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It's In the News.. a look at the top headlines and stories in the diabetes community. This week's top stories: UK looks at starting universal T1D screening, Dexcom's CEO mentions a new product, bariatric sugery vs GLP medications, FDA approves update to prescribing info for inhaled insulin, miscroplastic and diabetes link studied, and more! Announcing Community Commericals! Learn how to get your message on the show here. Learn more about studies and research at Thrivable here Please visit our Sponsors & Partners - they help make the show possible! Omnipod - Simplify Life All about Dexcom T1D Screening info All about VIVI Cap to protect your insulin from extreme temperatures The best way to keep up with Stacey and the show is by signing up for our weekly newsletter: Sign up for our newsletter here Here's where to find us: Facebook (Group) Facebook (Page) Instagram Check out Stacey's books! Learn more about everything at our home page www.diabetes-connections.com Episode transcription with links: (Stacey Track) Welcome! I'm your host Stacey Simms and this is an In The News episode.. where we bringing you the top diabetes stories and headlines happening now. We are less than one month from our first MNO of 2026. Please join us in Silver Spring MD Feb 20 and 21. It's going to be amazing. We're going to Nashville next March 6-7 and we're going to have a great event a Club 1921 we just added on Thursday March 5th for health care providers and patient leaders. All the info is over at diabetes-connetionss.com events/ Okay.. our top story this week: XX All UK children could be offered screening for type 1 diabetes using a simple finger-prick blood test, say researchers who have been running a large study. This is the ELSA study - Early Surveillance for Autoimmune diabetes, a first of its kind UK study. They tested blood samples from 17,931 children aged 3-13 for autoantibodies, markers of type 1 diabetes that can appear years before symptoms. Families of children found to have early-stage type 1 diabetes received tailored education and ongoing support to prepare for the eventual onset of type 1 diabetes symptoms and to ensure insulin therapy can begin promptly when needed, reducing the chances of needing emergency treatment. Those with one autoantibody also received ongoing support and monitoring. Some families were also offered teplizumab, the first ever immunotherapy for type 1 diabetes, which can delay the need for insulin by around three years in people with early-stage type 1 diabetes. The second phase has launched and will expand screening to all children in the UK aged 2-17 years, with a focus on younger children (2-3 years) and older teenagers (14-17 years). The research team aims to recruit 30,000 additional children across these new age groups. ELSA 2 will assess how screening can be scaled across the NHS and evaluate its cost-effectiveness. https://www.birmingham.ac.uk/news/2026/childhood-type-1-diabetes-screening-is-effective-and-could-prevent-thousands-of-emergency-diagnoses XX At the J.P. Morgan Healthcare Conference Dexcom CEO Jake Leach says they're going to launch a new product outside the US. I'll link up that interview, The full quote: "When you look at the outside the U.S., there are a lot of structures that are tiered. Patients have access to different types of products, so we've got a new one that we want to introduce that will add flexibility there. It's based on the G7 platform, just like Dexcom ONE+, but it has a unique experience that's tailored for a subset of users that, today, don't have access to Dexcom." Your guess is as good as mine, but sounds more like a pricing or ordering issue than a new bit of hardware or software. Dexcom will also bring Stelo to some international markets this year. And plans a new mobile app experience for the wearable biosensor meant for people who don't dose insulin. Leach also says G8 will be much smaller and with more capability. but is a few years away. https://www.drugdeliverybusiness.com/dexcom-ceo-jake-leach-2026-roadmap-jpm/ XX A new international consensus statement provides guidance for the use of diabetes technology during pregnancy for women with type 1 diabetes (T1D), type 2 diabetes (T2D), or gestational diabetes (GD). Organized by the diaTribe Foundation, the document was based on evidence where available, as well as opinion from an international group of experts in endocrinology, diabetes technology, and obstetrics & gynecology, among others. This is the first set of recommendations specifically addressing the use of diabetes technology in pregnancy – and we'll link it up. https://www.medscape.com/viewarticle/new-consensus-statement-addresses-diabetes-tech-pregnancy-2026a100020d XX Bariatric surgery beats GLP-1s for type 2 diabetes across income levels. This study was published this month, looking at nearly 300 patients are 4 medical centers. Success here is measured by lower blood glucose levels, higher weight loss (28% vs. 10%), less use of diabetes medications, remission of diabetes to the point of no longer needing to inject insulin, and reduced risk factors for cardiovascular disease. Bariatric surgery was better than medical therapy across all social backgrounds, they found, and not just in areas of higher deprivation. The ancillary study was smaller, and some of the participants randomized in earlier stages crossed over from medical to surgical treatment, and the reverse. The authors acknowledged and accounted for these limitations, along with the rapid development of more powerful obesity drugs not fully captured in the study. This was a long term study – more than 12 years – and by the end of the study more people were choosing GLP1 medications. One dividing line: If someone hopes to lose 100 pounds, that's more likely with surgery than with medications. "Ultimately, we need large, long-term, well-designed studies to clarify the best strategy for a given patient." https://www.statnews.com/2026/01/19/diabetes-study-bariatric-surgery-better-than-glp-1s/ XX Researchers at the University of California, Riverside have reported for the first time that a father's exposure to microplastics (MPs) can lead to metabolic problems in his children, including diabetes. This is a mouse study, but it looks at a previously unrecognized way in which environmental pollution may influence the health of future generations. MPs are extremely small plastic fragments, measuring less than 5 millimeters, that form as consumer products and industrial materials break down. Metabolic disorders describe a group of conditions that include elevated blood pressure, high blood sugar, and excess body fat, all of which raise the risk of heart disease and diabetes. The team found that female offspring of male mice exposed to MPs were far more prone to metabolic disorders than offspring of unexposed fathers, even though all offspring received the same high fat diet. The research team hopes the findings will guide future investigation into how MPs and even smaller nanoplastics affect human development. https://scitechdaily.com/microplastics-can-rewire-sperm-triggering-diabetes-in-the-next-generation/ XX The FDA has finalized four new recalls for certain lots of Abbott's FreeStyle Libre 3 and FreeStyle Libre 3 Plus sensors due to ongoing safety concerns. We told you about this in November when Abbott says some of its continuous glucose monitoring (CGM) sensors were providing incorrect low glucose warnings. Internal testing identified the issue—carbon building up in the sensors during the manufacturing process—and determined that approximately 3 million CGM sensors were affected. The sensors were distributed in the United States, Canada and several European countries. When Abbott shared that announcement, the FDA was still reviewing the situation. No recalls had yet been finalized. Now, however, the agency has announced four new Class I recalls. https://cardiovascularbusiness.com/topics/clinical/heart-health/fda-confirms-recalls-abbott-cgm-sensors-new-lawsuit-alleges-company-concealed-information XX Insulet brings back it's U.S. Pod recycling program, now making it available to all U.S. customers. The Pod recycling program, offered at no cost to customers, enables users to request a recycling kit online. This allows them to return their used Omnipods. Insulet then decontaminates the returned Pods before transporting them to a company specializing in recycling for electronics and medical products. Insulet began recycling pilot programs in Mass and California and are rolling it out nationwide. Insulet also has "Pod takeback" programs outside the U.S. in several international markets. These programs enable customers to request a takeback kit by contacting their local customer support team. https://www.drugdeliverybusiness.com/insulet-expands-us-pod-recycling-program/ XX Up next a new resource for a population at three times the risk for diabetes, but without a lot of access to health information. I The first diabetes information website primarily in ASL has launched. The site includes GIFs and videos on diabetes management and an ASL glossary of diabetes-related terms. This is from University of Utah Health – Called Deaf Diabetes Can Together. Deaf and hard of hearing people are at three times higher risk for diabetes, but access to health information in ASL is limited. https://healthcare.utah.edu/newsroom/news/2026/01/first-diabetes-information-website-asl-launches XX Novo Nordisk ended all work on cell therapies, including a Type 1 diabetes program, in October – and now has found a buyer. Aspect has acquired rights to the assets and giving Novo an option to reengage for later-stage development and commercialization. Novo is helping bankroll Aspect's development of the assets, investing in the company and providing research funding. The arrangement gives Novo a chance to profit from the programs down the line. Novo is eligible for royalties and milestone payments on future product sales and, having handed the reins to Aspect for now, can expand its role in later-stage development and commercialization. The integration will involve the transfer of capabilities and expertise from Novo sites in Denmark and the U.S. to Aspect's Canadian operations. https://www.fiercebiotech.com/biotech/novo-nordisk-offloads-diabetes-assets-aspect-amid-cell-therapy-retreat XX XX Lucas Escobar has carved a role by proving that healthcare marketing can be culturally resonant, commercially powerful and deeply human. As director and head of U.S. consumer marketing at Insulet, he has redefined how the Omnipod tubeless insulin pump shows up in culture, transforming a medical device into a symbol of identity, inclusion and empowerment. Under Escobar's leadership, Insulet launched three breakthrough initiatives: Dyasonic: Sound of Strength, a Marvel comic collaboration introducing a superhero who uses Omnipod; The Pod Drop, which turned the sound of a pod change into a celebratory music track; and Omnipod Mango x Pantone, medtech's first color partnership, honoring the vibrancy of the diabetes community. Each blended creativity with purpose while driving results, helping fuel Omnipod's consistent double-digit growth and its position as the most prescribed insulin pump in the U.S. Living with type 1 diabetes himself, Escobar brings lived experience to his work, using storytelling not just to sell, but to make people feel seen. Click here to return to the 2026 MM+M 40 Under 40 homepage. From the January 01, 2026 Issue of MM+M - Medical Marketing and Media https://www.mmm-online.com/40-under-40/40-under-40-lucas-escobar-insulet/ -- FDA approves an update to the prescribing info for Afrezza inhaled insulin. This is a revision to the recommendations for the starting mealtime dosage when patients switch from shots or insulin pumps. This is aimed at healthcare providers - the updated labeling was supported by results from the INHALE-3 trial. The FDA is still considering approval of Afrezza for kids – a decision there expect by summer. https://www.globenewswire.com/news-release/2026/01/26/3225442/29517/en/MannKind-Announces-FDA-Approval-of-Updated-Afrezza-Label-Providing-Starting-Dose-Guidance-when-Switching-from-Multiple-Daily-Injections-MDI-or-Insulin-Pump-Mealtime-Therapy.html -- UK researchers have developed a calculator to predict whether someone is at risk for type 1 diabetes. They're hoping this helps in screening and in preventing DKA at diagnosis. They used the TEDDY study to create this calculator, which right now is in beta form and only for kids and teens ages 8-18. The current beta form of the calculator asks users to answer questions about four factors necessary to estimate a child's risk of developing type 1 diabetes: age, family history, number of confirmed autoantibodies, and genetic risk score. The calculator has been given regulatory approval as a diagnostic in the U.K., and he's working with a company that's hoping to bring it to the U.S. in the next few months in the form of a home genetic test kit. https://www.healthcentral.com/news/type-1-diabetes/new-calculator-might-help-predict-type-1-diabetes-before-symptoms-appear
Heard a Pop in My Head: The Stroke Warning Sign Most People Ignore When Phat heard a pop in his head, it didn't feel dramatic. There was no collapse. No sirens. No panic. Just a strange sensation. A few minutes of numbness. Then… everything went back to normal. So he did what most people would do. He ignored it. Five days later, he was being rushed to the hospital with a hemorrhagic cerebellar stroke that nearly cost him his life. This is not a rare story. It's a dangerously misunderstood stroke warning sign and one that often gets dismissed because the symptoms disappear. When You Hear a Pop in Your Head, Your Brain Might Be Warning You “Hearing a pop in my head” isn't something doctors list neatly on posters in emergency rooms. But among stroke survivors, especially those who experienced hemorrhagic strokes, this phrase comes up more often than you'd expect. For Phat, the pop happened while stretching on a Sunday. Immediately after: His left side went numb The numbness lasted about five minutes Everything returned to “normal” No pain. No weakness. No emergency, at least that's how it felt. This is where the danger lies. Stroke Symptoms That Go Away Are Often the Most Misleading One of the most common secondary keywords people search after an experience like this is: “Stroke symptoms that go away” And for good reason. In Phat's case, the initial bleed didn't cause full collapse. It caused a slow haemorrhage, a bleed that worsened gradually over days. By Friday, the real symptoms arrived: Severe vertigo Vomiting and nausea Inability to walk Double vision after stroke onset By Sunday, his girlfriend called an ambulance despite Phat insisting he'd “sleep it off.” That delay nearly killed him. Cerebellar Stroke: Why the Symptoms Are Easy to Miss A cerebellar stroke affects balance, coordination, and vision more than speech or facial droop. That makes it harder to recognise. Common cerebellar stroke warning signs include: Sudden dizziness or vertigo Trouble walking or standing Nausea and vomiting Double vision Head pressure without sharp pain Unlike classic FAST symptoms, these can be brushed off as: Inner ear issues Migraine Muscle strain Fatigue or stress That's why “pop in head then stroke” is such a common post-diagnosis search. The Complication That Changed Everything Phat's stroke was classified as cryptogenic, meaning doctors couldn't determine the exact cause. But the consequences were severe. After repairing the bleeding vessel, his brain began to swell. Surgeons were forced to remove part of his cerebellum to relieve pressure and save his life. He woke up with: Partial paralysis Severe balance impairment Double vision Tremors Aphasia A completely altered sense of identity Recovery wasn't just physical. It was existential. The Invisible Disability No One Warns You About Today, if you met Phat, you might not realise he's a stroke survivor. That's one of the hardest parts. He still lives with: Fatigue Visual processing challenges Limited multitasking ability Balance limitations Cognitive overload This is the reality of invisible disability after stroke when you look fine, but your nervous system is working overtime just to keep up. Recovery Wasn't Linear — It Was Personal Phat describes himself as a problem solver. That mindset became his survival tool. Some of what helped: Self-directed rehabilitation (sometimes against advice) Meditation and breath-counting to calm the nervous system Vision therapy exercises to retrain eye coordination Strength and coordination training on his affected side He walked again after about a year. Returned to work after two. And continues to adapt more than four years later. Recovery didn't mean returning to the old version of himself. It meant integrating who he was with who he became. Why This Story Matters If You've Heard a Pop in Your Head This blog isn't here to scare you. It's here to clarify something crucial: If you hear a pop in your head followed by any neurological change, even if it goes away, get checked immediately. Especially if it's followed by: Numbness Vision changes Balance issues Confusion Head pressure or vertigo Stroke doesn't always announce itself loudly. Sometimes it whispers first. You're Not Alone — And Recovery Is Possible Phat now runs a platform called Hope for Stroke Survivors, sharing stories, tools, and reminders that recovery doesn't end when hospital rehab stops. If you're early in recovery, or terrified after a strange symptom, remember this: Stroke recovery is complex Timelines vary Healing continues for years You don't have to do it alone Learn more about recovery journeys and tools in Bill Gasiamis' book: The Unexpected Way That a Stroke Became The Best Thing That Happened Support the podcast and community on Patreon: Patreon.com/Recoveryafterstroke “I heard a pop in my head… and because everything felt normal again, I ignored it.” Final Thought If this article helped you name something you couldn't explain before, share it with someone you love. Because sometimes, recognising a stroke doesn't start with fear. It starts with understanding. Disclaimer: This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. “I Heard a Pop in My Head” — Phat's Cerebellar Stroke Story A pop. Five minutes of numbness. Then everything felt “normal.” Days later, Phat collapsed with a cerebellar haemorrhage. Phat Cao’s Linktree Research shortcut I use (Turnto.ai) I used Turnto.ai to find relevant papers and sources in minutes instead of hours. If you want to try it, my affiliate LINK PDF Download The Present Moment Is All We Have: You survived the stroke. Now learn how to heal from it. Highlights: 00:00 Introduction and Life Before the Stroke 01:14 The Stroke Experience 09:05 Initial Diagnosis and Recovery 13:29 Rehabilitation Journey Begins 17:44 Mental Challenges of Recovery 22:40 Identity Transformation Post-Stroke 30:57 Mindset Shifts and Control 36:39 Breath Control Techniques for Stress Relief 42:04 Managing Tremors and Physical Recovery 48:09 Growing an Online Presence and Sharing Stories 01:01:01 Understanding Stroke Recovery Transcript: Phat (00:00) on a Sunday. And then it wasn’t until I felt like severe stroke symptoms on a Friday, which was about, what is it, four or five days. And then I didn’t think I was having a stroke because I didn’t realize the details of the stroke. And so I just went about my day on that Sunday and until Friday I started getting like some BEFAST symptoms and then, you know, I tried to sleep it off it was actually just me and my girlfriend at the house and then she didn’t feel, comfortable. So then she called the ambulance, even though I told her I’ll just sleep it off. It’s okay. Introduction and Life Before the Stroke Bill Gasiamis (00:37) today’s guest is Fat Kyle, a stroke survivor who experienced something most people would brush off. He heard a pop in his head. It went away, so he kept going. Days later, his brain was bleeding. Fat story isn’t traumatic for the sake of it. It’s honest, it’s thoughtful, and it speaks directly to anyone who’s ever ignored a symptom because it didn’t last. In this conversation, we talk about delayed stroke symptoms, cerebellar hemorrhage, identity loss, invisible disability, meditation, and what it really takes to rebuild a life when your old one disappears. And if you’ve ever had that moment where you thought, was that something or nothing? This conversation really matters. Now, before we get into it, I want to briefly mention something that fits naturally with this topic. When you’re dealing with stroke, whether you’re newly affected or years into recovery, finding clear relevant information can be exhausting. research opinions, patients, stories and updates constantly coming out. And most of it isn’t written. with stroke survivors in tool I personally use and find helpful is Turn2. I like it because it cuts down the time and energy it takes to stay informed. Instead of digging through endless articles, Turn2.ai pulls together all stroke-related research updates, expert insights, and patient discussions in one place based on what you actually care about. It’s not about replacing doctors, it’s about reducing noise. when your focus, energy and capacity are limited. You’ll find the link in the description. And just to be transparent, if you choose to use my link, it helps support the podcast at no extra cost to you. All right, let’s get into Fats story. Bill Gasiamis (02:23) Phat Cao Welcome to the Phat (02:26) Hey Bill, thank you. It’s an honor to meet you. Bill Gasiamis (02:29) pleasures all mine. I pronounce that correctly? Phat (02:32) Yeah, you know you did. It’s not that complicated. Fat Cal is right. I blame my parents. Bill Gasiamis (02:39) Fair enough. that a common name in Vietnam? Phat (02:42) You know, it’s not a common name. Actually, it’s not a common Vietnamese name. But a lot of people do have fat, the first name, and then the last name people do. Some people do have it. It just happens in America, it means something else, you know, in English. Bill Gasiamis (02:58) It totally does, it sounds like I’m being mean. Phat (03:01) Yeah, I get it all the time. I’ve had to grow up like this. It’s been kind of rough. Bill Gasiamis (03:08) I hear you. Have you ever considered making a change to one of the names just for the sake of ease? Phat (03:15) Phat’s so funny. You know what? Because I wasn’t born in the US, because I live in the US. And when I got my citizenship, that was something I thought about. But then after I thought about it, I’m like, well, this is the name that was given to me. Vietnamese, it means something else. And so then I decided to keep it. Bill Gasiamis (03:33) What does it mean in Vietnamese? Phat (03:34) Phat was kind of like, means prosperity and also like high prosperity. Bill Gasiamis (03:41) Dude, that’s a cool name. Phat (03:43) Thank you, yeah. Yeah, so yeah, when I tell people, they’re like, oh wow. Bill Gasiamis (03:47) I had, ⁓ my name is not Bill, it’s Vasili. Phat’s my Greek name. My parents gave me that name when I was born. And when I had, when I turned 18 and I got my driver’s license, they asked me, because my birth certificate says Vasili, what do you wanna have on your driver’s license? And I think I made the wrong decision then. I chose Bill for the sake of ease of use. And once it’s on your driver’s license, then it goes on pretty much every other document after that. And it’s really difficult to go back and change everything. I kind of, I don’t regret it, but I love the connection to your roots, you know, with the original name that you were given. Phat (04:23) Yeah. ⁓ yeah. I get, you know what, I had that decision too, because everyone pretty much in my family, they changed their names. So, you know, when I was at that point, I decided not to. And so, hey, it is what it is. You know, I had to go through some stuff, but I think it kind of set, it created me to, you know, to kind of not care so much and just embrace my roots. Bill Gasiamis (04:59) Yeah. And with a name like prosperity, it’s probably helpful in taking, that attitude to the rest of your life, especially after a stroke, man. Phat (05:11) Yeah, yeah, definitely I had to live it, you know, but yeah. I don’t know how prosperous or how much that is since I had a stroke, but I had to live it. Bill Gasiamis (05:25) You have to adapt it somehow. So what was life like before stroke? Anyway, how did you go about your day? Phat (05:32) You know, before the stroke, was active. You know, I like to do a lot of community service. I was involved with a lot of nonprofits. You know, I felt like I did various things. You know, I went through a lot of different stages in my life, but I’ll start off coming to America here. You know, I grew up in a trailer home. My parents escaped Vietnam, took us over here. And, you know, we grew up pretty poor and so you know he’s just growing up in the US my parents didn’t know a lot of English and so that was kind of my childhood. But just growing up and slowly you know learning how to adjust you know that was kind of my thing and I was trying to learn as much as I could so that way I can help my family and stuff and you know be the one to provide and stuff too and help them out for all their sacrifices. But yeah that was my life before the stroke in a nutshell. Bill Gasiamis (06:31) What kind of conditions did they escape? Phat (06:33) You know what, was towards, it was at the end of the war and so the communists had taken over. So they were fighting for the South, you know, which is allies with the U.S. and they wanted to bring us over here for freedom. Bill Gasiamis (06:48) Wow, pretty intense. old were you? Phat (06:49) Yeah. You know, I was one year, not even one years old when I got over here, but during when they escaped, they went to a refugee camp in the Philippines and that was where I was born. I also have two older sisters that were born in Vietnam, but I was the only one born in the Philippines at the refugee camp until they got, they got accepted to the U.S. and then they took our whole family over here. Bill Gasiamis (07:16) And what year was that? Phat (07:18) Phat was 1983. Bill Gasiamis (07:20) Dude, you don’t look like you were born like in 1983. You look like you were born only like in the 2000s. Phat (07:24) Hey, I appreciate it. No, I was born in 1983. So I’m 42 right now. Bill Gasiamis (07:34) Now you don’t look like you’re 42, but that’s great. Phat (07:38) I it. Yeah, you know, I had the stroke when I was 36. So it’s been about four years and seven months. I did a calculation. Bill Gasiamis (07:48) How did that come about? happened? How did you end up having a stroke? Phat (07:54) You know, as far as the stroke, I had a hemorrhagic stroke. It was actually a cerebellar stroke and the doctors could not determine exactly how it happened. And so, you know, they did some tests and stuff, but they couldn’t figure it out. So mine is considered cryptogenic. Bill Gasiamis (08:13) Defend the means. They found the bleeding blood vessel though, right? Phat (08:19) Yeah, they found a bleeding. ⁓ One of the arteries in the cerebellum was bleeding. And so it was like, I felt like a on a Sunday. And then it wasn’t until I felt like severe stroke symptoms on a Friday, which was about, what is it, four or five days. And then I didn’t think I was having a stroke because I didn’t realize the details of the stroke. Heard a Pop in My Head And so I just went about my day on that Sunday and until Friday I started getting like some BEFAST symptoms and then, you know, I tried to sleep it off and until, you know, it was actually just me and my girlfriend at the house and then she didn’t feel, you know, like comfortable. So then she called the ambulance, even though I told her I’ll just sleep it off. It’s okay. Bill Gasiamis (09:14) Did you actually hear a pop? Felt a pop? I’ve heard similar stories before. like, what was that like? Phat (09:22) Okay, you know, I did feel a pop. And then actually, when I was stretching at that time, which I don’t tell a lot of people because it sounds really funny, but I was stretching at that time and then I felt a pop. And so that’s when like part of my left side went numb. And then I was wondering if it was a stroke and I didn’t know much about strokes, right? You have your assumptions. what a stroke is and so I was like, well maybe it’s a stroke and at that time I waited about five, 10 minutes and I felt normal again. So then I just went about my day and at that time I was doing a lot of stuff so I kind of forgot about it. Which, you know, it doesn’t make sense but yeah, I forgot about it. Bill Gasiamis (10:13) Did the numbness hang around the entire five days before you got to the hospital? Phat (10:19) It did not. It only stayed for about five minutes and then it went back to normal. Bill Gasiamis (10:25) Wow. Phat would kind of distract you from thinking that there was something wrong, right? Because the numbness goes away. hear a pop, so what? Like everything’s fine. Phat (10:26) So then… Yeah. Yeah, then I should have went to the hospital and got it sort of looked into, but at that time I didn’t. And then I just continued with what I had to do and I went back to work and not realizing it was a slow bleed. You know, I think your body, now that I’m looking back, I think your body kind of fixes itself a little bit as much as it can. And then it was like, it turned into like a slow bleed until it got to a point where. Bill Gasiamis (10:50) realizing it ⁓ Phat (11:04) I was nauseous, I couldn’t walk my vertigo, I was throwing up. My eyes, I had double vision, and that’s when it really hit me. Bill Gasiamis (11:05) just being vicious. I could be little bit of wimp, I could be the longest three in the I know why. Friday would have been the worst day, was that kind of progressively getting worse as the days were passing or did it just sort of suddenly come on on Friday? Phat (11:15) Friday. It just suddenly came on on Friday. I had a lingering like small headache, but then it suddenly came on on Friday. Bill Gasiamis (11:27) Thank Hmm. And then from there, were you, let’s go to the hospital or were you trying to play it down again? Phat (11:40) I was trying to play it down until Sunday. So I was trying to sleep it off. And then, you know, by the time Sunday hit, you know, finally my girlfriend just called the ambulance and that’s when they came and then they checked me out and they found out I was having a stroke. Bill Gasiamis (11:58) I had a similar experience. I noticed, I didn’t hear anything, but I noticed numbness in my big toe, my left toe. And that was on a Friday. And then it was slowly, the numbness was spreading from my toe to my foot, to my ankle. And then by the Friday later, so seven days later, nearly eight days later, the numbness had gone down my entire left side. Phat (12:07) Mmm. Bill Gasiamis (12:27) So I was progressively getting worse every day. It was slowly creeping up as the blood vessel kept leaking. The blood clot got bigger and bigger. And my wife was telling me, you need to go to the hospital. You need to get a checked out, all that kind of stuff. I went to the chiropractor because I thought I’d done something to my back. And that’s why I had a pinched a nerve. I thought something like that. Chiropractor couldn’t find anything. I went back to the chiropractor the Friday. The chiropractor said, you need to go to the hospital because whatever’s happening to your left side is not happening because of your ⁓ back or your spine or any of that stuff. And instead of going to the hospital when he said so, I went home. My wife said, you what did he say? I told her, I told her that he said I should go to the hospital. She said, why are you at home? ⁓ I was reluctant the whole time. Like I didn’t wanna go because I had work to do, I was busy. Phat (13:13) Really? Rehabilitation Journey Begins Bill Gasiamis (13:26) It was really busy work week. We were helping out a whole bunch of clients. So yeah, it was insane, but what you’re describing that delay, the delay is very familiar. Phat (13:35) Phat’s insane. You know, that’s the first time I’ve heard someone that has a similar experience to mine and I can relate with you. You know, I was like, it’s okay. And there was a lot going on. didn’t want to, you know, delay certain things that was going on. I was in the process of closing on a house and stuff. So I’m like, okay, let’s just finish this up. You know, I didn’t want it to put me behind or nothing. Bill Gasiamis (14:01) Yeah. What kind of work were you doing? Phat (14:03) You know, I was doing engineering, so I’m an engineer for Boeing. Bill Gasiamis (14:08) Yeah, pretty intense job. Phat (14:11) Yeah, you know, I do see that, but it wasn’t because of stress. I don’t believe it was. Because I really did have a good, I feel like I did have a good balance of with my stress and also a balance of, you know, play and stuff like that too. And I felt like I was handling it okay. Bill Gasiamis (14:31) smoking, drinking, any of that kind of stuff. Phat (14:34) You know, before then I was smoking and drinking more, but I wasn’t smoking that much. Before the stroke, I probably had quit about a year before that, but I was smoking before that for about like 10 years, 15 years. Bill Gasiamis (14:41) Yeah. Yeah, again, familiar. I was 37 when I had my bleed the first time and I was also, yeah, yeah, that’s crazy. Like it happens around the same age for so many people I’ve interviewed between the age of 35 and 40 when they’ve had bleeds specifically. I don’t know why. And my, and I was smoking for, Phat (14:58) ⁓ we’re like the same age. joke, yeah. Bill Gasiamis (15:19) I was 37, so I was smoking from the age of 13 or 14 on and off. Um, I wasn’t drinking heavily, but it was drinking. But again, my thing was, um, something I was born with. was potentially going to bleed at some point. And, um, it’s just one of those things. Uh, but I think that my, uh, my lifestyle didn’t. Phat (15:36) all yours. Bill Gasiamis (15:44) It didn’t make things better. It sort of created the perfect storm for it to bleed. And that’s why since then I don’t drink and I don’t smoke 100%. You know, like I’ve just completely stopped. I have a drink maybe once a year. Phat (15:56) yeah, I’m the same way too, I just… Yeah, I get you. I was never like a heavy drinker maybe once a weekend, you know, but now I completely stop smoking or drinking. It just doesn’t interest me. Bill Gasiamis (16:09) Yeah, what were the early days like? Were you scared? Was it confusing? How do you deal with the initial diagnosis and your brain’s bleeding? Phat (16:21) Yeah, you know, in the beginning, it was a big shock. know, I think looking at me now, you know, you couldn’t tell. But, you know, I’ve built up to this point. But the biggest thing was I had complications when I had the stroke and, know, I had ⁓ my brain was swelling and so they had to do a second surgery on me to remove part of my brain. And so then that’s what left me with the, you know, disabilities and stuff, which, you know, I had most of the symptoms that most stroke survivors experience, spasticity, aphasia. I had tremors, know, partial paralysis, my balance, vision, things like that. But yeah, it was tough for sure, just coming home and at first you’re just so busy in the hospital working to regain, you know, yourself again, to rebuild yourself. But coming home, yeah, it’s just a… It hits you because you can’t do anything that you used to do. And everything changes, know, even your relationships change. Bill Gasiamis (17:22) Yeah. Which part of the brain did they take out man? And why did they need to take it out? Was it just a blood vessel that burst or? Mental Challenges of Recovery Phat (17:33) They took part of my cerebellum out and it was because after they repaired, since I had a hemorrhagic stroke, they repaired that vessel. It was, my brain started swelling and there was blood just filling up so then they had to remove part of my brain so they can allow space for it to swell up. Bill Gasiamis (17:59) Wow. Phat (18:00) Yeah, so I don’t know, you know, they decided to remove part of my brain, but it ended up working out. Actually before that, before they removed the second surgery, I was completely partially paralyzed. But in a way, since that happened, I had some movement. Bill Gasiamis (18:18) It’s just crazy, isn’t it? I had a recent brain scan where, because I’ve been having a lot of headaches and to throw caution into the wind, like they went and got me another brain scan literally about six months ago. And it was the first time I saw what my brain looks like after brain surgery. And there’s like a canal. Phat (18:37) they do. Yeah. Bill Gasiamis (18:47) like a canal from my ear, that’s all, there’s like an entry wound and then there’s a line that goes in to the spot where they went and removed the blood vessel, like where the damage has caused my deficits, the ones that are still with me. And it’s just intense that you can have a little bit of your brain missing or gone or whatever removed and you’re still functioning. It is just amazing how far technology and how far Phat (19:04) Yeah. Bill Gasiamis (19:17) Medicine has come. Phat (19:18) Yeah, that’s so incredible. The human body too, it makes you think about it. You know, I hear different things about, and just knowing like parts of our brain is dead, you know, and it’s able to, you know, regain different things. Neuroplasticity, right? Bill Gasiamis (19:36) Yeah. How long did it take you to get back on your feet after you realized you can’t walk? Phat (19:42) It took me about a year, but at that time I was still using a walker. Yeah, so about a year. Bill Gasiamis (19:47) And then from a walker, it become, how do you take the first steps away from a walker? What happened to allow that progression? Phat (19:57) you You know, I was told to use a cane and it would have helped me big time. But what I did was I skipped the cane and and then I use I just did it without the walker and I slowly built up built up the confidence. You kind of adjust. think each each time you transition like from one one from wheelchair