreebie&utm_id=OnlineCoachQuestions Our FULL 12-Week Glute Program is LIVE - https://dedicated-artist-6006.ck.page/fdf6fcd8da?utm_source=PD&utm_medium=podcast&utm_campaign=12WeekGluteProgram&utm_id=12WeekGluteprogram Check out our FREE 4-Week Glute Program - https://dedicated-artist-6006.ck.page/9c34d747c8?utm_source=Podcast&utm_medium=Podcast&utm_campaign=FreeGluteProgram&utm_id=Gluteprogram Inquire to learn about nutrition-only coaching WITH exercise review - https://bit.ly/optimizeglutes Interested in the Physique Development Training Club App? Join here! - https://physiquedevelopment.app Keep up to date with all things PD, get exclusive content, snag freebies, and more by joining our email list! - https://dedicated-artist-6006.ck.page/emailsignup Grab a band tee here! - https://shopphysiquedevelopment.com Have questions for future episodes or have a topic you'd like us to cover? Submit them here - https://forms.gle/AEu5vMKNLDfmc24M7 Looking to hire the last coach you'll ever need? Apply here - https://physiquedevelopment.typeform.com/to/ewAMxk1w Interested in competition prep? Apply here - https://physiquedevelopment.typeform.com/to/Ii2UNA For more videos, articles, and information, head to - https://physiquedevelopment.com To follow the team on Instagram: Coach Alex - https://www.instagram.com/alexbush__ Coach Sue - https://www.instagram.com/suegainz Physique Development - https://www.instagram.com/physiquedevelopment_ ---- Produced by: David Margittai | In Post Media Website: https://www.inpostmedia.com Email: david@inpostmedia.com © 2023, Physique Development LLC. All rights reserved.

Jason Cutler developed a love for trees at an early age. As a freshman in high school, he was invited to be a part of a Forestry Career Development Event team through the Future Farmers of America (FFA), and has been pursuing his love of trees ever since. He spent nine years as a high school agriculture teacher and FFA advisor, teaching over a thousand students various agriculture topics. Jason has been actively involved in helping many students and teachers learn the basics of forestry. The 2011 Joplin Tornado and subsequent recovery efforts led him to a local community forestry group, and a Certified Arborist prep course. Jason has been an ISA Certified Arborist since 2012, TRAQ qualified since 2019, is a 2022 American Society of Consulting Arborists (ASCA) Consulting Academy graduate, and a Board Certified Master Arborist (BCMA) since 2022. He left the classroom in 2019 to pursue an opportunity of working with some awesome arborists at All About Trees in Springfield, Missouri. Jason was the Plant Health Care Manager, as well as a member of various-sized tree crews. He has competed or judged multiple tree climbing competitions since 2019. As a teacher of a Certified Arborist prep course, he has helped arborists prepare for the ISA Certified Arborist exam. In 2022, Jason started Arbor Cutler LLC, a consulting and tree care company._________________________________________________________________________Patreon: http://patreon.com/TheMunicipalArboristInstagram: https://www.instagram.com/the_municipal_arborist/Questions or comments?themunicipalarborist@gmail.comLearn more about PlanIT Geo's tree canopy data subscriptionsCheck out PlanIT Geo's urban forest resource libraryArbsessionWinkler Tree & Lawn Care

This podcast episode features a conversation about breast cancer, advocacy, and medical PTSD. Host Laura Carfing introduces two guest authors, Brenda Denzler and Elaine  Schattner, who share their experiences with breast cancer and discuss their books and writing. The episode also highlights the importance of finding purpose and meaning after a breast cancer diagnosis.Topics In this Episode:00:03:28 Finding purpose after breast cancer.00:08:35 Mental health and breast cancer.00:14:24 Importance of cancer awareness and perception.00:25:44 Importance of patient advocacy.00:39:21. Medical PTSD is real.00:41:54 Importance of compassion in healthcare.00:47:14 Early medical experiences can traumatize.00:53:49 Consider self-publishing or hiring a ghostwriter.00:57:39 Consider partnering with a ghostwriter.About the Panelists:Brenda is a writer and editor currently living in rural North Carolina. She is the author of numerous articles about cancer-related topics and treatment-related medical PTSD, including For My Own Good: Medical PTSD and Me as well as the founder and co-moderator of a support group for PTSD on Facebook.When she is not writing--and has the energy--she tackles the upkeep on her property, and tries to get in some exercise (because after all, exercise is "the answer" for just about everything that ails ya', right?), enjoys being with her grandkids, and grabs most of her opportunities to spend time with friends. In her downtime, she is currently hooked on digital jigsaw puzzles as a suitable low-brain-demand activity. She is a doggie mom to two large and energetic puppies--which as she knows now is never (in her opinion) a good idea for older people! And she is owned by a geriatric cat, which is definitely more her speed.Elaine Schattner is a physician, breast cancer survivor, and former oncologist whose book, From Whispers to Shouts: The Ways We Talk About Cancer, is published by Columbia University Press and was recently released as an audiobook. Her work explores public attitudes toward cancer through the history of cancer awareness campaigns, patient advocacy, and news including social media.Dr. Schattner is a Clinical Associate Professor of Medicine at Weill Medical College. After her cancer diagnosis, she earned a master's degree in journalism from Columbia University. Her freelance work has appeared in Aeon magazine, The Atlantic, NPR, Scientific American, the Washington Post, and elsewhere. She is a member of the American Society of Journalists and Authors and the Association of Health Care Journalists.+++++++++++++++++++++SurvivingBreastCancer.org's  Mission: To empower those diagnosed with breast cancer and their families from day one and beyond. About SurvivingBreastCancer.org: SurvivingBreastCancer.org, Inc. (SBC) is a federally recognized 501(c)(3) non-profit virtual platform headquartered in Boston with a national and global reach. Through education, community, and resources, SurvivingBreastCancer.org supports women and men going through breast cancer. We provide a sanctuary of strength, compassion, and empowerment, where those diagnosed with cancer unite to share their stories, learn invaluable coping strategies to manage wellness and mental health, and find solace in the unbreakable bond that fuels hope, resilience, and the courage to conquer adversity.+++++++++++++++++++++Follow us on InstagramLaura and Will: Support the show

Episode Description: We dive into the dynamic intersection of biotechnology and venture capital with our guest Julie Wolf. From her transition from a microbiologist to a venture capitalist, Julie sheds light on the nuances of investing in biotech startups, the impact of synthetic biology, and the transformative role of AI in the field. Her journey paints a vivid picture of the future of biotech and its significance in shaping healthcare and beyond. This episode is a must-listen for anyone curious about the business side of biotech innovations and the future landscape of this rapidly evolving industry. Grow Everything brings to life the bioeconomy when hosts Karl Schmieder and Erum Azeez Khan share stories from the field and interview leaders and influencers in the space.  Life is a powerful force and it can be engineered. What are we creating? Learn more at ⁠www.messaginglab.com/groweverything⁠ Topics Covered: 00:00:00 - Biotech Meets Venture Capital: An Intriguing Fusion 00:02:58 - Gene Editing: Shaping Tomorrow's Biotech 00:04:33 - Educating the Next Wave of Biotech Innovators 00:07:17 - Biotech's Boundless Future: Exploring the Possibilities 00:09:15 - Julie Wolf's Odyssey: From Microbiologist to VC Maven 00:17:54 - Bioproduction: The Heartbeat of Biotech Evolution 00:19:13 - Diverse Landscapes: A Journey Through Biotech Companies 00:22:08 - The Art of Investing in Biotech Brilliance 00:24:36 - Cancer Therapy Revolution: Biotech's Pioneering Role 00:27:59 - Awkward: A Key Player in Strengthening Biosecurity 00:29:46 - DNA Synthesis: The New Frontier in Biotech 00:31:03 - AI: The Game Changer in Biological Breakthroughs 00:32:41 - Mastering the Microscopic: AI in Cell Analysis 00:34:16 - Decoding Startup Success: Investment Insights in Biotech 00:36:45 - Leadership Evolved: The Making of Biotech Pioneers 00:38:21 - Building Biotech's Backbone: Infrastructure Innovations 00:41:01 - Entrepreneurial Wisdom: Navigating Biotech's Tides 00:43:40 - Biotech's Bright Future in the New York Ecosystem 00:48:48 - Defense & Biotech: An Unseen Alliance 00:51:07 - Customer Discovery: The Unsung Hero in Biotech Success Episode Links: LinkedIn ⁠ 2048 Ventures (website) American Society for Microbiology Genspace Indiebio Coding Bio Aclid Bio  Nucleate Have a question or comment? Message us here: Text or Call (804) 505-5553 ⁠Instagram⁠ / ⁠TikTok⁠ / ⁠Twitter⁠ / ⁠LinkedIn⁠ / ⁠Youtube⁠ / ⁠GrowEverything website⁠ Email: groweverything@messaginglab.com Support here: ⁠Patreon⁠ Music by: Nihilore Production by: Amplafy Media --- Send in a voice message: https://podcasters.spotify.com/pod/show/messaginglab/message

Coming from a family that valued travel as an education tool, Emma shares how this foundation naturally led to her pursuit to meet and interview fascinating humans, write about enchanting places and encourage future leaders in travel via an annual retreat.  Follow Emma's life and work here: https://www.emmaweissmann.com/ Linkedin: https://www.linkedin.com/in/emma-weissmann-51923545/Email: eweissmann@travelagewest.comInstagram: https://www.instagram.com/emma_enroute/  Society of American Travel Writers: https://satw.org/  TravelAge West: https://www.travelagewest.com/Emma-Weissmann Travel Weekly: https://www.travelweekly.com/Arnie-WeissmannTrade Secrets Podcast: https://podcasts.apple.com/us/podcast/trade-secrets-podcast/id1555272051 Jamie Biesiada: https://www.travelweekly.com/Jamie-Biesiada Northstar Travel Group: https://www.northstartravelgroup.com/ TravelAge West Guidelines: https://www.travelagewest.com/Write-for-us Mt Kilimanjaro for a Cause: https://www.travelagewest.com/Travel/Adventure-Travel/Up-for-the-Challenge-Climbing-Mount-Kilimanjaro-for-a-Cause Humans of Travel podcast: https://podcasts.apple.com/us/podcast/humans-of-travel/id1496726460Kristine Karst: https://podcasts.apple.com/us/podcast/amawaterways-kristin-karst-shares-how-growing-up-behind/id1496726460?i=1000622908501AmaWaterways: https://www.amawaterways.com/ JR Harris: https://podcasts.apple.com/us/podcast/explorers-club-member-j-r-harris-on-living-life-as/id1496726460?i=1000632262042 Explorers Club: https://www.explorers.org/ American Society of Travel Advisors: https://www.asta.org/ Virtuoso: https://www.virtuoso.com/ Family Travel Association: https://familytravel.org/ Adventure Travel Trade Association: https://www.adventuretravel.biz/ Future Leaders in Travel: https://www.futureleadersintravel.com/                                                                                    Thank you for listening!  Please take a moment to rate, review and subscribe to the Media in Minutes podcast here or anywhere you get your podcasts: https://podcasts.apple.com/us/podcast/media-in-minutes/id1555710662  

Kerri Weingard is a founding partner and global chief operating officer at Verified Clinical Trials (VCT). VCT is the largest global research subject database to reduce dual enrollment and prevent protocol violations. Ms. Weingard is also the CEO and founder of Study Scavenger and Clinical Hero. Both companies are dedicated to clinical trial recruitment and education. Ms. Weingard, who is a nurse practitioner, holds a master's degree in science from Stony Brook University. She, before creating VCT and Study Scavenger, has conducted over 500 clinical trials as a research administrator and sub-investigator. She has more than two decades of experience in the field and is a member of a number of professional organizations, including the American Society for Clinical Pharmacology and Therapeutics, the Drug Information Association and the Association of Clinical Research Professionals.  

Dr. John Leonard shares his list of the 10 most interesting lymphoma-related abstracts to be presented at the 2023 meeting of the American Society of Hematology (ASH). The ASH annual meeting brings together blood cancer experts from around the world to present the most exciting research in the field. This annual special episode features an in-depth look at this year's cutting-edge research and also features 5 “bonus” podcast-only abstract selections. Host: John Leonard, MD, a leading hematologist and medical oncologist at Weill Cornell Medicine and NewYork-Presbyterian Hospital.

