Podcasts about mris

Are they really going with a "Justice For Leka" mantra??? It seems like Stephen is going to have some words about that. Also coming up on this week's episode of The Right Reality, more Turbo in a speedo, MRIs and why does no one want to be partnered with Olivia???   YouTube Version: https://youtu.be/DO-Xl48b8FM   Welcome to The Right Reality Podcast — your not-so-serious, definitely hilarious weekly recap of The Challenge: Vets and New Threats (and every messy season after that). Each week, we break down the latest episode with just enough analysis and way too many jokes. Expect unfiltered opinions, wild theories in Conspiracy Corner, and the one and only Ass of the Week — because, let's be honest, priorities. If you're tired of podcasts treating The Challenge like it's the Super Bowl, hit subscribe. We're here for the drama, the chaos, and the hot takes — not the draft boards.

A new study shows that more degenerative changes on cervical MRIs actually mean less severe headaches in patients with neck pain. So, if you or your patients are stressing over how bad their imaging looks, it's time to rethink that. The big takeaway? Imaging findings don't dictate the future—holistic care, communication, and proactive strategies make the real difference.Episode Notes: Association between cervical MRI findings and patient-reported severity of headache in patients with persistent neck painLeander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tablePatient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

What is your data trying to tell you? In this episode, John Dues talks to Andrew Stotz about why most leaders misread data, overreact to single results, and miss the real story. Discover how Deming thinking exposes when change is truly happening and how to use a process behavior chart to listen to the real story. Plus, find out why nine years of ‘stable' results may still demand transformation. Tune in and rethink data-driven leadership!    0:00:02.2 Andrew Stotz: My name is Andrew Stotz, and I'll be your host as we dive deeper into the teachings of Dr. W. Edwards Deming. Today, I'm continuing my discussion with John Dues, who is part of the new generation of educators striving to apply Dr. Deming's principles to unleash student joy in learning. The topic for today is understanding variation is the key to data analysis. John, take it away.   0:00:27.8 John Dues: Andrew, it's good to be back. Yeah. So, we've just started the school year in Ohio, so I thought doing a session on goal setting would be a good place to kick off the year. And I was thinking a lot of leaders, school leaders and leaders in general, are setting goals around this time period. And I was really thinking about having this Deming lens. I was thinking, how did I set goals before I sort of started understanding this approach? And it's, you know, this is one of those things where if you really stop and think about it, goal setting is a lot harder than it seems at first glance. Things like, how do you set a reasonable goal? And then once you've gotten to that place, how do you know if things are improving? How do you know if things are getting worse? And I was thinking how powerful this understanding variation method is for folks that may be struggling with those questions.   0:01:32.9 Andrew Stotz: Yeah. In fact, that's a great question for the listener and the viewer. Like, how do you set goals? How did you set goals in the past? How have you improved that? And I was thinking when you were speaking, I didn't set goals. I gave proclamations. You know, 20% of I want to see this and that. And they were just stretch targets without any means or methods. So yeah, interesting.   0:01:55.2 John Dues: Yeah. How do you set the target? Was it arbitrary? Is it based on some standard that you heard somewhere? A lot of times you have no idea sort of what's behind that target or you've sort of associated it to something that's familiar. Like in my case, we often sort of set goals that sort of mimic the grade scale. So, you know, 80% is a common goal for something like test scores, you know.   0:02:23.7 Andrew Stotz: But they don't even call them goals anymore. They call them, let me remember, I think it's called KPIs.   0:02:30.0 John Dues: KPIs, targets, you know, lots of different things for sure. And I think what I've seen is that a lot of the reason that goal setting is so hard is because you, well, one, you misinterpret your data in the first place. And a lot of that misinterpretation, at least in the education sector, is because leaders don't have the knowledge. They don't know about natural variation. They're typically making comparisons between some current performance level, some previous value. But those two things, those two data points don't show you, don't convey the behavior of that data across time. So, what we do and what I did before I sort of discovered this method is you overreact to a single data point. Probably less frequently, you underreact to the data because you don't have this understanding of, you know, how much is the data moving up and down sort of naturally almost no matter what you're doing. Now, that's not always the case, but that's the case that I've found in a lot of situations. And so until you start to take that into account, those natural ups and downs, then you just misinterpret the data over and over again, usually by overreacting is what I've seen.   0:03:54.9 Andrew Stotz: Yeah.   0:03:56.0 John Dues: So there's, you know, I think as a starting point, people in the Deming community will be familiar with, a lot of people. But others listening to this probably have never heard of this idea of dividing variation into, I've heard it described as like two flavors. There's the routine variation, what I call natural variation, things vary naturally no matter what you're doing. And then there's exceptional variation where things are so different that there is reason to pay attention to this. And what I found through studying this is, the key is knowing how to tell the difference between those two types of variation. And don't do that, lots of confusion, lots of wasted effort. And so that's really where the power of this methodology comes into play. And for anybody that's studied this, you sort of realize that you have to have a tool to make that differentiation. It's not arbitrary. And so that's where what I call the process behavior chart, some people call the control chart, where that comes into play because that tool allows us to tell what type of variation is present. And it also allows us to tell if the system is predictable or unpredictable. And once we have that understanding, then we can chart an improvement sort of roadmap that makes sense.   0:05:21.8 Andrew Stotz: Yeah. In fact, I've applied two of the things, you know, one of the things to my pass rates and admission rates, I applied the process chart, the control chart, based upon your recommendation a long time ago. And it did help me to kind of think if, you know, in my case, I wanted to break out of that standard outcome that I was getting. And so I realized, something has to change substantially in the system in order to get a different result than this variation that I was getting. That was the first thing. And then the second one, a couple of nights ago, I was giving a lecture and I was using your work that you and I have talked about, as well as Mike Rother's stuff on goal setting and having the target. And then there's that obstacle. And what I realized when I gave a little talk on it and I used the diagram and I showed the obstacle, it became kind of apparent to everybody like, oh, yeah, there's an obstacle there that we don't know how to solve.   0:06:27.6 John Dues: Yeah.   0:06:28.3 Andrew Stotz: And that's where PDSA came in. And we started talking about that, as you have taught previously. So, yeah, I'm excited to hear what you have to say today.   0:06:38.2 John Dues: Yeah. And the Mike Rother model, I mean, he does have this target that's this long term target that's pretty hard to hit. And you don't really know what you're going to do. But the difference there then in the situation I'm describing is that that in Mike's model, that target is knowingly outside of the current sort of capability of the system. And they're coming together as a team and saying, how do we get to that target six months from now or a year from now? And we're working towards that rather than someone has just arbitrarily set some target, without a realization that the system isn't capable of hitting that currently. Those are two completely different scenarios. Yeah. So, I think I'll share my screen. Well, actually, before I do that, I would just say, too, because I know sometimes when I introduce these things, a lot of times people get scared away because they think the math is hard. And what I would say there is that there's the creation of a process behavior chart probably takes about fourth grade level math skills. You really only need to do addition, subtraction, multiplication, and division.   0:07:49.3 John Dues: That's it. But the thinking, I think, actually can be taught all the way down to the kindergarten level. And I've actually seen kindergartners explain the data on a process behavior chart. So, if anybody gets scared away at this part, the math is simple and the thinking is also pretty simple and powerful once you sort of have the basics. So, I'll go ahead and share my screen so the folks that are watching have a visual to follow along on. And for those that don't, I'll do my best to describe it. When we're talking about a process behavior chart, and this one's sort of an annotated version so that things are clear. But basically a process behavior chart is just a time sequence chart. It has upper and lower natural process limits, and we plot data for some measure that we're interested in. And the chart typically has a central line so that we can detect a trend of those plotted values toward perhaps either limit. So, this particular chart, the data is the percent of students who scored proficient or higher on the Ohio third grade reading state tests from spring 2004 through 2015.    0:09:06.8 John Dues: So, I've labeled sort of some of those key parts of the chart. So, just kind of call those out. Again, the red lines are the lower and upper natural process limits, sort of bound where you'd expect the data to be in a stable system.   0:09:21.1 Andrew Stotz: And those are 1, 2, 3 standard deviations or what?   0:09:28.1 John Dues: Well, this particular chart, it's what I call a process behavior chart. So it's actually, it's not standard deviation. It's based on a measure of dispersion called the moving range. And then there's a formula that smarter people than me figured out sort of how to use that moving range to set the red lines. But the important thing to know about the limits is that they're set empirically. And that just means that they're based on the data. And so they are where they are, not where I want them to be necessarily. I don't get to choose where they are, how wide they are, where they're placed numerically is based on the data itself. And then that green center line for this particular chart is the average of all the blue dots. And then the blue dots is each year of, again, testing data.   0:10:19.4 Andrew Stotz: 2004 to 2015 as the x-axis, yep.   0:10:27.0 John Dues: Yeah. So, you have a decade and a half or so, or sorry, a decade plus of data here. So, a good amount of data. So, you can kind of see how things are performing over time on this third grade reading test. And so the purpose of the chart, like we talked about, is to separate those two flavors of variation, the routine and the exceptional. And this chart is a really great example of just natural or routine variation. So, I'm looking for patterns in the data, like a single data point that would be outside the end of those red process limits. And you don't see that. The results for these years instead are just bouncing around an average of about 78.5%. Now there's some years where it's a little higher than that and some years where it's a little lower. But the point is none of those increases and decreases are meaningful. There's only that natural variation present. But the problem is, in the typical data analysis method, what I call the old way, the simple sort of limited comparison, is that a leader will rely on comparisons between the current figure and some previous value.   0:11:48.9 John Dues: And probably the most common and why I chose this data, at least in my world, is a leader will compare last year's test scores and this year's test scores. That's very, very common. But the problem is, again, that what I'm calling a limited comparison, the comparison between two years of data, it doesn't take natural variation into account. So, what happens is we try to ascribe meaning to those increases or decreases between data points when in reality there's often no difference to be found. And I have a really great example of this. Let me switch my screen here. So, there's a lot of information here, but it's pretty simple to understand. So, this is a snapshot from 2017/2018 state test results. And so this is a document that was published by our Department of Education here in Ohio back during those school years. And the thing is, it may be eight or so years old, but it's as relevant today as when it was published eight years ago. We're still making the same sort of mistakes. So, we're basically, when we look at the data in this chart, we're basically being led to believe that there's been this meaningful decline in performance in third grade ELA.   0:13:16.4 John Dues: That's what's signified by that red arrow in the first row of the table. So, you have the ELA data says that in '16/'17, 63.8% of our third graders were proficient. And in the following year, 61.2% were proficient. And there's this red down arrow to say, oh, things got worse this school year, at least when it was published. But then if you look at the blue box, the text for those that have video, in the text it says we're not supposed to worry because, "third grade saw decreases this year, but has maintained higher proficiency than two years ago." So. Then you start to think, well, which is it? Should I be worried about my third grade ELA state test scores because of the most recent decrease, you know, as of when this was published? Or should I not worry because the scores are better than they were two years prior to that?   0:14:21.7 Andrew Stotz: And that depends what side of the argument you're on.   0:14:24.4 John Dues: Depends what side of the argument you're on. What story do you want to tell with this data, right?   0:14:30.3 Andrew Stotz: So, it's bad enough to be potentially misled by this probably common variation, but then to have both sides of an argument be misled at the same time.   0:14:41.0 John Dues: Right, yeah. Ultimately it seems like what they're trying to do is show improvement because you have this big headline up here that says, Ohio students continue to show improved achievement in academic content area.   0:14:55.2 Andrew Stotz: Yay!   0:14:58.5 John Dues: But there's a way to actually answer these questions definitively using this method, right? And so what I did was I took the data from the three years of the state testing for third grade ELA from this state education department publication, and I just plotted it on a process behavior chart. And then I continued plotting it for the more recent data that's happened since this, because three data points isn't a lot, so I kept plotting it. And so now we have, going all the way back to the first year of data in this state testing document, we have 2015/2016 data, and of course now we have data all the way up through the end of the last school year, 2024/2025. So, we have nine data points. So I plotted it, right? It looks like this. So, here's those same data as the first three data points, spring 2016, spring 2017, spring 2018.   0:15:58.3 John Dues: That's from the table from the previous slide. And then I've continued plotting things for, you know, spring of 2018, '19, '21, '22, '23, '24, and '25. So, now we have nine years of data. And what we can see is, just like what I would have predicted, even if I had only had those three years to work with that were from the state testing document and not the more recent data, but there's no evidence of improvement. It's definitive. And so you see these nine data points. They're just simply bouncing around this average of 61%. That's what the green line shows. It's almost perfectly balanced, in fact. So, three of the points are actually below the average. One point is almost right on the line, the average line. And then there's five points above. And if you follow it from point to point, it increases, then decreases, then increases, then decreases, then increases very slightly for a couple or three or four years in a row. Right? But there's no signals or patterns in this data to indicate any changes of significance. Right? So claims like, you know, yeah, we've declined in this most recent year from that testing document or, oh, we shouldn't worry too much because it's better than two years ago. All of that is nonsense.   0:17:24.6 Andrew Stotz: So, the title should have been nine years of no improvement.    0:17:29.7 John Dues: Nine years of no improvement. Nine years of stable data. And the thing is, a lot of data looks just like the state testing data over time. Not only in education, but in other things. And how I've heard this described by people that use this methodology is that, claims of improvement are often nothing more than writing fiction. And I think that's a very good description for what we see here. And the thing is, is like, I'm not trying to throw the person that wrote that document under the bus. All I'm saying is that there's a better way to be looking at data like this, a way that makes more sense.    0:18:24.9 Andrew Stotz: It made me think of the Mark Twain quote, rumors of my demise are greatly exaggerated.   0:18:39.9 John Dues: Give me one second here. My screen switched on me. There we go. Okay. So, when I think about this data, there's no real decline in performance, there's no real increase in performance. It's just stable performance. I think the key for leaders, systems leaders especially, is that this system, the way we would describe it is it's producing predictable results, and it's performing as consistently as it is capable. And so it's a waste of time to explain the natural variation in a stable system. Because what people would say is that there's no simple single root cause for this noise.   0:19:24.5 Andrew Stotz: And I think it's even better way of saying it. It's not a waste of time, it's a waste of your career.   0:19:32.6 John Dues: That'd be a very apt way of describing this.   0:19:36.0 Andrew Stotz: It kind of goes back to the point that Dr. Deming said, which was that, a manager could spend his life putting out fires and never improve the system. And every little thing above and below was a little, little mini emergency or a response was made every year because of the under or over, you'd just spend, you know, it would just be whack-a-mole.   0:20:01.9 John Dues: Yeah. But I think the thing for people to understand is I'm saying this system is performing as capable as it is, or as the performances is what this particular system is capable of. But that doesn't mean just because it's stable and predictable, like this one is, you know, it's up above 61% one year, and then it's down below it a little bit or right on the line. That doesn't mean that stable means acceptable. It doesn't mean stable is satisfactory.   0:20:37.1 Andrew Stotz: I'm thinking that this is neutral, you know, it's an observation rather than a judgment.   0:20:42.5 John Dues: Yeah. It's just what is. It's the process is producing what you would expect it to produce because it's stable and predictable.   0:20:49.8 Andrew Stotz: I want to just mention that my mind's wandering because I know that you help people with these types of charts. And when I was working with a hospital here in Thailand, they had a great room that they set up that was all blacked out and it was full of these great computer screens and guys in their technicians, like 10 of them in this room. But the room was dead silent, blacked out 100%. And they were radiologists and all the x-rays, MRIs, and everything that were being done on the machines outside were coming into them and then they were making their judgments on it. And then they would submit that and then the doctors would very quickly get a read on that. And I was just thinking, imagine being a person that just all day long looking at these types of charts. Like just any system can be described by the... And then what's your judgment on this? Yep, common cause. That's it.    0:21:50.9 John Dues: Yeah. And I think it obviously doesn't mean that there isn't work to be done. Like in this case, even though it's stable and predictable, so if I was putting a bet down on what the results are for spring 2026, at the end of this school year, I'd put my money somewhere between, let's call it 55% and 65%. And I'd be right almost every single time, I think, as long as nothing changes. But that doesn't mean, like I said, it doesn't mean there's not work to be done because when you look at this, this means that about 60% of third graders are proficient in any given school year on this Ohio third grade state test, which means that two in five students are not reading proficiently. So, the improvement roadmap, there has to be some fundamental changes to how we do third grade reading instruction, curriculum, assessment. Something fundamental has to change if we want to get a different set of results.   0:22:54.8 Andrew Stotz: And one of the things that I've kind of come to believe in my life, right or wrong, I'm not exactly sure, but it's like having traveled to so many countries and seen so many places, I kind of feel like people get what they demand. Like the population of a country, if they don't demand certain behavior from politicians, they don't get it. And so on the one hand, this is a neutral thing, but I think you can also make a judgment that the population of Ohio is not in a continuous uproar to see this change.   0:23:39.0 John Dues: Yeah. Well, I would say very few people even have this picture in their head, whether it's educators or the general public, because every time we get one of these state testing reports, it usually has only two or three years of data. So no one even remembers what happened.   0:24:01.9 Andrew Stotz: I agree that they don't have clarity, real good clarity like you're bringing us here. They have an understanding of what's happening generally. And this is what, so the reason why I'm mentioning that is because part of the benefit of trying to understand the state of a system is to understand that the level of change or work or new thinking that has to go into saying, modifying, let's just say that the population was in an uproar and they decided that they wanted to get to 90% proficiency from 60%. The level of rethinking is such a huge thing. And I think what this chart tells me is like, that's kind of what's set in stone. And in order to move beyond what's set in stone, there is a whole lot of work and a whole lot of new thinking that has to go into that. And it must be continuous. And that's part of the constancy of purpose. And you do it for three years and then a new guy comes in and he changes it. And then next thing you know, it's not sustained.   0:25:17.4 John Dues: Yeah. I mean, yes, you'd have to do something significant and then you'd have to stick with it. That constancy of purpose phrase is right on because you'd have to, first you'd have to develop the right plan and then you'd want to test it. But then once you started seeing some evidence of improvement, you'd have to stick with that plan for a decade or more to see those types of results. And that's really hard when the political will shifts, the focus shifts, you have a pandemic, whatever the thing is, you have less money for school, whatever that thing is or any combination of that, it makes it very challenging to sustain.   0:25:57.8 Andrew Stotz: And the reason why I'm raising this point is because it just kind of really hits me that take away Ohio, take away education, take away all of those things and just produce a control chart on any process in any business, in any school, and you're gonna see the current state.   0:26:17.3 John Dues: Yep, absolutely. Yeah. You can use this in any setting, any data that occurs over time, you could use this methodology.   0:26:24.8 Andrew Stotz: And one of the questions I have in my mind as I was thinking is like, why change it? The level of effort required to sustainably change that is just incredible. And you could argue that, okay, there's companies that build a competitive advantage by saying, that's not the status quo that we want to exist in and therefore we're gonna create a whole new business built around something different that produces a result that's considerably better than that. But it happens for sure, but we're much more likely in our lives if we were to see that to just let it be.   0:27:03.6 John Dues: Yeah. Yeah. And when you get it down, when you sort of zero in and get down to the sort of local level, there are schools that sort of performed in this sort of general fashion that made changes at the building level and then got significantly different results. So, it becomes a little easier. It's not easy, but it becomes easier when you're talking about a single school building and coordinating the efforts there versus trying to do that across all the school buildings.   0:27:32.9 Andrew Stotz: And I think this is what, when Dr. Deming talks about leadership, this is what he's talking about.   0:27:39.1 John Dues: Yep. Yep. And I think, you know, the good thing is here, if this is resonating with you, whether you're a school leader or the leader of some other type of organization, you know, you've probably struggled to interpret your most important data. So, before I discovered this method, I didn't really have a method per se. I'd put numbers in a table and then try to look at them and try to sort of ascertain what was happening on. And so I think it's, you know, if you've never heard of this, it's totally fine. Most of us were never taught how to understand variation in our data. But I think there's two sort of big ideas I would take from this as we've talked about this. The first is just taking natural variation into account. Just meaning plot your data over time, plot your dots, and look at how it's moving up and down over time. So, that's the first big idea, this idea of natural variation. Things are going to move up and down just naturally, no matter what's happening, even if nothing of significance has occurred.   0:28:47.6 John Dues: And then big idea two is that you can use this chart, this process behavior chart methodology to differentiate between those two types of variation that I talked about, the routine or natural variation, and then the exceptional variation. And then once you do that, you're gonna get some very powerful insights into what your data looks like, because people are gonna say, oh, I know why that happened. I know why that looks like that. Now that I see it like this, I have an understanding for why the patterns look like they do. And then you can start to turn that sort of type of analysis into better outcomes. And that's really the point of doing this is that you, you know when to react, when not to react, you are making sound decisions based on a logic, a logical model, a logical data model. And the best part is it's very simple. Like I said, a fourth grader can do the math required to create the chart. And I've seen kids as young as five or six interpreting the data in a chart. So, that means that we can all do it for sure. It's not actually that difficult.   0:30:00.6 Andrew Stotz: Yeah. And I was just thinking of Newton's law of inertia, meaning an object stays at rest until acted on by an outside force.   0:30:12.7 John Dues: Yeah.   0:30:13.8 Andrew Stotz: And I think what you're showing is the state of inertia.   0:30:18.5 John Dues: Yeah. Yeah. Yeah. The state of inertia. And I think it's just, you know, you don't know what you don't know. But once you see this and, I did some of the figuring this out on my own reading about it, listening to other people talk about it, but I talk to a lot of people and got a lot of guidance. So if this has piqued your interest, my suggestion is reach out to somebody that has done this before, at least at the start. Because there are a lot of, you know, while I am saying you can create a chart with fourth grade math and I've seen kindergartners analyze the charts, there is some learning, there is some technicality to it. And so I think if you have a coach, even better because you're gonna learn it so much faster and be able to sort of turn that learning into results so much faster.   0:31:07.0 Andrew Stotz: And maybe the starting point is trying to figure out of all the different measures that I've got in my business, in my school, in my life, what's one that I get regularly? And I like data that comes out more than annual because then it's just such a long process. So if I have daily data, weekly, monthly, you know, those types of data points, then from that, you know, and what's one thing in your life that would be a data point that you'd like to look at? And I would even argue the first step is just to start collecting it into, let's say, an Excel file and just collect that raw data. And you can make a chart of that raw data. And the benefit of the process, you know, control chart and the process chart is that what you're seeing is, you know, tools within that chart to help you interpret. But even if you just start by figuring out what data point you wanna look at, start collecting it, do a month or two of getting that data, and then you can start saying, okay, now I'm gonna apply these tools, nothing wrong with that.   0:32:21.2 John Dues: Yeah. And you wanna show it to people, like whether that's teachers or students, you wanna show them the data that you're collecting because they're gonna be a part of that improvement process, no matter what type of data that you're looking at, at least in schools, you're always gonna want the front line people to be a part of that process.   0:32:39.4 Andrew Stotz: And the way I did that in my area of research when I was an analyst and I had a research, was I wanted to see the data of the output of our research operation. How much did we produce? I didn't have a strong opinion as to whether we should produce more or less or whatever. I just wanted to understand them. And so I started plotting that data on a weekly basis, and I labeled it pretty well. And then I just put it up on the wall, and I didn't talk about it. And I put it up, and people looked at it, and I didn't go and explain it, and I didn't put control limits or anything like that. I just put the data up. And I remember a Thai lady that worked for me came to me, and she said, I figured you out. And I was like, what are you talking about? And she said, I was out to lunch with a friend of mine, and she asked me, how many reports do you publish a month? And she said, my employee said, I publish six reports in a month. And my friend said, what?   0:33:45.4 Andrew Stotz: And she said, how many do you do? She said, I only do two in a month. And she said, what are Andrew's targets for you? My God, to get six reports. And then my employee said to her, he doesn't have any target for me. And then that employee of mine came back to see me after that lunch, and she said, I get it. You just put it up on the wall, and it raised the awareness for all of us, and we all looked at it, and then it influenced the way we thought about our job without you telling me, get four or six or two. And so sometimes, and I did that exact same thing when I worked at Pepsi when I was in 1989 when I joined Pepsi in the factory in Buena Park in particular, where I would put up on the wall, here's everybody's error rates from last night. And I would post that, and then the employees would just look at it and go, that's wrong. Okay. Fine, great, tell me. Let's look at the data.   0:34:44.8 Andrew Stotz: And I kept all the underlying data that was manual in my hands in stacks, and then they would go, oh, okay, so I did get that wrong. Let me fix that. And then I fixed it and put it back up, but it didn't look much prettier after I fixed it. And then all of a sudden, people started looking at it, and then they started having new information they never had. And I hadn't studied with Dr. Deming by that time, so I didn't even understand anything to do with the chart, but just putting up the chart without any major commentary is fascinating.   0:35:12.9 John Dues: Yeah. It starts those conversations, starts getting people sort of more involved, more engaged with the work. Yeah, I think those are all really smart moves that we often don't do.   0:35:25.2 Andrew Stotz: And I think that was why my boss suggested I go to a Deming seminar, because he saw me starting to do that, and then he had heard about Deming and knew a little bit, and then he was like, yeah, this guy could be suited for that.   0:35:36.6 John Dues: Yeah. It sounds like it was fate or something like that.   0:35:41.6 Andrew Stotz: Yeah. Definitely. So, I'm going to wrap up just by saying that, for the listeners and the viewers out there, I think a big takeaway is figure out that one data point, just one. You don't need five, just one that comes out consistently, daily, weekly, monthly, you know, something that's relatively regular, and then start collecting that data. Write it down on a, you know, I do have times that I just write it down on a manual chart, in my notebook. Write it down there. You don't even need Excel. Just start collecting that data and thinking about the collection of the data, what time of the day you get it or what time of the week or what time of the month, and then start collecting it. Then the second stage is start to, you know, obviously, if you can go to an expert, someone like John or others, reach out to them, LinkedIn or other place, you know, and say, hey, I've got this data. Can you help me? And then they can easily do the calculations and then send you back the Excel file and say, here it is with all the calculations, which you did to me on one of mine, and that was great. And then get that help, and then start to move yourself slowly into the process because I think one of the things that I take away from it is that this really is the present, and it is an accurate representation of what the system is capable of.   0:37:10.2 John Dues: That's right. Yeah.   0:37:10.8 Andrew Stotz: And if you don't understand that, then you're just going to be beating your head against the wall. So, anything you would add?   0:37:18.9 John Dues: No, just beat your head against the wall and you make stuff up about what is happening. That's often what happens. Yeah.   0:37:27.0 Andrew Stotz: Then you become AI. You're hallucinating.   0:37:30.1 John Dues: Yes.   0:37:31.0 Andrew Stotz: Well, John, on behalf of everyone at the Deming Institute, I want to thank you again for this discussion. And for listeners, remember to go to deming.org to continue your journey. And you can find John's book, Win-Win: W. Edwards Deming, The System of Profound Knowledge, and the Science of Improving Schools, on amazon.com. This is your host, Andrew Stotz, and I'll leave you with one of my favorite quotes from Dr. Deming, and that is that people are entitled to joy in work.

