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Did you know: Today's dentists are waiting five years longer to buy a practice than they were a generation ago? Kiera is joined by Brian Hanks of Dental Buyer Advocates to talk about delayed ownership traps and why the future of private practice is an encouraging one (Brian shares numerous data points to back that up). They also touch on overcoming fears and all the information out there that makes everyone seem more prepared for business ownership than they actually are, and how to go about buying a practice while asking the right questions. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera (00:00) Hello, Dental A Team Listeners, this is Kiera, and today is an awesome day. I am so excited to be podcasting with one of my favorite humans. He and I have spoken across the country together. We go to different things, we share clients together. I have Brian Hanks, the owner of Dental Dental Buyer Advocates. And today we're gonna talk about like delayed ownership trap because I think so many people get stuck into this of should I buy, should I not buy? And Brian and I are just here to have a fun rift. So, Brian, welcome to the show today. How are you?   Brian Hanks (00:28) So nice to be back, Kiera. You're one of my favorite people too. Thank you for having me.   Kiera (00:32) Of course. I'm excited, Brian. It's a good time. It's been a hot minute since we podcasted together. So it's time, it's time to talk about this. Because when we were chatting about episodes, you were saying that dentists are now waiting like five years longer to buy a practice than they were a generation ago, which is fascinating to me because I've been on this like whole hot to trap of like, do people buy? Are DSOs taking over? Like, is there still money to be made in private practice? Like literally my chiropractor and I were talking about this the other day because she's like,   My dentist told me that they were like not able to make any money. And I was like, well, they sh just give them my card. Like private practice to me is still one of the best businesses and industries, even if you have to buy a top dollar right now. and so just like super fascinating to talk about like delaying that purchasing, why people do it. But Brian, I've jumped right in and pretended like everybody knows who you are. Brian, give us a little intro of like who you are, how you got into Dental Buyer Advocates, what your background is, and then like let's talk about to delay or not delay buying a practice.   Brian Hanks (01:29) Sure.   Yeah, I one of my favorite stories. I'm an ex-Wall Street guy, so I'm a reformed Wall Streeter. And my father-in-law is a dentist. And I would watch these Wall Street people come in and like sell a very aggressive investments. And when they went bust, they would turn around and sell the crappy investments to dentists who at the time my was my father in law. Active practice, he lived in the Seattle area. And anyway, I went to go work for a dental CPA in the Dallas area. I went to work for another one. So I'm I've lived in the accounting world, Kiera.   And when I was in that world, I got younger dentists who were in the pro they were the associates and they were asking accounting questions and tax questions and you know financial planning questions. And inevitably they would come back to dental practice ownership. Like, how do I do this? How much do I pay? Is   Kiera (02:13) Yeah.   Brian Hanks (02:13) is this a good deal? And so I went looking for the book. I was like, well, where's the book? I was on Amazon, I was other places. There was no book. And I thought, all right, well, let me try writing this book. Famous Last Words, by the way, it's way harder than you assume. But the book is called.   Very creatively, How To Buy A Dental Practice. And that helped me start my own business. And that's   Kiera (02:30) I like it.   Brian Hanks (02:33) what I do. I I only help buyers of dental practices. And, you know, Kiera, my business is good, your business is good. Dentist business, we can talk about why the future of private practice is very bright. I can give you some stats and   Kiera (02:46) Mm-hmm.   Brian Hanks (02:46) statistics. But one of the interesting, the most interesting facts for me is Health Policy Institute has data that shows that.   Dentists get into ownership, like they they end up in ownership. Okay, so I'll give you like they've broken it down by like graduation rates. So like the the   Kiera (03:07) And what I   Brian Hanks (03:08) dental school grads from 1990 and then 1995, and everybody between 95 and 2000, so and so forth. So they have these like vintages of graduates. And   Kiera (03:16) Mm-hmm. Mm-hmm.   Brian Hanks (03:17) very reliably, they're showing that nine out of ten dentists, of which you know there's 203,000 in the US, nine out of ten end up in ownership.   At some point in their career. But like you said,   Kiera (03:27) Fascinating.   Brian Hanks (03:28) they're waiting longer to do it. And I think that's what we're going to talk about.   Kiera (03:32) Yeah. Which like again, I think people are scared. So many students I worked at Midwestern and they're like, Kiera, should I buy? Should I go associate? And I was like, listen, you're just delaying the inevitable so like get in there and get it done. Now, I like always throw an asterisk on that. Like if you're not good at your hand skills, like yeah, go go associate for a hot minute. like if you aren't confident with your speed and with case acceptance and like presenting, that's gonna be but I'll tell you there is nothing more thrilling than throwing yourself into a business that you have to produce for.   You learn case acceptance really freaking fast. Like, ask me how I know. We surely did that. Like I took a student, we took our first practice from 500,000 to 2.4 million in nine months. Like she was a she was a power producer. Do I have an office right now that just bought a practice less than a year ago? We're already on track for two and a half million. Yes. Like there are a lot of success stories from that small town. It's not like they were just given the keys to the kingdom. Like they've had to work for it, they've had to build things. They don't have full schedules. But   I just, I don't know. I'm the same way and I I don't know. I'm I'm at a space of but do what makes you happy. Like, do not go   Brian Hanks (04:37) Yeah.   Kiera (04:38) own a practice and make less than being an associate. That's like a hard line for me too. I'm like, 'cause if you're gonna like not be a good business owner, keep associating. But I   Brian Hanks (04:43) No. Yeah.   Kiera (04:46) agree, I feel like the trajectory of dentists is always to purchase. Like they want their own stamp, they want their name on the building. I will also highly recommend don't put your name on the building. Like that's really fun and not scalable. Ask me again how I know that. Like   Cura's dental consulting was real fun till it wasn't. Like the things you the things you evolve on, but truly I I'm excited to hear why you think people are delaying, what that's costing them. Brian, I love that you always come with a bunch of stats and facts. And I love that you named your book, like How To Buy A Dental Practice. That's what people want to know. so it sometimes simple is no, that is the best.   Brian Hanks (05:13) I know. I just yeah. I'm not the best at marketing, right? So yeah, like we we call Kiera when we need   marketing advice. So okay.   Kiera (05:24) Mm-hmm.   Brian Hanks (05:24) So Kiera, here are some more stats for you.   Kiera (05:28) Okay, ready?   Brian Hanks (05:29) the average owner, dentist, makes $151,000 than the average more than the average associate. Okay, 151. Now that's   Kiera (05:37) I was like, hold on, 151   is bad. That's more than if you're being an associate. You're gonna make 151,000 more. Okay.   Brian Hanks (05:43) Yep. Yeah. And think about why   that is. Yep. That's obviously the you're taking on the risk. You're taking on the the pain and suffering of being an owner, right? So there's some compensation involved in   Kiera (05:51) Mm-hmm.   Brian Hanks (05:52) that. Those are two medians, right? And there is a bell curve around both of those numbers. So is it possible   Kiera (05:57) Course.   Brian Hanks (05:58) to make less as an associate? Yes. Yeah. Is it possible   to make a hell   Kiera (06:01) Mm-hmm. Uh-huh.   Brian Hanks (06:02) of a lot more than $151,000 more than an associate? Absolutely, yes, right. So there's there's room on both end of the ends of those those bell curves. but think about   So here's why I one of the data points why I think private practice ownership and dentistry is still it's bright and it's getting brighter. Is you think about the average associate you talk to, Kiera, the average associate I talk to when we're standing around a cocktail party or at mid mid the you know, wherever, some conference, Yankee, Midwestern.   Kiera (06:30) Mm-hmm.   Brian Hanks (06:31) And I will tell you the average associate that I talk to isn't saying, gosh, Brian, you know what? I love my boss. I love the DSO I'm working for.   I love my hours. I love the insurances we take, the assistant they force me to use, I love her, right? It's the future of private practice dentistry is bright because dentists are people. And people generally like   Kiera (06:52) Mm-hmm.   Brian Hanks (06:52) a little bit of control over their career if they can get it. And dentists absolutely can get it. So that's one of the data points that   Kiera (06:55) Yeah.   Brian Hanks (06:58) I love. Now, are dentists scared to get into ownership? And do higher on average student loan balances scare them marginally more than they did 10 years ago, 20 years ago? For sure.   Yep, absolutely. Here's the mistake   Kiera (07:11) Absolutely.   Brian Hanks (07:11) they make. So I'll give the associates listening or the students or whoever it is that's maybe telling you, Kiera, or telling me, or they're telling their, you know, the the person next to them on the treadmill at the gym while they're listening to this, like, sure, Brian, easy for you to say, but I don't feel ready. Right? I haven't taken all of Care's courses.   Kiera (07:30) Mm-hmm.   Brian Hanks (07:31) I haven't, I don't know how you know, I'm not the pro at treatment planning. My hands beat because you I I want to take this implant course first, right?   You come up, your brain comes up with all these excuses of why you don't feel ready. And I'm not gonna dismiss your feelings. I think your   Kiera (07:45) Mm-hmm.   Brian Hanks (07:46) feelings are valid. You should listen to them, but don't here here's another thing to consider in addition to your feelings. Is you know how there were like a hundred people in your dental school class, probably ish, right? And 10 of whom you would never let near your teeth. Like you watch them go through all four years of dental school and you're like,   Okay, of those 10 over there, like they're never getting, they're never giving me a shot. They're never in that nothing, right?   Kiera (08:10) Yep.   Brian Hanks (08:10) Because I guarantee you, nine out of ten of those dentists, they already own their practice. They're not bankrupt. They're making more money than you,   Kiera (08:16) Yeah.   Brian Hanks (08:17) and they are killing it. Meanwhile, you're scared to run a practice. And those, if   Kiera (08:22) Mm-hmm.   Brian Hanks (08:22) those jokers can figure it out, you can figure it out.   Kiera (08:26) Totally. Well, and I think also on there like, Brian, let's be real. Is anybody ready to be a business owner? Like I wasn't, I'm sure you weren't.   Brian Hanks (08:31) Nope. Nope.   Kiera (08:33) I think are people ready to be parents? The answer is no. Like nobody feels ready for that. Were you ready when you went into dental school? The answer's no. I think that there's this imposter syndrome that hits us all that we think, like, give me a little more time and I'm gonna get ready. Give me a little more time. And I will say that like the brass taxes, you jump into owning a business and you figure it out. Now, should you listen to some podcasts? Should you do some things? Like for sure.   But   like how many consultants and coaches are there that literally are gonna like grab your hand, walk you through, and make sure you don't make the mistakes? Like how many people like yourself are gonna walk you through buying the practice to where it's an actually great practice? I I think that I think there's more help today. Now, do I think there's a lot of noise and a lot of people that might be like posturing out there saying that they know what they're doing? Yes. So make sure you like vet them a little bit before you go and jump on a bandwagon of somebody, like someone who's been there, done that, done that successfully multiple times is who I'd bet on. But like   We are in such a day and age where there is so much information out there. You need to be a great clinician. We're gonna teach you how to be a great business owner. And as long as you're comfortable realizing that you've got to learn that side of it, that's to me, like if you're a good producer and you're a good human, like go for it. There's dentistry is so fun owning and practice because the sky is the limit. And ultimately there is no cap on what you're able to do, what you're able to produce, how you're able to do it.   And I think that there are very few careers out there, very few job opportunities that really are the sky's limit. Now, remember how I told you about that dentist who bought their own practice. They're now doing like two fifty this year, whatever they're he was making five hundred thousand as an associate. And so this   Brian Hanks (10:06) Yeah. Hi Bart.   Kiera (10:08) is one where like people be like, Well, gosh, like, you know, he went from five hundred thousand and now he's at a two point, I think he's gonna end around two to two point four this year. But like he had a great associateship. And so I think   There is still this just like uncanny, unnatural desire that you want to just own, you want to build. And I think dentistry is also if I look at like banks, they lend to dental practices, like almost guaranteed, like they have a they're pretty lucrative with like just shelling money out to your dental practice. And I'm like, if banks are willing to back, you've got to also see that your dental practice, like you have the greatest opportunity of not failing.   of any business venture you're going to do. Why is private equity coming in strong? Because they know dental practices are almost bulletproof of an investment to have. So when I look at all those reasons, I agree with you, Brian. People don't feel like they're ready, but I'm like, you're never gonna feel ready. But you have so many things stacking in your favor to help you be successful.   Brian Hanks (11:03) At the beginning of that, I   I don't I don't want people to miss that. If they missed the wisdom that Kiera just shared at the beginning of that, as she said, yeah, you use parenting. I think you use business ownership as some advice. Like I I just want to repeat what you said because it's so important. Dentistry is not like, I don't know, Kiera, scuba diving, right? If you go get scuba certified, you like practice in the pool. And then they like make you, you know, they learn, you know, you you learn taking the regulator out of your mouth and putting it back in and all that. And I imagine like dentists think   ownership, like there's gonna be some course I can take that's gonna prepare me for ownership kinda like scuba certification. That's like you gotta help me come up with   Kiera (11:38) Yeah.   Brian Hanks (11:39) a better example, but it's not it's not true. It's like parenting,   Kiera (11:42) I got you.   Brian Hanks (11:42) it's like marriage. It's like I don't know, business ownership, whatever it is. Like the the thing that prepares you for it is just doing it. Just just   try it out.   Kiera (11:50) Mm-hmm.   Brian Hanks (11:50) Yep.   Kiera (11:51) Well, and I think Brian, to that point, like the analogy is I think people think business ownership is a skill that can be learned in a one, two, three step versus like marriage, relationships, child, like being parents, business ownership. It's an evolution of soul and it's a it's a creating of who you are. It is not a skill. Like there are skill points to it, like learning to read a p PL, learning how what profitability is.   But business ownership in and of itself, I had a friend she's like, Kiera, you have to have kids. Like it will strip you down to your core and it will like show things to you that you've never had. And I said, Have you ever been a business owner? Cause I'll tell you that I'm pretty confident. I've got a lot of that stripping over here that's like breaking me down to my utter like most. But I think we think business ownership and running a practice, I'm not here to say that there's not like tactical pieces and we've broken it down. Like our team actually just went through this something. I'm like, there's really like   10 things that you need as systems that are really gonna make or break it. And you gotta know a couple of like core foundations and you got to know your numbers. Like beyond that, that's kind of your checklist. But to your point of like scuba diving or cooking or whatever, it's not this like checklist skill that you're going to have. And so I think, like you said, you're gonna look for this course. But I'm like, the course is life, the course is doing it, the course is going through it. And I think you've got to have the confidence of are you confident in you that no matter what comes your way, you're gonna be able to figure it out. And if so, business ownership is there for you.   And I would give more confidence to you than you give yourself. I've watched a lot of students. I worked at Midwestern. To your point of those 10 students, there was probably like 50 of them. Sorry, Midwestern grads, I was not letting any of you touch my mouth. Like genuinely, you needed a few years to practice and I'm not your practicey. But like I think I think you're more equipped than you give yourself credit for. Just like you're more equipped for life than you give yourself credit for. And I think business ownership is the same.   Brian Hanks (13:31) So Kiera, let's break down some of those numbers. by the way, better   analogy for business ownership is like health. Do you remember the first time by the way? if you're listening to this, it's pretty obvious if you're watching, but if you're listening, Kiera's in a lot better shape than me. But if if Kiera, I don't know if you had this moment. I I did when I was like 21, 22, that I realized at the I was at the gym, I was like lifting some weights, and I realized, I'll never be done with this. Like you're never done with health. So I think business ownership is a lot like.   Kiera (13:59) I do remember my moment   of that. Mine was   Brian Hanks (14:01) Yeah.   Kiera (14:03) not at the gym, Brian. Mine was actually in Bali, like a little flex there. I remember because   Brian Hanks (14:07) There you go.   Kiera (14:07) I was like having a lot of like knee and hip pain. And I was like, okay, I just have to like work out and then eventually this is gonna get better. And I remember I was walking down to the pool overlooking the ocean. I was like, I'm never gonna be done. Like this is my forever. Like I'm not like I used to just work out to be like skinny and fit. And now I'm like, no, you gotta do this so you don't freaking hurt and you can actually walk and get out of bed. Like it's never gonna end. And   I   sat there and read a book, quite depressed. And then I was like, okay, like this is what it you're right. It's it's a constant evolution of soul. You're never done parenting, you're never done in a relationship. Like you don't hit this, like, check the box, we've got a golden thing. It is a forever perpetual. But I also think that that's what drives dentists to go into that because they are of this obsession of wanting to be the best of the best. You want to get a better prep. You want to get a better crown crop. You go to CE, you're CE junkies out there. Like, this is just another level of obsession.   Of a space that's going to evolve you as a human and it's gonna allow you to grow. So yeah, thanks. That was that was a great that was a great analogy, Brian. Good good call on that one.   Brian Hanks (15:02) Yeah. Yeah, the the   the negative of the health analogy is that you're never done, but the positive is you can break it down. Like you can learn how to do certain lifts a little better. You can learn how to macro track. You can learn diet and exercise.   