Rey Ortega is a pioneer in the plant-based sector with over 30 years of experience. In 1994, he founded the Alternative Baking Company, one of the first vegan cookie brands on the market, which generated $1 million in sales in 1995. In 1997, he founded Sun Flour Baking Company. to create new flavors, tastes, textures, and nutrition products with a longer shelf life and higher profit margins. Sun Flour Baking produces raw and baked gluten-free cookies free of animal products. It also provides co packing, product development, consulting, testing, nutrition facts, graphic design, and wrapping in small batches. Clients include Continental Airlines, Sodexo Marriott Food Service, and Whole Foods. The company supports Farm Sanctuary, the American Society for Prevention of Cruelty to Animals (ASPCA), and In Defense of Animals (IDA). Rey owned Garden to Grill, a vegan restaurant, for five years. With extensive knowledge across the entire product life cycle, he is an experienced formulator within the industry, has designed three facilities, and has sold millions of vegan cookies, keeping eggs and dairy out of the mouths of many. Besides owning ‌five plant-based brands, he has also published two children's books and is an expert at cannabis infusion for topical and edible products. More about Rey and how to start a vegan business here.     It's Giving Tuesday! You can make a tax-deductible contribution to Responsible Eating And Living by clicking on this link.

Do you have a story to tell? What's holding you back from sharing it with the world? In this episode, James welcomes Estelle Erasmus to discuss her life and new book, Writing That Gets Noticed: Find Your Voice, Become a Better Storyteller, Get Published. Estelle is a professor of writing at New York University, the host of the Freelance Writing Direct podcast, and former “All About the Pitch” columnist for Writer's Digest. She has written about a variety of subjects (health, beauty, fitness, publishing, business, travel) for numerous publications. Her articles for the New York Times and Washington Post have gone globally viral (with more than 500 comments on her NYT piece, “How to Bullyproof Your Child”). She has appeared on Good Morning America and has had her articles discussed on The View. She has also taught, coached, and mentored many writers who have gone on to be widely published. She is an American Society of Journalists and Authors award winner and was a cast member in the inaugural New York City production of the Listen to Your Mother storytelling show. She lives in New Jersey. www.EstelleSErasmus.com. --- Support this podcast: https://podcasters.spotify.com/pod/show/knowyourtrueself/support

This episode is a part 2 from last week, where Dr. Rob Mikkelsen met up with some notable soil scientists at the American Society of Agronomy conference. In this episode of our podcast, we delve into the life and career of Dr. John Ryan, a distinguished international soil scientist with an extraordinary background. Born and raised in Ireland, Dr. Ryan's journey in the realm of semi-arid agriculture is as fascinating as it is impactful.  Dr. Ryan, holding degrees from University College Dublin and the University of Arizona, and a Certified Professional Soil Scientist, takes us through his remarkable journey from the green landscapes of Ireland to the arid environments of Arizona, Lebanon, Morocco, and Syria. He shares the unique challenges and rewards of working in these diverse climates, emphasizing his work with smallholder farms in resource-limited settings.  Throughout the episode, Dr. Ryan discusses how improving agricultural productivity can transform the lives of families and communities, especially in semi-arid zones. He sheds light on the significant barriers to enhancing farm productivity in these regions, including climate change, erratic rainfall, and political instability. Dr. Ryan also reflects on his professional contributions, expressing pride in the international service awards he's received from notable societies like ASA, CSSA, and SSSA, and being named a Fellow in all three. His insights on the future of farming under challenging conditions are both enlightening and thought-provoking. This episode is a must-listen for anyone interested in agriculture, environmental science, and the real-world impact of scientific research. Join us as we explore the journey of a man who went from an Irish kid to a global influencer in the field of soil science and agriculture.

