Podcast appearances and mentions of jeff just

In this episode, we continue talking about relationships as we bust some marriage myths, and a few single ones too. Episodes mentioned: Episode 036: Celebrating Singleness Feedback from single listeners: “Great podcast. Loved it. I use to hate hanging out with married people. I embrace it now. Not only do they teach me but I can teach them. Thank you to you and Sabrina for always making us single people feel loved.” “Sabrina and Jeff - Just finished the "Celebrating Singleness" episode, and wow, thank you!! I feel very loved and supported as a single man, and especially as a guy serving in God's church.” “Amazing podcast on singleness, maybe I can be one of your single friends.” “Just watched the podcast, Jeff and Sabrina, because ya know, I'm single and it's Valentine's Day and I'm watching podcasts. I have only one word…. AMEN!!!!! Thanks for this so much.” Scripture Quoted: Romans 12:2 Don't copy the behavior and customs of this world, but let God transform you into a new person by changing the way you think. Then you will learn to know God's will for you, which is good and pleasing and perfect. The myths: Myth #1 --- The myth of “the one!” Myth #2 --- Chemistry will lead to intimacy

It’s time to get to know another staple of our Carlisle community: Cohick & Associates. Financial firm Cohick & Associates has been a staple of our Carlisle community for over 30 years, and in today’s Brand Ambassador video, I’m sitting down with operating partners Jeff Cohick and Chris Farrands to learn their story.  Cohick & Associates offers tax, payroll, and bookkeeping services to individuals and small businesses. The story of their inception starts all the way back when Jeff got a job working in a grocery store when he was 15. The owner let him do payroll when he was on vacation, and eventually, he decided he wanted to have his own business.  They started with one employee, but now they have 25. To put that into further perspective, they began doing about 100 tax returns per year, but last year, they handled 1,800.  As we know, all business owners face challenges that sometimes keep them up at night, and according to Chris, one of the main challenges of working in the tax world is the work itself. Their busy season is coming up, so at times, what keeps them up at night is just staying in the office after hours. Staffing and time are two other challenges they face. “They started with one employee, but now they have 25.” What are they most excited about in this business in the next three to five years? Chris: “With our business, we’re always able to help people, which I love to do. I get to meet new people, hear their stories and find out a little bit about them and their business.” Jeff: “Just to keep serving the community here and providing services to more and more clients every year.” So whether it’s tax, bookkeeping, or payroll services, Cohick & Associates is here to help. If you have any questions for them or would like a free consultation, give them a call at (717) 249-5321.  As always, if you have any questions about real estate or have an idea for a future Brand Ambassador video, don’t hesitate to call or email me. I’d love to speak with you!

Episode Summary In this episode of the Solar Maverick Podcast, Kushagra Nandan provides a unique international perspective on the solar industry that comes from his early days in the United States solar market, starting his company, SunSource, in India, and his experience working on over 300 solar projects across many countries throughout India, Asia, and Africa.  While talking about his journey with SunSource, Kushagra gives an in-depth overview of the entire Indian solar market from its inception to its future.     Benoy Thanjan  Benoy Thanjan is the Founder and CEO of Reneu Energy, as well as an advisor for several solar startup companies. Reneu Energy is a premier international solar energy consulting firm and developer, and the company focuses on developing commercial and industrial solar, as well as utility-scale solar plus storage projects. The company also sources financing for solar projects and hedges both energy and environmental commodities. Reneu Energy has brokered $27 million in environmental commodity transactions.  Benoy received his first experience in Finance as an intern at D.E. Shaw & Co., which is a global investment firm with 37 billion dollars in investment capital. Before founding Reneu Energy, he was the SREC Trader in the Project Finance Group for SolarCity, which merged with Tesla in 2016. He originated SREC trades with buyers and co-developed their SREC monetization and hedging strategy with the senior management of SolarCity, to move into the east coast markets. Benoy also worked at Vanguard Energy Partners, Ridgewood Renewable Power, and Deloitte & Touche.   Kushagra Nandan As Co-Founder and President of SunSource, Kushagra has guided the company’s strategy, project execution, technology and engineering efforts, with a primary focus on client-specific solar solutions and international market development.  He has played an active role in helping shape SunSource’s offerings for domestic and international markets. Kushagra has pioneered efforts towards providing end-to-end engineering solutions beginning from initial scoping and capacity building to actual project design, engineering, supervision, and construction.  Kushagra is actively engaged in building the capability to handle a challenging portfolio of solar projects and focused on deeply entrenching the philosophy of minimizing the Levelized Cost of Energy (LCOE). Kushagra brings a vast amount of experience in leading teams that have developed, designed and installed multi-megawatt solar PV projects.  Prior to SunSource, Kushagra worked with global solar majors including SunPower and GE. As one of the core members of the SunDurance Energy team, he led the technical group and helped grow the team and capability to develop, engineer-build projects ranging from 100’s kilowatt to multiple megawatts.  Kushagra has also had roles at New Energy Options, Inc., AstroPower Inc. (currently GE Energy), and the Center for Sustainable Energy at the University of Massachusetts. Kushagra holds a Master’s degree in Solar Energy Engineering from the University of Massachusetts.  He also holds a Bachelor’s Degree in Electrical Engineering from Manipal Institute of Technology. Kushagra has also successfully completed a Solar PV Technology Assessment Certification from Florida Solar Energy Center & Villanova University along with Electrical Safety for Qualified Electrical Workers Certificate from Louisiana Tech University.  He is a Lifetime Member of the Solar Energy Society of India and was a member of the interconnection group at the Mid-Atlantic Solar Energy Association to assist New Jersey’s Board of Public Utilities to help define State’s solar policy implementation.   Insights from this episode: Details on SunSource, their future growth plans, and ownership targets that will allow further international expansion. Strategies for deciding what solar projects SunSource invests in and, more importantly, when and where to invest. Details on the similarities and differences between the solar markets in the United States and India. How to bring more solar projects into the Indian ecosystem to reduce the dependence on diesel fuel in the commercial/industrial market. The secret to generating repeat business and being a successful entrepreneur.   Quotes from the show:  “Similar to the US [United States], every state here in India has its own regulatory guidelines even though there is a full perspective on the federal side.” – Kushagra Nandan, Episode #67 On working in the United States solar market: “Virtually in front of my eyes, I saw how the whole market started evolving and the financing started coming in.” – Kushagra Nandan, Episode #67 On the changing solar market in the United States: “I remember doing a 500-kilowatt project in 2005 (in) Atlantic City [New Jersey] and making the national news and now nobody talks about a 500-kilowatt project.  Even a 500-megawatt project barely makes the news.” – Kushagra Nandan, Episode #67 “India, over the last so many years, has become one of the leading consumers of solar power.” – Kushagra Nandan, Episode #67 On solar trends in India: “What we are seeing, additionally, is now solar plus storage is starting is starting to take shape.” – Kushagra Nandan, Episode #67 “Your reputation is only as good as your last project, so you don’t take it easy, you keep on delivering.” – Kushagra Nandan, Episode #67 Benoy summarizing SunSource’s success: “The goal, eventually, was always to finance the projects and then once financing was available it seemed to really scale with the right partnerships and the right people.” – Benoy Thanjan, Episode #67 On entrepreneurship: “It doesn’t matter if you win or if you lose, you definitely learn a lot.” – Kushagra Nandan, Episode #67 On entrepreneurship: “Everyone should try it out.  It’s an experience and you learn a lot from it because you’re required to wear a lot of different hats.” – Benoy Thanjan, Episode #67 On the international solar market: “It’s still very early so there is plenty of opportunity, especially in the Indian market.” – Benoy Thanjan, Episode #67 Stay Connected:   Benoy Thanjan Email: info@reneuenergy.com  LinkedIn: @bthanjan Website: https://www.reneuenergy.com   Kushagra Nandan   Email: knandan@sunsource-energy.com LinkedIn: Kushagra Nandan Website: sunsource-energy.com Sponsor: We would like to thank RadiantREIT for sponsoring this episode of the Solar Maverick Podcast.   RadiantREIT is the first-ever investment trust to bring mortgage REITs to the solar energy market.  For the solar developers and EPC developers out there, financing with RadiantREIT’s solar mortgage REIT will transform how you think about the business of project development. With RadiantREIT financing, you can increase project cash flow and you can retain ownership of your projects. The company’s cradle-to-grave financing package includes the entire capital stack. RadiantREIT arranges tax equity, 100% construction financing and up to 99% term financing at competitive rates with no upfront fees including legal and diligence! Co-Founders Jim Spano and Jeff Just are solar and finance veterans who have brought together a team of experts to create and offer this innovative financing model enabling developers to capture the true value of their development. They are committed to addressing the financing gaps that exist in today’s market, especially for small and mid-sized developers. RadiantREIT will remove the stress of financing or refinancing, and allow you to maintain focus on your projects. Let them be your outsourced, structured finance department. Visit www.radiantreit.com to learn more and to submit your expression of interest form today. Subscribe to our podcast + download each episode on itunes, Podbean and youtube.  This episode was produced and managed by  Podcast Laundry (www.podcastlaundry.com)

  Episode Summary In this episode of Solar Maverick, Nathan Vasher discusses how Extra Space Storage is one of the biggest corporate users of solar energy and how they plan to continue growing their solar deployment and also employing energy-conscious initiatives.  Nathan also shares his path to solar, trends he’s excited about, and an energy future that looks very bright.   Benoy Thanjan Benoy Thanjan is the Founder and CEO of Reneu Energy, as well as an advisor for several solar startup companies. Reneu Energy is a premier international solar energy consulting firm and developer, and the company focuses on developing commercial and industrial solar, as well as utility-scale solar plus storage projects. The company also sources financing for solar projects and hedges both energy and environmental commodities. Reneu Energy has brokered $27 million in environmental commodity transactions.   Benoy received his first experience in Finance as an intern at D.E. Shaw & Co., which is a global investment firm with 37 billion dollars in investment capital. Before founding Reneu Energy, he was the SREC Trader in the Project Finance Group for SolarCity, which merged with Tesla in 2016. He originated SREC trades with buyers and co-developed their SREC monetization and hedging strategy with the senior management of SolarCity, to move into the east coast markets. Benoy also worked at Vanguard Energy Partners, Ridgewood Renewable Power, and Deloitte & Touche. Nathan Vasher Nathan Vasher is the Manager of Solar at Extra Space Storage, a publicly-traded company on the New York Stock Exchange (NYSE) and the Standard & Poor 500 (S&P 500).  It is a fully-integrated, self-administered, self-managed real estate investment trust. Extra Space has properties in 40 states, Washington DC, and Puerto Rico, they own or operate over 1,800 stores comprising approximately 1.3 million units and 135 million square feet of rentable space.  Extra Space has become one of the largest corporate users of solar energy according to rankings realized by the Solar Energy Industries Association (SEIA).  The trade group ranked Extra Space in tenth place in terms of the number of solar installations. Nathan has 7 years of professional client-facing experience working with public sector, non-profit and international clients through all phases of organization development; providing strategy, performance management, measures development, process improvement, change management, training and business process design services. He has experience providing technical support to advance health programs in the area of supply chain management working in multiple countries including The Netherlands, South Africa, Rwanda, the Democratic Republic of the Congo, Nigeria, Cote D'Ivoire, and Switzerland.   Insights from this episode: Details on Nathan’s role as Manager of Solar at Extra Space, the history of the company’s solar program strategy, and how that strategy has advanced over the years. How Extra Space determines what properties to install solar.   How Extra Space runs RFP process with preferred vendors on properties to determine where to install solar. Why Extra Space has a preference toward owning the solar projects on their properties.  How Nathan uses Extra Spaces’ past successes to guide where they invest in new solar properties. Strategies to plan for the future when you are dealing with older properties and the inevitable repairs they will need.   Benefits of employing energy-saving initiatives including increased energy efficiency and cost-saving. Details on the step-down of the Investment Tax Credit (ITC), how states are creating their own renewable energy incentives, and how that affects the viability of future solar development.   Quotes from the show: On the financial feasibility of solar projects: “That’s something that we are always looking at, how do we get the most value for the capital that we spend and solar, up to this point, has been a huge return on our investment.” – Nathan Vasher, Episode #64 “Our wholly-owned [business] portfolio is really simple, if we see an opportunity to put solar on a property, we just move forward with it because we don’t need anyone’s permission.” – Nathan Vasher, Episode #64 On creating partnerships to further the solar program at Extra Space: “We’re just in the nascent stages of really trying to figure out what is best for each of our partners and how we work together with them to do solar [projects].” – Nathan Vasher, Episode #64 On preparing for the future of older properties: “We plan that in some point in the life of the solar [installation], the roof is going to have to be fully replaced.” – Nathan Vasher, Episode #64 On the biggest challenge of older properties:  “Trying to find the right mix, on some of the older properties, of how we can really get the biggest bang for our buck without having to really bend over backward to configure the system.” – Nathan Vasher, Episode #64 “One of the biggest challenges we have is getting the right-sized [solar] system for the property.” – Nathan Vasher, Episode #64 “The biggest benefit to going solar is the cost savings of using solar and not having to pay [for energy].” – Benoy Thanjan, Episode #64 “We’re just going to keep going until we run out of roofs.” – Nathan Vasher, Episode #64 “From where I sit, combining solar and storage is a huge opportunity … I think it’s going to be a trend, coupling power plus storage.” – Benoy Thanjan, Episode #64   Resources Mentioned: Solar Renewable Energy Credit (SREC) Request for Proposal RFP The Investment Tax Credit (ITC)   Sponsor: We would like to thank RadiantREIT for sponsoring this episode of the Solar Maverick Podcast. RadiantREIT is the first-ever investment trust to bring mortgage REITs to the solar energy market. For the solar developers and EPC developers out there, financing with RadiantREIT’s solar mortgage REIT will transform how you think about the business of project development. With RadiantREIT financing, you can increase project cash flow and you can retain ownership of your projects. The company’s cradle-to-grave financing package includes the entire capital stack. RadiantREIT arranges tax equity, 100% construction financing and up to 99% term financing at competitive rates with no upfront fees including legal and diligence! Co-Founders Jim Spano and Jeff Just are solar and finance veterans who have brought together a team of experts to create and offer this innovative financing model enabling developers to capture the true value of their development. They are committed to addressing the financing gaps that exist in today’s market, especially for small and mid-sized developers. RadiantREIT will remove the stress of financing or refinancing, and allow you to maintain focus on your projects. Let them be your outsourced, structured finance department. Visit www.radiantreit.com to learn more and to submit your expression of interest form today.   Stay Connected: Benoy Thanjan Email: info@reneuenergy.com LinkedIn: @bthanjan Website: https://www.reneuenergy.com   Nathan Vasher Email: nvasher@extraspace.com LinkedIn: Nathan Vasher Website: Extra Space Storage   Subscribe to our podcast + download each episode on itunes, Podbean and youtube. This episode was produced and managed by  Podcast Laundry (www.podcastlaundry.com) 

  Episode Summary In this episode of Solar Maverick, Benoy and Li look into the future and define trends in solar energy.  Community Solar Programs will continue to rise in popularity along with energy storage and favorable state level renewable energy legislation.  Benoy and Li conclude the interview with a personal look toward 2020 and how they stay focused and mindful throughout the year.   Benoy Thanjan  Benoy Thanjan is the Founder and CEO of Reneu Energy, as well as an advisor for several solar startup companies. Reneu Energy is a premier international solar energy consulting firm and developer, and the company focuses on developing commercial and industrial solar, as well as utility-scale solar plus storage projects. The company also sources financing for solar projects and hedges both energy and environmental commodities.  Benoy received his first experience in Finance as an intern at D.E. Shaw & Co., which is a global investment firm with 37 billion dollars in investment capital. Before founding Reneu Energy, he was the SREC Trader in the Project Finance Group for SolarCity, which merged with Tesla in 2016. He originated SREC trades with buyers and co-developed their SREC monetization and hedging strategy with the senior management of SolarCity, to move into the east coast markets. Benoy also worked at Vanguard Energy Partners, Ridgewood Renewable Power, and Deloitte & Touche. Li Wang Li Wang is a life-long journalist and communications professional. He worked as an intern for the Philadelphia Daily News, during the summer of the O.J. trial, and has since had some fascinating jobs, from being a business reporter to an arts editor, to a film critic. He has since shifted his focus to digital marketing and creative services, and now his company, MJ Wang Media, develops brand messaging and identity through website design and content marketing.    Insights from this episode:   Benefits from the cultural shift of society regarding renewable energy and climate change that is emerging. Defining the Virtual Power Purchase Agreement (VPPA) and a how that is allowing significant development of solar Details on the risks associated with corporate Power Purchase Agreements (PPAs) and opportunities that will exist in the future for smaller companies. Benefits of incentive programs and how they can help produce more solar energy.  Details on Green Tariff Programs that utility companies offer customers the ability to purchase green energy. Benefits of using bifacial solar modules How tariffs on solar panels impacted the solar market. Benoy and Li speak about mindfulness and mediation to help achieve their resolutions throughout the year. Quotes from the show:   “What we see is that it’s really big companies are taking advantage of the Power Purchase Agreements (PPAs) but we think there will be an opportunity for mid-size and smaller commercial and industrial [companies].” – Benoy Thanjan, Episode #63 On state solar programs and legislature: “There seems to be a focus on incentives to produce more solar energy.” – Benoy Thanjan, Episode #63 “With all these states taking leadership in this position [on incentives] it’s going to lift up the entire industry just by mandating certain standards.” – Li Wang, Episode #63 “There’s a lot of incentives in the pipeline to develop solar [energy] and [energy] storage, both stand-alone and together.” – Benoy Thanjan, Episode #63 On Green Tariff Programs: “For small and mid-size businesses it could be an opportunity for them [to reach] their renewable energy goals.” – Benoy Thanjan, Episode #63 “Politics do matter as far as how the policies reflect the industry, the Trump administration has not been supportive … on their attitudes toward policies that help renewable [energy]. ” – Li Wang, Episode #63 “If you look at state legislation, a lot of states have really been aggressive with passing incentives because the federal government hasn’t passed any new incentives.” – Benoy Thanjan, Episode #63 “What I have learned, through meditation, is that you can train your mind to become more present.” – Li Wang, Episode #63   Podcasts Mentioned:  Episode 58: Residential Solar Financing and Other Interesting Topics - with Benoy Thanjan and Nathan Jovanelly Resources Mentioned: The Investment Tax Credit (ITC) Power Purchase Agreements (PPAs) Virtual Power Purchase Agreements (VPPAs) Solar Energy Industries Association Solar Renewable Energy Credit (SREC)   Stay Connected:   Benoy Thanjan Email: info@reneuenergy.com LinkedIn: @bthanjan Website: https://www.reneuenergy.com   Li Wang MJWangMedia.com  Instagram: @liwang22   Sponsor: We would like to thank Radiant REIT for sponsoring this episode of the Solar Maverick Podcast.   RadiantREIT is the first-ever investment trust to bring mortgage REITs to the solar energy market. For the solar developers and EPC developers out there, financing with RadiantREIT’s solar mortgage REIT will transform how you think about the business of project development. With RadiantREIT financing, you can increase project cash flow and you can retain ownership of your projects. The company’s cradle-to-grave financing package includes the entire capital stack. RadiantREIT arranges tax equity, 100% construction financing and up to 99% term financing at competitive rates with no upfront fees including legal and diligence! Co-Founders Jim Spano and Jeff Just are solar and finance veterans who have brought together a team of experts to create and offer this innovative financing model enabling developers to capture the true value of their development. They are committed to addressing the financing gaps that exist in today’s market, especially for small and mid-sized developers. RadiantREIT will remove the stress of financing or refinancing, and allow you to maintain focus on your projects. Let them be your outsourced, structured finance department. Visit www.radiantreit.com to learn more and to submit your expression of interest form today.   Subscribe to our podcast + download each episode on itunes, Podbean and youtube.  This episode was produced and managed by  Podcast Laundry (www.podcastlaundry.com) 

Show Notes Jeff: Welcome back to EMplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum and I’m back with Nachi Gupta. Nachi: For our regular listeners, you probably noticed a lapse in recent episodes as we pulled away from our usual monthly releases. Jeff: With both of us having increasing demands on our time -- myself with business school and the busiest 21 month old in the world and Nachi with yet another entrepreneurial endeavor on the horizon -- we decided that it would be best to pass the podcast on to another host, so EMplify can continue to create and deliver the high quality materials that you deserve. Nachi: We have obviously really enjoyed creating this podcast and working closely with EB Medicine to produce it. We are deeply appreciative of you, our listeners, and your wonderful feedback and comments over the years. Without you, there would be no point in us working so hard on this. Jeff: And keep the feedback coming as we hand the reins to Dr. Sam Ashoo as the new host of EMplify. Dr. Ashoo is an Emergency Physician based out of Tallahassee Florida with a keen interest in informatics who has been featured on several other podcasts you may have heard. We can’t think of a better person to take over for EMplify. I’m sure you’ll really like him and the content he produces. Well, with that, let’s get started on our final scheduled episode of EMplify! Nachi: As we are just about to see one of the busiest travel days of the year, that would be the Wednesday before Thanksgiving, we thought there would be no better time to discuss the September 2019 issue of EMP: Assisting With Air Travel Medical Emergencies: Responsibilities and Pitfalls. Jeff: This was a fantastic issue, thanks to the hard work by Drs. DeLaney and Greene, both of the University of Alabama Birmingham School of Medicine. Thanks as well to the peer editors, Dr. Knight, and Dr. Hill of the University of Cincinnati. Nachi: And I think you have a bit of a disclosure for this month... Show More v Jeff: Well, this is a first! Finally at the point in my career where I can announce a disclosure, though it’s more of a potential conflict of interest than an actual disclosure, but certainly still worth noting. I currently spend some of my time working for STAT-MD - which is an airline consultation service run by the Center for Emergency Medicine and UPMC. Though I’m certainly a junior member of the team, in some sense, I’ve responded nearly 500 inflight emergencies over the last two years. Nachi: And this definitely places you are in a particularly nice position to share some information with our listeners this month, and I’ll have some questions scattered throughout the episode for you too. Jeff: Sounds great, so let’s dive in, starting with what I think is the most important point - qualified, active, licensed, and sober providers should volunteer to assist in the event of a medical emergency rather than decline out of fear of medicolegal concerns. Nachi: I couldn’t agree more, so let me reiterate, please trust the evidence. And volunteer to help should you hear the call. We’ll get to this in a bit but there is little medicolegal concern and you owe it to the sick passenger to help. Jeff: So what are the chances you are called - well, they are not particularly high, but certainly not negligible either. In 2019, of the 4 billion passengers expected to fly, there will be an estimated 60,000 medical emergencies. That means there will be about 1 emergency per every 604 flights. Nachi: So, I fly about 4 times a month for work. At 4 times per month, over the next 12 years I can expect about one medical emergency. Already excited! Let’s start with some physiology. Cabin pressurization varies, but is typically equivalent to an altitude of 8000 feet. Jeff: And this has a huge effect, in one study of healthy volunteers, this change in pressure resulted in a 4-10 point decrease in oxygen saturation and a 35 point drop in arterial oxygen partial pressure from 95 mm Hg to 60. Nachi: In another study of healthy volunteers on a long haul flight, this change caused 7% of passengers to report symptoms consistent with acute altitude illness. Jeff: Due to the principles of Boyle’s law, decreased cabin pressure also causes expansion of gases within anatomical spaces in the body such as the eye, GI tract, sinuses, middle ear, etc. This expansion can potentially threaten surrounding structures. Nachi: So there must be guidelines for those recent post-op for flying - right? Jeff: There certainly are, but I don’t think we need to get into the weeds on this one since nobody listening will likely be doing pre-flight screenings. I think one thing to remember here, is that though cabins are pressurized to several thousand feet, they CAN be pressurized even further if necessary. The airlines don’t do this because it takes a tremendous quantity of fuel to do so, but if pressurization will defer a diversion, this option may peak their interest. Though an anecdote, the only time I’ve ever suggested it is on a flight from someone recent post-op eye surgery who went blind midflight. We pressurized the cabin from 8000 to 4000 and then finally to sea level and his vision returned. Pretty cool stuff. But getting back to the text, next we have air quality. Only 50% of inflight air is recirculated, all of the flow is compartmentalized between sections of rows, and all the air is run through a HEPA filter. The authors note that the air is actually comparable to that of an operating room. Nachi: Then why are people always getting sick after flying…? Jeff: Well it’s hard to prove, but experts believe that most post flight respiratory illnesses are likely caused by exposure to fomites on high-risk surfaces of airplanes and in airports - like the trays on the seat back. Nachi: Interesting. Jeff: It’s also worth noting that the air is quite dry, though this is unlikely to produce any clinically significant events. Most of the dehydration that occurs is more likely due to inadequate water intake and excess caffeine and alcohol consumption depending on the time of day. Nachi: Don’t judge. Even though it may be 8 am, some of our night shift locums friends may prefer an airport cocktail after a long week away. Jeff: Oh I’m definitely not judging, facts only over here. Anyway, let’s move on to a little epidemiology. Nachi: Syncope and cardiac events account for a large proportion of in-flight emergencies, with cardiac events accounting for the largest percentage of diversions. Jeff: Gi, endocrine and respiratory emergencies follow syncope and cardiac events, with specific percentages varying based on which study you look at. Nachi: Thankfully obstetric emergencies are relatively rare, accounting for less than 0.1% of all emergencies. Jeff: Trauma and substance abuse related complaints have also been reported, but represent only a small percentage of inflight emergencies. Nachi: I think that covers the main pathologies you may encounter. Next we should touch upon the actual responders. Physicians reportedly respond 44% of the time, followed by nurses at 20% and EMS providers at about 4%. Interestingly, despite physicians being there only 44% of the time, they were involved in the care for over 70% of diversions. Jeff: It might seem crazy, but that’s definitely my experience. Many physicians, especially non-ED physicians are not familiar with caring for the acutely ill. Additionally, most physicians are very uncomfortable actually witnessing someone syncopize and then immediately checking vitals and finding the passenger to be bradycardic and hypotensive as is the case with many patients immediately after a vasovagal syncopal episode. I cannot tell you how many times we get called by pilots considering diversion based on a physician’s request only to have the symptoms completely resolve in just 10 minutes. Be patient, this is a common in flight pathology. Nachi: Your experience has not failed you - data from your own group showed that 31% of cases resolved before arrival. Even in cases where EMS was requested, patients were only transported 37% of the time and of those, only 8% were actually admitted for further work up. Death is also a very rare phenomenon, occurring in only 0.3% of cases. Jeff: Alright, so let’s move onto the actual logistics of responding. Each airline has its own protocols and policies with respect to medical responders - some will require credentials, others may not. In some instances, you may be the first responder, in others, the flight crew may have already been in contact with their ground based medical control. Nachi: In terms of supplies, the FAA requires an emergency medical kit and an AED on all commercial flights. These kits cannot be opened without direction from a medical professional on the ground or on board. Jeff: And while airlines may add additional drugs at their discretion, the FAA mandates certain supplies. You can remember these supplies by thinking of the 5 A’s - asthma, allergy, altered mental status, ACS, and ACLS. The 5 As should help you remember the bronchodilators, epinephrine, antihistamine, dextrose, nitroglycerine, aspirin, and lidocaine as the one antiarrhythmic available. Of course, there are also gloves, an IV start kit, and a few other basic supplies. Nachi: AEDs are also required and have been since 2001 and amazingly when a shock was delivered in flight, 40% survived to hospital discharge with a good outcome. Jeff: Just as on the ground, shockable rhythms do well with good BLS care. And lastly, airlines also have a portable oxygen tank in addition to the emergency oxygen that is stored in the event of cabin depressurization. The exact quantity varies, but portable cylinders are certainly available. Nachi: So next we have to talk about a topic that I’m sure many of you have wondered about - what are the medico-legal risks of intervening? Jeff: As with most incidents of concern over medico-legal risk, we really just shouldn’t be too concerned over the potential legal ramifications. Though we’ll get into specifics, the short answer is that you should definitely volunteer your services - there are lots of protections in place with a paucity of case reports of legal actions against