In this raw and deeply personal episode of Everyday Epigenetics: Raw. Real. Relatable., Susan opens up about her terrifying journey with Gadolinium Deposition Disease (GDD), a condition triggered by contrast injections commonly used in MRIs. What started as a routine scan for hip pain spiraled into months of excruciating suffering, disbelief from doctors, and a desperate search for answers.Susan is joined by Dr. Richard Semelka, one of the world's leading experts on MRI safety and the physician who has dedicated his career to researching, identifying, and treating GDD. Together, they shine light on a condition too often dismissed, ignored, or misdiagnosed, and discuss why awareness could be life-saving for countless people undergoing MRIs with contrast.This conversation is equal parts personal testimony, medical expertise, and call to advocacy. If you or someone you love has ever had, or may need, a contrast MRI, this is an episode you cannot afford to miss.In this episode:Susan's unfiltered story of surviving GDD and finding validation after years of pain and dismissalWhat Gadolinium Deposition Disease actually is, its symptoms, and why it's often overlookedWho is most at risk, and why some people may react while others don'tThe latest research on heavy metal toxicities and how GDD is treatedThe critical role lifestyle and immune system regulation play in recoveryWhy informed choice matters when doctors recommend contrast MRIsThis episode is not only about awareness, it's about reclaiming your voice, listening to your body, and refusing to be silenced when you know something is wrong.Learn more about our guest Dr. Richard SemelkaDr Semelka's career is shown to be the #10 in MRI, # 12 in Medical Imaging worldwide by Scholar GPS. He has written 6 editions of textbooks on MRI of the abdomen and pelvis, 5 editions of a textbook on MR physics,  a textbook on quality improvement in Radiology and over 380 peer-reviewed articles, including the broadest range of subjects on safety issues in Radiology. Most recently he has described the entity Gadolinium Deposition Disease, on which he has written more than 16 articles. He has lectured around the world on topics in Radiology over a 35 year career. Presently he devotes his medical career to treating individuals with Gadolinium Deposition Disease and other metal toxicities. He is the president of the nonprofit GadTTRAC, an organization devoted to helping sufferers with Gadolinium and other heavy metal toxicity.RESOURCES:Connect with Dr Richard Semelka:Website: gadttrac.orgWebsite: www.richardsemelka.comFind all of Kate and Susan's Resources and links in the show notes: https://healthyawakening.co/2025/0915/episode74Connect with Susan: https://healthyawakening.co/Connect with Kate: https://theradiantlifeproject.com/Visit the website: healthyawakening.co/podcastFind listening links here: https://healthyawakening.co/linksP.S. Want reminders about episodes? Sign up for our newsletter, you can find the link on our podcast page! https://healthyawakening.co/podcast

Show LinksSelf-Paced Resources:Subscribe To The Daily Podcast: https://yourlevelfitness.com/podcastNew To The YLF Philosophy? Start Here: ylf30.comDaily Accountability And Structure For Your Self-Paced Inside/Out Process: https://yourlevelfitness.com/daily-emailQ&A Response YouTube Playlist: https://www.youtube.com/playlist?list=PLjSupgaY5KA66MD2IdmCwFhLFbDe-pk1lIndividualized Guidance From DarylJoin The YLF Experience: https://app.moonclerk.com/pay/5t93iox9udm3Compare All Service Levels: https://yourlevelfitness.com/coachingGet Your Merch, Mugs & Wall QuotesShop The Current Collections: https://yourlevelfitness.shop/collectionsEpisode DescriptionIn this episode of The Daryl Perry Podcast, I'm talking about two things that are very much part of my life right now. First, Taco Tuesday has officially become a lifestyle. Every week I look forward to grabbing the La Torta Loco taco special, and honestly it has become a little weekly anchor for me. It even helps me avoid unnecessary restaurant runs the rest of the week because I know the tacos are coming.The other piece of my current reality is dealing with my ankles. I'm recovering from pretty severe internal bruising on one side and increasing discomfort on the other. That means MRIs, physical therapy, and a structured daily routine of stretches that are basically workouts themselves. The sessions range from twenty to thirty minutes depending on which set I do, and they're hitting the exact areas that need support. The real challenge is staying calm, not rushing, and keeping perspective while managing all this with cerebral palsy in the background.So today's mix is tacos and CP. I'd love to hear about your favorite food specials, whether it's Taco Tuesday or something else. If you have a spot I should know about, let me know. Heather and I love to check out local food whenever we're traveling, so send your recommendations.Thank you as always for listening. I'll talk to you again real soon.Please share this episode with anyone you think would be interested in listening to it.Visit darylperrypodcast.com for links to the show page on each of the major podcast directories. From there, you can subscribe and share this pod.For comments, questions, topic ideas, possible collaborations please email daryl@yourlevelfitness.com

Lauren Rosenberg, a highly experienced Physician Associate, has dedicated nearly two decades to Internal Medicine and Health Optimization. Driven by a passion for preventative care, Lauren founded Vent Health to shift the focus from disease treatment to prevention. She specializes in a personalized approach that blends genetics, epigenetics, biomarkers, and lifestyle factors to tailor health interventions that extend and optimize each patient's healthspan. Lauren's practice includes prescribing peptides (GLP, CLP/GIP) for weight loss, insulin resistance, pre-diabetes, etc.  This episode concentrates on MENOPAUSE. Lauren and Heather discuss what symptoms could be related to Menopause.  Lauren will speak about hot flashes, heart palpitations, frozen shoulder, brain fog, lack of libido, itchy ears, anxiety, trouble sleeping, hair changes, urinary tract infections. They will discuss what can you do at home and what treatments can be beneficial from professionals, such as GLP 1's for weight gain and  hormone replacement options.  Lauren is a frequent speaker at the Age Management Medicine Group (AMMG) and the American Academy of Anti-Aging Medicine (A4M) conferences.  Lauren's practice includes Cardiology prevention: Diagnostics and AI analysis to detect dangerous plaque and calcium; advanced lipid testing and cardiovascular genetics Longevity biomarkers: DNA methylation for biological age, VO2 max testing, Telomere health; Therapeutic plasma exchange Cancer prevention: methylated DNA screens, preventative MRIs, tumor marker testing.  Lauren's Website:     https://myventhealth.com/about/ Heather's Website: www.heatherthomson.com Social Media: IG: https://www.instagram.com/iamheathert/                     You Tube: https://youtube.com/@iamheathert?si=ZvI9l0bhLfTR-qdo SPONSORS:  BLISSY: Blissy is offering 60-nights risk-free PLUS an additional 30% off when you shop at www.Blissy.com/HEATHERPOD and use code HEATHERPOD. Your hair and skin will thank you! AIRDOCTOR: Go to AirDoctorPro.com and use promo code HEATHER to get UP TO $300 off today! AirDoctor comes with a 30-day money back guarantee, plus a 3-year warranty—an $84 value, free! Get this exclusive, podcast-only offer now at www.AirDoctorPro.com using promo code HEATHER. Learn more about your ad choices. Visit megaphone.fm/adchoices

The 49ers rallied late for a 17-13 comeback victory over the Seattle Seahawks on Sunday at Lumen Field. While San Francisco's defense produced several key performances, a surprising face on offense made the play of the game when third-string tight end Jake Tonges stepped up in George Kittle's injury absence. Matt Maiocco and Jennifer Lee Chan break down the roller-coaster ride that was the 49ers' Week 1 win, from outstanding defense and gritty offense to their erratic special-teams play.--(1:00) 49ers hold on for late win in wild finish(3:00) Tonges delivers with game-winning TD(7:00) Jauan Jennings, George Kittle will have MRIs on injuries(12:00) CMC a main reason 49ers won(17:45) Jennifer details postgame vibe in 49ers' locker room(21:00) 49ers' special teams roller-coaster continues(23:00) How long can Jake Moody remain 49ers kicker?(26:00) Special teams as a whole must be fixed(29:00) Biggest player personnel takeaways from Week 1

Compassion is the difference that makes the difference. The book Wonder Drug written by Stephen Trzeciak MD and Anthony Mazzearelli MD discusses how compassion and empathy increase a persons ability to heal and they bring the reciepts. The book discusses studies of bloodwork, MRIs and research projects all proving the amazing benefits of compassion. Listen along as we discuss compassionomics and how you can better improve the health and life of the people and animals you treat. 

Neurons. Immune systems. MRIs. Weed gummies? One of the greats in neurology, Dr. Aaron Boster, takes time to chat all about Multiple Sclerosis, a neurological autoimmune disease close to our hearts. Alie's mom, your grammapod a.k.a. Fancy Nancy, was diagnosed with MS over two decades ago, and this episode explores in depth the factors that can cause MS, therapies that do – and don't –  show promise, how diet, exercise and mindfulness actually can help folks who have MS, the oftentimes agonizing journey to a diagnosis, and advice for those who've MS for a while – or are newly in the community. Also: yeah, weed. Visit the Boster Center for Multiple Sclerosis and follow Dr. Boster on YouTubeA donation went to MS Views and NewsMore episode sources and linksOther episodes you may enjoy: Disability Sociology (DISABILITY PRIDE), Diabetology (BLOOD SUGAR), Post-Viral Epidemiology (LONG COVID), Dolorology (PAIN), Salugenology (WHY HUMANS REQUIRE HOBBIES), Psychedeliology (HALLUCINOGENS), Cardiology (THE HEART), Somnology (SLEEP)400+ Ologies episodes sorted by topicSmologies (short, classroom-safe) episodesSponsors of OlogiesTranscripts and bleeped episodesBecome a patron of Ologies for as little as a buck a monthOlogiesMerch.com has hats, shirts, hoodies, totes!Follow Ologies on Instagram and BlueskyFollow Alie Ward on Instagram and TikTokEditing by Mercedes Maitland of Maitland Audio Productions and Jake ChaffeeManaging Director: Susan HaleScheduling Producer: Noel DilworthTranscripts by Aveline Malek Website by Kelly R. DwyerTheme song by Nick Thorburn

Endometriosis is more than just painful periods—it's a chronic condition that can impact fertility, digestion, bladder health, and your overall quality of life. In this episode of Cycle Wisdom, Dr. Monica Minjeur unpacks why diagnosis is so often delayed, why ultrasounds and even MRIs may miss it, and when to seek surgical expertise. Through Lena's story, you'll see how restorative reproductive medicine provides a more comprehensive, cycle-informed approach to uncovering endometriosis and guiding treatment. Ready for answers beyond “it's just normal pain”? Book a discovery call today at radiantclinic.com 

In this episode Andrea Samadi revisits a popular interview with Dr. Dawson Church about his book Bliss Brain and the neuroscience of meditation. They explore how simple, evidence-based practices can quiet the brain's default mode, trigger blissful neurochemicals, and reshape stress and happiness networks. Listeners learn why happiness must be trained, how meditation helps people live more in the present, and practical tips to start a daily meditation practice using guided tools like the free Bliss Brain meditations. Welcome back to SEASON 14 of The Neuroscience Meets Social and Emotional Learning Podcast, where we connect the science-based evidence behind social and emotional learning and emotional intelligence training for improved well-being, achievement, productivity and results—using what I saw as the missing link (since we weren't taught this when we were growing up in school), the application of practical neuroscience. I'm Andrea Samadi, and seven years ago, launched this podcast with a question I had never truly asked myself before: (and that is) If productivity and results matter to us—and they do now more than ever—how exactly are we using our brain to make them happen? Most of us were never taught how to apply neuroscience to improve productivity, results, or well-being. About a decade ago, I became fascinated by the mind-brain-results connection—and how science can be applied to our everyday lives. That's why I've made it my mission to bring you the world's top experts—so together, we can explore the intersection of science and social-emotional learning. We'll break down complex ideas and turn them into practical strategies we can use every day for predictable, science-backed results. For today's Episode 369, we are moving forward on our journey of the mind, to our next interview review, with our goal of building off of our past reviews, and sharpening our saw for improved well-being, productivity and success in 2025 and beyond. To review our last 3 episodes, with our interview with speaker Bob Proctor, we learned that “If we want to improve our RESULTS, we must focus on the six faculties of our mind—reason, intuition, perception, will, memory, and imagination.” “Devoting a year to developing each one would be time well invested, elevating us to greater heights and setting us apart from others.” Next, we looked at how we need to become extremely clear with our vision of “what we really want” and keep in mind that…. Our External Environment Reflects Our Internal World What exactly does this mean? It means that if we don't like what's happening in our external world—whether it's in our job, relationships, results, or any area of our life—we must first look inward. Our circumstances mirror the beliefs and thoughts we hold within. As James Allen reminds us in As a Man Thinketh: our outer world is always a reflection of our inner state. For today's Episode 369, we'll turn inward—sharpening our inner world so that we can transform the outer one. Today we go back EP 98[i] our interview with Dr. Dawson Church, that was recorded back in December of 2020, where we looked at the science behind implementing meditation into your daily routine. This interview is currently our most watched YouTube interview with over 11K views. This week, in our review of EP 98 with Dr. Dawson Church and his book Bliss Brain, we will explore how meditation can rewire the brain for happiness and presence. We will learn: ✔ Since happiness didn't evolve naturally, we must train our brain to achieve it. ✔ Our brains default to the past or future, constantly scanning for threats, instead of resting in the present moment. ✔ Extreme states of happiness are possible for all of us when we implement meditation consistently. ✔ How to commit to a daily meditation practice using the free meditations that come with Bliss Brain, or explore other guided programs until you find one that resonates with you Just a reminder-Dr. Church is the author of the book called Bliss Brain: The Neuroscience of Remodeling Your Brain for Resilience, Creativity and Joy.[ii] He's an award-winning science writer who blends cutting-edge neuroscience with the stories of people who've had firsthand experience of brain change. Neural plasticity—the discovery that the brain is capable of rewiring itself—is now widely understood. But what few people have grasped yet is how quickly this is happening, how extensive brain changes can be, and how much control each of us exerts over the process of our thinking. It's been almost 5 years since this interview, and it feels like yesterday to me. I remember at the time, one of my dogs was barking in the yard when the landscapers came, and I was worried it would distract our interview. It didn't. I don't even think Dr. Church could hear them. There were also two other things that stuck out in my head from this interview (other than the fact I was wearing glasses trying to prepare for Lasik surgery and couldn't really see the questions) but I'll also never forget that American entrepreneur and biohacker Dave Asprey, who's well known for his interest in helping others achieve these elevated brain states, wrote the Foreword to his book. I also won't ever forget Chapter 1, of Bliss Brain, where Dr. Church shares how he and his wife lost their home and pets in the 2017 Santa Rose Fire, yet they chose to focus on gratitude and rebuilding their lives with joy. This story highlights his teaching that even trained minds struggle under pressure, but with meditation and practice, we can shift into a bliss or flow state. Church's EcoMeditation method, (that he covers in his book) supported by science and praised by Dave Asprey in the Foreword, helps quiet the brain's Default Mode Network[iii] and quickly releases calming, pleasurable chemicals—in as little as four minutes. Dr. Church has a strong following, and there are many powerful testimonials at the start of his book. One we spoke about in our interview was from Toni Tombleson who wrote: After a week of putting out a handful of mini-fires that often accompany the start of a new school year in my world, I can see why these lessons to handling both major life crises and everyday challenges, by learning to cultivate a “Bliss Brain” should remain a top priority for resilience, productivity, and well-being, for all of us. VIDEO 1 Click Here to Watch Which brings me to Video Clip 1 of our review. Watch video clip 1 with the link in the show notes. Historical Context: Dr. Church begins by reflecting on The Buddha, who over 2,000 years ago sought to relieve human suffering. He also reviews other spiritual teachers, including Plato, who grappled with the same question. Biological Explanation: Dr. Church emphasizes that suffering is a biological problem, a feature of how the human brain evolved. How our lives have become easier than they were 2,000 years ago. He explained to me how people are 3x as wealthy now, than they were 40 years ago. In terms of longevity, our lifespans have doubled in the last century. There are many markers like this that show us that we live in a much more secure and safe world than we used to. Key Point: While we live in a safer environment today, than 2,000 years ago, our brains were not designed for where we are today. We are not suffering he reminded me because we are bad people, we lack will, or haven't read enough personal growth books… “We simply didn't evolve to be happy because there was no survival benefit in being happy.”  Tip #1: Since happiness didn't evolve naturally, it's something we must train our brain to achieve. Practical Application: This is the basis of his book Bliss Brain, where he explains how meditation helps us train the brain to reach a bliss or flow state. It's in his book that we learn how to achieve this state that will change not only our brain, (our internal state) but our outer results in our everyday lives. In Chapter 2, he shows us why most people find it so hard to meditate. The difficulty has nothing to do with willpower or intention. It's simply due to the design of the human brain. When you understand this clearly, you'll be equipped to work around it. Chapter 3 describes the ecstatic states that you can achieve in meditation. He examines the regions of the brain that you activate, and what each one does. He also lists the extensive health and cognitive benefits that you get from activating each of those regions. In Chapter 4 you'll hear the story of his own personal failed meditation experiences. He learned many different styles of meditation, but could never establish a consistent practice. His breakthrough came from science. When he combined seven simple evidence-based practices together, found a formula that puts people into deep states automatically and involuntarily. No effort required. When he and his colleagues hook people up to EEGs and MRIs, they find that using these seven steps, even non-meditators get into profound states in less than 4 minutes. Sometimes in less than 50 seconds. Historically, the secrets of these states have been available to only about 1% of the population. Thanks to science, they're now available to everyone. Chapter 5 he goes into the seven neurochemicals of ecstasy. We learn how each one is like a drug that makes you feel good. But combine all seven together, and you have a potent formula that takes your brain into bliss. Meditation is the only way you get all seven at one time. The star of the show is a neurotransmitter called anandamide, aka “the bliss molecule.” When you trigger these ecstatic states daily, they change your brain. Chapter 6 is about the extensive brain remodeling that occurs in seasoned meditators. Stress circuits shrink, while happiness networks grow. But you don't need to be an adept to trigger this rewiring. It begins the very first week you meditate effectively. Chapter 7 is about post-traumatic growth, and how the brains of meditators make them resilient to the inevitable upsets of life. Medical crises and financial disasters included. It provides practical examples of how meditation can make you resilient even during global upheavals like the coronavirus panic that was happening at the time of this interview. Whatever challenges confront us, we will be well equipped to handle large and small life challenges. If we truly want to find happiness, then we will need to rewire our brain to accomplish these states. VIDEO 2 Click Here to Watch Watch video clip 2 with the link in the show notes. Question asked: “How can we learn to be more in the present moment, instead of somewhere else?” Dr. Church's explanation: The brain is hardwired to identify threats for survival. Today, most of us don't face immediate threats, but the brain's Default Mode Network (DMN) keeps scanning for danger. Without real threats, it replays past negative experiences (even from years ago or childhood) and projects fear into the future (“what if it happens again?”). This keeps us stuck in the past and future, not the present moment. Monks & meditation: Monks, after years of deep meditation, trained their brains differently. Brain scans showed structural changes—the brain literally began to shrink in areas related to stress and overthinking. Key Point: Our brains are not naturally wired to live in the present moment—they default to the past or future, scanning for threats. Tip #2: Get serious about meditation. Example: Australian astrophysicist & TV journalist Graham Phillips remodeled his brain in just 8 weeks of meditation practice. VIDEO 3 Click Here to Watch Watch video clip 3 with the link in the show notes. In this clip, Dr. Church explains how “meditation changes everything” and why “20 years ago, he decided to make this commitment to daily meditation” sharing how his whole world changed after this. These are noticeable changes that were behind his motivation to write this book, Bliss Brain, to show the world how they too can reach these states of extreme happiness. He told us to go back and study historical figures who were clearly in altered states of being, like the Italian Catholic Preacher, Saint Francis of Assisi, who appears in a blissed-out state as we see in a drawing, where it looks like he is communicating with God or something divine. This beautiful blissful state, that goes beyond happiness, is available to all of us. We will cover more about the changes our brains undergo with meditation as we go back to review our interview #28 with clinical professor of psychiatry from the UCLA school of medicine, Dr. Dan Siegel[iv], on a later episode, but for now, we can conclude that we can in fact change our outside world, in a significant and powerful way, by dedicating ourselves to a daily meditation practice. Key Point: We can ALL reach this state of extreme happiness by implementing a daily meditation practice. Tip 3: We can get started with our own meditation practice (if we are not currently implementing one) by using the FREE mediations that come along with the Bliss Brain Book Or use whatever meditation program resonates with you. REVIEW AND CONCLUSION Episode 369 Wrap-Up: Bliss Brain Review with Dr. Dawson Church This week, in our review of EP 98 with Dr. Dawson Church and his book Bliss Brain, we explored how meditation can rewire the brain for happiness and presence. Key Point from Clip 1: Although we live in a safer world than 2,000 years ago, our brains weren't designed for today's environment. “We simply didn't evolve to be happy because there was no survival benefit in being happy.” Tip #1: Since happiness didn't evolve naturally, we must train our brain to achieve it. Key Point from Clip 2: Our brains default to the past or future, constantly scanning for threats, instead of resting in the present moment. Tip #2: Commit to meditation—like astrophysicist and TV journalist Graham Phillips, who saw powerful changes after just 8 weeks of his daily practice that helped him to focus in the present moment. Key Point from Clip 3: Extreme states of happiness are possible for all of us when we implement meditation consistently. Tip #3: Start small. Use the free meditations that come with Bliss Brain, or explore other guided programs until you find one that resonates with you I highly recommend watching the full interview with Dr. Church[v]—especially if you've struggled to stay consistent with your own practice. Even Dr. Church himself shares moments where he lost momentum, which is a reminder that this is a journey for all of us. Personally, I've cycled through different meditation programs—starting with John Assaraf's work, then moving on to Dr. Dan Siegel's Wheel of Awareness, using Dr. Church's Bliss Brain meditations, and now practicing Dr. Joe Dispenza's chakra-focused work. The program you choose matters less than your ability to make it a consistent daily practice—that's when the real brain changes occur. We'll see you next week as we continue exploring the Journey of the Mind, working on connecting practical science to improve our inner and outer world. See you next week!   RESOURCES: VIDEO CLIP 1 https://www.youtube.com/shorts/DkeDGwbShwU VIDEO CLIP 2 https://www.youtube.com/shorts/a5O3eI7qKro VIDEO CLIP 3 https://www.youtube.com/shorts/Zatnfj4MPok FREE ACCESS TO BLISS BRAIN RESOURCES, MEDITATIONS https://blissbrainbook.com/ REFERENCES: [i]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 98 “Dr. Dawson Church: The Science Behind Using a Meditation: Rewiring Your Brain for Happiness, Resilience, and Joy”  https://andreasamadi.podbean.com/e/dr-dawson-church-on-the-science-behind-using-meditation-rewiring-your-brain-for-happiness-resilience-and-joy/     [ii] FREE ACCESS TO BLISS BRAIN RESOURCES, MEDITATIONS https://blissbrainbook.com/     [iii] Neuroscience Meets Social and Emotional Learning Podcast EPISODE 204 “The Neuroscience of Happiness”  https://andreasamadi.podbean.com/e/brain-fact-friday-on-the-neuroscience-of-happiness/   [iv]Neuroscience Meets Social and Emotional Learning Podcast EPISODE 28 with Dr. Daniel Siegel on “Mindsight: The Basis for Social and Emotional Intelligenvce”  https://andreasamadi.podbean.com/e/clinical-professor-of-psychiatry-at-the-ucla-school-of-medicine-dr-daniel-siegel-on-mindsight-the-basis-for-social-and-emotional-intelligence/   [v] YouTube Interview with Andrea Samadi and Dr. Dawson Church https://www.youtube.com/watch?v=bH8yVKHjFN4  

Engineers Ireland returns to the National Ploughing Championships with amazing engineering attractions!Visit the Team at Block 3 – Row 9 – Stand 205 to and discover virtual reality welding, the spacewalk experience and a Formula 1 car simulator. Explore biomedical marvels, and challenge a collaborative robot.Meet the Mark the Science Guy and the STEPS education outreach team, and look out for daily prizes and fantastic giveaways.Visit www.engineersireland.ie/Ploughing-Championships for more information. The National Ploughing Championships takes place in Screggan, Tullamore from 16 to 18 September.--------------In this inspiring episode of Amplified: The Engineers Journal Podcast, aerospace engineer and entrepreneur Stephen Ringler, Managing Director of Space Store, shares his journey from working on NASA's Juno mission to launching a space-themed retail and education company in the UK. Host Dusty Rhodes delves into Stephen's early fascination with space, his experiences navigating large-scale engineering projects, and the challenges of budget cuts in the space sector.Stephen also explores the power of inclusive space education, revealing how Space Store aims to make space accessible and exciting for everyone — from schoolchildren to corporate teams. Packed with insights on testing, risk management, active listening, and keeping passion alive in a demanding industry, this episode is a must-listen for anyone interested in engineering, innovation, and the future of space exploration.THINGS WE SPOKE ABOUTSpace belongs to everyone - not just scientists and engineers.Testing is critical: break it until it stops breaking.Communication and collaboration are essential in large-scale engineering projects.Active listening leads to better engineering outcomes and more relevant solutions.Drive and passion need support - from self-talk to strong mentors.How space innovation directly benefits life on Earth - from MRIs to climate tech. GUEST DETAILS Stephen has over 20 years of experience working in the Space sector as a Pointing Precision Engineer, Programmatic Analyst, and Business Developer. With his training that began at UCLA and his vast experience and network in the Space community, his aim with Spacetime Development is to provide top-notch business development support and engineering services to high-tech companies. Stephen enjoys exploring castles and playing board games, jazz piano and drums. MORE INFORMATIONLooking for ways to explore or advance a career in the field of engineering? Visit Engineers Ireland to learn more about the many programs and resources on offer. https://www.engineersireland.ie/   Engineers Journal AMPLIFIED is produced by DustPod.io for Engineers Ireland. QUOTES"Break it until it stops breaking, and then we can send it to space.""The space industry belongs to everyone.""We bring space to Earth - that's what we do.""Sometimes we solve problems that people don't have.""If you're ultimately trying to take human beings and put them somewhere else, everything that is part of a human being needs to be thought about taking them somewhere else.""If I lost either engineering or teaching, I think I would die a little on the inside."

