Podcasts about medication management

Life 3 Years After Stroke: Three years ago, Pete Rumple was in a hospital bed, weighing 337 pounds, unable to walk, unable to talk, and completely paralysed down his right side following a massive hemorrhagic stroke. He was on 17 medications and had just spent his first night as a wheelchair user. By his own admission, the first year was so dark that he didn’t want to live. Today, Pete does CrossFit every day, has lost 150 pounds, is off 15 of his 17 medications, and is about to launch a new business at 61 years old. This is what life 3 years after a stroke can look like and, more importantly, how Pete got there. The First Decision: Control What You Can Within days of his stroke, while still in the hospital, Pete made a choice. He couldn’t walk. He couldn’t use his right arm. Doctors were managing everything around him. But he could control one thing: what he ate. “I got to change everything,” he says. “And as I lay there, this was one thing I could control with all the things I couldn’t.” Pete reduced his intake to two or three bites of food per day. By the time he left the hospital 30 days later, he had lost 40 pounds. That single decision became the foundation of everything that followed. For anyone newly out of the hospital and feeling overwhelmed, this is perhaps the most important message: you don’t have to fix everything at once. Find one controllable. Start there. Books like Grain Brain by Dr David Perlmutter and Why We Get Sick by Benjamin Bikman are excellent starting points for understanding the role of nutrition in brain recovery; both are recommended in this episode.   Movement: From Water to CrossFit Pete’s physical recovery moved in deliberate stages. With right-side proprioception severely affected, his body couldn’t properly sense where it was in space land-based exercise felt impossible at first. The solution was water. “The water surrounds you,” Pete explains. “It’s easier to move with what we both have.” He spent nearly a year in the pool doing aquatic therapy, then transitioned to a gym with a personal trainer for four months, then, in April 2024, ditched his cane and started CrossFit. He now attends every day, with about 30% modification. The journey from wheelchair to CrossFit wasn’t fast, and it wasn’t linear. But it was intentional.   The Brain Science Behind Doing Hard Things One of the most fascinating parts of Pete’s recovery is how he used neuroscience to drive his progress. After watching a Huberman Lab episode featuring David Goggins, he learned about the anterior mid-cingulate cortex (AMCC), a region of the brain that grows and strengthens specifically when you do things that are difficult and unpleasant. “Everything I did not enjoy or created pain, I’m doing it.” This wasn’t masochism. It was a strategy. Pete began deliberately choosing the exercises, behaviours, and tasks he least wanted to do and watched his recovery accelerate as a result. His speech improved. His movement improved. His cognitive function came back faster. Bill adds important context here: when you visualise movement, your brain fires the same neural pathways as when you physically perform it. Pete used this daily, studying his CrossFit workout the night before, visualising each exercise, then arriving 30 minutes early to breathe and mentally rehearse before training. This is neuroplasticity working for you, not against you. The choice is yours: choose the hard that rewards you, or endure the hard that doesn’t.   Identity: Three Words That Changed Everything Beyond the physical, Pete’s recovery demanded a complete rebuild of who he was. An executive career was gone. Independence had been stripped away. The personality and habits that contributed to the stroke, such as overworking, overeating, and using alcohol to manage stress, needed to be replaced, not just removed. He approached this the way he’d approached business: with a framework. At any given time, Pete identifies three words that define who he is. Right now: resilient, consistent, and unafraid. “I try to be honest with myself and say, where am I now?” he explains. “And it may change, but it gives me something to triangulate toward.” This kind of identity-based self-management, knowing who you are deciding to be, not just what you are trying to do, is one of the most transferable lessons from Pete’s story. What Life 3 Years After Stroke Really Looks Like Pete’s neurologist, who once saw him quarterly, recently told him she doesn’t need to see him annually anymore. “We have not seen this kind of recovery before from what you had,” she said. He’s about to start a fractional leadership business with a former CFO. He does CrossFit every day. He sleeps well. He volunteers. He uses AI tools to stay sharp and curious. He is, as he puts it, “on the other side of it.” But he’s also clear-eyed about what’s ahead: returning to high-stakes work, managing the stressors that contributed to his stroke in the first place, and monitoring the potholes that come with re-entering a demanding professional world. “I realise that is a very real risk,” he says. “I’m going to test and learn.”   The Lily Pad Principle When asked how to frame the journey for people still in the early stages, Pete offers one of the most useful images in this entire conversation: “It’s like lily pads across the lake. Get to a lily pad, then get to the next one. Don’t worry about boiling the ocean. Don’t worry about what it’s going to be in months or a year. Step by step. Keep pushing.” That is life 3 years after stroke, not a finish line, but a direction. And for Pete Rumple, the direction is forward.   Want more stories like this? Read Bill’s book recoveryafterstroke.com/book | Support the show: patreon.com/recoveryafterstroke   Disclaimer This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. From Wheelchair to CrossFit: Life 3 Years After a Massive Hemorrhagic Stroke Pete Rumple lost 150 lbs, ditched the wheelchair, and now does CrossFit at 61. Here’s what life 3 years after a stroke really looks like. Turnto.ai InterviewPeter Rumple Interview EP 332Turnto.ai discount code: Bill10Highlights: 00:00 Introduction to Life 3 Years After Stroke Recovery Journey05:31 Physical Recovery and Rehabilitation11:05 Dietary Changes and Weight Loss15:42 Medication Management and Health Improvements21:29 The Role of Visualisation in Recovery26:03 Embracing Discomfort for Growth33:31 The Power of Hard Work and Persistence40:53 The Journey Back to Work50:48 Navigating Health Challenges56:25 Resilience and Consistency in Recovery01:04:38 Proactive Health Management01:15:11 Defining Identity Through Resilience Transcript: Introduction to Life 3 Years After Stroke Recovery Journey Pete Rumple (00:00)And Bill, I want to take a second and plug your book back in the first ⁓ the first session I did with you, I referenced a number of things you taught me through the podcast that I did to make to start building momentum like the cooking dinner every day was the to do. That was your mission. Yeah. so much of what I’ve learned from you, the podcast and what’s inevitably in the book was a great starting point for me. And I built my, my stuff on top of it, but it was really great to stand on your shoulders and get, and get that lift. Bill Gasiamis (00:44)Hi everyone, before we get into Pete’s story and you are definitely going to want to hear this one. I want to share something I’ve been using myself that I genuinely think could help a lot of you. It’s called turn2.ai and it’s an AI health sidekick that keeps you up to date with personalized updates every single week. Did you know there were over 800 new things published every week related to stroke? Research, expert discussions. patient stories, clinical trials, events. It’s an enormous amount of information. Turn2 finds what’s most relevant to you and delivers it straight to your inbox. I use it myself and it’s genuinely my favorite tool for 2026 for staying across what’s new in stroke recovery. It’s low cost and completely patient first. You can try it for free. And when you’re ready to subscribe, you can use my code, BILL10, at turn2.ai slash sidekick slash stroke to get a discount. I earn a small commission if you use that link at no extra cost to you. And that helps keep this podcast going. Also, if you haven’t yet, pick up a copy of my book, head to recoveryafterstroke.com/book. Real stories, real tools. The same stuff Pete and I talk about today and a huge thank you to everyone supporting us on Patreon and in the other ways that you support the show and myself. You’re the reason this content stays free for the people who need it You can support the show at patreon.com/recoveryafterstroke. Right. Let’s get into Pete Rumple’s story. Massive hemorrhagic stroke. Wheelchair couldn’t walk or talk 337 pounds three years later. He does CrossFit every day So you’re gonna want to hear this one. Let’s get into it Bill Gasiamis (02:35)Pete Rumpel, hello, welcome back. Pete Rumple (02:38)Hey Bill, it’s great to see you again. Bill Gasiamis (02:41)Great to see you too, my friend. ⁓ Last time we met was about a year ago. And this is gonna be a slightly different episode because we’re gonna talk about what things were like then and then what they’re like now, just so that we can paint a picture for people about how recovery has gone, what happened in the last 12 or so months. And in the previous episode, by the way, that was episode… 338 or something. And now we’re nearing episode 394, 395. will be. So I’ve been pretty consistent. So it means that it’s been over a year because I try and release one episode a week, et cetera. So it’d be a really good thing to do for people is to give them a bit of a guide of. some of the setbacks, some of the challenges, some of the things that have changed, improved. And now everyone’s different, okay? So this is Pete’s version. And what we’re hoping to do is kind of inspire hope, Pete, right? We wanna give people hope that things can change and improve. And even if it’s slower for you than other people, there can be a reward for putting in a lot of effort, hard work, re-educating yourself about what it means to live healthily. and all that kind of thing. And give us just a little bit of an insight because there’ll be a link to the original video where you can find out Pete’s complete story, but give us a little bit of an insight into the stroke, the day that it happened, what it was like. Pete Rumple (04:24)Okay, you bet Bill it was about 38 months ago. The stroke, was, it was a massive hemorrhagic stroke. ⁓ eight months in a wheelchair had to learn to talk again, walk again, all that. And, ⁓ so we had, ⁓ had the call about a little over a year and a half through it. And then, ⁓ now I’m further through it and, it’s gone amazing. I’m so lucky. So whatever we want to dig into that’ll be great. Bill Gasiamis (05:04)So your deficits were your right arm wasn’t working properly. Initially you weren’t able to walk. You were wheelchair bound for nearly six months. ⁓ So what are the physical deficits like now? What has changed? What has improved? And how did that go? what were the things that you did that helped you improve in that way? Physical Recovery and Rehabilitation Pete Rumple (05:31)Yeah. So Bill, I, um, it was my right side that I lost, which I forget what the term is, but, uh, it was my whole right side. So, um, when I, what, what I did that was important is first of all, totally overhauled my diet. And I, um, I had lost about 150 pounds. Um, I then, when I started about a year into it, I started, um, doing aquatics, the water aerobics to start dealing with their proprioception and the, um, and just movement. couldn’t, I couldn’t do that in, the ether. I couldn’t do it in the air. had to do it with the water. Bill Gasiamis (06:27)Okay, why is that? Because that’s interesting, because I have a similar problem with proprioception. My left side kind of doesn’t know where it is. There’s not enough information telling it where it is. And sometimes it overcompensates and I get off balance, etc. It feels strange. In the water, I also calmly, I felt calmly different, like I felt ⁓ more supported, even though the water wasn’t really supporting me. How was it for you? Pete Rumple (06:56)You’re absolutely right, Bill, because the water surrounds you, right? So it’s easy to move in the water with what we both have. So I spent almost a year in the water. then I started to, then what I did is I moved to a gym with someone helping me work out for about four months. And then in April, so almost a year ago, in April, I got rid of my cane and I went to CrossFit. And so now I do CrossFit every day. And that was really ugly at first, Bill, and I had to do a lot of modification. But now I modify probably 30%. But Bill Gasiamis (07:42)Uh-huh. Pete Rumple (07:54)row bike. can’t run yet. I’m still walking, but I’m getting ready to go to the beach and practice running for about a month. Bill Gasiamis (08:05)Okay, where in the head was the hemorrhagic stroke? Where did it happen? Do you know? Pete Rumple (08:14)The where, ⁓ I forget. Bill Gasiamis (08:18)That’s all right. It’s not important to remember. So also then, ⁓ when you had the hemorrhagic stroke, how was it rectified or resolved? Did they operate? What did they do? Pete Rumple (08:30)They didn’t have to operate. Bill Gasiamis (08:32)Uh-huh. Pete Rumple (08:33)They just, I got in there, they did things to make sure the bleeding stopped, ⁓ but it was no operation. Bill Gasiamis (08:45)what caused the bleed? Was it ⁓ high blood pressure as a result of your weight? Pete Rumple (08:50)It was a number of things, was high blood pressure, it was a lot of stress. They have a scale bill called the Holmes Raw Scale, Holmes with an L and Raw, R-A-H-E, where you can, it has like 42 major stress events. If you score under 150, you’re fine, 150, 300s. pretty bad and then over 300 is devastating like it’s predicts a major stroke or heart attack within a year. And I was 360 on that scale. I’d gone through the divorce, I had the kids, I had a job change, you name it, I had it. ⁓ Weight was not good, drank too much. So that was my wake up call. if you will, which was severe. And it’s been, it’s great now. Bill Gasiamis (09:53)Yeah, so your arm was completely flaccid, I think, when we spoke last. So where is it now? Pete Rumple (10:03)I can do everything with it. This is the, so I can lift and I’m lifting more weight, not where I was, but about probably 50%. I’m doing pull-ups with the arm and my legs are, I’ve worked them a lot. I’m very strong there. So it’s getting there. Bill Gasiamis (10:25)Okay, cool. When we spoke, you mentioned that in hospital alone, you’d lost 40 pounds. That kind of makes sense. A lot of people say that things change in hospital food relation. When you’re unwell, ⁓ how you consume food completely changes, as well as how hospitals ⁓ treat people with regards to the food, how it’s terrible, how often you get to eat. and how accessible it is. So, but earlier, a little earlier, you said that you lost 150 pounds all up. Dietary Changes and Weight Loss Pete Rumple (11:05)Yeah, Bill. So when I was in the hospital, which was obvious, I was there 30 days from the stroke. And that was where I had to make a choice. And it was like, if am I going to try and get better or not. And so what I did is I ate two to three bites of food a day. That was it because I was in a wheelchair, Bill, I couldn’t move. So coming out 40 pounds lighter was ⁓ a lot of work and a lot of fasting, if you will. Bill Gasiamis (11:42)Why did you decide that that was what you needed to do? How did you conclude that? I know I’m gonna be in hospital. I’ve had a hemorrhagic stroke. There’s nothing else I can do. What I’m gonna do is fast and stop eating food. How does that? Pete Rumple (12:01)was a first step, Bill. Absolutely. was like, I got to change everything. And so as I lay here, this is one thing I can control with all the things I can’t. Bill Gasiamis (12:14)In hospital though, most people in hospital don’t have that realization. I mean, that would have been days out from a hemorrhagic stroke. They’re telling you all these things. Like how did you get to that conclusion? Were you cognizant of needing to do that earlier before you got sick and then you thought, well, now I have to do it or was it an aha moment of some other kind? Pete Rumple (12:40)No, you’re absolutely right. And it was something I knew was getting out of control, Bill. And I couldn’t, I couldn’t resolve it. It was just, it was really tough. And I’m like, this is it. I mean, this is the ultimate wake up call. The other one, Bill, was I had, when I came into the hospital, I was on 17 meds. I now have two. and I’m at 20 milligrams and I’m probably off those in the next four to five months. So it’s been a long programmatic diet, nutrition, health, and it’s been three years. I mean, it’s not insignificant for sure. Bill Gasiamis (13:27)⁓ What was the 17 medications treating or or or managing? Pete Rumple (13:37)I think Bill, it’s almost like, like, what do you do with this guy? You got to throw everything at him to keep on going. I don’t think it would have been 17 for very long. It was probably stop gap measures. Some were pain, but even the pain bill second day. I said, I want no more pain meds, take them away. And it was brutal, right? Cause you know, the way you feel and the, my scapula, my legs, was, it was awful, but I was like, I found my way here, I got to find my way out and let me get off as much as I can and start the pilgrimage back. Bill Gasiamis (14:20)Before the stroke, would you have been somebody who would have taken a device to change your diet? Pete Rumple (14:28)I would have taken every hack I could have, Bill, before the stroke. Bill Gasiamis (14:34)Anything to avoid doing the hard work? that what you mean? Yes. Pete Rumple (14:38)Yes, sir. And look, I was always a hard worker. And I would work out and do stuff. But this is a whole other level. This became life or death. I mean, because you know, the stats bill, like, when I looked at the stats that about 75 % of people are gone in year one, there’s 25%, especially hemorrhagic, 25 % at the time. 25 % a month later, 25 % at the end of the year, another 20 at the end of year two. I’m like, I’m gonna go through all this and then I still have so little chance. So I just went for it and I went really hardcore. Bill Gasiamis (15:25)Did you eat, drink too much to manage emotional ⁓ stress, challenges? What do you think was behind it? Or was it just bad habits? Or did you think you were bulletproof? What was the reason behind it? Medication Management and Health Improvements Pete Rumple (15:42)Everything you just said, Bill, everything you just said. Yeah. I mean, it’s everything, right? You start justifying bad behavior. You have a reason for why things happen. And I just like, even when I try to lose weight, though, I might lose a couple pounds, but then I eat again and what I was eating, how I was eating. So in that first year, I went super deep on nutrition. and how your body works. And I went from, at the stroke I was 337 pounds. And then when I did my podcast with you, I was 180. Bill Gasiamis (16:25)Yeah, well, ⁓ one of the books that I’ll mention to people, you might have read different ones, and that’s cool. But the one that always comes to mind that I always recommend is Grain Brain by Dr. David Pelmutter. So if you’re in the very early stages of recovery and you want to make some changes like Pete did, read or listen to the book Grain Brain by Dr. David Pelmutter, and then ⁓ read a book called ⁓ Why We Get Sick. ⁓ I’m going to quickly do a search on ⁓ online because I keep forgetting the person’s name. ⁓ And what it’s going to do is going to why we get sick by Benjamin Bickman. And what it’s going to do is going to give people an insight into the. ⁓ I one of the things is the first book is the food that you can avoid and stop eating and the reasons why and how they benefit the brain and then ⁓ why we get sick is an insight into, in fact, exactly that why we get sick. so that you have an understanding of what might have got you into that real bad state. And then also before that, ⁓ the food component of it, because those two things, if you know why you got somewhere and then you know what the trigger was, what the thing was that