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The 80/20 Principle of Running a Cash-Based PT Clinic In this episode of the PT Entrepreneur Podcast, Dr. Danny Matta breaks down the 80/20 principle for cash-based clinic owners and simplifies what you should track if you want to grow past yourself. Instead of obsessing over dozens of metrics, Danny argues there are three "dollar productive" KPIs that drive almost all clinic growth. He also explains why provider schedules either snowball fast or stall for a year and how to shorten that ramp from 12+ months to around six months with the right focus. In This Episode, You'll Learn: How Claire can save staff clinicians hours each week and translate that time into meaningful revenue What the 80/20 principle means inside a cash-based clinic The concept of "dollar productive activities" and why it matters The three KPIs Danny thinks drive the majority of clinic growth Why the owner should usually handle discovery calls during growth phases Benchmarks for conversion rates at different stages of scale Why recurring services are the "sneaky" variable that stabilizes schedules How to get a new provider productive faster so clinic growth compounds Claire: Turn Saved Time Into Revenue Without Burning Out Your Team Danny opens with a simple math breakdown clinic owners can understand quickly. Time is valuable, for you and for your staff clinicians. PT Biz has found that Claire, their AI scribe, saves staff clinicians about six hours per week on average. Even if you only reclaim half of that time and convert it into patient care, that is roughly three additional one-hour visits per week per clinician. Example Danny gives: 3 extra visits per week $200 average visit rate $600 more per week per clinician Roughly $30,000 per year in additional revenue per clinician The point is not to overload your team. The point is to use technology to remove the documentation burden so you can increase capacity without increasing burnout. Try Claire free for 7 days: https://meetclaire.ai The 80/20 Principle in a Cash Practice The 80/20 principle is the idea that 20% of your actions lead to 80% of your results. Danny applies this directly to clinic growth. When your clinic is small, it is easy to get busy doing "everything" and tracking a long list of numbers. The problem is most of those activities do not move the business. Instead, Danny recommends narrowing your focus to the most "dollar productive" activities. In other words, the actions and metrics that actually drive revenue and schedule utilization. The Goal: Get a Provider Productive Fast Danny frames the big objective clearly. You want to get your own schedule full enough to hire someone. Then you want any provider you hire to get productive as fast as possible. In PT Biz's world, once a provider reaches roughly 80 to 90 visits per month, it tends to snowball into 100+ pretty quickly. But getting to that point can take some clinics over a year. If you can shorten that ramp to six months, your growth compounds. In a year, you might be able to hire two people instead of one, because each provider becomes profitable faster. The Three Dollar-Productive KPIs Danny says there are three key metrics that drive the majority of growth in a cash-based clinic. Each one represents a drop-off point that can either accelerate growth or quietly crush it. 1) New Patient Volume and Discovery Call Conversion Many owners only track "how many evals we have." Danny says you need to go one step back and track conversion from lead to evaluation. There is often a major drop-off between someone becoming a lead and actually booking an evaluation. This is usually happening on discovery calls. Benchmarks Danny shares: During growth, aim for 8 to 10 new patients per provider per month Once stable, new patient volume can drop closer to 5 per month Discovery call to eval conversion should be 70%+ He also makes a strong recommendation: during growth phases, the owner should handle discovery calls. Why? In many clinics, admins convert around 45% to 50%. Owners often convert 80% to 90% because they carry authority and can handle objections better. Danny gives an example: 20 discovery calls at 50% conversion = 10 evals 20 discovery calls at 80% conversion = 16 evals That gap can be the difference between a provider staying empty and a provider getting busy quickly. He also points out that owners sometimes resist this because it feels like a step backward, but the time requirement is smaller than most people assume. If you have 20 calls at 20 minutes each, that is under 10 hours per month and it can dramatically impact growth. 2) Evaluation to Plan of Care Conversion The second KPI is how many evaluations convert into a plan of care. When people do not commit to a plan of care, Danny says many still come back a few times, often around three visits, until symptoms improve and then they disappear. That creates unpredictable revenue and inconsistent schedules. Plan-of-care conversion makes volume and revenue more predictable. Benchmarks Danny shares: Owner: 70% conversion from eval to plan of care Staff providers: 60% conversion is a strong benchmark at scale He emphasizes that this requires quality control and training. Staff clinicians need to be comfortable with diagnosis, prognosis, and presenting a clear plan. Otherwise close rates drift and schedules stall. 3) Recurring Services After Plan of Care Danny calls this the sneaky variable that people forget, but it can make the biggest difference in schedule stability. Hiring a clinician is usually a net negative for the business at first. You are paying salary, taxes, and benefits while they are still ramping up. What stabilizes and compounds a provider schedule is recurring volume. The goal is that roughly 40% of plan-of-care patients transition into some type of recurring service after discharge. Why this matters: Recurring visits fill a predictable chunk of the schedule New patient volume no longer has to carry the whole load Providers get to work with people they enjoy long term It is mentally easier than constant evaluations Danny also explains why this is often hard for staff clinicians. They may feel uncomfortable "selling" ongoing support because they never did it in insurance clinics They may not know what to do clinically once a plan of care ends So this requires two things: education on the clinical delivery of recurring services and training on how to present it confidently. Put It Together: How to Grow Faster Without Tracking Everything Danny's bigger point is that clinic owners often get lost in too many tasks and too many numbers. If you simplify down to these three KPIs and train your team around them, your odds of building provider schedules faster go up dramatically: Discovery call conversion (lead to eval) Eval to plan-of-care conversion Plan-of-care to recurring conversion When those are strong, growth compounds. You hire faster, providers get productive faster, and you get to choose what you want the clinic to become instead of being stuck trying to "just get busy." Resources Mentioned Try Claire free for 7 days: https://meetclaire.ai Talk with a PT Biz advisor: https://vip.physicaltherapybiz.com/discovery-call Join the free Part Time to Full Time 5-Day Challenge: https://physicaltherapybiz.com/challenge
Listen without ads at www.patreon.com/dopeypodcastThis week on the Monday Complete Dopey Replay! Dave kicks off the brand-new weekly series reliving the classic early episodes with Chris (starting from the beginning after lost tapes 6, 8, 10 & 12), reflecting on 10 years since Dopey launched in 2016, the frozen-in-time joy of hearing Chris's voice again, and how the show was born from two rehab friends laughing over insane drug stories. He's still riding the emotional wave from Linda's father Tony's beautiful celebration of life, got his $1,100 car repair money back after a pajama-rage showdown, and begs for any surviving lost Dopey episodes (6, 8, 10, 12) with a reward offered.New format twist: Mondays = full chronological Chris-era replays, Thursdays = Greatest Hits. Dave reads grateful/complaining listener emails (send yours: one thing you hate + one thing you're grateful for), plays Haley's legendary nitrous-at-the-dentist voicemail (huffing until she thinks she's “retarded,” crying then laughing while clapping, pure Dopey chaos), and dives into the Episode 5 replay: “Skiing Drunk, Broken Neck, TBI, Jail, and…” — Chris recounts his teenage subdural hematoma from a blackout ski crash (tuna & grape juice vomit fountain, spinal fractures, spleen rupture), court-ordered stay at a traumatic brain injury facility (diaper-wearing roommate flooding the kitchen with Apple Jacks & milk, another nonstop-talking Deadhead/skinhead roommate), sneaking out to shoot crystal meth, watching porn together, and the infamous “let me suck your dick” moment that ends the story in glorious, unfiltered Dopey style.ALL THAT PLUS EMAILS AND VOICEMAILS on a super classic episode of Dopey. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
If you've been told your AMH is low and IVF is your only option, or you already went through IVF and it didn't work, this episode will change how you interpret that number and what decision actually deserves your attention next. Here's what most patients are never told: AMH reflects egg quantity, not egg capability. It helps clinics predict medication response, but it does not explain why eggs develop poorly, why embryos arrest, or why outcomes fail to improve despite protocol changes. When IVF fails, the cycle itself becomes valuable data if you know how to interpret it across systems instead of treating it as bad luck or age alone. In this episode, I walk through a real case where the outcome changed not because the AMH changed, but because the physiological environment influencing egg development was finally evaluated. This is not about avoiding IVF or chasing numbers. It is about understanding what the data is actually telling you so you can make a better next decision. In this episode, you'll learn: Why AMH predicts stimulation response, not egg health or developmental capacity How inflammatory load quietly interferes with ovarian signaling and embryo development Why nutrient absorption and utilization patterns matter more than supplement volume How brain–hormone signaling influences ovulation timing, progesterone, and cycle predictability Why nervous system state shapes immune balance, implantation readiness, and resilience under treatment stress I'm Sarah Clark, founder of Fab Fertile and host of Get Pregnant Naturally. For over a decade, my team and I have reviewed hundreds of low AMH and failed IVF cases using functional testing alongside conventional fertility care. We specialize in helping couples identify the physiological patterns driving poor outcomes so decisions are grounded in interpretation, not guesswork. This episode is for you if: You were told your AMH is low, and no one explained what that actually means IVF failed, response was poor, or embryos stopped developing without clear answers You want better interpretation before repeating another protocol or escalating treatment
Clinic owners: your costs are rising, your reimbursements aren't. So how do you protect your margins? In this episode, Jimmy chats with Joseph Lowe, a former PT turned rehab retail expert. Joseph reveals how clinics can generate $30K–$40K a year in retail revenue — without selling out or adding visit volume.They cover:Why “profit margin” should be your #1 KPIThe easiest products for PTs to sellHow your sunk costs can become scalable revenueWhy retail is the future for sustainable practice growth???? Joseph's prediction?Someone will land a seven-figure product partnership. And it could be you.
Welcome to Friday Coaching Clinic Episodes. These are LIVE coaching session snippets where you have the opportunity to learn as both client and coach. I encourage you to think about how you might coach through this topic as a coach or how this situation may support you as a client. A reminder about these episodes: This snippet is just one way of coaching through this topic. Each coach has their own unique voice, personality and confidence to best support their clients and I invite you to find yours. This week: Stop Writing Emails That Only Your Warm Audience Answers
In this episode of the What Happens in Vagus podcast, Dr. Stephanie Canestraro sits down with nurse Emma Robertson to explore her journey from high functioning perfectionism to a full nervous system crash and eventual recovery. With a background in human anatomy and frontline healthcare, Emma shares both the clinical and deeply personal realities of living with dysautonomia and chronic nervous system dysregulation.Emma's symptoms began after graduating university and starting an intense nursing job that left her overworked, under fueled, and ignoring early warning signs like gut issues, rashes, and anxiety. Over time, a combination of stress, restrictive eating, nutrient depletion, and environmental and immune stressors pushed her system past its limit, leading to a sudden and frightening escalation of symptoms.She describes experiencing hyperadrenergic POTS, heart rhythm disturbances, constant panic, severe digestive dysfunction, blood sugar crashes, insomnia, dizziness, and exercise and heat intolerance. Many of her symptoms were misattributed to anxiety, leaving her feeling hijacked by her own body.Emma and Dr. Canestraro discuss the tools that supported her healing, including adequate nutrition, frequent meals, electrolytes, binders, gentle movement, lymphatic support, nervous system regulation, and mindset shifts rooted in safety and trust. Emma also shares what did not help, including extreme diets, fasting, and electrical vagal nerve stimulation, which worsened her symptoms.This episode offers insight, validation, and hope for anyone navigating dysautonomia, chronic illness, or nervous system overload, and emphasizes that healing often begins by slowing down, nourishing the body, and learning to listen to its signals.Let us know your thoughts on this episode hereFor any further information, feel free to email us at info@vagusclinic.com. Our team is happy to help. We offer 20-minute complimentary health calls, and you can sign up for one here.
