Podcasts about Rochester

  • 7,208PODCASTS
  • 29,965EPISODES
  • 42mAVG DURATION
  • 5DAILY NEW EPISODES
  • Mar 4, 2026LATEST

POPULARITY

20192020202120222023202420252026

Categories




    Best podcasts about Rochester

    Show all podcasts related to rochester

    Latest podcast episodes about Rochester

    Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well
    449. How to Feel Loved with Sonja Lyubomirsky and Harry Reis

    Psychologists Off The Clock: A Psychology Podcast About The Science And Practice Of Living Well

    Play Episode Listen Later Mar 4, 2026 48:55


    Feeling loved sounds simple, but it is not something that just happens because someone cares about you. In this episode of Psychologists Off the Clock, Yael talks with Sonja Lyubomirsky and Harry Reis about their book, How to Feel Loved: The Five Mindsets That Get You More of What Matters Most, and why it is possible to be loved but not actually feel loved.They explore what really helps people feel cared for and understood in any kind of relationship, why stress or attachment patterns can get in the way, and how small mindset shifts like listening to learn or being willing to go first can make a big difference in how connected you feel.It is less about following relationship rules and more about how you show up. Your curiosity, your openness, and your willingness to understand someone else and let yourself be understood too. If connection sometimes feels harder than it should, this episode is for you.Listen and Learn: How the happiness habits you already know, like gratitude or kindness, may actually work by strengthening a hidden relationship dynamic that makes people feel deeply understood and loved in everyday interactionsWhat are the key ingredients that quietly combine to make us feel truly loved and understood by others?How feeling loved often depends less on what's done for us and more on whether we truly feel seen, understood, and connected in the momentHow shifting your mindset in love can transform simple behaviors into deeper, more genuine connections that naturally grow intimacyHow showing up first in relationships can feel risky, but it often unlocks deeper connections in ways you might not expectWhy feeling loved isn't just about what you receive, it's about how you understand and respond to the love others are trying to giveEmbracing the messy, multifaceted parts of yourself to completely change how you experience love and connectionResources: How to Feel Loved: The Five Mindsets That Get You More of What Matters Most https://bookshop.org/a/30734/9780063426665 Sonja's Website: https://sonjalyubomirsky.com Card deck from Sojna's recommendation: The Andhttps://howtofeelloved.com/ Connect with Sonja on Social Media: https://www.linkedin.com/in/sonja-lyubomirsky-21283bb/https://www.instagram.com/sonjalyubomirsky/https://www.facebook.com/sonja.lyubomirsky About Sonja Lyubomirsky and Harry Reis: Sonja Lyubomirsky is a Distinguished Professor of Psychology at UC Riverside and the author of The How of Happiness and The Myths of Happiness. She's also a returning guest on Psychologists Off the Clock — you can catch her first appearance in episode 227.Harry Reis is a Dean's Professor of Psychology at the University of Rochester and one of the most influential relationship scientists working today, known for foundational research on intimacy, responsiveness, and what makes people feel truly connected.Together, they've written How to Feel Loved: The Five Mindsets that Get You More of What Matters Most — a book that reframes the question most of us have been asking wrong.Related Episodes:172. Performing Under Pressure with Sian Beilock227. The Science of Happy with Sonja Lyubomirsky413. Validate with Caroline Fleck422. Mindwise with Nicholas EpleySee Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

    Rover's Morning Glory
    Sad news about Carrie from Rochester, Charlie went to a strip club in Atlanta, & more

    Rover's Morning Glory

    Play Episode Listen Later Mar 2, 2026 171:34


    Krystle is out sick. What size TVs does everyone have? Jeffrey was spotted at a pizza place with a tall woman. Sad news about superfan, Carrie from Rochester. Bill Clinton spotted with two women in a picture from the 90s. Charlie went to a strip club in Atlanta. Was Jim Carrey replaced with a clone?