Join our free Florida income properties webinar, tonight, Monday, November 27th for 5.75% mortgage rates at: GREwebinars.com Today's topics: Conventional financial advice is God-awful; tertiary real estate markets; I've got a solution to guilt tipping; whether or not the world is uncertain and unsafe. Conventional financial advice is so bad. I attack the practices of setting budget alerts and paying off your smallest debts first.  Don't roll a debt snowball; roll a cash flow snowball. In the past five years, tertiary markets are beginning to exhibit the rent stability of larger markets. Guilt tipping is out of control. Learn my elegant solution. You'll never pay a guilt tip again. It seems like the world is increasingly uncertain and unsafe. It isn't. I talk about why it only seems this way. Timestamps: The limitations of budgeting (00:02:43) Discussion on the drawbacks of using budgeting platforms and how they reinforce scarcity thinking. The debt snowball concept (00:05:09) Explanation of the debt snowball method of debt paydown and why it is not aligned with an abundance mindset. Investing in tertiary real estate markets (00:09:43) Exploration of the emerging bullish case for investing in smaller, tertiary real estate markets and their stability compared to larger markets. Tertiary Real Estate Markets (00:10:56) Discussion of the advantages and objections to investing in smaller tertiary real estate markets. Increasing Investor Appetite in Smaller Markets (00:12:02) Exploration of the growing interest and sales volumes in tertiary real estate markets. Guilt Tipping and a Solution (00:20:16) Explanation of guilt tipping and a proposed solution to avoid feeling pressured to leave a tip when making digital payments. Guilt Tipping and the Increasing Expectations (00:21:20) Discussion on the rise of tipping expectations and the use of digital payment prompts to ask for tips. The Problem with Guilt Tipping and the Inconvenience of Undoing Tips (00:23:45) Exploration of the annoyance of guilt tipping and the difficulty of undoing tips after poor service. The Solution: Paying Cash to Avoid Guilt Tipping (00:31:18) Suggestion to pay with cash as an elegant solution to circumvent guilt tipping and ignore electronic payment terminals. The Uncertainty of the World (00:32:25) Discusses how uncertainty has always existed and how waiting for complete clarity can hinder investment decisions. Disasters and Uncertainty (00:33:47) Lists various disasters and events that have occurred in the US, highlighting the constant presence of uncertainty and the relative sense of certainty and safety today. The Ultra Safety of American Society (00:36:13) Examines how society has become ultra safe, discussing the term "safetyism" and providing examples of excessive safety measures. Resources mentioned: Show Notes: GetRichEducation.com/477 Join our Florida properties webinar, free,  Nov. 27th at 8:30 PM ET at: www.GREwebinars.com For access to properties or free help with a GRE Investment Coach, start here: GREmarketplace.com Get mortgage loans for investment property: RidgeLendingGroup.com or call 855-74-RIDGE  or e-mail: info@RidgeLendingGroup.com Invest with Freedom Family Investments.  You get paid first: Text FAMILY to 66866 Will you please leave a review for the show? I'd be grateful. Search “how to leave an Apple Podcasts review”  Top Properties & Providers: GREmarketplace.com GRE Free Investment Coaching: GREmarketplace.com/Coach Best Financial Education: GetRichEducation.com Get our wealth-building newsletter free— text ‘GRE' to 66866 Our YouTube Channel: www.youtube.com/c/GetRichEducation Follow us on Instagram: @getricheducation Keith's personal Instagram: @keithweinhold   Complete Episode Transcript:   Keith Weinhold (00:00:01) - Welcome to I'm your host, Keith Weinhold, with a rant on how conventional financial advice is so terribly god awful an outlook for tertiary real estate markets, then? Are you getting worn down from guilt tipping? I've got a proven solution on how you'll never pay a guilt trip to a business again. And finally, how do you arrange your investing in personal finances in a world that's uncertain and unsafe? All today on get Rich education? When you want the best real estate and finance info, the modern internet experience limits your free articles access, and it's replete with paywalls. And you've got pop ups and push notifications and cookies. Disclaimers. Oh, at no other time in history has it been more vital to place nice, clean, free content into your hands that actually adds no hype value to your life? See, this is the golden age of quality newsletters, and I write every word of hours myself. It's got a dash of humor and it's to the point to get the letter. It couldn't be more simple text to six, 6866.   Keith Weinhold (00:01:15) - And when you start the free newsletter, you'll also get my one hour fast real estate course completely free. It's called the Don't Quit Your Day dream letter and it wires your mind for wealth. Make sure you read it, text GRE to 66866. Text  GRE to 66866.   Speaker 2 (00:01:40) - You're listening to the show that has created more financial freedom than nearly any show in the world. This is get rich education.   Keith Weinhold (00:01:56) - Welcome from Los Angeles, California, to Las Cruces, New Mexico, and across 188 nations worldwide. I'm Keith Wayne holding. This is get rich education. When you pay for a low level service item like a Chipotle burrito, and another human is looking at you to see if you leave a 20% tip on a digital payment terminal, does that make you feel uncomfortable? Well, now you're being asked to. Guilt tip I've got a foolproof way on how to never get put in that situation again. That I'll share with you later here. You know, sometimes you just hear something that triggers a rant. I recently heard an ad for a digital platform that helps you manage your finances.   Keith Weinhold (00:02:43) - And what an awful, in scarcity minded way of thinking this reinforces. But this is actually what mainstream financial guidance looks like. All right, it was an ad for a digital platform trying to attract you there. And here's basically how it works. You set up your account. Then based on your income and expenses, you set up your budget. And as you know, that is a bad word around here, a budget. It's not how you want to live long term. All right. Then, when you're close to hitting your spending budget for the month or whatever, this platform triggers a budget alert. Are you kidding me? You get emailed a budget alert. How convenient. Oh, geez. So much for living an aspirational life by design. What a dreadful idea. Like someone that really wants more out of life would actually take effort to set up something like that. You would be building an architecture to establish life patterns that completely say, I think that money is a scarce resource. Now, in the short term, you've got to do what you've got to do, which might mean living below your means for a little while.   Keith Weinhold (00:03:55) - But in a world of abundance, delayed gratification should be a short term notion for you. I think that this type of platform that centered around stupid budget alerts is so limiting. Gosh, you've got to feel cheap just saying that out loud a budget alert. But anyway, that sounds conducive to this concept of scarcity based finance called a debt snowball that you can read about the debt snowball on Investopedia. But the debt snowball, that's basically how you pay off your debt with the smallest balance first, not the highest interest rate, but yes, the smallest principal balance it would have basically says is in the first step, what you're supposed to do is list your debts from smallest to largest, and that's regardless of interest rate, just smallest to largest based on the amount. And then the next step is that you make minimum payments on all of your debts except the smallest one, because you pay as much as possible on your smallest debt. And then the last step is you're supposed to just go ahead and repeat that until each debt is paid in full.   Keith Weinhold (00:05:09) - That's the debt snowball. So according to that, why do they say to disregard the interest rate, which is your cost of capital? Because they say that when you pay off the smallest debt super quick, that you're going to be jumping up and down with excitement, and that is going to motivate you to keep working hard to get debt free. They say that hope is more important than math. That's the school of thought. And along the way you should lower your expenses, cut spending, work hard and add a side hustle where you can. Oh my gosh, that is all congruent with this debt snowball concept that we sure do not endorse here at. I mean, that is 100% orthogonal to the world of abundance that we believe in. So often on your high interest rate debt. What you would do then is you'd make the minimum payments with this debt snowball, and then you focus it all on your smallest debt amount, regardless of interest rate. You've heard that right? And it even advocates that you stop investing and just focus on that smallest debt amount, even if it's a low interest rate.   Keith Weinhold (00:06:22) - That makes no sense. If you've decided that debt paydown is the best allocation of your first expendable dollar. All right, even if that were a yes, then in most cases you'd want to pay down the highest interest rate independent of the total principal balance on each of your debts. I mean, that's arbitrage, but they even bigger question for you, almost existential in nature is why is the best way to allocate your first expendable dollar on debt? Paydown. And. Any way it's or that. First, because one of the first places to look is how you can leverage that dollar 4 to 1 or 5 to 1 as long as you've controlled cash flows. Now, sometimes there are instances where you'd want to pay down debt before investing, certainly like a 20% Apr credit card debt, that could be one such place. So could retiring a debt to help your DTI, your debt to income ratio so that you can originate a new business loan or a new real estate loan first? All right, you might do thatrillionegardless of the interest rate on a loan.   Keith Weinhold (00:07:30) - But my gosh, if we want to stick with the snowball analogy, since we're a few days from December here, instead of trying to push a debt snowball up a hill to start rolling a cash flow snowball down a hill, when you buy an asset that pays you a monthly income stream to own it, that is constructive. Compounding your cash flows beats compounding your debt paid out. Instead of trying to push a debt snowball up a hill because you're cutting your one and only quality of life down. Instead, start rolling a cash flow snowball down a hill, and now you've got gravity working with you in the right way. That is the end of my rent. Hey, maybe I just feel like complaining a bit. My Jim was playing Phil Collins and Elton John all weekend, so maybe that's a kind of what in the world kind of mood that had generated in me, I don't know. And hey, nothing wrong with Phil Collins and Elton John. I mean, those guys are truly talented singers, 100%.   Keith Weinhold (00:08:28) - I just don't want to be working out to those guys. Michael Bolton, George Michael that's not motivating me to hit 20 burpees. Okay. Hey, well, I hope that you were set up for a great week. Be sure that part of it is that you are signed up for our live event tonight for 5.75% mortgage rates on Florida Income property@webinars.com. Now, whether you're looking at investment property in Florida or most any of the other 49 US states, there's a really nascent and interesting development that's been taking place for at least five years now. And that is what's happening in tertiary markets, smaller markets. I'll define tertiary a bit more shortly, but we're talking about metro statistical areas, MSAs that are probably not under 100,000 population, not that small. From a rent growth perspective. What's happened is that over the last five years, tertiary markets have had similar patterns to bigger markets. And historically, these smaller markets have been more erratic. But in rent growth terms, tertiary markets have stabilized. Now, a primary market is something like New York City or Chicago, a secondary market.   Keith Weinhold (00:09:43) - You might think of that as a little Rock, Arkansas, where it's under a million in size, and then a tertiary market that's going to be somewhat discretionary. But we're talking about a population of 100 K up to, say, 300 K. And what's noteworthy is that there are now more analysts and investors that are bullish on vibrant tertiary markets. So let's talk about why this is happening. I think there's an emerging bull case for overcoming some of the historical roadblocks to tertiary market investments in a diversified multifamily or single family rental portfolio. And one classical objection is that tertiary real estate markets are too volatile. Historically, we perceive smaller markets as more volatile. Yes, and some surely are. But over these last five years, markets outside the top 50 in size were regularly more consistent. Okay. They avoided rent cuts in 2020. They recorded sizable but less lawfully rent hikes in 2021 and 2022. And now they remain moderately positive in 2023, even as larger markets have kind of flattened out in the rent growth.   Keith Weinhold (00:10:56) - And of course, we're talking about a composite group of tertiary markets here. Some are more stable than others. You got to watch those local trends as always, of course. And you know, classically a second objection with these smaller markets is that, well, it's too easy to add a lot of supply. And yes, that is sometimes true and sometimes it's not. Indeed, there are a handful of small markets that are building like crazy, like Sioux Falls, South Dakota in Huntsville, Alabama. But as a group, the construction rate in what that is is the total units under construction divided by the total existing market, that is 5% in large markets versus the construction rate of just 4% in small markets. See, it can be harder to build in certain small markets due to NIMBYism or a lack of debt availability, especially if local banks aren't interested in the check size needed for construction loans. It can also be harder to build in certain small markets due to a lack. Of equity because it's a tougher sell to ask investors in a syndication to bet on a market that they don't have a lot of knowledge of.   Keith Weinhold (00:12:02) - Another objection to these tertiary markets is that small markets are not liquid. Since 2019, sales volumes in dollars going into tertiary markets has doubled. Investor appetite has definitely increased in smaller markets. And that's particularly true among these traditional regional investors that are looking for better yield as the larger cities got pricier. So good small markets, you know, a lot of them really are not secrets anymore. And there's only one more objection to these tertiary real estate markets and that it is harder to scale operations. And yes, there is always benefit in efficiency of scale. But, you know, it's certainly been getting easier with better technology today. Investors can always work with top local property managers. And for investment property owners or managers, they often target small markets adjacent to larger markets where they have a bigger presence. So some other considerations before you as an investor go deep in one of these smaller tertiary markets is you want to be choosy in your market and in your site selection. Look for small markets that have multiple drivers.   Keith Weinhold (00:13:13) - You don't just want these one trick ponies. You know, I've discussed with you before about how markets that are heavily focused on commodities or heavily focused on military, they are not favorable because those two sectors, for example, commodities and military, are just pretty volatile. Look for growth or steady markets, lots of small markets. They continue to grow at a pretty healthy clip. And you want to look for markets with an absence of new product. Now why don't I name a few tertiary markets so that you can get a better idea of this. So about 100 K to 300 K in population size. Not that these next ones are necessarily good or bad markets. It's just for size comparison. I'm thinking about Ocala, Florida and Shreveport, Louisiana. You know those two. They're almost getting too big. They're almost secondary markets Wilmington, North Carolina at 300 K. That's a tertiary market. So are Akron and Canton, Ohio Dayton. That's pretty tertiary, but it's also close to Cincinnati. So you got a little more safety in Dayton.   Keith Weinhold (00:14:20) - Toledo is secondary. Burlington, Vermont is tertiary. Bellingham, Washington is tertiary. Yuma and Flagstaff, Arizona are both tertiary. Yes. We're talking about the stability in rents in tertiary real estate markets. Conventionally. You know, in the past, I've said that MSAs of 500 K population or more, that's pretty much where you want to be. But anymore, with the rise of remote work after 2019, it's really making some of these smaller tertiary markets more palatable to real estate investors and something that you probably want to consider. So really, that's the takeaway for you here and say this is the kind of stuff that really plays into my interests as a geography guy. See, I'm a real estate guy, but I might be the most geography interested real estate guy out there. Geography is something that I really love, though I could I don't share too much geography here on a real estate show. Sometimes it's relevant because both geography and real estate are location, location, location, but sometimes it's less relevant.   Keith Weinhold (00:15:25) - For example, North America's longest river is not the Mississippi, it's the Missouri River. The New York City metro area is so populated that more than one in every 18 Americans live there. That's almost 6% of the entire American population. See, some of this is more trivial or of general interest than it is relevant to real estate. Although you could learn some geography from me. Do you know the closest US state to Africa? If you draw a straight line, the closest state to Africa is not Florida or North Carolina. It is Maine. Look on a globe. Part of the reason that Maine is the closest state is that Africa is primarily in the Northern Hemisphere, not the southern, contrary to popular belief, and to look at a different continent. The entirety of South America is east of Jacksonville, Florida. Here's one more piece of geography. Canada's beautiful and mountainous Yukon Territory is larger than California, yet California has more than 900 times the population of the entire Yukon. Yes, the giant Yukon has less than 45,000 people.   Keith Weinhold (00:16:39) - It is the practice of guilt tipping out of control. And how do you respond to our world that seems to be increasingly unsafe and uncertain. That's coming up next. They say, if you give a man a fish you have fed him for. Or a day. But if you teach them to fish, you have fed him for a lifetime. Well, here at gray, we do both. I'm not talking about both in terms of men and women, but we teach you how to fish and give you a fish. Get rich. Education is where we teach you how to fish. With this show, with our blog and newsletter and videos, we also give you a fish. That's it. Gray marketplace. It's one of the few places you'll find affordable, available properties that are good quality there at marketplace. They're all conducive to our strategy of real estate pays five ways I'm Keith Wild. You're listening to get Rich education. Jerry listeners can't stop talking about their service from Rich lending group and MLS. For 256.   Keith Weinhold (00:17:45) - They've provided our tribe with more loans than anyone. They're truly a top lender for beginners and veterans. It's where I go to get my own loans for single family rental property up to four plex. So start your pre-qualification and you can chat with President Charlie Ridge. Personally, though, even deliver your custom plan for growing your real estate portfolio. Start at Ridge Lending Group. You know, I'll just tell you, for the most passive part of my real estate investing, personally, I put my own dollars with Freedom Family Investments because their funds pay me a stream of regular cash flow in returns are better than a bank savings account up to 12%. Their minimums are as low as 25 K. You don't even need to be accredited for some of them. It's all backed by real estate, and I kind of love how the tax benefit of doing this can offset capital gains in your W-2 jobs income, and they've always given me exactly their stated return paid on time. So it's steady income, no surprises while I'm sleeping or just doing the things I love.   