Podcasts about Case Western Reserve University

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

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

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  

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/religion

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 average American gains 5-10 pounds during the holidays—weight that rarely comes off afterward. As we officially enter what I call "the holiday stretch," I'm giving you practical strategies to enjoy your celebrations without derailing your health goals. Here's the truth: Thanksgiving, Christmas, and New Year's are just ONE DAY each—not two months of non-stop eating. In this episode, I'm sharing seven evidence-based strategies that work in real life—whether you're dealing with pushy relatives, office parties, or emotional eating triggers. I'll show you how to enjoy your holiday traditions while protecting your progress.  You'll learn the biggest mistake people make, master my simple plate method for balanced holiday meals, and get word-for-word scripts for setting boundaries when family pushes food on you.   Episode Highlights: The one mindset shift that makes holiday eating manageable Why "saving calories" for the big meal sabotages your control The plate method: A simple visual guide for balanced holiday portions How to handle relatives who pressure you to eat more Smart drink strategies that cut hundreds of hidden calories Why one indulgent day won't undo your progress (but giving up might) Movement tips that don't require gym time during busy holiday schedules   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!)

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.

In this episode of What the Tech, FIT's VP of Client Partnerships, Becky Cross, from FIT Technologies interviews Miro Hummer, the Chief Information Officer at Case Western Reserve University. Miro discusses his career journey and pivotal moments, particularly emphasizing the importance of the human element in technology. He elaborates on Case Western's innovative projects like the holographic anatomy program, AI initiatives, and the future landscape of technology in education. Miro offers invaluable advice for students and professionals in the tech field, highlighting the need for flexibility and continuous learning.

President Trump had some of his lowest ratings ever in a Fox News poll. Justin Buchler, Associate Professor of Political Science at Case Western Reserve University, joined us to discuss it.

In our final episode of season 7, Lisa interviews Joan Ellison, songstress and revivalist of the Great American Songbook. Joan is known internationally for her restoration and revival of Judy Garland's repertoire from her golden Hollywood years, live concerts, studio recordings, and television shows. Joan shares how she became a part of the “Judy Garland Family” and reflects on the importance of musical places in her own musical journey, from Judy Garland's childhood home to Severance Hall. Co-host George Blake picks up the themes of musical place in Joan's conversation within the fabric of the concepts of “home” and “away” in “There's No Place Like Home” and “Over the Rainbow” in The Wizard of Oz.Thank you to our audio engineer Davey Berris, Lead Digital Video Specialist at MediaVision at CWRU for his work as audio engineer on this podcast. We're grateful to CWRU PhD student Lauren Hodgson for her work behind the scenes with editing transcripts. Thanks to CWRU Music Dept. chair Nate Kruse for his departmental support. Gratitude to CWRU for supporting this season of Parenting Musically.Joan's WebsiteJoan's Facebook and InstagramJoan's Touring ScheduleJoan Ellison sings “Over the Rainbow”Joan Ellison Sings "Chicago" in the National Concert Hall in DublinJames Rhodes Parenting Musically podcast episode (discussed in Episode 51)

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.

If you've ever been told to "just eat less and move more," or struggled with weight despite doing everything "right," this episode will validate your experience and challenge the harmful myths that still exist—even in medicine. In this deeply personal episode, I will share what happened when a colleague dismissed obesity as "lifestyle driven" rather than a chronic disease. Her response is a powerful reminder that this condition is far more complex than willpower. I will also open up about my own decades-long journey—including training for two full Ironmans and seven marathons—and why even with extreme dedication, I never reached a "normal" BMI. My story, combined with my clinical expertise, will reveal the biological, genetic, environmental, and social factors that make obesity a chronic disease affecting millions.   Episode Highlights: Why 40-70% of obesity cases are driven by genetics, not lifestyle choices The real struggles patients face: severe calorie restriction, exercising 6-7 days a week, and still not losing weight Medical conditions and medications that cause weight gain—from PCOS to antidepressants How food deserts, safety concerns, and financial barriers create obstacles beyond personal control Four practical ways to show compassion to someone living with obesity   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!)

On Monday's "Sound of Ideas," we'll look at changes to sports betting in Ohio following the high-profile federal indictments of Cleveland Guardians pitchers Emmanuel Clase and Luis Ortiz on charges related to rigging bets on specific pitches, and explain the Cleveland Municipal Income Tax filing requirements that resulted in surprise audits for many longtime workers and residents in back-to-back "Law of the Land" segments. MLB, Ohio's Casino Control Commission and sports betting companies agree to regulation changes 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 series "Law of the Land," 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 Cleveland Municipal Income Tax audits surprise longtime workers and residents Over the last several months, workers and residents in Cleveland received tax audit notices in the mail warning of potentially large fines from the Central Collection Agency, which is part of the City of Cleveland's Division of Taxation. The notices informed individuals they needed to submit income tax returns and other forms that many recipients had never heard of, telling them they may have earned income which is subject to Cleveland's Municipal Income Tax. We'll clear up the confusion on exactly what's required when it comes to paying and filing the city of Cleveland's employment and residence taxes, in Monday's installment of our "Law of the Land" series on "Sound of Ideas." Guest: -Mary Sasmaz, Ph.D., Assistant Professor in the Department of Accountancy at Case Western Reserve University's Weatherhead School of Management