You are getting very sleepy…listen to our voices… Hopefully you haven't fallen into a trance-induced hypnosis just yet as there is a new episode to listen to! This contentious episode explores both the history of hypnosis and its more modern understanding. There's a surprising amount of science behind this favored Victorian party trick that also has roots in spiritual practices. Strap in as we discuss magnets, mesmerism, MRIs, and…The Pope? Episode Resources: What is hypnosis and how might it work: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357291/ James Braid: https://theedinburghreporter.co.uk/2022/01/james-braid-the-father-of-modern-hypnosis/, How does this all work: Hypnotic induction decreases anterior default mode activity: https://pubmed.ncbi.nlm.nih.gov/19782614/ The neurophenomenology of neutral hypnosis: https://pubmed.ncbi.nlm.nih.gov/22579225/ Functional Brain Basis of Hypnotizability: https://pmc.ncbi.nlm.nih.gov/articles/PMC4365296/ Hypnosis for the management of chronic and cancer procedure-related pain in children: https://pubmed.ncbi.nlm.nih.gov/22917107/ Hypnosis and clinical pain: https://pubmed.ncbi.nlm.nih.gov/12848218/ Review of the efficacy of clinical hypnosis with headaches and migraines: https://pubmed.ncbi.nlm.nih.gov/17365074/ Efficacy, tolerability, and safety of hypnosis in adult irritable bowel syndrome: systematic review and meta-analysis: https://pubmed.ncbi.nlm.nih.gov/24901382/ Use of Hypnosis Today: Where the imaginal appears real: a positron emission tomography study of auditory hallucinations: https://pubmed.ncbi.nlm.nih.gov/9465124/ Hypnotic visual illusion alters color processing in the brain: https://pubmed.ncbi.nlm.nih.gov/10910791/ The brain under self-control: modulation of inhibitory and monitoring cortical networks during hypnotic paralysis: https://pubmed.ncbi.nlm.nih.gov/19555654/ Mesmerizing memories: brain substrates of episodic memory suppression in posthypnotic amnesia: https://pubmed.ncbi.nlm.nih.gov/18184572/ Hypnotic illusions and clinical delusions: hypnosis as a research method: https://pubmed.ncbi.nlm.nih.gov/19866383/

(00:00-23:40) The Colonel Gabe DeArmond of Power Mizzou joins us talking about the Tigers' big win last night. Quick audio of the caller who was eating chicken wings on the potty last night. People just trying to be like Tiger Terry. Pribula impressive in his first college start. Both injured players getting MRIs today. Just some unfortunate "football" plays. The offensive line had a couple issues last night but it's game one. Drink wanting the offense to be more explosive. The Wildcat. The passing of Ben Arnet.(23:49-40:10) They call it auto-lemminating, you gotta be flexible. Timmy Trumpets was back. Wildcat Gate. It's Beau Time. Warson Woods Wacko is on the phone. Is he ready to admit he was wrong? Fiddlesticks Brothers. He owes Harrison's Brother Master $100. Lotta backtracking from WWW.(40:20-45:19) Mt. Rushmore of trumpet songs. You've never heard of Herb Albert, have you? Drops of the Week.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Welcome to the squared Circle Podcast! I am your host Marie Shadows! Today, I'm talking about: Is AEW a Safe Working Environment? I have asked this question before, gave my opinion, facts, and proof that it is not. The AEW Sickos: bots/burners/people (maybe real people) all silenced me and others from ever talking about this topic again. Well, Dustin Rhodes calls out Kyle Fletcher for having to the hospital to get invasive surgery, MRIs, cat scans and has a hole in his leg. Now why would someone want to just name drop Kyle Fletcher like that? Why put the heat on him if people think it's a work? Let's talk about it.https://marieshadows-shop.fourthwall.comhttps://marieshadows.substack.comhttps://youtube.com/squaredcirclepodcasthttps://rumble.com/c/squaredcirclepodcastwithmariehshadowshttps://rumble.com/c/crossroadsinterviewsandeditoralshttps://buymeacoffee.com/marieshadowshttps://open.spotify.com/show/1xiOxkejNwRRSnqFV1tcF8?si=f02398362124411d

How AI Can Inadvertently Expose Personal DataAI tools often unintentionally leak private information. For example, meeting transcription software can include offhand comments, personal jokes, or sensitive details in auto-generated summaries. ChatGPT conversations—when publicly shared—can also be indexed by search engines, revealing confidential topics such as NDAs or personal relationship issues. Even healthcare devices like MRIs and X-ray machines have exposed private data due to weak or absent security controls, risking identity theft and phishing attacks.Cybercriminals Exploiting AI for AttacksAI is a double-edged sword: while offering defensive capabilities, it's also being weaponized. The group “GreedyBear” used AI-generated code in a massive crypto theft operation. They deployed malicious browser extensions, fake websites, and executable files to impersonate trusted crypto platforms, harvesting users' wallet credentials. Their tactic involves publishing benign software that gains trust, then covertly injecting malicious code later. Similarly, AI-generated TikTok ads lead to fake “shops” pushing malware like SparkKitty spyware, which targets cryptocurrency users.Security Concerns with Advanced AI Models like GPT-5Despite advancements, new AI models such as GPT-5 remain vulnerable. Independent researchers, including NeuralTrust and SPLX, were able to bypass GPT-5's safeguards within 24 hours. Methods included multi-turn “context smuggling” and text obfuscation to elicit dangerous outputs like instructions for creating weapons. These vulnerabilities suggest that even the latest models lack sufficient security maturity, raising concerns about their readiness for enterprise use.AI Literacy and Education InitiativesThere is a growing push for AI literacy, especially in schools. Microsoft has pledged $4 billion to fund AI education in K–12 schools, community colleges, and nonprofits. The traditional "Hour of Code" is being rebranded as "Hour of AI," reflecting a shift from learning to code to understanding AI itself. The aim is to empower students with foundational knowledge of how AI works, emphasizing creativity, ethics, security, and systems thinking over rote programming.Legal and Ethical Issues Around Posthumous Data UseOne emerging ethical challenge is the use of deceased individuals' data to train AI models. Scholars advocate for postmortem digital rights, such as a 12-month grace period for families to delete a person's data. Currently, U.S. laws offer little protection in this area, and acts like RUFADAA don't address AI recreations.Encryption Weaknesses in Law Enforcement and Critical SystemsRecent research highlights significant encryption vulnerabilities in communication systems used by police, military, and critical infrastructure. A Dutch study uncovered a deliberate backdoor in a radio encryption algorithm. Even the updated, supposedly secure version reduces key strength from 128 bits to 56 bits—dramatically weakening security. This suggests that critical communications could be intercepted, leaving sensitive systems exposed despite the illusion of protection.Public Trust in Government Digital SystemsTrust in digital governance is under strain. The UK's HM Courts & Tribunals Service reportedly concealed an IT error that caused key evidence to vanish in legal cases. The lack of transparency and inadequate investigation risk undermining judicial credibility. Separately, the UK government secretly authorized facial recognition use across immigration databases, far exceeding the scale of traditional criminal databases.AI for Cybersecurity DefenseOn the defensive side, AI is proving valuable in finding vulnerabilities. Google's “Big Sleep,” an LLM-based tool developed by DeepMind and Project Zero, has independently discovered 20 bugs in major open-source projects like FFmpeg and ImageMagick.

Send us a textIn this episode of PTs Snacks Podcast, host we dive deep into the topic of spondylolythesis, discussing what it is, the different types, how to evaluate it, and typical treatment approaches. We explore several classifications, including dysplastic, isthmic, degenerative, traumatic, and pathologic types, and explains common symptoms and patient presentations. We also covers diagnostic tools such as radiographs and MRIs, and outlines treatment and management strategies, stressing the importance of creating a healing environment and referring patients to specialists when necessary. 00:00 Introduction to PTs Snacks Podcast00:21 Understanding Spondylolysis02:57 Types of Spondylolysis06:02 Diagnostic Imaging for Spondylolysis07:23 Treatment Approaches for Spondylolysis08:56 When to Consider Surgical Intervention10:21 Conclusion and Additional ResourcesSupport the showWhy PT Snacks Podcast?This podcast is your go-to for bite-sized, practical info designed for busy, overwhelmed Physical Therapists and students who want to build confidence in their foundational knowledge without sacrificing life's other priorities. Stay Connected! Never miss an episode—hit follow now! Got questions? Email me at ptsnackspodcast@gmail.com or leave feedback HERE. Join the email list HERE On Instagram? Find unique content at @dr.kasey.hankins! Need CEUs Fast?Time and resources short? Medbridge has you covered: Get over $100 off a subscription with code PTSNACKSPODCAST: Medbridge Students: Save $75 off a student subscription with code PTSNACKSPODCASTSTUDENT—a full year of unlimited access for less!(These are affiliate links, but I only recommend Medbridge because it's genuinely valuable.) Optimize Your Patient Care with Tindeq: Get 10% off with code PTSNACKS10: [Tindeq] ...

In this episode, we talk with Dr. Christina Shenvi about ARIA, a finding associated with an early stage Alzheimer's infusion that can impact stroke and VTE care. The MRI of choice per neuroradiology are the T2 weighted and flare images seen on most routine head MRIs. The gradient recall echo are best for bleed and microhemorrhage. These are all part of a routine MRI. I would note in the order that you are looking for ARIA. Supported by Eli Lilly and Company

Over 100,000 people around the country are on the radiology wait list, in the queue in the public health system for MRIs, X-rays, CT scans and other diagnostic tests.  APEX, the union representing  medical imaging technologists and sonographers, said radiology services are unravelling. Meanwhile, 45% of the health workers who answered the APEX survey said they are working with broken, outdated or unsafe equipment. APEX Advocate, Omar Hamed spoke to Lisa Owen. 

Back pain is one of the most common and most misunderstood health issues out there. In this episode, I sit down with Dr. James Eubanks, a board-certified specialist in Physical Medicine and Rehabilitation, to bust myths and explain why back pain is such a big problem today. We talk about why rest and fear-based approaches keep people stuck, why disc herniations can (and do) heal, and how movement can be one of the most powerful tools for recovery. Dr. Eubanks also shares what MRIs really tell us, what actually works for building strength and confidence, and how value-based spine care is changing the way patients get the right care, faster.Get to know Dr. Jim here.Want real, no-BS advice on pain, performance, and staying active for life? Join my weekly newsletter for stories, tips, and movement wins that actually matter.Welcome to the "Healthy Charleston Podcast," your ultimate guide to taking charge of your health and wellness journey. In a world where health information can be overwhelming and confusing, we strive to be your trusted source of accurate, evidence-based knowledge. Our goal is to equip you with the tools and resources you need to lead a healthier lifestyle. Tune in to each episode as we connect with inspirational community leaders in Charleston and Summerville, SC. These individuals are dedicated to creating a healthier community and they share their perspective on what health means to them. Join us as we embark on an exploration into the realms of health, well-being, and community empowerment!@healthycharleston@made2movept DON'T spend another day in pain! Request an appointment at https://www.made2movept.com/contact and get 10% off your Initial Evaluation when you mention the podcast.

Charlie Weingroff is a legendary Physical Therapist and Strength Coach who joins me to share his thoughts on:-Issues with high volume physical therapy business models-Helping people who have been told by a doctor not to lift weights due to pain and injury-How to talk to people about their pain-How pain is tied to emotion -How pain works in the nervous system-What ““We know that MRI's don't lie but they don't always tell the whole story” means-What is the interference effect and does it matter to your training?-The prevalence of high level athletes who compete with some degree of manageable injury-And much more01:21 Discussion on Physical Therapy Practices01:45 Critique of Commercial Physical Therapy04:54 Importance of Effort in Physical Therapy10:05 Strength and Conditioning in Physical Therapy12:19 Approach to Back Pain and MRI22:04 Empathy and Communication in Therapy27:56 Understanding Pain Perception29:27 The Role of Knowledge in Pain30:32 Cultural and Environmental Influences on Pain32:02 The Impact of Diagnosis and Communication33:12 Pain Management Strategies44:36 The Interference Effect in TrainingI've been putting a lot of time and effort into making these new episodes valuable for you. You can help me get these great guests and their knowledge in front of more people by:-Subscribing and checking out more episodes-Sharing on your social media (please tag me - I promise I'll respond)-Sharing with the friend you think of who needs this episodeFollow Andrew Coates:Instagram:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠@andrewcoatesfitness⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Join My Email List:⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.andrewcoatesfitness.com⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Get the RP App at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠www.rpstrength.com/coates⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠ - use the code COATESRPUse Code ANDREWCOATESFITNESS to save 10% off at ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://justbitememeals.com/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Use MacrosFirst for tracking nutrition ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.macrosfirst.com/⁠⁠Go to www.knkg.com/Andrew59676 for 15% off your KNKG bag.