Keith Weinhold (00:18:55) - For a little insider tip, I've invested in their power fund to get going on that text family to 66866. Oh, and this isn't a solicitation. If you want to invest where I do, just go ahead and text family to 66866.   Speaker 3 (00:19:16) - This is real estate investment coach Naresh Vissa. Don't live below your means. Grow your needs. Listen to get rich education with Keith Weinhold.   Keith Weinhold (00:19:34) - Welcome back. I'm your host, Keith Weinhold. There will only ever be one great podcast. Episode 477. And you're listening to it perhaps on one third of our episodes. Throughout the show's history, there is no guest. It's 100% me, a slack jawed monologue like it is today, and lots of great Jerry episodes coming up in the future, including Robert Helms other real estate guys here soon as he runs alongside me for an episode as we discuss goals. If you get value from and you don't want to miss any future episodes, be sure to hit subscribe or follow on your favorite podcast platform so that you're sure to hear from me again after today.   Keith Weinhold (00:20:16) - Is guilt tipping out of control? We have all felt it now. Does this happen to you today when you're about to pay the Starbucks barista or for the subway sandwich and they spin the digital payment terminal around toward you and say, it's just going to ask you a question before you pay. And then they stand there and they look at you in the face and they watch what you choose. All right. Does that right there give you a tinge of anxiety or even stress you out? Well, if you give in to that, that is called guilt tipping. And you know what? I've got a solution to guilt tipping. A simple and elegant way that I'm going to share with you so that you never have to see a payment terminal like this in your face again, that asks you for a tip when you're out shopping or dining and paying for something. Yes, I've got a proven solution for how you'll never even be asked to leave a guilt tip again because I tested it and mastered it. It works.   Keith Weinhold (00:21:20) - We even have an unverified report on Reddit of a self-serve digital kiosk now even asking you for a tip. What? I mean, how far will this go? Yes, like a self-checkout for your own groceries at a supermarket like Giant or Safeway? First, let's get some context about why this is so important to you in the first place and how bad it's getting. It might even be worse than what you're thinking here. All right, a new study from Pew Research. It found that 72% of people said that the long standing practice of tipping is now expected in more places than it was five years ago. My reaction to that stat is what? How is it not 100% of people saying that it's happening all over the place, and consumers like you and I are increasingly getting tired of it? The way it works is that today's digital payment prompts, they allow businesses to preset suggested tip levels, so it's easier than ever for them to ask for tips and companies that have not done so in the past. They are definitely doing it now rather than giving employees a raise.   Keith Weinhold (00:22:35) - Instead, they're asking you to supplement the employee wage by asking you for tips where they didn't before. Must you fight back like David Horowitz, if you're uninitiated on that? I learned about a popular show that apparently ran on prime time network television in the 1980s. The show was called Fight Back with David Horowitz, and it advocated for how consumers can fight back against unscrupulous business practices. In fact, let's listen into the cornball intro of this show, which your parents might remember. It's something about fight back. Don't let businesses push you around.   Speaker UU (00:23:20) - But don't let anyone push you around. Fine, but stand up and hold your ground. I got. Someone tries to you in. Five spot. Just.   Speaker 4 (00:23:44) - Oh, jeez. Yeah.   Keith Weinhold (00:23:45) - Fight back against guilt tipping, I suppose. See, a few years back, the reason that you began getting asked to leave a tip in places you hadn't before. That's because it was a way for you to provide a gratuity for service workers. Because you were supposed to have appreciated that they showed up during the health crisis when a lot of workers did not want to show up.   Keith Weinhold (00:24:09) - But now that the crisis appears largely over with, the tip requests have not gone away. They've gotten worse because by now companies see what they can get away with. Now, look, people don't want to feel like a jerk or a cheapskate. You don't. I don't, but businesses are taking advantage of that fact by making bigger than usual tips. The default option on these payment terminals. It really that's the crux of the annoyance. Say that you're given choices of 20, 25, or 30% on a payment terminal just for someone handing you a pre-made sandwich that's already wrapped in cellophane. I've had it happen to me, and then hoping that you will just go ahead and pay the extra amount, rather than hassling with clicking custom tip and entering a smaller number like 10% or zero. Understand something here. The business call it a sandwich shop. They're not the ones that always decide what tip options you're presented with. Did you know that because the companies that own the payment systems, they can earn a cut of your money from each transaction? Those payment system companies, they also have an incentive to increase those amounts as much as possible, not just the sandwich shop, but they are both complicit in this scheme together.   Keith Weinhold (00:25:37) - But now sometimes you get asked to leave a tip beforehand before you're even delivered any good or service. And see, that's getting awkward too. And see the fear of that you and I should have. Now is that in this case, as the customer, as the client, you are going to get punished if you leave a low tip before they deliver the service to you. See, that's another big problem here with guilt tipping. Now, traditionally, tips were thought of as a way to reward good service after you already received what you paid for, right? That's how it works. You pay your server after a meal, you pay your valet. After they bring you your car. You pay the tour guide after your volcano hike or snorkel tour. If you thought that they did a good job. Now, just the other day at a chain fast casual Mexican restaurant that you've certainly heard of, I was being rung up about $35 for two double steak burritos, and there's a lower service level there than a full sit down restaurant.   Keith Weinhold (00:26:44) - But I left a 10% tip at the counter on that day. I thought they put lots of steak on them. And then I walked my burritos to the tables and the tables were messy. I could not find a clean table anywhere, but I had already left the tip. It was too late, so I left the tip and then only later did I discover the poor service, the messy tables. Oh gosh, I wasn't going to go back and try to undo the tip, huh? Before I tell you about my elegant solution so that you can forever avoid guilt tipping. So let's understand just where are Americans tipping today? The situations when people add a gratuity. You know, this really offers some insight into the new tipping landscape. And again, this is according to Pew Research for dining at sit down restaurants, 92% of people are tipping there. And of note, a majority said that they would tip 15% or less for an average sit down meal. That kind of surprised me, because etiquette experts say the tipping 20% at a full service restaurant is standard now, and that's what I do.   Keith Weinhold (00:27:48) - Okay, getting a haircut 78% of people tip today. Having food delivered 76% for those using a taxi or rideshare service like Uber, 61% of people said that they would tip. I tip for all those things. Buying coffee. Only 25% of people leave tips and eating at fast casual restaurants only 12%. So look, people are upset because we've had years of high consumer price inflation and service inflation on top of that. And then a tip on top of that. Yeah. So it's tip relation on top of inflation. And then there is this preponderance of restaurants especially. It suggests that you tip the post-tax amount. Have you noticed that that means that you're also paying a tip on the tax that you pay? So just pay attention to that next time you're at a sit down, full service restaurant, or really most any other place that suggests a tip amount. And yeah, that's annoying. And I really doubt that that business sends that extra revenue to the IRS where you're paying a tip to the tax amount.   Keith Weinhold (00:29:00) - Gosh. But it all comes back to tip and the influx of automatic prompts at businesses like coffee shops, it gives you more chances to tip, and it'll just wear you down and then wear you out, creating this sense of exhaustion thinking what is all this for? It is just wild. If supermarkets are asking you to leave a tip for self checkout, your supermarket wants to outsource their checkout duties from clerks and cashiers to you, asking you to scan your own groceries. By the way, that is an example of service inflation. And then they ask you for a tip. On top of this food inflation and service inflation, you're doing it all yourself. What is next? You're going to have to unload the store's delivery of food from the 18 Wheeler truck in the back, onto a forklift, and onto the shelves yourself. I kind of doubt that. But if grocery stores are convenience stores, self-serve kiosks, if they're requesting tips, then it's more likely that soon enough, your human checkout clerk is going to start requesting tips.   Keith Weinhold (00:30:09) - When you're checking out at Whole Foods or Publix or Wegmans or Safeway, that human checkout clerk that's going to appear as some sort of small luxury comparatively. I mean, I would expect that to come to your town next. Expect to see it if you haven't already. There used to be this general understanding of what different tip amounts convey to servers and workers. Now, decades ago, it used to be a 10% tip meant, all right, well, hey, it wasn't horrible, but it wasn't great either. A 15% tip was normal and 20%. That meant that person did an excellent job. But now those amounts have all become expected and they've all been bumped up 5% or more. All right, well, here's my solution to avoid guilt tipping the way to no longer see a digital payment terminal spun around put in your face. Putting you on the spot to make a nice tip is just this two word solution pay cash. Yes, when you pay cash, you don't have to see an electronic payment terminal at all.   Keith Weinhold (00:31:18) - And it's far easier for you to ignore a physical tip jar that's sitting on the counter over to the side of you. The elegant and simple solution to guilt tipping is to pay cash. Now go ahead and leave a tip for good service if you want to. I'm not here to suggest that you stop all tipping. It's about how you can make an elegant circumvention of guilt tipping. If you have an eight second long exchange where you ask for a cup of coffee and they turn around and pour it from a spout and hand it to you. And that's all they did. Well, that tips discretionary. The bottom line is that you don't have to tip every time you're prompted. And now go ahead and hit up that ATM with cash. You will be armed and you can avoid guilt tipping completely. And hey, can we say that you will be fighting back like David Horowitz? Tipping is fine, but guilt tipping is out of control. And hey, if you want to see more on guilt tipping, I really brought it to life on a video recently where I really broke it down.   Keith Weinhold (00:32:25) - That is on our YouTube channel. We are consistently branded as they say. Our YouTube channel is called get Rich education. So you can watch me talk about guilt tipping and show you more over there. Do you feel like the world that you're living in is increasingly uncertain and unsafe? And is that adversely affecting your investment decisions? That happens to some people and you can't make gains when you stay on the sidelines. I think some people make too much of uncertainty, even though it has always existed. Just look at the last about four years. You know, someone could have said, I am just paralyzed with inaction because of the pandemic. Oh, that's uncertain then the recession fears uncertain, then rising interest rates where they rose fast, uncertain. And today it might be wars uncertain. And you know, the same people that get paralyzed with uncertainty. They will soon say something next year like, well, it's a presidential election year. So. I think uncertainty is going to sideline me again. If you wait for uncertainty to abate, such as you have complete clarity or even great clarity, you're going to be waiting your entire life.   Keith Weinhold (00:33:47) - Uncertainty and an absence of complete safety that's existed in the world every single day since the day that you and I were born and before you and I were born. And it will exist after we're gone, too. I mean, really, just look at some of these disasters that have taken place just this century, and we're still in the first quarter of this century. And let's look here at some just in the US, not foreign crises. I'm thinking about the Y2K bug, the September 11th terrorist attacks on the World Trade Towers in the Pentagon, the Iraq war, the invasion into Afghanistan, Hurricane Katrina, where 1800 people were killed, the GREAtrillionECESSION, the Arab Spring, the surprise of Donald Trump becoming our president in 2016. Remember, that was a real upset over Hillary Clinton. How about the jarring events of January 6th of the Capitol less than three years ago, the eviction moratorium, the slow creep of climate change, the riots and civil unrest with the George Floyd protests, the wildflowers from California to Maui.   Keith Weinhold (00:35:00) - I mean, I could go on and on about how winners just keep thriving despite a world that's constantly uncertain and unsafe. And I'm only talking about things that involve the United States here, and I'm keeping it confined to this century just a little more than two decades. I mean, before that, we had World wars. We had the Dust Bowl, Cuba's Bay of pigs invasion in the Cuban Missile Crisis that could have led to a nuclear apocalypse that completely destroyed the entire world. There is relative clarity today compared to all that. How about an assassination attempt of our President Reagan? I mean, things are substantially more certain today in a lot of ways. And today, American employment is strong, GDP is growing. Our currency is fairly stable despite our problems, which will always exist. Today, the US economy is outperforming everybody in the world. And in a world that some feel is uncertain and unsafe, just consider the relative sense of certainty and safety you have today. Well, we discuss wars today. As bad as they are when they do happen, they're never on US soil.   Keith Weinhold (00:36:13) - Can you imagine an attack on American soil? How would that sound? Like? The enemy has destroyed and taken control of Charleston in Savannah. And next they're moving inland to take down Atlanta. I mean, that's so unlikely that your mind isn't even conditioned to think that way. But the reason that it seems, seems like your world is getting less certain and less safe is because of media. Media is more fractured than it's ever been. It wants your attention. So with more competition with everything from YouTube videos to TikTok clips now competing with legacy media, you get introduced to more fear in order to get your attention. My gosh. I mean, is American life safer than ever? You can make the case that it's become too safe even. I've talked to you before about how things could very well be in safety overboard mode in real estate. Now here we talk about providing clean, safe, affordable and functional housing. But she should need GFCI outlets all over the place in your property, and carbon monoxide detectors and fire rated doors, even when their improvement to your safety is negligible.   Keith Weinhold (00:37:32) - American society at large is so ultra safe and in fact, there's even a term for this now it's called safety ism. Yeah, look it up. It's how excessive safety is becoming harmful to society. When you are on your last passenger plane flight at night and you just wanted to take a nice nap, or you wanted to get some sleep, did the pilot come on to the intercom system and wake you up, telling you to sit down and put your seatbelt on every time? Just a small amount of turbulence was being felt. Oh, there are endless instances like that where society's gotten so safe that it's just annoying. The last time that I was shopping at Lowe's, the home improvement store, a forklift driver was slowly driving the aisles really carefully. And besides just the forklift driver sitting on the seat, there was a second man, a flagger, that was out in front of him, walking, holding two little flags. So the shopping customers knew that a forklift. This coming. Like, that's such a wild hazard to human safety.   Keith Weinhold (00:38:37) - I mean, gosh, the gross inefficiency of that just to improve safety ever so slightly. Construction workers that have to wear hard hats outdoors in an open field. I mean, our society has become Uber safe. Now, don't get me wrong, some measure of safety is definitely a good thing, but I'm underscoring the fact that historically, this world that you're living in is ultra safe and ultra certain. And then within our investing world, take a look around what can be said to be certain and uncertain. Apple. They're the world's largest company by market cap at about $3 trillion. And their risk is that eventually they might fail to keep innovating. How about Bitcoin? Bitcoin could have government crackdowns or some other lack of certainties, their money in the bank and owning Treasury bonds. All right. That's fairly safe and certain. But you aren't getting any real yield there. And in a world that feels more uncertain and unsafe than it really is, bring it back to the positive attributes of being a real estate investor here.   Keith Weinhold (00:39:46) - You know, monetary inflation is a near certainty, and so is the fact that people will pay you rent if you put a roof over their heads. Certainty. It helps to be mindful that safety is the opposite of freedom, and that having security is the opposite of having opportunity. Hey, well, speaking of opportunity, join our investment coach Norris for Grizz Live event that is to night. You can join from the comfort of your own home. You get to select from one of the two options for Florida Income property. You can select either a 5.75% mortgage rate or the 224 program, which means two years of free property management. 2% of the purchase price. In closing cost credit to you and a generous $4,000 lease up fee credit. Sign up. It's free. It's our live event tonight, the 27th at 8:30 p.m. eastern, 530 Pacific. If you're a few days late, be sure to watch the replay soon. register@webinars.com to have a chance at putting some new Build Florida Income property in your portfolio.   Keith Weinhold (00:41:00) - Until next week, I'm your host, Keith Winfield. Don't quit your day dream.   Speaker 5 (00:41:08) - Nothing on this show should be considered specific, personal or professional advice. Please consult an appropriate tax, legal, real estate, financial or business professional for individualized advice. Opinions of guests are their own. Information is not guaranteed. All investment strategies have the potential for profit or loss. The host is operating on behalf of get Rich education LLC exclusively.   Keith Weinhold (00:41:36) - The preceding program was brought to you by your home for wealth building. Get rich education.