Kiera (15:14) So you're right, Brian. Like that was a solid call out on the health analogy. Like this is what people are obsessed about, but they want to have that evolution of soul. They want to like I think that that's why dentists are drawn to ownership, but I think they're just afraid. But I'm like, we're also afraid to work out. We're afraid to have kids. We're afraid like, so don't let fear hold you back. I think it's just a like, I don't know. It doesn't be like Nike, just do it, guys. Like that sounds like terrible business advice on my side.   Brian Hanks (15:37) Well just do it and but remember   remember how good you weren't at at all the clinical stuff that you're really   Kiera (15:44) Mm-hmm.   Brian Hanks (15:44) good at now, right? So dentists, the the superpower that most dentists have is that attention to detail, like the obsession over the details and and the the minutiae. And and as a patient, like I gotta go to filling next week, and as a patient, I want my sister thinking about all of the all of the little details, right? and   Kiera (16:04) Mm-hmm.   Brian Hanks (16:04) that superpower is real.   And I want the density like lean into it. If you're listening to this and that evolution of soul that that Kiera's talking about, part of that evolution for you is just remembering that that superpower that you have comes like there's another side to that coin. It comes with a downside. And the downside is the overthinking when you're not.   You know you're not that good at a thing. And if you know you're not that good at finding a dental practice to buy, analyzing a dental practice to buy, actually buying that practice, applying for a loan, like talking to lawyers, all those things, your brain is gonna start to spin a little bit. And j but but but here's the good news: your brain spun a thousand times already. Remember that first time they opened up the little mannequin to like practice, like prepping a crown or something, and you were like, How do I even do this? Right.   Kiera (16:49) Dexter, their little type   it on.   Brian Hanks (16:51) Yeah, like seriously, like you figure this out. You like and if the dentists that I deal with they're the smartest people on the planet, they're awesome. And and so if you can figure that stuff out,   Kiera (17:02) Mm-hmm.   Brian Hanks (17:02) my gosh, like first of all, hire somebody else like you to just be amazing for you in all the areas that you aren't amazing, and just remember that it doesn't this isn't rocket science. yeah, so you can figure this stuff out.   Kiera (17:14) Mm-hmm.   Brian Hanks (17:14) But okay, so speaking of minutia, speaking of details, I gave you the hundred and fifty one thousand dollar number.   Okay, here I did some math. I'm an accountant. I I know I know spreadsheets.   Kiera (17:22) Yeah.   Brian Hanks (17:24) I know how to do like compound interest and some those things. Here's what I did is I just is I said, what's the cost? Okay, if dentists aren't feeling ready, they want to feel like they have their student loans under control, which is smart, right? I'm a financial planner. Yeah, don't get yourself over your skis in debt. That's great. But like, how much is it gonna cost if you're the statistic?   Right. And the statistic is you're you, listener, right now, if you're not a practice owner, are waiting five years longer to own a practice. How much does that five years cost you? Right. And if you do the math, and I did the math at like a 38-year-old dentist versus a 33-year-old dentist. And I assumed that they actually retired at age, both retired at age 60. Okay. So like different lengths of associate part of your career and owner part of your career.   with compound interest, assuming 7% and some of those other variables that I put in there, it was a $1.14 million difference between those two numbers. So don't forget that while you're busy like taking care of your student loans so you can feel ready to buy a practice, it's costing you an enormous amount of money. And Kiera, I would just add, and I'm curious if you can think of any others, I would say the compound.   the compound effect that I'm talking about is not just money, although money is a big part of it. I think the compound effect applies to other things. Like how many more times and at bats would you have for treatment planning, for managing that difficult assistant, teaching someone how to answer the phones better, hiring, firing. Like there's a compound effect on all of those behavioral things too and and it's gonna cost you some money. So any thoughts on that?   Kiera (19:04) Mm-hmm.   Yeah, I think it's a I I was fascinated. I'm so glad that you went into the 1.1 because we had talked about that pre-show and I was just very fascinated of like, my gosh, like that's so much for people. That's so many things. Like there's a financial dollar amount, which I love because I think dentists really do. Like that's an easy one for me to be like, gosh, like me delaying this decision can cost me that much. But I think like there's also you still have to go through the   growth of learning to run a business. So not only is there a financial delay, but there's also the growth of you getting good at running a business and having it profitable and being able to make this thing run longer. And then you have more opportunities like I think about yourself. And the longer you're able to build this practice and like maybe do multiple like there's to me that's like such a it's fascinating. And I think I think the the call to today is there are some people that definitely are meant to be owners and there's some that aren't.   but I think if you have that itch, that scratch, I would really ask yourself, like, what truly are you waiting for? And when are you going to know that you're actually ready? Like you're never going to feel ready to have a child. You're like, I need to get these ducks in a row. Well, those ducks get in a row and then you got seven more ducks that come behind that you're like, I need get those in a row. So to me it'd be if I'm really wanting to buy a practice, what things do I need to have? Cl schedule a call with Brian. Like, I think Brian, this is why we put you on the podcast. I think you're fantastic. You don't put people into weird zones. you're very much like   If that dentist is producing and you don't do those skills and you don't do those type of procedures, don't buy that practice. Like you're not, you're gonna be broke. You're very, very pro making sure people feel confident and that they're able to buy it. And I think it's like buying a home. I remember when I first like went and talked to somebody about buying a home, I had no freaking clue and I wish I would have known more. But like until you start having the conversations, I think it can feel more daunting than it actually is. Then from there, like listen to the podcast, start listening to there's our podcast, there's other podcasts out there, start reading up on how to buy a practice.   But I think to me, there is like two parts to it. One is finding the right practice. Like what you buy, and I say like eyes wide open when you're looking in, and then rosy glasses as soon as you sign on that dotted line, and you're gonna see a lot and you're just gonna deal with it. From there, make sure you got somebody really solid in your corner. Like our practices, as soon as they buy, we take them on. I try to get them two to three months before they close. I wanna make sure we're getting things in. If you don't close on time or things happen, no problem. We're gonna pause you, get your practice in place. Like it's happened twice in hundreds of offices we've helped.   But then, like from there, just have somebody in your corner, somebody who's gonna help you grow in your first year. Most practices are seeing like a 10 to 30% increase in their first year. So if I'm buying a one million dollar practice, that's a hundred to three hundred thousand dollar uptick just by having somebody in the corner. That's very conservative. A million dollar practice, like we are usually growing those exponentially. But like you don't have to stress and freak out. Hey, I'm pinned.   Brian Hanks (21:45) Yep. By the way, I I d pin put a pin, put a pin, Kiera. You you gotta you gotta underline that. Yeah.   That's like underline that, underline it. Like keep going, keep going. I I'm throwing you off. I'm interrupting you, but like I will tell you the   Kiera (21:59) Yeah.   Brian Hanks (21:59) average buyer I talk to on the phone is so scared of patient attrition. They're like, Kiera, like   I'm gonna have 10%, 20%. What if 50% of the patients don't show up? Listen, that's a real fear. By the way, I want you to have that   Kiera (22:10) Right. Mm-hmm.   Brian Hanks (22:12) fear when you're like doing the margin on my crown, right? Like again, it's your superpower dentist,   Kiera (22:16) Mm-hmm.   Brian Hanks (22:17) but like my stats show exactly the same thing, Kiera is saying I have data to support what Kiera is saying that the average   Kiera (22:22) Mm-hmm.   Brian Hanks (22:24) dentist doesn't they have a negative attrition, which is just two negatives, right? So it's a positive. They the average buyer has more enthusiasm, they've got some more energy, they're gonna update the website, they're gonna maybe get rid of.   That one employee that everybody kind of knew probably s needed to go. And suddenly the practice is just gonna it's gonna take off. Ten to thirty percent. That's yeah, right in line with what I'm seeing. That's awesome. So sorry, I I'm interrupting you, keep going.   Kiera (22:47) Mm-hmm. And I think, no, y you are always this is a conversation. It's not like a dictation. So we're like this is real life rift here. I just think people like when you look at it, I think you're more capable than you think you are. I know that you can get the skills, you can figure it out. Like you said, I'm always like, okay, play the what ifs, lose 50% of your patients. Great. Well, we're gonna take those 50%. And there's ways you can actually grow a practice without even needing to have more new patients.   So   we're gonna maximize all those, we're gonna optimize them. You're going to pull in more people. Like it is one of those things that I'm like, I have yet to have a practice go bankrupt. So knock on wood, like you can be my first challenge accepted. Like I feel very confident that I'm not like, unless you completely botch it and you go into malpractice, like we're probably gonna be just fine. So odds of it happening, so minimal. Are you gonna be a little stressed out? Yeah. Like, welcome to business ownership, but you're also looking for growth, and that's why you're being called to this moment. Like   It will not go away. That itch will not go away until you scratch it. And scratching it, and I love that you said like they're waiting five years and that's a $1.1 million minimum. There's so many other pieces to it. So I think I think a lot of dentists like to have facts. I think a lot of dentists like to have that decision make logical sense. And then we back it up with emotional reasons. And I think it's a wise way to make decisions. But I I would just say if you're even remotely curious, like start going down the path. I know when I was going to buy a house.   I needed to go find out, like, I don't know about lenders, I didn't know about interest rates. I did and until you get into it, just like you wanted to be a dentist, but until you got into it and you started working on that type it on and you learned about dropping the box and like waxing it up and working on Dexter and then taking x-rays, like you didn't know it. And I think most of the time the fear comes from the lack of knowing. I will also say, and I've seen this a lot, Brian, a lot of dentists feel like because I'm a doctor and I'm a dentist, if I buy a practice, I should know how to run a practice. And   Brian Hanks (24:38) And   Kiera (24:38) I just want to like   Scratch that out. I want to tell you that that's not true. But I know a lot of you come in feeling like but Kiera, I'm a dentist, or Brad, I'm a dentist, like I'm a doctor, like people expect me to know this. And I want to say you think people expect you to know that, but the reality is you don't. You just need to be scrappy enough to figure it out. No one's expecting you to know anything. Honestly, you probably know way more than you think you do already. But I I want to just cut that because I know a lot of you have perfectionism like fear of being exposed that you're not that great.   Except that you don't know how to run a business just like you didn't know how to prep a crown, but you learned that and you're gonna learn how to do a business and you're gonna do it exponentially well because you are so detail oriented and you're gonna hire a great team around you, hire great coaches around you that you're literally like it's impossible for you to fail. And so I think Brian, like kudos on it, kudos on the stats, any other thoughts that you have around people and like how do they get to the nitty-gritty of actually going through   Brian Hanks (25:26) Let's get some yeah. I'll hit I'll hit you with more stats. Yeah.   Kiera (25:31) that.   Brian Hanks (25:32) Some more facts for dentists. You and you mentioned the failure rate. What is the actual failure rate in dentistry? It's it's 0.14% of dentists go bankrupt. Okay. And it's always, always, always one   Kiera (25:43) Incredible.   Brian Hanks (25:43) of three things. It's drugs, divorce, and then jail. You know, some kind of felony that doesn't have anything to do with practice. so you stay away from those   Kiera (25:51) Yep.   Brian Hanks (25:52) three things and you're guaranteed not to go bankrupt.   And it so what do dentists actually need to buy practice? We've done a good job of pumping people up, given the rah-rah speech. What do you actually need? You need five things, okay? and I almost guarantee you, unless you're in dental school right now, listening to this, you have the five right now. All right. almost guaranteed. and I'll go from hardest to easiest, Kiera. Okay. Hardest for people to get is you need 50k   Kiera (26:18) Okay.   Brian Hanks (26:19) cash. You need some cash. 50k is your magic number.   Has to be liquid. It's gotta be in a checking   Kiera (26:24) Mm-hmm.   Brian Hanks (26:24) savings money market account. Can't be in an IRA or home equity or something like that. but you need that money to show the bank that you're responsible. And by the way, you don't actually hand that money over to the bank. You keep it. Yeah, the bank just wants to see that you have some money to see that you're responsible.   Kiera (26:39) Mm.   Brian Hanks (26:40) And if you know COVID shuts us down again, can you still pay the bank the bank back a few months? All right. So most people have that.   Kiera (26:46) Mm-hmm, mm-hmm.   Brian Hanks (26:47) They've got fifty K or access to fifty K. That's like a side thing we could talk about.   Kiera (26:51) Totally.   Brian Hanks (26:52) Yep.   Kiera (26:52) Mm-hmm.   Brian Hanks (26:53) you need production history. You got to be able to do about 80% of the production of what a seller could do. So million-dollar GP practice, let's say 250 of that Kiera is hygiene, means the doctor was doing 750k a year in production. that means you as an associate need to do about 600   a year   Kiera (27:12) Mm-hmm.   Brian Hanks (27:12) to buy a million-dollar practice. Okay. Most associates listening, you know, public health, military, there are some special exceptions where we need to learn how to count.   procedures and things   Kiera (27:22) Mm-hmm.   Brian Hanks (27:23) like that. But most associates, they can do 600 to buy a million dollar practice. Okay, the 80%. most dentists don't have any problem with numbers threes and four, number three and four. Number three is you got to have a credit score over 680. It's pretty low. And it's a green light, red light. 681 credit score gets you the same interest rate as an 820. And and then you need a clean credit history is number four. And so no bankruptcies, no short sales, or a really good story.   Behind a bankruptcy or short sale. And then you need one year of experience out of dental school or a residency program. GPR, AEGD, specialty program, whatever it is. If you're in a residency program, you could buy a practice the day you get out of your residency. So that's it. And so technically, Kiera, you need number six. Number six is you need a practice to buy. And I'll be I'll be really blunt with people, that's the   Kiera (28:17) Mm-hmm.   Brian Hanks (28:17) hardest step.   Finding a good practice to buy is the hardest thing because everybody   Kiera (28:21) I agree.   Brian Hanks (28:22) wants to look for the practice in their pajamas. They think it's like buying a house. Like I'm gonna go on the MLS and I'm gonna look   Kiera (28:28) Mm-hmm.   Brian Hanks (28:28) for a dental practice. There is no such thing as the DLS, there's no dental listing service. And so if you're in your pajamas looking for a practice to buy, it's   Kiera (28:34) Mm-hmm.   Brian Hanks (28:36) not there. Sometimes it is, which is why people do it, but it's almost certainly not there, especially in the city you want to live right now. and so we'll have a podcast episode about how to   Find a practice well. But the sh here's the short version is you go talk to dentists. Build a network of dentists that know like and trust you. That's the   Six things and and most associates have And so attitude, like don't let us stop you, don't be scared. Like we did the like pump you up version of the speech. And here's the facts to back that up, is it's not actually that hard. Like with those six things, banks will not only give you a hundred percent of the purchase price, they'll give you a hundred percent of the purchase price, and then they'll hand you another seventy-five K in cash just to make sure you don't run out of money on the first day. Sometimes it's a hundred K. I've seen d banks give two hundred thousand dollars in cash.   Kiera (29:21) Mm-hmm.   Brian Hanks (29:21) before they even walk through the doors with you know the key in hand as an owner. So it's awesome. If if you're thinking about ownership and nine out of ten dentists are at some point in their career, it's it's really not it's not it's simple. It's not necessarily easy, but it's simple.   Kiera (29:41) Yeah. And Brian, even on the I've been talking to the Bank of America guys, and they were like, we even give like thirty to forty thousand to a new startup practice for consulting fees in addition to our working capital because   Brian Hanks (29:52) Yeah.   Kiera (29:53) we know that it's also going to help grow them. So there's so many pieces, and I think you've just listed off like really, I agree, like finding the practice and like sending out the postcards, getting to know the network, finding the dentist, like the practice that actually works for you, finding a seller that wants to sell for the price that you want.   I agree with you 100%. That is the hardest part. But I think Brian, you did an incredible job of breaking this down from the like, okay, you're probably gonna do it. Nine out of ten is do buy that. What are the exact steps that I need to take for this? And then I agree with you. Like, absolutely a follow-up podcast on like how to actually find a practice. But Brian, I'm curious if people are interested, like they want to start connecting and like this is what you do. And I know you guys are really generous with your time. How do people connect in with you to like even start the process? Like, again, I feel like curiosity.   Is the best place to be. Like let's just ask the questions. Let's figure it out. So Brian, how do people get connected in with you?   Brian Hanks (30:41) Pop over to Amazon, type in How To Buy A Dental Practice. That's the book. if you want, by the way, if you want a cheaper copy, you can go to the website. The website is DentalBuyerAdvocates.com. I'm happy to ship it to you like as a publisher copy, no strings attached. but yeah, just pop over to Amazon, DentalBuyerAdvocates.com. Care if people want to email me directly. I always offer this. And it's so fascinating to me how few people actually take me up on it. I would be more than happy to have a half an hour conversation with whoever you are, free of charge.   Send me an email, Brian@BrianHanks.com. It's B-R-I-A-N and Hanks like Tom Hanks. So yeah, that's how you get a hold of me.   Kiera (31:20) Amazing.   Well, Brian, thank you for breaking this down and for all of you listening. I hope that today was just a really insightful podcast for you. I hope it gave you the facts to back it up. I hope it gave you the emotional piece. I hope it gave you kind of the like step by step by step of how to get there. I'm so grateful for Brian being here. Everybody connect in with him. And for all of you listening, thank you for listening and I'll catch you next time on the Dental A Team Podcast.  

