Ready Set Blow Podcast with Randy Valerio and Chase Abel
Randy welcomes his hilarious buddy Drew Dunn to the show. They open up talking about the grind of working the road. Randy wonders aloud when the butt stuff trend started. Drew and Randy reminisce about doing the long drive from the northeast to Florida on family vacations. The guys also share their first open mic stories at the infamous Middle East in Boston. Drew discusses his move to NYC. Randy asks Drew if he's had any good New York stories. Drew talks about keeping his big check from winning a comedy festival. They close with the news - the “Borg” TikTok booze trend, NPS days don't push a slower friend down when there's a bear attack, a bride catches her husband getting breastfed by his mom on the wedding day. Outro: “Queens Galaxy” by Gee Dubs Social Media: Instagram: @randyvalerio @readysetblowpodcast Twitter: @randytvalerio @readysetblowpodcast TikTok: @randyvaleriocomedy @readysetblowpod YouTube: @readysetblowpodcast @randyvaleriocomedy FB: facebook.com/randy.valerio.777
NP Pulse: The Voice of the Nurse Practitioner (AANP)
In this episode, adult nurse practitioner (NP) Heather O'Dell discusses the importance of liver health, the crucial role this organ plays within the human body and the diseases that may lead to needing a liver transplant. She is involved in research related to hepatitis C infected and exposed donor organs, organ utilization and organ allocation. With years of experience working in transplant hepatology, hepatobiliary surgery and clinical practice operations for liver and kidney transplant, O'Dell shares insights about her unique role and provides important information to support NPs with patients who are at risk for, or who have, liver disease. The American Association of Nurse Practitioners® (AANP) offers tools and resources for NPs of all specialties, including those in primary care and those who specialize in caring for patients with liver disease. Access free patient education tools on diseases that affect the liver, visit the AANP CE Center to access quality continuing education activities and consider attending sessions at the 2023 AANP National Conference in New Orleans on June 20-25. Members get more, including a savings of at least $200 off nonmember registration rates for the in-person conference! Additional Resources: American Liver Foundation. Unos. John Hopkins University. American Association of Liver Disease.
To better understand the role and importance of Advanced Practice Providers in oncology care, Chadi hosts Sarah Wyman, MSN, ACNP-BC, and Katie Simon, MMSc, PA-C, both co-leads of the APPs on the inpatient malignant hematology services team at Emory University Winship Cancer Institute. They begin by explaining the similar training and skill sets of NPs and PAs, the history of these positions over the past 25 years, and the day-to-day responsibilities for inpatient APPs. Then, they share how discharge planning is handled, the level of autonomy granted to APPs in decision making and test ordering, how doctors relate to APPs in the clinic (and whether there is friction), and their role in initiating end-of-life discussions, among so much more. Check out Chadi's website for all Healthcare Unfiltered episodes and other content. www.chadinabhan.com/ Watch all Healthcare Unfiltered episodes on Youtube. www.youtube.com/channel/UCjiJPTpIJdIiukcq0UaMFsA
Cancer Stories: The Art of Oncology
Listen to ASCO's Journal of Clinical Oncology essay, “I Want to Kill You” by Dr. Noelle LoConte, Associate Professor of Medicine at the University of Wisconsin School of Medicine and Public Health. The essay is followed by an interview with LoConte and host Dr. Lidia Schapira. LoConte shares her experience of a patient's threat to kill her and her reflections on how health care can be improved. TRANSCRIPT Narrator: I Want to Kill You, by Noelle K. LoConte, MD (10.1200/JCO.22.02896) My patient threatened to kill me. I was in the middle of a busy medical oncology clinic. I was seeing her to discuss test results 1 week after I told her I was concerned that her cancer had returned. As I suspected, the test confirmed recurrent cancer, and this time, it was incurable. I walked into the room to share this news with a woman who I had been seeing for about 3 years. I had been her oncologist since she was first diagnosed with stage III cancer and saw her through surgery and adjuvant chemotherapy. I had met her children, knew the names of her pets, and had discussed my children and pets with her. We were on very friendly terms, and I enjoyed seeing her name on my clinic schedule, certain that beyond discussion of her cancer and test results, we would also get into some interesting conversations about life, the weather, or college sports. Truly, it was a delight to be her oncologist. She had no known mental illness, no brain metastases, and had never been angry or violent with me. I used the SPIKES protocol to review why we were there and deliver the test results.1 I had done this many times before, and there was nothing that stood out to me in the moment about her or this clinical situation to make me think that I was in danger—a fact that made what happened next even more shocking. When I paused to see what questions or thoughts she had, she said, “I want to kill you. I want to blow your face off. You should never have become a doctor.” I intellectually understood that she was upset about the news of her cancer recurrence and had understandable anger at the dramatic impact this turn of events would have on her future. I understood that, in her mind, someone had to be blamed, and, mostly out of convenience, it was going to be me. I have since wondered if her lack of close friends and family may have amplified her reaction, in that she had few outlets available to her to discuss her fears and concerns. I have wondered if she felt let down by me after our years of cordial and friendly visits. It was a real-life example of kill the messenger. She continued telling me that she could find my home address. At that moment, I scanned the room and recognized that I could be in real danger. I stood in the corner of the room. To get out, I would have to walk around the desk and between her and the examination table. I also realized that because it was a holiday, there were very few people around who might hear me yell for help. We did not have a panic button or hospital security on speed dial, and it would have taken them many minutes to get to me if I had used the phone in the examination room to call security. I looked down and saw that she had two large bags with her. Patients often bring bags such as these to their chemotherapy appointments, bags filled with things to pass the time such as iPads, books, knitting, board games, blankets, snacks, and water bottles. Suddenly, I realized that she was not scheduled to get chemotherapy that day, so why did she have these bags? I was sure I was about to be killed. I was certain she had a gun in those bags. I said anything I could think of to de-escalate the situation and get out of the room. I promised her a new oncologist, told her I would become a better doctor, and suggested that maybe the biopsy results were wrong (although I knew they were not). As she continued her tirade, I carefully walked past her to get out of the room, and although she never moved toward me, she continued to yell about what a terrible person I am. Once I was back in the workroom, a nurse escorted the patient out of the clinic. We called hospital security and were told they felt their services were not needed as the patient had left the clinic. Despite this horrific encounter, I managed to make it through the rest of the clinic day in a daze. After the clinic was finished, I emailed my supervisor since it was a holiday and other employees were not in the hospital for me to call. In this email, I conveyed my fear and concern about this encounter while making it clear that I was still worried about my safety and the ability of the patient to continue to harm me. The response I received was generic: We will look into it. The very next day while I was at home, I received an alert that there was an active shooter in the area and realized with dread that it was on my block. It was not my patient, but her words about finding my home address haunted me. I hid on the floor after closing the blinds and locking all the windows and doors. My children were with me. For days, I did not sleep more than 1 or 2 hours. I was on constant high alert. Three days later, I was seeing a different patient in the clinic and had what I now realize was a panic attack. I was barely able to complete the visit. The patient was kind and understanding, but I felt inadequate and knew that my patients deserved better. Importantly, I also knew that I deserved better. I reached out again to my immediate leadership team and said plainly that I was struggling and needed help. I was offered statements of support but no concrete actions. While crying in my office, I searched our hospital's website for possible sources of help. I was lucky enough to come across our Employee Assistance Program and eventually got connected to a therapist. I will never forget the kindness and help she provided. She (correctly) told me that I had suffered an intense trauma and walked me through the next steps, which included meditation, hydration and nutrition, and intense aerobic exercise. She explained that the aerobic exercise (telling me to run as hard as you can with a goal for high heart rate and lots of sweating) can help the brain to heal from trauma and will prevent or diminish the development of posttraumatic stress disorder. I resisted my urge to search on PubMed to ascertain if these were evidence-based solutions and decided to try whatever she suggested. She also helped me accept a 2-week leave from work and find a therapist who specialized in trauma for health care workers. I continued to see a trauma therapist for a year until I felt I had adequately recovered. Eventually, as is true with most traumas, time itself was the best healer. A few weeks later, when hospital leadership learned of my experience, things started to happen. Security did a walkthrough of the clinic space. Patient relations notified the patient that this type of behavior would not be tolerated. There was a backup plan put into place in the event the patient needed care when I was the only oncologist available (eg, on the in-patient unit). It was not all forward progress, however. I was told no changes needed to be made to the clinic and that we could not keep examination room doors open because of privacy concerns. The provider desk would continue to be in the corner of the room, and the patient would continue to sit between the provider and the door. This was understandable given the cost to reconfigure rooms and the unfortunate reality with firearms that even being close to a door may not matter. I asked for panic buttons to be installed—I knew these existed in other clinics—but was told this could not happen. When I asked to be scheduled in rooms where my desk could be next to the door, I was offered a single conference room with no examination table and no medical supplies. I usually work out of three rooms on clinic days, so this would not work. I figured this was as good as it would get and elected to move on and suck it up. Fast forward to 2 weeks ago, when I learned that as much as I hoped these traumatic patient interactions would leave health care workers, they never truly do. I was the oncologist for the in-patient unit at our hospital, which is a liminal space of end-stage disease, anxious patients and families, and difficult decisions. The stakes and severity of the patients' situations are high. One patient and her family were furious at their medical situation of rapidly progressive cancer, as well as the hospital parking and layout, the plan of care, and even the cafeteria options. I was the recipient of all their frustration. As the patient and her family yelled at me for being inept and stupid and not serving their needs, I had the distinct sensation that my spirit was floating away from my body. I was rising toward the ceiling, watching it all play out in front of me, seeing myself from a bird's eye view. I thought, “Wow, I am dissociating.” It was a surprisingly effective tool to Protect me at that moment and one that I now recognize as a normal response to trauma. Once the patient and family got all their anger out and told me to leave the room, I became unsteady and had to hold the banister to stay grounded. To drive home how vulnerable we all are in facing these kinds of threats, I reflected on the job of an oncologist. I give bad news on a regular basis, I control opiate prescriptions, and many of my patients feel their pain is not well controlled, a phenomenon seen across many oncology patients.2 If we think physicians are only murdered in the emergency room or on the psychiatry unit, we are fooling ourselves. Recent changes to concealed carry laws and increasing levels of medical mistrust and anger directed at health care workers in the wake of the COVID-19 pandemic likely will increase all providers' risk of gun violence. With reflection, I now understand that my experience then was made worse by the lack of informed response by leadership to mitigate my trauma and the lack of efforts to improve safety. We deserve leaders and hospital staff who know immediately what to do when a physician is threatened, including reassigning the patient to a new provider immediately, having hospital administration or patient care services review with the patient the zero tolerance policy to provider threats, and allowing a prompt leave from work to address the trauma response, which is best done immediately after the event not months later or only on request. We deserve urgent access to therapists and peer support who understand how to process and overcome trauma. Institutions should track threats to providers in real time and make rapid changes to improve safety. As individuals facing a traumatic patient encounter, we cannot afford to wait for the system to catch up to our needs. We can seek our own counseling and professional support while also providing critical support for our peers.3-5 I thought I was the weak one for not being able (even still) to let this death threat be in the past. I realize now that I am brave and strong for asking for help. We deserve safe environments and clinical practices to allow us to do the difficult work of being an oncologist without worrying about our personal safety. Together we can create clinics, hospitals, and teams that prioritize provider safety and proactively work to mitigate the trauma of patients and families who threaten their physicians and providers. Dr. Lidia Schapira: Hello and welcome to JCO's Cancer Stories: The Art of Oncology, which features essays and personal reflections from authors exploring their experience in the field of oncology. I'm your host, Dr. Lidia Schapira, associate Editor for Art of Oncology and a professor of medicine at Stanford University. Today we are joined by Dr. Noelle LoConte, associate professor of Medicine at the University of Wisconsin School of Medicine and Public Health. In this episode, we will be discussing her Art of Oncology article ‘I Want to Kill You'. Our guest disclosures will be linked in the transcript. Noelle, welcome to our podcast. Thank you for joining us. Dr. Noelle LoConte: You're welcome. Thanks for having me. Dr. Lidia Schapira: It's our pleasure. Dr. Lidia Schapira: I like to start the conversation by asking authors what it is that they're reading or what book they would recommend to a friend. Dr. Noelle LoConte: Oh, that's a good one. I'm reading a book called Hell of a Book right now. Highly, highly recommend it. It's phenomenal. And a book that I would recommend that I recently read - well, Pachinko is a book that I read last year, but I just can't stop thinking about it. So I think that would be my recommendation. Dr. Lidia Schapira: So good fiction is a wonderful way of releasing stress after a hard day at work. Dr. Noelle LoConte: Truly. Dr. Lidia Schapira: Can you talk a little bit about what made you write this particular piece? Are you somebody who likes to write to process experiences, or was this a particular message that you needed to convey? Dr. Noelle LoConte: Yeah, I used to journal quite regularly, but gave that up when I started residency and haven't really picked it back up. But this story kind of wrote itself for me. I felt compelled. I could not stop thinking about it, and eventually, I had to do it. Dr. Lidia Schapira: Reading it is very impactful. And you start with this amazing line, "My patient threatened to kill me." So you're telling us immediately what happened. And the story is quite awful, and I don't know if I should ask you to tell us a little bit about it, but just for the sake of bringing the listeners into the story, can you very quickly recap what happened and how that made you feel? Dr. Noelle LoConte: Yeah, the quick version is I had a long-standing patient in Oncology who I had an established relationship with, who had no red flags for me, who was getting the news of a recurrence, and in response to that news, gave me what I thought was a credible threat to kill me. And the story is about sort of what happened after that, the ripple effect even years later, and how the response of my boss, my health system, my colleagues maybe amplified or made it worse. And then what really compelled me to write this story was when there was a physician that was murdered by a patient, I think not an oncologist, but I just felt the circle sort of tightening in that eventually we're all going to have to think about this. And so that's really what pushed me to write it. Dr. Lidia Schapira: Yes, and we're grateful for you bringing it to our attention. Let's just start by reflecting on this relationship you had with a patient. You opened the essay by saying that you seemed to trust each other, that you were delighted to see her name on the schedule, that she knew about you, that you had shared freely about your life. And then this threat comes out of nowhere. You didn't anticipate it, and it also comes at a time when there were very few people around because it's a holiday. So tell us a little bit about how you felt in that moment. You