medical volunteers who volunteers in flight. Nachi: Perhaps most importantly, remember that ultimately the captain is in charge and you are functioning in a strict advisory capacity. Remember that most airlines can handle most emergencies with their ground based medical control, their typical staff, and predefined protocols - you are an added bonus. Jeff: For many ED providers, functioning as a consultant will be unfamiliar. Nachi: If I’m a consultant, I’m going to demand a WBC before seeing the patient, as I’m fairly certain that’s rule number 1 in consultant school... Jeff: It’s actually rule #12, now get out of your seat and come see the patient…. But back to medicolegal issues. In the US, health care professions are protected by the good Samaritan law and the 1998 federal aviation medical assistance act. Nachi: The Good Samaritan law provides legal protection to medical providers who perform their services in response to medical emergencies outside of the hospital. The exact verbiage of the law differs from state to state, but all 50 states have some version of it in their legislation. Jeff: Similarly the aviation medical assistance act applies to “medically qualified individuals and offers broad medico-legal protection to the airlines in the event that a medical volunteer is accused of malpractice as well as to medical providers who respond to an in-flight emergency.” Nachi: More specifically, the act states that “...an individual shall not be liable for damages arising out of the acts or omissions of the individual in providing or attempting to provide assistance in the case of an in-flight medical emergency unless the individual, while rendering such assistance, is guilty of gross negligence or willful misconduct.” Jeff: That’s a bit of a mouth full to get out. But basically, you need to remember that the AMAA protects you from everything shy of gross negligence. Because of this, there have been no reports to date of a medical professional falling below that standard. Nachi: There is one caveat to all of this though: don’t forget about your own mental status - for example if you have taken any sleeping aids or had any alcoholic drinks. Though this may not preclude you completely from rendering care, do so only with extreme caution. Jeff: And I don’t think we were clear enough about this up front. Up until this point we have mostly talked about US based flights. Flights run by International airlines are a somewhat different ball game for a number of reasons. First, medication kits will vary widely. Many will carry medications similar to those mandated by the FDA, but there certainly is no international standard. Next, the availability of ground based medical consultation is similarly widely variable, with many in the middle east contracting for this service and almost no airlines in Africa offering such services. Nachi: And lastly, with respect to legal risk - the international laws also vary widely. According to French law, for example, a French physician who does not volunteer may be committing willful negligence. Similar laws exist in Germany, Australia, and Canada. However proving you were there and refused to provide care would be quite difficult. And lastly, it’s unclear how to determine which countries’ laws apply when - for example, is it the sending country’s laws, the receiving country’s laws, or the country whose airspace you are currently in? Jeff: All excellent points. Next, we are moving to my favorite topic of the article - diversion. This is a tremendously complicated topic and I think the authors handled it quite well. Remember, the decision to divert is multifactorial and you are only there to communicate your medical opinion about the passenger - leave the decision for diversion up to the flight crew. I cannot stress this enough. Getting on the radio with the pilot and ground based medical control and demanding a diversion is often very unhelpful and simply not the right approach and can really be quite costly. Nachi: All of this is so interesting. I can’t believe you do this and divert planes.... Can you go into a bit more detail about everything the pilot considers when they are deciding to divert? Jeff: So there’s quite a bit, but I can touch on some of the main considerations. First, you have to consider the medical needs of the passenger - can he or she be temporized to get to the destination? Is there a suitable airport for diversion with an accessible local hospital with the required resources? Logistically, you need to find an airport that can not only safely accommodate the plane you are on but also one in which the airline can refuel and guarantee that the passengers and crew are safe. Remember, if you are on an A380, there are only so many airports with runways long enough for a safe landing. Fun fact: planes also take off heavy - with tons of fuel that will be burned prior to landing. Say you were to take off from London, bound for the US. To turn around and land back at London Heathrow, you may have to literally dump thousands of gallons of fuel to get the plane to a safe weight for landing. Alternatively, you may have to fly in circles for some time to burn fuel off in planes that cannot dump. A heavy landing necessitates a thorough maintenance overhaul of the landing gear and can cost the airlines not only money but significant time, which is equally as valuable. Nachi: Speaking of cost - while exact costs are unknown, one airline estimates that the cost can be as high as $600,000 - we are not dealing with small numbers here... Jeff: No definitely not. That’s why it’s so frustrating when medical volunteers demand the plane divert without talking through the medical scenario with the crew and ground based control - often temporizing measures are adequate. Nachi: And we alluded to this earlier - Physicians advise diversion more frequently at 9% of the time followed by EMS providers and nurses. When the airlines are left to their own means, they divert at rates roughly half that - just 5% of the time. At half a million dollars for some diversions, and an overall very low level of morbidity and mortality, a 50% reduction amounts to massive savings for possibly no clinical difference. Jeff: I can’t stress this enough - you are a consultant, helping the captain and the ground based medical control to come to most appropriate plan of action. When your advice causes the airlines to deviate from their standard protocols, that’s where they potentially run into trouble. Nachi: There are just two controversies to discuss this month and I actually think they are extremely pertinent. The first one relates to using personal medication or medications from other passengers. Given the relative paucity of medications in most airline medical kits, it may occur to you that someone else may have a helpful medication on board. While there is no strict rule against this, it could result in an increased level of scrutiny if there is an adverse event. So consider this a last resort. Jeff: The next controversy to discuss is the issue of gifts. There is a widespread belief that accepting gifts from the airlines would void legal protections. To date, there is ample airline-based data to suggest that medical providers’ legal protections are not negated in the event that the airlines wanted to reward a medical volunteer. Additionally, there are no reported cases of providers losing legal protection for receiving compensation for their services in flight. Nachi: Interestingly, some international carriers even offer points or other bonuses for registering as a medical volunteer. While I’m hesitant to call this controversy a myth, it seems like there isn’t much evidence to support it. Jeff: Agreed, don’t expect a gift, but if you do receive one, you can keep it and enjoy it without concern for your legal protections. Nachi: Alright so that wraps up the new material for this special edition of EMplify - let’s close out with some key points and clinical pearls. Jeff: Aircraft cabins are typically pressurized to about 8000 ft, resulting in a 4-10 point drop in oxygen saturation in healthy adults as well myalgias, fatigue, and generalized discomfort on long haul flights. Nachi: Only 50% of the cabin air is recirculated. When recirculated, it is subjected to HEPA filtration, which is adequate to prevent infection by airborne pathogens but not the infectious respiratory viruses, which are spread by droplets. Jeff: Dehydration on long flights is likely due to inadequate water intake and the increased use of diuretics such as caffeine and alcohol. Nachi: There is about 1 in-flight emergency per 11,000 passengers or 1 in 604 flights. Syncope and cardiac events are most common followed by GI, respiratory, and neurologic events. Jeff: Most in-flight emergencies are minor. When EMS is requested upon arrival, roughly 1/3rd are transported and less than 10% are admitted, with mortality estimated at 0.3% of cases. Nachi: AEDs are required on all US-based flights. Jeff: Airlines have a limited supply of supplemental oxygen for use in medical emergencies in addition to that provided to the entire plane in the event the cabin becomes depressurized Nachi: All US airlines have some form of ground-based medical assistance. Ultimately any decisions are the responsibility of the pilot in command – medical volunteers function in a strictly advisory capacity. Jeff: Medical volunteers are protected by both the Good Samaritan law and the 1998 Aviation Medical Assistance Act. Nachi: The Aviation Medical Assistance Act protects medically qualified individuals, unless they are guilty of gross negligence or willful misconduct. Jeff: International laws and protections vary widely. In some European countries, for a physician to not offer their services during an in-flight emergency may constitute willful negligence. Nachi: The decision to divert is multifactorial and can cost as much as $600,000 in some circumstances. Jeff: When physicians and EMS providers respond to in-flight emergencies, diversion rates are nearly double that of when the airlines work solely with their ground based support, increasing diversion events from 5% to 9%. Nachi: It is largely a myth that accepting any gift or payment after responding to an in-flight emergency would void your legal protections; the AMAA has no language regarding compensation and to date there are no such reported cases of lost legal protection. Jeff: And that’s the end of this months episode of EMplify: Assisting With Air Travel Medical Emergencies. This also marks the end of our run as your hosts. Over the past 3 years, we’ve thoroughly enjoyed hosting EMplify and having the unique opportunity to share high quality evidence based medicine with you all. As health care continues to move towards a quality over quantity paradigm, understanding evidence based practice will be increasingly more important. Nachi: We thank you all for giving us your ears and your time to help hone your clinical practice. Naturally, a big thanks also goes out to all of the contrubutors to Emergency Medicine Practice -- authors, peer reviewers, and of course the kind and thoughtful staff at EB Medicine. Jeff: We have no doubt that Dr. Ashoo, who will be taking over, will keep you on the edge of your seat as he brings new material to you. Couldn’t be more excited to have him as our successor. Nachi: As always, additional materials are available on our website for Emergency Medicine Practice subscribers. If you’re not a subscriber, consider joining today. You can find out more at ebmedicine.net/subscribe. Subscribers get in-depth articles on hundreds of emergency medicine topics, concise summaries of the articles, calculators and risk scores, and CME credit. You’ll also get enhanced access to the podcast, including any images and tables mentioned. PA’s and NP’s - make sure to use the code APP4 at checkout to save 50%. Jeff: The [DING SOUND] you heard throughout the episode corresponds to the answers to the CME questions. Lastly, be sure to find us on iTunes and rate us or leave comments there. You can also email us directly at EMplify@ebmedicine.net.

The guys open the show with a discussion of the Netflix original Unicorn Store. Jeff reviews Bad to the Bone by Nicki Bennett. Will reviews LaQuette’s Under His Protection. Jeff & Will interview LaQuette about Under His Protection. They find out about the story’s inspiration and how it ties into LaQuette’s other series. LaQuette also shares details on her upcoming Harlem Heat series, what got her started writing romance and details about what she does as the president for New York City’s Romance Writers of America chapter. Complete shownotes for episode 184 are at BigGayFictionPodcast.com. Book Reviews from this week: Bad to the Bone by Nicki Bennett. Reviewed by Jeff Bad to the Bone turned out to be one of those perfect Dreamspun Desires for me. I’m a sucker for second chance romance combined with friends to lovers and this one adds in a bit from the redeemed bad boy trope as well. It all combined to give me exactly the read that I needed. The story kicks off on the eve of a high school reunion taking place in a small Oklahoma town. Alex Morrison has been back in town for several years, taking over his family’s hardware store when his parents needed him to. One afternoon, while working with his sister at the store, they witness a motorcyclist pulled over and it’s soon revealed that the man is Alex’s high school bestie, Ricky Lee Jennings. Alex hasn’t heard from Ricky Lee since he was expelled and sent away to reform school. Alex regretted he didn’t defend Ricky Lee and prevent the expulsion, but he was scared he’d lose his football scholarship if he did. Sparks fly at the reunion when Ricky Lee shows up without a ticket and Alex gets him in as his guest. What unfolds over the coming weeks is the rekindling of far more than a friendship. Nicki does so much with this rather simple set up. Both characters complexity made me love this book so much. Alex is someone I wanted to wrap up in a comforting hug. He does so much for the community that he lives in between serving on the library board, working for Habitat for Humanity, helping out with the high school reunion committee, and anything else he can do to help his fellow citizens. Yet, all he can see in himself is failure from a lost college football career because of an injury, a failed marriage, and even coming back to manage his family business is something he considers a fail because he gave up his dreams of being an environmental lobbyist. Of course, what he’s done is made the decisions that are right in the moment but he can’t see that. Ricky Lee, on the other hand, subverts every stereotype the town has for him. It’s awesome to watch as people who believe they know exactly who he is after ten years begin to see who he has become. He’s far from the young man who was abused by his alcoholic father and just wanted to survive high school. As both relive their high school times and share what they are doing now, Ricky Lee and Alex are drawn back together. Alex, however, is sure this can’t be more than a fling. He’s scared of revealing himself as bisexual to the town and there’s no way Ricky Lee will move back to Oklahoma since he’s got a life in Portland. The wooing that Ricky Lee does with Alex is outstanding. I love a good date and their weekend trip to Oklahoma City is all that. They stay at a boutique hotel, go to art museums and the botanical gardens and eat delicious food. The sizzling sex made the date all the hotter. It showed Alex in vivid detail what life could be like in if he decides to make a go of it with Ricky Lee. The other depth that Nikki weaves into this book is the town Alex lives in. In particular, I liked the local pastor, who is nothing like what you might expect a southern pastor to be. He turns out to be one of Alex’s biggest supporters in being true to himself. We also see Alex’s work with the library, which is a central subplot for the story since Alex and Ricky Lee’s high school nemesis, Odell, who wants to expand his car dealership by buying the land the library sits on. The goings-on with Odell took some wonderful turns that I couldn’t have predicted and I might’ve cheered just a little when everything was revealed and [spoiler alert] Odell gets his. It’s a great ending for a high school bully. There’s a tremendous cast of supporting characters too. Alex’s sister Alana and his best friend, local police officer Samantha, a.k.a. Sam, both nudge Alex in the right direction. Ricky Lee comes to town with Crae, who he introduces as his friend and assistant although many initially think they are in a relationship. I actually wish Crae had had more screen time in the book as they were a fascinating character. Crae and Sam develop a friendship that might be more and I’d love to see a book that explores that. There are also some townsfolk who have interesting reveals to Alex along the way that were incredibly sweet. And if audio is your thing, certainly pick this one up. Colin Darcy is a new-to-me-narrator and boy did he make me swoon with his voice for Ricky Lee–deep, rumbly sexiness. If you’re looking for a great category romance with some very tropey goodness, I highly recommend Nicki Bennett’s Bad to the Bone. Under His Protection by LaQuette. Reviewed by Will. This book literally starts with a bang when one of our main characters, assistant DA Camden, is nearly blown up by a car bomb. In order to keep him safe, he’s put in protective police custody. Unfortunately, the man watching over him is the memorable one night stand he walked away from five years ago, a guy named Elisha. Sequestered away in Elisha’s Westchester house, our two heroes must come to grips with the attraction that still, after all this time, is still there. As things start to become more romantic, the situation becomes even more complicated when Elisha’s family shows up for a weekend visit. They assume that the two of them are a couple and Cam and Elijah play along since it’s too dangerous to explain why Cam is hiding out at Elijah’s house. Over the course of the weekend Cam can’t help but fall for Elisha and his wonderfully crazy family. You might think things get a little too close for comfort with are two heroes and the family all in one house. Elisha actually has a very small apartment in his attached garage. They escape there every once in a while, for some truly superduper scorching sex. The chemistry between these characters is very real and very palatable. As the weekend winds down, there’s an unfortunate kidnapping attempt by this crazy religious group and Cam sacrifices himself in order to save Elisha’s mom. Camden ends up in hospital and, unfortunately, his father arrives on the scene. Camden’s life has essentially been controlled by his father, who’s had his son’s life planned out from my birth to death. It’s essentially how Cam has lived his entire life. The expectations of his father are actually part of the reason why he walked away from Elisha five years ago. Having a sexy one night fling and living a life with an average guy like Elisha just wasn’t in the plan. After experiencing the possibility of loving a man like Elisha and realizing the wonderful possibilities of a fun and fulfilling family life, he tries to stand up to his father. Cam’s father puts a stop to everything, setting up some genuinely insurmountable roadblocks to our hero’s happiness. But Cam and Elisha are not only charismatic and sexy, but also really super smart. With the help of Elisha’s police chief friend, Cam concocts a way to outwit his father and get out from under his thumb, so he Elisha can live happily ever after. I don’t know if I can adequately find the correct words, or enough adjectives to tell you how much I loved Cam and Elisha’s story. It’s just really damn good. One of my favorites of 2019 so far!   I hope it’s obvious that I really enjoyed Under His Protection by LaQuette and I highly recommend that everyone give it a read. Interview Transcript - LaQuetteWill: We are so pleased to welcome LaQuette to the show. Welcome. LaQuette: Thank you. Will: So I just spent several minutes praising and telling the entire world how much I loved "Under His Protection." Now, you've been writing for a while now, and I freely admit this is the very first book of yours that I have read, and I went absolutely bonkers for it. I love it to pieces. LaQuette: Oh, thank you. Will: Can you give us sort of an idea of where the concept for "Under His Protection" came from? LaQuette: Well, I was encouraged by Kate McMurray to submit a "Dreamspun Desires" concept. And I kind of read the submission guideline, and I really didn't think that the category section was for me, because I'm long-winded in my writing and there's this, you know, 50,000-word count, and I didn't know that I could meet that and make the story make sense. But I just felt like, you know, there's a lot of angst in my writing and a lot of heavy topics sometimes. And I didn't... You know, category can be light and, you know, it doesn't have so much angst to it, so I wasn't sure if it was actually the right fit for me. But she encouraged me to do it anyway. So I thought, "Well, if I'm gonna do it, it has to be, like, LaQuette style. It can't be, you know, the traditional map of a category. I've gotta throw, you know, everything but the kitchen sink in it." And I had this sort of, like, this Prince and Pauper sort of situation in my head, but in Brooklyn. And it worked out really well in my head anyway. I really enjoy the idea of Camden coming from this really, really posh existence, and then clashing with Elijah and his very loud and boisterous family. And, I think, putting those two people together and those two, you know, with their backgrounds and differences in their backgrounds and the differences in their, you know, perspectives in life, it really...it just made for a richer experience for me, as a writer. Will: I utterly fell in love with Camden and Elijah. I think they're two incredibly...they are exceptional heroes, and they're part of what makes this book really sing. But as I mentioned in my review just a few minutes ago, part of what, I think, what makes the story compelling and even more enjoyable is the sort of supporting cast that helps them along in their journey towards saying, "I love you." Elijah's family is amazing, every single one of them. But I was particularly struck by one of Elijah's co-workers, the police chief, who is his best friend, along with, you know, being a colleague. And what I was struck by is that at the beginning of the book, the character seemed, you know, pretty, you know, straightforward, it was a secondary character, and she was there to kind of like, you know, get the story moving along. But as we read further and get to know Camden and Elijah more and more, she becomes a much more integral part of the story. And in fact, she's pretty vital to the solution that Cam comes up towards the end. And I was really surprised to read in an interviewer just, I think, this last week it appeared online. I learned that one of the reasons that this secondary character is so well-drawn is because she's actually already had her own book. LaQuette: She's had three books, actually. Will: Can you tell us real quickly, for our listeners, can you tell us about the origin of this particular character and why you thought she would be such a good fit for Camden and Elijah's story? LaQuette: Captain Heart Searlington is a character from my "Queens of Kings" series, which is all heroine-centered. And she is this...you know, her name is Heart for a reason, because she has a huge heart, even though she really carries it under this gruff exterior. She's a badass, she's all about getting work done. And if you ever get the chance to read her books, you know, she's really out there hands-on in the street. And I felt like Elijah would need someone like that, professionally and personally, to kind of...to get him to the place where he could admit his flaws. Someone that's not... You know, he's a very...he's a large man, he's aggressive, you know, he carries a gun, so he could be a little bit intimidating for the average person. But for her, she's not afraid to tell him like it is to his face. And, you know, when you have that kind of a personality where people might not tell your truth because they find you imposing, having someone who will speak the truth to you, regardless of whatever the situation is, can be vital to you, you know, making the right choices in life. And I felt like having her there would give him that balance, because he needed some really cold truths told to him, for him to get his head together and do what he needed to do. Jeff: Was it always your intention to have the character crossover or did that just kind of manifest itself? LaQuette: Well, the precinct that they work at is sort of anytime I have a police situation, those cops show up in a book somewhere. So one, because, you know, the world is already created, so it's kind of easy for me to draw from that precinct, but it's also because my readers absolutely adore this woman. And so they're always asking for her, and this was an opportunity for her to show up and say, "Hi." And not in a way that overshadows, you know, the main story, which is Camden and Elijah, but just enough to make readers go, "Oh, my God. She's here." Jeff: It's always good to get those universe crossovers and little Easter eggs like that, for sure. LaQuette: It's true. It's very true. Will: Yeah. Now, "Under His Protection" is not your first M/M romance. LaQuette: No, it is not. Will: There's also "Love's Changes," which I believe came out in 2016? LaQuette: Yes. Will: And I wanted to ask you, what drew you to writing in this specific subgenre? I mean, along with all of your other books that are more traditional male/female romances? LaQuette: Well, one, I wholeheartedly believe that everyone deserves a happy ending. And when I wrote the "Queens of King" series, I always knew that Heart's cousin, because the characters, the protagonists in "Love's Changes" are Bryan, who is one of Heart's lieutenants, you met him, actually, in "Under His Protection," and her cousin, Justice. And so they get to have their own story. You get to see them a little bit in the "Queens of King" series, but they're more background. We know that they were having a hard time and they were broken up for some reason, but we don't know why. So they get, you know, readers... Which really surprised me because I didn't really believe that there was a lot of crossover between male-female readers and male-male readers. But people really asked me for a story for those two. Like, "When are we gonna get Justice and Bryan's story? We wanna know what happens to them and how they get back together." And so I that story was actually born out of the fact that readers requested it, and so I gave it to them. Jeff: That's very cool. You know, it's always nice to see as the M/F readers catch the male-male pairing to then want to know more. LaQuette: Yes, it was really a trip for me. I did not believe that they would want it at all. But it was very touching to write their story. I was very happy with how the story turned out. I was very happy with the fact that they get their happily ever after. And it's not...it's connected to the "Queens of Kings" series, but it's not really part of it. So the story kind of takes place outside of everything that's going on in that particular story. Jeff: Do you envision more, I guess, "Dreamspun Desires" books that happened in the universe you've created with everything that's going on so far? LaQuette: I really didn't, but I've been getting a lot of mail recently about this book. And, you know, people wanting to know what happens after this. They wanna see how Camden's family kind of blends with Elijah's family and how that's going to work. I'm like, "Dude, I'm not there. Like, I have so many other projects. I can't right now. But we'll come back to that maybe." Jeff: Just based on your review, I don't see how those families mesh. Will: Two different worlds. Most definitely, yeah. LaQuette: They really are. Jeff: Now, one of the things that I'm super excited about, having recently read about, is your new contract with Dreamspinner for "Harlem Heat." LaQuette: Yes, "Harlem Heat," so when stuff makes me mad, it also makes me really productive. So I was really kind of getting tired of hearing the "not historically accurate moniker" criticism given to African-American romance, especially historical African-American romance. And it just bothered me because it's not that those happily-ever-afters weren't possible. It's just people aren't really aware of the completed history. So a lot of thing...you know, a lot of people who think they know about African-American history, the only thing they know is slavery and Jim Crow, and that's it. And, you know, black people have been downtrodden since we were brought to this country. But that's not exactly the truth because even in all of the horror, there were still moments of triumph. And we didn't just, you know, survive, we thrived. We're still here, the proof that we're still here, you know, the proof that we had happiness at some point is that we're still here. So I decided I wanted to write about a time that was where to be black and to be gay wasn't something that you had to hide from the world. It wasn't something you had to...you had your own pocket of community. There was a celebration of it. And I wanted to speak to that. I wanted people to know that these two intersections of life existed with happy endings. Jeff: And this series, in particular, is gonna go to such an interesting time period in the U.S. when all of the Harlem Renaissance was happening. LaQuette: Yeah, so it's based on three actual people who lived during the Harlem Renaissance. So it's based on Bumpy Johnson, who was the godfather of Harlem for 30 years. It's based on Langston Hughes, who was a great contributor to the Harlem Renaissance as a poet and writer. And it's also based on Cab Calloway, who was sort of one of the most notable faces in jazz and jazz music and jazz performance at the Cotton Club. So we're gonna see... we won't be using their names, but those characters will be based off of those actual people. Will: Yeah, because it was...I think it was like mere moments after I finished reading "Under His Protection." I read about this Harlem Renaissance series that you were doing, and I like lost my mind. I was like, totally doing a happy dance. This is going to be so amazing. I know this is still far in the future. But when do you think we can expect this series? LaQuette: I don't know. And that's the God's honest truth. I'm actually currently writing, finishing up the series for Sourcebooks. And so "Harlem Heat" doesn't...I don't think I'm projected to start it until like the end of the year. So I don't know exactly when it's going to be ready. But I mean, you know, ready for the world anyway. But I think I can talk to someone about getting you a beta read...a copy for beta reading if you'd like. Jeff: Please do. Yes. Will: That would be amazing. Jeff: I imagine the research for that got to be a lot of fun to look at that period in history and figure out what parts you wanna take and use. LaQuette: It is. I mean, I was very fortunate when I was in college. When I did my undergrad in creative writing. I was very fortunate to have a professor who thought outside of the box, and he taught a class on Harlem Renaissance. That was amazing. I mean, it was so rich and filled with culture. And you know, not just the usual things that we see in mainstream history but, you know, getting really down to the nitty-gritty of it. And you know, showing you to...I'm sure that when you when you guys, as gay men, look at the history of the LGBT community, and you get to see it unfold, there's such a moment of connection there. And it's the same thing for black people when we're getting to experience our history because we don't often get to see it through mainstream lens. And so to see it and to see the information dispensed in a way that's positive and celebratory and uplifting, it changes your whole perception of yourself, of who you are and where you came from. And so I'm delighted to be able to dig back into that. I have Piper Huguley, who is a history professor at Spelman College. I believe it's Spelman. And she's also a romance writer, and she's brilliant. So she helps me with a great deal with telling me what books I need to read for this period, and where I need to look for information. But it's so much fun. It really is so much fun. Jeff: That's amazing. Let's talk origin story for a minute. How did you get started writing romance? What led you down this path? LaQuette: I didn't see me on the page. I started reading romance when I was about 16 years old. Way too young to be reading some of the stuff I was reading, but you know, hey. And by the time I was about 18, I probably went through every "Harlequin Presents" that my local library had. And every romance novel I read, it was never about a girl that looked like me, never about places where I lived. So it kind of pulled me out of the romance reading for a while because it was nice to read about those stories, but there was just something missing for me after a while. And I probably, at the time, didn't recognize that I was internalizing that these stories were basically saying, "Romance isn't for you. You don't look like this. You don't fit this mold, so romance isn't for you." And I kind of just pulled away from it. And I think after I finished my undergrad, I just wanted to relax and have some fun and I kind of got back into it. And at the time, I discovered black romance was a thing. And I discovered people like Rochelle Alers, and Brenda Jackson, and Zane. And I'm like, "Wow." Like, it became exciting again. It was refreshing. It was new and yet still very familiar because I could see myself in all of the antics that were going in these stories. I could see myself in those characters. And so I decided I wanted to do that. I wanted to create those spaces, create more stories like that so people could have those connections in reality, you know, reactions when they opened up a book and saw themselves. Jeff: Now that you are writing, what do you think the trademarks of your books are? LaQuette: I do sex and snark really well. Like, I do sarcasm really well because that's my language. It really is my language, and sex, yeah, that's so if you're gonna pick up a LaQuette book, you're going to get lots of sex and lots of sarcasm. Jeff: Did she meet those two in