Did you know Sidney Poitier was a western icon? In a genre best known for John Wayne and Clint Eastwood, African American actors and directors have played an important role in both shaping, and subverting, Hollywood westerns. In Black Rodeo: A History of the African American Western (U Illinois Press, 2023), Vassar College film professor Mia Mask unravels the history of Black westerns dating back to 1910s and 1920s rodeo films, all the way through modern iterations such as Django Unchained (2012). Mask explains the eras in film history that changed the genre, including the infusion of pro athletes into Hollywood in the 1940s, New Hollywood in the 1960s, and the rise of Blaxploitation in the 1970s. Through this history, Mask explains how African Americans were central to the development and lasting appeal of westerns as a global film genre, and how genre conventions from westerns are in the very DNA of American popular culture today. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/african-american-studies

Did you know Sidney Poitier was a western icon? In a genre best known for John Wayne and Clint Eastwood, African American actors and directors have played an important role in both shaping, and subverting, Hollywood westerns. In Black Rodeo: A History of the African American Western (U Illinois Press, 2023), Vassar College film professor Mia Mask unravels the history of Black westerns dating back to 1910s and 1920s rodeo films, all the way through modern iterations such as Django Unchained (2012). Mask explains the eras in film history that changed the genre, including the infusion of pro athletes into Hollywood in the 1940s, New Hollywood in the 1960s, and the rise of Blaxploitation in the 1970s. Through this history, Mask explains how African Americans were central to the development and lasting appeal of westerns as a global film genre, and how genre conventions from westerns are in the very DNA of American popular culture today. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/film

Did you know Sidney Poitier was a western icon? In a genre best known for John Wayne and Clint Eastwood, African American actors and directors have played an important role in both shaping, and subverting, Hollywood westerns. In Black Rodeo: A History of the African American Western (U Illinois Press, 2023), Vassar College film professor Mia Mask unravels the history of Black westerns dating back to 1910s and 1920s rodeo films, all the way through modern iterations such as Django Unchained (2012). Mask explains the eras in film history that changed the genre, including the infusion of pro athletes into Hollywood in the 1940s, New Hollywood in the 1960s, and the rise of Blaxploitation in the 1970s. Through this history, Mask explains how African Americans were central to the development and lasting appeal of westerns as a global film genre, and how genre conventions from westerns are in the very DNA of American popular culture today. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/history

Did you know Sidney Poitier was a western icon? In a genre best known for John Wayne and Clint Eastwood, African American actors and directors have played an important role in both shaping, and subverting, Hollywood westerns. In Black Rodeo: A History of the African American Western (U Illinois Press, 2023), Vassar College film professor Mia Mask unravels the history of Black westerns dating back to 1910s and 1920s rodeo films, all the way through modern iterations such as Django Unchained (2012). Mask explains the eras in film history that changed the genre, including the infusion of pro athletes into Hollywood in the 1940s, New Hollywood in the 1960s, and the rise of Blaxploitation in the 1970s. Through this history, Mask explains how African Americans were central to the development and lasting appeal of westerns as a global film genre, and how genre conventions from westerns are in the very DNA of American popular culture today. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

Did you know Sidney Poitier was a western icon? In a genre best known for John Wayne and Clint Eastwood, African American actors and directors have played an important role in both shaping, and subverting, Hollywood westerns. In Black Rodeo: A History of the African American Western (U Illinois Press, 2023), Vassar College film professor Mia Mask unravels the history of Black westerns dating back to 1910s and 1920s rodeo films, all the way through modern iterations such as Django Unchained (2012). Mask explains the eras in film history that changed the genre, including the infusion of pro athletes into Hollywood in the 1940s, New Hollywood in the 1960s, and the rise of Blaxploitation in the 1970s. Through this history, Mask explains how African Americans were central to the development and lasting appeal of westerns as a global film genre, and how genre conventions from westerns are in the very DNA of American popular culture today. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Did you know Sidney Poitier was a western icon? In a genre best known for John Wayne and Clint Eastwood, African American actors and directors have played an important role in both shaping, and subverting, Hollywood westerns. In Black Rodeo: A History of the African American Western (U Illinois Press, 2023), Vassar College film professor Mia Mask unravels the history of Black westerns dating back to 1910s and 1920s rodeo films, all the way through modern iterations such as Django Unchained (2012). Mask explains the eras in film history that changed the genre, including the infusion of pro athletes into Hollywood in the 1940s, New Hollywood in the 1960s, and the rise of Blaxploitation in the 1970s. Through this history, Mask explains how African Americans were central to the development and lasting appeal of westerns as a global film genre, and how genre conventions from westerns are in the very DNA of American popular culture today. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/performing-arts

Erin holds a B.S. in Interior Design and is a NYS Certified Interior Designer, Professional member of the American Society of Interior Design, and a National Council of Interior Design Qualifications certificate holder. Before co-founding Curated Nest Interiors, Erin spent ten years running her namesake interior design studio, EMC2 Interiors, where she worked for a diverse range of clients including families, corporate CEOs, magazine editors, television shows, and celebrities. https://www.curatednest.com/ https://www.instagram.com/curatednest/

The 19th-century Mexican-American borderlands were a complicated place. By the 1860s, Confederates, Americans, Mexicans, French, and various Native societies were all scheming and vying for control of the region bifurcated by the Rio Grande. In Illusions of Empire: The Civil War and Reconstruction in the U.S.- Mexico Borderlands (U Pennsylvania Press, 2021), Texas A&M-San Antonio history professor William Kiser untangles the knotty history of this place at this time. For the United States, the Mexican borderlands were a problem - porous, difficult to control, and threatening to American sovereignty. For the Confederacy, the borderlands were a screen onto which they could project their dreams of a southern empire of slavery. For Mexicans, the borderlands represented their lack of control and political instability, while for Native people, they were homelands, to be defended at all costs. The borderlands were thus a contested space, where that same contestation shaped policy and outcomes of international crises, including the Civil War and the French Intervention. Kiser asks us to expand the boundaries of "Greater Reconstruction" to include not just the American West, but to cross international boundaries as well. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/military-history

The 19th-century Mexican-American borderlands were a complicated place. By the 1860s, Confederates, Americans, Mexicans, French, and various Native societies were all scheming and vying for control of the region bifurcated by the Rio Grande. In Illusions of Empire: The Civil War and Reconstruction in the U.S.- Mexico Borderlands (U Pennsylvania Press, 2021), Texas A&M-San Antonio history professor William Kiser untangles the knotty history of this place at this time. For the United States, the Mexican borderlands were a problem - porous, difficult to control, and threatening to American sovereignty. For the Confederacy, the borderlands were a screen onto which they could project their dreams of a southern empire of slavery. For Mexicans, the borderlands represented their lack of control and political instability, while for Native people, they were homelands, to be defended at all costs. The borderlands were thus a contested space, where that same contestation shaped policy and outcomes of international crises, including the Civil War and the French Intervention. Kiser asks us to expand the boundaries of "Greater Reconstruction" to include not just the American West, but to cross international boundaries as well. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/american-studies

The 19th-century Mexican-American borderlands were a complicated place. By the 1860s, Confederates, Americans, Mexicans, French, and various Native societies were all scheming and vying for control of the region bifurcated by the Rio Grande. In Illusions of Empire: The Civil War and Reconstruction in the U.S.- Mexico Borderlands (U Pennsylvania Press, 2021), Texas A&M-San Antonio history professor William Kiser untangles the knotty history of this place at this time. For the United States, the Mexican borderlands were a problem - porous, difficult to control, and threatening to American sovereignty. For the Confederacy, the borderlands were a screen onto which they could project their dreams of a southern empire of slavery. For Mexicans, the borderlands represented their lack of control and political instability, while for Native people, they were homelands, to be defended at all costs. The borderlands were thus a contested space, where that same contestation shaped policy and outcomes of international crises, including the Civil War and the French Intervention. Kiser asks us to expand the boundaries of "Greater Reconstruction" to include not just the American West, but to cross international boundaries as well. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Dr. Erkeda DeRouen talks to Dr Dallas Reed, the Division Chief of Genetics and Director of Perinatal Genetics at Tufts Medical Center. They discuss all you need to know about genetics and becoming a geneticist, why health equity is important in medicine, and the future of genetic research.  [00:00] Introducing Dr. Dallas Reed [01:22] Why Dr. Reed Chose to Pursue Medical Genetics [06:24] Career Pathways in the Field of Genetics [08:20] The Three Types of Genetic Laboratories [11:40] Advice for Students Interested in Genetics [13:32] Health Equity and Why It's Important  [16:31] The Genetics of Cancer [18:01] Why We Need More Community Partnerships For Genetic Research [19:20] What Dr. Reed Would Change About Healthcare [23:00] Navigating the Politics of Medicine [25:50] Parting Thoughts How Dr. Reed Became a Geneticist Dr. Reed's journey into genetics began with a deeply personal experience within her own family. Her brother was born prematurely with a life-threatening chromosomal abnormality. He died at four months, and this event, though marked by tragedy, became the catalyst for Dr. Reed's lifelong commitment to genetics. Inspired by a desire to understand and help families facing similar situations, she embarked on a journey to become a geneticist--one of only ten black medical geneticists in the country. How to Build a Career in Genetics Would you like a career in the field of genetics? A geneticist is a specialist who studies genetic traits in biological systems in plants, animals, and humans. According to Dr. Reed, there are endless opportunities available in this field, from research and laboratory roles to patient-facing positions. Dr. Reed encourages students to explore combined residency and fellowship programs, tailoring their journey to their specific interests. Practical strategies, including reaching out to professionals, leveraging social networks, and exploring internship programs, are keys to navigating the exciting world of genetics.  The Case for Health Equity in Genetics Dr. Reed is a strong advocate for health equity in genetics. She addresses the technical challenges patients of non-Caucasian backgrounds face, particularly in interpreting genetic test results. By bringing attention to the need for a diversified reference genome, Dr. Reed aims to eliminate uncertainties that may arise due to genetic variations specific to certain ethnicities. Additionally, Dr. Reed underscores the importance of standard practices in cancer genetics, advocating for equal access to genetic testing and referrals for all cancer patients, regardless of their racial or ethnic background. Her commitment to building trust between researchers and communities echoes a broader call for inclusivity and outreach efforts.  You can reach Dr. Reed on LinkedIn, Twitter, and Email for more details about her work.    Mentioned in This Episode: Genetics training programs: http://www.abmgg.org/pages/training_options.shtml http://www.abmgg.org/pages/training_accredprog.shtml American College of Medical Genetics (ACMG) https://www.acmg.net/ (FREE STUDENT MEMBERSHIP https://www.acmg.net/ACMG/Membership/Join_ACMG/ACMG/Membership/Join_ACMG.aspx?hkey=a3f4704c-acc9-48fd-9c66-125b58c6b492) American Society of Human Genetics (https://www.ashg.org/membership/join-or-renew/) International Society of Prenatal Diagnosis (https://www.ispdhome.org/ISPD/Membership/Become_a_Member/ISPD/Membership/Membership_Types.aspx?hkey=36020091-c4cf-41a5-8865-70d5b7186f36 Training grants: https://www.acmgfoundation.org/ACMGF/Awards-We-Offer/Training-Awards-Fellowships/ACMGF/Awards/Training-Awards-Fellowships.aspx   To learn more about how MedSchoolCoach can help you along your medical school journey, visit us at Prospective Doctor.    You can also reach us through our social media: Facebook: https://www.facebook.com/MedSchoolCoach Dr. Erkeda's Instagram: https://www.instagram.com/doctordgram/ YouTube: www.youtube.com/@ProspectiveDoctor

The 19th-century Mexican-American borderlands were a complicated place. By the 1860s, Confederates, Americans, Mexicans, French, and various Native societies were all scheming and vying for control of the region bifurcated by the Rio Grande. In Illusions of Empire: The Civil War and Reconstruction in the U.S.- Mexico Borderlands (U Pennsylvania Press, 2021), Texas A&M-San Antonio history professor William Kiser untangles the knotty history of this place at this time. For the United States, the Mexican borderlands were a problem - porous, difficult to control, and threatening to American sovereignty. For the Confederacy, the borderlands were a screen onto which they could project their dreams of a southern empire of slavery. For Mexicans, the borderlands represented their lack of control and political instability, while for Native people, they were homelands, to be defended at all costs. The borderlands were thus a contested space, where that same contestation shaped policy and outcomes of international crises, including the Civil War and the French Intervention. Kiser asks us to expand the boundaries of "Greater Reconstruction" to include not just the American West, but to cross international boundaries as well. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices

The 19th-century Mexican-American borderlands were a complicated place. By the 1860s, Confederates, Americans, Mexicans, French, and various Native societies were all scheming and vying for control of the region bifurcated by the Rio Grande. In Illusions of Empire: The Civil War and Reconstruction in the U.S.- Mexico Borderlands (U Pennsylvania Press, 2021), Texas A&M-San Antonio history professor William Kiser untangles the knotty history of this place at this time. For the United States, the Mexican borderlands were a problem - porous, difficult to control, and threatening to American sovereignty. For the Confederacy, the borderlands were a screen onto which they could project their dreams of a southern empire of slavery. For Mexicans, the borderlands represented their lack of control and political instability, while for Native people, they were homelands, to be defended at all costs. The borderlands were thus a contested space, where that same contestation shaped policy and outcomes of international crises, including the Civil War and the French Intervention. Kiser asks us to expand the boundaries of "Greater Reconstruction" to include not just the American West, but to cross international boundaries as well. Dr. Stephen R. Hausmann is an assistant professor of history at the University of St. Thomas in Minnesota and is the Assistant Director of the American Society for Environmental History. Learn more about your ad choices. Visit megaphone.fm/adchoices

In the dynamic world of weight loss, Weight Watchers, now rebranded as WW, has long been a prominent figure, dedicated to science-backed methods that promote sustainable weight management.However, the weight management landscape is experiencing notable shifts, that are reshaping the way individuals perceive their health and weight.In this discussion hosts Dr. Gautam Gulati and Dr. Jessica Shepherd are joined by two distinguished experts in the field of weight loss.Dr. Gary Foster, the Chief Scientific Officer at WW, brings a wealth of knowledge in obesity research and a deep commitment to scaling science-validated approaches for sustained weight management.Dr. Spencer Nadolsky serves as the Medical Director at WW and is a fervent advocate of telemedicine. He played a pivotal role in developing "Sequence," an online weight management program that Weight Watchers acquired in April 2023.The discussion walks listeners through the behavior changes, patient empowerment, and obesity-related stigma that need to be addressed for a more comprehensive and compassionate approach to treatment.Listen in as Dr. Foster and Dr. Nadolsky discuss the multifaceted aspects of obesity treatment and explore the evolving landscape of individualized and science-proven methods for sustainable weight management and improved health. About Dr. Gary FosterGary Foster, PhD is a clinical psychologist, obesity researcher and behavior change expert. He also serves as the Chief Scientific Officer at WeightWatchers and is an Adjunct Professor at the Perelman School of Medicine at the University of Pennsylvania. Previously, he was the Founder and Director of the Center of Obesity Research and Education and Laura Carnell Professor of Medicine, Public Health and Psychology at Temple University in Philadelphia, where Gary is based.Gary has authored more than 250 scientific publications and four books on the causes, prevention and treatment of obesity. He has received numerous honors including President of The Obesity Society, the Atkinson-Stern Award for Distinguished Public Service from The Obesity Society, and the George Bray Outstanding Scientific Achievements Award in Obesity Research from the American Society for Nutrition. His most recent book, The Shift: 7 Powerful Mindset Shifts for Lasting Weight Loss, is a national bestseller.At WeightWatchers, Gary leads the Science Team and is a member of the Leadership Team.     About Dr. Spencer NadolskySpencer Nadolsky, DO, is an obesity and lipid specialist physician with a passion for improving patient outcomes through innovative solutions. As the Medical Director for WeightWatchers, Dr. Nadolsky supports the WW clinical program research and development, bringing his knowledge and expertise from the field alongside his experience scaling Sequence, the online comprehensive chronic weight management program and telehealth platform which was acquired by WeightWatchers in April 2023. Dr. Nadolsky is committed to research and development, informing science-backed program creation to transform the way weight management is delivered to individuals in support of their overall health. With a background in telemedicine and fitness coaching, Dr. Nadolsky brings a unique perspective to the digital healthcare space. Topics CoveredThe shift away from unsustainable fad diets to more holistic and sustainable weight management approachesHow scientists are leveraging positive psychology, cognitive behavioral therapy, and mindset changes to improve the weight loss journeyHow WW is addressing the stigma associated with obesity by challenging societal biases and advocating for a compassionate and informed approachThe significance of maintaining an "adiposity-based" approach to addressing the root cause of obesityAdvancements in obesity treatment with the introduction of GLP-1 medications that offer substantial weight loss and minimal side effectsThe efforts to raise awareness about the biological factors influencing weight gainThe WW program's key components, including a points-based food system, activity, mindset, and sleep, provide science-based guidance for healthy habits Connect with Dr. Gary FosterDr. Foster on LinkedInDr. Foster on X Connect with Dr. Spencer NadolskyDr. Spencer NadolskyDr. Nadolsky on X Connect with Dr. Gautam Gulati & Dr. Jessica ShepherdHLTHDr. Gulati on XDr. Gulati on LinkedInDr. Jessica Shepherd MDDr. Shepherd on X ResourcesWeight Watchers (WW)The Shift by Gary Foster, PhD 

Charles and Jon meet Connor Burgin a PhD student working on mammalian systematics at the University of New Mexico. As a young boy Connor was fascinated by Wikipedia's list of dinosaurs. His fascination shifted to lists of present day fauna and at the age of twelve he began to create and update his own list of the world's mammals which quickly became the state of art. His childhood project turned into the American Society of Mammalogists' Mammal Diversity Database, which is now widely regarded as the most uptodate and authoratative list of the world's 6500 living mammal species. Connor's taxonomy was also used by Lynx Nature Book in their seminal Illustrated Checklist of the World's Mammals (2020) and All the Mammals of the World (2023).Taxonomy is as much art as science: if you laid all the world's taxonomists end to end you still wouldn't reach a conclusion. So Connor explains the challenges of decision-making when it comes to some of the most controversial issues to hit the mammalwatching world: when to split and lump a species and how to treat domestic animals? Plus Jon is seriously impressed with Connor's choice of the mammal species he mosts wants to see!For more information visit www.mammalwatching.com/podcastNotes: If you have suggestions on where mammalwatchers can submit interesting records that can benefit science please write to jon@mammalwatching.com and we will include them in the notes. INaturalist is the most obvious places to start as well as IGoTerra and your local museum or university biology department. Here is a video from Valentin Moser with more information.Jon's reports should appear soon from his 2023 trips to Chile and Argentina.Cover art: All the Mammals of the World, Lynx Publishing.Dr Charles Foley is a mammalwatcher and biologist who, together with his wife Lara, spent 30 years studying elephants in Tanzania. They now run the Tanzania Conservation Research Program at the Lincoln Park Zoo in Chicago.Jon Hall set up mammalwatching.com in 2005. Genetically Welsh, spiritually Australian, currently in New York City. He has looked for mammals in over 100 countries.

Découvrez le livre NEUROSAPIENS !  Pour apprendre à créer rapidement et à moindre coût son podcast, c'est par ici !  Bonjour et bienvenue dans la partie 2 de notre saga sur l'alimentation ! La semaine dernière, nous avons abordé le sujet de la psychonutrition, soit l'impact de l'alimentation sur la santé mentale. Cette semaine, et parce que ce podcast ne s'appelle pas Neurosapiens pour rien, on va aller voir l'impact de l'alimentation sur le cerveau, sur nos fonctions cognitives. On va aussi regarder quel impact la vision de la nourriture a sur notre cerveau, comment nos goûts alimentaires se forment et enfin pourquoi se retenir de manger n'est vraiment pas si simple que ça.  Production, animation, réalisation et illustration : Anaïs Roux Instagram : https://www.instagram.com/neurosapiens.podcast/ neurosapiens.podcast@gmail.com Produit et distribué en association avec LACME Production. _________ Musique  KEEP ON GOING Musique proposée par La Musique Libre Joakim Karud - Keep On Going : https://youtu.be/lOfg0jRqaA8 Joakim Karud : https://soundcloud.com/joakimkarud ONE NIGHT AWAY Musique de Patrick Patrikios _________ Sources :  Baym CL, Khan NA, Monti JM, Raine LB, Drollette ES, Moore RD, Scudder MR, Kramer AF, Hillman CH, Cohen NJ. Dietary lipids are differentially associated with hippocampal-dependent relational memory in prepubescent children. Am J Clin Nutr. 2014 May;99(5):1026-32. doi: 10.3945/ajcn.113.079624. Epub 2014 Feb 12. PMID: 24522447; PMCID: PMC3985209. Cole, Joanne. The findings of the study has be presented by Dr. Cole at NUTRITION 2023, an annual event organized by the American Society for Nutrition in Boston. Schiff HC, Kogan JF, Isaac M, Czarnecki LA, Fontanini A, Maffei A. Experience-dependent plasticity of gustatory insular cortex circuits and taste preferences. Sci Adv. 2023 Jan 13;9(2):eade6561. doi: 10.1126/sciadv.ade6561. Epub 2023 Jan 11. PMID: 36630501; PMCID: PMC9833665. Andersen, T., et al. (2023) Imagined eating - An investigation of priming and sensory-specific satiety. Appetite. doi.org/10.1016/j.appet.2022.106421. 

Women in menopause get a lot of nutrition and fitness advice. Some of it is sound. Some less so. Quite a bit of it is downright predatory. That is why the best nutrition and fitness advice for menopausal women is often not about grams of protein or hours of exercise, but rather a hard look at our own attitudes and beliefs about how we eat (or don't eat) and move our bodies. What narratives form our nutrition and fitness foundations? Are they even true? This week we dig deep into those narratives–and how to change them–with Meredith Root, co-founder of Tactic Functional Nutrition and Tactic Functional Fitness, both of which are grounded in empathy and behavioral change.Meredith Root has a B.S. in Biological Engineering and 6 years experience in biopharmacetutical process development. She is an active member of the Canadian and American Society for Nutrition and contributing writer for The Morning Chalk Up. She has been a nutrition coach since 2015 and along with her partner, Alex Parker, founded Tactic Functional Nutrition in 2018. Tactic now employees a team of 10 coaches and works with people from all over the globe on health and habits. Together, Meredith and Alex run Tactic's Instagram page which has garnered over 210k followers as well as their podcast, Afternoon Snack, which allows them to amplify their messaging even further. Fundamentally, the Tactic methodology is one that emphasizes consistency with basic nutrition and fitness principles that compound over time; communicated in a way that inspires trust, confidence, and self-determination. Their new business, Tactic Functional Fitness aims to bring uncommonly good fitness to common people. You can learn more at tacticmethod.com.Previnex Black Friday Sale - only valid from November 24-26, 2023: use code BF2023 to receive 20% off. previnex.com Follow Us on Instagram:Feisty Menopause: @feistymenopause Feisty Media: @feisty_media Selene: @fitchick3 Subscribe to the weekly Feisty Menopause blog: https://www.feistymenopause.com/feistyinbox Hit Play Not Pause Facebook Group: https://www.facebook.com/groups/807943973376099 Join Level Up - Our Community for Active Women Navigating the Menopause Transition:Join: https://www.feistymenopause.com/monthly-membership-1 Leave your questions for Selene:https://www.speakpipe.com/hitplay Get the Free Feisty Women's Guide to Lifting Heavy Sh*t:https://www.feistymenopause.com/liftheavy Women's Sports Fan Club Merch:Shop Feisty's new Women's Sports Fan Club Collection at womensperformance.com/fanclub and use the code WATCHWOMENSSPORTS10 for 10% off your order. 10% of the profit on all purchases made between Nov 21- 28 will be donated to Fast and Female, a Canadian charity on a mission to keep girls aged 8-14 healthy and active in sports. Support our Partners:The Amino Co: Shop Feisty's Favorite 100% Science-Backed Amino Acid Supplements. Enter code HITPLAY at Aminoco.com/HITPLAY to Save 30% + receive a FREE gift for new purchasers! *SPECIAL BLACK FRIDAY DEAL - SAVE 50% OFF 11/23-11/25* Previnex: Get 15% off your first order with code HITPLAY at https://www.previnex.com/ Cool-Jams: Use the code HITPLAY for 15% off all products at https://www.cool-jams.com/?utm_medium=podcast&utm_source=spotify&utm_campaign=hit-play-not-pause_20230802 Nutrisense: Go to nutrisense.io/hitplay and use the code HITPLAY30 for $30 off any...