to walker, you know, and then without the walker, you have to. Re-adapt the whole time and so that’s what I kind of did and it was ugly, know I fell a lot and stuff, but that’s what I did. I just kind of went for it Bill Gasiamis (20:33) So for those of you watching on YouTube, you might’ve noticed the change in scenery. That’s because the first part of the interview was recorded more than a week ago. And we had some technical difficulties because fat was in the car and we couldn’t get a decent connection. So we’re reconvening with that fat at home. Phat (20:55) Yeah, this is is better better connection Bill Gasiamis (20:58) Way better. And we finished the discussion off by me asking you a question about what you had said about how you continued your rehabilitation alone, where you were meant to be walking with the the Walker and you ditched it. And I was wondering, did your team find out that you weren’t walking with a Walker? Did they kind of like suss out that you We’re being, what’s the word, maybe a little bit risky or unsafe in the way that you were going about your rehab. Phat (21:34) Yeah, you know, I didn’t, I kind of, didn’t mention it to them really, but there was one of them that I did mention it to and she recommended I use a cane to be safe. And, you know, I did, I did say, tell her that I was trying it without it because I noticed that when I like switch like from the wheelchair in the beginning to the walker, it just like every time you switch, I noticed that you would have to adjust. so That’s the reason why I just went from the walker just to walking without a cane. Bill Gasiamis (22:08) Is it so that there’s less of an adjustment period between one thing to the next thing to the next thing was a kind of like just bypass everything in between and go straight to walking. Phat (22:18) Yeah, it was me being risky too, because I know if you fall or something, it could cause a lot of damage. But yeah, it was kind of my risk and my therapist, she wasn’t too happy about it. But I didn’t talk about it that much either. So I kind of kept it a little private too. Identity Transformation Post-Stroke Bill Gasiamis (22:40) what would you say some of the toughest challenges that you faced early on? Phat (22:44) I would say the toughest for sure is the mental and getting used to my new identity. You you come home and everything’s completely different. It kind of hits you at once. And I think, you know, living a normal life and then all of a you’re, you have a disability and you know, you can’t do the same things, you know, you could do the independence. So I think it’s all that. Bill Gasiamis (23:14) Yeah, you know, the mental, what does that mean for you? Like what is the mental challenge? Like, can you describe it? Phat (23:24) Yeah, I would say sadness. think anxiousness, fear. You don’t know what’s going to happen in your future. I think the unknown. Low energy. think those are the things that pop up in my head. Bill Gasiamis (23:45) Does it make you kind of overthink in a negative way or are you just comparing your old self to your new self? Phat (23:51) I think comparing my old self to my new self. Bill Gasiamis (23:55) Hmm. Do you reckon, do you reckon you brought some of that old self with you or is there a pause on the old self and why you’re kind of trying to work out what’s happening moving forward? Because a lot of people will talk about how, you know, their identity gets impacted, especially early on. And then sometimes down the track, when I speak to stroke survivors who are many years down the track, they might talk about how They brought some of their identity with them and then, and they’ve integrated that old identity into the new way they go about their lives. Early on is the old identity kind of far away over there and then there’s something completely different here. How did you experience it? Phat (24:44) Yeah, I think initially there were a lot of things and I wasn’t sure how to handle it. But I think throughout this time, you know, part of me has learned how to process it and resolve it and also rebuild myself. And so I think now, if anything, I take that experience to my present day to learn from and grow from. I feel like I’ve invested in myself enough to ⁓ not feel the same way, the negative things that, you know, were coming in the beginning. But now I think I’ve processed it correctly. And so I think I’m a lot better now. Bill Gasiamis (25:27) A lot of stroke survivors always often ask me for a timeline, you how long before this happened? How long before that happened? And we’re all so different, so it doesn’t really apply. But do you have a sense of the time that it took for you to integrate old self with new self? ⁓ I know you ⁓ got a substantial amount of your movement and your function back. How did you integrate? Phat (25:52) Yeah. Bill Gasiamis (25:53) the two and how long did it take before you kind of felt okay with who you were. Phat (25:57) Yeah, that’s a that is a hard question to say it wasn’t like Suddenly everything was okay. It was kind of a process I think as you I mean I’m for over four and a half years now and so it was gradual but I would say initially about Two years, you know is when it took me two years to build myself up to when I could finally work again and Maybe about the two-year mark I felt like things were starting to come more together. But it was an evolution. feel like, you know, every year, every month or whatever, you learn different things. And so it’s kind of a process. Even today, you know, I’m still learning different things and, you know, it’s changing too in different ways, right? But that’s how was for me. Bill Gasiamis (26:48) Yeah. What kind of person are you? Are you like curious? Are you a problem solver? I’m very interested about kind of understanding how people come to be on my podcast. I know that there’s a portion of people who come on because they want to share their story and help connect to other people. Also share their story to help people through the early days of their own challenge. People also connect to meet me so that we can create a conversation and meet each other. Phat (26:55) You know. Yeah. Bill Gasiamis (27:19) How do you go about your, what is your approach to stroke recovery about? What’s the fundamental thing that it’s about? Phat (27:29) Yeah, you know, that’s what I love about your podcast because it’s people from all walks of life. And I really like how you set it up. I mean, you say you don’t have to even prepare for it, but I think I’m the type of person. Yeah, I think I am ⁓ naturally a problem solver. think, know, in initially someone asked me if I cried and normally I, I don’t cry. And I remember when I had the stroke, once I got home, You know, I suddenly broke out in tears and you know, it was with my mom right there. And so it just hit me. know, initially I think, you know, we all get hit with that and our emotions and, you know, everything bottles up and has to come out or should come out. But, um, you know, I am a problem solver. I felt like after time, it gave me some time to process it. And I started thinking a bit like, okay, so how am I going to tackle this? So I tried to think of it like a problem that I had to solve and I slowly broke it down into pieces and started building myself up. know, I mean, when you look at me now, you you wouldn’t look at me and think like, okay, his stroke probably wasn’t that bad. But you know, it’s a lot different now than it was in the beginning. And so, you know, and that’s why with me, I figured it out. I started figuring out things and slowly improved until where I’m at now. Bill Gasiamis (28:53) That whole thing is that if you look at me now, you wouldn’t know that I had a stroke and I don’t come across as somebody who had a stroke, et cetera. And that’s a real challenge for me because I have had the worst week leading up to this interview again. Today’s probably the first day I felt really good, maybe for about four or five days. And I was struggling with fatigue and I was struggling with brain fog and I was struggling with sleep. And I was just a mess. Phat (29:04) Yeah. Bill Gasiamis (29:23) half the person that I was a week earlier. And it’s. I’m always conscious about the fact that I put off of this vibe on my podcast interviews, because I try and be the best version of myself, because you need to be the best version of yourself when you’re interviewing another person, even if you don’t feel the best. ⁓ But at the same time, you want to be, what’s the word like? Phat (29:38) That’s so good, yeah. Bill Gasiamis (29:45) you wanna be authentic. I mean, that’s the only word I can come up with. And that means that I need to tell people about how I’m feeling during a podcast. Like I might be tired, half asleep. I might even come across a little bit off, but then still, this is sometimes what stroke looks like and the part of stroke. After the interviews, you may not see, you may not see what it’s like. And I don’t want people comparing themselves to me just because I mostly look okay on a podcast interview. Phat (30:21) Yeah, I think that’s the frustrating thing. no matter whether you look like it or don’t, I think we still both experience different types of things in After Effects. And I understand your situation because it is frustrating because a lot of times we might not show it, but we’re still dealing with things that survivors still experience. Mindset Shifts and Control And, you know, we in front of the camera, we had to put on a face, right. And even sometimes like at work or in front of my family, they don’t realize I’m still dealing with things. And, you know, even my significant others, there’s things she doesn’t fully understand, and I’m still dealing with it. You know, or I might do something and she’s like, why are you doing that? But she doesn’t realize what I’m going through inside. And the external is one thing and the internal is another. Bill Gasiamis (31:12) Yeah, extremely difficult for me to even wrap my head around it still. And, you know, I’m nearly 14 years post first stroke, you know, and I’m 12 years post surgery and there’s so many things that have improved and so many things that are better. But you know, when I’m, my kids were over the other day and they don’t often hang around with me for a long amount of time. So they don’t often see what it’s like for me. Phat (31:23) Yeah. Bill Gasiamis (31:41) But everyone assumes that I am what’s wrong. Like everyone assumes there’s something wrong. And it’s like, I’m not cranky. There’s nothing wrong. I’m just having a stroke day. Like I can’t be better than what I am right now. And it’s not you, you know, it’s me. Phat (31:58) Yeah, big time. Yeah, I really feel like sometimes it’s hard for people to understand too if they haven’t had a stroke, but even for survivors to know that even people with, there are invisible disabilities out there, know, and each stroke is so complex and different. So we’re all, you know, having to deal with different things. And so that’s something to be aware of. And it’s good to be aware of that. Bill Gasiamis (32:25) What are some of the things that you still miss out on that you haven’t gone back to or you can’t do anymore or you choose not to do? Phat (32:36) Yeah, you know, I used to be a lot more active. I like, I love to snowboard before I can’t do that anymore because my balance is not at that point. And, plus I don’t want to take that risk in case something happens. Like, you know, I get some kind of traumatic brain injury or something or fall. ⁓ You know, my coordination, my fine manipulation isn’t good. My memory isn’t the best. I still have double vision, so I can’t do any type of like, like people are trying to invite me to play pickleball and I definitely can’t do that. You know, I can’t fall and track the ball, you know, plus my balance is horrible. Yeah. You know, I think my processing, I can only retain so much information or like Multitasking even though I think I believe multitasking isn’t the best but it’s like I can’t multitask, know, so you have to really focus in on one thing You know, I mean I built myself up to this point But it’s hard to do multiple things like if I’m really focused on something it’s hard for me to pay attention to something else Yeah, those are just some things Bill Gasiamis (33:52) You know with double vision, I don’t know anything about it. I’ve met so many stroke survivors who have double vision as a result of the stroke. Phat (34:00) Yeah. Bill Gasiamis (34:01) This might sound like a silly question. If you close one of your eyes, does the double vision go away? Phat (34:08) It does go away. So just to explain, it’s just your eyes aren’t… normally your eyes work together, but then one is kind of offset a little bit. So you’re seeing two pictures, but if you close one eye, then the double vision goes away. But in order for you to improve the double vision, you got to train it to work together. Bill Gasiamis (34:23) Okay. Is that some kind of training that you’ve done that you’re continuing to do? Phat (34:30) So there’s. ⁓ Yeah, know what I did initially, I saw a vision therapist that I was seeing them for about a year, but it got really expensive. So I stopped. But now I’m just taking what I learned and I’m practicing it on my own. There is an option for people to get surgery, but I am focused on just doing everything naturally. And so it’s still healing as long as I continue to practice it and exercises stay consistent. But just recently, since I’m doing a lot of things, I haven’t been as good at being consistent with my vision therapy exercises, so it’s actually getting worse. Bill Gasiamis (35:14) huh. So what does the surgery do? Does it change the position of the eye? Phat (35:16) Yeah. Yeah, the surgery does change the position and then it corrects it right away. Which there’s a lot of survivors that have done that. My double vision actually was really extreme, but it’s at the point now where it’s almost corrected. Bill Gasiamis (35:40) And is that a muscle issue? that like, you know how some strike survivors talk about weakness on their left side? It’s that the muscle activates or becomes deactivated in a particular way. And therefore it doesn’t respond in the same way that it used to. It doesn’t contract and release from the contraction in the same way that it used to. Is that a similar thing that’s happening to the eye? Breath Control Techniques for Stress Relief Phat (36:09) Yeah, it is kind of similar to that. And so what I’ve learned from talking to different therapists, it helps when you like isolate one side and you build that side and strengthen it. And so that’s the part where I’m missing because I’m working them together, but still the affected side is weaker. And so it’s just not strong enough to keep up. It’s kind of like our bodies, like, you know how one side is more affected. So we is good for us to isolate it and build it and that’s what I try to do with my effective side normally but with the eye it’s more difficult with the eye because you really have to like wear a patch or something you know Bill Gasiamis (36:50) Yeah, I hear you. Okay, so you wear a patch, you isolate the other eye, but then at the same time, you’re decreasing the strength of the other eye, or you might be interfering with that one by isolating it. Phat (37:02) Yeah, you’re right. Yeah, that’s exactly it. So you don’t want to patch it too much because you also want the eyes to work together. Bill Gasiamis (37:09) Yeah, that sounds like a task. I know going to the gym when I’m ⁓ pushing weights with the barbell, my left side might be pushing the same amount of weight, but it’s never going to become as big or as strong as my right side. It always seems to be just, you know, the few steps behind it, no matter what I do. it’s improving in strength, but it’s always the weakest link. It’s always the link that kind of makes the last few exercises not possible because it fatigues quicker than the right side. Phat (37:43) Yeah. Yeah, that’s what I deal with too. And a lot of times your dominant side does help it out a lot. Bill Gasiamis (37:58) kind of dominant side, my dominant side kind of over helps. And then it puts that side at risk. Phat (37:58) So yeah, sometimes. Yeah, it will help. Yeah, big time. You know, I’ve learned that there’s different ways to do it. You can build that affected side like with reps and then also sometimes doing a little bit heavier just a few times. I don’t know. I feel like it gets really in depth like how you want to do it. You know, sometimes even like holding a lightweight like up for a long time, it kind of gets heavy and it wants to like fatigue out real fast. So there’s different variations that I’ve learned throughout this process. Bill Gasiamis (38:40) Yeah. Was there a moment, would you say that you had a moment where your mindset shifted and you realized that you were kind of growing through this, even though you had all this challenge and difficulty that you had to overcome? Phat (38:58) Yeah, you know, I have to really think about it. It’s kind of just been a process and I’ve kind of accepted so much to happen, but I would say for the longest time over a year, you know, I would go down on myself and think about, ⁓ I miss the old ways. But I think as I’ve continued on this path and Maybe I don’t think about it as much because I keep myself busy and just trying to recover. so, yeah, but I think I’m trying to think of when it was like kind of like a light bulb moment, but I kind of knew that I couldn’t stay stuck in that because I couldn’t change anything about it. So I had to focus on what I could do or what I had control over. Bill Gasiamis (39:52) Yeah, that control part is really important. It seems like people who lose control of things ⁓ tend to, depends if you’re a control freak kind of person, right? Some people really like the illusion of control. They tend to feel good when things are predictable. I’m kind of that way, I lose, if I lose predictability, take control. I like to take a few steps back and see what I can control. can control the way I think about things, the way I respond to things, the way I act, the way I behave. It becomes about what then I can control on a micro scale. Whereas some people will do control on a macro scale. And some people will control like, Phat (40:16) Yeah. Mm-hmm. Bill Gasiamis (40:44) their environment and if their environment is okay, then they’re okay within their environment. But I don’t try and control external things. I try to influence them in a positive way, but I won’t expect an outcome from something that I don’t have any influence over. ⁓ And then I kind of try and work on what do I need to do to feel better about that thing that I am out of control of that I cannot change. but I can change how I respond to it. That’s kind of where all the work has been. Like where’s the work for you been? Phat (41:21) Yeah, you know, I do know that I do practice meditation and even before I had a stroke, I did practice meditation and that is one of the big things from meditation that you just naturally have that mindset to do that and to understand. And so I feel like that practice has actually helped me to be more flexible and accept certain things and focus on what I can control more. But just to say with the benefits of meditation, a lot of the benefits are specifically for stroke survivors. So I feel like it has helped me tremendously. Managing Tremors and Physical Recovery Bill Gasiamis (42:04) Did it begin, was that kind of one of the tools that helped you to begin to feel hopeful again? Phat (42:10) Yeah, to feel hopeful, to be able to focus better, have better memory, I guess reduce the pain that I was feeling, the depression. Yeah, there’s a list of things, yeah, think that’s, those are the ones off the top of my head. Yeah, I know it’s like. Bill Gasiamis (42:32) Are you a guided meditation? Phat (42:35) You know, I don’t, I just do ⁓ the most simple breath counting meditation. Yeah. It’s kind of, I can explain it, but you just focus on your breathing and counting. So it helps you with your focus too. don’t know. A lot of survivors have a problem with their focus. I did. So, and I still do actually now it’s not like to where I was before the stroke, but it’s getting almost there. Bill Gasiamis (42:45) What’s your kid? Counting how many counts in, how many counts out do you do? Phat (43:10) So you do inhale and exhale is one, inhale, exhale two, all the way till ten, and then you start over again. If that makes sense, yeah. Bill Gasiamis (43:23) So you just basically trying to get even inhale and exhalations. Are they even? they one is longer than the other or shorter than the other? Like how does it go? Phat (43:36) You can do even. I tend to do a longer exhale. Maybe like a, well, cause now I’ve built up the endurance. do about five second in inhale and then like a eight second exhale. But I also put together a PDF. I can send it to anybody for free if they want to just reach out to me. Yeah. And I can, you can put my information on the show notes. Yeah. It’s a really basic thing I put together if anyone’s interested. And Navy SEALs, use this type of, I mean, it’s also called box breathing. It’s kind of box breathing or meditation. And, you know, I know they use it for like extreme stress and things like that too. Bill Gasiamis (43:59) Okay, cool. helps people calm their autonomic nervous system to go into a parasympathetic state, which is the relaxed state. That’s what the, yeah, the longer exhalation helps people go there. You can basically intervene in a ⁓ heightened anxious state or a stressed state or a upset state. And you can intervene within a few minutes and bring yourself into a calm state just by changing the way that you breathe. You know what’s really cool fat? Phat (44:29) That’s exactly it, yeah. Bill Gasiamis (44:53) my gosh, I learned this the other day on TikTok. think I saw it. I can’t remember who it was that showed it to me. So unfortunately I can’t credit them, but also people who do yoga or that kind of stuff probably already know this, but to me it was like the most brand new amazing thing that I’ve ever learned. And what it was, if you can see my fingers, right? They said that if you try this, if you press ⁓ your thumb onto the finger after Phat (44:54) Yeah. and Bill Gasiamis (45:22) your little finger, I don’t know what it’s called, finger. So these two, so not your thumb, your thumb and not the little finger, the next one over. When you breathe, what do you notice? And what I noticed, tell me if you noticed this, is I noticed that my breathing shifts from my belly to my chest. somehow my chest takes over the breathing. Somehow my breath moves to my chest and it feels like a labored more anxious breath, right? And then if you shift it from that to your thumb and your first finger, Phat (45:43) But, sorry, just need to focus. Thank Bill Gasiamis (46:06) your breath automatically shifts to the belly and your diaphragm expands and contracts. And I tried that and I had the most profound experience. The first finger, your first finger and your thumb, two fingers next to them. Phat (46:16) really? on. Bill Gasiamis (46:26) Yeah, those two, yeah, yeah. ⁓ I felt like my breath shifted automatically on its own when I did that. And I don’t know if everyone gets that experience. So then for fun, I tried it with my wife and I said to her, can you please do this with your fingers? The first one was the little finger. I wish I knew what they were called, but the finger next to the little finger and the thumb. Phat (46:26) this. really? Bill Gasiamis (46:54) I asked her to do that and I asked her to tell me how does that feel when you’re breathing and she said that feels really terrible, I feel anxious. And I said, okay, cool. Now just please change it to the other two fingers, the first finger and your thumb and then see what that feels like. And she said that feels far better and the anxiousness has gone away. Phat (47:17) Really? Wow. Bill Gasiamis (47:18) Yeah. So I reckon if you have a play with that and you pay attention, I think I’ve seen a lot of yogis or people who practice yoga or who meditate, think I’ve seen people hold their fingers like that. And as a result of that, perhaps they automatically instinctively activate the diaphragm and the belly breath instead of the chest breath, which is the more anxious breath. It was such an interesting little hack to experience literally by changing which two fingers you’re pressing together. And it kind of connects to that meditation side of it. And I think it would add for me, it would add something extra to meditation that I previously didn’t know about. So isn’t that fascinating? Growing an Online Presence and Sharing Stories Phat (48:09) Yeah, that is so fascinating. I actually don’t even normally sit like that. I just put my hands in my lap. But I did. If you notice, I still have tremors on this side, and that’s how I actually got my tremors to reduce is I would hold it like this sometimes and just meditate. And then it’s just like heels or something. But yeah, before it used to shake a lot. Now it’s a lot better. Bill Gasiamis (48:17) Yeah. Yeah. Mm-hmm. Yeah. So do the meditation from now on. Phat (48:39) but sometimes just doing these finger taps. Bill Gasiamis (48:42) Yeah, right. That’s for coordination and that, right. Phat (48:44) Okay, you might try that. Yeah, yeah. Also you do use the pointer finger and the thumb. Bill Gasiamis (48:47) Yeah, try those first two fingers. Make a circle with it. That’s it, is that what it’s called, the pointer finger? Phat (48:55) Okay Bill Gasiamis (48:57) just connects to your belly. Phat (48:59) I’m off to the end. Bill Gasiamis (49:01) I have no idea how, but I love it. love that it does. It’s such a cool thing. Phat (49:05) Yeah, especially you feel that I’m gonna try it. Yeah Bill Gasiamis (49:10) So you know that tremor that you said about your hand, is that also in your leg? Phat (49:15) No, it’s only the hand. Bill Gasiamis (49:17) and it it gets worse when you are tired, I imagine. Phat (49:19) Yeah. Yeah, it does get worse under like pressure or if I’m tired. Yeah. Bill Gasiamis (49:32) but you’ve found that it’s settled down a lot since the early days. Phat (49:37) Yeah, it has. So as I continue to build it, it has. Yeah, in the beginning it was really bad, but I continued to do different things. A lot of resistance training, like with rubber bands and stuff like that, yeah. I do different things. Bill Gasiamis (49:58) Do you remember what it was like in the early days? Is that the dominant hand that you use or? Phat (50:05) No, it’s not my dominant hand. Bill Gasiamis (50:08) Did they make you try and use it too? Okay. Phat (50:09) because I’m bright, dumb, and… Yeah, they said they want me to use it. Sometimes I do get lazy too. I try different things, like even for a time frame I’ll brush my teeth with my effective side, my non-dominant. But a lot of times I get lazy because it is a lot slower. So I just go to my dominant hand. I’m still guilty of it. Bill Gasiamis (50:39) just to get the job done quicker. Phat (50:41) Yeah, yeah. Bill Gasiamis (50:42) Tell me a little bit about your, ⁓ your Instagram page. Phat (50:49) Okay. Well, I started an Instagram page. It’s called Hope for Stroke Survivors. And initially, I just made it for myself to collect information on recovery. Because I felt like I was limited on the information out there. And I would find some stuff on social media. And so I started collecting it for myself and know, eventually I made it public and I started, people started following it and gravitating towards it. And so I decided to start sharing different like tips. And then I continued to do that and more people started following it until I think that was around a year after my stroke. And now I just continue to do that and it’s grown to this point now. And so I felt like a part of it was kind of my outlet. You know, you know, I’m passionate about strokes and I want to share and provide awareness. so, yeah, I started for myself, but now it’s grown to where it’s at now. And I feel like, you know, it’s, I want to provide hope and also share different people’s stories because I really enjoy, and I still enjoy seeing comeback stories. And so, you know, that’s what happened with that. And so now it’s been about, what is it? for four years or something. Yeah. Bill Gasiamis (52:19) Hope for stroke survivors like 11.6K followers. Phat (52:23) Yes, call them. I’m sorry, what was that? Bill Gasiamis (52:26) It’s got 11.6K followers, 929 posts, and in the description it says, don’t fear change, trust the process. My goal is to spread hope while recovering from a severe stroke. Check out the stories from fellow stroke survivors too. Phat (52:45) Yeah, you know, after a while, I felt like, ⁓ I want to share survivor stories. feel like bring our community together. There’s a lot of survivors out there that are doing great things like yourself. You know, I found your stuff. And so, you know, I feel like it really gives a lot of us, you know, motivation, hope to believe what’s possible out there, because a lot of us have. you know, we get the wrong information, you know, I want to be able to show people what’s possible because a lot of times, you know, there’s like myths or whatever, and I just want to give people that hope. So I’ve expanded it to YouTube and also TikTok. And so, yeah, it’s grown tremendously on YouTube also. So it’s pretty cool. Bill Gasiamis (53:33) now. What kind of content you put out on YouTube? Phat (53:37) I, the same stuff, I pretty much just blast the same thing on. Well, now I’m starting to do more, I want to do more interviews, but recently I have kind of cut back on it because of time, but I want to do more interviews for like survivors and therapists and doctors on YouTube. I think that’s where I want to take it. Bill Gasiamis (54:00) Yeah. Yeah. To kind of share more information about the kind of ways that they help other people. Phat (54:08) Yeah, it’s exactly like, you know, what you’re doing. I think that’s amazing. I mean, you helped me out so much. remember yours is actually my top podcast and I would listen to it all the time. Bill Gasiamis (54:13) Yeah. Yeah. Yeah, I really appreciate that. mean, you know what I love is that you’ve been doing this for four years. I’ve been doing this for 10. Somehow you’ve cracked the code. You’ve got 36.8k subscribers. I’ve barely got 8,000. So that’s very interesting to me. Like how that some channels that share pretty much the same type of content grow. And then mine has been going for 10 years and I can’t seem to get above 10,000 subscribers. What’s your trick? know, like how did you manage to get that many subscribers? Is there something that you do consistently? I’m also asking for me, but at the same time, there’ll be other stroke survivors who are thinking about starting a YouTube channel perhaps, or thinking about sharing some way or growing this type of a community. And they’re reluctant because they don’t know what they need to do and they don’t know what could happen. Now I’m not completely dissatisfied with 8,000 followers. I’m perfectly satisfied with that. But of course I wanna make sure I reach way more stroke survivors because that’s the whole point of this is to get out. Do you have any tips as to what it was that kind of helped the channel grow so fast? Phat (55:25) Yeah, yeah. Yeah, you know, I think a big one is consistency. You know that. But, you know, I have learned a lot of things. read a lot and a part of it is also. Initially, I would share other survivors stories and also it was ⁓ like even survivors in who have had like cancer or different types of sicknesses. And so initially I was just doing that for fun. so then I think it attracted more people because it was a variety of things. But then, you know, I know that I didn’t plan to do it. if it’s. If I was going to do that, I don’t want to share other people’s things, you know, like if I want to be more serious, I have to niche down or I got to share my own stuff because I don’t want to take stuff from people. But initially. I was sharing a bunch of stuff and not wanting, I wasn’t expecting it to grow like that and I was just doing it for my own reason, for my own purpose and I think that’s how it attracted so many people too. Bill Gasiamis (56:46) Yeah. Look, it’s, it’s very cool that, um, the people have subscribed. Absolutely. And what’s good about it, even though it’s not all your content, it doesn’t really matter because if you’re putting content out there that people, uh, I mean, you’re not stealing the content, you’re not changing the names or anything like that or repurposing it. All you’re doing is, um, uh, all you’re doing is kind of pointing people to the direction of somebody else’s content channel or whatever. you know what I mean? Phat (56:58) Yeah. Bill Gasiamis (57:17) ⁓ but I know what you’re saying. Phat (57:18) Yeah, yeah. mean, I would always put their contact or their credit. But that wasn’t my intent of doing it. And I’m not making any money off of it. But then I’m learning about, OK, what can I do to make this bigger and help more people? And now I’m trying to focus down or just come up with my own content so that way people can see that too. Bill Gasiamis (57:31) Yeah, yeah. Yeah. ⁓ I think there’s not enough voices in stroke recovery and awareness and support and why, you know, we need more. need every version of person, how they’re affected and different cultural backgrounds and that we need way more people kind of putting content out and sharing their version of the story. My story resonates with you, but it might not resonate with someone else, you know? So if, if we can have more people out there listening, who are curious about it. Phat (57:53) Yeah. You’re right, you’re right. Bill Gasiamis (58:17) ⁓ biting the bullet and doing it. It would be fantastic if that happened and then more people to collaborate with. Phat (58:21) You know, I think it’s Yeah, I think it’s easy to pay attention to the subscribers or the followers, but a lot of times too, the way how I did it is if it can just help one person, you know, that makes me happy and then it just grew like that. But that’s what I continue to do. You know, I mean, maybe there’s more subscribers. but maybe your content is connecting really deeply with more people, you know? So I feel like it can’t always be compared exactly to the followers. And if you’re a survivor, you know, I wouldn’t want to let you feel like demotivated because of that. you know, I think if you’re passionate about it, just do it. you know, I think there’s plenty of room for a bunch of people, right? Like you were saying. Bill Gasiamis (59:15) I what you said, like if you’re just passionate, just do it. That’s why I started, I didn’t start out to get a certain number of subscribers or anything like that. I just started out to share. What’s cool is that the subscribers have happened. What’s fascinating is to view like how other people have grown their channel. what, it’s a completely different version of what you’ve done and yours has grown and I’m just keen to learn about it. And I think it will encourage or help other people, you know, do the same thing. Phat (59:24) Yeah. Bill Gasiamis (59:45) ⁓ And that’s kind of why I raised it. What I love about what you said is if it helps one person, like I said the same thing, dude, it helps so many more than one person. You just don’t know it because very few people reach out. Not that you’re expecting them to, but people just get the help and then they move on and they go and do good stuff. And it’s like, even better. ⁓ But every so often I get people like you sending me messages going Thanks for that episode. That was a great interview. I really got a lot out of that Can you point me in this direction or can you connect me with that person? One of the things that I do best I think then better than anything is I can connect people from all around the world with people who Are ⁓ listening and they want to get information about the thing that you tried or that service that you ⁓ purchased or whatever, you that’s what I love about it the most is I can connect people and they could be on different continents. And I love that I can do that from Australia, you know, like it’s crazy. Understanding Stroke Recovery Phat (1:00:58) Yeah Yeah. And especially, yeah, it has affected me too. You know, like I wouldn’t, I wouldn’t be standing here like this if I didn’t hear your podcast. You know, I could literally say that, you know, so that’s pretty cool. Yeah. And you’re in Australia. I’m in Arizona. Bill Gasiamis (1:01:17) It’s fabulous, man. It’s so fascinating. That’s one of the things I love about technology is that with time, technology will improve and make things better for people. And hopefully it’ll help way more people than it’s helping at the moment. It’s definitely helped me with my mental health, having this podcast, this platform,
My first hire was a woman I could totally see myself being best friends with-- Turns out that would be the first of MANY hiring and delegation mistakes I'd end up making in my business. If only I had this episode, and Business Scaling Coach Nata Salvatori to learn from, back then!(But also, no regrets, because I still love that first hire and we're friends to this day)In this episode, you'll hear about the emotional and strategic sides of growing a team—from micromanaging fears, to delegating the wrong tasks, to the freedom that's possible when you do it right.If you've ever said:“I need a unicorn” “I'll hire once I'm making more.”“It's just faster if I do it myself.”...this one's for you.We talk about:Why thinking “you're the only one who can do it” is actually hurting your businessThe counter-intuitive shift that's essential before you can delegate anythingHiring people who are better than you What you need to set up in your business before you hireHow delegating is directly tied to wealth, energy, and expansionWhether you're hiring your first VA or managing a full team, this episode is a must-listen for anyone serious about building a business that runs without you constantly feeding the fire.
