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Let's Talk Wellness Now
Episode 270 – Chronic Symptoms Are a Hidden Message: How to Listen and Finally Heal | Dr. Kelly McCann

Let's Talk Wellness Now

Play Episode Listen Later Jun 22, 2026 46:10


Dr. Deb Muth 00:03What if your diagnosis isn’t actually your diagnosis? What if the fatigue, brain fog, anxiety, and inflammation you’ve been told are normal are actually signals your body is reacting to something in your environment? Something no one ever tested.What if the reason you’re not getting better is because no one is asking the right questions?Today, we’re exposing one of the most overlooked drivers of chronic illness, and why so many people are being dismissed, misdiagnosed, and left without answers.You guys can insert, one of our ads in here, that’d be great.Welcome back to Let’s Talk Wellness Now, the show where we uncover the root causes of chronic illness, explore cutting-edge regenerative medicine, and empower you with the tools to heal. I’m Dr. Deb, your medical detective. And today, we’re diving into the hidden drivers of chronic illness through the lens of functional and environmental medicine.If you or someone you love has been diagnosed with a chronic condition or is struggling with unexplained neurological symptoms, like fatigue, brain fog, numbness, or chronic pain. This episode is for you. So, grab your cup of coffee, tea, or whatever helps you unwind.Settle in, and let’s get started on your journey to deeper healing.Today, I’m joined by Dr. Kelly McCann. A board-certified physician in internal medicine and pediatrics, with advanced training in functional, integrative, and environmental medicine. She’s known for her work in mold illness, chronic infections, MCAS, and complex chronic conditions And for helping patients who have been told everything looks normal. She helps them finally get real answers. Dr. Kelly, welcome to the show. I’m so excited to have you here. Share a little bit about what you’re doing these days, and who you are, and who you’re serving with us. Kelly McCann 02:42Thank you. So, my favorite patient population is patients who deal with complex chronic illness, and I didn’t set out to deal with these kinds of patients, but I kept… needing to be able to solve the puzzles, right? So they would come in, and there would be so many things that just didn’t add up and didn’t make sense, and it started with,it started with just doing functional and integrative medicine, and GI issues, and hormone issues, and autoimmune issues, and then it was mold as a driver, and then it was Lyme disease and the other tick-borne infections, and then all of those patients, many of those patients developed mast cell activation syndrome.Which I’ve now gone on and become an expert in, because they all have it.And all the related conditions with MCAS, the Ehlers-Danlos, hypermobility syndrome, POTS, postural orthostatic tachycardic syndrome, and… The one thing that really stuck out to me over the years of treating these patients is the ones who were willing to take a deep look inside. And see how their… their belief patterns, how their thoughts how they perceived themselves, different traumas that they experienced. If they were able to reframe some of the ways that they were thinking about their illness, about themselves, their relationship to themselves, they were the ones who really healed.And not only did they heal physically, they healed emotionally, psychologically, and spiritually. I have some patients who started out disabled, and now are running their own companies. One who, again, same thing, terribly disabled, lots of emotional issues, lots of ups and downs, food sensitivities, oxalate issues, and now she’s a medical intuitive. And she’s just doing fabulously, and has blossomed, right? So, this is a missing piece that we’re not really talking about. Dr. Deb Muth 05:04Yeah, I so agree with you. I see the same thing in my practice, and I treat a lot of the same people you do, and you are so right. Like, if we can get down to a deeper level with them, and address the trauma that happened.And it may be a trauma they never even remembered, right? It could be something that’s just seated in their cells and they don’t remember it. And you don’t directly think it’s causing the illness, but it is getting in the way of them healing. If you can address those things, those are the people that tend to do so much better, I think, versus the people who are getting some mileage out of their illness. That there’s a reason they stay stuck, there’s a reason they stay sick, they’re getting something from it, even though they don’t realize it in the moment.So let’s talk a little bit, before we hopped on the recording, you and I were talking about body, emotion, spirit. A little different than what we’re used to hearing with mind, body, spirit. Talk about your philosophy on this. Kelly McCann 06:01So what I’ve really come to realize is that the mind is getting in the way. And we have this perception that our mind is who we are. Right? We really think that who I am are the thoughts that I have every day. That’s me. And when I’m not getting better, it’s because my body is not… Falling in line with what my mind and my will want to do. So we set up this adversarial relationship. And this has been the philosophy in Western culture since Descartes said, I think therefore I am. Where the mind is supreme, and it is the all-knowing, and the body is just a vehicle for the mind. And every… Therapeutic intervention, from trauma-informed therapy, from, you know, wonderful people who have committed a lot of help and given great information. Bessel van der Kolk, The Body Keeps the Score, Gabor Mate, you know, all of these folks who have done such great work in us understanding trauma I think… The next phase is really recognizing that the body is actually not against us. It is not our enemy. In fact, it is… The body that is speaking to us as the voice piece of our souls and our spirits, that is saying to us, hey. you’re not listening. The path that you are walking down and the way that you are being in the world is not really working for you. It’s not who you are. It’s not who you’re supposed to be on the planet. And we’re trying to get your attention, right? Dr. Deb Muth 07:59Yeah. Kelly McCann 07:59I mean… Dr. Deb Muth 08:00this thing, so I’m gonna talk louder. Kelly McCann 08:02Exactly, exactly! It’s like a little toddler who only can speak in so many words, right? There’s only so many ways that a younger version of ourselves, or our bodies, like, how do our bodies communicate to us? Symptoms and sensations. That’s it. Those are the ways that our bodies communicate. And if we don’t listen to sensations, well, it’s gotta turn it up, it’s gotta turn up the volume, and then we have more symptoms. And then if we’re still like, no, it’s gonna do it my way, it turns up the symptoms some more. And when… We are in this adversarial relationship, we can’t bridge that gap. Can’t bridge that gap, so… What… what happens is thatUnderneath the symptoms and the sensations are emotions. Emotions that have not been processed. Because we’ve been stuffing them down, we believe that they shouldn’t exist, we don’t want to face them, we’re afraid of them, they’re not acceptable, we’re ashamed of them, whatever the reason may be, and they’re stuck in the body. And so the way through is to actually just feel our feelings. Dr. Deb Muth 09:26That’s kind of scary for some people. Kelly McCann 09:28It’s… it’s scary for the… it’s scary for the whole planet! Dr. Deb Muth 09:32For all of this, right? Kelly McCann 09:33For all of us. When we start to feel our feelings, we don’t like it. We’ve been taught it’s not okay. Boys, it’s not okay to cry. Girls, don’t be loud, don’t be angry. You’re a B-I-T-C-H if you do that, right? So there’s so many taboos about feeling our feelings. I have patients who say, I can’t be mad at my father or my mother because I was taught to honor thy father and thy mother. Like, yes, but you’re angry, and guess what?] That ain’t going nowhere until you express it, so… you have a choice. Express it, or hold onto it, and then you just kind of stay here in this space where it’s never expressed. Dr. Deb Muth 10:19Yeah, except in your body, in your physical being, right? Kelly McCann 10:22Except in your physical being. And here’s the magic. Emotions are meant to move through us, right? Emotion. They don’t last for that long!60 to 90 seconds, really? Maybe a couple minutes? Yeah. You really, really feel them. Right? Dr. Deb Muth 10:44Yeah. Kelly McCann 10:46And we’re terrified of that 60 to 90 seconds. Dr. Deb Muth 10:50What might we do to ourselves or to someone in that 60 to 90 seconds, right? I may scream, I may cry, I may not be this person that everybody thinks I’m supposed to be. That person that holds it all together is there for everybody, holds everybody else’s space. So well put together, right? If you’re not that person, then who are you? Are you human? Kelly McCann 11:16Oh, you’re more than human. Yeah, I mean, the way that I would look at it is, I would say, well, you don’t have to put on a show, right? This is really for you. Close the door, lock the… close the windows, get out your pillow. Whatever you need to do. I mean, I have some patients who will write it out. There’s a way to just, like, freeform write, where you don’t actually read it, you just write it out, scribble it out, get it all out on paper, and then burn it, or shred it, or something like that. you can pound a pillow, you can, you know, scream, whatever it is, you can cry. I mean, I think crying is, at least for… for me. Crying is the easiest way to think about it. So, you start crying, you’ve got a few little tears, you know, it’s not too bad, and then it’s a full-on sob, and then at some point, you’re like, okay, I think I need a tissue, right? But it doesn’t last forever Dr. Deb Muth 12:22No, it really doesn’t. I had a physical therapy friend who, when I started my practice, and you know, you start your business, and everything’s just chaotic, because you don’t know what you’re doing, and you have all kinds of people that don’t know what they’re doing, and there’s always a problem. Computer, the phone, the this, the that, blah blah blah. And she brought me what was called a Dammit doll. And I had never seen one, I didn’t know what it was, and it was this really… sturdy doll that didn’t look like anything, that had two legs that you could grab onto, that you could just beat at the table whenever you needed to. And she’s like, this is how you do it. And I was like. oh my god, that’s amazing! And I would use it every couple of hours sometimes, sometimes every day, and I would just be like. And then it was over.Yeah, sure, but it was over, instead of me walking around all day long, carrying all this frustration and not having anybody to talk to about it, because you’re busy during the day. And then if you keep talking about it, it just gets worse. But I could do that, and then I’d be done, and I’d be like, okay, I got it out, let’s find the solution, now let’s move on. Kelly McCann 13:28Exactly! Dr. Deb Muth 13:29Coolest thing! Kelly McCann 13:31Exactly! That is exactly what I’m talking about, Deb. Exactly, that’s so cool. I love that. Yeah, I mean, anger is really taboo in our society. Very taboo. And, And, you know, I have a couple patients that struggle so much with expressing their anger, but it’s important. It’s important. We’ve all had so, so many instances. You know, and… of being disappointed. Dr. Deb Muth 14:08Yeah. Kelly McCann 14:08from our… from… All sorts of situations in our lives. And, you know, nobody gets out of life without any trauma. you know, little T traumas. Everybody’s got some. Even if you have the most wonderful, well-meaning parents, something’s gonna happen, and it might be the parents, it could be just life, but things happen that we misinterpret. And then we think.We make decisions about ourselves, or about our families, or about what’s okay and what’s not okay, and those things cause us to forget who we really are. Dr. Deb Muth 14:53That’s okay. Kelly McCann 14:55Because when you look at a 1-year-old or an 18-month-old, they are joy and love incarnate, right? Dr. Deb Muth 15:03Yeah, they are. Kelly McCann 15:05That’s who we are. That’s who we really are. But we forget. We forget, because of all the rules, and all the expectations, and all the disappointment, and all the misinterpretations, we forget who we really are. And… I think… A life journey, especially a health journey, is a way back to who we really are. Dr. Deb Muth 15:32It’s interesting, as we’re talking about this, because I think about people who have really traumatic life events, like life and death. They are so lucky that they’re alive. They were in an accident, or, you know, they had this horrible cancer that they survived, and they weren’t supposed to. And they come out very differently, oftentimes. Because they realize how precious life is, and it’s… they look at life now as a gift instead of whatever else we were looking at it before that time, right? But they do truly look at life differently. I… I’m curious always, like, how do they… how do they do that? But yet, if we have a chronic illness.It’s so much harder to do that same thing when there’s a chronic illness versus an acute thing, and you’ve got this second chance. Kelly McCann 16:20Right? I see it as, The chronic illness is this slow decline, right? And because it’s a slow decline, there’s never that. Wake-up call. Which people get in a car accident, in a cancer diagnosis, where all of a sudden, your life changes in front of you, and you have to really reflect. Where I think with chronic illness, it’s like, oh, this isn’t great, I don’t love this. Oh, this is a little worse. But we keep hoping… which is the part that’s connected to who we really are, right? We keep hoping it’s gonna get better. Keep hoping it’s gonna get better, but it’s getting worse, and it’s getting worse. And… And we… as a… again, as a culture, have an expectation that somebody is gonna throw us a bone or a line, and we’re… they’re gonna pull us back out. We’re gonna find the right protocol, we’re gonna find the right practitioner, we’re gonna get… have somebody else help us get out. And… As healthcare practitioners, we can help people get 50% better, 80% better, you know, sometimes 100% better, but not all the time, because it’s an inside job. Dr. Deb Muth 17:42Well, and I like to tell people, too, like, you’re never 100%, 100% of the time. there’s always going to be something that you’re not gonna like. You wake up, you’re a little more tired, you know, you slept wrong, you got a kink in your neck, whatever it is. But I think you’re really on to something here, too, because if you don’t deal with the emotional baggage, the trauma. the person who said something to you in high school. If you don’t deal with that, and you carry that around forever. you kind of keep inviting the same people into your lives to treat you the exact same way. So then you just kind of keep that same pattern going over and over and over again, and you just keep thinking, why am I the doormat? Why does everybody keep kicking me? And when we truly start to deal with what happened, you start to attract those people differently in your lives, and people aren’t walking all over you anymore. Kelly McCann 18:35Right. And… It’s very easy to get caught up in the whys. And that keeps us up here. Right, and what I’ve found with myself and, you know, many of my patients is that We have to stay in the body long enough with the sensations and the emotions to have it, you know, crescendo on the emotion, and then decrescendo. But when we pop out, and we start asking, well, why did this happen, and why am I a doormat, and why am I a victim, and why, why, why, or… or analyzing, or what have you, we… We stop the emotive process. Which halts the resolution, and we don’t actually get to where we want to be. So, you know, I was just talking to a patient today. She’s like, well, I’ve been feeling my feelings, and I’ve been feeling the fear. I’m like, yes, but did you actually stick with it the entire time, or did you start thinking about it? Because we do this, we pop into our thoughts, and we’re like… oh, yeah, I was emoting. You know, like, oh, that made me sad. And then come back up here, and then we realize, oh, we gotta, we gotta… we’re still stuck in it, we’re still stuck in it. And I’m like. Dr. Deb Muth 19:56Like, when we’re… annotate. Kelly McCann 19:59Exactly! Exactly! It’s kind of like that, yeah. And so we stay on this little, hamster wheel. Because we don’t recognize it. The solution is in the emotion. Dr. Deb Muth 20:15So how do people stay in the feeling instead of letting their mind escape to the grocery list, the kid’s to-do list, dot dot dot dot dot? How do we stay in that emotion long enough to kind of work through it? Kelly McCann 20:30It’s a good question. I think… Having the awareness that that’s what you need to do. is the first step, right? Is to really say, okay, I’m gonna, like, put my mind outside of the door, say I’ll be back in 20 minutes, and then really just give yourself the permission to stay with whatever emotion that’s coming up. And it’s practice. It is a lot of practice. This is not… it’s very, very simple. It is not easy for the vast majority of people, and especially if we’re really patterned. So, I actually started an online program to help people learn how to do this. Because it is… not easy. Dr. Deb Muth 21:16If it was easy, we wouldn’t have so many problems, right? We would just move on and keep going, but that’s where we got ourselves into a lot of trouble, is we just recognize, acknowledge, move on, and say, okay, I’m out of it, good, let’s go, next thing, next thing. Kelly McCann 21:32Yeah, which doesn’t work. Like, oh, I dealt with that. I, you know, talked to my parents before they passed, and we came to an understanding. Like, that’s not the same thing as feeling your feelings, because that 10-year-old, that 5-year-old who felt abandoned, or felt… Abused, or whatever it is that you’re feeling, they’re still in there. The adult you made this agreement with your parents that you’re gonna be okay, right? But that kid you still is upset. So…I think the first… the first thing is recognizing that emotions and thoughts are very different, and to learn the difference. So if I say, I feel like blah blah blah blah blah, that’s not a feeling, that’s a thought. Dr. Deb Muth 22:26Hmm. Kelly McCann 22:27Right? I feel like, this. I’m in… I feel embarrassed. No, that’s the thought. Dr. Deb Muth 22:34That’s not… Kelly McCann 22:35the actual feeling. Feelings are really often located in the emotions. They’re very simple. I’m afraid. I’m sad. I feel terror. I’m angry. I’m enraged. Those are feelings. I… I am mad that blah blah blah blah blah. You know, we don’t necessarily have to know why we feel the feelings. Eventually, we will understand where they’re coming from. But it’s actually just feeling the feelings, and then… oh, I love this one, too. It’s like, well, I’ve forgiven them. I’ve forgiven them for, you know, what they did to me. That’s here. Yeah. If you’ve really forgiven them. it comes from here, and it comes after the feelings. So, we still have to feel our feelings if we’re angry or upset about something, if we’re sad about something, we have to feel them first, and then the beauty is in what’s underneath the emotions. It’s quiet, it’s calm, it’s soft, it’s connected to who you really are. And at that point, then you have a much broader worldview and understanding of things, and you can have compassion for yourself. You can have compassion for other people and their choices. And when I… when it’s… when it’s held in that space, it’s… it’s such a different experience. Yeah. Dr. Deb Muth 24:18Do you think people can have compassion for others if they don’t deal with their own things? Kelly McCann 24:24It’s, again, it’s… it’s from the head, right? Dr. Deb Muth 24:28Not from the heart. Kelly McCann 24:29It’s not from the heart. It’s not from the heart. And it’s a good try, but it’s, like, a carbon copy of the real thing. It’s not really the thing. Dr. Deb Muth 24:39Hmm. What happens if people walk around thinking that they have all this, you know, great compassion and love for the world,but it is truly just coming from the head and not the heart? Kelly McCann 24:54Then, you know, they’re kind of circling and circling, and they’ll find that the thoughts and the beliefs and the things that cause them to be upset will still be there. Right? There’s a… I mean, I have to admit, I don’t really watch the news, because it is upsetting, right? Dr. Deb Muth 25:14I am. Kelly McCann 25:15And I have a number of patients who are very, very distraught about the state of the world.That’s… not seeing the bigger picture. It’s coming from here. Rather than here. And this is a really hard thing for people to grasp. But when we are triggered, By something outside of ourselves. That is because that upset exists inside of ourselves. So, for example, if I call you stupid, Deb, and there’s no part of you believes that you are stupid, it will bounce off you. You know, like you’re a rubber ball, right? Because it’s not true. It doesn’t resonate anywhere in you, so you can’t possibly be triggered by that.But if I say to you something that, you find hurtful, it’s not because of what I’ve said. It’s because that hurt, that upset, is still alive in you. And that… Opportunity, then, Is there for you to say, hmm… Clearly, there’s something inside of me that needs some attention about this.we’ve… we don’t really think about life that way. Right. We think… That person made me mad. Nobody makes you mad. It’s you. That inside of you. Right? I was talking on the phone last night with one of my colleagues whose daughter is in the hospital, and she’s been in the hospital in, like, the best Children’s Hospital, in Chicago for 2 months. Two months with gastrointestinal issues. And… They haven’t done a CT scan yet. Dr. Deb Muth 27:24What? Kelly McCann 27:25I know. I was talking with another, physician colleague of… colleague of mine last night, or this morning, at the time. How… that should have been done in the ER! Dr. Deb Muth 27:38Yeah! Kelly McCann 27:39At least… At least, or maybe the first day of the hospitalization, they didn’t do an endoscopy until Last week. 7 weeks in the hospital with an NJ tube. Dr. Deb Muth 27:53Oh my god. Kelly McCann 27:54Tube feeds. like, what is wrong with these people, right? So, I was so mad on her behalf. And of course, what I realized, too, is then, okay, well, there’s stuff inside of me, like, I have really… I have some stuff about… what is expected of other people in the world, what is expected of other physicians in the world. Like, these are the worst physicians on the planet. They clearly don’t care. They should all be fired. But there’s stuff in me that is really being triggered by this, that I have… I have work to do about. And I still think it’s wrong. Dr. Deb Muth 28:36I had that same experience last week. I had a pharmacist tell my patient they didn’t need a prescription that I had ordered, because she… didn’t fill it frequently enough because she was using it differently than what we wrote it, which so many of our patients do. It’s a hormone, it’s not a big deal, right? Kelly McCann 28:53Yeah, right. Dr. Deb Muth 28:54And… and he said to her, well, I don’t think you need this anymore. Yes. Kelly McCann 29:00choice. Dr. Deb Muth 29:01Right, and that’s what I said, I’m like… I said, who the F is he? To tell you that he thinks you need this or not? He doesn’t know you, he doesn’t know your labs, he hasn’t been taking care of you for 20 years. I have, and you’ve clearly been using it. And so I called the pharmacy, and the conversation went a little differently on his side, of course, than what the patient explained to me, but I had to sit back, too, and I looked at that, and I was like, why was I so angry that he said this to her? And I understand, it was, you know, he was undermining my authority, my knowledge base, and I knew that right away, but I was still so triggered by it, and… and she was just kind of like. Yeah, I was really surprised he said that, but I figured he knew more than me, and I’m like, so I was coming to see you, I would just tell you, and you would tell me if it was right or wrong, and I’m like. okay, that was a good way to take it, but boy, that instantly triggered for me. But again, I recognized exactly why I was triggered with that, and had to calm down a little bit and all of that, but… I think there’s a lot of that that happens. And, you know, when you work hard to know what you know, and I work hard, and we see other people doing not even the basics, it’s kind of like, what is wrong with the world? Kelly McCann 30:18Yes, yeah, yeah, yeah, and there’s stuff there, right? So why is it that I worked so hard to become the best doctor that I could? Because I didn’t feel adequate. And so, when somebody else shows up as inadequate, or I perceive them to be inadequate, that triggers that… my own inadequacy, right? Especially since it was a man, so there’s a man under my your authority. Yeah, that would just really get to me. Yeah, so there’s something around that, so I know that, you know, for me, that might be where I explore it, but yeah, it’s, Life is a journey. Dr. Deb Muth 31:00Yeah, it really is. And I think, too, from a practitioner standpoint, like, we take so many of our patients home with us, like, it’s our job to be the medical detective, figure them out.Help them find the answers, make them feel better. And not that we do it from an eco perspective, because I think most practitioners don’t. They truly do it because they care and they want to make people better, and we have this knowledge and this expertise that other people don’t have. But, boy, it gets harder and harder and harder when you get more and more chronically ill people to help them find the answers and help them be well, especially if they don’t deal with their own house, right? We don’t… if they don’t deal with their house, it’s hard for us to come in and say, let me help you deal with your house. Right. So, how does that fit into some of this? Kelly McCann 31:51You know, that’s a really good question. I had to learn that over time to be able to use my own intuition to say, how much is this person willing to do? And really evaluate their… their willingness to change, their willingness to do the hard work. And… And I… and I had to hone my intuition in order to do that, and now I see… I will see there are people that… they’re happy. in their little merry-go-round, in their whack-a-mole game. And I will do my best, and I will kind of, you know, nudge where I think it’s appropriate, but when they push back, I gotta let that go. I gotta let that go, and recognize that it’s their journey, it’s their life, and I can’t be more attached to their healing than they are. Dr. Deb Muth 32:49That’s what I’ve done, too. That’s what I tell my practitioners, my young practitioners that come in by me, too. I say the same thing. Like, I have some that are really young, and we’re all green, right? And we want to just fix the world, and I’ve got so much I can give you, and so much you can do, and then when they don’t do it, you’re like. what did I do wrong that they’re not doing it? And I have to go back and tell them the same thing. This is their journey, not yours. You’re just here to give knowledge and hold space. And they get to pick and choose what they want to do, and if it’s not exactly what we want them to do, that’s okay, it’s their journey. And every time… and I laugh because I always see my younger self in them, too, but why don’t they want to do it? This is gonna make them so much better! We have this tool! And it’s like… they’re not ready yet. It’s okay for them not to be ready yet. We have to be okay with the fact that they’re not ready yet. And I think as a provider and a practitioner, that is one of the hardest things to do, is to sit back and go, okay, you’re just not ready yet. When you’re ready, we’ll be here to hold you and hold space. But right now, you’re not there, it’s okay. Kelly McCann 33:52Yeah, it is okay. Yeah, actually, one of the women that I mentioned earlier, earlier in the podcast, it took her 18 months to get to the point where I felt like she was ready, and it was one of those things, like. You’re ready! I got so excited, and that’s exactly what I said to her. I was like, okay, here, I want you to read this book. Dr. Deb Muth 34:14And he was. Kelly McCann 34:14finally ready, and I gave her the book called How to Heal Yourself When No One Else Can by Amy B. Share, which is just so awesome. And she took that book, and she was like, I am going to do this. And she wrote out journals and journals and journals, and… did lists, and then she would clear them, and then she would clear them. She got so much better, and then it was, like. Biofield tuning, and she did, Gupta, and Amya Piggin’s work, and, you know, so many other things. And then she was doing really well, 80% better, eating all sorts of foods, and there was still this little, like. Mmm, something’s still missing. Something’s still missing. Not quite where I want to be. I still have some mood issues. And then she came and joined my Unforgetting Project program. And that was the missing piece for her. This… whole thing that we’re talking about, like, just feeling the feelings was really her missing piece, because she was clearing, you know, with using EFT, but it wasn’t working anymore, because she actually was bypassing feeling her feelings. Dr. Deb Muth 35:38Hmm. Kelly McCann 35:39So I, you know, these programs, the nervous system programs, the limbic system programs, they are fantastic, and they’re super, super helpful. And then there comes a point in time where we have to shift gears, and we have to go deeper. But it… all of those programs get people, if they’re willing to put in the time and effort, get people to the place where, like, okay, now I gotta go in. Even deeper. Yeah. Dr. Deb Muth 36:07And that can be scary for people. That can be really frightening. I did a 10-day women’s retreat in Spain, with a priestess program, and I had no clue what I was doing. I was going to my first women’s retreat in Spain, no clue, but I had to do. Kelly McCann 36:23It sounds fantastic. Dr. Deb Muth 36:25Fantastic, right? And and when I got there, it was a lot of shamanic work, deep work, and, as we’re all… there’s, like, 30 of us women going through, and all different ages, going through things. And reliving our past as a child, and reliving all these different pieces of us as women that we’ve left behind someplace else. We’ve lost. And, And just sitting in… I still remember it to this day, you know, the crying, the sobbing, the anger, the screaming, the stomping. the silence. Like, everybody had a different way of dealing with those emotions coming out, and we had to be silent from, 10 at night till 10 in the morning. You couldn’t say anything to anybody. And, and that was a little challenging for a lot of us. But it gave you that time that after you went through one of these processes. you could process. You could just sit with those feelings, sit with what came up for you, journal. And it was a really incredible time to watch a lot of women just blossom into a new version of themselves, you know? Their old version, but a new version. A healed version of themselves, in a lot of ways, yeah. Kelly McCann 37:45So what… in the languaging that I’ve come up with, it’s the, unforgetting, right? So it’s actually the remembered self, because we have let go of the things that caused us to forget. So we have unforgotten who we really are, because As you’re right, it’s… it is not new, it’s just remembered, or unforgotten. Dr. Deb Muth 38:12Yeah. Yeah. That’s really awesome. For somebody that’s listening to us have this conversation, and they’re kind of thinking, this all sounds great, but I have no clue where to start with something like this, what kind of recommendations would you give to them? Kelly McCann 38:29Well, I actually have an online program. And… it’s, it’s a 9-week online program, and…What you’re doing in community is learning how to Feel your feelings, and how to understand them, and different access points in to them, and doing it in a community, which is terrifying for some people when they start, but at the same time, it is the most loving container Because these people are also on their complex chronic illness healing journey. And they have chosen themselves, and chosen to show up, and chosen to show up for 9 weeks, which is a long time, but it’s also this beautiful, sacred time. And, half of the class is lecture, sharing, and then half of the class we spend in trios. Which means, my staff divvy up people into groups of three, and then there… each trio goes through a process. They all do the same process.And you do it 3 times, so you have a chance to be, a different role in each iteration that you go through. So one role is the explorer. Those are the people who are actually just feeling the feelings. And exploring what’s going on inside of them. One person is what we call the companion, they’re kind of like the… the, not really the guide or the therapist, but they’re just holding space with them, maybe giving some prompts to help them work through the process. And there’s a handout that works through the process, and then there’s the third person whom is the anchor. And the anchor is holding that loving battery. And it just sets up this…situation where you’re held in such an embrace that you’re able to express your feelings. And one of the things I learned early on was that vulnerability leads to intimacy. And so, when you’re vulnerable with somebody else, they feel… closer to you, and they feel more capable of being vulnerable with you, because you’ve trusted them, right? So, it builds this level of vulnerability, intimacy, and trust in the community, and then each time you do your trio with somebody, with new people, often. Dr. Deb Muth 41:16time. Kelly McCann 41:17And it’s a really, really special program where you’re practicing this, and you’re doing homework, so you take the things that you learned from the class, and then you go home and you practice it with yourself. So that’s what I have come up with to help people start to really learn how to do this. And then it’s gonna grow from there. So I have a foundational class right now. We’re on… we just started our second cohort, And then eventually there will be a second-tier class, and workshops, and the other thing that I’m doing is one-on-one, trainings with… what one-on-one… I call them unforgetting journeys with people. So, you know how you go to a therapist, and you’re in the middle of a story, in the middle of sobbing, and they’re like, oh, well, that’s 50 minutes, it’s Here’s your tissue, we’ll see you next week. Dr. Deb Muth 42:12Yes. Kelly McCann 42:13Yeah, so painful. Dr. Deb Muth 42:16Oh, bad. Kelly McCann 42:16So painful, and I understand, like, we have the same thing, too, as physicians, like, oh, I’m so sorry, your time is up, I gotta go, I have more patients waiting. The unforgetting journey, I don’t have a clock. Dr. Deb Muth 42:29Mmm. Kelly McCann 42:30It’s… we go until you feel complete. And for most people, it’s two and a half, three hours. Dr. Deb Muth 42:37Wow. Kelly McCann 42:37To really process through the emotions that are coming up. Dr. Deb Muth 42:43to get… Kelly McCann 42:43To the point where you’re… they feel… Okay. I feel… I feel complete for today. Dr. Deb Muth 42:52For now. Kelly McCann 42:53For now. Dr. Deb Muth 42:54So the next layer, kind of. shows itself, right? Yeah. Kelly McCann 42:59Yeah, yeah. And for now, the Unforgetting Journeys are for people who have gone through the program, or are in the program, because you really need to… you have to have the skills. Dr. Deb Muth 43:11So, if somebody’s interested in your online program, how do they get in touch with you? Kelly McCann 43:17The website is unforgettingproject.com. And you can sign up right there. The next cohort will start May 20th. It’ll be a Wednesday evening. From 4.30 to 6.30 Pacific time, so I tried to make it so as many people on both sides of the continent could make it. I know it’s a little late for East Coast, but, yeah. And then, you know, every month or two, we’ll start a new cohort, so if you’re interested, and if those… that time doesn’t work for you. You know, I did Fridays initially, I’m doing Mondays, this iteration. We’ll try, other dates and times for people, and try and get a few more dates, on the calendar, so that people have some options. But yeah, that would be my suggestion. You can sign up for our email list, and we’ll be sure to let you know all the happenings at the Unforgetting Project. Dr. Deb Muth 44:17That’s awesome. And for those of you who might be driving or didn’t catch that, we will have it in the show notes as well, so that you can jot it down, check it out, if it sounds like it’s something that really resonates with you. Dr. Kelly, thank you so much for your time tonight. Is there any last words you want to leave with our listeners? Kelly McCann 44:35Of course, of course. There’s always hope. And that hope that burns inside you, that…There is a different life… a different life waiting for you. That is your spirit. That is your soul. Talking to you, and spurring you on. And my encouragement is to really listen to that. Because then you will find your way to people like Dr. Deb, and other practitioners who have heart, who have the tools and the capacity to help you on the physical world journey, and then… You know, my other encouragement would be, really listen to your body. Consider the possibility with curiosity that it is on your side. And if it’s on your side, and it’s talking to you and communicating to you, what might it be saying that it needs from you? Dr. Deb Muth 45:43I love that, that’s awesome. Thank you so much for your time today. Kelly McCann 45:47You’re welcome, my pleasure. I’m so happy to speak with you and to talk with your, audience. I think it’s wonderful. Dr. Deb Muth 45:54Thank you. Boom. Wow, what an episode we just had with Dr. Kelly McCann. This is incredible. It’s a completely different way for us to think about chronic illness, and think about what our body’s actually going through, and how we can repair it from a different aspect. So, thank you for joining me today on Let’s Talk Wellness Now. If this episode resonated with you, share it with someone who’s been searching for answers and hasn’t found them yet. And if you’re enjoying our episodes of Let’s Talk Wellness now, we would love to ask the biggest favor you could do for us, which is like and subscribe and share. It goes a long way for us getting our podcasts and our episodes out into the hands of so many people Who need to hear these messages. So, if you’re feeling inclined to do that, we would love that, that affirmation from you guys. So, remember, wellness isn’t just about feeling good, it’s about thriving in every area of your life. If you’re ready to explore the root cause medicine. We can help you. Visit serenityHealthCarecenter.com or Dr. Kelly McCann, and until next time, I’m Dr. Deb, reminding you to take care of your body, mind, and spirit. Be well, and we will see you on the next episode. The post Episode 270 – Chronic Symptoms Are a Hidden Message: How to Listen and Finally Heal | Dr. Kelly McCann first appeared on Let's Talk Wellness Now.

Model Minority Moms
Ep140: Power, Money and Marriage Part 1- We started even and now we're here

Model Minority Moms

Play Episode Listen Later Jun 19, 2026 58:58


**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! --------------------------------------Oh boy we're on a roll with the sticky topics so many of us deal with but are rarely spoken of in polite company. In this new series, we're talking about Power and Money in Marriage. When women did not have equal access to education, financial products or job opportunities, having a lopsided balance of power with your husband was pretty typical, even predictable. But as Millennial women who often outshined our male peers in academic achievement, could run our own financial lives and careers, and was brought up on the 90's slogan of "you can have it all"... what happens if you decide you maybe can't have it all actually (at least not at once) and take a step back your career (and earning power) to focus on motherhood? What are the emotions associated with that? (for us: a curious mix of guilt, shame, self-doubt mixed with deep conviction) What are the social costs? ("I'm a full-time mom" is not often the strongest opener at a mixer) What are the costs to your power in your relationship? What are the financial costs? In true MMM style, we romp through it all.

All Fantasy Everything
Food Scenes in Movies (w/ Noah Galuten)

All Fantasy Everything

Play Episode Listen Later Jun 18, 2026 109:16


"Mmm, this is a tasty podcast!"Guest:Noah Galuten (@galuten)» Get Noah's new book 'Grill Time' wherever books are sold!Support the show!Join the AFE Patreon at patreon.com/allfantasy for ad-free episodes, mailbags, auction drafts, and other exclusive content.Watch the video podcast at youtube.com/@AllFantasyEverything.Advertise on AFE!Advertise on All Fantasy Everything via Gumball.fm.Follow the Good Vibes Gang:Ian KarmelSean JordanDavid GborieIsaac K. LeeSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Sälj- och marknadspodden
Podd #251 – Erik Syrén om att investera i bolag

