POPULARITY
Categories
1,053 episodes with colleagues
76 episodes with colleagues
44 episodes with colleagues
41 episodes with colleagues
16 episodes with colleagues
24 episodes with colleagues
9 episodes with colleagues
14 episodes with colleagues
12 episodes with colleagues
12 episodes with colleagues
11 episodes with colleagues
12 episodes with colleagues
9 episodes with colleagues
6 episodes with colleagues
4 episodes with colleagues
11 episodes with colleagues
6 episodes with colleagues
5 episodes with colleagues
6 episodes with colleagues
3 episodes with colleagues
6 episodes with colleagues
6 episodes with colleagues
5 episodes with colleagues
4 episodes with colleagues
4 episodes with colleagues
6 episodes with colleagues
5 episodes with colleagues
4 episodes with colleagues
7 episodes with colleagues
6 episodes with colleagues
10 episodes with colleagues
4 episodes with colleagues
4 episodes with colleagues
6 episodes with colleagues
3 episodes with colleagues
3 episodes with colleagues
5 episodes with colleagues
4 episodes with colleagues
3 episodes with colleagues
5 episodes with colleagues
3 episodes with colleagues
13 episodes with colleagues
6 episodes with colleagues
5 episodes with colleagues
10 episodes with colleagues
6 episodes with colleagues
4 episodes with colleagues
8 episodes with colleagues
8 episodes with colleagues
8 episodes with colleagues
2 episodes with colleagues
3 episodes with colleagues
2 episodes with colleagues
5 episodes with colleagues
4 episodes with colleagues
5 episodes with colleagues
3 episodes with colleagues
11 episodes with colleagues
4 episodes with colleagues
2 episodes with colleagues
3 episodes with colleagues
2 episodes with colleagues
2 episodes with colleagues
2 episodes with colleagues
3 episodes with colleagues
3 episodes with colleagues
4 episodes with colleagues
2 episodes with colleagues
3 episodes with colleagues
10 episodes with colleagues
4 episodes with colleagues
4 episodes with colleagues
5 episodes with colleagues
5 episodes with colleagues
3 episodes with colleagues
7 episodes with colleagues
3 episodes with colleagues
3 episodes with colleagues
2 episodes with colleagues
4 episodes with colleagues
3 episodes with colleagues
2 episodes with colleagues
3 episodes with colleagues
3 episodes with colleagues
4 episodes with colleagues
4 episodes with colleagues
2 episodes with colleagues
2 episodes with colleagues
5 episodes with colleagues
8 episodes with colleagues
2 episodes with colleagues
3 episodes with colleagues
4 episodes with colleagues
6 episodes with colleagues
3 episodes with colleagues
4 episodes with colleagues
3 episodes with colleagues
4 episodes with colleagues
2 episodes with colleagues
PREVIEW: Colleague Bob Zimmerman reports that the Mexican President Sheinbaum is pressing the complaint of a governor that SpaceX debris is damaging Mexican beaches. More. 1953
PREVIEW: Colleague Mary Anastasia O'Grady of WSJ frames the vote in the OAS that will either favor Brazil and the PRC or the US and democratic states. More. 1647
PREVIEW: Colleague Chris Reigle explains why the PRC trails the US and friends in chips and Asia; investment trillions. More later. 1959
PREVIEW: Colleague Henry Sokolski of NPEC comments that atomic weapons are the willful product of any country acquiring nuclear power reactors. More.
