Podcasts about for vanessa

Do you have "lifetime" friends? The kind you can contact after a month or a year or even longer, and you pick right back up where you left off? For Vanessa, Cole Magrini is one of those friends. They've known each other for over a decade and have the kind of rapport that only comes with long familiarity and deep, mutual affection. Relationships like these are so important -- they're the family we choose, and who choose us. In this podcast, Vanessa, Cole, and Noelle talk about the importance of friendship and how friends ground us even as we grow and change. But even connections like these need attention. If you haven't talked to a long-time friend in a while, it's time to reconnect. Grab your phone, fire up the Chances App, and make a date to do an activity together!  Have a Zoom call, play an online game, grab dinner at a restaurant that practices safe social distancing, go out for a run together, talk into the wee hours of the morning, the way you used to. Whatever you do together, enjoy rediscovering someone you've known forever.

“All of a sudden, I realized my inner five year old was running the show,” says Vanessa Shaw in this episode of How to Get Rich Without Being a Bitch. She explains how she used her experience as an executive coach with a focus on cultivating emotional intelligence to conquer her own triggers: namely, shame and anxiety around money. As human beings, Vanessa explains, we are hard-wired to avoid pain and seek out instant gratification. Addressing our fear is uncomfortable, so we avoid it. But the long-term consequences of doing that are enormous. For Vanessa, the consequences of avoiding her hard feelings around money included inconsistent pricing, discounting her services unnecessarily, and not having hard conversations with clients or vendors when they didn’t deliver as promised. Tune in to this episode to learn more about how going deep into your past and identifying the root of your anxieties can help you build a better future -- for yourself and your business.  Quotes:“We often get trapped in this cycle of short-term gain over long-term pain.” (3:05-3:15)“All of a sudden, I realized my inner five year old was running the show when it came to all things money, and it was time for me to finally grow up as a business owner.” (14:26-14:40)Links:Follow Vanessa Shaw on Instagram  Vanessa Shaw on LinkedIn Join The Million Dollar Group on Facebook Podcast production and show notes provided by FIRESIDE Marketing

For Vanessa, it took moving to a new country to see Christ.Wrapped up in New Age practices, Vanessa was blinded to God’s role in her life, until He shifted her surroundings. A wellspring of light flowing in, she no longer desired those former enchantments, and in a spiritual sense, God brought her forth out of Egypt (Numbers 24:8).With a gentle nature and thirsting spirit, Vanessa relishes in this new life with Jesus.Support the show (https://www.paypal.com/donate/?hosted_button_id=3VC2MHQL4SEMQ)

In this episode, Gordon talks with Vanessa Lech about her anger management and addiction niches. Vanessa reveals some unconventional private practice strategies and shares ways to diversify your income streams. Find out why Vanessa says the number one way to diversify your income is through your thought process. Then, Gordon and Vanessa discuss working with people in the criminal justice system and becoming a court mediator. Meet Vanessa Lech In one way or another, I have worked in the healthcare industry for most of my adult life. I previously served in the U.S. Army and now own and serve clients at Carolina Addiction and Anger Management PLLC,located in Raleigh, NC. I continuously channel my creative passions, love of design and art with my knowledge on various topics having written non-fiction books, created an anger management therapy game/tool for licensed clinicians and creating/hosting a podcast that I am VERY proud of entitled: “Unraveled: Addiction & Anger Management” where expert guests are featured. When I'm not working, I'm most likely spending time with my dogs and resting up for whatever the future may have for me. Diversifying Income Often therapists believe all their sessions need to have one-on-one attention. Individual therapy can be really draining for some, so doing only one-on-one sessions is an easy way to experience burnout. Some therapists end up doing eight to twelve of these sessions in one day. Many people try to look at diversifying income after they have reached the point of burnout; however, this is an awful time to start looking. Therapists should be looking to diversify their income as a preventative action rather than an afterthought. The number one way to diversify your income is your thought process, you have to be creative in your thinking. For Vanessa, it all started when she was still in school and she started writing her own books on health and wellness topics. These creative projects are a passion for Venessa and help her relieve stress while also diversifying her income; the books helped energize her and simply started as a hobby. Venessa has an online retail store that is entirely separate from her private practice. Anger Management Game Vanessa was working at a crisis center, and her peers did not want to work with clients in the criminal justice system. While working with these clients, she