Podcasts about p t

On this episode I talk to the Agnes Callard about the great Ancient Greek philosopher Socrates. We discuss Agnes' new book Open Socrates: The Case for A Philosophical Life [Penguin, 2025]. Agnes and I discuss the themes of Open Socrates, focusing on philosophy as a public, outward-looking practice, Socrates' call to examine life is framed not just as introspection but as active engagement and testing of the self through dialogue. We also discuss the role of Socrates as both a provocateur (gadfly) and a guide (midwife), emphasizing his commitment to universal, non-exclusive inquiry. Philosophy is portrayed as a response to “savage commands” -the urgent demands of body, society, and mortality - challenging us to become more resolute and reflective. We also discuss free speech, equality, justice, loneliness, the death of Socrates and lots more! Agnes is an Associate Professor in Philosophy at the University of Chicago. She received her BA from the University of Chicago in 1997 and her PhD from Berkeley in 2008. Her primary areas of specialization are Ancient Philosophy and Ethics.  She is the author of Aspiration: The Agency of Becoming [Oxford U.P, 2017]. She has authored essays for numerous publications such as The New Yorker, The New York Times, and The Point, and co-hosts the podcast Minds Almost Meeting. You can view her university profile here. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here. September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Pod Bean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.

Szabados Viktor atyával a nyírturai templomban beszélgettünk: közösségi életről, templomtörténetről, örömökről és nehézségekről is szó esett a Nyírturai Görögkatolikus Parókia bemutatása során. Szabados Viktor atyával P. Tóth Nóra beszélgetett.

2024 szeptemberében indult útjára a Pedagógus Akadémia, a Nyíregyházi Egyházmegye Oktatási Irodájának havi rendszerességű előadássorozata, melyről az iroda vezetőjével, Kovácsné Dibáczi Zsuzsannával P. Tóth Nóra beszélgetett.

Some veterans with a 100% VA disability rating may wonder if they can still work. Whether you have a schedular 100% rating, a 100% permanent and total (P&T) rating, or Total Disability based on Individual Unemployability (TDIU), we discuss the details and limitations surrounding employment. In this episode, we also talk about the circumstances under which veterans with TDIU can work. Tune in to learn more!For more information, visit our website at⁠⁠⁠⁠⁠⁠ cck-law.com⁠⁠⁠⁠⁠⁠Follow us on social media: ⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠ -⁠⁠⁠⁠⁠⁠https://bit.ly/CCKYTL⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠ -⁠⁠⁠⁠⁠⁠https://bit.ly/CCKFBL⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠ -⁠⁠⁠⁠⁠⁠https://bit.ly/CCKINL⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠ -⁠⁠⁠⁠⁠⁠https://bit.ly/CCKTL

Topics for “Thursday” 6:30 pm P/T 1: ‘Sauce MAGA' proposed gold card

Március 20-ig tekinthető meg a miskolci Hermann Ottó Múzeumban a Görögkatolikusok évszázados öröksége című kiállítás. Dr. Terdik Szilveszter muzeológussal, művészettörténésszel, a kiállítás kurátorával P. Tóth Nóra készített interjút.

Barna Vanda néhány éve a Nyíregyházi Egyházmegye nevelőszülői hálózatában nevelkedő fiatal hölgy. Sportol, verset ír, tanul és arra törekszik, hogy feldolgozza traumáit, jó ember lehessen és maradhasson, hogy hasznos tagja legyen közösségeinek. Legfőképp a boldogságot keresi, ami az ő életében nem is olyan egyszerű. Egy késő őszi napon eddigi útjáról beszélgetett Vandával P. Tóth Nóra. Az interjú végén Vanda saját versét szavalja el.

På en internet-stream fortæller tech-mogulen Elon Musk, at den kommende amerikanske præsident Donald Trump har spurgt, om han spiller golf? Det gør han ikke, fortæller Elon Musk, han er derimod en såkaldt '21 århundrede gamer-dreng'. Vi kigger på gameren gennem generationer og spørger, hvad gamerkapitalen kan bruges til i dag? Forsker i gaming og finans Anne Mette Thorhauge, gæster programmet. På Tønder Kirkegård fjerner de LED-lys fra gravsteder - det minder om et diskotek klokken 3 om natten, fortæller formand for menighedsrådet Torben Frederiksen. Det har mødt stor kritik, og nu blander biskop i Ribe, Elof Westergaard, sig i sagen, og han ser både argumenter for og imod. Vi taler med Elof Westergaard om, hvor grænserne går for pynt på kirkegårdene. Vært: Morten Runge.

I denne episoden av Aldring og helse-podden dykker vi ned i flere av aldringens mysterier – fra hvordan hjernen opplever tid til hva som faktisk skjer med kroppen vår når vi eldes. I månedens Skråblikk på forskningen utforsker vi den overraskende teorien, som faktisk har trendet på Tik Tok, om at det å gå baklengs kan være godt for både balanse og helse. På Tønsberg Torg møter vi folk som deler sine tanker og stiller spørsmål om aldring, og vi lanserer med det den nye faste spalten der Geir forklarer aldringsprosessen så enkelt at selv programlederen kan forstå det. Lytt med, så får du også høre mer om nyttårsforsettene til Geir Selbæk.Professor Geir Selbæk i samtale med programleder Petter Hveem. Hosted on Acast. See acast.com/privacy for more information.

Det är jultider och vi flaxar väl runt i både badrumsrenoveringar, grovköksdrömmar och möjligen också en och annan blomma. God jul kära lyssnare.. Nästa gång blir det återblick special.   Puss puss  //P&T

Communication with students and parents are key in a classroom setting. It is what helps builds trust between the teacher, parents, and students to make the school year that much smoother. Join us as Gretchen tells a story and provides tips and tricks in order to keep effective communication for students and parents. Quotables "Make space in your calendar for ongoing communication." "Communication builds trust which leads to support and understanding." "When you're available and you're transparent, relationships pave the way for best results." Links from today's episode 12 apps for better P-T communication https://www.teachthought.com/technology/teacher-parent-communication/ Join the Always A Lesson Newsletter Join here and grab a freebie! Connect with Gretchen Email: gretchen@alwaysalesson.com Blog: Always A Lesson Facebook: Always A Lesson Twitter: @gschultek Instagram: Always.A.Lesson Linkedin: Gretchen Schultek Bridgers Book: Elementary EDUC 101: What They Didn't Teach You in College Gretchen's latest book, Always a Lesson: Teacher Essentials for Classroom and Career Success, is now available on Amazon. Leave a Rating and Review: This helps my show remain active in order to continue to help other educators remain empowered in a career that has a long-lasting effect on our future. https://itunes.apple.com/us/podcast/always-lessons-empowering/id1006433135?mt=2 Search for my show on iTunes or Stitcher. Click on ‘Ratings and Reviews.' Under ‘Customer Reviews,' click on “Write a Review.” Sign in with your iTunes or Stitcher log-in info Leave a Rating: Tap the greyed out stars (5 being the best) Leave a Review: Type in a Title and Description of your thoughts on my podcast Click ‘Send'

In this episode, I am joined for a fascinating conversation with philosopher Evan Thompson as we delve into his thought-provoking book The Blind Spot. We discuss this collaboration with scientists Marcelo Gleiser and Adam Frank, his insights on reconciling the “scientific image” and the “manifest image” of the world, and the interplay between subjective experience and objective inquiry. Thompson explains what he means by the "blind spot" of scientific materialism—challenging assumptions about objectivity, reductionism, and the relationship between lived experience, forms of life and scientific knowledge. Thompson offers a compelling critique of reductionist views, proposing instead a vision of science grounded in human experience. We also discuss the cultural and ethical stakes of scientific inquiry in an age of scepticism and misinformation, with a thought-provoking look at climate change, subjectivity, and the unity of life itself. Other thinkers like Wilfred Sellers, Henri Bergson, G.W.F. Hegel and A.N. Whitehead all crop up. Evan is a Professor of Philosophy at the University of British Columbia. You can view his website and profile here. The Blind Spot is available at all the usual outlets. Evan is also available on Bluesky: @evanthompson.bsky.social. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here. September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Pod Bean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.

Series: Faith Changes ThingsScripture: James 1:26-27November 24, 2024 - Worship Service

Balogh Janó színművész, előadóművész a Nyíregyházi Egyházmegye egyik rendezvényén, a szociális munka napjának ünnepén énekelt a vendégeknek. Janó, aki gyermekkorát nevelőotthonban töltötte, korábban a Madách Színház színművésze volt, néhány éve az X-Faktorban is énekelt; ma már a Romano Kher Budapesti Roma Művelődési Ház munkatársa. Balogh Janóval P. Tóth Nóra beszélgetett.

Sponsorem dzisiejszego odcinka jest Wydawnictwo Helion S.A, które podarowało mi do przeczytania niezwykłą książkę autorstwa dr Katarzyny Czyż pt. „Ludzkie żądze: seks, władza i pieniądze. O trudnej sztuce budowania udanego związku”.W tym odcinku nie tylko omawiam moje osobiste doświadczenia z tą niezwykłą lekturą, ale w drugiej części przeprowadzam też wywiad z samą autorką!Dr Katarzyna Czyż zgodziła się połączyć ze mną, by podzielić się swoimi przemyśleniami, badaniami i praktycznymi radami, które mogą pomóc Ci lepiej zrozumieć i kontrolować Twoje podejście do tych trzech kluczowych aspektów życia.Oto kilka pytań, na które znajdziesz odpowiedzi w tym odcinku:Jak rozpoznać i zintegrować swój jungowski Archetyp Cienia?Czy istnieją różnice pokoleniowe w podejściu do seksu, władzy i pieniędzy?Jakie praktyczne kroki możemy podjąć, aby lepiej zarządzać tymi aspektami w naszym życiu?Komu szczególnie polecana jest ta książka?Dlaczego warto posłuchać tego odcinka? Odkryjesz, jak trzy potężne siły – seks, władza i pieniądze – splatają się w naszym codziennym życiu, często poza naszą świadomością.Poznasz koncepcję „koluzji” w związkach i dowiesz się, jak unikać nieświadomych pułapek w relacjach.Usłyszysz o fascynujących odkryciach dr Czyż, które zaskoczyły ją samą podczas badań nad tematyką książki.Zrozumiesz, jak media społecznościowe wpływają na nasze postrzeganie seksu, władzy i pieniędzy.Dowiesz się, jakie mity związane z tymi tematami autorka chce obalić swoją książką.Nie przegap tego fascynującego odcinka!To nie tylko okazja do poszerzenia wiedzy, ale też impuls do głębszej refleksji nad własnymi relacjami i podejściem do życia.Posłuchaj, zainspiruj się i zacznij świadomie kształtować swoje związki i życie!

Antibiotics have literally been the hero of humanity multiple times over... but in dentistry we have a huge problem of overprescription. Join Katrina Sanders in this Fast Fact mini-episode as she talks about walking the balance of antibiotic stewardship.  Resources: More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com  Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/  https://www.cdc.gov/antimicrobial-resistance/data-research/facts-stats/index.html#:~:text=In%20the%20U.S.%2C%20more%20than,resistant%20infections%20occur%20each%20year. Ventola CL. The antibiotic resistance crisis: part 1: causes and threats. P T. 2015 Apr;40(4):277-83. PMID: 25859123; PMCID: PMC4378521.

Antibiotics have literally been the hero of humanity multiple times over... but in dentistry we have a huge problem of overprescription. Join Katrina Sanders in this Fast Fact mini-episode as she talks about walking the balance of antibiotic stewardship.  In partnership with Therabreath, get a free sample at www.oralcarepro.com/therabreath Resources: More Fast Facts: https://www.ataleoftwohygienists.com/fast-facts/ Katrina Sanders Website: https://www.katrinasanders.com  Katrina Sanders Instagram: https://www.instagram.com/thedentalwinegenist/  https://www.cdc.gov/antimicrobial-resistance/data-research/facts-stats/index.html#:~:text=In%20the%20U.S.%2C%20more%20than,resistant%20infections%20occur%20each%20year. Ventola CL. The antibiotic resistance crisis: part 1: causes and threats. P T. 2015 Apr;40(4):277-83. PMID: 25859123; PMCID: PMC4378521.

O Australian Signals Board afirma que o conhecido grupo A-P-T-40 tem como alvo as redes do governo australiano e do setor privado. A-P-T-40 é considerado um grupo de espionagem cibernética patrocinado pelo Estado chinês.

Perraneu LIVE! event info (Aug. 15 6-9pm at the Stonewall Inn!). Then our Season 2 opener direct from the professional studios at P&T Knitwear! We are officially a real podcast at a studio, folks. And thank you to P&T for this community space and your beautiful bookstore and cafe. Actor Sarah Bloom and host Devon Turchan (Perraneu editor) get into movie talk, adventure talk, Broadway talk, talk talk talk. Enjoy!