Greg Banaszak- Described by The New York Times as "a saxophone tour de force" and hailed by Rolling Stone as "The Greg Banaszak Juggernaut," Greg Banaszak stands among today's leading saxophonists, captivating audiences across the globe. Renowned for his versatility, Banaszak is one of the rare artists equally celebrated in both the classical and jazz worlds. His career seamlessly bridges these genres through concerto performances, solo and chamber recitals, and appearances at major jazz festivals. He has performed throughout the United States, Europe, and beyond, gracing such prestigious venues as Vienna's Bösendorfer Concert Hall, the Royal Palace in Warsaw, and New York's Lincoln Center's Bruno Walter Hall. Notably, Banaszak was the first saxophone concerto soloist to perform with orchestras in both the Middle East and Korea. A dedicated educator and performer, Greg Banaszak shares his expertise with the next generation of musicians at the Cleveland Institute of Music at Case Western Reserve University. Greg's Website Here ______________________________ Follow me on my Instagram or Facebook Podcast Facebook page here Check out KristiCapel.com Email: Kristicapelpodcast@gmail.com        

In this powerful episode, I will break down one of the biggest developments in obesity and diabetes treatment in U.S. history. Two major pharmaceutical companies - Eli Lilly and Novo Nordisk - have reached a groundbreaking agreement with the administration that will drastically reduce the prices of popular medications like Wegovy, Ozempic, and Zepbound. This pricing model could transform how obesity medications are covered, distributed, and accessed across Medicare, Medicaid, and direct-to-consumer platforms. Tune in to learn what this new deal means for patients, healthcare providers, and public health overall—and why it's being called a game changer for people struggling with obesity and related health conditions. Episode Highlights: Major price cuts announced for Wegovy, Ozempic, and Zepbound under a new federal deal   Medicare to cover obesity drugs for the first time through a five-year pilot program   Medicaid given the option to join discounted pricing starting 2026   Team Rx launches a direct-to-consumer model cutting out costly middlemen   Lower cash prices for GLP-1 medications and upcoming oral versions   Eli Lilly and Novo Nordisk to invest billions in U.S. manufacturing   Program expected to improve access, affordability, and supply of obesity and diabetes meds   Ongoing push for the Treat and Reduce Obesity Act to expand national coverage   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. Aditya Bagrodia discuss the evolving landscape of testicular cancer survivorship, the impact of treatment-related complications, and management strategies to optimize long-term outcomes and quality of life. TRANSCRIPT:  Dr. Pedro Barata: Hello and welcome to By the Book, a podcast series from ASCO that features engaging conversations between editors and authors of the ASCO Educational Book. I'm Dr. Pedro Barata. I'm a medical oncologist at University Hospitals Seidman Cancer Center and associate professor of medicine at Case Western Reserve University in Cleveland, Ohio. I'm also an associate editor of the ASCO Educational Book. We all know that testicular cancer is a rare but highly curable malignancy that mainly affects young men. Multimodal advances in therapy have resulted in excellent cancer specific survival, but testicular cancer survivors face significant long term treatment related toxicities which affect their quality of life and require surveillance and management. With that, I'm very happy today to be joined by Dr. Aditya Bagrodia, a urologic oncologist, professor, and the GU Disease Team lead at UC San Diego[KI1]  Health, and also the lead author of the recently published paper in the ASCO Educational Book titled, "Key Updates in Testicular Cancer: Optimizing Survivorship and Survival." And he's also the host of the world-renowned BackTable Urology Podcast. Dr. Bagrodia, I'm so happy that you're joining us today. Welcome. Dr. Aditya Bagrodia: Thanks, Pedro. Absolutely a pleasure to be here. Really appreciate the opportunity. Dr. Pedro Barata: Absolutely.  So, just to say that our full disclosures are available in the transcript of this episode.  Let's get things started. I'm really excited to talk about this. I'm biased, I do treat testicular cancer among other GU malignancies and so it's a really, really important topic that we face every day, right? Fortunately, for most of these patients, we're able to cure them. But it always comes up the question, "What now? You know, scans, management, cardio oncology, what survivorship programs we have in place? Are we addressing the different survivorship piece, psychology, fertility, et cetera?" So, we'll try to capture all of that today. Aditya, congrats again, you did a fantastic job putting together the insights and thoughts and what we know today about this important topic. And so, let's get focused specifically about what happens when patients get cured. So, many of us, in many centers, were fortunate enough to have these survivorship programs together, but I find that sometimes from talking to colleagues, they're not exactly the same thing and they don't mean the same thing to different people, to different institutions, right? So, first things first. What do you tell a patient perhaps when they ask you, "What can happen to me now that I'm done with treatment for testicular cancer?" Whether it's chemotherapy or just surgery or even radiation therapy? "So, what about the long term? What should I expect, Doctor, that might happen to me in the long run?" Dr. Aditya Bagrodia: Totally. I mean, I think that question's really front and center, Pedro, and really appreciate you all highlighting this topic. It was an absolute honor to work with true thought leaders and the survivorship bit of it is front and center, in my opinion. It's really the focus, you know, we, generally speaking should be able to cure these young men, but it's the 10, 15, 20 years down the way that they're going to largely contend with. The conversation really begins at diagnosis, pre-education. Fortunately, the bulk of patients that present are those with stage one disease, and even very basic things like before orchiectomy, talking about a prosthetic; we know that that can impact body image and self esteem, whether or not they decide to receive it or not. Actually, just being offered a prosthetic is important and this is something, you know, for any urologist, it's kind of critical. To discussing fertility elements to this, taking your time to examine the contralateral testicle, ask about fertility problems, issues, concerns, offer sperm banking, even in the context of a completely normal contralateral testicle, I think these things are quite important.  So if it's somebody with stage one disease, you know, without going too far down discussing adjuvant therapy and so forth, I will start the conversation with, "You know, the testes do largely two things. They make testosterone and they make sperm." By and large, patients are going to be able to have acceptable levels of testosterone, adequate sperm parameters to maintain kind of a normal gonadal state and to naturally conceive, should that be something they're interested in. However, there's still going to be, depending on what resource you look at, somewhere in the order of 10-30% that are going to have issues. Where I think for the stage one patients, it's really incumbent upon us is actually to not wait for them to discuss their concerns, particularly with testosterone, which many times can be a little bit vague, but to proactively ask about it every time. Libido, erectile quality, muscle mass maintenance, energy, fatigue. All of these are kind of associated symptoms of hypogonadism. But for a lot of kids 18-20 years old, it's going to be something insidious that they don't think about. So, for the stage one patients, it absolutely starts with gonadal function. If they are stage two getting surgery, I think the counseling really needs to center around a possibility for ejaculatory dysfunction. Now, for a chemotherapy-naive, nerve-sparing RPLND, generally these days we should be able to preserve ejaculatory function at high volume centers, but you still want to bring that up and again kind of touch base on thinking about sperm banking and so forth before the operation, scars, those are things I think worth talking about, small risk of ascites. Then, I think the intensity of potential long term adverse effects really ramps up when we're talking about systemic therapy, chemotherapy. And then there's of course some radiation therapy specific elements that come up. So, for the chemotherapy bits of it, I really think this is going to be something that can be a complete multi-system affected intervention. So, anxiety, depression, our group has actually shown using some population resources that even suicidality can be increased among patients that have been treated for germ cell tumor. You know, really from the top down, tinnitus, hearing changes, those are things that we need to ask about at every appointment. Neuropathy, sexual health, that we kind of talked about, including ED (erectile dysfunction), vertigo, dizziness, Raynaud's phenomenon, these are kind of more the symptoms that I think we need to inquire about every time. And what we do here and I think at a lot of survivorship programs is use kind of a battery of validated instruments, germ cell tumor specific, platinum treated patient specific. So we use a combination of EORTC questions and PROMIS questions, which actually serves as like a review of systems for the patient, also as a research element. We review that and then depending on what might be going on, we can dig into that further, get them over to colleagues in audiology or psychology, et cetera.  And then of course, screening for the hypertension, hyperlipidemia, metabolic syndrome with basically you or myself or somebody kind of like us serving, many times it's the role of the PCP, just making sure we're checking out, you know, CBC, CMP, et cetera, lipid parameters to screen for those kind of cardiac associated issues along with secondary malignancies. Dr. Pedro Barata: So that's super comprehensive and thorough. Thank you so much. Actually, I love how you break it down in a simple way. Two functions of the testes, produce testosterone and then, you know, the problem related to that is the hypogonadism, and then the second, as you mentioned, produce sperm and of course related to the fertility issues with that.  So, let's start with the first one that you mentioned. So, you do cite that in your paper, around 5-10% of men end up getting, developing hypogonadism, maybe clinical when they present with symptoms, maybe subclinical. So, I'm wondering, for our audience, what kind of recommendations we would give for addressing that or kind of thinking of that? How often are you ordering those tests? And then, when you're thinking about testosterone replacement therapy, is that something you do immediately or are there any guidelines into context that? How do you approach that? Dr. Aditya Bagrodia: So, just a bit more on digging into it even in terms of the questions to ask, you know, "Do you have any decrease in sexual drive? Any erectile dysfunction? Are your morning erections still taking place? Has the ejaculate volume changed? Physically, muscle mass, strength? Have you been putting on weight? Have you noticed increase in body fat?" And sometimes this is complicated because there's some anxiety that comes along with a cancer diagnosis when you're 20, 30 years old, multifactorial, hair loss, hot flashes, irritability. Sometimes they'll, you know, literally they'll say, "You know, my significant other or partners noticed that I'm really just a little bit labile." So I think, you know, there's the symptoms and then checking, usually kind of a gonadal panel, FSH, LH, free and total testosterone, sex hormone binding globulin, that's going to be typically pretty comprehensive. So if you've got symptoms plus some laboratory work, and ideally that pre-orchiectomy testosterone gives you some delta. If they started out at an 800, 900, now they're 400, that might be a big change for them. And then, when you talk about TRT (Testosterone Replacement Therapy) recommendations, you know, Pedro, yourself, myself, we're kind of lucky to be at academic centers and we've got men's health colleagues that are ultra experts, but at a high level, I would say that a lot of the TRT options center around fertility goals. Exogenous testosterone treats the low T, but it does suppress gonadal function, including spermatogenesis. So if that's not a priority, they can just get TRT. It should be done under the care of a urologist, a men's health, an endocrinologist, where we're checking liver chemistries and CBCs and a PSA and so forth. If they're interested in fertility preservation, then I would say engaging an endocrinologist, men's health expert is important. There's medications even like hCG, Clomid, which works centrally and stimulate the gonadal access. Niche scenarios where they might want standard TRT now, and then down the way, 5, 7 years, they're thinking about coming off of that for fertility purposes, I think that's really where you want to have an expert involved because there's quite a bit of nuance there in recovery of actual spermatogenesis and so forth.  