your book? Will: Oh, yeah. Just before we started this interview, we were talking about the possibilities of an audiobook for "Under His Protection." And whatever narrator lands this job is going to, number one, have the time of their life, because Camden and Elijah are very...the banter is very smart and very witty. But also, as you say, the sex scenes are...I'm not even sure what the correct adjective is. It's smoking hot. Yeah, you're gonna need a nice cool beverage after you listen to those scenes, for sure. LaQuette: I don't know that I could listen to that. I don't know that I could. It would be so weird for me. I don't know. I mean, I know I wrote the words, but to hear them aloud, I don't know that I could do that. Will: Exactly. Yeah. Jeff: Yeah, I know, you know, many authors can't listen to their own audio books. LaQuette: Especially those parts. Like I said, I do sex. Amy Lane told me, she was like, "You write sex in such a beautiful concrete way. Like, I just wanna have all the facts when I read your books." I'm like, "Amy, that is the sweetest and weirdest thing that anyone has ever said to me, and I love you for it." Jeff: That almost should be a blurb on the book cover or something. Will: Yeah. Yeah, definitely. Jeff: Is there anything you're reading right now that you wanna shout out to people as like a book to grab? LaQuette: Oh, I'm reading a few books. So I just finished Adriana Herrera's...the third book in this "Dreamer" series, and I can't remember the title because it's not actually out yet. I beta read for her, and it is fantastic. I mean, book one is great and I love it. It was so real to me that literally, I had to drive like two to three miles from my house just to go get Dominican food, because I was so hungry after reading book one. Will: Exactly. Yes. Yeah. LaQuette: And book three does the same thing. There's lots of cultural food. And it's part of the tapestry of how these two people connect and share their backgrounds, their experiences, their worldviews. And not to mention, she's so good at writing books that are socially conscious without making you feel like you're being talked down to or preached at, and I love her for that, for being... I don't know that I could do that the way she does it. She's so talented. And I'm also reading...I'm halfway through...I stumble with her name because I know her as Blue Sapphire, but she's now writing as Royal Blue for Dreamspinner, "Kyle's Reveal." Will: Yeah, I've heard of this book, yeah. LaQuette: And I'm halfway through it. And, you know, she's fire, like, she writes hot books. So I'm really excited. I can't wait to get to the end of this book. Will: What was the name of that book again? LaQuette: "Kyle's Reveal." Will: Okay. And that's the...please remind me, is the basketball book, is that correct? LaQuette: Yes. Will: Okay, yes. LaQuette: I mean, it's kind of dark because the protagonists have like a really dark traumatic history. But it's definitely deep and I'm loving it. So I'm really, really, really interested in getting to the end to see if I could just get a minute to stop writing and finish it, I'd be great. Will: Awesome. Jeff: It's such a hard thing balancing. LaQuette: It is. Jeff: "I wanna to finish this book." Then it's like, "I don't wanna read it too fast." LaQuette: Exactly. Jeff: Finding that balance. LaQuette: It's true. Jeff: Are there tropes or genres that you wanna tackle that you just haven't yet in your own writing? LaQuette: I don't know that there are any tropes, because I kind of...I throw a lot of different tropes in my books. Like, "Under His Protection" has second chance romance, it also has proximity, it also has sort of kind of enemies to lovers the way Elijah and Camden started out in the book. And it could sort of kind of be considered like a workplace romance being that they're both involved in different sides of law enforcement. But I don't know. I mean, I've done secret baby before and I love that. That was really fun. And I've done...the only thing I haven't done is like May-December romances. So I think maybe that might be something I'd might want to try. Jeff: Cool. I would read that. I love a good May-December. Absolutely. So beyond the writing, which obviously takes up a lot of time, you also are the president of RWANYC. So the New York City chapter of Romance Writers of America. Tell folks what that entails and what actually led you to running for office. LaQuette: I didn't wanna run. I had no intention of running because I have a lot of stuff to do. And it takes time away from the things that I'm contracted to do. But one of the things that's very important in romance that's happening right now is the fact that romance can be a very whitewashed world, meaning the protagonists that we see, the authors that get the most opportunities are white authors and white characters. And so if you're not white... and straight characters. If you're not writing that, it's difficult to get into the door, it's difficult to find the same resources, the same backing. It's almost impossible to get contracts. And so I ran for president of RWANYC because I wanted, in some way, to help change that landscape, to do some of the work necessary with publishers to try to change that. And it's a heavy task, it's a heavy burden, especially when we get, you know, over the last couple of weeks, we are still reeling from the RITA Awards, which is basically like the Grammys for romance. And every year, it's the same thing. It's a very, very white landscape, and very few authors of color are made finalist. No black woman has ever won a RITA in the 30 years that this award has been established. And people do a lot of mental acrobatics to justify why that is. So "Oh, maybe the writing is just not that good. Maybe that's why we've never had a black RITA award winner. Maybe black authors are not entering." You know, these are also questions that are ridiculous, because statistically, it's just impossible that no black woman would ever have won in 30 years. It's just impossible. And the reason it is, is because the judging pool, there's a bias there in terms of black women and black characters, not just black authors, but black characters. Because you cannot know who the author is, but you cannot...well, I don't write characters who are racially ambiguous. I'm proud of my blackness and my characters are as well. And so I don't try to hide that or trick people into reading my books, or make it so difficult for people to recognize who a person is or what their background is because I feel like that is an important thing. In real life, we don't really get to not know who people are by looking at them. So I don't do it in my books. And because of that, it's very difficult when you know, going into this, "I'm gonna submit this book, and it's not going to final," not because it's a poorly written book, not because I didn't do everything I could to make this book as good as it could be, but simply because my characters, especially my heroines are black. And that is just something that the judging pool cannot handle as of yet. So my work as president is a lot of, you know, being the champion for this cause and taking on this battle because it's not just about me succeeding, it's about any black author who was writing black characters having the ability to write and be supported by the industry. And if I can make any sort of headway in that and if I can help anyone along the way, I'll feel like I've done something positive with my life. Will: With books like yours, and with Adriana Herrera, who you mentioned not too long ago, do you think it's really just a matter of representation that can help build awareness for diversity in romance or is there something else that readers, specifically, should be doing or asking for? LaQuette: Well, specifically, yeah. I mean, readers have a lot of power. So if you're asking publishers, you know, "Why don't we have more diverse romance? Why don't we have romance where...you know, that shows basically the colors of the rainbow and all those brilliant facets of intersectionality in life, like, why don't we have that?" Because your buying dollars is what demands, what makes the demand. Because publishers will say, "We don't sell that. We don't contract black books because they don't sell." One of the things we discussed at Dreamspinner was the cover. That was an intentional choice. I was very clear with them when we sat down and talked about this project that Elijah needed to be on the cover. I would not subscribe to the ideology that a black man on the cover can't sell. And there are...I mean, we've seen in our writing community that some publishing houses have actually made this statement. I don't subscribe to that. So we talked about it. And then we talked about the fact that readership sometimes can have a bias. And sometimes they won't engage with the book if they feel like the person is the wrong color or wrong background. And I said, "I understand that, but we're still gonna work...you know, to work with me, this is how we're gonna work." And they were in agreement. I didn't have to convince them. I went in prepared to battle. And it was like, "Listen, I really need this guy to be black and I really need him to look like this." And they were like, "We agree. We agree." So we need more of that in the industry. And it starts with readers. It also starts with the gatekeepers. People reaching out and specifically looking for these things. It also, people who are gatekeepers also need to check themselves. So when you're reading a book and you're saying, "I can't connect to it. I didn't relate to it." Why aren't you relating to it? Is it that it's a poorly written book? I've gotten rejection letters that literally said, "This is a really well-written book, but I didn't relate to the character, so I'm not gonna buy it." That doesn't really make a lot of sense, right? So what was it that you didn't relate to? If you could see that it was a really well-written book, I mean, if it's that good, why not work with me in terms of editing to kind of get things right, you know, to where it would be something that you feel is that you could sell. But a lot of publishing houses out there don't have that mentality. And it's this sort of...it's insidious. It's not something, you know, you can actually like, look and see. Some people don't even notice it. They just think, "Oh, I don't read those kinds of books because I don't like them." And it's not that they don't like them, it's that they've not actually giving them the opportunity to be great. Jeff: So that is, obviously, great words for the readers. Kind of spinning it back to your RWA role, you're in such a diverse chapter there because you're in NYC. LaQuette: Yeah. Jeff: How are the authors in that particular region banding together to like help RWA move past the issues? LaQuette: Oh, well, a lot of my recent successes, because, you know, allies, colleagues like Kate McMurray and Tere Michaels, are like, "Listen, you're fabulous, and we want you to meet people who will also think you're fabulous. So come here." And that's part of the beauty of RWA, and that's why I fight so hard for diversity and inclusion within RWA, because my success, as I said, my recent success has all been attached to people pushing me in different directions to say, "This is where you need to be. This is the person you need to meet." And if you're not a part of the organization, you can't make those connections. And networking connections will get you further than anything you know, right? So when we cut off authors of color from that source, from the resources, from the networking connections, and the opportunities that are presented to people who are part of the organization, what we're doing is we're disconnecting them from publishing. And we're forcing them to be indie. And this is not an indie versus trad conversation. This is... some people cannot be anything other than indie, because trad will not give them the opportunity. They've been completely marginalized. And so that should not be. People should be able to publish however they choose to, whether they up to be an indie author or whether they decide that the trad route is for them, because, you know, different strokes for different folks. It is different, you know, depending on what your lifestyle is like. I have crazy children and I have to juggle being a mom, a writer, and everything else and try to keep sane. Being an indie author is a lot of work. It's a lot of effort on your end to make a book successful. I don't have that kind of time in my life, or that kind of energy, honestly. So being a trad author is a much better avenue for me and my situation. And if that is the only way that I can publish, but publishing will not give me the opportunities, then it's, you know, I'm losing out. And that's the purpose of RWA to sort of bridge those gaps. But I don't think we're exactly where we need to be yet. So we're still working on it. Will: Yeah, definitely. Jeff: We very much appreciate your efforts towards that, for sure. Will: Now, the Romance Writers of America National Conference is going to be in NYC this summer. LaQuette: Absolutely. Will: And I expect you're going to be there. LaQuette: Oh, yeah. I wouldn't miss it for the world. Will: Yeah, we're actually making a trip for the first time this year as well. LaQuette: Yay. Will: So hopefully we will... I know it's gonna be crazy busy. But hopefully, we're gonna get a chance to say hi in person. LaQuette: It is. Absolutely. Jeff: For sure. Now, we talked about "Harlem Heat." You mentioned a couple other things. What is on your docket for the rest of this year for releases? LaQuette: I don't think I have any other releases this year because I'm writing. So I've been very blessed in that I have landed these two major contracts with Sourcebooks and with Dreamspinner, both for series. So I'm halfway through Source's books. And I need to start on Dreamspinner's toward the end of the year. So there won't be any more releases from me. I mean, if I get a moment where I'm, you know, feeling really creative, I might try to get a novella together. But I'm not making any promises. Jeff: All right, so we'll look for a lot more in 2020, for sure. LaQuette: Yeah, 2020 is definitely...the first book for Source comes out in 2020. I don't have a release date yet. I have delivery dates for Dreamspinner, but I don't have release dates yet. So I'm thinking probably sometime toward the end of 2020, possibly, or maybe the beginning of 2021. Jeff: All right. Well, when "Harlem Heat" comes out, you definitely have an invitation to come back and talk, for sure. LaQuette: Oh, yay. Thank you. Jeff: Now what's the best way for everybody to keep up with you online? LaQuette: Oh, so you can find me on Facebook at, you know, my Facebook page, LaQuettetheAuthor. You can find me on Twitter @LaQuetteWrites, or you can find me on Instagram at la_quette, or you can email me at laquette@laquette.com, or you can go to my website laquette.com. Will: Fantastic. Jeff: She's well branded, and everything is the same. Will: Most definitely. Well, LaQuette, it was a genuine honor to have you on the show today. LaQuette: Oh, thank you. Will: We're so glad that you could take some time out of your extremely busy schedule that you can come talk to us. LaQuette: Thank you for having me. I mean, I was so excited and a little bit nervous also, to come on and talk to you guys because I've seen the show before. And I'm like, "Yay, I get to go hang out with them. I feel special." Will: Well, it is a genuine pleasure. We're so glad that you came. LaQuette: Thank you so very much for having me.

Jeff & Will talk about their upcoming trip to the 2019 LA Times Festival of Books. They also discuss two series they’ve been watching: Comedy Central’s The Other Two and Freeform’s Pretty Little Liars: The Perfectionists. Books reviewed this week include Kim Fielding’s The Spy’s Love Song, Ari McKay’s Take Two and Erin McLellan’s Clean Break. Jeff interviews Erin McLellan about Clean Break, the second book in her Farm College series, and about why it’s important for her to tell stories based in her home state of Oklahoma. They also talk about her Love Life series, what got her started writing, her author influences and the TV she likes to binge watch. Complete shownotes for episode 182 are at BigGayFictionPodcast.com. -------- Here’s the text of Jeff’s book reviews: The Spy’s Love Song by Kim FieldingRock star and secret agent on a mission to a foreign country to topple a dictator all wrapped up in a Dreamspun Desires package. That combination pushed all of my romantic suspense buttons and I had no choice but to pick up this book. And I loved it every bit as much as I thought I would. I was in tropey goodness heaven with the rock star thing, a bodyguard vibe plus lovers on the run and some occasional forced proximity. Jaxon Powers is a jaded rock star who’s at the end of a long tour. After waking up in a hotel room barely remembering what happened the night before, he might also be ready for a change in lifestyle. He gets a lot more than he bargained for when his manager brings him to a meeting with the State Department. It seems the dictator that runs the small country of Vasnytsia is a fan and wants Jaxon to perform a private concert as well as a large outdoor one for a worker’s festival. The U.S. wants Jaxon to do this because it’s a chance to improve US relations with the Russia-supported dictator. The only person going with Jaxon on the trip is secret agent Reid Stanfill. Besides keeping Jaxon safe, Reid’s got an agenda that has global ramifications. I fell in love with this book right from the beginning. Kim plays with expectations from the beginning. While Jaxon appears to be the spoiled rock star we quickly find that’s not what he wants to be. He’s a small town boy, doing what he loves to do but he wants more substance to the way he’s living. The trip to Vasnytsia does exactly that as his world view gets a complete makeover. Not only does Jaxon end up traveling without the entourage he’s used to, as Reid’s mission goes sideways the two end up on the run. Reid’s mission is to try to destabilize the country and force elections and that makes him an enemy of the state. Despite his fear, Jaxon won’t leave Reid to fend for himself. Jaxon knows his celebrity can protect both of them and he sticks by Reid even as Reid tries to force the star to safety. Through all of the crazy events that could result in either of them dying, Jaxon and Reid manage to start a romance. Reid tries to keep it from beginning since they’re in a country where homosexuality is illegal but they give in to their passions. That’s just the beginning as they share stories about their pasts, which only endears them more to each other. The mix between the romance and suspense is perfect, giving our guys time to fall in love even while things around them go crazy. I liked that Kim avoided the usual Dreamspun scenario of having alternating points of view. Everything in the story is Jaxon, which works perfectly so we don’t know Reid’s mission or anything else too early. It makes for a very snappy read going on the roller coaster that Jaxon experiences. Kim brings Vasnytsia to life through its people. It starts with the guides taking Jaxon around the country, giving him peek behind the propaganda. As he meets fans who must covertly speak to him as it wouldn’t be proper for anyone to talk with the American he begins to understand why Reid’s mission is so important. Ultimately it’s these people who shelter Reid and Jaxon and help complete his mission–with a particularly awesome assist from Jaxon. Drew Bacca does a great job on the audiobook, including having to sing a couple of Jaxon’s songs. This is the first book in the “Stars From Peril” series that Kim has in the Dreamspun line. The second book, Redesigning Landry Bishop, comes out in May and I’m already looking forward to it.  -------- Clean Break by Erin McLellanI almost didn’t pick this book up because I couldn’t imagine reading a book that included the characters taking care of Madagascar hissing cockroaches. I’m not a fan of bugs and the trigger warning page discusses more about the bugs than anything else. However, I’m glad I listened to the re-assurances I wouldn’t be creeped out because this is a terrific book–and the bugs really are a non-thing. This book, the second in Erin’s “Farm College” series, throws together Connor Blume and Travis Bedford–two guys who very much don’t like each other in the aftermath of an awkward, failed hookup. As their final college term begins, Connor and Travis are taking Entomology 101 and because the professor likes students to sit alphabetically, they’re next to each other and end up becoming class partners. Their dislike for each other radiates from them during that first class. Connor’s OCD and anxiety flare up just being near the guy, who he’s still wildly attracted to and wants to have a real discussion with. Travis has the attraction too but carries the anger from their previous hookup. It only gets worse as they get the assignment that they’ll be caring for Madagascar hissing cockroaches for the semester or that they’ll have to answer discussion questions together. It doesn’t take long for the sparks of dislike to turn into sparks of desire and they end up spending time after class in a storage closet making out. Neither of them is particularly happy that they’re giving in to their desires, which makes the scenes cuter and hotter. Travis wants the fussy farmer and Connor very much wants the stand-offish English major. Even as their make out sessions start to cool their hatred, they realize they’re constrained by time. At graduation, Connor is set to take over management of his parent’s farm, even though he doesn’t necessarily want that. Meanwhile, Travis can’t wait to get out of the small town for his legal aid internship and then on to law school. The guys have their futures mapped out and there’s no space for the other. That doesn’t stop them from getting emotionally entangled. Erin does a terrific job of bringing these two together. As they move their hookups to the bedroom, Travis discovers he likes Connor’s controlling side and gives himself over to it. Connor though never takes advantage, making sure that he’s always got Travis’s consent and that Travis enjoys himself. That continues as Travis reveals he’d like to be spanked. Both guys discover this is exactly what they need. Beyond the sex though, their efforts to not get too attached aren’t helped by their post-sex talks. Travis usually wants Connor to tell him a story and it’s here that he opens up bit by bit about his anxiety, his OCD and his pre-determined future. There’s so much going on for him, as a reader I wanted to wrap him in a hug and do whatever I could to ease the load he carried. Travis talks a lot too and over time we learn what makes him so driven–it turns out he lost one of his dreams due to an accident and he doesn’t want to let anything or anyone cost him this one. Just a she was great at bringing them together, Erin tears the guys apart just as expertly. It’s a tough go as Connor and Travis force themselves apart as graduation nears. Erin does a number on the characters as they emotionally hurt themselves and each other as they keep to their plans. Both guys want to talk to the other so badly and yet they’ve promised not too. For Connor, this is particularly bad for his OCD. Of course, this is a romance, so all must end happy. Thankfully how Erin gets the guys back together his as satisfying as everything she did earlier in the book. There is a way for them to be together–it just takes time for them to get there. -------- Interview Transcript - Erin McLellan Jeff: Welcome, Erin, to the podcast. Erin: Hi. Thanks for having me. Jeff: Very excited to have you here. You’re a new-to-me author and I just finished reading “Clean Break,” which I have to tell you, I adored so much. I’m reviewing it right before we get into the interview segment I’ll have reviewed it to kinda tell everybody about it. Erin: Yay, thank you. Jeff: It is the second book in your “Farm College” Series. So before we dive into “Clean Break,” tell us more about what the “Farm College” Series is about. Erin: Okay. So it’s just two books so far like you said and they are set in a fictional college in Western Oklahoma. And I would say kind of the overarching themes are… Since they’re college stories, they’re new adult that’s kind of coming of age and self-discovery, finding your authentic self, finding a home is kind of a big one. I think that’s kind of important at that age. You’ve moved out of your parent’s house or wherever you grew up for a lot of people and kinda figuring out what is home, what is family, that kind of thing. So those types of themes are kind of follow both books. They’re both kind of angsty to be honest though “Controlled Burn,” more so than “Clean Break” actually. Jeff: Oh, my goodness. Erin: So be prepared. But, yeah, and I think in terms of… The setting is really important to me at least as the author and those books is important to me. I’m from Oklahoma. I live in Alaska now, but I’m from Oklahoma. And it’s important to me to write stories that are set in Oklahoma that have, you know, LGBTQIA+ characters in Oklahoma. And I know as somebody that reads a lot of romance, I don’t see that very often. I don’t see romance set there or it might be… I have seen it where it’s, you know, characters that are like, escaping Oklahoma which certainly is the case for a lot of people, but it’s also the case that people live and love, and make their lives there. And I kinda wanna show that. Jeff: Does a farm college like this exist in Oklahoma? Is it based on a real place? Erin: No. Kind of I guess. A lot of the kind of small details mirror Oklahoma State which was my alma mater for undergrad, but Oklahoma State is so much bigger than the college that I created. So Farm College is kind of a smaller college in Western Oklahoma that I’ve created, but in terms of being, you know, having a strong agriculture program, but also kind of having this liberal arts situation that’s going on and a pretty vibrant LGBTQIA community, I’ve kind of made most of that up. So… Jeff: And I agree that we don’t see, I mean, besides books set in Oklahoma, really the more rural settings kinda, it’s always escaping from those places. And I like that you kind of built a place as if this is what you’d like to see even if it doesn’t quite exist there now. Erin: Right. And I think it’s kind of funny when I started writing “Controlled Burn.” It was pre-2016, right? And I kind of had this, you know, I kind of had this idea that it’s getting better, right? It’s looking up for lots of communities and I’m not sure if that’s necessarily the case anymore. I hope it will be and I hope it is eventually. But, you know, there’s good and bad, I think, about places like Oklahoma and Kansas, and Texas. And, you know, Oklahoma is really special to me. It’s really important to me. Kansas is the same, but there’s also problems and, you know, I wanna kinda write those stories. And I also, thinking about Oklahoma or Texas probably more so, a lot of the romances that I’ve read that are set there are like, ranch, you know, the cowboys, the farmers which there is kind of a farmer in “Clean Break.” But there’s a lot of people that live in Oklahoma and in Texas, in Kansas that aren’t cowboys. So I wanted to tell that story too. Jeff: Right. And you really hinted that a little bit with some of the dialogue between Travis and Connor in “Clean Break” too as they kind of talk about the difference between cowboy and more the farmer type that Connor and his family are. Erin: Right. Jeff: And so, as we kinda move this direction, tell us what “Clean break” is about and kind of who Travis and Connor are. Erin: Right. So “Clean Break” is about Travis and Connor. Travis is…he’s the best friend in “Controlled Burn.” So if you read “Controlled Burn,” you see quite a bit of him. He’s an English major. He’s from Houston, Texas, very ambitious. He’s got these kind of life plans and nothing’s gonna slow him down, right? He wants to go to law school. He’s got an internship after for the summer. He’s planning to move to Saint Louis eventually to work at this legal aid charity. He has this very, you know, set goals and he’s also kind of a unique, quirky, funny character to me. And then you have Connor who comes in and I don’t know if I would say at the beginning of the book, it’s more like pre-book before the book happens, they have a little bit of a failed hookup in a lot of ways. Some misunderstandings and so, they don’t like each other very much. And then in the first chapter, they get paired together as class partners in a class. And Connor is a farm boy. He’s kind of a townie, right? He’s from Elkville which is the city that’s it’s set in. He’s expected to take over the family farm and so, he’s got this, you know, he kind of his future plans are set, right? He doesn’t have a say over them and he’s… I have a big soft spot in my heart for him. He’s got anxiety, he has OCD. I really wanted to kind of write against the archetype of the like, lackadaisical cowboy or even like, the kind of the hard cowboy or, you know, that kind of archetype that I had in my head. I wanted to write a sensitive farm boy who’s in therapy and, you know, it doesn’t really match some of the people or the characters that I have seen written that way. And kind of the main issue between them, first is that they don’t like each other, but they’re attracted to each other, right? But the kind of the main two things that I wanted to do with the book is I wanted to write a complex authentic characters that are really well-rounded and hopefully, I accomplish that. And then the other thing that I really wanted to do was kind of write to people that are heading towards their future which is graduation and then, you know, the future beyond. And then their futures don’t mesh. There’s not really a way to come together at the end of graduation. They’re moving in different directions and I think that’s a really universal thing for people in college that are dating and dating seriously… do you compromise your future for somebody else? Do you change it? How do you make it work? So those are kind of the two things that I really wanted to hit on and of course, there’s, you know, there’s some kink that happens in the book and kind of self-discovery with that especially on Connors’ part. So there’s a lot going on, but those two things. The characterization and the conflict there with their futures not meshing are the two things I really wanted to hit. Jeff: And I think you did them both, I mean, really well. This book has so much going on in it and yet it never…the story also never gets way down either with the weight of everything that’s kind of moving around here. Erin: Thank you. Jeff: And really, you started them off as enemies who sort of move to friends to sort of get to lovers. Erin: Right. Jeff: Just that progression was so fun to watch unfold as they both pick at each other and then also help each other grow at the same time. It’s like, they lift each other up and kinda tear each other down at the same time. Erin: Right. And I hope that that is realistic. I think people… Because in a lot of ways they are kind of mean to each other at certain points and people can be mean to each other in real life. Especially, they’re not very old, you know, they’re 21, 22. So they kinda make stupid mistakes sometimes and say things that can be hurtful and then have to figure out how to make it better. Jeff: And I think with Connor too, you talked about writing against the archetypes and just having kinda the anxiety plus the OCD. And being, you know, a young gay man in that setting really just sets up so much for him in that situation. Erin: Right. Yeah. He has a lot going on. He’s bi actually and… Jeff: Right. I’m sorry. You’re right. Yes. Erin: And so, kind of a lot. I mean, it’s just a lot and I think it’s a lot for him to kind of deal with all at the same time. Jeff: What was your research on the mental health side of it to kind of figure out what traits to weave into his personality? Erin: So I did a lot of research and I had some readers too that read it for me. One of the main things that I really looked at was kind of the myths especially with OCD, kind of the myths surrounding OCD. I think a lot of people think it’s just, you know, a cleanliness thing or even an organizational thing where they, you know, people with OCD have an impulse to organize or clean. And that’s not really how it presents for a lot of people. A lot people have intrusive thoughts which he has or, you know, they have checking where he checks the expiration dates on food and he can’t kind of stop doing that even though he knows he shouldn’t be doing it, and it’s not healthy for him to do. And so, I did a lot of research about the myths and the different ways that it presents for people and kind of the hardships that it causes them. And I also really wanted to make sure that I kind of made it clear. It’s something that he’ll always deal with, right? It’s not going away and so, it’s really… I did a lot of research on how to manage it, how, you know, how to kind of continue life dealing with a mental health problem like that. Jeff: Yeah. I just… So often I wanted to just give him a hug when he was starting to lapse into it. It’s like, “Oh, I’m so sorry this is happening.” What you did through the black moments and I don’t wanna give spoilers for folks who, you know, need to read the book. But what you did to the black moments for both Connor and Travis as they dealt with their emotions and for Connor how those emotions kinda manifest themselves in his OCD was really just, I really liked seeing two young adults kinda come to grapple with all of that. Erin: Yeah. And I think it’s pretty normal when you’re more stressed, right? Or when there’s more and more stress for, you know, the OCD to kind of build on itself. The same with anxiety like, whenever I am really stressed about my anxiety, it’s gonna be worse about small things, you know, you can kind of blow them out of proportion. I know I do that and so, I was kind of trying to show that how it’s like as things got more stressful for him with graduation moving and with kind of this relationship with Travis, that’s not going away he wants it to go. It does kind of snowball for him and it kinda snowballs for Travis too just in different ways because he doesn’t, you know, he doesn’t have anxiety or OCD of