POPULARITY
2 episodes with helpfully
2 episodes with helpfully
2 episodes with helpfully
【欢迎订阅】 每天早上5:30，准时更新。 【阅读原文】 标题：If you're having Elon Musk's baby, this is what to expect 副标题：D.T.'s right-hand man has at least 14 children and apparently wants ‘a legion' of them. He has a Mr. Fixit to handle the mothers of his children 正文：It may be useful at this point to issue a guide: What to Expect if You're Expecting Elon Musk's Child. It may not have universal appeal , but since he has at least 14 children with at least four women, and is committed to his pro-natalist mission to carry on only increasing what he calls his “kid legion”, it's wise to be prepared. Helpfully, we now know more of what it's like to be impregnated by the richest man in the universe. 知识点：at this point phr. /æt ðɪs pɔɪnt/ at this particular time or stage. 在此时；在此阶段 e.g. At this point, we need to reconsider our strategy. 在此时，我们需要重新考虑策略。 获取外刊的完整原文以及精讲笔记，请关注微信公众号「早安英文」，回复“外刊”即可。更多有意思的英语干货等着你！ 【节目介绍】 《早安英文-每日外刊精读》，带你精读最新外刊，了解国际最热事件：分析语法结构，拆解长难句，最接地气的翻译，还有重点词汇讲解。 所有选题均来自于《经济学人》《纽约时报》《华尔街日报》《华盛顿邮报》《大西洋月刊》《科学杂志》《国家地理》等国际一线外刊。 【适合谁听】 1、关注时事热点新闻，想要学习最新最潮流英文表达的英文学习者 2、任何想通过地道英文提高听、说、读、写能力的英文学习者 3、想快速掌握表达，有出国学习和旅游计划的英语爱好者 4、参加各类英语考试的应试者（如大学英语四六级、托福雅思、考研等） 【你将获得】 1、超过1000篇外刊精读课程，拓展丰富语言表达和文化背景 2、逐词、逐句精确讲解，系统掌握英语词汇、听力、阅读和语法 3、每期内附学习笔记，包含全文注释、长难句解析、疑难语法点等，帮助扫除阅读障碍。
You're a heartbeat away from quitting this stupid retail job, but your cute coworker is willing to do anything - even defying your boss - to make you feel appreciated.Part 2: Coming Soon!Script: WhispurrAudio (available here)Art: StarDreamers25 Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.
This week's episode of Don't Stop Us Now AI edition is with a fascinating guest who has a box seat in understanding what's going on with AI in businesses around the world. Helen Mayhew is a McKinsey & Company Partner and one of the leaders of its AI division, QuantumBlack. A Cambridge graduate, Helen has deep data analytics and AI expertise. Her day job is to guide leading organisations on their advanced analytics journeys and AI innovation and implementation. In this episode, Helen covers everything from the broad spectrum of initiatives and use cases different businesses are and will be trying, to detailing how radically different our roles are likely to be in future. Helpfully, she shares some of the key skills we'll all need to remain valuable and she reveals her belief that almost every workday process and every person's day will be reimagined and done differently thanks to AI.Helen also shares some incredible research predictions about the future in case you were in any doubt about AI's coming impact on us all. For example, between 30-40% of all tasks done at work today won't need to exist in the future. Yes you read that right, 30 to 40% of what we humans do today will be replaced by AI according to this research! Helen is really good at explaining things very clearly and bringing a variety of AI use cases to life. She also shares some of her favourite AI learning resources which you can see in the links below. This is an unmissable episode, so learn what's coming your way with the ever curious and super smart Helen Mayhew. Useful LinksHelen Mayhew LinkedInQuantumBlack websiteMckinsey websiteChat GPT GeminiStable Diffusion Microsoft AI Learning HubFast AI / AI for Everyone courseDeepLearning founder and Coursera co founder: Andrew Ng courses Practical AI podcastLex Fridman podcast Hosted on Acast. See acast.com/privacy for more information.
The Helpful Content Update wasn't about the content and the hope of recovery wasn't about to happen. Web publishes hit by the Helpful Content Update in September 2023 who attended Google's Web Creator Summit at the Googleplex this week were told the hope they'd held for seeing their rankings recover were likely in vain and that those placements were gone and not likely coming back. Oh, and it wasn't about the content. Jim Hedger and Kristine Schachinger talk about the disappointment and what disappointed publishers might do. They also talk about how Google has rolled AI Overviews out to over 100 countries, how Google is looking at similarity of content across websites, the no-data bug in GSC, SearchGTP, and the costs to Microsoft of growth through the development OpenAI. The show also looks at a number of pre-election issues and laughs about the 20 decillion dollar decision the Russian courts have leveled against Google. A fun news banter sort of show.Support this podcast at — https://redcircle.com/webcology/donationsAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy
Help can be very humbling. It is hard to admit I need help right here. When I see someone or something that needs help, my first response is to go help. But is that the best thing in the moment, “What kind of help is needed here”? asks Erin Randall as she notes the seismic shifts that emerged for her as she read The Super-Helper Syndrome. Systems are greater than goals. If your goal is to be a healthy helper, what are the systems that you need to build in order to make that possible? She muses. Helpfully this compassionate guide addresses the question, how can we encourage or constructively challenge or ask others to remain healthy? How can we find ways out of unhealthy patterns of helping?
A number of challenging statements are made in this chapter of Mark. We focus on the story of Jesus cursing a fig tree, which seems somewhat unfair given that it was not the season for figs. There's something interesting here because when the disciples ask about it Jesus answers with comments about prayer. We find a few connections, but are unable to fully resolve our questions about this passage. Helpfully there are plenty of other passages that make the important things clear - even in this part of Mark.
Introducing Cheaters & Backstabbers!, a hilarious journey into the wacky world of infidelity, brought to you by the dynamic duo of comedians Shari Diaz and Kate Robards. Join Shari and Kate each week as they fearlessly tackle the absurd and outrageous antics of cheaters with their signature blend of humor, wit, and sharp commentary. Laugher is often the best medicine when it comes to heartbreak, - this new podcast explores the wild tales of the "outrageous antics" of cheaters offers just that, with a dose of heartfelt advice. The duo are often joined by special guests that run the gamut, from private investigators who specialize in tracking down unfaithful partners to counselors and other "seasoned professionals" to guests sharing their own personal stories of betrayal. In the most recent episode released on Tuesday (July 23), Diaz and Robards were joined by personal trainer and Robards' childhood friend Michael Keeney who explained how he went on a journey of accepting his sexuality and coming to terms with being gay, all while being engaged to a woman. "I always wanted to be in a relationship, but I was a raging homosexual even not knowing it," he said of meeting his now ex-fiancée, adding, "I was so desperate to be loved and to feel validated because I was so afraid that I was this thing that everyone said I was. And I finally had someone who was interested in me... I knew that I could love her, and I did. I loved her with everything in me that could love a person." Keeney and his ex dated for two years before getting engaged, but he said their relationship was him "showing up with grand gestures" without "being able to be a partner," admitting that he was "awful and selfish and not a good partner." "I do believe that people did not expect that it would end well, because I do believe that people saw who I really was and that I was lying enough to myself and everyone else to know that," he said. His ex ended called off the engagement which ultimately led Keeney to moving to New York City where he met his now-husband. Speaking to the hosts, he stressed the importance of being "authentically you" and not cheating on yourself. "If you are who you are, you're not going to cheat on yourself. You're going to give yourself the best because that's what you deserve at all times," he said. "And your back should be strong, your heart can be open. If you are authentically you, when things are stabbing you in the back, you're able to show face and move forward. If there's shame, then your back is weak and you crumble, and every single one of those knives digs deeper and deeper into you. And when those knives are self-inflicted, they're even worse because you don't have the hands to get them out if you're putting them in." Cheaters & Backstabbers has new episodes every week. Follow along with new episodes or catch up on the journey at iHeart.com. Episodes available here: Https://www.iheart.com/podcast/1119-cheaters-backstabbers-185353226/ Become a supporter of this podcast: https://www.spreaker.com/podcast/arroe-collins-like-it-s-live--4113802/support.
- The crew revolutionizes the American medical industry - Best movie soundtracks of the '90s, debated - Found a haunted website - Out on a limb with what may end up being our most poorly timed segment in show history: Spencer explains his knowledge of Kate Middleton's whereabouts - Jason launches a new Scottish conquest - Which message board community would you deploy to find a missing princess? - If you thought the story about the Italian mafia conspiring to fix Vanderbilt football games couldn't get dumber, Jason Aldean is tangentially involved - Helpfully reimagining the works of Homer and Virgil for a modern audience - Once again, the Fullcast forms a band, but for real this time - Breaking hair news - How ancient whale facts blog Moby Dick sleep-trained an entire gender - Find out how our entire show gained legal immunity in the Commonwealth of Kentucky - This week's theme performed by Surber - See more of Jason's work on Vacation Bible School, Shutdown Fullbooks, and more at jasonkirk.fyi - Find Holly and Spencer writing and chirping at channel-6.ghost.io, if you dare - Listen to Ryan's other, less harrowing podcasts, We're Not All Like This and Buried Treasure - Purchase only the finest show merch at sunny preownedairboats.com Learn more about your ad choices. Visit megaphone.fm/adchoices
Jonathan Betlinski, MD, Associate Professor of Psychiatry, School of Medicine & Medical Director, OPAL-A Program, OHSU CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/mbCxdF7nbX (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: March 12, 2024 End Date: March 12, 2025
Jonathan Betlinski, MD, Associate Professor of Psychiatry, School of Medicine & Medical Director, OPAL-A Program, OHSU CME Credit Available for all Providence Providers In order to claim CME credit, please click on the following link: https://forms.office.com/r/mbCxdF7nbX (or copy & paste into your browser) Accreditation Statement: Providence Oregon Region designates this enduring material activity for a maximum of 1.0 AMA PRA Category 1 creditTM. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Providence Oregon Region is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Planning Committee & Faculty Disclosure: The planning committee and faculty have indicated no relevant financial relationships with an ACCME-defined ineligible company. Their planning contributions were evidence-based and unbiased. All financial relationships (if any) have been mitigated. Original Date: March 12, 2024 End Date: March 12, 2025
Welcome to another energizing episode of 7 Minutes For Yourself! Today, we are going to shake up our mindset and explore 9 powerful ways to fully embrace the extraordinary beauty hidden within our imperfections. Get ready to transform your perspective and unlock your true potential. Tune in now and let the magic unfold!The audio clip featured in today's episode is courtesy of our friends at SlightlyBetterhttps://www.youtube.com/@SlightlyBetter
WNBA Finals New York Liberty vs Las Vegas Aces in Las Vegas brought out the stars! We didn't have Taylor Swift (yet) Swifties "Shake if Off" we don't want any "Bad Blood", "You Need to Calm Down" we are just saying there is a amazing energy at the Aces arena. You know team owner Mark Davis and Tom Brady were there along with Lebron James, Mark Wahlberg, Nets, Cynthia Cooper, and Ashanti performing just to name a few.Going into the finals great news released from WNBA about the growth of the league which is the longest running woman's professional league in American sports. Helpfully the Las Vegas Aces make more history in create a dynasty! Aja Wilson, Chelsey Gray, Kelsey Plum, & Jackie Young with Coach Becky Hammond, best team of all time well Sheryl Swoops and Houston Comets may have a say in that. Tap in this Episode and watch woman's sports! For more Black in Sports additional content on our podcast see below:linktree: https://linktr.ee/blackinsports |Facebook - https://www.facebook.com/blackinsports |YouTube - @blackinsports |Instagram - @blackinsports |Twitter - @blackinsports |Website - https://www.blackinsports.com/ |Thank you & we appreciate you!#awardwinningpodcast #bestsportspodcast #blackpodwinner #fortheculture #blackinsports #sportsbusiness #podcast #tellingblackstories #blackowner #Blackeffect #sportsbiz #BlackPlayersForChange #sportsnews #blackowned #blackmedia #HBCU #blackpodcastmatter #blackmen #blackeffect #bestdamnsportshow #WNBA #ACES #wnbafinals #traviskelce #talyorswift #taylorswift #swifties #lasvegasaces #tombrady #lebronjames #shaq #lbj #kingjames #backtoback #WNBAexpansion #newyorkliberty #superteam
A Melbourne bakery is thinking outside the square, the custard square that is. And to use a culinary term, it's causing a stir. Apparently the uneducated masses have been cutting-up these delicious slabs of gooey goodness in completely the wrong way our whole lives, resulting in a squished oozing mess. Helpfully the Ferguson Plarre Bakehouse has produced social media video to show us the right way and it has gone off. And we called chief executive Steve Plarre for some expert advice. [embed] https://players.brightcove.net/6093072280001/default_default/index.html?videoId=6338706008112
A massive show, so much to discuss - in fact so much so that we don't even have time to play the show opener today. Because we must talk about what we saw in the Ryder Cup, so much to unpack.Nick and Mark discuss the performances, particularly from the European team who were exceptional. We analyse who stood up and played well and who underperformed. Both Nick and Mark believe that the US team don't feel as strongly about the Ryder Cup as the Europeans, and they explain why.And Nick outlines some of the moves that they made prior to the tournament which had a major influence on the outcome. There was controversy of course, Mark says that Joe LaCava's behaviour on the course was 'shameful', Nick agrees, but also believes Rory McIllroy probably regrets his reaction in the carpark afterwards.Plenty to discuss with Patrick Cantlay and 'hat-gate', what about Viktor Hovland's chip shot? And once and for all, we find out how to pronounce Ludvig Aberg's name. And we have a question from Talk Birdie To Me listener Tim on how good the greens looked in Rome, which Nick and Mark discuss.Nick 'nearly' tells a great story about a 'charitable donation' from a PGA golfer which went, perhaps, to a 'charity' a little closer to home than was expected. Mark finishes the story, very funny.Mark and Nick discuss the LIV & PGA tour schedule for next year, or at least what we know about it so far.Mark is angry about a local council proposal considering closing down a local golf course.We have a voicemail today from Neal in Townsville with a ripping question about matchplay tips. Helpfully, we have a bloke who may have beaten Tiger Woods twice in matchplay, the only person in the world to ever do so, so Neal has come to the right place. And we chat to Steve from the Gold Coast who is passing on a tip he read from Ian Baker-Finch on chipping.Some great feedback as usual, keep it coming - including a comment today from Nick O'Hern's mum!We go around the world with the Ping global results, a cracking Top 5 today with Nick counting down the Top 5 golfers who don't wear hats (requested by Franco Caruso), and a masterclass from Mark on the importance of not stopping your swing at impact on the ball.Talk Birdie To Me, new episodes weekly wherever you get your podcasts. Subscribe and you'll never miss an episode! If you've got a friend who is into golf, we'd love you to share the podcast with them, and if you can rate and review us wherever you get your podcasts that would be great.Follow us on Facebook, Instagram, Twitter and TikTok, or send a voicemail to us here. Hosted on Acast. See acast.com/privacy for more information.
I had such a great discussion with Gina Moffa for this episode. Gina is a therapist specializing in grief and loss, and she has a brand-new book out this week: Moving On Doesn't Mean Letting Go: A Modern Guide to Navigating Loss. I was honored to read an advance copy and provide an endorsement for her terrific book. Perhaps the best way I can introduce our discussion is to share what I wrote about her new book: “If you don't have a therapist on speed dial—or even if you do—Gina Moffa's Moving On Doesn't Mean Letting Go will walk with you through the disorienting and devastating experience that is grief. Helpfully, she tackles both the inner grief journey and navigating the world at large while grieving. Moffa shares important information on the mind-body connection as it relates to the grief experience, helping us understand how important it is to listen to what our bodies are trying to tell us. An important chapter called ‘Grief's Sister, Trauma' is not to be missed. A must-read for those who are grieving the loss of someone close.” -=-=-=-=- Thank you sponsors & partners: Help Texts - Grief support text messaging service. Tips and support delivered all year long, personalized based on your loss. Listeners get $10 off: https://helptexts.com/jennylisk BetterHelp - Talk with a licensed, professional therapist online. Get 10% off your first month: betterhelp.com/widowedparent Support the show - Buy Me a Coffee -=-=-=-=-
Teresa Connors from Payment Matters joins us for our latest Payments:Unpacked video. In this episode Teresa unpacks the topic of Consumer Duty. Helpfully, Teresa provides this introduction: We're at an inflexion point, as firms are becoming aware / coming out of denial / realising it's not just a compliance thing and tackling the enormity of the task to embed and prove embedment of the FCA Consumer Duty. The FCA suggests that at this stage, firms should be 80% through implementation, while some firms are making tangible progress, many firms are not as advanced as they would like to be in readiness for the on sale product deadline of 31 July this year. Crucially, discussion and activity are turning from “why” to “how” as firms create and implement plans to prove that customers are at the heart of their business, demonstrating that they meet the Consumer Duty cross cutting principles of: • Acting in good faith • Avoiding foreseeable harm • Enabling and supporting retail customers to pursue their financial objectives. Make sure you subscribe to the Payments:Unpacked podcast with your favourite podcast app or via Spotify. Unpack the UK's payments landscape with my newsletter - subscribe at: www.payments-unpacked.com
In this episode of The Rooted Youth Ministry Podcast, Dr. Michelle Reyes, co-author of The Race-Wise Family: Ten Postures to Becoming Households of Healing and Hope, shares what it means to be "race-wise" (and why it matters to God). Helpfully differentiating between gospel-centered multi-ethnicity and unhelpful, un-scriptural ideologies, Dr. Reyes then shares about how youth workers can partner with parents to equip and encourage families in the work of raising race-wise teenagers. As you discuss race and ethnicity with the teenagers you serve, you won't want to miss this invaluable resource. Resources:Rooted Recommends: The Race-Wise Family Fear Factor: Fear of Talking with Our Children About Race with Dr. Michelle ReyesCultivating Spaces That Are Safe From Racism in Youth Ministry
In case the US didn't know it was hitting a wall in wind development, some of its European friends are making that point more obvious of late. First, Orsted purchased PSEG's Ocean Wind 1 off the New Jersey coast. The company said the project could only continue with an optimized tax structure. But Allen notes the complicated patent dispute between GE and Vestas didn't help, as Ocean Wind will use GE's Haliade-X turbines. IntelStor's Philip Totaro says there's more to it - a lot more. Helpfully, Siemens outlined a plan for the US to get wind development back on track, onshore and off. Will the US take Siemens' advice? And can changes be made in time to meet those 2030 renewable goals? Joel says "nope." It will take years to overcome a shortage of experienced workers stateside, with the Jones Act's requirements on using American workers, a lack of training programs, and little clarity from the Federal government. As China prepares to "move beyond the 18MW threshold," when, and how, will the US get wind development back on track? Visit Pardalote Consulting at https://www.pardaloteconsulting.com Wind Power Lab - https://windpowerlab.com Weather Guard Lightning Tech - www.weatherguardwind.com Intelstor - https://www.intelstor.com Sign up now for Uptime Tech News, our weekly email update on all things wind technology. This episode is sponsored by Weather Guard Lightning Tech. Learn more about Weather Guard's StrikeTape Wind Turbine LPS retrofit. Follow the show on Facebook, YouTube, Twitter, Linkedin and visit Weather Guard on the web. And subscribe to Rosemary Barnes' YouTube channel here. Have a question we can answer on the show? Email us! Uptime 149 Allen Hall: For those of you on the inside, on the, on the podcast we actually have a producer. Now. You don't see or hear her, which is probably good , but, but she, she is doing some really excellent work. So we, she, she did so well. On this episode, we're gonna actually gonna split this into two. So you're gonna get a bonus episode this week and look out for. Allen Hall: This week's topics include Orsted and New Jersey's PSEG for ocean wind, one in the US Atlantic and Siemens Gamesa Renewable Energy puts together a plan of how to get American offshore wind and on shore wind rolling. Joel Saxum: On the heels of that, something we've been talking about kind of regularly over the last few months of the Jones Act and some of the other things that the, the US needs to get in shape. Joel Saxum: Making these offshore goals happen. As we talk about this American Offshore Worker Fairness Act, that's a bipartisan act. Try to close up some loopholes to ensure that the people going offshore do have American passports. Allen Hall: And Phil Totaro from IntelStor joins us for this episode. So it's nice to have Phil back on the podcast. Allen Hall: I'm Allen Hall, president of Weather Guard Lightning Tech, and I'm here with my good friend from Wind Power Lab, Joel Saxum, and this is the Uptime Wind Energy Podcast. Allen Hall: All right. So big news out of New Jersey. Danish developer Orsted who we know well, has signed a deal with US Energy Company, PSEG public Service Enterprise Groups which was my power provider when I lived in New Jersey. So they're, they're buying the 25% state PSEG has had in the 1.1 gigawatt ocean wind, one project off the coast of New Jersey. Allen Hall: Orsted will now own 100% of that project once this transaction is complete. Pbs egs, chief Commercial Officer, Lathrop Craig said that it become clear that it was better for his group to step aside and allow, quote, better position investor to join the product so that it can proceed with an optimized tax structure that's. Allen Hall: Very weird language but Ocean One is, was, is still planning to use GE Hallide X 12 megawatt wind turbines that have run into patent issues with Siemens Ga Mesa. So we have. Phil Totaro from Tel Store back on the program b...
Do you make dangerous assumptions and fall into the trap of thinking you know exactly what customers want, only to discover that your solutions are not resonating? Are people not buying or recommending enough? You can avoid this situation by applying user experience (UX) and customer experience (CX) best practices, which are not the same. In this episode, you'll hear Stacy Sherman and Zach Pousman, the founder of Helpfully, discuss tactics to decode customer behaviors and create what people truly need and why. Details at
--- Send in a voice message: https://anchor.fm/thespecifist/message
Our special guest on this episode of the boobingit podcast is Olivia Hinge IBCLC. Olivia is a midwife and lactation consultant from London who has built a lively and engaged social media community in the past few years. Olivia has helped thousands of families feel supported during their breastfeeding and infant feeding journey - whatever that may look like. Our focus in this episode is mastitis - which is a painful infection you can get when breastfeeding. We look at how it can happen, the signs and symptoms of it as well as the latest treatment recommendations from the Academy of Breastfeeding Medicine (ABM). Helpfully, Olivia explains why some of us may be more inclined to get mastitis than others, and also why mastitis can be more prevalent during Christmas time. She discusses ways in which we can help prevent mastitis as well as the early measures we can take if we suspect mastitis is taking hold. Finally, Olivia explains what the new ABM protocol on mastitis is and how the new recommendations for treatment are in stark contrast to the advice that went before. Our podcast sponsors - The Bshirt Sustainable breastfeeding clothing brand The Bshirt helps breastfeeding mamas dress with style and comfort. Founded in 2017 by two mothers, The Bshirt is a brand on a mission to help new mothers breastfeed in public with confidence whilst also addressing clothing waste. The Bshirt clothing range includes nursing tops and dresses as well as maternity wear and baby clothing. Loved by mamas around the world, The Bshirt also offer customers the chance to buy pre-loved versions of their clothing as well as rent clothing – further adding to their sustainable credentials. You can find out more about The Bshirt and shop their range via their website thebshirt.clothing. Use our exclusive discount code ‘BSHIRTOFFER15' to get 15% off at the checkout.
A destroyed office; Look at these slide transitions; Enemy returns. Hyrkir (Jeremiah), Niklaus (Roy) and Seirys (Mitchell) finish teleporting and discover a destroyed branch office of a mysterious company. They learn about their past and present. Beatdown City -- Darren Curtis; Noise -- Presence of Music; Shadow -- Presence of Music; Warehouse -- Presence of Music; City of Duisburg -- One Man Symphony, CCBY4.0
Billy Gene offends entrepreneurs who rely on scare tactics. www.underbillyswing.com Work directly with Billy for 16 weeks and have him certify you as an Advertising Geneius! Click the link above and apply.
50 Shades listeners are a perceptive bunch and will have a spotted that the Levelling Up & Regeneration Bill (LURB) was introduced to Parliament on 11 May. Whilst the word planning does not appear on the front of the bill it does appear 680 times inside and so, for a planning podcast that purports to have it's figure on the pulse, it is about time that Sam Stafford put a panel together to discuss it. Helpfully for Sam, Andrew Taylor (@AndrewJTaylor3), past 50 Shades contributor and friend of the podcast, did it for him. Andrew invited Sam to contribute to a National Planning Forum (@nat_plan) seminar on the LURB and, in preparation for the event, which took place on 5 July 2022, Sam invited the other panellists to record a preparatory chat. You will here in this episode then from: Tony Burton (@Tony4Place), free range consultant on community, planning, design and environment;Simon Ricketts (@sricketts1), Partner at Town Legal;Catriona Riddell (@CatrionaRiddel1), Director at Catriona Riddell & Associates; andJennie Baker (@1jenniebaker), Associate Director at Lichfields. PS. Perceptive 50 Shades listeners will also have spotted that the UK Government began to collapse on the evening of 5 July 2022 and that the future of the LURB is now uncertain. This though hopefully remains an interesting and relevant discussion. Some accompanying reading. The LURB https://bills.parliament.uk/bills/3155 The policy paper that accompanies the LURB https://www.gov.uk/government/collections/levelling-up-and-regeneration-bill Neighbourhood Planners London https://www.neighbourhoodplanners.london/ Lichfields' analysis of the role of neighbourhood plans in housing delivery https://lichfields.uk/content/insights/local-choices Simon's recent LURB blog https://simonicity.com/2022/07/02/summer-of-lurb/ Lichfields' LURB resource https://lichfields.uk/the-levelling-up-and-regeneration-bill/ Matthew Carmona's blog on the design code pilots https://matthew-carmona.com/2022/06/22/88-testing-design-codes-in-england-21-lessons/ The National Planning Forum https://www.natplanforum.org.uk/ Some accompanying listening. Everything is simple by Widowspeak https://youtu.be/mPa08P7e_e0 50 Shades T-Shirts! If you have listened to Episode 45 of the 50 Shades of Planning Podcast you will have heard Clive Betts say that... 'In the Netherlands planning is seen as part of the solution. In the UK, too often, planning is seen as part of the problem'. Sam said in reply that that would look good on a t-shirt and it does. Further details can be found here: http://samuelstafford.blogspot.com/2021/07/50-shades-of-planning-t-shirts.html
Squirrel and Jeffrey are both seeing faster results from coaching clients through the amazing technique of just asking them to go faster -- and explaining the reason. They explain why and how this works and how you can put it into practice too. SHOW LINKS: - Toyota Kata: https://en.wikipedia.org/wiki/Toyota_Kata - Near enemy: https://www.theguardian.com/lifeandstyle/2014/jun/07/change-your-life-near-enemies-buddhism --- Our book, Agile Conversations, is out now! See https://agileconversations.com where you can order your copy and get a free video when you join our mailing list! We'd love to hear any thoughts, ideas, or feedback you have about the show. Email us at info@agileconversations.com
This week: Mercury in sleepy Pisces wakes up with an exciting sextile aspect to Uranus, on the Sabian symbol, A man handling baggage. Shall we take this as a gentle suggestion to sort out our own baggage, particularly the emotional kind? April's advice is to choose a focal point for sorting out, such as a cupboard or a small closet - a manageable project that won't overload your Mercury mind. A square aspect between Venus (the planet of love) and Uranus (planet of disruption) could spell problems for romantic relationships and bank accounts. Helpfully, Venus is in Aquarius, a sign that doesn't mind shaking things up. Finally, let's throw an astrological New Year's party as the Sun moves into Aries! Plus: Are listener Patti's transits ganging up on her? Have a question you'd like answered on the show? Email April or leave it here! Want to share your own rendition of the Moonwatch theme! Leave it on Speakpipe or just record it on your phone and send me the file! Read a full transcript of this episode. Catch April's weekly column at her website! Subscribe to April's mailing list Love the show? Donate here! Big Sky Astrology on Facebook | Instagram | Twitter | YouTube Timestamps [0:46] The big astrological stories of the week [1:21] Mercury makes a sextile to Uranus [3:53] April's thoughts for navigating Mercury-Uranus [4:45] This week's moon report - A Virgo Full Moon stands opposite the rest of the sky! [8:04] This week's void-of-course moon periods [11:40] The Sun in Pisces gets a boost in focus as it sextiles Pluto in pragmatic Capricorn [14:26] A disruptive but energizing square between Venus and Uranus [16:24] Happy Astrological New Year: The Sun moves into Aries! Note: I actually was not able to locate a single article or video on the Aries Ingress that I wished to share! I'll update this if I find something closer to the ingress day. [19:25] Mercury and Jupiter come together on the Sabian symbol, A master and his pupil. Teachers can learn from their students, too! [21:11] This week's listener question: Patti suspects her transits are doubling up on her! Is she imagining things? Does this happen to everyone, or is she just lucky? [29:23] Wrapping up with a personal thank you to generous listeners, especially Anna Kelly, Melissa Pearson, and Jack Daft! If you love the show and would like to make a donation, go to https://www.bigskyastropod.com! Additional Resources Donna Cunningham's article on transits in natal charts Michele Finey's article on Venus and Mars Where to go to submit your Big Sky astrology question Support the podcast!
