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Today's guest on The Long View is Hilary Wiek. Hilary is a principal analyst at PitchBook, where she leads PitchBook's coverage of fund strategies and performance, publishing primary research on the alternative space. Hilary also leads PitchBook's coverage of the ESG and impact investing space. Hilary has over 20 years of experience in asset owner, manager, and advisory roles. Prior to joining PitchBook, she was the director of investments at the Saint Paul & Minnesota Foundations, where she handled portfolio management, impact and ESG investment, investment due diligence and monitoring, and investment operations. Before that, she worked in senior positions at Segal Rogerscasey, the South Carolina Retirement Systems Investment Commission, Buckingham Financial Group, Dayton Power & Light, and KeyCorp. Wiek received a master's degree in finance and economics from Case Western Reserve University and a bachelor's degree in business leadership and finance from the University of Puget Sound. She is based in PitchBook's Seattle office. PitchBook is a Morningstar company. Episode Highlights 00:00:00 Background in the Private Markets and Joining PitchBook 00:04:49 Drivers of Private Market Slowdown in 2026 and Pockets of Outperformance 00:14:15 Key Lessons for Investing in Private Market Funds 00:18:12 Private Market Fees, Hidden Volatility, and Valuations 00:20:38 Evergreen Investment Growth, Interval Funds, and Questions Investors Should Ask 00:32:26 Is It Worth It to Invest in Private Markets? 00:36:50 ESG, Impacting Investing, and Key Themes for 2026 00:41:05 Private Market Exposure in 401(k)s PitchBook Reports Discussed Benchmarking and Returns: Why Are There So Many Numbers? Evergreen Funds: We Have Questions The Evergreen Evolution The New Face of Private Markets in Your 401(k) US Evergreen Fund Landscape 2025 Impact Investing Update If you have a comment or a guest idea, please email us at TheLongView@Morningstar.com. Follow Christine Benz (@christine_benz) and Ben Johnson (@MstarBenJohnson) on X, and Christine Benz, Amy Arnott, and Ben Johnson on LinkedIn. Visit Morningstar.com for new research and insights from Christine, Ben, and Amy. Subscribe to Christine's weekly newsletter, Improving Your Finances. If you want more Morningstar podcasts, check out The Morning Filter and Investing Insights. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
"By age 40, one in five women has dealt with an eating disorder—twice the rate we see by age 21." – Harvard UniversityWhile society often frames eating disorders as a struggle for teenagers, the reality is that women in midlife are increasingly vulnerable. In this episode, Dr. Rachel Pope addresses the "silent epidemic" affecting millions of women as they navigate the convergence of hormonal shifts, body image pressures, and life transitions.As we continue our New Year's series on weight management and GLP-1 medications, Dr. Pope is joined by internationally recognized expert Dr. Lucene Wisniewski. Together, they discuss the thin line between a healthy focus on nutrition and the onset of disordered eating. Why do perimenopause and menopause create a "biological window of risk"? How do we distinguish between "discipline" and "obsession"?Dr. Lucene Wisniewski, PhD, FAED, is a leader in eating disorder treatment and Dialectical Behavior Therapy (DBT) with nearly 30 years of experience. She provides a compassionate, evidence-based look at how women can protect their mental health while pursuing physical wellness.In this episode, we discuss: The Hormonal Connection: Why the menopause transition is a high-risk period for both relapses and "de novo" (new) eating disorders. Effective vs. Rigid Eating: Moving away from black-and-white "food rules" toward a flexible, social, and balanced relationship with fuel. Red Flags in Midlife: How to identify signs of preoccupation, body checking, and the moralization of food. The "Binge-Restrict" Cycle: Why "not eating" is often the biggest trigger for out-of-control eating. Tracking Apps & Tech: When tools like macro-trackers stop being helpful and start becoming a "life stance." ARFID in Adults: Understanding Avoidant Restrictive Food Intake Disorder and how it differs from traditional anorexia. Supporting Others: How to broach a conversation with a friend or family member without causing shame (and why you should never do it at the dinner table).National Resources for Help: NEDA Helpline: (800) 931-2237 Crisis Text Line: Text "HOME" to 741741 ANAD Helpline: (888) 375-7767About Our Guest:Dr. Lucene Wisniewski is the Founder and Chief Clinical Officer of the Center for Evidence-Based Treatment (CEBT). She is a Fellow of the Academy for Eating Disorders and an Adjunct Assistant Professor at Case Western Reserve University.Connect with Dr. Wisniewski: Website: cebtohio.comConnect with Dr. Rachel Pope: Website: ourwomanity.com Social Media: @drrachelpope
Every single week in my clinic, I see smart, motivated people stuck in their weight loss journey not because they're doing something wrong, but because they believe something wrong. The myths surrounding weight loss are so deeply embedded in our culture that even some physicians still repeat them. And the cost? Shame, delayed treatment, and people giving up on themselves unnecessarily. I've spent over a decade watching these myths do real damage and I'm done staying quiet about it. In this episode, I'm breaking down the top 5 weight loss myths I wish my patients would stop believing and replacing them with what the science actually says. If you've ever said "I just need more willpower" this episode is for you. Listen now! Episode Highlights: Why "calories in, calories out" is an oversimplification of a complex metabolic system How metabolic adaptation explains why what worked before stops working Why obesity is a chronic, relapsing disease The truth about weight loss medications and why using them is NOT cheating Why the scale is just data, not a report card, and what metabolic progress really looks like Why stopping everything after weight loss leads to weight regain, and what to do instead Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Guest: Dr. Thomas E. Van Dyke, DDS, PhDShow Notes:Your mouth does far more than help you chew; it may be quietly shaping your risk for heart disease, diabetes, and chronic inflammation. In this episode, we explore the powerful (and often overlooked) connection between gum health and whole-body health.You'll learn how everyday habits like brushing, flossing, smoking, and diet choices can influence inflammation throughout the body. We break down what science really says about gum disease, cardiovascular risk, blood sugar control, and the oral microbiome, plus which small changes can make an outsized impact over time.If you care about heart health, diabetes prevention, or lowering inflammation naturally, this episode will change how you think about oral care.Guest Bio:Dr. Van Dyke is Sr. Vice President for Clinical and Translational Research, and Senior Member of Staff, ADA Forsyth Institute in Somerville, MA; he received his D.D.S. from Case Western Reserve University; his Master's, Periodontics Certificate, and Ph.D., State University of NY at Buffalo; he is a Diplomate of the American Board of Periodontology. He is internationally recognized for his work on inflammation in periodontal disease and other systemic conditions. He has 500+ original publications. Quote:“The keyword of the day is maintaining homeostasis. You want to maintain the balance that we have in the oral cavity that is compatible with health in the individual.”Question of the Day:Have you ever considered how your oral health could affect your heart? After today, what's one step you could change or add to your oral hygiene routine?On This Episode You Will Learn:How gum disease and oral inflammation can increase the risk of heart disease, diabetes, and other chronic conditions.Why inflammation, not just bacteria, is the key link between oral health and whole-body health.Which daily habits matter most for protecting your gums, including brushing, flossing, smoking cessation, and diet.How nutrition choices, such as omega-3s, ultra-processed foods, and sugary drinks, affect your oral microbiome and inflammation levels.One small change you can start today that can make a meaningful difference for both your oral health and your heart.Connect with Yumlish!Yumlish Website: YumlishYumlish on Instagram: @yumlish_Yumlish on Facebook: YumlishYumlish on Twitter: @yumlish_Yumlish on LinkedIn: YumlishConnect with Thomas E. Van Dyke!Website URL: www.forsyth.org
Case Western Reserve University turns 200 One of Ohio's oldest colleges, Case Western Reserve University, just turned 200 this month. It traces its founding to Western Reserve College in Hudson in 1826, named after the region which was known then as the Western Reserve of Connecticut. At the time, Northeast Ohio's population was growing, and the Industrial Revolution was leading to opportunities for technical and scientific advancement in Cleveland, with the help of philanthropists like Leonard Case Jr. 200 years later, colleges and universities across the country are facing a completely different environment, from threats to federal and state funding, major enrollment decline, population loss in Ohio and changing attitudes over whether a four-year degree is worth the cost of admission amid major workforce changes and the rapid integration of artificial intelligence. Several long-standing universities in Ohio have had to merge, severely cut staff and programs or close completely as they deal with financial uncertainty and debt. On Thursday's "Sound of Ideas," we'll start by talking to Case Western Reserve University President, Eric Kaler, about the role of higher education today, and how he plans to not only weather the current storm but lead on a global level. Case Western Reserve University was recently named one of the top 30 colleges in the world by Time Magazine. Guests:- Eric Kaler, Ph.D., President, Case Western Reserve University Frederick Douglass' historic speech resonates todayThe power of education and the ability of young people to reshape the world were among the broader themes of a historic commencement speech delivered by abolitionist Frederick Douglass in Hudson in 1854 at what was then known as Western Reserve College. The speech sharply debunked so-called scientific racism, the belief that different racial and ethnic groups have innately differing levels of physical, intellectual and moral development that distinguish them as superior or inferior. Douglass' words are getting renewed attention in an award-winning documentary that features academy students. The film, "Just and Perfect" is being shown as part of this year's multi-city Black History Festival which begins this weekend. CeCe Payne the writer and producer of the film, and Iiyannaa Graham-Siphanoum, the Associate Dean for Diversity, Equity, Inclusion and Belonging for Western Reserve Academy spoke to us recently about the film and how the speech still connects to students today. We originally had this conversation on Jan. 21 in advance of an event at the school commemorating the speech and a campus visit by a descendant of Frederick Douglass. That show was pre-empted by President Trump's speech at the World Economic Forum in Davos Switzerland. Guests:- CeCe Payne, Writer & Producer, "Just and Perfect"- Iiyannaa Graham-Siphanoum, Associate Dean for Diversity, Equity, Inclusion and Belonging, Western Reserve Academy The Menu: Fish Fry Lent began this week. It's the 40-day reflective period observed by Catholics and with that another cherished community tradition has returned as well: fish fry season. From church halls to local breweries, diners will be filling plates with beer-battered cod, fried Lake Erie perch, pierogies and coleslaw. We're talking fish fries on this installment of The Menu, our biweekly look at Northeast Ohio's food scene in partnership with Cleveland Magazine. We're going to talk about where to participate, what to expect, and why this tradition continues to bring people together year after year. Guest:- Dillon Stewart, Editor, Cleveland Magazine
In this important and nuanced conversation, we sit down with Dr. Denny King to tackle a question many parents, pastors, and Christian leaders are quietly wrestling with: When is too much medication a thing for kids… and when is too little actually the greater risk?From ADHD and anxiety to mood struggles and behavioral concerns, medication in children can feel confusing, emotional, and even spiritual. Are we over-medicating? Are we under-treating? Is taking medication a lack of faith — or could it be wise stewardship of the mind and body God has entrusted to us?In this episode, we explore:How to discern the appropriate use of medication in childrenCommon myths and fears Christian families carryThe role of faith, wisdom, and medical science working togetherHow to think about medication without shame, stigma, or simplistic answersThis conversation is thoughtful, balanced, and deeply practical — offering clarity for parents who want to lead with both conviction and compassion.If this episode helps you, be sure to follow the podcast on whatever platform you're using and share it with a parent, pastor, or friend who needs a more grounded way to think about faith and mental health.Disclaimer: The views expressed by Dr. King in this episode reflect his own opinions and those of Kindred Family Care, and do not represent the views of Case Western Reserve University.https://www.kindredfamilycare.com/about-denny-kingA 4-day, in-person program designed for ministry leaders, individuals, and couples seeking a more specialized and focused experience.The assessment and therapy process utilizes robust psychological testing and intensive outpatient counseling to provide mental health support for challenges, including burnout, grief, moral failure, relationship conflict, anxiety, depression, and trauma.https://emerge.org/intensives/ Emerge.org "You Don't Have to Walk Alone" Mental Health Therapists... Apply today at emerge.org/careers and join us in the battle to help people find freedom and rest...Support the showContact Us: Email the show: experience@emerge.org Emerge.org facebook.com/EmergeCounselingMinistries Thank you for listening, sharing, and praying for our podcast!Support the ExEm podcast by clicking here:https://www.buzzsprout.com/882700/support
You're doing all the right things—showing up to the gym, getting your steps in, strength training—but that scale? Still not moving. Sound familiar? In this episode, I'm breaking down exactly how to eat to support your workouts without sabotaging your weight loss goals—and without overthinking it. No sports nutrition degree required, I promise. I've seen too many patients work incredibly hard in the gym only to undo their progress at the kitchen table. Exercise is powerful, but nutrition determines whether that exercise actually works for weight loss. And once you understand a few simple principles about pre- and post-workout nutrition, everything clicks into place. Learn why exercise alone doesn't guarantee weight loss, which common myths are holding you back, and how to fuel strategically for recovery and results. Sign up for the Back on Track: Setting the Vision for your health Masterclass: https://drshellymd.kit.com/ecc62a0638 Episode Highlights: Why exercise is powerful but nutrition determines whether it works for weight loss The truth about eating before and after workouts Pre-workout fuel: when you need it, when you don't, and what actually works Post-workout recovery: protein targets, hydration basics, and avoiding the "reward" trap Special considerations for insulin resistance, PCOS, perimenopause, and GLP-1 users How to match your food to your workout type and intensity Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
We're getting another partial government shutdown. We'll break down what's going on with Justin Buchler, Associate Professor of Political Science at Case Western Reserve University
Dr. Pedro Barata and Dr. Ugwuji Maduekwe discuss the evolving treatment landscape in gastroesophageal junction and gastric cancers, including the emergence of organ preservation as a selective therapeutic goal, as well as strategies to mitigate disparities in care. Dr. Maduekwe is the senior author of the article, "Organ Preservation for Gastroesophageal Junction and Gastric Cancers: Ready for Primetime?" in the 2026 ASCO Educational Book. TRANSCRIPT Dr. Pedro Barata: Hello, and welcome to By the Book, a podcast series from ASCO that features compelling perspectives from authors and editors of the ASCO Educational Book. I'm Dr. Pedro Barata. I'm a medical oncologist at University Hospitals Seidman Cancer Center and an associate professor of medicine at Case Western Reserve University in Cleveland, Ohio. I'm also the deputy editor of the ASCO Educational Book. Gastric and gastroesophageal cancers are the fifth most common cancer worldwide and the fourth leading cause of cancer-related mortality. Over the last decade, the treatment landscape has evolved tremendously, and today, organ preservation is emerging as an attainable but still selective therapeutic goal. Today, I'm delighted to be speaking with Dr. Ugwuji Maduekwe, an associate professor of surgery and the director of regional therapies in the Division of Surgical Oncology at the Medical College of Wisconsin. Dr. Maduekwe is also the last author of a fantastic paper in the 2026 ASCO Educational Book titled "Organ Preservation for Gastroesophageal Junction and Gastric Cancers: Ready for Prime Time?" We explore these questions in our conversations today. Our full disclosures are available in the transcript of this episode as well. Welcome. Thank you for joining us today. Dr. Ugwuji Maduekwe: Thank you, Dr. Barata. I'm really, really glad to be here. Dr. Pedro Barata: There's been a lot of progress in the treatment of gastric and gastroesophageal cancers. But before we actually dive into some of the key take-home points from your paper, can you just walk us through how systemic therapy has emerged and actually allowed you to start thinking about a curative framework and really informing surgery decision-making? Dr. Ugwuji Maduekwe: Great, thank you. I'm really excited to be here and I love this topic because, I'm terrified to think of how long ago it was, but I remember in medical school, one of my formative experiences and why I got so interested in oncology was when the very first trials about imatinib were coming through, right? Looking at the effect, I remember so vividly having a lecture as a first-year or second-year medical student, and the professor saying, "This data about this particular kind of cancer is no longer accurate. They don't need bone marrow transplants anymore, they can just take a pill." And that just sounded insane. And we don't have that yet for GI malignancies. But part of what is the promise of precision oncology has always been to me that framework. That framework we have for people with CML who don't have a bone marrow transplant, they take a pill. For people with GIST. And so when we talk about gastric cancers and gastroesophageal cancers, I think the short answer is that systemic therapy has forced surgeons to rethink what "necessary" really means, right? We have the old age saying, "a chance to cut is a chance to cure." And when I started out, the conversation was simple. We diagnose the cancer, we take it out. Surgery's the default. But what's changed really over the last decade and really over the last five years is that systemic therapy has gotten good enough to do what is probably real curative work before we ever enter the operating room. So now when you see a patient whose tumor has essentially melted away on restaging, the question has to shift, right? It's no longer just, "Can I take this out?" It's "Has the biology already done the heavy lifting? Have we already given them systemic therapy, and can we prove it safely so that maybe we don't have to do what is a relatively morbid procedure?" And that shift is what has opened the door to organ preservation. Surgery doesn't disappear, but it becomes more discretionary. Necessary for the patients who need it, and within systems that can allow us to make sure that we're giving it to the right patients. Dr. Pedro Barata: Right, no, that makes total sense. And going back to the outcomes that you get with these systemic therapies, I mean, big efforts to find effective regimens or cocktails of therapies that allow us to go to what we call "complete response," right? Pathologic complete response, or clinical complete response, or even molecular complete response. We're having these conversations across different tumors, hematologic malignancies as well as solid tumors, right? I certainly have those conversations in the GU arena as well. So, when we think of pathologic CRs for GI malignancies, right? If I were to summarize the data, and please correct me if I'm wrong, because I'm not an expert in this area, the traditional perioperative chemo gives you pCRs, pathologic complete response, in the single digits. But then when you start getting smarter at identifying biologically distinct tumors such as microsatellite instability, for instance, now you start talking about pCRs over 50%. In other words, half of the patients' cancer goes away, it melts down by offering, in this case, immunotherapy as a backbone of that neoadjuvant. But first of all, this shift, right, from going from these traditional, "not smart" chemotherapy approaches to kind of biologically-driven approaches, and how important is pCR in the context of "Do I really need surgery afterwards?" Dr. Ugwuji Maduekwe: That's really the crux of the entire conversation, right? We can't proceed and we wouldn't be able to have the conversation about whether organ preservation is even plausible if we hadn't been seeing these rates of pathologic complete response. If there's no viable tumor left at resection, did surgery add something? Are we sure? The challenge before this was how frequently that happened. And then the next one is, as you've already raised, "Can we figure that out without operating?" In the traditional perioperative chemo era, pathologic complete response was relatively rare, like maybe one in twenty patients. When we go to more modern regimens like FLOT, it got closer to one in six. When you add immunotherapy in recent trials like MATTERHORN, it's nearly triple that rate. And it's worth noting here, I'm a health services-health disparities researcher, so we'll just pause here and note that those all sound great, but these landmark trials have significant representation gaps that limit and should inform how confidently we generalize these findings. But back to what you just said, right, the real inflection point is MSI-high disease where, with neoadjuvant dual-checkpoint blockade, trials like NEONIPIGAS and INFINITY show pCR rates that are approaching 50% to 60%. That's not incremental progress, that's a whole new different biological reality. What does that mean? If we're saying that 50% to 60% of the people we take to the OR at the time of surgery will end up having no viable tumor, man, did we need to do a really big surgery? But the problem right now is the gold standard, I think we would mostly agree, the gold standard is pathologic complete response, and we only know that after surgery. I currently tell my patients, right, because I don't want them to be like, "Wait, we did this whole thing." I'm like, "We're going to do this surgery, and my hope is that we're going to do the surgery and there will be no cancer left in your stomach after we take out your stomach." And they're like, "But we took out my stomach and you're saying it's a good thing that there's no cancer." And yes, right now that is true because it's a measure of the efficacy of their systemic therapy. It's a measure of the biology of the disease. But should we be acting on this non-operatively? To do that, we have to find a surrogate. And the surrogate that we have to figure out is complete clinical response. And that's where we have issues with the stomach. In esophageal cancer, the preSANO protocol, which we'll talk about a little bit, validated a structured clinical response evaluation. People got really high-quality endoscopies with bite-on biopsies. They got endoscopic ultrasounds. They got fine-needle aspirations and PET-CT, and adding all of those things together, the miss rate for substantial residual disease was about 10% to 15%. That's a number we can work with. In the stomach, it's a lot more difficult anatomically just given the shape of people's stomachs. There's fibrosis, there's ulceration. A fair number of stomach and GEJ cancers have diffuse histology which makes it difficult to localize and they also have submucosal spread. Those all conceal residual disease. I had a recent case where I scoped the patient during the case, and this person had had a 4 cm ulcer prior to surgery, and I scoped and there was nothing visible. And I was elated. And on the final pathology they had a 7 cm tumor still in place. It was just all submucosal. That's the problem. I'm not a gastroenterologist, but I would have said this was a great clinical response, but because it's gastric, there was a fair amount of submucosal disease that was still there. And our imaging loses accuracy after treatment. So the gap between what looks clean clinically and what's actually there pathologically remains very wide. So I think that's why we're trying to figure it out and make it cleaner. And outside of biomarker-selected settings like MSI-high disease, in general, I'm going to skip to the end and our upshot for the paper, which is that organ preservation, I would say for gastric cancer particularly, should remain investigational. I think we're at the point where the biology is increasingly favorable, but our means of measurement is not there yet. Dr. Pedro Barata: Gotcha. So, this is a perfect segue because you did mention the SANO, just to spell it out, "Surgery As Needed for Oesophageal" trial, so SANO, perfect, I love the abbreviation. It's really catchy. It's fantastic, it's actually a well-put-together perspective effort or program applying to patients. And can you tell us how was that put together and how does that work out for patients? Dr. Ugwuji Maduekwe: Yeah, I think for those of us in the GI space, we have SANO and then we also have the OPRA for rectum. SANO for the upper GI is what takes organ preservation from theory to something that's clinically credible. The trial asked a very simple question. If a patient with a GEJ adenocarcinoma or esophageal adenocarcinoma achieved what was felt to be a clinical complete response after chemoradiation, would they actually benefit from immediate surgery? And the question was, "Can you safely observe?" And the answer was 'yes'. You could safely observe, but only if you do it right. And what does that mean? At two years, survival with active surveillance was not inferior to those who received an immediate esophagectomy. And those patients had a better early quality of life. Makes sense, right? Your quality of life with an esophagectomy versus not is going to be different. That matters a lot when you consider what the long-term metabolic and functional consequences of an esophagectomy are. The weight loss, nutritional deficiencies that can persist for years. But SANO worked because it was very, very disciplined and not permissive. You mentioned rigor. They were very elegant in their approach and there was a fair amount of rigor. So there were two main principles. The first was that surveillance was front-loaded and intentional. So they had endoscopies with biopsies and imaging every three to four months in the first year and then they progressively spaced it out with explicit criteria for what constituted failure. And then salvage surgery was pre-planned. So, the return-to-surgery pathway was already rehearsed ahead of time. If disease reappeared, take the patient to the OR within weeks. Not sit, figure out what that means, think about it a little bit and debate next steps. They were very clear about what the plan was going to be. So they've given us this blueprint for, like, watching people safely. I think what's remarkable is that if you don't do that, if you don't have that infrastructure, then organ preservation isn't really careful. It's really hopeful. And that's what I really liked about the SANO trial, aside from, I agree, the name is pretty cool. Dr. Pedro Barata: Yeah, no, that's a fantastic point. And that description is spot on. I am thinking as we go through this, where can this be adopted, right? Because, not surprisingly, patients are telling you they're doing a lot better, right, when you don't get the esophagus out or the stomach out. I mean, that makes total sense. So the question is, you know, how do you see those issues related to the logistics, right? Getting the multi-disciplinary team, getting the different assessments of CR. I guess PETs, a lot of people are getting access to imaging these days. How close do you think this is, this kind of program, to be implemented? And maybe I would assume it might need to be validated in different settings, right, including the community. How close or how far do you think you see that being applied out there versus continuing to be a niche program, watch and wait program, in dedicated academic centers? Dr. Ugwuji Maduekwe: I love this question. So I said at the top of this, I'm a health equity/health disparities researcher, and this is where I worry the most. I love the science of this. I'm really excited about the science. I'm very optimistic. I don't think this is a question of "if," I think it's a question of "when." We are going to get to a point where these conversations will be very, very reasonable and will be options. One of the things I worry about is: who is it going to be an option for? Organ preservation is not just a treatment choice, and I think what you're pointing out very rightly is it's a systems-level intervention. Look at what we just said for SANO. Someone needs to be able to do advanced endoscopy, get the patients back. We have to have the time and space to come back every three to four months. We have to do molecular testing. There needs to be multi-disciplinary review. There needs to be intensive surveillance, and you need to have rapid access to salvage surgery. Where is that infrastructure? In this country, it's mostly in academic centers. I think about the panel we had at ASCO GI, which was fantastic. And as we were having the conversation, you know, we set it up as a debate. So folks were debating either pro-surveillance or pro-surgery. But both groups, both people, were presenting outcomes based on their centers. And it was folks who were fantastic. Dr. Molena, for example, from Memorial Sloan Kettering was talking about their outcomes in esophagectomies [during our session at GI26], but they do hundreds of these cases there per year. What's the reality in this country? 70% to 80% to 90%, depending on which data you look at, of the gastrectomies in the United States occur at low-volume hospitals. Most of the patients at those hospitals are disproportionately uninsured or on government insurance, have lower income and from racial and ethnic minority groups. So if we diffuse organ preservations without the system to support it, we're going to create a two-tiered system of care where whether you have the ability to preserve your organs, to preserve bodily integrity, depends on where you live and where you're treated. The other piece of this is the biomarker testing gap. One of the things that, as you pointed out at the beginning, that's really exciting is for MSI-high tumors. Those are the patients that are most likely to benefit from immunotherapy-based organ preservation. But here's the problem. If the patient isn't tested at time of initial diagnosis before they ever see me as a surgeon, the door to organ preservation is closed before it's ever open. And testing access remains very inconsistent across academic networks. And then there's the financial toxicity piece where, for gastrectomy, pancreatectomy, I do peritoneal malignancies, more than half of those patients experience significant financial toxicity related to their cancer treatment. We're now proposing adding at least two years, that's the preliminary information, right? It's probably going to be longer. At least a couple of years of surveillance visits, repeated endoscopies, immunotherapy costs. How are we going to support patients through that? We're going to have to think about setting up navigation support, geographic solutions, what financial counseling looks like. My patient for clinic yesterday was driving to see me, and they were talking about how they were sliding because it was snowing. And they were sliding for the entire three-hour drive down here. Are we going to tell people like that that they need to drive down to, right, I work at a high-volume center, they're going to need to come here every three months, come rain or snow, to get scoped as opposed to the one-time having a surgery and not needing to have the scopes as frequently? My concern, like I said, I'm an optimist, I think it is going to work. I think we're going to figure out how to make it work. I'm worried about whether when we deploy it, we widen the already existing disparities. Dr. Pedro Barata: Gotcha, and that's a fantastic summary. And as I'm thinking also of what we've been talking in other solid tumors, which one of the following do you think is going to evolve first? So we are starting to use more MRD-based assays, which are based on blood test, whether it's a tumor-informed ctDNA or non-informed. We are also trying to get around or trying to get more information response to systemic therapies out of RNA-seq through gene expression signatures, or development of novel therapeutics which also can help you there. Which one of these areas you think you're going to help this SANO-like approach move forward, or you actually think it's actually all of the above, which makes it even more complicated perhaps? Dr. Ugwuji Maduekwe: I think it's going to be all of the above for a couple of reasons. I would say if I had to pick just one right now, I think ctDNA is probably the most promising and potentially the missing piece that can help us close the gap between clinical and pathologic response. If you achieve clinical complete response and your ctDNA is negative, so you have clinical and molecular evidence of clearance, maybe that's a low-risk patient for surveillance. If you have clinical complete response but your ctDNA remains positive, I would say you have occult molecular disease and we probably need intensified therapy, closer monitoring, not observation. I think the INFINITY trial is already incorporating ctDNA into its algorithm, so we'll know. I don't think we're at the point where it alone can drive surgical decisions. I think it's going to be a good complement to clinical response evaluation, not a replacement. The issue of where I think it's probably going to be multi-dimensional is the evidence base: who are we testing? Like, what is the diversity, what is the ancestral diversity of these databases that we're using for all of these tests? How do we know that ctDNA levels and RNA-seq expression arrays are the same across different ancestral groups, across different disease types? So I think it's probably going to be an amalgam and we're going to have to figure out some sort of algorithm to help us define it based on the patient characteristics. Like, I think it's probably different, some of this stuff is going to be a little bit different depending on where in the stomach the cancer is. And it's going to be a little bit more difficult to figure out if you have a complete clinical response in the antrum and closer to the pylorus, for example. That might be a little bit more difficult. So maybe the threshold for defining what a clinical complete response needs to be is higher because the therapeutic approach there is not quite as onerous as for something at the GE-junction. Dr. Pedro Barata: Wonderful. And I'm sure AI, whether it's digitization of the pathology from the biopsies and putting all this together, probably might play a role as well in the future. Dr. Maduekwe, it's been fantastic. Thank you so much for sharing your insights with us and also congrats again for the really well-done review published. For our listeners, thank you for staying with us. Thank you for your time. We will post a link to this fantastic article we discussed today in the transcript of this episode. And of course, please join us again next month on the By the Book Podcast for more insights on key advances and innovations that are shaping modern oncology. Thank you, everyone. Dr. Ugwuji Maduekwe: Thank you. Thank you for having me. Watch the ASCO GI26 session: Organ Preservation for Gastroesophageal and Gastric Cancers: Ready for Primetime? Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers: Dr. Pedro Barata @PBarataMD Dr. Ugwuji Maduekwe @umaduekwemd Follow ASCO on social media: @ASCO on X (formerly Twitter) ASCO on Bluesky ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. Pedro Barata: Stock and Other Ownership Interests: Luminate Medical Honoraria: UroToday Consulting or Advisory Role: Bayer, BMS, Pfizer, EMD Serono, Eisai, Caris Life Sciences, AstraZeneca, Exelixis, AVEO, Merck, Ipson, Astellas Medivation, Novartis, Dendreon Speakers' Bureau: AstraZeneca, Merck, Caris Life Sciences, Bayer, Pfizer/Astellas Research Funding (Inst.): Exelixis, Blue Earth, AVEO, Pfizer, Merck Dr. Ugwuji Maduekwe: Leadership: Medica Health Research Funding: Cigna
Announcing Season 8 of Parenting Musically! Parenting Musically is supported by Case Western Reserve University. The podcast is hosted by Dr. Lisa Huisman Koops, professor of music education at Case Western Reserve University.
