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Living and working in remote areas can appear daunting at first, but it's stories like Anna Drum's that give glowing insight into what it's really like working in a rural space in the allied health sector. As a Myotherapist and the Founding Director of Capability Health, Anna opens up on the newest episode of the PPMP podcast about working in Weipa - a small town in Queensland, Australia. She bears many hats - from Myotherapist, to business owner, to recruiter, to finance officer - and shares what a typical day looks like for her while tackling everything on her plate. Whether you work in a rural area or not, all allied health business owners can get something out of Anna's story on the podcast. She explores how and why her team works so brilliantly, her process developing front-of-house through building the right systems, and how they maintain a sense of community. I think many of you can agree that managing time as a business owner is no easy feat - and Anna's insights into how she does it efficiently and productively are valuable to say the least. Part of that is about knowing when to ask for help. Are you asking for enough help when you need it? It may seem obvious, but it's easy for us to forget that when more help is around, the more we can achieve things. As Anna put so well, “Sometimes when you've got less time, you actually get more done.” Nacre Links: Website LinkedIn Twitter Facebook Instagram Pinterest See omnystudio.com/listener for privacy information.
"Your problem is you have a Russian soul," Anna's mother tells her. In 1980, Anna is a naïve UConn senior studying abroad in Moscow at the height of the Cold War-and a second-generation Russian Jew raised on a calamitous family history of abandonment, Czarist-era pogroms, and Soviet-style terror. As Anna dodges date rapists, KGB agents, and smooth-talking black marketeers while navigating an alien culture for the first time, she must come to terms with the aspects of the past that haunt her own life. With its intricate insight into the everyday rhythms of an almost forgotten way of life in Brezhnev's Soviet Union, Forget Russia (Tailwinds Press, 2020) is a disquieting multi-generational epic about coming of age, forgotten history, and the loss of innocence in all of its forms. L. Bordetsky-Williams (aka Lisa Williams) is the author of Forget Russia, published by Tailwinds Press, December 2020 (https://www.forgetrussia.com). She has also published the memoir, Letters to Virginia Woolf, The Artist as Outsider in the Novels of Toni Morrison and Virginia Woolf, and three poetry chapbooks. She is a Professor of Literature at Ramapo College of New Jersey and lives in New York City. Steven Seegel is Professor of Slavic and Eurasian Studies, University of Texas at Austin. 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
"Your problem is you have a Russian soul," Anna's mother tells her. In 1980, Anna is a naïve UConn senior studying abroad in Moscow at the height of the Cold War-and a second-generation Russian Jew raised on a calamitous family history of abandonment, Czarist-era pogroms, and Soviet-style terror. As Anna dodges date rapists, KGB agents, and smooth-talking black marketeers while navigating an alien culture for the first time, she must come to terms with the aspects of the past that haunt her own life. With its intricate insight into the everyday rhythms of an almost forgotten way of life in Brezhnev's Soviet Union, Forget Russia (Tailwinds Press, 2020) is a disquieting multi-generational epic about coming of age, forgotten history, and the loss of innocence in all of its forms. L. Bordetsky-Williams (aka Lisa Williams) is the author of Forget Russia, published by Tailwinds Press, December 2020 (https://www.forgetrussia.com). She has also published the memoir, Letters to Virginia Woolf, The Artist as Outsider in the Novels of Toni Morrison and Virginia Woolf, and three poetry chapbooks. She is a Professor of Literature at Ramapo College of New Jersey and lives in New York City. Steven Seegel is Professor of Slavic and Eurasian Studies, University of Texas at Austin. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/literature
"Your problem is you have a Russian soul," Anna's mother tells her. In 1980, Anna is a naïve UConn senior studying abroad in Moscow at the height of the Cold War-and a second-generation Russian Jew raised on a calamitous family history of abandonment, Czarist-era pogroms, and Soviet-style terror. As Anna dodges date rapists, KGB agents, and smooth-talking black marketeers while navigating an alien culture for the first time, she must come to terms with the aspects of the past that haunt her own life. With its intricate insight into the everyday rhythms of an almost forgotten way of life in Brezhnev's Soviet Union, Forget Russia (Tailwinds Press, 2020) is a disquieting multi-generational epic about coming of age, forgotten history, and the loss of innocence in all of its forms. L. Bordetsky-Williams (aka Lisa Williams) is the author of Forget Russia, published by Tailwinds Press, December 2020 (https://www.forgetrussia.com). She has also published the memoir, Letters to Virginia Woolf, The Artist as Outsider in the Novels of Toni Morrison and Virginia Woolf, and three poetry chapbooks. She is a Professor of Literature at Ramapo College of New Jersey and lives in New York City. Steven Seegel is Professor of Slavic and Eurasian Studies, University of Texas at Austin. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/russian-studies
Eric Rieger 0:00 Hello gut check project fans and KB MD health family. I hope you're having a great day. This is your host, Eric Rieger, soon to be joined by my awesome co host, Dr. Keith Brown. It's Episode 57 of the gut check project. And today's topic is kind of, well, it's a few different things. Let's just put it that way. We let our guard down a little bit, we get a few emails say don't be so tight. So we're not. And Anna, if you're listening, thanks for the feedback. She's an awesome technician that we have at the GI center. So without further delay, let's get into the sponsorships Of course, are trying to get your daily polyphenols that are trying to calm it's a lot easier just to go to love my tummy.com slash KB MD. 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It says that they only want to deliver fresh, great tasting food, go to unrefined a bakery.com use code gut check and save 20% off of your very first order. And last but not least, KB MD health comm go there and get your very own CBD endorsed by my partner Doug brown as well as his baby artron deal and also Brock elite you can get all three of those at KB MD health calm around the clock because it's online. It's an online store very very easy to order. Use code gene CP to save 20% Okay, let's get into it. It's Episode Number 57Hello, go check project fans and KB MD health family. I hope you having a great day it is now Episode 57 This is my awesome co host Keith Brown. I'm Eric Grenier what's up Ken?Ken Brown 2:58 Oh man, I'm excited Episode 57 so we did our little three part series tried something interesting but didn't want to make a three hour podcast over one topic erectile dysfunction. That seems like it'd be a little heavy after a little bit.Eric Rieger 3:10 three hour Boehner talk.Ken Brown 3:14 There's, there's some science behind that one, maybe a little too sciency. I don't know. That's, uh, I feel like sometimes I go down rabbit holes. And I apologize if I'm too much of a nerd. But you know,Eric Rieger 3:24 we're gonna call this episode two scientists one lab.Ken Brown 3:30 You're doing a reference on the two bears one cave.Eric Rieger 3:34 Bert kreischer and Tom Segura our get familiar, but we're going to try to not get too sciency today, have a little fun with some health science and probably show a little bit more of just how we talk in the lab. That's really what.Ken Brown 3:49 Yeah, so we're sitting there scoping and one of our great texts on I was sitting there saying, hey, sometimes you guys get a little too sterile, like you're too eager to talk about the science and I'm like, Okay, and then you and I got to talk and because this past weekend, it typical things. I'm driving Lucas, up to Melissa, Texas, which is like 45 minutes north of where we live. And my son 16. Lucas goes, Oh, on this great podcast. I had never heard it. So I'm listening to two bears. 1k with Bert kreischer and Tom Segura. Just like, This is nuts. I spent like hours preparing these guys literally are like, I'm gonna get out of bed, not brush my teeth and show up and there's a whole episode on just that not brushing your teeth.Eric Rieger 4:35 Kind of pisses me off a little bit because Joe Rogan and all of his comedy guests talking about how hard stand up comedy is, and what I see them do is just stand in front of a microphone andKen Brown 4:46 like, whatever thought pops in their head does that. Sorry. Anyway, so Okay, so we're two scientists, one lab, two scientists one lab,Eric Rieger 4:52 at least for Episode 57. Email us as we go through here, and let us know what you think. Oh, just do a quick recap. Though, Episode 55 through 57, pretty, pretty awesome. Talking about certain viral infections and erectile dysfunction if you haven't seen 56 or 5556 57 get caught up. And I think we're kind of being shadow banned a little bit by YouTube. And suddenly,Ken Brown 5:18 because now we're looking at these different podcasts like,Eric Rieger 5:23 everywhere we go.Ken Brown 5:25 It's fascinating because now we're seeing all this stuff. When you look at Dark Horse podcast, Brett Weinstein's, and he is blatantly open, he's like, I'm gonna put this up, it's gonna last for a little bit, and then it's just gonna disappear, because what I'm talking about is controversial. And we were talking about some viral infections, that can actually cause inflammation, resulting in long standing, erectile dysfunction, which I think is extremely important, because we're going to be seeing a lot more of this, even if it's not important, irrelevant to you at least hope that this can be passed on to a urologist in the future that looks and goes, Oh, this is why I'm seeing younger men with this. But it's really interesting because I tried to search it in different ways, and it's not popping up, then you search our poly phenol ones. It's like, well, right there.Eric Rieger 6:04 Yeah, man before, before the pandemic, hey, you can search any of our topics on the show, and it will pop up immediately. And that's, that's, that's what's happening. So if you like what you hear, just try to like and share share with a friend. And then obviously, we just we're just wanting to share information. It's not it's not medical advice. It's just, it's just stuff that we read. And we feel like it's important. It's how we talk to the patients when they come to the clinic.Ken Brown 6:27 Yeah, exactly. You and I both did something recommended by Mike Logsdon. for business. We both read the same book this week. This is almost a book club right now. Yeah, start with why by Simon Sinek. So I'm gonna ask you everything that we do. And it's really fascinating, because so much so that Jr. Actually texted me and said, Hey, you should consider getting this for your family. And you should for yours also. But really, it plays into everything. It's a book by Chris Bosh that says letters. For a young athlete,Eric Rieger 7:03 something like that. But that's the one that letters through young athletes. Pat Riley in it. Yeah,Ken Brown 7:07 it's Pat Riley, it's letter three athletes. What's fascinating is that the guy was on a podcast, the author and he was discussing. When you go into something, whatever skill you're trying to do, there has to be a why because eventually you achieve what you want. If you're an athlete, if you're a pro athlete, you get the fame, you get the money, you get that but if you don't have the why, then everything falls off as a physician. You go into school and you say I need to get four oh, I need to get four oh, I need to get through high school. To get through college. I need to get into med school. I need to get in good residency, I need to get into a fellowship. And then all of a sudden you're there and you're like, I'm here. Yeah. What's my Why now? And I think that that is it was such an interesting read because it's a business book. But really, what is your WHY? Your why to do things? What is our why for doing this?Eric Rieger 7:52 Oh, this this podcast? Yeah. I can't believe nobody even watched I think one of the coolest why's is each week or each sometimes every other week. But we are kind of just forced into immersing ourselves into new territory, which is awesome, because it's actually the part that drew me into healthcare in the first place. How can I help? How How can we help it's not just me, it's it's a collaboration, you get a lot of information, you do the research, read things online, you talk to patients, you get the feedback you you see what works and sometimes, unfortunately, see what doesn't work, but we're just we're forced to learn so that we can hopefully help someone get better. And that's it.Ken Brown 8:33 Yeah, that's the bottom line. Like I've realized how much I've researched how much I've learned how much we're unearthing and today's episode will be just like that eventually when we get to the but that's what happens when you show up to two scientists one's labEric Rieger 8:45 no yes all the time. Now logs in had a good idea that read that book and I liked it because it had you separate what why is because sometimes you may say oh yeah no why is why is I need to get down the road No, that's that's how that's the how Yeah, you've got to figure out what the goal or the purpose really not even the goal the purpose of a goal could just be a mile marker but the purpose of what you're doing and why you're doing it and yeah logged in good findKen Brown 9:17 I love it because I believe that everything about my life has been about a why including developing on Tron to including getting into the CBD world including trying to do yeah, there was always a why behind it. But if you're not always thinking about that you get bogged down by the ones.Eric Rieger 9:34 As a witness I can remember if you never set out and said I want to get into CBD. You said I wonder if CBD will help the patient and we you came up with I won't go through all of them but a few different scenarios. And it was never we need to shoehorn CBD in to help make it work. Yeah, it was never that which I found to be. We set it on the show before I actually thought that we would be led down by the use of CBD. I was like Man who knows I hear people say all kinds of stuff. Suddenly the lie was more or less realized just by sticking to how do we best find the right people to do this with? Yeah.Ken Brown 10:10 And then even like without try until the why was I need to find something in a natural way to treat people that there's no pharmaceutical solution. Oh yeah. And now the wires become holy cow. There's so much more to this. And there's so much untapped potential of these beautiful molecules. And if you look at other episodes where we hit you, Sylvia Molino, Charlene, I will then hit and then beaten Charlene rambutan brilliant scientists, PhDs. And they're teaching us about stuff that I had no idea about a molecule that I'm wrapping, you know that I'm going all in on on this, and we've got it. But when you get away from the why, then it becomes the wire sales like this this month, why don't you know and you just go, Okay, let's just take it let's take a step back. That's the what that is a focus on the why metric is what your metric is, uh,Eric Rieger 10:59 what you know, what's cool is he can come back and benefit you directly. And I'm just gonna use your most recent example. You hurt your neck. And you went in to go see Wade McKenna. And I would say the now you're feeling great are much, much, much,Ken Brown 11:14 much better, much better.Eric Rieger 11:14 That being said, if we hadn't been on the pursuit of that, why, how do we help people? How do we share that information? I don't think that you would have been nearly as gung ho to go and see someone like Wayne.Ken Brown 11:25 Alright, so bring that up. The only reason why I knew to call Wade is because he came on our podcast. Why did Wade Come on the podcast? Why did he take a day off of a busy schedule? You called him up and said, Hey, do you want to come on? And it's uh, you know, doesn't matter how big you're doing something. But when somebody has a why his Why is to educate about stem cell? Oh, yeah. When he gets an opportunity, he took the time off his day, showed up at our studio, and just kicked some crazy knowledge, the most knowledgeable guy in stem cells, I'm going to put my I'm going to say it. He's been if you watch the podcast, you go, yeah, I could see that. Outside of maybe a couple doctors in Germany that have a few more liberties on what they can do. Wait is one of the most intelligent people about stem cells. And by the way, spoiler alert, that's what today's eventual science podcast about will be stem cells and how to improve your ability to have a better response, which I found out when I went so I got my third and IV infusion, one injection, three IV infusions, great team over there, had a long talk with Dr. Philips, his his associate that helps doing the IV infusions, and we get to talking about how can you make this better? How can you make it so that if I'm going to spend this kind of money that I get a absolute perfect response? And they have not developed a protocol yet to do that? There are no protocol exists? Got it right here. Yeah. So if you're gonna go get stem cells, or if you're somebody that has a doctor that does stem cells, they need to listen to this episode.Eric Rieger 12:55 I think it's awesome. And it's just another point of collaboration, like, Wade will never tell you that he has all the answers. But he will take great information and see how he can incorporate it to basically just help all the people he's that he's trying to help patients and otherwise, so yeah, I think it's, it's a lot like the podcast.Ken Brown 13:11 Yeah. So yeah. So anyways, what's going on with you in the family? How's everything?Eric Rieger 13:18 renovation? I don't really want to talk about that. It's not any fun. Wait, you wait for deliveries, because there's just certain parts of the country that aren't even producing stuff. And I'mUnknown Speaker 13:29 making glass and I'm making tiles, so you just sit around in any way. So we're doing that. We can't get glass for the windows, but we can't get tiled. Would you mind if we put tile up?Eric Rieger 13:40 Actually, this point, we find the heavy window no sunlight. But, you know, gaging Mac of both to kind of flex in some of their entrepreneurial spirit this summer. They're building, building some smaller companies. We'll see how they do. Maybe we'll talk about in some time, but haven't quite gotten that point to do that point, excuse me to get it all off the ground yet, but it'll be interesting. Emory's very, very busy. That's, that's pretty much what's happening. Summertime. Yeah,Ken Brown 14:10 totally. Oh, so typical stuff is a big tournament season. So the kids read a lot of tournaments. I got to tell you a funny story, though. So Lucas, got into this unusual tournament where if you win, then you get into this next level, like a Junior Pro tournament. And it was in Little Rock, Arkansas. And so loida and Lucas drove a Little Rock, Arkansas, and I had the funniest conversation with him. Because the first round he went pretty easy second round. And to hear Lucas tell it, it was great. And I loved hearing the way that he's trying to mimic the accent everything. He's like, Bobby Bobby, he's like, he's like, This is so funny. I literally lost two. I lost two games because I was laughing. That he shows up as tournament and this guy shows up with two rackets and Water Bottle, which is usually people have a bag and they've got a hole in it. Yeah, like it's level. Yeah. He said the guy had a little belly on the whatever. And it sits down. He's like, yeah, me and my friends we were drinking and they said, we're gonna buy an entry into this thing. I didn't think I'd win, but I won that first round. And now we're going to