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What did you think of this episode ?Welcome to Season 7 Episode 1 in conversation with Professor Tait Shanafelt, Chief Wellness Officer, Associate Dean, and the Jeanie & Stewart Ritchie Professor of Medicine at Stanford University, and Director of the Stanford WellMD & WellPhD Center.Across more than two decades and several hundred peer-reviewed papers, Tait's work has fundamentally reshaped how medicine understands itself, shifting the conversation from “fix the doctor” to “fix the system.” His papers have been referenced in more episodes of this podcast, and more generally, than any other voice in the field. We begin with the conceptual shift that transitioned physician wellbeing from a personal and individual problem to an organisational responsibility referencing 2017 Nine Organizational Strategies paper. Post-pandemic The Wellbeing 2.0 paper reflected on where we have been, where we are and where we are headed.With this frame in mind we discuss the update in research, thinking and practice through the published 2025 Ten Principles to Advance Occupational Well-being paper, This article provides an organisation-facing guidebook for leaders that concentrates decades of evidence into ten foundational principles. There is a deliberate language shift from physician wellbeing to occupational wellbeing across the whole healthcare workforce. We zoom in from the strategic-systems lens to the practical work of unit-level leadership, evidence-informed tactics, and the day-to-day realities of work-life integration.We close on the five-part Career Life Cycle series, published this year, that charts the influences on wellbeing across the arc of a career, from residency and fellowship through early, mid, and late career into retirement. There are unique challenges at each stage but across the whole arc, the fundamental drivers of wellbeing are similar: autonomy, meaning, community, connection. Along the way, we discuss the iteration and evolution of the Chief Wellness Officer and Wellbeing Director courses out of Stanford WellMD pathways into this work that have shaped and continue to advance a generation of leaders globally. ReferencesThe 2025 paper at the centre of the conversationShanafelt T, Trockel M, Stolz S, Murphy D, Bohman B. Ten Principles to Advance Occupational Well-being in Health Care Organizations. Mayo Clinic Proceedings. 2025;100(6):995–1004. https://doi.org/10.1016/j.mayocp.2025.03.026Landmark papersShanafelt TD, Noseworthy JH. Executive Leadership and Physician Well-being: Nine Organizational Strategies. Mayo Clinic Proceedings. 2017;92(1):129–146. https://doi.org/10.1016/j.mayocp.2016.10.004Shanafelt TD. Physician Well-being 2.0: Where Are We and Where Are We Going? Mayo Clinic Proceedings. 2021;96(10):2682–2693. https://doi.org/10.1016/j.mayocp.2021.06.005The five-part Career Life Cycle series (2025–2026)Thomas LR, Brigham T, Shanafelt T. Residency and Fellowship: Fostering Physician Well-being Over the Career Life Cycle. Mayo Clinic Proceedings. 2025;100(9):1649–1659. https://doi.org/10.1016/j.mayocp.2025.05.024Rotenstein L, Harry E, Shanafelt T. The Early Career Phase: Fostering Physician Well-being Over the Career Life Cycle.Mayo Clinic Proceedings. 2025;100(10):1836–1845. https://doi.org/10.1016/j.mayocp.2025.05.025Ligibel JA, Awad K, Shanafelt T. Mid-Career: Fostering Physician Well-being Over the Career Life Cycle. Mayo Clinic Proceedings. 2025;100(11):2007–2016. https://doi.org/10.1016/j.mayocp.2025.05.026Frey K, Arata M, Shanafelt T. Late Career: Fostering Physician Well-being Over the Career Life Cycle. Mayo Clinic Proceedings. 2025;100(12):2255–2261. https://doi.org/10.1016/j.mayocp.2025.05.028Brower KJ, Litt IF, Shanafelt TD. Retirement: Fostering Physician Well-being Over the Career Life Cycle. Mayo Clinic Proceedings. 2026;101(1):179–186. https://doi.org/10.1016/j.mayocp.2025.05.027Stanford WellMD course and education information discussed in the episode• Stanford WellMD & WellPhD Center — https://wellmd.stanford.edu• Stanford Chief Wellness Officer Course —https://wellmd.stanford.edu/knowledge-hub/courses-conferences/cwo-course.html• Stanford Wellbeing Director Course — https://wellmd.stanford.edu/knowledge-hub/courses-conferences/directorcourse.htmlThe Mind Full Medic Podcast is proudly sponsored by the MBA NSW-ACT Find out more about the charitable organisation supporting doctors and their families and/ or donate today at www.mbansw.org.auDisclaimer: The content in this podcast is not intended to constitute or be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of your doctor or other qualified health care professional. Moreover views expressed here are our own and do not necessarily reflect those of our employers or other official organisations.
Avoid the tyranny of orthodoxy, the F-words, goal setting and real life application.
Are you still relying on the Peabody or BOT as your go-to assessment? You're not alone, but you might be missing something critical. In this episode, we dive deep into occupation-based assessment with Dr. Alysha Skuthan and Dr. Erin Gaby, who recently published groundbreaking research on the occupational profile in school-based practice.This conversation is for every school-based OT who has ever wondered: What actually makes an assessment occupation-based? Why does the occupational profile matter? And how can I fit it into my already overwhelming workload?The research reveals surprising findings from their research showing that 35% of school-based OTs don't complete occupational profiles, despite it being a formal requirement in the Occupational Therapy Practice Framework.You'll hear practical strategies for collecting occupational profiles, honest talk about barriers like time constraints and parent communication, and compelling reasons why using occupational language in your reports matters for advocacy. Plus, they discuss occupation-based alternatives to common standardized tests and share their favorite tools like the School Function Assessment.Listen to learn how shifting to occupation-based practice can transform not just your assessments, but your entire intervention approach.Learning Objectives— Learners will identify the key characteristics that distinguish occupation-based assessments from skill-based assessments— Learners will recognize why the occupational profile is an important component of every SBOT evaluation— Learners will identify the importance of using occupational language in evaluation reports for professional advocacyClick here to register & get the best deal on the 2026 Back to School Conference! Thanks for tuning in! Thanks for tuning into the OT Schoolhouse Podcast brought to you by the OT Schoolhouse Collaborative Community for school-based OTPs. In OTS Collab, we use community-powered professional development to learn together and implement strategies together. Don't forget to subscribe to the show and check out the show notes for every episode at OTSchoolhouse.comSee you in the next episode!
Getting a complaint from a colleague is one of the most destabilising things that can happen to a high-achieving leader. Not because of the process, but because of what it makes you ask about yourself.In this episode, I'm joined by Dr. Pallavi Bradshaw, Medical Director at the MPS, to talk about something that doesn't get named nearly enough: a complaint from a colleague isn't a patient or client complaint. It feels very different and can be devastating if our ingrained programming tells us that we have to please everyone all the time to feel good enough. And so unless you start to frame it differently, it will affect your next decision, and the one after that.This conversation genuinely produced an a-ha moment for me. It may change how you carry the next time it happens.We cover:Why colleague complaints feel categorically different - and why that makes complete senseThe question underneath the complaint that drives so many decisions afterwardsWhat Dr Bradshaw has learned about supporting doctors through formal grievances at the MPSHow to stop a complaint from becoming something you carry permanentlyThis episode is for you if you're the person who had to have the conversation nobody else would. Who had to make the call that someone disagreed with. Who lies awake replaying a decision you had to make - and is still asking what it says about you.
In this deeply honest and powerful episode of the Irish Occupational Therapy Podcast, we are joined by Michele Roys, author, podcast host, and advocate, to discuss her experience of living with trigeminal neuralgia, fibromyalgia, Lyme disease, and chronic pain.Michele shares the profound impact that invisible illnesscan have on identity, daily life, relationships, work, and emotional well-being. From being a highly driven, ambitious, and independent person to navigating severe chronic pain, fatigue, grief, and uncertainty, Michele speaks openly about the psychological and practical realities of rebuilding life afterillness.Together, we explore:· Living with invisible illness and chronic pain· Trigeminal neuralgia and fibromyalgia· The emotional impact of life-changing diagnoses· Occupational loss, identity, and redefiningpurpose· Pacing, fatigue management, and “spoon theory”· Self-compassion, boundaries, and adaptingexpectations· Navigating healthcare systems and advocating foryourself· The importance of validation and being believed· Holistic approaches to wellbeing and healingThe role of Occupational Therapy in supporting everydayparticipation and adjustmentMichele also discusses the inspiration behind her book ButYou Look Fine and her own podcast, where she shares conversations around resilience, healing, mindset, and navigating life when circumstances changeunexpectedly.This episode is an important conversation about the hiddenrealities of chronic illness and the strength it takes to rebuild identity, meaning, and participation in everyday life. It offers insight not only for healthcare professionals, but for anyone living with chronic illness, supporting a loved one, or trying to better understand the lived experience ofinvisible disability. Link to purchase Michele's book https://www.omahonys.ie/but-you-look-just-fine-my-journey-to-rediscover-joy-amidst-chronic-pain-and-invisible-illness-p-10614055.html
Original air date: May 14, 2024 Lisa is joined by three remarkable professionals, Jacque Maben, Cara Smith, and Amy Pennington, to uncover the boundless potential of play therapy across various contexts and non-traditional mental health settings. This episode expands the definition of play beyond traditional toys to encompass movement, body experiences, and relational dynamics. Meet our guests: Cara Smith, a Certified Child Life Specialist; Amy Pennington, an Occupational Therapist; and Jacque Maben, an Equine/Animal Assisted Therapist. Learn more about them below. In this episode, each guest infuses the principles of play therapy into their unique practices, resulting in a magical fusion of healing modalities. Cara enlightens us on integrating play into medical settings, using it as a tool to alleviate stress and anxiety surrounding medical procedures. Amy brings play into the realm of occupational therapy, shedding light on how it aids in sensory processing and skill development. Jacque shares her insights into incorporating animals, particularly horses, into play therapy, emphasizing their authenticity and ability to provide a sense of safety. Discover how these professionals serve as external regulators, co-regulating with children toward trauma integration across various contexts. Tune in to explore the myriad forms of play and the transformative power it holds in diverse therapeutic practices, witnessing the beautiful unity that emerges when harnessing play therapy principles for healing in any setting. Podcast Resources: Synergetic Play Therapy Institute Synergetic Play Therapy Learning Website FREE Resources to support you on your play therapy journey Aggression in Play Therapy: A Neurobiological Approach to Integrating Intensity * If you enjoy this podcast, please give us a five-star rating and review on Apple Podcast, subscribe wherever you listen to podcasts, and invite your friends/fellow colleagues to join us.
Over one million firefighters provide their life-saving services in the U.S today. Treating firefighters requires an awareness of the unique stressors they face, including cardiopulmonary risk, “invisible” exposures and more. To speak more about exposome-informed screening and treatment are nurse practitioner experts Mary Fox and Julian Gallegos. They use their unique expertise — including Gallegos' work as a firefighter and Fox's experience as Occupational and Environmental Health Community co-chair — to bring the challenges of caring for this important population to life.
Hosted by Michael Tetreault | Editor-in-Chief, Concierge Medicine Today Episode Overview In one of the most comprehensive episodes in DocPreneur Leadership Podcast history, host Michael Tetreault takes an honest, evidence-based, and encouraging look at the cash-pay and subscription-based primary care landscape — who it serves, how it works, where it's heading, and what every physician and advanced practice clinician needs to understand before making a career-defining decision. This episode doesn't take sides. It takes a clear-eyed look at the full picture — including the parts that don't always make it into the conference keynote. What's Covered in This Episode The Foundation Not all subscription-based primary care models are the same. Two models operating in this space share surface-level similarities but are structurally distinct businesses with different economic logic, different patient populations, and different long-term trajectories. Understanding which one you're considering — and why — changes everything about how you plan. A Lesson From Healthcare History Before committing to any practice model, it helps to understand what happened to the movements that came before it. This episode traces three instructive parallels: the micropractice and ideal medical practice movement of the early 2000s; the decades-long fight for healthcare price transparency and what happened when physicians finally got it; and the rise and reality check of retail health — what scaled, what didn't, and why. The common thread in every model that has achieved durable scale in American healthcare is the same: structural fit with the economic environment, not ideological purity. Two Pathways, One Brand Name The episode walks through both economic models in the cash-pay primary care space — the purist, cash-only, no-insurance model and the employer-integrated model — explaining how each works, who each serves, and what the financial picture actually looks like for physicians considering either path. The revenue math is done out loud. The sustainability data from peer-reviewed research is cited. The patient demographic fit for each model is examined honestly and specifically. Who Each Model Serves — and Where Other Models Fit Better A detailed breakdown of the patient populations each model genuinely serves well — and an honest, evidence-based look at the patient populations where other models may be a better structural fit. Including Medicare-eligible patients, patients with complex chronic disease, lower-income households, and employees of small and mid-sized businesses. The Overlooked Opportunity — NPs, PAs, and Advanced Practice Clinicians One of the most significant and underexplored opportunities in subscription-based healthcare delivery today is the direct-care model as a pathway for nurse practitioners, physician assistants, and other advanced practice clinicians. The evidence on NP and PA-led primary care outcomes is strong and peer-reviewed. The physician shortage projections make the need urgent. And the organizational infrastructure for advanced practice clinician-led direct-care practices is largely unbuilt — which means the opportunity belongs to whoever moves first. The Organizational Landscape An honest look at what the multiplicity of organizations, coalitions, and alliances in the cash-pay primary care space tells us — and what research on professional association dynamics says about the long-term implications of organizational fragmentation for legislative effectiveness and individual practice planning. One Brand, Two Directions Drawing on four documented historical parallels from the history of American medicine — the AMA and managed care, osteopathic medicine's identity divide, family medicine's emergence as a separate specialty, and the micropractice movement — the episode makes the case that two communities with genuinely different economic interests and regulatory priorities currently sharing a brand name may, consistent with historical precedent, find their own distinct professional homes over time. This is presented as pattern recognition grounded in verified historical evidence — and as practical planning context for physicians building practices today. The Tax and Structuring Update A clear, practical summary of the 2025 "One Big Beautiful Bill" Act changes — effective January 2026 — and what they mean for HSA eligibility of cash-pay membership fees. What qualifies, what doesn't, and why legal counsel is essential before making any representations to patients about tax-advantaged payment options. Eight Questions Before You Commit A practical pre-decision checklist — eight specific questions every physician or advanced practice clinician should be able to answer clearly before committing to any cash-pay practice pathway. Key Takeaways Cash-pay primary care and concierge medicine are not the same model, do not serve the same patient populations, and should not be evaluated as interchangeable alternatives. The purist cash-pay model has grown from approximately 100 practices in 2009 to over 2,100 by 2023 — real and meaningful growth. The financial sustainability data, however, reflects consistent challenges that peer-reviewed research has documented specifically in lower-income markets and solo practice settings. The employer-integrated pathway has stronger structural sustainability — multiple revenue streams, embedded benefit relationships, and documented employer cost reductions of 12 to 20 percent over three to five years. A December 2025 Johns Hopkins study found concierge and cash-pay