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Doctor Kay returns to her Scamanda timeline theory, now firmer as more details emerged from the Reunion episodes. Dr. Kay also tackles a couple themes that emerged from the reunion episodes, related to the betrayals and West's attitudes towards women. However, there are many more themes that Dr. Kay & Dr. Ray will tackle together in their next episode for the middle of next week.REALITY TEST WITH US: If Amanda said “act like you like me” at the end of a sentence, is there a beginning of a sentence that would change the meaning of it? EMAIL US about it! Realitycheckpodding@gmail.com.o-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=OListeners! Come visit the Patreon for free at⁠⁠⁠⁠⁠ (http://patreon.com/RealityTest)  ⁠patreon.com/RealityTest⁠⁠⁠⁠⁠⁠ (or search on Patreon with “@RealityTest”) & check out some of the benefits of a free membership (early access to the audio episodes!) & the paid tier! For only a MEASLY $5/month, you get the bonus features, including Mental Health Check-Up episodes, the VIDEO episodes, the full audio episode archive, and bonus & behind-the-scenes video content!The first 10 paying members will get shoutouts on the pod & 5 randomly selected members will get a free year of membership after joining! What are you waiting for? Come watch our video episodes, & join us in learning a little something about psych & mental health from our examinations of your favorite reality TV shows, castmates, and tea! O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-oReality testing is when we check an emotion or thought we're having against objective reality. So, here in Reality Test, we're going to be testing the thoughts, emotions, interactions, and producer antics of reality television against what we know, as licensed psychologists, about objective reality. Come with us, let's Reality Test!Hosts: Dr. Kay & Dr. RayThank you to our sound extraordinaire, Connor!Patreon: patreon.com/RealityTest Linkt.ree/@RealityTestInstagram: @realitytestpodcastThreads: @drkaypodsTikTok: @realitytestpodYouTube Channel: @realitytestpodFacebook Page: Reality Test PodEmail: realitycheckpodding@gmail.com     Dr. Kay: @drkaypods (Insta) & @dr.realitv (TikTok)Dr. Ray: @drraypods (Insta)O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-o

This episode of the Brain & Life Podcast was recorded live at the American Academy of Neurology's Annual Meeting. Co-hosts Dr. Daniel Correa and Dr. Katy Peters were joined by Jen Pollack from Alzheimer's Association, Rich Brennan from ALS Association, and Julienne Verdi from Alliance for Headache Disorders Advocacy to discuss how advocacy and sharing stories makes a difference. Tune in to hear these field experts share the positive effects of collaboration and advocacy!   Additional Resources Become a Brain Health Advocate The Why Behind Your Weakness- ALS Association ASAP Act- Alzheimer's Association HEADACHE Act- Alliance for Headache Disorders Advocacy   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: ALS Association @als; Alzheimer's Association @alzassociation; Alliance for Headache Disorders Advocacy @allianceforheadacheadvocacy Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Two callers, two problems every practice owner runs into. The first is a self-described systems guy whose team keeps reverting to old habits two weeks after every meeting, vision cast, and lunch-and-learn. The second is an associate who just carved out one day a week away from the chair and wants to know how to actually use it. Peter and Craig push back on both. To the first caller: "I've tried everything" is the language of defeat, and the issue usually isn't the team, it's leadership, incentives, and whether you've ever asked your people what they actually want. To the second: an admin day isn't the same as working on the business, and stacking marketing or payroll onto a practice with a leaky recare rate or unanswered phones is just stepping over dollars to grab pennies. Find the real constraint first. Along the way: why incentives beat vision casting, the John Maxwell line on leaders with no followers, anonymous team surveys, finding your big rocks before your sand, and why the owner's psychology is so often the chokehold of the business. Got a question for the hotline? Call 561-933-5575. DESCRIPTION The Bulletproof Dental Podcast Episode: 443 HOSTS: Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh In this engaging Hotline episode, Peter Boulden, Craig Spodak, and Ian de Jongh answer listener questions about team motivation, leadership, practice growth, and working on the business. Drawing from their own experiences building successful practices, they share practical frameworks for creating team alignment, identifying practice bottlenecks, and investing in the people and systems that drive sustainable growth. CONTACT US Want Peter, Craig, and Ian to answer your question on the Bulletproof Hotline? Call and leave a message: (561) 933-5575 Whether you're facing a leadership challenge, a growth obstacle, or simply want feedback on your next move, the team may feature your question on a future episode. TIME STAMPS 01:00 Why Your Team Keeps Reverting Back 02:08 The Real Reason Team Buy-In Fails 04:55 Incentives Drive Outcomes 07:13 Leadership vs. The Wrong Team 09:06 What's Most Important to Your Team? 10:58 The Psychology of Practice Owners 11:43 Practical Action Steps for Team Alignment 13:47 How Should You Use an Admin Day? 15:20 Working In the Business vs. Working On the Business 17:48 Why Marketing Isn't Always the Answer 19:03 Define the Outcome Before the Tactics 20:50 Find the Real Bottleneck First 22:28 Stop Stepping Over Dollars to Pick Up Pennies 23:58 Why Bringing Your Team to Summit Changes Everything 26:25 Final Thoughts and Hotline Wrap-Up REFERENCES Bulletproof Summit

In this episode, Julie Squires, a certified compassion fatigue specialist and master certified life coach, joined us again to offer advice on silencing your inner critic. Everyone has a voice in their head that is sometimes unkind. Squires said when we take that negative talk to heart, “it becomes what we believe.” Negative thoughts can create feelings that lead to stress and nervous system deregulation. Fortunately, there are tools and resources that can help.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 141:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Julie SquiresPodcast Website: The Business of Practice

In this episode, Julie Squires, a certified compassion fatigue specialist and master certified life coach, joined us again to offer advice on silencing your inner critic. Everyone has a voice in their head that is sometimes unkind. Squires said when we take that negative talk to heart, “it becomes what we believe.” Negative thoughts can create feelings that lead to stress and nervous system deregulation. Fortunately, there are tools and resources that can help.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 141:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Julie SquiresPodcast Website: The Business of Practice

In this episode of the Brain & Life Podcast, co-host Dr. Katy Peters is joined by novelist and disability advocate Sabina Nordqvist. Sabina discusses her personal 12-year battle with idiopathic intracranial hypertension (IIH), POTS, and Ehlers-Danlos syndrome. She shares the profound impact of misdiagnosis, the importance of self-advocacy, and how her experiences in support groups led her to write a novel called It's All in Your Head that puts disabled characters front and center. Dr. Peters is then joined by Dr. Jeremy Cutsforth-Gregory, an Assistant Professor of Neurology at Mayo Clinic in Rochester, Minnesota, working in the Division of Neurologic Education. Dr. Cutsforth-Gregory explains cerebrospinal fluid and IIH, highlighting the treatments that are available and where research is going next.   Additional Resources Sabina Nordqvist- It's All in Your Head Understanding the Mysteries of POTS and Other Autonomic Disorders A Swimmer Returns to the Pool After Ehlers-Danlos Syndrome Diagnosis   Brain & Life Podcast Episodes on Similar Topics Parenting and Writing While Disabled with Jessica Slice Outdoors Woman Crystal Gail Welcome on Nature and Chronic Pain Author Samantha Lee Schmall on Life Beyond the Shunt   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Sabina Nordqvist @nordqvistbooks; Dr. Cutsforth-Gregory @mayoclinic Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

We have heard so many dentists say they hate selling. What they really hate is rejection. In this episode, Peter and Craig tackle one of the most misunderstood topics in dentistry and business: sales. Not the sleazy, manipulative version. The kind that every practice owner, leader, and entrepreneur relies on whether they realize it or not. They break down why selling is ultimately about creating value, communicating clearly, and helping people make decisions. The problem is that most dentists never learn how to handle rejection, so they avoid conversations that could grow their practice, improve patient outcomes, and create opportunities for their team. Peter and Craig explore the lessons they've learned from entrepreneurs like Ken Griffin and Roy Kroc, why clarity beats charisma in sales, and how confidence is built through repetition, not talent. They also discuss why ambitious people sabotage themselves by taking rejection personally, when in reality rejection is simply the price of growth. The conversation challenges the idea that technical skill alone creates success. Because if nobody knows who you are, what you do, or why it matters, none of your expertise can create value. If you've ever felt uncomfortable selling, promoting yourself, asking for commitment, or putting yourself out there, this episode is for you. DESCRIPTION The Bulletproof Dental Podcast Episode: 440 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak In this episode, Peter Boulden and Craig Spodak discuss the importance of selling, handling rejection, and creating value in business. They unpack why sales is often misunderstood, why rejection is unavoidable for anyone pursuing growth, and how practice owners can develop the confidence to communicate their value more effectively. From patient conversations and leadership communication to entrepreneurship and personal growth, this episode provides a practical framework for becoming more effective in business without becoming someone you're not. TAKEAWAYS Selling is a fundamental skill for every business owner Most people fear rejection more than they dislike sales Clarity is one of the most powerful tools in communication Confidence comes from repetition, not natural talent Adding value should always come before making an ask Rejection is feedback, not a personal attack Technical expertise alone does not create growth Leaders must learn how to communicate vision effectively Patients are more likely to say yes when they understand the value Boldness is often rewarded more than perfection Business growth requires consistent promotion and visibility The ability to sell impacts every area of leadership and entrepreneurship CHAPTERS 00:00 The Importance of Selling in Business 02:55 Overcoming Rejection and Embracing Leadership 05:28 The Power of Clarity in Selling 08:17 Creating Value and Building a Successful Practice REFERENCES Bulletproof Summit Bulletproof Mastermind

Welcome to PsychEd, the psychiatry podcast for medical learners, by medical learners.This episode is part of the PsychEd Book Club, a forum where we discuss books of interest to psychiatry learners from a variety of disciplines. We invite you to read along with us and contribute to our discussion.This short introductory episode gives you a heads-up about our upcoming book club on How Can I Help? A Week in My Life as a Psychiatrist by David Goldbloom and Pier Bryden. Stay tuned for a longer episode in a few months where we'll share our thoughts on the book.If you'd like to share your thoughts or questions about the book, email us at psychedpodcast@gmail.com or reach out on social media.Hosts: Dr. Angad Singh, PGY2Dr. Alastair Morrison, PGY2Dr. Matthew Cho, PGY1Sara Abrahamson, MS3Dr. Sena Gok, international medical graduate and scientistDr. Nikhita Singhal, staff psychiatristAudio Editing: Dr. Matthew Cho, PGY1For more PsychEd, follow us on Instagram (⁠⁠@psyched.podcast⁠⁠),  Facebook (⁠⁠PsychEd Podcast⁠⁠), X (⁠⁠@psychedpodcast⁠⁠), and Bluesky (⁠⁠@psychedpodcast.bsky.social‬⁠⁠). You can email us at ⁠psychedpodcast@gmail.com⁠ and visit our website at⁠⁠ ⁠⁠psychedpodcast.org⁠⁠.