basically wanted to make a quick exit from the room, and that comes across, but can you tell us a little bit about what the feelings were that you experienced at the time? Dr. Noelle LoConte: Immediately, I felt terrified because whether she intended to or not, I believed her that she had a firearm and was going to kill me. The story goes into why I felt that way, but suffice to say; I couldn't sort of intellectualize my way out of this one. I really, deep in my heart, felt panicked. I think after the fact after I got out of the room and got through that day of clinic, I felt ashamed. I think that was probably the emotion I felt, that I fell for it, so to speak, that I didn't just trust that everything was going to be fine. Dr. Lidia Schapira: Can we talk a little bit more about that shame? I think that is such an important feeling that many physicians share an experience at some point and often doesn't get talked about. How long did it take you to understand that it was perhaps some shame that you were also feeling and perhaps that that was also isolating and compounding the trauma? Dr. Noelle LoConte: I would say I felt ashamed because I got back to the workroom, and I had to ask for help. I'm of a generation of physician before work hour restrictions and caps and so forth, where I worked many a day, totally sick. I don't think I had ever called in sick to that point. I'm not saying that to say that's the right approach. I, in fact, do not think that's the right approach, but that's the type of physician that I am and how I grew up. I'm also from the upper Midwest, where work ethic really is like the most important personal characteristic, so I take my work pretty seriously. So I felt I had let myself down, I'd let my team down, I had let my patients down, that if I had been a “better physician,” that this wouldn't have gotten to me the way it did. So I would say I felt shame almost immediately. It's been the letting go of the shame that has taken a lot longer. Dr. Lidia Schapira: Talk to us a little bit about the process of letting go of the shame. You mentioned very specifically some activities that helped, finding a therapist that helped, taking time away from work that helped. But walk us through that process. Dr. Noelle LoConte: Yeah, and I think part of the story, too, is that I kind of bumbled into this, and it would have been better for people above me or supporting me to be like, “You need to do X-Y-Z.” And ultimately, it was when I landed with Primary Care that they were like, “Oh yeah, we get threatened all the time. Here's how we do it.” But yeah, what I did was I used employee assistance program, and then they connected me with a trained therapist who worked with providers that have been threatened - so unfortunately, a growing population for her - and I just in that moment decided to set aside my need to kind of be evidence-based and intellectualize my way out of everything, and I said I am just going to trust that whatever they tell me is sound, and no matter how ‘woo' it sounds to me, I'm just going to do it. Because, at the time, I wasn't sleeping at all. At this point, it had been days, I think since I had slept. And she talked about hydration, nutrition, exercising to really get your heart pumping, get really sweaty, having a safety plan, not being alone. And so I just really just said, ‘I'm just going to do it.'. And then, ultimately, it's really time away from the incident. I mean, it still has not left me, but it is much better. Dr. Lidia Schapira: Can you share with us a little bit how this impacted your life away from work, at home, how it impacted your relationship with your kids, with your peers, and with people you interact with outside of medicine? Dr. Noelle LoConte: Yeah, I mean, the most immediate thing was that, unfortunately, there was an active shooter alert that happened shortly after my incident. And I was at home with my kids, and in the moment, I thought I was going to die, and I thought my kids were going to be left without a mother. So, my kids, I wanted to keep them safe from harm, and so I had real moments of thinking like, I should leave my job. It's not worth it. As far as my husband, he's also a physician, and so he implicitly understood. Dr. Lidia Schapira: I'm glad you had the support that you needed. But you talk a little bit about the lasting trauma, and in the article, you mentioned that what led you to write about this was that there was a trigger that occurred. Can you share a little bit about that? And not only what the triggering incident was, but how do you continue to deal with sort of this ripple effect of what happened now several years ago? Dr. Noelle LoConte: Yeah, the triggering event for me was I was up on our inpatient unit. So I'm an academic oncologist, we have an inpatient oncology unit. At the time, it was staffed by medical oncologists, we do a week at a time. Now it's shared with the hospitalist, which is wonderful. Actually, it's a great model. But I was the medical oncologist up there, and so you get whatever comes in the door for that week, and there was a patient who was angry and frustrated and had a very bad cancer and the recipe for possible aggressive behavior. And so we were rounding, and I was in the room, and she started yelling at me, and her mother started yelling at me about parking and the food in the cafeteria and when her CAT scan was going to happen - things I have zero control over. But I'm used to– I think all oncologists are used to kind of being the receptacle for people's feelings about an out-of-control situation. At least they can control their conversations with us. So in the moment, I was like, “Okay, she's not really mad at me, she's mad at the situation, and I'm just going to let her get this out.” But what happened was it brought me right back to that room with my patient, and I dissociated for the first, and I think maybe the only time in my life where I physically could feel myself, like, leaving my body. It was very unsettling for me in the moment, and I had to kind of back up against the wall and ground myself. I realize now what I was doing. But yeah, so that happened. And then that same day, I think, was the day that the orthopedic surgeon got killed. And so I was just like, ‘What is going on?' There's so much gun stuff right now that it's just impossible to be like, “Well, I'm never going to think about this again,” because it's in your face all the time. Dr. Lidia Schapira: I'm so sorry this happened to you. And again, on behalf of all of our readers, we're grateful that you took the time to share the experience with us. So thinking a little bit about how we can respond to colleagues and how we can perhaps prevent some of these consequences of violent threats or acts of violence, what have you learned, Noelle? How should organizations respond? What do we need? What can we expect? Dr. Noelle LoConte: Yeah, I think if you're in a leadership position over a clinic, over a group of providers, including physicians, NPs, APPs of any variety, learners, medical students, residents, fellows, you need to know at a moment's notice what to do if that person is traumatized. And I would include threats of violence in that trauma. Ultimately, it was sort of a game of hot potato with me, and nobody really knew, and they were looking into it, and it's really time sensitive. So I would say if you're a leader, know what to do and know it immediately. I think the other thing is, if you're a male, know that this happens to your female colleagues and non-binary colleagues much more. One of the strategies is to transfer the patient to a male provider. I think hospital security could have been more responsive to my concerns. So in my workspace, and it continues to this day, the provider's in the corner of the room, so you have to walk past. I think we could take some cues from psychiatry and emergency medicine, having things like panic buttons, easy exit for providers, security walk-throughs. Dr. Lidia Schapira: It saddens me to think that we need to think about it and plan for it in a way because we talk so much and train so much for establishing trusting relationships with our patients, and what you're saying is, basically, we can't take anything for granted, even in the context of what appears to be a functioning longitudinal relationship. And that's a scary thought. How do you go to clinic every day and think that this might happen again when you walk into a room? Dr. Noelle LoConte: I mean, I'd be lying if I didn't say I sort of compartmentalize it, right? I am much more cautious about what I share with my patients about my family. I always kind of take a scan of the room when I'm entering right now and kind of know my surroundings a little bit better, I would say. And I don't assume, I think before this, I had assumed if they have brain mets, if they have a history of a psychotic mental illness, something like that, that I would be more concerned. I'm sort of always aware that this could happen. I think advocating for things like metal detectors, hospital security are all good things too, and I have much less tolerance for being the punching bag, I would say right now. So when people get angry, I just say, ‘I'm leaving the room. When you've calmed down, I'm happy to come back. Here's how to get a hold of me.' And that's all just self-preservation. That's not because I think patients are bad for being angry. I would probably be angry too, but I need to have clear boundaries about what I can and cannot do. Dr. Lidia Schapira: How do you think this experience has changed you? And do you think that your colleagues and your patients appreciate the change? Dr. Noelle LoConte: I think it's made me less open. It's definitely made me not want to have super close relationships with patients anymore. Less trusting. I mean, I know that my colleagues happily covered my clinic, but I know there are also hospitals where that wouldn't happen. I'm eternally grateful to those few weeks where they let me take a breather because that's when I realized I really love patient care, and I missed it. I don't know if everybody loves the new me, but I don't know that we had a choice. Dr. Lidia Schapira: Do you think this is, in part, a gendered conversation? You mentioned that it's more likely to happen to women. Can you expand a little bit on that for listeners? Dr. Noelle LoConte: Well, when you go to the literature, which of course, being an academic oncologist, was my first response, this happens all the time in emergency medicine and psychiatry. Much more common against women, I'll say providers, but physicians in particular. So yes, it is absolutely a gendered conversation. I think the expectation when we walk in the room is a different expectation about how relational we're going to be, how caring and compassionate. It's not just enough to be competent and intelligent. You also have to be motherly and loving and all this. So, yes, I absolutely think it's a gender conversation for sure. For sure. Dr. Lidia Schapira: Are there any texts or papers that have been particularly helpful to you or stood out to you that you would recommend to others? Dr. Noelle LoConte: There was a series, I believe, in emergency medicine literature. I can circle back to you guys and get you the exact reference, but I found their strategies for dealing with aggressive patients very helpful. And I actually found talking to my nursing friends and colleagues was really helpful because they are really experts in de-escalation. So I really rely on them to kind of get language that makes sense coming out of my mouth like that whole, “I'm going to come back when you stop being angry.” So I would say more than any individual article, it was talking to nurses. Dr. Lidia Schapira: I imagine a simulation exercise could be helpful as well for all of us, right? Especially those of us who may be more at risk or have the sort of open, sincere approach to patient care as if we can trust everybody, and perhaps we can. We're very glad that you shared what you were able to share. Dr. Noelle LoConte: Thank you. Dr. Lidia Schapira: That you brought attention to this very important topic to our community, and I'm sure you've already had responses from colleagues. We've certainly heard from a lot of people who really appreciate your honesty and bringing this story forward and have unfortunately heard similar stories from colleagues. Dr. Noelle LoConte: Yeah, I think it's pretty common. Dr. Lidia Schapira: So good luck, read well, play a lot, exercise your brains out until your heart rate is in the stratosphere. And thank you. Thank you for sending it. Thank you for sharing it. I know it's been very difficult. Dr. Noelle LoConte: You're very welcome. Thank you for reading it. Dr. Lidia Schapira: Until next time. Thank you for listening to JCO's Cancer Stories: The Art of Oncology. Don't forget to give us a rating or review, and be sure to subscribe, so you never miss an episode. You can find all of the ASCO shows at asco.org/podcasts. The purpose of this podcast is to educate and to inform. This is not a substitute for professional medical care and is not intended for use in the diagnosis or treatment of individual conditions. Guests on this podcast express their own opinions, experience, and conclusions. Guest statements on the podcast do not express the opinions of ASCO. The mention of any product, service, organization, activity, or therapy should not be construed as an ASCO endorsement. Like, share and subscribe so you never miss an episode and leave a rating or review. Guest Bio: Dr. Noelle LoConte is an associate professor of Medicine at the University of Wisconsin School of Medicine and Public Health. Additional Reading: 1. Richardson SK, Ardagh MW, Morrison R, Grainger PC. Management of the aggressive emergency department patient: non-pharmacological perspectives and evidence base. Open Access Emerg Med. 2019 Nov 12;11:271-290. doi: 10.2147/OAEM.S192884. PMID: 31814780; PMCID: PMC6861170. 2. Incivility in Health Care: Strategies for De-escalating Troubling Encounters
Only in Seattle - Real Estate Unplugged
The National Park Service has an important message for those who encounter a bear in the wild: Don't "push a slower friend down" when running away, even if the friendship is nearing the end of its life.NPS gave the cheeky advice Tuesday in a series of tweets, saying, "If not friend, why friend shaped? What about your other friend? Seeing a bear in the wild is a special treat for any visitor to a national park. While it is an exciting moment, it is important to remember that bears in national parks are wild and can be dangerous."As the snow begins to melt and temperatures rise, bears become more active. NPS has some tips you can use to help ward off a potentially lethal situation:Identify yourself by talking calmly so the bear knows you aren't prey.Remain still and stand your ground, but slowly wave your arms.Stay calm. Remember that most bears do not want to attack, they just want to be left alone.Support the showSign Up For Exclusive Episodes At: https://reasonabletv.com/LIKE & SUBSCRIBE for new videos every day. https://www.youtube.com/c/NewsForReasonablePeople
OMG we're at it again with TLAs, NPS, cSAT & we D.I.G for innovation with special guest Brian Trier. Are you gonna eat those tots? Are you READY & SET? Well then, let's GO! Brian shares the secret sauce. We actually D.I.G the innovation and learn Brian's CORE 4. Let's hope this podcast is sustainable. This is the one you can't miss!!
When Amanda was getting her Master's in engineering, she felt product management calling her. She just didn't know the name of it yet. She gravitated towards a role where she could lead people, processes, tech, and marketing.Since then, she's boosted NPS from 30 to 71, built a community, hired a diverse team, and learned how to retain top talent. She's sharing all of that in our latest Product Chats episode! Time Stamped Show NotesGetting into product [00:59]Interviewing customers [01:56]Deciding when to fail [06:16]Eliminating the fear of failure [07:08]Measuring NPS from beginning to end [09:43]Building a community [17:14]Diversity [19:11]Retaining talent [27:45] Advice for aspiring product leaders [29:05]Top product management books [30:06] Product Chats is brought to you by Canny. Over 1,000 teams trust Canny to help them build better products. Capture, organize, and analyze product feedback in one place to inform your product decisions.Get your free Canny account today. Stay Connected!TwitterFacebookLinkedIn
Dave Wakeman's The Business of Fun Podcast
My final conversation from the floor of INTIX at the Booking Protect booth. This time I catch up with friend of the podcast, Christy Grantham. We talk about why she goes to INTIX. Christy talks about how INTIX helps her learn about new tech, new ideas, and avoid burnout. One of the important things Christy learned was around the shift from "no refunds, no exchanges". She also highlights the importance of meeting the customer where they are. Giving people more options gives you a higher NPS number... We also hit on how Christy could do customer tags right away in her hotel room...we will have to check in later to see if she followed through. Give this one a listen and let me know what you think. Check out my friends at Cover Genius. Building on this conversation, check out 'Cancel For Any Reason' the ultimate in peace of mind. Visit their website at www.covergenius.com Get the 'Talking Tickets' newsletter at https://talkingtickets.substack.com Visit my website at www.DaveWakeman.com Share the podcast. Rate it! Review it!
The Trident Room Podcast host Sydney Murkins sits down and has a conversation with Lt. Col. Chris Dellow, USMC. This episode was recorded on January 22, 2023. Lt. Col. Chris Dellow is an Infantry Officer, International Affairs Program Manager and FAO Advocate, HQMC. The Trident Room Podcast is brought to you by the Naval Postgraduate School Alumni Association and the Naval Postgraduate School Foundation. www.npsfoundation.org For comments, suggestions, and critiques, please email us at TridentRoomPodcastHost@nps.edu, and find us online at nps.edu/tridentroompodcast. Thank you! The views expressed in this interview are those of the individuals and do not reflect the official policy or position of the U.S. Government, the Department of Defense, the US Navy, or the Naval Postgraduate School.