President Donald Trump has threatened to invoke the Insurrection Act to quell ongoing anti-ICE demonstrations in Minnesota in the wake of the shooting death of Renee Good by a U.S. Immigration and Customs Enforcement agent. Protests have erupted nationwide after Good's death, and there have been many in Northeast Ohio communities, including Cleveland, Akron and Kent. This week, social media has been filled locally with unverified reports of ICE activities in Cleveland. Noted immigration attorney Margaret Wong said there were reports of ICE agents in Cleveland and offered advice about people's rights should ICE agents come to their door. Cleveland Police took the extraordinary step on Wednesday to issue a statement saying it's not its job to enforce general federal immigration law. We will begin Friday's “Sound of Ideas Reporters Roundtable” with a discussion of CPD's statement and rising concerns over ICE. FirstEnergy is asking the Public Utilities Commission of Ohio to lower reliability standards for power outages, basically allowing for more outages that last longer before its determined that standards weren't met. A first hearing is scheduled for next month. The Cleveland Clinic announced yesterday that it intends to earn certification as a Level 1 trauma center at its Main Campus by 2028, its second Level 1 trauma center in the region, after Akron General. Cleveland Clinic main campus leader Dr. Scott Steele said he sees a need for this top tier of trauma care within the Clinic's own system. But Cleveland already has Level 1 trauma centers -- operated University Hospitals and also by MetroHealth, which called for the clinic to reconsider and claimed patient costs would rise as a result of the clinic's actions. An effort to repeal a new state law that makes changes to the recreational marijuana statute passed by voters and also bans intoxicating hemp suffered a setback this week. A group trying to prevent Senate Bill 56 from going into effect and allow voters to decide whether to repeal it in November had its petition summary language rejected by Attorney General Dave Yost. We've heard a lot about the Browns planned move to a new enclosed stadium in Brook Park from the Cleveland perspective. Now, we're getting a bit more insight into how the mega project could impact Brook Park. This week the Northeast Ohio Areawide Coordinating Agency or NOACA held a meeting about how the stadium could impact traffic. The Canton Hall of Fame Village has secured financing that could jump start the stalled construction on a massive indoor water park. "Game Day Bay" sits at the front of the Village property was started in 2022 but has been sitting unfinished since 2024. All this week on Ideastream Public Media you've been hearing reporting about the firefighting crisis facing Ohio. 70% of Ohio's fire departments are at least partially staffed by volunteers. Those volunteer positions are getting harder to fill as current volunteers near retirement. The reporting is a collaboration between Ideastream and The Ohio Newsroom and you'll find all the stories on our website as "Sound the Alarm". Guests: Glenn Forbes, Deputy Editor of News, Ideastream Public Media Abigail Bottar, Reporter, Ideastream Public News Karen Kasler, Statehouse News Bureau Chief, Ohio Public Radio/TV
Californians have until January 31 to sign up for health insurance provided by Covered California, the state's Obamacare plan. Because Congress let health care tax credits expire, the cost of insurance has radically increased for many customers, and some are opting out of health insurance altogether. We'll hear how skyrocketing costs are affecting your healthcare decisions and take your questions. Guests: Jessica Altman, executive director, Covered California, the state health insurance exchange Cynthia Cox, senior vice-president, KFF, an independent source for health policy research, polls and news - Cox is also the director of KFF's Affordable Care Act Program Katelyn Jackson, executive director, Clinic by the Bay, a free medical clinic for uninsured patients Learn more about your ad choices. Visit megaphone.fm/adchoices
More CRNAs are stepping beyond the operating room and building something entirely new, and this episode dives into what that transition truly looks like. Today, we're sitting down with Joshua Olson DNP, CRNA, CRNA educator, and co-creator of the Ollivate app, a gamified learning platform designed to help CRNAs earn CEs and residents prepare for boards in a calmer, more effective way. Want to know what it's like to transition to entrepreneurship, the challenges of non-clinical business, and what it takes to succeed? Join us for this candid conversation with a fellow CRNA who's taken the bold leap. Here's some of what you'll hear in this episode:
What if understanding risk actually gave you more freedom to grow your practice—not more fear? In this episode of the Uncaged Clinician Podcast, host David Bayliff sits down with Dr. Michael Uzar, PT, founder of Rehab Risk Consulting, for a powerful conversation on risk management, business ownership, and non-traditional career paths for clinicians. Michael shares his journey from PTA to PT to health system risk manager—and how those same clinical skills translate into protecting practices from liability, licensure issues, and reputation damage. Together, they break down what risk management really is, why it matters for rehab business owners, and how proactive communication and strong relationships can reduce the likelihood of lawsuits and patient fallout. You'll also learn: Why most clinicians overestimate risk—and how that fear can stall growth The difference between liability insurance and true risk management Common blind spots for practice owners (HIPAA, social media, informed consent, patient termination, and more) How transparency, apology, and trust can protect both patients and your business Why clinicians' skills are far more transferable than they think—and how to step into non-clinical roles with confidence Whether you're a new or seasoned practice owner—or a clinician exploring non-traditional paths—this episode will help you think like a risk manager without becoming paralyzed by fear. Learn more about Michael's upcoming CEU courses, certifications, and consulting at RehabRiskConsulting.com or email Michael directly at muzar@rehabriskconsulting.com You can also follow Michael on Instagram at @rehab_risk_consulting As always, if this episode brought you value, share it with a fellow clinician or business owner—and help more professionals break free from the cage. At UNCAGED CLINICIAN, we offer short term guidance to help you to get started in your practice or to help the seasoned owner problem sovle through a particular challenge. Schedule a call with us to learn more at uncagedclinician.com/schedule Be sure to check out resources we have available on-line at uncagedclinician.com
What an honor to begin 2026 with an inspiring conversation with Sports Medicine legend, and AAOS President Dr. Annunziato "Ned" Amendola!We cover a lot of ground in this conversation, his legacy work at Duke, AAOS, NBA shoe consultancy, mentorship, cartilage replacement, even Italian food!!What a towering figure in sports medicine and foot and ankle care at Duke University, where he serves as a distinguished professor, chief of sports medicine, and executive director of the James R. Urbaniak, MD, Sports Sciences Institute. Since joining Duke in 2015 he has served as head team physician and chief medical officer for Duke Athletics, providing exceptional care to elite athletes while advancing innovative treatments for knee and ankle injuries. Internationally renowned for pioneering arthroscopic and biologic resurfacing techniques that have transformed cartilage repair and rehabilitation, Dr. Amendola has authored over 300 peer-reviewed articles, secured numerous research grants, and earned prestigious honors such as the Excellence in Research Award, Cabaud Memorial Award, O'Donoghue Award, and the Kappa Delta Ann Doner Vaughn Award. His leadership culminated in serving as President of the American Academy of Orthopaedic Surgeons (AAOS), where he has championed excellence in musculoskeletal care and mentored countless surgeons worldwide.Beginning his journey in Canada with training at the University of Western Ontario and fellowships in sports medicine and foot and ankle surgery, he previously held key roles including director of sports medicine at the University of Iowa. His contributions have earned him additional accolades like the Achilles Award from ISAKOS, the Roger Mann and Leonard Goldner Awards from the American Orthopaedic Foot and Ankle Society, and induction into the AOSSM Hall of Fame. Join us (and Skeletoni) at the next AAOS meeting: https://www.aaos.org/Clinic: https://www.dukehealth.org/find-doctors-physicians/annunziato-ned-amendola-mdPlease support our Sponsor, Anika Therapeutics: https://anika.com/Duke World Games: https://ryortho.com/2026/01/duke-health-is-warming-up-early-and-ortho-is-leading-the-charge/Support the show
Cameron is joined by Keeley Walker, NP, a board-certified nurse practitioner and entrepreneur in the aesthetics field, and they discuss her journey into medicine, the importance of patient comfort, and the entrepreneurial aspects of running a MedSpa. The conversation delves into effective marketing strategies, the significance of before and after photos, and the role of patient reviews in building a successful practice. Keeley emphasizes the need for continuous education, networking, and maintaining trust with patients while navigating the evolving landscape of aesthetics, including the potential impact of AI. They also provide insights on balancing work and personal life as a practice owner and the future of aesthetics. Listen In!Thank you for listening to this episode of Medical Millionaire!Takeaways:Keeley's journey into aesthetics was influenced by her mother's nursing career.Patient comfort is crucial in aesthetic treatments.Marketing strategies are essential for attracting clients in a cash-pay business.Before and after photos are powerful tools for showcasing results.Collecting patient reviews can significantly impact practice reputation.Rebooking rates are vital for patient retention and business growth.Continuous education is necessary to stay ahead in the aesthetics industry.Networking with other professionals can provide valuable insights and support.Trust and transparency with patients lead to long-term relationships.AI technology may play a significant role in the future of aesthetics.Medical Millionaire: The Blueprint for Scaling a World-Class Medical Aesthetics PracticeWelcome to Medical Millionaire, the go-to podcast for forward-thinking Medspa owners, Medical Aesthetics leaders, Plastic Surgery & Dermatology practices, Concierge Wellness clinics, and Elective Healthcare entrepreneurs who are ready to scale with intention and operate like a true, high-performing business.If you're building, growing, optimizing, or preparing to exit your aesthetics or wellness practice, this show is your competitive advantage.Hosted by Cameron Hemphill Your Guide to Sustainable, Scalable Growth Your host, Cameron Hemphill, is one of the most trusted growth strategists in Medical Aesthetics and Elective Wellness.With over 10 years in the industry, Cameron has helped scale 1,000+ practices and more than 2,300 providers, working alongside the most recognized KOLs, national brands, EMRs, tech companies, and private equity groups, shaping the future of aesthetics. From marketing to operations, from finance to leadership, Cameron brings a real-world, data-driven perspective on what it takes to turn a practice into a powerful business engine.What This Podcast Is All About: Each episode takes you behind the scenes of the fastest-growing practices in the country, revealing the systems, strategies, and mindset required to win in today's Medical Aesthetics landscape.Expect tactical insights, step-by-step frameworks, and conversations with:Industry thought leadersTop injectors & medical directorsEMR & tech innovatorsOperations expertsMarketing strategistsPrivate equity & M&A advisorsWellness and longevity pioneersThis is where aesthetics, business, technology, and wellness converge. What You'll Learn on Medical Millionaire Every week, you'll access expert guidance to help you scale profitably and predictably, including:Marketing & Brand PositioningCRM + Lead Management SystemsPatient Acquisition & ConversionEMR Optimization & Tech Stack ArchitectureSales Psychology & Consultation MasteryFinance, KPIs, and Practice EconomicsOperational Workflows & AutomationIndustry Trends Backed by Real Benchmark DataPatient Retention & Lifetime Value ExpansionMindset, Leadership & Team DevelopmentWhether you're opening your first location or running a multi-million-dollar enterprise, you'll gain the clarity and direction to grow with confidence. A Show Designed for Every Stage of Practice Growth Medical Millionaire breaks down the journey into four essential stages, showing you exactly how to move from one to the next:Startup – Build the foundation and attract your first wave of patientsGrowth – Scale revenue, expand services, and strengthen operationsOptimize – Increase efficiency, margins, and customer experienceExit – Prepare your practice for maximum valuation and acquisitionIf You're Ready to Grow, This Is Where You Start. Tune in weekly for actionable insights, expert interviews, and the exact playbooks high-performing practices use to dominate their markets. This is the podcast for Medspa owners who want more than a job; they want a scalable, profitable, industry-leading business. Welcome to Medical Millionaire.Let's build your practice into the empire it deserves to be.