play you. It looks. It's laughing he's like you were you were drinking and your friends and rodeo and he's just like, Yeah, he's like, they parently think I'm a good tennis player or something. Which makes it funny because he probably was like, some point like, like, like an elite tennis player because look, as I just said he played really well. Yes, out of shape.Eric Rieger 15:35 15 years a Daedric it'll do that to you.Ken Brown 15:40 Because it was like it was the funny thing. I couldn't stop laughing. It's like I would I like a song a few times. And he goes yeah, if y'all if he can just slow that down a little bit might be able to get get one of them back. Okay.Eric Rieger 15:54 This was mocking him or not mocking Oh,Ken Brown 15:57 yeah, Lucas was imitating good old Little Rock, Arkansas. He goes on the changeovers, the guy comes over and goes, goes, Hey, how old is you? 16 is like shit. I shouldn't ask that. Now. I feel even worse.Eric Rieger 16:12 But he's there.Ken Brown 16:12 Yeah. Buddy show up there drinking beer behind the fence. Lucas was about ready to serve serves today's and here's one of the guys go. Yeah, he's legit. Love the story. I could not stop laughing. And he goes up because you had lost these two games because I did a body serve. And he tried to get out of the way and just kind of like instead of, you know, didn't get hit and somehow blocked it with his frame. And it was a winner. And I looked at him and I was just like, he was Wow, great shot. He's like, Oh, come on. Now. I didn't mean to do that. It's just a funny, cool story. Then the next round he played a really elite kid that from the division one player and they went for our match for our mouse Lucas loss and a third set tiebreaker real close. If he would have won that one. He would have played a guy named Sam Harrison, who is a ATP tour player right now ranked a little lower due to injury but he was ranked 35 in the world. Yeah, he was Lucas was looking so forward to trying to just at least see what it's like to get served by guys.Eric Rieger 17:17 I'm gonna I'm gonna steal a phrase from some Arkansas people and say, Hey, boys, legit.Ken Brown 17:22 That boys legit. Carlos and Lloyd are touring everywhere doing things? Oh. I, because of our last three episodes, I'm trying to leave my own science behind this. Remember the article where we talked about how Argentine plus CBD synergistically opened up? If you look at that, what happens is Arjun Nene is what's needed to make nitric oxide, which veza dilates. vasodilation helps. And so I was looking at it from a workout perspective. So I do I do what I do. And I ordered an excessive amount of arginine and citrulline from Amazon shocking. Yeah. I started doing arginine and citrulline every night like so I do. I do l leucine for which is for muscle memory I'm trying to get I'm trying to gain back the muscle that I've lost since my neck injury. And oh my gosh, I wasn't putting two and two together. And I started having the worst heartburn. I immediately turned into one of my patients where like, I wanted to like call somebody and say fix this. Now some reflux, some reflux, nausea, just felt justEric Rieger 18:31 yeah, that does not sound fun.Ken Brown 18:33 And I do have acid reflux. And I do take medicine for it. I've tried to get off the medicine for years and years, and I just can't and I've accepted that. And that is what it is. So it was a last week. Last week. I'm sitting there. I'm just like, God, I'm talking to an architect. And we had a cancellation. And then the way that I do things too extreme, I was like, go ahead and load up a scope. She's like, No, don't do it. Like we got to try. Well, I'veEric Rieger 18:56 already heard about,Ken Brown 18:57 I'm worried that I've got like, like, like, I think I've cancer. Cancer. Like you don't have cancer that round. You don't have cancer. You just have some. And I'm like why in the world would I suddenly have all this reflex and then she points out? Did you do one of those weird things where you want some weird supplements. But that can't be it. That can't be it. Just go just go get a scope. So I took the endoscope and I'm staring at our monitor. And I'm trying to get this thing in and I'm holding it like this. And it's like right there. And she's like watching it she's going cuz I was like stop my eyes are watering just goes hard. This is why we sedate people, right?Eric Rieger 19:43 No, no, no can.Ken Brown 19:47 I eventually just got it down and I did my own enough.Eric Rieger 19:52 So those are never seen one those are as big around as probably what a pinky probably maybe a little bit larger than a pinky. Imagine that going all the way down your throat, not you, you don't have to imagine you just did.Ken Brown 20:04 eyes water looking at it, and I got an over here just gonna I'm gonna throw up stop. And I'm likeEric Rieger 20:12 this may be the last two scientists one lab.Ken Brown 20:17 Yeah, I think it is. Speaking of science, do you see what's going on with that? acetylcysteine?Eric Rieger 20:25 Yeah, I did. I don't really like it. I think it's ridiculous. And I hate the category of conspiracy theorist and, you know, tinfoil hat thoughts, all of that kind of stuff. However, for a supplement in acetylcysteine, which is acetylated and acidulated amino acid. Two have been on the market over the counter for almost a full 60 years. 60 years. Yeah. Two weeks ago, the FDA declared it a drug. Now there's a bunch of different pathways that can happen efforts to Claire to drug it can remain a drug over the counter, much like Tylenol, or what the fear is, is that it will then slowly migrate over to just being prescription or at least controlled in the way that it's dispensed, like ephedrine or anything else like that. And it doesn't quite make sense, other than the fact that you've got MSC doses, the Mac in August or September, I think there was starting to be some leaked research about any acetal cysteine was actually proven once again, and it made sense. You know what lay back a little bit further. About four months or five months before that news came out, we put together a protocol of supplements that we felt like could benefit people who were suffering from COVID,Unknown Speaker 21:45 Episode Three, I think, or something. And in acetylcysteine, or nak, was was a part of that.Eric Rieger 21:52 And it makes sense, because just a quick refresher, instead of cysteine, you take it and the body converts it to glucose ion ion is basically your body's you making now your body's best antioxidant defender it scavenges rrs, or reactive oxygenation species throughout the body. And when it does that, as we've covered in many different episodes, you're stopping long term inflammation. Inflammation by itself can be incrediblyKen Brown 22:24 necessary inflammation necessary long term chronic inflammationEric Rieger 22:27 not That's dangerous. In fact, it leads to many, many things disease and cancer etc. So in a single system that was being highlighted, because the issues of the lung, turn into cascading inflammation. And that's why the way in the early days of COVID, people were rushing, putting people on ventilators, they're losing them. However, the problem became that it was just out of control inflammation, and it almost became a point where the inflammation was beyond the acute infection of the virus. Now it's the body just attacking itself. And it is in a single system was seen or observed to be a part of a recovery mechanism by helping your body produce enough glutathione and basically getting the lung tissue to not be so inflamed. nak is known as both a pulmonary protecting as well as as well as a hepatic protected and you know a lot about this, of course you can speak to it. People who have acute Tylenol, toxicity or people who are long term alcoholics. It's recommended. Well, that's whatKen Brown 23:33 I think that's what the FDA is hiding behind. After 60 years of being over the counter. The FDA says Oh, no, this you this actually started out as a drug. And we're gonna make it a drug again, 60 years later, because n acetylcysteine is it's it's a great antioxidant increases your glutathione. We could do a whole episode on glutathione. It's an amino acid. It's an amino acid. It's It's incredible. But then they came out and said this, so then they immediately pulled it. So I wantEric Rieger 23:57 to be clear, Amazon did, Amazon Amazon did and maybe a couple others. There are still Walmart still actually did this morning. Walmart still has neck available. I just wanted toKen Brown 24:05 add that. And then I talked to one of my patients who's a very high level pharmacist and she said, Yeah, I believe that. It appears that some drug company may be using it in conjunction with something else. So they're trying to get it so that they can garbage. I man I panicked. I totally panicked. And I'm like, Look, I use it for so many things that I need to get my hands on a bunch of N acetylcysteine. So it's the first time I've ever done it. But I went to the dark web. You flirted with the dark web? Yes. What's the dark web and I ordered a bunch of an acetal system. And I give it to my employees. So I gave it to his green who's who's my medical assistant, fantastic employee. And amber came in grabbed me my other medical assistant and she's just like, Hey, can you come and look at this. And I walked in and is was just holding the phone. It was just caressing it. And she was just like, Remember, you are loved and we can't wait to do your colonoscopy? No, though. That's, and I was like it. She's really friendly. But that's way too friendly, and way too friendly.Eric Rieger 25:10 And then amber goes,Ken Brown 25:13 can you go look at the bottle you gave her? was right. I, it's my first time on the black web or the dark web, whatever it's called. And I ordered her MDMA for Molly or ecstasy. Oh, yeah. Thinking it was an acetal cyst. It's not. It's not. It's the opposite. Now, here's the real dilemma that I'm in my life. My patients loved it. I know. Yeah. So many great Google reviews based on that.Eric Rieger 25:39 Yeah. Unfortunately, they hung out in your waiting room for four hours.Ken Brown 25:45 Yeah, she only that was surely up to one patient. I did get a bunch of bad reviews, and everybody else has done. So you know, that's my bad on the whole and acetylcysteine. So probably shouldn't I probably should not just randomly knee jerk stuff. As Anna said, you just seem to overdo everything. And don't always push the Buy Now button. I did not do that. Please. I did not drug my employee. I just thought it was a funny story. When you were just talking aboutEric Rieger 26:12 this. This is what happens when we break character a little bit or actually, this is exactly what how we talk.Ken Brown 26:21 I actually told news, I was gonna do this. I was like, I'm like, I gotta prepare for this podcast. She's like, what do you talk about? Like, I don't know. And I'm like, you were really nice. That last patient and then my mind just went there. Yeah, I'm gonna talk about that. I'm gonna pretend like I bought you MDMA. And she looks at me and she's like, what is in your head? I'm like, you just heard what was in my head. You got to start hearing.Eric Rieger 26:45 Well, that was interesting. But I do think it's, it's kind of wild and you referenced him earlier, the Dark Horse podcast. they've, they've been amassing tons of information, not on an industrial 16. But on ivermectin and how more that they had an incredible guest on two days ago. His name wasKen Brown 27:10 Cory Horry, pure coreEric Rieger 27:11 and he is a medical doctor who is infectious disease and has served on multiple boards where they deal with protocols for viral outbreaks and pandemics and has served on the COVID board. And, dude, he's got incredible data on how ivermectin not only works, he's got the scenarios he talks about why he doesn't understand why it's been covered up. And he gave scenarios in Mexico, multiple people, these aren't small, one off studies, multiple people their 1200 healthcare workers 1200 healthcare workers, I'll leave you this 700 something 700 change of the 1200 agreed to take ivermectin all of them, highly exposed to two COVID 100% of the 700 and change, never diagnosed with COVID. The other 500 and whatever is leftover of the 1200 healthcare providers 58% 58% of them developed COVID COVID symptoms, etc. And they didn't take ivermectin prophylactically so we'll go down that rabbit hole. Check out Dark Horse podcast with Brett Weinstein and appear Cory it's it's great. I think the publish date was June 1. IfKen Brown 28:26 there's anything to say about those two guys, they have a why. Death Row Weinstein's? Like I have to get this stuff out here. Yeah, that guy pure Corey, his wise. I'm, I'm the guy in the trenches. I'm a, I'm a critical care doctor. Why in the world is a politician telling me what to do?Eric Rieger 28:42 I don't I don't understand. I eat politician or not. We're standing in the way of we've heard for a year now trust the science. I want to trust the science. But trusting science doesn't mean stop asking why?Ken Brown 28:56 Oh, and that doesn't mean that in what they were talking about is exactly this. We bring up a lot of studies, and I'm going to do it today. Yeah, that is not this large, randomized drug funded study, because that's the only way to do a study that big that randomized that multicenter all that stuff. But he did so much better. He said, there's so many other studies that you can make a meta analysis out of and he said when he started talking about that he's like, the data is there. And yet, the government saying the data is not there. Like every time if you look at any of our podcasts, it's it's completely based on studies. Everything is based on studies from it is it is not conjecture. It is not opinion. It is. This is the study. Yeah. And that's what we do. And that's what he was saying.Eric Rieger 29:44 I think that's the responsible thing to do. I mean, if we're going to if we're going to talk about subject matter, and it has, and there happens to be hypotheses around them or what's going to happen. Let's talk about what we actually know or have observed. Then you man, yeah, sometimes you're going to find a paper that later on is going to be found either wrong or not exactly on the nose. But as long as the data in there is, is honest, it's worth talking about, and what's crazy is vaccination or not for for COVID. I think that's a personal decision. And they talked about it on there that you take a risk analysis. And, and there there are some people that it may be perfect for there may be some that aren't. And Brian, I'm getting into that today. However, the the narrative from the government or politicians specifically seems to be trust the science, get the vaccine. And then when you turn it around and say, well, I've mentioned has this high safety profile. And it may work also, their retort happens to be, there's not enough data. But there was never enough dataKen Brown 30:54 on a brand new MRI. I mean, I don't want to turn this into that. But this is stuff we talked about, called day long. We talked about it constantly. Like look, why why can you say there's not enough data there, but then you could say that, you know, just do this, and I get it, we have to get our country back working. And I get that we all have to have some assemblance of comfort. And by saying that you've What did I just see? I just saw something that you can, like so many places are saying the mask mandate is still in effect unless you've been vaccinated. If you don't wear a mask, we're assuming you're not vaccinated that you've been vaccinated. Like, this is like the new rhetoric everywhere. Yeah. So it's basically saying, Well, I'm, anyways, I don't want to go there. But it's just weird. It's just weird. Yeah. It's plain weird. Doesn't make sense. Doesn't make sense. It's like give me given your employee, MDMA. Molly, instead of N acetylcysteine. Or some weird part of someone doing what else is weird? Since we're talking podcasts. So I was watching Joe Rogan not and he had on his I actually liked the jujitsu podcast, I know that you kind of prefer the the non MMA stuff. I kind of like that where he'll have john Donahoe and these people. Well, he has, he had this guy named Gordon Ryan. Gordon Ryan is currently the world of the world, world, and many people consider the best and nogi Jiu jujitsu submission specialist. He gets on there and starts talking. And Joe's like, Oh, so Gordon, tell us about your gut issues. He's like, like, had a bad staph infection, like, you know, a year ago, and I took like, rounds and rounds and rounds of antibiotics. And then I just started developing the severe gi issues. And now I've been diagnosed with this thing called gastroparesis, and which is your stomach doesn't empty. And it's horrible. Because every time I eat I bloat like crazy, and I stay full for hours. And it's like, and I've been all over, and they just tell me, well, that's just part of, they say, I have irritable bowel and things like that. And Joe's, like, if there's any good gut doctors, let us know. And I was just screaming, I felt like that stupid, progressive commercial with flow in them or on the beach and seeing that now, it's really stupid. We have a Roku now, and you can't fast forward the commercials, you know, on some of the shows. So it has the whole progressive team hanging out on a beach and flow sitting there. And everybody's like, yeah, it's nice to not work and just hang out at the beach. And then like, there was a man and a woman talking and she's by her boat, the other guys by his camper. And she's just like, man, I love my boats. I love my camper is like, Yeah, but, you know, I just wish I could put them together like in a, like in a bunch or something. And she's gonna, it's called a bundle. It's called but like, she couldn't hold back and she ran out and tried to sell insurance. And so that's how I felt I was like, I'm screaming into the thing. I'm like, this could be CBOE Gemini. I'mUnknown Speaker 33:47 talking about CBOE yet. YouKen Brown 33:48 haven't even discussed it. That's what's causing your gastroparesis. So when you have gastroparesis, it could be if you don't have diabetes, or another neurological reason to have it. It could be that your small bowel when it dilates, because you eat and it becomes distended. It tells your stomach not to empty. Yeah, I have all kinds of patients that actually are diagnosed with gastroparesis. I treat their CBOE and then the guest presses goes away. That's nice. And so I was just sitting there and then on the most recent episode, I just cringed, Joe's like, yeah, my friend Gordon Ryan was on here and and he's gonna go somebody stepped up to the plate to help them. Even though I know that Mike logs and tried to offer him I'll try and do it a seminar once, and I dm them on Instagram, and haven't heard back yet. But anyways, so he goes, Yeah, my friends. what they're gonna do is stem cells, and BPC 157 peptide. We'll we'll eventually do a whole show on peptides. And I was just Saturday I went because of that statement. I'm looking at this and I'm like, stem cells for gut health, which could be fixed by taking polyphenols. What is the relationship huh? What if we developed a protocol pre and post them? So is there any science on it? Yeah, we kind of kicked that around a little bit. And that's where the two scientists in one lab comes in. Right? So I got some pretty cool stuff to talk about today. So even if you're gonna ignore my dm Gordon, you should at least at least listen to this part here. Because if you go get stem cells, I can make it so it's better for you. So alright. Stem cells, which we've talked about for my neck, which we had one of the world's experts on Wade McKenna, if you go on like DuckDuckGo, or someplace where it isn't really kind of controlled, you'll find studies on Alzheimer's, autism must, multiple sclerosis, congestive heart failure, erectile dysfunction, liver disease, hypertension, pulmonary issues goes on and on and on and on. And one of the things that I was looking at, and then you go to the FDA, and you're like, Why in the world? Is this not being talked about more? Why in the world? Is this not being discussed more? And you could look at the political reasons as to why because stem