Sälj- och marknadspodden

Play Episode Listen Later Jun 18, 2026 56:49


Så tänker investerare när de kliver in i B2B SaaS-bolag – med Erik Syrén från Monterro Hur resonerar en investerare när de utvärderar ett B2B SaaS-bolag? Och vad händer egentligen efter att investeraren har gått in som ägare? I det här avsnittet av Sälj- och Marknadspodden pratar Anders Hermansson med Erik Syrén, tidigare entreprenör och vd på Lime Technologies och idag verksam på Monterro, där han bland annat sitter i investeringskommittén och är ordförande i flera portföljbolag. Samtalet handlar om vad som kännetecknar starka mjukvarubolag, varför nöjda kunder och låg churn är så centralt, hur ägarresan ser ut efter en investering och varför pengar sällan är den viktigaste produkten en investerare erbjuder. De pratar också om AI:s påverkan på SaaS-branschen, skillnaden mellan lättkopierade funktioner och verklig defensibility, samt varför affärskritisk mjukvara med hög stickiness fortfarande kan vara mycket starka bolag även i en AI-driven värld. Läs transkribering Anders Hermansson (00:06) Hej och hjärtligt välkomna till Sälj och marknadsbådde från Business Reflex. Jag heter Anders Hermansson. Tack för att lyssnar. Idag tar vi vi pratar om hur investerare resonerar när de tittar på bolag att investera i. Och vi pratar även om hur investerare agerar när de väl är inne i bolaget. Svaren på de här frågorna är såklart väldigt olika beroende på vilken typ av investerare man är. Och idag ska jag intervjua en av Sveriges tyngsta entreprenör inom B2B-planbara. Han sitter i en lång rad styrelser och arbetar idag på Montero där han sitter i deras investment board. Montero, för er som inte vet, är ett bolag som investerar i Scalapse, alltså ett bolag som har tagit sig en bit på sin resa men vill komma vidare därifrån. Personen i fråga heter Erik Syrén och han kommer inledningsvis att berätta om sin väldigt intressanta resa från studentrummet till framgångsrikt entreprenör och till investerare. Så häng med nu på en mycket intressant intervju om ur ägarperspektivet. Anders Hermansson (01:16) Erik Syrén, hjärtligt välkommen till Sälj marknadsbotten! Erik (01:20) Tackandes. Anders Hermansson (01:22) Grunt att ha det här jätteroligt med en sådan erfaren tungviktare inom SAS-branschen i podden. Erik (01:29) Vi får se om det blir något innehåll som är värt att lyssna på. Det håller vi tummarna för. Anders Hermansson (01:32) Ja, du är ödmjuk också. Han är Ödmuk också. Det är fantastiskt. Ja, vad roligt. Vi ska ju prata om, titta på det här lite grann ur investerarperspektivet idag och prata om kanske två aspekter. Dels hur det är bolag som du representerar när Montero, hur ni gör när ni tittar efter bolag som ni kan tänka er att in i och sedan även prata lite grann om hur ni agerar när ni väl har gått in i ett bolag. Erik (01:36) Och glimtar i ögat. Anders Hermansson (02:00) Men du har ju en rik och intressant historia inom det här gebitet. Kan inte du berätta lite grann om din resa och så fram till nu? Erik (02:10) Absolut. Så jag i slutet av 90-talet så pluggade jag i Lund och jag satt på ekonomihögskolan i Lund och så tittade ut genom fönstret och utanför dörrarna så hade vi Framtidsfabriken, hade Bord.com, vi hade Ericsson Mobile, vi hade Axis, vi hade Klick och så vidare. Så väldigt fina tech- och mjukvaruföretag och för mig som student Där och då kändes som att jag satt i huvudstaden i dotcom. Allt bara bubblar. fanns alla möjligheter. Medan jag kände själv att jag inte kollade egentligen på vad var på it och it bolag och jag kunde inte se skillnad på ett it konsultbolag eller mjukvaruföretag eller e-commerce bolag utan för mig var det bara en blandning av av det jag lärt mig efteråt är att det ingen annan som kunde det heller på slut 90 talet. De blandade ihop de här typen av bolag men men. Anders Hermansson (03:05) Nej. Erik (03:08) Då blev jag väldigt inspirerad och kände att det där vill jag hålla på med. Jag vill lära mig mer om tech och det kändes som att det hände någonting. En revolution som jag vill vara med på. Så när jag var klar med studierna så letade jag jobb på något litet mindre mjukföretag som jag kunde vara med och driva. Träffade på ett bolag som hette Lundalogik på den tiden. som utvecklar och säljer CRM-system hade de börjat fokusera mer och mer mot. Det var fem, sex stycken i Lund som drev det här företaget. Och tänkte väldigt mycket när de drev bolaget som ett litet mer traditionellt mjukvaruvare. Som ett traditionellt bolag med lönsam tillväxt. När vi har pengar så kan vi växa. Det passade väldigt bra med min småländska bakgrund. Den där typen av bolag känner igen. Anders Hermansson (04:04) Just bootstrapping. Erik (04:05) Ja, numera bootstrappingen. Så jag hoppade på det jobbet, började driva det där bolaget, blev delägare och drev detta med mina kompisar, kollegor, vänner. Och vi drev bolaget fram till 2008, då mina kollegor ville göra något annat i livet. De är lite äldre, så de kände att det kanske är värt att… att titta på en mer strukturerad process och kanske sälja bolaget. Så vi sålde 100 % av bolaget till Bisnode och ingick i ett konglomerat med över 4 000 anställda, en data provider, numera är det ju Danner Bradstreet. De köpte mjukvaruföretag för de kände att priset på data går ner. Det är inte värd så mycket att sälja personlig information, elektritinformation eller företagsinformation. Anders Hermansson (04:47) Ahoj! Erik (05:03) som de hade haft monopol på och varit väldigt starka på att kunna diktera priserna hela tiden. Men nu kände de att det blev mer och mer än… Ja, priserna gick ner och det blev mer än standardvara med uppgift. Så då ville de tänka om att om vi kan ta hand och hålla det i mjukvara inkluderat, då kan vi också skapa större värde för kunderna och därmed kan vi ta högre pris. Så det var tanken att man köpte lite mjukvaruföretag. Anders Hermansson (05:18) Mm. Erik (05:31) Men att vara ett snabbväxande mjukvaruförtag och komma in i ett konglomerat med massa olika bolag, olika varumärken, olika kulturer var helt fel för oss. Där och då ett entreprenörs drivet snabbväxande mjukvaruförtag. Så efter ett par tre år i den strukturen så landade jag tillsammans med management i Bisner och att det är bättre att gå skilda vägar. Så vi gick ut i en strukturerad process. Anders Hermansson (05:41) Mm. Erik (05:57) träffade vi kanske 30 olika private equity bolag, investerare i mjukvaruföretag. Där och då var min känsla när jag sprang runt mellan de här bolagen att jag fick utbilda dem, mer eller mindre, hur det är att riva ett mjukvaruföretag. Och framför allt hur det är att konkurrera med Salesforce och Microsoft som var de stora giganterna på serien marknaden. Och hur man kan, trots att de är stora, globala, så kan man hitta Anders Hermansson (06:15) Mm. Erik (06:26) vatikaler, nischer lokalt där man kan bli marknadsledare och man kan marknaden så pass stor som man kan bli ett stort bolag ändå. Och man kan hitta nya sätt att positionera och differentiera sig. Alla såg bara risker med att konkurrera med de här stora aktörerna. Efter några månader in i den här processen så träffade jag en helt ny spelare på marknaden som heter Montero. Tre stycken. Anders Hermansson (06:35) Mm. Erik (06:54) killar, två stycken med liknande bakgrund som mig som operatörer som har drivit mjukvaruföretag själva och en kille som kommer från Cobrids Finance och Bankvärlden. Och redan i första mötet så hittar vi väldigt väldigt väl. Istället för att prata risken med att konkurrera med Salesforce Microsoft så pratar vi möjligheten att konkurrera och hur vi kunde ta en helt unik position på en lokal marknad. Anders Hermansson (07:03) Mm. Erik (07:23) Så känslan hos mig var ju att vi byggde upp. Vi började diskutera strategier och affärsplanen i första mötet. Och efter mötet så landade vi i att vi gör management buyout tillsammans med Montero. Vi landade där att vi köper bolaget tillsammans. Som hette då Lime Technologies. Efter ett halvår in i den processen så satt jag och Peter, min ordförande, och satt och diskuterade. Anders Hermansson (07:36) Mmm, okej. Erik (07:52) Både högt och lågt. Efter ett och tre landar vi in i hur ett framtida ägande av Lime, hur skulle det kunna se ut? Vad hade varit en bra ägare efter Montero? Och där och då kände jag att jag hade ägt bolaget med mina kollegor, mina partners. Jag hade ingått i ett konglomerat med 4 000 anställda och jag var PE-ägt där och då. För mig fanns det en sak kvar att jag hade velat pröva och det var att notera bolaget. Så då sa vi att låt oss driva ett projekt och en tanke mot att en dag ska vi kunna först notera Lime. Hur skulle bolaget se ut då? Då kan man ju tänka att det är mycket med IFRS och rapportering och policies och sådana saker. Det vi pratade om var mycket mer hur bolaget vilken karaktär på bolaget ska ha vilka marknader ska vi vara på hur mycket recurring revenue hur mycket mycket revenue ska vara utomlands vilka marknader ska vi vara på i så fall hur ska management se ut vilken funktionalitet måste vi ha i produkten vad kan vi göra organiskt vad kan vi göra inorganiskt och sen la vi på rapportering och policies på det och vi jobbade med det ifrån 2014 Anders Hermansson (09:15) Öster. Erik (09:20) fram till 2018 i december. Anders Hermansson (09:23) Vad var drivkraften att notera bolaget? Erik (09:29) Dels så det ju så att om du har en ägare som är private equity så ingår det i spelet att de köper, de utvecklar och de säljer. för en private equity aktör så är det ju att deras syfte är ju att skapa returns till sina investerare. Och gör man driver man ett bolag med en ägarstruktur med majoritetsägare som är PE så kommer du vara till salu. Någon gång när det är en bra avkastning för investerarna. Så syftet var egentligen att skapa att vi behöver göra en ägarförändring och montera och ville sälja. är stora syftet och det stora syfte för min sida var ju att då kan jag gå upp som huvudägare i bolaget. Jag kan fortsätta jag på att sälja någonting. Jag kan fortsätta vara ägare i bolaget i en noterad miljö. Anders Hermansson (10:14) Ja, och tack. Erik (10:27) Och våra anställda kan vara ägare så vi kan äga bolaget tillsammans. Och sen tyckte jag också att fin tanke att då kan vi bygga en Evergreen som kan verka länge länge länge. För det är väldigt stor och viktig del i mitt liv, Lime. Och det vi har byggt tillsammans är det företaget. Så vi gjorde noteringen 2018. Anders Hermansson (10:32) Mm. Mm. Jag fattar. Erik (10:54) Den 6 december och om man vill titta tillbaka på den tiden så var det lite turbulent på aktiemarknaden även då. Under andra halvåret var det lite räntorop marknaden och den dagen vi noterade var den sämsta dagen på Stockholmsbösen det året. Så då fick man ju lite vänta vad vi gjort. Hela Asien föll när vi gick upp och ringde klockan. Sen så blev det väldigt väldigt bra. Hela noteringen och Anders Hermansson (11:10) ⁓ okej. Nej. Erik (11:24) 2019 och sen kom 2020 pandemin. Det har hänt mycket under de här åren men noteringen blev väldigt bra. Det ingick också i planen att när jag var klar med det operativa på Lime så skulle jag joinna Montero. Det hade vi i P1 och jag pratat om länge. Jag hade varit med som rådgivare, investerare och har varit med som bolgplank till många av våra Montero-investeringar vi gjort genom åren. Anders Hermansson (11:30) Alla kan. Erik (11:54) Så jag tyckte det var väldigt spännande att det skulle kunna vara en möjlighet för mig på nästa steg. Sen så kom ju pandemin. Min långväga kollega Nils Olsson som var försäljningschef väldigt länge på Lime, också vice vd och CEO på Lime. Han börjar bli mogen för att ta över. Så när vi såg ljuset tundan efter pandemin 2021 så lämnade jag över staffettpinnen till Nils. och hoppade på Montero fem och ett halvt år sedan ungefär. På Montero så är min roll att jag är ordförande i sex av våra bolag. Jag kan komma in på det vad det betyder men vi är väldigt mycket hands on. Vi jobbar väldigt nära våra management team och våra ledningsgrupper. Så det är min huvudsakliga uppgift. Sen sitter jag på investeringskommittén. Där vi går igenom alla kris och alla investeringar vi gör och vilka bolag vi investerar i. Och sen sitter jag vår styrelse. Så det är min roll på mot här. Anders Hermansson (13:02) Vad saknar du mest från vd-rollen? Erik (13:09) Mm? Dels saknar jag fokuset att vara delaktig i någonting där man känner att man kan bli mätbar varje dag. Det vill säga att blir lite svart, alltså ett och nolla, blir lite svart och vitt. Det vill säga att när man gör affärer går bra, man rekryterar lite folk, man känner att man har releasat några funktioner som varit bra och uppskattade av våra kunder. Anders Hermansson (13:23) Mm. Erik (13:39) Man har skapat ett kundvärde och nöjda användare ute hos på marknaden. Då får man rätt god feeling och en sån här feedback som man bara känner. Det här funkar. Det är bäst. Den är väldigt direkt och å andra sidan så är den ju också lika tung när man tappar en medarbetare som slutar hos dig eller du tappar en affär. Då är vi inte världens bästa CRM-system längre. Vi är inte världens bästa arbetsgivare längre och då mår du lite dåligt. Det blir lite en kris. Anders Hermansson (13:49) Den är direkt. Erik (14:09) Så då kommer du dina dippa också. Men just den där att vara företagsledare, levande med ditt bolag och entreprenör hela tiden. Du blir lite manu-depressiv brukar jag säga. Det går lite upp och ner. Alla duktiga entreprenörer har varit psykolog på något sätt. Eller någon gång. Ibland ligger man under skrivbordet och gråter lite grann och tänker nu gick det åt helsike. Och det kan jag sakna. Anders Hermansson (14:11) Tack Just det. Mm, exakt. Jag med. Exakt. Erik (14:38) Jag saknar de här kickarna när det går jäkligt bra och när man känner att man levererar högt kundvärde och medarbetarna utvecklas eller när man gör en stor affär. Samtidigt kan jag sakna de här dipparna när man bara känner att det gick åt helsike. Det har jag på Montero också för vi driver i vår låda vårt företag. Men vi är så många fler. Anders Hermansson (14:48) Pista. Så man får ta tag i det igen. Mm. Erik (15:05) som delar på den där manor depressiva. har 30, 33, 34 bolag idag som vi är majoritetsägare i. Vi gör mycket add-on förvärv, alltså tilläggsförvärv till våra bolag. Jag har sex, jag är ordförande i. Jag har väl en tre till som jag sitter i styrelsen i. När man ringer runt och tar mina fredagsamtal med alla bolagen. Det är alltid något som går bra, något som går dåligt. Man kan glädjas. Så det jämnar ute lite mer. Så jag får inte likt. Anders Hermansson (15:35) Just det. Men det kanske är lite mer som att på styrelsenivå är det mer som ett sju-punktsmedel än att vara en direkt siffra på varje. Erik (15:45) Ja, men så är det. Så det finns lite för- nackdelar med de här två uppläggen, men jag har kul på jobbet. Det är det viktiga. Anders Hermansson (15:47) Lite smodare kurva på något sätt. Ja, det är väldigt viktigt. väldigt viktigt. Ja, men grymt. Vi kanske skulle komma in lite grann på det här med då kopplat till Investeringskommittén och det här. Hur tittar ni på saker? Och jag måste säga, alltså det är ju nästan fånigt, men det finns väl… Vi har ju faktiskt lyckats prata nu i några minuter utan att nämna AI, men nu kommer det liksom. Det här med att titta på bolag och deras förmåga att skapa värde och sådana saker. Hur gör Montero och du och ni när ni tittar på bolag och också ur perspektivet om det har påverkat ert perspektiv över huvud taget med AI? Erik (16:34) Det enkla svaret är absolut. Vi lever med det här och känner både lugnet och stressen varje dag. Vi insåg väldigt snabbt att det här är en extremt stor möjlighet för våra portföljbolag. Många av de här sakerna vi sitter och kämpar med, att man sitter med en tech… Anders Hermansson (16:37) Ja, eller hur? Erik (17:00) skuld i man sett i produkten eller man behöver migrera en kundbas och behöver lägga in en produkt i harves mode eller man behöver utveckla ny funktionalitet. Länge har ju utvecklingsordning inom bit by software varit en flaskhals. Vi har ju haft långa roadmaps där det har varit diskussioner hur vi ska prioritera roadmapen. Där vi har kommit till ett läge där vi kan åstadkomma väldigt mycket. Mycket mer effektivt och öka produktiviteten i våra utvecklingsavdelningar. Och då gäller det att fånga de här möjligheterna. Fånga den här förändringen. nu kommer vi tillbaka igen till 90-talet här. Det är nästan som jag känner att jag kommer tillbaka till. Då kom eran i slut 90-talet med internet. och alla möjligheter som uppstår med mjukvara, internet och att alla fick en PC på skrivbordet. Och samma känsla har jag här och nu att vi är i en sån stor omställning och jag befinner mig mitt i den omställningen tillsammans med mina bolag. Och stressen är ju att alla bolag Anders Hermansson (18:11) Mm. Hmm. Erik (18:28) måste känna vilka möjligheter som finns här ute och ta vara på den. Samtidigt kan jag inte säga till dem vad best practice är. För vad har hänt sedan november, december med Claude och Claude Cowork till exempel. Alltså det har ju hänt extremt mycket och när det är optimalt Anders Hermansson (18:38) Nej, nej, exter. Erik (18:53) Hur ska jag bygga mitt utvecklingsteam? Hur ska jag jobba inom product management? Hur ska jag jobba med QA inom inom inom inom R &D? Hur ska jag jobba med releaserna och övriga avdelningar? Marketing, sälj, customer support, etc. etc. Så det här förändrar ju hela sättet hur vi driver våra bolag och det skapar sådana möjligheter. Och så var det ju alla de här transformeringarna jag varit inne i. Anders Hermansson (19:08) Exakt. Mm. Erik (19:22) mobil, internet och så vidare så har det alltid uppstått nya möjligheter för nya aktörer. Så det kommer ju att dyka upp nya spelare på marknaden som kan wipe code, kan göra någonting väldigt väldigt snabbt. Det är en enorm möjlighet för nya entreprenörer, för våra barn och ungdomar att driva bolag. De kan ju ta fram en produkt såhär snabbt, alltså mjukvaran i produkten. Anders Hermansson (19:30) Mm. Jag har faktiskt, jag har senaste tre veckorna så har byggt en SaaS-plattform själv. Den tog 30 år att bygga, konstaterar jag. För det är 30 år, 29 år och 11 månaders erfarenheter som på en månad nu är en SaaS-plattform för hela go-to-market-processen inom B2B. Erik (20:06) Du ser där vilka möjligheter nu och jag menar det är också intressant. är ju att precis där du sa 29 30 års erfarenhet domain expertis alla de saker för ofta får man höra här. Vi kodade över konkurrenten då som kommer upp som nytt. Ja men då kanske de kan konkurrera ut Lime eller Pythagoras eller Planema eller Pir. Jo men det man inte får glömma bort är ju att många av här bolagen har levt i 20 år 30 år. Anders Hermansson (20:18) Mm. Erik (20:36) Det är inte bara kod de har genererat. kanske är 20 procent av personalkosten är kod. Det andra handlar ju väldigt mycket om integration, nätverk, att vara compliant, supporten, implementation, domänexpertis. Allt det där är 80-90 procent av övriga erbjudandet som gör att du differentierar dig. Och då gäller det ju att dra nytta av möjligheten att kan göra med kod, att generera bra Anders Hermansson (20:38) Det ses. Erik (21:05) mjukvara och kombinerar det med övriga produkter dutehandhållen. Så i alla de här förändringarna kommer det uppstå nya nya aktörer. Det kommer vara existerande som inte hoppar på tåget som inte förstår förändringen som inte orkar med att göra förändringen som kommer bli utkonkurrerade och det kommer vara en rad befintliga som fattar möjligheten och kommer bli mycket mycket större i morgon. Tack vare AI och de möjligheterna som dyker upp. Och min stress och möjlighet är ju att hjälpa de här bolagen att göra transformationen. Att bli mjukvaruföretag som drar nytta av AI som verktyg och i sina produkter. Det svåra i det här är ju att veta exakt hur ska en utvecklingsavdelning se ut? Hur är den optimal? Vi har inga best practice. Det enda vi gett är att vi måste anamma förändringen. Vi måste vara på de här sakerna. Vi måste utveckla de första funktionerna. Jag kanske inte vet hur ett gränsligt AI-gränssnitt ska se ut optimalt i mjukvaran. Det kanske är så att det ska vara en chat där man chatta och en agent gör saker och ting i mjukvaran. Eller så kan det vara en kombination av det gamla gränssnittet eller något helt nytt. Det enda jag vet är att vi måste vara på det här och om vi gör det så lär vi oss väldigt mycket av våra portföljbolag. Vi träffar ju extremt mycket bit och software bolag. Samtidigt så kan vi ta med oss den erfarenheten in i nya bolag hela tiden. Så det finns väldigt få aktörer som i och att vi fokuserar på bit och software så bygger vi upp mycket erfarenhet kunskap och vi bygger upp en best practice över tid. Om vi bara är på den förändringen. Anders Hermansson (22:53) Och höjst är. Hur är det med bolagen i Köfir? Jag har varit med i många, dels själv i vissa startups men också delaktigt som en marknadspartner till startups. Då har alltid varit att vd måste lägga mycket energi på att leta pengar. och ringer vd-arna runt med hjälp av kassinstytet så att de andas och leta pengar. Står folk i kö utanför Montero och knackar på vill komma eller hur funkar det? Scoutar ni efter bolag på något sätt eller hur ser det ut just nu? Erik (23:33) Man önskar ju det var en kö utanför med de finaste bolagen som står här utanför och säger kom igen hjälp oss. Men men faktum är att vi har blivit större och större och vi har ett ganska bra brand i Norden. Hur har det kommit sig då? Jo men det är ju att vi har långvariga. Vi har vatt på den här marknaden sedan 2012. Anders Hermansson (23:39) Ha Erik (24:03) Det vi gör är väldigt mycket likt ett mjukvaruföretag. Vi är ute och gör olika event. Vi har det som kallas Nordic Software Summit i augusti, den 20 augusti, där vi samlar 1500 entreprenörer och C-level-nivåer i mjukvaruföretag inom B2B Software i en stor summit under en hel dag. Där vi nätverkar, Vi har bra presentatörer som kommer att presentera olika viktiga topics, till exempel AI eller pricing eller liknande ämnen. Och hela syftet är inte att de ska känna att vi säljer till dem, utan hela syftet är att bygga ett varumärke där vi är relevanta inom BTP-software. Sen gör vi på liknande sätt så sätter vi upp en turné, Nordic Software Tour, där vi åker runt i hela Norden. Anders Hermansson (24:51) Mm. Erik (24:58) ut till alla de lokala återna i Oslo, Stavanger, Trondheim, Nordra Finland, södra Danmark och så vidare för att träffa mjukvårdföretagen på sin hemmaplats eller hemmaarena. Vi gör poddar i det här forumet, väldigt viktigt för oss. Vi skriver mjukvårdförebycker, vi frukost och luncher för att hitta forum där vi kan visa vår erfarenhet och kunskap. Anders Hermansson (25:02) Mm. Erik (25:25) Vi kan ge vår erfarenhet kunskap till mjukfart företagen, även nystattade startups. För vi vet att lyckas dem så kommer de växa in i vår ICPA, i vår målgrupp. Våra sellitprocesser varar kanske två till fem år. Det vill säga vi ska träffas ett antal gånger både hos dig och hos oss för att lära känna varandra. Dela med oss av idéer och Anders Hermansson (25:36) Mm. Mm. Erik (25:54) problem vi har utbyta dem. Lite gå tillbaka till 2012 när jag träffade Peter Thomas första gången. I mötena ska vi diskutera strategi och affärsplan och bygga upp saker och ting tillsammans för att kvalificera varandra om vi vill göra någonting tillsammans. Det man kan säga är att många bolag när de träffar oss står inför inflection point där de där de känner att. Men vänta nu. Anders Hermansson (26:03) Mm. Mm. Mm. Erik (26:23) Jag saknar kunskapen att lägga till ett kontor eller gå in på en ny marknad eller hur ska jag göra här pricing projektet eller nu ska jag ta och flytta upp och skapa en ny produkt. Hur gör jag det när man står inför de där skifterna och man tycker att man saknar erfarenhet och kunskap. Det är ofta då vi kommer in och hjälper de här entreprenörerna hjälper management teamet med den erfarenheten och blir. Anders Hermansson (26:50) Okej, det är väldigt långt ifrån dumma pengar låter det som såklart. Erik (26:54) Vi egentligen så här, du behöver ha dumma pengar och behöver ha minoritetsägare där du vet exakt hur du ska driva ditt bolag. Då ska du inte gå med oss, ska du inte, då ska du inte, ska inte vi vara där. Ofta är inte ditt, bolagen vi investerar i är inte perfekta. Det finns inga perfekta bolag som vi investerar i utan ofta har de några stycken röda lampor och gula lampor så någon måste ha hjälp med. Men man kommer ofta tillbaka till att det vi vill ha och det vi söker det är Anders Hermansson (26:58) Mm. ⁓ Nej. Erik (27:24) Nöjda kunder, det är en väldigt bra grej. Och att churn rates är låga. Alla bolag som ligger på över 10 procent och inte riktigt satt den här product market fitten. De försöker vi nog undvika vanligtvis. Nummer två så är det också viktigt med produkterna. Att det är stabila, fina, bra produkter. Anders Hermansson (27:25) Just det. Mm. Erik (27:53) som har en tydlig differensering och då produkter pratar jag både mjukvara men så pratar jag också de andra sakerna runt omkring som differensierar företaget mot sina konkurrenter. Och sen så det tredje det är ju att det finns en kultur ett DNA i bolaget där man är värderingsstyret att vi kan stå för vad bolaget är. Och då kommer man ofta tillbaka till grunderna och entreprenörerna, vilka de är och vilken bakgrund de har och vilken filosofi de har. Och hur de driver bolag helt enkelt. Anders Hermansson (28:22) Mm. Ja, jag fattar. Det låter som att det kan man inte få reda på i pitchdäcket. Det är processen att lära känna varandra som säkerställer det. låter som att är väldigt annorlunda, en lång process som bygger på kvalitet och dialog istället. Erik (28:52) Ja, och tittar du på processen när vi lär känna ett bolag så är det väldigt mycket möten, olika event, olika mötesplatser. Det kan vara på event och kan vara webbinarie och det kan vara fysiska möten på vårt kontor och deras kontor för att lära känna varandra och hitta varandra. Så att absolut, och den ser ju väldigt likt ut. Anders Hermansson (28:57) Hmm. Mm. Erik (29:22) ett vanligt mjuk, alltså om du säljer enterprise mjukvara i en lång komplicerad process, då är det ungefär så. Och vi gör ju det här, vi är fullt medvetna om att entreprenörerna gör ju det här väldigt sällan. Så vårt jobb i den här är att hålla dem i handen och skapa tryggheten i att ja, men det här gör vi tillsammans. Vi hittar det här partnerskapet tillsammans. Och komma tillbaka till det, pengarna. Anders Hermansson (29:29) Mm. Just det. Erik (29:52) Nej, det är det. Det är inte vår produkt. Vår produkt är att vi sitter på massa erfarenheter och kunskap. Att vi har 35 andra bolag i ett nätverk som vi delar kunskapen och erfarenheter med mellan varandra hela tiden. Jag tänkte själv att du har… Ja, istället för att du sitter som CTO i ett bolag så kan du alltid ringa till 35 andra CTO’er och bolla din utmaning. Det är ju en enorm möjlighet. Anders Hermansson (30:17) Mm. Just det. Ja, verkligen. Annars kan man bli lite ensam. Jag fattar. Vad heter det? Behöver man vara lönsam också, Erik (30:29) Det måste man inte alltid vara. Det måste finnas en underliggande lönsamhet. Vanligtvis tittar vi på bolag som har hittat en product market fit. Vi investerar inte i startups utan vi investerar i det vi kallar scale-ups till tillväxtbolag. Om det ligger någonstans mellan 20-30 miljoner i återkommande intäkter upp till 400-500 miljoner i återkommande intäkter. Det är någonstans ett bolag vi investerar i. Och sen har vi då skapat en playbook eller en process eller en metod hur vi driver våra bolag under sju till åtta års tid som är ungefär genomsnittstiden som vi är ägare i våra bolag. Och då har vi lite olika faser och i de här olika faserna så finns det olika delkomponenter vi kan använda. Det kan vara så att du har behov av hjälp med pricing, rekrytering, gå till nymarknad, konvertera dina räkenskaper till IFRS eller ta fram en transfer pricing modell. Alla avdelningarna du har är ett mjukvaruföretag, support, sälj, finans, utveckling, AI. Så alla de specialistområdena har vi också på Montero. Och under de specialistområdena så har du delkomponenter som vi till hand och hålla som vi försöker standardisera. Så vi kan hela tiden plocka från den verktygslådan. så säger vi om okej, nu har vi problem med pricing. Då tar vi in de här två experterna som är duktiga på det och som kan hjälpa er att driva den typen av projekt. Om ni vill det. så, men det viktiga i alla de här i de här projekten är det att Anders Hermansson (32:14) Mm. Mm. Erik (32:21) att man har ägandeskapet, att ägandeskapet ligger hos bolagen. Det får aldrig bli att vi körlar eller att vi håller för mycket bolagen i handen, utan ägandeskapet måste alltid ligga i bolaget. Och det är alltid management som ansvarar för driften av företagen. Och sen blir det att… Anders Hermansson (32:38) För fråga, man tänker så här, de första 100 dagarna, finns det någon sådan liksom, vad händer? Erik (32:45) Vi kommer från en värld där vi säger att de första hundra dagarna måste vi tillsammans med bolaget lära känna varandra och tillsammans bygga upp budget eller vad heter det, affärsplan och strategi för att hitta det här. För bolaget sitter ju på DNA1, sitter ju på marknadskunskapen, de sitter på domänexpertisen, medan vi kommer ju med erfarenheten från från att driva BTP-software. Ibland så har vi lite domänexpertis men inom det området de är inom men framförallt så är det bolag som sitter på det unika där. Och det gäller ju att det smälter samman. Vår erfarenhet och bakgrund tillsammans med deras domänexpertis och bolagsexpertis är det som skapar det här unika. Vi kan ju ha hypoteser när vi köper ett bolag men det Ofta tar det några månader att lära sig och sätta alla de där blocken på plats. Nu är det så att vi träffar i bolagen så länge, alltså två till tre, fyra, fem år innan. Och vi har ju ett antal möter där vi sitter och diskuterar budget eller affärsplan och strategi. Vilket gör ju att ibland får vi lite snabbare stadt. Så vi kan påbörja det här förändringsarbetet redan. dag ett, dag två. Så det beror lite på hur situationen är och vilket bolag vi kommer in i. Likadant så är det så här att vissa bolag måste ha mycket mer action i. Det vill säga att där måste vi kanske göra management komplettering eller förändringar dag ett. Vi kanske måste rekrytera säljare, vi kanske måste bygga en marketingorganisation och då vet vi det. Och då är handlade tiden väldigt viktigt att Anders Hermansson (34:09) Jag fattar. Mm. Mm. Erik (34:37) att agera på det snabbt. andra bolag så kan ju bolagen vara mer mogna. Det kanske redan ha en organisation med 150 anställda och har kommit en bit på vägen. Då handlar det mycket mer om att justera och kanske mer fokusera på några stora grepp. Kanske göra &A eller gå till ny marknad. Så jag tycker det är viktigt att man anpassar sig efter de olika bolagens situation. Anders Hermansson (35:02) Hur ofta? Erik (35:07) Man läser de där, men vi har blivit, om man tittar på de senaste tiden så har blivit mycket mer metodiska även under de första 100 dagarna. Hur vi onbordar och skapar en struktur i bolaget för att kunna växa. Det vill säga att vi sätter många av de här grundinvesteringarna, det är ER, PSS, TIEM eller sätter olika managementfunktioner på plats. Sätter rapporteringen på plats. Ofta de där sakerna måste vi göra de första 100-200 dagarna. Anders Hermansson (35:07) Öster. Just det. Erik (35:38) så att vi kan gasa på skalningen sen med tillväxt. Anders Hermansson (35:41) Jag tänkte fråga lite om styrmodell och sånt där. Har ni en som ni då tycks ha så här? Nu gör vi så här. För det kan ju vara en chock för en vd, en entreprenör som har drivit sin egen låda och sen kommer man P.E. ägd och så smäller det till med rapportering och sånt på ett betydligt mer strukturerat sätt än man kanske gjort förut. Erik (36:02) Det jag lärde mig 2012 när jag ute i min första eller den strukturerade processen där jag träffade 30 olika private equity spelare. var att jag var en entreprenör som körde väldigt mycket på. Jag jobbade ju väldigt mycket i marknaden och bland mina medarbetare, mina kolleger och hade ju väldigt mycket anekdoter. Jag tog ju mycket på kundinformation och medarbetare information. Jag hade full koll på marknaden, men jag hade inte lika bra koll. Anders Hermansson (36:29) Mm. Erik (36:32) Jag var inte lika datadriven, intent. Jag var väldigt fokuserad på kassaflödet och förutom faktura och de där bitarna och det brukar vara så på entreprenörer. Jag hamnade i en dd-process med en private equity och då boomade jag en forecast mitt i det arbetet. Och där jag boomade en del saker jag hade sagt med på anekdotstadie och magkänsla. Och där och då på sommaren svod jag att jag inte skulle hamna i den situationen igen. Så då skapade jag det, jag gick tillbaka och jobbade med mina rådgivare vid den tidpunkten. Jag gjorde modeller, gjorde bottom-up-analyser och gjorde ett ordentligt modellarbete för att ta fram affärsplan. Och det jag landade i var ett fullständigt rapportpaket på alla avdelningar. Så jag blev datadriven. Och det jag lärde mig där och då, det var att… Att kombinera den här kundnärheten, medarbetarnärheten, marknadsnärheten ihop med datan. var det som skapade dynamiken. Det det som skapade margin. Och det är nödvändigt för att ta de här bolagen till nästa nivå. Och ibland kan det vara en liten chock när man kommer in med en rapportpaket och säger, men det här måste vi plocka fram. Det är viktigt att… Men de… Nästan alla säger tack, god gul, att vi gjorde det här. att vi satt den här CIFO på plats, att vi skapade den här styremodellen och vi blev datadrivna. För två år senare när det har jämförelsetalen, du kan verkligen bli datadriven, du kan fatta besluten tillsammans med marknadskunskapen. Det där skapar margin och det skapar en stort värde för de här tillväxtbolagen. Och du måste göra det. Om du ska gå från startup till en scale-up. Du måste ta det steget. Det är en tydlig inflection point. Anders Hermansson (38:32) Just det. Ja, jag fattar. Bra poäng där. Det är väl många som vill bli datadrivna men man behöver nog en extern påverkan för att orka ta steget. För man känner ju att man kanske har örat mot marken i sin egen verksamhet. Det inte riktigt det som prioriteras då. Hur mycket styr och mycket coachar ni? Jag fattar inte situationsdrivet men det måste väl finns någon… Erik (38:54) som brukar vara. Anders Hermansson (39:01) Någon filosofi sådär. Erik (39:04) Jo, men det är väldigt mycket coaching. Jag har ju samtal med alla mina vd-ar flera gånger i veckan, men jag ett strukturerat, inbokat samtal med alla där vi har en tydlig agenda där vi går igenom. Och då är det ju, då kan man tycka att det är väldigt operativa frågor i mångt och mycket vi diskuterar. Men det små bolag, det går inte att säga hur många procent jobbar strategiskt, hur många procent jobbar operativt. Det där blandas hela tiden upp och ner i de här två frågorna. För att kunna vara… Jag brukar säga att lång sikt byggs upp av väldigt många kortsikt. Du måste dela upp det där och leverera mot dina kopier eller datapunkter varje dag. Och ska du få till den här strategiska förändringen så måste du få det hända kortsiktiga. Så att det handlar ju väldigt mycket om att det är mycket coachande där vi bollar saker och ting. Jag hamnat i den här kunds situationen. Vad tycker du? Hur ska vi göra? Lite erfarenhet i kunskap i den. Vi funderar på den här typen av funktionalitet i våra produkter. Hade skapat det här värdet för våra kunder? Ska vi göra det organiskt, inorganiskt? Hur ska vi skapa den förändringen? Och ibland handlar det om som en vd. med det här manodepressivet jag pratade om tidigare. Och för mig som ordförande handlar det ju väldigt mycket om att vara psykologen ibland. Ibland ska jag ju pusha när de känner sig för bekväma och ibland ska jag lugna ner dem när de är stressade. Och hela tiden var den där personliga, anledning till coachen som de kan hålla i handen. Som sitter på erfarenhet och kunskap. Anders Hermansson (40:51) Hmm. Just det. Erik (40:58) Nej, men jag tycker nog att det är extremt mycket kortskning där vi driver ett bolag tillsammans. Den här vi känslan är ju det viktiga. har ju inga tjänstemän som driver våra bolag i management, utan de har instrument, de är delägare i våra bolag. Vi sitter i samma båt, så går det bra för bolaget, så går det bra för dem och det går bra för oss. båtprincipen är jätteviktig för oss att vi gör det här tillsammans. Anders Hermansson (41:05) Mm. Mm. Mm. Erik (41:28) En. Anders Hermansson (41:30) Det är en ganska stor grej ju. De entreprenörer som jag har kontakt med och sådär. Att ge upp majoriteten till någon annan. Hur tänker ni och pratar ni om det där med… Erik (41:46) Det som jag har respekt för, för det är ju ens baby som man har levt med och man har skapat över många många år. Det är inte helt enkelt att överge den frågan. Det som är viktigt i det tycker jag är just det här att det tar tid att vilja känna varandra. Att en sån här process är en kvalificering för båda parter. Anders Hermansson (42:01) Nåååå Erik (42:12) Därför är viktigt att vårt renomi, vårt varumärke ute på marknaden är extremt viktigt för att entreprenörer ska våga släppa in oss i företaget, att lämna nycklarna till oss att vara med och driva det här företaget. sen är det så här, det funkar inte så. Det inte så att en entreprenör lämnar nycklarna till oss, för då har vi nästan failat hela det här. Utan vill inte management och entreprenörer vara med och driva det här bolaget tillsammans. Anders Hermansson (42:24) Mm. Erik (42:41) Då är inte vi heller med, utan det här är väldigt, väldigt mycket ömsesidigt att vi gör någonting tillsammans. Vi driver bolaget i partnerskap tillsammans och därför är så viktigt med den här dynamiken tillsammans så att. Antiponörerna och management de sitter ju på det jag pratar om tidigare. sitter på erfarenheten, domäne, expertisen, kundkontakten, medarbetarna. Allt det som är värdet i bolaget sitter de ju på. Sen. Anledningen till att vi måste ha majoritet är ju framför allt för att vi vill ha en koncentrerad, vi kan inte äga 150 bolag i vår portfölj. För vi har inte en organisation för att hantera det. Jag kan hantera sex bolag som ordförande, jag kan inte hantera fler. Vilket innebär att jag måste ha fler, eller vi måste ha fler liknande profiler som mig hela tiden. Så köper vi två bolag till så måste vi ha en som kan hantera de här två bolagen. På det sättet är inte vår modell särskilt skalbar. Det vill säga att vi måste anställa människor som bygger på det här. Bygger det här företaget. Och det som händer då, det är just den här dynamiken att de sitter på extremt mycket makt trots att de är minoritetsägare. Så det optimala vi söker är att vi äger någonstans mellan 55 till 80 procent. Anders Hermansson (43:50) Mm. Erik (44:09) Och så sitter management och entreprenörerna kvar med stor del. Det viktiga i det är ju att som jag pratade om båtprincipen, men ofta är ju exiten i nästa steg när vi säljer bolaget. När vi har tagit bolaget till 3, 4, 500 miljoner och vi vet hur man säljer ett bolag av den size till. Och vi har byggt upp ett nätverk med massa olika private equity spelare, strategiska köpare. Anders Hermansson (44:28) Mm. Erik (44:39) så knackar på dörren och tittar på våra bolag hela tiden. Vi tror oss veta att vi kan få bättre betalt för den typen av bolag än många andra. Så det är ju ett värde vi också levererar till våra entreprenörer och våra management team. Att man krokar arm och gör en resa tillsammans. Exiten i steg nummer två är minst lika viktig som exiten i steg nummer ett. Och vill man, man… Anders Hermansson (44:50) Mm. Jästän. Mm. Ja. Erik (45:07) Det viktiga är att man lär känna varandra över tiden. Anders Hermansson (45:10) Jag fattar. Om man nu är entreprenör och har sitt bolag och som du säger, hittade lite olika triggersteg inflection points där man började ta ett lite större, så att säga, okänt steg som en tydlig signal på att det kan vara smart att utvärdera i alla fall någon som Montero. Men vad skulle du säga? Vad skulle du ge för tips till en entreprenörer som då kanske äger mycket stor del av sin bolag tillsammans med övrigt management när de börjar tänka på det här med att ta in externa ägare. Erik (45:50) Till att börja med så ska du inte ens innan du börjar tänka tanken så tror jag du ska ändå kanske ta lite luncher och vara på din del event och lära känna lite av de här potentiella köparna som du tänker det hade kunnat vara en bra partner för lite. Kommer tillbaka till det jag sa. Det är en kvalificering för båda parter. Det inte så att du får göra det sex månader innan eller tolv månader innan utan du kan ha en dialog med många. Anders Hermansson (46:08) Mm. Erik (46:20) av oss, även mina kollegor i branschen, två, tre, fyra år och ta lite tips och råd på vägen. det är lite vår grej helt enkelt. Vi delar gärna med oss vår erfarenhet och kunskap för då får man testa lite det här, vilket värde vi levererar, vilket värde vi kan skapa för ditt bolag. Så det är det ena att vara lite mer långsiktig och kvalificera. Sen så tror jag att Anders Hermansson (46:27) Mm. Mm. Erik (46:50) Det låter kanske enkelt att men jag tror att kvalificera vad är det för någonting de kan leverera förutom pengar. För pengar är ganska lätt att få om du har ett fint bolag och det är lätt att lockas av vem som sätter högst prislapp på företaget. Men ofta är ju bolaget mer viktigt än så. Det vill säga Anders Hermansson (47:05) Mm. Ja, ja. Erik (47:20) Vad vill du att bolaget ska ta vägen? Vad vill du att medarbetarna ska ta vägen? Hur vill du att det ska utvecklas? Vill du vara med på resan framåt? Och hur kommer då bolagets andra exit eller hur ska bolaget utvecklas och ta vägen? Att bygga upp den planen tillsammans med en potentiell investerare. Det tror jag är en smart grej att göra. Anders Hermansson (47:35) Mm, jävlar. Just det, så att man inte ser Montero, vad heter det, intåget som ett slutstation, så att säga, utan det är ett steg på vägen någonstans. Erik (47:58) Exakt. Och att värderingarna mellan dig och en potentiell investerare är de är hyfsat likvärdiga och att ni kan funka bra tillsammans. Sen tror jag att ett misstag jag ser väldigt många är att de raisar pengar lite löpande, de tar in lite affärsänglar och så tar du in en affärsängel som köper 5 procent och så tar du in en som köper 7 procent och en 10 procent. Anders Hermansson (48:12) Mm. Ja, exakt. Erik (48:26) Och så VIP så har du en cap table med 60 namn där det inte betyder någonting för dem. Du kanske har fortfarande kontrollen över bolaget. Du kanske har sålt 30 procent eller 40 procent. Men det enda du måste göra är att hantera en massa aktieägavtal och du måste hantera en massa olika affärsänglar. Ska du göra det? Försök göra den här ägarlistan så kort som möjligt och göra det rejält. Det är också någonting jag tror på. Anders Hermansson (48:32) Ja precis. Mm. Mm. Erik (48:56) Återigen, gå inte bara på pengarna eller värderingen utan gå på det långsiktiga. Det kommer att vara värdeskapande för företaget över tid. Anders Hermansson (49:01) Mm. Det är jäkla bra avslutning men jag måste få ta ett varv till runt AI-grejen här. Det finns ju dom som säger att AI då är liksom… vad kallar man för? Sa… Sa… Sa… Gaddon eller någonting. liksom hela… Nej nej, varför ska vi hålla på köra på appar? Jag kan ju som vanlig användare bara promta fram det jag själv vill ha, att säga. Erik (49:17) Mm, stämmer. Anders Hermansson (49:26) Hur ser ni på… Vi pratade mycket om AI. När vi pratade tidigare så är AI en stor möjlighet i form av produktivitetsökning som är helt galen. Jag har ju pratat med andra mjukhårdbolag som säger att vi har slut på idéen nu. Den här product roadmapen åts upp i natt av mina 190 klådagenter som bara tuggar i sig den. Det är ena sidan av det. Fantastiskt. Med den följer ju… Då är en konkurrens situation när andra kan göra likadant om de har huvud på skraft. Men det här med liksom hur ser du att det påverkar möjligheterna för hela SAS-branschen vad det gäller att uppfinna värdeskapande bolag helt enkelt när så mycket av värdet numera inom olika områden kan pluppa ut ur chatgrippet till heliklod. Erik (50:19) Jag tror så här att man ska vara lite försiktig att klumpa B2B-software och SAS och sätta alla i en kamm. Det är väldigt stor skillnad mellan SAP och ett mjukfaderföretag som gör någon form av dashboard. Om man går tillbaka fem till tio år så var det ganska coolt att driva ett SAS-bolag som var Low Touch eller No Touch. Anders Hermansson (50:46) Mm. Erik (50:47) Du marknadsförande på webben, kunde betala mjukvaran med ett kreditkort och så bara drog du den. Och sen så en product led growth modell. Ja, tittar man lite på de bolagen idag som har kanske inte så affärskritiska. De kanske har lite svagt usage. De kanske inte har så många integrationspunkter. Stickiness är ganska lågt. jag pluggade i Lund, om vi går tillbaka till Lundatiden igen, så pratade man om bindningar. Tekniska bindningar, juridiska bindningar, sociala bindningar mellan företag. Antalet bindningar gör ju att man bygger stickiness. S och P, vi kan ta ett exempel med Lime egentligen. 2005 försökte jag sälja till Göteborgs energi. Anders Hermansson (51:26) Mm. Erik (51:41) Vi fick inte göra det. Vi omsatte 30 miljoner. Vi var för små och vi hade inte de processerna och policy som behövdes. 2012 försökte vi sälja till Göteborgsenergi igen. Det gick inte. Vi omsatte 100 miljoner. Vi hade inte isosatveringar eller liknande ITIL-processer på plats. 2026, för ett par månader sen, sålde vi till Göteborgsenergi. Nu omsätter vi över 800 miljoner, 550 anställda och har alla de där sakerna på plats. Att implementera Göteborgsenergi, att sälja till Göteborgsenergi tar flera år. Att implementera produkterna hos dem, alltså mjukvaran, kommer ta tolv månader kanske, 18 månader. Både Microsoft och Salesforce har gått bet på denna implementation, de misslyckats med denna implementation. Samma sak i ett energibolag nere i Tyskland. tar väldigt lång tid, är svåra implementationer, krävs mycket integrationer, mycket folk som är involverade. Och då det inte bara att ta data och migrera data eller att integrera, utan det handlar ju om en förändringsledning. få det här företaget att anamma ett förändringsarbetssätt, processer och rutiner. Och det är ju en jäkla skillnad på det företaget och den typen av produkter. Jämfört med Low Touch produkt. Så när vi sitter och tittar på investeringar och tittar på så försöker vi undvika den här typen av mjukvara som är mycket Low Touch, liten usage, hög könnivå som är lätt att kopiera och när de differenserar sig så pratar de om funktioner i produkten. Ja men funktioner i produkten har aldrig varit lättare att ersätta, att kopiera. Däremot Anders Hermansson (53:19) Mm. Mm. Hej då! Erik (53:37) att konkurrera med den andra delen om du har jobbat med enterprise och implementation, support, att du har andra saker som gör att du differentierar dig. De är ju mycket större mots, mycket större valggrava, mycket svårare att konkurrera mot. Så den typen av affärskritisk mjukvara med många antal bindningar och hög stickiness, den typen av bolag gillar vi. Anders Hermansson (53:51) Mm. Mm. Mm. Jastu. Erik (54:06) och som är affärskritiskt och hög användande i grad i bolagen. Anders Hermansson (54:10) Just det. Och där har man inte utsatt för att bli satt Erik (54:15) Det kommer ta mycket längre tid i alla fall att bygga den typen av företag för att komma tillbaka till det. Du måste bygga upp den erfarenheten kunskapen. måste ha kundreferenserna. Du måste bygga upp de där processerna. Du måste bygga en organisation. Det handlar om att bygga ett bolag och då räcker det inte med att min son sitter hemma och webcoda ett CRM system. Och det kommer det vara en del mindre företag. Anders Hermansson (54:24) Ja. Erik (54:40) kommer ha någon student inne eller någon duktig medarbetare som kan göra ett enkelt CRM system. Ja, och det kan man ju funka för en eller två eller tre användare. Men jag tror att de flesta företag inser att… Tittar du på trenden de senaste 30 åren så har vi gått ifrån att göra egenutvecklade mjukvaror till att köpa standardiserade mjukvara ifrån en leverantör för man vill ha någon som… Alltså så kan man hålla ansvarig för implementation, support, uppgradering och så vidare. Sen så jag tror inte den förändringen kommer svänga tillbaka. Jag tror inte bankerna kommer börja skriva egen ut med egen mjukvara, utan de vill ha en standardleverantör. Däremot kan det vara mindre bolag som lockas och det där för att spara lite pengar. Men jag tror över tid kommer det kosta mer pengar att förvalta den mjukvaran och jag tror att alla bolag Anders Hermansson (55:24) Mm. Erik (55:36) som har en sund affärsidé i grund och botten så kommer det vara mer lönsamt att driva sitt bolag och fokusera på den saken än att göra allt annat som en stödssystem till ens företag. Anders Hermansson (55:48) Ja, just det. Ja, men grymt. Erik, tack så jättemycket för alla bra insikter och inspel här. Det här är jätteinspirerande och jag hoppas att våra lyssnare uppskattar all din klogskap också. Tack så jättemycket för att du var med i Sälj Marknadspodden, måste jag säga. Erik (56:04) Tack Andes och tack alla ni som lyssnade. Anders Hermansson (56:07) Ja, grymt! Ha det så fint! Erik (56:10) Det samma. Anders Hermansson (56:11) Det var allt vi hade att bjuda på från Sälj och marknadspodden för den här gången. Jag hoppas verkligen att ni tyckte det var lika intressant och inspirerande som jag att lyssna på Erik. Det är alltid härligt med en person som har en så otroligt tung och gedigen erfarenhet och samtidigt är så villig att dela med sig av den. Både the good and the bad and the ugly. att säga. Underbart. Vi vill bara avsluta med vårt ständiga tips som kanske gäller nu mer än någonsin i dessa AI-tider. Vad ni gör där ute så ska ni vara relevanta. Hejdå! The post Podd #251 – Erik Syrén om att investera i bolag appeared first on Business Reflex.

In Bed With Nikky
Risky Hotel MILF Worship, Heatwave Wedding Breakdown & Basement GF-Sleeping Pounding

In Bed With Nikky

Play Episode Listen Later Jun 17, 2026 42:41 Transcription Available


Welcome back, you filthy animals, to another steamy edition of Dear Nikky — the only place where your dirtiest secrets feel right at home. I'm your host, Nikky, and tonight we're diving deep into risk, denial, and raw, throbbing temptation.Here are three mouth-watering stories coming up in this episode:A martial arts seminar, a flirty married MILF with piercings, and one very lucky student who ends up getting his cock worshipped, throat-fucked, and painted across her face while the rest of the group is just down the hall.A young couple trying to stay pure for their wedding… until a scorching summer heatwave leaves them naked and sweating in bed. One slow, torturous inch at a time, their three-week denial ends in the most explosive shared orgasm they've ever had.A 30th birthday party where the birthday boy grinds on his sleeping girlfriend… while his best friend starts sucking him off right next to her, then gets dragged to the basement for a brutal, hair-pulling, ass-ruining pounding that leaves him leaking cum on the couch the next morning.Mmm… ready to get soaked? Let's dive inJoin us over on Discord. https://discord.gg/uqqxsCSDfwSupport Nikky:Patreon: Unlock exclusive confessions, bonus thoughts, and steamy Q&As at Patreon.com/DearNikky. Join the inner circle for extra spice!Featured Release: Dear Nikky: Sex Confessions From People Just Like You is out now! Dive deeper into the raw, unfiltered stories you love. Contact:Email: Nikky@dearnikky.comWebsite: DearNikky.com/confessionsSocials: Twitter (@DNikky162), Instagram (@DNikky162), Facebook (@DearNikky)Content Warning: This episode contains explicit sexual content, including graphic descriptions of nudity, public sex, infidelity, and boundary-pushing consensual fantasies.Stories are fictional and depict enthusiastic consent. Listener discretion advised; 18+ only. Submissions involving bestiality, incest, underage role-play, rape, non-consensual content, or racial slurs are not aired. Get Involved:Submit Your Story: Got a secret fantasy or steamy confession? Write to Nikky at Nikky@dearnikky.com or submit anonymously at DearNikky.com/confessions. By submitting, you certify:You're the sole creator of the submission.You're 18+ and legally able to submit erotic material.No prohibited themes (bestiality, incest, underage, rape, non-consensual content, racial slurs).Names/identifiable info may be changed.You release all rights to the submission.Say Hello: Have a burning fantasy or just want to chat? Email Nikky@dearnikky.com or connect on Twitter (@DNikky162), Instagram (@DNikky162) , or Facebook (@DearNikky). Nikky wants to hear your naughtiest thoughts!Support the Show: Love these private peeks into filthy lives? Leave a review on Apple Podcasts, Spotify,  Spreaker or your favorite platform to help new listeners discover the heat. Your support keeps the conversation sizzling!Become a supporter of this podcast: https://www.spreaker.com/podcast/dear-nikky-hidden-desires--6316414/support.

