Podcasts about proactive

In this episode I help you understand how and why Alcoholism got labeled a disease and breakdown the neuroscience of what's happening in the brain when we drink alcohol. I also share my new alcohol recovery methodology, how it works and why I believe it's going to be so effective at helping people experience lasting freedom from alcohol.The Stop Drinking Coach is a Leading Alcohol Recovery and Life coaching system that is designed with several core pillars in mind:1. Proactive lifestyle transformation; Daily optimization of Mind, Body, Spirit & Neurochemistry2. Helps you optimize dopamine on a daily basis, leading to improved mood & up to 80% less cravings3. Strong focus on tactical improvement in mental & emotional regulation4. Weekly coaching calls (group or 1-1), community calls and accountability partner opportunities5. A step by step path to healing from trauma with one-of-a-kind guided meditative experiences that allow you to go in and do the deep "inner work" that everyone is searching for.6. Reprocess and reintegrate past memories, get empowered, define clarity around your future and learn uncommon techniques and strategies to enhance your mental & emotional operating system.7. Provides a private, supportive, judgement-free community that's rooted in empowerment and personal growth for you to learn, grow, heal and become the version of yourself you've always dreamed of.Experience letting go of alcohol in a way that feels more natural and easier than anything you've ever tried before with our advanced system that utilizes multiple frameworks for conscious and unconscious reprogramming, healing & transformation.Thank you to everyone who has been listening and supporting along the way. I hope you find exactly what you need in this episode to kickstart your personal journey to freedom!If you're ready to follow a proven system to help you stop and finally step into the next chapter of your life visit www.thestopdrinkingcoach.com, fill out an application and join my private community where you'll get access to a proven system, accountability, community, tools and resources to transform your life.--If you received value from my podcast, please subscribe and leave a 5 star review. There are millions of people suffering in silence and your small gesture will help this reach the person who needs it. If you think my podcast would help anyone you know, please share it with them.Thank you for listening.#stopdrinking #quitdrinking #sober #alcoholism #sobercurious--To work with me directly to quit drinking and transform your life, visit: www.thestopdrinkingcoach.com and fill out an application for coaching.Connect with me:TikTok: @stopdrinkingcoachInstagram: @thestopdrinkingcoachWebsite: www.thestopdrinkingcoach.comEmail: Support@thestopdrinkingcoach.com

Check out the TIES Sales Showdown at www.tx.ag/TIESVisit The Sales Lab at https://thesaleslab.org and check out all our guests' recommended readings at https://thesaleslab.org/reading-listTo listen to The Sales Lab Podcast on your favorite apps, visit https://thesaleslab.simplecast.com/ and select your preferred method of listening.Connect with us on Facebook at https://www.facebook.com/saleslabpodcastConnect with us on Linkedin at https://www.linkedin.com/company/thesaleslabSubscribe to The Sales Lab channel on YouTube at  https://www.youtube.com/channel/UCp703YWbD3-KO73NXUTBI-Q 

Learn how to preserve wealth across generations and understand the importance of family governance in making sure your legacy continues and prospers for many years.   In this episode of the Registered Investment Advisor Podcast, Seth Greene interviews Tom Rogerson, President and CEO of GenLeg Co., Inc. He is a leading expert in family governance and wealth preservation. With decades of experience in financial planning and estate management, Tom discusses the challenges wealthy families face in managing and preserving their wealth across generations. He emphasizes the importance of family unity, governance, and philanthropy in preserving wealth while fostering strong, responsible family dynamics. Learn why proactive family planning is crucial for avoiding the generational breakdown that can lead to wealth dissipation.   Key Takeaways: → How family wealth preservation isn't just about financial assets. → Why high-net-worth families often lack trust and struggle working together. → The importance of starting family governance practices early. → Proactive family philanthropy can be an effective way to bring family members together. → It's a misconception that wealth ensures family unity.   As a recognized leader and pioneer in family governance worldwide, Tom Rogerson utilizes his “7 Steps to Healthy Family Governance” to help families enhance communication, develop a philanthropic vision, plan for legacy, manage succession, and provide education. Tom integrates these key issues into a client's comprehensive wealth management plan, helping to prepare the family for the wealth and the wealth for the family. He brings over forty years of experience to the wealth management industry, where he has advised and educated families, helping them transfer significant assets—both tangible and intangible—from one generation to the next.   Connect With Tom:  Website LinkedIn Learn more about your ad choices. Visit megaphone.fm/adchoices

Ellen Alphonso, CPA, is a Senior Manager at Boyum Barenscheer PLLP and a recognized expert in employee benefit plan audits, with extensive experience guiding plan sponsors through the complexities of employee benefit plan compliance. Licensed as a Certified Public Accountant in Minnesota, Ellen has led audits for retirement plans ranging from under $500,000 to over $5 billion in assets, offering a rare depth of insight across a wide spectrum of plan sizes and structures.Known for her collaborative approach and clear communication style, Ellen excels at translating technical audit findings into actionable strategies for fiduciaries and plan management. Her work emphasizes not only regulatory compliance but also the importance of accountability, transparency, and a participant-first mindset.Ellen leads Boyum Barenscheer's training initiatives for employee benefit plan audits, a vital component of the firm's ongoing compliance with its EBPAQC (Employee Benefit Plan Audit Quality Center) credentials. She also contributes her expertise as a member of the Minnesota Society of CPAs' Audits of Employee Benefit Plans Conference Task Force, helping shape educational programming for practitioners across the state. Beyond her professional work, Ellen serves as the board treasurer for In the Heart of the Beast Puppet and Mask Theater, supporting the organization's mission to foster creativity and community through the arts.In this episode, Eric and Ellen Alphonso discuss:Prioritizing specialized expertiseStrengthening audit scope and practicesAddressing common pitfallsLeveraging auditors as partnersKey Takeaways:Auditors with deep experience in employee benefit plan audits reduce errors and ensure compliance. Choosing specialists, especially for first-time audits, safeguards accuracy.Effective audits go beyond financials to include compliance checks, reconciliations, and verification of new employee contributions, building stronger systems.Errors often stem from overextended HR/payroll departments, manual processes, or system changes. Proactive integration and training minimize risks.Strong audit firms provide more than compliance—they communicate with service providers, share best practices, assist with onboarding, and support fraud prevention through security measures.“Absolute best practice I see in my superstar clients is they do reconciliations regularly and on an annual basis.” - Ellen AlphonsoConnect with Ellen Alphonso:Website: https://myboyum.com/leadership/ellen-alphonso/ Connect with Eric Dyson: Website: https://90northllc.com/Phone: 940-248-4800Email: contact@90northllc.com LinkedIn: https://www.linkedin.com/in/401kguy/ Important clarification from the podcast show dialogue: "If an ERISA plan exceeds 100 participants with an account balance but remains under 120 in perpetuity, then the plan would not require an audit for each subsequent year that it remains under 120 participants with a balance. Please verify current rules and check with your plan record-keeper, advisor, or CPA to ensure compliance with this requirement." The information and content of this podcast are general in nature and are provided solely for educational and informational purposes. It is believed to be accurate and reliable as of the posting date, but may be subject to change.It is not intended to provide a specific recommendation for any type of product or service discussed in this presentation or to provide any warranties, investment advice, financial advice, tax, plan design, or legal advice (unless otherwise specifically indicated). Please consult your own independent advisor as to any investment, tax, or legal statements made.The specific facts and circumstances of all qualified plans can vary, and the information contained in this podcast may or may not apply to your individual circumstances or to your plan or client plan-specific circumstances.

Accesso Technology Group PLC (LSE:ACSO, OTC:LOQPF) chief executive Steve Brown talked with Proactive's Stephen Gunnion about trading momentum after June's heat-wave, the integration of recent acquisitions, upcoming AI features and how the company is thinking about capital allocation. Brown said July and August trading returned to expectations after a softer June, noting that “what we lost in June, we gained in July,” with August looking “more in line with our expectations.” He outlined how a refreshed commercial focus is improving win rates by narrowing teams onto specific products (including Paradocs, Horizon, 1RISK and Freedom) and strengthening sales enablement — from faster responses to better proposals — so sales directors are better supported. On M&A, Brown explained the strategic fit of 1RISK, a waiver platform widely used by Accesso's ski customers, producing roughly 4–5 million waivers annually. Bringing it in-house should allow deeper product integration and provide a competitive edge, with use cases extending beyond ski to projects such as Horizon deployments in Saudi Arabia. Looking ahead, Accesso is developing voice-based, self-service ordering — for example, booking tickets via natural speech and completing payment through Apple Pay or Google Wallet. Prototypes for Passport and Freedom are complete, with a debut in the coming months and general availability targeted for next year. On the outlook, Brown highlighted resilient cash generation and said the company will prioritise acquisitions but could consider buybacks or other returns depending on opportunities and valuation. Adjusting for a one-off hardware sale last year, revenue was up 1.2% on a constant-currency basis. “We'll continue to focus on acquisitions first… and if we don't see the acquisition opportunities there, we're going to focus on buybacks and other ways to return that capital to our shareholders,” he said. If you found this useful, visit Proactive's YouTube channel for more interviews. And don't forget to like, subscribe and turn on notifications for future content. #Accesso #SteveBrown #ThemeParks #Ticketing #GuestExperience #AICommerce #VoiceOrdering #Horizon #1RISK #Investing #UKSMEs #CapitalAllocation #Buybacks #MergersAndAcquisitions #SaaS

Today's episode is all about how to be proactive versus being reactive. Resources from this episode: Verity Conference (Use code: NANCYRAY15 for 15% off)  The 7 Habits of Highly Effective People by Stephen Covey  Free Weekly Checklist! Rhythms Reset Send Nancy an Audio Message!  Dwell Bible App Discount Visit my Cornerstore! Nancy Ray Website Nancy Ray on Instagram Affiliate links have been used in this post! I do receive a commission when you choose to purchase through these links, and that helps me keep this podcast up and running—I truly appreciate when you choose to use them!  