Sources:https://substack.com/@returntotradition1Contact Me:Email: return2catholictradition@gmail.comSupport My Work:Patreonhttps://www.patreon.com/AnthonyStineSubscribeStarhttps://www.subscribestar.net/return-to-traditionBuy Me A Coffeehttps://www.buymeacoffee.com/AnthonyStinePhysical Mail:Anthony StinePO Box 3048Shawnee, OK74802Follow me on the following social media:https://www.facebook.com/ReturnToCatholicTradition/https://twitter.com/pontificatormax+JMJ+#popeleoXIV #catholicism #catholicchurch #catholicprophecy#infiltration

In this episode, Dr. Gladden speaks with Dr. Hany Demian about the shift from reactive medicine to prevention, personalization, and longevity-focused care. Dr. Hany shares how his journey through breast surgery, emergency medicine, and chronic pain management led him to a more systems-based approach to health, aging, and healing. They discuss why aging may be better understood as a condition, how patient empowerment changes outcomes, and why nervous system regulation, stress reduction, and individualized care matter as much as diagnostics and therapies. For Audience Join the other 20,000+ high-performers getting weekly insights on biological reversal, exponential strategies, and Life Energy optimization→ https://start.gladdenlongevity.com/subscribe If you're ready to measure your 60+ biological ages and build a personalized reversal plan, apply for a discovery call here → https://start.gladdenlongevity.com/apply-now   Use code 'Podcast10' to get 10% OFF on any of our supplements at https://gladdenlongevityshop.com/!    Takeaways ·       Dr. Hany says many chronic conditions are the result of biology drifting over time, not just isolated bad luck ·       He emphasizes that healthy patients are rarely rewarded in the current billing system ·       His approach is to assess where a patient's biology is now and how far it has diverged from a healthier baseline ·       Lifestyle foundations like sleep, nutrition, exercise, and supplements are treated as the first levers ·       Dr. Hany believes aging should be classified as a diagnosable, measurable condition ·       He points to hallmarks of aging, mitochondrial dysfunction, and epigenetic disruption as actionable signals ·       The conversation frames aging as something that can potentially be slowed, prevented, or reversed ·       Dr. Gladden discusses the limits of siloed, specialty-based care and linear thinking in medicine ·       Both speakers favor a systems biology model that looks at the whole person ·       The idea is to find not just the root cause, but the root cause of the root cause ·       Dr. Hany says the longevity field can become overly commercialized and supplement-heavy ·       He prefers a science-based, selective approach rather than flooding patients with interventions ·       The goal is to help the body restore itself with the right support ·       He describes building AI tools that track patients through wearables 24/7 ·       His team combines genetic testing, ongoing data collection, and clinical interpretation ·       The aim is to predict future health trajectories and intervene earlier ·       Dr. Hany explains that not everyone is a fit for a longevity program ·       Patients must qualify, understand the plan, and commit to the process ·       He sees the best outcomes when patients become active partners in their care ·       Dr. Gladden emphasizes that the nervous system shapes aging, inflammation, cognition, and resilience ·       The episode explores parasympathetic versus sympathetic states and the value of flow over chronic stress ·       Both speakers agree that unresolved trauma and emotional strain affect physical health ·       Dr. Gladden shares how forgiveness can reduce psychic strain and support healing ·       Dr. Hany reflects on the difference between being successful and feeling fulfilled ·       They both highlight service, courage, and purpose as central to a meaningful life   Chapters 00:00 - Welcome and the shift from reactive to preventive medicine 01:11 - Breast cancer, family motivation, and the limits of surgery 03:56 - Why personalized medicine starts with biology, not billing 05:24 - Sleep, nutrition, exercise, and supplements as prevention tools 06:33 - Aging hallmarks and why aging may be a condition 08:40 - Reductionist medicine versus systems biology 11:23 - Why the longevity field needs standards and science 14:56 - Patient selection, trust, and individualized care plans 16:25 - Patients as partners, not passive recipients 19:54 - Longevity as adding life to years, not just years to life 20:22 - Stem cells, MSCs, peptides, exosomes, and plasma exchange 21:50 - Brain health, heart health, and musculoskeletal care 22:48 - AI, wearables, and real-time patient monitoring 25:20 - Predicting health five, ten, and fifteen years ahead 26:53 - The nervous system, stress, and psycho-spiritual health 30:25 - Teaching people to live from parasympathetic flow 33:24 - Forgiveness, psychic barriers, and emotional healing 35:42 - Why psychological health improves regenerative outcomes 36:22 - Finding purpose after success 39:15 - Success versus fulfillment 41:17 - Small daily acts of generosity as a path to joy To learn more about Dr. Hany Demian:Website: https://drdemian.com/ Instagram: https://www.instagram.com/drhanydemian/ LinkedIn: https://www.linkedin.com/in/hany-demian-md-5b79b659/ YouTube: https://www.youtube.com/@drhanydemain TikTok: https://www.tiktok.com/@dochanydemian Reach out to us at:    Website: https://gladdenlongevity.com/     Facebook: https://www.facebook.com/Gladdenlongevity/    Instagram: https://www.instagram.com/gladdenlongevity/?hl=en     LinkedIn: https://www.linkedin.com/company/gladdenlongevity    YouTube: https://www.youtube.com/channel/UC5_q8nexY4K5ilgFnKm7naw       Gladden Longevity Podcast Disclosures Production & Independence The Gladden Longevity Podcast and Age Hackers are produced by Gladden Longevity Podcast, which operates independently from Dr. Jeffrey Gladden's clinical practice and research at Gladden Longevity in Irving, Texas. Dr. Gladden may serve as a founder, advisor, or investor in select health, wellness, or longevity-related ventures. These may occasionally be referenced in podcast discussions when relevant to educational topics. Any such mentions are for informational purposes only and do not constitute endorsements. Medical Disclaimer The Gladden Longevity Podcast is intended for educational and informational purposes only. It does not constitute the practice of medicine, nursing, or other professional healthcare services — including the giving of medical advice — and no doctor–patient relationship is formed through this podcast or its associated content. The information shared on this podcast, including opinions, research discussions, and referenced materials, is not intended to replace or serve as a substitute for professional medical advice, diagnosis, or treatment. Listeners should not disregard or delay seeking medical advice for any condition they may have. Always seek the guidance of a qualified healthcare professional regarding any questions or concerns about your health, medical conditions, or treatment options. Use of information from this podcast and any linked materials is at the listener's own risk. Podcast Guest Disclosures Guests on the Gladden Longevity Podcast may hold financial interests, advisory roles, or ownership stakes in companies, products, or services discussed during their appearance. The views expressed by guests are their own and do not necessarily reflect the opinions or positions of Gladden Longevity, Dr. Jeffrey Gladden, or the production team. Sponsorships & Affiliate Disclosures To support the creation of high-quality educational content, the Gladden Longevity Podcast may include paid sponsorships or affiliate partnerships. Any such partnerships will be clearly identified during episodes or noted in the accompanying show notes. We may receive compensation through affiliate links or sponsorship agreements when products or services are mentioned on the show. However, these partnerships do not influence the opinions, recommendations, or clinical integrity of the information presented. Additional Note on Content Integrity All content is carefully curated to align with our mission of promoting science-based, ethical, and responsible approaches to health, wellness, and longevity. We strive to maintain the highest standards of transparency and educational value in all our communications.

In this episode of the Ecomm Breakthrough Podcast, host Josh Hadley, an ecommerce entrepreneur with over $20 million in annual revenue, delivers a comprehensive guide to building a true brand. He argues that most ecommerce sellers operate transactional "product acquisition machines" rather than genuine brands. Josh presents a 16-step framework across three phases: defining your brand identity, expressing it consistently, and compounding trust over time. He emphasizes that real brands drive customer loyalty, premium pricing, and long-term competitive advantage—ultimately shifting entrepreneurs from chasing short-term sales metrics toward building sustainable, generational business value.Bullet Points:Importance of branding for ecommerce businessesDifferences between building a brand and running a product acquisition or arbitrage businessChallenges faced by ecommerce sellers, such as increasing conversion rates and reducing customer acquisition costsThe misconception that having a trademark or storefront equates to having a brandCharacteristics of a true brand versus a product acquisition machineA comprehensive 16-step framework for building a brandPhases of brand development: defining, expressing, and compounding the brandStrategies for creating a recognizable brand identity and customer experienceThe significance of customer journey mapping and brand loyaltyMetrics and practices for sustaining brand equity and protecting brand integrityTimestamps:00:00:00 The Power of BrandingThe host lists eight benefits of strong branding, such as higher conversion rates, repeat purchases, and lower acquisition costs.00:01:01 What is Branding?The host introduces the topic of branding and a 16-step framework for building a brand for your e-commerce business.00:02:11 Custom GPT and ResourcesThe host mentions a custom GPT and slides available to help listeners implement the 16-step framework discussed in the episode.00:03:11 Host IntroductionJosh Hadley introduces himself, his e-commerce experience, and his podcast, E-com Breakthrough, for e-commerce entrepreneurs.00:04:12 Brand vs. Product Acquisition MachineThe host differentiates between building a true brand and simply operating a product acquisition or arbitrage business, common on Amazon.00:07:06 What a Brand IsA brand builds trust, optimizes for customer retention, focuses on long-term growth, and is difficult for competitors to copy.00:10:53 How Brands CompoundThe host explains how brands create a compounding effect through customer trust, repeat purchases, word-of-mouth, and easier product launches.00:12:43 The 16-Step Brand Framework IntroductionAn overview of the three phases of the branding framework: defining the brand, expressing it, and compounding its value.00:13:43 Step 1: Choose Your Primary CustomerA strong brand serves a niche customer. Defining this avatar makes all other branding decisions much easier.00:17:40 Step 2: Choose the Outcome You OwnCustomers buy products to achieve an aspirational identity. Brands must own the outcome their product provides, not just the product.00:23:48 Step 3: Choose Your AssociationsA brand is built by repeatedly connecting your company to a small number of desirable ideas, words, or phrases.00:26:54 Step 4: Write the Brand PromiseCombine your customer, outcome, and approach into a clear internal statement that serves as a decision-making tool for your business.00:28:02 Step 5: Define What the Brand Is NotBrands become clearer through exclusion. Deciding what your brand refuses to be is as important as defining what it is.00:30:06 Step 6: Choose Your Hero ProductYour hero product is the clear entry point that teaches customers what your company means and establishes your brand's identity.00:33:05 Step 7: Make the Product RemarkableThe product experience earns the second purchase. A remarkable product builds durable trust and generates powerful word-of-mouth marketing.00:34:25 Step 8: Create a Recognizable Brand IdentityDefine your brand's personality through one of three models: founder-led, a brand character, or a design-led identity.00:39:34 Step 9: Build a Distinctive Visual and Verbal WorldDesign makes your brand's meaning easier to recognize. Your brand should be identifiable even without its logo.00:40:26 Step 10: Audit the Current Customer ExperienceEvery customer encounter either reinforces or contradicts your brand promise. Audit all touchpoints, from packaging to social media.00:47:34 Step 11: Reinforce Through Trusted AssociationsBorrow trust by deliberately pairing your brand with people, organizations, or communities that already represent your brand's core values.01:02:29 Step 12: Repeat the Same Meaning ConsistentlyBrands are built through consistent repetition. While campaigns can change, the core meaning and message must remain recognizable over time.01:05:36 Step 13: Build the Next Purchase into the BrandMap the customer journey to create a logical product ecosystem that guides customers from one purchase to the next.01:08:23 Step 14: Align Every Customer TouchpointThe brand is the total experience. Ensure every interaction, from advertising to customer support, reinforces your brand promise without contradiction.01:13:36 Step 15: Run a Monthly Brand ReviewConduct a monthly review to prevent brand drift, track key metrics, and ensure all activities align with your brand strategy.01:21:16 Step 16: Protect and Compound the MeaningBrand building is ongoing. Use a brand extension test before launching new products to ensure they reinforce your core meaning.01:24:41 Final Thoughts and Call to ActionThe host summarizes the framework, offers a custom GPT and slides, and asks listeners to share and review the podcast.Links and Mentions:Tools and Resources  "Custom GPT for Brand Building": "00:02:11"  "Ecomm Breakthrough YouTube Channel": "00:09:58"  Notable Concepts and Frameworks  "16-Step Framework for Branding": "00:12:43"  Brands and Examples Mentioned  "Boom Beauty": "00:14:45"  "AG1": "00:15:46"  "Liquid Death": "00:16:39"  "Patagonia": "00:22:41"  "Rolex": "00:22:41"  "Apple": "00:22:41"  Videos and Content  "

Lead Time was asked to remove our recent conversation with Casey Salminen concerning Concordia University Ann Arbor. We have done so.In this personal response, Tim Ahlman addresses the decision, acknowledges what he does and does not know, and reflects on the sadness of conflict and litigation among fellow Christians. He emphasizes that the story of CUAA is complex, that no one should be reduced to either hero or villain, and that he continues to pray for Concordia University Wisconsin and Ann Arbor, their leaders, and everyone affected.But this response is also about something larger: Should difficult matters within the church be discussed publicly? Tim explains why Lead Time has sought to elevate the voices of pastors, commissioned workers, and lay leaders—even when their stories are uncomfortable. ⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️⬇️Care about the future of the LCMS?Join the LCMS Current! (LCMS Current Events Newsletter)⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️⬆️To learn more, visit uniteleadership.org

With thousands of Idaho kids lacking access to after-school programs, one Boise nonprofit is creating a place where teens can find support.

“Every single child deserves a foundation. Every child deserves to know there’s someone there rooting them on, and every child deserves to know what it feels like to be loved unconditionally.” — Rob Scheer Episode 74: Comfort and Care What happens when a child enters foster care carrying everything they own in a trash bag? For Rob Scheer, it is more than a heartbreaking image. It is a reality he lived. In this powerful episode of Fostering Conversations, host Amy Smith sits down with foster care advocate, author, and Comfort Cases founder Rob Scheer to discuss his journey from foster youth and homelessness to becoming a nationally recognized champion for children in care. Together, they explore the urgent need for dignity, support, and community in the foster care system. Key Takeaways Children in Foster Care Need More Than a Place to Stay A new placement can be frightening and uncertain. Something as simple as pajamas, a blanket, toiletries, and a stuffed animal can help a child feel seen, valued, and cared for on one of the hardest nights of their life. Dignity Matters Rob Scheer founded Comfort Cases after seeing firsthand how foster youth were still carrying their belongings in trash bags. Today, the organization provides backpacks, duffel bags, essential items, mentorship opportunities, and scholarships to young people in care. A Forever Family Can Come at Any Age One of the most touching moments of the episode is the story of Alex, a foster youth who aged out of care but eventually found permanence through adult adoption into the Scheer family. Healing Often Begins with Forgiveness Rob Scheer candidly shares his struggles with addiction, suicide attempts, and the difficult process of forgiving his parents. His story is a reminder that healing is not linear, but hope is always possible. Support for Youth Aging Out of Foster Care Comfort Cases offers: Scholarships for trade schools, colleges, and continuing education Mentorship opportunities Support resources for foster youth and young adults Comfort Cases and Comfort XL duffel bags for children entering care Connect With Comfort Cases and Utah Foster Care Learn more about foster care, adoption, and ways to support children and families in your community: Visit Comfort Cases to learn more. https://utahfostercare.org

When Caring for Someone With Dementia Means Learning to Care for Yourself TooAlzheimer's disease and other forms of dementia don't just change the life of the person diagnosed—they can transform the lives of everyone who loves and cares for them.In this powerful episode of The Raw Vibe Podcast, Chuck Tuck sits down with James Sylvan Russell and Carol Hosler for an honest and deeply personal conversation about Alzheimer's, dementia caregiving, family, love, loss, resilience, and the importance of supporting the caregiver as much as the person receiving care.James shares his firsthand experience caring for a loved one with dementia and the lessons he learned about the emotional and practical challenges caregivers face. We explore the loneliness, stress, exhaustion, and uncertainty that can accompany dementia caregiving—and why caregivers need their own support system to avoid becoming isolated and overwhelmed.A central part of our conversation is the four pillars of a Love Team: Care, Prepare, Share, and Repair.These four principles offer a practical framework for building a community around someone living with Alzheimer's or another form of dementia while also giving the primary caregiver the support they desperately need.CARE — Commit to being present and providing meaningful support.PREPARE — Learn how to connect with someone living with dementia through memories, music, stories, photographs, familiar objects, and meaningful experiences.SHARE — Communicate with other members of the support team, share experiences, celebrate successes, and learn from challenges.REPAIR — Recognize when something isn't working, adapt, try new approaches, and continually improve the caregiving experience.Carol and Jim also share their deeply personal journey of love, caregiving, loss, and finding meaning through one of life's most difficult chapters.This conversation is about much more than Alzheimer's or dementia. It's about human connection, compassion, community, and the understanding that no caregiver should have to do this alone.Whether you are caring for a parent, spouse, partner, family member, or friend living with dementia—or know someone who is—this episode offers hope, perspective, and practical ideas for creating a stronger support network.

How can schools move beyond reacting to harm and instead create the conditions that help prevent it? A continuation of the conversation started in the episode, The Sustainability Myth: What Schools Get Wrong About Restorative Practices, host Claire de Mézerville López welcomes back Lan Nguyen and Jennifer Vermillion of the San Diego County Office of Education to explore how restorative practices can interrupt the school-to-prison nexus through systems change, collaboration, and relationship-centered leadership.  Together, they challenge traditional approaches to discipline and examine why keeping young people out of the justice system requires more than school-based interventions. From engaging families and community organizations to ensuring restorative processes are accessible to all students, the conversation highlights the importance of expanding who has a voice and who has a seat at the table. Lan and Jennifer also discuss one of the greatest barriers to sustainable implementation: expecting educators to lead change without first creating the conditions for their own well-being. They argue that lasting transformation begins by investing in adults, fostering belonging, and moving beyond one-time training toward leadership that embodies restorative practices.   Jennifer is a project specialist with the San Diego County Office of Education, providing professional learning and coaching on restorative practices implementation. Before working with the County Office, Jennifer spent 5 years with a non-profit, supporting schools in San Diego with their restorative practices implementation, training, and student leadership initiatives. She provided direct services in addressing conflict issues between students, families, and school staff through a restorative justice model that kept youth out of the justice system. She received her bachelor's degree in psychology and her master's degree in peace and justice studies.  Lan is a futurist, educator, and leader who is passionate about designing and implementing more liberatory ways of engaging, teaching, and leading in schools. In her work, she critiques and examines systems of power, applies participatory and humanizing approaches to systems change, and uses a decolonial lens to understand issues of educational and social inequity. Lan has held diverse roles in K-12 education, supporting local, statewide, and national projects on community engagement and school climate. She currently supports restorative justice practices implementation across San Diego County at the San Diego County Office of Education.  Tune in to hear more practical wisdom for restorative practitioners navigating current social challenges, with more patience, trust, and humility. 

Please visit answersincme.com/GFY860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Vishal A. Patel, MD; and Jonathan S. Zager, MD, FACS, FSSO. In this activity, experts in cutaneous oncology discuss the evolving role of gene expression profiling (GEP) tests in refining risk assessment and supporting individualized, multidisciplinary management strategies for patients with melanoma. Upon completion of this activity, participants should be better able to: Identify the clinical rationale for using GEP tests to stratify the risk of disease progression in patients with cutaneous melanoma; Review the clinical evidence, including guideline-supported data, for GEP tests to stratify disease progression risk in patients with cutaneous melanoma; Formulate multidisciplinary strategies for incorporating the results of GEP tests into risk-based management of patients with cutaneous melanoma; and Outline patient-centered approaches to integrating GEP tests into the management of patients with cutaneous melanoma at risk of metastasis.