made you get there, so the food, for example, then you’ve got a great foundation for taking the next step forward ⁓ and reversing it. Pete Rumple (18:02)Absolutely. Bill Gasiamis (18:04)and improving your health and improving your diet, losing weight and decreasing your risks of heart attack, stroke, cancer, all that kind of stuff. ⁓ So I love that you got curious. That’s what I did. I was in hospital reading and watching YouTube videos about how I’m going to recover, how I’m going to overcome things, all sorts of stuff like that. And it was… Pete Rumple (18:19)I remember. Bill Gasiamis (18:31)in a situation where control is given over to medics, doctors, surgeons, all that kind of stuff, you feel like you’re a little bit of a, you’re just floating in the wind and you’re not really stable and you don’t have an anchor point, right? So when you, if you want to feel like you’re a little more anchored, what you could do is you could take control of the controllables and Nutrition is one of those controllables and it doesn’t cost you any extra. You don’t have to spend money. Pete Rumple (19:04)You’re absolutely right, Bill. It’s a huge point. By the way, there’s a great app, and I know there are many, but there’s a great app called Yuka, Y-U-K-A. You can scan any barcode in the store and it will tell you the score and what’s wrong with it and the amount of food I was eating that was, especially in the U.S., Bill, heavily processed, additives, dyes. It’s like toxic. And so you can scan it and know what’s really in it. And it tells you what’s good, what’s bad. And it was a huge help. Bill Gasiamis (19:44)Yeah. So we’re going to have some of these links in the show notes for anyone who wants to find them. I’ll put a link to the books. I’ll put a link to Pete’s previous episode. We’ll put a link to that Yuka app. Pete, that’s your homework. You have to send me that link when we’re chatting. ⁓ When you say you’ve lost 150 pounds, like that is 50 kilograms. That is almost two-thirds of my weight. Well, it’s actually, yeah, it’s about two-thirds of my weight. That means that if I lost 50 pounds, I would just be a bag of bones. Pete Rumple (20:30)Well, and Bill, I was a bigger guy to begin with. have a big frame and I played a lot of US football, American football. So I had a lot of weight to lose, Bill, and it’s gone now. And I’m back up to about 205 and it’s all muscle life, about a 32 inch waist now. really, really fit and I go for it. And by the way, by the way, I want to make one point to all listeners that took a long time, Bill, like between being the wheelchair for eight months and then getting the pool. It took a long time. I used to go and sit and watch people work out to just reacquaint myself. Bill Gasiamis (21:03)How old are you? The Role of Visualisation in Recovery Pete Rumple (21:29)what it looked like and inspire myself. It has been a long road, but my goodness, is absolutely I’m on the other side of it now. Cause as I had said in the first podcast, the first 18 months, I did not want to live, especially year one, ⁓ immense amount of pain. had been a successful executive that was gone. Like it was really really rough. And so now it’s beautiful. And I want people to know that because it it’s so worth it. Delay gratification, you learn a lot about it. And it’s ⁓ Yeah. Bill Gasiamis (22:14)I love that delayed gratification, but also you went into a gym watching other people train when you couldn’t train, just so you can be around it and familiarize yourself with it again. That’s really interesting. That’s probably one thing I’ve never done is go to a gymnasium and watch other people train. It’s a bit creepy Pete. Pete Rumple (22:32)Yeah, it is. It’s weird. And people would look at me like, what’s he doing? And by and by the way, Bill, I did a lot of work on how to breathe, which was really helpful, how to how to manifest and to really sit and get mentally so I go even today, Bill, I go in a half hour before my workout to work on breathing and visualizing my exercises, because I get the the list of what my workout is before I get there the night before. So I study and I prepare and then go. Bill Gasiamis (23:10)What I love about visualizing is that if you visualize the brain actually fires off the exact same neuron and pathways that it does if you actually physically do that thing. And there’s been studies in the past that have showed that you can take an average guy like me and you can make them watch a video of somebody doing archery, for example, and you can ⁓ take them through a number of repetitions of this person, this champion doing archery. And just with that information and the visualization techniques later, you can take somebody who has basically never shot ⁓ an arrow through a bow and you can get them to a certain level of competence far more rapidly than you would have if you just got that person out of a crowd and sent to him. Have you ever shot an arrow? If they said no and they took the shot, they probably wouldn’t be able to do it as well as the person who was trained by just watching what the other person, the champion was doing. And when I was in hospital wanting to walk again, I’m sitting in my bed between sessions because I had a wheelchair as well. And I was visualizing myself doing the perfect walk, what the perfect walk would look like. And then I would take myself later to ⁓ therapy where I would be walking and I would be trying to replicate what I was seeing in my head so that we could get a similar result. And of course at the beginning, your leg is now doing it physically and it needs to catch up to the brain. The brain has ⁓ the pathway, but the leg needs to catch up. So then what the leg does is it goes, this feels a bit weird or this is a bit strange or this is not how I expected it. But it has a reference point for where to get to and how to do the perfect step, right? And then you’re closer to the perfect step than you were if you were just relying on therapists to ⁓ train you through that. Pete Rumple (25:22)You’re absolutely right, Bill. And the brain is amazing. Look, it can work for you or against you depending on what you’re thinking and how you’re doing things. And it was really amazing, Bill, because as I built my capability through CrossFit, it was amazing how my brain would start to take over. Like I wasn’t sure, but my brain was already, I got it, and so grew. It started carrying me and just getting it done. It’s amazing. Bill Gasiamis (25:58)Yeah, yeah. Embracing Discomfort for Growth But how did you know to do that? That’s the thing that I’m interested in understanding because I didn’t know the guy before stroke didn’t know about doing like magic like this. know, how do you, I don’t know, like, can you explain how you found yourself in that situation? Cause I can’t, people go to me like, well, how did you know to do that? Or how did you do that? And I’m like, I don’t know what happened, but something clicked. that made me stumble onto, discover, find all the necessary tools that I needed to get me to the next stage. I’ve never been able to do that before and I can do that now. Pete Rumple (26:46)Yep, me too, Bill, me too. And you know what? I think it’s how desperate we are for answers. And especially you can read all these blogs about what doesn’t work and what’s a waste of time, but you find the nuggets and you go for it. Here’s a great one, Bill. And I’ll send this in the link. Andrew Huberman, he runs a podcast called Huberman Lab. He had David Goggins on and he purposely waited for Goggins to share with him the research around the AMCC, which is the anterior mid-cruciate cortex, which is a part of the brain. And when you do things that are hard and you don’t enjoy it, that part of your brain grows and gets stronger. So I sat there, Bill, and I’m like, well, damn, if I can start to make my brain stronger, I’m going to do it. So I did all the stuff I hate to do. And I started doing it. And I started even faster, talking better, walking better, and really doing everything I did not like to do. And he even brings up the point when he describes it. He brings up that if you like running every day, It doesn’t work. But if you hate running and you have to go run, it works and it makes sure and make, they’ve learned so much that was, that was about three to four years ago. They found it, but this is a massive find in the brain. And I started using it, Bill. And what I started to do was everything I did not enjoy or created pain. I’m like, I’m doing it. And it took me from averting it to leaning into it. And it was amazing. it’s, you’d think it’s BS, it’s not. And Huberman, you know, he works at Stanford. He knows his stuff. It was really, really impactful. Bill Gasiamis (29:03)Yeah, it’s about being comfortable being uncomfortable, isn’t it? Like it’s realizing that you’re probably not killing yourself by paying in a little bit of pain exercising. also, yeah. Pete Rumple (29:16)And Bill, I will just say, I did a very good job for the first time in my life of listening to my body. So I go hard, I push, but when I wasn’t feeling it or didn’t feel right, I take the day, relax, and then come back stronger next. Bill Gasiamis (29:38)I want to pause there for a second because what Pete just described is exactly the kind of thing I wrote about in my book. The idea that the obstacle is the path, the doing the hard stuff in recovery. If you haven’t grabbed the copy yet, it’s called the unexpected way that a stroke became the best thing that happened. You can find it at recoveryafterstroke.com/book. The link is in the show notes and in the YouTube description. So let’s get packed. to Pete. Bill Gasiamis (30:08)Yeah, yeah, agreed. And it’s important to listen to your body after a stroke, because you don’t want to make things worse, especially when you’re still healing and still recovering and you’re still fragile, you know, there’s a lot of things that you need to take into consideration. However, being uncomfortable and being comfortable with that is really a good skill to master. ⁓ It is, ⁓ it reminds me of the saying that we hear that’s often attributed to the old great Roman Emperor Marcus Aurelius, which is the obstacle is the way, you know, when you get to something that’s really hard, you go for it, because that’s what you’re to be. That’s the purpose of the obstacle. It’s to overcome it, to find the way around it, under it, over it, through it, whatever it is. And Goggins is a scary guy. He’s a scary guy, because he runs without, without cartilage in his knees or something. I don’t know what he’s missing. but he shouldn’t be able to run, he shouldn’t be running and somehow he still runs. I think his version of running is a little toxic. I think he’s just a slight too far, ⁓ but nonetheless, it’s still proof of ⁓ what you’re capable of and how much people can push and go beyond their comfort zone. And if you’ve never pushed beyond your comfort zone, there’s no better time to do it. You really have to do it now because you want to activate the right neuroplasticity. You don’t want to activate negative neuroplasticity, which rewires your brain to be more comfortable, less willing to do hard things. ⁓ And therefore, you get the results of that. You get the decrease in your recovery or the ⁓ overcoming of your deficits. So I appreciate that whole ⁓ mentality of finding what’s hard and you’re probably in the right place. That’s probably what you need to do. Pete Rumple (32:07)Absolutely right, Bill. And I agree with everything you said. And look, I love Goggins, but it’s not to be like a warrior like him. The point is, like with Huberman, it was cool because Goggins thinks that way so much. He wanted to launch the foundational research with Goggins there with him. He purposely waited. So it was pretty cool. Bill Gasiamis (32:35)Yeah. And that that’s the thing, right? It’s like you get rewarded for doing hard things. ⁓ Stroke is hard. And if you ⁓ take the easy route, the comfortable route, the hard part of your stroke remains hard. Like it doesn’t get better. If you choose the other hard, the recovery Pete Rumple (32:59)right. Bill Gasiamis (33:04)benefits that you get from choosing hard of exercise, the hard of changing your diet, the hard of changing your mindset, et cetera. Like then that version of hard gets you a reward that is beneficial. The other hard just gets you more suffering. And that’s the hard you wanna avoid. Suffering without purpose. Well, suffering for a purpose gets you a payoff. The Power of Hard Work and Persistence Pete Rumple (33:31)That’s right. That’s exactly right, Bill. And look, with the, when you put it all together between the diet, though, increasingly working out, going after the deficits, all that, day by day, painful, hard, depressing, but you start looking three months, six months, a year later, you’re like, you start building your will and your ability. to do things you did not think you could do, and then it starts feeding on itself, and it becomes so powerful. Bill Gasiamis (34:09)Yeah, that’s my experience too. ⁓ Somebody put it in my head that I should start a podcast 10 years ago. It’s been 14 years since my first stroke this month, February, 14 years. It’s just gone like that. And then about three years in, a friend of mine said, should start a podcast type of thing. So I did. And it has been more than 10 years that I’ve been doing this podcast. ⁓ And I never thought that I’d be doing a podcast, let alone for 10 years. We’re talking about at the beginning, not a lot of episodes because I was too unwell to put a lot of episodes out. it’s ramped up now in the last four or five years, doing an episode a week, most weeks. And then the other thing I never ended up, I never thought I’d end up doing is writing a book here. Here’s the plug for the book. Pete Rumple (35:01)love it. I love it. Bill Gasiamis (35:03)The title is mental, like it’s the unexpected way that a stroke became the best thing that happened. ⁓ But the book is exactly the things that you’ve said. And I thought initially when I discovered those things about my book that I needed to put in my book, I thought that I was rediscovering these for the first time. Like at the very beginning, diets, ⁓ mindset, ⁓ exercise, sleep. ⁓ ⁓ meditation, hanging around other people who are positive, all that kind of stuff, doing stuff for other people, ⁓ like volunteering, that kind of thing. I thought I was discovering these things ⁓ for the first time ever, but turns out these are things that humans have always done. That’s what they default to. They default to all of these things when it’s necessary, and that’s where they get lost from. They kind of move away from there because they get diverted from there, from say, marketing or advertising or what somebody else is doing or through a lack of ⁓ focus from being distracted from work, from relationship issues, whatever the situation is. I didn’t write anything different in my book than has been written in the hundreds and thousands of books on this topic that have come before it. I just reorganized that and set it in my own words. But the reality is, is this is what people do when they’re trying to recover. They default back to the bare basics and they’re things that you can implement without ⁓ spending any extra money buying a course or anything like that. Of course, you might need to read it in a book for the first time to remind you or you might need to hear it on a YouTube video, but the reality is, is that nothing new in this book. Pete Rumple (36:51)And Bill, I want to take a second and plug your book because I have not read it yet. But back in the first ⁓ the first session I did with you, I referenced a number of things you taught me through the podcast that I did to make to start building momentum like the cooking dinner every day was the to do. That was your mission. Yeah. so much of what I’ve learned from you, the podcast and what’s inevitably in the book was a great starting point for me. And I built my, my stuff on top of it, but it was really great to stand on your shoulders and get, and get that lift. Bill Gasiamis (37:38)Yeah, isn’t it weird? Like it was just one thing, but it was the most important one thing. My whole world revolved around that. If I could put dinner on the table for the family in any capacity, it didn’t have to be like a five star meal or three courses or anything like that. It just had to be dinner. If I could do that, then that was kind of how I rehabilitated myself. I needed to be healthy enough, good enough, fit enough, have enough energy to just put a meal on the table for everyone when they came home from. work. was such a it’s such a it was it was important for many reasons. But it was also what I didn’t realize the underlying benefits that it was creating, which were the ones that ⁓ I noticed later after Pete Rumple (38:25)Yep. And you were re-engaging and you were pushing yourself. And I remember you go to the store to buy the stuff you needed sometimes. like all that stuff, Bill, when I look at the beginning, I couldn’t watch a TV for over a year. I couldn’t listen and did not listen to music for two years. It was, and now I’m like back in the fold, but it’s the push, the push, the push and just, you know, listening to the body, but going for it all the time. Bill Gasiamis (39:03)Yeah, exposure, like exposure, exposure, exposure, small, then larger, then more and more. I remember going to the stores to the local mall here, and we call it a shopping center, and parking the car, and then not being able to remember where I parked the car, walking around the entire car park, and talking to my brother, and going to him, he rang me just out of blue and I said to him, he goes, what are you doing? I said, I’m walking around the car park. He what are you doing that for? That’s because I don’t know where my car is. I’ve been looking for it for half an hour and I’ve got no idea where it is. I parked it and I just got no idea where. I don’t know which car park. I don’t know where I came in from. I don’t know what level it was on. And I was just walking around the car park talking to my brother, just telling him, I came and got a few things, but now I can’t get back to my car. Pete Rumple (39:55)Yeah, and there’s definitely you know bill once I got out of the darkness There’s definitely some really funny stories That that happened especially like the way The way I would walk people would see me I might be in a restaurant and i’m going to the bathroom and they think i’m drunk Yeah, and they’re like making fun of him like hey i’m not drunk, but ⁓ I get you know, I’m all right, I got it. And they’d be like horrified and I’d just start laughing. It was funny, but you gotta have some fun with it too, you know? Bill Gasiamis (40:34)Absolutely, you have to, you gotta laugh. you don’t laugh, well, it’s gonna be difficult time. You, ⁓ I remember when we spoke last time, you mentioned about trying to get back to work. ⁓ How did that go? Was it successful? Did you have some challenges? What was going back to work like? The Journey Back to Work Life 3 Years After Stroke Pete Rumple (40:53)So Bill, I’m gonna start back in June. I’ve done some projects, work projects, but I have not officially started working, but I’m going to. I’m starting a business with a close friend of mine, my former CFO, and we’re gonna start a new business. Bill Gasiamis (41:18)Tell me about the new business. What is it about? Can you share anything about it? Pete Rumple (41:22)Yeah, it’s called fractional leadership bill will probably go to companies that are ⁓ getting funded, trying to grow. They got a good idea. They can’t afford the people they need. So you basically it’s less consulting. It’s more you’re operating it for them and you work with multiple customers and it’s called fractional leadership is becoming a really pretty popular model. And, ⁓ and also for companies that have that have their revenue is stalled or shrinking, get them turned around. That was my background. My background was ⁓ running chief revenue officer. So everything that drives revenue in a company and I was a CEO twice. Bill Gasiamis (42:06)Uh-huh. Soon. Did you have a specific industry that you worked in? Pete Rumple (42:23)Yet a lot of times I call it TMT for telecom media and tech so tech companies and media and That kind of stuff