cells, and I won't get into that today. But if you go to the FDA website, what they do state is there's no science behind it. And then the one thing that even Andrew Huberman talked about on his podcast was stem cells. The problem with stem cells is they can also make cancer cells grow.Eric Rieger 36:25 Yeah, there's a caveat to that. But yeah,Ken Brown 36:26 so that's what I want to talk about. So what is the biggest risk of these stem cells? Now if you look on Netflix, there's one of those documentaries where they discuss how stem cells caused infections that all came out of one lab and it was 18 people, millions of stem cells done, so I'm not going to throw the infection thing out there. So let's just address this whole thing of stem cells, and how can you make them better one? And how do we decrease the risk of promoting tumor growth? Okay, so that's what today's podcast really is, after we've discussed a lot of random things. So, Wade, and any other person that actually does stem cell therapy, listen up very carefully. If you're somebody who's going to get stem cells listen very carefully, very easy, based on science once again. Alright, so let's look at this, I found an article where it looked at condensed tannins from cinnamon, where what they did is they showed that by taking condensed tannins, cinnamon tannins, like cube rochow, it promotes migration of stem cells and accelerates wound healing in mice. So what these guys did is that they showed that the it's called mesenchymal stem cells, which means the stem cells from the bone marrow, this is an exogenous bone marrow stem cells migrate in accordance to the location based or aided by the condensed tannins. And what they do is they analyze the effects of the cinnamon tannin on mesenchymal stem cell migration in vivo, meaning that they unfortunately caused an injury in a mouse. They caused a skin injury. And then they demonstrated that the mice that got the action, I think they stimulated stem cells, they did something where they could show that stem cells did this, either they gave it to him or they stimulated it. But they showed that in the mice that the stem cells from the bone marrow more readily went into the blood and then accumulated in the area where the injury was okay, more so than the mice that did not have the cinnamon tannin given to him.Eric Rieger 38:42 So just a second, follow exactly what you're saying. Obviously, if you're trying to heal an injury with stem cells, you want to make certain that they concentrate where you where you want them. And you're saying that using a natural tannin enabled the stem cells to aggregate where I metKen Brown 38:58 where I wanted to increase the stem cell production and mobilization even better.Eric Rieger 39:03 So I got more of them more in the right area and more efficiently.Ken Brown 39:06 Exactly. And what they what they showed is that once in the animals that they give the cinnamon Tannen to, they showed that following the condense 10 and treatment, there was more angiogenesis increased blood flow, blood flow increased blood not just blood flow, but that led vessels granulation tissue formation and remodeling were accelerated during the wound healing process. And what they believe is that the cinnamon tannin promoted tissue regeneration attributable to the mesenchymal stem cell induced tissue repair. So in other words, they believe that the tanan resulted in greater stem cells going to the proper area. Which is exactly why when I got my neck injection I did a five day fast leading up to it followed by eating and I took condensed tannins the entire time and continued to take them So I'm super excited to see this. So the conclusion of these scientists were, the results demonstrate that that the cinnamon tannin promotes mezen kaimal, stem cell migration in vivo and accelerated wound healing. And the key here is that the structural features of the flavonoid that type of poly phenol is the key, it is critical to their effects in both the migration and the location of it. So, not just any tanam, not just not just any polyfill. But it has to be a flavonoid comprised of proanthocyanidins. In other words, groups of flavonoids, we say it all the time, large stable poly phenol helped wound healing Yeah, through stem cellsEric Rieger 40:47 Make sense? Once again, it's a it's a demonstration, I believe, of your gut bacteria, taking apart the large molecule and using the the aquaponics the the post biotics as the body needs, correct?Ken Brown 41:03 Yeah. Make sense? The sciences are very congruent with where we then here recently. Yeah, I know. And I can just see somebody that's in the stem cell medicine just standing up and screaming at us. Like I screamed at Joe when I was like, it's just like, but you can't give it to everybody, because that'll just increase the effect. And the stem cells will migrate to cancer and the cancerEric Rieger 41:25 grow more. Oh, I bet you there's something more to that.Ken Brown 41:29 But wait, there's more. So Wow, that's amazing. But let's get back to the whole cancer thing. Why would you augment the stem cells, if you could potentially augment the growth of cancer Make sense? So I went down this rabbit hole or mouse hole or whatever hole you want to call it. And so then I found this great article called the therapeutic effective anti cancer phytochemicals through suppression of cancer stem cells. The why on why we do this is we learned a lot we learned a lot that nitric oxide Oh yeah. And the nitric oxide synthase are different version. They'reEric Rieger 42:02 three different ones.Ken Brown 42:03 So it turns out stem cells, not a stem cell, there's actually something called a cancer stem cell, which I did not know. So, we cancer stem cells are tumorigenic, meaning that they make tumors tumors grow. And cancer stem cells are unique in that they have a very high potency for initiating tumor growth, tumor, neurogenesis, cancer stem cells are postulated to be different than traditional mesenchymal stem cells, and that they proliferate with unlimited potential exhibit high resistance to therapy and have the ability to fuel tumor regrowth post treatment. Now, think about that for a moment. We're talking about why do tumors come back? Why do I have lots of cancer doctor friends, oncologists? I guess that's a good way to call them cancer doctor.Eric Rieger 42:58 cancer doctor friends.Ken Brown 42:59 Yeah, cancer doctor guy. Yeah, this is about cancer, Dr. cancer doctor, friend, oncologist, I have a lot of friends who are oncologists. And I've never once said, Well, why do tumors come back? Because, you know, it's like, oh, just if you get a tumor, it comes back, we believe, and you can go into all this other stuff, p 453. Gene, blah, blah, blah, cancer, tumor gene, whatever. Whoa, wait a minute, what if your cancer, your cancer stem cells, I keep trying to do this. So you have AI nos going on, you have inducible, nitric oxide producing bad nitric oxide or not, it's the same nitric oxide, but producing information is in the wrong spot. So this is really interesting. There's, there's cancer stem cells. And they did this whole review in this article where they looked at the influence of phytochemicals, surprise, surprise, as it turns out, when they refer to phytochemicals, they're talking about complex polyphenols, on cancer cell populations. And what they did is they highlighted the importance of those known to selectively inhibit the cancer stem cell. Wow. Think about this for a moment. Yeah, we talked about this, but these guys showed in a lab. As it turns out, that large poly phenols actually target cancer stem cells in multiple different ways, such as inhibition of self renewal, induction of differentiation into mature cancer cells, and sensitization to anti cancer agents. Wow.Eric Rieger 44:30 So so that makes them more susceptible to the drugs thatKen Brown 44:34 are more susceptible to the drugs that we use. Wow. Now, the article is nauseatingly thick and was a lot there. Oh my gosh, it's super sciency. Yeah, super complex, but it's so complex that the bottom line is they showed multiple different ways in which large stable polyphenols can turn off cancer stem cells in multiple different ways. It was so wild. So polyphenols are good polyphenols. Good. And then I never thought about that, that when we talked about stem cells. cancer stem cells are different than mesenchymal stem cells.Eric Rieger 45:15 Yeah. I hadn't thought of that at all. didn't know that.Ken Brown 45:19 I know. And so but I know that maybe not the same guy cuz he's already I don't know, what did you do? Throw it on his glass and scream it scream at his TV, phone, whatever, the scientists that I'm playing it out in my head or somebody's yelling at us right now. Like, that's it.Eric Rieger 45:36 Okay, I just caught up with the rest of y'all. Okay.Ken Brown 45:43 I just have this image of this, this guy, because all right, it's podcast day. And I'm just gonna have a whole bunch of breakable glass here that I will just keep smashing glasses when I get a car. Oh, what's the matter? Alright, so I can just see him going. But that doesn't matter. That's not in real life. What about real cancers? So as it turns out, there's studies on real cancer. For instance, our old friend, epic gala, epic Gallo, catechin, three galley, otherwise known as green tea extract, we talked about all the time in green to extract egcg, Eg GGC, whatever, one of those egcg. But also, we know that that is a component of kabocha when it gets broken down into its various components. So which is a good way to get it bioavailable, which is a good way to get a bioavailable. So green tea extract is a bioactive poly phenol from green tea. It's been studied a ton. It happens to be. So we've talked about these other ones that have been studied before. It's like studies perpetuate more studies. I would like to just sit there and just send everybody, all the scientists go, you can do more with a bigger, more stable poly phenol, but that's but I'm just happy that you're writing about poly fit. So they've already shown that it can help block tumor including significantly bladder cancer, which I was unaware of. But the mechanism of how it did it has eluded scientists. So these guys went out to say, let's figure out how to do this. And the title of the article is green tea extract inhibits bladder cancer stem cells via suppression of Sonic Hedgehog pathway.Eric Rieger 47:17 We've heard mentioning this before, and I don't know that I recall. It's aKen Brown 47:22 Sega video game dude.Eric Rieger 47:27 Know I Know that I got that part down.Ken Brown 47:33 Alright, so there's, there's gonna be a great backstory to that I'm sure that the developer of that had bladder cancer and then survived it and then said, I will make my next game. Sonic Hedgehog. So anyways, so they actually found the place where it actually happened. And so what they what they showed is the mechanism actually remains by blocking this sonic hedgehog pathway, ultimately, down regulated stem cell markers, cancer stem cell markers, so it controlled the cancer stem cell in the bladder. Wow. Yeah. Wild stuff. So the effect of the green tea was mediated by this what's called the sonic hedgehog signaling pathway, and normally wouldn't even bring that up. But I just love saying that. And, and if they upregulated that pathway, it negated the effect. So that was clearly related to that one thing. So that's how I just love how sciency they get. And I like I'm finding these these are not like this wasn't published last month. This is like a few years old. I'm just like, this is crazy stuff. So what they did is they showed that Taken together, the results indicated that green tea extract could be an important natural compound against bladder cancer stem cells, okay, and provide new insights into the effective molecular targeting of cancer stem cells. Wow.Eric Rieger 48:55 Yeah. Why now we need to find out if there could be other body areas where other stem cell cancers could be turned off.Ken Brown 49:03 I mean, what Give me an example of like a really common cancer,Eric Rieger 49:07 a really common cancer. I don't know colon cancer. Breast cancer.Ken Brown 49:14 Breast Did you say breast?Eric Rieger 49:16 Yeah, you say give you a common one.Ken Brown 49:18 Yeah. And breast cancer is really common. And the anti cancer effect of polyphenols against breast cancer and cancer stem cells, molecular mechanisms. That was another art. Oh,Eric Rieger 49:27 really? Oh, you'reKen Brown 49:28 not making that I'm not making it up. I was just waiting for you to say breast.Eric Rieger 49:31 Oh, yes. It was on my mind.Ken Brown 49:34 No, but for real breast cancer, we know is a huge, huge issue. And well, I think one of the biggest things is when people when we have a lot of people all of us have had people very close to us that are dealing with or have dealt with breast cancer. Right? And is a very serious thing. This is interesting because looking at the therapy of Going after these cancer stem cells, maybe a really interesting therapeutic approach. So these guys what they did, and I don't know these guys, girls, whoever. This was ridiculous. It was like a 50 page review. So this one wasn't so much. It was like a meta analysis. Like we discussed meta analysis is a compilation of this. It was a review it's like it's somebody Opus clearly because they spent forever and I mean, this thing was detailed. So I just laughed because the opening paragraph says this. In this review, we will provide a brief overview of poly phenol structures and classifications as well as the carcinogenic process of breast cancer brief included nauseatingly. I really, it's like it's that insecurity a dream, I always have like a calculus test that when I'm like, super stressed, I'm like, I'm like, I'm back in math class. What that really got into and so to summarize it, and this is, if the person that wrote this article, listen to how I summarize it, they're gonna grab that glass and just smash it. And I suggest that you wear safety goggles, if you're gonna be breaking glasses that are podcasts. Yeah,Eric Rieger 51:15 yeah, yeah, don't you should do that.Ken Brown 51:17 I don't want anybody getting hurt. Alright. So what they did is they looked at the interplay between a toffee G and A pop ptosis in the anti cancer activity, polyphenols. And in addition to that, the potential polyphenols to target cancer stem cells, the various mechanisms. The next 49 and a half pages, we're discussing all those mechanisms. To summarize it. polyphenol research is considered a very promising field, we have discussed this. And I really do think that the future of medicine is heading towards these polyphenolic compounds, definitely, in the setting of a proper microbiome. Sure, if you have dysbiosis, you may not be achieving the greatest result from eating a very high vegetable fruit diet. If you have a proper and very diverse microbiome, all of these things can be achieved can actually be achieved if while having enough of these polyphenolic compounds. So these are a few of the things that they showed in tremendous detail. So each one of these things actually includes several pages of mechanisms, modulation of reactive oxygen species. We've heard that word modulation of inflammatory and inflammation related factors, okay. We've always talked about it as inflammatory cytokines. Here's why my when I say information automatically just go inflammatory. And what are we gonna talk about with the inflammatory what's causing the inflammation, modulation of estrogen receptors and aromatase inhibitors? That's one, which is really interesting, because that could be one of the reasons why polyphenols are good for sport, because you actually increase your testosterone production. If you're blocked in the aromatase, which converts testosterone to estrogen. Interesting. Yeah, that was kind of neat. modulation of a pop ptosis you always define a pop ptosis on this podcast thatEric Rieger 53:13 is programmed cell deathKen Brown 53:16 program cell death, modulation of signaling pathways related to cancer stem cells, which took up about four pages of this article describing very specifically, how these polyphenols suppress the cancer stem cells from proliferating and causing what they do is important, super important. And then I know these guys know their shit, because the final one was modulation of the hedgehog signaling.So that's for anybody who's thinking of doing doing stem cells. This one is specifically for Wade. So for any manufacturer of stem cells, this is pretty cool. This is I'm going to kick it up a little bit and get a little bit more sciency. But the way the stem cells are currently done is that they actually grow them and they it's the number that makes the most important thing Wade talked about the quality of stem cells that you get is super important, how it's grown, how it's harvested, how it's done, all this delivered and delivered. Yeah, for sure. So, these guys showed that reservatrol another poly phenol enhances the functionality and improves the regeneration of mesenchymal stem cell aggregates, specifically cell aggregate or cell sheet engineering. And what they wanted to see is that if you actually bathed these stem cells in reservatrol, that it showed reliable and extensive rejuvenate rejuvenative activities that have received increasing clinical attention, and what they uncovered was that reservatrol enhance the functionality and the numbers improve The regeneration of mesenchymal stem cell aggregates, mesenchymal stem cells would be when I did my bone marrow harvest, Dr. McKenna took my bone and mixed it with stem cells so that it would be there. So what they wanted to show is that they were able to unravel a novel method for using what they called pharmacology, but it's reservatrol based cell aggregate engineering to improve the functionality and facilitate the regeneration of these. So in other words, you can take in older So the whole idea is that the older you get the probably your bone marrow is not as good for stem cells, right? You can make it younger by according to these guys bathing it. So like if you're a 50 year old guy like me, and you do this, you bathe it in some reservatrol and some polyphenols. And that's just one that they looked at reservatrol I'm saying that maybe it could be a whole lot better if you do the, the the equivalent of a large stable poly phenol that has been broken down. But that's it's just it's fascinating science, the why the why of why these guys do things. It's cool. So to summarize, when if you're reading about stem cells, one of the main concerns is that it could stimulate cancer growth. It is a pluripotent cell, meaning it could potentially go where it needs. What these articles kind of summarize is that if you have an injury, and you take polyphenols, and you get stem cells, it goes right over here. We want all the stem cells right here. And by the way, we need more, and get them into the bloodstream to get them over here. Yeah, that's one. And then the other one is, if you're worried, at least according to this, that while I'm really scared, because I don't wanna have stem cells, and then develop a cancer. Well, one way to, at least according to these studies decrease that risk is to take these polyphenols so that you can actually suppress the cancer stem cells themselves, right? So like me, I got my stem cells, and that was actually brought up to me by several people. They're like, Oh, aren't you worried about getting cancer? And I'm like, Am I worried about getting cancer every day? Because I'm a doctor and I see cancer. And every time you do it, I remember talking to one of my cancer doctor friends. I'm calling oncologist I remember asking him, I was like, dude, how do you do this? Like you find 45 year old men all the time with pancreatic cancer. He's like, Oh, I get pancreatic cancers five, six times a year. Because it's your exposure. You're like, Oh, my gosh, that's me. Like every time you see something, it's like, oh, that's eye. Blue. Scary. Yeah. So anyways, I just thought it was really interesting, because when we talk about this, I really believe that there should be some sort of protocol, if I'm a stem cell doctor, I'm putting people on a complex poly phenol blend, like I'll try and do while you're doing it. Why? So