In this episode of "Pulse of the Practice," hosts Mo Arbas and Paul Miller dive deep into the latest tax law updates impacting accounting and tax firms as we approach the fourth quarter of 2025. Discover practical strategies for communicating key legislative changes—like the expiration of the clean vehicle credit, updates to renewable energy incentives, R&D credit modifications, QBID (Section 199A), and bonus depreciation—with your clients. Learn how to break down complex information into digestible video announcements and distinguish between goodwill communications and billable advisory work.Mo and Paul offer actionable insights on how firms can stay ahead by proactively addressing client needs, leveraging new tax planning opportunities, and maintaining confidence in an ever-evolving regulatory landscape. Whether you're managing busy extension deadlines or looking to optimize your advisory services, this episode is packed with best practices, real-world examples, and expert guidance to ensure your clients are informed and your firm is prepared for the year ahead.Tune in to keep your finger on the pulse of tax law changes, maximize client value, and position your practice for success in 2025 and beyond!Keywords:2025 tax law changes, accounting firm advisory, clean vehicle credit expiration, renewable energy tax credits, R&D credit update, Section 199A, QBID extension, bonus depreciation, tax planning strategies, client communication, proactive tax advisory, small business tax updates, IRS guidance, accounting best practices, tax legislation, extension deadlines, business tax credits, firm workflow optimization, tax compliance, tax advisory services, podcast for accountants

ACG Metals CEO Artem Volynets joined Steve Darling from Proactive's OTC studio in New York City to share news the company's ordinary shares have qualified and commenced trading on the OTCQX Best Market under the ticker “ACGAF”, while continuing to trade on the London Stock Exchange. Volynets said this milestone is a key step in ACG's strategy to broaden its international shareholder base and expand visibility among U.S. institutional and retail investors, positioning the company for its next phase of growth. ACG's financial performance has already demonstrated strong momentum, with market capitalization doubling in the past year from $100 million to $200 million. The company generated $90 million in free cash flow last fiscal year and is forecasting $75 million this year, even under conservative assumptions. Looking ahead, as ACG transitions to copper production by mid-2026, management expects annual free cash flow to rise to ~$100 million, implying the stock is currently trading at roughly 2x projected free cash flow. The company's existing gold operations in Turkey continue to perform strongly, with 2025 production guidance of 36,000–38,000 ounces. At an all-in sustaining cost (AISC) of ~$2,000/oz, ACG is delivering “very significant margins” in the current gold price environment. Importantly, the company's brownfield copper expansion is fully funded. The project requires approximately $70 million of capital investment, while ACG already has double that amount on its balance sheet. A bond issue earlier this year was met with strong demand and is currently trading at a significant premium, underlining investor confidence in the company's strategy. Volynets added with copper positioned as a critical metal for electrification and the energy transition, ACG Metals is entering the next stage of its evolution as a cash-generating gold producer transitioning into a diversified, high-margin copper growth story. #proactiveinvestors #acgmetalslimited #lse #acg #otcqx #acgaf #CopperMining #GoldProduction #FreeCashFlow #MiningStocks #OTCQX #ArtemVolynets #GoldPrices #MiningInvestment #CopperExpansion #InvestorUpdate #ProactiveInvestors

Reconnaissance Energy Africa or ReconAfrica CEO Brian Reinsborough joined Steve Darling from Proactive to announce a transformational milestone for the company: the signing of a production sharing contract and joint venture agreement with the Republic of Gabon and the Gabon Oil Company (GOC) for the exploration, appraisal, development, and production of oil and gas on Offshore Block C-7, now officially renamed Ngulu. Under the terms of the agreement, ReconAfrica has been designated as operator with a 55% working interest. The Government of Gabon has emphasized its commitment to establishing a stable and attractive regulatory framework that supports investment and leverages the country's abundant hydrocarbon resources to create lasting economic growth for its citizens. Reinsborough highlighted that this partnership marks ReconAfrica's entry as an offshore operator in West Africa, a strategic shift that expands the company's growth potential. Block C-7 (Ngulu) spans 1,214 km² of shallow water acreage offshore central Gabon, situated on trend and offset to a series of prolific producing fields in the region, which range in size from 38 million to 250 million barrels. One of the block's key assets is the Loba oil discovery, drilled in 1976, which encountered 140 metres of gross hydrocarbon pay (70 metres net pay). This discovery provides low-risk appraisal and development opportunities and is estimated to hold the potential for ~20,000 barrels per day of production, comparable to nearby producing fields. Beyond near-term development, Ngulu offers significant exploration upside, with an inventory of 28 mapped prospects. These prospects are considered geologically analogous to successful Gulf of Mexico play types, opening the door to substantial resource additions. The company views Ngulu as a balanced project, combining short-cycle development potential with meaningful exploration upside—an alignment that could drive near-term cash flow while securing ReconAfrica's role in one of Africa's most prospective offshore basins. #proactiveinvestors #reconnaissanceenergyafricaltd #tsxv #reco #otcqx #recaf #NamibiaOil #ProspectI #OilExploration #EnergyUpdate #OnshoreDrilling #OilAndGasNews #AfricanEnergy #OilDiscovery #EnergyInvesting #OilExploration #NamibiaOil #EnergyInvesting #KavangoBasin #BrianReinsborough #OilAndGas #InvestorUpdate #ProactiveInvestors #AngolaEnergy #gabon #ngulu

Pantheon Resources CEO Max Easley and Chief Development Officer Erich Krumanocker joined Steve Darling from Proactive to announce a major milestone at the company's Dubhe-1 appraisal well in Alaska, where the lateral has been successfully drilled and landed in the SMD-B horizon—the primary target identified in the earlier Dubhe-1 pilot hole. The second phase of the Dubhe-1 programme involved plugging back the pilot hole and drilling a lateral sidetrack into the SMD-B zone, entering the target horizon roughly 550 feet northeast of the pilot hole. The well ultimately achieved a measured depth of 15,800 feet, with approximately 5,200 feet within the SMD-B reservoir, far exceeding the company's pre-drill expectations. The production test lateral was initially planned for 3,000–4,000 feet, but optimized drilling based on pilot results enabled Pantheon to capture significant upside. In addition to confirming the SMD-B reservoir, the sidetrack also encountered several shallow hydrocarbon-bearing zones. All intervals were logged with a full suite of Logging While Drilling (LWD) tools, and Volatiles Analysis Service (VAS) was conducted on both sealed and unsealed cuttings samples to provide detailed reservoir data. Importantly, the results from Dubhe-1 have substantially increased Pantheon's resource base. The company's best estimate of marketable liquids in the Ahpun area now stands at 589 million barrels, representing a 228 million barrel increase—approximately 63% growth—over previously certified estimates. Pantheon is now analyzing data from both the pilot and the lateral to design an optimized hydraulic stimulation programme and flowback operation. The company intends to apply modern completion techniques drawn from the Permian Basin, where such methods have driven efficiency and strong recoveries. Pantheon has already executed contracts and Master Service Agreements with key service providers, including several new suppliers bringing expertise from mature unconventional basins to Alaska's North Slope. Management expects this approach will deliver higher efficiency at lower cost as the company advances toward production. #proactiveinvestors #pantheonresourcesplc #mining #lse #panr #pthrf #Dubhe1 #AlaskaOil #OilAndGasDevelopment #EnergyStocks #NaturalGas #AlaskaEnergy #OilExploration #OilProduction #PantheonDrilling #InvestingInOil

This week we start off with a memory lane chat about teenage skincase and then take an unexpected turn into story time about house alarms and break ins. Mel's got a corker of a story to share that will never have you looking at her dad the same way again. Enjoy! And, hey! Did you know? The Making An Effort Podcast is a proud listener supported podcast! If you want access to bonus episodes, weekly episode commentary, community chat, and provide input, we'd love you to consider supporting us at www.patreon.com/makinganeffortpodcast

Accountability doesn't have to feel like punishment. In this episode of The Good Leadership Podcast, Paul Batz and Kevin Sensenig unpack why so many teams experience accountability as fear-based and how leaders can flip the script by fostering trust, shared ownership, and a proactive mindset. Listen in for research-backed insights and practical tools that transform accountability into a growth driver.

Hive Digital Technologies Chief Financial Officer Darcy Daubaras joined Steve Darling from Proactive to discuss the company's 22% month-over-month increase in Bitcoin production for August 2025, underscoring both the company's operational strength and its accelerating expansion in Paraguay. Daubaras reported that HIVE mined a total of 247 Bitcoin in August, averaging more than 8 BTC per day. With the successful completion of Phase 2 of the Yguazú Project, HIVE also exceeded 18 exahash per second (EH/s) of global mining capacity. The company is now consistently producing over 8.5 BTC daily, all powered by renewable hydroelectric energy from the Itaipú Dam, one of the world's largest hydro facilities. HIVE is also advancing construction at its 100 MW Phase 3 Valenzuela site, which Daubaras confirmed is now substantially complete. The deployment of mining infrastructure is already underway, with the first six Bitmain S21+ Hydro containers (≈350 PH/s) online. As a result, HIVE's global fleet efficiency has increased to approximately 18.5 EH/s. This achievement marks the company's third 100 MW green energy buildout in Paraguay, further solidifying HIVE's leadership in environmentally sustainable Bitcoin mining. All ASIC purchases for Phase 3 are fully funded, and additional units are expected to be delivered and installed over the coming weeks. Once Phase 3 is fully operational, HIVE anticipates producing approximately 12 BTC per day, based on current network difficulty. At that scale, the company expects to represent roughly 2.5–3% of the global Bitcoin mining network, while maintaining fleet-wide energy efficiency at around 17.5 joules per terahash (J/TH). Daubaras emphasized that HIVE's strategic growth in Paraguay not only supports its target of 25 EH/s by U.S. Thanksgiving 2025, but also demonstrates how the company is scaling its operations responsibly with renewable energy, providing both shareholders and the Bitcoin network with sustainable value creation. #proactiveinvestors #hivedigitaltechnologieslet #tsxv #hive #nasdaq #hive #CryptoMining #GreenEnergy #BitcoinMining #ParaguayMining #DataCenter #Exahash #S21Miners #DigitalAssets #ProactiveInvestors

North Bay Resources CEO Jared Lazerson joined Steve Darling from Proactive to announce the company has entered into a 50/50 joint venture earn-in agreement with Toiyabe Kona Exploration to advance the Silver Strike Concessions in Lander County, Nevada. The property includes several historic past-producing mines, including the X-Ray Mine, OK Mine, and Dudley-B Shaft, as well as multiple nearby workings. Lazerson noted that while the Reese River District produced significant silver during its initial operating period between 1865 and 1891, the area has not undergone systematic modern exploration or development. This lack of recent exploration creates a compelling opportunity to re-examine the district's potential using modern geological methods and technology. The company's immediate exploration priorities include identifying remaining mid- and high-grade mineralization in surface dykes, extensions, and at depth of known veins. To targeting new vein discoveries within the prolific district, and evaluating bulk-tonnage, low-grade material across the area, including within existing mines and adits. The company says any ore identified during early-stage work will be shipped to North Bay's Bishop, California mill for processing. Lazerson confirmed that field crews will mobilize as early as next week to begin geochemical sampling of dumps, outcrops, and tunnels, along with geological mapping and an infrastructure assessment of existing portals, tunnels, and shafts. A property-wide geophysical survey is expected to commence shortly thereafter, as North Bay continues to actively expand its claim holdings in the area. #proactiveinvestors #northbayresourcesinc #otc #nbri #PlatinumConcentrate #NorthBayResources #MiningNews #CaliforniaGold #JaredLazerson #GoldRush #ProactiveInvestors #PreciousMetals #MiningUpdates ---#invest #investing #investment #investor #stockmarket #stocks #stock #stockmarketnews

Speed Fibre Group CEO Peter McCarthy talked with Proactive's Stephen Gunnion about the company's acquisition of BT Communications Ireland and what it means for its position in the market. McCarthy explained that BT Ireland had been split into three parts, with Speed Fibre acquiring BT Communications Ireland Limited. This included national ducts, fibre assets, wholesale customers, and staff. He highlighted that “we have acquired the original company, BT Communications Ireland Limited, which has all of their wholesale assets,” noting that this added around 350 to 400 enterprise customers and 270 employees to the group. The deal establishes Speed Fibre as the number two wholesale operator in Ireland outside of last-mile access connections. The group now serves about 105 to 110 wholesale customers, including major international telecoms such as Vodafone, Verizon, and AT&T. Its infrastructure footprint totals 10,000km of fiber and duct, with 6,000 connected premises and more than 100 co-location facilities. McCarthy said the acquisition aligns with Cordiant Digital Infrastructure Ltd (LSE:CORD)'s “buy, build, and grow” strategy, providing opportunities for network expansion and synergies across the combined businesses. He also emphasised continuity of service, saying that Speed Fibre is “absolutely focused on customer service and being out there with the customer and partnering with them.” For more interviews like this, visit Proactive's YouTube channel. Don't forget to give the video a like, subscribe, and turn on notifications for future updates. #SpeedFibre #Telecoms #Infrastructure #BTIreland #DigitalConnectivity #FibreNetwork #PeterMcCarthy #CordiantDigital #TelecomInfrastructure #IrelandBusiness