Rosetta Stone was his language learning company. I was I ran all our institutional business education government and and ⁓ Corporate Bill Gasiamis (42:49)Wow, what a challenge. mean, technology is changing so rapidly. ⁓ I Pete Rumple (42:55)love it, Bill. And look, I’m sorry, I just had to make this point and not forget it. That was another thing I’ve done, Bill is I’ve gone heavy into AI. And I did it, not just because it’s the buzzword. But I’m like, Hey, if I’m going through this process, if I’m retraining my brain, why not try to get good at stuff that I either didn’t do or need to know. And it’s been so rewarding, Bill. Bill Gasiamis (43:24)out. Pete Rumple (43:25)It’s just crazy. Like AI, use chat chat, GBT, and it’s like my, my best friend. now work with chat daily and it’s amazing how the tech technology works. Not only can it be really helpful for figuring things out and having a partner, but it also remembers things about you in how it builds the profile. So it’ll basically say, Pete, don’t forget this, this, and this. And it’s awesome. It’s really killer. Bill Gasiamis (44:02)So here comes another plug, Pete. Okay, so this is not a sponsor, but it’s something that I truly believe in, okay? Because the person who contacted me, A, is an Australian, B, is a mother, ⁓ C, is a mother of two children with cerebral palsy. And she was looking for solutions to all the challenges that they faced as a family, especially to help her children, right? parent would do. So then ⁓ she used to do research like you and me jump on the computer, do some research, find out about all the things that ⁓ she needed to know with regards to what was most current in cerebral palsy right now. And she’s the struggle because ⁓ imagine like the time that it takes when you have a stroke brain to research, read, comprehend, determine whether Pete Rumple (45:01)We know. Yeah. Yeah. Yeah. Bill Gasiamis (45:04)whether or not that is applicable. Okay, that’s not applicable. Put that to the side, do another search. And then also going to doctors and researchers and all these other people and saying to them, what about this? What about that? And then them not being aware of anything that was new because they’re too swamped. They’ve got a massive workload. They don’t have time to be up to date with all the research, right? And this is a hundred percent a full on plug. I’m not apologizing for that. However, what this lady did, Jess from turn2.ai, I have a link to her interview as well, because I interviewed her, is she created an ⁓ AI that goes and does the research, the searching for you, and then sends you an email every week with everything new in your particular topic, for example, stroke. And then it tells you, I found seven, nine, 10 things for you this week that are new on stroke. It could be a podcast. It could be a research document. could be ⁓ whatever it is. It could be a book. It could be anything. It just finds it and sends you that information. And as your recovery continues, right, ⁓ what happens is ⁓ you might say, okay, now is there any information about food related to stroke recovery and healing the brain? And then it adds that to the search list. And then it comes back at the end of the next week with all the new information from food and brain. And then also whatever it was that you previously prompted it to find you. And it just keeps finding information and you build it and you build it and you build it. And then next week you get interested in meditation and you type, what can you tell me about meditation and healing the brain? And then it’s going to bring you all that information to your inbox. I spent hours and hours and days and days trying to find information about what I needed to know about stroke recovery. And when I found that little piece of paper, I had to go through the rabbit hole. I had to go down the rabbit hole and try and find ⁓ where ⁓ where it kind of where the exit point was where it led to so that I can discover whether I need to implement this, do this. So this just saves so much time and the guys are selling it for two bucks a week. Like you can get a month free and two, and then after that it’s two bucks a week just to find and do all the searching for you and bring you specific and relevant stuff. And we’re talking about scientifically relevant and specific like PubMed articles, like scientifically proven stuff, not what Bill ⁓ concocted up in his bedroom. you know, in suburban Melbourne, like proper things. So I love that you said that you’ve turned to AI. I’ve been using chat as well. Chat helps me with so many things, but what’s important is to learn how to interact with it. And that’s another, that’s another thing, another skill to discover. And it’s important that we jump on the bandwagon. AI is not going away. You need to learn about it, how to interact with it, and how to use it to benefit you and decrease the amount of time it takes to do something and get to recovery. Pete Rumple (48:37)You’re absolutely, absolutely right, Bill. I mean, it is, and even if you just use it for basic stuff to begin with, and you start learning how to create the right prompts to get the kind of answers you’re looking for, it’s a great skill. And the biggest thing is not being afraid and leaning into it. Bill Gasiamis (49:00)Yeah, not bad. Well, there’s nothing to be afraid of. They can get them all for free. At the beginning, you can get a free subscription. It doesn’t cost anything. And it’s just as useful. Perfect for that early training kind of phase in your chat, in your chat, JBT kind of discovery. There’s also Claude, there’s also the Elon Musk one. There’s hundreds of them now. Yeah, there’s heaps of them now, right? So I really encourage people to do that because If you ask it one question like, you know, what is one of the most ⁓ best books that I can read for, we’ll call it nutrition for nutrition and stroke recovery. That’s just going to decrease the amount of time it takes to find those books and bring that to you. Jump on Amazon, find it, get it sent to your house. ⁓ So I think it’s a great time for people. and it’s never been a better time to recover from a stroke. I mean, it’s a shit ⁓ group to become a part of at the beginning and it’s difficult and it’s painful. But if somebody has a stroke today compared to a stroke 30 years ago. Pete Rumple (50:17)⁓ my goodness. Bill Gasiamis (50:19)Like it’s a completely different experience. ⁓ I think we’re kind of lucky to be living in the time that we’re living. ⁓ Even though I know that people hear about AI and what it could potentially do in some other situations. ⁓ Let’s use it for good. Like let’s break the work. Pete Rumple (50:21)That’s all we’ll That’s right. That’s exactly right, Bill. It can be used for evil, but it can be used for good. So use it. That’s right. Navigating Health Challenges Bill Gasiamis (50:48)Yeah, just like any technology, right? Like you hear all these things, but any technology can be used for good or evil. So let’s just use it for good. Let’s just make the most of it. So before your stroke, you were going through a divorce or had you already been divorced? Pete Rumple (51:08)I was already divorced. Yeah, it had been it had been a couple of years earlier. I had a bad car accident a bunch of but you know the kids live with me. It was just a stress sandwich and I did not go out the right way. Bill Gasiamis (51:27)Yeah. You didn’t go out at the right way because what do you think was behind that? Like, it’s hard to make really good decisions in very stressful times anyway. You have to have an opportunity or the insight to pause, step out of that situation for a little bit, reflect and then try and make decisions. how did you get into that stage where you found yourself not being ⁓ not going about things appropriately, for example, perhaps. Pete Rumple (52:02)For me, Bill, it was like I didn’t have a choice. I was now in a wheelchair. I was in pain and I had nothing I could do but think. And at first that was very negative. It was, I didn’t handle it well. I didn’t accept it. And once I went through that process and I got like, okay, I’m going to get holistic about this. And by the way, I don’t want to, I don’t want to just fix the physical and then I get done and everything else is a wreck. So went after all of it and just started carving up my day, spiritual, cognitive, physical, mental, every day, a block of each practicing writing, all that stuff. So I just started doing it and rebuilt my life. probably like I should have in the first place, but stuff happens. I had to, you sometimes, you know, we, you and I laughed about this before. Sometimes we’re a little thick. takes a little longer. So it took me a while, but I’m there now. Bill Gasiamis (53:18)Yeah. And reflecting on that version of yourself from the past, does that does that person ever come up again, every so often, because we’re talking about all these positive things, all these amazing changes. And I don’t want to paint a picture that it’s only ever fantastic you and I like what we go through after our initial stroke has been all just roses. Is there moments of that things rearing their ugly head and you reverting back, how do you catch yourself when you’re there? Pete Rumple (53:57)Yeah, I mean bill that’s why what’s really good about this is my first podcast with you because we went really deep in the in the darkness of that now bill is beautiful man. It is beautiful. I am almost I almost don’t talk to people about it because My life is so much better because I had a stroke. It’s crazy. It sounds nuts, but it’s so true. Everything’s sweeter. I just, it’s hard to describe. It’s a blessing. Bill Gasiamis (54:38)Yeah, that’s crazy. It is probably crazy. Pete Rumple (54:42)It is? Bill Gasiamis (54:45)I find myself, ⁓ I find myself obviously having bad days. My bad days are related to stress, ⁓ you know, work, if they’re related to ⁓ interactions with people that don’t go the way that I preferred. They’re related to ⁓ what the stroke still does to me after 14 years. ⁓ It still causes neurological imbalances. still causes tightness on my left side, know, that tightness causes dysfunction on my right side, you know, the body goes out of whack. And if I catch it, if I have a bad night’s sleep, things get thrown out and it’s hard to, ⁓ it’s hard to always navigate it and be effective at catching it and then doing something about it, you know, cause you’re human, you get distracted, et cetera. Pete Rumple (55:38)Well, and Bill, you’re bringing up great points because as I transition back to work, I’ll have some potential potholes that I don’t have right now. So I’m very, I’m very conscious of what I’m going to go back into. Now. I love, I love work. It’s my sport and I love it. But, ⁓ and today I have now. bad moments, not bad days. Maybe those occurred, but I’m going to try to stave that off. But that’s just how it is now. as of as of now, that’s that’s the update, if you will. Yeah. Resilience and Consistency in Recovery Bill Gasiamis (56:25)Yeah. Okay. I like that you said that about work, like there’s gonna be some potholes with if you’re doing the type of work that you’re doing. ⁓ That’s pretty high level and high stress and intense for ⁓ at some stages, it could be right, you’re talking at organizations that are going through a hard time that are looking to you to solve their problems, so to speak, or to support them solve their own problems. So ⁓ You know, the ramping that up is gonna need a little bit of thought so that you don’t go too far into that type of work without realizing how far in you’ve gotten. Pete Rumple (57:10)Absolutely right, Bill. You’re absolutely right. And look, I’m going to try to be as bulletproof as I can. The good news is I’ve been doing this work my whole career. So it’s been 40 years. So I don’t think I have to micromanage or get to like, I think I can find the right balance if I can’t. I’ll go to a lesser job and do something else. But so I realize, especially because I can get pretty intense. So ⁓ I realized that is a risk, a very real risk. I’m not shying away from it. I’m not saying, don’t worry. yes, there is stuff to worry about, but I’m gonna, I’m gonna test and learn. Test and learn is what I always do. Test it and learn, can I do it, not do it, do I have to do different, do I have to do something else? Bill Gasiamis (58:14)Yeah, brilliant. How old are you now? Pete Rumple (58:17)61. Bill Gasiamis (58:18)Okay, so at 61, most people are thinking about retiring. What are you thinking starting a new business at 61? Pete Rumple (58:25)Well, mean, Bill, look, let’s be honest, I think the last three years off. So I have some ⁓ room left in the battery. But I mean, part of the reason for this type of job, Bill, is because if we do this, we run it. And we’ll decide how we take care of clients, how we work and all that. And if I have to take on less, take on less. If I can take on more, take on more. And I’m gonna, like everything else, I’m gonna figure it out one step at a time, Bill. And I, you know, I don’t have the answers, but I’m gonna find them. Bill Gasiamis (59:11)And retirement’s not really in the frame for you. Like it’s not something that you’re thinking about, like to ⁓ officially retire, know, step away from the day to day and just, you know, go and sail off into the sunset type of thing. Pete Rumple (59:24)Yeah, I think to your point, Bill, like if I can make this work, I’ll probably work through my 60s. If I can’t, then I’ll have to probably hang it up earlier or do something lighter. And if that’s the way to be healthy, so be it. I’ll do that. Bill Gasiamis (59:43)What else does work bring you though? Because it doesn’t just bring work income. Like it brings more than that. Like for you, I feel like it’s more than just I’m making a wage or bringing in some money or whatever. What else does it bring? Pete Rumple (1:00:02)Yeah, it’s it’s competitive, Bill. It’s it’s my sport. You know, so hitting the numbers in a month and a quarter and a year. That is the scoreboard for what I do. And if you if you do it well, you can do really well and be very happy and influence a lot of people’s lives in a positive way. And if you don’t, it can be really awful. So Fortunately, I’ve been on the right side of that for a long time and I want to get back to it and no ego stuff I just I want to I want to I want to have an impact and I want to enjoy my sport. Bill Gasiamis (1:00:48)Fair enough. Even in your unhealthiest and heaviest before the stroke, were you this energetic? Did you have this same amount of energy? Pete Rumple (1:01:00)I’ve always been energetic, Bill, but I couldn’t operate like I do now. Like my sleep is wonderful. I go hard at the gym. I do projects. I volunteer. Like I’ve been readying myself for coming back in. And look, if I can, great. If I can’t, I’ll adapt. Bill Gasiamis (1:01:27)Yeah. I know when I went back to work, uh, well, I had to, I had to pause my business. have a painting and maintenance. Yeah. I had to pause it. I had to go back into an office, very basic admin role, like low level, but it was so hard being at work, sitting in front of a computer for eight hours a day. We started, I started that job in 2016 and finished in 2019. By the time I got to 2019. Pete Rumple (1:01:36)I remember. Bill Gasiamis (1:01:57)I was way more capable of going in focusing on the task at hand and doing the work that needed to be done and then being able to be okay to do the drive home because at some point at the beginning I wasn’t really able or up to the task. But I kind of built ⁓ the muscle again and then got to that stage where by 2019 it was fine. So some people might find going back to work like You know, retraining that muscle of being at work and working and focusing and all that kind of stuff. They might find that it’s gonna take a little bit of time to get there and you might have to step back. You might have to decrease the days, decrease the hours and then go again and then try and find where the threshold is, see if you can exceed it and then see how far you can push it and reflect a year, 18 months, two years. Pete Rumple (1:02:38)That’s right. Bill Gasiamis (1:02:56)down the track back to notice how far you’ve come. Pete Rumple (1:03:00)Yeah, right on Bill. I mean, I’m gonna have been out of it for 42 months, probably when I go back. So I hear you loud and clear, and it would have been really tough to do it. before now. Bill Gasiamis (1:03:20)Yeah. Yeah. And you did have a you had a goal to get back to work a lot earlier. Pete Rumple (1:03:29)Yes, that’s right. And ⁓ that’s another thing, Bill, like I’ll set an intention to do something. I’ll go for it. I’m not ready. I’m not gonna, I’m not gonna do it wrong. I’m not gonna hurt myself. So I set a goal. I try to manifest it, but if I have to push it, I push it. Bill Gasiamis (1:03:51)Yeah. Just before we spoke and started this episode, you’re you apologize for wearing a hat, which is was unnecessary ⁓ because you have a scar on your head because there was a skin cancer found. And before it became a thing, the you got you had it removed. That’s right. So now when So I wanna understand like your mindset now compared to before when you come across ⁓ an issue like that, a health, potentially health issue for people. How do you navigate that now compared to how you might have done things before? ⁓ Proactive Health Management Pete Rumple (1:04:38)Beautiful question. Yeah, I used to avoid all that stuff. I avoided the doctor. I don’t want to do this. I want to there’s always a reason to do something else. Now I lean in, I pay attention, I learn I go in, I may agree or not agree with the doctor on certain things. But especially now because I can think again, took me a couple years. But yeah, I lean in. I want to I want to get in there. I want to know what’s wrong. What’s right. What have you just had my annual exam two days ago ago. It went great. Labs came back great. I I my neurologist that I used to have to ⁓ visit quarterly said Pete I don’t even need to see you annually now. Just if you need me call me. Other than that you’re good to go. And she said, we have not seen this kind of recovery before from what you had. Bill Gasiamis (1:05:43)Yeah, I have a similar experience when I was in hospital. They booked me in for two months. I was out in a month ⁓ in rehab and I feel like they should have asked me what I was doing because It’s really important for people to know the difference between being passive and waiting for somebody to rehabilitate you or being the person who’s driving your own rehabilitation. Like there’s a massive difference and Pete Rumple (1:06:13)Huge difference, Bill. You’re right. Huge difference. mean, last last call, I talked to you from my sister’s house in December, just a couple months, few months after it, I made the decision to move out on my own, which I did, which really stunk, Bill. That was hard. Like, I there were some nights I couldn’t eat. I was like, I can’t I’m either gonna make the the bed or the kitchen, which am I doing? Bed. And I just do it. And but it was important. It was important to start knowing where I could push and not being too reliant. Bill Gasiamis (1:06:59)Yeah, yeah, the less reliant you can be the better, but still also good to be able to rely on people when you need a little bit of support. Pete Rumple (1:07:05)Right on. Absolutely. don’t, you know, it was, there’s not a right or wrong. It’s like, what do you think? What’s your gut? Bill Gasiamis (1:07:14)Yeah. Now let’s do a little bit of a community service announcement about this skin cancer. A, how did you notice it? ⁓ What were the steps that you took after you noticed it? How long did you take? Why did they remove it? And so on. Give us a little bit of information. There’ll be people listening here who ⁓ may have noticed a little bump or a lesion or something on their face, their head, their arm, whatever. Give us a little bit of an understanding of how that came to be. Pete Rumple (1:07:43)absolutely the one thing I’ve done Bill through my life as I’ve stayed disciplined on the dermatologist and I don’t know why I think it’s how I was raised everything else I skipped but the dermatologist I stayed on top of and to your point if I notice something and it seems pervasive like it’s not going away I have it looked at a

