Podcasts about ekg

Heart palpitations don't usually mean heart damage. In this video, I'll uncover the true underlying causes of heart palpitations and share simple heart health tips to address your heart rhythm problems. Download Dr. Berg's Free Daily Health Routine: https://drbrg.co/45qtO07Heart palpitations and heart rhythm problems are an electrolyte issue. Electrolytes are minerals that allow electricity to travel through the nervous system. Unfortunately, doctors rarely look at electrolytes as part of the problem.A magnesium deficiency is one of the most likely causes of heart palpitations. The majority of people with heart palpitations have normal EKG tests and echocardiogram results. If you have chest pains, fainting, or known heart disease, get these symptoms checked.A skipped or extra heartbeat is known as a heart palpitation. This may cause a strange sensation in your chest, cause you to take a breath, or even cause dizziness. This is caused by an unstable electrical rhythm. This does not mean your heart is failing or that you have any structural failure at all. Calcium causes contraction of the heart muscle. Too much calcium can also cause twitches, cramps, insomnia, and anxiety. Magnesium is the master controller of calcium, and the most important electrolyte for nerve stability. A magnesium deficiency rarely shows up in a blood test. When the demand for magnesium increases, you might experience palpitations. The most common trigger for heart palpitations is stress. Magnesium acts as a buffer to adrenaline and cortisol, so the demand increases when you're stressed. In addition to stress, there are many things that can increase the demand for magnesium, including the following:• Poor sleep• Unstable blood sugar• Hormonal shifts• ExerciseMagnesium excretion can also cause magnesium deficiency, leading to heart palpitations. Caffeine, a low-carb diet, heavy sweating, and alcohol can cause magnesium excretion.Simply not getting enough magnesium from your diet or water source can also contribute to heart palpitations. Salad, chocolate, avocado, and nuts are the best sources of magnesium. When you consume ultra-processed foods that are devoid of nutrition, you deplete magnesium. Magnesium glycinate is a highly absorbable form of magnesium that can help increase GABA and reduce cortisol levels. Start with 400 mg of magnesium daily and increase if necessary. When taking more than 400 mg, spread your doses throughout the day.Dr. Eric Berg DC Bio:Dr. Berg, age 60, is a chiropractor who specializes in Healthy Ketosis & Intermittent Fasting. He is the Director of Dr. Berg Nutritionals and author of the best-selling book The Healthy Keto Plan. He no longer practices, but focuses on health education through social media.Disclaimer: Dr. Eric Berg received his Doctor of Chiropractic degree from Palmer College of Chiropractic in 1988. His use of “doctor” or “Dr.” in relation to himself solely refers to that degree. Dr. Berg is a licensed chiropractor in Virginia, California, and Louisiana, but he no longer practices chiropractic in any state and does not see patients, so he can focus on educating people as a full-time activity, yet he maintains an active license. This video is for general informational purposes only. It should not be used to self-diagnose, and it is not a substitute for a medical exam, cure, treatment, diagnosis, prescription, or recommendation. It does not create a doctor-patient relationship between Dr. Berg and you. You should not make any change in your health regimen or diet before first consulting a physician and obtaining a medical exam, diagnosis, and recommendation. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

We explore how to refine and optimize care in the vital minutes following ROSC. Hosts: Jonathan Elmer, MD, MS Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Post-ROSC_care.mp3 Download Leave a Comment Show Notes Core EM Modular CME Course Maximize your commute with the new Core EM Modular CME Course, featuring the most essential content distilled from our top-rated podcast episodes. This course offers 12 audio-based modules packed with pearls! Information and link below.  Course Highlights: Credit: 12.5 AMA PRA Category 1 Credits™ Curriculum: Comprehensive coverage of Core Emergency Medicine,  with 12 modules spanning from Critical Care to Pediatrics. Cost: Free for NYU Learners $250 for Non-NYU Learners Click Here to Register and Begin Module 1 I. Phase 1: Stabilization (Minutes 0–10) The “Rearrest” Window & Pathophysiology High-Risk Period: Rearrest rates reach 30% within the first minutes post-ROSC. Shock Incidence: Two-thirds of patients develop profound hypotension/shock as initial resuscitative efforts subside. Catecholamine Washout: Super-physiologic “code-dose” epinephrine (1mg IV) typically wears off within ~3 minutes post-ROSC, leading to predictable hemodynamic collapse. Secondary Injuries: Evaluate for “CPR-induced trauma” (blunt thoracic trauma, rib fractures, pneumothorax, liver/splenic lacerations). Immediate Resuscitative Actions Vascular Access: Transition rapidly from IO to reliable IV access within 1–2 minutes. Prioritize Intraosseous (IO) placement within 5 minutes if IV attempts fail; intra-arrest data suggests no significant difference in early outcomes. Vasoactive “Bridge”: Maintain a “bolus-dose” pressor at the bedside for immediate push-dose titration. Options: Phenylephrine, dilute Epinephrine, or dilute Norepinephrine (titrated to effect rather than rigid dosing). Physician-Specific Task: Arterial Line: Goal: Placement within 5 minutes of ROSC. Preferred Site: Femoral (by landmarks/blind if necessary) for speed; should be a 80 mmHg. The BOX Trial Nuance: While the BOX trial showed no difference between MAP 63 vs. 77, its cohort (Denmark) had exceptionally high survival rates (70% back to work) and short response times, which may not generalize to North American populations with lower shockable rhythm incidence. Permissive Hypertension: If the patient is “self-driving” to higher pressures, do not aggressively lower them, as this may be a physiologic demand for cerebral blood flow. Ventilation and Oxygenation PaCO2 Management: Target: High-normal to slightly hypercarbic (45–55 mmHg). Rationale: Avoid accidental hyperventilation (PaCO2

Broadcast from KSQD, Santa Cruz on 2-26-2026: Dr. Dawn opens with an urgent measles advisory, noting the virus has an R-value of 15 compared to COVID's peak of 5, with South Carolina reporting over 1,000 cases. She recommends those who received only one MMR shot—particularly people now in their 60s—get an immune titer blood test, as protection declines after 40-50 years. Measles can cause "immune amnesia" destroying immunity to other pathogens, and rarely leads to fatal subacute sclerosing panencephalitis years later. Dr. Dawn criticizes Quest Labs' cholesterol reporting, which flags average levels as "moderate risk" with alarming red H markers even when values fall within their own stated normal ranges. She explains this creates unnecessary panic and pushes patients toward statins based on outdated 2008-2012 guidelines, when cardiology has since recognized that cholesterol can be too low. An emailer asks how an EKG can detect a past heart attack from "jagged lines." Dr. Dawn explains that each spike represents electrical signals moving toward or away from electrode pads, and a 12-lead EKG views the heart from multiple angles—smaller-than-expected spikes in specific leads indicate dead or damaged heart muscle. She urges everyone to learn CPR and AED use, which more than doubles survival chances. An emailer reports that food tastes strong on the first bite but becomes tasteless thereafter. Dr. Dawn identifies numerous medications causing taste changes including calcium channel blockers, beta blockers, statins, diuretics, and even acetaminophen. She also highlights zinc—both deficiency and toxicity above 40mg daily can impair taste, noting a zinc nasal spray was pulled from market after causing smell loss. An emailer asks about Prenuvo full-body MRI scans costing $499-1,000. Dr. Dawn cautions that while Prenuvo found 22 cancers in 1,000 people scanned, 1 in 20 scans requires follow-up biopsy and more than half are false positives—leading to stress, expense, and potential complications from unnecessary procedures. An emailer asks about seed oils after reading a Johns Hopkins article defending them. Dr. Dawn distinguishes fruit oils (olive, avocado) from industrially-extracted seed oils requiring hexane solvent, a neurotoxin that may leave residues despite claims of evaporation. She cites a BMJ study showing coconut oil raised HDL (good cholesterol) while matching olive oil's LDL impact, and recommends cold-pressed oils while avoiding hexane-extracted products, especially for infants.

As an electrocardiogram (EKG) assesses the condition of a physical heart, Jesus  searches the spiritual condition of a heart. What will He find when He assesses yours? Do you truly understand the greater good? Join us for a workshop of Mark 3:1-6.

Perplexed by patients with normal exams but persistent symptoms like recurrent UTIs or palpitations? It could be menopause. In this insightful episode of Succeed In Medicine podcast, host Dr. Bradley Block interviews Dr. Lauren Streicher. They explore commonly overlooked menopause symptoms beyond hot flashes: recurrent urinary tract infections tied to genitourinary syndrome of menopause (GSM), palpitations as "hot flashes of the heart" (often sinus tachycardia without EKG changes), GI microbiome shifts causing nebulous digestive issues, xerostomia (dry mouth) linked to oral health risks, and skin/hair changes like alopecia. Dr. Streicher emphasizes reassuring patients early, validating symptoms as hormonal, and tailoring treatments, vaginal estrogen, safe even for breast cancer patients, systemic hormones, or new non-hormonal NK3 receptor antagonists like fezolinetant. They discuss the SWAN study's findings on long-term risks from untreated hot flashes (e.g., cardiovascular disease, bone loss), the need to differentiate perimenopausal (temporary) vs. lifelong postmenopausal effects, and avoiding arbitrary hormone therapy stops after 5 years. The conversation also touches on sexual health gaps in medicine, with tips for better history-taking and resources like Dr. Stryker's "Come Again" course. Listeners, clinicians and patients alike, will gain tools to address menopause holistically, improving quality of life and preventing complications. Three Actionable Takeaways: Recognize GSM in Recurrent UTIs: For postmenopausal women with new-onset recurrent UTIs, suspect genitourinary syndrome of menopause, prescribe local vaginal estrogen (cream, suppository, or ring) to restore microbiome and tissue health; it's safe for most, including breast cancer survivors on aromatase inhibitors. Reassure on Palpitations First: When midlife women present with palpitations, lead with "This is common in perimenopause (up to 50% affected) likely autonomic dysfunction like a 'heart hot flash'"; order a Holter monitor, but emphasize it's often benign and tied to vasomotor symptoms, treatable with hormones or NK3 antagonists. Integrate Sexual History Properly: Ditch "Are you sexually active?",  ask "Many women in menopause experience low libido, pain with sex, or orgasm difficulty; are any of these issues for you?"; refer to resources like Dr. Streicher's course for evaluation scripts, screeners, and solutions to address 50% of patients' unspoken concerns. About the Show: Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school! About the Guest: Dr. Lauren Streicher is a clinical professor of OB-GYN at Northwestern University and founding director of its Center for Sexual Medicine and Menopause. A certified menopause practitioner, she serves on the Menopause journal's editorial board, is a Kinsey Institute fellow, and authors bestsellers like "Sex Rx" and "Hot Flash Hell." She hosts "Inside Information" podcast and created "Come Again" audio series on postmenopausal sexuality. Connect with Dr. Lauren Streicher: Website: https://www.drstreicher.com Email: info@drstreicher.com  About the Host: Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physicians Want to be a guest? Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more! Socials: @physiciansguidetodoctoring on Facebook @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Artificial Intelligence in Medical Education: Opportunities, Risks, and GuardrailsIn this episode of The Pediatric Lounge, the hosts welcome back Dr. Rani Gareige, director of medical education and designated institutional official at Nicklaus Children's Hospital and a clinical professor at Florida International University, to discuss artificial intelligence in medical education now and in the future. They preview Nicklaus Children's Hospital's 61st annual postgraduate pediatrics CME conference in Fort Lauderdale (Hilton Marina Resort, March 20–22), highlighting sessions on IBD, short stature, dermatology, psychological screening, AI in practice management, social media communication, genetic testing/personalized medicine, and Florida's new requirement for EKG screening to clear athletes starting ninth grade. The conversation covers common AI tools learners use (ChatGPT, Claude, OpenEvidence) and institutional concerns about HIPAA/PHI, including blocking public tools and using a secure in-house system (“Ask Nick”) and closed or constrained approaches (e.g., tools that search only approved sources or documents provided, such as Google Notebook). They explore concerns about de-skilling and when to introduce AI in training, faculty development needs, and a precepting framework (DEFT-AI: Diagnosis, Evidence, Feedback, Teaching, and Recommendations for AI use) to assess clinical reasoning. The episode also discusses AI for simulated patient interactions (bad news delivery, motivational interviewing), ambient AI scribing pilots, clinician responsibility to review notes, and AI-driven coding that may reduce undercoding and administrative burden. The discussion concludes that AI will not replace physicians, but clinicians who use AI wisely may replace those who do not, stressing the importance of policies, ethics, transparency, and maintaining empathy and the art of medicine.00:00 Podcast Intro and Guest02:25 CME Conference Details03:13 Hot Topics and New Laws04:44 EKG Screening Program07:42 AI Tools in Training11:42 IRB and Data Privacy14:39 Meeting Minutes Automation16:48 Closed Models for Clinicians19:13 AI Hallucinations and References24:16 Deskilling and Timing AI30:11 Teaching Frameworks for AI32:46 Back to Evidence Basics33:40 Questioning the Evidence34:48 AI and Human Empathy37:45 AI as Clinical Assistant41:01 Recertification in the AI Era46:32 Ethics and Prompting50:40 AI Scribing and Guardrails54:35 Coding and Care Gaps57:15 Future of Medical Education01:01:13 Virtual Trials and Wrap-Up01:0Support the show