The One Thing Filter: How to Make Better Decisions as Your Clinic Grows In this episode of the PT Entrepreneur Podcast, Doc Danny shares a simple but powerful idea for clinic owners: pick one core outcome your business exists to create and use it as a filter for every major decision. As your team grows, choices get more complex — what to say yes to, what to ignore, who to hire, what projects to start. Danny breaks down how to choose your "one thing," why money has to be part of it, and how aligning your team around that filter makes leadership easier and your business more stable. In This Episode, You'll Learn: Why documentation is the #1 satisfaction killer for many clinicians — and how Claire can remove most of it Why early-stage goals are simple (replace your income) and what changes once you get past survival The "what race are you running?" analogy and how it exposes mismatched decisions How to decide what you actually want your business to look like long term Why "no money, no mission" matters, even for mission-driven clinic owners How PT Biz landed on its own "one thing": helping clients make more money in their clinics How to use a single filter to decide on hires, con-ed, software, space, and new projects How to get your whole team making decisions through the same lens instead of waiting on you Claire: Stop Letting Notes Crush Your Day Danny opens by talking about satisfaction surveys in our profession. Over and over, clinicians say the same thing: they hate writing notes. It is the part of the day that makes them want to quit, and it is the last thing they want to do when they get home. Claire is the AI scribe PT Biz built specifically for physical therapists. Think of it like having a meticulous student in the corner, capturing the details and drafting your notes so you can stay locked in on your patient. Trained on physical therapy workflows and language Drafts notes for you so you are not catching up after hours Helps you remove most of your documentation time and get your evenings back Try Claire free for 7 days: https://meetclaire.ai From Survival Mode to Strategy Early on, business decisions are simple. Your goal is clear: replace your job income so you can safely support yourself and your family. You are willing to work long hours and say yes to almost anything that moves revenue in the right direction. Once that need is met, the decisions get harder. Do you stay small? Do you grow? How big? What kind of life are you actually trying to build around this business? Danny points out that most owners never slow down to answer those questions. They are "jumping out of the plane and building the parachute on the way down," chasing whatever looks like opportunity without checking if it fits the life they want. What Race Are You Actually Running? To explain the problem, Danny uses an endurance analogy. Training for a 5k is very different from training for a marathon. Training for a 100-mile race is different again — in volume, intensity, nutrition, and time. A lot of owners, he says, are making decisions like they are running a 5k — short-term, fast payoff, quick bursts — when in reality they are trying to run a very long, very hard race. Their decisions and their true goals do not match. Get Clear on the Life You Want First Before you can pick a filter, you have to be honest about what you actually want. What do you want your business to look like 5–10 years from now? How big does it really need to be to support the life you want? What matters more to you: growth, time freedom, leadership, selling someday, or staying clinical? Danny suggests sitting down by yourself, and with your spouse or family if you have one, and talking through the kind of life you are trying to build. You might realize you do not need as big of a practice as you assumed — or that you are thinking too small for what you actually want. No Money, No Mission As mission-driven as PTs are, money still matters. Danny shares a lesson from when his wife ran a military nonprofit in Hawaii. Her boss used to repeat a simple phrase: "No money, no mission." If there is no revenue, there is no staff, no programs, no impact. Your clinic is a for-profit business, but the same rule applies. Without healthy revenue, you: Cannot provide for yourself or your family safely Cannot create good jobs with fair pay and benefits Cannot support your community or give back meaningfully Money is simply an exchange of value and trust. You have to get comfortable with it if you want your mission to survive. PT Biz's "One Thing" Filter At a recent planning retreat, the PT Biz leadership team spent hours wrestling with a single question: "What is the most important thing we do for our clients?" They help people with work–life balance, health, relationships, and dealing with the emotional weight of entrepreneurship. Those things matter. But when they drilled down to the one outcome everything else depends on, the answer was simple: The purpose of PT Biz is to help clients make more money in their clinics. When their clients make more money: They can hire better, pay better, and create low-volume environments They can offer true lateral transfers from hospital or corporate jobs They can reduce burnout and build careers that last So now every major decision runs through one filter: "Does this help our clients make more money in their clinics?" How a Single Filter Guides Decisions Once that filter was clear, decisions got easier. Examples Danny gives: Hiring: Does this role help clients grow their revenue or improve their business directly? If not, it is probably a no. Education and con-ed: Does this topic help clients run better businesses and increase revenue? If not, it is lower priority. Events and guest speakers: Do they add to clients' ability to build stronger practices, not just feel inspired? New resources and tools: Do they point back to revenue-producing activities or critical business skills? Instead of chasing every interesting idea, the team now says no to anything that does not connect back to helping clients make more money. Give Your Team the Same Decision Filter As your clinic grows, you cannot be the only person making decisions. Front-desk staff, clinicians, and leaders all have to make calls every day. If they know the filter, they can ask themselves: Does this software, course, hire, or project support our "one thing"? If not, why are we spending time or money on it? When they make a call that is off, you can go back to the filter and see if it is a training gap or a culture issue. Over time, everyone gets better at choosing in the same direction without you micromanaging every move. Your Challenge: Choose Your "One Thing" Danny closes with a challenge for clinic owners: Decide on the single most important outcome your business exists to create. Make sure it is big enough to support the life you want and honest enough to include money. Share it with your team and use it as part of your weekly meetings and training. Run every major decision through that filter so saying "no" and "yes" gets simpler. When everyone knows the race you are running and the "one thing" that matters most, your decisions get clearer, your team gets more aligned, and your business is far more likely to move in the direction you actually want. Resources Mentioned Try Claire free for 7 days: https://meetclaire.ai Book a call with a PT Biz advisor: https://vip.physicaltherapybiz.com/discovery-call Join the free Part Time to Full Time 5-Day Challenge: https://physicaltherapybiz.com/challenge
Endurance news, including Karen's latest horse updates and tech gadgets, plus a riding tip on securing saddle packs. Two guests: April Lauren from SEDRA to discuss their beginner-friendly distance riding clinic in Ocala, FL, and endurance rider Julie Bittick as she prepares for the grueling 500 km Gaucho Derby in Patagonia. The episode also features details on the upcoming AERC Virtual Convention. Listen in...HORSES IN THE MORNING Episode 3861 – Show Notes and Links:HORSES IN THE MORNING Endurance Day crew: co-hosted by Glenn the Geek and Karen ChatonGuest: April Lauren on the AHA/FHA/FL Rookie Clinic in Ocala, FLGuest: Julie Bittick on riding in the The Gaucho DerbyAERC check out the AERC calendar!Time Stamps:02:22 – Guest preview03:00 – 360 camera tech07:12 – Helmet/safety tech10:28 – Arabian Horse Assoc. awards11:32 – Endurance riding tip14:03 – Gear setup18:21 – Guest: Kristen, Distance Depot21:16 – Guest: April, rider clinic32:34 – Horse breed discussion38:32 – Guest: Julie, Gaucho Derby51:25 – Wrap up and events info
Endurance news, including Karen's latest horse updates and tech gadgets, plus a riding tip on securing saddle packs. Two guests: April Lauren from SEDRA to discuss their beginner-friendly distance riding clinic in Ocala, FL, and endurance rider Julie Bittick as she prepares for the grueling 500 km Gaucho Derby in Patagonia. The episode also features details on the upcoming AERC Virtual Convention. Listen in...HORSES IN THE MORNING Episode 3861 – Show Notes and Links:HORSES IN THE MORNING Endurance Day crew: co-hosted by Glenn the Geek and Karen ChatonGuest: April Lauren on the AHA/FHA/FL Rookie Clinic in Ocala, FLGuest: Julie Bittick on riding in the The Gaucho DerbyAERC check out the AERC calendar!Time Stamps:02:22 – Guest preview03:00 – 360 camera tech07:12 – Helmet/safety tech10:28 – Arabian Horse Assoc. awards11:32 – Endurance riding tip14:03 – Gear setup18:21 – Guest: Kristen, Distance Depot21:16 – Guest: April, rider clinic32:34 – Horse breed discussion38:32 – Guest: Julie, Gaucho Derby51:25 – Wrap up and events info
Want the inside scoop on managing a practice in a destination spot? In today's episode, I'm talking with Dr. Nikki Cottis about her practice in Gulf Shores, Alabama. We're diving into marketing your practice in a touristy spot, procedure for seeing out-of-town patients, and metrics for running a smooth and successful business. Review full show notes and resources at mollycahill.com/podcastMentioned in this Episode:KPI Tracker: go.thewealthypractitioner.com/profitable-team-kpiHow to Grow a Highly Profitable Team: go.thewealthypractitioner.com/profitable-team-kpiConnect with Dr. Nikki Cottis: The Wealthy Practitioner Podcast: thewealthypractitioner.comThe Wealthy Practitioner Podcast: stephaniewigner.com/podcastThe Wealthy Practitioner Instagram: instagram.com/wealthypractitionersDr. Nikki on Instagram: instagram.com/drnikkicottisConnect with Molly:Holistic Marketing Hub holisticmarketinghub.com/enrollInstagram: instagram.com/mollyacahill
First episode for the new year of 2026! We were at Riley's shop last week and discussed what we have done over the past year with Troy Wood. Troy was Reserve World Champion in 2025 but also wrapped up and won the 2025 National Championship this winter in Ft Worth, Texas hosted by the World Championship Blacksmiths. Jam packed year with Troy and myself qualifying for the 2026 WCB Team along with teammates Stan Mullen and Mason Mileski. We talk a little about what that dynamic is going to be like in this episode. And we announce what Riley and Gavine's demo is going to be at the Winter Clinic this week on thursday! Looking forward to seeing you all there and meeting some new folks at the WCB Winter Clinic hosted at Well-Shod in Amarillo, Texas!Also check out our website-www.forgingbrains.comOur Proud Sponsors of the Showwww.farrierbox.com use code BRAINS for 25% off your first month's order!www.well-shod.com use code BRAINS for a surprise product in your order!www.worldchampionshipblacksmiths.com use code BRAINS for 10% off in their online store! (not including membership/contest entry fees)www.yukonforge.com use code BRAINS for 10% off your order!
Most practice owners think charity is something you do after the business is successful — once there's more time, more margin, or less stress. But what if giving back isn't the reward for success… what if it's the catalyst? In this episode of the Private Practice Owners Club Podcast, Nathan Shields sits down with longtime friend and entrepreneur Will Humphreys to unpack one of the most overlooked drivers of sustainable growth, culture, and fulfillment: building meaningful partnerships with charitable organizations. Drawing from deeply personal experiences — from local community initiatives to life-changing work in Africa — Will shares how aligning business purpose with charitable impact transformed not just his companies, but his leadership, his team culture, and his perspective on success itself. Together, they explore how generosity creates momentum inside organizations, why charitable partnerships improve recruiting and retention, and how purpose-driven businesses outperform those built purely around profit. They dive deep into:Why charitable giving isn't a “nice-to-have,” but a powerful leadership leverHow partnering with charities strengthens culture, retention, and recruitingThe connection between profit, purpose, and long-term sustainabilityHow even small, local initiatives can create outsized impactWhy giving back reshapes mindset, reduces burnout, and restores perspectiveHow involving your team in charitable efforts turns values into lived behaviorWhat practice owners can learn about leadership, resilience, and gratitude from global communities If you've ever felt burned out, disconnected, or stuck chasing growth without fulfillment, this conversation will challenge how you think about leadership, success, and the true role your business can play in the world.
Guest: Lisa Simms Booth, Executive Director, Smith Center for Healing and the ArtsIn this episode of the Beyond the Clinic, Living Well with Melanoma Dr. Sam Siegel welcomes Lisa Simms Booth, Executive Director of the Smith Center for Healing and the Arts—an organization dedicated to whole-person support for people with cancer, their families, and caregivers.Lisa shares the deeply personal story that shaped her nearly 30-year career in advocacy, public health, and patient-centered cancer work. After her mother's ovarian cancer diagnosis, Lisa found herself navigating two worlds at once: the complexities of cancer care and the systemic barriers within the research and advocacy landscape. That experience became the catalyst for her life's mission.Together, Dr. Siegel and Lisa explore:How personal experience can ignite a passion for advocacyWhy resilience in cancer is a learned skill—not an inherent traitThe emotional realities of caregiving and survivorshipSmith Center's “healing basket” approach to integrative supportPractical ways people can manage stress, find community, and cultivate tools for emotional and spiritual well-beingThe importance of accessible, no-cost cancer support programsHow patients can weave integrative practices into their medical careLisa also offers a grounded, compassionate look at the nuances of topics like nutrition, mindfulness, emotional support, and how even a few minutes of intentional rest can change the trajectory of a day.Whether you're a patient, caregiver, clinician, or advocate, this conversation offers wisdom, comfort, and a reminder that no one has to walk the cancer journey alone.Guest BioLisa Simms Booth joined Smith Center for Healing and the Arts following a nearly thirty year career in media, politics, community organizing, and advocacy. Lisa has always had a servant's heart and has aspired to do work that improves the lives of others or empowers them to advocate for positive change. She has previously worked at FasterCures, a center of the Milken Institute, Biden Cancer Initiative, LISTEN, Inc., The Alliance for Justice, Children's Defense Fund, and the National Rainbow Coalition. As Executive Director, Lisa is responsible for strategic oversight, fund development, administrative and financial management, and community building. In addition to her work at Smith Center, Lisa is a member of the Professional Oncology Navigation Task Force (PONT), the American Cancer Society's Leadership in Oncology Navigation (ACS LIONTM) Advisory Council and Cancer Support Community's Cancer Policy Institute Advisory Board. She also serves on the Boards of Commonweal, the Microbiome Alliance for Disease Prevention and the National Organization of Arts in Health.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/EBAH/AAPA information, and to apply for credit, please visit us at PeerView.com/YAZ865. CME/MOC/EBAH/AAPA credit will be available until January 4, 2027.Off the Shelf and in the Clinic for NHL: Leveraging Bispecific Antibody Strategies in DLBCL, FL, and Beyond In support of improving patient care, this activity has been planned and implemented by PVI, PeerView Institute for Medical Education, and HealthTree Foundation for Non-Hodgkin Lymphoma. PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by independent educational grants from AstraZeneca and Regeneron Pharmaceuticals, Inc.Disclosure information is available at the beginning of the video presentation.
“Debriefing” the Aqua Clinic in Nyborg Denmark, with highlights from a USOPC Sport Scientist and David Popovici's coach Adrian Radulescu.