Give the gift of everyday luxury and make every moment comfortable. Head to cozyearth.com and use my code COZYMMM for 20% off sitewide. And if you get a Post-Purchase Survey, be sure to mention you heard about Cozy Earth at the Maiden Mother Matriarch podcast.The word 'meritocracy' was originally intended as a pejorative. It was coined in a 1958 novel written by the British social scientist Michael Young. In the dystopia that Young imagined, the old order has been overthrown and replaced with a tyrannical system obsessed with merit. Today's guest not only joins Young in his critique of meritocracy, he also takes a further bold step in endorsing some extremely old fashioned ideas about wealth, family, and legacy. In an age when celebrities routinely boast about their plans to disinherit their children and leave them to fend for themselves financially, Johann Kurtz makes a counter-cultural argument for nepotism. Do not give your money to charity, he says. Do not encourage your children to launch themselves into the meritocratic rat race. Learn, instead, from the ancient practices of aristocrats who had very different ideas about how to cultivate virtue in their descendants. Kurtz is the author of the 'Becoming Noble' Substack. His new book is titled 'Leaving a Legacy: Inheritance, Charity, & Thousand-Year Families.'Discussed in the show: 'Leaving a Legacy'Stress induced by downward social mobility'Good Money' podcast seriesSurvey on attitudes towards grandchildren'Toxic Charity''Revolt of the Elites'MMM is sponsored by 321 - a new online introduction to Christianity, presented by former MMM guest Glen Scrivener. Check it out for free at 321course.com/MMM. Just enter your email, choose a password and you're in — there's no spam and no fees. Hosted on Acast. See acast.com/privacy for more information.
Download our Mobile App! iOS | Android --- Mmm…the sound of a frying egg is so satisfying! It bubbles gently in the pan, dancing with the heat, changing from fluid to solid, from formless to familiar. You know what to expect, and it never disappoints. It is pure, consistent comfort. ---
In this episode, Jenna sits down with Master Coach Caryn Gillen for a deep, relatable and accessible conversation on how knowing your values shifts the way you make decisions, run your business, and experience all your relationships.If you've ever felt selfish for protecting your time, guilty for doing things your way, or frustrated that you're not being understood-- this is for you.Caryn explains how truly living in alignment with your values takes guts because it inherently requires not making everyone else happy. But it's also the path to clarity, clear decision making, and building an intentional life and business.Identify your core values using Caryn's mini course "The Values Equation": https://caryngillen.thrivecart.com/thevaluesequation/?coupon=JENNA50
What if your marketing measurement didn't just tell you what happened—but actually told you what to do next? In this episode, I'm joined by Peter Grafe, co-founder of Blue Alpha, to break down what they're building: an action system for marketing that combines media mix modeling (MMM), incrementality testing, and AI agents to deliver real-time insights and campaign-level budget recommendations.We dig into why MMM is making a comeback (privacy, tracking limits, offline + brand spend), why deterministic attribution isn't enough, and how Blue Alpha bridges the gap between “You should increase YouTube spend” and the real operational question: which campaigns, how much, and under what constraints? Peter also shares how their anomaly detection agents spot things like creative fatigue, how business goals get infused into “context-aware” recommendations, and why the future of search + discovery (AIO/SEO) pushes marketers up-funnel, whether they like it or not.If you care about customer experience, data-driven insights, adaptability, AI, and business growth, this one is packed with practical frameworks and a clear mental model for modern marketing measurement. Tune in and let me know what you think: are you ready for marketing analytics that actually executes?Peter Grafehttps://www.linkedin.com/in/ped-grafe/
In this episode I sit down and share the entire inspiration for this D-Now, Winter Retreat & Summer Camp on-going games with my friend, Andrew Jansen. Andrew is a 10+ year youth worker, and his assassin game sparked this entire podcast mini-series. He expains his creative (and super CHEAP) adaptation to this game. Plus! Andrew shared his lock-in survival guide for FREE! Andrew's Lock-in Guide: https://www.patreon.com/posts/10-year-veterans-146449370?utmmedium=clipboardcopy&utmsource=copyLink&utmcampaign=postsharecreator&utmcontent=join_link SHOW NOTES Shownotes & Transcripts https://www.hybridministry.xyz/184 BECOME A HYBRID HERO https://www.patreon.com/hybridministry ❄️ WINTER SOCIAL MEDIA PACK https://www.patreon.com/posts/winter-seasonal-144943791?utmmedium=clipboardcopy&utmsource=copyLink&utmcampaign=postsharecreator&utmcontent=join_link
Nadim Malik drops by, and brings the receipts with him. Nadim is founder of Sutton Place Strategies, the preeminent provider of deal origination and business development data to private equity and M&A firms. The episode begins with Nadim's recollections of early encounters with the MMM hosts, including contemporaneous notes on a 2011 meeting with a characteristically friendly but non-committal Charlie. After jumping back to Nadim's origin story (emigre parents from Pakistan, childhood in New York ) and early career, Sutton Place Strategies gets its due. Nadim founded SPS in 2009, developed it into a key industry resource and then sold the business twice – first to Bain & Co. in 2020 and then to With Intelligence in late 2024. Discussion concludes with Nadim's exit following the second sale – and thoughts to date on his much-anticipated next act.
Okay, confession time
She doesn't hate you; I promise. You just need to speak the algorithm's love language if you want to grow on Instagram in 2026. In this episode, find out how the Instagram algorithm works, why some people get engagement and others don't AND identify why your accounts not growing and how to fix it.No social media marketer knows *everything* about the Instagram algorithm, otherwise we'd all be gaming the system.But after almost a decade working in social media marketing I sure can tell you some strategies never change.Find out:How to get more engagement on InstagramHow to grow your business on Instagram and,Instagram strategies that work in 2026
Featuring perspectives from Dr Javier Cortés, Dr Rita Nanda, Prof Peter Schmid and Dr Priyanka Sharma, including the following topics: Introduction (0:00) Case: A woman in her early 80s with multiple comorbidities and triple-negative breast cancer (TNBC) develops bone-only metastases 4 months after declining capecitabine for post-neoadjuvant residual disease — Justin Favaro, MD, PhD (1:50) Case: A woman in her mid 70s with ER-negative, HER2-low (IHC 1+), PIK3CA-mutated, PD-L1-positive metastatic breast cancer (mBC) after receiving 3 cycles of neoadjuvant paclitaxel/carboplatin/pembrolizumab, which was discontinued — Alan Astrow, MD (6:47) Previously Untreated Metastatic TNBC (mTNBC) — Prof Schmid (10:47) Case: A woman in her early 80s with multiregimen-recurrent ER-positive, HER2-low (IHC 1+) ESR1-mutant mBC receives sacituzumab govitecan — Jennifer Yannucci, MD (27:19) Case: The role of datopotamab deruxtecan (Dato-DXd) for patients with ER-positive, HER2-low mBC who experienced disease progression on prior trastuzumab deruxtecan (T-DXd) — Ranju Gupta, MD; Case: A woman in her late 70s with bilateral recurrence in the lungs of ER-negative, HER2-low (IHC 1+) breast cancer (PD-L1 TPS 20%) receives Dato-DXd with durvalumab on protocol — Yanjun Ma, MD, PhD (31:35) Integrating Antibody-Drug Conjugates (ADCs) into the Management of Endocrine-Resistant Hormone Receptor-Positive mBC — Dr Sharma (36:31) Case: A woman in her early 70s with recurrent ER-negative, HER2-low (IHC 2+) mBC receives sacituzumab govitecan and achieves complete remission — Dr Gupta; Case: Management of neutropenia associated with sacituzumab govitecan — Gigi Chen, MD (50:30) Case: A woman in her late 60s with recurrent ER-negative, HER2-low (IHC 1+) mBC (HER2 V69L mutation) receives T-DXd and achieves a complete response but develops Grade 1 interstitial lung disease — Dr Gupta; Case: Management of T-DXd-related side effects — Laila Agrawal, MD (54:10) Selection and Sequencing of Therapy for Relapsed/Refractory mTNBC — Dr Nanda (58:59) Case: A woman in her early 40s with multiregimen-recurrent ER-positive, HER2-low mBC who has experienced severe nausea with past treatments is about to initiate T-DXd — Atif M Hussein, MD, MMM (1:12:40) Tolerability and Other Practical Considerations with ADCs and Other Cytotoxic Agents for mBC — Dr Cortés (1:18:10) CME information and select publications
Zitten we midden in een zesde massa-extinctie en sterven we binnenkort allemaal uit? Mmm... deze vraag is misschien wat overdreven, maar echt optimistisch zijn biologen prof. dr. Erik Matthysen (UAntwerpen) en prof. dr. Natalie Beenaerts (UHasselt) toch ook niet. Want er is wel een serieus probleem met de biodiversiteit die achteruitgaat. Je hoort het in deze Vooruitblik.
As retail media spending explodes and traditional measurement methods struggle to keep pace amidst inconsistent KPIs across retailers, marketing mix modeling (MMM) finds itself at a critical crossroads. New research from MediaLink and the Digital Shelf Institute lays out the challenges and evolving best practices in MMMs to transform marketing mix models from a quarterly planning tool into a dynamic, real-time strategic asset. This is an audio rebroadcast of a webinar focused on that research, led by Lauren Livak Gilbert, featuring Ben Galvin, Sr. Director of Omnichannel Retail Sales & eCommerce at Monster Energy Corporation, Ash McMullen, Head of eCommerce at Advantice Health, and Donna Sharp, Managing Director at MediaLink.
If you're trying to choose a price for your offer and it feels like throwing a dart blindfolded—you're not alone. This episode gives you a 2 Step System designed from a grounded, experienced perspective that'll help you set a price you and your leads feel good about.This solo episode is a mini-masterclass in pricing psychology, offer creation for service based businesses and online entrepreneurs, and the art of choosing a number that feels good and sells well.We'll cover:Why resentment is a bigger threat than overpricingThe real reason your clients say “it's too expensive” (hint: it's not your price)What to consider before you even think about scalingWhy you should never lead with the priceMarketing, business, entrepreneurship, and social media are all touched on in this honest and tactical episode.Wondering how do you price a new offer to SELL? Service providers and online entrepreneurs who are about to launch a new offer and are spinning out about the “right” price to charge need to listen to this one.
This episode, recorded live at the Becker's 13th Annual CEO + CFO Roundtable, features Dennis Disch, MD, MMM, FACC Vice President, Hospital-Based Specialties, Advocate Health, as he discusses fostering collaboration across hospital-based physician leaders and operational teams. He shares growth priorities including tackling ED boarding, improving engagement, and driving operational efficiency across Advocate Health's hospitals.
**Special note to our listeners** Love the show? Help us keep the conversation going! Become a paid subscriber through our Substack. Your contributions help us continue to make content on issues related to the Asian-American, immigrant, modern parent experience.THANK YOU to our super awesome listeners who have already signed up!---------------------------------------Korean BBQ, Kimchi, Bibimbap, Kimbap, Seafood Pancake, Soondu Jigae, Seolleongtang, Naengmyun, Kalbi Jjim - is your mouth watering yet?Riding the broader wave of "Hallyu" (or Korean pop culture) in America, Korean food and ingredients are showing up in more places as well. Kimchi at your local Krogers, gochujang on your pork ribs? And it's not only traditional Korean food that's having a significant influence - what's the story with Paris Baguette in Pittsburgh or (gasp)... Paris? (yes the one in France).In true MMM fashion, we walk through the wonder world that is Korean food and its rising influence in the West. We make your mouth savor with our loving descriptions of how Korean flavors and textures hit our taste buds (we told you - don't listen hungry!), give you a 101 on the traditional Korean table to help deepen your understanding and give you the socio-political-economic take on why Korean food is the way it is and how it's been exported, re-imported and re-exported to be the delightfully delicious array it is today.
In this episode of "Money Meets Medicine," Dr. Jimi Turner interviews Dr. Krystal Sodaitis, a physician, executive coach, and luxury cruise podcaster. They discuss the challenges and strengths of neurodivergent physicians, including how ADHD and dyslexia can impact financial decisions. Dr. Sodaitis shares strategies for managing impulsivity and highlights the importance of tailored financial planning. The conversation then shifts to luxury cruising, covering how to choose the right cruise, the benefits of travel agents, and what sets luxury cruises apart. The episode offers practical advice for both neurodivergent professionals and aspiring luxury travelers.Krystal's Coaching Website: Neurodiversedocs.comKrystal's podcast: luxurycruising.net/podcastGet a personal finance lessons sent to your email inbox once each week! Join the weekly MMM update: https://moneymeetsmedicine.com/updateEvery doctor needs own-occupation disability insurance. To get it from a source you can trust? Visit https://moneymeetsmedicine.com/disability Want a free copy of The Physician Philosopher's Guide to Personal Finance? Visit https://moneymeetsmedicine.com/freebook___________Join us for Doctor PodFest in Florida! Go here to secure your ticket: Here Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
What stood out as the best and worst to our podcast crew in 2025? Join us for a fun look back on our Yeahs and Un-Yeahs from an insane year in pop culture and beyond as we no-look swan dive into 2026! – OUR PICKS: Game of the Year 2025!– MOST ANTICIPATED: What are looking forward to in 2026 and how did our 2025 lists pan out?– SOUND EFFECTS: Sonic the Hedgehog-flavored! Mmm.This episode was mixed by Tony Sadowski and includes Kat Riley, Joe Haygood, Joe Fourhman and Tony Sadowski on vocals. You can download the podcast directly from here or click on one of the links below to subscribe. This episode features “Arcade Heroes,” “Pixel Party,” and “Coin Op Chaos” by Eric Matyas, www.soundimage.org. Also, a bunch of Sonic the Hedgehog sound effects.
Tap play for a funny story and a New Year's PEP TALK. This episode is for business owners who know they're capable of big things, if only you could have the confidence to match your ambition. Love you. Here for you. Hope this makes you laugh and feel 10x more powerful.
Tema del dia Alguns de vosaltres ens heu enviat fotos dels vostres tions. Moltes gràcies!!! I moltes gràcies a tots els oients que ens heu fet confiança durant aquest any i els anteriors. En aquest episodi repassem les paraules més representatives de l'any 2025. Som-hi! Apunta't als cursos de català d'Easy Catalan! (https://classes.easycatalan.org/) Vídeo d'Easy Catalan sobre Nadal (https://youtu.be/xJrrPobVn3U?si=8V4fiWyXCbApww_6) Bonus Comentem les dades més sorprenents del nostre Wrapped Spotify 2025. Transcripció Andreu: [0:15] Bon dia, Joan! Joan: [0:16] Bon dia, Andreu! Andreu: [0:18] Bon Nadal! Joan: [0:19] Bon Nadal, bon Nadal. Andreu: [0:20] Avui coincideix que publiquem l'episodi justament el dia de Nadal. Segurament no ens escoltarà ningú, avui. Joan: [0:29] Espero, espero. Andreu: [0:32] Clar, la gent… bé, no tothom, perquè assumim que tothom celebra Nadal, però en realitat, mira, l'altre dia a Discord hi havia una persona de Turquia, doncs allà, suposo que hi ha cristians que celebren Nadal i d'altres que… tota l'altra part, no?, musulmana o d'altres ètnies, d'altres religions, que no el celebren. Joan: [0:51] Saps que em fa molta gràcia? És que ara m'has fet pensar que la meva neboda, la Magalí, em va preguntar abans d'ahir: "I per què hi ha gent que posa 'bones festes' en lloc de 'bon Nadal'?" I jo: "Tu saps què és la religió?" I diu: "No". I dic: "..." Andreu: [1:10] Doncs ja t'ho ensenyaran a l'escola, no? Joan: [1:12] No, no, em diu: "És una assignatura". Em va dir això. Però ella no ho fa, saps? Em va dir: "És com el contrari de tutoria", dic: "…" Andreu: [1:21] "El contrari". Joan: [1:23] Bé, no ho sé, perquè hi ha com llocs que fan ètica, tutoria o religió. Andreu: [1:28] "Tutoria", què és "tutoria", a l'escola? Joan: [1:31] Tutoria és com una mena de diàleg, no?, entre els professors i els alumnes. No ho sé, no m'ha acabat de convèncer mai, no ho sé. Andreu: [1:39] És com una hora setmanal, no?, o no sé si era setmanal o que es fa cada dues setmanes, en què es parlen coses de… doncs com està tothom, com va... és com tenir un espai, una estona, per parlar amb el professor, per saber si tot està bé, si algú necessita ajuda amb alguna cosa... Bé, jo ho recordo així. Joan: [2:00] Sí, sí, sí, potser sí. O sigui, que era una conversa, segur. Andreu: [2:03] Bé, a veure, avui és Nadal, per tant, avui és el dia que es fa cagar el tió. Ja vam parlar del tió en l'episodi anterior i vam demanar que compartissin, els membres de la comunitat, tions, o sigui, les fotos dels seus tions al xat, no?, al Discord. Joan: [2:19] Sí. Andreu: [2:19] Ens han arribat algunes fotos, que són... bé, que les volia comentar, perquè n'hi ha una, sobretot, la de l'Armando. No sé si l'has vist. Joan: [2:27] Sí, és curiosa, sí. Andreu: [2:29] Clar, l'Armando és professor de primària a França i va fer un tió, o el van fer els alumnes, vaja, amb paper. O sigui, està fet amb paper maixé i cartolina, suposo. I l'altre dia, a la xerrada del dilluns, em va ensenyar un vídeo dels nens fent-lo cagar i de com va quedar al final. Clar, és com el tió versió pinyata. Joan: [2:52] Clar, versió pinyata. Sí, sí, sí. L'altre dia, un conegut que tinc que és belga, dic: "Saps quina és la... Coneixes la tradició del tió?" I quan l'hi vaig explicar, em diu: "És com una pinyata, no?" I dic: "Mmm..." Andreu: [3:05] Doncs el de l'Armando, sí, és el tió versió pinyata. Després hi ha el tió del Michal. El Michal és... No estic segur si pronuncio bé el seu nom. És un nou membre de la comunitat, és de la República Txeca, que estudia Filologia Catalana a la Universitat de Brno. Joan: [3:21] Una salutació a tots els que estudien Filologia Catalana a Brno, perquè tenim un munt de fans, eh?, allà. És increïble. Fes-te membre de la subscripció de pòdcast per accedir a les transcripcions completes, a la reproducció interactiva amb Transcript Player i a l'ajuda de vocabulari. (http://easycatalan.org/membership)
Real accountability isn't comfortable—but it's how we all get free. In this powerful third conversation of our Million Man March 30th Anniversary series, Dr. David J. Johns brings together three organizers whose work centers the intersections that harm Black communities the most: Kenya Hutton (CEO of the Center for Black Equity), Oluchi Omeoga (who leads the Black LGBTQIA+ Migrant Project), and Preston Mitchum (Black queer-loving lawyer, strategist, and advocate).Together, they name what Black men owe Black women, trans folks, and each other—not through guilt, but through genuine repair. They expose how anti-blackness, misogyny, trans misogynoir, and homophobia work together to reinforce systems that harm us all. They challenge us to move beyond performance to practice: building actual structures of accountability that cross borders, cultures, and comfort zones. From the streets of DC to organizing spaces in South Africa, from the ballroom to the policy room, these three truth-tellers refuse to let us off easy.This isn't about shame. It's about safety and solidarity. Protection rooted in love, not control. Refusing to give up on each other even when it's hard. And remembering that real accountability is a required act of love—because liberation requires all of us.Become a supporter of this podcast: https://www.spreaker.com/podcast/teach-the-babies-w-dr-david-j-johns--6173854/support.