Are you waiting for a health crisis before you start taking care of yourself? Chronic disease, stress, poor sleep, back pain, neck pain, inflammation, metabolic health, nervous system health, healthy aging—so many of the things that affect our quality of life develop long before we finally decide to do something about them.This week on Chiropractic Is Sexy, we're having a very different conversation about life, death, life force, Innate Intelligence, and what it really means to live your best life.We don't get to control how long life lasts. But while that life is expressing through us, we have an enormous amount of influence over how we care for the body carrying it.So… what are you putting off?Are you waiting for the right time to exercise?Eat better?Work on your metabolic health?Address chronic pain?Improve your sleep?Get your stress under control?Or maybe you're trying—but you simply don't know where to start, what questions to ask, or what kind of practitioner might actually be able to help you.This isn't about trying to live forever. And doing “all the things” doesn't guarantee that illness won't happen.It's about living the life you have as fully as possible.Move your body. Nourish it. Sleep. Laugh. Love people. Get outside. Take care of your spine. Support your nervous system. Ask better questions about your health. And maybe stop waiting for a crisis to remind you how precious feeling good really is.Care for your nervous system like your life depends on it—because it doesSign up for our newsletter: https://lp.constantcontactpages.com/sl/AwGmSeQ/ChiropracticIsSexyCONNECT w Dr. Ruffin!https://drruffin.com/https://www.instagram.com/drpaularuffin/https://www.facebook.com/drpaularuffinCONNECT w Dr Peabody:https://www.cafeoflifefenton.com/meet-the-doctors/ https://www.instagram.com/drericapeabody/https://www.facebook.com/erica.peabodyDisclaimer: The contents of this video are for informational purposes only and are not intended to be medical advice, diagnosis, or treatment, nor to replace medical care. The information presented herein is accurate and conforms to the available scientific evidence to the best of the author's knowledge as of the time of posting. Always seek the advice of your physician or other qualified health provider with any questions regarding any medical condition. Never disregard professional medical advice or delay seeking it because of information contained in video content by Dr. Paula Ruffin DC and Dr. Erica Peabody DC!

Please visit answersincme.com/GFY860 to participate, download slides and supporting materials, complete the post test, and get a certificate. Presented by Vishal A. Patel, MD; and Jonathan S. Zager, MD, FACS, FSSO. In this activity, experts in cutaneous oncology discuss the evolving role of gene expression profiling (GEP) tests in refining risk assessment and supporting individualized, multidisciplinary management strategies for patients with melanoma. Upon completion of this activity, participants should be better able to: Identify the clinical rationale for using GEP tests to stratify the risk of disease progression in patients with cutaneous melanoma; Review the clinical evidence, including guideline-supported data, for GEP tests to stratify disease progression risk in patients with cutaneous melanoma; Formulate multidisciplinary strategies for incorporating the results of GEP tests into risk-based management of patients with cutaneous melanoma; and Outline patient-centered approaches to integrating GEP tests into the management of patients with cutaneous melanoma at risk of metastasis.

Unit 9 Social Prescribing: A New Path to Care 醫師開的處方，竟然可能是兩張音樂會門票？本集從加拿大蒙特婁交響樂團的計畫出發，介紹「社會處方箋」如何把藝術、運動與自然帶進醫療現場。不只用藥，也透過文化參與支持心理健康、降低孤單感，讓你明白醫療與生活之間更溫柔的連結。

Mike and Rico hear from a couple more of the people to see how invested they still are in college football traditions.

    Bleeding is what kills people after trauma. That single fact sits at the center of this WarDocs episode, in which host Dr. Wayne Causey, a vascular surgeon, sits down with two military interventional radiologists — Dr. John Pavlus of Brooke Army Medical Center and Dr. Jonathan Schutt, an interventional radiology resident at Yale — to examine one of the fastest-moving areas in modern medicine and what it could mean for the wounded service member. Endovascular care, as they describe it, is deceptively simple to explain and remarkably hard to field: a small stick in the groin or the wrist, image guidance instead of an incision, and wires and catheters small enough to be called straws, threaded through the vascular tree to block a bleeding artery or reline an injured one. As one guest puts it, the patient goes home with a band-aid.    The conversation moves quickly from definition to system. At Brooke Army Medical Center, a trauma activation commits the interventional team to needle-stick access within sixty minutes of the call, day or night. That standard was not bought with equipment. It was built on years of bi-directional trust with the trauma surgeons, to the point that the team now responds without stopping to relitigate the imaging. Both guests are blunt that ownership is the price of admission: if interventional radiology wants a seat on the trauma team, it has to show up at two in the morning for cases that are neither lucrative nor glamorous.   The harder question is how far forward this capability can go. REBOA is scaled today at Role 2, and stent graft and embolization cases in Role 3 remain largely case-reportable events performed by clinicians who brought their own equipment. The limiting factor, both guests argue, is not technique — it is imaging, logistics, and institutional will. Meanwhile, Israeli teams transition to bunker operations within twenty-four hours, and Ukrainian experience with drone-driven injury patterns is already reshaping assumptions about REBOA and embolization that the United States has not yet tested.   The episode closes on people rather than platforms: the case for a military interventional community that crosses Service lines and partners with surgical colleagues, the argument for a skill identifier that lets the system find the right clinician, and a practical inventory of what one interventional radiologist would carry in a backpack if told to deploy tomorrow. Chapters (01:11-06:26) Two Pathways Into Military Interventional Radiology (06:26-10:15) Endovascular Care Explained: A Lot Through a Pinhole (10:15-17:02) The Sixty-Minute Trauma Activation at Brooke Army Medical Center (17:02-26:11) Forward Capability: REBOA, Stent Grafts, and the Role 2 and Role 3 Gap (26:11-35:54) Silos, Superpowers, and the Real Cost Equation (35:54-49:56) Allied Lessons, a Military IR Community, and What Fits in a Backpack Chapter Summaries (01:11-06:26) Two Pathways Into Military Interventional Radiology Both guests trace how they arrived at interventional radiology and at military service — one from the Air Force Academy and a fighter pilot track redirected by a day shadowing an orthopedic surgeon, the other from a childhood spent in a pararescue uncle's uniform and an HPSP commissioning. Each was pulled toward endovascular work by the same realization: that the future of the specialty was in doing more through less. Their training routes differ, one through diagnostic radiology and fellowship, the other through an integrated residency pathway. (06:26-10:15) Endovascular Care Explained: A Lot Through a Pinhole The guests define endovascular care in the language they use with patients: a small poke in the groin or the wrist, image guidance rather than an open field, and catheters threaded through the vascular tree like a plumber working pipes. Roughly ninety-five percent of the work is image guided, most often with fluoroscopy. The host adds the surgeon's framing — always ask what can be fixed through the blood vessel before opening a chest or an abdomen. (10:15-17:02) The Sixty-Minute Trauma Activation at Brooke Army Medical Center A blunt trauma patient arrives, CT shows active extravasation from a high-grade splenic injury, and the trauma activation commits the interventional team to needle-stick access within sixty minutes. The guests describe how that pathway was built on bi-directional trust rather than debate over each scan, and why the team now launches without relitigating the imaging. Both stress that owning trauma call — unglamorous, poorly reimbursed, and at all hours — is what earns interventional radiology its place on the team. (17:02-26:11) Forward Capability: REBOA, Stent Grafts, and the Role 2 and Role 3 Gap The conversation turns to what exists downrange. REBOA is scaled today at Role 2, and endovascular hemorrhage control at Role 3 remains largely a set of case reportable events performed with clinician-supplied equipment. The guests explain stent grafts as simultaneous hemorrhage control and reconstruction, and identify imaging, transport, and packaging — not procedural skill — as the true limiting factors on projecting this capability forward. (26:11-35:54) Silos, Superpowers, and the Real Cost Equation One guest argues that interventional radiology has been siloed by civilian incentives the military has no reason to copy, and that the specialty's real advantage is the fusion of diagnostic reading and procedural skill he calls a superpower. The host and guests weigh the higher up-front cost of advanced imaging and devices against the dramatically lower recovery burden of a pinhole procedure. The biggest hurdle, one guest says flatly, is people — convincing decision makers the capability is worth funding. (35:54-49:56) Allied Lessons, a Military IR Community, and What Fits in a Backpack Israeli teams shifting hospitals to bunker operations within twenty-four hours and Ukrainian experience with drone-driven injury patterns are held up as evidence the United States is playing catch-up. The guests describe the effort to build a military interventional radiology community across Services and to partner with the American College of Surgeons military chapter. The episode closes with a practical deployment loadout — ultrasound, micropuncture kits, sheaths, a base catheter, coils, and wire — and a walk through current training pathways into the specialty. Take Home Messages Bleeding is the mission. The immediate cause of preventable death after trauma is hemorrhage, which is why endovascular capability belongs in the operational conversation at all. Every argument for pushing this capability forward reduces to stopping the bleeding fast enough, and doing it without creating a second catastrophe. Framing the specialty this way makes its military relevance impossible to dismiss. Trust is the system, not the equipment. A sixty-minute call-to-stick standard at a level one trauma center was not purchased — it was built over years of bi-directional trust between the trauma team and the interventional service. Once that trust exists, the activation launches without relitigating the imaging, and everything else falls into motion. Any unit trying to replicate the capability should build the relationship before it buys the gear. Ownership earns the seat. Trauma call is unglamorous, poorly reimbursed, and inconvenient, which is exactly why some centers have written interventional radiology out of the pathway entirely. Showing up at two in the morning, reviewing imaging alongside the trauma team, and taking responsibility for the patient is what secures a permanent place on that team. Presence before the activation is what makes the activation work. The limiting factor is logistics, not technique. Everything done at a level one trauma center is technically achievable far forward — the constraint is diagnostic imaging, fluoroscopy, packaging, and airlift, not procedural skill. Progress therefore depends on investment decisions and institutional will rather than on new procedures. Convincing leaders that the capability is valuable is the hurdle, and funding follows conviction. Allies are already ahead, and the injury patterns are changing. Israeli teams move a hospital into bunker operations within twenty-four hours, and Ukrainian experience with drone-driven wounding is already reshaping assumptions about balloon occlusion and embolization. Planning for the last war is the fastest way to arrive unprepared for the next one. Learning from partner nations now is cheaper than relearning under fire. Episode Keywords military medicine, interventional radiology, endovascular care, WarDocs podcast, non compressible torso hemorrhage, REBOA, stent graft, embolization, hemorrhage control, combat casualty care, Brooke Army Medical Center, trauma activation, expeditionary interventional radiology, Role 2 care, Role 3 care, military trauma system, vascular surgery, image guided procedures, John Pavlus, Jonathan Schutt, Air Force medicine, Army medicine, military health system, battlefield medicine, damage control #WarDocs, #MilitaryMedicine, #InterventionalRadiology, #EndovascularCare, #CombatCasualtyCare, #HemorrhageControl, #TraumaCare, #MilitaryHealthSystem Honoring the Legacy and Preserving the History of Military Medicine The WarDocs Mission- WarDocs exists to honor the legacy of Military Medicine, preserve its history, and inspire every generation — across all Services, Corps, and Ranks — to serve with excellence and pride. Through mentorship, coaching, and education, we equip those considering, entering, and serving in military medicine with the knowledge, connections, and community they need to thrive. We celebrate Who we are, What we do, and, most importantly, How we serve Our Patients, the DoW, and Our Nation. Find out more and join Team WarDocs at https://www.wardocspodcast.com/ Check our list of previous guest episodes at https://www.wardocspodcast.com/our-guests Subscribe and Like our Videos on our YouTube Channel: https://www.youtube.com/@wardocspodcast Listen to the “What We Are For” Episode 47. https://bit.ly/3r87Afm WarDocs- The Military Medicine Podcast is a Non-Profit, Tax-exempt-501(c)(3) Veteran Run Organization run by volunteers. All donations are tax-deductible and go to honoring and preserving the history, experiences, successes, and lessons learned in Military Medicine. A tax receipt will be sent to you. WARDOCS documents the experiences, contributions, and innovations of all military medicine Services, ranks, and Corps who are affectionately called “Docs” as a sign of respect, trust, and confidence on and off the battlefield, demonstrating dedication to the medical care of fellow comrades in arms. Follow Us on Social Media Twitter: @wardocspodcast Facebook: WarDocs Podcast Instagram: @wardocspodcast LinkedIn: WarDocs-The Military Medicine Podcast YouTube Channel: https://www.youtube.com/@wardocspodcast

Wednesday's 7am hour of Mac & Cube started off with a surprising discussion on the team pictures of Alabama & Auburn because now that's a thing; then, do we actually care if the SEC or Big Ten is the better conference; and later, listeners chime in with their thoughts on the relevance of conference supremacy. "McElroy & Cubelic In The Morning" airs 7am-10am weekdays on WJOX-94.5!See omnystudio.com/listener for privacy information.

On the 150th Episode of Dorm Damage With Tom & Zeus, its a recap of Zeus' trip to Greece this summer. As Loudcasters know, nothing stops SIOL even when Zeus visits the motherland in Greece. Zeus looks back on his trip and gives us a glimpse of summer in Greece. So grab your feta, ouzo and lets take a trip to Greece! Opa! To Purchase Shout It Out Loudcast's KISS Book “Raise Your Glasses: A Celebration Of 50 Years of KISS Songs By Celebrities, Musicians & Fans Please Click Below:   Raise Your Glasses Book   For all things Shout It Out Loudcast the #1 KISS Podcast check out our amazing website by clicking below:   www.ShoutItOutLoudcast.com   Interested in more Shout It Out Loudcast content?  Care to help us out?  Come join us on Patreon by clicking below:   SIOL Patreon   Get all your Shout It Out Loudcast Merchandise by clicking below:   Shout It Out Loudcast Merch At Printify   Shop At Our Amazon Store by clicking below: Shout It Out Loudcast Amazon Store   Please Email us comments or suggestions by clicking below: ShoutItOutLoudcast@Gmail.com   Please subscribe to us and give us a 5 Star (Child) review on the following places below: iTunes Podchaser Stitcher iHeart Radio Spotify   Please follow us and like our social media pages clicking below: Twitter Facebook Page Facebook Group Page Shout It Out Loudcasters Instagram YouTube   Proud Member of the Pantheon Podcast click below to see the website: Pantheon Podcast Network Learn more about your ad choices. Visit megaphone.fm/adchoices

On the 79th Episode of the Album Review Crew of Shout It Out Loudcast, Tom, Zeus & special guest, Brad Rusthoven from the Slamfest Podcast, review the 1988 album "GN'R Lies" by Guns N' Roses. In the late 1980's Guns N' Roses exploded on the hard rock scene. Their debut album, "Appetite For Destruction" would go on to become the biggest selling debut album of all time. GNR was led by one of a kind lead singer Axl Rose. Guitarists Slash and Izzy Stradlin formed an incredible dual guitar attack. Duff McKagan on bass and Steven Adler were a monster rhythm section. Previous to their debut album the band released a "live" EP called Live Like A Suicide which consisted of four songs, two of which were covers. They decided to add 4 acoustic songs to side two and call the album "GN'R Lies." The album made it to #2 on the US Billboard charts and eventually went 5 times platinum. It was produced by Guns N' Roses and Mike Clink. GN'R Lies continued GNR's unpredictable streak and made the fans clamor for more. Raw "live songs along with amazing and catchy acoustic songs, like "Patience" which went to #4 on the US Billboard Hot 100. The legendary closing track, "One In A Million" is still controversial today! This was the Tom's pick. So find out all about "Nice Boys" and why do good girls like bad boys! To Purchase Guns N' Roses “GN'R Lies” Album On Amazon Click Below:   ⁠"GN'R Lies"⁠   To Purchase Shout It Out Loudcast's KISS Book “Raise Your Glasses: A Celebration Of 50 Years of KISS Songs By Celebrities, Musicians & Fans Please Click Below:   ⁠Raise Your Glasses Book⁠   For all things Shout It Out Loudcast the #1 KISS Podcast check out our amazing website by clicking below:   ⁠www.ShoutItOutLoudcast.com⁠   Interested in more Shout It Out Loudcast content?  Care to help us out?  Come join us on Patreon by clicking below:   ⁠SIOL Patreon⁠   Get all your Shout It Out Loudcast Merchandise by clicking below:   ⁠Shout It Out Loudcast Merch At Printify⁠   Shop At Our Amazon Store by clicking below: ⁠Shout It Out Loudcast Amazon Store⁠   Please Email us comments or suggestions by clicking below: ⁠ShoutItOutLoudcast@Gmail.com⁠   Please subscribe to us and give us a 5 Star (Child) review on the following places below: ⁠iTunes⁠ ⁠Podchaser⁠ ⁠Stitcher⁠ ⁠iHeart Radio⁠ ⁠Spotify ⁠   Please follow us and like our social media pages clicking below: ⁠Twitter⁠ ⁠Facebook Page⁠ ⁠Facebook Group Page Shout It Out Loudcasters⁠ ⁠Instagram⁠ ⁠YouTube⁠   Proud Member of the Pantheon Podcast click below to see the website: ⁠Pantheon Podcast Network⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

See omnystudio.com/listener for privacy information.

