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Weight loss expert, Board Certified Pediatrician and Obesity Medicine Physician, Dr. Cee Nicole of the 'Weight a Minute' Joins us to discuss the following:1. Facts & Myths about Weight Loss/Gain2. Challenges for Weight Loss in the Black community3. Ozempic, Zepbound, Wegovy & Mounjaro:  The differences how they work. 4. Why it is more difficult to lose weight as we get older5. Tips for those working from home or tied to a desk to manage weight.About Dr. Cee Nicole:Born and bred in LA, Dr Cee Nicole is an Atlanta transplant proud to provide her community with experienced and compassionate pediatric weight-loss care. A board-certified pediatrician, her accreditations come from some of the most prestigious institutions in the nation. She attended UC Berkeley where she obtained a BA in Social Welfare. She then received a Master's in Social Work from USC because Dr Cee Nicole believes that a great physician treats the entire patient. With her passion reinforced, Dr Cee Nicole went on to achieve her MD at USC and completed her Pediatric residency at UCLA.Despite her superior education, Dr Cee Nicole is anything but a traditional "white coat" doctor. She prides herself on approachable, experience-informed care—treating her patients with the best medical practices while maintaining a social presence in the room.Dr. Cee Nicole currently practices in Southwest Atlanta with the goal of providing excellent patient care to every patient regardless of their circumstance. Within a few years of starting at the Southeast Permanente Group, she was appointed as Lead Physician. In this role, she started a literacy program, LETS Read, offering free books to patients. She is proud to be able to use her voice to advocate for her patients and provide a resource that effectively narrows the learning gap.After passing the American Board of Obesity Medicine exam, she took on another challenge as the first Pediatric Obesity Champion for the Southeast Permanente group. In this position, she developed a pediatric weight management program providing patients and families access to focused appointments and individualized treatment plans. She also serves on two American Board of Obesity Committees, where her work helps educate the next generation of obesity medicine physicians. As a published, award-winning, Board Certified Pediatrician and Obesity Medicine physician, Dr Cee Nicole has seen first-hand how overweight and obesity impact every aspect of a person's health.Dr Cee Nicole was founded to help create an individualized weight management approach unique to each person we aim to treat.  Dr Cee Nicole is currently working on Sweet Defeat The Game, an action-adventure mobile application that teaches healthy choices through gamification, and Weight a Minute Clinic, a telehealth weight management practice.Support the showyoutube.com/thetruthnochaserthtruthnochaser.comhttps://www.instagram.com/truth_no_chaser/