primary care practices combined grew 83.1 percent between 2018 and 2023. The employer-integrated model is the primary driver of that growth trajectory. Concierge medicine — particularly the PCM model — is not retreating. The global concierge medicine market is projected to surpass $34 billion by 2032 and is growing at a compound annual rate that outpaces most healthcare market segments. The National Academy of Medicine's 2021 Future of Nursing report, AAMC physician shortage projections, and peer-reviewed NP/PA outcomes research collectively point to advanced practice clinician-led direct-care models as one of the most significant underexplored opportunities in subscription-based healthcare delivery. Pattern recognition from healthcare history — price transparency, retail health, the micropractice movement — consistently shows that the distance between a compelling healthcare idea and durable scaled impact is longer and more complicated than early advocacy suggests. Models that have achieved durable scale in American primary care share one characteristic: structural fit with the economic environment, not independence from it. Sources and Citations All claims in this episode are supported by published, verifiable sources. Full citations below. Micropractice and Practice Model History Moore, G. (2002). "Accountability and Improvement in Physician Practice." Family Medicine. Moore, G. & Showstack, J. (2003). "Primary Care Medicine in Crisis." Health Affairs. healthaffairs.org AAFP TransforMED Initiative. (2006). aafp.org Nutting, P.A. et al. (2010). "Initial Lessons From the First National Demonstration Project on Practice Transformation to a Patient-Centered Medical Home." Annals of Family Medicine. Rittenhouse, D.R. et al. (2009). "Primary Care and Accountable Care." New England Journal of Medicine. Rittenhouse, D.R. & Shortell, S.M. (2009). "The Patient-Centered Medical Home." JAMA. Price Transparency Research Pathak, Y. & Muhlestein, D. (2024). "Public Awareness and Use of Price Transparency: Report From a National Survey." West Health Institute / Gallup. pmc.ncbi.nlm.nih.gov Parente, S.T. (2023). "Estimating the Impact of New Health Price Transparency Policies." Inquiry.pmc.ncbi.nlm.nih.gov ScienceDirect. (2025). "Outcomes of Price Transparency Policies for Healthcare Services in the United States: A Systematic Review." sciencedirect.com Retail Health Fein, A.J. (2017). "Retail Clinic Check Up: CVS Retrenches, Walgreens Outsources, Kroger Expands." Drug Channels. drugchannels.net CNBC. (2024). "Why Walmart, Walgreens, CVS Retail Health Clinic Experiment Is Struggling." cnbc.com Healthcare Finance News. (2023). "Retail Clinics Seeing Utilization Soar, Popularity Grow." healthcarefinancenews.com MedCity News. (2023). "Retail Clinics Are Gaining Momentum." medcitynews.com Cash-Pay and Subscription Primary Care Market Data MedCity News. (March 2026). "DPC Is Scaling — The Financing Architecture Isn't Ready." medcitynews.com Johns Hopkins. (December 2025). Study on concierge and cash-pay practice growth 2018–2023. As cited in MedCity News, March 2026. Liaw, W. et al. (2024). "Direct Primary Care: Financial Analysis and Potential to Reshape the U.S. Healthcare Landscape." Journal of General Internal Medicine. springer.com Lujan, D.Y. (2025). "Why Direct Primary Care Models Fail." KevinMD. kevinmd.com Doan, L. et al. (2019). "Physician Perspectives on Direct Primary Care." Family Medicine. Eskew, P.M. & Klink, K. (2015). "Direct Primary Care: Practice Distribution and Cost Across the Nation." Health Affairs. healthaffairs.org Tseng, P. et al. (2018). "Administrative Costs Associated With Physician Billing and Insurance-Related Activities." JAMA Internal Medicine. Medscape Physician Compensation Report. (2023). medscape.com Employer-Integrated Model Spann, S.J. et al. (2020). "Employer-Sponsored Direct Primary Care." Journal of Occupational and Environmental Medicine. National Alliance of Healthcare Purchaser Coalitions. (2021). purchaseralliance.org Kaiser Family Foundation. (2023). Employer Health Benefits Annual Survey. kff.org National Business Group on Health. (2022). businessgrouphealth.org Employers Health Coalition. (2022). employershealthcoalition.org Patient Demographics and Population Health Anderson, G.F. (2010). "Chronic Conditions: Making the Case for Ongoing Care." Johns Hopkins Bloomberg School of Public Health. Tikkanen, R. & Abrams, M.K. (2020). "U.S. Health Care from a Global Perspective." Commonwealth Fund.commonwealthfund.org Collins, S.R. et al. (2022). "Paying for It: How Health Insurance and Healthcare Costs Are Shaping the Lives of American Adults." Commonwealth Fund. commonwealthfund.org Bureau of Labor Statistics. (2023). "Contingent and Alternative Employment Arrangements." bls.gov Petterson, S. et al. (2012). "Unequal Distribution of the U.S. Primary Care Workforce." Annals of Family Medicine. Advanced Practice Clinicians and Nursing Laurant, M. et al. (2019). "Revision of Professional Roles and Quality Improvement in Primary Care." New England Journal of Medicine. Naylor, M.D. & Kurtzman, E.T. (2010). "The Role of Nurse Practitioners in Reinventing Primary Care." Health Affairs. healthaffairs.org National Academy of Medicine. (2021). "The Future of Nursing 2020–2030." nationalacademies.org AAMC. (2021). "The Complexities of Physician Supply and Demand: Projections from 2019–2034." aamc.org Legal, Tax, and Compliance Eischen, J. (2025). Legal Commentary on Cash Practice Structuring. eischenlawoffice.com DLA Piper. (2025). "Paying for Direct Primary Care Arrangements With HSAs." dlapiper.com IRS Notice 26-05. irs.gov CMS. "Opt-Out Affidavits and Private Contracts." cms.gov Organizational and Professional Identity Research Hoff, T.J. (2010). Practice Under Pressure: Primary Care Physicians and Their Medicine in the Twenty-First Century. Rutgers University Press. Scott, W.R. (2008). Institutions and Organizations: Ideas and Interests. SAGE Publications. Freidson, E. (2001). Professionalism: The Third Logic. University of Chicago Press. Wolinsky, H. & Brune, T. (1994). The Serpent on the Staff: The Unhealthy Politics of the American Medical Association. Putnam. Gevitz, N. (2004). The DOs: Osteopathic Medicine in America. Johns Hopkins University Press. Stephens, G.G. (1989). "Family Medicine as Counterculture." Journal of Family Practice. Colwill, J.M. (1992). "Where Have All the Primary Care Applicants Gone?" New England Journal of Medicine. Meltzer, D.O. & Chung, J.W. (2014). "The Population-Based Physician Workforce." Health Affairs.healthaffairs.org Bodenheimer, T. & Pham, H.H. (2010). "Primary Care: Current Problems and Proposed Solutions." Health Affairs. healthaffairs.org Grumbach, K. & Grundy, P. (2010). "Outcomes of Implementing Patient Centered Medical Home Interventions." JAMA. Concierge Medicine Market Data Grand View Research. (2022). Concierge Medicine Market Size & Growth Report. grandviewresearch.com Precedence Research. (2023). U.S. Concierge Medicine Market Size and Forecast. globenewswire.com MDVIP. (2020). Personalized Primary Care Reduces ER Visits, Hospitalizations, and Outpatient Expenditures.mdvip.com AAPP / Software Advice. (2023). "Concierge Medicine Salary and Definition." softwareadvice.com Disclaimer The DocPreneur Leadership Podcast is produced by Concierge Medicine Today, LLC, an independent healthcare leadership publication. This episode and its accompanying summary are intended for educational and informational purposes only. Nothing in this episode or summary constitutes medical, legal, financial, or accounting advice. The information presented reflects publicly available research, published data, and editorial observation, and is not intended to replace the guidance of qualified medical, legal, financial, or business professionals. All factual claims are supported by named, verifiable third-party sources, which are cited in full above. Concierge Medicine Today makes no guarantee regarding the completeness or currency of external sources cited and encourages listeners to verify information independently. References to specific organizations, publications, legal decisions, or market data are provided for educational context only. Mention of any organization, publication, or individual does not constitute endorsement, and no commercial relationship exists between Concierge Medicine Today and any source cited in this episode unless otherwise disclosed. Physicians, nurse practitioners, physician assistants, and other clinicians considering any practice model change are strongly encouraged to seek qualified legal counsel with specific experience in healthcare compliance, tax structuring, and the applicable regulatory environment in their state before making any practice or business decisions. © 2007–2026 Concierge Medicine Today, LLC. All rights reserved. Reproduction or distribution of this content without written permission is prohibited.
If you constantly find yourself picking up tasks that nobody else will do, staying late to cover gaps, or slowly absorbing more and more without anyone asking you to - this episode is going to name exactly what's happening.Occupational psychologist Leanne Elliott joins Rachel to unpack why over-responsibility isn't a personality flaw; it's what happens when you don't have absolute clarity on what tasks are definitely part of your role – and, more crucially, what tasks aren't.They explore why conscientious professionals in under-resourced settings are most at risk, how the 'if I don't do it, who will?' question keeps people stuck, and what you can actually do this week to start auditing what belongs on your plate and what doesn't.Key TakeawaysRole clarity is a recognised psychosocial risk factor, and when it's absent, taking on extra work feels like the only option, even when it's pushing you towards burnout.A simple daily audit - writing down tasks that drained you, that weren't in your role, or that you did out of fear rather than responsibility – can give you the data to have important but calmer and less personal conversations with your team about your roles.Rest and recovery are not the same thing. Knowing your recovery activities and protecting time for them is a skill, not a luxury.Resources Mentioned:The Twenty Questions: How do I know if I'm a workaholic?Get more episodes and resources by joining FrogXtraMentioned in this episode:Download Your Free Overwhelm SOS Guide Discover the simple, step-by-step process you need to calm your mind, take control of your tasks, and get yourself out of overwhelm.
In this episode of Fraud Talk, ACFE CEO John Warren, J.D., CFE, and Chief Training Officer Andi McNeal, CFE, CPA, join the show to explore Occupational Fraud 2026: A Report to the Nations — from its origins to its impact in the anti-fraud profession. The conversation traces the biennial report's evolution over three decades, beginning with the first edition in 1996 to its role today as a global benchmark built on thousands of detailed case submissions provided by Certified Fraud Examiners (CFEs). These conversations reveal how the report is created, from the collection of thousands of survey responses to analyzing and refining the information into meaningful insights. They discuss trends revealed through the data, including the role of tips in detecting fraud and the human element of identifying behavioral red flags, to balancing long-standing findings with new perspectives in each edition. This episode also highlights the collaborative nature of the anti-fraud profession, emphasizing how contributions from CFEs worldwide make the report possible and help organizations better understand and respond to fraud risk. Download Occupational Fraud 2026: A Report to the Nations for free at ACFE.com/RTTN. —————————————— Concentrix: Download the new white paper "Rewriting the Rules: How AI Is Transforming Fraud and Dispute Resolutions" at https://www.concentrix.com/insights/thought-leadership/how-ai-is-transforming-fraud-and-dispute-resolutions/.
Sensory tools like light tables and customized sensory boards are helping autistic students stay regulated and focused in therapy and classroom settings. Occupational therapists share real-world strategies for designing environments that reduce overload and boost engagement. To learn more, visit https://www.littlepeoplescove.com/haba-sensory-wall-panels/ Little People's Cove City: Bonney Lake Address: 11312 218th Ave E Website: https://www.littlepeoplescove.com
For the last of my episodes with exam experts, I spoke to Helen Louise all about the Occupational English Test, a qualification for healthcare professionals.It's a wonderful chat about a test I didn't know much about. I hope you find it interesting!
Small islands generally did far better during the pandemic than bigger (and often richer) countries with more complex health systems. In this episode, Emily and Matt ask: what have been the longer-term effects of Covid-19 more than five years on? Have lessons have been learned for the next shock? Where can we see both improvements and things to worry about in health provision and outcomes? We welcome two global public health experts for our “Explainer”. Sophie Harman tells us why we should worry about not only the decline of multilateral health governance, but also what might be replacing it. Simon Rushton talks us through some of the longer-term effects of the pandemic on the Global South. Then, in the Big Picture, we are joined by Roannie Ng Shiu from Samoa and Aviane Auguste from St Lucia to learn why SIDS did relatively so well in the pandemic but why more prosaic health challenges – from measles to dengue and non-communicable diseases like diabetes – are of greater immediate concern. Finally, in no stupid questions, Matt and Emily ask whether small size and islandness are actually secret weapons in helping SIDS to achieve better health outcomes. LISTENER SURVEY: To help us make Small Islands, Big Picture even better, we've put together a short audience survey and would love your input. You can find the survey at this link and your feedback will help us shape future episodes, topics, and guests. If you have a moment, please fill it out: it only takes a couple of minutes would mean a lot to us. Thanks for listening and supporting the show! Featuring:Emily Wilkinson (host) | RESI Director and Principal Research Fellow at ODI GlobalMatthew Bishop (host) | RESI Director and Senior Lecturer at the University of SheffieldSophie Harman | Professor of International Politics, Queen Mary, University of LondonSimon Rushton | Professor of International Politics, University of SheffieldRoannie Ng Shiu | Director, Institute for Pacific and Global Health, University of AucklandAvianne Auguste | Assistant Professor, Epidemiology, Biostatistics and Occupational health, McGill University Resources:Programme page | Resilient and Sustainable Islands Initiative (RESI)Sophie's profile | Professor Sophie HarmanSophie's film | PiliSophie's book | Sick of it: the global fight for women's healthSimon's profile | Professor Simon RushtonSimon's award | ESRC Impact Prize: Improbable DialoguesSimon & Sophie's recent Lancet article | Global health partnerships for a post-2030 agendaRoannie's profile | Dr Roannie Ng ShiuRoannie's Lancet article | The 2024 small island developing states report of the Lancet Countdown on health and climate changeAviane's profile | Dr Aviane AugusteA public lecture by Aviane | Improving health outcomes in small islandsAn important Lancet piece | SIDS standing together on NCDs and mental health Hosted on Acast. See acast.com/privacy for more information.
For those studying for the USMLEs, this is certainly not for you. This is a podcast series targeted specifically towards the Occupational and Environmental Medicine Board Examination put out by the ABPM. In this episode, I discuss everything you need to know about the OSHA Lead Standard to answer all those pesky board questions. Audio … Continue reading DIP Ep 652: OMBRS 1-The OSHA Lead Standard
For those studying for the USMLEs, this is certainly not for you. This is a podcast series targeted specifically towards the Occupational and Environmental Medicine Board Examination put out by the ABPM. In this episode, I discuss everything you need to know about the OSHA Lead Standard to answer all those pesky board questions. Audio … Continue reading DIP Ep 652: OMBRS 1-The OSHA Lead Standard
Send us a text and chime in!The Central Arizona Fire and Medical Authority (CAFMA) has been recognized with “Gold Helmet” status through the National Institute for Occupational Safety and Health (NIOSH) National Firefighter Registry (NFR) for Cancer, a national initiative aimed at better understanding and reducing cancer risks among firefighters. This distinction is awarded to fire departments that demonstrate exceptional commitment to firefighter health by enrolling at least 50% of their active personnel, or more than 300 firefighters, into the registry. CAFMA's achievement reflects a department-wide effort to go above and beyond in protecting its workforce from one of the profession's greatest threats. Occupational cancer remains... For the written story, read here >> https://www.signalsaz.com/articles/cafma-earns-gold-helmet-status-for-firefighter-health/ Check out the CAST11.com Website at: https://CAST11.com Follow the CAST11 Podcast Network on Facebook at: https://Facebook.com/CAST11AZFollow Cast11 Instagram at: https://www.instagram.com/cast11_podcast_network
Occupational therapy is a specialized practice that sees patients after an injury, trauma, or surgery in order to help them regain the ability to carry out everyday tasks. Today on Health 411, Alan Newman, an occupational therapist from Capital Health, joins our host Dr. Jonathan Karp and student producer Kaya Basatemur, in a conversation all about occupational therapy. In this episode, Alan addresses questions such as, "what is the difference between Physical Therapy and Occupational Therapy?", and "are you holding your phone wrong?" Alan Newman also specializes in hand occupational therapy, which concentrates in treating patients with hand injuries, nerve issues, arthritis, tendon disorders, trigger finger, ampuations, and other hand-related traumas. If you or someone you know is interested in becoming an occupational therapist, or even if you're not, this is the perfect episode for you! Don't miss this week's edition of Health 411!