In this episode of the Brown Women Health Podcast, we dive into the powerful intersection of athletics, medicine, and identity for South Asian women. Hosts Ritika and Esha sit down with Nehaa Sohail, the first Pakistani female Division I basketball player and current medical student, to explore what it means to pursue dual passions in spaces where representation is still limited.Nehaa shares her journey from competing at the highest collegiate athletic level to navigating medical school, discussing the cultural expectations, discipline, and resilience required to thrive in both worlds. Together, we unpack common taboos around sports in South Asian communities, the parallels between athletics and medicine, the importance of role models, and how to balance personal well-being with professional ambition.This episode is for anyone who has ever felt torn between passions or told they had to choose just one path. Tune in for an inspiring conversation about redefining success, representation, and what it means to do it all—on your own terms.
Welcome to Friday Coaching Clinic Episodes. These are LIVE coaching session snippets where you have the opportunity to learn as both client and coach. I encourage you to think about how you might coach through this topic as a coach or how this situation may support you as a client. A reminder about these episodes: This snippet is just one way of coaching through this topic. Each coach has their own unique voice, personality and confidence to best support their clients and I invite you to find yours. This week: How to Qualify Your Ideal Clients
Let us know what you thought of the episode!This year's goals and tournaments, and a short clinic on how to be a better team Coach of 40kSupport the show
The next episode of our Medicine on the Go series features Dr. Serena Yang, Professor and Division Chief of General Pediatrics and Vice Chair of Community Engagement at UC Davis Health, as she shares how UC Davis Children's Hospital's Pediatric Mobile Clinic is bringing specialty care directly into schools and under-resourced communities across the Sacramento region. Learn how this innovative mobile model addresses urgent needs in child development, mental health, and asthma, removes barriers to care, and builds trust through strong school and community partnerships—offering an inspiring blueprint for delivering equitable pediatric care beyond the clinic walls. Does your health system have a mobile outreach clinic? Would you consider starting one? We'd love to hear from you! Share with us on social media @empulsepodcast or connect with us on ucdavisem.com Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Serena Yang, Clinical Professor and Division Chief of General Pediatrics, and Vice Chair of Community Engagement at UC Davis Resources: UC Davis Pediatric Mobile Clinic Program **** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.
In Episode 2 of Pharmacist-Prescribed, hosts Mary Kucek, PMP, Founder and CEO of OvaryIt, and Devin Bustin, MD, Chief Medical Officer of OvaryIt, dive into the practical realities of implementing pharmacist-led prescribing services in community pharmacy settings. The conversation explores how pharmacies can navigate state-specific prescribing authority, standing orders, collaborative practice agreements, staffing concerns, and day-to-day workflows without disrupting existing operations. Listeners will gain a clear picture of how the PRISM platform supports safe, compliant, and efficient clinical service delivery, from patient intake and documentation to e-prescribing and team-based care. Learn more about PRISM or request a demo at https://www.getprismrx.com
Web: www.JonesHealthLaw.comPhone: (305)877-5054Instagram: @JonesHealthLawFacebook: @JonesHealthLawYouTube: @JonesHealthLawThe Department of Justice defines methadone asa synthetic narcotic, dispensed in tablet, oral solution, or injectable liquidform. Methadone is legally used to treat narcotic addiction and relieve severepain, often in individuals who have cancer or terminal illnesses. A methadone clinic is a facility that providesmedication-assisted treatment (MAT) for individuals with opioid use disorders(OUDs), and the clinic specifically uses methadone as part of the treatmentplan.
How to Turn Patients into Raving Fans (and Referral Machines) In this episode of the PT Entrepreneur Podcast, Doc Danny breaks down why most clinics are stuck in "purgatory" with word of mouth and what separates average clinics from the ones patients can't stop talking about. Using a great chicken joint and a mediocre Italian restaurant as examples, he shows you how clients really think about your business and what has to change if you want more organic referrals in 2026. In This Episode, You'll Learn: Why saving clinician time with an AI scribe like Claire can quietly add $30,000 in revenue per staff PT per year The two levers that drive referrals in any service business: outcomes and experience How a chain "hot chicken" spot crushed a local restaurant on basic execution Why "pretty good" is the most dangerous place for your clinic to live What a 9–10 Net Promoter Score really looks like inside a cash practice How your space, punctuality, and communication shape patient trust Why referrals jumped when Danny moved from a subleased gym corner to a standalone space A simple way to mystery shop your own clinic and see what patients see Claire: Freeing Up Time and Unlocking Revenue Danny opens by talking about Claire, the AI scribe built for cash-based clinics. On average, Claire is saving staff clinicians six hours a week on documentation. Even if you only recapture half of that time for patient care, that is three extra one-hour visits per clinician per week. 3 extra visits per week at $200 per visit = $600 per week Roughly $30,000 in additional annual revenue per staff clinician And it all comes from taking notes off their plate and putting that time back into patient care. Try Claire free for 7 days: https://meetclaire.ai Two Restaurants, Two Very Different Referral Stories Danny shares a simple contrast to frame how referrals really work. On the same day, he took his son to Dave's Hot Chicken and later that night took his family to a new Italian restaurant near their house. Dave's Hot Chicken: Friendly staff, simple "honey hack" suggestion, clean space, food that exceeded expectations. He would happily tell people to go there. Local Italian restaurant: No clear host, missing reservation, clunky service, average food at a higher price point. He will not badmouth them, but he is not going to recommend them either. That is exactly how patients think about your clinic. They are either excited to send people, quietly neutral, or actively warning people away. Net Promoter Score and Your Clinic Danny ties this into Net Promoter Score (NPS), a simple question that predicts referrals. "On a scale of 0 to 10, how likely are you to refer a friend or family member to this clinic?" 9–10 = promoters who actively tell people about you 0–6 = detractors who may talk negatively 7–8 = passives who are neutral and mostly silent Most clinics live in the 6–8 range. Not good enough to be talked about. Not bad enough to be trashed. That is business purgatory. The Two Levers: Outcomes and Experience For a cash-based clinic, your referrals come from two places. Outcomes: Are you actually better than the average in-network option? Do people get results faster and more completely? Experience: What is it like to work with you? Space, punctuality, communication, how you follow up, how individualized things feel. If your space is a noisy gym corner or a rough sublease, you have to make up for that with flawless communication, punctuality, and outcomes. When you eventually level up into a standalone space, the experience finally matches the quality of your care. Danny saw that firsthand when his clinic moved from a subleased gym space to a standalone location. Referrals jumped. Patients openly said they were now more comfortable sending friends and family because the space matched the price and reputation. Are You "Just Okay"? Danny challenges clinic owners to be honest about where they sit. Are you truly a 9 or 10 out of 10 on outcomes and experience? Or are you a 6–8 where people say you are fine but do not talk about you proactively? He suggests a simple exercise. Have a friend or family member your staff does not recognize come through as a "mystery shopper" patient. Let them go through your entire process and give you brutally honest feedback about what felt confusing, clunky, or underwhelming. Getting Obsessive About Excellence Clinics that become referral machines look different on the inside. They: Obsess over outcomes and ongoing clinical improvement Obsess over small details in the patient journey, from first inquiry to discharge Answer quickly, follow up clearly, and stay ahead of patient questions Fix small frictions in their space and processes every month When you get this right, you build a stable referral base that cushions you from algorithm changes, ad costs, and platform shifts. You still might use marketing, but you are not desperate for it. Want a Clear Path to Go Full Time? If you are still in the early stages of leaving a job and going all in on your own cash-based practice, PT Biz runs a free Part Time to Full Time 5-Day Challenge that walks you through: Exactly how much income you need to replace How many patients you need to see and at what average visit rate Three different strategies to go from part time to full time The basic sales and marketing systems you need in place A simple one-page business plan so you can take action Join the free challenge: https://physicaltherapybiz.com/challenge
***I have been working with Lara Sheehi on her new show. Make sure you subscribe to her video and audio feeds to listen to the rest of this episode**** Ghassan Abu Sittah: Clinic as site of resistance In this episode, I sit down with Dr. Ghassan Abu Sittah to discuss the centrality of the clinic in the genocidal violence perpetrated by the Zionist settler state in Gaza, his concept of the biosphere of genocide, and importantly, the site of the clinic as central to resistance, refusal, and liberation. Dr Ghassan Abu-Sittah is a British-Palestinian Plastic & Reconstructive Surgeon. He completed his medical education at University of Glasgow in the U.K and his postgraduate residency training in London. In April of 2024 he was awarded and Honorary Doctorate from the American University of Beirut, where is currently Professor of Conflict Medicine. His work was featured by numerous newspapers and media outlets notably La Monde, The Independent, Telegraph, BBC and CNN. Follow us on IG: @psychicmilitancypod & TikTok: @psychic.militancy Consider becoming a Patron to support the show! https://www.patreon.com/psychicmilitancy
???? In this episode of PT Pintcast, Jimmy McKay sits down with Tony Maritato for a no-BS breakdown of what's broken in physical therapy — from EMR burnout and Medicare cuts to flexible scheduling, patient engagement, and why PT clinics should think more like golf courses.This conversation is a must-watch for:✅ Physical therapists✅ Clinic owners✅ Healthcare entrepreneurs✅ Anyone ready to “choose their hard” and rethink how we deliver value in 2026.Whether you're tired of CPT code chaos or just want a better way to run your practice, you're in the right place.???? CHAPTERS (click to skip):00:00 - Cold Open & Welcome02:45 - Why Your EMR is Killing You08:30 - CPT Code Crystal Ball (Satire Ad Read)13:45 - What Golf Teaches Us About Scheduling20:01 - PT Tee Time: Flex Pricing & Creative Booking29:50 - Medicare Reimbursement & Inflation Math35:12 - Why Advocacy is a Losing Game44:00 - Choose Your Hard: Exit or Evolve?50:33 - Final Rants: Adam Meakins, Mel Robbins & The Business of Business
Welcome to the new weekly series Marketing Doesn't Work! — where marketing myths go to die and healthcare strategies get real. In this kickoff episode, host Jimmy McKay sits down with marketing pro Andrea Cheney to answer the question on every clinic owner's mind:What should we start, stop, and continue in 2026?You'll hear:???? Why newsletters are usually garbage (and how to fix them)???? Planning your year: proactive vs. reactive❌ The death of Canva-text testimonial dumps✅ The real ROI of Facebook ads for workshops???? “Keep It or Dump It” speed round: clinic blogs, email blasts, exercise reels & morePlus: A listener question on converting social views to actual appointments.???? Follow for weekly episodes that make you rethink what “marketing” even means in healthcare.
In this episode, you'll learn how to diversify beyond Google without trying to be everywhere. You'll get a simple 3-tier framework to decide which platforms still matter for clinic SEO, reputation, and bookings, plus an easy scorecard to prioritize what's worth your time.We cover:The Tier 1 foundation, website, Apple Maps, Bing, and reviewsTier 2 high-leverage platforms, one social channel, and the right directoriesWhy YellowPages can still support local visibility and consistencyHow to get “AI-ready” so your clinic is easier to find in tools like ChatGPT and GrokThe metrics that matter (calls, clicks, direction requests, and appointments)Walk away with a clear 90-day focus plan and a “good enough” checklist for each platform.>> Episode webpage, blog, and show notes: https://propelyourcompany.com/clinic-seo-beyond-google-platforms-that-still-matter/Send in your questions. ❤ We'd love to hear from you!NEW Webinar: How to dominate Google Search, Google Maps, AI-driven search results, and get more new patients.>> Save your spot
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Welcome to Friday Coaching Clinic Episodes. These are LIVE coaching session snippets where you have the opportunity to learn as both client and coach. I encourage you to think about how you might coach through this topic as a coach or how this situation may support you as a client. A reminder about these episodes: This snippet is just one way of coaching through this topic. Each coach has their own unique voice, personality and confidence to best support their clients and I invite you to find yours. This week: How to Prioritize Your Coaching Business Tasks
“Healing involves addressing the whole person — body, mind, and lived experience.” — Dr. Cynthia AksIn this episode of the Real Health Podcast, Ron Hunninghake, MD, welcomes Cynthia Aks, DO, FACOS, ABIHM, to the Riordan Clinic team. A board-certified General Surgeon and Integrative Healthcare Practitioner, Dr. Aks brings more than three decades of experience in breast health, integrative medicine, and whole-person perspectives on care.Dr. Aks shares her professional journey from osteopathic medical training and surgical leadership to her work integrating education, lifestyle considerations, movement, and complementary modalities into oncology and survivorship conversations. She reflects on her pioneering work in breast health innovation, her belief in collaborative, patient-centered relationships, and her interest in helping individuals stay informed and engaged throughout their health journey.Highlights include:→ Dr. Aks' path from surgery to integrative healthcare perspectives→ How osteopathic philosophy informs her approach to patient care→ Insights from decades specializing in breast disease and oncology settings→ The role of education, lifestyle considerations, and complementary modalities in survivorship discussions→ How ongoing connection and accountability factor into long-term health engagementAbout Cynthia Aks, DO, FACOS, ABIHMDr. Cynthia Aks is a board-certified General Surgeon and Integrative Healthcare Practitioner at Riordan Clinic. She has specialized in breast health since 1997 and is recognized for her role in breast health innovation, including being the first surgeon in Oregon to perform cryoablation for breast cancer. Her background includes leadership of comprehensive breast centers, advanced training in integrative and complementary disciplines, and extensive experience in oncology-focused education and survivorship-oriented care conversations.