To kind of summarize, you got to ask about it. Checking it is, is not overly complicated. We do a baseline pre-orchiectomy and at least once annually, you can tag it in with the tumor markers, so it's not an extra blood draw. And if they have symptoms of course, kind of developed, then we'll move that up in the evaluation. Dr. Pedro Barata: Got it. And you also touch base on the fertility angle, which is truly important. And I'm just curious, you know, a lot of times many of us might see one, two patients a year, right, and we forget these protocols and what we've got to do about that.  And so I'm interested to hear your thoughts about when you think about fertility, and how proactive you get. In other words, who do you refer for the fertility clinic, for a fertility preservation program? You know, do all cases despite getting through orchiectomy or just the cases that you're going to, you know you're going to seek chemotherapy at some point? What kind of selection or it depends on the chemo, like how do you do that assessment about the referral for preservation program that you might have available at UCSD? Dr. Aditya Bagrodia: Yeah, I mean I feel really fortunate to sit on the NCCN Testis Cancer Guidelines. It's in there that fertility counseling should be discussed prior to orchiectomy. So 100% bring it up. If there are risk factors, undescended testicles, previous history of fertility concerns, atrophic contralateral testicle, anything on the ultrasound like microlithiasis in the contralateral testicle, you kind of wanna get it there. And then again, there's kind of niche scenarios where you're really worried, maybe get a semen analysis and it doesn't look that good, arrange for the time of orchiectomy to have onco-testicular sperm extraction from the, quote unquote, "normal" testis parenchyma. You know, I think you have to be kind of prepared to go that route and really make sure you're doing this completely comprehensively.  So pre-orchiectomy all patients. Don't really push for it too hard if they've got a contralateral testicle, if they've had no issues having children. There's some cost associated with this, sperm banking still isn't kind of covered even in the context of men with cancer. If they've got risk factors, absolutely pre-orchiectomy. Pre-RPLND, even though the rates of ejaculatory dysfunction at a high-volume center should be low single digits, I'll still offer it. That'd be a real catastrophe if they were in that small proportion of patients and now they're going to be reliant on things like intrauterine insemination, where it becomes quite expensive.  Pre-chemo, everybody. That's basically a standard these days where it should be discussed and it's kind of amazing currently, even if you don't have an accessible men's health fertility clinic, there are actually companies, I have no vested interest, Fellow is one such company where you can actually create an account, receive a FedEx semen analysis and cryopreservation kit, send it back in, and all CLIA certified, it's based out of California. The gentleman that runs it, is a urologist and very, very bright guy who's done a lot of great stuff for testis cancer. So, even for patients that are kind of in extremis at the hospital that kind of need to get going like yesterday, we still discuss it. We've got some mechanisms in place to either have them take a semen analysis over to our Men's Health clinic or send it off to Fellow, which I think is pretty cool and that even extends to some of our younger adolescent patients where going to a clinic and providing a sample might be tricky.  So, I think bringing it up every stage, anytime there's an intervention that might be offered, orchiectomy, chemo, surgery, radiation, it's kind of incumbent on us to discuss it. Dr. Pedro Barata: Gotcha. That's super helpful. And you also touch base on another angle, which is the psychosocial angle around this. You mentioned suicidal rates, you mentioned anxiety, perhaps depression in some cases as well as chronic fatigue, not necessarily just because of the low testosterone that you can get, but also from a psychological perspective. I'm curious, what do the recommendations look like for that? Do these patients need to see a social worker or a psychologist, or do they need to answer a screening test every time they come to see us and then based on that, we kind of escalate, take the next steps according to that? Do they see a psychologist perhaps every so often? How should that be managed and addressed? Dr. Aditya Bagrodia: It's an excellent question and again, these can be rather insidious symptoms where if you don't really dig in and inquire, they can be glossed over. I mean, how easy to say, "Your markers look okay, your scans look okay. See you in six months," and keep it kind of brief. First off, I think bringing it up proactively and normalizing it, that, "This may be something that you experience. Many people do, you're not alone, there's nothing kind of wrong with you." I also think that this is an area where support groups can be incredibly useful. We host the Testicular Cancer Awareness Foundation support group here. They'll talk about chemo brain or just like a little bit of an adjustment disorder after their diagnosis. Support groups, I think are critical. As I mentioned, we have a survivorship program that's led by a combination of our med oncs, myself on the uro-onc side, as well as APPs, where we are systematically asking about essentially the whole litany of issues that may arise, including psychosocial, anxiety, depression, suicidality. And we've got a nice kind of fast path into our cancer center support services for these young men to meet with a psychologist. If that isn't going to be sufficient, they can actually see a psychiatrist to discuss medications and so forth. I do think that we've got to screen for these because, as anticipated from diagnosis, those first 2 years, we see a rise. But even 10, 15 years out, we note, compared to controls, that there is an increased level of anxiety, depression, suicidality that might not just take place at that initial acute period of diagnosis and treatment. Dr. Pedro Barata: Really well said. Super important.  So I guess if I were to put all these together, with these really amazing advances in technology, we all know AI, some of us might be more or less aware of biomarkers coming up, including microRNA for example, and others, like as I think of all these potential long term complications for these patients, look at the future, I guess, can we use this as a way to deescalate treatment where it's not really necessary, as a way to actually prevent some of these complications? Like, how do we see where we're heading? As we manage testicular cancer, let's say, within the next 5 or 10 years, do you think there's something coming up that's going to be different from what we're doing things today? Dr. Aditya Bagrodia: Totally. I mean, I think it's as exciting as a time as there's ever been, you know, maybe notwithstanding circa 1970s when platinum was discovered. So microRNAs, which you mentioned, you know, there's a new candidate biomarker, microRNA-371. We are super excited here at UCSD. We actually have it CLIA-certified available in our lab and are ordering these tests for patients kind of in their acute stage, you know, stage one and surveillance, stage two, post-RPLND, receiving chemotherapy. And essentially this is a universal germ cell tumor specific biomarker, except for teratoma, suffice it to say 90% sensitive and specific. And I think it's going to change the way that we diagnose and manage patients. You know, pre-orchiectomy, that's pretty straightforward. Post-orchiectomy, maybe we can really decrease the number of CT scans that are done. Maybe we can identify those patients that basically have occult disease where we can intervene early, either with RPLND or single cycle chemo. Post-RPLND, identify the patients who are at higher risk of relapse that may benefit from some adjuvant therapy. In the advanced setting, look at marker decline for patients in addition to standard tumor markers. Can we modulate their systemic therapy?  So, the international interest is largely on modifying things. There's really cool clinical trials that we have for stage one patients, that treatment would be prescribed based on a post-orchiectomy microRNA. I think the microRNAs are really exciting. Teratoma remains an outstanding question. I think this is where maybe ctDNA, perhaps some radiomics and advanced imaging processing and incorporating AI may allow us to safely avoid a lot of these post-chemo RPLNDs. And then identification using SNPs and so forth of who might be most susceptible to some of the cardiac toxicity, autotoxicity and personalizing things in that way as well. Dr. Pedro Barata: Super exciting, right, what's about to come? And I agree with you, I think it's going to change dramatically how we manage this disease.  This has been a pleasure sitting down with you. I guess before letting you go, anything else you'd like to add before we wrap it up? Dr. Aditya Bagrodia: Yeah, first off, again, just want to thank you and ASCO for the opportunity. And it's easy enough to, I think, approach a patient with the testicular germ cell tumor as, "This is an easy case. We're just going to do whatever we've done. Go to the guidelines that says do X, Y, or Z." But there's so much more nuance to it than that. Getting it done perfectly, I think, is mandatory. Whatever we do is an impact on them for the next 50, 60, 70 years of their life. And I found the germ cell tumor community, people are really passionate about it. If you're ever uncertain, there's experts throughout the country and internationally. Ask somebody before you do something that you can't undo. I think we owe it to them to get it perfect so that we can really maximize the survivorship and the survival like we've been talking about. Dr. Pedro Barata: Aditya, thanks for sharing your fantastic insights with us on this podcast. Dr. Aditya Bagrodia: All right, Pedro. Fantastic. Appreciate the opportunity. Dr. Pedro Barata: And also, thank you to our listeners for your time today. I actually encourage you to check out Dr. Bagrodia's article in the 2025 ASCO Educational Book. We'll post a link to the paper in the show notes. Remember, it's free access online, and you can actually download it as well as a PDF. You can also find on the website a wealth of other great papers from the ASCO Educational Book on key advances and novel approaches that are shaping modern oncology.  So with that, thank you everyone. Thank you, Aditya, one more time, for joining us. Thank you, have a good day. 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. Aditya Bagrodia @AdityaBagrodia 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. Aditya Bagrodia: Consulting or Advisory Role: Veracyte, Ferring  