Joining this month's episode of The Scope of Things is Joseph Kim, chief strategy officer of ProofPilot, who talks about his company's first-ever CORE Symposium, where pharma pros shared practical solutions to age-old trial challenges. Kim provides a pragmatic viewpoint on the problematic trio of clinical trials—study execution, recruitment, and engagement—and what change agents are needed to pave the way forward and find an exit from the bottlenecks. Plus, host Deborah Borfitz delivers the latest on a planned mapping of clinical trial deserts, the high cost of accelerated FDA approvals, the best states for cancer research, the world's first in-ear EEG system getting approved, and a new smartphone-based outcome measure for sleep studies. News Roundup Financial hurdles to trial enrollment Study in the Journal of the National Comprehensive Cancer Network News on the Case Western Reserve University website Accelerated cancer drug approvals Study in BMJ Medicine Best states for cancer research Blog on SmileHub website In-ear EEG devices Article in Diagnostics World News Ecological momentary assessment in sleep-focused trial Study in JAMA Network Open Guest Joseph Kim, chief strategy officer for ProofPilot The Scope of Things podcast explores clinical research and its possibilities, promise, and pitfalls. Clinical Research News senior writer, Deborah Borfitz, welcomes guests who are visionaries closest to the topics, but who can still see past their piece of the puzzle. Focusing on game-changing trends and out-of-the-box operational approaches in the clinical research field, the Scope of Things podcast is your no-nonsense, insider's look at clinical research today.
In this episode of the Gritty Nurse podcast with Amie Archibald-Varley, Dr. Katie Boston-Leary shares her journey from an accidental entry into nursing to becoming the Senior VP of Equity and Engagement at the American Nurses Association. She discusses the importance of equity in nursing, overcoming imposter syndrome, and the systemic barriers that exist within the profession. Dr. Boston-Leary also addresses the current crises in healthcare, the significance of the racial reckoning statement, and the upcoming Opportunity and Impact in Nursing Summit from Feb 12-Feb 14 in Washignton, DC. She offers valuable advice for every nurse on thriving in their careers while balancing personal and professional responsibilities. This is an episode you dont want to miss! Keywords nursing, equity, leadership, healthcare, systemic change, imposter syndrome, racial reckoning, nursing summit, workforce diversity, social change, oppourtunity and impact summit 2026, american nurses association, Dr. Katie Boston-Leary, Senior VP of Equity and Engagement Chapters 00:00 Introduction to Dr. Katie Boston-Leary 02:46 Journey into Nursing and Leadership 05:42 Overcoming Imposter Syndrome 08:31 The Role of Equity in Nursing 11:17 Addressing Systemic Barriers in Nursing 14:22 Navigating Current Challenges in Nursing 16:58 The Racial Reckoning Statement 19:41 The Upcoming Summit for Change 21:56 Advice for New Nurses 27:44 Final Thoughts and Reflections Takeaways Everything happens for a reason. Equity in nursing is about leveling the field for everyone. Imposter syndrome is common, even among leaders. Nursing is a profession that requires diverse voices. Systemic barriers in nursing need to be addressed. Current crises in healthcare are multifaceted. The racial reckoning statement is a critical step for ANA. The upcoming summit will focus on solutions and impact. New nurses should aim to thrive, not just survive. Self-care is essential for nurses to be effective. About The Oppourunity and Impact Summit Join us at the 2026 Opportunity & Impact in Nursing Summit, hosted by the American Nurses Enterprise, where nurse leaders, innovators, and industry partners come together to expand opportunity, advance pathways, and drive real action across the nursing profession. This Summit is where purpose meets progress; where we unite to remove barriers, amplify key voices, and advance fairness and representation through strategies that strengthen the nursing workforce. Together, we will accelerate action and deepen the cross-sector collaboration needed to create lasting impact. Secure your seat now. https://www.nursingworld.org/practice-policy/workforce/nurse-equity-summit/ More About Dr. Boston Leary Dr. Katie Boston-Leary is the Senior Vice President of Equity and Engagement at the American Nurses Association addressing DEIAB and workforce challenges within the profession. Katie is an Adjunct Professor at the University of Maryland School of Nursing and the School of Nursing at Case Western Reserve University. She sits on numerous boards and national committees in nursing and healthcare and is an editorial advisory board member with Nursing Management, Nursing 2025, OADN and ACHE. Katie leads the National Commission to Address Racism in Nursing Forum an organized ANA's inaugural Equity Summit in Washington, DC. Katie is a 2024 ICN Global Nurse Leaders Institute Scholar and was previously identified in by Health Leaders Media as "One of Five Chief Nursing Officers Changing Healthcare". She also won the ICABA TD Bank 2023 Woman of Impact award, the 2024 Spectrum Circle Award for Innovation in Health and won the 2025 National Black Nurses Association (NBNA) President's Trailblazer Award. She was inducted as a Distinguished Fellow at the Academy of Diversity Leaders in Nursing with the NBNA, is a Fellow with American Organization of Nursing Leadership (AONL), the American Academy of Nursing (AAN) the Faculty of Nursing and Midwifery with the Royal College of Surgeons in Ireland. She was recently named as an honored listee on Marquis' Who's Who in America. Katie authored two chapters in The Sage Encyclopedia of Multicultural Counseling, Social Justice, and Advocacy, the first encyclopedia focused on racism and Diversity, Equity, Inclusion and Belonging. Katie was also featured in the award-winning documentary film, Everybody's Work funded by the Robert Wood Johnson Foundation. She recently co-authored a Sigma published book titled Harmony by Design, Navigating Work and Life in Healthcare.She has conducted research on care delivery models, time allocation, nurses' well-being, racism and civilized oppression in nursing with Quint Studer, Joslin Insight and McKinsey. She is a well-known speaker internationally with many publications, podcasts and national outlets namely CNBC, NY Times, Cheddar TV, Axios, Beckers, Forbes, Bloomberg News and on NBC's Today Show. She completed her PhD at Walden University in Health Services, obtained a dual degree MBA and MHA from the University of Maryland Global Campus and her bachelor's degree in nursing from Bowie State University in Maryland. She is a board-certified Nurse Executive and obtained a nurse executive leadership certificate from Wharton School of Business at the University of Pennsylvania. * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube – https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com
Law of the Land: Sovereign Citizens Recently, there have been reports of people in Northeast Ohio claiming to be sovereign citizens, particularly when interacting with the police. At the highest level, people who identify as sovereign citizens generally refuse to follow laws, reject court rulings and believe they are not required to comply with federal, state and local authorities. This has been reported to show up as refusing to pay taxes, rejecting driver's licenses, filing frivolous lawsuits, and creating counterfeit documents, among other things. In Monday's installment of our "Law of the Land" series on the "Sound of Ideas," where we look at how laws affect our every day lives, we're focusing on this anti-government set of beliefs. The ideas are prominent enough that they've gotten the attention of the Ohio Statehouse, where two representatives have proposed legislation aimed at discouraging people from refusing to identify themselves to police, while driving. Guests: - Eric Taylor, Sergeant, Parma Heights Police Department - Raymond Ku, Law Professor, Case Western Reserve University School of Law - Ric Simmons, Law Professor, The Ohio State University Michael E. Moritz College of Law School Funding Proposals Many homeowners had sticker shock when their property tax valuations landed in mailboxes last year. Taxes in some municipalities increased more than 20%, which has led to lawmakers working on how to provide property tax relief for Ohioans. But this has the potential to cause complications for school districts across the state, who rely heavily on property taxes for the majority of their funding. Several districts in Northeast Ohio have already posed new ideas on how to fund their schools, one of which is a new income tax. Ideastream's Education Reporter Conor Morris joins the "Sound of Ideas" on Monday to talk about this topic, and share some of the reporting he's done across the region. Guests: - Conor Morris, Education Reporter, Ideastream Public Media - Julie Erwin, Treasurer, New Philadelphia City Schools
Retirement isn't just a financial equation—it's an identity shift. In this recap, Lesley Logan and Brad Crowell reflect on the conversation with wealth advisor and researcher Gregg Lunceford, who challenges the traditional retirement model by focusing on identity, purpose, and emotional readiness. They explore why longer lifespans have reshaped retirement entirely and why high performers often struggle most when their job no longer defines them. Whether listeners are 25 or 65, this conversation reframes what freedom after work can truly look like. If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:How increased longevity has made traditional pension models obsolete.The reality of the 20-year life bonus after your career ends.Why high achievers struggle to uncover a non-work identity.How intentional communities support mental and emotional well-being.The importance of creating a shared retirement vision as a couple.Episode References/Links:Agency Mini - https://prfit.biz/miniContrology Pilates Conference in Poland - https://xxll.co/polandContrology Pilates Conference in Brussels - https://xxll.co/brusselsPOT in London - https://xxll.co/potSpring Training: How To Get Overhead - https://opc.me/eventsSubmit your wins or questions - https://beitpod.com/questionsThe Seeing Eye - https://seeingeye.orgMesirow Wealth Management - https://www.mesirow.comGregg Lunceford on LinkedIn - https://beitpod.com/greggluncefordExit From Work - https://a.co/d/fR25gH2 If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! DEALS! https://onlinepilatesclasses.com/memberships/perks/#equipmentCheck out all our Preferred Vendors & Special Deals from Clair Sparrow, Sensate, Lyfefuel BeeKeeper's Naturals, Sauna Space, HigherDose, AG1 and ToeSox https://onlinepilatesclasses.com/memberships/perks/#equipmentBe in the know with all the workshops at OPC https://workshops.onlinepilatesclasses.com/lp-workshop-waitlistBe It Till You See It Podcast Survey https://pod.lesleylogan.co/be-it-podcasts-surveyBe a part of Lesley's Pilates Mentorship https://lesleylogan.co/elevate/FREE Ditching Busy Webinar https://ditchingbusy.com/Resources:Watch the Be It Till You See It podcast on YouTube! https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gLesley Logan website https://lesleylogan.co/Be It Till You See It Podcast https://lesleylogan.co/podcast/Online Pilates Classes by Lesley Logan https://onlinepilatesclasses.com/Online Pilates Classes by Lesley Logan on YouTube https://www.youtube.com/channel/UCjogqXLnfyhS5VlU4rdzlnQProfitable Pilates https://profitablepilates.com/about/Follow Us on Social Media:Instagram https://www.instagram.com/lesley.logan/The Be It Till You See It Podcast YouTube channel https://www.youtube.com/channel/UCq08HES7xLMvVa3Fy5DR8-gFacebook https://www.facebook.com/llogan.pilatesLinkedIn https://www.linkedin.com/in/lesley-logan/The OPC YouTube Channel https://www.youtube.com/@OnlinePilatesClasses Episode Transcript:Brad Crowell 0:01 He was talking about football players, and he was talking about people who have, you know, high performance people who make a shitload of money, and then they retire and they, he said, they burn through a lot of money trying to figure out who they are.Lesley Logan 0:17 Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Brad Crowell 1:01 Take it away. Lesley Logan 1:03 Welcome back to the Be It Till You See It interview recap where my co-host in life, Brad, and I are going to dig into the trailblazing, trail, trailblazing. Brad Crowell 1:12 Wanna try that again?Lesley Logan 1:16 Welcome back to the Be It Till You See It interview recap where my co-host in life, don't laugh at me. I don't want to start again. Brad Crowell 1:22 No. The Welcome back was perfect. It was amazing. Lesley Logan 1:25 Welcome back to the Be It Till You See It interview recap where my co-host in life, Brad, and I are going to dig into the trailblazing convo I have with Gregg Lunceford in our last episode. If you haven't yet listened to that interview, you fucked up. It's so good. Brad Crowell 1:41 It's a great interview. Lesley Logan 1:42 He's a great educator. He blew my mind.Brad Crowell 1:46 So inspirational. Lesley Logan 1:47 Yeah.Brad Crowell 1:48 You actually, literally said my internal dialog out loud to him towards the end of the interview, because you were like, yeah, after listening to you, I'm so excited for this next chapter of my life. And I was like me too. It was amazing.Lesley Logan 2:06 I know, I know, I, your parents need to listen to this stat. Brad Crowell 2:10 Yeah, he's a badass. Lesley Logan 2:11 So anyways, they won't even be out, and they're making decisions right now, maybe we have to get them an episode early. Okay, so you can come back and listen to it later. You can finish this and you can listen to that one, or I gotta finish the script. You can listen to this one, or you can listen to that one first, whichever you want to do. But just you gotta listen.Brad Crowell 2:28 You did not have to finish the script. You can just let it go. Lesley Logan 2:32 I could also just close the loop on that. Brad Crowell 2:35 That was the only loop that you know. Lesley Logan 2:37 Well, you know what, Sir. Brad Crowell 2:40 Today is January 29th.Lesley Logan 2:42 It's just after my birthday. You can still wish me a happy birthday. It's the anniversary to celebrate Seeing Eye Guide Dogs. So the Seeing Eye Guide Dog Anniversary is an appreciation for all the dogs who act as their owners' eyes and ears. The devotion and taught abilities of these particular canines keep them safe and enable them to operate as a fully functional persons. The day is meant to recognize a school that educates them. Seeing eye dogs go through extensive training to be able to, say, safely traverse the environment and all of its hazards for their person. That's why they're so worthy of this recognition. Okay, so I don't have a seeing eye dog. Obviously, we don't know anyone who in our life who has a seeing eye dog, but I have watched the dog who could tell a girl was about to have a seizure before she had it, and then opened the fridge and pulled out her medicine and gave it to her while she was having this like seizure. Brad Crowell 3:37 That's crazy. Lesley Logan 3:38 Crazy. And I have met people with dogs who can sense if they're about to have, like, an insulin situation, because they have some, like, a type of insulin diabetes where, like, it can change really drastically. I have definitely seen people with seeing eye dogs, and I'm so impressed. And so really, the rest of the days sucked. And this is the best one of all the choices. Brad Crowell 4:00 I like this one, though. Lesley Logan 4:01 I really like this one, because here's the deal. Brad Crowell 4:03 So the organization is actually called The Seeing Eye. Lesley Logan 4:06 Oh. Brad Crowell 4:07 Yeah. And I, I'm just realizing that as well. Lesley Logan 4:10 Okay, well, they got up, they didn't pay for the sponsorship, because they're doing great work out there for people who need it. Brad Crowell 4:14 It's a guide dog school. Lesley Logan 4:16 And I am just kind of obsessed with this. And so if this inspired you in any way you should go donate money to your local no kill animal shelter, because while those dogs won't be a seeing eye dog or a service dog, they certainly need your help. This is really or you could donate to your seeing eye dog school if they need the money like you never know. You might your life could change. You might need a dog that's a service animal. So I just was, you know, anything to help raise money and thoughts about, please don't buy a puppy. Go get go adopt an animal. They have puppies too. Brad Crowell 4:48 You know what is amazing. I'm reading about the school, and I think that my elementary school teacher went to the school, because when we were in school, she somehow lost her vision, and I remember she.Lesley Logan 5:07 You were taught by someone who couldn't see?Brad Crowell 5:10 No, when I was taught by her, she could. But then, like in a year or two later, when I was like, in fourth or fifth grade, we we found out that she lost her vision, and I remember her going to Braille school. And I'm pretty sure she went to seeing eye dog school. Lesley Logan 5:25 That's so cool. Brad Crowell 5:26 Because think about it, if you're like, you know, 5060, years old, and you've never worked with a dog before like that, how would you even know how?Lesley Logan 5:34 Yeah, no, you have to get trained. Okay? But now this opens up a whole thing. So then she couldn't do the thing that she loved to do. She couldn't teach anymore. Brad Crowell 5:41 I'm pretty sure she retired. Lesley Logan 5:43 Oh, that's such a. So wait, this sucks. If you're blind, what are your jobs? You could be a phone sex operator.Brad Crowell 5:52 Yes, you could be a phone sex operator. That's not what I was gonna go, but yeah, you could do that, but.Lesley Logan 5:56 But you can make a lot of money doing this. You could do you could be a 900 psychic.Brad Crowell 6:01 You could be a 900 psychic, or you could just talk on the phone, too.Lesley Logan 6:05 Yeah, yeah. With technology today, I think they probably have more options, but I just realized, like, that would suck, like, all of a sudden she can't teach anymore. What if she couldn't even retire?Brad Crowell 6:15 No, it's, it's very traumatic, you know? I mean, we have a close friend of ours whose husband was, he has a, like a degenerative disease that didn't strike until he was in his, you know, midlife.Lesley Logan 6:31 We do? Brad Crowell 6:32 We do. Lesley Logan 6:33 Oh, is it blind, is he going blind? Brad Crowell 6:35 No, but, but the idea of being able, of being an abled body and then all of a sudden, everything that was quote, unquote normal for you is no longer an option. And that scares, that scares me.Lesley Logan 6:49 Scares the hell out of me. But, okay, Dark tangent, dark comedy tangent. Okay, I think it was the French, it was a European commercial. Do you remember this thing? It came through at my Instagram, and this, like, got this woman and this guy, like, wake up on a couch. They like, had, you know, obviously had sex last night, and like, they woke on the couch, and he's like, no, I gotta go. She's like, you could stay. And then, like, he is, like, getting up, and he like, puts himself in his wheelchair. And then this guy opens up the door to the apartment, and he's like, what's going on here? And so clearly, the woman was cheating on her partner, and the whole thing was like, what, like, you know, just maybe think before you park in someone else's spot, or like using the bathroom, or like using the handicap parking and using the handicapped bathroom, and it I died laughing. I cried laughing because, like, what a great way to get people to go. Oh, I'm fucking using that restroom, or I've never parked in those spots because in LA, one of my girlfriends was just parked there to take a phone call and she got a ticket. Don't do it, guys, they don't care if you don't leave the car. Don't do it. It's for someone else. It is someone else's spot. But just made me laugh. I know this is all about seeing eye dogs, and I thought it was a great advertisement for not being a dickhead.Brad Crowell 8:08 Well, what a fun turn this took. Lesley Logan 8:10 Okay. Well, everyone, look, you, your life could change in an instant. So if there is a charity in your area that is helping people get service animals into the hands of people that need it, this is their I'm sponsoring an ad for them. Go give them some money. Give them some time. Brad Crowell 8:27 Participate. Lesley Logan 8:27 Yeah, you never know. Maybe you could become a really good trainer for one of these dogs. You don't know. You know, they people in prison are training some of these dogs so there's great work going out there. So everyone needs a hobby. This could be yours. Brad Crowell 8:39 I love it. Lesley Logan 8:40 All right, you guys, we are home. Brad Crowell 8:43 Yeah, we are, we are. Lesley Logan 8:44 I know where we are in the world. We are home. Brad Crowell 8:47 We are officially home. And last week was Lesley's birthday. Lesley Logan 8:52 Was fabulous. Brad Crowell 8:52 It was fabuloso.Lesley Logan 8:53 It was so fun. I think it's my new theme every year. I don't know. I'll probably change it next time. I'm an Aquarius, who knows, whatever. But it was great. 43 it's looking good, and we're getting ready for Agency Mini, which is next month. Lesley Logan 9:06 Yes, February. Agency Mini, in fact, it's a good chance it's on early bird right now, to be honest. Brad Crowell 9:11 Could be, could be, yeah. Lesley Logan 9:13 Yeah, possible. prfit.biz/mini is where you're gonna go. It's for Pilates instructors or studio owners who work for themselves or want to work for themselves.Brad Crowell 9:21 Yeah, that's profit without the O dot biz slash mini, prfit.biz/mini.Lesley Logan 9:26 And we are getting ready. Brad has never been to Poland. Brad Crowell 9:30 First time. Lesley Logan 9:31 And we have never been to Brussels. And we'll be with Karen Frischmann. And then we're gonna do a second honeymoon, because why not? And then we're going to be in London. So if you want to see us in Europe, it's the only time in 2026 we're going to be in Europe. xxll.co/poland gets you the Poland information xxll.co/brussels gets you Brussels information, and xxll.co/pot will take you to the London information and. Brad Crowell 10:00 Yeah, come hang out. It'd be so fun to meet in person. Lesley Logan 10:02 Oh my gosh. It'd be so fun. And as of right now, our 2027 calendar does not have anything in it, and it may stay that way. We don't know yet. I don't know. So if you want to see us in Europe, this is it.Brad Crowell 10:16 Sounds good to me. I was gonna say maybe Greece, but we're not sure.Lesley Logan 10:19 We're waiting. We're still at the moment of this recording, which is November of 2025 we think we have an invitation to Greece, and we're just waiting for the dates.Brad Crowell 10:30 We shall see. Anyway, in May, for all of those who aren't in Europe, join us virtually, we're going to do another spring training event with onlinepilatesclasses.com. If you were with us last year, two years ago, we did a summer, summer camp. Last year, we did a spring training we loved the spring training vibes, so we're doing that one again. We're going to do that event again, but the topic is going to be totally different. We're going to do how to get overhead. So it's going to include all of those kinds of exercises where you're upside down and, you know, breaking it down for you, making it feel a little more accessible and safe and all those kinds of things. To get on the wait list for that and get the more information as it as we start releasing it, go to opc.me/events, opc.me/events, and you'll be able to stay in the loop. Oh yeah. Brad Crowell 11:18 So today, we had a question, except we're going to change up our question. Normally, we, we get, we get tons and tons of questions. If they're a business question, we usually answer them in our coaching group, Agency. It's from Profitable Pilates, our coaching group, and but this time, what we thought we would do is just ask a few of the questions so you can kind of see if any of these are resonating with you, and see you know, like, how do we tackle, like, how is it that we support the studio owners and teachers that are inside of Agency? So for, for example, we have, we have a recent one that just got submitted. It said, hey, how much notice should I give that client give my clients about my rate increase?Lesley Logan 12:02 No more than 30 days. You can go as low as three days, but no more than 30 days. I've had Mini people do two weeks. It really kind of depends on, you know, if you're doing a $2 rate increase, you can do that next week. You know, it's not a big deal. Doing a $25 rate increase per session. You might want to give them 30 days notice. But we actually also have a course that tells you exactly how to raise those rates and how to actually how to give the people the notice you're going to give so you don't get you're going to have people who have no filter, and they don't realize what they're saying out loud to you can feel personal. It's not, but yeah, but yeah, that's what I would say.Brad Crowell 12:38 I mean. We've got a lot of different tools to support specifically, like, how much should you be raising rates and why? Why are we doing it this way, instead of it just being a random number out there. So if you're ever wondering, like, am I charging enough? That's why people join Agency, we get to dig into these questions with you. Kind of break down some numbers, think about it, logically, all that kind of stuff. Another question for you is, I'm thinking of changing my currently, I sell packages. I'm thinking to change to an auto renew subscription. So instead of selling a 10 pack, you get 10 classes a month or something. I'm assuming that's what it is. Lesley Logan 13:15 Yeah. I don't mind if it's a limited Okay. Brad Crowell 13:17 Yeah but how do I do this without being too wordy? How do I communicate the change to my clients?Lesley Logan 13:21 You're gonna have to have a contract. First and foremost, you, this is a auto renew, and the FCC, I believe, put some stuff in place recently. Look, it could have changed. Brad Crowell 13:32 They took it away. Lesley Logan 13:33 They might have taken it away. Brad Crowell 13:34 Click to click to cancel, or it's already it's already trashed. Yeah, they did. Lesley Logan 13:38 Fuck those people. Anyways, okay, so guess what? No one's fucking regulating. You can do what you want, but reviews still stand. And so if you would like to what I always believe is go back to your values. We have a course on your values. But I have, I have, if this was an office hours call, I could ask a couple of follow up questions about the person, because I have some reasons for not doing an auto renew. Meaning, if you are a solo teacher, I'm going to say no auto renew for you. What happens if you get sick? What about your vacations? There are ways to set packages up so they almost feel like an auto renew, but you actually don't owe people anything if you get sick or if you go on vacation, if you do an auto renew, you actually owe them whatever the contract states.Brad Crowell 14:16 Right, because, what if you're out of town for two weeks and they're like, well, I didn't get my 10 classes, what do we do then?Lesley Logan 14:21 And then they were out they were out of town the other two weeks. And then you also have to figure out with your scheduling tool, can it handle this? Can it handle this feature you want to change it to? If it does handle it, how easily is it to stop it and start it? Some people want to have 90-day contracts on these auto renews and then a 30-day notice. These are all things you have to talk about with a lawyer, but we can actually talk about that together in Agency, our office hours or coaching call to really make sure what's going to work best for you. And then, and then, if you are a studio