noticed a shortage of adult therapy tools; so, she created a gender-neutral therapy game. At first, Vanessa used glue and old business cards. After seeing how well it worked, she got it professionally made at a factory in the United States. This game was never about making money, she started it to assist with her work and realized other people could benefit from using it too. Unconventional Practices With a big move to Virginia on the horizon, Vanessa is thinking about doing DUI groups for court-ordered people after the transition. Currently, Vanessa does a lot of court-ordered type anger management groups. Her practice is unconventional in the sense that it will be virtual, groups, individuals, voluntary, and court-ordered. Having a variety will prevent burnout, people are moving toward virtual the world, and she enjoys working with people in the criminal justice system. There is also a need for people to work with the military community, most people are not familiar with the requirements of people in the military culture. Vanessa has seen firsthand a lot of clinicians run away from calls with lawyers. You cannot be scared of people in that world if you are going to work with clients in the criminal justice system. You will have to market your services and have your systems in place. However, a lot of lawyers wants to hire other lawyers to be mediators. Another thing to keep in mind is that some states have rules and may require you to do things at a specific rate. Resources Mentioned Being transparent… Some of the links below are affiliate links which simply means if you purchase using the links we get a commission, at no extra cost to you. Thanks for using the links! Practice Solutions Money Matters in Private Practice Vanessa Lech's Resources Therapist Assets Carolina Addiction and Anger Management Instagram: @govanessalech Podcast: Unraveled Meet Gordon Brewer, MEd, LMFT Gordon is the person behind The Practice of Therapy Podcast & Blog.He is also President and Founder of Kingsport Counseling Associates, PLLC. He is a therapist, consultant, business mentor, trainer and writer.  PLEASE Subscribe to The Practice of Therapy Podcast on iTunes, Stitcher and Google Play. Follow us on Instagram @TPOTpodcast, Twitter @therapistlearn and Pinterest “Like” us on Facebook.

Vanessa Butz wrote her masters thesis on "Understanding the DNA of Strong Entrepreneurial Hubs” and took her theory into practice by helping to build large technology and co-working campuses - Factory Berlin and Market-Tech’s Interchange Camden. Having worked at the intersection of cities and technology, she then founded District, providing Real Estate owners with a subscription-as-a-service app-based technology to upgrade their buildings to be ready for the what she sees as the “smart city revolution”. For Vanessa, the revolution is all about creating technology that can enable us to improve the way we live our lives and aid in building a sense of community. Amidst global trend of urbanisation and social media integration, humans are coming together in communities in a host of new ways. How this manifests itself in our office design and use is likely to be influenced by technologies, such as Vanessa's District, but also the changing physical nature of the offices we occupy. Driving this change is the impact of the much-maligned millennial & now Generation Z generations arriving at the workplace. People who’ve grown up with digital connectivity as second nature expect to able to work across a series of devices. It therefore follows that their office requirements may be different from the traditional provision. Instead of a traditional office space, they may need nothing more than a simple as a internet connection in a quiet place with ad-hoc access to a more collaborative space or meeting room. Marcus Moufarrige of Servcorp sees this change in usage as leading to a Third Space in offices.  The market is rapidly moving away from providing white spaces to focusing on a flexible service offering of space, amenity, facilities, community and customer service, and spaces that enable businesses to flex when required (with additional meeting rooms, facilities and amenities). Moufarrige sees four ways in which land owners must adopt their approach in order to keep pace with the demands of the market: A mix of long-term leases with flexible space options must be created; The building experience needs to change to be more service- and hospitality-oriented; Landlords must focus on building service income streams, as well as rented income streams; Use common areas to better create amenity and community within the building. Vanessa adds to the list the seamless integration of good technology; platforms like District will take property owners a long way to fulfilling Moufarrige's expectations. As property owners adapt to the demands of "space as a service", we can expect to see a big impact in the market from District and other similar platforms such as: Equiem, Spaceflow, Allthings and

How do you figure out if you are called to plant a church?  At 19 years old Vanessa became a Christian and shortly thereafter a pastor’s wife. For Vanessa and her husband Scott church planting was not even on their radar.  After attending church planter assessment center they knew they were called to plant a church, and that God had truly been preparing them. Join Stadia's Bloom Community Velocity Church in Cleveland