まとまり系競馬サロン Mラジ
Mラジ第639回 ~宝塚記念2026予想~

まとまり系競馬サロン Mラジ

Play Episode Listen Later Jun 13, 2026 84:34


本編 https://keiba-mradio.com/wp-content/uploads/2026/06/639.mp3 血統フェスティバルでお馴染みのスンイチローさんが初登場です! そして今回からEDテーマが山谷結さんの「流れ星」になりました~。 メールフォーム→https://form1ssl.fc2.com/form/?id=6c28bc0edceb5d32 コーナー紹介・番組へのメッセージ 「ちょい強ちょい弱討論会」new! 今回のお題は「ブラストワンピース」 「ブラストワンピース」よりちょっと強い馬を教えて下さい! 「あなたの思い出の馬」 ・あなたの思い出の馬教えて下さい 「競馬事業仕分け」 ・競馬界の無駄を無くすのだ 投稿コーナーの詳細はこちら→おたより/コーナー紹介 番組へのメッセージはこちらからよろしくお願いいたします! [FC2メールフォーム] 予想印 ブライト(note→ブライト / 競馬ラジオMラジ配信中!) ◎スティンガーグラス ○ビザンチンドリーム ▲ミクニインスパイア △ダノンデサイル △ミュージアムマイル △レガレイラ バド(YouTube→バド競馬) ◎メイショウタバル ◯スティンガーグラス ▲レガレイラ △クロワデュノール 注ミステリーウェイ スンイチロー(X→スンイチロー|定番競馬ブログ血統フェスティバル20年突破!) ◎ダノンデサイル ○ミュージアムマイル ▲コスモキュランダ △クロワデュノール △メイショウタバル △レガレイラ △タガノデュード メンバーシップご紹介 ブライトがメンバーシップ始めました! Mラジリスナーの皆様、Mの法則を一緒に楽しみましょう ※メンバーシップ月額費はサーバー費など、Mラジの維持費に使わせていただきますm(__)m The post Mラジ第639回 ~宝塚記念2026予想~ first appeared on まとまり系競馬サロン Mラジ.

mmm fc2
In Bed With Nikky
Public Sluts, Late Rent Whores & Risky Reclamations Confessions

In Bed With Nikky

Play Episode Listen Later Jun 12, 2026 68:05 Transcription Available


Welcome back to Nikky After Dark, your favorite late-night escape where secrets get spilled, fantasies come alive, and no topic is too filthy. I'm your host, Nikky, and tonight we're diving deep into some of the hottest confessions yet.Here are three mouth-watering teasers for what's coming up in this episode:A bold exhibitionist who's been letting partners finger her and fuck her in public since she was a teen — closets, parks, parking lots, you name it. The thrill of almost getting caught has her dripping.A tenant who “works off” her late rent on her landlord's cock — bent over kitchen tables, laundry machines, even his open-door hallway blowjob. That power dynamic has her deliberately missing payments.A married man spiraling on hookup sites, cheating with women… and now craving cock while stroking to dominant older women. The guilt makes him throb even harder.Mmm… ready to get soaked? Let's dive in.Join us over on Discord. https://discord.gg/uqqxsCSDfwSupport Nikky:Patreon: Unlock exclusive confessions, bonus thoughts, and steamy Q&As at Patreon.com/DearNikky. Join the inner circle for extra spice!Featured Release: Dear Nikky: Sex Confessions From People Just Like You is out now! Dive deeper into the raw, unfiltered stories you love. Contact:Email: Nikky@dearnikky.comWebsite: DearNikky.com/confessionsSocials: Twitter (@DNikky162), Instagram (@DNikky162), Facebook (@DearNikky)Content Warning: This episode contains explicit sexual content, including graphic descriptions of nudity, public sex, infidelity, and boundary-pushing consensual fantasies.Stories are fictional and depict enthusiastic consent. Listener discretion advised; 18+ only. Submissions involving bestiality, incest, underage role-play, rape, non-consensual content, or racial slurs are not aired. Get Involved:Submit Your Story: Got a secret fantasy or steamy confession? Write to Nikky at Nikky@dearnikky.com or submit anonymously at DearNikky.com/confessions. By submitting, you certify:You're the sole creator of the submission.You're 18+ and legally able to submit erotic material.No prohibited themes (bestiality, incest, underage, rape, non-consensual content, racial slurs).Names/identifiable info may be changed.You release all rights to the submission.Say Hello: Have a burning fantasy or just want to chat? Email Nikky@dearnikky.com or connect on Twitter (@DNikky162), Instagram (@DNikky162) , or Facebook (@DearNikky). Nikky wants to hear your naughtiest thoughts!Support the Show: Love these private peeks into filthy lives? Leave a review on Apple Podcasts, Spotify,  Spreaker or your favorite platform to help new listeners discover the heat. Your support keeps the conversation sizzling!Become a supporter of this podcast: https://www.spreaker.com/podcast/dear-nikky-hidden-desires--6316414/support.

TD Ameritrade Network
Charts to Watch: GH, CARR, MMM

TD Ameritrade Network

Play Episode Listen Later Jun 12, 2026 6:42


Charles Schwab's Rachel Dashiell analyzes bullish technical setups across Guardant Health (GH), Carrier Global (CARR), and 3M (MMM). She points to cup-and-handle formations in GH and CARR, alongside a large base and strengthening trend signals in MMM.======== Schwab Network ========Empowering every investor and trader, every market day.Subscribe to the Market Minute newsletter - https://schwabnetwork.com/subscribeDownload the iOS app - https://apps.apple.com/us/app/schwab-network/id1460719185Download the Amazon Fire Tv App - https://www.amazon.com/TD-Ameritrade-Network/dp/B07KRD76C7Watch on Sling - https://watch.sling.com/1/asset/191928615bd8d47686f94682aefaa007/watchWatch on Vizio - https://www.vizio.com/en/watchfreeplus-exploreWatch on DistroTV - https://www.distro.tv/live/schwab-network/Follow us on X – https://twitter.com/schwabnetworkFollow us on Facebook – https://www.facebook.com/schwabnetworkFollow us on LinkedIn - https://www.linkedin.com/company/schwab-network/About Schwab Network - https://schwabnetwork.com/about

Next in Marketing
How Georgia Pacific Modernized Its Marketing Mix Modeling

Next in Marketing

Play Episode Listen Later Jun 11, 2026 22:16


Achieving true cross-channel attribution remains an uphill battle as walled gardens restrict access to critical log-level data. Georgia Pacific's Vice President of Integrated Media and Brand Analytics, Javier Bustillos, reveals how his team combats these fragmentation challenges by accelerating in-house Marketing Mix Modeling and adopting a disciplined, test-and-learn approach to automation. Key Highlights

Sexologie
Gruppensex

Sexologie

Play Episode Listen Later Jun 11, 2026 57:11


Orgie, Gangbang, Bukkake, Daisy Chain und Co. Gruppensex ist mehr als ein Porno-Klischee. Wir schauen auf psychologische Hintergründe, gelernte sexuelle Skripts, biologische Modelle (Stichwort "Spermienkonkurrenz") und Gruppendynamiken. Eine Folge zwischen Forschung, Fantasie und der Frage, wie Sexualität in Gruppen überhaupt funktioniert.--------Die erotische Audio-Plattform femtasy ist unser heutiger Werbepartner. So profitierst du von unserem Special Deal:

Money Meets Medicine
Is Loan Forgiveness Worth a $300K Tax Bill?

Money Meets Medicine

Play Episode Listen Later Jun 10, 2026 33:36


There are two ways to get your student loans forgiven — and the one nobody talks about could leave you with a six-figure tax bill. Most physicians know PSLF. Far fewer understand taxable forgiveness — the IDR path that hands you a massive tax bill 20 years down the road. Jimmy and Justin break down a real listener question (anesthesiologist + dentist, $400K in loans at 7%) to show why "married filing separately" math isn't as clean as it looks, and why your repayment plan now hinges on a looming July 2026 deadline. Resources mentioned: Looking for a CPA that does more than just file taxes each year? Check out Gelt, the proactive tax strategy partner that Jimmy personally uses, and receive 10% off the first year through the MMM link. Get $100 off a Student Loan Consult with Student Loan Planner: moneymeetsmedicine.com/loans Looking to refinance your private student loans? Click here to learn how to find the lowest interest rates out there. Every physician must get disability insurance before leaving training! Get a disability insurance quote from Money Meets Medicine Disability. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

The MM+M Podcast
The 2026 MM+M Agency 100, explained

The MM+M Podcast

Play Episode Listen Later Jun 10, 2026 38:58


Much like planning a wedding, the MM+M Agency 100 is an exercise in “hurry up and wait.”  This project is the result of a long, time-consuming process that requires steadfast dedication and commitment from everyone here at MM+M in order to see it through to the end.  Then, that special day arrives.  After months and months of tireless work on all things big and small, everything comes together into a blur of frenzied celebration and, equally as important, pure elation.  The 2026 MM+M Agency 100 is here and we're going to dig into the medical marketing firms we've been interviewing, writing and reporting on over the past five months.  In lieu of Trends, you'll hear some takeouts from our Women of Distinction ceremony that took place last week in New York.  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.

The MM+M Podcast
How Huge is rethinking healthcare's digital experience, a podcast sponsored by Huge

The MM+M Podcast

Play Episode Listen Later Jun 9, 2026 26:35


Most healthcare digital experiences are designed for a patient who doesn't exist and a promise they can't deliver. Lauren DeGeorge, chief client officer at Huge, joins MM+M reporter Bella Czajkowski to discuss what patients actually expect from digital health — and why the gap between expectation and reality keeps growing. From AI-powered patient journey simulation to the lessons consumer digital experience holds for health systems, DeGeorge makes the case that the industry's next leap is building for the patients in front of you, not the ones in your personas deck. Check us out at: mmm-online.com   Follow us:  YouTube: @MMM-online TikTok: @MMMnews Instagram: @MMMnewsonline Twitter/X: @MMMnews LinkedIn: 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 https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

The MM+M Podcast
Why Merge is putting AI on the org chart, a podcast sponsored by Merge

The MM+M Podcast

Play Episode Listen Later Jun 9, 2026 33:14


In this conversation, Stephanie Trunzo, CEO, Merge, and Pat McGloin, managing director of health, Merge, talk with MM+M about the future of AI, healthcare marketing and delivering Whole Human experiences. The discussion explores how Merge is embedding AI into its foundation to create more contextual, emotionally intelligent and consumer-centered brand experiences. From the Humanity Suite and AIgency model to the evolving role of empathy, creativity and systems of intelligence, the discussion highlights how Merge is helping health and wellness brands navigate an AI-driven paradigm shift while staying deeply human. Check us out at: mmm-online.com   Follow us:  YouTube: @MMM-online TikTok: @MMMnews Instagram: @MMMnewsonline Twitter/X: @MMMnews LinkedIn: 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 https://pcm.adswizz.com for information about our collection and use of personal data for advertising.

Digital Marknadsföring med Tony Hammarlund
Börja prata med din data: Ask Advisor, dataagenter och MCP – Johan Strand #160

Digital Marknadsföring med Tony Hammarlund

Play Episode Listen Later Jun 8, 2026 53:56


[Expertpanelen] Avsnitt 160 med Johan Strand, senior digital analyst och partner på Ctrl Digital, om hur vi som marknadsförare kan börja prata med vår data och få svar med hjälp av AI, agenter och nya funktioner. Från Googles Ask Advisor, Conversational Analytics och dataagenter i Data Studio. Till möjligheterna med att koppla Claude eller ChatGPT mot olika plattformar via MCP. Samt varför svaren och analyserna du får bara är så bra som din setup och kontext. Du får dessutom höra om: Var han anser att marknadsförare ska börja Hur AI låser upp nya typer kvalitativ analys Nackdelarna med plattformsspecifika agenter Teknisk skuld är största hindret för AI-analys Skapa agenter med Conversational Analytics Varför analys behöver en human-in-the-loop Tips på analyser som AI kan köra schemalagt Du får också höra en lightning round om nyheter kring Meridian Studio, Google Tag Manager, Google Ads Data Manager och Microsoft Clarity. Om gästen Johan Strand är senior digital analyst och partner på Ctrl Digital, en av Sveriges ledande analytics-byråer. Han är otroligt vass på Google Analytics, BigQuery och att bygga datastrukturer som skapar affärsnytta. Som återkommande expert i poddens nyhetspanel delar Johan regelbundet sina analyser av de viktigaste förändringarna inom digital analys, spårning och datainsamling. Johan är också en av arrangörerna av MeasureCamp Malmö. Tidsstämplar [00:02:25] Plattformsagenter från Google och Meta. Googles Ask Advisor och Metas AI Business Assistant, plattformarnas inbyggda agenter, vad de är bra på och var de brister. [00:04:20] Data Studio och Conversational Analytics. Data Studio är tillbaka och Conversational Analytics har blivit gratis. Johan förklarar hur du bygger en dataagent med egen kontext och guardrails. [00:10:15] MCP:er och jämförelsen med agenterna. Rollen som MCP:er spelar när de kopplas in i AI-verktyg som Claude och ChatGPT, och hur det skiljer sig från de inbyggda agenterna. [00:17:35] Rapportering vs analys och AI:s styrkor. Varför rapportering är en tryggare startpunkt än analys, och var AI briljerar: från snabba kvantitativa svar till kvalitativ data och verifiering. [00:27:10] För- och nackdelar samt användningsområden. Plattformsagenter, dataagenter och MCP-kopplingar ställs mot varandra, plus Johans bästa användningsområden och varför teknisk skuld bromsar. [00:33:33] Komma igång med AI inom analysarbetet. Hur långt de flesta marknadsteam har kommit, schemalagd anomaly detection, och Johans bästa tips och råd. [00:38:37] Lightning round: Meridian Studio och MMM. Googles Meridian Studio och varför marketing mix modeling gör comeback nu när last click-attributionen blir allt mer opålitlig. [00:44:02] Google Tag Managers största uppdatering. Nytt UI, containrar som blir Google-taggar och en ny visuell eventbyggare. Och vad det här innebär för användare. [00:47:40] Google Ads Data Manager och Microsoft Clarity. Google gör det enklare att skicka data mellan sina plattformar, och Microsoft Clarity tar en allt större plats i analys-stacken. Länkar Johan Strand på LinkedInCtrl Digital (webbsida) Meet Ask Advisor, your new AI-powered collaborator – Google (artikel)Want to improve ad results? Ask Meta AI business assistant – Meta (artikel)Conversational Analytics in Data Studio overview – Google (dokumentation)Data Studio returns as new home for Data Cloud assets – Google (artikel) Introducing Meta Ads AI Connectors: Manage Your Meta Ads From the AI Tools You Already Use – Meta (artikel)Use AI-powered skills to run ads on TikTok – TikTok (webbsida) Lightning round:Meridian StudioGoogle Ads Data ManagerGoogle Tag Manager-uppdateringarMicrosoft Clarity Veckans partners Huvudpartner: DigitalentaPartnernätverket: Paloma, Check och Klingit Se alla partners här tonyhammarlund.io/partners

Measure Up
Agentic MMM with Dr. Luca Fiaschi (PyMC Labs)

Measure Up

Play Episode Listen Later Jun 3, 2026 54:09


There's often a "human API" bottleneck when implementing marketing mix models in a business. What if AI agents could help?That's what we talked about with Dr. Luca Fiaschi, partner at PyMC Labs. Find out how agents can support the full MMM chain - data consolidation and validation, model building with priors and business knowledge, deployment and retraining pipelines, and interactive Q&A for scenario planning - shifting data scientists toward designing agent workflows and guardrails rather than manual iteration. Learn how Skills files can improve coding-agent correctness, token-cost and vendor lock-in concerns. And find out what PyMC Labs is cooking up with their open-source “Decision AI” stack (Decision Hub, Decision Lab, Decision Lens).Links from the show:Decision AI Discord Serverdiscourse.pymc.io00:00 Cold Open and Agents Joke01:17 Meet Dr Luca Fiaschi03:51 What Is Agentic MMM06:11 Agents Across MMM Workflow09:16 Do We Still Need Data Scientists17:44 Skills vs Vanilla Coding Agents25:27 Guardrails, Hard Checks and R-hat28:50 Token Costs and Business Value33:05 PyMC Labs Open Source Strategy36:46 Decision AI Stack and Lens Demo40:11 Agent to Agent Media Buying45:34 Future Foundational MMM Models49:31 Wrap Up Tips and Community

The Autism Little Learners Podcast
#177: Echolalia Is Communication (Not Something to Eliminate)

The Autism Little Learners Podcast

Play Episode Listen Later Jun 2, 2026 0:40


In this episode, we're talking about echolalia, what it really is, what it's doing, and why so many autistic children communicate this way. For years, many educators and therapists were taught to reduce echolalia or move children "past it." But research, autistic voices, and deeper understanding of gestalt language processing have helped shift that thinking in important ways. Echolalia is not meaningless repetition. It is communication. Today's conversation explores: what echolalia actually is the difference between immediate and delayed echolalia how gestalt language processors acquire language differently why scripts and repeated phrases often carry deep meaning what educators can do instead of trying to eliminate echolalia how to support communication in more affirming and responsive ways Because every echo carries meaning. And when we stop trying to eliminate it, we can finally start listening. In This Episode, You'll Learn • What echolalia actually is and why it matters • The difference between immediate and delayed echolalia • What Gestalt language processing (GLP) means • How GLPs acquire language differently than analytic language processors • Why scripts and repeated phrases often carry emotional meaning • Common signs a child may be a gestalt language processor • Why echolalia should not be treated as meaningless repetition • How echolalia supports regulation, processing, requesting, protesting, and connection • Why declarative language is often more supportive than constant questions • How to model language from the child's perspective • Why AAC and visuals can support clearer communication • How to shift from correcting echolalia to understanding it Key Takeaways • Echolalia is communication, not a behavior to eliminate • Many autistic children naturally process language in chunks or gestalts • Scripts often represent feelings, memories, or emotional experiences • The words a child says may not always be literal, but they still carry meaning • Questions can increase pressure for many gestalt language processors • Modeling without correction creates safer opportunities for communication growth • Pronoun reversals are often part of chunk-based language learning • Children deserve communication support that honors their natural language style • Curiosity and connection matter more than perfection Signs a Child May Be a Gestalt Language Processor Echolalia or scripting Pronoun reversals Strong musicality or memorized songs Rewatching the same scenes repeatedly Rich intonation patterns Long jargon strings with emotional tone Repeating phrases tied to emotional experiences Try This • Reduce the number of questions you ask during play and routines • Use more declarative language like "Mmm, cookie" or "Let's go outside" • Model phrases from the child's perspective • Notice repeated scripts and look for patterns around when they appear • Watch body language alongside echolalia for additional communication clues • Respond to the meaning behind the script, not just the words themselves • Support communication with visuals and AAC when needed • Pause and allow processing time instead of filling every silence Resources Mentioned Meaningful Speech https://meaningfulspeech.com/ More Than Words by The Hanen Centre https://hanen.org

Jay Fonseca
PODCAST LAS NOTICIAS CON CALLE DE 1 DE JUNIO

Jay Fonseca

Play Episode Listen Later Jun 1, 2026 14:37


PODCAST LAS NOTICIAS CON CALLE DE 1 DE JUNIO - AccuWeather marca al Caribe noreste con riesgo sobre el promedio mientras comienza temporada Temperatures extremas en PR Junta autoriza paguen a Educación Especial, pero advierten que no pueden seguir pagando con fondos no recurrentesMientras, plantea cambios en Ley 60, créditos de cine, y créditos de manufactura.Gobierno no consigue casi ingenieros para poder contratar en obras públicas - El Nuevo Día JGo logra fiesta playera y recauda 500 mil con Jorge Navarrio y otra legisladora - El Nuevo Día Horrible escena de hit and run deja persona decapitada - Noticentro Trump plantea que FEMA no puede hacerse cargo y le toca a los gobiernos locales meter mano en caso de desastre - El Nuevo Día China especializa estudiantes y universidades en “tierras raras” - Reuters Comienza hoy temporada de huracanes, se esperan pocos, pero mucho polvo del Zahara - Primera Hora Gobierno federal te paga la luz si tienes atrasaos en cerca de 4000 familias - Primera Hora Bukele 2 v. Trotsky Comunista en Colombia para la segunda vuelta No hay doctores para atender endometriosis - Metro Paso mega importante contra cáncer de páncreas, PR presente en Chicago - Jay Fonseca PRIrán acusa a Estados Unidos de violar cese al fuego tras nuevo bombardeo y ataques en Líbano - DW  No saben a dónde van a llevar a Juana Matos y sus casi 200 familias con casi 100 millones en fondos federales - El Nuevo Día Advierten demasiado poder dado a Recursos Naturales para mitigar daños en erosión costera - El Nuevo Día Otro error en caso de Anthonieska, cogieron la ropa que no era - Jay Fonseca PR Mansión se vende en 39.5 millones en Río GrandeLa Cámara exige que se entregue informe de supuestos malos manejos en OGPe realizado por ahora ex secretario de DDEC - El Nuevo Día 205 asesinatos en PR al 31 de mayo — 26 más que el año pasado (+17.5%); MMM hoy voy pa Martins BBQEl mejor y más sabroso pollo asado a la varita de Puerto Rico. Cocinando diariamente comida fresca saludable y sabrosa con un montón de complementos para escoger, arroces, habichuelas, verduras, mofongo,tostones,....MMMM....Esto si es criolloMartins BBQ, TOMANDO todas las medidas de salud y sabor para mantener la mesa boricua al dia con opciones para llamar, recoger o delivery por UBER Eats, y DoorDash.MMM Hoy como en Martin's BBQAsado...Jugoso...Sabroso#martinsbbq#incluyeauspicio Berkshire compra constructora de casas - BusinessWire Junta autoriza cerrar créditos contributivos en PR - El Vocero Nvidia lanza nuevo microchip y nueva computadora que va a ayudar a robots y a carros autónomos - Axios Demócratas progresistas van contra Ai - Axios PPD dice Miguel Romero hace campaña con crisis de agua para ser el candidato del PNP - El Vocero 20% de retirados tiene que buscar otros ingresos porque no dan las pensiones - El Vocero La gente está pagando más la casa que antes - El Vocero Dicen que van a abrir las cavernas de Camuy - El Vocero Auditoría pide a Autoridad de Tierras que pidan devolución de dinero - El Vocero No van a eliminar la erudita y punto - El Vocero LOS DATOS DEL DÍABrent crudo$92.05 / barril (−1.77%)Diésel retail EE.UU.~$5.60 / galónS&P 5007,580 (+0.2%) · 9 semanas al alzaDow Jones~50,000 (+0.7%) · récordBono 10Y Tesoro4.45%Euro / USD1.165Gas natural Henry Hub$3.29 / MMBtuHipoteca 30Y EE.UU.6.53% (Freddie Mac)

Maiden Mother Matriarch with Louise Perry
"You are not enough people!" | Maiden Mother Matriarch 200

Maiden Mother Matriarch with Louise Perry

Play Episode Listen Later May 31, 2026 74:48


The institution of marriage has changed a lot over the last few centuries. As Eli Finkel explains in ‘The All of Nothing Marriage' – truly one of my favourite social science books – Americans of the early nineteenth century would look with confusion on our modern attitudes towards what a spouse ought to be. An economic partner, sure. A co-parent, obviously. But a best friend, even a soul mate?Today, Eli and I track these changes across American history, and we ask whether our modern attitudes towards marriage have some significant downsides. It seems that the best marriages are now better than ever. But it also seems that the institution as a whole has become more fragile.Eli is a social psychologist at Northwestern University and also the co-host – along with Paul Eastwick, another MMM guest – of the podcast ‘Love Factually', which analyses movies through the lens of relationship science. Hosted on Acast. See acast.com/privacy for more information.

Faith Pest Control North Georgia Podcast
Jasper Georgia, The History of My HomeTown

Faith Pest Control North Georgia Podcast

Play Episode Listen Later May 30, 2026 9:33


Well, howdy neighbors! Fred Talley here from Faith Pest Control, comin’ to you straight from our beautiful little corner of North Georgia. Now, if you've listened to my podcasts or read my articles before, you know I'm usually talkin’ to you about things that scurry, buzz, or try to eat your home from the inside out—like those sneaky subterranean termites or attic-dwelling bats. But today, I want to talk about something else that's been dug deep into this red clay for a long, long time: the history of our very own hometown, Jasper, Georgia. You see, I've been in the pest control business around here for years, and one thing you learn when you're crawling around under old structures is that a town's history is a lot like a good foundation. If you don't understand what it's built on, you’re missing the whole story. So let’s take a little stroll down memory lane and look at how Jasper became “The First Mountain City.” The Early Days and Foundational Stones Long before any of us were here, this beautiful land at the foothills of the Appalachian Mountains was home to the Cherokee Indians. They stewarded these hills and valleys until the tragic events of the Trail of Tears in the 1830s. Fast forward a bit to December of 1853, and the Georgia legislature decided to slice off pieces of Cherokee and Gilmer counties to create Pickens County. Now, the folks in charge needed a county seat, and they picked a spot right in the exact geographical center of the county. In 1857, that little spot was officially incorporated as the town of Jasper. We were named after a real-deal Revolutionary War hero, Sergeant William Jasper, who famously lost his life saving his regiment’s flag at the Siege of Savannah in 1779. A Little Fun Fact: Our county, Pickens, was also named after a Revolutionary War hero—General Andrew Pickens. So we've got patriotism baked right into our names! A Town Divided: The Civil War Era Now, here's a piece of history that a lot of folks don’t know, and it shows the independent streak of our mountain ancestors. When the Civil War rolled around in 1861, Pickens County was deeply divided. We didn’t have the big plantations or the slave economy of south Georgia; we were mostly independent mountain farmers. In fact, local leaders actually voted against secession. To show you just how stubborn and brave those mountain folks were, when Georgia decided to leave the Union, a group of local citizens raised the U.S. Stars and Stripes flag right in front of the county courthouse in Jasper. And get this—they guarded it day and night, keeping it flying for nearly a month after the state seceded! Throughout the war, Jasper was occupied by both Union and Confederate troops at different times, and it was a rough, rocky road for the citizens living here. The Two Booms: Rail and Marble After the war, Jasper grew pretty slowly. By 1880, the census recorded only 146 people living here! If you walked down the street back then, you’d see a log jail, a couple of churches, a brick courthouse, and a lot of log cabins. But then came 1883, and two massive things changed Jasper forever: The Marietta and North Georgia Railroad chugged into town. The Georgia Marble Company started booming over in nearby Tate. Suddenly, we weren’t just an isolated mountain village anymore. The railroad gave us a way to ship out the local timber, cotton, and most importantly, that world-famous Pickens County marble. The Capital of Pure Stone Our local marble isn’t just any old rock. It’s some of the purest, most beautiful stone in the world. If you've ever been to Washington, D.C., you've probably looked right at a piece of our home—Georgia marble from our county was used to build the Lincoln Memorial, parts of the U.S. Capitol, and more than half of the monuments up there! Locally, you can see it everywhere, from our historic 1949 courthouse to the famous Tate House built out of rare pink marble. [ THE JASPER TIME-LINE ] 1853 ── Pickens County formed out of Cherokee/Gilmer. 1857 ── Jasper officially incorporated as a town. 1861 ── Union flag flown at courthouse in defiance of secession. 1883 ── Railroad arrives; the marble industry explodes. 1920s── Expansion of Georgia Marble Co. keeps Jasper afloat. 1940 ── Amicalola EMC brings rural electricity to the hills. 1990s── GA 515 expansion connects Jasper to Atlanta. Keeping the Heritage Alive Through the Great Depression, the collapse of the cotton industry, and the turning of the centuries, Jasper held onto its small-town heart. We went from a tiny mountain outpost to a bustling city of over 4,000 residents today. We celebrate that rich history every single year during the first full weekend of October at the Georgia Marble Festival. If you've never been, you're missing out on great music, incredible stone carving, and some of the finest folks you'll ever meet. A Message From Your Local “Bug Man” You see, neighbors, knowing where we come from helps us appreciate what we've got today. Jasper has survived wars, economic crashes, and changed from a tiny railroad stop into the beautiful, thriving community we love. It’s a tough, resilient town. But you know what isn’t resilient? A house that's being eaten up by pests! While we're proud of our historic wood and marble buildings, those old-growth timbers are exactly what Eastern Subterranean Termites look at and think, “Mmm, buffet!” And with our high humidity and warm mountain summers, those critters are looking for a place to set up their own historic homestead right inside your crawlspace. Listen… I want to be YOUR BUG MAN! I've been protecting the homes and history of Jasper, Ellijay, and Blue Ridge for a long time. I don’t believe in cutting corners, because cutting corners just means the bugs come back—and that's not how I do business. My “Make You Happy” Personal Guarantee: If you hire me to get rid of your pest problem and, at the end of 30 days, you are not 100% HAPPY, I will come back and retreat your home for FREE. And I'll keep treating it for FREE until you tell me you ARE happy. If that still doesn’t do it, I'll promptly and politely give YOU back every penny of your money, plus an additional $25.00 for your time and trouble… period. So, let’s keep Jasper beautiful, historic, and completely bug-free. If you hear something scratching in your walls or you're worried about termites invading your home’s foundation, give me a call today at 770-823-9202. Tell ’em you read my history article, and I'll even take $25.00 OFF your very first service! Until next time, neighbors, take care of your home, enjoy our beautiful mountain history, and let's keep those tails waggin’! — Fred Talley Owner/Operator, Faith Pest Control Jasper, GAThe post Jasper Georgia, The History of My HomeTown first appeared on Faith Pest Control.

The MM+M Podcast
Dr. Kimberly Ku previews 2026 ASCO Conference

The MM+M Podcast

Play Episode Listen Later May 21, 2026 48:35


ASCO is the preeminent cancer conference, bringing every oncology stakeholder to Chicago for a weekend of breakthrough presentations, pertinent health discussions and a bevy of brand activations. Additionally, MM+M will be on the ground there, represented by pharma editor Lecia Bushak. Ahead of ASCO, Lecia chatted with Illinois CancerCare's Kimberly Ku, MD. A triple board-certified physician, Ku recently partnered with Cancer Therapy Advisor, a fellow Haymarket Media brand, to distribute her podcast, Val-You Based Care.  Now, she's joining our podcast for a preview of ASCO as well as to offer insights on how pharma brands can better message to HCPs and patients about cancer care. After that, I'm shipping up to Boston for the Veeva Commercial Summit, so you'll hear from the rest of the team during Trends, where they'll discuss some of the most interesting trends they've observed through their reporting for Agency 100.   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.

Money Meets Medicine
40% of Doctors Have a Side Gig. Most Set It Up Wrong.

Money Meets Medicine

Play Episode Listen Later May 20, 2026 31:09


40% of doctors have a side gig — and most are one contract clause away from handing it to their employer. Forty percent of physicians now run a side gig — chart reviews, expert witness work, SaaS tools, real estate, content, consulting. But here's what nobody covered in residency: most are leaving money on the table at tax time, mixing business and personal finances into an unfixable mess, or unknowingly signing away their intellectual property in an employment contract they barely skimmed. In this episode of Money Meets Medicine, Dr. Jimmy Turner and CFP Justin Harvey unpack what physicians actually need to know before they earn their first non-clinical dollar — and what to do once they're already five figures a month in. If you've ever wondered whether you should be an S Corp, whether your hospital can claim your nights-and-weekends project, or whether business ownership is even worth the headache, this one is for you. Resources: Need a new CPA? Work with Gelt, the proactive tax strategy partner that Jimmy uses, and receive 10% off the first year through the MMM link — https://moneymeetsmedicine.com/CPA Disability Insurance — Where physicians (especially trainees) can request a GSI quote and learn whether one is available at their program — moneymeetsmedicine.com/disability Medscape 2025 Physician Side Gig Survey - https://www.medscape.com/slideshow/doctors-side-gigs-2025-6018502   Episode Summary An orthopedic surgeon writes in: he's pulling $550K at an academic center and has quietly built an AI-powered prior authorization SaaS now generating five figures a month. What should he be thinking about? Jimmy and Justin use that question as a launchpad into the financial reality of physician non-clinical income — the ups, the downs, and the surprisingly counterintuitive parts. Jimmy, recently transitioned from 15 years as a W-2 academic anesthesiologist to a 1099 private practice gig, shares why business ownership has been more stressful than running codes — and why he's still glad he did it. He explains why a $30,000 surprise tax bill finally pushed him to bring in a real tax strategy team (not the February-only compliance CPA most physicians settle for), and the difference between the two. The conversation digs into the Medscape 2025 numbers: 40% of physicians have a side gig, 50% between ages 40 and 50, and 60% say they're doing it for extra income. Most physicians aren't actually trying to leave medicine — they're trying to build enough financial freedom to practice on their own terms. Sometimes a $60,000 side income buys back a day of the week. Justin pushes on the harder questions: What's your goal? What's the actual ROI once you factor in CPA fees, self-employment tax, and the brain space business ownership demands? Why some physicians thrive in 1099-land and others should sprint back to W-2. They also walk through the practical setup — the deceptively simple three-step LLC-EIN-bank-account process most physicians overcomplicate or skip entirely — and the contract landmine almost no academic physician thinks about: who actually owns the work you do on nights and weekends. Plus the tax-strategy doors most W-2 doctors don't realize are closed to them: S Corp elections, QBI, solo 401(k)s, cash balance plans, and pass-through entity tax. If you're already running a side gig or seriously thinking about one, this is the cheat sheet you wish someone had handed you before you started. What You'll Learn Why 40% of physicians now run a side gig — and the real reason most start one (it's not what you think) The three-step business setup most physicians overcomplicate: LLC, EIN, separate bank account How an employment contract clause can quietly hand your side gig over to your hospital — and how to negotiate it before you sign When a tax strategy team actually pays for itself versus when basic compliance is enough The ROI math on 1099 income: what your side gig really needs to clear after self-employment tax, professional fees, and added complexity Side gigs with lower ceilings but much higher odds of success — and why 90% of online businesses fail Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Always Be Testing
CTV Measurement Unpacked: Incrementality, Attribution & Holdout Testing | Tom Rathbone

Always Be Testing

Play Episode Listen Later May 19, 2026 37:58


Tom Rathbone joins Tye DeGrange to break down the real challenges of measuring CTV — from probabilistic Nielsen-era methods to where the industry stands today. Tom shares how TVScientific approaches measurement, why holdout testing is still underutilized by most brands, and how to build a test media plan that actually generates signal. Plus: why single-touch attribution fails in a multi-channel world and what it takes to move from vanity metrics to a long-term growth strategy.

Jay Fonseca
PODCAST LAS NOTICIAS CON CALLE DE 18 DE MAYO

Jay Fonseca

Play Episode Listen Later May 18, 2026 19:53


PODCAST LAS NOTICIAS CON CALLE DE 18 DE MAYO -  Jenniffer González ahora dice que va a arreglar las finanzas de PR - El Nuevo Día Muere Sammy Marrero el cantante de La Selecta - Primera HoraProyecto para la eutanasia de PR ¿lo apoyarías?- Primera Hora Jefe de OGPe fue botado, pero ahora dicen que renunció - El Nuevo Día Miguel Romero busca demandar en la federal a la AAA por falta de agua - El Nuevo DíaEmergencia por ébola en Congo y Uganda, no hay vacuna - El Nuevo Día MMM hoy voy pa Martins BBQEl mejor y más sabroso pollo asado a la varita de Puerto Rico. Cocinando diariamente comida fresca saludable y sabrosa con un montón de complementos para escoger, arroces, habichuelas, verduras, mofongo,tostones,....MMMM....Esto si es criolloMartins BBQ, TOMANDO todas las medidas de salud y sabor para mantener la mesa boricua al dia con opciones para llamar, recoger o delivery por UBER Eats, y DoorDash.MMM Hoy como en Martin's BBQAsado...Jugoso...SabrosoAlcaldes no tienen cementerios - El Nuevo Día Ataque de drones en planta nuclear de Emiratos Árabes - Reuters Le recortan chavos a 17 agencias del gobierno - El Nuevo Día Cuba supuestamente planifica atacar a USA, y Trump tiene plan de intervención - El Nuevo Día Servicio forestal recomendado cobrar 4 dólares por persona que entre al Yunque - El Nuevo Día Venezuela deporta a Alex Saab el colombiano poderoso y mega aliado de Maduro - Miami Herald NextEra compra Dominion Energy por 67 billones creando una de las empresas más grandes del mundo energético - WSJArrestan 23 incluyendo por masacre del os torturados desnudos - Jay Fonseca PR 51 investigaciones fueron archivadas en Justicia sin encomendarse a nadie incluyendo la de la secretaria de Familia - El Nuevo Día  Apagones son cosa del pasado dice jefe de gobierno - El Vocero 58 mil adultos en ASUME esperan por pagos de deudores - El Vocero Asamblea de estudiantes hoy en UPRRP - El Vocero Mercado de bonos se desploma — Treasury 30 años toca 5.12%, máximo desde 2007. La hipoteca a 30 años en EU está en 6.49%.Petróleo vuelve a dispararse a 106 y 110 - Oil Price Putin va a China a reunión mañana y miércoles - Reuters LOS DATOS DEL DÍABrent:$111.15/barril (+1.73%)WTI:$103.13/barril (+2.09%)Diésel retail EU:$5.64/galón (semana del 11 de mayo)S&P 500:7,408.50 (-1.24% el viernes)Dow Jones:49,526.17 (-1.07%)Bono 10Y EU:~4.63% (máximo desde enero 2025)Bono 30Y EU:5.12% (máximo desde 2007)Euro/USD:~1.17Gas natural (Henry Hub):~$2.83/MMBtuHipoteca 30Y EU:6.49%#martinsbbq#incluyeauspicio 

Recovery After Stroke
The Laser That Restarts Brains – Dr. Robert Hedaya on Photobiomodulation, QEEG, and Whole Psychiatry After Stroke