that you get the most out of your stem cells. And we know that it's going to go to the area that it's needed. And there is at least some rationale that it could suppress tumor growth. Think ofEric Rieger 57:51 it like this, I after hearing all of this, I already kind of put it in this what I think is an easy to use box for a metaphor. If you're going to do something, let's say that you've committed to being a sport. And you know that in order to compete on the day of competition, that you need to make certain that you have a good night's rest, and that you've trained that you probably know a little bit about the opponent regardless of what it's going to be. You do all of these measures to optimize your ability to win. If you're committed on the other hand to get stem cells for a particular injury, or whatever it is that you're trying to improve. Give yourself and your body the best chance to do the best that it can with stem cells. And basically this is prepping your body. To do that.Ken Brown 58:38 I was thrilled are why for this podcast is if I can help one person get a better benefit from their stem cell. That's my whyEric Rieger 58:45 I think I'm 100%. I think that stem cells has a gigantically bright future. Just from people that not not just you, but people that we my mom, my mom gets stem cells from wait for her knee. And she's doing fantastic. And Mom, sorry, mom, not athletic. Okay. So it's not like that. She went out of her way toUnknown Speaker 59:03 do a bunch of you've seen her Instagram recently? Yes, it is ran at 1100 meter 11 second 100 meter squat and 2700 pounds. Yeah.Eric Rieger 59:11 But, but there are there are some anecdotal and then there's some some large scale studies around stem cells, they do some great, great, great work, but like anything, it's new. There are things to find out how and they're always going to try to find out how can you make it better Wade? specifically talking about how some people were screwing up by utilizing lighter cane on the injection whenever they're they're placing the stem cells. Well, he doesn't do that. That's an improvement. In the therapy. This is an improvement in the therapy potentially, potentially. Yeah,Ken Brown 59:44 yeah. I mean, I'm well, I'm the first one to say that. I've had a I would. I've no pain. Now. I'm wondering I'm like, Did I really recruit all the stem cells that I got that day and have gotten and continue but As I continue to take my polyphenols Are they really just kind of go into the area of injury because I've had a pretty remarkable recovery for such a serious injury that I went to three doctors that said you need to get an operation sure like nowEric Rieger 1:00:11 no one and you know the idea behind any physician or health care provider that's going to have a therapy they're going to give someone you want to do your best to try to induce the best outcome for the patient and mitigate either the well obviously the bad ones but the the outcomes that just don't show any improvement at all and if this can help them do that, right hugeKen Brown 1:00:33 so Gordon Ryan's gonna go get stem cells at least contact us Yeah, dude, I can get you like a $5 coupon on my tummyEric Rieger 1:00:43 calm Gordon. Man given you the friends and family discount five bucks off Yeah, man phytochemicals rather, it gets upKen Brown 1:00:54 to scientists the the first and onlyUnknown Speaker 1:00:57 lastKen Brown 1:00:58 two scientists one lab two scientistsEric Rieger 1:01:00 no coats one lab. No beakers. No Bunsen burners.Ken Brown 1:01:07 You could continue to grow that on every single episode. Episode 1022. Two scientists one lab no coats. Don't you just go on for like eight minutes,Eric Rieger 1:01:18 light switches? No audience, whatever. No one listening anymore? Because I spent an hour doing this.Ken Brown 1:01:25 Yeah, so that's awesome. Well, anyways, so we've covered a lot of ground here. But I believe in this stuff that we're talking about. If I'm going to get stem cells is what I do. If I'm a stem cell provider, I'd listen to this. I'd share it so Oh, like always, we always have to say this. This is I am a doctor Eric is a healthcare provider. crna we do treat people but we are not your doctor unless we are actually your doctor. But But what this is for entertainment, only everything that we talked about is not medical advice.Eric Rieger 1:01:58 Thank y'all so much for joining us like and share don't shadowbanned us and share us with anybody that you think might be interested in these kind of health topics.Ken Brown 1:02:06 Yeah, absolutely. And if you want to know what it's like to accidentally take a bunch of MDMA instead of N acetylcysteine. call the office.Eric Rieger 1:02:15 They are still enjoy the call, but they will not give you a real they got so much. It's Episode 57Transcribed by https://otter.ai
Graduation season is here! Whether your young adult is just out of high school or completing a college degree, there's a lot to consider when it comes to diabetes. We've got a roundtable discussion with a lot of frank talk about T1D in college. Recent graduate Shay Webb and college senior Haley Owens talk about everything from what to do when a professor doesn't care about accommodations, to deciding how visible you want diabetes to be, to what they want parents to know. We're also joined by Anna Floreen Sabino of the College Diabetes Network. Webb and Owens are both CDN NextGen Fellows. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Check out Stacey's book: The World's Worst Diabetes Mom! Join the Diabetes Connections Facebook Group! Sign up for our newsletter here ----- Use this link to get one free download and one free month of Audible, available to Diabetes Connections listeners! ----- Get the App and listen to Diabetes Connections wherever you go! Click here for iPhone Click here for Android Episode Transcription Below Stacey Simms 0:00 Diabetes Connections is brought to you by Dario health. Manage your blood glucose levels, increase your possibilities by Gvoke Hypopen the first premixed auto injector for very low blood sugar, and by Dexcom take control of your diabetes and live life to the fullest with Dexcom. Announcer 0:21 This is Diabetes Connections with Stacey Simms. Stacey Simms 0:27 This week, lots of graduations this time of year and whether your young adult is just out of high school or completing their college degree. There's a lot to consider when it comes to diabetes.. Frank talk about T1Din college. Shay Webb 0:41 Sometimes it's the people you don't expect to pick up on things who actually picked up on it rather than the authoritative figures who you're expected to report to don't always want to pick up on it or want to actually have responsibility for it because they feel like if they have responsibility for it, that's their liability when in reality, it's your diseases your body. We just need your ally ship. Stacey Simms 1:06 That's Shay Webb she graduated last year Shay and Haley Owens, a college senior. Join me in a conversation about everything from what to do when a professor doesn't care about accommodations to deciding how visible you want diabetes to be to what parents need to know. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Welcome to another week of the show. We are glad to have you along. You know we aim to educate and inspire about diabetes with a focus on people who use insulin. Most of you are very familiar with my family's story. My son was diagnosed with type one, right before he turned two he is now 16. My husband lives with type two diabetes. I do not have diabetes, and my daughter doesn't have diabetes. My daughter is 19. And she just finished her sophomore year of college. So she is home. She's been home for a couple of weeks now. And so we've moved through what I call the re entry phase. I used to call that to when they came from Camp, the re entry part of coming home. It's always an adjustment for everybody. But she's doing great. And you know, we're just starting now to think about college for Benny. He's done with his sophomore year of high school, and even a little early yet, but you know how it goes the pressure High School is is just bananas. So we've really tried to avoid that. But he has started taking a couple of those, you know pre ACT PSAT kind of things and thinking about the process. Some of you are scolding me saying it's never too early. But I think our attitude has always been he'll figure it out as we go. And of course, though, in the back of my mind all of these years has been diabetes at college. And I'm still trying not to think about it too much, frankly, I know he's gonna do well, I know we're gonna give him all the independence that he has needs he wants, but it still makes me a little bit nervous. So that's why I really excited to know about the college diabetes network and I plan to use all of the resources I possibly can. And to that end, we have a great roundtable for you this week, covering a lot of issues pertaining to school. This is a longer than usual interview, so I'm going to try to get right to it here. So you will hear from Haley Owens. She was diagnosed with type one at the age of nine. She's in her senior year at the University of Maryland, Baltimore County. She founded the college diabetes network chapter there in 2018. And she's been on the executive board ever since she's spending the summer at Camp Possibilities diabetes, sleepaway camp. It's her 10th year attending. She's actually the program director there now. You'll also hear from Shay Webb. She's lived with type one for almost 15 years. She's a recent graduate from University of North Carolina Wilmington. And she's got a Bachelor of Science in clinical research. She was the founding vice president of the CDN chapter at UNC Wilmington. And you'll also hear from Anna Floreen Sabino part of the leadership of CDN she lives with diabetes herself and like me as a graduate of Syracuse University, we like to work that in whenever we can. All right, all of that is coming up. But first Diabetes Connections is brought to you by Gvoke Hypopen and when you have diabetes and use insulin, low blood sugar can happen when you don't expect it. That's why most people carry fast acting sugar. And in the case of very low blood sugar why we carry emergency glucagon? There's a new option called Gvoke Hypopen the first auto injector to treat very low blood sugar. Gvoke Hypopen V is pre mixed and ready to go with no visible needle in usability studies. 99% of people were able to give Gvoke correctly find out more go to Diabetes connections.com and click on the Gvoke logo. Gvoke shouldn't be used in patients with pheochromocytoma or insulinoma visit Gvoke glucagon comm slash risk. Haley and Shay and Anna, welcome to the show. I'm thrilled that you could all be here. Thanks for coming on. Thanks for having us, Stacey. Awesome. Thank you so much. Yeah, we're glad to be here. And uh, let me start with you as we look ahead Your word this very unusual for most school year is over, how is CDN doing? What are you talking about for the summer that looking ahead to the fall? Anna Floreen Sabino 5:10 Well, I think I mean, for those of you who don't know, college diabetes network is we are 10 years old now. And we are a nonprofit organization that is really focused on providing, you know, peer support and programs and resources for young adults with C one D. And I think the key there, especially this year is around peer support and maintaining as much connectivity despite the craziness of the last 18 months and more to come, I'm sure for college students especially. So CDN is an org is really focused on you know, how do we constantly stay in the loop on what's happening and making sure that we're really listening to our students, and our parents and all of their, you know, ecosystems that surrounds them to make sure that they're safe and equipped and prepped for what's to come, whether it's transitioning home, figuring out finals, interviewing for a first job over zoom, we're right there with them. And it's so excited to be overseeing this brand new fellowship program that both Shay and Haley who are joining us here today are a part of, and one tiny little silver lining to this whole thing is that this program wouldn't exist in the capacity that it does now, if we didn't have COVID. So it's been a joy to get to know the 20 fellows who are part of this program. And and hopefully it will continue. I'm curious, Stacey Simms 6:33 no, what do you mean, it wouldn't have happened like this would change. Anna Floreen Sabino 6:37 So traditionally, CDN has been very, very fortunate to bring several students couple dozen to the big diabetes, you know, national conferences each summer, the ADA Scientific Sessions, you know, at CES geared towards, you know, diabetes educators, as well as the friends for life conference in Orlando. However, this year, we decided, instead of having multiple different cohorts to combine the cohort into one and offer a weekly series of leadership development workshops, and have one cohort over the course of say seven months where they get to know each other, learn a bit about some professional development and skill building be matched with a mentor. So it's just a little bit more of a robust, kind of a more flow type of a program and less stagnant. But it's been wonderful to be able to build I think, further relationships with each of them, rather than just kind of a weekend long burst of information gathering and sharing. Before we jump into all our topics. Let's just do quick introduction, a little bit. Shay, tell Stacey Simms 7:37 me a little bit about CDN and your college experience you have graduated us here in North Carolina. Tell me about starting CDN, Shay Webb 7:45 I saw the disparity on my campus, and I really wanted to change things. So it was around my first year of college. And I say first year because I was actually an early college student. So my first official year of college that I noticed there's nothing on campus that really talks about the advocacy for diabetes. So I reached out to the liaison for CDN, or at least for our region of CDN at the time for lessons change. And I told him that I wanted to create a chapter. And honestly, it kind of stemmed from this idea because I had another friend, and she had just created this beating club. And I'm like, wouldn't it be cool if we combined all of our clubs and our ideas, and we had like this healthy, diabetic friendly potluck or something around the holidays, and I'm like, this would be a perfect event for CDN. And at the time, I didn't really know about it, but doing my research, I'm like, this is perfect. And then my mom, in addition was like when you get to college, you know, look into this stuff. Because it's out there, people just might not know about it. I reached out and I created my chapter of CDN, which is called dubs for diabetes. Because we are at UNC W, University of North Carolina Wilmington. And at first, it was really hard to find participation because when my chapter started, Hurricane Florence hit North Carolina. And that was very detrimental for a lot of people. So we started school year off and then we didn't come back until about three months later. So some time later, another student wanted to create a chapter but he didn't know that one had already been established. So he had a registered student organization. And I had a chapter. So we all came together and put our heads together. And that's for diabetes was born. Stacey Simms 9:33 And then Haley, tell me a little bit about your experience are you are graduating this year. Haley Owens 9:37 So I'm a senior and I think I'll be a senior for another another year. Yeah, so college for me was just really interesting. I mean, so I've had diabetes since I was little. So I entered my college experience, also as an individual living with type 1 diabetes, and I've been fortunate enough to have had the opportunity to connect with larger populations and community to us that also have this commonality of diabetes. And I've worked within the diabetes sector through a nonprofit. I've been really fortunate enough to have community on my side. But similar to Shay, I think I saw the disparities on my campus. And I saw, interestingly enough, I think it was the first year of my college experience I was walking around, and I just was noticing all of the people who had CGM Zhan and pumps on and I was like, This is so radical, because I would usually be the only one with these technologies visible. And people would say, Hey, here's a pager, what's that? You know, what kind of cool devices that so I was like, this is really awesome. And the inspiration for me was that I loved and I still love working with the diabetes community. I love working with summer camps for children with diabetes, and a part of one today as a, as a counselor, Shay Webb 10:51 I really wanted to bring that community aspect to the college campus as well for all of the students who were living with type one or any other form of diabetes, because that was a little bit of a nuance that I made to my chapter was that I said, I really would like to recognize all forms of diabetes, not just type one. That's interesting, what Haley was saying how, you know, she would see different people in CD ends and insulin pumps and everything on campus, because I still remember there was this girl who I was friends with for a while. And we had a mutual friend who threw a birthday party, like a birthday dinner one night, and I came and I was wearing a shirt and it didn't have sleeves or anything. So you could see my CGM really well. And she just sits down beside me. And she just starts rattling off. So it's not the freestyle, and I'm like, um, yay, it is. How do you know this? And then she just started talking to me about everything and how long she had it in her insulin pens. And I'm like, Are you serious? Like, this is not good. But this is like really dope right now. I'm super excited to see no idea. And I'm like, sitting there supersized. And they're like, What are you so happy about? And I'm like, Listen, I can't even explain it, because you won't get it. But it's super awesome. Stacey Simms 12:05 You know, it's funny. And Anna, let me bring you in on this. One of the topics that we had put aside to talk about kind of how diabetes can be invisible, right? how a lot of people don't see it. And yet, we've already started talking about how you spotted each other. Obviously, not everybody's walking around with a sleeveless shirt, and a CGM. When we talk about not being seen, I imagine that for most young people, it's not always a question of hiding those things. It's just or maybe it is, but I'd like to hear that for both of you all, but to me, it would be more of not announcing them. Does that make sense? Anna Floreen Sabino 12:38 Absolutely. And I think one of the things that and I've had type 1 diabetes for over 30 years now. So I think both of us eat. But I think one of the things that I've realized even as I have, I don't want to say the word aged but but gotten older, gone through college grad school started a family is that the burden of self advocacy and the invisible load that people living with a chronic illness, like type 1 diabetes is never ending. And, you know, for parents who are listening who have those in high school, Hi, I'm Stacy. But it's constantly there. I mean, just a few seconds ago, my insulin pump was was beeping, I was on mute, but you couldn't hear it. And I've got a low battery and low reservoir. And although I'm going to continue on this podcast, and you know, continue out my day, it's a reminder that I am different, and I have to pay attention to this or else and it's that it's the weight that is there, the invisible. There it is, again, the invisible worry that if I don't do this, then that and it's a reminder that you are being reminded to, you know, take care of behaviors that are both dependent on your acute and long term success. And I think for you know, young adults, especially entering college, a lot of that burden is now for the first time on the student themselves. And especially when you're constantly navigating, meeting new people, and many of the students that either start chapters are coming to college, where everyone around them just knows, you know, they've been in a very similar K through 12 