Michael McGuinness, is well known and respected for his deep technical expertise, field experience, role in the early days of mold and water loss training, standards development and "unapologetic no-nonsense New Jersey attitude”. Mike is a Certified Industrial Hygienist with sub-specialty certification from the American Board of Industrial Hygiene (ABIH) in Indoor Environmental Quality (IEQ) sub-specialty. He is also a Certified Environmental Trainer through the National Environmental Training Association. He is a Certified Indoor Air Quality Professional through the Association of Energy Engineers with over 35 years professional experience in the public sector with the Occupational Safety and Health Administration (OSHA) and the NJ Bureau of Engineering and Safety and as principal in the environmental consulting firm R.K. Occupational and Environmental Analysis, Inc. based in Phillipsburg, New Jersey. Learn more this week on IAQ Radio+.
OEM is easily one of the best kept secrets in medicine. Most don’t even know about this discipline. In this podcast, I introduce what occupational and environmental medicine is, discuss what residency looks like, and highlight other important items like compensation, hours, career paths, etc. Certainly consider this as you apply to residency. Audio Download
OEM is easily one of the best kept secrets in medicine. Most don’t even know about this discipline. In this podcast, I introduce what occupational and environmental medicine is, discuss what residency looks like, and highlight other important items like compensation, hours, career paths, etc. Certainly consider this as you apply to residency. Audio Download
Dr. Maha Hosain Aziz, an international relations professor at NYU and Global Foresight Advisor at the World Economic Forum, highlights the often-overlooked societal, economic, and psychological impacts of AI adoption. She explores the growing anxiety around job displacement and the emerging "occupational identity crisis" occurring as AI reshapes industries and how people define purpose and stability in their careers. She also reveals how shifts in world order, the rise of tech companies as powerful global actors, and increasing mental health concerns are all interconnected in the age of AI. Key Takeaways: Mental health challenges linked to AI-driven uncertainty The Rising reliance on AI for emotional support How global power dynamics are shifting as BigTech gains influence The "occupational identity crisis" as AI reshapes our relationship with work Guest Bio: Dr Maha Hosain Aziz has crafted a portfolio career in global risk and future trends based at NYU's MA International Relations Program: She is a professor leading the annual global risk prediction project with crowdsourced consultancy Wikistrat, and creating data-driven risk indices and apps; a risk and foresight expert advising the World Economic Forum; co-chair in AI policy at think tank The Digital Economist; and senior advisor (geopolitics) at impact firm Enlighten Advisory. She has written a trilogy of books: 7-time award-winning bestseller Future World Order (2019 & 2025), Global Spring (2026) and 10 Shock Events By 2030 (2026). She created the 10-time award-winning VR/AR political comic The Global Kid (2021), which is based on the 7-time award-winning original comic she drew (2016). She's also working on Evolution (2026), a comic about global extremism. She is a global citizen with Pakistani roots who grew up in the Middle East, Southeast Asia, Europe and the US, studying at Brown (BA), Columbia (MA) and the LSE (MSc, PhD). ---------------------------------------------------------------------------------------- About this Show: The Brave Technologist is here to shed light on the opportunities and challenges of emerging tech. To make it digestible, less scary, and more approachable for all! Join us as we embark on a mission to demystify artificial intelligence, challenge the status quo, and empower everyday people to embrace the digital revolution. Whether you're a tech enthusiast, a curious mind, or an industry professional, this podcast invites you to join the conversation and explore the future of AI together. The Brave Technologist Podcast is hosted by Luke Mulks, VP Business Operations at Brave Software—makers of the privacy-respecting Brave browser and Search engine, and now powering AI everywhere with the Brave Search API. Music by: Ari Dvorin Produced by: Sam Laliberte
Episode SummaryAre you leaving money on the table because of "fear-based" billing? Live from the Growth Code Conference, host Will Humphreys sits down with the industry's foremost expert on reimbursement and compliance, Rick Gawenda, President of Gawenda Seminars & Consulting, Inc.In this episode, Rick strips away the fluff to discuss the massive regulatory shifts coming to Physical, Occupational, and Speech Therapy. From the looming 2027 Speech Therapy CPT code overhaul to the "when, not if" reality of audits, Rick explains how to protect your license while ethically maximizing your revenue. If you've ever worried about a government shutdown affecting telehealth or felt guilty about your profit margins, this conversation is your roadmap to financial clarity and clinical peace of mind.Key Takeaways35 Years of Expertise -Rick shares his journey from physical therapist to a leading consultant and legal expert witness. He discusses his role in helping therapists stay out of "legal jail" and keep their licenses secure.The Hard Truth About Rehab Margins - Why the therapy business is tougher than the restaurant industry. Rick explains how inflation has risen 43% since 2010, while many payers are actually paying less than they did 15 years ago.Documentation & The "When" of Audits - Rick previews his Growth Code sessions, focusing on high-level documentation from eval to discharge. Breaking News: 2027 Speech Therapy Changes - Rick reveals (within NDA limits) the massive shift coming for SLPs: CPT code 92507 is being deleted in 2027 and replaced by 10 new timed units. This will fundamentally change how pediatric speech therapy is reimbursed.The "Top 5" Strategy - Feeling overwhelmed by 200 different insurance carriers? Rick explains the Pareto Principle of billing: Focus on the 5–7 payers that make up 85% of your volume to stay 100% compliant.The "Over-Documentation" Trap - Why new grads often under-bill but over-document, and how extra "fluff" in your notes can actually be used against you in court.When Does Therapy Actually Begin? A game-changing tip for providers: Therapy starts the moment you greet the patient in the waiting room. Rick explains how to capture those "lost" minutes of assessment and education as billable time.Financial Transparency & Staff Retention - How sharing metrics and "Tuesday Huddles" creates a culture of leadership. Rick and Will discuss the true cost of an employee (30–35% above salary) and how to explain this to staff to align goals.Connect with Rick GawendaLinkedIn: https://www.linkedin.com/in/gawendaseminarsandconsulting/Gawenda Seminars & Consulting Facebook at: http://www.facebook.com/gawendaseminarsTwitter at: https://twitter.com/gawendaseminars - @gawendaseminarsInstagram: https://www.instagram.com/gscconsulting/ - @gscconsultingAbout the Host & SponsorWill Humphreys: Speaker, coach, and founder of the Will Power Podcast. https://www.virtualrockstar.com/willRockstar Virtual Assistant: Scale your practice and reclaim your time with the iSend us Fan MailVirtual Rockstars specialize in helping support or replace all non-clinical roles.Learn how a Virtual Rockstar can help scale your physical therapy practice.Subscribe here to our completely free Stress-Free PT Newsletter for your weekly dose of joy.
Mark Katchen, managing principal of The Phylmar Group and co-author of “Ethical Decision-making in Occupational and Environmental Health and Safety: A Comparative Case Study Approach,” discusses common ethical dilemmas EHS professionals may encounter, and how to address them in a way that best supports worker safety and health. He also shares the importance of understand and following the safety profession’s code of conduct, and that of your organization so that you can serve as an example to others.
Welcome back to Truth, Lies & Work, the award-winning workplace podcast where behavioural science meets workplace culture. This week we're deconstructing the "cockroaches of the employment world," exploring a new AI tool that helps you nail your next interview, and digging into the data to see if hiring for "culture fit" is actually a good idea.
"Healthcare Without Harm is more of an advocacy organization that works with clinicians and other healthcare workers to reduce the environmental impact of healthcare and pollution as well as climate impacts. And then Practice Greenhealth advises hospitals on how to get there and they do this awards process…(which is) about having people aware of all these different metrics that impact your operational sustainability…(and) raise awareness among the people who are running the hospital and leadership about how they're using water, food waste, where they're buying their food from, their waste hauling costs and the type of waste they're throwing away, their…carbon emissions…and guides." Dr. Anna Goldman on Electric Ladies Podcast "The climate crisis poses a critical threat to health systems and populations globally with projections of 14.5 million preventable deaths and 1.1 trillion in healthcare costs by 2050," the Journal of Occupational and Environmental Medicine said. How can hospitals care for patients and staff 24/7 every day while also reducing its own carbon footprint and stay safe in extreme weather events? Listen to Dr. Katherine Gergen-Barnett and Dr. Anna Goldman of Boston Medical Center in this fascinating conversation with Electric Ladies Podcast host Joan Michelson. You'll hear about: ● Their creative initiatives and systems to reduce food waste, feed patients and staff better, and reduce energy and water consumption, CO2 emissions, and waste. ● How state policies directly affect hospitals and communities and can support systems change, even regardless of federal policies. ● What Practice Greenhealth is and how it's helping BMC and other medical centers manage their unique challenges and reduce their environmental impact and costs. ● Plus, career advice, such as: "You can do it all, but you don't have to do it all at once.…Enjoy each chapter. There are parts where I've absolutely receded based on what matters most. Recently when my father was ill and dying, I needed to step away from some of my career pulls to say, this is what matters to me….Try as best as you can not to be fear-driven. I think we are so driven by fear that we're never going to be enough, that we aren't going to contribute enough….(Y)ou actually are enough just as you are, right? Take this day, do what you can. Impact the people around you.…Become partners in your career with unlikely people, people who don't think like you, people who aren't doing the same career as you. You'll get a lot more joy out of, I think, your career because of the cross-pollination." Dr. Katherine Gergen-Barnett on Electric Ladies Podcast Subscribe to Joan's Electric Ladies Podcast newsletter here to receive podcasts, career advice, events and articles in your inbox weekly. Read Joan's Forbes articles here. You'll also like: · How Hospitals Can Juggle 24/7 Care & Climate Impacts - with Carol Gomes, CEO/COO of Stony Brook University Hospital · Using Software & AI to Reduce CO2 & Increase Resilience – with Lydia Walpole & Chris Bradshaw of Bentley Systems · Leveraging AI for Sustainability – with Mandi McReynolds, VP of External Affairs & Chief Sustainability Office at Workiva · Music, Public Health & Climate Action – with Emma O'Brien, Ph.D., Global Scrub Choir · Connecting With Curiosity – with Jennifer Hough, Author, TEDx Speaker, Advisor to Leaders · Artificial Intelligence and the Climate: Stephanie Hare, Ph.D, author of "Technology is Not Neutral" and BBC Broadcaster · Why Our Lives Depend on Women on Boards – with Corinne Post, Ph.D., Lee High University (now at Villanova) Subscribe to our newsletter to receive our podcasts, blog, events and special coaching offers. Thanks for subscribing on Apple Podcasts or iHeartRadio and leaving us a review! Follow us on Twitter @joanmichelson
In this episode of the Health Coach Academy Podcast, we sit down with therapist, entrepreneur, and somatic practitioner Helen Malinowski to explore how she transformed her private practice from $150,000 to over $1 million in revenue in just five years. Helen shares the powerful story of how burnout forced her to rethink the traditional one-on-one service model and ultimately led her to build a thriving multi-clinician practice with nearly 30 clinicians and multiple locations. If you're a health coach, therapist, or wellness practitioner, this conversation will challenge the belief that helping professions must equal exhaustion. Helen explains how listening to your nervous system, setting boundaries, and building community can unlock both impact and financial success. You'll also learn why expanding beyond the solo practitioner model may be the key to building a sustainable and scalable health or coaching business. What You'll Learn in This Episode How Helen grew her practice from $150K to $1M in five years The burnout trap many therapists and health coaches fall into Why the traditional one-on-one client model isn't sustainable How nervous system regulation can guide better business decisions The mindset shift that allowed Helen to start saying no to clients How building a team and group practice created freedom and impact Why community and mentorship are essential for practitioners Marketing strategies that actually work for wellness professionals The power of local networking with doctors, chiropractors, and other providers How health coaches fit into the holistic healthcare ecosystem Helen Malinowski's Origin Story Helen grew up in a family of research scientists in Woods Hole, Massachusetts, and originally believed science was her only career path. But after discovering psychology and later social work, she found her calling helping people through counseling and trauma therapy. As her private practice grew, so did the demands. Like many practitioners, Helen struggled with: Business skills Marketing and finances Boundaries with clients Overwork and emotional fatigue By 2019, she realized something was wrong. She was experiencing classic burnout symptoms: Exhaustion Irritability Dreading work Feeling overwhelmed Ironically, she was burning out doing the work she loved most. The Turning Point: Discovering Somatic Experiencing Helen enrolled in somatic experiencing training, initially believing it would help her clients. Instead, it changed her life. Through this training she began to understand: How the nervous system affects decision making Why burnout happens in helping professions How to listen to internal signals of stress and capacity This new awareness helped her build a practice that aligned with her energy, values, and nervous system regulation. Why One-on-One Coaching Can Lead to Burnout One of the biggest insights Helen shares is that many practitioners get stuck in the one-on-one client model. While rewarding, it has limits: Your time is capped Your emotional energy gets drained Growth becomes impossible without burnout Helen realized she couldn't continue saying yes to every client. Instead of turning people away, she restructured her entire business model. Today, her practice includes: Nearly 30 clinicians Multiple therapy locations A dedicated children's mental health center Occupational therapy services Coaching and practitioner training programs The Power of Listening to Your Nervous System A major theme of this episode is body awareness in business decision-making. Helen explains that many professionals rely purely on logic and numbers. But your body often knows the answer first. She recommends asking: Does this opportunity feel expansive or draining? Does my body say yes… or hesitate? Am I making this decision from alignment or obligation? Learning to pause and check in with your nervous system can transform both business strategy and personal wellbeing. Marketing Strategies That Work for Wellness Practitioners Helen also breaks down the different marketing strategies she uses for her businesses. For her therapy practice: Psychology Today listings Insurance panels Local physician referrals Networking with healthcare providers Relationships with chiropractors, acupuncturists, and pediatricians For her coaching and training programs: Instagram content Blogs and educational articles Email newsletters Free workshops and trainings Online community building The key takeaway? Visibility + value = trust. Consistently sharing helpful content builds long-term relationships with your audience. Why Health Coaches Are Critical in the Healthcare Ecosystem One of the most important discussions in this episode is the role of health coaches in trauma-informed care. Helen explains that many therapy clients struggle with physical health issues related to stress and trauma, including: Chronic illness Autoimmune conditions Cardiovascular disease Hormonal imbalances Nervous system dysregulation While therapists address emotional healing, health coaches help clients implement daily lifestyle changes that support recovery. This makes health coaches an essential partner in a holistic health ecosystem. Advice for Health Coaches and Wellness Entrepreneurs Helen's biggest advice for practitioners: Slow down before making big business decisions. Instead of rushing into growth, ask: Is this aligned with my energy and values? Does this support my long-term sustainability? Am I building something that truly supports my life? When your business aligns with your nervous system, growth becomes more natural and sustainable. Helen's story is proof that helping people and building a profitable business are not mutually exclusive. By trusting your body, building the right team, and surrounding yourself with supportive community, it's possible to create a practice that flourishes financially while protecting your wellbeing. If you're a health coach, therapist, or wellness professional, this episode will inspire you to rethink what's possible in your career.
Occupational medicine physician and life coach Claudine Holt discusses her article "Nervous system dysregulation vs. stress: Why 'just relaxing' doesn't work." Claudine challenges the common advice to treat burnout with self-care like massages or vacations. She explains that for many, stress is not a mindset issue but a physiological state of the nervous system. The conversation highlights how behaviors like perfectionism and people-pleasing are actually adaptive survival strategies, not character flaws. Claudine argues that when the body is stuck in a fight-or-flight state, relaxation actually feels dangerous. She advocates for "bottom-up" somatic approaches rather than willpower or cognitive therapies alone. Discover why healing requires updating the nervous system's safety cues rather than just trying to force calm. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
About a quarter of Finnish workers suffer from occupational burnout symptoms, and immigrants are not immune to the problem. We hear burnout stories from our audience as well as from experts who help sufferers of the stress-related syndrome.