with multiple teachers, what are the breaks you want to have? And then, why are you doing this? So the other question like, how do you communicate it? It kind of depends on what your values are and what the benefit are that you're trying to say, for example, if you're trying to say that our auto renew is great ease and consistency, plus our number one priority, which is community, then you would actually make it really easy for people to be on auto renew and really hard to be on a package, right? Because packages are more convenient for the person who owns a package, because they can decide when and if they want to use it and auto renew, they have to use it. And then what you need to understand about auto renews is it's another way of saying membership and once you have memberships, you have churn, and you will actually, you might be surprised how much churn you have with auto renews versus people with packages. Because I don't love to be on auto renews with places, because I travel so much, so I might not choose a place that forced me on auto renew or charges me more to be on a package. Now I might not be your client, so it doesn't matter. I don't want to scare you, but these are the things you have to think about. And where, in Agency, we actually coach you on it, because we don't do templates. What works for Brad's studio for auto renews is not going to work for Katie's or Georgia's, right? Like, we have to actually look at like, how many people are on the team? What is the goal of the studio? What are you what are the services under that? Because don't, don't get me started when I see I have to have a membership for mat and I have to have membership for a reformer, and I get mad about that.Brad Crowell 16:18 Now, that's too many options. People don't know what to do. Lesley Logan 16:20 And then they have to think about it. Brad Crowell 16:21 Well then, they just do nothing.Lesley Logan 16:22 Yeah, and so you just have to know, like, yes, it looks like that's how businesses are making money right now with all these auto renews. I'm telling you right now that bubble is popping. We are watching class-based studios lose clients who are middle class a lot faster than you think. And so there's reasons to explore what the options are. What's your purpose for running this change? Like, what? How is this easier for you? Do you think it's to have predictable income? What's in it for them? And then that's how we sell it to them? We have to sell it to them on how it's in it for them, they don't give a fuck about what's in it for you. I mean, they don't not give a fuck but they don't.Brad Crowell 16:57 You're right, like, really, that's not their concern, and it shouldn't be, right? No, so well anyway. So this is the kind of conversations that we get to have over at, in Agency, our fitness business coaching. So whether you're doing yoga or pilates or, I mean, we've had people in there who are we've had a chiropractor in there. We've had a doula in there. We've had bar boxing, whatever. So obviously the majority of our audience is Pilates. So that's primarily what we're discussing over there. But in the service-based industry, we we love doing this. We've been doing it for eight years now. So yeah, if you're interested in more information about that, just reach out to us or go to profitablepilates.com, and you can find out about the coaching over there, but. Lesley Logan 17:37 Join Mini. Do the Mini thing. Brad Crowell 17:38 Oh, join Agency Mini, yeah, go to prfit.biz/mini prfit.biz/mini.Lesley Logan 17:45 If you can sign up right now, it's $25 if it's on early bird, it's $65 if it's not, oh my God, for three days of coaching, change your life. Brad Crowell 17:52 Yeah. 100%. I love it. Well, thanks for joining us down that. If you have a question for the pod or question for Lesley or me, just text us, 310-905-5534, or submit a question at beitpod.com/questions and you can leave us both a win where we'll we'll probably weave that into our Fuck Yeah Friday episodes or you can submit a question, which we can do on our Thursdays. So stick around. We'll be right back. We're gonna dig into this amazing convo that Lesley had with Gregg Lunceford. Brad Crowell 18:21 Okay, let's talk about Gregg Lunceford. Gregg Lunceford spent more than three decades in financial services as a wealth advisor at Mesirow in Chicago. I'm sure I'm saying that wrong. He said it twice, and I was I wasn't sure. But anyway, alongside his advisory work, he's an academic researcher whose PhD studies at Case Western Reserve University, focused on the social, emotional and financial realities of today's retirement transition. And this was so interesting to me, y'all.Lesley Logan 18:50 Fascinating, fascinating. So.Brad Crowell 18:53 His curiosity about why even high, highly successful professionals hesitate to retire led him to explore how identity, purpose and well being shape this stage of our lives. And he's like part historian too, right? So he's also the author of Exit From Work, and he writes about his journey and insights into retirement. So, but I, I really enjoyed him breaking down just the different stages of our lives. And also, like, he's comparing generations. Lesley Logan 19:24 Oh, yeah. Brad Crowell 19:25 And like, how they got to where they are, and like, retirement package stuff that is not even an option for us. Lesley Logan 19:32 Let's just talk about, like, let's get more specific what the episode is about, just in case I haven't heard it. So we were talking about retirement attitude, in a sense, like in that, you know, the way my grandparents retired. I to this day, I'm shocked they retired. I didn't know they had money to retire. They didn't look like they saved anything, but like they're, you know, one, one side saved everything. It came out of the Depression. The other side could have been their children. So very different life. They're very young, and so they, like I, I have one set of grandparents who were retired when I was born, and I had another set of grandparents that worked the whole for a while when I was alive, right? And then they all had a pension, and then they just and then they just retired and got paid to be not working, right?Brad Crowell 20:18 What I think, what I think is amazing is Gregg's analysis, and I'm sure this is well documented now, but, but his analysis of life expectancy shot everything in the foot. Lesley Logan 20:30 Right. Brad Crowell 20:30 He said our grandparents' generation, and to some extent, maybe our parents' generation, the pension game, the reality is that people weren't living to be 70, 80, 90 years old. They were only living 60, 70, years and so if you're working until you're 55 and then they have to pay you out for a decade more before you're done, then. Lesley Logan 20:55 It's not that much money. Brad Crowell 20:55 Wasn't that big of a deal but when you're living till you're 80, all of a sudden the companies were like, this is a massive burden for us. We can't, we can't do this. And so then what? The retirement age got older, the pension packages started getting slimmer, all that kind of stuff. So like, when we look at our grandparents and they had just like, you said, how was it possible that they could even retire? It didn't make any sense.Lesley Logan 21:17 They always they had actually had money to give when they died. I was like, what? They had, they had money? So, so the thing that was really fun with Gregg is that, like he, you know, we got into this more deeply in the episode. It's worth listening to. But like during the 2008 recession, companies were trying to just fire everybody. And so they were trying to go, here's the money. All I do is take this amazing package, and people weren't doing it, and it's because it was emotional, like it wasn't just knowing the number, which is like, what the ads would say. It was like, who am I if I'm not doing this? And like, you know some, I worry about, like, like, your parents have worked, your dad's worked for a company for 40 something years. Brad Crowell 22:02 41 or 42 years, yeah. Lesley Logan 22:04 Well, you're 43. So, so and so he's gonna retire, right? And it's like, does he know what to do? Does he know what he's gonna do? Brad Crowell 22:13 It's so funny because, and also, he probably could have retired. No, no, he they could have, I think financially, they could have retired a while back. But again, I think you're right on the money. It's not, it's actually an identity, right. It's a it's the way that you see. It's how you define who you are.Lesley Logan 22:32 Well, and he's so, so, so Gregg, our genius that we interviewed, he said, you we now have a 20 year life bonus, where you get to define who and what you want to be, because you have your first 20 years getting 20-ish years getting educated. Then you have 20 something, well, Andrew advocates 40 something years that you're working, but then you probably have another 20 plus years to be anything you want. Brad Crowell 22:58 Yeah, because he was talking about the bucket list where people are, like, I'm old and decrepit, but I want to go see Niagara Falls, right? And basically, now today, because the quality of life is so much better, you're still active and able to do life normally, you know, well into your 70s and maybe even 80s, until you're willing to slow down so at that point. But like, so, so then your bucket list is a bit different, because, like, okay, you can probably travel, travel, travel, travel for five or 10 years. I mean, my grandparents did this. They bought a they bought an RV, yeah, and for a decade, they drove around the United States, for a decade, but they eventually got bored of it, and then they came home and they still lived for another 20 years, you know? So it's like, okay, so the bucket list thing, if that, if, if people aren't looking at the end of life as like, I gotta finally have a good time. Now, what Gregg is saying is, like, you could flip this on its head entirely.Lesley Logan 23:55 Yeah. Well, he, he emphasized that today's retirees have more personal freedom than previous generations. And you're probably like, Lesley, why are we talking about retiring? We're still going to be it until we see it. Because be it till you see it changes. It changes all the time. And also, if you are not considering what you want to do on the other side of whatever it is you're doing, I don't care how much you love it. I fucking love what I do, and I dream of exiting stage left all the time. And it's not because.Brad Crowell 24:19 She, this is what I hear around our house. I can't wait to be the person that people go who is she again and and she's like, something to do with Pilates, I don't know.Lesley Logan 24:31 Yeah, like, so there's a line in Notting Hill where Julia Roberts' character says, like, she, she says it in like, not a, not the nicest way about herself, but like, people are gonna look at her, like, as this person who was once famous for a while. And I see it as, like, a complete amazing thing where it's just like, someday it'll be like that, oh, that's that person who she was kind of known in her industry for a little bit, and it's like, yeah, she's not like, I like, I was once famous for a little bit in a small part of the world, and now I can move like, because why not? It doesn't mean I don't love what I do. And by the way, like, please don't freak out. No one freak out. Your memberships are fine. I'm not going anywhere. You got to tell people this, Brad, you got to make sure they know. We are currently creating two other things right now so no one I'm not going anywhere, but I do constantly think about I want to be able to retire when I have my faculties, to travel the world, to go to Antarctica, to do different things, I don't want to be in my 70s going, okay, now I'm hanging my hat up. No, I want to know who you and I are on the other side of working together like I there's these other things. And so I wanted to have Gregg on because when he told me what he did, I was like, fuck yeah. It doesn't matter how old you are listening to this, you can take some time to think about what is the freedom I want to have in this extra bonus of life I get. Your grandparents didn't get it. None of mine did. They all died young so. Brad Crowell 25:58 Yeah, the the I think it's, I think it's, I think it's just really interesting to look at the the shift of things, right? There's so many factors that that made the Baby Boomer, Boomer generation, like, pretty epic.Lesley Logan 26:12 Man, they don't know how good a ride they had. Brad Crowell 26:14 Yeah, and the wealth that they were able to build without, like, realizing it, and all that stuff has, that whole flow has shifted completely, you know, and so it's interesting, though, because life expectancy is longer, and I just, I just love that. So I think that really shifts into what I what I loved about he was talking about, he said something that I found intriguing. He was talking about football players, and he was talking about people who have high performance people, or make a shitload of money, and then they retire, and they, he said, they burn through a lot of money trying to figure out who they are.Lesley Logan 26:54 Yeah, this blew my mind too, because it's like, oh, hold on you. You have the money, but you don't know what you're gonna do with it yet.Brad Crowell 27:01 Well, or it's not. Lesley Logan 27:03 Or who you are with it. Brad Crowell 27:04 That's what I was gonna say. It's not even, it's not even what they're gonna do with it yet. It's they're trying to find themselves because they've been defining themselves.Lesley Logan 27:12 They weren't listening to this podcast. Every single person tells people to get to know who they are. Brad Crowell 27:16 Yeah, but they've been defining themselves by their job for 40 years. So then what happens when you're no longer able to define yourself? I know what this is like, because when I moved to Los Angeles, I was there to do music, and after two years, only two years of being there, so I'm like, 25 right? I am die hard into this band. We are doing everything and anything we can to make this band go and then the singer of the band is like, I'm going to grad school. And he quit. And he was like, my partner in this band. And I was like, what the hell man? Like, why did I come all the way out to Los Angeles to do this. What, to do what? What am I gonna do?Lesley Logan 27:55 Because you're gonna meet me. But that's okay. You didn't know that yet. Brad Crowell 27:58 No, I did not know that yet. It was down the road. So, so I was really I was depressed, I was angry, I was confused. I didn't really know how to I didn't know what I was going to go do. I still knew I wanted to do music, but I but what ended up happening was I really got into motorcycles, like really got into motorcycles, and that became kind of how I defined myself. It was how I I changed the way I dressed. I literally rode a motorcycle every day. I joined a motorcycle club. I would ride all over Southern California, you know. And so suddenly that became my identity. And it wasn't until I was networking and met some more people in music that I began to shift back into the music kind of things. But like, yeah, for sure, I can understand how people would be like, well, I used to be blah, blah, blah, whatever, and now I'm no longer so what am I?Lesley Logan 28:46 It's so easy to blow through money to figure out who you are. There's people who join Pilates training programs at 60 because they're like, oh, I think I want to do this, but it's like, eight grand, right? Well, what if you don't? Then people feel like, oh, I just wasted all that money. And then they do something they don't want to do with it, or, or they just keep trying out different things. And like, now they've got this now. They bought a kayak, then they bought the ski doo, and then they bought the boat, and they're trying to be retired first. And so, yeah, I think so, I think it's really easy because they don't know who they are. And that's Gregg's whole thing. They you have to know who you want to be.Brad Crowell 29:19 Yeah, he said many people who spent life meeting obligations are now suddenly confronted with, who do I actually want to be? Right? Who do I actually want to be? And he said, if you go into that blindly, you start chasing quick hits to replace the accolades of a job. You know, the team mentality, the psychological part of success, when you achieve a goal, you know, and basically it can feel very scattered. And he said, so what we should be doing is preparing what he calls a retirement identity. A retirement identity. And he said, instead of trying to figure it out when you get there, what if you started processing that now? And I thought, man, that's really interesting, because that's always been a question for me. You know, like, I asked your dad one time, what's it like to be retired? And he goes, I don't know. man, I've been retired since my 50s.Lesley Logan 30:16 Yeah. He's been retired for a long time. So, like, we're gonna live in Mexico and become tequila smallies. I've already figured this out. Brad Crowell 30:22 I love it. I love everything about that. I think that's brilliant, but, but also, he said there was other he said there was other options too. What did he call it the barista? Oh, no, no, that was the last week barista retired, where she was talking about, you know, getting a part time job. She called it barista retired. I think? Lesley Logan 30:41 Oh, I think so, but I. Brad Crowell 30:43 You know, like, and that's what your dad's doing now. And why is he doing that now? Because he doesn't want to sit around and watch a television all day. He wants to get up and be active. Lesley Logan 30:50 Yeah, there's, there's great. There's, he's a, he's a, he's a crossing guard now, he fucking loves that.Brad Crowell 30:57 Gregg was talking about, like he works with these clients who are looking towards retirement, and he helps them sculpt these packages, which are really clever, right? Because it shifts your focus of purpose in the job. If your job has been to manage a team of 50 people, now you might be training your replacement person for a year or two before you shift into part time. And you just do it, because you can do it from wherever you need to be and whatever. You know, lots of options.Lesley Logan 31:24 I am obsessed I'm obsessed with this whole thing because, like, everyone wants to know, like, how much money do you need to live off of? Like, that we even our lovely wealth people were like, how much money do you want to live off of when you retire? And we were like, we don't want to worry about money. That was our answer. Because I want to live in an Airstream sipping tequila. And, you know, coming back home here when the weather is good, and then, I don't know, we have a house in Cambodia, there's a I want to see the world. So we had that, but we no one was like, what is your retirement persona? Brad Crowell 31:54 Yeah, how do you, how do you imagine spending your time participating in the world, you know, as a retired person? Lesley Logan 32:02 I mean exactly. Brad Crowell 32:03 Is your goal to watch every movie in the last blockbuster? Maybe you shouldn't do that.Lesley Logan 32:09 We might have to talk about having different lives. Visit you. Brad Crowell 32:17 Actually, it's funny that you say that. He said, a lot of couples don't talk about this, and they see, I, you know, they see themselves retiring in different ways. It's not something that they've actually discussed. Interesting.Lesley Logan 32:28 Well, and you know what? Maybe I have to if there's an expert listening who does graduated marriages, I would love to have you on because that's what they're called. They're called graduated marriages, where you love the person you're married to. You don't want to cheat on them. You don't want to be married to someone else, but you would like to have some people just do a separate room. Some people have a separate house, like they live in a different place because they want to live over there. Clearly, that doesn't work for us, because I would get lost, but. Brad Crowell 32:57 Fascinating. Lesley Logan 32:58 It's fascinating, you know, like, I mean, you know, there's this one podcast I listened to, and she is been working. She still has her company. She's working. She works like a dog. She's got a really successful podcast, and she wants to travel with that podcast, and her current successful company is something that she can travel with, and her husband can't, and she's like, I love you, and you can visit me. I want to live for this many months in this state. I've never lived there. I want to live there. I want to feel what it's like. And so she got an apartment, and he is visiting her every other weekend. That's cool. And, you know what, maybe it spices things up. I'm not saying that, but that's the thing. But like, I do think that if you're in a relationship and you haven't thought about retirement together, may this be your assignment, you should contact Gregg and or.Brad Crowell 33:42 Or have a conversation with your partner. Lesley Logan 33:43 And if you're solo, yeah, yeah. And if you're solo, then if you haven't thought about this, you should, because otherwise you're just focusing on dollars. And that's where I think people get obsessed about what the stock market is doing, because you're not actually thinking of how it affects the person you want to be. And you get a little weird about it. And we have an episode with Wealth with Tess coming back on when it comes to, like, the stock and our numbers and all that stuff, and this uncertain time. But I just think that this is a way cooler.Brad Crowell 34:08 You're totally, you're totally right, because it does just become about like this, like, mad, mad. Like, focus on stashing cash, kind of the markets or whatever.Lesley Logan 34:18 Well, and there's much fear around that. And then it's like, but then who are you right? Like, I'm just obsessed. Brad Crowell 34:22 Exactly that doesn't actually address anything that Gregg is talking about here with your retirement identity. Lesley Logan 34:28 I can tell you right now.Brad Crowell 34:29 Your retirement identity is not a bank account number.Lesley Logan 34:31 He is the only person talking about this. I haven't heard anyone else talk about this. I haven't had anyone else to talk about this. And I am like, this is the stand still, like, number one retirement episode we'll ever have like I'm saying here today.Brad Crowell 34:43 Yeah, it's great. It's awesome. Well, love it. Stick around. We'll be right back. We're gonna dig into some Be It Action Items that we got from Gregg Lunceford. Brad Crowell 34:55 All right, so finally, welcome back. Let's talk about those Be It Action Items. What bold, executable, intrinsic or targeted action items can we take away from your conversation with Mr. Gregg Lunceford. Lesley Logan 35:07 You go first. Brad Crowell 35:10 All right. He said in the planning process of your ideal self, this retirement identity that we've been talking about, he said, what you also have to learn how to do is to replace kinship with friendships, kinship with friendships, which I think is kind of cool. He said today we don't have kinship the way we once did, because families are smaller and they are spread out, right? And also we're not necessarily going into the office to have. Lesley Logan 35:39 Oh, we talked about the Golden Girls. Brad Crowell 35:40 Yeah, you did. Lesley Logan 35:41 Okay,so. Brad Crowell 35:42 Talked about the Golden Girls.Lesley Logan 35:42 Yeah, Sue, just so, you know, Brad, we're on a compound already with Steven Sue and I and a few other people. We're taking applications.Brad Crowell 35:49 We're taking applications. Yeah. So what's really funny, though, is he brought up the Golden Girls and we've talked about this for like, years.Lesley Logan 35:58 Yeah, and I was, like, a wealth manager co signed the idea, I'm in.Brad Crowell 36:04 So he said retirees, retirees must create for themselves on their own, a living setup that supports financial stability and mental well being, and that's where the Golden Girls concept comes in. So it has to include intentional socialization and finding things that create psychological success. So here's an example. He said. It's called an ABRC. It's an academically based retirement community. Or there's another one called a URC, which is a university based retirement community. And basically what he's saying is, if you worked in a field for a really long time, and you connect with other people who worked in the same or similar field, you will have a lot of things to talk about that are the same. Then you'll be able to have those conversations. So that's where the academically based retirement community comes in. Versus a university based retirement community would probably be like, Hey, we're all from the same alma mater, Alma Mater. I may be a year or two before you or after you, whatever.Lesley Logan 36:59 So here's my criteria for ours. Ours is going to be people. Everyone has to who, after Sue Steven, you and I. Everyone has to tell us what young person in their life who is strong on Strapping, who can help move heavy things, because you and Steven aren't going to like, stop doing projects. So we're gonna need help there. And then we just need, we need people who have children to, you know, to help take care of it, because we don't have any. We're not bringing that to this. We're bringing the project management to the community. But we don't have, we're facilitating. We don't have the young person, right? So, so, so sue and Steven have a three nieces on their side. So that's good.Brad Crowell 37:40 Okay, okay, okay. So we, I think we have a couple on our side too.Lesley Logan 37:44 We have, we are, I am the favorite aunt to our only niece, so there's that. But you know what? She might we need extra, just in case. We need to have extras. You gotta have, like, it's like having retirement. You gotta have backup. Brad Crowell 37:57 I remember my grandfather, who recently passed away. He was 94 I think, when he passed away, he moved out of his house at like, 88 or 87 years old into a retirement community. And he did it in, like a snap whim moment, because one of his longest friends for 50 years was like, hey, I just got an apartment at this place down the road. You should come, you should join us there. And he was like, absolutely, hell yeah, literally, called our whole family was like, I'm moving. And everyone's like, what? You're 87 what are you talking about? Lesley Logan 38:34 No, we're gonna find a mid century motel.Brad Crowell 38:36 But the, well, the goal for him here was community. Right? Where he went had, it was a it was like one of those communities that had live on your own, but they're still around, get partial help, and then eventually get full help. So it had three different facilities in one place. And so he moved into that I can do everything by myself, part of the community, and would walk down the hall and go play pool every night with the guys you know. And he did this for many, many years. And the belonging, that communal element that changed the game for him, because he was sitting alone in a house before, and he was like, this sucks. I gotta, I gotta get out of here.Lesley Logan 39:12 Well, I like our compound idea. It's a little culty, but not too much. And I only want the people that we want to be around on this. Like, I like what your grandfather did for himself, it's eally great. But there's also, like, a bunch of people involved that I didn't like, you don't get to choose them. So this is. Brad Crowell 39:30 But he found, like, love late in life too. You know, so there's that.Lesley Logan 39:33 He lived his best life. It's fine. I'm saying it's not ours. And that leads into my Be It Action Item that I'm talking about, which is, like, it's critical that this is a shared vision, yeah, so you gotta create a vision, the shared vision. I understand that I'm telling Brad about this vision a lot. Don't worry. I know what he likes.Brad Crowell 39:49 No, I'm very on board. I love me some tequila. So