Frankly Speaking About Family Medicine
Credits: 0.25 AMA PRA Category 1 Credit™ CME/CE Information and Claim Credit: https://www.pri-med.com/online-education/podcast/frankly-speaking-cme-318 Overview: Have you ever experienced impostor syndrome? Or do you mentor someone struggling with this sense of inadequacy? If so, you won't want to miss this podcast episode. You will formulate a clear definition of impostor syndrome, understand its components, and walk away with practical tips to help overcome it... Episode resource links: J Am Coll Surg 2021 Nov;233(5):633-638. Curr Pharm Teach Learn 2022 Feb;14(2):130-132. doi: 10.1016/j.cptl.2021.11.019. Epub 2021 Dec 27 Guest: Mariyan L. Montaque, DNP, FNP-BC & Susan Feeney, DNP, FNP-BC, NP-C & Jill M. Terrien, PhD, ANP-BC Music Credit: Richard Onorato To learn more about Primary Care Bootcamp for NPs and PAs: https://bootcamp.pri-med.com/app
National Parks Traveler Podcast
Big Bend National Park is not simply a park that you pass along the way. Located in West Texas along the US/Mexico border, this 1,252-square-mile park is five hours from the closest commercial airport. In other words, you must make Big Bend your final destination if you're going to visit. You're not going to just happen upon it as you drive down the road. But once here, you're likely to be astounded by the ruggedness, the beauty of the Chisos Mountain Range that falls entirely within the park's borders, and the rich cultural history preserved here. Aside from the natural beauty of Big Bend, there's a lot going on here that's going to affect most visitors. There's work to design a new lodge, a question of whether the official wilderness designation should be applied to some of the park's landscape, and there are staffing issues and even wildlife issues. The Traveler's Lynn Riddick traveled to Big Bend to discuss these issues and more with Superintendent Bob Krumenaker.
Marietta Daily Journal Podcast
Motorists in Austell pulled over for faulty tail lights, broken rearview mirrors or other damage to their cars could now be in for a gift card instead of a ticket. Thanks to a partnership between Advance Auto Parts and the Austell Police Department, officers responsible for traffic citations have $500 worth of gift cards from the auto shop. Instead of making drivers pay, the city will pay drivers to be safer on the road, giving them a gift card to fund repairs so that they comply with the law. Austell Police Chief Scott Hamilton was joined by other officers in the city's police department Thursday at the Advance Auto Parts on Veterans Memorial Highway to announce the collaboration. Mark Strenta, an Advance Auto Parts vice president, said this is the company's first partnership with any Cobb city, and the first to happen in one west of Atlanta. Advance Auto Parts already has similar partnerships with Sandy Springs and Lilburn, and Strenta hopes to expand to Peachtree City soon. Cobb County leaders were in the schools Thursday to read to students as part of Read Across America Day. Established by the National Education Association in 1998, Read Across America now offers year-round programming to encourage reading among students, and it does so by promoting books that students can both see themselves reflected in, as well as those that present experiences that may be different from their own. It also still marks March 2 as Read Across America Day, and all of March is National Reading Month. Smyrna Mayor Derek Norton read to fourth-grade students at Norton Park Elementary to recognize the event. As part of her “Read Across Cobb tour,” Cobb school board Nichelle Davis read to “Smyrna Elementary STARS” to celebrate the day. Another Cobb school board member, Leroy Tre' Hutchins, read to students at Riverside Elementary in Mableton. Kennesaw State used three straight 3-pointers deep into the shot clock, including what may have been the biggest shot in the program's Division I history, to hold off Lipscomb 80-71 in the semifinals of the ASUN tournament at the KSU Convocation Center on Thursday. The Owls will now host the conference championship game for the first time. They will get a rematch with co-regular season champion Liberty on Sunday at 3 p.m. with the winner earning the automatic bid into the NCAA tournament. It will be the first time KSU will play in the title game, and it will be the first game to be shown on national television from the Convocation Center, as ESPN 2 will broadcast it. If the Owls win on Sunday, they will clinch a spot in the NCAA tournament for the first time since the program moved to Division one. The Chattahoochee River National Recreation Area, stretching along the river for 48 miles through metro Atlanta, posted its highest ever number of visitors in 2022, the National Park Service announced Thursday. Some 3.5 million people are estimated to have visited the recreation area last year, representing an increase of about 9% from 2021. That outpaces the river's park service neighbor in Cobb, Kennesaw Mountain National Battlefield Park, which had about 1.3 million visitors in 2022. Among all National Park Service units nationwide, the Chattahoochee ranked 21st in attendance. The park service said to avoid crowds, visitors are advised to visit NPS dot gov. A Cobb County police officer was involved in a car wreck Thursday morning. Police spokesperson Shenise Barner said the collision occurred around 7 a.m. near Atlanta Road at Bingham Street, in the Fair Oaks area. There were complaints of minor injuries, but Barner said this was not a “major crash.” Cobb's Selective Traffic Enforcement Unit is investigating the incident. The Kennesaw Parks & Rec Department will have the annual Bunny Breakfast on April 1 at the Ben Robertson Community Center in Kennesaw. There will be two seatings available: 8 to 9:15 a.m. and 10 to 11:15 a.m. Attendees will be treated to a buffet including hot and ready pancakes, scrambled eggs and sausage, as well as a medley of fresh fruit and breakfast sweets. Everyone's favorite cottontail will be making his way from table to table to say hello to all the boys and girls. Attendees are encouraged to bring their own camera to capture photos with the Easter Bunny. Tickets are $8 per person and can be purchased online or at the Ben Robertson Community Center. Advance purchase is required. Tickets are non-refundable after March 24. Children ages two and under do not need a ticket if they will be sitting in laps. New this year, experience the beauty of Smith-Gilbert Gardens at the annual Egg Hunt on April 1 with a combo Bunny Breakfast/Egg Hunt ticket. The Egg Hunt is open to children up to nine years of age. Easter themed crafts will be available at the Egg Hunt, as well as organized garden games. #CobbCounty #Marietta #LocalNews - - - - The Marietta Daily Journal Podcast is local news for Marietta, Kennesaw, Smyrna, and all of Cobb County. Subscribe today, so you don't miss an episode! MDJOnline Register Here for your essential digital news. https://www.chattahoocheetech.edu/ https://cuofga.org/ https://www.esogrepair.com/ https://www.drakerealty.com/ Find additional episodes of the MDJ Podcast here. This Podcast was produced and published for the Marietta Daily Journal and MDJ Online by BG Ad Group For more information be sure to visit https://www.bgpodcastnetwork.com See omnystudio.com/listener for privacy information.
Sans The Sugarcoat, Our Autism Journey
Community Transition Academy (CTA) is a nonprofit, 501(c)3 charitable organization that focuses on providing individuals with developmental disabilities skills they need to live in a more inclusive community while leading by example, true all-ability community inclusion. The Academy is a community and classroom-based, non-public transition high school (NPS) for teens and emerging young adults with developmental disabilities. Community Transition Academy offers a uniquely individualized transition curriculum taught both in the classroom and in the community infused with the evidence-based principles of Applied Behavioral Analysis (ABA). CTA's school schedule is unique. CTA operates on a modified year-round school year schedule which includes an Extended School Year (ESY). Community Connection Project is a community-based adult transition program which focuses on providing supported, integrated, community experiences for individuals with significant communication and behavioral challenges. CCP provides natural opportunities for our program participants to discover what they want to do in their adult lives and develop and practice skills to make these choices a reality. More information: https://www.communitytransition.org/ ________________________________________ We would love a review on Apple Podcast, Spotify or Audible If you have any question, would like to be a guest: Contact us - email: firstname.lastname@example.org https://www.autismmastermind.co/ IG, FB, YouTube @autismmastermind
In our latest episode Kingy and Drisky don their tuxedos and sup on their vodka Martinis, shaken not stirred and take a look through March 40th Anniversary of James Bond video games. Not only that It is also the 70th Anniversary in April since James Bond was first introduced to the world in the book Casino Royale and October last year was the 60th Anniversary of the Bond films, so there is plenty of reasons to celebrate Bond. So sit back and enjoy as we take you through 40 years of great gaming history with Bond. James Bond Blu Ray Collection : https://www.amazon.co.uk/James-Bond-Collection-1-24-Blu-ray/dp/B074T8XN1Q/ref=sr_1_8?crid=2V7LY2P5J0MWA&keywords=james+bond+box+set&qid=1676922538&sprefix=james+bond+%2Caps%2C100&sr=8-8 here is the original tune, that Bond tune was based from an abandoned indian inspired musical in 1950...Monty Norman who was brought on to do dr no music and wrote the ursula andress song in dr no, but wasnt the sound they wanted so they brought in john barry last min....who took the tune and jazzed it up... https://youtu.be/g6EuzGhIyRQ 1. Shaken But Not Stirred 1982 spectrum Play Online : Spectum : https://zxart.ee/eng/software/game/arcade/action/shaken-but-not-stirred/shaken-but-not-stirred/# 2. James Bond 2600 1983 vcs, c64 Play Online : Atari 2600 VCS : https://archive.org/details/atari_2600_james_bond_007_james_bond_agent_007_1983_parker_brothers_joe_gaucher_l 3. A View to a Kill (both pc txt adv and Domark) C64 : https://archive.org/details/View_to_a_Kill_A_1985_Domark_cr_DD PC Mindscape Text Adventure : https://archive.org/details/a2woz_James_Bond_007_in_A_View_To_A_Kill_1985_Mindscape Manuals for PC Game : https://www.mocagh.org/loadpage.php?getgame=viewtoakill-alt 4. Goldfinger 1986 (pc txt adv) PC Mindscape Text Adventure : https://archive.org/details/msdos_James_Bond_007_-_Goldfinger_1986 Manual : https://www.mocagh.org/loadpage.php?getgame=goldfinger 5. Living Daylights 1989Amstrad CPC : https://archive.org/details/007_The_Living_Daylights_1987_Domark 6. Live and Let Die 1988 C64 : https://archive.org/details/Live_and_Let_Die_1988_Elite 7. License to Kill 1989 https://archive.org/details/zx_007_Licence_to_Kill_1989_Domark_a_128K 8. Spectrum +2 Action Pack 1989 Ad: ZX Spectrum +2 James Bond 007 Action Pack 1990 TV Commercial Q Audio Tapes on You Tube : James Bond Action Pack - Desmond Llewellyn's Audio Briefing as QQ Audio Tapes in MP3 Format https://archive.org/download/World_of_Spectrum_June_2017_Mirror/World%20of%20Spectrum%20June%202017%20Mirror.zip/World%20of%20Spectrum%20June%202017%20Mirror/sinclair/music/bonustracks/JamesBond007ActionPack.mp3.zip 9. Spy Who Loves Me 1990 Amstrad CPC: https://archive.org/details/007_The_Spy_Who_Loved_Me_1990_Domark_cr_NPS_t_2_NPS Amiga Manual : https://archive.org/details/TheSpyWhoLovedMe/page/n4/mode/1up 10. James Bond: Stealth Affair 1990 PC: https://archive.org/details/msdos_James_Bond_007_-_The_Stealth_Affair_1990 11. Octopussy (unlicensed Slovakian Game) 1992 translated and given 128K mod in 2018 Spectrum : https://archive.org/details/zx_James_Bond_Octopussy_1992_Ultrasoft_sk_128K_incomplete 2018 128K Mod: https://vtrd.in/release.php?r=0ea1fbab0fdaf6563d85d2d4e7308a19&fbclid=IwAR1m-XGvc0BcogaUzLg9z2hZLtoEkvaLpA1j_7ggLYV7z4E7CSW7z3J_mtY 12. James Bond The Duel ( MegaDrive and Master System) Vid: James Bond 007: The Duel (Sega Genesis/Mega Drive) - Full Walkthrough HD 13. Goldeneye N64 1996 Buy Rare Replay Digitally to Own Goldeneye on Xbox (Currently in Sale as of 1st March) : https://www.xbox.com/en-GB/games/store/rare-replay/BWXKD3FFMNP3 Golden Eye Source: https://www.geshl2.com/ XBLA ver and new release. https://gamingretro.co.uk/how-to-play-goldeneye-007-xbox-360-xbla-game-on-windows-pc/ 1964 Emulator to play Goldeneye, GoldFinger 64 and Perfect Dark with upscaled visuals and option for mouse and keys support: https://github.com/Graslu/1964GEPD/releases/tag/latest?fbclid=IwAR32q74h3xKUIRUm5rHXJ_c3JBnMjAKMHgcwh4NeQa-vaRYXD1ikHZWLbtc XBLA Version never officially released : GoldenEye 007 XBLA - Longplay (4K 60FPS) 14. James Bond 007 1998 Gameboy James Bond 007 (GB) - Level 1&2 (China/London) - Long Play 15. Tomorrow Never Dies ps1 Old UK gaming advert - Playstation James Bond Tomorrow Never Dies 1999 1990s 16. World Is Not Enough 2000 n64 and ps1 (diff games n64 better) 17. 007 Racing ps1 Agent Under Fire (GC, PS2, Xbox) 19. NightFire 2002 (GC, PS2, Xbox) mention terrible pc and diff gba game. 20. Everything or Nothing (gc, ps2, xbox) mention diff gba game 21. Goldeneye : Rogue Agent (gc, ps2, xbox) mention ds version 22. From Russia with Love 2005 (GC, PS2, Xbox, PSP) 23. Quantum Of Solace (PS3, 360, wii, pc) mention diff ds game 24. Bloodstone (ps3, 360, pc) mention diff ds game. 25. Goldeneye 007 2010 Wii and Goldeneye Reloaded 2011 ps3,360 26. 007 Legends 2012 (ps3, 360, pc wiiu) 27. Goldfinger n64 fan made game patching Goldeneye rom Patched N64 Rom : https://drive.google.com/file/d/1-CDp1qcn55XUVWy8IK6arwuzMC3Y37xD/view?usp=sharing
You might imagine the logistics around subscription box fulfillment are rather simple, right? You have control over what goes in your customer's box, when it gets shipped, and how often you build them... Think again. This week, Alex and Michelle practice mindful breathing with John Roman, CEO of BattlBox and Carnivore Club. Throughout their conversation, John emphasizes the importance of fostering community and building transparency when facing inevitable cracks in your supply chain–regardless of who's at fault. John joined the BattlBox team back in 2015 once he heard his college friend was creating a subscription box model for survival and outdoors gear. Working as CMO for five years, he became the CEO back in October of 2021. Since then, John has worked to expand and scale BattlBox to Canada and launch their latest brand, Wanlow, a children's subscription box aimed at inspiring more connections to the outdoors. Today, hear as John shares how he and his team prepped for incoming demand following the release of their very own Netflix show, Southern Survival. Also, find out what the procurements process looks like when it comes to selecting items for subscription boxes. —Guest Bio:John Roman is the CEO of subscription box retailers BattlBox and Carnivore Club. BattlBox provides customers with handpicked outdoors/survival gear each month, offering a variety of price points to accommodate every budget. Subscribers can expect everything from premium axes to full sized tents for their next adventure. Carnivore Club is the world's first subscription service featuring premium cured meats delivered to customers' doors. John joined BattlBox after leading several successful sales organizations in telecomm and software, including his roles as VP of Enterprise Business Development at AVOXI, and Director of Enterprise Sales at Cbeyond. Together, John partnered with college friends, BattlBox Founder Daniel Dabbs, and COO Patrick Kelley (AKA “The Three Amigos”) to build the brand from the ground up. Since becoming CEO, John has overseen the EMERGE acquisition of BattlBox and Carnivore Club, launched BattBox to Canada, and debuted their newest brand, Wanlow. If you want to hear more from him, he also hosts the blog: onlinequeso.com—Guest Quote"At the end of the day, it's all about the customer experience. You want to create a sense of excitement and anticipation for your subscribers every time they receive a box from you. That means paying attention to every detail, from the product selection to the packaging to the delivery experience." - John Roman—Time Stamps*(1:43) An all too familiar challenge*(6:23) Memorable BattlBox products*(7:45) Championing content & culture*(10:21) Building customer loyalty during delays*(14:43) Subscription box procurement*(17:19) Preparing for Netflix promotion*(22:49) The simple path to customer success*(27:47) Focusing on each NPS score*(31:32) Hard Hitting Questions—Sponsor:This podcast is powered by the team at Stord. Turn your supply chain into a competitive advantage. Go to Stord.com to learn more. —LinksConnect with John Roman on LinkedInConnect with Alex Kent on LinkedInConnect with Michelle McNamara on LinkedInCheck out the Stord WebsiteLearn more about BattlBox
NP Pulse: The Voice of the Nurse Practitioner (AANP)
In the U.S., the incidence of major depressive disorder (MDD) has increased significantly since the onset of the COVID-19 pandemic. Nurse practitioners (NPs) are crucial in the identification and treatment of people with MDD and can make a major impact on their lives. Listen in as psych-mental health NPs Drs. Lisa Anderson and Brayden Kameg discuss the symptoms, screening tools, diagnosis, treatment and follow-up care of the patient with MDD. Resources Major Depressive Disorder: Evidence-Based Strategies to Improve Patient Outcomes https://aanp.inreachce.com/Details/Information/3f326558-d7d8-432a-bef5-c902b056d7b9?ref=featured Major Depressive Disorder Patient Education Tool https://storage.aanp.org/www/documents/practice/therapeutic-areas/Major-Depressive-Disorder-Tool.pdf Supported by an educational grant from Takeda Pharmaceuticals U.S.A., Inc.