school system, or they, you know, they've been the kid with with the pump at school, where it's just their best friends know, and I think I realized when I was a freshman, that it takes years to build friendship and a long time and it's not like you're gonna offload your life about diabetes and all the teeny weeny details that go with it. It is really isolating, especially now with with COVID to constantly kind of pack and unpack the invisibility of diabetes like all day, every day. So my advice for parents listening is to really start having those conversations in high school, you know, not two to three months before you're going off to school. ask them some questions talk about how you're feeling. Talk about how you're going to have those conversations. It's really, really hard. But I think it's so important to just be honest. How can I help you? What do you need for me? I'm here if you need anything, because I think it's the person living with diabetes is just there's so much weight physically and emotionally on their shoulders. Stacey Simms 15:18 She let me go to you on that. When you're hearing her say have those conversations in high school? Is that what you would tell teenagers parents now? Right back to Shay and Haley answering that question. But first Diabetes Connections is brought to you by Dario Health. Bottom line, you need a plan of action with diabetes. We've been lucky that Benny's endo has helped us with that and that he understands the plan has to change. As Benny gets older, you want that kind of support. So take your diabetes management to the next level with Daario health. Their published Studies demonstrate high impact results for active users like improved in range percentage within three months reduction of a one c within three months and a 58% decrease in occurrences of severe hypoglycemic events, try Dario's diabetes success plan and make a difference in your diabetes management. Go to my dario.com forward slash diabetes dash connections for more proven results and for information about the plan. Now back to Shay answering my questions about whether she'd recommend having conversations about advocacy with high schoolers. Shay Webb 16:27 I would and I wouldn't at the same time. And I say that the say as Anna and Haley No, I was taught at a really young age, I had to start having those conversations when I was in elementary school, I would be that fourth grader. You know, my mom would stand behind me and I go up and tell them okay, this is my insulin pump. Okay, this is what a blood sugar kit is. And it's like I tried it felt scripted at first, like, Okay, this is what you say, this is what you show. But as you keep on growing and maturing and getting older and getting exposed more, it'll flow like clockwork, in a way. So the by the time you get to college, you get around your professors, you get around your arrays, you're not as intimidated, because you've done it for so long. And I also think the you know, the younger you started, the more comfortable you are when you start the better. And that's to say even though you're doing that, and you're advocating you're telling people what you need, you're also influencing someone else who's watching you from the sidelines. And you don't even know it half the time until later. Sometimes you don't ever know it. But like analysts saying diabetes can be really hard to unpack sometimes having someone there as that model as that guide to say, Okay, I guess this is acceptable to do especially growing up as a teenager as a preteen where you have all these peer pressures, or this doesn't look cool, like this looks cool. Be that model. You don't have to exactly be the extrovert or the person who's in front of everybody. But just find ways that you feel comfortable to express your advocacy in different ways that you can get your needs across. And if you get yours across most likely it's going to help someone down the line who hasn't even thought of those things yet. Stacey Simms 18:09 Haley, I'm going to ask a slightly different question. As Anna alluded, my son is a sophomore in high school, he is 16. He was diagnosed he was two. So he is very independent. He is very used to talking about these things. But I do think college is different. I do plan on having these conversations with him. I do anticipate him saying, Mom, I do not need this. You know, Mom, I don't need this. I don't need you to talk to me about this. I roll I roll. So Haley, let me ask you, there's a difference between an eight year old all due respect Shay, or you know, a 10 year old saying, here's my pump, I'm cool, right? And then a 17 year old or an 18 year old going I'm so sick of this diabetes, crap, I'm going to college and nobody needs to know. Right? So you know, what do you tell students like that? Haley Owens 18:48 Well, it's really difficult, right? Because I know people in their late 20s, who still have that attitude that they do not want to share or disclose any information about their diabetes. And there's no one right way to do self advocacy with diabetes, because I think what self advocacy largely depends on is Ally ship and what you're ultimately asking people on the receiving end of that conversation is will you be my ally? And that's a consensual question. That's a conversation that people can say yes to or they can say no to. And I know of a lot of younger children who are excited about diabetes, and I have the same attitude. I love diabetes, and I hate diabetes. Right. I love it because of the community. I love it because of the advocacy. I love it because of the resiliency. And I hate it because of all of the I think the hurt that goes along with it. Right? That's there is no you're not going to deny that to I think go back to your question though. You know, I think a lot of parents will say it was the same way from you Shay, to you know, like when I first went to school, I went back to school after getting diagnosed. My mom is a nurse right? So she said like, when you go up to your teachers, I want you to say I'm a diabetic And here's my supplies. And here's what you should look out for when I'm low or when I'm high. And that conversation was largely geared towards teachers. And I think for the most part, they saw me a nine year old child and said, you know, of course I would do that, right. And as you get older, I think sometimes the disease itself wanes on you, and it wears on you, and you don't want to be as visible about it, and you don't want to disclose that you have it. I also think that ally ship looks different when you get older, because people assume, yep, there's my pump, too. Unknown Speaker 20:31 I was gonna yelling, Stacey Simms 20:34 excuse me, I was going to mom, and I wasn't gonna yell it was muted. Haley Owens 20:42 I had some coffee. And let me just say like, coffee is like a whole other conversation to have. It's like the worst. But anyway, so I like shit looks different when you get older. Because I think that people start seeing you more as an adult, and assume that you know what you're doing, and assume that you should be taking care of yourself. And they assume that this is not my responsibility. That's your responsibility, right. And I have been in situations where people do not want to know about my diabetes, I've disclosed that I've had it to them. And they say, I don't want to part of it. I've had other people in my life who have said, this is great information. Thank you for telling me and they start carrying candy in their book bag, and they start checking it with me each day. They're like, Hey, how you feeling? I'm like, I'm feeling Okay, thanks for asking, right? Because I know where that question is coming from. So I know where parents are coming from when they encourage their child to start advocating for themselves. Because I think that largely, it's coming from a source of peace of mind for them. And safety, you know, that as long as my child is disclosing this information that they're going to have people watch out for them, and people will know about it. And it's largely a safety thing, right. But I think to your children also have this gut feeling about who will come to the frontline when they are in trouble, and who will be there to be their support system, or who is around them that will judge them. And so I want to caution parents not to I think try to force self advocacy on their children, because I think that that will largely come very naturally, as your child starts to develop and get older, and starts to develop their identity with this disease. And I think ultimately, your child has a deep down gut feeling about who they want to tell that they have diabetes, because they know their support group best. They know the people around them best and they know who will support them, and who will not support them. Shay Webb 22:34 I can completely agree with Haley because I've personally seen it where I've gone up to you know, teachers or professors trying to explain to them and the responses I've gotten were okay, you need to take that up with DRC and the Disability Resource Center. And before I can show them anything, they're like, Okay, I have to go to office hours, whereas I have friend, right, I've met in college, and they could call me and I'm like, Hi. And they're like, what's wrong with your blood sugar? And I'm like, I'm there like, no, you're not, I can hear it in your voice. And Unknown Speaker 23:04 I'm like, Unknown Speaker 23:05 Am I home? Why? Shay Webb 23:08 And it's like, sometimes it's the people, you don't expect to pick up on things who actually pick up on it, rather than the authoritative figures who you're expected to report to, don't always want to pick up on it, or want to actually have responsibility for it. Because they feel like if they have responsibility for it, that's their liability, when in reality, it's your diseases, your body, we just need your ally ship, we need you to be sponsors for us in places that we can't be actually be support. Going back to your point of being invisible. I think that's where some of it comes in, as it's not exactly always invisible to us. But other people try and make it invisible as well. So they make it seem like okay, it's the invisible disability. So you're going to be like the normal student who can do everything who's going to get the assignment done on time, you don't need extra time. You're just in that category, because I don't see what's wrong with you. It's like the wilted flower category, you see a perfectly standing flower, but it hasn't had water. It hasn't been taken care of. And it's just like wilting on the inside and people don't see that Shay, Haley Owens 24:17 Can I just add one thing too, because I think Shay, like so many nails were hit on the head and that lovely statement, because I agree with everything you just said. And I really think that when people label diabetes. Uh huh. Sorry, when people label diabetes as an invisible illness, I don't think they truly understand because I don't even label this disease as visible because it's not because anybody who has been around this disease for long enough knows that this disease lives on a spectrum of visibility. There are some days where I probably look and I probably act like everybody else, and there's days where I am absolutely exhausted, mentally, physically and mentally. blood sugars are all over the place. And I'm low. And I'm not myself. I've had many conversations about this where people almost want to categorize me and say like, it's not that bad, or diabetes is not that bad, because it is so invisible. And I have to kind of check people on that rhetoric and say, that actually is very ablest, you know, like, I have to check people and say, it's not invisible to me. But diabetes does live on this spectrum. And it's not stagnant. I don't act and I don't perform, and I don't, I don't do things the same way with diabetes each day, it's not a disease that I just take a pill or I just do one thing. And then it's good, right? It's it lives on the spectrum, that's always changing day by day, and it affects my mood, and it affects my emotions and affects my ability to perform. It's not always invisible, like what people, you know, assume it to be, Stacey Simms 25:49 and I love you, for you back in. Because from a parenting perspective, Shay and Haley have said a couple of things. Frankly, that makes me a little bit nervous. And I'd love to know how you would help students not necessarily parents advocate for themselves, if they have professors, or they run into staff who beyond not wanting to be an ally, doesn't want to hear it. I assume that CDN, even if there isn't a chapter on whatever campus students are, there are resources or best practices. But no, what do you do if you come across somebody who just says don't want to hear it? Sit down? You're not even in my class? Anna Floreen Sabino 26:23 Yeah. I mean, and honestly, you know, we CDN has a pretty active parent Facebook group, and a lot of people, you know, roll their eyes at Facebook, or there's just it's this constant back and forth of of conversation. But I will say that the parents of the college diabetes network, which is the name of our parent, Facebook group is awesome. It is a lot of conversation. It's a lot of support, does anyone have an endo? And I know we're supposed to be talking about students. But I will say that accommodations, and is probably one of the most asked about topics. So you're you're right there, Stacy, in terms of, you know, talking about self advocacy and ally ship around people getting backlash and potentially discriminated against on college campuses, CDN recognizes this, and we realize that, you know, not everybody to Shea's point is going to be that look at me, I have diabetes, I'm going to change the world because of my diabetes, attitude. And because of that, we want to make sure that we can, as an organization, reach, you know, all young adults and keep all young adults safe or as safe as possible while they're on campus and preparing for that campus life transition. So we have turned some of our resources into what we call a reach initiative, which is a slew of resources geared specifically towards, you know, Office of Disability and accommodations, health center and Counseling Center, we know that the majority of our students, you know, don't necessarily utilize the health or Counseling Center for their primary, you know, diabetes care, and that's fine. But we do recommend that the health center on the receiving side, you know, is up to date, and well equipped and prepared to serve the students when they're coming on campus. Because that we know that they're not necessarily required to take, you know, a diabetes class, you know, every year where I remember going to the health center being like, why is that? What is that beep Oh, is that your cell phone or your pump? I'm like, well, it's both. So it's that constant level of burden of education. And that is kind of what I'm talking about in terms of the invisibility and that that Wait, we always recommend students register for accommodations. And even if you don't end up meeting it, you know, it's like, kind of having car insurance, or health insurance. You know, it's kind of that in the back pocket or that letter when you first take your first airplane ride or your prescription on the box of that humalog vial for those just in case moments. And you want to make sure those are in place. And what I've realized, too, is that there's always going to be people in your life, whether it's a professor, whether it's a friend, whether it's a future boyfriend, or girlfriend or partner, that may say things to you that are just crappy, and maybe they're not going to be your ally. But if we reframe it and turn it around into, okay, what knowledge and resources do I have in my pocket where I could better advocate or better educate, and that's why the registering for accommodations right out of the gate is really what we encouraged for both parents and students to feel better equipped and more comfortable and building that sense of community and ally ship as soon as they get to campus. So for parents and you know, high school seniors, and even college seniors who are looking to find a job or a summer program or internship to get involved in start thinking about what those points are, you want to kind of discuss in in talking about getting accommodations or talking about your diabetes and what your needs are well in advance. On that note, Shay, you've Stacey Simms 29:55 graduated Haley, you're going to graduate soon. I was wondering if You could take a look back over your time in college and kind of think of a time where it didn't go well, you know, where somebody didn't help you where you had to find a workaround with diabetes. And even if it didn't work out perfectly, in fact, it's better if it didn't, in my opinion, I'd love to hear about what you did. Right back to the conversation, but first Diabetes Connections is brought to you by Dexcom. And Dexcom has a diabetes management software called Clarity. Do you use this for a long time, longer than I would like to admit, I thought it was something just our endo could use. But it's really helpful. And now I have it on my phone, you can use it on both a desktop or as an app, it's an easy way to keep track of the big picture. I find I use it when we're adjusting things which felt like it was non stop there for a while. But at age 16, Benny seems to be leveling out on growth and basil rates at least for now, clarity really helps us see the longer term trends and helps us not overreact. The overlay reports help with context of various glucose levels and patterns. And when you share the reports with your care team, it's easy for them to get a great idea of what's going on, and how they can better help. managing diabetes is not easy, but I feel like we have one of the very best CGM systems working for us Find out more at Diabetes connections.com and click on the Dexcom logo. Now back to Shay and Haley answer my question about when something went wrong, Shay starts us back off. Shay Webb 31:28 So I have a couple in two different categories. And one of them had to what's pertaining to my actual class, and I had been sick the whole week. And when I get sick, my blood sugar gets sick and everything else goes downhill. And we had this really big exam coming up and throughout my sickness, because I've always been someone who's really dedicated to her academics. But throughout while I was sick, I was still continuing the studies still looking at my notes and everything. But it came to the day where I'm like, I'm just wiped out, I really can't do anything. And even you know, some of my classmates and other professors were coming up to me like, okay, I can barely hear you like, This is crazy. But I had that one professor where I had to take this exam. And he's like, Well, no, I'm not changing the exam. There are other students who cheat who do this. And I'm like, Well, I have an accommodation. I was sick. This is the situation. It's not like I was just trying to get out of the test. It's not like I went to the beach all day and didn't study. And they're like, you know, that's just the way it is. So being a CDI advocate, I went to the DRC. And I told them everything that happened, and they reached out to that Professor. And luckily, I was able to take my exam and keep my grades up. But if I hadn't have had that accommodation, which originally, I didn't think I needed it that much. And it definitely took a toll. At least I felt I mean, my grades were still good, but it definitely was that feeling of assurance afterwards. But if I hadn't had that commendation, then I knew it could have been a lot worse. And then fast forwarding to when I lived on campus. And there would be some nights, it seems like everything would just go wrong, where you know, like, okay, there was one day, my Jews, there was like something wrong with this, I had to throw it away. So I'm like, Okay, I'm low. I need juice. But luckily, we have machines in the building. So I go find a machine, and it is completely empty. So I'm like, Okay, cool. So that means madmen, I have to walk to the campus convenience store, which wasn't too far. But I have rheumatoid arthritis, and I have low blood sugar. So that's two things working on me then making it extra hard to do. And I