Podcast appearances and mentions of Rebecca Smith

What does it take to go from making lattes to managing a thriving multi-location coffee brand? In this episode, I sit down with Rebecca Smith, founder and owner of Armistice Coffee in Seattle, to talk about her inspiring journey from barista to business owner—and the lessons she's learned about leadership, trust, and growth along the way.We dive into the behind-the-scenes of owning multiple coffee shops, the importance of hiring for heart over skill, and how Rebecca's vision for community-first cafés shapes every decision she makes. She also opens up about selling one of her locations, navigating tough feedback, and what it really takes to scale a business rooted in passion and purpose.Whether you're dreaming of opening your own storefront or just love a good entrepreneurial origin story, this one's for you.In this episode:How Rebecca went from employee to owner in the coffee industryThe biggest lessons she learned from management rolesBuilding a strong and consistent company cultureTips for hiring with heart (not just a résumé)How to prepare your business for growth—even if you're not ready yetWhat it's like managing people, roasting coffee, and building communityHer personal action steps to move through fear and take the leapAction Steps for the week:Reach out to someone in your industry and ask questions—don't be afraid to cold pitch a coffee chat.Write down your wins and the things you know you're good at—return to this when self-doubt creeps in.Give yourself grace—entrepreneurship is hard, and progress doesn't always look like successConnect with Rebecca:Armistice Coffee Website: https://armisticecoffeeco.com/Instagram: https://www.instagram.com/armisticecoffee/Connect with me, Hayleigh Hayhurst:Steal my Podcast Launch Checklist for free: ⁠https://www.espressopodcastproduction.com/⁠checklist⁠Website: https://www.espressopodcastproduction.com/YouTube: https://www.youtube.com/@EspressoPodcastProductionInstagram: https://www.instagram.com/espressopodcastproduction/TikTok: https://www.tiktok.com/@espressopodproductionMusic: John Kiernan. www.johnkiernanmusic.comProduced by Espresso Podcast Production: https://www.espressopodcastproduction.com/Join the Conversation: What did you think of this episode? Share your thoughts and key takeaways with me on social media using the hashtag #EmployeeToBoss. If you enjoyed this episode, please leave a review and share it with your network.

Rebecca works as a coach, helping athletes break the fear cycle for good, you can contact her here at https://www.instagram.com/complete_performance?igsh=MW5zdXN6eGQxcnM3OQ==

Joining Iain Dale on Cross Question this evening are Plaid Cymru leader Rhun ap Iorwerth, jeweller and businesswoman Kiki McDonough, Conservative MP Rebecca Smith and former Corbyn adviser Andrew Fisher.

In this special compilation episode of Uncontested Investing, we're bringing you the best Deal Maker, Deal Breaker moments from the past year. Our guests have shared incredible insights on pivotal career moments, lessons learned in real estate, finance, and entrepreneurship, and the mindset shifts that led to their biggest wins. From overcoming setbacks to recognizing make-or-break moments, this episode is packed with wisdom to help you navigate your own investment and business journey.   Whether you're an investor, entrepreneur, or professional looking to level up, these stories will inspire you to take action, bet on yourself, and make smarter decisions in your career.   Key Talking Points of the Episode   00:00 Introduction 00:25 Janine Cascio on the power of support 01:46 Jonas Bordo on transitioning to hands-on leadership 02:59 Brian Valdivia on scaling your business 05:33 Danny Linenger on focusing on solving problems 06:17 Scott Fahl on the importance of data and strategy 08:28 Sean Morgan on choosing between corporate security and launching a startup 09:52 Amy Kame on the value of listening 10:29 Brian Flaherty on investing in the process 12:03 Rebecca Smith on making the most of every opportunity 12:55 Tarik Turner on the importance of evaluating deals thoroughly   Links   RCN Capital https://www.rcncapital.com/podcast https://www.instagram.com/rcn_capital/ info@rcncapital.com   REI INK https://rei-ink.com/  

Send us a textIn this episode, we interview Rebecca Smith, Senior Vice President of Marketing and Strategy at Electric Kite, and Aaron Stern, Senior Director of Content at Electric Kite. They share their insights on content strategy, audience engagement, and the evolving role of AI in marketing.What you'll learn in this episode:The key differences between content strategy and content planning.How to ensure your content is research-driven and audience-focused.Why community building is crucial for long-term engagement.How to measure content success and make data-informed adjustments.Strategies for standing out in a crowded AI-driven content landscape.Why unique perspectives and first-party data are more valuable than ever.A must-listen for marketers looking to create content that truly resonates!

Welcome back to Uncontested Investing! In this episode, I sit down with Rebecca Smith, Vice President of Business Development at Radian Real Estate Management, to explore her incredible 25-year journey in real estate and mortgage finance. Rebecca shares her experience in navigating the ever-evolving industry, including her role in pioneering single-family rental innovations and leading client-driven solutions.   Rebecca also gives us a glimpse into her strategies for leadership, fostering relationships, and adapting to shifting market trends. Whether you're an investor looking to sharpen your edge or just curious about the intricacies of real estate investing, this conversation is packed with actionable insights and inspiration.   Timeline Summary: [0:00] – Introduction [1:15] – Rebecca shares how she entered the real estate industry and her early career in Salt Lake City. [3:05] – The real estate boom in Salt Lake City and how it shaped her perspective. [4:00] – Transitioning to Radian in 2008 and finding opportunities during a financial crisis. [6:00] – Rebecca's leadership approach and her commitment to solving clients' problems. [9:17] – Money-Making Minute: The importance of adaptability and staying focused in the industry. [11:16] – Keys to success in REO management and navigating the complexities of investment properties. [16:21] – The role of mentorship in career development and Rebecca's advice to young professionals. [19:42] – Rebecca's passion for live music and how it keeps her grounded amid a demanding career. [24:00] – Final advice for investors and a reminder of Radian's diverse service offerings.   5 Key Takeaways from This Episode: 1. Adaptability is Crucial Rebecca emphasized the importance of staying flexible and adaptable in the ever-changing real estate market. Whether it's shifting investment strategies or expanding services, being able to pivot is key to long-term success. 2. Leadership Through Example As VP of Business Development, Rebecca prioritizes leading by example, focusing on her team's success and fostering client relationships. She highlights the value of collaboration, innovation, and listening to client needs. 3. Diverse Industry Experience Adds Value Rebecca's extensive background—spanning mortgage servicing, asset management, and client relations—has allowed her to develop a well-rounded perspective, enabling her to craft tailored solutions for investors and clients alike. 4. Customer Service is Key to Building Trust Treating clients' assets as if they were her own is a cornerstone of Rebecca's approach. Thoughtful communication, timeliness, and dedication to exceeding expectations set her apart in the industry. 5. Networking Drives Opportunities Rebecca underscores the importance of trade shows and networking for fostering relationships and unlocking new opportunities. Engaging with peers and clients at industry events helps build trust and expand professional reach.   Links & Resources: • Radian Real Estate Management: https://www.radian.com/   Closing Thoughts: If you enjoyed this episode, don't forget to like, comment, and subscribe to the Uncontested Investing podcast! Your support helps us continue to bring industry-leading insights to your feed. Connect with us on social media and stay tuned for our next episode.

On this episode we hear from Rebecca Smith about Rural; her account of the lives of the working class countryside. Weaving in her own family's history as foresters, miners, millworkers and more, Rural sees Rebecca explore stories of the countryside that are often overlooked. The role of tied housing, the precarious nature of farming and the destructive power of Airbnb all feature in a book for anyone interested in the future of rural Britain.@fieldzine www.fieldzine.comwww.patreon.com/fieldzine

Unlock the secrets to conquering gymnastics anxiety with insights from our special guest, Rebecca Smith, a renowned mental performance coach in the gymnastics world. Together, we explore the fears young athletes face and how these can be transformed into newfound strengths. Our discussion highlights the biological responses to anxiety, the unintended consequences of motivational pressure, and the vital role of understanding and communication in athlete development, especially as competition season looms.Discover effective coaching strategies that cater to the unique needs and learning styles of young gymnasts in middle and high school. We emphasize the importance of personalized training methods, setting clear guidelines, and empowering athletes with autonomy to build confidence and skills. The conversation also touches on overcoming social judgment fears, preparing mentally and physically for competition, and challenging rigid policies that may hinder an athlete's potential, leading to feelings of exclusion and diminished self-esteem.Dive deep into success strategies and the importance of a supportive environment in gymnastics. We share insights on building confidence post-injury, the power of flexible pre-meet routines, and how parental support can make or break a young athlete's spirit. By focusing on gradual progress and understanding the root causes of anxiety, we aim to equip gymnasts and their support teams with the tools needed for a successful competition season. Join us to learn how to transform anxiety into a powerful ally in the pursuit of excellence.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show!Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/

...in which we take an autumn stroll into Grizedale Forest with local-born author Rebecca Smith to explore the hidden history of working class people in the countryside. Exploring the expansive pine plantations north of Satterthwaite, we learn about Rebecca's idyllic childhood roaming the Graythwaite Estate, where her father was head forester. Seeking out elusive Bogle Crag, we consider the class ambiguity of living in the shadow of 'the big house', and the mixed blessings of tied housing for foresters and farmers. Taking a long view of the rural working class, Rebecca talks about her grandfather and great-grandfather, and the reality of navvy lives – including at Thirlmere – that were tough, transient and are largely forgotten today. On a mission to find 'Black Apple Tree', we reflect on the social impacts of mass tourism and the risk of dysfunction in rural economies that lose the workers they rely upon. Finally, we ask: why have the Coniston raves been airbrushed from history? Rebecca's book, Rural: The Lives of the Working Class Countryside, is available at all good bookshops (we recommend local!).

In the final of our party conference specials, recorded in front of a live audience in Birmingham, two Conservative politicians - one at the start of their Commons career, and another who had reached the end - discuss with Alain Tolhurst why the atmosphere was so upbeat for a party having suffered such a massive defeat, what direction the new leader should follow to try and win back power, and whether the Tories can be united again. Lord Graham Brady, the former chair of the 1922 committee, and author of the new book Kingmaker on what really happened behind the scenes of the Conservative party over the last 14 years, was joined by the new MP for South West Devon, Rebecca Smith, as well as the pollster Scarlett Maguire, and editor at PolHome, Adam Payne. To sign up for our newsletters click here Presented by Alain Tolhurst, produced by Nick Hilton for Podot

In 2023, the federal government reinstated access to Pell grants to incarcerated students– allowing them to apply for financial aid. This will affect the future of higher education in Missouri prisons. Rebecca Smith has more from one graduation ceremony where both incarcerated individuals and Department of Corrections staff received associate's degrees.

This week on The Pet Buzz, Petrendologist Charlotte Reed talks with Dr. Rebecca Smith, an Associate Professor of Epidemiology at the University of Illinois at Urbana, about mosquito-borne illnesses and pets.

What makes Exeter the thriving city it is today? Why do people make a bee-line for the city to shop, socialise and do business? Exeter businesses that buy into the BID organisation think they have the answer, and the BID's chief executive Nicola Wheeler joins Devoncast to talk about how working together is making the city thrive. Elsewhere, there's a campaign in Plymouth to save a much-loved sports field from development, and two of our new MPs have been making their maiden speeches at Westminster. Caroling Voaden explains why there is more to Devon than appears on the postcards, and Rebecca Smith lobbies for the county's transport links. Devoncast is presented by Alison Stephenson and Guy Henderson, and is available for use, in whole or in part, by all LDRS partners.

Approximately two thirds of Americans do not have a will and the implications of this can be far reaching. Join us as Dr. Rebecca Smith, Director of the Mississippi State University Extension Center for Economic Education and Financial Literacy, discusses basic estate planning and how it can help landowners. For questions or comments, email us at timberuniversity@gmail.com

Approximately two thirds of Americans do not have a will and the implications of this can be far reaching. Join us as Dr. Rebecca Smith, Director of the Mississippi State University Extension Center for Economic Education and Financial Literacy, discusses basic estate planning and how it can help landowners. For questions or comments, email us at timberuniversity@gmail.com  

The fur industry has a long history in the state of Missouri, and while it looks different now – it's still around. Rebecca Smith recently went to the annual Missouri fur auction and brings us this look at fur trapping's role in the community and in conservation.