We're closing out February with Dr. Aisha Harris of Flint, Michigan, a board-certified family physician, community advocate, and the founder of Harris Family Health, the first Direct Primary Care clinic in her hometown. In this episode of My DPC Story, Dr. Harris shares how returning to Flint to open a DPC practice allowed her to practice medicine with purpose - addressing trust, environment, and health literacy upstream while creating real opportunities for prevention, especially around heart and metabolic health. Her journey weaves together entrepreneurship, advocacy, and deep community commitment, showing how Direct Primary Care offers physicians autonomy while strengthening the communities that raised them. We chose Dr. Harris for February because she embodies what it means to practice medicine rooted in service, ownership, and accountability, proving that sustainable, relationship-based care can thrive even in communities shaped by systemic barriers.Get a SmartHeart 12-lead EKG for your DPC with board-certified cardiologists available to help you at the press of a button.Learn more about Zion HealthShare and REGISTER for the LIVE WEBINAR on Feb 13th at 2pm PST. Earn money WHILE running your DPC! Join SERMO for FREE today! Brought to you by SmartHeart: get your copy of the 5-Day Mini Metabolic Health Reset to use with your patients during Heart Health month!Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Melissa Lavasani & Jay Kopelman join our podcast to discuss how psychedelic policy is actually moving in Washington, DC. Lavasani leads Psychedelic Medicine Coalition, a DC-based advocacy organization focused on educating federal officials and advancing legislation around psychedelic medicine. Kopelman is CEO of Mission Within Foundation, which provides scholarships for veterans and first responders seeking psychedelic-assisted therapy retreats, often outside the United States. The conversation centers on veterans, the VA, and why that system may be the first realistic federal pathway for psychedelic care. Early Themes Lavasani describes PMC's work on Capitol Hill, including hosting events that bring lawmakers, staffers, and advocates into the same room. Her focus is steady engagement. In DC, progress often happens through repeated conversations, not headlines. Kopelman shares his background as a Marine and how his own psychedelic-assisted therapy experience led him to Mission Within. The foundation has funded more than 250 scholarships for veterans and first responders seeking treatment for PTSD, mild traumatic brain injury, depression, and addiction. They connect this work to pending veteran-focused legislation and explain why the VA matters. As a closed health system, the VA can pilot programs, gather data, and refine protocols without the pressures of private healthcare markets. Core Insights A recent Capitol Hill gathering, For Veteran Society, brought together members of Congress and leaders from the psychedelic caucus. Lavasani describes candid feedback from lawmakers. The message was clear: coordinate messaging, avoid fragmentation, and move while bipartisan interest remains. Veteran healthcare is not framed as the final goal. It is a starting point. If psychedelic therapies can demonstrate safety and effectiveness within the VA, broader adoption becomes more plausible. Kopelman raises operational realities that must be addressed: Standardized safety protocols across providers Integration support, not medication alone Clear training pathways for clinicians Real-world data beyond tightly screened clinical trials They also address recent negative headlines involving ibogaine treatment abroad. Kopelman emphasizes the need for shared learning across providers, especially when adverse events occur. Lavasani argues that inconsistency within the ecosystem can slow federal confidence. Later Discussion and Takeaways The discussion widens to federal momentum around addiction and mental health. Lavasani notes that new funding initiatives signal growing openness to innovative treatment models, even if psychedelics are not named explicitly in every announcement. Both guests stress that policy moves slowly by design. Meetings, follow-ups, and relationship building often matter more than public statements. For clinicians, researchers, operators, and advocates, the takeaways are direct: Veterans are likely the first federal pathway Public education remains essential Safety standards must be shared and transparent Integration and workforce development need attention now If psychedelic medicine enters federal systems, infrastructure will determine success. Frequently Asked Questions What do Melissa Lavasani & Jay Kopelman say about VA psychedelic policy? They argue that veteran-focused legislation offers a realistic first federal pathway for psychedelic-assisted care. Is ibogaine currently available through the VA? No. They discuss ibogaine in the context of private retreats and future possibilities, not an existing VA program. Why do Melissa Lavasani & Jay Kopelman emphasize coordination? Lawmakers respond more positively when advocates present aligned messaging and clear priorities. What safety issues are discussed by Melissa Lavasani & Jay Kopelman? They highlight the need for standardized screening, monitoring, integration support, and transparent review of adverse events. Closing Melissa Lavasani & Jay Kopelman provide a grounded look at how psychedelic policy develops inside federal systems. Their message is practical: veterans may be the first lane, but long-term success depends on coordination, safety standards, and sustained engagement. Closing This episode captures a real-time view of how federal policy could shape the next phase of the psychedelic resurgence, especially through veteran-facing legislation and VA infrastructure. Melissa Lavasani & Jay Kopelman argue that coordination, public education, and shared safety standards will shape whether access expands with credibility and care. Transcript Joe Moore: [00:00:00] Hello everybody. Welcome back to Psychedelics Today. Today we have two guests, um, got Melissa Sani from Psychedelic Medicine Coalition. We got Jake Pelman from Mission Within Foundation. We're gonna talk about I bga I became policy on a recent, uh, set of meetings in Washington, DC and, uh, all sorts of other things I'm sure. Joe Moore: But thank you both for joining me. Melissa Lavasani: Thanks for having us. Jay Kopelman: Yeah, it's a pleasure. Thanks. Joe Moore: Yeah. Um, Melissa, I wanna have you, uh, jump in. First. Can you tell us a little bit about, uh, your work and what you do at PMC? Melissa Lavasani: Yeah, so Psychedelic Medicine Coalition is, um, the only DC based Washington DC based advocacy organization dedicated to the advancing the issue of psychedelics, um, and making sure the federal government has the education they need, um, and understands the issue inside out so that they can generate good policy around, around psychedelic medicines. Melissa Lavasani: [00:01:00] Uh, we. Host Hill events. We host other convenings. Our big event every year is the Federal Summit on psychedelic medicine. Um, that's going to be May 14th this year. Um, where we talk about kinda the pressing issues that need to be talked about, uh, with government officials in the room, um, so that we can incrementally move this forward. Melissa Lavasani: Um, our presence here in Washington DC is, is really critical for this issue's success because, um, when we're talking about psychedelic medicines, um, from the federal government pers perspective, you know, they are, they are the ones that are going to initiate the policies that create a healthcare system that can properly facilitate these medicines and make sure, um, patient safety is a priority. Melissa Lavasani: And there's guardrails on this. And, um, you know, there, it's, it's really important that we have. A home base for this issue in Washington DC just [00:02:00] because, uh, this is very complicated as a lot of your viewers probably understand, and, you know, this can get lost in the mix of all the other issues that, um, lawmakers in DC are focused on right now. Melissa Lavasani: And we need to keep that consistent presence here so that this continues to be a priority for members of Congress. Joe Moore: Mm. I love this. And Jay, can you tell us a bit about yourself and mission within Foundation? Jay Kopelman: Yeah, sure. Joe, thanks. Uh, I, I am the CEO of Mission within Foundation. Prior to this, most of my adult life was spent in the military as a Marine. Jay Kopelman: And I came to this. Role after having, uh, a psychedelic assisted therapy experience myself at the mission within down in Mexico, which is where pretty much we all go. Um, we are here to help [00:03:00] provide, uh, access for veterans and first responders to be able to attend psychedelic assisted therapy retreats to treat issues like mild TBI, post-traumatic stress disorder, uh, depression, sometimes addiction at, at a very low level. Jay Kopelman: Um, and, and so we've, we've been doing this for a little more than a year now and have provided 250 plus scholarships to veterans and first responders to be able to access. These retreats and these, these lifesaving medicines. Um, we're also partnered, uh, you may or may not know with Melissa at Psychedelic Medicine Coalition to help advance education and policy, specifically the innovative, uh, therapy Centers of Excellence Act [00:04:00] that Melissa has worked for a number of years on now to bring to both Houses of Congress. Joe Moore: Thank you for that. Um, so let's chat a little bit about what this event was that just, uh, went down, uh, what, what was it two weeks ago at this point? Melissa Lavasani: Yeah. Yeah. It's called For Veteran Society and it's all, um, there's a lot of dialogue on Capitol Hill about veterans healthcare and psychedelics, but where I've been frustrated is that, you know, it was just a lot of. Melissa Lavasani: Talk about what the problems are and not a lot of talk about like how we actually propel things forward. Um, so it, at that event, I thought it was really important and we had three members of Congress there, um, Morgan Latrell, who has been a champion from day one and his time in Congress, um, having gone through the experience himself, um, [00:05:00] at Mission within, um, and then the two chairs of the psychedelic caucus, uh, Lou Correa and Jack Bergman. Melissa Lavasani: And we really got down to the nitty gritty of like w like why this has taken so long and you know, what is actually happening right now? What are the possibilities and what the roadblocks are. And it was, I thought it was a great conversation. Um, we had an interesting kind of dynamic with Latres is like a very passionate about this issue in particular. Melissa Lavasani: Um, I think it was, I think it was really. A great event. And, you know, two days later, Jack Bergman introduced his new bill for the va. Um, so it was kind of like the precursor to that bill getting introduced. And we're just excited for more and more conversations about how the government can gently guide this issue to success. Joe Moore: Hmm. Yeah. [00:06:00] That's fantastic. Um, yeah, I was a little bummed I couldn't make it, but next time, I hope. But I've heard a lot of good things and, um, it's, it sounded like there was some really important messages in, in terms of like feedback from legislators. Yeah. Yeah. Could you speak to that? Melissa Lavasani: Yeah, I mean, I think when, uh, representative Latrell was speaking, he really impressed on us a couple things. Melissa Lavasani: Um, first is that, you know, they really kind of need the advocates to. Coordinate, collaborate and come up with like a, a strategic plan, you know, without public education. Um, talking to members of Congress about this issue is, is really difficult. You know, like PMC is just one organization. We're very little mission within, very little, um, you know, we're all like, kind of new in navigating, um, this not so new issue, but new to Washington DC [00:07:00] issue. Melissa Lavasani: Um, without that public education as a baseline, uh, it's, it's, you have to spend a lot of time educating members of Congress. You know, that's like one of our things is, you know, we have to, we don't wanna tell Congress what direction to go to. We wanna provide them the information so they understand it very intimately and know how to navigate through things. Melissa Lavasani: Um, and secondly. Um, he got pretty frank with us and said, you know, we've got one cha one chance at this issue. And it's like, that's, that's kind of been like my talking point since I started. PMC is like, you have a very limited window, um, when these kind of issues pop up and they're new and they're fresh and you have a lot of the veteran community coming out and talking about it. Melissa Lavasani: And there's a lot of energy there. But now is the time to really move forward, um, with some real legislation that can be impactful. Um, but, you know, we've gotta [00:08:00] be careful. We, we forget, I think sometimes those of us who are in the ecosystem forget that our level of knowledge about these medicines and a lot of us have firsthand experience, um, with these drugs and, and our own healing journeys is, um, we forget that there is a public out there that doesn't have the level of knowledge that we all have. Melissa Lavasani: And, um. We gotta make sure that we're sticking to the right elements of, of, of what needs to happen. We need to be sure that our talking points are on track and we're not getting sideways about anything and going down roads that we don't need to talk about. It's why, um, you know, PMC is very focused on, um, moving forward veteran legislation right now. Melissa Lavasani: Not because we're a veteran organization, but because we're, we see this long-term policy track here. Um, we know where we want to get [00:09:00] to, um. Um, and watching other healthcare issues kind of come up and then go through the VA healthcare system, I think it's a really unique opportunity, um, to utilize the VA as this closed system, the biggest healthcare system in the country to evaluate, uh, how psychedelics operate within systems like that. Melissa Lavasani: And, you know, before they get into, um, other healthcare systems. What do we need to fix? What do we need to pay attention to? What's something that we're paying too much attention to that doesn't necessarily need that much attention? So it's, um, it's a real opportunity to look at psychedelic medicines within a healthcare system and obviously continue to gather the data. Melissa Lavasani: Um, Bergman's Bill emerging, uh, expanding veteran access to emerging treatments. Um, not only mandates the research, it gives the VA authority for this, uh, for running trials and, and creating programs around psychedelic medicines. But also, [00:10:00] one of the great things about it, I think, is it provides an on-ramp for veterans that don't necessarily qualify for clinical trials. Melissa Lavasani: You know, I think that's one of the biggest criticisms of clinical trials is like you're cre you're creating a vacuum for people and people don't live in a vacuum. So we don't necessarily know what psychedelics are gonna look like in real life. Um, but with this expanding veteran access bill that Bergman introduced, it provides the VA an opportunity to provide this access under. Melissa Lavasani: Um, in a, in a safe container with medical supervision while collecting data, um, while ensuring that the veteran that is going through this process has the support systems that it needs. So, um, you know, I think that there's a really unique opportunity here, and like Latrell said, like, we've got one shot at this. Melissa Lavasani: We have people's attention in Congress. Um, now's the time to start acting, and let's be really considerate and thoughtful about what we're doing with it. Joe Moore: Thanks for that, Melissa and Jay, how, [00:11:00] anything to add there on kind of your takeaways from the this, uh, last visit in dc? Jay Kopelman: Yeah, I, I think that Melissa highlighted it really well and there, there were a couple other things that I, I think, you know, you could kind of tie it all together with some other issues that we face in this country, uh, and that. Jay Kopelman: Uh, representative Correa brought up as well, but one of the things I wanted to go back and say is that veterans have kind of led this movement already, right? So, so it's a, it's a good jumping off point, right? That it's something people from both sides of the aisle, from any community in America can get behind. Jay Kopelman: You know, if you think about it, uh, in World War ii, you know, we had a million people serving our population was like, not even 200 million, but now [00:12:00] we have a population of 330 million, and at any given time there might be a million people in uniform, including the Reserve and the National Guard. So it's, it, it's an easy thing to get behind this small part of the population that is willing to sign that contract. Jay Kopelman: Where you are saying, yeah, I'm going to defend my country, possibly at the risk of my l my own life. So that's the first thing. The other thing is that the VA being a closed health system, and they don't have shareholders to answer to, they can take some risks, they can be innovative and be forward thinking in the ways that some other healthcare systems can't. Jay Kopelman: And so they have a perfect opportunity to show that they truly care for their veterans, which don't, I'm not saying they don't, but this would be an [00:13:00] opportunity to show that carrot at a whole different level. Uh, it would allow them to innovate and be a leader in something as, uh, as our friend Jim Hancock will say, you know. Jay Kopelman: When he went to the Naval Academy, they had the world's best shipbuilding program. Why doesn't the VA have the world's best care program for things like TBI and PTSD, which affects, you know, 40 something percent of all veterans, right? So, so there's, there's an opportunity here for the VA to lead from the front. Jay Kopelman: Um, the, these medicines provide, you know, reasonably lasting care where it's kind of a one and done. Whereas with the current systems, the, you know, and, and [00:14:00] again, not to denigrate the VA in any way, they're doing the best job they can with the tools in their toolbox, right? But maybe it's time for a trip to Home Depot. Jay Kopelman: Let's get some new tools. And have some new ways of fixing what's broken, which is really the way of doing things. It's not, veterans aren't broken, we are who we are. Um, but it's a, it's a way to fix what isn't working. So I, I think that, you know, given there's tremendous veteran homelessness still, you know, addiction issues, all these things that do translate to the population at large are things that can be worked on in this one system, the va that can then be shown to have efficacy, have good data, have [00:15:00] good outcomes, and, and take it to the population at large. Joe Moore: Mm-hmm. Brilliant. Thanks for that. And so there was another thing I wanted to pivot to, which is some of the recent press. So we've, um, seen a little bit of press around some, um, in one instance, some bad behavior in Mexico that a FI put out Americans thrive again, put out. And then another case there was a, a recent fatality. Joe Moore: And I think, um, both are tragic. Like we shouldn't be having to deal with this at this point. Um, but there's a lot of things that got us here. Um, it's not necessarily the operator's fault entirely, um, or even at all, honestly, like some medical interventions just carry a lot of risk. Like think, think about like, uh, how risky bypass surgery was in the nineties, right? Joe Moore: Like people were dying a lot from medical interventions and um, you know, this is a major intervention, uh, ibogaine [00:16:00] and also a lot of promise. To help people quite a bit. Um, but as of right now, there's, there's risk. And part of that risk, in my opinion, comes from the inability of organizations to necessarily collaborate. Joe Moore: Like there's no kind of convening body, sitting in the middle, allowing, um, for, and facilitating really good data sharing and learnings. Um, and I don't, I don't necessarily see an organization stepping up and being the, um, the convener for that kind of work. I've heard rumors that something's gonna happen there, and I'm, I'm hopeful I'll always wanna share my opinion on that. Joe Moore: But yeah. I don't know. Jay, from your perspective, is there anything you want to kind of speak to about, uh, these two recent incidents that Americans for Iboga kind of publicized recently? Jay Kopelman: Yeah, so I, I'll echo your sentiment, of course, that these are tragic incidents. Um, and I, [00:17:00] I think that at least in the case of the death at Ambio, AMBIO has done a very good job of talking about it, right? Jay Kopelman: They've been very honest with the information that they have. And like you said, there are risks inherent to these medicines, and it's like anything else in medicine, there are going to be risks. You know, when I went through, uh, when I, when I went through chemo, you know, there were, there are risks. You know, you don't feel well, you get sick. Jay Kopelman: Um, and, and it. There are processes in place to counter that when it happens. And there are processes and, and procedures and safety protocols in place when caring for somebody going through an ibogaine [00:18:00] journey. Uh, when I did it, we had EKG echocardiogram. You're on a heart monitor the entire time they push magnesium via iv. Jay Kopelman: You have to provide a urinalysis sample to make sure that there is nothing in your system that is going to potentially harm you. During the ibogaine, they have, uh, a cardiologist who is monitoring the heart monitors throughout the ibogaine experience. So the, the safety protocols are there. I think it's, I think it's just a matter of. Jay Kopelman: Standardizing them across all, all providers, right? Like, that would be a good thing if people would talk to one another. Um, as, as in any system, right? You've gotta have [00:19:00] some collaboration. You've gotta have standardization, you know, so, you know, they're not called standard operating procedures for nothing. Jay Kopelman: That means that in a, you know, in a given environment, everybody does things the same way. It's true in Navy and Marine Corps, air Force, army Aviation, they have standard operating procedures for every single aircraft. So if you fly, let's say the F 35 now, right? Because it's flown by the Navy, the Marine Corps, and the Air Force. Jay Kopelman: The, the emergency procedures in that airplane are standardized across all three services, so you should have the same, or, you know, with within a couple of different words, the same procedures and processes [00:20:00] across all the providers, right? Like maybe in one document you're gonna change, happy to glad and small dog to puppy, but it's still pretty much the, the same thing. Jay Kopelman: And as a service that provides scholarships to people to go access these medicines and go to these retreats, you know, my criteria is that the, this provider has to be safe. Number one, safety's paramount. It's always gotta be very safe. It should, it has to be effective. And you know, once you have those two things in place, then I have a comfort level saying, okay, yeah, we'll work with this provider. Jay Kopelman: But until those standardized processes are in place, you'll probably see these one-off things. I mean, some providers have been doing this longer than others and have [00:21:00] really figured out, you know, they've, they've cracked the code and, you know, sharing that across the spectrum would be good. Um, but just when these things happen, having a clearing house, right, where everybody can come together and talk about it, you know, like once the facts are known because. Jay Kopelman: To my knowledge, we still don't know all the facts. Like as, you know, as horrible as this is, you still have to talk about like an, has an autopsy been performed? What was found in the patient's system? You know, there, there are things there that we don't know. So we need to, we need to know that before we can start saying, okay, well this is how we can fix that, because we just don't know. Jay Kopelman: And, you know, to their credit, you know, Amio has always been safe to, to the, to the best of my knowledge. You know, I, [00:22:00] I haven't been to Ambio myself, but people that I have worked with have been there. They have observed, they have seen the process. They believe it's safe, and I trust their opinion because they've seen it elsewhere as well. Jay Kopelman: So yeah, having, having that one place where we can all come together when this happens, it, it's almost like it should be mandatory. In the military when there's a training accident, we, you know, we would have to have what's called a safety standout. And you don't do that again for a little while until you figure out, okay, how are we going to mitigate that happening again? Jay Kopelman: Believe me, you can go overboard and we don't want to do that. Like, we don't wanna just stop all care, but maybe stop detox for a week and then come back to it. [00:23:00] Joe Moore: Yeah. A dream would be, let's get like the, I don't know, 10, 20 most popular, uh, or well-known operators together somewhere and just do like a three day debrief. Joe Moore: Hey, everybody, like, here's what we see. Let's work on this together. You know how normal medicine works. And this is, it's hard because this is not necessarily, um, something people feel safe about in America talking about 'cause it's illicit here. Um, I don't understand necessarily how the operations, uh, relate to each other in Mexico, but I think that's something to like the public should dig into. Joe Moore: Like, what, what is this? And I, I'll start digging into that. Um, I, I asked a question recently of somebody like, is there some sort of like back channel signal everybody's using and there's no clear Yes. You know? Um, I think it would be good. That's just a [00:24:00] start, you know, that's like, okay, we can actually kind of say hi and watch out for this to each other. Jay Kopelman: It's not like we don't all know one another, right? Joe Moore: Yes. Jay Kopelman: Like at least three operators we're represented. At the Aspen Ibogaine meeting. So like that could be, and I think there was a panel kind of loosely related to this during Aspen Ibogaine meeting, but Joe Moore: mm-hmm. Jay Kopelman: It, you know, have a breakout where the operators can go sit down and kind of compare notes. Joe Moore: Right. Yeah. Melissa, do you have any, uh, comments on this thread here? And I, I put you on mute if you didn't see that. Um, Melissa Lavasani: all right, I'm off mute. Um, yeah, I think that Jay's hits the nail on the head with the collaboration thing. Um, I think that it's just a [00:25:00] problem across the entire ecosystem, and I think that's just a product of us being relatively new and upcoming field. Melissa Lavasani: Um, uh, it's a product of, you know. Our fundraising community is really small, so organizations feel like they are competing for the same dollars, even though their, their goals are all the same, they have different functions. Um, I think with time, I mean, let's be honest, like if we don't start collaborating and, and the federal government's moving forward, the federal government's gonna coordinate for us. Melissa Lavasani: And not, that might not necessarily be a bad thing, but, you know, we understand this issue to a whole other level that the federal government doesn't, and they're not required to understand it deeply. They just need to know how to really move forward with it the proper way. Um, but I think that it. It's really essential [00:26:00] that we all have this come together moment here so we can avoid things. Melissa Lavasani: Uh, I mean, no one's gonna die from bad advocacy. So like I've, I have a bit of an easier job. Um, but it can a, a absolutely stall efforts, um, to move things forward in Washington DC when, um, one group is saying one thing, another group is saying another thing, like, we're not quite at a point yet where we can have multiple lines of conversation and multiple things moving forward. Melissa Lavasani: Um, you know, for PMC, it's like, just let's get the first thing across the finish line. And we think that is, um, veteran healthcare. And, um, I know there's plenty of other groups out there that, that want the same thing. So, you know, I always, the reason why I put on the Federal Summit last year was I kind of hit my breaking point with a lack of collaboration and I wanted to just bring everyone in the same room and say like, all right, here are the things that we need to talk about. Melissa Lavasani: And I think the goal for this year is, um. To bring people in the same room and say, we talked about [00:27:00] we scratched the surface last year and this is where we need to really put our efforts into. And this is where the opportunities are. Um, I think that is going to, that's going to show the federal government if we can organize ourselves, that they need to take this issue really seriously. Melissa Lavasani: Um, I don't think we've done a great job at that thus far, but I think there's still plenty of time for us to get it together. Um, and I'm hoping with these two, uh, VA bills that are in the house right now and Senate is, is putting together their version of these two bills, um, so that they can move in tandem with each other. Melissa Lavasani: I think that, you know, there's an opportunity here for. Us to show the federal government as an ecosystem, Hey, we, we are so much further ahead and you know, this is what we've organized and here's how we can help you, um, that would make them buy into this issue a bit more and potentially move things forward faster. Melissa Lavasani: Uh, at this point in time, it's, I think that, [00:28:00] you know, psychedelics aren't necessarily the taboo thing that they, they used to be, but there's certainly places that need attention. Um, there's certainly conversations that need to be had, and like I said, like PMC is just one organization that can do this. Um, we can certainly organize and drive forward collaboration, but I, like we alone, cannot cover all this ground and we need the subject matter experts to collaborate with us so we can, you know, once we get in the door, we wanna bring the experts in to talk to these officials about it. Melissa Lavasani: So I. I, I really want listeners to really think about us as a convener of sorts when it comes to federal policy. Um, and you know, I think when, like for example, in the early eighties, a lot of people have made comparisons to the issue of psychedelics to the issue of AIDS research and how you have in a subject matter that's like extremely taboo and a patient population that the government [00:29:00] quite honestly didn't really care about in the early eighties. Melissa Lavasani: But what they did as an ecosystem is really organized themselves, get very clear on what they wanted the federal government to do. And within a matter of a couple years, uh, AIDS research funding was a thing that was happening. And what that, what that did was that ripple effect turned that into basically finding new therapies for something that we thought was a death, death sentence before. Melissa Lavasani: So I think. We just need to look at things in the past that have been really successful, um, and, and try to take the lessons from all of these issues and, and move forward with psychedelics. Joe Moore: Love that. And yes, we always need to be figuring out efficient approaches and where it has been successful in the past is often, um, an opportunity to mimic and, and potentially improve on that. Melissa Lavasani: Yeah. Jay Kopelman: One, one thing I think it's important to add to this part of the conversation is that, [00:30:00] you know, Melissa pointed out there are a number of organizations that are essentially doing the same thing. Jay Kopelman: Um, you know, I like to think we do things a little bit differently at Mission within Foundation in that we don't target any one specific type of service member. We, we work with all veterans. We work with first responders, but. What that leads to is that there are, as far as I've seen, nothing but good intentioned people in this space. Jay Kopelman: You know, people who really care about their patient population, they care about healing, they are trying to do a good job, and more importantly, they're trying to do good. Right? It, it, I think they all see the benefit down the road that this has, [00:31:00] pardon me, not just for veterans, but for society as a whole. Jay Kopelman: And, and ultimately that's where I would like to see this go. You know, I, I would love to see the VA take this. Take up this mantle and, and run with it and provide great data, great outcomes. You know, we are doing some data collection ourselves at Mission within foundation, albeit anecdotal based on surveys given before and after retreats. Jay Kopelman: But we're also working with, uh, Greg Fonzo down at UT Austin on a brain study he's doing that will have 40 patients in it when it's all said and done. And I think we have two more guys to put through that. Uh, and then we'll hit the 40. So there, there's a lot of good here that's being done by some really, really good people who've been doing this for a long time [00:32:00] and want to want nothing more than to, to see this. Jay Kopelman: Come to, come full circle so that we can take care of many, many, many people. Um, you know, like I say, I, I wanna work myself out of a job here. I, I just, I would love to see this happen and then I, you know, I don't have to send guys to Mexico to do this. They can go to their local VA and get the care that they need. Jay Kopelman: Um, but one thing that I don't think we've touched on yet, or regarding that is that the VA isn't designed for that. So it's gonna be a pretty big lift to get the right types of providers into the va with the knowledge, right, with the institutional knowledge of how this should be done, what is safe, what is effective, um, and then it, it's not just providing these medicines to [00:33:00] people and sending them home. Jay Kopelman: You don't just do that, you've gotta have the right therapists on the backend who can provide the integration coaching to the folks who are receiving these medicines. And I'm not just talking, I bga, even with MDMA and psilocybin, you should have a proper period of integration. It helps you to understand how this is going to affect you, what it, what the experience really meant, you know, because it's very difficult sometimes to just interpret it on your own. Jay Kopelman: And so what the experience was and what it meant to you. And, and so it will take some time to spin all that up. But once it's, once it's in place, you know, the sky's the limit. I think. Joe Moore: Kinda curious Jay, about what's, what's going on with Ibogaine at the federal level. Is there anything at VA right now? [00:34:00] Jay Kopelman: At the va? No, not with ibogaine. And, you know, uh, we, we send people specifically for IBOGAINE and five MEO, right? And, and so that, that doesn't preclude my interest in seeing this legislation passed, right? Jay Kopelman: Because it, it will start with something like MDMA or psilocybin, but ultimately it could grow to iboga, right? It the think about the cost savings at, at the va, even with psilocybin, right? Where you could potentially treat somebody with a very inexpensive dose of psilocybin or, or iboga one time, and then you, you don't have to treat them again. Jay Kopelman: Now, if I were, uh, you know, a VA therapist who's not trained in psychedelic trauma therapy. I might be worried [00:35:00] about job security, but it's like with anything, right? Like ultimately it will open pathways for new people to get that training or the existing people to get that training and, and stay on and do that work. Jay Kopelman: Um, which only adds another arrow to their quiver as far as I'm concerned, because this is coming and we're gonna need the people. It's just like ai, right? Like ai, yeah. Some people are gonna lose some jobs initially, and that's unfortunate. But productivity ultimately across all industries will increase and new jobs will be created as a result of that. Jay Kopelman: I mean, I was watching Squawk Box one morning. They were talking about the AI revolution and how there's gonna be a need for 500,000 electricians to. Build these systems that are going to work with the AI [00:36:00] supercomputers and, and so, Joe Moore: mm-hmm. Jay Kopelman: Where, where an opportunity may be lost. I think several more can be gained going forward. Melissa Lavasani: And just to add on what Jay just said there, there's nothing specific going on with Ibogaine at, at the va, but I think this administration is, is taking a real look at addiction in particular. Uh, they just launched, uh, a new initiative, uh, that's really centered on addiction treatments called the Great American Recovery. Melissa Lavasani: And, um, they're dedicating a hundred million dollars towards treating addiction as like a chronic treatable disease and not necessarily a law enforcement issue. So, um, in that initiative there will be federal grant programs for prevention and treatment and recovery. And, um, while this isn't just for psychedelic medicines, uh, I think it's a really great opportunity for the discussion of psychedelics to get elevated to the White House. Melissa Lavasani: Um, [00:37:00] there's also, previous to this announcement last week from the White House, there's been a hundred million dollars that was dedicated at, um, at ARPA h, which is. The advanced research projects, uh, agency for healthcare, um, and that is kind of an agency that's really focused on forward looking, um, treatments and technologies, uh, for, um, a, a whole slew of. Melissa Lavasani: Of issues, but this a hundred million dollars is dedicated to mental health and addiction. So there's a lot of opportunity there as well. So we, while I think, you know, some people are talking about, oh, we need a executive order on Iboga, it's like, well, you know, the, the president is thinking, um, about, you know, what issues can land with his, uh, voting block. Melissa Lavasani: And I think it's, I don't think we necessarily need a specific executive order on Iboga to call this a success. It's like, let's look at what, [00:38:00] um, what's just been announced from the White House. They're, they're all in on. Thinking creatively and finding, uh, new solutions for this. And this is kind of, this aligns with, um, HHS secretaries, uh, Robert F. Melissa Lavasani: Kennedy Junior's goals when he took on this, this role of Health Secretary. Um, addiction has been a discussion that, you know, he has personal, um, a personal tie to from his own experience. And, um, I think when this administration started, there was so much like fervor around the, the dialogue of like, everyone's talking about psychedelics. Melissa Lavasani: It was Secretary Kennedy, it was, uh, secretary Collins at the va. It was FDA Commissioner Marty Macari. And I think that there's like a lot of undue frustration within folks 'cause um, you don't necessarily snap your fingers and change happens in Washington dc This is not the city for that. And it's intentionally designed to move slow so that we can avoid really big mistakes. Melissa Lavasani: Um. [00:39:00] I think we're a year into this administration and these two announcements are, are pretty huge considering, um, you know, the, we, there are known people within domestic policy council that don't, aren't necessarily supportive of psychedelic medicine. So there's a really amazing progress here, and frustrating as it might be to, um, just be waiting for this administration to make some major move. Melissa Lavasani: I think they are making major moves like for Washington, DC These, these are major moves and we just gotta figure out how we can, um, take these initiatives and apply them to the issue of psychedelic medicines. Joe Moore: Thanks, Melissa. Um, yeah, it is, it is interesting like the amount of fervor there was at the beginning. You know, we had, uh. Kind of one of my old lawyers, Matt Zorn, jumped in with the administration. Right. And, um, you know, it was, uh, really cool to [00:40:00] see and hopeful how much energy was going on. It's been a little quiet, kind of feels like a black box a little bit, but I, you know, there was, Melissa Lavasani: that's on me. Melissa Lavasani: Maybe I, we need to be more out in public about like, what's actually happening, because I feel like, like day in and day out, it's just been, you gotta just mm-hmm. Like have that constant beat with the government. Mm-hmm. And, um, it's, it's, it's not the photo ops on the hill, it's the conversations that you have. Melissa Lavasani: It's the dinner parties you go to, it's the fundraisers you attend, you know? Mm-hmm. That's why I, I kind of have to like toot my own horn with PCs. Like, we need to be present here at, at not only on the Hill, not only at the White House, but kind of in the ecosystem of Washington DC itself. There's, it's, there are like power players here. Melissa Lavasani: There are people that are connected that can get things done, like. I mean, the other last week we had a big snow storm. I walked over to my friend's house, um, to have like a little fire sesh with them and our kids, and his next door neighbor came over. He was a member of Congress. I talked about the VA bills, like [00:41:00] we're reaching out to his office now, um, to get them, um, up to speed and hopefully get their co-sponsorship for, uh, the two VA bills. Melissa Lavasani: So, I mean, it, the little conversations you have here are just as important as the big ones with the photo ops. So, um, it, it's, it's really like, you know, building up that momentum and, and finding that time where you can really strike and make something happen. Joe Moore: Mm-hmm. Yeah. Jay, anything to add there? Jay Kopelman: Yeah, I was just gonna say that, you know, I, I, I think the fervor is still there, right? Jay Kopelman: But real life happens. Melissa Lavasani: Yes, Jay Kopelman: yes. And gets in the way, right? So, Melissa Lavasani: yeah, Jay Kopelman: I, I can't imagine how many issues. Secretary Kennedy has every day much less the president. Like there's so many things that they are dealing with on a daily basis, right? It, we, we just have to work to be the squeaky wheel in, in the right way, right. Jay Kopelman: [00:42:00] With the, with the right information at the right time. Like just inundating one of these organizations with noise, it's then it be with Informa, it just becomes noise, right? It it, it doesn't help. So when we have things to say that are meaningful and impactful, we do, and Melissa does an amazing job of that. Jay Kopelman: But, you know, it, it takes time. You know, it's, you know, we're not, this is, this is like turning an aircraft carrier, not a ski boat. Melissa Lavasani: Yeah, Joe Moore: yeah, absolutely. Um, and. It's, it's understandably frustrating, I think for the public and the psychedelic public in particular because we see all this hope, you know, we continue to get frustrated at politics. It's nothing new, right? Um, and we, we wanna see more people get well immediately. [00:43:00] And I, I kind of, Jay from the veteran perspective, I do love the kind of loud voices like, you're making me go to Mexico for this. Joe Moore: I did that and you're making me leave the country for the thing that's gonna fix me. Like, no way. And barely a recognition that this is a valid treatment. You know, like, you know, that is complicated given how medicine is structured here domestically. But it's also, let's face the facts, like the drug war kind of prevented us from being able to do this research in the first place. Joe Moore: You know? Thanks Nixon. And like, how do we actually kind of correct course and say like, we need to spend appropriately on science here so we can heal our own people, including veterans and everybody really. It's a, it's a dire situation out there. Jay Kopelman: Yeah. It, it really is. Um, you know, we were talking briefly about addicts, right? Jay Kopelman: And you know, it's not sexy. People think of addicts as people who are weak-minded, [00:44:00] right? They don't have any self-control. Um, but, but look at, look at the opioid crisis, right? That Brian Hubbard was fighting against in Kentucky for all those years. That that was something that was given to the patient by a doctor that they then became dependent on, and a lot of people died from that. Jay Kopelman: And, and so you, you know, it's, I I don't think it's fair to just put all addicts in a box. Just like it's not fair to put all veterans in a box. Just like it's not fair for doctors, put all their patients in a box. We're individuals. We, we have individual needs. Our, our health is very individual. Like, I, I don't think I should be put in the same box as every other 66-year-old that my doctor sees. Jay Kopelman: It's not fair. [00:45:00] You know, if you, if you took my high school classmates and put us all in a photo, we're all gonna have different needs, right? Like, some look like they're 76, not 66. Some look like they're 56. Not like they're, we, we do things differently. We live our lives differently. And the same is true of addicts. Jay Kopelman: They come to addiction from different places. Not everybody decides they want to just try heroin at a party, and all of a sudden they're addicted. It happens in, in different ways, you know, and the whole fentanyl thing has been so daggum nefarious, right? You know, pushing fentanyl into marijuana. Jay Kopelman: Somebody's smoking a joint and all of a sudden they're addicted to fentanyl or they die. Melissa Lavasani: I think we're having a, Jay Kopelman: it's, it's just not fair to, to say everybody in this pot is the same, or everybody in this one is the same. We have [00:46:00] to look at it differently. Joe Moore: Yeah. I like to zoom one level out and kind of talk about, um, just how hurt we are as a country, as a world really, but as a country specifically, and how many people are out of work for so many. Joe Moore: Difficult reasons and away from their families for so many kind of tragic reasons. And if we can get people back to their families and back to work, a lot of these things start to self-correct, but we have to like have those interventions where we can heal folks and, and get them back. Um, yeah. And you know, everything from trauma, uh, in childhood, you know, adulthood, combat, whatever it is. Joe Moore: Like these things can put people on the sidelines. And Jay, to your point, like you get knee surgery and all of a sudden you're, you know, two years later you're on the hunt for Fentanyl daily. You know, that's tough. It's really tough. Carl Hart does a good job talking about this kind of addiction pipeline and [00:47:00] a few others do as well. Joe Moore: But it's just, you know, kind of putting it in a moral failure bucket. It's not great. I was chatting with somebody about, um, veterans, it's like you come back and you're like, what's gonna make me feel okay right now? And it's not always alcohol. Um, like this is the first thing that made me feel okay, because there's not great treatments and there's, there's a lot of improvements in this kind of like bringing people back from the field that needs to happen. Joe Moore: In my opinion. I, it seems to be shared by a lot of people, but yeah, there's, it's, it's, IGA is gonna be great. It's gonna be really important. I really can't wait for it to be at scale appropriately, but there's a lot of other things we need to fix too, um, so that we can just, you know, not have so many people we need to, you know, spend so much money healing. Joe Moore: Mm-hmm. Jay Kopelman: Yeah. You ahead with that. We don't need the president to sign an executive order to automatically legalize Ibogaine. Right. But it would be nice if he would reschedule it so that [00:48:00] then then researchers could do this research on a larger scale. You know, we could, we could now get some real data that would show the efficacy. Jay Kopelman: And it could be done in a safe environment, you know? And, and so that would be, do Joe Moore: you have any kind of figures, like, like, I've been talking about this for a while, Jay. Like, does it drop the cost a lot of doing research when we deschedule things? Jay Kopelman: I, I would imagine so, because it'll drop the cost of accessing the medicines that are being researched. Jay Kopelman: Right? You, you would have buy-in from more organizations. You know, you might even have a pharma company that comes into this, you know, look at j and j with the ketamine, right? They have, they have a nasal spray version of ketamine that's doing very well. I mean, it's probably their, their biggest revenue [00:49:00] provider for them right now. Jay Kopelman: And, and so. You know, you, it would certainly help and I think, I think it would lower costs of research to have something rescheduled rather than being schedule one. You know it, people are afraid to take chances when you're talking about Schedule one Melissa Lavasani: labs or they just don't have the money to research things that are on Schedule one. Melissa Lavasani: 'cause there's so much in an incredible amount of red tape that you have to go through and, and your facility has to be a certain way and how you contain those, uh, medicines. Oh, researching has to be in a specific container and it's just very cumbersome to research schedule one drugs. So absolutely the cost would go down. Melissa Lavasani: Um, but Joe Moore: yeah, absolutely. Less safes. Melissa Lavasani: Yeah. Joe Moore: Yes. Less uh, Melissa Lavasani: right. Joe Moore: Locked. Yeah. Um, it'll be really interesting when that happens. I'm gonna hold out faith. That we can see some [00:50:00] movement here. Um, because yeah, like why make healing more expensive than it needs to be? I think like that's potentially a protectionist move. Joe Moore: Like, I'm not, I'm not here yet, but, um, look at AbbVie's, uh, acquisition of the Gilgamesh ip. Mm-hmm. Like that's a really interesting move. I think it was $1.2 billion. Mm-hmm. So they're gonna wanna protect that investment. Um, and it's likely going to be an approved medication. Like, I don't, I don't see a world in which it's not an approved medication. Joe Moore: Um, you know, I don't know a timeline, I would say Jay Kopelman: yeah. Joe Moore: Less than six years, just given how much cash they've got. But who knows, like, I haven't followed it too closely. So, and that's an I bga derivative to be clear, everybody, um mm-hmm. If you're not, um, in, in the loop on that, which is hopeful, you know? Joe Moore: Mm-hmm. But I don't know what the efficacy is gonna be with that compared to Ibogaine and then we have to talk about the kind of proprietary molecule stuff. Um, there's like a whole bunch of things that are gonna go on here, and this is one of the reasons why I'm excited about. Federal involvement [00:51:00] because we might actually be able to have some sort of centralized manufacturer, um, or at least the VA could license three or four generic manufacturers per for instance, and that way prices aren't gonna be, you know, eight grand a dose or whatever. Joe Moore: You know, it's, Jay Kopelman: well, I think it's a very exciting time in the space. You know, I, I think that there's the opportunity for innovation. There is the opportunity for collaboration. There's the opportunity for, you know, long-term healing at a very low cost. You know, that we, we have the highest healthcare cost per capita in the world right here in the us. Jay Kopelman: And, and yet we are not the number one health system in the world. So to me, that doesn't add up. So we need to figure out a way to start. Bringing costs down for a lot of people and [00:52:00] at the same time increasing, increasing outcomes. Joe Moore: Absolutely. Yeah. There's a lot of possible outcome improvements here and, and you know, everything from relapse rates, like we hear often about people leaving a clinic and they go and overdose when they get home. Tragically, too common. I think there's everything from, you know, I'm Jay, I'm involved in an organization called the Psychedelics and Pain Association. Joe Moore: We look at chronic pain very seriously, and IGA is something we are really interested in. And if. We could have better, you know, research, there better outcome measures there. Um, you know, perhaps we can have less people on opioids to begin with from chronic pain conditions. Um, Jay Kopelman: yeah, I, I might be due for another Ibogaine journey then, because I deal with chronic pain from Jiujitsu, but, Joe Moore: oh gosh, let's Jay Kopelman: talk Joe Moore: later. Jay Kopelman: That's self inflicted. Some people would say take a month off, but Melissa Lavasani: yeah, Jay Kopelman: I'm [00:53:00] not, I'm not that smart. Joe Moore: Yeah. Um, but you know, this, uh, yeah, this whole thing is gonna be really interesting to see how it plays out. I'm endlessly hopeful pull because I'm still here. Right. I, I've been at this for almost 10 years now, very publicly, and I think we are seeing a lot of movement. Joe Moore: It's not always what we actually wanna see, but it is movement nonetheless. You know, how many people are writing on this now than there were before? Right. You know, we, we have people in New York Times writing somewhat regularly about psychedelics and. Even international media is covering it. What do we have legalization in Australia somewhat recently for psilocybin and MDMA, Czech Republic. Joe Moore: I think Germany made some moves recently. Mm-hmm. Um, really interesting to see how this is gonna just keep shifting. Um Jay Kopelman: mm-hmm. Joe Moore: And I think there's no way that we're not gonna have prescription psychedelics in three years in the United States. It pro probably more like a [00:54:00] year and a half. I don't know. Do you, are you all taking odds? Melissa Lavasani: Yeah. I mean, I think Jay Kopelman: I, I gotta check Cal sheet, see what they're saying. Melissa Lavasani: I think it's safe to say, I mean, this could even come potentially the end of this year, I think, but definitely by the end of 2027, there's gonna be at least one psychedelic that's FDA approved. Joe Moore: Yeah. Yeah. Melissa Lavasani: If you're not counting Ketamine. Joe Moore: Right. Jay Kopelman: I, I mean, I mean it mm-hmm. It, it doesn't make sense that it. Shouldn't be or wouldn't be. Right. The, we've seen the benefits. Mm-hmm. We know what they are. It's at a very low cost, but you have to keep in mind that these things, they need to be done with the right set setting and container. Right. And, and gotta be able to provide that environment. Jay Kopelman: So, but I would, I would love, like I said, I'd love to work myself out of a job here and see this happen, not just for our veterans, [00:55:00] but for everybody. Joe Moore: Mm-hmm. Um, so Melissa, is there a way people can get involved or follow PMC or how can they support your work at PMC? Melissa Lavasani: Yeah, I mean, follow us in social media. Melissa Lavasani: Um, our two biggest platforms are LinkedIn and Instagram. Um, I'm bringing my newsletter back because I'm realizing, um, you know, there is a big gap in, in kind of like the knowledge of Washington DC just in general. What's happening here, and I think, you know, part of PC's value is that we're, we are plugged into conversations that are being had, um, here in the city. Melissa Lavasani: And, you know, we do get a little insight. Um, and I think that that would really quiet a lot of, you know, the, a lot of noise that, um, exists in the, our ecosystem. If, if people just had some clarity on like, what's actually happening or happening here and what are the opportunities and, [00:56:00] um, where do we need more reinforcement? Melissa Lavasani: Um, and, and also, you know, as we're putting together public education campaign, you know. My, like, if I could get everything I wanted like that, that campaign would be this like multi-stakeholder collaborative effort, right? Where we're covering all the ground that we need to cover. We're talking to the patient groups, we're talking to traditional mental health organizations, we're talking to the medical community, we're talking to the general population. Melissa Lavasani: I think that's like another area that we, we just seem to be, um, lacking some effort in. And, you know, ultimately the veteran story's always super compelling. It pulls on your heartstrings. These are our heroes, um, of our country. Like that, that is, that is meaningful. But a lot of the veteran population is small and we need the, like a, the just.[00:57:00] Melissa Lavasani: Basic American living in middle America, um, understanding what psychedelics are so that in, in, in presenting to them the stories that they can relate to, um, because that's how you activate the public and you activate the public and you get them to see what's happening in these clinical trials, what the data's been saying, what the opportunities are with psychedelics, and then they start calling their members of Congress and saying, Hey, there is this. Melissa Lavasani: Bill sitting in Congress and why haven't you signed onto it? And that political pressure, uh, when used the right way can be really powerful. So, um, I think, you know, now we're at this really amazing moment where we have a good amount of congressional offices that are familiar enough with psychedelics that they're willing to move on it. Melissa Lavasani: Um, there's another larger group, uh, that is familiar with psychedelics and will assist and co-sponsor legislation, but there's still so many offices that we haven't been able to get to just 'cause like we don't have all the time in the world and all the manpower in the world to [00:58:00] do it. But, you know, that is one avenue is like the advocates can speak to the, the lawmakers, the experts speak to the lawmakers, and we not, we want the public engaged in this, you know, ultimately, like that's. Melissa Lavasani: Like the best form of harm reduction is having an informed public. So we are not, they're not seeing these media headlines of like, oh, this miracle cure that, um, saved my family. It's like, yes, that can happen psychedelics. I mean, person speaking personally, psychedelics did save my family. But what you miss out of that story is the incredible amount of work I put into myself and put into my mental health to this day to maintain, um, like myself, my, my own agency and like be the parent that I wanna be and be the spouse that I wanna be. Melissa Lavasani: So, um, we, we need to continue to share these stories and we need to continue to collaborate to get this message out because we're all, we're all in the same boat right now. We all want the same things. We want patients to have safe and [00:59:00] affordable access to psychedelic assisted care. Um, and, uh. We're just in the beginning here, so, um, sign up for our newsletter and we can sign up on our website and then follow us on social media. Melissa Lavasani: And, um, I anticipate more and more events, um, happening with PMC and hopefully we can scale up some of these events to be much more public facing, um, as this issue grows. So, um, I'm really excited about the future and I'm, I've been enjoying this partnership with Mission Within. Jay is such a professional and, and it really shows up when he needs to show up and, um, I look forward to more of that in the future. Joe Moore: Fantastic. And Jay, how can people follow along and support mission within Foundation? Jay Kopelman: Yeah, again, social media is gonna be a good way to do that. So we, we are also pretty heavily engaged on LinkedIn and on Instagram. Um, I do [01:00:00] share, uh, a bit of my own stuff as well. On social media. So we have social media pages for Mission within Foundation, and we have a LinkedIn page for mission within foundation. Jay Kopelman: I have my own profiles on both of those as well where people can follow along. Um, one of the other things you know that would probably help get more attention for this is if the general public was more aware of the numbers of professional athletes who are also now pursuing. I began specifically to help treat their traumatic brain injuries and the chronic traumatic encephalopathy that they've, uh, suffered as a result of their time in professional sports or even college sports. Jay Kopelman: And, you know. I people worship these athletes, and I [01:01:00] think that if more of them, like Robert Gall, were more outspoken about these treatments and the healing properties that they've provided them, that it would get even more attention. Um, I think though what Melissa said, you know, I don't wanna parrot anything she just said because she said it perfectly Right. Jay Kopelman: And I'd just be speaking to hear myself talk. Um, but being collaborative the way that we are with PMC and with Melissa is I think, the way to move the needle on this overall. And like she said, if she could get more groups involved in, in these discussions, it would, it would do wonders for us. Joe Moore: Well, thank you both so much for your hard work out there. I always appreciate it when people are showing up and doing this important, [01:02:00] sometimes boring and tedious, but nevertheless sometimes, sometimes exciting work. And um, so yeah, just thank you both and thank you both for showing up here to psychedelics today to join us and I hope we can continue to support you all in the future. Jay Kopelman: Thank you, Joe. Thank you, Joe. It's a pleasure being with you today and with Melissa, of course, always Melissa Lavasani: appreciate the time and space. Joe Moore: Thanks.  

