Podcasts about director emeritus

In this episode of The First Day from The Fundraising School, host Bill Stanczykiewicz, Ed.D., reconnects with his longtime mentor and fundraising sage, Tim Seiler, Ph.D., Director Emeritus of The Fundraising School. Together, they dive into a topic that's more relevant than ever: how to navigate the stormy seas of fundraising during uncertain times. Dr. Seiler shares war stories from his early fundraising days, reflecting on crises from the 1987 stock market crash to today's mix of economic and social uncertainties. His message? While fundraisers can't control the turbulence, they can control their approach, and it starts with what he calls “rational hope.” Dr. Seiler unpacks this idea of rational hope, steering us away from the siren song of blind optimism. Instead, he champions a clear-headed, proactive mindset: keep reaching out to donors, but with empathy and creativity. Forget about relentless asks, instead, update them on your mission's progress, share ideas, and show them you're still standing tall. He shares his own experiences as a donor receiving thoughtful “just checking in” messages from nonprofits, illustrating how these gestures reinforce connection and purpose. As Seiler says, it's about reminding donors not just of the need, but of the joy and satisfaction that comes from making a difference. The conversation also explores a delicate, often unspoken challenge in the nonprofit world: fundraisers' hesitancy to admit when times are tough. Dr. Seiler and Stanczykiewicz shine a light on this vulnerability, encouraging transparency and authenticity. They argue that sharing struggles, whether it's a budget cut or a missed goal—doesn't signal failure; it signals humanity. This honesty not only builds trust but also invites donors to become part of the solution. As Seiler puts it, “If it were easy, we wouldn't need fundraisers.” Or in the words of A League of Their Own: “The hard is what makes it great.” Wrapping up, the episode channels a rousing spirit of resilience, celebrating the enduring generosity of donors who bounce back time after time, through recessions, crises, and even pandemics. With references to the classic wisdom of Henry Rosso and a dash of literary flair from William Faulkner and Walt Whitman, this episode offers fundraisers a playbook for tough times: stay hopeful but realistic, be persistent, and never forget the shared humanity that fuels philanthropy. Bottom line? Keep swinging for the fences. Fundraising's not for the faint of heart, but it's worth every pitch.

For decades, China has been central for global supply chains and a primary U.S. trade partner, but as China's influence grows, should the U.S. cut economic ties, or stay engaged? Those in favor of decoupling say it is vital for protecting national security and reducing reliance on China's supply chains. Those against decoupling argue doing so would harm U.S. businesses, stall innovation, and deepen global divides. Now we debate: Should the U.S. Decouple from China? Arguing Yes:   Derek Scissors, Senior Fellow at the American Enterprise Institute      Isaac Stone Fish, CEO and Founder of Strategy Risks    Arguing No:   Benn Steil, Senior Fellow and Director of International Economics at the Council on Foreign Relations    Susan Shirk, Research Professor and Director Emeritus of the 21st Century China Center at UC San Diego School of Global Policy    Emmy award-winning journalist John Donvan moderates  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Send us a textIn this episode we explore some of the challenges in responding to wildlife emergencies. Our guest is Dr. Michael Ziccardi, a wildlife veterinarian with over 30 years of experience in oil wildlife preparedness and response. Dr. Ziccardi has been at the forefront of numerous wildlife rescue operations in the US and around the world. He currently serves as the Executive Director of the One Health Institute at the University of California, Davis and Director Emeritus of the Oiled Wildlife Care Network.We explore the complexities of wildlife response in oil spills, and how the technical understanding, the response strategies and systems have been developed over the years. Dr. Ziccardi shares his insights on the challenges and advancements in this field, the importance of preparedness, and the collaborative efforts required to protect wildlife.Please give us ★★★★★, leave a review, and tell your friends about us as each share and like makes a difference.

The Akademy Circle is a private members' club based in London, Dubai, and Miami. Akademy brings together discerning individuals dedicated to personal growth and making a positive impact through the power of learning. The club offers its members an exciting programme of events hosted by world-class academics, creatives and business leaders at distinguished locations. Akademy's insightful talks and inspiring experiences cover a wide range of subject areas, including arts and humanities, science, tech, business, fashion, wellness, and more. Akademy's London programme featured a remarkable roster of prominent figures, including the art world icon and performance art pioneer Marina Abramović, former head of Britain's Security Service MI5 Dame Stella Rimington, the first British Astronaut Helen Sharman, Director of Cultural Heritage Protection and Security at Victoria & Albert Museum Vernon Rapley, Director Emeritus of the Churchill War Rooms Phil Reed, Keeper of the Wellington Collection Dr. Olivia Fryman, opera stars Aida Garifullina, Topi Lehtipuu and Chen Reiss, Royal Ballet principal dancers Fumi Kaneko and Vadim Muntagirov, among many others. https://akademyclub.com https://www.instagram.com/akademy_london To order Dr Tony Nader's book Consciousness Is All There Is: https://www.drnaderbooks.com or use your favorite bookseller. Website: https://www.drtonynader.com MIU Website https://www.miu.edu/meet-president-tony-nader-md-phd Instagram https://www.instagram.com/drtonynader President Instagram https://www.instagram.com/miupresidentnader Facebook https://www.facebook.com/DrTonyNader YouTube https://www.youtube.com/@DrTonyNader X (Twitter) https://twitter.com/DrTonyNader TikTok https://www.tiktok.com/@drtonynader Linked In https://www.linkedin.com/in/drtonynader

Today we had the pleasure of hosting our good friend Dr. Scott Tinker, Chairman of Switch Energy Alliance, CEO of Tinker Energy Associates, and Director Emeritus of the Bureau of Economic Geology at UT Austin. Scott also hosts “Energy Switch,” a PBS talk show featuring America's leading experts on energy and climate. His work is focused on uniting industry, government, academia, and NGOs to address major societal challenges in energy, the environment, and the economy. In that spirit, Scott recently announced the formation of a new nonprofit, Energy Corps, which was developed in partnership with Toby Rice of EQT. It's always fantastic to visit with Scott and we appreciate him joining us to share more about Energy Corps along with his latest insights. In our discussion, Scott shares his perspective on evolving global attitudes toward oil and gas, emphasizing the need for leadership that voices informed opinions rather than conforming to every pendulum swing in public sentiment. We explore the reality that for much of the global population, climate change is not a top priority, and that economic development and access to affordable, reliable energy take precedence. We discuss the widening gap between wealthy and poor nations, where billions still live without sufficient energy access and face urgent priorities for human progress, education, and quality of life. We explore the hope that Scott has encountered in developing nations for their future, contrasted with the fear and climate anxiety prevalent in many developed countries. Scott raises concerns about policies that restrict resource development in poorer nations due to climate concerns, characterizing these restrictions as a form of modern economic colonialism. Meanwhile, China's significant investments in infrastructure in developing countries have been welcomed, showing a broader preference among these nations for investment over aid. Scott shares his “50-50-50 Vision” for Energy Corps, aiming to lift all 8.3 billion people to 50 megawatt-hours of energy consumption and $50,000 GDP per capita annually within 50 years. The organization intends to measure human progress through energy success, partnering with existing organizations to focus on measurement of impact, path to commercialization for sustainable growth, and global boots-on-the-ground engagement. We discuss the growing acknowledgement of “The Rational Middle,” the concept of “debt to fret,” referencing previous debt-driven policies that have led to widespread concern about economic stability today, and hope that uniting people around the shared goal of advancing humanity through energy access could foster more durable, bipartisan policy. We also touch on younger generations' perspectives on nuclear energy, the importance of tailoring energy solutions to regional resources, and the need for diverse energy portfolios to meet global needs. Throughout the conversation, Scott shares unique, personal stories from his travels to over 60 countries, providing a real-world view of the global energy landscape. As always, it was a fascinating and wide-ranging discussion. To kick off the show, Mike Bradley shared that he just returned from Panama, where the National Assembly approved an overhaul of the country's social security system, with President Mulino expected to sign it into law. The significance of this reform, Mike noted, is that it allows President Mulino to focus on his second major domestic challenge, which is restarting the Cobre Panama copper mine, which was closed under his predecessor. On the bond market front, Mike highlighted Wednesday's FOMC Rate Decision Meeting, noting that consensus expects the Fed to leave interest rates unchanged despite recent economic data showing the U.S. economy is slowing and inflation is cooling. On the broader equity market front, equities have recently begun moving sideways (after ~10% correction due mostly to Trumpatility). In addition to the FOMC M

MONOLOGUE A TALE OF TWO NATIONS: TRUMP'S BOLD VISION VS. LIBERALS SMALL WOKE IDEAS NEWSMAKER WOKE: Trudeau introduces "Black Justice Strategy" https://www.junonews.com/p/trudeau-government-releases-implementation   Noah Jarvis, Reporter at True North Wire OPEN LINES THE CULT OF CLIMATE CHANGE Climate risk will take trillion-dollar bite out of America's real estate, report finds Tony Heller, Geologist, Weather Historian, Founder of https://realclimatescience.com MONOLOGUE Fake Patriots and Phony Nationalism: Canada's Hollow ‘Buy Local' Movement NEWSMAKER Trump Delivers Triumphant, Blistering, Patriotic Address to Congress   Ken Khachigian Author of Behind Closed Doors: In the Room with Reagan & Nixon. Director Emeritus of the Richard Nixon Foundation Board of Directors. Chief Speechwriter and Senior Political Advisor for President Reagan https://www.reaganandnixon.com/ OPEN LINES THIS DAY IN ROCK HISTORY In 1963, tragedy struck when 30-year-old country star Patsy Cline was killed in a plane crash, alongside Cowboy Copas and Hawkshaw Hawkins.   In 1983, Michael Jackson's “Billie Jean” began a seven-week run at the top of the Billboard Hot 100.   In 2002, The Osbournes made its debut on MTV. A fly-on-the-wall look at the life of ex-Black Sabbath singer Ozzy Osbourne and his family, the show was an instant hit and became the channel's most-viewed program. Learn more about your ad choices. Visit megaphone.fm/adchoices

In this episode of the afikra podcast, host Mikey Muhanna speaks with His Excellency Rakan Altouq – Vice Chair of the Diriyah Biennale Arts Foundation and Assistant Minister for Culture of Saudi Arabia – and Dr Julian Raby, one of the artistic directors of the Islamic Arts Biennale. Live from the historic Hajj terminal in Jeddah, they discuss the significance of this architectural marvel and its role as a fitting venue for the Biennale, aimed at showcasing the richness and diversity of Islamic arts and culture. This edition, themed "وما بينهما," (AND ALL THAT IS IN BETWEEN), includes seven unique components that explore various aspects of Islamic art, from sacred texts and artifacts to contemporary installations. The conversation delves into the deep emotional and intellectual impact that the Biennale hopes to achieve, the inclusive and interdisciplinary approach adopted by the artistic directors, and the Biennale's resonance with both local and international visitors. The discussion emphasizes the Biennale's potential to reshape narratives, provoke new thoughts, and foster a sense of pride and identity among attendees.00:00 Introduction 00:32 Significance of the Hajj Terminal06:00 Overview of the Islamic Arts Biennale10:06 Exploring ALBIDAYAH18:46 A Holistic Experience Beyond Objects 25:09 Diversity of ALMADAR Section and ALMUQTANI Collection 30:37 Looking at Islam and Islamic Arts Holistically 43:45 The Role of Contemporary Art52:56 Impact and Future of the BiennaleHis Excellency Rakan Altouq is the Vice Chairman of the Diriyah Biennale Foundation and assistant minister of culture of Saudi Arabia. Dr Julian Raby is a co-director of the Diriyah Islamic Art Biennale and the Director Emeritus of the National Museum of Asian Art of the Smithsonian Institution, Washington DC (formerly known as the Freer Gallery of Art and the Arthur M Sackler Gallery). He served as director of these museums from 2002 until 2017, and previously, he was a university lecturer in Islamic Art & Architecture at the University of Oxford from 1979 until 2006.The Islamic Arts Biennale 2025 provides a holistic platform for new discourse about Islamic arts, offering an unparalleled space for learning, research, and insight. By juxtaposing contemporary and newly commissioned artworks with historical objects from Islamic cultures, the Biennale explores how faith is experienced, expressed, and celebrated through feeling, thinking, and making. It offers a unique platform for artists to explore themes of spirituality, identity, and the intersection of past and present, while fostering cross-cultural connections and expanding the global understanding of Islamic art and culture.More about the Islamic Arts Biennale

Greetings, and welcome back to the podcast.This episode we are joined by Mr. Jim Gray, O.C. - co-founder of Canadian Hunter Exploration - one of Canada's largest natural gas producers before its sale in 2001 for ~$3.4 billion.Among his many awards, Mr. Gray has been inducted into the Alberta Order of Excellence, the Order of Canada, the Calgary Business Hall of Fame, and the Canadian Business Hall of Fame.Mr. Gray was awarded an Honourary Doctor of Laws degree in 1991 by the University of Calgary, and the Energy Person of the Year Award from the Energy Council of Canada.Mr. Gray is also a founder and former Chairman of Calgary Academy, Honourary Chair of the Canada West Foundation and Honorary Life Director of the Calgary YMCA. Mr. Gray is Chairman of the Energy Group of Brookfield Asset Management Inc.Mr. Gray's previous directorships include Brookfield Asset Management Inc., Cequence Energy Inc., Phoenix Technology Services, Emera Inc., Hudson's Bay Company, and Canadian National Railway, of which he is Director Emeritus. Among other things, we discussed The Can Hunter Days, Pioneering the Deep Basin & 90 Years of Staying Active.Enjoy.Thank you to our sponsors.Without their support this episode would not be possible:Connate Water SolutionsATB Capital MarketsEnergy United Upgrade Labs360 Engineering & Environmental ConsultingCanadian Gas AssociationSupport the show

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This week on The DeCesare Group Podcast, join Jim DeCesare for his conversation with Retired Brigadier General Dan Cherry. Cherry served as a fighter pilot in the United States Air Force for nearly thirty years and Commander of the Air Force Thunderbirds. He currently serves as Director Emeritus of Aviation Heritage Park in Bowling Green. General Cherry has also served as President of the Kentucky Transpark, a large economic development project for South Central Kentucky, and Secretary of the Kentucky Justice Cabinet. Catch The DeCesare Group Podcast every Sunday morning at 7 on 95.1-WGGC. To learn more about Aviation Heritage Park, visit their website https://www.aviationheritagepark.com/

US-China relations during the Biden administration have been marked by competition and rivalry. Many of the aspects of US-China relations of the first Trump presidency were retained by the Biden administration. We have now returned to President Trump. What are we likely to see now in US foreign policy under a second Trump presidency; what will be US-China relations going forward? To explore all this I invited back into the Virtual Studio my good colleague Yves Tiberghien. Yves currently is a Professor of Political Science, Director Emeritus of the Institute of Asian Research, Konwakai Chair in Japanese Research, and Director of the Center for Japanese Research at the University of British Columbia (UBC) in Vancouver, Canada. Yves recently completed a study leave and was a visiting scholar at the Taipei School of Economics and Political Science (2023-2024). Yves specializes in comparative political economy and international political economy with an empirical focus on China, Japan, and Korea. His latest book is The East Asian Covid-19 Paradox, August 2021. Come join Yves in the Virtual Studio to examine these issues.

In this episode, we sit down with George Selgin, Director Emeritus at the Cato Institute's Center for Monetary and Financial Alternatives, to explore his views on money, markets, and bitcoin's role in the global economy. George shares his journey from studying marine biology to becoming a leading voice in monetary economics and discusses how definitions of money have evolved. We examine bitcoin's classification as a synthetic commodity, its potential as a store of value, and whether it could ever replace the US dollar. George also analyzes the proposed bitcoin strategic reserve, highlighting its costs, risks, and implications for government debt.SUPPORT THE PODCAST:→ Subscribe→ Leave a review→ Share the show with your friends and family→ Send us an email podcast@unchained.com→ Learn more about Unchained: https://unchained.com/?utm_source=youtube&utm_medium=video&utm_campaign=TBF-podcast-description→ Book a free call with a bitcoin expert: https://unchained.com/consultation?utm_source=youtube&utm_medium=video&utm_campaign=TBF-podcast-description→ Buy bitcoin in an IRA—sign up today and get your first year free: unchained.com/frontierTIMESTAMPS:00:00:00 - Intro00:01:11 - Introducing George Selgin's background and career00:07:42 - Moving from Hong Kong to the University of Georgia00:09:50 - Defining money and its role in economics00:12:12 - Explaining why bitcoin doesn't meet the definition of money00:13:31 - Defining the dollar and its place in the economy00:15:52 - Understanding gold's history and modern role00:19:11 - Analyzing bitcoin as a synthetic commodity00:21:51 - Evaluating bitcoin as a store of value vs. medium of exchange00:24:52 - Discussing bitcoin's long-term price potential00:29:21 - Examining markets, prices, and bitcoin's future00:36:13 - Questioning if the US dollar could be replaced00:42:36 - Evaluating the bitcoin strategic reserve proposal00:49:11 - Breaking down the costs and risks of a bitcoin reserve00:55:00 - Closing thoughts and where to follow George SelginWHERE TO FOLLOW US:→ Unchained Twitter: https://twitter.com/unchainedcom→ Unchained LinkedIn: https://www.linkedin.com/company/unchainedcom → Unchained Newsletter: https://unchained.com/newsletter → Joe Burnett's Twitter: https://twitter.com/IIICapital→ George Selgin's Twitter: https://x.com/GeorgeSelgin

We're joined by Charles Conn and Rob McLean, AM, the co-authors of The Imperfectionists: Strategic Mindsets for Uncertain Times. Charles is an investor, environmentalist, and entrepreneur. He co-founded Monograph, a venture firm, and was previously CEO of the Rhodes Trust in Oxford. He is the Board Chair of Patagonia and sits on The Nature Conservancy European Council. He was the founding CEO of Ticketmaster-Citysearch and a partner at McKinsey & Company. Rob is a Director Emeritus of McKinsey & Company, a Trustee of The Nature Conservancy in Australia and Asia, and a Director of the Paul Ramsay Foundation, Australia’s largest philanthropic foundation. He is the former Dean of the Australian Graduate School of Management. He was a Fulbright Scholar at the Columbia University Graduate School of Business. Rob and Charles' books can be found here: https://bulletproofproblemsolving.com/ You can also listen to their previous interview on Inside the Strategy Room or read the edited transcript on McKinsey.com. Discover our latest insights and join more than 92,000 influential professionals who are part of our LinkedIn community: https://www.linkedin.com/showcase/mckinsey-strategy-&-corporate-finance/See www.mckinsey.com/privacy-policy for privacy information

Alfredo Morabia and Prof. Vickie Mays (UCLA) from AJPH interview Dr Sherry Glied, Dean of New York University's Robert F. Wagner Graduate School of Public and Dr Steven Woolf, Director Emeritus and Senior Advisor, VCU Center on Society and Health about the differences in excess all-cause mortality during the COVID-19 pandemic across the US states. How can we explain the greater excess mortality in states with more conservative governments? Were these deaths preventable and, if so, how? Should governments be accountable for preventable excess deaths?