Rebecca Smith v. UnitedHealth Group Inc.

Our host Raha speaks with Rebecca Smith aka Bex. Bex was a professional footballer who captained New Zealand through 2 World Cups and 2 Olympics. She finished her career winning the treble (League, Cup, UEFA Women's Champions League) in 2013. She worked with FIFA in their strategic planning and now works to bridge the gap between women's football and football stakeholders. يتحدث مُضيفنا رها مع ريبيكا سميث، الملقبة بـ "بيكس".بيكس كانت لاعبة كرة القدم محترفة قادت منتخب نيوزيلندا خلال 2 كأس العالم و 2 أولمبياد. انهت مسيرتها الاحترافية بفوزها بثلاثية (الدوري، الكأس، دوري أبطال أوروبا للسيدات) في عام 2013. عملت مع الفيفا في تخطيطها الاستراتيجي والآن تعمل على تقديم جسر بين كرة القدم النسائية وأطراف كرة القدم. Hosted on Acast. See acast.com/privacy for more information.

Our host Raha speaks with Rebecca Smith aka Bex. Bex was a professional footballer who captained New Zealand through 2 World Cups and 2 Olympics. She finished her career winning the treble (League, Cup, UEFA Women's Champions League) in 2013. She worked with FIFA in their strategic planning and now works to bridge the gap between women's football and football stakeholders. يتحدث مُضيفنا رها مع ريبيكا سميث، الملقبة بـ "بيكس".بيكس كانت لاعبة كرة القدم محترفة قادت منتخب نيوزيلندا خلال 2 كأس العالم و 2 أولمبياد. انهت مسيرتها الاحترافية بفوزها بثلاثية (الدوري، الكأس، دوري أبطال أوروبا للسيدات) في عام 2013. عملت مع الفيفا في تخطيطها الاستراتيجي والآن تعمل على تقديم جسر بين كرة القدم النسائية وأطراف كرة القدم. Hosted on Acast. See acast.com/privacy for more information.

Rebecca's Mental Block Book - https://completeperformancecoaching.com/book Have you ever watched a young gymnast freeze in fear, unable to leap into their next routine? Rebecca Smith, author of "Parenting Through Mental Blocks," joins us to unravel the mysteries of these daunting mental hurdles. Together, we dissect the biological underpinnings and psychological elements that contribute to these blocks and discuss why traditional methods of motivation like threats or bribes might be setting us back further.Navigating the emotionally charged world of competitive sports, particularly gymnastics, requires more than just tough love. We delve into the delicate dance between parents, coaches, and young athletes, underscoring the importance of emotional support and trust. Rebecca shares her insights on creating a nurturing environment that prioritizes mental health over winning medals, providing guidance for parents on when to intervene in toxic coaching situations and how to empower their children to voice their concerns. Wrapping up, we explore tangible steps for helping athletes overcome their fears and anxieties, steering away from quick fixes in favor of long-term confidence building. I present a resource laden with open-ended questions designed to foster communication and trust between parents and their aspiring gymnasts. Join us for this heartfelt episode where we offer a beacon of hope and understanding for families navigating the complex world of mental blocks in gymnastics.We appreciate you listening! To learn more about SHIFT, head here - https://shiftmovementscience.com/To learn about SHIFT's courses, check our website here - https://courses.shiftmovementscience.com/Also, please consider rating, reviewing, and sharing the podcast with your friends! Thanks :)Thanks for listening to The SHIFT Show!Check out SHIFT's most popular courses here! https://courses.shiftmovementscience.com/Want to join our online educational community of over 1000 gymnastics professionals and get 40+ hours of gymnastics lectures? Join The Hero Lab below!https://shiftmovementscience.com/theherolab/ Check out all our past podcast episodes here!https://shiftmovementscience.com/podcast/

This episode profiles the mass shooting murder occurring at the Capital Gazette Newspaper in the 800 block of Bestgate Road in Parole Maryland on June 28, 2018, where five employees were shot and killed. 34-year-old Rebecca Smith, 56-year-old John McNamara, 59-year-old Rob Hiaasen, 61-year-old- Gerald Fischman, and 65-year-old Wendi Winters were all shot and killed by 38-year-old Jarrod Warren Ramos because he was furious about an article that The Capital had published about him. This episode also profiles the unsolved shooting homicide of 23-year-old Nayel Jeremiah Shabex, who was found shot in a vehicle in the 5100 block of Deal Drive in Oxon Hill, on Friday, February 1, 2019.