Most dentists haven't touched their fee schedule in years. In this episode, Craig and Peter break down why a simple 10% fee increase doesn't just add 10% to your bottom line, it can boost profit by 25-33%. They cover the real math behind fee increases, why the fear of losing patients is almost always worse than the reality, and the exact steps to implement a smart, consistent fee strategy in your practice. They break down why many dentists quietly sabotage their own profitability by keeping fees artificially low while inflation, payroll, supplies, and lease costs continue climbing in the background. The result? Practices work harder every year just to maintain the same margins. Peter and Craig also unpack the psychology behind pricing, scarcity, and patient perception, and why dentists massively overestimate the risk of losing patients after a fee increase. They explain why small pricing adjustments create exponential impact on profitability, how overhead changes the math entirely, and why many practice owners are unknowingly building businesses with shrinking margins despite growing production. Lastly, the conversation explores why successful businesses across every industry normalize annual price increases while dentists often treat pricing emotionally instead of strategically. They share practical ways to implement fee increases smoothly, communicate value more effectively, and build a healthier business without adding more stress, hours, or clinical workload. If you're producing more every year but keeping less of what you make, this episode is for you. DESCRIPTION The Bulletproof Dental Podcast Episode: 439 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak In this episode, Peter Boulden and Craig Spodak discuss one of the most overlooked growth levers in dentistry: strategic fee increases. They break down why regular fee reviews are essential for long-term profitability, how inflation silently erodes margins, and why many dentists avoid raising fees out of fear rather than data. From pricing psychology and patient retention to overhead management and operational efficiency, this conversation offers a practical framework for increasing revenue and profitability without sacrificing patient trust or adding more production pressure. TAKEAWAYS Many dentists undercharge while operating costs continue rising Inflation quietly erodes practice profitability every year Small fee increases can create massive profit improvements Dentists often overestimate the risk of patient pushback Scarcity and pricing psychology influence patient perception Higher production does not automatically mean higher profitability Overhead determines how much production actually matters Strategic pricing is more powerful than simply working harder Successful industries normalize annual increases without emotional attachment Fee reviews should become a regular operational process Practices with healthier margins create more freedom and optionality Sustainable growth comes from smarter systems, not endless production CHAPTERS 00:00 The Importance of Fee Increases 02:48 Understanding Business Psychology in Dentistry 05:49 The Need for Scarcity and Pricing Strategy 08:49 Calculating Profit Increases from Fee Adjustments 11:36 The Impact of Overhead on Profitability 14:21 Action Steps for Implementing Fee Increases 17:20 The Psychology of Patient Retention 20:19 Learning from Other Industries 23:11 Preparing for the Future of Dentistry REFERENCES Bulletproof Summit The Patient Experience: The Ultimate Metric For Success

In this episode of the Brain & Life Podcast, co-host Dr. Daniel Correa is joined by Isabelle Woloson and her mother, Eliza to talk about Izzy's work to promote inclusion, challenge stereotypes, and embrace individuality as a young woman with Down syndrome. Together, they share practical insights on self-advocacy, community acceptance, and creating meaningful opportunities. They also discuss practical approaches to community acceptance, self-advocacy, and the evolving landscape of support and opportunities. Dr. Correa is then joined by Dr. Seth Keller, a nationally recognized leader in developmental neurology, for a conversation about supporting meaningful and fulfilling transitions into adulthood.   Additional Resources My Friend Isabelle- Book 8 Questions to Ask Your Doctor When Moving Out of Pediatric Care How Parents Advocate for Their Children with Rare Diseases   Brain & Life Podcast Episodes on Similar Topics Exploring Nutrition, Lifestyle, and Pediatric Multiple Sclerosis with Dr. Emmanuelle Waubant Author Samantha Lee Schmall on Life Beyond the Shunt Raising Awareness for a Rare Cancer with Love4Lucas President Hide Harashima   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Izzy Woloson @askIZZE; Eliza Woloson @elizawoloson Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Think you can outwork your problems? Many dentists default to seeing more patients and chasing higher production when things feel off. And it works... until it doesn't. The result? Dentists build practices that look successful from the outside while quietly becoming prisoners of the businesses they created. In this episode, Craig and Peter break down why grinding harder is just scooping water out of a sinking boat, what actually needs to change underneath, and how to stop being a hostage to your own practice. They discuss the mental models they use to make better decisions, avoid unnecessary complexity, and build businesses that support freedom instead of consuming it. They discuss why ambitious entrepreneurs often confuse movement with progress, why leadership pressure compounds as practices grow, and how high-performing dentists accidentally optimize their lives for achievement instead of fulfillment. The conversation also explores AI and the future of dentistry, the burden of carrying a growing team, the importance of community and mentorship, and why the quality of your problems matters more than the quantity of your success. If you've ever wondered whether your practice is serving your life or slowly taking it over, this episode is for you. DESCRIPTION The Bulletproof Dental Podcast Episode: 438 HOSTS: Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh In this episode, Peter Boulden, Craig Spodak, and Ian de Jongh unpack the hidden psychological cost of growth in dentistry. They explore the dangers of overproduction, why more revenue does not automatically create more freedom, and how ambitious practice owners often become trapped by goals they never stopped to question. From leadership fatigue and burnout to sustainable scaling and mental models for decision-making, this conversation challenges the traditional definition of success in dentistry and offers a different framework for building a practice that supports long-term fulfillment instead of exhaustion. TAKEAWAYS Overproduction often creates more stress instead of more freedom Many dentists become prisoners of the businesses they build Growth without clarity eventually leads to burnout More revenue does not automatically improve quality of life Leadership pressure compounds as practices scale Mental models help simplify business and life decisions High performers often confuse movement with progress Sustainable growth requires intentionality, not reactive expansion The quality of your problems matters more than the quantity of your success Working on your business becomes more important than constantly working in it Community and mentorship become critical as leadership pressure increases AI and technology will reshape the future of dentistry and practice ownership Time Stamps 00:04:00 Producer burnout in dental business. 00:09:27 Burnout and multi-location management. 00:11:31 Leadership and emotional state. 00:15:12 AI thought leadership and curiosity. 00:19:08 Emotional currency in life. 00:23:46 Group support in dentistry. 00:26:46 Quality of life comparisons. 00:28:34 Passive income in dentistry. 00:34:2 Defining happiness in goals. 00:35:41 Striver's blessing and curse. 00:40:39 Striving vs. contentment in success. 00:45:19 Prisoner vs. Hostage Mentality. 00:47:03 Inputs and outputs in life. 00:50:12 Bulletproof Summit ticket sales. REFERENCES Bulletproof Summit Bulletproof Mastermind

In this episode, Julie Squires, a certified compassion fatigue specialist and master certified life coach, joined us to discuss ways equine veterinarians can build confidence in themselves and others. Self-doubt can lead to stress, decreased adaptability, and anxiety. Squires explained some deliberate steps veterinarians can take to overcome imposter syndrome. She also discussed how mentors can help build confidence in their mentees.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 140:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Julie SquiresPodcast Website: The Business of Practice

In this episode, Julie Squires, a certified compassion fatigue specialist and master certified life coach, joined us to discuss ways equine veterinarians can build confidence in themselves and others. Self-doubt can lead to stress, decreased adaptability, and anxiety. Squires explained some deliberate steps veterinarians can take to overcome imposter syndrome. She also discussed how mentors can help build confidence in their mentees.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 140:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Julie SquiresPodcast Website: The Business of Practice

It is getting hot in California, which has us thinking about the massive carbon footprint of healthcare. The emergency department is famously resource-heavy, but can we save lives and reduce waste? Dr. David Barnes joins us to explain how going green isn’t just about being a “tree hugger”—it's about saving money, cutting waste, and making our hospitals resilient against supply chain chaos. Defining Healthcare Sustainability Balancing Safety and Footprint: Sustainability in healthcare means delivering efficient, affordable care that minimizes resource waste while remaining clinically safe and meaningful. The Power of Resiliency: A sustainable healthcare system is inherently a resilient one. Reducing reliance on single-use items and utilizing local renewable energy sources (like microgrids) protects hospitals from supply chain disruptions caused by geopolitical conflicts or weather-driven power grid failures. The Three Scopes of Emissions Scope 1 (Direct): Emissions directly produced by hospital operations, such as idling fleet vehicles and leaking anesthetic gases. Scope 2 (Indirect): Purchased energy used to power and heat the facilities (e.g., local electricity and steam lines). Scope 3 (Supply Chain): The largest bucket, making up 60% to 80% of healthcare emissions. This includes employee commutes, medical waste incineration, manufacturing of disposable devices, and food production. Clinical Traps: Where We Waste the Most Pre-packaged Kits: Studies show 75% to 80% of items inside specialized kits (like central lines) go completely unused and are thrown away. Over-Preparation: Opening multiple single-use items (like various ET tube sizes) or donning full trauma PPE for minor injuries creates an immediate, unnecessary trash stream. Pharmaceutical Waste: Standard packaging size leads to heavy drug wasting (e.g., using 5 mL from a 100 mL propofol bottle). This regulated medical waste is costly and energy-intensive to incinerate. The Glove Epidemic: Glove overuse skyrocketed during COVID-19 and became a habit. Most routine encounters carry no contamination risk, making glove use clinically unnecessary. Shifting the Culture “Take What You Need, Leave What You Don’t”: Avoid opening supplies you may not need or bringing extra gauze or syringes into a room. Due to infection safety protocols, these often end up in the trash. Watch Where You Toss: Keep coffee cups and paper out of the red biohazard bins. Regulated medical waste costs six times more to process and must be incinerated, creating massive greenhouse gas emissions. Embrace Reprocessing & Reusables: Support partnerships with companies that safely clean and reuse devices historically labeled “single-use” (like EKG leads or waffle mattresses). Swap disposable plastic gowns for reusable cloth gowns that survive 90 washes. Model the Behavior: Culture change takes patience and persistence. Instead of finger-wagging or shaming colleagues, visibly adopt sustainable habits to drive grassroots practice changes. Key Takeaways for the ED Clinician Speak up on bad design: Clinicians are on the front lines of waste. Advocate for local sustainability initiatives to grab the attention of hospital executives who handle major purchasing contracts. Normalize virtual alternatives: Protect staff well-being and slash commuting emissions by offering Zoom or Teams options for short, solitary administrative meetings. Keep it in perspective: Healthcare sustainability is about finding the sweet spot where clinical safety, resource utilization, and environmental impact meet. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. David Barnes, Professor of Emergency Medicine, Director of ED Sustainability, and Member of the Sustainability Committee at UC Davis Health Resources: Practice Greenhealth Health Care Without Harm Green ED (Royal College of Emergency Medicine) *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

In this episode of the Brain & Life podcast co-host Dr. Daniel Correa is joined by musician Amy Grant. Amy discusses her inspiring journey of recovery following a traumatic brain injury (TBI) in 2022. She shares her personal stories of resilience, the symptoms she felt and how she dealt with them, and how music continues to be a source of connection and healing. Dr. Correa is then joined by Dr. Shae Datta, co-director of the NYU Langone Concussion Center. Dr. Datta shares expert knowledge on concussion and TBI management, recovery, and innovative therapies, highlighting how personalized care can make a difference in prognosis.   Additional Resources Amy Grant After a Traumatic Brain Injury, Work Challenges May Last Longer Than Expected Surviving and Thriving After a Traumatic Brain Injury   Brain & Life Podcast Episodes on Similar Topics Veteran Lindsay Gutierrez is Reaching New Heights with Traumatic Brain Injury U.S. Soccer Legend Briana Scurry on Concussion and Mental Health   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Amy Grant @amygrantofficial; Dr. Datta @nyulangone Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Dr. Brian Harris built five dental practices, filled his garage with a Lamborghini, a Ferrari, a GT3, and a G-Wagon, and still wasn't any happier than when he had one office. So he did what almost no one does: he sold the practices back to his associates, went back to one location, and doubled down on the craft he actually loves. In this episode, Peter, Craig, Ian, and Brian unpack the real story behind the highlight reel. Why ego drives expansion more than strategy. Why financial success doesn't automatically create fulfillment. Why younger dentists need to rev the RPMs before they chase lifestyle dentistry. And why the ability to walk away from something you built might be the most underrated skill in the profession. Brian also shares what he's learned from nearly a decade running his own mastermind, building Smile Virtual, and doing $400K a month in production as a solo cosmetic dentist. His core message to every dentist listening: connection before conversion. Stop trying to close people. Start organizing your practice and your life around what actually makes you excited to show up. DESCRIPTION The Bulletproof Dental Podcast Episode: 437 HOSTS: Dr. Peter Boulden, Dr. Craig Spodak, and Ian de Jongh Special Guest: Dr. Brian Harris In this episode, Peter Boulden, Craig Spodak, and Ian de Jongh sit down with Dr. Brian Harris, cosmetic dentist, founder of Smile Virtual, and headliner at the 2026 Bulletproof Summit in Scottsdale. Brian shares the unfiltered story of scaling to five practices, realizing he was making less money and carrying more stress, and making the unconventional decision to go back to one office and focus on what he loves. If you've ever wondered whether more locations, more revenue, or more stuff will actually make you happier, this episode is a brutally honest look at what happens when you get everything you thought you wanted and have to recalibrate. TAKEAWAYS - Building multiple locations without the right leadership layer can leave you earning less than you did with one - Ego and approval addiction are often the real drivers behind expansion decisions - The grind phase early in your career is necessary and shouldn't be skipped - Knowing when to take the cul-de-sac back out is just as important as perseverance - Material success (cars, money, status) does not reliably increase happiness - Organizing your practice around what excites you creates better outcomes than chasing what others say you should do - Connection before conversion is the key to case acceptance and long-term practice success - Social media content works best when it's about your patients, not about you - Repetition through tools like Smile Virtual builds consultation skills that translate to real-life case acceptance - Being out of balance isn't a failure if you recognize it and course correct CHAPTERS 00:00 Opening Banter and Introductions 01:09 What Should the World of Dentistry Be Like 02:53 What Would You Tell Your Younger Self 04:29 The Case Against Lifestyle Dentistry Too Early 06:08 The Dip, the Cul-de-Sac, and Knowing When to Walk Away 07:15 What Are You Most Proud Of 09:15 Going from One Office to Five and Back Again 11:25 The Counter Narrative to Build Build Build 13:51 It Was Ego 15:17 A Garage Full of Supercars and the Same Level of Happiness 17:12 The Trap of Chasing Financial Success 18:16 Finding What You Actually Love About Dentistry 21:10 The Value of Loving Your Craft 23:51 The Strivers Curse and Being Out of Balance 26:10 Acknowledging When You're Out of Balance 28:13 Approval Addiction and Learning to Say No 30:20 People Pleasing Beyond the Operatory 32:27 Building a Personal Brand That Serves Patients 35:07 Content Strategy and Making It About Others 37:06 The Elite Mastermind and Finding Your Tribe 41:56 The Danger of Wrong-Fit Groups and Outside Influencers 44:36 Authenticity Over Sales Tactics 46:09 How Smile Virtual Builds Real Consultation Skills 49:46 Brian's Message to Every Dentist Listening 53:18 The Spirit of Service and Why It Wins 55:27 Brian's Megaphone Moment 59:09 Closing and Summit Details REFERENCES - Bulletproof Summit 2026 - https://bulletproofsummit.com/ - Bulletproof Mastermind - https://bulletproofmastermind.com/ - Smile Virtual - https://smilevirtual.com/