Business law may not be the most glamorous part of running an Allied Health business — but it's one of the most crucial. In this re-run episode, Founding Director of Pidcock Law, Nicholas Pidcock will demystify the legal landscape for Allied Health Business Owners. It's time to explore why proactive legal relationships matter, how to avoid costly mistakes, and what to prioritise in those early years of business. Nicholas shares his wealth of experience across business law, breaking down common pain points and showing owners how to protect their business, their people, and their peace of mind. Topics covered on start-ups, contracts and employment, leases and insurance: Start-ups done right – Proactive legal check-ins, choosing the right entity (sole trader vs company), and building solid foundations early. Contracts & employment – Service agreements that fit your practice (not templates), employees vs contractors, and what to include in employment agreements. Leases & insurance – What you're really signing (directors' guarantees, disclosure statements) and the must-have cover: PI, public liability, business interruption, and personal protection. P.S. Need a little extra support on your business journey? Whether you're navigating challenges or looking to reach new goals, we're here to support your growth. Book a Complimentary Power Call with us, and let's talk about how we can help you achieve your vision for your Allied Health business.Midroll Message: Calling all Allied Health sole traders, this is the masterclass sole traders you have been waiting for. Learn more about The Sole Trader's Success Guide Masterclass. Connect with Nacre Consulting: Let's connect on Instagram Follow us on Facebook Let's connect on LinkedIn Join our Facebook Group online community More about The Allied Health Business Brilliance Podcast: The Allied Health Business Brilliance podcast (previously known as Private Practice Made Perfect) powered by Nacre Consulting features authentic conversations that offer real-life stories and expert perspectives for Australian Allied Health Business Owners. Cathy Love, our engaging host, gathers wisdom from Allied Health professionals and industry supporters alike. We dive into the real experiences of running and growing Allied Health businesses in Australia, revealing both the rewards and the inevitable challenges along the way. It's...

Please forward this to ONE friend today and tell them to subscribe here.In this episode, I'm speaking with Gabriela Casineanu, author of Job Fairs: How to Get the Most of Your Participation, and founder of Introverts Academy.A big part of why I wanted to chat with Gabriela is because I believe that when you move, you temporarily become an introvert. She did disagree with my theory. She thinks immigrants or newcomers become quiet or withdrawn because when you face a lot of rejection while job hunting, you become shy or afraid to speak up.There's more. And she breaks it down in great detail. But you have to listen to the episode.In this conversation, Gabriela and I chat about detaching your identity from your profession. We also explore:* Why immigration is an opportunity to ask yourself what you really want to do* Her one-word advice for immigrants struggling to integrate* How to focus on what you can control in the job search process* The importance of bringing your “human side” to the job search, not just your diploma or degreeDozie's NotesA few things that stuck with me as I listened through this week's conversation:* A lot of us move physically but don't move mentally. In that case, you really haven't immigrated. Integration starts when you become curious and adopt a beginners mind. That's how you start learning the rules of your new home.* Proactive connection beats passive application. Sending resumes are great but they can only get you so far. Reach out, book informational interviews, volunteer at conferences. These tactics help you build visibility, trust, and launches you into the hidden job market where there's less competition.* "Reframing" is the ultimate immigrant hack. Learn to reframe your challenges. By changing a negative statement (I hate networking) into a curious question (Who can I ask for information?), you alter your energy state, your actions, and the outcomes.Official Links✅ Connect with Gabriela Casineanu on LinkedIn✅ Learn more about Introverts Academy✅ Get the Job Fairs: How to Get the Most of Your Participation book for FREE to learn more about reframingOne AskIf you found this story helpful, please forward or share it to one immigrant out there.Join us as we explore the bitter-sweet world of the immigrant. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit thenewcomerspod.com

It is back to school season! For this episode, I review the four things I have learned to implement as a dermatologist. Even as a specialist, I like to progress and grow into how I am practicing!We will go over how to use supplement and skin supportive diets, venomous insect testing, improving immunotherapy and proactive skin management.00:00 Intro02:15 Being more thoughtful in recommending skin supplements or skin diets07:02 Venomous Insect Testing09:33 Improving immunotherapy12:48 Proactive, not reactive with allergy management16:53 Summary