I'm Ellen Bernstein-Ellis, Program Specialist and Director Emeritus for the Aphasia Treatment Program at Cal State East Bay and a member of the Aphasia Access Podcast Working Group. Aphasia Access strives to provide members with information, inspiration, and ideas that support their aphasia care through a variety of educational materials and resources. I'm today's hosts for an episode that will feature Jocelen Hamilton and Theresa Yao from Stanford Healthcare. We will discuss how adapting the A-FROM to swallowing disorders can offer a person-centered approach to assessing and treating a person with dysphagia.   Guest Bios     Theresa Yao is a licensed speech language pathologist at Stanford healthcare and a lecturer at San Jose State University. Her clinical and research interests include head and neck cancer rehabilitation, voice disorders, dysphagia, and aphasia. She is passionate about serving people from diverse backgrounds with communication and swallowing disorders. She was a fellow for life of the Albert Schweitzer Fellowship program, and co-founded the Bay Area's Swallowing Support group. She has been actively volunteering in community groups for stroke survivors who need communication support. She has always been a strong advocate for her patients and profession. Jocelen Hamilton has practiced as a licensed speech language pathologist for 19 years. She specializes in management of communication and swallowing disorders in adults with head and neck cancer. She began her career at the University of Iowa Hospitals and Clinics, and then joined the Stanford Outpatient Head and Neck Clinic in 2020. She also previously served as a clinical assistant professor for the University of Iowa's Communication Sciences and Disorders department with a focus on supervising graduate students and helping individuals with strokes and brain injuries. Her current clinical interests center around the development of frameworks to facilitate whole person care for individuals with swallowing disorders.   Listener Take-aways Think creatively about how to apply the A-FROM to other communication disorders, like swallowing Learn how dysphagia can impact the participation, environment and personal domains Consider some PROs that help to capture the impact of dysphagia on quality of life of both the patient and the caregiver Explore some ways to adapt EMRs to incorporate A-FROM or Swal-FROM into your daily notes Show notes edited for conciseness and clarity Ellen Bernstein-Ellis So I'm excited to have both of you here today. Thank you and welcome, Theresa.   Theresa Yao  00:55 Thank you, Ellen. I'm glad to be here.   Ellen Bernstein-Ellis  00:57 And Jocelen you too.   Jocelen Hamilton  00:59 Yes. Thank you so much for having us.   Ellen Bernstein-Ellis (Interviewer)    Welcome both of you, again, to this podcast. And as our listeners get to know you, we like to open with a fun icebreaker question. I'm going to pose two different questions that you've selected for today. So, Theresa, let's start with you.   I guess for full disclosure, I want to admit that, I will share--I don't have to admit, I am sharing that I had the honor and pleasure of being your supervisor at Cal State East Bay in the Aphasia Treatment Program (ATP). So I know that may come up today. I just want to let our listeners know that we've known each other for a while. I have been really fortunate in that relationship and seeing you emerge and thrive as such a wonderful contributor to our field.   So Theresa, could you please share one experience or role that has been meaningful to you as an aphasia ambassador?   Theresa Yao  03:22 Thank you, Ellen. It was great experience when I was in the Aphasia Treatment Program at Cal State East Bay. So that's actually one of the experiences I wanted to share as an opening, because I was at the Aphasia Treatment Program as a co-director for the choir, Aphasia Tones. And that was one of the best memory in my life. And I remember one time, one of our members who had more of a severe expressive aphasia, and usually has minimum verbal output, and we all know him. But whenever he starts singing, Can't Help Falling in Love, this particular song, you can hear that those beautiful words just came out right out from his mouth, fluently, beautifully. He was always so happy every time that he heard the music, and he just enjoy singing along.   That was just a really amazing moment for me to realize that people with aphasia with minimum verbal output, they can still enjoy and participate in choir, and can still communicate that way. It's just showed me how powerful it was to use the Life Participation Approach to Aphasia. And in our choir at that time, we have all different levels of severity. All members join together, and then they all enjoy and engage in this choir experience. So that's really meaningful. Whenever I think of LPA, I think of him, I think of this song, and I think of Aphasia Tones.   Ellen Bernstein-Ellis  04:54 Thank you for sharing that. And Theresa, it was wonderful to have you as a co-director. And see you step up to the challenge of leading the choir. And you're right, we really have a strong motto of participation at every level. And you really worked hard to make sure that happened. So thank you for sharing that. And yes, that's one of my favorite topics, so I loved hearing about that.   And Jocelen, I'm also excited to ask you to share with the listeners something about one of your experiences. So would you like to share an Aphasia Access, favorite resource or moment? What comes to mind for you?   Jocelen Hamilton  05:28 Yes, well, this is really neat for me to be on this podcast, because it is this podcast that is a favorite of mine, and a major “aha” for me.   Ellen Bernstein-Ellis Well, thank you, just thank you.   Jocelen Hamilton I worked with patients with head neck cancer for about nine years. I then did a major shift and then worked in a graduate training clinic at the University of Iowa. And during that time, previously, when I was at the hospital with a very heavy caseload and working with individuals with dysphagia. And so then switching over and working with individuals with strokes and brain injuries, that was much more communication focused.   And I had this caseload I was taking over with the graduate students and learning about all the current treatment principles and treatment options and all the research that had been developed. It had been probably close to 10 years since I had worked regularly with individuals with neurogenic communication disorders.   I had knew nothing about LPAA. I knew nothing about Aphasia Access, the organization. And I was thinking about this recently, of how I even came across it. But I think probably I was searching one of these treatment modalities, and a podcast came up. So I listened to some of the other podcasts and I was like, oh my goodness, this totally resonated, LPAA. And the podcasts and other resources through the website, totally resonated with me, and helped me better understand what my frustration was within an impairment only based approach, which was in my training and my background, and things like that, to like see a whole different way. So I learned as much as I could. And I tried to share all of that with my students, we were all learning together of how to implement this. So it's really neat to now be a part of this podcast and participate.   Ellen Bernstein-Ellis  07:32 We're so glad you agreed. And I just want to thank you. If there was ever a wonderful plug for membership to Aphasia Access, I think you just gave it. Thank you so much. for that.   Well, let's dive in a little bit more to our topic of the day. We're going to be talking about how and why you both decided to adopt the A-FROM or the Framework for Outcome Measurement of Aphasia by Kagan and Simmons-Mackie to your work with head and neck cancer patients. So I know we usually focus on aphasia, but we're taking this really important tool and talking about how you adapt it. So many listeners are, of course already familiar with the A-FROM. But can you briefly describe the social model framework for our listeners?   Theresa Yao  08:16 I can start with just a brief introduction. I think everyone, if you're listening to this podcast, you are already very familiar with A-FROM, which is based on the World Health Organization's ICF model. They address a few health and social domains such as body structure, function, activities, participation and contextual factors like personal and environmental factors. And like Ellen mentioned before, Dr. Kagan and colleagues, adapted this ICF model to create a very user-friendly framework for the outcome measurement in aphasia. And this becomes the Living with Aphasia Framework Outcome Measures the A-FROM and it has the domain of aphasia severity, which is the body function or impairment level, and then also participation, environment, personal factor. So these are the core concepts of the LPA approach. Thats what we are based on using this A-FROM to adapt it to this Swallow-SWAL-FROM, we call it. The Living with Swallowing Difficulties framework of measures.   Ellen Bernstein-Ellis  09:22 So let's talk a little bit more about this. Jocelen, do you want to share your story as an SLP and how you came to introduce the A-FROM into your work at Stanford in the head and neck cancer clinic?   Jocelen Hamilton  09:37 Sure. So after about a year and a half of working with individuals with aphasia and applying LPAA and using the A-FROM with clients, I then changed gears back to working with people who had neck cancer and we moved to California and I joined the Stanford team and I was back into primarily working with individuals with dysphagia. I just kept thinking about how can I take this model the A-FROM and apply that to working with individuals with dysphagia.   How I would previously use the A-FROM is that Venn diagram. I would just draw it on a piece of paper and start writing my notes on that as I was maybe doing an intake or working with a client. I started doing some of that model just in my note taking and looking at these different domains that might be impacted. And this was just kind of over a series of months, and even a year, where I was thinking about how to apply this and shared it with my patients. Here are some of the things that I'm seeing and what you're sharing with me that shows your participation is being impacted.   Then I ended up talking with our director, Heather Starmer, about an idea of a project—like how can I move this ahead. Theresa had recently joined our team and Heather said, you might want to talk to Theresa about that. She might be interested in doing a presentation on this. And so it was great, because Theresa and I had not yet talked about our aphasia backgrounds together. It was really neat to then work together and begin to apply this with more of our patients. Initially, we kind of struggled with what the environmental domain look like for somebody with dysphagia. And it was neat to talk through different cases with each other to see how it could apply. And then that's where the Swal-FROM came from.   Ellen Bernstein-Ellis  11:39 Wow, that's wonderful that the two of you were at the right place at the right time. And I always feel that the expression “stronger together” seems really fitting in this situation. But Theresa, do you want to share how you brought a life participation perspective into your work at Stanford?   Theresa Yao  11:57 Yes, sure. Because I've always been a big fan of the ICF model. When I was a student clinician in Aphasia Treatment Program, I learned so much from this model, from LPAA, and from Ellen, you. And also, of course, our members in our Aphasia Treatment Program. And I just could see the huge benefit from the LPA approach in the client's life.   So that's why once I started working in real clinics, I always think about this model. And when I started in at Stanford, I started working with the head neck cancer patients. I just feel like so many patients, they live with long term dysphagia, or a sore throat because of the neck cancer treatment they had. And they sometimes just can't get rid of it. They have to live with it. It's just like aphasia. They live with aphasia. And then it just clicked.  I just think that it's pretty similar to the situation that you're living with aphasia, and it's that same impact on patients quality of life, on their participation.   Then I just started thinking, maybe we can do something with this model to help our patients. And then, of course, Jocelen was there, and then we were just talking about her experience with aphasia treatment and LPAA. And we just clicked. That's why we came up with this (ASHA) presentation, and this idea of how to adapt this A-FROM to our Swal-FROM. And then also, we're talking about this because I also started a support group because I feel like people wanted to get connected. They wanted to engage like aphasia group.  They wanted that community to be able to participate, to be able to share. So that's why I think this also helped me to try to initiate this project, this group, so that we can help more people so that they can, they can help each other.   Ellen Bernstein-Ellis  13:56 I really love that you saw the power of group therapy, and you then were able to bring it into a different treatment arena. I really don't remember hearing too much about separate support groups for people with swallowing disorders. I don't know how common they are. But it sounds wonderful that you started one, Theresa. So very exciting. What do we know about the incidence of dysphagia in stroke survivors, and then people in skilled nursing, and from there, head and neck cancer? The reason I ask because I think there's overlap. I mean, you're seeing the dysphagia in head and neck cancer, but we know that it occurs frequently. Do you have any numbers to share about the incidence in stroke survivors?   Jocelen Hamilton  14:39 Yes, so it's about 45% of individuals with strokes experience, some degree of dysphagia and there's been research that's shown 40 to 60% of older individuals in nursing homes have dysphagia. There's even some research out there that one in 25 adults will experience dysphagia. Then when we look at individuals with head and neck cancer, and this could be on the lower range, but one of the particular statistics is 45 to 50% of individuals with head and neck cancer experience dysphagia.   Ellen Bernstein-Ellis  15:11 The importance of considering the whole person (for dysphagia tx) is really going to affect a lot of people that we might be seeing as therapists. And the two of you saw that there was a strong impairment focus in dysphagia management.  Can you give an example?   Theresa Yao  15:27 I can talk a little bit about this. When I was in grad school, I know that most of the things we learned was how to identify the impairment of dysphagia. We learned all kinds of treatments and exercises for dysphagia. We learned like how to modify diet, how to look for aspiration, penetration. Almost everything we learned, and also what we've been practicing in our clinical practice are heavily focused on the deficit and impairments. That's basically how we trained to assess and treat the physiological changes or the deficit. It just, to me, sounds like it's really technical.   I recently just look up the ASHA NOMS, the National Outcomes Measurement System-- that's what we usually use as judgment of whether the patient is making progress or not. They use this particular functional communication measures to see there's like different levels. If you're really looking at this national measurement system, you can see that the wording and the definition of each level is pretty much impairment focus. They mention diet level, safety, efficiency of swallowing, compensatory strategies, or cues, etc. So these are really heavily focused on impairment, but you don't really see like things that relate to participation, quality of life, environment, and those factors. So the consequences that if all the clinicians are just looking at the impairments and not looking at other factors, then you are missing a lot, you're not treating the whole person.   Ellen Bernstein-Ellis  17:11 Well, that's perfect, because that leads me to my next question. Why is it important to go beyond the impairment level measurement with dysphagia?       Jocelen Hamilton  17:24 I would say, because dysphagia is more than a physical difficulty. That's our name for that physical impairment. But it influences more, just like we know, with aphasia, that it's not just how much they can say, what they understand in the different modalities, but how a change in this function in the body influences everything.   So one of the analogies that I can relate to, that I've heard before in terms of looking at accessibility, has to do with like, physical impairments. So if somebody is paralyzed, they can't move their legs, well, the physical therapists are going to look at their legs and see the range of motion, their strength and all of that. But they're also going to think about how are they going to get into their house? And how are they going to move around?   Well, sometimes what can happen with dysphagia, as Theresa already talked about, we're looking just at how does that epiglottis move? What is the airway invasion like? But then are we going to talk about well, what's going to happen? We just had the holiday with Thanksgiving and the holidays now. What are family meals going to look like? I think one of the things that sticks out to me is what would my day to day life and social life be like if I couldn't drink with ease and comfort, I couldn't eat with ease and comfort, if I needed to have special food and special liquids and special strategies? So this impacts so many things within a social realm, and personal realm as well. We'll get into that in more detail as we go. But it's not just about the change in a physical function. How does that influence the rest of our lives? And it really does. There's been research that shows about burden and quality of life and psychological health.   Ellen Bernstein-Ellis  19:08 Well, this really hits close to home for me. I'm going to share with our listeners a personal story, because I've always been very passionate about our field and an advocate for speech language pathologists, but being on the other side of the table, when my husband was diagnosed with terminal cancer, did nothing but increase my own respect and appreciation for the role we play in supporting our clients and their loved ones.   Through this process, specifically with dysphagia, and I want to give a shout out to my husband's speech pathologist at Stanford, Heather Starmer, (and another congratulations to her because she just was made a 2023 ASHA fellow), but I'll just always remember the day that we came in. I know that Heather was set with her treatment plan-- I could already guess what we needed to do for the day. And that plan went out the window because we both signaled, Steve and I, that he was just feeling an increasing burden of trying to manage all of the home tasks we were supposed to do for both PT and speech, and it was just really impacting how he was feeling. And so instead, Heather focused on the personal impact and the quality of life issues that we were bringing up. Steve wanted to be compliant. He wanted to be the best patient there was. But she really listened to him carefully. She brought her best counseling skills to the table that day, and helped us come up with a plan that we could manage in a way that would help us sustain his quality of life as best as possible.   So I really saw, personally, I mean, I saw day in and day out how his dysphagia from his head neck cancer really impacted, hugely impacted, his participation with our family, and his quality of life. I am grateful for this work that you're doing and the passion you feel for looking at the whole person as you assess and treat dysphagia. And thanks to you, I've been reading, since dysphagia is not usually in my wheelhouse as much these days, but thanks to preparing for this particular episode, I was able to read some articles by Rebecca Smith and her colleagues that showed me that there's some amazing work being done looking at this whole topic, so thank you for that. Okay, and taking a deep breath, because that's a story I've been thinking about for quite a bit.   Back into our next question. What is the speech pathologist's role in assessing and addressing health related quality of life and the associated mealtime quality of life? That seems to be talked about a lot in the literature right now. Jocelen, is that you again?   Jocelen Hamilton  21:57 I'm glad you mentioned Rebecca Smith's work. There are actually three papers, I think, that that group, she and colleagues, put out in 2022. And specifically, I'll share a few quotes from their paper The True Cost of Dysphagia and Quality of Life:  The Views of Adults with Swallowing Disability, but in a way, there's a call to action, and she's not the first to mention it. But for us to include social participation, and their overall well-being, as part of our dysphagia intervention. To make that routine, and then to also ask questions: How are you doing? How are the holidays? How are these social settings with eating? I like to ask patients and their family members, and ask them separately, not meaning like individually, within the same session: Are you participating in doing this, the same things that you did before your diagnosis? Or how is that looking? Are you going out to eat as much? What do you miss now that is different and you're experiencing changes in your swallowing.   And it's interesting, because sometimes the partner will say that they miss going out to eat, and they need to navigate feelings like, “Well, I don't feel comfortable eating this in front of my loved one who has difficulty swallowing. I feel conflicted about I get to eat ribs, and they don't.” Those kinds of things. The importance of eliciting these stories, so we can really see what are their challenges, because then we can, like LPAA teaches us, we can engage in this creative problem solving and how we can help navigate through some of these challenges. I think those are a couple of important things that we can look at to support people.   Ellen Bernstein-Ellis  23:45 Thank you. And I just wanted to let our listeners know that we're putting all these references into our show notes. I took some from your ASHA presentations that I attended. So those will all be cited in the show notes.   Well, to expand to the participation, environment, and personal domains, you started to think about using patient reported outcomes or PROs for assessment. Why don't we go through the domains and discuss potential tools and interventions to fill out this framework a little bit more. So what might it look like if you consider participation?   Jocelen Hamilton  24:24 When we're looking at participation, we're looking at these meaningful activities may or may not involve oral intake, but looking at their current levels of participation compared to their pre cancer status. So how often, and in what ways, is someone with swallowing challenges participating? I kind of already talked about that a little bit. And how are the family members doing?   