I'm sorry to have to disappoint you but the idea that snowflakes are unique is not entirely true, there being eight main types of shapes at the molecular level, with 39 sub-categories which then order themselves via weak hydrogen bonds to each other, resulting in the symmetrical hexagonal shape of the snowflake. At the atomic level they are indistinguishable, being comprised of the same oxygen and hydrogen atoms and in that sense of course we're all interchangeable and alike but a part of the same: the snow, me, you, the phone you're listening to this on, because all atoms of any element are identical. Not close or similar, but exactly identical. Is that profound? I don't know but it's worth bearing in mind while you listen to me and my snowmies discussing the Top 5 Snow scenes or movies.Dan has been talking about the documentary 14 PEAKS: NOTHING IS IMPOSSIBLE for a few weeks now and with his visit to Nepal on the horizon we thought we'd take the time to review this celebration of extraordinary and almost unimaginable courage, strength and determination. Nepalese climber Nims Purja and his team scale all 14 mountains above 8,000 metres in 6 months and 6 days, a task for which the superlatives barely do justice. These are truly incredible people, doing incredible things for incredible reasons and there's some food for thought in Nims' pleas for greater recognition and acknowledgement of his accomplishments in light of the relative glorification of western mountain-climbers, when their achievements are rooted in the hard work of their Sherpa support teams. Unmissable.We unanimously agreed THAT GIRL LAY LAY is the best kids thing we've ever reviewed on the pod. The Netflix series sees an A.I. avatar from a personal affirmation app materialise in the real world to help boost the self-esteem of 14 year old Sadie, a sentence I only just about understand and a concept which made me feel so old I soiled myself in solidarity with my geriatric brethren. Helpfully that chimes with the theme of the episode "Boombox Burger Bop" in which Sadie's parents struggle for relevance when performing their 10 year old burger jingle. At one point Lay Lay says "hashtag don't sleep on crypto" and I wanted to kill myself. But rapper Lay Lay (real name Alaya High) really does have some flow.That's all for now simpletons. Try us on twitter @dads_film, on Facebook Bad Dads Film Review or on our website baddadsfilm.com. Until next time, we remain... Bad Dads
Donald Clark is a man of many hats. He's an EdTech entrepreneur who was formerly the CEO and one of the original founders of Epic Group, a pioneering company in online learning, and he is now the CEO of Wildfire Learning, an AI company. He is a Visiting Professor at the University of Derby. And he is the author of at least two books - Artificial Intelligence for Learning, and Learning Experience Design. But today I am speaking with Donald about a different writing project. Over the last 20 years or so - and gathering pace in recent months - Donald has been collecting learning theorists. He has written an incredible series of blogs on 2500 years of learning theory - from the Greeks to the Geeks. When we recorded this conversation a few short weeks ago, there were 160 blogs in the series. At the time of publication, he is now up to 200. Helpfully, Donald has created an index, where you can see a list of all 200 learning theorists grouped under different headings - the behaviourists, the assessors, the vocationalists and so on. There's a link to this index below - you may find it useful to refer to it now and then as you listen to our conversation. This was a conversation from which I learned a huge amount. It is also an episode that made me think harder than I've had to do in a long time. And it's also one of the most political discussions I've had on the podcast to date. I'll try not to make a habit of it. LINKS The index to Donald's series of blogs on 2500 years of learning theorists: https://donaldclarkplanb.blogspot.com/2021/09/these-were-written-as-quick-readable.html The Rethinking Education conference 2022 - tickets: https://www.eventbrite.co.uk/e/the-rethinking-education-conference-2022-tickets-226415834857 The Rethinking Education conference 2022 - speaker application form: https://rethinking-ed.org/conference/ The Rethinking Education Mighty Network: www.rethinking-education.mn.co/feed Mighty Network Welcome Video: www.youtube.com/watch?v=47xZ73YPTNs Rethinking Education Campfire Conversations playlist: www.youtube.com/playlist?list=PLZ…WX9gMBCQJtHxoGNh2 Become a Patron of the Rethinking Education project: www.patreon.com/repod Buy James a pint, a coffee - or perhaps even a pint of coffee: www.buymeacoffee.com/repod The Rethinking Education podcast is hosted and produced by Dr James Mannion. You can contact him at rethinking-ed.org/contact, or twitter.com/RethinkingJames.
SPOILER ALERT (sort of): the Beans get a bit bogged down with Squid Game early doors (obviously) so please bear that in mind. Non-spoiler alert bit: this week Hayley from America hoofs the beans towards the topic of biscuits. Helpfully they include advice on how tell if what you're bucking is a bronco and how to identify Joss Stone, although the whole thing is ruined when Henry breaks the ultimate conversational taboo.Get in touch:threebeansaladpod@gmail.com@beansaladpodJoin our PATREON for ad-free episodes and a monthly bonus episode: www.patreon.com/threebeansalad
They've not been in much use of late but as we begin to use our passports again, misinformation about changes following Brexit and expiry dates are raging. Helpfully, Simon Calder is here to walk you through what you need to remember when using that passport for travel again.Of course this podcast is completely free, as is my weekly travel email. You can sign up at independent.co.uk/newsletters. See acast.com/privacy for privacy and opt-out information.
Today, I'm having a GAS with Laurel Stark and Sheila Judkins, Creative Director and Director of Brand Management respectively at The Sims. Laurel is a relatively recent appointment at The Sims, so I was keen to find out what it's like shouldering the weight of such a celebrated global brand. Helpfully, she invited Sheila in so we could get multiple perspectives! -- Having a GAS™ is the podcast that talks to the great and the good of the creative industries, and in particular finds out what makes great music for film, for TV, for advertising; for dancing to, for cooking to, f*cking to, and more... -- GAS™ Music is a music production agency in Manchester, UK. We compose and produce original music, create awe inspiring sound design and have a fully integrated audio post-production studio. We also have a great record collection, and welcome any additions, recommendations or criticisms. -- http://www.gasismusic.co.uk -- © GAS™ Music 2021
timeto.takenewground.com Summary How to measure relationship How can you both assert for your own needs, and help others to take care of theirs How to become the most powerful team possible Showing you value everyone's opinion on the team The secret to making work meaningful Show Notes: The Harrison Assessment is a tool that we use to map out the culture of a team. It is based on Paradox theory which states two traits that seem to be opposite of each other actually support each other and can balance each other. The assessment report presents 12 paradoxes and maps out where an individual or team falls within each paradox. In this conversation, we are covering the Power Paradox, and the two traits it measures are assertive and helpful. Resources: Ready to create real results in your business? Head over to timeto.takenewground.com You can learn more about the Harrison at https://www.harrisonassessments.com Adrian on Instagram: @adrian.k Dan on LinkedIn: Dan Tocchini Chad on Instagram: @chad.l.brown
For more than 3 decades, I've helped businesses, governments, non-profits, and communities take their next step in clean energy transformations that reduce carbon footprints and save money. The goal of the AWESome EarthKind Podcast is to empower and energize YOU - so that, wherever you are on the clean energy spectrum, you can take your next step to a healthier & more sustainable future. We're going to do something a bit different today. Instead of an interview – I'm going to just give you my perspective on the human race – the good, the bad, and the ugly. The Fear. And what gives me hope. A lot of people have been telling me that they don't think we're going to make it. That their children don't believe they have a future. That the world is literally going to hell. Today, you are I live on a planet that is being torn apart. In addition to the fear, anger and hatred being fueled by tribalism, ignorance, and social media - we are witnessing droughts, extreme heat, and wildfires that are literally burning down whole communities. At the same time, the increasing number and intensity of floods, Superstorms, and tornados batters our entire civilization from one side of the planet to the other. It's now very clear that woman and mankind- all EARTHKIND – are another Force of Nature. And our collective power is fueling our impending destruction. You can check out the full interview here. We'd love to keep inspiring you towards the clear energy future we all deserve. https://awesomeearthkind.com/podcasts/helpfullyhoping
We launched the AWESome EarthKind podcast a year ago on August 6th, 2020 –– the 75th anniversary of humanity's destructive use of nuclear power on the people of Hiroshima, arguably the date that humanity became the 5th Force of Nature. The post Helpfully Hoping – Believing & Doing appeared first on AWESome EarthKind.
Imagine being 13 years old, standing in front of a judge, accused of the "crime" of being fat. Imagine the incredible pain you would feel as the judge announces that in the interests of your 'health', you will be removed from your family. But there's no need to imagine. During the height of the UK COVID-19 pandemic, two children were removed from their loving home and put into foster care. The ONLY reason was that both kids were fat. This harrowing story raised the ire of the fabulous Fat Doctor UK, who advocated and pleaded and offered to help educate the social workers, judge, and anyone who would listen, but her valiant attempts have so far been ignored. Two kids have lost their families, thanks to fatphobia. Join me and the fabulous Fat Doctor UK as we get UTTERLY fired up about this travesty of justice. This is a tough listen so please make sure you have adequate spoons. Show Transcript 0:00:12.7 Louise: Welcome to All Fired Up. I'm Louise, your host. And this is the podcast where we talk all things anti-diet. Has diet culture got you in a fit of rage? Is the injustice of the beauty ideal? Getting your knickers in a twist? Does fitspo, make you wanna spit spo? Are you ready to hurl if you hear one more weight loss tip? Are you ready to be mad, loud and proud? Well, you've come to the right place. Let's get all fired up. 0:00:40.3 Louise: Hello, diet culture drop-outs. I'm so pleased to be with you again and very excited about today's episode. Okay, so first of all, I wanna say a massive thank you to all of the listeners who are so faithful and loving. And I love all your messages and emails, so keep them coming. And if you love the show, don't forget to subscribe so you don't miss the episodes as they pop out on a roughly monthly basis. And if you love us, give us five stars because the more five star reviews we get, particularly on Apple Podcasts, the louder the message is, the more listeners we get and the quicker we can topple diet culture. And that's the objective here. 0:01:24.7 Louise: If you're looking for some free stuff to help you with your anti-diet journey, gosh I hate that word. Let's call it an adventure. Anti-Diet Adventure, 'cause that's what it is. It's rocking and rolling. It's up and down. It's not predictable. But if you're looking for a resource where you might be going to medical visit, you might be trying to explain just what you're doing to friends and family, look no further than the free e-book; Everything You've Been Told About Weightloss Is Bullshit, written by me and the Anti-Diet Advanced doctor dietician, Dr Fiona Willer. In it we're busting the top 10 myths that float around diet culture like poo in a swimming pool, about the relationship between health and weight, and we're busting myths left, right and centre. 0:02:06.8 Louise: It's a really awesome resource. It's crammed full of science and facts and it will really help steel you and give you the armour that you need to push back against diet culture. So if you wanna grab a copy, it's absolutely free. Like I said, you can go to Instagram which is untrapped_ au and click on the link in the bio and grab a copy there. Or you can go to the website untrapped.com.au and a little pop-up will come and you will grab it there. More free stuff, if you are struggling with relationship with your body during the last couple of years in particular, Befriending Your Body is my free e-course. All about self-compassion, this amazing skill of being kind and befriending your body. And it's like a super power, self-compassion, because we're all taught from the moment we're born, practically, to disconnect and dislike and judge and body police ourselves. Not exactly a recipe for happiness and satisfaction. 0:03:05.9 Louise: So, this little e-course will help build the skill of self-compassion, which is absolutely awesome because if we can learn to connect with our imperfect bodies, we can learn to inhabit them, to look after them and to push back against the forces that are still trying to get us separate from them. You can find the Befriending Your Body e-course from Instagram. So, untrapped_au. Click on the link, Befriending Your Body, it's all free, it's beautiful. It's just so lovely to practice self-compassion meditations. Self-compassion is built for difficult times. And my friends, we're in a difficult time. So, get hold of that if you haven't already. 0:03:47.6 Louise: Big shout out and hello to all of the Untrapped community, the Master Class and online community, who we meet every week. We push back against diet culture together. We share our stories, we've been supporting each other through the various challenges of lockdown and it's just a wonderful community of awesome human beings. So, if you're struggling and you want to join a community, as well as learning all of the skills of how to do things like intuitive eating, returning to a relationship with moving your body that doesn't feel like hard work. Understanding weight stigma and weight prejudice, relationship with body, all of that kind of stuff is covered in this comprehensive course, Untrapped, which I co-created in 2017 with 11 other amazing anti-diet health professionals. 0:04:39.9 Louise: So if you wanna grab a hold of this program and join our online community, please do and now's the time. We're meeting weekly. So every Saturday, I meet with the whole community and we have an awesome chinwag about everything that's going on. You also get all of the material. And there's other things that happened throughout the year like events and retreats. Well, if they're not scuppered by COVID. [chuckle] In usual times, we are able to do that. Well, if that's not being scuppered by COVID, of course. But in ordinary times, we do extra stuff. So find out more about Untrapped on the website, untrapped.com.au. You can also find a link from Insta. So, I think that's a run through all of the preamble. 0:05:23.5 Louise: Now, we arrive at the exciting time. I am so excited to bring you today's episode. You would have heard of the Fat Doctor UK by now, because she burst onto the internet a few months ago. And it seems like she's everywhere and she is loud and she is angry and she's a GP. So, here we have a very fierce, fat-positive voice, straight out of the UK medical profession, which is sorely needed. And I've just got so much admiration for Natasha and everything that she's doing. And I was actually listening to the Mindful Dietician podcast when I first heard Natasha being interviewed by the wonderful, Fi Sutherland. And during that conversation, she mentioned an awful situation in the UK where two kids were removed from their family for being fat. 0:06:13.9 Louise: And I'd actually seen that story and was so horrified that I kind of shelved it a way. But hearing Natasha talk about it and what she decided to do about it herself, it just inspired me. I just knew I had to talk to her. So this episode is everything. It's a long one, and it's a bloody rollercoaster. We go a lot of places during this epic, fantastic conversation. So you are going to laugh, you are going to cry. You're gonna cry more than once, because I know I did. You're gonna be absolutely furious, because just what we're talking about is just so horrific. We are in the 21st century and kids are being removed from loving homes simply because of BMI and a failure to do the impossible, which is lose weight and keep it off via the epic fail of dieting. 0:07:06.8 Louise: So look, this is really a challenging episode to listen to. It's a horrible story but the conversation with The Fat Doctor, Natasha herself is nothing short of inspiring. This woman is on a crusade. She has got heaps of other people involved in changing the landscape in a meaningful way. She is a real champion in the UK and across the planet, and I know you're gonna enjoy this conversation, but have some tissues close by and keep your slow breathing going to help contain the rage 'cause it's real. So without further ado, I give you me and The Fat Doctor herself, Natasha Larmie. So Tash, thank you so much for coming on the show. 0:07:49.0 Natasha Larmie: Thank you so much for having me, I am so excited. Due to the time difference, it's past midnight now and I've never been this awake past midnight before, so I'm really looking forward to this talk. 0:07:58.8 Louise: Oh my god, I am so impressed with your fired up-ness. [laughter] [laughter] 0:08:04.6 Louise: Tell me what is firing you up. 0:08:07.3 NL: Just in general or specifically about this case? 'Cause obviously a lot of things are firing me up, but I mean, obviously... 0:08:11.7 Louise: Yes. 0:08:12.5 NL: We wanna talk about this particular case that's firing me up. 0:08:16.3 Louise: Yes, what is this case? 0:08:17.9 NL: Yeah, what's going on with this case. So I think it was back in September, October last year that it happened, but I became aware of it a few months later, where two young people, one was actually over the age of 16 and his sibling, his younger sibling is under the age of 16, had been removed from a very loving home, for all intents and purposes, a very loving, happy home and placed into foster care by a judge simply because they were fat, and there is really no other reason at all. There was no other signs of child abuse, neglect, physical abuse, emotional abuse, nothing. It's just because they were fat and they failed to lose weight, a judge removed them from a loving home and placed them in foster care, and the older sibling, I think he's 16, 17, didn't actually have to go in because he was too old and the younger girl, she's 13, and she was removed from her home. 0:09:11.5 NL: And when I read about it I think I was so disgusted, it sort of broke... One newspaper reports on it in the UK, and it was several weeks later I guess, because the court transcript had come out, and I read it, I read the article, and I just thought, "Well, this is just the press over-exaggerating." And then someone said... One friend of mine sent me a text message saying, "No, no, no, just read the court's transcript. Transcript, read it," and sent me a link to the court transcript. I read the whole thing and within an hour I think I read the whole thing, and I was in tears. I was so full of rage that I just felt like something had to be done and started a petition. Have tried really hard to get answers, to push people to look into this case but unfortunately, haven't got very far because we're dealing with people who have very much kind of shut us down and have said, "It's not your concern. This is a judge who made this decision and there's nothing you can do about it." 0:10:05.4 Louise: Really? 0:10:05.7 NL: So I'm pretty fired up. Yeah. 0:10:07.2 Louise: Oh, god. Oh, I mean, when you say it out loud, like my whole body is responding. When I read the court transcripts last night, I put it off because I knew that I just probably would have a massive reaction and I was crying too, because this transcript is literally fucking heartbreaking. 0:10:26.5 NL: Tears. 0:10:27.2 Louise: That they're all admitting that this is... No one wants to be split up, they love each other but there's this stupid idea, as if everybody is completely unaware of science and weight science and how fucked dieting is. 0:10:41.5 NL: Yeah. 0:10:42.2 Louise: And how it doesn't fucking work. 0:10:44.4 NL: No. 0:10:44.7 Louise: And it's in a pandemic. 0:10:46.0 NL: Yeah, yeah. 0:10:46.7 Louise: If I fail to lose weight in a lockdown, when the world was going mad... 0:10:51.6 NL: And I mean, actually, the story begins I think 10 years previously, the story begins when they were three and six. These were two children, a three-year-old and a six-year-old who were picked up most likely because... I don't know if it's the same in Australia, but in the UK we have a screening program, so in year one, which is between the age of five and six, you are weighed and measured by a school nurse, and they... 0:11:13.4 Louise: Really? 0:11:13.9 NL: Yeah. And do you not have that? No. 0:11:15.6 Louise: No. 0:11:15.7 NL: We have. This is the National Child Measurement Programme, there's a acronym, but I didn't bother to learn. 0:11:21.2 Louise: Oh my god. 0:11:21.6 NL: But it happens in year one, which is when you're between five and six, and again in year six, which is when you're between 10 and 11. 0:11:29.0 Louise: Oh Christ. 0:11:29.2 NL: Two of the worst times to weigh people... 0:11:30.0 Louise: Correct, yeah. 0:11:32.0 NL: If you're think about it, because of course, especially around the 10, 11 stage some people are heading towards puberty, pre-puberty, some people are not, and so those that are heading towards pre-puberty will often have gained quite a bit of weight because you know that always happens before you go through puberty, you kind of go out before you go up, and that's completely normal, but they get penalised. But anyway, so I imagine... I don't know, because that's not actually in the transcripts but I'm guessing that at six, the older sibling, the boy was shown to be grossly overweight or whatever they call it, morbidly obese. They probably just measured his BMI, even though he was six, they probably measured it, which is just ridiculous 'cause that's not what BMI is for, and rather than looking at growth charts, which is what we should be doing at that age, they will have just sent a letter home and the teachers would have got involved and somewhere along the line, social services would have been called just because of the weight, nothing else, just because of the weight, and social services... 0:12:25.8 Louise: Just because of the percentile of a BMI. 0:12:28.5 NL: That was all it was. It was just weight. There was literally no concerns of ever been raised about these kids apart from their weight. And at the age of three and six, social services got involved and started forcing these children to diet, and they will say that's not what they did, they tried to promote healthy eating, but when you take a three-year-old and a six-year-old and you tell them... You restrict what they eat, you force them to exercise, and you tell them there's something wrong with them, you are putting them on a diet at the age of three to six, and we know, for sure, with evidence, you know, I know, and everyone listening should know by now that when you put young children on a diet like that at such a young age and you make such a big deal out of their weight, they are going to develop disordered eating patterns, and they are going to... 0:13:06.8 Louise: Of course. 0:13:07.8 NL: Gain weight, so... 0:13:09.3 Louise: They're going to instead, that's a trauma process happening. 0:13:12.2 NL: That's true. Yeah, it's... 0:13:13.8 Louise: A trauma to get child protective services involved. 0:13:17.8 NL: Yeah, and live there for 10 years, and then... 0:13:21.4 Louise: Ten years? 0:13:22.5 NL: Got to the stage where they took the proceedings further and further, so that they kept getting more and more involved. And eventually, they decided to make this a child protection issue. Up until that point, child social services were involved, but then, about a year before the court proceedings, something like that, before the pandemic. What happened then was that they gave these children a set amount of time to lose weight, and they enforced it. They bought them Fitbits so that they could monitor how much exercise they were doing, they bought them gym subscriptions, they sent them to Weight Watchers. [chuckle] 0:13:55.9 Louise: Fantastic, 'cause we know that works. 0:13:58.4 NL: We know that works. And of course, as you said, it was during a lockdown. So, Corona hits and there was lockdown, there was schools were closed, and for us, it was really quite a difficult time. And in spite of all of that... 0:14:13.0 Louise: I can't believe it. 0:14:14.9 NL: When the children failed to lose weight, the judge decided that it was in their best interest to remove them from their loving parents. And dad, from what I can tell from the court transcripts. I don't know if you noticed this as well. I think mom was trying very hard to be as compliant as possible. 0:14:26.9 Louise: She was, and even she lost weight, the poor thing. 0:14:30.0 NL: Yes, but I think dad almost seems to be trying to protect them, saying, "This is ridiculous. You can't take my kids away just because of their weight," and I... 0:14:38.1 Louise: Seems like he was in denial, which I fully understand. 0:14:41.1 NL: I would be too, I would be outraged. And it sounds like this young girl... I don't know much about the boy, but from what I can see from the transcripts, this young girl really became quite sad and low and depressed, and obviously, shockingly enough, her self esteem has been completely ruined by this process. 0:14:58.7 Louise: I know, I know. I really saw that in the transcript. This poor little girl was so depressed and getting bullied. And in the transcript, the way that that is attributed to her size and not what abuse they're inflicting on this family. 0:15:13.3 NL: Right. Yeah, really quite shocking. And then of course, the other thing you probably noticed from the transcript is there is no expert testimony at this court proceeding. None whatsoever. There is no psychologist. 0:15:24.0 Louise: Actually, there was. 0:15:25.8 NL: There was... 0:15:26.6 Louise: Dr... What's her name? 0:15:29.4 NL: Yes. You're right, there was a psychologist, and you're absolutely right. She was not an eating disorder specialist or a... She was just a psychologist. 0:15:37.3 Louise: She's a clinical psychologist. Dr. Van Rooyen, and she's based in Kent, and she does court reports for child abuse. Yes, and I can see her weight stigma in there. She's on the one hand acknowledging that the kids don't wanna go, that the kids will suffer mentally from being removed, but you can also see her unexamined weight stigma. And that you're right, where the hell are the weight scientists saying, "Actually, it's biologically impossible to lose weight and maintain it"? Because in the transcripts, they do mention that the kids have lost weight, failed to keep it off. 0:16:16.5 NL: Exactly, exactly. And it's just shocking to me that there would be such a lack of understanding and no desire to actually establish the science or the facts behind this. If I was a judge... I'm not a judge, I'm not an expert, but if I was a judge and I was making a decision to remove a child from a home based purely on the child's inability to lose weight, I would want to find out if it was possible that this child simply couldn't lose weight on their own. I would want to consult experts. I would want to find out if there was a genetic condition. I'm not saying she has a genetic condition. You and I know that she doesn't need to have a genetic condition in order to struggle to lose weight, that actually, the psychology behind this explains it. But even if you've not got to that stage yet, there was no doctors, there was no dietitians, there was no... No one was consulted. It was a psychologist who had no understanding of these specific issues, who, as you said, was clearly biased. There was social workers who said, "We've done everything we can because we've given them a Fitbit and we've sent them to Weight Watchers and sent them to the gym, but they refuse to comply." 0:17:24.9 Louise: I know. It's shocking. 0:17:28.4 NL: Yeah, it strikes me that we live in a world where you just can get away with this. It's just universally accepted that being fat is bad, and it's also your fault, your responsibility. The blame lies solely on the individual, even if that individual is a three-year-old child, it is. And if it's not the child, then of course, it's the parent. The parent has done something wrong. 0:17:52.1 Louise: Specifically the mother, okay. 0:17:53.5 NL: The mother, yeah. 0:17:54.4 Louise: The one with the penis, okay, let's not talk about him, 'cause that was absent. It was the mom. And the only possibility that was examined in this is that it's mom's fault for not being compliant, like you said. That's the only thing. Nothing else like the whole method is a stink-fest of ineffective bullshit. 0:18:13.5 NL: And there's the one point in the transcript when they talk about the fact that she had ice cream or chips or something in the house. 0:18:19.7 Louise: That's Ms. Keeley, their social worker, who went in and judged them. And did you notice that she took different scales in during that last visit? That last visit that was gonna determine whether or not they'd be removed, she took different scales in and weighed them. And they say, "Look, we acknowledge that that could've screwed up the results, but we're just gonna push on with removal." 0:18:43.0 NL: It was their agenda. 0:18:45.0 Louise: It was. It's terrifying, and it's long-term foster care for this poor little girl who doesn't wanna leave her mom. I'm so fired up about this, because the impact of removing yourself from your home because of your body, how on earth is this poor kid gonna be okay? 0:19:05.7 NL: This is my worry. How is mom going to be okay? How is that boy going to be okay? And how is that young, impressionable girl... My oldest son is a little bit older, and my younger son is a little bit younger, she's literally in between the two, and I'm watching what the last two years or last year and a half has done to them in terms of their mental and emotional well-being. And to me, even without social services' involvement, my children's mental health has deteriorated massively. And I cannot even begin to comprehend what this poor girl is going through. I cannot imagine how traumatized she is, and I cannot see how is she ever going to get over this, because she's been going through it since she was three, and it's not at the hand of a parent, it's at the hand of a social worker, it is the social worker's negligence. And what's interesting is a lot of social workers and people who work in social services have reached out to me since I first talked about this case, and they have all said the same thing, the amount of weight stigma in social services in the UK is shocking. It is shocking. It is perfectly acceptable to call parents abusers just because their children are overweight. 0:20:21.8 Louise: Jesus. 0:20:22.2 NL: No other reason, just your child is over the limit, is on the 90th percentile or whatever it is, your child is overweight and therefore you as a mother, usually as you said, it's a mother, are an abusive mother, because you've brought your child up in a loving environment but they failed to look the way that you want them to look, that's it. 0:20:41.0 Louise: Okay. So, that's me, right. My eldest is in the 99th percentile, so I am an abuser, I'm a child abuser. 0:20:47.3 NL: Child abuser, I can't believe I'm probably talking to one. 0:20:49.3 Louise: I know. [laughter] 0:20:49.9 NL: I can't believe I'm probably talking to one. And you know, the irony, my son's been really poorly recently and he's been up in... I mean we've spent most of our life in the hospital the last few weeks, and... 0:20:58.1 Louise: Oh dear. 0:20:58.3 NL: Went to see a paediatrician and they did the height and weight, and he is on the 98th percentile, my son has a 28-inch waist. He is a skeleton at the moment because he's been really ill, but he is mixed race, and we all know that the BMI is not particularly... 0:21:12.9 Louise: It's racist. 0:21:13.2 NL: Useful anyway, but it's massively racist, so my children have always been, if you weigh them, a lot heavier than they look, because I mean he's... There isn't an ounce of fat on him. My point is that BMI is complete utter bullshit and it doesn't deserve to exist. The fact that we've been using up until now is shameful and as a doctor, I cannot accept that we use this as a measure of whether a person is healthy and certainly as a measure of whether a child is healthy, because until recently, we were told you don't do BMIs on anyone under the age of 16 but that's just gone out the window now, everyone... 0:21:48.5 Louise: I know. 0:21:48.6 NL: Gets a BMI, even a six-year-old. 0:21:50.1 Louise: You get a BMI, you get a BMI. [laughter] I think it's not supposed to be used for an individual anything, it's a population level statistic. 0:22:01.1 NL: And a pretty crappy one at that. 0:22:02.3 Louise: It's a shitty one. 0:22:02.6 NL: It is like you said. 0:22:04.2 Louise: Yes. 0:22:04.6 NL: It's based on what European men, it's not particularly useful for men, it's not particularly useful for any other race, it's just useful perhaps. Even when it came out, like even when... What's his face? I forget his name right now, Ancel Keys. When he did that study that first look, brought in the BMI into our medical world as it were, yeah, even he said at the time it was alright. It's not the best, it's not the worst, it will do. It's the best out of the bunch. I mean he didn't even have much enthusiasm at the time. He said specifically it's not meant to be used as an individual assessment. And even the guy who kind of didn't invent it, but he sort of invented it as a measure of "obesity" and yet... And even he didn't have much good stuff to say about it. If he was selling the latest iPhone, Apple would have a lot to say about that. [laughter] I just... This fact that we've become obsessed and we know why this is. We know this is because of the diet industry, we know this is because of people trying to make money out of us and succeeding, very successful at making money out of us. 0:23:02.9 Louise: It's actually terrifying how successful this is because when I read this transcript, I've been doing a lot of work against the Novo Nordisk impact and how our modern oh, narrative has been essentially created by the pharmaceutical company that's producing all of the weight loss drugs, they have 80% of the weight loss drugs market and they've shamelessly said in their marketing that this is their drive to increase... That it's to create a sense of urgency for the medical management of obesity. And here it is, this is where it bleeds, because they're telling us this bullshit that it's going to reduce stigma. No, it's going to create eugenics. This is hideous what's happening here and I can't believe that the world didn't stop and that the front page of newspapers aren't saying like get fucked, like get these kids back. There's no outrage. 0:24:04.2 NL: No, there is none whatsoever. We got just over 2,000 people supporting the petition and as grateful as I am for that, that's just what the fuck, that's 2,000 people who live in a country of 68 million and only 2,000 people had something to say about this and, we... That's how much we hate fat kids and how much we hate fat people. We just don't see them as worthy and nobody wants to defend this young girl, nobody sort of feels sorry for her and I just... I can't get my head around this whole thing. It's funny because I didn't really know about it, a year ago I was completely clueless. It's all happened rather quickly for me that I've begun to understand Haze and begun to understand who Novo Nordisk was and what they are doing and what Semaglutide actually is and how it's going to completely change the world as we know it. 0:24:56.5 NL: I think this particular drug is going to become part of popular culture in the same way that Viagra is, we use that word now in novels and in movies. It's so popular and so understood, nobody talks about... I don't know, give me a name of any drug, like some blood pressure medication, they don't talk about it in the same way they talk about Viagra. But Semaglutide is going to be that next drug because they have tapped into this incredibly large population of people who are desperate to lose weight and they've got this medication that was originally used to treat diabetes, just like Viagra was originally used to treat blood pressure and have said, "Wow, look at this amazing side effect. It makes people lose weight as long as you run it. Let's market this." And the FDA approved it. I mean, no... 0:25:45.1 Louise: I know. 0:25:45.8 NL: No thought as to whether or not this drug is gonna have a massive impact on people in their insulin resistance and whether they're gonna develop diabetes down the line. I don't think they care. I don't think anybody actually cares. I think it's just that everybody is happy, woo-hoo, another way to treat fat people and make a good deal of money out of it. 0:26:03.9 Louise: Right? So, Semaglutide is... It's the latest weight loss drug to be approved by the FDA from Novo Nordisk and it is like the Mark II. So, they were selling Saxenda, Saxenda's here in Australia, they're pushing it out and this Semaglutide is like the Mark II, like I think of Saxenda as like Jan Brady, and Semaglutide is like Marcia. [laughter] 0:26:29.3 Louise: 'Cause it's like, "Oh my God, look at Semaglutide. Look at this amazing one year trial." [laughter] Marcia, Marcia, Marcia, like oh my God, we can make so much weight loss happen from this intervention. Why? Why do we need all of this weight loss, all these percentages? And, "Oh, we can lose 15% and 20%," and we don't need to for health, but okay. 0:26:53.3 NL: Yeah. The other thing that we have to remember about it, I don't think it's actually that much better. I've used all of these drugs in treating diabetes. So many years, I used these drugs. The beauty of it, of course, is that it's a tablet, and Saxenda is an injection. I'm assuming you have the injectable form, yeah? 0:27:09.9 Louise: That's right. You have to inject, and it's very expensive. 