In this episode of Parallax, Dr Ankur Kalra welcomes Dr Rakesh Shah, a former interventional cardiologist, Oxford MBA graduate, and founder of DRS.LINQ. Dr Shah brings a unique perspective on addressing critical delays in heart attack diagnosis through the intersection of clinical medicine, engineering, and business strategy. The conversation explores a pressing challenge in cardiovascular care: the majority of cardiac damage occurs within the first hour of symptom onset, yet treatment activation often takes several hours. Dr Shah introduces mHeart, a mobile EKG platform designed to create a "virtual cardiology office." Unlike consumer wearables that lack critical chest leads, this technology enables patients to initiate comprehensive cardiac evaluation anywhere—at home, at work, or while traveling—transmitting diagnostic-quality data directly to cardiologists. The episode delves into Dr Shah's diverse career path and offers candid advice for physician-entrepreneurs, emphasizing the importance of collaboration with professional business leaders to achieve scalability. Looking ahead, Dr Shah discusses the integration of AI and machine learning into mobile diagnostic platforms as essential tools for an aging workforce and overstretched healthcare system. Questions and comments can be sent to "podcast@radcliffe-group.com" and may be answered by Ankur in the next episode. Host: @AnkurKalraMD and produced by: @RadcliffeCardio Parallax is Ranked in the Top 100 Health Science Podcasts (#48) by Million Podcasts.

In this previously aired episode of My DPC Story, host Maryal Concepcion sits down with Dr. Jalan Burton, a Washington, DC/DMV–based pediatrician practicing at the intersection of healthcare policy and deeply relational care. As the founder of Healthy Home Pediatrics, Dr. Burton shares how Direct Primary Care allows her to deliver unrushed, home-based pediatric care in a policy-dense environment while protecting both physician autonomy and patient trust. Her story highlights values-driven medicine, proactive cardiovascular and metabolic health conversations for children, and the power of designing a practice that supports families and physician wellbeing. We chose Dr. Burton for February because her journey reflects intentional, equity-centered care at the crossroads of policy and practice and later this season, we'll be bringing you an update as her DPC story continues to evolve!Get a SmartHeart 12-lead EKG for your DPC with board-certified cardiologists available to help you at the press of a button.Learn more about Zion HealthShare and REGISTER for the LIVE WEBINAR on Feb 13th at 2pm PST. Earn money WHILE running your DPC! Join SERMO for FREE today! Brought to you by SmartHeart: get your copy of the 5-Day Mini Metabolic Health Reset to use with your patients during Heart Health month!Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Cierpisz na chroniczne zmęczenie, problemy z trawieniem lub kiepsko radzisz sobie ze stresem? Czy wiedziałeś, że możesz "zhakować" swój układ nerwowy za pomocą prostego urządzenia, które większość z nas kojarzy z łagodzeniem bólu?

In this episode of My DPC Story, we're highlighting Dr. Adelola "Lola" Ashaye, a board-certified family and lifestyle medicine physician and the founder of InTouch Primary Care in the Sugar Land area of Texas. Practicing in one of the most complex healthcare markets in the country, Dr. Ashaye shares how Direct Primary Care protects physician autonomy while expanding access for patients, creating space for meaningful conversations around prevention, metabolic health, and long-term outcomes. Her journey, shaped by experiences with fragmented care, immigration barriers, and burnout in fee-for-service medicine, is a powerful reminder that physicians of color don't have to conform to broken systems to build sustainable, patient-centered practices. As part of our Heart Health Month focus, be sure to download your free copy of the 5-Day Metabolic Health Mini Reset brought to you by SmartHeart, a DPC-aligned tool designed to support preventive, relationship-based care and help patients engage with metabolic and cardiovascular health in a practical, non-overwhelming way.Get a SmartHeart 12-lead EKG for your DPC with board-certified cardiologists available to help you at the press of a button.Learn more about Zion HealthShare and REGISTER for the LIVE WEBINAR on Feb 13th at 2pm PST. Brought to you by SmartHeart: get your copy of the 5-Day Mini Metabolic Health Reset to use with your patients during Heart Health month! REGISTER for the upcoming LIVE WEBINAR Feb 13th 2pm PST about Zion HealthShare.Support the showGET your FREE MONTHLY BUSINESS TOOL DOWNLOAD Become A My DPC Story PATREON MEMBER! SPONSOR THE PODMy DPC Story VOICEMAIL! DPC SWAG!FACEBOOK * INSTAGRAM * LinkedIn * TWITTER * TIKTOK * YouTube

Emergency medicine has an interruption-based workflow. There's no getting around some of that, but recurrent interruptions erode quality of care, accuracy of documentation, concentration, and ultimately the ability to leave work on time. While some interruptions are unavoidable, most are predictable and preventable. Reclaiming control over interruptions is more than a way to improve efficiency; it's about patient safety, reducing medical errors, and safeguarding your mental health. Constant task switching creates cognitive load, contributing to emergency physician burnout and compromising clinical decision-making.In this episode, we explore tactical and mindset shifts that emergency clinicians can use to reduce interruptions, enhance documentation efficiency, and avoid the hidden costs of task switching. We'll cover practical strategies for managing EKG interruptions, skillful ways to manage nursing questions, and setting boundaries all while maintaining team dynamics and patient care quality. Whether you're an emergency physician, PA, NP, or resident, these evidence-based strategies will help you work smarter, reduce stress, and reclaim control of your clinical day.Finishing emergency department shifts with a stack of charts to complete gets old fast. This chart debt also contributes to burnout.We will help you break bad habits and equip you with the skills to walk out the door unencumbered.Out-On-Time is a course for emergency physicians and clinicians that teaches shift efficiency and real-time documentation, enabling you to write fast, focused charts that bill well and are medicolegally sound.Learn More About The Out-On-Time Course We Discuss:The Cost of Interruptions in Emergency MedicineNot All Interruptions Are UrgentThe Cognitive Cost of Task SwitchingBecoming a Non-Interruptible ClinicianDeferring Without Alienating Your TeamProtecting Focus at the End of the ShiftFixing the EKG Interruption ProblemAsynchronous Communication That Actually Works

Welcome back to our weekend Cabral HouseCall shows!   This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track!   Check out today's questions:    Will: Hi Dr Cabral, Thank you for giving us the opportunity to ask you questions. I've learned so much from other people's questions! I have two of my own. 1. Regarding your past podcast on the importance of broccoli and garlic. I travel a lot for work. When I travel and can't get broccoli or garlic, would it be ok to take a broccoli and garlic supplement. ? 2. I recently purchased the equililife mushroom supplement. Do you recommend taking it all year round or just in the winter. Thanks so much! Will   Carol: Dr Cabral, I would like to start by thanking you for all the information you freely give. I've been listening to your podcast almost since it started and I have been able to make positive changes in my life and my family's. I am a healthy, active 62 year old woman. I walk 5 to 10 miles most days. I do strength training 3 to 5 times a week plus cardio a couple days a week. Through diet and exercise I have been able to maintain my weight most of my adult life. If my weight started to go up I would make adjustments in my diet (which was usually from getting sloppy with my diet). Since 2017 I've done your detox at least 3 times a year (I just haven't been able to swing 4), and they usually help me lose the few pounds I gained and put me back on track with my eating. For the last few years, however, my weight has been creeping up higher and nothing (not even the detoxes) have helped me lose the added weight. I've tried everything I could think of, but my weight continues to go up instead of down. I went through menopause 10 years ago. I'm at a loss at what to do, but I definitely don't want to continue to gain weight. Do you have any thoughts or suggestions? Thank you, Carol                                                                                                                                                                                  Mohamed: Good morning to you Doctor Cabral and all the listeners. Grateful for all that you do. My question is regarding a sort of pinch like feeling on my left side (near heart). On and off randomly.. did blood work and EKG (normal findings). Ran minerals and Metals.. on the higher side for K & N.. Mg green and Calcium (leaning towards high). Other minerals were low, except phosphorus (slightly high) Noticing bloating after meals.. could leaky gut be related to the occasional pinch feeling I get… it's either that or cortisol.. Which lab should I run (can only do 1).. Taking Omega3 support, DNS, Magnesium and exercising twice a week.. I'm a 27 year old man. Noticing new onset fatigue, bloating.. A bit worried about my heart.. thanks.. What can help, proteolytic enzymes, Apple cider Vinegar before meals. Or B vitamins. Thoughts?    Cheryl: Morning, My 73 year old dad has type 2 diabetes. He is otherwise in good health, an active golfer, is about 165lbs and walks daily. My parents are old school and believe everything the dr says. Recently, his dr just uped his metformin to 2x a day from 1x and put him on a pill for his A1C. I am annoyed that the meds are just increased instead of looking at the root cause. They recently saw a dietician who said it is not reversable which I know is not at all true. My mom cooks healthy meals but my dad does have a sweet tooth. When he wants something sweet it is often sugar/free which is terrible and full of chemicals. I do not agree with all of the sugar free stuff/sweetners and try go get them to choose different things-monkfruit/coconut sugar but the dietician recommended the splenda type stuff. would love to help my dad reverse this. Any suggestions where to start would be appreciated. Thank you:)    Elizabeth: Hi Dr Cabral! Thank you for the amazing work that you do! My 80 year old mother has been experiencing consistent burning mouth syndrome for the past 12 years. She had tried all the conventional methods, gabapentin, CT scan etc and nothing has helped. I recently read that the drop in estrogen during menopause could be the cause. What do you think and any recommendations? Thanks again!    Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3648 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Tohtoročný veľtrh CES v Las Vegas ukázal, že technológie definitívne opúšťajú virtuálne svety a vstupujú do našej fyzickej reality. Rok 2026 patrí robotom, ktorí vedia chodiť po schodoch, a umelej inteligencii, ktorá stráži naše zdravie na tých najintímnejších miestach.Vysávače konečne prekonali svoju najväčšiu prekážku – schodiská, a humanoidní roboti Atlas sú pripravení nahradiť ľudí v skladoch . Inovácie však neobišli ani naše vrecká a pracovné stoly. Samsung predstavil smartfón, ktorý sa skladá na tretiny a po rozložení nahrádza tablet, zatiaľ čo startupy oživujú nostalgiu hardvérovými klávesnicami pre efektívnejšie písanie .O tom, čo najzaujímavejšie priniesol CES 2026, či má zmysel dať 3 000 eur za trojitú skladačku a kedy nám roboty uvaria kávu, sa v podcaste SHARE rozprávali redaktori Živé.sk Maroš Žofčin a Lukáš Koškár.Pripravte sa na budúcnosť s knihou od redaktorov Živé.sk „Umelá inteligencia: Pripravte sa na budúcnosť“. Teraz ju máme aj v elektronickej verzii. Nájdete ju na obchod.aktuality.sk TIP: https://zive.aktuality.sk/clanok/0RfdZVW/nahliadnite-do-buducnosti-vydavame-knihu-o-umelej-inteligencii/ V podcaste hovoríme aj o týchto témach:Roborock Saros Rover: Robotický vysávač s nohami, ktorý konečne vylezie po schodoch a prekoná vysoké prahy .Atlas od Boston Dynamics: Humanoidný robot, ktorý v skladoch nahrádza ľudí a nepotrebuje prestávky .Samsung Galaxy Z TriFold: Smartfón, ktorý sa skladá na tretiny ako leporelo a po rozložení má 10 palcov .Clicks Communicator: Návrat hardvérovej klávesnice pre smartfóny ako „druhého zariadenia“ na písanieLenovo Legion Pro Rollable: Notebook, ktorý sa motoricky rozširuje do šírky pre lepší zážitok z hier .HP EliteBook G1a: Plnohodnotný počítač s Windowsom integrovaný priamo v tele klávesnice .Zdravie na toalete: Kamera Throne, ktorá analyzuje stolicu a odhaľuje črevné choroby .Withings Body Scan 2: Váha s výsuvným madlom, ktorá meria EKG a tuhosť tepien .Podcast SHARE pripravuje magazín Živé.sk.