Here's one of the interesting things that I've had patients share here. Sometimes, one of the swallowing strategies that a patient needs to complete is a purposeful throat clear, and a re-swallow, or some patients do naturally their throat clearing, or maybe they're coughing when they're eating and drinking. This is an area where it calls attention to them when they're doing this. And then during the pandemic, we were all super hyper aware is somebody clearing their throat? Is somebody coughing? I've had some patients where they really don't feel comfortable because it calls attention. And people ask, how are they doing?   And also, another challenge being that when swallowing is hard, talking and swallowing is extra hard. When swallowing is challenging, most people need to just do that, where we take for granted that meals are a very social time. So some of those issues can be really challenging. There's also some individuals where their difficulty with swallowing has to do with loss of the bolus coming out and so there's almost changes in appearance, where they may not feel it. Their lip, their chin might be numb, and they don't know that liquids are dripping out, or they have a piece of food sitting there. So, they might be hesitant to go out and participate in different social settings. Even sometimes we have patients where they don't feel comfortable eating with their own family members, where they will eat completely separate from their spouse.   Ellen Bernstein-Ellis  26:28 I am just really struck again about the overlap of some of the things in your head neck cancer patients with clients I see with aphasia. It's really striking. So should we take a moment and discuss how this might look if you consider the environment?   Jocelen Hamilton  26:44 I really didn't address a PRO at all.   Ellen Bernstein-Ellis  26:46 Oh, it's not too late. We can still do that.   Ellen Bernstein-Ellis  26:52 Why don't you go ahead?   Jocelen Hamilton  26:55 Sure. Okay. So we're looking in this interview, right, like gathering information, learning how these things are challenging for them. For patient reported outcomes, PROs, Theresa, and I both looked into different ones. And oh, this one has these questions. And this would fall within this domain. So I'll touch base on a few of them here. And then some of them, they have questions that actually apply to  all of the domains.   So for these, there's one the Swal-QOL, this is probably the most broad in terms of looking at all of the domains that are within this Swal-FROM. It has 10 different quality of life concepts that it has specific questions for. So for this one, there's one subset that's all about social functioning. Some of the questions, they're rating from either strongly agree five point scale to strongly disagree, One of the questions, for example, is “I do not go out to eat because of my swallowing problem.” That really tells you where they're at with that participation, or “Social gatherings like holidays or get togethers are not enjoyable because of my swallowing problem.” So that really hones in on that challenge.   Within our specific area of practice with individuals with head neck cancer, there's a scale called the Performance Status Scale Head Neck Cancer, PSS-HN. Now you might think, how might I use this? I encourage people to be open minded, even though this wasn't validated. And some of these are not validated on individuals who have dysphagia from a different cause other than head neck cancer. It doesn't mean that you can't use it as a way to gather information, engage, and perhaps re administer.   I'm also a big fan of, as people fill this out, having a conversation about their responses as they go to gather information. But with this, the Performance Status Scale, there's a specific rating scale about public eating. So zero means always eats alone. And 100 is no restriction of eating for any place food or company. So they would eat out at any opportunity. Where in-between might be one point on the scale, “eats only in the presence of selected persons and selected places”, or they would eat out but there would be another option,  “eat out, but be more selective about the diet textures and things they would consume in a social setting”, which is common. Some individuals will specifically choose different foods when they're when they're in a social setting.   There's also another PRO, the Dysphagia Handicap Index. So with this one, it's a 25 item questionnaire and it does specifically look at physical, functional and emotional aspects of dysphagia. And so a couple of questions from there that would fit with the participation domain include, “I'm embarrassed to eat in public” and “I don't socialize this much due to my swallowing problem”. Those could give some insight into these areas by selecting some of those questions.   Ellen Bernstein-Ellis  30:08 Well, I'm really glad you caught me. I think I was so struck about the overlap that, thank you for coming back and talking about those PRO's. Are we good? Can we transition to the environment next? What would this look like? What does the Swal-QOL look like if you consider the environment.   Theresa Yao  30:29 When you talk about the environment, it can be factors such as the availability of the appropriate food textures, and oral liquid consistencies across different social settings. For example, if you go out to the restaurant, are there any easier food texture that's available for people with dysphagia? And that's one of the environmental factors.   And then there's a new article from ASHA leader that just came out about dining with dysphagia. So that's actually a pilot program from University of Cincinnati that try to help restaurants to expand their menu options so that they have more choices for people with swallowing disorders.   Ellen Bernstein-Ellis That's amazing.   Theresa Yao Also, another factor that related to the environment is the attitude and level of acceptance or support the people with dysphagia can get from their family, their friends, or even just strangers in their eating situation. So just like Jocelen mentioned, if you're coughing or clearing the throat, what the reaction from other people will be like, -- if they're supportive, or if they're not so. Sometimes these factors can make a patient uncomfortable eating out because of those environmental factors. And then also, the attitude from people around usually can be impacted by culture. Which type of textures they prefer to consume, and how they consume. If you go to a different type of restaurant, they may have different types of food textures, that are specifically for that culture, so that's also another factor.   And then also, on the broader spectrum, is the attitude from the healthcare professionals or the public, because the attitude from healthcare professionals is basically, because dysphagia is invisible, and when you are in the hospital, not everyone can see it. If you have leg injury or arm injury, people can see it. But if you have dysphagia, you can't see it. And then when the health care provider is, prescribing your pills, and if you can't swallow, how can they take the pill? They probably are not aware of this, this type of disability, so they may not prescribe you the right pills.   These are the things that we can consider as environmental factors. And of course, even larger scale, there's health care policies, the service systems, that may impact the people with a dysphagia too, because insurance may not pay all the dysphagia services, or how often can people get dysphagia support or service? So those are all the environmental factors that we may consider.   Ellen Bernstein-Ellis  33:21 I think the importance of this framework is helping us as clinicians to continue to think just broader and more widely about what's impacting the person in front of us. I mean, wow, you are giving us a lot of factors, from the very personal to the broader social policy. And I want us to take a moment and also talk about personal factors, that whole domain.   Theresa Yao  33:41 Personal factors can also be very, very important. And  a lot of things can be involved. So we know that the person was dysphagia may not be the same person, have the same hobbies or same traits, as before their treatment. So that may cause anxiety, or they may feel embarrassed because of their eating habits, or the change of their eating habits. Because we know that eating and drinking is very individualized. Some people, if they're born as a slow eater, they probably are okay with their dysphagia diet or if we ask them to eat slowly and take smaller bites, that's totally fine. But if some people are born as a fast eater, they will have a huge challenge with, if you give them the strategy to eat slow, taking small bites, because that's just not them anymore. They just feel like they're a different person and then they feel disappointed or frustrated if they can't eat as fast as they used to.   And I always share this in my clinic. I  see two patients with similar procedures. One person can feel really happy with their diet. They feel okay because they're always eating soft foods or soups. And then another person just with a little bit of impairment of mouth opening, they feel like it's just really frustrating because they can't bite their sandwiches and burgers. And that just makes a huge difference. But if you're only looking at their swallow study, it's the same, they probably don't have any major impairment, but the impact on the quality of life on their participation, environment, and also personal factor. It's so different. So that's why I think considering a personal factor is really important.     Ellen Bernstein-Ellis  35:38 So you're giving us examples of the things we should be thinking about, you're giving us examples of some of the PROs that might help us measure. But if many of the EMRs, the electronic medical records are set up for impairment focused measures, how can you adapt the documentation to include these other domains? That's always a barrier, or can be maybe, not always, can be.   Jocelen Hamilton  36:00 I think sometimes it can be a barrier. If sometimes the entry is just you have to click certain things, there's not a lot of room for free text. With the EMR that we have, we can have a set template, but we can copy and paste anything in there. So what I did is I took the A-FROM--actually, in the same paper that put out the A-FROM, they put the FROM, Framework for Outcome Measurement, and actually suggest that you could use it for individuals with TBI and called it TBI-FROM.    I took that and put it into a template and have the citation for it there and then added a title. It gives a visual for other individuals reading the note of what I'm talking about. ‘Survivorship beyond body function domain: Dysphagia's impact on personal, participation, environmental domains', so I have that as a title. I have it as this set, we use epic, so I can do dot phrases (Smart Phrases). I can drop that into a note. And then as I go through and document, I have the subtitles of body function, participation, environment, personal factors in as I'm collecting this information. That's how I can organize my note.   I don't do it every single time with every single patient. Sometimes some of our sessions are more impairment focused, like we need to for safety reasons focus on this. Sometimes it's more a whole session all about how are they doing with their personal domain? I had a patient in the clinic today, and he is depressed, and we just had this quick talk of, “Okay, what do we need to do? Can you talk to your primary care doctor? This is common, many individuals with head neck cancer have depression.” But I'll organize my note, getting back to the notes, with those subtitles and putting the information in there. It also is a cue for me, because I keep needing cues and reminders to come back and broaden that focus, instead of always being in on the impairment and you monitor, document, and then monitor, as I'm reviewing back on their notes to see how they're doing across these different domains.   Ellen Bernstein-Ellis  38:19 That is a beautiful example of how you can adapt something. I'm sure a lot of our listeners really appreciate you describing it so carefully, and hopefully will inspire some of them to see what they can do to adapt their EMRs.   A little bit earlier, you mentioned the importance of getting perspective from both the client and the care partner. How does the caregiver or care partner experience fit into the Swal-FROM?   Theresa Yao  38:47 Caregiver or care partners, they play a really important role in this whole journey with individuals with dysphagia. And I'm sure Ellen, you probably were in that role before. Most of the time, it's the caregiver making the meals for the spouse. Making the meals for the patients with dysphagia can be very challenging. Because just the texture, you have to take care, and the taste. I have caregivers talking to me. They told me that they tried their best to make all the foods but the patient didn't eat at all or didn't like it at all. Then they feel super frustrated. These are all the challenges that the caregivers may face.   Dr. Samantha Shune and colleagues, they did a lot of work on this caregiver burden topic. Their study said increased caregiver burden has been associated with the degree of impact that dysphagia is having on mealtime logistics. Family members also report increased anxiety and fear and frustration, stress, embarrassment and social isolation. So these are very two critical things to consider when we're thinking about whole person care, because we can't just care for one person, the patient. But if the caregiver is also experiencing all the stress, all the anxieties, we also need to consider that factor.   Researchers in Australia, Professor Nund and colleagues, they also pointed out that this specific caregiver burden is third party disability. And it's the consequence of that person's impairment, which impacts the functioning and ability of their family members or significant others. That's why we want us to fit this caregiver experience into this Swal-FROM framework. Just adding the family caregiver in all the different domains to support patients with dysphagia. And caregiver can influence four domains. But at the same time, also, we need to take care of, examine, the four domains of the family member or the caregiver--going to check their participation, their environment, and their personal factors. Those are really important, because their health and well-being can be affected by being in the journey of taking care of people with dysphagia. So they're super tied closely. That's why we wanted to fit this framework as well.   Ellen Bernstein-Ellis  41:21 One of the clinical tools I've learned is available is a PRO measure called the CARES, developed by Shune and colleagues, and we'll again put the citation in our show notes. Theresa, could you describe that a little bit more?.   Theresa Yao  41:37 So this is a wonderful screening tool that developed by Dr. Shune and colleagues. It's full name is called Caregiver Analysis of Reported Experiences with Swallowing Disorders. It has 26 items in the questionnaire. And then there's two parts that explore a different aspect of dysphagia's impact on the caregiver. One is a checklist on the behavior and functional changes, and one is a checklist of the subjective caregiver stress. Basically, it's a simple yes/no questionnaire. You can give it to the caregiver and they can just circle yes or no. Then from that, you can figure out what area you may address as an SLP. Or you may want to refer them to a specific team or professionals to address that, because we have limited scope of practice, we can't do everything. But if we can help them to identify the issue and then point them in the right direction, to the right team. That may help a lot.   Ellen Bernstein-Ellis  42:43 In your ASHA presentation you also mentioned the Rome Foundation is a resource and another website that offers skill building around managing serious illness conversations. We're going to put both of those resources into the show notes for people, but we don't have time right now to go into them fully.   But Jocelen, can you address or share what benefits you've seen by adopting this framework? Does it help with goal setting? Does it help with acceptability of recommendations? What have you seen?   Jocelen Hamilton  43:12 I think it's helped me and I feel like it's helped patients and our families have a little more clarity about, okay, these are the areas that are challenging. And again, I'm a visual person, so if I write it out with them, and they're telling me things, and I'm explaining, I get excited about the diagram, and I'm like, you know, see, this seems like an area of challenge. Is there something that you're interested in doing in this area? Are you willing to talk with another person who's gone through this?   So I feel like it really can give clarity, I think, for myself, what you know that A-FROM does, and Swal-FROM now is to not, I professionally can get really hung up on the impairment. And I can't always change that, right? We can't always change it to the degree that we would like. Of course, we would like everybody to have complete resolution, right? And so there can be this frustration and powerlessness with that. And obviously the patients and our family members can be experiencing that also.   And with this broader view, we can say but here's what we can focus on what can we do to have you participate that would make you feel better? What can we do that would help you with your personal feelings? So I feel like it addresses things that matter and we can have more conversations about how is their day to day life being impacted? What are some small steps we can take in a direction that might help them and their families.   Ellen Bernstein-Ellis  44:43 That's beautiful. Thank you so much, Theresa and Jocelen. It has been a pleasure  and I've learned so much from both of you, listening to you apply this framework and look deeply and carefully at quality of life for people with dysphagia. I really appreciate it. Is there anything else you want to add?   Theresa Yao  45:03 I just wanted to add a little bit. So I think it's really important as clinicians to listen to our patients and caregivers, because we need to learn from their experiences, their perspective. And, like we mentioned dysphagia is invisible. I wanted to share one of the quotes from one of the dysphagia support members. He says,  “dysphagia is a label you carry with you inside.” And that's really just so true, because it's hidden. If you go outside, people see like you what you can walk, you can talk, but they don't know that this disability is hidden inside. And I think it's so important to address not just the impairment, but also listen to the patient's perspective. And then help them to address all the domains. I always think that you become a better clinician because what you learn from your patient. So that's all we need to do.   Ellen Bernstein-Ellis  46:08 I can't think of a better way to close this interview. Even though I could ask you several more questions, we could be here for another hour, I just want to thank you for bringing that patient's voice, a client's voice, into the discussion today, so beautifully. And let's end on that note of really learning from our patients' perspectives. So I want to thank you both. And I want to thank our listeners for listening today. And for the references and resources mentioned in today's show, please see our show notes. They're available on our website at www.aphasiaaccess.org. And there you can also become a member of our organization.   Jocelen Hamilton Yes, yes, Do it!   Ellen Bernstein-Ellis Thank you! Browse our growing library materials and find out about the Aphasia Access Academy. If you have an idea for a future podcast episode, email us at info@AphasiaAccess.org For Aphasia Access Conversations, I'm Ellen Bernstein-Ellis. And thanks again for your ongoing support Aphasia Access   Resources and References Ariadne Labs: Serious Illness Care Program https://www.ariadnelabs.org/serious-illness-care/serious-illness-care-program/ The Rome Foundation https://theromefoundation.org/   Chen, A. Y., Frankowski, R., Bishop-Leone, J., Hebert, T., Leyk, S., Lewin, J., & Goepfert, H. (2001). The development and validation of a dysphagia-specific quality-of-life questionnaire for patients with head and neck cancer: the MD Anderson dysphagia inventory. Archives of Otolaryngology–Head & Neck Surgery, 127(7), 870-876. Hamilton, J., Yao, T. J. (2023). Framework to Guide Whole-Person Care for Individuals with Dysphagia. 2023 ASHA Convention, Boston, MA. Hamilton, J., Yao, T. J. (2022). Shifting to Whole-Person Care for Head Neck Cancer Survivors Living with Dysphagia. 2022 ASHA Convention, New Orleans, LA. Hickey, E. and Douglas, N. (2021) Person-Centered Memory and Communication Interventions for Dementia: A Case Study Approach. Plural Publishing, Inc. Howells, S. R., Cornwell, P. L., Ward, E. C., & Kuipers, P. (2021). Client perspectives on living with dysphagia in the community. International Journal of Speech-Language Pathology, 23(2), 201-212. Kagan, A., Simmons‐Mackie, N., Rowland, A., Huijbregts, M., Shumway, E., McEwen, S., ... & Sharp, S. (2008). Counting what counts: A framework for capturing real‐life outcomes of aphasia intervention. Aphasiology, 22(3), 258-280. List, M. A., D'Antonio, L. L., Cella, D. F., Siston, A., Mumby, P., Haraf, D., & Vokes, E. (1996). The performance status scale for head and neck cancer patients and the functional assessment of cancer therapy‐head and neck scale: a study of utility and validity. Cancer: Interdisciplinary International Journal of the American Cancer Society, 77(11), 2294-2301. McGinnis, C. M., Homan, K., Solomon, M., Taylor, J., Staebell, K., Erger, D., & Raut, N. (2019). Dysphagia: interprofessional management, impact, and patient‐centered care. Nutrition in Clinical Practice, 34(1), 80-95. McHorney, C. A., Bricker, D. E., Kramer, A. E., Rosenbek, J. C., Robbins, J., Chignell, K. A., ... & Clarke, C. (2000). The SWAL-QOL outcomes tool for oropharyngeal dysphagia in adults: I. Conceptual foundation and item development. Dysphagia, 15, 115-121. Nund, R. L., Scarinci, N. A., Cartmill, B., Ward, E. C., Kuipers, P., & Porceddu, S. V. (2016). Third-party disability in carers of people with dysphagia following non-surgical management for head and neck cancer. Disability and rehabilitation, 38(5), 462–471. https://doi.org/10.3109/09638288.2015.1046563 Shune, S. Moving beyond the isolated swallow: Dysphagia in the context of the shared mealtime. https://dysphagiacafe.com/2015/03/19/moving-beyond-the-isolated-swallow-dysphagia-in-the-context-of-the-shared-mealtime/ Shune, S., Davis, C., & Namasivayam-MacDonald, A. (2021). Contributors to Dysphagia-Related Burden Among Spousal Caregivers of Stroke Survivors. Archives of Physical Medicine and Rehabilitation, 102(10), e65. Shune, S. E., & Namasivayam-MacDonald, A. (2020). Dysphagia-related caregiver burden: Moving beyond the physiological impairment. Perspectives of the ASHA Special Interest Groups, 5(5), 1282-1289. Silbergleit, A. K., Schultz, L., Jacobson, B. H., Beardsley, T., & Johnson, A. F. (2012). The dysphagia handicap index: development and validation. Dysphagia, 27, 46-52. Smith, R., Bryant, L., & Hemsley, B. (2023). The true cost of dysphagia on quality of life: The views of adults with swallowing disability. International Journal of Language & Communication Disorders, 58(2), 451-466. Smith, R., Bryant, L., & Hemsley, B. (2022). Dysphagia and quality of life, participation, and inclusion experiences and outcomes for adults and children with dysphagia: A scoping review. Perspectives of the ASHA Special Interest Groups, 7(1), 181-196.