La iniciativa AMAX4, según su sitio web amax4.org, está dedicada a reducir y prevenir las muertes innecesarias relacionadas a la anafilaxis asma. La iniciativa fue lanzada en el 2022, luego de la trágica muerte del hijo del Dr. Ben y Tamara McKenzie, Max, quien murió a los 15 años de edad debido a una lesión hipóxica cerebral sufrida luego de broncoespasmo y asma por anafilaxis inducida por comida.   El poder de las historias Las historias tienen el poder de crear un contexto y un "por qué". Las historias pueden ayudarnos no solamente a recordar el mensaje, sino también a entender cómo aplicarlo o ejecutarlo. Esta es la razón por la cual muchos capítulos de textos de medicina y cursos de emergencias comienzan con una historia. La campaña AMAX4 enseña el manejo de anafilaxis y está basada en la historia de la muerte súbita por anafilaxis de Max McKenzie... esta es su historia. La historia de Max McKenzie https://youtu.be/OkSy8HYRL-I Este es su papá, el Dr. McKenzie contando su historia... https://youtu.be/JIHglT_MiGA Historia previa de asma Ninguna vez admitido a la UCI Alérgico a nueces, cargaba auto-inyector de adrenalina Comió nueces por error... Urticaria, vómito y dificultad para respirar Se auto-administró epinefrina y albuterol Cronología de eventos Lista de errores en el manejo están en la conferencia. No es necesario discutir los errores sino enfocarnos en cómo hacer lo correcto. Sin embargo, algunos (quizás muchos de los errores) no fueron manejos incorrectos sino fallas en manejar oportuna y agresivamente lo que desde un principio sabían que estaba ocurriendo. Sensación de muerte inminente: "Creo que me voy a morir". Al principio Max lució como cualquier otro paciente... estaba hablando en oraciones completas. Pero rápidamente se deterioró. Max tenía un historial previo de anafilaxis. Él sabía lo que se siente tener alergias severas, y sabía lo que es anafilaxis. Lo que lo asustó fue la velocidad de la reacción. Las banderas rojas son signos y síntomas que nos deben alertar de que una situación está escalando y que nuestro nivel de agresividad debe escalar también. El balance entre el sentido de proveer calma y dominar la situación no son mutuamente excluyentes. Definición de anafilaxis No es una reacción alérgica severa, es anafilaxis. Conceptualmente, es importante recordar que la alergia es un mecanismo de defensa. La anafilaxis ocurre cuando el cuerpo no puede modular esta respuesta y ahora la propia respuesta es la que amenaza la vida del paciente. Según la World Allergy Organization, la definición de anafilaxis es: Opción 1: alergeno conocido con broncoespasmo o hipotensión Inicio súbito (minutos a horas) de síntomas laríngeos, broncoespasmo o hipotensión luego de la exposición a un alergeno conocido o altamente probable para ese paciente aún en ausencia de síntomas en la piel. Opción 2: alergeno desconocido con piel + (disnea, shock, o GI) Inicio súbito (minutos a horas) de enfermedad con envolvimiento simultáneo de la piel, mucosa (o ambas) Y AL MENOS UNO DE LOS SIGUIENTES: Compromiso respiratorio: disnea, broncoespasmo, estridor o hipoxemia) Hipotensión o signos asociados a pobre perfusión (hipotrofia, síncope, incontinencia) ​Signos gastrointestinales severos: calambres abdominales, vómitos repetitivos, especialmente luego de exposición a alergenos alimentarios. https://youtu.be/m4OeMj-19wo ¿Por qué ocurre el paro cardiaco en el paciente con anafilaxis? Hipoxia - no se puede ventilar por obstrucción de la vía aérea Hipotensión - no hay perfusión a órganos importantes La epinefrina (adrenalina) ayuda a tratar ambas causas. El daño cerebral puede ocurrir en 4 minutos. Asma y anafilaxis extrema En el manejo de la vía aérea y ventilación, la peor pesadilla es el escenario no-intubable y no-oxigenable. No significa que se tiene que morir, sino que hay que actuar inmediato con toda la agresividad posible en el manejo clínico del paciente. La inconsciencia por anafilaxis, debido a la hipoxia e hipotensión, indicó en este caso el momento de entender que esto es un caso de asma y/o anafilaxis extrema. Si supieras que tu paciente se va a morir pronto, ¿qué harías ahora? Existen casos de asma y anafilaxis… y existen casos de asma y anafilaxis. Un broncoespasmo puede ser fatal. Una persona puede morir por un ataque de asma.  En teoría, podemos revertir al paro cardiaco por hipoxia, pero eso no significa que el cerebro no va a haber sufrido un daño irreversible. Partiendo del tiempo teórico de 4 minutos para daño cerebral, el protocolo AMAX4 busca poder corregir la hipoxia en el menor tiempo posible enfocándose en 4 aspectos fundamentales: Adrenalina Relajante muscular Intubación rápida y efectiva Cuidado extremo   https://youtu.be/L78tf1idNZg Tiempo a la primera epinefrina Comentarlo o discutirlo es solamente el inicio de la preparación. No es suficiente "decirlo". Hay que físicamente practicarlo. ¿Qué tan rápido podemos hacerlo? ¿Cómo podemos mejorarlo? Hay formas que podemos optimizar el proceso. ¿Qué tiempo nos toma obtener un acceso vascular de emergencia? ¿Dónde tenemos el equipo de accesos vasculares de emergencia? ¿Qué tiempo nos toma poder administrar la primera dosis IV (IO?) de epinefrina? ¿Cómo calculamos la dosis del medicamento? ¿Dónde tenemos la epinefrina guardada? Kits de anafilaxis son un buen paso, pero no es suficiente tener el kit. Hay que practicar cómo se implementa, de lo contrario es un falso sentido de seguridad. Piensa en qué debemos tener para poder administrar adrenalina desde el área de triage. La epinefrina tiene varios efectos deseables: Inhibe la liberación de histamina Estimula receptores beta (corazón y pulmones) Estimula receptores alfa (vasos sanguíneos) No existe contraindicación a la adrenalina cuando se necesita. No existe dosis máxima de adrenalina. Existen efectos adversos a la epinefrina, especialmente cuando no se necesita. "La epinefrina es como un paracaídas." Funciona cuando se emplea en el momento oportuno, y es inútil luego que ya es demasiado tarde. Dosis de adrenalina Aunque los autoinyectores de adrenalina tienen una dosis estándar de adultos (0.3 mg o 300 mcg) y una dosis estándar pediátrica, no hay evidencia de que esta sea la dosis ideal para todas las situaciones. Se puede repetir el autoinyector cada 5 minutos hasta la resolución de los síntomas. Para entender el efecto de la adrenalina, es necesario entender dos cosas: los receptores y algo de matemática. Matemática básica 1 mg = 1,000 mcg 0.02 mcg/kg/min es lo mismo que decir 2 mcg/min en un paciente de 100 kg. 0.1 mcg/kg/min es lo mismo que 10 mcg/min en un paciente de 100 kg Es mejor aprenderse los medicamentos por kilo de peso para poder utilizarlos en pacientes de diferentes edades. Fisiología de receptores La adrenalina estimula los receptores: Beta - en dosis baja ( 0.1 mcg/kg/min, ejemplo 10 - ∞ mcg/min en adultos) Menciono la dosis por minuto porque, aunque es posible dar un bolo, es posible poner el paciente en infusión continua). También, menciono la dosis por kilogramo de peso porque así aplica a todos los pacientes indistintamente de su edad. Los receptores beta estimulan la frecuencia cardiaca y la broncodilatación (entre otras cosas), y los receptores alfa estimulan vasoconstricción en los vasos sanguíneos. IM versus IV La vía IM es sumamente conveniente porque es fácil y rápido, pero puede ser inútil si hay pobre perfusión periférica. Si la reacción progresa rápidamente, es posible que sea conveniente transicionar a la vía intravenosa, inclusive obviando completamente la vía intramuscular. La ruta IM puede ser útil cuando el paciente detecta los signos tempranos de anafilaxis y se autoinyecta la epinefrina. Sin embargo, Max recibió múltiples dosis IM sin efecto. Por lo tanto, es necesario saber cómo administrar la epinefrina por vía IV sin causar daño por administrar una dosis inapropiadamente alta. 0.01 mg/kg IM en infantes y niños La dosis recomendada de adrenalina en pediátricos es siempre 0.01 mg/kg IM o IV.  Sin embargo, la dosis de 0.15 mg puede ser muy alta en infantes que pesan menos de 15 kg o muy baja en los que pesen más. 0.3 mg/kg (300 mcg) IM versus 0.02 mcg/kg (2-10 mcg) IV? Este artículo de Grissinger en el 2017 cita que la administración de adrenalina utilizando autoinyectores puede evitar errores de cálculo de dosis, asociados a eventos adversos. No obstante, no hay evidencia para definir cuál es la dosis óptima... y situaciones extremas requieren medidas extremas. 0.3 mg/kg es la dosis IM, sin embargo una dosis IV de 0.02-0.10 mcg/kg puede estimular efectivamente los receptores beta sin causar vasoconstricción. Por ejemplo, las emergencias respiratorias son la causa principal de muerte en los pacientes pediátricos. Podemos bajar el umbral para decidir comenzar epinefrina como broncodilatador en un paciente que tiene un broncoespasmo severo. 0.01 mcg/kg (10 mcg) IV versus 1 mcg/kg (100 mcg) IV AMAX4 recomienda 1 mcg/kg cada 30 segundos, hasta 10 minutos o la dosis de paro cardiaco. Esto quiere decir que, a un adulto, le estaríamos administrando 100 mcg IV por dosis. Suena como una dosis alta, pero, veamos la circunstancia: un paciente inconsciente por anafiaxis o asma severa. En pocos minutos (o segundos) este paciente va a estar en paro cardiaco. No es irracional considerar que 100 mcg es una fracción de la dosis de 1000 mcg que pronto se le va a estar administrando cada 4 minutos (250 mcg/min si lo dividimos por 4 minutos). El punto que quiero establecer es que AMAX4 nos da una perspectiva de que el manejo agresivo de la anafilaxis no es darle 0.3 mg/kg de epinefrina IM, o darle 0.02-0.10 mcg/kg/min para estimular receptores beta. Por último No hay contraindicaciones a la epinefrina en anafilaxis.  Referencias Cardona V, Ansotegui IJ, Ebisawa M, El-Gamal Y, Fernandez Rivas M, Fineman S, Geller M, Gonzalez-Estrada A, Greenberger PA, Sanchez Borges M, Senna G, Sheikh A, Tanno LK, Thong BY, Turner PJ, Worm M. World allergy organization anaphylaxis guidance 2020. World Allergy Organ J. 2020 Oct 30;13(10) Grissinger M. EPINEPHrine for Anaphylaxis: Autoinjector or 1-mg Vial or Ampoule? P T. 2017 Dec;42(12):724-725. PMID: 29234208; PMCID: PMC5720482.

Matt Grissinger, RPh, FISMP, FASCP is the Director of Education at the Institute for Safe Medication Practices (also known as ISMP).  During our conversation, we talk about ISMP's Targeted Medication Safety Best Practices for Community Pharmacy first.  Then, we talk about how to report an error, CPE available from past ISMP webinars, adding education on operations to the pharmacy school curriculum, and more.  This is a great episode for any pharmacist, pharmacy student, pharmacy technician, or pharmacy owner.  Medication Safety is important.     Thank you for listening to episode 280 of The Pharmacist's Voice ® Podcast!   To read the FULL show notes, visit https://www.thepharmacistsvoice.com/podcast.  Select episode 280.   Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!     Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Bio (May 2024) Matthew Grissinger, RPh, FISMP, FASCP is the Director of Education at the Institute for Safe Medication Practices (ISMP). He first joined ISMP in 2000 as an ISMP Safe Medication Management Fellow. Prior to joining ISMP, he served as a home care and long-term care pharmacy surveyor for the Joint Commission. He was project leader for the Hospital and Healthsystem Association of Pennsylvania (HAP) Hospital Improvement Innovation Network's (HIIN) Adverse Drug Event (ADE) Project, a collaborative project engaging healthcare organizations to reduce and prevent patient harm from the use of anticoagulants, insulins, and opioids. He has published numerous articles in the pharmacy literature, including regular columns in P&T and is a journal reviewer for a number of publications including the Joint Commission Journal on Quality and Patient Safety, Pharmacoepidemiology, Journal of Managed Care and Specialty Pharmacy, BMJ Quality and Drug Safety, and Annals of Internal Medicine. He is a chapter contributor to a textbook published by McGraw-Hill entitled Pharmacy Management: Essentials for All Practice Settings, Essentials of Nurse Informatics, Remington: The Science and Practice of Pharmacy, and Medication Errors. He is recently completed the Just Culture certification course. Mr. Grissinger serves as the Chair for the National Coordinating Council for Medication Error Reporting and Prevention (NCC MERP), and Co-Chair of the National Quality Form (NQF) Common Formats Expert Panel. He is also on the Faculty Advisory Board for the Pharmacy Learning Network (PLN) and the Publications Advisory Board for Davis's Drug Guide for Nurses. He also served on the WHO Focus Group on Measurement Tools for Medication Safety, United States Pharmacopeia's (USP) Safe Medication Use Expert Committee from 2005-2010, the FDA Proprietary Name Review Concept Paper workshop panel in 2008, FDA Naming, Labeling, and Packaging Practices to Minimize Medication Errors workshop panel in 2010 and the Joint Commission Home Care Compounding Pharmacy Technical Advisory Panel in 2013. He is also an adjunct assistant professor for Temple University School of Pharmacy. Mr. Grissinger received a BS in Pharmacy from the Philadelphia College of Pharmacy and Science and is a fellow of the Institute for Safe Medication Practices as well as the American Society of Consultant Pharmacists.   Subscribe to or follow The Pharmacist's Voice ® Podcast to get each new episode delivered to your podcast player and YouTube every time a new one comes out!     Apple Podcasts   https://apple.co/42yqXOG  Spotify  https://spoti.fi/3qAk3uY  Amazon/Audible  https://adbl.co/43tM45P YouTube https://bit.ly/43Rnrjt   Links from this episode Matt Grissinger on LinkedIn https://www.linkedin.com/in/matthew-grissinger-63231ab/  ISMPs new website

- Thưa quý vị và các bạn! Tốt nghiệp chuyên ngành Lịch sử tại trường Đại học Đà Lạt năm 2005. Với niềm mong mỏi được làm nhà giáo, anh Vũ Văn Tùng sinh năm 1980 quê ở huyện Diễn Châu- tỉnh Nghệ An sau thời gian công tác tại nhiều trường vùng 3 ở huyện Ia Pa, tỉnh Gia Lai anh đã quyết định gắn bó với ngôi trường Tiểu học -THCS Đinh Núp xã Pờ Tó, huyện Ia Pa, tỉnh Gia Lai. Hiểu rõ sự khó khăn, thiếu thốn của học trò vùng khó, thầy Tùng đã có nhiều sáng kiến, xây dựng nhiều mô hình hay, giúp giáo viên gắn bó với công việc, học sinh không bỏ lớp, bỏ trường. Từ sự giúp đỡ của thầy Tùng nhiều thế hệ học trò làng Bi Giông- Bi Da xã Pờ Tó, huyện Ia Pa đã trưởng thành, có cuộc sống khá hơn. Dân làng nơi đây thường gọi thầy bằng cái tên trìu mến Thầy “Đinh Tùng” coi thầy như người con thân thương của bản làng. Chuyện đêm hôm nay mời quý vị và các bạn cùng nghe những chia sẻ của thầy giáo Vũ Văn Tùng người con thân thương của bà con dân bản xã Pờ Tó, huyện miền núi Ia Pa, tỉnh Gia Lai. Tác giả : Xuân Ninh Chủ đề : VŨ VĂN TÙNG trường tiểu học- trung học cơ sở Đinh Núp --- Support this podcast: https://podcasters.spotify.com/pod/show/vov1sukien/support

I talk to psychologist Dr Christopher Kavanagh about the phenomenon of secular gurus. We discussed the secularism of latter day gurus, how they differ and compare to traditional cult leaders, what traits it takes to be a secular guru (galaxy brainedness, cultishness, anti-establishmentarianism), psychopathy/sociopathy, narcissism and techniques for avoiding manipulation. Here is a link to the "Gurometer" where you can find out more about how to spot your latter day gurus. Chris is an Associate Professor in Psychology at Rikkyo University and works in the intersection of Cognitive Anthropology and Social Psychology with a research focus on emotions, group and ritual psychology. Chris is also one half of the Decoding the Gurus podcast, a podcast that studies, discusses and examines contemporary  'secular gurus', iconoclasts, and heterodox thinkers such as Jordan Peterson, Joe Rogan, Lex Friedman, The Weinstein brothers, Russell Brand, Sam Harris, Noam Chomsky,  Ibram Kendi, Robin D'Angelo etc. You can view Chris's research profile here and also follow him on X (Twitter) here. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here. September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Pod Bean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.

Confused by VA terms? You're not alone. Over the course of the VA benefits process, veterans will encounter many abbreviations that VA uses to describe key terms. From your initial VA claim to your decision letter, there may be unfamiliar terms. Join us as we break down common terminology such as C&P Exam, RO, CAVC, BVA, P&T, TDIU, and more. For more information, visit our website at ⁠⁠⁠⁠⁠⁠cck-law.com⁠⁠⁠⁠⁠⁠ Follow us on social media: ⁠⁠⁠⁠⁠⁠YouTube⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠https://bit.ly/CCKYTL⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Facebook⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠https://bit.ly/CCKFBL⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Instagram⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠https://bit.ly/CCKINL⁠⁠⁠⁠⁠⁠ ⁠⁠⁠⁠⁠⁠Twitter⁠⁠⁠⁠⁠⁠ - ⁠⁠⁠⁠⁠⁠https://bit.ly/CCKTL

In this episode, MēL and PāT discuss with Ashley Leeds of LinkedIn fame, quite simply, 4 quick fixes for LinkedIn: ‌ Profile photo. Background banner. Headline. Contact details. ‌ So why don't you:LISTEN OUTLISTEN UP andLISTEN IN ‌ If you would like to get in touch with Ashley Leeds you can quite easily do so here via LinkedIn itself: ‌ https://www.linkedin.com/in/ashley-leeds-15-minute-guy/ ‌ Or as he says in the broadcast, simply Google “15 minute guy.” He should appear right at the top…. ‌ You can find more about CASE via our website where you will be able to link to our video and podcast channels, social media groups, our open regular monthly brainstorming meetings and also membership of CASE and a free trial of being part of your very own closed private Mastermind Group where you can brainstorm your ideas and challenges with other business owners. If you are really looking to succeed in business or your career you need to be asking yourself the question, "Why wouldn't I listen to the CASE Broadcast?" Join us: Website: https://casemastermind.co.uk/ YouTube: https://www.youtube.com/channel/UCW0rA_8xhXgFZZApcG4QXsw CASE Broadcast: https://anchor.fm/case-mastermind To your success, Patrick and the Team at CASEMastermind. team@casemastermind.co.uk --- Send in a voice message: https://podcasters.spotify.com/pod/show/case-mastermind/message

Lars Iyer is back! On this episode I talk to novelist Lars Iyer about the fiction, the writing process, the relation between literature and the world, a writers compulsion to write. We speak about a whole range of writers like Plato, Samuel Beckett,  Maurice Blanchot, Paul Celan, Margaret Duras, Thomas Bernhard. One of the things Lars suggests is that the value of literature is it utter uselessness. Like all good things! Lars is a  Professor of Creative Writing at Newcastle University. He is the author of several academic articles and two monographs on Blanchot -  Blanchot's Vigilance: Literature, Phenomenology and the Ethical  and Blanchot's Communism: Art, Philosophy and the Political.(Palgrave Macmillan 2004, 2005). He is the author of The Spurious Trilogy (Spurious, Dogma and Exodus), Nietzsche and the Burbs (2020) and now My Weil (2023) with Melville House Publishing. You can find out more about Lars here, you can follow him on Twitter @utterlyspurious. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here. September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Pod Bean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.