What Trading Can Learn From The Body Keeps the Scorewith Steven Goldstein and Mark RandallA trader knows the right move — and physically can't make it. This episode is about why, and what trauma research reveals about performing under financial risk.Bessel van der Kolk's The Body Keeps the Score has become required reading in trading circles — not because trading is trauma, but because the same nervous system mechanics trauma research has mapped in detail also govern how traders behave under pressure. Steven Goldstein and Mark Randall break down five lessons from the book and translate each one directly into the language of risk, drawdowns, and decision-making under threat.What you'll learn•     Why the rational, decision-making part of the brain goes offline under perceived threat — and why “just follow the plan” fails in the moment•     How neuroception, the nervous system's unconscious scanning for danger, shows up as physical sensation before a trade goes wrong•     Why a single catastrophic loss can fragment a trader's whole sense of self, not just their P&L•     Why journaling and post-mortem analysis alone rarely change behavior — and what bottom-up, body-based work adds•     Why co-regulation with another person, not solo reflection, is often what lets a dysregulated nervous system reset“The market doesn't care about your story, but your body is keeping score whether you're listening to it or not.”Timestamps0:07  —  Cold open — welcome back1:00  —  Setting up the book & Lesson 1: The rational brain goes offline under threat13:38  —  Lesson 2: The body knows before you do30:13  —  Lesson 3: One bad hit can fragment the whole story41:20  —  Lesson 4: Talking about it isn't enough on its own50:53  —  Lesson 5: Safety in relationship is what lets the system recalibrate1:02:54  —  Close & sign-offResources mentioned•     The Body Keeps the Score: Mind, Brain and Body in the Transformation of Trauma by Bessel van der Kolk•     thealphamindpodcast.com — full back catalog and where to subscribeThe AlphaMind Podcast explores the behavioral and human side of taking and managing risk, hosted by Steven Goldstein with Mark Randall. New episodes and the full back catalog at thealphamindpodcast.com.AlphaMind: Powering Performance in Global MarketsAlphaMind brings powerful change, growth and development to people and businesses within global markets.Driven by a deep understanding of how markets work, and how people and businesses function within them, we partner with clients to create personal performance improvements that elevate returns across their trading activities.Go to the AlphaMind website to know more.

JB finally gets the comeback fans have been waiting for, and one longtime radio staple proves he can still pull off a ridiculous superpower: identifying cars by horn alone. If you love Austin nostalgia, fast laughs, and the kind of live radio chaos that actually feels alive, this one's built for you.Sandy, JB, and Tricia kick things off with the day's Minute to Win It answers, then slide into the stuff that makes their show feel like a local hangout - eyebrow maintenance wars, a legendary family goatee, and Tricia's priceless reaction to a “cow bras” joke that lands just weird enough to work. From there, Care Don't Care delivers the kind of offbeat headlines that turn into full-blown bits, including Austin landing at the top of a list nobody expected and a carnival scam so brazen it earns a new nickname: the old razzle dazzle.You'll discover:Why Austin has the cheapest cheeseburger combo in the country, and why that still feels expensiveHow a rigged carnival game managed to soak one player for $650How Gen Z has repurposed “LARPing” into a perfect insult for fake behavior onlineWhy the return of Katz's Deli downtown hits so hard for Austin localsThen the show pivots into pure listener participation as JB takes on his long-dormant car-by-horn challenge, and somehow nails Lexus after Lexus before calling out a Mercedes like he never stopped. If you've ever wondered whether a bit from a morning show can still shock the room years later, this is the proof.It all lands with comedy legend Jim Gaffigan on hotel indoor pools, plus a feel-good shout-out to retired Navy instructors on the first day of school. Perfect for anyone who misses old Austin, loves live local radio, or just wants 30-plus minutes of smart, silly, unmistakably human entertainment.

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In this episode of the NCS Podcast Perspectives series, host Nicholas Morris, MD, speaks with Jonathan Rosand, MD, MSc, FNCS, about his career in neurocritical care and his work to advance brain health. Dr. Rosand reflects on the mentors and bedside experiences that drew him to the field, as well as the curiosity and collaboration that have shaped his work as a neurointensivist, stroke geneticist and leader. The conversation covers the growth of multidisciplinary care at Massachusetts General Hospital and the emotional demands of working in the neuroICU. Dr. Rosand discusses the importance of understanding patients' lives after critical illness and the potential for the neuroICU to serve as a starting point for long-term disease prevention and health promotion. Drawing on his work in brain health, Dr. Rosand describes the Recovering Together program, the Brain Care Score and the Global Brain Care Coalition, along with the role of blood pressure control, lifestyle changes and patient agency in supporting long-term brain health. He also shares advice on mentorship, clinician-scientist careers and finding an individual path toward making meaningful contributions to the field. The views expressed on the NCS Podcast are solely those of the host and guest and do not necessarily reflect the opinions or official positions of the Neurocritical Care Society.

Eric Jensen and Tyler Schuster preview the upcoming football season in the Big 12. 

When Caring Becomes Exhausting: Michelle on Caregiver Fatigue, Aging Parents, and Knowing Your Limits In this episode of Conversations with a Chiropractor, Dr. Stephanie Wautier talks with Michelle about something millions of families quietly struggle with: caregiver fatigue. Michelle moved home to help care for her nearly 90-year-old mother after a series of falls and a stroke changed what independent living looked like. What began as a decision rooted in love and safety gradually became a much larger responsibility, affecting Michelle's work, relationships, sleep, stress levels, freedom, and even the way she experiences her relationship with her mother. Stephanie and Michelle talk openly about the role reversal that happens when an adult child becomes a caregiver, the guilt that can come with setting boundaries, the constant worry about falls and safety, and the emotional difficulty of considering assisted living or higher levels of care when a parent desperately wants to remain at home. They also discuss something caregivers do not always give themselves permission to admit: loving someone deeply does not make caregiving easy. Sometimes the greatest challenge is acknowledging that the responsibility has become too heavy to carry alone. Listener Offer This episode of Conversations with a Chiropractor is supported by Lemongrove Oil. Use code DRSTEPHANIE at checkout for 10% off your order. https://www.lemongroveoil.com/ In This Episode Michelle and Stephanie discuss caregiver burnout, moving home to care for an aging parent, personality and relationship changes after a stroke, the mental strain of constantly worrying about safety, losing independence as both caregiver and parent, setting boundaries, respite care, assisted living, guilt, family dynamics, support groups, and recognizing when caregiving has begun to affect your own physical and emotional health. Caregiver Support & Resources Caregiving can feel isolating, but support is available. Alzheimer's Association Support Groups In-person and virtual groups are available for caregivers, including family caregivers and people supporting someone with dementia or cognitive changes. https://www.alz.org/help-support/community/support-groups Alzheimer's Association Michigan Chapter Michigan caregiver groups, online communities, and local support resources: https://www.alz.org/mglc/support Caregiver Action Network Free education, caregiver resources, peer support, and a Caregiver Help Desk: https://www.caregiveraction.org/ These resources can help caregivers connect with people who understand the emotional, physical, and practical realities of caring for someone they love. Conversations with a Chiropractor YouTube: http://www.youtube.com/@ConversationswithaChiro Facebook: https://www.facebook.com/wautierwellness Email: drstephaniewautier@yahoo.com Want to be a guest? Send Stephanie Wautier a message on PodMatch: https://www.podmatch.com/hostdetailpreview/drstephanie Credits Podcast production by Brand|Sound. Start your podcast journey by emailing brandsoundpodcasts@gmail.com. Chapters 00:00 Introduction 00:55 Michelle's Caregiving Reality 03:46 Moving Home to Care for Mom 06:05 How a Stroke Changed Their Relationship 09:34 Recognizing Caregiver Burnout 13:38 When Is More Care Necessary? 16:58 The Rollercoaster of Good Days and Bad Days 20:59 Promises, Guilt, and Medical Necessity 24:32 Putting Your Own Life on Hold 25:58 Boundaries, Vacations, and Respite Care 28:31 What We Would Want for Our Own Children 29:37 Finding Support From People Who Understand 33:36 Admitting That Caregiving Is Hard

How should couples split newborn nights? (And does “sharing the nights” actually mean the same thing to both of you?)In this episode, Chelsea walks expecting couples through several ways to divide overnight newborn care, from split-night shifts and alternating wake-ups to feeder/support-partner roles and evening-and-morning coverage.More importantly, this isn't about finding the perfect newborn sleep schedule.It's about making sure both partners understand what they are agreeing to, protecting each person's basic need for rest, and knowing how to adjust when your original plan stops working.Chelsea covers:Different ways couples can split newborn night shiftsWhether both parents need to wake up for every feedingHow breastfeeding changes nighttime responsibilitiesWhat the non-feeding partner can fully ownHow returning to work affects the conversationWhy paid work and postpartum recovery both deserve considerationWarning signs that your current system isn't workingHow to avoid sleep scorekeeping and resentmentQuestions to discuss before your baby arrivesHow to safely say, “I'm not functioning well anymore”Why the ability to revise the plan matters more than creating the perfect planOne important reminder from this episode:Teamwork does not always mean doing the same task at the same moment.The goal is to build a system where one person's sleep, recovery, or needs do not automatically become less important than the other's.Use these questions after listening:What does each of us imagine nighttime care will look like?How much uninterrupted sleep does each of us need to function?How will feeding affect the division of nighttime care?What can the non-feeding partner fully own?How will we handle nights before a workday?How will either of us say, “I am no longer functioning safely”?When will we review and revise our plan?Prep for Us is Chelsea's six-week program for expecting couples who want to prepare for more than birth and baby gear.Together, you'll clarify expectations, understand your stress responses, divide responsibility more intentionally, communicate needs earlier, and create systems that can flex when real life looks different from the plan.Prep for Us: How to Prepare Your Relationship for a Baby | Postpartum TogetherLearn more from Chelsea at Postpartum Together.About Relationship Coaching with Chels + Mike | Postpartum TogetherInstagram: @postpartumtogetherQuestions to discuss with your partnerPrepare for parenthood as a team

You're listening to American Ground Radio with Louis R. Avalone and Stephen Parr. This is the full show for August 11, 2026. We open with Chicago's murder rate compared to Florida's major cities, and ask why the same activists offended by National Guard troops in D.C. and Chicago aren't offended by the gang violence claiming lives every day — plus why Chicago's strict gun laws haven't stopped the bloodshed. In our Top 3 Things You Need to Know, we cover Massachusetts Governor Maura Healey signing a law legalizing abortion up to birth, the arrest of Congresswoman Lauren Boebert's son on child exploitation charges, and a New York judge halting Mayor Mamdani's pied-à-terre tax after the city doxxed hundreds of thousands of residents by mistake. We also dig into former CIA Director John Brennan's election interference claims and the fight over the SAVE Act. Our American Mama, Teri Netterville, joins us to talk Cam Newton's revelations about NFL players and fake COVID vaccine cards, the human cost of vaccine mandates, and why we're still waiting on apologies from the media figures who vilified people like Aaron Rodgers. We're Digging Deep this week on Massachusetts' new late-term abortion law, then pivot to Seattle, where a mix of socialism and green energy mandates is about to send electric bills up 80% over six years. Plus, Justice Samuel Alito's decision to stay on the Supreme Court, a Bright Spot on Trump savings accounts building wealth for the next generation, a Say What moment courtesy of Hillary Clinton, and a Moment of Whoa from a 13-year-old who spent 300 hours 3D-printing a wheelchair for a little girl he'd never met. Listen now wherever you get your podcasts, visit AmericanGroundRadio.com, and join the conversation at 866-AGR-1776.See omnystudio.com/listener for privacy information.

What happens when a human moment transforms the patient experience? In this heartfelt conversation, Dr. Jess Bunin shares with host Natalie Benamou her journey as both physician and 3x cancer patient survivor.Tune in and hear how to look at career opportunities differently. Discover the steps to find strength and courage to make career pivots. Dr. Bunin shares how the small details in communication build trust for teams, organizations from combat zones to the boardroom.This episode is dedicated to all women facing health challenges with real steps to achieve better health outcomes.HER HEALTHX, nonprofit is building a digital care enablement platform to bridge the care communication gap.Keep shining your light bright. The world needs you.About Dr. Jess BuninColonel (ret) Jess Bunin, MD spent 23 years running toward moments most people avoid: combat zones, ICUs, difficult conversations. Now Co-Founder of All Levels Leadership, a professor and certified executive coach, she's the author of Self-Awareness and Trust: Leading Healthcare Teams from the Inside Out, due out in September.Website: www.jessbuninmd.comWebsite: www.alllevelsleadership.comLinkedIn: https://www.linkedin.com/in/jessica-bunin/HerCsuite® is a leadership network where women build what's next. Our members land board roles, grow businesses, lead the AI conversation, and live their best portfolio careers. Join us at HerCsuite.com, or connect with host Natalie Benamou on LinkedIn.

Medical experts and women who've experienced the disorder say the trial shows the need for more research and education about this little-discussed but severe psychological illness.

In this episode of MedAxiom HeartTalk, host Melanie Lawson, MS speaks with Byron Lee, MD, professor of medicine and cardiology at Stanford, about the growing importance of remote cardiac monitoring in patient care. Dr. Lee shares how extended 30-day monitoring helps improves arrhythmia detection and guides long-term treatment. He also discusses how real-time data transmission and streamlined reporting allow care teams to identify and address serious cardiac events more quickly and confidently.

Sonia Garcia, Co-Founder and Chief Growth Officer at Amae Health, an integrated care company specializing in the treatment of severe mental illness that operates community-oriented clinics to deliver comprehensive psychiatry-led care. They provide continuity of care across multiple acuity levels, recognizing these conditions require long-term management. Amae is also advancing psychiatric care through research and partnerships by deploying wearables for health monitoring and investigating biomarkers and pharmacogenomics to improve treatment outcomes. Sonia explains, "Amae Health is an integrated care company that exists to treat the most complex mentally ill. So those that are suffering from schizophrenia, bipolar disorder, major depressive disorder. And we do so through these community-oriented clinics that deliver comprehensive care that's psychiatry-led, but also incorporates therapy, primary care, social services, peer support specialists, dieticians for a lot of nutrition guidance, and health coaching. Then clinic care coordinators manage all the in-between things that need to happen to get somebody back on track and living a healthy, stable life."   "Another core pillar within the company that I'll just add is getting into technical research and innovation, with lots of work we can do to uncover what is causing this, what interventions we can deploy. How can we partner with others in the ecosystem, whether that's pharma or life sciences, to advance psychiatric care and see if we can get towards putting many of these conditions into remission?" #AmaeHealth #MentalHealthCare #SevereMentalIllness #IntegratedCare #MetabolicPsychiatry #Schizophrenia #BipolarDisorder #ValueBasedCare #ContinuityOfCare #HealthcareInnovation #Psychiatry amaehealth.com Listen to the podcast here

Sonia Garcia, Co-Founder and Chief Growth Officer at Amae Health, an integrated care company specializing in the treatment of severe mental illness that operates community-oriented clinics to deliver comprehensive psychiatry-led care. They provide continuity of care across multiple acuity levels, recognizing these conditions require long-term management. Amae is also advancing psychiatric care through research and partnerships by deploying wearables for health monitoring and investigating biomarkers and pharmacogenomics to improve treatment outcomes. Sonia explains, "Amae Health is an integrated care company that exists to treat the most complex mentally ill. So those that are suffering from schizophrenia, bipolar disorder, major depressive disorder. And we do so through these community-oriented clinics that deliver comprehensive care that's psychiatry-led, but also incorporates therapy, primary care, social services, peer support specialists, dieticians for a lot of nutrition guidance, and health coaching. Then clinic care coordinators manage all the in-between things that need to happen to get somebody back on track and living a healthy, stable life."   "Another core pillar within the company that I'll just add is getting into technical research and innovation, with lots of work we can do to uncover what is causing this, what interventions we can deploy. How can we partner with others in the ecosystem, whether that's pharma or life sciences, to advance psychiatric care and see if we can get towards putting many of these conditions into remission?" #AmaeHealth #MentalHealthCare #SevereMentalIllness #IntegratedCare #MetabolicPsychiatry #Schizophrenia #BipolarDisorder #ValueBasedCare #ContinuityOfCare #HealthcareInnovation #Psychiatry amaehealth.com Download the transcript here

Owner of Deep Roots Native Nursery Jake Hayes, joins Wendy Snyder (in for Bob Sirott) to talk about how he started his business and how he started growing the plants. He also shares a couple of ways to get rid of buckthorn and answers listeners’ questions.