Hello and welcome to the second episode of our two-part series on The Ismailis, which features Dr Farhad Daftary, Director Emeritus of the Institute of Ismaili Studies. This episode continues the history of the community, from the collapse of the Fatimid Empire - the only time Ismailis led a state - all the way to the present day.    One topic that dominates this episode is the legends about the community. For hundreds of years Westerners have been fascinated by stories of the Assassins, their mysterious leader and their remote mountain stronghold at Alamut in Northern Iran. The legends first emerged in the 12th century when Crusaders in Syria came into contact with the Nizari Ismailis, who, at the behest of their leader Hasan bin Sabbah (mythologized as the "Old Man of the Mountain"), engaged in dangerous missions to kill their enemies. Elaborated over the years, the tales culminated in Marco Polo's claim that the "Old Man" controlled the behaviour of his self-sacrificing devotees through the use of hashish and a secret garden of paradise. So influential were these tales that the word "assassin" entered European languages as a common noun meaning "murderer".  Dr Daftary addresses in detail the assassins legend created this time by Muslim polemicists aiming to discredit the Ismaili movement. As such, this episode reveals an extraordinary programme of propaganda rooted in the medieval Muslim world and medieval Europe's ignorance of this world. Do subscribe to our YouTube channel, and follow us for more: https://www.instagram.com/muslimfootprints/ https://www.linkedin.com/company/muslim-footprints https://x.com/MFootprintsPod https://www.facebook.com/profile.php?id=61557285590197 http://www.youtube.com/@MuslimFootprints https://www.threads.net/@muslimfootprints

A few months ago, I interviewed David Leonhardt, author of Ours Was the Shining Future, about the death of the American dream which, he argued, can be dated from on 5 June 1968 when Bobby Kennedy was assassinated. And it's on that infamous date that I begun my conversation with Jonathan Taplin about the rebirth of the American dream. According to the Los Angeles based Taplin, who is now working on a book about an upcoming renaissance of American culture, the vehicle for a revitalized United States will come from a Sixties style explosion of cultural vitality. Bright new music, film and books will create a bright new America, Taplin predicts. I hope he's right.Jonathan Taplin is a writer, film producer and scholar. He is the Director Emeritus of the Annenberg Innovation Lab at the University of Southern California and was a Professor at the USC Annenberg School from 2003-2016 in the field of international communication management and digital media entertainment. Taplin began his entertainment career in 1969 as Tour Manager for Bob Dylan and The Band. In 1973 he produced Martin Scorsese's first feature film, Mean Streets, which was selected for the Cannes Film Festival. Between 1974 and 1996, Taplin produced 26 hours of television documentaries (including The Prize and Cadillac Desert for PBS) and 12 feature films including The Last Waltz, Until The End of the World, Under Fire and To Die For. His films were nominated for Oscar and Golden Globe awards and chosen for The Cannes Film Festival five times. In 1984 Taplin acted as the investment advisor to the Bass Brothers in their successful attempt to save Walt Disney Studios from a corporate raid. This experience brought him to Merrill Lynch, where he served as vice president of media mergers and acquisitions. In this role, he helped re-engineer the media landscape on transactions such as the leveraged buyout of Viacom. Taplin was a founder of Intertainer and has served as its Chairman and CEO since June 1996. Intertainer was the pioneer video-on-demand company for both cable and broadband Internet markets. Taplin holds two patents for video on demand technologies. Professor Taplin has provided consulting services on Broadband technology to the President of Portugal and the Parliament of the Spanish state of Catalonia and the Government of Singapore. Mr. Taplin graduated from Princeton University. He is a member of the Academy Of Motion Picture Arts and Sciences and sits on the Author's Guild Council and the Board of the American Music Association. Mr. Taplin was appointed to the California Broadband Task Force and the City of Los Angles Technology and Innovation Council. He was named one of the 50 most social media savvy professors in America by Online College and one of the 100 American Digerati by Deloitte's Edge Institute.Named as one of the "100 most connected men" by GQ magazine, Andrew Keen is amongst the world's best known broadcasters and commentators. In addition to presenting KEEN ON, he is the host of the long-running How To Fix Democracy show. He is also the author of four prescient books about digital technology: CULT OF THE AMATEUR, DIGITAL VERTIGO, THE INTERNET IS NOT THE ANSWER and HOW TO FIX THE FUTURE. Andrew lives in San Francisco, is married to Cassandra Knight, Google's VP of Litigation & Discovery, and has two grown children.Keen On is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit keenon.substack.com/subscribe

Hello again and welcome to our two-part series on The Ismailis, which features Dr Farhad Daftary, Director Emeritus of the Institute of Ismaili Studies.   The Ismailis, a branch of Shi'i Islam, emerged in 765 during the formative period of Islam. Today, the community spans more than 30 countries, embodying a global presence with rich cultural and intellectual contributions.   Dr Daftary provides insights into the community's formation, the challenges of documenting its history, and the esoteric doctrines that distinguish Ismailism. At the heart of Ismaili beliefs is its approach to religious scripture and an emphasis on both apparent and hidden meanings. In other words, while Sharia, or religious laws, evolve over time, the inner spiritual teachings remain constant. This adaptability has helped the Ismailis sustain their identity across centuries, allowing the community to thrive in diverse regions and political climates.   The first part of the series continues through the Fatimid period, when Ismailis wielded significant political power and influence.   Do subscribe to our YouTube channel, and follow us for more: https://www.instagram.com/muslimfootprints/ https://www.linkedin.com/company/muslim-footprints https://x.com/MFootprintsPod https://www.facebook.com/profile.php?id=61557285590197 http://www.youtube.com/@MuslimFootprints https://www.threads.net/@muslimfootprints

My guest for this bonus episode of the Lean Blog Interviews Podcast is Bruce Hamilton, who is joining me on the show for the first time. Bruce is a renowned figure in the Lean world, serving as the President of GBMP Consulting Group and Director Emeritus for the Shingo Institute. As a senior examiner and certified workshop facilitator for the Shingo Prize, Bruce brings a wealth of knowledge and experience. He is also a past recipient of the Shingo Prize in both business and academic categories and has been inducted into both the Shingo Academy and the AME Manufacturing Hall of Fame. During our conversation, Bruce reflects on two major milestones: the 25th anniversary of the now-classic "Toast Kaizen" video and the 20th year of GBMP's Northeast Lean Conference. He shares the humble beginnings of "Toast Kaizen," filmed in his kitchen with the help of his two-month-old son, and its unexpected success. We also discuss the evolution of the Northeast Lean Conference, from its modest start to an event that now attracts Lean thinkers from across the country. Bruce talks about the upcoming conference theme, “Leveraging Lean to Thrive,” and how Lean principles can help organizations overcome uncertainty, especially in today's challenging times. The podcast is brought to you by Stiles Associates, the premier executive search firm specializing in the placement of Lean Transformation executives. With a track record of success spanning over 30 years, it's been the trusted partner for the manufacturing, private equity, and healthcare sectors. Learn more. This podcast is part of the #LeanCommunicators network. 

It is with great pleasure that I have invited my colleague Yves Tiberghien back into the Virtual Studio for this episode on ‘Shaking the Global Order'. The US-China relationship has been marked by continuing competition and rivalry. So, I sat down again with Yves Tiberghien to examine what the current state of the US-China relationship is today while remaining mindful of the upcoming US election. I was particularly curious to see what the impact, if any, of the recent visit to Beijing by National Security Advisor Jake Sullivan might have had on current US-China relations. Yves is a Professor of Political Science, Director Emeritus of the Institute of Asian Research, Konwakai Chair in Japanese Research, and Director of the Center for Japanese Research at the University of British Columbia (UBC) in Vancouver, Canada. Yves recently completed a study leave and was a visiting scholar at the Taipei School of Economics and Political Science (2023-2024). Yves is an International Steering Committee Member at Pacific Trade and Development Conference (PAFTAD) and a visiting professor at Tokyo University and Sciences Po, Paris. He has held other visiting positions at National Chengchi University (Taiwan), GRIPS (Tokyo), and the Jakarta School of Public Policy (Indonesia). So, let's join Yves in the Virtual Studio to examine the current state of US-China relationship.

It is with great pleasure that I continued the conversation with my colleague Yves Tiberghien for this episode on ‘Shaking the Global Order'. After a short break I continued the discussion with Yves as to the current state of relations with the US and China. I was also able to extend our examination to include the impact of this competition on the Middle Power countries in the Indo-Pacific. The discussion extended to Japan, Korea, Taiwan and others. Yves is a Professor of Political Science, Director Emeritus of the Institute of Asian Research, Konwakai Chair in Japanese Research, and Director of the Center for Japanese Research at the University of British Columbia (UBC) in Vancouver, Canada. Yves recently completed a study leave and was a visiting scholar at the Taipei School of Economics and Political Science (2023-2024). Yves specializes in comparative political economy and international political economy with an empirical focus on China, Japan, and Korea. His latest book is "The East Asian Covid-19 Paradox" (August 2021) with work forthcoming on a new book titled "Game-Changer: How Covid-19 Has Reshaped Societies and Politics in East Asia". So, let's rejoin Yves in the Virtual Studio in this examination of US-China relations and its impact on the Indo-Pacific.