Thanks for joining us, today we welcome Dr. Dianna Bagnall a Research Soil Scientist for the Soil Health Institute. Her current work includes integrating research and outreach to secure the global soil resource. Some of her specific research includes developing functions that show the effect of management on soil physical properties, on-farm soil health assessments, qualitative analysis of farmer interviews, and outreach to farmers in the United States. She and Monte discuss the importance of being able to quantify and assess the practices that are being used to build soil health across the country. Listen in to this powerful conversation. Dr. Dianna Bagnall serves as a Research Soil Scientist for the Soil Health Institute. She is an applied soil physicist specializing in soil physical health and socioeconomic dynamics of soil management. Her current work includes integrating research and outreach to secure the global soil resource. Specific research includes developing functions that show the effect of management on soil physical properties, on-farm soil health assessments, qualitative analysis of farmer interviews, and outreach to cotton farmers in the United States. Dianna is an associate editor for Vadose Zone Journal, the 2023 Soil Health Community Leader for the American Society of Agronomy, and the Early Career Representative to the Soil Science Society of America Board. Soil Health Institute Website: soilhealthinstitute.org Soil Health Institute and Cargill Partner to Advance Water Stewardship Through Improved Soil Health Website: https://soilhealthinstitute.org/news-events/soil-health-institute-and-cargill-partner-to-advance-water-stewardship-through-improved-soil-health/?fbclid=IwAR2IwKGj1LIvf63sCmEZvNURdxOVYIg252o6afWor8BrLpO9bakEU07RTJk Got questions you want answered? Send them our way and we'll do our best to research and find answers. Know someone you think would be great on the AgEmerge stage or podcast? Send your questions or suggestions to kim@asn.farm we'd love to hear from you.

Twitter: https://twitter.com/AntiWokePodcast Racial feelings thermometer: https://www.ljzigerell.com/?p=8863 Jordan Peterson on IQ: https://www.youtube.com/watch?v=iF8F7tjmy_U sambo's restaraunt: https://clickamericana.com/topics/food-drink/sambos-restaurants-the-diner-chains-story-and-how-it-got-that-controversial-name Palestinian polling: https://www.pcpsr.org/en/node/696 --- Send in a voice message: https://podcasters.spotify.com/pod/show/p-f7600000/message