In this message, Adrian Rogers offers insight into the care and training of our children. To support this ministry financially, visit: https://www.oneplace.com/donate/135/29?v=20251111

What does it really mean to be part of The Sandwich Generation? This is a really personal one for me and I'm honored to welcome back Jill McNamara, LICSW, Vice President of Senior Care at Care.com and a senior care and aging expert, to talk about the emotional realities of caring for aging parents while raising a family. Following the release of Care.com's first-ever Sandwich Generation Report, Jill shares insights from a survey of 1,000 caregivers, revealing just how common and often invisible this experience has become. Together, we get into why so many caregivers don't recognize themselves as caregivers until they're already overwhelmed, the emotional weight of decision fatigue and anticipatory grief, why asking for help can feel so difficult, and the surprising personal growth that can emerge through caregiving. I open up about what's currently going on as my siblings and I continue to navigate our mom's Alzheimer's diagnosis and all the difficult decisions that comes with it as we figure out the best way forward. Whether you're currently caring for aging parents or simply want to be better prepared for the future, this conversation offers practical guidance, reassurance, and a powerful reminder that you don't have to navigate caregiving alone. To learn more, explore Care.com's 2026 Sandwich Generation Report and caregiver resources at care.com/sandwich, and follow @WeAreTheSandwichGen for ongoing support and practical tips. And if you're looking for care for your own family, whether that's childcare, senior care, or anything in between, you can use code WHITNEY35 for 35% off a Care.com membership.This episode is brought to you by Starbucks:At Starbucks, full- and part-time baristas can build meaningful careers, while getting industry-leading benefits. Learn more at Starbucks.com/partnersThis episode may contain paid endorsements and advertisements for products and services. Individuals on the show may have a direct, or indirect financial interest in products, or services referred to in this episode.Produced by Dear Media.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

One thing I keep coming back to is that reality does not care what I believe. I don't need to force reality upon other people because eventually they will find out one way or another. Being right is about getting credit and getting everybody to agree with me, while being accurate is knowing that what I'm doing is leading to the desired outcome. Show Notes: [03:14]#1 You need not correct every misunderstanding.  [08:44]#2 Reality is indifferent to opinions. [14:12]#3 Results eliminate the need for explanation. [19:28] Recap Episodes Mentioned: 3617: Explanation Signals Weak Authority 3592: If You're Explaining, Your Position Is Weak 3394: Stop Explaining Yourself Next Steps: --- Execution is not a talent.   It is a standard. If your results don't match your ability, something in your approach is out of alignment. Most people do not have a motivation problem.   They have a consistency problem. Power Presence is the system for operating with greater discipline, clarity, structure, and execution under pressure. Learn more: → http://www.PowerPresenceProtocol.com  Know what to do but not always doing it?  Measure your execution at → http://RateMyExecution.com. Get Dre's free Daily Game email at http://WorkOnMyGame.com. Every day you'll receive one practical lesson on leadership, mindset, discipline, and execution to help you perform at a higher level. No fluff. Just game

This episode is all about eyes on fall/winter 2026. Tiff and Pam discuss what's top of mind for practices as they look to the final stretch of the year, including stepping up on re-care and reactivation, how to talk about it with patients, and how to make sure it's incorporated into your practice. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Tiffanie (00:01) Hello, Dental A Team Podcast Listeners. I am so excited to be here with you today. I always am. I literally love doing this with you guys. and I more than that, I love doing this with our consulting team. And I have very, very special women on as our consultant guest today. I have Miss Pam with us today, and you guys have actually not heard from her yet, even though she's been here with us behind the scenes for a little while.   Getting these podcasts like scheduled and in the system and all of those pieces takes a little bit of time sometimes. And Pam is a prized, prized possession in our consulting department. And I am so excited for you guys to meet her. If you work with her already, you are very excited to hear her on the podcast today. I know there's a few of you who are avid listeners who work directly one-on-one with Pam. so I'm excited for you guys to hear from her today.   Pam, I've got you here. We've got the listeners and I'm just so excited to be here with you this morning. You did some prep. I appreciate that. I love the questions and making sure we're ready to go. you prep way more than I do and I value that and you push me to do the same thing. So Pam, thank you for being here. How are you today?   Pamela (01:12) Hi, Tiff. I am doing fantastic. I'm super excited to be here.   Tiffanie (01:17) Good. And you're here in Phoenix as well. We always say we are just so hot and I think we had some rain the other night and I thought by by rain I mean I got some light sprinkles in the backyard and I thought, gosh, this might cool us down and I mean it did, but it was still like a hundred and five at eight PM last night. So how is it you're like forty five minutes ish from me, how is it on your side of Phoenix?   Pamela (01:45) Yeah, we did not get much rain like you. We got like the little pitter patter, but it no, it hasn't rained. I think the storms just go around us. I don't know what's going   Tiffanie (01:55) I think so.   Pamela (01:56) on, but it just makes it humid, so we know what the   Tiffanie (01:59) Yeah.   Pamela (01:59) east coast feels like when there's a little bit of rainstorm coming, but yeah, nothing nothing like the east coast, the humidity, but we do get a little bit.   Tiffanie (02:10) I agree. I always when I travel and and I tell people where I'm from and Pam, I'm sure you have and will continue to experience this as well. When I say I'm from Arizona, everybody goes, my gosh, how do you do that summer? And I always say, Listen, there's a season for everything and everyone, and I don't have to shovel snow, and I love that. And I would take this hundred and twenty degree summer for two months over shoveling snow any day of the week. And Pam, you've done both.   Pamela (02:40) I I have originally I'm from California, so when I moved to Utah to go to college, yes, I experienced shoveling snow and then I raised my kids there. And to be really honest, that's the reason why I moved to Arizona. I couldn't   Tiffanie (02:53) Yeah.   Pamela (02:54) get out of my driveway a couple of times and I'm like, nope, not doing this.   Tiffanie (02:58) No, thank you.   Pamela (02:59) So yes, I agree. I would take the two months of the heat and jump in the pool.   Tiffanie (03:04) Yes, my fiance says the same thing. He had he says that there were multiple times he lived up in Lake Zend, Oregon area. He said there were so many times that he had to shovel out and shovel back in in the same day and he was done and moved to Arizona. So we like to say we don't have a lot of natural disasters or issues here. We just have the heat during the summer. So here we are. I   Pamela (03:26) That's right. Yeah.   Tiffanie (03:27) love it. Well, speaking of seasonalities, I think   Something that's really fun about dentistry is that there's seasonalities in that as well. Everything runs on a cycle, and we like to talk about those cycles within our consulting and Dental A Team runs off of a few different cycles ourselves. And one of those systems, systematic cycles, I shall say, is scheduling and walking into the fall slash winter. The fall slash winter in dentistry is like a mixed bag. I feel like a few years ago.   Everybody was, you know, prepping for September is what we like to call it. And then prepping for October to December to be chaotic and crazy. And then I I really saw a shift within that after COVID. I think the COVID shutdowns were about six months from September, October. And so it shifted and changed quite a bit within that. But we do still see that scheduling really needs to be a high priority in this time period.   And I truly believe with everything I have, whatever we can prep and plan for and take the guesswork out, kind of control what we can and let the rest happen around us and then you know, control what we can within that is the best avenue to take. So making sure that we're looking ahead at things and really taking in those killer systems that can really depict how your fall and winter are gonna go are are gonna be massive. So I wanted to take the listeners here, Pam through a couple of systems and   And again, this is kind of that seasonality. So we chunk it down and we we see every month or every quarter kind of seeing what does that focus need to be within Dental A Team. This is something that we believe is a heavy focus at this time period in this season. So with that, Pam, I really want you to chat through with me Dental A Team systems for sure, but Pam, you've been a consultant and you've been in dentistry for a while, and you've got tips and tricks and tools.   that you brought to our company as well as to the clients that you've served over the years. So I want to pick your brain and speak to obviously Dental A Team systems, but really pick your brain and and kind of see what are some things that you've done in practice, what are things that you're doing with your practices as you're consulting them to prep and plan for this. And one of those spaces and something that's been coming up with a lot of my clients is that recare and reactivation. I know in dentistry and you probably remember this, Pam, I remember this from   years and years and years ago, everything was about new patients. And it was like, how many new patients can we get? How can we get them? Spend on marketing, get the new patients, get the new patients. And there wasn't a lot of focus, I don't think, on the other side of it. So keeping the new patients for sure was never a thought, right? It was just get more. And then the recare piece was kind of an afterthought. It was like, well if the schedule's falling apart and we don't have new patients, then we call on recare. And that mindset   really did a disservice because if we're not taking care of the people that are coming, like what are we really doing? And I think it gave a little bit of a foothold for things like DSOs to step in and really take over, but we're trying to shift that and practices are shifting that model. And hygienists especially are always really concerned now about what's happening with my patient I've already spent so much time with.   So when it comes to recare and reactivation, we'll focus recare first. Pam, what are some things that you hammer in with practices to make sure that that recare is happening, whether it's a new patient or a patient they've had for 15 years?   Pamela (07:05) Yeah, great question, Tiff. And I I do feel like I've seen that same shift as well.   Tiffanie (07:10) Yeah.   Pamela (07:11) So I I think that recare percentage is such a big deal because it does tell us are we bleeding out the back? Are we losing patients that were right in front of us and we could have scheduled them right then? That is the most effective and efficient way to do that. I I tell hygienists give the patient   A reason to return. Like notice an area that tells that says, hey, I'm well, I'm looking at this area. Your upper right is having a little inflammation and some, you know, I got just a little bleeding, not anything to worry about, but I'm gonna note that and write it down in your notes so they see you noting it, right? And   Tiffanie (07:56) Yeah.   Pamela (07:56) that you will come back to say to them, I'm I'm really excited to see you in six months. And when you come back, we're gonna check.   check on this and and just you do a great job with your home care. Just do a little extra on that upper right side and we'll see what you can do at home.   Tiffanie (08:15) I love that because you're really   focusing in on them being seen, you know, and the value of the cleaning. I think we oftentimes say, you know, let's get you scheduled for your next cleaning. And it's like, well, I schedule my next carpet cleaning when it's needed. And I know you're really heavy on the verbiage and the way that we speak about it as well. And and us as a company, we use things like you guys have heard of NDTR.   the handoff and the reason that the recare is in there is because we want to put the value on the appointment and not just that routine cleaning. So setting that up where it's like, hey, we saw this, we're gonna check on this when you're when you come back in and then you look at your dose and you do it really sets the value for the personalization, the relationship, and it changes the script on the value of the quote unquote cleaning. What is it I'm trying to remember as I'm speaking palm and I'm not it's not coming to me.   What is it that you there's something that you change and I can't remember what it is or you you coach practices through how to speak to scheduling that recare appointment and I can't I can't think of what it is. What is it?   Pamela (09:24) Yeah, yeah,   no, I know exactly what you're talking about. So I I teach teams to say something like, you know, we consider this a confirmed appointment as a courtesy. We will always send you text reminders by email, you know, let's make sure, let's go up front. You said you didn't get one last time, let's make sure we have the right phone number on on file and   If you happen to have a change in your schedule, please let us know 48 hours in advance. And that way we can get you back in. But I really want to check on that one area so that you go back to that reason to return as you're doing that handoff. But I like saying that it is, we already consider this confirmed.   As a courtesy, we are just going to send you those reminders. So it's an easy   Tiffanie (10:14) Yeah.   Pamela (10:15) way to kind of also inform and remind your patients about your cancellation, or we don't say cancellation, right? About your about your   Tiffanie (10:24) Yeah. Confirmation process. Yeah.   Pamela (10:27) exactly. Yeah.   Tiffanie (10:28) Yeah. Yeah. I love that. And what you did there too is they're scheduling in the back office then. So it sounds   Pamela (10:33) Yes.   Tiffanie (10:34) like you've got hygiene scheduling their next recare, which I think allows for that personalization again and that like importance that's being placed on it. Not to say that other appointments aren't important, but they're coming up quicker. And so when the when you're tied to the hygienist and that is the person you're coming to see, I mean, we've all experienced where   a patient, you know, gets switched to a different hygienist or the hygienist maybe moves out of state and they're no longer seeing that hygienist. They're like, wait, where's Joanna? Like I've been seeing Joanna forever and they're a patient of the practice, but they get attached. My fiance's very attached to Amy at his place. Like I've never even met her and I know I know about her because he's very attached to her. The kids are attached to her. And that places value on the appointment and makes it more difficult for us to cancel it.   Now recare is phenomenal, tracking that, making sure that there's like in the background, there's constantly recare efforts going on. So we're making phone calls, we're sending out the emails, coming up due, do now, past due reminders, all of those pieces are always happening. Pam, something that I struggle with. practices. If you're busy, what tends to happen is we're like, well, we can't if I can't fit   appointments in my hygiene schedule. So I'm not going to call on them because then I'm just disappointing patients. The likelihood of them answering is very slim. And so when you reduce your outgoing efforts, now you need the schedule full and you're just igniting those efforts. You're not going to see a result for probably 30 to 45 days realistically, because it takes like four to seven times your effort to get that return back in. So I beg of you   Please make sure no matter how busy your schedule is, you're always doing recare efforts to help you keep that schedule busy. Something that I love to do with my practices, Pam, I think we all do, is really, really, really capitalize on the patient base that they have, not just active patient base. But there's some some practices have been around. I've got one that's been around for like 30 years. It was his grandfather's, it was his dad's, now it's his.   And they've got like 19,000 patients in their database and like six thousand active patients for three doctors, right? So I'm like, you guys have thirteen thousand patients that haven't been touched. And I'm not saying everybody's got thirteen thousand, but everybody has inactive patients. Every month patients go inactive. That's your attrition rate. Every month patients are sliding out the back door, like Pam talked about, and we're focused on new patients. You got 24 new patients, but you lost five.   You only have nineteen patients added to your patient base. So those five patients, when are they being touched on? So that reactivation program or campaign, I really have them focus, Pam, on those patients who are not active in the practice and just getting touch points onto them like emails. You can do phone calls too, but really making sure we're hitting those people who have an established relationship, just maybe haven't come in, they forgot. What do you what do you do?   Pamela (13:43) Yeah, no, I I love that and I think that's really true. I think sometimes in dentistry we think we haven't seen them in 18 months, they've forgotten about us,   Tiffanie (13:52) Yeah.   Pamela (13:53) but I don't think so. I think that they still think, that's my dentist. And   Tiffanie (13:58) I agree.   Pamela (13:59) right when they even if it's been two years and they haven't been in, you know, people may not be as conscientious about coming every six months. That's okay, but we still want to reach out to them and whether that's by email, whether   It's you're making you know a big email campaign to reactivate those patients, or it's a texting program, right? That you have. I think you know, look for those patients that haven't had an exam and reach   Tiffanie (14:27) Mm.   Pamela (14:27) out for those patients just to get them back in. And like you said, it takes some time to do, but when they are prompted, I think, and they know that you care, they're more likely to just give you a call. And in this day and age, I've   believe a hundred percent what you said people are not picking up their phone right yeah so it's yeah I might pick it up either I don't pick it up either unless I recognize the number so   Tiffanie (14:47) Yeah. Yeah. I'm not. I no ain't nobody got time for that. No. Yes.   And I'm ready to talk to them. I still have to be ready to talk to them. I have to be in a space. I have to be in a mindset. I have to be ready to engage in whatever this conversation is that's about to come. So even if I recognize the number, I'm like, I don't really have the space for it right now. So I will call you back. And then six months goes by and I'm like, wow, I never did that.   Like I never I never finished that. So then two years goes by, right? I have a friend that was we were messaging on Instagram just last night about her wedding and our wedding coming up and all of these pieces. And she's like, I can't believe how big Brody is. And we realized my son is 18. We have not seen each other in person since he was a baby. She lives three hours from me. Like we put that together and I was like, gosh, but the reality is it didn't feel that long. It felt like   It was just the other day because we have this this social media connection, right? She's in front of me. And so it felt different. And so when we're in front of the people, even our email correspondences, things like that, if we're in front of them, that time passes differently. It doesn't feel as long into your point, Pam. With all of those correspondence continuing to go, you still feel like that's my dentist, right? That's my practice, like that's who I'm going to go to.   when I'm ready and how many patients have we answered the phone for and they're like, my gosh, I can't believe it's been two years since I've been there. I'm like, time really does fly. so the reactivation campaigns are huge. And to me, I think of those patients almost like new patients, right? Because they haven't been seen. And so they they need a full workup. They need all of the pieces. You didn't spend any money to get them.   And their appointments are easier because they already have a relationship with the practice. So it's way less work, time, and money to reactivate people than it is to continue to search for new patients. Let the new patients come in, let the new patient flow be there, and reactivate patients simultaneously.   Pamela (16:59) Yeah, a absolutely. And I I love your point that it's just it's should be part of our processes. It should be part   Tiffanie (17:05) Okay.   Pamela (17:06) of our systems. And you know, if we tend to let that go, we're letting a huge opportunity just pass us by. And just if we focus only on those eighteen months patients, you know, we're doing a huge disservice truly to our   Tiffanie (17:20) Absolutely.   Pamela (17:21) patients. And I I think it's really wise to keep that going. you know, whether that like   you like we said an email campaign or a texting campaign and just put it on a system so you know whatever that is tackle it by you know x amount of patients per day per week however you're gonna do it just systemize systematize it so that you are continuing to hit those patients reach out   Tiffanie (17:49) Yep, I   have a practice I talked to about this last week and she was like, Well, do we do this every month? And I'm like, actually, you're gonna do it twice a month. And you're gonna have one that's 18 to 24, and then you're gonna have one that's 24 plus, and they're gonna go twice a month because every day someone new falls into one of those categories. And so no matter what, you're hitting them multiple times in the foreseeable future, and eventually they're either gonna call back and say, Hey, we moved out of state.   Or they're gonna call back and say, Thank you so much for sending fifteen emails. You finally got my attention and I'm scheduling this appointment.   Pamela (18:23) Yeah, and and that's a really good point, Tiff. Like being conscientious and really aware of when you are deciding to delete a patient, right?   Tiffanie (18:36) Yeah.   Pamela (18:36) I think there needs to be some actual communication and that you've talked to that patient and they say, Yes, I have moved, and you don't know what happened. They could have said they were gonna move and they didn't, you know. So and then we just delete them out of our system, and I I don't think that's   right thing. I think we need to be really aware and have have a system built in. If you have talked to the patient and they told you that they have moved, then okay, I get that. But we don't just go deleting patients willy-nilly.   Tiffanie (19:10) I totally agree. I totally agree. And even I have doctors that are like, well, I just purchased this practice, right? So like I need new patients. And I'm like, my gosh, phenomenal. Everyone who's ever been in that practice is a new patient to you. You've already paid for them. So let's get as much as we can out of that before paying for more new patients.   Pamela (19:30) Absolutely. And I have several practices like that right now that have just purchased in the last two years. And I remind them of that constantly because they, you   Tiffanie (19:39) Yep.   Pamela (19:39) know, and and right we hear this all the time in dentistry. I need more new patients. I need you have a gold mine sitting there. And so   Tiffanie (19:48) Yeah.   Pamela (19:48) go go mining. Go get them. They're   Tiffanie (19:50) Yes.   Pamela (19:51) yours.   Tiffanie (19:52) Yes. I agree. I agree. And when they say the team says, I don't have time, great, let's strategize and let's find the time. And like you said, Pam, like so many things can be automated right now. And I think everyone prefers the automation at this point. It's not I think in twenty eighteen to like twenty twenty two we were really still fighting that automation piece. But now it's twenty twenty six at the time of recording this and we are we are ready for it. Just allow to use it. Yeah.   Pamela (20:19) I I agree a hundred percent. Like we can do more in the dental let's not stay back in those ages. Let's move forward to, you know, with   Tiffanie (20:27) Yes.   Pamela (20:28) the times. And I it just makes life easier anyway because people are oriented that way now. So   Tiffanie (20:31) Yeah. I agree.   Pamela (20:34) yeah, so I think great point. Love it.   Tiffanie (20:36) Always impressed me how dentistry can be so forward thinking and have so much tech in the back office, right? We've got C B C T scans that were never there when I was physically in office. We've got all these scanners, we we're making crowns in office, they're making dentures, they're painting dentures and doing this in office and blowing my mind. But we still have paper charts in some offices. Like I can't   I can't understand, my brain can't understand the difference, the stark difference in the back office versus front office, like forward thinking and and movement there, the advances.   Pamela (21:13) Yeah.   I I could not agree more and you know   Sometimes we have people that are just sort of stuck in doing that   Tiffanie (21:20) Okay.   Pamela (21:21) and that that's okay. But embrace it because I I'm gonna tell you it will make your job so much easier to embrace that   Tiffanie (21:28) I do.   Pamela (21:29) technology. And I think the front office is more difficult to move to that direction. You know, when I go in an office and I see them handing the patient a paper chart, I'm like, okay, well, and and that is applicable in a lot of areas. Okay, in some places, I get that, but   And you know, digital is the way of the future. We need to catch up. And once you make that switch, you will go, my gosh, this is amazing. It's so awesome.   Tiffanie (21:59) I agree.   I totally agree with you. Yeah, I love it. Well, I think those are two incredible systems that really truly help build a profitable schedule and help prep for if you're gonna have a September, have a September, but also it helps prep you for even the busy period. It just keeps it consistent. And when you can build that consistency into anything in life, it becomes less chaotic, especially when you can build the consistency back into your schedule, whether it's hygiene.   or doctor side, these patients have to come in somewhere and they will all be caught within a recare system andor a reactivation system. So Pam, this was incredible. I I knew it was going to be amazing. I knew it was going to be very easy. Thank you for your time today and everyone, all of all of our listeners here today, if you're interested in these, obviously reach out. If you don't have them in place or you're like, gosh, maybe you guys have something that's a little bit different.   Reach out Hello@TheDentalATeam.com. We're always happy to share as much information as we possibly can. You can also go to hello, nope, to TheDentalATeam.com No, hello. You can go to TheDentalATeam.com and you can always schedule a call with us to chat about any of these pieces. Hello@TheDentalATeam.com, TheDentalATeam.com. And as always, leave us a five-star review so that we know that you loved and enjoyed this. Pam, thank you so much for your time today.   I know we had to reschedule this as well. Thank you for being flexible with my schedule. you are an incredible consultant and you are so valued on our team. And I cannot wait for all of the listeners to hear this. So Pam, thank you.   Pamela (23:34) Thank you, Tiff, it was a pleasure.   Tiffanie (23:37) Of course, of course. All right, listeners. if you are driving, go sit down somewhere, listen back to this, take some notes, reach out to us, hello at the dunalytime.com, and as always, have an amazing day. We'll catch you next time.