MēL and PāT run Helene Sewell through the paces in our favouritism round, to enable our listeners (both of them) to get to know a little more about our CASEBroadcast guests. Simply, Listen Out, Listen Up and Listen In… Want to get to know the gang in CASE? Come along and find out more at: https://casemastermind.co.uk/ --- Send in a voice message: https://podcasters.spotify.com/pod/show/case-mastermind/message

In this episode, MēL and PāT discuss with Helene Sewell the Business Navigator the following: How to improve time management? What are the key numbers that businesses should keep an eye on? How best to track and use numbers? You can read more on these topics below…. You can find more about CASE via our website where you will be able to link to our video and podcast channels, social media groups, our open regular monthly brainstorming meetings and also membership of CASE and a free trial of being part of your very own closed private Mastermind Group where you can brainstorm your ideas and challenges with other business owners. If you are really looking to succeed in business or your career you need to be asking yourself the question, "Why wouldn't I listen to the CASE Broadcast?" Join us: Website: https://casemastermind.co.uk/ YouTube: https://www.youtube.com/channel/UCW0rA_8xhXgFZZApcG4QXsw CASE Broadcast: https://anchor.fm/case-mastermind To your success, Patrick and the Team at CASEMastermind. team@casemastermind.co.uk Let's expound on those topics a little more… How to improve time management?The key is to be purposeful in how we spend our time more than being organised. 2 top tips: a. Fitting in the key value-adding activities in the diary first is a great way of making sure they happen like putting the rocks before the pebbles or the sand in a glass. b. Don't let yourself be distracted by phone, emails, WhatsApp social media etc while you are focussing on those key activities. Don't multitask, it is a waste of time. Dedicate times to catch up with communications and let your team and clients know when that is. What are the key numbers that businesses should keep an eye on?There are 2 types of key numbers. The upstream of lead numbers. They are used to drive behaviour or actions, for example, the number of prospect calls made in a week. The other type is downstream or lag numbers. They are numbers that drive motivation for example total new sales or the number of new customers in a week.It's different for every business but there are some that are common to all businesses such as the number of new leads, number of new customers, cost of acquisition of a customer, gross margin %Some more specific ones are conversion rates at key stages of the sales funnel and the total amount of recurring income. How best to track and use numbers?Some numbers need to be tracked weekly and some monthly. They should always be compared to a target so they can be reviewed and corrective action applied if required. When making the comparison between the actual and the target, it is important to start with the mindset that not hitting the target is not acceptable. Any negative variance should be investigated and action taken. Either the target is wrong or the activities didn't take place and should have. Having the discipline to look at the right numbers objectively is very powerful in keeping a business on track. --- Send in a voice message: https://podcasters.spotify.com/pod/show/case-mastermind/message

Fängelser för minderåriga kan inom kort bli verklighet i Sverige. Samtidigt verkar andra länder nu välja en helt motsatt väg. Lyssna på alla avsnitt i Sveriges Radio Play. Omkring 100 minderåriga sitter häktade i Sverige idag. Samtidigt som ungdomsbrottsligheten i stort går ner begår ett litet antal barn mycket grova brott, mord, sprängdåd och vapenbrott.En utredning föreslog nyligen att kriminalvården ska ta över ansvaret för merparten av de barn som döms för grova brott. Men barn har rättigheter som inte vuxna har. Rätt till vård och behandling, rätt till att få ha kontakt med sin familj - och skolplikt.-Det här är nytt för oss, men om det här är bästa lösningen så är vi beredda att ta det här uppdraget, säger Fredrik Thunberg, chef för Täbyanstalten. Fängelse för minderårigaVi besöker ungdomsavdelningen på Täbyanstalten där kriminalvårdarna nu förbereder sig för att ta emot 15-17-åringar och ställs inför frågor som: Är det ok att låsa in ett barn från 19.00 till 07.00?Agneta Bäcklund, som utrett frågan om ny påföljd för minderåriga, ser särskilda ungdomsfängelser som den bästa lösningen nu. Men hon påpekar att utredningen tror att den här förändringen kräver tid om den ska bli bra och har förslagit att den blir verklighet först år 2028. Samtidigt vill regeringen se ungdomsfängelser redan om 2 år.USA går åt motsatt hållEtt land som har lång erfarenhet av barn i fängelsemiljöer är USA. Där möter vi en kille som fängslades som 13-åring. Men trenden på andra sidan Atlanten har nu svängt och barns fängelsestraff ifrågasätts.Medverkande: Statens utredare, jurist Agneta Bäcklund. På Täby-anstalten utanför Stockholm möter vi kriminalvårdschef Fredrik Thunberg och Sami Tesfay chef på ungdomsavdelningen. Vi träffar Jonathan Eliasson som är institutionschef för SIS-hemmet Klarälvsgården i Värmland och hör Lotta Sylwander på FN:s barnfond Unicef.Programledare: Edgar Mannheimeredgar.mannhemier@sverigesradio.seProducent: Simon Mosersimon.moser@sverigesradio.seTekniker: Fabian BegnertReportrar: Fernando Arias, Ulrika Bergqvist, Rouzbeh Djalaie och Ginna Lindberg.

On this episode I talk with Chris Voparil from Union Institute & University about American philosopher Richard Rorty. We discuss Rorty's biography, his complicated relation with American Pragmatist philosophy and both analytic and continental philosophy, how Rorty dealt with accusations of relativism, his epistemological and moral pluralism, what Rorty has to say about solidarity and community building, how the academic left neglected economics  and forgot to talk about poor people, and what hope Rorty offers the  contemporary world. Christopher J. Voparil is the author of two books Richard Rorty: Politics and Vision, (2006) and Reconstructing Pragmatism: Richard Rorty and the Classical Pragmatists (2022). He is also co-editor of The Rorty Reader (2010), Richard Rorty: On Philosophy and Philosophers: Unpublished Papers, 1960–2000 (2020), What Can We Hope For?: Essays on Politics (2023). He is the founding President of the Richard Rorty Society. You can find out more about Chris here. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here.  September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Pod Bean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.

So what exactly is a sales funnel? Join us as Owain Williams discusses with MēL and PāT the following: What's a sales funnel? Why does a business need it? Who can build it? You can find more about CASE via our website where you will be able to link to our video and podcast channels, social media groups, our open regular monthly brainstorming meetings and also membership of CASE and a free trial of being part of your very own closed private Mastermind Group where you can brainstorm your ideas and challenges with other business owners. If you are really looking to succeed in business or your career you need to be asking yourself the question, "Why wouldn't I listen to the CASE Broadcast?" Join us: Website: https://casemastermind.co.uk/ YouTube: https://www.youtube.com/channel/UCW0rA_8xhXgFZZApcG4QXsw CASE Broadcast: https://anchor.fm/case-mastermind To your success, Patrick and the Team at CASEMastermind. team@casemastermind.co.uk --- Send in a voice message: https://podcasters.spotify.com/pod/show/case-mastermind/message

The Don Tony Show (10/7/23), hosted by Don Tony and presented by BlueWire. Some Topics Discussed: WWE loads up 10/10/23 NXT with UNDERTAKER, JOHN CENA, CODY RHODES, ASUKA, PAUL HEYMAN, BECKY LYNCH & JUDGEMENT DAY. AEW vs NXT go head-to-head 10/10/23 for ratings supremacy. DT discusses how current negotiations for a new RAW/NXT TV deal play into WWE loading up Tuesday's NXT AEW Rating drops for Adam Copeland Dynamite debut (800K). Did a DVR issue really lead to a substantial viewership drop? DT did the research and has the answers Ratings Report: AEW Dynamite 10/4/23 (Adam Copeland Dynamite Debut) & NXT 10/3/23 (Dominik Mysterio regains NA Championship) Betting odds for WWE Fastlane: Who is listed as -5000 odds of winning? WWE SmackDown 10/6/23 results plus: CARLITO? Rey Mysterio teases surprise partner at Fastlane; Cody/Jey/Cena/Knight brawl w/Bloodline & Judgement Day Alliance; Dragon Lee/Cameron Grimes join forces & more WWE continues to troll fans with a CM Punk quote during Seth Rollins segment on SmackDown Roman Reigns returns on 10/13/23 SmackDown & immediately begin the build to Crown Jewel Triple H also to appear on Season Premiere of WWE SmackDown 10/13/23; but why? 20+ Years? Florida D.A. recommends to Court that Tammy Sytch receive MAXIMUM Prison Sentence Fightful discusses latest on CM Punk/WWE: DT points out a major issue Tony Khan & AEW refused to handle that CM Punk must do before WWE return is possible. AEW Rampage 10/6/23 results & 10/7/23 Collision preview Former NFL player and P/T wrestler Russ Francis (70) dies in a Plane Crash

Ever wanted to know how to avoid NOT getting paid in business…? A problem that haunts many people involved in business. In this episode, MēL and PāT discuss with Catherine Hyde of HooperHyde this particular topic. Covering really important topics such as: What to look out for when reviewing contracts. Rewards and Liability. What you should include in your own T's and C's. How to ensure you get paid. What to do if you're not getting paid. Cashflow is king as they say, therefore, Listen Out, Listen Up and Listen In about how to avoid those dreaded stories of not getting paid or being ‘knocked' as they say in the UK. You can find more about CASE via our website where you will be able to link to our video and podcast channels, social media groups, our open regular monthly brainstorming meetings and also membership of CASE and a free trial of being part of your very own closed private Mastermind Group where you can brainstorm your ideas and challenges with other business owners. If you are really looking to succeed in business or your career you need to be asking yourself the question, "Why wouldn't I listen to the CASE Broadcast?" Join us: Website: https://casemastermind.co.uk/ YouTube: https://www.youtube.com/channel/UCW0rA_8xhXgFZZApcG4QXsw CASE Broadcast: https://anchor.fm/case-mastermind To your success, Patrick and the Team at CASEMastermind. team@casemastermind.co.uk --- Send in a voice message: https://podcasters.spotify.com/pod/show/case-mastermind/message

Discover 3 top tips for networking: What Networking is and what it isn't. Building relationships and the importance of the Follow Up. Brief overview of how to create an exciting and engaging 60 Second Pitch - why it's important to talk about the benefits of what you do rather than the services/products you offer - what problem do you solve for your customers /clients? Find out how to Network well! Get real ROI (Return On Investment) in your networking efforts and get potential clients coming to talk with YOU and not the competition. Join us while MēL and PāT talk all these things and more through with Pam Edwards. You can find more about CASE via our website where you will be able to link to our video and podcast channels, social media groups, our open regular monthly brainstorming meetings and also membership of CASE and a free trial of being part of your very own closed private Mastermind Group where you can brainstorm your ideas and challenges with other business owners. If you are really looking to succeed in business or your career you need to be asking yourself the question, "Why wouldn't I listen to the CASE Broadcast?" Join us: Website: https://casemastermind.co.uk/ YouTube: https://www.youtube.com/channel/UCW0rA_8xhXgFZZApcG4QXsw CASE Broadcast: https://anchor.fm/case-mastermind To your success, Patrick and the Team at CASEMastermind. team@casemastermind.co.uk --- Send in a voice message: https://podcasters.spotify.com/pod/show/case-mastermind/message

Det är 250 avsnitts jubileum och det har kommit lite regn. Vi praar om allt på olika sätt och har det kanon. Välkomna och hoppas ni skall gilla härligheterna. //P&T

On this episode of the podcast, I talk to Swedish philosopher Prof. Martin Hägglund from Yale University about his book This Life: Why Mortality Makes Us Free. The dominant theme of our conversation was  the meaning of freedom. Martin has a distinct notion of the demands of being free and we got into a detailed discussion about what freedom really means, how to think about it, how freedom is tied up with our social activities and just why our mortality is exactly the thing that makes us free. As well we talked about how human beings are a distinct kind of animal, a critique of posthumanism, Aristotle and living the good life, Kant's theory of freedom, how freedom is a form of sustained activity, and also why being free is just plain hard! Enjoy! Martin Hägglund is the Birgit Baldwin Professor of Comparative Literature and Humanities at Yale University. He is the author of four books – Kronofobi: Essäer om tid och ändlighet (Chronophobia: Essays on Time and Finitude (Brutus Östlings Bokförlag Symposion, 2002), Radical Atheism: Derrida and the Time of Life (Stanford U.P., 2008), Dying for Time: Proust, Woolf, Nabokov (Harvard U.P., 2012), This Life: Why Mortality Makes Us Free (Pantheon, 2019) – as well as several articles, interviews and podcasts. You can find out more about Martin here at his university webpage or here on his personal webpage. You can also follow him on Twitter: @martinhaegglund   If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here.  September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Pod Bean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.

In this episode of ABC's for Baddies, we cover the letters P-T. We talk about the power of the tongue, how to quiet your inner critic, the importance of routine, the power of self-evaluation, and how to manage your time effectively.Freebie: https://betterbaddie.gumroad.com/l/selfevalDownload my Self Care Guide Freebie: https://mailchi.mp/1b216a1a7f39/selfcarepillarsFollow me on Tik-Tok! https://www.tiktok.com/@bigquiquiFollow my Instagram: https://www.instagram.com/beabetterbaddie/Join the Telegram: https://t.me/betterbaddieListener survey: https://forms.gle/9y9X5MAzePyS8PG96Email me! beabetterbaddie@gmail.com

On this episode I talk to Prof. Joost van Loon about French philosopher and sociologist Bruno Latour. We talked about a lot! Joost taught me about Latour's actor network theory and while we were doing that we ended up chatting about the importance of concrete controversies, how objectivity works, the production of science, conspiracy theories, vaccine science, relativism, new materialism and Latour's late turn to politics and ecology. Joost van Loon is the Chair of General Sociology and Sociological Theory at Katholische Universität Eichstätt. He is the author of numerous books and articles. You can find out more about Joost via his university webpage here. Here is a link to Joost's book Discussing New Materialism which we mentioned on the show. Latour's book We Have Never Been Modern can be found here, and his late book on ecology can be found here. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here.  September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Podbean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.    

In part two of their trip to Tucson, Rhianna and Adam get an in real life chat with Alice B. Wilder and Forest Wilder, talk about their findings at the abandoned Lisa Frank warehouse, closing thoughts on the Tucson Erotica Art Show, and listen to another anonymous sex confession!Join our Patreon!https://www.patreon.com/BottledupbitchesCheck out Rhianna's Blog "The Read Room" on our website!https://www.crookedbunnymedia.com/thereadroomHead to us.funfactory.com and use code BottledUp for 15% off all ordersTwitter: @Bottleduptalk@CrookedbunEmail us at: bottleduptalk@gmail.comInstagram:bottledupbitchescrookedbunnymedia

Story: Time On My Hands, Part 9 Author: Laura W aka lauawill Rating: GA Site link: https://www.fanfiction.net/s/8368113/1/Time-On-My-Hands-9 Read by: red2007 Summary: Eight months after Voyager's return, someone paces the floors and waits. P/T, J/C. Used by the author's permission. The characters in these works are not the property of the Audio Fanfic Podcast or the author and are not being posted for profit.

A podcast with my colleague Dr Mark McKenna who is an Associate Professor at Staffordshire University. We talked about horror films. Specifically, we talked about the the snuff movie as a form of horror. We also talked about the cultural mythologies that have grown up around the concept of snuff, how this mythology transformed in the technological age as well issues pertaining to distribution, marketing and desensitization. Please note we discuss extreme violence and sexual violence in this podcast. You can find out more about Mark via his personal website and his university webpage. Dr Mark McKenna is an Associate Professor in the Film and Media Industries and Director of the Centre for Research in the Digital Entertainment and Media Industries at Staffordshire University. Mark's research is largely centered on cult and horror cinema, he is the author of Nasty Business: The Marketing and Distribution of the Video Nasties  (Edinburgh University Press, 2020) and Snuff (Liverpool University Press, 2023), and is co-editor of the Routledge collection Horror Franchise Cinema (2021), and author of the report Silicon Stoke 2023: Developing Film, TV and Other Content Production in North Staffordshire and is he is currently working on his third monograph, a study of the John Milius surf film Big Wednesday (1978) for the Routledge series Cinema and Youth Cultures. If you would like to study with me you can find more information about our online education MAs in Philosophy here at Staffordshire University. You can find out more information on our MA in Continental Philosophy via this link. Or, join our MA in Philosophy of Nature, Information and Technology via this link. Find out more about me here.  September intakes F/T or January intakes P/T. You can listen to more free back content from the Thales' Well podcast on TuneIn Radio, Player Fm, Stitcher and Podbean. You can also download their apps to your smart phone and listen via there. You can also subscribe for free on iTunes. Please leave a nice review.  

Medicine is broken. You didn't break it. It's not your responsibility to fix it. Between non-compete clauses, uneven schedules, ambiguous P&T processes, and “rules that only apply to certain faculty,” Medicine has insulated itself from radical change. The solution is to stop waiting on Medicine to change. The solution is to feel better first. Feel better Now. In this weeks' podcast, you get an all-new 3-step protocol on how to win in a broken system AND how to integrate it Today without adding to your schedule. In this podcast you'll get…. ✅How to get started ✅What exactly to do first ✅How to find all the answers You'll have results Today. THIS is how Medicine changes. It won't take a lifetime. It starts with us. We become the change we've been looking for from Medicine. First...we feel better. Then... our patient outcomes improve. The whole system improves. We pass on this legacy to the next generation. And they create even more change. And so on and so on. Don't Wait for Medicine to change to feel better. Feel better FIRST. Click the link below for an all-new protocol to Win Today.   PS. Like what you hear? Share this podcast with three friends. This is how we change Medicine. Together.

Medicine is broken. You didn't break it. It's not your responsibility to fix it. Between non-compete clauses, uneven schedules, ambiguous P&T processes, and “rules that only apply to certain faculty,” Medicine has insulated itself from radical change. The solution is to stop waiting on Medicine to change. The solution is to feel better first. Feel better Now. In this weeks' podcast, you get an all-new 3-step protocol on how to win in a broken system AND how to integrate it Today without adding to your schedule. In this podcast you'll get…. ✅How to get started ✅What exactly to do first ✅How to find all the answers You'll have results Today. THIS is how Medicine changes. It won't take a lifetime. It starts with us. We become the change we've been looking for from Medicine. First...we feel better. Then... our patient outcomes improve. The whole system improves. We pass on this legacy to the next generation. And they create even more change. And so on and so on. Don't Wait for Medicine to change to feel better. Feel better FIRST. Click the link below for an all-new protocol to Win Today.   PS. Like what you hear? Share this podcast with three friends. This is how we change Medicine. Together. PPS. We do this work every day in community inside my lifetime group coaching program.  We closed the doors to the public, you can still join by scheduling a complimentary consult at https://www.yourpathinfocus.com/. Get started today. Feeling better is exactly ONE THOUGHT away. PPPS. A few 1:1 private coaching seats are opening soon. The invitation is only for those in my lifetime group coaching program. Join today and stay tuned for the announcement.