Doctor Kay is back to solo while Doctor Ray is away (for pleasure this time!) and is eager to share her theory for when West and Amanda first hooked up. If you've been following the Scamanda timeline, then you know it was established pretty early on that the purported start date of Spring 2026 was false…but how false are we talking? Check out Dr. Kay's theory, as she unpacks episodes 13-15 of Summer House Season 10, mining only the bits & bobs relevant to Scamanda and tying in contemporary data points to help build her case.  For Reality Check, Dr. Kay unpacks the suggestions of having three lifetime loves, as antidotal to the shaming cultural narrative about divorce and stepfamilies.REALITY TEST WITH US: When do YOU think Amanda and West first started hooking up? What's your theory? Or why do you dis/agree with Dr. Kay's theory? EMAIL US about it! Realitycheckpodding@gmail.com.o-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=OListeners! Come visit the Patreon for free at⁠⁠⁠⁠⁠ (http://patreon.com/RealityTest)  ⁠patreon.com/RealityTest⁠⁠⁠⁠⁠⁠ (or search on Patreon with “@RealityTest”) & check out some of the benefits of a free membership (early access to the audio episodes!) & the paid tier! For only a MEASLY $5/month, you get the bonus features, including Mental Health Check-Up episodes, the VIDEO episodes, the full audio episode archive, and bonus & behind-the-scenes video content!The first 10 paying members will get shoutouts on the pod & 5 randomly selected members will get a free year of membership after joining! What are you waiting for? Come watch our video episodes, & join us in learning a little something about psych & mental health from our examinations of your favorite reality TV shows, castmates, and tea! O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-oReality testing is when we check an emotion or thought we're having against objective reality. So, here in Reality Test, we're going to be testing the thoughts, emotions, interactions, and producer antics of reality television against what we know, as licensed psychologists, about objective reality. Come with us, let's Reality Test!Hosts: Dr. Kay & Dr. RayThank you to our sound extraordinaire, Connor!Patreon: patreon.com/RealityTest Linkt.ree/@RealityTestInstagram: @realitytestpodcastThreads: @drkaypodsTikTok: @realitytestpodYouTube Channel: @realitytestpodFacebook Page: Reality Test PodEmail: realitycheckpodding@gmail.com     Dr. Kay: @drkaypods (Insta) & @dr.realitv (TikTok)Dr. Ray: @drraypods (Insta)O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-o

On this week's episode of the Brain & Life Podcast, co-host Dr. Katy Peters sits down with actor Ryan Reynolds, who opens up about his father's Parkinson's-related hallucinations—an often overlooked but common symptom for many people living with the disease. Ryan also reflects on the care-partner experience and shares the steps he's taking to support his own brain health. Later, Dr. Peters is joined by Dr. Jori Fleisher, a movement disorders neurologist and associate professor at Rush University Medical Center in Chicago, who explains why hallucinations and other non-motor symptoms can occur in Parkinson's disease and what patients and care partners should know.   Additional Resources More to Parkinson's What Is Parkinson's Disease?   Related Episodes of Brain & Life Podcast Ed Begley Jr. on Utilizing a Healthy Lifestyle to Thrive with Parkinson's Disease Comedy and Courage: Comedian Richard Lewis on Living with Parkinson's Disease Seen and Heard: Allie Signorelli's Young-Onset Parkinson's Story, Part One   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Ryan Reynolds @vancityreynolds; Dr. Fleisher @rushmedical Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Dr. Tommy Dooley bought a low-reimbursement practice in 2017 doing $1.3M with $600 crowns. Eight years later, he's at $6.1M across two locations with three partners, 35 team members, and 47% overhead. He followed the Bulletproof playbook to the letter: dropped from 10 insurance networks to three, expanded from 7 to 12 ops, brought in partners, and hit 20% year-over-year growth for five straight years. But then he hit a problem growth could not solve: he's redlining. Not clinically. Not financially. Psychologically. Tommy thought the next level of leadership meant knowing every team member personally, remembering every birthday, and becoming the emotional center of a 35-person operation. Craig and Peter challenged that. In this real-time coaching conversation, they unpack the leadership identity crisis that hits practice owners when the business scales past what one person can hold. They cover why your definition of "good leadership" might be wrong, why the skill set that built your practice can eventually break it, and why the best leaders stop pushing their team toward a vision and start building a team that is pulled by one. If you're growing fast, feeling stretched thin, and wondering whether you're doing leadership wrong, this episode is for you. CASE STUDY: Growing dental entrepreneur focused on leadership development and scaling beyond operator dependency. Transitioning from solo producer to business leader and team builder Learning how to scale leadership while maintaining practice culture Navigating the challenges of delegation and accountability Balancing practice growth with personal fulfillment and freedom Building systems that empower teams instead of creating dependency Redefining success beyond production and revenue numbers Understanding the difference between management, inspiration, and leadership Developing long-term vision for growth, team alignment, and sustainability Learning how to create optionality inside a growing business Leadership growth became the key bottleneck and breakthrough for scaling DESCRIPTION The Bulletproof Dental Podcast Episode: 436 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak GUEST: Dr. Tommy Dooley MyStory is a new Bulletproof series where real dentists share their real story: what's working, what's not, and the questions they can't get answered anywhere else. Each episode is a one-hour Master Class. Peter & Craig give practical advice, just like they do inside our Mastermind Program and at the Bulletproof Summit. The point is simple: you'll hear your own challenges in someone else's story, and leave with clear steps you can use right away to shift your mindset, strengthen your practice, and avoid the mistakes that make growth harder than it needs to be. Contact Us Want to be on MyStory? Email MyStory@bulletproofdentalpractice.com If your story is selected, you will join Peter and Craig on the podcast. We also launched the Bulletproof Hotline. Call anytime and leave a message to share your story, ask a question, tell a joke, or leave a note for Peter and Craig. We will listen and respond with real-world feedback. Hotline: (561) 933-5575 Chapters 00:00 Introduction to Leadership and Growth 02:35 Tommy Dooley's Journey in Dentistry 05:17 Navigating Leadership Challenges 08:24 Understanding Ownership and Financial Growth 11:11 Defining Personal and Professional Goals 14:01 Balancing Growth and Personal Life 19:18 Defining Success and Personal Goals 21:52 The Quest for Freedom and Optionality 23:38 Redefining Leadership and Team Dynamics 31:09 Balancing Management, Inspiration, and Leadership 38:18 Building a Vision for Growth and Team Empowerment 46:32 Outro REFERENCES Bulletproof Summit Bulletproof Mastermind

In this episode, Cara Wright, DVM, MS, IVCA, shared the results from four veterinary well-being studies released by Merck Animal Health. These studies have tracked mental health, burnout, and well-being trends among U.S. veterinarians and their teams. Wright reported that 74% of veterinarian respondents are satisfied with their careers. She also shared three factors that are statistically tied to well-being: healthy stress management techniques, a healthy work-life balance, and the use of a financial planner.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 139:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Dr. Charlotte Lacroix, DVM, JD, owner of Veterinary Business Advisors, Inc.Podcast Website: The Business of Practice