You're listening to Burnt Toast! Today, my guest is Mara Gordon, MD.Dr. Mara is a family physician on the faculty of Cooper Medical School of Rowan University, as well as a writer, journalist and contributor to NPR. She also writes the newsletter Your Doctor Friend by Mara Gordon about her efforts to make medicine more fat friendly.Dr. Mara is back today with Part 2 of our conversation about weight, health, perimenopause and menopause! As we discussed last time, finding menopause advice that doesn't come with a side of diet culture is really difficult. Dr Mara is here to help, and she will not sell you a supplement sign or make you wear a weighted vest.This episode is free but if you value this conversation, please consider supporting our work with a paid subscription. Burnt Toast is 100% reader- and listener-supported. We literally can't do this without you.PS. You can always listen to this pod right here in your email, where you'll also receive full transcripts (edited and condensed for clarity). But please also follow us in Apple Podcasts, Spotify, Stitcher, and/or Pocket Casts! And if you enjoy today's conversation, please tap the heart on this post — likes are one of the biggest drivers of traffic from Substack's Notes, so that's a super easy, free way to support the show!And don't miss these:Episode 209 TranscriptVirginiaSo today we're going to move away from the weight stuff a little bit, into some of the other the wide constellation of things that can happen in menopause and perimenopause. Before we get into some nitty gritty stuff, I want to do Laurie's question about hormone replacement therapy, since that is still one of those topics that people are like, Is it good? Is it bad? I don't know.So Laurie asked: Is there a reason why a doctor would not want to prescribe hormone replacement therapy? My doctor seems more willing to treat individual symptoms instead of using HRT. Is that maybe because I'm still getting my period?MaraI love this question. Now my professor hat can nerd out about interpretation of scientific research! So first, I'll just briefly say, Laurie, no big deal that you said HRT. But just so everyone's aware, the preferred term is menopausal hormone therapy, MHT, or just hormone therapy, and it's not a huge deal. But I think the North American Menopause Society now uses “menopausal hormone therapy.” The thinking is, hormones don't necessarily need to be replaced. It comes back to that idea of, menopause is a natural part of life, and so the idea that they would need to be replaced is not totally accurate. VirginiaWe're not trying to get you out of menopause, right? The goal isn't to push you back into some pre-menopausal hormonal state. MaraBut again, not a big deal. You'll see HRT still used, and a lot of doctors still use that term. So I graduated from medical school in 2015 and I remember one of the first times that a patient asked me about using menopausal hormone therapy, I was terrified. And I was still in training, so luckily, I had a mentor who guided me through it. But I had absorbed this very clear message from medical school, which is that menopausal hormone therapy will cause heart disease, cause pulmonary emboli, which are blood clots in the lungs, and cause breast cancer.And I was like, “Ahhh! I'm gonna cause harm to my patients. This is scary.” I had also learned that hot flashes–they weren't life threatening. So a patient could just use a fan and she'd be fine, right? She didn't need medicine for it.VirginiaCool.MaraI think the dismissal of symptoms here is just straight up misogyny. That message of, oh, you should just live with this You're tough, you're a woman, you can do it. This is just the next stage of it. Is just misogyny, right?But the fear of using menopausal hormone therapy has a specific historical context. There was a major study called the Women's Health Initiative, and it was a randomized control trial, which is the gold standard in medical research. People were given estrogen and progestin to treat menopausal symptoms or they were given a placebo, and they didn't know which pill they took. But WHI was actually halted early because they found an increased risk of breast cancer. This was on the front page of The New York Times. It was a really, really big deal. That was 2002 or 2003. So even 15 years later, when I was starting out as a doctor, I was still absorbing its message. And I think a lot of doctors who are still in practice have just deeply absorbed this message.But there's a lot to consider here. The first issue is in the way that information about the Women's Health Initiative was communicated. Nerd out with me for a second here: There is a big difference between absolute risk and relative risk. And this is a really subtle issue that's often communicated poorly in the media.So I looked it up in the initial paper that came out of the Women's Health Initiative. There was a relative risk of 26 percent of invasive breast cancer, right? So that meant that the people who got the estrogen and progestin, as opposed to a placebo, had a relative increased risk of 26 percent compared to the placebo arm.VirginiaWhich sounds scary,MaraSounds terrifying, right? But the absolute risk is the risk in comparison to one another. And they found that if you're a patient taking the estrogen/progestin, your absolute risk was 8 people out of 10,000 women a year would get invasive breast cancer. So it's very, very small.And this is an issue I see in medical journalism all the time. We talk about relative risk, like your risk compared to another group, but the absolute risk remains extremely low.And just to round it out: I looked all this up about cardiovascular events too. Things like a heart attack, a stroke. So the absolute risk was 19. So there were 19 cases of a cardiovascular event out of 10,000 women in a year. People just freaked out about this because of the way that it was covered in the media. VirginiaI was fresh out of college, doing women's health journalism at the time. So I fully own having been part of that problem. We definitely reported on the relative risk, not the absolute risk. And I don't understand why. I look back and I'm like, what were we all doing? We ended up taking this medication away from millions of women who could really benefit from it.MaraI found a paper that showed between 2002 and 2009 prescriptions for menopausal hormone therapy declined by more than 60 percent. VirginiaI'm not surprised. MaraAnd then even up until the time I started my training, right in 2015, we're just seeing a huge decline in hormone therapy prescriptions.One other thing that's also super important to acknowledge about the Women's Health Initiative is that they enrolled women over 60, which is not really representative of women who want or need hormone therapy. So the average age of menopause is 51 and the vast majority of women who are experiencing symptoms that would respond well to hormone therapy are much younger. We're talking here mostly about hot flashes. Which we call vasomotor symptoms of menopause, but it's basically hot flashes. Women dealing with this are much younger, right? So they're approaching menopause, late 40s, and right after the menopausal transition, early 50s, and then they don't necessarily need it anymore, after their symptoms have improved.VirginiaAnd it will also be true that with women in their 60s, you're going to see more incidence of cancer and heart disease in that age group than in women in their 40s anyway, right? MaraRightVirginiaSo even the 19 cases, the eight cases—they were looking at a higher risk population in general. MaraYeah. And so there have been all these subsequent analyses, which is why now we're seeing menopausal hormone therapy sort of on the upswing. There's a lot of increased interest in it. The American College of Obstetricians and Gynecologists recommends it, the North American Menopause Society, the British Menopause Society; here's a full run-down. It's not that everybody needs it, and we'll get to that in a second, but it is a totally safe and appropriate treatment for—specifically and most importantly—for vasomotor symptoms of menopause. Like hot flashes. There's been all these further analyses of the Women's Health Initiative data and and then from other studies, too. And basically, it shows that when the hormone therapy is initiated before age 60, or within 10 years of menopause, there's a reduced risk of heart disease and reduced mortality.VirginiaWow! MaraSo the timing matters. Isn't that so interesting? The timing matters.Also, the route of administration matters. So what that means in English is that an estrogen patch seems to have a lower risk of blood clots. So one of those fears of the, you know, initial Women's Health Initiative data was that you might have an increased risk of blood clots. But it's something about the way that the estrogen is metabolized. It's not metabolized through the liver when it's absorbed through the skin, and something about that process seems to decrease the risk of blood clots.So that's why your doctor, if you're interested in menopausal hormone therapy, might recommend an estrogen patch rather than a pill.VirginiaGot it. MaraThere's a lot of ambiguity in all of this data, because, you know, we're talking about just huge numbers of people, and it's hard to sort of isolate variables when you're studying just like massive cohorts of people and trying to understand what you know, what factors affect your risk for which diseases. It's not clear that taking hormones prevents heart disease. And that's one of the big claims I see with menopause influencers, that every single person needs this.The data don't support it at this point in time, and the major menopause organizations do not recommend it as a universal preventative treatment for everybody. But it seems like there might be some sort of association that may become clearer as research continues. That said, now it seems like the pendulum is swinging in the opposite direction. I learned, “be afraid of menopausal hormone treatment.” And now all these menopause influencers are saying everyone should be on hormone therapy.I don't know the answer. And so the way that I try to parse through all of this noise is, you know, go to trusted sources, right? So I stick to society guidelines, like the North American menopause society, the British menopause society, they're run by world experts in menopause.VirginiaOkay, so we don't need to be terrified of hormone therapy, and you can be on it if you're still getting your period right? Just to finish Laurie's question.MaraIf you're still getting a period regularly, you're more in perimenopause than past the menopausal transition. And we will often use contraception to help and that you can have a lot of the same benefits from using contraception in that stage. It's also useful just because unintended pregnancy still can be totally a thing in your 40s. But yes, you can absolutely use traditional regimens of menopausal hormone therapy while you're still getting a period too. Just know it won't prevent pregnancy. VirginiaSince we talked a little bit about hot flashes, I'm gonna jump to Judy's question so we can kind of round that piece out: One of the things I am really struggling with is the way I have lost all ability to regulate temperature. I am boiling hot almost all the time, and the slightest thing makes me break out into a full sweat, which makes me not want to move at all.My doctor has not been super helpful in navigating this. What can I do to mitigate this issue? If anything, it is so very hard for me not to blame the size of my body for this, since the correlation seems so clear, smaller body less sweating, larger body sweating all the dang time.MaraJudy, I empathize first of all. Just one caveat I can't really give medical advice to Judy. There are a lot of things that could be going on, and it's really important that you see a doctor and get a full history and physical exam. But I will say that this is one of the things that menopausal hormone therapy is extremely helpful for, is hot flashes.VirginiaThat was my first thought! MaraThere are a lot of influencers who really overstate the benefits of hormone therapy, right? Hormone therapy is not really going to cause significant weight loss or prevent weight gain. It's not totally clear that it helps with mood symptoms or even sleep is a little more ambiguous. But the one thing it really works for is hot flashes. So that would be my thought: Start there. VirginiaAnd on the feeling like you want to blame your body for it: I don't know if Judy identifies as fat, but as someone who identifies as fat, I often feel like I'm sweatier now than when I was thinner. I run warmer. All my skinny friends will be bundled up in coats, and I still won't be wearing one in October. I do notice that. And I think that this is a situation where that is, even if those two things correlate— you're larger and you're sweatier—is that worth putting yourself through the hell of weight loss? You may decide yes, it is, if hormone therapy doesn't work for you.But that's one of those times where I bring it back to “What would actually make my daily life miserable?” I can drink water, I can be in AC, I'm gonna find a link to this nighttime cooling bed thing that my friend Claire Zulkey really loves. MaraI've heard of those!VirginiaI think there are options to mitigate your suffering with this. Medicine is definitely an option. Before you go to “okay, my body size has to be the thing that changes.”MaraI totally agree. I just deal with this all the time where people tell me in my clinic that they want to lose weight. And when I sort of gently ask, what are you hoping to achieve? What are your goals? They're often things that can be achieved through other means. Like, people say my clothes don't fit, right? And most of my patients are low-income, right? I'm not trying to be flippant about the idea that everyone can just go and purchase a new, you know, multi $1,000 wardrobe at the drop of a hat. But it is possible to get new clothes in affordable ways. Don't torture yourself with clothes that don't fit because you feel like weight gain is a moral failing. And I think that there are things that we can do to help keep us at a comfortable temperature, right wear clothes that feel, you know, that feel good. Air conditioning is an amazing modern invention. And, you know, cool beverages, ice cream. VirginiaPopsicle O'Clock is very important in my summer right now, very important. MaraWait, what's a popsicle clock?VirginiaOh, Popsicle O'Clock. It's just the time of day where you eat popsicles. It could be 9am it could be 4pm just whenever I feel like we need to add popsicles to a situation.MaraI think we all need more popsicles in our life, that is absolutely for sure.So I think what I'm hearing from Judy's question is once again, shame about body size, and also this myopic zooming in on weight loss as the only possible solution. Which I blame doctors for in many ways! Some people do benefit from weight loss, right? I'm not opposed to the idea that anybody would ever want to lose weight. I don't think that that's a betrayal of fat solidarity, necessarily. But that there are other things you can do just to make your life feel better in the meantime, or even if you choose to never pursue weight loss. There are things you can do to feel better, and we shouldn't deprive ourselves of those things.VirginiaAnd you don't know that it is the weight gain. It could be age and hormones, and those coincided with the weight gain for you personally. But there are lots of thin women getting hot flashes all the time too.Okay, this next question is from Michaela: I am super curious about the connection between perimenopause, menopause and mental health symptoms, specifically, an uptick in anxiety and depression. Is this a thing?We also got many questions about whether perimenopause and menopause exacerbate ADHD symptoms. MaraSo this is a question I get a lot from my patients, and I've seen a lot of discourse about online. And the short answer is: There is probably a connection between the hormonal changes of perimenopause and the menopausal transition and mental health. Do we understand it? No. So I mean, with ADHD specifically, I will say: This is really not my area of expertise. It's a very complex mental health condition, and our medical understanding of it is really rapidly evolving. I have many patients who have a diagnosis of ADHD but I'm typically not the one who diagnoses them. That being said: Estrogen affects neurotransmitters. Neurotransmitters are implicated in ADHD. Declining estrogen does seem to affect dopamine, in particular, which is implicated in ADHD. And anecdotally, I've had many of my patients say that they feel like their ability to focus and sustain attention decreases. And they experience brain fog as they enter perimenopause and menopause. So it's there's probably something going on, and a lot of researchers are really actively studying it, but we don't know yet.VirginiaDo we know if this is something that hormone therapy can help with?MaraSo I think the answer is, I don't know.VirginiaWhat about anxiety and depression?MaraI don't think the data are there, right? Hormone therapy is usually not considered a first line treatment for the mental health conditions that are often associated with the menopausal transition. But we have great medicines for those conditions. We have good treatments for ADHD, we have good treatments for anxiety and depression. And sometimes during the menopausal transition, patients might need an increase of those treatments. And that could mean going back into therapy, if you've been out of therapy, increasing your medications or restarting a med that you may have stopped years ago. Those are all totally valid approaches during this phase.And I guess what I'd say, is that it's okay to trust your body. And if you notice changes in your mental health associated with perimenopause or menopause itself, ask about it. Don't be afraid to advocate for yourself. And while hormone therapy doesn't look like it is an effective treatment specifically for those symptoms, there are other treatments, and you should feel empowered to ask about them.VirginiaThe next question goes back to some of the diet and exercise stuff we've touched on. This person writes: Since recently reaching menopause, my cholesterol has become high. I understand there is a proven link between menopause and increased cholesterol, and that weight is part of the picture. I'm trying to lower my cholesterol with focus on nutrition and exercise. But it is f*****g with my head because it feels like a very restrictive diet. I'd love any thoughts on the menopause cholesterol connection and keeping cholesterol low with nutrition and exercise without falling into the abyss of obsessing about how many almonds I've eaten.MaraOh, that is such a good question!VirginiaThe almond of it all. MaraAlmonds are really good in some scenarios, but also just like, kind of a sad snack. I always think about President Obama eating those, like, eight almonds, or whatever.VirginiaIt turns out that was a joke and he wasn't doing that. But just the fact that everybody assumed he would says a lot! MaraThat is hilarious, and I didn't know! And it just shows how with information online, the initial story sticks. Like to this day, 10 years later, I still thought that Barack Obama ate eight almonds as his indulgent midnight snack every single night. I hope the man is eating some ice cream and living his best life. Okay, so there is absolutely a link between menopause and elevated risk of cardiovascular disease. But even within the term cholesterol, there are different types. I wouldn't really say to a patient, “Your cholesterol is high.” One thing you might hear is “your LDL cholesterol is high,” which is known popularly as, the “bad” cholesterol. Which, again, moral language alert. But LDL cholesterol is a proxy for risk of cardiovascular disease. I will say it's not a great one; it's kind of a blunt instrument. We measure and we treat it, because we don't have other great ways of predicting cardiovascular risk. But it is not the full portrait, although it's certainly a risk factor for developing cardiovascular disease. And the transition of menopause seems to impact LDL, cholesterol, other biomarkers of cardiovascular disease, and increases your risk for cardiovascular disease.And what's interesting–I think we talked about this a little bit already, is that this happens, this this risk happens independent of normal aging.So, for example, women who go through menopause early start developing this increased risk earlier than women who go through menopause slightly later. And overall, we see that women develop cardiovascular disease, at rates lower than men, and at later in life than men. And there's a hypothesis that this has to do with menopause, right? That there's a protective effect of estrogen, but then when your estrogen starts to decline in menopause, it puts women at an increased risk compared to where they were pre-menopause.There's also some data to suggest that the severity of menopause symptoms—particularly vasomotor symptoms like hot flashes or sleep disturbances—may indicate risk for developing cardiovascular disease. So this is not to scare everyone, but it's good to have knowledge. If you're having really severe hot flashes, it may indicate that you are at slightly higher risk for developing cardiovascular disease than somebody who is not. The intention of having this knowledge is not to make you feel shame, and not to berate you for your belly fat or whatever. It's to have knowledge so that you can help mitigate risk factors in ways that feel aligned with your values and ways that feel aligned with the way that you want to pursue health in your life.And so I would approach this reader's or this listener's question with smy same approach to all of my patients questions. “I have hypertension, does that mean I need to lose weight?” “I have diabetes, does that mean I need to lose weight?” The answer is that we have many treatments that can help you address these concerns independent of weight loss. But this is not to say that you cannot pursue weight loss too, right? And if using a GLP-1 agonist to reduce your visceral adiposity is aligned with your values, and you can tolerate the side effects, and you feel good about it, and it's covered by your insurance….that's totally a reasonable approach. But it's not the only one. So I think what I'm hearing from this patient is the menopause flavor of what I do every single day in my work as a size inclusive doctor. Which is: How can we disentangle weight stigma and body shame from these questions of how to lead a healthy life? And the idea of giving you more information, I hope, is not to shame you or make you feel guilt for the relationship between body size and risk of cardiovascular disease, but instead, to give you information that might help you take proactive care of your body, right?And proactive care might mean committing to an exercise routine. Proactive care might mean taking a statin. A statin is a very common cholesterol medicine like Lipitor. It might mean getting your blood pressure under control and taking an antihypertensive.VirginiaI also want to say on cholesterol, specifically, I did a piece that I'll link to digging into the connection between nutrition and cholesterol. And the data is not as strong as I think a lot of doctors are telling folks.And I think the benefit of making dietary changes—the amount it could lower cholesterol—was not huge. It was like three points or six points or something in one of the studies we looked at. So if it's making you crazy to count almonds, it's possible that medication might be a more health promoting strategy for you. Because it will be less stressful and it will have a bigger benefit on your cholesterol than just trying to control it through diet and exercise.MaraYeah, I totally agree. I think there's a really strong genetic component that we haven't fully understood and medication is a totally reasonable approach and very safe approach. Honestly, statins are pretty benign medications. They're pretty inexpensive, pretty minimal side effects, which is not to say– nobody's paying me from the statin companies, I swear to God!–but yeah, like they're, they're pretty benign as medications go. And I think it's a totally reasonable way to approach this issue.VirginiaI just think it's one of those times where this is shame coming in, where it's like, “You should be able to fix this with how you eat and exercise, and so you don't get the medication unless you fail at that!” This is a framing that I've encountered from doctors. But what if we gave the medication, what if we also consider diet and exercise, but don't make that a pass/fail situation in order to earn the medication? MaraYeah, that's really interesting.And even the language you're using Virginia is what we use in the medical record, and I've tried to stop it. But the way we're taught to describe patients, is “patient failed XYZ treatment,” right? And I feel like we're both at once, overly invested in pharmaceutical treatments, right and underinvested. They're a very useful tool. And we moralize it, both pro and con? Sometimes, like, we moralize in favor of it. So if your BMI is 26 or above, you need to be on a GLP one agonist, which is just false, right?But on the other hand, I think we often underutilize medications because there's this sense that you're getting at —that you have to exhaust all of your like willpower options first, and it's somehow failing to use a med. And that is really false too. They're really useful tools. Science is really useful, and we shouldn't feel ashamed to use it.VirginiaAll right. And our last question, I like because it just will give us a chance to kind of sum up some key points: As a post menopausal woman, I feel like I'm swimming in information, and I'm overwhelmed by it all. What are Dr Gordon's top three pieces of advice out of all of the WHO meaning, if women at this time only did these three things, it would make the biggest difference, and then they just had it. You know, is, does it need to be different for perimenopause versus post menopause? Or maybe not.So what are your top three? Top three tips for surviving this life stage?MaraOh, my God, if only I knew! I'm flattered that you're asking, and I will do my best to answer, but I don't think there's a right answer at all.So I've thought about a couple things. I will say that, you know, longevity and wellness and health span is extremely complicated, but it's also kind of simple, right?So sometimes the advice that we've just heard over and over again is actually really, really good, right? So, sleep. Are we sleeping enough?Staying engaged with social relationships, that seems to be extremely important for longevity. And it's kind of amazing, actually. When they do these long-term studies on people who are thriving into old age, like they have really strong relationships. And that is so important.Moving our bodies and it does not need to be punishing. Workouts can be gardening. I know Virginia, I love receiving your gardening content online. Gardening is an amazing form of exercise, and can be very life affirming, and does not need to feel like punishment. Just getting up, moving our bodies, sleeping enough, maintaining relationships, cultivating a sense of purpose and meaning in our lives. It's actually been really studied right, that people who have a sense of meaning and have a sense of purpose in their lives tend to live longer and live longer, healthier lives.So all of this is to say that like it's complicated, but sometimes it's not. And there are a million people on the Internet who want to sell you a miracle drug, a miracle supplement, a miracle weighted vest, whatever. But sometimes simple, Simple is good. Easier said than done, right?VirginiaYeah, but start simple. That's wonderful.MaraCan I ask? Virginia, what would your advice be? VirginiaI love the three areas you hit on: Sleep, social relations and exercise or moving your body. None of those are about weight loss or dieting. I think that's really helpful for us to keep in mind that the things that might protect our health the most can also be very joyful as well. The idea that doing things that makes you happy and reduce your stress can be health-promoting is great. And I think that's something especially in midlife. We are all incredibly busy. We're holding a lot of things together. A lot of us are caregivers, maybe sandwich generation caregivers. So prioritizing your own joy in that feels really wonderful.ButterVirginiaAll right, so speaking of joy, let's do some Butter! Dr. Mara, what do you have forus?MaraI have a Philadelphia-specific one, but hopefully it can be extrapolated to our listeners in different locations. So I have recently been really craving soft serve ice cream. And so I googled best soft serve in Philadelphia, and I found this Vietnamese coffee shop called Càphê Roasters, which is in North Philly. In a neighborhood called Kensington. And it has condensed milk soft serve ice cream. So good.And so I recently, I had to give a lecture at a medical school in the north part of the city early in the morning. It was like, 8am and I was like, “Oh, I'm never up in this neighborhood. I gotta get over there.” And I went after I gave my lecture, and I bought myself ice cream at 10:30 in the morning. And I ate it in my car, and it was so good. Condensed milk. So good. But soft serve in general, is my Butter. But for those of you in Philly, go to Càphê Roasters in Kensington and get the condensed milk. It is chef's kiss, delicious.VirginiaAmazing. I'm gonna double your Butter and say ice cream in general is my Butter right now. We have a spare fridge freezer that I have just been loading up with all of the popsicles to get us through summer. But also: Ice cream dates. Something that comes up a lot for me as a co-parent is figuring out how to have one on one time with my kids. Since we have joint custody, they move as a package. So I get kid-free time, which is wonderful, but when they're with me, it's just me. So one thing I've been figuring out is pockets of time when I can take one kid out for ice cream. It's usually when a sibling is at another activity, and so we have an hour to kill, and often we would just like, wait for the activity, or go home and come back, and then you're just driving.And now I'm like, No, that will be our ice cream break!MaraI love that.VirginiaSo one kid's at the library doing her book trivia team stuff, and the other kid and I are getting ice cream while we wait for her. And it's great one on one time with kids. Obviously, the ice cream is delicious. The other thing I've realized, especially if you have younger kids who are still building restaurant skills, ice cream is a great practice run at being a person in a restaurant, which is really hard for kids understandably. It is one food thing that they're excited to go do. And you do have to sit and practice eating it somewhat neatly. There's a high mess potential. My pro-move for that is, always have wipes in your car, bring a pack of wipes in. MaraI love that, and it's so intentional about sort of creating traditions with kids. That feels really special. But I will say I had my ice cream solo, and that was also really good solo ice cream too.The Burnt Toast Podcast is produced and hosted by Virginia Sole-Smith (follow me on Instagram) and Corinne Fay, who runs @SellTradePlus, and Big Undies.The Burnt Toast logo is by Deanna Lowe.Our theme music is by Farideh.Tommy Harron is our audio engineer.Thanks for listening and for supporting anti-diet, body liberation journalism! This is a public episode. If you'd like to discuss this with other subscribers or get access to bonus episodes, visit virginiasolesmith.substack.com/subscribe