Rancho Mesa's Alyssa Burley and Client Technology Specialist, Brenda Colby sit down to talk about the Bureau of Labor Statistics' census (or BLS) of fatal occupational injuries summary for 2024.Show Notes: Subscribe to Rancho Mesa's NewsletterHost: Alyssa BurleyGuest: Brenda ColbyEditor: Jadyn BrandtMusic: "Home" by JHS Pedals, “Breaking News Intro” by nem0production© Copyright 2026. Rancho Mesa Insurance Services, Inc. All rights reserved.
Welcome back to Truth, Lies & Work, the award-winning workplace podcast where behavioural science meets workplace culture, brought to you by the HubSpot Podcast Network. This week, we explore why "friction" might be the secret to better judgment, the brutal reality of AI-driven layoffs at Block, and why your boss's 10:47 PM emails are exhausting your entire team. Plus, we dig into the science of whether leadership is written in your DNA.
This week we talk to Polly Miller, Legal Director at Clyde & Co, to explore the latest developments in occupational disease litigation. We discuss: • Typical issues that arise in disease claims and how claimant and defendant lawyers approach these • How insurance coverage has evolved over time, including the impact of COVID-19 • Current trends in disease litigation and the emerging risks to watch.
Rancho Mesa's Alyssa Burley and Client Technology Specialist, Brenda Colby sit down to talk about the Bureau of Labor Statistics' recently released occupational injury and illness data for 2023-2024.Show Notes: Subscribe to Rancho Mesa's NewsletterHost: Alyssa BurleyGuest: Brenda ColbyEditor: Jadyn BrandtMusic: "Home" by JHS Pedals, “Breaking News Intro” by nem0production© Copyright 2025. Rancho Mesa Insurance Services, Inc. All rights reserved.
When you're building your family with donor conception, one huge decision often gets skipped: Are we setting this person up as “Dad” (or “Mom”)… or as a “Donor”? This episode is not about what your child might eventually choose to call them. It's about the role you intentionally create at the beginning and how that choice shapes expectations, time, money, relationships, and logistics for everyone involved. It can be beautiful, or it can become very complicated, depending on how it's set up. In this solo episode, I walk you through six key topics to think about before you decide: • Legal realities and responsibilities • Emotional expectations for you, your co-parent / donor, and your child • Family and societal expectations • Occupational and lifestyle implications • Time and financial commitments • How your own story and history shape the relationship I also share three practical ways to process your responses, so you're not just spinning in worry, but actually moving toward a more grounded, thoughtful decision for you and your future child. This episode is not legal advice and cannot replace personalized medical, legal, or mental health support. It's meant to offer ideas, language, and frameworks as you navigate donor conception and modern family building.
In this episode, Cody Bales shares info on BESLER's free Webinar, Occupational Mix Survey: Preparing for the CY 2025 Cycle, live on Wed., Feb. 18, at 1 PM ET.
Occupational therapy in the NICU is one of the most specialized and sensitive practice areas in our profession. The transition from traditional clinical settings to the high-stakes, high-tech environment of neonatal care requires a fundamental shift in how we approach both assessment and intervention.Whether you are an OT looking to move into the NICU or a pediatric therapist wanting to better understand the early medical history of the infants on your caseload, this course will walk you through essential neuroprotective strategies that optimize long-term outcomes.You'll leave more confident in navigating the complexities of neonatal care—from performing specialized assessments to implementing interventions that protect the developing brain. Joining us for this course is neonatal therapist and lactation consultant, Nicole Bazinet, MS, OTR/L, IBCLC, CNT, NTMTC who will share hard-earned advice from her years in this setting.In this course, we will cover:OT assessmentCommon interventionsPartnering with parentsYou will leave this course empowered to support our tiniest patients and their families during this critical window of development.See full course details here:https://otpotential.com/ceu-podcast-courses/how-to-plan-a-great-ot-sessionSee all OT CEU courses here:https://otpotential.com/ceu-podcast-coursesSupport the show by using the OTPOTENTIAL Medbridge Code:https://otpotential.com/blog/promo-code-for-medbridgeTry 2 free OT Potential courses here:https://otpotential.com/free-ot-ceusSupport the show
Welcome to the RPGBOT.Podcast, where today's character creation lesson begins with basic geometry, escalates into psychic powers, and somehow ends with a pacifist circus bear being seriously considered as a build option. In this episode, we take the gloves off and actually make characters for Pulp Cthulhu—choosing archetypes, rolling stats, hoarding skill points like goblins, and discovering that if you roll too well, you might accidentally invent the world's first telepathic himbo artist. If you've ever wondered how Call of Cthulhu character creation becomes fast, fun, and dangerously powerful, this is where the pulp really starts to flow. The D8 goes in the D8 hole. Show Notes This episode walks step-by-step through Pulp Cthulhu character creation, showing how investigators are built to be tougher, broader, and far more cinematic than their classic Call of Cthulhu counterparts. Ash guides Tyler and Randall through the full process—then breaks it down into a Quick & Dirty method that can get players to the table in minutes. Step 1: Choose an Archetype Archetypes replace traditional "classes" and are rooted in classic pulp fiction roles: Mystic (psychic powers, occult insight, vibes) Egghead (engineers, scientists, gadgeteers) Two-Fisted, Swashbuckler, Femme Fatale, Bon Vivant, and more Each archetype: Defines a core characteristic Grants bonus archetype skills Suggests traits, occupations, and story hooks This approach encourages concept-first design, letting the character idea drive the mechanics instead of the other way around. Step 2: Generate Characteristics Attributes are rolled using the familiar D100 roll-under system, but with a key twist: Core characteristic = 1d6 + 13 × 5 (expect very high numbers) Other stats use 3d6×5 or 2d6+6×5 High pulp means exceptional competence The result? Characters who feel powerful immediately—sometimes too powerful, leading to delightful accidents like rolling: Incredible Power Solid looks Questionable intelligence (Yes, the "himbo build" is real.) Step 3: Talents (High Pulp Edition) Because this game is running High Pulp, characters receive four talents instead of two. Talents are drawn from four categories: Physical Mental Combat Miscellaneous Highlights from the episode include: Psychic Powers Arcane Insight Weird Science Animal Companion (responsibly downgraded from "bear" to "bear-adjacent dog") Talents dramatically define how characters play and reinforce pulp action over fragile realism. Step 4: Occupation & Skill Points Occupations grant massive skill point pools, often hundreds of points: Skills start with base percentages Occupational skills come first Archetype skills add another 100 points Personal interest skills add even more The result is wide, competent characters instead of hyper-specialized glass cannons. The episode includes practical advice: Avoid pushing every skill to 95 Aim for flexibility, not just peak numbers Remember Credit Rating is mandatory and matters in play Step 5: Backstory (Fast but Meaningful) Instead of long essays, Pulp Cthulhu uses structured prompts: Personal description (biased, first-person) Ideology and beliefs Significant people Treasured possessions Traits Random tables spark instant character hooks, like: Idolizing Nikola Tesla Carrying calipers as a grounding object Shared trauma bonds Risk-taking or unreliable personalities One key backstory element becomes your Sanity anchor, helping characters recover from mental trauma. Quick & Dirty Character Creation Ash closes the episode with a streamlined alternative: Assign preset stat values Pick talents Select skills from fixed arrays Roll backstory details Start playing immediately Perfect for one-shots, convention play, or groups eager to punch cultists now, not in two hours. Key Takeaways Pulp Cthulhu character creation is fast, flexible, and cinematic Archetypes replace classes with strong narrative identity High Pulp characters start powerful and stay relevant Talents are the heart of customization Skill points are plentiful—breadth is rewarded Structured backstory tools create instant roleplay hooks The Quick & Dirty method gets you playing in minutes Yes, you can accidentally build a psychic himbo—and that's a feature Welcome to the RPGBOT Podcast. If you love Dungeons & Dragons, Pathfinder, and tabletop RPGs, this is the podcast for you. Support the show for free: Rate and review us on Apple Podcasts, Spotify, or any podcast app. It helps new listeners find the best RPG podcast for D&D and Pathfinder players. Level up your experience: Join us on Patreon to unlock ad-free access to RPGBOT.net and the RPGBOT Podcast, chat with us and the community on the RPGBOT Discord, and jump into live-streamed RPG podcast recordings. Support while you shop: Use our Amazon affiliate link at https://amzn.to/3NwElxQ and help us keep building tools and guides for the RPG community. Meet the Hosts Tyler Kamstra – Master of mechanics, seeing the Pathfinder action economy like Neo in the Matrix. Randall James – Lore buff and technologist, always ready to debate which Lord of the Rings edition reigns supreme. Ash Ely – Resident cynic, chaos agent, and AI's worst nightmare, bringing pure table-flipping RPG podcast energy. Join the RPGBOT team where fantasy roleplaying meets real strategy, sarcasm, and community chaos. How to Find Us: In-depth articles, guides, handbooks, reviews, news on Tabletop Role Playing at RPGBOT.net Tyler Kamstra BlueSky: @rpgbot.net TikTok: @RPGBOTDOTNET Ash Ely Professional Game Master on StartPlaying.Games BlueSky: @GravenAshes YouTube: @ashravenmedia Randall James BlueSky: @GrimoireRPG Amateurjack.com Read Melancon: A Grimoire Tale (affiliate link) Producer Dan @Lzr_illuminati
In this episode of the series, Matthew and Cindy provide a 10-minute guide to PD ISO/PAS 45007 – Occupational health and safety management - risks arising from climate change and climate change action - guidance for organizations.Discover the 10 things you need to know.Series | Standards in 10 MinutesFind out more about the issues raised in this episodePD ISO/PAS 45007Get involved with standardsGet in touch with The Standards Showeducation@bsigroup.comsend a voice messageFind and follow on social mediaX @StandardsShowInstagram @thestandardsshowLinkedIn | The Standards Show
Welcome to the RPGBOT.Podcast, where today's character creation lesson begins with basic geometry, escalates into psychic powers, and somehow ends with a pacifist circus bear being seriously considered as a build option. In this episode, we take the gloves off and actually make characters for Pulp Cthulhu—choosing archetypes, rolling stats, hoarding skill points like goblins, and discovering that if you roll too well, you might accidentally invent the world's first telepathic himbo artist. If you've ever wondered how Call of Cthulhu character creation becomes fast, fun, and dangerously powerful, this is where the pulp really starts to flow. The D8 goes in the D8 hole. Show Notes This episode walks step-by-step through Pulp Cthulhu character creation, showing how investigators are built to be tougher, broader, and far more cinematic than their classic Call of Cthulhu counterparts. Ash guides Tyler and Randall through the full process—then breaks it down into a Quick & Dirty method that can get players to the table in minutes. Step 1: Choose an Archetype Archetypes replace traditional "classes" and are rooted in classic pulp fiction roles: Mystic (psychic powers, occult insight, vibes) Egghead (engineers, scientists, gadgeteers) Two-Fisted, Swashbuckler, Femme Fatale, Bon Vivant, and more Each archetype: Defines a core characteristic Grants bonus archetype skills Suggests traits, occupations, and story hooks This approach encourages concept-first design, letting the character idea drive the mechanics instead of the other way around. Step 2: Generate Characteristics Attributes are rolled using the familiar D100 roll-under system, but with a key twist: Core characteristic = 1d6 + 13 × 5 (expect very high numbers) Other stats use 3d6×5 or 2d6+6×5 High pulp means exceptional competence The result? Characters who feel powerful immediately—sometimes too powerful, leading to delightful accidents like rolling: Incredible Power Solid looks Questionable intelligence (Yes, the "himbo build" is real.) Step 3: Talents (High Pulp Edition) Because this game is running High Pulp, characters receive four talents instead of two. Talents are drawn from four categories: Physical Mental Combat Miscellaneous Highlights from the episode include: Psychic Powers Arcane Insight Weird Science Animal Companion (responsibly downgraded from "bear" to "bear-adjacent dog") Talents dramatically define how characters play and reinforce pulp action over fragile realism. Step 4: Occupation & Skill Points Occupations grant massive skill point pools, often hundreds of points: Skills start with base percentages Occupational skills come first Archetype skills add another 100 points Personal interest skills add even more The result is wide, competent characters instead of hyper-specialized glass cannons. The episode includes practical advice: Avoid pushing every skill to 95 Aim for flexibility, not just peak numbers Remember Credit Rating is mandatory and matters in play Step 5: Backstory (Fast but Meaningful) Instead of long essays, Pulp Cthulhu uses structured prompts: Personal description (biased, first-person) Ideology and beliefs Significant people Treasured possessions Traits Random tables spark instant character hooks, like: Idolizing Nikola Tesla Carrying calipers as a grounding object Shared trauma bonds Risk-taking or unreliable personalities One key backstory element becomes your Sanity anchor, helping characters recover from mental trauma. Quick & Dirty Character Creation Ash closes the episode with a streamlined alternative: Assign preset stat values Pick talents Select skills from fixed arrays Roll backstory details Start playing immediately Perfect for one-shots, convention play, or groups eager to punch cultists now, not in two hours. Key Takeaways Pulp Cthulhu character creation is fast, flexible, and cinematic Archetypes replace classes with strong narrative identity High Pulp characters start powerful and stay relevant Talents are the heart of customization Skill points are plentiful—breadth is rewarded Structured backstory tools create instant roleplay hooks The Quick & Dirty method gets you playing in minutes Yes, you can accidentally build a psychic himbo—and that's a feature Welcome to the RPGBOT Podcast. If you love Dungeons & Dragons, Pathfinder, and tabletop RPGs, this is the podcast for you. Support the show for free: Rate and review us on Apple Podcasts, Spotify, or any podcast app. It helps new listeners find the best RPG podcast for D&D and Pathfinder players. Level up your experience: Join us on Patreon to unlock ad-free access to RPGBOT.net and the RPGBOT Podcast, chat with us and the community on the RPGBOT Discord, and jump into live-streamed RPG podcast recordings. Support while you shop: Use our Amazon affiliate link at https://amzn.to/3NwElxQ and help us keep building tools and guides for the RPG community. Meet the Hosts Tyler Kamstra – Master of mechanics, seeing the Pathfinder action economy like Neo in the Matrix. Randall James – Lore buff and technologist, always ready to debate which Lord of the Rings edition reigns supreme. Ash Ely – Resident cynic, chaos agent, and AI's worst nightmare, bringing pure table-flipping RPG podcast energy. Join the RPGBOT team where fantasy roleplaying meets real strategy, sarcasm, and community chaos. How to Find Us: In-depth articles, guides, handbooks, reviews, news on Tabletop Role Playing at RPGBOT.net Tyler Kamstra BlueSky: @rpgbot.net TikTok: @RPGBOTDOTNET Ash Ely Professional Game Master on StartPlaying.Games BlueSky: @GravenAshes YouTube: @ashravenmedia Randall James BlueSky: @GrimoireRPG Amateurjack.com Read Melancon: A Grimoire Tale (affiliate link) Producer Dan @Lzr_illuminati
Craniotomy Stroke Recovery: How a Massive Medical Event Reshaped One Man's Identity and Way of Living When Brandon Barre woke up after his stroke, half of his skull was missing. Doctors had performed an emergency craniotomy to save his life after a severe brain bleed. His left side barely worked. His memory felt fragmented. Time itself seemed unreliable; days, weeks, even months blurred together into what he later described as a kind of perpetual Groundhog Day. And yet, amid one of the most extreme medical experiences a person can survive, Brandon remained unexpectedly calm. This is a story about craniotomy stroke recovery, but it's not just about surgery, rehab, or timelines. It's about identity, mindset, and what happens when your old life disappears overnight, and you're forced to rebuild from the inside out. Life Before the Stroke: Movement, Freedom, and Identity Before his stroke, Brandon lived a life defined by movement and autonomy. He worked in the oil fields as an MWD specialist, spending weeks at a time on drilling rigs. Later, he left what he called “traditional life” behind and spent years traveling the United States in an RV. He found work wherever he went, producing music festivals, building large-scale art installations, and immersing himself in creative communities. Stability, for Brandon, never meant stillness. It meant freedom. Stroke wasn't on his radar. At 46, he was active, independent, and deeply connected to his sense of self. The Stroke and Emergency Craniotomy The stroke happened in Northern California after a long day of rock climbing with friends. Brandon didn't notice the warning signs himself; it was others who saw that his arm wasn't working properly. Later that night, he became profoundly disoriented. He was found the next morning, still sitting upright in his truck, barely conscious. Within hours, Brandon was airlifted to UC Davis Medical Center, where doctors removed a blood clot and performed a large craniotomy due to dangerous swelling. Part of his skull was removed and stored while his brain recovered. He spent 10 days in intensive care, followed by weeks in inpatient rehabilitation. Remarkably, he reports no physical pain throughout the entire process, a detail that underscores how differently each brain injury unfolds. Early Craniotomy Stroke Recovery: Regaining Movement, Losing Certainty Physically, Brandon's recovery followed a familiar but still daunting path. Initially, he couldn't walk. His left arm hung uselessly by his side. Foot drop made even short distances difficult. But what challenged him most wasn't just movement; it was orientation. He struggled to track days, months, and time itself. Short-term memory lapses made planning almost impossible. Writing, once a core part of his identity, became inaccessible. He could form letters, but not their meaning. This is a common but under-discussed aspect of craniotomy stroke recovery: the loss isn't only physical. It's cognitive, emotional, and deeply personal. “It's kind of like I'm in this perpetual day ever since the stroke… like Groundhog Day.” Technology as Independence, Not Convenience One of the quiet heroes of Brandon's recovery has been voice-to-text technology. Because writing and spelling no longer function reliably, Brandon relies on dictation to communicate. Tools like Whisper Flow and built-in phone dictation