These days the news is saturated with stories of tragedies from all corners of the world. Because of this, it's sometimes difficult to have an optimistic attitude about the future. It's easy to forget the leaps and bounds we have already made. Centuries of progress and advancements in science and technology feel insignificant when faced with a mountain of modern day issues. But rest assured, we have made progress, especially when we reflect back on the horrific stories that unfolded within Gettysburg National Military Park. Book Recommendations: Bullets & Bandages: The Aid Stations and Field Hospitals at Gettysburg by James Gindlespreger Too Much for Human Endurance: The George Spangler Farm Hospital and the Battle of Gettysburg by Ronald Kirkwood Healing A Divided Nation: How the American Civil War Revolutionized Western Medicine We love our National Parks and we know you do too but when you're out there, remember to enjoy the view but watch your back. Please take a moment to rate and subscribe from wherever you're listening to NPAD! Become part of our Outsider family on Patreon to gain access to ad-free episodes, bonus content, and more. Follow our socials Instagram, Facebook, and Twitter. To share a Trail Tale, suggest a story, access merch, and browse our book recommendations - head over to our website. Thank you so much to our partners, check them out! Miracle Brand: Use our link and code NPAD to save over 40% and get 3 free towels. Alo Moves: Use code NPAD to get a free 30-day trial plus 50% off an annual membership. Mosh: Use our link and save 20% off plus FREE shipping on your first 6-count Trial Pack. Sources: National Library of Medicine, NPS, National Park Foundation, Bullets & Bandages by James Gindlespreger, History Tavern Podcast, National Museum of Civil War Medicine, Wikipedia, American Battlefield Trust, YouTube
The Elite Nurse Practitioner Show
Today we'll be talking to Dr. Chris Seitz, who is a partner and CEO of Guardian Medical Direction, his company has partnered with the elite NP for our physician collaboration network to provide actionable and affordable collaboration and directorship for those NPs who need it. In this special episode, Dr. Seitz answers a lot of our questions regarding collaboration and he sheds light on the role the Boards of Nursing have and how they're really there to help and not to obstacle NP-owned and operated practices.
Exploring the Connection Between Love and Loyalty - Fred Reichheld [NPS]Fred Reichheld is the creator of the Net Promoter system of management, founder of Bain & Company's Loyalty practice, and author of several books.Some people and companies implement NPS the wrong way by treating it as a score rather than a system, focusing on the number rather than the customer relationship.The right way to implement NPS is by treating it as a system, focusing on building customer relationships, and using the score as a means to an end rather than an end in itself.NPS has evolved to include different methods of measuring and acting on customer feedback.Love and loyalty are closely related, as customers who feel loved by a company are more likely to be loyal and to recommend the company to others.Companies that focus on frontline team leaders are more likely to succeed in building customer loyalty.To be remarkable, companies must provide a unique and valuable customer experience.Persistence is key to building customer loyalty over time.Only 10% of executives believe the primary purpose of the business is to enrich customers' lives, highlighting a need for more customer-centric thinking in business.ABOUT NICK GLIMSDAHLSubscribe to my bi-monthly newsletterFind Press 1 For Nick on YouTubeFind me on TwitterFind me on LinkedInLISTENER SUPPORTPurchase Nick's books: Reasons NOT to Focus on Employee Experience: A Comprehensive GuideApparel: https://www.teepublic.com/user/press-1-for-nick Support this show through Buy Me A CoffeeBOOK RECOMMENDATIONS:Learn about all the guests' book recommendations here: https://press1fornick.com/books/ BROUGHT TO YOU BY:VDS: They are a client-first consulting firm focused on strategy, business outcomes, and technology. They provide holistic consulting services to optimize your customer contact center, inspiring and designing transformational change to modernize and prepare your business for the future. Learn more: https://www.govds.com/ This podcast is under the umbrella of CX of M Radio: https://cxofm.org/Podcast-Shows/ SPONSORING OPPORTUNITIES:Interested in partnering with the Press 1 For Nick podcast? Click here: https://press1fornick.com/lets-talk/
"So there's a massive amount of insights coming from this. We measure things like net promoter score -- we have an average NPS of around 73, which as we all know is pretty great. And a big one for me is that 41% of people we actually go on to hire actually have used the platform once or more than once. That's a really big figure to show this is actually supporting employees to apply with us and attracting them to us and being successful in getting a role with us." Lisa Brignall, Head of Talent Acquisition GB at Coca Cola Europacific Partners We're Only Human -- Episode 155 One of the things every company struggles with is sharing a realistic preview of the job with candidates. Job applicants expect recruiters and hiring managers to smooth over the rough edges, and it's tough to have a transparent and honest conversation. But Lisa Brignall and the team at Coca Cola Europacific Partners have found a way to solve for this. They actually give candidates access to employee Insiders that are empowered to talk about the culture, work conditions, and other realities of employment. In this episode of We're Only Human, Ben and Lisa talk about the program, how it's set up, and what results and impact it has already demonstrated in a relatively short time. If your company is hiring and wants to create a more open dialogue with candidates, this episode is for you. Show Notes Connect with Lisa on LinkedIn Check out the recruitment marketing episode with Kelby Tansey from Southwest Airlines Check out the show archives and links to subscribe on Spotify, Google, Amazon, and more
With over 52 million acres, the US National Park system is home to some of the most breathtaking natural features on the planet. Tens of millions enjoy the parks every year. While most visits end with an amazing memory, many have not. The official NPS cold case count stands at 29, however, independent researchers estimate between 1100 to 1600 unsolved disappearances originate in our parks. Join us this week as we begin the mini-series, “National Park Cold Cases”. Cases covered in this episode; Justin Richardson, Drake Kramer, and Morgan Heimer. New Patreon Shoutouts - Sara Helmerich & Carl Parker. Want to help the show out and get even more Locations Unknown content! For as little as $5 a month, you can become a Patron of Locations Unknown and get access to our episodes two days before release, special Patreon only episode (Currently a backlog of 31 additional episodes), free swag, swag contests, your picture on our supporter wall of fame, our Patreon only Discord Server, and discounts to our Locations Unknown Store! Become a Patron of the Locations Unknown Podcast by visiting our Patreon page. (https://www.patreon.com/locationsunknown) Want to call into the show and leave us a message? Now you can! Call 208-391-6913 and leave Locations Unknown a voice message and we may air it on a future message! View live recordings of the show on our YouTube channel: Locations Unknown - YouTube Want to advertise on the podcast? Visit the following link to learn more. Advertise on Locations Unknown Learn about other unsolved missing persons cases in America's wilderness at Locations Unknown. Follow us on Facebook & Instagram. Also check us out on two new platforms - Pocketnet & Rumble. You can view sources for this episode and all our previous episodes at: Sources — Locations Unknown
Surendra Bashani, Senior Director of Product Management at Best Buy, joins us in the next episode of How I Grew This podcast. Surendra describes his role at Best Buy, where he focuses on various programs to see how customers behave and improve their customer experience. To measure the success of the programs, the team checks the metrics from adoption to increase engagement. They also measure customer feedback through CSAT surveys, customer satisfaction surveys, NPS, and store associates' feedback and experiences. Growing a business depends on the company, the product's life cycle, and the problems you can solve. There are two parts to grow, marketing and creating value for customers. Furthermore, Surendra talks about the impact of mobile technology on business growth. Three main elements drive the adoption of AR and VR. Firstly, the speed and power of hardware and AI on smartphones. Secondly, faster data. Thirdly, customers' interest in the metaverse and emerging gaming experience. Finally, Surendra gives valuable advice for people who want to become successful product managers and leaders. If you also want to become a top product leader, listen to this episode of How I Grew This podcast.
Sales and Marketing Built Freedom
Gregory Shove is the founder and CEO of Section4. Gregory has founded 6 companies and created over $250 million in exits! He talks to Ryan about how he made all this possible as well as how to recession-proof your business. KEY TAKEAWAYS Section4 Relies heavily on a consumer flywheel for its growth, the success partly being due to its high NPS score of 70 After realising he didn't like working for other people, Greg began his first start up with his wife, before selling it. Gregory loves the early stage of creating a business, whether it's bootstrapped or funded, it's the early stages he thrives in and enjoys the most. A high-touch, high-value sales process needs a high ACV and good renewal rates. Managing yourself as a CEO and investing your own time and capital to find the right product fit, is one of the biggest pieces of advice Greg would give to anyone starting out. Ask yourself, are you looking at all the relevant data before making business decisions? Think about your core customer, how do they buy and how and why do they renew? How could this change in a recession? Base your next decisions on this. BEST MOMENTS “Lots of capital which comes with all sides of upsides and all types of downsides” “I don't like working for other people” “Who is your core customer, how are they buying and renewing and how is that going to change in a recession?” Do You Want The Closing Secrets That Helped Close Over $125 Million in New Business for Free?" Grab them HERE: https://www.whalesellingsystem.com/closingsecrets Ryan Staley Founder and CEO Whale Boss 312-848-7443 email@example.com www.ryanstaley.io EPISODE RESOURCES ABOUT THE SHOW How do you grow like a VC-backed company without taking on investors? Do you want to create a lifestyle business, a performance business or an empire? How do you scale to an exit without losing your freedom?Join the host Ryan Staley every Monday and Wednesday for conversations with the brightest and best Founders, CEO and Entrepreneurs to crack the code on repeatable revenue growth, leadership, lifestyle freedom and mindset.This show has featured Startup and Billion Dollar Founders, Best Selling Authors, and the World's Top Sales and Marketing Experts like Terry Jones (Founder of Travelocity and Chairman of Kayak), Andrew Gazdecki (Founder of Micro Acquire), Harpal Sambhi (Founder of Magical with a previous exit to Linkedin) and many more. This is where Scaling and Sales are made simple in 25 minutes or less.Saas, Saas growth, Scale, Business Growth, B2b Saas, Saas Sales, Enterprise Saas, Business growth strategy, founder, ceo: https://www.whalesellingsystem.com/closingsecretsSee omnystudio.com/listener for privacy information.