said, You know, I have to tell someone, some type of authority, that authority figure about this problem. And when I did, the response I got was, it was a slew of responses. But the biggest one that I remember is that, you know, universities just aren't disability friendly. And that's just the way it is. And you know, that's not on us. If you want to talk to the people over you know, the school system or over all the policies go talk to them. So as a younger student, and as someone who's you know, already trying to handle her diabetes in college, those kind of like a slap in the face to think that someone who is supposed to advocate for their students who supposed to care for their students would have that type of approach and that type of response. And I made that authority figure aware that especially like for other students like myself, who may come see them, it's already implementation enough to come and see someone have such a position of such power. But to get that response, when you know, you come for convocation, you come for orientation. Everyone says, Come see me if you need me. And then you need them. And it's like, well, I can't help you. And this is why And it's not even the Jets, you know, you can't help me. But for anyone who can't help us with this type of situation, it means more to say, I can't help you. But I'll find someone who can, or I'll find the resources that can rather than saying you're on your Stacey Simms 35:14 own, Haley, anything come to mind? Haley Owens 35:16 Yeah, I first I just wanted to Sure. I think all of us because I've had to do this too, when being let down by these big systems because it can feel like betrayal, right? What what this gets to is it feels like betrayal, when you enter a university setting, or you enter the workplace, right? Because this is not isolated to just college or university. And they say, we can't help you. We don't care, right? It feels like betrayal. I want to just address the big elephant in the room. And it's that the question is like, well, who will care about me? Right? Like, what answers Do I have now, if I go now, right. And I think that also, these conversations may also strike up a little bit of fear. And some of the parents listening like, yikes, right. And I want to say that it's true. The transition from elementary school to middle school to high school, the response and the call to action and come to the frontline, that parents and families request of teachers and the educators and the principal's the response is different, right, because those teachers, I think, have some sort of obligation to respond, professors and university not so much. And really, they professors largely are told that if a student has any issues with disabilities, or accommodations, that you just refer them to the Office of Student disabilities. So professors and educators in a higher education setting don't really get involved. And some of them want to help, but they don't know what to do, because we're not given that support. So there's a lot of work that needs to be done in higher education to support students with all disabilities period, there is a lack and there's a need. But yeah, a few things come to mind for me when I was told no, or the door was like shut in my face, and I had to go somewhere else. And one of it was when I first went to college, and I chose to live with like in a normal dorming situation, right? It was like myself and a roommate. And then we shared a bathroom with another two other girls. And I love my roommate, she was so nice and so friendly. And she still is. But the problem was, was that this young woman was nocturnal. She would sleep literally all day, and she would stay up all night and work. And it wasn't because she had night shift or anything like that. That was her schedule. And she would leave the overhead light on, she would refuse to turn it off. And that absolutely just disrupted my whole sleep schedule, I was starting to sleep during the day, I was starting to sleep in between classes, I would sleep through meals, so the dining hall would close. So then I would have to resort to eating something that was like pre packaged. Anyway, what ended up happening was that my numbers were either in the four hundreds, or they were in like the 50s all the time. And I ultimately ended up getting really sick, I just was really, really sick. I gained a lot of weight the first semester, the first half of the semester, and then I lost a bunch of weight. And it just was all over the place. So I was really sick by the time the semester came to an end. And that was the first semester of my college experience. And when I went to the the Office of Student disabilities, and I said I can't do this anymore. I need to single room accommodation. Can you give me something I was told no, because the single rooms were ADA compliant. And they had a limited number of ADA compliant rooms available. And those rooms were kept in reserve for students who were wheelchair bound, or had some sort of external devices to help them navigate across campus. And so that wasn't really for students like me, what they failed to tell me was that there were other ways of getting a single room that was not through the Office of Student disabilities, and that I would have to go through residential life to get that they didn't tell me that. So I was over here for like a month thinking, I can't get out of this situation. I'm stuck here. And there was no communication to these other resources. What ultimately became of that was we had to seek a lawyer to help us because it got to that point to where my liver enzyme level was so high that my doctor was fearful. My liver was just like being overworked. Right. And actually, later on, we found out that that was because I actually had gone into decay. At one point during that semester. We just didn't know about it. But I knew I was sick. I knew I was very sick. So we ended up getting some guidance from a lawyer and they ended up writing a letter to the student disabilities office. And that was the domino effect right there. That was the tipping point where then I was told all of the information that I needed to know to get a single room, but up until that point, the door was in my face, they would not help me. And each time I would reach out to the office. They said we can't help you like there is nowhere else we could go there was but it just wasn't through your office. So that was like the tipping point for me. fidan sounds really hard and really cruel. But I think one of the things that was really helpful for me was that like people believed me. And I believed in myself, like I knew my worth, I knew that I was worthy of this, I needed a single room because I was sick. And I would not take no for an answer, I needed it. And I had to keep going, I had to keep pushing. And what became of that was, I did ultimately get a single room through residential life and getting a single room through the residential life, I was just by chance paired with other students with disabilities on the campus. And I ultimately became friends with three amazing, wonderful young ladies who also have a disability, or multiple co occurring disabilities. And we are each other's allies in this way. And if I have an issue on campus, or I need somebody, I can call them, I really had a wonderful network come out of that situation. And the other thing that I think that is still a work in progress is something that I see all the time is the whole issue with getting a doctor's note, when you're sick. And Shay, you could probably chime in on this too, each time you're absent, or you're sick, they want a doctor's note, each time you miss a lecture, they want a doctor's note, you know how expensive it is to get a doctor's note, it's not easy, right? Because what that implies is that you actually went to the doctor. And everybody knows that, because I don't feel good because of diabetes doesn't mean that I need to go to the doctor, I need to take a day off. And that's what the health care system sets you up to do is, you know, you are individual now living with diabetes, you're going to have a stomachache, you're going to have aches and pains, you're not going to feel good some days, but you know what to do take insulin, do ketones, do all of this stuff. And if it doesn't resolve or get better, then you go to the doctor, right? But the first line of action is not to go to the doctor, it's you figure it out, when educators and professors come to me and say, Hey, you weren't gonna you know, you weren't lecture the other day, what happened? And I say, Hey, I wasn't feeling good. Where's your doctor's note? I do not have one. And I do not need to go to the doctor. And that was something that was briefly addressed with COVID was this idea that to extend grace to students when they're absent, right, when COVID first hit, and we were just going into quarantine students were getting sick. And University of Maryland released a public letter addressing faculty saying, if students are absent, just excuse them, right? Because people are getting sick. And I said, in one of my classrooms, I said, kind of aloud and addressing a whole class of so Wouldn't that be nice if we could always take that same attitude of extending grace to students with disabilities? And we didn't hound them to get a doctor's note each time they were out? Wouldn't that be restorative? Wouldn't that be moving us forward? The other thing I will say is that I think that what came out of this was a life lesson, right? One being No, you're worth two is never settle. Don't take no for an answer. I hope that that was sufficient. Stacey Simms 42:50 Yeah, well, that's how we get to those life lessons. But Shay, you Unknown Speaker 42:53 definitely look like somebody out there. Shay Webb 42:55 Like Haley said, it's interesting. She had a class example. And I had an organization and kind of student or example because I wasn't really involved on campus. And some of my organs, they were based off of participation. So if you didn't show up, you could get fined. So there would be times rather than the professor, or the director addressing me, it would be other students like, Oh, well, you weren't here at such and such time. But you can go to the library or your home. Why is this, we see your car here. And it's like, I can't always be where I need to be because you have to read, like, digest everything, just recollect yourself and get your blood sugar down. Because sometimes, especially if I'd come home from work, and my blood sugar would be high, I just feel like crashing on my bed. And if anyone will tell me anything, it's not like I would be able to comprehend it. And then going to Haley's roommate example, I forgot I had a roommate example like that as well. Because, interestingly enough, but when it all started off interesting, because how the dorms were set up, or they were apartment style dorms. And one side was like a single room and a single bathroom. And the other side had two rooms and one bathroom. So I arranged with the girl who was already, um, thought would be rooming with Well, they were both friends, if it would be okay, if we switched because of my condition and how everything was set up. And she said that would be fine. Well, the day came and she got in there before I didn't already set up even though we had made an arrangement. So that was the first issue. second issue is, as you can see, as you've heard, a lot of times our alarms will go off at the most random of times, whoa, my roommate did not like that I had so many alarms and that I needed to you know, get those in check. And, you know, keep them quiet and I'm like, Well, I can't do that. So I'm not really, really sure what to tell you and pertaining to getting accommodated housing, I had the same problem as Haley. Because before I got to college, I did a lot of research. And I asked them, okay, what's the accommodation for students with diabetes with disabilities. And the response I got was, housing can be really difficult. And we've had diabetic students come in before, but you're probably not going to get any accommodation for it. And that did not make any sense to me, considering one of our first symptoms is frequent thirst and frequent urination. So if you're rooming with two three other people, or sometimes even 12 other people, how are you going to be sure that you have always guaranteed access to what you need. And I don't think that there's enough preparation on that end. So I definitely get Haley's points. And to add to it, I would say, you know, just continue to recognize because people will give you their opinions, and they will give you the policies that are in place. But as a parable that I think about sometimes is if there's a fence, and you can't get to the other side of it, you should move the fence so that it includes more people. So I feel like that should be the same thing with these academic institutions with these workplaces. We have to make it so we can include other people, even though you know, we can't change who they are, we can change the policies in place, we can change up the rules. Haley Owens 46:28 Yeah. And some people will say, we've had diabetics do this before, and they didn't ask these questions or whatever. I'm not like all of them. I have not like that. And some people really do think that this disease looks the same for everybody. It does not. And so just because somebody says we've had diabetic students before come through this program, and they did really well, doesn't mean anything. Stacey Simms 46:51 Let me go to you. And it just to try to, I don't know if we can wrap up these amazing thoughts, and all of these great words for the students. But I think the point of it really does change and never ends. You know, I mean, you're going to go to the workforce. We are getting older, I have friends who pointed out to me that there is a now menopause for type one women Facebook group, Anna Floreen Sabino 47:11 right? I mean, these things never. Well, I think the the message even after just listening to all due to both Haley and Shay is that we are in a constant transition phase. And CDN is focused on a lot of the transitions and really fostering independence for the young adult. And the biggest takeaway message that I got from both of you and that I want to highlight from CDN is that lets you be on be your ally, and part of this journey. And even if you don't want to start a chapter, or you're not ready to register for accommodations, or you're a parent, and your kid just really isn't interested in caring about their diabetes, right now, CDN is here when you're ready, and that independence takes time. Every single person's diabetes is different, whether you use a pump, whether you take 100 units a day, whether you take 20 units of insulin a day. Great point, Haley on the well, this is how I manage my diabetes. And it might be different. There isn't one size fits all, you look at a doctor's note, and there's, you know, 10 different patients with 10 different insulin regimens. So I think that's something just to keep in mind, especially for parents as we constantly are looking for support and maybe self judging ourselves in terms of Oh, well, this kid is going abroad, Why can't my kid do that? Well, everybody is going to be ready to master different things related to diabetes and life as a young adult at different points. So I want to highlight by saying, join our CDN young adult journey with us get connected. And best of luck to everybody who is graduating. Congratulations. And thank you both to Shane Haley. Stacey Simms 48:44 Yeah, thank you all for joining me. This was an amazing conversation. I hope you'll come back and check in and I really appreciate it. Thank you so much. Unknown Speaker 48:57 You're listening to Diabetes Connections with Stacey Simms. Stacey Simms 49:02 Lots more information as always at Diabetes connections.com. Or in the show notes. If you're listening on a podcast player, I've been hearing more and more about issues with Apple podcasts, which is the most popular podcast player and the probably the number one download source for this show. So if you are having issues and you can't see the show notes, you can't click on links, or you're having any issues. First, I'd love to know about that. And secondly, just go to Diabetes, Connections comm where every episode now has a transcript and has all the show notes and links easy to get I don't know what's going on with Apple podcasts. They made some big changes in May and it just hasn't been the same since. Before I let you go. Just a reminder that we have our live newscast every Wednesday 4:30pm Eastern Time on Facebook in the news is something I started a couple of weeks ago and the reaction has been great. So thank you so much for that couple of minutes less than 10 minutes every week with the top diabetes news headlines. to round up, and then I'm releasing it as a podcast episode a couple of days later, we will be focusing quite a bit on so much technology news that came out of att D, the most recent conference that just wrapped up and looking ahead to other FDA approvals and research and whatever news comes my way I will pass along to you. Thank you so much as always to my editor john Kenneth from audio editing solutions. Thank you for listening. I'm Stacey Simms. I'll see you back here in just a couple of days until then, be kind to yourself. Benny 50:35 Diabetes Connections is a production of Stacey Simms Media. All rights reserved. All wrongs avenged
"Life isn't about finding yourself, life is about creating yourself." ~George Bernard Shaw Have you ever wondered what you're here to do and who you're meant to be? Like, what is your purpose, and what were you sent here to contribute and leave behind. It's a big question but when you start getting curious about it, it opens a door to passion and creativity! This question points you to ask yourself, "What lights me up?" And from here, you can really start living a more creative life. Whether you'd consider yourself creative or not, if you're human, you're a creator! We're all creative in our own unique ways and when we can learn to follow what lights us up -whether it's numbers, plants, people, writing, speaking, running a business, painting or crafting- we will thrive and begin creating our lives from a heart space, not just a headspace. “Everybody has a little bit of creativity in them. It’s how you bring it out of yourself and stick to it. You just have to keep at it and you can teach yourself." In this episode, I talk all about living a more creative life with Victoria's Secret PINK Graphic Designer, Harley Davidson Riding Chic, and owner of the cool lifestyle brand Bananna Bones, Anna Santaguida. She shares how she finds inspiration in her designs, how she got started and how she always maintains the attitude that growth is a process that requires patience. SOME GOLDEN NUGGETS from this episode: ~ Everyone has a unique style. Figure out your style and really work on that style. ~ How to turn comparison and competition into fuel and inspiration. ~ How to love your own self, style & art. Learning to love what makes you unique. ~ How you turn your creativity into what you do for a living and be patient in the process. ~ Always be lead by curiosity. CURIOSITY > FEAR every time. . As Anna says in this episode, "You'd be so surprised if you stay creative and curious, where that will take you." . Press play and let's grow! ___________ Find Anna on Instagram on her Etsy Shop ___________ FIERCE FORWARD JEWELRY: https://www.fierceforwardjewelry.com/ FIERCE FORWARD INSTAGRAM: https://www.instagram.com/fierce.forward SIGNUP for the FIERCE FORWARD MONTHLY BOX: https://www.fierceforwardjewelry.com/products/you-grow-girl-gift-box SIGNUP for my Empowerment Texts: send a text message to me at 480 781 4968
We have a guest! Our friend, Hannah, joins us for this episode of NAE. As Anna's designated gym partner, we spill the tea on all things Auburn rec center, and our gym crushes. Did you know that Hannah's into men that look like Mr. Potato Head? Old, bald, and chubby! Also Erik's from the streets and teaches us suburban girls about gangs! How educational. Can white parents hang? Probably not, but all we're going to say is that Brenda and Randy are bad bitches. Oh and to conclude... Lizard People. That's all.