Before getting into this new podcast, have you checked out the recent newsletter editions of Ground Truths?—how are gut microbiome drives sugar cravings—the influence of sleep on brain waste clearance and aging—the new findings of microplastics in the brain—the surprise finding about doctors and A.I.In this podcast with Dr. Emily Silverman, an internist and founder of The Nocturnists, an award winning podcast and live show, we discuss what inspired her in medicine, what led to her disillusionment, the essentiality of storytelling, of recognizing uncertainty, the limits of A.I., and promoting humanity in medicine. The audio is available on iTunes and Spotify. The full video is linked here, at the top, and also can be found on YouTube.“Storytelling is medicine's currency. Storytelling is not just an act of self-healing; it may actually create better physicians.”—Emily SilvermanTranscript with links to audio and relevant publications, websitesEric Topol (00:07):Well, hello. This is Eric Topol with Ground Truths, and with me, I am delighted to welcome Dr. Emily Silverman, who is Assistant Volunteer Professor of Medicine at UCSF, an old training grounds for me. And we're going to talk about some of the experience she's had there and she is the Founder of the remarkably recognized podcast, The Nocturnists. It's more than a podcast folks. We'll talk about that too. So Emily, welcome.Emily Silverman (00:40):Thank you for having me.Inspiration by Kate McKinnonEric Topol (00:42):Yeah. Well, I thought I would go back to perhaps when we first synapsed, and it goes back to a piece you wrote in JAMA about going to the Saturday Night Live (SNL) with Kate McKinnon. And it was one of my favorite columns, of course, it brought us together kind of simpatico because you were telling a story that was very personal, and a surprise factor added to it. We'll link to it. But it said, ‘Sometime in 2016, I fell in love with SNL comedian Kate McKinnon.' You wrote, ‘It was something about her slow-mo swagger; her unilateral dimple, flickering in and out of existence; the way she drinks up her characters and sweats them from her pores.' I mean, you're an incredible writer, no less podcast interviewer, organizer, doctor. And you talked about my sterile clinical life, which was kind of maybe a warning of things to come and about the fact that there's two very different career paths, comedy and medicine. One could argue they are in essence the same. So maybe you could tell us about that experience and about Kate McKinnon who, I mean, she's amazing.Emily Silverman (02:09):You're making me blush. Thank you for the kind words about the piece and about the writing, and I'm happy to give you a bit of background on that piece and where it came from. So I was in my internal medicine residency at UCSF and about halfway through residency really found myself hitting a wall. And that is actually what gave birth to The Nocturnists, which is the medical storytelling program that I run. But I think another symptom of my hitting that wall, so to speak, and we can talk more about what exactly that is and what that means, was me really looking outside of medicine and also outside of my typical day-to-day routine to try to find things that were a part of me that I had lost or I had lost touch with those aspects of myself. And one aspect of myself that I felt like I had lost touch to was my humorous side, my sense of humor, my silly side even you could say.Emily Silverman (03:17):And throughout my life I have this pattern where when I'm trying to get back in touch with a side of myself, I usually find somebody who represents that and sort of study it, I guess you could say. So in this case, for whatever reason that landed on Kate McKinnon, I just loved the surrealism of her comedy. I loved how absurd she is and loved her personality and so many things. Everything that you just read and really found her and her comedy as an escape, as a way to escape the seriousness of what I was doing on a day-to-day basis in the hospital and reconnect with those humorous sides of myself. So that's the understory. And then the story of the article is, I happened to be traveling to New York for a different reason and found myself standing in line outside of 30 Rock, hoping to get into Saturday Night Live. And there was basically a zero chance that we were going to get in. And part of the reason why is the musical guest that week was a K-pop band called BTS, which is one of the most famous bands in the world. And there were BTS fans like camped out in three circles around 30 Rock. So that week in particular, it was especially difficult to get in. There was just too many people in line. And we were at the very end of the line.Eric Topol (04:43):And it was in the pouring rain, too.Emily Silverman (04:45):And it was pouring rain. And my husband, God bless him, was there with me and he was like, what are we doing? And I was like, I don't know. I just have a feeling that we should stay in line, just go with it. So we did stay in line and then in the morning we got a number, and the way it works is you get your number and then that evening you show up with your number and our number was some crazy number that we weren't going to get in. But then that evening when we went back with our number to wait in line again to get in, what ended up happening is a young woman in the NBC gift shop, she passed out in the middle of the gift shop and I was right there. And so, I went over to her and was asking her questions and trying to help her out.Emily Silverman (05:27):And fortunately, she was fine. I think she just was dehydrated or something, and the security guards were so appreciative. And the next thing I knew, they were sweeping me backstage and up a staircase and in an elevator and they said, thank you so much for your service, welcome to Saturday Night Live. So it became this interesting moment where the very thing that I had been escaping from like medicine and serving and helping people ended up being the thing that gave me access, back to that side of myself, the humorous side. So it was just felt kind of cosmic, one of those moments, like those butterfly wing flapping moments that I decided to write about it and JAMA was kindly willing to publish it.Eric Topol (06:15):Well, it drew me to you and recognize you as quite an extraordinary talent. I don't know if you get recognized enough for the writing because it's quite extraordinary, as we'll talk about in some of your other pieces in the New York Times and in other JAMA journals and on and on. But one thing I just would note is that I resort to comedy a lot to deal with hard times, like the dark times we're in right now, so instead of watching the news, I watch Jimmy Kimmel's monologue or Colbert's monologue or the Comedy Show, anything to relieve some of the darkness that we're dealing with right at the moment. And we're going to get back to comedy because now I want to go back, that was in 2019 when you wrote that, but it was in 2016 when you formed The Nocturnists. Now, before you get to that critical path in your career of this new podcast and how it blossomed, how it grew is just beyond belief. But maybe you could tell us about your residency, what was going on while you were a medical resident at UCSF, because I can identify with that. Well, like any medical residency, it's pretty grueling experience and what that was like for you.Medical ResidencyEmily Silverman (07:45):There were so many wonderful positive aspects of residency and there were so many challenges and difficult aspects of residency. It's all mixed up into this sticky, complicated web of what residency was. On the positive side, some of the most amazing clinicians I've ever met are at UCSF and whether that was seasoned attendings or chief residents who they just seemed to have so many skills, the clinical, the research, the teaching, just amazing, amazing high caliber people to learn from. And of course, the patient population. And at UCSF, we rotate at three different hospitals, the UCSF hospital, the SF General Hospital, which is the public county hospital and the VA hospital. So having the opportunity to see these different patient populations was just such a rich clinical and storytelling opportunity. So there was a lot there that was good, but I really struggled with a few things.Emily Silverman (08:48):So one was the fact that I spent so much of my sitting in front of a computer, and that was not something that I expected when I went into medicine when I was young. And I started to learn more about that and how that happened and when that changed. And then it wasn't just the computer, it was the computer and other types of paperwork or bureaucratic hurdles or administrative creep and just all the different ways that the day-to-day work of physicians was being overtaken by nonclinical work. And that doesn't just mean thinking about our patients, but that also means going to the bedside, sitting with our patients, getting to know them, getting to know their families. And so, I started to think a lot about clinical medicine and what it really means to practice and how that's different from how it was 10, 20, 40 years ago.Emily Silverman (09:43):And then the other part of it that I was really struggling with was aspects of medical culture. The fact that we were working 80 hour weeks, I was working 28 hour shifts every fourth night, every other month. And the toll that took on my body, and I developed some health issues as a result of that and just felt in a way, here I am a doctor in the business of protecting and preserving health and my own health is kind of being run into the ground. And that didn't make sense to me. And so, I started asking questions about that. So there was a lot there. And at first I thought, maybe this is a me thing or maybe this is a California thing. And eventually I realized this was a national thing and I started to notice headlines, op-eds, articles, even pre-Covid about the epidemic of clinician burnout in this country.Emily Silverman (10:40):And there are so many different facets to that. There's the moral injury aspect of it, there's the working conditions and understaffing aspect of it. I learned about how physicians were starting to think about unionizing, which was something that had not really been in the physician, I think consciousness 20, 40 years ago. So just started learning a lot about how medicine had evolved and was continuing to evolve and felt myself wanting to create a space where people could come together and tell stories about what that was like and what their experience was. And that was the birth of The Nocturnists. But I guess that wasn't really your question. Your question was about residency.Birth of The NocturnistsEric Topol (11:20):That's a good answer actually. It kind of gives the background, lays the foundation of how you took a fork in the road here, which we're going to get into now. We're going to link to The Nocturnists website of course, but you have an intro there about, ‘shatter the myth of the “physician God” reveal the truth: that healthcare workers are human, just like everyone else, and that our humanity is our strength, not our weakness.' And that's a very deep and important point that you make to get people interested in The Nocturnists. But now you finished your residency, you're now on the faculty, assistant professor at UCSF, and then you have this gathering that you hadn't already named it the Nocturnists yet had you?Emily Silverman (12:15):I named it in residency.Eric Topol (12:17):Oh, okay in residency. So this was even before you had finished, you started the podcast before you finished?Emily Silverman (12:25):Correct. Before we were a podcast, we were a live show. So the very first live show was in 2016, so I consider that the birth year of the program. And then I graduated residency in 2017, so I started it about halfway through residency.Eric Topol (12:39):Got it. So tell us about that first live show. I mean, that's pretty amazing. Yeah.Emily Silverman (12:46):Yeah. I went to a live taping of The Moth in San Francisco, which some of your listeners may know. The Moth is a live storytelling show in the US, it's often on the radio on NPR. You may have heard it. It's a very ancient way of telling stories. It's more like monologues, people standing up on stage and just spontaneously telling a story the way you would around a campfire or something like that. It's not hyper scripted or anything like that. So I came out of that event feeling really inspired, and I had always loved live performance and live theater. I grew up going to the theater and ended up deciding that I would try that with my community, with the clinicians in my community. So the very first show that we did was in 2016, it was about 40 people in this living room of this Victorian mansion in San Francisco.Emily Silverman (13:42):It was a co-op where different people lived. In the living space, they occasionally rented out for meetings and presentations and gatherings, and it was like $90. So I rented that out and people came and residents, physician residents told stories, but a couple of faculty came and told stories as well. And I think that was a really nice way to set the stage that this wasn't just a med student thing or a resident thing, this was for everybody. And there was definitely an electricity in the air at the show. I think a lot of people were experiencing the same thing I was experiencing, which was having questions about the medical system, having questions about medical culture, trying to figure out how they fit into all of that, and in my case, missing my creative side, missing my humorous side. And so, I think that's the reason people came and showed up was that it wasn't just a night out of entertainment and coming was really more out of a hunger to reconnect with some aspect of ourselves that maybe gets lost as we go through our training. So that was the first show, and people kept asking, when are you going to do another one? When are you going to do another one? The rest is history. We have done many shows since then. So that was the beginning.Eric Topol (14:58):Well, you've been to many cities for live shows, you sold out hundreds and hundreds of seats, and it's a big thing now. I mean, it's been widely recognized by all sorts of awards, and the podcast and the shows. It's quite incredible. So a derivative of The Moth to medicine, is it always medical people telling stories? Does it also include patients and non-medical people?Emily Silverman (15:28):So we're nine years in, and for the first several years, this question came up a lot. What about the patient voice? What about the patient perspective? And the way that I would respond to that question was two ways. First, I would say the line between doctor and patient isn't as bright as you would think. Doctors are also patients. We also have bodies. We also have our own medical and psychiatric conditions and our own doctors and providers who take care of us. So we're all human, we're all patients. That said, I recognize that the doctor, the clinician has its own unique place in society and its own unique perspective. And that's really what I was trying to focus on. I think when you're making art or when you're making a community, people ask a lot about audience. And for me, for those first several years, I was thinking of The Nocturnists as a love letter by healthcare to healthcare. It was something that I was making for and with my community. And in recent months and years, I have been wondering about, okay, what would a new project look like that pulls in the patient voice a bit more? Because we did the clinician thing for several years, and I think there's been a lot of wonderful stories and material that's come out of that. But I'm always itching for the next thing. And it was actually an interview on the podcast I just did with this wonderful person, Susannah Fox.Eric Topol (17:04):Oh yeah, I know Susannah. Sure.Emily Silverman (17:04):Yeah. She was the chief technology officer at the Department of Health and Human Services from 2015 to 2017, I want to say. And she wrote a book called Rebel Health, which is all about patients who weren't getting what they needed from doctors and researchers and scientists. And so, they ended up building things on their own, whether it was building medical devices on their own, on the fringes or building disease registries and communities, online disease communities on their own. And it was a fabulous book and it was a fabulous interview. And ever since then I've been thinking about what might a project look like through The Nocturnists storytelling ethos that centers and focuses on the patient voice, but that's a new thought. For the first several years, it was much more focused on frontline clinicians as our audience.Why is Storytelling in Medicine so Important?Eric Topol (17:55):And then I mean the storytelling people that come to the shows or listen to the podcast, many of them are not physicians, they're patients, all sorts of people that are not part of the initial focus of who's telling stories. Now, I want to get into storytelling. This is, as you point out in another JAMA piece that kind of was introducing The Nocturnists to the medical community. We'll link to that, but a few classic lines, ‘Storytelling is medicine's currency. Storytelling is not just an act of self-healing; it may actually create better physicians.' And then also toward the end of the piece, “Some people also believe that it is unprofessional for physicians to be emotionally vulnerable in front of colleagues. The greater risk, however, is for the healthcare professional to appear superhuman by pretending to not feel grief, suffer from moral distress, laugh at work, or need rest.” And finally, ‘storytelling may actually help to humanize the physician.' So tell us about storytelling because obviously it's one of the most important, if not the most important form of communication between humans. You nailed it, how important it is in medicine, so how do you conceive it? What makes it storytelling for you?Emily Silverman (19:25):It's so surreal to hear you read those words because I haven't read them myself in several years, and I was like, oh, what piece is he talking about? But I remember now. Look, you on your program have had a lot of guests on to talk about the massive changes in medicine that have occurred, including the consolidation of it, the corporatization of it, the ways in which the individual community practice is becoming more and more endangered. And instead what's happening is practices are getting gobbled up and consolidated into these mega corporations and so on and so forth. And I just had on the podcast, the writer Dhruv Khullar, who wrote a piece in the New Yorker recently called the Gilded Age of Medicine is here. And he talks a lot about this and about how there are some benefits to this. For example, if you group practices together, you can have economies of scale and efficiencies that you can't when you have all these scattered individual self-owned practices.Emily Silverman (20:26):But I do think there are risks associated with the corporatization of healthcare. The more that healthcare starts to feel like a conveyor belt or a factory or fast food like the McDonald's of healthcare, MinuteClinic, 15 minutes in and out, the more that we risk losing the heart and soul of medicine and what it is; which is it's not as simple as bringing in your car and getting an oil change. I mean, sometimes it is. Sometimes you just need a strep swab and some antibiotics and call it a day. But I think medicine at its best is more grounded in relationships. And so, what is the modern era of medicine doing to those relationships? Those longitudinal relationships, those deeper relationships where you're not just intimately familiar with a patient's creatinine trend or their kidney biopsy results, but you know your patient and their family, and you know their life story a little bit.Emily Silverman (21:26):And you can understand how the context of their renal disease, for example, fits into the larger story of their life. I think that context is so important. And so, medicine in a way is, it is a science, but it's also an art. And in some ways it's actually kind of an applied science where you're taking science and applying it to the messy, chaotic truth of human beings and their families and their communities. So I think storytelling is a really important way to think of medicine. And then a step beyond that, not just with the doctor patient interaction, but just with the medical community and medical culture at large. I think helping to make the culture healthier and get people out of this clamped down place where they feel like they have to be a superhuman robot. Let's crack that open a little bit and remind ourselves that just like our patients are human beings, so are we. And so, if we can leverage that, and this is also part of the AI conversation that we're having is like, is AI ever going to fully substitute for a physician? Like, well, what does a physician have that AI doesn't? What does a human being have that a machine doesn't? And I think these are really deep questions. And so, I think storytelling is definitely related to that. And so, there's just a lot of rich conversation there in those spaces, and I think storytelling is a great way into those conversations.Eric Topol (22:57):Yeah. We'll talk about AI too, because that's a fascinating future challenge to this. But while you're talking about it, it reminds me that I'm in clinic every week. My fellow and I have really worked on him to talk to the patients about their social history. They seem to omit that and often times to crack the case of what's really going on and what gets the patient excited or what their concerns are really indexed to is learning about what do they do and what makes them tick and all that sort of thing. So it goes every which way in medicine. And the one that you've really brought out is the one where clinicians are telling their stories to others. Now you've had hundreds and hundreds of these physician related stories. What are some of the ones that you think are most memorable? Either for vulnerability or comedy or something that grabbed you because you've seen so many, and heard so many now.A Memorable StoryEmily Silverman (24:02):It's true. There have been hundreds of physician stories that have come through the podcast and some non-physician. I mean, we are, because I'm a doctor, I find that the work tends to be more focused around doctors. But we have brought in nurses and other types of clinicians to tell their stories as well, particularly around Covid. We had a lot of diversity of healthcare professionals who contributed their stories. One that stands out is dialogue that we featured in our live show. So most of our live shows up until that point had featured monologues. So people would stand on stage, tell their story one by one, but for this story, we had two people standing on stage and they alternated telling their story. There was a little bit more scripting and massaging involved. There was still some level of improvisation and spontaneity, but it added a really interesting texture to the story.Emily Silverman (24:58):And basically, it was a story of these two physicians who during Covid, one of them came out of retirement and the other one I think switched fields and was going to be doing different work during Covid as so many of us did. And they were called to New York as volunteers and ended up meeting in the JFK airport in 2020 and it was like an empty airport. And they meet there and they start talking and they realize that they have all these strange things in common, and they sit next to each other on the plane and they're kind of bonding and connecting about what they're about to do, which is go volunteer at the peak of Covid in New York City, and they end up staying in hotels in New York and doing the work. A lot of it really, really just harrowing work. And they stay connected and they bond and they call each other up in the evenings, how was your day? How was your day? And they stay friends. And so, instead of framing it in my mind as a Covid story, I frame it more as a friendship story. And that one just was really special, I think because of the seriousness of the themes, because of the heartwarming aspect of the friendship and then also because of the format, it was just really unusual to have a dialogue over a monologue. So that was one that stood out. And I believe the title of it is Serendipity in Shutdown. So you can check that out.Eric Topol (26:23):That's great. Love it. And I should point out that a lot of these clinical audio diaries are in the US Library of Congress, so it isn't like these are just out there, they're actually archived and it's pretty impressive. While I have you on some of these themes, I mean you're now getting into some bigger topics. You mentioned the pandemic. Another one is Black Voices in Healthcare, and you also got deep into Shame in Medicine. And now I see that you've got a new one coming on Uncertainty in Medicine. Can you give us the skinny on what the Uncertainty in Medicine's going to be all about?Uncertainty in MedicineEmily Silverman (27:14):Yes. So the American Board of Internal Medicine put out a call for grant proposals related to the topic of uncertainty in medicine. And the reason they did that is they identified uncertainty as an area of growth, an area where maybe we don't talk about it enough or we're not really sure how to tolerate it or handle it or teach about it or work with it, work through it in our practice. And they saw that as an area of need. So they put out this call for grants and we put together a grant proposal to do a podcast series on uncertainty in medicine. And we're fortunate enough to be one of the three awardees of that grant. And we've been working on that for the last year. And it's been really interesting, really interesting because the place my mind went first with uncertainty is diagnostic uncertainty.Emily Silverman (28:07):And so, we cover that. We cover diagnostic odyssey and how we cope with the fact that we don't know and things like that. But then there's also so many other domains where uncertainty comes up. There's uncertainties around treatment. What do we do when we don't know if the treatment's working or how to assess whether it's working or it's not working and we don't know why. Or managing complex scenarios where it's not clear the best way to proceed, and how do we hold that uncertainty? Prognostic uncertainty is another area. And then all of the uncertainty that pops up related to the systems issues in healthcare. So for example, we spoke to somebody who was diagnosed with colon cancer, metastatic to the liver, ended up having a bunch of radiation of the mets in the liver and then got all this liver scarring and then got liver failure and then needed a liver transplant and saw this decorated transplant surgeon who recommended the transplant was already to have that done.Emily Silverman (29:06):And then the insurance denied the liver transplant. And so, dealing with the uncertainty of, I know that I need this organ transplant, but the coverage isn't going to happen, and the spoiler alert is that he ended up appealing several times and moving forward and getting his transplant. So that one has a happy ending, but some people don't. And so, thinking about uncertainty coming up in those ways as well for patients. So for the last year we've been trying to gather these stories and organize them by theme and figure out what are the most salient points. The other exciting thing we've done with the uncertainty series is we've looked to people outside of medicine who navigate high uncertainty environments to see if they have any wisdom or advice to share with the medical community. So for example, we recently interviewed an admiral in the Navy. And this person who was an admiral in the Navy for many years and had to navigate wartime scenarios and also had to navigate humanitarian relief scenarios and how does he think about being in command and dealing with people and resources and it is life or death and holding uncertainty and managing it.Emily Silverman (30:18):And he had a lot of interesting things to say about that. Similarly, we spoke to an improvisational dancer who his whole job is to get on stage and he doesn't know what's going to happen. And to me, that sounds terrifying. So it's like how do you deal with that and who would choose that? And so, that's been really fun too, to again, go outside the walls of medicine and see what we can glean and learn from people operating in these different contexts and how we might be able to apply some of those.Eric Topol (30:51):Yeah, I mean this is such a big topic because had the medical community been better in communicating uncertainties in medicine, the public trust during the pandemic could have been much higher. And this has led to some of the real challenges that we're seeing there. So I'm looking forward to that series of new additions in The Nocturnists. Now, when you get this group together to have the live show, I take it that they're not rehearsed. You don't really know much about what they're going to do. I mean, it's kind of like the opposite, the un-TED show. TED Talk, whereby those people, they have to practice in Vancouver wherever for a whole week. It's ridiculous. But here, do you just kind of let them go and tell their story or what?Emily Silverman (31:44):In the beginning it was more open mic, it was more let them go. And then as the years went on, we moved more toward a TED model where we would pair storytellers with a story coach, and they would work together pretty intensively in the six to eight weeks leading up to the event to craft the story. That said, it was very important to us that people not recite an essay that they memorized word for word, which surprise, surprise physicians really love that idea. We're like, we're so good at memorization and we love certainty. We love knowing word for word what's going to come. And so, it's really more of this hybrid approach where we would help people get in touch with, all right, what are the five main beats of your story? Where are we opening? Where are we closing? How do we get there?Emily Silverman (32:34):And so, we'd have a loose outline so that people knew roughly what was going to, but then it wasn't until the night of that we'd fill in the blanks and just kind of see what happens. And that was really exciting because a lot of unexpected things happened. Certain stories that we thought would be really comedic ended up landing with a much more serious and thoughtful tone and vice versa. Some of the stories that we thought were really heavy would unexpectedly get laughs in places that we didn't expect. So I think the magic of live audience is, I guess you could say uncertainty of not quite knowing what's going to happen, and sort of a one time night.Eric Topol (33:17):I'd like to have a storytelling coach. That'd be cool. I mean, we could always be better. I mean, it takes me back to the first story you told with the Saturday Night Live and Kate McKinnon, you told the story, it was so great. But to make telling your story, so it's even more interesting, captivating and expressing more emotion and vulnerability and what makes the human side. I mean, that's what I think we all could do, you never could do it perfectly. I mean, that's kind of interesting how you organize that. Alright, well now I want to go back to your career for a moment because you got into The Nocturnists and these shows and you were gradually, I guess here we are in the middle and still a global burnout, depression, suicide among clinicians, especially physicians, but across the board. And you're weaning your time as a faculty member at UCSF. So what was going through your mind in your life at that time? I guess that takes us to now, too.A Career MoveEmily Silverman (34:36):Yeah, when I was a little kid, I always wanted to doctor and fully intended when I went to med school and residency to find my way as a physician and didn't really think I would be doing much else. I mean, I'd always love reading and writing and the arts, but I never quite thought that that would become as big of a piece of my career as it has become. But what ended up happening is I finished residency. I took a job in the division of hospital medicine at SF General and worked as a hospitalist for about four years and was doing that and balancing with my medical storytelling nonprofit and eventually realized that it wasn't quite working, it wasn't the right fit. And ended up taking a step back and taking a little break from medicine for a while to try to figure out how am I going to balance this?Emily Silverman (35:26):Am I going to shift and go full medicine and retire The Nocturnists? Am I going to go full art, creative journalism, writing and leave clinical medicine behind? Or am I going to continue to proceed in this more hybrid way where I do a little bit of practicing, and I do a little bit of creative on the side? And thus far, I have continued to pursue that middle road. So I ended up starting a new outpatient job, a part-time job that's actually outside of UCSF. I'm still on faculty at UCSF, but my practice now is in private practice. And so, I do that two days a week and it feeds me in a lot of ways and I'm really glad that I've continued to keep that part of myself alive. And then the rest of the days of the week I work from home and some of that is charting and doing clinical work and some of that time is podcasting and working on these other creative projects. So that's where I've landed right now. And I don't know what it will look like in 5, 10, 20 years, but for now it seems to be working.Taking On EpicEric Topol (36:31):Yeah. Well, I think it's great that you've found the right kind of balance and also the channel for getting your exceptional talent, your niche if you will, in medicine to get it out there because people I think are really deriving a lot of benefit from that. Now, another piece you wrote in the New York Times, I just want to touch on because it is tied to the burnout story. This was a great op-ed, Our Hospital's New Software Frets About My ‘Deficiencies' and I want to just warn the listeners or readers or watchers that Epic, this company that you wrote about has non-disparaging agreements with hospitals, censors hospitals and doctors to say anything bad about Epic. So when anybody ever writes something, particularly if it's published in a widely read place, the Epic company doesn't like that and they squash it and whatnot. So what was in your mind when you were writing this op-ed about Epic?Emily Silverman (37:39):So this came out of personal experience that I had where, and maybe this is some of the reason why the hospital medicine work wore me down so much is the frequent messages and alerts and popups just having a lot of fatigue with that. But also what the popups were saying, the language that they used. So you'd open up your electronic chart and a message would pop up and it would say, you are deficient, or it would say you are a delinquent. And it was this scary red box with an upside down exclamation point or something. And it really started to get to me, and this was definitely in that phase of my life and career where I was peak burnout and just kind of raging into the machine a little bit, you could say, I think right now I'm somewhat past that. I think part of the reason why is, I've been able to get myself out into a more sustainable situation, but ended up, it actually came out of me, this piece poured out of me one night.Emily Silverman (38:37):It was like two, three in the morning and my laptop was open and I was laying in bed and my husband was like, go to sleep, go to sleep. And I said, no, this wants to come out, these moments where things just, you just want to give birth, I guess, to something that wants to come out. So I wrote this long piece about Epic and how tone deaf these messages are and how clinicians are, they're working really hard in a really difficult system and just the lack of sensitivity of that language and ended up pitching that to the New York Times. And I think there was something in there that they appreciated about that. There was some humor in there actually. Maybe my Kate McKinnon side came out a little bit. So yes, that piece came out and I think I did get a message or two from a couple folks who worked at Epic who weren't thrilled.Eric Topol (39:33):They didn't threaten to sue you or anything though, right?Emily Silverman (39:35):They didn't. NoEric Topol (39:37):Good.Emily Silverman (39:37):Fortunately, yeah.Medicine and A.I.Eric Topol (39:38):Yeah. Wow. Yeah, it was great. And we'll link to that, too. Now, as they say in comedy, we're going to have a callback. We're going to go to AI, which we talked about and touched on. And of course, one of the things AI is thought that it could help reduce the burden of data clerk work that you've talked about and certainly affected you and affects every person in working in medicine. But I wanted to get to this. For me, it was like a ChatGPT moment of November 2022. Recently, I don't know if you've ever delved into NotebookLM.Emily Silverman (40:18):I have.Eric Topol (40:19):Okay, so you'll recognize this. You put in a PDF and then you hit audio and it generates a podcast of two agents, a man and a woman who are lively, who accurately take, it could be the most complex science, it could be a book, and you can put 50 of these things in and they have a really engaging conversation that even gets away from some of the direct subject matter and it's humanoid. What do you think about that?Emily Silverman (40:57):Well, a lot of what I know about AI, I learned from your book, Eric. And from the subsequent conversation that we had when you came on my podcast to talk about your book. So I'm not sure what I could teach you about this topic that you don't already know, but I think it's a deeply existential question about what it means to be human and how machine intelligence augments that, replaces that, threatens that. I don't really know how to put it. I had Jamie Metzl on the podcast. He's this great historian and science policy expert, and he was saying, I don't like the phrase artificial intelligence because I don't think that's what we're making. I think we're making machine intelligence and that's different from human intelligence. And one of the differences is human beings have physical bodies. So being a human is an embodied experience.Emily Silverman (41:57):A machine can't enjoy, I was going to say a cheeseburger and I was like, wait, I'm talking to a cardiologist. So a machine intelligence being can't enjoy a cucumber salad, a machine intelligence can't feel the endorphins of exercise or have sex or just have all of these other experiences that human beings have because they have bodies. Now, does empathy and emotion and human connection and relationships also fall into that category? I don't know. What is the substrate of empathy? What is the substrate of human connection and relationships and experience? Can it be reduced to zeros and ones or whatever, quantum computing, half zeros and half ones existing simultaneously on a vibrating plane, or is there something uniquely human about that? And I actually don't know the answer or where the edges are. And I think in 5, 10, 20 years, we'll know a lot more about what that is and what that means.Emily Silverman (42:55):What does that mean for medicine? I don't know about the human piece of it, but I think just practically speaking, I believe it will transform the way that we do medicine on so many levels. And this is what your book is about. Some of it is image analysis and EKG analysis, X-ray analysis and MRI analysis. And some of it is cognition, like diagnostic reasoning, clinical reasoning, things like that. I already use OpenEvidence all the time. I don't know if you use it. It's this basically a search engine kind of GPT like search engine that's trained on high quality medical evidence. I'm always going to OpenEvidence with questions. And I actually saw a headline recently, oh gosh, I'll have to fish it out and email it to you and you can link it in the show notes. But it's a little bit about how medical education and also medical certification and testing is going to have to quickly bring itself up to speed on this.Emily Silverman (43:56):The USMLE Step 1 exam, which all physicians in the US have to pass in order to practice medicine. When I took it anyway, which was back in I think 2012, 2013, was very recall based. It was very much based on memorization and regurgitation. Not all, some of it was inference and analysis and problem solving, but a lot of it was memorization. And as you said, I think Eric on our interview on my podcast, that the era of the brainiac memorizing Doogie Howser physician is over. It's not about that anymore. We can outsource that to machines. That's actually one of the things that we can outsource. So I'm excited to see how it evolves. I hope that medical schools and hospitals and institutions find ways safely, of course, to embrace and use this technology because I think it can do a lot of good, which is also what your book is about, the optimistic lens of your book.Eric Topol (44:55):Well, what I like though is that what you're trying to do in your work that you're passionate about is bringing back and amplifying humanity. Enriching the humanity in medicine. Whether that's physicians understanding themselves better and realizing that they are not just to be expected to be superhuman or non-human or whatever, to how we communicate, how we feel, experience the care of patients, the privilege of care of patients. So that's what I love about your efforts to do that. And I also think that people keep talking about artificial general intelligence (AGI), but that's not what we are talking about here today. We're talking about human emotions. Machines don't cry, they don't laugh. They don't really bond with humans, although they try to. I don't know that you could ever, so this fixation on AGI is different than what we're talking about in medicine. And I know you're destined to be a leader in that you already are. But I hope you'll write a book about medical storytelling and the humanity and medicine, because a natural for this and you're writing it is just great. Have you thought about doing that?Emily Silverman (46:24):It's very kind of you to say. I have thought about if I were to embark on a book project, what would that look like? And I have a few different ideas and I'm not sure. I'm not sure. Maybe I'll consult with you offline about that.Eric Topol (46:42):Alright, well I'd like to encourage you because having read your pieces that some of them cited here you have it. You really are a communicator extraordinaire. So anyway, Emily, thank you for joining today. I really enjoyed our conversation and your mission not just to be a physician, which is obviously important, but also to try to enhance the humanity in medicine, in the medical community particularly. So thank you.Emily Silverman (47:14):Thank you. Thank you for having me.***************************************Thanks for listening, watching or reading Ground Truths. Your subscription is greatly appreciated.If you found this podcast interesting please share it!That makes the work involved in putting these together especially worthwhile.All content on Ground Truths—newsletters, analyses, and podcasts—is free, open-access.Paid subscriptions are voluntary and all proceeds from them go to support Scripps Research. They do allow for posting comments and questions, which I do my best to respond to. Many thanks to those who have contributed—they have greatly helped fund our summer internship programs for the past two years. And such support is becoming more vital In light of current changes of funding by US biomedical research at NIH and other governmental agencies. Get full access to Ground Truths at erictopol.substack.com/subscribe