Shawnna Sumaoang: Hi, and welcome to the Sales Enablement PRO podcast. I am Shawnna Sumaoang. Sales enablement is a constantly evolving space and we're here to help professionals stay up to date on the latest trends and best practices so that they can be more effective in their jobs. Today I’m excited to have Brooke Eklund from Vonage join us. Brooke, I’d love for you to introduce yourself, your role, and your organization to our audience. Brooke Eklund: Hi Shawnna, thank you so much for having me. I’m Brooke Eklund and I’m a sales enablement manager at Vonage. I’ve been with the organization for just over a year now. I was previously with IBM for 13 years in many different roles, so my background is in sales actually. I’ve held roles as a seller, and a front-line sales manager leading early career sales professionals, as well as then moving into global sales transformation and this has really led me on my sales enablement journey. I’m also a member of a community called Women in Sales Enablement, WiSE, and it is such a wonderful community of professionals that get together and share best practices, ask each other questions, and open communication and this has really helped to shape the way I operate within sales enablement. SS: Brooke, we’re excited to have you and I absolutely echo the sentiment around WiSE. We recently partnered with them as well around a compensation career pathing and DE&I enablement report. So, to our audience, if you haven’t seen that yet go to salesenablement.pro to our report section and check that out. It’s a worthwhile read. Brooke, we’re excited to have you join us here on our podcast today and one of the reasons why we wanted to bring you on is to talk about one of your specialties which is around finding inefficiencies in the sales process and creating ways to solve them. I’d love for you to help our audience understand how you go about identifying these inefficiencies. BE: Absolutely. The biggest part for me is being hands-on. When I start to learn a new process, I want to know everything about it. I tend to use my personal sales experience as I’m going through this would this make sense to me as a seller? Would this be beneficial to me as a sales manager? I try to put that hat on as well. Another theme you’ll hear me use throughout the entire podcast is communication. Constantly communicating with sellers and other stakeholders in the organization. I can give you one example of a particular project I worked on a certain tool adoption where my role was to design a superior user experience for sellers. In doing that, I probably interviewed 60 sellers, looked at the different fields within the tool, and saw what tied into other tools and what would be beneficial. That’s just one of the ways of being hands-on and communicating to help find those inefficiencies. SS: Really interesting. How do you differentiate inefficiencies in the actual sales process and inefficiencies in an individual sales rep skill set? BE: That’s a great question. I would say that I look at it as if is it affecting all sellers or just a subset of sellers. Again, I’ll go back to communication and feedback. I lead a team called SEAT which is a seller experience advisory team' which is made up of a core group of sellers from across the business and different go-to-market functions. We meet on a structured basis two times a quarter but we have a very open and ongoing dialogue through different communication channels. We’re always listening to their needs. They’re very open with us. The feedback and engagement we get is very high quality in terms of helping us understand what’s working and what’s not, and where we can make refinements and advancements. SS: Once gaps have been identified in the process, what are the next steps that sales enablement practitioners should take to resolve them? BE: I would say that it takes constant optimization. Keeping up with new technologies, staying with the headwind, of course, being proactive in assessing inefficiencies, and being ahead of those conversations. Connecting with our audience on an ongoing basis across different parts of the business is just crucial. SS: Absolutely, many companies are currently changing their priorities to really reflect the current economic climate. When changes need to happen at scale, what do you do to drive the adoption of those new processes? BE: I try to use change management methodologies, particularly the ADKAR model: awareness for the seller's desire, or the what’s in it for me, do they have the knowledge and the ability and then that constant reinforcement with them. Individuals in sales roles have variable skill sets and differences in the timing of their enablement needs. One of the things that I think is really helpful is for sellers to self-assess their skills than have the managers validate them. We can then identify gaps, provide just-in-time learning, and then do knowledge checks. At that point, we’ll be able to see the relevance of learning to their daily activities. SS: Interesting, and what are some of the key metrics that you tracked to ensure the success of the change management effort? BE: Some of the metrics that I tend to use are particularly around engagement. Are they engaged in the process and being advocates or champions for what we’re trying to do in the business? Then, of course, we use NPS surveys to get additional feedback and data points from our audience. SS: Especially right now, everything’s changing at a rapid pace, but we know buyers’ needs in particular are changing. What advice would you have for other enablement practitioners on how to effectively keep up with the changes in the market? BE: Well you are definitely on track with things constantly changing. I would say the first thing would be the ability to pivot and be agile. Oftentimes I’ve been in situations where working on something specific suddenly takes a back burner and I have to be able to pivot. The other thing I would say is to stay up to date with trends in the industry and then also ensure that there’s alignment with ever-evolving customer journeys. Assuring that the buyer’s needs are aligned with what the sellers are doing. Those would be my recommendations. SS: I think that’s fantastic advice. Brooke, thank you so much for joining us today. I really appreciate your insights. BE: Thank you so much. It’s been an honor. SS: To our audience, thanks for listening. For more insights, tips, and expertise from sales enablement leaders, visit salesenablement.pro. If there is something you'd like to share or a topic you'd like to learn more about, please let us know we'd love to hear from you.
NP Pulse: The Voice of the Nurse Practitioner (AANP)
Be inspired by Dr. Pandora Hardtman, Jhpiego's chief nursing and midwifery officer, who has worked to advance health equity around the world. Hardtman encourages nurse practitioners to lead locally and consider ways they can make a global impact. Listening can be the best form of advocacy, according to Hardtman, who urges NPs to stay open and engaged. Hear about her life experiences and be empowered along your own nursing journey. If you would like to further develop your leadership skills, AANP offers leadership courses for members, including the AANP Introductory Certificate on Leadership Course, which is a prerequisite for the AANP Executive Leadership Program. A separate AANP Educational Leadership Certificate course is also offered in the AANP CE Center. Register for the 2023 AANP National Conference in June, where you can earn continuing education credit in person or online, meet nurse practitioners from all over the world and hear from leading health experts. As a reminder, nominations for AANP's National Leadership Awards are being accepted through March 10. Submit your nomination for the Sharp Cutting Edge Award or Towers Pinnacle Award today! Additional resources if you're interested in international nursing: https://aanp.org/international https://www.jhpiego.org/ https://careers.state.gov/career-paths/worldwide-foreign-service/specialist/fss-career-tracks/ https://www.cdc.gov/globalhealth/employment/default.htm
Join Lance Dacy and Brian Milner as they discuss the use of metrics in an Agile environment to ensure optimal performance without taking things in the wrong direction. Overview In this episode of the Agile Mentors podcast, Lance Dacy joins Brian to delve into the intricacies of utilizing metrics in software development to ensure optimal performance while avoiding incentivizing adverse behaviors. Listen in as he walks us through the three tiers of metrics that are crucial for Agile teams to consider in order to stay on course. He’ll share the tools required to gain a holistic understanding of an individual's performance and how leadership styles and stakeholders influence team-level metrics. Plus, a look at the common challenges that teams may encounter during their Agile adoption journey and how to overcome them. Listen now to discover: [01:18] - Lance Dacy is on the show to discuss metrics. [02:09] - Brian asks, are there ‘good’ ways to track performance? [02:32] - Lance shares why Agile doesn’t really lend itself to tracking performance. [03:57] - How to handle performance reviews. [04:32] - Lance shares the best way to measure individual performance. [06:40] - Measuring team contribution vs. standalone rockstar. [07:48] - What Ken Schwaber and Jeff Sutherland say about the completeness of the Scrum Framework and why having a superhero on your team is bad. [09:45] - Lance shares the 3 tiers of metrics to measure when working as an Agile team to be sure their team is going in the right direction. [11:09] - Using tangible business-level metrics such as time to market for products, NPS, and support call volume to evaluate performance. [12:20] - How metrics, such as the number of work items completed per month, and cycle time, can be used to evaluate performance at a product level in an Agile environment. [14:10] - Lance shares standard metrics such as velocity, backlog churn, and work-in-process that can be used to evaluate things at the team level. [14:45] - Brian shares the importance of having a broader perspective to avoid having a distorted view of performance. [16:53] - How using tools such as Ishikawa (fishbone) diagrams can help you identify the root cause of the problem instead of the apparent cause. [17:22] - Individual velocity and other big metrics to avoid. [19:02] - How the balanced scorecard can help managers use ALL the information available to develop a comprehensive understanding of an individual's performance. [19:25] - The detrimental effects of using the wrong metrics to evaluate an individual's contribution. [21:29] - Brian shares the story of how a manager's bug squashing endeavor led to incentivizing the wrong behavior [22:31] - Lance references Stephen Denning's statement and reminds us that assumption testing is what developers do every day. [24:00] - Referencing the State of Agile Report statistics on what's stalling your transformation to Agile. [25:15] - Lance shares a behind-the-scenes look at how team-level metrics are affected by leadership styles and stakeholders. [27:05] - Lance shares the spreadsheet he's been using to track data for a Scrum team for over 5 years to understand why the team is not predictable and what they can do to improve. [31:38] - Got metrics management questions? Reach out to Lance. [31:46] - Why it’s imperative that you think of software development as R&D rather than manufacturing to arrive at the right metrics measurements. [33:26] Continue the conversation in The Agile Mentors Community. References and resources mentioned in the show: Join the More than 24k People Who've Trained to Succeed With Mountain Goat Software Mountain Goat Software Certified Scrum and Agile Training Schedule #30: How to Get the Best Out of the New Year with Lance Dacy #31: Starting Strong: Tips for Successfully Starting with a New Organization with Julie Chickering State of Agile Report HBR's Embrace Of Agile The Agile Mentors Community Additional metrics resources mentioned by Lance Agile Metrics Business outcomes, product group metrics, unit metrics) KPI/OKR (Business Outcomes) Time to market, NPS, Support Call Volume, Revenue, Active Account, New Customer Onboarding Time, Regulatory Violations) Product Group Metrics Work items completed per unit of time (quarterly) % of work in active state vs. wait state Cycle time of work times (idea to done) Predictability (% of work items that reach ready when planned) Unit metrics Velocity, backlog churn, work in process, team stability Metrics Spreadsheet Team Size Tracking the size of our cross-functional team (typically Dev and QA), allows us to pair that number with velocity to play “what-if” scenarios in the future. Whether you count half of a person if shared, or whole, keeping it consistent throughout your tracking is what is important. Most teams simply count the number of developers and testers. Team Days Tracking the iteration length is also helpful in understanding a team’s performance. If the team has a 2 week sprint, then usually that is 9 development days of actual work. The 10th day is set aside for sprint review, retrospective, and planning. Committed Tracking what the team committed to completing within a sprint is crucial to understanding their predictability. The are the most uneducated at the beginning of the sprint and tracking what they think they can complete helps us in long term planning. Completed Tracking what the team completed is actually just tracking velocity above, but comparing it what they committed helps us understand their predictability index. Predictability Index (Pi) Software development is complex, risky, and uncertain. A skill that is sought after in this type of environment is predictability. The better we are at understanding what we can accomplish, then finishing what we said we would accomplish builds trust with our management team and customers. If we aren’t very good, tracking this metric often helps us get back to good by committing to less or more depending on our index. Example: Completed Items / Committed Items = Predictability Index (Pi) 25 Story Points / 20 Story Points = 125% 20 Story Points / 25 Story Points = 80% Just because a team has a high Pi, does not mean they are good at predictability. Don’t let high and low numbers fool you, focus on the variance from 100% instead of the actual number. An arbitrary number to shoot for is +/- 15% Pi (85% or 115%). Story Points / Per Day (SPD) Story points per day is just that, tracking how many story points per day of the sprint did we complete (Completed / Team Days). Story Points / Per Day / Per Person (SP/PD/PP) This perhaps is the most useful metric to capture throughout the process. Most of our teams do not have the luxury of maintaining a consistent size or make-up. Inevitably over the course of a few months, the team make-up will change. Once the teams change, velocity has to be reset. In addition, we may actually change our sprint duration over a long period of time (don’t change it each sprint). Once we change sprint lengths, it can jeopardize our pure metrics, velocity has to be reset. However, over all of our teams in a product, if we can capture the SP/PD/PP that our teams complete on average, we can begin to play “what-if” scenarios in long- term planning. Example: Completed / (Team Size * Sprint Days) 24 / (4 * 9) = 0.67 You can then average that number over 4-6 sprints or even the year. Defects While we understand that we won’t ever likely have a zero defect product, it is useful to track how many defects our teams are creating over time. There are usually 2 types of defects, internal and external. Internal Our definition of done should at minimum include that testing is taking place during the sprint with the idea that we would not allow a story to be called DONE if it had remaining defects. As such, an internal defect are the ones that were created while working on a backlog item in the sprint, that we have fixed before calling the item DONE. External External defects are those that have “escaped” our development process and were not discovered during our testing. In a sense, our customer discovered the defect and the work item will become a new backlog item for a sprint. Warranty We should strive to have the warranty concept built into our process. If you bought a car yesterday and the radio fell out, you could take it back and they would fix it fairly quickly. Our customers deserve the same service. Don’t manage a defect backlog, get used to fixing escaped defects immediately, while they are fresh on your mind (right after a sprint). It doesn’t take a long time to fix defects, it takes a long time to find them once identified by a customer. Defects per Story Point Tracking defects per story point help to understand velocity a little better. If you have a team that has drastically increased its velocity, have the defects have increased along with it? Defects per story point help us understand the relationship between a velocity and defects created. Want to get involved? This show is designed for you, and we’d love your input. Enjoyed what you heard today? It would be great if you left a rating and a review. It really helps, and we read every single one. Got an agile subject you’d like us to discuss or a question that needs an answer? Share your thoughts with us at firstname.lastname@example.org This episode’s presenters are: Brian Milner is SVP of coaching and training at Mountain Goat Software. He’s passionate about making a difference in people’s day-to-day work, influenced by his own experience of transitioning to Scrum and seeing improvements in work/life balance, honesty, respect, and the quality of work. Lance Dacy, known as Big Agile, is a dynamic, experienced management and technical professional with the proven ability to energize teams, plan with vision, and establish results in a fast-paced, customer-focused environment. He is a Certified Scrum Trainer® with the Scrum Alliance and has trained and coached many successful Scrum implementations from Fortune 20 companies to small start-ups since 2011. You can find out how to attend one of Lance’s classes with Mountain Goat Software here.
In this episode, I interview Stephen Ferrara, DNP, NP, FAAN, and President Elect of AANP about his journey as a Nurse Leader. Dr. Stephen Ferrara is a practicing Nurse Practitioner with over 20 years of clinical experience. He is associate dean of clinical affairs and associate professor at Columbia University's School of Nursing. He has experience in college, correctional, retail, men's, and occupational health. He has extensive health policy experience and has been involved in major legislative efforts for nurse practitioners in New York State over the last 10 years. He is president-elect of the American Association of Nurse Practitioners. Tune in to hear as we discuss.. If the market for NPs is saturated (I'm guessing you probably already know my answer
Discover the secret to customer health with scientific rigor and an analytical approach to understanding customer churn, adoption, retention, and expansion. "When it comes to customer success, it's not just a Boston Tea Party - it's a long-term process that requires scientific rigor and analytical understanding to get to the nirvana of customer health and happiness much quicker." Manasij Ganguli is the founder and CEO of Zap Scale, a software that helps B2B SaaS companies retain customers, reduce churn, and increase upsells. He has two decades of experience in customer success, and is passionate about helping businesses streamline their customer success process. Manasij Ganguli, a SaaS business owner, realized that retaining customers was a key factor in making a successful business. He and his team spent four years of trial and error to understand what health metrics could measure customer happiness and retention. He wanted to make sure no one had to go through the same hassle, so he developed a data-driven customer success program that would drive growth. His program uses eight data sources to analyze customer health and create a machine-learning model to predict churn, adoption, retention, and expansion. Manasij's goal is to make customer success easier, faster, and more scientifically valid. In this episode, you will learn the following: Is there value in building out a customer success program if so whyWhy is customer success being conducted in at least some instances without any science behind itWhat metrics and science to look at in order to ensure our customer success program worksHow to unlearn preconceived notions around customer service and success to better serve customersHow ZapScale caters to the nuances of a particular company and their brandHow can customer success teams reduce the time it takes for them to understand their customers' health metrics and measure customer happiness?What methods can customer success teams use to understand customer health in an SMB or midmarket context where one customer success person is handling hundreds of accounts?How can customer success teams use data points such as product usage, ticketing, feature requests, communications, meetings, and NPS to get a better understanding of customer health?and much much more ...