Dr. Jonathan Howard (neurologist and author) and science journalist Wendy Orent return for another sharp, unsparing look at the state of U.S. public health policy. In this episode, the hosts unpack the surprise withdrawal of Casey Means as surgeon general nominee, her replacement by Fox News commentator and MSKCC breast imaging chief Dr. Nicole Saphier, and what the shuffle signals about the fracturing of the MAHA coalition. They dig into Saphier's contradictory record — pro-vaccine statements from 2020 and 2021 set against more recent anti-vaccine messaging, her supplement business (DropRx), and her now-deleted social media posts criticizing Trump and Elon Musk. From there, the conversation turns to the FDA's blocked publication of research showing the COVID and shingles vaccines are safe, the apparent role of former FDA vaccine office chief Dr. Vinay Prasad, and reporting that FDA Commissioner Marty Makary's job is in jeopardy. The episode also covers a small piece of good news — NIH program director Jenna Norton being reinstated after Jay Bhattacharya placed her on administrative leave for organizing the Bethesda Declaration — alongside disturbing developments: RFK Jr. clearing the path for minors to use tanning beds, and the militarized arrest of 78-year-old retired NIH scientist Dr. David Morens. Howard and Orent close on what the Morens arrest reveals about where lab leak conspiracy thinking has led American science and the rule of law. Hosts Dr. Jonathan Howard: Neurologist, professor, and author who writes prolifically on COVID misinformation and public health policy. Wendy Orent: Science journalist and author specializing in infectious disease, evolutionary biology, and public health. Episode Timestamps [00:00] Welcome and Atlanta weather check-in [00:35] Casey Means out, Nicole Saphier in as surgeon general nominee — what it signals about MAHA [01:30] Saphier's role at Memorial Sloan Kettering and her integrative medicine push [02:50] The 2021 WSJ op-ed with Marty Makary: a 10-fold error on pediatric COVID hospitalizations that was never corrected [06:30] Saphier's video opposing COVID vaccines for healthy children — and the framing of myocarditis as a fate worse than death [09:20] Saphier's earlier pro-vaccine statements from 2020 and 2021, and why MAHA now resents her [11:15] DropRx supplements: the surgeon general nominee's tincture business [12:30] Brandy Zadrozny's reporting on Saphier's book and her past criticism of the Plandemic film [13:10] Wendy watches Plandemic so you don't have to: Judy Mikovits and the anti-vaccine machine [14:50] CNN reports Saphier purged posts critical of Trump and Musk before her nomination [15:50] The most disturbing Saphier clip: 'DOGE is one of the greatest things to happen in U.S. history' while telling cancer researchers to 'just pause' [16:50] Harvard's November 2025 finding: hundreds of thousands of deaths from the USAID shutdown [18:20] Good news: Jenna Norton reinstated at NIH after Jay Bhattacharya tried to fire her over the Bethesda Declaration [19:30] Greg Gonsalves on scientists who cooperate with authoritarian science policy [20:10] FDA blocked publication of research showing the COVID and shingles vaccines are safe [21:30] Vinay Prasad: the censorship critic who became a censor [22:30] Why are these people opposed to the shingles vaccine? Howard and Orent on herpes zoster, strokes, and ophthalmic complications [23:50] New evidence: recombinant zoster vaccine linked to reduced dementia risk in adults 65+ [26:10] Marty Makary's FDA in chaos — WSJ, Bloomberg, and Politico reporting on a possible shakeup [28:00] Trump pressures the FDA to approve flavored vapes; ENDS authorization issued the same day [31:00] Makary's interview defending the Replimmune metastatic melanoma rejection — and getting caught in the contradiction [33:30] Who's really driving the FDA shakeup? Biotech investors, not patients [35:30] RFK Jr. clears path for minors to use tanning beds, and what dermatologists are saying [36:30] The arrest of Dr. David Morens: a 78-year-old retired NIH scientist, federal agents, tactical gear, and a strip-search [38:30] Lysenkoism revisited — what the lab leak conspiracy was always going to lead to [40:30] Closing thoughts and sign-off Key Discussion Points The Nicole Saphier Nomination Casey Means was withdrawn as surgeon general nominee and replaced by Dr. Nicole Saphier, head of breast imaging at Memorial Sloan Kettering Cancer Center and a frequent Fox News medical commentator. Howard revisits Saphier's December 2021 Wall Street Journal op-ed with Marty Makary, which understated pediatric COVID-19 hospitalizations by roughly a factor of 10 because the authors did not realize covid.net data only covered about 10 percent of the U.S. population. The error has never been corrected. Saphier's pre-nomination digital footprint included pro-vaccine statements from 2020 and 2021 alongside more recent anti-vaccine content, criticism of Trump and Elon Musk that has since been purged, and a personal supplement line called DropRx. FDA Censorship of Vaccine Safety Research The FDA blocked publication of internal research finding that the COVID-19 and shingles vaccines are safe, with reporting suggesting Dr. Vinay Prasad's office was involved in the decision before he left the agency. Howard points out the irony: Prasad built much of his public profile complaining about scientific censorship, then engaged in censorship the moment he held FDA power. New peer-reviewed research continues to show the recombinant zoster (shingles) vaccine is associated with reduced dementia risk in adults aged 65 and older, even as senior officials downplay or block such findings. Marty Makary on Thin Ice Multiple outlets — the Wall Street Journal, Bloomberg, NOTUS, and a Rachel Bade scoop — report Makary is at risk of being removed as FDA Commissioner over conflicts with the White House and his handling of rare-disease drug approvals. The same day Trump publicly pressured the FDA on flavored vapes, the agency issued a press release authorizing new ENDS (electronic nicotine delivery systems) products. In a 15-minute interview, Makary defended the rejection of Replimmune's metastatic melanoma drug by attributing it to career FDA scientists, but the journalist surfaced earlier indications that the initial review team had recommended approval. A Rare Piece of Good News NIH program director Jenna Norton, a key organizer of the Bethesda Declaration, was reinstated after Dr. Jay Bhattacharya placed her on administrative leave. A judge also reinstated several FEMA employees in the same ruling. The Arrest of Dr. David Morens Federal agents in tactical gear and bulletproof vests arrested Dr. David Morens, a 78-year-old retired NIH influenza researcher and former aide to Dr. Anthony Fauci, at his home over allegations he used a private email account to discuss official business and avoid FOIA disclosure. According to reporting in Science, Morens was strip-searched, handcuffed, and driven roughly 65 kilometers for fingerprinting and booking. Howard and Orent frame the arrest as the predictable endpoint of years of lab leak conspiracy rhetoric, and as a clear case of selective political prosecution. Mentioned in This Episode Wall Street Journal op-ed: 'Should You Vaccinate Your Five-Year-Old?' by Nicole Saphier and Marty Makary, December 3, 2021 Plandemic (2020 anti-vaccine film featuring Judy Mikovits) Make America Healthy Again (book by Nicole Saphier) Harvard study, November 2025, on deaths attributable to the USAID shutdown Greg Gonsalves essay on Vichy scientists Bethesda Declaration Alyssa Finley, Wall Street Journal: 'President Trump's Marty Makary Problem' Bloomberg: 'Paranoia, Turmoil and Backlash Inside Marty Makary's FDA' Rachel Bade: 'Scoop: Makary's Job in Jeopardy as White House Considers FDA Shakeup' Liz Esely White, Wall Street Journal: 'Trump Pressures FDA Commissioner to Approve Flavored Vapes' Los Angeles Times: 'RFK Jr. clears path for minors' use of tanning beds, much to the dismay of dermatologists' Science: 'Guns and bulletproof vests: How federal agents arrested a Fauci aide' Brandy Zadrozny — reporting on Nicole Saphier

In this episode, Cara Wright, DVM, MS, IVCA, shared the results from four veterinary well-being studies released by Merck Animal Health. These studies have tracked mental health, burnout, and well-being trends among U.S. veterinarians and their teams. Wright reported that 74% of veterinarian respondents are satisfied with their careers. She also shared three factors that are statistically tied to well-being: healthy stress management techniques, a healthy work-life balance, and the use of a financial planner.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 139:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Dr. Charlotte Lacroix, DVM, JD, owner of Veterinary Business Advisors, Inc.Podcast Website: The Business of Practice

In this episode, we explore the major complications of acute kidney injury (AKI) and break down the different modalities of dialysis used in the ICU and inpatient setting.Join us for a high-yield, clinically focused discussion covering AKI complications, and the practical differences between intermittent hemodialysis (HD), peritoneal dialysis (PD), and continuous renal replacement therapy (CRRT).Hosts:Dr. Tanya S. Jain and Dr. Avtandil Kochiashvili, Chief Medical Residents, UConnGuest Expert:Dr. Lalarukh Haider, Assistant Professor of Medicine, Division of Nephrology, UConn Health and Program Director of Nephrology FellowshipAuthor:Dr. Tanya S. Jain, Chief Medical Resident, UConnEdited by:Dr. Avtandil Kochiashvili, Chief Medical Resident, UConnMusic:LoFi Girl by Snoozy Beats | Free Music Archive | License: CC BY

On this week's episode of the Brain & Life Podcast, co-host Dr. Katy Peters talks with Samantha Lee Schmall, author of Beyond the Shunt, about her personal journey with hydrocephalus. Samantha reflects on growing up with the condition, what inspired her to share her story, and how she's found connection and support within the hydrocephalus community. Dr. Peters is also joined by Dr. Kristopher Kahle, Director of Pediatric Neurosurgery at Massachusetts General Hospital and the Harvard Center for Hydrocephalus and Neurodevelopmental Disorders, who explains what causes hydrocephalus, common symptoms, and current treatment options, including shunts.   Additional Resources Samantha Lee Schmall- Beyond the Shunt Understanding Hydrocephalus: Symptoms, Diagnosis, and Treatment Options Average Joe- Speak Up   Related Episodes of Brain & Life Podcast Author Tanita Allen on Existing with Huntington's Disease A Walk in the "Parkinson's" with Author Annmarie O'Connor Movement and Healing with Adventure Athlete, Author, and Activist Rebecca Rusch   We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Samantha Lee Schmall @beyondtheshunt; Dr. Kahle @mgbneurosurgery Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Dr. Craig Spodak has coached thousands of dentists and seen the same patterns show up again and again. Dentists are trained to be precise, perfectionistic, and responsible for everything. But the same traits that make them great clinicians can quietly trap them as leaders, business owners, and human beings. In this episode, Craig and Ian unpack the psychology of dentists: why so many tie their identity to their clinical work, why they struggle to delegate, why they feel isolated, and why the dream of ownership can become a golden cage. Craig breaks down the emotional weight dentists carry, from perfectionism and people-pleasing to financial fear, burnout, and the pressure to always have the answer. This conversation goes deep on what most dentists never say out loud. The gap between expectation and reality. The cost of building a practice that depends entirely on you. The danger of chasing goals you never actually questioned. And the freedom that comes from finally asking, "What do I actually want to feel and experience from this career? DESCRIPTION The Bulletproof Dental Podcast Episode: 435 HOSTS: Dr. Craig Spodak and Ian de Jongh In this episode, Craig Spodak and Ian de Jongh dive into the psychology behind dentistry and the mental patterns that quietly shape the lives and careers of dentists. If you've ever struggled with stress, frustration, overwhelm, or the feeling that success still doesn't feel fulfilling, this episode offers a raw and honest look at the psychological side of dentistry and the mindset shifts required to build both a healthier business and a healthier life. TAKEAWAYS Dentists often tie their identity and self-worth to clinical performance Perfectionism can become a major obstacle in leadership and business growth Many dentists feel isolated despite being surrounded by patients and teams People-pleasing can lead to weak leadership and resentment Financial success without financial education often creates stress and fear The transition from clinician to business owner is psychologically difficult Clarity around your goals and values is essential for fulfillment Community and mentorship help break isolation and create growth Leadership requires letting go of excessive control Building a business that depends entirely on you can become a "golden cage" CHAPTERS 00:00 Opening Banter and Podcast Updates 03:18 Craig's Tesla Cybertruck Review 06:45 Reflections on the Bulletproof Masters Retreat 09:02 Mental Health in Dentistry and Feeling Alone 11:24 The Identity Problem in Dentistry 16:48 Perfectionism and the Need for Control 23:11 The Gap Between Expectations and Reality 29:34 Isolation and Pressure in Dental Leadership 35:02 The People-Pleasing Trap 41:20 Financial Fear and Risk Aversion 48:17 The Golden Cage Effect 54:06 The Identity Shift from Clinician to Business Owner 01:01:12 Leadership, Clarity, and Defining Success 01:07:48 Final Thoughts and Encouragement REFERENCES Bulletproof Summit Bulletproof Mastermind

Doctors Kay and Ray discuss part 1 of The Real Housewives of Beverly Hills reunion, starting with the fissure between the two groups of women. They recap the opening argument about who cares more, followed by Rachel's glowing edit, and ending with the shock and defense of Amanda Frances, as she gets hammered by the reel, given all of the juicy moments she gave producers over the season. For Reality Check, Dr.s Kay & Ray both chose studies related to reducing sexism and stigma towards women, first in the wake of divorce and second in the wake of giving birth. REALITY TEST WITH US: Do you think Amanda was trying to encourage women to be the breadwinner in their families by bragging about her own breadwinner status? o-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=OListeners! Come visit the Patreon for free at⁠⁠⁠⁠⁠ (http://patreon.com/RealityTest)  ⁠patreon.com/RealityTest⁠⁠⁠⁠⁠⁠ (or search on Patreon with “@RealityTest”) & check out some of the benefits of a free membership (early access to the audio episodes!) & the paid tier! For only a MEASLY $5/month, you get the bonus features, including Mental Health Check-Up episodes, the VIDEO episodes, the full audio episode archive, and bonus & behind-the-scenes video content!The first 10 paying members will get shoutouts on the pod & 5 randomly selected members will get a free year of membership after joining! What are you waiting for? Come watch our video episodes, & join us in learning a little something about psych & mental health from our examinations of your favorite reality TV shows, castmates, and tea! O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-oReality testing is when we check an emotion or thought we're having against objective reality. So, here in Reality Test, we're going to be testing the thoughts, emotions, interactions, and producer antics of reality television against what we know, as licensed psychologists, about objective reality. Come with us, let's Reality Test!Hosts: Dr. Kay & Dr. RayThank you to our sound extraordinaire, Connor!Patreon: patreon.com/RealityTest Linkt.ree/@RealityTestInstagram: @realitytestpodcastThreads: @drkaypodsTikTok: @realitytestpodYouTube Channel: @realitytestpodFacebook Page: Reality Test PodEmail: realitycheckpodding@gmail.comDr. Kay: @drkaypods (Insta) & @dr.realitv (TikTok)Dr. Ray: @drraypods (Insta)O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-o