Rock author Greg Prato tells Shout It Out Loudcast his thoughts on the KISS album, "Music From The Elder!" To Purchase Shout It Out Loudcast's KISS Book “Raise Your Glasses: A Celebration Of 50 Years of KISS Songs By Celebrities, Musicians & Fans Please Click Below:   ⁠⁠⁠⁠⁠Raise Your Glasses Book⁠⁠⁠⁠⁠   For all things Shout It Out Loudcast the #1 KISS Podcast check out our amazing website by clicking below:   ⁠⁠⁠⁠⁠www.ShoutItOutLoudcast.com⁠⁠⁠⁠⁠   Interested in more Shout It Out Loudcast content?  Care to help us out?  Come join us on Patreon by clicking below:   ⁠⁠⁠⁠⁠SIOL Patreon⁠⁠⁠⁠⁠   Get all your Shout It Out Loudcast Merchandise by clicking below:   ⁠⁠⁠⁠⁠Shout It Out Loudcast Merch At Printify⁠⁠⁠⁠⁠   Shop At Our Amazon Store by clicking below: ⁠⁠⁠⁠⁠Shout It Out Loudcast Amazon Store⁠⁠⁠⁠⁠   Please Email us comments or suggestions by clicking below: ⁠⁠⁠⁠⁠ShoutItOutLoudcast@Gmail.com⁠⁠⁠⁠⁠   Please subscribe to us and give us a 5 Star (Child) review on the following places below: ⁠⁠⁠⁠⁠iTunes⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Podchaser⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Stitcher⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠iHeart Radio⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Spotify ⁠⁠⁠⁠⁠   Please follow us and like our social media pages clicking below: ⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Facebook Page⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Facebook Group Page Shout It Out Loudcasters⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠   Proud Member of the Pantheon Podcast click below to see the website: ⁠⁠⁠⁠⁠Pantheon Podcast Network⁠⁠⁠⁠⁠ Learn more about your ad choices. Visit megaphone.fm/adchoices

This was one of the most special podcast episodes I've recorded to date, especially since it was the first time it was recorded LIVE! We gathered for GALILEA's Gathering — an intimate evening that brought together clinicians, researchers, founders, and facilitators for a real conversation about the future of women's health. I had the privilege of recording a live interview with neuropharmacologist and GALILEA creator Stephanie Karzon right there in the room, surrounded by people who are genuinely building something new A core focus of our conversation was mapping out why hormones and life stages are important to factor into female care and why they're especially needed for the psychedelic experience, from a biochemical perspective and for the lived experience. A psychedelic-informed lens in women's care has now become non-negotiable; since clients will likely explore these medicines with or without capable practitioners willing to guide them. And let's face it, current pharmacotherapy isn't enough. Identity and spirituality matter in clinical practice. We need to bring hormone and cycle awareness into practice, as well as the relationship between estrogen, serotonin, glutamate, and psychedelic medicine. Stephanie Karzon Abrams is a clinical neuropharmacologist, founder of Beyond Consulting—powering the integrative and psychedelic medicine spaces by bridging emerging research with clinical practice, and designing clinics and healing centers from the ground up. She serves as Clinical Director at Mystic Health, is an associated prescriber of MDMA and psilocybin therapy under Canada's SAP, and is the Research Director at the Microdosing Collective non profit. Stephanie believes in the undercurrent of joy and authenticity woven into the fabric of our existence, and thus creates talks and workshops where the human experience is explored through the lenses of science, culture, and celebration. With experience in neurology, intensive care, and medical devices at Johnson & Johnson, she is a recognized leader in innovative healthcare. Her work bridges neuroscience, women's health, plant medicine, and the healing power of music. A musician, writer, and speaker, Stephanie also builds community through gatherings rooted in music and meaning through her label Public Secret. Connect with Stephanie via: Email: stephaniekarzon@gmail.com Website: Beyond Consulting, Stephanie Karzon Abrams, Galilea Health IG: @steph__k, @galileahealth Linked In: Beyond Consulting WhatsApp: galileahealth.community YouTube: Stephanie Karzon Abrams Gift: Womens Health Toolkit https://drive.google.com/drive/folders/1eiNj8zAaHlPK3CZPLdqh2QInmDrGbCQ2?usp=drive_link Visit https://marinabuksov.com for more holistic content. Music from https://www.purple-planet.com. Disclaimer: Statements herein have not been evaluated by the Food and Drug Administration. Products listed are not intended to diagnose, treat, cure, or prevent any diseases.

HOUR 2 (08/11) - Gary & Shannon open with #TerrorInTheSkies after an American Airlines flight struck birds shortly after takeoff, triggering a mayday and an engine emergency.They then turn to Los Angeles politics as the city’s homelessness crisis worsens, Ninthya Raman loses her committee chairmanship, and both Raman and Mayor Karen Bass face questions over accountability and whether anyone is actually fixing the problem.Later, they debate the University of Michigan’s plan to drop letter grades for incoming freshmen and wrap with meteor showers, a SpaceX launch, and whether dating has simply become too expensive.See omnystudio.com/listener for privacy information.

In this episode, Matthew McDonald, MD, President and Chief Executive Officer, Children's Specialized Hospital, RWJBarnabas Health, discusses expanding access to pediatric rehabilitation and specialized services while addressing workforce and funding challenges. He shares how innovation, new care models and a focus on family-centered care are helping more children reach their full potential.

EPISODE DESCRIPTION - Ready to publishBlack eyes, zombie logic, a sealed 1864 Guinness bottle, and a grandma vs. grandkids disaster story - this episode keeps finding new ways to get funny, fast. If you like unpredictable radio, real-life mishaps, and the kind of off-the-rails conversation that somehow still lands, this one is for you.Sandy kicks things off nursing a black eye from a garage wipeout, which quickly turns into a debate over whether the culprit was a skateboard, a dog, or just bad luck. From there, the show spirals into zombie fandom, why “The Walking Dead” still haunts one half of the room, and the kind of absurd behind-the-scenes thinking that can ruin an entire genre forever.You'll also hear the return of Care, Don't Care, where Trisha throws out wild headlines and JB and Sandy decide what is actually worth their attention. This round includes a shipwreck discovery with a 162-year-old sealed bottle of Guinness, a look at the most hostile college football stadiums in America, and a brutally honest reaction to Domino's beta app rewards.Then the conversation swings from college football intimidation to the Austin Spurs' local tryouts, where everyday players can literally earn a shot at the pros. The crew breaks down how open tryouts work, why development leagues matter, and what it takes to get noticed when the clock starts ticking.The episode closes with a classic JB and Sandy family check-in as JB's sister Chris joins to tell the story of a grandkid day that went completely sideways. No TV. No iPad. One missing remote. One very bad haircut situation. And a grandparent survival tale that will feel painfully familiar to anyone who has ever watched a child for more than five minutes.Perfect for listeners who love funny, messy, unscripted conversation with sports takes, local flavor, and family stories that get more unhinged with every minute.

Strong leaders know that facts alone rarely change minds. In this episode, Dean Newlund and Danny Bobrow explore why authentic connection comes before persuasion and how leaders can communicate in ways that earn trust, strengthen relationships, and inspire action.   In this episode, Dean Newlund and Danny Bobrow discuss: Lessons from endurance sports and teamwork The Persuasion Blueprint framework Persuasion in digital and AI-assisted communication Building stronger relationships through emotional awareness Leadership communication during difficult conversations   Key Takeaways: Begin difficult conversations by helping people feel understood before trying to convince them. Care and emotional attunement create the foundation for collaboration. Let enthusiasm grow by discovering what already motivates the other person instead of overwhelming them with your own excitement. In digital communication, take time to write thoughtful, respectful messages that provide context and show consideration. Before debating emotional issues, understand where someone is coming from instead of leading with facts alone. Use AI to support your thinking, but preserve authentic judgment and relationships where trust depends on your own words.   "What people are really craving is to be understood, not to be impressed.” — Danny Bobrow   About Danny Bobrow: Daniel A. “Danny” Bobrow is the creator of The Art of First Impressions™ and The Persuasion Blueprint™, communication mastery programs that help businesses build trust and drive ethical conversion. He is President of AIM Dental Marketing, which has helped grow dental practices since 1989, and serves as Executive Director of Climb for a Cause™ and The Smile Tree™. Danny is the Founding Executive Committee Chair of the American Academy for Oral Systemic Health and holds two MBAs from the University of Chicago and K.U.L. Belgium. A Distinguished Toastmaster, mediator, mountaineer, and endurance athlete,  Danny champions patient persistence and respectful resilience.   Connect with Danny Bobrow:   Website: https://www.dannybobrow.com/ LinkedIn: https://www.linkedin.com/in/dannybobrow Facebook: https://www.facebook.com/DanielABobrow/ Instagram: https://www.instagram.com/danielabobrow       See Dean's TedTalk “Why Business Needs Intuition” here: https://www.youtube.com/watch?v=EEq9IYvgV7I Connect with Dean:YouTube: https://www.youtube.com/channel/UCgqRK8GC8jBIFYPmECUCMkwWebsite: https://www.mfileadership.com/The Mission Statement E-Newsletter: https://www.mfileadership.com/blog/LinkedIn: https://www.linkedin.com/in/deannewlund/X (Twitter): https://twitter.com/deannewlundFacebook: https://www.facebook.com/MissionFacilitators/Email: dean.newlund@mfileadership.comPhone: 1-800-926-7370 Audio production by Turnkey Podcast Productions. You're the expert. Your podcast will prove it.

Denise's sister-in-law has terminal cancer and is being placed in hospice care. She wishes to receive hospice care in Denise's home.  Got a dilemma? Call 1-800-DR-LAURA / 1-800-375-2872 or make an appointment at DrLaura.com Follow on social media: Facebook.com/DrLaura Instagram.com/DrLauraProgram YouTube.com/DrLaura Join the Dr. Laura Family!! >> Receive my weekly newsletter, perks, and more! Sign up now, it's FREE > DrLaura.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this message, Adrian Rogers offers insight into the care and training of our children. To support this ministry financially, visit: https://www.oneplace.com/donate/135/29?v=20251111

4 years ago, I almost quit podcasting because I felt like I was wasting my time and no one was listening. Two weeks later, I had an idea to promote my podcast on TikTok, and that one video completely changed everything. I went from 200 listens per week to charting number 1 in podcasts on Spotify and Apple. In this episode, I'm taking you guys behind the scenes of how I went from working a job I didn't love to quitting, becoming my own boss, starting Trying Not to Care, and eventually turning social media and podcasting into my full-time job. I'm talking about the mistakes I made, what I wish I knew sooner, how I started making money as a creator, and what actually helped me grow.If you've ever thought about starting a podcast, growing on social media, or trying to turn something you love into a career, this episode is is filled with some advice that I wish someone had told me when I was starting out.