Medicare's largest accountable care program saved the federal government more than $2 billion dollars last year. CVS bucks the retail-healthcare contraction trend and announces expanded primary care services for its Aetna members at its MinuteClinic locations in certain markets. And, Cigna's CEO brushes off Humana purchase rumors in a call to investors. We'll get that story—and more—coming up on today's episode of the Gist Healthcare podcast. Hosted on Acast. See acast.com/privacy for more information.

Watch this episode on YouTube. This week, we're diving into the latest developments in Biden's campaign. We'll discuss George Clooney's impactful op-ed and Nancy Pelosi's call for Biden to make a definitive decision. Tune in for insightful analysis and updates! Time Stamps: 11:08 | 2024 & Joe Biden 51:44 | SCOTUS

Host: Megan Antonelli Guest: Cris Ross Mayo Clinic CIO Cris Ross delves into the transformative evolution of healthcare, from the pioneering days of Minute Clinic to the forefront of digital innovation at Mayo. With keen insights drawn from personal experience as a cancer survivor and healthcare leader, Ross explores the imperative shift from process-centric to patient-centric care delivery. He reveals groundbreaking advancements in AI technology, highlighting Mayo's collaborations with industry giants like Google to revolutionize patient-clinician interactions. Ross's vision for the future of healthcare promises a paradigm shift towards seamless integration, personalized care, and empowered patient experiences. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen/

About  Ann Louise Puopolo:Ann Louise is an accomplished and highly respected safety professional and has held many prestigious positions, including Vice President of Enterprise Patient Safety and the Enterprise PSO LLC at CVS Health (until her retirement in 2020) and Vice President of Patient Safety for CRICO (Risk Management Foundation of the Harvard Medical Institutions). More recently, she has been serving as the Chair of the RLDatix Customer Advisory Board since 2022.She calls Boston, MA, home and is an active board member of many local healthcare organizations, including the Tufts Medicine Board of Directors' Committee on the Quality of Care (since June 2021), Vice-chair at Tufts Medical Center Board of Directors' Committee on the Quality of Care (since 2018), and the Board of Directors for the Alliance for Quality Improvement and Patient Safety - the trade organization to PSOs (since 2013).Ann Louise has been a long-time collaborator with RLDatix. The relationship began while she was at CRICO, supporting the Harvard Medical School-affiliated institutions with their programs to mitigate risk and improve safety. When Ann Louise moved to CVS Health, she built out their patient safety program. She brought in RL6 to support their retail pharmacy, mail, specialty, infusion, long-term care pharmacies, and MinuteClinic needs.Ann Louise received a Bachelor of Science in Nursing degree from Vanderbilt University and practiced as a critical care nurse at Boston's Beth Israel Deaconess Hospital.Things You'll Learn:The COVID-19 pandemic has accentuated the healthcare staffing crisis, but its roots go much deeper. Nurses, the backbone of the healthcare system, often take on more than necessary and are underutilized, contributing to burnout. Ann Louise underscores the potential of technology and data analytics to optimize workforce utilization and enhance patient outcomes.Ann Louise stresses the importance of integrating systems to improve efficiency, highlighting the critical role of data insights in informed decision-making for providers and healthcare organizations.Recognizing the significance of involving frontline healthcare professionals like nurses in decision-making, we can foster a culture of innovation and problem-solving within healthcare organizations by giving them a voice and acknowledging their contributions.Resources:Connect with and follow Ann Louise on LinkedIn.Follow RLDatix on LinkedIn and visit their website.Reach out to Ann at Ann.Puopolo@RLDatix.com

Mayo Clinic CIO Cris Ross delves into the transformative evolution of healthcare, from the pioneering days of Minute Clinic to the forefront of digital innovation at Mayo. With keen insights drawn from personal experience as a cancer survivor and healthcare leader, Ross explores the imperative shift from process-centric to patient-centric care delivery. He reveals groundbreaking advancements in AI technology, highlighting Mayo's collaborations with industry giants like Google to revolutionize patient-clinician interactions. Ross's vision for the future of healthcare promises a paradigm shift towards seamless integration, personalized care, and empowered patient experiences.  Cris Ross, CIO, Mayo ClinicMegan Antonelli, CEO, HealthIMPACT

Buc-ee's broke ground on a new travel center in Virginia. CVS Health is closing 25 of its MinuteClinic locations in metro Los Angeles. And MAPCO launched a new quick-service restaurant at select locations.