0:27:14.0 NL: It's extremely expensive, as will... Marcia Brady will be more expensive, I'm sure. 0:27:18.6 Louise: So high maintenance. [chuckle] 0:27:20.2 NL: Absolutely, but she is easier to administer. A lot of people don't like the idea of injecting themselves, but taking a tablet is dead easy. So, that's what makes this special, as it were, because it's the only one of that whole family that is oral, as opposed to injectable. 0:27:37.6 Louise: Well, that's interesting, because the paper with all of the big, shiny weight loss was injectable, it wasn't tablet. 0:27:43.7 NL: Oh, really? Oh, but they're marketing it as the oral version, definitely. That's the one that's got approved. It's brand name is... 0:27:51.3 Louise: Wegovy. 0:27:52.2 NL: Oh no, well, I have a completely different brand name. Is it different, maybe, in Australia? 0:27:57.1 Louise: Well, this is in America. In Australia, they haven't cornered us yet. I'm sure that they're trying to do it, but it was the FDA approval for Wegovy, [0:28:05.4] ____. 0:28:05.9 NL: So, they obviously changed the name. That's not the same one we use in diabetes. Clearly, they've had to revamp it a bit. Irrespective of oral, injectable, whatever, I think that this is going to... Novo Nordisk is sitting on a gold mine, and they know it. And it's going to change our lives, I think, because bariatric surgery is quite a big thing, and it's something that often people will say, "I'm not keen on doing." And the uptake is quite low still, and so, in bariatric... 0:28:35.2 Louise: In the UK, not here. 0:28:36.2 NL: Yeah, [chuckle] yeah, but bariatric surgeons are probably very afraid right now, because there's drugs coming along and taking all of their business away from them. 0:28:43.5 Louise: Actually, you know what Novo were doing? They're partnering with the bariatric surgeons. 0:28:46.2 NL: Of course they are. 0:28:46.9 Louise: And they're saying to them, "Hey, let's use your power and kudos, and our drugs can help your patients when they start to regain." 0:28:56.4 NL: Oh my gosh. 0:28:58.0 Louise: It's literally gateway drug. Once you start using a drug to reduce your weight, you have medicalized your weight, and it's a small upsell from there. So, I think this is all part of a giant marketing genius that is Novo Nordisk. But I'm interested to hear your concerns, 'cause I'm concerned as well with the use of diabetes drugs as weight loss medications, and I read about it being that they're hoping that people will take this drug like we take statins. So, everyone will take it preventatively for the rest of their lives. What's the long-term impact, do you think, of taking a double dose of a diabetes drug when you don't have diabetes? 0:29:43.5 NL: Well, first of all, they don't know. Nobody knows, because they've only done a study for a year, and just how many diet drugs have we put out there into the universe since the 1970s, and then taken them back a few years later, 'cause we've gone, "Oh, this kills"? If you've got diabetes and you take this drug because you've got insulin resistance and this drug helps you to combat your insulin resistance in the way that it works, you've already got diabetes. And so, there is no risk of you developing diabetes, and this drug does work, and so, I have no issue with the GLP-1 analogs in their use in diabetes. I think all the diabetes drugs are important, and I'm not an expert. But you've really got to ask yourself, if you take a healthy body and you act on a system within the pancreas and within the body, in a healthy, essentially, healthy body, healthy pancreas, you've got to ask yourself if it's going to worsen insulin resistance over time. It's actually going to lead to increased cases of diabetes. Now, they say it won't, but... 0:30:47.4 Louise: How do they know that? 'Cause I've read a study by Novo, sponsored, in rats, that showed that it did lead to insulin resistance long-term. 0:30:57.6 NL: Right, I think common sense, because we understand that the way that the body works, just common sense. The way the body works suggests to me that over long periods of time, taking this medication in a healthy person is going to lead to increased insulin resistance, which in turn will lead to diabetes. That is what common sense dictates. But of course, as you said, we don't know. We don't have a study. Nobody has looked into this. And it makes me sad that we are using a drug to treat a condition that isn't a condition. 0:31:30.2 Louise: I know, yeah. [chuckle] 0:31:32.4 NL: And inadvertently, potentially giving people a whole... 0:31:36.0 Louise: Creating a condition. 0:31:36.6 NL: Creating an actual medical condition, which we all know to be life-threatening if untreated. And so, I cannot fathom why... Well, I can, I understand. It's for financial reasons only, but I can't understand why there are doctors out there that want to prescribe this. This is the issue that I have. I'm a doctor, and I can't speak on behalf of drug companies or politicians or anyone else, but I can speak to what doctors are supposed to be doing, and we have a very strong code of conduct that we have to abide by. We have ethical and moral principles and legal obligations to our patients. And so, doing no harm and doing what is in your patients' best interest, and practising fairly and without discrimination, and giving people... Allowing them to make an informed choice where they are aware of the risks and the side effects and all the different treatment options. 0:32:28.0 NL: When it comes to being fat, again, it seems to have gone out the window. None of these things are happening. We wouldn't dream of addressing other issues this way, it's just fatness, because it's just so commonly, widely accepted that fatness is bad and you've got to do whatever you can to get rid of it. I've had someone tell me today that they are pregnant with their first child and they had their first conversation with the anesthetist, who told them they had to do whatever they could to lose weight before they had their baby. This is a pregnant woman. 0:32:58.1 Louise: Whatever they had to do? 0:33:00.1 NL: Whatever they had to do, and she said, "What do you want me to do, buy drugs off the streets?" And the anesthetist said... Wait for it. The anesthetist said, "It would be safer for you to use a Class A drugs than it would for you to be fat in pregnancy". The anesthetist said that to this woman. She told me this and I just went "Please just... Can you just report him?" 0:33:21.7 Louise: Shut the front door, Jesus Christ! 0:33:24.6 NL: Can you imagine? First of all, that's not true. Second of all, he is saying that it is better to be a drug addict than to be a fat person. This is no judgment on drug addicts, but you do not encourage your patients to use Class A drugs to lose weight. That's stupid. Imagine if he'd said that about anything else, but in his... And it was a man, in his world, for whatever reason, his ethics just abandons them all in favor of fat shaming a woman. 0:33:52.4 Louise: This is where we're at with, it's self examined. It's like there's a massive black hole of stigma just operating unchallenged effortlessly and actually growing, thanks to this massive marketing department, Novo. It's terrify... That poor lady, I'm so glad she's found you and I hope she's not gonna go down the Class A drug route. [laughter] 0:34:19.3 NL: She's definitely not, but she was quite traumatized. She's on a Facebook group that I started and it's great because it's 500 people who are just so supportive of each other and it was within a few minutes 50 comments going "What a load of crap, I can't believe this," "You're great, this doctor is terrible". But it just stuck to me that one of my colleagues would dare, would have the audacity to do something as negligent as that. And I'm gonna call it what it is. That's negligence. But I'm seeing it all the time. I'm seeing it in healthcare, I'm seeing it in Social Services, I'm seeing it in schools, I'm seeing it in the workplace, I'm seeing it everywhere. You cannot escape it. And as a fat person, who was in the morbidly, super fat, super obese stage where she's just basically needs to just be put down like a... 0:35:16.3 Louise: Oh my gosh, it's awful. 0:35:18.5 NL: And as that person, I hear all of these things and I just think "I'm actually a fairly useful member of society, I've actually never been ill, never required any medication, managed to give birth to my children, actually to be fair, they had to come out my zip as opposed to through the tunnel." But that wasn't because I was fat, that was because they were awkward. But this anesthetist telling this woman that she's too fat to have a baby. I was just like "But I am the same weight. I am the same BMI as you". And I had three and I had no problems with my anesthetics. In fact after my third cesarean section, I walked out the hospital 24 hours later, happy as Larry, didn't have any problems. And I know people who were very, very thin that had a massive problems after their cesarean. So there's not even evidence to show how dangerous it is to have a BMI over 35 and still... And then caught when it comes to an anesthetic. This isn't even evidence-based, it's just superstition at this point. 0:36:12.8 Louise: It's a biased based and the guidelines here in Australia, so I think above 35 women are advised to have a cesarean because it's too dangerous. And women are not allowed to give birth in rural hospitals, they have to fly to major cities. So imagine all of... And don't even get me started on bias in medical care for women. It's everywhere, like you said, and it's unexamined and all of this discrimination in the name of, apparently, healthcare. It's scary. 0:36:43.9 NL: It really is. Gosh, you've got me fired up, it's almost 1:00 in the morning and I'm fired up. I'm never gonna get to sleep now. [laughter] 0:36:51.7 Louise: Okay, I don't wanna tell you this, but I will. 'Cause we're talking about how on earth is this possible, like why aren't there any medical experts involved to talk about this from a scientific basis, and I'm worried that even if they did have medical people in the court, they wouldn't have actually stuck up for the kid. I found this JAMA article from 2011. It's a commentary on whether or not large kids should be removed from their families, and it was supportive of that. 0:37:18.0 NL: Oh gosh. Of course it was. 0:37:22.0 Louise: And in response to that commentary, the medpage, which is a medical website, a newsletter kind of thing. They did a poll of health professionals asking should larger kids removed from their families, and 54% said yes. 0:37:40.7 NL: Of course. 0:37:41.3 Louise: I know. Isn't that dreadful? One comment on that said "It seems to me the children in a home where they have become morbidly obese might be suffering many other kinds of abuse as well, viewing in the size of a child. 'Cause we've all gotten bigger since the '80s. We're a larger population and viewing that as abuse and as a fault of parenting. Unbelievable. I also had a little dig around Australia, 'cause it's not isolated in the UK, there's so many more cases. 0:38:16.9 NL: They have. Yeah. 0:38:17.8 Louise: And I think actually in the UK, it might be a lot more common than in Australia. 0:38:22.1 NL: Yeah, I can believe that. 0:38:23.5 Louise: But it did happen here in 2012, there was some report of two children being removed from their families because of the size of the kids. And the media coverage was actually quite dreadful. I'll put in the show notes, this article, and the title is "Victorian authorities remove obese children, removed from their parents". So even the title is wrong, couldn't even get their semantics right. There's a picture, you can imagine what picture would accompany... 0:38:55.2 NL: Well of course it can't be of the actual children, because I think it leads to lawsuit. I'm assuming it's a belly. Is there a belly? Is there a fat person in it or a fat child eating a burger? 0:39:06.2 Louise: Yes. [laughter] 0:39:07.1 NL: Sorry, it's either the belly or the fat person eating the burger. So, a fat child eating the burger, sorry. 0:39:11.9 Louise: Helpfully, to help the visually impaired, the picture had caption and the caption reads "Overweight brother and sister sitting side by side on a sofa eating takeaway food and watching the TV." So not at all stereotyped, very sensitive, nuanced article this one. And then we hear from Professor John Dixon, who is a big part of obesity Inc here in Australia. He told the ABC that "Sometimes taking children away from their parents is the best option." In the same article, he also admits "There's no services available that can actually help kids lose weight", and he says that it's not the parents fault. Helpfully, this article also states that "Obesity is the leading cause of illness and death in Australia." [laughter] 0:39:58.7 NL: I love it when I hear that. How have they figured that out? What do they do to decide that? Where does this... 0:40:08.4 Louise: They don't have to provide any actual evidence. 0:40:10.5 NL: Right. They just say it. 0:40:12.1 Louise: Got it. 0:40:13.0 NL: Just say it. 0:40:14.4 Louise: Diet. And I checked just to make sure, 'cause in case I've missed anything. 0:40:18.4 NL: Yeah. 0:40:19.6 Louise: The top five causes of death in Australia in 2019; heart disease, number two dementia, number three stroke, number four malignant neoplasm of trachea bronchus and lung. 0:40:30.4 NL: Lung cancer. 0:40:30.9 Louise: Lung cancer. 0:40:31.5 NL: That's lung cancer. 0:40:32.3 Louise: And number five chronic lower respiratory disease. 0:40:38.4 NL: So translation. Heart attacks, dementia... In the UK it's actually dementia first, then heart attacks. So dementia, heart attacks, stroke, same thing in the UK, and then lung cancer and COPD. Both of those are smoking-related illnesses. And I can say quite safely that they are smoking-related illness because the chance of developing lung cancer or COPD if you haven't smoked is minuscule. So what the people are doing is they're saying, "Well, we can attribute all of these heart attacks and strokes and dementia to "obesity". And the way we can do that is we just look at all these people that have died, and if they are fat we'll just assume it's their fat that caused their heart disease. 0:41:20.0 NL: To make it very clear to everybody that is listening, if you have a BMI of 40, we can calculate your risk of developing a heart attack or a stroke over the next 10 years using a very sophisticated calculator actually, it's been around for some time. It's what we use in the UK. I'm assuming Australia has a similar one, don't know what it's called there. In the UK it's called a QRISK. So I've done this. I have calculated. I have found a woman, I called her Jane. I gave her a set of blood pressure and cholesterol, and I filled in a template. And then I gave her a BMI of 20. And then I gave her a BMI of 40. And I calculated the difference in her risk. I calculated the difference in her risk, and the difference in her risk was exactly 3%. The difference in her risk if she was a smoker was 50%. She was 50% more likely to have a heart attack if she was a smoker, but only 3% more likely to have a heart attack if she had a BMI of 40 instead of a BMI of 25. 0:42:15.0 NL: To put it into perspective, she was significantly more likely to have a heart attack if she was a migraine sufferer, if she had a mental health condition, if she had lupus or rheumatoid arthritis, if she was Asian, if she was a man, and all of those things dramatically increased her risk more than having a BMI of 40. So it's just very important that doctors will admit, 'cause it's about admitting to a simple fact, this calculator we use to predict people's risks. So if we know that weight only has a 3-4% impact on our cardiovascular risk as opposed to smoking which has a 50% impact, as opposed to aging which is why most people die because they get old and let's face it everybody dies some time. 0:43:04.0 NL: So what's happening is the... Whoever they are, are taking all these deaths from heart disease which was likely caused by the person aging, by the person being male or just being old and being over the age of 75, your risk of heart disease goes up massively irrespective of your weight. So instead of saying, "Well, it's just heart disease", they've gone, "Well, it's heart disease in a fat person and therefore it was the fatness that caused the heart disease." And that is offensive to me to the point that now, I have heard... And this is awful in this year, our patients that are dying of COVID, if they die of COVID in the UK, it's actually quite heart breaking, it's happened to someone that I was close to. If they die of COVID in the UK, and they happen to be fat, the doctor writes "obesity" on their death certificate... 0:43:51.8 Louise: No way. 0:43:52.4 NL: As a cause of death. They died of COVID. 0:43:55.2 Louise: What? 0:43:55.5 NL: They died of COVID. That's what they died of. They died of this terrible virus that is killing people in their droves but people are under the misguided impression that being fat predisposes you to death from COVID, which is not true. It's not true. That is a complete gross misrepresentation of the facts. But we've now got doctors placing that on a person's death certificate. Can you imagine how that family feels? Can you imagine what it feels like to get this death certificate saying, "Your family member is dead from COVID but it's their fault 'cause they were obese." And how can the doctor know? How could the doctor know that? 0:44:34.2 Louise: How can they do that? 0:44:35.6 NL: How can they do that? And this is my point, this doctor that's turning around and saying it's safer for children to be removed from their loving home. Obviously, this person has no idea of the psychological consequences of being removed from your family. But it's safer for that person to be removed from their home than to remain in their home and remain fat. What will you achieve? Is this person going to lose weight? No. I can tell you what this person is going to do. This person is going to develop... 0:44:58.9 Louise: They even say that. They even say that in the transcripts. We don't think that they'll get any more supervision. 0:45:03.1 NL: Yeah. In fact, we're gonna get less supervision because it's not a loving parent. You're going to develop, most likely an eating disorder. You're going to develop serious psychological scars. That trauma is going to lead to mental health problems down the line. And chances are you're just gonna get bigger. You're not gonna get smaller because we know that 95% of people who lose weight gain it all back again. We know that two-thirds of them end up heavier. We know that the more you diet, the heavier you're gonna get. And that actually, this has been shown to be like a dose-response thing in some studies. So the more diets you go on, the higher your weight is going to get. If you don't diet ever in your life, chances are you're not gonna have as many weight problems later on down the line. So, as you're saying, we are living in a society that's got fatter. And there's lots of reasons for that. It's got to do with the food that we're eating now. That we're all eating. That we're all consuming. 0:45:55.1 Louise: Food supply. Only some of us will express from there the epigenetic glory of becoming higher weight. 0:46:02.0 NL: Right. And that's the thing, isn't it? Genetics, hormones, trauma, medications. How many people do I know that are on psychiatric medications and have gained weight as a result, Clozapine or... It's just what's gonna happen. You name it. Being female, having babies, so many things will determine your weight. 0:46:21.0 Louise: Getting older. We're allowed to get... We're supposed to get bigger as we get older. 0:46:25.1 NL: And then you know that actually, there are so many studies nowadays, so many studies that we've labeled it now that show that actually being fat can be beneficial to you. There's studies that show that if you end up in ICU with sepsis, you're far more likely to survive if you're fat. If you've got a BMI over 30, you're more likely to survive. There's studies that show that if you have chronic kidney disease and you're on dialysis, the chances of you surviving more long-term are significantly higher if you're fat. Heart failure, kidney disease, ICU admissions, in fact, even after a heart attack, there's evidence to show that you're more likely to survive if you're fat. And they call this the obesity paradox. We have to call it a paradox because we cannot, for one moment, admit that actually there's a possibility that being fat isn't all that bad for you in the first place and we got it wrong. Rather than admit that we got it wrong, we've labeled a paradox because we have to be right here, we have to... 0:47:18.0 Louise: Yeah, it's like how totally bad and wrong, except in certain rare, weird conditions, as opposed to, "Let's just drop the judgment and look at all of this much less hysterically." 0:47:29.5 NL: Yeah. And studies have shown that putting children on a diet, talking about weight, weight-shaming them, weighing them, any of these things, have been linked to and have been demonstrated to cause disordered eating and be a serious risk for direct factor for weight gain. And that, in my opinion, is the important thing to remember in this particular case, because as I said, social services start in weight-shaming, judging, and talking about weight when these children were three and six, and they did that for 10 years. And in doing so, they are responsible for the fact that these children went on to gain weight, because that's what the evidence shows. And there's no question about this evidence, there's multiple papers to back it up. 0:48:14.1 NL: There's an article published in Germany in 2016, there was an article published last year by the University of Cambridge, and even the American Academy of Pediatrics agrees that talking about weight, putting children on a diet, in fact, even a parent going on a diet is enough to damage that child and increase their risk of developing disordered eating patterns and weight gain. 0:48:37.9 NL: And so, as far as I'm concerned, that to me, is evidence enough to say that it's actually social services that should be in front of a judge, not these children, but it's the social workers that should be held to account. And I have written... And this is something that is very important to say. I wrote to the council, the local authority, and I've written a very long letter, I've published it on my website. You can read it anytime, anyone can read it. And I wrote to them and I said, "This is the evidence. Here are all the links. As far as I'm concerned, you guys got it terribly wrong and you have demonstrated that there is a high degree of weight bias that is actually causing damage to children. I am prepared to come and train you for free and teach all of your social workers all about weight bias, weight stigma, and to basically dispel the myths that obviously are pervading your social work department." And they ignored me. I wrote to politicians in the area. They ignored me. I wrote to a counselor who's a member of my political party, who just claimed, "Yeah, I'll look into it for you." Never heard from her again. Yeah, nobody cares. 0:49:44.0 Louise: It's just such a lack of concern. 0:49:45.7 NL: I didn't even do it in a critical way. I had to do it in a kind of, "I will help you. Let me help you. I'm offering my services for free. I do charge, normally, but I'll do it for free for you guys." No one is interested. Nobody wants to know. And that makes me really sad, that they weren't even willing to hear me out. 0:50:03.0 Louise: I can't believe they didn't actually even answer you. 0:50:06.5 NL: Didn't answer me, didn't respond to any of my messages, none of the counselors, none of the... Nobody has responded, and I've tried repeatedly. 0:50:14.4 Louise: So, this is in West Sussex, yeah? 0:50:16.7 NL: That's right, West Sussex, that's right. 0:50:18.0 Louise: You know what's weird about that? I've actually attended a wedding at that council, that my ex-father-in-law got married there. And when I saw the picture there, I'm like, "Oh my God, I've actually been there." So, I had a poke, and I don't know if you know this, but hopefully, in the future, when those children, C and D, finally decide to sue the council, that they can use this as evidence. There is a report from a... It's called a commissioner's progress report on children services in West Sussex from October 2020, which details how awful the service has been for the past few years, and huge issues with how they're running things. And it says, "Quite fragile and unstable services in West Sussex." So, this family who've had their kids removed were being cared for by a service with massive problems, are being referred to programs that don't work, and that there's a massive miscarriage of justice. 0:51:17.3 NL: And I'm glad you're talking about it, and I'm glad we're talking about it. And I wish that we had the platform to talk about it more vocally. I'd want to be able to reach out to these... To see patients... They're not patients, child C and D. I want to be able to reach out to mum as well, and say... 0:51:36.3 Louise: I just wanna land in Sussex and just walk around the street saying, "Where are you? I wanna help." 0:51:40.2 NL: "Where are you? And let me hug you." And I'm very interest to know, I'd be very interested to know the ethnic origin of these young people. 0:51:48.9 Louise: And the socio-economic status of these people. 0:51:50.2 NL: Socio-economic status, 100%. I would very much like to know that. That would make a huge... I think that I can guess, I'm not going to speculate, but I had a very lovely young woman contact me from a... She was now an adult, but she had experienced this as a child. She had been removed from her home and was now an adult, and she had been in foster care, in social services, for a few years, and had obviously contact with her mum but hadn't been reunited with her mum ever. So it wasn't like it was for a time and then she went back. And we talked about this. She was in a London borough, I shall not name the borough, but I know for a fact that her race would've played a role in this, because she was half-Black, half-Turkish. 0:52:39.2 NL: And there're a few things in that court transcript that caught my attention. I don't know if you noticed there was a mention of the smell from the kitchen, and they didn't specifically said, you know, mould, or you know that there was mould in the kitchen, or there was something in the kitchen that was rotting, something like that, 'cause I think they would have specified. It was just a smell. And that made me wonder, is this to do with just the fact that maybe this family lived in poor housing or was it the type of food that they were cooking for their children? Is there a language issue, is there a cultural issue. What exactly is going on? 'cause we don't know that from the court transcript, so that's another thing that... Another piece of the puzzle that I would really be interested in. Is this a white wealthy family? Probably not. I don't think they are. 0:53:27.2 Louise: Yeah it didn't struck me that way either. Yeah, yeah this is potentially marginalization and racism happening that... 0:53:35.1 NL: Yeah. 0:53:35.9 Louise: And here in Australia, we've got an awful history of how we treated First Nations people and we removed indigenous kids from their families, on the basis of like we know better, and I just... Yeah honestly, elements of that here, like we know better. 0:53:51.5 NL: Yes. Right, this is it. We know better than you have to parent your child. I am have always been a big believer of not restricting my children's feed in any way. I was restricted, and I made the decision when we had the kids that there would just be no restriction at all. I have like been one of those parents that had just been like, that's the draw with all the sweet treats in it. They're not called treats, they're just sweets and chocolate and candy, there it is. It's within reachable distance. Help yourself whenever you want, ice pops in the freezer, there's no like you have to eat that to get your pudding. None of that. 0:54:27.6 NL: My kids have just been able to eat whatever they wanted, whenever they wanted, I never restricted anything, I wanted them to be intuitive eaters. And of course they are, and what amazes me is now my teenage son, when we were on lockdown, and he was like homeschooled, he would come downstairs, make himself a breakfast, and there was like three portions of fruit and veg on his plate, and not because someone told him that he had to, but just because he knew it was good for him and he knew it was healthy, there was like a selection, his plate was always multi-colored, he was drinking plenty of water. He would go and cook it, he cooked himself lunch, he knew that he can eat sweets and crisps and chocolate whenever he wanted to, and he didn't, he just didn't. Like it was there, that drawn, it gets emptied out because it's become a bit... But no, they don't take it, and sometimes they do, 'cause they fancy it, but most of the times they don't. And that is my decision as a parent, I believe that I have done what is in their best interest, I believe that I will prove over time that this has had a much better impact on their health, not restricting them. 0:55:26.4 Louise: Absolutely, Yeah. 0:55:27.6 NL: But the point is they're my children, and it was my damn choice, and even if my child is on the 98th percentile, it's still my damn choice, nobody gets to tell me how to parent my child. That is my child, I know what's best for them. And I believe that my children are going to prove the fact that this is a great way of parenting, and I know that actually most of their friends who had, were not allowed to eat the food that they wanted to eat used to come over to our house and just kind of like wide eyed. And they binge, they binge, you know, to the point that I have to restrict them and say I actually I don't think mom would like that if I gave that to you. 0:56:00.0 Louise: We know that that's what we do when we put kids in food deserts, we breed binge eating and food insecurity, and trying to teach our kids to have a relaxed and enjoyable relationship with food is what intuitive eating is all about. And without a side salad of fat phobia, we're not doing this relationship with food stuff in order to make sure you're thin, we're doing this to make sure that you feel really safe and secure in the world, and you know health is sometimes controllable and sometimes not, and this kind of mad obsession we have with controlling our food and the ability it will give us like everlasting life is weird. 0:56:39.0 NL: Yeah. 0:56:39.7 Louise: Yeah. Gosh, I'm so glad you're parenting those kids in that way and I've noticed the same thing with my kids. Like my kids, we are a family of intuitive eaters and it's just really relaxed, and there's variety, and they go through these little love affairs with foods, and it's really cute. [chuckle] And they're developing their palettes, and their size is not up to me. 0:57:05.8 NL: Yeah. 0:57:06.4 Louise: Yeah. 0:57:07.4 NL: Right. 0:57:08.1 Louise: It's up to me to help them thrive. 0:57:10.7 NL: That's right. And when people talk about health, I often hear people talking about health, and whenever they ask me that question, you know, surely you can agree that being fat is not good for your health, well, I'll always kinda go, "Oh Really? Could you just do me a favor here and define health?" Because I spend my whole life trying to define health, and I'm not sure that I've got there yet, but I can tell you without a doubt that this for me, in my personal experience as a doctor... And I've been a doctor for a long time now, and I see patients all the time, and I'm telling you that in my experience, the most important thing for your health is your mental and emotional well-being, that if you are not mentally and emotionally well, it doesn't matter how good your cholesterol is, it doesn't matter whether or not you've got diabetes, that is irrelevant, because if you're not mental and emotional... I'm not saying that 'cause you won't enjoy life, I mean, it has an impact on your physical health. And I spend most of my day dealing with either people who are depressed or anxious, and that's what they've presented with, or they've presented with symptoms that are being made worse or exacerbated by their mental and emotional pull, mental and emotional well-being. 0:58:19.1 NL: So giving my children the best start in life has always been about giving them a good mental and emotional well, start. It's about giving... It's not just teaching them resilience, but teaching them to love themselves, to be happy with who they are, to not feel judged or to not feel that they are anything other than the brilliant human beings that they are. And I believe that that is what's going to stand them in the greatest... In the greatest... I've lost my words now, but that's what's gonna get them through life, and that's why they're going to be healthy. And how much sugar they eat actually is quite irrelevant compared to the fact that they love themselves and their bodies, and they are great self-esteem, we all know that happiness is... Happiness is the most important thing when it comes to quality of life and happiness is the most important thing when it comes to length of life and illness, all of it. Happiness trumps everything else. 0:59:07.0 Louise: And to you know what that comes from. Happiness comes from a sense of belonging, belonging in our bodies, belonging in ourselves, belonging in the community, and all of this othering that's happening with the message that everyone belongs unless they're fat. That sucks ass and that needs to stop. This poor little kid when, in the transcript it mentioned that they found a suicide note... 0:59:29.9 NL: Yes. 0:59:30.1 Louise: And some pills. And she's fucking like 13. 0:59:34.8 NL: Yeah, and they called it a cry for help. 0:59:36.0 Louise: They called it cry for help 'cause of her body. 0:59:38.1 NL: Yeah. 0:59:38.4 Louise: They didn't recognize it since they've been sniffing around threatening to take her off her mom, and because she's being bullied for her size at school. This is like a calamitous failure to see the impact of weight stigma. 0:59:52.9 NL: She's been told that it's her fault that she's been taken away from her mum. They had told her that because she didn't succeed in losing weight, that she doesn't get to live with her mother anymore. Can you imagine? 1:00:02.4 Louise: So her mom. I can't even wrap my head around that. I can't. 1:00:07.2 NL: Well, she feels suicidal, I think I would too. I felt suicidal at her age and for a lot less. It's terrible, it's terrible. And I hope she's hanging on and I hope that... 1:00:14.6 Louise: I wanna tell her that she is awesome. 1:00:17.4 NL: Yes. 1:00:17.9 Louise: If she ever gets to listen to this. But I know the impact. So like when I was 11, my mom left and I remember how much it tore out my heart. 1:00:26.4 NL: Yeah. 1:00:26.9 Louise: You're 11... 1:00:27.5 NL: Yeah. 1:00:28.3 Louise: 12, 13. This is not the time to do this to kids, and this whole idea... The judge said something like, "Oh, you know, gosh, this is gonna be bad... " But here it is, I will read it to you. This is... She actually wrote a letter to the kids. 1:00:42.5 NL: Oh, gosh. 1:00:43.7 Louise: "I know you will feel that in making this o