Dr. DebWhat if I told you that the stomach acid medication you’re taking for heartburn is actually causing the problem it’s supposed to solve that your doctor learned virtually nothing about nutrition, despite spending 8 years in medical school. That the very system claiming to heal you was deliberately designed over a hundred years ago by an oil tycoon, John D. Rockefeller, to create lifelong customers, not healthy people. Last week a patient spent thousands of dollars on tests and treatments for acid reflux, only to discover she needed more stomach acid, not less. The medication keeping her sick was designed to do exactly that. Today we’re exposing the greatest medical deception in modern history, how a petroleum empire systematically destroyed natural healing wisdom turned medicine into a profit machine. And why the treatments, keeping millions sick were engineered that way from the beginning. This isn’t about conspiracy theories. This is a documented history that explains why you feel so lost about your own body’s needs welcome back to let’s talk wellness. Now the show where we uncover the root causes of chronic illness, explore cutting edge regenerative medicine, and empower you with the tools to heal. I’m Dr. Deb. And today we’re diving into how the Rockefeller Medical Empire systematically destroyed natural healing wisdom and replaced it with profit driven systems that keeps you dependent on treatments instead of achieving true health. If you or someone you love has been running to the doctor for every minor ailment, taking acid blockers that seem to make digestive problems worse, or feeling confused about basic body functions that our ancestors understood instinctively. This episode is for you. So, as usual, grab a cup of coffee, tea, or whatever helps you unwind. Settle in and let’s get started on your journey to reclaiming your health sovereignty all right. So here we are talking about the Rockefeller Medical Revolution. Now, what if your symptoms aren’t true diagnosis, but rather the predictable result of a medical system designed over a hundred years ago to create lifelong customers instead of healthy people. Now I learned this when I was in naturopathic school over 20 years ago. And it hasn’t been talked about a lot until recently. Recently. People are exposing the truth about what actually happened in our medical system. And today I want to take you back to the early 19 hundreds to understand how we lost the basic health wisdom that sustained humanity for thousands of years. Yes, I said that thousands of years. This isn’t conspiracy theory. This is documented history. That explains why you feel so lost when it comes to your own body’s needs. You know by the turn of the 20th century. According to meridian health Clinic’s documentation. Rockefeller controlled 90% of all petroleum refineries in America and through ownership of the Standard Oil Corporation. But Rockefeller saw an opportunity that went far beyond oil. He recognized that petrochemicals could be the foundation for a completely new medical system. And here’s what most people don’t know. Natural and herbal medicines were very popular in America during the early 19 hundreds. According to Staywell, Copper’s historical analysis, almost one half of medical colleges and doctors in America were practicing holistic medicine, using extensive knowledge from Europe and native American traditions. People understood that food was medicine, that the body had natural healing mechanisms, and that supporting these mechanisms was the key to health. But there was a problem with the Rockefeller’s business plan. Natural medicines couldn’t be patented. They couldn’t make a lot of money off of them, because they couldn’t hold a patent. Petrochemicals, however, could be patented, could be owned, and could be sold for high profits. So Rockefeller and Andrew Carnegie devised a systematic plan to eliminate natural medicine and replace it with petrochemical based pharmaceuticals and according to E. Richard Brown’s comprehensive academic documentation in Rockefeller, medicine men. Medicine, and capitalism in America. They employed the services of Abraham Flexner, who proceeded to visit and assess every single medical school in us and in Canada. Within a very short time of this development, medical schools all around the us began to collapse or consolidate. The numbers are staggering. By 1910 30 schools had merged, and 21 had closed their doors of the 166 medical colleges operating in 19 0, 4, a hundred 33 had survived by 1910 and a hundred 4 by 1915, 15 years later, only 76 schools of medicine existed in the Us. And they all followed the same curriculum. This wasn’t just about changing medical education. According to Staywell’s copper historical analysis. Rockefeller and Carnegie influenced insurance companies to stop covering holistic treatments. Medical professionals were trained in the new pharmaceutical model and natural solutions became outdated or forgotten. Not only that alternative healthcare practitioners who wanted to stay practicing in alternative medicine were imprisoned for doing so as documented by the potency number 710. The goal was clear, create a system where scientists would study how plants cure disease, identify which chemicals in the plants were effective and then recreate a similar but not identical chemical in the laboratory that would be patented. E. Richard Brown’s documents. The story of how a powerful professional elite gained virtual homogeny in the western theater of healing by effectively taking control of the ethos and practice of Western medicine. The result, according to the healthcare spending data, the United States now spends 17.6% of its Gdp on health care 4.9 trillion dollars in 2023, or 14,570 per person nearly twice as much as the average Oecd country. But it doesn’t focus on cure. But on symptoms, and thus creating recurring clients. This systematic destruction of natural medicine explains why today’s healthcare providers often seem baffled by simple questions about nutrition why they immediately reach for a prescription medication for minor ailments, and why so many people feel disconnected from their own body’s wisdom. We’ve been trained over 4 generations to believe that our bodies are broken, and that symptoms are diseases rather than messages, and that external interventions are always superior to supporting natural healing processes. But here’s what they couldn’t eliminate your body’s innate wisdom. Your digestive system still functions the same way it did a hundred years ago. Your immune system still follows the same patterns. The principles of nutrition, movement and stress management haven’t changed. We’ve just forgotten how to listen and respond. We’re gonna take a small break here and hear from our sponsor. When we come back. We’re gonna talk about the acid reflux deception, and why your cure is making you sicker, so don’t go away all right, welcome back. So I want to give you a perfect example of how Rockefeller medicine has turned natural body wisdom upside down, the treatment of acid, reflux, and heartburn. Every single day in my practice I see patients who’ve been taking acid blocker medications, proton pump inhibitors like prilosec nexium or prevacid for years, not for weeks, years, and sometimes even decades. They come to me because their digestive problems are getting worse, not better. They have bloating and gas and nutrition deficiencies. And we’re seeing many more increased food sensitivities. And here’s what’s happening in the Us. Most people often attribute their digestive problems to too much stomach acid. And they use medications to suppress the stomach acid, but, in fact symptoms of chronic acid, reflux, heartburn, or gerd, can also be caused by too little stomach acid, a condition called hyper. Sorry hypochlorhydria normal stomach acid has a Ph level of one to 2, which is highly acidic. Hydrochloric acid plays an important role in your digestion and your immunity. It helps to break down proteins and absorb essential nutrients, and it helps control viruses and bacteria that might otherwise infect your stomach. But here’s the crucial part that most people don’t understand, and, according to Cleveland clinic, your stomach secretes lower amounts of hydrochloric acid. As you age. Hypochlorhydria is more common in people over the age of 40, and even more common over the age of 65. Webmd states that the stomach acid can produce less acid as a result of aging and being 65 or older is a risk factor for developing hypochlorhydria. We’ve been treating this in my practice for a long time. It’s 1 of the main foundations that we learn as naturopathic practitioners and as naturopathic doctors, and there are times where people need these medications, but they were designed to be used short term not long term in a 2,013 review published in Medical News today, they found that hypochlorhydria is the main change in the stomach acid of older adults. and when you have hypochlorydria, poor digestion from the lack of stomach, acid can create gas bubbles that rise into your esophagus or throat, carrying stomach acid with them. You experience heartburn and assume that you have too much acid. So you take acid blockers which makes the underlying problem worse. Now, here’s something that will shock you. PPI’s protein pump inhibitors were originally studied and approved by the FDA for short-term use only according to research published in us pharmacists, most cases of peptic ulcers resolve in 6 to 8 weeks with PPI therapy, which is what these medications were created for. Originally the American family physician reports that for erosive esophagitis. Omeprazole is indicated for short term 4 to 8 weeks. That’s it. Treatment and healing and done if needed. An additional 4 to 8 weeks of therapy may be considered and the University of Minnesota College of Pharmacy, States. Guidelines recommended a treatment duration of 8 weeks with standard once a day dosing for a PPI for Gerd. The Canadian family physician, published guidelines where a team of healthcare professionals recommended prescribing Ppis in adults who suffer from heartburn and who have completed a minimum treatment of 4 weeks in which symptoms were relieved. Yet people are taking these medications for years, even decades far beyond their intended duration of use and a study published in Pmc. Found that the threshold for defining long-term PPI use varied from 2 weeks to 7 years of PPI use. But the most common definition was greater than one year or 6 months, according to the research in clinical context, use of Ppis for more than 8 weeks could be reasonably defined as long-term use. Now let’s talk about what these acid blocker medications are actually doing to your body when used. Long term. The research on long term PPI use is absolutely alarming. According to the comprehensive review published in pubmed central Pmc. Long-term use of ppis have been associated with serious adverse effects, including kidney disease, cardiovascular disease fractures because you’re not absorbing your nutrients, and you’re being depleted. Infections, including C. Diff pneumonia, micronutrient deficiencies and hypomagnesium a low level of magnesium anemia, vitamin, b, deficiency, hypocalcemia, low calcium, low potassium. and even cancers, including gastric cancer, pancreatic cancer, colorectal cancer. And hepatic cancer and we are seeing all of these cancers on a rise, and we are now linking them back to some of these medications. Mayo clinic proceedings published research showing that recent studies regarding long-term use of PPI medication have noted potential adverse effects, including risks of fracture, pneumonia, C diff, which is a diarrhea. It’s a bacteria, low magnesium, low b 12 chronic kidney disease and even dementia. And a 2024 study published in nature communications, analyzing over 2 million participants from 5 cohorts found that PPI use correlated with increased risk of 15 leading global diseases, such as ischemic heart disease. Diabetes, respiratory infections, chronic kidney disease. And these associations showed dose response relationships and consistency across different PPI types. Now think about this. You take a medication for heartburn that was designed for 4 to 8 weeks of use, and when used long term, it actually increases your risk of life, threatening infections, kidney disease, and dementia. This is the predictable result of suppressing a natural body function that exists for important reasons. Hci plays a key role in many physiological processes. It triggers, intestinal hormones, prepares folate and B 12 for absorption, and it’s essential for absorption of minerals, including calcium, magnesium, potassium, zinc, and iron. And when you block acid production, you create a cascade of nutritional deficiencies and immune system problems that often manifest as seemingly unrelated health issues. So what’s the natural approach? Instead of suppressing stomach acid, we need to support healthy acid production and address the root cause of reflux healthcare. Providers may prescribe hcl supplements like betaine, hydrochloric acid. Bhcl is what it’s called. Sometimes it’s called betaine it’s often combined with enzymes like pepsin or amylase or lipase, and it’s used to treat hydrochloric acid deficiency, hypochlorhydria. These supplements can help your digestion and sometimes help your stomach acid gradually return back to normal levels where you may not need to use them all the time. Simple strategies include consuming protein at the beginning of the meal to stimulate Hcl production, consume fluids separately at least 30 min away from meals, if you can, and address the underlying cause like chronic stress and H. Pylori infections. This is such a sore subject for me. So many people walk around with an H. Pylori infection. It’s a bacterial infection in the stomach that can cause stomach ulcers, causes a lot of stomach pain and burning. and nobody is treating the infection. It’s a bacterial infection. We don’t treat this anymore with antibiotics or antimicrobials. We treat it with Ppis. But, Ppis don’t fix the problem. You have to get rid of the bacteria once the bacteria is gone, the gut lining can heal. Now it is a common bacteria. It can reoccur quite frequently. It’s highly contagious, so you can pick it up from other people, and it may need multiple courses of treatment over a person’s lifetime. But you’re actually treating the problem. You’re getting rid of the bacteria that’s creating the issue instead of suppressing the acid. That’s not fixing the bacteria which then leads to a whole host of other problems that we just talked about. There are natural approaches to increase stomach acid, including addressing zinc deficiency. And since the stomach uses zinc to produce Hcl. Taking probiotics to help support healthy gut bacteria and using digestive bitters before meals can be really helpful. This is exactly what I mean about reclaiming the body’s wisdom. Instead of suppressing natural functions, we support them instead of creating drug dependency, we restore normal physiology. Instead of treating symptoms indefinitely, we address the root cause and help the body heal itself. In many cultures. Bitters is a common thing to use before or after a meal. But yet in the American culture we don’t do that anymore. We’ve not passed on that tradition. So very few people understand how to use bitters, or what bitters are, or why they’re important. And these basic things that can be used in your food and cooking and taking could replace thousands of dollars of medication that you don’t really need. That can create many more problems along the way. Now, why does your doctor know nothing about nutrition. Well, I