2025 – what a year that was for medical marketing.So many events and developments contributed to headlines in not only MM+M but mainstream outlets as well.Chief among them was the confirmation of Robert F. Kennedy Jr. as HHS Secretary, which signaled the direction that the second Trump administration would take on health policy.Not to be outdone, AI had a sizable impact, too. The momentum behind AI affected how millions consume information, do their jobs and even the ads they see on a daily basis. Additionally, the closing of Omnicom's takeover of IPG sent another shockwave through adland. Though medical marketing shops may be more insulated than consumer agencies, they were not spared.This week, I'm joined by editor-in-chief Jameson Fleming, editor-at-large Steve Madden, pharma editor Lecia Bushak and reporter Heerea Rikhraj so the MM+M editorial team can say ‘goodbye' to 2025 and ‘hello' to 2026 in our final episode of the year.And once again, in lieu of the Trends segment, we bring you an interview from our recent AI Deciphered conference, this time with health futurist John Duffield. Check us out at: mmm-online.com Follow us: YouTube: @MMM-onlineTikTok: @MMMnewsInstagram: @MMMnewsonlineTwitter/X: @MMMnewsLinkedIn: MM+M To read more of the most timely, balanced and original reporting in medical marketing, subscribe here.Music: “Deep Reflection” by DP and Triple Scoop Music. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
An Extra Day To Recharge Hey, sometimes it can't be helped. Sometimes all we can do is take that extra day we need. The universe might not want us to, but its still something we need. Mini Monday Moments (MMMs) are short, non erotic, wholly safe for work, (usually) gender neutral audios covering all manner of small, common little day-to-day scenarios that someone may need support/comfort/reassurance for. I would LOVE to record a moment just for you, so please; feel free to suggest a new MMM by using this form: https://forms.gle/M6uQ7vxmjGVLNWos9 Let me bring a little lightness and joy to your Monday. Support Mini Monday Moments by contributing to their tip jar: https://tips.pinecast.com/jar/mini-monday-moments Find out more at http://minimondaymoments.com
We needed some help regulating and validating our podcast (and models), so we invited Henry Innis - Co-Founder of Mutinex - to help out.Listen in to this lovely chat about the quirky differences between the American and Australian markets, challenges and realities of MMM, and the future of media measurement and regulation. Buckle up for the hot takes.00:00 Casual Catch-Up and Thanksgiving Stories01:08 Topic Introduction - Marketing Mix Modeling01:34 Guest Introduction and Background03:00 Differences in Marketing Practices: US vs Australia06:27 Innovative Applications and Hackathon Projects09:51 Marketers and Money Conference Overview13:32 Challenges and Realities of Marketing Mix Modeling16:36 Campaign Varying Model and Its Impact24:30 Future of Media Measurement and Regulation28:09 Introduction to Industry Insights28:33 Integrating Work's Knowledge into Mate30:02 The Role of MMM in Marketing32:53 Challenges in Data-Driven Decision Making34:48 Partnering with WARC for Effectiveness35:53 Common Questions Asked to MAITE38:34 Validating Outputs and Handling Errors49:33 Open MMM Validation Framework54:40 The Impact of Google and Meta on MMM55:22 Conclusion and Future Discussions
Ever watched a student solve 146 ÷ 12 by drawing 146 dots… one by one?In this episode, the MMM team dives into a common but frustrating classroom challenge: students who cling to inefficient math strategies like counting on fingers, skip counting, or repeated subtraction—long after they've outgrown them. These early strategies worked, and students trust them. So how do we help them build confidence in more sophisticated approaches?You'll hear from our newest team member, Beth Curran, as we unpack why students get stuck, what teachers can do in the moment, and how school leaders can build the conditions for long-term change.Listeners Will:Understand why students cling to familiar but inefficient math strategiesLearn what teachers can do in the moment to nudge students toward more flexible thinkingExplore how dynamic assessment and anticipating student responses builds instructional skillHear how one district used the Five Practices to build teacher capacity over timeReflect on what it takes to build a math improvement flywheel that actually gains momentumIf you're supporting students—or teachers—who are stuck using early math strategies, this episode gives you real steps to move forward with clarity, confidence, and purpose.Not sure what matters most when designing math improvement plans? Take this assessment and get a free customized report: https://makemathmoments.com/grow/ Math coordinators and leaders – Ready to design your math improvement plan with guidance, support and using structure? Learn how to follow our 4 stage process. https://growyourmathprogram.com Looking to supplement your curriculum with problem based lessons and units? Make Math Moments Problem Based Lessons & Units Show Notes PageLove the show? Text us your big takeaway!Are you wondering how to create K-12 math lesson plans that leave students so engaged they don't want to stop exploring your math curriculum when the bell rings? In their podcast, Kyle Pearce and Jon Orr—founders of MakeMathMoments.com—share over 19 years of experience inspiring K-12 math students, teachers, and district leaders with effective math activities, engaging resources, and innovative math leadership strategies. Through a 6-step framework, they guide K-12 classroom teachers and district math coordinators on building a strong, balanced math program that grows student and teacher impact. Each week, gain fresh ideas, feedback, and practical strategies to feel more confident and motivate students to see the beauty in math. Start making math moments today by listening to Episode #139: "Making Math Moments From Day 1 to 180.
This week I had the chance to sit down with two fascinating guests who are at the forefront of bridging the worlds of digital performance marketing and traditional television advertising. Nick Fairbairn, VP of Growth Marketing at Chime, and Andy Schonfeld, CRO at Tatari, walked me through how they've transformed Chime from a pure digital-first, DTC neobank brand built on social and search into a sophisticated advertiser that runs television campaigns with the same performance mindset they apply to Meta and Google. Their partnership has evolved from small linear TV tests six years ago to a comprehensive full-funnel TV strategy that blends brand building with direct response metrics.Nick and Andy shared incredible insights into the evolution of performance TV, from navigating the COVID-era inventory opportunities to understanding why linear TV still matters even as streaming dominates the conversation. They explained how Chime approaches television with a portfolio strategy, balancing premium reach moments like live sports with more targeted direct response placements, and why creative and media planning have become the "new targeting" in a world where precise one-to-one identification remains expensive and imperfect. We also dove into the challenges of measuring TV in a fragmented landscape, the role of AI-driven creative, and whether shoppable TV will actually move the needle or remain a marginal innovation. Key HighlightsHere's a shorter version:
Measuring marketing's impact is hard. There's no silver bullet. And if someone tells you there is, they're probably selling you something that only tracks clicks.This week, Elena, Angela, and Rob are joined by Chief Analytics Officer Matt Hultgren to tackle one of marketing's most persistent challenges: measurement. They explore why so many campaigns fail before they even launch, how to balance short-term performance with long-term brand building, and why the best marketers use multiple models to find the truth.Topics covered: [02:00] Why human behavior makes measurement messy[04:00] The planning problem causing measurement failures[06:00] Choosing your North Star metric[08:00] Balancing immediate CAC with long-term brand growth[10:00] Using multiple models to triangulate the truth[13:00] Quantifying TV's halo effect across channels[15:00] Incrementality testing vs MMM vs synthetic controls To learn more, visit marketingarchitects.com/podcast or subscribe to our newsletter at marketingarchitects.com/newsletter. Resources: 2025 Marketing Architects Report: https://www.marketingarchitects.com/Long-and-Short Get more research-backed marketing strategies by subscribing to The Marketing Architects on Apple Podcasts, Spotify, or wherever you listen to podcasts.
Double Vision After Stroke: What Jorden's Story Teaches Us About Brainstem Stroke Recovery Double vision after stroke is one of those symptoms no one imagines they'll ever face—until the day they wake up and the world has split in two. For many stroke survivors, it's confusing, frightening, and completely disorienting. And when it happens as part of a brainstem stroke, like it did for 45-year-old attorney Jorden Ryan, it can mark the beginning of a long and unpredictable recovery journey. In this article, we walk through Jorden's powerful story, how double vision after stroke showed up in his life, and what other survivors can learn from the way he navigated setback after setback. If you’re living with vision changes or recovering from a brainstem stroke, this piece is for you. The Morning Everything Changed Jorden went to bed preparing for a big day at work. By morning, nothing made sense. When he opened his eyes, the room looked doubled—two phones, two walls, two versions of everything. He felt drunk, dizzy, and disconnected from his own body. Double vision after stroke often appears suddenly, without warning. In Jorden's case, it was the first sign that a clot had formed near an aneurysm in his brainstem. As he tried to read his phone, he realised he couldn't. As he tried to stand, he collapsed. And as nausea took over, his vision became just one of many things slipping away. He didn't know it then, but this was the beginning of a brainstem stroke recovery journey that would test every part of who he was. When the Body Quits and the World Keeps Moving Even when paramedics arrived, the situation remained confusing. “You're too young for a stroke,” they told him. But the double vision, vomiting, and collapsing legs said otherwise. By the time he reached the hospital, he was drifting in and out of consciousness. Inside the MRI, everything changed again—his left side stopped working completely. He couldn't move. He couldn't speak. He couldn't swallow. His ability to control anything was gone. For many survivors, this is where the fear sets in—not only the fear of dying, but the fear of living this way forever. Understanding Double Vision After Stroke Double vision happens when the eyes no longer work together. After a stroke—especially a brainstem stroke—the nerves that control eye alignment can be affected. Survivors often describe it the way Jorden did: blurry, overlapping images difficulty reading nausea when focusing a sense of being “detached” from reality exhaustion from trying to make sense of their surroundings In Jorden's case, double vision wasn't the only issue, but it shaped everything that came after. It influenced his balance, his confidence, and even whether he felt safe leaving his home. Three Weeks Missing: The Silent Part of Recovery Jorden spent nearly three weeks in a coma-like state. Days blurred together. Friends visited. Family gathered. He remembers fragments, but not the whole chapter. When he finally became more aware, nothing worked the way it used to—not his speech, not his swallow, not his limbs, and certainly not his vision. This is something many survivors aren't prepared for: Stroke recovery often begins long before you're fully conscious. Starting Over: The Fight to Stand Again Inpatient rehab became Jorden's new world. It was full of firsts, none of them easy. The first time he tried to sit up. The first time he attempted to transfer out of bed. The first swallow test. The first attempt to speak. Everything required more energy than he had. And yet, small wins mattered: “When my affected hand moved for the first time, I felt human again.” Double vision made everything more complicated, especially balance and spatial awareness. Even brushing his teeth triggered trauma because of early choking experiences in hospital. Still, he kept going. Life Doesn't Pause for Stroke Recovery Just like so many survivors say, the world didn't stop for Jorden to recover. On the very day he left inpatient rehab, his close friend—who had also lived with paralysis—died by suicide. Not long after, his dog passed away too. It felt unfair. Cruel. Like everything was happening at once. But even in that darkness, Jorden found a way to keep moving. Not fast. Not perfectly. Just forward. Learning to Walk Again With Vision Working Against Him Double vision after stroke made walking terrifying. Every step felt unpredictable. Every movement demanded complete attention. He used a slackline as a walking rail. He held onto countertops, walls, chairs—anything that would keep him upright. He practised daily, even when the exhaustion was overwhelming. This is something survivors often underestimate: Vision problems drain energy faster than physical limitations. Your brain is constantly trying to make sense of visual chaos. Of course you get tired faster. Of course progress feels slow. But slow progress is still progress. Humour as a Survival Tool Many survivors rely on humour to keep themselves grounded. For Jorden, it showed up in moments like these: His leg falling off the footrest of a wheelchair and being dragged without him realising. Gym sessions where he pushed through fatigue—even after peeing his pants slightly. Laughing at situations that would've once embarrassed him. Humour didn't erase the trauma, but it gave him permission to keep going. “Now it's me versus me. Every step I take is a win, even if no one sees it.” What Jorden Wants Every Survivor to Know Recovery doesn't end after 12 months. Double vision after stroke can improve—even years later. Brainstem stroke recovery isn't linear. You're allowed to grieve what you lost and still fight for what's ahead. The simplest achievements matter. Hope is not naïve—it's a strategy. His story is proof that even when everything falls apart, life can still move forward. If You're Living With Double Vision After Stroke You are not alone. Your progress might feel invisible. Your days might feel slow and frustrating. But your brain is still rewiring, still adapting, still learning. And you don't have to navigate that alone either. Take the Next Step in Your Recovery If you want guidance, support, and practical tools for rebuilding life after stroke, you're invited to explore the resources below: Read Bill's Book: The Unexpected Way That a Stroke Became the Best Thing That Happened Join the Patreon: Recovery After Stroke This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Jorden Ryan: Living With Double Vision After Stroke & Finding a Way Forward He woke up seeing double, and everything changed. Jorden's journey through double vision after stroke shows how recovery can begin in the darkest moments. Jorden’s Facebook Highlights: 00:00 Introduction to Double Vision After Stroke 03:15 The Day Everything Changed 10:26 When the Diagnosis Finally Made Sense 16:32 Surviving a Second Stroke 21:47 What Recovery Really Feels Like 32:16 The Emotional Toll No One Talks About 44:57 The First Swim After Stroke 54:08 Finding Light in the Darkest Moments 59:28 Living with PTSD After Stroke 01:15:01 Being Told “You'll Never…” by Doctors 01:26:40 Finding Meaning After Stroke Transcript: Introduction to Jorden Ryan’s Double Vision After Stroke Bill Gasiamis (00:01) Welcome again to the Recovery After Stroke podcast. I’m Bill Gasiamis. And if you’re listening right now, chances are stroke recovery feels confusing and isolating. I get that. I’ve been there. Leaving the hospital, feeling lost, desperate for clarity and unsure of what comes next. That’s why this podcast exists. Recovery After Stroke gives you real stories and expert insights that help guide your recovery so you can feel more confident, informed. and in control of your progress. And so you never have to feel alone or uncertain again. Today you’ll hear from Jordan Ryan, a 45 year old attorney who woke up one morning and nothing worked anymore. His story is raw, honest, and filled with moments that every stroke survivor will recognize. Fear, frustration, identity loss, and the courage to begin again. But I won’t spoil the episode. I’ll let you hear it from him. Jordan Ryan, welcome to the podcast. Jorden Ryan (00:58) Thank you, Bill. Happy to be here. Bill Gasiamis (01:01) Great to have you here. So if I recall correctly, your stroke was in March, 2024. So not that long ago. What was life like before that? Jorden Ryan (01:10) Life, I would say, was pretty normal. I didn’t have any symptoms or anything and I was a attorney. I walked to work every day about two miles and everything was going well. So right up until the night that I went to sleep, I had no symptoms at all. Bill Gasiamis (01:26) What kind of person were you then? Your routine, for example, and your relationships, where were they at? What kind of life did you lead? Jorden Ryan (01:34) I was awesome, right? No, just kidding. Yeah, they were good. Like I had a lot of friends and work colleagues and they did a lot. Like I was mostly a social person and went out a lot. So not home that much. I mean, I made a lot of friends in my loft, like down the halls were a lot of friends, but I lived by myself. Bill Gasiamis (01:55) ⁓ Well, if you thought you were awesome, I’m going to go with that. I got no problem with you thinking you are awesome. What about your health? Did you have a sense of your health? You know, we often talk about how we felt and what we were like and how energetic we were. Did you have a sense of where your health was at now in hindsight? Jorden Ryan (02:17) No, I did not. Actually, ⁓ I had a deviated septum from somebody hitting me in the face a while back from me trying to stop a fight. And so it took three surgeries to finally get it correct. Like they had to take a piece of my rib and some of my ear to straighten out my nose. But anyways, I say all that because it made me gain a lot of weight and I guess have sleep apnea. I didn’t know that, but you know, the girl I was dating at the time told me. So anyways, I got it fixed. And I had just seen a person to help me lose weight, the doctor and everybody. so I thought my health was good. And I had probably maybe a year and a half ago, I got into a jet ski, just knocked on conscious when I hit the water. So they did a cat scan and I didn’t know, but I thought that when they did that, I was fine. I was healthy. I didn’t know it would take an MRI to know that stuff. So I felt. totally fine until the event. The Day Everything Changed Bill Gasiamis (03:17) So after the nose surgery, things started to improve with regards to your weight and your sleeping. Yeah. Jorden Ryan (03:22) I don’t know that, like, I tried to get a CPAP machine before my surgery and yes, I was starting to work out more but I was still a little bit tired I guess but I mean nothing like, un-normal like, really bad or anything like that. Bill Gasiamis (03:38) Yeah, I do hear that sleep apnea is kind of that strange kind of a thing that people don’t realize they have until somebody diagnoses it and says to them, this is why you feel so drained, so tired all the time. And then they get it resolved in one way or another and things improve, especially with a, sometimes with a CPAP machine. So, ⁓ but then you’ll fit an active and you were pretty well. So take us back to that moment of that first stroke or what? What was it like? What happened? Jorden Ryan (04:08) So when I had ZPAP like to get a diagnosis or whatever they sent something in the mail and you just put it on your finger it was not as comprehensive as an actual sleep study and they said well that will be fine anyway so I got the machine it was very hard for me to sleep with so it would keep me up it did the exact opposite of what it was supposed to do so anyways that night I went to bed I had a big day the next day work call international call and I was gonna be the only one on the call, only attorney on the call. And so I woke up, I could not sleep, which was kind of normal with the CPAP machine. So I watched a movie and then went to sleep maybe an hour before it was time to wake up. And I went to bed and my alarm went off and I got up and I felt like really strange. I saw double, basically like I felt like I’d been drinking all night or something. Then, ⁓ I called into work and said, I’m sorry I cannot help you. Like, I was looking at my cell phone, which I do all the time, and I couldn’t read it or anything like that. being, you know, kind of naive, I think I took a quick shower, like, rinse some cold water on me, thinking maybe that would fix it. No, that’s ridiculous, but I thought it would, and when it got worse, that’s when I called on my one. Bill Gasiamis (05:35) Yeah, how long did they take to arrive? Do you feel Jorden Ryan (05:38) Mmm, I felt like forever, but I think it was pretty short. I lived in the city So the ambulance was right down the street. So I think like maybe 15 minutes or something like that Bill Gasiamis (05:49) Were you able to let them in? Jorden Ryan (05:52) I was, I, you know, the dispatch 911 person said to make sure I unlocked the door first. I thought I was having a stroke, but I fell down on my knees and laid against my bed and it was very difficult to go open the door to let them in. So yes, I was able to unlock the door and I did that. And I just started throwing up like more than I’ve ever vomited before in my life. Like something was really wrong. my leg went out. I didn’t know that it like couldn’t move at all. I just fell backwards and it was kidney due to throwing up. So then they came and I was still able to stand and talk and I felt, I mean, other than throwing up and double vision, I felt fine. So they told me that I was probably too young to have a stroke and that maybe it was just ready to go. So I was thinking that, okay, well I’ll just go to the hospital and you know, get checked out and I’ll come home early. But it seemed to get worse as things were going. I pulled myself up onto the gurney the EMTs had and I remember thinking like I’ve got to go to the hospital now and they were like being nice and getting my stuff and my phone and whatever else and if I threw up they were getting the trash can and I remember thinking I didn’t care if all of my stuff was stolen. I need to go to the hospital now. So we definitely got up there. When I was kind of in and out of consciousness by that time and I got to the hospital and they checked me out like an actual MRI. And when I was inside of it is when my left side of my body completely quit working. So I didn’t know what was going on. I mean, I had no clue. So I pulled myself out of the MRI. And some people get claustrophobic or whatever, but this was a square machine and because I felt sick already and half my body quit working while I was in there, it really put fear in me to get out. Bill Gasiamis (07:59) ⁓ So you had the right to the hospital, they saw you rather rapidly before they got you into the MRI? Jorden Ryan (08:10) The EMTs did see me pretty quick. They did not think I had a stroke, so it wasn’t as maybe punctual as possible. they were still… I mean, the fire department, I think, was maybe a quarter of a mile from my house. So they got there pretty fast. Bill Gasiamis (08:27) Yeah, okay. So when you got to hospital, what was that like? What happened then? Jorden Ryan (08:33) Yeah, by the time I got to the hospital, I was barely able to be coherent at all. Like someone would say, hey, Jordan, I would bring me to for a second, like, what is your phone number? And I could answer, but then I would be out again. when they were taking me to the MRI, they kind of with me. And this was the first time that I was frightened for my life. I think that one of the nurses was like, I can’t believe they’re going to waste the time to do MRI on this person. He’s gonna die anyway. There are people that need them. Machine. Bill Gasiamis (09:04) Wow, they didn’t say that, did they? Jorden Ryan (09:07) Well, I was like, couldn’t talk, couldn’t move. I don’t know if they said it for real, but I think so. I believe that’s what they said. then I was like, this is not how I die. I’ve done so much crazy stuff. can’t be just cause I was going to work early in the morning. ⁓ Bill Gasiamis (09:22) Wow. So you have a sense that that’s what they said while you’re being, while you’re on the bed being moved to the MRI. Jorden Ryan (09:32) Well, I was in going to like a holding area, like a waiting area to do MRI. Yeah. And so they left me and I couldn’t move. And so it was pretty scary. Yeah. And then after the MRI, the nurse did say, you know, we need to call your family. And so I did unlock my iPhone and I remember her calling, but it’s kind of hazy in and out of that. And I think They said, need to call the family so they can say their goodbyes. I think I overheard that. And I was like, what is going on? This can’t be this serious, right? So I really do believe I did hear that though. Bill Gasiamis (10:12) Seems like they may have very quickly upgraded your condition from vertigo, which they originally said when they arrived and seems like they kind of knew that something else dramatic was happening. Jorden Ryan (10:19) Yeah When the Diagnosis Finally Made Sense That’s correct. I wish it would have been just ready to go. Right. But it was all of a sudden went from, you know, pretty good news or decent, extremely dire consequences or like something bad was going to happen. Yes. Bill Gasiamis (10:42) Yeah. How old were you in 2024? Jorden Ryan (10:46) I was 45. Bill Gasiamis (10:49) Yeah. And do you have a sense now? Do you understand what it was that caused the stroke? We’ll jump back into Jordan’s story in just a moment. But first, I wanted to pause and acknowledge something. If you’re listening to this and stroke recovery feels confusing and isolating, I want you to know you’re not imagining it. I know exactly what that feels like. That’s why I created Recovery After Stroke to bring you real stories and insights that guide your recovery and help you feel more confident, informed and in control. And if you’d like to go deeper, remember to check out my book, The Unexpected Way The Stroke Became, The Best Thing That Happened, and support the show on Patreon at patreon.com slash recovery after stroke. Jorden Ryan (11:34) Yes, I do have ⁓ an aneurysm in my, ⁓ in the brainstem. can’t, it affected the pontine area and the salabella. Like I cannot remember the nerves. Unfortunately, I’m sorry. The veins that it’s in, but it is really big and the blood being kind of, ⁓ kind of mixed around. mean, like because my vein is so wide, the clots can form just. Yeah. Bill Gasiamis (12:03) Okay, so with an aneurysm, you’re at risk of it bursting, but then because of the different shape, the high pressure and the low pressure systems that occur in the aneurysm create a different blood flow. It causes the blood to turn into a clot and then perhaps get stuck there. And then when it gets big enough, it can break off or move and then it causes the clot. Jorden Ryan (12:31) Yeah, I don’t know if it breaks off and or just makes a clot and get stuck in there, but same concept, I think. Right. And so, yeah. Bill Gasiamis (12:40) Okay, so then you know that now after they did the MRI, what happened then? Did you have to ⁓ go through some kind of a procedure to sort out the clot and to remove the blockage and to fix the aneurysm? What was the situation? Jorden Ryan (12:59) Yeah, unfortunately they cannot fix aneurysm. They are just throwing as much medicine as they can, like all the tools that they have at the disposal at this time. But after they found out I had a clot, they’re just kind of like, let’s see what happens now. So that is when I went kind of again unconscious in probably about three weeks. I do not remember very much at all. Bill Gasiamis (13:26) Okay. Was that because they were, were in an induced coma to help you with it, with the healing? Jorden Ryan (13:32) I don’t think it was induced. think it was just my body went into a coma. mean, at the time I thought probably I was just very tired because I’d only slept an hour, but I mean, three weeks is a long nap. So a lot of my friends come in to visit me in the hospital, but I was like, I felt like just tired, but I didn’t feel bad. Like I was going to die or something. But so it was very strange because I felt very coherent. Like every day is just a different day. but my body like wouldn’t move like I could tell my left hand to move and it would not. So, but other than that, like, ⁓ I felt normal so to speak. Bill Gasiamis (14:13) I can see those three weeks. Did you have a sense that you had a stroke? Did that actually sort of say you’ve had a stroke? Did you understand that for the first time? Jorden Ryan (14:25) Yeah, I understood that I had a stroke, but I just didn’t understand what that meant. Like, for example, to sit up, which I would do in my whole life, I was not able to do that anymore. So during that three weeks, they would have a hoist system to move me to a couch. So I wouldn’t get bed sores, I think, you know, just precaution, but that was like a really scary, like I did not like that at all. was, which would normally be super easy. ⁓ Yes, they said I had a stroke, but I had no idea how bad it was. Bill Gasiamis (14:58) Yeah. family and friends. You had people rally around to do people have to fly. Excuse me. Do people have to fly in or come from out of town or were they all nearby? How, how did you go and see that? Jorden Ryan (15:13) I think that my sister put something on Facebook, on my Facebook. And so I had people close by and I did have people fly from a couple of different areas because at that time I think I was in ICU. So, you know, that may be the last chance I had to talk to me. So they did come say goodbye, but the hospital for so long, I mean, people got me flowers and I would think that would be as long as possible, but then those flowers would die. and people would bring plants and when those died, I mean, wow, that’s really a long time to be in the hospital, you know? And the plants died because I couldn’t water them because I’m paralyzed, so, at that time. Bill Gasiamis (15:54) Yeah, how long were you in hospital in total? Jorden Ryan (15:58) The first stroke I was probably, I got out May 17th, but that’s out of the inside rehab that what do you call inpatient rehabs? think that I was in hospital for maybe three weeks, maybe a month. Like, you know, they downgraded me from ICU for a week and then sent me to the internal rehab. Bill Gasiamis (16:23) Yeah, so the stroke was March 22 and then you got out of hospital in May. Jorden Ryan (16:29) That’s great. In mid-May, yeah. Surviving a Second Stroke Bill Gasiamis (16:32) Yeah. And you said that that was the first stroke. So was there another stroke? Jorden Ryan (16:37) Yeah, it’s crazy. So I had my first stroke and then I really tried hard like no sugar, no pop, no alcohol. I did everything I thought is best I could and even in rehab they had me bake cookies and I didn’t eat them because they had sugar in them. And then I had another stroke when I woke up to go to rehab. So that was October 7th. So it was, it started out with just my hand wouldn’t move like it should like I was regaining everything back pretty well from the first stroke. And I thought I was Superman basically. I was healing pretty fast and I was like, I beat it. This is great. And then right back to being in a bad stroke and being a wheelchair and all of that. Bill Gasiamis (17:25) So the same issue in the cerebellum near the pons again caused another clot or was it just something else that happened? Jorden Ryan (17:34) No, you’re right. It was the same thing, basically affected the same areas of my brain. So they say that your brain with spasticity can do like a detour. So now I have a detour of a detour, basically. So my brain had just rewired and was working pretty decently and then that area got damaged as well. Bill Gasiamis (17:57) Okay. And were you on blood thinners or something to help thin the blood to kind of minimize the risk of another blood clot or? Jorden Ryan (18:06) Yes, I was on the Eloquist, so I thought that that would be enough, but it was not. So now I am also on aspirin, but it’s just a small pill every day. I think that, like I said, they don’t really have a whole lot they can do. So they’re just telling me to take this medicine out for the best and maybe it will happen again and maybe it won’t, but they can’t operate on it because the risks outweigh the reward. Like there is a Good chance of death. Bill Gasiamis (18:37) Yeah, understood. How long did you spend in hospital for the second incident? Jorden Ryan (18:42) I was out, ⁓ towards the end of November. think mid and like either the second or third week in November. Bill Gasiamis (18:52) And then when you left hospital that time, you left with the deficits, which had kind of eased up or you didn’t really have before the, after the first one, is that right? Jorden Ryan (19:04) Yes, that’s right. I will, will wheeled out in wheelchair and had no use of my leg or my arm and my face was not really healed from the first stroke, but a little bit and I still had that too. I could not talk. I couldn’t eat. I couldn’t drink. Like, I mean, I could, guess, but not how, yeah. So like holding glass to my face would come all over down my face and stuff. so This area right here always felt wet. Like it felt like I was in a pool, even though I wasn’t. So I couldn’t tell if I had food all over me or what have you that I would have to rely on people to tell me. I could chewing a salad is, I mean, it was really, really hard. That was kind of the, as I advanced, that was something I could do. My first stroke, I could not, you know, a steady is it. I don’t know if you know what that is for using the restroom. It’s like a basically a dolly. put you on and I had a really hard time even trying to use that. I went through a lot of swallow tests. I could not swallow my own saliva. So that was very difficult for me. ⁓ They brushed my teeth and I felt like I was gonna die. I could not breathe. Like probably for that went on for like five minutes. Like, I mean, I could breathe, sorta, but it was very difficult. Bill Gasiamis (20:29) They brushing your teeth for you and it, and it, and triggered some kind of a reaction or. Jorden Ryan (20:34) Like the yeah, the saliva that you have in your mouth that is I mean was enough for