sign me up. Lesley Logan 39:53 I just think we have our great friends. We have a bunch of DINCs in our life off, but we get all the DINCs together, dual income, no children, all the DINCs together, we can have a cool kick ass compound with, first of all, just the just the red light therapy alone, we're like, already golden, so I'm just so in on this. But okay, so back to what Gregg said to do. Gregg said, create a vision. It's critical that it becomes a shared vision. And he actually said that research shows approximately 40% of couples do not even discuss retirement savings, which is bad, like whole no wonder so many divorces happen. People just don't talk about shit. Like, what is happening? Gonna start talking about your goals. Engage a professional like Gregg, to help you see how you can align your financial wherewithal with those visions. Probably Gregg, because he's the only person who studied this. He's the only, everyone else just wants to know what your fucking number is. He cares about what you want to do. And then, he said you have he wants you to think differently. He wants you to think about being your best self at this stage, not being someone whose society just says it's just time for you to leave. He wants you to, like, really think about who your best self is and take ownership of that, because you're kind of a badass, like people don't realize, like you have so much knowledge that is acquired from the time that you've spent so own that. And he said, in his words, you have more value to offer a lot of people than you think. And I think that that's true. There's like, so many different ways you can prepare, like you can be a big brother or a friend or a, you know, a leader of some kind in some capacity, with all this knowledge you have, you could, you can, you can, you can support people around you who need it. So there's just so much more live 20 bonus years. Plus, you know the way things are going, we'll see how we'll see how this ages by February, considering they're trying to get rid of nursing degrees and stuff like that in July. So we'll see. But I'm just saying there's a lot you can do. And I just really want people, I want people to have all the information. I don't. I don't like that some people have to work until they're 80, or because they either because they need the money or because they don't know what to do other than that, like that makes me sad, both of those. So hopefully this helps you. I'm Lesley Logan. Lesley Logan 41:57 And I'm Brad Crowell. Lesley Logan 41:58 Thanks so much for listening. How are you going to retire? We want to retire? We want to know what that vision What's your retirement persona? Tell Gregg. Tell the Be It Pod, and until next time, Be It Till You See It. Brad Crowell 42:07 Bye for now. Lesley Logan 42:08 That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 42:51 It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 42:56 It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 43:00 Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 43:07 Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 43:11 Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Gregg Lunceford, Managing Director at Mesirow Wealth Management and a retirement transition researcher, joins Lesley Logan to explore why retirement is about more than financial planning. He introduces the concept of the “third age”—a longer, undefined stage of life where identity, purpose, and structure matter just as much as money. Together, they discuss why work identity is so hard to release and how shaping your retirement identity early can make your next chapter feel intentional instead of uncertain. If you have any questions about this episode or want to get some of the resources we mentioned, head over to LesleyLogan.co/podcast https://lesleylogan.co/podcast/. If you have any comments or questions about the Be It pod shoot us a message at beit@lesleylogan.co mailto:beit@lesleylogan.co. And as always, if you're enjoying the show please share it with someone who you think would enjoy it as well. It is your continued support that will help us continue to help others. Thank you so much! Never miss another show by subscribing at LesleyLogan.co/subscribe https://lesleylogan.co/podcast/#follow-subscribe-free.In this episode you will learn about:Why modern retirees now face a long “third age” requiring purpose beyond leisure.How work identity provides recognition, social connection, and daily structure.The difference between living as your “ought self” versus your “ideal self.”Why failing to plan identity often leads retirees to burn through money.Why creating a shared retirement vision helps guide future decisions together.Episode References/Links:Mesirow Wealth Management - https://www.mesirow.comGregg Lunceford on LinkedIn - https://beitpod.com/greggluncefordExit From Work by Gregg Lunceford - https://a.co/d/c84euxXThe Psychology of Money by Morgan Housel - https://a.co/d/feJq9lhGuest Bio:Gregg Lunceford has 32 years of experience in financial services. He is a Managing Director, Wealth Advisor in Mesirow Wealth Management and Vice Chair of the Mesirow DEI Council. He creates comprehensive financial planning strategies for individuals, families, organizations, athletes and business owners. He is the Investment Committee Chair for the American Heart Association, on the Board of Directors for the Juvenile Protective Association, an Advisory Board Member for the Nathan Manilow Sculpture Park at Governors State University and is an Advisory Board Member for the Quinlan School of Business at Loyola University. Gregg is also a frequent speaker on WGN radio's “Your Money Matters.” Gregg earned a B.A. from Loyola University, an MBA from Washington University, and a PhD from Case Western Reserve University where he conducted research on retirement. He is a CERTIFIED FINANCIAL PLANNER® professional and holds a Certificate in Financial Planning Studies from Northwestern University. If you enjoyed this episode, make sure and give us a five star rating and leave us a review on iTunes, Podcast Addict, Podchaser or Castbox. https://lovethepodcast.com/BITYSIDEALS! DEALS! DEALS! 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And once you start to figure out, I need to form a retirement identity and understand my ideal self. You start to self motivate and become excited about it.Lesley Logan 0:27 Welcome to the Be It Till You See It podcast where we talk about taking messy action, knowing that perfect is boring. I'm Lesley Logan, Pilates instructor and fitness business coach. I've trained thousands of people around the world and the number one thing I see stopping people from achieving anything is self-doubt. My friends, action brings clarity and it's the antidote to fear. Each week, my guest will bring bold, executable, intrinsic and targeted steps that you can use to put yourself first and Be It Till You See It. It's a practice, not a perfect. Let's get started. Lesley Logan 1:10 Okay, Be It babe. This conversation is really cool. It's really, really cool. It might you I'm going to introduce it in just a second, I'm going to introduce the guest, and it might be somebody like when you think about this, you yes, you do. Yes, you do. And I actually am really excited once I hit in on this, because Brad and I have already talked about this topic with each other, but I we've actually not dove into what retirement looks like, right? Like? What does it look like? Who are we, you know. And I think especially if you're an elder like me, you're like, I'm still trying to figure that out for my work stuff, but, but there's, there's an even bigger reason for us to think about it now, and Gregg Lunceford is going to explain that to us, and it's going to give you so much inspiration and a joy and excitement and possibility. And I can't think of a better be it till you see it, thing that be working on than what Greg is going to offer us up today. So here he is. Lesley Logan 2:04 All right, Be It babe, I'm really excited, because when I met this guest, I was like, hold on, this is very different. This is a whole different attitude to have about. Fine, we're going to talk money. And I know some of you want to, like, put your head in the sand and ostrich out, but we're gonna talk retirement. We're gonna talk about some really cool things, also just thought processes to have. We have an amazing guest, the first person ever make me think of this in a different way. Gregg Lunceford from Mesirow, is here to rock our world today. So Greg, tell everyone who you are and what you do.Gregg Lunceford 2:34 Hello, Lesley, thank you so much for the opportunity to be on your show. My name is Gregg Lunceford. I am a career professional in financial services. I work for a firm called Mesirow Financial in Chicago. We have locations across the country and some overseas. I am a wealth advisor. In addition to that, I am also an academic researcher, and my field of study is retirement transition. And so what I work with clients on is getting them, not only do you understand the financial part of retirement, but also the social, emotional components of making the transition and how it is unique to them, because the 21st Century retiree retirement transition is much different and way more dynamic than most people think, having watched others do it in the 20th century.Lesley Logan 3:21 This is so cool, because you're not, like, our, you know, our grandfather or father is like, like, financial planner, you are actually thinking, like, deep about the person. And that I find, I don't think I've known anyone who does that. Like, usually it's like, here are the numbers, here's your sheet. Let's put this in. How much money do you want to have and like, that's it, but you you've brought more personality to it and also more emotions to it. How did you get started in that? Gregg Lunceford 3:47 So I'll give you a little bit of a backstory. So as I mentioned, I've been in financial services for 33 years, and when the real estate bust occurred in 2008 I was working for another organization, and we were having people come in and very successful people, and they were set for life. They were being offered an exit package from their from their employer. They were leaving a lot of C suite roles, or maybe a little role below the C suite. And we were having meetings with them to prepare for retirement, and we would go through all the financial numbers and something still wasn't right. And what I was noticing was they were hesitant to make the retirement decision, even though the company was saying, look, we, giving you this excellent opportunity to exit early create cost savings for us. It'll create great financial opportunity for you, especially because we were in this period of time like unemployment was going above 11%, and so here's the opportunity to take this nest egg and be good, which was counter to what we were taught in our industry when I came in the industry that, you know exiting out was an economic choice, that once you hit a certain number, then you would go look for activit ies of leisure, because work can be depressing and daunting and stressful and all those kinds of things. And even when I was watching, you know, commercial ads from people in the industry and competitors, you know, you'll see something that goes, and I won't call the company, but they had a very successful campaign that said what's your retirement number? Yes. And this number will follow you down the street. Is this? You know, you walk from the door, do you remember that? And you look at your balance, it's like, if today's the day you just tell your boss, I can't stand you, and it's over with, right? And so this was very counter to what I was experiencing. And so I started to talk to some of the senior level people in my organization. I said, there's something going on here and and they said, well, it's probably because they're talking to us, and they're also shopping with other people to see who they which which company they want to work with. So go offer them a great discount, because it's probably all things equal, and it's just they're being sensitive about numbers, once again, making this an economic choice, so we would do that. And what I recognize is the sales cycle got even longer. And so I would go back to them. But I said, have you been looking at the trends for our sales cycle? And you would think that these would be quick, easy, easy sales, you know, because people supposed to be running out of the door, and they took longer. And so I said, there's something we don't understand about someone who is at this stage, and the feedback I got was, if it's something social emotional, there's nothing we can do about it. You know, if someone's afraid about running out of money, you can create an annuity product to take care of them for life. Somebody's worried about interest rates going up, you can create a product that deals with interest rate sensitivity, but nothing can deal with how a person feels. And I didn't accept that as an answer. I thought that was wrong, because the way I view it is, clients hire us, and they trust us, and we can do a better job the more we understand the client beyond just their finances, right? And I felt like there was a big problem here. So I basically said, you know, I want to go back to school and study this. And I negotiated for time to be in class, and I got it. And so I went to Case Western Reserve University. I got into a PhD program there, and I did four years of PhD study and lots of studies trying to figure out what are the social, emotional factors, as well as the financial factors that a person considers when making the retirement decision. And there were just tons of things that I learned in that process that I used to help my clients. Were happy to talk to you about that journey.Lesley Logan 7:37 Yeah, I'm excited to get in with that, because it's really funny as you talk about this, I like, my my family, right? My mom is two years from retirement, and she's got two homes, you know, in California that it, honestly, I was trying to get her to sell few years back because it would have been a great idea. And like, get a condo, be set for life. And we're like, showing her the numbers. We're like, look at this. This is a you, you can set yourself up to just be chill, and she is like, not listening, and I think it's because of the emotional attachment to these properties versus, like, the numbers. And so I can I get that right? Like, I get my my in laws could have retired years ago. I don't think that they know what to do if they don't have work things. And I don't even know that they love their work. I think they like what the what the work represents that they do during their day. So I do want to dive into this, because in being it till you see it like I'm hoping that every listener here gets to live to the age that they desire, like and we all are, as you mentioned, like that, the time that we're in people are living a much longer time, like retired at 65 and dying at 90. It's a long time to not have a J-O-B, right? So it would be really cool to chat with you, because like being it till we see it means including what we want to be. How do we want to be when we're older and not doing the thing we're doing? How do we want to be in retirement? So let's dive into that a little bit.Gregg Lunceford 9:06 Sure, so a couple things I want to cover off on. It was like one, how did we get here? And I think you've already touched on that. The fact is, we're living longer. And so if you are looking at a retirement maybe 50 years ago, when people really started to expire in their late 60s and their 70s. What occurred was you got to 65 and the system told you 65 is the number. Why does this arbitrary number was picked one day when they were trying to figure out Social Security, they said it was 65 is the number, right? And so you come out at that period of time, and you only have just a few healthy years in front of you, or at least you anticipate you only have a few healthy years. So what came out was this concept of a bucket list. So I am going to use these healthy years to travel, play all the golf I can, and have all this leisure that I can before I am too physically unable to do this or mentally unable to do this. And so couple things were wrong there, as it relates to our retirement 21st century. One, we're living longer, so you're going to be physically and mentally able to do something for a long period of time. So if you don't sort of set goals for yourself and see what you can be in the futurem you're going to get bored really, really quickly, and you're going to start to decline very quickly, simply because you're absent of certain things, purpose and drive and and goals and accomplishment. You know, it's more than just a couple rounds of golf that are going to make you happy. And so what I think people don't understand is we are now living in a period of time where it used to be you went from your youth to middle age and to old age. And so this transition from middle age to old age was about that 60 mark, right? And so people just basically said, I have no more control. The system is going to do what it does to me. I'm going to be booted out of my job. I'm going to be sent off to do leisure. I guess that means I play with my grandchildren or volunteer, and I'll just follow suit. And what happened is a lot of people found themselves doing things that weren't rewarding to them. Now we're in a new era, because we live longer. And what is present now is what is called, in academic terms, the Third Age. So you now go from early age to middle age to this Third Age, which is this undefined period, and today's retirees are the first people to go on this, and then you go on the old age, and the Third Age is this 20 year life bonus, where you get to define who and what you want to be. And think about it, you're wiser than you ever been. For most people, you have more financial resources than you ever had. You don't have a commitment to other people, meaning you've raised your children so you don't have to worry about them. Hopefully you're in a position where you don't have to care for aging loved ones, right? So this is a period of time where you can do anything and everything you always wanted to do. And people go, well, what didn't I have the opportunity to do whatever I wanted to do? Not quite, because remember when we were growing up, and those before us were growing up, we were kind of encouraged to do things that were socially acceptable. Rght? Lesley Logan 11:02 I agree. Gregg Lunceford 9:07 It wasn't until recent decades where someone says, I'm going to start a computer company out of my garage. I'm going to drop out of college and do something that's undefined and pioneer so the current generations, entering into into retirement, have never developed this proactive protein behavior the way maybe millennials and Generation Z has.Lesley Logan 12:54 I completely agree. Because, like, I, I mean, I feel very lucky that even though I was raised very much by, like, almost a Boomer and and a hippie like, I do have a career where I am doing whatever I want. I'm an elder millennial, so I have that, but I have friends who are just a few years older than me, and I don't think that they have a they don't have hobbies. If they have a hobby, it's going to the gym. You know what I mean? Like, it's like they don't really have things so outside of their work, it's like, what do you do for fun? Are you kidding? Like there's no and so I feel like what you're getting at is, like, no one has actually spent time thinking like, but what do I actually want? How can I dream about that, right? How can I make that so exciting that that I want to take a retirement package or that I'm excited to I have this I'm not just like, oh, let me go play golf three times a week. Like, what else? I have no purpose. I think it's really fascinating that that there is a good chunk of, like, I would say, probably over 45 who don't really, they're exploring it, but don't know. And how do you figure that out?Gregg Lunceford 13:59 So let me ask you a question. Lesley, what is your earliest memory? Or how about how old do you think you were when someone first asked you what you wanted to be when you grow up?Lesley Logan 14:09 I remember being in elementary school, and I'm sure it was asked of me earlier, because people have told me that I said something different earlier. But I remember in fourth grade, I had to, like, write a poem about who I was and what like, what did it feel like, and what did it sound like, and what did it look like. And I said, a judge, you guys, that should shock everyone.Gregg Lunceford 14:36 My point is so since age 10, someone has been helping you develop your work identity. So people were asking you at home or in your neighborhood or a church or wherever you socialize, what you're going to be then you're going to go to a middle school and you're at the high school and they're going to assign a counselor, going to start telling you to think about college or trade school or whatever it is. Is then you got to get into career. And then whatever career you get in, maybe you're assigned a mentor that's helping you understand or think about how to advance in that career. And then you get to this point where maybe you're like late 40s or 50s. And does anybody help you figure out what your identity will be after work. Lesley Logan 15:22 No, as you're saying this. Gregg Lunceford 15:24 You're on your own. You're on your own. And the only thing that was different here is when they put you into that position where you were felt forced into retirement, right? And then there was also a safety net there in the form of a pension that doesn't exist the way it once did, and there were other government safety nets that may not exist the way they once did before, when they put you there, you just said, okay, I'll accept it, because I'm only going to be around five years anyway. So let me work on this bucket list, but you never really thought about and I think people don't really dig into thinking about what the value of work is, beyond the financial resources it provides. So they get to the tail end of their career, and some people may not even think about it anyway, either. So career, because you've spent all this time having these conversations, you start developing this identity because your work, you become what your work is, right? And so, so a lot of people look at the economic resources it provides, but work also provides for us ways to get psychological success. Who doesn't like completing a task and getting recognition, and if you're in a good working environment, right? Everyone says, Let's applaud Lesley because she did this for the team which created this opportunity for the company, which created this value that she should be recognized for, right? So that that's very important, that gives you a reason to get out of bed, that gives you a reason to thrive, and that has some value when you walk out of the work environment. How do you replace that when you go into this third age? The second thing is, work provides socialization. No matter what you think about your work colleagues, if you like them, that's great. They give you somebody that you want to see every day, that you become personal friends with, that you grow with, that you learn to care about. If you hate them, they give you something to laugh about at the end of the day. You know what that idiot Bob did today again, right? That gives that gives you more than you think, right? And so work provides socialization. And then the third thing that work provides that we often overlook is structure in your day. What to do with your time, right? And so for a lot of people, when they don't have somewhere to go, something to do that makes them feel accomplished, and people to be around that they enjoy or either get some form of comical satisfaction from, they're lost when you put them out there on their own. And so what I learned and through my research is this transition for a lot of people, is the first career transition that they've made independently, and it is scary. Lesley Logan 18:08 Yeah. I mean, when you put all that together and I'm just like, going, wow, you know, people aren't it, one of the questions we've got on the pod is like, how do you make friends as a note when you move to a new place? It's like, I mean, for us, we work for ourselves. So, like, we didn't have a place to go to make, you know, so I, my husband and I have a different experience in, like, how to find socialization and structure to our day. And, you know, like we've had to make it happen. But for so many you know, my dad, he quit his he quit his security job. Yes, guys, my 72 year old father was a security guard, but he quit it because he got frustrated. Anyways, he is back working as a crosswalk guard because he's like, I'm bored. I have nothing to do, and I'm like, but dad, we could get a hobby. We could play these game like, all this stuff. And it's because he never, ever, ever in his whole life, did anyone ever encourage developing the skills outside of work.Gregg Lunceford 19:06 Developing a retirement identity, right, developing a retirement identity. And what also makes it hard is, you know, when you are developing a retirement identity, like I said, this is your first shot at personal freedom in life. Okay, when you're growing up, you had to do what your parents told you to do. Then you became an adult, and then you had all these set of responsibilities. And so you were doing what people told you you ought to do. You were really working on your art self. So if you're going to have a family, you ought to find a job that produces enough income, you know. So you didn't really think about ideally what you wanted to do. And what is really amazing to me is I've interviewed some highly successful people that do amazing things, and when I start talking to them about forming their ideal self, the stuff they come up with is so counter to what what and who they are. It is. Is amazing to me. So I get cancer surgery or successful attorneys or engineers to say I want to learn how to write mystery novels, or I want to start a rock band. And so what it points to me, and what it what comes out to me is these are probably things that they wanted to do in the 10, in their teens, in their early 20s, all along, but they couldn't do that because society told them these are not the things a person ought to do. You know, if they want stability in terms of income, if they want respect in their community, if they want you know, the structure that around it allows them to have a family and not have to worry about things. And so now you get to this third age, and I saw all off the table. You're wiser than you've ever been. You have more financial resources than you've ever had. You know, you have more personal freedom. Now you get to, really, for the first time, work on who your ideal self, not your ought self, who you want to be. And if you get it right, you're the only person you have to hold accountable. If you get it wrong, you're the only person you have to hold accountable. And so some people go, well, Greg, what does it have to do with money? I think people who don't take time to find this identity burn through a lot of money trying to find themselves. Right? And so, when I first started this journey, I was trying to find a cohort of individuals that had finished their career, achieved financial success and had 30 years ahead of them. And what were their behaviors, and where you consistently see this is with professional athletes, right? You're out of the game early. Right? You're in your 30s, and you're Tom Brady, you're 40, but that's the long game. But you're really out in your late 20s, your early 30s, you don't have financial concerns, right? And what is the behavior? And sometimes we demonize athletes for dysfunctional behavior after Hey, but all they're showing us is who we are going to be if we don't develop a retirement identity.Lesley Logan 22:09 Yes, Greg, you are 100% correct there. I think most people, think most