We discuss different ways to increase leads on your site through personalization with the Head of Partnerships from Optimonk, Eric Melchor.   Website Personalization is the human-centric approach to CRO that focuses on the customers' needs first. It is about creating more relevant customer journeys that are unique, remarkable, and meaningful on a personal level. A journey that starts with a personalized welcome message, which is improved by relevant product messaging, and ends with an irresistible offer, tailored to each customer. In our Personalization Bootcamp, I'll give you a deep dive into the art and science of website personalization. I'll show you how to use website personalization to grow your subscriber list, get more leads, and boost the ROI of all your marketing activities – all at the same time!   Transcript   [00:00:00] Track 3: Welcome to the using the Whole Whale podcast, where we learn from leaders about new ideas and digital strategies making a difference in the social impact world. This podcast is a proud production of Whole Whale a B Corp digital Agency. Thank you for joining us. Now let's go learn something. [00:00:27] Track 1: This week on the podcast we have Eric Melcor from OptiMonk. And as I understand, OptiMonk helps brands sort of personalize create, custom experiences on this site so that they can, uh, make more relevant content. And he is the partnerships and personalization ambassador. Beyond that, uh, Eric, uh, is big in, uh, European startups as a podcast host. [00:00:57] He is a self-proclaimed mediocre tennis player and also, uh, passed founded fly movement.org. Uh, a nonprofit focused on, uh, I guess youth health and, and tracking them. And this was based in Texas. So Erica, welcome to the podcast. Thanks for. [00:01:16] eric_melchor: Hey, George. Pleasure to be here. Thanks for having. [00:01:20] Yeah. And I will say it was, uh, you know, it's interesting how various guests find their way here, and in this case, I have to hand it to you. Uh, you wore me down on email. [00:01:29] email. [00:01:29] honestly, and the way I'll say this, the way you did it was very clever because, you know, after a number of these, I'll just be honest, they get a lot of random, Hey, look at our software. [00:01:39] George: Look at our software. , you actually did the homework. Listen to a podcast and then ask me, uh, the following [00:01:45] eric_melchor: following [00:01:45] George: how does [00:01:46] eric_melchor: does [00:01:47] George: moon cut his hair? To which I had to see the answer and it was, he eclipses it. Um, perfect. I mean, it's just per, I was like, damn it. He has my attention now. Ah, and clearly that's your job, getting people's attention and then moving that toward a goal, a conversion. [00:02:07] Track 1: Can you tell me a little bit. Your work and your approach. [00:02:13] eric_melchor: Yeah. Well, George, I, I guess a question for you. Have you ever gotten a handwritten letter before? [00:02:19] George: I have gotten a handwritten letter before from not [00:02:22] eric_melchor: not [00:02:22] George: mom, but I have gotten handwritten runs from my mom as well. [00:02:26] eric_melchor: And it pro, you probably felt delighted, right? You probably, it gave you a sense of importance. Right, that feeling. And so with Opti Monk, uh, we try to give marketers the tools that they need to give that feeling of delightfulness and importance to their website visitors in real time. like you mentioned, we are a website personalization platform, uh, that allows you to create different messages for different segments, and those segments can be. like your v i P donors, maybe they are new visitors to your website who, uh, you know nothing about. Maybe they're visitors from a specific channel, maybe like a, a volunteer website or maybe somebody who just made a donation. And so what we do is, uh, give marketers the opportunity and the tools. Very easy to do. By the way, it's mostly a drag and drop interface, and you don't need to have any coding experience, but to just take a step back and, and, and ask yourself, okay, if I was in this visitor's shoes and if I was a person that didn't know about my ngo, what is a good experience for that person? Or if I just made a donation, what would be a. experience for a post donation. and once you have the answers to those questions, then we give you the, uh, the ability to craft that experience, uh, in real time for your website, for those, for your audience, for those visitors. [00:03:50] Track 1: and I'm curious. We'll be shifting our, our conversation to how, how we get those conversions and different tactics, uh, for, for doing that. I'm curious though, how, how that's achieved, given the clamp down on third party cookies and the ability to like, understand who someone is, right? When someone shows up to the site, like, I go there, you don't know that I am George, you know that I am maybe coming from California because of my IP address. [00:04:15] What are the ways that I am beginning to customize somebody? Who they are versus what. [00:04:23] eric_melchor: Yeah. It's all dependent on the type of browser they use. Um, so it's, it's really based on cookies. If they're using Safari, we will recognize that data for. Unfortunately for maybe just seven days, but if they're using Google Chrome, then we can actually know who they are and recognize 'em for up to about a year. so it's dependent on the browser that, the browser that's somebody using, and it's all based on cookies. [00:04:48] Track 1: Gotcha. are, I mean, do you have concerns? We actually just released an episode of how the, you know, cookie apocalypse as we're joking and how cookies are just gonna get mowed over by updates. You know, obviously we've already seen it in Apple and the land of Apple, uh, but they could be coming for browsers like Chrome, you know? [00:05:10] eric_melchor: How [00:05:10] How. [00:05:11] do you view that as, you know, a shift in the landscape of personal. [00:05:16] landscape, uh, we kind of welcome it because we are investing a lot in zero party data and it's, it's really actually, and lemme just take a step back. What is zero party data? Zero party data is the data that's actually based on directly from your visitor. And so if, if you have somebody that comes to your website, you know nothing about them, maybe you just have like a, a nice message for them that just says, Hey, we wanna make this experience as pleasurable as possible for you, can you just let us know? [00:05:47] Are you somebody interested in volunteering? Are you an individual donor? Are you maybe a corporate donor or something else? And once they, they make an answer, then you already know a little bit about that person. and you could probably take 'em to the part of the website that's most valuable to them. But you can also, once they made that answer, you kind of tag them and then put them into a segment that can also be carried over to your email marketing programs and initiatives as well. And so a lot of our, the brands who use Opti Monk really take advantage of our, um, what we call conversational message. And you know this, like I mentioned there, there's different ways to start that conversation, but one of the most popular ways is just have a message that appears, uh, when somebody goes on your website, and again, it's asking. What are you interested in? You know, can you tell us who you are? You know, it's, it's, it's basically like a welcome and, and really trying to hold that person's hand and just take 'em to the part of the website that makes sense for them. And so we're not relying too much on. level data because a lot of this shift has been over towards how do you start that conversation? How do you get that engagement? How do you start those micro engagements so where you can start letting the person know that you're there to educate them, provide value, and ho their hand? [00:07:06] And that's where we're seeing a shift toward a lot of the top e-commerce brands. Start doing that at the very beginning, [00:07:13] Track 1: Gotcha. So it's a chat interface or it's a popup, or it's a form somewhere that says, what are you up to? [00:07:21] eric_melchor: Yeah. Yeah. And I think there's a big opportunity for NGOs because NGOs, in my opinion, most of them are focused on that. Do donate now button. think 99% of NGOs you go to, that's the main call to action. It's donate now and you really have to look for, uh, where to sign up for the newsletter. I, I mean, I was doing a little bit of research this morning, for example, world Wildlife Dot. Had a hard time finding out where to subscribe to. The newsletters. You gotta go at the very bottom and there's like a little text link that says subscribe. Same thing with charity water.org and another, uh, NGO called st baldricks.org. Right? It's like they're hiding it. For some reason, they're hiding that, that part of what could be a really good experience because not everybody just like in the, in the for-profit. everybody is purchase ready. And when it comes to NGOs, not everybody is ready to make a donation right there and then. so I think they're missing out on the opportunity to collect or basically try to get somebody's email so you can continue that conversation, tell them your story, tell them more about you, so when they are ready to make a donation, they can go back to your website and do just that. [00:08:32] So it it. there's very easy things that NGOs can do now to actually grow their subscriber list. Uh, and I could share a few of those, you know, with you during our conversation. [00:08:43] Track 1: Well, that's great. I think we are on the same team when it comes to believing that the, the, the smartest ask the lowest friction, highest yield play for social impact organizations. is around getting that email, that permission to communicate, to borrow from Seth Code. And that permission to communicate list is that first and most important asset because again, not just for the purposes of donation, but for awareness, identity alignment, for social change, you need that communication bridge. [00:09:19] And it's one that you own, you know, as, uh, as far as it goes. You don't own that Twitter. , you don't own that LinkedIn, like you don't own anything built on somebody else's. [00:09:35] eric_melchor: Yeah. Do you know how powerful that email is? And so years ago, God, it's been almost 10 years, but I created an NGO back in Houston, uh, and I ran it for five years. Ended it in 2018, and, um, when I ended it, I stopped sending out emails or updates about the initiative. I, I went back into MailChimp and I looked at my list and I, I was doing something that was related to, to that NGO years ago, and I thought it'd be great to just kind of let people know what I was doing. I sent in a campaign out, literally four weeks ago to that list that I have not communicated with in over five years, and my open rate was above 30. And so it is so powerful where just like you said, it's like those people, they're not necessarily following you on Instagram or maybe Twitter or TikTok, or maybe they are, but whatever you own that, that is like an asset that even if you don't use it, you know, on a consistent basis, you should. [00:10:36] You definitely should, over time you could actually send out a campaign with a thoughtful headline, you know, good educational, valuable content, and you're, you're still gonna get eyeballs. So it's very important. It's the, it's the most important thing you can do, as you said. [00:10:54] All right, So [00:10:55] let's jump into it. Uh, and maybe we can go [00:10:58] can [00:10:58] back and forth with ideas. Cause I really wanted to, to generate a little bit of value for the folks listening in terms of what they should be doing. And I love talking about this in q1, where you should be building your list, you know? Planting, planting the seeds before the tree, digging the well before you're thirsty. [00:11:16] Track 1: Insert metaphor here for here. Give me one of your more clever ideas for acquiring emails as a social impact organization. What do you got? [00:11:28] eric_melchor: Yeah, I mean, this one, this one to me is a no-brainer, and it's called, we call it sort of an exit intent popup. so e-commerce brands use this. If somebody's trying to leave the website and maybe they had something in their cart and it's like a little popup message that reminds them, Hey, you know, these, these are the items that are in your shopping cart, or, Hey, before you leave, you know, here's like a 10, 10% off coupon or something. But if you're a, a nonprofit, can use the same tactic. I mean, anybody. When they leave your website or they hit the uh, uh, the back button on the brows button, uh, just have like a little popup message that just says, Hey, do you wanna stay in the know and get our emails? And just have that little message there, appear when they are trying to leave your website. [00:12:13] And we see on average that that will give you email subscribers anywhere in the range of eight to 12%, which is actually much higher than trying to get somebody's email at the very. When you really don't know anything about them and they haven't even started browsing your website or clicking around. Um, so that's like one thing that I would highly recommend that NGOs start testing or experimenting with. [00:12:38] Track 1: and I love the fact that you put the caveat exit intent. Uh, I get very nervous when I see nonprofits throwing a popup in the, uh, time to first screen and interrupting the content, uh, layout and risking content layout shifts of the site load, which is a fancy way of saying it. Don't. Piss off Google with your pop-ups cuz you'll be hurting more than you are helping. [00:13:03] So yeah, I'm, uh, I'm on board with the exit 10. [00:13:06] eric_melchor: Yeah. Yeah, absolutely. Um, another idea, [00:13:11] Track 1: Go. Oh yeah. What I. [00:13:12] eric_melchor: Okay, another idea. And I'm on, I'm, I'm on the same page with you. I do not wanna show any popups during this entire experience what, what we have in this, in, in, in, in this platform. And I'm sure other platforms have the same thing as, as what we call a teaser. And a teaser is just like a little message that can fit like in the lower left-hand corner of your website. [00:13:33] And it's like a little message that just says, Hey, get our emails to stay in the know, you know? And it. It doesn't, it doesn't really stand out, but it does catch attention. Um, and if somebody wants to, if somebody's curious and they wanna click on that to see more information than they can, and once it's clicked on, then obviously, uh, like a pop-up would appear and it says, you know, you know, get our newsletters to stay in the know. [00:13:59] Please enter your name and email address right there. So that's probably the second thing that I would recommend. After the x and intent popup message, [00:14:08] George: I like it. Uh, well, I think I like it. I want to, I wanna see it, see it in [00:14:12] eric_melchor: For [00:14:12] George: know, it, I feel like there can be a bit of a, , um, malaise that sits in with layout based email asks, right? They're like, oh, just stick it in your foot or stick it in your head or stick it in the sidebar. You know, that that sort of basic block and tackle of like, are, is it around there? [00:14:28] And then like, eventually the, the person that's amazing, they can just sort of have screen blindness to these things. Uh, and so, you know, I feel like some things can get lost. [00:14:36] eric_melchor: screen. [00:14:37] George: Um one I really like that I kind of go to is, uh, uh, various ideas framed around a content locker being. Here is a bit of information for free, but here is the entire list of 101 dma, and if you want the entire list of 101 DMA, hand over your email and we will give it to you right here. [00:14:57] eric_melchor: email. Yeah, I, I mean if that works, then great. You can probably, you know, continue using that. I didn't think of that, of that one for NGOs. Um, but what's important though, I think no matter what is that you have the right message for the right target, right? And so if you have specific landing pages and you know that, hey, on these landing pages, uh, it's probably a good opportunity to try and capture somebody's email address for somebody who is not yet ready to make a donation. but we don't wanna lose them. Um, and so on those specific pages, then you. know, present some sort of content, that could be very appealing, such as, hey, if you wanna get the a hundred list of 101 dalmatians, you know, sign up here and we'll, we'll get it to you. [00:15:41] So I think there's key landing pages that maybe are appropriate for that. [00:15:45] Track 1: All right. What else? [00:15:47] eric_melchor: Um, well, I mean, to be honest, I mean, those are the two tactics that I would try. First obviously donate. Now is, is the main call to action for NGOs, but the exit intent, the teaser pop up, and then the right message will be the other thing that I think is very, very, uh, important and the right message. If an NGO is doing any sort of like paid me to advertising maybe on Facebook ads, and so you have traffic come into your website and you. these people never heard of you and they didn't come in through, you know, organically, but they came in through a paid ad. Then on that landing page would be another opportunity to where you could have very targeted messaging for those visitors dependent on the ad. And so if that ad. That messaging that was on the ad itself make it very appealing and make sure that it's, it's the same sort of messaging or value proposition that's on the headline of that landing page. And I think once you have that, then it's, it's, it's much easier to try and get the, um, the email, uh, the email ask, uh, once you have your ad aligned with your landing page headline. And so that would, that would be the third tactic [00:17:00] Track 1: I'm glad you mentioned the value proposition because along the way you, you mentioned you, you have a new, uh, a newsletter pop up saying like, get the newsletter from us. And that's one of those like, sort of like triggering things for me when I see an organization trying to make their unique selling proposition, Hey, their user. [00:17:20] George: Would you like another email in your in. , do you know? Are people, if you walk around being like, you know what? Do you need me to hit you in the hand with a hammer? Cuz I have one. I'll do it. [00:17:32] You need another email in your inbox? [00:17:33] eric_melchor: inbox. [00:17:34] George: So I like that you said value proposition. Can you tell me [00:17:39] eric_melchor: compensation about [00:17:41] George: approach? [00:17:41] Anything maybe the product does, or what you've seen for message testing [00:17:45] eric_melchor: investing [00:17:46] George: getting away from? I will say the dreaded, like you need another. [00:17:51] eric_melchor: Yeah. Um, humanizing the copy, the brands that we work with, those that tend to have the higher conversion rates in terms of getting email subscribers are the ones where the copy is, uh, is humanized. [00:18:06] And what I mean by that, like off the top of my head, I think really good emails.com, they've gotta. And it says something like, hey, sorry to be an AHO and interrupt your experience here, you know, But I mean, it's just, it's just a really good copy that captures your attention you end up reading the entire message and, uh, you know, it's got this, it's got this humorous component, human touch, you know, that it wasn't like standard copy and paste corporate type messaging. [00:18:36] So if you can do anything. Maybe could put a, make somebody laugh and, uh, you know, that, oh wow, this person, you know, or this organization, uh, they're trying to, you know, human humanize a this approach, this human-centric approach, uh, that works well too. [00:18:55] Track 1: There's a term in, in marketing, communications and copywriting. Um, grabbing