On this episode we get to meet Andra Wochesen, a teacher and then a coach. Andra received her college degree in kinesiology education. What is kinesiology, you may ask? Physical education. Andra will tell us more and how she progressed from years of teaching to coaching to help “entrepreneurs and leaders to be in their power and conviction so they land on bigger stages, command higher fees and create meaningful impact”. Andra focuses today on helping people understand themselves and their lives. She uses tools such as examining Akashic Records. We get to learn in detail what Andra does and how she accomplishes helping people gain insights into their existence and how to move forward.   I hope you find Andra's time with us informative and instructive.     About the Guest:   Andra supports entrepreneurs and leaders to be in their power and conviction, so they land on bigger stages, command higher fees and create meaningful impact. Purpose, Power & Presence.   Along with a 25 -year background in kinesiology and education, Andra is multi-certified as a coach, with enhanced training in energetic and embodiment techniques, including Law of Attraction, Reiki, Akashic Records, Tapping and Quantum Flow.   This unique combination of skills coupled with her intuitive and innate understanding of the body and energy and ability to uncover dormant soul gifts, allows her to support her clients in a deeply integrated way, creating lasting change and expedited results.   She has recently received a breast cancer diagnosis and is truly being asked to walk her talk as she faces the unexpected and a lot of unknowns. Part of her mission and purpose is to share her journey to support others, and though this is health related, how to apply this to any path people are currently walking. Ways to connect with Andra:   Website: https://www.andrawochesen.com/ LinkedIn: https://www.linkedin.com/in/andra-wochesen-purposepowerpresence/ Instagram: https://www.instagram.com/andra_energycoach/# You-Tube: https://www.youtube.com/@andrawochesen To your listeners, here is a link for my Personal Power Activation Series https://andrawochesen.simplero.com/personalpoweractivation     About the Host:   Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset .   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.       Transcription Notes:   Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us.   Michael Hingson ** 01:28 We really appreciate you taking the time to listen to us or watch us and our guest Andra Wochesen who is going to talk to us about a variety of things, and one of the things that I will tell you is she has a degree in kinesiology, and she'll have to define that. I'm not going to, although I now know what it means and I know how to pronounce it, mostly because she told me. But I really am excited to have her be on the podcast today, because one of the things that I really enjoyed about and it's not necessarily the most enjoyable subject, but because of the things that she has done now in her life, she is facing personal tests to prove that what she teaches and coaches is real, because she's having to go through some of it, and I know that she will talk about that a little bit later. We'll get to it. But Andra, I want to thank you for being on a stoppable mindset.   Andra Wochesen ** 02:21 Thank you so much, Michael. I'm so happy to be here, and so love what you're about and how you show up in the world, and I'm so happy to be connected with like minded people making an impact, and happy to be connected to your audience. And I hope something I share today will be of service.   Michael Hingson ** 02:38 Well, I hope so, and I think that, we usually find that it is and we're we're really glad you're here to share it, which is as good as it gets. So I'd like to start by maybe learning about the early Andra growing up and so on. Why don't you tell us about some of that and kind of how that led you to maybe some of the things that you're doing now? Sure, sure.   Andra Wochesen ** 02:58 Yeah. I mean, yes, I'm the end places that I'm a coach, and I work with embodiment and energy. And I think the first years of my life were me being a very active child, being very adventurous, loving to have new experiences, very much being athletic. I was a competitive gymnast in my younger years. And yeah, I think I really enjoyed being in my body and using my body as a vehicle to sort of express myself. So, definitely active, definitely adventurous, definitely independent. And yeah, really enjoyed the experience of, yeah, going new places, seeing new people, and doing some things that challenge my body in big ways.   Michael Hingson ** 03:46 So what made you deviate from going into competitive gymnastics?   Andra Wochesen ** 03:51 Oh, I wasn't good enough. Oh, okay, yeah, I was good enough for where I was, but yeah, it was enough. I think, yeah, I think I stopped that around 11 or 12. Actually, it's quite a it's quite a vigorous sport. And yeah, I was quite aware of my capacity and my desire, actually, to, it takes a lot to get to that, to the caliber of like, Olympic athlete or something, right? So that wasn't, I wasn't good enough, and I didn't have, didn't desire to go down that path   Michael Hingson ** 04:21 well. And that's, of course, a significant part of it is there's a lot that you have to desire to do to really go down that path in whatever sport or whatever you want to compete in and be about. So I understand,   Andra Wochesen ** 04:35 yeah, yeah, yeah, that commitment and choice and yeah, I think, as you speak, about unstoppable, right? There is an element that requires so much conviction on our end to be able to really commit and follow through with whatever it is that we are wanting to follow through and commit with.   Michael Hingson ** 04:55 Well, so you say, around 11 or 12, you decided. That you weren't going to continue down that. What did you   Andra Wochesen ** 05:04 do? Oh, I mean, I continued to still be athletic and still played. I still did gymnastics. I was, you know, still quite good at it, so I did that through high school, but played a variety of other team sports. And I think, yeah, maybe define myself less on the athleticism, but still included it, and sort of brought in more of some other interests. I think that I had maybe more around, yeah, just travel friends. I mean, that's what you do in high school and university.   Michael Hingson ** 05:34 So where did you go to university? I   Andra Wochesen ** 05:39 went. I'm in Canada. So I went to McMaster, yeah, which is in Hamilton. It's a great school. Now, where is that? That's in Hamilton, which is I live in Toronto now. So Hamilton is about 45 minutes away. Hamilton is between, let's say, Toronto, Niagara Falls, the main cities, you would know. So, yeah, I went to McMaster for four years for my phys ed kinese degree, and then I went to Queen's University for my teaching degree. So that's sort of my educational background.   Michael Hingson ** 06:07 So you you got a teaching degree, did you want to go off and be a teacher? Or what did you want to do exactly? Or did you know   Andra Wochesen ** 06:15 I was a teacher? I did very strategically choose in my growing up, I think being athletic, I also coached teams. I also was a camp counselor, so I was very much involved in guiding other people. So I think especially in athletic pursuits, and even I mentioned this, even I did volunteer at the Canadian National Institute for the Blind and was a runner for someone there, helped them run track. So I think going into teaching, and especially phys ed teaching, made perfect sense. So I did. I did do that for 10 years, and then moved on to some other things.   Michael Hingson ** 06:56 So how long ago was it that you were a runner at CNIB, that   Andra Wochesen ** 07:01 was a long time ago. That was like, 30 years ago. Yeah, yes, that was like, sort of in my, I don't know, maybe early 20s, something like that. Okay, tell,   Michael Hingson ** 07:11 tell us a little bit more about how that. I'm just curious how that process worked. So you, you worked at the you volunteered at the Canadian National Institute for the Blind, and you and so people wanted to run. And how did, how did you make that work?   Andra Wochesen ** 07:26 So I was a guide runner. So I think I did a very, very I work with different people. There various people. And I think one, one of the young men really wanted to run track, and they had a big event at, I believe, was Variety Village, I believe. And so it was he wanted to do, I think it was 400 meters again, excuse me, it's been a long time. So it was a run. And so, yeah, to be able, I was a guide runner, so I ran, held his hands, but he obviously did the work and ran. But I was there as a as a runner to support that.   Michael Hingson ** 08:00 But you had to be able to run fast enough to keep up with whatever speed he was in produce, yeah, for   Andra Wochesen ** 08:05 sure, absolutely, yeah, yeah,   Michael Hingson ** 08:09 yeah. I know people in the United States who are blind runners and do work with with people to guide. And of course, that's the whole point. But obviously, the the guides have to be in good enough physical shape also to make sure that they're able to let the person run at their own pace and hopefully set world records. I don't know who has but you know, nevertheless,   Andra Wochesen ** 08:35 yes, to let them have their full self expression right of what they were wanting to do, and your eye was just there on the side to make sure that he was able to run as fast as and get where he wanted to go and achieve the results he wanted to achieve.   Michael Hingson ** 08:52 Could when you were when you were acting as a guide. How did that work? That is to say, I'm assuming that the person couldn't necessarily run totally on their own. How did, how did you keep people running straight or where they needed to go again?   Andra Wochesen ** 09:09 It's a long time. I believe it was just hands right, and my hands in front, so that, or maybe at the side right, just so that there was a hand. There was a tactile component. It wasn't voice. It was definitely cut, so it was just more like guiding, to make sure that he was able to stay no well, he knew when to start, but to stay within the lines to be able to follow the track, and then obviously, to be able to cross the finish line.   Michael Hingson ** 09:35 Yeah, because they, they didn't have ropes or anything between lanes that he could follow. So he needed a person, or she, depending on who you guided, they needed your assistance. Because the bottom line is that the the tracks don't have ropes or anything like that to divide the various lanes. Yeah,   Andra Wochesen ** 09:54 yes, yeah. So it was, there may be different things. Now, you know, I'm not sure, but I'm   Michael Hingson ** 09:59 aware that there are. But I'm not a runner, so   Andra Wochesen ** 10:01 yeah, yeah. So it's a very Yeah. It's a very Yeah. I've been involved in that sort of stuff, whether it's been volunteer or paid in my whole life, basically helping other people to sort of reach their goals and to fully self Express. And so I think that's, you know, definitely been a piece of what's led me to the work that I do today. Mm, hmm.   Michael Hingson ** 10:27 So, so you taught, where did you teach? For 10 years,   Andra Wochesen ** 10:32 I taught mainly. I taught in middle schools. I was, yeah, thanks. So I taught grade seven and eight. Mostly grade seven, little bit of grade six. I last year I taught grade four. I taught phys ed. The whole time I was like the the head of phys ed, so I coached all the teams and organized the track meets and did things like that. But I also had an under second teachable of French. So I actually taught French as well as math and English. You know, those weren't my favorite, but I Oh, yeah, I did love teaching, yeah, phys ed and health health, actually, I loved because that's very much like, it's kind of like coaching, right? It's actually helping, yeah, I love those, those classes as well, with that age group.   Michael Hingson ** 11:16 Now, my wife, my late wife, was a teacher for 10 years, and she always said that the students she liked best were third graders, because they were old enough that they could make some decisions, but they were also young enough that they were able to be influenced, and they hadn't got so set in their ways that they were problem students like even from fourth grade on, did you have a favorite grade?   Andra Wochesen ** 11:43 Yeah, not grade seven. That's why I'm not doing it.   Michael Hingson ** 11:46 So I would agree with you,   Andra Wochesen ** 11:49 yeah, so that was the bulk of my teaching career was grade seven. So they're not easy, and they don't necessarily want to be there. So yeah, it didn't feel like the most aligned path. I was actually certified to teach high school, but it was very hard to get into high school teaching here. And I think if I would have, I probably would still be doing that, because it's a little bit more pure in the phys ed component. So yeah,   Michael Hingson ** 12:15 well, the you know, I wanted to be a teacher, and ended up going in different directions anyway, but still, I think that I do get to teach. And I think even this podcast offers teaching moments which is, which is pretty good, but I appreciate what you and Karen, my wife, say about all of that, because it is a it is a big challenge. Do you think that one of her comments and was that parents aren't really becoming as involved as they should be, and so they they kind of treat teachers like babysitters, and then the kids go home and they do whatever they're going to do, but they don't really as actively provide a lot of the guidance that they should. Did you find that up in Canada as well?   Andra Wochesen ** 13:05 I would say again, it's been 20 years now. Say that for the most part, it just really depends. Like, a lot of parents were very engaged and very and then I think, yeah, there were kids that were challenging at school because they didn't have a lot of structure or support at home. So it's a, it's a, it's a, really a. It's a privilege to be a teacher, to be taking, not necessarily taking care of people's children, but you are, on some level, being an influence for them. And so yeah, I would say for the most part, there was a lot of parental support, but I know that's not always the case, and I do think, yeah, there's some kids who had not very much parental support and required more at school.   Michael Hingson ** 13:52 Karen had challenges with a lot of kids until she realized something, and I don't even remember what caused it to happen, but she taught at a school where, as she put it, there were a lot of latch key kids. That is, they they were really responsible for themselves. The parents worked and so on. They went. The kids went home at the end of the day, and they were on their own. And when she realized that kids weren't going home necessarily to total parental supervision and so on, and that they in fact, the children were learning how to be responsible to a large degree on their own. That kind of changed her view and the way she interacted with kids, and apparently became a whole lot more effective and a whole lot more of a teacher who could exert a positive influence on the kids.   Andra Wochesen ** 14:46 That's great. I mean, I think ultimately, we're all sovereign beings, even if we're children. And I think, yeah, whatever situations we are, sort of handed Yeah, I think there's a lot of. Um growth in that, and I think being able to support that is what we're what we're here to do, whether we're a formal teacher or a guide or a podcast host, right? We're all here to sort of meet people where they're at and also in their greatness and also in their challenges, and then also in their capacity.   Michael Hingson ** 15:20 People are where they are, and we don't really have the right, much less all of the gifts to necessarily force people to change how they behave and so on. And I think the best that we can do is to try to set positive examples and and either people will see that, or kids will see that, or they won't.   Andra Wochesen ** 15:43 Yeah, one of the biggest things, and you know, it's part of the work I do now around seeing people's gifts. That's part of the akashics work that I do. But I know, even as a teacher, one of the greatest strengths that supported me was that I chose to focus on the strengths in the children and really reflect that to them, and have them see that within themselves. And everybody has different approaches. Some people would be focused on, like, you need to improve here. This needs to happen. And of course, I think we all have areas of growth and improvement, but I believe, and I've seen, I've literally been in this field for 30 years, whether it's teaching, you know, young people or adults, we I have found that most people thrive when they're recognized in their greatness and their gifts, not in their areas of weakness. How do you do that? How do I do that? So, I mean, I think I did it innately. When I was a teacher, I just intuited that that was the it's easy. We can all see people's gifts, and we can all choose to focus on those gifts. We can do that in our personal relationships. We can choose. We always get choice in terms of what we focus on. So I believe that there's we all have that innate ability, whether we exercise it or not, is is up to us. And then I have, you know, certified in some different modalities that help me help people uncover what some of those gifts are. I originally did something called the Passion Test, where I help people really distill what their true passions were. And so that's a really, really helpful tool. And then I also do Akashic Records, which is like a an energetic database, which we can talk about further if you want or not. Doesn't matter, but it's, it's a I'm able to access people's records for them and really discern what their top level gifts are, and then share that with them. And so when I'm sharing it with them, it's not usually like they have no idea they most people know what their innate gifts are, but when it's reflected in a certain way from a soul level perspective, it's a very validating experience, and it helps to reignite those gifts in people, so that they are then very self aware of what those gifts are and how they can use them to both impact their themselves and their career and their family, right? There's there's lots of ways to apply our gifts if we really tune in to what they are,   Michael Hingson ** 18:18 whether it's children or adults, there's always a lot to be said for the whole concept of validation. If you are really validating someone, especially when you're dealing with their gifts and you're validating them, you're praising them, you're encouraging them for what they are and what they do, that has to count for a lot. I would think.   Andra Wochesen ** 18:38 I think so. I think you're speaking to a deeper level than the ego or the mind. You're actually speaking to the depth of some who someone is, and they feel that. And there's a, there's a, I'm going to say, like an embodied response to that. There's a deep feeling.   Michael Hingson ** 18:56 Well, so you taught for 10 years, and then what, what made you decide to deviate from just being a professional teacher in the classroom, as it were, or or going around the field, running,   Andra Wochesen ** 19:08 yes, chair, yeah, I felt like actually had a bit of a rough I'm not, I don't need to get into that. But it was, I had a tough year about year seven or eight, and it just kind of flipped the dial for me in terms of, I'm not sure this is what I want to do with the rest of my life. So I did stick it out for a couple more years. It's a lot of education and a lot of experience that I was working with, and so I did try some different things, taught different grades, but ultimately I realized that it wasn't, it was a little soul sucking for me, and in some ways, and I knew that there was more or a better way for me to actually use the gifts that I have. And so I just, I chose to to leave, which is not that common. I know it's a little different. Different in the US in terms of teaching and salaries and things like that. In Canada, I would say it's a very, it's a very good profession to be in. It's a very, it's a good salary. It's so it wasn't easy to leave it, but my higher knowing knew that it was the right thing for me to do.   Michael Hingson ** 20:20 So what did you then go do?   Andra Wochesen ** 20:23 So then I went, I became a Pilates instructor, and so that is movement education. And so I got to use my phys ed background and my kinesiology background to work with bodies. And I also trained the new teachers. Because, yeah, I had an expertise in teaching, and so I was a trainer of teachers. So yeah, I was involved in certifying new teachers. So yeah, did that, and then I worked one on one with clients, which was a really nice change for me, coming from a classroom of 30 people, being able to work with people in a one on one capacity and just have that so that felt very Yeah, it felt very aligned for me to be able to have a one on one connection and to be able to serve people really deeply, and yeah, I didn't have to mark tests and all that kind of stuff, right?   Michael Hingson ** 21:19 There's something to be said for that, yes, for sure, and you didn't have to make out report cards at the end of the year. Yes, yes, yeah. There's a   Andra Wochesen ** 21:27 lot of work that goes in there. You know, people talk a lot about summers off, but there's a lot of stuff that happens that is quite, quite labor intensive in teaching.   Michael Hingson ** 21:37 My niece is a kindergarten teacher. Actually, this year she's teaching pre kindergarten, but she would definitely agree with you, and talks about all the things that they have to do during the summer and all the preparation and and more important nowadays, at least down here, the amount of money that she has to spend out of her own salary just to buy supplies that the school district, for whatever reason, doesn't have funding to provide, and the teachers spend a fair amount of money keeping their students engaged with the things that they have to buy, that they know that the students need, but that the district doesn't provide.   Andra Wochesen ** 22:17 Yeah, I mean, I think that just, I can't speak obviously, to your country and how you do things, or what, what the what's involved. But I think it speaks to the desire that I'm going to say, all people have to support others. But I think teachers specifically, not even specifically, but teachers do have a big passion for helping people. And so I think that just speaks to the level that they're willing to go to in order to really support the next generation. So I think there is such a there's such a gift in and I hope that more and more people will appreciate teachers, because I think it's they are very vital, I think in shaping lots of things so well.   Michael Hingson ** 23:04 I think to at least a degree, most people like to teach that is to say they, if somebody asks them a question, Will will take the time oftentimes, to answer. They'll explain why they do what they do, or they'll explain whatever the question is about. I know, when I was in professional sales and managing a sales force, one of the things that I told every person that I hired was, for the next year, at least, you're a student, don't hesitate to ask questions, because the people who are your customers and your clients, if you're asking good, intelligent questions of them, they will want to answer you and engage you, and that can only help you. And what it what you do further down the line with them as well.   Andra Wochesen ** 23:52 Yeah, I think, I believe that we're all here to light the path for those behind us in whatever way we choose to do that.   Michael Hingson ** 24:01 Yeah. Yeah. And it is a, it is an art to do it well. And not everybody is a great teacher, but I think a lot of people do like to import, impart knowledge, at least to some degree, which is great, sure. Yeah. So you are Pilates instructor for a while, and then what did you do? Well?   Andra Wochesen ** 24:19 Then I Yeah, again, my soul always wants to expand, and I think that I felt like it was good, but it wasn't the full use of my gifts. And so that's when I sort of went down the coaching path. I realized I liked the one on one connection. I realized I'm very intuitive in general, but very intuitive with the body. So when I was working with my Pilates clients, I was able to almost tune into sort of, I'm going to say, even emotional blocks. Or I could tune into why their bodies weren't functioning the way they wanted to function. And so it just naturally evolved into desiring to bring a coaching element into the work that I did. And so for a number of years, I did both. Growth, and then after about 15 years of being at the teaching Pilates, I decided to just transition full time to coaching. So that's what I've been doing for the last, I don't know, five or six years full time   Michael Hingson ** 25:13 well, so tell us more about that. What you do, and I know you've talked and referred to a few times the Akashic records and so on. So don't hesitate to talk about some of that as well.   Andra Wochesen ** 25:26 Yeah, I think really what I do is help people connect to their innate power and their innate presence, so that they and their deepest gifts. So those are probably the deepest things. Purpose, power, presence is sort of how I label it, and within that, it's their sole gifts, what they're here to do, what their purpose is, what they want to really contribute on the planet. That's really who I'm helping so often it's entrepreneurs, sometimes it's leaders, sometimes it's high profile people in their industry, and so really I'm helping them connect to the depth of who they are really so that they can express that in the work that they do. So for some people, yeah, it's a it's about creating a bigger presence, a bigger platform, creating more impact, getting in front of more audiences, being able to command higher fees. All of this comes from a deep connection to your own knowing of who you are and what you how you're designed to serve. And so I really that's the it's the crux of what I do is you can hopefully see the thread throughout my whole life is really around helping people connect to who they really are at their core, how, what their innate gifts are, how they want to share those gifts, and how they can use those gifts to not only create a better, more aligned or whatever, what's what I want to say, prosperous life Experience for themselves through I love working with people who want to do what they love, right? That's really people who are trailblazers, people who want to create a new path, people who want to create meaning, want to create impact. And that's it's a I love it, and it's not an easy path. And so I really help people break through anything, holding them back from really going for it, because so many people that I work with, we are blazing new paths. Right? You do have to sell yourself. You do have to make your own opportunities. You do have to create your own platform. You have to do that in your podcast, right? There's everybody is we are here to do, I think this is what we are all here to do, is to really share our gifts in the biggest way possible. And yeah, sometimes people need help to be able to show that fully and to be able to shine as brightly as they're designed to to shine so that they can, yeah, receive Yeah, bigger opportunities, bigger platforms, more ability to continue on the path that they're on.   Michael Hingson ** 28:03 Do you find that there are a number of people who don't really know where they want to go or what they want to do? They're they're kind of being a little bit more aimless than they really need to be.   Andra Wochesen ** 28:17 It's interesting. I'm sure there are. When I first started, I was more of a life purpose coach, so I did, did sort of interact with people who are kind of lost and maybe a bit directionless. And so I think absolutely there, I don't even like that word that sounds very judgmental, right, just unsure of what they want to do. And so I think absolutely there are lots of people, and what I believe, and what I see now is that people wouldn't, who come to me wouldn't say that they're lost, but they something's not quite working, or they are ready for a next iteration. I believe we're always expanding and evolving, and so is our purpose and our direction, right? And so and sometimes we're going down a path and it works out really well, and we expand it. And sometimes we're going down a path and it doesn't work out so well, or we get a roadblock, as you know, I have one right now that kind of comes into our experience, and it causes us to course correct. So I feel like there's a lot of course correction next iteration. And to me, I use the words always elevation and expansion, because I think we are designed to continually evolve and expand. And so I think it's yeah, there's, there's all levels of people on the spectrum in terms of, like, knowing what I'm going to do with my life, or how I want to share in the world   Michael Hingson ** 29:30 well. And there's nothing wrong with the whole concept of life is all about expanding and exploring.   Andra Wochesen ** 29:39 Absolutely, yeah, absolutely. So   Michael Hingson ** 29:42 there's, there's nothing wrong with that, and also developing an ongoing strong desire to learn. The people that I find the most challenging to deal with are the ones who decide they know it all and they don't have any. Thing to learn, because they probably have the most to learn.   Andra Wochesen ** 30:03 Of course, of course, yeah, there's such a gift in the openness to Yeah. I'm using the word evolve, but learn, expand, grow, all of it's the same, right? It's like, there's, there's, yeah. It's, for me, it's one of my biggest values. And I think, I think there are a lot of people who prioritize growth, and then there are other people who don't. So it's choice, yeah,   Michael Hingson ** 30:31 oh, I hear you. I understand what you're saying. Tell me more about the whole concept of the Akashic records. Oh,   Andra Wochesen ** 30:37 sure, sure, yeah, of course. Yeah. So I told you we'd bring it up. Yeah. So the Akashic records are an energetic database of our soul level information, and so it's like we all have akashics, and it's, it's our soul level information we can all access, and you may even access this information yourself in a meditation, or you receive some guidance on something, but you may be actually in your Akashic records. And so our cash checks sort of have our lifetimes of like lessons of opportunities for growth. Our gifts are it's like it's literally a soul level database of information. And so you can access, we can each access our own, but I am certified to go into people's akashics with their permission, on their behalf, and sort of retrieve relevant information to support them on their life's journey. So that's really, yeah. How do you do that? Well, it's a, yeah, it's quite it's a step by step. I mean, it's a certification. So I'm really tuning in. So there's a whole series of I'm going to say, questions that I ask, and first I get someone's birth date, full name, full name, full current name, full name at birth, date of birth, place of birth, so that's really key, so that I am accessing the right soul. And then there are a series of questions that I ask to determine whether the soul wants me to access this information. And then, yeah, most of the time, I'm kind of going in with very specific questions around soul gifts. But sometimes people come to me with very specific questions, but usually it's some version of like, what's keeping me stuck or I want to get here, or how can I use my gifts in a better way? Or is this a i can even do Akashic records for businesses? So Right? Which is the most aligned business opportunity, which is the most best way to market? What I do? Right? We we have different gifts ourselves. So again, just for me, I am not designed to market, but I'm very good for people to experience me. So I I'm good when I'm on a video, or if I lead a workshop, or if I have a conversation with someone, so when people have an experience, or if they read a Client Testimonial, so that's for me, the way my soul is designed to market. Your soul might not be designed that way at all, right? And so it's really good to have we can get all of this information that actually helps us be more aligned, more successful, more prosperous, right? We can actually be like we have a blueprint. We actually have a soul blueprint that will help us do the best that we possibly can in this lifetime. Mm,   Michael Hingson ** 33:31 hmm. How did you learn to do that?   Andra Wochesen ** 33:35 I mean, it was a certification process. So it was a called Soul realignment. That's where I learned, and it was a numerous, numerous courses, numerous practice clients, like any, like, all of my coaching certification, right? There's, um, yeah, there's a lot of people call them, and it's all fine. Everybody can do a lot of people will call themselves a coach, but, and people can be good coaches, but there's actually coach training that people go through. And there's hundreds and hundreds of practice client hours where you actually are learning sort of in the field, just as I did as a teacher. So yeah, it's just another one of the I'm going to say pieces that I bring to my coaching. So I just sort of integrate this all into my sessions with clients.   Michael Hingson ** 34:21 Got it. So there are places where you actually take these courses, or how does that work? I   Andra Wochesen ** 34:27 have done all of my training online, okay, all of it online from all over the world, actually. Yeah, that's the beauty of the internet, right? It's, it's yeah. I've done, yeah, I've done all of my practice and some stuff in person, for sure, I've done some stuff in person, but I've done a lot of, even all of my coaching. Now, I do a few in person retreats, but most of it is virtual. Most of it is zoom coaching. And I didn't know if I would like it, but I do. It's you can actually form quite a nice connection with people via the internet, right?   Michael Hingson ** 34:59 Do you. You're able to to establish as good a connection, doing it through the internet as you would, and as you do, if you're actually conducting an in person event,   Andra Wochesen ** 35:11 you know, yes, I'd say in some ways more so, and then in some ways less so. So I think there are, there are in person, there's, there's something really beautiful in being in someone else's energy, me being in theirs, and they're being in mine, and very also hands. My hands are very, very hands on. So that can be very helpful to have that presence. But I also find online, there can be a spaciousness that actually allows people almost to open up more, because they actually have their own space. So I have, yeah, I've been doing both for years, and I enjoy both. I'm going to say that, and I don't not just about me enjoying it. The benefits for my clients are both in person and virtual, or I would say equal   Michael Hingson ** 36:04 when the pandemic began and we started doing so many things virtually, for me, personally, I never feared it, because we even in an in person environment. I'm not, I don't how do I say this in a positive way? I look at the person, I see the person, but the way I see the person is not physically, necessarily, with the eyes, in in any different way, virtually than I would if I'm doing this in person, and I find that I'm able to interact with people well through zoom. I think Zoom is the more most accessible of the various conferencing technologies is out there, but I think that if you work at it, you can establish a good relationship through zoom, and you can do the kinds of work that you need to do. Unfortunately, too many people talk about it in such a way that they fear it, or they just become tired of doing things in a way that's different than what they're used to, which is totally in person, and that's detracting them from maybe having as positive an experience as they could   Andra Wochesen ** 37:21 Yeah, I agree that's well said, and I think, I think it's always about presence. And so when, yeah, when we're connecting on the internet, it's not, it's a machine or it's, it's whatever it is, right? But it's you showing up fully, making eye contact with people, not being distracted, being fully present, which is what actually allows people to feel seen and feel heard, and I think that it also allows you to be accessing people and opportunities all over the world, right? And so I will even say, when I first started doing this, there was a lot of people, especially when I started doing working more with entrepreneurs, they're like, I'm busy. I don't really have time to, like, drive across the city and come to your office and meet with you. You know, can we do this? And so it actually is very time efficient, right? You don't have to travel you. You are able to fit lots of things into your day, right? So I think there's, there's real benefits to it. And I think again, it's ultimately how present people are a computer or in person.   Michael Hingson ** 38:37 It's, it's all about, in part, accepting a different way of doing things, perhaps than you're used to, and accepting that it may not be any less equal to do it in a different way than the way you would normally do something. That is to say, is it really worse? Is it really different to do it virtually? Or can it really be just as much an equivalent kind of thing? And I think that that is mostly a matter of what we're what we choose to accept. Now, for me, there are challenges with things like doing virtual presentations with Zoom, if people don't communicate in a way that I can fully understand, or if they're sharing screens and don't describe what's on the screen. But the reality is that's just as true if I'm sitting in an in person environment and people are displaying slides and doing other things where they don't describe it. So it comes down to the same thing you can accomplish if you do it right.   Andra Wochesen ** 39:47 Yeah, and I think it comes down like what we said before, what where your focus is? Are you focusing on the gifts of something or the negative areas? Just like we were talking about kids gifts. In school, right? So it's like, if you can see what are the benefits to this virtual experience, if your focus is there, every you know what we focus on expands and where we direct our our focus is what informs how we feel. And so I think if we are choosing to look for the benefits of whatever we are, whatever situation we're in, you'll find them right. And the more you focus on them, the more they'll expand right   Michael Hingson ** 40:28 well. So you referred a couple of times, and I did at the very beginning a little bit to, I think, as you put it, you've had some things that have challenged your path and that you've had to work through, especially as late. Want to talk about some of that.   Andra Wochesen ** 40:44 Yeah. I mean, I yeah, I had to wait until I was ready to share this piece. But I feel like part of my mission and purpose is to support, is to share my journey to support other people. And so I think there's my journey as an entrepreneur that supports people, and this is now a journey with breast cancer, and so it's a health journey that I didn't expect to be sharing with people, and I have had to, obviously decide when and how I want to share it. So, yeah, I was diagnosed in early February and so, and I have yet to have treatment. So I think the reason I thought it was important to even share this is for people even to be able to relate to anything that they receive. So I'm calling it like how to navigate a difficult diagnosis with grace. So I'm not even at the treatment stage. I'm in the unknown, and I've been in the unknown for three months now, and I have been in the known that I have cancer, so I've actually had to hold the fact that I have cancer in my body, but not have any treatment yet for three months. So there's there's something in that being able to hold the unknown and the unexpected and be able to walk my talk, right, which is to maintain my center and my groundedness within myself and not get pulled into a freak out place of like, why aren't they acting faster? Why is this taking so long? And this, is this going to be spreading because they're not doing anything? So I think there's a there's the piece around that that I think I wanted to offer and share, I think, and I think, um, yeah, it's it. What I really realized for myself is, um, I was like, Oh, I'm going to be the person who really navigates this was with grace, and I'm going to be inspirational in this. And then I really realized, and then there were days where I was like, Oh, I'm the opposite of inspirational right now. I am like, grumpy, I'm crying, I'm mad, and I'm like, and then I kind of realized that actually that is inspirational, and that is handling a difficult diagnosis. And so one of the things I do teach people is really to feel what is there and to actually tune into your body. And so I think this journey has actually, and it's just beginning, right? It's not, I'm not even meeting with a surgeon tomorrow for hopefully next steps, but I've had four biopsies, I've had a lot of things. I've had a lot of invasive procedures to determine what next steps are. And so, yeah, and so it's just finding this balance, I think, between continuing. So today, it's like, I have a client. This morning, I had another call, and then now I'm on a podcast, and then tomorrow I'm seeing the surgeon, right? So it's, it's being able to and then my husband's actually going for surgery the next day. So it's being able to navigate all of these things at once. And yeah, on some level, I want to just say, like allowing I'm really just allowing myself to be where I am, and some days I am great, and doing a podcast and coaching clients, because that fills me up. And then there are other days where I'm so angry and I'm so sad and there's some fear, and so it's and then so I feel like those two pieces, it's like allowing the hard pieces to be there, and then also having a knowing that there's a higher path and purpose for this. I don't know exactly. I already know I'm growing and expanding because of this, and I know there will be more. And then I think just the third piece I want to share is that my intuition has always been strong, but it's non negotiable now. And so I again, I'm just offering this for your listeners, right? Just tuning into how to tune into your own inner voice in terms of, what do I need right now? What treatment do I want to pursue? There's a lot of different pieces, and there are a lot of different voices that can be out there, but really the power of having this deep connection to yourself. Truth and trusting yourself to or God or spirit or source, however you want to see it, to help guide the process.   Michael Hingson ** 45:08 When you say your intuition is non negotiable, what do you mean by that?   Andra Wochesen ** 45:13 Listening to my intuitions for that would have been better way to say it. Listening to my intuition is non negotiable. So I will Intuit, if I'm able to work today, I will Intuit I've been intuiting that my body just wants citrus right now, and I'm just, I'm just giving it that, and I have actually learned that that's actually really helpful for cancer cells. So this is me intuiting this long before I heard this information. So it's tuning in and hearing this information and then acting on it. And so, yeah, I think it's it's just we all have intuition, and I think in times like this, we have to get still and get quiet and make sure that we're listening to the inner guidance that we are receiving.   Michael Hingson ** 46:01 So you say you got diagnosed in February, so it's been two months going on three. Why is it taking so long? Maybe it's not, but why is it taking so long to get treatment? Or is this typical?   Andra Wochesen ** 46:16 I don't like, I don't think there is typical. So that's one thing I would say. And I think this surgeon just wants to be very thorough. So for me personally, I mean, this is maybe too much information, but I have dense breasts, so it's very hard for him to see. He doesn't want to just go in. There is cancer there, but he needed to do other biopsies and do other testing, other MRIs to see if there was more so that he doesn't have to operate cut once or whatever they say, Right? He's like, he wants to go in and do take care of everything that needs to be taken care of, right? And so he's doing his due diligence. And so that just takes some time, right? Takes time to get in for appointments. It takes time to get results for appointments.   Michael Hingson ** 47:04 It's a it's a process. I know I can relate to, to what you're saying. I had over the past few years, and it was growing worse pain, especially in my left arm, and I finally talked to my doctor about it. I was going in to just have some standard blood draws and a couple of vaccinations in December. And I mentioned to the doctor this was going on. And I said, What do we do to try to figure this out? And he said, Well, put a couple other blood tests in just to see what, what might show up. And I find that my doctor is as a pretty bright guy, and so he didn't really go into much detail, other than we'll do blood tests and see, well, turns out that one of the blood tests that he ordered was for a heart enzyme called troponin that is produced by the heart when it's not behaving properly. And so on December 23 I learned that my troponin level was at 1100 92 when normally it should be between zero and 20. And I was taken off to an emergency room. We were actually still at the clinic getting vaccinations. When they had done the blood draws and they stat they just did them right away. They did the tests and got the results anyway. The problem was that when they when they did the tests and the blood tests, it took a day, even though they took me right to an emergency room and I sat there for a day, literally before they did an angiogram and a an echocardiogram to determine that there was a bad heart valve, and then nobody did anything with the information. And what so what they should have done was to have me sign forms to send them to my doctor, or given me copies of the CDs with the images to take to the doctor. And nobody talked about doing any of that, and nobody did any of that, and literally, it was like over a month before the doctor even got the information. And nobody seemed to be worried about it in the doctor's environment, which was at the clinic where I had all my other stuff done, or at the bigger hospital related to it. And it was just very strange, and then when they finally did get the information, even then there wasn't a lot of urgency. And for me, it wasn't a matter of being so much angry as puzzlement about why there wasn't a more of an emergency. You got a bad heart valve. It could stop anytime, right? Anyway, it. Took three months before they finally did do an operation and put in an artificial valve. So that was done in March of this year. So it was basically three months after the the initial diagnosis, and now everything is fine, but it is. I know that for me, what I chose to do was not panic. I chose not to be stressed. So during the time I was in the emergency room for that day, I found lots of ways to be entertained by listening to other people. And I had a couple things to listen to. I had recorded books and so on, but it was much more entertaining to listen to other people around me. And all the way up through the surgery, I chose not to be stressed, and it was a little bit tempting to not get too angry because they were taking so long. But still, my choice was not to be worried by all that, because that could only make matters worse. And when we did the surgery, I came right out of it, and started joking with the doctors right away, and they didn't believe that I was coming out of the anesthetic so fast, but I did and and we had a lot of fun with it, but it is, it is interesting. We do have the ability to make choices, and we can choose to move forward in a positive way or not. And I think if we don't choose to do that, and we we allow ourselves to be controlled by our fears, that's really where too many times, we have too many problems that we don't deal with nearly as well as we can.   Andra Wochesen ** 51:36 Yeah, I think choice is key, right? We have a choice what we think. We have a choice how we feel. And I do want to say I'm a big advocate of positive mindset, but I'm also a very big advocate of feeling your feelings. And so I think there's a difference between true feelings and feelings where we create a story around the feelings, and I think it's, I just really want to voice that today, in terms of people not pasting over feelings. I think there's a, yeah, there's a place for all of it. I think getting stuck in negativity or bad feelings or hard feelings is not where we want to be, but suppressing them if they're there, is also not a good place to be. And I think in fact, for me, in this I can be elevated very easily, because it's what I do for a living. But I think me being much more vocal about the challenges of this or the anger, has actually opened up a stronger conviction in me that is actually opening up more power in my expression. And so I feel I just really wanted to presence that in this moment, because I think it's really key to be yes, obviously choosing, choosing our focus and seeing. We talked about that many times today, about seeing the brightness or seeing the gifts and seeing the positives. But I do think it's really important for people to feel what they need to feel. So just wanted to presence that it's what I do all the time with people, and it's one it's what I'm doing with myself.   Michael Hingson ** 53:24 Yeah, and that's why you're walking the talk and you're succeeding. How is faith imperative when navigating challenges like life, challenges like what you're facing now?   Andra Wochesen ** 53:37 Well, I think I remember one talk you said when you were in the World Trade Center and just said, like God said to you, go here or stay calm. I mean, I don't want to misquote you, but it was, I really could feel the truth of that. And so I think there is a higher power, a higher voice, whatever you want to call it, whether it is God, source, spirit, universe, Higher Self, everybody has different language for it. And I think if we can tune in and believe that things are happening for us versus to us, or that there is guidance that's available for us, it's, I think it's what I think we needed. It's, I feel like sometimes it's the only thing that will get us through the hard times, right, is really believing in, yeah, something bigger than us in our own capacity to handle things and and I'm going to say and cultivating that especially in times of challenge. Because I think when we're in times of challenge, it's easier to lose faith. And I actually think we need to double down on faith when in our in our most challenging moments.   Michael Hingson ** 54:42 What is faith?   Andra Wochesen ** 54:46 Well, that's everybody that I can't speak to that, right? That's your I'm speaking to it in my perspective, I think faith is belief in something bigger than you. I think it's faith is. Something unseen, right, something that has not yet manifested. It's believing in something that's not yet in front of you, right? So I can and choose where to place my faith, right? And you get to choose where to place it, so Right, right?   Michael Hingson ** 55:18 But you're continuing, even with the breast cancer and so on. You're continuing to coach, right?   Andra Wochesen ** 55:22 I am, until otherwise I've everybody in my world has to be flexible, because obviously I it's unknown for me in terms of what and I will never show up for a session when I'm not at my fullest capacity. So it just depends on, you know, what that looks like? You know, if I'm recovering from surgery, I'm going to take some time for myself. If I'm in chemotherapy, I'm probably not going to feel very good for certain days, so I'm not going to coach on those days. So it's about, again, me intuiting what I need for me and what serves me, and then making sure that anybody who comes into my world has a very good understanding of that.   Michael Hingson ** 56:03 Oh, can people who are experiencing this podcast with us today apply all of these lessons in their own lives and so on going forward?   Andra Wochesen ** 56:13 Well, I think it's like anything we talked about a lot of things, and I think it's whatever is landing with someone is what they're meant to hear. So there I, you know, very specifically, gave three things around my cancer diagnosis, which I'll reiterate, for people to apply, because I think it's like three steps see the higher perspective of whatever situation or circumstance that you're in that feels like a challenge, whether that is a work challenge, a relationship challenge, a health challenge. Number two, I think, is tuning in to your intuitive guidance, and let's say faith in that container, in that number two. And then I think number three is allowing yourself to express the humanness, which I talked about here, right? Allowing yourself to feel what you feel. Yes, choose the higher perspective when you can. But there are times where tears need to flow, or where you are angry, and it's not about taking out anger on someone else. It's about finding a tool to be able to help you release that anger or be able to express it. So there's, there's lots of things that we can do for that. So I think it's like, yeah, I hope that people can whatever situation they're going through right now that feels even if it's not challenging, it doesn't have to be challenging. But it's like, yeah, see the bigger picture. Tune into intuitive guidance and feel what's really there for you,   Michael Hingson ** 57:41 yeah, which is really important to do. I think we we never spend our we mostly don't spend nearly enough time listening to ourselves and listening to what our inner voices have to say to us that we can use. And I think it's so important to do that,   Andra Wochesen ** 57:59 yes, every day. And I think when we're faced with challenges, it's heightened. And I believe our challenges are here to I've always listened to my inner self, but I think this cancer is like, no, no, you, you're you, you're this is here for you to do it even more. And so I think our challenges are are an opportunity for that to deepen.   Michael Hingson ** 58:20 Well, since you are coaching, and you do a lot of that, if people want to reach out to you and maybe follow up on what they're hearing today, how do they do that?   Andra Wochesen ** 58:29 My website you could do is, actually, you're on LinkedIn a lot, so probably people are listening to this on LinkedIn. So Andra Wochesen is my if you look that up on LinkedIn, Andrawochesen.com, is my website,   Michael Hingson ** 58:44 why don't you spell that? If you would Sure, sure, yeah, a,   Andra Wochesen ** 58:47 An, D, R, A, W, O, C, H, E, S, E, N, and then.com and yeah, I'm also on Instagram, a little bit under Andra underscore energy, coach, so those are the three main places that I am sort of accessible, or where people can reach out.   Michael Hingson ** 59:08 Well, I hope people will reach out. I think you've offered a lot of invaluable insights, and I think there is a lot to be said for the kinds of things that we've talked about today, because we have to listen to ourselves, and mostly we probably have to learn how to listen to ourselves. And you certainly can help with that. Yeah,   Andra Wochesen ** 59:31 that's a great way to say it, right? It is. It is a it's another choice, right? And it is a skill. And it is. It does require a moment to slow down, to really tune in and listen. Yeah,   Michael Hingson ** 59:42 yeah, absolutely. Well, I want to thank you for being here and spending an hour with us. Can you believe it's been an hour already we've had a lot of fun telling you conversation,   Andra Wochesen ** 59:52 yeah, lots of different topics, lots of different areas. And yeah, thank you for the opportunity to connect with you and. Your audience and to share my story and hopefully some inspiration or insight for those listening.   Michael Hingson ** 1:00:08 Well, we're very grateful that you took the time to do this, and I want to express my gratitude to all of you who are out there listening or watching this, and we appreciate you doing so. I hope you liked what Andrew Watson had to say today, I'd love to hear from you. I'd love to hear what your thoughts are. Please feel free to email me at Michael h i at accessibe.   You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week