Keith explains why achieving scale rather than simply earning more is the key to long-term financial freedom and how income property uniquely delivers multiple forms of leverage.  He breaks down 25 years of inflation data to reveal which everyday costs have most outpaced wages and what that means for the real purchasing power of the dollar.  Keith also explains why markets like Memphis—combining strong cash flow fundamentals with a massive new AI infrastructure build-out—are positioned as compelling targets for long-term real estate investors. Episode Page: GetRichEducation.com/618 For access to properties or free help with a GRE Investment Coach, start here: GREmarketplace.com GRE Free Investment Coaching: GREinvestmentcoach.com Get mortgage loans for investment property: RidgeLendingGroup.com or call 855-74-RIDGE  or e-mail: info@RidgeLendingGroup.com Invest with Freedom Family Investments.  For predictable 10-12% quarterly returns, visit FreedomFamilyInvestments.com/GRE or text  FAMILY to 66866  Join Mid South Home Buyers' one-time, free live webinar featuring Keith Weinhold on September 30 at GetRichEducation.com/MidSouth to learn how Memphis' economic expansion could create new real estate investment opportunities, and have your questions answered in real time. Will you please leave a review for the show? I'd be grateful. Search "how to leave an Apple Podcasts review"  For advertising inquiries, visit: GetRichEducation.com/ad Best Financial Education: GetRichEducation.com Get our wealth-building newsletter free— GREletter.com  Our YouTube Channel: www.youtube.com/c/GetRichEducation Follow us on Instagram: @getricheducation Complete episode transcript: Keith Weinhold  0:01   Welcome to GRE. I'm your host Keith Weinhold. When I talk to a 25-year-old, it's an epiphany. When I tell them that they need this one thing that they're lacking, then some fascinating takeaways about the 93% inflation we've experienced in the past 25 years, and what you can do about it today on Get Rich Education. What if I told you that one of America's strongest cash flow real estate markets is also becoming the new brains and brawn behind AI? That city is Memphis, believe it or not. In September 30th, we're going to show you why the smart money is paying attention now, along with an investing opportunity you won't want to miss. Join me, Terry Kerr and Matthew Van Horn of Mid South Homebuyers, the largest turnkey company in Memphis with more than 6000 homes under management, for a free live webinar the likes of which I've never done before. We're going to look at what billions in new investment could mean for jobs, housing demand, neighborhood appreciation, and your portfolio. Everyone who attends live will also get exclusive access to the best deal terms Mid South has ever offered. Reserve your free seat at getricheducation.com/midsouth again, that's September 30th. Don't say we didn't tell you. Save your spot at getricheducation.com/midsouth.   Speaker 1  1:33   You're listening to the show that has created more financial freedom than nearly any show in the world. This is Get Rich Education.   Keith Weinhold  1:49   Welcome to GRE from Livonia, Michigan, to Laconia, New Hampshire, and across 188 nations worldwide. You are listening to Get Rich Education. I'm your host, Keith Weinhold, heading up this slackjaw operation for another wealth-building week. But at least I'm just a slackjaw. If this slackjaw gets lockjaw, it would probably end the show. Now I've got to tell you, when I meet a 25-year-old, I soon tend to learn about their job because it takes a lot of their time, even if I don't ask them about it, and I find out that a 25-year-old is usually an employee of some sort. They're working for somebody else, depending on our conversational flow. I ask that person this question: Have you considered adding scale to your life? And they usually don't know what I mean. I ask that question because, sadly, today it's less common to live an economically vibrant life if you have a quote normal job like a teacher, engineer, retail manager, app developer, or other normal jobs like a firefighter, truck driver, physical therapist, or social media manager, that is not going to lead to an economically vibrant life with options and freedom. I mean, you used to be able to raise a family of four in New York City. That opportunity is just gone for anyone under a certain age. Well, what about say doctors, corporate executives, and attorneys, including some people that might be older than 25. I mean, professions like this can still pay exceptionally well. But even white-collar careers now have AI breathing down their necks. AI is drafting briefs, reading scans, and virtually attending meetings without pretending to enjoy them. Okay, well, what about the outcome for a 25-year-old that's gone along with the somewhat more nascent trend of rising AI sheltered trades like plumbing, electrical, HVAC, welding, carpentry, equipment repair, and these other types of jobs where ChatGPT can't crawl beneath your sink. Look, here's the thing: it doesn't matter whether you wear scrubs, a suit, or a tool belt. Employment has one stubborn limitation: even if you grind hard, even if your body holds up, even if promotions help you climb to the top of the corporate ladder, when you stop working, the income stops. That's the big problem, and yet people keep designing their life this way, employees lack scale. Now, what is scale? Scale is your ability to increase your wealth or income without increasing your personal time and effort at the same rate. Now, employees can find just a little scale. 401k contributions can compound for decades, sometimes with an employer match. Some employees receive stock compensation or bonuses, but employees generally sell one unit at a time. That unit is an hour. They're selling their hours for dollars, and here scale is limited, if not impossible. Real estate investors can stack several forms of scale simultaneously, and remarkably, doing it takes zero certification, zero qualification, no license, and no permission slip from the dean.   Keith Weinhold  6:05   The first way real estate investors have scale is through something that you already know so well: real estate pays five ways, leverage appreciation, 10 funded income, loan amortization, tax benefits on the entire asset, and inflation profiting on the bank's loan. Secondly, as a real estate investor, you have scale through operational leverage. Property managers, leasing agents, contractors, lenders, insurers, and software all allow just one investor, you, to control multiple properties. You don't personally collect every rent payment or replace every water heater. I mean, sheesh, that could be a plumbing career with less sleep. And this is all tenant funded. Thirdly, real estate investors have geographic leverage. An individual investor living in Los Angeles can own property in Atlanta, Tulsa, Cleveland, and Belize. Physical location does not limit where your capital works. Your body can only work in one city. Your capital can work the night shift in five. The fourth way real estate investors have scale is with replication. Once you learn how to buy and own one suitable rental, the process can be repeated. You buy, stabilize, finance, rent, and repeat. See, the first property is the hardest, and then your second property does not require learning an entirely new profession. It can be replicated. To review what you've learned so far, those are four dimensions where real estate investors achieve scale through real estate pays five ways: operational leverage, geographic leverage, and replication. Here's the important distinction: employees often mistake earning more with achieving scale.   Keith Weinhold  8:16   A surgeon making $900,000 a year earns a nice income, but see that surgeon has limited scale if the income stops when the surgeon stops working. But an investor earning just $150,000 from a portfolio possesses more scale because dozens of tenants, properties, loans, and operating systems continue functioning without your one-for-one labor. That's the distinction. That's why the $150K investor might or might not be living a better life than the 900K surgeon now, but they are set up to live a better life than the surgeon in the future. Now, your employer, the person who hires you, has scale with their many employees. But if you're an employee, you probably don't have scale. You cannot save your way to scale either. That's just stored labor. Savings become scalable only when you convert them into productive assets. Income is how much money comes in. Scale is how little your personal time needs to increase for more money to come in. You can work 20% more hours, but you cannot sustainably work 10 times more hours. Capital can be deployed across 10 assets without requiring 10 times more personal effort. And you know, once I realized this, at a certain point in my life, I was motivated to obtain loans for rental. This helped me scale and own more, replacing my active income with mostly passive income sooner. All right, so what should you do when you have this epiphany? It doesn't mean you should flip over the stupid copier machine as you storm out of work today and announce that you are now a real estate magnet. Not right away, at least employment that can be your launchpad, just like it was for me when I was a humble construction materials inspector for the state DOT. A job does provide you with some benefits like short-term advantages, seed capital, mortgage qualification.   Keith Weinhold  10:45   I'm talking about health insurance and some steady cash flow, and even some skills. But the mistake, whether you are aged 25 or 55, is allowing employment to remain the only economic engine for your entire life. Your job can fund your future, but having just one single linear income source that should not be your entire future. But you know, some people just stay on lazy cruise control at a slow speed and let their life unfurl that way. Others, you know, they merely haven't been exposed to thinking this way, and fortunately, now you have been. Really, the bottom line here is that labor won't scale; capital does scale; it compounds, and few, if any, investments offer more dimensions of scale than real estate. And you also get all kinds of other ancillary benefits by gradually tilting away from active income and toward passive income. Because increasingly, when it comes to taxes, you're going to pay lower capital gains tax rates instead of the higher ordinary income rates. The sooner you optimize this and get into as many properties as you can, you're also going to gain the ability to borrow against your assets tax-free, and so much more. Scale or fail-that's the lesson here, and most people fear change. It's why they stay stuck in relationships longer than they should, and why they stay stuck in jobs longer than they should. They keep settling for a B plus life. Don't settle for a B plus life. This is something that NYU professor Susie Welsh talks about: If you have a D life, oh, everything is lousy. You don't live where you want to live. You don't have reliable transportation. You don't have friends, and you're so very motivated to change that. If you have an A plus life, you've got it all. You get to do what you want to do, who you want to do it with, and you're tremendously incentivized to keep that. But having a B plus life like so many do, and being stuck in it, that is the most dangerous place to be. You could tread water for years and stay stuck in a life that you know you're not fully satisfied with, but it isn't so terrible that you feel compelled to change it. So the people that grow wealth know it means that sometimes you have to give up the good to have the great, and the K-shaped economic divergence that we've had in the past five years. This is really bringing things to a head, so get scale.   Keith Weinhold  13:43   Scale is the difference between grasping the financial abundance that's available to move you toward that A plus life, or staying on the treadmill, stuck and struggling. Two different people living a B plus life, you know, they have the same starting point, and making a plan is your difference maker. We help you with that here. If you're ready to add real estate scale to your financial life, drop a quick email to GRE Investment Coach Naresh for a complimentary strategy session at Naresh at getricheducation.com. You don't need any qualifications. It can take as little as a 20% down payment on a 200k to 400k rental property, and we have access so that you can buy directly from the builders and get a mortgage rate in the fives. And we are chasing the next hot thing here. Last week we discussed co-living on the show. We waited until that strategy was proven. I like strategies that have had some contact with reality. AI can compose a song, or summarize a meeting, or fabricate a photo of some. Wacky like Abraham Lincoln riding a dolphin, but it still cannot download an affordable bedroom, affordable housing. You're scaling into something sustainable that has a future and can't be easily disrupted by AI. Scale or fail. Stop settling for the B plus life. We can help right now at this moment. Drop a quick email to naresh@getricheducation.com. I should spell that out for you. It's n a r e s h@getricheducation.com.   Keith Weinhold  15:36   More straight ahead. I'm Keith Weinhold. You're listening to Get Rich education. What if you got your mortgage loans the same place I get mine? You sure can at Ridge Lending Group NMLS 42056. They provided GRE listeners with more loans than anyone because Ridge specializes in investment property. They'll help you build a long-term plan for growing your real estate empire with leverage. Start your prequal and even chat directly with President Caeli Ridge. While it's on your mind, start at ridgelendinggroup.com. That's ridgelendinggroup.com.   Keith Weinhold  16:13   Let me ask you something: If you've worked hard to build wealth, is your money positioned to actually support your goals? A lot of accredited investors leave capital sitting in cash because it feels safe, but inflation and missed income opportunities can quietly erode its value. Freedom Family Investments offers freedom notes for investors seeking structured income backed by real estate. It's a straightforward approach built on real assets, not speculation. In full disclosure: I'm an investor myself. What I like is that their team walks you through how it all works, so you can decide if it aligns with your portfolio and income goals. Every investment carries risk, and nothing is guaranteed. But with a track record of consistent, on-time investor payouts, they built real credibility. Go to freedomfamilyinvestments.com to book a clarity call, or text family to 66866. That's family to 66866.   Chris Martenson  17:17   This is Peak Prosperity's Chris Martenson. Listen to Get rich education with Keith Weinhold, and don't quit your daydream.   Keith Weinhold  17:33   Welcome back to Get Rich Education. I'm your host Keith Weinhold. Having residual income from real estate, it can make you more comfortable for sure, but for me, I like to primarily use it to buy back my time. I'll tell you how I just did this. It's a small thing, a small win. It is time for my car's annual routine maintenance. Boring. I really don't want to lose my time dropping it off at the dealership in the morning and then picking it up again. Those two boring round trips don't add anything to my life. But the dealership had the option of, for just 100 bucks, picking it up for me and dropping it off for me at the end of the day. Oh well, that is an opportunity for me to buy some time, so that's why I did that. Now, when it comes to flying, sometimes I fly coach and sometimes first class. I just booked a flight and I refused to pay six times as much for first class. It just wasn't really worth it this time because the experience isn't that much better, and it sure doesn't save me any time. I tend to do that if the price is just 3x more, so I'll pay to save time, but not always to borrow a wider seat for five hours. And you and I both make hundreds of time versus money decisions every day, most of them small.   Keith Weinhold  19:04   With the more residual income you have, you're gonna make better decisions where you can choose the time over the money. One thing's for sure: whatever we're doing with our money, and that is that our dollar does not go as far as it used to. Let's look at inflation during the first 25 years of this century. This is really interesting. We're going to see how the cost of goods and services has changed from 2000 to the end of 2025 on some select categories that you spend on, and then I've got some mind-bending takeaways for you once I describe this chart, and this is the same chart that I sent to you last Thursday. If you are one of my newsletter readers, but I can open up and talk about it more here than I can in the newsletter because I keep that short. Overall inflation is about. 93% during this time period. 93% over these 25 years. Now, here are the items that rose less than that much, meaning that they became then more affordable over this span. What fell the most is the price of televisions down more than 90% in the first 25 years of this century? Toys down 74% Computer software down 73% Cell phones down 44% By the way, this all uses the government's CPI inflation rate, clothing up just one and a half percent, and even though it's up, that's still more affordable because it's up less than the overall 93% CPI inflation rate over this span. Household furnishings up 21% and finally new cars up 26% So all those items became more affordable because they rose less than the general rate of inflation. All right, moving on up. Now we're going to go above the line. Items above the 93% overall inflation rate, food and beverages were up 106% housing up 111% average hourly wages up 131% All right, let's pause. Yes, wages then outpacing 93% inflation. but of course, since that 93% uses the government CPI, well, that's pretty understated. Probably, you know, the true dispersing power of the dollar is probably more than 93% So it's debatable about whether there are real wage gains from 2000 to the end of 2025, medical care services up 147% Next in the category that has become less affordable is childcare, up 159% And as I'm naming these, there are some common threads here where I think you're going to have a few epiphanies when I point them out. College textbooks up 177%. Sheesh, what a scam! College tuition and fees up 197%, and finally the major category that became less affordable here at the top is the worst of all: hospital services. They have soared the most, up over 281% All right, there they are.   Keith Weinhold  22:57   And what takeaways do we have here? The items that became less affordable tend to be where the government either provides subsidies or they heavily regulate and mandate the product or service, like education, child care, and medical care. The categories that have become more affordable-that's where there is little or minimal government intervention, like clothing and technology. The lesson is that free market competition kept prices low, and some of these categories that became more affordable-you know-they would have become even more affordable than that if it weren't for profligate dollar printing, sadly, the items that have become less affordable-and this could really upset you-the items whose price increases exceed the overall rate of inflation, like medical care and housing, these are life's necessities. They are not once the stuff you need most got harder to obtain, healthcare is the ultimate example of this. It's sad to say, but you'll either pay the fee or you'll die, and the price reflects this. With hospital services up 281% outpacing the overall rate of inflation by about 3x. Also, items that have become more affordable, they are then generally the more discretionary purchases like furnishings, toys, and televisions. You can live without that stuff. Items that have become less affordable. They also tend to be more in-sourced activity, while those more affordable are outsourced, like to China. If you've noticed the trend, then anything involving people in the United States will be expensive, like child. Care and medical care. It involves people in the United States, and then it just gets more and more expensive. And this is also why service prices increase more and goods prices increase less. People are expensive.   Keith Weinhold  25:18   Microchips don't ask for dental insurance, and microchips don't file sexual harassment lawsuits. Overall, inflation was just 2.66% per year during this time period. But when it's compounded for this long, that's how it got to 93% cumulatively. But of course, inflation is higher than this 2.66 rate here in the late 2020s, and inflation is poised to rise even more than the level that it's at now. The war in Iran has pushed up energy prices 24% and these costs seep into almost everything, all right. But you're probably aware of this already, so I'm not going to discuss it much more because I discussed that before, like on episode 606, nearly two months ago when I called it our most important message in years, all right. But few seem to understand that this is just one part of a new inflation triple whammy. First, you've got spiking energy prices, like I mentioned. Second, more U.S. tariffs, and third, you've got mushrooming AI spending, and as a result of all this, this new inflation triple whammy that most people aren't aware of, this has pushed up bond yields to their highest point since 2007, and pressure is mounting for the Fed to jack up rates. Mortgage rates are soaring right along with them, and they are now near 7% Could mortgage rates reach 8% This is a real question now. The bottom line here is that inflation made the dollar lose nearly half its purchasing power in the first quarter century. Real asset owners will win, especially leveraged income property owners. This raises the property's replacement costs, spikes rents, and erodes your mortgage's real burden. Nearly everyone else is going to lose, and I don't want to lose a learning moment for you here. Bond yields-they are closely tied to what future mortgage rates are going to be. It's not about what the Fed does, and this is not as esoteric as some people think. This correlation between inflation, bond yields, and mortgage rates. Bonds pay a fixed interest rate long term.   Keith Weinhold  28:01   For example, the 10-year Treasury bond right now pays about 4.7% each year for the next 10 years. That's what that means. Now, would you lock in your investment for 10 years in order to get a 4.7% return? Well, if you were a conservative investor, maybe you would if you knew that inflation was only going to be 2% because then you'd be making about a 2.7% real return on your investment each year risk free. But if you expect inflation was going to be 5% over the next 10 years, oh well, then locking in a return of 4.7% means that you would lose real purchasing power every year. Investors don't want to lose money, so if investors expect that inflation is going to be higher, they will only buy bonds if they're paying higher amounts. And the bond market is telling us that as of today, investors expect at least 4.7% inflation over the next 10 years. If things change and they expect inflation to be higher than that, well, then bond yields will go up. If they expect inflation to decrease, for example, from a recession, bond yields will go down. So therefore, Treasury bonds are a true representation of investor inflation expectations and the movement of that bond yield-that is the number one factor that moves mortgage rates in that same direction. There's your explanation. That wasn't so hard. The market does not believe we're going to escape the Middle East war without substantial inflation or energy supply chain issues. That's what that means. Now, what else is going on in this era is the continuation of a reduction in the volume. Of housing transactions, fewer deals are happening. It had its recent peak of 6 million existing homes changing hands back in 2021. In 2022, it was 5 million, and it's been about 4 million transactions every year since. Now, as far as investor activity, just looking at that, for big investors, activity that's been sideways to a little down these past few years. But let's look at ourselves for smaller investors, mom and pop types, defined as those doing 10 or fewer deals per year, which probably includes you. You know, each of the past three years, activity has been up for smaller investors like you. You have gradually been purchasing more property, and this is as reported by realtor.com. Okay, what are the reasons for this?   Keith Weinhold  30:55   Well, back during the pandemic, you had to compete with owner-occupied buyers, that's when open house lines stretch down the block, and today there are fewer bidders in the room, and small investors are buying because builders are buying down your mortgage rate for you. That's another reason, and the source analysis it found that investors are sticking to affordable Midwest and Sun Belt markets that have strong rental demand. In fact, they're buying at least one out of every five homes in Memphis, Kansas City, St. Louis, Birmingham, and Oklahoma City. Real estate providers know that some prospective owner-occupant homeowners and even some investors-they won't buy anything at today's market mortgage rates, even though you and I know that these rates are historically normal. But providers-they need to stay in business. They need to keep turning things over. They need to sell property. They need to keep their people busy. They're not running museums here, so they're making sure that mortgage rate buydowns happen. And one of the most lucrative sources that I know about for investors is Mid South Homebuyers because they have investment property where the numbers work in Tennessee, Arkansas, and Texas with mortgage rates in the fives and a conventional loan with 25% down. A lot of their income properties cost under 200k, and these are quality homes in decent neighborhoods. I've physically walked inside many of them myself, not by drone, not with a virtual tour, not by AI, and not through some glossy brochure with suspiciously perfect lighting. The reason I'm telling you about this now is that this mortgage rate is one part of their limited triple five program. Here's what else we get as investors: a mortgage rate near 5% like I mentioned, and a 5% property management fee for five years. Though leverage has its benefits, if you decide to pay all cash instead, they provide you with the 5% property management for life, even if you finance later. I think they call that their forever five. Frankly, it's just amazing how many investors rave about the quality of their rehabs and say that their property management never seems to mess up in this industry. I mean, that is about as common as a calm political debate, or perhaps an airline actually improving legroom, and I have helped recommend Mid Health Homebuyers to our listeners for over 11 years. I know some followers that have looked at their available properties and scooped up three properties on one phone call. In fact, where they're based and have a lot of their available properties, Memphis. You know, Memphis has a story where I don't know if any other market in America can tell it right now. Do you know what's happening? Memphis is developing into having both the new brains and the brawn behind AI, and you got more smart money moving there now. Memphis is now home to the world's largest AI supercomputer. It's XAI's Colossus. It's now part of SpaceX. It's the biggest single-site AI facility on the entire planet. Anthropic is paying over a billion dollars a month to run Claude on it. Google just signed a deal worth up to 30 billion starting october 1, and I look forward to announcing that I have got a live event that I am co-hosting for you the day before this happens on september 30.   Keith Weinhold  34:56   So yes, that's the night before Google's money starts flowing. Into Memphis in one year, XAI became the second largest taxpayer in Memphis after FedEx, and the city has committed 25% of the property tax revenue from those sites to infrastructure in the surrounding neighborhoods. And when you add in FedEx, because Memphis already moves more physical goods than anywhere else in the country, you can see how Memphis is increasingly becoming the brains of the digital economy, while it's already been the brawn of the physical one. In every other market, you know they showcase things like their population growth and the rent-to-price ratios, and those attributes certainly matter, but now the fact that perhaps the biggest infrastructure story in America is happening in the most affordable major cash flow market—I mean, this is something that almost nobody has connected the dots on. So join me and my two co-hosts that lead Mid South Home Buyers.   Keith Weinhold  36:01   We're going to discuss market fundamentals, the AI build out, what it means for jobs, rent in neighborhoods over the next decade, and then a heavy live Q and A on Mid South. You're invited to join me. This is happening again on Wednesday, September 30th. It's at 8p.m. Eastern. Yes, you will have me live. Sign up at getricheducation.com/midsouth. It's a special event as Memphis is positioning to become both the brawn and brains of AI and a property provider that already makes a lot of sense for investors. Save your spot at getricheducation.com/midsouth. Until next week, I'm your host Keith Weinhold. Don't quit your daydream.   Speaker 2  36:54   Nothing on this show should be considered specific, personal, or professional advice. Please consult an appropriate tax, legal, real estate, financial, or business professional for individualized advice. Opinions of guests are their own. Information is not guaranteed. All investment strategies have the potential for profit or loss. The host is operating on behalf of Get Rich Education LLC exclusively.    Keith Weinhold  37:22   The pre- program was brought to you by your home for wealth building, getricheducation.com