183. In this episode of the Visibility Factor podcast, host Sue Barber speaks with Dina Denham-Smith about the critical role of emotional labor in leadership, especially in the wake of the pandemic. They discuss how emotional demands on leaders have increased, the importance of understanding and processing emotions, and strategies for enhancing visibility in the workplace. Dina emphasizes that emotions are valuable information and that leaders must navigate their own emotional challenges while also supporting their teams. The conversation highlights the need for self-compassion and proactive visibility strategies to foster a healthier work environment. takeaways Emotional labor is essential for effective leadership. The pandemic has heightened emotional demands on leaders. Leaders must navigate their own emotions while supporting their teams. Emotions provide valuable information about our needs and values. Good work does not speak for itself; visibility is crucial. Building a network outside your immediate team can enhance visibility. Compassion for leaders is necessary in today's work environment. Proactive communication about accomplishments is key to visibility. Deep work is critical for strategic thinking and leadership success. Self-compassion is vital for leaders facing emotional challenges. Book recommended by Dina: Deep Work by Cal Newport LinkedIn: www.linkedin.com/in/dina-denham-smith/ Website: www.dinadsmith.com Articles written by Dina Denham Smith mentioned on the podcast: How to Overcome Favortism in the Workplace Leading Is Emotionally Draining. Here's How to Recover. Thank you for listening to The Visibility Factor Podcast!    Check out my website to order my book and view the  videos/resources for The Visibility Factor book.   As always, I encourage you to reach out! You can email me at hello@susanmbarber.com. You can also find me on social media everywhere –Facebook, LinkedIn, and of course on The Visibility Factor Podcast! I look forward to connecting with you!         If you liked The Visibility Factor Podcast, I would be so grateful if you could subscribe and leave a review wherever you listen to podcasts! It helps the podcast get in front of more people who can learn how to be visible too!     

On this episode of Your Natural Dog with Angela Ardolino, Angela sits down with Kim Rogers, CEO and co-founder of RogersHood Apothecary—better known online as the Worm Queen. After decades in Western medicine and a personal health spiral, Kim built a gentle, herb-forward cleansing protocol that went viral. We dig into how parasites are picked up, the real-world pet ↔ human connection (shared environments and microbiomes), and why effective detox is more than “kill”—it's open drainage, support organs, then bind. Kim breaks down common culprits (roundworm, tapeworm, giardia, pinworm), the role of biofilms, and why tinctures can be cleaner and more bioavailable than powders with fillers. Join Angela and Kim for a practical, non-alarmist guide to keeping both you and your animals safer with smart hygiene, cleaner products, and periodic, thoughtful cleansing.Episode Recap:Kim Rogers - the Worm Queen, and going viral on TikTok (00:46)Kim's backstory: Western medicine → holistic detox (04:00)Nature knows best - Reconnecting with nature as the original medicine (08:06)Kim's journey in creating the ParaFy Kit (14:25)Deworming yourself & your pets - How pets & humans share exposures (17:43) Toxoplasma gondii & other common cat & dog parasites (19:06) Parasite cleanse: protocols for humans & pets (25:24)Tinctures vs. powders: unnecessary additives, absorption & label literacy (28:10)The prevalence of synthetics and isolates, even in the holistic world (33:10)Advocate for yourself and your animals (37:43)Kim's Detox Protocol with her ParaFy Kit (41:30)Diatomaceous Earth for Parasites (47:06)Where to learn more about Kim Rogers, Worm Queen (51:17)Episode Resources:Download Angela's Pet Wellness Guides & Resources at AngelaArdolino.com/downloadsGet 10% OFF The ParaFy Kit & more at RogersHood Apothecary with code NATURALDOGFollow Kim Rogers on TikTok, Facebook, Instagram, and YouTubeHave a question about your pet that you want answered on the podcast? Email us at Carter@yournaturaldog.com Sign up for episode reminders and updates from Your Natural Dog with Angela ArdolinoVisit Angela Ardolino's website for more holistic pet health education: www.AngelaArdolino.comFollow Your Natural Dog on Facebook and Instagram and if you want to see what Angela is up to, follow her on Facebook 

When we look to the future of the electric utility industry, what do we see? Better data. More efficiencies. Smarter grids. Simpler asset management. At least—that's what we're all hoping for. To make it happen? It's all about location, location, location. And that's where GIS comes in: Moving into the future of power, GIS will be instrumental in challenging the status quo, improving utilities' understanding of where things are (from outages to assets to customers), leveling up what regulatory compliance really means, and breaking down siloes across the power org. Today on our finale of The GISt, we hear from Dr. Comfort Manyame, director of geospatial R&D at EMPACT Engineering and an expert in GIS for nearly 30 years. Dr. Manyame covers it all, from the intersection of GIS and AI to the skillset of the next generation of remarkable power professionals. Accessible GIS is the key to bringing this industry into its next era. Today, we're talking about how that happens, who stands to benefit the most, and where we're headed next.