Imagine being 13 years old, standing in front of a judge, accused of the "crime" of being fat. Imagine the incredible pain you would feel as the judge announces that in the interests of your 'health', you will be removed from your family. But there's no need to imagine. During the height of the UK COVID-19 pandemic, two children were removed from their loving home and put into foster care. The ONLY reason was that both kids were fat. This harrowing story raised the ire of the fabulous Fat Doctor UK, who advocated and pleaded and offered to help educate the social workers, judge, and anyone who would listen, but her valiant attempts have so far been ignored. Two kids have lost their families, thanks to fatphobia. Join me and the fabulous Fat Doctor UK as we get UTTERLY fired up about this travesty of justice. This is a tough listen so please make sure you have adequate spoons. Show Transcript 0:00:12.7 Louise: Welcome to All Fired Up. I'm Louise, your host. And this is the podcast where we talk all things anti-diet. Has diet culture got you in a fit of rage? Is the injustice of the beauty ideal? Getting your knickers in a twist? Does fitspo, make you wanna spit spo? Are you ready to hurl if you hear one more weight loss tip? Are you ready to be mad, loud and proud? Well, you've come to the right place. Let's get all fired up. 0:00:40.3 Louise: Hello, diet culture drop-outs. I'm so pleased to be with you again and very excited about today's episode. Okay, so first of all, I wanna say a massive thank you to all of the listeners who are so faithful and loving. And I love all your messages and emails, so keep them coming. And if you love the show, don't forget to subscribe so you don't miss the episodes as they pop out on a roughly monthly basis. And if you love us, give us five stars because the more five star reviews we get, particularly on Apple Podcasts, the louder the message is, the more listeners we get and the quicker we can topple diet culture. And that's the objective here. 0:01:24.7 Louise: If you're looking for some free stuff to help you with your anti-diet journey, gosh I hate that word. Let's call it an adventure. Anti-Diet Adventure, 'cause that's what it is. It's rocking and rolling. It's up and down. It's not predictable. But if you're looking for a resource where you might be going to medical visit, you might be trying to explain just what you're doing to friends and family, look no further than the free e-book; Everything You've Been Told About Weightloss Is Bullshit, written by me and the Anti-Diet Advanced doctor dietician, Dr Fiona Willer. In it we're busting the top 10 myths that float around diet culture like poo in a swimming pool, about the relationship between health and weight, and we're busting myths left, right and centre. 0:02:06.8 Louise: It's a really awesome resource. It's crammed full of science and facts and it will really help steel you and give you the armour that you need to push back against diet culture. So if you wanna grab a copy, it's absolutely free. Like I said, you can go to Instagram which is untrapped_ au and click on the link in the bio and grab a copy there. Or you can go to the website untrapped.com.au and a little pop-up will come and you will grab it there. More free stuff, if you are struggling with relationship with your body during the last couple of years in particular, Befriending Your Body is my free e-course. All about self-compassion, this amazing skill of being kind and befriending your body. And it's like a super power, self-compassion, because we're all taught from the moment we're born, practically, to disconnect and dislike and judge and body police ourselves. Not exactly a recipe for happiness and satisfaction. 0:03:05.9 Louise: So, this little e-course will help build the skill of self-compassion, which is absolutely awesome because if we can learn to connect with our imperfect bodies, we can learn to inhabit them, to look after them and to push back against the forces that are still trying to get us separate from them. You can find the Befriending Your Body e-course from Instagram. So, untrapped_au. Click on the link, Befriending Your Body, it's all free, it's beautiful. It's just so lovely to practice self-compassion meditations. Self-compassion is built for difficult times. And my friends, we're in a difficult time. So, get hold of that if you haven't already. 0:03:47.6 Louise: Big shout out and hello to all of the Untrapped community, the Master Class and online community, who we meet every week. We push back against diet culture together. We share our stories, we've been supporting each other through the various challenges of lockdown and it's just a wonderful community of awesome human beings. So, if you're struggling and you want to join a community, as well as learning all of the skills of how to do things like intuitive eating, returning to a relationship with moving your body that doesn't feel like hard work. Understanding weight stigma and weight prejudice, relationship with body, all of that kind of stuff is covered in this comprehensive course, Untrapped, which I co-created in 2017 with 11 other amazing anti-diet health professionals. 0:04:39.9 Louise: So if you wanna grab a hold of this program and join our online community, please do and now's the time. We're meeting weekly. So every Saturday, I meet with the whole community and we have an awesome chinwag about everything that's going on. You also get all of the material. And there's other things that happened throughout the year like events and retreats. Well, if they're not scuppered by COVID. [chuckle] In usual times, we are able to do that. Well, if that's not being scuppered by COVID, of course. But in ordinary times, we do extra stuff. So find out more about Untrapped on the website, untrapped.com.au. You can also find a link from Insta. So, I think that's a run through all of the preamble. 0:05:23.5 Louise: Now, we arrive at the exciting time. I am so excited to bring you today's episode. You would have heard of the Fat Doctor UK by now, because she burst onto the internet a few months ago. And it seems like she's everywhere and she is loud and she is angry and she's a GP. So, here we have a very fierce, fat-positive voice, straight out of the UK medical profession, which is sorely needed. And I've just got so much admiration for Natasha and everything that she's doing. And I was actually listening to the Mindful Dietician podcast when I first heard Natasha being interviewed by the wonderful, Fi Sutherland. And during that conversation, she mentioned an awful situation in the UK where two kids were removed from their family for being fat. 0:06:13.9 Louise: And I'd actually seen that story and was so horrified that I kind of shelved it a way. But hearing Natasha talk about it and what she decided to do about it herself, it just inspired me. I just knew I had to talk to her. So this episode is everything. It's a long one, and it's a bloody rollercoaster. We go a lot of places during this epic, fantastic conversation. So you are going to laugh, you are going to cry. You're gonna cry more than once, because I know I did. You're gonna be absolutely furious, because just what we're talking about is just so horrific. We are in the 21st century and kids are being removed from loving homes simply because of BMI and a failure to do the impossible, which is lose weight and keep it off via the epic fail of dieting. 0:07:06.8 Louise: So look, this is really a challenging episode to listen to. It's a horrible story but the conversation with The Fat Doctor, Natasha herself is nothing short of inspiring. This woman is on a crusade. She has got heaps of other people involved in changing the landscape in a meaningful way. She is a real champion in the UK and across the planet, and I know you're gonna enjoy this conversation, but have some tissues close by and keep your slow breathing going to help contain the rage 'cause it's real. So without further ado, I give you me and The Fat Doctor herself, Natasha Larmie. So Tash, thank you so much for coming on the show. 0:07:49.0 Natasha Larmie: Thank you so much for having me, I am so excited. Due to the time difference, it's past midnight now and I've never been this awake past midnight before, so I'm really looking forward to this talk. 0:07:58.8 Louise: Oh my god, I am so impressed with your fired up-ness. [laughter] [laughter] 0:08:04.6 Louise: Tell me what is firing you up. 0:08:07.3 NL: Just in general or specifically about this case? 'Cause obviously a lot of things are firing me up, but I mean, obviously... 0:08:11.7 Louise: Yes. 0:08:12.5 NL: We wanna talk about this particular case that's firing me up. 0:08:16.3 Louise: Yes, what is this case? 0:08:17.9 NL: Yeah, what's going on with this case. So I think it was back in September, October last year that it happened, but I became aware of it a few months later, where two young people, one was actually over the age of 16 and his sibling, his younger sibling is under the age of 16, had been removed from a very loving home, for all intents and purposes, a very loving, happy home and placed into foster care by a judge simply because they were fat, and there is really no other reason at all. There was no other signs of child abuse, neglect, physical abuse, emotional abuse, nothing. It's just because they were fat and they failed to lose weight, a judge removed them from a loving home and placed them in foster care, and the older sibling, I think he's 16, 17, didn't actually have to go in because he was too old and the younger girl, she's 13, and she was removed from her home. 0:09:11.5 NL: And when I read about it I think I was so disgusted, it sort of broke... One newspaper reports on it in the UK, and it was several weeks later I guess, because the court transcript had come out, and I read it, I read the article, and I just thought, "Well, this is just the press over-exaggerating." And then someone said... One friend of mine sent me a text message saying, "No, no, no, just read the court's transcript. Transcript, read it," and sent me a link to the court transcript. I read the whole thing and within an hour I think I read the whole thing, and I was in tears. I was so full of rage that I just felt like something had to be done and started a petition. Have tried really hard to get answers, to push people to look into this case but unfortunately, haven't got very far because we're dealing with people who have very much kind of shut us down and have said, "It's not your concern. This is a judge who made this decision and there's nothing you can do about it." 0:10:05.4 Louise: Really? 0:10:05.7 NL: So I'm pretty fired up. Yeah. 0:10:07.2 Louise: Oh, god. Oh, I mean, when you say it out loud, like my whole body is responding. When I read the court transcripts last night, I put it off because I knew that I just probably would have a massive reaction and I was crying too, because this transcript is literally fucking heartbreaking. 0:10:26.5 NL: Tears. 0:10:27.2 Louise: That they're all admitting that this is... No one wants to be split up, they love each other but there's this stupid idea, as if everybody is completely unaware of science and weight science and how fucked dieting is. 0:10:41.5 NL: Yeah. 0:10:42.2 Louise: And how it doesn't fucking work. 0:10:44.4 NL: No. 0:10:44.7 Louise: And it's in a pandemic. 0:10:46.0 NL: Yeah, yeah. 0:10:46.7 Louise: If I fail to lose weight in a lockdown, when the world was going mad... 0:10:51.6 NL: And I mean, actually, the story begins I think 10 years previously, the story begins when they were three and six. These were two children, a three-year-old and a six-year-old who were picked up most likely because... I don't know if it's the same in Australia, but in the UK we have a screening program, so in year one, which is between the age of five and six, you are weighed and measured by a school nurse, and they... 0:11:13.4 Louise: Really? 0:11:13.9 NL: Yeah. And do you not have that? No. 0:11:15.6 Louise: No. 0:11:15.7 NL: We have. This is the National Child Measurement Programme, there's a acronym, but I didn't bother to learn. 0:11:21.2 Louise: Oh my god. 0:11:21.6 NL: But it happens in year one, which is when you're between five and six, and again in year six, which is when you're between 10 and 11. 0:11:29.0 Louise: Oh Christ. 0:11:29.2 NL: Two of the worst times to weigh people... 0:11:30.0 Louise: Correct, yeah. 0:11:32.0 NL: If you're think about it, because of course, especially around the 10, 11 stage some people are heading towards puberty, pre-puberty, some people are not, and so those that are heading towards pre-puberty will often have gained quite a bit of weight because you know that always happens before you go through puberty, you kind of go out before you go up, and that's completely normal, but they get penalised. But anyway, so I imagine... I don't know, because that's not actually in the transcripts but I'm guessing that at six, the older sibling, the boy was shown to be grossly overweight or whatever they call it, morbidly obese. They probably just measured his BMI, even though he was six, they probably measured it, which is just ridiculous 'cause that's not what BMI is for, and rather than looking at growth charts, which is what we should be doing at that age, they will have just sent a letter home and the teachers would have got involved and somewhere along the line, social services would have been called just because of the weight, nothing else, just because of the weight, and social services... 0:12:25.8 Louise: Just because of the percentile of a BMI. 0:12:28.5 NL: That was all it was. It was just weight. There was literally no concerns of ever been raised about these kids apart from their weight. And at the age of three and six, social services got involved and started forcing these children to diet, and they will say that's not what they did, they tried to promote healthy eating, but when you take a three-year-old and a six-year-old and you tell them... You restrict what they eat, you force them to exercise, and you tell them there's something wrong with them, you are putting them on a diet at the age of three to six, and we know, for sure, with evidence, you know, I know, and everyone listening should know by now that when you put young children on a diet like that at such a young age and you make such a big deal out of their weight, they are going to develop disordered eating patterns, and they are going to... 0:13:06.8 Louise: Of course. 0:13:07.8 NL: Gain weight, so... 0:13:09.3 Louise: They're going to instead, that's a trauma process happening. 0:13:12.2 NL: That's true. Yeah, it's... 0:13:13.8 Louise: A trauma to get child protective services involved. 0:13:17.8 NL: Yeah, and live there for 10 years, and then... 0:13:21.4 Louise: Ten years? 0:13:22.5 NL: Got to the stage where they took the proceedings further and further, so that they kept getting more and more involved. And eventually, they decided to make this a child protection issue. Up until that point, child social services were involved, but then, about a year before the court proceedings, something like that, before the pandemic. What happened then was that they gave these children a set amount of time to lose weight, and they enforced it. They bought them Fitbits so that they could monitor how much exercise they were doing, they bought them gym subscriptions, they sent them to Weight Watchers. [chuckle] 0:13:55.9 Louise: Fantastic, 'cause we know that works. 0:13:58.4 NL: We know that works. And of course, as you said, it was during a lockdown. So, Corona hits and there was lockdown, there was schools were closed, and for us, it was really quite a difficult time. And in spite of all of that... 0:14:13.0 Louise: I can't believe it. 0:14:14.9 NL: When the children failed to lose weight, the judge decided that it was in their best interest to remove them from their loving parents. And dad, from what I can tell from the court transcripts. I don't know if you noticed this as well. I think mom was trying very hard to be as compliant as possible. 0:14:26.9 Louise: She was, and even she lost weight, the poor thing. 0:14:30.0 NL: Yes, but I think dad almost seems to be trying to protect them, saying, "This is ridiculous. You can't take my kids away just because of their weight," and I... 0:14:38.1 Louise: Seems like he was in denial, which I fully understand. 0:14:41.1 NL: I would be too, I would be outraged. And it sounds like this young girl... I don't know much about the boy, but from what I can see from the transcripts, this young girl really became quite sad and low and depressed, and obviously, shockingly enough, her self esteem has been completely ruined by this process. 0:14:58.7 Louise: I know, I know. I really saw that in the transcript. This poor little girl was so depressed and getting bullied. And in the transcript, the way that that is attributed to her size and not what abuse they're inflicting on this family. 0:15:13.3 NL: Right. Yeah, really quite shocking. And then of course, the other thing you probably noticed from the transcript is there is no expert testimony at this court proceeding. None whatsoever. There is no psychologist. 0:15:24.0 Louise: Actually, there was. 0:15:25.8 NL: There was... 0:15:26.6 Louise: Dr... What's her name? 0:15:29.4 NL: Yes. You're right, there was a psychologist, and you're absolutely right. She was not an eating disorder specialist or a... She was just a psychologist. 0:15:37.3 Louise: She's a clinical psychologist. Dr. Van Rooyen, and she's based in Kent, and she does court reports for child abuse. Yes, and I can see her weight stigma in there. She's on the one hand acknowledging that the kids don't wanna go, that the kids will suffer mentally from being removed, but you can also see her unexamined weight stigma. And that you're right, where the hell are the weight scientists saying, "Actually, it's biologically impossible to lose weight and maintain it"? Because in the transcripts, they do mention that the kids have lost weight, failed to keep it off. 0:16:16.5 NL: Exactly, exactly. And it's just shocking to me that there would be such a lack of understanding and no desire to actually establish the science or the facts behind this. If I was a judge... I'm not a judge, I'm not an expert, but if I was a judge and I was making a decision to remove a child from a home based purely on the child's inability to lose weight, I would want to find out if it was possible that this child simply couldn't lose weight on their own. I would want to consult experts. I would want to find out if there was a genetic condition. I'm not saying she has a genetic condition. You and I know that she doesn't need to have a genetic condition in order to struggle to lose weight, that actually, the psychology behind this explains it. But even if you've not got to that stage yet, there was no doctors, there was no dietitians, there was no... No one was consulted. It was a psychologist who had no understanding of these specific issues, who, as you said, was clearly biased. There was social workers who said, "We've done everything we can because we've given them a Fitbit and we've sent them to Weight Watchers and sent them to the gym, but they refuse to comply." 0:17:24.9 Louise: I know. It's shocking. 0:17:28.4 NL: Yeah, it strikes me that we live in a world where you just can get away with this. It's just universally accepted that being fat is bad, and it's also your fault, your responsibility. The blame lies solely on the individual, even if that individual is a three-year-old child, it is. And if it's not the child, then of course, it's the parent. The parent has done something wrong. 0:17:52.1 Louise: Specifically the mother, okay. 0:17:53.5 NL: The mother, yeah. 0:17:54.4 Louise: The one with the penis, okay, let's not talk about him, 'cause that was absent. It was the mom. And the only possibility that was examined in this is that it's mom's fault for not being compliant, like you said. That's the only thing. Nothing else like the whole method is a stink-fest of ineffective bullshit. 0:18:13.5 NL: And there's the one point in the transcript when they talk about the fact that she had ice cream or chips or something in the house. 0:18:19.7 Louise: That's Ms. Keeley, their social worker, who went in and judged them. And did you notice that she took different scales in during that last visit? That last visit that was gonna determine whether or not they'd be removed, she took different scales in and weighed them. And they say, "Look, we acknowledge that that could've screwed up the results, but we're just gonna push on with removal." 0:18:43.0 NL: It was their agenda. 0:18:45.0 Louise: It was. It's terrifying, and it's long-term foster care for this poor little girl who doesn't wanna leave her mom. I'm so fired up about this, because the impact of removing yourself from your home because of your body, how on earth is this poor kid gonna be okay? 0:19:05.7 NL: This is my worry. How is mom going to be okay? How is that boy going to be okay? And how is that young, impressionable girl... My oldest son is a little bit older, and my younger son is a little bit younger, she's literally in between the two, and I'm watching what the last two years or last year and a half has done to them in terms of their mental and emotional well-being. And to me, even without social services' involvement, my children's mental health has deteriorated massively. And I cannot even begin to comprehend what this poor girl is going through. I cannot imagine how traumatized she is, and I cannot see how is she ever going to get over this, because she's been going through it since she was three, and it's not at the hand of a parent, it's at the hand of a social worker, it is the social worker's negligence. And what's interesting is a lot of social workers and people who work in social services have reached out to me since I first talked about this case, and they have all said the same thing, the amount of weight stigma in social services in the UK is shocking. It is shocking. It is perfectly acceptable to call parents abusers just because their children are overweight. 0:20:21.8 Louise: Jesus. 0:20:22.2 NL: No other reason, just your child is over the limit, is on the 90th percentile or whatever it is, your child is overweight and therefore you as a mother, usually as you said, it's a mother, are an abusive mother, because you've brought your child up in a loving environment but they failed to look the way that you want them to look, that's it. 0:20:41.0 Louise: Okay. So, that's me, right. My eldest is in the 99th percentile, so I am an abuser, I'm a child abuser. 0:20:47.3 NL: Child abuser, I can't believe I'm probably talking to one. 0:20:49.3 Louise: I know. [laughter] 0:20:49.9 NL: I can't believe I'm probably talking to one. And you know, the irony, my son's been really poorly recently and he's been up in... I mean we've spent most of our life in the hospital the last few weeks, and... 0:20:58.1 Louise: Oh dear. 0:20:58.3 NL: Went to see a paediatrician and they did the height and weight, and he is on the 98th percentile, my son has a 28-inch waist. He is a skeleton at the moment because he's been really ill, but he is mixed race, and we all know that the BMI is not particularly... 0:21:12.9 Louise: It's racist. 0:21:13.2 NL: Useful anyway, but it's massively racist, so my children have always been, if you weigh them, a lot heavier than they look, because I mean he's... There isn't an ounce of fat on him. My point is that BMI is complete utter bullshit and it doesn't deserve to exist. The fact that we've been using up until now is shameful and as a doctor, I cannot accept that we use this as a measure of whether a person is healthy and certainly as a measure of whether a child is healthy, because until recently, we were told you don't do BMIs on anyone under the age of 16 but that's just gone out the window now, everyone... 0:21:48.5 Louise: I know. 0:21:48.6 NL: Gets a BMI, even a six-year-old. 0:21:50.1 Louise: You get a BMI, you get a BMI. [laughter] I think it's not supposed to be used for an individual anything, it's a population level statistic. 0:22:01.1 NL: And a pretty crappy one at that. 0:22:02.3 Louise: It's a shitty one. 0:22:02.6 NL: It is like you said. 0:22:04.2 Louise: Yes. 0:22:04.6 NL: It's based on what European men, it's not particularly useful for men, it's not particularly useful for any other race, it's just useful perhaps. Even when it came out, like even when... What's his face? I forget his name right now, Ancel Keys. When he did that study that first look, brought in the BMI into our medical world as it were, yeah, even he said at the time it was alright. It's not the best, it's not the worst, it will do. It's the best out of the bunch. I mean he didn't even have much enthusiasm at the time. He said specifically it's not meant to be used as an individual assessment. And even the guy who kind of didn't invent it, but he sort of invented it as a measure of "obesity" and yet... And even he didn't have much good stuff to say about it. If he was selling the latest iPhone, Apple would have a lot to say about that. [laughter] I just... This fact that we've become obsessed and we know why this is. We know this is because of the diet industry, we know this is because of people trying to make money out of us and succeeding, very successful at making money out of us. 0:23:02.9 Louise: It's actually terrifying how successful this is because when I read this transcript, I've been doing a lot of work against the Novo Nordisk impact and how our modern oh, narrative has been essentially created by the pharmaceutical company that's producing all of the weight loss drugs, they have 80% of the weight loss drugs market and they've shamelessly said in their marketing that this is their drive to increase... That it's to create a sense of urgency for the medical management of obesity. And here it is, this is where it bleeds, because they're telling us this bullshit that it's going to reduce stigma. No, it's going to create eugenics. This is hideous what's happening here and I can't believe that the world didn't stop and that the front page of newspapers aren't saying like get fucked, like get these kids back. There's no outrage. 0:24:04.2 NL: No, there is none whatsoever. We got just over 2,000 people supporting the petition and as grateful as I am for that, that's just what the fuck, that's 2,000 people who live in a country of 68 million and only 2,000 people had something to say about this and, we... That's how much we hate fat kids and how much we hate fat people. We just don't see them as worthy and nobody wants to defend this young girl, nobody sort of feels sorry for her and I just... I can't get my head around this whole thing. It's funny because I didn't really know about it, a year ago I was completely clueless. It's all happened rather quickly for me that I've begun to understand Haze and begun to understand who Novo Nordisk was and what they are doing and what Semaglutide actually is and how it's going to completely change the world as we know it. 0:24:56.5 NL: I think this particular drug is going to become part of popular culture in the same way that Viagra is, we use that word now in novels and in movies. It's so popular and so understood, nobody talks about... I don't know, give me a name of any drug, like some blood pressure medication, they don't talk about it in the same way they talk about Viagra. But Semaglutide is going to be that next drug because they have tapped into this incredibly large population of people who are desperate to lose weight and they've got this medication that was originally used to treat diabetes, just like Viagra was originally used to treat blood pressure and have said, "Wow, look at this amazing side effect. It makes people lose weight as long as you run it. Let's market this." And the FDA approved it. I mean, no... 0:25:45.1 Louise: I know. 0:25:45.8 NL: No thought as to whether or not this drug is gonna have a massive impact on people in their insulin resistance and whether they're gonna develop diabetes down the line. I don't think they care. I don't think anybody actually cares. I think it's just that everybody is happy, woo-hoo, another way to treat fat people and make a good deal of money out of it. 0:26:03.9 Louise: Right? So, Semaglutide is... It's the latest weight loss drug to be approved by the FDA from Novo Nordisk and it is like the Mark II. So, they were selling Saxenda, Saxenda's here in Australia, they're pushing it out and this Semaglutide is like the Mark II, like I think of Saxenda as like Jan Brady, and Semaglutide is like Marcia. [laughter] 0:26:29.3 Louise: 'Cause it's like, "Oh my God, look at Semaglutide. Look at this amazing one year trial." [laughter] Marcia, Marcia, Marcia, like oh my God, we can make so much weight loss happen from this intervention. Why? Why do we need all of this weight loss, all these percentages? And, "Oh, we can lose 15% and 20%," and we don't need to for health, but okay. 0:26:53.3 NL: Yeah. The other thing that we have to remember about it, I don't think it's actually that much better. I've used all of these drugs in treating diabetes. So many years, I used these drugs. The beauty of it, of course, is that it's a tablet, and Saxenda is an injection. I'm assuming you have the injectable form, yeah? 0:27:09.9 Louise: That's right. You have to inject, and it's very expensive. 0:27:14.0 NL: It's extremely expensive, as will... Marcia Brady will be more expensive, I'm sure. 0:27:18.6 Louise: So high maintenance. [chuckle] 0:27:20.2 NL: Absolutely, but she is easier to administer. A lot of people don't like the idea of injecting themselves, but taking a tablet is dead easy. So, that's what makes this special, as it were, because it's the only one of that whole family that is oral, as opposed to injectable. 0:27:37.6 Louise: Well, that's interesting, because the paper with all of the big, shiny weight loss was injectable, it wasn't tablet. 0:27:43.7 NL: Oh, really? Oh, but they're marketing it as the oral version, definitely. That's the one that's got approved. It's brand name is... 0:27:51.3 Louise: Wegovy. 0:27:52.2 NL: Oh no, well, I have a completely different brand name. Is it different, maybe, in Australia? 0:27:57.1 Louise: Well, this is in America. In Australia, they haven't cornered us yet. I'm sure that they're trying to do it, but it was the FDA approval for Wegovy, [0:28:05.4] ____. 0:28:05.9 NL: So, they obviously changed the name. That's not the same one we use in diabetes. Clearly, they've had to revamp it a bit. Irrespective of oral, injectable, whatever, I think that this is going to... Novo Nordisk is sitting on a gold mine, and they know it. And it's going to change our lives, I think, because bariatric surgery is quite a big thing, and it's something that often people will say, "I'm not keen on doing." And the uptake is quite low still, and so, in bariatric... 0:28:35.2 Louise: In the UK, not here. 0:28:36.2 NL: Yeah, [chuckle] yeah, but bariatric surgeons are probably very afraid right now, because there's drugs coming along and taking all of their business away from them. 0:28:43.5 Louise: Actually, you know what Novo were doing? They're partnering with the bariatric surgeons. 0:28:46.2 NL: Of course they are. 0:28:46.9 Louise: And they're saying to them, "Hey, let's use your power and kudos, and our drugs can help your patients when they start to regain." 0:28:56.4 NL: Oh my gosh. 0:28:58.0 Louise: It's literally gateway drug. Once you start using a drug to reduce your weight, you have medicalized your weight, and it's a small upsell from there. So, I think this is all part of a giant marketing genius that is Novo Nordisk. But I'm interested to hear your concerns, 'cause I'm concerned as well with the use of diabetes drugs as weight loss medications, and I read about it being that they're hoping that people will take this drug like we take statins. So, everyone will take it preventatively for the rest of their lives. What's the long-term impact, do you think, of taking a double dose of a diabetes drug when you don't have diabetes? 0:29:43.5 NL: Well, first of all, they don't know. Nobody knows, because they've only done a study for a year, and just how many diet drugs have we put out there into the universe since the 1970s, and then taken them back a few years later, 'cause we've gone, "Oh, this kills"? If you've got diabetes and you take this drug because you've got insulin resistance and this drug helps you to combat your insulin resistance in the way that it works, you've already got diabetes. And so, there is no risk of you developing diabetes, and this drug does work, and so, I have no issue with the GLP-1 analogs in their use in diabetes. I think all the diabetes drugs are important, and I'm not an expert. But you've really got to ask yourself, if you take a healthy body and you act on a system within the pancreas and within the body, in a healthy, essentially, healthy body, healthy pancreas, you've got to ask yourself if it's going to worsen insulin resistance over time. It's actually going to lead to increased cases of diabetes. Now, they say it won't, but... 0:30:47.4 Louise: How do they know that? 'Cause I've read a study by Novo, sponsored, in rats, that showed that it did lead to insulin resistance long-term. 0:30:57.6 NL: Right, I think common sense, because we understand that the way that the body works, just common sense. The way the body works suggests to me that over long periods of time, taking this medication in a healthy person is going to lead to increased insulin resistance, which in turn will lead to diabetes. That is what common sense dictates. But of course, as you said, we don't know. We don't have a study. Nobody has looked into this. And it makes me sad that we are using a drug to treat a condition that isn't a condition. 0:31:30.2 Louise: I know, yeah. [chuckle] 0:31:32.4 NL: And inadvertently, potentially giving people a whole... 0:31:36.0 Louise: Creating a condition. 0:31:36.6 NL: Creating an actual medical condition, which we all know to be life-threatening if untreated. And so, I cannot fathom why... Well, I can, I understand. It's for financial reasons only, but I can't understand why there are doctors out there that want to prescribe this. This is the issue that I have. I'm a doctor, and I can't speak on behalf of drug companies or politicians or anyone else, but I can speak to what doctors are supposed to be doing, and we have a very strong code of conduct that we have to abide by. We have ethical and moral principles and legal obligations to our patients. And so, doing no harm and doing what is in your patients' best interest, and practising fairly and without discrimination, and giving people... Allowing them to make an informed choice where they are aware of the risks and the side effects and all the different treatment options. 0:32:28.0 NL: When it comes to being fat, again, it seems to have gone out the window. None of these things are happening. We wouldn't dream of addressing other issues this way, it's just fatness, because it's just so commonly, widely accepted that fatness is bad and you've got to do whatever you can to get rid of it. I've had someone tell me today that they are pregnant with their first child and they had their first conversation with the anesthetist, who told them they had to do whatever they could to lose weight before they had their baby. This is a pregnant woman. 0:32:58.1 Louise: Whatever they had to do? 0:33:00.1 NL: Whatever they had to do, and she said, "What do you want me to do, buy drugs off the streets?" And the anesthetist said... Wait for it. The anesthetist said, "It would be safer for you to use a Class A drugs than it would for you to be fat in pregnancy". The anesthetist said that to this woman. She told me this and I just went "Please just... Can you just report him?" 0:33:21.7 Louise: Shut the front door, Jesus Christ! 0:33:24.6 NL: Can you imagine? First of all, that's not true. Second of all, he is saying that it is better to be a drug addict than to be a fat person. This is no judgment on drug addicts, but you do not encourage your patients to use Class A drugs to lose weight. That's stupid. Imagine if he'd said that about anything else, but in his... And it was a man, in his world, for whatever reason, his ethics just abandons them all in favor of fat shaming a woman. 0:33:52.4 Louise: This is where we're at with, it's self examined. It's like there's a massive black hole of stigma just operating unchallenged effortlessly and actually growing, thanks to this massive marketing department, Novo. It's terrify... That poor lady, I'm so glad she's found you and I hope she's not gonna go down the Class A drug route. [laughter] 0:34:19.3 NL: She's definitely not, but she was quite traumatized. She's on a Facebook group that I started and it's great because it's 500 people who are just so supportive of each other and it was within a few minutes 50 comments going "What a load of crap, I can't believe this," "You're great, this doctor is terrible". But it just stuck to me that one of my colleagues would dare, would have the audacity to do something as negligent as that. And I'm gonna call it what it is. That's negligence. But I'm seeing it all the time. I'm seeing it in healthcare, I'm seeing it in Social Services, I'm seeing it in schools, I'm seeing it in the workplace, I'm seeing it everywhere. You cannot escape it. And as a fat person, who was in the morbidly, super fat, super obese stage where she's just basically needs to just be put down like a... 0:35:16.3 Louise: Oh my gosh, it's awful. 0:35:18.5 NL: And as that person, I hear all of these things and I just think "I'm actually a fairly useful member of society, I've actually never been ill, never required any medication, managed to give birth to my children, actually to be fair, they had to come out my zip as opposed to through the tunnel." But that wasn't because I was fat, that was because they were awkward. But this anesthetist telling this woman that she's too fat to have a baby. I was just like "But I am the same weight. I am the same BMI as you". And I had three and I had no problems with my anesthetics. In fact after my third cesarean section, I walked out the hospital 24 hours later, happy as Larry, didn't have any problems. And I know people who were very, very thin that had a massive problems after their cesarean. So there's not even evidence to show how dangerous it is to have a BMI over 35 and still... And then caught when it comes to an anesthetic. This isn't even evidence-based, it's just superstition at this point. 0:36:12.8 Louise: It's a biased based and the guidelines here in Australia, so I think above 35 women are advised to have a cesarean because it's too dangerous. And women are not allowed to give birth in rural hospitals, they have to fly to major cities. So imagine all of... And don't even get me started on bias in medical care for women. It's everywhere, like you said, and it's unexamined and all of this discrimination in the name of, apparently, healthcare. It's scary. 0:36:43.9 NL: It really is. Gosh, you've got me fired up, it's almost 1:00 in the morning and I'm fired up. I'm never gonna get to sleep now. [laughter] 0:36:51.7 Louise: Okay, I don't wanna tell you this, but I will. 'Cause we're talking about how on earth is this possible, like why aren't there any medical experts involved to talk about this from a scientific basis, and I'm worried that even if they did have medical people in the court, they wouldn't have actually stuck up for the kid. I found this JAMA article from 2011. It's a commentary on whether or not large kids should be removed from their families, and it was supportive of that. 0:37:18.0 NL: Oh gosh. Of course it was. 0:37:22.0 Louise: And in response to that commentary, the medpage, which is a medical website, a newsletter kind of thing. They did a poll of health professionals asking should larger kids removed from their families, and 54% said yes. 0:37:40.7 NL: Of course. 0:37:41.3 Louise: I know. Isn't that dreadful? One comment on that said "It seems to me the children in a home where they have become morbidly obese might be suffering many other kinds of abuse as well, viewing in the size of a child. 