Welcome to the Aphasia Access, Aphasia Conversations Podcast. I'm Ellen Bernstein Ellis, Director Emeritus of the Aphasia Treatment Program at Cal State East Bay in the Department of Speech, Language and Hearing Sciences, and a member of the Aphasia Access Podcast Working Group.  Aphasia Access strives to provide members with information, inspiration and ideas that support their aphasia care through a variety of educational materials and resources. Brief topic intro I'm today's host for an episode that will feature Dr Felicity Bright. We'll discuss her research looking at factors impacting wellbeing,  engagement and hope. Guest bio   Felicity Bright is a registered speech language therapist and associate professor in rehabilitation at Auckland University of Technology in Aotearoa, New Zealand. Her research examines cultures of care, and in particular, how the cultures and practices in rehabilitation respond to the needs and priorities of patients and those who support them. She has a particular interest in stroke and in the needs and experiences of those with communication impairment through her work, Felicity seeks to support practitioners services and rehabilitation organizations and to provide better person centered care. Listener Take-aways In today's episode you will: Explore how qualitative research promotes the nuanced study of meaningful clinical practice Consider cultural differences in well-being and what this might mean for how we work with people with aphasia and their support networks Reflect on the importance of having discussions with patients about hope and well-being Discuss how culture and organizations impact healthcare practice for individuals with aphasia Show notes edited for conciseness Ellen Bernstein-Ellis Felicity, welcome to our show. Thank you for agreeing to be our guest today. Felicity Bright  Thank you for having me. It's great to be here. Ellen Bernstein-Ellis  Welcome Felicity. We're going to start today with  an icebreaker question. The one you selected for today is, “Do you have  a favorite book or movie about aphasia? Felicity Bright  It was hard to choose one. Actually, I was just looking at my bookshelf and I went back to myself as a fairly new speech and language therapist quite a few years ago now. One that was really transformative for my practice was Talking about Aphasia by Suzie Parr and Sally Bing.  It's a classic, but it was a beautifully written book that really opened my eyes to the experiences of people with aphasia beyond all the technical work that we'd learned in university and so on, but it brought to life the humanity of the people who have aphasia, and really helped me rethink why I do what I do, and what the real impacts of aphasia can be for people. Ellen Bernstein-Ellis  Yes, that's a beautiful book that brings that all to the forefront. And I want you to say the title and author again, in case I spoke over you a moment ago, Felicity Bright The book is Talking about Aphasia and the authors are Susie Parr, Sally Bing and Sue Gilpin with Chris Ireland, Ellen Bernstein-Ellis We'll put that (i.e. citation)  into the reference list on our speaker notes. So thank you. And as we start today's interview, I was wondering if you'd like to share your path from clinician to researcher, because we've had several guests who have started in clinical work and then came to their doctoral work and research a little bit later. So,  I'd love it if you could share that with our listeners. Felicity Bright Sure. So I worked as a speech and language therapist in New Zealand. We are speech language therapists. I worked in a range of neurological settings, from acute stroke neurosurgery, did a little bit of ICU, did some rehab in inpatient services and in community, and really enjoyed that work, but I'd always had a long standing interest in research. I was a bit of a geek, you know, When I was in training, that was, that was me,  I was the geek. And so I'd always kind of expected at some point I would go down the research track. It was prompted after I had my first baby, and my work required me to either go back full time or to not work. And so at that point, I chose to not go back to work full time, and a research job came up at Auckland University of Technology, and I'd followed their work for a while. We don't do speech therapy here, it was rehabilitation research, and I was offered an opportunity to be a research officer doing interventions as part of a randomized control trial with people with traumatic brain injury. And so that kind of gave me the space to bring together some clinical work, but also some research work. It gave me the opportunity to do my Masters alongside this with my fees paid. So that was fantastic. And it really solidified for me that I was quite happy and enjoyed being in that kind of clinical research space. And so I've been in the university now for 15, nearly 16 years Ellen Bernstein-Ellis  Wow, that's a great story. So now you have a 15 year old, right? Felicity Bright I have a 16 year old who is now taller than I am. Ellen Bernstein-Ellis Well, thank you for sharing that.  I'm just really looking forward to a discussion around some, what I consider critical but hard to define and challenging to research topics. like engagement, wellbeing and hope.  I want to start by asking, how did you end up researching a topic like engagement or hope? You did say during our planning meeting that you research things that you're bad at, which made me laugh. So that sounds like some courageous and reflective exploration. So maybe talk a little more about that. Felicity Bright Yeah, I am a bit of a selfish researcher. I research the things that I find tricky and a little bit hard, because for me, I want to learn how can I do better at this? How can I help my students learn how to be better in these areas? How can I help clinicians not make the mistakes that  I've made. I guess trying to be a better clinician has been at the heart of a lot of the work that I do. And you know, when I was working full time in clinical practice, I had patients who would stick with me where I just felt I let them down. They had such a short window of rehabilitation access. They were living with stroke for the rest of their lives. They maybe had eight or 12 weeks of speech therapy. There were just times when I really felt I missed the mark for them, when they didn't get the best rehab they could have had. And it was when I was working in the university in this randomized control trial of goal setting interventions after traumatic brain injury that it started to help me reflect on some of the why I was maybe having some of the challenges I was having. So in this trial, which was quite prescribed because it's a randomized control trial, I was noticing that patients seem to be engaging with these interventions a lot more than the people who I worked with in clinical practice, and that kind of surprised me a little bit. I also noticed that-- we were using Mark Ylvisaker's approach to goal setting around what  is meaningful identity based goal setting--and people were identifying hopes and goals and dreams that would have left me panicking as a speech and language therapist. What do I do about this? But it made me realize, actually, I didn't need to panic about that, and there were ways to engage with people about their hopes and dreams that honored those hopes and dreams, that kept them alive. But also, I could see ways that  I could work with this. I could bring my speech therapy hat and help people. And so it highlighted to me that maybe the things that I had perceived to be difficult or issues, didn't need to be and there were ways to think about these things differently and ways to work differently to better support people. So working on this trial, and I did some quite structured reflection around that with some of my colleagues, writing in auto ethnography around this, gave me the opportunity to reflect on these areas, but also highlighted that there was the real opportunity to do more nuanced and more detailed research that would bring to life different ways that we could support people to hold hope, to engage in rehabilitation that is meaningful and that might be able to produce some quite tangible suggestions to support clinicians and to support the people with stroke who we work with. Ellen Bernstein-Ellis  I just want to say that these intangible, some what we call intangible topics that you've tackled, you always seem to end with tangible suggestions, and that's what I have found so inspiring. And we're going to circle back to hope in a few more questions. But, I just want to say, not only has my clinical thinking been informed and inspired by your research topics, but I've also just learned so much from the variety of qualitative methodologies that you've used in your work. I was wondering if you could share how you developed your expertise in qualitative research, maybe even offer some tips to people wanting to develop their own skill set. And okay, maybe I'm being a little selfish interviewer. You just said selfish researcher, but I found this challenging, and I've been trying to dip my toe, or I've fallen in head first,  trying to develop my skill set around qualitative research. What's your advice?  Felicity Bright  I was really fortunate. I came into research, into a team that had qualitative expertise and that used a variety, but not a wide variety, of different qualitative approaches. And it was a team, and still is a team, that has really high standards for methodological rigor. So to us, it's really important to do research that is robust and rigorous and that anchors back to the underpinning theory and philosophy that underlies each of the approaches that we use. But I was also really lucky in my research that I had supervisors and bosses who really supported innovation, who didn't tell me, no, this is how we do things, who didn't expect me to come into a study and do it just as they had told me to do. But they created the space for me to explore when I was working as a clinical researcher, but also as a master's and as a PhD student. Really had no issues when I said I'm going to go to the library, and I would just sit in the library and read qualitative textbooks and come back with a completely hair brained idea, but that actually turned into something that was really interesting and meaningful. So the Voice Centered Relational Approach that I've used a number of times came from sitting in the library one afternoon and just reading Feminist Research Methodology books. And I think one of my tips would be read outside speech and language therapy. There's amazing work that is happening, not just in the health disciplines or education spaces, but I love reading health sociology journals. I get notifications of a number of different journal types that alert me to different work. One of my recent projects I used Applied Tensions Analysis, which I'd never heard of, but I had a notification come across for a paper about domestic violence settings and kind of how services work. That's not in my area of research or clinical expertise, but there was something within that abstract that made me go, oh, there's an idea there that is similar to the ideas that I'm trying to get at in my stroke research. And so reading widely, I use Twitter a lot as a way of, kind of coming up to date with different research. I use trial and error. I've tried things and got them terribly wrong. I tried Grounded Theory  for about a year for my Masters, and it was atrocious. But also I found that doing research with people with aphasia pushes you to be innovative. A lot of the methodologies as they are published don't necessarily quite fit with the types of interviews or the types of data that we have, and so for me, that's provided an opportunity to test and do things differently. Ellen Bernstein-Ellis I mean, that's an inspiring response and encouraging support. So thank you. During our planning discussion, you also referred me to the Life Thread model and the 2008 article by Ellis Hill, Payne and Ward. What a wonderful article. So thank you for that. I was particularly taken with its implications for clinical practice and how it might guide us in asking questions in a better way to help us understand the social realities of our clients, to prioritize that. To understand how important the social reality is for our clients. Could you please share with our listeners some of the core concepts of the Life Thread model and how it's informed your work? Because I do see the connection there. Felicity Bright  Yeah, I came across this, Carolyn Alice Hill, who developed it, I think, as part of her PhD, was a collaborator of one of my PhD supervisors, and so Cath put me onto it. But the Life Threads model is about identity. And Carolyn's work was in stroke, and she was kind of talking to how identity changes and develops over time. And the Life Threads model talks to how our lives and our identities are made up of many threads, and those threads, they can change over time. But when there's a traumatic event like a stroke, it can cause some threads to break or be frayed, and that can be really challenging. We know there's a lot of work around aphasia and identity construction and identity loss, that's come around. But also what we know is that stroke can also prompt people to think about what are the threads that they want to continue post stroke.  Maybe there are some threads, I found in my hope research, where people are saying,”I don't want to be that person anymore. That's not something that I value”, and for them, sometimes the stroke could be an opportunity to rethink what are the threads that I now want to bring into my life as I weave this new identity of somebody post stroke, but still continues threads that have come through from before the stroke. We know from the hope research that I was doing that it was often really hard for people to see these threads.  It kind of felt like there was a pre-stroke life and a post-stroke life, and that there was quite a disruption. Those threads were cut. And so for me, it prompted questions about how do our conversations as clinicians help people identify the threads that are important for them to thread through their life. What are the new threads that they want to pick up on? You know, some of the work I've done, and we will talk about this a bit later on, around life after stroke, has highlighted how actually a lot of the conversations that happen between clinicians focus around things like tasks and activities and doing things, but there isn't necessarily a lot of conversation about identity or about what is meaningful and what do people want to carry through, and how can clinicians support that? And I would say that if we can kind of tune into the threads that matter to people or that people want to matter in their lives, it gives us a chance to tailor therapy to be much more personalized, more meaningful and more engaging, and I would suggest, probably leads to better outcomes for people. What we know from quite a bit of the research, not just my research, but other work, is that people are often doing this identity work on their own, without support. And we know that it's really hard, because our identities are social and they're relational, and they occur through connection and through communication, all of these things that are disrupted by aphasia, often. And so I think the Life Threads model really prompts us to think how can we as clinicians, support people to engage in conversations about identity, and how can we overtly, really attend to supporting identity within the work that we do. Ellen Bernstein-Ellis  Wow, that's beautiful. And yes, I think there's been, fortunately, a growing understanding of the importance of looking at the lack of support for this identity work with us with our clients, and I can really see how the Life Threads model has played an important role in your thinking and research. I recommend our readers to the article because it has some great examples of how to maybe flex the way you ask questions to help understand the narrative better. So I think it's, a marvelous article, I just want to take a moment and let our listeners know about the fabulous interview that you did with Michael Biel on the ANCDS podcast where you discussed engagement and ways you might incorporate Goal Attainment Scaling to help our clients establish meaningful goals.  I'll put the link to that, along with the citations to all of the work we're discussing today in our show notes. That also gives me a chance to say I don't have to cover everything today, because he did a really good job on those topics. But at the end of that podcast with Michael, you highlighted what was coming next, and that was your work on wellbeing. You've been exploring, and this is a quote by you, “what does it look like to explicitly attend to holistic, long term wellbeing?” Can you discuss some of the takeaways from your 2024 article, Psychosocial Well being After Stroke in Aotearoa, New Zealand, a Qualitative Meta-synthesis with your co authors, Ibell-Roberts and Wilson. Maybe we can just start by talking about the term psychosocial wellbeing. That's an important one to understand, but it can vary depending on one's cultural context.  Just to start with that, so yeah, good luck with all of that! Felicity Bright  It's a massive question, and it's funny, I started with the term psychosocial wellbeing, and I really intentionally used the language of psychosocial to kind of move away from thinking about just psychological wellbeing, which tended to be framed more from a mood perspective. And so I really wanted to be attending to some of the emotional, and the social, and the relational elements of wellbeing. But actually, I've now dropped the psychosocial because what we found is, when we talk to our people with stroke in the community, as part of our research, that term is completely meaningless to them, but the term wellbeing is something that resonates. Wellbeing is a really, firstly, a really nebulous term, but it's also really multifaceted. And I guess the place we've come to is, we view wellbeing as kind of quite unique to an individual, but it's deeply relational, and it's influenced through connection with people, with their cultures and with their communities, and all of those areas need attention. Now, in this piece of work that you referred to, Qualitative Metasynthesis, we were looking across the literature in Aotearoa, New Zealand, when we look at all the work that's been done, looking at life after stroke, and living life after stroke, what do people say about wellbeing and that highlighted that there were a number of features. Now, one thing I want to flag is that within New Zealand, we have an indigenous population, the  Māori population of New Zealand, who have been here for centuries before Pakeha came and colonized New Zealand. And one of the things that's been really important in our work is to really make sure that we are upholding the voices of Māori, who are often either not included in research, or are involved in research that is not particularly culturally safe, or where their perspectives are kind of subsumed within the wider perspectives of the dominant Pakeha, or European culture. And so one of the things we've been really lucky to do with this is to have my colleague BJ Wilson, who was leading the Māori stream, so she engaged with our  Māori data and literature uniquely. So we upheld that in its own right. That's context, because I'm going to talk to two different ways of thinking about wellbeing, one that was general from all of the literature and one that was specific to Māori . So when we look across all of the New Zealand literature, including the  Māori literature, we kind of saw there were probably four key areas that seemed to matter for wellbeing. Having strong connections with family, with old, pre stroke friends, but also with new friends, people who had also been through stroke and had some similar experiences. The sense of self that was connected, where people had a sense of being connected to who they were before the stroke, who they are now, and have an idea of who do I want to be in the future? And there was a sense of coherence, sense of thread that went between those identities. There was, when they experienced wellbeing,  a general sense of stability in the present. So things were okay now. It didn't mean that things were perfect. Some of the literature has suggested that people have to have positive emotions if they're going to have a sense of wellbeing. But actually, this qualitative meta synthesis, and the following qualitative work we've done has suggested, no, life is never 100% positive for any of us, but it's about having a balance of, yes, maybe there are some hard times, but also there are some good times as well.  That overall, there's an equilibrium of emotions, Ellen Bernstein-Ellis  Right the duality, like be able to hold the duality Felicity Bright  Absolutely and kind of be okay with it, recognize that each of them has a time and a place. People also, when there was a sense of wellbeing, had a vision for the future, kind of a sense of moving towards that. So, yes,  they were okay in the present, but they also had a sense that the present is not my future for the rest of my life. I can see a life that is meaningful and enjoyable, and I'm taking steps towards it. But when we looked at the literature from Māori, and this was the analysis led by my colleague, Bobby-Jo, it also came through ideas like whanaungatanga and ngā hono. So whanaungatanga talks to the notion of connections, and ngā hono talks to connections and kind of belonging as well. And that was a sense of connection to whānau. So that is to people's wider kinship networks, not just blood relations like a family would be, but to kinship networks who are meaningful to the person. Having a sense of connection and belonging in their community, but also to places of meaning. So not just people, but to places. We also notice an idea around ko ahau, so being connected to their identity as Māori, to their cultural identity, in a sense that their cultural identity was recognized and was valued and supported by those around them, including healthcare professionals. Ideas of mana and wairua. So mana talks to the inherent standing and value that an individual has. And we all know that in a healthcare context, actually, that can be diminished because you become a patient in the healthcare context. But actually, for wellbeing, having that mana recognized and valued and upheld was really critical. And when one's personhood is understood and respected, that also helped with the sense of wairua, I guess, the spiritual essence of the person. And finally, was the notion of rangatiratanga, which is about autonomy and control and the ability to make decisions for oneself.  We can see that while there were similarities between our  Māori and our non-Māori groups, there were also cultural differences. So for wellbeing, for Māori, had wider integrations with their sense of whānau, their family and kinship networks, and for their culture and wellbeing was unique for each whānau within the research. Ellen Bernstein-Ellis  I'd like to take a moment and have you elaborate a little bit more on that concept of the relationship of whānau to wellbeing, and how the whānau may be impacted by the stroke and subsequent aphasia. So often our family and support network does not receive direct attention. And here, you're elevating it quite a bit, so maybe you could speak to that a bit more. This is really top of mind for me, because I just went to a think tank meeting and hearing the stories of the care providers saying, I'm not sure I mattered in this equation of my spouse's health care rehabilitation.It just really struck me to hear that. So please, let's talk a little bit more about those values. Felicity Bright  Yeah, absolutely, for all of the people in our wellbeing research and in the previous hope research and so on that I've done, kind of people's whānau, their family and their social connections were absolutely critical to their recovery. And what came through, when we were looking at Māori experiences, was particularly also the intergenerational aspect, like sometimes within stroke services, we might think about the partner a little bit, not always particularly well. And I'll talk to that in a minute. But actually, we could also hear within our  Māori whānau, kind of the impacts for generations above and generations below, like the disruption to relationships between grandparents and grandchildren, and how the grandparent who may have aphasia, would usually have a really critical role in passing on family knowledge, or passing on Matauranga, kind of Māori cultural knowledge. But actually, because of the way the stroke affected them, they couldn't do that and take that role on, and so that impacted not just on the relationship, but also kind of on the identity and how Māori culture could be passed on through a whānau unit. But we've also heard exactly what you talk about. Our services are focused around the person with stroke rather than their whānau, but our services are also really short term. And so what  we can see from the research is that the family and the whānau become the connectors and the supporters. They are the consistent people. They hold, usually, deep knowledge of the person that often the healthcare professional doesn't hold. And we're doing some work at the moment around communication access in stroke units.  And even in the context of really significant aphasia, we're hearing about how whānau, even though they don't know about aphasia, they don't know about communication strategies.  But because they know how to read the person, they know their non verbal communication, they are actually really powerful translators, and hold the expertise that, actually, we don't hold as Speech and Language Therapists.  But we also know that the whānau are key in helping people access supports outside the healthcare system, and they do a lot of that navigation work that they are left to do because the healthcare system doesn't do it very well. And like you say, that's really challenging when the whānau's well-being is impacted themselves, you know, but that isn't seen consistently, and it isn't acknowledged. They very quickly become the carer, rather than, this is this person's wife and they've been married for 45 years. Or this is this person's husband, and they've got three young children at home. What is this going to mean for their relationship as a couple, for their relationship as parents? And so the families are talking to us about the exhaustion and the grief and the shock and the loss.  The relief that the person is alive, but again, the duality, there is relief, but there is also distress from the way that the stroke is impacting. And so we would really be calling for much more focus on everybody's wellbeing in this context, because if the wellbeing of whānau is not there, that impacts also on the wellbeing of the person. And I think we need to be shifting how we think about who is our client, whose needs do we serve, and what is our role in supporting the social and relational context around the person Ellen Bernstein-Ellis  That's beautiful. You really highlighted that role, the role of the whānau. And you also identify, Felicity, some other key contributors to wellbeing, and then how those might really impact our clinical goal setting, and I know that's always such an important aspect of how we think as clinicians. You have to document because we're in a system, which we'll talk about. Maybe you can share some other factors that you identified. Felicity Bright  Yeah, so I would be encouraging people to think about what are all the things that seem to support people's long term wellbeing? And those are things, like the relationships they hold within their family, but also within their social networks and within their work networks and so on, Thinking about the different emotions that people might be experiencing. Thinking about hope and what supports people to hold hope, and what do people hope for. Think about the connections that matter to people, the connections to people.  The cultural things that matter for people's wellbeing.  The connections to community activities and roles and so on. And think about the things that matter and are meaningful for individuals that usually fall outside our traditional SMART goals that we use in New Zealand, you know? Is it smart, specific, measurable, achievable, realistic, time bound? What is it? I would be saying our goal should be focusing on what makes a good life for this person. And I would be encouraging you, if you're a clinician, looking at the goals that you're setting for the person.  Where is the good life in those goals? Is that up front and center and documented on the page that everyone can see it? That's something I learned through my goal setting research. That was my first research job, the importance of taking people's words, putting their words on a page, and keeping the words where everybody could see it. So where are the things that support wellbeing and that constitute a good life in our goal setting? Where are they in the interventions that we're doing? And I would be really encouraging people to reflect on how they are making the links explicit between the therapeutic tasks and the things that really matter to people. Because we know from the engagement work that when people can see the link between what they're doing in therapy and what matters to them in life, it is much more likely to be engaging and is much more likely to support them to persist, even when it's difficult, because they can understand this is why I'm doing this thing. Ellen Bernstein-Ellis  Right? Oh, that's beautiful. That really leads nicely into another 2024 article that you've put out focused on wellbeing.  And that's The physical wellbeing is our top priority: Healthcare professionals' challenges in supporting psychosocial wellbeing and stroke services. That article examines what seems to be a mismatch between knowing as clinicians that wellbeing is important, right, and being able to specifically address it within our clinical context. So, we say that we want to, and we know it's important, but the ability to get there, it's quite challenging. I was wondering if you could highlight some of your findings and key recommendations. And I think one of those actually addresses the graduate curriculum. I think that is really going back to the beginning, right? So, please share some of the wonderful work from that article. Felicity Bright So the context for this work is, this is part of a bigger program of research I'm doing around wellbeing after stroke. And this isn't specific to people with aphasia, but we do have people with aphasia in the research.  This research came from this issue-- we've got decades of literature that says that wellbeing is important. We've got a body of literature that says clinicians know wellbeing is important, but we are persistently not addressing wellbeing, and we've got decades of patient experience data that says this is an unmet need. So I was really interested in understanding, why have we got this persistent mismatch between what is known what matters and what is done, and so using an approach called institutional ethnography to try and get into the cultures and the structures that contribute to this, the rationale behind that is I didn't want to be creating solutions that were going to be completely unattainable in the healthcare context. And so I wanted to understand what's going on in the structure of the healthcare system, and how might we be able to work with that or push against that, to create different ways of thinking about how we work to deal with this persistent issue. So this project, this part of the research, we were looking at, why are clinicians not seeming to address wellbeing? And so we interviewed over 30 clinicians, I think, within this research for a whole range of healthcare disciplines. What came through really consistently was everybody wanted to support wellbeing. Everybody thought it was important, but there were a number of factors that made it difficult, and we traced as to why that was so. Firstly, we can look back to when the person first comes into the service. They come into the emergency department. There's often a code stroke that's called. It's a time of really busy early biomedical focus around investigating the stroke, doing assessments. The first couple of days are about intervening to prevent another stroke or to prevent complications. And dysphagia assessment is a classic in New Zealand. Dysphagia assessment is usually prioritized over communication assessment because it is seen to have particular risks and contribute to particular complications. And so we've got this really early biomedical focus as people come through the first few days. Then the focus shifts a little bit to assessments and treating impairment in function. And when we were interviewing clinicians, they were talking about wanting to give people the best chance of recovery, and that linked to ideas around neuroplasticity and the importance of early intervention for maximizing neuroplasticity and brain remodeling. There was a real focus on addressing the practicalities like toileting and dressing and what was needed to get people home. And there was a view often that emotions could wait. We need to do the practicalities first. We can do the other stuff later. This was a time of focusing on helping people survive, get through and get home, and it was in the context of really busy wards.  You know, sitting and watching nurses work, they are flat out. They are understaffed, and they have very limited time to be doing these aspects of work. But all of this contributes in this wider healthcare system that in New Zealand, and I suspect internationally, is short staffed, underfunded. We've got more demand than we've got beds. There is a really strong focus on getting people home. Now that's not inherently bad. A lot of our people that we speak to want to be home. Home is a more healing environment for many people than being in hospital. But when the focus is on getting people home, and that is usually about, is the person physically safe to be home, what can happen is other forms of work and other impacts of stroke can be devalued or be forgotten. And what we could see is people were doing work to support wellbeing within this, but it was kind of a particular form of wellbeing work. They would acknowledge a person's emotions, if they came up through interactions.  They would be responding to the emotional cues that people gave off that they were maybe feeling a bit uncertain or a bit upset. They talked about the importance of listening to the person, but that was often couched in a ‘I can listen for so long, but then I need to get on with my session', because the assessment, the treatment, the moving people forward wasn't important, and they would look to others to help. But the problem is, I would say this, this did a really good job of dealing with the tip of the iceberg, the emotions that were on the surface. But if we think back to what I've just said about what matters for wellbeing,  relationships, connection, sense of self, hope, those things are not addressed. What we saw was that wellbeing was other to the core work of any individual discipline. That didn't work for anybody. Didn't work for our patients that we spoke to. It didn't work for our clinicians as well, because we could also see the moral injury and the burnout that comes when you can't offer the services that you know people are wanting and needing. And when we think about what do we do about that? Well, yeah, it's tricky, and I don't have any great answers, but training and education is one thing. So when we think about wellbeing as seen as other to the core business of the disciplines, we need to look at, what is it that we're teaching our students? What are we saying is core work of speech therapy or of physiotherapy or of nursing. I've got the privilege of chairing the accreditation body for speech therapy in New Zealand, and we are rewriting our accreditation framework at the moment that essentially dictates what programs need to teach. We now have a requirement that programs are teaching about psychosocial wellbeing, and that programs are assessing students on how they're addressing psychosocial wellbeing. We need to look at how pathways for care develop, and where is wellbeing within policies, processes, structures, documentation, Basically, it's nowhere. But we also need to look structurally, and we can talk a little bit more about structures and organizations and cultures, because I think what this work reflects is a wider issue around the cultures and the organization of care that can make it really challenging for clinicians to work in the ways that they do. Ellen Bernstein-Ellis  Oh my gosh, it's a beautiful, beautiful response. I think my favorite quote, and there were many in that article, but the one that said “people with stroke live with the impacts of a stroke system that is designed around biomedical short term care for a lifelong condition and deserve services that support them to thrive, not just survive.” I think it's what we need to bring back into the curriculum for our students to understand. And all of this ties into the importance of understanding how cultures and organizations, like you just said, of care, might impact the therapy we provide to our clients. Why do cultures and organizations of care matter? You're alluding to that. I think we've just started to reflect on that. Felicity Bright  Yeah, I've often felt there's a real risk with the research that I do that we could end up pointing the finger at clinicians of not doing things as well as they could or as well as they should. But actually, we need to understand why is this? Why does it make sense for clinicians to prioritize dysphagia over communication? Why does it make sense to prioritize getting people home, over spending the time on addressing their wider wellbeing? And I've been really lucky to work with Deb Hersh and Stacey Attrill, we did a piece of work that looked at this in the context of how speech therapists enacted therapeutic relationships. And we started by delving into why do people work in the way that they do? We started to see the cultural elements. So the needs, for instance,  your allegiances to colleagues, to be a good team player, to maintain your legitimacy. And particularly for speech therapists, who often have a slightly tenuous role in stroke teams. Physios and OTs are important, but speech therapists often have to kind of fight to kind of have their voices heard, and so that can lead to speechies behaving in particular ways. We can also see how cultures of safety impact on what people prioritize. So Abby Foster has done some beautiful work around the cultures of aphasia care and acute care, and highlighting that actually the priority for physical safety and managing dysphagia risk is privileged over the culture of or a need to think about what is the risk associated with communication and poor communication and people not having communication access. If we understand why people work as they do, and if we understand how the cultures and the structures work, then we can start to unpack them and think about what are the ways that we might be able to do things differently. You know, these cultural factors are very real, and none of them are inherently wrong, like it's not a bad thing that we're trying to prevent people getting aspiration pneumonia. That's really, really important, but we need to understand how these things shape practice and the unintended consequences that they might have for what is not valued and for what work isn't prioritized, and what outcomes don't actually seem to really matter in these contexts. And when we start to make these visible, then that opens up space to think about, how might we be able to do things differently, where we can maybe hold all of these things. And you know, in my work that I'm doing around wellbeing, that's the next phase of our work, is working with clinicians to think about, how might we be able to do things differently, so that it's not one or the other, it's not a dichotomy.  But how do we create space for all of these things to be viewed as important and to be prioritized? Ellen Bernstein-Ellis  You've started to dig into that already, because you have yet another 2024 article that you co-authored with Kayes, Soundy and Drown,  Limited conversations about constrained futures: exploring clinician conversations about life after stroke in inpatient settings. And that examines how clinicians talk about the future with their clients. It analyzes 300 hours of observation of clinical interactions, along with 76 interviews with people with aphasia and 37 clinicians. I just want to say that's an astounding undertaking. So, as I read it, it felt like almost an extension of your 2013 and  2020 articles looking at hope, because you connected how what we say can impact how our clients see their future possibilities. Can you share some of the themes you constructed from all of that amazing data collection? I mean, I'm sorry, I thought 15 interviews were a lot, so then I saw this, and I'm like, oh my goodness, amazing. Felicity Bright  It was a pretty massive piece of work, but it was a real privilege to be able to sit and just observe interactions. And I'm so grateful to our people with stroke, many of whom were like two or three days post stroke, and they had the stranger come along and sit there and observe them for 12 hours, but also to our clinicians, who were quite vulnerable in that process of having somebody observe and analyze what they were doing. But at the same time, I think that work is really valuable for looking at what is going on. What we could see is that the conversations that were being had tended to focus on quite a short term future, and we termed this theme constrained temporal horizons. When clinicians were talking about the future, the vast majority of those conversations were about the immediate future. For doctors and nurses--for nurses, it was often what needs to happen in this shift. For allied health and for doctors, it was what needs to happen before you discharge from our service into the next service. And for some allied health, it might be the first few days at home, but there was a view that talking about the longer term future beyond that should be done by other clinicians who might have more knowledge of what life could look like at that stage. We also found that the talk about quite a constrained future was in the context of actually very limited talk, in the first place. So when we think about communication access, for instance, we think, oh, people with aphasia aren't getting very good communication. Actually, lots of people with stroke are not getting very good communication. Again, thinking about cultural factors, but actually communication is not happening well in stroke units, or, I think within the wider healthcare system.  You know, we've got a very task focused, medically focused situation. And so the conversations that were happening were on topics that were led by healthcare professionals, on the topics that they felt mattered-- the tasks they needed to do, the body structures and impairments. The goals that were set were about what needs to happen before somebody gets home. There was little talk about emotions. There was little talk about how you're feeling about what's going on, or what it might be like for you or for your family when you go home. And so this talk about the emotions and so on and future possibilities was left to patients and to families to raise. And instead, the conversations tended to focus on what the healthcare professionals saw as essential topics for the episode of care. We certainly did see some conversations about the future. So I don't want to be disparaging, and I also want to acknowledge the very partial nature of research. I did not see every single interaction. I know that a lot of these quite personal conversations often happen in things like the shower, when the nurses or the OTS are helping the person shower.  That's one of the few private spaces on the ward. And so I want to acknowledge that my analysis is based on a limited data set, and it isn't based on all the conversations that happened, but certainly there was a trend towards limited conversations. We did see that clinicians would open some doors about the future. So they would talk about possible prognosis in the context of things like upper limb prognostic testing that is offered in some hospitals in New Zealand. We would see clinicians talk about what was meaningful to people, particularly in a context where the patient was struggling to engage, but often when the clinicians were talking about this wider future in this context, it was done to try and plant seeds about what the healthcare professional thought was realistic, and it was done to try and help the person engage in rehabilitation in the context of maybe struggling to engage at the best of times. So I think what we could see was that conversations were limited. They were limited conversations about short term, constrained futures that didn't necessarily set people up with hope for the future, with a sense of possibility, with a sense of even starting that process about what matters, to thinking about what matters to me, what do I want life to look like? Ellen Bernstein-Ellis  Wow, and that really just circles us back to that concept of hope. Your work in hope has just been so meaningful to me. I've been really honored to be the guest lecturer speaking about aphasia to our counseling course that's taught by Dr Shubha Kashinath at Cal State, East Bay. And I've included, from the beginning, your work on hope. I just feel it's critical to give our students ways to understand and think about this construct and the role they can have in offering some hope building clinical interactions. I'd like to close this interview by having you discuss some of your first work that I had the honor to read, and some of the hope affirming strategies that you suggest in your 2020 article. Because I just think that's really a gift. Felicity Bright  One of the things that really fascinated me in this work was how our people with aphasia in the research talked about how they look at their clinician and they are reading them to see, are you somebody who's going to give me hope or not? And if they didn't feel their clinician was going to support their hope or was going to help give them hope, or was going to disparage their hopes, they would shut down and they wouldn't share. And so I think, one of the things is to be reflecting on yourself.  What are the messages that you are giving about how you are a safe person to talk to, about whether you are somebody that they can engage in these risky conversations about? I think there's a couple of things as well. We need to recognize that just because somebody says they hope for something doesn't mean that they expect it to happen. We all have unrealistic hopes and expectations. You know,  psychologist colleagues talk to me about how actually having unrealistic hope is part of being psychologically adjusted, and why should that be different for people with stroke? Who are we to say that we hold the expertise. Now, that's not to say that there aren't challenges. So sometimes you might need to do a bit of a balance of, oh, is this something I need to engage in a conversation about? You know, an example is, if somebody is going to invest quite a bit of money in something that actually, there's no evidence to support and could potentially be problematic. There's a really good guideline I found from Christy Simpson, who's an ethicist, who talked about what are the positive effects that this hope has for people? What would be the impacts of taking it away, both positive, but also, what are the negative things that it would do? And so actually engaging in a bit of a risk analysis to think critically about what is holding this hope doing for somebody. Linked to that in the latest paper we did around recalibrating hope, it really highlighted to me the importance of trusting people to often recalibrate their own hopes. So I went back to my original participants from my 2013 research a couple of years later, and I looked at their experiences of hope over that time. And what we found was most of them recalibrated their hopes. They hoped for different things over that time, and they had done that as they engaged in different activities, as they tried things, as they considered their progress, as they rethought what mattered to them. And so that really highlighted, to me, the need to trust people, but it also highlighted the need to think about, how do we support a context that supports people to do that recalibration. Those who were more likely to recalibrate and hold both hope and realism together were people who had social networks, who were engaging in meaningful activities, and who had a sense of purpose and possibility. One of my participants didn't have that. They had lost their social connections. They had no activities in which they were engaging in what was meaningful, and their hope had shrunk. And so it talks to me again, those earlier conversations we've had about well being, thinking about what's meaningful, what supports wellbeing, that's exactly the same thing that supports hope. How are we supporting people's social wellbeing? How are we supporting their relational wellbeing? How are we helping them connect to what is meaningful and what is possible, not just to their impairments, and maybe what is not working so well. I think it's really important to be explicitly thinking about, what is it that helps people bring joy, have joy? What brings them peace in the present? And how can we help them have that sense that things are okay, even if they're not perfect, but also help them have that sense of looking to a future that's possible. Ellen Bernstein-Ellis  Okay, we only have a minute or two left, but I'm going to throw this last question out to you. Felicity, if you had to pick only one thing that we need to achieve urgently as a community of providers, of professionals, what would that one thing be? This is almost like your elevator pitch. You got 60 seconds here. So, so Felicity Bright  So my one thing, in a long, complex sentence, is that speech and language therapists need to reprioritize communication and supporting people to live well after stroke and aphasia, and they need to consider how we model to our colleagues and to our patients and families, and how we support cultures of care that value relationships and relational work, that value and support communication, and that value and support wellbeing.    Ellen Bernstein-Ellis  Oh my goodness, well said, Felicity. Thank you so much for the honor of having this interview today. I know it's going to be impactful to our listeners, and I want to thank our listeners as well. For references and resources mentioned in today's show,  please see our show notes. They're available on our website@www.aphasiaaccess.org and there you can also become a member of our organization, browse our growing library of materials and find out about the Aphasia Access Academy, and if you have an idea for a future podcast episode, email us at info@aphasia access.org.  For Aphasia Access Conversations,  I'm Ellen Bernstein-Ellis, and thanks again for your ongoing support of Aphasia Access. Thank you, Felicity. Felicity Bright  My pleasure. Thank you for having me.   References and Resources AUT Centre for Person Centred Research: https://cpcr.aut.ac.nz/our-research Biel, M. (Host). (2016). An interview with Felicity Bright: The patient's engagement and experience with you, the speech pathologist (No. 2) [audio podcast episode). ANCDS. SoundCloud.https://soundcloud.com/ancds/ep-2-an-interview-with-felicity-bright-the-patients-engagement-and-experience?utm_source=www.ancds.org&utm_campaign=wtshare&utm_medium=widget&utm_content=https%253A%252F%252Fsoundcloud.com%252Fancds%252Fep-2-an-interview-with-felicity-bright-the-patients-engagement-and-experience  Bright, F. A., Ibell‐Roberts, C., Featherstone, K., Signal, N., Wilson, B. J., Collier, A., & Fu, V. (2024). ‘Physical well‐being is our top priority': Healthcare professionals' challenges in supporting psychosocial well‐being in stroke services. Health Expectations, 27(2), e14016. Bright, F. A., Ibell-Roberts, C., & Wilson, B. J. (2024). Psychosocial well-being after stroke in Aotearoa New Zealand: a qualitative metasynthesis. Disability and Rehabilitation, 46(10), 2000-2013. Bright, F. A., Kayes, N. M., McCann, C. M., & McPherson, K. M. (2013). Hope in people with aphasia. Aphasiology, 27(1), 41-58. Bright, F. A., McCann, C. M., & Kayes, N. M. (2020). Recalibrating hope: A longitudinal study of the experiences of people with aphasia after stroke. Scandinavian Journal of Caring Sciences, 34(2), 428-435. Bright, F. A., Kayes, N. M., Soundy, A., & Drown, J. (2024). Limited conversations about constrained futures: exploring clinicians' conversations about life after stroke in inpatient settings. Brain Impairment, 25(1). Ellis-Hill, C., Payne, S., & Ward, C. (2008). Using stroke to explore the life thread model: an alternative approach to understanding rehabilitation following an acquired disability. Disability and rehabilitation, 30(2), 150-159. Foster, A., O'Halloran, R., Rose, M., & Worrall, L. (2016). “Communication is taking a back seat”: speech pathologists' perceptions of aphasia management in acute hospital settings. Aphasiology, 30(5), 585-608. Parr, S., Byng, S., & Gilpin, S. (1997). Talking about aphasia: Living with loss of language after stroke. McGraw-Hill Education (UK). Simpson, C. (2004). When hope makes us vulnerable: A discussion of patient-healthcare provider interactions in the context of hope. Bioethics, 18(5), 428-447