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When one spouse passes away, the survivor often faces what is known as the “widow's tax.” It is not an official IRS tax, but the impact of moving from married to single tax brackets. A couple earning $120,000 in the 12 percent bracket can see the surviving spouse pushed into the 24 percent bracket with the same income. This tax bracket compression happens at the most vulnerable time.Watch as James outlines three strategies that help protect a surviving spouse from this financial burden. Strategic Roth conversions can reduce future tax exposure by shifting assets from pre-tax to Roth while in lower brackets. Maximizing Social Security benefits creates a stronger income floor through survivorship benefits. Understanding and applying the IRS life expectancy tables for Required Minimum Distributions ensures more efficient withdrawals.These approaches require careful timing and planning, but they can ease the long-term financial impact on a surviving spouse. Proactive strategies today can secure greater financial stability for tomorrow.-Advisory services are offered through Root Financial Partners, LLC, an SEC-registered investment adviser. This content is intended for informational and educational purposes only and should not be considered personalized investment, tax, or legal advice. Viewing this content does not create an advisory relationship. We do not provide tax preparation or legal services. Always consult an investment, tax or legal professional regarding your specific situation.The strategies, case studies, and examples discussed may not be suitable for everyone. They are hypothetical and for illustrative and educational purposes only. They do not reflect actual client results and are not guarantees of future performance. All investments involve risk, including the potential loss of principal.Comments reflect the views of individual users and do not necessarily represent the views of Root Financial. They are not verified, may not be accurate, and should not be considered testimonials or endorsementsParticipation in the Retirement Planning Academy or Early Retirement Academy does not create an advisory relationship with Root Financial. These programs are educational in nature and are not a substitute for personalized financial advice. Advisory services are offered only under a written agreement with Root Financial.Create Your Custom Strategy ⬇️ Get Started Here.Join the new Root Collective HERE!

We made it to Episode 6 - the final in our 15 Architectural Decisions series and saved some of the best for last - Predictive and Proactive support (Pure1) combined with our Evergreen architecture and non-disruptive everything. In this episode, JD, Andrew and I dive into Pure Storage's foundational principles that ensure continuous operation and future-proof your storage. We explore the concept of "Non-Disruptive Everything," a core tenet that allows for seamless upgrades and expansions without any downtime. This ties directly into the innovative Evergreen Storage Model, which redefines the ownership experience by eliminating forklift upgrades and enabling independent evolution of performance, capacity, and features over a decade-long array lifecycle. We also discuss how Pure's proactive and predictive support, powered by Pure1, plays a critical role in maintaining this non-disruptive environment. Pure1's advanced analytics, anomaly detection, and data protection assessments provide unparalleled visibility and ensure that potential issues are identified and addressed before they impact operations. This integrated approach, from architecture to support, highlights how Pure Storage consistently delivers a cloud-like experience on-premises, setting a new standard for reliability and longevity in the storage industry. Thanks for watching our series. Series Overview: Pure Storage's foundational approach to product engineering is guided by 15 architectural decisions that were established at the company's inception and have shaped both the technical and user experience across its product lines. These architectural choices were not made arbitrarily—they stem from a deliberate focus on simplicity, efficiency, and scalability, ensuring Pure could deliver storage solutions that break away from legacy complexity and enable continuous innovation without compromise. This series will guide viewers through all of the 15 principles, helping you understand why certain choices were made, how they impact your operations, and how they compare to other industry features and products. Join Pure Report podcast hosts Rob Ludeman, Andrew Miller, and J.D Wallace for this fun technical retrospective on Pure Storage.

In this episode, The Hotel Financial Coach, David Lund, shares how to survive and thrive with proactive planning for 2025 and 2026. Also see:David's book, The Prosperous HotelierDavid's blogAdvice for Budget Season (earlier episode with David)Elevating Your Career through Financial Education (earlier episode with David) A few more resources: If you're new to Hospitality Daily, start here. You can send me a message here with questions, comments, or guest suggestions If you want to get my summary and actionable insights from each episode delivered to your inbox each day, subscribe here for free. Follow Hospitality Daily and join the conversation on YouTube, LinkedIn, and Instagram. If you want to advertise on Hospitality Daily, here are the ways we can work together. If you found this episode interesting or helpful, send it to someone on your team so you can turn the ideas into action and benefit your business and the people you serve! Music for this show is produced by Clay Bassford of Bespoke Sound: Music Identity Design for Hospitality Brands

Sam Libby is a veteran healthcare investment banker and the founder of TCB Capital Advisors. After a long career, he's now dedicated to a single mission: making a real, tangible impact on patient care. Links: ⭐ Sponsored by Podcast10x - Podcasting agency for VCs - https://podcast10x.comTCB Capital Advisors website - https://www.tcbcapitaladvisors.com/Sam Libby on Linkedin - https://www.linkedin.com/in/sam-libby-b4530b48/

In this webinar sneak peek, Nathan Hale, Senior Director and Head of Global Risk Management at Sysco Corporation shares practical steps for improving workers' compensation results for both … Read More » The post Proactive Strategies for Better Workers' Comp Outcomes appeared first on Insurance Journal TV.

Sunday teaching on James 1:22-27

In the first five months since February 2025, nearly 1,800 students have contacted the National Student Ombudsman (NSO). The First Assistant Ombudsman, Sarah Bendall, says almost 1,500 were classified as in-jurisdiction complaints. SBS Nepali spoke to Bendall about her role and the nature of complaints received by the NSO. This is the second part of our four-episode series of conversations with the First Assistant Ombudsman. - अस्ट्रेलियामा उच्च शिक्षा लिइरहेका विद्यार्थीहरूको प्रतिनिधित्व गर्ने नयाँ निकाय नेश्नल स्टुडेन्ट अम्बड्स्म्यान (एनएसओ) का अनुसार विद्यार्थीहरूले सामना गर्ने समस्याहरू मध्ये करिब ३८ प्रतिशत शैक्षिक आवश्यकता र पठनपाठन सम्बन्धि छन्। यही वर्षको फेब्रुअरीदेखि सञ्चालनमा आएको एनएसओमा जुनसम्म १,४७१ वटा गुनासोहरू दर्ता भएको फर्स्ट असिस्टेन्ट अम्बड्स्म्यान सेरा बेन्डल बताउँछिन्। यही सन्दर्भमा एसबीएस नेपालीले बेन्डलसँग गरेको कुराकानीको दोस्रो भाग सुन्नुहोस्।

Proactive Sales Psychology: Preventing Objections Before They HappenWhat if the objections you're hearing from buyers… are your fault?In this powerful conclusion to the Sales Psychology Series, we explore how to reverse-engineer objections before they ever come up — and what it means to lead buyers instead of reacting to them. If you're tired of “price is too high” or “I need to think about it,” this episode is your wake-up call.What You'll Learn in This Episode:Why most objections are triggered — not naturalThe psychological traps reps fall into that create resistanceHow to embed certainty and trust before the closeThe mindset shift from defensive to directive communicationTactical frameworks to keep buyers emotionally alignedResources & Links

Customers like companies that proactively pave the way for smooth transactions.. Reactive companies do very little paving, which usually results in clunky, and troublesome transactions. Proactive companies eliminate obstacles before they occur. Reactive companies wait for obstacles. Which reputation do you want for your company?Support the show

Oral Mucositis is probably the most common, debilitating complication of cancer surgery, chemotherapy and radiation. What is it, why is it common with cancer treatment, and what can you do about it? Stay tuned to find out. https://bit.ly/45XMELAWhat is Mucositis?Oral mucositis is inflammation in and around your mouth and can be a common symptom with treatment for cancer, including chemotherapy or radiation. Mucositis occurs when cancer treatments break down the rapidly divided cells that line the gastrointestinal tract, particularly in the mouth. In this Episode:01:44 - The Sharks of Rockaway Beach06:15 - Road Trip to Nebraska: A Famous Murder Spree and Birthplace of the Reuben Sandwich10:24 - Oral Mucositis: What it is, and Why it is Common with Cancer Treatment13:49 - Why it is Important to be Proactive to Prevent Mucositis, and Steps You Can Take21:30 - Mucositis Discussion & Recap on Prevention26:30 - Nutrition Tips for dehydration, taste changes and decreased appetite or pain while eating28:33 - Holly Butcher: Advice to World 24 Hours before She Died of Cancer30:47 - OutroSupport the showGet show notes and resources at our website: every1dies.org. Facebook | Instagram | YouTube | mail@every1dies.org

A Clare disability activist claims some schools need to be "more proactive" in assisting children and parents with the "frustrating" assessment of need process. With the 2025/26 school year now in full swing, new figures from the HSE have revealed that just 19 children in Clare received an assessment in the first six months of this year. An assessment of need is an evaluation carried out by the HSE for children or young people with a disability. The process identifies a child's health needs and what health services are required to meet these needs. While the HSE frequently emphasises that an assessment of need isn't necessary in order to avail of health services, it can make it easier to access supports. New HSE data released to Sinn Féin shows just 19 children in Clare received an assessment of need between January and June, which accounted for just 11% of its cases. Of those assessed, a whole 16 were found to have a disability. Shannonbanks Sinn Féin Councillor James Ryan believes a shortage of the appropriate staff is a key issue. Department of Health figures published in June, meanwhile, show almost 15,300 assessment of need applications were overdue at the end of March which was up 8% on the figure for last December. The total for the Midwest region was 434, indicating a reduction of less than 2% from December. Ennis-based disability activist Dermot Hayes believes schools should offer more assistance to families struggling to manage the system.