people will say they don't know how to manage their money and and to your research and what we've been talking about here, it's not about managing money it's about they don't know who they are without their sport because they spent, for those people, they spent, literally, since they were a child in that sport and getting so many accolades, and then all of a sudden, no one cares. No one pays attention to them. For the most part, they're not going to be on TV like, that's it. And so I think it, I think you're spot on. It's not about the money responsibility, although they might need to learn some. It's about who, who are they now that they're not playing.Gregg Lunceford 22:50 Right and so then you go, well, this athlete just went broke because they put all this money in his business. Well, they're trying to get the same accolades in business they got in sports, right? They're trying to replace that identity that made them feel good, made them feel accomplished and some people are very successful at it. Those aren't. But my point is, there has to be a road map to get that yes, and it doesn't always have to be in business. It could be in your civic activities. It could be you learning to act, or you become in sport, but you have to first of all imagine who your ideal self is. And just like you were coached and you read and you trained to build that ought self, hopefully, for some people, a lot of people, the ought self is their ideal self, and they're usually entrepreneurs like you, where you that you know what, I'm not going to go to normal path. I'm going to carve a path for myself, and entrepreneurship gives me that freedom. But for a lot of people, they have to figure out now that I've satisfied all these obligations to other people and other things, who do I ideally want to be and then work at how do I get there? Because if you go in there blindly, you're just the same as that person out of that was in sports or any other industry, you're just trying to find this quick hit to replace all of these accolades or psychological successes you got. And you can blow up a lot of money doing that. So the well being comes from getting all of these components right, not just as we were taught in the 20th century, just making sure you don't run out of money. Lesley Logan 24:26 Gregg, this is insane. So okay, so I love all of this. And it's, it's, it's like, so aligned, because I'm always like, can't be you're not gonna get right the first time. Like, we have to ditch perfection, which, of course, in workplace, it's very honed. Like, check the box. Do it right. Do it right. So you have to talk to the boss about how you did it wrong. Like, get it right. Like, so of course, when you, when you retire, if you haven't been working on these things, you're you're going to be hard on you're going to take your ought self into your retirement. So I guess, like, first of all, I don't think that most financial retirement planners do any of these questions. So when, if, when people come to you talk retirement, are you like pulling are you like asking them what their ideal, what they want their ideal self to be? Do they even know how to find it? What questions do they have to ask themselves? Gregg Lunceford 25:13 Well, we do have. We have. We have a lot of conversation about, you know, not only can you financially afford it, we can put some numbers of software and come up with that answer pretty quickly, right? But we also have a conversation about, what do you think your lifestyle will be, and why do you think this is right for you? And what do you want to accomplish? And you know, some folks will come in and say, hey, I think I want to start a small business, right? And so we might talk about them, and they don't want they don't want work again in the way they want it, but they want something to do that is work on their own terms. So a lot of this is you changing the terms of what you're doing and because when we go, especially if we go to work for a corporation or some that's usually a unilateral contract, right? The person the institution is telling you, I'll give you X amount of dollars if you do this. And you say, but what if I did a little different? No, you don't get a choice in that. This is what you got to do, right? And what we're recognizing is we do have some power in that. We do have some power. I've seen a lot of people be successful in going back to their places of work and negotiating consulting contracts. And they basically said, you know, I don't want to do nine to five, but if you have a special project that you bring on, let's say you bring you on new software, whatever, and this is going to be a nine-month project, or it's going to be something you need few hours, you know, out of the week and but I get the summers off. I'm your person for doing that. And that's how they're able to get from their ought self into their ideal self, because the time that they're not there, they now start to figure out what their personal freedom, what they really like to do. So I think of one person now, he was very successful at this, but he also was confident enough talking to his employer, because he was the head of HR, so he knew he was a little bit more comfortable. But basically what he did was he got to this point, and he was ready to make this transition now, but he didn't know what he wanted to do. So he went to and he said, look, I'm the head of HR, I got 70 people reporting to me. I'm willing to give all of my direct reports to my successor. If you help me, let me help you identify my successor, and help me groom your successor. So his role became more of coach, manager, mentor, in this last couple of years, and that was three days a week. He said the other day a week. These are institutions, nonprofit institutions, that we, as an organization, support. I want one day to volunteer with one of them, and so now they get a free executive for one day a week. That was great for the company. Worked out well. He said, then the fifth day of the week, I just want a day off. I want to see if I really enjoy leisure. Everyone tells me I'm supposed to play all these rounds of golf and lay back and relax. Let me make sure that that's the right thing for me. So he has three days a week that he is engaging in what he traditionally knows in terms of what his identity is. He has one day a week to see if he wants to change his identity in his community through his volunteerism, and he has one day a week to figure out if I just want to exit all together. And the answer is, you can do one of the three of those. You can continue doing all of the three of those. What we have now is, if you shape them correctly, is we have what are called boundary-less careers. And so this is where I think, you know, we give Millennials a bad rap. We give millennials a bad rap because we always say, well, they like to do a gig economy. They don't stay anywhere 30 years. But what they're really engaging in is today's boundary-less career, where they define success for themselves, versus going down the traditional path, which says you can only be successful by going up the pyramid. For them is, you know what? I can be equally financially successful. I can gig here, gig there, and add it all together, or I can and get this personal freedom and know how to negotiate so that I'm spending more time, just as much time developing my ideal self as I'm developing my ought self.Lesley Logan 29:21 Oh my gosh, Gregg, you just like, I think you're the first person to ever give the millennials a compliment. But thank you. Constantly find myself defending, like, I'm like, what are we talking about? Like, we're not bad, we're we're a group that's how to really fight, like, figure things out. Because when we came into the world where we got a job, like, everything was so uncertain. You know, between 911 and between, that's when I went to college, and then I got out of college, and it was like the recession, like, there's not, there's not been an opportunity to have a certainty of a 30-year career. But I think what you're, what I'm, what I love about what your saying is, like, we've actually been spending our careers figuring out who we are, and like, spending time doing that. And I am obsessed with what the example of the guy you gave, because I think so many people can start playing with that right now. So many companies are looking to go to a four day work week, you know, like, so many places are looking to have like, Okay, you're in office for some days and you're at home for other days. Like, we can look at those opportunities as ways to figure out our retirement identity. Gregg Lunceford 30:22 Right. And a lot of us get stuck in this, oh, well, I work for this large corporation. They aren't flexible. There are a lot of small, medium sized companies that are in growth mode that that model works very well. That's what they can afford. And they need the institutional knowledge and the wisdom you got to be able to and this is where we go back to talking about boundary list careers. You got to think about all of the universe and parts of it you don't even know exist. This is where your personal curiosity has to kick in to get what you want. Lesley Logan 30:53 Yeah. Yeah. Okay, Gregg, so I feel like you are a unicorn though. Like, I really do feel like, because, I mean, obviously, what a cool company, that they're like, yeah, go, take four years to figure out this idea you have, and then, like.Gregg Lunceford 31:09 Well no, they weren't that cool. That's why I'm here. Lesley Logan 31:14 Okay, that's cool. Gregg Lunceford 31:15 I kind of, I took a lot of flack as I was doing this, and because people were going, we don't understand why you're doing thi, right, and you know, we don't really understand your need to do it. And there were a few key executives that said, you know, they were really supportive of me, but overall, it was, you know, I was sort of like I was trailblazing, and people were going, you you have a very good set of responsibilities here, that you could be highly successful. Why do you want to tinker with the mouse trap? And I said, I think this would make me a better advisor to my clients, if I, if I came to understand this now, back then, and, you know, there was no one talking about psychology. I'm a certified financial planner now, the CFP exam as of I think, like two, three years ago, 11% of the exam is psychology now. But I was, I was in a very uncomfortable space, but I believed I was right. So when you start talking about, you know, be it till you see it, right, I'd be, I was in a very uncomfortable space. And this is my book, Exit From Work, I write about it in my book, but I am glad I had the journey, because I feel as though I'm a better professional, and my clients appreciate it.Lesley Logan 32:21 Yeah. I mean, like, you know, years ago, I read the book Psychology of Money, right? I think that's what it's called, or maybe it's called profit, but I think that's money. And, like, I said, like, the type of person you have to be to get money is very different than the type of person you'd be to keep the money. And I was like, like, that's, by the way, that's, like, the thing I remember from the whole book, it's, but at any rate, I remember that sticking going, hold on a second. Like, we as people have to evolve, like, one on the getting, two on the keeping, and that goes kind of along with what you're saying. Like, you know, you have to understand the emotion psychology behind all of this. Because, yes, spreadsheets are great, but with AI, like, we don't need a bunch of people do a spreadsheet anymore. So there's that we need someone to help guide us to like, well, who is it like, where is this money going? What do you want to do with it? What like was also, what if, instead of like, okay, here comes our retirement age, what if it's like, oh my gosh, like, I can't even wait, or, actually, I'm going part time now, and my retirement is part time, and I'm doing all these other things. Like, that's so cool that you, I mean, you do that, it's not easy to be a trailblazer. It's not easy to be the only person talking about it, though. Gregg Lunceford 33:27 Right. It's rewarding in the end, and so, and I think a lot of people find it liberating, because if you got 20 years, you just really want to do what people tell you you ought to do. I mean, especially when you spent the first 60 doing that. And so really, what this third age is supposed to be. It's supposed to be the most dynamic part of your life, right? It is a way to course correct or either enhance something that's already gone well for you, versus a lot of people going to retirement, because that's what retirement was when it first started off, it was really this negotiation between management and labor, where, especially, we were in an industrial society. So labor was more physical, right now we're in a service economy, so it was really more cerebral. But back then, you know, they wanted a management wanted employees who could swing a hammer so many times a minute, and that was usually somebody under age 40, and this is where we start getting age protection laws, right. And anyone over 40 they wanted out of the workforce. So, you know, retirement didn't start off as this, oh, this is this great thing, and they're going to write me checks for the rest of my life. It didn't start off as that. It really started off as you were really making someone feel devalued because you you didn't have any and so we've gone along with this model. It wasn't until maybe, like the 19 late 70s or 1980s when we went into this global recession where people started getting offered these early retirement packages to come out of companies because globally, a lot of people, a lot of companies, had financial issues to deal with. And what they weren't expecting when they let this 55 year old go is that life expectancy was starting to go up, and so now this 55 year old is now living to 80, and they got the best end of the deal. And what is happening financially right now is people are looking at their parents and grandparents who got that deal, and they're going, I can never afford to do what they did, and not realizing that that was an anomaly. And so a lot of people, socially, emotionally, feel like they're failing, and they don't want to talk about retirement because they feel as though I'll never be able to do what the person did before me and therefore there must be something wrong with what I'm doing or what me and the reality is the game is changing, and so you actually have more personal freedom than they have. And just like they walked into a unique situation, you have to craft a unique situation for you that works.Lesley Logan 36:04 Yes, that, Gregg, this is, you're a historian. You're like a life coach and like the person we all need to be thinking about when it comes to like, because it doesn't matter how I mean, obviously we're told, like, the earlier you can start thinking about retirement, the better. But people don't want to do that, like I said the beginning of this. They want to put their head in the sand, like, I can't be my grandparents, so I'm just going to keep doing what I ought to do, and just and like, we'll deal with that later. We'll figure out the number later. But I think if we can, like, start thinking about it now, it really does allow us to curate the experience we have with work, but then also set ourselves up for that third age where we can have a really good time getting to know ourselves even deeper, and not not losing money along the way.Gregg Lunceford 36:51 That's correct, because in that third age, you may convert a hobby. So I have a friend who was in banking with me. He would always go take a week or two off every year and just go to Europe and backpack. He would stay at, you know, two three star hotels. He was like, I'm not there every day. And he would just go take the most amazing pictures he bring them back to the office. And we would go, Jim, you know, you should have an art show. And he was like, Nah, they're just hobbies or whatever. And he had a hard shell, and people started buying his art. And so, you know, now in retirement, you know his joy also produces income. And so he has defined work on his own terms. It doesn't even feel like work to him. And so what a lot of people who are looking at their parents and grandparents and then going, you know, they got this pension for life, and they don't offer pensions anymore, and they didn't get sandwiched. So they didn't have the burden, financial burden of raising kids and having to take care of parents. I'm stuck. I'll never be able to do that. There's something wrong you don't understand. You now have this 20 year life bonus, where you can learn to gig, you can learn to I often point to the show The Golden Girls. I don't know if the creators of the show knew what they were doing or they intentionally did this, but look at that model. I think that's the model a lot of people are going to have to go to. And I think you touched on this a little bit earlier. You start talking about your father and your in laws. And you know, we don't have kinship the way we once did, once small, we have smaller families, right? Two, geographically we disperse, right? And so what in this planning process of your ideal self, what you also have to learn how to do is to replace kinships with friendships. So that's what was going on in that in that Golden Girls house, you had Dorothy and her mother, Sophia, that had a kinship, but where they didn't have kinship, they replaced it with their roommates with Blanche and Betty (inaudible). And so now that you have this replacement of family that you trust and you get along with, now you got four people to split your rent with, so that makes the money go longer, right? Yeah, then you start talking about what went on every day. Well, sometimes they were doing volunteer work, and then they had to spin off where they bought a hotel. So they basically were doing their own version of a gig economy, right? They were engaging as much as they wanted to or not. Then they had socialization from each other. There was always something going on in that house, right? Yes. And so, right? And then they had things to create psychological success. So I don't know if the creators of the show recognized at the time, but to me, I looked at it as sort of foreshadowing what people have to create for themselves on their own with this life bonus, and it will help them both financially, as well as their mental and their mental well being. Lesley Logan 40:00 Gregg, yes. I mean, I joke with my friends who have kids. I'm like, I just want you to know that your kid is gonna have to take care of me because I don't have kids. But really, actually, I just need to find my Golden Girls, my husband. I just need to find a co op, a little commune of all of our friend all of our friends who don't have kids, we actually like what we're being with. And we could have a great little retirement home, maybe make it a BnB. This what I what I just I'm obsessed with, and why I got excited to have you on is, you know, oftentimes the Be It Till You See It podcast really talks about, like, what we can do right now, like, for right now, what we can do to be it till we see it tomorrow, or for the thing we want next year. Or there might be some stuff I have never thought of it as like, what can we be doing right now to be it till we see it for retirement in a way that we can choose, like we get the life is literally what we want, and the research you've done, the education you've had, and how you've literally seen it implemented in unique ways, because of all this work, is so cool. It makes me excited to actually, like, look into that future. Because, like, I'm like, I'm like, I'm not gonna look past 50, because I got things to do with my job, with the job that I created for myself. It's like, oh, hold on a second. What, like, what can I be playing with right now so that I know what I'm gonna do past 50, so that I have something to look forward to. So I'm excited about it. So, Gregg, what are you most excited about right now?Gregg Lunceford 41:20 I'm excited about I'm writing and researching and learning about the person I'm becoming. So and so I often joke with my clients, but I'm really not joking. They'll come back and they'll tell me some amazing experience they had, and I always tell them, leave me a list of notes so I know where to start when it comes to my time, and I say that jokingly, but it's something it is serious. What we all need to start to focus on right now is just like we had that career guidance counselor helping us and coaching us. And to that next thing, we need to start taking time to figure out that action plan for that next thing. And once you start to figure out I need to form a retirement identity and understand my ideal self, you start to self motivate and become excited about it. So what I really enjoy about what I've done through my work, whether it be here as an advisor or through my research, is that I'm helping people understand that they have a lot to be encouraged by, right? You're going to get 20 years to do whatever it is you want to do. And what I also want people to be understanding of. You don't have to leave the workforce if you're doing something awesome already. Just keep doing it. And if you want to modify that in some kind of way, figure out a plan, or figure out your terms and how to negotiate those terms. Say you can do that. Lesley Logan 42:51 Oh, I just like each answer. I just get more excited for people. I'm excited for myself. Like, I'm like, wow, this is so fun. We're gonna take a brief break and then find out where people can find you, follow you, work with you and your Be It Action Items. Lesley Logan 43:00 Okay, Gregg, where can they connect with you? You have a book, Exit From Work, but where, where can they go to chat with you, work with you like, get more ideas about their retirement identity?Gregg Lunceford 43:14 Sure, so I can be reached at mesirow.com so our website, M-E-S-I-R-O-W dot com, on that, if you put in my name in our search engine, Gregg Lunceford, you'll come up with my team web page. We'll have my bio, my contact information, also a list of all my publications. Also, if you're interested in my book, Exit From Work. This can be found on amazon.com, and I'm always encouraged by people who take time to drop me a note, or we didn't even go into I talked about the Golden Girls situation. We didn't even go into their academically based retirement communities. Now, basically, instead of dormitory you lived in when you were in your late teens and 20s, now people are going back to retire near where they went to school. So they now have, because we don't have these kinships, they're now bracing building friendships based on the fact that they're alumni, or they love the school and and so it's sort of like this, you were living in the Golden Girls subdivision, maybe. Lesley Logan 44:15 Oh, my God. Gregg Lunceford 44:15 So there are all kinds of things that are going on right now, and I just, I write about it in my book too. I just want people to learn about that so they don't feel as though they're confined to what they saw their parents do. Lesley Logan 44:27 Yeah, yeah. Oh my gosh, Brad, when you listen to this, we'll choose your school, because he went to music school, so we'll choose that one.Gregg Lunceford 44:37 He could, he could probably teach all the people I know they want to start a rock band. Lesley Logan 44:41 Yeah, yeah, yeah, him and his buddies. That could be their whole little they would love it. Okay, you've given us a lot, but I do want to dive into the bold, executable, intrinsic or targeted steps people can take to be it till they see it. What do you have for us?Gregg Lunceford 44:56 Okay, so what you first have to do is you have to create a vision. And if you have a partner, it is very important that that be a shared vision. The last thing we want to do is get to the end of our career and then have conflict with our partner. And a lot of that happens because most couples do not talk about retirement. They don't even know if the other partners is saving for retirement. Like 40% couples don't even talk about this. Don't even do the calculation to get past them. So so if you haven't even done the basics on that end, talking about this thing you aspire to be is very difficult because And so last thing you want to do is you both jump in it, and then you you're stuck and you're unhappy. So create a vision. If you have a partner, make sure that's a shared vision. And then start talking about goals. Engage someone like myself, who's a financial planning professional, to help you see how you can align your financial wherewithal with those goals. And then think differently. Think about being your best self at this stage, not being someone who society just said it's time for you to leave, because that's not the case. You have more value to offer a lot of people than you think.Lesley Logan 46:07 I do, I love that. This is an episode I really hope my in-laws actually listen to. I really am. I'm actually just really excited for even our our listeners who who are like, you know, they might be in there. They might be, like, 15, 20 years away from retirement, but, or even 10, but, like, we have a bunch of them, and I hope this helps them rethink that, because I think sometimes there's a fear to, oh, my God, you know. And you just said it like being the system has told them that they're done, but you're not done. And so I just you've given, like, so much excitement around this topic, and joy and possibility. So Gregg, thank you for being you. You all, how are you going to use these tips in your life? We want to know. Make sure you tell Gregg Lunceford your takeaways. I'm sure it will make his day. Share this with friend who needs to hear it, that friend who's like, so worried all the time, like, absolutely needs this. And you know what to do until next time, Be It Till You See It. Lesley Logan 47:01 That's all I got for this episode of the Be It Till You See It Podcast. One thing that would help both myself and future listeners is for you to rate the show and leave a review and follow or subscribe for free wherever you listen to your podcast. Also, make sure to introduce yourself over at the Be It Pod on Instagram. I would love to know more about you. Share this episode with whoever you think needs to hear it. Help us and others Be It Till You See It. Have an awesome day. Be It Till You See It is a production of The Bloom Podcast Network. If you want to leave us a message or a question that we might read on another episode, you can text us at +1-310-905-5534 or send a DM on Instagram @BeItPod.Brad Crowell 47:44 It's written, filmed, and recorded by your host, Lesley Logan, and me, Brad Crowell.Lesley Logan 47:49 It is transcribed, produced and edited by the epic team at Disenyo.co.Brad Crowell 47:54 Our theme music is by Ali at Apex Production Music and our branding by designer and artist, Gianfranco Cioffi.Lesley Logan 48:01 Special thanks to Melissa Solomon for creating our visuals.Brad Crowell 48:04 Also to Angelina Herico for adding all of our content to our website. And finally to Meridith Root for keeping us all on point and on time.Support this podcast at — https://redcircle.com/be-it-till-you-see-it/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
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Dr. JP Novin speaks with Dr. Eric Kaler, President of Case Western Reserve University, about higher education, human capital, and the accelerating impact of AI innovation. Dr. Kaler discusses Case Western Reserve's continued focus on the traditional 18–22-year-old undergraduate experience and why the four-year model remains critical for student development. He also highlights the university's growth as an R1 research institution, particularly in AI and data science. The conversation explores how AI is reshaping the workforce, the importance of ensuring students are AI literate, and how advances in AI are driving changes in pedagogy and assessment across higher education.