Session 42 Dr. Vanessa Baute is a Neuromuscular Neurologist. She has been in the academic setting for the last five years out of her fellowship training. We discuss what drew her towards it, what she likes and what she doesn’t, and much more. Also, check out all our other podcasts on the MedEd Media Network. [01:16] Her Interest in Neurology and Neuromuscular Medicine, Patient Types, and Procedures As a medical student, Vanessa was completely blown away by cranial nerves and their complex, visual system. She would read about it and study it and it didn't feel like work. The neuromuscular part evolved from having good mentors in the area for neuromuscular medicine. She enjoys doing procedures as well as the patient population. Not to mention, there was a fellowship spot available. She still sees general neurology patients as with her inpatient work. She considers 75% of her practice as neuromuscular, which is a good chunk. Although she also sees patients having issues of neuropathic pain, different forms of neuropathy, and other neuromuscular diseases. She likes the variety of cases as well as the teaching part of it. Some of the procedures she does to patients include occipital nerve blocks with ultrasound guidance, carpal tunnel injections with steroids, EMGs (which are a big part of her practice), skin biopsies, lumbar punctures, BOTOX for migraine and facial spasms. "A big part of my practice is procedural." [04:34] Traits that Lead to Becoming a Good Neuromuscular Neurologist Vanessa cites some traits that lead to becoming a good neuromuscular physician would be the ability to stay with the patient through the journey and explain every step of the way. Every patient is going to be different so you have to be able to tailor your approach. It's not always black and white. [06:20] The Misconception about Localizing and Being Able to Do Anything About It Vanessa gives her take on the concept of localizing but not being able to do anything about it once you localize it. She thinks of this as a misconception considering the number of genetic therapies coming out as well as a whole slew of medications used to treat disease. When you think of neuropathic pain and other forms of pain in neurology like headache or disc diseases, this brings on a whole holistic, integrated approach they can offer patients. This involves lifestyle medicine. "There aren't many times in my career where I feel I can't do anything for a patient." By this, Vanessa means doings things like walking with them in trying to figure out their diagnosis. For her, the ultimate goal depends on the person. Some people don't want to take a pill to have everything fixed. For other people, their healing journey is figuring out what's going on and how it's affecting their family. How can they live with it? Is their doctor going to be with them? Are their doctors listening to them? So she sees a lot of these in her practice just counseling patients. "Even if I can't figure it all out in one visit and fix everything, that's not really a lot of people's goal." Nevertheless, Vanessa assures there are cures for epilepsy as well as medications and treatments for MS. They have a lot of good treatments apparently. So she feels that her patients could be empowered. And maintaining their neurologic health, it's not always a big neurologic disorder they're coming with. [08:40] Other Specialties She Considered Vanessa describes herself as a happy person so she likes everything. She knew the complexity of neurology but she also loved her prelim medicine year. in almost everything she rotated through. She knew though that surgery wasn't for her even if she likes procedures. Funny as it may sound but she actually broke the sterile field on her first day of surgery rotation when her pants fell off. She likes hematology oncology and found it's similar to neurology in some ways in terms of its complexity and the diversity of diseases. She loved the nephrology rotation, but not the acuity part of it. She is not a neuro-intensivist, but more of looking for bread and butter ways to look at preventive medicine. Nevertheless, there was nothing strong enough to pull her away from her chosen field. "There cannot be anything in this life other than a neurologist." [10:52] Types of Diseases, and Followup Care Vanessa considers her bread and butter neurology practice as a lot of peripheral neuropathy, neuromuscular junction disorders (ex.myasthenia gravis), cervical disc disease, lumbar disc disease, weakness, or a referral for motor neuron disease, ALS or an ALS variant. Being an adult neurologist, she doesn't see children with muscular dystrophies. But they do have patients with adult muscular dystrophies such as myotonic dystrophy and imb-girdle disease. In some of her general neurology practice, she deals with headaches and migraines where she gets lots of referrals for. She also notice how this has recently increased with the levels of stress as well as dietary influence. But she finds this exciting because of good treatment and good counseling options. According to Vanessa, in most days, even if it's difficult news and diagnosis, she's still able to instill hope in them and offer them all the different treatments. She walks with them in the path which she finds very rewarding. There are several