As one of the founders of Minute Clinic, Steve Pontius knows a thing or two about successfully starting and running an innovative healthcare company. After CVS purchased Minute Clinic in 2006, Steve has gone on to work for a few different companies. His latest, HealtheMed, is helping break down barriers to healthcare access for the Medicaid waivered population in Minnesota.Steve joined in studio for this episode of the Medical Alley Podcast to share more about how HealtheMed is using its digital system to provide in-home care for Medicaid waivered patients through case managers. He also shares about the plans for growth for HealtheMed, the company's partnership with fellow Medical Alley member Accra, and how some of his lessons learned from founding Minute Clinic have helped with the work he's now doing at HealtheMed.Follow Medical Alley on social media on LinkedIn, Facebook, Twitter and Instagram.

Alan provides a new Thursday Thought episode. Alan shares a 3 minute clinic - to help other inventors - by spreading the word. Learn how to easily find the podcast and search episodes from our website. You can easily subscribe and tell other inventors about it. All it takes is 3 minutes of your time and 3 simple steps. Be sure to subscribe to the podcast on Apple Podcasts or wherever you get your podcasts, so you won't miss a single episode. Website: www.alanbeckley.com  

During Breast Cancer Awareness Month, the Advanced Reconstructive Surgery Alliance (ARSA) will meet for its annual summit and will bring together leading reconstructive surgeons from across the nation to review and share the latest advancements in breast reconstruction and other transformative care initiatives. Breast cancer affects millions of lives every year, and access to state-of-the-art medical technologies in breast reconstruction is essential for the holistic care of patients. Dr. Frank Dellacrose is a founding partner of the Center for Restorative Breast Surgery and St. Charles Surgical Hospital, the first hospital in the world dedicated to breast reconstruction for women affected by breast cancer.Last year over 100,000 Americans died after overdosing on opioids, including prescription pain medications. Rates of prescription drug abuse in the U.S. are alarmingly high, as are the number of accidental poisonings and overdoses due to these drugs. An estimated 16.7 million people used prescription drugs for a non-medical purpose in the last year. Of the non-medical users, nearly 70% obtained their pills from family and friends, a phenomenon known as diversion. Keeping unused, excess prescription pain medications in the home leaves households vulnerable to misuse, accidents and diversion, or the non-medical use of legally prescribed medications.To help fight the crisis, Inmar Intelligence is committed to providing a safe, convenient, and responsible means to dispose of unwanted prescription drugs, while also educating the public about the dangers of keeping unwanted prescription drugs in the home, including the potential for abuse and misuse.According to the Bureau of Labor Statistics, only 20% of people with disabilities, including those with autism, are employed – signaling an unemployment crisis for autistic individuals. October is National Disability Employment Awareness Month, and the emphasis on fostering an inclusive workplace and helping people with autism find employment remains critical.Autism Speaks recently launched Workplace Inclusion NowTM (WIN) 2.0, a workforce development program for employers, job seekers and community stakeholders committed to promoting diversity in hiring, creating an inclusive workplace and helping people on the spectrum find employment. WIN provides online training courses for employees of all backgrounds to raise awareness around neurodiverse thinking and communication styles, compiled and reviewed by a committee of autism experts, autistic adults, job coaches, corporate executives and DEIA leaders.Keith Wargo, CEO of Autism Speaks, discusses the employment crisis facing people with autism as well as resources and strategies for employers and potential employees.In California, most urban water use happens while watering outdoor landscapes. But saving water doesn't mean giving up on a beautiful yard! Fall is the ideal season for replanting and beginning a yard transformation to create outdoor landscapes that are water efficient, as well as attractive AND low maintenance.Master Gardener and conservation expert Cris Sarabia joins Michelle from the Long Beach Community Foundation Garden to share all the ways we can prepare for Fall and conserve water with a water-wise landscape."Pharmacists are trusted and accessible health care providers. They're committed to meeting patients' needs as respiratory illness season approaches and offer CDC-recommended vaccines for flu, RSV, COVID-19 and other common illnesses. The Centers for Disease Control and Prevention (CDC) recommends that individuals make plans to get vaccinated early in the fall, before respiratory illness season begins, and ideally by the end of October.·While many providers offer flu shots, CVS Pharmacy and MinuteClinic are good options because they're conveniently located and have evening and weekend hours.· Patients can quickly and easily make vaccination appointments for themselves or their families at CVS Pharmacy or MinuteClinic by visiting CVS.com, MinuteClinic.com, the CVS Pharmacy app, or they can walk-in when it's convenient for them.· Digital scheduling offers the scheduling of multiple patients at once, allowing families, caregivers, and other groups to get vaccinated together. Patients can also schedule multiple vaccinations in one appointment, such as the flu and COVID-19 vaccine.

  Thank you for tuning in to Episode 259 of the Down Cellar Studio Podcast. This week's segments included:   Off the Needles, Hook or Bobbins On the Needles, Hook or Bobbins From the Armchair Some Years Later Crafty Adventures KAL News Events Life in Focus Ask Me Anything On a Happy Note Quote of the Week   Thank you to this episode's sponsors: Enchanted Etchings   Off the Needles, Hook or Bobbins   Shock Star Hat Yarn: Spun Right Round Squish DK in the Shock Star colorway Needles: US 5 (3.75 mm) & US 7 (4.5 mm) Pattern: none Ravelry Project Page About the yarn: cream base with small bits of neons + black. 92 sts 130.5 meters for Stash Dash   Watermelon cozies Pattern: Ball Band (free pattern on Ravelry & LoveCrafts) & Ball Band with a Twist ($2 crochet pattern on Ravelry & LoveCrafts)  by Jennifer Lassonde Yarns: Loops & Threads Capri Eco Cotton in Colorway: Cranberry. Loops & Threads Everyday Cotton in Jade. Leftover scrubby yarn for lighter green Hooks: 3.75 mm (F) & 4.25 mm (G) Ravelry Project Page Inspiration- Ali (starryeyesali) posted a watermelon bowl she made with leftover yarn on Instagram Small Jar cozy (16 oz wide mouth Mason jars). All sc (like the original ball band pattern). 7 rounds of Jade, 2 rounds of light green, 9 rounds of red. Black "seeds" sewn in later. Large Jar cozy (24 oz wide mouth Mason jars)- following Ball Band with a Twist instructions. 6 rounds of bottom section in Jade. 2 rounds of light green and the rest in Red. Black "seeds" sewn in later. Large Jar cozy #2  (24 oz wide mouth Mason jars)-  rounds of Jade, 2 rounds of light green,  rest was done in red. Black "seeds" sewn in later. 156.4 meters for Stash Dash   Woolens and Nosh Socks Yarn: Woolens & Nosh Targee Socks- 2022 Advent Calendar Pattern: OMG Heel by Megan Williams ($5 Knitting Pattern available on Ravelry) Needles: US 1.5 (2.5 mm) Ravelry Project Page 20g mini in dark purple; used for cuff and heel. 285.8 meters for Stash Dash   Zebra Stripes Socks   Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry ) Yarn: Patons Kroy in the Zebra Stripes Colorway Needles: US 1.5 (2.5 mm) Ravelry Project Page 273.6 meters for Stash Dash   Children of Time Spinning Fiber: Into the Whirled Cheviot (4 oz) in the Children of Time colorway Twist direction: singles = Z plied = S This means when I'm spinning, my wheel is spinning clockwise and when plying my wheel is moving counter-clockwise. Ravelry Project Page 1 ply of Wool of the Andes in 2 colors of blue + 2 plies of Into the Whirled Skein 1= 94g. 116.91 yards or 106.9 meters Skein 2= 82g  120.3 yards, 110 meters Total meters of yarn 216.9 For Stash Dash= 4 x 216.9 = 867.6 meters   Purple Spring Spin Fiber: Fluffypuf #130 Hand Dyed Roving Batt Purple/Pink. 1.4 ounces. 50% BFL, 40% merino, 10% Tussah Silk. Twist direction: singles = Z plied = S This means when I'm spinning, my wheel is spinning clockwise and when plying my wheel is moving counter-clockwise. Ravelry Project Page 2 skeins of finished yarn with Fluffypuf & Kingdom Fleece & Fiber Works Skein 1- 66g. 80.97 yards or 74.04 meters Skein 2= 66g. 79.44 yards or 72.64 meters Total Meters= 146.68 I still had singles left of the Kingdom Fleece & Fiberworks fiber, so I plied that with some mystery purple singles. Skein 3: 28g. 54.44 yards or 49.78 meters Meters for Stash Dash- 49.78 x 4= 199.12 Total Meters for Stash Dash for all 3 skeins = 795.84   Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases.   On the Needles, Hook or Bobbins   Mini Skein Hexagon Blanket Pattern: Basic Crochet Hexagon Pattern & Tips from Make Do and Crew Website & YouTube Tutorial Hook: F (3.75 mm) Yarn: Mini skeins from 2022 agirlandherwool Advent Calendar, 24 Days of Cheer Swap minis + other scraps/swap yarn Ravelry Project Page I've been closing the end of each hexagon with this join- link to Instagram post 4 rounds per hexagon. 3.75 inches each. Likely need over 300 Twin sized blanket is 60x80 inches. 17x22 hexis- 374. Learned double magic circle from this YouTube video. The trick is to know how to pull both loops to tighten the loop. As of 7/25/23- 51' wide by 58" long. (13 x 17 hexis)   Silver Spoon Socks Yarn: A Whimsical Wood Yarn Company Pixie Toes Socks in the Silver Spoon Up My A$$ colorway Needles: US 1.5 (2.5 mm) Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry ) Ravelry Project Page Progress: on the foot of the first sock.   3 Christmas Stockings   Pattern: Christmas Stockings to Knit and Crochet from Family Circle Magazine. Available in this web archive link. I've also saved it to my podcast Gmail Google Drive in case it disappears! web.archive.org-Christmas Stockings to Knit and Crochet from Our Archives.pdf Yarn: Red Heart Super Saver in Cherry Red, Hunter Green and White Hook: G (4.0 mm) Ravelry Project Page Progress: I have 3 of the 4 front/back panels I need for the frist 2 done. The forth is onto the leg. I am going to crochet up 2 more and then iron them, and start seaming them.   Rainbow Crochet Crop Pattern: 100% improvised. Yarn: Lion Brand Re-up. Colors: Ecru, Red, Orange, Sunflower, Lime, Aqua, Lilac and Raspberry Hook: E (3.5 mm) Ravelry Project Page Wide, oversized crochet top that I completely improvised on the go. Thought I'd do all granny squares but didn't think I'd have enough yarn. Originally finished in June 2022, but it was too short and I only wore it once. Had hdc rows in rainbow colors at the bottom. Ripped all of that back and instead of doing 1 round of each color, I did 2. Extending beyond blue to include purple and pink.   My Little Unicorn Socks Yarn: Andre Sue Knits Sock Blank in the My Little Unicorn colorway Needles: US 1.5 (2.5 mm) Pattern: OMG Heel Socks by Megan Williams ($5 knitting pattern available on Ravelry ) Ravelry Project Page Gray background with white and pink unicorns that look like My Little Pony. My inner 80's child loved this one.   From the Armchair The Dead Romantics by Ashley Poston. Bookshop Affiliate Link. Amazon Affiliate Link. Local Woman Missing by Mary Kubica. Bookshop Affiliate Link. Amazon Affiliate Link. Recommended by Dan's cousin Melissa Just the Nicest Couple by Mary Kubica. Bookshop Affiliate Link. Amazon Affiliate Link.   Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases.   Some Years Later Mom sent 2 socks to be repaired. Her Knit Picks Felici Zen Socks had a hole in the foot. It was easy to repair with a bit of yarn. I washed them and they're ready to give back. I only finished these in May 2022, right before Mother's Day so these haven't held up very well. Click here for my Ravelry Project Page. I also did a blanket repair on a knitted blanket a friend's mother asked me to fix. I was assuming it was crochet, so the fact that it was knitted was a surprise. The section that was torn was part of a very long strip of knitting that was knit on the bias, so it was a little tricky but it was in garter stitch and I did a good job of pulling the stitches back up. Its not 100% invisible, but I'm happy with it. I have it washed and ready to return.   Crafty Adventures   Resin adventures with Gayle & Meagan for their Bucket List with a Twist. They made us aprons to wear while working that Bucket List with a Twist!   KAL News   Splash Pad Party 23: May 26-July 31, 2023 Sign up using this Google Form. To confirm you're signed up, check the Stats/Registration Spreadsheet here. Click here for the full list of Sponsors with all the links you need to their websites & social media. Many of our Sponsors are offering coupon codes. Find them here- Google Doc or Ravelry Thread. Tune in to hear if you won a participation prize. End of the event winners will be announced in Episode 260   Events   Stash Dash, hosted by Leslie & Laura of the Knit Girllls Video Podcast starts May 26th and runs through August 31, 2023. Check out details in the knit girllls discord My total as of this episode: 8,140 meters You can check out my Stash Dash 2023 Progress on this Google Sheet. Legacy Fiber Artz Knit Your Stash MAL- check out the details on the Treehouse Fiber Arts website Runs May 29- September 4, 2023 #legacyfiberartzknityourstashMal and #flashyourstash Crafty Bingo- Craft Cook Read Repeat Podcast May 26-September 4, 2023 Grab the Bingo card over on their Instagram feed The Grocery Girls are hosting Hot Granny Square Summer MAL. Check out details in their Ravelry Group & in Episode 183 on their YouTube Channel. Summer Sock Camp hosted in the Crazy Sock Lady Ravelry Group 5/26- 8/31/2023 Vermont Sheep & Wool: Sept 30 & Oct 1 at the Tunbridge Fairgrounds Check out some West Coast (US) Events on the Seattle Knitters Guild site (thanks Kristen- kips206)   Life in Focus After 3+ years I got Covid. Mom's July MRI & CT Scans show that the cancer has not grown/changed! Great news!   Ask Me Anything Tune in to hear my answers to these questions: AnnahB wants to know how many UFOs I have. (12 somewhat active + hibernations) MaysMomNH- How your Mom is doing. Elisa.Knits- How you pick yarn for sweaters and cardis please. Nali_Knits- what motivates you to keep knitting/podcasting after so many years? KGZKnits- Can we watch instead? Red-Christina- trying to knit men's cardigan for my grandpa- any suggestions? Classic Cardigan by Tin Can Knits. $8 knitting pattern on Ravelry or Tin Can Knits website. Slade by Michelle Wang (for Brooklyn Tweed). $10 pattern available on Ravelry; $9 on Brooklyn Tweed Website. Reading Cardigan by Jared Flood. $16 knitting pattern available on Ravelry & for $15 on Brooklyn Tweed website) DogMomKnits- Fall Knitting Plans- Pigskin Party (if there will be one) info? There will be a Pigskin Party. I'll be planning it very soon!   On a Happy Note After a day of resin crafts and pool time, Mom, Dad, Gayle, Meagan, Liz and I headed out for ice cream and then back for 2 round Tock match (Meagan & I won one, Gayle & Liz won one). I went to Minute Clinic to confirm I had Covid, but mostly to see if I also had strep throat, and was treated by my childhood bestie, Maribeth! Grateful for my own craft room with a comfy chair in a cool part of the house. Perfect for isolating and making sure Dan didn't get sick. I did go outside a bit on the weekend days. Dan brought up my wheel. I still spent a lot of time lying down between projects but it was nice to get out. I missed our nephew's 16th birthday pool party, though, so that was a bummer. Jeff was able to get an extra ticket for me to join he and Riley to see Lainey Wilson at the Mohegan Sun casino on Friday night! We had dinner, loved the show, got a cool Watermelon Moonshine Stanley Tumbler, and then I slept over at their house. Hung out with Riley & Millie in the morning, singing Hamilton as Riley made us homemade waffles.   Quote of the Week   The great thing in this world is not so much where we stand as in what direction we are moving. –OLIVER WENDELL HOLMES, SR ------   Thank you for tuning in!   Contact Information: Check out the Down Cellar Studio Patreon! Ravelry: BostonJen & Down Cellar Studio Podcast Ravelry Group Instagram: BostonJen1 YouTube: Down Cellar Studio Facebook: https://www.facebook.com/downcellarstudio Sign up for my email newsletter to get the latest on everything happening in the Down Cellar Studio Check out my Down Cellar Studio YouTube Channel Knit Picks Affiliate Link Bookshop Affiliate Link Yarnable Subscription Box Affiliate Link Music -"Soft Orange Glow" by Josh Woodward. Free download: http://joshwoodward.com/ Note: Some links are listed as Amazon Affiliate Links. If you click those, please know that I am an Amazon Associate and I earn money from qualifying purchases.  