Becoming a successful entrepreneur and maintaining success in a startup business has its own unique set of systemic and structural challenges. Many of those challenges start well before the hunt for investors and developers begins. Often, the toughest barriers can be found in simply trying to meet basic needs for themselves, or their families. Access to food, wraparound services, and community health can make a significant difference at the start of any entrepreneurial endeavor. Add to this, access to education, key resources, technology, and quality mentorship can truly make the difference between an idea launched, or shelved. What can we learn about the work being done here in Northeast Ohio that is truly breaking barriers, and building futures in entrepreneurship?rnrnTiffany Cashon is a Senior Director at Case Western Reserve University's think[box] is a seven story makerspace and entrepreneurship ecosystem that is free and open to the public. Opened in 2015, its goal is to bring together resources for venture creation and entrepreneurship under one roof.rnrnKate Fox Nagel is Chief Executive Officer of MetroHealth Community Health Centers. Launched in 2018, the centers support inclusive and equitable community wellbeing in collaboration with other critical community organizations.rnrnTiffany Scruggs is the VP of Community Access and Executive Director of Community Resource Center at the Greater Cleveland Food Bank. Opened in 2022, the Community Resource Center serves as a one-stop shop for a healthy choice food pantry and to connect with over a dozen social service partners all under one roof.rnrnModerated by Renee RichardrnPresident and CEO of Corporate College, Cuyahoga Community College