instances where she does followup care when the patient comes to her already with diagnosis of ALS for example. About 80% of her patients come in having seen somebody, whether another neurologist or primary care doctor. Somebody has already labeled them and thought they had a certain diagnosis. This is something she always harps on with education is going blind. It doesn't matter what somebody else had said because today is today and they're clearly here in our office. They always question the diagnosis whether right or wrong. We don't know what was happening when that person was in that doctor's office. They look at how the patient was diagnosed, the workup, the labs, the CK and the ENG report. They think from a critical standpoint if those were the things they would have measured. She always teaches her students to take a critical look at how these diagnoses are made. "Some of the treatments are heavy-hitters and even just the labeling of the diagnosis. So we want to make sure." And sometimes, they're able to take that diagnosis away and label away. And a lot of times, for a better one. For instance, Vanessa explains how ALS can be difficult to diagnose initially. So it's a big thing to tell somebody they have ALS if they don't or vice versa. So they take their time with all the information. Oftentimes, they repeat some of the tests until they both the physician and patient would feel good. [15:27] Typical Day As a neuromuscular surgeon, every single day is different. But she does this on purpose since she likes to be doing different things at different times. But a typical day for her would be a neruomuscular clinic. She works with neuromuscular fellows.her favorite part of the job is being able to watch the process done by the fellow or the trainee. Vanessa also enjoys catching up with the patients. She sees from five to eight patients in a half day. And then the rest of the day is spent giving lectures to students or practicing integrative neurology. She does a lot of work in education, specifically, curriculum design, nutrition counseling. She also does a little bit of research. [17:05] Academic versus Community Setting Vanessa chose academic versus community-based setting for the primary reason that she loves the educational aspect of it which involves a lot of teaching. She also likes the mentorship. Medical training is challenging. And her personal experience with that stayed with her. It's almost traumatizing and hard. "The educational standpoint is so redeeming. I can be there with the student or whoever it is I'm talking to." She just can't imagine not having this part of it. Another thing about academics that she loves is being able to see a complicated neuromuscular patient and she can talk about it for two hours. She can talk about it with whoever - patients, doctors, nurses, colleagues. They can conference about the case and talk about it forever. [19:03] Percentage of Patients She Does Procedures On Vanessa mentions having a few sessions of EMG lab in procedures. Apart from her clinic, she has sessions devoted solely for procedures. So does separate her procedure clinic and her patient clinic. In her patient clinic where she sees patients, about 40% of them are ordered a procedure on - something with a needle. Then she will put them in her either procedure or EMG lab clinic which comprises half clinic and half procedure ratio. A lot of her patients in procedure clinic are those who were people she met in the community. Not everybody likes procedures but since she loves them, she is known for it. So her colleagues will refer the different procedures to her. "The referral base is good and I like being the person that is known for doing these procedures." [20:49] Taking Calls and Clinical Coaching Vanessa hardly takes any call otherwise the call she takes is voluntary. She still does a bit of inpatient service and that where she takes a call. She does this primarily because of the teaching aspect. Their calls are a mandatory process. She does four weeks per year of general inpatient neurology. A lot of this is neuromuscular cases like myasthenic crisis, Guillain-Barre, or transverse myelitis, etc. She sees this as an opportunity for her to get exposed to the residents and do a lot of bedside teaching, physical exam review, and clinical coaching. With clinical coaching, she partners with a third year medical student and kind of takes them under her wing. She goes and sees patients and watch them do history interviews. Then they'd have a feedback session afterwards. The call she takes is home call, which she has taken as a junior faculty. So likes to keep it fresh and keep up with the educational part of things. [22:22] Work-Life Balance Vanessa admits she tries to have a good work-life balance. Her goal is to show up at work and do something so fun that it doesn't feel like work. "My goal is to show up at work and so something that's so fun that it doesn't feel like work and then go home and be at home." Her goal is to use her training and what she's passionate about and what she loves, feel good about it, and then go home and be able to have that part of her life just as important. This is another thing she thinks a lot of people struggle with because you're not going to be an MD all the time. Your other roles are important too. She stresses the importance of focusing on those