Today's guest on the podcast is Flipped Lifestyle community member, Rebecca Smith, founder of CompletePerformanceCoaching.com! In her PerformHappy membership, Rebecca helps gymnasts, cheerleaders, and swimmers go from fearful to confident. Rebecca graduated with a Masters in Sports Psychology, started a private practice, and then realized that she wanted to serve more people and could do so through online business. Upon launch, her membership got 4 members and quickly grew into a thriving, $20,000/month membership site! Rebeca's membership has now hit a plateau, so we discuss how to get her business to the next level by taking a profit-first approach and using the Dream 100 strategy to get in front of other people's audience. You can listen to Rebecca's first episode on The Flipped Lifestyle Podcast here: https://flippedlifestyle.com/podcast105/  We can help you start, build, and grow an income from home even if you've never made a dime online! Learn how at https://www.flippedlifestyle.com!

Paddington director Paul King returns with Wonka starring Timothée Chalamet in the title role. He talks with Samira about exploring the backstory of Willy Wonka and Roald Dahl's surprising vision for fiction's greatest confectioner.Front Row rounds up the best non-fiction books of 2023 with Caroline Sanderson - non-fiction books editor for The Bookseller and chair of judges for the Baillie Gifford Prize in 2022, Stephanie Merritt - critic and novelist, and John Mitchinson - cofounder of Unbound, the independent crowdfunding publisher and co-presenter of literary podcast, Backlisted.The extraordinary work of the artist Pauline Boty (1938 – 1966) is explored by the curator of a new exhibition, Mila Askarova, and the art historian Lynda Nead.Presenter Samira Ahmed Producer: Paula McGrathFront Row non-fiction recommendations for 2023Toy Fights: A Boyhood by Don Patterson published by Faber and Faber Thunderclap: A Memoir of Art, Life and Sudden Death by Laura Cumming published by Chatto & Windus How To Say Babylon: A Jamaican Memoir by Safiya Sinclair published by Fourth Estate Twelve Words for Moss by Elizabeth-Jane Burnett published by Allen Lane The British Year in 72 Seasons by Kiera Chapman, Rowan Jaines, Lulah Ellgender and Rebecca Warren published by Granta Rural: The Lives of the Working Class Countryside by Rebecca Smith published by William Collins High Caucasus: A Mountain Quest in Russia's Haunted Hinterland by Tom Parfitt published by Headline Eve: How The Female Body Drove 200 Million Years of Human Evolution by Cat Bohannon published by Hutchinson Heinemann Shakespeare's Book: The Intertwined Lives Behind the First Folio by Chris Laoutaris published by Williams Collins

This episode recaps a discussion during a recent Masterclasses in Dermatology Atopic Dermatitis meeting. Course Director Emmy Graber, MD, MBA, moderated a faculty Q&A after sessions. She asked leading atopic dermatitis experts about bathing routine advice for patients and families. They took different ages, cultures, and more into consideration. Rebecca Smith, MD; Lawrence Eichenfield, MD; Zakiya Pressley Rice, MD; and Christopher Bunick, MD, PhD; weighed in.

This week, we're diving headfirst into the captivating world of clothing with Rebecca Smith, author of "The Happy Dresser"! Join us on a journey as we explore the profound significance of garments in our lives, unlock the cherished memories they hold, and unravel the compelling stories woven into our very fabrics. We talk about the impact of fashion on our well-being, peek inside the treasure troves of our wardrobes, and get into the pros and cons of crafting our very own couture. Is social media a platform for judgment or perhaps a sacred diary of self-expression? Naturally, sustainability gets a look-in as we chart a course towards a more eco-conscious future. And let's not overlook the allure of a certain pair of dazzling gold boots that's sure to leave you in awe! You can buy "The Happy Dresser" on the web here, and find Rebecca on Instagram as @rebeccaweefsmithGarmology is by Nick Johannessen. There is no advertising or sponsorship, but you are welcome to support the podcast via my Patreon at patreon.com/garmology or you can  buymeacoffee.com/garmologyNick Johannessen is also the editor of the WellDressedDad blog and WellDressedDad on Instagram. You can email Nick as Garmology (at) WellDressedDad.com.Garmology theme music by Fabian Stordalen.

SuperDaisy tells the tale of a little girl who is very poorly. But Daisy lets her imagination run wild as she dresses up in fancy dress, coming to the rescue in different and exciting scenarios. In her superhero disguise, Daisy is able to shake off her worries about being unwell and become the superhero that she really is.

Learning to teach better by considering what it means to teach toward antiracist mathematics teacher education. In this episode, Joel is joined by Dr. Anne Marie Marshall and Dr. Rebecca Smith as they share a recent publication in Mathematics Teacher Educator, Are We Preparing Agents of Change or Instruments of Inequity? Teaching Toward Antiracist Mathematics Teacher Education, and the lessons learned in in starting the project, refining the module, refining the module, and FINALLY getting the paper published. Show notes for this episode can be found at https://amidonplanet.com/episode98/ (https://amidonplanet.com/episode98/)

Today Coach Rebecca continues the discussion from the last episode, addressing parents who are navigating the challenges of supporting their children through mental blocks. As parents, we have tremendous influence over our kids. Everything we say and do leaves an impact. Even our well-intentioned efforts can put on more pressure and discourage them.  “The way that you show up as a sport parent is demonstrating certain beliefs.” – Rebecca Smith  Drawing on her experience as a former athlete and a coach who has worked with athletes for decades, Coach Rebecca provides invaluable insights into the subtle ways parents can unknowingly create pressure that affects their children's performance.   Here are three of the points Coach Rebecca shares:  Small things we do or say that negatively affect our kids  Focus on praising their character, hard work, and progress  Productively compare your athlete only to their own selves  Navigating the fine line between offering support and unintentionally giving our athletes excessive pressure can be challenging for parents. Remember the Perform Happy mantra: food, hugs, rides, tuition. If you do nothing else but these 4 things, you're doing great.  By being mindful of their actions, focusing on character and progress, and avoiding unhealthy comparisons, parents can create a nurturing and empowering environment that allows their young athletes to thrive.  