This episode of The WildStory is all about the southernmost point in New Jersey—beautiful Cape May, known to beachgoers as a summer destination. But for nature lovers, September is migration season and the very best time to head to Cape May. Which is exactly what many of us from the Native Plant Society of New Jersey will be doing, for a special trip to Cape May the weekend of September 27th through the 29th. The retreat sold out faster than we anticipated, but we wanted to share some of the wonders of the area with you in this episode, which includes an inspiring roster of guests from South Jersey.  Our featured poet is Penny Harter (4:00), who has lived and written in May's Landing for the past dozen years. Penny and Ann spoke about memory, grief, and the everyday creatures and objects that become the imagery that fills her poetry. Penny also offers a mini-lesson on haibun, a beloved Japanese form near to her heart, a form that allows ideas to ripple and expand, like rings upon a lake,   In Ask Randi, Dr. Randi Eckel (0:32:00), a native plant expert for NPSNJ and owner of Toadshade Wildflower Farm, talks about entering fall, when the many species of goldenrod come into their glory. She clears up the confusion between goldenrod and ragweed and shares why Seaside Goldenrod, which grows along the seashore, is one of her favorites.    We then hear from naturalist Mark Garland (0:44:54) the Director Emeritus of the Cape May Monarch Monitoring Project. Mark has lived and worked in Cape May for more than 20 years and is the author of Watching Nature: A Mid-Atlantic Natural History. Mark talks with Kim about the Monarch butterfly and why its migration is unlike any other that we know of on this planet.    In our final segment, Kim and Ann catch up with naturalist Pat Sutton (01:09:04), who has lived and worked in the Cape May area for over 40 years. Pat shares her knowledge of Cape May Island, one of the top spots in the world to see butterfly and bird migration. She points out her favorite places to visit and tells us about her film, "The UNFOLDING of Pat Sutton's WILDLIFE GARDEN,” which features her 1/2 acre home wildlife habitat which encompasses 202 native plants, 61 trees, shrubs, and vines, 9 grasses, 5 ferns, 213 bird species, 79 butterfly species and 113 other pollinators.    Thank you for joining us on The WildStory. Follow us on Instagram Here to see clips. Hosted by Ann E. Wallace, PhD Poet Laureate of Jersey City Co-host Kim Correro, Rutgers Master Gardener and Director of State Programs Special Contributor Dr. Randi Eckel Entomologist and Vice President of Membership NPSNJ

This week's guest holds an extra special place in Emily's heart. Emily met Nancy Goldberg when she was nine years old at the Belvoir Terrace Summer Girls Performing Arts Camp. As Owner and Director Emeritus, Nancy has dedicated her life to enriching and educating young girls. In this Candid Convo, Nancy reflects on her love for teaching from a young age; her own experiences with summer camps growing up; and launching a renowned arts program for people with Williams Syndrome. She also offers a powerful message on morality and empathy that's much needed in today's busy world.   She Pivots was created by host Emily Tisch Sussman to highlight women, their stories, and how their pivot became their success. To learn more about Nancy, follow us on Instagram @ShePivotsThePodcast or visit shepivotsthepodcast.com.Support the show: https://www.shepivotsthepodcast.com/See omnystudio.com/listener for privacy information.