Recovery After Stroke

Play Episode Listen Later May 18, 2026 68:29


Photobiomodulation Stroke Recovery: How Laser Therapy Is Restarting Damaged Brains After Stroke For seven years, a woman lived unable to remember faces. She had developed prosopagnosia, a condition that turned every person she met into a stranger, no matter how many times they had been introduced. She kept notes. She took photographs. She built systems to compensate for what her brain could no longer do on its own. Then she sat down for a single laser therapy session with Dr. Robert Hedaya. One session later, the problem was gone. “I can remember the face of the person I worked with this morning and his wife and the dimple on his face,” she told him, describing something she hadn’t been able to do in nearly a decade. What Dr. Hedaya witnessed that day and what he now works to replicate for stroke survivors, people living with aphasia, early dementia, and Parkinson’s, is the result of a therapy called photobiomodulation. And the principle behind it may fundamentally change how you understand your own recovery ceiling. Your Neurons May Not Be Dead. They May Just Be Stuck When a stroke occurs, conventional medicine draws a clear line. Tissue that is destroyed is gone. Deficits that persist beyond the early recovery window are considered permanent. Survivors are told, sometimes gently, sometimes bluntly, that they have plateaued. Dr. Hedaya challenges that directly. In his clinical experience, there is often a population of neurons that survived the stroke intact but are no longer functioning. They are alive. Their cellular architecture is preserved. But they have lost their energy supply, specifically, the ability to produce ATP, the molecule that powers every cellular process in the body. Without energy, these neurons go quiet. They stop firing. From the outside, this looks like permanent damage. But it isn’t. It is dormancy. This mirrors the concept of the chronic penumbra explored in hyperbaric oxygen therapy research, where viable tissue sits in a suspended state, waiting for conditions to change. Dr. Hedaya’s approach is different in method but identical in premise: the brain has not finished recovering. It is waiting for the right signal. Photobiomodulation provides that signal. What Photobiomodulation Actually Does “After the first laser treatment, the problem was gone. Gone. She told me — I can remember the face of the person I worked with this morning.” — Dr. Robert Hedaya Photobiomodulation, also called transcranial laser therapy, delivers precise wavelengths of near-infrared light to targeted areas of the scalp. The photons penetrate through the skull, meninges, and tissue to reach dormant neurons, where they act on the fourth complex of the mitochondrial electron transport chain, the site where nitric oxide accumulates and blocks ATP production. The photons dislodge that nitric oxide. The mitochondria resume normal energy output. The neuron now has what it needs to resume its function. The downstream effects are significant: new synapses form through a process called synaptogenesis, brain-derived neurotrophic factor (BDNF) is produced, inflammation decreases, and misfolded proteins associated with cognitive decline begin to clear. Given energy, the brain begins repairing itself, not because the laser forces it to, but because the cells already know what to do. They were just waiting for the fuel. How QEEG Makes It Precise Not every stroke survivor responds to the same laser parameters or needs treatment in the same regions. This is where Dr. Hedaya’s approach clearly separates from consumer LED helmets or generic light therapy devices. Before any laser is applied, he conducts a quantitative EEG, a brain mapping process that measures electrical activity at 19 points across the scalp. Unlike a standard EEG, which relies on a clinician reading scrolling waveforms visually, QEEG uses AI to analyse thousands of data points and reverse-engineer the source. The result is a functional map: which networks are underperforming, which are overactive, and where pathways between regions have broken down. This is paired with a neuroquant MRI that measures 30 to 40 distinct brain structures volumetrically. Together, they function as a GPS triangulating exactly where the laser should be directed, at what wavelength, power, pulse frequency, and joule delivery for each individual patient. These parameters are adjusted as the patient responds, session by session. This level of precision is what distinguishes clinical photobiomodulation from anything available over the counter. A half-watt LED helmet delivering diffuse light through hair and scalp is not the same intervention. Depression After Stroke – And the Whole-Body Connection Roughly 30% of stroke survivors experience depression in the aftermath. This is not simply an emotional response to a difficult event – it is a physiological outcome with identifiable drivers that conventional psychiatry often does not investigate. Dr. Hedaya’s model, which he calls whole psychiatry, treats post-stroke depression as a downstream expression of broader disruption: hypothyroidism, hormonal imbalance, B12 deficiency, elevated mercury from dietary sources, gut dysbiosis, chronic inflammation, and unresolved neurological stress all play measurable roles. In one of his current stroke cases, treating low thyroid function triggered seizure sensitivity because post-stroke tissue is more vulnerable to excitatory input. That kind of complexity is precisely why a comprehensive functional evaluation must precede treatment. For survivors too depleted to engage with lifestyle changes, Dr. Hedaya will now often begin with laser therapy directly. Once cellular energy is restored, the motivation and capacity to make further changes typically follow. The jump-start, he has found, enables everything else. Is Recovery Still Possible After a Plateau? If you have been told you have reached your ceiling, the core message of this episode is worth sitting with: the plateau is often not a biological fact. It is frequently the consequence of underlying conditions that haven’t been identified, and dormant tissue that hasn’t been activated. “The brain is incredibly plastic,” Dr. Hedaya says. “When you challenge it and give it everything it needs, nutrients, light, hormones, and remove the toxins, great things can happen. There is hope. There is so much hope.” His practice, the Whole Psychiatry and Brain Recovery Center, offers initial consultations via Zoom for those who cannot travel to New Jersey. For survivors with a local physician willing to collaborate, educational consultation is also available. Reach Dr. Hedaya at wholepsychiatry.com. If this episode opened something up for you, Bill’s book – The Unexpected Way That A Stroke Became The Best Thing That Happened follows the full arc of what recovery can become when you stop accepting the ceiling and start questioning it. Find it at recoveryafterstroke.com/book. If the Recovery After Stroke podcast has supported your journey, you can support the show at patreon.com/recoveryafterstroke. 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. The Laser That Restarts Brains – Dr. Robert Hedaya on Photobiomodulation, QEEG, and Whole Psychiatry After Stroke A laser pointed at the right spot in your brain can restart neurons that stopped working. Dr. Robert Hedaya explains how and who it can help. Hyperbaric Oxygen Therapy – Dr. Amir Hadanny Highlights: 00:00 Introduction – Photobiomodulation Stroke Recovery 01:09 Dr. Hedaya’s Medical Journey 07:55 Transition to Functional Medicine 10:31 Photobiomodulation Stroke Recovery Applications 19:21 Understanding Laser Mechanisms 24:36 Jumpstarting Healing with Laser Therapy 29:48 Understanding EEG vs. QEEG 34:10 Addressing Depression Post-Stroke 39:38 Holistic Approaches to Recovery 46:20 Patient-Centered Care and Follow-Up 51:38 The Role of Spirituality in Healing Transcript: Introduction – Photobiomodulation Stroke Recovery Dr Bob Hedaya (00:00) After the first laser treatment, the problem was gone. Gone. She told me, she said, my God, I can remember the face of the person I worked with this morning and his wife and the dimple on the face. And I said, what are you talking about? She says, have prosopagnosia. I said, says, can’t remember faces. I have to write down everything that I do and take pictures of everything and every person. I said, my God, it’s gone, gone. that’s when I went home that night and I was like, this doesn’t make any sense. How could this be? There’s nothing about a neurological condition being turned around in one minute. It makes no sense. Dr. Hedaya’s Medical Journey Bill Gasiamis (00:41) Welcome everyone to the Recovery After Stroke podcast. I’m Bill Gasiamis and my guest today is Dr. Robert Hedaya, a board-certified psychiatrist, functional medicine practitioner, and the founder of the Hull Psychiatry and Brain Recovery Center in New Jersey. Dr. Hedaya trained at Georgetown and the National Institute of Mental Health. And over the course of his career, he moved from conventional psychopharmacology into functional medicine after discovering of what was driving his patient’s symptoms had nothing to do with their medications and everything to do with their biology. In more recent years, Dr. Hedaya has added a tool that very few practitioners anywhere in the world are using, QEEG, guided transcranial photobiomodulation. That’s laser therapy, precisely using a functional brain map to reactivate neurons that survived the stroke but stopped working. In this conversation, we get into the science behind photobiomodulation and what it actually does inside the cell. How QEEG brain mapping removes the guesswork from treatment, why post-stroke depression is so often mismanaged, the role of nutrition, hormones, and toxin load in recovery. and why Dr. Hedaya believes the plateau most survivors are told about is not the biological sealing they’ve been led to believe it is. Now, before we get into this episode, if you found this podcast helpful in your recovery, my book, The Unexpected Way That a Stroke Became the Best Thing That Happened goes deeper into the tools and mindset shifts that support long-term recovery and personal transformation. You can find it at recoveryafterstroke.com/book. And if this show has supported you, you can support it at patreon.com/recoveryafterstroke. Now let’s get into it. Bill Gasiamis (02:38) Dr. Hedaya. Welcome to the podcast. Dr Bob Hedaya (02:41) Thank you. Pleasure to be here. Bill Gasiamis (02:43) It is a very good pleasure to have you here as well. The reason being is because I, what we’re going to discuss, but B the way that you came to be on my podcast was through somebody who listens to my podcast, reaching out and saying, need to have this gentleman on your podcast. And I get that a lot. And sometimes it’s like, thank you for the referral, but maybe that’s not for me, but this is definitely for me. Can you give me a little bit of. Dr Bob Hedaya (03:01) Mm-hmm. Mm-hmm. Bill Gasiamis (03:13) background for people who are listening to understand how it is that you and I came to be on the podcast today, but more importantly, like your medical journey to today. Dr Bob Hedaya (03:26) Well, so first of all, I ⁓ was treating a woman who was, let’s say, about 50 years old. She had several strokes. And her husband looked me up, and they came here for treatment. in New Jersey. And ⁓ she had significant improvement in her ability to speak over a short period of time. That’s a little. kind of summary of the situation, but it was ⁓ profound. She still has work to do, a lot of work to do, but she’s doing it and she’s progressing nicely. So that’s, he basically, I guess, decided this needs to get out. And so he contacted you, et cetera, et cetera. In terms of my journey, ⁓ that could take a few hours. So let me try and summarize it. I will say I basically went to medical school, took off six months to study medicine on my own after two years because I really, lot of reasons, but one of them was I just was memorizing things and I didn’t really understand what I was doing. And so I took off six months and I really learned about the human body. I studied, I had a schedule, a very fixed schedule, about 10 hours a day of studying and exercise and eat. was very, you know, I was young and regimented. And I had six books, six subjects that I wanted to get through and I did. And I learned all about the body and different parts of the body, how they interact with each other. And also I was able to understand and predict even certain kinds of processes and problems in the body. So that was an integrative experience, which ⁓ later really served as the foundation for what I do. Fast forward, I was going to be a surgeon, decided to be a psychiatrist instead, because I was fascinated by by the human mind. And what happened was I was trained at Georgetown National Institute of Mental Health in Washington, DC. And then I was in practice for about a year. And I was treating a woman who had panic attacks. And they weren’t getting better after a year. And panic attacks are pretty easy to treat. And so I was like, what’s going on here? She paged me one night after a year, Saturday night. And I remember I had a little beeper, you know, and I went to find a phone booth and, hey, Joanne, what’s going on? It’s midnight, right? She’s talking to me, I’m having a panic attack. And I mean, I still remember the anguish in her voice. You know, it was really, really, really rough to listen to. So Monday morning, I went into the office very early and I’m like, I’m missing something. What am I missing? So I found I had one piece of blood work. had a blood count and the size of her red blood cells was large. and I had seen that and didn’t know what it meant and ignored it. Very little. It wasn’t very large. It was just a little bit out of the norm. And I was trained in hospitals. know, in hospitals, you don’t worry about the little things. You worry about the train wrecks, right? So you never really learn what the little things mean. So here was a so-called little thing and it was ruining her life. Meanwhile, I did some research. It was a B12 deficiency. I gave her B12 injection. And with the first injection, her panic was gone. Transition to Functional Medicine I mean, gone, gone, gone. And I was like, whoa, what else am I missing? Because psychiatry, neuropsychiatry, it’s a revolving door. You go to this doctor, you take these meds, you do this therapy. That works for a while, then you go somewhere else. I figured I’m missing a lot of stuff. And basically, ended up learning. I didn’t know it was called functional medicine, but I ended up learning functional medicine on my own. Wrote a book, got introduced. to Jeff Bland at IFM. contacted me and took formal training and then, you know, that was what I was doing. And I did that, ⁓ put out a second book ⁓ and that was a best seller. And ⁓ the book was called the Anti-Depressant Survival Program. But really it was functional medicine psychiatry or whole psychiatry, which I like to call it. But it’s functional medicine psychiatry, but the publisher wanted… you know, a nice fancy title that would, know, so they decided to call it the Anti-Depressant Program, you know, survival program. Anyway, the best seller and we had thousands of phone calls, we had a lot of publicity and I couldn’t obviously see everybody. So I picked people who had treatment resistant depression and people who had the resources and the motivation or the support to be able to do what they needed to do. And I just treated them with functional medicine. And at this time, you’ve got to realize I was a psychopharmacologist. I was also trained as a psychopharmacologist. So I was doing a lot of psychopharmacology. I mean, a lot. And now I’m doing functional medicine on everybody. And after about three years, I’m noticing that I’m not actually doing that much psychopharmacology anymore. And everybody’s getting better. And the diabetes is going away. and osteoporosis is going away and one woman’s MS lesion in her brain went away and I’m like, what’s going on here? You know what? I might be lying to myself. So maybe I’m paying attention to the positive cases and I’m ignoring the negative. So I hired a statistician to go over all my cases over the course of this period of time, it two or three years. Ended up in 23 cases of treatment resistant depression. ⁓ I wasn’t lying to myself. Every single person went into recovery, not partial remission, not 50 % better, fully recovered by 10 months, every single one. And I was just blown away that, you know, I mean, I was blown away before, but then it was like, well, you’re not really lying to yourself. So that’s what I was doing until 2014 when I retired. I had actually an inaccurate diagnosis. I retired and… turned out it was incorrect. So it was actually really good to be retired, although I missed it terribly, really missed medicine terribly. But it gave me some time. And this is where this kind of starts to relate more to your audience. ⁓ I’m sitting on a hammock for six hours reading a book. Well, you can’t do that when you’re in practice. Bill Gasiamis (10:07) Good thing to do. Yeah. Photobiomodulation Stroke Recovery Applications Dr Bob Hedaya (10:13) That doesn’t happen. So but I was you know in retirement, so I’m reading this book and put two and two together over the course of time and I learned about laser which which they were using in Russia in 1980s and learned how the laser worked and And I was like whoa this could really help the brain and Then I was thinking now. I’m not in practice right, but I’m then I’m thinking but how would I know where to? point the laser in the brain for a patient. And then I keep reading in the book, and then they start talking about in the next chapter about quantitative EEG. And I’m like, oh, that’s how I would know. So I spent the next three years or so actually studying these methodologies. And then in 2017, I want to say, or 2018, I treated my first patient who had early dementia. published this case actually. I was treating her for early dementia. And I had treated her for six months with functional medicine, know, hormones and treating infections, et cetera, et cetera. And she really was much better. And then I was ready to do my first quantitative EEG. And she’s doing much better. She still has some symptoms. And I do the QEG. And actually, if I could share my I don’t know if I can, Okay, so basically what I just sent you is ⁓ how her brain looked after six months of functional medicine, right? So I was shocked because I thought her brain would look much better. And then I said, okay, let’s do the laser. So I knew where to point it because the QEG and this was the shocker. With the first laser, she had a problem. before the laser treatment of facial blindness. I don’t know if you know what that is. It’s people who can’t remember faces. They just met someone, they can’t remember the face. It’s called prosopagnosia. She had acquired it seven years earlier. Bill Gasiamis (12:11) I do. Yeah. Dr Bob Hedaya (12:21) After the first laser treatment, the problem was gone. Gone. She told me, she said, my God, I can remember the face of the person I worked with this morning and his wife and the dimple on the face. And I said, what are you talking about? She says, have prosopagnosia. I said, what? What is proto-diagnosia? I don’t know what that is. She says, can’t remember faces. I have to write down everything that I do and take pictures of everything and every person. I said, my God, it’s gone, gone. that’s when I went home that night and I was like, this doesn’t make any sense. How could this be? There’s nothing about a neurological condition being turned around in one minute. It makes no sense. But then I realized, I reasoned it out, realized, well, she had a population of neurons that were kind of alive, but they were not really functioning. And then I kind of jump started them with the laser and they went about their business and did their job. Bill Gasiamis (13:19) I love it. So, that’s a contrast on what you’re doing as in psychiatry, because psychiatry from, you know, my understanding is, you know, if you, if you speak to somebody who’s been through psychiatry and you ask them, how’s your condition or how is your situation or what has improved, very few people can say, ⁓ well, I’m, I’m better. I’ve overcome it. We’ve moved beyond the resolve that Dr Bob Hedaya (13:27) Yeah. Bill Gasiamis (13:47) Nobody really does that. They kind of just continue to go through the motions of another appointment, another medication, another adjustment in the amount of medication, et cetera. And what you said also seems a little bit ridiculous and kind of too quick. How do you get that kind of a solution that’s meant to take ages? You’re supposed to go through the typical times and it’s supposed to be costly and Dr Bob Hedaya (14:06) Too quick. Bill Gasiamis (14:16) unattainable and all these things. And it makes people feel sometimes I know stroke survivors who come across promises like that from other ⁓ people who talk about ⁓ perhaps ⁓ non-studied, ⁓ no scientific background kind of solutions to stroke and then kind of give everyone a blanket. If we do this, we’ll fix your stroke deficits, which is not true. ⁓ And then And then it leaves people feeling like they got ripped off. If they paid money, it leaves people lost for hope that there is no hope, cetera. And we kind of find ourselves in a, okay, desperate, what do we do now situation, right? And that’s kind of why I got excited when your patient’s husband reached out and said that we should chat. And I had a bit of a look into the kind of work that you do. ⁓ Functional medicine, I’ve heard about heaps. Dr Bob Hedaya (15:00) Hmm. Bill Gasiamis (15:14) And I love that it’s merged with psychiatry because when I started my journey in 2012, overcoming the first brain bladed and the second brain blade six weeks later, I went into functional medicine study to find out not formally, but I started doing what I didn’t know at the time was studying functional medicine and understanding like how I can decrease the inflammation in my brain. and provide the right environment for healing. And the first thing I came across was a book by somebody that you’re gonna know, Mark Hyman. And the book was, ⁓ the book was, ⁓ Eight Fat Get Thin. I read it, not wanting to get thin, I read it ⁓ because it ticked the boxes for the diet that I was gonna use to reduce inflammation in my brain. Dr Bob Hedaya (15:54) Okay. Bill Gasiamis (16:12) And the side effect was I thin. I wasn’t going for that because I was taking medication. was taking ⁓ dexamethasone, which made me put on weight and made these like all these types of ⁓ terrible side effects, but it was helping reduce the inflammation in my brain. So I, I was happy to have it, but I needed to achieve the same outcome as dexamethasone. Dr Bob Hedaya (16:13) I’m kidding. Bill Gasiamis (16:41) or a similar outcome as dexamethasone on a permanent basis without taking dexamethasone to improve the situation in my brain. And then I started to realize that I had a lot of power and I was ⁓ only not guided properly because my physicians, my doctors weren’t able to offer advice in that space. And had I not been the curious kind of guy that I was, I never would have come across Dr. Hyman and some other amazing guys who wrote books at around about that time that were similar in nature. so you’re, and then, and then a little while later, I found there was a Tasmanian, ⁓ psychiatrist, forget her name, but I have her book on my shelf upstairs who wrote a book about, ⁓ psychiatry and food and, the link between food and a good psychiatric outcome. Dr Bob Hedaya (17:15) huh. Bill Gasiamis (17:39) in the brain. And I just thought, okay, there’s much, much more that needs to happen here. Now, this the connections, there’s a lot of connections here. So recently on my YouTube channel, somebody left a comment I wanted to know about red light therapy, and will it help their brain? And I’m like, I have no idea. But let me do some research. I went on to PubMed, I found some articles and wouldn’t you believe it, there is a whole bunch of ⁓ proper data that Dr Bob Hedaya (17:40) You know what? Come on. Bill Gasiamis (18:08) suggests that there is a benefit. The only challenge that I always have with all of these potentially beneficial interventions is there’s no diagnosis done in the first place to determine whether somebody actually is eligible for a particular intervention. And what it sounds like you’re able to do is the diagnostics part and determine their eligibility. Tell me a little bit about why that is important. Dr Bob Hedaya (18:35) Right. Okay, so let me back, I wanna back up, because you said something very important, then I wanna reiterate it. I just gave you before a case of a woman who in five minutes, her problem was gone, right? Not, people should not think that’s the norm, okay? Not the norm. Occasionally it happens, I have a guy who had a head injury and had light sensitivity and confusion in certain situations with light, and one treatment, boom, gone. Understanding Laser Mechanisms People, you know, I have cases like that, but most of the time this is a gradual process. So people should not think it’s a cure-all for everybody. We do have to know who it’s good for. So what we do diagnostically before we do this is I will look at their brain, you know, obviously take some history and all of that business, but we do a quantitative neuroquant MRI. So we look at the different structures inside the brain. You know, we look at… Bill Gasiamis (19:32) Lovely. Dr Bob Hedaya (19:32) 30, 40 different structures. And then we also do a quantitative EEG, which is an electroencephalogram. We measure the electricity in the brain in 19 different places. And then there’s this really AI that takes all this data and it reverse engineers it. It’s called the inverse solution. And you can actually see the pathways, all of the pathways in the brain and the surface areas of the brain. And you can look at that, correlate that with the person’s symptoms. with the neuroquant MRI, it’s like a GPS, right? A triangulation of information and then assuming there’s not a mass or an aneurysm or some reason not to do the laser like an overactive brain or something like that, then we could consider using the laser. And then we also know where we want to do it based on the symptoms, based on the QEG, based on the neuroquant. We will decide what we’re going to target. And then we combine that, sometimes, not always. Bill Gasiamis (20:05) Hmm. Dr Bob Hedaya (20:31) with neurofeedback so we can exercise the areas that we want to exercise or calm down the areas that we want to calm down. And sometimes with hyperbaric oxygen, things like that. And hormones, using hormones or things like that. Bill Gasiamis (20:42) Yep. Hyperbaric oxygen has been a topic that I’ve discussed as well on the podcast and the people that I spoke to about hyperbaric oxygen and guys, I can’t remember right now, but I’ll put a link in the show notes for anyone listening so that you can go and find that episode and have a listen to it. Basically, what I loved about their approach was that they did a massive amount of diagnosis beforehand to determine where the penumbras were and then target those penumbras while the person was in the chamber. by getting them to do certain exercises that would activate those areas and therefore be targeted. So it sounds like the laser therapy is similar. Tell me about the laser. What kind of a laser is it? How does it get targeted to a specific spot? And what does it do when it goes there? I mean, I imagine it just doesn’t point there and go, I’ll illuminate that and it’ll be better. How does it actually work? Dr Bob Hedaya (21:18) Mm-hmm. Mm-hmm. Okay, so the laser, there are a bunch of different parameters that we have to adjust for each person. So it’s the frequency, how fast is the wavelength? What’s the wavelength? How many times per second is it pulsed? 10 times per second, 40 times per second, 50 times per second. Is it a 8, 10 nanometer wavelength or is it a 1064 wavelength? How many joules are we delivering? you know, where are we delivering it? So there are lots and lots of parameters to adjust, right? ⁓ What does it do? So simple, the first thing that it does, it does many, many things, right? But the very, very first thing it does is it actually releases ATP, the energy molecule, from your mitochondria. So it basically, the photon goes to the fourth channel, the fourth complex in the mitochondria, bumps off the nitric oxide, and that opens the flow of ATP. Well, if your brain, if your neurons have energy, they say, ⁓ energy, ⁓ well, we know what to do with energy. Let’s fix the puddles. Let’s build the roads. Let’s make the connections. Let’s do whatever we got to do. So now you’re getting energy flow. You also get synaptogenesis. You build new synapses. You get production of brain-derived neurotrophic factor. Bill Gasiamis (23:01) Wow. Dr Bob Hedaya (23:05) You get reduction of inflammation, get reduction of tau proteins and misfolded proteins. ⁓ You get, subjectively, get cognitive enhancement. aphasia, you know, people can start to speak. I mean, I can tell you one story. We used to shave people before doing the laser because I wanted to… Remember, you got a skull, you got the skin, you got all this stuff, right? How are you going to get the light into the brain, right? So we know that only about Bill Gasiamis (23:31) Mmm. Dr Bob Hedaya (23:35) 2.6 % of the light goes through the skull and the meninges and all the layers, right? So we used to shave people because I want to get the hair out of the way, right? At least get rid of some of it. So I had this woman who came to me, this is probably seven years ago, I guess. And at that time, I would not use the laser until I had done functional medicine on the patient. Because I figured, you know, let’s get the terrain straight. the nutrients, the hormones, get rid of the infections, get rid of the toxins, then we’ll apply the sunlight to the brain, to the plant, right? That was my logic. I thought that made perfect sense. So this woman came to me. She was 70 years old, obese. The husband wanted me to give her the laser. She wouldn’t change her diet, not an iota. High blood pressure, obesity. She could not speak. She would not take a medicine. She would not… Bill Gasiamis (24:04) Mm-hmm. Mm. Jumpstarting Healing with Laser Therapy Dr Bob Hedaya (24:33) Like, you name it, non-compliant all the way. Maybe you could say a word or two, that was it. Her husband begged me. I said, listen, it’s a waste, okay? It’s just a waste. I can’t ask her to shave her head. It’s not gonna work. I’m not doing it. He did not stop. So finally, I said, okay, fine, I’ll do it. So I was in my office and I’m making the laser plan. And I’m just writing, and something pops out of my mouth, God, I need a miracle. So I go into the laser room, and I start doing the laser. She starts talking. I have tears. He has tears. She starts talking. So by the end of like 20 sessions, I’m sitting with her having a 45-minute therapy session, because it turns out she was really severely abused when she was young. ⁓ She’s having a whole conversation with me. Turns out she’s psychotic also now. She’s also a psychotic and we didn’t know. So she needs to take some medicine for the psychosis because in the middle of the night, she’s going around with a baseball bat and she wants to like do, and she wouldn’t take medicines, I had to stop the laser. But that was an amazing thing because that was one, but with aphasia, typically it’s more gradual, much more gradual. But I have had a couple of patients where, and a woman came from Chicago and she just started talking also. So everyone’s different. You can’t necessarily come into this expecting that kind of thing is wonderful when it happens, but you Bill Gasiamis (26:14) Yeah. I love the fact that you can intervene with a laser, but also people can intervene with all the things that you said that that patient wasn’t doing beforehand. And that you that’s the top of the hierarchy of how you approach healing the brain is you do all those things. And then you supplement with ⁓ with a therapy like laser or whatever. And you kind of combine that and you make Dr Bob Hedaya (26:25) Yeah, yeah, you got it. Bill Gasiamis (26:42) like the, you make a soup of amazing things that all come together at the same time to support you together. And laser is just one of those things, but all the hierarchy like is so important because Dr Bob Hedaya (26:48) Yeah. It’s all important, all important. But I will tell you this. I have come to the point now where I believe that like people come to me and they don’t want to do anything and I’m like, okay, because I can jumpstart you, assuming you’re a good candidate. I can jumpstart you with the laser. I could just jumpstart you and then once I’ve jumpstarted you, say, ⁓ yeah, okay, I’ll do this. ⁓ okay, I’ll do a little of this. I’ll do a little. Because I’m bypassing everything and I’m giving you energy. Right? And so if you have energy, then, you know, there’s a lot that you can do that you couldn’t do before. So I kind of switched my model, really, only because of the accident of this guy who insisted I give his wife the laser, you know. Bill Gasiamis (27:30) Yeah. That’s not a way to go. mean, ⁓ there isn’t one way to solve a problem. there’s probably many iterations of, know, like how you can put that particular, like intervention together for a person that could specify for that individual, we’re going to go down this approach for you. You were going to go down this approach to get you going. Since you have all these, ⁓ challenges and energy is difficult. Maybe we’ll go directly with the laser and then Dr Bob Hedaya (27:46) Bye. Mm-hmm. Bill Gasiamis (28:09) We give you the skills, the energy, Dr Bob Hedaya (28:09) That’s right. That’s right. Bill Gasiamis (28:12) the training, the coaching, the support to implement the rest of the stuff that you need to implement to continue providing the right ⁓ space for your brain to heal in ongoing so you’re not just relying on laser. Dr Bob Hedaya (28:14) Yeah. ⁓ Yeah, yeah Yeah, if someone comes to me post stroke for example and the laser is appropriate I’m not gonna say well, we’ll get around to laser in six months. I’m not gonna do that They need relief they need help if it can help them Let’s do that. Let’s jump on that and you know, and then is the other stuff we need to do will do it And there’s usually stuff to do ⁓ But I want to get the healing remember the laser is healing It’s clearing out proteins, reducing inflammation, increasing blood flow, synaptogenesis, doing all these good things over the course of time. So you really want to get that process going, I feel, as soon as you can. then, okay, now you can work on the diet that’s going to take some time, check the hormones, make sure there’s no infections, toxic element, you know, all that functional medicine stuff. Maybe you need some medication for depression, you know, it’s having a… a phaser or a stroke or a head injury or some of things like this, they turn your life upside down better than I know. It’s ⁓ incomprehensible, really. Bill Gasiamis (29:26) Yeah, really. Yeah, really challenging. With a laser, how much laser for how long, how often? Understanding EEG vs. QEEG Dr Bob Hedaya (29:37) Great question. So let me say a couple of things. First of all, we have laser and then we have the LED helmets, right? You’ve read about and read the helmets, right? So there are a lot of studies on the helmets. There’s a question of whether they’re really having a direct effect because for a few reasons. Number one, it’s LED, it’s not a laser. Number two, the voltage is so low, if you’re only getting 2.6 % through and it’s so low to begin with, what do you think you’re actually delivering into the tissue? know, it’s hard to imagine that you’re delivering much. there, know, Henderson, I think, wrote an article where he showed there’s no penetration into the brain. But the studies do show cognitive benefit. So it could be an indirect effect or, you know, all the studies are done by the companies that make the… the helmet, there could be some bias. I don’t know the answer there. The laser ⁓ itself is more potent, so we’re doing, say, 30 watts. So the equivalent of a 30-watt light bulb, right? They might be doing half a watt, a very, very, very dim light bulb. We’re doing 30 watts. Now, we’re targeting the area or areas that we want to hit. Now, it goes through 2.6. Bill Gasiamis (30:34) devices. Dr Bob Hedaya (31:03) 5 % of it goes through. And then of course it’s going to be diffused, right? And it’s going to hit the surface tissues more. 1064 will penetrate deeper into the brain, but you don’t really have to go that deep because there’s downstream effects that happen, right? So we really, and then we adjust the parameters depending on how someone does. for example, you know, I had a woman who I was treating And actually it was the patient who her husband contacted you. I was treating her with a certain amount of energy and then after about five sessions I went up, I doubled the energy and boom, she had a response. But we have no way of knowing that’s what she needed. It’s all a calculation. But she, you know… Bill Gasiamis (31:39) Yes. Dr Bob Hedaya (32:00) Whatever it is, the thickness of the skull or the membranes or whatever it is, that’s what you needed and that’s what worked. Bill Gasiamis (32:06) Yeah. Tell me about ⁓ QEEG. So let’s dive deeper into it a little bit because we kind of glossed over it. I think it’s important to discuss how it’s different from EEG, ⁓ what EEG is and then what the Q adds to EEG. Dr Bob Hedaya (32:24) OK, so the EEG, imagine somebody, you put a cap on, and it has all these electrical wires that are measuring the electricity that comes, that’s on your scalp. It’s coming from your brain, but it’s measured at the scalp. And each one is measuring the energy from that spot, comparing it to other spots. And then you might, your viewers might remember. all those squiggly lines, you’ll see like 19 or 20 squiggly lines and you’re like, what is this spaghetti? I don’t know what this is. And I mean, even in medical school, we looked at it and our eyes would glaze over because who knows what it is. So the neurologists look at it and they’ll scroll through it and look for certain patterns to see is there a seizure or is there area of damage where there’s a lot of slowing like the frequency of the electricity slows down if there’s tissue damage, right? And they look visually to see what they can find. But we know with AI, you can get the patterns that you can determine. There’s no way the human mind, the human eye, a trained eye, I don’t care how long you’ve been looking at EEGs, there’s no way you can extract this data that we now extract. So the quantitative is actually looking at the quantity of this, what’s going on here versus the quantity of electricity that’s here versus what’s here versus what’s here. And then all of that is calculated and they say, ⁓ well, if this is high and this is here and this is low here and this is this, well, that means they’re coming from this deeper place here and that’s under functioning. And, you know, that’s done over thousands, thousands of points in a very short order, very short order. It’s amazing. I can’t imagine practicing without this. So now I can look at the thalamus. I can look at the putamen. Addressing Depression Post-Stroke Bill Gasiamis (34:07) Mm-hmm. Dr Bob Hedaya (34:17) In my office, I can do these tests in my office. If a patient is my patient, I can send the QEG to their home and do it in their home. And I get this imagery that’s immensely better than a spec scan. It’s not an MRI, an MRI structure. This is function. Okay, this is function. It tells us how different parts are functioning. Bill Gasiamis (34:40) What’s lighting up? What’s not lighting up? What could be lighting up better? What’s not going to light up anymore? Dr Bob Hedaya (34:45) What’s the information flow? How is the flow going from here to here? How about this network? Is this network working? Is this network overworking? Is it underworking? How about the neuron populations that are firing when I’m relaxed? How are they doing? How about the ones when I’m thinking? How about the ones when I’m thinking fast? How about the populations when I’m emotional? We can look at all those populations and see what’s going on with those populations. And then we can actually target them. train them, et cetera. And then we have that data that we treat, and then we measure and see is it getting better? Do we need to change the protocol? It’s not helping, it is helping, et cetera. Bill Gasiamis (35:29) Yeah. with stroke, so many things come from stroke that people are not equipped to handle. You know, firstly, all of the, ⁓ the parts relating to, ⁓ simply the person discovering them, they’re, they’re immortal after all, you know, you become a mere mortal immediately and you kind of work out the most terrible thing that could have happened to me happened. My brain is injured and all these things go away. Right. And then. Unfortunately, like I think it’s 30 % the studies of people who experienced stroke will then also experience depression. Like as if recovering from stroke isn’t enough and all the deficits that you also have to recover from depression. What’s it like? How can that be supported with this particular method, this approach that we’re discussing here today? Dr Bob Hedaya (36:28) So ⁓ kind of separate from stroke, ⁓ treat treatment resistant depression with laser all the time. With stroke, we use the laser, but you have to watch the QEG to make sure you’re not getting overstimulation, number one. Number two, I learned this with the patient that referred me to you, ⁓ that after, put us in touch, there was actually a central Bill Gasiamis (36:44) huh. for us in touch. Dr Bob Hedaya (36:58) hypothyroidism, meaning the low thyroid function, right? And we had to treat that, but the problem was as we treated that, there was a supersensitivity and because the tissues after stroke are more vulnerable to seizures, the patient actually had a seizure. She was actually having seizures we didn’t know, mild seizures. And then when we treated the thyroid, then we actually ended up having seizures. now we have to support, you need thyroid function to be good in order to not be depressed, right? If you have low thyroid, you’re much more likely to be depressed in the face of a stroke or other stresses. So we were kind of a little bit of a bind there because we went and treated, but it’s too sensitive. So anyway, we’re actually threading that needle nicely and we’re moving slowly and carefully and keeping, there’s no seizure activity now. But you have to treat the depression because of the depression itself. Bill Gasiamis (37:29) Yep. Dr Bob Hedaya (37:55) is a big problem because you know to recover from stroke, man, you gotta work hard. You gotta keep a good attitude. gotta have your eye on the ball. There’s no room for like… I’m going to give up. There’s no room for that. I mean, of course you feel it and I mean, it’s all natural feelings, but you have to really be determined and that’s essential. so with depression that is ⁓ really can get in the way. So we treat it. The laser can treat it. Sometimes pharmacology, sometimes therapy, sometimes yoga, know, hyperbaric, all these things that we do with the nutrition, making sure the hormones are right. All these things work together, you know. Bill Gasiamis (38:14) Yeah. I love all of those things that you mentioned. And then all of a sudden you just throw in yoga. mean, it just, it’s so counterintuitive, isn’t it? When you have a conversation about all these acronyms and all these tests and lasers and all that kind of stuff, and then you just throw in yoga casually like that. It’s, and we underplay it, but it’s such a massive thing in the picture of what creates the environment for a good recovery, but also I love that you mentioned the thyroid in that conversation as well about depression and what can also be a trigger to depression and people may have depression, never check their thyroid and not know that it’s a thing. Now I’ve had thyroid surgery, have ⁓ half of my thyroid removed because I had a massive ⁓ goiter on one side and that was such a difficult thing to discover and have to go through 16 months after brain surgery. but they only discovered it after my brain surgery when they did a chest x-ray, because I wasn’t recovering properly and they found that I had this goitre which would have been there for a long, long time impacting my health and all sorts of things. And I make that point because often people who have had a stroke and can’t speak, for example, have aphasia, ⁓ or their arm doesn’t work or the leg doesn’t work properly, will say, I just wanna fix this thing. If I could speak, Dr Bob Hedaya (39:40) No. Holistic Approaches to Recovery Bill Gasiamis (40:09) everything’s better, but they’ve never looked at the other things that may be contributing to keeping the speech at a level which is not good enough for them, for example, to be comfortable with. And it’s like this one track mind, I’ll just get my speech back, I’ll get my speech back, you what do I need to do? Or make it go, get back for me. There’s often no looking into the other things that might be causing depression, for example. Dr Bob Hedaya (40:31) Thank you. Bill Gasiamis (40:38) After stroke, know for a fact that the gut gets impacted ⁓ very dramatically from a stroke and the gut is highly linked to ⁓ mood and how you feel. And nutrition is what supports the gut to feel better and taking out things from the diet that are ⁓ making the gut sluggish and not work appropriately will ⁓ improve your mood and how you feel. It’ll make a difference and Dr Bob Hedaya (40:59) Okay. Yeah. Bill Gasiamis (41:08) and it’ll add to one of those little tools that supports depression and makes depression less impactful and you have less swings, et cetera. And that’s kind of the point that you’re making is that you don’t just turn up and do psychiatry. We’re gonna do psychiatry, treat you pharmacologically and then send you on your way and then see you in six, 12, eight months again or whatever and then just repeat the process again. It’s a whole, know, holistic is the word that you hear, but it is a broader conversation that people need to be having. And that sounds like what you guys do. It sounds like the conversation doesn’t encompass, it encompasses everything. It doesn’t just focus on one intervention. Dr Bob Hedaya (41:56) That’s why I call it whole psychiatry. But it really should be whole neuropsychiatry or whole brain or, you know, but it’s whole body, whatever you want to call it. It’s really more than the body because obviously the social connections play a big role as well, you know. So yeah, everything you’re saying is 100 % true and it’s all real. Everything you’re saying is real. Everything you do. mean, simple things going back to the B12. You you need B12 to… Bill Gasiamis (41:58) Yeah. Dr Bob Hedaya (42:26) remyelinate your neurons. need to keep the mercury, by the way, got to keep the mercury levels low. know, the mercury, if you’re eating tuna fish or swordfish and you have high mercury levels, know, the mercury will actually prevent you from making new branches. The mercury actually will bind on tubulin, which is like a brick that you need to build new roads. And it will prevent the tubulin from building new roads in your brain. So here you are working hard trying to… Bill Gasiamis (42:28) Mmm. Dr Bob Hedaya (42:54) do things and you’re a can of ⁓ whatever tuna fish with loads of mercury two, three, four times a week. Well, that’s not working, you know. So that’s why you really want to look at the whole thing. It’s a lot. It’s really a lot. You know, it’s a big program, but you you take, take steps. Everybody has different needs or not everybody has to do everything. Bill Gasiamis (43:04) Yeah. Yeah. Not everybody needs to do everything to achieve significant results, but it’d be amazing to be able to find the things and target those, the ones that you’re to get the most bang for buck on. So you’re to putting time and effort into things that are not getting results. For example, an led hat from, uh, Amazon for $9 that you put on your head. And it’s basically just a red light hat. It’s not really doing the thing, right? Dr Bob Hedaya (43:32) Hmm. Ha ha ha. Bill Gasiamis (43:49) And that’s kind of why I started to have that conversation and do a little bit of research in what they, know, what’s medically known as or scientifically known as photo bio modulation, you know, the idea is great, but then it came to me from somebody who I imagine was looking at a seven or eight or $9, $10 cap with red lights that put on the head and they Dr Bob Hedaya (44:00) Right. Bill Gasiamis (44:15) paid money for a cap and hoping for an outcome and they didn’t get an outcome and then they’re wondering why. I suggest when people are looking into those topics, is gonna go and have a look at the science, what it says about the nanometers of the type of light that you need to be experiencing, how, where, who, and always do these things with medical supervision. It really challenges me when I find out people do things like, know, methylene blue was a thing. Dr Bob Hedaya (44:44) Right. Bill Gasiamis (44:45) uh, very recently and people will just go get a bottle of Methylene blue from somewhere and just start taking it and have no idea what they’re doing and, and, and, know, what they could hope for. They could be making things worse than for themselves and actually making themselves, um, like make things a lot harder for themselves. So, uh, my point is this all needs to be done under medical supervision. Typically when you, somebody reaches out to you, how do you begin the conversation and then how does that person engage with you? And then what happens after they’re treated? Because often I know from my experience with all my neurologists, et cetera, very rarely do I see anybody a second time, six months, 12 months, 18 months, five years down the track. You usually go in, they patch you up, they send you home, you get back to your life and then maybe you do one MRI. Dr Bob Hedaya (45:36) Really? Bill Gasiamis (45:44) ⁓ for a few years after brain surgery just to make sure that everything’s stable. But that’s about it. Nobody follows up with you. Dr Bob Hedaya (45:52) No, it’s a whole different ball game with us. No. So what we do first is ⁓ if someone will contact us through the website, which is wholepsychiatry.com, they will actually fill out a form. And if we feel that it looks like we might be able to be helpful to them, then we will send them a welcome letter. And then they will have the opportunity to meet with our new patient coordinator at no charge. Patient-Centered Care and Follow-Up and she’ll talk with them for 15 to 30 minutes and kind of tell them what’s going on and see if they, you know, the fit is good, et cetera. And then they have an opportunity if they want to meet with me on Zoom for 15 to 30 minutes and ⁓ I’ll figure out, can I help them? Can I not help them? Is it a good fit, et cetera? And then if it looks like, you know, green light and they decide they want to move forward and it makes sense, then we’ll schedule an evaluation. The time duration of the evaluation depends on what kind of patient. It could be a couple of hours, could be four and a half hours. But usually for neurological patients, straightforward, it’s a shorter evaluation. And before the evaluation, we’ll collect the neuro-quant and the QEG and the old records, et cetera. And then I will go through all of that data plus lab data that we collect. And I will then have an idea. Okay, what’s going on here? Now there’s all these things. There’s digestion, there’s nutrition, there’s immune function, inflammation, toxins, hormones, all the hormones, structural issues, chiropractic issues, traumatic brain injury, cardiovascular issues, et cetera. We look at all of that and then to see what are the players here and spiritual, social resources, connectivity. We look at all of this. And then we have a whole picture of what’s going on. And then we can figure out, okay, how do we want to approach this? And sometimes we approach it very lightly. Say we just start with the laser, that’s it. Or sometimes somebody says, no, I want to really get in there and fix everything that’s wrong. Okay, well, we identified these five or six things that need correction. So let’s stage this in order. And that’s what we’ll do. And everyone’s different. And then we have follow-up depending on what we need in two weeks, in a month, six weeks, not usually six weeks. Once things are stable, it could be every two, three months or four months. But in the meantime, I’m in the boat rowing, paddling with them. That’s the way I do it. I treat people, really, I try to treat people just like I would want to be treated myself, like I would want my family to be treated. I do the very best. I love what I do, you know what I mean? I just love what I do and I try to do the best, highest quality. And it’s not that I’m perfect, not that I don’t make mistakes, ⁓ not that I know everything because that’s for sure that I don’t, but that’s my approach. So I try to be in the boat with the patient. As long as the patient’s paddling, I’m paddling just as hard, if not. Bill Gasiamis (49:02) Yeah, it sounds like at least if things, if you don’t make the right approach initially, there’s a whole bunch of tools and resources and things that you can kind of focus on. And one of the things you mentioned, again, you glossed over it, but I love that you do this is spiritual. Like it might be a spiritual journey that the person needs to take. And it’s so overlooked because people, you know, do have… Dr Bob Hedaya (49:22) yeah. yeah, yeah. Bill Gasiamis (49:30) existential crisis after a stroke. it’s like a spirituality helps somehow for a lot of people ease, heal that, ⁓ help people move through, you know, the weeds and come out into the opening and then kind of see the opportunities and where they need to go next. And people don’t need to engage with somebody like you to go on a spiritual journey. That might just be something they’ve ever looked and they can just go, you know what, I’m going to pick up the Bible or ⁓ I’m going to learn about this particular ⁓ spiritual journey or whatever and go through it and do whatever it is that they need to do to kind of start beginning the healing journey in their own special unique way. It’s really important that spirituality gets addressed and it’s not glossed over. And I’m not saying that you did or I did or we do, but in the back of the minds, stroke survivors may not consider that being important. The Role of Spirituality in Healing Dr Bob Hedaya (50:31) Yeah, first of all, I’m passionate about spirituality. I mean, passionate because the truth, in my opinion, is that consciousness, your level of awareness is really consciousness is the foundation, the substrate of everything that exists. The material is an outflow from consciousness. So I could talk about this forever. Not everyone is oriented this way. So, you know, I just saw a businessman, very successful businessman ⁓ last week. He doesn’t want to just, you know, get me back online. OK, I don’t want to hear this mumbo jumbo and I just can’t. I don’t want to delve into it. Just get me better. know. But other people are like, I want to find the meaning, you know, and it’s very important. to find the when I think generally for most people finding the meaning in it is critical. And I’ll say one thing, my mother, may she rest in peace, was in the emergency room, probably 25, 30 years ago, I don’t know, something was wrong, she was in the emergency room for seven, eight hours or whatever, and some guy comes by and says, ma’am, can I get you a sandwich? And she says, oh yeah, please, please get me a sandwich. He gets her a tuna fish sandwich, whatever it is, right? He leaves. She’s so grateful. She’s so grateful that she volunteers in the hospital for 20 years. Okay? This guy has no idea what he did and all the people that he helped through her, right? So you’re, you you and you’re not just you, but we, each of us in our small minds, we have no idea. the impact we have on other people. So if it’s important to a person to have a meaningful life, understand that you don’t have to be running a company. You can smile at a stranger, change their day. There are things that you can do and you have an impact. Now, that’s a small consolation when you’re dealing with a stroke, obviously, but that’s when you kind of want to work to a meaningful ⁓ attitude and a good attitude. So yes, the spirituality is… many people very important. Bill Gasiamis (52:54) David who brought us together ⁓ wanted me to meet you so I could interview you. that part of the role that he played in what happened to his wife ended becoming something that helped other people. Isn’t it interesting? The whole journey started on. Dr Bob Hedaya (53:15) Exactly. Bill Gasiamis (53:20) He contacted me because he wanted to make something good come of what happened to his wife, which I’m sure his wife was also interested in. And he said, you need to get Dr. Hedaya on because we need to share more information, make this stuff aware. so, and I’m like, well, that’s perfect. Of course I do. Whoever comes to me with that kind of information because they want to help other stroke survivors because he’s hoping that other caregivers that are in his shoes have a better outcome. They have more support. They have more information. They have more tools. Dr Bob Hedaya (53:27) Mm-hmm. Bill Gasiamis (53:50) That’s the spiritual journey. You don’t have to call it ⁓ Christianity, Judaism. You don’t have to call it something. You don’t have to label it, but that is what spirituality looks like in practice. Dr Bob Hedaya (53:56) Right. Right. That’s exactly it. That’s exactly it. And it gives me chills because, you know, I know his wife is suffering, you know, and ⁓ but she’s making really great headway, but it’s hard, you know. But look at look that he’s reaching out and he cares enough about other people and to and make her journey and what she’s gone through and what she’s learned be useful to other people. That’s it. That’s just beautiful. I mean, that that speaks volumes about him and her. Bill Gasiamis (54:32) It does absolutely and her and your work because your work is not unique. You’re not the only one doing this kind of work. I think there’s only kind of a small percentage of ⁓ medical professionals in the field that are practicing in this way. And hopefully that continues to grow. ⁓ If somebody wanted to, well, somebody lots of people are listening to this today. If anyone wanted to reach out ⁓ who thinks, you know, that they might be able to ⁓ benefit from or go down this kind of approach. How should they go about that? What questions should they be asking of you, et cetera? Like how do they begin? Because this is a different conversation than I have ⁓ neurological injury, have aphasia. It needs to be positioned differently, this conversation. Dr Bob Hedaya (55:29) Tell me what you mean. I’m not really clear what you’re saying. Bill Gasiamis (55:33) If somebody wants to find a clinician who practices the way that you practice, you guys, for example, you know, you know, who thinks about the brain in a different way. What, what should they be looking for and what. Dr Bob Hedaya (55:38) Aha, I see, I see. I would say that they should go to the website for the Institute for Functional Medicine. And there’s a tab. This is find the practitioner. And make sure you look for a practitioner that is certified, fully certified. And then investigate the practitioners who are in your area and see if they experience. in this area. there are not I’m not aware of, there’s a guy somewhere in the Midwest here who’s using a laser, I believe. And then maybe other people that I don’t know about using lasers, but I’m not aware of anybody that I could say, go see this person for this quantitative EEG guided transcranial photobiomodulation. I’m not saying that that is readily available. It’s not. But the whole functional medicine thing, there are a lot of practitioners. And I think that’s the way to go there. Just do your homework. Bill Gasiamis (56:48) Yeah. Yeah. Cool. Your organization is whole psychiatry and the brain recovery center. Is that right? Okay. So the psychiatry part of it, ⁓ people might be listening and going, well, that doesn’t apply to me, the specific word specifically doesn’t need to apply to an individual to engage with you because, we’re not just dealing with the psychiatry part of somebody’s recovery. Dr Bob Hedaya (56:56) Yeah. Right. Thank you. No, no, we’re dealing, we treat psychiatric, but we treat neurological. You know, I started as a psychiatrist. was, you know, certified by the American Board of Psychiatry and Neurology, but I was doing psychiatry. then, you know, just following, you know, learning and whatever, I ended up, you know, doing some neurology here. And so, but we didn’t change the name to the whole neuropsychiatry and brain recovery. Maybe we should, or maybe the whole brain recovery center or something like that. So, you we do both, no, and if, and if, I can’t be helpful, of course, I’m going to tell people this, we really don’t want to waste people’s time, energy, money, et cetera. ⁓ But it’s, it’s been, you know, I have to say an amazing journey. And I would say when you follow for me, this is me, my life, following my passion of learning about the brain and understanding the brain and Bill Gasiamis (57:45) Yeah. Dr Bob Hedaya (58:14) looking for the fundamentals of how do things work and just there’s a common sense in medicine. I looked at the laser when I was reading that book and I was like, wow, ATP in the brain, that could really help the brain. How would I

Social Marketing Nerds – Facebook Ads und Social Advertising Podcast
🚀 Reisebericht: Exklusive Insights aus Dublin und Hamburg 🚀

Social Marketing Nerds – Facebook Ads und Social Advertising Podcast

Play Episode Listen Later May 15, 2026 44:15 Transcription Available


KI macht technisches Wissen für alle Nutzer zugänglich. Der wahre Erfolg hängt nun von deiner Taktik ab. Validiere KI-Ergebnisse immer kritisch mit deinen eigenen Daten. Willst du tiefer in diese Themen eintauchen? Dann komm am 21. September zum Ads Camp nach Köln. Dort trifft sich die Elite zum echten Wissensaustausch. Sichere dir jetzt dein Early-Bird-Ticket bis zum 21. Juni unter [www.adscamp.de](https://adscamp.de/). Wenn Du über alles aktuelle im Social Ads Kosmos Bescheid wissen möchtest, abonniere gerne unseren Podcast. Hier kriegst Du deinen wöchentlichen Nerds-Input. 🤓 Hier geht es zum [Blog](https://www.dienerds.com/blog), zu unseren [offenen Stellenanzeigen](https://www.dienerds.com/jobs-bei-den-nerds) und zu unserem [Kontaktformular](https://www.dienerds.com/kampagnensteuerung).