course, but, you know, he struggles just kind of the same way. Jeff: Yeah. When you were talking about with this books about you left out one of its major points. Erin: The bugs? Jeff: That is the inclusion of the the hissing cockroaches. Where did that idea even come from? Erin: So I knew I wanted to put them in a class together and I wanted them to be class partners. But Travis is an English major and Connor is agriculture sciences, agribusiness major. And so, I knew it had to be like a gen ed class for at least one of them. And so, I really started thinking about the gen ed class that I had taken as an English major whenever I was an undergrad trying to figure out what class would make sense. And then I realized that I actually had taken an ag class that was Entomology 101. And I loved it, I, you know, I held like, tarantulas and I held millipedes. And I could see myself being that like, weird bug girl a little bit. I just loved it. And so, that’s kinda how I decided to put them in an entomology class. And it’s funny because, I mean, I do think that college is one of those times to take the weird class and do the weird thing. And so, I think it kind of made sense there and I also felt like, I gave a degree of what kind of humor and lightness I thought it would to the story. But I realize now that a lot of readers maybe don’t like bugs. So it’s something that’s like a little distracting to some people. When I had took the entomology class, we had an assignment where we had that exact assignment with the Madagascar hissing cockroaches where we had to take them home and observe them. And so, you know, for an entire semester, I had a Madagascar hissing cockroach in my dorm room with me. I never took it out of its box. I like, you know, I fed it, like, carrots through the little hole that it couldn’t get out and so, that would be fun to put that in the story. And I can tell you for the readers, the cockroaches do not escape ever. They never… There’s no, like, unexpected cockroach scenes. I promise. Jeff: Yeah. And I can vouch for that. There are no unexpected scenes and in fact, I had to check… I had to ask about that before I took the book to read and I’m like, “Bugs, I don’t know about that.” Erin: I know. I have put it in the trigger warnings for the book and on my website, it really does lay out kinda scene by scene where they’re at and kind of the degree that they’re on the page. And they’re not on the page that much. Jeff: No, they’re not and I never got squirmy reading it either because I really don’t like bugs. But I was totally fine with how this turned out. So… Erin: Yeah. I know. I don’t know why it hadn’t occurred to me that it would gross people out. At that point it was too late when it, like, finally hit me. I was like, “Well, I can’t do anything about it.” But I kind of thought that they were funny. Jeff: Well, I think it really fits with the whole ag culture of the college that of course, they’re gonna end up with bugs or whatever and have to learn about them. So it all meshed in together and like you said, there’s no point where they’re escaping or, you know, being gross. They’re just kind of there. Erin: Right. And students… Jeff: I like to, you know, those classes sometimes you take in high school where you’re having to take care of the doll for a week or whatever. And in this case you’re hanging out with a cockroach. So… Erin: Right. It’s kinda like a little pet for them for this semester. Jeff: So is there more plan for the Farm College Series? Erin: I have not kind of set plans. I do want to write a story for Alex. He’s in both books. He’s not in “Controlled Burn” for very much though his part is kind of important in “Controlled Burn.” He’s a friend of Connor’s really in “Clean Break” and I do wanna give him a story and I will. I’ll probably start writing that soon. Kind of be on that. I don’t know how much more I’ll write in the Farm College Series though I do wanna do a spin off that’s kind of several years in the future. So they’re not really in college anymore and I want to do an F/F romance for Desie and Lena. So I would start there for them. Jeff: Yay. Yeah. I would totally read that book because one of the things you did in “Clean Break” and I’m sure you established it back in “Controlled Burn” too, was just the tight community of friends that Travis and Connor both have, and even, like, the strong family presence of Connor’s family and how they support him. So it would be great to see more of all of that. Erin: Yeah. So… Yeah. And I definitely… I think I did a little bit more successfully in “Clean Break” for sure where they have very supportive families and they do have kind of a big wide friend group. And so, yeah, I’m glad that you like that, but I do want to do the F/F romance for Lena and Desie kind of. But Lena is quite young in this book. She’s 20 and so, I wanna give her a little bit of time to grow up, I guess. Jeff: Yeah. That’s cool. Now, you’ve got another series out there called “Love Life.” And tell us a little bit about what goes on in that series? Erin: Sure. So that’s also, they’re both male/male romances. Set in Oklahoma, Eastern Oklahoma for the first book, “Life on Pause.” They’re kind of small town romances there. The first one is about a guy that works at a homestead kind of prairie museum. They’re kind of common in Oklahoma where the people that work there have to dress in like, historical costumes of the time. So he works at that type of museum and then he is paired with a high school choir teacher. And it’s kind of them trying to fall in love and figure out how their relationship will work. It’s definitely kind of lighter in tone than the farm college series, but it’s still a little angsty. The second book in the series, “Life of Bliss,” is more novella link that’s a little short and it’s very tropey. It’s kind of two people that don’t like each other very much, but are fooling around kind of behind their friends’ backs. They agree to be fake boyfriends for a family wedding in Arkansas and Arkansas kind of, well, it has this… Historically in the area, it was the only state that didn’t have a waiting period for marriage licenses. Now, most of the states don’t, but back in the day, you know, they made you like, test for syphilis and all kind of stuffs. But extended the marriage license period. So Arkansas is kind of the place where people go for their shotgun weddings historically. So this is going back quite away, but in this book they go to a wedding in Arkansas, they get drunk at the wedding and basically, end up getting married themselves. It’s set in Eureka Springs, Arkansas for the wedding part and I don’t know if anybody would be familiar with that. But you can get married practically anywhere in Eureka Springs. It’s kind of an economy there. So it’s quite easy to get married and that’s what happens. So it’s kind of fake dating to accidental marriage. Jeff: Fake dating to accidental marriage. I like… Those are favorite tropes right there. Erin: Yeah. It’s a fun one, I think. Jeff: So what is your writing origin story? You’ve got these four books out. How did all this start? Erin: Well, I was a creative writing English major in undergrad, but then I ended up going to grad school for library and information studies. And I was a public librarian. And I had… I kind of had a lot of big changes in my life. I just graduated grad school. I just got married, I just moved away from home like, all of these big changes. I had a full time job for the first time and I had… I was living in Houston, Texas and I had this horrible commute. It was like, an hour and a half each way and… Jeff: Yeah. that’s pretty horrible. Erin: I think most people that have been in Houston know what I’m talking about. And I had all this time to kind of think and I basically on my commute started plotting a book. And some of it came from, I missed kind of the creative outlet writing research papers and stuff like that from school. And so, yeah, that’s kind of how I started writing as I plotted this book on my commute and then finally, I decided that I was gonna sit down and write it. And that book was “Controlled Burn.” Jeff: That’s an awesome story. Erin: Thank you. Jeff: What led you into putting this creativity towards M/M romance amongst all of the genres that were possible? Erin: Yeah. Some of it I think is that I was reading a lot of it at that time, I kind of got into M/M romance I guess if we’re going further back by reading Suzanne Brockmann, right? So she has the “Troubleshooters” series and that has Jules Cassidy who’s the gay FBI agent, right? He’s got that kind of the secondary romance through several books and then the primary thorugh a novella. And then whenever I was in grad school, I kind of didn’t have time to read for pleasure very much. So I wasn’t reading very much and then I took a class about reader’s advisory that we had to read like, the books from the best books of the year for “Publishers Weekly” and “Kirkus,” and stuff. And I just kind of… I can’t remember what year it was, but I grabbed kind of a random book off the romance list and it ended up being “Brothers of the Wild North Sea” by Harper Fox and I didn’t really realize that it was a male/male romance. So I just kinda grabbed it and started reading, and then it became quite clear, you know, very early on what it was. And it’s a beautiful book. Harper Fox is, you know, is a beautiful writer. Everything that she writes is really awesome and so, I kind of gobbled up everything that she had written and then it kind of hit me at that time. There has to be other writers that are doing this and, you know, they weren’t the books that were in the libraries. They weren’t in my libraries. So I kind of started searching them out and, you know, read a lot of K.A. Mitchell and Z.A. Maxfield, and some of those authors at that time that were the most prolific. And I was just very excited because I felt like there are all these authors that I had never heard of that I didn’t know about and they were all really, really good. And they were writing, you know, stories that kind of the themes were very important to me. And so, then when I write finally, eventually, decided to sit down and write a book. I think probably the main thing for me is that I wanted to write characters who are LGBTQIA in Oklahoma and it just happened to be that the first book that kind of came to mind, and that I plotted fully was an M/M romance in “Controlled Burn.” So that’s definitely how I got started. Jeff: That’s very cool and some great authors there to get you introduced to the genre as well. Who do you count as your author influences? Erin: Well, definitely, you know, my gateways were Suzanne Brockmann into romance in general and then Harper Fox. Kind of on a wider scale, I really like Alisha Rai. She kind of, she writes the heroines that are the type of parents that I just love. They are raunchy and rowdy, and wonderful. I would say also Annabeth Albert in terms of contemporary romance. Alexis Hall, I think kind of teaches or his books are like a master class on first person point of view if you look at “For Real” or “Glitterland.” And so, I really, really like his books too. Jeff: Now, your bio mentions that you like binge worthy TV shows. So of course, we have to know what are you binging these days or have binged recently that you would recommend? Erin: So my husband and I have been rewatching “Game of Thrones” of course, because the last season was about to come out. So when you binge that show, you just kind of realize how many awful things happened back to back to back because the first time we watched it, we didn’t binge it. We are watching it week to week, but when you’re binge watching that it’s like, “Oh, my God. That’s so awful, these things that keep happening.” Other than that, I really like… I like true crime, but I’m not watching any kind of true crime right now. And I like comedies. So I’ve watched “Schitt’s Creek” recently which I love, “The Good Place,” “Brooklyn Nine-Nine,” “One Day at a Time,” all these sitcoms that I think are really good, “Crazy Ex-Girlfriend” because I love musicals is really good. And then I also watch a lot of like, reality TV. So I like, like, “Tiny House Hunters,” and “Instant Hotel,” and “Project Runway,” shows kind of like that. Jeff: Very cool. Yeah. Some good stuff on there. Erin: You can tell me I watch a lot of TV. Jeff: “The Good Place” is a particular favorite. Erin: Yeah. It’s so smart. It’s so different than like, yeah, it’s very, very unique. So this is a great list for everybody who’s looking for something to binge the spring right here. So what’s coming up next for you in your release plans? Jeff: So I don’t have anything kind of set in stone. I’m not very good at planning. [I”m working on one about] tornado chasers or storm chasers. That’s a male/male romance that I have on submission right now to a publisher that I’m hoping will pick it up. If they don’t, then, you know, it’ll keep going out and hopefully somebody else will want it. I’m currently writing a book about a rec league softball team and I want this to be really, really tropey and kind of fun and light. The first one is using kind of the one bed trope. So I hope that that would be a lot of fun. I’ll write Alex’s story pretty soon and then I have a book that I wrote. But I’m hoping to put out at Christmas, it’s called “Stocking Stuffers.” And it’s a M/F romance with a bi heroine who sell sex toys. You know, like the Tupperware parties, but it’s like the, you know, the sex toy Tupperware parties kind of. And so, she works for a company kinda is the marketing person for a company like that and she’s hosting one of those parties, get snowed in, you know, with a big red bag of toys basically. Jeff: Yeah. That’s like an interesting forced proximity story. Erin: yeah. So it was a lot of fun to write. Jeff: And I’m very interested in the storm chasers one too because I’m kind of a weather geek at heart. So you kind of got me on that one. Erin: It was a lot of fun to write. Growing up in Oklahoma, you know, tornadoes are such a kind of a constant really. I mean, my parents have lost a house in tornado. I know lots of people that have lost houses in tornado. It’s so common. It’s just kind of a part of your life especially if you’re from Central Oklahoma like me and so, it’s… Yeah. It was a really fun one to write because you are just kind of entrenched in bad weather in Oklahoma in the spring all the time. So… Jeff: Very cool. And how can readers keep up with you online to keep track of all these projects? Erin: So I have a Facebook group called Erin McLellan’s Meet Cute. That’s a good one if you kind of… I do giveaways and book recs, and stuff. On Twitter my handle is @emclellanwrites and I’m on Twitter pretty often. On Instagram it’s @erinmclellanwrites and on Instagram, I would say it’s about 70% Alaska stuff like, every moves that I’ve ever seen and then 30% books. Unless there’s a book released and then it flips. But it’s a lot of Alaska if you follow me on Instagram. And then my newsletter which you can get too on my website or through any of the social media too. You would be able to kind of find the link to my newsletter and that’s probably the best way if you just want like, to know about new releases or sales, or things like that without having to kind of trudge through Twitter. Jeff: Well, fantastic. Well, I thank you so much for coming to talk to us about “Clean Break” and wish you all the success on that one and the upcoming releases as well. Erin: Thank you so much. It was so fun.

Toby Mathis and Jeff Webb of Anderson Advisors are here to answer all sorts of tax-related questions that focus on everything from applications to forms and QuickBooks. Do you have a tax question? Submit it to Webinar@andersonadvisors.com. Highlights/Topics: Will income earned by lending money to real estate investors reduce Social Security benefits or increase taxes on them? Income vs. earned income; until full retirement age, benefits are reduced; when full retirement age, it doesn't matter what you make How do I get the 20% deduction from Trump's Tax Plan? The 199A Deduction is a 20% deduction on qualified business income, but you need a pass-through entity; QBI 20% deduction vs. 20% of taxable income are compared, and you get whichever is less When you make a contribution out of your own account to your LLC as a member, are you taxed on contributions? No. It’s a contribution to an entity that becomes your capital and money you can take back out tax-free, if you haven't used it to recognize losses What is the best business structure recommended against asset, structure, and personal protection? With any passive activity, use a passive entity - LLC taxed as a partnership/limited partner; whomever has control of entity decides what's distributed What is the best way to set up QuickBooks when I have a Wyoming Holding LLC and several other LLCs holding real estate in other states? Create one set of books with Wyoming LLC as the primary; do a classified income statement for other states What are the tax forms for 501c3? Use Form 1023 to apply to be an exempt charitable organization; yearly recording forms include 990-N If someone has rentals in their self-directed IRA, how are they impacted as UBIT - does it make a difference on the number/dollar amount? No UBIT, if it's a rental; UBIT is for an active business inside an IRA; passive income is almost always exempt Can I have recourse debt in a 401K or IRA? Can I have non-recourse debt? You can’t have recourse debt, but you can have recourse debt What are my options to re-distribute funds from one LLC in several entities to separate investments? You can always move it from one to another with no tax implication Can I write off costs for rehabbing out of the country? Yes. Worldwide profits; if it's income-producing property, you report it to the United States I lent money to a real estate flipper. She gave me a promissory note, but it wasn’t recorded with the deed of trust. Now, she is in default. Can I foreclose? Document it because you can’t foreclose until you file your secured interest Is there anything I can do to reduce my taxable income? Yes. There are lots of things you can do - make contributions to qualified retirement plans, charities, and C Corp I purchased a new computer that cost less than $2,500. Is that a straight expense in the current tax year or some weird depreciation thing? Section 179 deduction; you can buy up to $1 million and write it all off For all questions/answers discussed, sign up to be a Platinum member to view the replay! Resources U.S. Social Security Administration Trump’s Tax Plan 199A Deduction QuickBooks Tax-Wise Workshop 501c3 Unrelated Business Income Tax (UBIT) 990-T 990-N Section 179 Deduction 1244 Election Kiddie Tax Anderson Advisors Tax and Asset Prevention Event Toby Mathis Anderson Advisors   Full Episode Transcript: Toby: Hey, guys. This is Toby Mathis with Jeff Webb again. Jeff: Good afternoon. Toby: If you don't know, Jeff Webb's a tax manager here, and I am one of the partners. I'm not an accountant but I'm an attorney. Jeff is actually a CPA. This is Tax Tuesdays. If you've never been on Tax Tuesdays before, all we do is answer all sorts of questions. Let me see here whether I've got the right question field up. Look at that. We've got a bunch of people asking questions. Let's see. We'll get to all your questions, making sure you can hear us in the question and answer part. Just say, "Yes, I can hear you loud and clear," to make sure that we're getting through to everybody. If you do that, then we appreciate it. There we go. I'm getting a whole bunch of "loud and clear", "loud and clear", "loud and clear". All right, if you don't know the format if Tax Tuesday, it goes like this. We answer a whole bunch of questions. We answer the questions that people ask via the email that I'll be giving you at the end of the webinar, and we grab a whole bunch of them, and we just start answering them. If we can't answer the question or the question that you ask is too complicated, too specific, too long, then I grab it and kick it off to a staff or we answer it the following week, depending on how cool a question it is. That being kind of the overview, this is where we're at. We're going to go through these and we're going to make sure that we're answering all the questions. Let's see if I can actually make these slides advance. Look at that. That's weird. I didn't even know what that W there is. It's kind of cool. "Will the income I earned by lending my money to my real estate investors reduced my social security benefits or increased my taxes on them?" That's an interesting question. There's, "How do I get a 20% deduction?" I'm picking these literally from people's emails so don't yell at me for the typos. "When you make a contribution funds to your own account to your LLC as a member, are you taxed on contributions that you contribute to an LLC?" "What is the best structure–" and that is the weirdest thing I've ever had. "What is the best structure recommended against asset, structure and personal protection for a Multi-Family Home Investor acquiring and holding rental properties, especially if working–" and I'm going to go through each one of these. "What is the best way to set up QuickBooks when I have a Wyoming Holding LLC and several other LLCs holding real estate in various other states?" Those are our opening questions. We have a few more. We're going to go through a ton of them, and I'm already getting a bunch of questions on the Q&A portion. We will get to those but, first, we're going to knock these ones out. The first question: "Will the income earned by lending money to real estate investors reduce my Social Security benefits or increase my taxes on them?" The first thing is there's the benefit itself. In this particular question, I looked it up and I believe there were 61, so they're receiving Social Security benefits before they reach the full retirement age. Full retirement age varies between 65 and 67. The reason this is important is because, once you reach that age, it doesn't matter what you make. Until you reach that age, you will have your benefits reduced on what you're receiving. When you're pulling out Social Security early, 50 cents on the dollar once you get over $17,080.Of course, it's indexed for inflation, but it's a little bit over $17,000. I think this year it's $17,080 or something like that. What that means is, if you are lending money, then that would be counted as income. However, if you're under the full retirement age, they only count earned income. The question here is, "Until you're at full retirement age, will the income earned by lending money to real estate investors reduce my Social Security benefits or increase my taxes on them?" The answer is a big, resounding, "No." This will not hurt you in any way. Once you hit full retirement age, now we have to be worried about how much of your social security becomes taxable. When they look at your tax ability of the benefit, now we're looking at all sorts of income, everything that you make, and it's going to push it up. That's the one where it's not that you reduce the benefit but it becomes taxable. Jeff: Fairly quickly, additional income starts making your Social Security benefits taxable. They're never going to be more than–85% of your benefits are never going to be taxable. I'm saying this totally backwards. Toby: What it means is that the most they're ever going to tax your benefits is 85% of them. If you're getting $20,000 of benefit, the most you'll ever pay tax on is $17,000. You'll still get $3,000, tax-free. The sad part is you didn't get, really, a deduction when they took it out the first place. That's the old double tax that you hear about with Social Security. Anything else you want jumped into? This is kind of stuff. It makes your brain go numb so you're doing it right. You're actually asking good questions. Jeff: Just the matter of when you should take Social Security is such a huge question. Toby: Because you can start taking it. When is the earliest, is it 64? Jeff: I'm going to say 62, but maybe it's earlier depending on their age. Toby: It does depend on their age. There is a before-a-threshold and after-a-threshold. Now, I forget what the threshold is. What you do is you go to the Social Security Administration and you run your scenarios and they'll give them all to you, or you can contact us. We have folks we could send you out to that have software because it is complicated. Depending on what month you were born in and all that stuff, how many days–all of this gets factored in as to what's the earliest you could start receiving benefits. Once you start receiving the benefit, they let you receive that benefit only so long as your income is low and it's your earned income. If you're trying to get the benefit when you're 62 and you make too much money, you're going to lose a bunch of the benefits. If you start making–if you're 62, start pulling out the benefit and you have passive income, not that big of a deal; it doesn't reduce it so that's really cool. Enough of that. It makes my head hurt, Social Security. Do not rely on Social Security. There, I said it. Yeah, Social Security is one of those things that, when it was set up, the average life expectancy of people on Social Security was two years. It was really there to catch you if you're really old and didn't have any other benefits. Now, we use it almost like it's a retirement plan that's not what it was intended for. That's why it doesn't work to do it. Here's the next one. "How do I get the 20% deduction from Trump's Tax Plan?" First off, it's not Trump's Tax Plan. It's the Tax Cut and Jobs Act and it was passed by our wonderful Congress because, technically–though, they seem to forget this–Presidents don't write laws. Now that we got that out of the way, they did put this thing called a 199A Deduction, which is a 20% deduction on qualified business income from pass-through entities. Follow me here. The first thing we need to have–and I'm going to write these up–is we need to have a pass-through entity, and you can be an LLC taxed as–this is a 1065 that's partnership, a sole proprietor or as an S Corp. Those are your choices. Technically, it could also be a trust. Then, you look at other entities, S Corps and just flat out partnerships, including limited partnerships, all that fun stuff. It's passing through; it doesn't pay its own tax. Then, you need qualified business income. I'm just going to call it QBI, which just means income. Generally speaking, it's active income, but they also include real estate, if you are making money on real estate in which you participate in some fashion. The only type of real estate that's not included as far as we can tell–because they're still giving us regulations on it, but the proposed regulations make clear that real estate, rental real estates included, is if you have a commercial building and triple-net leases that you're giving out where you're not really taking on much of the risk, then they're not going to let you have the qualified business income. Then, they compare that qualified business income 20% deduction versus 20% of your taxable income, whichever is less. Why is this important? Because if I'm a sole proprietor–let's say I have $50,000 that I'm making–that I would get a $10,000-deduction under the QBI. Let's say that I take and contribute into my retirement plan–a husband-and-wife sole proprietor is still the same thing, and they both put in–what's a good number–let's just say $10,000. Then, my taxable income is actually $40,000 because I rode off–I made tax-deductible contributions into my IRA of $10,000 so I would take the lesser of that. Then, they do this wonderful thing, is they then say, "Well, if it's a special service company, we're going to put a cap on how much QBI you can actually make." It's not really QBI; it's actually your taxable income, and they say, "We'll only let you ride off so long as your taxable income is below a threshold." If you're single, that threshold is $157,500, and there's a phase-out for the next $50,000. To make your head spin, it goes from $157,000 to $207,500. That's the easiest way to look at it. If you're married, filing jointly, those numbers are $315,000 to $415,000. Jeff: What's an example of a special service? Toby: Special services are something that it is you and your skill that makes the money, and they use–it's going to be doctors, lawyers, accountants, engineers, real estate agents who are solo, somebody who–it's their skill so like a carpenter who doesn't have a bunch of staff. That's going to be a special service. If you get above those thresholds, you are done. Somebody's asking a question which is pretty interesting. A single-member LLC counts. You have a flow under you so that's when you're sole proprietor or just going under your tax return that's passed through entity so you're fine. The interesting here is that you can control your taxable income. Even on those thresholds–and when we teach this in the class, we actually go through a learning chart where we say, "If this, then this. If this, then this." If you're a special service, we just need to make sure that we can control your income, and the way you control your income is by splitting it with tax-free, tax-exempt or separately-taxable entities. Let me give you an example. If I have a C Corp and it makes a bunch of money, great, that's not income to me. I don't want to pay myself a whole bunch of money and make whatever my other business is that is or where I'm going to meet the threshold taxable because I'm losing that 20% deduction. Let's say I have $200,000 coming in. As an individual, I can get some donations and deductions into a retirement plan and I get myself underneath that $157,000 and I have another $200,000 in C Corp that I pay myself. If I leave the $157,000 as is and I don't take any money out of the C Corp, I'm going to get a 30-something thousand dollar deduction. It's just going to come off the top. It's a 20% deduction so almost like I spent. If I took the money out of the C Corp–and, by the way, that C Corp is a flat 21% tax rate now so it's going to pay 21% so it's not horrific. If I paid myself that money, I push my taxable income over the threshold, now I get 0 deduction on my qualified business income. That's why it's important. If it is not a special service, then those thresholds trigger something else. It takes us to an area where we can write off up to 50% of the W2 income or 25% of the W2 income for the business plus 2.5% of the assets. Jeff: No, you're right. I'm just jumping ahead of you. Toby: Yeah, so what we're looking at, then, is you better have a regular business that actually has salaries. If you, for example, as a sole proprietor, single, are making–what would be a good example–$200,000 and you're over the threshold, you're phasing out, you'd have to go to the second test. You're over the 157 and the second test is now pushing you at 50% of W2 wages, and you have zero so your deduction is going to be zero. You're going to get literally nothing. You might get a few dollars because you're not quite at the 207, which is the top line of the actual phase-out so you'd be phased out about 90% plus of the benefit. Now, let's say you converted that sole proprietorship to an S Corp and, instead, you paid yourself a salary, so same situation, $200,000. Let's say I paid you $75,000 of salary. Then, the QBI or the monies that's flowing through is actually the net income and net profit, so you'd subtract the 75 off. It would be $125,000. You compare 20% of that number, which I should grab the calculator, whatever that number is. Jeff: It'd be 25,000. Toby: Yeah, 25,000, and we would compare it to one-half of the W2 income, which would be 37,500. You'd get the lesser of the two. You'd get a $25,000-deduction just because of the type of entity. That's the one I have to do. Somebody just said, "I have almost 300K in real estate and other income. Is there anything I can do?" A single person? Yeah, there's something you can do because, remember, it depends on whether you're special service and then it depends on the business, and there's one last thing: It always comes down to your taxable income. "What other ways can I use to control my taxable income?" The most obvious is I split it with a C Corp, I give it to charity–and it could be my charity–or I deduct it by putting it into a tax-deferred retirement plan. For example, same situation, I'll use the $200,000 and they do a 401K. They put a husband and wife each–they're under 50. They each contribute 18,500–or, actually, the example I used was a single person so I would have to say I put 18,500 and in, and they get a 25% deduction on the 75,000. They would put in–again, I'm using crazy numbers so what would that be? About $18,750 or whatever that is–around under $19,000. I can put, in essence, about $37,000 right into the 401K, and that reduces my taxable income. The taxable income goes from 200 down to almost the threshold, and now I don't have to worry about it. It makes my life so much easier. I'm just going to get a nice big, fat deduction and I'm happy as a clam. That's how this stuff works, but if you don't do it before the year ends, you're toast. This is going to be my–this is why you need to have some sort of somebody doing tax planning. How do I get the 20% deduction from the new tax act? Very deliberately. You make sure that you have the income flowing under your return and then you make sure that, if there's a disqualifying factor that would cause you to lose it, that you look and say, "What's better? To just walk away from it and not worry about it or would I be better to take a couple of actions to allow myself to take advantage of the deduction?" It's a freebie, guys. If I make $20,000 in real estate, that rental real estate–that's my net after all my depreciation–I get a $4,000-deduction. I'm only recognizing 16,000 under this taxable income so that's a nice little benefit especially if I'm a high-income person so that's what I'd be looking at. Jeff, do you want to do this one because I'm […] barding the answers again? Jeff: No, that's alright. "When you make a contribution out of your own account to your LLC as a member, are you taxed on contributions that you contribute to the LLC?" No, actually, you're not. That is a contribution to an entity that becomes your capital, your owner's equity–we can call it a lot of things–your owner's capital in that company. That's actually money that you can take back out also tax-free assuming that you