The hack of a medication management system is causing big delays for the doctors, pharmacists and rest homes using it. Taupo pharmacist Ayman Ibousi spoke to Corin Dann.

Balancing Medications and Vitamins Safely Medication Management and Vitamins During Ramadan by Radio Islam

Cognitive decline is an increasingly prevalent concern among aging populations, affecting not only seniors but also their families and caregivers. In a recent episode of "Next Steps 4 Seniors: Conversations on Aging," host Wendy Jones and guest expert Wendy Adlerstein—Executive Director and co-owner of First Light Home Care of West Suburban Boston—delve into the nuances of recognizing early signs of cognitive decline, taking proactive steps, and providing compassionate care for loved ones facing these challenges. Key Topics Increasing prevalence of cognitive decline among seniors Early signs of cognitive decline, including short-term memory loss and difficulty with complex tasks Importance of timely intervention and recognizing behavioral changes Strategies for effective caregiving and support for individuals with cognitive challenges Role of family and trusted support networks in assessing and planning care Legal safeguards such as power of attorney and health care proxies Emotional challenges faced by families, including denial and communication barriers Lifestyle factors that may aid in prevention and management of cognitive decline Importance of maintaining a consistent daily routine for individuals with cognitive issues Choosing reputable home care providers and ensuring caregiver qualifications and oversight Be sure to like and subscribe on your favorite podcast platform so that you never miss an episode. Every week brings two ways to grow: Tuesdays dive into the physical next steps with real-life guidance for seniors and families, and Fridays uplift the heart with spiritual and emotional next steps—encouragement, faith, and hope for the journey ahead. To learn more about Next Steps 4 Seniors, contact us at 248-651-5010 or visit us online at www.nextsteps4seniors.com Find us on YouTube at https://www.youtube.com/@nextsteps4seniorsLearn more : https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

Meet Ariel Efergan, VP of Growth at MDI Health, an AI-powered medication management platform. Ariel discusses how MDI Health optimizes drug treatments for patients, reducing adverse drug interactions and improving healthcare outcomes. He also shares insights on their target audience, the importance of industry events for client acquisition, and key considerations for website conversion in the healthcare sector.