Parenting After Trauma with Robyn Gobbel
EP 264: Responding to the Judgement and Advice from Others

Parenting After Trauma with Robyn Gobbel

Play Episode Listen Later May 12, 2026 38:41 Transcription Available


Parenting kids with big, baffling behaviors is hard enough. THEN someone has opinions about it. This episode breaks down why people say the things they say, what's actually happening in you when judgment lands, and how to respond- or not respond- in a way that protects your own regulation.In this episode:Why unsolicited advice and criticism are almost always a projection from the other person's protection brain How to recognize when explaining yourself won't actually help Practical ways to respond to judgmentScripts"Thank you. I'm comfortable with our parenting decisions.""I hear you. I need to tend to my child right now."Neutral / Redirect"We've got it covered, thanks.""We have a lot of support around this.""I have people I go to for that.""That's not something I'm looking for input on.""We're working with someone on it."Warmer with a Clear Boundary"I appreciate that you care. We're good.""Thanks for thinking of us — we've got support."Confident / Firmer"I'm not looking for advice, but thank you.""That's not actually something I'm open to feedback on.""We're pretty settled on how we're handling it.""I'm not going to take that in, but I hear you."For the chronic offender"We've talked about this- we're not changing course.""I've let you know this isn't something I want input on."The subject-change version"Mmm. Anyway…" (and move on)"Noted." (full stop)Read the full transcript at: RobynGobbel.com/judgementThe Club is welcoming new members starting next Tuesday! Set yourself a calendar reminder and then head to RobynGobbel.com/TheClub on Tuesday so you can get instant access to a community, resources, and the change to pick Robyn's brain! Let's hang out this summer at two different trainings for professionals!Therapy with Kids with Big, Baffling Behaviors- June 1 & 2 in Syracuse, NY RobynGobbel.com/NYPresence in Practice- July 15, 16, & 17 in Rockford, MI (outside Grand Rapids) RobynGobbel.com/Michigan2026 :::Grab a copy of USA Today Best Selling book Raising Kids with Big, Baffling Behaviors robyngobbel.com/bookJoin us in The Club for more support! robyngobbel.com/TheClubSign up on the waiting list for the 2027 Cohorts of the Baffling Behavior Training Institute's Immersion Program for Professionals robyngobbel.com/ImmersionFollow Me On:FacebookInstagramOver on my website you can find:Webinar and eBook on Focus on the Nervous System to Change Behavior (FREE)eBook on The Brilliance of Attachment (FREE)LOTS & LOTS of FREE ResourcesOngoing support, connection, and co-regulation for struggling parents: The ClubYear-Long Immersive & Holistic Training Program for Parenting Professionals: The Baffling Behavior Training Institute's (BBTI) Professional Immersion Program (formerly Being With)

The Ryan Kelley Morning After
Basic Kenstinct (ATMA)

The Ryan Kelley Morning After

Play Episode Listen Later May 7, 2026 58:49


And we're back... Iggy's wardrobe is the early entry point for the texters & YouTube commentors. MMM vs. MMF vs. MMF. What percentage of the US population have had a threesome? Forbes somehow did a story on this. Iggy's perspective on the matter. The in's and out's of the Lifestyle. Iggy's career as a bull. Scramble golf talk. See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

The Mindset and Self-Mastery Show
The Role of Interests in Life Choices with Cleous Young

The Mindset and Self-Mastery Show

Play Episode Listen Later May 7, 2026 37:10


“Giving up is not failure; it’s a strategic move.” In this episode, Nick speaks with Cleous Young about his journey of self-discovery, the importance of interests in life, and how giving up redundant pursuits can lead to greater fulfillment. They explore mindset shifts, the power of curiosity, and the role of legacy in personal growth. What to listen for: The role of interests in personal growth The concept of giving up and making space for new opportunities The importance of self-awareness and curiosity Legacy and the impact of life stories “Your life can be a legacy that inspires others.” Our lives are our own, yet we can serve as an example to others Legacy isn't just what we leave behind, but HOW we leave things behind The way you lead your life may just be the reason why someone makes a change in their own life “I’ve been giving up things because in the back of my mind it’s like, hey, if you let it go, if it comes back, then it’s meant for you.” Most people think “giving up” is failure, but that's not always the case When we let things go from our lives, they make way for new beginnings Changing our perspective on giving up can change the way we maneuver our lives About Cleous “GloWry” Young CleousYoung is an author, speaker, and advocate for personal growth, resilience, and ethical living. Through his unique philosophy and storytelling, he helps both adults and children navigate adversity, discover purpose, and cultivate values such as kindness, integrity, and nobility. Cleous shares practical life lessons and inspiring perspectives to empower people to live intentionally and make a positive impact in their communities. https://cleousyoung.com/ https://www.linkedin.com/in/cleous-glowry-young-a1856218b/ https://www.instagram.com/cleousyoung/ Resources: Interested in starting your own podcast or need help with one you already have? Learn how I can help! Learn more about our host, Nick McGowan. Thank you for listening! Please subscribe on iTunes and give us a 5-Star review! https://podcasts.apple.com/us/podcast/the-mindset-and-self-mastery-show/id1604262089 Listen to other episodes here: Click Here To View The Episode Transcript Watch Clips and highlights: https://www.youtube.com/channel/UCk1tCM7KTe3hrq_-UAa6GHA Guest Inquiries right here: podcasts@themindsetandselfmasteryshow.com Your Friends at “The Mindset & Self-Mastery Show” Click Here To View The Episode Transcript Nick McGowan (00:02.126)Hello and welcome to the Mindset Self Mastery Show. I’m your host, Nick McGowan. Today on the show we have Cleus Young. Cleus, how are you doing today? Cleous GloWry Young (00:12.487)Hey, I’m doing good, good, good. Very good today. Yeah. And you? Nick McGowan (00:17.198)Awesome. My man, I’m excited that you’re here. I’m good. I’m really good. You know, I maybe I can add a few more goods like you did. I appreciate when somebody gives a real answer or when they like, actually when they’re like, I’m good. I’m good. Yeah, I’m good. I’m good. Instead of somebody be like, how are you? I’m shit. This is awful. Fuck. Why did I wake up this morning? That’s a totally different feeling. So Cleous GloWry Young (00:21.957)Okay. Cleous GloWry Young (00:38.447)Yeah. No, I had an event yesterday and it’s a little unique event and it went tremendously well. So it’s like the residual from yesterday is still hanging on today. So it’s like, yeah, woke up feeling good. But then I thought about the event and the outcome and it was like, hey, add some more goods to that. Yeah. Nick McGowan (00:52.632)Yeah. Nick McGowan (01:02.924)Yeah, cool. I love that riding on a high in a sense. That’s also part of what this show is about. We talk about mindset, self mastery and transformation and being able to understand that some days are gonna be great because you’re riding a high. Some days you might be grieving because of the thing that happened the day before. And there’s stuff to get into all of that. So why don’t you kick us off? Why don’t you tell us what you do for a living and what’s one thing most people don’t know about you that’s maybe a little odd or bizarre. Cleous GloWry Young (01:06.194)Yeah. Cleous GloWry Young (01:19.379)yeah. Cleous GloWry Young (01:29.371)So I work in the community. I have a nonprofit and one of the things that we actually particularly specialize in is helping people figuring out things. For me, that’s what I had to do for my own life. So even now I have this context, it’s called transfiguration, where it’s like saying trans, right? Moving from one place to another. And then figuration is that comp. concept of what you would say figure things out, right? So for me for the last say past eight years, I’ve been figuring out things for my own self, not what I’ve been taught, what I’ve been given. And for me, it’s like, hey, this is what I now find applicable that whatever I did for myself, I can also do for somebody else. Perfect example, I hosted an event around trauma and this Three generations of women came to that event, grandma, mom, and daughter, and it’s like they were treating themselves a certain way growing up, right? And it was until they came to the event and they started to figure out that, you know what? This has been a trauma pattern in our life, generation after generation. And it just allowed them to now systematically put different things in place and started to actually move forward. So for me, this is what I do on a day-to-day basis. The one weird thing about me that most people would never understand, like yesterday at the event, people will see me out here doing all these things, but they would never understand that there’s a saying that says never give up, right? I’m somebody who have given up so many times. And it’s interesting, and I didn’t give up because it’s hard. I gave up because it’s redundant. Like I get up every day, I’m seeing the same old thing over and over again. And it’s like, even when you look at self-master, right? So I used to teach. And when I was teaching, it’s like, hey, the students are doing well. And it’s like, when I look at my life, I’m like, whoa, I’m not doing well. They’re doing well. And what I end up doing, I just give up teaching. Like. Cleous GloWry Young (03:52.923)It wasn’t hard. The students are doing well. Like even one of those set of students that I taught, they got the highest score in the entire school in the math. The entire score on what is called the PSSA. Right? That means they’re doing well. Was teaching hard? No. But it just became redundant that I went to school every day doing the same thing over and over again. And I just got up and I just gave up. So continually, I keep giving up. Nick McGowan (04:18.99)Hmph. Cleous GloWry Young (04:23.141)I know the saying that says, don’t give up on your dreams. But for me, I just give things up. And know, you know what’s so funny? I’ve given up so many times and then something else just comes in my way to start a whole new journey. And it’s like, I guess you’re not supposed to finish right here because I’m thinking that, hey, I’m done. Nick McGowan (04:41.44)Yeah. Cleous GloWry Young (04:44.123)And I’m telling you, it’s not because it’s hard. None of the things that I’ve ever done has been hard. It’s just becomes redundant. It’s like you get up every day, you’re doing the same thing. And it’s like you’re looking at the results of the community and it’s like it’s not getting better. And people are putting on this facade that, things are better. No, look at the numbers, look at the killing, look at the violence. It’s like, so at one point I just gave up. And I remember the last time I gave up. Nick McGowan (04:58.318)Mm. Cleous GloWry Young (05:13.105)July 28, 2016. Like this time I just called my mom, Like I just finished school. Two months ago I graduated. Magna cum laude, right? And then two months after I was like, I called my mom and said to my mom, mom, I can’t do this anymore, man. And it was because of the stuff that I learned in school. Like when I tell you it was so redundant, we’re sitting out here trying to do these things, right? Nick McGowan (05:30.894)you Cleous GloWry Young (05:39.092)And it’s like somebody sitting in the background making it hard for us. So when I started to learn certain things about psychology, I was like, wow, I’m just out here wasting my time. So July 28, 2016, I called my mom and I said to my mom, hey, I’m done with this community work. And then I went into behavioral therapist. Funny enough, right? Nick McGowan (05:49.262)You Cleous GloWry Young (06:03.431)So I’m working with students now in the classroom, right? Helping them with their behavior problem. I’m like, hey, I’m done with the community. Let me just find a population that I know that I’m gonna work with on a day-to-day basis. So I’m in the school now and day by day I’m working with the students, right? And then I look around, I’m like, why is everything academic here? Like, don’t they have anything social context around here? And I kid you not, I sat down and I designed this. Look how funny it is. This is what I actually designed. You see that? It says, be the ant. And I was like, something like this need to be in a classroom where they come and they can see that life is more than just academic. Again, I was coming from a teacher, right? And when you told me as a student, you got an A, I’m not impressed. Because I know the ins and outs of getting an A. It’s nothing difficult. You come to school, pay attention, do your work, participate, you get the A. Nick McGowan (06:35.192)Mm-hmm. Nick McGowan (06:46.669)Yeah. Cleous GloWry Young (07:02.129)So when I looked at it, I was like, wow, I’m in here as behavioral therapist helping someone with their behavior. I’m now looking at it from an academic standpoint. Now, like not from teaching, but from a behavior standpoint. And I’m like, why everything in the classroom is so academic? And I sat down and this was the poster that I actually designed. And that literally led me to start looking to go back into community where I just gave up. Nick McGowan (07:24.558)Thanks. Cleous GloWry Young (07:30.011)So that is something that most people don’t know about me. It’s like, Clay C Oatley, you’re doing all these great things. But they would never realize that I’ve given up so many times, not because it’s actually saying hard, because of the redundancy that I keep seeing in the… Nick McGowan (07:46.99)Even just the fact that you consider it giving up and the things are redundant and really the story that you’re telling and how that all worked. You’re making these little shifts and pivots, et cetera. One of the things that I love to nerd out about in my life and obviously here on the show is to take those moments. Like this is sort of a safe space in a sense. We can talk about the craziness and the stuff that’s happened, but this is like a lab where we get to go, well, what actually happened there? Like, what did you do? How does that work? How do we implement it? What changes did we make? Or just watch the damn movie in a sense and go, wow, that was really cool. So I think that’s some of the fun part of living because that’s where we actually get to do the work. Like when you’re in those moments, when that thing comes up and you go, wait a minute, everything’s redundant. This is not what I want to do anymore. You’re kind of still reacting or responding to the situation. And then from there, you really have to rely on the fucking work you’ve done in the past. Cleous GloWry Young (08:20.435)Mmm. Nick McGowan (08:44.846)like these little moments to go, all right, what do we do now? I think of it almost like you’ll have an issue or something that happens and you go, all right, well, that didn’t work out the way I wanted it to. What do I do? Some people will kind of watch their game tape in a sense. Other people will go, I don’t want to go anywhere near it. Like that wasn’t a thing I wanted to do or whatever. And then they run past. So when you talk about giving up, I want us to dive into that a bit because really there are people that have their own businesses. Cleous GloWry Young (09:08.605)Mm-hmm. Nick McGowan (09:14.646)or there are people that are working for a company or they’ve been in a marriage or a relationship or a system for so long, be it a family system, the whole fucking systems that we’re part of, capitalism and everything else. And they’re starting to look at that and go, and well, shit, I wanna give up, but it’s not really giving up like from the interpretation that you could have right off the bat. I can almost guarantee somebody listened to you say, I give up a bunch. Cleous GloWry Young (09:20.211)don’t wanna. Cleous GloWry Young (09:33.139)I need to give up. Nick McGowan (09:43.266)And then what you say where they’re like, well, that’s not really giving up. That’s like giving into where you should be going. And when I think of giving up, could mean this or that or whatever. When people give things up from a negative perspective, because it was like, it was a hard thing to do or didn’t work for them. I think there are some times where we can look at that and go, fuck man, I gave up. Or yeah, you’re damn right. I gave up on this thing. Instead of saying, I moved that out of the way so I can go do these other things. So breaking down that moment, even 2016 or something that happened as of late of like, all right, well, if you give something up, that’s a big choice that you’re making to say, I’m actually removing this because of all the work that happened underneath. So let’s break that apart a little bit. When you give something up, what’s sort of the, I don’t know. Cleous GloWry Young (10:31.61)much. Nick McGowan (10:40.502)not like the framework or like what the fuck process do you do? But if you really think about it, what are you doing in those moments? Because you feel something, you see something, and then you’re making an actual decision to go, moving you because I’m expecting something else to come along. Or am I off from that? Cleous GloWry Young (10:58.895)So a part of it is going to my interest, which is something that I started to pay attention to. Like, what is it that I’m really interested in? And I think you also hit a nail on the head. It’s like, hey, it has come to a point where it’s it stopped. So I remember going into teaching, it’s like, hey, I was promised all these things. And when I looked at it, it was like, hey, these things are not being fulfilled of what I was promised. So it’s like, hey, you know what? I’m going away. So a part of it was looking at it and saying, hey, these are the things that I’m interested in, but those interests are not being met. So it’s like, hey, I’m going to give this up. Why? Because it’s like, I don’t know, for me, my mindset is set on this. So I grew up in a culture where they say if you love somebody, right, let them go. If they come back, then they were meant for you. So that’s my mindset that, when I give up things, it’s like I have this program in me that says, hey, if it comes back, then it was meant for me. If it doesn’t, then let me look for the next thing. Funny enough, even with my, I’m an author. The first book that I wrote, this was 26 years ago. Even that, I let that go and moved on and actually wrote on different books. I’m up to my 10th book now, right? But what came back actually now was my first book, which I just republished and launched last week. So 26 years later, it came back to me and it’s like, lately I’ve been sitting down and I’ve been paying attention and it’s like, okay, this must have been meant for me because it’s no way that I let it go 26 years ago. And then now it’s now back in my life, like showing me the reality of what I needed to do. to the point now I started to concentrate just on this concept for the last couple of months where I’m like, hey, I got this published now, right? So a part of me is like having your mindset where it’s like, hey, yeah, I’m giving this up, but it’s not giving it up because it’s hard. It’s like, where’s the interest in it for me? Yes, I’m doing these things. I’m doing a great job as a teacher. But again, even when you look at the poster that I created, right? I was in the classroom. Nick McGowan (12:54.062)Hmm. Nick McGowan (13:03.246)Yeah. Cleous GloWry Young (13:23.183)I’m doing a behavioral therapist work, but then I looked at it as like, where’s my interest? So my interest is not being fulfilled here. And it’s almost like when I started to understand these things now, it’s like, hey, you got a bigger calling on your life. And it’s based on the things that you’re interested in. And then here’s a key component that I never understood until now, right? The reason, so I’m Jamaican. Nick McGowan (13:29.016)Mm-hmm. Nick McGowan (13:40.896)Yeah. Cleous GloWry Young (13:52.678)I came here to live in America, say 31 years ago, right? When I came here, my interest was playing soccer, which is called football. Very, very good at playing soccer, right? In high school, very, very good. I wanted to be the next Pelley. At one point, I sat down and I looked at it and I said to myself, what would life be like? to become the next Pele. And when I looked at that, I was like, wow, that’s not something that I’m interested in. And what I did that moment, I gave it up. So when you ask that question, now what I’ve been doing over the years is paying attention to the things that I’m giving up and realizing that it’s not that, it’s not hard. It’s just that my interest is no longer in these things. And it’s like I’m searching for something greater Nick McGowan (14:32.878)Yeah. Cleous GloWry Young (14:50.683)And the greater can’t come until I give those little things up. And as a soccer player in high school, where it’s like, I even started to sign autograph because people thought that I was going to be this big time player. So there’s this big future waiting for me. And I looked at it and I’m like, hey, I’m not interested in that. Like the lifestyle of being a celebrity, kicking a ball in a goal. And it’s like, at that moment, I was like, no, I don’t want that. I want something more meaningful. I never knew what meaningful meant to me at that particular moment, but I know that being a soccer player, a celebrity, that wasn’t meaningful for me. So I gave it up and I started to look for something more meaningful that has interest in it for me. And the more I kept on going. when I look at my path, I became a teacher, was very good. But it’s like, hey, this is not meaningful. This is not interesting to me. I gave it up. I became a behavioral therapist. Same thing. Nick McGowan (15:31.822)you Nick McGowan (15:50.104)Thank Cleous GloWry Young (15:51.676)So all these years what I’ve been doing, I’ve been giving up things because in the back of my mind it’s like, hey, if you let it go, if it comes back, then it’s meant for you. If it’s not coming back, then the next step now is to search for something greater. And that’s what I’ve been doing, just searching, searching for something greater, right? And it was eight years ago. that I found what I’ve been looking for for the last 26 years. And it has piqued my interest in such a way that it it drives me on a day-to-day basis to say that, hey, this is what I was looking for. I never knew it 26 years ago when I said, hey, I don’t want soccer, right? But I knew that I was looking for something that was meaningful, that intrigues my interest. And it’s like, hey, this is what actually led to now. Nick McGowan (16:23.053)Hmm. Nick McGowan (16:37.934)Sure. Cleous GloWry Young (16:49.267)Eight years ago, I had this breakdown, which they would call depression. And something just came in my spirit and said, hey, look at what is called the black box of an airplane. And while it came in my spirit to look at that, it gave me the instructions of what to do. When I did that, I moved from what is called mental depression to mental aviation. And that alone piqued my interest to say that, wow, I was depressed a few weeks ago, right? And then now I followed this methodology around this blockbusters thing that just virtually came to me, right? As a revelation. And then here’s it that I’m on a whole nother level of thinking now. And that piqued my interest. from eight years ago, I’ve been into this concept of understanding what is called the aviation industry. And I’ve never. Nick McGowan (17:22.509)Mm-hmm. Cleous GloWry Young (17:45.936)never had an interest in saying, hey, let me give up. Because there’s always something that’s making me look at it and say, wow, I need to learn this. This is gonna make me greater. And the more I learned it now, now, going back to the first question that you asked, it’s like looking at it and saying that, hey, this is how I now make a difference in someone else’s life. I use the aviation platform to help them to understand and figure things out now. Nick McGowan (17:56.536)Yeah. Cleous GloWry Young (18:14.491)so they can get to their destination. Nick McGowan (18:17.998)I think the fact that you talk about interests and asking yourself the like, what’s actually interesting to me and being able to see the self awareness of, well, this is redundant or I don’t want to do these things anymore. The thing that I like to be able to take from whatever we talk about on the show myself or with other people is for somebody to be able to go, right, well, what’s actually going on in my life? What do I get from this? Like, what do I do in my business or my relationships or what have you? And I think the interest is a big thing that a lot of us are really pushed away from because of the systems that we have to deal with. Society here in the States tells us you need to go to school, you need to get a job, you need to have a family, you need to do these things and blah, blah. That’s changing. That actually changed back in like the 90s, but it’s taken now our generation to be able to understand like time out, we need to do things differently. And the context of where things are with technology and just Cleous GloWry Young (19:00.403)Butch. Cleous GloWry Young (19:06.323)Mm-hmm. Nick McGowan (19:16.448)life in general and all of that. But the interest, it’s a through line for all of our lives that if we look back at what are the things that are interesting to us or what are the things that drive me, I think sometimes we get lost when people ask like, what gives you passion to wake up in the morning and people are like, well, I hate my job, but I really like the money it pays me. So fucking I guess that thing. And I think the big thing that we’re looking at here is like going deeper to that to go, wait a minute, if I pause for a second. and I understand what actually moves me a bit, we can then actually take steps from there. You pointed out with being a soccer player, I had a similar, not similar in a sense, or I wasn’t signing autographs and stuff like that, but I wanted to be a rock star when I was in high school. And I remember thinking like, I’m not gonna do anything else, fuck you guys, fuck your school, I’m gonna go be a rock star, blah, blah, blah. And I remember being probably 18 and registering, I don’t know if I wanna be on tour constantly. Cleous GloWry Young (20:02.099)Hmm Nick McGowan (20:16.334)but I didn’t talk to anybody about it. And I was into all types of drugs. And honestly, if I went on tour, I probably would have been dead within six months. But I remember thinking, I don’t know if I really want to do that. And a couple of years later, actually really diving into that and going, I like traveling, but I don’t want to sleep on a fucking amp. I don’t want to sleep on a bus. I don’t want to do this. I don’t want to do that. And I think the point that I’m making with that is no matter what situation we’re in right now, Cleous GloWry Young (20:23.235)Thank Cleous GloWry Young (20:34.717)playing. Nick McGowan (20:44.866)business, relationship, whatever it is. To take sort of a pros and cons list as one thing, but to understand what actually fuels you, then actually helps us to understand what’s pulling us from the situation. Like you still wanted to teach, but you were being called to do something else, where it wasn’t a major detriment to what you were doing, but it just wasn’t the right vehicle. Like get out of that and jump into something else. And I don’t want people to take from this to go, yeah, all right, well, fuck it, I’m telling that woman tonight, we’re getting a divorce, or I’m telling my boss, he can eat shit right now. Like, that’s not it at all, but being able to understand why do we feel movement inside of us? So when you feel that movement, when you start to feel like there’s something else there, what sort of advice do you give somebody that’s like, I feel there’s something in there, at least like starting to percolate a bit? what advice would you give them to be able to actually move that onto the next path in a healthy way and not just like, I’m gonna burn the whole place down. Cleous GloWry Young (21:44.924)So it starts paying attention to your, and it’s funny that you mentioned these things earlier, that society says, hey, go to school, go get this job. So it’s like, what you look at is like, hey, these are not the things that I’m really interested in. It’s what society has given to me. So what society has given to us, it’s like, hey, my goodness, this is what I’m gonna formulate into. And I’m gonna formulate into somebody that I’m not interested in. So when you look at it now and it’s like, hey, these little things begin to peek inside of you, it’s like, stop and pay attention. Like, pay attention to these little feelings that you’re having inside because this is where everything starts. Yes, you have the money, but if you feel like, wow, I don’t feel like myself, then pay attention to that because it’s like, how do you have all this money but you don’t feel like yourself? Nick McGowan (22:16.526)Mm-hmm. Cleous GloWry Young (22:44.175)Again, going back to what society has given to us, society has given, and I learned this from psychology, that they have given us what they wanted us to formulate into. So society, if you go to the library, what’s the norm that you have to do? You have to be quiet. Why? Because that’s the norm. If you go to the bar, then you start to rile up. What happened is that society has given us all these norms that they want us to participate in, right? And at that moment, it may not be the things that we’re interested in. People are interested in, no matter who you are, you’re interested in getting love. No matter who you are, you’re interested in getting support. No matter who you are, you need some type of interest in someone attending to what is it that you want to do in life. So when we look at it, it’s like society just says, hey, go do this and get this, right? And you get it. And when you look at it, it’s like you’re not fulfilled. Why? Because your interest is never there. They just told you, go do this and you did it. Just like me, I never understood this, but I grew up in Jamaica and soccer was the predominant thing for our culture. So it’s not like I had any other choice to be interested in something else. It’s like, hey, soccer was always around me. So that’s what I became interested in. When I came to America now, when I sat down, it’s like, yeah, I’m playing soccer. I’m doing well, right? But it’s like something inside of me is like, hey, this is it. So when it started to come now, I started to sit down and I’m like, all right. Nick McGowan (24:21.816)Yeah. Cleous GloWry Young (24:24.883)what’s going on? Then I’m like, all right, what is it gonna be for me to be like the famous soccer player like Pelley? And when I envisioned that and I saw it and I’m like, hey, you have this wealth, you’re popular, you’re famous, all of this. It’s like, hey, that’s not me, that’s not what I want, that’s not what I’m interested in. And I sat down and I was like, hey, I want to do something more meaningful out of life. And that little thing that just came about, I just started to pay attention to it now. What is more meaningful? What is more meaningful? That’s when you started now writing more. Because I started to look at that’s more meaningful than just playing football. It’s like a master now writing. And he’s like, but that’s not it. Let me go into teaching. And I now went into that and it’s like, hey. Nick McGowan (24:51.566)Hmm. Nick McGowan (25:06.402)Yeah. Nick McGowan (25:14.872)Yeah. Cleous GloWry Young (25:17.883)It’s not it. So it’s like when you have these little things and it took me 26 years to find my interest, but it’s like, hey, when you have this little thing inside of you, it’s like start to pay attention to it. And that’s what I could give anyone as good advice. Pay attention to those little things because it will lead to something greater later on. Nick McGowan (25:39.554)Yeah, I mean, the fact that we all notice things. Obviously I only know my own reality and you only know your own reality and whatever we spew to each other. But all the conversations I have with people, the mentoring or the coaching I get or coaching I give or any of that stuff, or even people here on the show, it’s like, we hear different things and we feel different things. And there are times where Cleous GloWry Young (25:49.779)Mm-hmm. Nick McGowan (26:07.598)If we had to put an action to it, we basically go, fuck you, I see you, and just turn the other way and run, like, because we don’t want to deal with it. And I always like to ask again, and like the times when I do think of it, I’m aware of it, I’ll grab it like it’s an intruder in my house. Like you’re not going anywhere. I’m not going to let you leave. Let’s figure out why you’re here and what do we do with it. And I don’t think people need to be that intense with it. And I’ve actually calmed down a little bit because the first… Little while I did that, it was too much where I’d be fucked up for like a day or so, because I’m like working on this thing. But if we are aware of those things and it keeps coming back, do something with it. If you have to have a conversation with somebody and it’s tough, sometimes it’s just a matter of saying, I don’t know how to talk about this, but I feel I need to because it keeps coming back. I think that’s a big thing that you’re pointing out of like, I saw that I was interested in these things. I did these things and then I realized like that’s a step onto the next path and not in like a cheesy leadershipy sort of way like this is a step to success but like you do a thing and go, cool, this is in the end all be all. I feel like this is a part to what happens next but because of that, you’ve made those other decisions that have led to that sort of stuff and I think sometimes like the mindset portion of this is that people will get stuck and like today sucks, sure. Cleous GloWry Young (27:09.01)Mm-hmm. Nick McGowan (27:33.282)Today may suck and like this week or this season or whatever. But for those people that are saying, look, I’m struggling. I can understand that I need to be aware of these things and work through it specifically for the people that are trying to figure out their own version of self mastery. What advice do you give to them? Cleous GloWry Young (27:51.316)So, you know, as I said, 26 years ago, I had this inclination inside of me, right? That I want to do something more meaningful out of life. And I look at that now and I can see it, that has been my, what you would say, compass. So even though I gave up teaching, even though I gave up being a behavioral therapist, even though I gave up soccer and stuff like that, The context was that hey, I had something in the background that was my compass. So no matter what I gave up, it’s like something was still guiding me on that path until I found it now 26 years later. So when you’re on this self-mastery, now I look back, right? And everything that I’ve done, I’ve said thank you because I needed to do it. I needed to give up that teaching otherwise I wouldn’t have been here and I don’t look at it and say that was a bad experience. No. Even when I went through the depression I was blaming some friends. When I sat back and started to look now and it’s like hey this is beyond my friends right? This goes back to my childhood. And when I started to look at that now before I was blaming my friends and like hey they did these things behind my back and Now that I found out I was so old, like I went into a state of now I was high. And then now I went into a low state because I found out that like one of my business partners did this thing behind my back, right? And that’s what led me to this depressional state. But when I looked at it now and started to peel back certain things and go back, it was like, wow, you know what? Thank you. Because if you never did that, then what happened, this black box revelation wouldn’t even come in my journey. Now I’m having this interest in this black box theory, right? So when I look back at it now, I just go back and I’m like, wow, you know, it was bad. Yeah, the depression was bad. But guess what? It was needed. You know, I gave up teaching, but guess what? It was needed. You know, I gave up being a behavioral. All of these steps that I’ve done in the last 26 years, they were needed. Nick McGowan (29:42.478)Yeah. Cleous GloWry Young (30:00.948)Even though at that time they were painful and whatever. But going back to 26 years ago, I had this one little thing inside of me that says, hey, this is the compass. You need something more meaningful out of life. And that became a mindset and it just guided me to where I’m at right now. So anyone that’s looking for like a self mastery stuff like even for me now, yeah. I found my interest but it’s like now I’m working on how do I master it. But I set a vision from 26 years ago that says, this is what I want. I want something more meaningful. And all these things for me was just a trial and error. that’s why I said it wasn’t hard for me to give it up because it was like, hey, this is not what I want. Why am I saying that? Because I know that Nick McGowan (30:30.702)Yeah Cleous GloWry Young (30:51.635)A couple years ago, I said I wanted something more meaningful and when I look at the equation of what I was getting, I was like, this is not meaningful. All right, let me let that go and get to somewhere else. And all of that now I started to know what is called, so I learned about this and going back to this, you remember I said about interest. Now talking to someone from a financial standpoint, right? We talk about what is called compounding interest. And compounding interest is when you make an investment and that starts to compound. The interest starts to compound and it gives you more. So for me, it’s like I started to look at it. I’m like, wow, 26 years ago, everything that I did, it was like a compounding result to get me to this what is called a compound interest. It’s like I made an investment 26 years ago and now I’m seeing the results of all the things. And yes, I didn’t get the results when I was a teacher. Nick McGowan (31:40.172)Hmm. Cleous GloWry Young (31:49.01)I didn’t get the results when I was a soccer All these things I didn’t get the results, right? But it was what is called a compounding effect So the things that I did here, the things that I did there Everything was needed to the point of where am I today? And I know people don’t say this like, my life is perfect And that’s to them For me I could say my life is perfect Why? Because even with the downs, the ups, the left, the right Nick McGowan (31:49.07)you Nick McGowan (31:58.038)Yeah. Nick McGowan (32:08.782)the Cleous GloWry Young (32:17.957)I set out 26 years ago to accumulate something in my life and that’s where I’m at now. Like, perfectly. I’m not one mile off or one decision off. I’m perfect to where I said, hey, this is what I wanted 26 years ago. So it’s like life is perfect. Do I have everything that I need? No. Do I always get everything that I need? No. But guess what? 26 years ago when I said I wanted my life to be meaningful, Nick McGowan (32:33.741)Hmm. Cleous GloWry Young (32:46.771)My life is meaningful today and not only can I figure things out for myself, I help others to figure things out for themselves. And to me, that is what my meaningfulness is all about. How could I make my life better for somebody else? When I look back at soccer, I was like, hey, when I become a celebrity, that’s me. When I make all this money, that’s me. That’s not meaningful to me. I want my life to be relevant to somebody else. Nick McGowan (33:03.49)Yeah. Nick McGowan (33:08.332)Hmm. Cleous GloWry Young (33:15.793)and that’s what I’ve done in the last 26 years. So anyone that’s out there that’s looking for self-mastery, it’s a journey of up, it’s a journey of down, it’s a journey of left. You’re going to cry, you’re going to feel like giving up all of that, but it’s all a part of the process. And I wish I had someone there that could actually give me these advice. Akhiles, when you’re going through that hard times, right? Nick McGowan (33:29.508)Thank Cleous GloWry Young (33:42.844)is not to think about, this is the end of your story. But that’s what’s needed for you to go to the next chapter. And chapter by chapter, your life is like a book in this world. Chapter one, you start out with this. Chapter two, and by the time you finish your life in this, you’re supposed to complete a book. Why? Because that book is gonna be given to somebody else now. So your life is gone. Nick McGowan (33:50.929)Yeah. Cleous GloWry Young (34:09.341)but that book can now be given to somebody else and said, hey, this is what Cleos did. And it made a significant difference for him. You can read this book now about his life. And then now you have some type of path that you can actually go on to discover your path and begin to figure things out. And for me, that’s what I could tell anyone. Nick McGowan (34:32.617)Yeah, what a great way to put that too, especially to think of the legacy component of that. Even if it’s not an actual physical book or digital book or what have you, there’s still lessons and things that I think people that are within our circles see and take from us, even if we’re not freely giving it out, we’re just being who we are. And for us to be able to be aware of that to go, this thing feels off to me, or it feels right to me, or I’ve noticed this, like, I hope that somebody listens to this and goes, damn, I keep hearing these things and now I’m hearing a podcast episode about it. Like there’s something to it, you know, like great, go do something with it. Like here’s your chance, you know? So Cletus, man, I really appreciate you being here today. Before I let you go, where can people find you and where can they connect with you? Cleous GloWry Young (35:04.733)So, Cleous GloWry Young (35:18.353)So I’m on the different social medias. They can go on either say LinkedIn or what is called Facebook or Instagram or TikTok. And you can find me there under my name, Cleus Young or the Airport Adventure or the Mountain of Miracles. Those are things that are used to actually identify me. I’m currently in Philadelphia, but I travel with different. go to different places and stuff like that. So if people are interested in me coming out, I could come to the different locations as well. But Philadelphia is my base and it’s been a journey here. Even that, it’s like learning about who I am in this city called Philadelphia. Like learning how to master yourself in Philadelphia. So anyone that’s interested, if they’re in the Philadelphia area, I do monthly events here. They can reach out to me. through any one of the social medias. You want to contact information as well, like phone number. Cleous GloWry Young (36:26.383)Okay. Yeah. So, and then just to what you just said about the book, right? You know, the Bible is a book. The Bhagavad Gita is a book. The Quran is a book. These are all stories that are put together to show that, this is what others have done. You can learn from it. And it’s like for me, that’s all my life is. It’s like… Yeah, I write books, but I also want my life to be that book that somebody can open up afterwards when I’m gone. And it’s like, hey, this is what I could learn from this person who was here once ago. So that’s life. And to me, that’s what meaning is. Not only when you’re on here on Earth, but when you leave and you go, you can still have meaning here to somebody who is gonna take a new path to life. Nick McGowan (37:20.28)Yeah. Awesome, man. I appreciate you being on today. Thank you so much for your time today. Cleous GloWry Young (37:24.973)And thank you for having me.

Marketecture: Get Smart. Fast.
AI Digital Brings AI and a Platform Agnostic Approach to Brands and Agencies with Mary Gabrielyan

Marketecture: Get Smart. Fast.

Play Episode Listen Later May 4, 2026 18:08


Mary Gabrielyan, Chief Strategy Officer at AI Digital, joins Ari Paparo to learn about AI-driven supply path optimization, value-based bidding, media planning, and the future of ad tech. Insights on AI adoption, training gaps, and what skills will remain human. Takeaways AI Digital is an AI-native media consultancy built on machine learning and now evolving with generative AI and LLMs. The company offers managed services, smart supply curation, and AI Labs for client transformation and training. Elevate, their platform, provides end-to-end campaign management, including research, planning, reporting, and MMM insights. True AI-powered supply path optimization should be predictive and real-time, not just based on historical data. The industry is shifting from metric-based optimization (CPM, CTR) to value-based, outcome-driven AI bidding. AI-driven ad curation is evolving toward dynamic, real-time inventory optimization rather than static deal packaging. LLMs improve contextual targeting by understanding semantics, not just categories or keywords. Companies are underinvesting in AI training and tool adoption, limiting their ability to fully benefit from AI. Human skills like intuition, taste, empathy, and authenticity remain irreplaceable in an AI-driven world. Chapters 00:00 Introduction & Guest Overview 00:28 What is AI Digital? 01:21 Core Services: Managed Service, Smart Supply & AI Labs 02:07 Inside Elevate: AI-Powered Media Intelligence Platform 03:00 Target Customers & Market Positioning 03:41 How Elevate Works: Research, Planning & Reporting 05:26 AI in Supply Path Optimization (SPO) 06:40 Reactive vs Predictive AI in Programmatic Supply 08:25 AI Optimization: Metrics vs Outcomes 09:26 Value-Based AI Bidding Explained 10:14 AI in Ad Curation & Programmatic Future 11:20 Dynamic Curation & Real-Time Inventory Optimization 11:58 Contextual AI & Semantic Targeting with LLMs 13:31 Client Reactions to AI: Fear vs Adoption 13:58 AI Training & Talent Gaps in Organizations 14:27 Will AI Replace Jobs? Skills That Still Matter 15:09 Human Advantages: Intuition, Taste & Empathy 16:51 Lightning Round: Competitive Edge & Challenges 17:46 Fun Question: If AI Digital Were an Animal Learn more about your ad choices. Visit megaphone.fm/adchoices

Maiden Mother Matriarch with Louise Perry
Meet the transwoman opposed to trans activism

Maiden Mother Matriarch with Louise Perry

Play Episode Listen Later May 3, 2026 74:37


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. Brianna Wu is a transwoman and a passionate Democrat who wants people with gender dysphoria to be protected from discrimination and given access to sex reassignment medical treatments. But only if this treatment has proper safeguards, and is never offered to children. To achieve this compromise – a centrist position, Brianna argues – trans activists must get their house in order by marginalising the misogynists and the fetishists who have taken over the movement. Today we discussed whether this is really possible. Is there a future in which trans activism is not at odds with feminism? Or is the backlash against this movement already too entrenched? Hosted on Acast. See acast.com/privacy for more information.

SBS Mongolian - SBS Монгол хэлээр
Bonus Practice: #106 Mmm or Hmm? Trying new and unusual food - SBS Learn English: Bonus Practice: #106 Mmm эсвэл Hmm? Шинэ, содон хоол туршиж үзэх нь

SBS Mongolian - SBS Монгол хэлээр

Play Episode Listen Later May 1, 2026 3:10


Practise speaking the dialogue from episode #106 Mmm or Hmm? Trying new and unusual food. - #106 хичээлийн ярианы дадлага хэсэг

The MM+M Podcast
Anne Gideon on her family's decadeslong medical marketing legacy

The MM+M Podcast

Play Episode Listen Later Apr 29, 2026 42:56


Few people outside of the industry know about all of the major players – be they drugmakers, medical marketing agencies, health media companies or patient advocates – let alone the intricate dynamics between them. Unless you're raised in the industry, medical marketing doesn't come across your radar on a daily basis. Luckily, this week's guest is a leader who was born and raised in the industry and plays an integral role in the story of MM+M.Anne Gideon, the executive director of the Medical Advertising Hall of Fame, joins the show for a conversation with editor-in-chief Jameson Fleming to discuss her family's decadeslong legacy in medical marketing and how her late father, David, elevated the publication's profile in the 1980s and 90s. She also reflects on how his contributions will be further recognized at the MM+M Awards in October when we hand out the David Gideon Leadership Award. Then, during our Trends segment, we're talking about the 2026 Edelman Trust Barometer and why 70% of respondents indicated they hold at least one “divisive” health belief. 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.

Jay Fonseca
PODCAST LAS NOTICIAS CON CALLE DE 27 DE ABRIL DE 2026

Jay Fonseca

Play Episode Listen Later Apr 27, 2026 11:56


PODCAST LAS NOTICIAS CON CALLE DE 27 DE ABRIL DE 2026 - Otro intento de matar a Trump Placa de places está destruyendo los ríos de PR - El Vocero Irán ofrece a Trump un negocio para reabrir estrecho de Hormuz, pero queda fuera el programa nuclear - CNBCTrump le mete sanciones a China por utilizar petróleo de Irán - Bloomberg LUMA y Genera pelean por fondos que no le dejaron subir en gastos - El Nuevo Día Gobernadora lleva equipo de trabajo y le quita celulares y equipos para reunión de todo el gabinete - Jay Fonseca PR A votación para eliminar la junta del salario mínimo - El Nuevo Día Guardia de seguridad mata a hombre de 68 con arma blanca tras supuestamente abalanzarse en su contra - El Nuevo Día LUMA dice que vienen serios cambios gerenciales y administrativos tras denuncias de que han paralizado obras - El Vocero Genera confirma que contrató a Palantir, una de las empresas más controversiales del Ejército de USA - El Vocero Traqueteos en la AMA, sacan a dos empleadas - El Vocero Extienden dos meses más eliminar la ley de cabotaje para petróleo y Gas Natural - El Vocero Disminuye la construcción en PR según el indice, bajó 1.2% - El Vocero Consumidores compran carros ahora financiando sobre 7 años - El Vocero Piden nueva carta de derechos de víctimas del crimen - El Vocero En problemas la secretaria de familia tras petición de info del Senado - El Vocero No saben lo que van a hacer para atajar costo de combustible dice portavoz de Fortaleza - El Vocero Familia promedio va a necesitar 250 dólares para el verano de 2026 versus los de 2025 - Primera Hora El mantengo de los millonarios en PR - El Nuevo Día Contralora quiere que todos los contratos se hagan a través de nueva plataforma - El Nuevo Día Exigen que se le entreguen documentos contributivos de Sagardía al Senado - El Nuevo Día Supremo de PR regaña a dos abogadas por usar AI sin revisar - El Nuevo Día PR ha tenido baños termales en otros sitios, pero solo quedan los de Coamo - El Nuevo Día MMM hoy voy pa Martins BBQEl mejor y más sabroso pollo asado a la varita de Puerto Rico. Cocinando diariamente comida fresca saludable y sabrosa con un montón de complementos para escoger, arroces, habichuelas, verduras, mofongo,tostones,....MMMM....Esto si es criolloMartins BBQ, TOMANDO todas las medidas de salud y sabor para mantener la mesa boricua al dia con opciones para llamar, recoger o delivery por UBER Eats, y DoorDash.MMM Hoy como en Martin's BBQAsado...Jugoso...Sabroso#martinsbbq #incluyeauspicio 

Recovery After Stroke
AVM Burst in the Brain: A Recovery Story of Patience, Aphasia, and Finding Your Way Back