haven't used it up to recognize losses or maybe other things like that. Toby: We get that a lot. I'll give you a real-life example. Some guys were doing a syndication on apartment buildings and they were telling people, "Hey, we're going to return your capital out of the profits and you're not going to have to pay any tax on the money that you receive up to your investment." I said, "Hey, that's not really the case." Here's how it works: I can always get back my contribution, and it's tax-neutral; it means nothing. If the company makes zero, no profit, it can always give me back my money and I pay no tax, but if the company makes money, I'm taxed on my portion of that gain no matter what even if they're giving me extra. I was like–what they were doing was they were saying, "Here's a little thing. We'll make some profit. We'll just give you your money back. You want to pay tax on it?" I was like, "No, that's not how it works. You actually have to pay tax on the profit in proportion to your ownership, and it's a little bit funky." Jeff: This is a case that, sometimes, we see where a client will tell us, "I had deposits of $100,000 into my business," and what they fail to tell us is that 50,000 of it was their own money. We want to make sure that we're able to differentiate what the owners are putting into the company versus what income they're making in the company. Toby: There's a couple of questions. Somebody says, "My head is spinning." We do record this. If you're platinum, you're going to get a recording of it in your little platinum area. Somebody asks, "Is this pre-recorded?" No, it's not. We're doing it live but I'm answering the questions that people have emailed me first and, yes, we have about 50 questions that are in the queue that we're going to go through here in a second. Jeff: We don't have a three-second delay or anything? Toby: No, I don't think so. I could give you a 10-second delay. All right, "What is the best business structure recommended against asset, structure and personal protection?" I don't know what that means. I'm going to assume they mean to protect the business–for a Multi-Family Home Investor acquiring and holding rental properties, especially if working as a team member with other investors? Here's what I'm going to say: Anytime you have a passive activity–that is, when you buy the property or the cash flow and the appreciation–you're going to want to use a passive entity, meaning an LLC taxed as a partnership or a limited partner. Don't do anything else. That's it. There's maybe some really weird exceptions but I'm going to say, 99% of the time, you're going to end up using an LLC, and it's either going to be disregarded even if you have other people in or it's going to be a partnership. If anybody does anything differently, they're doing some weird stuff. If you have other investors, then it depends on your relationship with those investors. I'm not going to going to get into securities, Reg Ds and all that but, generally speaking, you're going to have it taxed as a partnership, but the most important consideration is always going to be control, who has control of that entity, because that's who decides what's distributed. That partnership agreement or the operating agreement of the LLC is really going to be important. You do not want to do this stuff half-arsed. You want to make sure that you're actually really addressing this stuff. At Anderson, we tend to be very protective of the manager, meaning we want you to have control. If it's your project, we don't want people to force you to do stuff and, on the flip side, if you're investing and you're a client, we're always going to say, "You don't want to be forced to kick in more capital against your will." Those are the things we always look at. Where does that one go? Here we go. "What is the best way to set up QuickBooks when I have a Wyoming–" and this is going to be so you, Jeff, because Jeff loves QuickBooks. "What is the best way to set up QuickBooks when I have a Wyoming Holding LLC with several other LLCs holding real estate in various other states?" I'm going to draw this. There's my Wyoming LLC. It's either going to be a 1065 or disregarded, and it holds all these cute little LLCs in other states. Let's say this is Texas LLC, Washington LLC, Nevada LLC, Georgia LLC, and they're all going to flow up to that Wyoming. I want to keep my books straight because, if you know QuickBooks, they will sell you QuickBooks for this one, this one and this one. You'll end up with four sets of QuickBooks and you'll drive yourself crazy. What do you do, Jeff? Jeff: Here's what we like to do: We like to create one set of books with the Wyoming LLC at the top being the primary set of books. Then, what we do is what we call a classified income statement where each of these four LLCs below the Georgia, Nevada, Washington and Texas where they're all kind of their own set of books within your Wyoming LLC books. All this income is going to flow from those bottom four up to the top one anyway and, while we need to keep the entities separate so we can report them that way, ultimately, what we're reporting is what's coming through the whole kit and caboodle. Toby: Yeah, we only need to worry about setting up QuickBooks for this guy right here, and then we set up these guys as classes. All that means is we have one set of books. Jeff: Yeah. You can still pull an income statement for your Georgia LLC or your Texas LLC to see what's just in that but, all in all, you still have one set of books. It makes it easier and you don't have all these inter-company transfers that you have to track. Toby: Oh my god. I'll tell you, we're horrible on that. He's giving me the look. See, here's the problem, is if you have different companies with different sets of books, you've got to close out the previous sets of books and then open up the new company. It's a process and it takes a few minutes and it's really annoying when you're trying to enter stuff into it. It's going to save you a whole bunch of time to use one set. Jeff: Yeah, then you don't run into things like, "Well, I transferred money from Georgia, the taxes that I did it, I record it in both companies." When you record them on one, you end up re-recording it in both. Toby: Yeah, and there's some fun stuff. Some of them just ask for a basic QuickBooks question, jump in the line. It's hard to set up classes in QuickBooks, not horribly, but if you don’t want to learn–QuickBooks is one of those things where you're going to spend some time with it. You just have a bookkeeper do it. Anderson does that if you want. All right. If you have questions–you guys, I know you do because there's a ton of them already in the little queue here. Here's how it works: If you want to ask a more detailed question, if you have a question that you didn't hear answered on the webinar, you can just email them on in to webinar@andersonadvisors.com, and, that way, we can put it in that queue and we can answer it just like we just did. We're going to break those out. Those will be separate little videos, each one of those, so that you get your answer. Somebody was saying, "My head was spinning about 199A." You can go back and listen to that. Better yet, you can come to some of our other webinars or come, actually, to the Tax-Wise Workshop and we go through this stuff. Spend some time with us. If you invest a little bit of time in taxes, it will pay off in spades. Other questions–some people just answered this stuff. "Can you go over the tax forms for 501c3? Jeff: There's a couple of forms for the 501c3. To apply the BF 5O1c3, there's what's called the Form 1023. It's the application to be an exempt charitable organization. Then, there's several different yearly recording forms. The 990 is the primary one where you report, among other things, what your income was, what your balance sheet looks like, your plan, your purpose, who you've dealt with. What were you going to say? Come on. Toby: Basically, if you're making less than $50,000 in your 501c3, you're doing a 990 post-note card. You're just doing a real basic here. Literally, it looks like a postcard. Jeff: They don't do that anymore. Toby: I thought they're still– Jeff: All these old people still call it postcards, but it's a… Toby: They do that in the 10… Jeff: But it's a 990N and it's filed electronically. Toby: Yeah, I know but it's the same thing. Jeff: It's still close. Okay. Toby: It's a postcard. Oh, my god. Yeah, you do it electronically now but it's really simple. You go above that, then you're going to be filing a little more detail. You get about 250, you're filing very detailed. Never do it yourself. Just hire an accountant to do it, and those guys–we do them. They're not horrifically complicated unless you have a huge void that everybody's taking money. You go American Red Cross, you can go look at the actual tax forms that everybody files because they're all public record. You can go in there and take a look at anybody and see just how complicated it is. What you'll realize is that the more the stuff they're doing, the more complicated it gets, and not doing ton it is pretty simple. We have ones that are $5 million non-profits and it's a few pages. Then, you have ones that are $1 million but they've got everybody and their mother with their hands in the thing, and you're doing a lot of reporting. That one might be more complicated. If you're a church, you don't file anything. If you're religious and you're a religious organization, you don't file anything; you file zero tax forms. Jeff: When you have an accountant do these 990s for you, they're going to ask you a lot of questions because there's a lot of questions on the form that they don't have the answer to, basically about what it is the non-profit does and things like that. Toby: All right. "If someone has rentals in their–" basically, again, if you have those tax forms, this is one other thing, is that's the tax compliance on an annual basis. If you're setting up a 501c3, you are doing–more than likely, 501c3 is an application called a 1023. If you're doing a 501C6 or some of these others, that's a 1024. Jeff: Wow, I'm impressed. Toby: Yeah, sorry. It's stuck in my head. Those are the applications for exempt status. Your business, your non-profit, is in existence and it's considered exempt from Day 1. Even though you haven't gotten your exemption approved, you actually have 28 or 29 months to get approved, and it relates back to the day that you started. You can actually do a 501c3 and be up and running in a matter of weeks if you want to. All right, from Lisa: "If someone has rentals in their self-directed IRA, how is it impacted as far as unrelated business income tax (UBIT) and does it make a difference on the number or dollar amount?" You want to do this one or would you like me to? Jeff: Why don't you do this one? Toby: All right. Self-directed IRA and it has real estate? You have no UBIT if it's just rental. That's not unrelated business income tax. Unrelated business income tax is when you're doing an active business inside an exempt organization, inside an IRA, or church, or something else, and you're running a mini-mart then they tax you on it because it's unrelated business income so not related to your exempt purpose so they tax you on it. Passive income's always going to be–I shouldn't say "always"; it's almost always exempt. I guess there's possible–if you have some royalty stuff, it's possible, if you're advertising, that the exempt organization tax, but for your IRA for rentals, don't worry about it. Here's what you worry about when you're doing an IRA with rentals: It's usually the case–this is what we've seen–is that people will oftentimes want to lever that real estate. In an IRA, you have something called–I'm just going to blank on it–unrelated debt financed income. There we go, UDFI. Unrelated debt financed income means–or just call it debt finance income–the portion of the profits that are coming from the debt. If I have a piece of property, I have a 50% loan on it, then 50% of its income is going to be taxable to the IRA. It's not allowed to have that type of loan and not pay tax on it. A 401K is allowed to have that type of loan, and it doesn't pay tax on it. It's one of those weird things where you're like, "Hey, should I be an IRA or 401K?" More often than not in our world, you're going to want to be the 401K. It has different rules, and one of the big ones is the ability to use debt. Now, here's something for you. I think I had poll questions on this. This is fun. I'm going to send a poll out to see whether you guys are listening. You guys can answer this, and what it is, "Can I have recourse debt in a 401K or IRA?" Let's see about that. Isn't this kind of cool? Jeff: It is cool. Toby: We're going to see whether or not you can have recourse debt in a 401K or IRA. For those of you who don't know what recourse debt, recourse means, "I can go after you. I have recourse, and I can go–" basically, a personal guarantee, personal guarantor. We got a lot of people voting. I will share the results with you once we're there. Jeff: What if Lisa is flipping instead of renting in an IRA? Toby: Then, we don't have any cases on it. Jeff: Great. Toby: What we always say is do five at a max. Here's the thing: If you disqualify an IRA, the whole thing's disqualified. What I want to do is if I'm flipping in a self-directed IRA, I want to make sure only that money is in that IRA so if I have a disqualifying event, it's only for that one little IRA. So, I may have two or three IRAs. Good news: People are listening. That's always good news. We have about–50% of you guys voted. I'm going to go ahead and close this thing in about a few seconds. Let's see. There, I closed it and now I'm going to share it with you. Do you want me to tell you the answer? You cannot have recourse debt. 36% of you guys just disqualified your plans, and you have a 10% penalty plus it's all taxable. Sorry to say that you just destroyed your plan, but you cannot have recourse. This is half the fun. What's the next question I could ask you? I could throw up another poll at you. Let's see. Get out of there. Let me see if I can do this. All right, what's the next one? Here's a better one: Now that you know you can't have recourse debt, I'm going to launch a new poll. "Can I have non-recourse debt in an IRA or 401K?" This is where accountants and tax lawyers have– Jeff: Disagreements? Toby: No, this is where it's so much fun. Are you kidding? Let's see. Somebody's saying, "No." What is non-recourse? Non-recourse means you can't hold the person responsible. There's no personal guarantor. You can only go after the property so the property is truly asset-based lending. There's nobody on the hook for that loan if it goes south. A typical non-recourse loan in a plan–this is kind of cheap because it's going to give you the answer–is they're going to look at the other plan assets and so they're going to secure the other plan assets. They're going to make sure that they're not over-leveraged. In other words, they're not going to give you a 99% loan to value; they're going to give you a 60% loan to value or 50% loan to value. We'll see if you guys still get the answer even though I just basically gave it to you. This is fun. I'm just going to stop this one and I'm going to share it because the numbers are pretty done. It looks like 86% of you said, "Yes." Can I have non-recourse debt? 86% of you are correct. You can have recourse debt. Here's the trick: In an IRA, that non-recourse debt creates debt finance income so you have to pay tax on the portion that you're making but it doesn't disqualify your plan. In a 401K, you do not pay the debt finance income, and some of you guys are not too pleased with me for that, but I'm getting giggles out of it. That's enough with polls. I could have polls all day long and we would have a lot of fun. Last one: "I hold some assets in LLC–"and, by the way, this is the last one from people that have shot it in but it says, "You don't pay tax until withdrawal, correct?" No, if you have debt finance income, you're paying it in the year in which the debt finance income–you actually file a 990 T. You actually have to report it. "I have some assets in an LLC that is a day-trading entity." You're brave. "If this generates sizable profits–" I just love traders. "What options are out there to re-distribute funds from one LLC in several entities to the separate investments?" You can always move–if it's yours, it's like–an LLC is a safe so I can always move it from one safe to another, no tax implication. This is one of the questions we had earlier. I can always put money in, take it out. Somebody was talking about an opportunity zone. The opportunity zone's awesome. It's where you take capital gains and invest them in the opportunity zone. It's actually called the growth opportunity zone, and you defer the tax on that income. The max amount you can defer that tax is until 2025 right now. Then, you get a portion of that as non-taxable. Then, the growth–if you leave it in the opportunity zone for 10 years, all that growth and the gains on the investment itself are tax-free, and that's pretty interesting. Growth opportunities, we'll be talking about that as they give us more information. Somebody says, "Can you take the poll down?" I thought I did. I'll make sure polls, hide. There we go. Sorry about that, guys. Everybody's telling me, "Flip off the poll." I'm flipping it off. I like your opportunity zone discussion, and think about a bank, and loan out funds to other LLCs you use. You could do that. Then, it's interest unless it's all you. In which case, you don't charge yourself interests. "I am told that funds in an LLC are much like funds in a savings account. I pay taxes on the gains my funds make, and funds can be withdrawn at any time." That is true as long as it's disregarded or taxed as a partnership. I want to make sure that we're very clear. LLCs that are partnerships are disregarded. Yes, you can do that. If it's an LLC taxed as a corporation or LLC taxes in S Corp, little bit different. An S Corp probably has a huge difference. Jeff: Yeah. You can even pull securities out–even if it's a partnership–pull securities out and put them somewhere else. Like what Toby's saying, if it's an S Corporation or corporation, if you pull securities out of a corporation, you have to recognize gain immediately. Toby: It sucks. Appreciated assets is considered wages, right? Use an example here. Jeff: We had a client who had a couple of $100,000 of securities in a corporation, wanted to move it somewhere else, and we tried to explain to him that if he pulls securities out that are now worth 250 and he's only got a basis of $100,000, he's going to have capital gains of $125,000 in that corporation. The corporation will pay gains and then, for you to take it out, that's got to come from somewhere else, so either a salary, roan repayments or dividends. It doesn't work out well. Toby: No Bueno. The other one is people that real estate in an S Corp and then they need to take it out to refile it or something. All that appreciation is wages. It's horrific and so we have oftentimes say, "Hey, if you're going to do this S Corp, it's cool." The capital gains still flow down to you; it's just that you can't take it out. You've got to leave it in there. Jeff: Can we  re-running into that more and more where the banks are running to take it out of the LLCs and stuff? Toby: They got horribly hosed during the downturn of people doing weird stuff. What happened is I would do a financing in an entity. Say I'm the owner, and then I would sell Jeff my ownership and the entity and the bank had no idea that I'm no longer the guy that they were dealing with that they gave the loan to in their mind and had sold his interests. They had no idea. One day, Jeff comes back in and says, "By the way, I'm the owner of this LLC, not the guy that you loaned the money to." No Bueno. They don't like that. All right, we got a lot of questions to go through so if you have questions, you can always email them in. I'm going to start going out through these things, and we have questions from almost an hour ago. People were asking questions before we even started. "I did a cash-out refinance from my residence to invest in private lending or to buy rentals. California only allows 150,000 to deduct interest expense for residence." That's actually the new federal rule. "For the portion that is more than 750, can I deduct the interest as investment expense?" All right, so here's the rule–and, Jeff, I'm [...] barding, but I deal with this stuff all the time. Your new limit is–unless you owned your house prior to–during 27 and perhaps during the first quarter of 2018 if your loan was already in process before December 15th of 2017, don't try to remember this stuff; just know that if you're in that weird period, you may qualify, then you're up to a million, but it has to be for acquisition indebtedness. Acquisition indebtedness means, "I bought the house," or, "I improved the house." That's for the mortgage person to be deductible on your Schedule A, which is your itemized deduction. If you're using the money for something else, then it has to be deductible on that something else. For example, if I am buying rental real estate, then the interest–you'd be writing off the interest on your Schedule A, essentially, against the income from that rental real estate. You are no longer writing off your mortgage interest personally as the individual residing in it; you are now writing it off as part of an investment. Anything you wanted to add on that? Jeff: No. If we're talking about buying a piece of investment property like you're just going out and buying more land, hoping that it'll go up in value, then it would be considered investment interests and go back on Schedule A. Typically, we want to keep it–if it's in a business interest or rental property, something like that, we want to keep it there. Toby: Again, the Canadians have been dealing with this for a lot longer than us guys. You cannot write off interest if it's not for your home in Canada unless it was used for an investment. People actually have to go re-file their houses, they get all the cash they could, pay down their house, re-file it so they could show that they used it for an investment so they could actually write off the interest. I think it was called Scotts transactions. It's weird. Hey, I'm not Canadian. This is another question: "Say I deducted a newsletter subscription in 2017 but received a refund for it in 2018. Do I need to add this back as income in 2018 or no?" If you wrote it off and it means your basis is zero, give you the money back, what does that sound like? Jeff: Income. Toby: Income. It is income. At the same time, I see people saying, "Hey, what if I reimburse myself from my cell phone out of two companies?" Now, each reimbursement represents–I said, "Well, you can reimburse yourself up to your expense. Anything above that is income so it becomes taxable." Fun stuff. Yes, you would report it, but only–your cash basis tax first. You report it in the year that you received the money back. "You've saved me so much money. I call y'all my friends." I love that when I get stuff like that. That's not really a question but I'm going to repeat it because it's better than, "Flip off the poll." Not that I had too many of those, but I had a few. "Can I write off costs for rehabbing out of the country?" This sounds like something for Jeff. Can you write off? US taxes. Jeff: Yeah, you do have investment in another country. Toby: Worldwide profits, baby. Yes. Jeff: If it's income-producing property, you're going to be reporting that to the United States. Any expenses you have on that property will go towards that also. Toby: If you're rehabbing a property, it sounds like dealer activity and active business. I may be little interest–I probably want to be looking at structures in the Bahamas if that's where it is. I'd be looking at something that's taxable there so you don't get into treaties and all sorts of fun stuff. "Do I have to pay $800 off the top to the franchise tax board when we start our corporation?" Jeff: No, California has an exemption to corporations that are first year only. Toby: Yeah, and that $800–this is, if you like tax cases, there's Veritas 1, there's Veritas 2, there's Northwest Energetic Services, there's Bakersfield Mall, and they're all versus your friendly–what is it called? Not the franchise tax. No, it's whatever. I forget what they're called. Jeff: We know what it's called. Toby: Yeah. Anyway, I'll remember it as soon as I could. I'm trying to think about it, but they keep suing the Board of Equalization, the BoE. It's $800 and they say that's the minimum tax, but they say, really, it's a fee because if it was a tax, then it'd be an unconstitutional tax because it's not attached to the income. They keep trying to call it a fee. They lose and then they change it a little bit and they lose again. That's just an aside. California is kind of evil. "We live in Washington. We have a Nevada C Corp which fully owns a watch and LLC and employs the kids. What are the recommended strategies to optimize for college tuition?" Wow, so you're doing a great thing. You are going to run them through payroll. When you're applying for things like scholarships, if it's going to be based on income, you're going to show that income. You're going to show those returns, but those kids should–most of that income is going to probably be underneath the standard deduction. Right now, it's $12,000. They're going to pay zero and they're going to pay very little on any amount over that. Plus, if you're smart, you're putting some of that money in a Roth IRA and they're never going to pay tax on that. It's smart to do this with your kids. If I paid tuition out of my tax bracket, it's coming out of my highest tax bracket. If I'm in the highest tax bracket, that's 37%. If my kids pay for their tuition and are working for the company, and they have to do something, then they pay at a third tax bracket, which, quite often, is zero. I do this with my own daughter. Last year, I think we paid $500 in taxes total for the year when it cost me $8,000 if I was doing it, but she has to do something. She has to actually work for the company and do stuff for the company. Other stuff you could do to optimize is dump it into–defer it into a retirement plan. If you want to do a 401K, they can put the first 18,500 of their income and they can defer it. You're still reporting it. I'm not sure it'll have an impact on scholarships or not. I have not seen it have much of an impact, but that's what I'd be doing, is the benefits far outweigh anything with this on the scholarship side. It is huge. Here's one: "I lent money to a real estate flipper. She gave me a promissory note, but it was not recorded with the deed of trust. Now, she is in default. Can I foreclose?" When you loan money to a flipper with no deed of trust, that's called a gift. I'm just kidding. You need to make sure that you're documenting it. You cannot foreclose until you actually file your secured interest. You got to have it filed and then, yes, you can actually start foreclosure proceedings if you want, if they don't pay it. You definitely want to make sure that, when you're giving notes–there's something called "first in time, first in right". You want to make sure you know it's recorded and you have your deed of trust against that house. Otherwise, somebody else could go slap theirs on first. There's also places where they get priority. In Nevada, for example, the HoAs get super liens. They actually step in front of the primary lender. It sounds weird but it's true. You want to make sure that you're documenting your loan and covering yourself as best you can, make sure that you're getting a personal guarantee and, if they have any other assets, you may want to slap a lien on those, too. All right, "With a new company, there's quite a lot of expense reimbursements. Since I don't have a lot of revenue yet, I haven't paid it back. Is it okay to carry it over a year or should I go ahead and pay it back even though I'm still in the red?" Jeff, this sounds like you unless you're zoning out there. She has a new company, she has lots of expenses, she doesn't have any money that she's made yet, so should they pay it back, carry it forward? "Can I pay myself, reimburse myself in the future year?" The answer is yes, you could reimburse yourself whenever. The question really becomes, "Do I want to capture all my startup expenses in the first year?" Jeff: Yeah, I think you do. You want to capture as many expenses as possible even if you're not getting directly reimbursed right away. Toby: Yeah, you have two choices whenever you fund a company. You can fund it with your cash and then it's going to have a loss and it's going to carry that loss forward if it's a C Corp. If it's an S Corp, you can actually take that loss. I've contributed $20,000. That's my basis and it loses 20,000 and, technically, I'd have a $20,000-loss with an S Corp. Usually, we're seeing this in C Corps, and you just carry it is a payable and a receivable. It's payable to you, you would say, "Hey, it owes me some money. It's kind of like this." I always use Krispy Kreme in my examples. I go out for Anderson and I bring in 12 dozen Krispy Kreme for a meeting or something, and the others say, "Hey, I'll pay you back but we don't have the money right now." It doesn't mean that it goes away; it means that I'm sitting there, waiting for them to pay me back. If they pay me back in two years, all it means is they can't write that off as a deduction until they pay me back so they're not going to have a loss if I'm carrying it as an IOU. If I give them the money to buy the doughnuts and they buy the doughnuts, they get the loss right away even though they haven't returned my money to me. They could return that money to me at any time. For me, it's always going to be tax-neutral. "Do I need to be on payroll with my real estate income or can I just take distributions from my LLC?" This is regarding Trump's 20% deduction on the plan. If it's investment real estate, you never have to take a seller as long as it's rental real estate. If it's flipping and it's in an S Corp, then you would have to take some salary if you're taking distributions. I don’t want to twist it. This sounds like it's just an LLC with rental property. You do not have to take it. The 20% is for 2018 onwards. If they think that it has a sunset clause, the end of 2025. Is it the end of 2025 that it ends? Jeff: Yeah. Toby: Yeah, so 2025. Here's a really long one. Boy, this is a really long one. Let me see if I can condense this. "I have a Wyoming LLC that is the sole member of a second LLC that is disregarded entity. I funded the Wyoming with 8,500 and the Wyoming funded the other bookkeeping QuickBooks balance sheet shows an owner equity 100% of 16,500. This is offset a balance sheet with capital contribution. While this does end up with net equity of 85, it gives the impression of the equity, which is incorrect. Is there a different way of handling?" Do you see what they're doing? Jeff: This is what we call–anytime you have combined financials or tax returns, you're going to have a–you may have a payable from one to the other where you've lent money to the other company, but when you do the combined financial or tax return, this is what you call an eliminating entry. If you lent $8,500 to one, those two entries are going to offset each other and it's going to be zero on your tax return. Toby: He's looking at it and saying, "Hey, they took the eight that I put into the second and added it to the 8,500 that I put in the first," and it's only 8,500 and then 8 went to the second LLC. Jeff: Yeah, I think you just need to clarify that it was the same money that– Toby: We're doing it and we'll take a look at it. We'll grab that name and, when we can, I'll print this out. "Can SMLLC, single-member LLC, disregard an entity under an MMLLC, which is a multi-member LLC taxed as a partnership, be converted to a single, multi-member LLC taxed as if–" you guys are killing me, "And would the tax changes be implemented?" What you're really saying, Billy, is, "Can I spin off a single-member LLC, make it into a multi-member LLC and change it to an S Corp?" The answer is yes. We just have to make sure that we follow the S Corp rules, which means there's got to be natural persons owning it, resident aliens–if it's somebody from out of the country, that they reside in the United States in certain trusts and even certain single-member LLCs. All right, to the question about–this refers to qualified business income. Sorry for lack of a better–no, Janet, you've already got it. "Since rental real estate is included for the 20%, are you also required to be a rep for that to be true?" No. You automatically get it. "High-tech network engineer, does it qualify as special services?" If you're not a network engineer and it's just you, then I would say probably yes. If you have a company and it's not so much you but your company has its own–like it's lots of people and it's just known, then the answer is no. Then, you're not. Jeff: Yeah, there were some specific carve-outs. I think the architects got a carve-out of this, but there's a few industries that have been specifically exempted from those specialized industries. Toby: I'm not sure but software engineer–I would say that if it's just you, chances are going to be under the special services. "When I file taxes, the taxes for the rental property show up on my tax showing a schedule form that is Schedule E. I almost $300,000 with my real estate and other income as a single woman." I think we already talked about this one. "Is there anything I can do to reduce my taxable income?" Yes, Janet, you can make contributions to qualified retirement plans. You can make contributions to charities, including your own. You can make contributions to C Corp if it has a business relationship. There are lots of things you can do or, if you have anybody that you need to pay salaries to like kids or somebody that's working with you, that would be something else you could do to lower the taxable income. "If you were writing out another slide, it's not showing up on my computer." Sorry, Sir. I think that's where all they go. "What about an IOL as a tax-deferred compensation for my property management income?" That would not work. An IOL is tax-neutral although you can do tax-deferred compensation where it's taxable to the entity and