a, a swipe file and creating a swipe file. And this is just a, a funny way of saying like, , you should go around and shop for anytime you see something like that, something clever, a good framing in and around, adjacent or even not adjacent communication and, and, and save it and sort of prime your mind with ways of doing that because I think you're, you're right, you need to have something that breaks the third wall. [00:19:29] Something that stops the normal train. Consume and move. Uh, and so, you know, I dare say interrupt, but rather entertain is a, a good framing and a good approach. And, and too often just because a nonprofit works on serious issues doesn't mean they always need to be serious. There, there's a line there. Um, and I think it's possible to skate on both sides. [00:19:59] and you know, your point, I don't know, would work on a, you know, world animal protection being like, sorry to f and interrupt here. You know, we were busy with this tiger, but get on this email. Uh, you know, you wanna be careful. But, uh, when it comes to, when it comes to AB testing though, because we're gonna come up with a clever idea. [00:20:18] Cool. Does it work? Can you tell me a bit about your approach to AB testing messages? [00:20:26] eric_melchor: Yeah, I mean, that's what we recommend for all brands to do. It's very easy, e very easy to do within our platform. Uh, I'm not sure if you knew this, George, but Google is suning Optimizly. I think [00:20:38] George: Ah, don't [00:20:39] Track 1: get me started on the number of things. Google is sunset. That has me infuriated number one, universal analytics, number two. Is optimized like number three is just the fact that they're rebranding Data Studio as Looker, cuz they got Looker and now they're just getting rid of Data Studio. But it's like pretty much the same functionality. [00:20:56] But I'm, you know what, Google, just stop it. [00:21:00] eric_melchor: Yeah. It, yeah. [00:21:02] George: Rant. [00:21:02] Track 1: End. Rant. Continue. [00:21:05] Before I interrupted. [00:21:06] eric_melchor: Yeah, but that, that's the main thing that you should be testing. You could test headlines, you know, with AB testing. With the messaging, like for popups, asking for an email subscriber. You can test different popups that have a different image, different copy, or maybe even the different popup itself, maybe an exit and 10 popup versus another side message popup. [00:21:24] There's all kinds of ab testing that you can do within our platform, and, uh, you can see, you know, the results in real time also with the degree of statistical. Uh, significance as well. You know, if it's at least 90% or better, we show that too. Um, as as well. But, uh, the humorous approach, I mean, how did I get your attention, George? [00:21:45] You know, y I sent an email and I don't think I got a response and I followed up with, uh, with the joke, right? And so it works if that is your person. You know, if that is, if you're being authentic and you're being genuine, it works, right? And so if you're an, or if you're an organization and you're very professional and very corporate, like it's probably not gonna work If you, you tr first of all, it's not even gonna get past compliance and legal. [00:22:14] They're not , they're not even gonna allow that. But it really works. If that is your personality type, and I, I would say that I'm able to get a response back to more than 90% of people that who don't know who I am, but I end up sending them, you know, a code email or something, and I add a touch of humor, because. people under, people wanna work with people they like. And if you can make somebody laugh, then you're, that's, that's half the battle already. They're like, oh wow. You know, this guy put a smile on my face. And it's the same thing works with, we're trying to get somebody's email, maybe even trying to get somebody to donate. [00:22:51] Right. And it's engaging, it's like a fun micro engagement that I don't see brands take advantage of, enough in this day. And. [00:23:03] Track 1: Well, certainly in, in your approach, like look, you're, you are proof, proof to that statement right now, right? You got through I'd say a fairly high barrier of me ignoring the heck out of everything that comes in, uh, to my attention, the. Point though also as, as a tactic, you know, if you are doing that type of cold outreach, which, you know, fundraisers and communications folks do, when you're trying to get the attention of the c s r director at so-and-so, when you're trying to get Yeah, just a conversation at maybe the, the, the grant manager at what you callit trust, I think going back to what is your value proposition and how are you positioning who you are and what it is like humor has. [00:23:47] Um, and it communicates more than maybe we, we realize what I enjoy talking with this person. Does this person both see the cause, see the issue, see the world. And you know, how, you know, how humans really do orient around humor. And I think is, is undersold in, in what I see around social impact communication and certainly just as a tactic. [00:24:09] I think there's a lot to borrow. I think there's a lot to borrow here from, you know, I'll, I'll see this, this tactic more from, you know, folks that are, we'll call it SMILE dialing and emailing [00:24:21] George: for, [00:24:22] Track 1: for attention, but there's a lot I think nonprofits could borrow. What do you think about that? [00:24:28] eric_melchor: Absolutely. Um, when I was at Bonura and people would come on board for like a free trial, you know, all of us, we would try to send, uh, a personal video. And I found that once I started telling people jokes, specifically like cheesy dad jokes, like, Hey, when does a joke become a dad joke? When it becomes apparent, 20% of people would respond with a video of their own and tell me a dad. You know, and , it just, it just really, it just really broke down Barriers started the conversation and the conversion rates compared to just sending anybody a personal video and just saying, Hey, hi, welcome to have you on board. Um, it blew those, you know, through the roof. I mean, significantly higher when you, when you try to add humor. [00:25:14] And I do the same thing on LinkedIn too. When I connect with somebody and it's somebody that I do wanna engage with, you know, if I just send them, uh, a really nice message, even with a little dad joke or whatever. I actually get a lot of responses back. People are sending me jokes as well. So, uh, I think it, if you could put a smile on somebody's face, um, it just really opens the door for further communication, just as it did with you, you and myself here. Um, and that kind of clever, that kind of humorous approach. Really works well for any sort of organization that is trying to start that conversation, that initial conversation, uh, whether it be a customer, a potential donor, maybe somebody that they just wanna continue that communication with in the form of a newsletter or email. [00:25:57] And it works, you know, it, it works. It's been working for me over the past three, four years. And, uh, I've had nothing but great, you know, great results from it and created lots of different friendships, relationships, and contacts, uh, because of that. [00:26:14] Well there you have, we had, we had to get you to minute 26 of this podcast. [00:26:18] podcast. [00:26:19] but there it is. There's the gem for you. You can stop listening. Dad jokes. Dad jokes convert. Simply put, you could stop listening now, or maybe there's more, but there's probably not, uh, I, you're, you're just talking to somebody who has taken great pride in the fact that we index, I think, [00:26:35] think. [00:26:35] positions, whatever, one, two, or three in the top, top few for non-profit jokes. [00:26:42] George: Um, because I thought it was funny and I just put a bunch of dad jokes as non-profit. Simply because, uh, simply because, but getting back to [00:26:52] eric_melchor: getting [00:26:52] George: idea of AB testing, I think this is critical, uh, because just setting it and forgetting it, [00:26:57] eric_melchor: it, [00:26:57] George: uh, is betraying the point of doing the work in the first place. Do you have any stories or anecdotes or testimonies of being like, you know, I did [00:27:07] eric_melchor: I [00:27:07] George: thing and then suddenly the conversion rate doubled. [00:27:10] eric_melchor: Right? That dream of like two x it, because here's the power. and I don't think we, we get it. [00:27:16] it. [00:27:16] When you double a conversion rate, you have doubled your effective ad spend. You have doubled the efficacy of all of the hours of work you put into writing content. You've doubled the downstream net income that comes from the value per email. [00:27:35] Track 1: It, it is so. and it takes sort of so little time, but it is so overlooked and I like, I try to frame it in different ways, but do you have, what is your stump speech on this? Do you have any stories? [00:27:47] eric_melchor: Yeah. Uh, I remember when, again, back to the personal video and welcoming somebody that, that was coming for free trial for Bonura. I, um, I started experimenting with after I said the dad joke, right, where we could tell if it was like a SaaS company or if it was an ngo. Or if it was an e-commerce, uh, company, uh, or if it was like an agency or something else. if we were, if we knew that information, um, we would see it before we would send out the video. And what I would do is the call to action would be specifically for. That specific industry. And we had case studies. So for example, uh, if you were an agency, we had case studies about agency owners who started using bargi and they were able to get more clients and more demo calls, uh, because they were sending out personal videos if you were in the education space. [00:28:42] We had case study on a university that started using uro and uh, they saw that application rates started. Went up like 25% because they were sending out personal videos to potential new students, uh, at the university. And so once I started including a specific call to action that was tied to that industry in the, in the video that I was sending out. the conversion rates, but more than double, I mean, we were seeing clickthrough rates go from, on average, from like 15% to like over 35, 40 5%. And we knew that we had a winner right there just because we recognized who they were. and once we knew, were able to recognize who they were, then, you know, we could insert content that was most appealing for them. [00:29:26] In the case of a. Right. AB testing, you know, different headlines or different value propositions for the different, uh, visitors that are coming in from different segments. And so with a platform, with the personalization platform, it should have the ability to trigger a different headline, a different copy, a different image, or a different graphic. [00:29:50] Based on the source. So if you want to, if you're doing, you know, a lot of visitors, you have a lot of visitors from Instagram or maybe Facebook, you can actually show them a different message, um, on that landing page. But even better do an AB test where you have two different messages trying to appeal to visitor visitors. [00:30:08] Or maybe you don't even want to a ab test the headline. Maybe you just have a regular experience. But for 50% of the visitor, visitor. you're asking them a survey. And on that survey you have a few questions that you're asking them so you can do different things, um, uh, based on the source of where they're coming from. Um, also, you know, based on, um, Uh, the type of visitor. So maybe it's a returning visitor, maybe it's a v i p customer. You already have them in your C R M and you already know who they are. and then also, you know, new visitors as well. You can also ab Tess, um, with those visitors as well, so starting to get carried off there. [00:30:46] But yeah, it's a fun approach. I always, my, my philosophy is you can't really call yourself a marketer if you don't do AP testing. Point, point, break. [00:30:56] Track 1: Well, you can call yourself whatever you want. Can't call yourself a good marketer. [00:31:00] eric_melchor: Yeah. [00:31:01] Track 1: Uh, I think also with, with nonprofits, they have access to other other means, including now limited to the Google Ad Grant, which is 10 K a month in kind of search advertising. now you can tune and fix all day on the top of that funnel and get, you know, after a certain point diminishing returns on, on that traffic. [00:31:21] But looking at the landing pages, looking at what you do with that traffic once it's on your site, like you can then look down the marketing funnel and then remember when you get those improvements, it magnifies the value of that attention because you're converting it, turning it into the permission to talk to somebody. [00:31:39] But it's only through that, that activity. Of AB testing. [00:31:43] George: Alright. [00:31:44] eric_melchor: Yep. [00:31:44] George: Yeah. [00:31:45] eric_melchor: bringing back memories. I remember when I started my nonprofit, I didn't find out about that program till like over a year. And when [00:31:51] George: Oh gosh. [00:31:52] eric_melchor: like, why didn't anybody tell me about this? You know? Yeah. [00:31:58] Track 1: Well, I mean, whole whale. We have, uh, free resources on how to set that grant up to maximize it and what you can get out of it. We spend a lot of time trying to give away that information. Um, we even have a, a trained cohort coming up where, um, you know, that. Nonprofits limited. 25 of 'em can, uh, can be a part of it, uh, because it's such a powerful tool. [00:32:19] But it's also, you know, it, it's important because all that glitters is in gold. There's a diminishing return after maximizing it, and then it's just about managing it efficiently for, uh, what it's good for. So before you run off, if you've never heard of this before, be like, oh my gosh, I'm gonna start a nonprofit just to get this grant and I'm gonna take over the world. [00:32:36] Like, read the article first. [00:32:38] eric_melchor: yeah. Yeah, absolutely. [00:32:41] Alright, Eric, anything else that you wanna leave with our audience as a, a tip or guidance [00:32:47] Guidance? [00:32:48] on the upside of personalization? [00:32:51] Yeah. Website personalization is a bit like Google Analytics and everybody thinks that, oh, I know how to use Google Analytics because they figured out, figured out how to create an account. And get it working. Um, but the thing is, is that you really want to try to go to. Get as much education as you can. [00:33:08] Maybe go to our workshop. We have free workshops, free website, personalization boot camps. I actually conduct those and we walk you through our process we actually show you a lot of, uh, the best practices that top companies do, small and mid-size organizations on how they use website personalization. [00:33:27] And we provide free resources along with like a checklist. And based on that checklist, you actually will uncover, um, top ideas and experiments that you can do that are going to give you the biggest ROI based off the reach, the impact, and um, the expected effort. And so once you have that, then you have an idea in terms of what should be the priorities of what I should focus on next. [00:33:51] And then we also have like playbooks and how you can implement those for, uh, for your website. So, um, that URL. Optum munk.com/bootcamp and that that's the what I highly recommend. That if you wanna learn more about website personalization, then check that out. [00:34:08] George: Well, we normally end our show with rapid fire. I'm going to cherry pick some out of there because typically we're talking to non-profit leaders and focused conversations. But I, I'm gonna throw some random questions at you. Uh, please keep your answers super short and here we go. [00:34:23] eric_melchor: Okay. [00:34:23] George: is one tech tool that you have started using in the past year? [00:34:27] Track 1: We cannot say optimum. What is it? [00:34:30] eric_melchor: One tab. [00:34:31] Track 1: One tab? [00:34:32] eric_melchor: Yeah. Have you heard of this, George? [00:34:35] Track 1: No. What? [00:34:36] eric_melchor: No. So, you know, every marketer has like 50 or 60 tabs open and it makes your website, you know, your, your computer run slow anyway. Um, Uh, for, it's for Google Chrome and you can use it in basically just kind of hides and, and saves in the back, keeps it, keeps it in the back, all those tabs and you can very quickly, uh, find them. [00:34:57] But it just saves a lot of me memory. Um, you know, while you're using Chrome and you don't have to have 50 tabs open, you can just have one or two. It's called Onet tab. [00:35:07] Track 1: what is one tech Dragon Tech problem issue that you are currently battling with? [00:35:13] eric_melchor: Uh, text Expander. This is another third party tool. Um, it's a great tool that allows you to just to type a few different keys in and it'll auto-populate the rest of the message. [00:35:23] George: this a G [00:35:23] Track 1: P T three game? [00:35:25] eric_melchor: no, the problem that I found out is that if you have LinkedIn open at the same time, LinkedIn, um, thanks that you're using it as sort of an automation tool to try and connect with people. Autom messages people on LinkedIn. And so I actually have my LinkedIn account like, like pause for like 24 hours because of this thing. so that's the thing that I'm currently battling. It's called Text Expander. It's a good tool but just can't have LinkedIn open or can't have it open. When you're using LinkedIn, [00:35:57] Track 1: Okay. Uh, what advice did your parents give you that you either followed or didn't? [00:36:03] eric_melchor: uh, I would say the advice, it was not so much like words, the advice, but more of actions and, uh, my dad, when we were kids, he had this like mini Mitsubishi truck and I remember the windshield wipers and stop working and he never replaced them. And so it'd be like raining and he would, you know, be trying to drive out there in the middle of the night. Couldn't see. Couldn't see. And I've always just, it's not necessarily advice, but it's one of those things that you learn from and you, you learn like what not to do as a parent. And now that I'm a parent, it's like that's something, you know, stupid things like that I would never do. [00:36:47] Track 1: Who is the most important mentor that you've had, and how did you come across? [00:36:52] eric_melchor: Oh, uh, my most important mentor would be secondary mentors. And so that's just a lot of different books, everything from, oh God, Napoleon, to, uh, God, I mean even, even and, and different coaches like Pat Summit, Vince Lombardi, um, did a lot of reading when I was younger. I just didn't really have a lot of access to good mentors, um, or people in my family. Um, you know, I'm first college graduate in my family, so, uh, secondary mentors were just a lot of books that I, that I read so many [00:37:30] Track 1: What is something you think you should stop? [00:37:37] eric_melchor: mm. You know, I've, I'm really happy with my life right now and the person that I am, the parent that I am, the father, that I am, the husband that I am. I think of one thing that comes to mind is, um, I haven't written any handwritten letters to my family, I think in over a year. And so that's something that I should start doing, but that's like the first thing that comes to mind. oh, I know what I should stop doing. Eating, eating candy and junk food when I go to. It's 10:00 PM I go to bed and I go grab some, a candy bar, and I'm eating that. That's, that's what I should stop doing. [00:38:11] Track 1: Yeah, you gotta put the Gremlin law into effect. No feeding after a certain period of time. [00:38:15] eric_melchor: Yeah. Yeah. My wife is, uh, to blame for that one. [00:38:19] Track 1: Well,      