In this episode, Lyell K. Jones Jr, MD, FAAN, speaks with Michael S. Okun, MD, FAAN, who served as the guest editor of the August 2025 Movement Disorders issue. They provide a preview of the issue, which publishes on August 1, 2025. Dr. Jones is the editor-in-chief of Continuum: Lifelong Learning in Neurology® and is a professor of neurology at Mayo Clinic in Rochester, Minnesota. Dr. Okun is the director at Norman Fixel Institute for Neurological Diseases and distinguished professor of neurology at University of Florida in Gainesville, Florida. Additional Resources Read the issue: continuum.aan.com Subscribe to Continuum®: shop.lww.com/Continuum Continuum® Aloud (verbatim audio-book style recordings of articles available only to Continuum® subscribers): continpub.com/Aloud More about the American Academy of Neurology: aan.com Social Media facebook.com/continuumcme @ContinuumAAN Host: @LyellJ Guest: @MichaelOkun Full episode transcript available here: Dr Jones: Our ability to move through the world is one of the essential functions of our nervous system. Gross movements like walking ranging down to fine movements with our eyes and our hands, our ability to create and coordinate movement is something many of us take for granted. So what do we do when those movements stop working as we intend? Today I have the opportunity to speak with one of the world's leading experts on movement disorders, Dr Michael Okun, about the latest issue of Continuum on Movement Disorders. Dr Jones: This is Dr Lyell Jones, Editor-in-Chief of Continuum. Thank you for listening to Continuum Audio. Be sure to visit the links in the episode notes for information about subscribing to the journal, listening to verbatim recordings of the articles, and exclusive access to interviews not featured on the podcast. Dr Jones: This is Dr Lyle Jones, Editor-in-Chief of Continuum: Lifelong Learning in Neurology. Today, I'm interviewing Dr Michael Okun, who is Continuum's guest editor for our latest issue on movement disorders. Dr Okun is the Adelaide Lackner Distinguished Professor of Neurology at the University of Florida in Gainesville, where he's also the director of the Norman Fixel Institute for Neurological Diseases. Dr Okun, welcome, and thank you for joining us today. Why don't you introduce yourselves to our listeners?  Dr Okun: It's great to be here today. And I'm a neurologist. Everybody who knows me knows I'm pretty simple. I believe the patient's the sun and we should always orbit around the person with disease, and so that's how I look at my practice. And I know we always participate in a lot of research, and I've got a research lab and all those things. But to me, it's always the patients and the families first. So, it'll be great to have that discussion today.  Dr Jones: Yeah, thank you for that, Dr Oaken. Obviously, movement disorders is a huge part of our field of neurology. There are many highly prevalent conditions that fit into this category that most of our listeners will be familiar with: idiopathic Parkinson's disease, essential tremor, tic disorders and so on. And having worked with trainees for a long time, it's one of the areas that I see a lot of trainees gravitate to movement disorders. And I think it's in part because of the prevalence; I think it's in part because of the diversity of the specialty with treatment options and DBS and Botox. But it's also the centrality of the neurologic exam, right? That's- the clinical examination of the patient is so fundamental. And we'll cover a lot of topics today with some questions that I have for you about biomarkers and new developments in the field. But is that your sense too, that people are drawn to just the old-fashioned, essential focus on the neurologic encounter and the neurologic exam? Dr Okun: I believe that is one of the draws to the field of movement. I think that you have neurologists from all over the world that are really interested and fascinated with what things look like. And when you see something that's a little bit, you know, off the normal road or off the normal beaten path… and we are always curious. And so, I got into movement disorders, I think, accidentally; I think even as a child, I was looking at people who had abnormal movements and tremors and I was very fascinated as to why those things happened and what's going on in the brain. And, you know, what are the symptoms and the signs. And then later on, even as my own career developed, that black bag was so great as a neurologist. I mean, it makes us so much more powerful than any of the other clinicians---at least in my biased opinion---out on the wards and out in the clinic. And, you know, knowing the signs and the symptoms, knowing how to do a neurological examination and really walking through the phenomenology, what people look like, you know, which is different than the geno- you know, the genotypes, what the genes are. What people look like is so much more important as clinicians. And so, I think that movement disorders is just the specialty for that, at least in my opinion. Dr Jones: And it helps bring it back to the patient. And that's something that I saw coming through the articles in this issue. And let's get right to it. You've had a chance to review all these articles on all these different topics across the entire field of movement disorders. As you look at that survey of the field, Dr Okun, what do you think is the most exciting recent development for patients with movement disorders?  Dr Okun: I think that when you look across all of the different specialties, what you're seeing is a shift. And the shift is that, you know, a lot of people used to talk in our generation about neurology being one of these “diagnose and adios” specialties. You make the diagnosis and there's nothing that you can do, you know, about these diseases. And boy, that has changed. I mean, we have really blown it out of the water. And when you look at the topics and what people are writing about now and the Continuum issue, and we compare that the last several Continuum issues on movement disorders, we just keep accumulating a knowledge base about what these things look like and how we can treat them. And when we start thinking about, you know, all of the emergence of the autoimmune disorders and identifying the right one and getting something that's quite treatable. Back in my day, and in your day, Lyle, we saw these things and we didn't know what they were. And now we have antibodies, now we can identify them, we can pin them down, and we can treat many of them and really change people's lives. And so, I'm really impressed at what I see in changes in identification of autoimmune disorders, of channelopathies and some of the more rare things, but I'm also impressed with just the fundamental principles of how we're teaching people to be better clinicians in diseases like Parkinson's, Huntington's, ataxia, and Tourette. And so, my enthusiasm for this issue of Continuum is both on, you know, the cutting edge of what we're seeing based on the identification on our exams, what we can do for these people, but also the emergence of how we're shifting and providing much better care across a continuum for folks with basal ganglia diseases. Dr Jones: Yeah, I appreciate that perspective, Dr Okun. One of the common themes that I saw in the issue was with these new developments, right, when you have new tools like new diagnostic biomarker tools, is the question of if and when and how to integrate those into daily clinical practice, right? So, we've had imaging biomarkers for a while, DAT scans, etc. For patients with idiopathic Parkinson disease, one of the things that I hear a lot of discussion and controversy about are the seed amplification assays as diagnostic biomarkers. What can you tell us about those? Are those ready for routine clinical use yet?  Dr Okun: I think the main bottom-line point for folks that are out there trying to practice neurology, either in general clinics or even in specialty clinics, is to know that there is this movement toward, can we biologically classify a disease? One of the things that has, you know, really accelerated that effort has been the development of these seed amplification assays, which---in short for people who are listening---are basically, we “shake and bake” these things. You know? We shake them for like 20 hours and we use these prionlike proteins, and we learn from diseases like prion disease how to kind of tag these things and then see, do they have degenerative properties? And in the case of Parkinson's disease, we're able to do this with synuclein. That is the idea of a seed amplification assay. We're able to use this to see, hey, is there synuclein present or not in this sample? And people are looking at things like cerebrospinal fluid, they're looking at things like blood and saliva, and they're finding it. The challenge here is that, remember- and one of the things that's great about this issue of Continuum is, remember, there are a whole bunch of different synucleinopathies. So, Dr Jones, it isn't just Parkinson's disease. So, you've got Parkinson's disease, you've got Lewy body, you know, and dementia with Lewy bodies. You've got, you know, multiple system atrophy is within that synucleinopathy, you know, group primary autonomic failure… so not just Parkinson's disease. And so, I think we have to tap the brakes as clinicians and just say, we are where we are. We are moving in that direction. And remember that a seed amplification assay gives you some information, but it doesn't give you all the information. It doesn't forgive you looking at a person over time, examining them in your clinic, seeing how they progress, seeing their response to dopamine- and by the way, several of these genes that are associated with Parkinson; and there's, you know, less than 20% of Parkinson is genetic, but several of these genes, in a solid third---and in some cases, in some series, even more---miss the synuclein assay, misses, you know, the presence of a disease like Parkinson's disease. And so, we have to be careful in how we interpret it. And I think we're more likely to see over time a gemish: we're going to smush together all this information. We're going to get better with MRIs. And so, we're actually doing much better with MRIs and AI-based intelligence. We've got DAT scans, we've got synuclein assays. But more than anything, everybody listening out there, you can still examine the person and examine them over time and see how they do over time and see how they do with dopamine. And that is still a really, really solid way to do this. The synuclein assays are probably going to be ready for prime time more in choosing and enriching clinical trials populations first. And you know, we're probably 5, 10 years behind where Alzheimer's is right now. So, we'll get there at some point, but it's not going to be a silver bullet. I think we're looking at these are going to be things that are going to be interpreted in the context for a clinician of our examination and in the context of where the field is and what you're trying to use the information for. Dr Jones: Thank you for that. And I think that's the general gestalt I got from the articles and what I hear from my colleagues. And I think we've seen this in other domains of neurology, right? We have the specificity and sensitivity issues with the biomarkers, but we also have the high prevalence of copathology, right? People can have multiple different neurodegenerative problems, and I think it gets back to that clinical context, like you said, following the patient longitudinally. That was a theme that came out in the idiopathic Parkinson disease article. And while we're on Parkinson disease, you know, the first description of that was what, more than two hundred years ago. And I think we're still thinking about the pathophysiology of that disorder. We understand risk factors, and I think many of our listeners would be familiar with those. But as far as the actual cause, you know, there's been discussion in recent years about, is there a role of the gut microbiome? Is this a prionopathic disorder? What's your take on all of that?  Dr Okun: Yeah, so it's a great question. It's a super-hot area right now of Parkinson. And I kind of take this, you know, apart in a couple of different ways. First of all, when we think about Parkinson disease, we have to think upstream. Like, what are the cause and causes? Okay? So, Parkinson is not one disease, okay? And even within the genes, there's a bunch of different genes that cause it. But then we have to look and say, well, if that's less than 20% depending on who's counting, then 80% don't have a single piece of DNA that's closely associated with this syndrome. And so, what are we missing with environment and other factors? We need to understand not what happens at the end of the process, not necessarily when synuclein is clumping- and by the way, there's a lot of synuclein in the brains normally, and there's a lot of Tau in people's brains who have Parkinson as well. We don't know what we don't know, Dr Jones. And so when we begin to think about this disease, we've got to look upstream. We've got to start to think, where do things really start? Okay? We've got to stop looking at it as probably a single disease or disorder, and it's a circuit disorder. And then as we begin to develop and follow people along that pathway and continuum, we're going to realize that it's not a one-size-fits-all equation when we're trying to look at Parkinson. By the way, for people listening, we only spend two to three cents out of every dollar on prevention. Wouldn't prevention be the best cure, right? Like, if we were thinking about this disease. And so that's something that we should be, you know, thinking about. And then the other is the Global Burden of Disease study. You know, when we wrote about this in a book called Ending Parkinson's Disease, it looked like Parkinson's was going to double by 2035. The new numbers tell us it's almost double to the level that we expected in 2035 in this last series of numbers. So, it's actually growing much faster. We have to ask why? Why is it growing faster? And then we have lots of folks, and even within these issues here within Continuum, people are beginning to talk about maybe these environmental things that might be blind spots. Is it starting in our nose? Is it starting in our gut? And then we get to the gut question. And the gut question is, if we look at the microbiomes of people with Parkinson, there does seem to be, in a group of folks with Parkinson, a Parkinson microbiome. Not in everyone, but if you look at it in composite, there seems to be some clues there. We see changes in Lactobacillus, we see some bacteria going up that are good, some bacteria going down, you know, that are bad. And we see flipping around, and that can change as we put people on probiotics and we try to do fecal microbiota transplantations- which, by the way, the data so far has not been positive in Parkinson's. Doesn't mean we might not get there at some point, but I think the main point here is that as we move into the AI generation, there are just millions and millions and millions of organisms within your gut. And it's going to take more than just our eyes and just our regular arithmetic. You and I probably know how to do arithmetic really well, but this is, like, going to be a much bigger problem for computers that are way smarter than our brains to start to look and say, well, we see the bacteria is up here. That's a good bacteria, that's a good thing or it's down with this bacteria or this phage or there's a relationship or proportion that's changing. And so, we're not quite there. And so, I always tell people---and you know, we talk about the sum in the issue---microbiomes aren't quite ready for prime time yet. And so be careful, because you could tweak the system and you might actually end up worse than before you started. So, we don't know what we don't know on this issue.  Dr Jones: And that's a great point. And one of the themes they're reading between the lines is, we will continue to work on understanding the bio-pathophysiology, but we can't wait until that day to start managing the risk factors and treating patients, which I think is a good point. And if we pivot to treatment here a little bit, you know, one of the exciting areas of movement disorders---and really neurology broadly, I think movement disorders has led the field in many ways---is bioelectronic therapy, or what one of my colleagues taught me is “electroceutical therapy”, which I think is a wonderful term. Dr Okun, when our listeners are hearing about the latest in deep brain stimulation in patients who have movement disorders, what should they know? What are the latest developments in that area with devices? Dr Okun: Yeah. So, they should know that things are moving rapidly in the field of putting electricity into the brain. And we're way past the era where we thought putting a little bit of electricity was snake oil. We know we can actually drive these circuits, and we know that many of these disorders---and actually, probably all of the disorders within this issue of Continuum---are all circuit disorders. And so, you can drive the circuit by modulating the circuit. And it's turned out to be quite robust with therapies like deep brain stimulation. Now, we're seeing uses of deep brain stimulation across multiple of these disorders now. So, for example, you may think of it in Parkinson's disease, but now we're also seeing people use it to help in cases where you need to palliate very severe and bothersome chorea and Huntington's disease, we're seeing it move along in Tourette syndrome. We of course have seen this for various hyperkinetic disorders and dystonias. And so, the main thing for clinicians to realize when dealing with neuromodulation is, take a deep breath because it can be overwhelming. We have a lot of different devices in the marketplace and no matter how many different devices we have in the marketplace, the most important thing is that we get the leads. You know, where we're stimulating into the right location. It's like real estate: location, location, location, whether you've got a lead that can steer left, right, up, down and do all of these things. Second, if you're feeling overwhelmed because there are so many devices and so many settings, especially as we put these leads in and they have all sorts of different, you know, nodes on them and you can steer this way and that way, you are not alone. Everybody is feeling that way now. And we're beginning to see AI solutions to that that are going to merge together with imaging, and then we're moving toward an era of, you know, should I say things like robotic programming, where it's going to be actually so complicated as we move forward that we're going to have to automate these systems. There's no way to get this and scale this for all of the locales within the United States, but within the entire world of people that need these types of devices and these therapies. And so, it's moving rapidly. It's overwhelming. The most important thing is choosing the right person. Okay? For this, with multidisciplinary teams, getting the lead in the right place. And then all these other little bells and whistles, they're like sculpting. So, if you think of a sculpture, you kind of get that sculpture almost there. You know, those little adds are helping to maybe make the eyes come out a little more or the facial expression a little bit better. There's little bits of sculpting. But if you're feeling overwhelmed by it, everybody is. And then also remember that we're starting to move towards some trials here that are in their early stages. And a lot of times when we start, we need more failures to get to our successes. So, we're seeing trials of people looking at, like, oligo therapies and protein therapies. We're seeing CRISPR gene therapies in the laboratory. And we should have a zero tolerance for errors with CRISPR, okay? we still have issues with CRISPR in the laboratory and which ones we apply it to and with animals. But it's still pretty exciting when we're starting to see some of these therapies move forward. We're going to see gene therapies, and then the other thing we're going to see are nano-therapies. And remember, smaller can be better. It can slip across the blood brain barrier, you have very good surface area-to-volume ratios, and we can uncage drugs by shining things like focused ultrasound beams or magnets or heat onto these particles to turn them on or off. And so, we're seeing a great change in the field there. And then also, I should mention: pumps are coming and they're here. We're getting pumps like we have for diabetes and neurology. It's very exciting. It's going to be overwhelming as everybody tries to learn how to do this. So again, if you're feeling overwhelmed, so am I. Okay? But you know, pumps underneath the skin for dopamine, pumps underneath the skin for apomorphine. And that may apply to other disorders and not just Parkinson as we move along, what we put into those therapies. So, we're seeing that age come forward. And then making lesions from outside the brain with focused ultrasound, we're starting to get better at that. Precision is less coming from outside the brain; complications are also less. And as we learn how to do that better, that also can provide more options for folks. So, a lot of things to read about in this issue of Continuum and a lot of really interesting and beyond, I would say, you know, the horizon as to where we're headed.  Dr Jones: Thank you for that. And it is a lot. It can be overwhelming, which I guess is maybe a good reason to read the issue, right? I think that's a great place to end and encourage our listeners to pick up the issue. And Dr Okun, I want to thank you for joining us today. Thank you for such a great discussion on movement disorders. I learned a lot. I'm sure our listeners will as well, given the importance of the topic, your leadership in the field over many years. I'm grateful that you have put this issue together. So, thank you. And you're a busy person. I don't know how we talked you into doing this, but I'm really glad that we did.  Dr Okun: Well, it's been my honor. And I just want to point out that the whole authorship panel that agreed to write these articles, they did all the work. I'm just a talking head here, you know, telling you what they did, but they're writing, and the people that are in the field are really, you know, leading and helping us to understand, and have really put it together in a way that's kind of helped us to be better clinicians and to impact more lives. So, I want to thank the group of authors, and thank you, Dr Jones. Dr Jones: Again, we've been speaking with Dr Michael Okun, guest editor of Continuum's most recent issue on movement disorders. Please check it out. And thank you to our listeners for joining today. Dr Monteith: This is Dr Teshamae Monteith, Associate Editor of Continuum Audio. If you've enjoyed this episode, you'll love the journal, which is full of in-depth and clinically relevant information important for neurology practitioners. Use the link in the episode notes to learn more and subscribe. Thank you for listening to Continuum Audio.