restored his ability to express ideas, stay connected, and remain independent. This matters. For stroke survivors, technology isn't about productivity. It's about dignity. Identity Reset: Slower, Calmer, More Intentional Perhaps the most striking part of Brandon's story is how little resentment he carries. He doesn't deny frustration. He doesn't pretend recovery is easy. But he refuses to live in constant rumination. Instead, he adopted a simple principle: one problem at a time. That mindset reshaped his lifestyle. He stopped drinking, smoking, and using marijuana. He slowed his pace. He became more deliberate with relationships, finances, and health decisions. He grew closer to his adult daughter than ever before. The stroke didn't erase his identity, it refined it. Taking Ownership of Craniotomy Stroke Recovery A turning point came when Brandon realized he couldn't rely solely on the medical system. Insurance changes, rotating doctors, and long waits forced him to educate himself. He turned to what he jokingly calls “YouTube University,” learning from other survivors and clinicians online. That self-directed approach extended to major medical decisions, including choosing monitoring over immediate invasive heart procedures and calmly approaching a newly discovered brain aneurysm with information rather than fear. His conclusion is clear: Recovery belongs to the survivor. Doctors guide. Therapists assist. But ownership sits with the person doing the living. A Message for Others on the Journey Toward the end of the conversation, Brandon offered advice that cuts through fear-based recovery narratives: Don't let timelines define you. Don't rush because someone says you should. Don't stop because someone says you're “done.” Every stroke is different. Every brain heals differently. And recovery, especially after a craniotomy, continues far longer than most people are told. Moving Forward, One Intentional Step at a Time Craniotomy stroke recovery isn't just about regaining movement. It's about rebuilding trust with your body, reshaping identity, and learning how to live with uncertainty without letting it dominate your life. Brandon's story reminds us that even after the most extreme medical events, calm is possible. Growth is possible. And a meaningful life, though different, can still unfold. Continue Your Recovery Journey Learn more: https://recoveryafterstroke.com/book Support the podcast: https://patreon.com/recoveryafterstroke Disclaimer: This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. Brandon's Story: Surviving a Craniotomy, Redefining Identity, and Recovering on His Own Terms He survived a stroke and craniotomy, then calmly rebuilt his identity, habits, and life one deliberate step at a time. Research shortcut I use (Turnto.ai) I used Turnto.ai to find relevant papers and sources in minutes instead of hours. If you want to try it, here’s my affiliate LINK You'll get 10% off, it's about $2/week, and it supports the podcast. Highlights: 00:00 Introduction and Background01:52 Life Before the Stroke03:32 The Stroke Experience11:03 Craniotomy Stroke Recovery Journey17:09 Adjusting to Life Post-Stroke28:46 Living Independently After Stroke35:09 Facing New Challenges: Aneurysms and Uncertainty42:13 Support Systems: Finding Community After Stroke47:06 Identity Shift: Life Changes Post-Stroke58:39 Lessons Learned: Insights from the Journey Transcript: Introduction and Background Brandon (00:00)next morning was still in the driver’s seat with my head on the steering wheel. and I couldn’t make either of my arms work I had been bleeding into my brain for 12 hours overnight they had to go ahead and do a, craniotomy. And so they took this whole side. It was a big craniotomy. They took that whole section of my skull out, put it in the freezer Bill Gasiamis (00:27)Before we begin today’s episode, want to take a moment to speak to you directly. If you’ve had a stroke, you already know this part. The hospital phase ends, but the questions don’t. You’re sent home expecting to get on with it. And suddenly you’re left trying to work out recovery, mindset, fatigue, emotions, sleep and motivation all on your own. You shouldn’t have to. That’s why I wrote my book, The Unexpected Way That a Stroke Became the Best Thing That Happened. Not to tell you what to do, but to walk beside you and show you the tools real stroke survivors use to rebuild their lives when the system stopped helping. and now with this book, you won’t have to figure it out alone. You can find that at recoveryafterstroke.com/book. All right, let’s get into today’s episode. Today, you’re going to hear from Brandon Barre. Brandon was 46 years old, active, independent and living an unconventional life when he had a stroke that led to a craniotomy. where part of his skull was removed to save his life. What stood out to me immediately about Brandon wasn’t just the severity of what he went through. It was the calm grounded way he approached recovery, identity and rebuilding his life. This is a conversation about stroke recovery. Yes, but it is also about mindset, ownership and what happens when you decide to take recovery into your own hands. Life Before the Stroke (01:52)Brendan Barre, welcome to the podcast. Brandon (01:54)Thank you, man. (01:56)You struggled a little bit getting here. There’s a couple of little things that caused a bit of a challenge for you. What are those things? Brandon (02:05)Well, I mean, first of all, I’m, I’m, I’m, even before my stroke, I was never very computer-y. Um, so using my phone for more than just making phone calls is kind of new to me. Um, so yeah, a new microphone, that was fun. And then I had made a bunch of notes, not realizing that I probably wasn’t gonna be able to see those notes. Um, you know, so that was also a little bit of a issue, but uh, but yeah, other than that, man. Not much, you know, I mean I’m here. (02:37)Yeah. I remember receiving your emails about, I’m not sure what day we’re on. I need to reschedule all that kind of stuff. Stuff that I used to do heaps. I remember in the early days of my kind of stroke recovery, I used to make appointments, put them in my calendar, get reminders about my appointments and still be confused about the day, the time and the location of the appointment. Brandon (03:04)Yes, absolutely. That’s a big thing for me too. know, and I mean even just, you know, remembering from minute to minute where of what day, what month and everything I’m in right now is a little bit tricky still. It’s getting better, but ⁓ but yeah, I still have a lot of trouble. I can always think of every month except for the month that we’re currently in. (03:24)Okay, so you have like a short term memory thing, is it? Or… The Stroke Experience Brandon (03:28)Yes, yes, have short-term memory issues. ⁓ A lot of times ⁓ I struggle to find, like I said, the date and everything else. ⁓ But I don’t know, man. It’s kind of like I’m in this perpetual day ever since the stroke, and I have trouble keeping track of exactly what that is on everybody else’s time frame. (03:53)Like a, like a groundhog day. Brandon (03:55)Yes. Yeah. You know, I mean, if I really work hard and think about it, I can figure out what day it is, but it takes a while generally to get the month. The day of the month isn’t quite as difficult anymore, but at the beginning I had trouble with the whole thing. (04:11)I hear you man, I totally hear you. I reckon there’s been a ton of people that relate to what you’re saying. ⁓ Tell me, day like before stroke? What’d you get up to? What type of things did you involve yourself with? Brandon (04:23)Well, ⁓ you know, I was, I was really involved in, ⁓ production of music festivals and, ⁓ doing that kind of work. ⁓ I’ve always kind of freelanced. Well, you know, I actually, ⁓ left traditional life in 2000 and ⁓ January 1st of 2012 and started traveling and, you know, living out of an RV and whatnot. Before that, I was in the oil field. I’ve worked as an MWD specialist on a drilling rig, which means that I used to ⁓ take down all the information about where the actual drill bit was underground and send that off to all the geologists and everybody else so they can make sure that the well was going in the right direction. And, ⁓ you know, I just really didn’t feel happy in life, man. So I decided to take off and see the states out of my RV. And that started about 10 years of travel. And then In 2019 I bought some property and started to kind of slowly come off the road and started to be on my property more often but you know it just yeah I don’t know man my life has been a lot of different transitions one thing to another I move around a lot in life. (05:25)you Yeah, so the RV was kind of just exploring seeing the country Doing that type of thing or was it going somewhere with a purpose say to get work or to? Hang out there for a little while. What was that all about? Brandon (05:57)A little bit of all of it. A little bit of all of it. I’ve always been able to find work where I go, you know, doing different things. But I kind of fell into music festival work, like setting up and tearing down for music festivals and building art installations, doing like mandalas out of trash and stuff like that. And just kind of always did kind of the artist thing, I guess you could say. Even before, while I was still in the oil field doing the traditional life thing, I was always very art motivated. (06:30)Yeah, when you talk about traditional life, you’re talking about nine to five kind of routine and working for the man type of thing. Is that what you mean by traditional life? Brandon (06:43)Yes, except mine was a little bit different. My work in the oil field involved me being on site on the drilling rig for up to six weeks sometimes. So it wasn’t really nine to five. I would stay gone for a lot more than that. But then when I would go home, I’d be off for three weeks, a month. So yeah, just ⁓ doing that. (07:07)Where were these oil rigs? Were they in the middle of a desert? Were they in the ocean? Brandon (07:13)No, they were all onshore and I worked a lot in like Pennsylvania, but also a lot in Texas ⁓ Just you know anywhere where they were doing natural gas drilling (07:27)And is that a remote kind of existence in that if you’re on the rig for six weeks, are you getting off it? Are you going into town? Are you doing any of that stuff? Brandon (07:38)Usually the rigs are within an hour of some type of small town usually a Walmart that type of thing So I would go and get groceries a couple of times a week You know me and the other guys would go out and get you know dinner times and whatnot but ⁓ but yeah, basically just sitting in a little trailer a directional trailer is what they called it because it was me and ⁓ Two two other three other guys two more ⁓ directional drillers and then one other MWD hand which is what I was and so there was a night shift and a day shift of two guys each. (08:16)12 hour shifts. Brandon (08:17)Yes. (08:18)Dude, hard work. Brandon (08:21)Yeah, I mean on paper it was hard work. In real life, I mean there were those really problematic jobs where you know everything went wrong but in most cases it was just you know taking a bunch of measurements on the computer whenever they would add another link of pipe to the drilling string and drill down further so every time they would add another length of pipe I would have to take more measurements. (08:47)I hear you. So not physical, but still mental. And you’ve to be on the go for a long amount of time. Brandon (08:56)Right, but yeah, I mean it did when I would have to go up on the rig floor to like change the tool out or to put something You know together or what not so there was a little bit of that but still not as physical as like a traditional drilling rig roughneck (09:04)Uh-huh. I hear you. Yeah. Everyone’s seen those videos on YouTube with those guys getting covered in that sludge and working at breakneck speeds so that they can make sure that they put the next piece on. Brandon (09:24)Yeah, yeah, no, I, you know, and I mean, I wore my share of that mud, but not near as much as a floor hand would. (09:34)I hear, I feel like you’re, ⁓ you’re toning it down and you’re making it sound a lot more ⁓ pleasant than what it might be. But I appreciate that, man. like the way you talk about things. I couldn’t imagine myself doing that, that level of physical labor. Maybe I’m just a bit too soft myself. Brandon (09:54)Yeah, no, I don’t know, man. I consider myself soft in a lot of ways, too, man. You know, it’s just, we’re all different in our softness. (10:02)yeah. ⁓ tell me a little bit about, ⁓ your stroke, man. Like what was that particular week? Like the day? Like how did the lead up happen? Bill Gasiamis (10:12)Let’s pause for a moment. If you’re listening to this and thinking, I wish someone had explained this part to me earlier. You’re not alone. One of the hardest parts of stroke recovery isn’t the hospital. It’s what comes after when the appointments slow down, the support fades and you’re left trying to make sense of what your life looks like now. That’s exactly why I wrote the unexpected way that a stroke became the best thing that happened. It’s not a medical book. It’s a recovery companion built from real experiences. real mistakes and real breakthroughs that stroke survivors discovered along the way. If you want something that helps you think differently about recovery and reminds you that you’re not broken, you can find the book at recoveryafterstroke.com/book. Let’s get back to the conversation with Brandon. Craniotomy Stroke Recovery Journey Brandon (10:59)Okay, so I was helping a friend in Northern California to clean a property that was owned by an artist who had died and we went on to his 10 acre property and we’re just cleaning up for his family. But he had like all kinds of art stuff everywhere and so it was kind of right up my alley and ⁓ We were just trying to get the property clean for these people and we decided to take off and go and do a little bit of rock climbing. so we took off early one morning and drove to a town called Willets, California where there’s good rock climbing and we spent the day doing rock climbing which was a fairly new thing to me but the guys that I was with were very experienced lifelong climbers. And so I was kind of the new guy and they were showing me the ropes and we climbed all day. I did really well, I thought, and didn’t really notice anything. No problems. ⁓ Got back in the car. We’re headed back to the house about an hour away, a friend’s house where we were all going to stay the night. And on the way there, I noticed that I was really thirsty and I stopped and I got two 40 ounce bottles of Gatorade and I drank them both immediately and like just downed them and still didn’t notice anything was a problem was in the truck by myself with my two dogs and eventually I guess about an hour later we got to the house And I went inside to hang out with everybody. And one of my friends said that my arm wasn’t working well. I didn’t notice it at all, but he said that my arm wasn’t working very well. ⁓ so ⁓ I just kind of went on with my life. a couple of, I guess about an hour later, I decided that I was really tired. and I could not quench my thirst so I just grabbed a whole bunch of water and went out to my truck and I was gonna go and lay down and sleep in the back of my truck for the night and ⁓ when I got out to my truck ⁓ by this time my friend had said that my arm was working fine again and he noticed that I he felt like I had gotten over whatever it was and so I went out to my truck got into the driver’s seat of the truck And that’s about the last of my recollection that night. next morning when I wasn’t up making breakfast before everyone else, they realized there was a problem because I was usually the first one up making breakfast and doing all that stuff and I wasn’t there. So my friend came out to my truck to check on me and I was still in the driver’s seat with my head on the steering wheel. I never even fell over. (14:05)Hmm. Brandon (14:17)And so this is 12 hours later. And so ⁓ he tried to wake me up and I was only halfway coherent and I couldn’t make either of my arms work and only one of my legs could I get any response from. So he realized there was a problem immediately, pushed me over into the passenger side of the truck got in and drove me an hour to the closest hospital, just a small little regional hospital. And they were pretty quick about realizing that I was having a stroke. And they didn’t even, I don’t even remember them putting me in a room. They brought me straight up to the roof and put me in a helicopter and helicopter and helicoptered me to UC Davis hospital in Sacramento. (14:59)Wow Wow Brandon (15:15)And I got into the hospital and within, I think about an hour and a half, they had called my mom and my brothers who were all in Louisiana at the time. And they had gotten permission to start treatment and they brought me into the surgery. at first they just (15:25)The The following is a video of the first year of Brandon (15:45)removed a three millimeter blood clot from my main artery on the right side. But then the swelling was so bad because I had been bleeding into my brain for 12 hours overnight that they had to go ahead and do ⁓ a, what do you call it? The craniotomy. Yeah, craniotomy. And so they took this whole side. It was a big craniotomy. (16:05)Craniotomy Brandon (16:12)They took this whole side, everything to the center of my forehead, above my eye, down to just above my ear, front to back. ⁓ They took that whole section of my skull out, put it in the freezer so that my brain had room. then I spent 10 days in intensive care recovering from that. And then they moved me to a rehab hospital where I spent four weeks. And yeah, so in that rehab hospital, yeah, immediately after the surgery, I couldn’t walk and I had pretty much no function on my left side, know, arm or leg. But by the time I got to the rehab hospital, I had gotten some control back, but I still couldn’t walk. ⁓ (16:44)Wow, man. Adjusting to Life Post-Stroke Brandon (17:10)And that about a week after I was in the rehab hospital is when I started to walk again without assistance. So that came back fairly quickly, but I still had really bad foot drop and my left arm wasn’t working. It was hanging, you know? And then, so they kept me in there, ⁓ you know, going through, I guess, regular rehab. (17:24)Thank Yep. Brandon (17:36)They the series of lights on the ground in front of me and I’d have to like run around and touch the different lights as they would activate and you know, I don’t know I mean, I guess it’s the same type of rehab stuff that most people go through and ⁓ (17:51)Yeah, it’s probably similar. Mate, ⁓ this is what I really want to know is what’s it like to experience having half of your skull removed? Can you somehow paint a picture of what it’s like to go through that process and how aware were you of it? Because you just had a stroke, right? So you’re in a bit of a challenged sort of healthy health state. Brandon (18:14)Right. No. Yes. ⁓ well, I think that that deliriousness was actually kind of helpful. First of all, I have not experienced any pain through the entire process. From the stroke, no pain from the craniotomy, no pain through rehab. I have not experienced any pain through this entire experience. None whatsoever. Now the doctors say that I might have lost some of that ability to sense it But you know, I mean whatever it took I Really, you know, I didn’t you know, whatever the reason was The effect of it was that I had a pretty fame pain free experience, you know (19:07)and you’re like looking in the mirror and seeing yourself and you know, like experiencing your head and how do you kind of deal with all of that? Brandon (19:21)Well, ⁓ I couldn’t feel a whole lot. I still have a lot of, or not so very much sensation on my scalp on that side. So, you know, but as far as looking in the mirror, that