The Richard Syrett Show, September 3rd, 2024 Subscribe to Richard's newsletter, "Why I Fight" Scroll to bottom of page https://sauga960am.ca/programs/the-richard-syrett-show THE SMART MONEY Odds of a half-point Bank of Canada cut are rising, say these economists https://financialpost.com/news/bank-of-canada-could-cut-rate-half-point-economists  Economy beats Bank of Canada forecast with 2.1% growth https://financialpost.com/news/economy/canada-gdp-beats-bank-of-canada-forecast China Responds to Canada's EV Tariffs With Rapeseed Probe https://www.bnnbloomberg.ca/investing/commodities/2024/09/03/china-to-launch-anti-dumping-probe-into-canadian-rapeseed/ What are REITs? https://www.fool.ca/2024/09/01/the-top-canadian-reits-to-buy-this-fall/  Taxing wealthy people's unrealized capital gains is not closing a 'loophole' https://ca.finance.yahoo.com/news/taxing-wealthy-people-unrealized-capital-131433312.html  Jonathan Wellum – President and CEO of Rocklinc Investment Partners 905-631-5462 info@rocklinc.com THE HOME SCHOOL ADVISOR How Education Technology Companies Pitch AI to Teachers https://www.govtech.com/education/how-education-technology-companies-pitch-ai-to-teachers  Robert Bortins – CEO of Classical Conversations, helping Classical, Christian Home Schoolers in fifty states and thirty countries including Canada. Classical Conversations dot com Wells Senate appointment a calculated insult to Alberta https://www.westernstandard.news/opinion/hannaford-wells-senate-appointment-a-calculated-insult-to-alberta/57464 Nigel Hannaford is Opinion Editor of the Western Standard Ontario school hid girl's transition, called CAS on parents questioning trans identity https://nationalpost.com/news/canada/ontario-school-hid-students-transgender-transition Mia Hughes – is a Journalist, a researcher for Michael Shellenberger's nonprofit Environmental Progress and the author of the WPATH Files follow on X @_CryMiaRiver "Reagan" the New Biopic about President Ronald Reagan  Ken Khachigian Author of Behind Closed Doors: In the Room with Reagan & Nixon. Director Emeritus of the Richard Nixon Foundation Board of Directors. Chief Speechwriter and Senior Political Advisor for President Reagan. https://www.reaganandnixon.com Learn more about your ad choices. Visit megaphone.fm/adchoices

The Richard Syrett Show, August 29th, 2024 Subscribe to Richard's newsletter, "Why I Fight" Scroll to bottom of page https://sauga960am.ca/programs/the-richard-syrett-show Trump indicted a second time in election subversion case brought by special counsel Jack Smith  https://www.foxnews.com/politics/trump-indicted-second-time-election-subversion-case-brought-special-counsel-jack-smith  John O'Connor – U.S. Attorney and Author of “Postgate: How the Washington Post Betrayed Deep Throat, Covered Up Watergate, and Began Today's Partisan Advocacy Journalism; Mysteries of Watergate: What Really Happened and Host of The Mysteries of Watergate podcast. https://www.postgatebook.com KEEPING AN EYE ON YOUR MONEY Poll shows Canadians want carbon tax-on-tax scrapped https://www.taxpayer.com/newsroom/poll-shows-canadians-want-carbon-tax-on-tax-scrapped  Franco Terrazzano Federal Director at the Canadian Taxpayers Federation IN DEFENSE OF WOMEN Australian judge enforces gender identity like it's the state religion https://nationalpost.com/opinion/amy-hamm-australian-judge-enforces-gender-identity-like-its-the-state-religion  Maureen Sullivan caWsbar Steering Committee member - Canadian Womens Sex Based Rights GET INVOLVED https://www.cawsbar.ca Hundreds of Former Aides to Bush, Romney, and McCain Endorse Harris https://publiusnationalpost.substack.com/p/as-famous-dems-like-rfk-jr-and-tulsi  Ken Khachigian Author of Behind Closed Doors: In the Room with Reagan & Nixon. Director Emeritus of the Richard Nixon Foundation Board of Directors. Chief Speechwriter and Senior Political Advisor for President Reagan Blacklock's coverage of alleged 2021 voting irregularities is stoking anti-Asian racism, says Liberal MP Leah Taylor Roy (Aurora-Oak Ridges, Ont.)  https://www.blacklocks.ca/blacklocks-looks-racist-mp/ Police six years ago were unaware of a torture video allegedly linking a Canadian terror suspect to the Islamic State in Iraq and Syria, Public Safety Minister Dominic LeBlanc yesterday told the Commons public safety committee  https://www.blacklocks.ca/unaware-of-shocking-video/   Security Failure Angers MPs https://www.blacklocks.ca/security-failure-angers-mps/  Tom Korski, Managing Editor Blacklock's Reporter Subscribe: https://www.blacklocks.ca Why so little discussion on climate change at the Democratic National Convention? Is Europe having second thoughts about achieving Net Zero emissions? U.S. state and federal governments increasingly want to seize land for green energy   Steve Goreham is Executive Director of the Climate Science Coalition of America and author of four books on energy, climate change, and sustainable development, with over 100,000 copies in print. Steve's new book, Green Breakdown: The Coming Renewable Energy Failure, came out August last year. Learn more about your ad choices. Visit megaphone.fm/adchoices

In episode 97 of Cybersecurity Where You Are, Tony Sager is joined by the following guests:Dr. Ramon Barquin, Board Member at the Center for Internet Security® (CIS®) and President and Chief Executive Officer at Barquin InternationalFranklin Reeder, Director Emeritus and Founding Chair of CIS as well as Director of the National Cybersecurity Scholarship FoundationClint Kreitner, Founding President/CEO and Former Board Member at CISTogether, they look back at how much CIS has accomplished as an organization in the leadup to its 25th birthday.Here are some highlights from our episode:06:04. What brought everyone to CIS's founding meeting at the Cosmos Club16:08. The first steps to operationalizing the takeaways of the Cosmos Club meeting25:40. How CIS's business model came to be34:24. The events that brought the Multi-State Information Sharing and Analysis Center® (MS-ISAC®) into CIS42:42. Tracing the past forward to where we are nowResources20 Years of Creating Confidence in the Connected WorldEpisode 35: Remembering the Late Alan PallerReasonable Cybersecurity GuideEpisode 79: Advancing Common Good in Cybersecurity – Part 1MS-ISAC: 20 Years as Your Trusted Cyber Defense CommunityDr. Ramon BarquinFranklin ReederIf you have some feedback or an idea for an upcoming episode of Cybersecurity Where You Are, let us know by emailing podcast@cisecurity.org.

Andrew Jackson is the Director Emeritus of Queens Library's Langston Hughes Community Library and Cultural Center where he served in that role before retiring in 2017. He is also a past president of the Black Caucus of the American Library Association from 2004-2006. Andrew is currently an adjunct professor at both York and Queens colleges where he has taught a combined 23 years. A published author and essayist, Andrew wrote the Foreword to the 9th and 10th Editions of The African American Almanac and Queens Notes: Facts About the Forgotten Borough of Queens, New York.  He co-edited the award-winning book, The 21st Century Black Librarian in America: Issues and Challenges, and his essay, In The Tradition: The Legacy of Cultural Messengers From Langston Hughes to Tupac Shakur, was published in Phati'tude Literary Magazine.  Andrew is currently working on the Third Edition of The Handbook of Black Librarianship, due to be published in 2024.

So what's exceptional about America? According to the writer, film producer and scholar Jonathan Taplin, American exceptionalism lies its uniquely global cultural influence. For Taplin - the tour manager for Bob Dylan & producer of Martin Scorcese's masterpiece Mean Streets - this reflects what he calls America's right-brain power which dominated the world in the second half of the 20th century. Today, however, he says, left-brained tech magnates like Peter Thiel and Elon Musk are all powerful and, as a consequence, are triggering an existential crisis of creativity in America. In this age of the algorithm, Taplin worries, the US will be just another unimaginative player in the global race to control the digital economy. Jonathan Taplin is a writer, film producer and scholar. He is the Director Emeritus of the Annenberg Innovation Lab at the University of Southern California and was a Professor at the USC Annenberg School from 2003-2016 in the field of international communication management and digital media entertainment. Taplin began his entertainment career in 1969 as Tour Manager for Bob Dylan and The Band. In 1973 he produced Martin Scorsese's first feature film, Mean Streets, which was selected for the Cannes Film Festival. Between 1974 and 1996, Taplin produced 26 hours of television documentaries (including The Prize and Cadillac Desert for PBS) and 12 feature films including The Last Waltz, Until The End of the World, Under Fire and To Die For. His films were nominated for Oscar and Golden Globe awards and chosen for The Cannes Film Festival five times. In 1984 Taplin acted as the investment advisor to the Bass Brothers in their successful attempt to save Walt Disney Studios from a corporate raid. This experience brought him to Merrill Lynch, where he served as vice president of media mergers and acquisitions. In this role, he helped re-engineer the media landscape on transactions such as the leveraged buyout of Viacom. Taplin was a founder of Intertainer and has served as its Chairman and CEO since June 1996. Intertainer was the pioneer video-on-demand company for both cable and broadband Internet markets. Taplin holds two patents for video on demand technologies. Professor Taplin has provided consulting services on Broadband technology to the President of Portugal and the Parliament of the Spanish state of Catalonia and the Government of Singapore. Mr. Taplin graduated from Princeton University. He is a member of the Academy Of Motion Picture Arts and Sciences and sits on the Author's Guild Council and the Board of the American Music Association. Mr. Taplin was appointed to the California Broadband Task Force and the City of Los Angles Technology and Innovation Council. He was named one of the 50 most social media savvy professors in America by Online College and one of the 100 American Digerati by Deloitte's Edge Institute.Named as one of the "100 most connected men" by GQ magazine, Andrew Keen is amongst the world's best known broadcasters and commentators. In addition to presenting KEEN ON, he is the host of the long-running How To Fix Democracy show. He is also the author of four prescient books about digital technology: CULT OF THE AMATEUR, DIGITAL VERTIGO, THE INTERNET IS NOT THE ANSWER and HOW TO FIX THE FUTURE. Andrew lives in San Francisco, is married to Cassandra Knight, Google's VP of Litigation & Discovery, and has two grown children.Keen On is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit keenon.substack.com/subscribe

In this episode, George Selgin, senior fellow at the Cato Institute, discusses the recent proposals by Donald Trump, Robert F. Kennedy Jr., and Senator Cynthia Lummis for the U.S. government to establish a strategic bitcoin reserve. George provides his insights into the differences between these proposals, their potential implications, and why he believes the government should not be investing in bitcoin or other assets. Show highlights: 00:00 Intro 01:16 How the Bitcoin proposals by Trump, RFK Jr., and Lummis differ 04:08 Why George believes that Trump's proposal to not sell the government's bitcoin is just symbolic  07:36 What the purpose of acquiring BTC is in the Lummis and RFK proposals 11:29 Whether the government should even be investing in bitcoin or other assets 18:53 How would the government buy BTC as per the Lummis bill 25:08 How likely is it that the bill passes through Congress 27:40 Crypto News Recap Visit our website for breaking news, analysis, op-eds, articles to learn about crypto, and much more: unchainedcrypto.com Thank you to our sponsors! iTrustCapital Polkadot Guest George Selgin, Senior Fellow and Director Emeritus of the Cato Institute's Center for Monetary and Financial Alternatives Links Trump's proposal: Unchained:  At Bitcoin Conference, Trump Promises to Fire SEC Chair Gary Gensler If He Wins Trump Has Made Promises to Crypto Voters. If He's Elected, What Could He Actually Do? Lummis proposal:  Unchained: A Bitcoin Strategic Reserve for the U.S.? Senator Cynthia Lummis Reveals Her Bill  Decrypt: There's a Problem With Senator Lummis' Bitcoin Reserve Plan, Cato Institute Expert Says  Lummis Introduces Strategic Bitcoin Reserve Legislation RFK. Jr proposal:  RFK Jr. Proposes 550 Daily Bitcoin Purchase Plan for U.S. Economy | Kennedy24 Learn more about your ad choices. Visit megaphone.fm/adchoices

Presidential candidates Donald Trump and RFK Jr., as well as Senator Cynthia Lummis, have proposed the U.S. establish a strategic bitcoin reserve. George Selgin of the Cato Institute unpacks their various proposals.Listen to the episode on Apple Podcasts, Spotify, Pods, Fountain, Podcast Addict, Pocket Casts, Amazon Music, or on your favorite podcast platform.In this episode, George Selgin, senior fellow at the Cato Institute, discusses the recent proposals by Donald Trump, Robert F. Kennedy Jr., and Senator Cynthia Lummis for the U.S. government to establish a strategic bitcoin reserve. George provides his insights into the differences between these proposals, their potential implications, and why he believes the government should not be investing in bitcoin or other assets.Show highlights:How the Bitcoin proposals by Trump, RFK Jr., and Lummis differWhy George believes that Trump's proposal to not sell the government's bitcoin is just symbolic What the purpose of acquiring BTC is in the Lummis and RFK proposalsWhether the government should even be investing in bitcoin or other assetsHow would the government buy BTC as per the Lummis billHow likely is it that the bill passes through CongressVisit our website for breaking news, analysis, op-eds, articles to learn about crypto, and much more: unchainedcrypto.comThank you to our sponsors!iTrustCapitalPolkadotGuestGeorge Selgin, Senior Fellow and Director Emeritus of the Cato Institute's Center for Monetary and Financial AlternativesUnchained Podcast is Produced by Laura Shin Media, LLC. Distributed by CoinDesk.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Richard Syrett Show July 26th, 2024 Democrats remove Joe Biden, insert Kamala Harris  Ken Khachigian Author of Behind Closed Doors: In the Room with Reagan & Nixon. Director Emeritus of the Richard Nixon Foundation Board of Directors. Chief Speechwriter and Senior Political Advisor for President Reagan  https://www.amazon.com/Behind-Closed-Doors-Reagan-Nixon/dp/B0CMP7DQW2/ref=sr_1_1 https://www.reaganandnixon.com Someone who regularly visited Trump shooter's home and work also visited a D.C. building near FBI https://www.wnd.com/2024/07/mobile-data-someone-who-regularly-visited-trump-shooters-home-and-work-also-visited-a-d-c-building-near-fbi/  Cristina Laila - Associate Editor at The Gateway Pundit The LimRiddler Nature's repair for canoes with a tear. Gingiva damage without proper care. Clog up the works Where bureaucracy lurks. Treat ‘neath the seat of your restaurant chair. Wall Street, the Nazis and Crimes of the Deep State, and their diabolical plans for world domination https://www.skyhorsepublishing.com/9781510779853/wall-street-the-nazis-and-the-crimes-of-the-deep-state/  David A. Hughes Senior Lecturer in International Relations at the University of Lincoln (UK). His research focuses on psychological warfare, 9/11, COVID-19, the deep state, technocracy, global class relations, and resurgent totalitarianism. OPEN LINES THERE'S SOMETHING HAPPENING HERE  Does Kamala Harris Have a Snowball's Chance in Hell of Defeating Donald Trump? Greg Carrasco – Host of The Greg Carrasco Show, Saturday Mornings 8-11am on SAUGA 960 AM The answer to today's Limriddle is: Gum The first five to answer correctly were: 1.    Jeffrey Corbett, Oakville, Ontario 2.    Thomas LeBaron, Haliburton, Ontario 3.    Michael Dibblee, Vancouver, British Columbia 4.    Jack Fallon, Toronto, Ontario 5.    Jarred Seider, Toronto, Ontario   Nature's repair for canoes with a tear. Pine gum or Balsam gum (sap) are a good fix when your birch bark or canvas canoe springs a leak on a remote river.   Gingiva damage without proper care. Gingiva is the technical term for your gums and gingivitis is an inflammation of the gums that can cause bad outcomes.   Clog up the works Where bureaucracy lurks. Gum can be a verb, as used in the expression “gum up the works.”  Treat 'neath the seat of your restaurant chair. Has this ever happened to you? You grab the underside of your restaurant chair to pull it up to the table and your fingers sink into chewing gum deposited by a prior patron. It's all part of the fine dining experience.   Learn more about your ad choices. Visit megaphone.fm/adchoices

Henning Melber is Director Emeritus of the Dag Hammarskjöld Foundation and former research director of the Nordic Africa Institute. Melber is the author of "Dag Hammarskjöld, the United Nations and the Decolonisation of Africa" in which he explores the years of African decolonization during which Hammarskjöld was in office, investigating the scope and limits of his influence within the context of global governance. He paints a picture of a man with strong guiding principles, but limited room for maneuver, colliding with the essential interests of the big powers as the 'wind of change' blew over the African continent. --- Support this podcast: https://podcasters.spotify.com/pod/show/out-of-the-blank/support

#171: Jeremy Foley is the University of Florida Athletic Director Emeritus and served as the Athletic Director from 1992-2016. During his tenure leading the University of Florida, the Gators accumulated 27 National Titles, made numerous athletic facility improvements, he handled virtually every aspect of the $119.3 million athletic program during his athletic administrative career, and he won multiple athletic directory of the year awards.Florida was equally successful on the field of play and in the classroom during Foley's administrative tenure. The Florida athletic program ranked among the nation's top 10 for 33-straight years and among the top five for 18 of the last 25 years, according to national all-sport rankings.He hired coaches like Billy Donovan, Urban Meyer, Rhonda Fane, Kevin O'Sullivan Tim Walton, and Becky Burleigh to name a few. Jeremy started at the University of Florida in 1977 as an intern in the ticket office. From there he quickly excelled and worked his way up the leadership ladder in the athletic department. On the show Jeremy shares his story of growing up, playing at Hobart, persistence, getting to Florida, encounter with a booster changing his leadership style, becoming the Florida AD, culture, leadership, hiring people, making tough decisions, building a team, and much more. Enjoy the show! 

Classroom assessment techniques can be used to shape instruction to the needs of our students. In this episode, Thomas A. Angelo joins us to discuss the origin of these techniques and evidence concerning their efficacy.  Tom is Clinical Professor Emeritus and Director Emeritus at the UNC Eshelman School of Pharmacy at the University of North Carolina at Chapel Hill. In addition to teaching for 40 years, he has been long involved in professional development and has served as faculty member and Director of teaching, learning and assessment centers at UNC, LaTrobe University in Melbourne, Australia, Victoria University of Wellington, New Zealand, the University of Akron, and Boston College. Tom is best known for his work with K. Patricia Cross on Classroom Assessment Techniques: A Handbook for College Teachers, which was first published in 1988, with a second edition in 1993. A transcript of this episode and show notes may be found at http://teaforteaching.com.