we have the pleasure of hosting Sharon Vitti, a Chief Executive Officer with over 30 years of experience in healthcare. Sharon is passionate about expanding access to high-quality and affordable care for more patients. She currently serves as the CEO of ATI Physical Therapy, following her successful tenure as the Senior Vice President at CVS Health and President of MinuteClinic, where she led various aspects of care delivery, business operations, and strategic development.During our conversation, we delve into several compelling topics with Sharon. Firstly, we explore what drew her to healthcare, physical therapy, and ultimately her role at ATI. From her early days as a candy striper to her unwavering passion for working in healthcare, Sharon shares her journey and the factors that shaped her professional path.Accessibility to high-quality and affordable physical therapy care is a prominent theme we discuss. Sharon emphasizes the importance of getting people to think "PT First" for musculoskeletal-related injury care and prevention. We also explore how improving access to care benefits both patients and providers and how the expansion of telehealth plays a vital role in enhancing accessibility.Moreover, we delve into what ATI Physical Therapy is doing to advance the cause of accessibility. Sharon sheds light on initiatives such as making it easier to schedule appointments with providers in their clinics or through telehealth. Additionally, we explore ATI's efforts to improve access to quality care in underserved communities, as well as their plans to expand their telehealth offering.Throughout our conversation, Sharon also addresses her role and responsibilities as one of the few female CEOs in the healthcare industry. She credits her mentors at Brigham and Women's Hospital and CVS, highlighting the significance of their guidance and support. Sharon further discusses the gender disparity in healthcare leadership roles and shares eye-opening statistics from the World Health Organization and Becker's.Join us as we gain insights from Sharon Vitti's impressive background and discover the superpowers she acquired from each role she fulfilled. Prepare to be inspired by her dedication to expanding access to care, and gain a deeper understanding of the importance of accessibility in the healthcare landscape.

In part two of our conversation on clinical trials, we hear from two people directly involved in the effort to expand access to clinical trials in underserved communities. “There are challenges across the board, both in getting patients into studies and also getting them to stay in studies — what's called retention,” says our first guest, Josh Rose, Vice President and Head of Clinical Trial Delivery, Site Solutions and Strategy for Clinical Trial Services at CVS Health. He explains how his team chose the 100 MinuteClinic sites to equip for clinical trials from among the more than 1,100 locations nationwide: “We specifically picked out those locations [near] the type of patient population that we were hoping to enroll – urban areas, areas with high patient density, areas with high diversity. That helps ensure that we are getting much more representation of the broader population.” Clinical Trial Services works with numerous trial sponsors, from large pharmaceutical companies like Moderna to smaller biotech firms like ProKidney, which is working on cell-based therapies to slow down and prevent kidney failure in order to help patients avoid the need for dialysis or a kidney transplant. Dr. Joseph Stavas, Senior Vice President of Global Clinical Development at ProKidney, explains how their innovative cell therapy approach harvests a patient's own cells, which are then processed, formulated and reinjected. Chronic kidney disease, says Dr. Stavas, is predicted to be one of the largest global problems in the next 20 to 30 years. Their Phase 3 trial is targeting the two most common causes of chronic kidney disease — hypertension and type 2 diabetes. Learn moreCVS Health Clinical Trial Services ProKidney

Today, in the first of a two-part episode on increasing diversity in clinical trials, we hear from Dr. Owen Garrick, Chief Medical Officer of Clinical Trial Services at CVS Health. The unit, launched in 2021, is creating a network of clinical research sites by equipping certain HealthHUB and MinuteClinic locations with the staff and resources needed to conduct complex clinical trial protocols. The goal is to expand access to clinical trials in underserved communities and encourage a more diverse population to enroll, leading to more effective outcomes. “Historically, there has just been less diverse participation in studies,” notes Dr. Garrick. “The risk is, if we don't solve this issue around lack of diversity in clinical trials, as we get to precision medicine, we're only going to exacerbate health inequity.”This new model combines precision patient recruitment from a diverse population with trial delivery and real-world evidence generation. Dr. Garrick believes it will be successful because it breaks down several of the barriers to trial participation – outreach to know a trial exists, convenience and, importantly, trust. “You already know CVS Health because you go for part of your health care, whether that's retail prescriptions or specialty prescriptions or over-the-counter meds or MinuteClinic. So, you have this relationship that already exists,” he says. “As we introduce clinical trials and additional health care services, there's this built-in trust.” Learn moreCVS Health Clinical Trial Services

On this episode, Rich Thayer and Mickey Urdea are interviewing Nancy Gagliano, MD, MBA, to discuss her role as an executive leader of the National Institute of Health (NIH)'s RADx Tech, Rapid Acceleration of Diagnostics program. In this unique position, she helped oversee over one billion dollars of sponsored programs to bring millions of new COVID-19 tests to market, and in this exclusive interview, she helps outline exactly how the RADx program came to be, what lessons they learned, and what similar programs the NIH is planning to expand next. Dr. Gagliano has more than 35 years of experience as a senior healthcare physician executive and practicing physician in internal medicine. Prior to her work for the National Institute of Health, Dr. Gagliano was the Chief Medical Officer of Culbert Healthcare Solutions, providing strategic guidance on healthcare consulting services. Before joining Culbert Healthcare, Dr. Gagliano spent six years with CVS Health holding senior leadership positions including as the Chief Medical Officer of Minute Clinic, and as a Senior Vice President overseeing key programs such as the enterprise smoking cessation program and the development of the company's telemedicine program. Prior to her leadership roles at CVS Health, Dr. Gagliano was a practicing internal medicine physician and held numerous leadership positions at Massachusetts General Hospital and Massachusetts General Physicians Organization. She also currently serves on the board of directors for OraSure Technologies and is the Managing Director for Granite Healthcare Advisors. Dr. Gagliano holds an M.D. from Harvard Medical School, an MBA from Northeastern University, and a Bachelor's of Science Degree from Union College in Computer Science and Biology. Learn more about RADx here: https://www.nih.gov/research-training/medical-research-initiatives/radx

February 24, 2023: The nature of healthcare is changing and many, including Frank Harvey, CEO of Surescripts, have some predictions. Physicians will take up the role of primary care provider once again and the legislature will shift to aid in preventing physician burnout. This is a big problem because what happens when 150,000 physicians pull out of the occupation? How will these transitions impact the big players like CVS and how will it impact IDNs? With pharmacists peaking patient's trust and time, we need to better our compensation structures and legislature. What does the new competition in the field, Walmart and Minute Clinic mean for healthcare? How will hospitals grow their interoperability? Will specialty medications play an even larger role? There is a cooperative future in healthcare and we are working towards closer working relationships all over. Key Points:20% of primary care physicians plan to retire over the next two years.In the first half of this year, over 10 and a half million messages have gone back and forth between physicians and pharmacistsThe pharmacists see patients on average 35 times a year while their primary care doctor sees them only 4 on average.30% of rural healthcare systems will close within the next year21st Century Cures' requirements on the providers and payersSurescriptsHealthcare needs innovative ways to address staffing shortages from clinical to IT employees. Are you curious about how technology can help support your Healthcare staff? Join us on our March 9 webinar, “Leaders Series: The Changing Nature of Work,” to explore how Health IT can be used to supplement Healthcare professionals https://thisweekhealth.com/leaders-series-the-changing-nature-of-work-remote-hybrid-onsite-shortages/Subscribe: This Week HealthTwitter: This Week HealthLinkedIn: Week HealthDonate: Alex's Lemonade Stand: Foundation for Childhood Cancer

Heart disease is the leading cause of death for women. In fact, 1 in 5 deaths among women is due to a cardiovascular issue. But many people don't fully appreciate the particular risks women face when it comes to heart health. In this episode, our host Melissa Eagan speaks with Dr. Joanne Armstrong, Chief Medical Officer and Vice President of Women's Health and Genomics at CVS Health. Dr. Armstrong explains how heart disease looks different in women and how the reproductive journey can increase lifetime risk. We also hear from Dr. Joneigh Khaldun, Vice President and Chief Health Equity Officer at CVS Health. Dr. Khaldun discusses the need for the health care system to move from a one-size-fits-all approach to recognizing the unique needs not only of women but of particular groups of women. “A Black woman is actually more likely to have high blood pressure than a White woman,” she notes. Meanwhile, “Hispanic women are actually twice as likely to have diabetes, which we know contributes to heart disease.” CVS Health is working to improve women's heart health right in the community through screenings at local CVS MinuteClinics. Minoka McPherson, a family nurse practitioner and a Senior Practice Manager for MinuteClinic, talks to Melissa about the services that they provide. In addition, she discusses how mental health conditions like depression and chronic stress can also be risk factors for heart disease. Learn moreLearn about hands-only CPR training from the American Heart AssociationSchedule an appointment at a MinuteClinic