'Cause we've all gotten bigger since the '80s. We're a larger population and viewing that as abuse and as a fault of parenting. Unbelievable. I also had a little dig around Australia, 'cause it's not isolated in the UK, there's so many more cases. 0:38:16.9 NL: They have. Yeah. 0:38:17.8 Louise: And I think actually in the UK, it might be a lot more common than in Australia. 0:38:22.1 NL: Yeah, I can believe that. 0:38:23.5 Louise: But it did happen here in 2012, there was some report of two children being removed from their families because of the size of the kids. And the media coverage was actually quite dreadful. I'll put in the show notes, this article, and the title is "Victorian authorities remove obese children, removed from their parents". So even the title is wrong, couldn't even get their semantics right. There's a picture, you can imagine what picture would accompany... 0:38:55.2 NL: Well of course it can't be of the actual children, because I think it leads to lawsuit. I'm assuming it's a belly. Is there a belly? Is there a fat person in it or a fat child eating a burger? 0:39:06.2 Louise: Yes. [laughter] 0:39:07.1 NL: Sorry, it's either the belly or the fat person eating the burger. So, a fat child eating the burger, sorry. 0:39:11.9 Louise: Helpfully, to help the visually impaired, the picture had caption and the caption reads "Overweight brother and sister sitting side by side on a sofa eating takeaway food and watching the TV." So not at all stereotyped, very sensitive, nuanced article this one. And then we hear from Professor John Dixon, who is a big part of obesity Inc here in Australia. He told the ABC that "Sometimes taking children away from their parents is the best option." In the same article, he also admits "There's no services available that can actually help kids lose weight", and he says that it's not the parents fault. Helpfully, this article also states that "Obesity is the leading cause of illness and death in Australia." [laughter] 0:39:58.7 NL: I love it when I hear that. How have they figured that out? What do they do to decide that? Where does this... 0:40:08.4 Louise: They don't have to provide any actual evidence. 0:40:10.5 NL: Right. They just say it. 0:40:12.1 Louise: Got it. 0:40:13.0 NL: Just say it. 0:40:14.4 Louise: Diet. And I checked just to make sure, 'cause in case I've missed anything. 0:40:18.4 NL: Yeah. 0:40:19.6 Louise: The top five causes of death in Australia in 2019; heart disease, number two dementia, number three stroke, number four malignant neoplasm of trachea bronchus and lung. 0:40:30.4 NL: Lung cancer. 0:40:30.9 Louise: Lung cancer. 0:40:31.5 NL: That's lung cancer. 0:40:32.3 Louise: And number five chronic lower respiratory disease. 0:40:38.4 NL: So translation. Heart attacks, dementia... In the UK it's actually dementia first, then heart attacks. So dementia, heart attacks, stroke, same thing in the UK, and then lung cancer and COPD. Both of those are smoking-related illnesses. And I can say quite safely that they are smoking-related illness because the chance of developing lung cancer or COPD if you haven't smoked is minuscule. So what the people are doing is they're saying, "Well, we can attribute all of these heart attacks and strokes and dementia to "obesity". And the way we can do that is we just look at all these people that have died, and if they are fat we'll just assume it's their fat that caused their heart disease. 0:41:20.0 NL: To make it very clear to everybody that is listening, if you have a BMI of 40, we can calculate your risk of developing a heart attack or a stroke over the next 10 years using a very sophisticated calculator actually, it's been around for some time. It's what we use in the UK. I'm assuming Australia has a similar one, don't know what it's called there. In the UK it's called a QRISK. So I've done this. I have calculated. I have found a woman, I called her Jane. I gave her a set of blood pressure and cholesterol, and I filled in a template. And then I gave her a BMI of 20. And then I gave her a BMI of 40. And I calculated the difference in her risk. I calculated the difference in her risk, and the difference in her risk was exactly 3%. The difference in her risk if she was a smoker was 50%. She was 50% more likely to have a heart attack if she was a smoker, but only 3% more likely to have a heart attack if she had a BMI of 40 instead of a BMI of 25. 0:42:15.0 NL: To put it into perspective, she was significantly more likely to have a heart attack if she was a migraine sufferer, if she had a mental health condition, if she had lupus or rheumatoid arthritis, if she was Asian, if she was a man, and all of those things dramatically increased her risk more than having a BMI of 40. So it's just very important that doctors will admit, 'cause it's about admitting to a simple fact, this calculator we use to predict people's risks. So if we know that weight only has a 3-4% impact on our cardiovascular risk as opposed to smoking which has a 50% impact, as opposed to aging which is why most people die because they get old and let's face it everybody dies some time. 0:43:04.0 NL: So what's happening is the... Whoever they are, are taking all these deaths from heart disease which was likely caused by the person aging, by the person being male or just being old and being over the age of 75, your risk of heart disease goes up massively irrespective of your weight. So instead of saying, "Well, it's just heart disease", they've gone, "Well, it's heart disease in a fat person and therefore it was the fatness that caused the heart disease." And that is offensive to me to the point that now, I have heard... And this is awful in this year, our patients that are dying of COVID, if they die of COVID in the UK, it's actually quite heart breaking, it's happened to someone that I was close to. If they die of COVID in the UK, and they happen to be fat, the doctor writes "obesity" on their death certificate... 0:43:51.8 Louise: No way. 0:43:52.4 NL: As a cause of death. They died of COVID. 0:43:55.2 Louise: What? 0:43:55.5 NL: They died of COVID. That's what they died of. They died of this terrible virus that is killing people in their droves but people are under the misguided impression that being fat predisposes you to death from COVID, which is not true. It's not true. That is a complete gross misrepresentation of the facts. But we've now got doctors placing that on a person's death certificate. Can you imagine how that family feels? Can you imagine what it feels like to get this death certificate saying, "Your family member is dead from COVID but it's their fault 'cause they were obese." And how can the doctor know? How could the doctor know that? 0:44:34.2 Louise: How can they do that? 0:44:35.6 NL: How can they do that? And this is my point, this doctor that's turning around and saying it's safer for children to be removed from their loving home. Obviously, this person has no idea of the psychological consequences of being removed from your family. But it's safer for that person to be removed from their home than to remain in their home and remain fat. What will you achieve? Is this person going to lose weight? No. I can tell you what this person is going to do. This person is going to develop... 0:44:58.9 Louise: They even say that. They even say that in the transcripts. We don't think that they'll get any more supervision. 0:45:03.1 NL: Yeah. In fact, we're gonna get less supervision because it's not a loving parent. You're going to develop, most likely an eating disorder. You're going to develop serious psychological scars. That trauma is going to lead to mental health problems down the line. And chances are you're just gonna get bigger. You're not gonna get smaller because we know that 95% of people who lose weight gain it all back again. We know that two-thirds of them end up heavier. We know that the more you diet, the heavier you're gonna get. And that actually, this has been shown to be like a dose-response thing in some studies. So the more diets you go on, the higher your weight is going to get. If you don't diet ever in your life, chances are you're not gonna have as many weight problems later on down the line. So, as you're saying, we are living in a society that's got fatter. And there's lots of reasons for that. It's got to do with the food that we're eating now. That we're all eating. That we're all consuming. 0:45:55.1 Louise: Food supply. Only some of us will express from there the epigenetic glory of becoming higher weight. 0:46:02.0 NL: Right. And that's the thing, isn't it? Genetics, hormones, trauma, medications. How many people do I know that are on psychiatric medications and have gained weight as a result, Clozapine or... It's just what's gonna happen. You name it. Being female, having babies, so many things will determine your weight. 0:46:21.0 Louise: Getting older. We're allowed to get... We're supposed to get bigger as we get older. 0:46:25.1 NL: And then you know that actually, there are so many studies nowadays, so many studies that we've labeled it now that show that actually being fat can be beneficial to you. There's studies that show that if you end up in ICU with sepsis, you're far more likely to survive if you're fat. If you've got a BMI over 30, you're more likely to survive. There's studies that show that if you have chronic kidney disease and you're on dialysis, the chances of you surviving more long-term are significantly higher if you're fat. Heart failure, kidney disease, ICU admissions, in fact, even after a heart attack, there's evidence to show that you're more likely to survive if you're fat. And they call this the obesity paradox. We have to call it a paradox because we cannot, for one moment, admit that actually there's a possibility that being fat isn't all that bad for you in the first place and we got it wrong. Rather than admit that we got it wrong, we've labeled a paradox because we have to be right here, we have to... 0:47:18.0 Louise: Yeah, it's like how totally bad and wrong, except in certain rare, weird conditions, as opposed to, "Let's just drop the judgment and look at all of this much less hysterically." 0:47:29.5 NL: Yeah. And studies have shown that putting children on a diet, talking about weight, weight-shaming them, weighing them, any of these things, have been linked to and have been demonstrated to cause disordered eating and be a serious risk for direct factor for weight gain. And that, in my opinion, is the important thing to remember in this particular case, because as I said, social services start in weight-shaming, judging, and talking about weight when these children were three and six, and they did that for 10 years. And in doing so, they are responsible for the fact that these children went on to gain weight, because that's what the evidence shows. And there's no question about this evidence, there's multiple papers to back it up. 0:48:14.1 NL: There's an article published in Germany in 2016, there was an article published last year by the University of Cambridge, and even the American Academy of Pediatrics agrees that talking about weight, putting children on a diet, in fact, even a parent going on a diet is enough to damage that child and increase their risk of developing disordered eating patterns and weight gain. 0:48:37.9 NL: And so, as far as I'm concerned, that to me, is evidence enough to say that it's actually social services that should be in front of a judge, not these children, but it's the social workers that should be held to account. And I have written... And this is something that is very important to say. I wrote to the council, the local authority, and I've written a very long letter, I've published it on my website. You can read it anytime, anyone can read it. And I wrote to them and I said, "This is the evidence. Here are all the links. As far as I'm concerned, you guys got it terribly wrong and you have demonstrated that there is a high degree of weight bias that is actually causing damage to children. I am prepared to come and train you for free and teach all of your social workers all about weight bias, weight stigma, and to basically dispel the myths that obviously are pervading your social work department." And they ignored me. I wrote to politicians in the area. They ignored me. I wrote to a counselor who's a member of my political party, who just claimed, "Yeah, I'll look into it for you." Never heard from her again. Yeah, nobody cares. 0:49:44.0 Louise: It's just such a lack of concern. 0:49:45.7 NL: I didn't even do it in a critical way. I had to do it in a kind of, "I will help you. Let me help you. I'm offering my services for free. I do charge, normally, but I'll do it for free for you guys." No one is interested. Nobody wants to know. And that makes me really sad, that they weren't even willing to hear me out. 0:50:03.0 Louise: I can't believe they didn't actually even answer you. 0:50:06.5 NL: Didn't answer me, didn't respond to any of my messages, none of the counselors, none of the... Nobody has responded, and I've tried repeatedly. 0:50:14.4 Louise: So, this is in West Sussex, yeah? 0:50:16.7 NL: That's right, West Sussex, that's right. 0:50:18.0 Louise: You know what's weird about that? I've actually attended a wedding at that council, that my ex-father-in-law got married there. And when I saw the picture there, I'm like, "Oh my God, I've actually been there." So, I had a poke, and I don't know if you know this, but hopefully, in the future, when those children, C and D, finally decide to sue the council, that they can use this as evidence. There is a report from a... It's called a commissioner's progress report on children services in West Sussex from October 2020, which details how awful the service has been for the past few years, and huge issues with how they're running things. And it says, "Quite fragile and unstable services in West Sussex." So, this family who've had their kids removed were being cared for by a service with massive problems, are being referred to programs that don't work, and that there's a massive miscarriage of justice. 0:51:17.3 NL: And I'm glad you're talking about it, and I'm glad we're talking about it. And I wish that we had the platform to talk about it more vocally. I'd want to be able to reach out to these... To see patients... They're not patients, child C and D. I want to be able to reach out to mum as well, and say... 0:51:36.3 Louise: I just wanna land in Sussex and just walk around the street saying, "Where are you? I wanna help." 0:51:40.2 NL: "Where are you? And let me hug you." And I'm very interest to know, I'd be very interested to know the ethnic origin of these young people. 0:51:48.9 Louise: And the socio-economic status of these people. 0:51:50.2 NL: Socio-economic status, 100%. I would very much like to know that. That would make a huge... I think that I can guess, I'm not going to speculate, but I had a very lovely young woman contact me from a... She was now an adult, but she had experienced this as a child. She had been removed from her home and was now an adult, and she had been in foster care, in social services, for a few years, and had obviously contact with her mum but hadn't been reunited with her mum ever. So it wasn't like it was for a time and then she went back. And we talked about this. She was in a London borough, I shall not name the borough, but I know for a fact that her race would've played a role in this, because she was half-Black, half-Turkish. 0:52:39.2 NL: And there're a few things in that court transcript that caught my attention. I don't know if you noticed there was a mention of the smell from the kitchen, and they didn't specifically said, you know, mould, or you know that there was mould in the kitchen, or there was something in the kitchen that was rotting, something like that, 'cause I think they would have specified. It was just a smell. And that made me wonder, is this to do with just the fact that maybe this family lived in poor housing or was it the type of food that they were cooking for their children? Is there a language issue, is there a cultural issue. What exactly is going on? 'cause we don't know that from the court transcript, so that's another thing that... Another piece of the puzzle that I would really be interested in. Is this a white wealthy family? Probably not. I don't think they are. 0:53:27.2 Louise: Yeah it didn't struck me that way either. Yeah, yeah this is potentially marginalization and racism happening that... 0:53:35.1 NL: Yeah. 0:53:35.9 Louise: And here in Australia, we've got an awful history of how we treated First Nations people and we removed indigenous kids from their families, on the basis of like we know better, and I just... Yeah honestly, elements of that here, like we know better. 0:53:51.5 NL: Yes. Right, this is it. We know better than you have to parent your child. I am have always been a big believer of not restricting my children's feed in any way. I was restricted, and I made the decision when we had the kids that there would just be no restriction at all. I have like been one of those parents that had just been like, that's the draw with all the sweet treats in it. They're not called treats, they're just sweets and chocolate and candy, there it is. It's within reachable distance. Help yourself whenever you want, ice pops in the freezer, there's no like you have to eat that to get your pudding. None of that. 0:54:27.6 NL: My kids have just been able to eat whatever they wanted, whenever they wanted, I never restricted anything, I wanted them to be intuitive eaters. And of course they are, and what amazes me is now my teenage son, when we were on lockdown, and he was like homeschooled, he would come downstairs, make himself a breakfast, and there was like three portions of fruit and veg on his plate, and not because someone told him that he had to, but just because he knew it was good for him and he knew it was healthy, there was like a selection, his plate was always multi-colored, he was drinking plenty of water. He would go and cook it, he cooked himself lunch, he knew that he can eat sweets and crisps and chocolate whenever he wanted to, and he didn't, he just didn't. Like it was there, that drawn, it gets emptied out because it's become a bit... But no, they don't take it, and sometimes they do, 'cause they fancy it, but most of the times they don't. And that is my decision as a parent, I believe that I have done what is in their best interest, I believe that I will prove over time that this has had a much better impact on their health, not restricting them. 0:55:26.4 Louise: Absolutely, Yeah. 0:55:27.6 NL: But the point is they're my children, and it was my damn choice, and even if my child is on the 98th percentile, it's still my damn choice, nobody gets to tell me how to parent my child. That is my child, I know what's best for them. And I believe that my children are going to prove the fact that this is a great way of parenting, and I know that actually most of their friends who had, were not allowed to eat the food that they wanted to eat used to come over to our house and just kind of like wide eyed. And they binge, they binge, you know, to the point that I have to restrict them and say I actually I don't think mom would like that if I gave that to you. 0:56:00.0 Louise: We know that that's what we do when we put kids in food deserts, we breed binge eating and food insecurity, and trying to teach our kids to have a relaxed and enjoyable relationship with food is what intuitive eating is all about. And without a side salad of fat phobia, we're not doing this relationship with food stuff in order to make sure you're thin, we're doing this to make sure that you feel really safe and secure in the world, and you know health is sometimes controllable and sometimes not, and this kind of mad obsession we have with controlling our food and the ability it will give us like everlasting life is weird. 0:56:39.0 NL: Yeah. 0:56:39.7 Louise: Yeah. Gosh, I'm so glad you're parenting those kids in that way and I've noticed the same thing with my kids. Like my kids, we are a family of intuitive eaters and it's just really relaxed, and there's variety, and they go through these little love affairs with foods, and it's really cute. [chuckle] And they're developing their palettes, and their size is not up to me. 0:57:05.8 NL: Yeah. 0:57:06.4 Louise: Yeah. 0:57:07.4 NL: Right. 0:57:08.1 Louise: It's up to me to help them thrive. 0:57:10.7 NL: That's right. And when people talk about health, I often hear people talking about health, and whenever they ask me that question, you know, surely you can agree that being fat is not good for your health, well, I'll always kinda go, "Oh Really? Could you just do me a favor here and define health?" Because I spend my whole life trying to define health, and I'm not sure that I've got there yet, but I can tell you without a doubt that this for me, in my personal experience as a doctor... And I've been a doctor for a long time now, and I see patients all the time, and I'm telling you that in my experience, the most important thing for your health is your mental and emotional well-being, that if you are not mentally and emotionally well, it doesn't matter how good your cholesterol is, it doesn't matter whether or not you've got diabetes, that is irrelevant, because if you're not mental and emotional... I'm not saying that 'cause you won't enjoy life, I mean, it has an impact on your physical health. And I spend most of my day dealing with either people who are depressed or anxious, and that's what they've presented with, or they've presented with symptoms that are being made worse or exacerbated by their mental and emotional pull, mental and emotional well-being. 0:58:19.1 NL: So giving my children the best start in life has always been about giving them a good mental and emotional well, start. It's about giving... It's not just teaching them resilience, but teaching them to love themselves, to be happy with who they are, to not feel judged or to not feel that they are anything other than the brilliant human beings that they are. And I believe that that is what's going to stand them in the greatest... In the greatest... I've lost my words now, but that's what's gonna get them through life, and that's why they're going to be healthy. And how much sugar they eat actually is quite irrelevant compared to the fact that they love themselves and their bodies, and they are great self-esteem, we all know that happiness is... Happiness is the most important thing when it comes to quality of life and happiness is the most important thing when it comes to length of life and illness, all of it. Happiness trumps everything else. 0:59:07.0 Louise: And to you know what that comes from. Happiness comes from a sense of belonging, belonging in our bodies, belonging in ourselves, belonging in the community, and all of this othering that's happening with the message that everyone belongs unless they're fat. That sucks ass and that needs to stop. This poor little kid when, in the transcript it mentioned that they found a suicide note... 0:59:29.9 NL: Yes. 0:59:30.1 Louise: And some pills. And she's fucking like 13. 0:59:34.8 NL: Yeah, and they called it a cry for help. 0:59:36.0 Louise: They called it cry for help 'cause of her body. 0:59:38.1 NL: Yeah. 0:59:38.4 Louise: They didn't recognize it since they've been sniffing around threatening to take her off her mom, and because she's being bullied for her size at school. This is like a calamitous failure to see the impact of weight stigma. 0:59:52.9 NL: She's been told that it's her fault that she's been taken away from her mum. They had told her that because she didn't succeed in losing weight, that she doesn't get to live with her mother anymore. Can you imagine? 1:00:02.4 Louise: So her mom. I can't even wrap my head around that. I can't. 1:00:07.2 NL: Well, she feels suicidal, I think I would too. I felt suicidal at her age and for a lot less. It's terrible, it's terrible. And I hope she's hanging on and I hope that... 1:00:14.6 Louise: I wanna tell her that she is awesome. 1:00:17.4 NL: Yes. 1:00:17.9 Louise: If she ever gets to listen to this. But I know the impact. So like when I was 11, my mom left and I remember how much it tore out my heart. 1:00:26.4 NL: Yeah. 1:00:26.9 Louise: You're 11... 1:00:27.5 NL: Yeah. 1:00:28.3 Louise: 12, 13. This is not the time to do this to kids, and this whole idea... The judge said something like, "Oh, you know, gosh, this is gonna be bad... " But here it is, I will read it to you. This is... She actually wrote a letter to the kids. 1:00:42.5 NL: Oh, gosh. 1:00:43.7 Louise: "I know you will feel that in making this o
During this episode, Dr. Janet Patterson, Chief of the Audiology & Speech-Language Pathology Service at the VA Northern California Health Care System talks with Dr. Rebecca Hunting Pompon, assistant professor in the Department of Communication Sciences and Disorders at the University of Delaware in Newark, Delaware, about depression, the effect it can have on people with aphasia and their care partners, and how speech-language pathologists can recognize and address depression during aphasia rehabilitation. Guest Bio Rebecca Hunting Pompon, Ph.D., is an Assistant Professor in Communication Sciences and Disorders at the University of Delaware, and director of the UD Aphasia & Rehabilitation Outcomes Lab. Prior to completing a Ph.D. in Speech and Hearing Sciences at the University of Washington, she earned an M.A. in Counseling at Seattle University and worked clinically in adult mental health. Dr. Hunting Pompon’s research focuses on examining psychological and cognitive factors in people with aphasia, and how these and other factors may impact aphasia treatment response. She also trains and advises clinicians on interpersonal communication and counseling skills adaptable for a variety of clinical contexts. In today’s episode you will learn: about the similarities and differences among sadness, grief, and depression, and sobering statistics of their prevalence in persons with aphasia and their care partners, how the behavioral activation model can assist clinicians during planning an aphasia rehabilitation program for an individual with aphasia and his or her care partners, 5 tips to use in starting conversations about depression with persons with aphasia and their care partners, and fostering their engagement in the therapeutic enterprise, the value of community support groups for persons with aphasia. Janet: Rebecca, I would like to focus our conversation today on your work investigating depression, and other psychosocial factors that patients with aphasia and their care partners may experience. Let me begin our conversation by asking how we define and think about depression, because I think everyone has an idea about what depression is, and how it may manifest itself in an individual’s interaction with family and friends, and certainly in the past year, as we've moved through this worldwide pandemic, focus on depression has increased. You have studied depression in persons with aphasia, and how depression affects their care, so first, let me ask, how do you define depression? And then how often does it appear in persons with aphasia? Rebecca: Depression is a concept that so many of us are familiar with. In one way or another, so many people have experienced depression themselves, or alongside a family member, so I think it's such a common concept. Likewise, many people know that the definition of depression that we use most often is about a mood disorder. Usually, the two fundamental ways we think about depression, clinically, is that it is either low mood, or it can be a loss of interest, or pleasure. So of course, we all experience this from time to time, but depression is really a much more marked, persistent low mood or loss of pleasure, or interest, and it can span across days and daily life and make a tremendous impact. Those two features go with some other features like a change in appetite, fatigue and energy loss. Some people experience a slowing of thought or slowing of physical movement, or experience trouble with concentrating, or trouble with focus. It also could include feeling worthless or excessive amounts of guilt, and it also can be accompanied by recurring thoughts of death, which can be with a plan or more abstractly without a specific plan. Those are the constellation of symptoms that can go with that formal depression diagnosis. Of course, aphasia, as we all know, comes with some significant changes in functioning after stroke or other types of brain injury. Loss and grief are commonly experienced by many people with aphasia and their families as well. Unfortunately, those losses that are experienced with aphasia can lead to depression in a significant number of people. Let me give you a little bit of context on that. In the general adult population, maybe like 9% of the population or so may experience a mild to major depressive disorder at some point; the number goes up for people that have experienced stroke to about 30% or so. In studies of stroke survivors with aphasia, the number is significantly higher. We recently completed a study with about 120 people with aphasia, and about half of them reported symptoms that were associated with a depressive disorder, mild to major. And I think it's really important to note that this is based on 120 people that were motivated to participate, to volunteer for research. We really believe that actually, depression may be experienced by a quite a greater number of people with aphasia, because we're not capturing those people that are at home, they're not engaged in speech therapy, and we really wonder if rates of depression in aphasia might be quite a bit higher. Janet: That is a stunning set of statistics when you think about all the people who don't report, can't report, or don't come into the clinic, and their feelings; their ideas are pretty much lost in the world. I appreciate the comment that the people participating in your study are motivated, and they experienced depression. It's out there, and we need to pay attention to it. As a clinician, how might one recognize the presence of depression in a client? Rebecca: Depression can be really hard to observe at times. A lot of people with depression can mask their depression and seem to be doing fine. I've had this experience working with a number of people who seem to be really thriving after their stroke, but then getting into the details and discussing their life and their reactions, we come to find that they're struggling far more than we perceive that they are. Other times we may get some sense of an experience of depression, maybe we observe a lack of initiative or motivation during treatment or get some sense that our client is just not enjoying his or her activities the way that they used to, or the way that we hear from their loved ones, how they used to participate in their life. What do we do if we're wondering, “Hmm, depression? Is this a factor for this particular person?” It can be helpful to ask about the specific symptoms of depression, sometimes more than asking, “Are you depressed?” I that's true for a couple of reasons. First, some of our clients may associate the label of depression as having a lot of stigma. Stigma around mental health has been with us for a very long time, unfortunately, and it's really a barrier to making sure that we can provide care and address issues like depression in many people, not just people with aphasia. Of course, the other thing about the label of depression is that some people just feel very disconnected from that label. They might hear depression and say, “Well, that's not me, I don't really feel sad.” But again, as we talked a little bit ago about those features and symptoms of depression, it's not necessarily just a sadness, it's about mood and so many other things that go with depression. It can be helpful to talk about those specific symptoms instead of just the label itself. I wanted to throw this in there too, sometimes I've been asked this by a number of clinicians, “How do I tell the difference between depression and grief?” The short answer is that grief doesn't come with feelings of worthlessness or guilt or shame. It's not the turned-inward type of experience, whereas depression can be turned inward. Ultimately speech-language pathologists do not need to feel like they need to be mind-reader's; they do not need to feel like, “I am not a mental health expert, so therefore I cannot ask.” We can ask about depression and depressive symptoms. We can ask ourselves, “Does this person's mood appear to influence their everyday life or their recovery?” That might be the thing that will push us forward to ask a little bit more about what their experiences are like. Helpfully, there are a couple of screening tools that are really useful for clinicians, regardless of type of clinician. One is the Patient Health Questionnaire. It's a depression scale, vaguely named. It's also called the PHQ. The PHQ is a nine, or there's also an eight, item version. They're very simple scales. They've been developed for clinical populations, so the phrasing is quite short and straightforward. They use a Likert scale and they're very well validated screening tools that are also free. I believe we're going to have the pdf of the PHQ-9, which is nine items scale, in the Show Notes. Janet: Right Rebecca: Great. Another scale that's been developed specifically for aphasia, though, it's really addressing caregivers or other proxy reporters, is the Stroke Aphasic Depression Questionnaire, or the SADQ, and it's available also for free. There are a couple of different versions. Again, that's been created for people with aphasia in mind, specifically their caregivers. So that's really helpful tools. In Short, these are great tools to use, and just give us a little more information as we're having a conversation about depression. They then give us some ideas about what next steps to take, including referrals that we might be thinking about. Janet: Rebecca, those are excellent ideas. And indeed, those two resources you mentioned will be in our show notes. You speak about depression in patients with aphasia, but I believe that depression also affects the care partners of a person with aphasia. What do you see is the role of a clinician in recognizing depression in a care partner? Rebecca: This is really, unfortunately, true. Depression is experienced by caregivers, including stroke caregivers and aphasia caregivers, and depression symptoms align, and maybe not surprisingly, with the degree of caregiving effort that's required by the family members. In other words, caregiver depression, can be higher when caregivers are working with a loved one who has more severe functional impairment. Here are even more sobering statistics. There was a study conducted, it's a few years back, about caregiving adults, ages 66 and up, so it's a lot of our clients, family members, and spouses, etc. Those caregivers who reported mental or emotional strain had a 63% increase in mortality risk compared to caregivers who did not report strain. That's a really shocking and sobering to think about. The takeaway here is caregiving burden, as it's often called, that s just a very, very real problem with us. Given that caregivers are such an important part of our client's recovery, their health and well-being are just incredibly important. So how can we support them? They're not our primary concern, because our client is, so what do we do? What do we do for caregivers to support them? Of course, we can ask how they're doing, certainly. Then we can also provide some support resources, support groups, counseling services, and the fact that we are doing much more online now has opened up opportunities for both caregivers and clients to participate in lots of different ways, to connect virtually, and so that's great. Another really great tool that can be used is called the Caregiver Questionnaire. It's a questionnaire that has 17 items and was developed by the American Medical Association. It just goes through a listing of common caregiver experiences that can really be illuminating for caregivers. I've given this questionnaire to caregivers in different contexts, including in caregiver support groups. What I hear from caregivers, once they go through those 17 questions, is often they're surprised. They're often not thinking a lot about how they're doing themselves, because they're very focused on supporting their loved one. It can be really illuminating for them to answer the questions and realize, “Wow, I am really fatigued I'm really tired. And maybe I need some extra support”. What I sometimes recommend to clinicians is having this questionnaire on hand and providing it to caregivers while you're working with the client, and then maybe checking in at the end of the session to say, “You know, how was that for you?” And it's an opportunity, again, to provide some support resources that they can explore on their own. I think it's a really handy way to just shine a light for caregivers, saying, ”Hey you're doing a lot, we recognize that and we know you need support, too.” Janet: I think that's very important. It reminds me of the message you see on the airlines, you know, put your own oxygen mask on first, so that you're better able to help the other people. If you're a caregiver, you must take care of yourself, and we must help the caregivers take care of themselves so that they can better care for our patients with aphasia. Rebecca: Oh, my gosh, so true. Janet: Depression typically does not appear by itself. You've alluded to that and mentioned that earlier. In your experience and investigation. How does depression interact with coping skills, resilience or motivation? Are there other interactions that we may see in persons with aphasia? Rebecca: Oh, my gosh, depression, part of the reason that I studied depression, among other things, is that it's a really interesting experience. It's part of a grouping of some biophysiological processes that are so intimately linked together. I hope you don't mind if I geek out a little bit here. Janet: Geek away Rebecca: Geek away - All right. We know that when we perceive something stressful, like, let's say we're near a potentially dangerous animal or something like that, it's