roles too as much as we're in the MD role. Nevertheless, the transition is challenging as we try to just sweep in. Know that you don't have to fix everything. "You're not an MD all the time. It's important to be whatever other role you play in your life." [24:22] Neuromuscular Fellowship, Bias Against DOs, Subspecialty Opportunities Vanessa describes neuromuscular fellowship as not being very competitive in the sense that a lot of programs are looking for neuromuscular fellows. They're trying to recruit good fellows. There have been changes in the reimbursement in the last five years, specifically with EMG reimbursements. She's not sure if this motivates people to not go into neuromuscular medicine. Although it shouldn't because Vanessa stresses that if you're not loving what you do, it doesn't matter all - getting reimbursement or how much you're getting paid - if you're not into it. But this may have some influence in it. Again, she wouldn't consider it as a very competitive fellowship. In terms of bias against DOs in the field, she doesn't really see this. Many of the fellows they trained are DOs. Vanessa says DOs have a lot to offer and a lot to bring to neuromuscular medicine. She finds it as a unique background even if she's not  DO. But she's heard a lot about it from the people she works with and she acknowledges how beneficial DOs are. "DOs bring a lot to the table, especially with the manipulation, the musculoskeletal component, and anatomical component." In terms of subspecialty opportunities, many will do just either neuromuscular fellowship with research. Most would do neuromuscular fellowship in one year. Some people will do a clinical neuro-physiology fellowship with several varying months of neuromuscular EMG training. If you're interested in something specific after that, it's normally within that fellowship that you're going to get that training. In many cases, she knows people who went back and did something specific within neuromuscular medicine. Some people spend more time doing EMG while others spend more time looking at neuromuscular junction disorders. Neuromuscular ultrasound is an emerging field, which is something she teaches at workshops and meetings. She noticed that more people want the training. There are different courses available for this - muscular dystrophy for instance. [28:00] The Path to Neuromuscular Fellowship From graduating medical school to being a neuromuscular neurologist, you do your first year or transition year as your first year of residency. You look at all the specialties and then you have three years of neurology. Most programs are front-loaded. Your PGY2 year may involve taking a lot of inpatient calls or seeing acute stroke - things like high-acuity neurology. Then it tends to get more clinical in most programs. You may also be exposed to EMG. It's rare to have EMG exposure early on in neurology residency although there are definitely programs able to do that. EMGs are mostly outpatient and most residency training is patient. After your three-year neurology, you go into your one-year fellowship. Sometimes, this can extend to two years especially if you're interested in research opportunity. [29:35] Working with Primary Care and Other Specialties When Vanessa sees referrals from primary doctors, she wished they knew the neurologic exam. Sometimes she takes a referral over the phone asking about a neurologic questions. They would describe a neuromuscular disease to her and she would as how their reflex is doing. And then they say they didn't learn it. She considers this a travesty. This is where Vanessa thinks clinical coaching is very helpful for students. Getting your neurologic exam down no matter what specialty you're going into. And basic things are important such as doing reflexes. A great resource for learning this is the book Neuroanatomy Through Clinical Cases by Hal Blumenfeld. And practice this with your friends and family. Then have your neurology rotation. Do neurologic exams and have a neurologist watch you do it and coach you through it at least once. Record that. Take notes on that. And a neurology resident would be happy to do that too. "Everybody needs to have some form of neurology exposure and medical training." So one of Vanessa's biggest pet peeves is people not knowing if the patient has reflexes or Guillain-Barre. She would want them to at least know the level of sensory loss, especially if it's a spinal cord lesion. It's not that complicated but just a matter of education. It's a matter of learning that and practicing. Vanessa again stresses the importance of knowing the neurologic exam early in your training. Aside from primary care physicians, other specialties she often works with include neurosurgery, orthopedics, hand surgeons, physiatry, PM&R, and rheumatology. [34:18] Special Opportunities Outside of Clinical Medicine and What She Wished She Knew There are also special opportunities outside of clinical medicine in terms of advocacy and administration within the hospital. It's a general personality trait as she describes it so it's not only unique to neurology. There is also a big split between a clinical role and a research role. What she knows now that she wished she knew about her specialty is that reassurance. So had she seen this practice she has going on where she unites neuromuscular medicine with