Hello and welcome back to STAE OF MIND with Nutritional Therapist, Grace Kingswell. My guest today is Anna Blackwell. Anna is an adventurer, which I feel like is one of those things you decide to be when you’re a child but that realistically you never end up being. As Anna explains in the episode, she never had grand ideas from an early age to be an adventurer, she sort of fell into it and realised that the physical endurance and mental resilience needed to put yourself through gruelling experiences was something she really enjoyed. I was personally really intrigued to find out what she eats on long expeditions, and I was quite horrified at one of the answers, and what it’s like not seeing another human for days on end. Whether you’re into hiking and adventure or not, this episode is an enlightening exploration into the human psyche and what it is about some of us that makes us enjoy and seek out adversity. I also want to apologise now for one instance in this episode where, due to the zoom connection being a bit slow, I basically interrupt Anna multiple times - podcasting long distance via Zoom is hard, so I hope you can forgive me on that one! I also mention a trek I did in New Zealand and couldn’t remember the name at the time, it’s called The Banks Peninsula and it was some of the best, and hardest, days of my life! This episode is sponsored by Davy J Waterwear, sustainable swimwear for women made in Devon. Davy Js are giving listeners of this podcast 10% off with the code STATEOFMIND. davyj.org @davyjs @annablackwell @gracekingswell
Welcome to the 14th episode of Destination Leadership. Today’s guest is Anna Roizman, who is an agile coach at Porsche. She was recommended to me as someone not in a hierarchical leadership position like the other guests in this podcast, but rather as someone leading informally within a community at a large organisation. As I believe that it will be in future more and more common that young leaders gain first leadership experiences in project teams or communities across organisations, I wanted to invite Anna to the podcast. In our conversation we talk about how she and others set up the agile community at Porsche, her concrete recommendations and lessons learned when setting up such a community and her wish for more courage in organisations to just try out new ways of working & exchanging in communities without clear KPIs and a traditional set up. As Anna feels more comfortable in German, we did the interview in German, which I know many of you listeners also understand. That’s why without further due, viel Spaß bei unserem Podcast Interview!
Tonight! We're joined by author, Kit Frick. WIll she spoil her book? Will she burn books in a metaphorical sense? Only one fun way to find out. Give a listen now! What happened to Zoe won't stay buried... When Anna Cicconi arrives to the small Hamptons village of Herron Mills for a summer nanny gig, she has high hopes for a fresh start. What she finds instead is a community on edge after the disappearance of Zoe Spanos, a local girl who has been missing since New Year's Eve. Anna bears an eerie resemblance to Zoe, and her mere presence in town stirs up still-raw feelings about the unsolved case. As Anna delves deeper into the mystery, stepping further and further into Zoe's life, she becomes increasingly convinced that she and Zoe are connected--and that she knows what happened to her. Two months later, Zoe's body is found in a nearby lake, and Anna is charged with manslaughter. But Anna's confession is riddled with holes, and Martina Green, teen host of the Missing Zoe podcast, isn't satisfied. Did Anna really kill Zoe? And if not, can Martina's podcast uncover the truth? Booked All Night: Twitter . Facebook . Instagram Sign Up for the Newsletter Visit Our TeeSpring Visit BookedAllNight.blog Follow Jess: Twitter . Facebook Follow Maggie: Twitter Follow Dan: Twitter Connect with Kit Frick: KitFrick.com . Twitter . Facebook . Instagram . Pinterest --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/app --- Send in a voice message: https://anchor.fm/bookedallnight/message Support this podcast: https://anchor.fm/bookedallnight/support
Guest: Anna Pugh - Longtime Audiologist, BSHAA Council Member, and Owner of Hearing Therapy Online Topic: The Audiology Long Game Anna and Dave chat about the, "Audiology Long Game," and how the hearing care professional can flourish in these changing times. The conversation spans a whole host of topics, including the state of the hearing care landscape in the UK, why hearing aid adoption rates are similar in the UK as the US (even though hearing aids are free in the UK through the NHS), and how the mass proliferation of consumer hearables (i.e. AirPods) is adding a new dynamic to the stigmatization of hearing aids. The bulk of the conversation centers around the idea of hearing care providers needing to re-position their business models to become more service-based. The reason being is that as the market of options for folks to treat their hearing loss grows to include more online, automated and big box options, it creates more complexity and therefore, more demand for expertise. Hearing care professionals, with their years of education and expertise, own an asset that's defensible and tough to replicate, which is their knowledge and expertise. As Anna and Dave discuss, the providers that thrive in the, "Audiology Long Game" will be those who leverage their expertise most effectively to differentiate against traditional and new competitors via exceptional expertise and service. --- Send in a voice message: https://anchor.fm/futureear/message
In today's spooktacular episode of Streaming Audio, Anna McDonald (Technical Account Manager, Confluent) discusses six of the scariest Apache Kafka® JIRAs. Starting with KAFKA-6431: Lock Contention in Purgatory, Anna breaks down what purgatory is and how it’s not something to fear or avoid. Next, she dives into KAFKA-8522: Tombstones Can Survive Forever, where she explains tombstones, compacted topics, null values, and log compaction. Not to mention there’s KAFKA-6880: Zombie Replicas Must Be Fenced, which sounds like the spookiest of them all. KAFKA-8233, which focuses on the new TestTopology mummy (wrapper) class, provides one option for setting the topology through your Kafka Screams Streams application. As Anna puts it, "This opens doors for people to build better, more resilient, and more interesting topologies." To close out the episode, Anna talks about two more JIRAs: KAFKA-6738, which focuses on the Kafka Connect dead letter queue as a means of handling bad data, and the terrifying KAFKA-5925 on the addition of an executioner API. EPISODE LINKSKAFKA-6431: Lock Contention in PurgatoryKAFKA-8522: Tombstones Can Survive ForeverKAFKA-6880: Zombie Replicas Must Be FencedKAFKA-8233: Helper Classes to Make it Simpler to Write Test Logic with TopologyTestDriver KAFKA-6738: Kafka Connect Handling of Bad DataKAFKA-5925: Adding Records Deletion Operation to the New Admin Client APIStreaming Apps and Poison Pills: Handle the Unexpected with Kafka StreamsData Modeling for Apache Kafka – Streams, Topics & More with Dani TraphagenDistributed Systems Engineering with Apache Kafka ft. Jason GustafsonKafka Streams Topology VisualizerFollow Anna McDonald on TwitterFollow Mitch Henderson on TwitterJoin the Confluent Community SlackFully managed Apache Kafka as a service! Try free.
Anna Skaya, the CEO of Basepaws, joined Stacy last year on CCP Episode 213, and now she’s back to update Stacy on everything that has happened in the past year—including a successful appearance on Shark Tank! Basepaws is a simple, at-home DNA test for your cat that can give you an idea of the breeds your cat has in its DNA, and if your cat is a carrier for certain genetic diseases. According to Anna, Basepaws is laser-focused on cats, and the Basepaws test represents the first time that so many genetic tests for cats have been combined into one—and that such testing has been made affordable. Anna and Stacy also discuss feline nutrition, and how genetic testing will affect the personalization of nutrition as more and more data is gathered. There is a lot of research happening at Basepaws, and your cat may even qualify for free testing and reports, depending on breed and health conditions. One of the issues Basepaws is particularly passionate about is hypertrophic cardiomyopathy (HCM). As Anna puts it, Basepaws is “way more than just a cat genetic company; we are a feline health company.” To learn more, visit the Basepaws website and check them out on social media to see what other people are saying. If you’re interested in seeing if your kitty qualifies for free testing, visit Basepaw’s Research page. And be sure to sign up for their blog to learn more about upcoming research needs. Anna and Stacy also discuss feline nutrition, and how genetic testing will affect the personalization of nutrition as more and more data is gathered. There is a lot of research happening at Basepaws, and your cat may even qualify for free testing and reports, depending on breed and health conditions. One of the issues Basepaws is particularly passionate about is hypertrophic cardiomyopathy (HCM). As Anna puts it, Basepaws is “way more than just a cat genetic company; we are a feline health company.” To learn more, visit the Basepaws website and check them out on social media to see what other people are saying. If you’re interested in seeing if your kitty qualifies for free testing, visit Basepaw’s Research page. And be sure to sign up for their blog to learn more about upcoming research needs.
Special Guest Anna Harryman sits down with Vickie and Amanda to discuss alternative education. Listen in to this fascinating glimpse inside a credit recovery high school. You’ll learn the definition of alternative education, the kinds of students they serve, the goals they have, and how love can make all the difference. This is Anna’s 10th year working in alternative public education. Her career in the education field began with a position as an AmeriCorps volunteer, being a business to community liaison. She caught the attention of another school district, who hired her on permanently to do a similar role in their school. While there, she worked her way up and became a teacher in the English Language Arts, Social Studies, and eventually added Family and Consumer Sciences, which most people know as Home Ec. Anna later became a school counselor, which is her current role. She has spent time as a department head and on the School Leadership Committee. Anna also works as a teacher on special assignment for the school district, coordinating all professional development for school counselors in the district. Show Highlights: "Alternative education” is an umbrella term used to describe any education outside of the traditional, comprehensive school setting. For example: trade schools, expulsion behavior programs, school credit recovery, special skills or college prep classes. Anna works at a credit recovery high school. As she explains, students fall behind on credits for a variety of reasons. Education is not a “one size fits all” for students. Anna’s school serves around 120 students at a time. They strive to provide that small learning environment for students who are overwhelmed or unsuccessful in a large school setting. They may have fallen through the cracks, not getting the attention they were needing to be successful in their classes, or have a lot of anxiety. Since there’s a lot of flexibility in the school programs, a lot of teen parents come to the school. Also, kids with medical issues or those who have moved around a lot and have gaps in their education are given opportunities to make up their credits, so they can graduate on time or meet their educational goals. Other purposes that the school serves is providing the GED program for the district and serving the expelled students in the program. There is a separate program for the expelled students to start in, and if they choose to stay in the school, they can earn their way into the main high school program, which is considered a privilege. One of the goals for the school is to take students who might otherwise drop out of school during their junior or senior years in high school, and get them to graduation. Anna discusses the importance of thinking about students with love and building relationships with them, and the various reasons why they might be expelled from school. As Anna relates, her community is very fortunate to have a district that sees the value of what they’re doing, and she feels that the stigma is getting smaller and smaller every year. A student first has to fail repeatedly in order to be able to go to an alternative school and have a second chance at learning. It is a shame that these students have to suffer first in order to get to a place of success. Anna’s school is typically 15-20% on IEP’s and around 10% on 504’s. Most 504’s are the social and emotional 504’s, a lot diagnosed with mental health issues such as bipolar, anxiety, and depression. They are not able to offer all the resources for IEP’s that a larger school can, so they have to limit their IEP’s to students who require a minimum of services, and are at risk of falling through the cracks in the traditional educational system. Students have the opportunity to learn more about trades programs, computer programming, manufacturing, and other industries for after graduation or GED. Links/Resources: Thank you for listening! Don’t forget to SUBSCRIBE to the show to receive every new episode delivered straight to your podcast player every Tuesday. If you enjoyed this episode and believe in our message, then please help us get the word out about this podcast. Rate and Review this show in Apple Podcasts, Stitcher Radio, or Google Play. It helps other listeners find this show. Be sure to connect with us and reach out with any questions/concerns: Facebook Instagram Twitter IEP website This podcast is for informational and educational purposes only. It is not to be construed as legal advice specific to your circumstances. If you need help with any legal matters, be sure to consult with an attorney regarding your specific needs. YOU ARE INVITED!! 5th ANNUAL FUNDRAISING EVENT Building the Bridge Between Literacy and the Consequences of Falling Behind Thursday, October 24, 2019 5:30 PM - 7:30 PM Huntington Bay Club 4121 Warner Ave, Huntington Beach, CA FOR EARLY BIRD TICKETS ($25!!) BY OCTOBER 1st & MORE INFORMATION https://squareup.com/store/inclusive-education-project/
Love, money and power never come for free. As Anna's mob status rises, Vito's reign is threatened. The fiery couple face their first major test in marriage, and Michael faces a mystery of his own. This episode is sponsored by Candid (www.candidco.com/mobqueens code: MOBQUEENS), Betterhelp (www.betterhelp.com/mobqueens code: MOBQUEENS), and HelloFresh (www.hellofresh.com/mobqueens80 code MOBQUEENS80)..
Anna Debenham is the founder of the Insight Alliance, an organization that works with men and women in prison and in the community sharing two simple, but profoundly life-changing ideas: We have everything we need inside ourselves to lead a good life Our experience of life is being created moment to moment from the insight out by our thoughts. At the heart of much of our suffering is our experience of life as something that is happening to us, rather than moving through us. As Anna puts it “We are feeling our thinking, not feeling the world around us.” Our minds create a virtual reality of the world that is so convincing that we usually can’t tell the difference between the world and the world as experienced through our thoughts. And it’s that world as experienced through thoughts that we become beholden to and, in that, lose the freedom to choose our path.