Professor Ngaire Kerse talks about the challenges of managing multimorbidity and medication complexity in older adults. She discusses the definitions of multimorbidity, the vulnerabilities of older adults to medication issues, and the importance of regular medication reviews, with emphasis on appropriate prescribing and the role of healthcare professionals in supporting older adults in their medication management. The conversation also covers specific medications like statins and aspirin, the management of hypertension, the risks associated with anticholinergic medications, and the need for equitable medication management for Māori and Pacific populations.

On episode 150 of PSQH: The Podcast, Michael McGuire, Professor of Pharmacy Practice in Psychiatry at Belmont University College of Pharmacy and Health Sciences, talks about the importance of medication management for patients dealing with serious mental illness.

In this episode of The Disrupted Podcast, Scott Middleton returns from the JP Morgan healthcare conference with a blunt takeaway: the future of care is not a magic pill, another telehealth platform, or a clever financial structure — it's showing up. Scott breaks down why healthcare has become unnecessarily complicated, how fee-for-service incentives distort decision-making, and why “easy-entry” models won't hold up long-term.He makes the case that Your Health's home-based care model is hard to replicate because it requires operational excellence—routing, scheduling, team coordination, and intentional touchpoints. Scott also challenges internal culture issues: finger-pointing, poor communication, inefficient scheduling, and employees misunderstanding the mission. The solution is both simple and demanding: build systems that make weekly in-person encounters possible for high-risk patients and hold the line on execution. www.YourHealth.Org

Pat Ward and Jeni Bond continue Season 3 with Part 1 of a series on the role of psychiatric nurse practitioners, first visits, and medication management. Jeni is a wealth of information on the subject and this episode is for anyone curious about this layer of care for themselves or a loved one. Connect with Jeni at bondforme@yahoo.comConnect with Pat at patwardcounseling.com

More than 275,000 Americans die each year due to medication mismanagement, and 750 older adults are hospitalized every day from medication-related harm. And, on average, individual Americans waste about $6000 every year on unnecessary medications. In this episode, host Karen Summey, MA ACAPcommuntiy welcomes Dr. DeLon Canterbury, PharmD, BCGP, President/CEO of GeriatRx, Inc. We take a look at overprescribing, medication safety, and practical advice for caregivers and their loved ones on how to manage this healthcare crisis. Please join us! For information on additional podcasts, FREE in-person programs for care partners (caregivers), and more, please visit the ACAPcommunity website here.   No chapter in your area? Stay tuned! ACAP is growing nationwide. Check our website often for a chapter near you. Meanwhile, we hope you'll take advantage of our audio podcast archive, our YouTube archive, and more.   This episode of The Caregiver Community is made possible by our podcast sponsor, PACE@Home in Newton, NC, and sustaining partner EveryAge.       Interviewer  Karen Summey, MA, ACAPcommunity Project Manager and Podcast Host, Active Family Caregiver

Medication mismanagement is one of the most costly and preventable problems in healthcare as it impacts patient safety, outcomes, and billions in annual spending. In this episode, we're joined by Yoona Kim, who cofounded Arine to use AI-driven medication intelligence for improving patient outcomes. Join us in a conversation about the key factors that contribute to medication errors, why culturally sensitive care is central to Arine's approach, and how smarter use of data can shape future healthcare policy.Yoona Kim is the co-founder and CEO of the healthcare technology company Arine. After studying human biology at Stanford, she was trained as both a pharmacist (PharmD from the University of California San Francisco) and health economist (PhD from the University of Texas at Austin). She previously served as Vice President at Proteus Digital Health and held leadership positions in research and consulting at global pharmaceutical companies.

Have you moved beyond the initial steps of your caregiving journey and now find yourself needing to take more control while your loved one still believes they can do most things independently? Are you noticing that simple tasks are becoming increasingly challenging for them, yet they resist your help? You're not alone! You've entered what we call the “messy middle” stage of your caregiving journey. We created for you the comprehensive, 20-step caregiving journey roadmap guide, Navigating Dementia Caregiving Roadmap Connect with us and share your tips: Website: https://thecaregiversjourney.org/Donate: https://give.cornerstone.cc/thecaregiversjourneyInstagram: https://www.instagram.com/thecaregiversjourney/Facebook: https://www.facebook.com/thecaregiversjourneys/Linkedin: https://www.linkedin.com/in/suearmstrongryan/, https://www.linkedin.com/in/nancytreaster/Email: sue@thecaregiversjourney.org, nancy@thecaregiversjourney.org Full Show Notes Additional Resources Mentioned Messy Middle First Steps - You recognize it's time to assert more control  11. Focus on safety.  Listen to these podcasts or read these blogs.Home Alone - Hear about the deal breakers for living home alone:21 minute TCJ podcast: 6. Home AloneTCJ blog: 6. Home Alone.Medication - Understand strategies to safely manage medication:20 minute TCJ podcast: 20. Medication ManagementTCJ blog: 20. Medication Management.Home Safety - Find approaches to the basics of home safety:25 minute TCJ podcast: 7. Home Safety TCJ blog: 7. Home SafetyWandering - Learn ways to manage three types of wandering: outside, inside and during the night.20 minute TCJ podcast: 4. Wandering TCJ blog: 4. Wandering. 12. Continue to prioritize your self-care.  Understand how to approach the realities of self-care:23 minute TCJ podcast: 27. The Realities of Caregiver Self-CareTCJ blog: 27. The Reality of Caregiver Self-Care. 13. Educate yourself on activities of daily living (ADLs). Prepare for changes in your loved ones ability to manage their ADLs.Listen to these podcasts or read these blogs on activities of daily living:26 minute TCJ podcast: 9. Preparing for Incontinence TCJ blog: 9. Preparing for Incontinence21 minute TCJ podcast: 14. Bathing and DressingTCJ blog: 14. Bathing and Dressing21 minute TCJ podcast: 15. Personal Care e.g. brushing teeth, trimming hair TCJ blog: 15. Personal Care21 minute TCJ podcast: 16. Eating and Drinking TCJ blog: 16. Eating and Drinking. 14.Create a Care Plan - at minimum a Family Emergency Plan. 25 minute TCJ podcast: 33. How to Create a Care Plan TCJ blog: 33. Creating a Care Plan. Messy Middle - Continued Second Steps - It's time for more support 15. Start or increase leveraging dementia/adult day programs.  Community resource finder: Select Community Services and choose Adult Day Centers for your search. 16. Start thinking about professional help. Educate yourself: Evaluate continuing care communities (even if you never plan to use one) just in case.33 minute TCJ podcast: 28. Home and Community Living Options TCJ blog: 28. Home and Community Living Options.Understand the types of paid caregivers:26 minute TCJ podcast: 32. Hiring a Paid Caregiver TCJ blog: 32. Hiring a Paid Caregiver.Find an organization to help. Search online: ‘Senior Care Advisor' + ‘your area'.Look for options yourself. Go to the Community Resource Finder sponsored by the Alzheimer's Association and AARP. 17. Continue your education. Take the Savvy Caregiver Advanced training (this can be taken in-person or virtually).Delusions:38 minute TCJ podcast: 23. DelusionsTCJ blog: 23. Delusions.Incontinence:26 minute TCJ podcast: 10. Incontinence Begins TCJ blog: 10. Incontinence Begins. Support the nonprofit The Caregiver's Journey: https://give.cornerstone.cc/thecaregiversjourney

Key TakeawaysBehavioral health and physical health are inseparable and must be treated togetherChronic illness often worsens anxiety, depression, and isolation — especially in aging populationsFear and stigma continue to prevent many patients from seeking behavioral health supportIntegrated care teams reduce gaps, improve communication, and catch issues earlierAnxiety and depression can masquerade as “normal aging” but are highly treatableCareful psychiatric medication management improves both emotional and physical outcomesOver-communication across care teams prevents patients from falling through the cracksAddressing behavioral health empowers patients to actively engage in their treatment plansNormalizing behavioral health conversations is essential to long-term recovery and stability www.YourHealth.Org

Stephen and Richard discuss various health topics, including personal anecdotes about pet health, the science behind blood glucose levels during exercise, the role of NAD and NMN in health, the effects of coffee on nutrient absorption, the implications of fasting and polyphenols, strategies for managing chronic fatigue, and considerations regarding medication and health management. The discussion emphasises the importance of lifestyle choices in achieving optimal health outcomes.Chapters00:00 Introduction and Personal Anecdote03:16 Understanding Blood Glucose and Exercise09:25 The Role of NAD and NMN in Health10:51 The Impact of Coffee on Nutrient Absorption22:31 Polyphenols and Their Effects on Fasting30:01 The Role of Real Food vs. Supplements32:28 Community Engagement and Learning Opportunities35:22 Chronic Fatigue Syndrome and Dietary Solutions41:11 Medication Management and Lifestyle Changes46:51 Eating Windows and Digestive Health52:04 Improvements in Health on a Keto Diet54:24 Reversing Fatty Liver Disease57:49 Closing Thoughts and Community Invitation

If you're planning to see loved ones during the holidays, you need to know these 6 warning signs they need more help.Physical AppearancePay specific attention to their physical appearance, like weight loss or gain and changes with things like their hair or clothes.Home EnvironmentNotice if their house is more cluttered than usual or if they've started keeping things in different places that are either strange or more convenient to where they spend most of their time. NutritionCheck out the food your loved one has in the fridge, freezer, and pantry and look at things like expiration dates and the types of foods they have.Medication ManagementLook at your loved one's pill organizer (if they have one) and look at their medications to see if things are expired or are being taken as prescribed.MobilityWatch your loved one walk around to see if they are furniture walking or if there are tripping hazards. Cognitive ChangesMonitor if your loved one seems to have changes in personality, increased forgetfulness or confusion, or is more withdrawn than you would expect.Hear from experts with The Ohio Masonic Communities to learn not only the warning signs to watch for, but what to do if you notice them. Head into the holiday season empowered to recognize your loved ones who need help and equipped with the tools you need to have tough, open conversations with the whole family.If you want help recognizing these six warning signs in a loved one, or are looking for support as you navigate the next steps of having conversations and making decisions, reach out to us. The Ohio Masonic Communities Resource Center is here to offer support to older adults and their loved ones. Give them a call at 1-877-881-1623 or visit https://omcresourcecenter.org/. The Ohio Masonic Communities' Here to Help guides cover everything from what Alzheimer's is to what senior living community and contract types exist and more. You can access your free copy of the guides by visiting omcoh.org/sltguide.

Un nouvel épisode du Pharmascope est maintenant disponible! Dans de ce 111ème épisode, Sébastien, Nicolas et Isabelle terminent leur série sur le processus de décision partagée, cette fois en discutant des avantages, des obstacles et des moyens de l'appliquer au quotidien à l'aide d'outils. Les objectifs pour les épisodes 110 et 111 sont les suivants: Définir le processus de prise de décision partagée Identifier les bénéfices et les inconvénients du processus de décision partagée Appliquer un processus de décision partagée   Ressources pertinentes en lien avec l'épisode Stacey D et coll. Decision aids for people facing health treatment or screening decisions. Cochrane Database Syst Rev. 2017;4:CD001431. Coronado-Vázquez V et coll. Interventions to facilitate shared decision-making using decision aids with patients in Primary Health Care: A systematic review. Medicine (Baltimore). 2020;99:e21389. Outils d'aide à la décision partagée McCormack J, Pfiffner P. The absolute CVD Risk / Benefit Calculator. 2017. PEER. Comparing Treatment Options for Pain: The C-TOP Tool. Mayo Foundation for Medical Education and Research. Bone Health Choice Decision Aid. 2023. BMJ Publishing Group. BMJ Rapid Recommendations. 2023. The Ottawa Hospital Research Institute. Patient Decision Aids. 2022. Primary Health Tasmania. Medication Management – deprescribing. 2023.