was kind of interesting. You know, it took a little while to get used to it, you know, and, it, ⁓ was definitely not something that I would recommend. Anybody else going through if they don’t have to you know, but ⁓ But I don’t know man. I mean, I’ve always tried to stay pretty positive about things and so, you know, I just Kept going, you know, I mean they shaved my head. I had dreadlocks for a very long time I had dreadlocks and And so this is all the hair that I’ve gotten since they put my skull back together, which was January or it’s actually It’ll be one year tomorrow since they put my skull back together. So, ⁓ my hair is coming back, which I’m really grateful for. About this time next year, I’m gonna start trying to put my dreadlocks back in. you know, but yeah, it’s, I don’t know, man. It’s really been an interesting ride. ⁓ You know, ⁓ learned a lot more about stroke than I ever thought I would need to. You know, I mean, I’m 48 right now. I was 46 when the stroke happened. So it wasn’t even on my radar, man. I wasn’t paying any attention at all. I didn’t know the anagrams or whatever. I didn’t know the symptoms of stroke. So I just kind of rolled with the punches as they came. I took it one step at a time. And that’s kind of the way it’s been with my recovery too. is I try to address one problem at a time so I don’t overwhelm myself. So after I started to get my leg back, I started to shift my influence to my shoulder and my arm. And at this point, I’ve got almost full range of motion back to the left side. I still can’t write. ⁓ Well, actually, technically, I can make my whole alphabet and all of my numbers with (21:16)Yep. Brandon (21:37)both hands at this point. trained myself to use the other hand and then about the time I was able to get that back the other hand started to come back online. So now I can do all that with both hands but words I’m word blind and numbers and letters don’t make a lot of sense to me. So even though I can make the shapes I have a lot of trouble associating the sounds of certain letters and the functions. of different numbers and letters, you know? That’s where a lot of my trouble is now, and that’s where most of my work is at the moment. (22:14)I hear you. So you sound like you’re very cool, and collected. How do you remain positive when you wake up from a stroke? You’re missing half of your skull. Your body doesn’t work on half the side. Is it your default? Do you have to work on that? Have you been working on being positive over? the decades that you’ve been on the planet, give us a bit of an insight into that part of you. Brandon (22:47)Okay, so yeah, I think I’ve always maintained a pretty positive demeanor, you know, I mean I’ve gone through some rough stuff in life, but I’ve just kind of kept going, you know, rolling with the punches. So I really don’t think that I have had much difficulty remaining positive through it. You know, there’s ⁓ definitely, you know, ⁓ days that I don’t feel as good as other days, you know, and you know, I definitely have… ⁓ things that I have to work through. have to, you know, I have to make an effort to remain positive, you know, at times. But my default has always been to be a pretty positive and happy person. So I think that that was really the majority of it is that I’ve always even in the light of extreme adversity, I’ve always been able to remain positive. You know, ⁓ so that that’s always been, you know, key even before the stroke. But (23:39)Yeah. Brandon (23:46)Yeah, I mean definitely waking up and realizing that half of my body didn’t work anymore was not fun, but it’s what I was given. I couldn’t change it, you know, only time and work was gonna change it. So I just kinda accepted it, you know, I mean, ⁓ one of the biggest things that helped me out was by the time I got out of surgery and started to get coherent, My mom and my brother had already flown from Louisiana to be with me in California at the hospital. And that was huge just to know that my family was there. And they stayed with me for the whole time that I was ⁓ in the hospital for the 10 days. And then when I went to the rehab hospital, they went home. ⁓ But yeah, so that was ⁓ just really, that was a big part of it too, you know, I mean. My mom and my brothers are pretty much the most important people in my life. Of course, my daughter as well. yeah, so, you know, to have them all there and just to have that support and have them there to help me because when I first came out, from the time I came out of surgery, I could still speak very clearly. So I did not know what I was saying. (24:56)Mm-hmm. Brandon (25:15)Nobody could tell like I wasn’t making a lot of sense, but I never lost my voice They think that that’s because of my left-handedness Because I’m left-handed I store things like that differently in my brain So because of that I was able to keep my speech even though I cannot write I can’t do you know I mean I can write my letters, but if I try to (25:32)Okay. Brandon (25:44)make a word this was yesterday (25:48)Aha! Lux- Brandon (25:50)But I can, yeah, it’s just scribble. It’s just scribble. Yeah, but, you know, if I try to like draw a letter or a number, I can do it, but I have trouble assigning it to its value. (25:53)Yeah. Understood. So before that, were quite capable of stringing sentences together, writing things down, doing all that kind of stuff. So that’s a very big contrast. Brandon (26:14)I have always been known. Huge contrast. (26:22)Is it frustrating that you can’t write in the way that you did before? it matter? Brandon (26:27)Yes, yes, I used to write all the time, know, poetry, things like that. I’ve always been considered, you know, a good writer, a good orator, public speaker, you know, that kind of thing was a big part of my life, for my whole life. And so to go from that to not being able to write a sentence on a piece of paper or even a word is really a big change for me. You know, and I mean I do use my phone for voice to text. If I wouldn’t have had voice to text, I really don’t know where I would be right now. (27:06)Is that how you communicate most things? Brandon (27:09)Yes, absolutely. it’s- if I can’t say it, like speak it, I have to use voice to text. I can’t spell- I can’t- I can’t spell my own name half the time. (27:17)Dude, I love that. Yeah, I hear you. I love voice to text. So I was told by a friend of mine about a product called Whisper Flow. I’m gonna have links in the show notes and in the description on the YouTube video, right? And it’s spelled W-I-S-P-R-F-L-O-W, Whisper Flow. And what you do is you program one key on your keyboard. And then what you do is you press that key and it activates Brandon (27:36)Yes. (27:52)the app and then you speak and it types beautifully. It types at all. And I’m a terrible like typist. I could never be one of those really quick secretary kind of people and take notes because I’m not fast enough, but it can type for me by speaking like beyond 99 words per minute, which I think is crazy fast. Living Independently After Stroke And I do it because it just saves a heck of a lot of time, me looking down at the keyboard and all that kind of stuff. My left hand does work, but I can type with it, but often my left hand, you know, we’ll miss the key and I’ve got to go back and do corrections and all that kind of stuff. So voice to text, this comes such a long way and everyone needs to know, especially if they’ve had a stroke and one of their limbs is affected, especially if it’s their… they’re riding limb or if they have a challenge like you, everyone needs to know about the fact that technology can really solve that problem. I’m pretty sure, I know this sounds like an ad for Whisper Flow, it probably is, but I’m not getting paid for it. I think they cost, it costs about hundred bucks a year to have this ⁓ service. So it’s so affordable and it does everything for you just at the touch of one button on your computer. And for some people you can also use it on your phone. But I think phones are pretty awesome at doing voice to text already. So you don’t really need ⁓ it for the phone, but you definitely need to check it out for the computer. Brandon (29:27)Okay, yeah, well, you know, I pretty much have my phone. I don’t have a computer, so… But, ⁓ it does sound like an amazing product, and I am looking to get myself a computer because I really, ⁓ like, I haven’t touched a keyboard since my stroke. So, it would be nice to get myself a laptop with a keyboard so that I could start working on trying to see how that interface works for me. (29:33)Yeah. Yeah. How was the transition out of hospital and rehab back to your place? and how long after the initial strike did you end up back at home? Brandon (30:04)Okay, so, when I, I left the hospital after, or I’m sorry, after 10 days in intensive care, they put me in the rehab hospital and I was there for four weeks. After that, they still didn’t think that I was ready to live by myself yet. So I had to, ⁓ rent a house in Joshua tree from a friend of mine who lived on the property in another house. And so I had a whole house to myself still which allowed me to keep my independence. But I still had somebody close enough to holler if I needed anything. And so I kind of, you know, baby stepped by renting a house, you know, for a while. And, And I have property in Northern Arizona where I normally would take my off time when I wasn’t traveling. But, ⁓ But, ⁓ because of the stroke, I wasn’t able to go back to that property for quite a while. And only about Christmas of last year did I start to be able to spend some more time on my property, you know. But at this point, I’m still renting the house in Joshua Tree and starting ⁓ to branch out a little bit more, do a little bit more traveling, things like that. Now with that said… I have been ever since the stroke happened about two months after the stroke I went back to my first music festival. So I didn’t have half of my skull. I had to wear a helmet for six months. And so here I am at a music festival with all of my friends and I’m in a helmet with half of my skull missing. But I still was able to be there and then ⁓ you know, be a part of the festival. So I got back to the activity that I enjoyed pretty fast. (32:07)What genre of music? Brandon (32:09)Well, it’s actually the Joshua Tree Music Festival in particular, which is the only music festival that I’m really involved with anymore. ⁓ They do world music. We get artists from all over the world in. And that’s kind of one of the reasons I’ve continued to be a part of this music festival and really haven’t been that big of a part of the other ones is because I’m always learning about new music when I go there. And that’s a big important part of it to me. (32:40)Understood. So your transition back to living alone took a little bit of time. You’re renting a place. Are you alone there? Are you living with anyone else? How is the home set up? Brandon (32:55)I have a home all to myself but there is a shared home on the other or on the property that a friend of mine lives in and he’s actually the one that I’m renting from so yeah (33:09)So you have access to support to help to people around you if necessary. Brandon (33:15)if I need it. also another big part of one of the symptoms of my stroke is that I don’t recognize my own disabilities. I have a lot of trouble with that. So I generally do not ask for help with things, which in a lot of cases has made me a lot stronger and I think been a big part of a speedy recovery. But at the same time, I can put myself in some kind of sketchy situations at times. (33:43)It’s not, are you sure it’s not just your male ego going, I can do this, I don’t need help. Brandon (33:49)I mean, I’m sure that that does tie into it, I’m certain. But yeah, that’s one of the things that I’ve struggled with from the beginning. And I didn’t recognize the left side of my body as my own. I thought it was somebody else’s. That wasn’t very long, just for maybe the first couple of weeks. But that was a very interesting sensation, that I felt like there was somebody else there. (34:06)Wow. Yeah, it just feels like it’s my, I kind of describe my left side as if it’s because my star sign is Gemini, right? So now I describe it as being the other twin, like the other part of me, which is me, but not me. And it’s so strange to experience 50 % of my body feeling one way and then 50 % of my body feeling a completely different way, which is Brandon (34:25)Yeah. Facing New Challenges: Aneurysms and Uncertainty (34:44)the only way I remember and then tying them together, like bringing them together has been a bit of a wild ride, like just getting them to operate together. When they have different needs, my left side has different needs than my right side. And sometimes one side is getting all the love and the other side is missing out. And I’m always conflicted between where do I allocate resources? Who gets… how much of my time and effort and who I listen to when one of them’s going, my left side’s going, I’m tired, I’m tired. My right side’s going, the party’s just started. Let’s keep going. Don’t worry about it. Brandon (35:25)I have to deal with that. Of course, my left gets a lot tighter than my right side, but I don’t know. think I’ve done a pretty good job of giving it that care. And a big part of where I measured my success was getting my shoulder back online and being able to pronate and go above my head. It took months to get my hand over my head. But But at this point, you know, I’m pretty much back to physically normal except for the fine motor skills on my right, on my left side. You know. (35:59)Sounds like things are going really well in really small increments. And if you’re only, what, two years post stroke, sounds like recovery is gonna continue. You’re gonna get smaller, more and more small wins and they’re gonna kinda accumulate and make it pretty significant in some time ahead. Brandon (36:17)Right. It’s a year and a half. So my stroke was on the 4th of November of 2024. (36:32)Yeah. Do you know in this whole time, did you ever have the… like, this is too hard, I don’t want to do this. Why is this happening to me kind of moment? Did you ever have any of that type of negative self talk or thoughts? Brandon (36:50)no, I mean, I suppose there probably were moments, but I don’t pay a lot of attention to those kinds of moments. You know what I mean? I do kind of even without the stroke, maintain a pretty positive mental attitude, you know, and I think that that’s been one of my biggest blessings through this. ⁓ yeah. So yeah, that’s never really been a good emotion. (37:12)I get a sense that you have those moments, but you don’t spend a lot of time there. Is that right? Is that what you just sort of alluded to that you have those moments, you just don’t give them a lot of time. Therefore they don’t really have the opportunity ⁓ to sort of take up residence. And then you just move on to whatever it is that you’re getting results with or makes you feel better or… ⁓ supports your project which is ⁓ recovery or overcoming or… Brandon (37:48)Yes. No, I completely agree. ⁓ You know, I mean, speaking of which, four days ago, I got ⁓ a phone call from the doctors. ⁓ They found an aneurysm in my brain. So I have to go and meet with a neurosurgeon on Tuesday to discuss what we’re going to do about a brain aneurysm. So I thought, you know, I was just about back to normal. And here I go into another situation. But again, until I know what’s going on, there’s no point in worrying about it, you know? So I’ll know more about it on Tuesday, but until then, I’m not spending a whole lot of time wondering, you know, am I just going to have an aneurysm and collapse tonight? You know? (38:36)that tends to be my default as well. I was really good as a kid. ⁓ When I was being cheeky and not doing my homework for school, I would go to bed and I would remember, I haven’t done my homework. And then I’d be like, yeah, but you can’t solve that problem now. Now you got to sleep, right? So you got to worry about that in the morning after you’ve had a good night’s sleep and you wake up and then deal with it. And that was a strategy to help me forget about that. minor problem, which back then, if you haven’t done your homework as a teenager, that was a big problem. If your teachers found out, if your parents found out, but the idea was that, don’t I just pause all of the overthinking? Why don’t I just pause all of the rumination and all the problems and all that stuff that it could cause for now. And I’ll worry about it when there’s a opportunity to have the resources to do something about it. And the classic example was in the morning, I would have an hour before school where I could reach out to one of my friends, take their homework, copy their homework, and then hand in my homework. Brandon (39:46)Absolutely. Yep, that was very much like me in school. (39:51)Yeah, not much point worrying about things you can’t change or control in the moment. Just pause it, deal with it later. I had a similar situation with my bleed in my brain, because I had a number of different bleeds and it was kind of in the back of my mind a little bit. What if it happens again? But it actually never stopped me from going about life from bleed one through to bleed two. was only six weeks, but like through blade two to blade three, it was about a year and a half. But I got so much done. I was, we were just going about life. was struggling with memory and all different types of deficits because of the blood clot that was in my head. But I never once kind of thought about what if something goes wrong, unless I was traveling. to another country, because we did go to the United States when I was about almost a year after the first and second bleed, we went to the United States. And then I did worry about it from a practical sense. It’s like, if I have a bleed in Australia, I’m near my hospital and then they can take over from where they left off previously and healthcare is paid for here. So there was no issue. But if I’m overseas and something goes wrong, I’m far away from home, we got to have the expensive insurance policy. Cause if something goes, I want to be totally covered when I’m in the United States, we don’t know the system. don’t know all these things. So that was a practical worry that I had, but I didn’t worry about my health and wellbeing. Do you know? I worried about the practicality of having another blade in the airplane because then I’m in the middle of the ocean. over halfway between Australia and the United States. And that’s eight hours one way or another or something. And I thought about that, but I didn’t think about how I would be personally ⁓ negatively impacted by the medical issue. I just thought about the, do we get help as quickly as possible if something were to happen? So I know a lot of people have a stroke and they, Brandon (41:55)Right. Support Systems: Finding Community After Stroke (42:18)⁓ They overthink about what if it happens again and they’re constantly kind of got that on their mind, but I was dealing with just the moments that made me feel like perhaps I should do something about this headache that I’m getting. I dealt with things as they appeared, as they turned up, I didn’t try to plan ahead and solve every problem before it happened. Brandon (42:24)Yeah. Yes, I agree. I’m very much the same way. You see, before my stroke, I didn’t have medical insurance. I hadn’t seen a doctor since my early 20s. just, I was, I was, I had always been extremely healthy. You know, I’ve always been very physically active, you know, and, so it just, I never really, I never really ⁓ went out and looked for medical. I just didn’t need it, you know? And so, When the stroke happened, I was very lucky to get put on California’s healthcare plan. And they’ve taken care of all of my medical bills. ⁓ You know, I’ve never pulled a single dollar out of my pocket for all the rehab, all the doctors