Dave Wakeman's The Business of Fun Podcast
I did some quick podcast conversations at INTIX that I loosely called, "8 minutes at INTIX" from the Cover Genius booth. This first one is with Angela Higgins. Along with Jo Michel, Angela does the Ticketing Professionals Conference of Australia. The conference is in October this year. Check out my friends at Cover Genius: www.CoverGenius.com We did a really interesting panel at INTIX with Jo-Ann from AudienceView, Kelley from Playhouse Theatre, and Joe from Cover Genius that focused on how much embedded protection helps accelerate the customer journey. Along the way, we uncovered that 48% of people are buying refund protection in at Playhouse right now. That's a number that points out that people want peace of mind and they are willing to pay for it. We also found out that 61% of people are buying strictly for the content and that pricing is a secondary or non-factor in the buying journey. And, we uncovered that people feel better about the entire process when they are offered refund protection and this shows up with big jumps in NPS score. Find out more at www.CoverGenius.com Get my newsletter, 'Talking Tickets' at https://talkingtickets.substack.com Visit my website at www.DaveWakeman.com I'll be traveling this year with upcoming dates for workshops in DC, NYC, London, and Sydney. Find out more in this week's Talking Tickets newsletter.
In this episode of the Enterprise Sales Development podcast, we speak with Hyunjin Lee, an SDR veteran who has led inbound teams at Qualtrics, Domo, HireVue, and Rakuten, and is now an inbound leader at BILL. Hyunjin talks about the hot topic of “strike zones” and how to outfit your SDRs for success. He discusses the concept of 'extreme ownership' and how discipline equals freedom when managing SDR teams. Hyunjinn also talks about using open AI as a form of assistance and how automation can be used to help with mundane tasks and free up SDRs to focus on more meaningful activities. WHAT YOU'LL LEARN Hyunjin's coaching techniques and his wisdom from decades in the tech industry Exploring autonomy, mastery, and purpose in the sales process The Gas Metric SDR technology and automation QUOTES “The hot topic is strike zones and understanding the persona, obsessing over your buyers, listening to the same podcast that they listen to, and then helping them solve what they are most intrigued about. So by honing in on the why of my reps and enabling them to be curious and to be very proactive in understanding their buyers, that ultimately makes the impact where the prospects that they connect with some of them will become lifelong connections.” - Hyunjin Lee [07:11] “One of the metrics that I measure each candidate as I interview people, and I've interviewed thousands at this point, is the “gas metric”. And a lot of companies have different verbiage for it, but at the end of the day, it's considered the “give-a-shit” metric. The individuals I've hired are the ones that give a crap about literally everything. They put their whole heart and soul into it.” - Hyunjin Lee [16:03] “It's a very simple question. “How likely are you to recommend our company?” And I hope that the customers we have when asked, “How likely are you to recommend Bill or Divvy or any other company out there?”, always go back to what their first initial experience was with an SDR. And then how it translated from stage to stage.” - Hyunjin Lee [33:06] “Go find individuals who are insanely passionate. Go create the best process to fully enable those passionate individuals. Then create metrics and milestones to go and fully deliver on mutual indicators for the business, for the prospects, for the customers, and for themselves. That's how you create a winning formula for companies.” - Hyunjin Lee [37:29] TIMESTAMPS [00:05] Intro [04:57] The evolution of sales development technology [09:05] Driving successful SDR engines: process, people, and data [12:15] Extreme ownership and accountability for SDRs [16:35] The "Gas Metric": customer obsession in sales development leadership [23:15] Leveraging inbound SDRs to create a positive customer experience [31:41] NPS scores and the customer experience [37:53] Exploring the potential of AI-powered chatbots in B2B Sales [44:19] How to connect with Hyunjin CONNECT Hyunjin Lee on LinkedIn CIENCE on LinkedIn CIENCE on Facebook CIENCE on Twitter CIENCE on Instagram Learn more about your ad choices. Visit megaphone.fm/adchoices
NP Pulse: The Voice of the Nurse Practitioner (AANP)
Hear from Victoria Pemberton, RNC, MS, CCRC, project officer for the National Heart, Lung and Blood Institute (NHLBI), as she discusses the importance of heart health literacy and highlights ways nurse practitioners can effectively engage with patients to reduce heart disease risk. February is American Heart Month — the ideal time to remind your patients about the importance of making heart-healthy lifestyle changes. New resources from the NHLBI's The Heart Truth® program can help you empower patients to achieve their cardiovascular health goals. The American Association of Nurse Practitioners® (AANP) offers continuing education (CE), tools and resources to support nurse practitioners (NPs) working to reduce the risk of heart disease. Members may opt to join the AANP Cardiology Community, complete AANP CE Center activities, attend sessions at the 2023 AANP National Conference in New Orleans June 20-25, download clinical practice briefs or access a variety of cardiology-related resources. Additional Resources American Heart Month Outreach Toolkit. High Blood Pressure and Women. Pregnancy and Your Heart Health. Heart Disease Prevention. Heart Smart Basics: What to Know to Keep Yours Healthy. My Heart Health Tracker.
Looking back, CFO Ravi Narula tells us that he wishes that he had become a “servant leader” sooner, as he references the familiar leadership tag signaling a mind-set focused on serving others. “If you asked me 15 years ago, ‘Do you have a servant leader mind-set?,' unfortunately, I would have said ‘No,'” comments Narula, who credits a graduate executive program at Stanford University for helping to raise his acumen when it comes to the role that servant leaders can play in successful businesses. “I began thinking more broadly as a CFO and seeing servant leadership and company culture as being foundational to the success of firms, as well as to my own future success as a CFO,” remarks Narula, who—in addition to servant leadership—identifies the customer-probing Net Promoter Score (NPS) as a primary contributor to the culture of his current company, FinancialForce. Asked if FinancialForce's NPS rating is the most widely known measure across the company's workforce, Narula tells us that he believes that 80 to 90 percent of the company's roughly 1,000 employees likely know the company's current scores, whether by geography, industry, or customer segment. To support his claim, Narula reports: “At our townhall meeting this morning, 20 of the 60 minutes were devoted to the Net Promoter Score.” Still, like many tech companies, FinancialForce has a work environment that has evolved in recent years to accommodate more remote workers through a hybrid model that has at times put management practices as well as servant leadership goals to the test. According to Narula, it's now up to leaders to extend their reach in order to connect more often to capture the insight required to help an employee succeed.
Wrestling With Johners Podcast
In this live and exclusive interview I speak with the man behind one of the most Iconic characters & performers on the UK and Worldwide Independent wrestling scene.... Cara Noir (Tom Dawkins). We start by discussing his feud with Spike Trivet and the amazing 'I Quit, Loser Leaves Progress' match at Super Strong Style 16 (2022) and the punishment Cara went through during that match, including thumbtacks to the feet...! We also look ahead to his next Chapter match with Spike at the Electric Ballroom on February 26th 2023. Tom tells us about his his recent tours of Japan and his experience of working with DDT, and the reaction of the Iconic character from the Japanese fans. Tom tells of his experience for 1PW and his match with Christopher Daniels at the Doncaster Dome 1st October 2022 and what's to come in 2023 with 1PW. We discuss the importance of The London School of Lucha Libre on his development and his journey with Lucha Britannia and how that group helped him and so many more in his early career. We also discuss the genesis of the Cara Noir character and the early concept for what the Iconic character would later become. Tom tells us about some of the amazing matches that helped to take him to the next level, before eventually appearing for Progress in the NPS 6 in September 2019. We speak about wrestling Pete Dunne the very next day and then his incredible series of matches with Ilja Dragunov, before becoming the Progress World Champion all within the space of 5 months Tom tells us about being the face of Progress and carrying that promotion during its darkest hour, especially defending the title 13 times during the Peckham Era tapings in front of Zero fans. Tom also tells us about his mindset during that time and how he adapted to that environment to put on the very best show possible under very difficult circumstances. We also discuss winning the wXw 16 Carot Gold Tournament just weeks after becoming the Progress World champion in early 2020. We take a look at 2022 as a whole and some of his incredible highlights (and maybe lowlights #fuckyouspike) and so much more! We also answer all of your fans questions and so much more!! Duration 80 minutes You can follow Cara Noir on the following social platforms.... Instagram - https://www.instagram.com/caranoirpw/ Twitter - https://twitter.com/CaraNoirPW Facebook - https://www.facebook.com/TheCaraNoir Merch - https://caranoir.com/merch
Imperfect Heroes: Insights Into Parenting
Experts approximate that 5% of the population have narcissistic personality disorder (NPS)... this is just one of 10 classified personality disorders. Our special guest, Angela Myer, understands the underlying causes of narcissism and has helped many work through it. Tune in to hear how you can make life more manageable living with someone who has NPS and what we can do as parents to help our children learn how to cope and navigate a life that includes a person with the disorder.Angela Myer is a clinical certified hypnotherapist, NLP practitioner, author, motivational speaker, and wellness coach. She specializes in empowering people all over the globe. For over 20 years, she has worked with people of all ages, backgrounds, religions, and professions. Angela has been voted the best hypnotherapist within her areas for the past twelve consecutive years. She has received several awards and has supported people with various addictions, traumas, mental health issues, fears and phobias, and general life situations. TIMESTAMPS• [6:53] “Why are we not teaching people the polarity of other human beings?” • [13:09] Angela explains: “If you notice the child has an anxious attachment style, that's one to be aware of and a disorganized attachment style.” • [19:25] Angela shares the signs that parents should look for in hypnotherapists.• [33:19] Angela talks about how you can validate what your child is going through without making it bigger. For more information on the Imperfect Heroes podcast, visit: https://www.imperfectheroespodcast.com/Connect with Us!DJ Stutz - DJ Stutz: https://www.littleheartsacademyusa.com/Facebook: https://www.facebook.com/littleheartsacademy/Instagram: https://www.instagram.com/littleheartsacademy/YouTube: https://www.youtube.com/channel/UCOpphCRklDJiFXdS76U0LSQDJ Stutz Booking Link: https://bookme.name/ImperfectheroespodcastAngela Myer - Website: https://www.undetectednarcissist.comInstagram: https://www.instagram.com/angelamyerun/Twitter: https://twitter.com/AngelaMyerUNFacebook: https://www.facebook.com/people/Angela-Myer/100079532015879/Podcast: https://www.buzzsprout.com/1972197Blog posts: https://undetectednarcissist.com/blog/
Kevin Lewis, ABC7 news reporter and host of 'Kevin Across America' on YouTube, joined WMAL's "O'Connor and Company" radio program on Thursday about National Park Service's plans to clean up D.C.'s tent city and talked about Kevin's travel channel. NPS plans to clean up D.C.'s tent city https://twitter.com/KevinLewis7News/status/1618246460977598465 His travel YouTube channel “Kevin Across America” https://www.youtube.com/@KevinAcrossAmerica/about For more coverage on the issues that matter to you, visit www.WMAL.com, download the WMAL app or tune in live on WMAL-FM 105.9 FM from 5-9 AM ET. To join the conversation, check us out on Twitter: @WMALDC, @LarryOConnor, @Jgunlock, @patricepinkfile and @heatherhunterdc.See omnystudio.com/listener for privacy information.
In this episode, we are joined by Dr. April Kapu, President of American Association of Nurse Practitioners (AANP). Here, she discusses the work she is doing with AANP in filling the provider gap and increasing access to care through advocating for the allowance of nurse practitioners to work to the fullest extent of their education & training, the current public perception of NPs, challenges surrounding the shortage of nurse educators, and much more.
Adrian Swinscoe's RARE Business Podcast
Today's interview is with Richard Hammond, co-founder and CEO of Uncrowd, the innovative enterprise SaaS experience analytics platform that helps organisations grow market share by revealing their Relative Attractiveness versus competitors. Richard joins me today to talk about Friction/Reward, the last three years, how their thinking has evolved, Relative Attractiveness and how RA can help organisations understand their NPS and CSAT outcomes. This is also the 12th anniversary episode of my podcast. Richard is a friend of the podcast and a contributor to my latest book, Punk XL. Disclaimer: I made a small investment in Uncrowd at their seed stage. This interview follows on from my recent interview – Customer journey orchestration made easy – Interview with Mark Smith of CSG – and is number 453 in the series of interviews with authors and business leaders that are doing great things, providing valuable insights, helping businesses innovate and delivering great service and experience to both their customers and their employees. NOTE: A big thank you goes out to the folks at TextExpander for sponsoring this episode of my podcast. TextExpander is an auto-complete tool that allows your team to eliminate repetitive typing and stay on the same page with just a few keystrokes allowing you to delight more customers in less time. Click here to find out more and to get a 20% discount for the first 12 months of TextExpander if you use the code: SWINSCOE
America's true national treasures are our National Parks! Stewards of our parks are the thousands of men and women working for the National Park Services as rangers. Today we will be speaking with Ranger Connie Lau who is currently working at the Grand Canyon but works at Yosemite in Summer. She will tell us about her journey, some of her experiences as a park ranger, as well as some of the amazing contributions that Asian Americans had on Yosemite. ***minor CORRECTION, Connie mentioned that it took 6 months to finish Tioga Road, it actually only took 4 months! Amazing!*** You can follow Ranger Connie @theclausroom.outdoors on Instagram, and for more general information you can follow the NPS @nationalparkservice or go to NPS.gov to learn more about our wonderful National Parks! The children's book about Tie Sing called Mountain Chef by Annette Pimentel can be found online, or the first-hand account of Tie Sing's amazing culinary feats is at https://www.nps.gov/parkhistory/online_books/albright2/pdf/ch7.pdf Our email is Infatuasianpodcast@gmail.com or follow us on Instagram @theinfatuasianpodcast Find us at Spotify, Apple Podcasts, Google Podcasts, etc While you're there, please give us a follow and a rating! Our Theme: “Super Happy J-Pop Fun-Time” by Prismic Studios was arranged and performed by All Arms Around #nationalparkservice #asianpodcast #asian #asianamerican #infatuasian #infatuasianpodcast #aapi #veryasian #asianamericanpodcaster #representationmatters
Experience Strategy has expanded over the past decade to include a wide range of disciplines: CX, UX, Patient Experience, Employee Experience, Service Design, and so many more. With all these exes running around, experience strategy can sometimes sound like a country & western song. Today we are joined by Gary David, a Professor of Sociology, and Professor of Information Design and Corporate Communication at Bentley University, and the voice of ProfessorEXP on Twitch. We look at how we can learn from cultural ethnography to tame the wild west of exes by learning shared languages and measuring what really matters. KEY TAKEAWAYS Disintegrated systems cost everyone: customers, companies, and employees It's tempting to rely on standardized metrics like NPS, but they often oversimplify and mislead paths in their understanding of customer needs. To measure what really matters, continue asking “why” and “to what end” to find metrics that matter for both the customer and the company. “Do you want to have measurable impact or real impact?” ~Gary David It's up to experience strategists to become multi-linguists who understand the intention behind different disciplines. Higher education is a prime example of disintegrated systems. To integrate, as with companies, employee and customer metrics must reward integration. BIO Gary David, a Professor of Sociology, and Professor of Information Design and Corporate Communication at Bentley University. He is the founder of ethno-analytics, LLC, a consultancy that focuses on integrated design and experience alignment. He has worked with major companies and small community organizations to help create better experiences for all stakeholders. He is a keynote speaker and organizational educator at garyconnects.com. He also is an educational livestreamer on Twitch under the moniker ProfessorEXP. He co-hosts Experience by Design podcast, where they explore 'experience designs of all kinds.'