me to drown in basically I guess Yeah Bill Gasiamis (20:45) So it wasn’t the actual tooth brushing. It was the saliva that was being generated that you couldn’t. Jorden Ryan (20:50) I so. didn’t know for sure what it was, right? Like, but I’m pretty sure was alive. It was something I couldn’t manage. That’s for sure. And it just tasted like toothpaste probably because I just had done brushing my teeth. But they did give me a peg tube so I could get food and nutrition and water in me. However, the way that they installed it the first time was ⁓ caused ulcers in my… I think in my colon, so I had to go back to the ICU. Bill Gasiamis (21:24) Yeah. Such a dramatic time, right? A lot of stuff going wrong. What’s going through your head at the time? Because you went, like we said, like it was a year earlier, everything was going fine. Everything was all okay. And now you’re dealing with all this stuff. How do you, you know, what are you saying to yourself? How do you feel about what’s happening to you? What Recovery Really Feels Like Jorden Ryan (21:47) I wish that I could give you like a really good answer, but to be honest it was more like, why is this happening to me? I can’t believe this is happening. I’m too young. Like I have to take decent care of myself. I cannot believe this. I mean, when I was in the hospital, I was watching like my 600 pound life and like, I’m just saying that I was, I thought, you know, at least that healthy, but at that time I was really devastated by what was going on. Bill Gasiamis (22:16) Yeah, you would be, it makes complete sense, right? How do you go from being quote unquote normal? Everything’s just going along as it always has. And now all these hurdles that come your way that are really challenging to overcome. you probably don’t have the skillset to deal with them in such a dramatic short amount of time. Jorden Ryan (22:17) Yeah. Yeah, I think that’s right. And I think probably if it would have just been on me, maybe I could have, but I was like, I’m going to be such a huge burden to my family in my way life is going to be so bad. Like, I was just like, how is this happening? You know, I don’t smoke and like, I don’t do heavy drugs or any of that stuff. So what is going on? And then they said, well, you must drink a lot of energy drinks. And I was like, no, I don’t drink any energy drinks. So they’re like, we don’t know what’s going on then. So just that was. So for me, I really didn’t know what was going on. Bill Gasiamis (23:15) Yeah. And in hindsight, it was just random. It’s just one of those things with the aneurysm and how can you possibly, how can you possibly deal with it when you don’t know that it’s happening to you? Similar to me, like I had a brain hemorrhage three times because of a blood vessel that I was born with. I wasn’t having the best lifestyle, but I also wasn’t causing it. I also didn’t. I wasn’t able to solve it. Everything was kind of handed over to other people. It’s not, it was nothing. It was not up to me. And I had to just kind of go through it. Jorden Ryan (23:51) Very similar. was, you know, couldn’t be in charge or control anything basically, like even really simple things. I mean, I had a diaper on, I couldn’t even go to the restroom by myself. So it was just very hard. It was a lot of stuff all at once, right? Like, it wasn’t just like I a cold or something. It was very difficult. And at first, when I was there, I couldn’t talk. So people would come and visit me but and to me what’s very strange is that my voice sounded exactly the same before the stroke which it didn’t in real life I was probably like I have no idea what I sounded like but people couldn’t understand me so I would say something to them and they’re like sorry I can’t understand you but in my head I said it perfectly it sounded like me I can hear ⁓ like my slur now but I could not at first Bill Gasiamis (24:47) Yeah. Yeah. It was there somebody that you met who helped support you and guide you through those really sort of tough bits early on, like was there kind of a mentor or somebody that came out of nowhere and just helped you navigate this? Jorden Ryan (25:06) ⁓ I don’t know really like who navigated like how it happened, you know, I had a chaplain that came in there maybe a doctor would help I Didn’t have my phone or anything at the time But when I was able to do that I saw your channels and stuff and so I listened to it and probably the totality of a lot of things there wasn’t like a one person or one thing that helped me really a lot so I remember being kind of upset at you because you said it was the best thing that ever happened to you and that was it was too new for me. I was like, what do you mean? That’s not possible. And a nurse came and said, well, you have the beautiful blue eyes and that my eyes are green. So I was like, well, maybe my hair will grow back and I’ll have blue eyes. Maybe it’ll be the best thing that ever happened. But yeah, I mean, I wasn’t really mad at you. I just said the time I could not accept those that verbiage. Bill Gasiamis (26:02) that is perfectly understandable. And it’s exactly why I chose the title, not to piss people off or make people upset while they’re recovering. In fact, I never expected that people would find it so early on in their journey. I just thought it was a story I was gonna tell and it was gonna go out there. But of course, the very first time I spoke about my book a few years ago on YouTube, the very first comment was a negative comment along the lines of, Similar to what you said. It was a bit more rude. It wasn’t so polite ⁓ And I and I was like, ⁓ no, no, no, you guys have got it wrong I don’t think I think you missed the boat. No, sorry. You missed the point the point being that It was really terrible when I was going through it for three years But when I came out the other side, there was a lot of personal growth. There was a lot of ⁓ Things that I had appreciated that I’d done that I’d learned that I’d overcome etc that became the reason why I was able to say it was the best thing that happened to me because I started a podcast, I wrote a book, I’ve spoken publicly about it, I have this platform, I’ve created a community, all these things, right? So the things that I didn’t know that I was lacking in life before the stroke, I thought my life was complete, waking up in the morning, going to work, coming home to the family, cooking dinner, paying the bills. paying the mortgage, the car lease. I thought it was all cool, all complete, but I was kind of unhappy. There was a lot that I was lacking in my life. And only because of the stroke journey, the end result of the podcast, the book and all that stuff, did I realize, ⁓ actually the… Aftermath, the things that I have grown and discovered were the best things that happened to me. And it was because of the stroke. It’s such a weird and dumb thing to say. Like I can’t even wrap my head around it, that I had to go through something so dramatic to accomplish some amazing things. I wish I would have just done it before the dramatic events. I wish there didn’t have to be one. And that being said though, I’m 13 years. post stroke, the first one, and I still live with the deficits. I still have problems sleeping on my left side because it’s numb and it’s burning and it tingles and all that kind of stuff. When I get tired, I still have balance issues when, ⁓ you know, sometimes my memory is a bit flaky because of it, but you know, a little bit, I still have deficits in my muscles and spasticity and all that kind of stuff and it hurts. I’ve accepted that part of it. how it feels in my body, but I’ve also ⁓ gone after the growth. Like I’ve really, ⁓ seriously, dramatically gone after the post-traumatic growth that comes from a serious episode. And what I hope- Jorden Ryan (29:10) explaining that in other episodes. was just my friend that I had heard and I was still like too bitter to hear that. Right. And now I kind of make sense. Like there are a of things that I didn’t appreciate as much as I should have. All the cliches, know, kind of true. Like I wake up and like that is a good day then because most of my stroke, both of my strokes came from when I was sleeping when I woke up. So kind of like Bill Gasiamis (29:21) Yeah. Jorden Ryan (29:38) Even being in the hospital, I saw more sunsets than I did in my regular life or post stroke, whatever you want to call it. I definitely get it and I can appreciate what you’re saying now, but after that time, was just more difficult. Bill Gasiamis (29:45) Yeah. I definitely come across people regularly, even though ⁓ I’ve been speaking about it for a little while, who come across the first podcast episode that I’ve done, that they’ve found in the 370 odd. And then they hear me say that again. And then there’s also, there’s sometimes a repeat of that incident where I know exactly where they’re at. Like I know exactly what’s happening. I know they don’t know that. And then what I hope that happens is say in three or four years, they can, when they go, there was that crazy guy who said stroke was the best thing that I wonder what that was about. I’m going to go get that book now and I’m going to read it. And I’m going to see if I can, you know, shift my mindset from perhaps something that’s been bugging me to something that we can grow from. And the book has got 10 steps to recovery and personal transformation. It not 10 steps to getting your perfect walk again, or making your hand work perfect again, or you know, getting rid of your deficits. It’s not that kind of book. It’s an inspiring book. We’re trying to give people some tools that they can use that doesn’t cost them any extra that will improve the quality of their health and their life. And it doesn’t matter how injured you are because of a stroke. That’s what the book helps people to do. I love challenging people. I’m not, of course, you know, I’m not intending to make people think that I promote. stroke is something that they must experience as ⁓ you know. Jorden Ryan (31:23) the ⁓ Bill Gasiamis (31:26) Yeah. ⁓ It’s not on audible. I am going to remedy that at some stage. I’m going to remedy that and I’m going to get people the ability to listen to it because ⁓ Jorden Ryan (31:46) Well, I will be your first customer, hopefully. Bill Gasiamis (31:49) Yeah, a he-man. Jorden Ryan (31:51) cannot read because my eyes are cro- like not crossed but I have double vision so they are off I cannot read so but yeah Bill Gasiamis (32:01) ⁓ After your three weeks in ICU the first time, I think you began inpatient rehab. What were those days like going through that first few motions of trying to get yourself up and about? The Emotional Toll No One Talks About Jorden Ryan (32:16) Yeah, it was very emotional, right? because you want right away, I thought just to get back to where I was. And I mean, I read some other things and I had friends of friends send me stuff and that chapter of my life is over. I mean, it was a good one, but it’s time to rewrite another one, right? Like I have to move forward. So the whole journey was really difficult. Probably took me longer than most people, but, ⁓ I was very lucky in the fact that I had a friend that had told me like, hey, you have done hard things before you were, you know, in Muay Thai, you were a attorney, you can do it again. And then in my mind, I was like, you’re not a brain doctor. What are you talking about? Leave me alone. So even though the expression was being really nice internally, that’s what I was thinking. Then I saw something like, um, it was, you know, I think it was a PT, a physical therapist who said, think that you’re gonna heal yourself in three hours a week or a day or whatever, that’s not it. Then I had another friend who told me that his sister had a stroke and she wished she would have done more during recovery. So I eventually got to the point thinking like, well, all these doctors are saying it depends, which is a fair answer, right? And I tell clients that and they hate it. But I thought that’s better than absolute no. They’re not saying and so they’ve made it to me like, well, maybe I won’t get better, but it’s not going to be from me not trying. I think another one of the people on your episodes ⁓ saying like they were always very positive and I was like, that’s not me. That’s I’m not 100 % going to be better. That just wasn’t my attitude during it. I mean, it’s good. wish I would have been, but unfortunately I wasn’t. But it kind of. Over time it’s gotten better, but at first it was very difficult for me. Bill Gasiamis (34:17) Yeah, that’s completely understandable. ⁓ You had, did you have some small wins in rehab that kind of made you shift a little bit slowly and kind of realize you’re making ground or things are, you’re overcoming things. Jorden Ryan (34:35) Yes, I did. I was very lucky in the fact that, I mean, I would just notice my therapist face like when my affected arm started to work or I did something, they didn’t say like, that’s unbelievable. But it was kind of like I was making progress faster than a lot of people. And I’m not saying I’m better. I was very lucky and I would never come to other people, but they were like, wow, that’s really amazing that you’re able to do that. So it was, it felt good. Being able, like, even just to move my finger, like, in my defective hand for the first time was huge, and then I was able to use my thumb to… I feel human again. I mean, to be honest with you, when I couldn’t talk and I couldn’t move and everything, it just felt weird, like it wasn’t me. Bill Gasiamis (35:22) Yeah, absolutely. So were there some setbacks during that time as well? Jorden Ryan (35:27) There were some setbacks. I, again, I watched one of your episodes and a gentleman told me, like I said, he had the fatigue set in later on in his journey. And so one of the things I was like, well, I’m so lucky that I don’t have that because I go to the gym pretty often. And that would be devastating to have fatigue. And then I also had fatigue. I mean, to the point where I didn’t want to move around at all. didn’t want to get out of bed hardly so there’s setbacks in the fact that like my my sister and brother-in-law luckily took me in I mean they were like ⁓ angels so to speak but they live in a big one bedroom app like one one floor house I meant to like a ranch style and just going to the bathroom was a setback because it would take forever to walk down the hall or whatever I mean it was my gate it was a walking style was Pretty hilarious there, you saw me. Bill Gasiamis (36:27) And then fatigue doing that walk also then ties you out. Jorden Ryan (36:34) Yeah, just walking to the bathroom did tire me out. So, like, to brush my teeth, I’m already scared of, like, not feeling well. Plus, walking all the way there and brushing my teeth and walking all the way back, it would be… I would really have to get my strength together to do that. Bill Gasiamis (36:53) A journey, a proper journey. Jorden Ryan (36:55) I had to do it because I didn’t want to wet myself or soil myself, but it was very difficult. mean, looking back, it’s like, wow, that stuff was so easy now. But at that time, it was not easy. was very difficult. Bill Gasiamis (37:11) Yeah. I remember being in a similar situation and I don’t have that far to go to the toilet from my couch where the lounge room is and the TV is. But I remember going to the toilet and getting back to the couch and then being completely wiped out. that’s it. I was done for hours, done for hours, just sitting there resting and then hoping to get enough energy to get back up off the couch and be okay. Um, that was very early on. That was probably a few, maybe about four five months after the second bleed, it was still very dramatic. And I couldn’t really appreciate how ⁓ I took for granted that trip before that. Like it was just, it never crosses your mind. Jorden Ryan (37:55) You wouldn’t even think about it, right? Like getting out of a car to walk to the house was very difficult for me. Or when I came back, I would just fall on my bed because I was worn out. But before that, before my stroke, I would not ever think about that kind of stuff. Yeah. In a wheelchair at first, but I walked around the house with a walker and like two laps inside the house would wear me out. That’s maybe one. Bill Gasiamis (38:11) Yeah, hell no. Jorden Ryan (38:24) Like, one hundredth of a mile is not much, or not even close to a kilometer, and that would wipe me out completely. Bill Gasiamis (38:32) Yeah. You find yourself thinking about the steps that you’re taking. Are you putting a lot of brain energy into the actual task? How your leg is moving? What was the process like for you? Jorden Ryan (38:44) Yes, my- so all the things that your body does without you thinking about were affected in me. Like blinking, I have to think about it. To move my arms at the same time, I have to think about it. So to walk was- I had to really be like, okay, which foot goes first? Left foot. Okay, now what foot goes next, right? It sounds ridiculous, but that’s really what I was like. My mind was, I had to think every time like learning to walk. I was like, what hand goes in front? with what foot? Like it was, I mean, very, very basic, like to the beginning, right? Like before elementary school, like it was, so everything I did was taxing mentally because I just had to think about stuff that you don’t normally think about, right? Like Okay, I should breathe. It wasn’t quite as bad as that, but that’s pretty close. Bill Gasiamis (39:37) Wow, So in the notes that we shared between us, you mentioned something about the first time you were taken out of hospital ⁓ to go and eat, I think. Tell me a little bit about that story. What happened then? Jorden Ryan (39:53) Sure, so I noticed, to start a little bit further back, I lost my hearing. It wasn’t when I first had my stroke, but when I was in rehab, they were actually changing my diaper. And so I would lay on each side and I noticed when I laid on the side, I could not hear them. They were telling me to roll over or something. And so I had lost my hearing completely. Then, um… When I got out of the hospital, my friends and family and whatever got together and took me out to eat and the noises were so loud that my senses were too heightened. It was confusing to me. I had a lifetime of going out to eat with friends and going to drinking or whatever. This was just a lunch and I couldn’t really handle it. It was almost too much for me. The car ride from maybe a three hour car ride, had to close my eyes because I would feel sick if they were open. it was, I realized just how different my life is gonna be, right? Bill Gasiamis (40:59) Yeah, did that make you want to avoid those types of events? Jorden Ryan (41:02) Yes, I have to push myself to do that kind of stuff because I don’t know, I think it’s easy to become depressed, right? Like, it’s easy to just be like, I will just sit here on the couch, watch TV. I don’t really watch TV, but… And even that is hard with my eyes doubled, but I mean, like, I push myself to hang out with friends or go to eat or something. But it’s very difficult. I would rather just stay home. If you just ask me, like… I mean, I’m always excited to go out with people, that’s not what I mean, but it just is easier to stay home. Bill Gasiamis (41:37) Yeah, I understand that easier to stay home. It’s a trap as well, isn’t it? It’s a, if I stay home, I don’t have to deal with all those difficulties, all those challenges. I don’t have to overcome anything. I can just have the easy way out. But then that you pay a price for that as well. That’s not, it doesn’t work like that. You have to pay the price of, well, then you don’t go out and then you’re alone again. And then you’re in your thoughts again. Then you don’t interact with people again. And It’s not the easy way out. seems that way, it’s potentially leading you down a path that you don’t want to go down. Jorden Ryan (42:11) You’re exactly right. I tell people that because I’m so lazy, I try so hard now because I don’t want to have that life like that forever, you know? So I try very hard now so I can be lazy if that makes sense. Bill Gasiamis (42:26) That makes complete sense. love it because it’s kind of like you’re lazy. Jorden Ryan (42:31) Right, exactly right. You know, because going to the bathroom, if that’s hard forever, that’s gonna be terrible. I gotta get up and walk and have to go out with people. then life is not as hard, hopefully, because you’re doing the things, right? So. Bill Gasiamis (42:47) Yeah, yeah, and you’re getting all the genuine awesome things that come from interacting with people, going out, being ⁓ in public. ⁓ I know what you’re saying about the kind of the earning our lazy kind of thing, right? Because I would say to myself, ⁓ Saturday, I’m gonna go hard. Now, hard for me might’ve been just to literally go to an event and stay an hour longer than I normally would have stayed, whether it was a family event, a party or whatever. And then I’m gonna be really exhausted tomorrow. I know that tomorrow I’m gonna be really, and I’ve got nothing booked in. I’m gonna do absolutely nothing for the entire day so that I can go out and go hard tonight, whatever tonight looked like, whatever that was gonna be like. And that was where I earned my recovery, my lazy. I’m sitting on the couch and I’m watching TV or I’m reading a book or I’m not doing anything. That’s exactly how I kind of used to talk to myself about doing nothing on the following day. Jorden Ryan (43:54) That is a good way to put it, earn your laziness. Like that is exactly what I did. I did something hard or out of my comfort zone and then when I was lazy I felt better about it. If I just wanted to stay home and watch TV, I mean I would have won the lottery basically, you know, like that would be my life. But because that is not what I want to do, doing hard things and then being lazy is a good way to look at it. It would make me feel better about myself. people and everything just kinda makes it harder to be depressed. Bill Gasiamis (44:32) Yeah, agreed, 100%. I would encourage people to get out as much as they can. ⁓ Now, I’m very interested in your thoughts about this. Your first swim, I wanna know what that was like, cause I had a first swim as well. I remember my first swim after waking up from surgery, not being able to use my left side and needing to rehabilitate it. ⁓ What was it like for you to experience that? The First Swim After Stroke Jorden Ryan (44:57) Yeah, so I’ve been swimming before I can remember when I was a kid. So like being by a pool was very scary for me because I thought if I fell in, I could not like get out. And I got in the pool with a life jacket to try to walk and doing I don’t know what this stroke is called where move both arms like that. But only one would work at a time. But I’ve been doing it forever. So it was so strange to be in the pool and not both my arms work together. It was almost like I didn’t expect that that late in my recovery It was not that long but still it was strange to me probably maybe a month after I got out of the hospital so luckily my mom took me to the pool quite a bit and Pushed a wheelchair even though it’s really heavy and she is older so Bill Gasiamis (45:50) Yeah, I went to the pool for the first time during rehab. They asked me if I had anything particular I wanted to work with or a particular exercise I wanted to do. And for me going into the pool, I felt safe that I couldn’t fall over. So we kind of did aqua aerobics and my left side wasn’t working well, but in the pool you couldn’t tell that it wasn’t working well. then put on a, it just felt normal. It felt normal. It kind of. ⁓ appeared like it was working normally, but it felt strange because the water pressure on my affected side, that was different. Feeling the water pressure on my affected side for the first time was really strange. What was cool about it is they gave me a life vest, so there was no chance of falling over, drowning, dying, or anything like that in the water. And it was really a real relief because my body felt really free for the first time. And then as I got better and we started to get out and about, One particular summer we went to a ⁓ waterfall here near where I live. And in the pond at the bottom of the waterfall went for a swing. But the difference is ⁓ fresh water ⁓ is different from salt water. And I had never swum in ⁓ fresh water. Jorden Ryan (47:11) Yeah, there’s a big difference here, right? Bill Gasiamis (47:14) Wow, you’re heavier, you sink quicker. And I went for this very short distance swim and I was completely out of breath and fatigued like really rapidly and needed somebody that was with us to help me get out because I hadn’t realized how much more taxing it would be to do the swimming motions or do all those things and stay afloat. ⁓ And it was really scary because it was the first time I learned that. Jorden Ryan (47:17) Yeah. Bill Gasiamis (47:42) I am not as capable as I used to be ⁓ in the water. Jorden Ryan (47:47) Yeah, I think that brings up a good point for me is that people that try to help me tell me like, be careful. There’s a table there or something like very obvious, right? But they don’t know what I’ve been through and what I can see what I can’t. have to be ⁓ appreciative of them saying that stuff instead of annoyed. Like I usually am so yeah. I did a triathlon in the ocean and it was so much easier. I was pretty happy. I was the other way around. I’m used to swimming in fresh water and then in salmon and salt water and that was all post stroke. But I can know what you mean. There’s a huge difference. Bill Gasiamis (48:27) What’s your Yeah, you’ve done a triathlon post stroke. Jorden Ryan (48:33) No, I’m so sorry. I meant before stroke. ⁓ Yeah, I did one back when I was healthier, but it is hard for me to even raise my arm. I can kind of do it now, but so I just did water aerobics actually today. And I mean, I am the youngest person there probably by seems like 30 years, but in the worst one there, like you can definitely tell I have a stroke. Yeah. Bill Gasiamis (48:59) Yeah, yeah, yeah, yeah. What’s cool about, what’s cool is that now there’s competitions where people can go and compete ⁓ after they’ve been, like the Paralympics is a classic example, right? And all the events leading up to the Paralympics where people can go and compete, get physical, even though they have deficits. That wasn’t something that was possible decades and decades ago. It’s a fairly new thing. I love that even though people are injured and they’ve had difficult times, perhaps their limbs aren’t working correctly. Some people still decide, I know I’m gonna be a competitor still, I’m gonna be with one arm, with one leg, with whatever my, whatever I have left, I’m gonna do the most I can and compete as much as I can to be the best in my particular sport. I love that about the things that people can access today about participation in sport, even though they’re injured. Jorden Ryan (50:02) Yeah, for me, it is much different. Like I used to be a very competitive person and now it’s me against me, right? The me against the stroke or whatever. Like I don’t care that somebody can run really fast. Like, I mean, that’s good for them, but for me getting outside and even getting to the event was difficult. Now to, you know, sit in a tricycle or whatever it happens to be is just, it’s more like a golf or something like that where it’s just you against you, you know, so. It is good that they have that kind of stuff, I think. Like, I’m looking at bikes for mountain biking with three wheels and stuff, so. Bill Gasiamis (50:39) Yeah, I love what you just said you against you. It’s like you against your mindset. Jorden Ryan (50:45) I think it’s just… I don’t want to say me against the world but everything is so… ⁓ difficult I guess? Like everything is a win so if I get in a car to go to the event if I get a bike that I can ride even a tricycle like that’s win if I can finish the event well that’s a win before it was like what place that I get now that’s not important to me I mean sure I guess is this not as important as it was before. Bill Gasiamis (51:15) Yeah, your priorities have shifted. Jorden Ryan (51:18) Yeah, very much so. Like, I think that I have a lot more empathy for people that are disabled. It just clearly opened my eyes. And even though I work in the law, I am used to disability act or whatever. And I was like, these people, now I totally get it. You know, so I understand like why they should have these laws in place. So here in the States, I mean, Bill Gasiamis (51:44) Yeah. Yeah, same with us in Australia. mean, there’s lots of laws to try and protect people who have a disability of some kind, injury, whatever you want to call it, so that there’s less discrimination, so that there’s more services, so there’s more access. ⁓ It’s one of the best conversations that people have because they kind of say, well, we know that this particular service that is going to be provided is going to be provided for all the population and 93 % of the population, for example, it’s not a real number, will be able to access it beautifully. What about the other 7 % who are not gonna be able to access it? We need to think about them. We need to think about how they’re going to go about ⁓ traveling on this service or accessing this service or getting in and out of this particular office or building and all that stuff. is taken into consideration in the design and planning phase now. So you can move around Melbourne, my hometown, in a electric wheelchair or a regular push wheelchair. And you will not have to worry about getting on a train, getting on the public transport, a bus, the tram, ⁓ going down a curb, all the curbs are ⁓ angled down. So this beautiful, nice smooth path towards the road and then up again. Jorden Ryan (53:13) Yeah, that sounds very nice. I think I was just ignorant to people’s needs, I guess. And now I learned firsthand how important they are, right? So I was just like, man, that’s a lot of money to do that. But it makes sense if someone says, well, we have 99 bathrooms, but you can’t use any of them. It doesn’t do me much good, right? So to have this kind of, yeah, right. Bill Gasiamis (53:22) Yeah. Yeah, what’s the point? Finding Light in the Darkest Moments ⁓ Now, the thing about stroke is that unfortunately life doesn’t get put on hold for us to recover from it and then let us get back into life as if we were okay. And I remember going through the third bleed and then a couple of weeks later, literally two weeks later, I think, maybe about a week later, my mother-in-law passed away. And then we had to have her funeral before my brain surgery. and my wife had to deal with all of that, right? You also, you lost one of your friends soon after you got out of, I think it was at rehab. Jorden Ryan (54:19) It was the day I got out of, ⁓ like inside the hospital rehab, inpatient rehab, like he was a good friend and he also had, I think a something to do with he had a tumor on his spine or something that was removed, but it left him slightly paralyzed. Like he was, he had both arms and I remember being in the hospital being jealous of him because Such a little thing like, wow, this guy can go to the bathroom by himself. I wish I could do that, right? But unfortunately, yeah, he died by suicide the day that I got out. It was devastating and very hard. I mean, that was somebody I planned on spending a lot of time with because he lived in the same city that my sister took me in that I was going to hang out with. I mean, not just about me. It was just sad that that happened, obviously. Bill Gasiamis (55:14) Yeah, of course, man, that’s pretty sad. And also, then your dog passed away. Jorden Ryan (55:22) Yeah, so this guy, he had told me my last message with him, well almost last was, we didn’t ask for this, but we’re gonna get through it together. And then, you know, he took his life, so that made me seem like, what should I do now? Then my dog died, which was a big deal to me because, okay, now I have all this time to pet him or play or whatever, and you know, it was pretty dramatic. dick dab that, but I felt like I was in a country song. Bill Gasiamis (55:55) How did you get past it? Jorden Ryan (55:56) I don’t know, think that you you kind of learn to just roll with the punches as I say because there’s so much in life that I can’t control that I mean, just, stuff happens right? You just have to do your best and I try to tell people like, it’s very easy to be in darkness or the negativity but it is my job to open up the light, open the window or whatever, not literally the window but to see all the good things that are happening. around me. So I mean, there are so many amazing things. So I have to open that up and not stay in the darkness too long. I can’t stop from happening personally, like this part of my life, but I can get out of it. Like luckily I have those tools, so to speak. Like I can be like, okay, this is happening. This is amazing. Or my family is healthy or whatever it happens to be or just people being really nice, seeing that, right? But I did have, my hand was like clawed and I would open the door and some people were nice and be like, let me get that door for you. Well, I cannot open my hand to let go of the door. It would almost knock me over several times. So kind of funny. Bill Gasiamis (57:13) always funny opportunities like to things to laugh at in that moment. I remember being wheeled in my wheelchair when I first got out of hospital, out of the hospital ward and we were just going around the hospital grounds just to get some sun. My wife was pushing me and I couldn’t feel my left leg and it fell off the, you know, where the feet sit in the wheelchair, the footrest. It just fell off the footrest and it was getting dragged. beneath the footrest and kind of the wheel of the wheelchair and it was kind of getting dragged and I couldn’t feel it had no idea but my wife was struggling to push the wheelchair Jorden Ryan (57:54) She’s like, is wrong with this? It’s so hard. Bill Gasiamis (57:57) She was going, well, this so hard to push. And then we had to have a look around and realize the reason it was hard to push, because my foot is under the wheelchair and I have no idea that it’s there and it’s getting stuck. ⁓ We laughed about it because what else are you gonna do at that moment? It was pretty ridiculous and funny at the same time. Jorden Ryan (58:16) That is exactly right. I would say that if I had to give credit to one thing, it would probably be my odd sense of humor now, right? Like there’s so many things to laugh at that it’s hard to say, Matt. That situation you had, it could have been really devastating to you or whatever, or you can be like, that is pretty funny, right? So I had something similar happen to me. My foot came off the wheelchair, but it just stopped. I didn’t feel it. my leg, but I mean, it felt like I ran over a rock or something like, so similar, not the same, but similar to me. Like, didn’t know if my leg would ever come back, you know? So people are all different levels of their journey. Like I was not upset, but I was surprised to see people in patient rehab. They could walk so well. like, Hey, we are really struggling over here. We’re in a wheelchair. That’s not the right attitude to have, but that’s how it was, you know, Bill Gasiamis (59:12) Yeah, absolutely. Jorden Ryan (59:14) are fine, get out of here, let us sick people alone, leave us here, so. I mean, I am lucky in the fact that I’m getting a lot more back than I thought that I would, so everything from now on is icing on the cake, so to speak. Living with PTSD and Double Vision After Stroke Bill Gasiamis (59:28) Bonus for sure. I think you talked about PTSD around brushing your teeth, right? How does that show up in your daily life? Do you have moments when that kind of rears its ugly head? Jorden Ryan (59:42) Well, I just moved into a new house and the bathroom is right next to it and it’s not so bad now. But when I had to walk and it was more difficult and I had PTSD and self-diagnosed. So I don’t even know if it’s a real thing. It was very scary, right? Like it would almost like giv