PREVIEW: Colleague Professor Richard Epstein describes pipeline politics that block Pennsylvania and Connecticut from prosperity because New York forbids a natural gas pipeline within its borders. More. 1841 MANHATTAN
PREVIEW: Colleague Brenda Shaffer, author, "Iran Is More Than Persia," comments on the big winner of the defeat of Iran: the NATO power Turkey. More. 1870
PREVIEW: Colleague Rob Natelson comments on the question can Congress delegate to POTUS the trade power delegated to Congress by the Constitution? More. 1922 DC
PREVIEW: Colleague Jim Fanell, veteran intelligence officer USN, answers the question of PLA Navy air readiness for 2027. More. 1932 RANGER, LEX, SARA
PREVIEW: Colleague Bob Zimmerman reports on the vision of Jared Isaacman to build teams of individuals to support NASA missions. More later. 1958
PREVIEW: Colleague Jeff McCausland of CBS News comments on what is needed to assess the abilities of Iran to relaunch or repair its weapon program. More.1940 TEHRAN
REVIEW: Colleague Charles Burton reports that Xi Jinping is no longer the centerpiece of media promotion on the evening news and puzzles what has changed? More 1959
Summary Dr. Amy Vertrees, the host, introduces the episode focusing on the prolonged stress cycle, a topic relevant to many, especially female surgeons, given the various stressors in medicine and the world . She notes that this topic arose from discussions within the female boss surgeons group, emphasizing its importance and broad applicability . The group, which meets weekly and twice monthly on Sundays, covers topics not typically addressed in residency but crucial for career and mental health . Dr. Vertrees shares her background as a general surgeon and certified coach, highlighting her experiences in military and civilian settings, as well as private practice, which led her to create the Boss Business and Surgery series . She details the program's structure, including three-month modules on dealing with difficult colleagues and managing the impact of complications . The discussion emphasizes the pervasive nature of stress, exacerbated by global events and the demands of being a surgeon . The prolonged stress cycle often begins in training, with experiences that may have been hostile or malignant, impacting future stress responses . Dr. Vertrees references the book "What Happened to You?" by Bruce Perry and Oprah Winfrey, explaining how prolonged stress can dysregulate the nervous system, hindering rational thinking . She differentiates between regulated stress, which builds resilience, and dysregulated stress, which results from extreme, prolonged, and unpredictable situations . Dr. Vertrees explains the stress cycle, involving a trigger, a stress response (fight, flight, freeze, or fawn), and a physiological reaction . Recognizing one's physiological stress response is crucial, as it serves as a red flag indicating excessive stress . She provides an example of a stressful surgical scenario, emphasizing that recognizing a stress response is a sign of awareness, not a personal failing . Finding a colleague in such situations can provide stability and prevent potentially harmful actions . The discussion covers the importance of emotional regulation, especially for new attendings, and the impact of decision fatigue . Impaired coping mechanisms, such as doom scrolling or overeating, can worsen the stress cycle . Confidence is defined as the ability to manage any emotion, including fear and uncertainty, while still acting effectively . Practical techniques to interrupt the stress cycle include deep breathing exercises, focusing on the next best step, and box breathing . Dr.Vertrees stresses that emotional and physiological regulation is crucial for surgeons, who are leaders of their teams and responsible for their patients . She advises on communicating with families during stressful events, emphasizing the importance of reassuring them that their loved one is okay . The value of having a second set of skilled eyes, such as residents, is highlighted, as they can prevent potentially devastating mistakes . Strategies to manage the stress cycle include awareness and tracking, physiological regulation, emotional processing, cognitive reframing, and setting boundaries . Purpose and value alignment, along with gratitude, are also important . Dr. Vertings recommends finding a challenge network, a group of supportive individuals who can be relied upon during difficult times . She concludes by promoting the Boss Female Surgeons Group Coaching Program and other resources available at bosssurgery.com . Chapter Introduction to Prolonged Stress Cycle Dr. AmyVertrees introduces the episode's focus on the prolonged stress cycle, a topic of significant relevance, particularly for female surgeons, given the multitude of stressors present in both medicine and the broader world. She highlights that this subject emerged from discussions within the female boss surgeons group, underscoring its importance and widespread applicability. The Female Boss Surgeons Group Dr. V describes the group of female surgeons who meet weekly, Wednesdays at 6 p.m. Central, and twice a month on Sundays, to discuss topics often overlooked in residency but essential for career advancement and mental well-being. Dr. Vertings' Background and the Boss Business and Surgery Series Dr. V shares her background as a general surgeon and certified coach, emphasizing her experiences in military and civilian settings, as well as in private practice, which inspired her to create the Boss Business and Surgery series. She notes that the business was reinvigorated