    Rover's Morning Glory
    Sad news about Carrie from Rochester, Charlie went to a strip club in Atlanta, & more

    Rover's Morning Glory

    Play Episode Listen Later Mar 2, 2026 171:34 Transcription Available


    Krystle is out sick. What size TVs does everyone have? Jeffrey was spotted at a pizza place with a tall woman. Sad news about superfan, Carrie from Rochester. Bill Clinton spotted with two women in a picture from the 90s. Charlie went to a strip club in Atlanta. Was Jim Carrey replaced with a clone?See omnystudio.com/listener for privacy information.

    Get Rich Education
    595: Housing Is Shifting — And So Is The American Dream

    Get Rich Education

    Play Episode Listen Later Mar 2, 2026 45:38


    Keith breaks down where the U.S. housing market appears to be headed and which regions and states are quietly winning or losing in the population shuffle since 2020—and what that could mean for real estate investors.  You'll also hear about an intriguing cash-flow play in single-family rentals in select Southern markets. Then, Keith is joined by financial strategist and comedian Garrett Gunderson, who challenges the usual "scrimp and save" advice. Together, they explore how to build real wealth without sacrificing your life today, how high-net-worth individuals often get money wrong, and a different way to think about financial independence, freedom, and investing in yourself. Resources: Get Garrett Gunderson's Killing Sacred Cows audiobook free: DM @GarrettBGunderson on Instagram with the words "Keith Cows." Episode Page: GetRichEducation.com/595 For access to properties or free help with a GRE Investment Coach, start here: GREmarketplace.com GRE Free Investment Coaching: GREinvestmentcoach.com Get mortgage loans for investment property: RidgeLendingGroup.com or call 855-74-RIDGE  or e-mail: info@RidgeLendingGroup.com Invest with Freedom Family Investments.  For predictable 10-12% quarterly returns, visit FreedomFamilyInvestments.com/GRE or text  1-937-795-8989 to speak with a freedom coach Will you please leave a review for the show? I'd be grateful. Search "how to leave an Apple Podcasts review"  For advertising inquiries, visit: GetRichEducation.com/ad Best Financial Education: GetRichEducation.com Get our wealth-building newsletter free— GREletter.com  Our YouTube Channel: www.youtube.com/c/GetRichEducation Follow us on Instagram: @getricheducation Complete episode transcript:   Keith Weinhold  0:01   Keith, welcome to GRE. I'm your host. Keith Weinhold, is the future direction of the housing market trending up or trending down? Which states have seen the most population growth? Then powerful wealth mindset tactics with a financial comedian today on get rich education   Speaker 1  0:20   since 2014 the powerful get rich education podcast has created more passive income for people than nearly any other show in the world. This show teaches you how to earn strong returns from passive real estate investing in the best markets without losing your time being a flipper or landlord. Show Host Keith Weinhold writes for both Forbes and Rich Dad advisors, and delivers a new show every week since 2014 there's been millions of listener downloads and 188 world nations. He has a list show guests and keep top selling personal finance author Robert Kiyosaki, get rich education can be heard on every podcast platform, plus it has its own dedicated Apple and Android listener phone apps build wealth on the go with the get rich education podcast. Sign up now for the get rich education podcast or visit get rich education.com   Keith Weinhold  1:04   the same place where I get my own mortgage loans is where you can get yours. Ridge lending group and MLS, 42056, they provided our listeners with more loans than anyone because they specialize in income properties. They help you build a long term plan for growing your real estate empire with leverage. Start your prequel and even chat with President chailey Ridge personally. While it's on your mind, start at Ridge lending group.com that's Ridge lending group.com   Speaker 2  1:38   You're listening to the show that has created more financial freedom than nearly any show in the world. This is get rich education.   Keith Weinhold  1:54   Welcome to GRE from Mount Rainier to Mount Rushmore and across 188 nations worldwide. I'm Keith Weinhold, and this is get rich education. I am not a Lambo driving influencer that will take any brand deal just to shill a gambling platform instead. Our core strategy at GRE is aging. Well, I've spoken with a lot of LP investors with capital calls and deals that lost all their money. Well, we approach wealth building with discipline and consistency. It doesn't sound dazzling, but it really shines when things go wrong elsewhere, because at least for the core of our portfolios, we get long term fixed rate debt for income property get paid five ways and win the inflation triple crown, and we do it all with a high degree of passivity. Right before I took the mic today, I got a two sentence email from a property