Welcome to today's episode with host Sadie and a medical panel of three Hoffman Process graduates who are also esteemed medical practitioners. Our host, Sadie, Carrie Levine, Dr. David Hanscom, and Dr. Kash Trivedi engage in this powerful conversation. They cover the connection between emotional health and physical health, the mind-body connection, finding the safety within needed to heal, and so much more. With her background as a licensed Nurse Practitioner, Sadie guides the panel with insightful questions. Our guests answer through their embodied learning from both the Process and their many years of medical practice. They share insights on what it means to practice medicine with awareness, compassion, and the knowledge that can help guide their patients to deeper healing. As the conversation goes deeper into the idea of healing needing a sense of safety, Sadie then asks the panel if we each can "take responsibility for our inner experience of safety?" Carrie responds, saying, "I think we have to. I don't know that anybody else can do that for us. ... I think it's on us." We hope you enjoy this conversation with Carrie, Davide, Kash, and Sadie. Please note: While this conversation is about medicine, healing, and health, please note that what is shared here is strictly for informational purposes only and should not be considered medical advice. Please always seek the guidance of your physician or any other qualified health professional with any questions you have regarding your health or medical condition. Listen on Apple Podcasts Listen on Spotify More about Carrie E. Levine: Carrie E. Levine, CNM, IFMCP, is the founder of the Whole Woman Health clinic. She is the author of Whole Woman Health: A Guide to Creating Wellness for Any Age and Stage. A certified nurse midwife and Institute for Functional Medicine Certified Practitioner, Carrie evaluates and treats the most common women's health concerns by integrating gynecology and functional medicine. For more than two decades, Carrie has worked to help women find wholeness, connecting physical symptoms and test results with lifestyle choices and daily practices. Previously, Carrie practiced gynecology and functional medicine at the renowned Women to Women clinic in Maine (2006–2014). Before that, she provided full-scope midwifery at Miles Memorial Hospital (now Maine Health Lincoln) in Damariscotta, Maine. Patients know Carrie for her deep listening, “connecting the dots” among seemingly unrelated symptoms and emotions, and breaking personal health goals into attainable steps so clients can thrive emotionally, spiritually, and physically. Carrie earned a BS from Syracuse University. She has an RN and MSN from Case Western Reserve University. Carrie earned a Nurse-Midwifery certificate from what is now the Frontier Nursing University.  She is a member of ACNM (national and Maine chapters), the Maine Nurse Practitioners Association, and the Institute for Functional Medicine. Sign up for Carrie's free weekly newsletters featuring recipes, podcasts, articles, and more at https://carrielevine.com. Follow Carrie on Instagram, Facebook, LinkedIn, and YouTube. More about Dr. David Hanscom: David Hanscom, MD, practiced complex orthopedic spine surgery for 32 years. He quit his practice in Seattle, WA, to present his insights into solving chronic mental and physical pain. They evolved from his own 15-year battle. David escaped from the ordeal and discovered that mental pain was the biggest issue. Anxiety is the pain. His new book, Calm Your Body, Heal Your Mind: Transcend Pain, Anxiety, Anger, and Repetitive Unwanted Thoughts, is scheduled for release in June 2026. By understanding the neurophysiology driving unwanted thoughts and stimulating neuroplastic changes, they can be addressed and resolved. David's book, Back in Control: A Surgeon's Roadmap Out of Chronic Pain, systematically presents well-documented treatments for chronic pain.