Dr. Robert Epstein joins the program to discuss the power Google and other social media companies have over society. It is hidden and most people have no idea. He presents peer reviewed, professional and well structured studies proving what can only be term as "mind control" and manipulation over your thoughts and ideas. He also shares how much power Google has over all elections in every country. Evidence shows they can and do "fix" elections with just their tools/influence. The ignorance and apathy of the masses and the "leaders" in society is the only reason this is allowed to continue. You can learn more and donate to his important work at https://MyGoogleResearch.com or at https://FeedTheWatchDogs.com Links Mentioned in show: Masterpeace: Remove Heavy Metals including Graphene Oxide and Plastics at https://masterpeacebyhcs.com/my-account/uap/?ref=11308 Miles Franklin: Learn more how you can convert your IRA or buy precious metals by emailing info@MilesFranklin.com - tell them ‘Sarah sent me” and get the best service and prices in the country Leela Quantum: Learn more about Leela's Quantum Tech at https://bit.ly/3iVOMsZ or at https://SarahWestall.com/shop NuM&trx: Turn back time with NuM8Trx, the world's most effective collagen building treatment. But now at https://purebellavita.com/pages/sarah-num8trx Consider subscribing: Follow on Twitter @Sarah_Westall Follow on my Substack at SarahWestall.Substack.com   See Important Proven Solutions to Keep Your from getting sick even if you had the mRNA Shot - Dr. Nieusma MUSIC CREDITS: “In Epic World” by Valentina Gribanova, licensed for broad internet media use, including video and audio     See on Bastyon | Bitchute | Brighteon | CloutHub | Odysee | Rumble | Youtube | Tube.Freedom.Buzz   Dr. Robert Epstein Biography ROBERT EPSTEIN is an author, editor, and longtime psychology researcher and professor—a distinguished scientist who is passionate about educating the public about advances in mental health and the behavioral sciences. The former editor-in-chief of Psychology Today, Dr. Epstein is currently Senior Research Psychologist at the American Institute for Behavioral Research and Technology. He is also the founder and Director Emeritus of the Cambridge Center for Behavioral Studies in Massachusetts. Dr. Epstein links: https://2023EpsteinTestimony.com (December 13, 2023 Epstein testimony before a subcommittee of the Senate Judiciary Committee, 6-min. video) https://AmericasDigitalShield.com (live dashboard that documents Big Tech manipulation, bias, and indoctrination in real time - now preserving data in all 50 states) https://FeedTheWatchdogs.com (site where people can sign up to sponsor one of our field agents for a tax-deductible donation of $25 per month) https://2023WrittenTestimony.com (480-page written testimony of Dr. Epstein entered into the Congressional Record on December 13, 2023) https://EpsteinInTheNewYorkPost.com (May 2023 article in the New York Post about Dr. Epstein's research by reporter Miranda Devine - ends: "Only Epstein is standing in the way") https://TechWatchProject.org (new website about Dr. Epstein's election monitoring project) https://HowGoogleStoppedTheRedWave.com (2022 article by Dr. Epstein in The Epoch Times) https://MyGoogleResearch.com (website where people can support & learn more about AIBRT research on Big Tech) https://MyPrivacyTips.com (article by Dr. Epstein on privacy, updated April, 2024)    

Bruce Tarter is Director Emeritus of the Lawrence Livermore National Laboratory and was the eighth director to lead the Laboratory since it was founded in 1952. This episode covers the history and influence of the lab's technology on policy and strategy, the development of nuclear weapons, and the era of stockpile stewardship. It also delves into the challenges and wishes for the future of nuclear arms control.A theoretical physicist by training and experience, Bruce began his career at the Laboratory in 1967. As Director from 1994 to 2002 he led the Laboratory in its mission to ensure national security and apply science and technology to the important problems of our time. In particular he oversaw the development of stockpile stewardship during his tenure. Tarter received a SB from MIT and a PhD from Cornell. He is a Fellow of the American Physical Society and the American Association for the Advancement of Science, and received the National Nuclear Security Administration's Gold Medal and the Secretary of Energy's Gold Award. He recently published “The American Lab” (Johns Hopkins University Press 2018) , a history of his Laboratory.Chapters00:00 Introduction to Lawrence Livermore National Lab and Bruce Tarter02:00 Influence of Technology on Policy and Strategy05:09 Development and Impact of Nuclear Weapons Technology16:18 The Era of Stockpile StewardshipSocials:Follow on Twitter at @NucleCastFollow on LinkedIn: https://linkedin.com/company/nuclecastpodcastSubscribe RSS Feed: https://rss.com/podcasts/nuclecast-podcast/Rate: https://podcasts.apple.com/us/podcast/nuclecast/id1644921278Email comments and topic/guest suggestions to NucleCast@anwadeter.org

120 years later, it's a museum, a public park, and a groundbreaking laboratory.Explore how The Lakeside Laboratory evolved over its history, from the first photos of the lab to contemporary walking guides. Also, please consider donating to Friends of The Lakeside Lab to support their incredible work.Sign up for our weekly newsletter and never miss an episode of The Okoboji Project!Guests: Dr. Mary Skopec, Executive Director of The Iowa Lakeside LaboratorySue Richter, Director Emeritus of Friends of The Lakeside Laboratory

Look at any can of cooking spray and it will say on the label that it has zero calories. How can that be? It can't be. Listen as I explain how they get away with saying that when it isn't really true and I'll reveal how many calories there actually are. https://cheatdaydesign.com/how-many-calories-does-cooking-spray-really-have/ No doubt you have heard of Ozempic. It is a drug that allows a lot of people to lose weight. While it is extremely effective, there are risks and concerns. But what is the bigger risk – the risks of taking the drug or the risks of remaining overweight? That's the question I explore with Johann Hari. He is a writer and journalist who has written for The New York Times, The Guardian, and other newspapers. His TED Talks have been viewed over 70 million times, he is the author of some bestselling books and he has taken Ozempic and lost weight. He has also thoroughly researched all sides of the debate on these drugs and the results of his work are in his book Magic Pill: The Extraordinary Benefits and Disturbing Risks of the New Weight-Loss Drugs (https://amzn.to/3WMpdC7). All the conveniences of living in a digital world are hard to argue with. Still, all these digital gadgets have made many cherished analog things obsolete. Think about how your smartphone has replaced the need for a watch, or camera or a bookstore or record store – even a map. Everything is digital now. This segment isn't about longing for “the good old days” of analog but rather looking at how important our analog world was a few decades ago and how some analog things still persist because they are still the better way (think of a pencil and a piece of paper). Joining me to talk about all things analog is Deyan Sudjic, Director Emeritus of the Design Museum in London, professor of Design Studies at the University of Lancaster in the UK and author of the book, The World of Analog: A Visual Guide (https://amzn.to/4dMnXEW). No matter what language people speak, when they get hurt they say “OUCH!” or something very close to it. Listen as I explain the reason and purpose of OWWW or OUCH! Source: Jonathan Goldman author of The 7 Secrets to Sound Healing (https://amzn.to/3V6vVR9). PLEASE SUPPORT OUR SPONSORS! Indeed is offering SYSK listeners a $75 Sponsored Job Credit to get your jobs more visibility at https://Indeed.com/SOMETHING NerdWallet lets you compare top travel credit cards side-by-side to maximize your spending! Compare & find smarter credit cards, savings accounts, & more https://NerdWallet.com TurboTax Experts make all your moves count — filing with 100% accuracy and getting your max refund, guaranteed! See guarantee details at https://TurboTax.com/Guarantees Luckily for those of us who live with the symptoms of allergies, we can Live Claritin Clear with Claritin-D! eBay Motors has 122 million parts for your #1 ride-or-die, to make sure it stays running smoothly. Keep your ride alive at https://eBayMotors.com Learn more about your ad choices. Visit podcastchoices.com/adchoices

This week on Grassroots Patti and Doug talk about synthetic turf and the government's food guidelines. Then Dr. Mark Miller, Director Emeritus of the Western States Pediatric Environmental Health Specialty Unit, talks about children and how they are impacted by environmental exposures.

Steven Arnoczky, DVM, the Wade O. Brinker Endowed Professorship of Surgery, Emeritus, in the College of Veterinary Medicine and the Director-Emeritus of the Laboratory for Comparative Orthopaedic Research at Michigan State University in East Lansing, Michigan shares his journey from veterinary clinician to orthopaedic researcher, the slide that took him around the world, his pearls of wisdom for high-quality presentations, and more.

Discover why Dr. Scott W. Tinker (Chairman of the Switch Energy Alliance) asks leaders "what's the question?", how he succeeded by "saying yes a lot", and when he said to "follow the money trail"! (14 minute episode). ============================================= CEO Blindspots® Podcast Guest: ⁠Dr. Scott W. Tinker, Chairman of Switch Energy Alliance, CEO of Tinker Energy Associates, and Director Emeritus of the Bureau of Economic Geology. Scott Tinker brings industry, government, academia, and nongovernmental organizations together to address major societal challenges in energy, the environment, and the economy. Dr. Tinker is Director Emeritus of the Bureau of Economic Geology, and a professor holding the Allday Endowed Chair in the Jackson School of Geosciences at The University of Texas at Austin. With Director Harry Lynch, Tinker co-produced the award-winning documentary films Switch and Switch On, which have been screened in over 50 countries. Dr. Tinker founded the nonprofit Switch Energy Alliance, whose educational materials appear from schools to board rooms globally. Tinker is the host of PBS Energy Switch, an energy and climate talk show appearing on over 200 PBS stations nationwide, and Earth Date, featured weekly on over 450 public radio stations in all 50 United States. In his visits to more than 60 countries, Scott has given over 1000 keynote and invited lectures. Dr. Tinker presented a TEDx talk on The Dual Challenge: Energy and Environment. Scott serves on public company boards and science councils, Trinity University's Board of Trustees, and is an angel investor who has helped bring companies from startup to acquisition. His writing has appeared from Forbes to Fortune to Scientific American. Dr. Tinker has served as president of several international professional associations and is an AGI Campbell Medalist, AAPG Halbouty Medalist, GCAGS Boyd Medalist, AIPG Parker Medalist, and a Geological Society of America Fellow. For more information about Switch Energy Alliance; https://switchon.org For more information about Earth Date; https://www.earthdate.org/   For more information about Dr. Scott W. Tinker's TEDx Talk on The Dual Challenge: Energy and Environment; https://youtu.be/hnT-PYHaSxA?si=ST321FXkrggYHGf4 ======================================== CEO Blindspots® Podcast Host: ⁠Birgit Kamps⁠. Birgit's professional experience includes starting and selling an “Inc. 500 Fastest Growing Private Company” and a “Best Company to Work for in Texas”, and serving as a Board Member with various companies. She is able to help investors and executives quickly discover blind spots holding their organization back, and accelerate leadership effectiveness. In addition, Birgit is the host of the CEO Blindspots® Podcast which was recognized for having the “biggest listener growth” in the USA by 733%, and most recently for having the "top 1.5% global podcast" ranking in its category; ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.ceoblindspots.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ To ask questions about this or one of the 200+ other CEO Blindspots® Podcast episodes, send an email to⁠ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠birgit@ceoblindspots.com⁠

On today's show: 1. Tickets and more info about "The Trip to Bountiful" and Charleston Stage - https://charlestonstage.com/ 2. More information on Julian Wiles - http://www.julianwiles.com/ 3. Charleston Stage Founder Julian Wiles Returns to Direct “The Trip to Bountiful” - http://holycitysinner.com/entertainment/charleston-stage-founder-julian-wiles-returns-to-direct-%E2%80%9Cthe/ This episode's music is by Tyler Boone (tylerboonemusic.com). The episode was produced by LMC Soundsystem.

In 1975 a freshman found his way into a call out for student athletic trainers at Ball State University. Being one of the rare people to have an athletic trainer at his high school in the early 1970's he had a small understanding of what athletic trainers did. He started off with a couple of days a week of observation and then spending time with Jim Dickerson in a golf cart during the MAC cross country championship sealed the deal for Rex Call and sent him on a career path that has taken him across the country and then finally back home to DePauw University. He has learned from NATA HOF athletic trainers to teaching his own outstanding students that have impacted the health care profession due to his guidance. This 1979 Ball State graduate (BA) and 1980 University of Arizona graduate (MS) had worked in the NFL, NCAA Div. 1 level, been part of one of the very first industrial athletic training programs and started his own out-patient PT clinic providing AT outreach to local high schools. Finally ending up back where he started at DePauw University, Greencastle, IN where he started an approved BOC athletic training education curriculum and developed a clinic staff program second to none at the NCAA Div. 3 level. Rex was the Indiana Athletic Trainers Association College Athletic Trainer of the year in 2002, The Indiana Athletic Trainers Association Presidents Excellence Award winner in 2016, Inducted into the DePauw University Athletic Hall of Fame in 2019, North Putnam High School Distinguished Alumni 2021, and Inducted into the Cardinal Sports Medicine Society Ring of Honor in 2014. Rex retired from DePauw in 2017 as the Director Emeritus of Sports Medicine and Professor Emeritus of Kinesiology. He and his wife Carol have 3 adult children, 9 grandchildren and reside in Greencastle, IN

In 1975 a freshman found his way into a call out for student athletic trainers at Ball State University. Being one of the rare people to have an athletic trainer at his high school in the early 1970's he had a small understanding of what athletic trainers did. He started off with a couple of days a week of observation and then spending time with Jim Dickerson in a golf cart during the MAC cross country championship sealed the deal for Rex Call and sent him on a career path that has taken him across the country and then finally back home to DePauw University. He has learned from NATA HOF athletic trainers to teaching his own outstanding students that have impacted the health care profession due to his guidance. This 1979 Ball State graduate (BA) and 1980 University of Arizona graduate (MS) had worked in the NFL, NCAA Div. 1 level, been part of one of the very first industrial athletic training programs and started his own out-patient PT clinic providing AT outreach to local high schools. Finally ending up back where he started at DePauw University, Greencastle, IN where he started an approved BOC athletic training education curriculum and developed a clinic staff program second to none at the NCAA Div. 3 level. Rex was the Indiana Athletic Trainers Association College Athletic Trainer of the year in 2002, The Indiana Athletic Trainers Association Presidents Excellence Award winner in 2016, Inducted into the DePauw University Athletic Hall of Fame in 2019, North Putnam High School Distinguished Alumni 2021, and Inducted into the Cardinal Sports Medicine Society Ring of Honor in 2014. Rex retired from DePauw in 2017 as the Director Emeritus of Sports Medicine and Professor Emeritus of Kinesiology. He and his wife Carol have 3 adult children, 9 grandchildren and reside in Greencastle, IN

Andy Downs, Director Emeritus of Purdue Fort Wayne, joined Kayla Blakeslee on Fort Wayne's Morning News to discuss the process of selecting a new mayor if Tom Henry resigns. See omnystudio.com/listener for privacy information.

Since the 1930's research using human fetal tissue has been used in numerous scientific and medical advances that have saved millions of lives, including the development of vaccines and treatments for diseases. Despite its substantial contribution to medicine and science, significant public debate and misinformation persists surrounding the ethical use of human fetal tissue in biomedical research.  The ISSCR, led by its Public Policy Committee, have been tireless champions and advocates for sound science policy across the globe. This includes advocacy for fetal tissue research and working to inform policymakers and the public on the vast medical applications and advances that have, and will, come from the use of HFT in biomedical research. Towards that end, the ISSCR and the Lawrence Goldstein Policy Fellows have authored a recent paper in Stem Cell Reports entitled, Human Fetal Tissue is Critical for Biomedical Research. HostMartin Pera, Editor-in-Chief, Stem Cell Reports and The Jackson Laboratory@martinperaJAX GuestsLawrence (Larry) Goldstein, PhD, is a Distinguished Professor Emeritus, Department of Cellular and Molecular Medicine and Director Emeritus of Stem Cell Program at the University of California, San Diego. He is the namesake for the ISSCR's Lawrence Goldstein Science Policy Fellowship which is training the next generation of scientists to impact public policy.  Tyler Lamb, JD, is the ISSCR's Director of Policy and leads the Society's global policy efforts.  Tamra Lysaght, PhD, University of Sydney, Australia, is an Associate Professor in Health Ethics.Justin Brumbaugh, PhD, University of Colorado Boulder, USA, is an Assistant Professor in Molecular Cellular & Developmental Biology. Supporting Materials Drs. Brumbaugh, Lysaght, and Goldstein, along with Brian Aguado, are authors of the recently published paper, Human Fetal Tissue is Critical for Biomedical Research.  About Stem Cell ReportsStem Cell Reports is the Open Access journal of the International Society for Stem Cell Research (ISSCR) for communicating basic discoveries in stem cell research, in addition to translational and clinical studies. Stem Cell Reports focuses on original research with conceptual or practical advances that are of broad interest to stem cell biologists and clinicians.Twitter: @StemCellReportsAbout ISSCRWith more than 4,800 members from 75+ countries, the International Society for Stem Cell Research (@ISSCR) is the preeminent global, cross-disciplinary, science-based organization dedicated to stem cell research and its translation to the clinic. The ISSCR mission is to promote excellence in stem cell science and applications to human health.ISSCR StaffKeith Alm, Chief Executive OfficerYvonne Fisher, Managing Editor, Stem Cell ReportsKym Kilbourne, Director of Media and Strategic CommunicationsJack Mosher, Scientific AdvisorVoice WorkBen Snitkoff

Clint Borgen, President of The Borgen Project talks with David Scheffer, senior fellow at the Council on Foreign Relations. Amb. Scheffer was the first U.S. Ambassador at Large for Crimes Issues, serving during the second term of the Clinton Administration.Bio: Amb. David J. Scheffer is senior fellow at the Council on Foreign Relations, with a focus on international law and international criminal justice. Scheffer was the Mayer Brown/Robert A. Helman Professor of Law (2006-2020) and is Director Emeritus of the Center for International Human Rights at Northwestern University Pritzker School of Law. He is Professor of Practice at Arizona State University (Washington offices). He was Vice-President of the American Society of International Law (2020-2022) and held the International Francqui Professorship at KU Leuven in Belgium in 2022. From 2012 to 2018 he was the UN Secretary-General's Special Expert on UN Assistance to the Khmer Rouge Trials, and he was the Tom A. Bernstein Genocide Prevention Fellow working with the Ferencz International Justice Initiative at the Simon-Skjodt Center for the Prevention of Genocide, U.S. Holocaust Memorial Museum (2019-2021). Amb. Scheffer book All the Missing SoulsCouncil on Foreign RelationsArizona State University School of Politics and Global Studies