want to address something that might shock you all. The reason your doctor seems baffled when you ask about nutrition isn’t because they’re not intelligent. It’s because they literally never learned this in medical school statistics on nutritional education in medical schools are staggering and help explain why we have such a health literacy crisis in America. According to recent research published in multiple academic journals, only 27% of Us. Medical schools actually offer students. The recommended 25 h of nutritional training across 4 years of medical school. That means 73% of the medical schools don’t even meet the minimum standards set in 1985. But wait, it gets worse. A 2021 survey of medical schools in the Us. And the Uk. Found that most students receive an average of only 11 h of nutritional training throughout their entire medical program. and another recent study showed that in 2023 a survey of more than a thousand Us. Medical students. About 58% of these respondents said they received no formal nutritional education while in medical school. For 4 years those who did averaged only 3 h. I’m going to say this again because it’s it’s huge 3 h of nutritional education per year. So let me put this in perspective during 4 years of medical school most students spend fewer than 20 h on nutrition that’s completely disproportionate to its health benefits for patients to compare. They’ll spend hundreds of hours learning about pharmaceutical interventions, but virtually no time learning how food affects health and disease. Now, could this be? Why, when we talk about nutrition to lower cholesterol levels or control your diabetes, they blow you off, and they don’t answer you. It’s because they don’t understand. But yet what they’ll say is, people won’t change their diet. That’s why you have to take medication. That’s not true. I will tell you. I work with people every single day who are willing to change their diet. They’re just confused by all the information that’s out there today about nutrition. And what diet is the right diet to follow? Do I do, Paleo? Do I do? Aip? Do I do carnivore? Do I do, Keto? Do I do? Low carb? There’s so many diets out there today? It’s confusing people. So I digress. But let’s go back. So here’s the kicker. The limited time medical students do spend on nutrition office often focuses on nutrients think proteins and carbohydrates rather than training in topics such as motivational interviewing or meal planning, and as one Stanford researcher noted, we physicians often sound like chemists rather than counselors who can speak with patients about diet. Isn’t that true? We can speak super high level up here, but we can’t talk basics about nutrition. And this explains why only 14% of the physicians believe they were adequately trained in nutritional counseling. Once they entered practice and without foundational concepts of nutrition in undergrad work. Graduate medical education unsurprisingly falls short of meeting patients, needs for nutritional guidance in clinical practice, and meanwhile diet, sensitive chronic diseases continue to escalate. Although they are largely preventable and treatable by nutritional therapies and dietary. Lifestyle changes. Now think about this. Diet. Related diseases are the number one cause of death in the Us. The number one cause. Yet many doctors receive little to no nutritional education in medical school, and according to current health statistics from 2017 to march of 2020. Obesity prevalence was 19.7% among us children and adolescents affecting approximately 14.7 million young people. About 352,000 Americans, under the age of 20, have been diagnosed with diabetes. Let me say this again, because these numbers are astounding to me. 352,000 Americans, under the age of 20, have been diagnosed with diabetes with 5,300 youth diagnosed with type, 2 diabetes annually. Yet the very professionals we turn to for health. Guidance were never taught how food affects these conditions and what drug has come to the rescue Glp. One S. Ozempic wegovy. They’re great for weight loss. They’re great for treating diabetes. But why are they here? Well, these numbers are. Why, they’re here. This is staggering to put 352,000 Americans under the age of 20 on a glp, one that they’re going to be on for the rest of their lives at a minimum of $1,200 per month. All we have to do is do the math, you guys, and we can see exactly what’s happening to our country, and who is getting rich, and who is getting the short end of the stick. You’ve become a moneymaker to the pharmaceutical industry because nobody has taught you how to eat properly, how to live, how to have a healthy lifestyle, and how to prevent disease, or how to actually reverse type 2 diabetes, because it’s reversible in many cases, especially young people. And we do none of that. All we do is prescribe medications. Metformin. Glp, one for the rest of your life from 20 years old to 75, or 80, you’re going to be taking medications that are making the pharmaceutical companies more wealth and creating a disease on top of a disease on top of a disease. These deficiencies in nutritional education happen at all levels of medical training, and there’s been little improvement, despite decades of calls for reform. In 1985, the National Academy of Sciences report that they recommended at least 25 h of nutritional education in medical school. But a 2015 study showed only 29% of medical schools met this goal, and a 2023 study suggests the problem has become even worse. Only 7.8% of medical students reported 20 or more hours of nutritional education across all 4 years of medical school. This systemic lack of nutrition, nutritional education has been attributed to several factors a dearth of qualified instructors for nutritional courses, since most physicians do not understand nutrition well enough to teach it competition for curriculum time, with schools focusing on pharmaceutical interventions rather than lifestyle medicine and a lack of external incentives that support schools, teaching nutrition. And ironically, many medical schools are part of universities that have nutrition departments with Phd. Trained professors who could fill this gap by teaching nutrition in medical schools but those classes are often taught by physicians who may not have adequate nutritional training themselves. This explains so much about what I see in my practice. Patients come to me confused and frustrated because their primary care doctors can’t answer basic questions about how food affects their health conditions. And these doctors aren’t incompetent. They simply were never taught this information. And the result is that these physicians graduate, knowing how to prescribe medications for diabetes, but not how dietary changes can prevent or reverse it. They can treat high blood pressure with pharmaceuticals, but they may not know that specific nutritional approaches can be equally or more effective. This isn’t the doctor’s fault. It’s the predictable result of medical education systems that was deliberately designed to focus on patentable treatments rather than natural healing approaches. And remember this traces back to the Rockefeller influence on medical education. You can’t patent an apple or a vegetable. But you can patent a drug now. Why can’t we trust most medical studies? Well this just gets even better. I need to address something that’s crucial for you to understand as you navigate health information. Why so much of the medical research you hear about in the news is biased, and why peer Review isn’t the gold standard of truth you’ve been told it is. The corruption in medical research by pharmaceutical companies is not a conspiracy theory. It’s well documented scientific fact, according to research, published in frontiers, in research, metrics and analytics. When pharmaceutical and other companies sponsor research, there is a bias. A systematic tendency towards results serving their interests. But the bias is not seen in the formal factors routinely associated with low quality science. A Cochrane Review analyzed 75 studies of the association between industry, funding, and trial results, and these authors concluded that trials funded by a drug or device company were more likely to have positive conclusions and statistically significant results, and that this association could not be explained by differences in risk of bias between industry and non-industry funded trials. So think about that. According to the Cochrane collaboration, industry funding itself should be considered a standard risk of bias, a factor in clinical trials. Studies published in science and engineering ethics show that industry supported research is much more likely to yield positive outcomes than research with any other sponsorship. And here’s how the bias gets introduced through choice of compartor agents, multiple publications of positive trials and non-publication of negative trials reinterpreting data submitted to regulatory agencies, discordance between results and conclusions, conflict of interest leading to more positive conclusions, ghostwriting and the use of seating trials. Research, published in the American Journal of Medicine. Found that a result favorable to drug study was reported by all industry, supported studies compared with two-thirds of studies, not industry, supported all industry, supported studies showed favorable results. That’s not science that’s marketing, masquerading as research. And according to research, published in sciencedirect the peer review system which we’re told ensures quality. Science has a major limitation. It has proved to be unable to deal with conflicts of interest, especially in big science contexts where prestigious scientists may have similar biases and conflicts of interest are widely shared among peer reviewers. Even government funded research can have conflicts of interest. Research published in pubmed States that there are significant benefits to authors and investigators in participating in government funded research and to journals in publishing it, which creates potentially biased information that are rarely acknowledged. And, according to research, published in frontiers in research, metrics, and analytics, the pharmaceutical industry has essentially co-opted medical knowledge systems for their particular interests. Using its very substantial resources. Pharmaceutical companies take their own research and smoothly integrate it into medical science. Taking advantage of the legitimacy of medical institutions. And this corruption means that much of what passes for medical science is actually influenced by commercial interests rather than pursuant of truth. Research published in Pmc. Shows that industry funding affects the results of clinical trials in predictable directions, serving the interests of the funders rather than the patients. So where can we get this reliable, unbiased Health information, because this is critically important, because your health decisions should be based on the best available evidence, not marketing disguised as science. And so here are some sources that I recommend for trustworthy health and nutritional information. They’re independent academic sources. According to Harvard Chan School of public health their nutritional, sourced, implicitly states their content is free from industry, influence, or support. The Linus Pauling Institute, Micronutrient Information Center at Oregon State University, which, according to the Glendale Community college Research Guide provides scientifically accurate information about vitamins, minerals, and other dietary factors. This Institute has been around for decades. I’ve used it a lot. I’ve gotten a lot of great information from them. Very, very trustworthy. According to the Glendale Community College of Nutrition Resource guide Tufts, University of Human Nutritional Research Center on aging is one of 6 human nutrition research centers supported by the United States Department of Agriculture, the Usda. Their peer reviewed journals with strong editorial independence though you must still check funding resources. And how do you evaluate this information? Online? Well, according to medlineplus and various health literacy guides when evaluating health information medical schools and large professional or nonprofit organizations are generally reliable sources, but remember, it is tainted by the Rockefeller method. So, for example, the American College of cardiology. Excuse me. Professional organization and the American Heart Institute a nonprofit are both reliable sources. Sorry about that of information on heart health and watch out for ads designed to look like neutral health information. If the site is funded by ads they should be clearly marked as advertisements. Excuse me, I guess I’m talking just a little too much now. So when the fear of medicine becomes deadly. Now, I want to address something critically important that often gets lost in conversations about health, sovereignty, and questioning the medical establishment. And while I’ve spent most of this episode explaining how the Rockefeller medical system has created dependency and suppressed natural healing wisdom. There’s a dangerous pendulum swing happening that I see in my practice. People becoming so fearful of pharmaceutical interventions that they refuse lifesaving treatments when they’re genuinely needed. This is where balance and clinical judgment become absolutely essential. Yes, we need to reclaim our basic health literacy and reduce our dependency on unnecessary medical interventions. But there are serious bacterial infections that require immediate antibiotic treatment, and the consequences of avoiding treatment can be devastating or even fatal. So let me share some examples from research that illustrate when antibiotic fear becomes dangerous. Let’s talk about Lyme disease, and when natural approaches might not be enough. The International Lyme Disease Association ilads has conducted extensive research on chronic lyme disease, and their findings are sobering. Ileds defines chronic lyme disease as a multi-system illness that results from an active and ongoing infection of pathogenic members of the Borrelia Brdorferi complex. And, according to ilads research published in their treatment guidelines, the consequences of untreated persistent lyme infection far outweigh the potential consequences of long-term antibiotic therapy in well-designed trials of antibiotic retreatment in patients with severe fatigue, 64% in the treatment arm obtained clinically significant and sustained benefit from additional antibiotic therapy. Ilas emphasizes that cases of chronic borrelia require individualized treatment plans, and when necessary antibiotic therapy should be extended their research demonstrates that 20 days of prophylactic antibiotic treatment may be highly effective for preventing the onset of lyme disease. After known tick bites and patients with early Lyme disease may be best served by receiving 4 to 6 weeks of antibiotic therapy. Research published in Pmc. Shows that patients with untreated infections may go on to develop chronic, debilitating, multisystem illnesses that is difficult to manage, and numerous studies have documented persistent Borrelia, burgdorferi infection in patients with persistent symptoms of neurological lyme disease following short course. Antibiotic treatment and animal models have demonstrated that short course. Antibiotic therapy may fail to eradicate lyme spirochetes short course is a 1 day. One pill treatment of doxycycline. Or less than 20 days of antibiotics, is considered a short course. It’s not long enough to kill the bacteria. The bacteria’s life cycle is about 21 days, so if you don’t treat