What if the toughest moments in your life were preparing you to lead better, serve deeper, and live with more purpose? In this episode of Unstoppable Mindset, I sit down with Greg Hess, known to many as Coach Hess, for a wide-ranging conversation about leadership, resilience, trust, and what it really means to help others grow. Greg shares lessons shaped by a lifetime of coaching athletes, leading business teams, surviving pancreatic cancer, and building companies rooted in service and inclusion. We talk about why humor matters, how trust is built in real life, and why great leaders stop focusing on control and start focusing on growth. Along the way, Greg reflects on teamwork, diversity, vision, and the mindset shifts that turn adversity into opportunity. I believe you will find this conversation practical, honest, and deeply encouraging. Highlights: 00:10 – Hear how Greg Hess's early life and love of sports shaped his leadership values. 04:04 – Learn why humor and laughter are essential tools for reducing stress and building connection. 11:59 – Discover how chasing the right learning curve redirected Greg's career path. 18:27 – Understand how a pancreatic cancer diagnosis reshaped Greg's purpose and priorities. 31:32 – Hear how reframing adversity builds lasting resilience. 56:22 – Learn the mindset shift leaders need to grow people and strengthen teams. About the Guest: Amazon Best-Selling Author | Award-Winning Business Coach | Voted Best Coach in Katy, TX Greg Hess—widely known as Coach Hess—is a celebrated mentor, author, and leader whose journey from athletic excellence to business mastery spans decades and continents. A graduate of the University of Calgary (1978), he captained the basketball team, earned All-Conference honors, and later competed against legends like John Stockton and Dennis Rodman. His coaching career began in the high school ranks and evolved to the collegiate level, where he led programs with distinction and managed high-profile events like Magic Johnson's basketball camps. During this time, he also earned his MBA from California Lutheran University in just 18 months. Transitioning from sports to business in the early '90s, Coach Hess embarked on a solo bicycle tour from Jasper, Alberta to Thousand Oaks, California—symbolizing a personal and professional reinvention. He went on to lead teams and divisions across multiple industries, ultimately becoming Chief Advisor for Cloud Services at Halliburton. Despite his corporate success, he was always “Coach” at heart—known for inspiring teams, shaping strategy, and unlocking human potential. In 2015, a diagnosis of pancreatic cancer became a pivotal moment. Surviving and recovering from the disease renewed his commitment to purpose. He left the corporate world to build the Coach Hess brand—dedicated to transforming lives through coaching. Today, Coach Hess is recognized as a Best Coach in Katy, TX and an Amazon Best-Selling Author, known for helping entrepreneurs, professionals, and teams achieve breakthrough results. Coach Hess is the author of: Peak Experiences Breaking the Business Code Achieving Peak Performance: The Entrepreneur's Journey He resides in Houston, Texas with his wife Karen and continues to empower clients across the globe through one-on-one coaching, strategic planning workshops, and his Empower Your Team program. Ways to connect with Greg**:** Email:  coach@coachhess.comWebsite: www.CoachHess.com LinkedIn: https://www.linkedin.com/in/coachhess Facebook: https://www.facebook.com/CoachHessSuccess Instagram: https://www.instagram.com/coachhess_official/ About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset . Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes: Michael Hingson  00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. Michael Hingson  01:21 Well, hi everyone. I am Michael Hinkson. Your host for unstoppable mindset. And today we get to enter, well, I won't say interview, because it's really more of a conversation. We get to have a conversation with Greg. Hess better known as coach Hess and we'll have to learn more about that, but he has accomplished a lot in the world over the past 70 or so years. He's a best selling author. He's a business coach. He's done a number of things. He's managed magic Johnson's basketball camps, and, my gosh, I don't know what all, but he does, and he's going to tell us. So Coach, welcome to unstoppable mindset. We're really glad that we have a chance to be with you today. Greg Hess  02:07 I'm honored to be here. Michael, thank you very much, and it's just a pleasure to be a part of your program and the unstoppable mindset. Thank you for having me. Michael Hingson  02:17 Well, we're glad you're here and looking forward to having a lot of fun. Why don't we start? I love to start with tell us about kind of the early Greg growing up and all that stuff. Greg Hess  02:30 Oh boy, yeah, I was awfully fortunate, I think, to have a couple of parents that were paying attention to me, I guess. You know, as I grew up, at the same time they were growing up my my father was a Marine returned from the Korean War, and I was born shortly after that, and he worked for Westinghouse Electric as a nuclear engineer. We lived in Southern California for a while, but I was pretty much raised in Idaho, small town called Pocatello, Idaho, and Idaho State Universities there and I, I found a love for sports. I was, you know, again, I was very fortunate to be able to be kind of coordinated and do well with baseball, football, basketball, of course, with the sports that we tend to do. But yeah, I had a lot of fun doing that and growing up, you know, under a, you know, the son of a Marine is kind of like being the son of a Marine. I guess, in a way, there was certain ways you had to function and, you know, and morals and values that you carried forward and pride and doing good work that I learned through, through my youth. And so, you know, right, being raised in Idaho was a real great experience. How so well, a very open space. I mean, in those days, you know, we see kids today and kids being brought up. I think one of the things that often is missing, that was not missing for me as a youth, is that we would get together as a group in the neighborhood, and we'd figure out the rules of the game. We'd figure out whatever we were playing, whether it was basketball or, you know, kick the can or you name it, but we would organize ourselves and have a great time doing that as a community in our neighborhood, and as kids, we learn to be leaders and kind of organize ourselves. Today, that is not the case. And so I think so many kids are built into, you know, the parents are helicopter, and all the kids to all the events and non stop going, going, going. And I think we're losing that leadership potential of just organizing and planning a little bit which I was fortunate to have that experience, and I think it had a big influence on how I grew up and built built into the leader that I believe I am today. Michael Hingson  04:52 I had a conversation with someone earlier today on another podcast episode, and one of the observations. Sense that he made is that we don't laugh at ourselves today. We don't have humor today. Everything is taken so seriously we don't laugh, and the result of that is that we become very stressed out. Greg Hess  05:15 Yeah, well, if you can't laugh at yourself, you know, but as far as I know, you've got a large background in your sales world and so on. But I found that in working with people, to to get them to be clients or to be a part of my world, is that if they can laugh with me, or I can laugh with them, or we can get them laughing, there's a high tendency of conversion and them wanting to work with you. There's just something about relationships and be able to laugh with people. I think that draw us closer in a different way, and I agree it's missing. How do we make that happen more often? Tell more jokes or what? Michael Hingson  05:51 Well, one of the things that he suggests, and he's a coach, a business coach, also he he tells people, turn off the TV, unplug your phone, go read a book. And he said, especially, go buy a joke book. Just find some ways to make yourself laugh. And he spends a lot of time talking to people about humor and laughter. And the whole idea is to deal with getting rid of stress, and if you can laugh, you're going to be a whole lot less stressful. Greg Hess  06:23 There's something that you just feel so good after a good laugh, you know, I mean, guy, I feel that way sometimes after a good cry. You know, when I'm I tend to, you know, like Bambi comes on, and I know what happens to that little fawn, or whatever, the mother and I can't, you know, but cry during the credits. What's up with that? Michael Hingson  06:45 Well, and my wife was a teacher. My late wife was a teacher for 10 years, and she read Old Yeller. And eventually it got to the point where she had to have somebody else read the part of the book where, where yeller gets killed. Oh, yeah. Remember that book? Well, I do too. I like it was a great it's a great book and a great movie. Well, you know, talk about humor, and I think it's really important that we laugh at ourselves, too. And you mentioned Westinghouse, I have a Westinghouse story, so I'll tell it. I sold a lot of products to Westinghouse, and one day I was getting ready to travel back there, the first time I went back to meet the folks in Pittsburgh, and I had also received an order, and they said this order has to be here. It's got to get it's urgent, so we did all the right things. And I even went out to the loading dock the day before I left for Westinghouse, because that was the day it was supposed to ship. And I even touched the boxes, and the shipping guy said, these are them. They're labeled. They're ready to go. So I left the next morning, went to Westinghouse, and the following day, I met the people who I had worked with over the years, and I had even told them I saw the I saw the pack, the packages on the dock, and when they didn't come in, and I was on an airplane, so I didn't Know this. They called and they spoke to somebody else at at the company, and they said the boxes aren't here, and they're supposed to be here, and and she's in, the lady said, I'll check on it. And they said, Well, Mike said he saw him on the dock, and she burst out laughing because she knew. And they said, What are you laughing at? And he said, he saw him on the dock. You know, he's blind, don't you? And so when I got there, when I got there, they had and it wasn't fun, but, well, not totally, because what happened was that the President decided to intercept the boxes and send it to somebody else who he thought was more important, more important than Westinghouse. I have a problem with that. But anyway, so they shipped out, and they got there the day I arrived, so they had arrived a day late. Well, that was okay, but of course, they lectured me, you didn't see him on the dock. I said, No, no, no, you don't understand, and this is what you have to think about. Yeah, I didn't tell you I was blind. Why should I the definition of to see in the dictionary is to perceive you don't have to use your eyes to see things. You know, that's the problem with you. Light dependent people. You got to see everything with your eyes. Well, I don't have to, and they were on the dock, and anyway, we had a lot of fun with it, but I have, but you got to have humor, and we've got to not take things so seriously. I agree with what we talked about earlier, with with this other guest. It's it really is important to to not take life so seriously that you can't have some fun. And I agree that. There are serious times, but still, you got to have fun. Greg Hess  10:02 Yeah, no kidding. Well, I've got a short story for you. Maybe it fits in with that. That one of the things I did when I I'll give a little background on this. I, I was a basketball coach and school teacher for 14 years, and had an opportunity to take over an assistant coach job at California Lutheran University. And I was able to choose whatever I wanted to in terms of doing graduate work. And so I said, you know, and I'd always been a bike rider. So I decided to ride my bike from up from Jasper, Alberta, all the way down to 1000 Oaks California on a solo bike ride, which was going to be a big event, but I wanted to think about what I really wanted to do. And, you know, I loved riding, and I thought was a good time to do that tour, so I did it. And so I'm riding down the coast, and once I got into California, there's a bunch of big redwoods there and so on, yeah, and I had, I set up my camp. You know, every night I camped out. I was totally solo. I didn't have any support, and so I put up my tent and everything. And here a guy came in, big, tall guy, a German guy, and he had ski poles sticking out of the back of his backpack, you know, he set up camp, and we're talking that evening. And I had, you know, sitting around the fire. I said, Look, his name was Axel. I said, Hey, Axel, what's up with the ski poles? And he says, Well, I was up in Alaska and, you know, and I was climbing around in glaciers or whatever, and when I started to ride here, they're pretty light. I just take them with me. And I'm thinking, that's crazy. I mean, you're thinking every ounce, every ounce matters when you're riding those long distances. Anyway, the story goes on. Next morning, I get on my bike, and I head down the road, and, you know, I go for a day, I don't see sea axle or anything, but the next morning, I'm can't stop at a place around Modesto California, something, whether a cafe, and I'm sitting in the cafe, and there's, probably, it's a place where a lot of cyclists hang out. So there was, like, 20 or 30 cycles leaning against the building, and I showed up with, you know, kind of a bit of an anomaly. I'd ridden a long time, probably 1500 miles or so at that point in 15 days, and these people were all kind of talking to me and so on. Well, then all sudden, I look up why I'm eating breakfast, and here goes the ski poles down the road. And I went, Oh my gosh, that's got to be him. So I jump up out of my chair, and I run out, and I yell, hey Axel. Hey Axel, loud as I could. And he stops and starts coming back. And then I look back at the cafe, and all these people have their faces up on the windows, kind of looking like, oh, what's going to happen? And they thought that I was saying, mistakenly, Hey, asshole, oh gosh, Michael Hingson  12:46 well, hopefully you straighten that out somehow. Immediately. Greg Hess  12:50 We had a great time and a nice breakfast and moved on. But what an experience. Yeah, sometimes we cross up on our communications. People don't quite get what's going on, they're taking things too seriously, maybe, huh? Michael Hingson  13:03 Oh, yeah, we always, sometimes hear what we want to hear. Well, so what did you get your college degree in? Greg Hess  13:10 Originally? My first Yeah, well, I'd love the question my first degree. I had a bachelor of education for years, but then I went on, and then I had my choice here of graduate work, right? And, you know, I looked at education, I thought, gosh, you know, if I answered committee on every test, I'll probably pass. I said, I need something more than this. So I in the bike ride, what I what I came to a conclusion was that the command line being DOS command line was the way we were computing. Yeah, that time in the 90s, we were moving into something we call graphical user interface, of course, now it's the way we live in so many ways. And I thought, you know, that's the curve. I'm going to chase that. And so I did an MBA in business process re engineering at Cal Lu, and knocked that off in 18 months, where I had a lot of great experiences learning, you know, being an assistant coach, and got to do some of magic Johnson's camps for him while I was there, California. Lutheran University's campus is where the Cowboys used to do their training camp, right? So they had very nice facilities, and so putting on camps like that and stuff were a good thing. And fairly close to the LA scene, of course, 1000 Oaks, right? You know that area? Michael Hingson  14:25 Oh, I do, yeah, I do. I do pretty well, yeah. So, so you, you, you're always involved in doing coaching. That was just one of the things. When you started to get involved in sports, in addition to playing them, you found that coaching was a useful thing for you to do. Absolutely. Greg Hess  14:45 I loved it. I loved the game. I love to see people grow. And yeah, it was just a thrill to be a part of it. I got published a few times, and some of the things that I did within it, but it was mostly. Right, being able to change a community. Let me share this with you. When I went to West Lake Village High School, this was a very, very wealthy area, I had, like Frankie avalon's kid in my class and stuff. And, you know, I'm riding bike every day, so these kids are driving up in Mercedes and BMW parking lot. And as I looked around the school and saw and we build a basketball and I needed to build more pride, I think in the in the community, I felt was important part of me as the head coach, they kind of think that the head coach of their basketball program, I think, is more important than the mayor. I never could figure that one out, but that was where I was Michael Hingson  15:37 spend some time in North Carolina, around Raleigh, Durham, you'll understand, Greg Hess  15:41 yeah, yeah, I get that. So Kentucky, yeah, yeah, yeah, big basketball places, yeah. So what I concluded, and I'd worked before in building, working with Special Olympics, and I thought, You know what we can do with this school, is we can have a special olympics tournament, because I got to know the people in LA County that were running, especially in Ventura County, and we brought them together, and we ran a tournament, and we had a tournament of, I don't know, maybe 24 teams in total. It was a big deal, and it was really great to get the community together, because part of my program was that I kind of expected everybody, you know, pretty strong expectation, so to say, of 20 hours of community service. If you're in our basketball program, you got to have some way, whether it's with your church or whatever, I want to recognize that you're you're out there doing something for the community. And of course, I set this Special Olympics event up so that everybody had the opportunity to do that. And what a change it made on the community. What a change it made on the school. Yeah, it was great for the Special Olympians, and then they had a blast. But it was the kids that now were part of our program, the athletes that had special skills, so to say, in their world, all of a sudden realized that the world was a different place, and it made a big difference in the community. People supported us in a different way. I was just really proud to have that as kind of a feather in my calf for being there and recognizing that and doing it was great. Michael Hingson  17:08 So cool. And now, where are you now? I'm in West Houston. That's right, you're in Houston now. So yeah, Katie, Texas area. Yeah, you've moved around well, so you, you started coaching. And how long did you? Did you do that? Greg Hess  17:30 Well, I coached for 14 years in basketball, right? And then I went into business after I graduated my MBA, and I chased the learning curve. Michael, of that learning curve I talked about a few minutes ago. You know, it was the graphical user interface and the compute and how all that was going to affect us going forward. And I continued to chase that learning curve, and had all kinds of roles and positions in the process, and they paid me a little more money as I went along. It was great. Ended up being the chief advisor for cloud services at Halliburton. Yeah, so I was an upstream guy, if you know that, I mean seismic data, and where we're storing seismic data now, the transition was going, I'm not putting that in the cloud. You kidding me? That proprietary data? Of course, today we know how we exist, but in those days, we had to, you know, build little separate silos to carry the data and deliver it accordingly for the geophysicists and people to make the decision on the drill bit. So we did really well at that in that role. Or I did really well and the team that I had just what did fantastic. You know, I was real proud I just got when I was having my 70th birthday party, I invited one of the individuals on that team, guy named Will Rivera. And will ended up going to Google after he'd worked us in there. I talked him into, or kind of convinced him so to say, or pushed him, however you do that in coaching. Coached him into getting an MBA, and then he's gone on and he tells me, You better be sitting down, coach. When he talked to him a couple days ago, I just got my PhD from George Washington University in AI technology, and I just turned inside out with happiness. It was so thrilling to hear that you know somebody you'd worked with. But while I was at Halliburton, I got diagnosed with pancreatic cancer, Michael, and so that's what changed me into where I am today, as a transition and transformation. Michael Hingson  19:21 Well, how did that happen? Because I know usually people say pancreatic cancer is pretty undetectable. How did it happen that you were fortunate enough to get it diagnosed? It obviously, what might have been a somewhat early age or early early Greg Hess  19:35 time, kind of a miracle, I guess. You know. I mean, I was traveling to my niece's high school graduation in Helena, Montana. And when we were returning back to Houston, we flew through Denver, and I was suffering from some very serious a fib. Was going up 200 beats a minute, and, you know, down to 100 and it was, it was all. Over the place. And I got the plane. I wasn't feeling well, of course, and they put me on a gurney. And next thing you know, I'm on the way the hospital. And, you know, they were getting ready for an embolotic, nimbalism potential, those type of things. And, and I went to the hospital, they're testing everything out, getting, you know, saying, Well, before we put your put the shock paddles on your on your heart to get back, we better do a CAT scan. And so they CAT scan me, and came back from the CAT scan and said, Well, you know what, there's no blood clot issues, but this mass in your pancreas is a concern. And so that was the discovery of that. And 14 days from that point, I had had surgery. And you know, there was no guarantees even at that point, even though we, you know, we knew we were early that, you know, I had to get things in order. And I was told to put things in order, a little bit going into it. But miracles upon miracles, they got it all. I came away with a drainage situation where they drained my pancreas for almost six months. It was a terrible pancreatic fluids, not good stuff. It really eats up your skin, and it was bad news. But here I am, you know, and when I came away from that, a lot of people thought I was going to die because I heard pancreatic cancer, and I got messages from people that were absolutely powerful in the difference I'd made in their life by being a coach and a mentor and helping them along in their life, and I realized that the big guy upstairs saved me for a reason, and I made my put my stake in the ground, and said, You know what? I'm going to do this the best I can, and that's what I've been doing for the last eight years. Michael Hingson  21:32 So what caused the afib? Greg Hess  21:35 Yeah, not sure. Okay, so when they came, I became the clipboard kid a little bit, you know. Because what the assumption was is that as soon as I came out of surgery, and they took this tumor out of me, because I was in a fib, throughout all of surgery, AFib went away. And they're thinking now, the stress of a tumor could be based on the, you know, it's a stress disease, or so on the a fib, there could be high correlation. And so they started looking into that, and I think they still are. But you know, if you got a fib, maybe we should look for tumors somewhere else is the potential they were thinking. And, yeah, that, Michael Hingson  22:14 but removing the tumor, when you tumor was removed, the AFib went away. Yeah, wow, Greg Hess  22:22 yeah, disappeared. Wow, yeah. Michael Hingson  22:26 I had someone who came on the podcast some time ago, and he had a an interesting story. He was at a bar one night. Everything was fine, and suddenly he had this incredible pain down in his his testicles. Actually went to the hospital to discover that he had very serious prostate cancer, and had no clue that that was even in the system until the pain and and so. But even so, they got it early enough that, or was in such a place where they got it and he's fine. Greg Hess  23:07 Wow, whoa. Well, stuff they do with medicine these days, the heart and everything else. I mean, it's just fantastic. I I recently got a new hip put in, and it's been like a new lease on life for me. Michael, I am, I'm golfing like I did 10 years ago, and I'm, you know, able to ride my bike and not limp around, you know, and with just pain every time I stepped and it's just so fantastic. I'm so grateful for that technology and what they can do with that. Michael Hingson  23:36 Well, I went through heart valve replacement earlier this year, and I had had a physical 20 years ago or or more, and they, they said, as part of it, we did an EKG or an echo cardiogram. And he said, You got a slightly leaky heart valve. It may never amount to anything, but it might well. It finally did, apparently. And so we went in and they, they orthoscopically went in and they replaced the valve. So it was really cool. It took an hour, and we were all done, no open heart surgery or anything, which was great. And, yeah, I know exactly what you mean. I feel a whole lot better Greg Hess  24:13 that you do does a lot. Yeah, it's fantastic. Well, making that commitment to coaching was a big deal for me, but, you know, it, it's brought me more joy and happiness. And, you know, I just, I'll share with you in terms of the why situation for me. When I came away from that, I started thinking about, why am I, kind of, you know, a lot of what's behind what you're what you're doing, and what brings you joy? And I went back to when I was eight years old. I remember dribbling the ball down the basketball court, making a fake, threw a pass over to one of my buddies. They scored the layup, and we won the game. That moment, at that time, passing and being a part of sharing with someone else, and growing as a group, and kind of feeling a joy, is what I continued to probably for. To all my life. You know, you think about success, and it's how much money you make and how much this and whatever else we were in certain points of our life. I look back on all this and go, you know, when I had real happiness, and what mattered to me is when I was bringing joy to others by giving assist in whatever. And so I'm at home now, and it's a shame I didn't understand that at 60 until I was 62 years old, but I'm very focused, and I know that's what brings me joy, so that's what I like to do, and that's what I do. Michael Hingson  25:30 I know for me, I have the honor and the joy of being a speaker and traveling to so many places and speaking and so on. And one of the things that I tell people, and I'm sure they don't believe it until they experience it for themselves, is this isn't about me. I'm not in it for me. I am in it to help you to do what I can to make your event better. When I travel somewhere to speak, I'm a guest, and my job is to make your life as easy as possible and not complicated. And I'm I know that there are a lot of people who don't necessarily buy that, until it actually happens. And I go there and and it all goes very successfully, but people, you know today, were so cynical about so many things, it's just hard to convince people. Greg Hess  26:18 Yeah, yeah. Well, I know you're speaking over 100 times a year these days. I think that's that's a lot of work, a lot of getting around Michael Hingson  26:27 it's fun to speak, so I enjoy it. Well, how did you get involved in doing things like managing the Magic Johnson camps? Greg Hess  26:37 Well, because I was doing my MBA and I was part of the basketball program at Cal Lu, you know, working under Mike Dunlap. It just he needed a little bit of organization on how to do the business management side of it. And I got involved with that. I had a lunch with magic, and then it was, well, gee, why don't you help us coordinate all our camps or all our station work? And so I was fortunate enough to be able to do that for him. I'll just share a couple things from that that I remember really well. One of the things that magic just kind of, I don't know, patted me on the back, like I'm a superstar in a way. And you remember that from a guy like magic, I put everybody's name on the side of their shoe when they register. Have 100 kids in the camp, but everybody's name is on the right side of their shoe. And magic saw that, and he realized being a leader, that he is, that he could use his name and working, you know, their name by looking there, how powerful that was for him to be more connected in which he wants to be. That's the kind of guy he was. So that was one thing, just the idea of name. Now, obviously, as a teacher, I've always kind of done the name thing, and I know that's important, but, you know, I second thing that's really cool with the magic camp is that the idea of camaraderie and kind of tradition and bringing things together every morning we'd be sitting in the gym, magic could do a little story, you know, kind of tell everybody something that would inspire him, you know, from his past and so on. But each group had their own sound off. Michael, so if he pointed at your group, it would be like, or whatever it was. Each group had a different type of sound, and every once in a while we'd use it and point it kind of be a motivator. And I never really put two and two together until the last day of the camp on Friday. Magic says, When I point to your group, make your sound. And so he starts pointing to all the different groups. And it turns out to be Michigan State Spartans fight song to the tee. Figured that out. It was just fantastic. It gives me chills just telling you about it now, remembering how powerful was when everybody kind of came together. Now, you being a speaker, I'm sure you felt those things when you bring everybody together, and it all hits hard, but that was, that was one I remember. Michael Hingson  28:50 Well, wow, that's pretty funny, cute, yeah, yeah. Well, I mean, he has always been a leader, and it's very clear that he was, and I remember the days it was Magic Johnson versus Larry Bird. Greg Hess  29:10 Yeah, yeah. Well, when he came to LA you know, they had Kareem and Byron Scott, a whole bunch of senior players, and he came in as a 19 year old rookie, and by the end of that year, he was leading that team. Yeah, he was the guy driving the ship all the time, and he loved to give those assists. He was a great guy for that. Michael Hingson  29:30 And that's really the issue, is that as a as a real leader, it wasn't all about him at all. It was about how he could enhance the team. And I've always felt that way. And I you know, when I hire people, I always told them, I figure you convince me that you can do the job that I hired you to do. I'm not going to be your boss and boss you around. What I want to do is to work with you and figure out how the talents that I have can complement the talents that you have so that we can. Enhance and make you more successful than you otherwise would be. Some people got it, and unfortunately, all too many people didn't, and they ended up not being nearly as successful. But the people who got it and who I had the joy to work with and really enhance what they did, and obviously they helped me as well, but we they were more successful, and that was what was really important. Greg Hess  30:24 Yeah, yeah, I appreciate that. It's not about controlling, about growing. I mean, people grow, grow, grow, and, you know, helping them certainly. There's a reason. There's no I in team, right? And we've heard that in many times before. It's all about the group, group, pulling together. And what a lot of fun to have working in all throughout my life, in pulling teams together and seeing that happen. You know, one plus one equals three. I guess we call it synergy, that type of thinking, Michael Hingson  30:56 Yeah, well, you've faced a lot of adversity. Is, is the pancreatic cancer, maybe the answer to this, but what? What's a situation where you've really faced a lot of adversity and how it changed your life? You know you had to overcome major adversity, and you know what you learned from it? Greg Hess  31:16 Sure, I think being 100% honest and transparent. I'd say I went through a divorce in my life, and I think that was the most difficult thing I've gone through, you know, times where I'm talking to myself and being crazy and thinking stupid things and whatever. And I think the adversity that you learn and the resilience that you learn as you go, hey, I can move forward. I can go forward. And when you you see the light on the other side, and you start to create what's what's new and different for you, and be able to kind of leave the pain, but keep the happiness that connects from behind and go forward. I think that was a big part of that. But having resilience and transforming from whatever the event might be, obviously, pancreatic cancer, I talked about a transformation there. Anytime we kind of change things that I think the unstoppable mindset is really, you know what's within this program is about understanding that opportunities come from challenges. When we've got problems, we can turn them into opportunities. And so the adversity and the resilience that I think I'd like to try to learn and build and be a part of and helping people is taking what you see as a problem and changing your mindset into making it an opportunity. Michael Hingson  32:40 Yeah, yeah. Well, you've obviously had things that guided you. You had a good sense of vision and so on. And I talked a lot about, don't let your sight get in the way of your vision. But how's a good sense of vision guided you when necessarily the path wasn't totally obvious to you, have you had situations like that? Absolutely. Greg Hess  33:03 And I think the whole whole I write about it in my book in peak experiences, about having vision in terms of your future self, your future, think where you're going, visualize how that's going to happen. Certainly, as a basketball player, I would play the whole game before the game ever happened by visualizing it and getting it in my mind as to how it was going to happen. I do that with golf today. I'll look at every hole and I'll visualize what that vision is that I want to have in terms of getting it done. Now, when I have a vision where things kind of don't match up and I have to change that on the fly. Well, that's okay, you know that that's just part of life. And I think having resilience, because things don't always go your way, that's for sure. But the mindset you have around what happens when they don't go your way, you know, is big. My as a coach, as a business coach today, every one of my clients write a three, three month or 90 day plan every quarter that gets down to what their personal goal is, their must have goal. And then another kind of which is all about getting vision in place to start putting in actual tactical strategies to make all of that happen for the 90 day period. And that's a big part, I think, of kind of establishing the vision in you got to look in front of us what's going to happen, and we can control it if we have a good feel of it, you know, for ourselves, and get the lives and fulfillment we want out of life. I think, yeah, Michael Hingson  34:39 you've clearly been pretty resilient in a lot of ways, and you continue to exhibit it. What kinds of practices and processes have you developed that help you keep resilience personally and professionally? Greg Hess  34:54 I think one of them for sure is that I've I've lived a life where I've spent you. I'm going to say five out of seven days where I will do a serious type of workout. And right now bike riding. I'll ride several days a week, and, you know, get in 10 to 15 miles, not a lot, but, I mean, I've done but keeping the physical, physical being in the time, just to come down the time to think about what you're doing, and at the same time, for me, it's having a physical activity while I'm doing that, but it's a wind down time. I also do meditation. Every morning. I spend 15 minutes more or less doing affirmations associated to meditation, and that's really helped me get focused in my day. Basically, I look at my calendar and I have a little talk with every one of the things that are on my calendar about how I'm setting my day, you know? And that's my affirmation time. But yeah, those time things, I think report having habits that keep you resilient, and I think physical health has been important for me, and it's really helped me in a lot of ways at the same time, bringing my mind to, I think, accepting, in a transition of learning a little bit accepting the platinum rule, rather than the golden rule, I got to do unto others as they'd like to be treated by me. I don't need to treat people like they'd like to like I'd like to be treated. I need to treat them how they'd like to be treated by me, because they're not me, and I've had to learn that over time, better and better as I've got older. And how important that is? Michael Hingson  36:33 Well, yeah, undoubtedly, undoubtedly so. And I think that we, we don't put enough effort into thinking about, how does the other person really want to be treated? We again, it gets back, maybe in to a degree, in to our discussion about humor earlier we are we're so much into what is it all about for me, and we don't look at the other person, and the excuse is, well, they're not looking out for me. Why should I look out for them? Greg Hess  37:07 You know, one of the biggest breakthroughs I've had is working with a couple that own a business and Insurance Agency, and the they were doing okay when I started, when they've done much better. And you know, it's besides the story. The big part of the story is how they adjusted and adapted, and that she I think you're probably familiar with disc and I think most people that will be listening on the podcast are but D is a high D, dominant kind of person that likes to win and probably doesn't have a lot of time for the other people's feelings. Let's just put it that way to somebody that's a very high seed is very interested in the technology and everything else. And the two of them were having some challenges, you know, and and once we got the understanding of each other through looking at their disc profiles, all of a sudden things cleared up, a whole, whole bunch. And since then, they've just been a pinnacle of growth between the two of them. And it was just as simple as getting an understanding of going, you know, I got to look at it through your eyes, rather than my eyes. When it comes to being a leader in this company and how sure I'm still going to be demanding, still I'm going to be the I'm not going to apologize about it, but what I got him to do is carry a Q tip in his pocket, and so every time she got on him, kind of in the Bossy way. He just took out, pulled out the Q tip, and I said, that stands for quit taking it personal. Don't you love it? Michael Hingson  38:29 Yeah, well, and it's so important that we learn to communicate better. And I'm sure that had a lot to do with what happened with them. They started communicating better, yeah, yeah. Do you ever watch Do you ever watch a TV show on the Food Network channel? I haven't watched it for a while. Restaurant impossible. Greg Hess  38:51 Oh, restaurant impossible. Yeah, I think is that guy? Michael Hingson  38:55 No, that's not guy. It's my Michael. I'm blanking out Greg Hess  39:00 whatever. He goes in and fixes up a restaurant. Michael Hingson  39:03 He fixes up restaurants, yeah, and there was one show where that exact sort of thing was going on that people were not communicating, and some of the people relatives were about to leave, and so on. And he got them to really talk and be honest with each other, and it just cleared the whole thing up. Greg Hess  39:25 Yeah, yeah. It's amazing how that works. Michael Hingson  39:28 He's He's just so good at at analyzing situations like that. And I think that's one of the things that mostly we don't learn to do individually, much less collectively, is we don't work at being very introspective. So we don't analyze what we do and why what we do works or doesn't work, or how we could improve it. We don't take the time every day to do that, which is so unfortunate. Greg Hess  39:54 Oh boy, yeah, that continuous improvement Kaizen, all of that type of world. Critical to getting better, you know. And again, that comes back, I think, a little bit to mindset and saying, Hey, I'm gonna but also systems. I mean, I've always got systems in place that go, let's go back and look at that, and how, what can we do better? And if you keep doing it every time, you know, in a certain period, things get a lot better, and you have very fine tuning, and that's how you get distinguished businesses. I think, yeah, Michael Hingson  40:27 yeah, it's all about it's all about working together. So go ahead, I Greg Hess  40:31 was working with a guy at Disney, or guy had been at Disney, and he was talking about how they do touch point analysis for every every place that a customer could possibly touch anything in whatever happens in their environment, and how they analyze that on a, I think it was a monthly, or even at least a quarterly basis, where they go through the whole park and do an analysis on that. How can we make it better? Michael Hingson  40:55 Yeah, and I'm sure a lot of that goes back to Walt having a great influence. I wonder if they're doing as much of that as they used to. Greg Hess  41:04 Yeah, I don't know. I don't know, yeah, because it's getting pretty big and times change. Hopefully, culture Go ahead. I was gonna say a cultural perspective. I just thought of something I'd share with you that when I went into West Lake Village High School as a basketball coach, I walked into the gym and there was a lot of very tall I mean, it's a very competitive team and a competitive school, 611, six, nine kids, you know, that are only 16 years old. And I looked around and I realized that I'm kid from Canada here, you know, I gotta figure out how to make this all work in a quick, fast, in a hurry way. And I thought these kids were a little more interested in looking good than rather being good. And I think I'd been around enough basketball to see that and know that. And so I just developed a whole philosophy called psycho D right on the spot almost, which meant that we were going to build a culture around trying to hold teams under a common goal of 50 points, common goal, goal for successful teams. And so we had this. I started to lay that out as this is the way this program is going to work, guys and son of a gun, if we didn't send five of those guys onto division one full rides. And I don't think they would have got that if they you know, every college coach loves a kid who can play defense. Yeah, that's what we prided ourselves in. And, of course, the band got into it, the cheerleaders got into it, the whole thing. Of course, they bring in that special olympics thing, and that's part of that whole culture. Guess what? I mean, we exploded for the really powerful culture of of a good thing going on. I think you got to find that rallying point for all companies and groups that you work with. Don't you to kind of have that strong culture? Obviously, you have a very huge culture around your your world. Michael Hingson  42:54 Well, try and it's all about again, enhancing other people, and I want to do what I can do, but it's all about enhancing and helping others as well. Yeah. How about trust? I mean, that's very important in leadership. I'm sure you would, you would agree with that, whereas trust been a major part of things that you do, and what's an example of a place where trust really made all the difference in leadership and in endeavor that you were involved with? Greg Hess  43:29 Yeah, so often, clients that I've had probably don't have the they don't have the same knowledge and background in certain areas of you know, we all have to help each other and growing and having them to trust in terms of knowing their numbers and sharing with me what their previous six month P and L, or year to date, P and L, that kind of thing, so that I can take that profit and loss and build out a pro forma and build where we're going with the business. There's an element of trust that you have to have to give somebody all your numbers like that, and I'm asking for it on my first coaching session. And so how do I get that trust that quickly? I'm not sure exactly. It seems to work well for me. One of the things that I focus on in understanding people when I first meet and start to work with them is that by asking a simple question, I'll ask them something like, how was your weekend? And by their response, I can get a good bit of an idea whether I need to get to get them to trust me before they like me, or whether they get to get them to like me before they trust me. And if the response is, had a great weekend without any social response at all connected to it, then I know that I've got to get those people to trust me, and so I've got to present myself in a way that's very much under trust, where another the response might be. Had a great weekend, went out golfing with my buddies. Soon as I hear with the now I know I need to get that person to like. Me before they trust me. And so that's a skill set that I've developed, I think, and just recognizing who I'm trying and building trust. But it's critical. And once, once you trust somebody, and you'd show and they, you don't give them reason to not trust you, you know, you show up on time, you do all the right things. It gets pretty strong. Yeah, it doesn't take but, you know, five or six positive, that's what the guy said he's going to do. He's done it, and he's on top of it to start trusting people. I think, Well, Michael Hingson  45:31 I think that that trust is all around us. And, you know, we we keep hearing about people don't trust each other, and there's no trust anymore in the world. I think there's a lot of trust in the world. The issue isn't really a lack of trust totally. It's more we're not open to trust because we think everyone is out to get us. And unfortunately, there are all too many ways and times that that's been proven that people haven't earned our trust, and maybe we trusted someone, and we got burned for it, and so we we shut down, which we shouldn't do, but, but the reality is that trust is all around us. I mean, we trust that the internet is going to keep this conversation going for a while. I shouldn't say that, because now we're going to disappear, right? But, but, trust is really all around us, and one of the things that I tell people regularly is, look, I want to trust and I want people to trust me. If I find that I am giving my trust to someone and they don't reciprocate or they take advantage of it. That tells me something, and I won't deal with that person anymore, but I'm not going to give up on the idea of trust, because trust is so important, and I think most people really want to trust and I think that they do want to have trusting relationships. Greg Hess  47:02 Yeah, totally agree with you on that, you know. And when it's one of those things, when you know you have it, you don't have to talk about it, you just have it, you know, it's there, right? Michael Hingson  47:16 Yeah, and then, well, it's, it's like, I talk about, well, in the book that I wrote last year, live, it was published last year, live like a guide dog. Guide Dogs do love unconditionally, I'm absolutely certain about that, but they don't trust unconditionally. But the difference between them and us, unless there's something that is just completely traumatized them, which isn't usually the case, they're open to trust, and they want to trust and they want to develop trusting relationships. They want us to be the pack leaders. They know we're supposed to be able to do that. They want to know what we expect of them. But they're open to trust, and even so, when I'm working with like a new guide dog. I think it takes close to a year to really develop a full, complete, two way trusting relationship, so that we really essentially know what each other's thinking. But when you get that relationship, it's second to none. Greg Hess  48:15 Yeah, isn't that interesting? How long were you with Rosella? Before the event, Michael Hingson  48:21 Rosella and I were together. Let's see we Oh, what was it? It was February or May. No, it was the November of 1999 so it was good two year. Good two years. Yeah, wow, yeah. So, you know, we we knew each other. And you know, even so, I know that in that in any kind of a stressful situation, and even not in a stressful situation, my job is to make sure that I'm transmitting competence and trust to Roselle, or now to Alamo. And the idea is that on September 11, I all the way down the stairs just continue to praise her, what a good job. You're doing a great job. And it was important, because I needed her to know first of all that I was okay, because she had to sense all of the concern that people had. None of us knew what was going on on the stairwell, but we knew that something was going on, and we figured out an airplane hit the building because we smelled jet fuel, but we didn't know the details, but clearly something was going on, so I needed to send her the message, I'm okay, and I'm with you and trust you and all that. And the result of that was that she continued to be okay, and if suddenly she were to suddenly behave in a manner that I didn't expect, then that would tell me that there's something different and something unusual that's going on that I have to look for. But we didn't have to have that, fortunately, which was great. It's. About trust, and it's all about developing a two way trust, yeah, Greg Hess  50:05 yeah, amazing. Well, and it's funny how, when you say trust, when in a situation where trust is lost, it's not so easily repaired, no, Michael Hingson  50:16 you know, yeah. And if it's really lost, it's because somebody's done something to betray the trust, unless somebody misinterprets, in which case you've got to communicate and get that, that that confidence level back, which can be done too. Greg Hess  50:33 Yeah, yeah. Important to be tuned and tuned into that, Michael Hingson  50:40 but it is important to really work to develop trust. And as I said, I think most people want to, but they're more often than not, they're just gun shy, so you have to really work at developing the trust. But if you can do it, what a relationship you get with people. Greg Hess  50:57 Circumstances, you know, and situational analysis change the level of trust, of course, in so many ways. And some people are trusting people where they shouldn't, you know, and in the right in the wrong environment. Sometimes you know, you have to be aware. I think people are fearful of that. I mean, just even in our electronic world, the scammers and those people you gotta, we get, we get one or two of those, you know, messages every day, probably people trying to get you to open a bank account or something on them. Better be aware. Don't want to be losing all your money. Yeah, but it's not to have trust, right? Michael Hingson  51:41 Yeah, it's one we got to work on well, so you you support the whole concept of diversity, and how has embracing diversity of people, perspectives or ideas unlocked new opportunities for you and the people you work with. Greg Hess  52:00 I got a great story for you on that. Michael A when I got into this coaching business, one of the one of the clients I was lucky enough to secure was a group called shredding on the go. And so the mother was kind of running the show, but her son was the president, and kind of the one that was in charge of the company. Now he's wheelchair, 100% wheelchair bound, nonverbal, very, very, I don't remember the exact name, but I mean very, very restrictive. And so what she figured out in time was his young is that he could actually take paper and like putting paper into a shredder. So she grew the idea of saying, Gosh, something James can do, we can build a business. This, this kid's, you know, gonna, I'm gonna get behind this and start to develop it. And so she did, and we created, she had created a company. She only had two employees when she hired me, but we went out and recruited and ended up growing it up to about 20 employees, and we had all the shredders set up so that the paper and all of our delivery and so on. And we promoted that company and supporting these people and making real money for real jobs that you know they were doing. So it was all, you know, basically all disabled autism to, you name it. And it was just a great experience. And so we took that show to the road. And so when we had Earth Day, I'd go out and we'd have a big event, and then everybody would come in and contribute to that and be a part of growing that company. Eventually, we got to the company to the point where the mother was worried about the the owner, the son's health was getting, you know, his life expectancy is beyond it, and she didn't want to have this company and still be running and when he wasn't there. And so we worked out a way to sell the company to a shredding company, of course, and they loved the the client. We had over 50 clients going, and they ended up making quite a bit of money that they put back into helping people with disabilities. So it was just a great cycle and a great opportunity to do that and give people an opportunity. I got to be their business coach, and what a lot of fun I included myself in the shredding I was involved with all parts of the company, and at one point, what a lot of fun I had with everybody. Michael Hingson  54:22 Yeah, yeah. There's something to be said for really learning what other people do in a company and learning the jobs. I think that's important. It's not that you're going to do it every day, but you need to develop that level of understanding. Greg Hess  54:37 Michael, you'll love this. Our best Shredder was blind. She did more than anybody, and she was blind. People go, you can't be doing that when you're What do you mean? She had it figured out. Yeah. Michael Hingson  54:48 What's the deal? Yeah, no, Shredder doesn't overheat, you know? But that's another step, yeah. So what's an example you've worked with a lot of teams. And so on. What's an example where a collaborative effort really created something and caused something to be able to be done that otherwise wouldn't have happened? Right? Greg Hess  55:10 Well, I referred back real quickly to the psycho D thing, where he had a common goal, common pride in taking it, and we just were on it. And I think that was a really, really transformational kind of thing to make everybody better as one whole area in a team. Now that's probably the first thing that comes to mind. I think the the idea of bringing the team together, you know, and really getting them to all work as one is that everybody has to understand everybody else's action plan. What's their plan? What is their vision? Where are they going in terms of, you know, playing basketball, to whether you're on the sales team, whether you're on the marketing team, or whatever part of the business you're in, do you have an action plan? And you can openly show that, and you feel like you're 100% participating in the group's common goal. I can't over emphasize an element of a common goal. I think, in team building, whatever that may be, you know, typically, the companies I'm working with now, we try to change it up every quarter, and we shoot quarter by quarter to a common goal that we all and then we build our plans to reach and achieve that for each individual within a company. And it works really well in building teams. And it's a lot of fun when everything comes together. You know, example of how a team, once you built that, and the team's there, and then you run into adversity, we have a team of five people that are selling insurance, basically, and one of them lost her father unexpectedly and very hard, Hispanic, Hispanic background, and just devastating to her and to her mother and everything. Well, we've got a machine going in terms of work. And so what happened is everybody else picked up her piece, and all did the parts and got behind her and supported her. And it took her about five months to go through her morning phase, and she's come back, and now she's going to be our top employee. Now going forward, it's just amazing how everybody rallied around her. We were worried about her. She comes back, and she's stronger than ever, and she'd had her time, and it was just nice to see the team of a group of company kind of treat somebody like family. That's a good thing. Michael Hingson  57:30 That's cool. What a great story. What mindset shift Do you think entrepreneurs and leaders really need to undergo in order to be successful. Greg Hess  57:45 Boy, you know, we talked a little bit earlier about the idea of looking through it, through other people's eyes, right? And then as a leader, you know, the same thing you were mentioning earlier, Michael, was that you draw the strength out of the people, rather than demand kind of what you want them to do in order to get things done, it's build them up as people. And I think that that's a critical piece in in growing people and getting that whole element of leadership in place. Yeah, what was the other part of that question? Again, let me give you another piece of that, because I think of some Go ahead. Yeah. I was just remember, what did you ask me again, I want to make sure I'm right Michael Hingson  58:28 from your books and coaching work. The question was, what kind of mindset shift Do you think that entrepreneurs and leaders have to adopt? Greg Hess  58:39 Yeah, yeah. So that's one part of the mindset, but the big one is recognizing that it's a growth world that we need to look at how we can grow our company, how we can grow individuals, how we can all get better and continuous improvement. And I think that is an example of taking a problem and recognizing as an opportunity. And that's part of the mindset right there that you got to have. I got a big problem here. How are we going to make that so that we're we're way better from that problem each time it happens and keep improving? Michael Hingson  59:10 Yeah, that makes sense. Well, if you could leave everyone who's listening and watching this today with one key principle that would help them live and lead with an unstoppable mindset. What would that be? What, what? What advice do you have? Greg Hess  59:30 Yeah, my advice is make sure you understand your passion and what, what your purpose is, and have a strong, strong desire to make that happen. Otherwise, it's not really a purpose, is it? And then be true to yourself. Be true to yourself in terms of what you spend your time on, what you do, in terms of reaching that purpose. It's to be the best grandparent there you can be in the world. Go get it done, but make sure you're spending time to grandkids. Don't just talk it so talks cheap and action matters. You know, and I think, figure out where you're spending your time and make sure that fits in with what you really want to gather happen in your life and fulfilling it. Michael Hingson  1:00:09 Well, I like that talks cheap and action matters. That's it. Yeah, I tell that. I tell that to my cat all the time when she doesn't care. But cats are like that? Well, we all know that dogs have Masters, but cats have staff, so she's a great kitty. That's good. It's a wonderful kitty. And I'm glad that she's in my life, and we get to visit with her every day too. So it works out well, and she and the Dog get along. So, you know, you can't do better than that. That's a good thing. Well, I want to thank you for being here. This has been absolutely super. I we've I think we've talked a lot, and I've learned a lot, and I hope other people have too, and I think you've had a lot of good insights. If people would like to reach out to you and maybe use your services as a coach or whatever, how do they do that? Greg Hess  1:01:00 Well, my website is coach, hess.com Michael Hingson  1:01:06 H, E, S, S, Greg Hess  1:01:07 yeah, C, O, A, C, H, H, E, S, s.com, that's my website. You can get a hold of me at coach. At coach, hess.com that's my email. Love to hear from you, and certainly I'm all over LinkedIn. My YouTube channel is desk of coach s. Got a bunch of YouTubes up there and on and on. You know, all through the social media, you can look me up and find me under Coach. Coach S, is my brand Cool? Michael Hingson  1:01:38 Well, that it's a well worth it brand for people to go interact with, and I hope people will so Oh, I appreciate that. Well, I want to thank you all for listening and watching us today. Reach out to coach Hess, I'd love to hear from you. Love to hear what you think of today's episode. So please give us an email at Michael H i, at accessibe, A, C, C, E, S, S, i, b, e.com, wherever you're monitoring our podcast, please give us a five star rating. We value it. And if you know anyone who might be a good guest to come on and tell their story, please introduce us. We're always looking for more people to come on and and chat with us. Coach you as well. If you know anyone, I'm sure you must love to to get more people. Now, if you could get Magic Johnson, that'd be super but that's probably a little tougher, but it'd be, it'd be fun. Any, anyone t