I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's hosts for an episode that will feature Jocelen Hamilton and Theresa Yao from Stanford Healthcare. We will discuss how adapting the A-FROM to swallowing disorders can offer a person-centered approach to assessing and treating a person with dysphagia.   Guest Bios     Theresa Yao is a licensed speech language pathologist at Stanford healthcare and a lecturer at San Jose State University. Her clinical and research interests include head and neck cancer rehabilitation, voice disorders, dysphagia, and aphasia. She is passionate about serving people from diverse backgrounds with communication and swallowing disorders. She was a fellow for life of the Albert Schweitzer Fellowship program, and co-founded the Bay Area's Swallowing Support group. She has been actively volunteering in community groups for stroke survivors who need communication support. She has always been a strong advocate for her patients and profession. Jocelen Hamilton has practiced as a licensed speech language pathologist for 19 years. She specializes in management of communication and swallowing disorders in adults with head and neck cancer. She began her career at the University of Iowa Hospitals and Clinics, and then joined the Stanford Outpatient Head and Neck Clinic in 2020. She also previously served as a clinical assistant professor for the University of Iowa's Communication Sciences and Disorders department with a focus on supervising graduate students and helping individuals with strokes and brain injuries. Her current clinical interests center around the development of frameworks to facilitate whole person care for individuals with swallowing disorders.   Listener Take-aways Think creatively about how to apply the A-FROM to other communication disorders, like swallowing Learn how dysphagia can impact the participation, environment and personal domains Consider some PROs that help to capture the impact of dysphagia on quality of life of both the patient and the caregiver Explore some ways to adapt EMRs to incorporate A-FROM or Swal-FROM into your daily notes Show notes edited for conciseness and clarity Ellen Bernstein-Ellis So I'm excited to have both of you here today. Thank you and welcome, Theresa.   Theresa Yao  00:55 Thank you, Ellen. I'm glad to be here.   Ellen Bernstein-Ellis  00:57 And Jocelen you too.   Jocelen Hamilton  00:59 Yes. Thank you so much for having us.   Ellen Bernstein-Ellis (Interviewer)    Welcome both of you, again, to this podcast. And as our listeners get to know you, we like to open with a fun icebreaker question. I'm going to pose two different questions that you've selected for today. So, Theresa, let's start with you.   I guess for full disclosure, I want to admit that, I will share--I don't have to admit, I am sharing that I had the honor and pleasure of being your supervisor at Cal State East Bay in the Aphasia Treatment Program (ATP). So I know that may come up today. I just want to let our listeners know that we've known each other for a while. I have been really fortunate in that relationship and seeing you emerge and thrive as such a wonderful contributor to our field.   So Theresa, could you please share one experience or role that has been meaningful to you as an aphasia ambassador?   Theresa Yao  03:22 Thank you, Ellen. It was great experience when I was in the Aphasia Treatment Program at Cal State East Bay. So that's actually one of the experiences I wanted to share as an opening, because I was at the Aphasia Treatment Program as a co-director for the choir, Aphasia Tones. And that was one of the best memory in my life. And I remember one time, one of our members who had more of a severe expressive aphasia, and usually has minimum verbal output, and we all know him. But whenever he starts singing, Can't Help Falling in Love, this particular song, you can hear that those beautiful words just came out right out from his mouth, fluently, beautifully. He was always so happy every time that he heard the music, and he just enjoy singing along.   That was just a really amazing moment for me to realize that people with aphasia with minimum verbal output, they can still enjoy and participate in choir, and can still communicate that way. It's just showed me how powerful it was to use the Life Participation Approach to Aphasia. And in our choir at that time, we have all different levels of severity. All members join together, and then they all enjoy and engage in this choir experience. So that's really meaningful. Whenever I think of LPA, I think of him, I think of this song, and I think of Aphasia Tones.   Ellen Bernstein-Ellis  04:54 Thank you for sharing that. And Theresa, it was wonderful to have you as a co-director. And see you step up to the challenge of leading the choir. And you're right, we really have a strong motto of participation at every level. And you really worked hard to make sure that happened. So thank you for sharing that. And yes, that's one of my favorite topics, so I loved hearing about that.   And Jocelen, I'm also excited to ask you to share with the listeners something about one of your experiences. So would you like to share an Aphasia Access, favorite resource or moment? What comes to mind for you?   Jocelen Hamilton  05:28 Yes, well, this is really neat for me to be on this podcast, because it is this podcast that is a favorite of mine, and a major “aha” for me.   Ellen Bernstein-Ellis Well, thank you, just thank you.   Jocelen Hamilton I worked with patients with head neck cancer for about nine years. I then did a major shift and then worked in a graduate training clinic at the University of Iowa. And during that time, previously, when I was at the hospital with a very heavy caseload and working with individuals with dysphagia. And so then switching over and working with individuals with strokes and brain injuries, that was much more communication focused.   And I had this caseload I was taking over with the graduate students and learning about all the current treatment principles and treatment options and all the research that had been developed. It had been probably close to 10 years since I had worked regularly with individuals with neurogenic communication disorders.   I had knew nothing about LPAA. I knew nothing about Aphasia Access, the organization. And I was thinking about this recently, of how I even came across it. But I think probably I was searching one of these treatment modalities, and a podcast came up. So I listened to some of the other podcasts and I was like, oh my goodness, this totally resonated, LPAA. And the podcasts and other resources through the website, totally resonated with me, and helped me better understand what my frustration was within an impairment only based approach, which was in my training and my background, and things like that, to like see a whole different way. So I learned as much as I could. And I tried to share all of that with my students, we were all learning together of how to implement this. So it's really neat to now be a part of this podcast and participate.   Ellen Bernstein-Ellis  07:32 We're so glad you agreed. And I just want to thank you. If there was ever a wonderful plug for membership to Aphasia Access, I think you just gave it. Thank you so much. for that.   Well, let's dive in a little bit more to our topic of the day. We're going to be talking about how and why you both decided to adopt the A-FROM or the Framework for Outcome Measurement of Aphasia by Kagan and Simmons-Mackie to your work with head and neck cancer patients. So I know we usually focus on aphasia, but we're taking this really important tool and talking about how you adapt it. So many listeners are, of course already familiar with the A-FROM. But can you briefly describe the social model framework for our listeners?   Theresa Yao  08:16 I can start with just a brief introduction. I think everyone, if you're listening to this podcast, you are already very familiar with A-FROM, which is based on the World Health Organization's ICF model. They address a few health and social domains such as body structure, function, activities, participation and contextual factors like personal and environmental factors. And like Ellen mentioned before, Dr. Kagan and colleagues, adapted this ICF model to create a very user-friendly framework for the outcome measurement in aphasia. And this becomes the Living with Aphasia Framework Outcome Measures the A-FROM and it has the domain of aphasia severity, which is the body function or impairment level, and then also participation, environment, personal factor. So these are the core concepts of the LPA approach. Thats what we are based on using this A-FROM to adapt it to this Swallow-SWAL-FROM, we call it. The Living with Swallowing Difficulties framework of measures.   Ellen Bernstein-Ellis  09:22 So let's talk a little bit more about this. Jocelen, do you want to share your story as an SLP and how you came to introduce the A-FROM into your work at Stanford in the head and neck cancer clinic?   Jocelen Hamilton  09:37 Sure. So after about a year and a half of working with individuals with aphasia and applying LPAA and using the A-FROM with clients, I then changed gears back to working with people who had neck cancer and we moved to California and I joined the Stanford team and I was back into primarily working with individuals with dysphagia. I just kept thinking about how can I take this model the A-FROM and apply that to working with individuals with dysphagia.   How I would previously use the A-FROM is that Venn diagram. I would just draw it on a piece of paper and start writing my notes on that as I was maybe doing an intake or working with a client. I started doing some of that model just in my note taking and looking at these different domains that might be impacted. And this was just kind of over a series of months, and even a year, where I was thinking about how to apply this and shared it with my patients. Here are some of the things that I'm seeing and what you're sharing with me that shows your participation is being impacted.   Then I ended up talking with our director, Heather Starmer, about an idea of a project—like how can I move this ahead. Theresa had recently joined our team and Heather said, you might want to talk to Theresa about that. She might be interested in doing a presentation on this. And so it was great, because Theresa and I had not yet talked about our aphasia backgrounds together. It was really neat to then work together and begin to apply this with more of our patients. Initially, we kind of struggled with what the environmental domain look like for somebody with dysphagia. And it was neat to talk through different cases with each other to see how it could apply. And then that's where the Swal-FROM came from.   Ellen Bernstein-Ellis  11:39 Wow, that's wonderful that the two of you were at the right place at the right time. And I always feel that the expression “stronger together” seems really fitting in this situation. But Theresa, do you want to share how you brought a life participation perspective into your work at Stanford?   Theresa Yao  11:57 Yes, sure. Because I've always been a big fan of the ICF model. When I was a student clinician in Aphasia Treatment Program, I learned so much from this model, from LPAA, and from Ellen, you. And also, of course, our members in our Aphasia Treatment Program. And I just could see the huge benefit from the LPA approach in the client's life.   So that's why once I started working in real clinics, I always think about this model. And when I started in at Stanford, I started working with the head neck cancer patients. I just feel like so many patients, they live with long term dysphagia, or a sore throat because of the neck cancer treatment they had. And they sometimes just can't get rid of it. They have to live with it. It's just like aphasia. They live with aphasia. And then it just clicked.  I just think that it's pretty similar to the situation that you're living with aphasia, and it's that same impact on patients quality of life, on their participation.   Then I just started thinking, maybe we can do something with this model to help our patients. And then, of course, Jocelen was there, and then we were just talking about her experience with aphasia treatment and LPAA. And we just clicked. That's why we came up with this (ASHA) presentation, and this idea of how to adapt this A-FROM to our Swal-FROM. And then also, we're talking about this because I also started a support group because I feel like people wanted to get connected. They wanted to engage like aphasia group.  They wanted that community to be able to participate, to be able to share. So that's why I think this also helped me to try to initiate this project, this group, so that we can help more people so that they can, they can help each other.   Ellen Bernstein-Ellis  13:56 I really love that you saw the power of group therapy, and you then were able to bring it into a different treatment arena. I really don't remember hearing too much about separate support groups for people with swallowing disorders. I don't know how common they are. But it sounds wonderful that you started one, Theresa. So very exciting. What do we know about the incidence of dysphagia in stroke survivors, and then people in skilled nursing, and from there, head and neck cancer? The reason I ask because I think there's overlap. I mean, you're seeing the dysphagia in head and neck cancer, but we know that it occurs frequently. Do you have any numbers to share about the incidence in stroke survivors?   Jocelen Hamilton  14:39 Yes, so it's about 45% of individuals with strokes experience, some degree of dysphagia and there's been research that's shown 40 to 60% of older individuals in nursing homes have dysphagia. There's even some research out there that one in 25 adults will experience dysphagia. Then when we look at individuals with head and neck cancer, and this could be on the lower range, but one of the particular statistics is 45 to 50% of individuals with head and neck cancer experience dysphagia.   Ellen Bernstein-Ellis  15:11 The importance of considering the whole person (for dysphagia tx) is really going to affect a lot of people that we might be seeing as therapists. And the two of you saw that there was a strong impairment focus in dysphagia management.  Can you give an example?   Theresa Yao  15:27 I can talk a little bit about this. When I was in grad school, I know that most of the things we learned was how to identify the impairment of dysphagia. We learned all kinds of treatments and exercises for dysphagia. We learned like how to modify diet, how to look for aspiration, penetration. Almost everything we learned, and also what we've been practicing in our clinical practice are heavily focused on the deficit and impairments. That's basically how we trained to assess and treat the physiological changes or the deficit. It just, to me, sounds like it's really technical.   I recently just look up the ASHA NOMS, the National Outcomes Measurement System-- that's what we usually use as judgment of whether the patient is making progress or not. They use this particular functional communication measures to see there's like different levels. If you're really looking at this national measurement system, you can see that the wording and the definition of each level is pretty much impairment focus. They mention diet level, safety, efficiency of swallowing, compensatory strategies, or cues, etc. So these are really heavily focused on impairment, but you don't really see like things that relate to participation, quality of life, environment, and those factors. So the consequences that if all the clinicians are just looking at the impairments and not looking at other factors, then you are missing a lot, you're not treating the whole person.   Ellen Bernstein-Ellis  17:11 Well, that's perfect, because that leads me to my next question. Why is it important to go beyond the impairment level measurement with dysphagia?       Jocelen Hamilton  17:24 I would say, because dysphagia is more than a physical difficulty. That's our name for that physical impairment. But it influences more, just like we know, with aphasia, that it's not just how much they can say, what they understand in the different modalities, but how a change in this function in the body influences everything.   So one of the analogies that I can relate to, that I've heard before in terms of looking at accessibility, has to do with like, physical impairments. So if somebody is paralyzed, they can't move their legs, well, the physical therapists are going to look at their legs and see the range of motion, their strength and all of that. But they're also going to think about how are they going to get into their house? And how are they going to move around?   Well, sometimes what can happen with dysphagia, as Theresa already talked about, we're looking just at how does that epiglottis move? What is the airway invasion like? But then are we going to talk about well, what's going to happen? We just had the holiday with Thanksgiving and the holidays now. What are family meals going to look like? I think one of the things that sticks out to me is what would my day to day life and social life be like if I couldn't drink with ease and comfort, I couldn't eat with ease and comfort, if I needed to have special food and special liquids and special strategies? So this impacts so many things within a social realm, and personal realm as well. We'll get into that in more detail as we go. But it's not just about the change in a physical function. How does that influence the rest of our lives? And it really does. There's been research that shows about burden and quality of life and psychological health.   Ellen Bernstein-Ellis  19:08 Well, this really hits close to home for me. I'm going to share with our listeners a personal story, because I've always been very passionate about our field and an advocate for speech language pathologists, but being on the other side of the table, when my husband was diagnosed with terminal cancer, did nothing but increase my own respect and appreciation for the role we play in supporting our clients and their loved ones.   Through this process, specifically with dysphagia, and I want to give a shout out to my husband's speech pathologist at Stanford, Heather Starmer, (and another congratulations to her because she just was made a 2023 ASHA fellow), but I'll just always remember the day that we came in. I know that Heather was set with her treatment plan-- I could already guess what we needed to do for the day. And that plan went out the window because we both signaled, Steve and I, that he was just feeling an increasing burden of trying to manage all of the home tasks we were supposed to do for both PT and speech, and it was just really impacting how he was feeling. And so instead, Heather focused on the personal impact and the quality of life issues that we were bringing up. Steve wanted to be compliant. He wanted to be the best patient there was. But she really listened to him carefully. She brought her best counseling skills to the table that day, and helped us come up with a plan that we could manage in a way that would help us sustain his quality of life as best as possible.   So I really saw, personally, I mean, I saw day in and day out how his dysphagia from his head neck cancer really impacted, hugely impacted, his participation with our family, and his quality of life. I am grateful for this work that you're doing and the passion you feel for looking at the whole person as you assess and treat dysphagia. And thanks to you, I've been reading, since dysphagia is not usually in my wheelhouse as much these days, but thanks to preparing for this particular episode, I was able to read some articles by Rebecca Smith and her colleagues that showed me that there's some amazing work being done looking at this whole topic, so thank you for that. Okay, and taking a deep breath, because that's a story I've been thinking about for quite a bit.   Back into our next question. What is the speech pathologist's role in assessing and addressing health related quality of life and the associated mealtime quality of life? That seems to be talked about a lot in the literature right now. Jocelen, is that you again?   Jocelen Hamilton  21:57 I'm glad you mentioned Rebecca Smith's work. There are actually three papers, I think, that that group, she and colleagues, put out in 2022. And specifically, I'll share a few quotes from their paper The True Cost of Dysphagia and Quality of Life:  The Views of Adults with Swallowing Disability, but in a way, there's a call to action, and she's not the first to mention it. But for us to include social participation, and their overall well-being, as part of our dysphagia intervention. To make that routine, and then to also ask questions: How are you doing? How are the holidays? How are these social settings with eating? I like to ask patients and their family members, and ask them separately, not meaning like individually, within the same session: Are you participating in doing this, the same things that you did before your diagnosis? Or how is that looking? Are you going out to eat as much? What do you miss now that is different and you're experiencing changes in your swallowing.   And it's interesting, because sometimes the partner will say that they miss going out to eat, and they need to navigate feelings like, “Well, I don't feel comfortable eating this in front of my loved one who has difficulty swallowing. I feel conflicted about I get to eat ribs, and they don't.” Those kinds of things. The importance of eliciting these stories, so we can really see what are their challenges, because then we can, like LPAA teaches us, we can engage in this creative problem solving and how we can help navigate through some of these challenges. I think those are a couple of important things that we can look at to support people.   Ellen Bernstein-Ellis  23:45 Thank you. And I just wanted to let our listeners know that we're putting all these references into our show notes. I took some from your ASHA presentations that I attended. So those will all be cited in the show notes.   Well, to expand to the participation, environment, and personal domains, you started to think about using patient reported outcomes or PROs for assessment. Why don't we go through the domains and discuss potential tools and interventions to fill out this framework a little bit more. So what might it look like if you consider participation?   Jocelen Hamilton  24:24 When we're looking at participation, we're looking at these meaningful activities may or may not involve oral intake, but looking at their current levels of participation compared to their pre cancer status. So how often, and in what ways, is someone with swallowing challenges participating? I kind of already talked about that a little bit. And how are the family members doing?   Here's one of the interesting things that I've had patients share here. Sometimes, one of the swallowing strategies that a patient needs to complete is a purposeful throat clear, and a re-swallow, or some patients do naturally their throat clearing, or maybe they're coughing when they're eating and drinking. This is an area where it calls attention to them when they're doing this. And then during the pandemic, we were all super hyper aware is somebody clearing their throat? Is somebody coughing? I've had some patients where they really don't feel comfortable because it calls attention. And people ask, how are they doing?   And also, another challenge being that when swallowing is hard, talking and swallowing is extra hard. When swallowing is challenging, most people need to just do that, where we take for granted that meals are a very social time. So some of those issues can be really challenging. There's also some individuals where their difficulty with swallowing has to do with loss of the bolus coming out and so there's almost changes in appearance, where they may not feel it. Their lip, their chin might be numb, and they don't know that liquids are dripping out, or they have a piece of food sitting there. So, they might be hesitant to go out and participate in different social settings. Even sometimes we have patients where they don't feel comfortable eating with their own family members, where they will eat completely separate from their spouse.   Ellen Bernstein-Ellis  26:28 I am just really struck again about the overlap of some of the things in your head neck cancer patients with clients I see with aphasia. It's really striking. So should we take a moment and discuss how this might look if you consider the environment?   Jocelen Hamilton  26:44 I really didn't address a PRO at all.   Ellen Bernstein-Ellis  26:46 Oh, it's not too late. We can still do that.   Ellen Bernstein-Ellis  26:52 Why don't you go ahead?   Jocelen Hamilton  26:55 Sure. Okay. So we're looking in this interview, right, like gathering information, learning how these things are challenging for them. For patient reported outcomes, PROs, Theresa, and I both looked into different ones. And oh, this one has these questions. And this would fall within this domain. So I'll touch base on a few of them here. And then some of them, they have questions that actually apply to  all of the domains.   So for these, there's one the Swal-QOL, this is probably the most broad in terms of looking at all of the domains that are within this Swal-FROM. It has 10 different quality of life concepts that it has specific questions for. So for this one, there's one subset that's all about social functioning. Some of the questions, they're rating from either strongly agree five point scale to strongly disagree, One of the questions, for example, is “I do not go out to eat because of my swallowing problem.” That really tells you where they're at with that participation, or “Social gatherings like holidays or get togethers are not enjoyable because of my swallowing problem.” So that really hones in on that challenge.   Within our specific area of practice with individuals with head neck cancer, there's a scale called the Performance Status Scale Head Neck Cancer, PSS-HN. Now you might think, how might I use this? I encourage people to be open minded, even though this wasn't validated. And some of these are not validated on individuals who have dysphagia from a different cause other than head neck cancer. It doesn't mean that you can't use it as a way to gather information, engage, and perhaps re administer.   I'm also a big fan of, as people fill this out, having a conversation about their responses as they go to gather information. But with this, the Performance Status Scale, there's a specific rating scale about public eating. So zero means always eats alone. And 100 is no restriction of eating for any place food or company. So they would eat out at any opportunity. Where in-between might be one point on the scale, “eats only in the presence of selected persons and selected places”, or they would eat out but there would be another option,  “eat out, but be more selective about the diet textures and things they would consume in a social setting”, which is common. Some individuals will specifically choose different foods when they're when they're in a social setting.   There's also another PRO, the Dysphagia Handicap Index. So with this one, it's a 25 item questionnaire and it does specifically look at physical, functional and emotional aspects of dysphagia. And so a couple of questions from there that would fit with the participation domain include, “I'm embarrassed to eat in public” and “I don't socialize this much due to my swallowing problem”. Those could give some insight into these areas by selecting some of those questions.   Ellen Bernstein-Ellis  30:08 Well, I'm really glad you caught me. I think I was so struck about the overlap that, thank you for coming back and talking about those PRO's. Are we good? Can we transition to the environment next? What would this look like? What does the Swal-QOL look like if you consider the environment.   Theresa Yao  30:29 When you talk about the environment, it can be factors such as the availability of the appropriate food textures, and oral liquid consistencies across different social settings. For example, if you go out to the restaurant, are there any easier food texture that's available for people with dysphagia? And that's one of the environmental factors.   And then there's a new article from ASHA leader that just came out about dining with dysphagia. So that's actually a pilot program from University of Cincinnati that try to help restaurants to expand their menu options so that they have more choices for people with swallowing disorders.   Ellen Bernstein-Ellis That's amazing.   Theresa Yao Also, another factor that related to the environment is the attitude and level of acceptance or support the people with dysphagia can get from their family, their friends, or even just strangers in their eating situation. So just like Jocelen mentioned, if you're coughing or clearing the throat, what the reaction from other people will be like, -- if they're supportive, or if they're not so. Sometimes these factors can make a patient uncomfortable eating out because of those environmental factors. And then also, the attitude from people around usually can be impacted by culture. Which type of textures they prefer to consume, and how they consume. If you go to a different type of restaurant, they may have different types of food textures, that are specifically for that culture, so that's also another factor.   And then also, on the broader spectrum, is the attitude from the healthcare professionals or the public, because the attitude from healthcare professionals is basically, because dysphagia is invisible, and when you are in the hospital, not everyone can see it. If you have leg injury or arm injury, people can see it. But if you have dysphagia, you can't see it. And then when the health care provider is, prescribing your pills, and if you can't swallow, how can they take the pill? They probably are not aware of this, this type of disability, so they may not prescribe you the right pills.   These are the things that we can consider as environmental factors. And of course, even larger scale, there's health care policies, the service systems, that may impact the people with a dysphagia too, because insurance may not pay all the dysphagia services, or how often can people get dysphagia support or service? So those are all the environmental factors that we may consider.   Ellen Bernstein-Ellis  33:21 I think the importance of this framework is helping us as clinicians to continue to think just broader and more widely about what's impacting the person in front of us. I mean, wow, you are giving us a lot of factors, from the very personal to the broader social policy. And I want us to take a moment and also talk about personal factors, that whole domain.   Theresa Yao  33:41 Personal factors can also be very, very important. And  a lot of things can be involved. So we know that the person was dysphagia may not be the same person, have the same hobbies or same traits, as before their treatment. So that may cause anxiety, or they may feel embarrassed because of their eating habits, or the change of their eating habits. Because we know that eating and drinking is very individualized. Some people, if they're born as a slow eater, they probably are okay with their dysphagia diet or if we ask them to eat slowly and take smaller bites, that's totally fine. But if some people are born as a fast eater, they will have a huge challenge with, if you give them the strategy to eat slow, taking small bites, because that's just not them anymore. They just feel like they're a different person and then they feel disappointed or frustrated if they can't eat as fast as they used to.   And I always share this in my clinic. I  see two patients with similar procedures. One person can feel really happy with their diet. They feel okay because they're always eating soft foods or soups. And then another person just with a little bit of impairment of mouth opening, they feel like it's just really frustrating because they can't bite their sandwiches and burgers. And that just makes a huge difference. But if you're only looking at their swallow study, it's the same, they probably don't have any major impairment, but the impact on the quality of life on their participation, environment, and also personal factor. It's so different. So that's why I think considering a personal factor is really important.     Ellen Bernstein-Ellis  35:38 So you're giving us examples of the things we should be thinking about, you're giving us examples of some of the PROs that might help us measure. But if many of the EMRs, the electronic medical records are set up for impairment focused measures, how can you adapt the documentation to include these other domains? That's always a barrier, or can be maybe, not always, can be.   Jocelen Hamilton  36:00 I think sometimes it can be a barrier. If sometimes the entry is just you have to click certain things, there's not a lot of room for free text. With the EMR that we have, we can have a set template, but we can copy and paste anything in there. So what I did is I took the A-FROM--actually, in the same paper that put out the A-FROM, they put the FROM, Framework for Outcome Measurement, and actually suggest that you could use it for individuals with TBI and called it TBI-FROM.    I took that and put it into a template and have the citation for it there and then added a title. It gives a visual for other individuals reading the note of what I'm talking about. ‘Survivorship beyond body function domain: Dysphagia's impact on personal, participation, environmental domains', so I have that as a title. I have it as this set, we use epic, so I can do dot phrases (Smart Phrases). I can drop that into a note. And then as I go through and document, I have the subtitles of body function, participation, environment, personal factors in as I'm collecting this information. That's how I can organize my note.   I don't do it every single time with every single patient. Sometimes some of our sessions are more impairment focused, like we need to for safety reasons focus on this. Sometimes it's more a whole session all about how are they doing with their personal domain? I had a patient in the clinic today, and he is depressed, and we just had this quick talk of, “Okay, what do we need to do? Can you talk to your primary care doctor? This is common, many individuals with head neck cancer have depression.” But I'll organize my note, getting back to the notes, with those subtitles and putting the information in there. It also is a cue for me, because I keep needing cues and reminders to come back and broaden that focus, instead of always being in on the impairment and you monitor, document, and then monitor, as I'm reviewing back on their notes to see how they're doing across these different domains.   Ellen Bernstein-Ellis  38:19 That is a beautiful example of how you can adapt something. I'm sure a lot of our listeners really appreciate you describing it so carefully, and hopefully will inspire some of them to see what they can do to adapt their EMRs.   A little bit earlier, you mentioned the importance of getting perspective from both the client and the care partner. How does the caregiver or care partner experience fit into the Swal-FROM?   Theresa Yao  38:47 Caregiver or care partners, they play a really important role in this whole journey with individuals with dysphagia. And I'm sure Ellen, you probably were in that role before. Most of the time, it's the caregiver making the meals for the spouse. Making the meals for the patients with dysphagia can be very challenging. Because just the texture, you have to take care, and the taste. I have caregivers talking to me. They told me that they tried their best to make all the foods but the patient didn't eat at all or didn't like it at all. Then they feel super frustrated. These are all the challenges that the caregivers may face.   Dr. Samantha Shune and colleagues, they did a lot of work on this caregiver burden topic. Their study said increased caregiver burden has been associated with the degree of impact that dysphagia is having on mealtime logistics. Family members also report increased anxiety and fear and frustration, stress, embarrassment and social isolation. So these are very two critical things to consider when we're thinking about whole person care, because we can't just care for one person, the patient. But if the caregiver is also experiencing all the stress, all the anxieties, we also need to consider that factor.   Researchers in Australia, Professor Nund and colleagues, they also pointed out that this specific caregiver burden is third party disability. And it's the consequence of that person's impairment, which impacts the functioning and ability of their family members or significant others. That's why we want us to fit this caregiver experience into this Swal-FROM framework. Just adding the family caregiver in all the different domains to support patients with dysphagia. And caregiver can influence four domains. But at the same time, also, we need to take care of, examine, the four domains of the family member or the caregiver--going to check their participation, their environment, and their personal factors. Those are really important, because their health and well-being can be affected by being in the journey of taking care of people with dysphagia. So they're super tied closely. That's why we wanted to fit this framework as well.   Ellen Bernstein-Ellis  41:21 One of the clinical tools I've learned is available is a PRO measure called the CARES, developed by Shune and colleagues, and we'll again put the citation in our show notes. Theresa, could you describe that a little bit more?.   Theresa Yao  41:37 So this is a wonderful screening tool that developed by Dr. Shune and colleagues. It's full name is called Caregiver Analysis of Reported Experiences with Swallowing Disorders. It has 26 items in the questionnaire. And then there's two parts that explore a different aspect of dysphagia's impact on the caregiver. One is a checklist on the behavior and functional changes, and one is a checklist of the subjective caregiver stress. Basically, it's a simple yes/no questionnaire. You can give it to the caregiver and they can just circle yes or no. Then from that, you can figure out what area you may address as an SLP. Or you may want to refer them to a specific team or professionals to address that, because we have limited scope of practice, we can't do everything. But if we can help them to identify the issue and then point them in the right direction, to the right team. That may help a lot.   Ellen Bernstein-Ellis  42:43 In your ASHA presentation you also mentioned the Rome Foundation is a resource and another website that offers skill building around managing serious illness conversations. We're going to put both of those resources into the show notes for people, but we don't have time right now to go into them fully.   But Jocelen, can you address or share what benefits you've seen by adopting this framework? Does it help with goal setting? Does it help with acceptability of recommendations? What have you seen?   Jocelen Hamilton  43:12 I think it's helped me and I feel like it's helped patients and our families have a little more clarity about, okay, these are the areas that are challenging. And again, I'm a visual person, so if I write it out with them, and they're telling me things, and I'm explaining, I get excited about the diagram, and I'm like, you know, see, this seems like an area of challenge. Is there something that you're interested in doing in this area? Are you willing to talk with another person who's gone through this?   So I feel like it really can give clarity, I think, for myself, what you know that A-FROM does, and Swal-FROM now is to not, I professionally can get really hung up on the impairment. And I can't always change that, right? We can't always change it to the degree that we would like. Of course, we would like everybody to have complete resolution, right? And so there can be this frustration and powerlessness with that. And obviously the patients and our family members can be experiencing that also.   And with this broader view, we can say but here's what we can focus on what can we do to have you participate that would make you feel better? What can we do that would help you with your personal feelings? So I feel like it addresses things that matter and we can have more conversations about how is their day to day life being impacted? What are some small steps we can take in a direction that might help them and their families.   Ellen Bernstein-Ellis  44:43 That's beautiful. Thank you so much, Theresa and Jocelen. It has been a pleasure  and I've learned so much from both of you, listening to you apply this framework and look deeply and carefully at quality of life for people with dysphagia. I really appreciate it. Is there anything else you want to add?   Theresa Yao  45:03 I just wanted to add a little bit. So I think it's really important as clinicians to listen to our patients and caregivers, because we need to learn from their experiences, their perspective. And, like we mentioned dysphagia is invisible. I wanted to share one of the quotes from one of the dysphagia support members. He says,  “dysphagia is a label you carry with you inside.” And that's really just so true, because it's hidden. If you go outside, people see like you what you can walk, you can talk, but they don't know that this disability is hidden inside. And I think it's so important to address not just the impairment, but also listen to the patient's perspective. And then help them to address all the domains. I always think that you become a better clinician because what you learn from your patient. So that's all we need to do.   Ellen Bernstein-Ellis  46:08 I can't think of a better way to close this interview. Even though I could ask you several more questions, we could be here for another hour, I just want to thank you for bringing that patient's voice, a client's voice, into the discussion today, so beautifully. And let's end on that note of really learning from our patients' perspectives. So I want to thank you both. And I want to thank our listeners for listening today. And for the references and resources mentioned in today's show, please see our show notes. They're available on our website at www.aphasiaaccess.org. And there you can also become a member of our organization.   Jocelen Hamilton Yes, yes, Do it!   Ellen Bernstein-Ellis Thank you! Browse our growing library materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@AphasiaAccess.org For Aphasia Access Conversations, I'm Ellen Bernstein-Ellis. And thanks again for your ongoing support Aphasia Access   Resources and References Ariadne Labs: Serious Illness Care Program https://www.ariadnelabs.org/serious-illness-care/serious-illness-care-program/ The Rome Foundation https://theromefoundation.org/   Chen, A. Y., Frankowski, R., Bishop-Leone, J., Hebert, T., Leyk, S., Lewin, J., & Goepfert, H. (2001). The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson dysphagia inventory. Archives of Otolaryngology–Head & Neck Surgery, 127(7), 870-876. Hamilton, J., Yao, T. J. (2023). Framework to Guide Whole-Person Care for Individuals with Dysphagia. 2023 ASHA Convention, Boston, MA. Hamilton, J., Yao, T. J. (2022). Shifting to Whole-Person Care for Head Neck Cancer Survivors Living with Dysphagia. 2022 ASHA Convention, New Orleans, LA. Hickey, E. and Douglas, N. (2021) Person-Centered Memory and Communication Interventions for Dementia: A Case Study Approach. Plural Publishing, Inc. Howells, S. R., Cornwell, P. L., Ward, E. C., & Kuipers, P. (2021). Client perspectives on living with dysphagia in the community. International Journal of Speech-Language Pathology, 23(2), 201-212. Kagan, A., Simmons‐Mackie, N., Rowland, A., Huijbregts, M., Shumway, E., McEwen, S., ... & Sharp, S. (2008). Counting what counts: A framework for capturing real‐life outcomes of aphasia intervention. Aphasiology, 22(3), 258-280. List, M. A., D'Antonio, L. L., Cella, D. F., Siston, A., Mumby, P., Haraf, D., & Vokes, E. (1996). The performance status scale for head and neck cancer patients and the functional assessment of cancer therapy‐head and neck scale: a study of utility and validity. Cancer: Interdisciplinary International Journal of the American Cancer Society, 77(11), 2294-2301. McGinnis, C. M., Homan, K., Solomon, M., Taylor, J., Staebell, K., Erger, D., & Raut, N. (2019). Dysphagia: interprofessional management, impact, and patient‐centered care. Nutrition in Clinical Practice, 34(1), 80-95. McHorney, C. A., Bricker, D. E., Kramer, A. E., Rosenbek, J. C., Robbins, J., Chignell, K. A., ... & Clarke, C. (2000). The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia, 15, 115-121. Nund, R. L., Scarinci, N. A., Cartmill, B., Ward, E. C., Kuipers, P., & Porceddu, S. V. (2016). Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer. Disability and rehabilitation, 38(5), 462–471. https://doi.org/10.3109/09638288.2015.1046563 Shune, S. Moving beyond the isolated swallow: Dysphagia in the context of the shared mealtime. https://dysphagiacafe.com/2015/03/19/moving-beyond-the-isolated-swallow-dysphagia-in-the-context-of-the-shared-mealtime/ Shune, S., Davis, C., & Namasivayam-MacDonald, A. (2021). Contributors to Dysphagia-Related Burden Among Spousal Caregivers of Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 102(10), e65. Shune, S. E., & Namasivayam-MacDonald, A. (2020). Dysphagia-related caregiver burden: Moving beyond the physiological impairment. Perspectives of the ASHA Special Interest Groups, 5(5), 1282-1289. Silbergleit, A. K., Schultz, L., Jacobson, B. H., Beardsley, T., & Johnson, A. F. (2012). The dysphagia handicap index: development and validation. Dysphagia, 27, 46-52. Smith, R., Bryant, L., & Hemsley, B. (2023). The true cost of dysphagia on quality of life: The views of adults with swallowing disability. International Journal of Language & Communication Disorders, 58(2), 451-466. Smith, R., Bryant, L., & Hemsley, B. (2022). Dysphagia and quality of life, participation, and inclusion experiences and outcomes for adults and children with dysphagia: A scoping review. Perspectives of the ASHA Special Interest Groups, 7(1), 181-196.