classic example. It triggers systems in our body that helps us respond, right, we've heard of the fight or flight response, where our adrenaline system jacks up so that we can move quickly, right or get away from the danger, or if we have to, fight it off. Then once the danger is gone, our body goes back to its normal functioning state, the adrenal system stops pumping out adrenaline and our heart rate slows to a normal rate, all that good stuff, right? So of course, our body does pretty much the same thing when we're not in danger, per se, but we are experiencing or we perceive stress; that could be public speaking for some, or a big job interview. Then thinking about people with aphasia, maybe it's really stressful to make that phone call to somebody, even someone they know well. They don't feel confident about their communication ability, and that can be incredibly stressful. Even though it's not danger, it still can kick our body's stress systems into gear, activating that adrenal response, etc. Here's the thing, though, if our body is entering that stress state pretty regularly, it gets regularly flooded with these stress biochemicals that can impact multiple systems. We can handle those biochemicals, we were built to handle those biochemicals. But we weren't really built to handle them all the time, or often over a long period of time. If those biochemicals are circulating in our blood, they can really have a damaging effect on our body, and they have a damaging effect on parts of the brain, that are really important for us as speech language pathologists thinking about treatment, right? So those biochemicals, and cortisol is among them, can diminish functioning of regions of the brain that we need for things like attention and memory, things that are really important for learning, right? What do we do in treatment - we learn. At the same time, these biochemicals can increase parts of the brain, like the amygdala, that are really central for emotion. In other words, if we're experiencing persisting stress over a period of time, we may have impairments in memory and focus to a degree, and we may also experience depression, anxiety, and other mental health challenges. I got really, really interested in stress and depression a few years ago, and as you mentioned at the beginning, we created a scale for chronic stress for people with aphasia. Using that scale we found, just as we would in the general population, that there are very close associations between reports of perceived chronic stress and reports of depressive symptoms. The bottom line is that chronic stress is significantly connected to depression, and it's significantly experienced by our clients with aphasia. You asked about coping skills and resilience and that's another area that I've been really, really interested in. We know that there's an association between depression and resilience, or how people cope with stress. As resilience goes up, depression tends to go down. But we also have seen that this relationship is more complex than I anticipated. We are currently validating a scale of resilience for aphasia. We really want to understand better how resilience and depression and other mental health challenges fit together, and then how we address them. Janet: I think that's very important work because we're, when we engage on the therapeutic endeavor, when we begin treatment, it is a partnership. And both the clinician and the patient with aphasia, but also the caregiver, we have to be in there engaged in that process and moving forward to achieve whatever communication goals we have in mind for the patient. If a patient is not engaged because of low coping skills or low resilience, because of depression, that can certainly affect our treatment, Rebecca: Agreed. It's things that we don't really understand. I mean, we understand to a degree, for sure, but I think with some time and some additional research, we'll be able to understand much more clearly how depression and resilience impact treatment, and also how we can capitalize on resilience and build it. I'm looking forward to uncovering some of these associations and understanding them better. Janet: Oh, I look forward to reading your work on that. I want to ask you now the next logical and perhaps obvious question, which is how may depression experienced by a person with aphasia adversely affect the treatment, as well as the quality of life in that person, and with the person's caregivers? Rebecca: We've talked about people who have experienced depression in one way or another, and depression is really mean. It is really a mean, mean process, that can sap our interests in things that we like to do and screw up our sleep and our appetite. It impacts others around us, of course, but yes, absolutely, depression can dampen motivation. That's one of its features, it can dampen motivation to get out of the house, or for our clients with aphasia, it can diminish how much initiative they want to take with activities, especially social interactions that really help with language function and recovery. It may diminish their initiative to seek support or to reach out and start speech therapy. Then, even when a person has decided to actively engage in therapy, depression may also limit how much he or she can take away from that therapy experience to a degree, given that it's harder to attend to things, it's harder to concentrate, it's harder to remember, when you are also struggling with depression. Then it's also that all of those things that contribute to how well we can engage in treatment and adhere to treatment recommendations. We need a level of motivation and initiative and energy to tackle assignments that our therapists might have given us to work on in between our sessions. There are just multiple ways that depression could influence treatment, either through those diminished cognitive processes, or the impact on engagement, and adherence. There are just a lot of questions that we have, still about these impacts on treatment, and how they influence the outcomes of treatment. Janet: One of the things we've observed in some work we've done recently is that people talk a lot about motivation, or resilience or coping, but people haven't yet figured out what that means or how to identify it. I'm very glad that you're doing some of this work to help us understand how we can best approach the treatment effort and really assure maximum engagement of the patients to achieve the goals that we want to achieve. Rebecca: It is really interesting. There is some really interesting work going on in some other allied health disciplines that is, I think, helping us to pave the way in thinking about how to ask these questions about engagement. It's for our clients as well. I am excited to move forward on that. Janet: You're right about that! Speech-language pathologists are by nature, compassionate individuals, and would be responsive to a person with aphasia or a care partner who seems to show depression. What guidance can you offer for clinicians as they plan and implement a rehab program for a person with aphasia, who shows signs of depression? Rebecca: Oh, first of all, Janet, I agree. Speech-language pathologists are such a big-hearted bunch and that is just a real plus for our clients. There are a number of things that we can do to consider depression and treatment planning. In addition to being aware of the impact of depression, and those engagement and motivation issues, the cognitive issues, and the screening that we already talked about, we of course, can make appropriate referrals. This can be easier for some clinicians and more difficult for others. Some clinicians who work in an environment like an acute care or rehab environment, may have access to a psychologist or social worker, rehab counselor, someone like that who can help step in and provide support or other resources. For other clinicians who work in outpatient settings, the best referral might be to the client's primary care physician. Unfortunately, as we know, there are just not enough mental health professionals with aphasia expertise; we need so many more of those. That's a whole other discussion, isn't it? The primary care physician and support groups can be some of the first people that we refer to, if we are working in an outpatient setting. In addition to those things we can also provide some information and training to family members, and our colleagues and our clinical teams about supportive communication techniques. Interestingly, people with aphasia have talked about how interacting with people that know a little bit about aphasia and know how to support communication really can not only facilitate the conversation, but also help improve their mood, and give them a little boost. They also talk about how important it is to both acknowledge their experiences and perspectives and struggles, and to have at the same time, a positive outlook, to use humor, to celebrate goals. All of those things have been things that people with aphasia have talked about as elements that really help in working with clinicians and others for that matter. Another thing that has come up, and you and I have talked about this a little bit, is also about the tremendous impact of mental health challenges for people with aphasia. We talked a bit ago about the very high incidence of depression in aphasia. And so, people with aphasia have said in previous work that they really wanted more information about low mood and changes that can come with stroke, around mood and mental health, and wanted an open forum to talk about that, and continue those conversations with caregivers as well. That open discussion about depression, about other kinds of mental health struggles, can really help normalize it, help destigmatize it so that we can address it more readily. Janet: That makes sense. And you know, one of the key points I heard you just say is that, as a clinician, it's important for us to be aware of the community resources that are around us, whether they're specific individuals like neuropsychologists or mental health workers, or support groups or community groups. Bearing that in mind that we're not alone, as clinicians working with patients with aphasia, we have a whole group of people who can contribute to this rehabilitation effort. Rebecca: Absolutely. And I was going to add, in addition to the myriad of people that can be around and supporting people with aphasia who are struggling with mood issues and other mental health challenges, support groups are really amazing. I would say if I gave a couple of tips for clinicians, but I had three things that I was thinking of, that we can really encourage for our clients, and one is to really seek out those support groups and other opportunities for connection with each other. I mean, I think we all know that groups can be so amazingly effective at not only providing some opportunities for social connection, but also that emotional support, and kind of perspective-checking opportunities for our clients can realize, “Oh, I'm not alone, others are also struggling in a similar way.” I'm the biggest cheerleader for support groups, as I think we all are, This is one of those broken record things. Exercise is another incredibly, useful tool. We all know, of course, that exercise is good for our health and our cardiovascular functioning, all that good stuff. But it also so helpful in improving mood and cognitive functioning. Getting outside and moving around is just so important. There is just scads of research across many health disciplines that talks about this and reminds us about the importance of exercise. Here's the other thing that I think is really cool to suggest to clients. And that is, in simple terms, do more of what you like to do. There's been some work around behavioral treatment approaches for stroke survivors, including those with aphasia, using a framework called behavioral activation. Thomas and colleagues in the UK have done a little bit of work around this. The basic notion is that by doing more of what you like to do, provided it's healthy and not detrimental, of course, can really help improve mood. When we do things we enjoy, it releases endorphins, and it gives us some sense of satisfaction and well-being. That's exercise for some people, not for everybody. Other people may find doing creative things, or learning something new, or engaging in something that feels like it's contributing in some way. Those can all be things that can over time, help improve mood and outlook. This can be a little challenging for folks with aphasia; the things that they think about or reach for, or things they enjoy, are maybe no longer available to them because of their language and communication impairment, or other impairments that have come with stroke. So again, the support groups are so helpful. They can be places where people have an opportunity to learn about new activities or connect with opportunities that may fill that hole of things that they like to do, new things that they hadn't discovered before. I always have more plugs for support groups. Janet: The things that you mentioned, they're simple, they're easy, but they're so powerful. Sometimes we forget that the simple things can often have the biggest change or make the biggest change, or the biggest difference for us. It's a good thing that you have been reminding us of those things today. Rebecca: Simple things, and sometimes combinations like a couple of simple things together can make a huge impact. Janet: As important as the treatment techniques are to address specific linguistic and communication goals, an individual's mental health state and their feelings of engagement with the clinician and the process are just as important, as we've mentioned several times today, What advice or suggestions or lessons learned, can you describe for our listeners that will help them become better clinicians, and address the whole person in aphasia therapy, including our role as clinicians in counseling, and I don't mean the professional counseling that is reserved for degreed mental health professionals. I mean the communication counseling and quality of life communication counseling. Rebecca: Yeah, even though speech-language pathologists are not mental health experts, there really are a number of very simple counseling skills that can help connect with our client s and more fully understand how they're doing, where are their struggles are, how are they doing in terms of mental health. When we understand them more fully, what's important to them, what they're struggling with, then it's easier to build treatment plans that fit them as individuals. So, if I'm putting on my counseling hat, I have a couple of things that I would prioritize, I think I have five, five things that I would prioritize as a speech-language pathologist using some counseling skills. Janet: I will count them. Rebecca: The first one is really to consider their stage post event or post stroke. If the stroke or the event is new, we may be working more with the family; they may be in shock, they may be overwhelmed and struggling to take in the information that we and our clinical team are providing to them. Those conversations differ tremendously from the conversations we might have with clients and families that are in the chronic stage, because they have a better sense of aphasia and of what it means for them, what their everyday needs are, etc. I think considering first of all, the stage post stroke or post event is really important. The second thing I would say is to find empathy and unconditional positive regard. It is good to know that depression is complicated, and it can come with emotions, a lot of different emotions and experiences from anger and frustration and shame, and so sometimes our conversations around depression can be uncomfortable. I would say, approach these conversations in an open and honest way about the client's challenges and maintain that unconditional positive regard even when we're feeling that discomfort ourselves. If they are angry and frustrated, we also may feel angry and frustrated or defensive or something else that doesn't feel very good as clinicians, or for anybody for that matter. Just remembering that unconditional positive regard, that we really all want the same thing. We want improvement. We want improvements in life and to face things like depression and find some answers that will really help push clients forward. The third thing that I would say is giving clients and family members our full attention and listen really actively and carefully. Sometimes this can be just an extra 30 seconds, an extra 60 seconds of listening using some reflective techniques that can really provide some critical information about our client, their needs and priorities that we can use in treatment planning. At the same time, this act of listening very deeply, and reflectively can help build our connection with their client and that's going to help promote engagement, adherence, and trust, which is just so essential for the therapeutic alliance. The fourth thing I would say is communicate multi-modally. I would say this not just for clients, but for family members as well. I myself have been the caregiver in situations where a clinician, never an SLP I will say, has come in and talked to a loved one and it was wasted words and time because nobody could take in that information. It was feeling overwhelmed and that that information might have come in as just some noise; maybe we remember one or two words from it and couldn't take the rest of it away, just given everything else that we were processing in that moment. I always say, never just say something, say it and write it or diagram it. This is just again, so important with clients and families who are stressed, who are depressed or anxious in some way. It is just so hard to remember when we're feeling overwhelmed. We can really support our clients and families by communicating in a multi-modal way. Even almost as important as summarizing what we've said and providing information again, I had a caregiver once say never tell us more than three things at once, because the fourth thing is going to be lost. I took that to heart; I understand that that makes perfect sense. And of course, providing a lot of opportunities for questions is helpful. That number four had a lot of pieces to it. Here's number five, and this is really obvious, developing mutual goals with our client and revisiting them. Sometimes when our client is struggling with depression, we might find their treatment plan seemed like a great idea, seemed like a great fit for our client, and just falls flat. If our client is really struggling to concentrate or engage in an activity because of depression, it just makes sense to stop and revisit those goals and make sure they really line up with the client's interests and priorities, but also how they're doing and how they're able to engage given everything else that's going on - mental health-wise and otherwise. Janet: Those are five excellent tips, Rebecca, excellent. And again, they're not difficult things to do, but they're so important, especially if you do all five of them together. I think our listeners are going to be quite pleased to learn about these five ideas that you have. Depression experienced by persons with aphasia is not new, we've talked about this earlier, certainly as long as there has been aphasia, there have been people with aphasia and depression. But although it's not new, it has not been well recognized or really well studied, as you mentioned earlier on. During the past year, as a result of changes due to the pandemic, such as the stay-at-home orders, limitations on in-person activities, and the increase in virtual care, I believe depression and associated mental health and self-care concerns have increased and have come to the forefront of our thinking. Have you found this to be the case? Rebecca: It's interesting. We are in the midst of a study right now, that's looking at how our research participants are doing during the pandemic as compared to pre-COVID, pre-pandemic. We're not done, we're midway through, but so far, we're seeing some really interesting challenges that people are reporting with everyday functioning during the pandemic, which it doesn't surprise us, of course, we're all struggling with functioning, I think, during the pandemic. We're not necessarily seeing greater levels of stress for the group we've done so far. Some people are reporting more stress, and some people are reporting less, which is fascinating. I'm going to give you some examples. Some people have said that they're not really that bothered by not being able to leave the house. Then other people are talking about how they're not able to do the things that they've always done, and that's been really difficult and stressful for them. So clearly, there's a lot of variety of experiences that we've heard so far. I'm really looking forward to finishing up that study and just looking at all the data together. Maybe the next time we talk we'll have some better news or a clearer picture about what people's experiences are like. Janet: I'll look forward to hearing about that. Rebeca: Separately, a couple of months ago, we chatted with our friends with aphasia and just asked, “Hey, what's been helping you during these lock downs, during this time of isolation?” And here's what they said: they said things like games and puzzles and dominoes were helping; listening to music every day. One person found brain teaser books were helpful and fun right now; several people were cheering for support groups that they were attending online; playing with pets; connecting with family over FaceTime. One person talked about chair yoga. Those are the things that our friends with aphasia are doing that they say are really helping. I think we're all thinking about self-care right now. It's just so important, of course exercise and getting outside and learning something new. I think we've all heard of countless people that have learned to bake bread this year, me among them. Taking care of things like a new plant, and then just finding ways to connect with each other, though a little bit different than we were doing it before. Janet: That is so true. I think we've all been finding those new ways and new things and new ways of connecting with people. Rebecca, you've given us much to think about today. Depression may not always be easy to recognize in an individual, and certainly its management is multifaceted. As we draw our conversation to a close, what are some words of wisdom that you have to offer to our listeners who interact with persons with aphasia every day? And who may be wondering, “How do I start a conversation about depression with my clients, or my clients’ caregivers?” Rebecca: I would say first, be yourself, be genuine. When we are able to genuinely connect with our clients and their families, it really does strengthen the trust, and build our relationship for some good clinical work together. Then ask about depressive symptoms, as we've talked about before, and communicating openly about depression; not something that we should, you know, hide away, but actually discuss and regularly check in on, as well as providing some resources and support for what to do when someone's feeling depressed or struggling with mental health. Then listening fully and acknowledging the experiences of our client, the good stuff, the difficult stuff, all of it. They're really the experts on life with aphasia and they are such a critical part of our clinical decision making. Then keeping our eye on the literature as there is more clinical research on depression, and other psychological challenges in aphasia right now than I think ever before, which is incredibly exciting. So just keep an eye on that. And then I think this is a really important one - take care of yourself. Clinicians working with people with communication disorders are also experiencing depression. It can be a lot over time, and no one can be a great clinician if their own health, their own well-being is compromised, so do what you can to take care of yourself. Again, simple things, several simple things we can do to just make sure we're our most healthy and going to be the best supporters for our clients and their families. Janet: Those are some very, very good suggestions. If I'm right, you have a paper coming out in Perspectives soon, about counseling skills, is that correct? Rebecca: Yeah, there should be a paper coming out soon about counseling skills, and also about stages using those skills, depending on the stages post event or post stroke, hopefully, that'll be coming out really soon. Janet: This is Perspectives for the Special Interest Groups within the American Speech-Language-Hearing Association. I have to say, I remember, oh gosh, many, many years ago, I wrote a paper for Perspectives on depression and aphasia, and at that time, there was not very much written about it; people were thinking a little bit more about quality of life. As I reread that paper before talking to you today, I found myself thinking how much more information is available now, how much more in the forefront is the topic of depression, and mental health and psychosocial skills, and how pleased I am that there are so many people who are really recognizing the importance of having these conversations with our clients and caregivers. Rebecca: I'm so glad that there's more available now, but I have to say thank you, Janet, for blazing that trail those years ago, you have been an inspiration clearly and I'm glad that we are picking up the pace on these important topics. Janet: And you indeed are. This is Janet Patterson and I'm speaking from the VA in Northern California, and along with Aphasia Access, I would like to thank my guest, Rebecca Hunting Pompon, for sharing her knowledge, wisdom, experience and guidance about this most important topic, the effect depression can have on persons with aphasia, and their care partners. You can find references and links and the Show Notes from today's podcast interview with Rebecca, at Aphasia Access under the Resources tab on the homepage. On behalf of Aphasia Access, we thank you for listening to this episode of The Aphasia Access Conversations Podcast. For more information on Aphasia Access, and to access our growing library of materials, please go to www.aphasiaaccess.org. If you have an idea for a future podcast topic, please email us at info@aphasiaaccess.org. Thank you again for your ongoing support of Aphasia Access. Links and social media Lab website: UDAROLab.com Facebook: “UD Aphasia & Rehabilitation Outcomes Lab” AMA Caregiver Self Assessment Questionnaire (free pdfs; 5 languages): https://www.healthinaging.org/tools-and-tips/caregiver-self-assessment-questionnaire Citations Modified Perceived Stress Scale: Hunting Pompon, R., Amtmann, D., Bombardier, C., and Kendall, D. (2018). Modification and validation of a measure of chronic stress for people with aphasia. Journal of Speech, Language, and Hearing Research, 61, 2934-2949. doi.org/10.1044/2018_JSLHR-L-18-0173 Patient Health Questionnaire depression scale (PHQ) PHQ9 Copyright © Pfizer Inc. All rights reserved. Reproduced with permission. PRIME-MD ® is a trademark of Pfizer Inc. (open access) Stroke Aphasic Depression Questionnaire (SAD-Q) https://www.nottingham.ac.uk/medicine/about/rehabilitationageing/publishedassessments.aspx
Wanna split £100? You get £50 free AND save money on 100% green electricity by moving to Octopus Energy. Plus I get £50 to support this podcast but ONLY if you do it by using my unique referral code. I moved to Octopus recently and had been putting it off for ages, but I kicked myself for not doing it sooner, as it’s literally a 5 minute job to give them your details. Click here: https://share.octopus.energy/free-puma-452 On today’s podcast: All-Electric Mercedes-Benz EQA Now Available To Order Daimler To Be Renamed Mercedes-Benz During Huge Corporate Shakeup Germany Hits 21.7% Plugin Share In January Ford doubles its investment in electrified vehicles Jaguar Land Rover to outline EV push during investor day Xpeng P7 gets a cobalt-free LFP battery Truck-maker Scania favors battery-electric over hydrogen vehicles Question Of The Week Answers Show #986 Good morning, good afternoon and good evening wherever you are in the world, welcome to EV News Daily for Sunday 7th February. It’s Martyn Lee here and I go through every EV story so you don't have to. Thank you to MYEV.com for helping make this show, they’ve built the first marketplace specifically for Electric Vehicles. It’s a totally free marketplace that simplifies the buying and selling process, and help you learn about EVs along the way too. ALL-ELECTRIC MERCEDES-BENZ EQA NOW AVAILABLE TO ORDER "The all-electric Mercedes-Benz EQA is now on sale, with the entry-level EQA 250 Sport priced from £40,495 on-the-road including the plug-in car grant* (£43,495 excluding PiCG). The EQA 250 AMG Line is available from £41,995 (£44,995 excluding PiCG)." EQA is newest member of the Mercedes-EQ family and is the first all-electric compact car from the brand Two trim lines available: Sport and AMG Line The 66.5 kWh lithium-ion battery provides a range of up to 263 miles On sale now, with first UK deliveries expected Spring 2021 100 kW DC on-board charger allowing it to charge from 10 to 80 per cent in around 40 minutes 8.9 0-62mph Helpfully, the UK website actually says NOT on sale yet. So press release department not talking to sales department? For Germany electrive says: "In their home market, Mercedes gives a starting price at €47,540.50 As this results in a netlist price of less than 40,000 euros, the EQA is eligible for the innovation premium of 9,570 euros (federal share: 6,000 euros, manufacturer share: 3,000 euros plus 19% VAT) in Germany. The EQA would then cost 37,970.50 euros, including VAT there." And they explain why it's on sale in the UK, but not on sale: "the EQA’s eligibility for the plug-in car grant is still pending, awaiting final confirmation from the UK Government’s Office for Zero Emission Vehicles. Until final confirmation the vehicle will not even appear on the portal, so no applications can be made." https://www.mercedes-benz.co.uk/passengercars/mercedes-benz-cars/models/eqa/explore.html?pid=passengercars_eqabanner_eqaExplore_cta1_int_040221 https://www.electrive.com/2021/02/04/mercedes-eqa-now-available-to-order-in-germany/ DAIMLER TO BE RENAMED MERCEDES-BENZ DURING HUGE CORPORATE SHAKEUP " Daimler will be renamed Mercedes-Benz as the result of a massive corporate shift in strategy. In a move designed to focus on a zero-emissions, software-driven future, Daimler’s Supervisory board and Board of Management agreed to evaluate plans for a separate listing of Daimler Truck. " according to Motor1: !this move makes quite a lot of sense because rather unsurprisingly, each respective company knows best how to serve its customer base. We can already see this with Daimler Truck, as the industry giant already stands as the world’s largest truck and bus producer in Europe, North America, Asia, and many other areas of planet earth." "Daimler will create the world’s largest standalone commercial vehicle manufacturer as it splits its truck and Mercedes-Benz car businesses into two public companies. It will list its trucks arm separately, paving the way for one of the largest German flotations this year and allowing both companies to focus on different emissions-free technologies." according to Financial Times: "While Mercedes-Benz has ploughed several billion euros into battery-electric technology, Daimler Trucks has taken a much broader approach. The two Daimler companies’ largest markets are also diverging. The largest chunk of Daimler Trucks’ revenues come from the US followed by Europe, whereas China is by far Mercedes’ largest and most profitable market." https://www.ft.com/content/64910c9a-75c4-4e7b-9ca6-2d35c009498d GERMANY HITS 21.7% PLUGIN SHARE IN JANUARY "Germany, Europe’s largest auto market, hit 21.7% plugin electric vehicle share in January, up over 3× from January 2021. This is already substantially above 2020’s breakout annual share of 13.5% and not far off December’s extraordinary peak of 26.6%. Overall auto sales volumes were down 31% in January 2021, with petrol combustion vehicles dropping more than 50% in volume year-on-year." says CleanTechnica: "We have to assume that the Volkswagen ID.3 and Renault ZOE were once again duelling for the BEV lead in January, and that the Hyundai Kona and Volkswagen ID.4 were up there also." https://cleantechnica.com/2021/02/03/germany-hit-21-7-plugin-share-in-january-up-over-3x-year-on-year/ FORD DOUBLES ITS INVESTMENT IN ELECTRIFIED VEHICLES "While Ford’s last quarter sales were down $2.3billion, there’s a spark of hope in the automaker’s plans. Ford also announced a doubling of its investment in electrified vehicles to $22 billion through to 2025 and an increase in its total investment in automated driving to $7 billion from $4 billion." says NExt Green Car: "The Mach-E is Ford’s first purpose-built electric car but Ford has already announced two other fully-electric vehicles. We can expect the e-Transit van, which will be launched later this year, and Ford is planning an electric version of F-150 for 2022." https://www.nextgreencar.com/news/9083/ford-doubles-its-investment-in-electrified-vehicles/ JAGUAR LAND ROVER TO OUTLINE EV PUSH DURING INVESTOR DAY "Jaguar Land Rover will disclose its future electrification plans during an investor day at the end of the month. JLR needs to inject momentum into its Jaguar brand and accelerate its push into electric cars as governments introduce tougher measures to reduce climate-changing CO2 emissions. Rumors have circulated in the motoring press that the automaker could make the Jaguar brand all-electric." according to Automotive News EUrope: "To preserve cash during the COVID-19 crisis, JLR delayed plans to launch a Jaguar XJ full-electric sedan" https://europe.autonews.com/automakers/jaguar-land-rover-outline-ev-push-during-investor-day XPENG P7 GETS A COBALT-FREE LFP BATTERY " the Xpeng P7, now homologated with a cobalt-free LFP battery made by CATL. Remember that recently the Xpeng G3 also got a cobalt-free battery made by CATL." reports PushEVs: "The Xpeng G3 is already on sale in Norway and soon it will be joined by the P7. If you want to know how serious an automaker is about electric cars, check the battery technology they use. While NIO and Li Auto are the Chinese automakers currently getting most of the media’s attention, I think that is BYD and Xpeng the ones with the best potential to grow." G3 uses CHAdeMO. "After sending the first batch of the G3 to Norway in last December, Xpeng is now sending the second batch of over 200 units. The Xpeng G3 is currently on sale in Norway with a 66 kWh NCM 811 battery from CATL, a WLTP range of 451 km and a starting price of 358.000 NOK (34.649 euros). " https://pushevs.com/2021/02/04/xpeng-p7-gets-a-cobalt-free-lfp-battery/ https://pushevs.com/2021/02/04/xpeng-ships-second-batch-of-g3-to-customers-in-norway/ TRUCK-MAKER SCANIA FAVORS BATTERY-ELECTRIC OVER HYDROGEN VEHICLES "Swedish commercial vehicle manufacturer Scania, a subsidiary of the Volkswagen Group, says it will “gradually” electrify its heavy-duty vehicles, and that “battery-electric vehicles will be the main tool to drive this shift.”" reports ChargedEVs: "Scania unveiled its first fully electric truck, which has a range of up to 250 km, last September. “In a few years’ time, Scania plans to introduce long-distance electric trucks that will be able to carry a total weight of 40 tons for 4.5 hours, and fast charge during the drivers’ compulsory 45-minute rest,”" https://chargedevs.com/newswire/truck-maker-scania-favors-battery-electric-over-hydrogen-vehicles/ QUESTION OF THE WEEK ANWERS JIM BURNESS FROM NATIONAL CAR CHARGING How it started: First charging station sale in 2011. How it’s going: >5000 ports sold across 43 states. ANDREW ACKERMAN How it started:- Renault Twizy How'd it continue:- BMW i3 Rex How's it going:- Mini Electric GREG PALMER How it started: A neighbor was one of the first Nissan Leaf buyers. However a grocery run for us is eighty miles and my wife has an aversion to Elon Musk. When we heard about the Hyundai Kona EV and the Kia Niro EV, we went off to try sitting in them and were pretty much sold after watching a Youtube video made in the UK. HOW IT'S GOIGN: I tried to find something better, or something used and cheaper, but eventually I found a dealer 250 miles away that was having a sale on E-Niros. Going up to buy it on the train and then driving home in a winter storm while needing to recharge was an adventure. That was about a year ago. Since then she is our car of choice. If we charge it to 90%, we can do two grocery trips without worrying about range. STEPHEN MURDOCH How it started: Fully charged YouTube videos. How it's going: 24kwh Nissan Leaf. What I'd like: Rivian R1S or Porsche Taycan. Best I can realistically hope for: Nissan Leaf with a bigger battery. LUKE How it started: Got a gas guzzling Jaguar as a courtesy car, and it had a feature that told me how much fuel certain features used in the car. Aka heated seats, heater and radio. This got me really thinking about how we use fuel and energy in our transport. How it’s going: drive a petrol Audi A4, currently saving up for a BMW 3 series plug in hybrid. This has 37 miles electric range which is more than enough for my daily commute, and yet has a petrol engine for holiday journeys and days out. And hopefully after that, it’s full electric and goodbye fossils. GRANTON SMITH My interest in Hybrids began when I was shopping for my first new car in about 15 years ago... I was really keen on a Prius, but it wasn't meant to be - I ended up getting into a Diesel VW Golf, because it was "greener" due to lower fuel consumption... Liars! (I'm sad about that now!) Again about 5yrs ago I was super keen on a PHEV Mitsubishi Outlander to replace our family car. But alas, the Mrs didn't like the seats (among other things), so the PHEV missed the cut. How it's going: Tesla model 3 ordered... It's on the boat soon (hopefully!!). Zappi 2 on its way, solar installed and generating and I'm finally ready to drive my own EV!! I can't wait!!!