in 2020 to address new challenges faced by surgeons. Program Structure: Difficult Colleagues and Complications Dr. V details the program's structure, which includes three-month modules dedicated to addressing difficult colleagues and managing the impact of complications. She emphasizes that the program teaches strategies to improve relationships and positively influence workplace dynamics. Pervasive Nature of Stress The discussion emphasizes the pervasive nature of stress, which is exacerbated by global events and the inherent demands of being a surgeon. Dr. V mentions theories suggesting that the high level of stress in the world may be intentional, designed to keep people off balance and disengaged. Stress Cycle in Training and Early Career The prolonged stress cycle often begins during training, with experiences that may have been hostile or malignant, significantly impacting future stress responses. Dr. V reflects on her own training, initially downplaying its hostility but later recognizing its challenging aspects. "What Happened to You?" and Dysregulated Nervous System Dr. V references the book "What Happened to You?" by Bruce Perry and Oprah Winfrey, explaining how prolonged stress can dysregulate the nervous system, hindering rational thinking. She explains that stress can overwhelm the primitive brain, preventing signals from reaching the smart part of the brain. Regulated vs. Dysregulated Stress Dr. V differentiates between regulated stress, which builds tolerance and resilience, and dysregulated stress, which results from extreme, prolonged, and unpredictable situations. She notes that predictable, moderate, and controllable stress can lead to productive stress responses. The Stress Cycle: Trigger, Response, and Physiological Reaction Dr. V explains the stress cycle, which involves a trigger, a stress response (fight, flight, freeze, or fawn), and a physiological reaction. She emphasizes that recognizing these responses is crucial for managing stress effectively. Recognizing Physiological Stress Response Recognizing one's physiological stress response is crucial, as it serves as a red flag indicating excessive stress. Dr. V provides examples such as increased heart rate, muscle tension, and poor sleep. Surgical Scenario and Stress Response Dr. V provides an example of a stressful surgical scenario, emphasizing that recognizing a stress response is a sign of awareness, not a personal failing. She notes that in high-stress situations, the primitive brain can take over, hindering clear thinking. Finding a Colleague for Stability Finding a colleague in stressful situations can provide stability and prevent potentially harmful actions. Dr. V likens this to grabbing onto a stable object during a tornado. Emotional Regulation and Decision Fatigue The discussion covers the importance of emotional regulation, especially for new attendings, and the impact of decision fatigue. Dr. Vertings notes that making numerous decisions can impair one's ability to make further decisions effectively. Impaired Coping Mechanisms Impaired coping mechanisms, such as doom scrolling or overeating, can worsen the stress cycle. Dr. V explains that these behaviors are often attempts to avoid negative feelings but ultimately lead to increased vulnerability. Confidence as Emotional Regulation Confidence is defined as the ability to manage any emotion, including fear and uncertainty, while still acting effectively. Dr. V emphasizes that courage is acting despite feeling fear. Techniques to Interrupt the Stress Cycle Practical techniques to interrupt the stress cycle include deep breathing exercises, focusing on the next best step, and box breathing. Dr. V mentions Dr. Robin Tiger's advice on using deep breathing for both surgeons and patients. Importance of Emotional and Physiological Regulation Dr. V stresses that emotional and physiological regulation is crucial for surgeons, who are leaders of their teams and responsible for their patients. She notes that a calm leader can help the team remain calm and effective. Communicating with Families During Stressful Events Dr. V advises on communicating with families during stressful events, emphasizing the importance of reassuring them that their loved one is okay. She suggests leading with the assurance that the patient is fine before explaining the details. Value of a Second Set of Skilled Eyes The value of having a second set of skilled eyes, such as residents, is highlighted, as they can prevent potentially devastating mistakes. Dr. Vertings shares a personal experience where a resident prevented her from making a significant error. Strategies to Manage the Stress Cycle Strategies to manage the stress cycle include awareness and tracking, physiological regulation, emotional processing, cognitive reframing, and setting boundaries. Dr. V emphasizes the importance of naming and owning feelings. Purpose, Value Alignment, and Gratitude Purpose and value alignment, along with gratitude, are also important. Dr. V suggests reflecting on past experiences to identify one's values and aligning actions with those values. Finding a Challenge Network Dr. V recommends finding a challenge network, a group of supportive individuals who can be relied upon during difficult times. She credits Dr. Jill Clark for this concept. Promotion of Boss Female Surgeons Group Coaching Program Dr. V concludes by promoting the Boss Female Surgeons Group Coaching Program and other resources available at bosssurgery.com. She mentions upcoming topics such as power and negotiating, as well as strategies for managing clinic and developing a CEO self-concept.