From AI-generated paintings to writing scripts and novels, AI is challenging our endeavor to create, innovate, and connect. Will the human touch be obsolete? Those arguing yes say since AI-created art can't experience human emotions, it will lack depth, and it will come at an economic cost for human artists. Those arguing no say it's another tool in a toolkit and will help express talent like never before. Now we debate: Will AI Kill the Future of the Creative Arts?  Arguing Yes: Jonathan Taplin, Author; Director Emeritus of the Annenberg Innovation Lab at the University of Southern California  Arguing No: Rebecca Fiebrink, Professor at the University of the Arts, London's Creative Computing Institute    Emmy award-winning journalist John Donvan moderates  Learn more about your ad choices. Visit podcastchoices.com/adchoices

Sivan, a mother of two boys, is the author and illustrator of the bestselling children's book series Super Fun Day Books, which shares social stories about kids with neurodiversity (autism, ADHD, dyslexia, etc.). Despite having ADHD, Sivan's remarkable career includes esteemed positions as a professor at New York University's Stern School of Business and a former partner at The Bridgespan Group. Sivan's latest venture in children's books is an Amazon best seller and was featured on NBC and News 12. Her books are available in Spanish and via audiobooks to promote inclusivity for all types of learners. She provides free teacher guides to create meaningful teaching opportunities with kids and students. Sivan is a serious advocate for neurodiverse and underrepresented children. She is an active Trustee on the Board of the Rita Allen Foundation and is a Director Emeritus on the Board of Educators For Excellence. Although she writes her books for neurodivergent kids, Sivan also wants to reach educators and other people interested in neurodiversity. https://sivanhong.com/ ________________________________________ We would love a review on Apple Podcast, Spotify or Audible If you have any question, would like to be a guest: Contact us -  email:  inclusion@autismmastermind.co https://www.autismmastermind.co/