Menopause is not just “hot flashes”—it is a systemic hormonal shift that affects almost every organ system. For the emergency clinician, recognizing the symptoms of perimenopause and menopause is crucial for expanding the differential diagnosis once life-threatening conditions are ruled out. Dr. Pam Dyne joins us for a crash course on evaluating menopausal and perimenopausal patients in the ED. The “Why”: Why Menopause Matters in the ED The Mimic: Menopausal symptoms can mimic emergencies, including cardiac events, neurologic issues, and acute musculoskeletal injuries. The “Nothing Bad” Trap: After a negative workup (e.g., for chest pain or abdominal pain), telling a patient “everything is normal” often leaves them without answers. Identifying menopause as a potential etiology provides patient-centered closure and a path to treatment. Empowerment: Many medical providers are insufficiently trained when it come to menopause – ED clinicians can help patients advocate for themselves. Physiology Refresher: When the Ovaries Retire The Signal: Prior to menopause, the brain sends FSH/LH to the ovaries, and the ovaries answer with estrogen. The Shift: In menopause, the ovaries “retire.” The brain keeps shouting (higher FSH levels), but the ovaries don't respond. Perimenopause: Hormones fluctuate wildly, cycles become irregular, and symptoms are often at their peak due to inconsistency. Hormone Therapy (MHT): Debunking the Myths A major barrier to treatment is the “mass hysteria” caused by the 2002 Women's Health Initiative (WHI) study. The Correction: Modern re-analysis shows that for healthy females under 60 and within 10 years of menopause, hormone therapy is extremely safe. (There are some exceptions, including females at high risk for certain cancers) The Benefits: It has been shown to reduce all-cause mortality by 30% and has many potential health benefits, including lower the risk of Alzheimer’s, Parkinson’s, and osteoporotic fractures. The Difficult Pelvic Exam: ED “Hacks” Examining older female patients can be challenging for myriad reasons, including physical limitations and lack of proper ED pelvic exam gurneys. The Upside-Down Speculum: If you can’t use stirrups, keep the patient flat on the bed. Turn the speculum upside down (handle facing up) so it doesn’t hit the gurney. Tip: Push down on the handle; don’t pull up like a laryngoscope. Lateral Decubitus: Perform the exam with the patient on their side (top leg held up) if they cannot flex their hips. Comfort: Use liberal lubrication and consider topical lidocaine gel. The “Hidden” Problem: Always check for old/forgotten pessaries or fecal impaction in cases of pelvic pain or recurrent UTIs. Clinical Pearls: Specific Presentations 1. Post-Menopausal Bleeding Rule: Cancer until proven otherwise. Workup: Speculum exam (confirm source) + Ultrasound (measure endometrial thickness) + Endometrial biopsy (usually outpatient). 2. Genitourinary Syndrome of Menopause (GSM) Symptoms: Vaginal dryness, thinning tissue, pH changes, and recurrent UTIs (≥3 culture-proven UTIs in 12 months or ≥2 in 6 months). ED Treatment: ED docs can and should prescribe vaginal estrogen cream. It is not absorbed systemically and is highly effective at preventing future UTIs. 3. Pelvic Organ Prolapse Types: Cystocele (bladder), Rectocele (rectum), or Uterine prolapse. Exam Tip: Symptoms are often gravity-dependent. If you don’t see the bulge while the patient is supine, ask them to bear down. 4. Musculoskeletal (MSK) Syndrome of Menopause Presentation: atraumatic joint pain, tendinopathies. Cause: Estrogen receptors are located throughout the MSK system; loss of estrogen leads to inflammation and ligamentous changes. Key Takeaways for the ED Clinician Keep menopause on your differential: Don't dismiss vague aches, mood changes, or urinary issues in women aged 45–60 as “just stress.” Look at the Problem: If a patient has pelvic pain or bleeding, do the exam. You might find a simple fix, like a forgotten pessary or local atrophy. Connect to Care: If you suspect menopause is the culprit, point them toward menopause.org to find a certified practitioner. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Pamela Dyne, Professor of Clinical Emergency Medicine and Chief Physician Wellness Officer at Olive View UCLA Medical Center Resources: North Americal Menopause Society (NAMS) – Menopause.org UTIs and Estrogen: the Overlooked Link, By Ashley Winter, MD; Rachel Rubin, MD; and Howie Mell, MD, MPH. ACEP Now, February 16, 2022 American College of Obstetricians and Gynecologists (ACOG): Menopause *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Dr. Ray is away for a couple weeks, and after a break, Dr. Kay is back to drop a surprise mid-week pod! First, Dr. Kay updates us on Scamanda, with use of examples from the recent episodes of the currently-airing season of Summer House, given what we now know about West and Amanda's relationship. She then used our classic Reality Test approach–the 6 psychologically-focused segments–to discuss other hot topics from Summer House, as well as hot topics from the current seasons of The Valley, Beyond the Villa, and Real Housewives of Beverly Hills! In the reality TV you watched this past week, what sociopolitical moments did you spot? How was therapy discussed? What did you expect to be a popular topic in the social media halls the next day, only to find no one was talking about it? Dr. Kay answered these questions & more, with discussion of such themes as sexual coercion and post-partum body image in marital/romantic relationships, the impacts of getting reality TV fame, and beauty culture expectations around make-up. She ends with a note or two, including an informal Reality Check, about cyberbullying.REALITY TEST WITH US: What would you say to a friend who was having difficulty with their body image after having a baby? o-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=OListeners! Come visit the Patreon for free at⁠⁠⁠⁠⁠ (http://patreon.com/RealityTest)  ⁠patreon.com/RealityTest⁠⁠⁠⁠⁠⁠ (or search on Patreon with “@RealityTest”) & check out some of the benefits of a free membership (early access to the audio episodes!) & the paid tier! For only a MEASLY $5/month, you get the bonus features, including Mental Health Check-Up episodes, the VIDEO episodes, the full audio episode archive, and bonus & behind-the-scenes video content!The first 10 paying members will get shoutouts on the pod & 5 randomly selected members will get a free year of membership after joining! What are you waiting for? Come watch our video episodes, & join us in learning a little something about psych & mental health from our examinations of your favorite reality TV shows, castmates, and tea! O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-oReality testing is when we check an emotion or thought we're having against objective reality. So, here in Reality Test, we're going to be testing the thoughts, emotions, interactions, and producer antics of reality television against what we know, as licensed psychologists, about objective reality. Come with us, let's Reality Test!Hosts: Dr. Kay & Dr. RayThank you to our sound extraordinaire, Connor!Patreon: patreon.com/RealityTest Linkt.ree/@RealityTestInstagram: @realitytestpodcastThreads: @drkaypodsTikTok: @realitytestpodYouTube Channel: @realitytestpodFacebook Page: Reality Test PodEmail: realitycheckpodding@gmail.com     Dr. Kay: @drkaypods (Insta) & @dr.realitv (TikTok)Dr. Ray: @drraypods (Insta)O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-o

Dr. X graduated two years ago and joined his father's practice with the understanding that one day it would be his. But right now, he's paid a daily rate, produces a fraction of the revenue, and has no formal path to ownership. His dad, a 35-year veteran producing $1.5M a year, loves dentistry and isn't slowing down. Meanwhile, Dr. X is sitting in half-empty chairs, struggling to grow, and watching his vision for the future clash with his father's comfort zone. In this raw MyStory episode, Craig, Peter, and Ian unpack everything Dr. X is up against: a team that doesn't see him as the leader, a business that's built around one producer, and a mindset that's quietly holding him back. Craig shares his own painful experience navigating the same dynamic with his father and the fights that nearly destroyed their relationship. The conversation goes deep on knowing your numbers, building a vision bigger than yourself, and why the hardest conversation you'll ever have might be the one that changes everything. CASE STUDY: Second-generation dentist, two years out of school, working in his father's practice with no equity and no succession plan. $2.1M practice, dad produces $1.5M, Dr. X produces $400K, hygiene makes up the rest Paid a daily rate with no production-based compensation 7 to 8 operatories currently, 2 underutilized, only in-network with Delta 4 to 10 new patients per month, net growth is negative Dad is 68, estimates 6 years left, not looking to invest capital Dr. X wants 14 ops, associates, and $500K net without producing Team doesn't know the vision, dad doesn't share it, no alignment $500K at 20% profit margin = $2.5M collections, doable with current chairs at ~$310K per chair Biggest barrier isn't capacity, it's one honest conversation with dad about vision, price, and timeline DESCRIPTION The Bulletproof Dental Podcast Episode: 434 HOSTS:Dr. Peter Boulden,  Dr. Craig Spodak and Ian de Jongh GUEST: Dr. X MyStory is a new Bulletproof series where real dentists share their real story: what's working, what's not, and the questions they can't get answered anywhere else. Each episode is a one-hour Master Class. Peter & Craig give practical advice, just like they do inside our Mastermind Program and at the Bulletproof Summit. The point is simple: you'll hear your own challenges in someone else's story, and leave with clear steps you can use right away to shift your mindset, strengthen your practice, and avoid the mistakes that make growth harder than it needs to be. Contact Us Want to be on MyStory? Email MyStory@bulletproofdentalpractice.com If your story is selected, you will join Peter, Craig and Ian on the podcast. We also launched the Bulletproof Hotline. Call anytime and leave a message to share your story, ask a question, tell a joke, or leave a note for Peter, Craig and Ian. We will listen and respond with real-world feedback. Hotline: (561) 933-5575. Chapters. Chapters 00:00 Introduction to Dr. X's Practice Challenges 02:21 Dr. X's Practice Overview and Growth Concerns 04:03 Dr. X's Vision and Practice Goals 07:57 Current Practice Metrics and Revenue 12:05 Aligning Vision with Practice Reality 15:49 The Importance of Clear Communication with Family 20:11 Strategies for Practice Expansion and Ownership 24:59 Psychology and Mindset in Practice Growth 29:58 Team Management and Practice Efficiency 34:58 Insurance, Fees, and Practice Economics 40:11 Clarifying Goals and Building a Business Vision 45:00 The Power of Purpose and Core Values 49:54 Taking Action and Next Steps for Growth REFERENCES Bulletproof Summit Bulletproof Mastermind  

In this episode, Charlotte Lacroix, DVM, JD, owner of Veterinary Business Advisors, Inc., discussed minority equity share offers for equine practice associates. These offers are becoming increasingly common as signing or retention bonuses, often from large corporate practices, but associates usually have very little ability to negotiate the terms. She explained the important questions associates should ask before accepting such an offer.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 138:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Charlotte Lacroix, DVM, JD, owner of Veterinary Business Advisors, Inc.Podcast Website: The Business of Practice

In this episode, Charlotte Lacroix, DVM, JD, owner of Veterinary Business Advisors, Inc., discussed minority equity share offers for equine practice associates. These offers are becoming increasingly common as signing or retention bonuses, often from large corporate practices, but associates usually have very little ability to negotiate the terms. She explained the important questions associates should ask before accepting such an offer.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 138:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Charlotte Lacroix, DVM, JD, owner of Veterinary Business Advisors, Inc.Podcast Website: The Business of Practice

This week's episode of the Brain & Life Podcast was recorded live at the American Academy of Neurology's Annual Meeting in 2025! Hosts Dr. Daniel Correa and Dr. Katy Peters were joined by Joel Salinas, MD, MBA, MSc, FAAN, Andrea Lendaris, MD, MS, Andrew M. Southerland, MD, FAAN, and Eric J. Seachrist, MD to share what it's like living and practicing neurology with their own neurological condition(s) and neurodiverse perspectives, and explore how their experiences serve as a window into the patient and community perspective.   Brain & Life Articles Mentioned Neurology® Podcast Switching Roles: A Neuro-oncologist Reflects on his Own Experience with a Brain Tumor We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

Craig and Peter reflect on the early days of Bulletproof and the personal challenges that led to its creation, sharing raw insights into burnout, leadership struggles, loneliness, and the pressure of owning a dental practice. From feeling trapped in the operatory to navigating team breakdowns and personal crises, this conversation highlights the reality many dentists face but few talk about. HOSTS: Dr. Peter Boulden,  Dr. Craig Spodak and Ian de Jongh DESCRIPTION In this episode, Peter Boulden, Craig Spodak, and Ian open up about a topic rarely discussed in dentistry, mental health, burnout, and the hidden struggles behind success. The episode emphasizes the importance of community, mentorship, and changing inputs to shift outcomes. It also challenges the culture of comparison and social media "peacocking" that often deepens dissatisfaction in the profession. If you've ever felt stuck, overwhelmed, or alone in your journey, this episode is a reminder, you're not alone, and there is a path forward. TAKEAWAYS Dentistry has high rates of burnout, depression, and dissatisfaction Many dentists struggle in silence due to fear of showing weakness Social media comparison can amplify feelings of failure Community and mentorship are essential for growth and resilience Your inputs (environment, people, learning) determine your outcomes Leadership struggles often stem from internal challenges Success comes from learning new skills and changing perspectives Avoid making major decisions while in crisis Building the right circle can transform both business and life Growth requires both personal development and business strategy CHAPTERS 00:00 Introduction: The Hidden Epidemic in Dentistry 01:25 The Origins of Bulletproof: Strife and Struggling 03:21 The Power of Shared Experiences and Community 05:42 Peter's Personal Journey Through Burnout and Recovery 06:35 The Silence Men Keep About Mental Health 08:01 The Culture of Peacocking and Its Impact 09:45 The Role of Social Media and Validation 11:12 A Listener's Emotional Impact and Connection 12:12 The Load We Carry and Self-judgment 14:29 The Importance of Support Systems and Safe Spaces 16:13 Defining 'I Can't Do This' Moments 18:15 The Pain of Leading with Heart and Vulnerability 20:08 The Power of Community and Support in Healing 22:00 Stay in the Game: Resilience During Crises 24:31 The Role of Education and Personal Development 26:56 Seeking Advice and Modeling Success 28:49 The Value of Discerning Supportive Circles 30:28 The Importance of Authentic Community 31:33 Steps to Turn Things Around 34:42 The Power of Small Wins and Consistency 36:22 Ending: Resources and Hope for Dentists REFERENCES Bulletproof Summit Bulletproof Mastermind  