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Kiera is joined by renowned cosmetic dentist Dr. Pia Lieb to talk about Dr. Lieb's journey in her field, as well as her insights into what the rich and famous ask for (and pay for) when it comes to their teeth. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: Kiera Dent (00:00) Hello, Dental A Team listeners. This is Kiera. And today I am so excited. I have an incredible doctor on our podcast. Dr. Pia is coming to from New York, Manhattan. And this woman is incredible. She has been able to build and sustain a high-end cosmetic practice. She's figured out how to be, you guys are gonna love this, a referral only destination for patients seeking discretion, innovation, and ultra-personalized care. This woman has been named the Michelangelo of dentistry and I am so excited to welcome her on the podcast. Welcome Dr. Pia, how are you today? Dr Pia (00:32) Thanks for having me, Kiera. Kiera Dent (00:34) Of course. Well, I have been so excited about this podcast. I don't often get to bring clinical guests onto the podcast. And so to just kind of hear of how you do your cosmetic dentistry, how did you become this practice of being so sought after? ⁓ How did you become the Michelangelo of dentistry? So kind of just walk the listeners through how did Dr. Pia go from where she was to where she is today? Kind of just give us a background on, on who you are and what your story has been. Dr Pia (01:04) Well, I'm gonna start with, it all started in dental school. There was a lecturer by the name of Dr. Gallup Evans who has passed away since. And he was giving a PG, which is obviously post-doctoral course on cosmetic dentistry. And his reputation was he was the one who did. the supermodel Polina Povaskova's veneers back in the early 90s. And I went up to him after the lecture and I basically said, I'm a sponge, teach me, tell me what to do so I can do the same thing that you're doing. I've completely fell in love and cut out a class to go to that course. And after the course, he turned around to me and said, well, sweetheart. You're either born with it or you're not. So I went home and I cried for five days. and he completely tore me to shreds and that really got me upset and ⁓ I was a great student. was the youngest in NYU as a student. I graduated high school at 16. I was the nerd, right? And basically what I did is I was asked to start teaching after residency and that was my... Kiera Dent (02:03) Absolutely. Dr Pia (02:26) way to make sure that I would never allow anyone to speak to a student like that. And my whole point was, I want to empower the dental students. I don't want anyone to feel the way I did by this particular person. And basically I had nowhere to start. So I started taking all of these courses, these PG program courses, and I met up. Kiera Dent (02:37) Mm-hmm. Dr Pia (02:53) When I was actually in dental school, I went and I met the holy grail ceramist who invented veneers in America. And I went up to him and I said the same thing, I'm a sponge, please teach me. And he was like, great. Okay. You have a car. And I'm like, yes, I do. He goes, all right, come to the lab every Friday after school and every Saturday, let me teach you how to prep and how to do veneers. And this man who also passed away has taught me everything. Kiera Dent (03:12) I'm Dr Pia (03:23) that I know because the doctors were not doing it and there was only two guys in New York that were doing veneers in the 80s and in the 90s and those were older men in their 40s and they were not going to take a young 20 year old female and teach her what to do because they were you know insecure that we were going to take over the business from them. So that's how it all started. And obviously, I taught for 18 years and I did do that what I set my mind to do. I wanted to give every one of my students the best experience that they can have with dentistry and with cosmetic dentistry. And we're still friends after all these years. So I must have done something right, that they still love me to invite me for dinners into their houses. Kiera Dent (04:10) Thank ⁓ I think that you're speaking to my own heart. mean, having that love being in the dental colleges, of to give back, like that's the whole reason Dental A Team exists was because of those students that you just fall in love with. And kudos to you because I got really lucky and I worked at Midwestern University's Dental College in Arizona. And I have been told that the culture there and the experience there is not like most dental schools. It was a very empowering, very enriching. There was no smashing of models. There was no... ⁓ destroying people's dreams, but I know that that's not everywhere. so kudos to you for ⁓ making a stance and also not giving up on your dream. And I think something I took from that is how often are we maybe told something that's not true and we believe it. We take that on as an identity and yes, crying for five days. I don't blame you, I would have done the same thing, but ⁓ it is. Dr Pia (05:03) No, it's demoralizing, you know, like it's just here you are, you're this young bright-eyed and bushy-tailed eager beaver who wants to be the best at her profession and then you get some 50 year old man telling you, ⁓ honey, you can't do this, you gotta be born with it. I'm like, really? Kiera Dent (05:20) Hmm. Maybe I am born with it and have you seen it. ⁓ Dr Pia (05:25) And you know what I was and that's that's the thing and it's just but it's the way he said it but we'll get back to karma because 18 years go by and he was lecturing again and karma if it's a small I don't want to say the b word on a podcast but Kiera Dent (05:42) Mmm. Hahaha Dr Pia (05:51) it is. So he's got the lecture, same thing, same before and afters. And this time I'm wearing a white lab coat and scrubs underneath and I had you know, and at this point, I was clinical assistant professor and there were like 350 doctors in the audience. And he's like, Does anyone have anything to say? And I'm at the back wall, I wasn't sitting down, I was standing up and I raised my hand and I was like, He goes, and he goes, I know that name. You're in press and you're my competition. And he was like, and you know, what is it that I said? said, you know what? Thanks to you, I am who I am today. I want to say thank you. If you didn't say this to me and make me go home and cry for five days, I wouldn't have. done everything humanly possible to be your competition and here I am I didn't know if he was gonna slap me or kick me out or just whatever it was but it was not what I and he said you know come on down and just tell us more about it he goes you've got so much pressure all over the place and it was funny because at that point Kiera Dent (06:52) Ha! Dr Pia (07:08) That was like maybe 10 months after I did 10 episodes on TLC of 10 years younger. And I was all over the place. Like everybody knew me from TV and from press and ⁓ the New York Times wrote that I'm the Michelangelo in Smile Boutique. And it just got to that point. I got the recognition that I worked so hard for. he was like, all right, give me a hug. I was like, thank God. to get a slap. But I was ready to get like thrown out or to. So that's kind of what I wanted to do is I just want to empower every single person out there. And you have to understand, when I went to school, we there were no women, it was 97 % men, we had Kiera Dent (07:43) You Dr Pia (08:02) maybe seven girls in the graduating class. I mean, not that we had a lot. We have much smaller classes back then and we were 97, but seven out of 97 is a low percentage. Kiera Dent (08:14) That is, yeah. Wow, that's such a fun, ⁓ I think kudos to you. And one of my favorite lines through life has been, life is not happening to us, it's happening for us. And I'm sure in that moment, you felt like life was happening to you. Like, who is this jerk? And they destroyed my dreams. And yet, ⁓ again, not to say that that's ever the right route to go. But I just want to highlight and compliment of you took something that people could have said would be sour grapes and you actually turned it into beautiful wine. and you turned it into something beautiful and it was fuel to your fire to make you into this incredible woman that the world needed. And so I'm very curious, how did you then go from, okay, here we are, how'd you become this renowned cosmetic dentist, getting on TLC, getting all the press, like what was kind of the way to get into that? Because I'm sure there's a lot of dentists who want to live your dream. How did you do it? Dr Pia (09:04) I think the way in was truly like in 1998 or 99, I don't remember what year it was, but it was the first gen art fashion show for Fashion Week in New York where they took up and coming young designers and they had a private fashion show with about 10 of small up and coming, which we don't have anymore. mean, New York Fashion Week is no longer what used to be. But I go there and I had a patient from Belgium who had a really good friend who was an up and coming crazy French designer and he was showing the runway and I just basically went with her and I remember that we were after the fashion show there was a VIP with champagne and we got these wristbands and so forth and my my patient was, you know, late 30s, single and ready to mingle. And there was this really cute male model that did the runway for ⁓ another designer that wasn't as big. And she was like, my God, he's so cute. And here I was, I had no makeup on, right? Kiera Dent (10:07) Yeah. Dr Pia (10:23) this long Margiela dress and I have like Doc Marten boots, my hair up in a ponytail, just like mascara and red lips on. And I went up to this guy and I said, hi, I'm Dr. Pia. You know, my friend Jacqueline wants to meet you. And he had this woman who was next to him and she was like, you gotta talk to me. I'm his booker. I didn't know what a booker was. So I'm like, what's a booker? I thought it was like the, you know, betting on horses, know, like booking, you know, that's what I thought. Kiera Dent (10:47) Yeah. Yeah. Dr Pia (10:53) And basically, ⁓ I was like, No, no, no, I'm just, you know, we're going behind if you guys want to come and join us at the after party behind and he was like, great, she goes, No, no, no, we can't go anywhere. You got to go through me. And I'm like, Okay, I said, Look, I'm a cosmetic dentist. And back then we had cards, right? So I was like, Here's my card. She goes, I want one, too. And I and Yeah, that was it. had some drinks afterwards. And she was like, Yeah, I want to come in as a patient. I have to come in first before he comes in. Because he said he needed his teeth done. I was like, okay, so the next morning, I'm like, live it at like nine o'clock. I call Wilhelmina who was like back then the number one modeling agency for men. And I call and I'm like, Can I speak to Jennifer and Kiera Dent (11:32) Yeah. Dr Pia (11:47) She picks up the phone. I'm like, hi, it's dr. P again. I'm like, I just want to make it really clear I'm married. I do not I am NOT picking up on on your male model It was my friend who was interested just making putting it out there and being totally transparent. So she's like fine I Want an appointment so I booked her and the moment that I booked her She introduced me to the modeling industry. So then I started getting all the models Kiera Dent (11:57) Mm-hmm. Dr Pia (12:13) the supermodels, I got everybody in and I think that's how it all started with the press and everything because they've seen my work with the modeling industry and that's how kind of it all started and the thing with me it's always been privacy it's I've never named names I will never name names because it's like plastic surgery if you're going to go in and get a facelift do want it to be plastered all over the press I don't think so so it's the same thing with veneers I mean I do very natural handmade porcelain and the whole secret that I think to my success is I've never gone into that chicklity white Hollywood smile the toilet bowl teeth or the turkey teeth as now they all go to Turkey to have them done well I've never done that so for me I've always followed what I believe in and did the best that I can and I think that that is as long as you love what you do Kiera Dent (12:55) Mm-hmm, mm-hmm. Yeah. Dr Pia (13:12) and try to be the best that you can be. think the universe, no matter what God you believe in, you know, I think the universe gives it back to you. Kiera Dent (13:23) I think, well, and also what I heard from that is kudos to you for just going and meeting people and for being out there. Like, I don't think people realize the power of connections, the power of human interaction, the power of who you know. I think we're in such a society where it's all online and we just think, which you can still connect online, but like, don't be afraid to say hi to people. Don't be afraid to introduce yourselves and... Like I said at the beginning, Dr. Pia, it's very rare that I bring on clinical guests to the podcast. So I'm curious, you work on supermodels, you work on really incredible people. I have a doctor, which we will not name names either, who works on movie stars in LA. so I have a couple of questions and if you don't want to answer by all, you probably do. We will chat post show and see, exactly off call. ⁓ But. Dr Pia (14:07) I probably know him. If it's it, we'll do it all off, off. Kiera Dent (14:15) I'm curious, Dr. Pia, just for listeners to know, what is like, I'm gonna ask a few questions and like I said, privacy and respect are my number one. So if there's something that you're like, I'm not gonna answer by all means, audience just know Dr. Pia is so kind to come onto the podcast for us and I did not prep her because I never know what I'm gonna ask. It's just a genuine curious host over here wanting to know, what are the average cases like dollar wise, our low end to our high end of cases that you're doing? I just want people to know, because I think people do not believe that this is real life dentistry and it can be. Dr Pia (14:51) You're talking about veneers or you're talking about all the procedures. Veneers. Veneers are from three to 45, 100 or two. It depends. mean, if someone is a massive grinder and I've got issues with them. Kiera Dent (14:54) I would say let's do veneers and then let's do other procedures. Dr Pia (15:12) having, you know, doing the grinding at night, felspathic, I'm a little bit weary of doing that and I'll do the 3D printed. ⁓ As much as I'm not the greatest fan of doing that, I would rather keep them in a night guard and let them have the beautiful teeth. But it basically is... ⁓ Kiera Dent (15:19) Totally. Mm-hmm. Dr Pia (15:35) You know, for the handmade porcelain, I mean, there are some people out there that are charging over five. And I think that's just a little bit exaggerated because I know how much it costs me to make. think, you know, 4500 is a fair price. You don't have to go above five. I think that's just the ingredient. Kiera Dent (15:42) Totally. Sure. Mm-hmm. Which I appreciate that you say that, especially with the press and with the people that you worked on. You have an opportunity to charge more, but you're also being ethical and fair, which I think ties to the passion, the love, the reason people can trust you. So how many veneers, this is like, now I'm gonna just be like a nerdy patient. How many, because I feel like a lot of people just want like the four veneers and then the six and then. Dr Pia (16:15) Alright, come on, bring it on! Kiera Dent (16:20) Do you just do all of them? there a space where clinically you recommend like we stop here for smile lines? What's kind of your, what's your, what's your clinical excellence on this? What do you recommend? Dr Pia (16:25) No! I think you should have either one or as many as you need. think the biggest problem and the... Okay, now you got me. So my competition in New York will only do 10. And he's my former student. Kiera Dent (16:37) I'm ready. She got fired up everybody. Juicy like sits up. Mm-hmm. Dr Pia (16:51) which is even more infuriating to me. Like I so disagree because I think if you have a beautiful smile and let's say you fell and you've had a root canal and the tooth is starting to change color. I think if you're a good clinician and a good clinician is a cosmetic dentist, I don't believe a GP could do this. Okay. And men, we have the issue with 40 % are colorblind. So that's another issue altogether. Kiera Dent (16:52) That's I do remember there was a girl in dental school who couldn't like really see and I was like, how do you like she couldn't see colors and I'm like, how do you, how do you, how do you get over that as a dentist? I'm just curious. I can't check the color, right? Okay, so making sure you think that you can do one if you're a good clinician, which is, love this. Cause people tell me all the time, you can't do one. Dr Pia (17:29) Well, they get the dental assistant to choose the color. I do one. do one. So I do one. I do one. I'll do two. If you're if you ground I do four. I'll do six, I'll do 10, I'll do 12. If the person has a really big smile and it's a color correction like a tetracycline case, then I have to do 12, you know, like, because it depends if you're someone that has this uber large mouth, then and you when you smile, you go back to the second molars, you have to do it. But I feel that this whole entire ⁓ doing 10 or nothing. think that is so unfair to the patients. And I think it's such bad karma as well, because it's going to come back and bite you later on, because I don't feel that everyone has to have that many done. And the other thing that I'm actually known for is the fact that I don't believe that you have to necessarily file the tooth down. If the teeth are in the correct position, okay let's back it up. If the teeth are not in the correct position do Invisalign first and then do the handcrafted veneers because the way I do them they're as thin as a contact lens so there is no drilling needed. Anytime why I wouldn't want anyone to drill my teeth to put veneers on why are you taking away to add on it's an Kiera Dent (18:42) Love. Mm-hmm. Dr Pia (19:08) moron right so if you are a true cosmetic dentist and know how to do this and have the right support of the right ceramist they should be see-through Kiera Dent (19:09) Mm-hmm, mm-hmm. Yeah. Dr Pia (19:24) So if that's the case, there's no drilling involved. And if you need only one, just do one. There's no reason to spend that money on doing more if you don't need them. Kiera Dent (19:32) It's incredible. which I'm so grateful to hear this. This is why I was so excited. I'm like, I have so many questions about this and I'm just curious of how you do it and to hear that being really talented at this, you don't need to do more than that because I hear all the time like, well, if you only do four, then you're gonna see it, but I don't disagree with you. think if you're good at what you, and this isn't just dentists. I also think dentists, well, I'm gonna go out on a limb. Now I'm fired up to be, like, here we go. Dr Pia (20:02) No, no, they want the money. It's clear as day. They're doing it for the money. Kiera Dent (20:06) Right. Well, and also I'm like, if you're not good enough to be able to do one without it looking like a chicklet, I might question, you good enough to be doing this in general? And that I know is a very bold statement, but I might get really good at this. I don't disagree. Dr Pia (20:18) No, they should not be doing them. I'm sorry, they should not be doing it. And with felspathic, with the handmade porcelain, it... I can't say it enough. One is not a problem. Kiera Dent (20:35) Okay, let's talk about different labs and how do you choose a good lab for ceramic, for cosmetic cases? Like what's the difference? I mean, I've heard some people that are printing ⁓ Emax crowns for the front and I wanna like cringe and I'm like, ⁓ that feels really bad. So let's talk about like, how do you pick a good lab? What's the difference of a good lab? How is it handmade versus not? Like what are some of those nuances within the cosmetic world that really make a difference on being able to do one versus having to do eight to 10? Dr Pia (20:48) No, no, no, no, I didn't write. Kiera Dent (21:03) because you're gonna see lines and it's gonna look different. Dr Pia (21:06) Okay, so I'm a nerd. I'm going to give you the whole entire background. Okay. ⁓ So basically the handmade porcelain is felspathic and it can be as thin as 0.16 of a millimeter, which is technically a contact lens. Okay. It's thinner than your natural fingernail, not with gel on it or powder, you know, polish. I'm talking about a natural fingernail. So having said that, Kiera Dent (21:08) I love it. I want this. Mm-hmm. Dr Pia (21:33) Now in the way that those are made they're done on platinum foil so you take the model of the teeth they put platinum foil which is also like super super thin microns it's you know anywhere between 10 microns 20 microns okay and then on that porcelain on that platinum foil the porcelain multiple colors multiple translucencies get added on and that's the veneer is made. Okay so that's how we're able to have them super thin. The 3D printing, different story altogether. So 3D printing needs to have minimum Kiera Dent (22:05) Mm-hmm. Yeah. Dr Pia (22:17) between 1.5 to 2 millimeters of thickness. So those right there are thick. Okay, so that's why you need to file. Otherwise, everything is gonna be out. That's why they need to do 10 because they can't match the flatness of a natural tooth. So those are done by a computer. So what you do is you scan with the feldspathic. You still have to take good old fashioned impressions because the model has to be poured in Kiera Dent (22:22) Right. Mm-hmm. Mm-hmm. Dr Pia (22:47) it cannot be on plastic to do the platinum foil. With the 3D printing, with 3D printing veneers and crowns, you basically just scan the tooth, send it via, you know, the cloud. It gets to the lab, they print out the model, and then they start designing the shape and the size of what they want the veneer or the crown to look like. Kiera Dent (22:51) Interesting. Dr Pia (23:14) and then they have this block which is like about this big and it's like a disc it's like an oversized hockey puck okay and out of those they usually get out of those hockey pucks usually they get 25 crowns and veneers like either or okay ⁓ Kiera Dent (23:22) Mm-hmm. Okay. Sure, okay. Dr Pia (23:35) Now those blocks you have to understand they come in one solid color and very opaque hence why they look like toilet bowls like you can see like ⁓ Simon from What is it the the show with America's Got Talent right now his teeth walk in before him Kiera Dent (23:55) Mm-hmm. Dr Pia (23:58) They're so white and chalky. He had them done and they're too big, personal. I mean, I think they're too, he's too horsey. He should have stayed with the veneers he had before because they looked more natural and. Kiera Dent (23:58) It's true. Dr Pia (24:12) But that's the problem. If you have them very, if you have the 3D printed, the opacity is one solid, you know, base that the computer then drills that hockey puck to form the crowns and the veneers. So you're never going to get the aesthetics of having incisal translucency or having a halo or having them nice and flat. You're not, because the computer is going to make them the thickness that Kiera Dent (24:33) right? Dr Pia (24:41) They cannot drill those any thinner than that because they're going to break. Kiera Dent (24:46) So this is fascinating and I love this because now I have more quite like being an assistant, also having worked in this, also having gone to labs, also having like things done for family and friends that I know. Are you a fan of custom shading where you send your patients to the lab or how, okay, so how do you get it to where it's like a perfect shade match, like consistently, any tips that you have to make it to where it is really that absolutely perfect, making your smiles. Dr Pia (25:04) Hell no. Kiera Dent (25:15) beyond perfect without sending them to a lab. Because I think a lot of people hold back and they're like, I've got to send it. But I've seen a lot of dentists where they'll try to put the shading in, they try to put the translucency in. This is no knock on dentists. This is like, hey, we've got an expert here. Let's ask how she does it so we can all rise up. Dr Pia (25:30) Okay, honestly, I take the patient to the window. My whole main thing is every single office that I've built, I need to have windows that are five feet tall. and sunlight. So I'm able just to move the patient to the window. And that's where the talent comes in. I'm able to take shade without a shade guide. I mean, I'm at that point, but I've been doing this for decades now. So it's like at the beginning, I wasn't so I would do the shade guide and I would write it on a piece of paper and just be like, okay, the neck is an A two and then we have an A one body and then we have translucency of two millimeters and a halo and I just draw it. Kiera Dent (25:41) Fascinating. Dr Pia (26:10) and then they would make every single veneer with the same recipe. It's almost like cooking. But the window and natural sunlight is the key. Because all these computers that you put up against your tooth, all due respect. Kiera Dent (26:15) I see. Mm-hmm. Yep. Mm-hmm. That's great. they shade it differently. Dr Pia (26:29) it's not only that you have to understand everybody's tooth is a different length okay like your centrals are fairly long for the average person right that particular shade guide is not going to read color on your tooth that you probably have 12 millimeter long centrals and i'm diagnosing you over the video right so that particular Kiera Dent (26:35) Mm-hmm. Mm-hmm. Mm-hmm. Yeah. Mm-hmm. Hey, thank you. Yeah. Dr Pia (26:58) light source is not going to be able to read 12 millimeters perfectly from the gum line to the incisal. It's just not going to happen. You're going to need and if you're not good at taking shade, go do endo or oral surgery or ortho. Kiera Dent (27:07) Right. It's true cosmetic is about I feel it's about the precision. It's about the aesthetics and like there I mean I hire designer to do my house. I'm not going to do it. I know that that is not my forte. I'm really good at other things, but I'm not good at color matching and what goes well together and how to put this together. It's just not my strength and skill set and I really do believe like this is what I think going back to your original professor speaker lecturer who completely dash your dreams. I think maybe possibly what he meant was, I think there's some people who have a natural eye for cosmetic and aesthetics and there's other people who maybe don't. And I think you can adapt it and evolve it and become, and you have clearly proven that. But my guess is, I mean, hearing that you're even on fashion week, my hunch is you already by default had a very strong fashion aesthetic. Maybe you didn't, but I would guess that that kind of has been a part of you. Dr Pia (28:07) No, I did. did. And you know, I do like my own makeup and I know my colors and things like that. And so that helped. I have to say that really did help me quite a bit. Kiera Dent (28:11) Mm-hmm. which is why you were drawn to this. You had the passion, fire, because you already knew that. Dr Pia (28:21) And I loved it and I was like, how can I? And then what the other thing is like, you may not know you have it. So the other thing what I say is buy some art books. That's what I did. Buy some art books. Get to learn the difference between the chroma and the hue and just take a couple of art classes and see if you have it. And if not, what can you pick up and learn from those art classes if you really want to do it? And I'm not trying to be sexist by any means, but I do think that women are better at it because of color. And I think we're a lot more patient because the way I do it is I do diagnostic wax ups on every case, whether it's one tooth, unless it's even with the prepless veneers where I don't touch the tooth. Kiera Dent (28:52) Yeah. Dr Pia (29:16) I still do the wax ups to see I've had all let me backtrack a little bit but I've had every single 2d program in the last what 16 years that they've been out more than 16 years okay and it's not the same when you see yourself in a photo with the size and shape and color that you might want okay it's like using it's like using the apps to change your hair color i'm Kiera Dent (29:32) Wow. I agree. Mm-hmm. Mm-hmm. Dr Pia (29:50) the strongest belief that if you do want to change your hair color, I think you should try on a wig and wear it for a couple of days. So that that whole entire ⁓ Kiera Dent (29:58) Yeah, I don't disagree. Dr Pia (30:03) philosophy that I have what I do is I do the diagnostic wax-ups I do the indexes and without drilling the teeth the patients come in and I pop it over their teeth, you know with the Luxe attempt, know the temporary material that sets over it and I tell them to walk out with it and You know, it's not bonded on or anything. They can just take their fingernail and just pop it all off But go out let your family see it. Let your partner see it. See how you feel. Is it too long? Kiera Dent (30:22) Mm-hmm. Dr Pia (30:33) Is it too square? Is it too round? I'm allowed to have my opinion, but you're paying me and if your opinion is different than mine You have you should have the right as a patient to get what you want. Not what I want We have to come somewhere in between sometimes like I'll put my foot down and I'll be like you really don't want them that way Kiera Dent (30:49) Mm-hmm. And I'm glad... You're right. We don't want them to make a statement before you walk in the room. That's what we're going to just highlight here. But hey, if you want white white, like at the end of the day, that's what they're going to have. I love that you, ⁓ I think this is probably what's made you really great. I don't know. I've heard a lot about you. But I think what you do is you make sure that the patients are obsessed with the results and not that Dr. Pia is obsessed. Like you're obsessed with the craftsmanship of what you've done. You're really talented at that. But like hearing that you let people walk out and go try these on and what is it going to be like before you do it? That to me says that you are so obsessed about the outcome and the result for the patient. And then your job is to make sure you have the most excellent craftsmanship, the best product, the best techniques, the best method to get them the outcome they want. And I think hearing that, I'm just so proud of you. And I'm so grateful to hear that there are clinicians in our industry that are obsessed about that rather than the reverse. Because I think some people are obsessed about maybe the dollar, maybe about doing these types of cases, but they're not the best at it, or this is what I think that they should look like. You really want to make sure that that patient is like a walking raving fan of you before you even do the work on them. And that I think is very special about you.
In this episode of the Money Meets Medicine podcast, host Dr. Jimmy Turner talks with Paul Sipple, a forensic retirement consultant known as the '401k vigilante.' The discussion focuses on the hidden, layered, and unnecessary fees often found in 401k and 403b plans that cost participants thousands over time. They explore the technical aspects of these fees, the Form 5500, and how small and large practices differ in fee structures. Sipple provides insights into negotiating fees, the roles of various service providers in administering retirement plans, and the importance of employers paying administrative costs to maximize tax benefits.Learn more about Paul Sippil here --> https://www.paulsippil.comGet a personal finance lessons sent to your email inbox once each week! Join the weekly MMM update: https://moneymeetsmedicine.com/updateEvery doctor needs own-occupation disability insurance. To get it from a source you can trust? Visit https://moneymeetsmedicine.com/disability Want a free copy of The Physician Philosopher's Guide to Personal Finance? Visit https://moneymeetsmedicine.com/freebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Welcome to Event 2 of our Million Man March 30th Anniversary extended dialogue series: "Mentorship & World-Building."Thirty years after the Million Man March, we're asking: How do we mentor the next generation into liberation rather than conformity? How do we build radical brotherhood that includes ALL Black men across sexuality and gender expression?Hosted by Dr. David J. Johns, this conversation brings together Emmy Award winner Dyllon Burnside (Pose, P-Valley, creator of Burnside Artist Retreat), DC organizer Clarence Fluker, and artist Benji Coy.They explore what queer eldership offers ALL young people, how to mentor toward freedom instead of survival, and why Black queer men hold the keys to Black men's liberation. From refusing performative masculinity to living outside the binary, from creating brave healing spaces to "gentle parenting the adults," this conversation offers practical wisdom on building the world we need.This isn't about charity or saviorism. It's about mutual building, world-making, and teaching the babies how to be free.Resources Mentioned:Rashid Newsom - "My Government Means to Kill Me"Keith Boykin's booksBurnside Artist Retreat: http://www.burnsideartistretreat.orgBecome a supporter of this podcast: https://www.spreaker.com/podcast/teach-the-babies-w-dr-david-j-johns--6173854/support.