Now that we understand Operational Definitions (see Part 12), it's time to figure out how to use them to get the improvements and results you want. Andrew and David talk about examples of useful Operational Definitions and how they can impact all aspects of education (and beyond!) TRANSCRIPT 0:00:00.0 Andrew Stotz: My name is Andrew Stotz, and I'll be your host as we continue our journey into the teachings of Dr. W. Edwards Deming. Today, I'm continuing my discussion with David P. Langford, who has devoted his life to applying Dr. Deming's philosophy to education, and he offers us his practical advice for implementation. Today's topic is how to start setting operational definitions. David, take it away.   0:00:27.1 David Langford: So in a previous podcast, we talked a lot about the need for operational definitions, and how that improved systems, and why do you wanna do that. Well, that's part of what Deming talked about with profound knowledge and systems thinking, and it's really important. But the nuts and bolts about how do you begin doing that. Well, the first thing you need to do is to figure out what system am I working on, is the number one thing. What am I trying to improve or design? Am I trying to improve the system of behavior? Am I trying to improve the system of the learning in the classroom? Or whatever it might be. Or maybe you're a principal and all of a sudden you realize, "My teachers, they don't all show up on time to the staff meetings," Right? So staff meeting's supposed to start at 3:40, and we don't ever get a staff meeting going till four o'clock, so... I know when I go places and they're not getting started promptly, etcetera, I'll say things like, "What time do you usually start your eight o'clock meetings?"   [laughter]   0:01:42.3 DL: Yeah, it usually gets people to go, Oh, yeah... Sometimes they'll say, "Well, usually about nine o'clock, so."   0:01:47.9 AS: And, David, I have a story I wanna share that I think can kind of lead into this, is that I was involved with a master's in marketing program here, about 75 students every time. And then I'm also involved with a MBA, an executive MBA program with another university. And one of the things that's interesting is the master's in marketing program, 75 students, so these classes are big, pretty big, 75 students, not one of them was late, ever. All 75 were in the classroom, door closed, when it was time to start the class and I started. And the other one I was just meeting out there, and we were at an event where I was teaching, and they said, "Look, really sorry, we try to pull everybody together but they're always late," and all that.   0:02:31.4 AS: And I was just like, this is interesting, the difference here. 'Cause it's the same cohort of people, it's the same group of executives and smart people in Thailand that are pursuing a degree. And the guy asked me, and I told him the story about the other university, and he said, "How do they do it?" And I said, "Well, they set a pretty clear standard of, look, this is important to us that you're on time, and we're gonna lock the door, and if you're not there at the time that it starts, you can't go in until the break. And we're gonna get class leaders to support this, we're gonna get alumni to support this, to say, this is part of what makes us unique."   0:03:06.9 DL: There you go.   0:03:08.1 AS: And I saw a very different outcome.   0:03:10.7 DL: So there you go. That's an operational definition. And whether or not you agree with it or not, you can see by having that operational definition at the one university, you've got a level of function that you don't have at the other university, you got a level of dysfunction, because they haven't taken the time to really do that. Really define what does that mean? And so when that happens, then you're dealing with all this variability, variation from students, variation from professors, variation from everybody in the system, and the overall system is not optimized. So it just keeps coming back to what we talked about before, but in this session we wanted to get into a little bit about, how would you begin setting an operational definition? What does it look like?   0:04:06.1 DL: When I work with, say, elementary teachers, I say, start the very first day, the very first thing, so... And start operationally defining what kinds of standards and what kinds of things you wanna have happen. Something so simple about, "Every time you hand a paper in, we want you to put your name on the paper." Okay, well, let's have a discussion about, let's operationally define, what does it mean to put your name on a paper? And sometimes people look at you and say, "Hey, what are you talking about?" Well, do you want first and last name? You just want a first name? Do you want it in the upper left-hand corner? The upper right-hand corner? Do you want it just anyplace on the paper, you don't really care? Well, if it's just random, if it's just anyplace on the paper, but my name's on it, well, that means that you as the teacher, every time you get a paper you're gonna be searching, trying to find somebody's name, right?   0:04:58.9 AS: Does it need to be clearly written?   0:05:01.3 DL: Yeah. Yeah, and what is clearly? I have no idea what that means. So we might have to have a discussion as a class and start to talk about, what does clearly written mean? There are some things to that. Well, clearly written means all the lower case letters need to be the same height. Oh, okay. So I'm thinking about that and I say, "Is my name clear, all my lower case letters the same height? Well, no, they're not." Okay, well then I can fix that, can't I? Right? So you can get clarity around these things if you really are thinking like this from the very beginning of bringing people into a system. As things get more and more complicated, and let's say that you wanna have a whole group of people come to a common definition, or a common operational definition on something. I started a process years ago of, in my classes, working with students and staff too, but anytime we needed to define something everybody would write it down, and then we'd pass it around and start to share those definitions and begin to talk about it.   0:06:20.9 DL: But then over the years, that sort of evolved into a tool that we call... Nowadays we call P³T. P to the third power T. So what it actually stands for is, the P³ is the paper passing purpose tool. And that came from one of my students one time, he said, "Oh, this is P to the third power." And so we just named it that, and it's become a popular way to define things. But what you do with that... I've done this with school boards. They wanna define certain terms with the school board and everything. So let's do a P³T. So what you do is you take... You wanna get everybody's opinion without it being tainted by other people, you just start having a big discussion about how you should define something or you can take a vague word, like we talked about last time discovery, but you could take a word like behavior or discipline or anything you want and you realize that everybody's got their own definition of what that means, but to optimize the system, we all have to have a common definition of what that means.   0:07:33.6 DL: So you take all the people in a group, usually try to... If I've got more than about five or seven people in a group, then we'll break that up into multiple groups, so it might have... So let's say I'm gonna do this in a classroom, and I wanna get everybody in the classroom help contribute to an operational definition. We might just put everybody into groups of five to say eight people, and just start the process, and so then we state, "Okay, well, we wanna have a term on a quality work." There's a vague term, we want all the work...   0:08:14.1 AS: Good quality around here.   0:08:15.7 DL: Yeah, quality work, we want everything that comes in to be quality. So well, we better define what that is. So first thing I'm gonna have everybody do is write down their own personal definition of quality work, right, and they're gonna write it on this paper, and then very simply, everybody then just passes it to the right or the left, and when you get somebody's paper, then the first thing you're gonna do is read that person's definition of that term. Whatever it is you're trying to define, and as you're reading it, you're gonna automatically come to certain phrases or words where you have an affinity for that and you're gonna go, "Oh yeah, yeah, yeah, I agree with that." So if you agree with that, what you do is you just underline it, okay, and so when you get finished, that paper has a bunch of things underlined and some things not underlined and then when you're finished with that, you pass it to the right and everybody keeps passing your paper around until you get your paper back.   0:09:14.5 DL: And if something's already been underlined once, then when I get it, if I also agree with that then I'm gonna underline it again, or if there's not enough space for that, maybe I'll put a check mark by it or just something that identifies that, okay, I agree with that, or I think that's a good idea, right? So when I get my paper back, I actually have the feedback from five to seven other people about what they thought about my definition, which is pretty interesting, right? Did I have a lot of people agree with me on certain things or maybe things that I thought were really important, nobody agreed with me on that, or nobody underlined that. They didn't think that was important at all. So you got all these definitions and papers, but you've got a chance for people to see everybody else's definition. And now we wanna start combining that into an operational definition agreement with the group. If you try to...   0:10:16.4 AS: And before we get to that.   0:10:19.0 DL: Go ahead.   0:10:19.7 AS: Before we get to that step. Can I just highlight? You talked about this idea of each person writing down their opinion so that they're not tainted by the influence of others, and that really is such a powerful first step. Because you could imagine that somebody would write down, "We've gotta be on time. That's what makes quality work to me." And now you end up... You start to expose pet peeves, maybe you call them, and then once you start... That starts going around those pet peeves kind of all of a sudden you realize that nobody underlined that, and then you think, "Oh, okay, that's interesting, I guess that's really important to me, but maybe it isn't." So that first part of the process that you've just defined of passing that paper around, I think is really valuable. So now, let's imagine that that paper has now come back to you. You're going, "Holy crap. I see some things that people agree with, but nobody underlined some of the things that I thought was important." Now you go to that next step. Tell us about that.   0:11:21.5 DL: Yeah, well often when I start with groups, a lot of times they'll have somebody that says, "Well, can we just discuss this before we start?" No, no. Absolutely not, because I don't want to give you the chance to intimidate somebody else in the group. Well, everybody here just knows what on-time performance is, right? And everybody here knows that it's this, and everybody here agrees with me. No, so psychologically, you don't wanna give people that chance to dominate a group ahead of time, and a lot of times our meetings are like that. Just full of that stuff. And by the time you actually get around to doing something or doing some work, people are so jaded, so upset that they just don't say anything, they don't wanna participate.   0:12:14.3 AS: And that's because let's say one person is kind of... They're persuasive, they have strong opinions, they tend to dominate of what it is, and we can say... There's a common word I hear a lot in America is inclusive, and one of the objectives of those people maybe is not to be too inclusive, and what you're saying is that when you're passing around that paper, it's a raw experience, you are forced to be inclusive of all people's ideas. And then you start to...   0:12:44.6 DL: And opinions and you may even have it, this is common students, that kids blow off things right, they just... They don't do it, or they put down something frivolous or silly or whatever it might be. Well, when they get their paper back and nothing on there was underlined, they start to get the picture like, Oh, okay, well, that was kind of a waste of time, right? That was just silly. And so next time around, you're probably gonna see that person take things a little more serious, a little more focus, think about things themselves before they get started, and you haven't had to say anything. They got the picture. Alright, so you got this paper back and you got these certain things, so now how do we move from... So we started with the individual and then we went to the group, and then how can you move that to a whole, say a whole class or a whole system depending on the size of the group.   0:13:39.9 DL: So probably the simplest way I've ever done it is I'll just ask somebody to start and say, "Tell me one thing that is underlined on your paper." People say, "Underlined a lot or a little or?" It doesn't matter. You decide, what was underlined on your paper that you think is important? And they'll tell me something, so we'll write that on the flip chart or the board or whatever it might be. Then you go to the next person and you say, "Okay, what do you have that's different?" And then you go to the next person and you say, "Okay, what do you have to add that's different?" And what you're doing is you're removing redundancies, you're removing all kinds of things as you go through, and people are starting to think harder and harder and look at their own paper and start to say, "Okay, these three things have already been listed, so I guess I don't have anything else to add." So once I go all the way around a group like that and I've removed all the redundancies, now we've distilled this down into what this group thinks is really important.   0:14:50.4 AS: And when we list those down, we're now listing down everything that's different. So we could have seven different things on that list.   0:15:00.0 DL: Oh, yeah.   0:15:00.2 AS: Would that be correct?   0:15:00.3 DL: Oh yeah.   0:15:01.1 AS: Okay. So now we got a long laundry list kind of thing. What do we do next?   0:15:06.7 DL: It can be, or it actually usually comes out much more concise than you think it's gonna be.   0:15:15.6 AS: Okay, because they've already kind of brought it down by underlining...   0:15:19.0 DL: That's right.   0:15:19.6 AS: And not underlining. Okay.   0:15:21.2 DL: That's right. There's other prioritization tools you could do and all kinds of things, but it takes a lot more time and etcetera. So now I've got this list.   0:15:29.3 AS: So let's say what, three... Two to five things that people have said?   0:15:34.0 DL: Yeah, it could be more like nine, 10, 12 things on this list.   0:15:38.7 AS: So we've got a long list?   0:15:40.2 DL: Yeah. So now how to... Let's say that I've got six groups of people in one room, each group has 5-7 people, but I wanna end up with a common operational definition for the whole room, right? Then I simply go to one group and say, "Okay, what do you have on your list?" And basically, I'm doing the same process but with groups. And this group says, "Oh, well, we said this in our group." Okay, so we're gonna write that down. I go to the next group, "What do you guys have that's different?" Then I go to the next group, "What do you have that's different?" And you just keep going around until everybody's... There's nothing left. Nobody has anything left.   0:16:18.6 DL: You talked a little bit about standards-based learning, how ambiguous that is. Well, here's a great way to take a whole staff and say, "Okay, well, let's try to define what we think this is, what does standards-based learning mean?" So first, what does it mean to you as an individual? And then how does my opinion sort of... What's the juxtaposition of my opinion with a group and then the thinking overall with the bigger group? So if I do the exact same process now with a group of 30 people within 10-12, 15 minutes, we've distilled it down to all the kinds of things that we think are really super important of this concept.   0:17:04.6 AS: Can I just go back? Okay, so first thing we did, we had... We broke people into different groups. So let's say we have, I don't know, five groups of six. And each person wrote down what they said their definition of that particular thing is, quality work or whatever, and then we push it around in a circle and people underline the things that they agree with, then we have... We then go up to the board and we say, "Okay, let's just get a laundry list of the different things," and we may have five, we may have 10, we may have 12, whatever, we have our list. Now, all of a sudden, you got other groups that have their lists. Now, what I'm trying to understand is that the next step, when you bring the other groups lists of 5-10 different things, are you...   0:17:49.4 DL: So basically, I'm doing this exact same process. I'll go to one group and say, "Okay, tell me something that you have on your group list... "   0:17:56.8 AS: That's different from this.   0:17:58.0 DL: "That you thought was important." And they're gonna tell me one concept. And then I'm gonna go to the next group and I say, "Okay, what do you have that's different?" And they'll tell me something else. Then I go to the next group, "What do you have that's different?" So I'm doing the exact same process, only with groups. And so I'm limiting redundancies again.   0:18:14.6 AS: And let me ask you a question. If you ended up... When you did the first group, you ended up with let's say 10 things. Then you go out to a group of groups, then you're gonna add probably on another one or two because one group had something that was different. So now you've got a list of 12 things or what happens by the end of that process?   0:18:35.0 DL: Could be. It's gonna distill it down, and sometimes it's phrases or even sentences or things that you wanna have in this operational definition. So at the end of this, you've got this concise document. Now, it's not a flowery paragraph or a statement or anything like that yet, but it is a list of everything that everybody in this room said is very important with this operational definition. And everybody in the room should be able to see how my contribution was folded into the whole. Because I can look at that list and go, "Oh yeah, I was the one. I said that."   0:19:15.8 AS: Because we didn't eliminate... Well, we could have eliminated something. If you had an idea, for instance, about quality work, let's say that it's on time and nobody else underlined that, well, then you can say, "Well, the group really doesn't see that as valuable as I saw it. So, okay, that's off." So we've eliminated some maybe pet peeves or frivolous things, and now we've a solid list.   0:19:37.1 DL: Yeah, and that's exactly what happens.   0:19:38.2 AS: We've got a solid list.   0:19:38.5 DL: Yep, that's exactly what happens.   0:19:41.4 AS: And then once we've got that solid list is what we wanna do then is just say, this is a list of everything, or do we then prioritize it, reduce it down, tighten it? What do we do from that point?   0:19:53.2 DL: Yeah, the answer to those questions is, it depends. [chuckle] So it really depends on what it is you're trying to do at that point. I find that a lot of times we're trying to operationally define something that's been kind of vague in the past, once we get that list and get it to that point, that's about all we need to do right now. We could spend weeks or months arguing about commas and coming up with some kind of statement that brings it all together, but you don't really need to do that because we've all agreed that these are all the things that we think are really important about this concept, and so that is our operational definition. Now, when I used to do this with students in classrooms... Yeah. But I'm gonna define something like quality work or on-time performance or any of those kinds of things or tardiness or anything. I'm trying to get rid of problems, right?   0:20:52.0 AS: Right.   0:20:52.7 DL: And so I'm gonna do any of those kinds of things. At some point, I would stop and have everybody take that list and try to combine those things into a paragraph or a statement.   0:21:03.3 AS: Okay.   0:21:04.8 DL: And have great fun doing that, where everybody's creativity and taking that list of items and turning it into some kinda paragraph that incorporates it. And students are amazing at this stuff. They come up with the most interesting concepts and ways of phrasing things that you could put a group of adults in a room for a year and they'd never come up with something so interesting. So, usually, at that point, I just have people go around and read what they wrote, and maybe we'll take certain phrases, and we could. We could turn it into a paragraph or something that was... Combining all that. But we're using that as a learning experience about how to take concepts and create definitions and paragraphs out of it.   0:21:50.6 AS: So let me try to summarize what we talked about. First, you highlighted the idea of like, wait a minute, what system are we trying to improve? We need to understand that first. And then to optimize that particular system, we need some common definitions. Now, when we started the conversation, I thought we were gonna end up with some really narrow, tight definition. I kinda was interested about where you ended. But before we get to where you ended with this, you talked about doing what you call P³T, or one of your students called it. I think you said paper passing purpose tool.   0:22:24.8 DL: Yeah. P to the third power.   0:22:26.1 AS: Yes. P to the third power T. And basically what you said is, "Don't let that start off as a discussion, because maybe one person could dominate that or try to influence what other people think about it." Rather, get each person to write down their definition of, for instance, we used the idea of what is quality work. And that's a pretty vague thing, so that's a good one for people to write down what are their opinions on it. And that way, they're not tainted by the influence of others. Once they've written it down, then pass it to their right, and let the person on your right underline the items on there that they agree with, and then pass that around. And by the time it comes back to you, you'll find that some of the things that you highlighted are agreed with, and some may not be. Then you basically take that and you go up on the board and say, "Alright, let's start with you." Start with one person and say, "What's one thing on your card that you've written down," and you wrote that down, and then you go to the next person, say, "What's one new thing on there that was not... That's not that?"   0:23:26.3 DL: Something different. That's different.   0:23:28.8 AS: Something that's different. And then you come up with a little bit of a laundry list. It could be five, it could be 10, it could be 12 of different things from that particular group of people. And then you can take it out to a bigger group where you have a series of groups that are doing the same thing. You then go around, you may add some things onto it. And then where I thought it was interesting where you ended with this, David, you said... You were kinda like, "Sometimes you don't have to go further than that right now. Just that is valuable process." And I thought, yeah, that's interesting, because just doing that, you can say we never have to do... 'Cause remember, before I was talking about discovery, and you were like, "I don't know what discovery is. I don't know what you mean." Well, you just described a pretty good process of discovery of what everybody thinks. Now, we don't ever go through that again. Do we have to tightly define that beyond that right now? Maybe not. Maybe we revisit it six months from now and tighten it up.   0:24:24.1 DL: It depends. So let's put this into practice. This is gonna be our definition of quality work. And so now we're gonna put it into practice, and then maybe later on, we can come back and re-look at the list. I've found that when you just have things in a list like that, people are more apt to wanna change it later on than if you have this flowery, nice paragraph that somebody's really worked on everything, and then people are like, I don't really wanna do that. But a lot of times, later on, after it's in practice, people come back and say, "Oh, we said this, but really, that's not really even relevant anymore." We can actually cross that thing off the list. That's not the most important thing. Or you were asking about prioritization. You could do a follow-on, you could do an NGT prioritization, nominal group technique, or you could do... Use just sticky dots to prioritize. Or if you need to. If you need to. But sometimes, most of the learning is in the process. So since every single person was a part of the process, every single person at the end of the process knows the definition of something, because they were a part of it.   0:25:35.9 AS: Yeah, yeah. Well, for the listeners and the viewers out there, what a great step-by-step guide that we can all try to put into practice. But most importantly, it kinda took the intimidation of operational definitions, it took some of that away from me that we're not... It doesn't have to be some... We've worked for hours crafting this statement. No. Here's a list of what we think is important. And that's good enough for a first step. And that, ultimately, is what we're talking about in this particular...   0:26:09.1 DL: And it's fun. It's fun. [chuckle]   0:26:11.8 AS: Yeah. And it's inclusive. It's inclusive. Well, David, on behalf of everyone at the Deming Institute, I wanna thank you again for the discussion. For listeners, remember to go to deming.org to continue your journey. Listeners can also learn more about David at langfordlearning.com. This is your host, Andrew Stotz. And I will leave you with one of my favorite quotes from Dr. Deming. "People are entitled to joy in work."