the infection long enough, the likelihood of that infection returning is significant. They’ve also done studies in the petri dish, where they show doxycycline being put into a petri dish with active lyme and doxycycline does not kill the infection, it just slows the replication of it. Therefore, using only doxycycline, which is common practice in lyme disease may not completely eradicate that infection for you. So let’s talk about another life threatening emergency. C. Diff clostridia difficile infection, which represents another example where antibiotic treatment is absolutely essential, despite the fact that C diff itself is often triggered by antibiotic use. According to Cleveland clinic C. Diff is estimated to cause almost half a million infections in the United States each year, with 500,000 infections, causing 15,000 deaths each year. Studies reported by Pmc. Found thirty-day Cdi. Mortality rates ranging from 6 to 11% and hospitalized Cdi patients have significantly increased the risk of mortality and complications. Research published in Pmc shows that 16.5% of Cdi patients experience sepsis and that this increases with reoccurrences 27.3% of patients with their 1st reoccurrence experience sepsis. While 33.1% with 2 reoccurrences and 43.2% with 3 or more reoccurrences. Mortality associated with sepsis is very high within hospital 30 days and 12 month mortality rates of 24%, 30% and 58% respectively. According to the Cdc treatment for C diff infection usually involves taking a specific antibiotic, such as vancomycin for at least 10 days, and while this seems counterintuitive, treating an antibiotic associated infection with more antibiotics. It’s often lifesaving. Now let’s talk about preventing devastating complications. Strep throat infections. Provide perhaps the clearest example of when antibiotic treatment prevents serious long-term consequences, and, according to Mayo clinic, if untreated strep throat can cause complications such as kidney inflammation and rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, and a specific type of rash of heart valve damage. We also know that strep can cause pans pandas, which is a systemic infection, often causing problems with severe Ocd. And anxiety and affecting mostly young people. The research is unambiguous. According to the Cleveland clinic. Rheumatic fever is a rare complication of untreated strep, throat, or scarlet fever that most commonly affects children and teens, and in severe cases it can lead to serious health problems that can affect your child’s heart. Joints and organs. And research also shows that the rate of development of rheumatic fever in individuals with untreated strep infections is estimated to be 3%. The incidence of reoccurrence with a subsequent untreated infection is substantially greater. About 50% the rate of development is far lower in individuals who have received antibiotic treatment. And according to the World health organization, rheumatic heart disease results from the inflammation and scarring of the heart valves caused by rheumatic fever, and if rheumatic fever is not treated promptly, rheumatic heart disease may occur, and rheumatic heart disease weakens the valves between the chambers of the heart, and severe rheumatic heart disease can require heart surgery and result in death. The who states that rheumatic heart disease remains the leading cause of maternal cardiac complications during pregnancy. And additionally, according to the National Kidney foundation. After your child has either had throat or skin strep infection, they can develop post strep glomerial nephritis. The Strep bacteria travels to the kidneys and makes the filtering units of the kidneys inflamed, causing the kidneys to be able to unable or less able to fill and filter urine. This can develop one to 2 weeks after an untreated throat infection, or 3 to 4 weeks after an untreated skin infection. We need to find balance. And here’s what I want you to understand. Questioning the medical establishment and developing health literacy doesn’t mean rejecting all medical interventions. It means developing the wisdom to know when they’re necessary and lifesaving versus when they’re unnecessary and potentially harmful. When I see patients with confirmed lyme disease, serious strep infections or life. Threatening conditions like C diff. I don’t hesitate to recommend appropriate therapy but I also work to support their overall health address, root causes, protect and restore their gut microbiome and help them recover their natural resilience. The goal isn’t to avoid all medical interventions. It’s to use them wisely when truly needed, while simultaneously supporting your body’s inherent healing capacity and addressing the lifestyle factors that created the vulnerability. In the 1st place. All of this can be extremely overwhelming, and it can be frightening to understand or learn. But remember, the power that you have is knowledge. The more you learn about what’s actually happening in your health, in understanding nutrition. in learning what your body wants to be fed, and how it feels, and working with practitioners who are holistic in nature, natural, integrative, functional, whatever we want to call that these days. The more you can learn from them, the more control you have over your own health and what I would urge you to do is to teach your children what you’re learning. Teach them how to live a healthy lifestyle, teach them how to keep a clean environment. This is how we take back our own health. So thank you for joining me today on, let’s talk wellness. Now, if this episode resonated with you. Please share it with someone who could benefit from understanding how the Rockefeller medical system has shaped our approach to health, and how to reclaim your body’s wisdom while using medical care appropriately when truly needed. Remember, wellness isn’t just about feeling good. It’s about understanding your body, trusting its wisdom, supporting its natural healing capacity, and knowing when to seek appropriate medical intervention. If you’re ready to explore how functional medicine can help you develop this deeper health knowledge while addressing root causes rather than just managing symptoms. You can get more information from serenityhealthcarecenter.com, or reach out directly to us through our social media channels until next time. I’m Dr. Dab, reminding you that your body is your wisest teacher. Learn to listen, trust the process, use medical care wisely when needed, and take care of your body, mind, and spirit. Be well, and we’ll see you on the next episode.The post Episode 250 -The Great Medical Deception first appeared on Let's Talk Wellness Now.
Join Jay Gunkelman, QEEGD (the man who has analyzed over 500,000 brain scans), Dr. Mari Swingle, Joshua Moore, John Mekrut, Anthony Ramos, and host Pete Jansons for a packed discussion on cutting-edge trauma approaches, avoiding neurofeedback pitfalls, and how to pick qualified practitioners.✅ Deep Brain Reorienting Explained: A new somatic approach pioneered by Dr. Frank Corrigan targets brainstem-level early childhood attachment trauma via visual orientation and superior colliculus, going deeper than EMDR or exposure therapy—exciting experts like Sebern Fisher for developmental trauma recovery.✅ Neuroinflammation Deep Dive: Inflammation causes brain ischemia and hypoxia; overtraining inflamed brains risks headaches, nausea, tics, or even cell death—clinicians stress gentle starts, short sessions, monitoring symptoms, and addressing diet/nutrition first.✅ Choosing Pros Insights: Beware cheap equipment and unqualified practitioners; seek BCIA-certified or licensed pros with medical-grade gear—experience, mentorship, and clear "what & why" explanations matter more than pretty images.✅ Additional Topics:
What happens when a psychiatrist trained in one of the most research-driven programs in the world starts asking questions nobody wants to answer? Dr. John Yaakov Guterson is a board-certified psychiatrist who trained at the prestigious Western Psychiatric Institute and Clinic in Pittsburgh, once the top-funded psychiatric research program in the world. He served as medical director of multiple psychiatric hospitals for over 25 years while maintaining a private practice. Known as "The Singing Psychiatrist," Dr. Guterson has produced over 750 videos exploring the intersection of mental health, spirituality, and the human soul. In this conversation, we go where mainstream psychiatry refuses to go. We talk about what gets lost when you reduce the human soul to a checklist of symptoms. We explore whether suffering might actually mean something. And we ask a question the medical establishment has worked very hard to bury: What if we've been getting this wrong for a century? Visit Center for Integrated Behavioral HealthDr. Roger McFillin / Radically Genuine WebsiteYouTube @RadicallyGenuineDr. Roger McFillin (@DrMcFillin) / XSubstack | Radically Genuine | Dr. Roger McFillinInstagram @radicallygenuineContact Radically GenuineConscious Clinician CollectivePLEASE SUPPORT OUR PARTNERS15% Off Pure Spectrum CBD (Code: RadicallyGenuine)10% off Lovetuner click here
SEO is one of the most powerful ways to attract new patients to your clinic—but here's the big question: should you handle it yourself or hire experts to do it for you?In this episode, we dive deep into the debate between DIY SEO vs. working with professionals, breaking down the pros, cons, and even a middle-ground option that gives you expert guidance without the overwhelm.
In 1932, Dr. William Amos Trivette opened a modern clinic in the rural farmlands of Hamptonville, North Carolina. His dream was to bring advanced medicine to his community—but just six years later, his untimely death closed the doors on that vision. Over the decades, the building became a supper club, a detox center, a nursing home, and even a nursery. Yet through every new chapter, the same question lingered: who—or what—never left? Today, the Trivette Clinic is one of North Carolina's most talked-about haunted locations. Visitors report phantom footsteps, doors that move on their own, icy cold spots, and the laughter of unseen children. Some say Dr. Trivette still walks the halls, joined by two little girls known as “Majesty” and “Nancy,” along with nurses and patients who never checked out. In this episode, we sit down with current owners Doug Galliher and Tim Trivette to uncover the history, legends, and very real paranormal activity inside the Trivette Clinic. For more information, find them on Facebook. #TrivetteClinic #HauntedHospital #NorthCarolinaHaunted #ParanormalPodcast #GhostStories #Ghosts #Paranormal #ParanormalActivity #ParanormalInvestigations #Spirits #Hauntings Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:
In 1932, Dr. William Amos Trivette opened a modern clinic in the rural farmlands of Hamptonville, North Carolina. His dream was to bring advanced medicine to his community—but just six years later, his untimely death closed the doors on that vision. Over the decades, the building became a supper club, a detox center, a nursing home, and even a nursery. Yet through every new chapter, the same question lingered: who—or what—never left? Today, the Trivette Clinic is one of North Carolina's most talked-about haunted locations. Visitors report phantom footsteps, doors that move on their own, icy cold spots, and the laughter of unseen children. Some say Dr. Trivette still walks the halls, joined by two little girls known as “Majesty” and “Nancy,” along with nurses and patients who never checked out. In this episode, we sit down with current owners Doug Galliher and Tim Trivette to uncover the history, legends, and very real paranormal activity inside the Trivette Clinic. This is Part Two of our conversation. For more information, find them on Facebook. #TrivetteClinic #HauntedHospital #NorthCarolinaHaunted #ParanormalPodcast #GhostStories #Ghosts #Paranormal #ParanormalActivity #ParanormalInvestigations #Spirits #Hauntings Love real ghost stories? Don't just listen—join us on YouTube and be part of the largest community of real paranormal encounters anywhere. Subscribe now and never miss a chilling new story:
Four Big Lessons from 2025 for Cash-Based PT Owners In this year-end episode of the PT Entrepreneur Podcast, Dr. Danny Matta shares the four biggest lessons he learned in 2025. From a small revenue dip at PT Biz to the rise of corporate cash clinics, the longevity wave, and why happiness cannot be tied to "winning," Danny breaks down what actually matters for clinic owners who want a sustainable, meaningful business and life. In This Episode, You'll Learn: Why PT Biz saw its first year-over-year revenue decline and what actually caused it The danger of chasing brand polish while neglecting core sales and marketing fundamentals Why corporate and private-equity backed cash and hybrid clinics are coming fast How to decide if you should stay small and lifestyle-based or grow and compete Why "health is wealth" is both a mission and a major business opportunity How to think about long-term performance, longevity, and lifetime value in your clinic Why happiness cannot be tied only to hitting revenue goals or "winning" in business How gratitude, perspective, and boundaries at home change how you lead at work Lesson 1: The Year Revenue Went Backwards For the first time outside of COVID shutdowns, PT Biz saw a year-over-year decline in top-line revenue. It was not a crash, but it was the first dip in an otherwise steady climb. Going into 2025, the team made a big bet: double down on brand and visibility. That meant more clinic tours, more travel, more polished content, stronger YouTube presence, and a much more professional public-facing brand. The upside: the brand looks sharper, more consistent, and more aligned with what PT Biz actually delivers. The downside: attention and effort shifted away from core sales and marketing fundamentals that had been driving client acquisition for years. The brand got better. The KPIs that actually bring in new owners slipped. The lesson: do not starve the fundamentals to fund a big bet. Brand polish is great, but not at the expense of the boring systems that quietly keep your pipeline full. Momentum is effort multiplied by accuracy, and this year the effort was high, but the target was slightly off. Lesson 2: Corporate Cash Clinics Are Coming Regional cash and hybrid groups are already growing in multiple markets. They have strong brands, smart operators, and they are learning how to scale performance-based services across locations. As interest rates fall and borrowing becomes cheaper, larger groups and backers are going to look at cash-based PT the same way they looked at in-network PT years ago: fragmented, profitable, and ripe for consolidation. That creates a fork in the road for small clinic owners: Stay small, stay lifestyle: Keep a lean, owner-operated practice, accept your capacity ceiling, and focus on doing great work with a small team. Grow and compete: Commit to becoming a true business owner, not just a great clinician. That means learning hiring, leadership, cash flow, marketing beyond yourself, and building a place where people want to work long term. Either path can be a win. But "average" business skills will not cut it in crowded markets where well-funded competitors offer better recruiting, benefits, and systems. Lesson 3: Health Is Wealth (and Your Biggest Opportunity) There is a cultural shift happening around health and longevity. People are listening to three-hour podcasts on sleep, VO2 max, and zone 2 training. Functional medicine clinics are everywhere. High-end "longevity programs" are popping up inside luxury gyms. For movement-based, performance-focused