PREVIEW MIGRATION: Colleague Judy Dempsey in Berlin comments on the Middle Eastern and Central Asian refugees fleeing strike and arriving in Germany without permission. More. 1898 BERLIN
RUSSIA: MAKING AND SHOWING A FILM RE NAVALNY AND HIS COLLEAGUES. MARIANNA YAROVSKAYA, PAUL GREGORY 1896 SIBERIA
PREVIEW KEIR STARMER: Colleague Joseph Sternberg of the WSJ comments on PM Starmer's aim to trim the welfare programs, especially NHS, to pay for defense. More. 1941
PREVIEW HEZBOLLAH: Colleague Jonathan Schanzer is amazed at how Hezbollah ducked from the Iran Israel war. More. 1917 GAZAÂ
PREVIEW: Colleague Liz Peek comments on the wild moves by the price of oil following the IDF and USAF strikes on Iran. More. 1870
PREVIEW USAF: Colleague Ryan Brobst describes the USAF global operation to strike by surprise on the Iran suspect nuclear weapon program sites. More. 1853
PREVIEW NAVALNY: Colleague Marina Yarovskaya explains the reluctance of many film festivals, excepting the giant Cannes, from displaying dissident stories such as Marina's recent film of the Navalny murder by Putin and the Kremlin. More. 1921
After hours of debate the New Plymouth District Councillors voted overwhelmingly to join the Whanganui and South Taranaki district councils in their opposition. New Plymouth District Councillor who voted against that motion to oppose seabed mining, Murray Chong, spoke to Alexa Cook.
PREVIEW CHINA: Colleague Anne Stevenson-Yang comments on talk that the prominent EV carmaker BYD may be crushed by debt. More. 2860 QING DYNASTY
PREVIEW: Colleague Andrea Stricker of FDD comments on her surprise how much the IDF knows of the Iran nuke weapon program. More. 1955 NEVADA
PREVIEW IRAN: Colleague Ambassador Husain Haqqani comments that intervention in Iran entangles the US in another complicated culture that is not likely to be a brief dialogue. More. 1543
PREVIEW: Colleague Ahmad Sharawi comments that it is unlikely that the millions of Syrians who fled the civil war will return to their homes anytime soon. More. 1920 French mandate.
PREVIEW ISRAEL: Colleague David Daoud comments that it appears Israel has outsourced its survival to the US B-2 weapon system. More. 1918 GAZA AFTER OTTOMAN SURRENDER.
PREVIEW NATO: Colleague John Hardie comments on the modest expectations of this week's NATO meeting at The Hague. More. 1838 THE HAGUE
PREVIEW LA: Colleague Richard Epstein praises Heather MacDonald's op-ed in the WSJ criticizing the inability of LA to make a distinction between protest and riot. More. 1940 LA
PREVIEW COSMOLOGY: Colleague Bob Zimmerman comments on the new theory to solve the famous missing matter problem. More later.