Learning objectives for the podcast include: Learn how ketamine is increasingly being used as an anesthetic, analgesic, antidepressant, …and a hallucinogen1 Gain an understanding of the risks of ketamine use and ways it is misused Appreciate the role of drug testing when ketamine is prescribed or suspected You may download a PDF version of this presentation here >> To listen to other podcasts in our Topics in Drug Testing series or learn more about the comprehensive drug testing offering from Quest Diagnostics, please visit QuestDrugMonitoring.com. There you will find our Drug Monitoring Test Directory, as well as educational resources and insights from our team of toxicology experts. At Quest Diagnostics, we are committed to providing you results and insight to support your clinical decisions.   1. Bahr R, Lopez A, Rey JA. Intranasal Esketamine(SpravatoTM) for use in treatment-resistant depression In conjunction with an oral antidepressant.P&T. 2019;44(6):340-375.

RIP, we hardly knew ye.Kicking off our very spooky spectacular month of October is none other than the infamous scrapped teaser for "Silent Hills," P.T. While we didn't have the chance to experience this when it was current in 2014, believe us when we say it still packs a wallop; this is possibly one of the scariest gaming experiences either of us have ever had. There's a ton to talk about in this one, including a very messy situation between Konami and game creator Hideo Kojima. So bu2ckle 0up, bec4ause 8her6e we3 go....PATREON: www.patreon.com/pixelprojectradio DISCORD: https://discord.gg/Rfjx2ptWP5TWITTER: @pixelprojectpodINSTAGRAM: @pixelprojectradiopodcastThank you for listening! Want to reach out to PPR? Send your questions, comments, and recommendations to pixelprojectradio@gmail.com! And as ever, any ratings and/or reviews left on your platform of choice are greatly appreciated!

RACT manual co-author Eugene Silberstein joins the podcast to talk about the titular topic of his book, Pressure Enthalpy Without Tears.  Pressure Enthalpy Without Tears is a book that introduces engineering concepts to HVAC technicians in a way they can understand and apply in the field. Enthalpy is a fancy way of saying “heat,” and we use it to refer to the total heat content (BTUs). The pressure-enthalpy chart shows the relationship between the refrigerant pressure and enthalpy in a system; it's like a P-T chart that shows the relationship between heat content instead of temperature.  Each refrigerant has its own pressure-enthalpy chart, but the points and lines on the chart usually form a right trapezoid. Dirty air filters and other less-than-ideal conditions can distort the trapezoid or shift it on the chart. Each side of the trapezoid represents the refrigerant inside a major component of the HVAC system: evaporator, compressor, condenser, and metering device. The pressure-enthalpy diagram allows you to get a look at individual components while keeping the entire system in mind.  To plot points on a pressure-enthalpy chart, you need the high side pressure, low side pressure, condenser outlet temperature, evaporator outlet temperature, and compressor inlet temperature. Pressure is usually measured in absolute units (rather than gauge units), but ballpark estimates are typically sufficient. Entropy is another concept we need to consider. Compression theoretically leaves no additional entropy and is reversible. Crossing a line of entropy means that a process is no longer reversible. Eugene and Bryan also discuss: Technicians vs. engineers Temperature vs. heat content Psychrometric and pressure-enthalpy charts Using the pressure-enthalpy diagram to assess operation costs Electrical measurements Predicting compressor failure Putting passion into learning and trades education   You can visit https://www.escogroup.org/ to purchase Pressure Enthalpy Without Tears and access all of ESCO Group's resources. You can also use the code HVACSchool22 for a discount on ESCO Group's eLearning services. If you have an iPhone, subscribe to the podcast HERE, and if you have an Android phone, subscribe HERE. Check out our handy calculators HERE.