it's not taxable to you under certain circumstances. If I do tax-deferred income like, "Hey, I'm taking deferred compensation," I need to be at a losing. Usually, non-compete is going to be the thing that makes it work. We use these especially in the non-profit world where somebody says, "I don't want to be paid; I want to work, but I do want to get paid eventually for all the work I'm doing now. Rather than pay me this year, pay me when I'm 65 and maybe I wipe it out or not, but as long as I have a non-compete with that–" it's saying, "Hey, basically, if you go work for somebody else in a competing industry, you lose all that deferred compensation." You should be good. "I purchased a new computer that cost less than $2,500. Is that a straight expense in the current tax year or some weird depreciation thing?" Dean, it's called a Section 179 deduction. You can buy up to $1 million, you're good. You can write it all off. Otherwise, that would be depreciated. They also have 100% bonus depreciation, so we're going to catch it no matter what. Bonus depreciation is, if it's less than a 15-year property, you can write it off this year. You're not required to. Somebody says, "Is 199A or that 20% a 20% tax deduction or a 20% reduction?" No, it's a 20% deduction against your qualified business income. The net effect could be much more than 20% depending on your tax bracket. If you're not in a high tax bracket, then the net effect won't be huge. If I'm in the highest tax bracket in a state that's taxing me where I'm at 50%, that 20% deduction could be worth a ton. It could be worth significant amounts especially if I'm in a company that's not a specialized service and I meet the requirements. I could have hundreds and thousands of dollars of qualified business income being exempted, and that could be worth hundreds and thousands of dollars to me from a tax standpoint. We already did this one. Somebody who had their spinning left. You can go in bite-sized pieces, guys. We're going to break these things down, and I understand that we're going through fast, but that's half the fun. We're not dwindling around here. "My self-directed IRA received a K1 for net rental loss for a passive investment of $50,000. Do I need to file a 990 T to show loss? Does the IRA custodian sign the return or can I sign?" Jeff: Here's what happens: If your IRA is a partner in a partnership, that partnership is required to issue a K1 to all of its partners. That doesn't mean you have to do anything with the K1 in your IRA. You're not going to recognize any taxable income until you actually start taking money out of the IRA, especially since this is a rental property we're talking about. Toby: Cool. Hey, this is a really good one. By the way, if you ever do a 990 T and it says self-directed IRA, your custodian does have to sign, and they like to charge you for that. "401K, 401K." "I have a C Corp with accumulated losses and would rather close it than repurpose it. Is there a way to direct the loss of my personal taxes? Is it possible?" The answer is yes. It's called a 1244 election. It should have been made when you issued your stock. If Anderson did your C Corp, we already did that because I do it with every single corporation. You can then write off as a single person up to $50,000 or up to $100,000 if married, filing jointly, and then it could be used to offset even your W2 income. Jeff: Going back to one of the earlier questions, this is one reason we want to start recognizing reimbursements and stuff as early as possible to establish those debts to you early on. Toby: Yeah, I had this happen and we actually had–the one time this was ever audited was because this accountant refused to give him a $67,000-deduction. It was one of our clients who was a trader who was ready to launch and go into his business and then his employer made him an offer he couldn't refuse and gave him a whole bunch of our money. He took a $67,000-loss. He had never made a dollar in the corporation. We went under audit. We won. Yay. It took two seconds because it was a single letter and we gave him the law, and it's a statute. The IRS is just a policing agency. If there's a statute that's clear, they don't sit there and fight with it. I think it was a $38,000-reimbursement–what do you call it–refund. Awesome first-timer. We love first-timers. Thank you for joining us. "I want to receive an invite, a reminder to a different email." We can give you that. You can always use this when you register for the Tax Tuesday. Just put in your other email. "Interested doing sandwich lease options. What is the best business structure and what document can you provide to protect myself from sellers suing me if a tenant or buyer stops paying rent or if a tenant or buyer trashes the home?" That's a tough one. You're literally leasing it and then re-leasing it with the right to buy. Let me think about this one. How am I going to do this? I'm going to be doing that through an entity. The way you protect yourself is to keep very little amounts of asset in that entity so that if you're sued, it's not you; it's the entity itself, and the entity doesn't have much to lose. That's a tough one. I tend to stay away from stuff like that. I want to buy the property and then you do a lease option in an LLC. Jeff: Make sure you have insurance. Toby: Yup, make sure you have insurance, too. That could happen so the tenant trashes the place and somebody else says, "Hey, wait a second." That's why there's always risk. What you do is you just keep it to a low. "Is it hard to set up classes in QuickBooks? Does Anderson do this?" It's not hard and, yes, we do it. "How long does it take to set up a class in QuickBooks?" Jeff: No, you'd have to ask bookkeepers. Toby: Jeff's such an accountant. Yes, it's actually very easy. Jeff: Actually, the bookkeepers are really good at it. They do it all the time. Toby: It's literally all you're doing, is setting up another class. It's almost like a revenue class so you might have revenue that comes in from plumbing and then selling products in your plumbing business and then, "Hey, I have one that's a consulting," and that might be another class. It literally takes two seconds. "What if the Wyoming LLC owns a C Corp which owns an LLC?" I don't know what that means, but what we mean is–I imagine for the 199A. We're just going to look at it is the C Corp owns an LLC that's not going to be qualified for the 20% deduction. The LLC that owns the C Corp, if it's doing other activities, might qualify for the deduction. Here's the problem: In the qualified business, the part I didn't tell you about is what is qualified business income. Dividends, interest, capital gains are not included in that definition so if you're issuing interest from a C Corp to the LLC that flows under your return, you're not going to be getting the 20%. "If you set up QuickBooks with a single entity and use class as a separate income, can you also print a balance sheet by class?" Jeff: Yes, you can do it if the balance sheet is also classified. Toby: Okay. See, we're good. We're getting there. We only have about 200 more questions to go. I'm just teasing you. We've gone through about three-quarters of them. "What is Jeff's last name?" Webb. "I have a rental company. This will be my first year doing taxes. What can I expect to pay on my capital gains? What are some determining factors?" Isaac, if you're a rental company and you're selling–like if you have capital gains, it's going to be depending on whether you sold it within a year or after a year. If it's less than a year, it's going to be ordinary income to you. If it's over a year, it's going to be taxed with either 0%, 15% or 20%. If you make over 250,000, you're going to get to add no another 3.8% and then whatever your state tax is. What are the determining factors? How much you make. If you're married, filing jointly less than 77,000, your capital gains rate is zero. All those things come into it. You can always write us at webinar@andersonadvisors if you want to ask specific questions. "I'm in the process of setting up QuickBooks account for my C Corp. I have a construction business and a hair salon that are DPA-ed as C Corp. I am flipping single-family residents in Wyoming LLC? I have sub-expense and sub-income accounts for those." This is getting long. This one, we may want to answer next week because this is kind of cool. It's talking about sub-accounts. I'm just going to table that one unless you want to jump on it. Jeff: No, I think there were a couple of issues in there. Toby: Yup, "But you don't pay tax until the withdrawal, correct? That was just with regards to the IRA." Steve, you do need an account and, yes, you don't pay the tax until you withdraw, add up in IRA. If you have unrelated business income tax or debt finance income out of an IRA, you'd pay it in the year that it was generated. "Can I set up an entity to receive W2 income and max out top […]?" Yes, but you can't do it out of a self-directed IRA. The reason being is that you are a disqualified person so you cannot do that unless you do something called a ROBS transaction, and that's going to be a major topic for another day. That's if your IRA invests in a C Corp that you set up and there are ways to do it and then you could actually pay yourself, so there. "I recently rolled over a 401K to equity trust IRA account, lending funds to other investors charging interest. Is interest income taxable to the IRA?" No, you can do that all day long, and equity trust is having to sign all your docs. My recommendation would be to set up your own 401K so you can sign the loan documents. Somebody says, "How many times a year can you roll over from 401K to IRA or reverse rollover?" It depends on whether you're doing a direct rollover. Jeff: You can do a trustee to trustee every day if you want, meaning you're going from TDM trade to Bank of America. You can do those as long as it's directly being transferred. You can pull the money out once to yourself once every 12 months, and it's a rolling 12-month period. If I pulled it out today, then I wouldn't be able to do it again until next October. Toby: Somebody asks, "Can I roll individual stock holding into Roth trading account if the current value is under the 550 limit, and how?" The answer would be, really, no; you're going to have to liquidate the holdings, open up a new account in the Roth IRA and then contribute the 5,500. It's a pain in the butt, I know, but I don't make the rules. It's this whole Bank Secrecy Act and all this stuff since they flew planes into trade centers. "Is the old rule dead on personal residences two out of five years?" No, that's still the rule, and we still use it like crazy. That's exception 121. Jeff: Yeah, they were talking about making it five out of eight years, and that got thrown out so it's still the old two-out-of-five rule. Toby: Yup. "Do my startup costs carry over two years if my net was negative?" It's actually 20-something years. Jeff: 15 years. Toby: 15 years now? Nate, you can carry forward your startup costs. Is it 15? Jeff::Yeah. Toby:  "Hey, wait a second. I have an S Corp. They keep charging me the 800 fee ever

Mark Wellman is a nationally acclaimed author, filmmaker and motivational speaker. Despite being paralyzed in a mountain climbing accident, Mark has inspired millions to meet their problems head-on and reach for their full potential. A two-time Paralympian and former Yosemite Park Ranger, Mark's NO LIMITS philosophy encourages individuals to adventure into new horizons; to go beyond the seeming unreachable. Mark is used to being on the road since he travels throughout the year, bringing his adaptive climbing wall to companies, organizations, and schools. We caught him during one of his road trips and he agreed to swing by Golden, Colorado to the No Barriers podcast studio and catch up with his old friends, Jeff, Dave, and Erik. Mark is unbelievably accomplished but also reserved and humble. He talks about his legendary, groundbreaking athletic achievements with the same tone most use to describe what they had for lunch. But there was a time in Mark's life where he was unsure, depressed, and hopeless with no clear path ahead. Mark discusses his near-death injury that he sustained on a climb that left his paralyzed from the waist down. He spent months in the hospital unsure of how to go forward and lost. That was, until he received some wisdom. I had this one physical trainer, she was from Germany, and she said: “You need to train like your training for the Olympics!” And I just really took that to heart.” Mark first was determined to find employment where he could stay connected to the outdoors. So, he went back to school and got his degree in Park Management. He worked as a Park Ranger in various capacities, already shattering people's ideas of what he was capable of, but that was just the beginning. He soon discovered the world of adaptive sports and threw himself into learning more and designing his own adaptive equipment to get back out into the field. It was then he came up with the crazy idea of climbing the sheer granite face of El Capitan. He found a partner, built an ascending rope pulley system, and started to train. Now, folks of many different abilities have climbed El Cap, but until Mark, this was unthinkable. He pulled it off and became the first paraplegic to make the ascent. “Are you crazy to take this paraplegic guy up El Cap? Seems like a really stupid idea. Something could go wrong,’ but fortunately we didn’t really listen to that.” Mark went on to gain tons of media attention, made national and international news, met the President, lit the flaming torch up a 120-foot rope at the Paralympic games in Atlanta; a fun story he shared with us, and continued on to break even more records of athletic achievement, like being the first paraplegic to sit-ski unassisted across the Sierra Nevadas. Listening to Mark describe his epic achievements it's easy to forget he has a disability or about all the struggle that led him to this point in his life. But for Mark, it's about mindset. “I learned my disability wasn’t a death sentence - let’s get on with life, dude!” But Mark wanted to share what he learned with others. He details the spark of an idea he had with a friend that led to the formation of the nonprofit, No Barriers, and the humble beginnings of an organization that is now becoming a movement. He uses his time to speak to groups and offer inspiration, as well as lead hands-on adaptive activities that get people out of their comfort zones. “Let’s get out and enjoy life.” Read Mark's Autobiography Here Visit Mark's website: No Limits Learn more about No Barriers autobiography Climbing Back. The first paraplegic to sit-ski unassisted across the Sierra Nevada Mountain Range, --------------- EPISODE TRANSCRIPT ------------------------- Dave: Well welcome to our No Barriers podcast. We are thrilled today to have Mark Wellman with us, who's one of the founders of No Barriers. Can't wait to hear some of his stories about what this organization was founded upon. He's really the heart and soul behind why many of us are here at the organization. Before we get into that conversation, Erik, you just came back from a really interesting experience, why don't share with our listeners a little bit about it? Erik: [00:00:30] Yeah, I was at a conference with all these authors. There were four of us, and the first was a lady, she was the author of Hidden Figures, this great book that was made into a movie, these African American women who were behind getting us to the moon, didn't get any credit at first, but then their stories were really illuminated by her book. And this guy who is falsely sent to death row for 30 years. He was incarcerated- Dave: Wow. Erik: In a five by [00:01:00] seven room, had to kind of go into his mind and think about how to expand his mind. He said in his mind he married Halle Berry. They were married for 25 happy years. Dave: When was this set? Erik: Recently. Literally just got out of ... he got out of jail, no apology from Alabama. But he wrote this amazing book, so ... And then a lady who wrote a book called Beauty Sick, mostly [00:01:30] about girls who struggle with body image, and how much productivity is lost in the world because girls are having to pay attention to makeup, and weight, and all the things that they worry about. Guys too, but mostly the focus was on girls, and I have a daughter, so I was sitting there just hanging on every word, thinking about my daughter and her struggle, so it was really book because it was four very No Barriers... Dave: That's a lot of No Barriers. Erik: ...authors right there. [00:02:00] Maybe we'll get them on the podcast at some point. Dave: That sounds like perfect fit for the kinds of topics we explore. Erik: Yeah. And I am totally thrilled... this is great. I'm so psyched to have my friend, all our friends, Mark Wellman on the podcast today. Dave: The legend. Erik: The legend, the dirt bag... is that okay to say? Mark: Yeah, yeah. Dave: You embrace it, right? Mark: It's great to be here. I embrace everything. Erik: Mark almost doesn't need an introduction, but Mark is [00:02:30] a world class adventurer, and an innovator, and is the key founder of No Barriers. Has done amazing things that blow your mind as an adventurer. Has skied across the Ruth Gorge. Has traversed the Sierra Nevada mountain range. Has mountain biked the White Rim Trail. Has climbed El Capitan, Half Dome. We were just talking this morning, your Half [00:03:00] Dome ascent was 13 days? Mark: Yeah, it was. Erik: On the wall. Just, Mark, a hero of mine for sure. You're a few years older than me. When I was a teenager and you were just a little bit older climbing El Capitan and doing all these amazing adventures, you were a huge part of my motivation, so I'm psyched right now. Mark: It's great to be here, thanks a lot Erik. Yeah I guess I could [00:03:30] start off with... 35 years ago I was an able bodied climber and we were climbing a peak called Seven Gables, which is pretty close to the Mount Whitney area. We had a 20 mile backpack to get into the base, and this is back in 1982, I was 22 years old. My good friend Peter Enzinger and I were back there to do this climb. [00:04:00] We set up a base camp about 10,000 feet, and the next morning we got up pretty early, grabbed our technical rock climbing equipment and left most of our provisions at the base camp, our sleeping bags. Sure would have been nice to have that sleeping bag with us but didn't have it. And we climbed Seven Gables. It was sort of technical, kind of a mixed route. There was a little bit of ice, a little bit of rock, and made [00:04:30] the ascent. By the time we topped of it was a little bit late in the afternoon, about five o'clock. We just embraced this beautiful view from the summit. American Alpine Club places sometimes these cairns, or climbing registers, at the top of the mountain. It was kind of cool to see this. In this case it was just a pile of rocks with a Folgers coffee can. And I opened up the Folgers coffee can and dumped out the little pieces of paper, and there's my [00:05:00] hero Royal Robbins had climbed it. "Cool man, I'm gonna put my name next to Royal." Did that, and then we decided we're gonna go down a class four descent on the backside, just scrambling, not roped. We were just kind of walking down a tail of slope. I'll be the first to kind of admit my guard was down. My partner said, "Hey, maybe we should put a rope on [00:05:30] this one section here." I go, "No, no. I wanna get down to base camp, I'm really hungry. There's some really good freeze-dried food I wanna eat." You know that wonderful Mountain House stuff. Erik: And 35 years ago. Dave: Delicious. [crosstalk 00:05:44] Mark: So next thing I knew, I slipped on some scree, and I pitched forward and I started rolling. I made a couple of somersaults and I rolled off about a 100 foot cliff. When I landed I broke my lower back at T 11, T 12. Of course at the time I didn't know it. [00:06:00] I was 22, I didn't even know what a wheelchair was. That happened, and my partner thought I possibly could have been killed. But he heard me yell back at him. He got down to where I was... he said he spent a couple hours with me stopping some bleeding on my legs, and some other stuff. Jeff: What's your recollection of that period of time... Mark: He said he was with me for two hours, it felt like ten minutes. Erik: Right. Mark: And then he left. [00:06:30] He left an orange, an extra jacket, and some trail mix and said "Man, I gotta get out and get some help." So after 30 hours, the best sound I've ever heard in my whole life was the sound of this... [helicopter sounds] ...coming up the canyon. Erik: You almost froze to death. Mark: It was cold that night. Yeah it was real cold. I was laying on some ice. That probably helped because it kept the swelling down in my back. So I'm an incomplete [00:07:00] para. I have a little bit of movement in my legs. They said that might have helped me, the swelling. But the helicopter got up there, it was actually a ship from the Forest Service. They were gonna just go up and see if it was more of a body recovery, but fortunately I waved to them and the helicopter disappeared. About an hour later, a second helicopter came up and this time was from Lemoore Navy Base, and they did [00:07:30] a technical rescue. Flew in, brought the rotors within several feet of the cliff surface, lowered a navy medic, got me in a stokes litter, got me back up into the ship. I was down at a trauma center, they were cutting my clothes off, and a nurse said, "Who's your insurance company?" And fortunately I did have insurance, I had Kaiser. I went through stabilization of my back with Harrington rods. I was in the hospital in 1982 for seven months. Dave: [00:08:00] Wow. Erik: Including rehab? Mark: Including rehab and the whole nine yards. And nowadays, a paraplegic if you go to Craig Hospital, it's kind of the factory up here in the west. A paraplegic will be in the hospital for about six weeks. It's pretty dramatic... in those days, it was a much longer hospitalization. Learning how to take care of yourself. And then... Erik: More time is better, right? I mean, [00:08:30] would make sense right? You can develop more time? Mark: Yeah, a little bit. I think seven months was a little excessive. Erik: Right. Mark: But you know, there's a lot to learn. Your life has really changed. Your spinal cord runs your body, and you're paralyzed from your waist down. You have bowel and bladder issues. You have skin issues you have to be careful about. So all those things were really important, and I had this one [00:09:00] physical therapist who was from Germany and she goes, "You need to train like you're training for the Olympics." I just really took that to heart and started lifting weights. Was ambulating with long leg braces. This was sort of the beginning of the wheelchair revolution where wheelchairs weren't a stale piece of medical equipment, they were a lightweight piece of aluminum that was more of an extension of your body. And the wheelchair [00:09:30] could take you from point A to point B. Fortunately, in 1982 was really when these wheelchairs... they started making lightweight chairs. And I was a part of that. Erik: Not the clunky Vietnam-era things, right? Mark: Exactly. The old Everest and Jennings chairs were more obsolete, and they were using... well there was a woman who started Quickie wheelchairs, Marilyn Hamilton, she got hurt in a hang gliding accident. They took hang gliding technology, clevis pins, aluminum, powder coat. [00:10:00] And they kind of messier of manufacturing these wheelchairs sort of like... taking the technology from hang gliders and applying it to wheelchairs. Erik: We're still less than ten podcasts in here, but we've already heard a lot of stories of people... these No Barrier stories of people who go down deep into these dark places. I don't want to bring you down, but you have a lot of experience right now and so you can look back. You went to a dark [00:10:30] place, obviously. Mark: Yeah. It was close to saying goodbye to this Earth. Fortunately I made it through. I remember getting back into rehab, then I met a state rehab counselor who said, "You know Mark, you have this great love, this great passion for the outdoors, why don't you become a park ranger?" And I'm thinking, "How's somebody in a wheelchair gonna be a park ranger?" I'm thinking [00:11:00] law enforcement, search and rescue, and she goes "No, there's many hats in the National Park Service, or many different jobs." She took me down to Fort Funston where I met a ranger who kind of showed me the ropes and said "Hey, you could maybe do a job, this would be an entry level position, but you could help us plant dune grass and work in the nursery, or you could go to the entrance gate and help out there." [00:11:30] So I did that for a summer and then I went back to school and went to West Valley College and studied park management. Erik: Cool. Mark: And became a ranger at Yosemite. I remember my first job wasn't exactly my idea being a ranger. There I was sitting in this little kiosk, this little booth, at Big Oak Flat, the entrance to Yosemite. In those days it was a three dollar entrance fee and I'd collect the money and be breathing in auto fumes all day long. That really wasn't [00:12:00] my idea of being a ranger. But it was entry level. The next summer I went down to Yosemite Valley and started working at the visitor's center doing interpretation. Interpreting the natural processes of the park, the public. Bear management, geology, climbing was a big subject too. I'd give programs on climbing, talk about A climbing versus free climbing. Jeff: Were you transparent with people that would come through the park, with how your injury took place? [00:12:30] When you'd talk about the [crosstalk 00:12:31] Mark: I was, I was. I would start my climbing program off with my accident, actually. And bring that in, because I think that was a big part of it. They might say, "Well who's this guy in a wheelchair, what does he know about climbing?" I'd kind of bring that in. That was before I climbed El Cap, I was doing those things. Jeff: Were you percolating on doing something like that when you were there? Mark: I was. It's kind of an interesting story. There was a magazine called Sports And Spokes, it was a wheelchair [00:13:00] athletic magazine. On the front cover on that magazine was a DSUSA chapter, a woman who was being lowered down a cliff in a wheelchair on a river rafting trip. The river went over a waterfall, and then you did portage all the equipment around the waterfall. They had a swami belt and a climbing rope and they had a helmet, I guess they wanted to put a helmet on her for safety, sounded like a good idea. And they lowered her down this cliff in this wheelchair, [00:13:30] and it was on the front cover of this magazine, Sports And Spokes. I got the magazine at my little cabin in Yosemite and I had it on my lap. I was wheeling over to the visitor center to open it up in the morning, and I bumped into my future climbing partner Mike Corbet. And Mike's nickname was Mr. El Cap back in the 80s, he had climbed El Cap more than anybody else in the world, over 50 times. And Mike had never really talked about climbing to me because he knew that's how I got hurt. But when [00:14:00] I showed him this picture, Mike's eyes got really big, and he got really excited. He goes, "You know what Mark, I wanna start climbing with you, but what I really wanna do is climb El Cap." And we had no idea how we were gonna do it. Dave: That's great. Mark: That evening, we were sitting at the mountain room bar, we might have had a beer or two. Dave: Or three. Jeff: That's where all good decisions are made. Mark: Where all good decisions are made. So we had a little beer napkin and we started writing down notes. We said, "Okay, [00:14:30] we're gonna take a jumar..." A jumar is a rope ascender, this was back in the day, kind of like what Kleenex is to tissue. So we took a jumar, and we mounted a pull up bar and a jumar, and then we had a second ascender on a chest harness. And we put a rope up right by the Ahwahnee Hotel. Church ball tree. It was an oak tree. We had this rope and we started ascending up into the tree and then he'd lower me back down. So we go, "Okay, [00:15:00] so a paraplegic can ascend a rope using their upper body strength. Now to get on El Capitan, we got to actually protect your lower extremities from the granitic rock." We knew we were gonna be up there at least a week. I don't have feeling in my legs, so I really needed to protect my legs from any kind of abrasion or any kind of sore that could have occurred up there. We went down to this hardware store in Fresno, California outside [00:15:30] of the park. We bought some leather, a speedy stitcher, some closed cell insulation foam, and we just started making these rock chaps and they sort of evolved over a course of six months. We were climbing Jam Crack, Warner's... Erik: Weren't they... what was the material of those? I've felt your chaps before. That sound's weird... Dave: The truth comes out. Jeff: Hey, we're all friends here. Mark: The original [00:16:00] rock chaps were made out of leather and canvas. But the pair of rock chaps you felt were actually made out of some kind of silky material. No, no... Dave: Oh that was lingerie? Not chaps. Jeff: This was the first No Barriers improv meeting, what you're talking about, with your buddy Mike. Mark: Absolutely. Jeff: That was it, that was the genesis of what... fast forward to today, that was the beginning. What [00:16:30] year was that? 1980... Mark: That was 1988. Jeff: 88. There you go. Mark: Yeah 88. I was 28 years old. Erik: So if you think about it that way, No Barriers began in the Ahwahnee bar. Jeff: Yeah, on a bar stool. On a bar napkin. Dave: I know you guys are all dirt bag climbers. I'm not a dirt bag climber. For our listeners who are not dirt bag climbers, someone paint a picture, because we're getting to the El Cap story. Which is a phenomenal story. Paint a picture of El Cap for us, because not everyone knows what that is. Jeff: Yeah, well. El Cap [00:17:00] is probably the most revered, iconic, monolith in North America if not the world. Uninterrupted, over 3000 feet of granite. It is... when you're in Yosemite, you look up at it and it's got this perfectly symmetrical flank apron on both sides that comes out into this promontory called the nose. And [00:17:30] you can't take your eyes off it. If you look away for a minute, you have to look back at it just cause it's so magnificent and powerful. And it represents so much too. If you want to call yourself a climber, you kind of have to climb El Cap at some point. Erik: When you stand in the meadows below, which is just clogged with tourists just all driving by gawking. What I've heard, is you have to look up and up and up, way higher than [00:18:00] you think you have to. Dave: And if you see a person climbing, as a person who's not a technical climber speaking, you think "Those people are crazy. They're insane. What are they doing up there?" Jeff: Erik and I climbed El Cap. And his dad, Erik's dad, and future wife were down there in the meadow with telescopes watching us. We had one of those little lighty things, little sticks, and we were shining our headlamps down at everybody. It's [00:18:30] a magnificent thing, but it's also very intimidating. It can be very cool when you stand up and look at it, but then the idea of going and climbing it I think is a whole different story. Erik: And as a quote on quote gimp, and that's a word by the way that Mark taught me. I never even heard that word before. It's one of those words I guess you somehow have the license to use if you are... Mark: If you are. Erik: If you are in a chair or you are blind. So what did, when you talked about this out loud, what did people [00:19:00] think? Are people like, "You're nuts." Mark: Yeah, we had kind of a mixture of both. People that knew us, were "Oh yeah you guys should go do this." Mark's been training, he's always skiing, always riding his bike, hand bike around... well in those days it was more of a row cycle. And then we had people say, mainly not to me so much but more to Mike, "Are you crazy? Take this paraplegic guy up El Cap? Seems like a really stupid [00:19:30] idea. Something could go wrong." But fortunately, we didn't really listen to that. We just started training, we made these rock chaps. Like I said, they kind of just evolved over about a six month period. We kind of have a little circuit in Yosemite Valley that we climbed together. We did Jam Crack, the Prude, Warner's Crack, The Rostrum, we went over there. Erik: Oh, wow. Mark: So we did some stuff in the Valley [00:20:00] just to really warm up. And then I actually went up and spent a night on El Cap. Because we wanted to feel what that was like. Jeff: Up at sickle? Mark: We actually went to Heart Ledge. Erik: Wow. Jeff: Over on the south. Mark: Yeah, over on the south. The route we were gonna climb was a shield. So... Jeff: Cause it's overhanging. Mark: It was overhanging... once you get over the shield roof it's overhanging. The beginning of it's not. It's pretty low angle. Jeff: Were you scared at all before you did this or [00:20:30] were you just super fired up and kind of naïve? Mark: I was scared the night before. Jeff: You were. Mark: Yeah. Jeff: Like really scared? Mark: Yeah I was... couldn't sleep. This kind of what happened was... really Mike, about two weeks before we're gonna blast off, Mike goes, "Man we've trained so hard for this, I'm gonna write a letter to Tom Brokaw..." who is the national NBC News guy, who is a climber too, a little bit. And, I'm going, "Okay... " so basically [00:21:00] Corbet just wrote out a note with a pencil. He was a janitor at the Yosemite Medical Clinic to support his addiction to climbing. He just wrote a little note to Tom Brokaw, and I think three or four days later he's talking to... Tom Brokaw called the medical clinic and talked to Mike, and said "We want to come out and do this story." Erik: Gosh. Mark: And all of a sudden the pressure was on. That's when I really was thinking, "Wow you're telling national news, this is gonna add [00:21:30] a lot more pressure for myself." But as soon as we got to the base of El Cap and I touched that granite, all that training and preparation really got into par, and I got relaxed. I started doing pull up after pull up, dragging myself up the largest unbroken granite cliff in North America, El