manager that said an air conditioning unit's air handler board had to be replaced for $420 I don't even know what an air handler board really is. Now, the manager sent some photos in a written estimate. I quickly checked chat GPT, and I saw that the price was about right, and replied to my manager to go ahead and have that done. That's it an example of relative passivity. US residential real estate has nominally appreciated over every single 10 year period in modern history, despite some occasional short term downturns, even those are not common. Well, we recently had a guest mention that it's 20 years at the longest like 20 years or less is the period of time between which real estate never goes down. He was right. But you actually can't find any 10 year period where home values fell. What about the 2008 global financial crisis, I think that's the first place that the mind goes. Well back then, home values bottomed out at 208k in 2009 before they started growing again. And 10 years before that, the median price it was 157k in 1999 so even when home values hit their GFC low at that point, they were still up 32% from the previous 10 years. So you can confidently say then that over any 10 year period, home prices are up nationally. Now, how about the future? Well, for the future, there is more evidence of rising home prices. Building permits for new homes have fallen to their lowest level since 2019 that's according to the census bureau. So fewer single family homes are being built. Now we plan to discuss that more on. Next week show when we dive deep on does America really have a housing shortage? But this week, more reasons for future home price bullishness is that the labor market now, it's not doing that great. It sure isn't white hot, but unemployment, which was already low, that recently dropped a touch lower to just 4.3% inflation has fallen to 2.4% and wages are rising faster than that. In fact, our own Fed Chair recently remarked at how he's surprised at the strength of the economy. The property market analytics firm kotality, they now expect home prices to appreciate another four and a half percent this year. They and other firms continue to believe that the Midwest will be the hottest area of home price growth even more than that four and a half percent in that region. That is because not only is the Midwest underbuilt, it's that the prices are so affordable that it's attracting young people. The other factor is that mortgage rates recently dipped just below six into the high fives again, and that can release this pent up housing demand, and think about where we've come from. In late 2023 mortgage rates were about 8% and now lower mortgage rates also reduce the lock in effect, so it can create both more sellers and more buyers. The thing to remember is that 70% to 80% of home sellers are also home buyers because they've got to live somewhere. And first time homebuyers, of course, they buy only, they don't sell anything. In fact, former GRE guest in housing wire lead analyst Logan modeshami and Barry Habib were just positing on this at housing wire's latest summit on how the volume of home sales has been depressed for so long that lower rates could very well trigger a rush of buyers, these kind of people that have been delaying purchasing for years, this pent up housing demand being released if indeed rates go lower. People think they know the future, but we don't really know that that's going to happen for sure. But a lot of optimism about this phase of the housing market supported by not great, but decent economic conditions. Of course, that new housing demand is going to manifest unevenly across the nation. So let's talk about the places that have seen the most population growth from 2020 to today, basically the states that support that housing demand. Well, between 2020 and today, the US has grown by about 10 million people. That's over 3% nearly every state grew. But the bigger story is where that growth is happening. And really, here's the jaw dropper as a region, the South, gained more people than all of the other regions combined, about 7.6 million new residents in the south since 2020 the South's population is up 6% the West's almost 2% the Midwest population is up more than 1% and The Northeast up seven tenths of 1% again, this is not per year. This is total population growth from 2020 to today, Florida and Texas, they led the nation among the big states, both up almost 9% sprinting like they just found out that income tax is optional. The Carolinas in Tennessee are big southern growers too. People clearly keep moving toward warmer weather, a lower cost of living, lower taxes and job markets. Nothing new there. California in New York are the biggest losers in absolute numbers, California losing half of 1% of population in New York, a full 1% people keep moving away from these traditionally expensive, high tax coastal states like a buffet when the crab legs run out, people just getting up and leaving. That's not any sort of news story there, either. These trends help cash flow residential real estate investors like us, because the south aligns with that favorable landlord tenant law and those high ratios of rent income to purchase price. Luckily for us, that's where people are moving too. The Midwest has those phenomena as well, although their growth has been slower.    