In this insightful episode of Pulse of the Practice, hosts Mo Arbas and Paul Miller reconnect to discuss the ever-evolving landscape of tax law changes and the impact on accounting practices. With recent travel and busy schedules behind them, Mo and Paul dive deep into how firms can proactively adapt to new legislation, including the "big beautiful bill" and its implications for tax credits, child tax exemptions, overtime income, and more.Listeners will gain actionable advice on how to stay ahead of regulatory updates, optimize tax planning strategies for clients, and effectively communicate changes through targeted content like short, topic-specific videos. The hosts explore the importance of advisory services, the evolving roles within accounting teams, and how firms can build trust and demonstrate value beyond compliance work.Key topics include:The importance of proactive client communication in light of legislative changesStrategies for team readiness and workflow optimizationLeveraging video content for client education on tax law updatesAdvisory vs. compliance: transitioning to value-added servicesReal-world scenarios for maximizing deductions, credits, and filing status optimizationBuilding client trust and engagement for future advisory relationshipsManaging documentation and staff responsibilities as laws evolvePlanning ahead for 2025, 2026, and beyondWhether you're a firm owner, tax professional, or team member, this episode delivers practical insights to help your practice thrive amid change and position itself as a trusted advisory partner.Keywords: tax law changes, tax advisory, accounting firm strategies, tax credits, child tax credit, overtime income, compliance vs advisory, client communication, tax planning, proactive advisory, accounting workflow, staff optimization, tax deduction strategies, tax exemption, client engagement, financial advisory services, accounting team roles, regulatory updates, pulse of the practice, tax legislation, tax return planning, 2025 tax changes, 2026 tax changes, short-form video marketing, client education, CPA firm best practices

Building and sustaining a practice in BigLaw can sometimes feel like you're carrying the entire business development and marketing load yourself. From writing client alerts and chasing follow-ups to hosting webinars and developing leads, many lawyers know the frustration of not having enough support from firm marketing and business development teams.  In this episode, I break down how to work smarter with the limited internal resources you may have -- even in a BigLaw firm -- where and how to create repeatable business development habits, how to leverage platforms outside your firm, and how to protect and invest in your own book of business when firm support simply isn't there. These strategies are designed to give you a clear path forward even if it feels like you're doing it all alone. At a Glance: 00:00 Why business development often feels like a solo effort in BigLaw 02:12 How to adjust expectations of firm resources and ask for targeted support 03:24 Examples of specific requests that firm resources can realistically deliver 04:37 Building simple, repeatable business development habits that create momentum 05:18 Repurposing client questions and content into multiple formats and opportunities 06:23 Streamlining workflow with templates, automation, and saved materials 07:10 Leveraging external platforms, like industry events, podcasts, and alumni groups 08:41 Making internal wins visible and quantifying results for leadership 10:54 Proactive updates that keep you on practice chairs' radar without seeming boastful 11:16 Asking whether you're building your firm's platform or your own and why it matters 12:59 Framing requests for firm resources with clear business justification 15:09 When to hire outside PR, marketing, or business development help to protect and grow your book of business Rate, Review, & Follow on Apple Podcasts & Spotify Do you enjoy listening to Big Law Life?  Please consider rating and reviewing the show! This helps support and reach more people like you who want to grow a career in Big Law.  For Apple Podcasts, click here, scroll to the bottom, tap to rate with five stars, and select “Write a Review.” Then be sure to let me know what you loved most about the episode! Also, if you haven't done so already, follow the podcast here!  For Spotify, tap here on your mobile phone, follow the podcast, listen to the show, then find the rating icon below the description, and tap to rate with five stars. Interested in doing 1-2-1 coaching with Laura Terrell? Or learning more about her work coaching and consulting? Here are ways to reach out to her: www.lauraterrell.com  laura@lauraterrell.com   LinkedIn: https://www.linkedin.com/in/lauralterrell/  Instagram: https://www.instagram.com/lauraterrellcoaching/  Show notes: https://www.lauraterrell.com/podcast  

Taxes aren't usually described as “big and beautiful,” but the new tax bill brings plenty of changes worth understanding. In this episode of Kitchen Table Finance, Nick sits down with Matt Cooper, CPA and owner of Matthew Accounting in DeWitt, Michigan, to unpack what these updates mean for individuals and small business owners. https://youtu.be/MTJXctr_nf8 Together, they cover what's changing, what's staying the same, and what opportunities you may have to better plan for your financial future. Highlights from the Conversation: Tax Brackets & Standard Deduction: Both remain permanent, with inflation adjustments built in. Charitable Contributions: Above-the-line deductions return—up to $2,000 for joint filers—even if you don't itemize. State and Local Taxes (SALT): Deduction cap temporarily increases from $10,000 to $40,000. Car Loan Interest: Interest on new vehicles assembled in the U.S. is now deductible up to $10,000. Social Security Benefits: Still taxable, but seniors get an additional deduction ($6,000 single / $12,000 joint). Tips & Overtime Pay: Both receive new, limited tax carve-outs. EV & Clean Energy Credits: Phasing out by late 2025—home improvement credits end sooner. Takeaway: Tax laws will continue to change, but now is the time to take advantage of the opportunities available. Proactive planning with your financial advisor and tax professional can make a real difference. Resources: Contact SRB Advisors: info@srbadvisors.com | srbadvisors.com Connect with Matt Cooper: Matthew Accounting – DeWitt, MI Website: matthew-accounting.com Email: info@matthew-accounting.com Phone: (517) 668-9000 Main Office: 124 E Washington St, Suite H, DeWitt, MI 48820 (Matthew Accounting, Matthew Accounting) They also have a presence in Lansing, MI, with a contact number of (517) 258-1424. (Matthew Accounting) If you're interested in their services, you can schedule a no-obligation consultation through their Contact Us page. Don't forget to subscribe to the Kitchen Table Finance podcast and YouTube channel so you never miss an update on your money and retirement planning.

Summary: In this episode of Trainers Bullpen, host Chris Butler speaks with Dr. Jennifer Prohaska from Tactical Longevity. Dr. Prohaska is a clinical psychologist specializing in law enforcement mental health. They discuss the concept of anti-fragility, the importance of resilience, and the six elements that contribute to developing an anti-fragile mindset. Dr. Prohaska emphasizes the need for proactive mental health strategies in law enforcement, focusing on self-awareness, self-regulation, mental flexibility, accurate thinking, values, and connection. The conversation also highlights the importance of ongoing training and support for officers and their families to foster a culture of wellness within agencies. This interview ought to get trainers and agency leaders thinking deeply about how to take officer wellness beyond well-meaning words and intentions into strategies that equip officers and supervisors with helpful and effective tools to build anti-fragility.Takeaways:• Anti-fragility is about thriving through adversity.• Resilience is bouncing back; anti-fragility is growing stronger.• Self-awareness is crucial for making better choices.• Mental flexibility allows for adaptability in stressful situations.• Curiosity over judgment fosters a better learning environment.• Connection with others significantly reduces PTSD risk.• Training should be ongoing, not a one-time event.• Values guide decision-making in challenging situations.• Proactive mental health strategies are essential in law enforcement.• Involving families in mental wellness is vital for overall support.

"Before and afters are crucial for trust." Connect With Our SponsorsGreyFinch - https://greyfinch.com/jillallen/SmileSuite - http://getsmilesuite.com/ Summary In this conversation, Kayvan Mott, co-founder of The DocSites, shares insights on effective marketing strategies for orthodontic practices. He discusses common mistakes made by orthodontists, the importance of a strong online presence, and how to leverage reviews and testimonials to build trust. Kayvan emphasizes the significance of SEO and Google Ads in attracting patients, as well as the need for effective landing pages. He also provides guidance on choosing the right marketing partner and the importance of transparency in marketing efforts. Connect With Our Guest The DocSites - https://www.docsites.com Takeaways Orthodontists often have a 'set it and forget it' mentality towards marketing.Proactive marketing leads to better results for orthodontic practices.Websites should focus on building trust and showcasing reviews.Convenience features on websites can prevent losing potential patients.Internal tracking of patient sources is crucial for effective marketing.Google My Business profiles are essential for visibility.Quality backlinks are more valuable than numerous low-quality links.Landing pages should be tailored to match ad content for better conversion.Understanding the importance of reviews can significantly impact practice visibility.Choosing a marketing partner requires assessing their experience and transparency.Chapters 00:00 Introduction to Kayvan Mott and The DocSites02:31 Common Marketing Mistakes in Orthodontics05:59 The Importance of a Strong Website11:53 Leveraging Reviews and Testimonials17:58 The Future of SEO and Online Marketing23:40 The Importance of Quality Links24:47 Optimizing Your Google Business Page26:54 The Role of Blogging in SEO27:17 Understanding Google Ads and Patient Quality29:20 Preparing Your Practice for Advertising31:48 Maximizing Google Ads Effectiveness34:47 The Power of Landing Pages37:11 Choosing the Right Marketing Partner Are you ready to start a practice of your own? Do you need a fresh set of eyes or some advice in your existing practice?Reach out to me- www.practiceresults.com.     If you like what we are doing here on Hey Docs! and want to hear more of this awesome content, give us a 5-star Rating on your preferred listening platform and subscribe to our show so you never miss an episode.    New episodes drop every Thursday!    Episode Credits:  Hosted by Jill AllenProduced by Jordann KillionAudio Engineering by Garrett Lucero

Today, Dr. Robert Whitfield speaks with Dr. Aimee Duffy, the founder of Carolina Integrative Medicine. They discuss Dr. Duffy's path into functional and integrative medicine, highlighting the importance of hormonal health, nutrition, and lifestyle choices for overall wellness. Their conversation touches on common misconceptions about hormone therapy, the connection between cholesterol and hormones, and why preventative, holistic care matters. They emphasize the importance of patient education, resilience, and creative wellness strategies, encouraging listeners to take proactive steps toward long-term health and vitality. You're not going to want to miss this conversation, so tune in! Bio: Dr. Aimee Duffy Dr. Aimee Duffy is a board-certified physician and founder of Carolina Integrative Medicine, specializing in functional and integrative healthcare. With over 20 years of medical experience, Dr. Duffy is dedicated to empowering individuals to regain their vitality and wellness by addressing the root causes of complex health challenges like hormonal imbalances, chronic fatigue, weight changes, and mood disorders. A bestselling author of Normal Doesn't Have Side Effects, Dr. Duffy combines her extensive knowledge of conventional medicine with holistic treatments to create personalized care plans that include nutrition, lifestyle adjustments, and hormone balancing. Known for her compassionate approach, she provides a supportive space where patients feel heard, understood, and guided throughout their health journeys. CarolinaIntegrativeMedicine.com (http://www.carolinaintegrativemedicine.com/) AimeeDuffyMD.com (http://www.aimeeduffymd.com/) Show Highlights: Impact of Hormones on Chronic Disease (00:06:54) Relationship between hormonal decline and increased risk of chronic diseases Hormones, Surgery, and Recovery Efficiency (00:12:13) Role of hormonal balance in surgical outcomes and recovery Integrative Approach to Health (00:14:03) Importance of nutrition, environment, and lifestyle in overall health and recovery Patient Education & Foundational Wellness (00:18:59)Approach to patient education, wellness programs, and the multifactorial nature of health Alcohol, Blood Sugar, and Hot Flashes (00:20:02) Lifestyle factors like alcohol and blood sugar, and how they affect symptoms and hormones *Stress, Adrenals, and Hormonal Imbalance (00:23:15) *Chronic stress and how it affects cortisol, progesterone, and overall hormonal health *Diet, Fasting, and Intentional Eating (00:28:59) *Fasting, intentional eating, and the impact of modern diets on health *Proactive Anti-Aging & Longevity (00:47:37) *Proactive health measures for longevity and optimal aging, not just lifespan extension Links and Resources Let's Connect Podcast: https://podcasts.apple.com/gb/podcast/breast-implant-illness/id1678143554 Spotify: https://open.spotify.com/show/1SPDripbluZKYsC0rwrBdb?si=23ea2cd9f6734667 TikTok: https://www.tiktok.com/@drrobertwhitfield?t=8oQyjO25X5i&r=1 IG: https://www.instagram.com/breastimplantillnessexpert/ FB: https://www.facebook.com/DrRobertWhitfield Linkedin: https://www.linkedin.com/in/dr-robert-whitfield-md-50775b10/ X: https://x.com/rob_whitfieldmd Read this article - https://www.breastcancer.org/treatment/surgery/breast-reconstruction/types/implant-reconstruction/illness/breast-implant-illness Shop: https://drrobssolutions.com SHARP: https://www.harp.health NVISN Labs - https://nvisnlabs.com/ Get access to Dr. Rob's Favorite Products below: Danger Coffee - Use our link for mold free coffee - https://dangercoffee.com/pages/mold-free-coffee?ref=ztvhyjg JASPR Air Purifier - Use code DRROB for the Jaspr Air Purifier - https://jaspr.co/ Echo Water - Get high quality water with our code DRROB10 - https://echowater.com/ BallancerPro - Use code DRROBVIP for the world's leader in lymphatic drainage technology - https://ballancerpro.com Ultrahuman - Use code WHITFIELD10 for the most accurate wearable - https://www.ultrahuman.com/ring/buy/us/?affiliateCode=drwhitfield