In this episode, Physical Therapist and Founder of Redefine Health Education, Dr. Katie O'Bright, talks about the role of the physical therapist in primary care. Today, Dr O'Bright talks about direct-access in outpatient clinics, patient satisfaction with teams-based approaches, and the sustainability of physical therapy as a profession. What is the primary care physical therapist? Hear about billing as a direct-pay PT, learning from ED PTs, and Redefine Health, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “The primary care team is a team.” “The more we can get integrated into teams, the better.” “I don't think that our profession, the way that we're doing things, is sustainable at all.” “Every health professional has a role in lifestyle intervention.” “Do we really know, for different pathologies, what views and types of modalities and studies are actually required in order to effectively rule out a condition?” “If we can do anything to make our population more healthy, and to make other healthcare professionals see our value, then do it.” “The more I learned about the things that I didn't know, the better clinician and person I became.” “Always have listening ears.” “Never drink the Kool-Aid. It's not a good idea.”   More about Dr. Katie O'Bright Dr. Katie O'Bright, PT, DPT, OCS is a residency-trained physical therapist and educator who has spent much of her career in multidisciplinary primary care settings. She started her career as an active duty Army PT where she worked in a team-based Soldier Centered Medical Home. Since then, she has worked in multidisciplinary care settings in academic health systems and private practices, including oncology care. She also serves as adjunct faculty in several DPT programs, teaching foundations in primary care, oncology, musculoskeletal and gross anatomy. In 2020, Dr. O'Bright founded Redefine Health Education, an education & consulting company with the mission of getting more physical therapists competent and prepared for work in first contact, team-based care settings, starting with primary care. She is the lead instructor in Foundations for the Primary Care PT and contributes to musculoskeletal imaging curriculum. She currently lives in the Chicago metro with her husband & 2 sons, enjoys being outdoors & Buffalo Bills football.   Suggested Keywords Healthy, Wealthy, Smart, Physiotherapy, Education, Teams, Sustainability, Primary Care, Redefine Health, Lifestyle Medicine,   Resources Chicago PC Course (Aug 27-28). MSK Imaging Certification (Starts Sept. 7) - 2-hour modules, 1x/month for 9 months or online self-study. Use “HWSPodcast2022” for $50 Discount.   To learn more, follow Dr. O'Bright at: Email:              info@redefinehealthed.com Cell:                 312-772-2322 Website:          https://www.redefinehealthed.com Facebook:       Redefine Health Ed Instagram:       @redefinehealthed Twitter:            @RedefineConEd TikTok:            @redefinehealthed LinkedIn:         Redefine Health Education   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript Here:  00:07 Welcome to the healthy, wealthy and smart podcast. Each week we interview the best and brightest in physical therapy, wellness and entrepreneurship. We give you cutting edge information you need to live your best life healthy, wealthy and smart. The information in this podcast is for entertainment purposes only and should not be used as personalized medical advice. And now, here's your host, Dr. Karen Litzy.   00:35 Hey everybody, welcome back to the podcast. I am your host, Karen Litzy. And in today's episode, we are going to be talking about the role of physical therapy as the primary care P T. So what does this mean? This means that if physical therapists being first point of contact for the patient into the medical system, and what do physical therapists need to know in order to be the primary care PT? So to talk us through this topic, I'm really happy to welcome Dr. Katie o bright. She is a residency trained physical therapist and educator who has spent much of her career multidisciplinary primary care settings. She started her career as an active duty Army PT, where she worked in a team based soldier centered medical home. Since then, she has worked in multidisciplinary care settings and academic health systems and private practices, including oncology care. She also serves as adjunct faculty and several DPT programs, teaching foundations in primary care, oncology, musculoskeletal and gross anatomy. In 2020, Dr. Albright founded redefine health education and education and consulting company with the mission of getting more physical therapists competent and prepared for work in the first contact team based care settings starting with primary care. She's the lead instructor and foundations for primary care PT and contributes to musculoskeletal imaging curriculum. She currently lives in the Chicago Metro with her husband and two sons and enjoys being outdoors. And as a Buffalo Bills fan. We'll let it slide because you know, I'm a Philadelphia Eagles fan. But I want to thank Katie for coming on. We've got a lot of resources on podcast at healthy, wealthy smart.com. And she's actually giving giving healthy, wealthy and smart listeners a $50 discount for courses at redefine health education. So you can use h w s podcast 2022 for the $50 discount. So big thanks for Katie for coming on talking about primary care, physical therapy. Hi, Katie. Welcome to the podcast. I'm happy to have you join us today. Thank you so much. It's really honestly a pleasure and a privilege to be on your show. I've been a longtime listener. So this has been awesome. Oh, that's so nice. Thank you for that. And today, we're going to talk about the role of the physical therapist in primary care, which for those of us like myself, who's been in the profession for quite quite many, many years, I feel like this concept of the primary care PT   03:15 is on the newer side, depending on maybe what part of the country or the world you're practicing in. So before we get into the meat of the interview, I would love for you to define what is the primary care physical therapist? Yeah, that's a really good question. And I think that you're going to get a different answer from, you know, you'll get 10 different answers from 10 different people that you ask, but the way that I really like to think about it, and even my definition has evolved a bit over time, but the way that I like to think about it is   03:50 a lot of people think that primary care PT just equals you know, direct access or first contact or seeing a patient without a referral. But as I've learned more about what it what it is to be a primary care provider, I think that it has a lot more to do with being a being able to comprehensively assess a patient across all different specialty areas. So it's not just you know, you are an advanced neuro musculoskeletal professional. It's you're able to assess and effectively manage the functional needs of a patient, whether they have primarily orthopedic complaints, or primarily, you know, maybe they're a pediatric patient, or they primarily her, you know, dealing with some other non communicable diseases like diabetes and hypertension. You as the primary care PT are able to understand what it all of those how all of those systems play into their functional needs. And you're able to provide guidance on the management in conjunction and in sync with other health care professions.   05:00 Smells like the primary care physician. But you're able to effectively manage a variety of different conditions, not necessarily just their orthopedic or just their neuro or just their pelvic floor.   05:12 So that's kind of what my definition of primary care PT has come to evolve into. And I feel like my colleagues at the primary care sing would probably agree with me. Yeah, that seems reasonable. Have you ever heard of people saying, Wait, primary care? pte. Isn't that overstepping our license? Or isn't that going beyond what we should be doing? How do you respond to that? Well, I respond to it this way.   05:41 I think that pride, the primary care team is a team. And you can have a primary care physician or PA nurse practitioner. And they're typically in most cases, and especially in the United States, you will have a primary care physician and they'll also have a team of, of nurses, maybe they'll have a clinical pharmacist. And oftentimes that doesn't include an in house co located or, you know, maybe not co located but down the hallway, PT. But I think a lot of health systems are starting to see the advantages of having a variety of healthcare professionals that can be first contact. So for example,   06:23 the there there's physicians that can build primary care codes like e&m Primary Care codes, nine, nine series codes, and then there's non physician professionals that can build those codes as well. And that's limit that's not not just limited to pas and nurse practitioners, it also is encompassing behavioral health professionals, midwives, clinical pharmacy to a certain extent, and I think you're gonna start to see more and more primary care teams functioning as a team, which also includes a physical therapist that can contribute to the, you know, the, like managing the patient's functional needs, and everybody contributes to what component they need to contribute to.   07:08 Yeah, and that's interesting, you bring up the code. So normally, the physical therapists are billing under the nine sevens, usually. So in this case, if you are working with someone within their insurance system, and you're not a direct pay physical therapist, how do you bill for the services? Or? Yeah,   07:33 great question. So I actually just connected with Rick, Glenda last week, and I want to talk to him a lot more about this. So I actually have some, some meetings arranged, or I'm reaching out to plan some meetings with him to consult on that specific topic, because the health systems that I have worked with, or that I've consulted with, they're all doing different things. Some of them are billing nine, seven series code codes within the primary care setting. But a lot of this over the past couple of years, since I've been really into this space, a lot of these clinics have not received the feedback from their billing and finance departments because of, you know, COVID, short, you know, short staffed because of COVID. And, you know, we were shifting our focus to this area, so we can't give you the finance data that you need in PT. So a lot of them don't have reasonable data. So I'll just tell you what I do know, some of them are billing nine, seven series codes, some of them are doing, they have a PT that is co located in primary care, they see a patient for a quick evaluation and may provide them with some treatments, if they do some treatments, the physician or other health care providers also seeing that patient in the same day. And they'll do a warm handoff to pt. So then they do incident to billing under the physician's care because they're so they're kind of like CO treating at the same time, even though the PT is collecting those RV use for that visit. So that's one way that they know it can get reimbursed. Some, some locations are not billing their services at all. They're sort of like eating the cost while they're in the primary care space, but they're seeing downstream, you know, boosts in their revenue because more of their patients that they have touchpoints with in primary care are actually then following up and actually seeing them in physical therapy.   09:29 And then they're also keynotes finding, like we were reducing imaging by being co located. So there's other you know, benefits.   09:38 Then, I mean, there's, I could go on and on, but there's tons of different ways that people are doing this. But we don't have the hard data or anything like in the research to show Yes, this is Effective here. It's going to be effective for every insurance and this and that. It's such a complicated problem.   09:58 So I'm just trying to figure out   10:00 But as much as I can about it so that when people approached me and asked me questions about how to bill for it, in a typical insurance type system,   10:10 I have a variety of options that they could start with. And then I, you know, I hope to eventually talk with some of my, some of my colleagues that are, you know, more more interested and nerdy about research that could actually help me set up a research trial and study the whole thing and report on it accurately. But right now, I'm just collecting data. Yeah, that makes sense. A lot of times as things that are a little bit newer, you kind of go through some growing pains until you can figure out, hey, where does this fit in. So let's say you're a physical therapist in an outpatient clinic, you're not co located with the doctor, and someone does come to you in that direct access. Way, which for those who don't know, it, direct accesses, that means you can see a physical therapist without a referral from a physician, which I think is getting more and more common across the country to a certain extent. So if, if you're   11:12 advertising, your marketing is including like, Hey, we're primary care, physical therapists, what does that look like in the clinic? Can you give some examples or an example? Yeah, I can. So one of the things that I teach in my course. So I, I'm the owner of redefine health education, and the two areas where we, where we teach, in particular, our foundations in primary care, PT, and musculoskeletal imaging, which really go hand in hand. And one of the main feet main things that I focus on in my primary care course is how to effectively perform a systems review in a way that is all encompassing, so that if a patient comes to you with a primary shoulder complaint, not only are you doing a systems review, to rule out red flags related to that shoulder complaint, but you're also identifying problem areas that can affect their health, in you know, in the near term, and in the long term, so that you can learn how to educate them appropriately. So let's say a patient comes in to you, you're not co located with another primary care team or anything like that. But if a patient comes to you with primary shoulder complaint, and you also find that they have have hypertension, and they're pre diabetic, and maybe they have an autoimmune disorder, and you know, oh, by the way, they had COVID really bad and they were hospitalized, and they're having some long COVID symptoms, how to ensure that you're including components in your plan of care that address all of that, whether it's just little bits of education here and there.   12:47 And also, you know, of course, you know, I want to the one of the other things I teach in my course, is not only just understanding all of that from an evaluation perspective, but then understanding how much the patient is willing to go down and actually allow you to intervene   13:04 in their lifestyle habits or, or other areas. So I think that   13:10 that process is something that PTS that are working in a typical outpatient orthopedic clinic, are not doing very well. Because usually, we are seeing patients exclusively for an isolated shoulder condition. And we're not really looking into what the rest of their medical history really spells out for us.   13:36 But what I teach is   13:38 basically intervening in lifestyle and ensuring that they're, you know, if they need medication management for an autoimmune disease, are they actually following it? How is that playing into are related to their shoulder pain? How is that affecting their nervous system? How is that affecting their cardiovascular system?   13:56 So yeah, I think that I think that you certainly could, you certainly could. And then another thing, I've had a, I had one outpatient clinic team, or they were kind of like a local regional chain. But they also had a kind of a, analogous to them was a local, regional primary care group, that they were interested in it both privately owned, really interested in collaborating together. So even though they weren't co located, one of the things they thought about doing and that they're in the process of building is they're actually going to have a PT hanging out in the primary care office, whether it's 1233 days a week, or a hat, you know, an afternoon here or there, just to be able to be there and to be able to address patient's functional needs on the spot if they need it. So there's there's all different ways that you can do it. Even if you're going to privately owned you know, private practice or you own your own cash based practice. I think that the more we can get integrated into teams, the better   14:58 and do you have any   15:00 Um, data that shows how perhaps a team based approach may may improve outcomes or patient satisfaction? I do. Yeah. So a couple of the a couple, there's there's a number of studies that have looked at this, but one of the one of the main ones that I was looking at recently was, I think it was a Dutch study, I'll have to look, I'll have to look at it. But I'm pretty sure this was conducted in the Netherlands. And it was looking at elderly adults, community dwelling, elderly adults, where they had a team based group. So they they looked at a comparator group work was really just a physician and nurses. And then they looked at basically the same, the same group that had a physician, nurses, social workers, I believe they had clinical pharmacy, they had a recreational therapist. So they had this team that would all work with the patients together. And one of the main things that they found was not only improved patient outcomes and patient satisfaction, but also provider satisfaction. And that's one thing that I have found. So that's just one study with one example. But there are a number of studies that show this and just from my own experience working in team based primary care,   16:16 I, if I would not have been in those settings, I do not think I would have as as good of an understanding of,   16:25 of the other body systems as I would have as I would otherwise. So I think that they, when you work together more frequently, whether you're co located or whether you're just on the phone, or being able to have like a texting relationship with other providers,   16:44 they're going to understand what you do a lot better. And, and then they'll learn and grow from that, and vice versa. So I think that not only is there benefit, not only do patients reap the benefits in their health outcomes, and in their satisfaction, but also providers are, they seem to be much happier and have a lower rate of burnout, when they do work in a team, as opposed to just kind of being around the same old, same old all the time, you know, if you just are surrounded by people that are so much that are like you and think like you and do like you and are trained like you all the time for your entire career.   17:26 You're not going to learn and grow as much as you would if you were around other people who don't, who weren't trained to like you, and who have a different perspective. And I think I'm able to treat my patients better because I for the most for most of my career have have not been around pts.   17:44 And how do you think this fits into the sustainability of physical therapy as a profession? Yeah, so that's, that's this is my favorite question. Um, I gave a presentation recently for the primary care sake, I think it was in May this year 2022. And one of the things I talked about was how I don't, I don't think that our profession, the way that we're doing things is sustainable at all. In fact, I think that   18:17 there are so few patients, you know, it's estimated that seven to 10% of all patients with functional complaints ever end up seeing a PT, which is not a good thing, that is not a good thing at all.   18:29 And the model that we're kind of trained under and the model that a lot of PT clinics tend to follow, especially if you're in the insurance market,   18:38 is they follow where they were, you're seeing a lot fewer, a significant fewer number of evaluations than you are seeing like treatment sessions per day.   18:50 But if if the World Health Organization is saying that, you know, 25% of all complaints 20 to 25% of all complaints give or take, you know, depending on your region, and the timeframe, and yada yada 20 to 25% of any any patient encounter in the primary care space or in the emergency department is going to be neuromusculoskeletal related.   19:11 And only 7% of those are ever ending up seeing us. Imagine what it would be like if we could be kind of that first person to consult with them. Just imagine that. And so you know, we might see a higher number of evaluations per day, but we can be there to intervene, where it's really the most important, where we can ensure that they're not receiving excessive amount of, you know, imaging or medications or unnecessary tests and studies. And we really are the professionals that should be determining and assisting in figuring that out. So I think that if we were able to intervene just in that one area, then we could save our healthcare system a whole lot of money, we could improve our population health tremendously and   20:00 Then we're also going to be leveraging our skills. Because I started my career in the army, I saw a lot of evaluations, like more evaluations than then treatments most of the time. And what I found was my differential diagnosis skills and my ability to screen got really, really, really good really, really, really fast. So the more evaluations and consults that we see, we've been, we're able to recognize more and more patterns, we're able to intervene quickly.   20:28 And other providers around us see our value more significantly. And then insurance companies on the other end CRC or value more significantly, if you if you flip the role, and we don't, let's say we don't do that we just continue down the road that we're currently on, where we have, you know, an evaluation or two a day and you know, all of these treatment sessions in order to keep the lights on, if you're still in an insurance based market, in order to keep the lights on for any private clinic owner, you have to you have to maximize the number of visits, that a patient is being seen. Whether that's necessary. Or if you're maybe just loosely saying that's necessary to make sure that you can keep the lights on   21:12 if reimbursement is only getting worse and worse and worse, because insurance companies are like, well, we don't really think that's necessary. And we're saying, oh, yeah, yeah, that's necessary. And maybe in some cases it is. But for the vast majority of musculoskeletal health, musculoskeletal problems, we know that if we intervene early, if we reassure if we educate, if we say stay active, and exercise, the the natural history is that they will probably improve and get better. So if we can intervene there,   21:42 then we probably will kind of see it shift where we'll do like more evaluations and consults and less treatments and therefore save the insurance company a whole lot of money, save the patient a whole lot of time and money. And then everybody's everybody's happy. So I think that if the roles flip a little bit, and we learn as as a profession, how to be how to serve in more of a consultant role for population health neuromusculoskeletal conditions, maybe, maybe just maybe, maybe I'm crazy, but maybe just maybe the tides will turn and we can be says more sustainable as a profession in the insurance market.   22:21 Does that's a long way of answering that question. No, that was a great answer. And you brought something up kind of   22:29 more and more people who are going to emergency rooms, a lot of times for musculoskeletal health, and we are starting to see PTs in the ER. And would you? I mean, that's obviously so certainly a primary care physician, right. So what do you think that your typical outpatient or inpatient   22:54 physical therapist can learn from those emergency room PTS, that we can kind of take into different settings? Does that make sense?   23:07 Sort of I'll start by addressing the the the IDI PTS, by the way, shout out to Rebecca Griffith who is you know, just launched her IDI DPT because this year and she's doing a great job with that but um so if you need specific questions about how to V any how to be a physical therapist in the IDI I personally don't have any experience in that space. But but she does so reach out to her   23:35 and maybe we can put her her name in the show notes   23:39 but there's a lot of overlap and I think you know we there since there are more there are more PTs in the IDI you'd be surprised actually I've been finding out more and more about PTs in primary care than I ever thought was actually there and probably maybe the the IDI has just been more there's been more exposure given to PTs in the IDI so, so to answer that question, what can   24:11 there's a little bit of a difference though. So PTs in the IDI typically don't see their patients back, you know, they might, they might see them one time and it's truly Well, unless, of course the EDC has a lot of repeat offenders but But if we're talking just like the average patient showing up at the IDI, they see their patient one time and it's truly there to to rule out red flags to ensure that they're receiving the most of if they need imaging, the most appropriate, most necessary type of imaging study and that they're getting the most adequate referrals and consults that they need.   24:50 Reducing opioid prescriptions and other types of unnecessary excuse me prescriptions and also giving them something to go home with   25:00 whereas if they if they just see, like an IDI physician or or another type of typical IDI care provider, they're not as, and I don't want to speak for them I am. So I'm such a huge proponent of working with physicians and nurse practitioners and PAs. But I know that from my experience, even they have told me that I have, I have the knack for just talking to those patients and being able to do that, do that little bit of motivational interviewing and figure out figuring out what's, what works for them, what's going to empower them what they need. And that little bit of education is is important. So but it typically in the day, they won't see their patients back, it's kind of like you're doing a quick evaluation, determining their needs, and then like discharge planning, or the patient is admitted or whatever, right? In primary care, my my whole theory, and really my vision for PTs in the primary care in primary care teams is that we would be co located and or just affiliated, maybe you're not in the same location, but you are affiliated somehow, or you have a close relationship with a primary care team, where you can have lots of good integrative care planning for the patient, and it becomes almost like a revolving door. So with your, with your patients that you see,   26:20 like I have my own primary care physician, I can go to my primary care physician whenever if I have a problem or for my annual visit or whatever.   26:27 Within my primary care team, I also have access to if I needed, I also have access to a behavioral health provider who is part of that behavior primary care team. And if at any point, I had, you know, a mental health crisis or something like that, I would go to this person because she's a part of my primary care team, and then they all work together and figure out what to do. And, you know, with with my, with my input, figuring out what is the best situation for me. So with PTS, being a part of those primary care teams, you you get access as a patient, you would get access to a PT on a revolving door basis. And then you have established, you have kind of, um, you know, if I, if I was, if I was   27:12 the, how do I jump jumbling up, because I get so excited talking about this. If I were a patient coming to see your primary care, PT, my very first visit would be a well visit. And then I would kind of like go through, maybe figure out identify some risk factors or maybe identify, you know, you're not necessarily having a problem. Now, here's what your body normally does and looks like. And this is what you do for physical activity. Let me give you some pointers, maybe, you know, maybe you want to increase your exercise, here's how to do it safely. And then if and when problems do develop down the road, we can address those and I know what your baseline is like. And it doesn't have to be this this finite linear relationship, where there's an evaluation, treat, treat, treat, treat heart discharge, for this one problem. You know what I mean? So I do like, yeah, so it becomes this, you have a team of care professionals that are on your side, and that know you and that know each other, and, you know, maybe they all they're all trained differently, and they all see things from a different perspective. But they all collaborate as a team to help you be able to help yourself the best. And I think that's that, that is my vision for what the future of pts and team based care looks like. And I am like just dying for it to happen, you know, I will make it happen thrive in this. I think that, you know, the rate of burnout in our profession is substantial. And it kills me like I some of my my students are coming out of school after their first couple of clinical clinical rotations. And they're like, this isn't what I signed up for, like, what are my other options? I don't want to be a PT. That's scary. And I think that PTS would   28:59 be able to at least at least delay the onset of burnout. If we were able to shift into these types of care models. It would be so refreshing. Yeah, I mean, it definitely sounds like that patient centered care that we talked about the bio psychosocial system of care model of care that I would say most health care professionals are moving towards hopefully.   29:28 But it does sound like it's a good environment for the patient a good environment for the clinician, and like you said, you have the opportunity to learn from different professions and from different folks who might not have the same skill sets as you and vice versa. And it also kind of started to bleed into a little bit of lifestyle medicine and things like that, which is something that we can all use. Absolutely. Yeah. I love it. I love all of it. Now   30:00 So you had said, you briefly   30:05 talked about redefine health. So do you want to go in and and tell the listeners a little bit more about that if they're interested in learning more on how they can brush up on their skills to be a better primary care? PT? Yeah, for sure. So,   30:22 um, I've always wanted to I had always wanted to get into the education space, but never in a million years did I think I would ever be starting my own education company. COVID did this to me. But you know what, thank you COVID For that, you know, if there's one,   30:39 there's like these unnecessary, I guess unprecedented things that came out of the pandemic. And for me, it was I lost my cash business after it just started.   30:52 And it there was a number of things going on with that. But I decided to just jump right into education. And it was a it was an evolving thing for me, I really didn't know exactly what what direction I wanted to take it at first. So it's taken, you know, almost two, it took almost two years to really find my to find my niche and really find my truth and what what I'm the most passionate about, and well, for me, it has always been primary care.   31:20 And it just took a while for me to like figure that out from a business perspective. So   31:24 So yeah, I teach foundations for the primary care pt. And my my partner, Dr. Lance Mabry teaches our musculoskeletal imaging certification. So I'll talk just briefly about both the foundations for primary care PT is an 18 hour CTE course, and it's really meant for the the physical therapist that wants to wants to like break free of this, this model where patient comes in for neck pain, and you're just really looking at their neck. And   31:56 lifestyle medicine, for me has been something that has been really actually life changing. For me personally, I after having kids had a lot of autoimmune problems that I had no idea what was going on. And I just was like kind of scattering going to different physicians here and there. And everyone was like, almost kind of like mandating all of my problems. And then I finally connected with a lifestyle. She's a board certified family medicine and lifestyle medicine physician. And, um, honestly, she helped me so much by just helping me intervene with my diet, and really looking deeply into you know, those six pillars of lifestyle medicine. So, after really kind of seeing what that did for me personally, and what I was able to do as a trickle effect with my patients, and then just diving into the research and seeing wow,   32:50 we really need to intervene in lifestyle, if we're going to affect population health. And everybody, every health professional has a role in lifestyle medicine, and lifestyle intervention. So in my primary care course, the whole first day is all about just taking your everybody learns a little bit of medical screening, or should learn pretty solid medical screening and their DBT education, taking what you learned and your DBT education to the next level, where you know, if somebody circles Yes, on a certain number of, you know, past medical history or symptom profile, if they certainly yes, on those things on their intake form, you know exactly what questions to rule up or rule down different conditions to bring you to your, you know, your final set, or your initial list of differential diagnoses. So that's kind of all day one. Day two is more,   33:44 kind of a deep dive into visceral pathophysiology. So, okay, we all learned about anatomy and physiology, the heart and the lungs and the GI system and all that stuff.   33:56 But when was the last time you really actually spent time with it. So day two is all review of visceral pathophysiology. And I focus a lot on the cardiovascular system, because let's be honest, everybody has Atheros everybody has some level of atherosclerosis. And for most people, it's just it's just your dislike a day or two away from becoming pre hypertensive. So I focus a lot on that and what PTS can do to intervene in patients in their, you know, in that sweet spot, you know, ages 25 to 45, where we can really have an effect on somebody developing or not developing those those chronic illnesses.   34:38 And then I also talk about, you know, you can maybe identify, excuse me, you can maybe identify that somebody has some lifestyle factors that need to be assessed, but how do you assess their readiness and their willingness to change? And how do you make sure that you're respectful of their wishes, maybe they don't want to go there. And maybe that's okay, so   35:00 I'm so that and then of course, interdisciplinary collaboration and communication as part of my core series I have, I've interviewed other physicians in different specialties of practice and kind of their thoughts on what what PTS are what PT should do. And I play these videos in my course. Because I think that overall,   35:20 I don't want to speak for my whole profession, but from my experience, there's more PTS than not that are afraid to pick up the phone and call a physician and tell them what they think and recommend what they want to or what they what they feel is appropriate and and say, Hey, I, you know, this patient seems like there, they've got a neurologic profile that kind of looks like Ms. And, you know, maybe you want to take a closer look at that. So, so what these other fishes physicians actually think and say about PT.   35:50 So that's kind of my primary care course, in a nutshell, and Lance's musculoskeletal imaging course. I mean, a lot of people think that imaging is just kind of like, something that's done, you know, if like, you have a if you suspect a fracture, you know, you got your auto ankle and, you know, you've got your, your,   36:12 your auto when he rolls and like all the you're Canadian CCI rules and all that. But do we really know for different pathologies? What views and what types of modalities and studies are actually required? In order to effectively rule out a condition? Do we recognize and understand that radiographs are inherently specific not inherently sensitive? So if you have a high level of a high index of suspicion for something, you need to continue the workup? And what do you continue the workup with? Is it MRI? Is it CT? Is it something totally different? Are you doing this to rule out something that's vascular or something that's soft tissue or something that's bony? And I think that, in general, probably not just PTS, but there's a whole lot of people that don't understand those things. And I think we're doing our patients a disservice by not fully understanding those. Because let them I mean, we have to face the fact that imaging is a part of the diagnostic process, whether we want to recognize it or not. So we have to whether you can place the order yourself or not. You need to understand how you need to understand how and why it's done for what purpose, and then how to clinically respond once a patient has had imaging, and who to communicate with and you know, when to pick up the phone and ask some questions to the radiologist. And so Lance does a tremendous job with a way better job than I would do with all of that. So. So yeah, that's kind of the the courses that we have to offer. And, really, I want to, I am not doing this to make money, trust me, like I would be   37:47 my husband just graduated with his MBA, like a little more than a year ago. And he's always like, go get your MBA, like you can use how much potential you can make so much money in this space. And I'm like, I don't know, I was put here to do a certain thing. And PT is the profession that I have just like it's, it's more of a vocation for me than anything else. And I just really feel like our profession needs some dire change, and needs people, certain people in it to make moves and make changes. And I understand that my, the visions that I have in my head right now for what our profession could be seem like pie in the sky, craziness, especially with the way that insurance is right now. But if this is the one area where I can have an impact, and start to make more PTS more confident and competent doing this, than Hey, I will, I will retire a happy woman, if that's the case.   38:47 Well, and I think that's a great way to start wrapping things up. And I was just going to ask you, like, hey, what do you want the listeners to take away from this discussion? I think you might have just said it, but is there anything else that you really want the listeners to take away?   39:04 I mean, basically just that, like, if you if you can, if you want our profession and see the value in what our profession has to offer, we have got to make moves. And and if we can do anything to make our population more healthy, and to make other healthcare professionals see our value, then do it. You know, don't don't like get stuck in your your ways of you know, one patient after the other and then you're home at the end of the day and you know, try to try to do those things to make a change for yourself and for your community.   39:42 Just by setting a positive example of what right looks like from a from an evaluative perspective, and from like a from a health care provider management perspective. And the one thing I will my one little parting, parting gift   40:00 for everybody, if they if you are interested in taking either one of our course tracks, I you can use the I have a discount code a $50 off discount code for, for either one of those courses for any of the listeners, if you just put HW s podcast 2022 And we'll just maybe put that in the show notes. That'll give you a $50 off discount and it's always Yeah, always happy to chat with anybody or,   40:30 you know, hear any inquiries, my email addresses info at redefine health ed.com You can call or text me any time and I'm so open to it at 312-772-2322 and I'm on social media and trying to trying to turn it into something so go and follow me at redefine health Edie on all the social medias except for Twitter because it was one character too long, which is so annoying at right so it's Twitter ad redefined Con Ed. Perfect. Well, thank you so much. I can't believe you gave out your phone number. That's insane.   41:06 Hopefully, business number.   41:10 Oh my god, I was like, I'm gonna have to edit that one out.   41:15 That's, that's, that's the big number. So all right, good, good. Good. Okay. Now, last question. It's when I asked everyone and that's knowing where you are now in your life and in your career? What advice would you give to yourself as your younger self maybe right out of PT school? Yeah, I think as a as a young PT, I really thought I knew a lot. And   41:36 I really thought I knew a lot I really thought PT could do everything. And   41:43 the more I learned about the things that I didn't know, I think the better clinician and person I became and I think that's just kind of the natural evolution and the natural evolution if you're really paying attention to who you are and what you do is you'll find out you just know less and less about you know, you know a little bit about less than less over time and   42:09 and yeah, so like always be open to learning other things in different ways from people that you didn't think were were were experts or   42:20 you know, just always have listening ears and never drink the Kool Aid. It's not a good idea. Kool Aid is not good for you anyway.   42:30 I love it. And you know, that's that is   42:34 definitely something that I've heard again and again, as the advice that people would give to their younger selves. So you are in very good company. So Katie, thank you so much for coming on and really, hopefully lighting a fire under some of the physical therapists who are hearing this to   42:54 be open to new ways and be open to the to primary care and lifestyle medicine and incorporating that into physical therapy so that we're more than like you said more than just treating the shoulder and the person goes away. So thanks so much for for all of this info was great. Yeah, absolutely. Thanks so much for having me. It's really a privilege. And everyone thanks so much for listening. Have a great couple of days and stay healthy, wealthy and smart.   43:21 Thank you for listening and please subscribe to the podcast at podcast dot healthy, wealthy smart.com. And don't forget to follow us on social media.