Super heroes don't only live in comic books. In this episode we explore the power of positivity with Rebecca Smith and learn how she beat seemingly insurmountable odds by simply being positive. This episode is in memory of Rebecca and dedicated to all cancer survivors.

In this enlightening episode of The Real Hopecast, we engage in a deep and insightful conversation with special guests Shauna O'Nan and Rebecca Smith from the Jessamine County Health Department. Join us as we explore the vital subject of harm reduction and its significance within our communities.Shauna and Rebecca bring their expertise to the table, shedding light on the essential role of harm reduction strategies in addressing addiction and related issues. With a focus on open dialogue and community-based approaches, we delve into the importance of providing support, resources, and non-judgmental guidance to individuals navigating the challenges of addiction.Tune in to this thought-provoking episode of The Real Hopecast, available on all major podcast platforms, and gain a deeper understanding of how harm reduction can pave the way for transformation and renewed hope.

As parents, we all want the best for our young athletes, especially when they're going through tough times. But what should you do if your child resists the help and guidance we offer? In this episode, Coach Rebecca addresses this common concern and provides valuable insights for parents seeking ways to understand and support their athletes effectively.  During their pre-teen and teenage years, it's entirely normal for children to seek some distance from their parents. This developmental phase is marked by their quest for independence and the shaping of their identities. It's essential to recognize that their resistance might have a biological basis as their brains undergo significant changes during this period.  In some cases, kids may not even realize they need help. We need to allow them space to recognize when they can improve and understand when to ask for help. Instead of arguing with them when they insist everything's fine, try to agree with them while gently encouraging deeper reflection on their situation. Give them the freedom to figure things out and learn from their experiences.  “Effort pointed in the wrong direction will actually decrease confidence.” -Rebecca Smith  Embarrassment can also be a reason why young athletes avoid seeking help. They might fear standing out or being seen as different from their peers, especially if they require additional training or support. As parents, it's essential to create an environment where they feel safe to open up and share their challenges without judgment.  The key lies in building a strong and trusting relationship with your child based on hope and trust. Coach Rebecca emphasizes the importance of teaching parents how to foster hope and trust with their kids. By creating a safe space where young athletes feel understood, supported, and free to share their experiences, parents can lay the foundation for open communication and the willingness to seek help when needed.  “When you stop trying to solve the problem and instead start to build the relationship, that readiness for change is going to move and the hope they have in themselves is going to increase.” -Rebecca Smith  Join Coach Rebecca in this episode as she shares essential strategies for building a supportive and trusting relationship with your athlete, empowering them to embrace growth and seek help when facing challenges. Remember, creating a nurturing and understanding environment can be the catalyst for your child's continued growth and success in their sports journey.  FREE RESOURCES  How To Help Your Gymnast Overcome Mental Blocks (​​​​​​​Without Being Too Controlling Or Too Involved): Online Training 

Diana Copperwhite (b. 1969, Ireland) lives and works in Dublin and New York. Recent solo exhibitions include Driven by Distraction, Royal Hibernian Academy, Dublin (2016), Depend on the Morning Sun, Thomas Jaeckal Gallery, New York (2016) and A Million and One Things Under the Sun, Kevin Kavanagh, Dublin (2015). Selected group exhibitions include Last Picture Show w/Mary Heilmann, Chris Ofili, Danny Rolph, Vanessa Jackson, Elio Rodriguez, Jill Levine, Rebecca Smith, Thomas Jaeckel Gallery, New York (2017) and Virtú, inc. Picasso, Giacometti, Henry Moore, Elizabeth Magill and Sean Scully at the Hunt Museum, Limerick, Ireland (2017). Copperwhite's work is held in numerous public and private collections including: the Irish Museum of Modern Art, Arts Council of Ireland, Limerick City Gallery of Art, Office of Public Works, Contemporary Irish Art Society, Highlanes Municipal Art Gallery, Mariehamn Stadbiblioteque, Aland (Finland), Dublin Institute of Technology and The President of Ireland. TRAPDOOR, 2022, Oil on canvas, 140 x 120 cm BLIZZARD, 2022, Oil on Canvas, 150 x 180 cm  

OTTAWA – Ciena Vectors Event – Ciena CTO Steve Alexander and CMO Rebecca Smith joined the podcast to discuss why the company leapfrogged the industry to develop the WaveLogic 6 modem, a 1.6 Tbit/s coherent optical technology. Hosted on Acast. See acast.com/privacy for more information.

Mark Stephen presents Scotland Outdoors

Has your gymnast encountered mental blocks and it feels like you've tried everything to help them? Have you wondered if maybe their nutrition has an effect on their mental state?In today's episode, I'm chatting with mental block expert Rebecca Smith M.A. of Complete Performance Coaching and we're discussing the role nutrition plays in overcoming mental blocks in gymnastics. It probably doesn't occur to most gymnasts and parents to look at their nutrition when struggling with a fear or mental block, but if your brain is running on empty, that's a threat to your health and safety. Since it's our brain's job to keep us safe, mental blocks are basically a flight, fight, freeze response and are exasperated by underfueling.  Listen in to hear Rebecca's advice on overcoming mental blocks in gymnastics. In this episode you'll hear about: What a mental block is, how it can start, and how nutrition (or lack of) can contribute to its existence. Controllables your gymnast can work on to battle mental blocksThe role parents play in helping with both nutrition and mental blocks for their gymnasts to be successful Links & Resources The Balanced Gymnast®  Program for level 5-10 female gymnasts Rebecca Smith, M.A Complete Performance Coaching TrainingConnect with Rebecca on Instagram @complete_performanceConnect with Christina on Instagram @the.gymnast.nutritionist or support@christinaandersonrdn.com  

I was fortunate to host a live event with 3 incredibly smart and talented leasing leaders in the Multifamily industry.We got into the brass tax of leasing and discussed a handful of topics all connected to leasing apartments.Topics discussed:- How to deliver an incredible tour- Leasing tech- Getting feedback to the marketing team- Marketing collateral- The importance of being authentic- The fundamentals of leasingI was fortunate to be joined by:- Rebecca Smith of WPM- Andrew Hudson of American Landmark- Michael Lopez of Hawthorne ResidentialYou can catch the full video version here on YouTube: https://www.youtube.com/watch?v=GNRYFcdziAs&t=17s

The U.S. Department of Energy is offering $7 billion in funding to create a network of six to ten sites across the nation to develop and commercialize hydrogen made from renewable energy such as wind and solar. Hydrogen can be used as a fuel, to generate electricity or for industrial applications, including making fertilizer and refining petroleum. Most hydrogen today is produced using natural gas, a fossil fuel which is accelerating climate change. Lake Oswego-based Obsidian Renewables is one of the energy companies applying for funding from the DOE's regional clean hydrogen hubs program. It wants to build a pipeline connecting two facilities located in Hermiston and Moses Lake, Washington to generate hydrogen primarily from wind and solar power. The Pacific Northwest Hydrogen Association, a public-private partnership which includes the Washington Department of Commerce and the Oregon Department of Energy, is also competing for federal dollars to spur investment in clean hydrogen projects. The details of its proposal have not been made public, but the association claims it could create tens of thousands of jobs to supply the aviation, agriculture and other industries with green hydrogen. Joining us are Ken Dragoon, the director of hydrogen development at Obsidian Renewables, and Rebecca Smith, a senior energy policy analyst at the Oregon Department of Energy.

Today on the podcast, I had a great chat with former gymnast, coach, and Gymnastics Mental Skills expert Rebecca Smith. Founder and CEO of Complete Performance Coaching, Rebecca helps high achievers thrive under pressure allowing kids to reach peak performance as well as maximum enjoyment. In the last few podcast episodes, we've been dancing around mental blocks, what to do and how to help.  I've received countless emails and messages about sons or daughters struggling with back walkovers, back handsprings, and flyaways.  So many parents, gymnasts, and coaches want to know what they can do to help get through freezing up on skills, nerves, anxiety, dwindling confidence, and mental blocks, particularly as season approaches.  Rebecca has worked with 100s of parents, clubs, and athletes on how to help get through mental blocks. We deep dive into her experience helping people, and what works to overcome these challenges that so many gymnasts face. We discuss: Mental blocks are biological. How to overcome the fear response in your athletes.  Why the brain wrestles between logic and emotion. How growing can impact fear.  Communication is critical for success.  The relationship you have with yourself is your biggest asset in overcoming challenges. Parental pressure. Kids learn more from how you behave than what you say. Do you really need to post competition results on Instagram? And… What to do if your gym is not open to change. We want to invite you to a FREE training for gymnastics parents that Rebecca is putting on: http://completeperformancecoaching.com/dave This free class is next Sunday 11/6 @ 9 am PST / 12pm EST, covering exactly how to help with mental blocks and gymnasts struggling with confidence. You'll learn the entire 3-step Mental Block Breakthrough Method that will teach you how to help your athlete overcome fear without being too controlling or too involved. https://event.webinarjam.com/register/21/249ymfq If you've ever wondered “how can I fix this for her?” This is for you. If you've seen mental blocks making her miserable, then DO NOT MISS THIS FREE TRAINING. Click here to save your spot: http://completeperformancecoaching.com/dave P.S. Who do you know that has an athlete who is struggling with mental blocks? Feel free to send them the link to register too.

If you make content, you'll inevitably say something wrong. How do you deal with it? In today's episode, we discuss: Putting yourself out there on the internet How Rebecca Smith grew her membership site to $20,000/month How to take your online business to the next level after plateauing How to use the Dream 100 strategy to find new members Our spotlight story this week is Flipped Lifestyle community member, Rebecca Smith, founder of CompletePerformanceCoaching.com! In her PerformHappy membership, Rebecca helps gymnasts, cheerleaders, and swimmers go from fearful to confident. Rebecca graduated with a Masters in Sports Psychology, started a private practice, and then realized that she wanted to serve more people and could do so through online business. Upon launch, her membership got 4 members and quickly grew into a thriving, $20,000/month membership site! Rebeca's membership has now hit a plateau, so she and Shane Sams discuss how to get her business to the next level by taking a profit-first approach and using the Dream 100 strategy to get in front of other people's audience. There's tons of value in this episode of the podcast because we're also answering a couple of questions from the Flipped Lifestyle Community forums! How do I create a minimum viable product? We would love to have you as a member of The Flipped Lifestyle Community!  We believe you have God-given talents and experiences you can use to start an online business!  All you need is 100 people to pay you $50/m online to make $5,000/m, $60,000/y!  Let us help you start a membership of your own. Click here to learn more: https://flippedlifestyle.com

Rebecca is a Doctor of Physical Therapy and the owner of Core Values PT in Orlando, Florida. Her specialty is helping runners overcome their injuries and reach their goals. As a single mom and business owner, she still finds time to run and has a personal best of 21:57 for 5K. We talked a little about her training philosophy and then delved deep into injury prevention, running mechanics, strength training, therapeutic interventions, and return to run programs. ————————————If you're enjoying the podcast and want to show your support, please rate or write a brief review on Apple Podcasts:https://podcasts.apple.com/us/podcast/steadfast-running/id1457597546————————————-Support my work on Patreon or Venmo and receive bonus content: https://www.patreon.com/steadfastrunningVenmo: @jonathan-mederos ————————————-Subscribe to my free newsletter:www.steadfastrunning.weebly.com—————————————Join my Strava run club:https://www.strava.com/clubs/1062468Or search for “SteadFast Running”—————————————To connect with RebeccaWebsite: corevaluesptorlando.comInstagram: @dr.rebecca.smith.pt—————————————To connect with me (Jonathan Mederos)Instagram: @steadfast_running Twitter: @coachmederosEmail: run12795@gmail.com

How can we tell if one country is more innovative than another? What drives that difference? And hey, what is innovation to begin with? Soumitra Datta joins Vasant Dhar in episode 46 of Brave New World to share his insights on innovation, and the lessons they hold for us. Useful resources: 1. Soumitra Datta on Twitter, Wikipedia and Saïd Business School. 2.  Does IT Matter? -- Nicholas Carr. 3. Global Innovation Index 2020 -- Edited by Soumitra Datta, Bruno Lanvin and Sacha Wunsch-Vincent. 4. India Innovation Index 2021: NITI Aayog. 5. Nandan Nilekani on an Egalitarian Internet -- Episode 15 of Brave New World. 6. The Swedish Hitmaker Behind Britney Spears, Taylor Swift and the Weeknd -- Neil Shah in the Wall Street Journal. 7. 2022 Edelman Trust Barometer. 8. Why Nations Fail -- Daron Acemoglu and James Robinson. 9. The Narrow Corridor --  Daron Acemoglu and James Robinson. 10. James Robinson on What Makes a Successful State -- Episode 19 of Brave New World. 11. That Fancy University Course? It Might Actually Come From an Education Company -- Lisa Bannon and Rebecca Smith in the Wall Street Journal. 12. The Innovator's Dilemma — Clayton M Christensen. 13. Law and Education in Our Modern World -- Episode 5 of Brave New World (w John Sexton). 14. Too much efficiency not good for higher education, March argues -- Stanford University News Service. 15. Uplift the Unremarkables -- Episode 2 of Brave New World (w Scott Galloway). Check out Vasant Dhar's newsletter on Substack. Subscription is free!