How to Successfully Work with Local Governments: Insights from Shane Silsby of Silsby Strategic AdvisorsIn this episode of The Thoughtful Entrepreneur, host Josh Elledge talks with Shane Silsby, CEO and Founder of Silsby Strategic Advisors and author of Managing for Meteors: Preparing Local Government Leaders Before the Impact. Shane shares his deep expertise on the evolving local government landscape, the challenges agencies face, and how businesses can position themselves as trusted, long-term partners. Listeners gain practical advice on building authentic relationships, navigating procurement, and offering strategic value beyond just the lowest bid.Building Trust and Value in Local Government PartnershipsShane explains that working effectively with local governments requires a clear understanding of their constraints, workforce challenges, and shifting leadership dynamics. He points to the “silver tsunami” of retirements and the influx of younger leaders as both a challenge and an opportunity for the private sector to bring fresh expertise. Businesses that research agency needs, approach with empathy, and provide specialized knowledge can fill critical gaps in skills and capacity.He emphasizes that procurement at the local level isn't solely about price—it's about qualifications, problem-solving ability, and alignment with the agency's mission. Companies that lead with value, demonstrate a track record of success, and remain engaged beyond a single project are more likely to earn repeat work. Building relationships over time, rather than pushing for quick wins, creates trust and credibility that pays off in the long run.Shane also recommends that businesses tailor their approach to each agency's unique situation, from offering fractional or project-based services to helping with disruption preparedness. He advises proactive engagement, sharing resources, and being honest about capabilities—even referring other providers when it's a better fit. By doing so, businesses position themselves not just as vendors, but as indispensable partners in delivering better outcomes for communities.About Shane SilsbyShane Silsby is the CEO and Founder of Silsby Strategic Advisors and author of Managing for Meteors. With extensive leadership experience in public works and infrastructure, Shane helps local governments and private sector partners prepare for major disruptions, strengthen organizational capacity, and build sustainable solutions for community needs.About Silsby Strategic AdvisorsSilsby Strategic Advisors is a consulting firm specializing in helping local governments navigate disruption, address workforce challenges, and enhance service delivery. The firm also works with private sector companies to successfully engage with public agencies through strategic planning, relationship-building, and targeted expertise.Links Mentioned in this EpisodeSilsby Strategic AdvisorsManaging for Meteors – BookEpisode HighlightsLocal governments face generational shifts and workforce shortages, creating opportunities for private sector expertise.Procurement at the local level values qualifications and alignment over lowest price.Long-term relationships and trust are essential for sustained public sector partnerships.Businesses should consider offering fractional or project-based services to meet agency needs.Proactive disruption preparedness positions companies as valuable, strategic...

In this episode, host Galen Hair is joined by Dr. Frank Collige, a multi-state public adjuster, combat veteran, and candidate for Florida's chief financial officer. They discuss Florida's insurance crisis, tackling issues like claim delays, lack of transparency, and fraudulent practices. Frank shares his vision for creating a fair insurance system that holds everyone accountable, from companies to consumers. His unique blend of military discipline and industry experience offers a refreshing perspective on reforming the system. This episode is a must-listen for anyone impacted by Florida's insurance landscape!   Highlights Lessons from military service: integrity, service, excellence. Misleading narrative on unlicensed contractors in Florida. Business process issues contribute to Florida's insurance crisis. Arbitrations and constitutional rights challenges in Florida. Proposal for a balanced oversight board. Identifying carrier's business tactics that inflate rates. Proactive administrative measures for insurance fairness. Encouraging competition through reinsurance and catastrophe funds. Running for office: unexpected challenges and support.   Episode Resources Connect with Galen M. Hair https://insuranceclaimhq.com hair@hairshunnarah.com  https://levelupclaim.com/ Connect with Frank Collige https://www.linkedin.com/in/frank-collige/   

New GarageCast Episode: Discover how to keep your service department thriving through fall and winter. We share proactive strategies—customer outreach, winterization services, OEM programs, and social media tactics—that flip the “slow season” into a profit season. Don't wait for work to come in—create it.

Have you ever wondered why, no matter how big your ideas or how talented your team, you keep running into the same old obstacles at work? Today, in Legendary Leaders, Cathleen O'Sullivan, is talking to Doug Hall,  renowned innovation expert, founder of Eureka Ranch and Brain Brew Distillery, and author of  Proactive Problem Solving. Doug is on a mission to help leaders everywhere "stop the stupid" and restore real joy and creativity to the workplace.   If you're tired of endless meetings, redundant tasks, and systems that just don't make sense, get ready. This episode is packed with real-world examples, practical strategies you can apply today, and leadership insights you won't find anywhere else. Episode Timeline: 00:00  The “Stop the Stupid” mission with Doug Hall 02:19  Leadership's silent killer, and the surprising truth about wasted time 08:49 Doug's journey; real-life stories of broken systems and how tiny changes spark massive engagement 11:08 Enable employees to proactively solve problems 18:13 Focus on fundamental processes and effective communication 25:29  Getting leaders onboard  36:09 Saving 3.5 hours a day stopping the stupid 47:33 Collaborative problem-solving breakthrough 01:03:56 Unclear strategic direction issues 01:19:33 Embrace authentic innovation Key Takeaways: “Stop the stupid” is a powerful lens: Most wasted time and disengagement in companies come from outdated or broken systems Managers waste 3.5 hours a day on avoidable problems caused by dysfunctional processes and unclear communication. Proactive problem-solving is a skill not an accident: Doug outlines a three-step system that can increase your team's effectiveness by up to 500%.   About Doug Hall Doug Hall is an innovation expert, founder of Eureka Ranch and Brain Brew Distillery, and the author of the book Proactive Problem Solving. With nearly 50 years of experience in leadership, innovation, and entrepreneurship, Doug's passion centers on helping organizations “stop the stupid”—his signature phrase for eliminating outdated systems that destroy productivity and creativity at work. Renowned for his energetic and practical approach, Doug translates complex innovation strategies into simple, actionable steps. He has worked with some of the world's largest companies, like Nike and Disney, and brings to the table real-world stories from both consulting and running his own rapidly-scaling bourbon business. Doug's mission is to empower leaders at all levels to create smarter, more engaging workplaces by tackling broken systems head-on and igniting the problem-solving power within their teams.   Connect with Doug:  Website: www.doughall.com Connect: 
  Find | Cathleen O'Sullivan  Business: https://cathleenosullivan.com/  Email: cmc@cathleenmerkelcoaching.com  LinkedIn: https://www.linkedin.com/in/cathleen-merkel/ Instagram: https://www.instagram.com/legendary_leaders_cathleenos/     FOLLOW LEGENDARY LEADERS ON APPLE, SPOTIFY OR WHEREVER YOU LISTEN TO YOUR PODCASTS  

Kendra is a highly sought-after couples therapist working with some of the wealthiest and most accomplished individuals in the Boston area. While these clients often present polished and perfect lives to the outside world, they trust Kendra to help them navigate the complexities and hidden struggles that exist beneath the surface of their relationships. In This EpisodeKendra's website www.esclusivacouplesretreats.comSocials: Instagram @kendracapalbo and @esclusivacouplesretreats The Trauma Therapist PodcastJoin my email list and receive podcast updates and other news: https://bit.ly/3LuAG2iListen to all Trauma Therapist Podcast episodes here: https://bit.ly/3VRNy8zBecome a supporter of this podcast: https://www.spreaker.com/podcast/the-trauma-therapist--5739761/support.

Irene Castagnotto: When Proactive Help Backfires - A Gen Z Scrum Master's Learning Journey Read the full Show Notes and search through the world's largest audio library on Agile and Scrum directly on the Scrum Master Toolbox Podcast website: http://bit.ly/SMTP_ShowNotes. Irene shares a valuable lesson about the pitfalls of being overly proactive without proper communication. As a new Scrum Master, she observed Product Owners struggling with role changes and took initiative to help them understand and implement changes. However, she discovered that her well-intentioned proposals weren't aligned with what the POs actually wanted. The key insight: when people don't speak up during your proposals, it often means they're not on board but are avoiding conflict. Irene learned that asking questions and letting others express what changes they're ready for is far more effective than assuming what help is needed. Self-reflection Question: How can you better gauge whether your team is genuinely on board with your suggestions, especially when they remain silent during discussions? [The Scrum Master Toolbox Podcast Recommends]

The world is changing at lightning speed. The biggest risk in your career isn't failure - it's standing still. In this episode, I challenge you to break free from complacency, embrace a growth mindset, and future-proof your career with 5 actionable strategies to help you thrive beyond clinical practice. You'll discover why staying in the familiar can cost you relevance, opportunities, and impact — and what it really takes to be a future-focused clinician in today's evolving healthcare and professional landscape. Key Takeaways: Complacency feels safe, but it comes at the expense of growth. Your skills, influence, and opportunities can quickly become outdated if you don't keep adapting. Proactive learning, networking, and future-visioning will put you ahead of the curve. Resources & Links: Book your free 30-minute Strategy Call with Dr. Diane → https://calendly.com/lbcp/strategy-call  Follow Life Beyond Clinical Practice on Instagram → @lifebeyondclinicalpractice.com  Listen to Episodes 22 and 97 if you haven't done so already! https://podcasts.apple.com/us/podcast/22-transferrable-skills-how-knowing-yours-can-help/id1713086617?i=1000648710588  https://podcasts.apple.com/us/podcast/97-networking-101-for-health-professionals-who-want/id1713086617?i=1000712056793 

Episode SummarySummaryIn this enlightening conversation, Dr. Erica Schwartz discusses the significance of bioidentical hormones in women's health, particularly during menopause. She emphasizes the importance of understanding hormonal imbalances, the role of lifestyle choices in maintaining hormonal health, and the misconceptions surrounding hormone therapy. Dr. Schwartz advocates for a proactive approach to hormone management and highlights the protective effects of hormones against aging and diseases. The discussion also touches on the mental health implications of hormonal changes and offers practical advice for women seeking to balance their hormones effectively.EPSIODE SPONSORS: MOMENTOUSOFFER: Head to livemomentous.com and use code KIMBERLY for 35% off your first subscription. That's code KIMBERLY at livemomentous.com for 35% off your first subscription.USE LINK: livemomentous.com Code: KIMBERLY for 35% off your first subscription.FATTY15OFFER: Fatty15 is on a mission to replenish your C15 levels and restore your long-term health. You can get an additional 15% off their 90-day subscription Starter Kit by going to fatty15.com/KIMBERLY and using code KIMBERLY at checkout.USE LINK: fatty15.com/KIMBERLYChapters00:00 Introduction to Hormonal Health and Dr. Erica Schwartz01:52 The Importance of Bioidentical Hormones05:57 Misconceptions and Historical Context of Hormone Therapy09:50 Empowering Women to Understand Their Bodies13:53 Navigating Hormone Therapy: Timing and Longevity17:40 Balancing Hormones for Fertility and Overall Health19:30 Understanding Hormone Supplementation21:46 The Role of Hormones in Aging25:39 Proactive vs. Reactive Hormone Use28:11 Hormones and Disease Prevention30:30 Muscle Health and Aging33:53 The Importance of Supplements and LifestyleSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.