I sat down with Tusar Barik, the SVP of Marketing at the New York Times, who's just past his first year in this newly created role. We explored how the Times has transformed from a traditional newspaper into a multifaceted media company spanning news, games, podcasts, cooking, sports, and more. Tusar leads a comprehensive team managing everything from measurement and data insights to product marketing, editorial advertising opportunities, and traditional communications. What struck me most was learning that the Times now reaches over 150 million registered users with 50 to 100 million weekly engagers, seeing the highest growth among Gen Z adults and audiences in the Midwest and South. The digital advertising business delivered over 20% year-over-year growth, proving that quality journalism and a direct relationship with readers creates a powerhouse advertising platform.We dove deep into how the Times is meeting consumers where they are through video-forward strategies, producing over 75 hours of professional video monthly and transforming podcasts into multimodal shows available as both audio and video. Tusar shared insights on their Brand Match generative AI product that delivers 30% improvements in both click-through rates and brand lift by intelligently matching advertiser briefs with the right content. We explored how games like Wordle have been part of the Times' DNA since the 1940s crossword, how The Daily creates deeply personal connections with millions, and why the Times sees itself as a solar system with news at the center. The conversation revealed a company that's successfully balanced subscription-first strategy with a thriving advertising business by staying true to its mission while innovating how it reaches and serves audiences._______________________________________________Key Highlights
Mmm… forbidden episode. Adam and Nate revisit the classic and controversial “Stark Raving Dad” (S3E1) and its overshadowed parody of One Flew Over the Cuckoo's Nest (1975). How does Miloš Forman's anti-establishment anthem hold up 50 years later?Also in this episode:• What should we do with “Stark Raving Dad” and other art featuring canceled artists?• Nurse Ratched may be one of cinema's great villains, but would we want McMurphy to run the ward instead? • The surprising character from this movie that became a recurring Simpsons side character• How this movie set Danny DeVito on the path to playing Unky Herb• Plus, check out our show notes for a complete list of Simpsons references, double feature suggestions, and further readingNext time, we're joined by the writer Alan Siegel to talk about his new book about The Simpsons called Stupid TV Be More Funny, alongside A Charlie Brown Christmas (1965) and its Simpsons homage in “Miracle on Evergreen Terrace” (S9E11).For more Simpsons movie parody content, check out SpringfieldGoogolplex.com, or follow us at @simpsonsfilmpod on Instagram, TikTok, Threads, YouTube, and Letterboxd. Discover more great podcasts on the That Shelf Podcast Network.
Use this DM strategy to book clients straight from your direct messages (without being pushy or manipulative). In this episode, you'll hear parts of the framework I use to regularly close thousands of dollars of sales via Instagram DMs.We'll focus on Instagram marketing, but you can use this sales strategy anywhere. You'll use real marketing psychology combined with compassion for your leads to make sales --meaning-- what you gain from this episode will work anywhere (emails, sales calls, in-person conversations).Save this episode so next time a chit chat starts up in your DMs with a warm lead, so you have the best sales strategy in your pocket.✨Tap here to watch a FREE masterclass on “How To Get Clients From Instagram (without wasting hours glued to your phone)" https://parkdale-republic.lpages.co/evergreen-webinar-registration/ Tap here to get your free Posts That Sell Template (This caption got us 10 sales calls in 3 hours) https://parkdale-republic.lpages.co/10-sales-calls-new
It's Garrett's birthday month and everyone is getting spoiled as we tackle everything Twin Peaks, created by the incomparable David Lynch. We discuss Lynch's creative legacy, how this series came to be, and meet the eccentric residents of the enigmatic town. Mmm hmm, that's some damn good coffee!New episodes drop every Tuesday, subscribe so you don't miss out. Rate us 5 stars while you're at it! Enter The Phantom Zone to access all sorts of bonus goodies like our monthly side show "Watching the Watchlist", movie commentaries, and polls to help shape the podcast: https://patreon.com/spectercinemaHaunt Garrett on social media:TikTokTwitterBlueskyInstagramLetterboxdYouTubeHaunt DeVaughn on social media:BlueskyTwitterTikTokInstagramLetterboxdYouTubeSpecter Cinema Club Original Theme by Andrey Kinnard
It's a seismic change for several industries. Omnicom Group closed its $9 billion acquisition of Interpublic Group last Wednesday. In the days since, the deal has resulted in many job reductions as Omnicom tries to reach promised cost savings. For the PR sector, the deal means former Interpublic agencies Golin and The Weber Shandwick Collective are joining Omnicom PR, which includes FleishmanHillard, Ketchum, Porter Novelli and other firms under the leadership of CEO Chris Foster. Joining this week's podcast are Campaign's Luz Corona and MM+M's Jameson Fleming, who explain what the holding company mega-deal means for the creative and medical marketing sectors, respectively. Plus, some of the biggest marketing and communications news of the week, such as WPP delaying employee pay reviews until next spring and PRWeek's Best Places to Work 2025. PRWeek.comTheme music provided by TRIPLE SCOOP MUSICJaymes - First One Follow us: @PRWeekUSReceive the latest industry news, insights, and special reports. Start Your Free 1-Month Trial Subscription To PRWeek Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
O papo de hoje é retíssimo e poucas vezes na história do Vira uma arte da capa - pelo Sr. Gui Toscan - entregou tanto sobre o programa: por que esse nome bota tanto medo em tantos círculos poderosos nos EUA? (Bem, sabemos). O que uma revelação nua e crua dos arquivos e informações atreladas a esse cidadão e seus costumes e gostos pessoais pode acarretar (Mmm... imaginamos).O instrumento legislativo que foi aprovado com pressa e unanimidade pelos Congressistas americanos, de uma hora para a outra, para que os "Arquivos-Epstein" sejam divulgados nos dá a impressão de que tem caroço nesse angu (Ô, se dá). Porque a "MAGA Battle" sobre o tema promete ser uma guerra nada fria?Abal e Carapanã discutem com Caio Almendra essas e outras muitas questões. Taca play now! ExpedientePai-Fundador e apresentador: Felipe Abal Outro apresentador: Gabriel Divan Apresentador que está em missão secreta: Carapanã Capas que vocês adoram: Gui Toscan Edição de Áudio que nunca falha: Ingrid Dutra A Mestra dos Instagrams: Dani Boscatto Música de abertura: Dog Fast by mobigratis
There's huge potential to make revenue in January! Here's why it's NOT going to be a slow month for you and what to do to make it sales ASAP in 2026.Whether you're selling services, digital products, or coaching packages—this episode is a wake-up call to stop sitting on your best ideas and start selling smarter.Find out how to prep your marketing now so that your January is a gold mine. From visibility hacks to why your messaging matters solves 'cost objections', Jenna shares practical steps (and one bus story you'll never forget) to get you fired up to sell.If you've ever thought, “My audience doesn't buy in January,” this episode will help you challenge that mindset and shift your business strategy so you never have to rely on seasonal sales spikes again.This is perfect for entrepreneurs, small business owners, and anyone using Instagram or social media to grow their audience and income.
On this week's show: #CampbellsSoup #NationalGuardShooting #Trump #Israel #Ukraine and more. Top 10 Songs you shouldn't play in an orphanage. The post Inconclusive Breakdown 547: Mmm, Mmm, Bad appeared first on Shining Wizards Network.
Our first Life Question comes from "MMM" in South Africa who asks a big-picture question at the heart of our show: What exactly are we "taking back" the mind from? Is it conditioning, distorted creativity, or something like The Matrix? Next, Holly, who's never experienced a moment of feeling safe or loved, wonders how to enter meditations that begin with that visualization. Finally, Michael leads a meditation on coming into a level of coherence around the fundamental harmony of the Universe. ✍️Love Take Back Your Mind? This podcast grows through your support. If you've been inspired by an episode, we'd love to hear from you! Consider leaving a 5-star review or drop a comment. It helps others join this journey of growth and connection
Hi, friends! Happy Wednesday! What if I told you that one of the most influential... and mysterious cult leaders in American history is someone most people have never heard of? And that Jim Jones himself, yes Jonestown Jim Jones, got many of his ideas from same guy? Today, we're diving into the wild and complicated story of Father Divine—the charismatic leader behind the Peace Mission Movement, a man who inspired millions, shaped pieces of the civil rights era, built entire communities from the ground up… and also demanded unwavering loyalty that crossed more than a few lines. This isn't your typical cult story. It's part spiritual revolution, part empire-building, part “wait, WHAT?!” And somehow still a chapter of American history no one talks about. And we should because it brings up an interesting question... Where's the line between a movement that helps people… and one that controls them? And at what point does something become a cult? Let's get into the Dark History of Father Divine. And when you're done... go check out my MMM episode about Jonestown: https://audioboom.com/posts/8164237-jonestown-massacre-apocalyptic-cult-who-was-jim-jones ________ FOLLOW ME AROUND Tik Tok: https://bit.ly/3e3jL9v Instagram: http://bit.ly/2nbO4PR Facebook: http://bit.ly/2mdZtK6 Twitter: http://bit.ly/2yT4BLV Pinterest: http://bit.ly/2mVpXnY Youtube: http://bit.ly/1HGw3Og Goodreads: http://bit.ly/3IVnO7N Snapchat: https://bit.ly/3cC0V9d Discord: https://discord.gg/BaileySarian RECOMMEND A STORY HERE: cases4bailey@gmail.com Business Related Emails: bailey@underscoretalent.com Business Related Mail: Bailey Sarian 4400 W. Riverside Dr., Ste 110-300 Burbank, CA 91505 ________ This podcast is Executive Produced by: Bailey Sarian and Joey Scavuzzo Head Writer: Allyson Philobos Senior Writer: Katie Burris Research provided by: Xander Elmore Additional research by: Dr. Thomas Messersmith Special thank you to our Historical Consultant: Poulomi Saha, Professor at UC Berkeley who writes and teaches about our cultural obsession with cults. Director: Brian Jaggers Edited by: Julien Perez Additional Editing: Maria Norris Hair: Angel Gonzalez Makeup: Nikki la Rose ________ Stop putting off those doctor's appointments and go to Zocdoc.com/DARKHISTORY to find and instantly book a top-rated doctor today. That's Zocdoc.com/DARKHISTORY. For a limited time, visit AuraFrames.com and get $45 off Aura's best-selling Carver Mat frames - named #1 by Wirecutter - by using promo code DARKHISTORY at checkout. Support the show by mentioning us at checkout. Terms and conditions apply. MasterClass always has great offers during the holidays, sometimes up to as much as 50% off. Head over to MASTERCLASS.com/DARKHISTORY for the current offer. Get started today at StitchFix.com/darkhistory to get $20 off your first order—and they'll waive your styling fee. That's StitchFix.com/darkhistory. ________
NASCAR star Kyle Busch is suing Pacific Life after losing millions in a complex index universal life (IUL) insurance strategy—and the lessons for physicians are huge. In this episode, Dr. Jimmy Turner and Justin Harvey break down what happened, why complexity and “trust-based” sales tactics so often burn high-income professionals, and how to protect yourself from misleading financial products and advisors. Whether you're a physician navigating insurance pitches, investment opportunities, or affinity-based recommendations, this real-world case is a must-listen.Join the MMM weekly update filled with exclusive content, lessons, discounts, and deals. Hits your inbox once each week. Click here to joint: https://moneymeetsmedicine.com/updateEvery doctor needs own-occupation disability insurance. To get it from a source you can trust? Visit https://moneymeetsmedicine.com/disabilityWant a free copy of The Physician Philosopher's Guide to Personal Finance? Visit https://moneymeetsmedicine.com/freebook Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
Hiring for your business? Here's how to choose who to hire next, and a bunch of hiring mistakes and lessons wrapped up embarassing stories (which always makes them easier to remember, don't you think?)In this episode, I share the most cringeworthy hiring mistake I ever made, followed by another hiring mistake I made no less than 6 times (learn from me, and don't repeat it!)You'll get an exercise to help you figure out what kind of support/team your business needs right now, and even some mindset traps to lookout for to make sure you choose someone who serves your business even better than you do. Whether you're hiring your very first virtual assistant or thinking about expanding your team, this episode will shift how you approach growth, hiring, and the roles that actually move the needle in your business.We'll talk about:The real first role you should hire for (hint: it's not a clone of yourself)Why diversity of experience matters more than matching vibesHow to figure out where your time is actually going before you delegateRepeatable tasks you can get off your plate this weekWhat to look for when someone has skills, but not experienceThe difference between outsourcing deliverables and building a business that runs without youThis episode is a must-listen for solopreneurs, entrepreneurs scaling up, and anyone navigating the chaotic middle of business growth.✨Tap here to watch a FREE masterclass on “How To Get Clients From Instagram (without wasting hours glued to your phone)" https://parkdale-republic.lpages.co/evergreen-webinar-registration/ Tap here to get your free Posts That Sell Template (This caption got us 10 sales calls in 3 hours) https://parkdale-republic.lpages.co/10-sales-calls-new
We speak with Peggy, who received devastating news six months ago that her baby had a rare genetic mutation that meant she may not survive childhood. She and her partner are on a journey to try to beat the odds by developing a gene-editing treatment for her daughter's condition that would require them to raise millions of dollars in charitable giving and convince leading scientists to work on this with them. What would parents do to try to save their kid?If you are at all moved by Peggy's story, please consider donating to keep hopes for a cure alive. We will match all donations that are made through our MMM fundraising page for Peggy's daughter by the end of 2025, up to $5000. Anything you can afford to give, any connections you can make, anyway you can share Peggy's family's story, helps. Here is the link for the MMM fundraising page for Jojo: https://give.rarevillage.org/fundraiser/6839575For those of you who were looking for more k-culture episodes, we'll resume those in two weeks. As Thanksgiving approaches, we are thankful for listeners like you and our MMM community!
Tiff and Kristy spell out what it takes to onboard to the best of your ability. They touch on the questions a hiring manager should be asking themself during interviews, how an applicant will be learning about your practice, the appropriate vibes to give out for your business, and more. Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review Transcript: The Dental A Team (00:00) Hello Dental A Team listeners. I am here with you again today with my fave podcaster I'm sorry rest of the team. She's got that title right now. She's got the crown Miss Kristy is here with me today And this one we had to talk about it beforehand and I'm excited. I'm now excited for this We had to brainstorm a little bit before recording this podcast to ensure we were on the right track and like minded on this which I think speaks volume to the you know, podcast topic, but also to how well our team works together and how well our team really is bonded. And Kristy, before we get into today's topic, first of all, welcome. Thank you so much for giving me, it's Monday today, so giving me your Monday afternoon so we could record a couple of podcasts. How are you? DAT Kristy (00:50) Good, I always look forward to my Mondays when I get to spend them with you. The Dental A Team (00:54) Thank you. I used to do these on Fridays, which was like, it's a fun way to end of the week. But I was like, I think it's a fun way to start the week too, because we get time together. And then I just like them better on Mondays. So hopefully you guys do too. DAT Kristy (01:08) I agree. The Dental A Team (01:10) So today's podcast, you guys, if you're subscribed to our newsletters, you know that our podcasts kind of follow the same topic and genre of our newsletters. If you're not subscribed to our newsletters, hop over to TheDentalATeam.com, hit subscribe because there's actually, I mean, we follow the same cadence and the same topics, but they're gonna be a little bit different. So if you're looking for more information, a lot of times they have downloads in them too. So if you're not subscribed, go do that. Our marketing team would love me for that little plug, but truly if you're not getting those yet, you should be, so go grab them. ⁓ Today's topic may be, I think today's topic on podcast might be a little bit different than topic by newsletter. And Kristy and I wanted to take a stab at really kind of switching the mindset on this space. And Kristy, think I'm gonna like boost our egos. I think you and I actually do really, really well. at seeing something and flipping it and being like, well, what if we looked at it from this angle instead of that one? I think you and I actually do really, really well at that. So thank you for working together with me on that. Today, you guys, your newsletter coming through, like I said, it's gonna be a little bit different. Today's podcast, we're really gonna be talking about not off-boarding, like what to do, how to let someone go, because we're really not here for that. Like the consulting team is here for... doing everything we can to hire the right person and to make sure that there's complete clarity around everything that each individual is doing, that the path is set and you actually have no questions about keeping them on or off boarding them. Like that's in your court, that is not in our court. So we thought it would be more beneficial and more fun for the two of us to really talk about onboarding correctly and like even before you're onboarding, what that looks like. Kristy, I think this might actually be fun. I'm just spinning us a little bit, but I kind of want to talk about us attracting you into the Dental A Team because you haven't always been here, right? We have met you, Kiera, I have met you a long time ago, but you haven't been with the Dental A Team forever, even though to us and likely to all of our listeners, it does feel like you have been a part of this team since DAT Kristy (03:20) No. The Dental A Team (03:33) the very beginning, which I think also speaks volumes to our topic today because that goes right along with what we're thinking. Now, how did that happen, Kristy? Like, how did Dental A Team, how did we attract you? You found us. ⁓ We are so thankful for it. But how did we attract you, who fit so seamlessly into the dynamics of our team, our goals? you literally like consult just like we do like everything about you embodies who we are. How is that possible? How did we do that? DAT Kristy (04:11) Yeah, you know, with every place you go, there's little things that may change a little bit, but the heart of things don't change. And so you're right, if we align not only in process, but also culture. so ⁓ when it came time for my journey to shift and change, it was important to find the like minded space and people. ⁓ not only for me to help them grow, but for you guys to help me grow, right? Like they say, look around who you surround yourself with because you're kind of like the top five people you hang around, right? And so ⁓ it was really important for me to find that culture and process both, you know, and I'll make sure we were aligned. The Dental A Team (05:05) Yeah, thank you. I think if you guys can hear what she's saying, right, Kristy's saying that she was able to see that she was in alignment with who we are as humans, that our goals, our vision, our company standards really aligned with Kristy. While there might be some caveats and some spaces of learning or some spaces where it's like, okay, I thought it would look like this, but let's try this or and let's try and let's create this. ⁓ DAT Kristy (05:07) Yeah. The Dental A Team (05:34) That's massive because offboarding, offboarding does, it's not easy, you guys. It's not, there's not an easy peasy process that takes emotions out and just makes it to where you're the robot that can easily just fire people whenever you want. What I do instead is I try to make sure that I'm representing our company to the best that I possibly can in everything that I do. So when I'm going through, I'm the hiring manager for our consulting team. When I'm going through, I'm doing the same thing Kristy said she's doing. I'm looking to see, does this candidate align with who we are? the response is coming back in alignment with how we speak to each other or how we speak to clients. Is it in alignment with what I would love to see a timeline as, right? Like I've gotten, I've had candidates where I'm like, my gosh, their resume is fantastic. This is the experience that I want, spot on. I'm gonna reach out to them and I don't hear from them for like a week. I'm like, well, that's not in alignment with us. And so ensuring that on both sides, we're taking a step back and we're questioning the alignment of those pieces, I think is a huge, huge reason why it's been successful. Now, in order to do that, this is a caveat, you guys. You can't just show up and just, expect everyone to know how to show up, right? You've got to really lead by example. And in my opinion, we are leading by core values, mission and vision. We are driven by the why of this company. And that is what attracts people. That's what attracted Kristy. Kristy was attracted to the why of our company, our mission, our vision. and how we show up, which are our core values. I show up in our core values, Kiera does, Britt does. When Kristy came to the interview, she was like, okay, got it. I can see it in real life. So Kristy, as an outsider, you're applying for a job. In what ways were you able to see that we did have an alignment or at least enough alignment to say, let's explore this in that... ⁓ hiring process, like in the application process, you're sending your resume outside of listening to us on on podcasts, I'm thinking how can offices kind of emanate and represent that in a space where like minded people can find them? DAT Kristy (08:06) Yeah, if I'm understanding you correctly, think it's truly... ⁓ You have to make sure you're painting clarity for people on, you have to speak your culture. Like for instance, how many times do we talk to our own clients and say, do you have a mission statement? Do you have core values? And they'll be like, yeah, we do, somewhere. You know what I mean? You have to live it and you can't just say, yes, I have it. You have to show that you have it and you use it and it means something. The Dental A Team (08:37) Mm-hmm. DAT Kristy (08:47) Right? And so when I found you guys, you could recite it. You lived it. You wove it into your process. Right? And it told me that it means something to you and you live by it. Like it's our code of conduct, if you will. Right? And it can't just be put in a drawer. You have to keep it alive in order for it to serve the ultimate goal and mission, if you will. The Dental A Team (09:15) Mm hmm. Yeah, I totally agree. And it's just a it's a rep an outward representation. And so I think even in our job ads, right, and I know I work a lot with clients on this. I know I see you guys doing it, too. I know Monica just helped a client last week with some job ads. But making sure those job ads speak to you because I can write a job ad. But if you copy and paste the job that I wrote, even writing it for you, even my clients that I've worked with for seven plus years, DAT Kristy (09:16) Thank The Dental A Team (09:44) I can write it for you and I know you, but unless you go in and speak some of yourself into that ad, it's not gonna hit, it just doesn't resonate. And so a lot of practices too are very different than who I am. So if I write your ad and I attract me to your practice and your practice doesn't, you're not me, that person is likely not gonna be a good fit. DAT Kristy (09:51) Mm-hmm. Right. The Dental A Team (10:13) Right? It's just, she could or he could for sure for the, maybe for the long run, but attracting that like-minded person takes really being able to know who you are and who you want to show up as and then doing that every single day. It makes me think of like, if I went and applied at Chick-fil-A, I know exactly how I'm supposed to show up. If I apply at Target, if I apply at Starbucks, I know exactly how I'm supposed to show up. Dutch Bros. I wouldn't apply at Dutch Bros because it's too much energy output. I know that, right? But if I can go to Starbucks where it's still energy output, but not quite as much, it's a little tamer of a coffee process, I really want to be a barista one day. That's why I'm saying these. I would love to be a barista. ⁓ But I'm going to judge it. I'm going to judge where I'm applying based on those aspects. My son did the same thing. His first job even, he's looking at, is this a company I want to work for? Is this a company that I can represent and be happy at? Because no matter what he understood as an employee, he's walking in as a representation of that facility. And if it's not a company that he is in alignment with, either what they're doing, he doesn't understand what they're doing, or he's not excited to be there himself, he knows that he's not gonna be able to represent that and he's gonna be a really just angry human. And if they're not happy, that's where off-boarding comes in, right? Like now you're into the space of like this kid, dang it Brody, like you suck. He's like, yeah, cause I hate working here. Got it. Right. Or he sees like team members, employees that are like not loving life. Like he's judging these entry level positions based off of that. So to be in a position where we're high level, we're getting paid way better. We've got some schooling behind us. DAT Kristy (11:48) See you. The Dental A Team (12:07) Most of us at least see ease at least some sort of knowledge base or trying to get our foot into dental We're looking at those things as well Like how are people showing up and Kristy as I'm saying that I'm like that might be something that even is lost in the old like drop your resume off at the front desk like used to be able to drop it off and see what it was like to be like, ⁓ This is a place. I want to go or ⁓ okay, like DAT Kristy (12:26) Yeah. Mmm. The Dental A Team (12:32) on and jot that down. Yeah, so we lose some of that like visibility. But I do think this day and age people are looking at social media, people are looking at websites and people are researching. I know when we get when we get finally to the interview process, if I'm talking to a person who hasn't researched us, and they don't know who we are, they don't know how we show up, they haven't looked at the website, I'm like, well, that might not be a great fit. Because for our culture, You've already done that. You know you fit and you're excited to work with us. You know? DAT Kristy (13:04) I agree with you, Tiff, so much. And I love that you use Dutch Bros. Hopefully everybody, even if you don't drink coffee, they have other things. But ⁓ I'm with you. I couldn't work at Dutch Bros. I appreciate what they do. But it's funny how many times that situation happens in practices and we want to make the employee wrong. And truly it was our process because we attracted the wrong person. I mean, if Dutch Bros. was attracting an introvert, The Dental A Team (13:26) Hmm. DAT Kristy (13:33) they'd be off boarding a lot of people, right? And so instead of, I mean, I like to say, I mean, when you and I looked at this topic, I literally was like, well, heck, if we're off boarding that many people, we've got to take some ownership on that side. You know, just like our patients, if there's attrition, we have natural attrition, they move away or death, that's gonna happen with employees too. But if we're having to off board a lot of employees, I think it's time that we take a step back. The Dental A Team (13:36) Agreed. DAT Kristy (14:01) and go, how are we attracting and who are we attracting? ⁓ One of the things with, we spoke about core values and our mission statement. I also think like, it's just not our why. And you made mention of this. It's also how we behave and how we show up. It's the why, the what and the how. And we get commitments around that. And if we're not getting that, I'm always about extreme ownership. So how can I take a step back and attract the right person, attract the extrovert to Dutch brothers, not the introvert to, right? Because we're ultimately setting ourselves up for failure and for the person too. We didn't do right by them if we hired the introvert at Dutch brothers. The Dental A Team (14:39) correct. Yeah. I agree. And I think something you said there, that's the like Simon Sinek, like what, what, how and why, right? And I think something that most practices nail is the what. We know what position we need to hire. We don't nail the how that position shows up for our company. So what, what is the how behind how that position contributes to our team? How do they show up for our team? And how do they show up for the patients? Meaning what is the job? DAT Kristy (15:03) Thank The Dental A Team (15:19) that they're doing and what are the metrics that tell us they are doing that job or not? Because oftentimes we also get stuck in the ⁓ mundane like feelings and emotions. And I'm not here to say that a stellar person, know, somebody, I've seen it. I've seen a manager who had stellar collections and like top-notch collections but couldn't communicate with the team. That's an issue, but that's a metric too. Like are we, You know, how can we tie those things to the metrics? So if we can say your extreme ownership is massive, because if we can say as a leadership team or as an owner, I've done everything I can, they have complete clarity, I've had the conversations, offboarding then is much easier. Offboarding is difficult when there's still confusion, when either that person is gonna be confused because you let them go because they had no idea they did anything wrong. or if you're confused because you can't even pinpoint why this person doesn't work with your team, you just know they don't work. That's the confusion. the what and the why. So what is the position? Why do you need it? And then how do we show up for that position? And what's the clarity around what that person's supposed to be doing? DAT Kristy (16:41) I love that you say that, Tiff, because how many times do we even identify, let's just take an easy one. I need to hire a greeter, right? And they need to smile and they have to be able to answer the phone too, but it isn't just answering the phone. It's hearing the warm smile and we do it this way. How much of that did you portray? And even how much of that did you include in your interview process? The Dental A Team (17:07) ⁓ uh-huh. DAT Kristy (17:08) you know what I mean? Did you have them answer a phone? This is really ⁓ a different way of looking at things, but I learned a different process when I was in practice where ⁓ at the end of the applying, it says, do not submit your resume. And we wanted somebody with detail. And so the people that submitted their resumes, mean, some of were great, but we threw it out, right? And we never ever We also took bias, like people bias out of it. And so our first interview was always over the phone without seeing them. And we would instruct them to call at a certain time and how to handle the call. Like you're gonna schedule me an appointment for, and we wanted to hear, like we gave them specifics and hear how they deliver. Can you see how that then starts to align with our how and why? We painted the clarity of what to do. and then listened for the results and saw how naturally they fit, if you will. It's a different strategy, but. The Dental A Team (18:11) Absolutely, we used, it totally is. used to do, ⁓ what's your favorite, respond to this with your favorite ice cream in the subject line or your favorite candy or your favorite baseball team. I've got offices that are in Chicago and you know, there's the Cubs and the White Sox are both Chicago. So it's like, what's your favorite ⁓ baseball team? Not to say, I love that baseball team too or yes, Sprinkles ice cream is the best, but to say, you caught that detail. in there and I love that you said that, Kristy. used to, Kiera and I once upon a time had a recruiting company. We are not doing that anymore, everyone, and it is hard. I hated it. It was a long time ago. We don't need to go back there, but that's how I used to schedule the interviews. I would say, awesome. I will chat with you on Tuesday at 2 p.m. You call me. So if they didn't call me, if they missed that interview, they were out. It was an automatic out for me, or if they called late, but I do agree. with getting the preliminary done, not having a face-to-face for the first time, listen for the details of what you need for that position. So if you're hiring a billing rep and you get someone you're like, I didn't love her on the phone, well, she's not talking to you, she's talking to insurance companies. So that might be okay. But if you're hiring a greeter that you're like, she was super shy, she didn't really, like she wasn't super forthcoming, she didn't have any questions for me, it wasn't engaging, is your patient gonna enjoy talking to that person on the other side? But then flip side of that, Kristy, I think you mentioned something really, really beautiful you said, if we're hiring a greeter and we want that smiley personality, we want that bubbly person, like you're hiring for those things, but I've also seen practices, and this drives me a little nuts, I've seen practices that are like, I want the bubbly person who's building relationships with the patients, they're smiling, they're making eye contact, and they're excited to see the patients as soon as they walk through the door, they also answer the calls and they can pass it off. You find that person. DAT Kristy (19:52) You The Dental A Team (20:08) Right? And then they're like, her details suck and she can't multitask. Well, guess what? Those are two very differing personalities and you got to choose your heart. If she's stellar at building the relationships and your patients are fine waiting five minutes in the front lobby because she's sitting there talking to them and they're not angry when they go to the back, might be okay that she didn't call the insurance company for whatever, you know, whatever detail was. miss, like then at that point it's do we have clarification of roles and are the duties in the right seat? Because personality will make a massive difference to the results that you want and you've got to figure out the type of person that you want in those seats as well. DAT Kristy (20:46) Okay. Yeah. The other factor in that too, Tiff, and I think in a way you touched on it was, it a skill thing or a will thing? You know, we've got to understand and also set benchmarks for time, right? I literally was talking to a practice last week and I just kept hearing, don't have time and we don't have time. And I'm just thinking, you know, we can always say, well, when I learned back in 19, whatever, The Dental A Team (21:04) Yeah. DAT Kristy (21:24) go there, but you know, we were just thrown in and that doesn't mean it's the right way. It doesn't mean it's the right way. And you know, we owe it to people to give them the time to onboard them and show them what we want. And it goes back to how you said, choose your heart. The time we spend early will reap rewards. The Dental A Team (21:48) Totally agree. I think that's brilliant. we have worked so hard on our onboarding process to match it with our expectations and to match it with our core values and our mission and our vision because we want our team to be onboarded correctly, not willy-nilly. It was kind of like haphazard. honestly, we've hired a lot of amazing people and a lot of people who They were, they are amazing humans. We've not hired anyone who's not an amazing human. I have loved everyone that we hired, but they may not have been the right fit for us, either at that time or just in general. It doesn't mean that they're not a good person. It just means that it didn't fit. And I am a firm believer in any aspect of life. If it's not fitting for me, it's not fitting for them either. It's not, there's no way. we can coexist with one of us not working out and the other one working out. It just doesn't work that way. So this was so much more fun than the original topic we looked at. Thank you for taking that. DAT Kristy (22:53) Yeah, agree, agree. Yeah, I'm with you Tiff. mean, if we're off boarding so many people, let's just take a step back and focus on our onboarding and how we can choose differently. So, cause it's not fun off boarding. It isn't. The Dental A Team (23:08) No, no, and I don't want that to be like, eventually that is gonna be a conversation. It is a protocol that you do need to have in place. It should be very simple. There should be no questions asked and the person should be like, yep, got it, okay. They might still be angry, that's fine. That's an emotional situation, but there shouldn't be questions around it. And if you need help building that, fine. We've got references, we've got information, we've got documents we can help you with, but realistically, take a step back and say, how can I prevent the need to off board someone? I want everyone here forever. having that protocol, sure, got it in our back pocket for if it is necessary, but how do I prevent that need? I don't want that at all. So go back through your hiring process and look at the team members that hired well. Like I'll look at Kristy and say, how did I attract Kristy to my team? How did I attract Trish to my team? Like Monica, to my team, Monica was a referral from Trish because Trish knew that this was a fit for Monica. Trish knew it was a fit for us for the same reasons Kristy did. I actually, we didn't even realize until after Trish started the hiring process, she knew me previously, didn't even realize because it was a different space of life that we were connected. She applied to our company because she wanted to work with our company, not because of me. So it's just really cool to watch those things happen. So moving forward with hiring, I look at DAT Kristy (24:28) Yeah. The Dental A Team (24:34) the consultants that I have, Dana, and I say, what attracted this human, this perfect specimen of a consultant to our company? And how do I emanate that in the information I'm putting outward? Like the podcast, the job ads, those pieces, how do I make sure that I recruit those people again? DAT Kristy (24:54) I agree with you. And you mentioned this early on too. One of my biggest tips would be make sure you're speaking to that employee in the beginning of your ad. So many times people write it about themselves. This is why, you know, but they're buying into what it's an emotional thing that it's going to bring to them. So make sure you're speaking to that, you know, on the onset of your. The Dental A Team (25:20) I totally agree with you. That is a massive point. We get caught up in wanting people to want us. We want people to want to work with us. And I do want people to want to work with us, but I want people to first see themselves in the job, in the person that I'm describing. I want them to be able to check, check, check, say, yes, that's me, yes, that's me, yes, I want this, yes, I want to work with this company. DAT Kristy (25:43) 100%. Yeah. The Dental A Team (25:45) Awesome. All right, guys, I hope this was beneficial. think biggest takeaways, biggest action items, make sure number one, we talk about this all the time, you guys, core values, mission, vision, job descriptions are in alignment. We preach on this because you guys, it is the core of your company. So if those things, your org chart, those pieces are out of alignment, they're not solid yet, reach out, Hello@TheDentalATeam.com We can get on a call, kind of figure out what needs to happen. If you are our client, reach out to your consultant. Easy peasy. Okay, don't reach out to hello. That gets a little confusing when things like that come through. So if you have a consultant on your team already on your side, reach out to your consultant. ⁓ Secondary to that, check and see like what's working, what's not working, and how can you duplicate what's working? How can you duplicate that higher and keep people for the long haul? I would love if every time we quote unquote off boarded someone, it was truly because they had a life change, not because it was the wrong place for either of us. And sometimes we do outgrow each other. I do have to put that out there. If you're a team of seven today, and in a year and a half, you're a team of 13, 14, sometimes those team of seven team members need a team of seven. And that's okay too. That's an out, that's a life change. That's a, this space is no longer working for me. That's a life change. It's a growth space. That's okay too. It doesn't mean that there was something wrong. It just means that we're in a new space. So go check those pieces. If you're in the hiring world right now, Check your ads, make sure your ads are speaking to you, and then check the kind of applicants that you're getting to your ads. Is there a trend in the type of applicants you're getting? Are they all wrong? Are they all right? Are they mediocre? Kind of check that and then revamp your ad to fit to attract someone different if you're not getting the right people. Kristy, thank you so much. This one was, like I said, this was really fun. At first I think we both were like, wow, that's a little wild. ⁓ DAT Kristy (27:39) What? The Dental A Team (27:42) But I had a lot of fun with this one. So thank you for taking that journey with me, Kristy. DAT Kristy (27:46) Yeah, absolutely. Thank you. Always a pleasure. The Dental A Team (27:49) Thank you. Awesome. All right, guys, go drop us a five star review because you know this one was amazing. This was super fun for us. And also let us know what you loved. Let us know if there's anything we can do to help you. Again, if you're not yet a client, Hello@TheDentalATeam.com is a really easy space to reach us at. If you are a current client that we love and adore, we love and adore you on a consultant basis. So reach out to your consultant. She is here waiting to help you. All right, everyone, we'll catch you next time.