Today, Laura welcomes Rebecca Smith, the Founder and CEO of Complete Performance Coaching and PerformHappy, who has been helping high achievers thrive under pressure for more than 20 years. A former gymnast herself and a fellow recovering perfectionist, Rebecca understands very well the mental health challenges that professional athletes have to go through. Having struggled with mental blocks for years, she eventually quit her gymnastics career and decided to move on. Now, she's committed to helping young athletes nurture their mental health while still winning competitions. Her unique evidence-based approach helps fearful young athletes discover the confidence to stand up for themselves when faced with the notorious toxic culture of youth sport. On this episode of the Pursuit of Gold podcast, Laura and Rebecca discuss mental blocks and how to overcome them. Rebecca shares her own story dealing with perfectionism, how mental blocks destroyed her gymnastics career yet helped her to uncover effective tactics for getting over them. She explains the two main parts of overcoming a mental block: the physical side and the mental side. Once you overcome the physical part, you need to work on maintaining a healthy relationship with yourself, meaning build your self-awareness and inner confidence. These two are fundamental to your self-growth. Rebecca goes on to share a few more useful tactics for overcoming mental blocks, such as turning nervousness into excitement, practicing mindfulness, and front-loading confidence. Finally, Laura and Rebecca wrap up the episode by touching upon the importance of having a supportive coach, emphasizing the fact that a positive environment sets the tone for success. Episode Highlights: Rebecca's gymnastics background and moving past mental blocks Winning the battle against perfectionism The importance of praising effort versus talent The incredible power of imagination and creativity for your competence The two parts to overcoming a mental block Increasing and front-loading confidence to avoid mental blocks Turning nervousness into excitement Practicing the mindful warmup and being present Dealing with injuries as a professional athlete Mental health and motivation during COVID The importance of a supportive and positive environment for athletes Supporting young athletes as a parent Quotes: “Their parents are like, ‘She's the best tumbler anyone's ever seen, why can't she just go do it?' And there's this because there's just such a combination of factors that lead to mental block. One of them is that it's the pressure of being amazing, being perfect.” “Our brain only cares about keeping us safe. That's the only thing. It doesn't care about competitions. It doesn't care about scores, or metals or places, or deadlines, or any of that stuff It only cares about ‘keep the body alive.'” “She was the kid who was a hard worker with heart. She was not the most talented kid on our team. But so, with that being said, if you want to move forward, you can't wait for your magic talent fairy to bless you with the ability to do your skill again, it just isn't going to work.” “There is this huge kind of internal component that's all about connecting with your own joy and your own choice. Because if you don't, if you feel like you're doing it for anybody, but you, you're going to get burned out, it's just the way it goes.” “Excitement and nerves are both high arousal, physical states. So, your heart's beating, you're a little more fidgety, you've got a little more energy, it is a lot easier to go from nervous to excited than it is to go from nervous to calm, especially when you only have moments before you compete.” “Injuries, just like mental blocks, are part of the deal. For a lot of athletes, it's just a setback. And so, the worst thing you can do is compare yourself to where you should be or could be or where your friend is or where you would like to be because all that does is create self-pity.” Pursuit of Gold Podcast is brought to you by Kaatsu Global Links: The Pursuit of Gold 1-on-1 Coaching with Laura The Confidence Journal Life at 10 Meters: Lessons from an Olympic Champion Laura's Social Media: Laura's Instagram Laura's Facebook Connect with Rebecca: Rebecca's LinkedIn Rebecca's Instagram

When the half-dressed, partially frozen body of a Navy veteran is found lying in a ditch, rumors and lies will challenge detectives' efforts to lay bare the truth behind the chilling death.Season 27, Episode 25Originally aired: March 29, 2020Watch full episodes of Snapped for FREE on the Oxygen app: https://oxygentv.app.link/WatchSnappedPodSee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

Reporter Katherine Blunt was still new to The Wall Street Journal when 2018's devastating Camp Fire broke out in California and she was swept into the biggest story of her career. Alongside colleagues Russell Gold and Rebecca Smith, she wrote a series of pieces on the ongoing travails of Pacific Gas & Electric, or PG&E, the utility whose power lines had started at the Camp Fire.The Journal's coverage was a finalist for the 2020 Pulitzer Prize, and Blunt has now expanded it into a new book: California Burning: The Fall of Pacific Gas & Electric — and What It Means for America's Power Grid. It is a rollicking tour through PG&E's decades-long series of disasters and their roots in the early 20th century.I am a longtime critic of utilities, but even I was stunned to see all of PG&E's incompetence and malfeasance gathered together in one place, alongside its well-meaning but serially failed attempts to put things right. It's a story of failure and redemption, except the redemption keeps being interrupted by more failure. I couldn't put the book down, so I am eager to talk to Blunt about how the utility's travails began, why is has struggled so mightily to take control of its fate, and what might come next for the electricity sector's favorite punching bag. Get full access to Volts at www.volts.wtf/subscribe

In episode 236 of SYP, I have the privilege of talking with Dr. Rebecca Smith about her journey into the NICU and back again as she's pursuing her PhD. The post 236 – Landing and Leaving Your SLP Dream Job appeared first on Swallow Your Pride Podcast.

In episode 236 of SYP, I have the privilege of talking with Dr. Rebecca Smith about her journey into the NICU and back again as she's pursuing her PhD. The post 236 – Landing and Leaving Your SLP Dream Job appeared first on Swallow Your Pride Podcast.