Organizations are investing heavily in AI training and upskilling programs. Yet many still find that true capability is uneven. AI readiness is not just a list of tools or skills. It is the habit of thinking critically, questioning outputs, and learning continuously when solutions are not fixed. In this episode of CIO Talk Network, Miro Humer, Vice President and CIO at Case Western Reserve University, joins host Sanjog Aul to explore how education systems and workplaces can work together to build real AI readiness that lasts beyond the classroom. Topics Covered 00:00 Introduction 05:12 Why traditional training falls short 11:30 The role of curiosity and judgment 18:40 Bridging education and work environments 27:15 Who should own AI readiness 38:00 Leadership takeaways Full Transcript and Episode Details: https://www.ciotalknetwork.com/bridging-the-ai-readiness-gap/ About CIO Talk Network: CIO Talk Network is a global peer-led platform where enterprise leaders share experience-based insights without pitch or fluff. Follow CIO Talk Network: LinkedIn: linkedin.com/company/cio-talk-network Twitter/X: twitter.com/ciotalknetwork Website: ciotalknetwork.com

Seen TikTok videos about taking "just a little bit" of Ozempic or counting pen clicks instead of using the prescribed dose? That's microdosing, and it's showing up everywhere—from social media to patient discussions. In this episode, I will cut through the hype to explain what microdosing GLP-1 medications really means, why people are trying it (spoiler: cost and side effects), and what the research actually says. I will discuss the concept of "super responders" who seem to do well on lower doses, the lack of scientific backing for DIY microdosing, and the real risks of using compounded or diluted versions of these medications. Tune in to learn why working with your healthcare provider is essential for safe, effective dosing—and discover legitimate ways to manage side effects and costs without compromising your results.   Episode Highlights: What microdosing GLP-1s actually means The difference between super responders and unsafe microdosing Why professional organizations don't endorse microdosing Hidden risks of compounded and diluted medications Safe alternatives for managing side effects and medication costs   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!)