In this episode we join Anna Goldsmith, Partner & Copywriter at The Hired Pens, to talk about standing out in a crowded market. Anna shares how business model decisions have made her company: a stronger partner for their clients able to hire more skilled talent Plus how to use copywriting to differentiate from competitors. As Anna says, “the more you can target, the more business you'll get because you'll find your people and you know how to talk to them”.
Corruption has found its way into the secluded town of Blackburn. As Anna lies in deepening darkness conversations arise about what the Grey Wolves should do next. How do they bring this young girl back from Corruption’s grip? What is the key to her release? How will they know when it is too late to […]
You can use your experience to help people achieve their dreams. Anna Powers is an example of how you can tap into your experience and knowledge to help someone else. Anna achieved her dream of becoming an attorney, but a book became a thorn in her side that led her in a new direction. Dan Miller's book, 48 Days to the Work You Love, caught her attention. Anna purchased the book so she could prove you could not find work you love in only 48 days. It took her 7 years, after all, to become an attorney. By the time Anna had finished reading the book, she realized the message in the book was true. And she was inspired to become a coach to help other people find work they loved. As Anna transition from being an attorney to coaching other people, she realized how important her time and training as an attorney helped her help other people. Nothing is wasted. Experience and knowledge from your past will propel you into your next adventure. Take your own background and skills to build what you have now. You don't need to be an attorney or park ranger to bring your backstory into what you do today. Whatever your background is, you picked up skills you can bring forward to your new stage in life. Energy is not generated by a bolt of lighting. It is generated by friction. Get out there and make something happen. Ann has created this Sales page template to help you create a sales page to give you a place to start. You can find Anna Powers the web, Twitter, Facebook, or Instagram.
Are you weighed down by either shame, guilt or possibly even both? Would you like overcome this and really get to the bottom of it and understand where these feelings come from in the first place? Then listen in, because of this month, inspired by Independence Day on the 4th of July, Anna will be talking about freedom! She has decided to focus on releasing yourself and achieving freedom from the things that are tying or weighing you down. Anna is really excited to dive in and talk about the yucky, gunky stuff of guilt and shame. Join her today, to find out more. Although Anna has already done a number of shows looking at what guilt and shame are, she would really like to look at these things from a different angle, today. She wants to look at what creates shame and how people get stuck in that place, to begin with. As Anna has shared with Brene Brown's work on previous shows, there is really so much about the shame that doesn't want to be spoken about and keeps people small and isolated. It also tends to give people the sense that there's something wrong with them. Anna explains that guilt is that I did something wrong and shame is that I am (or my being) is wrong and she points out that people really make poor choices when acting out of either guilt or shame. Listen in today as Anna looks at what really causes guilt and shame and how you got there in the first place. Her Life Unscripted Facebook Page, give it a LIKE! Her Life Unscripted Shine Retreat for Women, Sept 29th-Oct 1st, 2017, www.ShineRetreatForWomen.com LIVE FEED LINK: Women Who Shine For your thoughts, feelings or feedback, contact Anna at www.herlifeunscripted.com or email Anna at anna@herlifeunscripted.com Want the full show notes? Get 'em here!
As Anna, Perdita, Roberts, and Zachariah follow the soft glow down, deeper into the ruins, Hamish and Pierce run into some old friends. It can only end well...but for who? Music and Sound by Syrinscape. store.syrinscape.com/what-is-syrinscape/?att The app that putting sound into the hands of the gamers.
Anna LeBaron escaped from a polygamist cult when she was 13. Her new book, The Polygamist's Daughter details what it was like to grow up in such an abusive and traumatic environment. Anna was child 40-something of 50 to polygamist cult leader Ervil LeBaron. She grew up in an incredibly unstable environment and felt safe almost nowhere. She was abused physically, emotionally, spiritually, and mentally and was being groomed to continue in the polygamist practice from a very young age. After she escaped, she saw grace in her sister and brother-in-law who protected her and provided a safe place for her to begin to heal. She attended a small Christian school that helped her ease into life outside of the cult. She is thankful for her five children, the siblings who have continued to support her, and all of the things that lined up for her book to become a reality. Pursuing healing, wholeness, and freedom has required a tremendous amount of courage. As Anna says, "healing is a process. Healing is a miracle." Healing from abuse and trauma is a life-long journey and Anna encourages victims of all kinds of abuse and trauma to ask for help and to seek counseling. Order your copy of Anna's new book The Polygamist's Daughter wherever you get your books! Anna's Answers To The Fun Questions: • What are you loving right now? Coffee and leading the launch team for Maria Goff's new book Love Lives Here • What’s your favorite food/meal/snack? Fruit, nuts, cheese, and coffee (with cream) • What are you doing to take care of yourself? Making time for a long bath and reading • What are you doing to be brave? Being interviewed for a talk show in Ireland and the BBC Connect with Anna: BLOG: AnnaLeBaron.com FACEBOOK: facebook.com/AnnaKLeBaron TWITTER: twitter.com/AnnaKLeBaron INSTAGRAM: instagram.com/AnnaKLeBaron Connect with Becky: BLOG: BeckyLMcCoy.com FACEBOOK: facebook.com/BeckyLMcCoy TWITTER: twitter.com/BeckyLMcCoy INSTAGRAM: instagram.com/BeckyLMcCoy PINTEREST: pinterest.com/BeckyLMcCoy NEWSLETTER: BeckyLMcCoy.com/email Share your Sucker Punched story at BeckyLMcCoy.com/Submissions Please subscribe to and rate this podcast to help others find Sucker Punched. NOTE: Sucker Punched is the podcast formerly known as Stories of Unfolding Grace
As Anna works on replacing the podcast staff, Chris tries to figure out who can twink him through FFXI RoV. Alice doesn’t deliver missiles, but...
Cat Herzog began writing as a teen to have a way of dealing with a turbulent childhood, afraid someone might read what she journaled, she fictionalized it so no one would know she was talking about herself. Those stories turned into what would become The Key to Her Heart, but it would take another thirty years before she published The Key to Her Heart. Now she is working on the sequel Patrick's Rose. About the book: The Key to Her Heart (The Heart of a Family Book 1) As Anna's life spirals deeper into the abyss she doesn’t know how to escape, Patrick may be the only thing standing between her and complete destruction. In her quest to achieve her dreams, Anna becomes a successful model in California in the early seventies and attracts the unwanted attention of powerful, ruthless, Matthew Wolffe, the eldest son of the fashion world’s biggest tycoon. His attention twists into a dark obsession-- Not just harming, but distributing abuse beyond Anna’s worst nightmares. Patrick Rueschel is the boy she left back home when she ran away. His love promises new life. Between her dark secrets in California and her father’s vow of revenge on The Rueschel family years before when she was a teen, Anna realizes there is no way for Patrick to be part of her life. As the stakes are driven ever higher, she must choose the dream she wants to pursue and what cost she is willing to pay. Meanwhile, Matthew plays a dangerous game of cat and mouse that threatens to find her no matter where she may run. Is Patrick's love strong enough to save her? Or must she run away once more—and leave everything behind?
As Anna prepares her statement, Alice introduces us to a new form of missile delivery. Chris plays really old games instead of the other old...
BAPTISTA. ... Bianca, get you in;And let it not displease thee, good Bianca,For I will love thee ne'er the less, my girl.KATHERINA. A pretty peat! it is bestPut finger in the eye, an she knew why.BIANCA. Sister, content you in my discontent.Sir, to your pleasure humbly I subscribe;My books and instruments shall be my company,On them to look, and practise by myself.LUCENTIO. Hark, Tranio, thou mayst hear Minerva speak!HORTENSIO. Signior Baptista, will you be so strange?Sorry am I that our good will effectsBianca's grief.GREMIO. Why will you mew her up,Signior Baptista, for this fiend of hell,And make her bear the penance of her tongue?BAPTISTA. Gentlemen, content ye; I am resolv'd.Go in, Bianca. Exit BIANCAAnd for I know she taketh most delightIn music, instruments, and poetry,Schoolmasters will I keep within my houseFit to instruct her youth. If you, Hortensio,Or, Signior Gremio, you, know any such,Prefer them hither; for to cunning menI will be very kind, and liberalTo mine own children in good bringing-up;And so, farewell. Katherina, you may stay;For I have more to commune with Bianca. ExitKATHERINA. Why, and I trust I may go too, may I not?What! shall I be appointed hours, as though, belike,I knew not what to take and what to leave? Ha! ExitGREMIO. You may go to the devil's dam; your gifts are so goodhere's none will hold you. There! Love is not so great,Hortensio, but we may blow our nails together, and fast it fairlyout; our cake's dough on both sides. Farewell; yet, for the loveI bear my sweet Bianca, if I can by any means light on a fit manto teach her that wherein she delights, I will wish him to herfather.HORTENSIO. SO Will I, Signior Gremio; but a word, I pray. Thoughthe nature of our quarrel yet never brook'd parle, know now, uponadvice, it toucheth us both- that we may yet again have access toour fair mistress, and be happy rivals in Bianca's love- tolabour and effect one thing specially.GREMIO. What's that, I pray?HORTENSIO. Marry, sir, to get a husband for her sister.GREMIO. A husband? a devil.HORTENSIO. I say a husband.GREMIO. I say a devil. Think'st thou, Hortensio, though her fatherbe very rich, any man is so very a fool to be married to hell?HORTENSIO. Tush, Gremio! Though it pass your patience and mine toendure her loud alarums, why, man, there be good fellows in theworld, an a man could light on them, would take her with allfaults, and money enough.GREMIO. I cannot tell; but I had as lief take her dowry with thiscondition: to be whipp'd at the high cross every morning.HORTENSIO. Faith, as you say, there's small choice in rottenapples. But, come; since this bar in law makes us friends, itshall be so far forth friendly maintain'd till by helpingBaptista's eldest daughter to a husband we set his youngest freefor a husband, and then have to't afresh. Sweet Bianca! Happy manbe his dole! He that runs fastest gets the ring. How say you,Signior Gremio?GREMIO. I am agreed; and would I had given him the best horse inPadua to begin his wooing that would thoroughly woo her, wed her,and bed her, and rid the house of her! Come on.Exeunt GREMIO and HORTENSIOTRANIO. I pray, sir, tell me, is it possibleThat love should of a sudden take such hold?LUCENTIO. O Tranio, till I found it to be true,I never thought it possible or likely.But see! while idly I stood looking on,I found the effect of love in idleness;And now in plainness do confess to thee,That art to me as secret and as dearAs Anna to the Queen of Carthage was-Tranio, I burn, I pine, I perish, Tranio,If I achieve not this young modest girl.Counsel me, Tranio, for I know thou canst;Assist me, Tranio, for I know thou wilt.TRANIO. Master, it is no time to chide you now;Affection is not rated from the heart;If love have touch'd you, nought remains but so:'Redime te captum quam queas minimo.'LUCENTIO. Gramercies, lad. Go forward; this contents;The rest will comfort, for thy counsel's sound.TRANIO. Master, you look'd so longly on the maid.Perhaps you mark'd not what's the pith of all.LUCENTIO. O, yes, I saw sweet beauty in her face,Such as the daughter of Agenor had,That made great Jove to humble him to her hand,When with his knees he kiss'd the Cretan strand.TRANIO. Saw you no more? Mark'd you not how her sisterBegan to scold and raise up such a stormThat mortal ears might hardly endure the din?LUCENTIO. Tranio, I saw her coral lips to move,And with her breath she did perfume the air;Sacred and sweet was all I saw in her.TRANIO. Nay, then 'tis time to stir him from his trance.I pray, awake, sir. If you love the maid,Bend thoughts and wits to achieve her. Thus it stands:Her elder sister is so curst and shrewdThat, till the father rid his hands of her,Master, your love must live a maid at home;And therefore has he closely mew'd her up,Because she will not be annoy'd with suitors.LUCENTIO. Ah, Tranio, what a cruel father's he!But art thou not advis'd he took some careTo get her cunning schoolmasters to instruct her?TRANIO. Ay, marry, am I, sir, and now 'tis plotted.LUCENTIO. I have it, Tranio.TRANIO. Master, for my hand,Both our inventions meet and jump in one.LUCENTIO. Tell me thine first.TRANIO. You will be schoolmaster,And undertake the teaching of the maid-That's your device.LUCENTIO. It is. May it be done?TRANIO. Not possible; for who shall bear your partAnd be in Padua here Vincentio's son;Keep house and ply his book, welcome his friends,Visit his countrymen, and banquet them?LUCENTIO. Basta, content thee, for I have it full.We have not yet been seen in any house,Nor can we be distinguish'd by our facesFor man or master. Then it follows thus:Thou shalt be master, Tranio, in my stead,Keep house and port and servants, as I should;I will some other be- some Florentine,Some Neapolitan, or meaner man of Pisa.'Tis hatch'd, and shall be so. Tranio, at onceUncase thee; take my colour'd hat and cloak.When Biondello comes, he waits on thee;But I will charm him first to keep his tongue.TRANIO. So had you need. [They exchange habits]In brief, sir, sith it your pleasure is,And I am tied to be obedient-For so your father charg'd me at our parting:'Be serviceable to my son' quoth he,Although I think 'twas in another sense-I am content to be Lucentio,Because so well I love Lucentio.LUCENTIO. Tranio, be so because Lucentio loves;And let me be a slave t' achieve that maidWhose sudden sight hath thrall'd my wounded eye.Enter BIONDELLO.Here comes the rogue. Sirrah, where have you been?BIONDELLO. Where have I been! Nay, how now! where are you?Master, has my fellow Tranio stol'n your clothes?Or you stol'n his? or both? Pray, what's the news?LUCENTIO. Sirrah, come hither; 'tis no time to jest,And therefore frame your manners to the time.Your fellow Tranio here, to save my life,Puts my apparel and my count'nance on,And I for my escape have put on his;For in a quarrel since I came ashoreI kill'd a man, and fear I was descried.Wait you on him, I charge you, as becomes,While I make way from hence to save my life.You understand me?BIONDELLO. I, sir? Ne'er a whit.LUCENTIO. And not a jot of Tranio in your mouth:Tranio is chang'd into Lucentio.BIONDELLO. The better for him; would I were so too!TRANIO. So could I, faith, boy, to have the next wish after,That Lucentio indeed had Baptista's youngest daughter.But, sirrah, not for my sake but your master's, I adviseYou use your manners discreetly in all kind of companies.When I am alone, why, then I am Tranio;But in all places else your master Lucentio.LUCENTIO. Tranio, let's go.One thing more rests, that thyself execute-To make one among these wooers. If thou ask me why-Sufficeth, my reasons are both good and weighty. ExeuntThe Presenters above speakFIRST SERVANT. My lord, you nod; you do not mind the play.SLY. Yes, by Saint Anne do I. A good matter, surely; comes thereany more of it?PAGE. My lord, 'tis but begun.SLY. 'Tis a very excellent piece of work, madam ladyWould 'twere done! [They sit and mark]
Mission Europe - Mission Berlin | Learning German | Deutsche Welle
Anna has 65 minutes left. She figures that the music box is the missing piece of the church organ. The woman in red appears again and demands a key. What key? Anna hears a familiar song. The church organ is playing the same melody as the music box. As Anna approaches the organ, she overhears the sexton explaining to a visitor that the organ has been fully restored but has been missing a part, ... ein Element ... since the construction of the wall. Anna realises the box is the missing link and adds it to the organ. As the organ starts playing a trap door opens and Anna finds herself standing in front of the woman in red. She loses another life and only has 60 minutes left.