Live Love Thrive with Catherine Gray
Invest In Her host Catherine Gray talks with Sylvana Q. Sinha, the founder and CEO of Praava Health, a leading healthcare company focused on improving health outcomes and patient journeys in emerging markets, where 85% of the world lives but whose current systems typically prioritize profits over patients. Since launching in 2018, Praava has become Bangladesh's fastest-growing consumer healthcare brand, and was designated a 2021 World Economic Forum Technology Pioneer and 2020 Fast Company World Changing Idea and Developing World Technology. Praava has served nearly 400,000 patients and is tripling growth each year. Throughout the COVID-19 pandemic, Praava quadrupled its patient base while maintaining an NPS rating of 91.3—significantly exceeding even the highest scores of Fortune 500 companies. www.sheangelinvestors.com https://praavahealth.com/ Follow Us On Social Facebook | Instagram | Twitter | LinkedIn
Alice Mabel Gray was given the name, Diana of the Dunes, after she left society to live off the land on the shores of Lake Michigan. We covered her story partially in a prior episode - focusing on the haunted folklore around her afterlife. Today we are revisiting her story to delve deep into her life, including her mysterious partner, a gruesome murder they were accused of committing, and the truth behind Alice's tragic death. We love our National Parks and we know you do too but when you're out there, remember to enjoy the view but watch your back. Please take a moment to rate and subscribe from wherever you're listening to NPAD! Become part of our Outsider family on Patreon to gain access to ad-free episodes, bonus content, and more. Follow our socials Instagram, Facebook, and Twitter. To share a Trail Tale, suggest a story, access merch, and browse our book recommendations - head over to our website. Thank you so much to our partners, check them out! Apostrophe: Use our link and code NPAD to get for first visit for only $5. Microdose: Use code NPAD to get free shipping and 30% off your first order. Cozy Earth: Use our link and code NPAD to get 35% off. Resources: NPS, NPS (2), South Bend Tribune, Diana of the Dunes the True Story of Alice Gray by Janet Zenke Edwards
On episode 405 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Jennifer Flynn, CPHRM, the Vice President of Risk Management for Nurses Service Organization (NSO). In the course of their conversation, Keith and Jennifer dig deep into NSO's recent malpractice claims report for nurse practitioners, and provide clarity about the top allegations against NPs, the average cost of such claims, and the main drivers of malpractice claims and and license complaints. If you want to protect your license, this information is crucial to understand. Jennifer Flynn, CPHRM, is Vice President of Risk Management for Nurses Service Organization in the Healthcare Division of Aon's Affinity Insurance Services, Inc. Specializing in risk management and having worked in the healthcare insurance business for over 22 years, Jennifer is dedicated to educating nurses and health care professionals on professional liability risks and offers strategies to mitigate those risks by supporting patient safety principles and developing quality management programs. In addition to being a frequent national speaker on healthcare risk and liability, Jennifer is also a published author on various risk management topics. Jennifer is a Certified Professional in Healthcare Risk Management and is a licensed Property & Casualty agent. She earned a BA in Psychology from Arcadia University in Glenside, Pennsylvania. Connect with Jennifer Flynn and NSO: NSO.com Facebook Twitter Jennifer Lynn on LinkedIn ----------- Nurse Keith is a holistic career coach for nurses, professional podcaster, published author, award-winning blogger, inspiring keynote speaker, and successful nurse entrepreneur. Connect with Nurse Keith at NurseKeith.com, and on Twitter, Facebook, LinkedIn, and Instagram. Nurse Keith lives in beautiful Santa Fe, New Mexico with his lovely fiancée, Shada McKenzie, a highly gifted traditional astrologer and reader of the tarot. You can find Shada at The Circle and the Dot. The Nurse Keith Show is a proud member of The Health Podcast Network, one of the largest and fastest-growing collections of authoritative, high-quality podcasts taking on the tough topics in health and care with empathy, expertise, and a commitment to excellence. The podcast is adroitly produced by Rob Johnston of 520R Podcasting, and Mark Capispisan is our stalwart social media manager and newsletter wrangler.
The Elite Nurse Practitioner Show
Today we'll be interviewing Erica D, A Family Nurse Practitioner who works at a critical access hospital doing primary care and emergency medicine, Erica is also the owner and operator of the blog Th Burned-out Nurse Practitioner as well as the Founder of the NP Charting School where she provides weekly articles with important tips on how to prevent burnout as well as a variety of courses for the NP community.In this special successful NP interview episode, we discuss burnout, how it affects Nurse Practitioners and medical personnel in general, and a few very useful suggestions on how to prevent and overcome burnout.To learn more about Erica and tips on how to handle burnout visit her at the following links:The Burned-out Nurse Practitioner: https://burnedoutnp.com/The Nurse Practitioner Charting School: https://npchartingschool.com/The Burned-out NP Facebook Group: https://www.facebook.com/groups/1096127134173421/Access to a free list of smart phrases for NPs: https://smart.burnedoutnp.com/
Dear Bob and Sue: A National Parks Podcast
Many consider Chaco Culture the crown jewel of the ancient Puebloan ruins in the American Southwest. It's a must-see add-on to any adventure in the Four Corners area. The sixteen archeological sites in the park tell a story of a bustling civilization where thousands of people lived from about 850 to 1250 A.D. But much is still left to be discovered about their lives and why they abruptly left to find shelter elsewhere among the cliffs of the desert. In this episode, we talk about our visit to Chaco, a bit about the history of the place, some of the activities you might want to consider when there, and much more! Here are links where you can find more information about Chaco Culture National Historical Park: · If you want to see historic photos from Pueblo Bonito, check out the website Chacoarchive.org · Here's a link to the NPS Museum Management Program page about Chaco Culture · Check out the park's NPS site here · UNESCO's online description of Chaco also has links to more information · And did you know that Chaco Culture is featured on a U.S. Quarter? Check it out on the U.S. Mint's website Our Patreon account is now up and running with bonus content. Follow this link to check it out. Don't forget to check out our new online merch store and www.dirtlander.com. Subscribe to The Dear Bob and Sue Podcast on Apple Podcasts, Spotify, or wherever you like to listen, and if you've enjoyed our show, please leave us a review or rating on Apple Podcasts. Five-star ratings help other listeners find our show. Follow us on Instagram at @mattandkarensmith, on Twitter at @mattandkaren, on Facebook at dearbobands, or check out our blog at www.mattandkaren.com. To advertise on The Dear Bob and Sue Podcast, email us at email@example.com. Learn more about your ad choices. Visit megaphone.fm/adchoices
Beyond The Mask: Innovation & Opportunities For CRNAs
Necessity is the mother of invention and today's guest is a living example of that. Suzanne Jagger, DNP, CRNA, APRN, was on vacation in Fiji when she got an email that her contract was up. Without work and a family to care for, she quickly decided on the trip to learn Botox and ended up starting her own business soon after returning home. Now Suzanne is helping other CRNAs and NPs learn how to follow her path to start their own aesthetic injectables practice, and she'll share that experience on this episode. Here are some of the things you'll learn on this show: The fascinating story of how she got started in this business. (4:54) Why she started training CRNAs and NPs. (6:21) What all does running a business entail and how much different is it from working as (9:58) How long does it take to start your own practice and will you make any money? (18:57) Why are CRNAs in a position to do great in this business? (21:53) She recommends advance practice providers to get the best training. (23:09) Why she calls aesthetics ‘happy medicine' (35:38) About our guest: https://aurapdx.com/ https://www.appaesthetics.com/ Visit us online: http://beyondthemaskpodcast.com Get the CE certificate here: https://beyondthemaskpodcast.com/wp-content/uploads/2020/04/Beyond-the-Mask-CE-Cert-FILLABLE.pdf
Giant Robots Smashing Into Other Giant Robots
Lauren Makler is Co-Founder, and CEO of Cofertility, a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Victoria talks to Lauren about tackling the access issues around egg freezing and donation and hoping to bring down the cost, leaving a company like Uber and starting her own business, and figuring out a go-to-market approach and what that strategy should look like. Cofertility (https://www.cofertility.com/) Follow Cofertility on LinkedIn (https://www.linkedin.com/company/cofertility/) or Twitter (https://twitter.com/cofertility). Follow Lauren Makler on LinkedIn (https://www.linkedin.com/in/laurenmakler/), Instagram (https://www.instagram.com/laurenmakler/), or Twitter (https://twitter.com/laurenmakler). Follow thoughtbot on Twitter (https://twitter.com/thoughtbot) or LinkedIn (https://www.linkedin.com/company/150727/). Become a Sponsor (https://thoughtbot.com/sponsorship) of Giant Robots! Transcript: VICTORIA: This is The Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Lauren Makler, Co-Founder, and CEO of Cofertility, a human-first fertility ecosystem rewriting the egg freezing and egg donation experience. Lauren, thank you for joining me. LAUREN: Thanks for having me. I'm so excited for this. VICTORIA: Me too. I want to hear all about Cofertility. Can you tell me a little bit more about the platform that you built? LAUREN: Absolutely. Cofertility is really like you said; we're a fertility ecosystem. And at our core, we're enabling women to freeze their eggs for free when they donate half of the eggs retrieved to a family that can't otherwise conceive, providing support and education for everyone involved along the way. You know, we're serving two very different audiences. One side of our business, our Freeze by Co, is targeted at women between the ages of 21 and 40 who might be interested in preserving their fertility. We know that really the best time to freeze your eggs, unfortunately, is when you can least afford it. And so we've really taken on this access issue and hoping to bring down the cost on that front. And then our Family by Co business is for intended parents who need the help of an egg donor to have a child, so that could be anyone from people who struggle with infertility, or gay dads, cancer survivors, et cetera. There are a lot of people that really rely on third-party reproduction to have a family, and we think it's time to really move that industry forward, and we're doing that in a lot of ways. So that's at a high level; happy to dig in more on any part of that. But we launched in October, and things have been going well ever since. VICTORIA: Wonderful. Yeah, I want to ask you more about...you mentioned the problem that you identified with when people who are most ready to freeze their eggs probably can't afford it. [laughs] But how did you really identify that problem and think I should start a company around this? LAUREN: Yeah, so it's a two-part problem. I think we see a big problem on the egg-freezing side, which is truly cost. I think we know that women are starting families later than ever. For the first time in U.S. history, the average age of women giving birth now is 30, which is the highest on record. And the experimental label from egg freezing was removed in 2012, and so it's become much more mainstream for women to do it. However, the cost to do it in the U.S. is between; I want to say, $12,000-20,000 to do it, plus yearly storage fees. And there are some women who have access to doing it through their large employer, but for the majority of people, that's just not the case. And so, for women who are really trying to prioritize their career or their education or maybe haven't found a partner yet, egg freezing can be a great option. And certainly, it's not an insurance policy by any means, and it's not a guarantee. But studies show that if you experience infertility later in life and you did freeze your eggs, you're much more likely to have a child than not. And so we see it as a great backup option. But again, cost is just truly a huge problem. And then, on the egg donation side, there are tons of families that rely on egg donation to have a baby. And I'm someone...I should mention, too, personally, years ago...I'll make a very long story very short here. Years ago, I was diagnosed with an incredibly rare abdominal disease that put into question my ability to have a biological child someday. And so, I started to look into what my options might be, and egg donation came up. And when I looked at what was happening in the space, I just couldn't believe how antiquated it was. And truly, for lack of a better word, how icky it felt. It seemed really transactional and impersonal for everyone involved. And what I realized was that it was really rooted in the stigma around egg donation that comes from cash compensation for donors. So traditionally, a donor is paid anywhere from $8,000 to $100,000 for her eggs, depending on, unfortunately, her pedigree or sometimes her heritage. Something that might be, you know, a donor that's harder to find might require more compensation the way it's done today. And so we actually saw that many women who are interested in helping another family grow through egg donation can actually be off-put by this idea of cash for their eggs. It's like, ooh, am I selling my eggs, or how do I feel about that? And it actually turns people off when it might otherwise have been something they wanted to explore. It also, I think, leaves intended parents without options that they need and really hurts the LGBTQ community that relies on egg donation for family planning. So there's a lot there. And we felt that that was something that if we remove cash compensation, perhaps it's something that really opens up the pie of women that are open to and interested in egg donation. And it also might really honor the donor-conceived person on the end of it more than what's happening today. Studies have come out that show that donor-conceived adults find the exchange of money for donor eggs to be wrong and that they can actually find it disturbing that money was exchanged for their own conception. So our model takes out cash compensation and instead gives women something that they're excited about, which is preserving their own fertility as well and really sets up everyone involved for success. VICTORIA: Yeah. I saw that in your literature, you bring this human-centered design to how you built the platform, which I think speaks to a little bit of what you're describing there. And do you think that being a woman founder yourself allows you to relate and empathize with women who have this unique perspective or a different perspective on how egg donation should work? LAUREN: Yes, egg donation and egg freezing, honestly. I think I mentioned a little bit about my own experience. Both of my two co-founders have also really, really been through it when it comes to their journeys to parenthood; both of them have been through IVF. And one of them says, you know, her biggest regret in life is that she didn't freeze her eggs at 25. And now, instead of just sitting in that, she's building a company to help other women not have that same regret. So building the company we wished existed when we were younger lets us build something that truly is empathetic and human-centered. And it's unfortunate that so much of healthcare is built and designed by people who, while maybe they have good intentions, they're not building from a place of experience, and I think reproductive health is one of those. I think women need to be involved in designing those solutions, and too often, they're not. VICTORIA: Right. Yes. That makes a lot of sense to me. And I want to talk more about you and your three co-founders and how quickly all this has come together. So, how did you know that your team of co-founders was the right team that these are the people you wanted to start this with? LAUREN: Yeah, it's an interesting question on so many fronts. I think there are people who spend a really long time, like co-founder dating, and use frameworks for evaluating co-founders, and the truth of it for us is that it all happened very quickly. Halle, who is the person who connected the three of us, she is one of my co-founders, and she's just someone I had long admired in digital health and women's health. And there was a day where...we peripherally knew each other. And she slid into my DMs on Instagram. Like, you never know where a great contact may come from. And she asked me what I was up to, what I was working on, and the rest is history. I told her I had just left...I spent eight and a half years at Uber and launched new markets of Uber across the East Coast and then started a business line at Uber called Uber Health, and Halle had always followed my trajectory there. And when she reached out to me, it was like, [gasps] what's it going to be about? And when it ended up that she had an idea centered around egg freezing and egg donation, given the experience I had had with my own fertility journey, it just felt like how could this not be the right thing for me to go build? So I would