 Today we are going to talk about Bridget “Biddy” Mason, the grandmother of Los Angeles, one of the most influential Black women in California. She overcame unimaginable prejudice and inequity and was one of the first prominent landowning citizens of Los Angeles. Briget was born into slavery in Georgia on August 15 of 1818. Her parents were of mixed African American and Native American descent. She wasn't given a last name. Because of this common practice with slaves, many African Americans can only go back so far in their ancestry. Stolen. One of her several slaveholders in Georgia and South Carolina started calling her Biddy. Biddy spent much of her childhood enslaved on John Smithson's plantation in South Carolina, performing tasks in the cotton fields, the South's most important crop. Biddy was forbidden to learn to read or write but she learned about herbs and midwifery from the older enslaved women. Smithson gave her, two other female house servants, and a blacksmith as a wedding gift to his cousins, Robert and Rebecca Smith. The Smiths were successful landowners in Logtown, Mississippi. Biddy was 18. Smith was Mormon convert who cultivated cotton and traded slaves. Although, Mormons were better known as opponents of slavery.  For the Smith family, Biddy did domestic work, toiled hard in the cotton fields and performed farm labor. At other times, she worked as a midwife and house nurse — a job she liked. Biddy took care of Rebecca Smith, who was often ill and helped her during the birth of her six children.  During her years in Mississippi, Biddy gave birth to Ellen, Ann and Harriet, aged ten, four, and a newborn. It's likely that Smith himself fathered these children. Like countless other enslaved women, Biddy was almost certainly the victim of sexual violence. In 1848, Smith decided to follow the call of the church with his fellow Mississippi Saints in the great Mormon Exodus to Utah. He moved his family and his 14 slaves west to the Salt Lake Valley where Joseph Smith established a new Mormon community seventeen years prior. The area was still part of Mexico at the time but would soon become Utah.   Smith, his wife and children sat in the wagon on the journey while  Biddy, her daughters and the other slaves walked barefoot behind the 300 wagon caravan. Biddy was in charge of herding the animals for the 1,700 mile trek.   While they walked from Mississippi through Illinois and Colorado towards Salt Lake City, Biddy had a ton of responsibilities, including herding the cattle, preparing and serving the campfire meals and setting up and breaking down camp. All this while acting as the midwife and herbalist for the party, and still tending to her three young daughters. The trail must have been disturbing, frightening and strange. There were moments when surely there was a chance to escape, and for this reason, Biddy's value increased on the trail. With young children, she didn't have the option to leave. They lived in Utah for three years until Governor Brigham Young authorized another Mormon community, this time in San Bernardino. Brigham Young warned Smith that California, had been admitted to the Union as a free, non-slave state the year prior. Smith ignored his warnings and set out with his family and slaves and a 150-wagon caravan in 1851, to establish the Mormon settlement and extend the reach of his Church.  When Smith arrived in San Bernardino, he became one of the counselors to the bishop and owned a very large property. He was among the wealthiest settlers in San Bernardino. Held in bondage in the Mormon colony were dozens of African Americans as well as an untold number of local Native Americans, as well as an untold number of local Native Americans. San Bernardino was built, in part, by enslaved laborers like Biddy. Even though California was technically a free state, it was a land made up of unfree laborers of various kinds. Many indigenous people weer being forced to work in the Los Angeles "slave mart." This "slave mart" was the second most important source of municipal revenue in Los Angeles after the sale of licenses for saloons and gambling venues. On the weekends, local authorities would seek out and arrest intoxicated natives on dubious vagrancy charges. The Native Americans were thrown in a pen, and their labor for the coming week was auctioned off. If they were paid at the end of that week at all, they were usually paid in alcohol so they could get drunk, be arrested and continue the cycle.  In California, Biddy met two sets of couples who were free blacks. Charles and Elizabeth Flake Rowan and Robert and Minnie Owens. They urged her to legally contest her slave status in California. But she did not. Biddy remained enslaved in a “free” state for five more years as Smith maintained his southern way of life in California. He found himself increasingly at odds with fellow colonists and his own church who favorably disposed toward the practice of slavery. In 1855, the leaders of the Mormon colony in San Bernardino thought they were paying top dollar for 80,000 acres of land but had purchased only 35,000 acres. Fine print fuck up. When the colony sued the people who had sold them the land, they lost. The court allowed them to choose up to 35,000 acres anywhere in the larger area. The church chose Smith's ranch. It was turned over to them without any compensation and Smith was pissed. Without his property in California and in fear of losing his slaves, he sold off his cattle and conspired a plan to quietly leave the colony and move to Texas. Biddy and her fellow slaves did not trust Smith and they feared they were going to be sold and separated from their children. Smith lied to Biddy, promising her and her family's freedom in Texas. He needed her cooperation to get there and considered her valuable property. Without his land, he needed a place for them to all stay as he secured provisions for the ride east. He chose a camp of settlers originally from the American South in the Santa Monica Hills. Surely a more hospitable place for a slaveholder than Mormn san Bernardino.  One of Biddy's daughters was romantically involved with the Owens son. In December, Robert Owens and Elizabeth Rowan tipped off the local authorities. There was a group of Black Americans that were being illegally held in Santa Monica Canyon and they were about to be taken across state lines to the slave state of Texas. The sheriffs from San Bernardino and Los Angeles approached Judge Benjamin Hayes. Hayes issued a writ of habeas corpus, widely used against slaveholders in free states. Late on the night of New Year's Eve 1855, as Los Angeles residents celebrated the new year, sheriffs raided Smith's camp in the Santa Monica mountains.  Biddy's children were taken into protective custody at the city jail at the corner of Spring and Franklin Streets in downtown L.A. They let Biddy stay with the Owens family. Judge Hayes ordered Smith to bear all costs associated with the case and caring for those placed in guardianship of the sheriffs as they prepared for trial.  Los Angeles was then still a small town and the three day court hearing, starting on January 19, 1856 was a huge event.   Smith argued that Biddy and the rest of his slaves wished to go to Texas with him. Under state law, Black Americans could not testify against white Americans. Judge Hayes brought Biddy  and her eldest daughters into his chambers along with two trustworthy local gentlemen who acted as observers. Hayes asked Biddy if she was willingly leaving for Texas and Biddy told him, “I always do what I have been told, but I have always been afraid of this trip to Texas.”  Biddy also told the judge about the kind of treatment they had been subjected to over the years. Hannah, who was one of the women enslaved by Smith, gave an unbelievably damaging testimony in the courtroom. She reluctantly said that she wanted to go to Texas. There were long silences. Hannah had given birth to a baby boy only two weeks earlier and was terrified of what Smith would do to her if she refused to go with him to Texas. Hayes sent the San Bernardino sheriff up to talk with her and she said, I promised I would say in court that I wanted to go but I don't want to go. If you bring me back to court, I'll say I want to go but I don't want to go. The sheriff returned with an affidavit saying that, in fact, she did not want to go. Smith's behavior before and during the course of the hearing made it clear she had good reason to be afraid. It was awful. He threatened the Owens family, a neighborhood grocer and a doctor in the courtroom yelling “If this case isn't resolved on Southern principles, all people of color will pay the price.” A gang of Smith's sons and workers went to the jail and tried to intimidate the jailer and lure Biddy's daughters away from the jail with alcohol. Biddy's lawyer abruptly withdrew from the case after being  threatened and offered a bribe of $200.  Judge Hayes was furious with Smith, and clearly rattled by what he had heard. His family was behaving like thugs. Robert Smith was lying about trying to take them out of California and this disturbed Hayes. Smith, who was not being held, was a no-show on the last day of the trial, Monday, January 21. He ran off to Texas. He knew his reputation was ruined and was unwilling to pay court costs. Judge Hayes stated "all the said persons of color are entitled to their freedom and are free and cannot be held in slavery or involuntary servitude, unless for the punishment of crimes, shall ever be tolerated in this State. It is therefore argued that they are entitled to their freedom and are free forever."    Amasa Mason Lyman was the mayor of San Bernardino and a Mormon Apostle. Biddy was a friend of Lyman and was fond of the Lyman family. Biddy took the surname Mason. It was her first last name.  With Smith gone, her daughters were released from protective custody and Mason moved her family into the Owens family home. They were now citizens in rough-and-tumble Los Angeles, where only around 80 of its 4,000 residents were Black. Her oldest daughter, Ellen, married the Owens' son, Charles. Owing to her experience and quality of work, she became one of the most popular midwives of that state, using the skills she learned as a slave.  Judge Hayes had a brother-in-law famous for being one of the first formally trained doctors in Southern California. Dr. John Strother Griffin, the “Father of East Los Angeles”. Griffin was impressed with her nursing skills and hired her as a nurse and midwife. She made $2.50 per day. That would be about $85 dollars in 2022. About 10 bucks a day for an 8 hour day. Griffin's office was on Main Street in the same county building as the jail in which she'd taken refuge with the 13 other enslaved people fighting for freedom. She offered her services to the prisoners free of charge. Biddy delivered hundreds of babies in Los Angeles and braved a smallpox epidemic, risking her life to tend to the sick. In her big black medicine bag, she carried the tools of her trade, and the papers Judge Hays had given her affirming that she was free. Biddy Mason worked as a midwife for ten years, saving her earnings carefully. When she was 48, she purchased her own property on the outskirts of Los Angeles where there were more gardens and vineyards than paved streets. She was the first African American woman to buy property in Los Angeles. It had a water ditch, and a willow fence running around the plot. Two lots for $250. Mason initially used the land for gardening and lived with the Owens. This purchase made her one of the first pioneers of Los Angeles. A remarkable feat for a woman who had spent the first 37 years of her life enslaved.  In her home, she established the city's first child care center for working parents. The First African Methodist Episcopal Church is the oldest African American church in the city. It was established on her Spring Street property. The initial meetings were held in Mason's home in 1872. She paid taxes and all expenses on church property to hold it for her people. The permanent church was eventually erected on land she donated at Eighth and Towne. Mason was quickly beloved and “known by every citizen” as “Aunt Biddy.”   She was also well received in the Los Angeles Spanish-speaking community. She could not read or write, but had become a fluent Spanish-speaker. She befriended Pio Pico, Mexico's last governor in California. Pico, Owens and Griffin were involved in real estate and all encouraged her to invest her money wisely and purchase property. Biddy invested in real estate in what is now the heart of downtown L.A. Finally, in 1884 Mason finally moved to her own land at 311 Spring Street and what is now Broadway. On one of the two lots, she built a two-story brick building which she rented the first floor to commercial interests and lived in an apartment on the second. Los Angeles was booming, and rural Spring Street was becoming crowded with shops and boarding houses. She sold the north lot for $1,500. A gain of nearly $13,000 today. She sold a property she had purchased on Olive Street for $375 in 1868, for $2,800. $82,000 today. Basically, in 1884, Biddy had over a 100,000 year in today's numbers. There were dirt streets and unpaved sidewalks, with curbs and gutters. The drainage system was primitive. Water was still channeled through the city through open ditches and bricklaid channels. Only fifteen streets had sewers running below their surface via riveted iron pipes. Three hundred foot tall poles holding electric lights had recently been erected on the major streets, illuminating with 3,000 candle power. Early that year, storms in February of 1884 caused the Los Angeles River to swell and cut new channels and the city's streets began to flood. The Aliso Street Bridge broke in two, part of the bridge was pushed down the river with half a dozen homes and they all lodged against the First Street Bridge,  creating a dam. The water rose, the river overflowed its banks and flooded the streets. Finally, the pressure from the rising water and the piled up homes and portion of bridge was too much for the First Street Bridge.  The west bank eroded when the First Street Bridge collapsed and thirty-five more houses were carried away. Along the riverbed, people sifted through the debris. Cradles, baby wagons, doors, cupboards, fences, pigs. Looking for something. Someone. Brooms, chickens, orange trees, beds. It was a dreadful sight. People were killed. Obviously, city lighting could not slow fooding, but it would aid in the recovery from the storm that had put a third of the city under water for hours. After the flood, Biddy arranged a deal with a grocer on Fourth and Spring. All of the families who lost their home were able to sign off for all of their groceries. Biddy Mason would pay the tab. Biddy owned land on San Pedro Street in Little Tokyo and was renting to over twenty tenants on three large plots near the now Grand Central Market. For the next three decades, she continued her real estate venture,  participating in the frontier town's transformation into an emerging metropolis. She used her wealth, a fortune of $300,000, the equivalent to $9.5 million in 2022 to feed and shelter the poor. She would visit the jail to leave a token and a prayerful hope with every prisoner. She opened a foster home, an elementary school for black children and a traveler's aid center. She was charming, effective and was deeply appreciated. In so many ways, she became the backbone of society. She helped her family buy properties around the city. She deeded a portion of her remaining Spring Street property to her grandsons “for the sum of love and affection and ten dollars.” She signed the deed with her customary fancy “X.” Still, never learning to read or write. Too busy making that cash.  Her success enabled her to support her extended family for generations.  Los Angeles had become a bustling city with 50,000 residents in the late 1880's. She was so well-known, at dawn each morning, a line would form in front of Mason's gate. Swarming with people in need of assistance. Her neighborhood developed quickly around her homestead and by the early 1890s, the main financial district of Los Angeles was one block from Mason's property. As she grew old and became too ill to see visitors, her grandson Robert was forced to turn people away each morning.  On January 15, 1891 Bridget “Biddy” Mason died at her beloved homestead in Los Angeles. She was 73 years old, one of the wealthiest Black women in the country. When she was buried at the Evergreen Cemetery in Boyle Heights, her grave was left unmarked. The family held onto Mason's cherished “first homestead” until the Depression. Today the Broadway Spring Center Parking garage stands on the site.  Ninety-Seven years after her death, L.A. Mayor Tom Bradley, and members of the church she founded held a ceremony, during which her grave was finally marked with a tombstone. Biddy Mason Memorial Park in downtown Los Angeles was erected one year later in her honor. Behind the Bradbury Building near Third and Spring, a memorial on an 80-foot-long poured concrete wall shows the timeline of Biddy Mason's life. November 16 was declared “Biddy Mason Day” in Los Angeles. Jackie Broxton said this, "She showed people what could happen when they were free and could set their own destiny". Jackie Broxton is the CEO & President of the Biddy Mason Charitable Foundation. The Biddy Mason Charitable Foundation was established in 2013 and began as an outreach ministry of the church Biddy founded. The Foundation caters to current and former foster youth in the local community. It should also be noted that Biddy's success story was the exception and not the rule. I believe that she attained so much, because she gave so much. As she navigated multiple levels of oppression, Biddy advocated for her community. When it comes to movements advancing our communities, culture, and policies in more equitable directions, it seems that women have always been at the forefront. Biddy Mason once said, “If you hold your hand closed, nothing good can come in. The open hand is blessed, for it gives in abundance, even as it receives.” She is an inspiration that when given the support and opportunity, it is possible to overcome even the toughest of circumstances. Her story is one of resilience, compassion, and triumph. The fight continues today against the inherited systemic racism, sexism, and each and every intersection.  Sources: Los Angeles Almanac  Free Forever: The Contentious Hearing That Made Biddy Mason A Legend By  Hadley Meares The Life of Biddy Mason: From Slave to a Master by Fareeha Arshad Biddy Mason Collaborative National Park Service Biddy Mason: One of LA's first black real estate moguls By Hadley Meares Los Angeles Western Corral Honoring the legacy and 200th birthday of slave-turned-entrepreneur Biddy Mason by Michael Livingston Negro Trail-Blazers of California by Delilah Beasley  The Power of Place: Urban Landscapes as Public History by Dolores Hayden https://kentakepage.com/bridget-biddy-mason/ Bridget "Biddy" Mason: From Bondage to Wealth - Kentake Page Biddy Mason Charitable Foundation  

Laura and Sarah open this episode by discussing the sports their kids are currently engaged in. Then, Laura interviews Rebecca Smith, Director of Complete Performance Coaching and founder of the #PerformHappy community for sport parents.In the Q&A, Sarah and Laura brainstorm sports ideas for a child that is perhaps a bit less physically inclined.Episode sponsors:Microban: Try Microban 24 Sanitizing Spray – Just spray once and your surfaces are protected against bacteria all day, even after multiple touches. Learn more about your ad choices. Visit megaphone.fm/adchoicesSee omnystudio.com/listener for privacy information.

Today's guest on the podcast is Flipped Lifestyle community member, Rebecca Smith, founder of CompletePerformanceCoaching.com! In her PerformHappy membership, Rebecca helps gymnasts, cheerleaders, and swimmers go from fearful to confident. Rebecca graduated with a Masters in Sports Psychology, started a private practice, and then realized that she wanted to serve more people and could do so through online business. Upon launch, her membership got 4 members and quickly grew into a thriving, $20,000/month membership site! Rebeca's membership has now hit a plateau, so she and Shane Sams discuss how to get her business to the next level by taking a profit-first approach and using the Dream 100 strategy to get in front of other people's audience. You can listen to Rebecca's first episode on The Flipped Lifestyle Podcast here: https://flippedlifestyle.com/podcast105/  In today's episode you'll learn: How Rebecca Smith grew her membership site to $20,000/month How to take your online business to the next level after plateauing How to use the Dream 100 strategy to find new members