PREVIEW SCHOOL'S OUT: Colleague Jim McTague watching for any softening in shopping in Lancaster County PA that might signal recession ahead. More. 1941 LANCASTER COUNTY
PREVIEW ITALY: Colleague Lorenzo Fiori reports an unusually blazing heat wave covers the Italian peninsula as the tourist season surges, sometimes recklessly. More. 1660 MILAN
PREVIEW JEWEL HEIST: Colleague Jeff Bliss presents a possible mass arrest that solves the 2022 infamous jewel and watch theft from a Brink's van parked at a diner. More later. 1940
PREVIEW VENEZUELA: Colleague Evan Ellis comments on the reason Ms. Maria Machado, the opposition leader now in hiding, sent a sympathetic message to her supporters. More. 1876 CARACAS
PREVIEW IRAN: Colleague Cliff May of FDD comments that the Iran Supreme Leader is unlikely to surrender to the US or Israel. More. TABRIZ CASTLE 1840
PREVIEW CANADA: Colleague Conrad Black reports that Canada is hurrying to rebuild its defenses. More. 1875
PREVIEW: Colleague Chris Riegel comments that ambitious Europeans need move to the US in order to find AI employment and opportunity. More. DECEMBER 1956
PREVIEW JERUSALEM: Colleague Alex Traiman in Jerusalem reports the alert protocols in Israel for incoming Iranian missiles and drones. More. 1698 JERUSALEM
PREVIEW: Colleague Alan Tonelson reports that the anti-dumping regulations in major markets are frustrating the PRC export model. More.
PREVIEW NORTH KOREA: Colleague Greg Scarlatoiu comments that the new ROK President Lee is constrained from outright appeasement by the measure of North Korea as an arsenal for predators. More. 1951
PREVIEW NATO: Colleague Jeff McCausland comments on the reluctance of European nations to provide for their own common defense. More. 1897 BRUSSELS
PREVIEW: Colleague Rebecca Grant of the Lexington Institute recounts her 3 hour flight in the copilot seat of B-2 stealth bomber. More.
PREVIEW MARS: Colleague Bob Zimmerman reports on the Curiosity images of the many odd, eery, sharo-toothed peaks it passes on the ascent of Mt. Sharp. More later. 1951
Recently several videos from recruiters on LinkedIn have gone viral. The videos appear to show recruiters conducting routine job interviews over a video call, but something is up with the candidates. Their faces are blurred, and they appear to be using some sort of a filter. After some strange interaction with the recruiter, they drop off the call. But these creepy videos are not isolated incidents – many recruiters are reporting that this has happened to them multiple times. Who are these candidates really? We expose the phenomenon of North Korean IT workers applying for remote tech jobs in the US, and how this has become a significant revenue raising scheme for Kim Jong Un's regime. The FBI believes thousands of North Koreans have made millions of dollars using fake, stolen or borrowed identities to work remotely. And now, there is evidence that the scheme is expanding into Europe. This episode of The Documentary, comes to you from BBC Trending in-depth reporting on the world of social media.
PREVIEW: Colleague Judy Dempsey reports on the successes of the new Chancellor Friedrich Merz, especially on foreign affairs, yet the dominant crisis of immigration is unsolved. More later. 1350 SCHWEIFURT
REVIEW: Colleague Andrea Stricker of FDD reports the nuclear weapon specialties of nine of the Iran technicians who were KIA the first instance of the Israeli attack. More. 1890 TEHRAN
PREVIEW: Colleague Cleo Paskal introduces me to Chief Pilot Amos Collins of Pacific Mission Airways, flying the jungle cut airstrips of the small islands of the vital Federated States of Micronesia. More tomorrow. 1930 FSM https://www.youtube.com/watch?v=tnNJAmUstsA
PREVIEW: Colleague Gregory Copley, author of "NOBLE STATE," comments on the success of modern kingship as practiced by Charles III. More later. 1620 CHARES IL
PREVIEW: Colleague Liz Peek comments on the tussle in the GOP over the dollar figure for SALT in the budget bill. More later. 1907 NYSE
REVIEW: Colleague Ahmad Sharawi of FDD confirms that the Iraqi militias condemn al-Sharaa, the self-named president of Syria, for his al-Qaeda joined violence in Iraq following the fall of Saddam Hussein. More. 1924 BAGHDAD
PREVIEW: Colleague Brandon Weichert outlines the strong possibility that Israel will support the Pahlavi monarch return in a post-Islamic Republic future. More. 1900 NESTORIAN CHRISTIANS IN PERSIA
PREVIEW: Colleague Blaine Holt comments on the challenge of the hardened Fordow site in Iran that must be destroyed or rendered inoperative. More.
© 2020-2025 Ivy Podcast Discovery LLC