Anne Meneghetti, Executive  Director of epocrates, is focused on medication management and providing tools for clinicians to better handle challenges from the increasing population of patients who take multiple drugs and are treating a wide variety of conditions. The epocrates app provides access to drug information, pill identification, checks for interactions, and calculates dosing, reducing medication errors and patient confusion. Polypharmacy patients are further at risk when they are taking over-the-counter drugs and supplements, requiring regular medication reconcilation to avoid serious drug interactions. Anne explains, "So epocrates has been around since the late 1990s, and it's the number one mobile medical app in the country in terms of physician usership. And it's both a free model and a subscription model. The main reason why clinicians use epocrates is because of the drug information. So, quickly looking up a drug dose, for example, if a drug needs to be prescribed by weight, what is the calculation for that? And there's no way that clinicians can memorize 8,000 drugs. So having it in a quick, easy-to-use app is really crucial in modern times. And sometimes it's not that the clinician doesn't know the dose of the drug, it's just that validation. When you pick up an app and look and see, yep, that's what I thought it was. And that validation, that sense of confidence, is something really precious for a busy clinician. We also use it for drug interactions." "We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels. We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels."    #epocrates #MedicationManagement #Polypharmacy #DrugInteractions #DigitalHealth epocrates.com Download the transcript

Anne Meneghetti, Executive  Director of epocrates, is focused on medication management and providing tools for clinicians to better handle challenges from the increasing population of patients who take multiple drugs and are treating a wide variety of conditions. The epocrates app provides access to drug information, pill identification, checks for interactions, and calculates dosing, reducing medication errors and patient confusion. Polypharmacy patients are further at risk when they are taking over-the-counter drugs and supplements, requiring regular medication reconcilation to avoid serious drug interactions. Anne explains, "So epocrates has been around since the late 1990s, and it's the number one mobile medical app in the country in terms of physician usership. And it's both a free model and a subscription model. The main reason why clinicians use epocrates is because of the drug information. So, quickly looking up a drug dose, for example, if a drug needs to be prescribed by weight, what is the calculation for that? And there's no way that clinicians can memorize 8,000 drugs. So having it in a quick, easy-to-use app is really crucial in modern times. And sometimes it's not that the clinician doesn't know the dose of the drug, it's just that validation. When you pick up an app and look and see, yep, that's what I thought it was. And that validation, that sense of confidence, is something really precious for a busy clinician. We also use it for drug interactions." "We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels. We find that clinicians really value drug interactions because you can't memorize 8,000 drugs interacting with 8,000 other drugs. And your EHR might tell you if you're trying to prescribe two drugs at the same time, your EHR might tell you, oh, red light, green light, yellow light. But a really good drug reference, like epocrates can tell you, if you're going to prescribe these two drugs together, you need to cut the dose of this one in half and you need to monitor the potassium levels."    #epocrates #MedicationManagement #Polypharmacy #DrugInteractions #DigitalHealth epocrates.com Listen to the podcast here

Dr. Lisa Mathew interviews Mallika Khandelwal, founder and CEO of Squad Health, and Tasha Cieslak, practice manager of Louisiana Gastroenterology Associates about how independent GI practices can streamline the management of complex prescription workflows. Squad Health is an AI-enabled healthcare technology company developing solutions to streamline access to specialty medications and reduce the workload around prior authorizations and appeals. Join Lisa, Mallika, and Tasha as they discuss how technology can ease administrative burden in gastroenterology, what early automation looks like inside a busy practice, and the innovations ahead for practices adopting AI-driven solutions to improve efficiency and access to care. Produced by Andrew Sousa and Hayden Margolis for Steadfast Collaborative, LLC Mixed and mastered by Hayden Margolis Gastro Broadcast, Episode 84, presented by TissueCypher from Castle Biosciences

All around you, Healthcare leadership continues to lean on familiar solutions: more education, more empowerment, more reminders to improve adherence. It sounds polite,nonthreatening, and promising. But it's also a comfortable excuse that obscures a deeper, systemic failure. Because the truth is: medication adherence—our most basic measure of patient engagement—remains stubbornly low. Despite decades of well-meaning interventions, the problem persists. This isn't a patient failure. It's a system failure. 

On this episode of On the Brink with Andi Simon, I sat down with Delia Passi, a three-time exited entrepreneur, women's health advocate, and the founder and CEO of MyCabinet — a groundbreaking virtual medicine cabinet that's changing how families and caregivers manage medications. Delia's story isn't just about building a successful business. It's about transforming a deeply personal, life-threatening moment into a purpose-driven company that blends healthcare innovation with impact entrepreneurship. The Crisis That Sparked a Movement Delia's journey into healthcare technology began when her elderly mother suffered a massive heart attack while Delia was 200 miles away. In the chaos of the moment, doctors urgently needed her mother's medical history — current medications, allergies, and past adverse reactions — but Delia didn't have the information. The result was sheer terror and helplessness. “I thought I was going to kill my mother,” she recalls. That moment became a catalyst for change. Delia made a promise to God: if her mother survived, she would dedicate herself to ensuring no one else endured such a situation again. That promise became MyCabinet, a smart, virtual medicine cabinet designed to securely store, organize, and share critical medication information instantly with caregivers, healthcare providers, and family members. A Track Record of Impact Before founding MyCabinet, Delia had already made waves as the publisher of Working Mother magazine, where she championed family-friendly workplace policies and launched the “100 Best Companies for Working Mothers” list. After battling breast cancer herself, she founded WomenCertified, Inc., home of the Women's Choice Award, which helps women make informed healthcare decisions and sets rigorous standards for hospitals and providers. While proud of that work, Delia says she didn't initially view it as “purpose-driven” — it was doing good, yes, but not with the intentional integration of purpose into every business decision. MyCabinet, however, was different from the start. Building a Purpose-Driven Company Determined to align her entrepreneurial skills with a deeper mission, Delia joined Amplify, a nine-month program from the National Christian Foundation that taught her how to embed purpose into every aspect of a company. She now applies that framework to MyCabinet through four pillars: Employees – Hosting quarterly retreats with space for reflection, gratitude, and shared values, fostering a culture where faith and respect thrive across religious backgrounds. Investors – Choosing only impact investors who put people before profit and share the company's mission. Clients – Taking a holistic approach to helping healthcare partners and institutions improve patient lives, not just offering a product. Customers – Delivering peace of mind for caregivers and patients by preventing dangerous medication errors and improving health outcomes. Blue Ocean Thinking: Creating a New Market As I often share with my clients, Blue Ocean Strategy is about creating a market space where none existed before — and MyCabinet is a perfect example. There was no “smart medicine cabinet” category before Delia created it. Like the leap from standard TVs to smart TVs, MyCabinet transforms a familiar object into a connected, intelligent solution. Originally, Delia planned to sell direct-to-consumer (B2C), but quickly pivoted to a B2B2C model, partnering with large health plans, school systems, and other organizations that could deliver her product to hundreds of thousands of users at once. This strategic shift saved millions in marketing costs and accelerated adoption. Lessons for Entrepreneurs Delia's story offers powerful lessons for anyone building a purpose-driven business: Get out of your comfort zone. For Delia, that meant reaching out to politicians and leaders she didn't know, which opened unexpected doors in sectors like foster care, prison healthcare, and schools. Surround yourself with the right people. Seek advisors, investors, and partners who challenge you, support your vision, and keep your mission intact. Be prepared for the unseen. Women founders often face additional hurdles raising capital. Delia chose to navigate those challenges without compromising her values or taking on partners who didn't align with her mission. Focus on unmet needs, not just your product. MyCabinet succeeds because it solves a real, often hidden problem — the lack of accessible, accurate medication information in critical moments. Why This Matters In an era where healthcare technology is evolving rapidly, MyCabinet stands out as both a life-saving innovation and a model for how businesses can integrate purpose, profit, and impact. It's not just about managing medications — it's about protecting lives, reducing caregiver stress, and empowering families with information when they need it most. As Delia puts it, “You can build a unicorn and still be an active, purpose-driven organization.” Her journey proves that the bottom line and higher calling don't have to be at odds. Call to Action: To learn more about Delia Passi and MyCabinet, visit mycabinet.com. And to hear the full conversation, listen to this episode of On the Brink with Andi Simon — where we explore how personal experiences can inspire innovations that change lives. Listen to other podcasts about people building purpose-driven companies where profit aligns with meaning. Connect with me: Website: www.simonassociates.net Email: info@simonassociates.net Books:  Learn more about our books here: Rethink: Smashing the Myths of Women in Business Women Mean Business: Over 500 Insights from Extraordinary Leaders to Spark Your Success On the Brink: A Fresh Lens to Take Your Business to New Heights Listen + Subscribe: Available wherever you get your podcasts—Apple, Spotify, Stitcher, YouTube, and more. If you enjoyed this episode, leave a review and share with someone navigating their own leadership journey. Reach out and contact us if you want to see how a little anthropology can help your business grow.  Let's Talk!  

Dr. Keya Locke interviews Drs. Barbara Rogers and Shobana Rajan, guest editors of the August ASA Monitor, about preoperative medication management. Listen in as they discuss the state of long-standing medication debates, consider new trends and medications, and share thoughts on why the role of anesthesiologists as pre-op physicians is increasing in importance. Recorded July 2025.

Send us a textIn this podcast Ashley, Danielle and Christa discuss their personal strategies for managing their IBD. IBD can be overwhelming and unpredictable so we want to share with you the top things we do as patients to keep symptoms and inflammation under control. We emphasize the importance of physical activity, dietary choices, sleep hygiene, and mental health. We also touch on the significance of routine check-ups and medication adherence, as well as the benefits of taking breaks and vacations for overall well-being.Takeaways-- IBD can be unpredictable, but there are some things you can control!- Physical activity routines help build stress resilience.- Ditching alcohol for mocktails can be beneficial.- Sleep hygiene is crucial for overall health.- Diversity in diet enhances gut health.- Cooking at home allows for better control over ingredients.- Staying on top of medication schedules is essential.- Regular monitoring of health markers is necessary.Chapters00:00- Introduction to Personal Experiences with IBD01:57- The Importance of Physical Activity10:13- Balancing Workouts and Chronic Illness14:53- Lifestyle Changes: Mocktails and Sleep17:01- Managing Sleep and Breathing Issues19:32- Navigating Health Challenges21:08- Prioritizing Sleep and Rest22:46- Emphasizing Dietary Diversity26:11- The Importance of Home Cooking28:47- Finding Balance in Life31:52- The Role of Nature and Vacations34:53- Medication Management and Health MonitoringFollow us on instagram @crohns_and_colitis_dietitiansFollow us on youtube @thecrohnscolitisdietitiansWe love helping provide quality content on IBD nutrition and making it more accessible to all through our podcast, instagram and youtube channel. Creating the resources we provide comes at a significant cost to us. We dream of a day where we can provide even more free education, guidance and support to those with IBD like us. We need your support to do this. You can help us by liking episodes, sharing them on your social media, subscribing to you tube and telling others about us (your doctors, friends, family, forums/reddit etc). Can you do this for us? In return, I promise to continually level up what we do here.

Sinusitis or migraine? Understanding the difference between rhinogenic and primary headaches could change your treatment algorithm. In this episode of Backtable ENT, Dr. Jessica Lee, an otolaryngologist from Charleston ENT and Allergy, discusses the prevalence and treatment of sinus headaches with hosts Dr. Gopi Shah and Dr. Ashley Agan. --- SYNPOSIS The doctors discuss how half of sinus infection diagnoses are often misdiagnosed, with many patients having normal CT scans and nasal endoscopies. Dr. Lee emphasizes the importance of distinguishing between sinus-related headaches and migraines, noting that 80% of sinus headache complaints meet migraine criteria. The conversation covers the use of lifestyle medicine, supplements, medications, and the role of neurologists in managing chronic headaches. Dr. Lee also touches on the role of mycotoxins, drawing from evidence-based practices while stressing patient education and collaboration in treatment. --- TIMESTAMPS 00:00 - Introduction 04:10 - Differentiating Sinus Headaches from Other Conditions10:07 - Lifestyle Factors and Migraine Management25:45 - Supplements and Treatments for Migraine30:01 - Iron Supplementation and Dietary Adjustments31:42 - Medication Management for Migraines34:52 - Botox as a Treatment Option44:50 - Mycotoxins and Mold Illness50:11 - Non-Pharmacologic Options for Headaches54:00 - Final Thoughts and Recommendations --- RESOURCES Dr. Jessica Leehttps://charlestonent.com/bio/jessica-lee/

Back by Popular Demand – Best of “Next Steps 4 Seniors: Conversations on Aging” This standout episode with Wendy Jones and guest Frank Dubois from Genesight was just too good not to bring back. If you missed it the first time, now’s your chance to catch a powerful conversation about GeneSight, the game-changing test helping seniors manage medications more effectively. Frank shares a moving story of one patient’s transformation, and Wendy dives into why more nurse practitioners are turning to personalized medicine. Tune in for insights that could truly change lives. Subscribe and download the show on your favorite podcast platform. Plus find more great content on our Conversations on Aging Facebook and Instagram pages. Check us out at www.nextsteps4seniors.com or our foundation at www.nextsteps4seniorsfouondation.org Have questions or suggestions? Call 248-651-5010 or email hello@nextsteps4seniors.com. For podcast topics or sponsorship opportunities, contact marketing@nextsteps4seniors.com. Don’t forget to subscribe, follow, and share on your favorite podcast platform. Visit NextSteps4Seniors.com to learn more and explore additional resources. Let’s take the next steps together! This episode is proudly sponsored by Aeroflow Urology, a leader in incontinence care solutions. You may be eligible to receive your incontinence supplies at no cost through your insurance, delivered discreetly and directly to your door. *Some exclusions apply Visit aeroflowurology.com/ns4s to learn more and see if you're eligible.Learn more : https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

Avoid routine or reflexive therapeutic drug monitoring (TDM) unless there is a specific clinical indication Be vigilant about enzyme induction and inhibition interactions when prescribing anti-seizure medications Proactively counsel women of childbearing age about the teratogenic risks associated with anti-seizure medications Discuss reproductive risks with men taking valproate, especially if planning to conceive Refer patients of reproductive age to epilepsy specialists early to optimise treatment and family planning Host: Dr David Lim | Total Time: 48 mins Expert: Dr Moksh Sethi, Neurologist Register for our fortnightly FREE WEBCASTSEvery second Tuesday | 7:00pm-9:00pm AEST Click here to register for the next oneSee omnystudio.com/listener for privacy information.