Dr. Donnie bought his dental practice just 6 months ago, and he's already facing the challenges every new owner hits. In this raw and honest "MyStory" episode, Craig and Peter sit down with Dr. Donnie to unpack the real problems he's navigating as a first-time practice owner: arbitrary revenue goals with no math to back them up, two part-time associates who aren't pulling their weight, a rocky practice management software switch mid-transition, a team that says everything's fine but clearly isn't, and a leadership style that's more people-pleasing than people-leading.  The guys break it all down, from reverse-engineering his $3M dream with actual operatory data, to why his bonus system could quietly be killing his margins, to the hard truth about what it means to lead vs. manage a team you inherited. Case Study:  Dr. Donnie Wiggins Single Practice Owner Based in New Jersey (commuting from Brooklyn, NY) Purchased Practice: September 2025 Experience: 6 months into ownership DESCRIPTION The Bulletproof Dental Podcast Episode 432 HOSTS: Dr. Peter Boulden,  Dr. Craig Spodak &  Ian de Jongh GUEST:  Dr.Donnie Wiggins "MyStory" is a new Bulletproof series where real dentists share their real story: what's working, what's not, and the questions they can't get answered anywhere else. Each episode is a one-hour Master Class. Peter, Craig and Ian give practical advice, just like they do inside our Mastermind Program and at the Bulletproof Summit.  The point is simple: you'll hear your own challenges in someone else's story, and leave with clear steps you can use right away to shift your mindset, strengthen your practice, and avoid the mistakes that make growth harder than it needs to be. Contact Us Want to be on MyStory? Email MyStory@bulletproofdentalpractice.com. If your story is selected, you'll join Peter, Craig  ans Ian on the podcast. We also launched the Bulletproof Hotline. Call anytime and leave a message to share your story, ask a question, tell a joke, or leave a note for Peter, Craig and Ian. We'll listen and respond with real-world feedback. Hotline: (561) 933-5575 Chapters 00:00 Introduction and Dr. Donnie's Background 01:15 Dr. Donnie's Path to Practice Ownership 02:22 Why Dr. Donnie Chose Practice Ownership 04:14 Current Challenges in Practice Management 05:00 Vision for the Next Three Years 06:07 Financial Goals and Profit Margins 08:20 Building Out the Practice and Capacity 09:08 Analyzing Practice Performance and Capacity 10:14 Forecasting Future Production and Growth 13:28 Staffing, Culture, and Buy-In 15:10 Understanding Practice Revenue and Data 18:00 Staffing Strategies and Efficiency 22:50 Leadership and Influence in Practice 30:09 Overcoming Staff and Culture Challenges 36:20 Financial Metrics and Bonus Systems 40:43 Patience and Long-Term Growth Mindset 42:52 Self-Leadership and Continuous Learning 44:55 Effective Communication and Influence 45:36 Embracing Change and Problem Solving 46:29 Encouragement and Final Advice REFERENCES Bulletproof Summit Bulletproof Mastermind

Hosts:Dr. Ashlee Gethner, LCSW – Child of a Police OfficerJennifer Woosley Saylor, LPCC S – Child of a Police OfficerEpisode OverviewIn this episode of When the Call Hits Home, Jennifer and Ashlee are back after some time away and dive into a real, honest conversation about burnout in first responders. From conference insights to personal experiences, this episode highlights how stress builds and how our bodies often send warning signs before we're ready to listen.Ashlee shares her experience attending a international conference and what stood out most, including the science behind decision-making in high-pressure situations and the reality of how quickly first responders are forced to act. The conversation also explores decision fatigue, impatience, and how the job impacts life at home.The episode takes a personal turn as Ashlee opens up about being forced to slow down after getting sick, missing an important trip, and realizing just how much she had been pushing herself. This leads into an important discussion about how burnout often starts with physical symptoms and why so many first responders ignore those early signs.Together, Jennifer and Ashlee break down what burnout actually looks like, how it shows up in the body and behavior, and why rest isn't optional.What You'll Learn in This Episode:• How quickly first responders must make life-changing decisions• What decision fatigue looks like at work and at home• The connection between stress, the brain, and the body• Early physical signs of burnout (before emotional symptoms appear)• Why first responders often ignore or push through burnout• The importance of boundaries, rest, and listening to your bodyKey Takeaways:• Burnout doesn't start with a breakdown—it starts with subtle warning signs• Physical symptoms (fatigue, illness, headaches) are often the first red flags• High-performing individuals are more likely to ignore burnout• Rest is not a luxury—it's necessary for long-term health and performance• You can't pour from an empty cupResources & Support:If you or someone you know is struggling, consider reaching out to a trusted peer, supervisor, or mental health professional who understands first responder culture.Thank you for being part of our community. From hard-hitting topics to laugh-out-loud moments, we're here with you because when the call hits home, you're never alone.Follow Us:- Facebook: When The Call Hits Home Podcast- Instagram: @whenthecallhitshome- Whenthecallhitshome.com---This podcast does not contain medical / health advice. It is not intended to be a substitute for professional medical or mental health advice, diagnosis or treatment and should not be relied on as health or personal advice.The information contained in this podcast is for general information purposes only. The information is provided by Training Velocity LLC and while we endeavour to keep the information up to date and correct, we make no representations or warranties of any kind, express or implied, about the completeness, accuracy, reliability, suitability or availability with respect to the Podcast or the information, products, services, or related graphics contained in the podcast for any purpose. Any reliance you place on such information is strictly at your own risk. WE ARE NOT RESPONSIBLE NOR LIABLE FOR ANY ADVICE, COURSE OF TREATMENT, DIAGNOSIS OR ANY OTHER INFORMATION, SERVICES OR PRODUCTS THAT YOU OBTAIN THROUGH THIS PODCAST. Always seek the advice of your physician or other qualified health care provider with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you have heard on this podcast.

In this episode, Chris Doherty, DVM, MBA, CBV, assistant director of strategic business research and outreach for the AVMA, discussed the current state of the equine veterinary industry. He reviewed data collected from the 2026 AVMA Economic State of the Veterinary Profession report and discussed topics including early-career compensation, veterinary educational debt, average equine associate salaries, and more.Access the report here: https://ebusiness.avma.org/ProductCatalog/product.aspx?ID=2329The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 137:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Chris Doherty, DVM, MBA, CBV, Assistant Sirector of Strategic Business Research and Outreach for the AVMAPodcast Website: The Business of Practice

The doctors return to Southern Charm's recently-concluded season to discuss the 6 remaining pieces of relationship advice mined from both episodes of the reunion! Whether discussing internalized misogyny in the form of the “dramatic” stereotype of women, or the misguided coopting of friends to spy on your ideal girlfriend, Dr.s Kay & Ray bring the relational advice and surrounding sociopolitical topics to the table. There are, as in episode 128, three “do”s and three “don't”s! For Reality Check's psych studies, Dr.s Kay & Ray both discuss stereotype threat: what it is and one application of it that relates to the “dramatic” stereotype of women. REALITY TEST WITH US: Have you had experiences where a stereotype about any of your demographic factors likely influenced how you performed in a task related to that stereotype? o-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=OListeners! Come visit the Patreon for free at⁠⁠⁠⁠⁠ (http://patreon.com/RealityTest)  ⁠patreon.com/RealityTest⁠⁠⁠⁠⁠⁠ (or search on Patreon with “@RealityTest”) & check out some of the benefits of a free membership (early access to the audio episodes!) & the paid tier! For only a MEASLY $5/month, you get the bonus features, including Mental Health Check-Up episodes, the VIDEO episodes, the full audio episode archive, and bonus & behind-the-scenes video content!The first 10 paying members will get shoutouts on the pod & 5 randomly selected members will get a free year of membership after joining! What are you waiting for? Come watch our video episodes, & join us in learning a little something about psych & mental health from our examinations of your favorite reality TV shows, castmates, and tea! O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-oReality testing is when we check an emotion or thought we're having against objective reality. So, here in Reality Test, we're going to be testing the thoughts, emotions, interactions, and producer antics of reality television against what we know, as licensed psychologists, about objective reality. Come with us, let's Reality Test!Hosts: Dr. Kay & Dr. RayThank you to our sound extraordinaire, Connor!Patreon: patreon.com/RealityTest Linkt.ree/@RealityTestInstagram: @realitytestpodcastThreads: @drkaypodsTikTok: @realitytestpodYouTube Channel: @realitytestpodFacebook Page: Reality Test PodEmail: realitycheckpodding@gmail.com     Dr. Kay: @drkaypods (Insta) & @dr.realitv (TikTok)Dr. Ray: @drraypods (Insta)O=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-=-o

The Bulletproof Dental Podcast Episode 431 HOSTS: Dr. Peter Boulden,  Dr. Craig Spodak and Ian de Jongh DESCRIPTION In this episode, Peter Boulden, Craig Spodak, and Ian  De Jongh (CEO of Bulletproof) explore the critical role of accountability in dental practice management and how it directly impacts growth, hiring, and team performance. They break down effective hiring strategies, emphasizing the importance of involving team members, setting clear expectations, and building a culture of ownership. The conversation also dives into associate development, highlighting the mindset required for long-term success, the importance of mentorship, and creating clear pathways to partnership. With insights on retention, motivation, and the evolving role of DSOs, this episode provides a practical framework for building a high-performing and aligned dental team. Want to be on MyStory? Email MyStory@bulletproofdentalpractice.com. If your story is selected, you'll join Peter and Craig on the podcast. We also launched the Bulletproof Hotline. Call anytime and leave a message to share your story, ask a question, tell a joke, or leave a note for Peter and Craig. We'll listen and respond with real-world feedback. Hotline: (561) 933-5575 TAKEAWAYS Accountability is a key driver of action and results in practice management Involving team members in hiring improves culture and long-term fit Clear communication of expectations sets the foundation for success Hiring slow and firing fast leads to stronger teams Empowering staff in hiring decisions builds ownership Motivation is tied to individual drive and long-term goals Associates need clear career pathways to grow and succeed Partnership opportunities attract and retain top talent Monthly check-ins support new graduates and associate development Understanding practice performance and financials is essential Mentorship plays a critical role in developing dental professionals The dental industry is evolving, requiring adaptability and strategic thinking   CHAPTERS 00:00 Introduction to the Hotline and Its Purpose 02:47 Accountability and Action in Practice Management 06:03 Hiring Strategies and Team Dynamics 11:46 Empowering Team Members in Hiring Decisions 15:11 Mindset and Motivation in Associate Growth 21:40 Navigating the DSO Landscape 25:19 The Importance of Partnership Pathways 30:07 Understanding Associate Dynamics 34:49 Key Questions for Associates 38:54 Announcements and Closing Thoughts REFERENCES Bulletproof Summit Bulletproof Mastermind  

In part two of this two-part episode of the Brain & Life podcast, host Dr. Daniel Correa is joined by influencer and podcaster Allie Signorelli. She shares her entrance into the world of advocacy and why she chose to speak up about her experiences and participate in research opportunities. Dr. Correa is then joined by Dr. Rodolfo Savica, who explains what some of those research opportunities are, why they matter, and what's next for the Parkinson's community.   Additional Resources Allie Signorelli: Living With Young Onset Parkinson's What is Parkinson's Disease? Factors That May Increase the Risk of Parkinson's Disease   Brain & Life Podcast Episodes on Similar Topics A Walk in the "Parkinson's" with Author Annmarie O'Connor Ed Begley Jr. on Utilizing a Healthy Lifestyle to Thrive with Parkinson's Disease How American Ninja Warrior Jimmy Choi Rose Above Parkinson's We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org   Social Media Guests: Allie Signorelli @imstillallie; Dr. Rodolfo Savica @mayoclinic Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD

The Bulletproof Dental Podcast Episode 430 (Part 2). HOSTS: Dr. Peter Boulden and Ian de Jongh   DESCRIPTION Ian de Jongh, CEO of Bulletproof, joins Peter Boulden to break down the six core pillars of dental marketing that influence how patients choose a practice online. This episode looks into practical, real-world strategies to improve patient acquisition by focusing on what actually matters, reputation, transparency, convenience, and trust. From online reviews to financial clarity, this conversation highlights how to build a patient-centered marketing approach that drives consistent practice growth.   TAKEAWAYS  Building personal trust with patients Addressing dental anxiety through marketing Showcasing high-quality dental results Optimizing practice environment and amenities Enhancing online reputation and patient testimonials   CHAPTERS 00:00 Understanding Patient Trust and Dental Anxiety 03:17 Creating a Calming Dental Environment 06:04 The Importance of Personal Representation 09:19 Addressing Dental Anxiety in Marketing 12:12 The Role of Office Environment and Amenities 14:54 Showcasing Quality of Work and Results 18:11 Staging Your Dental Practice for Success 21:01 Actionable Steps for Dental Marketing Improvement 24:18 Leveraging AI for Dental Practice Growth 27:03 Final Thoughts and Resources   REFERENCES Bulletproof Summit Bulletproof Mastermind  

“Time can only be spent. Think of it as your most valuable currency.” Welcome back to EM Pulse. We are continuing our deep dive with Dr. Resa Lewiss into the world of Micro Skills. If you missed it, go back and listen to Part 1 where we definite micro skills and discuss how they can help you as an early, mid or late career physician. In the second half our interview, we move beyond the career stages and into the daily habits that protect our time, our energy, and our sanity. Protecting Your Time and Energy The “Failure Friend” and the Board of Directors Building on the concept from Part 1, Dr. Lewiss emphasizes that your Personal Board of Directors isn’t just for networking—it’s for survival. The “No-Judgment” Call: In EM, bad outcomes happen. You need a person you can call to simply be heard without needing a solution. Whether it's a mistake or just a really rough shift, having a “failure friend” is a vital micro skill for psychological health. Networking as an Introvert (and for Women) Networking often feels “creepy” or superficial, but Dr. Lewiss re-frames it as connecting. Arrive Rested: For introverts, the best micro skill for networking is showing up with a full battery. Deliberate Rest: This is the practice of doing non-work activities (nature, exercise, meals with loved ones) specifically to return to work with more focus. Meaningful Feedback: Start, Stop, Continue Tired of vague “Good job!” feedback? Dr. Lewiss shares her own mistakes in giving feedback and offers a better way to receive it: The “One Thing” Rule: When someone praises your work, ask: “What is one thing that stood out?” The Framework: To get honest feedback from subordinates or peers, ask them: “What is one thing I should start doing, one thing I should stop doing, and one thing I should continue doing?” Reclaiming the Calendar: Meetings and JOMO Emergency physicians often suffer from FOMO (Fear Of Missing Out), but Dr. Lewiss argues for JOMO (Joy Of Missing Out). Break the “one-hour meeting” mold. Most one-hour meetings can be 30 minutes. Most 30-minute meetings can be 15 minutes. Most 15-minute meetings could be a text or a phone call. Not everything needs a meeting! The Power of the Pause: Before saying “yes” to a new committee or project, pause. Ask, “Can you tell me more?” Ask key questions like, what are the goals? What is the timeline? What are the deliverables?  Is Lifestyle Medicine the new frontier? Dr. Lewiss discusses why many EM physicians are pivoting toward Lifestyle Medicine. By focusing on the “pillars” (sleep, movement, community, and food), physicians can move from treating chronic disease in the ER to preventing it in the community. We want to hear from you! Which of these micro skills resonated with you? Have you been able to apply these to your daily life and medical practice? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Resa E. Lewiss, Emergency Medicine and Lifestyle Medicine Physician, Adjunct Professor of Emergency Medicine at the Warren Alpert Medical School of Brown University, TEDMED speaker, educator and mentor. Resources: Micro Skills: Small Actions, Big Impact, by Adaira Landry, MD and Resa E. Lewiss, MD The Visible Voices Podcast, hosted by Dr. Resa Lewiss Lewiss on Lifestyle Medicine, column on Healio by Dr. Resa Lewiss *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

Join the Johns Hopkins Thoracic Surgery Subspecialty team on this rapid research review revealing how investigative efforts have changed the way we view and use Veno-venous (VV) ECMO therapy in the pre-lung transplant patient population working to avoid ventilator dependence and the associated morbidity while facilitating continued ambulation and preoperative optimization. Hosts:- Dr. Alfred J. Casillan, MD, PhDAttending Thoracic Surgeon Johns Hopkins Hospital - Kyla Rakoczy, MD Johns Hopkins General Surgery ResidentReferences:Awake ECMO as Bridge to Lung Transplantation Fuehner T, Kuehn C, Hadem J, Wiesner O, Gottlieb J, Tudorache I, et al. Extracorporeal membrane oxygenation in awake patients as bridge to lung transplantation. American Journal of Respiratory and Critical Care Medicine. 2012;185(7):763–768. PMID: 22268135 Link: https://pubmed.ncbi.nlm.nih.gov/22268135/Predictors of Successful ECMO Bridging Tipograf Y, Salna M, Minko E, Grogan EL, Sonett JR, Bacchetta MD. Outcomes of extracorporeal membrane oxygenation as a bridge to lung transplantation. Annals of Thoracic Surgery. 2019;107(5):1456–1463. PMID: 30790550 Link: https://pubmed.ncbi.nlm.nih.gov/30790550/Intubation Status and ECMO Bridging Outcomes Zhou AL, Jennings MR, Akbar AF, et al. Utilization and outcomes of nonintubated extracorporeal membrane oxygenation as a bridge to lung transplant. Journal of Heart and Lung Transplantation. 2025;44(4):661–669. PMID: 39486773 Link: https://pubmed.ncbi.nlm.nih.gov/39486773/ECMO Duration and Waitlist Mortality Shou BL, Kalra A, Zhou AL, et al. Impact of extracorporeal membrane oxygenation bridging duration on lung transplant outcomes. Annals of Thoracic Surgery. 2024;118(2):496–503. PMID: 38740080 Link: https://pubmed.ncbi.nlm.nih.gov/38740080/Mechanical Ventilation as a Risk Marker Mason DP, Thuita L, Alster JM, Murthy SC, Budev MM, Mehta AC, et al. Lung transplantation in recipients requiring mechanical ventilation: outcomes and risk factors. Journal of Thoracic and Cardiovascular Surgery. 2010;139(1):114–119. PMID: 19931096 Link: https://pubmed.ncbi.nlm.nih.gov/19931096/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewOral Board Simulator: https://app.behindtheknife.org/oral-board-simulatorTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

The Bulletproof Dental Podcast Episode 430 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak GUEST: Ian de Jongh   DESCRIPTION Ian de Jongh, CEO of Bulletproof, joins Peter Boulden to break down the six core pillars of dental marketing that influence how patients choose a practice. This episode looks into practical, real-world strategies to improve patient acquisition by focusing on what actually matters, reputation, transparency, convenience, and trust. From online reviews to financial clarity, this conversation highlights how to build a patient-centered marketing approach that drives consistent practice growth.   TAKEAWAYS Six core pillars that influence patient decision-making The importance of online reviews, reputation, and social proof Financial transparency and flexible payment options How location, hours, and convenience impact patient choice Optimizing online presence and booking systems CHAPTERS 00:00 Introduction to Ian and Bulletproof 01:53 Understanding Dental Marketing Principles 06:06 The Importance of Patient Psychology 09:55 The Role of Reputation in Dentistry 14:07 Financial Transparency and Patient Trust 22:10 Convenience and Accessibility in Dental Practices 34:01 Experimentation and Standard Operating Procedures 36:20 The Need for Psychological Understanding in Dentistry   REFERENCES Bulletproof Summit Bulletproof Mastermind  

In part one of this two-part episode of the Brain & Life podcast, host Dr. Daniel Correa is joined by influencer and podcaster Allie Signorelli. She shares her experience living with young-onset Parkinson's disease, from noticing early symptoms to receiving a diagnosis at a time when she didn't see people her age represented in the Parkinson's conversation. Dr. Correa is then joined by Dr. Rodolfo Savica, who explains the importance of early diagnosis, non-motor symptoms, and environmental and genetic factors. Come back for part two next week to hear about Allie's entrance into the world of advocacy and upcoming research.   Additional Resources Allie Signorelli: Living With Young Onset Parkinson's What is Parkinson's Disease? Factors That May Increase the Risk of Parkinson's Disease   Brain & Life Podcast Episodes on Similar Topics A Walk in the "Parkinson's" with Author Annmarie O'Connor Ed Begley Jr. on Utilizing a Healthy Lifestyle to Thrive with Parkinson's Disease How American Ninja Warrior Jimmy Choi Rose Above Parkinson's We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? ·       Record a voicemail at 612-928-6206 ·       Email us at BLpodcast@brainandlife.org Social Media Guests: Allie Signorelli @imstillallie; Dr. Rodolfo Savica @mayoclinic Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD  

In this episode, Kate Hayes, Vice President of Equine Expansion at CareCredit, discussed strategies to help clients afford care during challenging economic times.According to the recent Equine Lifetime of Care Study, 85% of horse owners experience financial stress, especially when faced with unexpected veterinary bills. Hayes said practices that provide clear estimates and payment options to help clients manage the cost of care will help meet horse owners' needs while reinforcing value and trust.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 136:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Kate Hayes, Vice President of Equine Expansion at CareCreditPodcast Website: The Business of Practice

The Bulletproof Dental Podcast Episode 429 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak GUEST: Jim Higgins DESCRIPTION Jim Higgins, CEO of Clerri, shares insights on industry trends, membership models, and disruptive strategies in dentistry. This conversation explores how technology, AI, and innovative business models are transforming patient engagement and practice growth. TAKEAWAYS Industry trends in dentistry Membership and patient loyalty strategies Role of AI and technology in practice management CHAPTERS 00:00 Introduction and Background of Jim Higgins 02:47 The Evolution of Patient Engagement in Dentistry 05:45 The Shift from Insurance to Membership Models 08:28 Personal Experiences and Insights on Dental Care 11:21 Disrupting the Dental Insurance Model 14:04 The Value of Membership Plans in Dentistry 17:07 Understanding Consumer Behavior in Dental Care 20:00 Building a New Patient Engagement Strategy 23:02 The Future of Dental Memberships and Technology 26:52 Transforming Dental Insurance into Membership Benefits 31:39 Leveraging Technology for Enhanced Patient Engagement 38:29 The Psychology of Selling in Dentistry 43:14 Harnessing AI for Business Intelligence in Dentistry 47:52 Overcoming Resistance to Change in Dental Practices 54:10 Outro REFERENCES Bulletproof Summit Bulletproof Mastermind Clerri