Former Ambassador for Global Criminal Justice Beth Van Schaack was in Cleveland, and sat down for a conversation with CWRU's Michael Scharf.
The 2025-2030 Dietary Guidelines for Americans just dropped, and they represent a major shift from rigid rules to personalized, sustainable nutrition. These aren't just recommendations—they shape what your doctor tells you, influence insurance policies, and determine what's served in schools and hospitals. In this episode, I break down the most important updates and translate them into simple, actionable steps you can implement today. No overwhelm, no perfection required—just practical strategies rooted in the latest research. Tune in to learn the new protein recommendations that could transform your weight loss results, why your cooking method matters more than you think, and which small changes create the biggest health impact over time. --- Sign up for the Back on Track: Setting the Vision for your health Masterclass: https://drshellymd.kit.com/ecc62a0638 Episode Highlights: The new protein target: 1.2-1.6 grams per kilogram body weight (and why it matters for muscle preservation, satiety, and metabolic health) Why cooking methods can sabotage your progress—simple swaps from deep-fried to baked, roasted, or grilled The truth about fats: why healthy fats aren't the enemy and which ones to prioritize Practical carb guidance: focus on fiber-rich whole grains, not elimination Sugar reality check: keeping added sugars under 10 grams per meal Sodium targets and how to actually track your intake The permission to be flexible: mixing plant and animal proteins for variety and nutrition Why progress beats perfection—start with just one or two changes this week Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Announcing the February Gays Reading Book Club Pick...⭐️ MISSING SAM by Thrity Umrigar, the bestselling author of HONORAt first glance, MISSING SAM looks like a classic thriller: a woman goes missing after a morning run and her wife is left behind to search for answers. But very quickly, this book becomes something much deeper. The book is about what happens when grief collides with prejudice. About how quickly suspicion attaches itself to certain bodies. About love, marriage, and what it means to feel unsafe not just in the world, but inside your own community.New to the club? Get your first book for just $1!When you join the Gays Reading Book Club with Allstora, here's what you get:A SIGNED copy of the book!30% off everything on Allstora's websiteAccess to our Book Club chatEvery subscription donates a children's book to an LGBTQIA+ youthA book club that exclusively supports LGBTQIA+ authorsAnd more along the wayThrity Umrigar is the bestselling author of nine previous novels, including Honor, which was a Reese's Book Club Pick, as well as four picture books and a memoir. Her books have been published in over twenty countries and in several languages. A former journalist, she has contributed to the Washington Post, the Boston Globe, the New York Times, the Cleveland Plain Dealer and other newspapers. She is a recipient of the Nieman Fellowship to Harvard, and winner of the Cleveland Arts Prize, the Seth Rosenberg prize and a Lambda Literary award. She is currently a Distinguished University Professor of English at Case Western Reserve University.Sign up for the Gays Reading Book Club HERESUBSTACK! MERCH! WATCH! CONTACT! hello@gaysreading.com Hosted on Acast. See acast.com/privacy for more information.
In this important episode, I break down the newly FDA-approved Wegovy pill and what it means for obesity treatment. The first oral GLP-1 medication for obesity has arrived, offering a needle-free alternative to weekly injections. This development could transform access for patients who've avoided treatment due to injection hesitation, cost barriers, or preference for daily pill routines. Tune in to learn what the Wegovy pill is, how it works, and why it represents a major step forward in giving patients more options for sustainable weight loss. Sign up for the Back on Track: Setting the Vision for your health Masterclass: https://drshellymd.kit.com/ecc62a0638 Episode Highlights: How the Wegovy pill works as a daily medication vs. weekly injections The science behind GLP-1 receptor agonists and appetite regulation Clinical data showing approximately 13.6% body weight reduction Overcoming injection hesitation—a major barrier to treatment adherence Proper dosing: daily pill on empty stomach with specific timing requirements Common side effects and important black box warnings to know Affordable self-pay pricing: starting at $149/month through NovoCare pharmacy program Why more options mean better care for chronic disease management Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Craig Newmark is the founder of Craigslist and someone whose work has shaped the modern internet as we know it.Long before Craigslist became one of the most enduring, important, and frequented platforms on the web, long before the internet even connected all of us, Craig was a computer science student here in Cleveland at Case Western Reserve University — tinkering with early programming languages, studying neural networks and AI, and exploring the frontier of software engineering.The rest is history — an amazing history which we'll cover in our conversation today, how Craig became the accidental entrepreneur behind one of the most legendary companies of our time, and a driving force of the internet itself. Our conversation spans his path to Silicon Valley, the creation and stewardship of Craigslist, the moral compass that has guided his decision making along the way, his growth as an entrepreneur and leader, the implications and consequences of building one of the largest platforms of all time, and the work he's now doing to help meliorate the internet and country through his philanthropic initiatives with veterans, journalism, cybersecurity, and lots more.This was a truly special conversation, and I'm grateful to share it with you today — please enjoy this awesome discussion with Craig Newmark, the founder of Craigslist.00:00:00 Craig Newmark on Building Craigslist and the Early Internet00:03:52 From Case Western to Craigslist: Craig Newmark's Origin Story00:07:21 Why Craigslist Was an Accidental Startup, Not a Planned Company00:12:18 How Craigslist Helped Democratize the Internet for Everyday People00:15:28 The Birth of Craigslist: From Email List to Iconic Website00:18:31 Monetizing Craigslist Without Selling Out Users or Trust00:20:23 Turning Down Billions: Craig Newmark's Moral Compass at Craigslist00:23:39 Why Craigslist's Simple Design Beat Venture-Backed Competitors00:25:50 How Craigslist Survived While Startups Tried to Unbundle It00:30:22 What Craigslist Taught Craig Newmark About Human Behavior00:31:58 Balancing Crime Prevention and Civil Liberties on Craigslist00:36:00 Why Craigslist Became One of the Most Trusted Platforms Online00:41:12 The Craigslist Design Philosophy: Simple, Fast, and Human00:44:01 From Craigslist to Philanthropy: Craig Newmark's Next Chapter00:55:58 Craig Newmark's Advice for Founders-----LINKS:https://www.craigslist.org/https://craignewmarkphilanthropies.org/https://www.linkedin.com/in/craignewmark/https://pausetake9.org/-----SPONSOR:Roundstone InsuranceRoundstone Insurance is proud to sponsor Lay of The Land. Founder and CEO, Michael Schroeder, has committed full-year support for the podcast, recognizing its alignment with the company's passion for entrepreneurship, innovation, and community leadership.Headquartered in Rocky River, Ohio, Roundstone was founded in 2005 with a vision to deliver better healthcare outcomes at a more affordable cost. To bring that vision to life, the company pioneered the group medical captive model — a self-funded health insurance solution that provides small and mid-sized businesses with greater control and significant savings.Over the past two decades, Roundstone has grown rapidly, creating nearly 200 jobs in Northeast Ohio. The company works closely with employers and benefits advisors to navigate the complexities of commercial health insurance and build custom plans that prioritize employee well-being over shareholder returns. By focusing on aligned incentives and better health outcomes, Roundstone is helping businesses save thousands in Per Employee Per Year healthcare costs.Roundstone Insurance — Built for entrepreneurs. Backed by innovation. Committed to Cleveland.-----Stay up to date by signing up for Lay of The Land's weekly newsletter — sign up here.Connect with Jeffrey Stern on LinkedIn — https://www.linkedin.com/in/jeffreypstern/Follow Lay of The Land on X @podlayofthelandhttps://www.jeffreys.page/
If you've fallen off your weight loss journey—whether from illness, the holidays, or life's unexpected turns—this episode will help you start moving forward again. I'm opening up about my own 2025 health crisis: developing blood clots in both lungs that stopped me in my tracks physically and emotionally. After significant weight gain and struggling to walk a mile that once took me 12 minutes, I'm sharing the hard-won lessons from rebuilding my fitness from scratch. In this episode, I tackle the mental and physical challenges of restarting when you're nowhere near where you used to be. Whether you're getting back on track after illness, holidays, or just feeling stuck, I walk you through three practical strategies that helped me go from exhausted after one walk to running comfortably again. Episode Highlights: How serious illness can derail both fitness and self-worth Why your inner dialogue matters more than you think during setbacks Three actionable strategies for resetting your weight loss journey The power of scheduling workouts and building accountability Dr. Shelly's 2026 fitness goals: Olympic triathlon, Mount Kilimanjaro, and Berlin Marathon Why flexibility and grace are essential when life throws you off course Upcoming vision workshop on January 15th at 7pm EST Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
While early Buddhists hailed their religion's founder for opening a path to enlightenment, they also exalted him as the paragon of masculinity. According to Buddhist scriptures, the Buddha's body boasts thirty-two physical features, including lionlike jaws, thighs like a royal stag, broad shoulders, and a deep, resonant voice, that distinguish him from ordinary men. As Buddhism spread throughout Asia and around the world, the Buddha remained an exemplary man, but Buddhists in other times and places developed their own understandings of what it meant to be masculine. This transdisciplinary book brings together essays that explore the variety and diversity of Buddhist masculinities, from early India to the contemporary United States, and from bodhisattva-kings to martial monks. Buddhist Masculinities (Columbia UP, 2023) adopts the methods of religious studies, anthropology, art history, textual-historical studies, and cultural studies to explore texts, images, films, media, and embodiments of masculinity across the Buddhist world, past and present. It turns scholarly attention to normative forms of masculinity that usually go unmarked and unstudied precisely because they are "normal," illuminating the religious and cultural processes that construct Buddhist masculinities. Engaging with contemporary issues of gender identity, intersectionality, and sexual ethics, Buddhist Masculinities ushers in a new era for the study of Buddhism and gender. MEGAN BRYSON is Associate Professor of Religious Studies and chair of the Asian Studies program at the University of Tennessee, Knoxville. She received her B.A. in Religious Studies and Chinese from University of Oregon, and her Ph.D. in Religious Studies from Stanford University. Her research focuses primarily on themes of gender and ethnicity in Chinese religions, especially in the Dali region of Yunnan Province. The geographical specificity of her work is balanced by its temporal breadth, which ranges from the Nanzhao (649-903) and Dali (937-1253) kingdoms to the present, as reflected in her monograph, Goddess on the Frontier: Religion, Ethnicity, and Gender in Southwest China (Stanford University Press, 2016, an interview with her about this book is also on the New Books Network), which traces the worship of a local deity in Dali from the 12th to 21st centuries. KEVIN BUCKELEW is Assistant Professor of Religious Studies at Northwestern University. He received his B.A. in the liberal arts from Sarah Lawrence College, and his Ph.D. from Columbia University's Department of East Asian Languages and Cultures. His research focuses on Buddhism in premodern China, with special attention to the rise of the Chan (Zen) Buddhist tradition and to interactions between Chinese Buddhists and Daoists. Thematically, his work explores how religious identities take shape and assume social authority; how materiality, embodiment, and gender figure into Buddhist soteriology; and how Buddhists have grappled with the problem of human agency. Jue Liang is an Assistant Professor in the Department of Religious Studies at Case Western Reserve University. She is currently completing her first book, entitled Conceiving the Mother of Tibet: The Early Literary Lives of the Buddhist Saint Yeshé Tsogyel. She is also working on a second project, tentatively titled i. As a scholar of Buddhist literature, history, and culture in South and East Asia, she reflects in her research and teaching continuities as well as innovations in the gender discourses of Buddhist communities. She is also interested in the theory and practice of translation in general, and translating Tibetan literature in particular. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
While early Buddhists hailed their religion's founder for opening a path to enlightenment, they also exalted him as the paragon of masculinity. According to Buddhist scriptures, the Buddha's body boasts thirty-two physical features, including lionlike jaws, thighs like a royal stag, broad shoulders, and a deep, resonant voice, that distinguish him from ordinary men. As Buddhism spread throughout Asia and around the world, the Buddha remained an exemplary man, but Buddhists in other times and places developed their own understandings of what it meant to be masculine. This transdisciplinary book brings together essays that explore the variety and diversity of Buddhist masculinities, from early India to the contemporary United States, and from bodhisattva-kings to martial monks. Buddhist Masculinities (Columbia UP, 2023) adopts the methods of religious studies, anthropology, art history, textual-historical studies, and cultural studies to explore texts, images, films, media, and embodiments of masculinity across the Buddhist world, past and present. It turns scholarly attention to normative forms of masculinity that usually go unmarked and unstudied precisely because they are "normal," illuminating the religious and cultural processes that construct Buddhist masculinities. Engaging with contemporary issues of gender identity, intersectionality, and sexual ethics, Buddhist Masculinities ushers in a new era for the study of Buddhism and gender. MEGAN BRYSON is Associate Professor of Religious Studies and chair of the Asian Studies program at the University of Tennessee, Knoxville. She received her B.A. in Religious Studies and Chinese from University of Oregon, and her Ph.D. in Religious Studies from Stanford University. Her research focuses primarily on themes of gender and ethnicity in Chinese religions, especially in the Dali region of Yunnan Province. The geographical specificity of her work is balanced by its temporal breadth, which ranges from the Nanzhao (649-903) and Dali (937-1253) kingdoms to the present, as reflected in her monograph, Goddess on the Frontier: Religion, Ethnicity, and Gender in Southwest China (Stanford University Press, 2016, an interview with her about this book is also on the New Books Network), which traces the worship of a local deity in Dali from the 12th to 21st centuries. KEVIN BUCKELEW is Assistant Professor of Religious Studies at Northwestern University. He received his B.A. in the liberal arts from Sarah Lawrence College, and his Ph.D. from Columbia University's Department of East Asian Languages and Cultures. His research focuses on Buddhism in premodern China, with special attention to the rise of the Chan (Zen) Buddhist tradition and to interactions between Chinese Buddhists and Daoists. Thematically, his work explores how religious identities take shape and assume social authority; how materiality, embodiment, and gender figure into Buddhist soteriology; and how Buddhists have grappled with the problem of human agency. Jue Liang is an Assistant Professor in the Department of Religious Studies at Case Western Reserve University. She is currently completing her first book, entitled Conceiving the Mother of Tibet: The Early Literary Lives of the Buddhist Saint Yeshé Tsogyel. She is also working on a second project, tentatively titled i. As a scholar of Buddhist literature, history, and culture in South and East Asia, she reflects in her research and teaching continuities as well as innovations in the gender discourses of Buddhist communities. She is also interested in the theory and practice of translation in general, and translating Tibetan literature in particular. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/gender-studies
While early Buddhists hailed their religion's founder for opening a path to enlightenment, they also exalted him as the paragon of masculinity. According to Buddhist scriptures, the Buddha's body boasts thirty-two physical features, including lionlike jaws, thighs like a royal stag, broad shoulders, and a deep, resonant voice, that distinguish him from ordinary men. As Buddhism spread throughout Asia and around the world, the Buddha remained an exemplary man, but Buddhists in other times and places developed their own understandings of what it meant to be masculine. This transdisciplinary book brings together essays that explore the variety and diversity of Buddhist masculinities, from early India to the contemporary United States, and from bodhisattva-kings to martial monks. Buddhist Masculinities (Columbia UP, 2023) adopts the methods of religious studies, anthropology, art history, textual-historical studies, and cultural studies to explore texts, images, films, media, and embodiments of masculinity across the Buddhist world, past and present. It turns scholarly attention to normative forms of masculinity that usually go unmarked and unstudied precisely because they are "normal," illuminating the religious and cultural processes that construct Buddhist masculinities. Engaging with contemporary issues of gender identity, intersectionality, and sexual ethics, Buddhist Masculinities ushers in a new era for the study of Buddhism and gender. MEGAN BRYSON is Associate Professor of Religious Studies and chair of the Asian Studies program at the University of Tennessee, Knoxville. She received her B.A. in Religious Studies and Chinese from University of Oregon, and her Ph.D. in Religious Studies from Stanford University. Her research focuses primarily on themes of gender and ethnicity in Chinese religions, especially in the Dali region of Yunnan Province. The geographical specificity of her work is balanced by its temporal breadth, which ranges from the Nanzhao (649-903) and Dali (937-1253) kingdoms to the present, as reflected in her monograph, Goddess on the Frontier: Religion, Ethnicity, and Gender in Southwest China (Stanford University Press, 2016, an interview with her about this book is also on the New Books Network), which traces the worship of a local deity in Dali from the 12th to 21st centuries. KEVIN BUCKELEW is Assistant Professor of Religious Studies at Northwestern University. He received his B.A. in the liberal arts from Sarah Lawrence College, and his Ph.D. from Columbia University's Department of East Asian Languages and Cultures. His research focuses on Buddhism in premodern China, with special attention to the rise of the Chan (Zen) Buddhist tradition and to interactions between Chinese Buddhists and Daoists. Thematically, his work explores how religious identities take shape and assume social authority; how materiality, embodiment, and gender figure into Buddhist soteriology; and how Buddhists have grappled with the problem of human agency. Jue Liang is an Assistant Professor in the Department of Religious Studies at Case Western Reserve University. She is currently completing her first book, entitled Conceiving the Mother of Tibet: The Early Literary Lives of the Buddhist Saint Yeshé Tsogyel. She is also working on a second project, tentatively titled i. As a scholar of Buddhist literature, history, and culture in South and East Asia, she reflects in her research and teaching continuities as well as innovations in the gender discourses of Buddhist communities. She is also interested in the theory and practice of translation in general, and translating Tibetan literature in particular. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/religion
While early Buddhists hailed their religion's founder for opening a path to enlightenment, they also exalted him as the paragon of masculinity. According to Buddhist scriptures, the Buddha's body boasts thirty-two physical features, including lionlike jaws, thighs like a royal stag, broad shoulders, and a deep, resonant voice, that distinguish him from ordinary men. As Buddhism spread throughout Asia and around the world, the Buddha remained an exemplary man, but Buddhists in other times and places developed their own understandings of what it meant to be masculine. This transdisciplinary book brings together essays that explore the variety and diversity of Buddhist masculinities, from early India to the contemporary United States, and from bodhisattva-kings to martial monks. Buddhist Masculinities (Columbia UP, 2023) adopts the methods of religious studies, anthropology, art history, textual-historical studies, and cultural studies to explore texts, images, films, media, and embodiments of masculinity across the Buddhist world, past and present. It turns scholarly attention to normative forms of masculinity that usually go unmarked and unstudied precisely because they are "normal," illuminating the religious and cultural processes that construct Buddhist masculinities. Engaging with contemporary issues of gender identity, intersectionality, and sexual ethics, Buddhist Masculinities ushers in a new era for the study of Buddhism and gender. MEGAN BRYSON is Associate Professor of Religious Studies and chair of the Asian Studies program at the University of Tennessee, Knoxville. She received her B.A. in Religious Studies and Chinese from University of Oregon, and her Ph.D. in Religious Studies from Stanford University. Her research focuses primarily on themes of gender and ethnicity in Chinese religions, especially in the Dali region of Yunnan Province. The geographical specificity of her work is balanced by its temporal breadth, which ranges from the Nanzhao (649-903) and Dali (937-1253) kingdoms to the present, as reflected in her monograph, Goddess on the Frontier: Religion, Ethnicity, and Gender in Southwest China (Stanford University Press, 2016, an interview with her about this book is also on the New Books Network), which traces the worship of a local deity in Dali from the 12th to 21st centuries. KEVIN BUCKELEW is Assistant Professor of Religious Studies at Northwestern University. He received his B.A. in the liberal arts from Sarah Lawrence College, and his Ph.D. from Columbia University's Department of East Asian Languages and Cultures. His research focuses on Buddhism in premodern China, with special attention to the rise of the Chan (Zen) Buddhist tradition and to interactions between Chinese Buddhists and Daoists. Thematically, his work explores how religious identities take shape and assume social authority; how materiality, embodiment, and gender figure into Buddhist soteriology; and how Buddhists have grappled with the problem of human agency. Jue Liang is an Assistant Professor in the Department of Religious Studies at Case Western Reserve University. She is currently completing her first book, entitled Conceiving the Mother of Tibet: The Early Literary Lives of the Buddhist Saint Yeshé Tsogyel. She is also working on a second project, tentatively titled i. As a scholar of Buddhist literature, history, and culture in South and East Asia, she reflects in her research and teaching continuities as well as innovations in the gender discourses of Buddhist communities. She is also interested in the theory and practice of translation in general, and translating Tibetan literature in particular.