#daveberkus #angelinvesting #imedisync Super Angel Investor Dave Berkus joined Jay Gunkelman and Pete Jansons to discuss the future of mental health and iMediSync's role in that future. Dave Berkus has placed a lot of smart bets in his lifetime. Hear why iMedisync is one of them. Other topics touched on: Dry Sensor Cap, Future of Mental Health, Founder and CEO Seung Wan Kang, MD, PhD, iSyncWave, iSyncBrain, iSyncHeart, FDA, Minute Clinic, Gender Specific Database. https://www.imedisync.com/en/ https://www.imedisync.com/en/products/isyncwave/ https://www.imedisync.com/en/products/isyncbrain/ https://www.imedisync.com/en/products/isyncheart/ Dave Berkus is a noted speaker, author and early stage private equity investor. He is acknowledged as one of the most active angel investors in the country, having made and actively participated in over 180 technology investments. He currently manages Wayfare Ventures, LLC, a venture fund for the travel industry, as well as two angel VC funds (Berkus Technology Ventures, LLC and Kodiak Ventures, L.P.) and is Managing Director of three Tech Coast Angels ACE Funds (TCA). Dave is past Chairman of TCA, one of the largest angel networks in the United States. Dave currently serves as chairman of five of his portfolio companies, and was named “Director of the Year, Early Stage Businesses” by The Forum for Corporate Directors for his successful directorship and CEO coaching efforts. He founded his first commercial venture at the age of fifteen – a phonograph record production and manufacturing company he managed through his college years, taking it public shortly after college graduation. He was the founder of Computerized Lodging Systems Inc (CLS), which he guided as CEO for over a decade that included two consecutive years on the Inc.500 list of America's fastest growing companies. For his accomplishments in advancing technology in the hospitality industry, in 1998 he was inducted into the Hospitality (HFTP) “International Hall of Fame”, one of only forty so honored worldwide over the years. Dave is author of “Basic Berkonomics,” “Berkonomics,” “Advanced Berkonomics,” “Extending the Runway”, and the Small Business Success Collection of eight mini-books, all addressing resource and growth issues for early stage businesses. He is co-author of “Get Scrappy” with Kim Shepherd, a noted advocate of virtual businesses. Dave speaks throughout the world on trends in technology, angel investing success, and corporate governance and growth. In 2011, Dave was named “Technology Leader of the Year” by the Los Angeles, California, County Board of Supervisors. https://www.amazon.com/Better-than-money-Resource-concepts/dp/1885082002 https://en.wikipedia.org/wiki/Howard_H._Stevenson https://www.berkus.com/ https://www.inc.com/magazine/19961001/1839.html https://eqvista.com/berkus-valuation-method-for-startups/#:~:text=Berkus%20Method%20of%20Valuation%20is,to%20%24500%2C000%20for%20each%20area. https://www.techcoastangels.com/ https://en.wikipedia.org/wiki/Scaled_agile_framework#:~:text=The%20scaled%20agile%20framework%20(SAFe,scaling%20lean%20and%20agile%20practices. https://www.amazon.com/Extending-Runway-Second-Dave-Berkus/dp/1312288353?asin=1312288353&revisionId=&format=4&depth=1 https://roundtables.abl.org/ https://youtu.be/60LEmBXFpZI https://berkonomics.com/?p=3440 https://finance.yahoo.com/news/happened-7-earliest-employees-launched-012600458.html https://www.pingidentity.com/en/company/about-us.html --- Send in a voice message: https://anchor.fm/neuronoodle/message Support this podcast: https://anchor.fm/neuronoodle/support

#daveberkus #angelinvesting #imedisync Super Angel Investor Dave Berkus joined Jay Gunkelman and Pete Jansons to discuss the future of mental health and iMediSync's role in that future. Dave Berkus has placed a lot of smart bets in his lifetime. Hear why iMedisync is one of them. Other topics touched on: Dry Sensor Cap, Future of Mental Health, Founder and CEO Seung Wan Kang, MD, PhD, iSyncWave, iSyncBrain, iSyncHeart, FDA, Minute Clinic, Gender Specific Database. https://www.imedisync.com/en/ https://www.imedisync.com/en/products/isyncwave/ https://www.imedisync.com/en/products/isyncbrain/ https://www.imedisync.com/en/products/isyncheart/ Dave Berkus is a noted speaker, author and early stage private equity investor. He is acknowledged as one of the most active angel investors in the country, having made and actively participated in over 180 technology investments. He currently manages Wayfare Ventures, LLC, a venture fund for the travel industry, as well as two angel VC funds (Berkus Technology Ventures, LLC and Kodiak Ventures, L.P.) and is Managing Director of three Tech Coast Angels ACE Funds (TCA). Dave is past Chairman of TCA, one of the largest angel networks in the United States. Dave currently serves as chairman of five of his portfolio companies, and was named “Director of the Year, Early Stage Businesses” by The Forum for Corporate Directors for his successful directorship and CEO coaching efforts. He founded his first commercial venture at the age of fifteen – a phonograph record production and manufacturing company he managed through his college years, taking it public shortly after college graduation. He was the founder of Computerized Lodging Systems Inc (CLS), which he guided as CEO for over a decade that included two consecutive years on the Inc.500 list of America's fastest growing companies. For his accomplishments in advancing technology in the hospitality industry, in 1998 he was inducted into the Hospitality (HFTP) “International Hall of Fame”, one of only forty so honored worldwide over the years. Dave is author of “Basic Berkonomics,” “Berkonomics,” “Advanced Berkonomics,” “Extending the Runway”, and the Small Business Success Collection of eight mini-books, all addressing resource and growth issues for early stage businesses. He is co-author of “Get Scrappy” with Kim Shepherd, a noted advocate of virtual businesses. Dave speaks throughout the world on trends in technology, angel investing success, and corporate governance and growth. In 2011, Dave was named “Technology Leader of the Year” by the Los Angeles, California, County Board of Supervisors. https://www.amazon.com/Better-than-money-Resource-concepts/dp/1885082002 https://en.wikipedia.org/wiki/Howard_H._Stevenson https://www.berkus.com/ https://www.inc.com/magazine/19961001/1839.html https://eqvista.com/berkus-valuation-method-for-startups/#:~:text=Berkus%20Method%20of%20Valuation%20is,to%20%24500%2C000%20for%20each%20area. https://www.techcoastangels.com/ https://en.wikipedia.org/wiki/Scaled_agile_framework#:~:text=The%20scaled%20agile%20framework%20(SAFe,scaling%20lean%20and%20agile%20practices. https://www.amazon.com/Extending-Runway-Second-Dave-Berkus/dp/1312288353?asin=1312288353&revisionId=&format=4&depth=1 https://roundtables.abl.org/ https://youtu.be/60LEmBXFpZI https://berkonomics.com/?p=3440 https://finance.yahoo.com/news/happened-7-earliest-employees-launched-012600458.html https://www.pingidentity.com/en/company/about-us.html --- Send in a voice message: https://anchor.fm/neuronoodle/message Support this podcast: https://anchor.fm/neuronoodle/support

I was in a CVS the other day and saw construction happening to install a MinuteClinic. I looked at the door and then noticed the new HealthHUB signage. What a perfect example of a typical project I might be on as a Storyteller for innovation! In this episode, I make a bunch of guesses as their process, and share the types of illustration, video and motion design pieces that you might have made if you were partnering with this team.CVS MinuteClinicMy Free Masterclass: Storytelling for InnovationMy Instagram: @leeanne_brennanStorytelling for Innovation Digital Course Presale Get 50%OFF! (2 spots left)Questions? Email me: hello@storytellingforinnovation.com

Late this summer, CVS fired a nurse practitioner for refusing to prescribe ‘Plan B' ‘Morning After' pills at the “Minute Clinic” where she had worked for 2 ½ years. CVS had been aware of Paige Casey's religious objections to prescribing the abortifacients, exempted her from doing so, and even gave her favorable job reviews. In August, CVS changed its mind and told Casey she would no longer be given an exemption. Casey is suing CVS and is being represented by the Alliance Defending Freedom.Increasingly, health care professionals are being reprimanded, attacked and even fired for refusing to perform procedures that violate their religious convictions. It is not clear why CVS changed its position this summer regarding Casey. Interestingly, the MinuteClinic where Casey worked is located in Virginia where there are conscience protections in the law. CVS has stated it did not believe the “Morning After” bills are abortifacients but contraception. Kevin Theriot, an attorney with the Alliance Defending Freedom, discusses the facts of the case, the arguments, how the Dobbs decision comes into play, how there will likely be more cases similar to this, and the possibility that the issue could end up in the U.S. Supreme Court.Alliance Defending Freedom: https://adflegal.org/paige-casey

Welcome to a fresh, shiny new week as we follow up on the weekend's progress of the EV Tax credit bill we covered last week. We also talk about the advice circulating the internet regarding the best time to buy a car, as well as CVS's plans to expand into primary care. “Inflation Reduction Act” which included significant EV tax credit changes passed the Senate last night and will head to the houseLifts the cap on $7500 EV tax credit across manufacturersSignificant requirements for EV battery assembly to happen in the US and sourcing also heavily regulated60% made/assembled in US by 2024 ramping to 100% by 2029Also includes an MSRP Cap (80k trucks, 55k passenger)Income cap 300k married 150k singleDoubles the size of the IRSWill be voted on in the house on Friday and is likely to passThe best time to buy a car is a thing of the past, and consumers are figuring it outA 2020 report from US News and World Report is making the rounds as consumers are looking for any tips and tricks to steer them in the current environmentOutdated tips lists include:Avoid buying cars in the spring — that's when most folks want a new car for the summer.August is the best time to buy a non-luxury “leftover” model.December is the time to buy a luxury vehicle.The week between Christmas and New Year's is the time for great dealsConsumers are receiving “there is no silver bullet” advice more than ever“This whole concept of hitting the dealer at the “right time” isn't really applicable today, when dealers have little motivation to bargain and the likelihood of them having the car you really want could be low.”Take away: This is a big opportunity to educate and empathize. Get ahead of the visit w your marketing and outreachCVS buying its way into Primary CareCVS was the first to break the plane from pharmacy to patient care when it acquired MinuteClinic in 2006 and grew it from 83 to 1,100in-store clinics staffed by nurse practitionersCVS has plans to enter primary care and acquire its way into 1,000 units across the countryCompetitors WalGreens acquired Village MD, WalMart acquired MeMd to add virtual medical and mental health to in-person clinics, Amazon acquired One Medical Take away: Automotive isn't the only brick and mortar retail being challenged by new entrantsGet the Daily Push Back email at https://www.asotu.com/Rock with us LIVE at ASOTU CON! Tickets: https://www.asotucon.comJOIN the conversation on LinkedIn at: https://www.linkedin.com/company/asotu/Read our most recent email at: https://www.asotu.com/media/push-back-emailShare your positive dealer stories: https://www.asotu.com/positivityASOTU Instagram: https://www.instagram.com/automotivestateoftheunion

Jake is the SR. Director of Security Strategy at VillageMD. He has over 20 years of IT and Security experience building, operating, and enhancing: Risk Management, Security Awareness, and governance. He has worked with many "C-suite" executives and boards of directors. He is a graduate of the University of Pittsburgh Katz School of Business 00:00 Introduction 02:04 VillageMD 03:28 Walgreens and the Minute Clinic 05:01 How has Cyber security changed the Healthcare business? 07:50 Why is patient healthcare data worth more money than credit card information? 10:30 Making the data less valuable 16:50 What are some policy positions we could take? 18:57 What is motivating bad actors to get healthcare data? 22:50 Cyber insurance 26:40 3rd party risk 30:05 Doctors and mobile devices vs HIPAA? 39:10 More on Jake To learn more about Jake Belcher visit https://www.linkedin.com/in/jakebelcher/ To learn more about Dark Rhino Security visit https://www.darkrhinosecurity.com SOCIAL MEDIA: Stay connected with us on our social media pages where we'll give you snippets, alerts for new podcasts, and even behind the scenes of our studio! Instagram: https://www.instagram.com/securityconfidential/ Facebook: https://m.facebook.com/Dark-Rhino-Security-Inc-105978998396396/ Twitter: https://twitter.com/darkrhinosec LinkedIn: https://www.linkedin.com/company/dark-rhino-security Youtube: https://www.youtube.com/channel/UCs6R-jX06_TDlFrnv-uyy0w/videos

In this seventh installment of the Fortress and Frontier series on Discourse Magazine Podcast, Robert Graboyes, a senior research fellow at the Mercatus Center, speaks with Dr. Jason Hwang about healthcare innovations such as the MinuteClinic and telemedicine, the history of disruption in healthcare and other industries, the need for change in medical education and much more. Hwang is the co-founder and former healthcare executive director of Innosight Institute, a nonprofit think tank devoted to applying the theories of disruptive innovation to problems in the social sector. He also co-authored “The Innovator's Prescription: A Disruptive Solution for Health Care.” He is an internal medicine physician who obtained his M.D. from the University of Michigan in Ann Arbor, and he also received an M.B.A. from Harvard Business School.For a full transcript of this conversation with helpful links, visit DiscourseMagazine.com.