Recovery After Stroke

Play Episode Listen Later Apr 27, 2026 80:13


AVM Burst in the Brain: A Recovery Story of Patience, Aphasia, and Finding Your Way Back Jennifer Tomscha was 39, driving her three-and-a-half-year-old daughter home from preschool, when an AVM burst in her brain. She felt a wash of dizziness first. Then her vision started collapsing on the right side. She pulled onto a narrow verge on the highway between Greytown and Carterton in New Zealand, tried to reach her husband, got no answer, and dialled 111 instead. When the dispatcher asked what was wrong, she said something she still can’t fully explain: “I think I’m having a stroke.” She didn’t know yet that she had two arteriovenous malformations in her left frontal lobe — one discrete, one diffuse. She didn’t know that within hours she’d be helicoptered to Wellington Hospital for an emergency craniotomy, or that the following Monday a neurosurgeon named Dr. Woon would spend thirty hours trying to remove both malformations from her brain. She just knew something was wrong, and that her daughter was in the back seat, and that she couldn’t keep driving. That moment — pulling over, self-diagnosing, refusing the urge to simply lie down and rest — may be the reason she’s alive. What happens when an AVM bursts in the brain An arteriovenous malformation is a tangle of abnormal blood vessels that connects arteries directly to veins, bypassing the capillary network that normally regulates blood flow. Most people with an AVM never know they have one. But when an AVM bursts in the brain, blood floods into surrounding tissue at high pressure, and the consequences are almost always severe: haemorrhagic stroke, seizures, sudden neurological deficits, and in many cases, death. Jennifer’s first surgery controlled the bleeding. The second, five days later, was supposed to remove both malformations. It didn’t go as planned. The surgical team discovered that blood flow to the first AVM was feeding the second one, causing the brain around it to swell. Dr. Woon had to make an impossible decision in the middle of the operation: let her die, or remove a portion of healthy brain tissue along with the malformation. He chose to keep her alive. The surgery took thirty hours. When it was finally over, he called her husband and said, “Well, you’ll be lucky if she talks.” The six weeks she can’t remember Jennifer has no memories of the first six weeks after her AVM burst. She was in a medically induced coma for the surgery, then in intensive care, then transferred to rehabilitation. Everything she knows about that period has been told to her by other people. When her memory started returning, she found herself in a rehabilitation ward in Masterton, using adult nappies, unable to sit up in bed. The front of her skull had been removed and wouldn’t be replaced for months. She wore a protective helmet whenever she walked. And yet — she insists — she felt fine. [Quote block — mid-article] “I kept saying, ‘I’m okay, I’m fine. You guys should just take it easy around me.’ But of course, I wasn’t really fine.” — Jennifer Tomscha The honest recognition of what had happened to her didn’t come for almost two years. It took that long for her brain to have enough capacity to think about her brain. The myth of the one-year recovery window Most stroke survivors are told, either directly or by implication, that the first year matters most. That after twelve months, improvements slow. That after two years, you’ve plateaued. Jennifer’s experience — and the experience of nearly every long-term survivor interviewed on this podcast — contradicts that narrative. Four years after her AVM burst, she is still discovering what recovery means. Her academic writing, once her profession as the Director of the Writing Program at NYU Shanghai, doesn’t flow the way it used to. She can’t recall songs from memory anymore, or sing the ones she used to sing. Her aphasia shows up most at night, when she’s tired. She still takes an afternoon nap most days. But she’s also finishing a PhD. She can read as well as she ever could. She’s speaking, articulately, in a podcast interview eighty minutes long. And the parts of recovery she thought had stopped improving are, quietly, still improving. What Jennifer wants other survivors to know Her advice, offered near the end of the conversation, is short and unsparing: “You can rest, and that’s okay. You can be as slow as you want to be, and that’s also okay. But don’t give up. Just keep going — at whatever pace feels right.” It’s a rejection of both the productivity culture that tells survivors to push harder and the clinical culture that tells them to accept their limits. Recovery, for Jennifer, isn’t a race against a deadline. It’s a long, patient process of finding out what comes back and learning to live fully with whatever doesn’t. Bill’s book and community If Jennifer’s story resonates with you, Bill Gasiamis’s book — The Unexpected Way That A Stroke Became The Best Thing That Happened To — explores the same territory: the slow, unexpected, sometimes beautiful work of rebuilding a life after a brain event. Get the book here Readers who want to support the podcast and connect with the community of survivors it serves can do so at Patreon. Support on Patreon 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. Jennifer Tomscha: An AVM Burst in Her Brain at 39, and the Four-Year Climb Back to Herself She self-diagnosed her own stroke while driving with her daughter. Four years on, she’s still discovering what recovery really means. Highlights: 00:00 Introduction and Background 10:00 Reflections on the Experience 18:00 Long-term Effects and Adaptations 26:45 Identity and Self-Perception Post-Stroke 38:48 The Long Game of Recovery 51:07 The Journey of Recovery 01:03:42 The Evolution of the Podcast Transcript: Introduction and Background: AVM Burst in the Brain Jennifer Tomscha (00:00) Dr. Woon was my neurosurgeon. And he just said, I’ll never do another surgery like that ever again. it was really long. And I think he definitely had made me worse. Like they had taken out. too much of my normal brain. when he called my husband after the surgery was over, Dr. Woon said like, well, you’ll be lucky if she talks. he was just so discouraged from how the AVM surgery went. when I finally talked to him on Zoom. was so you And I was like, yeah, yeah, yeah, of course I can. He was like, will you show me? and I walked up and down the room and he was like laughing so hard at my being able to walk. He was like so enthusiastic about it. Bill Gasiamis (00:44) Welcome back everybody. I am Bill Gassiomas and my guest today is Jennifer Tomche. In March, 2022, Jennifer was 39 years old living in New Zealand, finishing the first year of a PhD program when something happened to her brain that changed everything. What followed was a medical emergency unlike anything I’ve heard described on this podcast and a recovery story that quietly dismantles one of the most damaging myths in stroke survivor community. That after a certain point, the window for improvement closes. Jennifer is four years out from what happened to her. She still takes an afternoon nap every day. She still notices the edges of what her brain can and can’t do. And she is also finishing a PhD, raising two children and speaking with a clarity and warmth that will stop you in your tracks. This is a conversation about what it actually means to play the long game and why might be the most important thing any survivor can do. Before we get into it, if this podcast has been part of your recovery journey, I’d love for you to check out my book, The Unexpected Way That a Stroke Became the Best Thing That Happened, at recoveryafterstroke.com/book. And a genuine thank you to everyone supporting this work on Patreon. If you wanted to support the show, you can go to patreon.com/recoveryafterstroke. really helps me keep the conversation going. Let’s get into it. Bill Gasiamis (02:12) Jennifer Tomscha welcome to the podcast. Jennifer Tomscha (02:14) Thank you. I’m glad to be here. Bill Gasiamis (02:17) It’s lovely to have a local with me. Usually all my guests are from the United States or Canada or the United Kingdom. You’re just a hop, skip and a jump away in New Zealand. Jennifer Tomscha (02:20) Yeah. Mm hmm. Yep. Yep. I’m American originally, but we moved here in 2020. So ⁓ we I’m grew up in Iowa. And then and then I after but we were living in Shanghai for us for almost seven years, my husband and I were living in Shanghai and I was teaching at New York University, Shanghai and then when COVID happened in China. Bill Gasiamis (02:35) Where are we from in America? Jennifer Tomscha (02:54) they told us to leave the country because it was where it started. So, and we had two kids, so my husband didn’t want to go back to the United States. And so my sister lives in New Zealand. So we moved here and then we just stayed here. mm-hmm. So, yeah. Bill Gasiamis (03:11) So in China, was it just a request? Was it a directive? What was the situation? Jennifer Tomscha (03:18) From New York University, they said if you weren’t a Chinese national citizen, they strongly urged us to leave because they just didn’t know how they were gonna manage it. everyone, mean, in China, they had had SARS in the early 2000s, so they had already had it. And so right away, everyone had their masks on. They were ready to… go and I was like, I want to get out of here. So we went to New Zealand and they also had a lockdown, but it was just for a month and then everyone could wander around because the virus was not here. we just stayed and I got into this PhD program. So that’s why we’re still in New Zealand. Bill Gasiamis (04:00) Wow. That kind of brings us to the first question I ask most people these days is what was life like before stroke? So there was a little bit of stuff going on. was, work in China. There was a bit of, ⁓ travel from the United States to China. was children, but daily life. What, what was that like before the stroke? Jennifer Tomscha (04:21) When I saw my stroke happened in March of 2022 and at that time I had been in my PhD program for about a year. And I was just finishing up my research proposal. And so I was doing that during the day and my kids were both at, I have an older son who was in second grade year two. And then I have a daughter who was in preschool. And so my days were I dropped them off at their schools and then I would work for a little while. And then I would. go and get them. So, and then they would come home and we would do all the other stuff in parenting. And my husband at that time was working at the library. So he had, he was at the libraries from nine to five every day. So he was at work. And that’s what, that’s what we were doing. Yeah. When I had my stroke. I was busy trying to finish up this research proposal. And then, yeah. Bill Gasiamis (05:14) 39 years old at the time as well. Jennifer Tomscha (05:16) Yes, was 39. Bill Gasiamis (05:18) any signs, any kind of inkling that something was not right. Jennifer Tomscha (05:23) I didn’t, weirdly, so I’m trying to think about, my whole life I’ve had this thing where if, especially at just certain points if I hit my, this is maybe nothing to do with anything, but if I hit my elbow or my wrist, then I would pass out. And sometimes I would have like a little seizure while I was passing out. So wasn’t just like a regular fainting, it was like a seizure. And I had some of those in high school and I actually went to the, hospital for those at one point and I think they didn’t know what that was and they just did an EEG. I don’t even think we had an MRI where I lived. So I didn’t really know and then that sort of passed. But I was feeling when I have a daily journal that I was writing and when I go back and read that daily journal, the whole, for a couple months ahead of time, I was like, I just feel kind of weird. I don’t feel great. I feel like a little bit sick and I don’t know what’s wrong with me. And at that time they were allowing COVID to enter New Zealand. They were putting it in. So I was like, I think I might have COVID, but I took a bunch of tests. They were all negative. And then my stroke happened on Tuesday, but the Friday before I was so sick. And then that weekend I was really sick too. And then I got, like, I kind of felt like I woke up, I felt really nauseous. And then I felt better on Monday and Tuesday. And Tuesday was when my stroke happened. So I think that was all, it was all, think, my body reacting to, I was probably bleeding in my head at that time or something. mm-hmm. Bill Gasiamis (06:57) I got it. And we’re to have to go back and talk about how it was that when you got hit on your, on your wrist and your elbow, how hard was the hit? Jennifer Tomscha (07:05) I don’t know. Not super hard, I just, I don’t know what, I actually don’t know, and maybe it’s nothing to do with it. You know, maybe it’s something else in my body that I am prone to fainting. But I don’t know, I don’t really know why that, and maybe it wasn’t anything like that. But I had one day when I was 16 and I passed out three times and that did seem kind of funny. And I went to the doctor and I passed out while I was at the doctor’s office. So they were like, there’s nothing wrong with you. So they put me to the hospital. They did the EG. stayed the night. And then they were like, there’s nothing wrong with you. So that was it. But I think if nowadays they probably would have done an MRI, maybe, and they would have seen that I had my AVM and my whole life would have been different because I wouldn’t have done all the stuff that I’ve done now. Like my mom was like, if we had known you had had an AVM, you would have gone to school. in Sioux City, you know, or we would have done something to keep you nearby because we would be worried about you. Instead, I was just like, doing whatever I wanted to, which is good. Bill Gasiamis (08:14) Laze, but that’s kind of good. But also I get the preventative thing. One of the, my former guests had a daughter who had an AVM and I think she was five when she passed away from a bleed in the brain because of an AVM. That’s horrific. And one of the, it’s actually worth listening to that episode and it’s worth me interrupting this right now to jump on and find that episode so that I can share it with people. And this particular lady has made it her life’s mission to raise money, get an MRI machine and do preventative scans for people in case they have an AVM or some other undiagnosed neurological condition. I think it’s Gina. Gina Keely. OK, it’s. And her ⁓ foundation is now called the Paige Keeley Foundation, it’s the most heartbreaking story. It’s episode 141 and I’ll have the link in the show notes and I’ll have it in the YouTube description. So for anyone listening, jump back and have a look at that. And also maybe even consider supporting the foundation because the story is heartbreaking and the efforts that this lady is going to ensure that this doesn’t happen to other people is just amazing. So. I wanted to, I raised that because I had a, in 2011, no, no, in 2010, about 18 months before my actual AVM bled, I had a really terrible negative episode, nauseous, room spinning, like all the signs of stroke, but completely missed the, completely missed Jennifer Tomscha (09:47) Mm. Bill Gasiamis (09:55) the AVM when I went and actually had an MRI. So yeah, I went to the hospital, gave them my, rundown of what was happening to me and they were so switched on and they got me in and they did all the tests, but they didn’t find anything because they didn’t know what they were looking for. And there was no obvious sign of bleeding. So they didn’t dig deeper. And I have a friend of mine who is a radiographer who actually did my MRIs Jennifer Tomscha (09:58) ⁓ really? Mm. Reflections on the Experience Bill Gasiamis (10:22) when I was in hospital being treated after my AVM burst in 2012. And he said to me, the preventative stuff is very difficult because if you don’t specifically know what you’re testing for, you don’t know how to set up the machine and how many slices that it needs to take and at what resolution. So that when you deliver that to the radiologist and they’re looking at it, can they see an AVM and then pass that on? Jennifer Tomscha (10:37) Mmm Bill Gasiamis (10:49) that information onto the neurologist. They might even miss it, even though they’re doing MRI. But what Jena is doing, it sounds like they’re specifically going after aneurysms, AVMs, other malformations, and therefore they have kind of this better opportunity to find it. So if somebody is considering getting a preventative scan of their brain, you have to be very specific. Jennifer Tomscha (10:53) Bye. Bill Gasiamis (11:14) with the team of doctors, radiographers, neurologists, as to what you want them to look for and make sure that they adjust the scan so that it’s fit for purpose. Jennifer Tomscha (11:25) That’s interesting. That’s really interesting. Bill Gasiamis (11:26) Yeah. So what was the day of the stroke like? Was it, you said you’re feeling better on that Tuesday. Jennifer Tomscha (11:34) Mm-hmm. I had a good day. I have like lots of notes from my research proposal and I went to pick up. I don’t know why I did it this way actually. I went, my daughter’s preschool is in our town, Greytown, and I went and picked up her first and then I went to get my son. His school is a Montessori school. It’s in one town north. And so I went and got her and we were driving in the car and when I turned onto the highway that connects Greytown and Carterton, I just felt like a wash of dizziness and I started losing sight, I think, in my right eye. And it’s seven kilometers from Graytown to Carterton. And right before we got into Carterton, I pulled over onto the side of the highway. I tried, so by that time I think I had lost most of the sight in my one, my right eye. And so it wasn’t very long actually. And so I tried to call my husband, he didn’t answer. And then I just called 111 and I was like, I don’t know why I was like, I think I’m having a stroke, but I don’t know why I even thought that actually. Do know what I mean? I just, was like, something is wrong with me. And so my daughter was fussing in the back and, I don’t really remember anything after that. I don’t remember the paramedics coming. I don’t remember talking to anyone. but so when they, I think the police came first and then Then the paramedics came and they said I was nauseous, but talking a little bit. But then they moved me into the ambulance and, I started, choking and, or something, and they had to intubate me in the ambulance. And then they took me in. I was helicoptered off to Wellington hospital. So. Bill Gasiamis (13:12) How did you feel about it? I know you did the right things. You nailed it. But how did you feel? What were you thinking? I was completely oblivious to the risk I was at or in. Jennifer Tomscha (13:14) Yeah. Mm-hmm. Mm-hmm. I don’t know. just, let’s see, I think… I think when I was losing my vision, that was hard. I mean, I’m really lucky. There was a little ⁓ path on the side of the road right before you enter Carterton. So I pulled over there so I could still control the car. You know what I mean? I wasn’t so bad. And I could dial 111 on my phone. I could still think about those things. But it wasn’t very long after I dialed 111 and talked to those people that I’d that my memory is gone. So I think, I mean, I have spent a lot of time trying to like go back and figure out like, what was it? What could I have done early? know, like I was really lucky I was in the car, because honestly, because if I was at home, I might’ve like laid down and taken a nap and not called anybody actually, or called Dan and half have not answered. So then I could just see myself. Bill Gasiamis (14:14) you Jennifer Tomscha (14:22) It was actually really lucky that I was in the car with my daughter because it made me, I mean, I couldn’t keep driving very well. And so it made me pull over and it made me, I’d have to do something because I wasn’t in town. So I had to like figure out how I was going to manage the situation. And so I was really lucky actually that I was in the car and that I was in a public space where I was easy to find and like I could, so I felt like really lucky that all that happened. in that time period, but also that soul that my daughter was with me because it made me, I had this like parental responsibility that I had to, I couldn’t keep driving with her in the car. Like I just, I knew I had to do something and quickly. I feel like, I feel really lucky that that was the situation that I was in because I could see a different day where I didn’t go get the kids at that time. And I maybe would have tried to take a nap and it would have been totally different. So you know what I mean. Bill Gasiamis (15:19) It’s such a common thing for people to go, oh, I’m not feeling well. I think I’ll just go lay down and have a rest and see if I can just get over it, sleep through it or whatever. yeah. And then it just leads to even more and more trouble or problems. The fact that you said, I think I’m having a stroke, right? That is so cool and bizarre and amazing. Jennifer Tomscha (15:29) Mm-hmm. Mm-hmm. The guy was like, why? And I was like, well, I’m losing my sight. I was like, I mean, I don’t know how it was. I was like, why do you think you’re having a stroke? I was like, I don’t know. But there was something wrong. You know what I mean. Bill Gasiamis (15:52) Yeah, that’s such a good question for me. Why do you think I’m going to strike? I don’t know, but I just came up with it. What? That was enough though. Like that was such a response from you to say, I think I’m having a stroke. It’s very, very rare that people get there, but the fact that you got there kind of gave, gave them also like an understanding of how to attend the site and what to do. Jennifer Tomscha (16:01) Mm. Bill Gasiamis (16:18) And that saves time as well. That saves a ton of time. Jennifer Tomscha (16:21) Right. Mm-hmm. Mm-hmm. Bill Gasiamis (16:23) and gets them, even though you may have been wrong, right? Gets them looking in the direction because they’re already got that in their mind. And then, well, let’s look at that first and then let’s suss it out. She might be completely wrong. But I walked into the hospital after my, while I was having the third blade and said, I’m having a brain hemorrhage or something like that. And I was in the hospital upright, standing, looking normal and Jennifer Tomscha (16:27) Yeah. Yeah, yeah, yeah, that’s true. That’s ⁓ Mm-hmm. Bill Gasiamis (16:51) They were looking at me like, okay, what are you on? This guy, this guy must be on something because it doesn’t look like he’s having a stroke. And then I had to try and convince them, but I wasn’t giving them my contact details. So they weren’t able to bring up my record. And all they were saying was just give us your name, give us your name. We’ll put it in the system. We’ll have a look. And eventually they got it out of me and, ⁓ and I was right. But yeah, such a good thing. Jennifer Tomscha (16:54) Oh, yeah, yeah, yeah, uh-huh. no. Hmm. you Bill Gasiamis (17:21) I love those little bits and pieces that go well together because you often hear I often hear the bits and pieces that didn’t go well and and it turned out differently and how old was your daughter at the time? Yeah, wow. Jennifer Tomscha (17:30) Mm-hmm. She was three and a half. And so she was still in the backseat, know, backwards in her car seat. And then we stopped and she was like, why are we stopping or whatever in her three and a half year old voice? And I was like, I just had to make a couple of phone, you know, I don’t know what I said to her. And then I think when the police came, she was asleep. Like she fell asleep back in the car. then, and then. It’s just, I, I’ll, so then for the next six weeks I don’t have any memories of anything. So all, all of the information has been given to me by other people. But, so, yeah. Long-term Effects and Adaptations Bill Gasiamis (18:04) So was quite a large blade after all of that. Jennifer Tomscha (18:06) Yeah, it was large. They took me, so I flew in the helicopter from Masterton to Wellington and I think they, by then my sister had gotten to the hospital and they, yeah, I think they said, yeah, they did an emergency, is it craniac? Or what’s the? Bill Gasiamis (18:25) Craniotomy, Jennifer Tomscha (18:26) Yeah, they did an emergency cradionomy and they saw that I was bleeding. And then they saw that I had this large left frontal or frontal lobe AVM. So, and then they said that at that moment they couldn’t tackle that AVM. So they, controlled the bleeding and then they, and they left my skull out and then, yeah. And then, then they, they talked to the neurosurgeon and He, that was a Tuesday and he said, why don’t you, I was in a coma, just keep her in a medical coma. And then Monday they would do the, the, the surgery to get rid of the AVM. Bill Gasiamis (19:05) And then that surgery happened. Jennifer Tomscha (19:07) That happened and it was, had my, actually had two AVMs. One was really discreet and they could see all the endings of it. And the other one was diffuse. I don’t really understand it, but, the neurosurgeon said there was like parts of regular brain in and around the AVM. I don’t really understand how that happens, but, ⁓ so they started in the morning and they did, they got rid of the one AVM. They were taking it out. And then something about the blood vessels that had some of they had been putting blood into that AVM. They then started feeding into the other AVM. So then that AVM made my brain sort of swell where that AVM was. And so the neurosurgeons had to decide if, mean, basically it was like, let me die. because they couldn’t do anything about it, or they would get rid of that AVM and they would just take out the brain that was, the normal brain that was in the regular AVM. So they took, they decided not to let me die, thank goodness, and they decided to do that. so, but it was really long surgery, it was 30 hours, I think they just didn’t, yeah, it was really long. And… And I think Dr. Woon was my neurosurgeon. And he just said, when he went and sewed my head back together, he didn’t think I was listening, but I was in the other room and I could hear him after I had my skull put back in. And he was like, I’ll never do another surgery like that ever again. it was too, it was really long. And I think he definitely thought that he had made me worse. Like they had taken out. too much of my normal brain. when he called my husband after the surgery was over, like they didn’t call him. Dan, my husband was waiting for the whole 30 hours and they only called him one time at like 11 o’clock that night. And they were like, we’re finishing up. But then they had all this other stuff happen. So they didn’t actually call him again until noon the next day. And Dr. Woon said like, well, you’ll be lucky if she talks. Because we had to take out. he was just so discouraged from how the AVM surgery went. And so, yeah. Bill Gasiamis (21:24) Dr. Woon needs to give himself way more credit. Jennifer Tomscha (21:27) I know, I know, I also think that. I also think that, I mean, it’s, I mean, neurosurgeons, they’re, it’s amazing that you could, I’ve just, it’d be so weird if your job was to cut people up and go into their brains and try and fix something in that organ, which is so mysterious, do you know? Like, yeah, so. Bill Gasiamis (21:48) Wow. 30 hours. So he also is thinking in his career, he’s probably never going to come across another 30 hour surgery. Yeah. Well, only if it’s necessary to make somebody better, but yeah, we definitely want to avoid that if we can for every human on the planet and for Dr. Woon, but I just, I’m just completely in awe of these people. I bumped into my surgeon last year. Jennifer Tomscha (21:57) I hope not. mean, I hope, you know, yeah, I don’t think, yeah. Right. Mm-hmm. Bill Gasiamis (22:15) because I had another MRI, because I had another bout of headaches and all that kind of stuff. still, you know, it hasn’t ended. I still go through all these things. And I mean, I mean kind of, I get emotional when I’m around her and when I’m in the room with her. If she told me to jump off a cliff because there is something positive down there and I would do it. If she said, if she said punch a hole through that wall, I would do it. Like I would do whatever she said because Jennifer Tomscha (22:20) no. Yes. Yeah. Bill Gasiamis (22:44) I just cannot get over the, know, when, you know, when you make a decision, some people, my phone is weird. I’ve never done this before, but you have a piece of fabric and it’s got some lines on it. And you know, if you cut it wrong, that you can’t use that piece of fabric for that pair of trousers anymore. You’ve got to use it for something else. Like that’s a pretty mild problem to happen. Like you cut wrong, you go in the wrong place. You pop that aside and. You’re useful. If you do that to a human, there’s no going back. And you’ve got to make that decision every single time you walk into the operating theater. And imagine his family. Like, I feel like we need to reach out to his family and say, is there anything we need to make up for? I know we had your husband for 30 hours, but like, how can we support your family now that he’s done that for my family? Jennifer Tomscha (23:40) Yeah, yeah, yeah. Bill Gasiamis (23:40) Do you know, like it’s so interesting that these people have been able to get to that level of capability. Jennifer Tomscha (23:49) Yes. Bill Gasiamis (23:50) with humans and helping people stay alive and be here with their family, be a mom, be a wife, be a daughter, be a member of the community. Jennifer Tomscha (23:51) Mm-hmm. Yep. Yep, exactly. It’s just, it’s amazing. It’s just so, and I’m so grateful to him and he had another neurosurgeon working with him and yeah, it did, I mean, yeah, it’s amazing. I always think though, I’m trying to think about like, did, why, if he cut out those parts of my brain, why weren’t they, why? I mean, I have some things I can’t do that I could do before. Like I can’t, this is so weird. I can’t recall songs very well and I can’t sing songs from memory, like at all. Like that part of my brain is done, which is fine, but I used to sing a lot. but I think because if the AVM is there when you’re in your, if it’s there when you’re in your mom’s womb, like if you’re, when you’re developing. It’s probable that my brain was like, there’s a little issue here in this brain. We’ll move some of the stuff away from, don’t you think that would be, yeah, because I just think like, I think where my AVMs were, my brain was like, we’re gonna move, we’re not gonna put stuff by those AVMs because yeah, because your brain is really adaptable. Like that’s one of the things that I’ve been reading since I had my stroke. Bill Gasiamis (24:59) Wow. Yeah, I’ve never thought about that. Why not? That makes sense, Jennifer. Because it’s… Yeah. Jennifer Tomscha (25:18) My mom’s like, your brain is so adaptable and flexible and it can do different things. You just have to try doing things, you know, and failing. Bill Gasiamis (25:26) And the blood flow is not right. So you imagine with blood flow not being right, then the brain’s not developing correctly in that spot anyway. And it’s just developing where there is blood flow. Jennifer Tomscha (25:37) Yes, exactly. Exactly. I just I feel like that makes sense to me. And that’s why if you’re the neurosurgeon, I mean, you really don’t know. Like Dr. Woon didn’t know what was there. But I just feel like maybe my brain when it was developing was like, well, this isn’t a good spot and this other spot isn’t a good spot. So we’ll just do everything in a different place. And the brain is really you can really do that. I think your brains are really plastic in the way that they can order themselves. And so I So it’s still all Dr. Woon. I’m just so grateful to him and everything that he did. Because honestly, I feel like I come from the States. I don’t know that a neurosurgeon, I just don’t know how long a neurosurgeon would have, they might be like, I’m done, I can’t do this anymore. I just don’t really know. It just all depends on the doctor and who sees you and everything. So I just felt so lucky to have been here. Bill Gasiamis (26:30) Imagine doing a 30 hour shift on any day for anything. Jennifer Tomscha (26:34) No. And the thing about neurosurgery is like you’re in, I mean you’re doing like, you’re in a microscope or whatever doing that little and you’re tying off a little blood vein and I don’t know, it’s nuts, it’s so nuts. mm-hmm. Bill Gasiamis (26:39) them. Identity and Self-Perception Post-Stroke Yeah. And they talk about, you know, how dangerous it is to drive when you’re off a take when you haven’t slept, when all those things. And these guys are going for 30 hours and they’re doing the most intricate, life altering surgery and it all goes perfectly well. So how wrapped was he when he realized how well it went. Jennifer Tomscha (27:09) I didn’t talk to him until June, so that was at the end of March. And then I was in the ICU for a while. then they moved me to Masterton and I did rehab. And then I went to this last clinic, this ABI, this brain clinic for people who had brain injuries. And that’s when I finally talked to him on Zoom. And he was like, so can you walk? And I was like, yeah, yeah, yeah, of course I can. He was like, will you show me? and I walked up and down the room and he was like laughing so hard at my being able to walk. He was like so enthusiastic about it. I was, you know, I mean, we can talk about this too. was, everyone was like, when I finally have my memory back, I was in Masterton and I was using a diaper. I couldn’t walk. I couldn’t step in bed, but I remember being, actually, ⁓ I remember being like, I’m fine. I’m fine. Everyone is just fussing over me. But of course, they were right too. Do you know what I mean? But I was like, I’m okay. Everyone needs to just like, let me just relax around me. And everyone was like, everything I did, they would be like, you know, I couldn’t feed myself. And then, you know, there’s all this stuff. And I was like, I’m really okay. You guys should just. take, like, I’m fine. I kept saying that, like, I’m okay, I’m fine. You guys are all. But of course, I wasn’t really fine, but I felt like, Bill Gasiamis (28:36) It sounds like you weren’t physically there yet, but you were emotionally and mentally fine. Like it sounds like you were on the, you kind of knew that things were going to turn out or. Jennifer Tomscha (28:48) I think so. I think, or maybe, I always think like maybe you can only manage so much. like at that time I had my front part of my skull was gone because it had been taken out when they did both my surgeries. And so I had to wear like a rugby helmet or whatever when I walked. But otherwise I would sit in my room and it looked terrible. It’s just so terrible. but I just didn’t really recognize that. Like I didn’t, wasn’t, I couldn’t do all the things at once. So I think I was just thinking about like, and finally at the middle of May, my mom and sister, I still had my like long hair in the back and short in the front. So my sister was gonna cut the long hair in the back. And I saw myself in a mirror and I was like, that doesn’t look very good. You know, like I wasn’t, I don’t feel like I was totally aware. I wasn’t, my brain wasn’t. totally back in it. It’s a long time to recover and I feel like my brain only gave me, I don’t know, I felt like I couldn’t think about my own brain, maybe for like a year or something, really think about it in a second order way. Bill Gasiamis (29:59) allow yourself to kind of observe your state, your brain condition. Jennifer Tomscha (30:02) Yes. Yes, I think I was like, it was like that my it was like maybe in October of the next year, October of 2023, where I was like, Oh, I can think about my brain and what it is in a way that I couldn’t. Because I don’t know, you have to go through, you just have to relearn a lot of stuff. But I didn’t like I’m lucky, like, it didn’t affect my reading, so I could read right away. I’m not a very good writer, like, I don’t have good handwriting anyway, and my handwriting still maybe isn’t as good as it was before I had my stroke, but, yeah. I feel like, felt like, the actual healing was a longer process than I thought it was going to be, especially right when I first woke up, because I was like, I’m fine, but I wasn’t really fine, actually. Do you know what I mean? Bill Gasiamis (30:55) 100%, they can make doctors and neurosurgeons do a 30 hour surgery, find that part, fix it, ta-da-da-da-da, do all those things, but they can’t make a helmet for God’s sake look half decent after they’ve taken your skull out. Like as if it’s bad enough, have skull missing and then they put this terrible looking thing over your head. Jennifer Tomscha (31:11) No. It’s true. It’s true. It’s true. Yeah. Yeah. So, yeah. Bill Gasiamis (31:22) And I know for women like hair is a big deal and become. Jennifer Tomscha (31:27) It was really, I have always liked my hair and it was, I had short hair for about a year and a half maybe, you know, and I started growing out more and that was a little bit hard. I felt like that’s really vain, but I was like, man, I just did not like that short hair. Cause it’s not very, I don’t know. I just, wanted my old hair back. So I was lucky that it came back though. You know, everything, it’s not cancer. It’s a different thing. So you have a different, you know. Bill Gasiamis (31:51) I never would have told you that your hair didn’t look good, but my favorite hair is brunette curly hair. Yeah. My wife is a brunette naturally and she has curls in her hair and she straightens it all the time. I haven’t seen her brunette curly hair for 30 years. Jennifer Tomscha (31:57) Thank you. ⁓ yeah. no. Bill Gasiamis (32:13) I’m like, woman, that’s what I like. Like that’s my thing. you stop straightening your hair, but I can’t get it to stop. ⁓ Jennifer Tomscha (32:20) Yeah, that’s fine. Everyone has to do what they want with their hair and everything. you know, that’s something that one thing I think about my stroke is you just got to go live your life. Like you can’t and you’ve done that beautifully. You know what I mean? Like this podcast is amazing. it’s just like, you just got to go do what feels good for you at the time and what you want to do and just do it. and stop saying no, or you know what I mean. Bill Gasiamis (32:49) I’m trying. am. know exactly what you mean. One of the biggest things is identity is a big, big thing. And I don’t talk about me so much. I’ll talk about what happened to me, my stroke journey, but I don’t really give people a look behind the curtain. You know, sort of really understand what’s going on. This is just all a facade. And one of the challenges that I have is this painting company that I started 20 years ago was the main source of income. And it stopped abruptly seven years in when I became. Jennifer Tomscha (33:02) Hmm. Mm-hmm. Great. Bill Gasiamis (33:17) and it sort of still kept bubbling along. And then I got back to it in 2019 because my clients were still calling me and I was well enough after seven years of going through stroke and all the stuff of surgery, learning to walk again and all that. I was good enough to sort of get back into it. And of course in 2019, I only had six months and then we were in lockdown. And then in lockdown, we had two years of lockdown in Melbourne, and then I’m trying to keep that thing going again. And then there was this massive influx of work after lockdown because everyone’s going, I’ve been looking at these walls for two years. They look terrible. Let’s get them painted. They had spare money because they hadn’t spent anything for two years. And that was like, let’s do this and let’s do that. And there was this massive amount of work for about 18 months. And then that was done. It was gone. And it’s been a steady decline since as soon as Trump opened his mouth and did something in Iran and said what he said, and he plummeted like we’ve got no work. And I’m okay to have no work because I’ve been there before and we’ve managed our affairs so that we’re okay. But I can’t employ people right now at all. That’s gone. And getting people back and starting that again is going to be extremely difficult because the curve Jennifer Tomscha (34:27) Yeah. Mmm. Hmm. Bill Gasiamis (34:36) is not it’s not going to be a sharp dip and then it’s going to be a big spike of work and demand and all that kind of stuff. this podcast has been my saving grace every time I’ve needed to occupy myself with a project and make it so that I’m not thinking about me. The podcast was there. I did. I did an interview. It got me over the line. But now the biggest void that’s going to occur is not that I’m going to Jennifer Tomscha (34:47) Mm-hmm. Bill Gasiamis (35:05) potentially not have work in this field and after shut it down, which is gonna be fine if I do that, I’m okay with that. I’ll kind of pass it on to my younger son who’s looking to do some work in a similar space. I’ll give him the phone number and he’ll be able to take those types of inquiries and then he’ll do it on his own, like very small, the way I started at the beginning. And is that I’m gonna have all the time in the world. Jennifer Tomscha (35:23) Mm. Bill Gasiamis (35:29) on my hands to do the thing that I’ve been avoiding doing because I had this business that relied on me and the thing was to do public speaking. Right. And to actually do it the way that I’ve wanted to do it for more than a decade, which was to talk about the topics that I want to talk about, which no one’s talking about post-traumatic growth, overcoming trauma, how that’s applicable in organizations. Jennifer Tomscha (35:38) yeah, yeah, Mmm. Bill Gasiamis (35:56) how to treat people better in an organization so they have less mental health issues, so they have less physical issues, so they’re sick less, so they enjoy their work, so they’re not hating their life. And now I’m going to have all the time in the world to do it. And I’m shitting myself. That’s the biggest issue, right? So that’s a little bit of a look behind the curtain. I am loving this. This is an amazing thing. And I do remember when I first started it, I was concerned about what people would say about me. You’re going to sound dumb, Bill. You you’re not going to, you know, what authority do you have? All those kinds of things, they were coming up in my head. And then when I wrote the book, the same thing, I wrote my first book, The Unexpected Way That a Strike Became the Best Thing That Happened to Me. Everyone has said, don’t write that book. Don’t write that. Jennifer Tomscha (36:27) Mm. Bill Gasiamis (36:39) Don’t let that be your title. It’s bizarre, it’s weird, like it’s strange, it’s too long and all these things. So I did it. And of course, the first time I spoke about it on YouTube, one of the first comments was a negative comment on my YouTube channel. It’s like, ⁓ okay. My God, that’s a kick in the guts. Jennifer Tomscha (36:44) really? ⁓ yeah. Bill Gasiamis (37:03) So those little kicks in the guts that I’ve had along the way have been few and far between, but they’re the ones that seem to persist the most. And they stay in that part of your head, which says, you know, that public speaking gig, you’re probably going to do the first one and they’re going to say you were terrible. And then you’re to feel all sad at 52 about, you know, yourself and all these things. Jennifer Tomscha (37:15) Yeah. you Bill Gasiamis (37:29) how you’re going to overcome that emotionally and mentally and all this kind of stuff. It’s like, Bill, relax. You’re gonna have time to build your new career at 52. You’re gonna have time to do it. So that’s like, all right. I find myself getting pushed into a corner and only then responding with, all right, all right, I better step up again. I better do this again. Jennifer Tomscha (37:33) Mm-hmm. Yeah. Mm-hmm. Mm-hmm. Mm-hmm. Yeah. Bill Gasiamis (37:58) Very strange, re-imagining yourself and recreating yourself after stroke is a huge thing because you’re also doing it with a stroke brain. Whereas before I had no excuses, I was doing it still. Like the pattern is the same. The stroke brain part of it is an obstacle that I wish I didn’t have, but somehow this stroke brain part has made me do things I’ve never done before. Jennifer Tomscha (38:14) You The Long Game of Recovery Bill Gasiamis (38:27) a podcast, a book. You know, I was a tradie. I was like, I didn’t study. didn’t read. In my, by the time I got to the age of 37, honestly, Jennifer, I reckon I’d read maybe seven books. And they were about this criminal underworld figure in Melbourne who had this, who had this career and of being like really terrible and somehow. He was the thing that I was interested in reading about. Like that’s the only thing that captured my imagination. Everything else, everything else I picked up from listening to podcasts or watching shows on TV and that kind of stuff. So I wanna just, I wanna make people understand that the battles that you’re fighting, I’m fighting, it’s real. Like you’re not doing it alone. Everyone’s fighting this. How do I reimagine myself? Jennifer Tomscha (38:56) Bye! Bill Gasiamis (39:20) after stroke, you know, I don’t tell people I’m an author. Still, this book has been out for three years. I’ve had amazing reviews. I’ve had a couple of, you know, negative reviews and that’s okay. I’m not, I’m not an intellectual. I haven’t, I’ve never studied how to write literature, any of that stuff. And it’s sold about seven or 800 copies just through the podcast. Jennifer Tomscha (39:21) Mm-hmm. Mm-hmm. Mm-hmm. That’s pretty good. That’s actually quite a bit, I feel like. It’s quite a bit, actually. Mm-hmm. Bill Gasiamis (39:47) I feel like to like I don’t promote it. I don’t tell anyone about it just in the podcast. And it’s like, I still don’t say I’ve authored a book. Nobody knows. Jennifer Tomscha (39:56) You should say it. mean, I do think the what are you going to do after you have a stroke? How are you going to do it? It’s all very strange and scary, I think. And like, yeah, I, I totally get your feeling about it. And it’s just really tricky to know what is the You know, for me, I feel like I was in middle of my PhD, so I took 22 months or 20 months off of doing the PhD just to rest. And then I went back in and it was, it is still, it was really hard. I like, wasn’t very good at figuring out how to write in the academic way. Which was my position. I was director of the writing program at NYU Shanghai. So I was like, that was my thing. And it was very hard to figure out how to return to do the critical work of my thesis. was just, it’s just, I don’t know, my brain just couldn’t figure out how to do it right. It was really interesting. was like, the sentences I was writing weren’t as good. They probably still aren’t as good. You know, like when I look at what I was writing before I had my stroke, which is part of my thesis, and then the stuff I wrote after my stroke, I feel like I can tell a little bit of a difference in the fluency of my writing, for sure. So, yeah. And I just, so… Yeah, I don’t know. It’s tricky. It’s tricky to figure out. But I was really lucky, actually. I think the PhD was helpful because… I could just go at it on my own time and I could just take however much time I needed. And I, I had a deadline. but it was good to just, it was actually like a really good place to start to work my brain again, to be like, okay, I have to, I’m going to write on this author and what she thinks about character. And I’m just going to, and I have these other texts that I’m interested in and I have to figure out how I’m going to. Represent them in my own work. And so it was really good to do all that. It was a good stepping stone for me I think actually to get back into it and to see What I could and couldn’t do very well, like I feel like I’m a really good reader. I’m a really good Critic and I’m not so good at ⁓ writing down what I think anymore as well So I’m just I really have to work on and I don’t know how you get it back like Bill Gasiamis (42:26) articulating Jennifer Tomscha (42:28) Yeah, articulating what I mean and yeah, I feel like I can’t, I can’t say things as artfully or as proficiently as I used to. So I don’t know, this woman who is getting her PhD at Vic too, she’s like, she studies how people learn to read. And she was like, if you’re having problems with academic writing, you should get a, and I still haven’t done this, you should get an academic book and you should listen to it because a lot of learning to read is listening to how sentences sound. She was like, so you should listen to an academic book and that will help you think about how those sentences work and how they’re maybe different from like, I write fiction. So fiction is one thing and then this is a different way of writing. So she said that was one thing that she thought I should do to help. develop my proficiency in academic writing, which was really interesting. So. Bill Gasiamis (43:25) Yeah, it’s a different approach. You know, it’s coming from the auditory, you know, system and therefore the auditory digital system. Therefore you go in and you you, you pick up nuances that you wouldn’t have known were there if you’ve never heard an academic speak or if you’ve never read an academic document in that way. So you might read it. Jennifer Tomscha (43:28) Mm-hmm. Yeah. Bill Gasiamis (43:51) to get something out of it. Like, okay, what is this academic saying about this topic? But that’s not paying attention to the structure of how it’s written. That’s a different filter. Jennifer Tomscha (43:55) Mm-hmm. No, exactly. Mm-hmm. Mm-hmm. Exactly. So I thought that was an interesting way to think about, like, how I could get better at that thing. That was, like, a really important thing for me. That, for some reason, it did just get a little bit, I don’t know, stunted? Or I don’t know what happened, you know? Or I just haven’t been in academia as much. So you know what I mean? So, yeah. Bill Gasiamis (44:17) Yeah. Yeah, 100%. The skill is not as refined or, or practiced as your other skills. So it’s not the thing that you’re the best at. and you’re getting better at it. The thing about it is also, may I add you’re only four years out from all the drama that you had with your brain. So there’s a lot of healing to happen that is going to improve. That’s going to get better and better. And in four or five years from now, you will have Jennifer Tomscha (44:29) Mm-hmm. Bill Gasiamis (44:49) turn the corner again, you’ll see that there’s more and more improvement. It’s really important for people to hear this, who are three, two, one, five, six years in, there’s still heaps of healing and recovery to come. So it’ll happen. Jennifer Tomscha (45:07) Yeah, that was something that my husband and I, in my first year after my stroke, he would be like, go to the gym. And he did. He, I went to the gym and I, had me lift weights and he wanted me to like exercise. And he was like, what are you doing to improve your mind and your body over this first year? And I was like, I’m, I’m again, I was like, I’m fine. I’m really fine. And, and, ⁓ he thought I wasn’t doing enough. Like he wanted me to just go at it with this intensity. I don’t know. was an, cause I was like, I am going at it with my own sort of intensity, but he wanted me to be more aggressive than I wanted to or something. You know what I mean? He wanted me to be like, he wanted to see me really working at it and like sweating or doing, you know what I mean? And I was like, I don’t wanna, I don’t know. Bill Gasiamis (45:59) He wanted it to be more masculine. Jennifer Tomscha (46:01) Yeah, I guess. And he’s not very masculine guy. I mean, he’s a masculine guy, but he’s like, he was just he just wanted to see me sweating it out or doing the really see my focus. And I just yeah. And that has been an issue because he’s like, yeah, he’s just like, are you going to work again? I was like, yes, I’ll work. I just don’t know what I’ll do. And I don’t know if I could do a full eight hour day right now. I still take a nap every day in the afternoon. So But yeah, it’s just, don’t, yeah, so. Bill Gasiamis (46:34) It’s easy for a caregiver to say that because they haven’t had a stroke. Thank God. Thank God. ⁓ Jennifer Tomscha (46:40) No, I know. Thank goodness. Yeah, yeah, yeah. Actually, I mean, I feel really bad for Dan and my mom and my sister. Like, it’s actually worse to be the caregiver in some ways because you just, you don’t go through it. So you, you don’t really know what it’s like. Bill Gasiamis (46:55) I and you, and if you’ve got an imagination, a wild imagination, you could turn it into something completely way worse than what it is. And if you’re ignorant, which most family members and caregivers are, let’s face it. And that’s okay. Then you do the other thing. You play it down and you assume she should be going harder than that or Jennifer Tomscha (47:11) Yeah. Mm-hmm. Bill Gasiamis (47:19) If I was, if it was me, I’d be doing that. But your brain has actually been injured and in that space, perhaps where motivation is for some people. And there is no way that you can make that person more motivated by willing them on or telling them to go to the gym or whatever. That could actually be missing the motivation part. So there’s a whole bunch of things that caregivers and family members miss. And it’s for me, it’s when I’m surrounded, when, when the people that are around me are Jennifer Tomscha (47:33) Mm-hmm. Bill Gasiamis (47:46) ⁓ people who don’t want to engage deeply in those types of troubles, life and all that kind of stuff. they’re great people. They’re just like, emotionally they don’t go deep, right? They love it that there’s ambiguity around like what’s wrong with me. Cause they look at me, I look right. And then they just go, everything’s fine. He looks amazing. I feel better now. And when I’m around him, I can just talk about dumb stuff. Jennifer Tomscha (48:07) Mmm, yeah, yeah. Bill Gasiamis (48:14) And we can talk about things that are not important and everything’s fine. And it’s kind of like head in the sand. It’s a, you know, one step, one emotional step removed from the actual goings on. And it kind of also helps me strangely enough, because then I don’t have to deal with their inability to handle actual life and the real things that are going on. Jennifer Tomscha (48:39) Mm. Yeah. Bill Gasiamis (48:43) that can just be living in La La Land and I don’t have to deal with that level of complexity. So it’s kind of, they’re both situations are helping me in a way. Whereas at the beginning I was taking that negatively. The thing I do, the thing I would like to do is challenge caregivers to listen to the podcast, especially of the spouse who I’ve interviewed. Jennifer Tomscha (48:50) Yeah. Yeah, that’s true. Bill Gasiamis (49:09) You know, and then a couple more after that to get an insight so that they’re not guessing or second guessing or think they know better, et cetera. No doubt about it. they, know, they know some things about us that they can see that we’re not doing a pattern in behavior that we’re avoiding. Perhaps they know that part and all that type of thing. But we’ll say, we’re also dealing with a messed up brain. So have a bit of a kind of a Q Jennifer Tomscha (49:13) Hmm. Right, right. Bill Gasiamis (49:36) be curious about where that person’s coming from, not how you’re feeling about where they’re coming from. And that’s what family members and caregivers do. They make it about them. And I had to say a few times to people in my circles, like, it’s not about you. Jennifer Tomscha (49:43) Right. Ha Tomscha Tomscha! Yeah, yeah, yeah, yeah, yeah. Bill Gasiamis (49:56) It’s actually really about me. cannot walk and I can’t use my left hand. It’s not about you. Like I know you woke up with a numb leg one day because you slept on it wrong, but it’s not the same. Jennifer Tomscha (50:05) Yeah, yeah, yeah. Yeah, yeah, yeah. That’s funny. Yeah. Bill Gasiamis (50:14) My wife was dragging my foot in the wheelchair. It had fallen off the, you know, the rest where your leg, your feet sit. It had fallen off and I hadn’t noticed. This is like day three or day four after brain surgery. And it was dragging underneath the footrest. And she noticed that the wheelchair wasn’t moving and she was shoving it until we realized. Jennifer Tomscha (50:22) higher. Bill Gasiamis (50:40) My foot was stuck underneath the rest and we had a laugh. that kind of like, that’s one of those, if those people were there and they saw that, they would realize like, it’s not about your numb leg when you slept on it weird one night. take your stuff and just, you know, park it for now. So it’s interesting. That’s kind of why I think I do this podcast. I think it’s for those Jennifer Tomscha (50:44) Yeah, yeah, Mm-hmm. Mm-hmm. The Journey of Recovery Bill Gasiamis (51:08) people if they, I’ve never told them that they should jump on, but if they, for example, get curious one day and they want to know what it’s like to be in Bill’s head, pick one of the 400 episodes. Just have a listen. Jennifer Tomscha (51:09) Mmm. I have a question for you. you, this is something that, so you think you could just, you can keep improving from your stroke. There’s not like a deadline. There’s not like a couple of years or any. Bill Gasiamis (51:36) One of the things I learned from my wife and my brother, my brother is my biggest nemesis. You he’s older and he’s the most loving guy. He’s the most supportive guy, but he has a weird way of doing it. Just, you know, we’re different characters, right? So he just is a bit different in the way. one, one of the things my brother said was that I picked up, I reckon it was five, six years ago is he’s in it for the long game. Jennifer Tomscha (52:03) Hmm. Bill Gasiamis (52:04) When I was young, I had 20 jobs in 10 years. He said two jobs in 40 years or 30 in 30 years. So he just chips away, works away, works away, works away. This is an analogy, right? But also a true story. My wife started her, her, her master’s in psychology. She only started that a few years ago, but the whole. Jennifer Tomscha (52:08) Hmm. Hmm. Bill Gasiamis (52:28) journey to get to the Masters of Psych started in I think late 2011 or early 2011, about a year before I ended up in hospital. She is just now finishing the last part of her Masters degree and she found a job literally a week ago in her field two days a week. Jennifer Tomscha (52:35) Mm. Mmm. ⁓ Bill Gasiamis (52:56) to work as a provisional psychologist so that she can get the 1500 hours of work in the field before she actually gets her actual full psychology license. And I’m like, dude, I get it. So what you’re telling me is that if you just start and never stop, you’re gonna see some kind of progress. And I apply that to… Jennifer Tomscha (53:08) Right. That’s amazing. Mmm. Mm-hmm. Bill Gasiamis (53:27) stroke recovery. I know that people are dealing with far more deficits that perhaps you and I show visibly and that their hand may not specifically work the way that it always that they wanted it to work or that the way that it worked before. But that doesn’t mean the brain’s not continuously continuously healing that part of the brain might be gone. But as far as healing the parts around the brain that are still there, that’s continuing. Jennifer Tomscha (53:28) Uh-huh. Mm-hmm. Mm-hmm. Bill Gasiamis (53:58) And if, and, and one of the questions that I have for people is like, is what I’m doing supporting my recovery or is it hindering my recovery? Because I’ve met stroke survivors who have gone back to the smokes, who have gone back to alcohol. And if you’re doing things that are getting in the way of recovery, then you’re not allowing the brain to continuously do what it does best, which is overcome challenges, rewire. Jennifer Tomscha (54:05) Mmm. Bill Gasiamis (54:25) find new ways around, know, develop new neural pathways and adapt. And that’s kind of where I think it’s at adaption, right? And the great thing about understanding these days about neurodiversity and understanding what somebody with ADHD goes through is the one skill they’re really, really good at is adaption. Jennifer Tomscha (54:31) Mm-hmm. Mm, that’s interesting. Yeah, yeah. Mm-hmm. Bill Gasiamis (54:49) because and people with dyslexia. my God, like some of the biggest, most wealthy billionaires on the planet had dyslexia. Richard Branson is a classic example of that. Yeah. And they adapt. They find a way to somehow overcome the normal world and be weird in the way that they see letters and what letters do and how they move on a page and all that kind of stuff because their brain adapts and they can just continuously improve their adaption strategy. Jennifer Tomscha (54:57) really? didn’t know that. Mm-hmm. Bill Gasiamis (55:17) to get to a point where no one knows that they have this condition. So that’s what I’m really passionate about. That’s why the podcast exists. I’ve interviewed in my 400 episodes, I’ve certainly interviewed stroke survivors who I’ve had improvement 10, 11, 12, 13 years post stroke, got a finger movement back. Yeah, got sensation back, something rewired. So yeah. Jennifer Tomscha (55:19) Right. Mm-hmm. really? That’s amazing. Yeah, becau

SBS Hakha Chin - SBS Hakha Chin
Bonus Practice: #106 Mmm or Hmm? Trying new and unusual food - Bonus Practice: #106 kan ei chun mi ti rawl an thawtnak langhterning

SBS Hakha Chin - SBS Hakha Chin

Play Episode Listen Later Apr 27, 2026 3:29


Practise speaking the dialogue from episode #106 Mmm or Hmm? Trying new and unusual food. - Cawnnak #106 nak ah an hman mi biafang le biatlang pawl kan rak zoh hna lai.