In April Month in Review, we take a powerful look back at the conversations that shaped this month's episodes. In Episode 306, Don't Stay Stuck on What Sucks, we explore how negativity bias keeps us trapped in harmful mindsets and share practical strategies for shifting focus toward growth and healing. Episode 307, Medication Management with Carrie Hill, brings a compassionate perspective on psychiatric medication, addressing fears, debunking myths, and empowering listeners to take charge of their mental health journey. Finally, Episode 308, Is a One-Night Stand Worth It?, examines the motivations, insecurities, and societal perceptions surrounding casual sex, asking the deeper question: what does sex really mean to you? Candid, insightful, and deeply human in this month's conversations invite you to move forward with clarity and courage. Tune in to see the April Month in Review Through a Therapist's Eyes.  

In this episode, Dr. Brittany Schamerhorn discusses the role of GLP-1 receptor agonists in women's health, particularly focusing on their applications in managing diabetes, obesity, and conditions like PCOS and menopause.  This conversation also highlights: Risks and benefits associated with GLP-1s The complexities of managing medications and the importance of understanding medication tolerability How a holistic approach combining medication with lifestyle changes can achieve sustainable health outcomes The need for proper caloric intake to maintain metabolic health  Future applications of GLP-1 medications   Show Notes: Learn more about Dr. Schamerhorn and her upcoming webinar on GLP-1s and women's health. To explore how the DUTCH Test can profoundly change the lives of your patients, become a DUTCH Provider today! 

Medication management is taking a big role in health care today and at HIMSS for several reasons. More medications are coming on the market, providing impressively successful treatments for many conditions. More people of all ages are taking more medications. And specialty medications, which are very expensive, are also burgeoning.In this video, we hear some current expert perspectives on medication management, including the roles of automation and AI, from Dr. Michael Blackman, Chief Medical Officer at Greenway Health, and Dr. Colin Banas, Chief Medical Officer at DrFirst.Learn more about Greenway Health: https://www.greenwayhealth.com/Learn more about DrFirst: https://drfirst.com/Health IT Community: https://www.healthcareittoday.com/

In this episode we're joined by Carrie Hill, PMHNP-BC, CARN-AP—a seasoned psychiatric nurse practitioner with over 16 years of experience—to dive deep into the often misunderstood world of medication management in mental health care. Carrie shares her compassionate, patient-centered approach to treatment, blending personalized medication plans with therapy and holistic care for individuals aged 13 to 64. We tackle common fears about psychiatric medications, including public misconceptions and high-profile critiques, while exploring how open communication and ongoing assessment can lead to better outcomes. You will learn how combining therapy and medication can empower individuals on their mental health journey—and hear real-world success stories that show what's possible when care is tailored, collaborative, and rooted in empathy. Tune in to see Medication Management Through a Therapist's Eyes.  

Are you battling the weight of mental health challenges while raising your grandchildren? Do you feel the complexity of navigating a bipolar disorder diagnosis and its impact on your family, especially when relief seems out of reach? Are you searching for proven strategies to manage emotional turmoil and reclaim a sense of normalcy for your loved ones? Understanding and healing with bipolar disorder can feel like a never-ending rollercoaster, filled with peaks of mania and valleys of depression.I'm Laura Brazan, and today's episode of "Grandparents Raising Grandchildren: Nurturing Through Adversity" features an inspiring journey of resilience and recovery. Join us as we explore the story of Michelle Rettinger, who triumphed over the despair of bipolar disorder through a groundbreaking approach that focuses on empowerment and understanding. Diagnosed in 1998, Michelle endured years of turbulent emotions and extensive medical intervention. Yet, through personal responsibility and a commitment to an innovative treatment model, Michelle found a path to genuine healing.In this episode, Michelle, now a thriving public speaker, author, and mentor, shares her free resource, the Mood Cycle Survival Guide, which has been pivotal in her recovery. We'll delve into her integrated, research-backed treatment model that addresses the root causes of bipolar symptoms, offering hope and praSend us a textWould love to hear more of a 'deep dive" into the 4 skills. Owner, Broker, and Realtor at Team Eureka with National Parks Realty Forbes Global Properties—Sandi Hall is a beacon of trust and insight for both local and international clients. With a Graduate REALTOR® Institute designation and a feature in Forbes, underscore her commitment to excellence.Visit WelcomeHomeMontana.com today or call (406) 471-0749 and experience the difference an expert like Sandi can bring to your journey home. Big Heart Family Dentistry, led by Dr. Seth Hinckley. Their dedication goes beyond treating teeth; they empower healthier, happier lives through prevention and education. They use state-of-the-art technology and are deeply connected to the community, addressing every dental need with expertise and heart. Taking care of ourselves should be fun! Here's another self-care tip from Jeanette Yates!Thank you for tuning into today's episode. It's been a journey of shared stories, insights, and invaluable advice from the heart of a community that knows the beauty and challenges of raising grandchildren. Your presence and engagement mean the world to us and to grandparents everywhere stepping up in ways they never imagined. Remember, you're not alone on this journey. For more resources, support, and stories, visit our website and follow us on our social media channels. If today's episode moved you, consider sharing it with someone who might find comfort and connection in our shared experiences. We look forward to bringing more stories and expert advice your way next week. Until then, take care of yourselves and each other.Want to be a guest on Grandparents Raising Grandchildren: Nurturing Through Adversity? Send Laura Brazan a message on PodMatch, here: https://www.podmatch.com/hostdetailpreview/grgLiked this episode? Share it and tag us on Facebook @GrandparentsRaisingGrandchilden Love the show? Leave a review and let us know! CONNECT WITH US: Website | Facebook

In this episode of the Addict to Athlete podcast, Coach Blu Robinson engages with Dr. Mark Hrymoc, an addiction psychiatrist, to discuss the evolving landscape of addiction treatment, particularly focusing on Medication-Assisted Treatment (MAT). They explore the importance of integrating mental and physical health in recovery, the duration of care needed for individuals struggling with addiction, and the risks associated with rapid detoxification. Dr. Hrymoc explains how Suboxone works in the brain to help stabilize patients and addresses the mixed data surrounding cannabis as a treatment option. The conversation emphasizes the need for a compassionate, individualized approach to addiction recovery, highlighting the importance of destigmatizing medication use in treatment. In this conversation, Dr. Mark Hrymoc discusses the evolving landscape of psychiatric treatments, particularly focusing on psychedelics and ketamine. He emphasizes the importance of understanding co-occurring disorders and the psychological aspects of pain management. The discussion also touches on the future of non-addictive pain medications and the significance of building trust in treatment relationships. Dr. Hrymoc advocates for open communication between patients and healthcare providers to foster effective treatment outcomes.   Takeaways MAT offers a new perspective on addiction treatment. Combining medication and therapy yields the best results. Addiction is a chronic disease with no cure. Long-term relationships with clients are crucial for recovery. Rapid detox can be dangerous and should be approached with caution. Suboxone helps stabilize patients without the high of other opioids. Cannabis has mixed results in treating mental health issues. Destigmatizing medication-assisted treatment is essential. Every family has someone affected by addiction. Individualized treatment plans are key to successful recovery. Psychedelics are being researched for various psychiatric conditions. Ketamine is effective for treatment-resistant depression and anxiety. Understanding the timeline of addiction and mental health issues is crucial. Pain perception is influenced by both physical and psychological factors.   00:00- Introduction to Addiction and Recovery 01:55- Understanding Medication-Assisted Treatment (MAT) 07:28- The Intersection of Mental and Physical Health in Recovery 10:41- The Duration of Care in Addiction Recovery 14:28- The Risks of Rapid Detox and Medication Management 18:01- How Suboxone Works in Addiction Treatment 21:47- Exploring Harm Reduction and Future Treatment Trends 23:57- The Evolving Landscape of Psychedelics in Psychiatry 26:20- Ketamine as a Treatment for Depression 28:56- Navigating Co-Occurring Disorders 32:56- The Future of Non-Addictive Pain Medications 36:37- Understanding Pain: The Psychological Component 41:58- Building Trust in Treatment Relationships   Please join Addict to Athlete's Patreon support page and help us turn the mess of addiction into the message of sobriety! https://www.patreon.com/addicttoathlete Please visit our website for more information on Team Addict to Athlete and Addiction Recovery Podcasts. https://www.AddictToAthlete.org Join the Team! Circle, our new social support event, along with the team and athlete communication platform, is designed to help us break free from doom scrolling and shadow banning and foster stronger connections among us. Follow the link, download the app, and start this new chapter of Team AIIA! Join Circle https://a2a.circle.so/join?invitation_token=16daaa0d9ecd7421d384dd05a461464ce149cc9e-63d4aa30-1a67-4120-ae12-124791dfb519

In this episode, Brandi Mac interviews her daughter Brooke, who is now 15 months sober.  They discuss Brooke's journey through addiction, the impact of drug use on  family relationships and the challenges of medicated assisted treatment. The conversation highlights the importance of appropriate dosing in recovery, the emotional turmoil of addiction, and the lessons learned in healing and rebuilding relationships.      00:00 Introduction and Background on Sobriety 03:00 The Journey of Addiction: Drugs of Choice 05:17 Understanding Fentanyl: The Hidden Dangers 08:04 Impact of Drug Use on Family Relationships 11:02 The Struggles of Recovery and Healing 1 3:47 Medicated Assisted Treatment: A New Perspective 1 9:57 The Importance of Proper Dosing in Treatment 34:22 Navigating Detox and Medication Management 37:01 Experiences in Treatment Facilities 40:55 Therapeutic Approaches and Their Impact 45:50 Finding Connection Amidst Isolation 49:07 Challenges of Reintegration After Treatment 49:15 Lessons Learned in Sobriety 55:52 Supporting Loved Ones Struggling with Addiction   To contact Brandi Mac you can email: brandimac.creator@gmail.com

In this episode of "Next Steps 4 Seniors: Conversations on Aging," host Wendy Jones discusses the critical topic of medication management for aging adults. Wendy, along with an unnamed speaker, highlights the complexities and risks of managing multiple medications, including memory issues and pharmacy. They share real-life stories to illustrate the dangers of improper medication use and emphasize the importance of collaboration with healthcare providers. Wendy advises consulting pharmacists for potential drug interactions and maintaining updated medication records. The episode aims to provide practical tips to help families ensure the safety and well-being of their aging loved ones. Have questions or suggestions? Call 248-651-5010 or email hello@nextsteps4seniors.com. For podcast topics or sponsorship opportunities, contact marketing@nextsteps4seniors.com. Don’t forget to subscribe, follow, and share on your favorite podcast platform. Visit NextSteps4Seniors.com to learn more and explore additional resources. Let’s take the next steps together! This episode is proudly sponsored by Aeroflow Urology, a leader in incontinence care solutions. You may be eligible to receive your incontinence supplies at no cost through your insurance, delivered discreetly and directly to your door. *Some exclusions apply Visit aeroflowurology.com/ns4s to learn more and see if you're eligible.Learn more : https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

In the podcast episode "Next Steps for Seniors," host Wendy Jones and guest Frank Dubois discuss GeneSight, a pharmacogenomic test aiding seniors in managing multiple medications. Wendy highlights the growing interest in GeneSight among nurse practitioners, while Frank explains the test's process and benefits. He shares a poignant story about a nursing home patient whose life improved significantly after switching medications based on GeneSight results. The episode underscores the importance of personalized medicine, advocating for GeneSight testing to optimize treatment plans and enhance seniors' quality of life. Wendy encourages listeners to explore this valuable resource for better medication management.Support our mission: https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

In the episode of "Next Steps 4 Seniors: Conversations on Aging," host Wendy Jones and guest Erica Ancel, director of operations for Next Steps for Seniors, discuss strategies for seniors to maintain their independence. They cover essential safety tips like removing throw rugs and using safe kitchen utensils, the importance of hydration with alternatives to plain water, mobility exercises to maintain muscle mass and balance, and socialization strategies to combat isolation. The episode provides practical advice and resources to help seniors live independently and safely, enhancing their quality of life as they age. Support our mission: https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

The NP sees  a 44-year-old male of African ancestry with a BMI=34 kg/m2 and recently diagnosed  type 2 diabetes mellitus. He works on a rotating shift in healthcare and reports eating irregularly. He was started on metformin therapy 4 months ago, is at maximum recommended dose, and states he is tolerating the medication well. His initial A1c was 9.8%, with today's A1c=8.7%. eGFR is within acceptable parameters and he is feeling well, stating, “I was so thirsty and needed to urinate all the time before I started that pill”. Physical exam reveals extensive acanthosis nigricans.  He mentions that his health insurance. “Does not pay for all that much. I'm OK with paying for the pill I am taking now, but really cannot afford expensive medicines. “ Which of the following is the most appropriate next step? A. Prescribe weekly injectable semaglutide.  B. Adding post-meal sliding scale rapid acting insulin.C. Add a daily dose of pioglitazone.D. Add glipizide on days when his eating schedule is predictable.  ---YouTube: https://www.youtube.com/watch?v=xyh0ld2l9_M&list=PLf0PFEPBXfq592b5zCthlxSNIEM-H-EtD&index=103Visit fhea.com to learn more!