Send us a textIn this show, the boys tackle a couple of subjects...Firstly, they discuss whether we should be assisting women of any age to get pregnant. So the natural biological can be "enhanced" with medical breakthroughs, but shout it?Secondly, they discuss whether EVs (electric vehicles) are just one big hoax!But what are your thoughts on any of these subjects? Do you agree with Tony or Tayo, or do you have different views?Tune in and listen to the discussion. Please let us have your comments on these subjects.Items used during the show:"I was a newly graduated anesthesiologist, attending Physician at a major medical centre in NYC, during the late 90s.  On call, I did an emergency C-section for a 57-year-old “single” woman who wanted to have a child/ experience childbirth, in her lifetime.  Well, she had an egg donor, donor sperm, and was impregnated with IVF.  Of course, she had a “rocky” C-section with EKG changes and more than the average blood loss during the procedure.  I was sweating bullets the whole time.  It turned out she had twins, of which she put one up for adoption and kept only one." -  UNETHICAL and SELFISH

The crew welcomes back Dr. Greg Stefano and  Geoff Patty, RN from the interventional cardiology department.  If you're listening to this episode, head over to our YouTube channel to see the visuals of actual cases. An interesting discussion ensues about human and computer interpretations of various EKG strips.

In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the December 2025 Emergency Medicine Practice article, Diagnosis and Management of Cannabis-Related EmergenciesEpisode Outline: [0:00] IntroductionWelcome and show overview by Sam AshooMention of resources at ebmedicine.net[0:46] Episode StartHosts introduce themselves: Sam Ashoo and Dr. T.R. EcklerDr. Eckler's background and experience with cannabis cases in Colorado[1:16] Topic IntroductionFocus on diagnosis and management of cannabis-related emergenciesPrevalence and importance in emergency medicine[1:34] Legal LandscapeOverview of cannabis legality across statesMedicinal vs. non-medicinal use[3:03] Increase in ED VisitsStatistics: ~1 million cannabis-related ED visits annuallyDemographics: younger population most affected[3:52] Synthetics and ChallengesDiscussion of synthetic cannabinoids and their risksIssues with detection and legality[4:50] Clinical SpectrumRange of presentations: from nausea/vomiting to psychosis and seizuresImpact on different age groups[6:34] FDA-Approved UsesCannabis-derived products approved for specific medical conditions[7:20] Physiology and PathophysiologyCannabinoid receptors (CB1 and CB2) and their effectsDifferences between plant-derived and synthetic cannabinoids[9:10] Chronic Use and WithdrawalDownregulation of receptors, withdrawal symptoms, and persistent nausea[10:20] Product Forms and Delivery MethodsSmoking, edibles, oils, tinctures, suppositories, topicals, etc.Risks associated with concentrated forms (e.g., wax, oils)[12:00] Clinical Effects by SystemPsychiatric: anxiety, psychosis, paranoiaCardiovascular: tachycardia, MI risk, QT prolongationPulmonary, renal, metabolic, dental, and ocular effects[13:50] Cannabinoid Hyperemesis Syndrome (CHS)Phases: prodrome, hyperemesis, recoveryHot showers as a diagnostic clue[16:00] Withdrawal SyndromeSymptoms and timelineExacerbation with synthetic cannabinoids[18:15] Counseling and ManagementImportance of cessation and patient educationTimeline for symptom improvement[18:42] Differential DiagnosisBroad differential for persistent nausea/vomiting and abdominal painImportance of considering other causes[20:55] Diagnostics and TestingLimitations of drug screens (false positives/negatives)Importance of EKG, labs, and imaging as indicated[23:10] Treatment ApproachesFirst-line: benzodiazepines, antiemetics (ondansetron, metoclopramide)Second-line: butyrophenones (haloperidol, droperidol), olanzapineCapsaicin as adjunct therapy[29:50] Complications and Special ConsiderationsRisks of undertreatment (e.g., Boerhaave syndrome, aspiration)Pediatric and pregnant populations: unique risks and reporting requirements[36:00] Five Practice-Changing TakeawaysElicit cannabis use historyKnow testing limitationsConsider ECG and appropriate labsUse butyrophenones when indicatedAdmit if symptoms are refractory[39:00] ConclusionEmergency Medicine Residents, get your free subscription by writing resident@ebmedicine.net