integrative medicine with education and mentorship, she'd be relieved. "Everything feels very intimidating when you're in training and you don't see how it can be." They've also had some surprises in the field with genetic therapies, spinrasa (nusinersen) and intrathecal administration for SMA. These are new things on the horizon. Looking at herself as a fellow looking at her now, she'd probably be surprised how fulfilling neurology can be as well as neuromuscular medicine. She'd be surprised in how far you can really go. Just keep going one day at a time. Keep going. Keep working. And you're going to be landing your dream job. [37:05] The Most and Least Liked Things About Her Specialty What she likes the most about being a neuromuscular neurologist is her colleagues and the chance to be able to work with the neuromuscular fellows. They have two fellows for year so they get to be intimate in their learning which she finds very rewarding. She loves how she's able to make a difference in the patient's lives while educating. What she likes the least is paperwork. Again, not unique to neuromuscular medicine. She finds it challenging to implement and get people in the room, coordinating the referrals, and scheduling. Unfortunately. medicine has pitfalls in terms of bureaucratic processes which aren't what you want to be doing. So she tries to minimize this by building a good team and having meetings with everyone. "Every person is essential. I'm only as good as my support staff... we all have to work intricately as a team." [39:37] Major Changes in Neuromuscular Neurology Vanessa notices that for muscle diseases, they have traditionally done their muscle testing and muscle biopsies in certain cases. Now, with genetic testing, they're able to talk to a patient. Send off a gene test. Then you may no longer be needing a muscle biopsy. They're not exactly there right now but hopefully, more innovations and drug therapies are coming out soon. If she had to do it all over again, she still  would have chosen neuromuscular medicine with integrative medicine. For Vanessa, the two have to go hand in hand. She loves the patient population, her trainees, and her colleagues. She adds it's something you can tailor to what you're interested in. And if you know what that is in your own life then you can ask for that. Go for that. And you can make your practice really rewarding. [41:25] Final Words of Wisdom to Students Vanessa encourages students who like neuroanatomy and have done neuro rotation, or even if you're just curious if you're going to like it, go shadow a neuromuscular neurologist. And if you think it's challenging, it is! They're not easy. But don't get discouraged by that. As long as you like it and you're dedicated to it, know yourself and know what you're interested in and just go for it. [42:42] Last Thoughts One of the biggest takeaways for me during this interview was how much she loves procedures. As a neurologist, it's finding the ability to do procedures. Typically, neurology isn't considered to be a very procedure-heavy field. But she has found a niche for herself in doing these procedures because that's what she loves to do. If you're thinking about something and disappointed because it's not very procedure-heavy, think again. You might be able to find a niche for yourself. And do the procedures you want while also seeing the pathologies and treating the patients that you want. If you know somebody who would be a great guest here on the show, please shoot me an email at ryan@medicalschoolhq.net and we'll try to get them on the podcast. Links: MedEd Media Network Neuroanatomy Through Clinical Cases by Hal Blumenfeld

"You better love this, because it's not for the faint of heart". Moving to Hollywood, chasing big-screen dreams, and sacrificing everything for the rich and famous lifestyle is far from uncommon. But what if you're just a kid? For 6 yr old Brooklyn-born Vanessa Chester, it was only about one thing: working for that next Happy Meal toy. Every audition was a chance to shine, and before she knew it, she was working with some of the greats, from Big Bird, and Mr. Snuffleupagus, to Alfonso Cuarón and Steven Spielberg. Vanessa was self-admittedly, "that weird actor kid" and owned it 100%. But what truly makes a star? Some say talent and hard work, other says it's who you know. For Vanessa, it was always about being professional, regardless of your age. However, as a child navigating the entertainment business, it's crucial to get the proper support and guidance to survive. Luckily, it came from the most important and influential person in her life; her mother. As Vanessa faced rejections, bullying, and the "raptors" of the industry, her mother kept her grounded and protected. As life progressed into adulthood, fighting the label of a "has been" and reintroducing herself to acting, her mother encouraged her to live her truth. And with that, Vanessa has embraced her incredible journey, but never forgetting that she's trying to arrive somewhere. There's nothing like being underestimated, and knowing you're capable. So for all those who believed in Becky, Janie Gibbs, and Kelly Curtis Malcolm, this one's for you. #MamaWeMadeIt Connect!IG: @vanessalchesterTwitter: @VanessaChester@anoushmoin@getrauschy@mamawemadeitmamawemadeit.com See acast.com/privacy for privacy and opt-out information.