Dana Cardinas loved podiatry, and she was damn good at it. But a surprise diagnosis of idiopathic ulnar neuropathy, followed by a shocking discovery of Stage 3C colon cancer, forced her to step away from the profession she adored. In this episode, Dana opens up about how she handled early retirement, battled cancer, and found purpose again through helping others and launching a new business, 1 Stop Promotional Products. From laughing down clinic hallways to launching a neuropathy support group that's changing lives in Colontown, Dana proves that purpose doesn't end with a job title. If you're a podiatrist, business owner, or just someone navigating life's curveballs, this conversation is for you. Please visit the Podiatry Legends Podcast website to read more and see photos.  If you're enjoying the Podiatry Legends Podcast, please tell your podiatry friend and consider subscribing.  If you're looking for a speaker for an upcoming event, please email me at tyson@podiatrylegends.com, and we can discuss the range of topics I cover. Don't forget to look at my UPCOMING EVENTS Do You Want A Little Business Guidance?  A podiatrist I spoke with in early 2024 earned an additional $40,000 by following my advice from a 30-minute free Zoom call.  Think about it: you have everything to gain and nothing to lose, and it's not a TRAP. I'm not out to get you, I'm here to help you.  Please follow the link below to my calendar and schedule a free 30-minute Zoom call. I guarantee that after we talk, you will have far more clarity on what is best for you, your business and your career. ONLINE CALENDAR Business Coaching I offer three coaching options: Monthly Scheduled Calls. Hourly Ad Hoc Sessions. On-Site TEAM Training Days around communication, leadership and marketing.   But let's have a chat first to see what best suits you. ONLINE CALENDAR Facebook Group: Podiatry Business Owners Club  Have you grabbed a copy of one of my books yet?  2014 – It's No Secret There's Money in Podiatry  2017 – It's No Secret There's Money in Small Business     Un-edited Transcript Tyson E Franklin: [00:00:00] Hi, I am Tyson Franklin and welcome to this week's episode of the Podiatry Legends Podcast. The podcast designed to help you feel, see, and think differently about the Podiatry profession. With me today is an old friend, well...not that old. We've only known each other for about 12 years. It is Dana Cardinas, and we met in 2013 in Nashville, Tennessee, at REM Jackson's top practices. But our friendship got bonded even more from about 2015 onwards, when we were at Dave Free's business Black Ops event, which people have heard that I go to on a regular basis. So Dana, how you doing today? Dana Cardinas: I'm so good. I'm so happy to be here, Tyson. Thank you. Oh my gosh, I'm so excited. Tyson E Franklin: I knew you'd bring the energy and I should mention to people that Dana lives in Texas, so there is a slight accent. Dana Cardinas: Yes, most definitely. And I apologize for my attire today. I literally just got out of the pool. It's hot and it's summertime and it was pool time tonight, so, yes. Tyson E Franklin: [00:01:00] So are you born and bred Texan? Dana Cardinas: Yeah, I was born and raised in central Texas. Yes. On a ranch. 300 acre ranch? Tyson E Franklin: I have seen photos of you driving tractors. Dana Cardinas: Yes. Yeah. So most recently convinced my dad to teach me how to drive the bulldozer. So finally was able to get on that machine after 50 something years. Tyson E Franklin: He wouldn't let you drive it? Dana Cardinas: No. He's very protective of that thing, so understandably he didn't want me to take it out any fences, but I did pretty good for my first go. Tyson E Franklin: So what we're gonna be talking about today, I'm gonna tell give people a bit of a rundown. We're gonna talk about what got you into Podiatry and also what got you out of Podiatry and what you're currently doing now, which I think is pretty cool. So yeah, let's go to that first question. Why Podiatry? How did you get into Podiatry in the first place? Dana Cardinas: So I always, my entire life, since I was wee little, I wanted to be a doctor. I didn't have a specific profession. I just knew I wanted to be a [00:02:00] doctor. But as I went through undergrad and spent time shadowing different professions I narrowed down things that I didn't wanna do. I knew I didn't wanna do certain things, and after I graduated from undergrad I needed, I just needed some time to figure out what was gonna be next. While I was studying for my MCATs, getting ready to, try to get into med school. And I worked in a large Podiatry practice in Carrollton, Texas. And I loved it. I absolutely loved it. And I started, just in their front office answering phones. I needed a job to pay bills, and I went from answering phones to being a medical assistant because I was very interested in what they were doing back there. And at one point, one of the docs pulled me aside and said, Dana, you need to do [00:03:00] this for a living because you're diagnosing and treating my patients. And really, you should be paid for it if you're gonna do it. And I, and we had a long talk about it, and I really picked his brain about why he wanted to be a Podiatry. Yeah. What did he get outta it? Why did he like it? And what was happening in Podiatry that I didn't see and what did I not know? I really wanted to know about it. Tyson E Franklin: That's a really good question though that you asked because Yeah. I do think sometimes when people are choosing careers or even when they're in Podiatry now and they may have only been in for a couple of years and go, oh, I don't know if I should keep doing this. They need to talk to people. Yeah. Even if they'd send an email and say, can we jump on a Zoom call with someone like myself, it's been in the profession for well over 30 years is reach out to those people and say, why are you, why did you stay in this profession for so long? When I feel like giving it away after two or three years. Dana Cardinas: Right. And he and that is key, honestly for any profession. Honestly. I think it's reaching out to people in your [00:04:00] profession and asking them, if you're burned out, find out, what's the other person doing that They love it so much, that they can help you. But this practice had seven docs in it. I talked to all of them and they all had such good things to say about the specialty. They loved it. And that from a doc that had been out for two years to, I wanna say, the one doc that started the group had been out for 30 something years. So at the time, so like they were in it, they loved it, they loved the business side of it, but they loved treating the patients. Just the whole aspect of it. Yeah. So that's when I said, okay I'm doing this because I really liked it. I just, I loved the idea that you could see a patient. And maybe fix their problem right away. Maybe it was just a simple ingrow toenail boom, you fixed it and they feel better. Or you could offer them something that wasn't [00:05:00] surgically, related like orthotics or just talking to them about improved running, anything like that could just make them feel better almost instantly. But then there was also that other side of it for me that really grabbed my attention was. Taking something structural that wasn't working right and fixing it so that they could function either without pain or more appropriately. So, that, that was a big draw for me. That was my draw. Okay. 'cause that was, I loved working with my hands. Again, I grew up. That way. I didn't grow up in the city. I grew up on a farm and we fixed things and so I, that was my track. And so that's how I got into Podiatry. So I applied to four or five different schools. And so I ended up going to Temple University of Philadelphia. Which blew my mind. I was not from a [00:06:00] size of a city that big, so that was like, a culture shock for this West Texas girl. But I loved it. I loved every bit of it. I just soaked it up. I traveled while I was there a ton, but I also made such great friends, but I really. I really just dove right in it, man. I dove right in it. I wanted to know everything about Podiatry and loved it. Went to residency back here in Texas, so a year in San Antonio, and then two years with lake Great Sam Mendocino in Houston. God rest that guy. But from that point knew that, okay, this is where I was supposed to be. Yeah. This is what I was supposed to be doing. And then ended up in practice in Grapevine, fantastic practice in Grapevine and we grew that practice to two locations actually. So we had one in Grapevine and one in Keller. So I joined Foot Ankle Associates of North Texas and then ended up [00:07:00] becoming a partner there about a year and a half after I joined. So yeah, it was awesome. Loved it. And that's Tyson E Franklin: where you were, right up through to you finishing? Dana Cardinas: Yeah. Yeah, absolutely. And I really didn't have plans of retiring when I did, yeah. I just didn't have an option. Tyson E Franklin: We'll get to that in a sec. But the one thing I noticed when I first met you too and why we've probably remained friends is I've always loved your energy. And if, and I'm sure people whether watching the video on YouTube or they're listening to the podcast, they can pick up your energy. Yes. And I would say that was a big part of what made you a good Podiatry too. You took that energy into the room. Dana Cardinas: I did. I who I am is exactly who I was when I walked into a patient's room. It didn't matter if you were three years old or 103 years old, you got the same me. And we smiled and we laughed and we talked about [00:08:00] your life not mine. And we talked about your kids and your family and I got to know you. And when some of my patients hit huge milestones in their treatment, whether that be my diabetic patients when we healed ulcers or we saved limb. Or my ankle fracture patients, when they could actually put their boots back on and go back to work. We would dance down the halls. Yeah, we would party down the hall. That's who I was. And that's, you got this when you came to see me, which was usually quite a mess, let me tell you that. It was fun. Tyson E Franklin: I just love it. And you worked for a couple of years at the practice that you ended up becoming a partner in, was that always part of your plan to become a partner or you never even thought about that? It took you by surprise that they wanted this loud text and, Hey, by the way, is everyone in Texas loud? Dana Cardinas: No. Tyson E Franklin: No. Okay. Most Dana Cardinas: of us are. Yes. [00:09:00] Yes. Most of us are. There are just some that are a little louder than others. But yeah. Yes. Tyson E Franklin: Are you one of the louder ones? Dana Cardinas: Yeah. Tyson E Franklin: Yeah. Okay. Just checking. Just wanted to check, just see. So I'm prepared in December. Get ready man. Tyson E Franklin: So, so when they approached you by buying in the practice, were you sort of like, yeah, that's great. That's what I was hoping would happen. Or did it take by surprise? Dana Cardinas: I think timing wise took me by surprise 'cause it happened a little sooner than what I thought. But the way the three of us at the time, there was only three of us. We just were, we jelled so well together that it just seemed like a natural fit for that to happen. And so it, it was perfect timing. And I, in residency, you always heard, oh, you wanna be a partner in a practice, that's where you wanna head. And now looking back on it and talking to other, my residency mates that were not partners in a [00:10:00] practice because they chose not to go that route, that it didn't fit their lifestyle. So I would say anybody listening, you don't feel like if you're not a partner, you're not successful by any means. Yeah. It just might not be the track that it fits your life for us. In that particular moment, it was perfect. It was the right scenario for us to do that. And it worked out phenomenal. Tyson E Franklin: Yeah I think that's a really good point because I think some people meant to be business owners, like I was always meant to work for myself . I just always knew that was gonna happen. And the funny part is. Neither of my parents owned their own business. Nobody in my family that I even know had their own business. So why I was that way. I have no idea that was just me. Yeah. But I think there's certain people that they should never own their own business. They should stay as employees because they are really good employees. Yeah. And what, like you said too, it's a different level of pressure you get when you are actually the business owner that when you're an employee, [00:11:00] you go away on your four weeks holiday, you don't have to think about anything. Dana Cardinas: Yeah, right. Tyson E Franklin: Two weeks in America, you only get two weeks holiday in America, don't you? Dana Cardinas: It depends on how much you negotiate, man. Tyson E Franklin: But in general. In general, in America, two weeks is all you get. Dana Cardinas: Depends. Most of the docs that we, you know, when we brought in docs as associates, we gave them three weeks in the beginning. So I, that's pretty good. Tyson E Franklin: But yeah, two weeks in, in Australia. In Australia, mandatory, four, four weeks holiday. Dana Cardinas: I honestly, I'm not gonna lie, everybody should move to Australia. Numerous reasons just to like hear you guys speak all the time. But if you can get four weeks automatic man, sign me up. Tyson E Franklin: Being an employer, you used to sometimes go, god dammit, when people are on holidays. But as a society, I think it's a fantastic thing because you need to have those mental breaks away from your business. And this is a problem that business owners don't do, is they work from morning [00:12:00] till night. They don't take holidays, they do it year after year and they burn themselves out. And I think you've gotta have that break. Dana Cardinas: Right. And it's hard as a business owner to take the break. It's hard to walk away 'cause you're you get in this, in your mind that, I'm not making any money if I'm not there and if I've got to have the money so I can't take off. You just get into that cycle, but when you take the time away is when you have clarity and you can think, and then you usually end up making better decisions, which make you more money in the long run. Tyson E Franklin: Yeah I remember my first, we, I'd take a week off here and there but it wasn't until, I think it was 2012. I took my first three week break. Away from clinic, went overseas, went to America, did the trifecta of Disneyland, Las Vegas, and then San Francisco. Dana Cardinas: Oh my gosh. That's amazing. Tyson E Franklin: And I had a daughter with us and my wife and [00:13:00] we went with another family. Had such a good trip. I came back to work and nothing had changed. Everyone was still working, in fact. Right. They were probably enjoying me not being there better. And from that year onwards, I realized I can take time off. So I was taking two, three week holidays a couple of times a year. Never looked back. Right, right. So I think you gotta trust, you gotta trust your team. Dana Cardinas: Yeah. And that's it too, like. If you build a team that you've trained well, they know what they're doing. They know how to handle the situations, and they know how, like who to call when they don't know the answer. Like that situation's gonna come up. But when you've got that training in place. Oh, you can leave. Trust me. They want you to go, they want you to go. They do, but you're getting cranky and you're getting agitated and they want you out as much as you need to take a [00:14:00] break. Tyson E Franklin: Oh, yeah. But I totally get it. And I totally understand if someone is a solo practitioner and they feel that they can't do it. But I think if you're a solo practitioner, go back to one of my earliest episodes on this podcast. It was episode 10 with Andrew Snyder and it's running a successful solo practice. This guy is the most relate. He's been doing this for 30 years or something. Now. Love that guy. Solo practitioner. Tyson E Franklin: Has never employed another Podiatry. He goes to Disneyland more often than anybody else I know, right? Right. Tyson E Franklin: If you're a solo practitioner, go back and listen to episode 10 because it will change the way you think about having a solo practice. Dana Cardinas: Yeah. Oh yeah. A super good friend of mine that we went to residency together, he was a solo practitioner for, gosh. At least 10 years before he brought on an associate. Tyson E Franklin: [00:15:00] Yeah. Dana Cardinas: And in the beginning he was this, I can't take, I can't leave, but once he figured out, okay I've got someone local that can cover my call if I'm out, they can take phone calls for patients that, call in after hours or have an emergency, whatever it might be. So he had coverage for that. They didn't come in the office, but it was just a quick phone call if necessary. He, when he figured that out. He would take vacation about once every eight weeks. It might be a short little, like four day or thing. Yeah. But he was gone somewhere and his practice grew immensely. Just simply because he was getting that mental break because it, let's just get real, it's not easy, Tyson E Franklin: no. To Dana Cardinas: do what we do. It's Tyson E Franklin: not. And it's one of those things too. Every patient that comes through the door could be a potential lawsuit. [00:16:00] And that's something that's, and that's why we have insurance and that Right. But we choose this profession and Right. And you know that 99.999% of patients come in. That is never going to happen. Dana Cardinas: No, it's never gonna happen. Right. And majority Tyson E Franklin: of patients are nice. Dana Cardinas: Right. Majority or. There's always a potential that patient's gonna walk in your front door that you don't know is going to absolutely kill your day. Just kill it. It's over done. There goes the schedule. Forget it. You're not getting home till way late because that one person entered your office, but it's what we signed up for. Yeah, and honestly i'm not gonna lie, I don't think I'm not different than anybody else. I think we thrive on that a little bit. I think we do love that little bit of excitement it's like you get excited about walking in that door to the patient room of, okay, what kind of shit am I gonna see on this one? Yeah. Like, what crazy crap did this guy just do that I'm [00:17:00] gonna have to fix? And that was always my favorite. Tyson E Franklin: That's the thing I think in life in general you, everybody wants a certain amount of certainty, which you need. It makes you feel comfortable and secure, but you also need that little bit of uncertainty to keep life interesting. And I, yeah, and I feel when I hear someone's, oh, I'm bored with Podiatry, I wanna leave. It's the same thing, day in, day out, I'm going, we need to, you need to change things up. Yes. Tyson E Franklin: It's obviously what, however you are running your day, you've got too much certainty. You need a little bit of uncertainty to spice things up a little bit. And that doesn't mean just going walking into work and sack somebody and create chaos. It's just your approach to work. Dana Cardinas: Yeah. Tyson E Franklin: Hey, make it a little bit different. Dana Cardinas: I totally agree. And that might be why you're bored. Tyson E Franklin: Yeah. Oh yeah. I like, if I wanted to, I could pick a certain part of Podiatry, keep doing that, and I would be bored, senseless. I needed different types of patients coming through with different types of injuries to make it interesting. Yes. But some days I did wanna just switch my brain off. Yeah, [00:18:00] I did wanna to use it. Yeah. Tyson E Franklin: So, okay, I'm gonna pivot slightly because you love Podiatry so much. Everyone must be listening to this. You hear your energy, your enthusiasm, you loved it, and why'd you leave? Dana Cardinas: So, in December about mid-December of 20 2015, and I thought I had carpal tunnel. I, my hands were just killing me at night. In, in, in here, in the us. The end of the year is always slamming busy because everybody's met their deductibles. They want everything done before the end of the year. Okay? And so we are all just maxed out. We've had surgery schedules full for three months or more. Patients are just like, I gotta get in, I gotta, again, I got it in. So we're busy and we make it happen. That's what we do. We make it happen. So I would go to bed at night and , wear these wraps on my [00:19:00] wrist because it just felt better. I kept thinking, all right, I gotta go get this checked out. My hands just really hurt. But the next day I was like, it's okay. It's not hurting as much. But by the end of a long surgery day, they were just, it was pain and it was pain, especially on my right that was going up to my elbow. And I was like, all right I just gotta go get this checked out. So get through December, I'm in the first week. January and I, it was fairly quiet, which was unusual, and I had one case booked on a Friday afternoon, and it was a tiny fifth toe arthroplasty. Literally anybody that does these on a regular basis, skin to skin, you're looking at max. Six minutes to me. Yeah. That was me, max. Boom. It's not hard. And it took me 20 minutes and I couldn't feel [00:20:00] what I was doing and I was terrified. And I, it had, I had another case, I would have canceled it. And I left, I got in the car and I called the office. Canceled all of my cases that were coming up. Put 'em onto one of the other partners and called my friend, who's a neurologist and said, I'm coming over something's wrong. And she was awesome. I had actually done surgery on her two, two years prior because she had some really cool ganglion cyst on her foot, which was amazing. But another story. And so she's yeah, come on over. She did a, what is that nerve conduction study? Yeah. On me. And she's Dana, how long have you had this? And I was like, this week, like today, like I today. And she's like, how did this not, how did you not see this happening? Because as she showed me at the time, and I'll show you my hands in the camera, all I had [00:21:00] lost the muscle mass on both of my hands. Along my thumb, especially along my ulnar side on my right, a little bit more or a little bit on my left. And the nerve conduction study showed that I had severe ulnar neuropathy on both sides. She's like, that doesn't just happen overnight. I'm like, I'm telling you. I had pain, but I could feel until today. And so, we did some further studies and over the next, the course of next two to three weeks and then really realized that what I had was not gonna be reversible. I had severe loss of my muscles in my hands, but also nerve damage. I didn't have an option, but I had to retire. If you Tyson E Franklin: had picked it up earlier, could you have prevented this from happening or was it inevitable that it was going to happen? Dana Cardinas: Well, it was inevitable [00:22:00] because I didn't know what I had at the time. Yeah. Which as we'll continue the conversation you'll hear. At she diagnosed me with idiopathic ulnar neuropathy. Because we went through all the tests, all the blood work tests, the MRIs of my neck, you name it, trying to find a reason for this to have happened suddenly , which we never came up with a reason. I ended up getting an ulnar release on my right side that helped the pain. And, but I was officially retired March 31st. Of 2016. So within 90 days I found out I had basically permanent neuropathy in my hands. That was with a sudden onset and I was retired, but out. Tyson E Franklin: How old were you then? Dana Cardinas: I was, at the time I was 46. Tyson E Franklin: Unexpected. Yeah. Dana Cardinas: Very unexpected. That was not on the [00:23:00] bingo card for that year, Tyson at all. Tyson E Franklin: It's, yeah, it's like those yeah, one of those things like death pill, you people bet on who's gonna pass away that year. You never would've thought in 2015 and we had caught up in October, 2015. Yeah, within six months you'd be retired. That'd be it. And I still remember the photo of us in 2015 where I had my cactus shirt on. Remember before, before we went out into the desert and you thought it was hilarious. Dana Cardinas: I just, that photo just popped up on my phone as a memory the other day. Yes. Tyson E Franklin: It is a great photo. Dana Cardinas: It's the best. Yeah. And Tyson E Franklin: I always tell people that too, that it's one of those things, just life in general, you don't know. What's going to happen. And it's, and you can't sit there in fear thinking, oh, is this going to happen? But every now and then you will be thrown a, a curve ball and it's how you bounce back. Dana Cardinas: Right. It's true. I I was not expecting the curve balls that would happen [00:24:00] after that. Tyson E Franklin: Yeah, for sure. I know there were more curve balls. Dana Cardinas: And they kept coming for a while. But, so here I am, I'm done. I had no idea what I was gonna do next. So tried a few things here and there, but it just didn't, that, it just didn't, wasn't supposed to pan out, to be honest. It just wasn't supposed to because. In January of 2018 I was having some pain in my abdomen, my lower abdomen like right lower quadrant pain, and I kept putting it off to, oh, it's probably gas. It's probably this, it's what we all do as physicians. Ah, I'm fine. It's whatever. Yeah. We think we know. And so, my wife Becky said, will you just go get it checked out? You are really complaining about it, you should actually get it checked out. So I go see the GI doc, explain what I've got going [00:25:00] on, and he was like, you know what? It sounds like it's nothing because I did have a history of like acid reflux and some GI stuff. And he is like, it's probably nothing but let's just do an upper or lower endoscopy and let's just see. Tyson E Franklin: Yeah. And were you the, and were you the windy one in the relationship? Dana Cardinas: Yes, most definitely. Tyson E Franklin: And that's why always when you had that pain, first thing you think, oh, it's just gas again, right? Yeah. Dana Cardinas: Just gas, whatever. Yeah. And so, I won't ever forget January 8th, 2018, I have my scopes and as I'm laying in recovery, waking up, I hear the GI Doc tell Becky. The upper is fine. She has colon cancer though. She has a large tumor in her colon. And I was like, and I just remember laying there thinking what the, [00:26:00] I have cancer. Tyson E Franklin: Yeah. Be thinking of the same thing. Dana Cardinas: I have cancer, like the real cancer. And so, Tyson E Franklin: the real one. Dana Cardinas: Yeah, like the real one. So I ended up he couldn't complete the colonoscopy because the tumor was too big for him to pass it. So, that, that day was a blur. And then the next day I called my friend, who was a colorectal surgeon that I sat on a board with at one of the hospitals. And said, cliff guess what? I need you. And he basically said, I'll see you in the morning. And then right after that phone call, I called my good friend who is an oncologist who I used to call. When I got those reports back, you know when you do biopsies in the office and it comes back melanoma and you're like, oh shit, melanoma on a [00:27:00] toe. I don't need to be seeing this. Yeah. This is not my, she was the one that I would call to say, Heidi, who's the best oncologist? Oncological surgeon that needs this. She was my sounding board when I got those strange things back, and so I called her and said, Heidi. Guess what? I need you. And she said, okay, I'll see you when Cliff is done with you. And they literally became my team overnight. And they talked to each other before I even got to the, his office the next morning. They had a plan in place for me. And so I had CT scans. The next day saw him. I've come to find out I had a very large tumor that was over 10 inches long, and it was almost 99% occluding in my colon. So likely had I gone another couple of weeks, a month I probably would [00:28:00] not be here. Yeah. Because Dana Cardinas: it, it would've just ended me. So, then. Fast forward after that, he did surgery. I lost 27 inches of my ascending and transverse colon, but he was able to reconnect re anastomosis both ends so that I did not end up with a bag, which I wasn't excited about, if I was gonna have to have one. But if it kept me alive, okay, fine. Me, I would've made a ton of jokes out of it, and it would've been like, Tyson E Franklin: Oh, you've carried around like a handbag. Dana Cardinas: Oh God, yes. It would've happened. Yeah. But for me it did not have to happen. So, once I healed from that, six weeks later started chemo, went through eight months of chemo that was probably the worst thing I've ever been through. Because now let's flash back a little bit. Yeah. On the neuropathy part. [00:29:00] Okay. We didn't know at the time in 2016 why I had neuropathy. But after I retired and before I found out I was diagnosed with cancer, I kept breaking out on these full body hives. And I don't mean like itty bitty tiny hives, hives, massive four six inches hives all over my body. I was going through the treatment of trying to figure out what environmental food, what allergy did I have that was causing this. But in talking with my oncologist, she put all of my picture together. And what I had was perine neoplastic syndrome, which is rare. But it's the cancer that I had growing in me that I didn't know I had. Was causing the hives that gave me the wonderful neuropathy and a few other things. And so that's so that Tyson E Franklin: there are all signs of something else was actually happening anyway. Dana Cardinas: Yes. I just didn't, I just didn't know that's, and per neoplastic syndrome is something that is diagnosed. After the [00:30:00] fact. It is rarely something that some physician would put together and say, oh, you have cancer because you have all these things happening. Yeah. It just doesn't work that way. Yeah. Tyson E Franklin: Real cancer. Dana Cardinas: Real cancer. Yeah. Tyson E Franklin: A another friend of mine exactly the same diagnosis around exactly the same time and that's why I, I. Way back. I wanted to get you on here way, way back. And I said the same thing to him. I wanted to get him on the podcast as well. And he's not with us anymore. Right? Tyson E Franklin: He didn't, he he got the bag and last time I saw him was actually on my birthday. I had to make him breakfast on my birthday. At his house? Yeah, at his house. 'cause he said, I want your favorite breakfast that you make. And I saw him then. He said, oh, they've told me I've got heaps of time. I'm gonna beat this. Everything's gonna be absolutely fantastic. And five weeks later he passed away. Dana Cardinas: Yeah. Tyson E Franklin: [00:31:00] And so, yeah, that, and that's why, Dana Cardinas: and I'm, I'm sorry, I'm sorry to hear that. Tyson, I, that breaks my heart, Tyson E Franklin: but Oh geez. That's why I think it's important to talk about this. Dana Cardinas: It's hugely important because I'm lucky. Tyson E Franklin: Yeah. Dana Cardinas: I know I'm lucky. I, when I was diagnosed stage three C. So I only had one more stage to go before I was stage four, and I was lucky that it had not spread to any other organs. But that was that I'm lucky in two regards in educating myself on colon cancer because as I was diagnosed, yeah, once you get past that first initial part of it and you get a plan. Once you get a plan, it's almost, that's when you can breathe. You can't breathe until you get a plan. But once you know [00:32:00] the, these, X, Y, and Z need to happen, and this is when we're gonna do it. That's when I started researching and and finding out more about the diagnosis and what does it mean and what does treatment mean and what am I looking at here? What, where am I gonna be here? And so, I was lucky enough that, someone else who had a family member that was going through colon cancer. She this wonderful person connected me with her and through her I got connected with a wonderful organization called Colon Town. And Colon Town is an online um, resource for patients that are going through colon cancer, but it's also for the caregivers and the, your, the spouses, the friends, anybody who is either affected by it, is a patient, any of [00:33:00] that. You can go to colontown.org to get more information about it. But I dove into it and it's right now it is on online, on Facebook. It's private. So you, everything we discuss in there, you, nobody else is gonna see it. It's just us. They are working their way off to a separate platform. That's even better, to be honest. But so I dove into it. And it made me feel better because I could talk to other people that were just like me, that were going through exactly what I was going through. But what the crazy part Tyson is while I'm going through chemo and my dang numbness is getting worse because the chemo that we have to go on that keeps us alive. Its number one side effect is peripheral neuropathy. Okay. And cold sensitivity. Oh God, it sucked. Oh, so my neuropathy went off the charts. Like, Tyson E Franklin: I shouldn't, I shouldn't be giggling when you say that. I, but you Dana Cardinas: [00:34:00] can because you, I mean you, oh God. The stories. But I would have my, had I ended up with full facial numbness, my tongue was numb most of the time. My, my chest was numb. Just there wasn't much of me that wasn't numb except my butt. Go figure. So there were so many questions that would come up in this group about how to deal with neuropathy that I noticed I was answering them because it was what we treated. And I knew the answer and I knew what could help. 'cause I was helping myself. That I reached out, eventually reached out to the creators of Colontown because in Colontown there's these little neighborhoods. So if you're stage four, you're in a certain neighborhood, so you can just have those specific conversations. Or if you are a certain genotype, then you have those conversations in that trials group maybe. And so I said, Hey, can I start a group for neuropathy? And they were like, yes, please, because we all have it. [00:35:00] And so I started a group inside Colon Town that is only for neuropathy and I it. Warms my heart because we have, within that group now created some treatment processes for those that are now going through chemo with the certain drug that we have to take where we now ice our hands and our feet so that it's reducing the neuropathy that people are getting now. And we started that as a patient led. Research project basically, and it is now becoming standard of care and it's the most fucking awesome thing I think I've ever done in my life. Tyson E Franklin: I think that is absolutely fantastic and what I like about it is you've used your knowledge in your experience as a Podiatry to actually help this group of people. Dana Cardinas: Yeah. Tyson E Franklin: I didn't see [00:36:00] that Dana Cardinas: coming. Tyson E Franklin: Yeah. Right. Dana Cardinas: Unexpectedly. I didn't see it coming. Tyson E Franklin: Yeah. I always say everything's supposed to happen for a reason. Exactly. And sometimes I do question a lot of things that happen and I like to think there's a reason behind it. Yeah. My dad passed away when he was 49. I was only 17. I kept thinking, where's the reason? And that, yeah, Tyson E Franklin: there's certain things I changed in my life around that time afterwards that I wouldn't, probably wouldn't be doing what I'm doing now or had the career I had if. I hadn't got that kick back then. Yeah. I would've had a different path that I was on. So I think it's the same with you. You've had a few crazy things happen and now you're on this completely different path. So when did you get the the tick, the all clear Dana Cardinas: so I got the all clear? October of 2018. That we call it no evidence of disease. Yeah. Because I'm a stage three CI never get cured. I, I will forever, my whole life be monitored. [00:37:00] But I've been clear ever since. I just saw the, my oncologist, in fact, I retired, my friend she left me to go travel the world and so I'm working, I'm breaking in a new one, and I like her a Tyson E Franklin: lot. So how often needs to get checked? Dana Cardinas: So now I just graduated, so once a year. Woo. It's awesome. Tyson E Franklin: That is good news. Dana Cardinas: I know it is. Tyson E Franklin: So now, now you've got through all that and retired from Podiatry, your Helping ColonTown I, oh, by the way, I love that t-shirt. Was that your design? That t-shirt? Dana Cardinas: The. Tyson E Franklin: The one I read out before that says colorectal cancer awareness, because that shit matters. That shit matters. Yes. Tyson E Franklin: That's a great t-shirt. And then you've got, on the t-shirt, you've got all the names of what people who have had colon cancer, what they would call their poo. Dana Cardinas: Yeah, their poo. And Tyson E Franklin: I like dookie. I haven't heard dookie for a while. [00:38:00] Dana Cardinas: Oh my gosh. The stink pickle. That's my favorite one. Tyson E Franklin: That's my favorite one. I like the Corn Eyed butt snake that this is all by the way. People just let you know this is all on a t-shirt, which I think is very funny. Um, Code brown goat pellets nuggets. Dana Cardinas: I did, I asked all of my friends, okay, what do you call it? And I had my good friend Lauren, who is a graphic artist I said, okay, Lauren, here's all the name here. Here's what we call it. And I used the poop emoji and put it all in there. And he did a phenomenal job. Tyson E Franklin: In the show notes, I'm gonna put a copy of this shirt, the front and back because it is a hilarious shirt. And I think you give everyone a bit of a laugh too. I like the head of, they have put here turd. It's basic. It's basic. It's very basic. And somebody else did put shit. Dana Cardinas: Yes. Tyson E Franklin: Basics. I dunno what a shoey is. That's a little bit weird. In Australia shoe's called a [00:39:00] Completely a shoey is drinking a beer out of a, out of a jogger. That's called a shoey. Oh Dana Cardinas: No. A shoe chewy that, yeah, that's a stinky one. Yeah. Whoof, that's That's a big one. Tyson E Franklin: Yeah. Ah, that's like shoe fly pie. Dana Cardinas: No, Tyson E Franklin: No, that's completely different. That's actually quite nice. Dana Cardinas: Good. That's awesome. Have you had Tyson E Franklin: that? Have you had shoe fly pie? I Dana Cardinas: did when I was in Philly. Yes. Yeah. Tyson E Franklin: Yes. That's pretty good in the I got it. Good. I got it from this town called Intercourse. Dana Cardinas: I, that's where I had it too. That's right next to Birden hand. Tyson E Franklin: Yeah. Where the arm where the Amish. The Amish had the shop there. Yes. And they were selling shoe fly pie where I Dana Cardinas: had it. Yeah. That's awesome. Tyson E Franklin: And people don't think this podcast is education. Dana Cardinas: There's so much education here. Tyson E Franklin: Some people think this show's not educational. Dana Cardinas: Tyson, I could go on and on about poop. Tyson E Franklin: So now you have your own business. You've set up something else called One Stop [00:40:00] Promotional Products. And if people are looking for it, it's one. The number one. One stop promotional products.com. Dana Cardinas: Yes. Tyson E Franklin: People can go check it all out. Actually, Dana Cardinas: either way, you can put one, the number one or spill out one both ways. We'll get you there. Tyson E Franklin: Oh, cool. Okay. I wasn't quite sure. So OneStop promotional products.com. So this is your business that you're doing now. All promotional products? Yeah. You are servicing mostly America. Do you ship it overseas or anything like that? Dana Cardinas: No. Right now we're not doing anything overseas 'cause it's a little too crazy for that right now. Yeah. But we do we are. Mostly 95% B2B. And we love it. We love it. We have two airlines and 175 active companies that we work with monthly. Oh, cool. And adding more, we add more weekly. It's a lot of fun. Tyson E Franklin: Who? Yeah. Well, I'm gonna order something and pick it up when I come over. In December. Dana Cardinas: Oh my God. Oh my God. And I'm gonna put [00:41:00] a big stink pickle on it. I'm gonna say you that right now, Tyson E Franklin: but the get ready. So how did you get into this? What was the OO Obviously like you retired young. Dana Cardinas: Yeah. Tyson E Franklin: And you, did you end up selling the practice? Dana Cardinas: I sold my shares in the practice. So the other docs were still there practicing. Yeah. And so they were not ready to retire yet, obviously. No, they were still doing it. They were, they, we were all pretty much the same age, so they were still doing their thing. So I, I sold my shares and got out. Tyson E Franklin: Okay. And then being young, as you still are. In my eyes Dana Cardinas: absolutely Tyson E Franklin: is this, how, why you, we gotta do something else. And that's how this came about. Dana Cardinas: It was totally by accident, a hundred percent accident. I go going through the cancer thing. I didn't do anything that year. Obviously. Yeah. Dana Cardinas: But in 2019 my wife and I were. Talking about, well, you know, let's, let's do something for fun. I'm getting bored. I need to do something with my hands. I like building things. [00:42:00] And somebody said, Hey, what, why don't you get one of those cricket machines and make signs? And a cricket machine is like a machine that you can send a design to. And it'll cut it out for you and then you can, put the vinyl or whatever Yeah. On side. Okay. That sounds fun. Yeah. Yeah. Yeah. And so, I was just doing it for fun and our local Mexican food restaurant that we go to entirely too much. But I refuse to stop going. They were like family and they said, Hey, you're doing some fun stuff. Do, can you make t-shirts? Because their staff, their shirts were horrible. They were truly horrible. And I, that night, we said, you know what? We don't know how, but we'll figure it out. Yeah. Dana Cardinas: 'Cause they needed shirts, so we went home. We bought a cheap Amazon press. I watched about 10 YouTube videos and was like, screw it. Let's make some shirts. And so we literally did their, that year it was their Cinco de Mayo shirts and they all it said was [00:43:00] Margarita's Mexican restaurant on it. That's it, that's all it said. But we made them and they could not have been happier with them. And. Customer said, Hey, where'd you get your new shirt? And they said, Dana. And Becky. And then next thing you know, they, we got more business and more business. And it got to where we said we might need to figure out how to do this with more professional equipment. Yeah. And Dana Cardinas: so we upgraded to more professional equipment, as you can see behind me. Tyson E Franklin: Yep. You can see it all there. Dana Cardinas: And now we run two heat presses, two professional heat presses on a regular base daily and just added this fabulous two head embroidery machine behind me. So we didn't have to outsource that anymore. And so, we do apparel, no minimums in house, which is awesome. But then if you need things like pens or name badges or you name it, literally anything you can think of, [00:44:00] lip balm. Lip balm. Yes. Lip balm. Lip balm. Dana Cardinas: We work with wholesalers for that and so we can, we have access to over 2 million products, which is fun. Tyson E Franklin: I know when I was on the website having a look around there was, it was so much fun looking at everything. And I was think as a Podiatry business, and I've got some Podiatry. One particular Podiatry friend called Carly who just loves swag. But Tyson E Franklin: anything that's branded and got names on it. Right. Just, Tyson E Franklin: and I must admit, I've got so many t-shirts, I've got like 200 t-shirts that I won't part with half my t-shirts. I've picked up at events, podcasting conferences and I just love, I'm the same thing. I just love that sort of stuff. Dana Cardinas: Right. Well, and the so again. Something I didn't see heading my way was all the things that I learned at top practices in day freeze and reading Jim Palmer, all those things. That is [00:45:00] now what we do. Tyson E Franklin: Yeah. Dana Cardinas: So we are that, that aspect of your business that keeps people top of mind. And that's the fun part because I have a little different spin on how we present products. I'm not gonna present you just a cheap cozy which a lot of companies will do because it's a cheap, cozy. Yeah. I'm gonna, if you are an electrician, I'm gonna present you something that is for your field that a customer is gonna want for the rest of their life they're never gonna get rid of. They're gonna keep it, and they're gonna call you over and over again. And that's why we keep getting business. Tyson E Franklin: Yeah that's a really good point. I've been to places where they'll have promotional products and it is cheap. I mean, You'll, you're trying, it's cheap. You're write with the pen and you've got RSI before you've written about the fourth word. 'cause it's just, there's so much resistance against the paper. Yeah. Or you'll bring something home [00:46:00] and your first time you use it, it just breaks. And to me, that makes a business look bad when they hand out crap swag. Exactly. Whereas if they hand a quality swag that you use again and again, then all of a sudden it, it actually puts that business in a positive light in your mind. Dana Cardinas: Right. And it keeps them top of mind. Yeah. Like, it truly does. Give them that up. Advantage over maybe somebody else. We and a lot of times I talk to customers, potential clients that say, okay, I want five different things. And I'm like, well, what's your budget? And they made me say, 500 bucks, $500. I'm like, all right, let's get one really good quality. Swag item. Yeah. For $500, let's not get a hundred of all these other little things, because all those other little things are gonna go in the trash. But this one really cool thing is gonna sit on somebody's desk and they're gonna look at it every day.[00:47:00] Tyson E Franklin: Yeah. I, well, I got stubby holders done stubby coolers. Your coozies as you call 'em over there 15 years ago before I sold the clinic. And I've still got a number of 'em here at home that I still use, and I've gone to people's places and I've seen them sitting with their stubby holders. Right. With a stubby in it. 15 years, after having them made. And they are still looking solid. They're still, yeah. Right. Dana Cardinas: Yeah. That's Tyson E Franklin: quality. Dana Cardinas: That's what we're all about. And that's one of our taglines is quality products only. That's the focus. Tyson E Franklin: I don't Dana Cardinas: want just walking around with a bunch of cheap shit. Let's go with some something good quality. Tyson E Franklin: Well think everyone listening to this, they that. To me that just applies to everything in life. Even your Podiatry business is provide a quality service. If you are gonna buy machinery, get the best that you can. Just get the best. Exactly. 'cause it will last longer. Give the patients the best. Whether it's covering [00:48:00] material or what you're getting the orthotics made of, just do, I think just always do the best you can. Dana Cardinas: Right, right. And if it costs a little bit more, explain to the patient or the customer who, whoever you're talking to. Tell them, okay, it's, it costs more because there's more going into this one. I've there's more time. The product's better. The craftsmanship is better. There's education behind it. It's not just, oh, I went online and ordered a pin from I don't know where, and I don't know who makes it and whatever. Spend the time and talk to your patients, especially because if there's something that you should be offering, but you're not because you don't think they'll buy it, they're buying it on Amazon, so why can't they buy it from you? But it's a better product if you're getting it from a reputable vendor or you know that, okay, this product is a better product than what they're getting on Amazon. Why can't they spend money with you versus Amazon? [00:49:00] Tyson E Franklin: It's true, and even the pen that I use most. This one is from a Podiatry clinic friend of mine, sole focus in Toowoomba. Nice. Dana Cardinas: Ooh. It is a, it is my God. SAT is my top seller. This is a Tyson E Franklin: beautiful pen to write with. And whenever I run out she usually sends me a few more. Dana Cardinas: I'll get you some. Tyson E Franklin: Just, they just really good pens. It just the feel of it. And because, and she got the whole pen done, like in her corporate colors, what her clinic is all about as well. And yeah. And she said the same thing. Wanted a quality pen, wanted something. When people write with it, they go, I want another one of these pens when they run out. And that's exactly what I do. But I do see it so she doesn't have to send it to me. I'll just pick some up next time I'm down there. So on. On that note, I want to thank you for coming on the podcast, sharing what got you into Podiatry, what got you out of Podiatry, which I think is just as important and what you're doing there. And like I said at the start, I just, I've [00:50:00] always loved your energy. Love chatting with you. You're so much fun to be around. Dana Cardinas: Thank you, Tyson. I, well, same is right back at you. I think as soon as we met. There was no doubt we were going to be destined to be lifelong friends because we laughed too much together. For sure. So, and before we get off, I will just say this if you are 45 or older and you haven't had a colonoscopy, please get one. They're not scary. All you do is poop the night, the day before and everybody poops. So it's, that's not scary. But get it done. And if you are not 45, but you're having symptoms force your doc to get you in to get it done you really just need to get it checked out. So, it'll save your life. Tyson E Franklin: That is fantastic. So I look forward to talking to you again soon. Oh, and I'll see you in December anyway. Dana Cardinas: Yes. Can't wait. Tyson E Franklin: Okay. Talk to you later. Bye. Dana Cardinas: Bye.