The goal of these episodes is to go over the most cited articles in a certain topic over the past 15-20 years to give learners an idea of what articles are being read and what are some of the important studies out there to read! In this episode we have Dr. Samuel Fuller, a resident at University at Buffalo, Dr. Alexander Macfarlane, a current shoulder & Elbow fellow, Teja Polisetty, a resident at Harvard University, Brad Hawayek, a resident at the University of Buffalo, Matthew Corsi, a resident at Corewell East/Beaumont RO, Jalen Warren, a resident at Case Western Reserve University, and Matthew Alben, a resident at University at Buffalo. They discuss SLAP Tears. Enjoy!  Ortho Essentials 101: The #1 prep course for orthopaedic surgery rotations and intern year. Join over 100 others and learn Orthopaedics! courses.naileditortho.com

Bob spends the first hour of Strictly Speaking educating the uninformed about what is really going on with the Schumer Shutdown and the Left's desire to extend ObamaCare tax subsidies. The reality is that the subsidies were massively expanded under Joe Biden's "American Rescue Plan" during the Covid years, and it's these subsidies--which were always temporary--that are set to expire. The truth is a dangerous thing to Democrats. Bob also speaks with CWRU law professor Michael Benza about the tragic case of a 5-year-old autistic girl raped and beaten by 9 and 10-year-old suspects, and what the criminal justice system can possibly do with this case. Finally, Bob welcomes Dr. John R. Lott to discuss the real crime statistics that are being misreported by left wing politicians in order to shut down President Trump's federal crackdown on violent crime.See omnystudio.com/listener for privacy information.

Synopsis: Host Rahul Chaturvedi sits down with Geoffrey Duyk, Chief Executive Officer of Grove Biopharma, for a wide-ranging conversation on navigating today's biotech macro headwinds and building companies that can translate breakthrough science into real patient impact. Dr. Duyk traces his journey from Harvard/Millennium/Exelixis operator to TPG investor and back to company creation, explaining how board dynamics, capital cycles, and policy shifts shape execution. They dig into why this cycle feels uniquely tough—patent cliffs, reimbursement uncertainty, NIH pressures—and who funds innovation in the meantime. Duyk outlines root causes of R&D inefficiency (misaligned capital vs. 20-year timelines, shaky preclinical predictability, costly trials, underused real-world data) and makes the case for rebuilding public trust and STEM education. Then, a deep dive on Grove Biopharma: precision polymer science that creates antibody-like, fully synthetic, cell-permeable protein mimetics to tackle historically “intractable” intracellular protein–protein interactions. Duyk shares design principles, why modular/orthogonal chemistry matters, predictable pharmacology, and lessons from fundraising and board management—plus why he's helping grow a Chicago-centered biotech ecosystem. Biography: Geoffrey M. Duyk, M.D., Ph.D. is the Chief Executive Officer of Grove Biopharma. Dr. Duyk has spent 30 years in the biotechnology industry as an entrepreneur, executive, and investor. Most recently, he was the Managing Partner at Circularis Partners, an investment firm he co-founded, focused on advancing the circular economy and promoting sustainability. Prior to that, Dr. Duyk was Managing Director and Partner at TPG Alternative & Renewable Technologies (ART)/TPG Biotechnology. Before joining TPG, Dr. Duyk served as a board member and President of R&D at Exelixis and was one of the founding scientific staff members at Millennium Pharmaceuticals, where he served as Vice President of Genomics. Earlier in his career, Dr. Duyk was an Assistant Professor in the Department of Genetics at Harvard Medical School (HMS) and an Assistant Investigator at the Howard Hughes Medical Institute (HHMI). While at HMS, he served as a co–principal investigator in the Cooperative Human Linkage Center, which was funded by the National Institutes of Health (NIH). Dr. Duyk is a trustee of Case Western Reserve University, where he serves on the executive committee. He previously served on the Board of Trustees of Wesleyan University and the Board of Directors of the Moffitt Cancer Center. He currently serves on the IR&E (Institutional Research and Evaluation) Committee at Moffitt, a key component of its External Advisory Committee (EAC). He was also a member of the Board of Directors of the American Society of Human Genetics (ASHG), and served as its treasurer. He is a member of the Life Sciences Advisory Board at Innovatus Capital Partners and the Scientific Advisory Board (SAB) for Lawrence Berkeley National Laboratory (DOE). Dr. Duyk previously served on the board of the Jackson Laboratory and on numerous NIH advisory committees. He is currently a Senior Advisor at Qiming Venture Partners (USA) and serves on the boards of Enno DC, Oobli, and Melanyze Dr. Duyk earned both his M.D. and Ph.D. from Case Western Reserve University and completed his medical and fellowship training at the University of California, San Francisco (UCSF). While at UCSF, he was a Lucille P. Markey Fellow and an HHMI postdoctoral fellow. He is a fellow of the American Association for the Advancement of Science.