since. And I mean, I have doctors still once every week, two weeks at the most, doctor visits, you know? And so I’m extremely fortunate. that it happened to me where I was, you know, because not all states here are like that, but California is extremely good. So, you know, I’m really grateful that it worked out the way it has because it could have been a whole different situation, man. (44:00)I have heard some horror stories about medical insurance for people who are not covered, have a stroke and then they leave hospital with like a $150,000 bill or something. Is that a thing? Brandon (44:13)Yes, it really is. I mean, I was extremely fortunate. By the time I got out of that first 10 days with the helicopter ride and everything else, I was close to $2 million in bills. (44:25)Dude, that’s mental. Brandon (44:26)Yeah. And, ⁓ yeah, I mean, it just doesn’t really, I mean, you know, I mean, I’m not a big fan of, the way that the medical system works money wise. think it’s all just paper or fake money, just fake numbers, you know, but yeah, I don’t know. I just, ⁓ I was extremely fortunate that it all happened the way that it did and that California is so good and they really do take care of their citizens, you know, so. (44:54)Yeah, I love that. Brandon (44:55)Yeah, very fortunate. (44:57)You know, in your recovery, did you have somebody that you kind of leaned on for support that was a confident, ⁓ that was like a mentor or did you have somebody like that in your life that was really helpful in your recovery? Brandon (45:15)Actually in about the year before my stroke I lost the three gentlemen that I had always considered my mentors, older guys that I’ve known for years. They all three passed away the year before my stroke. So I really kind of felt on my own. You know, I have a lot of friends, you know, but ⁓ but after my stroke I really don’t have the brain space for like Facebook or anything like that. So I really, closed down my very active Facebook account and when I did that, I lost so many people that would have been my support because I just, they weren’t there, you know, in real life. They’re only there on the computer, you know? And so, but luckily, you know, I’m a part of the community in Joshua Tree. So I had a lot of support from people there and… ⁓ Then I have probably four or five other friends that are scattered around the United States that I keep in touch with pretty closely. But I went down from talking to hundreds of people a month and all of that on the internet to really a very small closed social circle, you know? And then in addition to that, surprisingly, people that I’ve known for years just are not very good at accepting the differences in who I am as a person since the stroke, you know? And so, you know, I hate to say it, but a lot of friendships have kind of gotten a lot more distant since the stroke. you know, it’s just, I mean, it is what it is. You know, people have to do what they feel is right for themselves, you know? But yeah, I really… ⁓ Identity Shift: Life Changes Post-Stroke (47:06)Yeah. Brandon (47:07)I don’t have a very large support network. You know, I just basically kind of take care of a lot of it myself. You know, I mean, I did two and a half months of outpatient rehab with a occupational therapist. And what’s the other one? Occupational and physical therapy. (47:33)Mm-hmm. Brandon (47:33)So I did occupational and physical therapy for about two and a half months after I got out of the hospital. And that was all really good and helpful. And ⁓ I’m really grateful for those therapists that worked with me. And they helped me get ⁓ basically back to a normal cadence because I was having trouble putting one foot in front of the other. And they really helped me work on my cadence and getting my walk back to fairly normal. ⁓ My arm. has been mostly me. It has never been able to be rushed. It takes its own time. So even with the physical therapy, my hand coming back, it works at its own pace. That was never really influenced that much by physical therapy. And then my actual use of my hand, I was balled up. I was curled up and balled up to the wrist. after the stroke and eventually I got to where I could hold it out flat and I still tremor a lot there but it’s a lot better than it was and but yeah all of that had to come back at its own pace the physical therapy and stuff was helpful for a lot of other aspects of my recovery but that was all just taking its own time and coming back as I guess as it did my brain learn to re-communicate (48:58)Yeah, it sounds, it sounds like you’re kind of really well made up somehow, like you picked up the skills early on in your life to be able to deal with this situation. The way that you do is just amazing. Like it’s seems like it’s second nature, the way that you go about approaching the problems, the challenges, the difficulties, know, the missing half your skull, all that thing. It just seems really innate that you have that within you. you, people are listening and going, you know, that’s not me or I didn’t experience that or I’m overthinking things. Do you think that’s the way that you’re approaching things is teachable, learnable? Can people change the way that they’re going about ⁓ relating to their stroke or dealing with their stroke or managing it. Brandon (49:53)⁓ you know, I think that that you’re going to find that a lot of people, can be taught and a lot of people, can’t be taught. You know, some people’s nature just is not going to be able to handle that. But other people, you know, I think that you can go through very real processes to gain, ⁓ knowledge base, you know, to be able to start working with it. You see another big aspect of my recovery. is that I immediately after my stroke and getting out of the hospital moved eight hours away from UC Davis Hospital where my original care providers were. So I had to go through a whole new medical plan, a whole new set of doctors and everything else. And that changed on me like three times over the first six months. So I really couldn’t rely on the doctors for support either. because they were changing so often I would just meet one and the next thing I would know I would have a new doctor coming in or a new healthcare plan and so it took about six months for me to start seeing the same healthcare providers routinely so I went to YouTube University man I found you I found several other people that had these just these huge amounts of information you know, on how to handle my own recovery. So I took a lot of my own recovery into my own hands. And actually, ⁓ a week ago, I was talking to my neurologist, who is a really amazing lady, and, you know, and had to tell her pretty much that same story that, you know, I couldn’t leave it up to the doctors to fix me. I had to take care of myself. because of my situation and switching insurance and everything else that I went through, there was just not that much option. ⁓ so, you know, and she was like, I wish that all of my patients had that kind of an outlook. You cannot rely on the medical system to fix you. You know, we were talking about what can help people. I think that’s a really big thing that could help a lot of people is to realize that you have to take care of your health care decisions. You know, they found a PFO in my heart, a ⁓ Framon Parabot. (52:24)A patent for Ramen Ovali. Hole in your heart. Brandon (52:28)Yes, yeah, they found that and they wanted to fix it and I was like, you know, I’m 47 years old. This is a one-time thing. So I opted to have a loop recorder installed, a loop recorder to measure my heart rhythm and everything and send messages to the doctors at nights about my heart. So that because I thought that was a little bit less invasive. For my age, the last thing I want is for later in life, my body to start having problems with an implant that’s in my heart. So I decided not to go with that and to go with the less invasive loop recorder, which is still implanted under the skin in my chest, but it doesn’t affect my heart. (53:08)Thank you. Brandon (53:21)It just sends the information about my heart rhythm to the doctors so that they can keep track. (53:26)and it can be easily accessed and removed. Brandon (53:30)Exactly, exactly. So, you know, I mean, if I have another stroke or if I find through the little device that I’m having trouble with that PFO, you know, then I’ll get the PFO closure done. But until then, I didn’t want to just jump straight to that, you know, three months out of my out of my stroke. You know, I want to make sure that that’s the problem. because they did pull a 3mm blood clot out of my brain. So there’s a good chance that that went through the PFO and into my brain. But I was also way outside of my normal activity range trying to rock climb the day before. So there’s just, there are too many variables about the experience for me to just want to go and have something installed in my heart permanently, you know? (54:28)I hear you. What about the aneurysm? Where is that? What’s the long-term kind of approach to that? Brandon (54:35)Don’t know yet. I do not know anything about it. I’ll find out more information on Tuesday They said it’s not it’s not in the same part of my brain that my stroke was So that’s a good thing and there’s a good chance that it may have been there for a long time before the stroke So we just don’t know I don’t know anything about it So that I’m gonna go and meet with this neurosurgeon and decide what we’re gonna do about it (54:42)that’s right. Brandon (55:03)I think the most likely option, as long as it’s not big, is that they just wait and they monitor it. But there’s also a process where they coil it. They put a coil of platinum into it and pack it off so that it can’t become a problem later. And then the third scenario is that they take another piece of my skull off and go in and actually put a clip on it. to stop the blood from going into it. So I may actually have to have my skull open back up again. But, again, there’s no point in thinking about it now. I’ll think about it after Tuesday when I figure out where this thing is, what size it is, and all the details of it, you know? (55:46)Yeah. I love it. I love it. I love that man. That’s a great way to approach it. Also, ⁓ I love your comment about YouTube University. I love the fact that people find my podcast sometimes when they’re in hospital because clearly they realize I need to ⁓ learn more about this, understand it and ⁓ straight away they’ve got answers because of YouTube. it’s such a great service. It’s free. If you don’t want to pay for a paid service and all you got to do is put up with ads that you can skip through most of the time. So I think that’s brilliant. ⁓ What about your identity, man? People have a lot of kind of ⁓ examples of how they have a shift in their identity, how they perceive themselves, how they fit into the world. Did you feel like you have a shift in your identity or the way that you fit into the world? What’s that like for you? Brandon (56:46)Well, I mean, I definitely do feel like there was a big shift. Now at the core, I feel like the same person. know, mentally, I still feel like I know who I am, but it definitely has shifted my priorities in life a lot. ⁓ I did not raise my daughter and I developed a much closer relationship to her since the stroke. and we’ve been spending more time together and just really working on our relationship together. She’s 28 years old. So, you know, that has really been an amazing aspect of my stroke recovery is that I’m closer with my daughter than I ever was. But yeah, I mean, you know, I do things a lot differently. I was a heavy smoker, a heavy drinker, and a heavy marijuana user. I don’t smoke marijuana, don’t smoke cigarettes, and I don’t drink alcohol anymore. So huge change in my lifestyle as well. ⁓ But you know, I just I’m not as much of a hurry as I used to. I was always accused of my mind working on too many levels at one time, you know, and had too much on my plate, too much going on in my brain all the time. Now. My brain doesn’t keep up as well. So I struggle to stay on one subject, much less juggle multiple things in my brain. So it’s really kind of slowed down my whole mental process. But I think that again, that’s in a good way. I think that ⁓ I needed to slow down a little bit in a lot of ways. Lessons Learned: Insights from the Journey (58:31)I hear you. With the alcohol, marijuana and the smoking. So you might’ve been doing that for decades, I imagine, smoking, drinking. Brandon (58:43)Yes. (58:44)how do you experience your body differently now that it doesn’t have those substances in it anymore? Like, cause that’s a mass, that’s probably one of the biggest shifts your consumption of, we’ll call them, I don’t know, like harmful ⁓ things, you know, like how, so how do you relate to yourself differently now that those things are not necessary? Brandon (59:12)You know, I never really had like an addictive aspect. So I really don’t, I don’t feel like, ⁓ I mean, I don’t feel like it’s changed me a whole lot. I just had to take the daily habits out. But after spending a month in the hospital, all of the physical wants, all of the physical aspects of it were already taken care of, you know? So I just had to kind of maintain and not go back to old habits. So really, I mean, I don’t feel like it was that big of a difference. But now physically, I’ve always been an extremely skinny person. You know, I’m six foot one and I’ve always weighed 135 to 145. Now I weigh 165. So I did put on some weight after stopping all that. But other than that, really don’t notice a lot of ⁓ physical differences. Now, I have not coughed since my stroke. I used to wake myself up at night coughing, but for some reason, like literally when I had the stroke, I have not coughed since. Now I clear my throat a lot more and I have a lot of, we’re trying to figure out why, but I have a lot of problems with my sinuses. and stuff like that all on the side that I my injury was on this side but on the side the mental side like where it’s all mental stuff that changed the you know all of that I have problems with my sinuses and drainage and things like that so right now I’m seeing an ear nose and throat specialist and we just did a cat scan of my sinuses so I’ll see on the 13th of this next month I’ll get more information on about what’s going on there. ⁓ really, if that’s all I have to deal with is a one-sided sinus infection, I’m okay with that, you know? (1:01:23)Brandon, you’re all over it, man. I love your approach. It’s ⁓ refreshing to hear somebody who’s just so all over getting to the bottom of things rather than kind of just letting them kind of fester, which kind of leads me to my next question is you seem to have gained a lot of learning and growth from all of this. So what… ⁓ What are some of the insights that you gained from this experience that you didn’t expect? Brandon (1:01:54)⁓ No, I’m really not sure, man. I’m really not sure. I mean, again, I feel like pretty much going back to the same person. I mean, I have, I think, a little bit more respect for the human lifespan. You know, I was one of those people that always felt like, since I’ve never died, I can’t tell you that I’m going to die. Even though everybody else on the planet has to die, I never necessarily felt like that. I definitely feel mortal now, you know? I used to tell everybody that I still felt 25, but as soon as I had my stroke, felt 48. I felt every bit of my age. So it kind of cured me of that. You know, I pay a lot more attention to like, you know, things like, setting up my daughter for the future, you know, and like, Purchasing property for her and things like that to make sure that she’s gonna be taken care of when I’m not here anymore Things that I never paid attention to beforehand, you know, I always just lived in the moment Really didn’t care about the rest But now I’m more prone to put the work into my vehicle before it breaks down Instead of just waiting for it to be on the side of the road to fix it You know, I just I I think that I handle my life responsibilities more like a grown up than I used to, you know, but ⁓ but really, I don’t know, I’d say overall though, it’s still really difficult question to answer, man. I don’t I don’t feel like I live a lot differently. I feel like I’m still the same person, you know. (1:03:35)You nailed it, man. You answered it beautifully, especially the part about mortality. That’s a hap that happened to me. I realized at 37 that, ⁓ I actually might not be around in 12 months, six months, three months. So who knows like tomorrow. And that made me pay attention to my relationships and make sure that they were mostly mended healed. Reach. I reached out to people who I needed to reach out to. cut off people who I didn’t need to continue connecting with. Brandon (1:03:51)Right? (1:04:05)You know, like I realized that this, I’ve got to attend, attend to certain things that I hadn’t been attending to because if, ⁓ if the shit hit the fan, if things go really ugly, then I wouldn’t be able to attend to those things. And I, now that I had the ability to do it, was my responsibility to do that. Brandon (1:04:28)Absolutely, absolutely. I completely agree. I did the same thing. I cleared out a lot of the people that really weren’t being, you know, or that weren’t adding benefit to my life and causing problems in my life. I cleared all of that out. I started to focus more on the core group of people that were a big part of my life and, you know, my recovery and just, you know, who I am as a person. And just, you know, it really made me take a better look at the life that I had created for myself and and ⁓ and Just take care of the things that I should be taking care of and don’t pay as much attention to the things that weren’t serving me (1:05:12)Yeah, it’s a great way to continue moving forward. Your daughter, does she live nearby or does she live in another state? Brandon (1:05:21)She lives in another state. She lives in Alabama right now, but we’re starting to consider her coming out here to Arizona. Her and her boyfriend have lived there for several years, but the only reason she was living there is because her grandparents lived there on her maternal side, and she was very close to them for her whole life. But they passed, both of them, over the last several years. And, you know, she enjoys her work. She enjoys her friend group. But she also feels like she might need to go and explore a little bit more and move out of her comfort zone. So she might be a little bit closer sooner. Her and her boyfriend might actually move out here. we’ll just, know, only time will tell, but it’s just, it’s a fun thought, you know? (1:06:08)Yeah, I hear you. So we’ve shared a whole bunch of amazing things on this episode right now. The last question I want to ask you is there are people watching and listening that had either been listening for a little bit of time. They’ve just started their stroke recovery or they’r
From cleaning products and pesticides to workplace chemicals, radiation, and everyday environmental toxins—pregnancy comes with a lot of warnings, and it's hard to know what actually matters and what's just noise. In this episode of MamaDoc BabyDoc, we break down the science behind environmental and occupational exposures during pregnancy. What truly poses a risk to you and your baby—and what's been overhyped? We'll talk about common exposures at home and at work, how risk is measured, and why dose, timing, and duration matter far more than scary headlines. Most importantly, we focus on practical, realistic steps you can take to reduce risk without living in fear or trying to bubble-wrap your life. Whether you're a healthcare worker, teacher, professional, or simply navigating pregnancy in the modern world, this episode will help you make informed, empowered decisions for yourself and your growing baby. Because knowledge—not anxiety—is the most powerful form of protection.