Capitan, and the first night... we do something called, we fix pitches. So we were fixed [00:22:00] up about 800 feet. So we had... Mike used to say, "It's always nice to kind of have a jumpstart." Erik: Right. Mark: You know, fix those lines, get all your water, we had 250 pounds... Erik: It's like a trail of ropes that go up 800 feet so you can just... Mark: The next morning... Erik: Start on the ground and zip up 800 feet and have like a jumpstart on this gigantic monolith. Mark: Exactly. And have all your water, all your gear up there. So he had to work three or four days to make that happen prior to us [00:22:30] leaving. Once we left Mammoth Terrace, we were on our own. We went through the Gray Ledges, and we went over... the roof was really tremendous. Because Mike is basically climbing upside down, and then gets up onto the pitch above it and fixes a rope. Then I kind of untied myself and I swing underneath that roof, and you can hear the cheers of the people down below. It's like [00:23:00] what Jeff was saying, It's quite a scene at the El Cap meadow. You really have to have binoculars. It's hard to see climbers up there, because they're so tiny, they're like little ants up there. If you don't know what to look for, it's hard to see these people. The crowd was yelling, and the green dragon would come by. It's a tour vehicle that has it's open air shuttle. Erik: "If you look upright you will see a nutcase [00:23:30] climbing El Capitan." Mark: We could actually hear them talking about "Mike Corbet, Mark Wellman, first paraplegic..." So that was kind of interesting. Finally when we topped out, it was seven nights, eight days of climbing. This was before digital technology on El Cap, when national news came out. They had a mule train, they brought out a satellite dish that was like five feet wide, and we were live on top of El [00:24:00] Cap talking to Tom Brokaw. Jeff: Sick. Mark: And we've got... between the Today Show and NBC News, and in a week we were on TV for like several hours if you took all the time that they played this. There wasn't really much going on in the news, so they really kind of played this story up in a big way. As soon as we got off that climb, about a week later, we're sitting in the Oval [00:24:30] Office talking to President Bush. It was myself, Mike Corbet, "Writtenaur" who was Secretary of the Interior, and Jack Morehead, superintendent of Yosemite. The four of us are in the White House, in the Oval Office, talking about bone fishing because President Bush loved to bone fish and we presented him with a flag that we took with us on the climb, and it changed my life. Erik: Mark, so you're not that old, but I see [00:25:00] you sort of as the father of adventur e sports for people with disabilities. I want people to understand that the idea to climb El Cap back in the 80s... nowadays, I think... how many people have climbed El Cap in chairs, paras? Mark: Oh the chairs? Erik: Dozens, right? Mark: Yeah, dozens. Erik: But you sort of unleashed that. You opened up this door. And now, quote on quote gimps are doing everything, right? Mark: Every summer there's [00:25:30] a paraplegic. Erik: But you opened that door for all of us. So, it's sort of a crazy thought to me. Mark: It is. You can't take the first ascent of El Cap, you can't take that away from me. That's something I'll always remember. It was a huge accomplishment for both Mike and I, and there's been different paraplegics who have gone up it. A gentleman with cerebral palsy, Steve Wampler, was probably the most [00:26:00] disabled person that's been up there. Lots of amputees. I call them amputees, hardly disabled. Paraplegics wanna be amputees. Erik: Those will be our first complaint letters. Dave: Exactly. [crosstalk 00:26:15] Mark: Quadriplegics wanna be paraplegics. Everybody has their differences. There's been a quadriplegic, incomplete quadriplegic, climbed El Cap with Tommy Thompson, good climber. [00:26:30] Steve Muse. Erik: There's that kid who climbed The Chief, he was inspired by you. Mark: Yep. Erik: He was a quad, and he climbed The Chief. He invented kind of this, almost like a contraption with wheels if I remember right, that kind of rolled up the face. Mark: Yeah it was... the premise was taking the Dolt cart. A climber by name of Dolt had this cart and he used to use it for a hauling system on El Cap. Brad "Szinski", the Canadian guy you're talking about, he came up with this [00:27:00] cart. His hands didn't really work as well as a paraplegic, he lost some muscle mass in his hands and fingers. So he had a different type of system where he could ascend a rope using a crank, and developed that. So there's been all kinds of different adaptations that allow people that are wheelchair users to go rock climbing. Jeff: This sort of set you [00:27:30] on this course to being an improvisational pioneer, those are my words. Were you like that always or do you feel like your accident cued you up for this opportunity to then over the past thirty years... Mark: Thirty five. Jeff: Yeah thirty five years. Now you've continued this trajectory of being this pioneer when it comes to just making it work. You make it work, right? Mark: I was so young. When I got hurt [00:28:00] I was 22. I wasn't climbing big walls, I hadn't got to that point yet of climbing El Cap. Finally, when I did have my accident it kind of made sense. The steeper the climb for somebody in a chair the better. Mountaineering is gonna be really tough. There are ways of doing mountaineering. We got four paraplegics on top of Mount Shasta. Erik: Yep. Mark: And there was a guy named Pete "Rikee". It's funny... people [00:28:30] come to me if they've got an idea, a lot of times they'll want me to be a part of the project. Least... Erik: That was a pod that they were in, that had almost like tractor wheels, right? Mark: Exactly. What we did is we took a snowmobile and cut the snowmobile track in half and made a tractor stance. So you have two tracks and a seat with a bicycle crank, and we actually crank our way up Mount Shasta. We had to get special permit from the Forest [00:29:00] Service. You can only be on Shasta for three days, and we knew we were gonna be up there for a week. So I had to drive up... I was trying to explain to this district ranger on the telephone, he really wasn't getting it. Erik: Sometimes they don't get it. Mark: And he wasn't getting it at all. He was thinking mechanical device... Jeff: Motorized... Mark: Right. He knew who I was, so he said "Come up and bring the machine with you so I can take a look at it." So I brought one of the snow pods up there and I met with the district ranger [00:29:30] and a couple of his back country rangers, and they got it. They said, "This is cool man, we'd like to let you guys do this." They gave us a special use permit. The big thing about the Forest Service and wilderness, or National Park Service wilderness, you cannot take... supposedly mechanized devices cannot go into the wilderness. But if you have a disability, your bicycle could almost be considered a wheelchair, or your snow pod can be considered [00:30:00] a wheelchair. Long as it doesn't have a Briggs and Stratton engine on it. That was the big thing, it has to be a manual piece of a gear that's human powered. So we got that, and we got four paraplegics on top of Mount Shasta. Erik: And El Cap really launched you into being able to do all these amazing things, right? You pretty much became a professional climber, adventurer, doing these things around the world. I know you lit the torch for the Paralympics, right? Mark: I did, I lit the Paralympic torch in Atlanta in 1996. [00:30:30] Muhammad Ali lit it for the able bodied Olympics. They had this torch, and the night before we're training for it... it's a big surprise, they don't want to see the person light the torch the night before, no media, so we're out there. I was gonna climb an 80 foot rope doing rope ascension, doing pull up after pull up. And North Face made me a little, kind of a... we envisioned this Robin Hood thing with... behind [00:31:00] my shoulders, this arrow quiver where I put the actual torch in. I didn't wanna burn my hair, what's left of it, so... Erik: You had a lot more hair... Mark: So I said, "Let's make this torch holder so it comes off your legs." So they made that for me. That night we're training, I get up the 80 foot rope, and I lit the fuse and the fuse blew out. Erik: Oh no. Mark: And the pyrotechnics guy goes, it was windy, and the [00:31:30] next day it was gonna be windy too. So the pyrotechnics guy guys... "Okay Mark, I'll make sure this fuse doesn't go out the night you do it." And I go, "Great." So I get up there in front of 80,000 people, I'm climbing up this rope. Liza Minnelli is singing this song and she's going "Go Mark, Go Mark." The whole stadium of 80,000 people is going nuts. So I lit this fuse, and literally the thing blew up. There was fire all over me. And I'm leaning back, hoping I'm not gonna catch [00:32:00] on fire. Then the fuse went up and lit the actual cauldron, and that was the start of the 1996 Summer Olympics. Jeff: You did not combust. Mark: I did not combust. I had the best seat in the house. Erik: You'd be like a Motley Crue drummer. Mark: Exactly. So that was fun. Erik: Takes us on a little tour of what you did. All those amazing adventures that you did after that. Takes us on a little tour around the world. Mark: What a lot of people don't realize, which I think is harder than climbing [00:32:30] El Cap, or spending 13 days on Half Dome was another big ascent we did years ago... but was doing the Trans Sierra ski crossing. I've done it twice now. I did it in 1993, it was a big winner, and I did it in 2011. So we took a cross country Nordic sit ski. You sit low to the ground, you have two skis mounted underneath a frame with a seat, and you're sitting maybe a foot off the snow. And you have two [00:33:00] poles, and you actually double pole. So you're double poling to make this device go down the trail. I was on the US Disabled Nordic Ski Team. Competed in two Paralympics, in France and in Norway. Got beat up by the Finns, the Norwegians, they're so passionate about that sport. Jeff: And they're vikings. Mark: And they're vikings, man. They're so tough. My best finish out of 30 guys was of fifth place, that was in France. [00:33:30] In Norway, I got even more beat up. I wanted to actually get into Nordic ski racing because I had other things I wanted to do. I wanted to try to get into the back country in a Nordic ski. Back in 93 a guy named Jeff Pegles and myself was also on the US disabled Nordic team. We took sleds, little polks, behind our rigs. We had our bivy gear. And we skied 55 miles from Snowline [00:34:00] on the east side of the Sierra on Tioga road, we got someone to open up the gate. Guy that worked for the power company opened up the gate. We got up to Snowline and we skied from Snowline to Crane Flat, which is 55 miles. Jeff: Wow. Mark: Following the Tioga road. Jeff: Just the two of you? Mark: Well we also had Pearlman with us too. Erik: Filming. Mark: He was filming, yeah. Erik: And, you gotta tell the story about the White Rim. So you biked the White Rim, I think you were on one off mountain bikes? Mark: [00:34:30] Yep. Erik: Or some kind of devices, hand crank mountain bikes. And it was so sandy, the story I heard, you had to get out and you had to pretty much pull yourself on your arms and pull your chair, did you pull the other guys chairs too? Or were the other guys' bikes... Mark: It was an epic, groveling adventure. Seems like everything I do turns into that. Jeff: Yeah. [crosstalk 00:34:50] Mark: If you're not suffering, you're not having a good time. That's kind of how it is out there. We had these one off mountain bikes and [00:35:00] we actually did a Jeep tour to kind of check it out a couple years prior. We did have it a little easier, we didn't carry all our water and food with us, we had a swag wagon out there. Suburban, follow the four paraplegics. Myself, Bob Vogel, and Steve Ackerman. We rode this, 52 miles is the full circumnav of the White Rim. There was times, [00:35:30] yeah, it was an interesting experience out there because some of these washes were like moon dust. We couldn't get our bikes through it. So I had a pair of rock chaps with me and I threw the rock chaps on and did some crawling. Had an 11 mil static rope and dragged the guys behind me. Did a few epic things like that. Jeff: I mean, If I'm riding my mountain bike and I come up on that scene in the middle of the White Rim, who knows what to make of that? Mark: [00:36:00] You can walk man, so best thing to do is just walk your bike. Jeff: Like, "You guys are good right?" and they'll be like "Yep, we're good man." Erik: Leave us alone. Jeff: Leave us alone. Mark: Don't touch me. Jeff: There's nothing to see here. Yeah. Erik: Yeah. Jeff: Wow, that's rad. Mark: And then recently, just a couple of years ago... in the winter we had a drought in California and Tahoe, so I circumnaved Lake Tahoe in a kayak in winter. And that was a really amazing adventure. It was 72 [00:36:30] miles, two nights of camping. But the cool thing was, and it was cool at night, it was really cold at night. There was no power boats. In the winter you don't have any power boats on Lake Tahoe, it was kind of like being out there in the 1800s. Seeing bald eagles, none of the tourists were on the water, it was really a fantastic trip. Dave: So Mark, you are someone who really embodies the spirit of No Barriers and you helped [00:37:00] start the organization. So tell us, all these adventures, all these things you've done to challenge what's possible, what people think is possible. Why No Barriers? Tell us that story. Mark: You know, No Barriers... I did a movie called No Barriers, and I got a poster out called No Barriers. It was a word that really meant a lot to me. My wife and I, we were down in San Francisco at a fundraiser... in those days it was called Yosemite Fund, now it's called Yosemite [00:37:30] Conservancy. We were at this dinner, and I met this kind of wild old character named Jim Goldsmith. And Jim came up to me, knew who I was... we started talking. He had a cabin in the subdivision I live in called Tahoe Dawner. So Jim and I, and Carol, and his wife Connie would get together, we had a couple of dinners together. And then Jim started talking about the Dolomites, and his [00:38:00] son-in-law and daughter. And he said, "Man, it would be really neat to kind of do something for disabled people and able bodied people if we did something in the Dolomites." And I go, "Man, I know a couple of guys who I've done some stuff with, a guy named Hugh Herr, double amputee who's done some rock climbing with him, and Erik Weihenmayer." This was probably after your Everest... Erik: Yeah, after. Mark: This was after your Everest climb. And I said "Hey, these [00:38:30] guys..." we did a climb out in Moab Utah, the three of us, it was kind of gimp helping gimp, it was this real magical event out there. Which was really cool... Erik: Climbing the Fisher Tower. Mark: Yeah. The Fisher Tower. Ancient Ark. Erik: Mm-hmm (affirmative). Mark: And it was this really fantastic climb. I'd like to get these two guys involved with what we're talking about. SO I called Erik, I called Hugh, and we ended up putting our first [00:39:00] little... in those days, it was more of a festival, we called it, instead of a summit. We did it in the Dolomites. It was a very obscure little place up in the mountains, this real beautiful location, but nothing was really accessible. The hotels weren't that accessible, everything was kind of difficult to put this together. But it was this real magical place in the mountains... Erik: I remember the chair operators didn't even know how to get people with disabilities on the chairs. Mark: They didn't have [00:39:30] an idea. They didn't... yeah. Erik: On the ski lifts. Thank you. Yeah. Mark: They weren't doing adaptive skiing in those days in that little village. It was actually the home of the 1956 Olympics. SO that was kind of my envision was to start this, and who knew it was gonna get into what it is today. It's just amazing what you guys have done, and all the different things No Barriers has to offer people. Erik: What do you think about when you think about the evolution? You had this little germ [00:40:00] of an idea to go to this town and start talking about accessibility and innovation, and some of your lessons about how you've broken through barriers, or how the three of us had broken through barriers. And now, when you look at it today... Mark: [sighs] It's kind of mind boggling how it's grown so big and how many different people it affects, it's not just the disabled community, it's able bodied community bringing everyone together. Trying new experiences. The youth programs [00:40:30] that you guys have been doing is tremendous over the years. Soldiers to the summit. We're having all these guys coming back doing ten tours, they're not adjusting back into society very well, and taking them out into the outdoors with Jeff and different mountain guides, it just changes their lives. Brings them more back into a reality where they can really kind of adjust back into society. And then the summit is just... I love [00:41:00] coming to the summits. I've been to every one now, I haven't missed one since the beginning. It's gonna be fantastic in New York, I'm really looking forward to that. Erik: And you bring your climbing wall, your portable climbing wall. Mark: I'll have... Erik: Almost to every summit. So that's your mission now, right? To go around and use your climbing wall as a No Barriers tool to help people break through barriers. Tell us about that. Mark: Absolutely. Climbing has been such a big part of my life, that I just like to introduce different [00:41:30] people to the sport. A lot of times, somebody that's... we don't say electric chair, electric chair is something you die in. Power chair. A power chair takes you from point A to point B. A power chair user, a lot of times doesn't have all the... there's not as many things out there for a power chair user to participate in. Climbing on my wall, they can. We have these harnessing systems [00:42:00] that support your core. It's almost like a Bosen's chair, pulley system. If you have the desire to get on the climbing wall, we can facilitate that. We don't turn anybody away. We've had people that weigh 500 pounds on my wall before. Very obese wheelchair users... it doesn't matter. I had a gentleman that had spina bifida and he was unfortunately caught up in the American society of drinking a lot of soda, [00:42:30] and became really big. We got him on the wall, it was really difficult for him. We would talk to him and he wouldn't really look at you eye to eye as we were talking. I saw him a year later, he dropped 150 pounds, quit the soda, got into a training, cut his hair in a mohawk, and it just changed his life. Got out of the power chair and was in a manual chair. So climbing was kind of the responsibility of really changing this guys life, and now I see [00:43:00] him down in Los Angeles. I probably take the wall to Southern California maybe seven or eight times a year, San Francisco, Bay Area. I sort of have different groups hire me year after year, once they experience the wall they really want to have it be part of their event. We bring in, mini El Cap I call it, and we get people on it and we have a great time. Erik: And you're traveling around with your wall, full time. People bring you in to create this experience for their [00:43:30] rehab hospital or organization or team, right? Mark: Exactly. All those venues... I do adaptive climbing seminars. So a gym might call me and wanna know, "how do we get an adaptive climbing program going?" So I do that. And a lot of times I'll do not only a seminar on adaptive climbing, but then maybe that evening do a show and tell about adventure sports and where adventure sports have taken the disabled in the last 35 [00:44:00] years. Erik: And you are like Kleenex now, because... you talk about the pulley system, it's not a pulley system, pull up system, a lot of people say, "Oh yeah, Mark Wellman system." Mark: Yeah, it's... yeah it's kind of getting that way. Jeff: You're like Beyonce now. Mark: I'm like Beyonce. It's just kind of neat that my passions over the years... everybody should have a passion. And my passion has always been [00:44:30] to be out camping, doing something in the outdoors, coming up with new ideas, new technologies... and some of these technologies are more like a backyard technology. It's not that fancy. Sometimes some of the most simplest things can change something. Like mountain bike tires on a wheelchair can change a chairs getting into the back country tremendously. Mounting a pull up bar in a sender can allow a paraplegic [00:45:00] to do 7000 pull ups in eight days to go up El Cap. Just simple little technologies can really change peoples' lives, and you can take that backyard technology, garage technology, put something together that works for you that can help a whole bunch of people. Dave: I'd like to go back to that... You've told us a story, sort of the arc of your life, and when I look at you Mark and think about what you've accomplished I think "God, this is incredible. [00:45:30] This is an incredible human being that very few people who had what happened to you would ever have chosen the path that you have chosen." And I think, when I think about our No Barriers community, every so often you get folks who will say "Yeah, that's Mark Wellman but that couldn't have been me. You're putting someone in front of me that's so incredible, how could I possibly do this?" Erik: Yeah, you're de motivational. Mark: Right, right. I know, I get it. Dave: I'd love to hear, what do you think we can... 'cause this is what we do at No Barriers. We... If you're [00:46:00] listening to this, it's not like we take everyone up mountains, but we try to remind them about something in their spiri t... Mark: Yeah. Dave: ...that teaches them anything is possible. So talk to us a little bit about, Mark, how did you get to that point? Is it just sort of who you were from the beginning, was it an evolution? It just seems like everything you encountered, you are like, "I can do more." Mark: I think it's really important for people to get out of their comfort zone. Nowadays, it's so easy for young people to get... they get into gaming. And they [00:46:30] just, you know... it's stagnant. You're not getting out of your comfort zone. And the outdoors has a way of getting you out of your comfort zone. And you can make it safe... you don't need to think about what I do, it's more about finding, maybe getting some different experiences. And that's what's so cool about the summit. You have all these different activities going on where you just get a little taste of it. And hopefully [00:47:00] that little taste will inspire your imagination to want to try it again. And that's where I think it's really important if you're facilitating skiing or climbing, or whatever you're facilitating, you have to make sure that these people, their first experience is a good one. If they don't have a good experience, most likely they're not gonna go back to it. And, it's really important that the very first time... One of our board members, Sasha. [00:47:30] He was an academia guy, a professor. He came to the No Barriers event in Squaw Valley, the first one. Never had tried climbing before, and we took him to Donner Summit and got him up on this road cut climb that's 80 feet with big exposure, and it changed the guys life. It was something he was real nervous about, but it was getting him out of his comfort zone, and him [00:48:00] really having, you know... it was exciting for him, it was thrilling, it was challenging not only physically but mentally challenging at the same time. All those things combined. Kind of changed his life. And he became a board member of No Barriers because of that. Dave: Yeah. Mark: And there's stories like that all the time. Or Mandy, I remember her... wonderful singer. She got on my wall, it was 25 feet, and she [00:48:30] was really scared. It was a really scary moment for her where she had this big fear of heights. It wasn't like she was on a 1000 foot rope, she was on a 24 foot wall. But she might have well have been. Jeff: Relative for her. Mark: Could have been a 1000 foot climb. But she made it through. And came down... I got a guy that helps me, Wes, he's a search and rescue guy, kind of a big guy. He's just magical with [00:49:00] people, and really helped her a lot. So, you have all these different experiences... Erik: And I think that experience, by the way, gave her the courage to go out and do something completely non-climbing related, which was to write music and to go on to America's Got Talent, and... Mark: Exactly. Erik: Get into the finals, and now skyrocket into stardom. Mark: To fame. Absolutely. Making a better quality life for herself. [00:49:30] A lot of times when you say, somebody that's a wheelchair user... what is it, like 90 percent of the people in wheelchairs don't have jobs. And it's always kind of bummed me out, I'm thinking, "Wow." Why would you wanna be caught in a system like with Social Security and be basically poor your whole life, because "Oh I have Medicare, I have my Social Security disability," So you're trying to live on six to eight hundred dollars a month. And you're caught [00:50:00] in this kind of vicious circle. You've got to get away from that somehow, and get into the workforce, be productive. You're gonna feel better, you're gonna be a more productive citizen in this country, and you're not gonna be wrapped up in this vicious circle of never getting ahead and always having the government thumb you down, so to speak. Erik: Last question for [00:50:30] you from my end, this is Erik, and I wanna know, I've made it kind of clear that I look up to you. Tell me, who are the people that you look up to? Tell us about that guy Larry, tell us about some people who influenced your life. Mark: Oh man. There's been a lot for sure. There was a guy named... actually I think you're thinking of a guy named Mark Sutherland. When I first got hurt, Mark was a quadriplegic ten [00:51:00] years post to my injury. And he was back in the hospital. He had a bone spur, the spur was touching his spinal cord, and he was losing some of his action. Some quadriplegic can move their arms and they can push manual chairs, and he was one of those. But he was losing some of his arm strength, so he was in the hospital, and my room was next to his. We would talk at night. 'Cause I was really bummed out when I was first injured. To me, being a paraplegic was a fate [00:51:30] worse than death. I was on the sixth floor, if I could have crawled over to the window and jumped out I would have cause that's how bad I felt. I was just thinking, "Not having the use of my legs, I'm not gonna ski again, I'm not gonna climb." I was 22, I was just like, "Why didn't the mountain just take me." Those were the kind of thoughts I was having. But then I would go into this guys room, Mark Sutherland, and he would talk about, "Oh I had this milk truck that I converted, and I had a stool. One time I was driving it with my hand controls [00:52:00] and I fell off the stool, and I was on the ground and I had to throw my hand on the brake to stop it so I didn't kill anybody." Jeff: And you were like, "That's the greatest story ever." Mark: Yeah. I wanna do that. So I was just hearing this stuff from this guy, and he was talking about girlfriends, and how he was running around doing this and doing that, and I'm going, "Man, this guy has a life." And it was really inspiring to be... so where I was really depressed and laying in the hospital bed, and couldn't feel [00:52:30] my lower extremities, and "What's a catheter?" And I'm just like, "Man, this is horrible, what did I get myself into." And this guy was really upbeat and uplifting... Jeff: Showed you it wasn't a death sentence. Mark: Yeah. Showed me it wasn't a death sentence, and let's get on with life, dude. And it was like, boom. That just changed me. Then we went into rehab together, we were more in a hospital setting and then we both went into our physical rehab. That's [00:53:00] when it just started clicking for me, and that was it. Dave: Well, just to wrap up this excellent conversation that we're having about the history of No Barriers and all that you've done as well just individually, you've seen No Barriers be this thing that started in the Dolomites in 2003, we're 15 years into this. What's your dream for what it becomes? Mark: Wow. I would just consider it to be... I'd like to see maybe a couple summits a year, possible. [00:53:30] More, smaller clinics would be really cool too. I think you guys are really on a good, good path. But maybe some smaller events too. Just keep growing it. Keep doing more of these kinds of things. More technology. Bringing in more people, better speakers. Better people that are... or people that are doing more things that inspire others that give the ideas [00:54:00] to do more things. I'm amazed in 15 years where it's come to. Who knows where it's gonna go. Another 15 years from now, man this could be a huge, huge organization that could affect a lot of people and bring a lot of people together. This whole family, bringing the tribe together. It's always fun at the summits, and seeing people I haven't seen for a year, [00:54:30] spending time with them. I love getting people out climbing, so that's my passion. Erik: What if people want to learn how to get in touch with you, how to work with you, how to bring your wall to their organization? Mark: Yeah. Google Mark Wellman or just go to my website, No Limits Tahoe dot com. Give me a call. Erik: Although they won't talk to you, 'cause you're never home. You're always out [crosstalk 00:54:55] or something. Dave: Always on the road, right. Mark: Well, no, yeah I'm easy to get a hold of. Talk to my wife, Carol, [00:55:00] and I can get back to you. Erik: Right. Mark: Send me an email. I'm better on the phone, I don't like to email tons. Love to talk to you, if you have ideas lets talk about, lets see you at the summit. Lets get out and enjoy life. Erik: Cool. Well thank you so much Mark. Jeff: Listen Mark, I know you well enough to know you don't need to hear what I'm about to tell you, but, I think it's important for you and the listeners to know [00:55:30] in conversations like this, it becomes so clear how you are sort of the upside down pyramid. And you're the point on the upside down pyramid. And it all sort of funnels up from you, really. And I know there's others, but you're the man. And I know it's important for you, it is important for me to know that you know how many thousands of lives you've impacted. Erik: Tens of thousands. Jeff: Thousands of lives dude. You have been the kick starter [00:56:00] and the imputes. And you're just one of the most wonderful pioneers. I know you know it, but you need to hear it more, because you're the man. Mark: I appreciate it man, it's humbling. And, to take a passion that I had and a dream... and like I said, just simple adaptations, a pull up bar on a jumar. Man, how that changed other people to go climb up El Cap, or do Castleton, or whatever [00:56:30] mountain you want to get up, it's been a pretty cool experience. It's been fun to work with other companies. We're making more adaptive climbing equipment now. It's really kind of evolved from just handmade rock chaps to a real sophisticated pair of rock chaps that allows people to get out there and do a lot of cool stuff. Dave: Well it's been an honor to have you here Mark, I know many of our listeners are part of that No Barriers tribe. Many of them will know you, but a [00:57:00] lot of them won't. The movement has grown so big that it's well beyond you. But per what Jeff was saying, it's so important I think for the people of our community to know where this began. Mark: Mm-hmm (affirmative). Dave: And you are the point that Jeff mentioned where it began, and so, thank you so much for joining us, we appreciate having you. Mark: My pleasure. Erik: What did you guys take away from that? Might take us a while. Dave: Yeah. Exactly. Jeff: Might be a lengthy debrief on that one. Dave: I guess for me, as someone who's helping to build [00:57:30] this movement, like I was ending with there, just to remember the roots of where No Barriers began which is individuals coming together in small communities around creative ideas to do stuff that people didn't think was possible. And as we start to move to tens of thousands, maybe millions over the next ten years of people that we impact, that there's something in that special sauce that's still about the [00:58:00] individuals getting together having a fun, creative idea and going out and pushing their comfort zone. Erik: Yeah. I think that, No Barriers recipe is sort of hidden right in the story of El Capitan, which is... Mark's a smart guy, but he's not a scientist or anything, he's not Hugh Herr, who's inventing stuff where you go, "I could never do that." What he said is a pull up bar and a jumar. These are commercially available things. I think he had to adapt a few things, but [00:58:30] not all that crazy technology. Pretty simple. You combine that series, that innovation with the human spirit and a great friend or great support system, a great rope team, you do this amazing thing that opens up the door for a lot of people. It's a pretty simple recipe. Dave: It is. Jeff: All the big things that have happened with regards to our species all started with this small [00:59:00] germination of somebody sitting in their theoretical garage just being like, "How do I do this? Hmm?" And head scratch, and start piecing these things together, and then, boom, the movement begins. I think Mark embodies that, and what a great cornerstone for this organization. Dave: Well, and the movement continues. So if you're sitting there listening saying, "I wanna be a part of this organization, I wanna be a [00:59:30] part of No Barriers," please go to our website, No Barriers USA dot org. You can join us at the summit that Mark mentioned that's coming up in October in New York. There are many more ways you can join us but please, No Barriers USA dot org is our website. You can also share our podcast with your friends and colleagues and families, and follow us on our Facebook page. Thank you so much for listening. Erik: Live No Barriers. Dave: Thanks.