In today's episode, we dig into one of the most intriguing topics in spinal imaging: the comparison between upright and recumbent MRIs. He breaks down a brand new systematic review published in the Spine Journal—featuring data from 19 studies and over 5,200 participants—to answer a key question for clinicians: Are there meaningful differences between upright and traditional lying-down MRI scans, and which correlates better with a patient's pain?Episode Notes: Upright versus recumbent lumbar spine MRI: do findings differ systematically, and which correlates better with pain? A systematic reviewLeander Tables- Save $1,000 on the Series 950 Table using the code EBC2025 — their most advanced flexion-distraction tableTurncloud EHR- Minimalist design, without being sparse. Practical, yet elegant. Turncloud's design was to find the most efficient path in a day in the life of a chiropractic office. Connect with their team at www.turncloud.com Patient Pilot by The Smart Chiropractor is the fastest, easiest to generate weekly patient reactivations on autopilot…without spending any money on advertising. Click here to schedule a call with our team.Our members use research to GROW their practice. Are you interested in increasing your referrals? Discover the best chiropractic marketing you aren't currently using right here!

This week we are down Jason so Jeff and Brian are joined by Scab Jeff. The Guys discuss wheather the new golden age of television is over, which superhero to deport, and the safety of MRIs. The Top 5 is about our favorite Movies or TV shows about the American South. This episode is sponsored by the Cincinnati Comic Expo.

News Edition #210 7/23/25-Please & Thank YouChuck Talks About The News!Bingo, MRIs, CookiesAnd Much More On This Episode Of Casually Uncomfortable, News Edition!Call the showhttps://www.speakpipe.com/CasuallyUncomfortableListen To Show!⬇️⬇️https://anchor.fm/casuallyuncomfortable

(00:00:00) Welcome Dr. Hector Salazar (00:00:40) What is a silent rupture? (00:03:38) When should I get imaging for my breast implants? (00:04:18) How much does a breast MRI cost? (00:05:50) High definition ultrasound vs. MRI (00:09:17) What are we looking for on a breast ultrasound? (00:10:55) What to do if your implants might be ruptured (00:14:30) What to expect on your breast ultrasound day (00:16:55) How often should you get a breast ultrasound for implants? (00:19:00) What else can a breast ultrasound catch? (00:20:42) Breast implant imaging misconceptions (00:24:06) How soon should I fix a ruptured implant? (00:28:32) Links and outro Since silicone gel breast implant ruptures are silent and don't cause symptoms, they can go undetected for a very long time. Even though an MRI is recommended to check for ruptures three years after surgery and every two years after that, most people don't do it because MRIs are pricey and not exactly convenient. High-definition ultrasound is a more accessible, affordable alternative to an MRI. Routine ultrasounds every 2 to 3 years are a smart way to stay ahead of any issues with your breast implants, and yearly follow-ups offer extra peace of mind. San Diego plastic surgeon Dr. Hector Salazar helps us understand what breast ultrasounds can (and can't) reveal, how to know if your implant is ruptured, and what to do if something's not right. LinksLearn more about Breast Implant Ultrasound ImagingWatch our virtual event, Adding Breast Fullness: A Masterclass on Breast Implants, Natural Fat Transfers, and Everything In Between!Request a breast implant ultrasound appointment with Dr. SalazarMeet San Diego plastic surgeon Dr. Hector Salazar-ReyesLearn from the talented plastic surgeons inside La Jolla Cosmetic Surgery Centre, the 12x winner of the Best of San Diego and global winner of the 2020 MyFaceMyBody Best Cosmetic/Plastic Surgery Practice.Join hostess Monique Ramsey as she takes you inside LJCSC, where dreams become real. Featuring the unique expertise of San Diego's most loved plastic surgeons, this podcast covers the latest trends in aesthetic surgery, including breast augmentation, breast implant removal, tummy tuck, mommy makeover, labiaplasty, facelifts and rhinoplasty.La Jolla Cosmetic Surgery Centre is located just off the I-5 San Diego Freeway at 9850 Genesee Ave, Suite 130 in the Ximed building on the Scripps Memorial Hospital campus.To learn more, go to LJCSC.com or follow the team on Instagram @LJCSCWatch the LJCSC Dream Team on YouTube @LaJollaCosmeticSurgeryCentreThe La Jolla Cosmetic Surgery Podcast is a production of The Axis: theaxis.io 

Is a prostate biopsy protecting your health or putting it at risk?In this episode, Dr. Stephen Petteruti challenges everything you thought you knew. He exposes the hidden dangers of prostate biopsies: how they can spread cancer, lead to half-answers, and trap men in unnecessary treatments.Dr. Stephen breaks down smarter, safer alternatives like MRIs and biomarkers. And if you've already had a biopsy, he shares a clear path forward to protect your vitality, not just chase numbers.Rethink your options. Take back control. Your health deserves the full picture.Tune into the full episode of Prostate Biopsy: Why You Might Regret Getting One—and What to Do If You Already Did.Enjoy the podcast? Subscribe and leave a 5-star review!Dr. Stephen Petteruti is a leading Functional Medicine Physician dedicated to enhancing vitality by addressing health at a cellular level. Combining the best of conventional medicine with advancements in cellular biology, he offers a patient-centered approach through his practice, Intellectual Medicine 120. A seasoned speaker and educator, he has lectured at prestigious conferences like A4M and ACAM, sharing his expertise on anti-aging. His innovative methods include concierge medicine and non-invasive anti-aging treatments, empowering patients to live longer, healthier lives.Website: www.intellectualmedicine.com Website: https://www.theprostateprotocol.com/ YouTube: https://www.youtube.com/@intellectualmedicine LinkedIn: https://www.linkedin.com/in/drstephenpetteruti/ Instagram: instagram.com/intellectualmedine Consultation: https://www.theprostateprotocol.com/book-a-consultation Store: https://www.theprostateprotocol.com/store Community: https://www.theprostateprotocol.com/products/communities/v2/fightcancerlikeaman/home  Disclaimer:  The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.Produced by https://www.BroadcastYourAuthority.com

Amanda Kloots returns to The Bright Side for a wide-ranging and deeply honest conversation about navigating change. She opens up her time on The Talk, launching her new supplement line, and what it’s been like to date again after deep loss. From grief spirals to green drinks, romantic firsts to full-body MRIs, Amanda shows us what it means to live fully—even when you feel a little lost. This is an era of reinvention, self-compassion, and staying open to what's next.See omnystudio.com/listener for privacy information.

In this powerful episode of SHE MD, hosts Mary Alice Haney and Dr. Thais Aliabadi welcome actress and filmmaker Embeth Davidtz. She shares her experience with breast cancer diagnosis and treatment, highlighting the importance of comprehensive screening and self-advocacy in women's health. The conversation explores women's health, career reinvention, and the power of pursuing passion projects later in life. Interestingly, Embeth Davidtz is also the director of "Don't Let's Go to the Dogs Tonight", a film adaptation of Alexandra Fuller's New York Times bestselling memoir, which is releasing this July 2025. Access more information about the podcast and additional expert health tips by visiting SHE MD Podcast and Ovii. Sponsors: Opill: Opill is birth control in your control, and you can use code SHEMD for twenty five percent off your first month of Opill at Opill.comCymbiotika: Go to Cymbiotikia.com/SHEMD for 20% off your order + free shipping today.Nutrafol: Nutrafol is offering our listeners ten dollars off your first month's subscription and free shipping when you go to Nutrafol.com and enter promo code SHEMD.Vionic: Use code SHEMD at checkout for 15% off your entire order at www.vionicshoes.com when you log into your account. 1 time use only.Live Conscious: Head to LiveConscious.com and use code SHEMD for 15% off your first purchase. Embeth Davidtz's Key Takeaways:Consider Other Screening Methods: Women with a family history of breast cancer should consider additional screening methods like MRIs, even with normal mammogram results.Develop A Personalized Management Plan For Menopausal Symptoms: Breast cancer survivors like Embeth Davidtz can experience significant menopausal symptoms, requiring careful management and lifestyle adjustments.Engage in Creative Projects: Pursuing creative projects or volunteer work can provide a sense of purpose and improve mental health, especially for women in midlife transitions.Refine Your Leadership Approach: Effective leadership in male-dominated fields often requires women to balance assertiveness with diplomacy.Find Your Purpose, No Matter How Small: Whether it's making a movie or volunteering, doing something meaningful can lift you out of dark times.In This Episode: (00:00) Introduction(05:34) Breast cancer diagnosis and treatment experience(11:17) Importance of breast imaging and advocacy(20:30) How Embeth Davidtz dealt with menopause after breast cancer(22:30) Managing symptoms without hormone replacement(30:00) Embarking on a new creative journey(36:46) Learning to communicate and lead effectively(45:00) Finding purpose and making a differenceRESOURCES:Embeth Davidtz - Instagram : https://www.instagram.com/embethdavidtz/GUEST BIOGRAPHY:Embeth Davidtz is an American-South African director, writer, producer, and actress with an illustrious career spanning decades in film and television. Recently, Davidtz made her directorial and screenwriting debut with DON'T LET'S GO TO THE DOGS TONIGHT, based on Alexandra Fuller's bestselling memoir of the same name. The film follows Bobo, a young girl growing up on a Rhodesian farm against the backdrop of the Bush War the 1980s. Davidtz draws from her South African upbringing to authentically portray the harsh realities of being raised amid familial strife and apartheid. Following premieres at the Telluride, Toronto and Zurich film festivals last fall, the film received rave reviews. Variety praised Davidtz's debut “a masterclass in storytelling” and The Hollywood Reporter called the film “near perfection.” Shortly after, Sony Pictures Classics acquired the film, which will have its initial release in LA and NY on July 11, 2025.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

On this episode of Good Day Health, host Doug Stephan and Dr. Ken Kronhaus of Lake Cardiology (352-735-1400) dive into this week's top health stories and answer listener questions with expert insights. First up: AI in medicine. Dr. Ken shares how he prefers to think of artificial intelligence as “Assisted Intelligence,” explaining how new technologies are enhancing diagnostics and patient care. One example? Advanced AI models can now analyze heart MRIs and medical records to detect subtle scar patterns that predict sudden cardiac death — a game-changer in preventive cardiology. Speaking of prevention, Dr. Ken emphasizes a growing “fourth pillar” in the fight against heart disease: vaccinations for common infections, joining the ranks of diet, exercise, and medication. Then, Doug shares a wild personal story: after days of ear pain and a misdiagnosis of infection, the true culprit was revealed — a ladybug stuck in his ear. This leads into a broader discussion on ear health and new research showing that wearing hearing aids may actually improve your social life. Also on the brain: New research finds that the human hippocampus — the brain's memory center — continues generating new neurons even in old age, offering new hope for cognitive longevity. Listener questions include:Is Semaglutide (Ozempic, Wegovy) offering more than weight loss benefits, such as protecting limbs in patients with Type 2 diabetes?What's up with the new COVID-19 variant XFG (“Stratus”) and its unusual symptom — a raspy voice?Join Doug and Dr. Ken for a fast-paced, informative hour packed with useful health tips, surprising discoveries, and practical advice for everyday wellness.Webstie: GoodDayHealthShow.comSocial Media: @GoodDayNetworks

Lyme Disease is becoming more common and many people don't even know they have it, which means it often goes untreated. And while you're waiting for your doctor to diagnose you, they'll often shrug off your other symptoms and say thing like "it's all in your head"....   TOPICS DISCUSSED IN THIS EPISODE: Why mental illness is more biological than psychological The brain scan that shows inflammation MRIs, your doctor and blood work miss Why some people get infected and never recover - and why some people do Childhood infections like Strep can cause full blown psychiatric changes that are often called ADHD or anxiety PANS, PANDAS, Lyme, Mold and more Autoimmunity and Lyme Disease How these disease can hijack your DNA   More from Dr. Eboni Cornish + the Amen Clinics: Clinic Website: www.amenclinics.com Instagram: @dr.ebonicornish Email (Assistant): drcornishassist@amenclinics.com Phone (Virginia Clinic): 703-880-4000     Leave us a Review: https://www.reversablepod.com/review   Need help with your gut? Visit my website gutsolution.ca to join a program: Get help now   Contact us: reversablepod.com/tips    FIND ME ON SOCIAL MEDIA: Instagram  Facebook  YouTube         

Artificial Intelligence is helping medical professional at University of Utah Health diagnose more patients... and more accurately. Denise Case is the MRI Manager in the Department of Radiology at University of Utah Health. She joins Maria Shilaos to describe how new technology is not only helping patients, but also helping to save the environment. 