Navigating the Texas Legal System: From CDL Protection to Clearing Your Criminal Record with Michael AaronsonIn this episode of Local Area Business Talk, we sit down for an in-depth conversation with Michael Aaronson, the founding attorney of the Aaronson Law Firm in El Paso, Texas. With a remarkable legal career spanning nearly 50 years, Michael brings a wealth of knowledge and a deep understanding of the local and state legal landscapes.Whether you are a professional driver whose livelihood depends on a Commercial Driver's License (CDL), a student worried about a past mistake appearing on background checks, or a citizen interested in knowing their constitutional rights during a traffic stop, this episode is a masterclass in Texas criminal and traffic law.What You'll Learn in This Episode:1. The High Stakes of CDL Advocacy For commercial truck drivers, a driver's license isn't just a permit—it's a career. Michael explains how the Aaronson Law Firm represents CDL holders in hearings against the Department of Public Safety (DPS). Learn why you should never simply "accept" a revocation notice and how a dedicated attorney can negotiate with District Attorneys to keep you on the road.2. Occupational and Essential Needs Licenses If your license has been suspended, how do you get to work or take your children to school? Michael breaks down the "Essential Needs" or Occupational Driver's License (ODL). He explains how these court-ordered licenses work, where they are valid, and why judges are often willing to grant them to ensure citizens can maintain their daily responsibilities.3. The Science and Pitfalls of DWI/DUI Stops Do you know the difference between being "under the influence" and "legally intoxicated" in Texas? We discuss the .08 BAC threshold and the "loss of normal use" standard. Michael provides a fascinating breakdown of Field Sobriety Tests (FSTs), including:HGN (Horizontal Gaze Nystagmus): The involuntary jerking of the eye.The Walk and Turn: A test of divided attention and physical balance.The One-Leg Stand: How officers look for specific "clues" to build a case against you.4. Your Constitutional Rights: Search, Seizure, and Silence "Less is more." Michael offers crucial advice on interacting with law enforcement. We discuss the Fourth Amendment, the right to refuse a vehicle search, and why volunteering information about your day can often work against you in a court of law. Learn the power of the simple question: "Officer, am I being detained?"5. Expunctions vs. Non-Disclosures: A Second Chance One of the most valuable parts of this interview covers how to clear your record.Expunction: The "gold standard" of record clearing. Michael explains how this process can legally destroy criminal records, allowing you to deny an occurrence ever happened—even on job applications.Orders of Non-Disclosure: How to seal your records from the public eye and background check agencies, even when an expunction isn't an option.About the Guest: Michael Aaronson has been a pillar of the El Paso legal community for 49 years. His firm specializes in criminal law, felonies, misdemeanors, driver's license suspensions, and the sealing of criminal records. His experience in the El Paso County Courts and his history of negotiating with the DPS make him one of the region's most sought-after advocates.Firm Name: Aaronson Law FirmAttorney: Michael AaronsonOffice Address: 7362 Remcon Circle, El Paso, Texas 79912 (West Side El Paso)Phone Number: (915) 533-0110Website: https://aaronsonlawtx.com
Autism mom, Nichole Daher, became frustrated when her daughter aged out of her ABA program. She desired a place that would accept children of any age, of any ability, and a center that would provide transparency to parents. In 2015, Nichole founded Success on the Spectrum— a complete Autism Treatment center that provides ABA therapy, Speech therapy, and Occupational therapy to children with Autism up to age 18 years old. SOS proudly showcases parent viewing rooms, where live video surveillance demonstrates assurance and accountability. In 2018, Nichole founded SOS Franchising- making SOS the first Autism Treatment franchise in the US. This model balances profitability with purpose. As a franchise, SOS can grow faster and provide more access to care in an industry with severe unmet demand. Today, Nichole Daher continues to inspire entrepreneurs and activists alike. For more information, visit successonthespectrum.com (parents) and sosfranchising.com (franchising.)
Welcome back to OccPod! This episode features a conversation with someone who has helped shape how physicians across the country understand and apply impairment ratings, Dr. Douglas Martin.Dr. Martin is a Past President of ACOEM and is a board-certified Family Medicine physician specializing in Occupational and Environmental Medicine. Dr. Martin's areas of expertise include workers' compensation injuries, aviation and commercial driver evaluations, fitness-for-duty determinations, independent medical exams, and file reviews. He also serves as co-chair of the AMA Guides Editorial Panel, leading national efforts to modernize and standardize impairment rating.Our host is Dr. Ismail Nabeel, professor in the Department of Environmental Medicine and the Department of Artificial Intelligence and Human Health at the Icahn School of Medicine at Mount Sinai. Dr. Nabeel is an ACOEM Fellow and serves on the ACOEM Board of Directors.In this episode, Dr. Martin breaks down the long and sometimes surprising history of impairment and disability, explains how the AMA Guides have evolved, and shares what's new in the 2024 digital updates – especially the major changes to the musculoskeletal chapters. He also reflects on artificial intelligence, transparency in guideline development, and what these updates mean for physicians, patients, and the future of equitable compensation.
In this episode I explore the idea of occupational personhood are people with dementia often sustain identity through former work roles. The episode also looks ahead to her recognising compressed forms of identity might inform future approaches to documentation, digital health and language based support tools. The role of creativity in this situation is explored.
Charlotte Brody, Vice President of Occupational and Environmental Health at the BlueGreen Alliance, joined the America's Work Force Union Podcast to discuss the importance of workplace health regulations, challenges from the Trump Administration to these protections and the crucial role of the Occupational Safety and Health Administration (OSHA) general duty clause. On today's episode of the America's Work Force Union Podcast, we were joined by Will Lindsay, Local Chair in Illinois with the Brotherhood of Maintenance of Way Employes (BMWED), a division of the International Brotherhood of Teamsters. Lindsay's story is one of resilience and transformation, having started his career in carpentry, then finding his way into music and bartending before forging a path as a union railroad worker and community advocate.
Occupational therapist and aging-in-place expert Carol Chiang joins us to discuss her new book, Age in Place or Find a New Space. Carol explains why meaningful interactions—not just safety—belong at the center of planning for life with Parkinson's, and how "the choices you make today become the consequences you live with tomorrow." In this podcast episode, Carol discusses the importance of early-stage steps like decluttering and fall-prevention basics, practical visual cueing for freezing, how to break home updates into manageable pieces, and honest caregiver conversations. Carol also shares how to think about modifying a home versus considering a move, and why planning early protects both independence and connection. A grounded, hopeful conversation about creating a home that supports who you are and how you want to live. Learn more about Carol and her work, and find her book at: www.EvolvingHomes.com Explore the OT-curated home-modification resource she mentioned: Ask Samie: https://www.asksamie.com/ Sign up for updates on webinars, events, and resources for the Parkinson's community: https://dpf.org/newsletter-signup Learn more about the Davis Phinney Foundation for Parkinsons's: https://dpf.org GUEST BIO Carol Chiang is an Occupational Therapist and founder of Evolving Homes®, specializing in aging-in-place, age tech, and smart home solutions. With 25 years of experience, she helps individuals and families decide whether to "Age in Place" or "Find a New Space®," and supports them through the home changes required at each stage of Parkinson's. A Certified Parkinson's Wellness Recovery therapist and former Olympic-caliber athlete, Carol teaches the importance of planning ahead, using exercise as medicine, and building habits that protect long-term independence. She consults with organizations, startups, and universities worldwide, and has contributed to AARP, the Davis Phinney Foundation, the National Kitchen & Bath Association, and international aging conferences.
Peter Blair talks about occupational licenses as information about criminal records. “Job Market Signaling through Occupational Licensing” by Peter Q. Blair and Bobby W. Chung. OTHER RESEARCH WE DISCUSS IN THIS EPISODE: “The Prevalence and Effects of Occupational Licensing" by Morris M. Kleiner and Alan B. Krueger. “Analyzing the Extent and Influence of Occupational Licensing on the Labor Market" by Morris M. Kleiner and Alan B. Krueger. “A Welfare Analysis of Occupational Licensing in U.S. States" by Morris M. Kleiner and Evan J. Soltas. “How Much of Barrier to Entry is Occupational Licensing?” by Peter Q. Blair and Bobby W. Chung. “The unintended consequences of 'ban the box': Statistical discrimination and employment outcomes when criminal histories are hidden" by Jennifer L. Doleac and Benjamin Hansen. “Does Job Testing Harm Minority Workers? Evidence from Retail Establishments" by David H. Autor and David Scarborough. “Job Market Signaling" by Michael Spence.
"The excitement that the kids feel when they are seeing you... and they know today's session with Ms. Luba and they can't wait to see you." - Luba Kaplan When a child enters the medical system, parents often meet many specialists beyond doctors and nurses, including Speech-Language Pathologists (SLP). These professionals are vital members of the healthcare team, doing more than just helping with speech. SLPs, as Luba Kaplan explains, also explains how they look at every area of the child's development to ensure children are being fully supported. In this episode, we introduce Luba Kaplan, a passionate SLP, Oral Myofunction Therapist, and mother of three who is the visionary behind Kidology. Celebrating 10 years in private practice, Luba has made it her mission to bridge gaps in access to therapy. She even created the Therapy Bus—a half-size school bus that travels to families who can't leave home or have transportation issues. About Our Guest: Luba Kaplan, SLP Luba Kaplan is a Speech-Language Pathologist and Oral Myofunction Therapist. As the founder and owner of Kidology, she has built a practice that offers a multidisciplinary, team approach to therapy, including Speech, Occupational, Physical, and Behavioral services. Luba is driven by a deep passion for helping families achieve change and is dedicated to cancer research in honor of her mother, Angela, who worked in oncology research for 25 years. Luba on Social Media: TikTok, Instagram, Facebook: @KidologyInc (KIDOLOGYINC) YouTube Channel: Find Kidology's content on YouTube Key SLP Insights for Medical Parents Luba shares crucial advice for working effectively with a Speech-Language Pathologist: Build Strong Rapport: Share everything that is going on in your child's life, even seemingly small struggles like a supermarket meltdown. The more the provider knows, the more they can help. Look for a Global Approach: Seek a provider who utilizes a multidisciplinary, team approach and is willing to screen for or refer to other needed services (OT, PT, behavioral services). Early Intervention is Key: Don't wait or assume your child will simply "grow out of it.". Addressing issues sooner, not later, can put your child ahead. Ensure Family Alignment: Everyone in the child's life (parents, grandparents, etc.) must be on the same page with the therapy goals to ensure the proper foundation for progress. Otherwise, therapy won't work. Trust the Independent Session: While parental presence is key in a hospital setting, giving your child space to learn independently in a non-threatening environment allows them to develop their own voice and thrive with the therapist. Stay Committed: Stick with the therapy program even when you think your child is "okay". Commitment is essential for your child to be better off post-program. Episode Timeline Highlights 00:00: Introduction to the role of a Speech-Language Pathologist. 01:00: Introducing Luba Kaplan, the visionary behind Kidology and the innovative Therapy Bus. 02:30: Luba's passion for change and her personal connection to cancer research. 06:00: Tips for parents on finding an impactful provider and the necessity of sharing full history. 09:30: Navigating the system and the need for a team approach in therapy. 11:00: Strategies for carryover at home: portals, homework, and getting the whole family on the same page. 15:45: The difference between presence in an acute trauma setting (hospital) vs. a non-threatening environment (therapy clinic). 19:30: The growth of Kidology: from one suburban office to two central clinics with play gyms. 22:00: Final takeaways: the importance of commitment and not delaying intervention. Support Our Host & Show Child life specialists are experts who help families navigate the overwhelming and confusing world of healthcare. Now, you can access these valuable tools and resources outside of the hospital setting through the SupportSpot App. Parents, get empowered! The SupportSpot App provides tools to: Understand and explain medical procedures to your child. Help your child feel less anxious. Feel informed and confident in your child's healthcare journey Join Katie Taylor's Substack for in-depth insights and articles: Join here Child Life Specialists- join the circle. There is a seat here for you to recieve support, professional development, and access to clinical supervision.
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