ASCO: You're listening to a podcast from Cancer.Net. This cancer information website is produced by the American Society of Clinical Oncology, known as ASCO, the voice of the world's oncology professionals. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guests' statements on this podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Cancer research discussed in this podcast is ongoing, so data described here may change as research progresses. In this Meaningful Conversations podcast, Dr. Richard Lee talks to Dr. Tara Sanft and Dr. Biren Saraiya about what people with advanced cancer should know, including the value of palliative and supportive care and ways to talk with their families and healthcare teams about their health care wishes. Meaningful Conversations is a Cancer.Net blog and podcast series that describes the important discussions people may need to have with their providers, caregivers, and loved ones during cancer and offers ways to help navigate these conversations. Dr. Lee is a Clinical Professor in the Departments of Supportive Care Medicine and Medical Oncology at City of Hope Comprehensive Cancer Center and serves as the Medical Director of the Integrative Medicine Program. He is also the 2023 Cancer.Net Associate Editor for Palliative Care. Dr. Sanft is a medical oncologist and Chief Patient Experience Officer at Smilow Cancer Hospital, the Medical Director of the Yale Survivorship Clinic, and Associate Professor of Medicine in Medical Oncology at Yale School of Medicine. Dr. Saraiya is a medical oncologist at Rutgers Cancer Institute and Associate Professor of Medicine in the Division of Medical Oncology, Solid Tumor Section at the Rutgers Robert Wood Johnson Medical School. Both Dr. Sanft and Dr. Biren are members of the 2023 Cancer.Net Advisory Panel for Palliative and Supportive Care. View disclosures for Dr. Lee, Dr. Sanft, and Dr. Saraiya at Cancer.Net. Dr. Lee: Hi, my name is Richard Lee. I'm a clinical professor here at City of Hope and also the Cherng Family Director's Chair for the Center for Integrative Oncology. I'm really happy to be here today and talking about the topic of advanced care planning. And I'll have Dr. Tara Sanft and also Dr. Biren Saraiya introduce themselves as well. Dr. Sanft: Thanks, Dr. Lee. I'm Tara Sanft. I'm a breast medical oncologist at Yale Cancer Center and Smilow Cancer Hospital in New Haven, Connecticut. I am board certified in medical oncology and hospice and palliative medicine. I do direct the survivorship clinic, which is an appropriate place for advanced care planning that we can touch on today. I'm really happy to be here. Dr. Saraiya: Hi, my name is Biren Saraiya. I'm a medical oncologist focused on GU medical oncology and also a board-certified palliative care physician. I'm at Rutgers Cancer Institute of New Jersey. My focus is on decision-making. My research interest in decision-making and end-of-life planning for patients with serious medical illnesses. And I do a lot of teaching on this topic at our medical school. And I'm also glad to be here, and I do not have any relevant financial disclosures. Dr. Lee: Thank you so much for both of you for being here. I should also add, I don't have any relevant financial or disclosures, conflicts of interest. Dr. Sanft: Thank you. I'd like to add that I do not either. Thanks for the reminder. Dr. Lee: Yes. Thank you both. And so this is a really important topic that we deal with when we see patients, especially those with more advanced cancer. Could you talk about when we say advanced cancer, what does that really mean? Dr. Saraiya: When I think of advanced cancer, it is either cancer that has come back, recurred, or that is no longer curable, no longer something that we can't completely get rid of. So many times, it is what we call stage four cancer. Each cancer is a bit different. So it's a general rule of thumb, but not necessarily intelligible for every single cancer. But that's what I mean when I say advanced cancers to my patients. Dr. Lee: How about yourself, Dr. Sanft? Do you use a similar concept, or is it a little bit different? Dr. Sanft: I agree with all that's been said. Advanced cancer typically involves the spread of the cancer to other sites outside of the primary site. And the strategy tends to be a chronic long-term management strategy rather than curative treatment, although not always. And as our science becomes more advanced and sophisticated, these terms can apply to people with all different tumor types and locations of involvement, and that's really exciting. But in general, advanced cancer is very serious and can often be life-threatening and needs to be dealt with always. Dr. Lee: And that leads into the next question, which is, if it's not possible to completely cure the cancer, does that mean there's no treatment available for these patients? Dr. Sanft: Absolutely not. Does it mean that there is no treatment? Even when anti-cancer treatment may not help the situation, there is treatment. And I think as palliative care professionals, in addition to being medical oncologists, treating symptoms and treating suffering that comes with symptoms from cancer is always on the table from the time of diagnosis through the balance of life. And when a diagnosis comes through that is life-threatening or advanced or stage four, it is very common to pursue anti-cancer treatment, sometimes many different types of treatment. And it's very rare that someone with a new diagnosis of advanced cancer would not qualify for any anti-cancer treatment. Dr. Lee: Thank you. And moving along with that same concept, Dr. Saraiya, could you talk about what are the kinds of treatment options available to patients with advanced cancer? And then could you comment a little bit what Dr. Sanft was talking about, which is also there's anti-cancer treatments, but then there's also these treatments that help with quality of life and symptoms. And can they be coordinated together? Are we choosing one or the other? Dr. Saraiya: That's a great question. The way I think about this is I always want to focus on what's important for the person in front of me, what's important for the patient. And so even when there is no cure for the cancer, it is certainly treatable. And as Dr. Sanft pointed out, we have many treatments, many types of treatments. So they are delivered by someone like me or Dr. Sanft who are medical oncologists, but also by our colleagues in radiation and surgery and our colleagues in palliative medicine. So it depends on what the symptoms are; we can discuss how to best address it. And sometimes it requires radiation, short course of radiation. Sometimes that's the most effective thing. Sometimes it requires medicines that are by mouth or chemotherapy that are intravenous or by mouth or immunotherapy or different kinds of newer agents that we are using these days. So they can be delivered under the care of a medical oncologist. We can also have sometimes something that's very painful, and the surgeon can remove it. And that is also just as good of an option. So what we choose to do depends on what the objective is, what we are trying to accomplish. And to me, at any point in time I see a patient, every single person I meet with, my goal is how do I help them live better? What's important for the quality of life? And many times is what I do as a medical oncologist, many times it's just listening to them and talking to them and providing support, either myself or my staff or social work. And many times, it's my colleagues in palliative medicine who are helping me care for their symptoms such as pain, other symptoms that I may have a hard time addressing by myself. And so we call on their help when we can't address it. Dr. Lee: We've touched upon the topic of palliative care and supportive care, that terminology. And I'm wondering if you could expand on that so we have a common understanding. And how is that different than hospice care? Dr. Saraiya: This is how I explain to my patients and my students, which is to say, when I went to medicine and I asked my students this question, how many times do we actually cure cancer or cure anything, forget cancer, just anything? And the fact is that most times we don't cure many diseases. So things like high blood pressure, diabetes, high cholesterol, heart disease, liver disease. We don't cure things outside cancer as well. But what we do is we help patients live long and well for long periods of time. We focus on quality of life. And in essence, we are providing palliative care. So I define palliative care anything that helps patients live better or live well. Sometimes we can cure things as well. So many cancers are curable. But let's say you have extensive surgery for a cure of the cancer, but you have pain from the surgery. We certainly help give you pain medicines. That's palliative care. And so for me, palliative care is anything that we do to help alleviate patient's symptoms. It can be delivered by the surgeon who prescribes pain medicine postop, by radiation doctor, who helps with palliative radiation, by medical oncologists like myself and Dr. Sanft, who give medicines for nausea, vomiting, or other symptoms that either the treatments or the cancer itself is causing. When we need help of our colleagues who specialize in this is specialized palliative care. And some just call it supportive care. It's just a naming terminology. As long as we are helping patients live better, any intervention we make to me is palliative and supportive care. At a time when we agree, both patients and we agree that look, our focus is just on comfort. We are not going to focus on cancer anymore. And we're going to focus on just quality of life. That can be dealt with palliative care and hospice care. Hospice care is a very specific defined insurance benefit that requires certain certification. And that's the difference. So palliative is something required from day one, I meet a patient. It doesn't matter what they have until the end of their life. And sometimes even after that, caring for their loved ones after the patient has died is also palliation. Hospice care is a very small piece of that when we are just focused on end-of-life care. Dr. Lee: I appreciate that understanding. And I think it's a great point that you make that anyone can be providing palliative and supportive care. It doesn't take necessarily specialists, but different types of oncologists and other clinicians can be providing in addition to specialists. And Dr. Sanft, could you talk a little bit about this concept about after kind of after a patient may pass through hospice? Dr. Saraiya was mentioning about emotional and spiritual support. How can we help patients find that kind of support from diagnosis through the whole journey? Dr. Sanft: Yeah. I really think of palliative care as taking care of the whole patient. So not just treating the disease, but really addressing the emotional, spiritual, and other physical aspects that cancer and its treatment can impact on a human being that's undergoing this. And then, of course, the entire family unit. So the importance of addressing all of these aspects has been shown in so many different ways. And getting palliative care involved early can really impact how that individual does with their disease course. But it can also provide the structures around that spiritual and emotional health for the patient and their family from diagnosis throughout. And as Dr. Saraiya mentioned, when the time gets short and the end-of-life time is near, palliative care and hospice care in particular can really provide a lot of that bereavement support or that anticipation of loss. And then, of course, all the grief that comes after the loss. Dr. Lee: And could you expand a little bit in terms of if patients are starting to feel some emotional spiritual needs, how do they find help? Or what should they be doing in terms of connecting with their clinical team to get that type of support? Dr. Sanft: I would like to say first that I think part of it is on the medical team ourselves to ask patients. Our culture in general is not one that often openly discusses emotions. So what I teach the medical students is, for every visit, how are you doing with all of this emotionally? And that is a very open-ended question that patients can reflect on and share what they're comfortable sharing with their providers. Now, not all of us who are practicing learned these techniques when we were going through medical school. So your doctor and medical team might not automatically ask about your emotional health. So it is within a patient's right to say, "I would like to discuss with you how this is impacting me emotionally. Could I share that with you?" And really, I think most healthcare professionals come into this profession to help. And this is a very rewarding conversation to understand how this is impacting you and your family emotionally and then trying to get the support that is needed. Most cancer teams have social workers that are highly trained in assessing and counseling and helping patients get triaged into the help that they need, whether it be a support group or a psychologist or a psychiatrist or all of the above. Usually, social workers are embedded in many cancer teams. And if it's not a social worker, it may be another trained professional who can deal with this. But certainly, the medical team is the place to start and to really raise emotional health and spiritual health issues, even though we might not routinely be asking at every visit. Dr. Lee: Great points. And as we think about the journey and we talked a little bit about hospice care and kind of the end phases, sometimes patients fear losing their capacity or ability to really think clearly and maybe even make their own decisions. How can patients in these situations who are concerned about making their wishes known, how can they make sure that's communicated if there is a situation, maybe temporary, maybe longer lasting, which they have trouble with making medical decisions on their own? Dr. Saraiya? Dr. Saraiya: So I think, hopefully, all adults, all of us, have sort of thought about what-if scenarios in our lives, right? I think the thing I tell my patients that maybe there are three or four people in the room, and it's entirely possible, I'm not the one here tomorrow morning because accidents happen. And we certainly have seen that in our daily lives that suddenly things happen. So hopefully, every adult has thought about it. I always prompt my patients to tell me what they have thoughts about, what thoughts they have had. And I ensure that they have some sort of documentation. This is what we call advanced care planning documentation. Sometimes it's a living will, healthcare proxy. Different states might have different documentation. And many of them may have had it as part of their normal will or their sort of lawyers have drawn it up. I always ask them to sort of just tell me or discuss with me what they have written down. If they have not, I encourage them to have that conversation with their loved one. And there are two points. One, at least have had that thought, and the second, have the conversation. At no point in time do I want my patients' family, their loved ones, whether it's a spouse, whether it's a child, to have to answer the question, "What do you want for your loved one?" It's always about, "What will your loved one want for themselves?" And so that is my responsibility to facilitate the conversation to make sure that the patient and the family has had that discussion. Once they've had it, document it, whether it's an advanced care planning or many states like my state of New Jersey have specific forms for-- it's called Physician Orders For Life-Sustaining Therapies [POLST]. So especially in a setting with advanced care and we know we had the conversation. We can't cure this. It's about their quality of life, how they want to live. And patients have the absolute right to tell us and guide our decisions in what kind of treatments are acceptable and not acceptable. And that can only happen if you had the conversation. We have discussed things that are important for them. Are they okay being in a situation where they are not able to communicate? And whatever the what-if scenarios are for themselves, let's help figure those things out and make sure that we value their opinion, their autonomy at every single point by completing this advanced care planning documentation, and more importantly, having the conversation with loved ones so they can ask the question, what would your loved one want in the situation? Dr. Lee: Those are really good points. And I imagine a lot of individuals, a lot of patients, may not have had that conversation. And so what suggestions do you have for patients who are maybe newly diagnosed? They're just totally surprised by the diagnosis. Unfortunately, it may be, in some cases, it's advanced. Dr. Sanft, how would you suggest patients discuss this topic with their family and friends? Are there certain types of questions to be thinking about or certain topics? Dr. Sanft: Oftentimes, in the midst of a new diagnosis, the whirlwind of having that upside-down feeling is so strong that it's very difficult to then think out into the future. However, once the treatment plan is in place, that tends to be a time where things could sort of be evaluated and the horizon might seem a little bit more stable. And I think most patients are willing to admit that the gravity and the seriousness of the situation that's facing them, yet it's very difficult to really reflect on what might happen in the future or what you might want. I think it's really important from a patient perspective to think, "What are your most important priorities?" And that could be a good framework to start to think about if you aren't able to do these priorities, then what else would you want? So if being able to walk around your yard and enjoy the garden is a very high priority, even identifying that and understanding that can give you some framework, or talking about that with your loved one can give you some framework down the line if that becomes an impossibility. If interacting and talking with your children or your grandchildren is one of the highest priorities, if that ever became impaired, then how would that influence what you would want? So again, it doesn't have to be yes/no questions that you're answering, but it can really be an understanding of what brings you joy, what are the most important parts of your life, and if those were threatened, then how would you reevaluate the quality of your life? Dr. Lee: I think that's a good way of framing the priorities and thinking through that with your loved ones. And for Dr. Saraiya, next after they've had some of these discussions, what should they be asking you and Dr. Sanft as the healthcare providers and helping to guide along these important conversations around advanced care planning? Dr. Saraiya: I will answer that question, but I just want to sort of highlight what Dr. Sanft said is so important, which is really prioritizing and framing. And I think framing is so important. And to sort of put some of the other things Dr. Sanft talked about, the emotional and spiritual support, when someone walks into our office, many times they're really scared. And I take this opportunity to really sort of ask them important questions like, "What are your worries?" Which allows for them to emote a bit about what their worries are. And sometimes it's uncomfortable, right, because they're crying. They're worried about death and dying and what it means for the family. It's hard for the family. It makes a lot of us uncomfortable. But I think it's also very important. So I do take the opportunity early in my interaction with patients just to allow them to emote and just to process their worries. And sometimes I'm acknowledging their worries. Sometimes I'm telling them that those worries are maybe not reasonable, right? Sometimes people say, "Well, I'm going to die next month." And they know that's not the expectation. So they have worries that may be unreasonable. So I can help talk and address specific worries at that point in time. So we do have to-- and again, this is why we have a team. Many times, patients are not comfortable talking to me about some of their worries, but they are much more apt to talk to my social worker or my nurse or my infusion nurse where they spend hours at times. And they will tell them things that they may not tell me. They will talk about some of the side effects that they have that they won't tell me because they worry. This is my hypothesis and what the research shows. They worry that because I hold that key to that chemotherapy or that key to that treatment, that if this is something that I may not like, I might hold it. And so patients have this natural tendency to not tell me absolutely everything. That's why we have a team. We gather all the information to make sure that we sort of make the right decisions. Sometimes we do have to help patients and families facilitate their conversations to make sure that we address their worries, their fears, their emotions. And it can be done, as I said before, just by us as the primary oncology team or our palliative care team or our social workers or nurses. All of us provide a different role for each patient. And in some patient cases, it is me, and some patients sometimes it's my nurse or sometimes it's my infusion nurse, or sometimes my social worker. And sometimes I do need the help of my palliative care and hospice colleagues. Dr. Lee: And, Dr. Saraiya, coming back in terms of just guiding patients, are there certain questions you wish your patients might ask you in terms of helping to kind of navigate these difficult conversations? Dr. Saraiya: I think many patients have this one question, that they have a hard time asking, which is, what's the treatment goal? And many times, we talk about is this something that's treatable. And the answer is yes. That was one of the first questions we're asked. Is it treatable? But many times patients have a question is it curable? And if the answer is no, then what does that mean? Or even if the answer is yes. What does that mean? I think most of us in our lives think about what-if scenarios, but it's really hard to ask those questions. So what I advise and sometimes I facilitate this, but I encourage if you're listening to this, you're a patient, ask your oncologist, "Well, what does this actually mean for me?" And if you have those questions, ask them, "What if this happens? This is my worry. Can I just tell you what my worries are and address them?" And with the worries, also come my hopes. Here's what I'm hoping for. How can I get there? How can you help me get there? And as Dr. Sanft sort of talked about before, if I have a situation where someone tells me, "This is my hope”, but I can't do it, it's not likely, I will tell them. But I will also tell them what we can accomplish, what we can do. And so I think having that honest conversation and patients and families can talk amongst themselves, but also with us as clinical teams to just make sure that we, at all points in time, address and put them and their needs in the center of focus. Dr. Lee: Great questions. And Dr. Sanft, do you have any other questions you wish your patients would ask you in terms of helping to guide these challenging conversations? Dr. Sanft: It's helpful for patients to come at questions about what to expect directly with us. I think it's most helpful when patients say, "Here's the deal. I'm feeling fine right now, and I want to keep going as long as I feel fine. And I want you to offer me every line of treatment until I don't feel like it's going to be worth it anymore. And we can continue to talk about that. And we'll do this together. I will let you know when I'm ready." And that allows me to say, "Okay. I appreciate what you're saying, and I agree with this plan, and we're on the same page. And when I see signs that things aren't going well, I will tell you." And it sort of sets these expectations upfront that we are all on the same page. We all want the same things. And we commit to each other, "You're going to tell me when this gets too hard, and I'm going to tell you when I think that this isn't helping anymore." And so it allows for this open dialogue to continue throughout. Dr. Lee: Well, this has been a great conversation, and learned a lot and think about priorities. And I think you make a very good point. This is an ongoing discussion. It's not a single discussion you have, and then it's done. It's really an ongoing process through the whole journey. Do either of you have anything else to add in terms of helping patients who are addressing advanced care planning? Dr. Saraiya: My biggest ask or sort of consideration is all of us, as Dr. Sanft said in the beginning, all of us came into this to really sort of help. And that is still our primary goal. And good communication really facilitates that. And we have, as a medical team, have to sort of do, as Dr. Sanft pointed out, sort of explore a bit more and really address the concerns. At the same time, you also have to develop a language that we can all understand, both understand, patients and doctors. And I think that's the key work. And I think it's so important to have that partnership with our patients and our families to make sure that we are doing the attentive care that they deserve and they need. So I think having an honest conversation. One thing I always reflect on is for my patients, they may start in the beginning saying what's most important for me is-- and we are in Jersey so going to the casino on the weekends in Atlantic City. And that's the most important thing for me. But there comes a time when they say, "No, I've changed my mind. Most important thing is having the Friday night dinner with my family." And a few months later, maybe, “I've changed my mind. You know what's really important? If I can just sit in the patio on my rocking chair and enjoy that. Can you help me make those things happen?” I think having those conversations, being aware that we can change our minds, I think is absolutely fine. It's encouraged. And I think that's what we expect. Dr. Lee: Dr. Sanft? Dr. Sanft: Oh, I love that. I think I love that. I'm so glad that you brought that up. And the only thing I would add to that is if there are things that you know in your heart you absolutely would not want, telling it to someone, your partner, your family, your decision-makers, and your medical team will really help make sure that that does not come to fruition. So it can be scary to voice those things, but most of us have an idea of what we would never want to have happen. And saying that out loud and making sure that someone close to you, ideally, also your medical team, but certainly someone who's close to you understands what that line is. That can help decisions that need to be made in difficult times make sure that they honor, that they know that that was not what you ever wanted to have, and we can help make sure that that doesn't happen. Dr. Lee: Well, I want to thank both Dr. Saraiya and Dr. Sanft. This has been fantastic. I learned a lot myself in terms of communication and addressing advanced care planning. And I hope all of you listening also were able to learn some pearls of wisdom from both of them. I think your patients are very lucky to have both of you. Feel free to look at Cancer.Net if there's more questions and a lot of information around advanced cancer and treatments and advanced care planning and having these discussions. So thank you both again. And stay tuned for more podcasts on these important topics. ASCO: Thank you, Dr. Lee, Dr. Sanft, and Dr. Saraiya. Find more podcasts and blog posts in the Meaningful Conversations series at www.cancer.net/meaningfulconversations. Cancer.Net Podcasts feature trusted, timely, and compassionate information for people with cancer, survivors, and their families and loved ones. Subscribe wherever you listen to podcasts for expert information and tips on coping with cancer, recaps of the latest research advances, and thoughtful discussions on cancer care. And check out other ASCO Podcasts to hear the latest interviews and insights from thought leaders, innovators, experts, and pioneers in oncology. Cancer.Net is supported by Conquer Cancer, the ASCO Foundation, which funds lifesaving research for every type of cancer, helping people with cancer everywhere. To help fund Cancer.Net and programs like it, donate at CONQUER.ORG/Donate.

The Ethics Committee of the American Society of Reproductive Medicine has stated that the correct term for donating unused embryos to another couple for family building is embryo donation rather than embryo adoption. But since many people looking for information on this option continue to call it embryo adoption, we sometimes use both terms to aid in finding our materials. Further, there are a few adoption agencies that have an embryo donation program; they follow an adoption model, and they call it embryo adoption.Resources:Embryo DonationDisclosing Donor Conception to Our KidsSuggested Books for Kids Conceived Through Donor This podcast is produced by www.CreatingaFamily.org. We are a national non-profit with the mission to strengthen and inspire adoptive, foster & kinship parents and the professionals who support them. Creating a Family brings you the following trauma-informed, expert-based content:Weekly podcastsWeekly articles/blog postsResource pages on all aspects of family buildingPlease leave us a rating or review RateThisPodcast.com/creatingafamilySupport the showPlease leave us a rating or review RateThisPodcast.com/creatingafamily