Dr. Mindy stops by and talks about Benson Boone and eating pizza rolls for breakfast. And then she answers questions about Joey's weak ass lungs, food to avoid with autoimmune disease, brain MRIs, tonsil blisters, weighted vests for walking, the Dr. Mindy Experiment, molluscum contagiosum, allergy to mosquitos, the carnivore diet, the Liver King and warts. See omnystudio.com/listener for privacy information.

Hi Mamas, If you've ever found yourself stuck in a cycle of worry… running through worst-case scenarios at 2 a.m., struggling to stay present with your kids, or Googling symptoms you know you shouldn't... this episode is for you. In today's episode, I'm opening up about a very personal health scare that brought anxiety to the forefront of my life in a way I hadn't experienced before. From scary symptoms and MRIs to EEGs and the mental spiral that followed, I'm sharing it all with you… not for sympathy, but to say: you are not alone. We're walking through 10 powerful tools I used to break free from the anxiety spiral and reclaim my peace. These mindset and wellness practices are things I now use on the regular… and I promise they are doable, even in the middle of mom life chaos. You'll learn: ✔️ How to use the 3-3-3 Rule to ground yourself in seconds ✔️ What to ask yourself when worry shows up (and won't back down) ✔️ How to create a “Peace Plan” so you don't spiral when anxiety hits ✔️ Why journaling your fears can be a powerful truth-revealing tool ✔️ How faith, prayer, and a deeper connection with God helped anchor me ✔️ Why movement and music can reset your nervous system ✔️ How to limit info overload and avoid the Google spiral ✔️ Why gratitude is more than a buzzword… it's a brain reset ✔️ Why talking to someone safe can bring major relief ✔️ The daily breathwork trick I swear by to calm my anxious thoughts Plus, I'm giving you permission (in case you needed it) to create boundaries around your time, energy, and commitments… because worry thrives when we're stretched too thin. This episode is honest, heartfelt, and packed with encouragement and practical steps for any mama who's ever felt overwhelmed by worry. You deserve calm. You deserve clarity. You deserve to live fully in the moment.  

Does a high PSA automatically mean you need a biopsy? Think again.In this eye-opening episode, Dr. Stephen Petteruti challenges outdated prostate care protocols and reveals the critical questions every man should ask before making any big decisions.Learn how cutting-edge tools like MRIs and biomarker tracking can often replace invasive biopsies, offering a safer, smarter way to monitor your health. Plus, Dr. Stephen dives into the financial conflicts of interest that might be influencing your care and introduces powerful tests like the calcium score and PSMA PET scan to help you see the bigger picture of your long-term health.Listen now and walk into your next doctor's visit armed with the right questions. Prostate Cancer Alert: What to Ask Your Doctor When Your PSA Is High.Enjoy the podcast? Subscribe and leave a 5-star review!Dr. Stephen Petteruti is a leading Functional Medicine Physician dedicated to enhancing vitality by addressing health at a cellular level. Combining the best of conventional medicine with advancements in cellular biology, he offers a patient-centered approach through his practice, Intellectual Medicine 120. A seasoned speaker and educator, he has lectured at prestigious conferences like A4M and ACAM, sharing his expertise on anti-aging. His innovative methods include concierge medicine and non-invasive anti-aging treatments, empowering patients to live longer, healthier lives.Website: www.intellectualmedicine.com Website: https://www.theprostateprotocol.com/ YouTube: https://www.youtube.com/@intellectualmedicine LinkedIn: https://www.linkedin.com/in/drstephenpetteruti/ Instagram: instagram.com/intellectualmedine Consultation: https://www.theprostateprotocol.com/book-a-consultation Store: https://www.theprostateprotocol.com/store Community: https://www.theprostateprotocol.com/products/communities/v2/fightcancerlikeaman/home  Disclaimer:  The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.Produced by https://www.BroadcastYourAuthority.com#ProstateCancer #Biopsy #MensHealth

Alan welcomes back long-time friend and fellow 1997 dental school graduate, Dr. August de Oliveira. They take a trip back in time, reminiscing about the early days of the online forum Dentaltown, where Dr. de Oliveira pioneered sharing cases for critique with his "CERECs du Jour" thread. The conversation then fast-forwards to the present, focusing on the technologies impacting dentistry today. Dr. de Oliveira shares his transformative experience with Pearl AI, explaining how it has significantly boosted his practice's production by identifying more same-day dentistry and serving as an invaluable "second set of eyes" on radiographs. They also explore the hype versus reality of augmented reality, the evolution of intraoral scanners, and look ahead to future innovations like dental MRIs and Optical Coherence Tomography (OCT). Some links from the show: CERECS du jour thread on DentalTown Pearl AI Join the Very Dental Facebook group using the password "Gary," "Timmerman," Hornbrook" or "McWethy," "Papa Randy" or "Lipscomb!" The Very Dental Podcast network is and will remain free to download. If you'd like to support the shows you love at Very Dental then show a little love to the people that support us! -- Crazy Dental has everything you need from cotton rolls to equipment and everything in between and the best prices you'll find anywhere! If you head over to verydentalpodcast.com/crazy and use coupon code “VERYDENTAL10” you'll get another 10% off your order! Go save yourself some money and support the show all at the same time! -- The Wonderist Agency is basically a one stop shop for marketing your practice and your brand. From logo redesign to a full service marketing plan, the folks at Wonderist have you covered! Go check them out at verydentalpodcast.com/wonderist! -- Enova Illumination makes the very best in loupes and headlights, including their new ergonomic angled prism loupes! They also distribute loupe mounted cameras and even the amazing line of Zumax microscopes! If you want to help out the podcast while upping your magnification and headlight game, you need to head over to verydentalpodcast.com/enova to see their whole line of products! -- CAD-Ray offers the best service on a wide variety of digital scanners, printers, mills and even  their very own browser based design software, Clinux! CAD-Ray has been a huge supporter of the Very Dental Podcast Network and I can tell you that you'll get no better service on everything digital dentistry than the folks from CAD-Ray. Go check them out at verydentalpodcast.com/CADRay!

If you enjoyed this episode, please consider leaving us a 5 star review! It helps the pod a lot, and most importantly it helps Gus.The Coffee Club Podcast is hosted by Oliver Hoare, George Beamish, and Morgan McDonald: 3 professional runners and olympians who train and live in Boulder, Colorado that compete for the On Athletics Club.Follow us here:Instagram: https://www.instagram.com/coffeeclubpod/George Beamish: https://www.instagram.com/georgebeamish/Morgan McDonald: https://www.instagram.com/morganmcdonald__/Olli Hoare: https://www.instagram.com/ollihoare/Tom Wang: https://www.instagram.com/womtang/Coffee Club Merch: https://coffeeclubpod.comMorgan's discord: https://discord.gg/uaCSeHDpgsMorgan's YouTube: https://www.youtube.com/@MorganMcDonaldisaloserIntro Artwork by The Orange Runner: https://www.instagram.com/theorangerunner/Intro Music by Nick Harris: https://open.spotify.com/artist/3Zab8WxvAPsDlhlBTcbuPiThumbnail thanks to John Harris: https://www.instagram.com/johnharrismedia/?hl=en

Seizures, sleepless nights, and mysterious white patches on his skin marked the beginning of Daniel's journey with Tuberous Sclerosis Complex (TSC). Diagnosed at age 6, Daniel faced a childhood filled with MRIs, EEGs, and specialist visits, often requiring cross-country travel for coordinated care. In this moving episode of On Rare, David Rintell, Head of Patient Advocacy at BridgeBio, and Mandy Rohrig, Senior Director of Patient Advocacy at BridgeBio Gene Therapy, speak with Daniel, a 31-year-old living in Seattle, about growing up with TSC, the emotional toll of visible symptoms, and the stigma he faced from peers. He reflects on the cognitive and mood impacts of TSC, including OCD and outbursts, and how he often kept to himself to feel more accepted. Today, Daniel is an active advocate in the TSC community, emphasizing the importance of connection, representation, and finding support among those with shared experiences. As he puts it, “You have to find your people.” Che-Wei Chang, Principal Scientist at BridgeBio, presents a medical overview of Tuberous Sclerosis Complex (TSC), a rare genetic disorder marked by seizures and benign tumors throughout the body. TSC results from a spontaneous mutation in a single copy of the TSC1 or TSC2 gene, which normally inhibit mTOR, an enzyme that regulates cell growth. Loss of this inhibition leads to mTOR hyperactivation, leading to abnormal cell proliferation and tumors in the brain, kidneys, skin, and other organs. Diagnosis typically involves identifying tubers in the brain along with tumors in other organs and is confirmed through genetic testing. Treatments include mTOR inhibitors, which are effective against many TSC-related tumors, and anti-seizure medications, although drug resistance is common.

Tell us your thoughts on this episode!In this episode of the Cancer Pod, Dr. Leah Sherman sits down with Dr. David Grew, a board-certified radiation oncologist and founder of Primr, a free digital video resource. They also go into details about prostate cancer, from early detection and PSA testing to the latest advancements in treatment options, including when active surveillance is possible vs. surgery and radiation therapy.  Dr. Grew shares how Primr evolved from his inclination to use images to understand and explain medicine. His digitally crafted visual explanations are helping patients understand and navigate their diagnosis and treatment options. Tune in to learn about symptoms, high-risk factors, diagnostic tools like MRIs and genomic testing, and the importance of multiple medical opinions when managing prostate cancer.Click here for Dr. Grew's bio and all social media links to PrimrPrimr Website: https://www.primrmed.com/Direct link to Prostate Cancer Education on PrimrClinical Trial Explainers from Primer:The SABRE TrialThe INDICATE TrialThe CLARIFY TrialSupport the showOur website: https://www.thecancerpod.com Become a member of The Cancer Pod Community! Gain access to live events, exclusive content, and so much more. Join us today and be part of the journey!Email us: thecancerpod@gmail.com Follow @TheCancerPod on: Instagram Bluesky Facebook LinkedIn YouTube THANK YOU for listening!

In this episode of PT Snacks Podcast, host Kasey Hankins addresses the challenge of identifying and treating bone stress injuries (BSIs) before they progress into stress fractures. Kasey delves into the biology of bone stress, detailing how osteoblasts and osteoclasts respond to stress, and discusses common risk factors for BSIs among athletes and military personnel. The episode offers practical advice on clinical assessment, including the limitations of x-rays and the benefits of MRIs, and provides strategies for effective treatment and prevention through offloading, load restoration, and performance enhancement phases. Listeners are encouraged to watch out for early symptoms and are directed to additional resources for continuing education.00:00 Introduction to Bone Stress Injuries01:15 Understanding Bone Stress Injuries (BSIs)04:18 Risk Factors and Clinical Presentation07:20 Diagnosis and Imaging Techniques09:15 Treatment and Rehabilitation Phases13:03 Summary and Additional ResourcesGet $126 off an individual MedBridge subscription or 10% off a group plan during their Mid-Year Anniversary Sale, June 23–30! Use code PTSNACKSPODCASTSUMMER at checkout.

Being told you have prostate cancer is a life-changing moment, but is doing nothing really the best option?In this episode, Dr. Stephen Petteruti questions the value of "watchful waiting" and "active surveillance," urging men to consider smarter, more proactive alternatives.Dr. Stephen explains why relying on repeated biopsies is not only risky but often unnecessary. He introduces non-biopsy monitoring—using MRIs, consistent biomarkers, and targeted lifestyle shifts like boosting vitamin D and lowering body fat—to track and influence health outcomes with less harm.If you want real options and honest insight, tune into the episode: Rethinking Prostate Cancer Care: Is Active Surveillance Enough?Enjoy the podcast? Subscribe and leave a 5-star review!Dr. Stephen Petteruti is a leading Functional Medicine Physician dedicated to enhancing vitality by addressing health at a cellular level. Combining the best of conventional medicine with advancements in cellular biology, he offers a patient-centered approach through his practice, Intellectual Medicine 120. A seasoned speaker and educator, he has lectured at prestigious conferences like A4M and ACAM, sharing his expertise on anti-aging. His innovative methods include concierge medicine and non-invasive anti-aging treatments, empowering patients to live longer, healthier lives.Website: www.intellectualmedicine.com Website: https://www.theprostateprotocol.com/ YouTube: https://www.youtube.com/@intellectualmedicine LinkedIn: https://www.linkedin.com/in/drstephenpetteruti/ Instagram: instagram.com/intellectualmedine Consultation: https://www.theprostateprotocol.com/book-a-consultation Store: https://www.theprostateprotocol.com/store Community: https://www.theprostateprotocol.com/products/communities/v2/fightcancerlikeaman/home Disclaimer:  The content presented in this video reflects the opinions and clinical experience of Dr. Stephen Petteruti and is intended for informational and educational purposes only. It is not medical advice and should not be used as a substitute for professional diagnosis, treatment, or guidance from your personal healthcare provider. Always consult your physician or qualified healthcare professional before making any changes to your health regimen or treatment plan.

This episode is presented by Create A Video – A court in California rules President Trump can take control of the National Guard to provide security during the recent riots. A North Carolina court heard arguments about whether the state messed up in granting a company a monopoly on MRIs in northeastern NC. Plus, four plead guilty in USAID fraud scheme going back years. Subscribe to the podcast at: https://ThePetePod.com/ All the links to Pete's Prep are free: https://patreon.com/petekalinershow Media Bias Check: If you choose to subscribe, get 15% off here! Advertising and Booking inquiries: Pete@ThePeteKalinerShow.com Get exclusive content here!: https://thepetekalinershow.com/See omnystudio.com/listener for privacy information.

Text Dr. Lenz any feedback or questions In this episode, we delve into the ongoing research and new findings related to Chronic Fatigue Syndrome (CFS). The discussion covers the development of standardized diagnostic criteria known as the Hingston Criteria, as well as the discovery of biological abnormalities in CFS patients. Key areas of focus include the autonomic nervous system, heart rate variability, and muscle strength.  The episode also touches on the concept of 'effort preference' and the complex interplay between sympathetic and parasympathetic nervous system activity in chronic conditions like CFS and fibromyalgia. Additionally, the episode previews upcoming discussions on findings from functional MRIs of the brain in CFS patients.00:00 Introduction and Importance of Defining the Disease00:15 The Hingston Criteria: A New Standard for Clinical Trials00:59 Biological Evidence and Clinical Trials02:13 Autonomic Dysfunction in Chronic Fatigue Syndrome04:14 Sympathetic and Parasympathetic Systems Explained08:24 Chronic Stress and Its Impact on Health10:21 Comparing Functional Somatic Syndromes and Stress-Related Syndromes20:59 Muscle Strength and Cognitive Effort in CFS22:28 Understanding EMG and Its Diagnostic Value26:57 Effort Preference and Its Clinical Implications28:42 Conclusion and Next Week's Preview Joy LenzFibromyalgia 101. A list of fibromyalgia podcast episodes that are great if you are new and don't know where to start. Support the showWhen I started this podcast—and the book that came before it—I had my patients in mind. Office visits are short, but understanding complex, often misunderstood conditions like fibromyalgia takes time. That's why I created this space: to offer education, validation, and hope. If you've been told fibromyalgia “isn't real” or that it's “all in your head,” know this—I see you. I believe you. You're not alone. This podcast aims to affirm your experience and explain the science behind it. Whether you live with fibromyalgia, care for someone who does, or are a healthcare professional looking to better support patients, you'll find trusted, evidence-based insights here, drawn from my 28+ years as an MD. Please remember to talk with your doctor about your symptoms and care. This content doesn't replace personal medical advice.* ...

In this part two episode, Andrea and Dr. Susie Spirlock (aka Dr. Susie Squats) tackle what to do when you actually are injured. Building on last week's discussion about pain during strength training, this conversation dives into how to approach recovery with confidence. Andrea and Dr. Susie break down the "peace and love" method for healing, why MRIs are not always the gold standard, and how to choose the right physical therapy program. You will walk away with practical tips to manage injury, stay optimistic during rehab, and ease back into your favorite workouts. If you want to stay strong at any age and keep lifting for life, this is a must-listen follow up.Follow Dr. Susie Spirlock on all socials: @dr.susie.squatsHer Website HEREThe PEACE & LOVE acronym HEREFree Downloads HERE Follow the Make Fit Simple Podcast@MakeFitSimplePodcastHave a suggestion for a topic click HEREHave a suggestion for a guest click HERENEW! Leave a question for Andrea HERE on SpeakPipe! Follow Andrea on Instagram@deliciouslyfitnhealthy@dfh.training.picsTraining & Coachinghttps://www.deliciouslyfitnhealthy.com/linksVisit Andrea's Websitewww.deliciouslyfitnhealthy.comProduced by Light On Creative Productions

Dr. Adam Silberman is a naturopathic doctor and expert in anti-aging and regenerative medicine. Dr. Silberman brings over a decade of training and clinical experience to his patients and their families, specializing in the use of advanced lab work, diagnostic analysis, bioidentical hormone replacement therapy, antiaging peptide therapy, natural medicine, and ultrasound-guided joint injections to address disease and optimize health span. He earned his bachelor's in psychology from UCLA, his doctorate in natural medicine from Western University, and an MBA from Murdoch University in Perth, Australia. In this episode of Conversations for Health, we explore the work that he does to support men's health in their 50s and 60s to promote longevity and anti-aging into their final years. He shares a profile of his typical patient, how he organizes and utilizes collected patient data, and the strategies he has implemented to optimize each patient's integrated and supported in-office experience.  He generously shares his approach to aggregating client data for a holistic snapshot, the key metrics and trends that are tracked on every client, and his approach to men's health that utilizes naturopathic medicine, supplements, and preventative lifestyle changes that support longevity and antiaging in men.    I'm your host, Evelyne Lambrecht, thank you for designing a well world with us.   Episode Resources: Dr. Adam Silberman:  https://www.blueprintwellness.org/ Design for Health Resources: Designs for Health - https://www.designsforhealth.com/ Designs for Health Practitioner Exclusive Drug Nutrient Depletion and Interaction Checker - https://www.designsforhealth.com/drug-nutrient-interaction/ Visit the Designs for Health Research and Education Library, which houses medical journals, protocols, webinars, and our blog. https://www.designsforhealth.com/research-and-education/education The Designs for Health Podcast is produced in partnership with Podfly Productions. Chapters: 00:00 Intro. 02:39 Dr. Adam is feeling lit up about early morning soccer games with his kids.  04:00 Adam's bittersweet desire to pursue naturopathic medicine. 10:12 A profile of Adam's current patient.  15:55 Task Force Dagger and specialized programming for first responders.  17:50 Supporting athletes during the off-season.  20:52 Organizing and utilizing collected patient data.  26:02 Optimizing and integrating each client's high-touch experience.  27:10 Aggregating client data for a holistic snapshot.  29:30 Key metrics and trends that are tracked on every client.  36:57 The case for full-body MRIs and DEXA scans.  40:05 Noted differences between CoreViva and other scans.  44:30 HRV and adrenal stress index, and strategies for increasing HRV.  47:35 Dr. Adam's favorite supplements, particularly adaptogens. 50:32 Meeting the increasing demand for focus on men's health.  55:44 Addressing the underlying causes of decreased testosterone.  1:05:01 One thing Dr. Adam does with every male patient.  1:06:22 Dr. Adam's favorite personal supplements, favorite health practices, and his changed view on the use of appropriate pharmaceutical interventions. 

Your back is an integral part of your body's structure, and it plays an important role in a wide variety of movements. Dealing with back pain can make every day difficult, affecting your ability to walk, drive, or tie your shoes. If you've ever dealt with low back pain, you know that the health of your back can impact your quality of life in every way. On this episode of The Model Health Show, our guest is chiropractor and the founder and CEO of RehabFix, Dr. Grant Elliot. He is passionate about helping people resolve their low back pain so they can live a healthy, full, and functional life. On today's show he's sharing his best tips for eliminating sciatica, low back pain, and symptoms stemming from disc herniation. We're going to talk about how rest and movement impact musculoskeletal issues, how imaging can actually increase your risk for surgery, and how your lifestyle impacts your pain levels. You're going to hear the truth about what back pain is and why it occurs, and realistic tips you can use to improve your symptoms. You're also going to learn about why the traditional model for treating back pain is misguided. Dr. Elliot is going to dispel some of the biggest myths around low back pain, stretching and exercise, imaging, and so much more. If you or someone you love struggles with low back pain, you're going to get a ton of value out of this conversation. Enjoy!    In this episode you'll discover:  What percentage of American adults struggle with back pain. (4:48) Why Dr. Elliot decided to become a chiropractor. (6:02) The #1 reason why we develop musculoskeletal pain. (13:43) What percentage of back pain is labeled non-specific low back pain. (14:37) How your lifestyle impacts the health of your back. (15:07) Why so many people are misdiagnosed with muscle strain. (15:33) An important reason why rest is not advised for back pain. (17:03) The role that movement plays in joint health. (17:49) How common disc bulges are. (19:20) The anatomy of a disc. (21:41) Why imaging is often overused in modern medicine. (25:03) The various types of disc issues, and how size and severity differ. (25:39) Why your primary provider is unqualified to treat lower back pain. (26:26) The shocking connection between MRIs and surgeries. (29:51) What sciatica is and its root cause. (32:21) Why hamstring stretches can worsen sciatic pain. (35:07) The best exercises for sciatica. (38:04) How to determine how much movement is safe if you're in pain. (45:47) The biggest myths about back pain. (51:19) How stress can manifest as pain and discomfort. (1:02:11)  Items mentioned in this episode include:  DrinkLMNT.com/model - Get a FREE sample pack of electrolytes with any order! Foursigmatic.com/model - Get an exclusive discount on your daily health elixirs! DM the word PODCAST on Instagram for your free assessment! Connect with Dr. Grant Elliot Website / Instagram / YouTube   Be sure you are subscribed to this podcast to automatically receive your episodes:   Apple Podcasts Spotify Soundcloud Pandora YouTube   This episode of The Model Health Show is brought to you by LMNT and Four Sigmatic. Head to DrinkLMNT.com/model to claim a FREE sample pack of electrolytes with any purchase. Visit foursigmatic.com/model to get an exclusive discount on mushroom and adaptogen-packed blends to improve your life.

What is really going on when you get a bump in your back or neck muscle that hurts when you press on it? Do muscles really get knots? How do they form? Why are they not detected in scans like x-rays or MRIs? Why do deep tissue massages sometimes make them feel more sore? What are ways to prevent muscle knots? ... we explain like I'm five Thank you to the r/explainlikeimfive community and in particular the following users whose questions and comments formed the basis of this discussion: theotherbogart, hearmeroar92, entropynz, iluvtheinternets, shintasama, omanfishesinthesea, littleredbunnyfoot and lsarge442. To the community that has supported us so far, thanks for all your feedback and comments. Join us on Twitter: https://www.twitter.com/eli5ThePodcast/ or send us an e-mail: ELI5ThePodcast@gmail.com