Struggling with reading is something that can be really upsetting to many people, so last year I took to my Instagram Stories to find out what your biggest challenges are when it comes to reading, and what has helped you find a way to make it more accessible. Helpfully, and perhaps unsurprisingly, most of the reading issues that people shared can be broken down into a handful of categories:
Show Notes In this episode we talk with Brent Charlton and James Mills about some impressive systems that they have implemented in their multi-disciplinary firm, Altitude Advisers. Amongst a range of interesting topics, we discuss the impressive infrastructure Brent and James have implemented which enables Altitude to deliver a great multidisciplinary experience to clients. Helpfully, this discussion includes the software tools they use in their firm and how they have got these applications working together. We also cover the internal system they have developed to foster team member development and performance, along with how they report on their business internally across the various divisions. Brent also shares that through their division Altitude Innovations, he and the Team are making this impressive technology available to other professional services firms. Further details on their technology services can be found at www.altitudeinnovations.com.au Also, by completing a short questionnaire at http://slipstream.altitudeinnovations.com.au, they have kindly agreed to share a copy of their extensive ‘Integrations Map’ which visually explains how all the systems in use throughout the firm pass data between each other, as well as offering up any other insights they have on integrating the applications you currently use within your firm. In the interview James also mentioned that he is a fan of Steven Colbert, who hosts The Late Show, a humorous current affairs television program based in the USA. Clips of this show can be readily found on YouTube, and recently aired episodes can be seen on the ‘10 play’ streaming service. Contact details for Brent and James are: Brent’s email: Brent@altitudeadvisers.com.au James’ email: James@altitudeinnovations.com.au Phone: 07 3209 2300 Brent’s LinkedIn: www.linkedin.com/in/BrentCharlton/ James’ LinkedIn: www.linkedin.com/in/MillsJA Scott’s contact details are: Email: scott@slipstreamcoaching.com.au Phone: 0409 870 330 Web: www.slipstreamcoaching.com.au LinkedIn: www.linkedin.com/in/scottcharlton To take an interest in Tim Lane’s music, which is featured on the episode: Facebook: The Backstick Agenda. (Please go and Like this page.) Website: www.thebackstickagenda.com/ To see film clips and to hear Tim’s music: https://thebackstickagenda.bandcamp.com/ (To purchase Tim’s music, you need to register on Bandcamp before you can download.) Thanks for tuning in! Thanks for joining us on this month's episode of In the Slipstream FM podcast. If you enjoyed this episode, don't forget to subscribe via Google Podcasts, iTunes, Spotify or Stitcher so you never miss an episode.While you're there, feel free to leave us a rating and review to help us reach even more listeners!
This week, body image expert, Dr Zali Yager, shares her considerable knowledge and insights into the often thorny and always complex issue of body image in adolescence. Zali is an Associate Professor in health and physical education at the Victoria University, Melbourne. Her research interests and expertise lie in the promotion of positive body image and prevention of eating disorders, especially in adolescence.Zali and I discuss the factors that influence body image in adolescence, including social media. We talk about what the different pressures are for boys and girls and how they often manifest e.g. for boys, a growing prevalence of muscle-building supplement taking has been observed. Zali also explains the association between body image and mental health. Helpfully, Zali gives some practical tips for patents to help create positive body image in our children, including outlining several programs aimed at body acceptance she is involved with.Following are links to programs and useful websites that Zali mentions in the episode:Kristen Neff's Self Compassion Resources: https://self-compassion.org/category/exercises/Butterfly Foundation Helpline: https://butterfly.org.au/get-support/helpline/The Body Project in Australia Targeted intervention: https://www.eatingdisorders.org.au/early-intervention-identification-for-professionals/body-project-australia/The Body Confident Collective: https://www.bodyconfidentcollective.org/ZALI'S CONTACTSWebsite: www.zaliyager.comzali.yager@gmail.comInstagram: @drzaliyager, @bodyconfidentmums, @bodyconfidentcollectiveTwitter: @ZaliYagerHOW YOU CAN SUPPORT THE PODCASTPlease tell your friends about the podcast and share it with them.Follow me on Instagram @amanda_wellbeing_podcastFollow my Facebook page: https://www.facebook.com/amandaswellbeingpodcast/?modal=admin_todo_tourIf you could rate and review the podcast on iTunes, that would be super helpful.Purchasing a book from my website is an easy way to support the podcast too. Here is a link to the books page: https://amandaswellbeingpodcast.com/books/Link to the Donate page on my website: https://amandaswellbeingpodcast.com/contribute/
In this episode, I share the five tricks that are proven to reduce stress, anxiety, minimise our fight or flight response. Helpfully they take little more than a few minutes every day, but will help you navigate away from that sense of overwhelm and stress.Mentioned in the show:Dr Rangan Chatterjee's 3, 4, 5 Breath.Knocking on Heaven's Door by Yoga with Adriene.An acupressure mat.To join the closed Facebook group for the podcast click here >> The Emma Guns Show Forum.To follow me on social media >> Twitter | Instagram. See acast.com/privacy for privacy and opt-out information.
Will our corrupt and immoral but incompetent president actually pull off stealing the 2020 presidential election and permanently destroying U.S. democracy? The answer may not shock you, but it should outrage anyone who believes in justice, fair elections and true democracy. 0.30 Coin flip 2.50 Helpfully announcing the crime in advance 4.50 The Blue Shift is real (as Trump well knows) 5.50 Can the press do anything useful? 10.45 Could Trump's voter suppression strategy backfire? 14.00 Florida
ADZG 812 ADZG Monday Night Dharma Talk by Rev. Taigen Dan Leighton
** WIN A YEAR'S SUPPLY OF NETFLIX! To enter, all you need to do is rate & review Entrepreneurs Can Party on Apple Podcasts. That's it! Further details can be found during the episode (2:05) and on social media @entrepreneurscanparty. Draw closes on 30th April 2020. Good luck! **"9 months of zero revenue from his business but he gave himself a 2-year financial runway."Welcome to episode 11 of Entrepreneurs Can Party! In this episode, I'll be offering practical advice on how you can transition out of your 9-5 into your side hustle by thinking about your financial runway.Key Points:What is a financial runway? (5:22)Fully committing to your side hustle vs building it on the side (7:01)Speed vs risk (9:05)Calculating your financial runway (10:57)JLD: 9 months of zero revenue from his business (13:57)Resources I highlight during the episode:iSaveMoney App (for IOS or Android): If you're looking for an easy way to track your expenses in one place so that you can start to calculate your average monthly spend, this app is a great place to start. Highly recommend!Entrepreneurs on Fire, hosted by John Lee Dumas [JLD]: John earned zero revenue from the first 9 months of working on his podcast full-time and now Entrepreneurs on Fire regularly earns 6-figures every single month. Helpfully, John and his team detail where their revenue is coming from in their monthly income reports.
Overly-simplistic or overly-certain interpretations of why some headline tragedy or horror occurred hurt people. In Luke 13, Jesus responds to two tragic headlines of his day with humanity and with solidarity shown to those most affected by the suffering. Vince unpacks what we can learn from Jesus here both in terms of how we respond to others' suffering, and how we respond to our own suffering.
Overly-simplistic or overly-certain interpretations of why some headline tragedy or horror occurred hurt people. In Luke 13, Jesus responds to two tragic headlines of his day with humanity and with solidarity shown to those most affected by the suffering. Vince unpacks what we can learn from Jesus here both in terms of how we respond to others’ suffering, and how we respond to our own suffering.
Chummily: On this episode of Talking Like A Teen, Adrian and Ashley discuss the video game series Mass Effect. Informatively: They discuss their history with the BioWare franchise, their favorite characters, and the use of morality within the franchise to cause Adrian emotional distress. Revealing: they also discuss humanity’s role within the Mass Effect setting and their desire for an elcore companion. Humbly: we hope you enjoy this episode and engage with us on social media. Helpfully: the links are below.
The Cutting Edge Japan Business Show By Dale Carnegie Training Tokyo, Japan
Unrequested contacts are frowned upon in Japan. Direct mail goes straight in the bin. Emails from unknowns are deleted. Incoming phone calls are neglected and never called back. This is grossly unfair you might be thinking. You might also be thinking that cold calling is a dead duck in Japan. Well that is not the case. Cold calling always has a relatively low hit rate but there are occasions where you have no entry point for a prospect you wish to connect with and the cold call becomes a necessity. There are techniques which can cut through and can secure new clients, but you have to know what you are doing. Do you know how and can you add cold calling to your arsenal for breaking through the walls that Japan regularly springs up? Welcome back to this weekly edition every Tuesday of "THE Cutting Edge Japan Business Show" I am your host Dr. Greg Story, President of Dale Carnegie Training Japan and best selling author of Japan Sales Mastery. We are bringing the show to you from our High Performance Center in Akasaka in Minato-ku, the business center of Tokyo. Why the Cutting Edge? In this show, we are looking at the critical areas for success in business in Japan. We want to help advance everyone's thinking so that we be at the forefront, the Cutting Edge, of how to flourish here in this market. Before we get into this week's topic, here is what caught my attention lately. According to a joint study by Nomura Research Institute and the University of Oxford, AI and robots will replace the human workforce in greater numbers and forty nine percent of Japanese workers will lose their jobs by twenty thirty. AI will likely carry out a majority of work being done by professionals such as medical diagnoses and writing prescriptions on behalf of doctors or composing courtroom scenarios for lawyers. In other news, the Tokyo Game show this year devoted a much larger space to competitive video gaming and competitions were held on all four days of the show. This year there were two stages set up for esports competitions. Fans can see how the players fare in group environments and this will raise the popularity of the games, according to Capcoms's Shigenori Araki, head of esports. According to Hideki Okamura the Chairman of the Computer Entertainment Suppliers Association, “the market lags behind that of other countries. If you compare our market to the market outside of Japan, you can see a big gap. That why our organization was created”. This is episode number fifty four and we are talking about Can't Cold Call Japan. Oh Yeah, Really? Soredewa ikimasho, so let's get going. The pressure for increasing results is not constant. It is just keeps surging “higher, faster, further”. The sales team do work hard. They are polite, conscientious, quite customer focused. Great! So why can't we grow sales fast enough to meet our targets. What is the problem? There are some simple reasons. Current customer numbers are too few. Current customer volumes are not growing. Current customer share of wallet is not changing. Sales will often blame marketing for not generating new leads for sales to go after. They will be surprisingly terrific advocates for all the reasons the customer puts on the table about not being able to buy at all, buy now, or buy more. Blaming everyone else for insufficient sales volumes is a well developed skill here in Japan (and everywhere else salespeople walk the earth) . Helpfully, you pipe up with a shiny idea: “what about going after new customers?” At this point marketing's lack of lead generation gets recycled as the excuse. Innocently, you mention the “C” word! Shock, horror and pity drains the blood from the Sales Director's face. “Don't you know Story san, this is Japan, you can't do cold calling here”. Case closed. Having been through this scenario a number of times here, and having also seen plenty of cold calling getting done, “skeptical” doesn't even come close to describing my reaction to this useful intervention to explain the finer points of Japan to me. Walking into a new organization with a crystal clear recollection of salespeople in the previous company, phones taped to their wrists so they get through their cold calls, always concentrates the mind in these circumstances. What is usually meant is not that you can't physically cold call companies here, but just the effectiveness is so low, it a major waste of time. This is too true, when the cold calling is done poorly. Curiously, the same “experts” who tell you that you can't cold call, accept the tobikomitechnique of just dropping in unexpectedly. Why suddenly turning up at a couple of companies and dropping off some business cards and literature in a day is thought to be more effective than sitting at desk and calling 100 prospects a day is a quaint curiosity. This always reminds me of the same arguments you hear about you can't get referrals in Japan. “Do you know anybody who might be interested in our widget?” must be one of the most criminal statements to ever escape from a salesperson's lips. The problem is when the way you ask is rubbish, don't be surprised with a pathetic result. Design is critical to increasing the success rate for cold calling and referrals. Amazingly, hardly any sales people ever plan their conversations. They just sashay from one failure to another wondering, why this approach doesn't work. Find out more when we come back from the break Welcome backCold calling works much better when we are very clear about the outcome we can expect to achieve. There are products and services you can sell over the phone, however there are very, very, very few. The main aim should be securing a face-to-face appointment. That means you are only selling a date and time over the phone – nothing more. Before you even get to that point, you need to speaking to the person who has the diary spot you want a piece of. There are armies of hapless young Japanese women occupying the bottom rungs of the machine, whose only joy in life is getting rid of salespeople trying to see the decision maker. If you are persistent then they have this great technique of passing you over to the next most senior male in their section. Usually some spotty faced, no authority, nobody completely afraid of their own shadow, and seemingly able to go to retirement, without ever having had to make a decision in their entire career. This is where you need a blockbuster credibility statement that summarises who you are, why you are calling and why speaking to their boss will change the world. Design is everything. By the way, you only have to design the one credibility statement, because you use the same one on their boss. You might refer to some recent research you would like to share which will be a big help to their business now and into the future. You should mention that you can't share it over the phone because you need to show it to them, to head off the “Well tell me now!” or “Email it to me!” comebacks. You might mention that you recently came across some ideas that seem to be working extremely well for others in their industry. If possible, mention actual numbers that you can later provide as concrete evidence when you meet. You need to refer to the cost of not speaking with you – the opportunity cost – of not investing 30 minutes with you. Fear off loss is a strong driver of action in some, often more so than greed for gain. Only ever ask for 30 minutes – less sounds flakey and more sounds burdensome. Asking for “18 minutes” or “23 minutes” etc., sounds like you are a total conman, and warning lights and bells will go off in their head. If you can't convince them face to face in 30 minutes to hear more, stop wasting everyone's time and get off to the next prospect. Often you go into a short meeting because the prospect is super busy and has absolutely no time, can hardly even spare 15 minutes and you find yourself discussing your solutions for the next 90 minutes! THE Cutting Edge Japan Business Show is here to help you succeed in Japan. Subscribe on YouTube, share it with your family, friends and colleagues, become a regular. Thank you for watching this episode and remember to hit the subscribe button. Our website details are on screen now, dalecarnegie.com, it is awesome value, so check it out. In episode fifty five we are talking about Lead To Outperform the Competition. Find out more about that next week. So Yoroshiku Onegai Itashimasu please join me for the next episode of the Cutting Edge Japan Business Show We are here to help you and we have only one direction in mind for you and your business and that is UP!!!
The Cutting Edge Japan Business Show By Dale Carnegie Training Tokyo, Japan
Welcome back to this weekly edition every Monday of "THE Cutting Edge Japan Business Show" I am your host Dr. Greg Story, President of Dale Carnegie Training Japan Well, where is this Cutting Edge? For all of us, the quality of our people is the cutting edge for success in Japan. In this show I will: Stimulate your thinking about ramping up your business Bring you insights from the best training organisation on the planet Provide you with the highest quality Japan information Motivate you to motivate yourself and motivate those around you Help you to shoot the lights out at results time I don't want to just help you succeed. I want you to dominate! This is episode number 5and we are talking about You Can't Cold Call In Japan. Really? Soredewa ikimasho, so let's get going. The pressure for increasing results is not constant. It is just keeps surging “higher, faster, further”. The Japanese sales team do work hard. They are polite, conscientious, quite customer focused. Great! So why can't we grow sales fast enough to meet our targets. What is the problem? There are some simple reasons. The sales pipeline is too thin with current customer numbers being too few. Current customer sales volumes are not growing. Current customer share of wallet is not changing. Sales will often blame marketing for not generating new leads for sales to go after. They will be surprisingly terrific advocates for all the reasons the customer puts on the table about not being able to buy at all, buy now, or buy more. Blaming everyone else for insufficient sales volumes is a well developed skill here in Japan and everywhere else salespeople walk the earth . Helpfully, you pipe up with a shiny idea: “what about going after new customers?” At this point marketing's lack of lead generation gets recycled as the excuse. Innocently, you mention the “C” word! Shock, horror and pity drains the blood from the Sales Director's face. “Don't you know Story san, this is Japan, you can't do cold calling here”. Case closed. Having been through this scenario a number of times here, and having also seen plenty of cold calling getting done, “skeptical” doesn't even come close to describing my reaction to this useful intervention to explain the finer points of Japan to me. Walking into a new organization with a crystal clear recollection of salespeople in the previous company, phones taped to their wrists so they get through their cold calls, always concentrates the mind in these circumstances. What is usually meant is not that you can't physically cold call companies here, but just the effectiveness is so low, it a major waste of time. This is too true, when the cold calling is done poorly. Curiously, the same “experts” who tell you that you can't cold call, accept the tobikomitechnique of just dropping in unexpectedly. Why suddenly turning up at a couple of companies and dropping off some business cards and literature in a day is thought to be more effective than sitting at desk and calling 100 prospects a day is a quaint curiosity. This always reminds me of the same arguments you hear about you can't get referrals in Japan. “Do you know anybody who might be interested in our widget?” must be one of the most criminal statements to ever escape from a salesperson's lips. The problem is when the way you ask is rubbish, don't be surprised with a pathetic result. Design is critical to increasing the success rate for cold calling and referrals. Amazingly, hardly any sales people ever plan their conversations. They just sashay from one failure to another wondering, why this approach doesn't work. Cold calling works much better when we are very clear about the outcome we can expect to achieve. There are products and services you can sell over the phone, however they are very, very, very few. The main aim should be securing a face-to-face appointment. That means you are only selling a date and time over the phone – nothing more. Before you even get to that point, you need to speaking to the person who has the diary spot you want a piece of. There are armies of hapless young Japanese women occupying the bottom rungs of the machine, whose only joy in life is getting rid of salespeople trying to see the decision maker. If you are persistent then they have this great technique of passing you over to the next most senior male in their section. Usually some spotty faced, no authority, nobody completely afraid of their own shadow, and seemingly able to go to retirement, without ever having had to make a decision in their entire career. This is where you need a blockbuster credibility statement that summarises who you are, why you are calling and why speaking to their boss will change the world. Design is everything. By the way, you only have to design the one credibility statement, because you use the same one on their boss. You might refer to some recent research you would like to share which will be a big help to their business now and into the future. You should mention that you can't share it over the phone because you need to show it to them, to head off the “Well tell me now!” or “Email it to me!” comebacks. You might mention that you recently came across some ideas that seem to be working extremely well for others in their industry. If possible, mention actual numbers that you can later provide as concrete evidence when you meet. You need to refer to the cost of not speaking with you – the opportunity cost – of not investing 30 minutes with you. Fear of loss is a strong driver of action in some, often more so than greed for gain. Only ever ask for 30 minutes – less sounds flakey and more sounds burdensome. Asking for “18 minutes” or “23 minutes” etc., sounds like you are a total conman, and warning lights and bells will go off in their head. If you can't convince them face to face in 30 minutes to hear more, stop wasting everyone's time and get off to the next prospect. Often you go into a short meeting because the prospect is super busy and has absolutely no time, can hardly even spare 15 minutes and you find yourself discussing your solutions for the next 90 minutes! We need to combine the targeting of the companies, with the discipline of the cold calling activity and the design of what we are going to say. Get these working and you will be able to make contact with Japanese companies you currently have no relationship with, but who you know will benefit from your solution. If you believe strongly enough in your mission to help clients, then you can be totally brave when making these cold calls. The key is to ignore the naysayers and start. Keep pushing hard with us here at THE Cutting Edge Japan Business Show. Subscribe on YouTube, share it with your family, friends and colleagues, become a regular. Thank you for watching and remember to hit the subscribe button. Our website details are on screen now, it's awesome value, so check it out. In episode 6we are talking about Middle Management Madness. Are they mad or not? Find out next week. So Yoroshiku Onegai Itashimasu please join me for the next episode of the Cutting Edge Japan Business Show Until then, create seriously outrageous levels of massive success. Dale Carnegie Training Japan has only one direction in mind for you and that is UP!!!
Article link: https://www.theschooloflife.com/thebookoflife/emotional-identity/ The questions are: - Self-Love -- If people knew who I really was deep down, they’d be shocked. -- It can be embarrassing to ask where the bathroom is. -- I relationships, it can feel pretty disturbing when someone you like starts to like you back. -- I sometimes feel a bit disgusting. -- When people like you, a lot of it comes down to what you’ve managed to achieve. - Candour -- People tend to think too much. -- I’m not a jealous person -- I’m basically very sane. -- I don’t mind feedback in theory, but most of what I’ve received has been really quite off the mark. -- There’s far too much ‘psychobabble’ around these days. - Communication -- People you’re close to should be naturally good at understanding how you feel in a lot of areas. -- When I feel misunderstood, I need to be alone. -- I’m not a good teacher. -- I sulk every now and then. -- People rarely ‘get it’ when you’re trying to explain. - Trust -- It’s not going to all be OK in the end. -- I worry about my health. -- Civilization is pretty fragile. -- When someone is late, I sometimes wonder if they might have died. -- If you don’t watch them closely, people will try to swindle you. Quotes: - “I’m not proud of everything i’ve done, but i’m proud of who i am today.” - "Great minds discuss ideas; average minds discuss events; small minds discuss people." Eleanor Roosevelt - “Compare yourself not to others but to who you were yesterday.” Jordan Peterson. - “Don’t promise when you are happy, don’t reply when you are angry, don’t decide when you are sad.” Decisions = logic + emotion. If are you outside 1 standard deviation and can delay making a decision then delay :)! Mentioning: - The 'Dear HBR' podcast. - Aristotle’s golden mean/ - Nelson Mandela's bio 'A long road to freedom.' - The book 'Don’t sweat the small things.' - Helpfully uncooperative. - Happily irritable - All models are wrong. Some are helpful. Contact us at info@cloudstreaks.com
On #WeGotGoals podcast episode 102, I interviewed the founder of 305 (305 Fitness, that is), Sadie Kurzban. When she was only 24, Kurzban was putting the finishing touches on the first physical space for 305 Fitness in the heart of New York City, a project that was four times as expensive as she planned, while the rest of her pals from college were simply enjoying their second year out of college. "I was sitting there thinking, what did I just do? I was super scared," Kurzban told me in this episode. But it was at this point - a point at which many people may deem the stress to be insurmountable - that Kurzban believed in herself and the mission she founded the company on. Not only did she get past her fears of owning one studio, but she then went on to open more locations in four cities and certify over 60 more national instructors to teach the 305 Fitness method. Back in 2012, Kurzban had a vision to take her passion for dance and a desire to create change in the fitness industry (and to make it more accessible and relatable to all shapes, sizes and types of people). Helpfully, she also had a $25,000 grant won from a pitch competition in college, which she used to start 305 Fitness. All of these powerful reasons gave her sustained momentum to make it through the ups and downs that come from starting anything from scratch. As she phrases it, "It was adrenaline, just this one goal, [to] just open it, just open it." But you'll hear in this episode what happened next. "It was actually about a week after we opened and I had a moment to sit with myself and I thought, 'Oh my god, I don't know if I want this anymore.'" I'm speaking for myself but I'm sure I'm not alone in saying it is an all too familiar thought for us goal-getters. Her candor about being so laser-focused on one goal, to then nearly wish it away after achieving it, was refreshing and had me head-nodding through our long distance interview. Kurzban isn't afraid to share her challenges, to be open about where she's struggled along her journey to founding one of the most popular dance fitness workouts in the country right now - or say that while everything can look amazing from the outside, Instagram is most definitely not reality. You'll also hear her talk about the ever-present challenge of fundraising as a female. "It's really gross how little investment there is in female teams; it's even grosser how little investment there is in women of color," she said. As for her goals for the future, there are many you'll hear her talk about, but on the list: "I'm totally going to become an investor in female-led businesses." Kurzban went on to cite this study from Boston Consulting Group, which explains that women, on average, generate twice as much revenue for every dollar invested in start-ups in comparison to their male counterparts. Pop your earbuds in and hit "play" on Sadie Kurzban's episode of #WeGotGoals to hear more about her passion for movement, for changing the fitness industry, and supporting other female-led start-ups. You can get this episode here, on iTunes, on Spotify, or anywhere else you get your podcasts. And if you have a second to show a little love by leaving us a five star review, we'd really appreciate it!