Middle Market Musings
Episode 86 Rocky Pontikes, Mesirow Financial

Middle Market Musings

Play Episode Listen Later Apr 22, 2026 48:09


Rocky is Senior Manager Director and Co-Head of Investment Banking at Mesirow, the Chicago-based employee-owned, diversified financial services firm.  A Chicagoland native who survived Eastern stops for college at Penn and a first job at Merrill Lynch, Rocky has been at Mesirow since 2001. He has charted and contributed to the firm's emergence as a significant force in middle market M&A.  On the personal side, Rocky talks about his youthful athletic prowess, something he shares with one or none of the MMM hosts, depending on who you ask.  Interesting discussion about the near extinction of publicly traded middle market companies outside of growth sectors like health care and tech.  Also of note – the correct plural form of Pontikes, which is apparently “Pontiki.” 

The MM+M Podcast
From hype to action: What SXSW means for pharma, a podcast sponsored by Syneos Health

The MM+M Podcast

Play Episode Listen Later Apr 20, 2026 32:57


Recorded on the heels of SXSW 2026, this MM+M x GSW podcast explores the cultural, technological and creative signals shaping the future of health marketing. Jennifer Batey, EVP of integrated strategy, and Bryan Roman, EVP and experience director at GSW, powered by Syneos Health, unpack the biggest themes emerging from Austin, from the evolving role of AI and immersive brand experiences to the growing importance of trust, community and creator-driven influence.  Moving beyond the buzzwords, the conversation focuses on what SXSW truly means for pharma marketers today. What cultural shifts should health brands be paying attention to? How are audience expectations changing? And how can regulated industries embrace innovation without losing authenticity? With a practical lens, Batey and Roman translate inspiration into action, offering clear takeaways for CMOs and brand leaders looking to stay ahead of where culture, technology and healthcare intersect.  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.

Maiden Mother Matriarch with Louise Perry
The threat of a new dark age | Maiden Mother Matriarch 192

Maiden Mother Matriarch with Louise Perry

Play Episode Listen Later Apr 18, 2026 57:09


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. Nigel Biggar has personal experience of the cultural revolution that has come to the universities of the Anglosphere. In 2017, he found himself in the middle of a heated controversy over a project he was leading on the morality of empire, and he quickly discovered that there are some questions that you are not supposed to ask in universities today.In a new book, he warns us not to dismiss the culture wars as trivial, or as something that will blow over without any special effort. Nigel sees this, not only as a political conflict, but also as a spiritual one. What is the university actually for? How does one identify what is true and what is not?Nigel Biggar is Emeritus Regius Professor of Moral Theology at the University of Oxford, and last year he entered the House of Lords as a Conservative peer. His new book is titled ‘The New Dark Age: Why Liberals Must Win the Culture Wars.' Hosted on Acast. See acast.com/privacy for more information.

Anime Lounge Podcast
Ep 129 My Status as an Assassin (S1)

Anime Lounge Podcast

Play Episode Listen Later Apr 18, 2026 76:11


Join us as we talk about the first season of My Status as an Assassin Obviously exceeds the Hero's. Adult Drinks of Choice: Benchmark Hand picked Single Barrel, Erie Brewing Derailed. Lantz's Lessons @(00:04:25) Matt's Manga Mentions @(00:05:13) We talk about the first volume of the light novel after MMM. Pokemon Quiz @(01:12:29)

Hybrid Ministry
Episode 196: Lock-Ins: Ministry Gold or Total Disaster?

Hybrid Ministry

Play Episode Listen Later Apr 9, 2026 20:08


Lock-ins... is there a more polarizing youth ministry topic? Should you do them? Are they valuable? Or are they the worst idea ever? In this episode, two youth pastors go head to head, and you get to decide! Take Advantage of Andrew's FREE Lock-in Planning Session: https://www.hybridministry.xyz/contact [FREE] HYBRID STRATEGY GUIDE https://www.patreon.com/posts/complete-guide-142500019?utm_medium=clipboard_copy&utm_source=copyLink&utm_campaign=postshare_creator&utm_content=join_link

#DoorGrowShow - Property Management Growth
DGS 335: Mission, Clarity, and Leadership Under Pressure

#DoorGrowShow - Property Management Growth

Play Episode Listen Later Apr 8, 2026 38:14


When building a business, have you ever felt like working harder should be the answer, but the more you push, the more exhausted, misaligned, or stuck you become?  In this episode of the #DoorGrowShow, Jason Hull sits down with Sean Patton, former U.S. Army Special Forces Commander, executive coach, and leadership speaker, to unpack what entrepreneurs can learn from military leadership, self-leadership, and mission-driven culture.  They discuss the dangers of hustle without recovery, why so many business owners never learn to lead themselves, and how clarity of mission, roles, and outcomes can transform the way a team operates.  Jason and Sean also explore why the military is far more collaborative than most people assume, how strong leaders facilitate input without losing ownership, and why mission dictates culture in both combat and business. Along the way, they dive into personal purpose, team alignment, trust in sales, and the mindset shifts required to build a business that creates both impact and freedom instead of burnout. You'll Learn (00:00) Introduction and Guest Background  (01:15) Sean Patton's Military and Entrepreneurial Journey  (04:16) Leadership in Difficult Situations: Military vs. Business  (08:29) Dispelling Myths About Military Leadership  (10:35) Collaborative Decision-Making in Special Forces  (12:56) The Role of Extreme Ownership in Leadership  (16:08) Culture as a Mission-Driven Concept  (19:16) Aligning Mission, Culture, and Outcomes  (20:51) The Power of Mission and Vision in Business  (25:41) The Why Behind Business Success  (29:24) The Entrepreneurial Hierarchy of Needs  (35:19) Applying Military Clarity to Business Operations  (37:31) The Importance of Clear Roles and Responsibilities  (41:37) Closing Remarks and Contact Information Quotables "Leadership isn't a title, it's a person you become." "Sometimes the loudest voice in the room isn't the smartest voice in the room." "Mission dictates culture." Resources DoorGrow and Scale Mastermind DoorGrow Academy DoorGrow on YouTube DoorGrowClub DoorGrowLive Transcript Jason Hull (00:01) Five, four, three, two, one. All right. Welcome everybody to the DoorGro show. I'm Jason Hull, the founder and CEO of DoorGro, the world's leading and most comprehensive coaching and consulting firm for long-term residential property management entrepreneurs. For over a decade and a half, we've brought innovative strategies and optimization to the property management industry.   At DoorGrow, we are on a mission to transform property management business owners and their businesses. We want to transform the industry, eliminate the BS, build awareness, change perception, expand the market, and help the best property management entrepreneurs win. Now, let's get into the show. All right, so I have an awesome guest today. I'm hanging out here with Sean Patton. Welcome, Sean. I'm going to brag about you a little bit. Thanks for being here.   Sean Patton (00:53) Yeah, alright, you go for it. Thanks for having me, man.   Jason Hull (00:54) All right. All   right. So Sean is a former U.S. Army Special Forces Commander, Meta Performance Executive Coach at Novus Global and a leadership keynote speaker. Sean helps leaders accomplish seemingly impossible and thrilling visions through transformation. This is your bio. As a former U.S. Army Special Forces Commander, Sean brings a rare combination of battlefield tested leadership, real world business ownership.   and success back to human performance principles to every stage and coaching session. His work is grounded in one belief, leadership isn't a title, it's a person you become. As an ICF certified executive coach, host of the No Limit Leadership Podcast and author of A Warrior's Mindset, The Six Keys to Greatness. Awesome. Sean, so glad to have you here. Welcome to the show.   Sean Patton (01:48) Thanks, man. I'm excited to be here.   Jason Hull (01:50) Cool. So Sean, for those listening, I'd love for them to get a little bit of background on you. I gave a little bio, but tell them a little bit about how did you get into entrepreneurism? When did you wake up and go, hey, you know what? I'm an entrepreneur.   Sean Patton (02:04) Well, it took a little bit. was maybe a little late to the game. I originally went from a small town in Kansas. I went to the United States Military Academy at West Point, graduated and then spent 10 years as an active duty officer in the army. So I was an infantry officer and then a special forces officer in the special forces group commanding two different Green Beret attachments. So it was a busy time. I feel like I crammed a lifetime of   leadership lessons into those 14 years, right? Like West Point is most intense leadership training that our nation has. And then, you know, was a rifle platoon leader and sniper platoon leader in Iraq. Then I was an Afghanistan with my team. So I was doing really difficult things and complex things with elite performing teams. And, you know, despite all of that and 22 months in combat and 30 months to point overseas,   I was never really the gun guy or the gear guy. Uh, it was all, it always about the people and the problems that we were solving. And so in 2015, a little before that, I decided that I was going to get out of the military in transition. And I just had this entrepreneurship itch that I wanted to scratch. Plus, you know, I want to check out with this freedom thing that I had been hearing about all these years was all about. And so I decided to try it and.   Jason Hull (03:04) Yeah.   Yeah.   Sean Patton (03:31) It was a rocky start. I had a lot of, I think I had some strengths coming out of the military and those experiences, but also some real gaps. And one of them was a, I think my risk tolerance was so high from things I had been doing. then also   Jason Hull (03:33) Yeah.   Yeah.   Sean Patton (03:59) The answer in the military so often, at least in the units I was in was when things got hard, right? When the, when the darkness came, when it seemed like the weight was unmanageable, the answer was just go harder. Like, you know, like the mission is going to end, you're going to redeploy, like you, know, the sun's going to come up, just keep going, keep going, keep going. And what I didn't appreciate was when you get into the entrepreneurship space is that in the military, even in those units, there was this like,   Jason Hull (04:11) Okay, yeah.   Yeah.   Sean Patton (04:28) mechanism around us almost protecting us. Like they had honed us into this machine that could push ourselves to these extreme limits. But they told us when it was time to turn it off and when it was time to refit and when it was time to recover. And then I got in entrepreneur space and when things got difficult and you know, I made some really bad financial decisions which we can get into and all of that. I found myself with all of that weight with the only answer I had was just go harder.   Jason Hull (04:52) Yeah.   Yeah.   Sean Patton (04:59) And so   three years later, I was in the hospital ⁓ and I had stress hives and my appendix almost burst and all these health issues and going through my first bankruptcy or my only bankruptcy, but bankruptcy after three years. And so it was a rough start to the whole thing. I had to learn a lot of lessons about myself in that.   Jason Hull (05:07) Wow.   Yeah, yeah. And I think, you know, early stage entrepreneurism, there's some similar patterns I've noticed because, you know, I've talked to thousands of entrepreneurs. I've gone through this sort of journey. in the beginning, yeah, we do a lot of stupid stuff. Like we make mistakes and that's part of learning. You know, we believe weird things like I just like your first hire should be a clone of yourself. If I could just clone myself, I call it the clone myth. Like we believe like   You know, we think we can do everything ourselves. it'd be cheaper if I just figure out how to do it myself. If I just read the right book, watch the right YouTube video. And so we do dumb stuff like we don't get support. We don't get help. We don't get mentors. like it. had to things had to get really hard before I started getting mentors, getting help, getting coaches, getting support. And I had to be humble, you know, before I was willing to do that. And.   And yeah, and so I see, I see this, you know, a lot of people play out this journey and then early stage as an entrepreneur. Yeah. We're, we're, it's almost like the hustle's glamorized. And so we go through this process of like, I got a hustle. I got to work harder. That's what you do if you own a company, if you're a CEO, if you're a boss. And so you just burn yourself out. I remember I was at end of a sales call trying to wrap it up.   I was in so much pain because I like I think I'd slipped some sort of disc or was bulging in my back. And I was like by the end of the call and doing this call, I was laying on the floor and I ended the call and I was like, and I was in so much pain. I wasn't able to work and had to lay down for like two weeks. Yeah. And then I realized because I hadn't been eating, I'd been just working. hadn't been sleeping.   Sean Patton (07:04) my gosh.   Jason Hull (07:11) very well, I'd been just working. I thought I just need to work harder, work faster. And I didn't realize that probably I was like probably operating at like 10 % of my effectiveness mentally. I was being stupid. And I thought, I just need to work harder, I gotta hustle. And I wasn't taking care of myself. And then that's when I realized, if I don't take care of my body, I don't have a vehicle to achieve stuff or to get results. And I'm not even really present.   Sean Patton (07:23) Thank   Jason Hull (07:40) when I'm there with people because I'm hungry and I'm tired and I'm I'm everywhere else and I haven't even produced the, or my brain hasn't had a chance to clean itself like it does every night. And I haven't gotten food to fuel my brain. I don't have all the chemicals my brain needs. I'm lacking dopamine and serotonin and GABA and like, I'm just, I'm an absolute mess, right? And I see people do this all the time, all the time.   Sean Patton (08:05) It's so true. I, in my lens, how I look through that is through a leadership lens. And I learned in the military so many great things about leading others. And as I look back at it, what I had to learn in entrepreneurship, what you're kind of talking about is like, I never really had to master leading myself.   Jason Hull (08:31) Yeah.   Sean Patton (08:32) I never had to look at myself as like, how am going to lead myself? Cause the way you mentioned there, like I would never treat one of my soldiers or one of my employees or have an expectation of them the way I was, I was treating myself. And so it's like, how would you.   Jason Hull (08:41) Yeah.   Yeah, I wouldn't do I wouldn't I wouldn't push my spouse to be like this. I'd be like, hey, come on, clean more. Work harder.   Do this. Right. Yeah. Then marriage would be over real fast. I wouldn't like I wouldn't do that to my kids. Come on, go. Yeah. But to ourselves, we can sometimes be a cruel leader. Right. Can you dispel a myth? Because, you know, I got I kind of got a sense of this. I've never been in the military. And God bless you. Thank you for your service. I appreciate that.   Sean Patton (08:55) Yeah.   Jason Hull (09:15) ⁓ but I've realized I've been listening to, ⁓ Chaka Willa, Willick and Leaf, whatever their, their book, ⁓ the dichotomy of leadership. And I had this belief that in the military, I think a lot of people maybe that haven't been involved in it have this perception. Military, just, you either give orders or you take orders. It's rigid. There's no thinking. You just were told what to do. And, ⁓ you know, I've kind of gotten a very different picture of that.   that there's a lot of decisions and there's planning and know, this is lives are on the line and it's painted a very different picture. Can you just touch on that? Cause I think some people here, you've got this background in the military and to you, it's just, you know this stuff cause you had lived it. But for those that have never been in the military, what advantage did that give you in business and how is that different that maybe people perceive it?   Sean Patton (10:09) It's a great question. I do think that there is this idea from either whether it's like movies about basic training or, you know, the, or, know, about like submarines. Yeah. You just shut up and go. Right. And, know, there is in basic training or when you're, I would say when you're being transformed from a free citizen to a soldier, there is a bit of a breaking down of   Jason Hull (10:16) in movies. Yeah. You blindly follow and you're told what to do. Yeah.   Mm-hmm.   Sean Patton (10:39) some of that, that needs to come back. But then as you build that foundation of like, when it's time to go, I go ⁓ and I have some discipline and I can, can integrate with the unit, let's say. ⁓ Then you start getting more and more responsibility. And especially as you move up in the military, you become, I mean, it's not that long, like two or three years later, even the regular military, regular army, you're going to be a team leader. So you're going to be a leader.   And a of those kids are like 20, 19, and they're in charge of three people. And so they're no longer just like, it would make no sense to have someone to stand here and like, what do I need to do? This is what need to do. ⁓ That's not, not, that wouldn't like, that doesn't work in a company and that wouldn't work in a unit. And so there needs to be input on each side. And then especially when you get into like the Navy SEALs, like Jaco was talking about, or in a special forces team. mean, the planning, I was a facilitator of mission plan.   Jason Hull (11:11) Yeah.   Yeah.   Sean Patton (11:38) but I was by no means the smartest person in the room and it was a very collaborative experience. And so my job as the commander of a 12 man special forces ODA was to receive the mission that we had been given. And that mission doesn't come down and tell us this is how you're going to do it. It says, here's the effect we need to have in the area. Here's the questions we have. And then it was up for us to sit down and I had, you know, I have a warrant officer who's   Jason Hull (11:43) Hmm.   Sean Patton (12:08) trained in human intelligence to a level of a CIA operative. I have an intelligence officer or an intelligence sergeant who does the same work the NSA does. My average age on my team is 30 years old, people with multiple combat experiences. I remember one time I was in Lebanon and one of my younger soldiers, Greenbright, we were talking about why there was this conflict going on and how we were trying to influence it.   And I said, well, you know, it's probably because of this rift between this Hezbollah and the Shia sect and the Sunni sect of Muslims in the area. And, you my 26 year old soldier is like, actually, sir, that's incorrect. This conflict in the Becca Valley actually goes back hundreds of years. It's actually over like water rights. mean, like that's the level of conversation we're having in the planning session. And it is very much a collaborative   Jason Hull (13:00) Yeah.   Sean Patton (13:07) ⁓ discussion and we come up with multiple courses of action, but here's, I will say where it kind of converges to, ⁓ the lesson that comes from the military and maybe an issue, this is where the people maybe have this misconception, but I think it's an important one for when it comes to the, company is that at the end of the day, kind of go back to Jaco's first bunk on book, honestly, extreme ownership, has to be someone in charge as the commander is my dis   Jason Hull (13:11) Yeah.   Sean Patton (13:35) was my decision. was like, okay, I've heard everyone's input. We're going with, this is how we're going to do that. And immediately, because everyone had given their input, even if we didn't pick what their choice was, it was, okay, Roger that. Now we're going to execute that as if it was our own. And so that level of ownership when it comes to planning and execution is where we turn and say, okay, now we're on the same page.   the rich discussion and input that happens before that is an important job. And that's why I think whether it's in the military or in the civilian world, as a leader of an organization like that, you need to be a master facilitator. It's not your ideas. It's how can we be the composer of the group in front of us? And if someone is taking over, how do we calm them down? How do we...   Jason Hull (14:20) Yes, yeah.   Sean Patton (14:31) recognize when someone's voice is being stomped out and their valuable input isn't being contributed. You know, like how do you handle that and get the idea so that the best concept comes to the top and then get buy-in to execute.   Jason Hull (14:37) Bye.   I mean, what I'm hearing is like, you know, this picture you're painting is you've got this team of specialists. They each bring some value and some wisdom and some knowledge to the table. They're experts at this one particular craft. They see everything through a different lens and you're getting feedback from all these different lenses. And then as a leader, you have to decide which things are valid, which things do we incorporate? And, know, and it's up to each individual that's a specialist to really   put some pressure on the leader to say, this is significant, this is important. And it's up to the leader to make sure that, you know, maybe that quieter voice, but to recognize what is significant if they're not making it present, because sometimes the loudest voice in the room isn't the smartest voice in the room. And so, yeah, so that's fascinating. And, business is a lot like that, but a lot of business owners, they don't even run their teams like that. They think it's a dictatorship.   They mistakenly think that's how the military works. They're like, I'm the dictator and I have all the best ideas and I'm smarter than all of you. And they do, they end up as the emperor with no clothes. Cause everybody in the team were like, yes boss, we don't want to get fired.   Sean Patton (15:56) Absolutely. And that's why I think that the, main job of, let's say that entrepreneur, that business owner, that even commander, right. Is your job is to craft the vision of what you're trying to create. And yes, the outcome and clarity of outcome, clarity of vision of why does this company, why do we exist and what impact are we trying to have in the world? And once people are bought into that and aligned on that.   Jason Hull (16:09) The outcome, clarity of outcome.   Okay.   Sean Patton (16:26) then we can have a great and rich discussion on the how, the strategy.   Jason Hull (16:30) Got it. that,   you know, that's, so now we're talking about culture, right? Which is the foundation before we get into tactics, we have to have culture and the military, you have all kind of chosen into a particular culture. There's a set of beliefs and that's a foundation. It's kind of like, you might maybe even take it for granted, but the military has that and a lot of businesses don't. They don't have that set culture where it's defined.   Sean Patton (16:57) So can I, what I will say is that this is true in the military and I'll give you some military examples just because they're maybe interesting to your audience and then we can talk business is that mission dictates culture. So, know, for example, you might have, you know, especially a lot of the movies, right? You see like the Marines, That's stereotypical. We'll be super stereotypical right now. Marines mission, their core mission is secure the beach to land ships.   Jason Hull (17:04) Yeah, I love this. Yeah.   Yeah, OK.   Mm-hmm.   Okay.   Sean Patton (17:27) So if   you notice, are a bit like, just go get in line, full frontal assault, you're getting off ships on an uncovered area and you're just massive violence of action. That's how you win that battle, okay? So they need to have a certain kind of mentality and I'm generous. Okay. A special forces team will operate by, with and through an indigenous force. So we're a US sponsored insurgent. we've got, I will go on target with.   Jason Hull (17:42) Yes.   Sean Patton (17:54) 10 Americans and 300 Afghani commandos. Like that dictates a certain mission, right? And so ⁓ the difference between the Marines and then maybe the Navy SEALs who are operating and their job is to take over a ship underway with 30 SEALs that all live together, work together. They know each other in their ear, like synchronize their precise, you know, cause you've got to be right. You're, you're firing weapons inside of a ship corridor. Like   Jason Hull (17:57) Okay. Yeah.   Sean Patton (18:23) You have to be so precise. I can't do that on the ground with 300 Afghanis running around. I'm just like guns pointed this way. You know, like we've got to you've to be much more flexible and and how you plan that and how you think about success and all that is a different animal than the Marines who are on you're trying to storm a beach together. A SEAL team is operating with 30 people who've worked closely together and then.   where you've got 12 of us trying to work by with and through a different unit to do a different thing. Like the culture inside each one of those units would be completely different. In the Marines, you might have a bit more like go here, do that. Yes, sir. How, how jump high, jump faster. You know, you might need that because that's you need to storm a beach. You made, you need very precise, very black and white, right? And wrong, like precision to take down a ship with 30 people.   you need to be very clear about larger intent and what is the big thing we're trying to operate here and how do we control sort of an uncontrollable mass and chaos to operate a Green Break team. If you took the culture of each one of those, if you gave that mission to a bunch of Marines who are just like, where do I go? Where do need to blow up? And you're trying to like do a sensitive political operation with 300 indigenous, it would be a disaster.   Jason Hull (19:29) Yeah.   Sean Patton (19:46) And if you tried to set the precision of, cause we tried to do this sometimes, like you would work with an indigenous force. If you tried to set the precision and standard of a US special operator, whether it's a SEAL or a Green Beret on this indigenous force, you drive yourself crazy. Like it's not going to happen. All right. And so all of those different units have different missions. And so they all have different cultures. And to your point on your company, if you're not clear on missions,   If you're not clear on the vision and like why you exist and what you're trying to do, you will end up chasing your tail on culture because you'll just start grabbing like every other leadership book and culture. just like, what about this works here? This works here. This works here. Instead of saying, what are we trying to accomplish and what is the optimal culture for our mission set?   Jason Hull (20:36) I love that. Yeah, one of our guiding documents at DoorGrow is our, we call it our client-centric mission statement. And it talks about who we want to serve in detail, how we will help them, what our goal is, our plan, and then what kind of the long-term sort of vision that maybe we'll never achieve, but it's the goal we're striving for. And this is what we coach our clients on getting defined because it creates culture.   Then we have our how we do things. That's the company core values. And then we get into personal why statements for the business owner, business why statements. Creating all of this is, we call this the culture materials. There's like six key elements that I coach them on getting in place that help kind of make the culture visible to everybody on the team. And you're right, mission dictates culture. I love this idea because the mission of the business   which most people mistakenly think is just to make money, is actually to provide some sort of value and to solve a real problem in the marketplace. And that mission, whether you're good at it or not, and the team are conscious of it or not, and you're focused on it or not, dictates whether or not you have good culture that actually achieves outcomes. That makes a lot of sense.   Sean Patton (21:53) Yeah, absolutely. Cause   yeah, I love that you have that structure and I love how you also tied that down to personal why statements because this is another leadership issue that I see with a lot of entrepreneurs. We're big companies, honestly too, is that there is this assumption that you've accepted this job description and here's what matters to the company and therefore   what matters to maybe me as your leader or boss or the division or the company is also the most important thing to you as an individual or like the reason you're here is not really explored. So I think one of the most critical conversations you can have, and it sounds like you have a structured format for that, which is fantastic, is just sitting down with each member of your team, like, why are you here? What matters to you? Because often, right, I'm sure you've had this, I've had employees where you assume   a salesperson, the most important thing is compensation, right? It's how much money you can make. And that's great. Maybe it is, but then it's actually like, well, yeah, that's important. And also, you know, my, my youngest is a senior in high school and this is the last baseball season we have with, and man, the games start at four and it's so hard for me to get to games at four because you have me work till five. And it's like, if I could just make those baseball games, that would be amazing. And then all of sudden,   Once you know like what matters to them and why they're doing this, then you can adjust and say, cool, how do we align what matters to you? What your personal why statement as you mentioned it and the company why statement. And now you've got alignment. And when you align those two things where what matters most to them contributes to what matters most to the company, you just, create transformative effects.   Jason Hull (23:36) Thank   Yeah, the big challenge I've noticed, the biggest transformation I can get is to help the business owner get clear on their why. Because when the business owner isn't clear on why they do what they do, they end up doing the wrong things in the business. Because you're the business owner, you can do anything in the business. And so some business owners are like, well, I have to do the accounting. I'm the business owner. Do you really? If you hate accounting, you probably shouldn't be doing the accounting.   You're not the right personality fit for that, which means you're actually probably not the best person to do that. So some business owners love sales. Some love accounting. Some hate it. Some love operations. Some are really bad at that. And so if we can get clear on their personal why, and then we can look at their role and see if their role is helping align with that, we can then reorganize the entire business. But most business owners, the first team they build is they transition from solopreneur to having a team.   I find is a mess. The first team they have is built around the wrong person. And it's kind of like they're like, I'm this shape puzzle piece, but it's not really them. They're like, I'm doing accounting. I'm doing this and a little bit this. And then they're like, now I'm going to get team members. I'm going to puzzle pieces around this misshapen puzzle piece. And they fit that puzzle piece, but that's not even me. So I hate being in it. I'm uncomfortable in my own business.   In property management, this is where they get to two to 400 doors. call it the second sand trap or the team sand trap. They've made it through that transition of finally having a team from being a solopreneur and they're the most miserable they've ever been in their business. And adding more doors makes their life personally worse, not better. Because adding more doors just means they're working harder. They're doing more work instead of getting the right support and the right team, because they didn't build the right team around the right person from the beginning. So if I get them clear on their why,   They're like, my gosh, I'm a circle. I'm not a square. I need to build this whole different team around me. And then like when I got clarity on this many years ago, I think within a month I had fired like half my team. I changed everything. I changed the type of clients I was willing to work with. I changed my business model. Like I didn't want to tolerate certain things anymore because you know, I woke up one morning and I was like, I would rather stream Netflix and avoid growing my business.   even though I need money, then deal with the clients I'm dealing with at that time. I'm like, why is this so, why am I so out of alignment? Then I saw Simon's the next start with why, like presentation on the golden circle, why, how, what? And I was like, what? And I'm like, ⁓ what's my why? And so I went to, I've like, I need to figure this out. And my personal why is to inspire others to love true principles. What that means is I love finding the better way to do things. I love learning what works.   and sharing it with other people, I would do that for free for fun. If you're listening to this podcast, I'm doing it for free for fun right now. Like I love this. I love learning what's working for other people. And then I get to turn around and share that with clients and I get paid to do that. That's crazy. And that's the role I get to live in my business. And so my business, it feeds me my why.   Sean Patton (26:47) Yeah, it's all true.   Jason Hull (26:55) And so our why statement of door goes to transform property management, business owners and their businesses. So we get to create transformation. Everybody on my team buys into this vision. We all celebrate when our clients are winning. And so that's the culture we've created in the business. That's our mission, transformation. And we know if we transform the business owner, we transform the business. We transform the business, we transform the team. We transform the business and the team. We transform hundreds, maybe thousands of tenants and rental property owners lives.   There's this ripple effect and that's exciting to me. We're having impact, right? And so the thing I can get on a sales call and confidently say to a property management business owner, here's why you should trust me because if I'm selfish in getting what I want out of life, my why, my business is going to give you what you need and you are going to win. And we can always trust motives. And so I call that the golden bridge. The golden bridge is find out the prospects why.   Sean Patton (27:31) Yeah.   Jason Hull (27:54) and you build a bridge to it, the bridge is the business. It's what gives you both what you want. That's where the deal happens. And there's my why, there's the prospect's why, the business why is what connects us. And that's the golden bridge. And if I can relate that formula verbally, all the objections drop by the wayside, because the only real objection is, I don't trust you. If they're like, what about these features? And what do you do with my property? And what do you do? How do you handle evictions? All they're saying is blah, blah, blah, I don't trust you yet.   And so that's, I just teach my clients the golden bridge formula and that we have, and then they become great at selling because sales is about trust. That's it.   Sean Patton (28:35) Yeah, I love that, ⁓ that framework. And also I want to call out an important mindset shift that I know I struggled with. And I think a lot of other owners struggle with it. You mentioned there, which is this belief that if we're not suffering,   Jason Hull (28:57) ⁓ yeah. It's like suffering's a badge of honor in entrepreneurism.   Sean Patton (29:02) Yeah, like if we had, if we're actually enjoying what we're doing, if we're having time off, if we're like, you mentioned, we're taking care of ourselves and we're like inspired and energetic and it doesn't feel that hard, we must be doing something wrong or being lazy or we're not doing enough. And so then we're like constantly pushing ourselves to this point of, uh, I need to be overwhelmed. I need to be, and when things are going well, we'll crash the plane.   Jason Hull (29:11) ⁓ yeah.   Yeah, yeah.   Sean Patton (29:30) just so we can feel the pain again, so we feel like we're being productive. And so I love the fact that you, sounds like you sort of, we're running into that or identified that. And now the shift that it sounds like you've made around your mindset is like, what if this could be fun?   Jason Hull (29:32) Yeah.   Yeah. What if you actually love doing what you were doing in your business? I'll tell you what happens because I hope a lot of people do this. You make way more money when you focus on the money instead of the mission and you're not focused on your why you make way less money. But it's money is easy when you are focused on helping people get what they want. You're outward focus and it's you're being selfish enough to focus on your actual purpose. Money is not your purpose.   If I say, do you want money? There's a whole level of depth beneath that. Right. And so, yeah, but you're right. Like we're struggling, we're suffering, and it's like a badge of honor. Look at my hustle culture. And I'm like, it's so hard. And then we start succeeding and we get, the world gives us feedback because the world isn't supportive of entrepreneurs. The world cares about safety and certainty more than freedom. Entrepreneurs care about freedom and fulfillment more.   Sean Patton (30:24) Yes.   Jason Hull (30:48) than safety and security. And that's why we start businesses. That's a risk. But as soon as we start winning, what do we hear from people? ⁓ it must be nice.   Sean Patton (31:00) Yeah.   Jason Hull (31:01) it must be nice that you have this. Jason got his cyber truck or he's in his million dollar house. It must be nice. ⁓ know, and so you hear things like this and you're like, did I do something wrong? maybe I need to be small because I'm making some people feel uncomfortable because, know, it's to be a struggle. I can't show that I'm having success because it's got to be hard. I didn't I didn't work hard enough to earn this. Maybe it's that feeling or, know, it has to   Sean Patton (31:20) Yeah.   Or enjoyment, yeah, it's gotta be.   Yeah, I think there's a lot   of that. I know my relationship as I've reflected back with, with money, um, with success is, know, I grew up with a, with a single mom and she was phenomenal. I mean, raised me, worked full time as a waitress and bar center to put herself through undergrad and grad school to be a school psychologist, to work with special needs kids so that she could impact the world and take care of me. But in that, yeah. Yeah.   Jason Hull (31:31) Hard.   Yeah.   And love was working hard. That's what you saw. Like she was hustling.   You knew she loved you. She was serving. Yeah.   Sean Patton (32:02) Absolutely.   And so I would say there's two sides of that coin. One, what I tell people all the time is like, when you see your mom do that or that's your leader, like mediocrity is no longer acceptable. That's one thing I took away from it. then the, but there was this idea when we say we drove through nice neighborhoods or we saw big houses or we saw people with money. was like, ⁓ those it's like those people. Like it was very much put into, I feel like subconsciously that   Jason Hull (32:10) Yeah.   Yes. Yeah.   Sean Patton (32:31) I think that it was just a matter of like, ⁓ there's this idea of that good people or hardworking, working class folks like us, we're doing sort of this noble thing and these other people either just got lucky or they're just different or they were born into it or, it's this idea of like, we're not those people.   Jason Hull (32:49) Or even worse,   were unethical or hurt people to get there. Those rich people, those evil billionaires and those evil millionaires, and nobody should have that kind of money. They must have hurt people to get there and yeah, yeah, yeah.   Sean Patton (32:54) 100 exactly.   And so that   was like a story, even a money story and success story that over the last 10 years as an entrepreneur with different businesses, and I was, and I was as a coach of leaders inside companies, ⁓ and, business owners that I've had to overcome. And I have found myself to your point, sort of sabotaging or questioning when I do have certain levels of success or impact and downplaying it almost because I have this.   Jason Hull (33:17) Yeah.   Sean Patton (33:34) subconscious belief that like, wait a if I make this amount of money or if I get to do these things is like, am I, as you said, am I deserving of that? Or is that even like an ethical thing to be able to do? I need to suffer more and drive myself back to the suffering conversation.   Jason Hull (33:40) Yeah.   Yeah, I mean,   the feedback we get from the world as entrepreneurs. So one of my frameworks is the four, I call it the four reasons for starting a business. The first reason is fulfillment in life. That should be primary. We should be getting fulfillment in life, living our why, living our purpose. Number two, it should be more and more freedom. The business should give us more and more freedom. Now, we initially as entrepreneurs, when we start our journey, we make more and more money.   And the reason we want more money is we think it will give us more fulfillment and more freedom. But the default is, I've seen this over and over again, I live this, is we make more and more money and we have less fulfillment and freedom in our business initially. Until we get clear on this, because we're aiming for the wrong goal, we're aiming for money, not the four reasons. Once we have fulfillment and freedom though, once we figure that out, we're like, why am I doing this? I need to shift things. And we get alignment there, then we want to benefit others.   That's contribution. And that's actually why businesses exist. Businesses exist to contribute to the marketplace something of value, solve real problems. Otherwise, they're just snake oil and they're stealing people's money. And so true entrepreneurs, like they might start with just the motive of money, which maybe isn't the highest motive. But if they're going to be successful, eventually they graduate usually to contribution.   because that's the only thing that actually works in the marketplace. The marketplace is brutal to anything else. So it's almost like God tricks us into becoming good people by getting us to start businesses, you know? And so the fourth reason, once we have contribution, we have fulfillment, freedom, we get to, we're living a life where we feel like we're benefiting others, making a difference. And we love, we can't have those first three without the fourth, which is support. There's no,   Sean Patton (35:22) Yeah, yeah.   Jason Hull (35:41) business owner that I know of that enjoys doing every hat, wearing every hat in their own business. And so we have to have a good team. We have to have a good support. Just like you were talking about in the, in the military, like if you're going on a mission, you need some specialists that have expertise in different areas to make this work. Not everybody has the same personality, the same skills, the same intellectual abilities. And so we need other people if we want to stay in those first three.   We can't have fulfillment, freedom and contribution if we're doing stuff we don't enjoy. That's the opposite. And so we have to have team members. And that's why we build the vehicle of a business instead of just be a freelancer and do it all on our own. And that's the, so those are my four reasons. Now there is the fifth reason. The fifth reason is what everybody else wants. And we want this too as entrepreneurs, but the fifth reason is safety and security.   This is what makes us different. Everybody else on the planet wants all five of these things. But most people on the planet play safety and security first. They're like, forget your freedom. We saw this during the pandemic. It's like, fuck your freedom. Like, we don't care about your freedom. I want to feel safe. Make everyone feel safe. Force it on everybody. Make everybody feel safe first. And then freedom would be a really nice afterthought. And then entrepreneurial people were like, this what crazy planet am I on?   Sean Patton (37:04) Mm-hmm.   Jason Hull (37:08) Am I hanging out with aliens? Like, I don't understand. I thought we were in the land of the free home of the brave here in the US and like, what's going on? And we have all these different basic hierarchy of needs, but the hierarchy is different for entrepreneurs versus everybody else. And there's nothing wrong with that. Like I need people on my team that don't want to be the business owner.   Sean Patton (37:21) Mm-hmm. Mm-hmm.   Yeah, yeah   Jason Hull (37:32) You know, I need them to be with me and enjoy it, right? And they need somebody that like me, that's crazy, that's willing to take some of the risks. They just don't realize they're working for a crazy person, right? So that values freedom more than safety. So yeah, but look, I love safety and security too. That's why I process documentation. I have systems that makes me feel safe. If I lose somebody, right? So we need all of these things. So I love, I love that you were pointing that out. ⁓ Where should we go from here?   Sean Patton (37:42) Hahaha   Yeah.   Jason Hull (38:01) Like we're almost at the time and I love hearing the ⁓ how the military works because the military works its life or death. It's it's ⁓ and there's clear objectives and I feel like in business things get so fuzzy and there's so much BS. And when we hear it in terms of military, we're like, ⁓ duh, this would translate. I should do my business this way.   Sean Patton (38:04) Yeah.   Yeah, I think it's a good way to wrap in last couple of minutes is like, what are some key points there? think that what the military does, because not everything in the military is from personal experience translates perfectly over, right? But that there's certain things. Yeah, it's all the same. There are some similarities. I think that if there's an overarching word of why, and it's just true,   Jason Hull (38:43) Sure, it's not all exactly the same, yeah.   Sean Patton (38:58) military, good military units are able to accomplish the seemingly impossible tasks ⁓ is clarity, like extreme clarity and no nonsense around no clarity. And so whether that's clarity of mission, clarity of roles and responsibilities, who's doing what when and what are they committing to? There's so much... ⁓   Jason Hull (39:05) Yeah.   Hmm.   Sean Patton (39:26) sort of expectation or unsaid agreements that happen inside business, where we make assumptions about what we think other people understand or what they think success is or roles is. Instead of saying here's our clear mission, here's our outcomes, here's my role and responsibility, here's what I'm gonna own. I mean, the amount of times I work with a company or entrepreneur and we go in and they say, yeah, here are like the 12 things that are important before the next meeting, but there's no one's name next to it with a date.   Jason Hull (39:28) Hmm.   Yeah.   Yeah. Right.   Like who? Who's responsible? Who's accountable? Yeah.   Sean Patton (39:55) It's like, Hey, what'd we talk about last meeting? Who's doing that? Yeah. Who's taking,   who's accountable. So I think they're very clear about like what role and responsibility do you have so that you can lean into that. So clarity around roles, responsibilities, clarity around mission, then clarity around, you know, end state. Like what does success look like for this? Those are.   Jason Hull (40:14) What's the definition   of done on this? How do we know this is accomplished? I love it.   Sean Patton (40:19) Mm-hmm. And so I think   if companies could really take that approach of clarity in those three areas, it could be transformative.   Jason Hull (40:29) Totally agree. One of my mentors that really taught me operational stuff was a mentor named Alex Sharpen. And Alex would talk about outcome transparency and accountability. He was like a three-legged stool. And he said, there has to be a clear outcome. Like, who's responsible ⁓ is also, right? that's like outcome transparency, accountability. Accountability is who? What are we trying to accomplish is the outcome.   And then what's the scoreboard? How do we measure success? How do we know if it's done? And he said he would watch billionaires and follow them around and they go into a meeting. They didn't know what was going on, what was being discussed, but there was a problem. He would just walk in and he would ask three questions and the problems were solved. Cool. What are we trying to accomplish? Okay. Who's responsible for this? Awesome. How do we know if it's done or not?   And it was that simple. And then you walk out of the room, everyone's like, man, he's magic. So glad we have him. What a great leader. And I love it. Clarity is massive. one of the things, like a lot of businesses don't even have the clear role or job descriptions defined for their existing team members. If I went to, anyone listen to this, I went to your team member, ask yourself this question. And I asked them, what are you responsible to achieve on a weekly, monthly basis? What is your job?   Sean Patton (41:27) Yeah.   Jason Hull (41:52) What are your roles? What are you supposed to do? And then I went to the business owner. I went to you listening and said, what is their responsibility? What are these? I usually get two very different set of directions. But if you come to my team or hopefully some of my clients that I'm coaching and you ask that question, they would say, cool, let me pull up my document that is super clear that we review regularly. This is it. We've agreed on this. We're literally on the same page.   And it's that simple. And so they know what outcomes they're responsible for. And the outcomes are more important than the responsibilities. So on our job descriptions, we have results. What results or expected accomplishments are there? so little things like that. One of the things I love saying lately is, this is one of my little phrases, is any action we take without clarity is a little bit wrong. Sometimes a lot, a lot wrong.   Sean Patton (42:21) Yes.   Mmm, I love that.   I love that.   Jason Hull (42:51) Yeah, and so that's dangerous. like the last thing you want to do in on the battlefield is just rush out with a lot of gusto guns a blazing with no plan and a lack of clarity. But in business, sometimes that's how we operate for shooting from the hip. We're like, Woo, yeah.   Sean Patton (43:08) Yeah,   it is. That's the thing is because of the mission that the military has, the culture demands extreme clarity. And because of the mission of businesses, people can get away with leakage and mistakes because, you know, it's not life or death. But if you treat your business like that, that's how you get to the next level of performance.   Jason Hull (43:18) you   Love it. Cool. Sean, awesome having you on. Always fun to chat with you. We have some good conversations. ⁓ This is really interesting to me. I love hearing how ⁓ this all works and the contrast with military and whatnot. You brought up some really great points that really made me think. How can people get in touch with you? Tell them what you do real quick and all that.   Sean Patton (43:40) Yeah, absolutely.   Yeah,   absolutely. So you wanna, my personal site is SeanPatton.me. Super easy to find. I'm very active on LinkedIn. And I am a part of a larger firm called Novus Global, where we focus on creating meta performance leaders. A lot of the transformation we're talking about today. So yeah, LinkedIn and my website, easiest ways to get me. also the host of the No Limit Leadership Podcast. Please check that out and.   Jason, you have a scheduled day. I'm excited to have you on that podcast in the future.   Jason Hull (44:29) Yeah, I'm excited to be on that. That'll be great. It's been great having you. Cool. Thanks for being here. All right. Yeah, absolutely. So for those of you that are property management business owners and you felt maybe stuck, stagnant, you want to take your property management business to the next level, reach out to us at doorgrow.com for free training on how to get unlimited free leads. Text the word leads to 512-648-4608.   Sean Patton (44:35) Thanks, Jason. Appreciate the opportunity.   Jason Hull (44:57) Also join our free Facebook community just for property management business owners at doorgrowclub.com. And if you want tips, tricks, ideas, and to learn about our offers, subscribe to our newsletter by going to doorgrow.com slash subscribe. And if you found this even a little bit helpful, don't forget to subscribe and leave us a review on wherever you saw this. We'd really appreciate it. And until next time, remember the slowest path to growth is to do it alone. So let's grow together. Bye everyone.   All right, and we are out in five, four, three, two, one.   Sean Patton (45:33) Thanks brother.