In this live episode, Tricia Eastman joins to discuss Seeding Consciousness: Plant Medicine, Ancestral Wisdom, Psychedelic Initiation. She explains why many Indigenous initiatory systems begin with consultation and careful assessment of the person, often using divination and lineage-based diagnostic methods before anyone enters ceremony. Eastman contrasts that with modern frameworks that can move fast, rely on short trainings, or treat the medicine as a stand-alone intervention. Early Themes: Ritual, Preparation, and the Loss of Container Eastman describes her background, including ancestral roots in Mexico and her later work at Crossroads Ibogaine in Mexico, where she supported early ibogaine work with veterans. She frames her broader work as cultural bridging that seeks respect rather than fetishization, and assimilation into modern context rather than appropriation. Early discussion focuses on: Why initiatory traditions emphasize purification, preparation, and long timelines Why consultation matters before any high-intensity medicine work How decades of training shaped traditional initiation roles Why people can get harmed when they treat medicine as plug and play Core Insights: Alchemy, Shadow, and Doing the Work A major throughline is Eastman's critique of the belief that a psychedelic alone will erase trauma. She argues that shadow work remains part of the human condition, and that healing is less about a one-time fix and more about building capacity for relationship with the unconscious. Using alchemical language, she describes "nigredo" as fuel for the creative process, not as something to eliminate forever. Key insights include: Psychedelics are tools, not saviors You cannot outsource responsibility to a pill, a modality, or a facilitator Progress requires practice, discipline, and honest engagement with what arises "Healing" often shows up as obstacles encountered while trying to live and create Later Discussion and Takeaways: Iboga, Ethics, and Biocultural Stewardship Joe and Tricia move into a practical and ethically complex discussion about iboga supply chains, demand pressure, and the risks of amplifying interest without matching it with harm reduction and reciprocity. Eastman emphasizes medical screening, responsible messaging, and supporting Indigenous-led stewardship efforts. She also warns that harm can come from both under-trained modern facilitators and irresponsible people claiming traditional legitimacy. Concrete takeaways include: Treat iboga and ibogaine as high-responsibility work that demands safety protocols Avoid casual marketing that encourages risky self-administration Support Indigenous-led biocultural stewardship and reciprocity efforts Give lineage carriers a meaningful seat at the table in modern policy and clinical conversations Frequently Asked Questions Who is Tricia Eastman? Tricia Eastman is an author, facilitator, and founder of Ancestral Heart. Her work focuses on cultural bridging, initiation frameworks, and Indigenous-led stewardship. What is Seeding Consciousness about? The book examines plant medicine through initiatory traditions, emphasizing consultation, ritual, preparation, and integration rather than reductionistic models. Why does Tricia Eastman critique modern psychedelic models? She argues that many models remove the ritual container and long-form preparation that reduce risk and support deeper integration. Is iboga or ibogaine safe? With the right oversite, yes. Eastman stresses that safety depends on cardiac screening, careful protocols, and experienced oversight. She warns against informal or self-guided use. How can people support reciprocity and stewardship? She encourages donating or supporting Indigenous-led biocultural stewardship initiatives like Ancestral Heart and aligning public messaging with harm reduction. Closing Thoughts This episode makes a clear case that Tricia Eastman Seeding Consciousness is not only a book about psychedelics, but a critique of how the field is developing. Eastman argues that a successful future depends on mature containers, serious safety culture, and respectful partnership with lineage carriers, especially as interest in iboga and ibogaine accelerates. Links https://www.ancestralheart.com https://www.innertraditions.com/author/tricia-eastman Transcript Joe Moore Hello, everybody. Welcome back. Joe Moore with you again from Psychedelics Today, joined today by Tricia Eastman. Tricia, you just wrote a book called Seeding Consciousness. We're going to get into that a bunch today, but how are you today? [00:00:16.07] - Tricia Eastman I'm so good. It's exciting to be live. A lot of the podcasts I do are offline, and so it's like we're being witnessed and feels like just can feel the energy behind It's great. [00:00:31.11] - Joe Moore It's fun. It's a totally different energy than maybe this will come out in four months. This is real, and there's people all over the world watching in real-time. And we'll get some comments. So folks, if you're listening, please leave us some comments. And we'd love to chat a little bit later about those. [00:00:49.23] - Tricia Eastman I'm going to join the chat so that I can see... Wait, I just want to make sure I'm able to see the comments, too. Do I hit join the chat? [00:01:01.17] - Joe Moore Sometimes you can, sometimes you can't. I can throw comments on the screen so we can see them together. [00:01:07.02] - Tricia Eastman Cool. [00:01:08.03] - Joe Moore Yeah. So it'll be fun. Give us comments, people. Please, please, please, please. Yeah, you're all good. So Tricia, I want to chat about your book. Tell us high level about your book, and then we're going to start digging into you. [00:01:22.10] - Tricia Eastman So Seeding Consciousness is the title, and I know it's a long subtitled Plant Medicine, Ancestral Wisdom, Psychedelic Initiation. And I felt like it was absolutely necessary for the times that we are in right now. When I was in Gabon in 2018, in one of my many initiations, as as an initiative, the Fung lineage of Buiti, which I've been practicing in for 11 years now, I was given the instructions. I was given the integration homework to write this book. And I would say I don't see that as this divine thing, like you were given the assignment. I think I was given the assignment because it's hard as F to write a book. I mean, it really tests you on so many levels. I mean, even just thinking about putting yourself out there from a legal perspective, and then also, does it make any sense? Will anyone buy it? And on Honestly, it's not me. It's really what I was given to write, but it's based on my experience working with several thousand people over the years. And really, the essence of it is that in our society, we've taken this reductionistic approach in psychedelics, where we've really taken out the ritual. [00:02:54.05] - Tricia Eastman Even now with the FDA trial for MDMA for PTSD. There's even conversations with a lot of companies that are moving forward, psychedelics, through the FDA process, through that pathway, that are talking about taking the therapy out. And the reality is that in these ancient initiatic traditions, they were very long, drawn out experiences with massive purification rituals, massive amounts of different types of practice in order to prepare oneself to meet the medicine. Different plants were taken, like vomatifs and different types of purification rituals were performed. And then you would go into this profound initiatic experience because the people that were working with you that were in, we call it the Nema, who gives initiations, had decades of training and experience doing these types of initiatic experiences. So if you compare that to the modern day framework, we have people that go online and get a certificate and start serving people medicine or do it in a context where maybe there isn't even an established container or facilitator whatsoever. And so really, the idea is, how can we take the essence of this ancient wisdom wisdom, like when you look at initiation, the first step is consultation, which is really going deep into the history of the individual using different types of techniques that are Indigenous technologies, such as different forms of divination, such as cowrie shell readings. [00:04:52.18] - Tricia Eastman And there's different types of specific divinations that are done in different branches of And before one individual would even go into any initiation, you need to understand the person and where they're coming from. So it's really about that breakdown of all of that, and how can we integrate elements of that into a more modern framework. [00:05:24.23] - Joe Moore Brilliant. All right. Well, thank you for that. And let's chat about you. You've got a really interesting past, very dynamic, could even call it multicultural. And you've got a lot of experience that informed this book. So how did this stuff come forward for you? [00:05:50.02] - Tricia Eastman I mean, I've never been the person to seek anything. My family on my mother's side is from Mexico, from Oaxaca, Trique, Mixtec, and Michica. And we had a long lineage of practice going back to my, at least I know from my great, great grandmother, practicing a blend of mestiza, shamanism, combining centerea and Catholicism together. So it's more of like a syncratic mestiza, mestiza being mixed tradition. And so I found it really interesting because later on, when my grandfather came to the United States, he ended up joining the military. And in being in the US, he didn't really have a place. He's very devout spiritual man, but he didn't have a place to practice this blended spiritual tradition. So the mystical aspect of it went behind. And as I started reconnecting to my ancestral lineage, this came forth that I was really starting to understand the mystical aspect of my ancestry. And interestingly, at the same time, was asked to work at Crossroads Abigain in Mexico. And it's so interesting to see that Mexico has been this melting pot and has been the place where Abigain has chosen to plant its roots, so to say, and has treated thousands of veterans. [00:07:36.28] - Tricia Eastman I got to be part of the group of facilitators back over 10 years ago. We treated the first Navy Seals with Abogaine, and that's really spurred a major interest in Abogaine. Now it's in every headline. I also got 10 I got initiated into the Fung lineage of Buiti and have really studied the traditional knowledge. I created a nonprofit back in 2019 called Ancestral Heart, which is really focused on Indigenous-led stewardship. Really, the book helps as a culmination of the decade of real-world experience of combining My husband, Dr. Joseph Barzulia. He's a psychologist. He's also a pretty well-known published researcher in Abigain and 5MEO-DMT, but also deeply spiritual and deeply in respect for the Indigenous traditions that have carried these medicines before us. So we've really been walking this complex path of world bridging between how we establish these relationships and how we bring some of these ancient knowledge systems back into the forefront, but not in a way of fetishizing them, but in a way of deeply respecting them and what we can learn, but from our own assimilation and context versus appropriation. So really, I think the body of my work is around that cultural bridging. [00:09:31.07] - Joe Moore That's brilliant. And yeah, there's some really fun stuff I learned in the book so far that I want to get into later. But next question is, who is your intended audience here? Because this is an interesting book that could hit a few categories, but I'm curious to hear from you. [00:09:49.02] - Tricia Eastman It's so funny because when I wrote the book, I wasn't thinking, oh, what's my marketing plan? What's my pitch? Who's my intended audience? Because it was my homework, and I knew I needed to write the book, and maybe that was problematic in the sense that I had to go to publishers and have a proposal. And then I had to create a formula in hindsight. And I would say the demographic of the book mirrors the demographic of where people are in the psychedelic space, which It's skewed slightly more male, although very female. I think sex isn't necessarily important when we're thinking about the level of trauma and the level of spiritual healing and this huge deficit that we have in mental health, which is really around our disconnection from our true selves, from our heart, from our souls, from this idea of of what Indigenous knowledge systems call us the sacred. It's really more of an attitude of care and presence. I'm sure we could give it a different name so that individuals don't necessarily have any guard up because we have so much negative conditioning related to the American history of religion, which a lot of people have rejected, and some have gone back to. [00:11:37.06] - Tricia Eastman But I think we need to separate it outside of that. I would say the demographic is really this group of I would say anywhere from 30 to 55 male females that are really in this space where maybe they're doing some of the wellness stuff. They're starting to figure some things out, but it's just not getting them there. And when something happens in life, for example, COVID-19 would be a really great example. It knocks them off course, and they just don't have the tools to find that connection. And I would say it even spans across people that do a lot of spiritual practice and maybe are interested in what psychedelics can do in addition to those practices. Because when we look at my view on psychedelics, is they fit within a whole spectrum of wellness and self-care and any lineage of spiritual practice, whether it's yoga or Sufism or Daoist tradition. But they aren't necessarily the thing that... I think there's an over focus on the actual substance itself and putting it on a pedestal that I think is problematic in our society because it goes back to our religious context in the West is primarily exoteric, meaning that we're seeking something outside of ourselves to fulfill ourselves. [00:13:30.29] - Tricia Eastman And so I think that when we look at psychedelic medicines as this exoteric thing versus when we look at initiatory traditions are about inward and direct experience. And all of these spiritual practices and all of these modalities are really designed to pull you back into yourself, into having a direct relationship with yourself and direct experience. And I feel like the minute that you are able to forge that connection, which takes practice and takes discipline, then you don't need to necessarily look at all these other tools outside of yourself. It's like one of my favorite analogies is the staff on the Titanic were moving the furniture around as it was sinking, thinking that they might save the boat from sinking by moving the furniture around. I think that's how we've been with a lot of ego-driven modalities that aren't actually going into the full unconscious, which is where we need to go to have these direct experiences. Sorry for the long answer, but it is for everybody, and it's not just about psychedelics. Anyone can take something from this doing any spiritual work. But we talk a lot about the Indigenous philosophy and how that ties in alongside with spiritual practice and more of this inner way of connecting with oneself and doing the work. [00:15:21.22] - Tricia Eastman And I think also really not sugar coating it in the sense that the psychedelics aren't going to save us. They're not going to cure PTSD. Nothing you take will. It's you that does the work. And if you don't do the work, you're not going to have an 87 % success rate with opioid use disorder or whatever it is, 60 something % for treatment-resistant depression or whatever. It's like you have to do the work. And so we can't keep putting the power in the modality reality or the pill. [00:16:03.18] - Joe Moore Yeah, that makes sense. So you did an interesting thing here with this book, and it was really highlighting aspects of the alchemical process. And people don't necessarily have exposure. They hear the words alchemy. I get my shoulders go up when I hear alchemizing, like transmutation. But it's a thing. And how do we then start communicating this from Jung? I found out an interesting thing recently as an ongoing student. Carl Jung didn't necessarily have access to all that many manuscripts. There's so many alchemical manuscripts available now compared to what he had. And as a result, our understanding of alchemy has really evolved. Western alchemy, European alchemy, everybody. Perhaps Kmetic, too. I don't know. You could speak to that more. I don't keep track of what's revealed in Egypt. So it's really interesting to present that in a forward way? How has it been received so far? Or were you nervous to present this in this way? [00:17:25.10] - Tricia Eastman I mean, honestly, I think the most important The important thing is that in working with several thousand people over the years, people think that taking the psychedelic and the trauma is going to go away. It's always there. I mean, we We archetypically will have the shadow as long as we need the shadow to learn. And so even if we go into a journey and we transcend it, it's still there. So I would say that the The feedback has been really incredible. I mean, the people that are reading... I mean, I think because I'm weaving so many different, complex and deep concepts into one book, it might be a little harder to market. And I think the biggest bummer was that I was really trying to be respectful to my elders and not say anything in the title about Iboga and Abigain, even though I talk a lot about it in the book, and it's such a hot topic, it's really starting to take off. But the people that have read it really consider it. They really do the work. They do the practices in the book, and I'm just getting really profound feedback. So that's exciting to me because really, ultimately, alchemy... [00:18:55.22] - Tricia Eastman Yeah, you're right. It gets used Used a lot in marketing lingo and sitting in the depth of the tar pit. For me, when I was in Gabon, I remember times where I really had to look at things that were so dark in my family history that I didn't even realize were mine until later connected to my lineage. And the dark darkness connected to that and just feeling that and then knowing really the truth of our being is that we aren't those things. We're in this process of changing and being, and so nothing is is fixed, but there is a alchemical essence in just learning to be with it. And so not always can we just be with something. And and have it change, but there are many times that we can actually just be with those parts of ourselves and be accepting, where it's not like you have to have this intellectualized process It's just like, first you have the negrado, then you tune into the albeda, and you receive the insights, and you journal about it, and da, da, da, da, da Action, Mars aspect of it, the rubeda of the process. It's not like that at all. [00:20:44.15] - Tricia Eastman It's really that the wisdom that comes from it because you're essentially digesting black goo, which is metaphoric to the oil that we use to power all of society that's pulled deep out of the Earth, and it becomes gold. It becomes... And really, the way I like to think of it is like, in life, we are here to create, and we are not here to heal ourselves. So if you go to psychedelic medicine and you want to heal yourself, you're going to be in for... You're just going to be stuck and burnt out because that's not what we're here to do as human beings, and you'll never run out of things to heal. But if you You think of the negrado in alchemy as gasoline in your car. Every time you go back in, it's like refilling your gas tank. And whatever you go back in for as you're moving in the journey, it's almost like that bit of negrado is like a lump of coal that's burning in the gas tank. And that gets you to the next point to which there's another thing related to the creative process. So it's like As you're going in that process, you're going to hit these speed bumps and these obstacles in the way. [00:22:07.29] - Tricia Eastman And those obstacles in the way, that's the healing. So if you just get in the car in the human vehicle and you drive and you continue to pull out the shadow material and face it, you're going to keep having the steam, but not just focus on it, having that intention, having that connection to moving forward in life. And I hate to use those words because they sound so growth and expansion oriented, which life isn't always. It's evolutionary and deevolutionary. It's always in spirals. But ultimately, you're in a creative process would be the best way to orient it. So I think when we look at alchemy from that standpoint, then it's productive. Effective. Otherwise, it sounds like some brand of truffle salt or something. [00:23:09.12] - Joe Moore Yeah, I think it's a... If people want to dig in, amazing. It's just a way to describe processes, and it's super informative if you want to go there, but it's not necessary for folks to do the work. And I like how you framed it quite a bit. So let's see. There is one bit, Tricia, that my ears really went up on this one point about a story about Actually, let me do a tangent for you real quick, and then we're going to come back to this story. So are you familiar with the tribe, the Dogon, in Africa? Of course. Yeah. So they're a group that looks as though they were involved in Jewish and/or Egyptian traditions, and then ended up on the far side of like, what, Western Africa, far away, and had their own evolution away from Egypt and the Middle East. Fascinating. Fascinating stories, fascinating astronomy, and much more. I don't know too much about the religion. I love their masks. But this drew an analogy for me, as you were describing that the Buiti often have stories about having lineage to pre-dynastic Egyptian culture. I guess we'll call it that for now, the Kometic culture. [00:24:44.23] - Joe Moore I had not heard that before. Shame on me because I haven't really read any books about Buiti as a religion or organization, or anything to this point. But I found that really interesting to know that now, at least I'm aware of two groups claiming lineage to that ancient world of magic. Can you speak about that at all for us? Yeah. [00:25:09.24] - Tricia Eastman So first off, there really aren't any books talking about that. Some of the things I've learned from elders that I've spoke with and asked in different lineages in Masoco and in Fong Buiti, there's a few things. One, We lived in many different eras. Even if you go into ancient texts of different religions, creation stories, and biblical stories, they talk about these great floods that wiped out the planet. One of the things that Atum talks about, who is one of my Buiti fathers who passed a couple years ago, is Is the understanding that before we were in these different areas, you had Mu or Lumaria, you had Atlantis, and then you had our current timeline. And the way that consciousness was within those timelines was very different and the way the Earth was. You had a whole another continent called Atlantis that many people, even Plato, talks about a very specific location of. And what happened, I believe during that time period, Africa, at least the Saharan band of the desert was much more lush, and it was a cultural melting pot. So if you think about, for example, the Pygmy tribes, which are in Equatorial Africa, they are the ones that introduced Iboga to the Buiti. [00:27:08.08] - Tricia Eastman If you look at the history of ancient Egypt, what I'm told is that the Pygmies lived in Pharaonic Egypt, all the way up until Pharaonic Egypt. And there was a village. And if you look on the map in Egypt, you see a town called Bawiti, B-A-W-I-T-I. And that is the village where they lived. And I have an interesting hypothesis that the God Bess, if you look at what he's wearing, it's the exact same to a T as what the Pygmies wear. And the inspiration for which a lot of the Buiti, because they use the same symbology, because each part of the outfit, whether it's the Mocingi, which is like this animal skin, or the different feathers, they use the parrot feather as a symbology of speech and communication, all of these things are codes within the ceremony that were passed along. And so when you look at Bess, he's wearing almost the exact same outfit that the Pygmies are wearing and very similar to if you see pictures of the ceremonies of Misoko or Gonde Misoko, which I would say is one of the branches of several branches, but that are closer to the original way of Buiti of the jungle, so closer to the way the Pygmies practice. [00:28:59.16] - Tricia Eastman So If you look at Bess, just to back my hypothesis. So you look at Neteru. Neteru were the... They called them the gods of Egypt, and they were all giant. And many say the word nature actually means nature, but they really represented the divine qualities of nature. There's best. Look at him. And a lot of the historians said he's the God of Harmeline and children and happiness. I think he's more than the God of Harmeline, and I think that the Pygmies worked with many different plants and medicines, and really the ultimate aspect of it was freedom. If you think about liberation, like the libation, number one, that's drunkiness. Number two, liberation, you of freeing the joyous child from within, our true nature of who we are. You look at every temple in Egypt, and you look at these giant statues, and then you have this tiny little pygmy God, and there's no other gods that are like Bess. He's one of a kind. He's in his own category. You've You've got giant Hathor, you've got giant Thoth, you've got giant Osiris, Isis, and then you've got little tiny Bess. And so I think it backs this hypothesis. [00:30:48.27] - Tricia Eastman And my understanding from practitioners of Dogon tradition is that they also believe that their ancestors came from Egypt, and they definitely have a lot of similarity in the teachings that I've seen and been exposed to just from here. I mean, you can... There's some more modern groups, and who's to know, really, the validity of all of it. But there are some, even on YouTube, where you can see there's some more modern Dogon temples that are talking in English or English translation about the teachings, and they definitely line up with Kamehdi teachings. And so my hypothesis around that is that the Dogon are probably most likely pygmy descendants as, And the pygmy were basically run out of Bawiti because there was jealousy with the priest, because there was competition, because all of the offerings that were being made in the temple, there was a lot of power, connected to each of the temples. And there was competitiveness even amongst the different temples, lining the Nile and all of that, of who was getting the most offerings and who was getting the most visits. And so the Pygmies essentially were run out, and they migrated, some of them migrated south to Gabon and Equatorial Africa. [00:32:43.07] - Tricia Eastman And then If you think about the physical changes that happened during these planetary catastrophes, which we know that there had been more than one based on many historical books. So that whole area went through a desertification process, and the Equatorial rainforest remained. So it's highly likely even that Iboga, at one point, grew in that region as well. [00:33:18.00] - Joe Moore Have you ever seen evidence of artwork depicting Iboga there in Egypt? [00:33:24.17] - Tricia Eastman There are several different death temples. I'm trying to remember the name of the exact one that I went to, but on the columns, it looked like Iboga trees that were carved into the columns. And I think what's interesting about this... So Seychet is the divine scribe, the scribe of Egyptian wisdom. And she was basically, essentially the sidekick of Thoth. Thoth was who brought a lot of the ancient wisdom and people like Pythagoras and many of the ancient philosophers in Roman times went and studied in a lot of these Thoth lineage mystery schools. When you look at the the river of the Nile on the east side, east is the energy liturgy of initiation. It's always like if you go into a sweat lodge or if you see an ancient temple, usually the doorway is facing the east. West is where the sun sets, and so that's the death. And what's interesting about that is that it was on the west side in the death temple that you would see these aboga plants. But also Seixat was the one who was the main goddess depicted in the hieroglyphs, and there was other hieroglyphs. I mean, if you look at the hieroglyphs of Seixat, it looks like she has a cannabis leaf above her head, and a lot of people have hypothesized that, that it's cannabis. [00:35:16.03] - Tricia Eastman Of course, historians argue about that. And then she's also carrying a little vessel that looks like it has some mushrooms in it. And obviously, she has blue Lotus. Why would she be carrying around blue Lotus and mushrooms? I don't know. It sounds like some initiation. [00:35:36.19] - Joe Moore Yeah, I love that. Well, thanks so much for going there with me. This photo of Seixet. There's some good animations, but everybody just go look at the temple carvings picturing this goddess. It's stunning. And obviously, cannabis. I think it's hard to argue not. I've seen all these like, mushroom, quote, unquote, mushroom things everywhere. I'm like, Yeah, maybe. But this is like, Yes, that's clear. [00:36:06.27] - Tricia Eastman And if you look at what she's wearing, it's the exact same outfit as Bess, which is classic Basically, how the medicine woman or medicine man or what you would call shaman, the outfit that the healers would wear, the shamans or the oracles, those of the auracular arts, different forms of divination would wear. So if you really follow that and you see, Oh, what's Isis wearing? What's Hathor wearing? What's Thoth wearing? You can tell she's very specifically the healer. And it's interesting because they call her the divine scribe. So she's actually downloading, my guess is she's taking plants and downloading from the primordial. [00:37:02.00] - Joe Moore Well, okay. Thanks for bringing that up. That was a lovely part of your book, was your... There's a big initiation sequence, and then you got to go to this place where you could learn many things. Could you speak to that a little bit? And I hope that's an okay one to bring up. [00:37:22.22] - Tricia Eastman Are you talking about the time that I was in initiation and I went to the different ashrams, the different realms in, like Yogananda calls them astral schools that you go and you just download? It seemed like astral schools, but it seemed like it was a Bwiti initiation, where you were in silence for three days, and then Yeah, that one. So there were several different... I mean, I've done seven official initiations, and then I've had many other initiatic experiences. And I would say this one was incredible. Incredibly profound because what it showed me first was that all of the masters of the planet, it was showing me everyone from Kurt Cobain to Bob Marley to Einstein, all the people that had some special connection to an intelligence that was otherworldly, that they were essentially going to the same place, like they were visiting the same place, and they would go. And so the first thing I noticed was that I recognized a lot of people, and current, I'm not going I don't want to say names of people, but I recognize people that are alive today that I would say are profound thinkers that were going to these places as well. [00:38:57.05] - Tricia Eastman And interestingly, then I was taken into one of the classrooms, and in the classroom, this one, specifically, it showed me that you could download any knowledge instantaneously That essentially, having a connection to that school allowed you to download music or understand very complex ideas ideas of mathematics or physics or science that would take people like lifetimes to understand. So it was essentially showing this. And a lot of people might discredit that, that that might be a specific... That we as humans can do that. Well, I'm not saying that it's not that. I don't I don't want to say that it's anything. But what I can say is that I have definitely noticed the level of access that I have within my consciousness. And also what I notice with the masters of Bwiti, specifically in terms of the level of intelligence that they're accessing and that it's different. It's got a different quality to it. And so it was a really profound teaching. And one of the things, too, that I've learned is I use it to help me learn specific things. I don't know if I can give a positive testimonial, but I am learning French. [00:40:55.00] - Tricia Eastman And I noticed when I was in Aspen at the Abigain meeting, and I was with Mubeiboual, who speaks French, I started saying things French that I didn't even realize that I knew to say. I've had these weird moments where I'm actually using this tool And I'm also using it. I have a Gabonese harp. I don't know if you can see it up on the shelf over there. But I also went and asked for some help with downloading some assistance in the harp, then we'll see how that goes. [00:41:38.17] - Joe Moore Yeah. So that's brilliant. I'm thinking of other precedent for that outside of this context, and I can think of a handful. So I love that, like savant syndrome. And then there's a classic text called Ars Notoria that helps accelerate learning, allegedly. And then there's a number of other really interesting things that can help us gain these bits of wisdom and knowledge. And it does feel a little bit like the Dogon. The story I get is the receiving messages from the dog star, and therefore have all sorts of advanced information that they shouldn't we call it. Yeah. Yeah, which is fascinating. We have that worldwide. I think there's plenty of really interesting stuff here. So what I appreciated, Tricia, about how you're structuring your book, or you did structure your book, is that it it seems at the same time, a memoir, on another hand, workbook, like here are some exercises. On the other hand, like here's some things you might try in session. I really appreciated that. It was like people try to get really complicated when we talk about things like IFS. I'm like, well, you don't necessarily have to. You could. Or is this just a human thing, a human way to look at working with our parts? [00:43:20.15] - Joe Moore I don't know. Do you have any thoughts about the way you were approaching this parts work in your book versus how complicated some people make it feel? [00:43:30.00] - Tricia Eastman Yeah. I find that this is just my personal opinion, and no way to discredit Richard Schwartz's work. But parts work has existed in shamanism since forever. When we really look at even in ancient Egypt, Issus, she put Osiris act together. That was the metaphorical story of soul retrieval, which is really the spiritual journey of us reclaiming these pieces of ourselves that we've been disconnected from a society level or individually. And within the context of parts work, it's very organic and it feels other worldly. It's not like there's ever a force where I'm in the process with someone. And a lot of times I would even go into the process with people because they weren't accustomed to how to work with Iboga or game, and so they would be stuck. And then the minute I was like, you know, Iboga, in the tradition, it's really about... It's like the game Marco Polo. It's call and response. And so you're really an active participant, and you're supposed to engage with the spirits. And so the minute that things would show up, it'd be more about like, oh, what do you see? What's coming up here? Asking questions about it, being curious. [00:45:17.07] - Tricia Eastman If you could engage with it, sometimes there's processes where you can't really engage with things at all. So everything that I'm talking about is It was organically shown up as an active engagement process that it wasn't like we were going in. There have been some where you can guide a little bit, but you never push. It might be something like, go to your house, and it being completely unattached. And if they can't go there, then obviously the psyche doesn't want to go there, but it's really an exercise to help them to connect to their soul. And then in contrast, IFS is like, let's work on these different parts and identify these different parts of ourselves. But then let's give them fixed titles, and let's continually in a non-altered state of consciousness, not when we're meditating, not when we're actively in a state where we have the plasticity to change the pathway in the unconscious mind, but we're working in the egoic mind, and we're talking to these parts of ourselves. That could be helpful in the day-to-day struggles. Let's say you have someone who has a lot of rumination or a very active mind to have something to do with that. [00:46:57.01] - Tricia Eastman But that's not going to be the end-all, be-all solution to their problem. It's only moving the deck chairs around on the Titanic because you're still working in the framework where, I'm sorry, the Titanic is still sinking, and it may or may not be enough. It may or may not produce a reliable outcome that could be connected with some level of true relief and true connection within oneself. And so I think that people just... I feel like they almost get a little too... And maybe it's because we're so isolated and lonely, it's like, Oh, now I've got parts. I'm not by myself. I've got my fire I've got my firefighter, and I've got my guardian, and all these things. And I definitely think that IFS is a really great initiator into the idea of engaging with parts of ourselves and how to talk to them. But I don't think it's... And I think doing a session here and there, for some people, can be incredibly helpful, but to all of a sudden incorporate it in like a dogma is toxic. It's dangerous. And that's what we have to be really careful of. [00:48:23.25] - Joe Moore So thank you for that. There's a complicated discussion happening at the Aspen meeting. I think I was only sitting maybe 30 feet away from you. Sorry, I didn't say hi. But the folks from Blessings of the Forest were there, and I got a chance to chat with a number of them and learn more about nuclear protocols, biopiracy, literal piracy, and smuggling, and the works. I'm curious. This is a really complicated question, and I'm sorry for a complicated question this far in. But it's like, as we talk about this stuff publicly and give it increased profile, we are de facto giving more juice and energy to black markets to pirate. We're adding fuel to this engine that we don't necessarily want to see. Cameroon has nothing left, pretty much. From what I'm told, people from Cameroon are coming in, stealing it from Cabona, bringing it back, and then shipping it out. And there's It's like a whole worldwide market for this stuff. I witnessed it. This stuff. Yeah, right? This is real. So the people, the Buiti, and certain Gabanese farmers, are now being pirated. And international demand does not care necessarily about Nagoya compliance. United States didn't sign Nagoya protocol for this biopiracy protection, but we're not the only violator of these ethics, right? [00:50:00.22] - Joe Moore It's everywhere. So how do we balance thinking about talking about IBOCA publicly, given that there's no clean way to get this stuff in the United States that is probably not pirated materials? And as far as I know, there's only one, quote unquote, Nagoya compliant place. I've heard stories that I haven't shared publicly yet, that there's other groups that are compliant, too. But it's a really interesting conversation, and I'm curious of your perspectives there. [00:50:34.04] - Tricia Eastman I mean, this is a very long, drawn-out question, so forgive me if I give you a long, drawn-out answer. [00:50:41.01] - Joe Moore Go for it. [00:50:41.26] - Tricia Eastman It's all good. So in reality, I do believe... You know the first Ebo, Abogaine, that was done in the country was experiments on eight Black prisoners at a hospital under the MK program. [00:51:01.16] - Joe Moore Pre-lutz off, we were doing Abogaine tests on people. [00:51:06.00] - Tricia Eastman Yeah, so pre-Lutz off. I have a hypothesis, although a lot of people would already know me. [00:51:12.07] - Joe Moore No, I didn't know that. Thank you for sharing that with me. [00:51:14.13] - Tricia Eastman That's great. I'll send you some stuff on that. But the Aboga wanted to be here. The Abogaine wanted to be here. I think it's a complex question because on one side of the coin, you have the spirit of plants, which are wild and crazy sometimes. And then you have the initiatory traditions, which create a scaffolding to essentially put the lightning in a bottle, so to say, so that it's less damaging. [00:51:51.13] - Joe Moore It's almost like a temple structure around it. [00:51:53.16] - Tricia Eastman I like that. Yeah. Put a temple structure around it because it's like, yeah, you can work with new nuclear energy, but you have to wear gloves, you have to do all these different safety precautions. I would say that that's why these traditions go hand in hand with the medicine. So some people might say that the agenda of Iboga and even Abogaine might be a different agenda than the Buiti. And ultimately, whether we are Indigenous or not, the Earth belongs to everyone. It's capitalism and the patriarchy that created all these borders and all these separations between people. And in reality, we still have to acknowledge what the essence of Buiti is, which is really the cause and effect relationship that we have with everything that we do. And so some people might use the term karma. And that is if you're in Abogaine clinic and you're putting a bunch of videos out online, and that's spurring a trend on TikTok, which we already know is a big thing where people are selling illegal market, iBoga, is Is any of that your responsibility? Yes. And if I was to sit down with a kogi kagaba, which are the mamus from Colombia, or if I were to sit down with a who said, Hey, let's do a divination, and let's ask some deep questions about this. [00:53:54.01] - Tricia Eastman It would look at things on a bigger perspective than just like, Oh, this person is completely responsible for this. But when we're talking about a medicine that is so intense, and when I was younger, when I first met the medicine, I first was introduced in 2013 was when I first found out about Abigain and Iboga. And in 2014, I lived with someone who lived with a 14th generation Misoko, maybe it was 10th generation Misoco in Costa Rica. And then he decided to just start serving people medicine. And he left this person paralyzed, one person that he treated for the rest of his life. And Aubrey Marcus, it was his business partner for On It, and he's publicly talked about this, about the story behind this. If you go into his older podcasts and blog posts and stuff, he talks about the situation. And the reality is that this medicine requires a massive amount of responsibility. It has crazy interactions, such as grapefruit juice, for example, and all kinds of other things. And so it's not just the responsibility towards the buiti, it's also the responsibility of, does me talking about this without really talking about the safety and the risks, encourage other people. [00:55:49.10] - Tricia Eastman One of the big problems, back in the day, I went to my first guita conference, Global Abogaine Therapy Alliance in 2016. And And then, ISEARs was debating because there was all these people buying Abogaine online and self-detoxing and literally either dying or ending up in the hospital. And they're like, should we release protocols and just give people instructions on how to do this themselves? And I was like, no, absolutely not. We need to really look at the fact that this is an initiatory tradition, that it's been practiced for thousands of that the minimum level at which a person is administering in Gabon is 10 years of training. The way that we've made up for those mistakes, or sorry, not mistakes, lack of training is that we've used medical oversight. Most of the medical oversight that we've received has been a result of mistakes that were made in the space. The first patient that MAPS treated, they killed them because they gave them way over the amount of what milligrams per kilogram of Abigain that you should give somebody. Every single mistake that was made, which a lot of them related to loss of life, became the global Abogane Therapy Safety Guidelines. [00:57:28.19] - Tricia Eastman And so we've already learned from our mistakes here. And so I think it's really important that we understand that there's that aspect, which is really the blood on our hands of if we're not responsible, if we're encouraging people to do this, and we're talking about it in a casual way on Instagram. Like, yeah, microdosing. Well, did you know there was a guy prosecuted this last year, personal trainer, who killed someone And from microdosing in Colorado, the event happened in 2020, but he just got sentenced early 2025. These are examples that we need to look at as a collective that we need. So that's one side of it. And then the other side of it is the reciprocity piece. And the reciprocity piece related to that is, again, the cause and effect. Is A Abogaine clinic talking about doing Abogaine and doing video testimonials, spurring the efforts that are actively being made in Gabon to protect the cultural lineage and to protect the medicine. The reality is every Abogaine clinic is booked out for... I heard the next year, I don't know if that's fact or fiction, but someone told me for a year, because because of all the stuff with all the celebrities that are now talking about it. [00:59:05.20] - Tricia Eastman And then on top of that, you have all these policy, all these different advocacy groups that are talking about it. Essentially, it's not going to be seven... It's going to be, I would say, seven to 10 years before something gets through the FDA. We haven't even done a phase one safety trial for any of the Abigain that's being commercialized. And even if there's some magic that happens within the Trump administration in the next two years that changes the rules to fast track it, it's not going to cut it down probably more than a year. So then you're looking at maybe six years minimum. That whole time, all that strain is being put on Gabon. And so if you're not supporting Gabon, what's happening is it's losing a battle because the movement is gaining momentum, and Gabon cannot keep up with that momentum. It's a tiny country the size of Colorado. So my belief is that anyone who's benefiting from all the hype around Iboga and Abogayne or personally benefited with healing within themselves should be giving back, either to Ancestral Heart, to Blessings of the Forest, to any group that is doing authentic Indigenous-led biocultural stewardship work. [01:00:45.21] - Joe Moore Thanks for that. It's important that we get into some detail here. I wish we had more time to go further on it. [01:00:54.17] - Tricia Eastman I'll do a quick joke. I know. I have a lot. [01:00:57.17] - Joe Moore Yes. Now do Mike Tyson. Kidding. Yeah. So what did we maybe miss that you want to make sure people hear about your book, any biocultural stuff that you want to get out there? You can go for a few more minutes, too, if you have a few things you want to say. [01:01:20.03] - Tricia Eastman I mean, really, thank you so much for this opportunity. Thank you for caring and being so passionate about the context related to Buiti, which I think is so important. I would just say that I've been working with this medicine for... I've known about it for 13 years, and I've been working with it for 11 years, and this is my life. I've devoted my life to this work, me and my husband, both. And there isn't anything greater of a blessing that it has brought in our life, but it also is it's a very saturnian energy, so it brings chaos. It brings the deepest challenges and forces you to face things that you need to face. But also on the other side of the coin, everything that I've devoted and given back in service to this work has exponentially brought blessing in my life. So again, I see the issue with people doing these shortened processes, whether it's in an Abigain clinic where you just don't have the ritualistic sacred aspects of an initiatic context and really the rituals that really help integrate and ground the medicine. But you still have this opportunity to continue to receive the blessings. [01:03:09.23] - Tricia Eastman And I really feel in our current psychedelic movement, we essentially have a Bugatti. These medicines are the most finely-tuned sports car that can do every... Even more than that, more like a spaceship. We have this incredible tool, but we're driving it in first gear. We don't even really know how to operate it. It's like, well, I guess you could say flight of the Navigator, but that was a self-driving thing, and I guess, psychedelics are self-driving. But I feel that we are discounting ourselves so greatly by not looking into our past of how these medicines were used. I really think the biggest piece around that is consulting the genuine lineage carriers like Buiti elders, like Mubu Bwal, who's the head of Maganga Manan Zembe, And giving them a seat at the head of the table, really, because there's so much I know in my tradition, about what we do to bring cardiac safety. And why is it that people aren't dying as much in Gabon as they're dying in Abigan clinics. [01:04:37.28] - Joe Moore Shots fired. All right. I like it. Thank you. Thank you for everything you've done here today, I think harm reduction is incredibly important. Let's stop people dying out there. Let's do some harm reduction language. I actually was able to sweet talk my way into getting a really cool EKG recently, which I thought really great about. If you can speak clinician, you can go a long way sometimes. [01:05:11.20] - Tricia Eastman Yeah. Oh, no, go ahead. Sorry. [01:05:15.17] - Joe Moore No, that's all. That's all. So harm reduction is important. How do we keep people safe? How do we keep healing people? And thank you for all your hard work. [01:05:27.22] - Tricia Eastman Thank you. I really appreciate it. We're all figuring it out. No one's perfect. So I'm not trying to fire any shots at anybody. I'm just like, Guys, please listen. We need to get in right relationship with the medicine. And we need to include these stakeholders. And on the other side of the coin, I just want to add that there's a lot of irresponsible, claimed traditional practitioners that are running retreat centers in Mexico and Costa Rica and other places that are also causing a lot of harm, too. So the medical monitoring is definitely, if you're going to do anything, Because these people don't have the training, the worst thing you could do is not have someone going in blind that doesn't have training and not have had an EKG and all that stuff. But we've got a long way to go, and I'm excited to help support in a productive way, all coming together. And that's what me and Joseph have been devoted to. [01:06:45.02] - Joe Moore Brilliant. Tricia Eastman, thank you so much. Everybody should go check out your book Seeding Consciousness out now. The audiobook's lovely, too. Thank you so much for being here. And until next time. [01:07:00.14] - Tricia Eastman Thank you.    