Tiff and Kristy provide guidance on how to assess your practice's financial health as 2025 begins to wrap up (and what to start thinking about for 2026). They touch on… Reviewing those P&Ls monthly Aligning spending habits Keeping emotions in check And more! Episode resources: Subscribe to The Dental A-Team podcast Schedule a Practice Assessment Leave us a review The Dental A Team (00:01) Hello, Dental A Team listeners. I am so excited to be here with you today. I truly love this portion of what we get to do in our worlds and getting to get you so much valuable information out to the masses is something that Dental A Team has worked and strived just so hard to achieve in our. consulting world of just getting you all this information and I have with me today one of my faves. I seriously, I have the most amazing consulting team and if you guys haven't heard from all of them yet, you soon will and if you don't know them personally yet, they're not your consultants. I hope that you get to meet every single one of us even if you're just coming to the events, however it is, but I... have a personal favorite here for recording podcasts with. She calms me, she just keeps the energy light and fresh and I love any time that we get together. Kristy, thank you so much for being here today. How are you doing? The weather is like weird today. I always tell everybody about the Arizona weather and it's so much fun to have everybody here in the same place. We all live in Arizona in the Phoenix area. Jane is down in the Tucson area, but. We really love it. And Kristy, how's your world over there? You're just in the beautiful little pocket of Phoenix. And how is it? DAT Kristy (01:23) Yeah, it's awesome. I love that you say that because we do pride ourselves on the weather here, right? But even with that, this weekend we got a lot of rain, what they say the most in like seven years. Yet all of us, even as close as we are, we experience it so different, right? Like some places flooded. I didn't get flooding, thank goodness, but it downpoured. It was fun and it's made it for cool mornings. So we're taking it. The Dental A Team (01:42) Yeah. I agree. I agree that humidity is hitting us hard. So we're not super used to that, but it is making for some, some really beautiful mornings. totally agree. And yes, Britt and I were actually in Reno at our quarterly in-person traction event where we have a, implementer who comes in and leads it for us. And he helps us to build out the company structure and, teaches and trains us on how to run large meetings like that. So it's always super cool. But we were up in Reno with Britt and or with Kiera Shelbi and Britt and I actually got stuck. Jenna got out. She got back to Denver, which is crazy because Denver always shuts down. And so she got back to Denver. But ⁓ we got stuck until Saturday because the airport was shut down. And then there was a storm in Vegas because we thought, OK, well, we'll fly to Vegas because it's only a five and a half hour drive from there and we'll still get home. And then ⁓ that flight got canceled too. So it was wild. was meant to be, got more time in Reno and got to spend a little bit more time with Kiera. So that was great, but it was kind of crazy. It's not usually Phoenix that disrupts the flight patterns. And it was a hundred percent Phoenix. There were so many flights canceled because so many planes were stuck here and other planes couldn't get in. So it was wild, Kristy. It was wild to watch it from afar. We just got like TikTok notifications and you know, news articles are like, my gosh, all the Waymo's stuck in the puddles and things like that. So. DAT Kristy (03:15) Yeah, they just stopped in the middle of the road like what the heck. The Dental A Team (03:18) Yeah, that's why whenever somebody says, you use the way most? I'm like, heck no, I have seen them stuck in the middle of intersections far too many times. I'm sure one day it's going to be fantastic, but I haven't built that trust muscle just yet. DAT Kristy (03:30) Yeah, agree. Well, I'm glad you made it home safe. And ⁓ yeah, the humidity is odd for us too. The Dental A Team (03:34) Thank you. Yeah, yeah, it totally is. And my son was like, Oh, you go to the East Coast enough, Mom, you're fine. Stop complaining. And I was like, Yeah, that's fair. That's fair. But but in the spirit of planning, we we truly had an amazing time really just one getting the time together as a leadership team and then to really looking and projecting like where are we at? What's Q4 going to look like? And then also kind of prepping and planning for 2026. So super relevant in this conversation here. today and really looking at ⁓ practice health from a financial standpoint. And this is something that your CPAs and your financial advisors and all of those professionals should be looking at with you as well. This is the time of the year that we're really looking at what is this last year? Because we get to Q4 and it's like, well, it's kind of like the end of your senior year, right? You get to the end of your senior year of high school or college and you're like, well, everything's kind of basically submitted. So from here, It's really just like, let's do our best and make sure that we really cross that finish line strong, but there's not a ton of pivots to be made to really change the game. So kind of prepping and planning. And I think looking ahead at 2026, putting in some really solid ways of checking in on that financial health, something that I've seen that, Kristy, I know you do this as well, but something I've seen a lot of clients really ramp up is a monthly pulse and even like, weekly sometimes pulse on what the financials of a practice actually look like has really been beneficial in helping them to really reach those goals. And Kristy, you are really fantastic at figuring those financial goals out and then like backtracking them to see, okay, well, what do we need to do to get there? And how do you help practices really keep that financial pulse top of mind and that running that way so that they're constantly looking at those numbers without feeling overwhelmed and also without losing sight of it. Because you know sometimes you do something too often, you start glazing over it. What's that fine balance that some some tactical tips that you have that you and your practices are working on right now? DAT Kristy (05:52) Yeah, well, first and foremost, I believe that you have to be getting your P &Ls from your accountant monthly, right? We can't be waiting. I have seen some clients where they're begging for them for three months ago, you know, and it makes it really hard to stay on top of it if we're not getting them monthly. So first and foremost, make sure you're getting them from them monthly so that we can take a look at them and evaluate. And I like what you said, Tiff. ⁓ you can be, you can go over the top. It's a fine line, right? So I love looking at them every month and I'm not going to freak out if something's out of whack one month, but certainly let's look at the quarter, right? And make sure that those metrics are in alignment for the quarter. And to your point, I always like to speak in terms of like, we're going to crawl before we walk and we're going to walk before we run. Like, In the crawling stage, let's just make sure where's your overhead, right? What percentage are we at there and what is our profit or EBITDA, so to speak, right? Where are we ranging there? That would be my first little steps to take and start looking at it. The Dental A Team (07:10) Yeah, yeah, I totally agree. And I think what time of the month do you usually push for those PNLs to be received? I have my judgments, but what are yours? DAT Kristy (07:21) like to say by the 15th. I'll give you a little grace and give you by the 20th, but the 15th is my ideal target. The Dental A Team (07:28) Yeah, yeah. I think I'm a little stricter. If I don't have those CPAs reaching out to us by like the eighth to the 10th, I'm like, my gosh, how are we supposed to work with this? There's a lot of, and I ask that because there's a lot of clients out there that are getting them like the first week of the next, next month. And so maybe December, we're finally looking at October. DAT Kristy (07:35) Thank The Dental A Team (07:53) And that is like, gosh, such a lag that we've got these questions floating around of like, where's my cashflow TIF and how do I fix this, Kristy? And it's like, I don't know, because I don't have eyes on what's happening. The P &Ls should be much quicker and much cleaner than that. And realistically, it's just it's the bookkeeper going in and allocating the certain expenses to the category that they should be in. So it's time consuming. but it shouldn't be too crazy. And if yours is too crazy, then we probably need to look at your spending. Do we need to dial back the number of orders that you're placing every month? Do we need to make sure that things are a little bit more simple on that side, that it can be done quicker? Because we wanna be able to make real-time adjustments as quickly as we can. If we're on a two-month lag. then we're adjusting for two months ago, it could look totally different. And then next month we get two months ago and it's like, it was totally different. We didn't need to change it. And so we're just constantly spinning our wheels in that way if we're not getting the data fast enough. And that is, in my opinion, one of the easiest ways to ensure that you're financially healthy is really just ensuring, like you said, Kristy, that on an overtime basis, things are consistent and they're clear, that they make sense. DAT Kristy (09:08) 100%. I like that you said push to the 10th, because obviously if, you know, in the walk or crawling stage, we're just learning, right? We have a little bit of buffer, but as we get to the top of our game, it should be more. And if everything is electronically done, it really is in there already. It's just a matter of organizing it, right? The Dental A Team (09:30) Yeah, and I like to give myself the grace because I know or give them the grace. I typically know if we ask for it by the 10th, we're getting it by the 15th to the 20th. If I give them that leeway, they'll take it. And we know that's just how it works in that world. That's fine. We work with what we've got and figure it out. And I think it's a massive place to start, Kristy, is those P &Ls. And I think the P &Ls really outline DAT Kristy (09:39) Thank The Dental A Team (09:56) the financial health in so many different areas because it gives us insight to what is actually happening. Having those categories split out, we've talked about that a ton, we've done a ton of webinars on it and if you need help with that, reach out. We've got really simple sheets and documents that you can even send over to your bookkeepers and your CPAs that kind of outlines what we like it to look like so that it's simple to review. But being able to see those over time is huge. I know I have a client that like one month was 48 % overhead and that's before Dr. Pay, that's before loans, right? And it's like, holy cow, we killed it. But then it's like, okay, but hold on, because the next month was 64%. So taking an average there because likely something got shifted, payments got posted, or I don't know, I've had some clients that's like, my gosh, I forgot to pay Henry Schein for two months. So then it's like that third month had this massive Henry Schein payment. but over the quarter, it wasn't that bad. So making sure that we're looking at it month by month and over the quarter is huge. ⁓ Something that we've done, that we've ramped up ourselves and that we do ramp up with a lot of clients is really looking at our bank accounts constantly. And I know that Kiera and our financial team, they look at our bank accounts weekly on a weekly basis to make sure that everything makes sense, that things are. where they're supposed to be that, you know, that we're not getting charged for things we shouldn't have been, et cetera, but then also that we're staying in alignment with the budget that we had set. And those budgets come from those P &Ls and those total numbers. Kristy, something I've realized recently in the recent years is while I was in practice, I would build our budgets for our spending. like our... you know, five to 8 % for supplies or what have you or ortho budget, things like that. I would build it based off of our collections, air quotes on that word, and it would be our collections from Dendrix. I'd pull the collections for the last month. I'd build that budget based on the collections. And then Doc would be like, where's all the money? Like, well, I don't know, it should be there. But there's such caveats to what's been posted in Dendrix or your operating software. compared to what's actually in QuickBooks, I found that I was running this like ragged race of trying to play catch up all the time with like even just the percentages for credit card fees and third party financing being taken out of our payments, just those simple tweaks make a massive difference. So building those budgets, Kristy, off of our actual P &L numbers, our actual QuickBooks collections has... made a massive difference, I know, for a lot of my clients. How do you see that working for clients? And also, how do you see that working with a leadership team that maybe doesn't have access to or not looking at those P &Ls together? How do you suggest for financial stability and health in the practice, they really get that information down to the people that need it? DAT Kristy (13:08) Yeah, absolutely. One of the things, ⁓ well, there's a couple things. We at Dental A Team keep scorecards for our clients and it could be as simple as adding that line in there and having the doctor put that dollar amount and having the budget calculate right there. Everybody can see it. They know what to spend. The other thing to that point Tiff is, You know, a lot of times we look at the practice management, we see our collections, but how many times do we reconcile it with our QuickBooks? Like, really look at that and see. And obviously, just like you said, it could be a matter of when something was posted or when it came in, right, to the bank account. But I think that's an area that sometimes is overlooked. You know, there can be variance in there, obviously, for when things post, but... what is that variance and how consistent are we having that variance? again, depending on which method you're using, if you're using the collections from your PMS or the collections that are posted in the P &L, we better be clear what that difference is and ⁓ account for it for sure. Right. The Dental A Team (14:25) Totally agree. And you actually reminded me just last week, I was in an office and I was like, what is happening here? I was going through their P and L and I'm like, okay, we've got, we've had some changes in the office. We've got some places that it was decreasing. Some places we spent more, some places we actively spent more on purpose. Like, but things just weren't adding up with what was coming through from the software. And I realized after an hour and a half of digging, I'm like, why is... I put a line items, I updated the scorecard and I put a line item for like QuickBooks collections and then the PMS collections. And in comparison, I had it subtract and like tell me the difference in numbers. And there were months that were coming up $30,000 different that it looked like we collected $30,000 more in their software than what QuickBooks was showing us. Luckily, I know this office manager very well personally, like familiarly. And I'm like, I know there's no conclusion to jump to here. Like something is not reporting correctly. And what I realized is they specifically use Dentrix. Dentrix will allocate any positive write-off or adjustment. if there's an adjustment that's adding money, it'll allocate it to production. If there's an adjustment that's removing money, it automatically adds it to collections. So when you pull up the adjustment space in Dentrix, it'll show all positive production, all negative collections. So it was showing drastic differences. And so I was like, gosh, I totally forgot about this space in Dentrix that it does this. It's just, I call them the Dentrix-isms. It's just a Dentrix thing. It's very frustrating, but it just is what it is. So when I went through, I reallocated where the write-offs should be coming from. Now, caveat, messes up. production collections for forever because it's now correcting it. So what you thought you had done, you didn't, and it fixes it. So the new numbers are more accurate, but you're going to be frustrated because it's different. But what it did when I did that and re-put in the collections numbers is that it brought that $30,000 difference down to a more manageable $1,200 to $3,000 difference, which is what we tend to see with the care credit fees and all those different credit card processing fees, we typically see, I say like 5,000 or less, I'm not going to freak out about too much as long as it's inconsistent. I don't want to see consistency. I want to see really low numbers. And then again, sometimes some of that money is going to be pushed over to the next month. So quarterly, it made sense. Quarterly, it was beautiful. Month by month, it was a little wonky, but just making that change because we were checking the financial health of the practice because things didn't feel like they were making sense. So we, the office manager and I pulled the full year's PNL and we did line item by line item comparison 2024 to 2025 percentage change on each space, went through and figured out where the spending was, went through and line itemed everything and then added it like you said to the scorecard to see those differences, massive. massive improvements where the docs were feeling like cashflow was like, ⁓ we were freaking out. And it was like, well, these are the areas where you intentionally spent money and were actually only a 16 % difference overall year to year. And they were like, ⁓ so we didn't increase enough, but their spending was purposeful for taxes. We just didn't look that way yet on paper. Regarding financial health of the practice, that was exactly what we did, but adding it, like you said, to the scorecard and looking at, I think the scorecard's just really cool because it allows you to see over time. Whereas a new sheet is I'm only dealing with today. So I'm only looking at today. I might look at it and say, oh my gosh, my employee percentage was 42%. That's real life, I've seen that in an office. It was 42 % this month, and you're like, cut hours. But over the quarter, it was, 30 % or 31%. We had a spike because we had a collections dip or whatever. So I think adding it where you're seeing that kind of comparison allows you to see what is the trend here or is this an abnormality? Does this level itself out? Am I on track for over time or do I need to jump and hot fire? And Kristy with that said, like, you think, as I'm saying that I'm thinking, Is that a space where we could even tame our emotions around finances? Because we're seeing so much data in a bigger spectrum where we can see trends, uptrends or downtrends, rather than this like, my gosh, payroll was so high, I've got to tackle that. It's allowing us to see a broader picture. Do you think that helps reduce some of the emotional, like just quick fixes? DAT Kristy (19:34) Absolutely. And we don't want to react, right? Many times we go to that mindset of cut, cut, cut. you, and you know, one of the things that I learned a long time ago is you can't focus on the opposite. So if we're focused on cutting, then we're not focused on producing, right? And so yeah, you're 100 % right, Tiff. I think it does calm the reactionary, right? It's good to know, notice, but then look at the bigger picture. The Dental A Team (19:48) Yeah. Mmm. Yeah, gorgeous. As I was talking like, my gosh, Kristy, that's why you do so well with coaching in my opinion, because you are very, very good at being data and results driven, acknowledging the emotional aspect and not discrediting that by any means, but being able to focus back to what the drivers are and then being able to acknowledge and address any emotions that are still present. But you do well removing that because we're looking at data and data is non-emotional. You can come up with something and there's been so many times where I could think of so many offhand where I've data-drivenly discussed something with a client and they're like, ⁓ and the emotion kind of disintegrates, it dissipates because it was attached to what they thought to be true. And when they saw the reality, there was no need for that emotion anymore. DAT Kristy (20:59) Exactly. Well, and to be honest with you, it goes both ways, right? It's the same thing as if we're only looking at the practice numbers, sometimes they think they're doing very well or not doing well, either one. And then once we look at the overhead numbers, it's like, actually, you're here, you know? So ⁓ it goes hand in hand both ways. I always like to say, you know, if I had a pizza business and I was going to sell pizzas, The Dental A Team (21:18) Yeah. Yeah. I love that. DAT Kristy (21:29) I need to break it down and figure out what it cost me to make the pizza, then I can go sell the pizza. But so many times we don't do that and we just put it out in front of us, right? And then on the back end of it, we do have to measure how many pizzas did we sell and how much did we actually spend. Sometimes we forget to go back and look at the cost too. The Dental A Team (21:34) Yup. Yeah, wow, that's a very good point. Very good point, which is where the P &Ls come in handy and the line items. And I think the P &Ls will group it and lump it into categories, but every now and again, maybe like once a quarter or so, really looking at what are they putting in those categories so that one, you're making sure they're still super accurate from the bookkeeper and two, that you're not like Amazon spending. There was a couple clients that I saw. DAT Kristy (21:56) Mm-hmm. The Dental A Team (22:19) I'm like, what is going on? Why is this category so jumpy? One month it's massive, another month it's not, and they get lumped into office supplies and front office supplies, and all of a sudden it's $3,000 when realistically budgeting-wise it should be $1,200. I'm like, what is in here? And they're like, Amazon goes in there. Every time we want something or Doc says something, we just press the order. And I was like, ⁓ Got it, we need some systems around Amazon or Walmart. I've seen like, I just run to Walmart and I grab what we need every week. And I'm like, my gosh, there's weekly ordering will hurt you every single time. Any kind of weekly ordering. If you can't budget the ordering in a monthly fashion or maybe twice a month, I'll give leniency on twice a month, then we need to talk. Cause that weekly ordering will hurt you every single time. I think this is all really good, Kristy. I love this. I love this. And I go ahead. DAT Kristy (23:16) Yeah. I was to say, I agree with you. mean, we can liken it to our own space if we go to the grocery store with a list or without a list. What is our end result when we pay? You know, so I'm with you. I'm with you. I'm like for dental supplies, we can go to twice a month, but have it fixed and then make sure you're staying within the confines of the budget. The Dental A Team (23:27) Yeah. Yes, yeah, that's actually brilliant. Yeah. Yeah, I agree. And I think that was that was a super great thought process there. Because if you're not planning even your dinners, right, I'll plan my dinners for the week. So then I know what ingredients I need and what ingredients if I know what ingredients I need for specific dinners, I know what I can reuse as well. Otherwise, I'm going to the grocery store just kind of getting random things that I think I can make into something. And I'm ending up at the grocery store a couple times a week to replenish or, you know, supply those missing pieces. And so if you know what your schedule is, if you know on average how many crowns you're doing, how many fillings you're doing, how many implants you're doing, you can have an average guesstimate of how much of each supply you need to keep on hand, which is then going into your budget for your ordering. So that was beautiful. Yeah, good job. All right, guys, financial health is massive. And it's something that I think all of us, Kristy, Trish, Monica, Dana, myself, we all just work really, really hard to ensure that it's top of mind for all of our clients. But if you're here listening and you're not yet a client of ours and you're a Dental A Team podcast listener for life, we love you and we wanna make sure you have this information too. please, by all means, somewhere around the 10th of the month, because we know it's probably gonna go longer, make sure you've got those panels in there. Talk to your bookkeeper. If you are the bookkeeper, I have a couple clients like that. Put it your calendar, you guys. If you are your own bookkeeper, that's fine. I'm not gonna judge you. I think it is a task that you can easily pay for, but I'm not here for that. If you are your bookkeeper, put it in your calendar and you should have that sucker done by like the fifth or the eighth of the month because everything should be closed out. Review your PNLs monthly and quarterly and yearly. Review your spending habits constantly. I have a lot of practices that'll look weekly. I have a lot of practices that'll look monthly, whichever works best for you. Just make sure you're reviewing those spending habits and then budget for your team. So your supplies ordering, your front office, those are the easiest places to budget. Make sure that you've got an ortho budget added in there. If you have ortho fees and ortho costs that are outside of like Invisalign, things like that. I have a lot of practices that do bracket style ortho and they need a lot of supplies that has to be separated out. Those are your pieces, you guys. Those are the easiest ways that you can tackle real life, real life, in time, financial health. And we want you to go do that. Kristy, thank you so much for your insight. You truly do so well with your clients and we get to see their progress constantly and those needles are always moving. And I know that it's because you can take that black and white results driven perspective. So thank you for everything you do for your clients and everything that you bring to Dental A Team every day. DAT Kristy (26:33) Thank you, it's fun. The Dental A Team (26:35) I know, I know, I love watching you do it. You really do love it. And it makes me really happy. All right, guys, that's a wrap for today. Go leave us a five star review. Let us know what was super helpful. Maybe there's some tips and tricks you've got that you can share with the world. I'm telling you, people really do go read those. So if you have things in there, they will see them. You can drop us an email, Hello@TheDentalATeam.com. We'll be happy to get you over any documents that might help. We do have some. budgeting information, we do have some overhead spreadsheets, things like that. If you need help with that, just reach out and we'll catch you next time on the Dental A Team podcast. Thanks guys!
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