say gut instinct is really what it comes down to. Halle and Arielle, our third co-founder, had worked together a bit in their past lives. Halle built a company called Natalist, which is fertility, pregnancy tests, ovulation kits, and prenatal vitamins, things like that. And Arielle had actually built the first iteration of Cofertility, which was a fertility content site. And they had had that rapport already, and so that was something that I valued quite a bit. Really talking to some references and getting opinions of people you trust, but your gut, more than anything, will help you answer that question. VICTORIA: Right. And sounds like there's that shared experience and mutual respect, which goes a long way. [laughs] LAUREN: Yeah, that and also a shared vision. Like, if you're aligned with someone in the first month or so of talking about an idea, and when it goes from a little kernel to snowballing and becoming something real, I think it's a good signal. But if you're butting heads and disagreeing in that first really crucial time, it's probably a good idea to go in a different direction. VICTORIA: Yeah. And thinking along those lines, were there decisions that were really easy to make, and what were those? And the second part of the question is what decisions were kind of challenging to make, and what made those decisions challenging? LAUREN: It's funny. Halle was just like, "This idea is going to work, and I know it. Let's do it." I am someone who likes to see evidence before making a decision. And so I suggested in those first two weeks, like, let's get a survey together. Let's ask women, "Hey, would you actually be interested in egg donation if it meant that you got to keep half of the eggs for yourself and that there was no cash compensation involved?" So we asked a few influencers on Instagram to put out our Typeform, and within, like, I don't know, 24 hours, we had over 700 responses. VICTORIA: Wow. LAUREN: And it was a very resounding like, yes, this is something women were interested in. That gave me all the conviction I needed to go at this full force. And so I think having that proof point not only was valuable to help me get there, but it also helped investors get on board. I think some of the easy decisions were like there were certain investors that after meeting I just knew like, yes, this is someone I want to be working with over the next few years. This is someone who sees the same vision that we see. And there were a few conversations with other potential investors where I was like, you know what? That's not who I want to work with. Again, it's like, I'm very big on my instincts as it relates to people and trusting that. VICTORIA: Right. Yeah, that makes a lot of sense. And congratulations on raising your seed funding. LAUREN: Thank you. VICTORIA: And was that a stressful process? How did you feel after that happened? LAUREN: Parts of it were stressful, for sure. I think the fact that I had never done it before was stressful. I like to call myself...before this, I was an intrapreneur. I pitched the idea of Uber Health to Uber executive leadership with a deck that was very similar to what you would pitch external investors with in a scenario like this. So I had gone through a little bit of that but never before had I done anything quite like this. And so I felt very lucky to have Halle by my side through that process because it wasn't her first rodeo. But I would say trusting yourself and trusting that you can figure this out. It seems so much more intimidating than it needs to be. No one is expecting you to fully know how all of this stuff works. It's very figureoutable. VICTORIA: And what obstacles did you face in the last year that you've been working on this? LAUREN: The biggest obstacle, I would say, honestly came down to having the time to both get a company off the ground...and I like to imagine an aeroplane. You have to figure out what kind of plane you're building; then you have to find all the parts, then you have to build the plane. And then the goal upon launch, I can imagine it when I close my eyes. It is like getting the plane off the ground. And with a startup, like you can imagine, there's always a bit of building the plane while you're flying it. But doing all of that over the last year, plus finding the right people to hire, is two full-time jobs. You're sourcing incredible candidates. You're meeting with them. You're pitching them the business. But you also need to evaluate whether or not they're as great as their resume makes them seem. Then you have to convince them to join your seed-stage startup, then check their references, and then put together their offer package, and then do all of their paperwork. And it was like all of these things that I took for granted at Uber for so long of having recruiters, and having an HR team, [laughs] and all of those things that truly it is a full-time job plus building a company. So that, for me, was the hardest. And hiring just at that early stage is so, so important because you add one person, and that's like such a huge percentage of your team. So every hire has to be a great one, but you also can't wait too long to hire because then you miss your goals. VICTORIA: Right. Yes. And there's lots of uncertainty going on in the world as well. I'm sure that makes hiring extra exciting. LAUREN: Yes. I mean, exciting and also scary. I think exciting from the fact that there's great talent that's looking in a way that wasn't necessarily the case six months ago, but scary in that you have to...one of my biggest or things that keeps me up at night is like, what's the right timing to bring on new people so that your business scales appropriately but not too soon that you have people waiting around for the work to come? VICTORIA: Right, yes. And speaking of scary, I can imagine the choice to leave a company like Uber and go and start your own business was thrilling. [laughs] Can you tell me more about how that happened, or what was the order of operations there? LAUREN: I'll go back to my personal story a little bit. So I ended up with this disease that I had been diagnosed with. It was so rare and so not a lot of data on this disease that I decided it was...or these doctors were like, "You know what? Do you have a sister by any chance?" I was like, "What do you mean?" They were like, "You know, it's too risky for you to freeze your eggs just because we don't have any data on your disease. But if you have your sister freeze her eggs and donate them to you, you have them as a backup should you need them." So my incredible sister did that. And I learned a lot about the process of donation even through that experience. And went on to have three surgeries and ultimately was able to conceive without using my sister's eggs which was crazy and exciting and definitely gave my doctors a shock, which was great. And when I had my daughter, it was like this light bulb went off of, like, I have to build something in reproductive health. If I'm spending my time building something, I want it to be spent giving people who want to have a child this amazing gift that I've been given. And it was like an immediate amount of clarity. And so, after my maternity leave, I gave notice at Uber without a plan. I did not have a business idea. I did not have a job lined up. I was fortunate enough to be able to do that. But I almost think releasing myself of that is what gave me the freedom to think about other things. And it was within a day that Halle sent me that DM on Instagram without knowing I had given notice. So the universe works in mysterious ways. VICTORIA: That's wonderful and so exciting and that you just had a baby and then to be in a position where you could start a company and almost feel like I don't have enough to do; [laughter] I want to start a new company too. [laughs] LAUREN: I know. I ended up...the day we pitched our lead investors was my daughter's six-month birthday. VICTORIA: That's amazing. MID-ROLL AD: Are your engineers spending too much time on DevOps and maintenance issues when you need them on new features? We know maintaining your own servers can be costly and that it's easy for spending creep to sneak in when your team isn't looking. By delegating server management, maintenance, and security to thoughtbot and our network of service partners, you can get 24x7 support from our team of experts, all for less than the cost of one in-house engineer. Save time and money with our DevOps and Maintenance service. Find out more at: tbot.io/devops. VICTORIA: How do you balance that, like, those needs of being a mom and maybe being sleep deprived, but also starting this incredibly important business that you're passionate about? LAUREN: I mean, I'm very lucky that I have an amazing husband and sort of partner in all of this. We both are very involved in each other's work, and I highly recommend that if that's something you're open to. I think it gives you an outlet and someone to be invested in it with you but also more to talk about with your partner. [laughs] But other than that, too, I think having boundaries. So I've been really, really specific with myself and with my team about what windows of time I'm with my daughter, and I'm meticulous about it. If that means on certain days, I wake up before she does so that I can get some work done so that I have two hours with her first thing in the morning, and then I'm off between the hours of 4:00 to 7:00 so that I can spend time with her. If that means getting back online at night, I'm down to do that. I just won't compromise the time with her. And my team has been really respectful and honoring of that. And in turn, I really encourage everyone on my team to have a life outside work, whether that's with their children or their pets, or having physical activity, or things like that in their life. I think it's so important that we're not entirely defined by our startups. I think that's how people burn out really quickly. And it's like 2023, right? We don't need to be in this hustle culture where 100% of our time is focused on building our company. It's just not sustainable. VICTORIA: Right. I like that you mentioned sustainability. And that's been a recurring theme I've seen where, yeah, the hustle culture leads to burnout. It isn't sustainable. So are there other cultural or values that you impart onto your team, this new team, that you're standing up to create that sustainability in that innovation that you want? LAUREN: Yeah. I think one thing we've implemented...I would highly recommend actually Matt Mochary's CEO Curriculum. You can find it by Googling it, or I can share the link with you. And within his curriculum, he has something called The Magic Questions. And the magic questions it's like five or six questions where you ask everyone on your team, like, how would they rate their life at work? How would they rate working with the team? How's their personal life going? Like, you know, questions that you can quickly get to the root of something. But then, aside from giving a rating for each of those questions, it asks like, "How would you take it to the next level?" And what I think implementing these questions has done is it's like each time we do it, it gives the leadership team something to act on of like, "Hey, I noticed a theme amongst the employees with this set of magic questions. Like, here are some things we can address to improve that for everyone." And then there are also opportunities with each individual to say, "Hey, manager of this person, so and so called out that they're really struggling with prioritization this month, or they're really struggling with being split on these two projects. How can we help relieve that, or how can we dig in with that person so that the next time we ask these questions, that's not still an issue and that we've been able to take swift action to help improve that?" I think that really helps to just stay close to what people are feeling and thinking. And it also gives people, I think, more self-awareness of how they're doing and what they can be intentional about and address for themselves as well. VICTORIA: I like that. I'll have to look up that book and share it in our show notes as well and -- LAUREN: It's actually even all online. It's like a Google Doc you can look at. VICTORIA: That's awesome. LAUREN: And there's also a book called The Great CEO Within by Matt Mochary. But I love the book and the Google Doc version. VICTORIA: That's awesome. And it sounds like you really pulled everything together so fast. [laughs] I'm curious about your background if you feel like there were...you mentioned that you pitched inwardly to Uber. But what else about your background kind of lends you to this leadership-founder skill set? LAUREN: I mean, I joined Uber in 2013 when we had, I think, fewer than 200 employees, and we were in about 12 cities. So I very much knew startup life. And I understood this idea of sort of building the plane while you're flying it and saw that. And so I think that certainly has contributed to this. It's important when you're a founder to surround yourself with other founders and to have people that you can tap into at any point. I'm in a few different Slack groups with different founders; some are healthcare founders, some women founders, some through the VCs that we've worked with where it's really easy to say, "Hey, which payroll tool are you using?" Or "Hey, like, how do I measure employee NPS?" Or "What tools are you using for this or that?" And if you can tap into other founders, you really can move a lot faster. You don't have to write your entire employee handbook from scratch because you can borrow from other people. I think that's one of the best hacks that I would recommend. And then some of these books that I found that really do, you know, within that Matt Mochary book, it's like, here's a way to make candidate offers. Obviously, the book isn't doing the work for you, but it certainly is helping to give you a framework. And then the other piece is like, aside from your own team, I think bringing in some advisors who you trust and can go to for certain things. So two of our advisors are people I worked incredibly closely with at Uber and would trust with my life and so why not trust them with my company? So bringing them into the mix has been a real relief. And then just sort of about your community. I think it takes a village to raise...I think, actually, I would compare launching a company to having a baby. So if having a baby takes a village, so does launching a company. VICTORIA: Right. Or no founder is an island. [laughs] LAUREN: Yeah, exactly. VICTORIA: There's like a community, a whole group around that. I've heard, even in the episodes I've recorded, that it's a common theme among successful founders, which is heartwarming and understandable. So last question about just how it all got started. But if you could travel back in time to when you first decided you wanted to go after this opportunity, what advice would you give yourself now that you have all your present knowledge? LAUREN: I say this even to our intended parents who are grappling with this decision of using an egg donor to have a baby: remain steadfast on the vision or the end goal and be flexible on the how. So if you're an intended parent, it's like, remain flexible, like, steadfast on this idea that you want to become a parent, but be flexible on the how. With a company, I think stay true to what that ultimate vision is. So, for us, it's like help more people have babies on their own timeline and be flexible on the how, so exactly what our business model was, or exactly what our go-to-market approach would be, or exactly which product we were going to use to get there. I wish I had been a little bit more open to it being a winding road than I realized I needed to be at the beginning. So now I know that, and I'm open to any possibility as long as it gets us to the same place. VICTORIA: Right, gotcha. Yeah, well, let me ask you then about your go-to-market strategy since you mentioned it. What was unique in your strategy there, especially to target the specific consumers that you want to with this app? LAUREN: So I did follow a bit of an Uber approach, which is this idea of a soft launch. And the reason for that...so basically what we did was for the Freeze by Co side of our business, so for women who are interested in freezing, they have the option to join our split program where they donate half to intended parents and do it for free. Or they can join our Keep Program, where they freeze their eggs but keep 100% of the eggs for themselves. And we help do that along the way. However, basically, we couldn't launch Family by Co to help people find donors until we had donors. So it made sense to launch the Freeze by Co side of our business first. And I wanted the ability to market to them when we didn't have the eyes of the whole industry on us, or we didn't have tons and tons of consumers reading our press or things like that just yet. And so by soft launching with a quick beta Squarespace page, we were able to test our hypothesis, test our messaging, test our funnel, test our experience before really putting a ton of marketing spend behind it or having a ton of visibility into what we were doing. And I'm so, so grateful we did that. It led us, like, we went through probably five different versions of our funnel before we got to our public launch, and our soft launch really afforded us the opportunity to do that. So by the time we turned on the Family by Co side of our business, we already had over 50 donors on day one for them because we had already gotten these women through the funnel. VICTORIA: I love that. And that's something we talk a lot about with founders at thoughtbot is that idea of validating your product, and you talked about it with your Instagram poll that you did with influencers. And the way you're talking about your go-to-market strategy is that you wanted to make sure t