I give my perspective on being an APP in the ED, be humble and teachable and strike an affect that allows the physicians to speak into your practiceWhen in doubt, consult the specialistJulie talks about what makes her proud about her careerShe is proud of the connections she made, that she treated her patients how she would have wanted to be treatedRemember to take that intentional time with patients to help reassure and connect with themJulie talks about a the expectation she sets for patients with abdominal pain -  that we don't find a clear answer most of the time and when we do it's usually something emergent and surgical so sometimes no answer is good newsSet the right expectation for the ER visit earlyShe talks about how she reassures patients that may be embarrassed for coming in when they end up not having anything emergent going onJulie highlights the need to eat and hydrate on shiftJulie talks about the next generation of providers and how she hopes they continue to keep their observation skills and clinical thinking skills intact considering technology advances and AI incorporation Julies advice to her younger self would be to not let people drag you downA big thing we need to learn is to not let others poor behavior or flexing of their ego affect us personally, it speaks more about them than usWe need to learn to give constructive criticism without judgingSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

I am thrilled to reconnect with Dr. Sanjay Bhojraj today. Dr. Bhojraj is a board-certified interventional cardiologist who became a pioneer in functional medicine. In our conversation, we dive into palpitations, which are a common complaint among perimenopausal and menopausal women. We explore red flag symptoms, the physiological effects of progesterone, estrogen, and testosterone as they relate to heart arrhythmias, EKG changes during the perimenopause-to-menopause transition, and wearable technologies. We unpack the differences between benign and more concerning arrhythmias, risk factors for atrial fibrillation, and the process of taking a thorough history, ordering the correct tests, and using imaging or sleep studies when appropriate. We cover treatment pathways, from lifestyle modifications to medications, channelopathies, and the genetic propensities for conditions such as Long QT, Brugada Syndrome, WPW (Wolff-Parkinson-White syndrome), and sudden cardiac death. We also highlight the importance of genetic testing for individuals with a family history of those conditions. Today's conversation with Dr. Sanjay Bhojraj is full of practical wisdom and clinical pearls, so you will most likely want to listen to it more than once. IN THIS EPISODE, YOU WILL LEARN: Why thyroid function should always be taken into account when assessing heart rhythm issues   How stress and life circumstances can trigger palpitations  The benefits of magnesium supplementation for supporting heart health What ventricular arrhythmias (from the bottom chambers) and atrial arrhythmias (from the top chambers) are commonly related to The value of monitoring for identifying the nature and severity of arrhythmias How sleep apnea can increase the risk of arrhythmia   The importance of exercise, stress management, and healthy lifestyle habits for supporting heart rhythm Why certain arrhythmias may require procedural interventions Why various types of athletic activity matter when evaluating arrhythmias How genetic factors can impact specialized heart assessments Connect with Cynthia Thurlow   Follow on X, Instagram & LinkedIn Check out Cynthia's website Submit your questions to support@cynthiathurlow.com Join other like-minded women in a supportive, nurturing community (The Midlife Pause/Cynthia Thurlow)  Cynthia's Menopause Gut Book is on presale now! Cynthia's Intermittent Fasting Transformation Book The Midlife Pause supplement line Connect with Dr. Sanjay Bhojraj On his website On social media: @DoctorSanjayMD The Curious Cardiologist Podcast

We are in our 3rd week of our 4-part series on the #1 killer in America.   And we're talking about the Diagnostics that Dr. Prather uses to get to the root cause of Cardiovascular Disease. In this episode, you'll learn:—How Diagnostics are "even more important and more complete" in the Structure-Function Health Care model than in Disease Care.—Why the electrical system of the Heart is so important.   And how Dr. Prather uses what he considers "the best" in Holter monitors to measure a patient's electrical system.—The way a patient's EKG will completely normalize though the therapeutic exercise External CounterPulsation (ECP) Therapy at Holistic Integration .—The impact of the Nervous System on the Heart's electrical system, which can be improved through Chiropractic care.  And the way Holistic Integration measures the Vagus Nerve and the Parasympathetic and Sympathetic balance through their Autonomic Nervous System (ANS) Test. —Why Minerals are "critical" to the electrical system of the Heart.  And how Minerals are best measured through Hair Analysis and Bloodwork. —The amazing story of the patient whose WATCH was throwing off his heart's electrical system. —How Dr. Prather sees many Heart problems cleared up by clearing Heavy Metals out of people.—Why getting to the root cause of a patient's Heart problem is "like detective work". —The link between infections and Cardiovascular Disease, such as the Coxsackie B virus which can cause Cardiomyopathy.  And how infections, most commonly Strep, can also cause Heart Valve Issues.—How the Heart CAN be healed and has an amazing ability to regenerate.http://www.TheVoiceOfHealthRadio.com*Receive exclusive bonus content as a member of our Voice Of Health Patreon Community:https://www.patreon.com/cw/VoiceofHealthPodcast

Mindsets to avoid burnout – Julie humanizes the patient and understands that whatever difficult things we are dealing with are temporary and have gratitudeWe must constantly recognize possible anchor bias and avoid cynicism to appropriately treat our patientsWe talk about our interactions with EMSBoth Julie and I remember working in EMS and the value that EMS brings in their report because they often see a lot of things we don't get from the history of the patientJulies advice for the new APP/ER doc - don't come to premature closure on a diagnosis, don't be afraid to ask questions, pay off your loans over buying the biggest house and latest toysWe talk about the baseline level of stress we deal with We talk about technological changes over time and imaging improvementsShe talks about the challenges that the Covid pandemic presented and the shortages of different things we have now encounteredJulie still finds meaning in finding the hard differential diagnosis and working towards positive patient interactions, the teamwork in the ERI talk about the importance of creating an approachable affect so everyone feels free to voice concernsGo look at the patient when the nurse is concerned Julie talks about the benefit for new EMT's and paramedics to reach out and ask for feedback and follow up on their patients, often we don't have time to pull them asideEMS doesn't have the best mechanisms in place for good feedback on every case like we do in the ER, where we see in real time how accurate our assessment may have been when the work up comes backSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

We are in week 2 of a 4-part series on the #1 killer in America.   And our focus this week is on Holistic Treatments for Cardiovascular Disease  In this episode, we talk about:—How a shift to the left of the Thoracic spine indicates heart problems, which can often be reversed once everything is aligned properly. —The number one treatment for every kind of Cardiovascular Disease.  And the External CounterPulsation (ECP) Therapy that produces even better results than doing aerobic exercise.—Why Dr. Prather gets even better patient results than expected by the researchers of ECP Therapy.  And the importance of proper nutritional supplementation alongside ECP Therapy "that does miracles". —How ECP Therapy helps fight aging, keeps the brain working better, and improves oxygenation to all the organ systems of the body.  And Dr. Prather's own story of how ECP Therapy has helped his heart heal from damage caused by a spider bite. —Why the combination of ECP Therapy and proper nutrients produces great results for patients suffering from Congestive Heart Failure, with hearts twice the normal size going completely back to normal after 7 weeks.—How you'd look like you were 21 for the rest of your life if you had no Free Radical damage, which causes Cataracts, Macular Degeneration, age or Liver spots, Cancer cells, Cardiovascular damage, and Dementia. —The "critical" importance of Minerals for Heart health. And how Dr. Prather can tell which mineral deficiencies a patient has just by looking at their EKG. —How Holistic Integration can actually test which Vitamins, Minerals, and Amino Acids that will work best for the patient. —Why Dr. Prather calls Homeopathy "our secret weapon".  And how most Medical Doctors don't realize that Nitroglycerin is actually a homeopathic. —The "immediate" changes in the EKG that Dr. Prather often sees after a patient receives a Chiropractic adjustment.  And the power of Acupuncture in reducing inflammation and increasing the healing ability of the body internally. http://www.TheVoiceOfHealthRadio.com*Receive exclusive bonus content as a member of our Voice Of Health Patreon Community:https://www.patreon.com/cw/VoiceofHealthPodcast

Started out her medical career as an EKG tech and in EMS as an EMT for one of the first ambulance companies in the areaShe saw the disconnect between the provider that people wanted to become and who they became, and she didn't want that to be true for herselfShe became an attending in 1991 and now has close to 40 years in emergency medicineShe became a physician when it was predominantly a male fieldJulie talks about some of the things that have changed over timeWe need to have empathy for the people that come in for non-emergent complaints and realize that we have the honor in the ED to fill all the gaps in the wider medical systemWe talk about the increase in transparency with patients and the access they now have to their lab work, imaging and chart and this helps us increase trust with patientsJulie talks about a paramedic partner she really admired and how well she treated patients, and how there wasn't a lot of female role models for her in med schoolI talk about how I also had partners that really improved the trajectory I was on as a new EMTSeek first to understand is one of the 7 habits of highly effective people and this relates directly to taking care of patientsJulie talks about how it was to be a woman in medicine and how her voice got dismissed as well as the dynamics that are at play with patientsJulie talks about burnout and how labyrinth therapy helped her. How you need something that helps you look beyond yourself to have a moment of awe and gratitudeSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

In this episode, the CardioNerds (Dr. Naima Maqsood, Dr. Akiva Rosenzveig, and Dr. Colin Blumenthal) are joined by renowned educator in electrophysiology, Dr. Joshua Cooper, to discuss everything atrial flutter; from anatomy and pathophysiology to diagnosis and management. Dr. Cooper's expert teaching comes through as Dr. Cooper vividly describes atrial anatomy to provide the foundational understanding to be able to understand why management of atrial flutter is unique from atrial fibrillation despite their every intertwined relationship. A foundational episode for learners to understand atrial flutter as well as numerous concepts in electrophysiology. Audio editing for this episode was performed by CardioNerds intern Dr. Bhavya Shah.  CardioNerds Atrial Fibrillation PageCardioNerds Episode PageCardioNerds AcademyCardionerds Healy Honor Roll CardioNerds Journal ClubSubscribe to The Heartbeat Newsletter!Check out CardioNerds SWAG!Become a CardioNerds Patron! Pearls "The biggest mistake is failure to diagnose”. Atrial flutter, especially with 2:1 conduction, is commonly missed in both inpatient and outpatient settings so look carefully at that 12-lead EKG so you can mitigate the stroke and tachycardia induced cardiomyopathy risk  Decremental conduction of the AV node makes it more challenging to rate control atrial flutter than atrial fibrillation  Catheter Ablation is the first line treatment for atrial flutter and is highly successful, but cardioversion can be utilized as well prior to pursuing ablation in some cases.  Class I AADs like propafenone and flecainide may stability the atrial flutter circuit by slowing conduction and thus may worsen the arrhythmia. Therefore, the preferred anti-arrhythmic medication in atrial flutter are class III agents.  Atrial flutter can be triggered by firing from the left side of the heart, so in patients with both atrial fibrillation and flutter, ablating atrial fibrillation makes atrial flutter less likely to recur.  BONUS PEARL: Dr. Cooper's youtube video on atrial flutter is a MUST SEE!  Notes Notes: Notes drafted by Dr. Akiva Rosenzveig  What are the distinguishing features of atrial fibrillation and flutter?  Atrial flutter is an organized rhythm characterized by a wavefront that continuously travels around the same circuit leading to reproducible P-waves on surface EKG as well as a very mathematical and predictable relationship between atrial and ventricular activity  Atrial fibrillation is an ever changing, chaotic rhythm that consists of small local circuits that interplay off each other. Consequently, no two beats are the same and the relationship between the atrial activity and ventricular activity is unpredictable leading to an irregularly irregular rhythm  What are common atrial flutter circuits?  Cavo-tricuspid isthmus (CTI)-dependent atrial flutter is the most common type of flutter. It is characterized by a circuit that circumnavigates the tricuspid valve.  Typical atrial flutter is characterized by the circuit running in a counterclockwise pattern up the septum, from medial to lateral across the right atrial roof, down the lateral wall, and back towards the septum across the floor of the right atrium between the IVC and the inferior margin of the tricuspid valve i.e. the cavo-tricuspid isthmus. Surface EKG will show a gradual downslope in leads II, III, and AvF and a rapid rise at end of each flutter wave.   Atypical CTI-dependent flutter follows the same route but in the opposite direction (clockwise). Therefore, we will see positive flutter waves in the inferior leads   Mitral annular flutter is more commonly seen in atrial fibrillation patients who've been treated with ablation leading to scarring in the left atrium.  Roof-dependent flutter is characterized by a circuit that travels around left atrium circumnavigating a lesion (often from prior ablation), traveling through the left atrial roof, down the posterior wall, and around the pulmonary veins  Surgical/scar/incisional flutter is seen in people with a history of prior cardiac surgery and have iatrogenic scars in right atrium due to cannulation sites or incisions  How does atrial flutter pharmacologic management differ from other atrial arrhythmias?  The atrioventricular (AV) node is unique in that the faster it is stimulated, the longer the refractory period and the slower it conducts. This characteristic is called decremental conduction. In atrial fibrillation, the atrial rate is so fast that the AV node becomes overwhelmed and only lets some of those signals through to the ventricles creating an irregular tachycardia but at lower rates. In atrial flutter, the atrial rate is slower, therefore the AV node has more capability to conduct allowing for higher ventricular rates. Therefore, to achieve rate control one will need a higher dose of AV blocking medications. Atrial tachycardia may require even higher doses due to the increased ability of the AV node to conduct, as the atrial rates are slower than in atrial flutter.  Sodium channel blockers (Class I) such as flecainide and propafenone slow wavefront propagation, making it easier for the AV node to handle the atrial rates. This will end up leading to increased ventricular rates which can be dangerously fast. That is why AV nodal blockers should be used in conjunction with flecainide and propafenone.  What is the role of cardioversion in atrial flutter management?  Due to high success rate with atrial flutter ablation, ablation is the first line treatment. However, sometimes cardioversion may be utilized in patients depending on how symptomatic they are and how long it will take to get an ablation. Cardioversion may also be utilized preferentially when the atrial flutter was triggered by infection or cardiac surgery to see if it will come back.   If cardioversion is pursued, the patient will need to be anticoagulated due to the stroke risk after the procedure due to post-conversion stunning.  How effective is atrial flutter ablation?  The landmark Natale et al study in 2000 demonstrated 80% success rate after radiofrequency ablation as compared to 36% in patients on anti-arrhythmic therapy. The LADIP study in 2006 further corroborated these findings. Contemporary data shows above 90% success rate of atrial flutter ablation.  In patients who have had both atrial fibrillation and atrial flutter, most electrophysiologists would ablate both. However, in patients with atrial fibrillation, the atrial flutter usually is initiated by trigger spots firing in the left atrium. Once the atrial fibrillation is ablated, the flutter will become less likely. Therefore, there are those who say there's no need to ablate the flutter circuit as well. Alternatively, if a patient has severe comorbidities and/or is high risk for ablation, one may consider performing the atrial flutter ablation only since atrial flutter is harder to manage medically compared with atrial fibrillation.   How do you manage atrial flutter in the acute inpatient setting?  In the inpatient setting, electrical cardioversion is often limited by blood pressure and the hypotensive effects of the sedatives required. If one is awake and too hypotensive, chemical cardioversion can be pursued. The most effective anti-arrhythmic for this is ibutilide. Amiodarone is not effective for acute cardioversion. Since ibutilide prolongs refractoriness in atrial and ventricular tissue, there's a risk of long QT induced torsades de pointes. Pretreating with magneisum reduces the risk to 1-2%.  References Jolly WA, Ritchie WT. Auricular flutter and fibrillation. 1911. Ann Noninvasive Electrocardiol. 2003;8(1):92-96. doi:10.1046/j.1542-474x.2003.08114.x  McMichael J. History of atrial fibrillation 1628-1819 Harvey - de Senac - Laënnec. Br Heart J. 1982;48(3):193-197. doi:10.1136/hrt.48.3.193  Lee KW, Yang Y, Scheinman MM; University of Califoirnia-San Francisco, San Francisco, CA, USA. Atrial flutter: a review of its history, mechanisms, clinical features, and current therapy. Curr Probl Cardiol. 2005;30(3):121-167. doi:10.1016/j.cpcardiol.200  2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e167. doi:10.1161/  Cosío F. G. (2017). Atrial Flutter, Typical and Atypical: A Review. Arrhythmia & electrophysiology review, 6(2), 55–62. https://doi.org/10.15420/aer.2017.5.2  https://www.escardio.org/Journals/E-Journal-of-Cardiology-Practice/Volume-11/Atrial-flutter-common-and-main-atypical-forms Natale A, Newby KH, Pisanó E, et al. Prospective randomized comparison of antiarrhythmic therapy versus first-line radiofrequency ablation in patients with atrial flutter. J Am Coll Cardiol. 2000;35(7):1898-1904. doi:10.1016/s0735-1097(00)00635-5  Da Costa A, Thévenin J, Roche F, et al. Results from the Loire-Ardèche-Drôme-Isère-Puy-de-Dôme (LADIP) trial on atrial flutter, a multicentric prospective randomized study comparing amiodarone and radiofrequency ablation after the first episode of symptomatic atrial flutter. Circulation. 2006;114(16):1676-1681. doi:10.1161/CIRCULATIONAHA.106.638395  https://www.acc.org/Membership/Sections-and-Councils/Fellows-in-Training-Section/Section-Updates/2015/12/15/16/58/Atrial-Fibrillation#:~:text=The%20first%20'modern%20day'%20account,in%20open%20chest%20animal%20models.&text=In%201775%2C%20William%20Withering%20first,(purple%20foxglove)%20in%20AFib.

Blutdruck, Cholesterinspiegel, Zuckerwerte, EKG... was bringen solche Check-ups beim Hausarzt? Zahlt die Kasse alles, was nötig und sinnvoll ist? Antworten vom Hausarzt und Prof. für Allgemeinmedizin Jörg Schelling.

Brian talks about his experience being on the “other side” of the bedside with his wife's cancer treatmentHe really appreciated the extra time that the doctors spent with him and his wife to explain things – repetition is very helpful for your patients to really hear youBrian talks about balancing fatherhood and being a husband with our emergency medicine schedules and the challenges of being in a physician couple You have to figure out family priorities and what works well in your situationDate night is the most important investment you can makeWe talk about how to transition from ER mode to husband and father modeBrian talks about how finishing his notes helps to make his mind move on or answer some questions he may have to resolve a conflict he might be havingWe talk about church attendance as ChristiansBrian tells a powerful story where he was able to save and prolong a patient life so he could talk with his family“Sometimes it's more important to help someone die than to help them live”We need to be intentional about remembering the big and the small good things that happen throughout our dayYou never know when you might be the last person to interact with someone and may make the difference between them, deciding to give the ER another chanceBrian talks about advice to his younger self – don't work as hard, take more time offPrayer will get you to the right answer, if you call yourself Christian you should be displaying the Christian examples we are givenYou shouldn't have to leave your faith at home, it's your best ally at work Support the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Click to Send us a text!We lay out the 10 annual vitality tests that turn off-season into a competitive edge, from basic blood work to root-cause labs, heart scans, and biological age. The goal is simple: find what's holding you back, fix it fast, and add years to your racing career.• baseline blood work and why it still matters• the big five root cause labs and what each reveals• coronary calcium and heart risk for drivers• low-cost lifeline screenings that catch issues early• full-body MRI and multi-cancer blood testing• FIT stool testing for colon cancer signals• VO2 Max, CRF, and grip strength benchmarks• annual physical with skin check and EKG• biological age testing and reversing pace of aging• how to stack tests into a clear action planTake your free High Performance Health Assessment at victorylanewellness.com and schedule your complimentary consultationSupport the showAs a token of gratitude, of course you're interested in these FREE and powerful resources, and because you enjoy the show, first be sure to leave your 5-STAR Review HERE!

We talk about setting the right mindset, culture and tone as a leader of the department and especially in smaller facilitiesYou don't have to be perfect, but you can avoid the little negative comments and criticismsBeing a good example goes a long wayAs a Christian we are supposed to act like Christ wouldWe have a lot of metrics we have to worry about as clinicians but, as Christians, we need to worry about the metric of mercyUnderstanding that we are not as far removed from the homeless, drug addicted patient as we might thinkWe have to remember that, as we care for the homeless and drug addicted person that no one else will care for, we are doing it for JesusBrian tells his students to spend as much time with the patient as they need, you don't have to be the fastest provider right awayWe have to be careful about bias getting passed on from triage and from EMS reports as well, sometimes the problem is more subtle and requires more time with the patientHow we word things when talking with patients makes a big differenceWe talk about providing respect and dignity to those patients that dieBrian talks about some on-shift practices he uses to re-center himself on his purposeWe talk about the grey area in which we practice in the EDI try to practice assuming good intent on othersSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

The panel of Chuck Joiner, Marty Jencius, Michael D.J. Eisenberg, and Patrice Brend'amour kicks off the 2025 Holiday Gift Guide series with practical, travel-friendly, and tech-savvy picks. From MagSafe wallets and AirTag-friendly money clips to AI development tools, travel routers, power banks, and portable speakers, each round offers creative and useful gift ideas for Apple users and frequent travelers looking to upgrade their daily gear. (Part 1)  MacVoices is supported by SurfShark. Go to https://surfshark.com/macvoices or use code “macvoices" at checkout to get 4 extra months of Surfshark VPN! Show Notes: Chapters: [0:00] Introduction to the 2025 Holiday Gift Guide[0:10] How the gift rounds work and panel introductions[1:26] Marty's pick: MagSafe wallet and stand[5:11] Michael's counterpick: AirTag-ready money clip[6:41] Patrice's pick: Windsurf AI development tool[9:36] Michael's pick: Travel surge protector[12:30] Chuck's pick: Rolling Square credit-card tracker[13:46] Discussion: Digital IDs and travel concerns[15:13] Surfshark sponsorship segment[17:39] Round 2 begins: Cardia Mobile 6-lead EKG device[23:41] Patrice's pick: GL.iNet travel router[26:56] Michael's pick: Anker Prime 26K power bank[29:49] Chuck's pick: JBL Flip Series Bluetooth speakers Links: Marty Jencius MagSafe Wallet, Card Holder with Stand, Magnetic Phone Wallet Stand for iPhone Pro Max Air Plus Series, RFID Blocking Vegan Leather AliveCor KardiaMobile   EKG Monitor - Six Views of The Heart - Detects AFib and Irregular Arrhythmias- Instant Results in Seconds Patrice Brend'amour Windsurf GL.iNet GL-MT3000 (Beryl AX) Portable Travel Router, Pocket Wi-Fi 6 Wireless 2.5G Router, Portable VPN Routers WiFi for Travel Michael D.J. Eisenberg Eaton Tripp Lite TRAVELER3USBC Travel Power Strip & USB Charger, Flat Plug, 306J Surge Protector, USB-C + USB-A Port, 2-Outlets, 18" Cord & Cable Wrap Anker Prime Power Bank (26K, 300W) Chuck Joiner Rolling Square AirCard Pro - Apple Find My only – Bluetooth Tracker Card, Wireless Charging, Digital ID, Anti-Loss Wallet Tracker JBL Flip 7 - Portable Waterproof and Drop-Proof Speaker, Bold Pro Sound with AI Sound Boost, 16Hrs of Playtime, and PushLock System with Interchangeable Accessories   Guests: Patrice Brend'amour is the creator, advocate and Product Manager of a global healthcare software initiative, which is not only pushing the industry to provide user-centered solutions using the latest advances in UX and technology, but also advancing the sharing of medical information between healthcare providers across the world. She is also an avid podcaster, mainly in the technology space, as well as a maintainer and contributor to a number of open source projects. Everything she does can be linked to from The Patrice, Michael D.J. Eisenberg is a is a solo practitioner based in Washington, DC, advocating for veterans, military members, and their families for nearly two decades. He has been helping lawyers and law offices utilize technology tools to promote efficiency and effectiveness for decades. He created the blog and podcast in 2019 to share that information and more with the world. Find information on his initiatives and his podcast at The Tech Savvy Lawyer. Dr. Marty Jencius has been an Associate Professor of Counseling at Kent State University since 2000. He has over 120 publications in books, chapters, journal articles, and others, along with 200 podcasts related to counseling, counselor education, and faculty life. His technology interest led him to develop the counseling profession ‘firsts,' including listservs, a web-based peer-reviewed journal, The Journal of Technology in Counseling, teaching and conferencing in virtual worlds as the founder of Counselor Education in Second Life, and podcast founder/producer of CounselorAudioSource.net and ThePodTalk.net. Currently, he produces a podcast about counseling and life questions, the Circular Firing Squad, and digital video interviews with legacies capturing the history of the counseling field. This is also co-host of The Vision ProFiles podcast. Generally, Marty is chasing the newest tech trends, which explains his interest in A.I. for teaching, research, and productivity. Marty is an active presenter and past president of the NorthEast Ohio Apple Corp (NEOAC). Support:      Become a MacVoices Patron on Patreon     http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect:      Web:     http://macvoices.com      Twitter:     http://www.twitter.com/chuckjoiner     http://www.twitter.com/macvoices      Mastodon:     https://mastodon.cloud/@chuckjoiner      Facebook:     http://www.facebook.com/chuck.joiner      MacVoices Page on Facebook:     http://www.facebook.com/macvoices/      MacVoices Group on Facebook:     http://www.facebook.com/groups/macvoice      LinkedIn:     https://www.linkedin.com/in/chuckjoiner/      Instagram:     https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes     Video in iTunes      Subscribe manually via iTunes or any podcatcher:      Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

The panel of Chuck Joiner, Marty Jencius, Michael D.J. Eisenberg, and Patrice Brend'amour kicks off the 2025 Holiday Gift Guide series with practical, travel-friendly, and tech-savvy picks. From MagSafe wallets and AirTag-friendly money clips to AI development tools, travel routers, power banks, and portable speakers, each round offers creative and useful gift ideas for Apple users and frequent travelers looking to upgrade their daily gear. (Part 1)  MacVoices is supported by SurfShark. Go to https://surfshark.com/macvoices or use code "macvoices" at checkout to get 4 extra months of Surfshark VPN! Show Notes: Chapters: [0:00] Introduction to the 2025 Holiday Gift Guide [0:10] How the gift rounds work and panel introductions [1:26] Marty's pick: MagSafe wallet and stand [5:11] Michael's counterpick: AirTag-ready money clip [6:41] Patrice's pick: Windsurf AI development tool [9:36] Michael's pick: Travel surge protector [12:30] Chuck's pick: Rolling Square credit-card tracker [13:46] Discussion: Digital IDs and travel concerns [15:13] Surfshark sponsorship segment [17:39] Round 2 begins: Cardia Mobile 6-lead EKG device [23:41] Patrice's pick: GL.iNet travel router [26:56] Michael's pick: Anker Prime 26K power bank [29:49] Chuck's pick: JBL Flip Series Bluetooth speakers Links: Marty Jencius MagSafe Wallet, Card Holder with Stand, Magnetic Phone Wallet Stand for iPhone Pro Max Air Plus Series, RFID Blocking Vegan Leather AliveCor KardiaMobile   EKG Monitor - Six Views of The Heart - Detects AFib and Irregular Arrhythmias- Instant Results in Seconds Patrice Brend'amour Windsurf GL.iNet GL-MT3000 (Beryl AX) Portable Travel Router, Pocket Wi-Fi 6 Wireless 2.5G Router, Portable VPN Routers WiFi for Travel Michael D.J. Eisenberg Eaton Tripp Lite TRAVELER3USBC Travel Power Strip & USB Charger, Flat Plug, 306J Surge Protector, USB-C + USB-A Port, 2-Outlets, 18" Cord & Cable Wrap Anker Prime Power Bank (26K, 300W) Chuck Joiner Rolling Square AirCard Pro - Apple Find My only – Bluetooth Tracker Card, Wireless Charging, Digital ID, Anti-Loss Wallet Tracker JBL Flip 7 - Portable Waterproof and Drop-Proof Speaker, Bold Pro Sound with AI Sound Boost, 16Hrs of Playtime, and PushLock System with Interchangeable Accessories Guests: Patrice Brend'amour is the creator, advocate and Product Manager of a global healthcare software initiative, which is not only pushing the industry to provide user-centered solutions using the latest advances in UX and technology, but also advancing the sharing of medical information between healthcare providers across the world. She is also an avid podcaster, mainly in the technology space, as well as a maintainer and contributor to a number of open source projects. Everything she does can be linked to from The Patrice, Michael D.J. Eisenberg is a is a solo practitioner based in Washington, DC, advocating for veterans, military members, and their families for nearly two decades. He has been helping lawyers and law offices utilize technology tools to promote efficiency and effectiveness for decades. He created the blog and podcast in 2019 to share that information and more with the world. Find information on his initiatives and his podcast at The Tech Savvy Lawyer. Dr. Marty Jencius has been an Associate Professor of Counseling at Kent State University since 2000. He has over 120 publications in books, chapters, journal articles, and others, along with 200 podcasts related to counseling, counselor education, and faculty life. His technology interest led him to develop the counseling profession 'firsts,' including listservs, a web-based peer-reviewed journal, The Journal of Technology in Counseling, teaching and conferencing in virtual worlds as the founder of Counselor Education in Second Life, and podcast founder/producer of CounselorAudioSource.net and ThePodTalk.net. Currently, he produces a podcast about counseling and life questions, the Circular Firing Squad, and digital video interviews with legacies capturing the history of the counseling field. This is also co-host of The Vision ProFiles podcast. Generally, Marty is chasing the newest tech trends, which explains his interest in A.I. for teaching, research, and productivity. Marty is an active presenter and past president of the NorthEast Ohio Apple Corp (NEOAC). Support:      Become a MacVoices Patron on Patreon      http://patreon.com/macvoices      Enjoy this episode? Make a one-time donation with PayPal Connect:      Web:      http://macvoices.com      Twitter:      http://www.twitter.com/chuckjoiner      http://www.twitter.com/macvoices      Mastodon:      https://mastodon.cloud/@chuckjoiner      Facebook:      http://www.facebook.com/chuck.joiner      MacVoices Page on Facebook:      http://www.facebook.com/macvoices/      MacVoices Group on Facebook:      http://www.facebook.com/groups/macvoice      LinkedIn:      https://www.linkedin.com/in/chuckjoiner/      Instagram:      https://www.instagram.com/chuckjoiner/ Subscribe:      Audio in iTunes      Video in iTunes      Subscribe manually via iTunes or any podcatcher:      Audio: http://www.macvoices.com/rss/macvoicesrss      Video: http://www.macvoices.com/rss/macvoicesvideorss