Send us a textA coach who chose roots over rungs. That's the heartbeat of our conversation with Case Western Reserve University head football coach Greg Debeljak, whose uncommon path in a nomadic profession shows what happens when you build a program—and a life—around staying power.We dig into why Division III fit his wiring, how mentors like Tony DiCarlo and Jim Tressel shaped his approach, and what “family culture” looks like when it's lived for decades. Greg opens up about their international tours to Italy and Greece, where club teams play for love of the game, the NCAA grants extra padded practices, and players come home with stories of the Vatican, Pompeii, and island sunsets that tighten a locker room more than any lift. He breaks down the season's chaos, from back-to-back lightning delays and a tie at Rowan to finishing a road game at a local high school because the stadium had no lights—then the gut punch of losing star QB Aaron Phillips, the rise of Sam DiTilio, and a four-game win streak that kept them in the title hunt.Leadership and relationships sit at the center. Greg shares how AD TJ Shelton's people-first style turns mistakes into solutions, why admissions partner Johnny “Fiddy” Falconi proved invaluable for grad recruits, and what he learned coaching All-American Cam Brown, son of NBA coach Mike Brown. You'll hear a vivid account of Mike's visit and his film-backed talk on rebounding from heavy losses—a masterclass in resetting a team's mindset. We also explore Case Western Reserve's transformation: bigger enrollment, booming international presence, and a research ecosystem that launches careers across STEM, business, and beyond. Greg's final message for families is clear: choose your circle with care. Fit is the multiplier that shapes who you become.ISubscribe for exclusive content: https://www.buzzsprout.com/1530455/support Buzzsprout - Let's get your podcast launched!Start for FREETactical BrotherhoodThe Tactical Brotherhood is a movement to support America.Dubby EnergyFROM GAMERS TO GYM JUNKIES TO ENTREPRENEURS, OUR PRODUCT IS FOR ANYONE WHO WANTS TO BE BETTER.ShankitgolfOur goal here at Shankitgolf is for everyone to have a great time on and off the golf courseSweet Hands SportsElevate your game with Sweet Hands Sports! Our sports gloves are designed for champions,Buddy's Beard CareBuddy's Beard Care provides premium men's grooming products at an affordable price.Deemed FitBe a part of our movement to instill confidence motivation and a willingness to keep pushing forwardWebb WesternWebb Western is for those who roll up their sleeves and do what it takes to get the job done. Disclaimer: This post contains affiliate links. If you make a purchase, I may receive a commission at no extra cost to you.Support the showFollow us on all social mediaX: @mikebonocomedyInstagram: @mikebonocomedy@tiktok: @mikebono_comedianFacebook: @mikebonocomedy
As we close out 2025, I'm celebrating you—my listeners—by revisiting the year's most popular episodes. This isn't just a highlight reel; it's a roadmap to understanding why sustainable weight loss requires more than willpower. I'm sharing the most impactful insights from 2025 that tackle the hidden barriers blocking your progress: stress hormones storing belly fat, sleep deprivation hijacking your hunger signals, and the surprising truth about fructose damaging your liver and kidneys. In this special compilation episode, I break down the science behind the struggles and give you actionable strategies that actually work in real life. If weight loss feels harder than it should—even when you're doing everything "right"—this episode reveals why. Featured Episodes: Episode 218: How Fructose Impacts Your Liver, Heart, and Kidneys Episode 206: Why the Scale Isn't Moving: 5 Hidden Weight Loss Blockers You Need to Know Episode 187: Breaking the Burnout Cycle with Dr. Judy Wright Episode 212: Game Changer: WeGovy Wins FDA Approval for Fatty Liver Disease Episode 219: Microdosing GLP-1s: Does It Actually Work? Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Social media restrictions could infringe on First Amendment rights for children Note: This conversation originally aired on the "Sound of Ideas" on Nov. 3, 2025. How to manage young people's social media use is a big question, with many factors at play, including the well-being of minors, the logistics of monitoring online activity and their constitutional rights. In Ohio, lawmakers are trying to take this matter into their own hands. One law limiting social media access is currently on hold, after a federal court blocked it as an unconstitutional restriction on First Amendment rights. That decision is now being appealed by Attorney General Dave Yost. This year, two new bills have been introduced that would limit children's access to social media in different ways and bring app stores into the equation: Senate Bill 167 (backed by Meta) and Senate Bill 175 (backed by Google). The topic was the first in our newly created series “Law of the Land” which explores how the law impacts your life. Guests: Jonathan Entin, Professor of Constitutional Law, Case Western Reserve University School of Law Morgan Reed, President, The App Association Tony Coder, Executive Director, Ohio Suicide Prevention Foundation Kareem Moncree-Moffett, Ph.D., Founder, Youth Lead Alliance MLB, Ohio's Casino Control Commission and sports betting companies agree to regulation changes Note: This conversation originally aired on the "Sound of Ideas" on Nov. 17, 2025. Federal indictments against two Cleveland Guardians pitchers, Emmanuel Clase and Luis Ortiz, have rocked Major League Baseball and the sports betting world. In response to these charges of rigging bets on specific pitches, MLB worked together with the Ohio Casino Control Commission and sports betting companies to come up with mutually-agreed upon new regulations governing what's known as microprop bets, limiting them considerably compared to what was allowed before. In this installment of our "Law of the Land" series on "Sound of Ideas," we'll explain the sports betting regulation changes, and look at the other legal problems that have come up surrounding betting in Ohio in both the NFL, involving famed Cleveland Browns quarterback Bernie Kosar, and NBA, related to allegations of faking an injury to help gamblers win against Miami Heat guard Terry Rozier, who is a former Shaker Heights High School basketball star, along with how and why the rules differ for college sports. Guests: Joe Maloney, Senior Vice President of Strategic Communications for the American Gaming Association Eric Chaffee, John C. Hutchins Professor of Law at Case Western Reserve University School of Law Joe Scalzo, Sports Business Journalist for Crain's Cleveland Business
ABOUT THE EPISODE Our next episode is with CWRU Head Coach David Shapiro. The Spartans are coming off a big weekend at the Chocolate Duals and looking to have a strong 2026. We discuss the ranked wins at the Chocolate Duals, Art Martinez's huge upset, and Shapiro's experience at Baldwin Wallace as a wrestler and coach!Twitter & Instagram - @D3NationPodcastABOUT THE PODCAST Hosted by Anthony and Gennaro Bonaventura, former DIII wrestlers at Waynesburg University, current DIII Head Coach at Stevens Institute of Technology & DII Head Coach at Fairmont State University. The D3 Nation podcast mission is to provide DIII wrestling news and updates throughout the year. We also look forward to delivering episodes featuring DIII coaches and wrestlers as special guests to share their stories. We are both passionate about DIII wrestling and want to use this platform to keep the wrestling community educated on what is happening in DIII plus raise awareness of the amazing stories in DIII Wrestling.
In this episode, we are joined by Dr. Angela Brimhall, DO, founder of The Holistic Derm and owner of Sage Dermatology & Mohs Surgery in Utah. She is a Mohs surgeon who specializes in holistic dermatology and the treatment of complex medical and surgical skin conditions.Dr. Brimhall completed her DO and MS in clinical research at the University of North Texas Health Science Center and her dermatology residency at University Hospitals of Cleveland and Case Western Reserve University. She also discusses her holistic approach to care and her experience building The Holistic Derm as an educational platform. We hope you enjoy!Connect with Dr.Brimhall: Email: doctor@sagederm.netWebsite: https://www.drangelabrimhall.comInstagram: @theholisiticderm & @sagedermatologyandmohssurgeryTiktok: @theholisticdermYouTube: @theholisticderm---DIGA Instagram: @derminterestToday's Host, Shan Francis---For questions, comments, or future episode suggestions, please reach out to us via email at derminterestpod@gmail.com ---District Four by Kevin MacLeodLink: **https://incompetech.filmmusic.io/song/3662-district-four**License: **https://filmmusic.io/standard-license**
In this podcast episode, Courtney Stathis DNP, FNP-BC, RN and Catherine Wilson-Mooney, MSN, RN discuss the growing use of GLP-1 medications for weight loss and the urgent need to address their psychological, ethical, and social implications. Although these drugs can lead to significant weight reduction, they do not automatically improve body image or mental health, and may even be linked to depression and suicidal ideation. The conversation highlights the role of psychiatric nursing in educating patients, assessing emotional well-being, and ensuring safe use, especially as social media and cultural pressures drive patients to seek quick fixes. Concerns are raised about cost disparities, mail-order or compounded versions, and the increasing prescription to children, whose physical and emotional development may be at risk. The conversation underscores the importance of ethical prescribing, practitioner oversight, and deeper attention to the psychological side of weight management, beyond the physical outcomes. Read the related article, "The physiologic and psychologic effects of glucagon-like peptide-1 receptor agonists" in the September issue of Nursing2025. Courtney Stathis DNP, FNP-BC, RN is a family nurse practitioner who received her FNP from CUNY Lehman College and DNP from Case Western Reserve University in Cleveland, Ohio. Her nursing career has included pediatric, telemetry, neuro and surgical stepdown nursing as well as neuro ICU. She has extensive experience as a Stroke Nurse Practitioner with international collaboration with experts in stroke at the University College Cork in Ireland. As an Assistant Professor of nursing at Kingsborough Community College, she enjoys teaching pediatric nursing to her students. She continues to pursue evidence- based research to apply to her practice. Catherine Wilson-Mooney, MS, RN is a Nurse Educator who received her MS in Nursing Management and Leadership from Walden University and a BSN from the City University of New York at the College of Staten Island. Her nursing career has included medical surgical nursing and operating room nursing with the majority focus of her career in women and children's health and nursing leadership. She implemented and facilitated the first postpartum depression support group in the New York City area in 1996 and started her teaching journey with the City University of New York in 2014. She is an Assistant Professor at Kingsborough Community College and enjoys teaching Nursing the Emotionally Ill and Maternal Child Health Nursing to her students. Transcript
Amy Boros and Shari Insley teach middle school science in different parts of the state, but they share a passion for bringing the real world into their classrooms for their students. Over the summer, the Perrysburg Education Association member and the North Olmsted Education Association member shared grant funding to travel far out into the real world for a once-in-a-lifetime learning experience that will enhance their students' learning for years to come. On this episode, they share how they're using what they saw and did in Iceland to help their students learn and grow in Ohio, and their advice for other educators who want to experience this kind of real-world professional development for themselves.SEE THE HIGHLIGHTS | Click here to see some of Shari's photos from the Fund for Teachers fellowship in Iceland. Click here to see Amy's highlights from the trip. EXPLORE THE OPPORTUNITIES | Amy and Shari mentioned several grants and learning opportunities available to Ohio science educators. See the following links for more information about some of them:Fund For Teachers Grant Teacher Air Camp Yellowstone Educator Opportunity Summer 2026 Amy and Shari also shared an OEA Technology Grant to buy cameras and go pros to use on their trip and in their classrooms back home. Please note, OEA is in the process of redeveloping and streamlining the Affiliate Grant Program, and as part of the transition, no applications are being accepted for Technology Grants for the 2025-26 cycle. Make sure you listen to Episode 16 of Public Education Matters to learn more on the OEA grants being offered right now.SHARE YOUR THOUGHTS | If you'd like to share your feedback on the Public Education Matters podcast, including your ideas for what you'd like to hear about - or talk about - on future episodes, please email educationmatters@ohea.org. SUBSCRIBE | Click here to subscribe to Public Education Matters on Apple Podcasts or click here to listen on Spotify so you don't miss a thing. You can also find Public Education Matters on many other platforms. Click here for some of those links so you can listen anywhere. And don't forget you can listen to all of the previous episodes anytime on your favorite podcast platform, or by clicking here.Featured Public Education Matters guests: Amy Boros, Perrysburg Education Association memberAmy Boros teaches 5th and 6th grade Science at Hull Prairie Intermediate School in Perrysburg. She has experience in classroom teaching at the elementary, middle school and collegiate levels; educational classroom technology; grant researching, authoringand evaluation, as well as educational consulting and conference presentations in both mathematics and science. With degrees from Bowling Green State University and the University of Toledo, Amy is currently in her 30th year in education.Amy is an accomplished grant writer who has been awarded thousands of dollars in grants for her classroom, school, district, and outside organizations. In addition, Amy has authored several articles about middle school science education in Science Scope Journal and Science and Children Journal, publications of The National Science Teachers Association.In 2019, Amy was invited to participate in an extensive research project onboard the Lake Guardian, an EPA research vessel on Lake Erie; selected as one of 15 educators to collect data alongside scientists. While on board, she evaluated the presence ofmicroplastics, toxic algae and microbial organisms in surface water and sediment throughout Lake Erie's basins.She continues to work alongside scientists by helping with research, most recently in Costa Rica and Yellowstone National Park.Amy was awarded the 2022 President's Innovation Award in Environmental Education, a joint award from the White House and the EPA for her environmental education work inside and outside of the classroom.Shari Insley, North Olmsted Education Association memberShari Insley is a middle school math and science teacher for North Olmsted City Schools with 20 years of experience in education. Of her 20 years in education, the past 18 years have been dedicated to North Olmsted, and her first 2 years were spent teaching in Gallup, New Mexico.Shari earned a B.S. in Middle Childhood Education in Mathematics and Science and a Master's degree in Curriculum and Teaching from Bowling Green State University in Bowling Green, Ohio. In addition to her teaching expertise, Shari was honored as the recipient of the 2024 Presidential Innovation Award for Environmental Educators. She has also served on the Strategic Planning Committee for the Science Education Council of Ohio the past 2 years.Since 2016, Shari has dedicated her summers to participating in educator courses to expand her knowledge of freshwater ecosystems in the Great Lakes. She has taken part in grant opportunities through Ohio Sea Grant at The Ohio State University's Stone Laboratory, sailed aboard the R/V Lake Guardian with the EPA, and worked with the Gelfand STEM Center at Case Western Reserve University. Most recently, Shari was awarded a Fund for Teachers grant to travel to Iceland in the summer of 2025, where she explored the country's unique geothermal and glacial environments to enrich her environmental science curriculum.Connect with OEA:Email educationmatters@ohea.org with your feedback or ideas for future Public Education Matters topicsLike OEA on FacebookFollow OEA on TwitterFollow OEA on InstagramGet the latest news and statements from OEA hereLearn more about where OEA stands on the issues Keep up to date on the legislation affecting Ohio public schools and educators with OEA's Legislative WatchAbout us:The Ohio Education Association represents nearly 120,000 teachers, faculty members and support professionals who work in Ohio's schools, colleges, and universities to help improve public education and the lives of Ohio's children. OEA members provide professional services to benefit students, schools, and the public in virtually every position needed to run Ohio's schools.Public Education Matters host Katie Olmsted serves as Media Relations Consultant for the Ohio Education Association. S...
Menopause is a normal and often undiscussed life stage In recent years, celebrities have been more outspoken about their experiences with menopause, with some negative, and some positive. Actress Gwenyth Paltrow said she could feel the hormonal shifts happening in her body. She said, "You're all of a sudden furious for no reason." While actress Traci Ellis Ross said, "I'm the sexiest I've ever been. And when I say that, I mean I feel the most myself." Actress Naomi Watts experiences perimenopause in her later 30s. She said, "I'd wake up in the middle of the night, drenched in sweat. My skin was dry and itchy. My hormones were all over the place. I remember feeling so confused and alone, like I didn't have control over my own body." Watts said there was not a lot of support for her at the time. She said there's an "unwritten code of silence. Women should suck it up and cope, because that's how generations passed have done it." Last month, the Food and Drug Administration removed "black box" warning labels from hormone drugs used to treat menopause symptoms, after years of urging from doctors and patients that the warnings were not supported by science and overstated risks from cancer to dementia. On Tuesday's "Sound of Ideas," we'll talk to doctors and a patient about menopause and perimenopause. We'll discuss misconceptions, stigma, and new access to treatment for millions of women going through this life stage. Guests: - Rachel Pope, M.D., OB/GYN & Chief of Female Sexual Health, University Hospitals - Juliann Sutton, Patient - Erika Kelley, Ph.D., Clinical Psychologist, University Hospitals & Associate Professor, Department of Reproductive Biology, Case Western Reserve University School of Medicine
The culture of mainstream American childhood is vastly different than the culture of Orthodox Jewish childhood - which is itself a rich and varied landscape of texts, music, toys, and more, with nuanced shadings from one sect of Orthodox Judaism to the next. In Artifacts of Orthodox Jewish Childhoods: Personal and Critical Essays (Ben Yehuda Press, 2022), Dainy Bernstein has collected a treasury of essays examining the artifacts of Orthodox Jewish childhood and how they influence a child's developing view of the wider world - and their inner world. Interviewees: Dainy Bernstein holds a PhD in English and a Certificate in Medieval Studies from the CUNY Graduate Center and teaches college composition, medieval literature, and children's and Young Adult literature at Lehman College, CUNY. Goldie Gross earned a bachelor's degree in art and business from Baruch College and earned a master's degree in the history of art and archeology at the Institute of Fine Arts at New York University Yehudis Keller earned a BA in psychology and fine arts from Brooklyn College and is pursuing a doctorate in clinical psychology at Case Western Reserve University. Hannah Lebovits is an assistant professor of public affairs at the University of Texas-Arlington Miriam Moster is a doctoral student in sociology at the Graduate Center of the City University of New York Schneur Zalman Newfield is an Assistant Professor of Sociology at Borough of Manhattan Community College, City University of New York, and the author of Degrees of Separation: Identity Formation While Leaving Ultra-Orthodox Judaism (Temple University Press, 2020). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network
The culture of mainstream American childhood is vastly different than the culture of Orthodox Jewish childhood - which is itself a rich and varied landscape of texts, music, toys, and more, with nuanced shadings from one sect of Orthodox Judaism to the next. In Artifacts of Orthodox Jewish Childhoods: Personal and Critical Essays (Ben Yehuda Press, 2022), Dainy Bernstein has collected a treasury of essays examining the artifacts of Orthodox Jewish childhood and how they influence a child's developing view of the wider world - and their inner world. Interviewees: Dainy Bernstein holds a PhD in English and a Certificate in Medieval Studies from the CUNY Graduate Center and teaches college composition, medieval literature, and children's and Young Adult literature at Lehman College, CUNY. Goldie Gross earned a bachelor's degree in art and business from Baruch College and earned a master's degree in the history of art and archeology at the Institute of Fine Arts at New York University Yehudis Keller earned a BA in psychology and fine arts from Brooklyn College and is pursuing a doctorate in clinical psychology at Case Western Reserve University. Hannah Lebovits is an assistant professor of public affairs at the University of Texas-Arlington Miriam Moster is a doctoral student in sociology at the Graduate Center of the City University of New York Schneur Zalman Newfield is an Assistant Professor of Sociology at Borough of Manhattan Community College, City University of New York, and the author of Degrees of Separation: Identity Formation While Leaving Ultra-Orthodox Judaism (Temple University Press, 2020). Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/gender-studies
If you're over 60 and using GLP-1 medications like Wegovy or Zepbound, this episode could save your independence. In this episode, I reveal the hidden danger of rapid weight loss without muscle protection—and the simple strategies that keep you strong, steady, and mobile as the pounds come off. GLP-1 medications are transforming weight loss for older adults managing diabetes, high blood pressure, and joint pain. But there's a critical piece most people miss: sarcopenia. This age-related muscle loss accelerates during weight loss, putting you at risk for falls, fractures, and losing the strength you need for daily activities. Tune in to learn how to lose weight safely while protecting the muscle that keeps you independent—and why strength training, protein intake, and staying active aren't optional on this journey. Episode Highlights: Why GLP-1 medications like Wegovy and Zepbound are game-changers for adults 60+ The connection between muscle loss, falls, fractures, and loss of independence How sarcopenia affects metabolism, blood sugar control, and bone health Protein requirements for older adults (25-30 grams per meal) Simple strength training routines you can do at home—no gym required Red flags that muscle loss is happening too fast Real patient story: turning weakness into strength on a GLP-1 journey Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Dr. Pedro Barata and Dr. Ravin Garg discuss strategies to increase trial representation, including leveraging trial navigators and prioritizing pragmatic trial models, as featured in the ASCO Educational Book article, "Practical Guide to Clinical Trial Accessibility: Making Trial Participation a Standard of Care." TRANSCRIPT Dr. Pedro Barata: Hello, and welcome to By the Book, a podcast from ASCO featuring compelling perspectives from authors and editors of the ASCO Educational Book. I'm Dr. Pedro Barata. I am a medical oncologist at University Hospital Seidman Cancer Center and an associate professor of medicine at Case Western Reserve University in Cleveland, Ohio. I am also the associate editor of the ASCO Educational Book. We know that in recent years, the oncology community has increasingly prioritized the need to modernize clinical trial eligibility, reduce patient burden, and enhance diversity in trial participation. On that note, today we will be speaking about ways to enhance access to clinical trials with Dr. Ravin Garg. He is a hematologist oncologist at Maryland Oncology Hematology and also an assistant professor of oncology at Johns Hopkins Hospital in Baltimore. Dr. Garg is also the co-author of a fantastic paper in the ASCO Educational Book titled, "Practical Guide to Clinical Trial Accessibility: Making Trial Participation a Standard of Care." Dr. Garg, welcome. Thanks for being here, and congrats on your paper. Dr. Ravin Garg: Thank you for having me, Pedro. I am excited to be here. Dr. Pedro Barata: [KI1] Your paper is a wonderful, multidisciplinary piece that actually features perspectives from the different stakeholders, right? The patient advocacy, industry, community practice, and academia about these challenges in making trials more available. This podcast is a wonderful platform. It reaches out to a lot of folks within our community. So, I will start by asking you the obvious. Why do you think it is a must read for our community, for our listeners? Dr. Ravin Garg: So Pedro, thanks again for inviting me. You do a great job with these podcasts. So, I think first and foremost, oncologists right now are under a lot of stress, just in terms of clinical volume. There is concern for research money, and how we get the best care for our patients. So I think this article is very important because it helps bring together, as you had mentioned, the stakeholders throughout academic to community practice and everywhere in between, and try to find how, as a team with different oncologists who partake in different aspects of oncology, can come together to streamline the process to try to get our patients on trials, or certainly have them have availability of trials, just if they are interested in going on them. Being in practice, we have had several challenges that we can talk about throughout this podcast, but I think it is a very important paper because it recognizes that at the end of the day, it takes a team effort for all of us in academics, community, industry, and pharmaceuticals to really come together as a team to really help put forth the trials for our patients. Dr. Pedro Barata: So, from the perspective of a community oncologist, how do you put together, or maybe you can describe some of the challenges that you see to increase trial participation in the community? Dr. Ravin Garg: Yes, Pedro, that is a great question, and it is something that I keep on thinking about and trying to find ways to be better at it myself. But I will say some of the challenges as a community doctor that I have seen for myself and talking to other colleagues. Number one, I do think there is a lot of stress on doctors in the community in general, Pedro. Oftentimes we are tasked to see a wide smorgasbord of patients, so we may not have the luxury of being a specialist in any particular tumor subtype. Like oftentimes, we will have to see lung cancer, the next one will be breast cancer, the next one could be CML, the next one could be thrombocytopenia. And as you know better than I do, Pedro, the field in each one of these disciplines is changing so rapidly: molecular genomics, radioligand treatments, different imaging tests, MRD testing for some of our hematologic malignancies. And I think one challenge we have in community is just keeping up with the basics of Oncology 101. In the process of doing that, it can be very difficult to sometimes remember that we have very exciting trials available for our patients. So, I think a lot of it is the day in and day out of being an oncologist is so taxing at times that oftentimes a research trial is not the first thing in our head space when we see a patient. I think number two, Pedro, at least in the community, and perhaps this is with academics too, is that we are bombarded, I would say, by a lot of messaging these days. We have in-baskets to go through, labs to go through, things of that nature. And in the process of a patient visit, seeing them, doing an exam, taking a history, trying to go over the NCCN guidelines on best practice for how to manage their care, at least for me at times, it is very hard to remember, "Hey, there might be a great trial available, whether within our network or maybe partnering with an academic center." So getting through a day can be fraught with a lot of peril and just difficulties, I would say. And I would say number three, Pedro, at least as, you know, I am in a private practice where I do see a wide range of benign and malignant hematology and solid tumors, so I would not call myself a specialist. And I think the challenge with that, at least for trials, Pedro, is that when you are a specialist or perhaps you are focusing on a couple of disease subtypes, you become more of an authoritative voice in those types of tumors, and you might be more aware of the trials within your network or perhaps in proxy with an academic center that you can offer your patient. So I think when sometimes we spread ourselves too thin, it can be very hard to be a thought leader, if you will, in a particular subtype of a malignancy, let's say, and maybe not be aware of a trial that could be really well-suited for your patient. In terms of ideas that myself and colleagues have had in terms of helping mitigate against some of these, I would say, setbacks