Joseph diGenova, former U.S. Attorney for the District of ColumbiaTopic: Letitia James indictment 7:25- Col. Jack Jacobs, a retired colonel in the United States Army and a Medal of Honor recipient for his actions during the Vietnam WarTopic: Logistics of the Israel-Hamas peace deal Louis Tallarini, President of Real Property Investors, Inc.Topic: Italian American Heritage Month Liz Peek, Fox News contributor, columnist for Fox News and The Hill, and former partner of major bracket Wall Street firm Wertheim & CompanyTopic: "The ‘Schumer shutdown’ could be Trump's best chance to drain the swamp" (Fox News op ed) Corey Lewandowski, Trump 2024 Senior OfficialTopic: Trump's cabinet meeting, Israel-Hamas peace deal, other White House news Anat Alon-Beck, corporate law professor at Case Western Reserve University and a visiting scholar at Harvard Law SchoolTopic: "I nominated President Trump for the Nobel Peace Prize — here's why he deserves it" (Fox News op ed) Lee Zeldin, Administrator of the Environmental Protection AgencyTopic: Trump cabinet meeting David Friedman, Former U.S. Ambassador to Israel and the author of "Sledgehammer: How Breaking with the Past Brought Peace to the Middle East"Topic: Israel-Hamas peace dealSee omnystudio.com/listener for privacy information.

Read the full transcript here. What does it mean to treat facts as drafts rather than monuments? If truth is something we approach, how do we act while it's still provisional? When definitions shift, what really changes? How do better instruments quietly rewrite the world we think we know? Are we mostly refining truths or replacing them? When do scientific metaphors clarify and when do they mislead? What public stories make self-correction legible and trusted? What features make science self-correct rather than self-congratulatory? How should we reward replication, repair, and tool-building? Do we need more generalists - or better bridges between tribes? How does measurement expand the very questions we can ask? Is progress a goal-seeking march or a search for interesting stepping stones? Should we teach computing as a liberal art to widen its aims? Will AI turn software into a home-cooked meal for everyone? How do we design tools that increase wonder, not just efficiency? Samuel Arbesman is Scientist in Residence at Lux Capital. He is also an xLab senior fellow at Case Western Reserve University's Weatherhead School of Management and a research fellow at the Long Now Foundation. His writing has appeared in the New York Times, the Wall Street Journal, and The Atlantic, and he was previously a contributing writer for Wired. He is the author of the new book The Magic of Code, and his previous books are Overcomplicated: Technology at the Limits of Comprehension and The Half-Life of Facts: Why Everything We Know Has an Expiration Date. He holds a PhD in computational biology from Cornell University and lives in Cleveland with his family. Links: Sam's Recent Titles: The Half-Life of Facts and The Magic of Code Staff Spencer Greenberg — Host + Director Ryan Kessler — Producer + Technical Lead Uri Bram — Factotum WeAmplify — Transcriptionists Igor Scaldini — Marketing Consultant Music Broke for Free Josh Woodward Lee Rosevere Quiet Music for Tiny Robots wowamusic zapsplat.com Affiliates Clearer Thinking GuidedTrack Mind Ease Positly UpLift [Read more]

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.

Welcome to the 6th episode of our BTK/ASGBI series!  During this series, BTK fellow Agnes Premkumar and ASGBI hosts Jared Wohlgemut and Gita Lingam will compare and contrast various aspects of surgery between the United States and the United Kingdom, debating who does what better.  In this episode, we delve into surgical training, current challenges, and hopes for the future of surgical training in the US and the UK. We will be discussing the advent of the EPA curriculum in the US, the current challenge of obtaining a speciality position in the UK, and tips for making the resident to attending/junior faculty transition smoothly. Dr. Jeremy Lipman represents the US while Dr. Phil Pearce represents the UK in this thought-provoking conversation. Dr. Lipman is a colorectal surgeon at the Cleveland Clinic and the director of graduate medical education for all training programs at the Cleveland Clinic. Additionally, he is an Associate Dean for Graduate Medical Education and Professor of Surgery at Case Western Reserve University. He is passionate about surgical training and holds the James E. Sampliner Endowed Chair in Surgical Education.  Dr. Phil Pearce is a consultant in emergency general surgery in Oxford with interests in trauma, complex biliary disease, and most importantly a passion for training. Take a listen and let us know what you think- who does surgical education and training better?  References: Speciality training position in the NHS https://www.ft.com/content/e4b364c3-6a20-42ee-a9a5-ab9eea441c87?utm_source=chatgpt.com https://www.theguardian.com/society/2025/jul/02/nhs-in-england-told-to-slash-recruitment-of-overseas-trained-medics?utm_source=chatgpt.com Surgery job market in the US https://surgpli.com/the-state-of-surgery-as-a-career-in-2025/ EPA curriculum https://www.aamc.org/about-us/mission-areas/medical-education/cbme/core-epas Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.   If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US