Veteran venture capital investor Pete Farner distills experience from four decades of entrepreneurship and investing on the Economics For Business Podcast #114. Passion, perseverance and intelligence are the three critical attributes he looks for in investable entrepreneurs, an insight drawn from a broad survey that we summarize here. Key Takeaways 1. The entrepreneurial mindset develops in youth. It is averse to the restrictions experienced on the subordinate levels of the corporate hierarchy. In an early experience that several E4B podcast guests have shared, Pete grew up in an entrepreneurial household and absorbed the approach. He created several independent job opportunities in high school and college, including house painting and taxi driving and trading classic cars. When he joined a corporation, he quickly understood that a life in the hierarchy requires you to do as exactly as ordered by superiors, an experience incompatible with the entrepreneurial mindset. In that brief corporate experience, Pete was able to observe that even the highest levels of the executive ladder are occupied by mere humans, with all their quirks and flaws, and not by superhumans. This observation can translate into the self-confidence of being able to tackle any business undertaking oneself. 2. Taking the entrepreneurial route is not risk-taking. In fact it's the opposite. Pete suggested that entrepreneurs are not risk-takers. They are, in fact, risk-averse. They typically do not take great personal risk or financial risk. If their business does not achieve the success they imagined, they seldom “lose all”, and their financial risk is often shared with others or syndicated in some way. Entrepreneurs deal with business uncertainty. They embrace it. They are comfortable with what Pete called the ambiguity of entrepreneurship. That's not risk. 3. Develop a knowledge space from which to begin your entrepreneurial journey. Pete's corporate experience was in the beer industry. That knowledge space included the use of neon signs for advertising and display purposes. He was also able to observe the use of etched mirrors in bars along with other forms of decoration and display such as sports memorabilia. He launched his first entrepreneurial venture with a technological improvement on the conventional (and also expensive and fragile) neon sign. He merged this venture with a mirror and sports memorabilia company to give it greater breadth and market penetration. His first investor was a beer company. We all curate a knowledge space as we go through life, and that space can provide the foundation for entrepreneurial initiative. 4. Entrepreneurial success lies on a time-and-place continuum. What are the determinants of success for an entrepreneurial business? For a venture capitalist who is financing the business, the appropriate metric is a sale to an acquirer, who validates the worth of the entrepreneurial initiative. Surveying his experience of such acquisitions, Pete emphasized the relevance of time and place: being in the right place at the right time. Acquirers are ready for their own reasons at their own time. He discussed the sale of Minute Clinic, a walk-in in-store clinic staffed by nurse practitioners, to the CVS drug store chain. Minute Clinics were under-developed and unprofitable on their own, but a great marketing device to drive traffic to CVS's highly profitable pharmacies. On the other hand, Webvan, one of the most spectacular venture-financed startup bankruptcies, was ahead of its time in 2001, but could have been a standout success in 2021. Business brilliance has a role to play in entrepreneurial success, but so do luck and timing. 5. Entrepreneurs widen and deepen their own knowledge space by making far and wide knowledge connections. Entrepreneurship is a knowledge process. One entrepreneur, one team, one firm can have only partial knowledge. There might be a surrounding network of investors and partners to supplement the available knowledge. Successful entrepreneurs reach further, making connections in as many directions and to as many knowledge sources as possible. Syndicated investments with a wide range of partners can yield a lot of knowledge sources. 6. Specialization must be balanced with a broad-based understanding of business. Differentiation can come from a specialized body of knowledge that the entrepreneur and partners bring to bear. In addition to this deep specialization, there must be a broad interest in starting, running, growing and managing a business. Entrepreneurs are T-shaped people — able to combine their specialist knowledge with boundary-crossing interest and capabilities in everything from accounting to HR to marketing, and especially the development of motivational purpose. 7. Personal qualities — and especially integrity — play an important role in success. In Pete's summary of success factors, “People are the real key”. As an investor, given the choice between a great business plan, a great idea, and a great person, “I'd choose the great person”. Integrity is a core attribute: the strength to go through growing pains, pivots, disappointments and adverse situations, and maintain belief. Certainly these personal qualities can be more important to success than what Pete called “pedigree” — the degree from the right school, or the resume with the right corporations, or the well-credentialed board of directors. 8. Different personal qualities are appropriate for different stages of the entrepreneurial journey. Pete observed that it is rare that the same individual who launches a business or manages it in its earliest formative stages is the same one to manage it to and through maturity. From start up to 8- or 9-figure revenues is a difficult transition for most people to make. It requires both decentralization of decision making and rigorous, detailed and disciplined operational management that are not always the strengths of originating entrepreneurs. Nevertheless, the founder's continued presence — in a significant role, not just a symbolic one — is a very important factor in the maintenance of mission and purpose for a young firm. 9. Revenue is king, especially when efficiently generated. Revenue is the most important indicator of marketplace acceptance for an entrepreneurial service — proof that customers will buy what the business is selling. It's a harbinger for the future: if there is a revenue stream, it can be grown. Revenue — assuming cash flow is well managed — is the guarantor against the worst sin of entrepreneurial businesses, which is running out of cash. Austrians know that the value of capital is the NPV of the flow of customer revenue it generates. Venture capitalists respect capital efficiency — a high ratio of revenue to capital. 10. Empathic customer understanding underpins revenue generation and capital efficiency. It is the deep understanding of the customer and market that ultimately is the key to revenue generation. Pete talked about the medical device market where a misunderstanding of the incentives for surgeons — that they might not adopt a superior-performing device if they don't make as much money using it as they do with the incumbent device — as an example of the battles that have to be fought and won for market acceptance, and might be lost with poor customer understanding. Revenue generation is the primary indicator of customer understanding at work. Additional Resource "10 Attributes of Investable Entrepreneurs and Businesses" (PDF): Mises.org/E4B_114_PDF

WE MADE IT TO EPISODE 10!! Shout out to all of yall supporting the boy man I love all of yall Block Heads! IN celebration of episode 10 we debut our new banner hand painted by artist Gabby Asselin @gmfa_art.  This week we had some BIG guests call in to the show! My high school friend, Actor and YouTuber Tyriq Withers made his TV debut on The CW show Legacies. Season 3 episode 6, about 11 minutes in. Tyriq called in and delivered his one line just for us and he KILLED it hahah. And in Take Two's Bobby talks about the new content the TWB team coming. Merch, YouTube content. We unpacked Kirk Franklins hilarious cussing outbursts. Artist Lang Amaru calls in to discuss his debut album out March 19th!(timestamps probably wrong. josh will be fired) 4:00 Take Two's, 9:00 New Tapestry!, 20:00 Merch Announcement, 24:37 Bobby's Booth, 27:00 Aisle 4, 31:00 CW Actor Tyriq Withers Calls In, 45:00 Kirk Franklin cusses out his son! 53:15 MInute Clinic is BACK!!, 57:40 The Sound Bar Episode Music:  Acts of God by Lang Amaru, Every Traitor is Equal by Stokely Carmichael & Henney, and Moods by Scorey PLEASE KEEP SHARING THIS PODCAST!! WE GOT A LOT MORE TO DO!!--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

WE MADE IT TO EPISODE 10!! Shout out to all of yall supporting the boy man I love all of yall Block Heads! IN celebration of episode 10 we debut our new banner hand painted by artist Gabby Asselin @gmfa_art.  This week we had some BIG guests call in to the show! My high school friend, Actor and YouTuber Tyriq Withers made his TV debut on The CW show Legacies. Season 3 episode 6, about 11 minutes in. Tyriq called in and delivered his one line just for us and he KILLED it hahah. And in Take Two's Bobby talks about the new content the TWB team coming. Merch, YouTube content. We unpacked Kirk Franklins hilarious cussing outbursts. Artist Lang Amaru calls in to discuss his debut album out March 19th!(timestamps probably wrong. josh will be fired) 4:00 Take Two's, 9:00 New Tapestry!, 20:00 Merch Announcement, 24:37 Bobby's Booth, 27:00 Aisle 4, 31:00 CW Actor Tyriq Withers Calls In, 45:00 Kirk Franklin cusses out his son! 53:15 MInute Clinic is BACK!!, 57:40 The Sound Bar Episode Music:  Acts of God by Lang Amaru, Every Traitor is Equal by Stokely Carmichael & Henney, and Moods by Scorey PLEASE KEEP SHARING THIS PODCAST!! WE GOT A LOT MORE TO DO!!--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

WE MADE IT TO EPISODE 10!! Shout out to all of yall supporting the boy man I love all of yall Block Heads! IN celebration of episode 10 we debut our new banner hand painted by artist Gabby Asselin @gmfa_art.  This week we had some BIG guests call in to the show! My high school friend, Actor and YouTuber Tyriq Withers made his TV debut on The CW show Legacies. Season 3 episode 6, about 11 minutes in. Tyriq called in and delivered his one line just for us and he KILLED it hahah. And in Take Two's Bobby talks about the new content the TWB team coming. Merch, YouTube content. We unpacked Kirk Franklins hilarious cussing outbursts. Artist Lang Amaru calls in to discuss his debut album out March 19th!(timestamps probably wrong. josh will be fired) 4:00 Take Two's, 9:00 New Tapestry!, 20:00 Merch Announcement, 24:37 Bobby's Booth, 27:00 Aisle 4, 31:00 CW Actor Tyriq Withers Calls In, 45:00 Kirk Franklin cusses out his son! 53:15 MInute Clinic is BACK!!, 57:40 The Sound Bar Episode Music:  Acts of God by Lang Amaru, Every Traitor is Equal by Stokely Carmichael & Henney, and Moods by Scorey PLEASE KEEP SHARING THIS PODCAST!! WE GOT A LOT MORE TO DO!!--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/supportSupport the show

WE MADE IT TO EPISODE 10!! Shout out to all of yall supporting the boy man I love all of yall Block Heads! IN celebration of episode 10 we debut our new banner hand painted by artist Gabby Asselin @gmfa_art.  This week we had some BIG guests call in to the show! My high school friend, Actor and YouTuber Tyriq Withers made his TV debut on The CW show Legacies. Season 3 episode 6, about 11 minutes in. Tyriq called in and delivered his one line just for us and he KILLED it hahah. And in Take Two's Bobby talks about the new content the TWB team coming. Merch, YouTube content. We unpacked Kirk Franklins hilarious cussing outbursts. Artist Lang Amaru calls in to discuss his debut album out March 19th!(timestamps probably wrong. josh will be fired) 4:00 Take Two's, 9:00 New Tapestry!, 20:00 Merch Announcement, 24:37 Bobby's Booth, 27:00 Aisle 4, 31:00 CW Actor Tyriq Withers Calls In, 45:00 Kirk Franklin cusses out his son! 53:15 MInute Clinic is BACK!!, 57:40 The Sound Bar Episode Music:  Acts of God by Lang Amaru, Every Traitor is Equal by Stokely Carmichael & Henney, and Moods by Scorey PLEASE KEEP SHARING THIS PODCAST!! WE GOT A LOT MORE TO DO!!--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

HAPPY WOMENS HISTORY MONTH! Theres some guy code i gave away to the ladies on this episode as a gift! This week on The Writers Block my friends and coworkers Ian and Chloe came to join me. We Talked about Ohio basketball player DJ Cooper's positive pregnancy test, how a Gordos standup comedy show got shut down! and how SOME deaths are good deaths??? There's a new music segment added to the show! and we talked about how to get more people into local podcasters and creators. 0:33 Five Things, 4:36 Big News: 100 Subs, 6:45 Take Two's: A Good Death, 13:45 Local Tally Podcast Promo, 21:21 Bobby's Stand Up and First Impressions, 28:00 Gordos Comedy Show Story, 33:43 Texas said fuck a covid restriction, 38:43 DJ Cooper is Pregnant!, 44:30 Bobbys Rap Career, 47:40 Freestyle, music credits: 51:40 New Music Segment, 56:00 Chicago Alezi, 1:00:00 Purple Lights Farah Bijou Roy P & Serrick Lindo, 1:02:00 Slow Days MikeSB, 1:18:00 Minute Clinic. --- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

HAPPY WOMENS HISTORY MONTH! Theres some guy code i gave away to the ladies on this episode as a gift! This week on The Writers Block my friends and coworkers Ian and Chloe came to join me. We Talked about Ohio basketball player DJ Cooper's positive pregnancy test, how a Gordos standup comedy show got shut down! and how SOME deaths are good deaths??? There's a new music segment added to the show! and we talked about how to get more people into local podcasters and creators. 0:33 Five Things, 4:36 Big News: 100 Subs, 6:45 Take Two's: A Good Death, 13:45 Local Tally Podcast Promo, 21:21 Bobby's Stand Up and First Impressions, 28:00 Gordos Comedy Show Story, 33:43 Texas said fuck a covid restriction, 38:43 DJ Cooper is Pregnant!, 44:30 Bobbys Rap Career, 47:40 Freestyle, music credits: 51:40 New Music Segment, 56:00 Chicago Alezi, 1:00:00 Purple Lights Farah Bijou Roy P & Serrick Lindo, 1:02:00 Slow Days MikeSB, 1:18:00 Minute Clinic. --- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

HAPPY WOMENS HISTORY MONTH! Theres some guy code i gave away to the ladies on this episode as a gift! This week on The Writers Block my friends and coworkers Ian and Chloe came to join me. We Talked about Ohio basketball player DJ Cooper's positive pregnancy test, how a Gordos standup comedy show got shut down! and how SOME deaths are good deaths??? There's a new music segment added to the show! and we talked about how to get more people into local podcasters and creators. 0:33 Five Things, 4:36 Big News: 100 Subs, 6:45 Take Two's: A Good Death, 13:45 Local Tally Podcast Promo, 21:21 Bobby's Stand Up and First Impressions, 28:00 Gordos Comedy Show Story, 33:43 Texas said fuck a covid restriction, 38:43 DJ Cooper is Pregnant!, 44:30 Bobbys Rap Career, 47:40 Freestyle, music credits: 51:40 New Music Segment, 56:00 Chicago Alezi, 1:00:00 Purple Lights Farah Bijou Roy P & Serrick Lindo, 1:02:00 Slow Days MikeSB, 1:18:00 Minute Clinic. --- Support this podcast: https://anchor.fm/bobby-brown-jr4/supportSupport the show

HAPPY WOMENS HISTORY MONTH! Theres some guy code i gave away to the ladies on this episode as a gift! This week on The Writers Block my friends and coworkers Ian and Chloe came to join me. We Talked about Ohio basketball player DJ Cooper's positive pregnancy test, how a Gordos standup comedy show got shut down! and how SOME deaths are good deaths??? There's a new music segment added to the show! and we talked about how to get more people into local podcasters and creators. 0:33 Five Things, 4:36 Big News: 100 Subs, 6:45 Take Two's: A Good Death, 13:45 Local Tally Podcast Promo, 21:21 Bobby's Stand Up and First Impressions, 28:00 Gordos Comedy Show Story, 33:43 Texas said fuck a covid restriction, 38:43 DJ Cooper is Pregnant!, 44:30 Bobbys Rap Career, 47:40 Freestyle, music credits: 51:40 New Music Segment, 56:00 Chicago Alezi, 1:00:00 Purple Lights Farah Bijou Roy P & Serrick Lindo, 1:02:00 Slow Days MikeSB, 1:18:00 Minute Clinic. --- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