Heal Nourish Grow Podcast
Lifestyle Changes to Prevent Cancer

Heal Nourish Grow Podcast

Play Episode Listen Later Apr 3, 2026 41:24


In this episode, Cheryl interviews Dr. Christo Frangopoulos about how certain lifestyle factors related to cancer. Most people overlook one of the most powerful tools in preventing cancer: movement. Dr. Christo Frangopoulos reveals surprising facts about how simple lifestyle shifts, like breaking up sedentary time, can drastically cut your risk of cancer and boost your body’s ability to fight it. If you’re tired of just hearing “eat healthy and exercise,” this episode uncovers actionable strategies backed by the latest science to enhance your health span. Discover why sitting is just as dangerous as smoking when it comes to cancer risk, and learn the practical tips to make movement a seamless part of your day. From how often to get up during work hours to the science of muscle-derived anti-cancer proteins called myokines, Dr. Christo shares insights that can change your approach to health. We break down the true impact of sedentary behavior, the science behind autophagy and muscle contraction, and the critical role sleep plays in cellular repair and cancer prevention.You’ll also uncover: the truth about alcohol's relationship with cancer, the importance of inflammation markers like CRP, and why maintaining consistent sleep and circadian rhythms is crucial for lowering risk. This episode is perfect for anyone looking to take control, whether you’re battling family history or just want to live longer healthier lives.Dr. Christo Frangopoulos is an anesthesiologist, lifestyle medicine expert, and personal trainer known for integrating science-backed strategies to improve health outcomes across the U.S. His insights on cancer prevention through lifestyle modifications are revolutionary yet accessible, making this a must-listen for health-conscious individuals and medical professionals alike. Don’t miss this opportunity to turn simple daily habits into potent cancer-fighting tools. Your health journey starts with the right knowledge and this episode delivers it. Hit play now and learn how to reframe your lifestyle for longevity and resilience. Visit Dr. Frangopoulos at AltasMD360.com Takeaways How sedentary behavior independently increases cancer risk, even with regular exercise The importance of muscle contraction and myokines in fighting cancer Lifestyle changes that can lower the risk of developing common cancers, especially colorectal cancer in young adults The critical role of sleep in DNA repair and cancer prevention The impact of inflammation markers like CRP on cancer risk Rethinking alcohol consumption and its nuanced effects on health Practical habit formation techniques, including the ‘two days’ rule for sustainability Resources for health professionals and individuals via AtlasMD360.com Book: The Telomere Effect by Elizabeth Blackburn & Elissa Epel A scientific approach to aging and health Disclaimer: Links may contain affiliate links, which means we may get paid a commission at no additional cost to you if you purchase through this page. Read our full disclosure here. Watch on YouTube: Disclaimer: Links may contain affiliate links, which means we may get paid a commission at no additional cost to you if you purchase through this page. Read our full disclosure here. CONNECT WITH CHERYL Shop all my healthy lifestyle favorites, lots of discounts!  21 Day Fat Loss Kickstart: Make Keto Easy, Take Diet Breaks and Still Lose Weight  Avaline Wines, Tested and Clean, Sugar Free Drinking Ketones Wild Pastures, Clean Meat to Your Doorstep 20% off for life  Clean Beauty 20% off first order DIY Lashes 10% off  NIRA at Home Laser for Wrinkles 10% off or current promo with code HealNourishGrow Instagram for daily stories with recipes, what I eat in a day and what’s going on in life Facebook YouTube  Pinterest TikTok Amazon Store The Shoe Fairy Competition Gear Getting Started with Keto Resources The Complete Beginners Guide to Keto Getting Started with Keto Podcast Episode Getting Started with Keto Resource Guide Episode transcript: Cheryl McColgan (00:00)Hey everyone, I’m Cheryl McColgan, founder of HealNurshGrow and today I’m really excited to be joined by Dr. Christo Frangopoulos and he is kindly letting me shorten his name to Dr. Chris or Chris, but he will introduce himself here in a moment. And why I really wanted to have Dr. Frangopoulos on today is because he is a board certified anesthesiologist. He’s also a lifestyle medicine doctor and he’s a personal trainer. So, you know, those are all things if you’re a listener to this podcast that I am super excited about and that I love to chat about. take it from here and just introduce yourself and share with people what you’re all about and what you’re here to talk about today. Christo (00:35)Wonderful. Well, I just wanna say thank you so much for having me. This is an honor and I really hope we can reach at least a few people out there to make a difference with the information I’m going to be sharing with Cheryl. As Cheryl said, my name is Christof Rangaples. It’s much easier just to say Chris. I am an anesthesiologist for about a decade now. I have also got board certified in lifestyle medicine and a certified personal trainer and a lot of what I do is share information that’s evidence-based and science-backed that can optimize people’s lifestyle. As a physician, I travel the country, I’m certified in about 10 different states, and the problem of healthcare is it’s everywhere. And the state of our nation can really utilize a change in how we attack our health. And I think lifestyle medicine offers so many great tools and it’s super helpful. It’s not overly complicated and can make a huge difference. Cheryl McColgan (01:39)It’s so nice to have a doctor on that really appreciates that because I think so often, you we have more of a sick care system than health care system. And I’m sure that we’ll get into that a little bit more. But the fact that you are trained in lifestyle medicine, that you recognize the significance and the importance of it, I think is a huge step in the right direction for the medical field. So I’m so glad that you’re kind of promoting that and you have all that information on your website, all your good programs and continuing education. So I think that will be a huge benefit to the medical community. But one of the things that you’re Christo (01:49)Yes. Yeah. Yeah. Cheryl McColgan (02:09)particularly interested when your team reached out is around cancer. And some people that know me personally or know some of my work and some of my writing will know that I have a lot of cancer in my family. And it’s a big reason that I do a lot of the things that I do in my health and my life. So what what have you how did you become interested in cancer specifically? And then let’s start with like what your number one top lifestyle change people can do to prevent cancer. Christo (02:39)Sure. So as an anesthesiologist, you can imagine we see every sort of surgery from something simple to very complicated cancer cases. And over my years, I’ve seen a lot of cancer surgeries and how they’ve affected. their families, their communities, and it really is a, it’s something that every one of us have experience with, whether it’s yourself or a family member or a friend or a coworker, we are all affected by cancer and it is everywhere. But the truth of the matter is a lot of lifestyle change can actually make a huge difference in our cancer rates across the country. And most people probably don’t know this, but only about five to 10 % of cancers are from inherited gene mutations. Okay, so the other 90 % are often attributed to either a lifestyle or environmental exposures. So, you know, a lot of people think they’re destined to get cancer because their family member has a cancer or whatnot. That is a small chunk of cancer. It is actually our lifestyle and environmental exposures that can affect getting cancer, how we respond to cancer, and the aftermath of that, either being successful in treatment or not. And there’s a lot of things we can do for it. Cheryl McColgan (04:12)Yeah, just to drive that point home, share that we were talking before we started recording and Dr. Christo was just kindly asking me if there was any, you know, thing to avoid around cancer because I had said that it’s a lot in my family and it’s been a while and it’s always going to be hard. But my dad, when I was around, he was one of the first runners in the running boom, always going to the health food store, did all these super healthy lifestyle behaviors before this was really popular. And so was quite shocking, you know, when he ended up having these multiple cancer diagnosis later in But as a young man, he, we lived in the south, we live in Louisiana, and this is in the 70s before a lot of OSHA things and whatever, and he worked in chemical plants. And he was a chemist by trade. you know, so I’m pretty fully convinced that for him, it was those environmental factors that you spoke of. So in addition to being in an environment like that, that’s kind of an obvious situation. What are maybe some things that aren’t as obvious that people might be exposed to that they can limit in order to prevent cancer? Christo (05:10)Yeah, and not to scare anyone right now, but it’s kind of what we’re doing. We’re being sedentary, we’re sitting down right now. it is, sedentary behavior is ubiquitous in our culture, right? It’s how we do work every day. A lot of people sit at their desks in the office and there’s sometimes little movement. Well, we know a lot of things, what are causes of cancer and actually sedentary behavior. Even if you meet all of the activity guidelines, sedentary behavior itself is an independent risk factor for getting cancer. Of course, there’s a bunch of numbers with these, but it’s something that a lot of people don’t even think about. And an easy solution is trying to get up and get moving every so often. For myself, am I stuck at an office or in an operating room case, in their long cases, I make sure I’m getting up. every single hour on the hour, something I can remember just to get moving. And we’ll talk more in depth about this, but movement itself is as a prevention for not only cancer, but a number of other things. But yes, sedentary behavior is a big one that we really don’t think about very much. And a lot of us are exposed to that. Cheryl McColgan (06:27)Yeah, and I just want to I kind of want to build on something that you said just to make it super clear for people because I know this information, but if this is the first time somebody’s hearing it, they might not understand it. So I think the recommendation right now is correct me if I’m wrong, because I know you’ll know the right answer to this. It’s like 150 minutes per week of physical activity for most adults. Right. But you’re I think what you’re saying is, OK, say you do that. You go to the gym and you do your 150 minutes. That’s not the end. It’s actually been that eight hours that you’re sitting at your desk is still putting that on top Christo (06:45)Mm-hmm. Yeah. Yep. Yes. Yes, so you are correct. It is 100, so the physical activity guidelines is 150 to 300 minutes of moderate intensity activity per week. It could also be 75 to 150 minutes of vigorous intensity activity or a combination of both knowing that one minute of vigorous intensity activity is equal to two minutes of moderate intensity activity. All that being aside. 150 minutes of moderate activity per week is the goal. It’s something easy to remember. But yes, this sedentary behavior is independent of that. So if you’re going to the gym and you’re hitting all your marks, it doesn’t give you license so much to go home and be a cash potato the rest of the day. And that’s kind of the idea here. When we look at all of these different factors, it really comes down to getting your blood flowing. No, it’s more than that, that’s simplistic explanation. But the simple answer is get your butt up, get moving, get your blood flowing, and it’s something that we have to make it habitual. And again, we have such a sedentary lifestyle, it doesn’t mean we’re not doing anything, it just means that we’re sitting at a chair at the office, we’re at the desk all day, we’re typing on the computer. It’s just how our lives are built. So we therefore have to change the environment around us to make sure that we aren’t so sedentary. And there’s a number of things that we can do for that. Cheryl McColgan (08:30)So what would be some of your favorite tips for people? mean, I think you mentioned saying getting up on the hour, everybody has a cell phone nowadays, so setting alarms or using apps. What are some other things besides that that people might do to kind of combat this sedentary behavior? Christo (08:36)Yeah. Yeah. Sure, so that’s a big one for me. It’s something very easy to remember. On the hour, every hour, get up and get moving. Now if you’re at the office or if you’re somewhere where you’re not at home, make sure you are going to the restroom that’s farthest away from you, using the kitchen or water fountain that’s not close to you, walking up and down the stairs just to get moving. It doesn’t have to be difficult. It doesn’t have to be You know, I have to meet these marks. The simple answer is just get up, get moving, incorporate it into your day that’s seamless. That’s something that easy to remember for you. Maybe it’s you have a favorite coffee station at the office, whatever may be, just try to make it make sure that you’re able to incorporate as much movement as you can. Cheryl McColgan (09:37)I think that’s really clear. So we want people to go to the gym. We want them to be strength training so they can prevent sarcopenia, maintain their muscle mass. That’s all great for metabolic health, but we also just need people to just get out of the chair from their desk or away from the TV and just move Christo (09:44)Mm-hmm. Yeah. one of the most simple things that we can be doing to prevent cancer. And of course, there is more to exercise in cancer prevention. We’re talking about sedentary behavior, but it also can go from light to moderate activity, vagus activity, and then meeting the guidelines. They all have their unique benefits, and we can talk about that if you’d like. But the sedentary behavior I think is just one of the most more shocking ones that people just may not know about Cheryl McColgan (10:18)Yes, totally agree with that statement from just getting moving because I think like I said before, people think they go to the gym and that’s good enough. That’s not that’s not the end of the story. But you did touch on one I would like to maybe chat about a little bit more. And that was the use of exercise maybe in a different way. So I was very focused on fasting for a while when Dr. Urashimo I’m going to mess up his name. I’ll put it in the show notes. But you know, when they first kind of discovered a Toshi back in 2016, and I learned about fast. Christo (10:35)Yeah. You Cheryl McColgan (10:47)And I was very focused on that for a while. But now that I’ve gotten older, my bigger concern is maintaining muscle mass as I get over the age of 50. And so I’ve kind of stopped that because I also learned that exercise actually promotes autophagy really strongly. And maybe I’ll just have you actually talk about autophagy in a more scientific way so that people understand its relation to cancer. So maybe if you could talk about that with exercise, that would be awesome. Christo (11:13)Yeah, so I think how I relate this is something called myokines. When we exercise, you get our bodies moving and our muscles are contracting, they release something called myokines into the bloodstream. The simple answer is myokines are anti-cancer proteins. And the more we contract our muscles, the more these anti-cancer agents are moving around our bloodstream and not only are we able to more effectively kill cancer cells, it is something that’s going to promote, really just promote overall health in general, not just cancer, but everything else as well. There’s actually a recent study in 2025 about breast cancer, it’s out of Oxford, I believe, and they talk specifically about these myokines, and it was something Don’t quote me exactly on the number, but it was just one bout of vigorous intensity activity. It increased their blood circulating myokines by like up to 30 % and they exposed those myokines to breast cancer cells. And actually that number, the rate of growth was reduced by 30%. So it just goes to show how effective muscle contraction and movement is in the anti-cancer in our body’s ability to fight cancer off. Cheryl McColgan (12:35)Yeah, I will share. And I mean, again, not to bring it back to the but I think it’s really relevant to what you’re saying is I mentioned that my dad was kind of in the running boom and he had always lifted weight. He was like Jack Lilley basically, which was why it was such a shock that this but anyway, when he got this more serious diagnosis of cancer, I’m really convinced that the reason he did so well for so long was because every time he did a treatment, he got right back to his three days a week strength training, running, playing golf, super active, never let that go. Christo (12:45)⁓ wonderful. Yeah. Absolutely. Cheryl McColgan (13:04)for the longest Christo (13:04)Yeah. Cheryl McColgan (13:05)time. And so I think that that actually helped not only helped his quality of life while he was living with cancer, but also probably got him further down the road. I really think that’s true. Christo (13:11)Yeah. 100%, there is so much robust science about this. a lot of, you of course, after something gets a diagnosis of cancer, of course, your body’s going through changes and it is even more difficult to get up and get moving, going to gym and doing those things. So kudos to your father and anyone else who has gone through that to make sure they’re giving their body the exercise they need because it’s not only It’s exercise is not just a ⁓ healthy lifestyle modification. It’s an actual biological intervention that helps fight cancer. Like it is proven. It is not just, it’s not a replacement for your chemotherapies and your surgeries and whatnot, but it absolutely reduces your risk of getting cancer. It improves your survival if you do get cancer. and there is only benefits from this. So this is just a really hard point to make that exercise is proven to improve your survival in a number of different ways. We’re talking about cancer today, but there’s a number of other things as well. Cheryl McColgan (14:28)it’s pretty much the cure for everything, right? If you really want to look at it, it is. Yes. Christo (14:30)It is. It is. And it’s free. It’s free. We can all do it. You know? Yeah. Cheryl McColgan (14:36)I know it’s very exciting. Well, most of us, know, thankfully. So on that note, there is, I think I’d be remiss not to at least mention this and maybe get your thoughts on this. Because as you said, you’re in the operating rooms, you’ve seen all these different kinds of cancer. Have any of your colleagues or you yourself had any thoughts on the significant rise of colon cancer in young people? ⁓ Are we thinking processed food? Are we thinking other lifestyle factors? Kind of what’s your sense of it after being in the trenches with that? Christo (14:57)Yeah. Yeah, yeah, very astute question because that’s actually the statistic I believe is colorectal cancer is the only cancer that is rising in people under the age of 50. And more recently, you know, this is early 2026, James Vanderbeek passed away, which a lot of us know from like Dawson’s Creek and you know, other movies. and Chadwick Boseman, another big time actor, and they both passed away from colorectal cancer at young ages. And sometimes it’s a difficult pill to swallow when these people, you know, we don’t know them, but they’re part of our formative years. And the good thing about, and I don’t say good thing, but maybe the positive silver lining is it’s bringing awareness to people that this is something. Now, do we know why colorectal cancer is increasing in this specific age group? No. As you alluded to, could very well be what’s environmental exposures and I’m not saying this specifically to those gentlemen, but it can be a number of things. We don’t know the exact answer. We do know there’s a lot of different risk factors for colorectal cancer that a lot of people do have and it’s present in our nutrition system and how the United States is kind of set up. And it’s a lot of processed foods, it’s processed meats, it’s adiposity when you’re carrying some extra weight and obesity, being overweight, all of those things play a role into cancer. Real briefly, this is something that I think a lot of people may not know, but obesity itself is a chronic form of low-grade inflammation, okay? So your body is under this chronic inflammatory state when you have obesity. And the reason that’s important is because when we have bodily inflammation, that increases the risk for mutations in our DNA, in our cells, and that’s exactly how cancers can arise. Cheryl McColgan (17:11)So would that mean also, I think the most common marker that people probably get when they go to their annual checkup is an HSCRP, which is kind of a marker of general inflammation in the body. So would it be accurate to say that if you have a higher HSCRP that you are probably slightly more at risk for cancers and that would be a thing to maybe consider trying to actively lower? Christo (17:19)Mm-hmm. Yeah, so CRP is one of the, ⁓ C-reactive protein is one of the markers for inflammation. There are a number of other ones, cortisol being ⁓ another big one. I don’t wanna say, I don’t wanna say for certain that yes, that is, that’s true, because our body undergoes inflammation. Rewind a second. When you get a lab ⁓ test done, that is one point in time. Right, it’s that day. So it’s hard, you’re not gonna be testing your CRP every single day to know are you always under the same state of inflammation. That being said, your body undergoes inflammation for a number of reasons. And sometimes inflammation isn’t bad. Sometimes it’s reactive and appropriate for what we’re doing. But yes, in the general sense, if you have… maybe like dietary inflammation, if your body isn’t sleeping properly and your body’s in a general state that’s heightened for inflammation, then yes, those kinds of things on a long-term basis are more what we’re aiming for here. One lab test, it depends. It can be a number of different things. There’s also a lot of… different medical states and conditions that can increase your CRP. So it’s not always like a perfect marker. It may be a clue and your healthcare provider can kind of clue you in to like put the whole picture together, but every individual is very different. And as I said, it’s kind of a one marker in time. So lab tests can be helpful, but it’s just not the end all be all. Cheryl McColgan (19:06)Yeah, understood. Just kind of wondered if there was any association there. And you mentioned one of my favorite words when you were just answering that question, that is sleep. I think it’s one of the most underappreciated health. elixirs basically for people and that so many people struggle with it. ⁓ But how would you describe sleep’s relation to cancer? I know a lot of the stuff about sleep’s relation to possible Alzheimer’s prevention, but I haven’t necessarily heard as much about cancer, so I’d love to hear your views on that. Christo (19:18)Yes. yeah. Yeah. Yeah. Yeah. Yeah, yeah, absolutely. So there’s a couple of things to know regarding sleep and cancer. And I’m gonna draw back a discussion I had with a patient where they were like, I’m exercising all the time, I’m eating well, I’m getting all my minute guidelines, my stress is well managed. And then you dive a little bit deeper and they’re like, oh, I only sleep four or five hours of night. And I’m like, oh, why are you doing that? Well, you know, they’re crazy busy. They’re always productive. And we kind of take a step back and get more of a clue of, you know, the whole picture of that patient. And it was telling because as you mentioned, sleep, a lot of people, we almost treat it as an afterthought. You know, it’s at the end of the day, we kind of get in our beds and go. However, sleep is so critical for our overall health that it really needs to get more of a bright light on it because it’s that important. And the relationship to cancer is actually, it’s very clear and I’ll tell you why. At night, throughout the day, 24 hours, your body is always undergoing maintenance. Your body’s always fixing damaged DNA, fixing cells that are damaged for whatever reason and we’re repairing them or we’re scheduling them for apoptosis and getting them out of our bodies. Now that happens all 24 hours, but it’s way more active when we’re sleeping. It’s when the maintenance workers of our body are going to work and that happens at night. So if you’re not getting enough sleep, we are, or quality sleep. We are not restoring, we’re not repairing those DNA in the cells and those mutations. It’s almost like a glitch in the system where these mutations occur and then they live on and they thrive. the more and more those mutations grow, that’s when you get a tumor. So when we don’t get that sleep at night, our maintenance workers aren’t working and those mutations kind of can grow into cancer more easily. Cheryl McColgan (21:43)Yeah, that makes perfect sense. And what would you what would your advice be to people? I mean, I’ve written about this a lot. So there’s some free resources on my website for better sleep. And I do all the things I am committed to sleep. You know, I have the cooling bed, the cooling bed, the dark room, the I like everything. So there’s all those kind of tips. But if somebody wants to do something without devices, and without drugs in particular, I think that people Christo (21:53)Awesome. Yeah. Yeah. Yes. Sure. Yeah. Cheryl McColgan (22:08)I’d love to hear your perspective on that and kind of what are some more natural ways people can approach doing this that aren’t devices that don’t cost a lot of extra money. Christo (22:11)Yeah. Yeah, yeah, yeah, we can talk a lot about this. think it’s actually, ironically, it’s sleep awareness week right now. So it’s, ⁓ yeah, it’s a big topic right now. So what can you do? So you mentioned a lot of things regarding sleep environment, where you’re sleeping in a cool, dark place, cool, dark and quiet place, not silent, but quiet. And a lot of people focus on that, which is really good. Cheryl McColgan (22:23)Nice. Christo (22:40)But something that people may not know is what we do during the day matters very much how good quality of sleep we get at night. And this is not going to be a shocker, but one of the best activities that you can do during the day to get more quality sleep, a higher level of deep sleep, is exercise. exercise really is just a panacea for everything. ⁓ But the reason being is when you exercise, your body’s obviously working a lot harder and its body temperature goes up. Well, a few hours after, your body temperature starts to cool down and that’s exactly what we would like for sleep. So it’s just something that every single day we wanna incorporate some sort of exercise for that. And there are a number of other things like the three two one zero rule if you’ve heard of that or we could talk about that. ⁓ Cheryl McColgan (23:39)Yeah, I’m not familiar with that one. So I’d love it if you’d share that Christo (23:41)Yes, yeah, yeah, the three, two, one, zero rule. It’s something easy to remember because of the numbers, but three hours before bed, you don’t have any more food. Are you able to do a light snack? Sure. But you don’t want to have your dinner too close to bedtime. You want to give your body enough time for digestion. If you’re eating too close to meals, excuse me, too close to bedtime, you can have indigestion. You can have a number of different things that can cause disruption to your sleep. Two hours before bed, no work or no stimulation. You really want to, yeah, I know, I’m a culprit of this. It is, it is. It’s one of those things where I’m like, what’s the phrase? ⁓ Don’t do as I say. Yes, that’s it. Yep, so I’m a bad one on that, because I’m a workaholic. But yes, no more work two hours before bed. And it’s really just trying to unwind and kind of decrease your stimulation. That’s the real reason. Cheryl McColgan (24:13)That’s a hard one. Do as I say, not as I do. Christo (24:38)One hour before bed, no screen time. And this is something where I say, mean it, no screen time. Blue, I talked to a sleep medicine doctor last year or so, and she’s a great friend of mine. And she just says, how many people are, we’re all so glued to our phones. And not only that, it’s like a fifth appendage where we’re sleeping, it’s right next to our beds. And the, one of the best tips that she gave me was, to use an actual alarm clock. Get that phone away from your bed. You don’t need it when you’re in the bedroom. It’s, know, emergencies happen and whatnot, so you can have it somewhere nearby, but it doesn’t need to be an arm’s length. anyway, no screen time after one hour before bed. And then the zero is a little bit different. It’s the number of snoozes were allowed, or ideally allowed, zero. Cheryl McColgan (25:34)you Christo (25:36)And that really focuses on having a consistent wake time. And that’s even something that we wanna do on our days off from work. And the reason being actually does relate to one of the risk factors for cancer is circadian rhythm disruption. If you have a consistent wake time, your body is just much happier. it works more efficiently. The nighttime maintenance things that we talked about are more, just work better. And you really, you keep that wake time and then if you have to adjust your bedtime, you adjust your bedtime to something earlier. But a consistent wake time is something that is a forever rule of thumb if we’re able to. Cheryl McColgan (26:21)Well good, I’ve got to work on the zero and the two probably a little bit for myself. ⁓ Christo (26:27)Yeah, yes, none of us are going to be perfect at this. An 80-20 rule, try to aim for 80 % of these, 20%, give yourself some grace. Cheryl McColgan (26:36)Yes, progress over perfection, one of my favorite things. So ⁓ one thing that we didn’t hit on yet that I think is fairly important for cancer stuff, and I think it’s, it’s good because there’s a trend, there’s a downward trend in alcohol consumption, I think since the pandemic, basically. And I think everyone has always known that alcohol consumption is related to cancer, but somehow it wasn’t being driven home as much as it has maybe the last Christo (26:39)Yes, exactly. Yeah. Yeah. Mm-hmm. Yeah. Cheryl McColgan (27:06)five to 10 years. So we’d just love to get your thoughts on that. mean, nobody wants to hear this if you like, you know, having a glass of wine with your steak or something like that. But, but I think, you know, minimizing these things, like we’re talking about minimizing environmental exposures, maximizing sleep, I mean, can we talk a little bit about it? Because it’s going to be unpopular, but it is a thing. Christo (27:08)Yeah. Yeah. Yeah. Yeah. Yeah. Yeah. So I try to tiptoe just to be gentle with this because people do have strong feelings like I want my red wine at night and you can’t convince me otherwise. There’s a lot of topics to talk about. There’s a lot of discussion points. The plain answer here is no amount of alcohol is Cheryl McColgan (27:28)you Christo (27:44)helpful for your health, okay? So there’s no benefit to it. Some people who drink red wine say there’s, you know, the, my God, nitro, it’s skipping my, yes, Reservatrol, yes, thank you so much. Is helpful for you, yes, it is, but so are having a handful of grapes and you don’t have to have it in a wine form. ⁓ So there’s, Cheryl McColgan (27:52)Reservitrol. I think I read that to get enough Reservatrol, you’d have to drink like 25 barrels of wine or something to get so it’s like, it’s not even a thing. Christo (28:08)Exactly. Yeah. It’s one of those reasons that Hawaiian connoisseurs are like, yeah, well, it’s fine. I’m one of those people where you have to enjoy life too. it’s, you know, take everything with a grain of salt. But yeah. And then a lot of people actually bring up like the blue zones. Have you heard of the blue zones before? Yeah. Perfect. So blue zones, one of the discussion points Cheryl McColgan (28:27)Absolutely. Yeah, we talked about it a little bit on the podcast. Christo (28:35)is having red wine in moderation during meals when you’re socializing. So when you’re watching Netflix having a bottle of red wine, it’s not the same as having a glass of wine slowly over a couple hours with dinner socializing, which is a protective factor for your health. So it’s a little bit different. It’s kind of a scenario. ⁓ but yeah, they used to kind of say two drinks for men, one drink for women per day. That’s, that’s changed. There’s another, the most recent administration came out with new dietary guidelines, for Americans just maybe a month ago or so. lots of talking points there. We won’t go too into that, but there is one regarding alcohol and they They kind of, I’m trying to word this correctly, they said enjoying some alcohol in moderation isn’t advised, but it’s it’s okay to do, which I think where they’re coming from with that is trying to have social connections, it’s a, because the reality is a lot of people do enjoy alcohol together and it brings people together and there are, health benefits to that. The alcohol standpoint, as I said, no organizations recommend any healthy amount of alcohol, but there is something to be said about enjoying your life and having social connections and bringing people together. And I think that is positive. I think they at least nailed that part for sure. Yeah. Cheryl McColgan (30:13)Yeah, and I would agree with you that I think that that having traveled extensively in the Mediterranean that that is where, you know, there’s a lot of issues with those Blue Zone studies, right? We don’t need to go into all that today. But I think that the one that probably everybody can agree on is the importance of community and support systems and the amount of movement that all of those zones get. They’re very active. They have this great support and connection and they have this community that a lot of other places in the world don’t have. So whatever you think about their diet or their wine consumption or Christo (30:24)Yes, yeah. Yeah. 100%. Yeah, yeah, yeah. Cheryl McColgan (30:43)of that I think that we can agree on the rest of it for sure. Christo (30:47)Yeah, you’re nailing it on the head because when we have these discussions, if you see these other very in-depth evidence-based discussions online, we’re really zooming in on one little thing. And the reality is it’s the totality of our lifestyle that affects our health outcomes. Having a glass of wine, I’m not gonna say don’t do it. But what’s the rest of your health look like? What’s rest of your lifestyle look like? We have to be reasonable about it and not getting a good night’s sleep here and there, no big deal. But if it’s a consistent chronic issue, sure, then you address something. But a lot of us have the idea of any 20 or progress over perfection. It’s just the idea of trying to do our best to improve and giving ourselves some grace. as we alluded to way back when, in the beginning of this conversation, what we’re doing right now for most people in this country, we’re not successful with our health. We just simply aren’t. And so we have to start addressing these issues more head on and figuring out what can we start changing? And that kind of brings up another point. A lot of us know what’s healthy. We know what’s healthy, but we’re not so good at how to make effective change and how to keep those change long, you know, as a sustainable habits for ourselves. And I think that’s something that we could all kind of work on, especially the health and fitness professionals teaching people how to do those things. Cheryl McColgan (32:26)Yeah, that’s that’s one of the huge focuses of my work is to have my background in psychology. So the whole habit change is something that’s been a very long time interest of mine. And so it’s Yeah. So since you brought Thank you. Yeah. Since you brought that up, I want to be respectful of your time. But I think just one final one final actionable thing that we could have here is in you. Like you said, you’ve been a personal trainer, your lifestyle, medicine, doctor, that probably is the biggest challenge for me. I think everybody at this point Christo (32:32)⁓ yes. Yeah, I saw the 30 day challenge too. Love it. Love it. No, it’s okay. Cheryl McColgan (32:56)they should be doing, they know they should be moving more, know they should be eating better, they know they shouldn’t be drinking too much, but at the execution of it. So what would be your best tips for people on how to actually make changes in your experience? Like what’s been the most successful? Christo (32:59)Yeah. Yeah. Mmm. Yeah, really good question. So I am a big proponent of utilizing the current routines you have and adding on to them. It’s a lot harder to start something brand new. So if you’re able to, so say in the morning you already, you you brush your teeth, you wash your face. Well, you know, start adding in healthy habits to that existing routine and do that. Most habits take a. The science says 66 days if you’re doing it every single day. It’s really about the repetition. And our brains, they’re neuroplastic. So we can learn to do these things. We can be successful in them. The idea is just making sure we do them repetitively enough that it sticks. Just like swinging a baseball bat and learning how to play baseball or work on the computer and getting better at typing or whatever analogy you wanna use. We can do that with our lifestyle as well. And I think most of us have some sort of routines already. So we wanna kinda zoom out, look at our routines. What can you add into that routine that’s going to improve your health? What are you trying to improve? And once you kinda get that awareness, you’re able to add something in. Do it every single day. I use the rule of twos. I kinda made this up, but for two months, do a new habit for two months. without missing two consecutive days. And that is something that kind of, again, points to the consistency repetition. And then once you get that, add onto it. Start small and build up, and over time, you’re gonna have this considerable change that’s gonna be really, make a big impact on your health. Yeah. Cheryl McColgan (34:51)Yeah, I love that two days rule because part of that you mentioned the 30 day challenge part of it was like not making people overly stressed about it like hey, if you miss a day, it’s fine. But the challenge with that is it’s okay to miss a day, but you don’t want to miss like two, three, four, then all of a sudden, it’s not a habit anymore. So I love that just don’t miss two days in a row. That’s very good. Christo (34:59)Yes. Yeah, exactly. Yeah, easy to remember. Cheryl McColgan (35:11)so we’ve covered some awesome information today. And I’m really excited for people to connect with you. Can you share your website, tell them about some of the programs we talked about before we have for professionals for regular folks, what are all the good things that people can learn from you? Christo (35:25)Yeah, absolutely. So atlasmd360.com, it has a bunch of resources, a of free resources as well. You can do a health audit assessment, you can take some quizzes, there’s a free 30 minute course, there are free resources on how to improve your ⁓ heart lab work, and a bunch of other things. And if you are a professional looking for continuing education, There are approved accredited programs for health and wellness coaches, personal trainers, and AMA category one credits for a bunch of physicians and NPs and PAs. And then if you are non-professional and you’re looking to improve any part of your lifestyle, there are programs for you as well. But overall, we have a lot of free resources and I just, hope when I these podcasts, I honestly just hope One person learned something good that they can take away from this and make some positive difference. Cheryl McColgan (36:23)Well, Dr. Frangopoulos, I have no doubt whatsoever that people learned way more than one thing in this conversation. And I just want to thank you for sharing your time and knowledge today. So I appreciate it. Christo (36:28)I hope so. I hope so. Thank you Cheryl for having me. I appreciate it and I’m loving what you’re doing so keep it up. It’s awesome. Cheryl McColgan (36:39)Thank you.

Maiden Mother Matriarch with Louise Perry
Who's afraid of the big bad manosphere?

Maiden Mother Matriarch with Louise Perry

Play Episode Listen Later Apr 1, 2026 20:08


In this bonus episode, Rob Henderson and I discussed Louis Theroux's manosphere documentary for Netflix.Discussed in the episode:MMM episode on ‘Adolescence'Peep Show, “I'm Louis Theroux, I'm Louis Theroux”‘When Louis met... Jimmy'Louis Theroux on Modern Wisdom Hosted on Acast. See acast.com/privacy for more information.

Literally Heinous
58. Mom Advice on Moving On From Shame, Protecting Your Marriage & Throwing a Great Party

Literally Heinous

Play Episode Listen Later Mar 31, 2026 86:59


My mom, Sarah Galambos—former Buckhead party girl turned retreat-leading energy healer—returns to the pod to talk about her chaotic southern Catholic upbringing being, being a 90s Buckhead party girl, and now an energy healer leading retreats for people who feel lost. Mmm sound familiar?!We talk about what it means to carry shame and how it can ruin you, but no worries because she also tells us how to overcome it! Whew! We OBVIOUSLY talk about my wedding planning and her POV on my surprise engagement. We talk about our favorite parties we've hosted and how to throw a good party. (06:36) - Leading retreats and healing journey(19:53) - My mom's upbringing (23:07) - Energy healing(29:32) - Buckhead party days(34:58) - Party planning and wedding!!(01:12:48) - Advice to women about marriage(01:16:41) - Chic or freak

Jay Fonseca
PODCAST LAS NOTICIAS CON CALLE DE 30 DE MARZO DE 2026

Jay Fonseca

Play Episode Listen Later Mar 30, 2026 20:19


PODCAST LAS NOTICIAS CON CALLE DE 30 DE MARZO DE 2026 - WTI y Brent rompen y se van por encima de 100 el barril, hasta 115 Trump dice al Financial Times que quiere "tomar el petróleo" de Irán y considera tomar la isla KhargEsta semana se debate en la Corte Suprema si hay o no ciudadanía americana por nacimiento - Washington Post 50 mil soldados de USA en la zona de Medio Oriente - NYTJGo envía al Senado supuestos recortes de 900 millones del año anterior - El Nuevo Día ¿Son o no responsables de volverte adictivo las redes sociales? Jurado en California entiende que sí - Los Ángeles TimesNegociado de Energía finalmente arranca con posible protocolo para que alcaldes ayuden a LUMA con alumbrado público - El Nuevo Día Gobierno va en contra de viuda de Roberto Viqueira diciendo que no puede llevar el caso al Apelativo - El Nuevo Día No viene otro proyecto de fourtracks de la Fortaleza - El Vocero Buscan garantizar zonas que sean agrícolas - El Nuevo Día Republicanos plantean aprobar los 200 billones para la Guerra de Irán cortando fondos de Medicaid/Medicare alegando fraude - Axios Lo que implica que los hutíes entraron a la guerra de Irán - Economist Aprueban aumento de la luz por un centavo por guerra de Irán - Primera Hora Proponen pasar Palo Seco de Toa Baja a Cataño, alcaldes dicen que no - Primera Hora Viene récord de sargazo según científicos - El Nuevo Día Sigue la pelea por las planillas de Sagardía - El Nuevo Día Quién paga por los problemas de conflicto de interés, Genera o el gobierno en las negociaciones de la generación temporera - El Nuevo Día Nuevo jefe de FEMA subirá a 25 millones lo que antes estaba en 100 mil para aprobar directamente por el jefe de DSH - El Nuevo Día Jefa de LUMA pide un break para ver si funciona ahora el consorcio - El Nuevo Día Falso que le iban a quitar las licencias a los viejitos - El Nuevo Día Investigan nuevas fallas susceptibles de terremotos en PR - El Vocero Volleyball de PR en luto con la muerte de atleta y otra que está gravemente herida tras regresar a su casa a Loíza  MMM hoy voy pa Martins BBQEl mejor y más sabroso pollo asado a la varita de Puerto Rico. Cocinando diariamente comida fresca saludable y sabrosa con un montón de complementos para escoger, arroces, habichuelas, verduras, mofongo, tostones,....MMMM....Esto si es criolloMartins BBQ, TOMANDO todas las medidas de salud y sabor para mantener la mesa boricua al dia con opciones para llamar, recoger o delivery por UBER Eats, y DoorDash.MMM Hoy como en Martin's BBQAsado...Jugoso...SabrosoIncluye auspicio 

Shiny New Clients!
3 Barriers Blocking Your Next 10 Clients

Shiny New Clients!

Play Episode Listen Later Mar 30, 2026 10:13 Transcription Available


We're getting organized. We're getting our messaging down. We're taking ALL THE ACTION-- and you're gonna book your next 10 clients.In this episode, Jenna breaks down the three barriers she sees blocking business owners from getting their next 10 clients.We cover:#1 — Journey Clarity. Do you actually know what you want your leads to click, and in what order? From your Instagram link in bio to your sales page, Jenna walks through why a confusing or overloaded client journey is quietly repelling people who are ready to buy.#2 — Messaging. Who are you? Who do you serve? What makes you different? Your messaging needs to live everywhere — and you need to be so tired of saying it that you think you've said it too much. (You haven't.)#3 — You're whispering. You are not promoting your offers enough, not selling with conviction, and perfect people who need you are missing out because of it. It's time to scream it.If you're ready to get booked out and spend your summer actually enjoying it, this one's for you.If you're an MMM alumni and youre interested in Booked Out Offers - reach out to us!

Maiden Mother Matriarch with Louise Perry

Give the gift of everyday luxury by going to cozyearth.com and using my code COZYMMM for 20% off site wide. And if you get a post-purchase survey do please mention that you heard about Cozy Earth from the Maiden Mother Matriarch podcast. Whether you're buying for yourself, or for somebody else, Cozy Earth creates the comfort that makes a house feel like home. 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. The queen of reactionary feminism, Mary Harrington, is now hosting a monthly YouTube show with Socrates in the City. I was one of her first guests and the Socrates team were kind enough to let me share our conversation with you here. We discussed the disappointments of postliberalism, arguments over the feminisation of public life, the loss of male status in the modern world, conflict within the gender critical movement, and the debate over ethno-nationalism in Britain. To watch more of Mary's interviews head over to Socrates in the City on YouTube. She's also recently spoken to Jonathan Pageau, Nina Power, and Justin Brierley, all conversations that I'm sure will be of interest to MMM listeners. Hosted on Acast. See acast.com/privacy for more information.

Motley Fool Money
A New Trend in AI is Emerging: Efficiency

Motley Fool Money

Play Episode Listen Later Mar 26, 2026 22:54


The approach to AI so far can be best described as a using brute force to make things happen. It's been effective so far, but the approach starts to run into problems when the numbers get really big. Thankfully, some new developments in AI could help alleviate that challenge. Matt, Jon, and Tyler discuss how Google and ARM are advancing AI efficiency. Plus, social media's bad week in court and the mailbag. Tyler Crowe, Jon, Quast, and Matt Frankel discuss: Meta and Alphabet losing watershed social media cases Is a “tobacco moment” as bad as it sounds? Advancements in AI efficiency Mailbag: Auto invest or buy the dip? Companies discussed:  GOOG, META, BP, DD, DOW, MMM, ARM, AAPL, MU, SNDK, INTC, NVDA, AMD Got investing questions for the podcast? Email us at podcasts@fool.com Host: Tyler CroweGuests: Matt Frankel, Jon QuastEngineer: Bart Shannon Advertisements are sponsored content and provided for informational purposes only. The Motley Fool and its affiliates (collectively, "TMF") do not endorse, recommend, or verify the accuracy or completeness of the statements made within advertisements. TMF is not involved in the offer, sale, or solicitation of any securities advertised herein and makes no representations regarding the suitability, or risks associated with any investment opportunity presented. Investors should conduct their own due diligence and consult with legal, tax, and financial advisors before making any investment decisions. TMF assumes no responsibility for any losses or damages arising from this advertisement. Learn more about your ad choices. Visit megaphone.fm/adchoices

Jay Fonseca
PODCAST LAS NOTICIAS CON CALLE DE 23 DE MARZO DE 2026

Jay Fonseca

Play Episode Listen Later Mar 23, 2026 20:01


PODCAST LAS NOTICIAS CON CALLE DE 23 DE MARZO DE 2026 -  Trump detiene ataque contra Irán y su infraestructura - Bloomberg Hoy es feriado por ser el día de la abolición de la esclavitud que ocurrió en PR mucho dsps que casi en el mundo entero Gasolina por encima de un dólar el litro - Primera Hora Muere piloto y copiloto en La Guardia tras chocar con camión de bomberos Oficial cubano dijo a NBC que se preparan para toma militar - Reuters Sigue en el tribunal federal el caso de furgones y el escaneo - El Vocero Alegan hospital Pavía está en problemas y pidieron ayuda de Salud - El Vocero ICE llega a aeropuertos ante cierre de gobierno federal en TSA - Noticentro Asesores de Inglaterra piden ponerle un tope a las ganancias de las empresas de energía - FTTrump no tiene interés en la estadidad para PR - El Nuevo Día La interpelación de Domenech va mañana y apuesto a que va a ir - El Nuevo Día Pensionados piden ajustes para pago de pensiones y ajustes de inflación - El Nuevo Día Victoria Ciudadana podría hacer una nueva alianza - El Nuevo Día Miss Universe recomienda que no se metan a concursos de belleza - El Nuevo Día Gobernadora recibe un no para pagarle a empleados federales de TSA - El Nuevo DíaInvestigan a secretario de Corrección por supuesto acoso laboral y sexual, pero líder de la unión obrera defiende al Secretario - El Nuevo Día Aprueban cambiar dos unidades más a Gas Natural - El Nuevo Día Van a pedir posible aumento de la luz por situación de Irán - El Nuevo Día Estirilizan Los Gatos en San Juan - El Nuevo Día Se atrasa otra vez hospital de Vieques - El Nuevo Día PR ganó oro por el cacao luego de haber ganado antes un bronce - El Nuevo Día Mucho diploma poco sueldo en PR - El Nuevo Día Exportarán carne de serpientes de PR - El Nuevo Día Apelativo acoge recurso tras asesinato de Roberto Viqueira - El Nuevo Día Alcalde de Toa Baja busca trabajadores y contratistas para proyectos, promete pagar rápido - El Nuevo Día 670 mil boricuas son parte de Medicare Advantage, 10 billones de inversión en sistema - El Nuevo Día MMM hoy voy pa Martins BBQEl mejor y más sabroso pollo asado a la varita de Puerto Rico. Cocinando diariamente comida fresca saludable y sabrosa con un montón de complementos para escoger, arroces, habichuelas, verduras, mofongo, tostones,....MMMM....Esto si es criolloMartins BBQ, TOMANDO todas las medidas de salud y sabor para mantener la mesa boricua al dia con opciones para llamar, recoger o delivery por UBER Eats, y DoorDash.MMM Hoy como en Martin's BBQAsado...Jugoso...SabrosoIncluye auspicio