or issues in the practice for trial enrollment, some of the things we have talked about, Pedro, is, number one, is we do partner with academic centers. So we live here in Maryland. We have several really fantastic academic centers. So, you know, oftentimes, not just within our practice of Maryland Oncology Hematology, we have a lot of great trials available here too, for certain, but in addition to that, we will often times work with doctors at Georgetown, Johns Hopkins, and Maryland if they have a compelling trial that we do not have within our network. It is really of the patient's interest, Pedro, to reach out to them in a collaborative manner to see if they have a trial that might be really compelling for your patient. So I do find myself collaborating a lot with colleagues in, like talented like yourself in academics. You know, I think you do a lot of GU malignancies. So as an example, like partnering with colleagues who are GU experts and say, "Hey, we have a patient with stage IV renal cell. These are the standard options I know, but are there any trials that you might have available?" I think the other thing that has been very helpful for us is having navigators within research, Pedro. Like as an example, what has really helped the uptake of trial enrollment for our center in Annapolis is having a research navigator because often times what they can do is, a priori, Pedro, before you see the patient and you are kind of formulating a standard of care treatment plan perhaps, they might tug you on the shirt and say, "Hey, we have a great trial here through Sarah Cannon, or there might be something else out there." And being aware of that when you go into a patient's room really provides a nice arena, if you will, to go and say, "The standard of care is here, but hey, we have a trial option that might be well suited for you, maybe perhaps even better, that we can talk about, too." So having research support in the community is really a huge boon, I think, Pedro, for us to really increase our enrollment for patients onto trials. Dr. Pedro Barata: Yes, I really love that, Ravin. So, let me switch gears a bit. I would love for you to talk a little bit about patient advocacy because they do play a huge role in cancer, and they address many barriers. How do you think we should leverage the patient advocacy groups to reduce patient burden and maybe have them really leverage patient advocacies to improve representation in clinical trials? What do we think we can do more? Dr. Ravin Garg: Oh, Pedro, I think they are very critically important. As a clinical oncologist now, and I would say this is for anyone in the field of medicine, you are exactly right. I think patients are bombarded by information. There are a lot of things online, whether it be TikTok, Facebook, Google, Yahoo, and people really just have a lot of information given to them. And some of it is fact driven, and some of it is not, Pedro. And oftentimes, I do think there can be at times a mistrust with some medical personnel. I think we are in an era where we are seeing that to some degree with some attributes of medicine. And I think of it as an opportunity for education for the patient and for myself as a physician. And I think patient advocates, to your point, which was well taken, serve as a bridge to both. And what I mean is that, you know, patient advocates are wonderful. They are, I think, outstanding communicators. They almost are a neutral party, Pedro, where many patients feel that they are an independent source of information that is free of bias, if you will. They are there to provide support, emotional support, scientific support for patients so they can make an informed decision. So, in terms of our practice right now, patient advocates is something that we are evolving in that capacity, I would say, Pedro. I think now more than ever, having more people as bridges of communication with care providers along with patients is of critical importance. And I would venture a guess, and I think this has been published, where patient advocates really can help tremendously in familiarizing patients with trials and what they are all about and maybe clear up some misconceptions of what trials, what the mission of trials are. Because I do think some patients, at least I have had a few over the years, where when they hear the term trial, they almost think they are being experimented upon, when, in point of fact, they could really help advance their care. That messaging along the way for some can may be mixed up a little bit. And so I think patient advocates is a really great way to offer more information for patients with a source they find very independent and trustworthy, if you will. And it can really help expedite, and I think make a more fruitful conversation for care providers, whether academic or community, and they might be more open-minded in terms of enrolling onto a trial. Dr. Pedro Barata: Wonderful. Yes, I agree. I agree with you completely. So let's focus a little bit now on the folks designing the studies. We usually call them the sponsors. It might be an academic sponsorship, if you will, but we can also have pharma being the sponsor of a study. The angle from an academic design, it is not necessarily the same as what happens when we have pharma. And from that angle, how do you think a more inclusive research can be promoted? Dr. Ravin Garg: Oftentimes with trials, I think keeping them simple, as simple as we can. And what I mean by that is, often times for trials, Pedro, even for care providers who are enrolling, it can be daunting when there are a lot of different things involved, particularly, let's say, for investigator sponsored, which are incredibly brilliant science, incredible, but it can be a little bit daunting for patients and even the referring physician to talk about getting translational specimens, imaging, traveling to certain centers to get scans and biopsies and even different diagnostic testing like PSMA testing for, you know, prostate cancer. And it can, I think, be very intimidating for patients in terms of what might be required of him or her to enter onto a trial. Like, "This is not what I signed up for. This is laborious. This is a full time job for me. Do I have to pay for parking to go to a city? Do I have to pay for these imaging tests? And do I have to stay in a place for my family to enroll onto a trial?" So I think keeping trials as simple as possible, but yet cull the data we need as investigators where we can really advance the care, hopefully get approval for a drug, but also learn more about the medication and how it works for our patients. So I think simplifying language for trial is very important. I know when I have gone over studies for patients, Pedro, if it is a voluminous amount of information, they can right away get very intimidated. "Like, oh my goodness, this is like a term paper for college again," you know? I am joking, but you know, keeping language simplified is very important, I think, number one. And I feel that sometimes when they are asked to do a lot of different diagnostic testing, which is very important for translational work, I 100% understand, but I do think sometimes patients can get a little bit off put, if you will, and frustrated with the whole process of doing it. The second thing for our patients, Pedro, that they have mentioned to us when we put them on trials, not just within our own site but elsewhere, is that it takes a lot of time in terms of collecting information, perhaps a washout period from their last standard of treatment prior to enrollment onto a study. Many patients, Pedro, as you know better than I do, are in maybe crisis in terms of their health and their cancer might be growing, promulgating out of control, and they worry about not being able to expeditiously start onto a treatment, onto a trial. So that can lead to a lot of frustration. And one thing that you brought up, which was outstanding for me, is the enrollment criterion for some of our patients is felt to be somewhat strict. We have had some patients who may have had a remote history of a stage I malignancy that was by all accounts in remission, you know, let's say 4 or 5 years in the past, and the risk of recurrence at this point would be incredibly low, but they may not be able to enter onto a study because of some stringent criterion put forth. And that can be a little bit frustrating. In fact, I have had one or two patients who, as an example, with kidney issues, but the GFR was about 60, like right near a cutoff that oftentimes, as you know, we use where you can get into trial or not. And you know, if they are at 58, as an example, and otherwise they are a picture of health, a great candidate for a trial that will likely advance their care, and if the entry criterion is too stringent, that might be a lost opportunity for all parties involved, all stakeholders, if you will. I do appreciate the criterion for entry onto studies cannot be too liberalized. You have to have a certain baseline, but there is a little bit of a gray area and tension, of sorts, if you will, where the patient has a comorbid illness that is a disqualifying offense, but in practicality, perhaps it shouldn't be, especially if they are motivated and there is an opportunity to really advance their care. We have run into, not often, but sometimes in the past, I should say, where patients have been very off put because we try to get them onto a study and there may have been a particular feature or attribute in their underlying care that they couldn't get onto it. So I think having a little bit more thoughtfulness, perhaps, in terms of entry criterion and practicality, if you will, I think would really help enrollment onto studies. Dr. Pedro Barata: Really well said. Is there anything else that you would like to tell our listeners before we wrap up the podcast today? Dr. Ravin Garg: I would say just macroscopically speaking, it is really an honor to be an oncologist. I think I speak for both of us. Anyone listening who is thinking about the field, it is tremendous. Just the research, the bravery of our patients, and the thoughtfulness of our scientists like Pedro and translationalists and clinical trialists is really awe inspiring. So I have really loved this field. I will say from a trial perspective, we really need to enter as many patients as we can onto trials because the science is so brilliant now, the genomic underpinnings of the tumor, we are making great strides as a team of clinicians and scientists, translationalists. So the more that we can get people onto trials and get approved drugs, it is going to help them out in the end. So I think it is such an important time for all of us to come together as a community, find the best way to help our patients out. And clinical trials have to be at the forefront of how we can continue to advance care for our patients. Dr. Pedro Barata: Yeah, no Ravin, I really agree with you. We really need to increase access to clinical studies, and actually your paper is a great step in that direction by raising awareness, bringing up solutions, and again, collaboration, collaboration, collaboration is really a multidisciplinary effort to accomplish that. Thank you so much for sharing your fantastic thoughts and insights with us. Dr. Ravin Garg: Thank you, Pedro. I am- you do a wonderful job with these podcasts. I am really honored to meet you and to be part of this. Dr. Pedro Barata: And thank you to our listeners for your time today. I encourage you to check out Dr. Garg's article in the 2025 ASCO Educational Book. We will post a link to the paper in our show notes. And please join us again next month on By the Book for more insights on key advances and innovations that are shaping modern oncology. Thank you for your attention. Disclaimer: The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Follow today's speakers: Dr. Pedro Barata @PBarataMD Dr. Ravin Garg Follow ASCO on social media: @ASCO on X ASCO on Bluesky ASCO on Facebook ASCO on LinkedIn Disclosures: Dr. Pedro Barata: Stock and Other Ownership Interests: Luminate Medical Honoraria: UroToday Consulting or Advisory Role: Bayer, BMS, Pfizer, EMD Serono, Eisai, Caris Life Sciences, AstraZeneca, Exelixis, AVEO, Merck, Ipson, Astellas Medivation, Novartis, Dendreon Speakers' Bureau: AstraZeneca, Merck, Caris Life Sciences, Bayer, Pfizer/Astellas Research Funding (Inst.): Exelixis, Blue Earth, AVEO, Pfizer, Merck Dr. Ravin Garg: Patents, Royalties, Other Intellectual Property: Creator, editor, and writer of hemeoncquestions.com
Today we are talking with Dr. Nathan Makowski, a researcher at the VA Medical Center, Case Western Reserve University, and the MetroHealth System in Cleveland, Ohio. Nathan's research specializes in the development of neuroprosthetics and the evaluation of their capacity to improve mobility outcomes after paralysis. Separate from his research roles at those institutions, Nathan is also the board chair for the non-profit organization, GiveAHand.tech. We discussed the idea of using an open-source mechanism to... More info: https://u2fp.org/get-educated/curecast/episode-136.html
If you've been waiting for a GLP-1 weight loss medication that doesn't require injections, special timing, or refrigeration—this episode is for you. Learn about the groundbreaking oral pill that could hit the market as early as 2026. For years, effective obesity medications have meant needles. But Orforglipron could change everything. In this episode, I break down the science, clinical trial results, and approval timeline for this first-of-its-kind once-daily pill that delivers GLP-1 benefits without the injection barriers. Whether you're needle-averse, struggle with injection site reactions, or simply want more convenient options, this new medication could expand access to life-changing obesity treatment. Episode Highlights: What makes Orforglipron different from Wegovy, Zepbound, and oral semaglutide Clinical trial results: 12.4% average weight loss over 72 weeks Why this oral pill doesn't require fasting or special timing like other oral GLP-1s The FDA accelerated review process and potential 2026 approval timeline Who benefits most: patients with needle phobia, injection site reactions, or seeking maintenance therapy What to expect regarding insurance coverage and access once approved Connect with Dr. Alicia Shelly: Website | drshellymd.com Facebook | www.facebook.com/drshellymd Instagram | @drshellymd Linked In | www.linkedin.com/in/drshellymd Twitter | @drshellymd About Dr. Alicia Shelly Dr. Alicia Shelly was raised in Atlanta, GA. She received her Doctorate of Medicine from Case Western Reserve University School of Medicine in Cleveland, OH. Dr. Shelly has been practicing Primary Care and Obesity medicine since 2014. In 2017, she became a Diplomat of the American Board of Obesity Medicine. She is the lead physician at the Wellstar Medical Center Douglasville. She started a weekly podcast & Youtube channel entitled Back on Track: Achieving Healthy Weight loss, where she discusses how to get on track and stay on track with your weight loss journey. She has spoken for numerous local and national organizations, including the Obesity Medicine Association, and the Georgia Chapter of the American Society of Metabolic and Bariatric Surgeons. She has been featured on CNN, Fox 5 News, Bruce St. James Radio show, Upscale magazine, and Shape.com. She was named an honoree of the 2021 Atlanta Business Chronicle's 40 under 40 award. She also is a collaborating author for the, "Made for More: Physician Entrepreneurs who Live Life and Practice Medicine on their own terms''. Resources: FREE! Discover the 5 Reasons Your Weight-Loss Journey Has Gotten Derailed (And How To Get Back On Track!)
Becoming a more experimental home cook through social media is such a good time. We discuss and share a couple ofinternet gems we have come across recently. A local businessman is a real POS and people are fighting back against his nonsense post his guilty plea of attempted strangulation (which should just be attempted murking right? Cause had the strangulation succeeded that's the result, right?). The Ohio legislation finally got its Cannabis law tweaks, but they aren't as awful as initially believed but still, kind of goes against the will of the voters. Box took a one tank trip down the road to Dover, Ohio and one, we get an Ohiogeography lesson in and two, he had a really great time. I know it's going to seem weird but talking about Box's trip leads us to discussing Dallas Cowboys owner Jerry Jones showing up in a Civil Rights era picture preventing a schoolfrom being integrated. Tee is preparing for his Thanksgiving trip to visit his family. That involves, grocery store trips where he hopefully made a new podcast fan, phone calls, and all sorts of moves. We then head on over to Reddit for AITA and head out with our entertainment recommendations for the week. Have a Happy Thanksgiving if you are in the state, and a lovely rest of your week if not. See you next time.Team SKiM Tatum | TAYREL713 | Lunchbox | LISTEN | RSS | Apple Podcast | Spotify | TuneIn | Bluesky | Amazon Music | YouTube | Email | Amazon Wish List | Merch | Patreon PHONE l 216-264-6311 #Cleveland #Ohio #LiveFromThe216 #IfitAintAboutMoney #FatJoe #TheDarksideVol1 #Recipes #Cooking #FuckBobbyGeorge #OhioCannibis #Travel #OneTankTrip #WordToNeilZurcher #Family #Holidays #Reddit #AITA #ElementaryCBS #PlayDate #HBOMax #Task #VicePrincipals #AmazonPrime #AboutFate #TheWeddingYear #AppleTV #PLURB1US #Playstation5 #GhostofYotei #Fortnite #OddJobs #HeideGoody #IanGrant Alternative Title – Antiques Mall Pope Chair LinksAfter Bobby George Threatened to Sue Online Critics, CWRU's First Amendment Clinic Stepped InOhio House passes bill that would ban intoxicating hemp products, revise state's marijuana laws RedditAITA for refusing to give my coworker their office back now that WFH has been canceled?AITA for saying I won't go to my friend's wedding after she dropped me as her maid of honour because of my looks?Update - My friend didn't want me as MOH because of my looks
Founder and CEO of Jennifer Nash Coaching & Consulting, Jennifer Nash, PhD, MBA, PCC is an executive advisor, leadership development consultant and author who helps Fortune 50 organizations prioritize people to power performance.Jennifer earned her MBA from the University of Michigan and her PhD from Case Western Reserve University. She taught over 700 rising leaders at Deloitte University and is a research fellow at the Weatherhead School of Business. She serves as an Executive, Leadership, and Career Coach at the University of Michigan and is a fellow at the Harvard/McLean Institute of Coaching.Dr. Nash's work is published in Harvard Business Review, LinkedIN, and select academic journals. She serves as adjunct faculty at the University of Michigan and has presented her groundbreaking leadership and coaching research at Harvard University and Columbia University. Jennifer is the bestselling author of the award winning leadership book Be Human, Lead Human.Free Leadership Assessment: Human Leader IndexBook: Be Human, Lead HumanDr. Jennifer Nash: drjennifernash.com.Sponsors: Become a Guest on Master Leadership Podcast: Book HereAgency Sponsorships: Book GuestsMaster Your Podcast Course: MasterYourSwagFree Coaching Session: Master Leadership 360 CoachingSupport this show http://supporter.acast.com/masterleadership. Hosted on Acast. See acast.com/privacy for more information.
In today's episode, we had the pleasure of speaking with Daniel Spratt, MD, chair and professor in the Department of Radiation Oncology at Case Western Reserve University School of Medicine and a member of the Case Comprehensive Cancer Center in Cleveland, Ohio. Dr Spratt discussed key updates to the National Comprehensive Cancer Network (NCCN) Guidelines for prostate cancer, including how advances in molecular imaging, evolving systemic therapy options, and the integration of next-generation androgen deprivation therapy (ADT) are reshaping treatment recommendations across localized, recurrent, and advanced disease settings.
The Cheat Sheet is The Murder Sheet's segment breaking down weekly news and updates in some of the murder cases we cover. In this episode, we'll talk about cases from Illinois, Texas, California, and Ohio.First Alert 4's report on the discovery of Kylie Toberman's body: https://www.firstalert4.com/2025/11/15/police-body-found-vandalia-illinois-related-missing-persons-case/KSDK's report on the circumstances of Kylie Toberman's life and death and her connection to accused killer Arnold B. Rivera: https://www.ksdk.com/article/news/crime/mother-slain-vandalia-jr-high-student-she-didnt-deserve-this/63-22e7c21c-a015-49e6-a0c4-fab91e846714A press release from the Illinois State Police on Kylie Toberman's murder and the arrest of Arnold B. Rivera: https://illinois-state-police.prezly.com/s/17f6c48f-c8ed-462b-b01c-7fb1e9e79b9d?previewNBC Chicago's report on Kylie Toberman's murder and the arrest of Arnold B. Rivera: https://www.nbcchicago.com/news/local/details-emerge-in-14-year-old-illinois-girls-murder-as-police-investigate-social-media-post/3852390/NBC News's coverage of the murder of former Laney College football coach John Beam and the arrest of Cedric Irving Jr.: https://www.nbcnews.com/news/us-news/man-charged-murder-last-chance-u-coach-allegedly-confessed-according-c-rcna244488The San Francisco Chronicle's coverage of the murder of former Laney College football coach John Beam and the arrest of Cedric Irving Jr.: https://www.sfchronicle.com/crime/article/john-beam-shooting-suspect-witchcraft-21186151.phpThe San Francisco Standard's coverage of the murder of former Laney College football coach John Beam and the arrest of Cedric Irving Jr.: https://sfstandard.com/2025/11/14/john-beam-shooting-laney-college-security/The Arlington Police Department's press release on the arrest of Janie Perkins for the cold case murder of Cynthia Gonzalez and the work of University of Texas at Arlington criminology students: https://www.arlingtontx.gov/News-Articles/2025/Arlington-PD-Makes-Arrest-in-1991-Cold-Case-in-Partnership-with-UTANBC News's article on the arrest of Janie Perkins for the cold case murder of Cynthia Gonzalez and the work of University of Texas at Arlington criminology students: https://www.nbcnews.com/news/us-news/college-students-help-police-make-arrest-1991-cold-case-murder-investi-rcna244562The Independent's article on the arrest of Janie Perkins for the cold case murder of Cynthia Gonzalez and the work of University of Texas at Arlington criminology students: https://www.the-independent.com/news/world/americas/crime/cynthia-gonzalez-janie-perkins-cold-case-murder-b2867135.htmlCleveland.com's article on efforts by Ohio criminal law professors to reduce the sentence of Leander Bissell in the murder of firefighter Johnny Tetrick: https://www.cleveland.com/court-justice/2025/11/law-profs-urge-ohio-supreme-court-to-uphold-conviction-ruling-in-cleveland-firefighters-death.htmlThe Supreme Court of Ohio's recent order based on efforts by Ohio criminal law professors to reduce the sentence of Leander Bissell in the murder of firefighter Johnny Tetrick: https://www.supremecourt.ohio.gov/rod/docs/pdf/8/2024/2024-Ohio-5317.pdfFind discounts for Murder Sheet listeners here: https://murdersheetpodcast.com/discountsCheck out our upcoming book events and get links to buy tickets here: https://murdersheetpodcast.com/eventsOrder our book on Delphi here: https://bookshop.org/p/books/shadow-of-the-bridge-the-delphi-murders-and-the-dark-side-of-the-american-heartland-aine-cain/21866881?ean=9781639369232Or here: https://www.simonandschuster.com/books/Shadow-of-the-Bridge/Aine-Cain/9781639369232Or here: https://www.amazon.com/Shadow-Bridge-Murders-American-Heartland/dp/1639369236Join our Patreon here! https://www.patreon.com/c/murdersheetSupport The Murder Sheet by buying a t-shirt here: https://www.murdersheetshop.com/Check out more inclusive sizing and t-shirt and merchandising options here: https://themurdersheet.dashery.com/Send tips to murdersheet@gmail.com.The Murder Sheet is a production of Mystery Sheet LLC.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
You can text us here with any comments, questions, or thoughts!This week, Kemi welcomes Dr. Nina Zhao, an otolaryngologist and educator who shares her unique journey in academic medicine. Dr. Zhao is an Assistant Professor and fellowship-trained Laryngologist in the Department of Otolaryngology – Head and Neck Surgery at University Hospitals Cleveland Medical Center and Case Western Reserve University. She serves as the medical director of the University Hospitals Swallowing Program and as the Associate Program Director for the residency program. Dr. Zhao's passions include medical and surgical education, laryngology, and swallowing disorders. Her research interests include outcomes and quality improvement in dysphagia management and program evaluation, assessment, and measurement design in surgical education. And she is also an alumni of The Get That Grant ® program. Join Kemi and Nina for an insightful conversation on assessment, self-trust, and the power of community in shaping the future of medicine. CONVERSATION HIGHLIGHTS: The importance of aligning personal purpose with professional goals. How to navigate feelings of isolation and uniqueness in academic medicine. The role of community in fostering resilience and motivation. Strategies for maintaining focus and clarity in chaotic environments. Loved this convo? Please go find Dr. Zhao on LinkedIn to show her some love! If you'd like to learn more foundational career navigation concepts for women of color in academic medicine and public health, sign up for our KD Coaching Foundations Series: www.kemidoll.com/foundations.
This episode is sponsored by Lightstone DIRECT. Lightstone DIRECT invites you to partner with a $12B AUM real estate institution as you grow your portfolio. Access the same single-asset multifamily and industrial deals Lightstone pursues with its own capital – Lightstone co-invests a minimum of 20% in each deal alongside individual investors like you. You're an institution. Time to invest like one.___________________ Ever wonder why success doesn't feel successful?You've checked every box — med school, residency, family, stability — yet still feel that quiet tug of restlessness. Dr. Richard Boyatzis, joins Dr. Bradley Block to unpack why even accomplished physicians often lose their sense of meaning mid-career. Drawing from his Intentional Change Theory, Dr. Boyatzis explains that fulfillment dips every 7–10 years as part of our natural life cycle — what he calls liminality, the space between “what was” and “what's next.” The fix isn't distraction (real estate, side gigs, or skydiving), but rediscovering your vision — your “ideal self” — and aligning daily work with your true values.He warns against the trap of coaching for compliance — trying to fix patients (or yourself) through fear and goals. Instead, focus on coaching with compassion — inspiring sustained change through purpose, gratitude, and hope. Physicians, he says, thrive when they reconnect to why they entered medicine: to help, heal, and matter. Through personal stories, neuroscience, and humor, Dr. Boyatzis offers a practical roadmap for reigniting passion without abandoning your profession — whether that means teaching, mentoring, volunteering, or simply reframing success through renewed purpose.Three Actionable Takeaways:Revisit Your Vision Every 7–10 Years: Midlife restlessness isn't failure — it's biology. Reflect on your ideal self by asking, “If my life were fantastic 10–15 years from now, what would it look like?” Write it down, talk it out, and use it to guide new choices in work and life.Coach (and Care) with Compassion, Not Compliance: Patients — and physicians — change through hope, not fear. Replace “If you don't…” warnings with vision-driven goals (“What do you want to live for?”). Shared purpose boosts motivation, treatment adherence, and well-being.Recharge with Purposeful Connection: Gratitude and positive storytelling aren't fluff — they activate the parasympathetic system and restore energy. Start meetings or days with one uplifting story, or jot three things you're grateful for. It rewires stress into meaning. About the Show:Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school!Dr. Richard Boyatzis is a Distinguished University Professor at Case Western Reserve University and one of the world's most cited scholars on emotional intelligence, leadership, and behavior change. Co-author of Primal Leadership and Helping People Change, his latest book, The Science of Change, distills decades of research into how individuals and organizations achieve sustained transformation. A global consultant and teacher, his work has reached over 1.5 million learners worldwide.LinkedIn: https://www.linkedin.com/in/richard-boyatzis-401822a Website: case.eduAbout the Host:Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physiciansWant to be a guest?Email Brad at brad@physiciansguidetodoctoring.com or visit www.physiciansguidetodoctoring.com to learn more!Socials:@physiciansguidetodoctoring on Facebook@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Roughly 1 in 10 Americans take antidepressants. The most common type is SSRIs, or selective serotonin re-uptake inhibitors, like Prozac, Lexapro, and Zoloft. But what happens when you stop taking them? Studies don't point to a single conclusion, and there's ongoing debate among physicians and patients about the severity and significance of SSRI withdrawal symptoms. The discourse reached a fever pitch when Health Secretary Robert F. Kennedy Jr. compared SSRI withdrawal to heroin withdrawal in January.Host Flora Lichtman digs into the data on SSRI withdrawal with psychiatrists Awais Aftab and Mark Horowitz.Guests: Dr. Awais Aftab is a clinical associate professor of psychiatry at Case Western Reserve University.Dr. Mark Horowitz is a clinical research fellow in the UK's National Health Service and scientific co-founder of Outro Health.Transcripts for each episode are available within 1-3 days at sciencefriday.com. Subscribe to this podcast. Plus, to stay updated on all things science, sign up for Science Friday's newsletters.