This week Bobby and the team pick apart Bobby's funny embarrassing stories in a hilarious way! Fans of the pod trolled on social media about Bobby pouring milk before cereal, he learns that sex underwear is pointless, the worst standup show he's ever had (so far), Valentines Day mishaps, and clogging someone else's toilet! 0:20 Five Things, 3:20 pod intro, 4:10 Take Two's Cooking Cereal, 10:20 Embarrassing times 18:20 Clogging the plugs toilet, 24:30 Valentine Fail, 28:00 Sex Underwear, 31:40 Minute Clinic, 35:30 Listener Support 36:00 Block Head Questions music credits : Punch In by Nino, Rookie Season EP @ninozayy @maybebobby @writersblockclips --- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

This week Bobby and the team pick apart Bobby's funny embarrassing stories in a hilarious way! Fans of the pod trolled on social media about Bobby pouring milk before cereal, he learns that sex underwear is pointless, the worst standup show he's ever had (so far), Valentines Day mishaps, and clogging someone else's toilet! 0:20 Five Things, 3:20 pod intro, 4:10 Take Two's Cooking Cereal, 10:20 Embarrassing times 18:20 Clogging the plugs toilet, 24:30 Valentine Fail, 28:00 Sex Underwear, 31:40 Minute Clinic, 35:30 Listener Support 36:00 Block Head Questions music credits : Punch In by Nino, Rookie Season EP @ninozayy @maybebobby @writersblockclips --- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

This week Bobby and the team pick apart Bobby's funny embarrassing stories in a hilarious way! Fans of the pod trolled on social media about Bobby pouring milk before cereal, he learns that sex underwear is pointless, the worst standup show he's ever had (so far), Valentines Day mishaps, and clogging someone else's toilet! 0:20 Five Things, 3:20 pod intro, 4:10 Take Two's Cooking Cereal, 10:20 Embarrassing times 18:20 Clogging the plugs toilet, 24:30 Valentine Fail, 28:00 Sex Underwear, 31:40 Minute Clinic, 35:30 Listener Support 36:00 Block Head Questions music credits : Punch In by Nino, Rookie Season EP @ninozayy @maybebobby @writersblockclips --- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

This week Bobby and the team pick apart Bobby's funny embarrassing stories in a hilarious way! Fans of the pod trolled on social media about Bobby pouring milk before cereal, he learns that sex underwear is pointless, the worst standup show he's ever had (so far), Valentines Day mishaps, and clogging someone else's toilet! 0:20 Five Things, 3:20 pod intro, 4:10 Take Two's Cooking Cereal, 10:20 Embarrassing times 18:20 Clogging the plugs toilet, 24:30 Valentine Fail, 28:00 Sex Underwear, 31:40 Minute Clinic, 35:30 Listener Support 36:00 Block Head Questions music credits : Punch In by Nino, Rookie Season EP @ninozayy @maybebobby @writersblockclips --- Support this podcast: https://anchor.fm/bobby-brown-jr4/supportSupport the show

Young Poddy Brown Jr. Returns! This week my close friends Prince and Vik join me in The Writer's Block! This weeks Takes Two's 8:55 We pay homage to the buss it and silhouette challenge, talk about why i couldnt pod last week and wonder why Drake steals money from poor people! Up and coming artists Alezi calls into the show to talk about new project! 9:30 Buss It, 10:35 Listener Support, 14:30 more reckless, 24:00 worst hospital trip ever, 29:00 God's Plan, 34:00 Alize calls in, 45:20 Aisle 4 Stocks! 53:30 Minute Clinic.Episode Music : LIKEATATTOO  by Alezi https://www.youtube.com/watch?v=CPM28J9szH8 @a.l.ezitwb-productions.com IG: @maybebobby @writersblockclips--- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

Young Poddy Brown Jr. Returns! This week my close friends Prince and Vik join me in The Writer's Block! This weeks Takes Two's 8:55 We pay homage to the buss it and silhouette challenge, talk about why i couldnt pod last week and wonder why Drake steals money from poor people! Up and coming artists Alezi calls into the show to talk about new project! 9:30 Buss It, 10:35 Listener Support, 14:30 more reckless, 24:00 worst hospital trip ever, 29:00 God's Plan, 34:00 Alize calls in, 45:20 Aisle 4 Stocks! 53:30 Minute Clinic.Episode Music : LIKEATATTOO  by Alezi https://www.youtube.com/watch?v=CPM28J9szH8 @a.l.ezitwb-productions.com IG: @maybebobby @writersblockclips--- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

Young Poddy Brown Jr. Returns! This week my close friends Prince and Vik join me in The Writer's Block! This weeks Takes Two's 8:55 We pay homage to the buss it and silhouette challenge, talk about why i couldnt pod last week and wonder why Drake steals money from poor people! Up and coming artists Alezi calls into the show to talk about new project! 9:30 Buss It, 10:35 Listener Support, 14:30 more reckless, 24:00 worst hospital trip ever, 29:00 God's Plan, 34:00 Alize calls in, 45:20 Aisle 4 Stocks! 53:30 Minute Clinic.Episode Music : LIKEATATTOO  by Alezi https://www.youtube.com/watch?v=CPM28J9szH8 @a.l.ezitwb-productions.com IG: @maybebobby @writersblockclips--- Support this podcast: https://anchor.fm/bobby-brown-jr4/supportSupport the show

Young Poddy Brown Jr. Returns! This week my close friends Prince and Vik join me in The Writer's Block! This weeks Takes Two's 8:55 We pay homage to the buss it and silhouette challenge, talk about why i couldnt pod last week and wonder why Drake steals money from poor people! Up and coming artists Alezi calls into the show to talk about new project! 9:30 Buss It, 10:35 Listener Support, 14:30 more reckless, 24:00 worst hospital trip ever, 29:00 God's Plan, 34:00 Alize calls in, 45:20 Aisle 4 Stocks! 53:30 Minute Clinic.Episode Music : LIKEATATTOO  by Alezi https://www.youtube.com/watch?v=CPM28J9szH8 @a.l.ezitwb-productions.com IG: @maybebobby @writersblockclips--- Support this podcast: https://anchor.fm/bobby-brown-jr4/support

The Writer's Block Episode 3!! Thank you for supporting this podcast! yall are amazing! go to twb-productions.com for more! 1:00 Start, 2:58 Grateful, 4:45 Take Two's, 7:13 Too Much Weed, 8:15 breaking news!, 10:55 local baddies, 15:12 Show Hole, 23:42 Lie Too Much - KFC, 26:30 Aisle 4, 27:50 Marks Hot Goss, 31:50 Minute Clinic, 34:13 Shrimp Nipples, 35:48 Astrology, 40:23 God Tells Us Thing, 42:47 Chunky Shoes, 45:30 By The People For The People, 50:00 Thank You + Outro. Thanks for listening!! Episode Music : Intro by TJ Banks777 (Lucky 7's Album) insta @tjbanks777instagram @maybebobby --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/supportSupport the show

The Writer's Block Episode 3!! Thank you for supporting this podcast! yall are amazing! go to twb-productions.com for more! 1:00 Start, 2:58 Grateful, 4:45 Take Two's, 7:13 Too Much Weed, 8:15 breaking news!, 10:55 local baddies, 15:12 Show Hole, 23:42 Lie Too Much - KFC, 26:30 Aisle 4, 27:50 Marks Hot Goss, 31:50 Minute Clinic, 34:13 Shrimp Nipples, 35:48 Astrology, 40:23 God Tells Us Thing, 42:47 Chunky Shoes, 45:30 By The People For The People, 50:00 Thank You + Outro. Thanks for listening!! Episode Music : Intro by TJ Banks777 (Lucky 7's Album) insta @tjbanks777instagram @maybebobby --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

The Writer's Block Episode 3!! Thank you for supporting this podcast! yall are amazing! go to twb-productions.com for more! 1:00 Start, 2:58 Grateful, 4:45 Take Two's, 7:13 Too Much Weed, 8:15 breaking news!, 10:55 local baddies, 15:12 Show Hole, 23:42 Lie Too Much - KFC, 26:30 Aisle 4, 27:50 Marks Hot Goss, 31:50 Minute Clinic, 34:13 Shrimp Nipples, 35:48 Astrology, 40:23 God Tells Us Thing, 42:47 Chunky Shoes, 45:30 By The People For The People, 50:00 Thank You + Outro. Thanks for listening!! Episode Music : Intro by TJ Banks777 (Lucky 7's Album) insta @tjbanks777instagram @maybebobby --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

The Writer's Block Episode 3!! Thank you for supporting this podcast! yall are amazing! go to twb-productions.com for more! 1:00 Start, 2:58 Grateful, 4:45 Take Two's, 7:13 Too Much Weed, 8:15 breaking news!, 10:55 local baddies, 15:12 Show Hole, 23:42 Lie Too Much - KFC, 26:30 Aisle 4, 27:50 Marks Hot Goss, 31:50 Minute Clinic, 34:13 Shrimp Nipples, 35:48 Astrology, 40:23 God Tells Us Thing, 42:47 Chunky Shoes, 45:30 By The People For The People, 50:00 Thank You + Outro. Thanks for listening!! Episode Music : Intro by TJ Banks777 (Lucky 7's Album) insta @tjbanks777instagram @maybebobby --- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

The Writer's Block with Bobby Brown Jr is back! This week on the show my homegirl Lindsey Love stopped by the studio! Hope you enjoy the episode ! Follow my girl Lindsey on instagram @lindsjlove.  This week we're ALL bad bitches! :07 Five things, 1:00 Intro, 4:11 Lindsey Love Intro, 7:00 VALUE!, 11:30 Im Back Outside Tinder, 24:00 Greek Life! 29:00 I've Curved That, 31:13 Isle 4 Hot Goss. 45:30 Minute Clinic, 48:00 By The People For The People! Thanks for listening ! For more check out our website https://www.twb-productions.com/ Episode Music Credits: Nappy Freestyle (Prod.KNXWLEDGE) by Alezi.  Debut Mixtape Head Heavy dropping soon!https://soundcloud.app.goo.gl/9FS3UmQnf8EniFPD9Instagram @a.l.ezi Twitter @alezivv--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

The Writer's Block with Bobby Brown Jr is back! This week on the show my homegirl Lindsey Love stopped by the studio! Hope you enjoy the episode ! Follow my girl Lindsey on instagram @lindsjlove.  This week we're ALL bad bitches! :07 Five things, 1:00 Intro, 4:11 Lindsey Love Intro, 7:00 VALUE!, 11:30 Im Back Outside Tinder, 24:00 Greek Life! 29:00 I've Curved That, 31:13 Isle 4 Hot Goss. 45:30 Minute Clinic, 48:00 By The People For The People! Thanks for listening ! For more check out our website https://www.twb-productions.com/ Episode Music Credits: Nappy Freestyle (Prod.KNXWLEDGE) by Alezi.  Debut Mixtape Head Heavy dropping soon!https://soundcloud.app.goo.gl/9FS3UmQnf8EniFPD9Instagram @a.l.ezi Twitter @alezivv--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/supportSupport the show

The Writer's Block with Bobby Brown Jr is back! This week on the show my homegirl Lindsey Love stopped by the studio! Hope you enjoy the episode ! Follow my girl Lindsey on instagram @lindsjlove.  This week we're ALL bad bitches! :07 Five things, 1:00 Intro, 4:11 Lindsey Love Intro, 7:00 VALUE!, 11:30 Im Back Outside Tinder, 24:00 Greek Life! 29:00 I've Curved That, 31:13 Isle 4 Hot Goss. 45:30 Minute Clinic, 48:00 By The People For The People! Thanks for listening ! For more check out our website https://www.twb-productions.com/ Episode Music Credits: Nappy Freestyle (Prod.KNXWLEDGE) by Alezi.  Debut Mixtape Head Heavy dropping soon!https://soundcloud.app.goo.gl/9FS3UmQnf8EniFPD9Instagram @a.l.ezi Twitter @alezivv--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support

The Writer's Block with Bobby Brown Jr is back! This week on the show my homegirl Lindsey Love stopped by the studio! Hope you enjoy the episode ! Follow my girl Lindsey on instagram @lindsjlove.  This week we're ALL bad bitches! :07 Five things, 1:00 Intro, 4:11 Lindsey Love Intro, 7:00 VALUE!, 11:30 Im Back Outside Tinder, 24:00 Greek Life! 29:00 I've Curved That, 31:13 Isle 4 Hot Goss. 45:30 Minute Clinic, 48:00 By The People For The People! Thanks for listening ! For more check out our website https://www.twb-productions.com/ Episode Music Credits: Nappy Freestyle (Prod.KNXWLEDGE) by Alezi.  Debut Mixtape Head Heavy dropping soon!https://soundcloud.app.goo.gl/9FS3UmQnf8EniFPD9Instagram @a.l.ezi Twitter @alezivv--- This episode is sponsored by · Anchor: The easiest way to make a podcast. https://anchor.fm/appSupport this podcast: https://anchor.fm/bobby-brown-jr4/support