cash practices, this is a massive opportunity. Your patients no longer just want to get out of pain. They want to stay strong, independent, and capable for as long as possible. They are looking for a guide who can help them preserve function, strength, and energy for decades, not weeks. This is where you can step in as the long-term quarterback of their health and performance. That might include: Strength and mobility programming designed for longevity Clear testing and reassessment around performance and function Coaching on sleep, recovery, lifestyle, and training hygiene Long-term continuity options and proactive care plans Done right, this dramatically increases lifetime value per client and creates deeper, more rewarding clinical relationships that match why you went into this profession to begin with. Lesson 4: Happiness Is Not Tied to "Winning" For many high achievers, revenue is the scoreboard. Hit the goal and you feel like a winner. Miss it and you feel like a loser. In past years, missing a big target would have poisoned Danny's entire year and bled into family life at home. This year, even with a small revenue decline, he is as content as he has ever been. The difference is perspective. When you zoom out, the "loss" on the scoreboard sits next to: Rebuilt personal health after knee surgery and a return to the activities he loves A stronger marriage built over nearly two decades together Healthy, growing kids who are ambitious, kind, and thriving A real sense of community and friendships at home The lesson: your mood and your identity cannot be chained to one metric inside your business. You can care deeply about your goals, push hard, and still refuse to let a missed target turn you into a miserable person for the people you love. Gratitude is not a fluffy quote. It is a practical tool. When business feels heavy, you can actively ask: what went well this year, what am I proud of, and what in my life would I never trade for a slightly bigger number on a spreadsheet? Action Steps for Clinic Owners Review the year honestly: where did effort get misdirected away from proven fundamentals? Decide which race you are running: lifestyle solo practice or growth business that competes with bigger players. Start building a true long-term health and longevity offer for your best-fit patients. Schedule time to reflect on what went right, what you learned, and what you are grateful for outside of money. Ready for Help With Your Next Step? If you want help figuring out what to focus on next and how to build a business that matches the life you actually want, set up a call with a PT Biz senior advisor. They will look at your numbers, your goals, and your current plan, then help you map out your next moves. Book a free discovery call: https://vip.physicaltherapybiz.com/discovery-call Free 5-Day Part-Time to Full-Time Challenge If you are still in the early stages and building your practice on the side, Danny's PT Biz Part Time to Full Time 5-Day Challenge will help you: Get clear on exactly how much income you need to replace Know how many people you need to see and at what visit rate Pick a path to go all in based on your current situation Learn the basic sales and marketing systems you will need Build a simple one-page business plan so you can take action Join the free challenge: https://physicaltherapybiz.com/challenge Remove Your Documentation Burden With Claire If documentation is burning you out and pulling attention away from your patients, try Claire, the AI scribe built for physical therapists. Claire listens, structures your notes, and gives you back your time so you can focus on the person in front of you. Try Claire free for 7 days: https://meetclaire.ai
Send us a text if you want to be on the Podcast & explain why!Want a real blueprint for going from overwhelmed rookie to confident, independent trainer? Wendy joins us with a candid look at what actually moved the needle: interning in a PT clinic, shadowing great coaches, training as a client to learn the buyer's side, and choosing education that works in the real world. Her path across small-town Arizona gyms and a high-volume facility selling five-year packages reveals how marketing, culture, and leadership shape a trainer's growth, pay, and staying power.We get specific about money and momentum. Wendy breaks down the grind of long days and 20 percent take-home pay, the decision to set her own rates, and how paid assessments filter price shoppers while signaling value. We share practical scripts for “it depends” pricing, when to state a range, and how to frame an assessment so clients feel invested from day one. If you're stuck between charging more and losing leads, this conversation gives you tools to nudge rates up with confidence and clarity.Education becomes a competitive edge when it's hands-on. We dig into seminars, Show Up Fitness programming, and why anatomy mastery silences imposter syndrome in elite rooms. Wendy talks about building systems—Stripe, clean paperwork, and consistent discovery calls—to keep a solo business sane. We also cover choosing the right independent gym: seek sharp peers, growth mindsets, and rooms where you're proud to introduce your mom to most coaches. The takeaway is simple: stack real reps, join strong communities, and let outcomes justify your price.If this helped you rethink your next move, follow the show, share it with a trainer who needs a push, and leave a review so more coaches can find it.Want to become a SUCCESSFUL personal trainer? SUF-CPT is the FASTEST growing personal training certification in the world! Want to ask us a question? Email info@showupfitness.com with the subject line PODCAST QUESTION to get your question answered live on the show! Website: https://www.showupfitness.com/Become a Successful Personal Trainer Book Vol. 2 (Amazon): https://a.co/d/1aoRnqANASM / ACE / ISSA study guide: https://www.showupfitness.com
Welcome to Friday Coaching Clinic Episodes. These are LIVE coaching session snippets where you have the opportunity to learn as both client and coach. I encourage you to think about how you might coach through this topic as a coach or how this situation may support you as a client. A reminder about these episodes: This snippet is just one way of coaching through this topic. Each coach has their own unique voice, personality and confidence to best support their clients and I invite you to find yours. This week: Why Nobody's Booking Calls After Your Workshop
In this episode, I sat down with Dr. Jeremy Dinkin to talk about what growth actually looks like behind the scenes. Jeremy shares the real story of building a profitable practice out of the corner of a gym, resisting the urge to scale too fast, and eventually moving into his own space the right way. We dig into the decisions that protected his profit, the chaos of a build-out no one prepares you for, and the leadership mistakes that show up once you start hiring. We also talk honestly about the identity shift from clinician to leader, the pressure that comes with growth, and the moment family forced a hard look at how the business was being run. In this episode, you'll learn: - How to think about space, rent, and profit before you expand - What most clinic owners get wrong about hiring and leadership - Why simpler communication and fewer KPIs create better results - How personal brand impacts your ability to hire and scale - If you're building a practice and feel stuck between growth and burnout, this conversation will hit close to home. Connect with Dr. Jeremy Dinkin: Instagram (Personal): @RSMAthleteDoc Instagram (Practice): @RSMSportsMed Website: rsmsportsmed.com Follow me on Instagram: @justinrabinowitz Want to go deeper? Join us at our next live event to learn how to scale profitably, lead with clarity, and build a business that supports your life.
Rainmaker to Mastermind: Kim's Cash Practice Journey Guest Coach: Michael (PT Biz Rainmaker Coach) Guest: Kim (Rainmaker Alum, PT Biz Mastermind Member) Episode Overview In this episode, Danny introduces a live conversation from inside the PT Biz Rainmaker program between coach Michael and Rainmaker alum Kim. Kim started in Rainmaker while she was just getting her practice off the ground. Now she is in the PT Biz Mastermind, actively scaling her clinic. This episode walks through her journey, early fears, mindset hurdles, and what it looks like to go from "Can I really do this?" to building a growing cash practice. What You'll Hear in This Episode How Kim first got started in the Rainmaker program The mindset challenges of the early stages of a cash practice Imposter syndrome and self doubt when you are not full time yet Why the Rainmaker stage is often the hardest mentally Specific struggles Kim faced while starting her clinic What helped her push through and go all in on her practice How her business looks now inside the PT Biz Mastermind Why hearing real stories from people just a few steps ahead matters Why This Conversation Matters The Rainmaker program is built for physical therapists who are in the earliest phases of their business. Many are still working full time elsewhere while trying to grow their practice on nights and weekends. It is the most mentally stressful stage because: You do not know if the business will work yet Your confidence goes up and down every week You are balancing work, family, and a new clinic at the same time Hearing Kim's story shows that the fear, doubt, and imposter syndrome you feel are normal. More importantly, it shows what is possible on the other side when you get clear guidance, do the work, and stay in the game long enough to make the leap. Inside the Rainmaker and Mastermind Journey Rainmaker Stage: Getting started, getting your first consistent patients, learning the basics of sales and local marketing, building enough momentum to leave your job. Mastermind Stage: Scaling systems, hiring, tightening operations, growing revenue, and building a business that can run without you doing everything. This episode lets you listen in on that transition. You will hear what Kim actually went through while starting and what she is focusing on now as she scales. Who This Episode Is For PTs who are thinking about starting a cash practice but feel uncertain Rainmaker level owners who are still in the early growth stage Clinicians who feel stuck in self doubt and imposter syndrome Owners who want to know what the next level after "launch" looks like Ready to Talk About Your Own Practice? Book a Free Discovery Call with PT Biz: Talk with a senior advisor about where you are now, where you want to go, and whether Rainmaker or the Mastermind is the right fit. Book your discovery call Learn More About PT Biz Programs: physicaltherapybiz.com About PT Entrepreneur Podcast Hosted by Dr. Danny Matta, the PT Entrepreneur Podcast shares real conversations, strategies, and stories from clinicians who are building cash based practices that give them more time and financial freedom.
In This Episode:Matt's path from employee to clinic ownerCreating cash-pay offers without alienating insurance patientsUsing school outreach and combines to drive youth athlete businessHow a “third place” clinic model beats traditional marketingBuilding a team your community trusts — and clinicians want to joinThe mindset (and coaching) that made ownership feel possibleSponsored By:???? Pre-Roll: U.S. Physical Therapy – Practice partnerships for forward-thinking PTs???? Mid-Roll: Empower EMR – Streamlined documentation that just works???? Pre-Parting Shot: Brooks IHL – World-class clinical education + mentorship
Clinic owners and physical therapists — this one's a wake-up call. Jimmy dives into why 76% of referrals never start PT care and how friction at every stage of the funnel — forms, phone tag, poor UX — drives patients away. You'll also hear how concierge PT is changing expectations, why Netflix would never make you fax, and the real fixes every clinic can implement to stop the bleeding.What You'll Learn:Where patients are dropping off — and whyWhy your intake form is probably working against youHow self-referral is flipping traditional marketingConcierge PT pricing and perception shiftsFixes that scale without hurting patient trustSponsors:Pre-Roll: Brooks IHL → https://www.brooksihl.orgMid-Roll: EMPOWER EMR → https://www.empoweremr.comPre-Parting: U.S. Physical Therapy → https://www.usph.comPSA: Go Baby Go → Support mobility for kids: [Link Placeholder]Subscribe & Follow:Apple → https://apple.co/3IP8U0OSpotify → https://open.spotify.com/show/3LmMUT64yrUc2iGo9EmafcWebsite → https://www.ptpintcast.com/
Welcome to Friday Coaching Clinic Episodes. These are LIVE coaching session snippets where you have the opportunity to learn as both client and coach. I encourage you to think about how you might coach through this topic as a coach or how this situation may support you as a client. A reminder about these episodes: This snippet is just one way of coaching through this topic. Each coach has their own unique voice, personality and confidence to best support their clients and I invite you to find yours. This week: Why No One's Signing Up for Your Event (Yet)
This is one of my favorite conversations in recent memory — with the writer Zadie Smith. Smith is the author of novels, including “White Teeth,” “On Beauty” and “NW,” as well as many essays and short stories. Her ability to give language to the kinds of quiet battles that live inside of ourselves is part of why she's been one of my favorite writers for years.“We absolutely need to gather in our identity groups sometimes for our freedoms, for our civil rights. There's absolutely no doubt about that. But for that role to be the thing that is you existentially all the way down — that is something that I personally believe all human beings revolt from at some level,” she told me when we spoke last September, shortly before Trump's re-election.It's ideas like these that I found interesting to revisit now, in a starkly different political climate. In this conversation, we discuss Smith's novel, “The Fraud,” which Smith wrote with Trump and populism front of mind; what populism is really channeling; why Smith refuses the “bait” of wokeness; how people have been “modified” by smartphones and social media; and more.This episode contains strong language.Mentioned:Feel Free by Zadie Smith“Fascinated to Presume: In Defense of Fiction” by Zadie SmithAmusing Ourselves to Death by Neil Postman“Generation Why?” by Zadie SmithBook Recommendations:The Director by Daniel KehlmannThe Rebel's Clinic by Adam ShatzThe Diaries of Virginia WoolfThoughts? Guest suggestions? Email us at ezrakleinshow@nytimes.com.You can find transcripts (posted midday) and more episodes of “The Ezra Klein Show” at nytimes.com/ezra-klein-podcast. Book recommendations from all our guests are listed at https://www.nytimes.com/article/ezra-klein-show-book-recs.This episode of “The Ezra Klein Show” was produced by Annie Galvin. Fact-checking by Michelle Harris, with Kate Sinclair. Our senior engineer is Jeff Geld, with additional mixing by Aman Sahota and Efim Shapiro. Our senior editor is Claire Gordon. The show's production team also includes Rollin Hu, Elias Isquith and Kristin Lin. Original music by Isaac Jones. Audience strategy by Kristina Samulewski and Shannon Busta. The executive producer of New York Times Opinion Audio is Annie-Rose Strasser. Subscribe today at nytimes.com/podcasts or on Apple Podcasts and Spotify. You can also subscribe via your favorite podcast app here https://www.nytimes.com/activate-access/audio?source=podcatcher. For more podcasts and narrated articles, download The New York Times app at nytimes.com/app.
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