Dr. Carole Keim welcomes pediatric cardiologist Dr. Tal Gospin, MD, to The Baby Manual to talk about what pediatric cardiology is and how it differs from adult cardiology. Dr. Gospin explains how much of pediatric cardiology is concerned with congenital heart disease, abnormalities people are born with. She watches for the shape of an infant's heart and the sounds it makes, even in utero, and discusses exactly what she looks for with Dr. Keim. They explore fetal echocardiograms, infant heart function, and what parents can watch for in newborns to see if a pediatric cardiologist needs to be consulted. Dr. Gospin and Dr. Keim discuss when a baby's heart murmur should be referred to a pediatric cardiologist and the differences between an innocent murmur and a pathologic murmur. Innocent murmurs that appear in newborns typically disappear in infancy. Dr. Gospin shares that some types of pediatric cardiac issues will show up as a lack of weight gain in infants, and when to reach out to a pediatrician for a referral. They talk about echocardiograms and what to expect, whether the baby feels any discomfort or not from an EKG, and what the scans are looking for. They discuss breathholding episodes, fainting, and explain what's happening and what a parent can do. This episode provides a lot of insight into pediatric cardiology and gives parents insight into the functioning of their infant's heart.  Dr. Tal Gospin, MD:Dr. Tal Gospin graduated with honors from Washington University in St. Louis with her undergraduate degree in Psychology. She obtained a Masters in Physiology and her Medical Doctorate from Georgetown University School of Medicine, where she was elected into Alpha Omega Alpha, the National Medical Honor Society. Dr. Gospin continued on to pursue a pediatrics residency at New York Presbyterian Hospital/Columbia University in New York City. She then completed her fellowship in pediatric cardiology at Baylor College of Medicine/Texas Children's Hospital in Houston, Texas. Dr. Gospin's fellowship training included caring for patients with a broad spectrum of cardiac conditions and working with leading experts in the field of pediatric cardiology and cardiac surgery. She concentrated her fellowship training on echocardiography, outpatient care for children with complex congenital heart disease, as well as fetal imaging and prenatal counseling.Dr. Gospin is board-certified in Pediatrics and Pediatric Cardiology. She is a fellow of the American Academy of Pediatrics and the American College of Cardiology. Her clinical interests include transthoracic echocardiography, fetal imaging, evaluation and treatment of children with congenital and acquired heart disease, pediatric arrhythmias, as well as hypercholesterolemia and hypertension. Dr. Gospin brings her diverse knowledge base and training into the community to provide comprehensive medical care with a passion for personalized attention.__ Resources discussed in this episode:The Holistic Mamas Handbook is available on AmazonThe Baby Manual is also available on Amazon__Contact Dr. Carole Keim, MDlinktree | tiktok | Instagram Contact Dr. Tal Gospin, MDwebsite | Pediatric Cardiology Care Houston Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this episode of the Jewish Inspiration Podcast, Rabbi Aryeh Wolbe continues in the Orchot Tzaddikim (Day 105, page 615), summarizing the first 12 daily remembrances—Hashem creating us from nothing, granting health, wisdom, Torah, mercy, repentance, and constant closeness—before introducing four more. The 13th urges recognizing when our wisdom and wealth exceed our deeds: if blessed with intellect or money, we must act accordingly now, not delay with “when I earn more, then I'll give.” Rabbi Wolbe shares a young donor who gave $130,000 already toward a $250,000 goal and a Shabbat table debate on lottery winnings, exposing how the yetzer hara pushes charity to “later.” The 14th teaches greeting everyone with a warm smile (sever panim yafot), as water reflects a face, so does the heart (Mishlei 27:19); his great-grandfather perfected this trait for two years despite personal suffering.The 15th reminds us to prepare for the World to Come like stocking a pantry or travel food—accumulate mitzvot, kindness, and Torah, as we don't know when our time ends. The 16th stresses the soul's purity: strong, healthy people die suddenly because Hashem reclaims His “deposit.” Like collateral or a leased car, life is lent; we must keep the soul pristine, repenting daily “one day before death” (as tomorrow may be it). Rabbi Wolbe likens life's ups and downs to a living EKG—flatlines are dead—urging us to embrace curveballs, swing hard, and turn tough days into home runs.Recorded at TORCH Centre in the Levin Family Studios (B) to a live audience on April 7, 2025, in Houston, Texas.Released as Podcast on November 18, 2025_____________This series on Orchos Tzadikim/Ways of the Righteous is produced in partnership with Hachzek.Join the revolution of daily Mussar study at hachzek.com.We are using the Treasure of Life edition of the Orchos Tzadikkim (Published by Feldheim)_____________Listen, Subscribe & Share: Apple Podcasts: https://podcasts.apple.com/us/podcast/jewish-inspiration-podcast-rabbi-aryeh-wolbe/id1476610783Spotify: https://open.spotify.com/show/4r0KfjMzmCNQbiNaZBCSU7) to stay inspired! Share your questions at aw@torchweb.org or visit torchweb.org for more Torah content.  _____________About the Host:Rabbi Aryeh Wolbe, Director of TORCH in Houston, brings decades of Torah scholarship to guide listeners in applying Jewish wisdom to daily life.  To directly send your questions, comments, and feedback, please email: awolbe@torchweb.org_____________Support Our Mission:Our Mission is Connecting Jews & Judaism. Help us spread Judaism globally by sponsoring an episode at torchweb.org.Your support makes a HUGE difference!_____________Listen MoreOther podcasts by Rabbi Aryeh Wolbe: NEW!! Prayer Podcast: https://prayerpodcast.transistor.fm/episodesJewish Inspiration Podcast: https://inspiration.transistor.fm/episodesParsha Review Podcast: https://parsha.transistor.fm/episodesLiving Jewishly Podcast: https://jewishly.transistor.fm/episodesThinking Talmudist Podcast: https://talmud.transistor.fm/episodesUnboxing Judaism Podcast: https://unboxing.transistor.fm/episodesRabbi Aryeh Wolbe Podcast Collection: https://collection.transistor.fm/episodesFor a full listing of podcasts available by TORCH at http://podcast.torchweb.org_____________Keywords:#JewishInspiration, #Mussar, #MasterClass, #Remembrance, #Generosity, #Self-awareness, #Charity, #Scholarship, #Wisdom, #Opportunity, #Giving, #Procrastination, #ActsofKindness, #Spiritual, #Resilience, #Adversity, #Rest, #Productivity, #GoodDeeds, #Urgency ★ Support this podcast ★

In this episode of the Jewish Inspiration Podcast, Rabbi Aryeh Wolbe continues in the Orchot Tzaddikim (Day 105, page 615), summarizing the first 12 daily remembrances—Hashem creating us from nothing, granting health, wisdom, Torah, mercy, repentance, and constant closeness—before introducing four more. The 13th urges recognizing when our wisdom and wealth exceed our deeds: if blessed with intellect or money, we must act accordingly now, not delay with “when I earn more, then I'll give.” Rabbi Wolbe shares a young donor who gave $130,000 already toward a $250,000 goal and a Shabbat table debate on lottery winnings, exposing how the yetzer hara pushes charity to “later.” The 14th teaches greeting everyone with a warm smile (sever panim yafot), as water reflects a face, so does the heart (Mishlei 27:19); his great-grandfather perfected this trait for two years despite personal suffering.The 15th reminds us to prepare for the World to Come like stocking a pantry or travel food—accumulate mitzvot, kindness, and Torah, as we don't know when our time ends. The 16th stresses the soul's purity: strong, healthy people die suddenly because Hashem reclaims His “deposit.” Like collateral or a leased car, life is lent; we must keep the soul pristine, repenting daily “one day before death” (as tomorrow may be it). Rabbi Wolbe likens life's ups and downs to a living EKG—flatlines are dead—urging us to embrace curveballs, swing hard, and turn tough days into home runs.Recorded at TORCH Centre in the Levin Family Studios (B) to a live audience on April 7, 2025, in Houston, Texas.Released as Podcast on November 18, 2025_____________This series on Orchos Tzadikim/Ways of the Righteous is produced in partnership with Hachzek.Join the revolution of daily Mussar study at hachzek.com.We are using the Treasure of Life edition of the Orchos Tzadikkim (Published by Feldheim)_____________Listen, Subscribe & Share: Apple Podcasts: https://podcasts.apple.com/us/podcast/jewish-inspiration-podcast-rabbi-aryeh-wolbe/id1476610783Spotify: https://open.spotify.com/show/4r0KfjMzmCNQbiNaZBCSU7) to stay inspired! Share your questions at aw@torchweb.org or visit torchweb.org for more Torah content.  _____________About the Host:Rabbi Aryeh Wolbe, Director of TORCH in Houston, brings decades of Torah scholarship to guide listeners in applying Jewish wisdom to daily life.  To directly send your questions, comments, and feedback, please email: awolbe@torchweb.org_____________Support Our Mission:Our Mission is Connecting Jews & Judaism. Help us spread Judaism globally by sponsoring an episode at torchweb.org.Your support makes a HUGE difference!_____________Listen MoreOther podcasts by Rabbi Aryeh Wolbe: NEW!! Prayer Podcast: https://prayerpodcast.transistor.fm/episodesJewish Inspiration Podcast: https://inspiration.transistor.fm/episodesParsha Review Podcast: https://parsha.transistor.fm/episodesLiving Jewishly Podcast: https://jewishly.transistor.fm/episodesThinking Talmudist Podcast: https://talmud.transistor.fm/episodesUnboxing Judaism Podcast: https://unboxing.transistor.fm/episodesRabbi Aryeh Wolbe Podcast Collection: https://collection.transistor.fm/episodesFor a full listing of podcasts available by TORCH at http://podcast.torchweb.org_____________Keywords:#JewishInspiration, #Mussar, #MasterClass, #Remembrance, #Generosity, #Self-awareness, #Charity, #Scholarship, #Wisdom, #Opportunity, #Giving, #Procrastination, #ActsofKindness, #Spiritual, #Resilience, #Adversity, #Rest, #Productivity, #GoodDeeds, #Urgency ★ Support this podcast ★

Has been an attending physician since 2019Brian volunteered when he was a teenager in the ER and the staff that got him involved really drew him toward emergency medicine in med schoolBrian worked in the ED as an EMT as wellHe talks about early mentors and the impact they have, including helping him get loans for medical schoolWe need to remember to be like that mentor that encouraged us when we were new and pay it forward to the next generation of studentsYou must have something that drives you in emergency medicine, it is a difficult specialty. At first the dopamine drive from the excitement can carry you a ways but it will fade over timeBrian talks about how faith led him to where he is nowWe talk about the fulfillment of just having good conversations with patients and making sure they feel cared for and understoodBrian talks about recognizing burnout, it's a “general sense of not being whole” like something has been taken from youHe talks about the golden handcuffs of being a physicianBrian talks about how he overcomes exhaustion and burnoutCold plunging - forces you to be in the moment, control you heart rate and breathing Choosing hard things makes those hard things that are forced on you easierLiving in the moment is largely equated with happiness, the more you can do this the more you can be happy. Meditation and many other therapies are simply teaching you to keep your mind in the momentA wandering mind is an unhappy mindPrayer is another method for focusing your mindSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

John Kosar updates viewers on the Asbury 6, an “EKG for the market.” 5 of 6 metrics are positive as of November 10, and he thinks this is bullish short term. He notes 7,000 is a “big psychological number” for the SPX, which may make it more difficult to break. He charts DIA vs SPY performance to compare major indexes and discusses what could be ahead.======== Schwab Network ========Empowering every investor and trader, every market day. Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/ About Schwab Network - https://schwabnetwork.com/about

Advice for the new EMT, paramedic, nurse, physician who is also a believerBuild your faith in the easier times so your faith doesn't shake when times are hardYou have more reason than anyone on the planet who doesn't believe to strive to do this job better every day, you are held to a higher standardAdam still finds joy in emergency medicine, doing hard things, interacting with many different humans, seeking an answer, the intellectual stimulationYou must be able to embrace the hard stuff, embrace the suckAdam talks about the priority he gives to family and being mentally present when he is physically present with his kidsHe talks about the training that is required to make yourself mentally present outside of work and how to move on from a hard shift“He told me to cast my cares to him because he cares for me”Take care of yourself before you take care of othersIn our line of work sometimes quality is better than quantity timeAdam gives the advice he would give to his younger selfHe knows himself well enough to know he should say “Stay scared my friend,” because he can take that in stride and not panic. This job can be out to get youYou don't know what you don't knowDon't step over the line between confidence and cockinessAdam talks about some practices he has that allow him to move from ER physician mode to father, husband modePraise and worship music on the way home helps himI try to remember to keep my eyes above the waves, like the story of Peter when he walks towards Jesus on the waterSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Faith and burnoutAdam talks about how he tends to spend his spare time reading the Bible, going to church, spending time in prayer and how this develops character and is better than pursuing time wasting activities or the easy dopamine dump that does not add to sustainability or self-improvementWe are designed to do hard things – mental or physical – including pursuing Jesus – this builds stamina, character and makes you better in your careerChoosing hard things makes the hard things that you don't choose much easier to handleSeeking hard, painful things can reset your own personal pain scaleWe can find more reward and satisfaction in the suffering than the result, less satisfaction in being done“Re-shift your mindset to find that the goal is the struggle and you are overcoming it”Journey over destination“The reward comes from striving, from the journey”“That's the example of Jesus”We talk about the apostle Paul and his exampleSocial media skews our view of other humans; it polarizes us and makes us see the worst of humanity instead of seeing the goodThere is some benefit to boredom All sacred texts talk about the need to meditate on these things, allow yourself to sit in silence and seek what you are trying to findSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Contributors: Preeya Prakash MD, Adam Greenhaw PharmD, Travis Barlock MD, and Jeffrey Olson MS4 In this episode, cardiologist Preeya Prakash and medical student Jeffrey Olson listen in as two cases are presented from EMM's recent event, Tox Talk 2025. Talk 1- Digoxin Overdose Dr. Adam Greenhaw presents a case of a Digoxin overdose along with many pearls. During the studio listen in, Dr. Prakash helps to answer the questions of: How does digoxin work? Why might a patient still be on digoxin in 2025? What are the EKG findings of digoxin toxicity? Is there any utility in atropine for bradycardia caused by digoxin? Should you use calcium to treat hyperkalemia in the setting of a digoxin overdose? If/when might a cardiologist get involved in a patient with a digoxin overdose? Talk 2- Propranolol Overdose Dr. Travis Barlock presents a case of a beta blocker overdose as well as many associated pearls. During our studio listen in, Dr. Prakash helps to answer the questions of: What are the different beta blockers and how do they work? If you are worried about a propranolol overdose, what medications do you want on hand? What POCUS cardiac view can give you the most information for different scenarios? Why or why not might transcutaneous or intravenous pacing be a good idea for a beta blocker overdose? If/when might you want a cardiologist to get involved in a patient with a beta blocker overdose? References Alahmed AA, Lauffenburger JC, Vaduganathan M, Aldemerdash A, Ting C, Fatani N, Fanikos J, Buckley LF. Contemporary Trends in the Use of and Expenditures on Digoxin in the United States. Am J Cardiovasc Drugs. 2022 Sep;22(5):567-575. doi: 10.1007/s40256-022-00540-x. Epub 2022 Jun 24. PMID: 35739347; PMCID: PMC10263277. Chan BS, Buckley NA. Digoxin-specific antibody fragments in the treatment of digoxin toxicity. Clin Toxicol (Phila). 2014 Sep-Oct;52(8):824-36. doi: 10.3109/15563650.2014.943907. Epub 2014 Aug 4. PMID: 25089630. Hack JB, Wingate S, Zolty R, Rich MW, Hauptman PJ. Expert Consensus on the Diagnosis and Management of Digoxin Toxicity. Am J Med. 2025 Jan;138(1):25-33.e14. doi: 10.1016/j.amjmed.2024.08.018. Epub 2024 Sep 11. PMID: 39265879. Krenz JR, Kaakeh Y. An Overview of Hyperinsulinemic-Euglycemic Therapy in Calcium Channel Blocker and β-blocker Overdose. Pharmacotherapy. 2018 Nov;38(11):1130-1142. doi: 10.1002/phar.2177. Epub 2018 Oct 4. PMID: 30141827. Patocka J, Nepovimova E, Wu W, Kuca K. Digoxin: Pharmacology and toxicology-A review. Environ Toxicol Pharmacol. 2020 Oct;79:103400. doi: 10.1016/j.etap.2020.103400. Epub 2020 May 7. PMID: 32464466. Rotella JA, Greene SL, Koutsogiannis Z, Graudins A, Hung Leang Y, Kuan K, Baxter H, Bourke E, Wong A. Treatment for beta-blocker poisoning: a systematic review. Clin Toxicol (Phila). 2020 Oct;58(10):943-983. doi: 10.1080/15563650.2020.1752918. Epub 2020 Apr 20. PMID: 32310006. Produced by Jeffrey Olson, MS4 Donate: https://emergencymedicalminute.org/donate/

Former paramedic and has been an ER physician for 7-8 yearsHe pursued emergency medicine after his experience as a paramedic because he feels it is more in line with his personality We talk about how emergency medicine checks a lot of exciting boxes that we enjoyAdam talks about his burnout symptoms as well as how he course-correctsHe talks about symptoms like lacking as much compassion/empathy as he should have. So he corrects by talking with his wife, focuses on getting enough sleep etcHe has let go, to some degree, of all the “techniques” we learn to combat burnout and refocused on his “why” – he knows his purpose. He was called by God to do this job“Without question, I was called to be in this position by God – it changes everything”Part of the difficulty of the ER is the sheer volume of people we see on a given day, in a lot of ways, we are managing a lot of mental health conditions in that volume – it can be an opportunity and a gift rather than just viewing it as something to get through. Seeing people as human beingsThis perspective can help us avoid cynicism – I've found that assuming good intentions on the part of everyone I encounter during the day goes a long way towards avoiding cynicism and taking better care of patientsWe must intentionally hold on to the victories, the grateful patient, the lifesaving situation When you look for the good, you tend to find itWe talk about setting tone for the rest of the staff in the EDWe talk faith in emergency medicine as Christians, it has everything to do with everything that we do in life and in the job“I would have chosen an easier job with an easier route to get to it if it wasn't for God”“The hope I have in Jesus sustains me”Why do awful things happen to good peopleFree will leads to the world we see and proves that we are not God, yet we are called to His standardThe potential of every human to do self-seeking, evil is why we see some of the horrible things we see, the answer is where do we take these burdensI discuss my view of free will and its ramifications and our mission on earth as Christians“Should only bring patience and kindness and hope to an interaction with another human who is suffering” Support the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Welcome back to our weekend Cabral HouseCall shows! This is where we answer our community's wellness, weight loss, and anti-aging questions to help people get back on track! Check out today's questions:    Mohamed: Good day Dr.Cabral, thanks for all your amazing work and shout out to the amazing staff at Equilife/IHP. My question is regarding my EKG, had a bit of an issue one day so I got it done. Eveything looked normal however it said “Consider Right Atrial Enlargement (CRAE)”. I'm 26 years old, I use Equilife products such as DNS, DVB, Full spectrum Mag. My CBC lab looked fine. However I was slightly leaning towards hyponaterima. (Ref range: 135-145), I was 136 (Canadian values). My resting HR is 72, however, I do exercise 2-3 times a week. I do have stress sometimes.. if I get really worked up (emotionally)… I feel it in my chest.. however exercise-wise I can run and run..please advise. Thanks      Carlos:  i have searched your database and cannot find your nighttime routine for cleaning/moisturizing your face. I am wondering what I could do to try and prevent wrinkles and have a healthy, smooth face.                                                              Anonymous: Can you explain a little on under eye eyebags and puffiness. I love listening to your podcast! I tell my friends and family. Thanks for all you do.                                                                                                                                                       Lori: Hello Dr. Cabral, I've recently noticed more joint stiffness and mild aches when I wake up in the morning. I'm only in my 40s, so I was surprised by this. What are the most common underlying causes of early joint discomfort, and are there natural ways to support joint health before it gets worse?                                                                              Rocco: Hi Stephen, LOVE your work and your the main person i trust for my health! 2 quick questions, in my morning smoothie (containing avocado, blueberries, banana, psyllium husk, kale), i open 4 capsules of your daily multivitamin, blend it up then drink it over the next 30 minutes. Is that okay that i open the capsules and empty them into my smoothie pre blending, or should i be swallowing them in full capsule form? Finally, is it best to take all vitamins with food, or just follow instructions. I usually take 2-3 Cal-Mag capsules right before bed, as the instructions do not say i need to have it with a meal. Why do some vitamins need to be taken with food, and others not need to be? Thanks !                                   Thank you for tuning into today's Cabral HouseCall and be sure to check back tomorrow where we answer more of our community's questions!    - - - Show Notes and Resources: StephenCabral.com/3550 - - - Get a FREE Copy of Dr. Cabral's Book: The Rain Barrel Effect - - - Join the Community & Get Your Questions Answered: CabralSupportGroup.com - - - Dr. Cabral's Most Popular At-Home Lab Tests: > Complete Minerals & Metals Test (Test for mineral imbalances & heavy metal toxicity) - - - > Complete Candida, Metabolic & Vitamins Test (Test for 75 biomarkers including yeast & bacterial gut overgrowth, as well as vitamin levels) - - - > Complete Stress, Mood & Metabolism Test (Discover your complete thyroid, adrenal, hormone, vitamin D & insulin levels) - - - > Complete Food Sensitivity Test (Find out your hidden food sensitivities) - - - > Complete Omega-3 & Inflammation Test (Discover your levels of inflammation related to your omega-6 to omega-3 levels) - - - Get Your Question Answered On An Upcoming HouseCall: StephenCabral.com/askcabral - - - Would You Take 30 Seconds To Rate & Review The Cabral Concept? The best way to help me spread our mission of true natural health is to pass on the good word, and I read and appreciate every review!  

Give the escalating patients some room, you don't have to be within arm's reachI talk about what a bad code blue looks like and what a good code blue looks like and how this translates to running a good code greyAssign roles, we don't have to surround every aggressive patient with a ton of peopleDon't join in the fight or flight mindset that the patient may be operating inWe talk about who should be lead in these situations and how we should be handling behavioral health emergencies when they escalateWe deal with staff and nurses leaving the field related to these negative interactions, so part of the goal needs to deal with the emotional toll it leaves on the healthcare individuals involvedSometimes patients don't choose the ideal plan that we may want for them, but we can't let this burn us out and instead, focus on making a great alternate plan that will serve themJosh shares a great personal story where he went above and beyond to help a grieving family member that still remembers him from a decade agoSometimes all we can do is plant a good seed and the harvest is much laterGreat customer service is an important concept, respect and dignity, empathy and understandingFight to understand, not fight to winWe have to frequently check our bias, we can miss opportunities and even medical emergencies if we write off a patients behavior as just a behavioral issueWe cannot help others until we take care of ourselvesHydrate, use the bathroom, eat while on shiftWe are all at risk of developing cynicism from negative encounters, so we have to be intentional of seeing the goodSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

Josh has 20 years in Public SafetyCurrently doing crisis prevention instructionWe often don't get any education in med school or PA school in how to communicate well with patients or how to de-escalate their behaviorCode greys are the behavior health emergency response; someone has some concern that a patient is escalating to potentially violent behavior and a team will respondStaff safety is priorityWe are there to provide excellent medical care, if it's safe to do soWe recommend calling code greys earlier to avoid worsening scenarios Code grey assures staff safety then de-escalation of the patientRecognizing when you need help with patient interaction from some other staff member is importantTypically, negative behavior is a result of an unmet need or wantRationally detachGive people options, this helps give them a measure of control when they feel out of controlGet consent to do a physical exam, taking that extra few seconds to explain what you're doing and getting that quick permission goes a long wayWe forget that we ignore many social norms in the ED, patients may not be used to thisAlways introduce yourselfA huge component to de-escalation of patients with negative and violent behaviors is that, if not done properly, they are a primary source of burnout. They become a huge negative experience that it sticks with you, not to even speak of the potential for an injury. Avoiding these negative experiences at all costs will be key to thriving in emergency medicineJosh talks about a severe ankle injury he sustained and how he found a way to keep helping people anyway. He talks about how he strived to get the struggling people back connected to community. He helped them re-establish trust in others so that they could accept helpWe talk about the resources available for financially struggling patientsSupport the showEverything you hear today from myself and my guests is opinion only and doesn't represent any organizations or companies that any of us are affiliated with. The stories you hear have been modified to protect patient privacy and any resemblance to real individuals is coincidental. This is for educational and entertainment purposes only and should not be taken as medical advice nor used to diagnose any medical or healthcare conditions. This is not medical advice. If you have personal health concerns, please seek professional care. Full show notes can be found here: Episodes - Practical EMS - Content for EMTs, PAs, ParamedicsMost efficient online EKG course here: Practical EKG Interpretation - Practical EMS earn 4 CME and learn the fundamentals through advanced EKG interpretation in under 4 hours. If you want to work on your nutrition, increase your energy, improve your physical and mental health, I highly recommend 1st Phorm. Check them out here so they know I sent you. 1st Phorm | The Foundation of High Performance Nutrition

In this episode of Frontline Headliners, we talk with the EM cardiology and EKG guru, Dr. Amal Mattu. We talk about his upbringing and how he got into emergency medicine and eventually because the face of EM EKGs.

As has been the routine in 2025, the Extra Monday Episodes are dedicated to interpreting EKG rhythms. This month, the crew discusses, wide complex bradycardias and tachycardias, the symptoms and the treatments.

We break down pneumothorax: risks, diagnosis, and management pearls. Hosts: Christopher Pham, MD Brian Gilberti, MD https://media.blubrry.com/coreem/content.blubrry.com/coreem/Pneumothorax.mp3 Download Leave a Comment Tags: Chest Trauma, Pulmonary, Trauma Show Notes Risk Factors for Pneumothorax Secondary pneumothorax Trauma: rib fractures, blunt chest trauma (as in the case). Iatrogenic: central line placement, thoracentesis, pleural procedures. Primary spontaneous pneumothorax Young, tall, thin males (10–30 years). Connective tissue disorders: Marfan, Ehlers-Danlos. Underlying lung disease: COPD with bullae, interstitial lung disease, CF, TB, malignancy. Technically, anyone is at risk. Symptoms & Differential Diagnosis Typical PTX presentation: Dyspnea, chest pain, pleuritic discomfort. Exam clues: unilateral decreased breath sounds, focal tenderness/crepitus. Red flags (suggest tension PTX): JVD Tracheal deviation Hypotension, shock physiology Severe tachycardia, hypoxia Differential diagnoses: Pulmonary: asthma, COPD, pneumonia, pulmonary edema (SCAPE), ILD, infections. Cardiac: ACS, CHF, pericarditis. PE and other acute causes of dyspnea. Diagnostics Bloodwork: limited role, except type & screen if intervention likely. EKG: reasonable given chest pain/shortness of breath.

Contributor: Taylor Lynch, MD Educational Pearls: What is atrial fibrillation with rapid ventricular response (AFib with RVR) and how does it differ from atrial fibrillation (AFib)? AFib is an abnormal heart rhythm in which the heart has disorganized atrial electrical activity. This causes the atria to quiver with only select signals being conducted through the Atrioventricular (AV) Node to reach the ventricles and result in ventricular contraction. Often described as “irregularly irregular”, a patient's EKG will present with no discernible P-waves, and irregular R-R intervals. AFib with RVR is distinguished from AFib when the patient's ventricular rate is greater than 100-110 beats per minute in AFib with RVR. What is the treatment for AFib with RVR? Diltiazem is considered one of the first line therapeutic agents in the treatment of AFib with RVR. Diltiazem inhibits L-Type calcium channels in the AV Node, reducing the amount of signals conducted to the ventricles, thus reducing the ventricular rate. Why pretreat patients receiving Diltiazem for AFib with RVR with calcium? While diltiazem inhibits cardiac calcium channels, it may also cause peripheral vasodilation, resulting in diltiazem-induced hypotension. A recent study found that this hypotension can be blunted by pretreating with 1-2g IV Calcium Chloride (IV Calcium Gluconate can be used in the ED). Calcium is thought to peripherally stabilize the vascular smooth muscle, preventing vasodilation without impacting the desired calcium channel blocker action at the AV node. Key takeaways? In combination with slower pushes of diltiazem for patients in AFib with RVR (AFib with ventricular rate >100-110 bpm) with borderline low blood pressures, 1-2 g of IV Calcium Gluconate can combat diltiazem induced hypotension peripherally without negating the cardiac effect of diltiazem to reduce the heart rate.  References 2023 ACC/AHA/ACCP/HRS Guideline for the Diagnosis and Management of Atrial Fibrillation: A Report of the American College of Cardiology/American Heart Association Joint Committee on Clinical Practice Guidelines. Circulation. 2024;149(1):e1-e156. doi:10.1161/CIR.0000000000001193 Az A, Sogut O, Dogan Y, et al. Reducing diltiazem-related hypotension in atrial fibrillation: Role of pretreatment intravenous calcium. Am J Emerg Med. 2025;88:23-28. doi:10.1016/j.ajem.2024.11.033 Summarized by Dan Orbidan, OMS2 | Edited by Dan Orbidan and Jorge Chalit, OMS4 Get your tickets to Tox Talks Event, Sept 11, 2025: https://emergencymedicalminute.org/events-2/ Donate: https://emergencymedicalminute.org/donate/  

Tracy and Holly share experiences of having their hearts monitored using EKG technology. They also talk about whether or not Albert Bierstadt had any natural talent. See omnystudio.com/listener for privacy information.