You are strolling along the beach when you see a beached whale, and decide it is a purple cheerleading hippopotamus. Helpfully, you begin feeding it sticks in hopes that it will take you to space. Since you're too sickly and off-putting to bond with other children, Gorga here might be the only shot at friendship you'll ever have. Don't screw it up! Contact us by email at boozeyourownadventure@gmail.com
The big 5 are: Openness. Conscientiousness. Extraversion. Agreeableness. Neuroticism. Mentioning: - The 'Dear HBR' podcast. - Aristotle’s golden mean/ - Nelson Mandela's bio 'A long road to freedom.' - The book 'Don’t sweat the small things.' - Helpfully uncooperative. - Happily irritable - All models are wrong. Some are help. Contact us at info@cloudstreaks.com
In this episode with Zach Pousman, we talk about the design process and how it relates to law practice in-depth. Zach walks us through Helpfully's innovation process step-by-step, including how to pinpoint a client or customer's needs and how to test whether or not your solution meets that need.
In this episode with Zach Pousman, we talk about the design process and how it relates to law practice in-depth. Zach walks us through Helpfully’s innovation process step-by-step, including how to pinpoint a client or customer’s needs and how to test whether or not your solution meets that need.
I like want to talk to CHP!! Hear my first attempt:-). To A13775 you rock!
Hey G&Gs, In EP 010 I get into some of the problems I was having at the time with learning Solidity and the online courses I was using. I'll have the links below. So it was during the whole Crypto Kitties thing and I didn't know it took that long to sync with the Ethereum blockchain. Listen to hear my workaround at the time. I also give some tips on how to study when using videos. Helpfully, I help some out there avoid the headaches I went through, lol. Now getting into my guest. Luke Batemen is someone I met because of advising the same project. For the first couple of months, I only heard his name. But once we had the chance to talk directly about the project, I know he had to be on the podcast. Listen for your self and see what I'm talking about. Well, G&Gs this isn't technically EP 10 but I'm logging it as that. I sure didn't see thing going in this direction but I'm glad for the experience. Thanks to those of who have joined me on this Trekk. Note: The courses listened are NOT the only ones out there. These just happened to be the ones I used. Online Courses: www.udemy.com/share/1002OOAkQTdFtXTHg=/ www.udemy.com/share/1004qGAkQTdFtXTHg=/ https://ethereum.github.io/browser-solidity/#optimize=false&version=soljson-v0.5.0+commit.1d4f565a.js Guest: Twitter @LukeBatemen_ LinkedIn: www.linkedin.com/in/lukebateman/ Music By: IG @MannyMan Email yungmannytwv@gmail.com Follow me Twitter @Smarttrekken IG @TrekkenCryptos Check out the landing page to see what the guests look like sites.google.com/view/trekken-cryptos-2-connect/home Sponsor: Trekk Smart Consulting www.Trekksmartconsulting.com
In the very first episode of the UX Hustle Podcast, Sophia talks to Zach Pousman, CEO of Helpfully, an innovation and UX firm in Atlanta. Sophia learns about WIMP and the magical 1-3-5 to-do list hack. They discuss the parallels between the command line and chatbots. Down the rabbit hole, Sophia and Zach explore the design challenges found in the blind void of voice UI. Zach gives sage advice on designing within constraints—when and how should you push the boundaries? He also talks about the philosophical difference between breaking down an engineering problem and a design problem. --- Support this podcast: https://anchor.fm/uxhustle/support
Zach Pousman, Founder of Atlanta-based Helpfully, joins us on the podcast live from DIG SOUTH 2018 to discuss the new way to work. While many firms simply tell you how to do something, Helpfully gets down in the dirt to help other companies see the future and create what’s needed. We talk digital project design, problem solving and ways to shore up the tech talent pipeline.
AI and the Future of Design and Development with Zach Pousman TableXI is now offering training for developers and products teams! For more info, email workshops@tablexi.com. Get your FREE career growth strategy information and techniques! (https://stickynote.game) Rails 5 Test Prescriptions (https://pragprog.com/titles/nrtest3) is updated, available, and shipping! Summary What does AI mean for the future of design, development? Can I be replaced by an AI algorithm? Today, we talk to Zach Pousman, from the consultancy Helpfully. Zach thinks a lot about artificial intelligence and how it might impact the future of different knowledge work. It's impossible to talk about AI without talking about the ethics of AI projects and how AI might affect the larger society. We'll talk about why AI started with chess and moved to facial recognition, what AI might and might not be able to do in the future, how we might deal with it, and how that will change the way you work. Guest Zach Pousman (https://twitter.com/thinky): Principal at Helpfully (http://www.helpfully.com/). Notes 02:28 - What is AI? 05:18 - AI Potentially Changing the Way Designers and Developers Work 11:40 - Development Biases and Algorithmic Failures Weapons of Math Destruction (https://www.amazon.com/Weapons-Math-Destruction-Increases-Inequality/dp/0553418831/ref=sr_1_1?ie=UTF8&qid=1523401051&sr=8-1&keywords=weapons+of+math+destructions) Carina C. Zona: Consequences of an Insightful Algorithm (https://www.youtube.com/watch?v=znwWYR1mzzw) 16:12 - Taking Novice Performance to Expert Levels All Websites Look The Same (http://www.novolume.co.uk/blog/all-websites-look-the-same/) 18:56 - Susceptible Knowledge Work at Risk Due to AI and Ethics; AI as “Parlor Tricks” Reddit Thread: Is it unethical for me to not tell my employer I’ve automated my job? (https://www.reddit.com/r/programming/comments/6k419t/is_it_unethical_for_me_to_not_tell_my_employer/) McKinsey Article: What AI can and can’t do (yet) for your business (https://www.mckinsey.com/business-functions/mckinsey-analytics/our-insights/what-ai-can-and-cant-do-yet-for-your-business) I got the tic-tac-toe story from this tweet (https://twitter.com/janellecshane/status/974132303315136513), which references this paper "The Surprising Creativity of Digital Evolution" with more examples (https://arxiv.org/abs/1803.03453v1) Loebner Prize (https://en.wikipedia.org/wiki/Loebner_Prize) The ELIZA Program (https://en.wikipedia.org/wiki/ELIZA) The Stanford Question Answering Dataset (https://rajpurkar.github.io/SQuAD-explorer/) tf-idf (https://en.wikipedia.org/wiki/Tf–idf) 33:06 - AI Vs. Humans and Legislation Google Translate (https://techcrunch.com/2016/11/22/googles-ai-translation-tool-seems-to-have-invented-its-own-secret-internal-language/) When an AI finally kills someone, who will be responsible? (https://www.technologyreview.com/s/610459/when-an-ai-finally-kills-someone-who-will-be-responsible/) When Luddites Attack (https://www.npr.org/sections/money/2015/05/06/404701816/episode-621-when-luddites-attack) 43:09 - Human Skills That Aren’t Replaceable (4C’s: Critical Thinking, Communication, Collaboration, and Creativity) Special Guest: Zach Pousman.
Once again, we dip into the Harem Vault to help you explore new story ideas and to challenge your writing skills. Are you still finding it hard to get a story started? Do you find yourself making excuses to put off writing until next week? We can help with that. Just take one writing challenge a day and call after a week to see how you are doing. (ft. The auditory anomaly that is the Jedward. Seriously, no audio file is safe from his corruption.)
This week on BSD Now, we will be discussing a wide variety of topics including Routers, Run-Controls, the “Rule” of silence and some This episode was brought to you by Headlines Ports no longer build on EOL FreeBSD versions (https://www.reddit.com/r/freebsd/comments/5ouvmp/ports_no_longer_build_on_eol_freebsd_versions/) The FreeBSD ports tree has been updated to automatically fail if you try to compile ports on EOL versions of FreeBSD (any version of 9.x or earlier, 10.0 - 10.2, or 11 from before 11.0) This is to prevent shooting yourself in the food, as the compatibility code for those older OSes has been removed now that they are no longer supported. If you use pkg, you will also run into problems on old releases. Packages are always built on the oldest supported release in a branch. Until recently, this meant packages for 10.1, 10.2, and 10.3 were compiled on 10.1. Now that 10.1 and 10.2 are EOL, packages for 10.x are compiled on 10.3. This matters because 10.3 supports the new openat() and various other *at() functions used by capsicum. Now that pkg and packages are built on a version that supports this new feature, they will not run on systems that do not support it. So pkg will exit with an error as soon as it tries to open a file. You can work around this temporarily by using the pkg-static command, but you should upgrade to a supported release immediately. *** Improving TrueOS: OpenRC (https://www.trueos.org/blog/improving-trueos-openrc/) With TrueOS moving to a rolling-release model, we've decided to be a bit more proactive in sharing news about new features that are landing. This week we've posted an article talking about the transition to OpenRC In past episodes you've heard me mention OpenRC, but hopefully today we can help answer any of those lingering questions you may still have about it The first thing always asked, is “What is OpenRC?” OpenRC is a dependency-based init system working with the system provided init program. It is used with several Linux distributions, including Gentoo and Alpine Linux. However, OpenRC was created by the NetBSD developer Roy Marples in one of those interesting intersections of Linux and BSD development. OpenRC's development history, portability, and 2-clause BSD license make its integration into TrueOS an easy decision. Now that we know a bit about what it is, how does it behave differently than traditional RC? TrueOS now uses OpenRC to manage all system services, as opposed to FreeBSD's RC. Instead of using rc.d for base system rc scripts, OpenRC uses init.d. Also, every service in OpenRC has its own user configuration file, located in /etc/conf.d/ for the base system and /usr/local/etc.conf.d/ for ports. Finally, OpenRC uses runlevels, as opposed to the FreeBSD single- or multi- user modes. You can view the services and their runlevels by typing $ rc-update show -v in a CLI. Also, TrueOS integrates OpenRC service management into SysAdm with the Service Manager tool One of the prime benefits of OpenRC is much faster boot-times, which is important in a portable world of laptops (and desktops as well). But service monitoring and crash detection are also important parts of what make OpenRC a substantial upgrade for TrueOS. Lastly people have asked us about migration, what is done, what isn't? As of now almost all FreeBSD base system services have been migrated over. In addition most desktop-facing services required to run Lumina and the like are also ported. We are still going through the ports tree and converting legacy rc.d scripts to init.d, but the process takes time. Several new folks have begun contributing OpenRC scripts and we hope to have all the roughly 1k ports converted over this year. BSDRP Releases 1.70 (https://sourceforge.net/projects/bsdrp/files/BSD_Router_Project/1.70/) A new release of the BSD Router Project This distro is designed to replace high end routers, like those from Cisco and Juniper, with FreeBSD running on regular off-the-shelf server. Highlights: Upgraded to FreeBSD 11.0-STABLE r312663 (skip 11.0 for massive performance improvement) Re-Added: netmap-fwd (https://github.com/Netgate/netmap-fwd) Add FIBsync patch to netmap-fwd from Zollner Robert netmap pkt-gen supports IPv6, thanks to Andrey V. Elsukov (ae@freebsd.org) bird 1.6.3 (add BGP Large communities support) OpenVPN 2.4.0 (adds the high speed AEAD GCM cipher) All of the other packages have also been upgraded A lot of great work has been done on BSDRP, and it has also generated a lot of great benchmarks and testing that have resulted in performance increases and improved understanding of how FreeBSD networking scales across different CPU types and speeds *** DragonFlyBSD gets UEFI support (http://gitweb.dragonflybsd.org/dragonfly.git/commitdiff/7b1aa074fcd99442a1345fb8a695b62d01d9c7fd) This commit adds support for UEFI to the Dragonfly Installer, allowing new systems to be installed to boot from UEFI This script (http://gitweb.dragonflybsd.org/dragonfly.git/commitdiff/9d53bd00e9be53d6b893afd79111370ee0c053b0) provides a way to build a HAMMER filesystem that works with UEFI There is also a UEFI man page (http://gitweb.dragonflybsd.org/dragonfly.git/commitdiff/d195d5099328849c500d4a1b94d6915d3c72c71e) The install media (http://gitweb.dragonflybsd.org/dragonfly.git/commitdiff/5fa778d7b36ab0981ff9dcbd96c71ebf653a6a19) has also been updated to support booting from either UEFI or MBR, in the same way that the FreeBSD images work *** News Roundup The Rule of Silence (http://www.linfo.org/rule_of_silence.html) “The rule of silence, also referred to as the silence is golden rule, is an important part of the Unix philosophy that states that when a program has nothing surprising, interesting or useful to say, it should say nothing. It means that well-behaved programs should treat their users' attention and concentration as being valuable and thus perform their tasks as unobtrusively as possible. That is, silence in itself is a virtue.” This doesn't mean a program cannot be verbose, it just means you have to ask it for the additional output, rather than having it by default “There is no single, standardized statement of the Unix philosophy, but perhaps the simplest description would be: "Write programs that are small, simple and transparent. Write them so that they do only one thing, but do it well and can work together with other programs." That is, the philosophy centers around the concepts of smallness, simplicity, modularity, craftsmanship, transparency, economy, diversity, portability, flexibility and extensibility.” “This philosophy has been fundamental to the the fact that Unix-like operating systems have been thriving for more than three decades, far longer than any other family of operating systems, and can be expected to see continued expansion of use in the years to come” “The rule of silence is one of the oldest and most persistent design rules of such operating systems. As intuitive as this rule might seem to experienced users of such systems, it is frequently ignored by the developers of other types of operating systems and application programs for them. The result is often distraction, annoyance and frustration for users.” “There are several very good reasons for the rule of silence: (1) One is to avoid cluttering the user's mind with information that might not be necessary or might not even be desired. That is, unnecessary information can be a distraction. Moreover, unnecessary messages generated by some operating systems and application programs are sometimes poorly worded, and can cause confusion or needless worry on the part of users.” No news is good news. When there is bad news, error messages should be descriptive, and ideally tell the user what they might do about the error. “A third reason is that command line programs (i.e., all-text mode programs) on Unix-like operating systems are designed to work together with pipes, i.e., the output from one program becomes the input of another program. This is a major feature of such systems, and it accounts for much of their power and flexibility. Consequently, it is important to have only the truly important information included in the output of each program, and thus in the input of the next program.” Have you ever had to try to strip out useless output so you could feed that data into another program? “The rule of silence originally applied to command line programs, because all programs were originally command line programs. However, it is just as applicable to GUI (graphical user interfaces) programs. That is, unnecessary and annoying information should be avoided regardless of the type of user interface.” “A example is the useless and annoying dialog boxes (i.e., small windows) that pop up on the display screen with with surprising frequency on some operating systems and programs. These dialog boxes contain some obvious, cryptic or unnecessary message and require the user to click on them in order to close them and proceed with work. This is an interruption of concentration and a waste of time for most users. Such dialog boxes should be employed only in situations in which some unexpected result might occur or to protect important data.” It goes on to make an analogy about Public Address systems. If too many unimportant messages, like advertisements, are sent over the PA system, people will start to ignore them, and miss the important announcements. *** The Tao of tmux (https://leanpub.com/the-tao-of-tmux/read) An interesting article floated across my news feed a few weeks back. It's what essentially boils down to a book called the “Tao of tmux”, which immediately piqued my interest. My story may be similar to many of yours. I was initially raised on using screen, and screen only for my terminal session and multiplexing needs. Since then I've only had a passing interest in tmux, but its always been one of those utilities I felt was worthy of investing some more time into. (Especially when seeing some of the neat setups some of my peers have with it) Needless to say, this article has been bookmarked, and I've started digesting some of it, but thought it would be good to share with anybody else who finds them-self in a similar situation. The book starts off well, explaining in the simplest terms possible what Tmux really is, by comparing and contrasting it to something we are all familiar with, GUIS! Helpfully they also include a chart which explains some of the terms we will be using frequently when discussing tmux (https://leanpub.com/the-tao-of-tmux/read#leanpub-auto-window-manager-for-the-terminal) One of the things the author does recommend is also making sure you are up to speed on your Terminal knowledge. Before getting into tmux, a few fundamentals of the command line should be reviewed. Often, we're so used to using these out of street smarts and muscle memory a great deal of us never see the relation of where these tools stand next to each other. Seasoned developers are familiar with zsh, Bash, iTerm2, konsole, /dev/tty, shell scripting, and so on. If you use tmux, you'll be around these all the time, regardless of whether you're in a GUI on a local machine or SSH'ing into a remote server. If you want to learn more about how processes and TTY's work at the kernel level (data structures and all) the book The Design and Implementation of the FreeBSD Operating System (2nd Edition) by Marshall Kirk McKusick is nice. In particular, Chapter 4, Process Management and Section 8.6, Terminal Handling. The TTY demystified by Linus Åkesson (available online) dives into the TTY and is a good read as well. We had to get that shout-out of Kirk's book in here ;) From here the boot/article takes us on a whirlwind journey of Sessions, Windows, Panes and more. Every control- command is covered, information on how to customize your statusbar, tips, tricks and the like. There's far more here than we can cover in a single segment, but you are highly encouraged to bookmark this one and start your own adventure into the world of tmux. *** SDF Celebrates 30 years of service in 2017 (https://sdf.org/) HackerNews thread on SDF (https://news.ycombinator.com/item?id=13453774) “Super Dimension Fortress (SDF, also known as freeshell.org) is a non-profit public access UNIX shell provider on the Internet. It has been in continual operation since 1987 as a non-profit social club. The name is derived from the Japanese anime series The Super Dimension Fortress Macross; the original SDF server was a BBS for anime fans[1]. From its BBS roots, which have been well documented as part of the BBS: The Documentary project, SDF has grown into a feature-rich provider serving members around the world.” A public access UNIX system, it was many people's first access to a UNIX shell. In the 90s, Virtual Machines were rare, the software to run them usually cost a lot of money and no one had very much memory to try to run two operating systems at the same time. So for many people, these type of shell accounts were the only way they could access UNIX without having to replace the OS on their only computer This is how I first started with UNIX, eventually moving to paying for access to bigger machines, and then buying my own servers and renting out shell accounts to host IRC servers and channel protection bots. “On June 16th, 1987 Ted Uhlemann (handle: charmin, later iczer) connected his Apple ][e's 300 baud modem to the phone line his mother had just given him for his birthday. He had published the number the night before on as many BBSes around the Dallas Ft. Worth area that he could and he waited for the first caller. He had a copy of Magic Micro BBS which was written in Applesoft BASIC and he named the BBS "SDF-1" after his favorite Japanimation series ROBOTECH (Macross). He hoped to draw users who were interested in anime, industrial music and the Church of the Subgenius.” I too started out in the world of BBSes before I had access to the internet. My parents got my a dedicated phone line for my birthday, so I wouldn't tie up their line all the time. I quickly ended up running my own BBS, the Sudden Death BBS (Renegade (https://en.wikipedia.org/wiki/Renegade_(BBS)) on MS DOS) I credit this early experience for my discovery of a passion for Systems Administration, that lead me to my current career “Slowly, SDF has grown over all these years, never forgetting our past and unlike many sites on the internet, we actually have a past. Some people today may come here and see us as outdated and "retro". But if you get involved, you'll see it is quite alive with new ideas and a platform for opportunity to try many new things. The machines are often refreshed, the quotas are gone, the disk space is expanding as are the features (and user driven features at that) and our cabinets have plenty of space for expansion here in the USA and in Europe (Germany).” “Think about ways you'd like to celebrate SDF's 30th and join us on the 'bboard' to discuss what we could do. I realize many of you have likely moved on yourselves, but I just wanted you to know we're still here and we'll keep doing new and exciting things with a foundation in the UNIX shell.” *** Getting Minecraft to Run on NetBSD (https://www.reddit.com/r/NetBSD/comments/5mtsy1/getting_minecraft_to_run_on_netbsd/) One thing that doesn't come up often on BSDNow is the idea of gaming. I realize most of us are server folks, or perhaps don't play games (The PC is for work, use your fancy-smanzy PS4 and get off my lawn you kids) Today I thought it would be fun to highlight this post over at Reddit talking about running MineCraft on NetBSD Now I realize this may not be news to some of you, but perhaps it is to others. For the record my kids have been playing Minecraft on PC-BSD / TrueOS for years. It's the primary reason they are more often booted into that instead of Windows. (Funny story behind that - Got sick of all the 3rd party mods, which more often than not came helpfully bundled with viruses and malware) On NetBSD the process looks a bit different than on FreeBSD. First up, you'll need to enable Linux Emulation and install Oracle JRE (Not OpenJDK, that path leads to sadness here) The guide will then walk us through the process of fetching the Linux runtime packages, extracting and then enabling bits such as ‘procfs' that is required to run the Linux binaries. Once that's done, minecraft is only a simple “oracle8-jre /path/to/minecraft.jar” command away from starting up, and you'll be “crafting” in no time. (Does anybody even play survival anymore?) *** Beastie Bits UNIX on the Computer Chronicals (https://youtu.be/g7P16mYDIJw) FreeBSD: Atheros AR9380 and later, maximum UDP TX goes from 250mbit to 355mbit. (https://twitter.com/erikarn/status/823298416939659264) Capsicumizing traceroute with casper (https://reviews.freebsd.org/D9303) Feedback/Questions Jason - TarSnap on Windows (http://pastebin.com/Sr1BTzVN) Mike - OpenRC & DO (http://pastebin.com/zpHyhHQG) Anonymous - Old Machines (http://pastebin.com/YnjkrDmk) Matt - Iocage (http://pastebin.com/pBUXtFak) Hjalti - Rclone & FreeNAS (http://pastebin.com/zNkK3epM)
THE Sales Japan Series by Dale Carnegie Training Tokyo, Japan
You Can't Cold Call in Japan. Really? The pressure for increasing results is not constant. It is just keeps surging “higher, faster, further”. We in the sales team do work hard. We are polite, conscientious, quite customer focused. Great! So why can't we grow sales fast enough to meet our targets. What is the problem? There are some simple reasons. Current customer numbers are too few. Current customer volumes are not growing. Current customer share of wallet is not changing. As sales we will often blame marketing for not generating new leads for our sales team to go after. We can be surprisingly terrific advocates for all the reasons the customer puts on the table about not being able to buy at all, buy now, or buy more. Blaming everyone else for insufficient sales volumes is a well developed skill here in Japan (and everywhere else salespeople walk the earth) . Helpfully, your boss pipes up with a shiny idea: “what about going after new customers?” At this point marketing's lack of lead generation gets recycled as our excuse. Innocently, your boss mention the “C” word! Shock, horror and pity drains the blood from the Sales Director's face. “Don't you know boss, this is Japan, you can't do cold calling here”. Case closed. Having been through this scenario a number of times here as the boss and having also seen plenty of cold calling getting done, “skeptical” doesn't even come close to describing my reaction to this useful intervention to explain the finer points of Japan to me. Walking into a new organization with a crystal clear recollection of salespeople in the previous company, phones taped to their wrists so they get through their cold calls, always concentrates the mind in these circumstances. What is usually meant is not that you can't physically cold call companies here, but just the effectiveness is so low, it a major waste of time. This is too true, when the cold calling is done poorly. Curiously, the same “experts” who tell you that you can't cold call by phone, accept the tobikomi eigyo technique of just dropping in unexpectedly. Why suddenly turning up at a couple of companies and dropping off some business cards and literature in a day is thought to be more effective than sitting at desk and calling 100 prospects a day is a quaint curiosity. This always reminds me of the same arguments you hear about you can't get referrals in Japan. “Do you know anybody who might be interested in our widget?” must be one of the most criminal statements to ever escape from a salesperson's lips. The problem is when the way you ask is rubbish, don't be surprised with a pathetic result. Design is critical to increasing the success rate for cold calling and referrals. Amazingly, hardly any sales people ever plan their conversations. They just sashay from one failure to another wondering, why this approach doesn't work. Cold calling works much better when we are very clear about the outcome we can expect to achieve. There are products and services you can sell over the phone, however these are very, very, very few. The main aim should be securing a face-to-face appointment. That means you are only selling a date and time over the phone – nothing more. Before you even get to that point, you need to be able to speak to the person who has the diary spot you want a piece of. There are armies of hapless young Japanese women occupying the bottom rungs of the machine, whose only joy in life is getting rid of salespeople like us trying to see the decision maker. If you are persistent then they have this great technique of passing you over to the next most senior male in their section. Usually some spotty faced, no authority nobody completely afraid of their own shadow, and seemingly able to go to retirement, without ever having had to make a decision in their entire career. This is where you need a blockbuster credibility statement that summarises who you are, why you are calling and why speaking to their boss will change the world. Design is everything. By the way, you only have to design the one credibility statement, because you use the same one on their boss when you eventually get through to them. You might refer to some recent research you would like to share which will be a big help to their business now and into the future. You should mention that you can't share it over the phone because you need to show it to them, to head off the “Well tell me now!” or “Email it to me!” comebacks. This phone conversation might sound like this: “Thank you for your time on the phone, I know you are super busy. We have just received the results of our global survey into the buying perspectives of your buyers. It was a global comparison that included Japan and the results are quite striking, especially for what are the key motivators for making purchasing decisions in Japan. It also investigated where the buyers believe the industry is moving and this insight is very valuable to make sure we are always keeping in lockstep with the buyers, given business conditions constantly change. I can take you through the results, would this week suit or is next week better?”. Or you might mention that you recently came across some ideas that seem to be working extremely well for others in their industry. If possible, mention actual numbers that you can later provide as concrete evidence when you meet. You need to refer to the cost of not speaking with you – the opportunity cost – of not investing 30 minutes with you. Fear of loss is a strong driver of action in some, often more so than greed for gain. For example, “Thank you for you time today, especially when you are so very busy. In our work, we are speaking with a wide variety of companies in many businesses. As a result we are constantly picking up industry insights and perspectives, which are not widely known or shared. I came across some information recently on key emerging trends, which have the potential to really make a difference in your industry. The three companies I met have adopted some new approaches which have grown their collective market share by a factor of three times in the last six months. I can see why this is working so well for them and I thought this type of insight might also be of assistance for your business. The early movers are clearly going to take the lions share of the market as the industry changes. On the other hand, it looks like those late to the changes needed to be made will suffer. Is this week open or shall we meet next week?” Only ever ask for 30 minutes – less sounds flakey and more sounds burdensome. Asking for “18 minutes” or “23 minutes” etc., sounds like you are a total conman, and warning lights and bells will go off in their head. If you can't convince them face to face in 30 minutes to hear more, stop wasting everyone's time and get off the phone and on to the next prospect. Often you go in expecting a short meeting because the prospect is super busy and has absolutely no time. They tell you they can hardly even spare 15 minutes and yet you find yourself discussing your solutions for the next 90 minutes! The reason is simple – you are bringing value to their company to help them succeed. If we always have in our mind that “inside the client's success is wrapped my own success” then we will be able to build trust and credibility. What we say and how we say it will be congruent with putting the client's success ahead of our own. Engaged employees are self-motivated. The self-motivated are inspired. Inspired staff grow your business but are you inspiring them? We teach leaders and organisations how to inspire their people. Want to know how we do that? Contact me at greg.story@dalecarnegie.com If you enjoy these articles, then head over to www.japan.dalecarnegie.com and check out our "Free Stuff" offerings - whitepapers, guidebooks, training videos, podcasts, blogs. Take a look at our Japanese and English seminars, workshops, course information and schedules. About The Author Dr. Greg Story: President, Dale Carnegie Training Japan In the course of his career Dr. Greg Story has moved from the academic world, to consulting, investments, trade representation, international diplomacy, retail banking and people development. Growing up in Brisbane, Australia he never imagined he would have a Ph.D. in Japanese decision-making and become a 30 year veteran of Japan. A committed lifelong learner, through his published articles in the American, British and European Chamber journals, his videos and podcasts “THE Leadership Japan Series”, THE Sales Japan Series and THE Presentations Japan Series, he is a thought leader in the four critical areas for business people: leadership, communication, sales and presentations. Dr. Story is a popular keynote speaker, executive coach and trainer. Since 1971, he has been a disciple of traditional Shitoryu Karate and is currently a 6th Dan. Bunbu Ryodo (文武両道-both pen & sword) is his mantra and he applies martial art philosophies and strategies to business.
Albert Ellis developed a simple ABC framework in the late 1950s to help us “think about our thinking” and to capture the unhelpful thoughts or statements we often say to ourselves with little awareness of the unintended consequences. In this podcast I provide a simple example of how this ABC framework can be used to […]
This interview is about my Friend's Podcast called Courageous self Confidence . How he got started on his podcast. His show is Amazing and Helpfully in life Goals .
Paul and Jamie read Mark 1. Welcome to the first episode of Paul and Jamie Read the Bible! (PaJRtB if you're a cool kid.) Going through the first chapter of Mark's gospel, Paul and Jamie hope to get some idea of who Jesus actually is. Helpfully, Jamie tries to answer all of Paul's questions with one word. Find us on Twitter @PaJRtB, or email us at paulandjamiereadthebible@gmail.com
© 2020-2025 Ivy Podcast Discovery LLC