Jeff:  Welcome back to Emplify, the podcast corollary to EB Medicine’s Emergency Medicine Practice. I’m Jeff Nusbaum, and I’m back with my co-host, Nachi Gupta and we’ll be taking you through the September 2018 issue of Emergency Medicine Practice - Emergency Department Management of North American Snake envenomations. Nachi: Although this isn’t something we encountered too frequently – it does seem like I’ve been hearing more about snake bites in the recent months. Jeff: I actually flew someone just the other day because the local ED ran out of CroFab after an envenomation in Western PA. Nachi: Yeah, this is definitely more than “just a boards topic,” and it’s really important to know about in those rare circumstances. In terms of incidence, there are actually about 10,000 ED visits in the US for snake bites each year, and 1/3 of these involve venomous species. Jeff:  That’s a good teaser, so let’s start by recognizing this month’s team – the two authors, Dr. Sheikh, a medical toxicologist, and Patrick Leffers, a pharmD, and emergency medicine and clinical toxicology fellow. Both are at the University of Florida Jacksonville, and they reviewed a total of 120 articles from 2006-2017, in addition to reviews from both Cochrane and Dare. Nachi: And don’t forget our peer reviewers this month, Dr. Daniel Sessions, a medical toxicologist working at the South Texas Poison Center, and our very own editor-in-chief, Dr. Andy Jagoda, who is also Chair of the Department of Emergency Medicine at Mount Sinai in New York City. Jeff: What a team! But, let’s get back to the snakes. As some background, from 2006-2015 there were almost 66,000 reported snake exposures and 31 deaths from snake envenomation in the US.  Of course, this number likely underestimates the true total. Nachi: And there are two key subfamilies of venomous snakes to be aware of – the Crotalinae – or pit vipers – which includes rattlesnakes, copperheads, and water moccasins; and the Elapidae – of which you really only need to know about the coral snake. Jeff:  And while those are the only two NATIVE snake subfamilies to be acutely aware of, don’t forget that exotic snakes, which are shockingly popular pets -- they can also cause significant morbidity and mortality. Nachi:  Oh, and one other quick note before we get into the epidemiology – most of the recommendations this month come from expert opinion, as high quality RCTs are obviously difficult.  In addition, many of the studies were based in other countries, where the snakes, the anti-venoms and their availability, and the general healthcare systems are different from those that most of us work in. Jeff:  Unless we have listeners abroad? Do we have listeners in other countries? Nachi: Oh we definitely do... but we are going to be a bit biased towards US envenomation today. In any case, venomous snake bites occur most frequently in men aged 18 to 49 during warmer months with provoked bites occurring more frequently in the upper extremities and unprovoked bites in the lower extremities. Jeff:  In one study of poison center data from the last decade, nearly half of all victims of snake bites were victims of unknown type snakes.  However, of those that were known, copperheads were the most common, while rattlesnakes caused the most fatalities – 19 of 31 in this dataset. Nachi:  In a separate study of snake bites in the early 2000s, 32% of exposures were from venomous snakes and 59% of those resulted in admission. That’s remarkably high. Jeff:  Snake bite severity depends on several key factors: the amount of venom, the composition of the venom, the body size of the bite victim, the victim's clothing, the size of the bite, comorbid conditions, and the timing and quality of medical care the victim receives. Nachi:  To be a bit more specific - First, the amount of venom will depend on the species of snake, with variations even occurring within the same species.  Secondly, while there is a correlation between rattlesnake size and bite severity, there is much more at play.  Some snakes can even vary the amount of venom based on threat risk – with defensive bites having different profiles than bites to strike prey. Jeff: I found it pretty interesting that  an estimated 10-25% of pit viper bites are considered dry bites, that is, ones in which no venom is released. Nachi:  Right, this is just one reason why all victims shouldn’t immediately get anti-venom, but we’ll get there. Jeff:  We definitely will.  As we already stated – venom composition varies greatly.  Pit vipers produce a predominantly hemotoxic venom.  Systemic effects include tachycardia, tachypnea, hypotension, nausea, vomiting, weakness, and diaphoresis.  Neurotoxicity is rare and is usually due to inter-breeding between species. Nachi:  While rattlesnake bites are associated with higher morbidity and mortality, the more common copperhead bites typically only cause local tissue effects.  More serious systemic findings such as coagulopathy and respiratory failure have been reported though. Jeff:  So that’s a solid background to get us started.  Let’s talk about the individual snakes.  Why don’t you start with the crotalinae family – aka the pit vipers. Nachi:  Sure – the crotalinae includes rattlesnakes, cottonmouths (also known as water moccasins), and copperheads.  These make up the vast majority of reports to the poison centers.  They can be identified by their heat sensing pits located behind their nostrils (hence pit vipers).  As a general rule, you can also identify the venomous snakes by their triangular or spade-like head, elliptical pupils, and hollow retractable fangs. Jeff:  wait, so you want me to walk up to the snake and ask to see if their fangs retract… yea, no thanks. Nachi: Haha, of course not, I’m just giving you some of the general principles here. In contrast, non-venomous pit vipers have rounded heads, round pupils, a double row of vertical scales, and they lack fangs. Jeff: In terms of location, rattlesnakes are found in all states but Hawaii, and cottonmouths and copperheads are distributed mostly throughout the southern and southeastern states, with copperheads also extending further north, even into Massachusetts. Nachi: Moving on to the Elapidae –  there are 3 species of coral snakes, only two of which you need to know about, Micrurus fulvius fulvius or the eastern coral snake and Micrurus tener or the Texas coral snake.  Of the two, the eastern or Micrurus fulvius fulvius produces more potent venom. Jeff:  As you may have guessed by their names, the eastern coral snake is found in the southeastern united states, specifically, east of the Mississippi -- whereas the Texas coral snake lives west of the Mississippi. Nachi:  Venomous North American coral snakes can be recognized by the red and yellow bands around their bodies whereas their nonvenomous counterparts can be recognized by their characteristic black band between the red and yellow bands. I’m sure you’ve heard the popular mnemonic for this… Red touch yellow kill a fellow, red touch black, venom lack. Jeff:  I have heard that one, and it’s not a bad mnemonic. Just remember that this is more of a guideline than a rule, as it doesn’t always hold true. Nachi: Coral snakes also tend to chew rather than bite thanks to their short, fixed, hollow fangs.  Locally, bites can lead to muscle destruction thanks to a certain myotoxin.  Systemic signs of infection include nausea, vomiting, abdominal pain, and dizziness.  Jeff: The venom also contains a neurotoxin which can lead to diplopia, difficulty swallowing and speaking and generalized weakness. Nachi: Complicating matters even further, the onset of these symptoms may be delayed for many hours. Jeff:  Alright, so I think that about wraps up the background.  Let’s move on to the meat and potatoes of this article, starting with the differential. Nachi:  For differential this month, we are really focusing on differentiating a venomous snake from a non-venomous one. Jeff: Oh yeah, this is where you want us to ask the snake if it can retract its fangs, right? Nachi: Ha very funny – Although the type of snake may be obvious if the patient owns the snake, for most cases you see in the ED, the type of snake won’t be clear. Try to get a description of the snake and consider your local geography. Some patients may even bring the snake in with them. Jeff: yea, no thanks. As for prehospital care, it’s actually pretty interesting stuff as recommendations have changed many times.  You may have heard of the recommendations for incision / excision, use of venom extraction devices, tourniquets, chill methods and even electroshock therapy – well these methods are all OUT. Nachi:  Not only are they out, they actually worsen outcomes, so definitely don’t pursue any of them.  Instead,  since no treatment has been shown to improve outcome, you should prioritize prompt transport. Jeff: And while we definitely don’t want to encourage ill-advised attempts at capturing the snake, taking pictures at a distance may be helpful in identifying it.  Oh and the authors do note- pretty terrifying stuff coming up here so brace yourself - even if the snake is dead the bite reflex is still intact… Nachi: And that’s why I work in city hospitals… Jeff:  There’s also a bit of controversy here with regards to pressure immobilization, which is definitely something I thought we were supposed to do in the prehospital setting. Apparently in other countries, like Australia, prehospital providers frequently employ pressure immobilization – that is, wrapping bandages proximally up a splinted limb to impede lymphatic toxin spread. Nachi:  Right, but in Australia, not only are the snakes more venomous but the hospital transport distances are much longer, so, basically they sacrifice the limb to potentially save a life.  In the US, with our current indigenous snake population and the relatively short transport distances, this isn’t justified at all! Jeff:  Take home: based on the current literature, the American College of Medical Toxicology, other experts, and Drs. Sheikh and Leffers recommend against pressure immobilization in lieu of prompt patient transport to definitive treatment. Nachi:  Good to know – alright so now we have the patient in the emergency department, let’s begin ED care.  As always – IV, O2, Monitor including end tidal CO2 if you suspect a neurotoxic or exotic snake bite.  Of course, avoid using the affected limbs for vitals… Jeff: If not done already, remove any constrictive clothing or jewelry and mark the leading edge of pain, edema, and erythema both above and below the bite.  If EMS has placed bandages, leave them in place until antivenom and resuscitative equipment is ready. Nachi:  And definitely involve the poison control center or a medical toxicology service early as they are an amazing resource. It’s an easy number to remember.. 1-800-222-1222. If you just type “poison control center” into google, that number will come up immediately. Jeff: Hypotension should be treated with isotonic fluids and, as usual, anaphylaxis should be treated with the usual cocktail of antihistamines and epinephrine at first IM and then via infusion if refractory. Note that antivenom will NOT reverse anaphylaxis on its own. Nachi:  When eliciting a history, there are a number of important factors to look out for, including – time and location of the bite, description of the snake, tetanus status, comorbid conditions, medications and allergies, any systemic or neurologic symptoms, muscle cramps, perioral tingling or numbness, metallic taste, history of previous snakebites and any reactions to previous envenomation or antivenom treatment. Jeff: Moving on to the physical exam, when examining the wound, look specifically for local tissue effects which occur in over 90% of patients after pit viper envenomations.  In such cases, you would expect pain, erythema, swelling, tenderness, and myonecrosis beginning at the wound site and then spreading via the lymphatic system. Nachi:  In addition, specifically with pit viper envenomations, monitor the patient for possible compartment syndrome as the venom can lead to local tissue destruction, increased cell permeability, third spacing of fluids, and bleeding.  And remember that while the local compartment may be hypertensive, the patient may also have systemic hypotension. Jeff: Just to reiterate what I said before – hypotension may indicate severe anaphylaxis and its not necessarily just due to third spacing.  Regardless, the treatment is the same – epinephrine. Nachi:  Good point, but let’s focus on compartment syndrome for a minute.  True compartment syndrome is actually quite rare --- its really subcutaneous hypertension with preservation of otherwise normal compartment pressures that you’re most likely to see.  Compartment syndrome should therefore only be diagnosed by actual compartment measurements and not just the exam.  However, if you are dealing with compartments that can’t be measured, like in the fingers, you’re only choice is to be guided by the exam… Jeff:  Risk factors for compartment syndrome in the setting of a snake bite include envenomations in small children, involvement of digits, application of ice or cold packs, and delayed or inadequate antivenom administration. Nachi: In terms of respiratory effects of envenomations – they aren’t common.  Both bites to the head or neck and neurotoxin containing venom are potential causes. In the setting of respiratory failure, be prepared with advanced airway maneuvers like nasotracheal intubation or cricothyroidotomy. Antivenom will not reverse respiratory failure. Jeff: Neurologic effects may be present upon arrival but may also be delayed up to 12 hours in the case of eastern coral snake bites. Nachi: It’s noteworthy that in one study of almost 400 eastern coral snake exposures, the onset of systemic symptoms occurred on average 5.6 hours after the bite.  So definitely remember that repeat exams and observation will be tremendously important. Jeff:  The actual neurologic symptoms to look for depend on the snake.  Coral snake venom can produce a descending flaccid paralysis characterized by motor weakness, especially of the cranial nerves.  Similarly pit vipers, especially the Mojave rattlesnake, have also been associated with muscular weakness of the cranial nerves and even respiratory insufficiency. Nachi:  Pit viper envenomation can also lead to myokymia which is repetitive small muscle fasciculations.  Unfortunately, this myokymia may not respond to antivenom administration and myokymia of the chest well and torso can necessitate intubation in extreme cases.  Both myokymia and myonecrosis may lead to rhabdo in the case of significant envenomations. Jeff:  Pit viper envenomation can also cause hematologic effects.  Fibrinolysis and platelet consumption at the bit site can lead to decreased fibrinogen and thrombocytopenia.  In severe cases this can lead to systemic bleeding and even hemorrhagic shock.  Those on anticoagulants and anti-platelet agents are at increased risk. Nachi:  Dermal effects such as edema, ecchymosis, bullae, and bleeding are not uncommon, but up to 50% of coral snake bite victims may have none of these. Jeff:  And to round out this section – just be aware that rare effects such as osteonecrosis, ischemic stroke, massive PE, and septic shock have all been reported. Nachi: Let’s move on to diagnostic studies.  Most patients require a CBC, coags, and a fibrinogen concentration.  Those with systemic toxicity should also have their electroyltes, CPK, creatinine, glucose, and urine tested. Jeff:  And while the data is somewhat mixed, one study suggests that all patients with pit viper envenomations need their coags checked, not just those with severe symptoms as in one series nearly 90% of patients had missed coagulation abnormalities.  The clinical consequences of this aren’t clearly explained, so the authors don’t make a specific recommendation. Nachi:  In terms of imaging, a chest x-ray should be obtained in those with respiratory symptoms and ultrasound may even have an expanding role here for tracking edema, looking for fluid collections, and assessing deep muscle compartments and vascular flow. Jeff: I feel like we should get some entry music for every ultrasound reference because it seems to make its way into just about every episode. Nachi: What would it sound like? You bring this up every month. I’ll look into something for a future episode. If any of our listeners have a suggestion, shoot us an e-mail at emplify@ebmedicine.net. In terms of monitoring and observation, this is important, ALL patients with suspected pit viper envenomations should be observed for 8-12 hours with the leading edge marked every 15-30 minutes. Jeff:  In addition, serial diagnostic testing may also be needed as such changes will be used to guide treatment.  In those with systemic symptoms, lab testing will be required every 4-6 hours prior to discharge. Nachi:  Before we move onto treatment – let me quickly mention grading.  There is no universal grading system.  The snakebite severity score, the minimum-moderate-severe score, and grade 1-4 score which consider symptoms, exam findings, and lab abnormalities have all been studied.  None have been validated and none track changes, so the authors recommend relying on severity of symptoms and progression of symptoms to guide treatment. Jeff:  The crux of treatment for pit viper envenomations is with supportive care and anti-venom. Nachi:  FabAV or CroFab is the antivenom of choice for pit viper envenomations.  This antivenom is made from extracting the Fab portion of anti-venom antibodies from envenomated sheep and processing them with papain. Jeff:  Since the sheep are injected with venom from the western diamondback, eastern diamondback and Mojave rattlesnake as well as the cottonmouth, the FabAV is most effective against venom from these snakes, however it does have cross reactivity to other immunologically similar venoms. Nachi:  Indications for FabAV include a more than minimal local swelling, rapid progression of swelling, swelling crossing a major joint, evidence of hemotoxicity, signs of systemic toxicity including hemodynamic compromise, neuromuscular toxicity, and late or recurrent new-onset coagulopathy. Jeff:  Initially, dose FabAV as a bolus of 4-6 vials, IV.  With life threatening envenomations or those with cardiovascular collapse, double the starting dose to 8-12 vials.  The goal is arresting progression, improvement in coagulation abnormalities, and resolution of systemic symptoms. Nachi: Although FabAV will reduce the duration and severity of symptoms and lab abnormalities, it will not reverse tissue necrosis and may not reverse neurologic effects. Jeff:  Once the symptoms have been controlled after the bolus dose or a second bolus dose, maintenance dosing of 2 vials every 6 hours for 3 doses is recommended to prevent recurrence. Nachi:  So to reiterate.  4-6 vial bolus to start, doubled in severe cases and then 2 vials every 6 hours for 18 hours after that. Jeff:  You got it. Nachi:  And like most, maybe all medicines, there are side effects and contraindications to be aware of.  Hypersensitivity reactions and serum sickness to FabAV have been reported as 8% and 13% respectively.   Most are mild and can be treated with your standard bundle of steroids, antihistamines, fluids and epi. Jeff:  Risk factors for developing allergic reactions to FabAV include  a known allergy to papaya, papain, chymopapin, pineapple enzyme bromelain, and previous allergic reaction to FabAV. Nachi:  Although FabAV isn’t produced using copperhead venom, it may be effective in severe envenomations and in one study, FabAV reduced limb disability compared to placebo. Jeff:  Therefore, the authors very reasonably advise that you should use the patient’s clinical picture and individual factors rather than the snake species to guide your treatment. Nachi:  Interestingly, compartment syndrome should be treated with the initial 4-6 vial dose of antivenom and not necessarily a fasciotomy.  Fasciotomies have not been shown to improve outcomes and are reserved only for those failing anti-venom treatment. Jeff:  The reason for this is that antivenom may reduce tissue pressures obviating the need for fasciotomy.  In addition, fasciotomy wouldn’t affect muscle necrosis that is occurring so fascia removal really doesn’t solve anything. Nachi:  And just as anti-venom can be used to treat elevated compartment pressures, it can also be used to treat coagulopathy. Jeff:  Blood products should be used for those who are actively bleeding or severely anemic as venom does not discriminate and will destroy whatever blood it comes across. Nachi:  Recurrent and late onset coagulopathy after FabAV treatment has also been well described.   Although not exactly clear why, some speculate that it occurs for one of 4 reasons. 1) because the half life of FabAV is shorter than that of the venom, or 2) because the venom is initially stored in the soft tissues and then slowly released over time or 3) because the venom has a late onset component, or lastly, 4) there is delayed dissociation of the venom-antivenom complexes.  Regardless of the mechanism, late onset coagulopathy can be treated with FabAV. Jeff:  Luckily, bleeding associated with coagulopathy and bleeding associated with late onset coagulopathy are both extremely rare.   Nachi:  Moving on to coral snakes.  Coral snake bites should be treated with NACSA or North American Coral Snake anti-venom.  This antivenom halts or at least limits the progression of muscle paralysis and shortens the clinical course. Jeff:  Most experts recommend NACSA treatment with the first signs of systemic toxicity and not for all comers.  This recommendation is backed by the literature as in one observational study those treated with prophylactic NACSA did less favorably as compared to those who got it only after symptoms onset.  This is probably because NACSA doesn’t reverse neuromuscular weakness and only limits progression. Nachi:  And it’s not like you are just sitting by and watching while doing nothing – focus your initial treatment on wound care, pain control, and then observation for the development of systemic symptoms.  The exact length of observation will depend on the snake, but should be somewhere between 8 and 24h. Jeff:  As for dosing – the initial NACSA dose is 3-5 vials IV for both peds and adults with a repeat dose if the initial symptoms don’t improve. Nachi: Side effects and adverse reactions occur somewhere between 8-11% of the time with dermal reactions being most common and anaphylaxis being the most severe. Jeff: There is also one last anti-venom to be aware of – Coralmyn, for coral snake envenomations.  Coralmyn is a polyclonal antivenom F(ab’)2 coral snake antivenom, developed because the current lot of NACSA has technically expired although the date has been extended numerous times.  It’s currently in a phase 3 trial, so keep your eyes out. Nachi:  Other non-antivenom treatments that have been tested include acetylcholinesterase inhibitors and trypsin at the bite site – both should be considered experimental at this point. Jeff:  To wrap up the treatment section, let’s talk exotic snakes.  You may recall from the intro that these have a higher morbidity and mortality compared to native species. Nachi:  You will have to rely on your local poison control center or toxicologist for advice and you may even need to turn to the zoo or aquarium for antivenom, if it exists at all.  Patients with bites from exotic snakes should be monitored, likely in the ICU, for up to 24 hours as toxicity from some venom may have a delayed onset of up to 20 hours. Jeff:  Scary stuff, hopefully the patient knows which type of exotic snake they own and you don’t have to sort through a million google images to try to get to the bottom of this.  Anyway, there are 3 special populations to discuss.  First are pregnant patients. Nachi:  The authors cite a 1.4% incidence of snake bites in pregnant patients.  They note that this is low, but from my perspective, this seems shockingly high – why would a pregnant person ever get anywhere near a snake, seems just ill advised… Jeff:  haha, true.   But regardless, treatment is the same with antivenom as needed for all the same indications.  With fetal demise rates as high as 30%, in addition to maternal monitoring, the fetus should also be monitored. Nachi:  That number may seem high, but keep in mind that that’s from studies in other countries with more venomous snakes, so it’s likely to be lower in the US.  But the point remains, that antivenom is generally recommended to be given if the mother has indications for treatment, as poor fetal outcome is tied directly to the severity of envenomation in the mother. Jeff: Continuing right along, the next special population to discuss are pediatric patients.  Because dosing is based on the amount of venom delivered and not on patient specific factors, dosing is the same for peds and adults. Nachi:  How rare – so few meds seem to be the same for peds and adults.  The last population to discuss are anticoagulated patients.  Patients on antiplatelet or anti-coagulants are at increased risk of bleeding after pit viper envenomations and therefore should have their coags checked every 2 days following the last dose of FabAV. Jeff:  I think we’ve at least mentioned most of this months controversies, but it’s probably worth quickly reviewing them since they mostly dispel common myths. Nachi:  Good idea.  Incision and suction of snake bites is nearly universally not recommended. Jeff:  In the absence of ischemia, fasciotomy for snake bites is not recommended, even with elevated compartment pressures.  Instead treat compartment syndrome with anti-venom and save the fasciotomy for true cases of ischemia refractory to antivenom. Nachi:  With a known or suspected coral snake envenomation, due to shortages of NACSA, wait until the patient develops symptoms instead of empirically treating all bite victims. Jeff:  Maintenance dosing of FabAV continues to be debated.  The manufacturer recommends 2 doses every 6 hours for 3 doses while some experts recommend only maintenance dosing as needed.  It’s therefore probably safest to punt this to whatever poison control center or toxicologist you speak with. Nachi:  I feel like we are plugging the poison center a lot, but it’s such a good free, and usually very nice consult to have on your team. Jeff: Nice consultant – what a win!  Moving on to the cutting edge.  There is a new Crotalidae antivenom called Crotalidae Immune F(ab’)2 or, more simply, Anavip.  It should be available in the next few months.  The dosing will be 10 vials up front over 60 minutes followed by an additional 10 vials if the symptoms having been controlled.  4 more vials may be given for symptom recurrence.  Patients must be observed for a minimum of 18 hours after initial control of symptoms. Nachi: This would be a really nice development as Anavip has a longer half life and therefore should reduce the rates of late coagulopathy and decrease the need for maintenance dosing, follow up, and repeating coags. Jeff:  And finally, like we mentioned before, injection of the trypsin has been tried as a bridge to antivenom, as has carbon monoxide, which may mediate degradation of fibrinogen dependent coagulation. Nachi:  Alright, so let’s talk about the disposition next. Victims of pit viper envenomations should be monitored for 8-12 hours from the time of the bite.  They will need baseline labs and repeat testing ever 4-6 hours.  IF there is no progression of the symptoms and repeat testing is normal, the patient can be discharged. Jeff: Victims of coral snake bites should be admitted and observed for 12-24 hours regardless of symptoms. Nachi: Victims of rattle snake envenomations who initially develop hematologic abnormalities and are treated with FabAV should have repeat testing done in 2-4 days and 5-7 days. Jeff:  Wounds should also be closely followed to avoid complications and long term disfigurement and disability.  PT/OT may be necessary as well. Nachi:  Perfect, let’s round this episodes out with a review of the key points and clinical pearls from this month’s issue. There are about 10,000 ED visits in the US for snake bites each year, and 1/3 of these involve venomous species. Pit vipers produce a predominantly hemotoxic venom. Both local and systemic effects can occur. Systemic effects include tachycardia, tachypnea, hypotension, nausea, vomiting, weakness, and diaphoresis. In general, venomous snakes have a triangular or spade-like head, elliptical pupils, and hollow retractable fangs. In contrast, non-venomous snakes have a rounded head, round pupils, lack fangs, and can have a double row of vertical scales on the tail. Venomous North American coral snakes often have adjacent red and yellow bands, whereas their nonvenomous counterparts usually have a characteristic black band between the red and yellow bands. For prehospital care in the US, the following strategies are not recommended: incision or excision, use of venom extraction devices, tourniquets, chill methods, and electroshock therapy -- and they can all actually worsen outcomes.  Prehospital providers should focus on rapid transport. Be cognizant of compartment syndrome, but measure compartments when possible, as some envenomations present similarly but have only subcutaneous hypertension. Neurologic effects can be delayed up to 12 hours after coral snake envenomations. Symptoms can include a descending paralysis. For diagnostic testing, consider a CBC, coags, fibrinogen level, electrolytes, cpk, creatine, glucose, and urine studies.  All patients with envenomation should be observed for at least 8 hours. Mark the site of envenomation circumferentially to monitor for changes. Management of patients with snake bites should be treated with supportive care, pain control, and specific antivenom when indicated. FabAV or CroFab is the antivenom of choice for pit viper envenomations. Although FabAV will reduce the duration and severity of symptoms and lab abnormalities, it will not reverse tissue necrosis and may not reverse neurologic effects. Be aware of the possibility for a hypersensitivity reaction or serum sickness to FabAV. Treat with steroids, antihistamine, IV fluids, and epinephrine as appropriate. Coral snake envenomations can be treated with NACSA, which halts or at least limits the progression of muscle paralysis and shortens the clinical course.  Side effects to NACSA include dermal reaction as the most common -- and anaphylaxis as the most severe. Patients with bites from exotic snakes should be monitored, likely in the ICU, for up to 24 hours as toxicity from some venom may have a delayed onset of up to 20 hours. You may have to turn to your local zoo for help with anti-venoms here. Management of pregnant patients is the same as nonpregnant patients with regards to snake envenomations. Dosing of antivenom is based on the amount of venom. Dosing is the same regardless of the age of the patient. All patients requiring antivenom or with suspected envenomation should be admitted.  Seek consultation with your regional poison center and local toxicologist Jeff: So that wraps up the September 2018 episode of Emplify. Nachi: As always - the address for this month’s credit is ebmedicine.net/E0918, so head over there right away to get your credit.  Remember that the  you heard throughout the episode corresponds to the answers to the CME questions. Jeff: And don’t forget to grab your free issue of Synthetic Drug Intoxication in Children at ebmedicine.net/drugs specifically for emplify listeners. Feel free to share the link with your colleagues or through social media too. Next month we are talking sepsis and the ever frequently changing guidelines so it’s not something you want to miss.  Talk to you soon   Most Important References 4. *Lavonas EJ, Ruha AM, Banner W, et al. Unified treatment algorithm for the management of crotaline snakebite in the United States: results of an evidence-informed consensus workshop. BMC Emerg Med. 2011;11:2-227X-11-2. (Consensus panel) 6. *Bush SP, Ruha AM, Seifert SA, et al. Comparison of F(ab’)2 versus Fab antivenom for pit viper envenomation: a prospec­tive, blinded, multicenter, randomized clinical trial. Clin Toxicol (Phila). 2015;53(1):37-45. (Randomized controlled trial; 121 patients) 7. *Gerardo CJ, Vissoci JR, Brown MW, et al. Coagulation parameters in copperhead compared to other Crotalinae envenomation: secondary analysis of the F(ab’)2 versus Fab antivenom trial. Clin Toxicol (Phila). 2017;55(2):109-114. (Ran­domized controlled trial; 121 patients) 8. *American College of Medical Toxicology, American Acad­emy of Clinical Toxicology, American Association of Poison Control Centers, European Association of Poison Control Centres and Clinical Toxicologists, International Society on Toxinology, Asia Pacific Association of Medical Toxicology. Pressure immobilization after North American Crotalinae snake envenomation. Clin Toxicol (Phila). 2011;49(10):881-882. (Position statement) 10. *Wood A, Schauben J, Thundiyil J, et al. Review of eastern coral snake (Micrurus fulvius fulvius) exposures managed by the Florida Poison Information Center Network: 1998-2010. Clin Toxicol (Phila). 2013;51(8):783-788. (Retrospective; 387 patients) 48. *Cumpston KL. Is there a role for fasciotomy in Crotalinae envenomations in North America? Clin Toxicol (Phila). 2011;49(5):351-365. (Review) 75. *Walker JP, Morrison RL. Current management of copper­head snakebite. J Am Coll Surg. 2011;212(4):470-474. (Retro­spective; 142 patients) 81. *Kitchens C, Eskin T. Fatality in a case of envenomation by Crotalus adamanteus initially successfully treated with polyvalent ovine antivenom followed by recurrence of defibrinogenation syndrome. J Med Toxicol. 2008;4(3):180-183. (Case report) 118. *Hwang CW, Flach FE. Recurrent coagulopathy after rattle­snake bite requiring continuous intravenous dosing of anti­venom. Case Rep Emerg Med. 2015;2015:719302. (Case report)