TopMedTalk is at The American Society of Anesthesiologists (ASA)'s annual general meeting; Anesthesiology 2024. Here we discuss key anesthesia updates, emphasizing patient safety and comfort. Does the evidence support allowing clear liquids up to surgery to reduce thirst without raising risks? Do new challenges around GLP-1 drugs, which delay stomach emptying, call for tailored pre-op guidance? Also, should we be rethinking gabapentinoids, which recent studies show may not effectively reduce opioid use as once believed? Presented by Desiree Chappell, Monty Mythen and Mike Grocott with their guests, Girish P. Joshi, Professor, Anesthesiology and Pain Management at UT Southwestern Medical Center and Ben Gibbison, Associate Professor of Cardiac Anaesthesia and Intensive Care at the University of Bristol, Honorary Consultant at University Hospitals Bristol and Weston NHS Foundation Trust.

In this episode of "Next Steps 4 Seniors: Conversations on Aging," host Wendy Jones offers essential tips for family caregivers of elderly loved ones. Drawing from her healthcare experience, Wendy discusses the financial burdens of professional care, the importance of understanding medical diagnoses, and effective medication management. She emphasizes utilizing local resources, creating task lists, and holding family meetings to delegate responsibilities. Wendy also highlights the significance of support groups and recognizing signs of caregiver burnout. The episode aims to educate and support caregivers, reminding them they are not alone in their journey. Have questions or suggestions? Call 248-651-5010 or email hello@nextsteps4seniors.com. For podcast topics or sponsorship opportunities, contact marketing@nextsteps4seniors.com. Don’t forget to subscribe, follow, and share on your favorite podcast platform. Visit NextSteps4Seniors.com to learn more and explore additional resources. Let’s take the next steps together! This episode is proudly sponsored by Aeroflow Urology, a leader in incontinence care solutions. You may be eligible to receive your incontinence supplies at no cost through your insurance, delivered discreetly and directly to your door. Visit aeroflowurology.com/ns4s to learn more. Introduction to Family Caregiving (00:00:06)Wendy introduces the podcast and emphasizes the importance of supporting family caregivers. Understanding Medical Management (00:01:14)Discusses the significance of having the right doctor and understanding medical diagnoses and medications. Locating Local Resources (00:02:17)Encourages caregivers to find local resources and financial assistance available for elderly loved ones. Creating Two Lists (00:03:24)Advises caregivers to make lists of tasks they can and cannot do to better manage responsibilities. Engaging Family and Friends (00:03:24)Suggests holding a meeting with family and friends to delegate caregiving tasks effectively. Finding Support Groups (00:04:19)Stresses the importance of joining support groups for caregivers to share experiences and find help. Recognizing Caregiver Burnout (00:05:38)Identifies signs of caregiver burnout and the importance of seeking help when feeling overwhelmed. Exploring Available Options (00:06:42)Discusses various support options, including adult day centers and senior living communities for caregivers.Support our mission: https://nextsteps4seniors.com/See omnystudio.com/listener for privacy information.

Yoona Kim, CEO of Arine,  a medication intelligence company, works with health plans and payers to ensure safe and effective medication therapy for patients. The Arine platform addresses polypharmacy, medication mismanagement, drug interactions, and proper dosing. Using AI and integrated databases, Arine is identifying patients who would benefit from medication management and shifting from reactive to proactive and preventative care. Yoona explains, "Our clients are health plans and risk-bearing providers. So these are the payers of the healthcare system, those who bear the financial burden of healthcare costs because medications can be very powerful, they can cure, or they can lead to detrimental consequences and even unnecessary fatalities and high-cost events like hospitalizations. So it's important to these customers to make sure that their members are on the right medications to avoid these unnecessary clinical and financial outcomes."  "I think it pertains to all of these situations. One of our biggest problems in healthcare is that 66% of Americans are on some prescription drugs, and in fact, more than 50% use more than three drugs a year. We need to search through a population and find who would benefit from a medication change with the population-based approach. This is why we spent so much time at Arine building our patient targeting model to identify in which patients would a small medication change lead to a difference in outcomes." "We're looking through all that patient's data, their medication history, their medical history, their demographics, and what their current clinical social, and behavioral risk factors are so we can identify that they're on the best medications, the safest and most effective for where they are in their health trajectory today. And, of course, the challenge is that their patient evolving health needs constantly change over time. On top of that, we have new medications being approved constantly and new advances being made. Our platform puts all this information together so that we can ensure that the best medication regimen is prescribed to the patients." #Arine #Medication #MedicationManagement #MedicationMismanagement #Prescription #SDOH #ArtificialIntelligence #Polypharmacy #Deprescribing #Overprescribing  #MedicationAdherence Arine.io Download the transcript here

Yoona Kim, CEO of Arine,  a medication intelligence company, works with health plans and payers to ensure safe and effective medication therapy for patients. The Arine platform addresses polypharmacy, medication mismanagement, drug interactions, and proper dosing. Using AI and integrated databases, Arine is identifying patients who would benefit from medication management and shifting from reactive to proactive and preventative care. Yoona explains, "Our clients are health plans and risk-bearing providers. So these are the payers of the healthcare system, those who bear the financial burden of healthcare costs because medications can be very powerful, they can cure, or they can lead to detrimental consequences and even unnecessary fatalities and high-cost events like hospitalizations. So it's important to these customers to make sure that their members are on the right medications to avoid these unnecessary clinical and financial outcomes."  "I think it pertains to all of these situations. One of our biggest problems in healthcare is that 66% of Americans are on some prescription drugs, and in fact, more than 50% use more than three drugs a year. We need to search through a population and find who would benefit from a medication change with the population-based approach. This is why we spent so much time at Arine building our patient targeting model to identify in which patients would a small medication change lead to a difference in outcomes." "We're looking through all that patient's data, their medication history, their medical history, their demographics, and what their current clinical social, and behavioral risk factors are so we can identify that they're on the best medications, the safest and most effective for where they are in their health trajectory today. And, of course, the challenge is that their patient evolving health needs constantly change over time. On top of that, we have new medications being approved constantly and new advances being made. Our platform puts all this information together so that we can ensure that the best medication regimen is prescribed to the patients." #Arine #Medication #MedicationManagement #MedicationMismanagement #Prescription #SDOH #ArtificialIntelligence #Polypharmacy #Deprescribing #Overprescribing  #MedicationAdherence Arine.io Listen to the podcast here

Dr. Benjamen Morrell, M.D. is an integrative psychiatrist.  He has his own clinic, the LIT Clinic where he focuses on enhancing brain health, lifestyle, & performance by using natural alternatives to medications.  He specializes in: Psychiatry & Psychotherapy Natural alternatives to medications Medication Management & DiscontinuationHolistic & Individualized Health ProgramsPsychology: Motivation, Focus, PurposeKetamine-Assisted PsychotherapyHe is also the host of LIT CLINIC Podcast on Spotify where he hosts guests from all walks of life to share wisdom and free resources on mental health.You can find out about his clinic at:www.litclinic.comButcherbox:http://butcherbox.pxf.io/vNXyWA

October 23, 2024: Weston Blakeslee, VP of Population Health at DrFirst, to explore the intersection of medication management, population health, and artificial intelligence. Can medication adherence be improved through predictive models and smart technologies like pill bottle caps? Blakeslee explains DrFirst's role in bridging the gap between hospital visits and medication adherence, tackling long-standing data quality issues, and exploring innovative solutions in population health. Key Points:02:08 Medication Adherence and Population Health08:34 Innovative Solutions for Medication Tracking10:18 AI in Medication Management12:16 Future of Population HealthSubscribe: This Week HealthTwitter: This Week HealthLinkedIn: Week HealthDonate: Alex's Lemonade Stand: Foundation for Childhood Cancer

Dave & Scott battle it out, debating which oral steroid is the best TIME STAMPS BELOW 00:00:00 Introduction to the Podcast 00:03:41 Anadrol Application and Limitations 00:06:43 Dbol: A Classic Muscle Builder's Challenges and Benefits 00:09:50 Benefits and Misconceptions of Anavar and T-Bol 00:13:19 Anadrol & Dbol Cycle Insights 00:16:41 Dave's Squirrel Picnic table 00:18:30 Less Gear For Longer Or More For Shorter Cycles? 00:20:04 Super High Intensity Cycles - SHIC Approach 00:21:30 First Cycle: Lessons and Reflections 00:26:31 Understanding Drug Effects Based on Body Composition 00:28:30 Jordan Peters Using Halotestin Preworkout 00:32:57 JP: A Unique Approach to Bodybuilding 00:36:54 Dry Carb Loading Strategy 00:39:49 Managing Prolactin Levels During Cycles 00:43:38 Impact of Test Suspension on Estrogen Levels 00:44:50 T4 Stand Alone For Fat Burning 00:46:36 Low Test with High Tren or High Test with Low Tren 00:48:20 Effects of Long-Term EQ Use and Health Implications 00:53:00 Fast Drug Metabolism and Medication Management 00:55:59 T Shirt Contest 00:57:45 Uncle Dave's Advice : The Value of Giving Without Expectation 01:02:21 PED Course and Pillars Explained 01:04:48 Supplements for Your Dog's Joint Health at Strom

Sept. 10, 2024 - Assemblymember John McDonald, a Capital Region Democrat and practicing pharmacist, discusses an effort spearheaded by state regulators to create standardized, all-encompassing oversight of an evolving trend in pharmacies.

www.YourHealth.orgwww.SCHomeRx.comwww.thedisruptedpodcast.comwww.experiencinghealthcare.com

Send us a Text Message.Welcome back to another fabulous episode of the Healthcare Trailblazers podcast! Today, we're joined by the wonderful Ariel Efergan, the Global Vice President of MDI Health. Ariel delves into the transformative work MDI Health is doing to tackle one of the leading causes of death in healthcare: problems from medication treatment. Discover how MDI Health uses AI for medication management at scale, reducing the total cost of care and driving clinical interventions. Ariel also shares insights on navigating healthcare sales, the importance of understanding healthcare's financial flow, and the future of AI in healthcare.Key Takeaways:MDI Health's Mission: Using AI to manage medication treatment, reducing costs, and improving patient outcomes.AI's Role: Automates and enhances clinical recommendations, scaling pharmacist interventions.Healthcare Sales Challenges: Importance of understanding organizational needs, relationships, and financial flows.Future of AI in Healthcare: Emphasis on AI as a co-pilot, focusing on tangible outcomes rather than technology alone.MDI Health's Success: Significant cost savings and improved patient outcomes through AI-driven pharmacy interventions.

Read the full show notes: https://www.draimee.org/pcos-it-has-nothing-to-do-with-cysts Do you know what I think of PCOS? I think the name should really be “Please Confirm this Ovary Syndrome.” I'm telling you, I find that there's no condition that's more misdiagnosed than PCOS.   Today on The Egg Whisperer Show podcast, I'm talking about PCOS, or Polycystic Ovary Syndrome. Did you know that celebrities like Jillian Michaels and Posh Spice both have PCOS?    A few PCOS facts: PCOS does not equal infertility.  You may have a harder time getting pregnant if you have PCOS, because you may not be ovulating frequently or regularly. It's difficult only because it's hard to know when you're ovulating. When you do ovulate with PCOS, you are likely to ovulate multiple eggs, making you very fertile! Every time you ovulate, you make a cyst of ovulation.  Ovulating multiple eggs is what creates multiple cysts, which is where you get the name: Poly (multiple) cystic (cystic). Some symptoms may include: hair loss of the scalp, hirsutism (or hair on your body in areas like the chin, upper abdomen, lower abdomen or back), high testosterone levels, high insulin levels, higher estrogen levels, and higher BMI.  You can help manage PCOS by a paleo-like or mediterranean diet, taking birth control pills which can lower testosterone, or other testosterone-lowering drugs, and supplements. Do you have questions about IVF?Click here to join Dr. Aimee for The IVF Class where Dr. Aimee will explain IVF and there will be time to ask her your questions live on Zoom.   Subscribe to my YouTube channel for more fertility tips! Join Egg Whisperer School Subscribe to the newsletter to get updates Dr. Aimee Eyvazzadeh is one of America's most well known fertility doctors. Her success rate at baby-making is what gives future parents hope when all hope is lost. She pioneered the TUSHY Method and BALLS Method to decrease your time to pregnancy. Learn more about the TUSHY Method and find a wealth of fertility resources at www.draimee.org.   Time stamps: 00:00 Introduction 00:31 Misdiagnosis and Confirmation 03:02 Symptoms and Misconceptions 04:22 PCOS and Fertility 05:33 Evolutionary Advantage 06:56 Normal Ovaries vs PCOS Ovaries 08:42 Impact on Body and Health Risks 10:02 Importance of Early Treatment 11:45 Lifestyle and Medication Management 05:28 Supplements and Natural Remedies 15:22 Comprehensive Management 15:53 Conclusion