With the increasing incidence of colorectal cancer in those less than 50 years of age, one must wonder how many patients present with a Stage IV diagnosis. Take a deep dive with us discussing the management of metastatic colorectal cancer by joining our team and guests, Drs. Cathy Eng, Michael D'Angelica, and Nina Sanford.Hosts: - Dr. Janet Alvarez - General Surgery Resident at New York Medical College/Metropolitan Hospital Center- Dr. Wini Zambare – General Surgery Resident at Weill Cornell Medical Center/New York Presbyterian- Dr. Philip Bauer, Assistant Professor of Surgery, Division of Colon and Rectal Surgery, The Ohio State University Wexner Medical Center, Arthur G. James Cancer Hospital-  Dr. J. Joshua Smith MD, PhD, Chair, Department of Colon and Rectal Surgery at MD Anderson Cancer Center Guest Speakers:- Dr. Michael D'Angelica MD, FACS – Hepatopancreatobiliary Surgery, Memorial Sloan Kettering Cancer Center, Enid A. Haupt Chair in Surgery, Vice Chair, Education- Dr. Cathy Eng MD, FACP - Division of Hematology and Oncology, Vanderbilt-Ingram Cancer Center, David H. Johnson Endowed Chair in Surgical and Medical Oncology, Professor of Medicine, Hematology and Oncology, VICC Associate Director for Strategic Relations and Research Partnerships, Executive Director, Young Adult Cancers Program - Dr. Nina Sanford, MD – Radiation Oncology, UT Southwestern Medical Center, Chief of Gastrointestinal Radiation Oncology Service, Associate Professor Learning Objectives:1.     Review the epidemiology, prognosis, and common metastatic patterns of metastatic colorectal cancer (mCRC).2.     Discuss the role of systemic chemotherapy and targeted therapies in the first- and subsequent-line treatment of mCRC, including the impact of molecular biomarkers such as MSI/MMR, RAS, BRAF, and HER2.3.     Evaluate the indications and timing of surgical and locoregional therapies for metastatic colorectal cancer, particularly in patients with liver-limited or oligometastatic disease.4.     Describe the multidisciplinary management of mCRC, including the roles of radiation therapy, systemic therapy sequencing, and palliative interventions to optimize outcomes and quality of life.References:Singh, M., Morris, V. K., Bandey, I. N., Hong, D. S. & Kopetz, S. Advancements in combining targeted therapy and immunotherapy for colorectal cancer. Trends Cancer 10, 598–609 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38821852/Napolitano, S. et al. BRAFV600E mutant metastatic colorectal cancer: Current advances in personalized treatment and future perspectives. Cancer Treat. Rev. 134, (2025). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/40009904/Ciardiello, F. et al. Clinical management of metastatic colorectal cancer in the era of precision medicine. CA. Cancer J. Clin. 72, 372–401 (2022). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/35472088/Kim, S. Y. & Kim, T. W. Current challenges in the implementation of precision oncology for the management of metastatic colorectal cancer. ESMO Open 5, e000634 (2020). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/32188714/Biller, L. H. & Schrag, D. Diagnosis and Treatment of Metastatic Colorectal Cancer: A Review. JAMA 325, 669–685 (2021). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/33591350/Smith, J. J. et al. Genomic stratification beyond Ras/B-Raf in colorectal liver metastasis patients treated with hepatic arterial infusion. Cancer Med. 8, 6538–6548 (2019). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/31503397/Saadat, L. V. et al. Hepatic Artery Infusion Chemotherapy Compared to Transarterial Radioembolization For Unresectable Colorectal Liver Metastases. Ann. Surg. 10.1097/SLA.0000000000006851 doi:10.1097/SLA.0000000000006851. PubMed Link: https://pubmed.ncbi.nlm.nih.gov/?term=10.1097/SLA.0000000000006851 (Linked via DOI search as the direct PMID is still indexing)Xiao, A. & Fakih, M. KRAS G12C Inhibitors in the Treatment of Metastatic Colorectal Cancer. Clin. Colorectal Cancer 23, 199–206 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38825433/André, T. et al. Pembrolizumab in Microsatellite-Instability–High Advanced Colorectal Cancer. N. Engl. J. Med. 383, 2207–2218 (2020). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/33264544/Morris, V. K. et al. Treatment of Metastatic Colorectal Cancer: ASCO Guideline. J. Clin. Oncol. 41, 678–700 (2023). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/36252154/Xu, Z. et al. Treatments for Stage IV Colon Cancer and Overall Survival. J. Surg. Res. 242, 47–54 (2019). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/31071604/Smith, J. J. & D'Angelica, M. I. Surgical Management of Hepatic Metastases of Colorectal Cancer. Hematol. Oncol. Clin. North Am. 29, 61–84 (2015). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/25475573/Strickler, J. H. et al. Tucatinib plus trastuzumab for chemotherapy-refractory, HER2-positive, RAS wild-type unresectable or metastatic colorectal cancer (MOUNTAINEER): a multicentre, open-label, phase 2 study. Lancet Oncol. 24, 496–508 (2023). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/37142372/Kruijssen, D. E. W. van der et al. Upfront resection versus no resection of the primary tumor in patients with synchronous metastatic colorectal cancer: the randomized phase III CAIRO4 study conducted by the Dutch Colorectal Cancer Group and the Danish Colorectal Cancer Group. Ann. Oncol. 35, 769–779 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38852675/Hitchcock, K. E., Romesser, P. B. & Miller, E. D. Local Therapies in Advanced Colorectal Cancer. Hematol. Oncol. Clin. North Am. 36, 553–567 (2022). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/35562258/Hitchcock, K. E. et al. Alliance for clinical trials in Oncology (Alliance) trial A022101/NRG-GI009: a pragmatic randomized phase III trial evaluating total ablative therapy for patients with limited metastatic colorectal cancer: evaluating radiation, ablation, and surgery (ERASur). BMC Cancer 24, 201 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/38350888/Adam, R. et al. Liver transplantation plus chemotherapy versus chemotherapy alone in patients with permanently unresectable colorectal liver metastases (TransMet): results from a multicentre, open-label, prospective, randomised controlled trial. The Lancet 404, 1107–1118 (2024). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/39306468/Elez, E. et al. Encorafenib, Cetuximab, and mFOLFOX6 in BRAF-Mutated Colorectal Cancer. N. Engl. J. Med. 392, 2425–2437 (2025). PubMed Link: https://pubmed.ncbi.nlm.nih.gov/40444708/***Fellowship Application Link: https://forms.gle/QSUrR2GWHDZ1MmWC6Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more.  If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listenBehind the Knife Premium:General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-reviewTrauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlasDominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkshipDominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotationVascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-reviewColorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-reviewSurgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-reviewCardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-reviewDownload our App:Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US

The Bulletproof Dental Podcast Episode 428 HOSTS: Dr. Peter Boulden and Dr. Craig Spodak GUEST: Dr. Cary Brown  DESCRIPTION "MyStory" is a new Bulletproof series where real dentists share their real story: what's working, what's not, and the questions they can't get answered anywhere else. Each episode is a one-hour Master Class. Peter and Craig give practical advice, just like they do inside our Mastermind Program and at the Bulletproof Summit.  The point is simple: you'll hear your own challenges in someone else's story, and leave with clear steps you can use right away to shift your mindset, strengthen your practice, and avoid the mistakes that make growth harder than it needs to be. Want to be on MyStory? Email MyStory@bulletproofdentalpractice.com. If your story is selected, you'll join Peter and Craig on the podcast. We also launched the Bulletproof Hotline. Call anytime and leave a message to share your story, ask a question, tell a joke, or leave a note for Peter and Craig. We'll listen and respond with real-world feedback. Hotline: (561) 933-5575 Our Guest: Dr. Cary Brown Single Practice Owner Based in Dallas, Texas Yearly Production $800,000 CHAPTERS 00:00 Introduction to Dr. Cary Brown's Journey 05:34 Identifying Pain Points and Goals 10:59 Understanding Revenue Stability and Growth 17:35 Exploring Fulfillment and Business Satisfaction 24:24 Strategies for Improving Patient Retention 29:55 Conclusion and Next Steps 30:25 Introduction and Technical Difficulties 30:48 The Role of Before and After Photos in Practice Growth 30:58 Why Social Media Posting Has Been Paused 31:37 The Impact of Social Proof on New Patient Acquisition 32:15 The Connection Between Social Media and Revenue 33:10 Current Patient Numbers and Growth Goals 33:43 Reverse Engineering Revenue Goals from Patient Numbers 34:44 Setting Reappointment Rate Benchmarks 35:56 The Importance of Reviews and Referrals 36:34 Goals for Review Acquisition and Practice Growth 37:20 The Psychology Behind Practice Management Challenges 38:46 Addressing Psychological Barriers and Self-Leadership 40:13 The Role of State and Belief in Practice Success 41:37 Shifting Mindset to Focus on Patient Care 42:20 Helping Patients as the Core Mission 43:32 The Impact of Leadership and Personal Conviction 44:08 Practicing Communication and Leadership Skills 45:42 The Power of Repetition and Practice 46:36 Breakthroughs in Practice Growth and Self-Leadership 47:32 Overcoming Self-Doubt and Psychological Barriers 48:35 The Obligation to Help Patients First 49:08 The Importance of Consistent Action and Accountability 50:00 Future Goals and Follow-Up Plans 50:41 Closing Remarks and Next Steps 52:38 Outro REFERENCES Bulletproof Summit Bulletproof Mastermind

“If you read this book on a Friday, we promise you will be better at your job on Monday.” In the high-stakes environment of the Emergency Department, we often focus on the “big saves,” but what if the secret to a thriving career lies in the tiny details? In part one of this special two-part series, we sit down with Dr. Resa Lewiss, an emergency and lifestyle medicine physician, TEDMED speaker, and co-author of the hit book Micro Skills: Small Actions, Big Impact. We dive into why the “workplace playbook” isn’t always handed to us and how breaking down overwhelming professional goals into small, actionable behaviors can transform your trajectory. What Exactly Are “Micro Skills”? Dr. Lewiss defines Micro Skills as the small, actionable behaviors and steps that serve as the building blocks for achieving massive goals. Whether it's tackling an overwhelming project or building a habit you thought was “just for other people,” almost everything can be broken down into these manageable units. For Dr. Lewiss and her co-author, Dr. Adaira Landry, these skills are the “missing playbook” they wish they'd had earlier in their careers. Early Career: The Micro Skills of Self-Care For those just entering the workforce—from residents to new attendings—the focus must be on sustainability. Become an “Award-Winning Sleeper”: Stop wearing exhaustion as a badge of honor. Dr. Lewiss highlights why sleep is a professional necessity, not a luxury. The Personal Board of Directors: Create a “round table” of go-to people—mentors, peers, and sponsors—who can help you navigate professional and personal hurdles. Mid-Career: Navigating Conflict & Team Dynamics As physicians gain competence and move into leadership, the challenges become more interpersonal. The “Paper Tiger” Colleague: Learn how to identify coworkers who project authority they don't actually have by trusting your “Spidey sense”, checking organizational charts, asking established leadership. Inquiring Carefully: When navigating workplace tension, focus on avoiding gossip and seeking clarity from trusted supervisors. Late Career: Modeling Culture & Professionalism Seasoned physicians have the greatest power to shift the culture of a department. The Scheduled Send: Protect your team's “deliberate rest” by scheduling emails to arrive during standard business hours. From Bystander to Upstander: Use your seniority to shut down unprofessional behavior with simple scripts like, “I don't understand the joke, can you explain it to me?” Coming Up in Part 2… The conversation continues! In the next episode, we explore the “Power of the Pause,” why Dr. Lewiss advocates for the “Joy of Missing Out” (JOMO), and a simple three-question framework (Start, Stop, Continue) to get the meaningful feedback you actually need to grow. We want to hear from you! Which of these micro skills resonated with you? Have you been able to apply these to your daily life and medical practice? Connect with us on social media @empulsepodcast or on our website ucdavisem.com. Hosts: Dr. Julia Magaña, Professor of Pediatric Emergency Medicine at UC Davis Dr. Sarah Medeiros, Professor of Emergency Medicine at UC Davis Guest: Dr. Resa E. Lewiss, Emergency Medicine and Lifestyle Medicine Physician, Adjunct Professor of Emergency Medicine at the Warren Alpert Medical School of Brown University, TEDMED speaker, educator and mentor. Resources: Micro Skills: Small Actions, Big Impact, by Adaira Landry, MD and Resa E. Lewiss, MD The Visible Voices Podcast, hosted by Dr. Resa Lewiss Lewiss on Lifestyle Medicine, column on Healio by Dr. Resa Lewiss *** Thank you to the UC Davis Department of Emergency Medicine for supporting this podcast and to Orlando Magaña at OM Productions for audio production services.

In this episode, Katelyn McCullock, Chief Economist and Director of AVMA's Economic Division, discussed current economic indicators and what they mean for veterinarians. She talked about trends in consumer spending, credit card delinquencies, mortgage rates, and artificial intelligence. She also discussed the top three things veterinarians need to pay attention to in this economic client.McCullock hosts a quarterly Economic Update to help veterinarians understand the economy. You can access it on the AVMA Axon educational site at https://axon.avma.org/.The Business of Practice podcast is brought to you by CareCredit.This information is shared solely for your convenience. You are urged to consult with your individual advisors with respect to any information presented.Business of Practice Podcast Hosts, Guests, and Links Episode 135:Hosts: Dr. Amy Grice and Carly Sisson (Digital Content Manager) of EquiManagement | Email Carly (csisson@equinenetwork.com) | Connect with Carly on LinkedInGuest: Katelyn McCullock, Chief Economist and Director of AVMA's Economic DivisionPodcast Website: The Business of Practice