Keith Weinhold  9:39   Now a few Midwest highlights for you. Since 2020 the population of Indiana is up 2.8% quietly benefiting from Illinois. Escape Velocity, Missouri up almost 2% and that's growing mostly in Kansas City and St Louis suburbs. Ohio at almost 1% that's pretty modest growth overall, but Columbus up 5% that is flexing like it just landed a semiconductor plant there in Columbus, the intermountain west has bicep bulging growth, but it rarely works for us, because rents are only a little higher, but property prices are way higher. Yes, those pretty Rocky Mountain states, great Instagram, tough cash flow now Louisiana, it is a state that confounds people. It's a warm place, and it has a low cost of living, you would think Louisiana would be attracting people in droves for those reasons. Well, then why is its population following Louisiana down nine tenths of 1% since 2020 Well, you've got bleak job prospects that make Louisianans leave its tax competitiveness ranks 31st property insurance costs are high thanks to environmental risk. Louisiana has more swamps than beaches. Even the NFL saints were six and 11, and if they had made the playoffs, that wouldn't have made people move back. And hey, no personal shade here, I enjoy going to the New Orleans investment conference in Cajun culture, in Airboat Tours through the alligator filled Bayou, fun stuff, but for income producing property, you got to seek out different characteristics than just vacation Glee or how Good the gumbo tastes keep emotion separate from investing, Hawaii is America's biggest percentage loser. Its population is down one and a half percent since 2020 its cost of living is stratospherically high, with a median home value of just a little over a million dollars. That results in net outmigration to the mainland parts of the Aloha state now experience natural decrease. That means that deaths exceed births. Natural decrease. That's mostly a phenomenon on the Big Island. That's not where Honolulu is. That's where you have Kona and Hilo when young people can't afford to stay demographic gravity kicks in population loss. Hawaii is also highly dependent on tourism, meaning more volatility in recessions. It has contractor availability issues and higher repair costs, partly due to shipping materials to the remote islands. What about the upsides of Hawaiian real estate? Well, you're just going to have this inherent, strong, long term land scarcity and lifestyle desirability overall. Hawaii isn't bad. It's just hard. And I like Hawaii as a place to vacation, so the best times in my life were in Hawaii. Now, with all this said, These are broad generalities about states which are big places themselves right now. There are certainly Missouri real estate investors listening to me that are actually losing, and Hawaii real estate investors that are winning, and even cash flow positive. I'm talking general trends here, and this is with respect to long term rentals, not short term rentals. If your rent to price ratio is as low as point three or point four, like it often is near the coasts, well then you are speculating on appreciation. That's what that means. All 50 states have opportunity. All 50 states have no go zones. People keep moving south. That's a trend that the pandemic accelerated six years ago. More opportunity is concentrated there. That's got nothing to do with vacation excitement. That is population math, and I'm talking about swimming with the tide here in our Don't quit your Daydream newsletter I recently sent you that colorful population change map that I was describing some of there. More recently, I also emailed you that great and rare map of landlord friendly versus tenant friendly states mapped out and a lot of other great stuff.    Keith Weinhold  14:17   Before we bring in our firebrand guest, Garrett Gunderson, I just learned about a really strong opportunity for a provider of single family rentals and duplexes in Memphis and Little Rock. They're providing a locked in 5% interest rate and 5% property management for five years. Yeah, that's not a throwback to 2020 it's what mid south homebuyers calls their triple five program. They are the oldest and most trusted, maybe turnkey investment provider in the country, operating since 2002 and what they do is they offer these fully renovated, occupied rental properties in Memphis and Little Rock, two of the strongest cash flow markets in the South. With financing and management and rates that make the math work like it hasn't in years. So again, 5% interest, 5% property management fees for a full five years. You know those markets, they already had these investor advantage numbers with rent to price ratios mere point eight in Memphis and Little Rock. But yeah, that low 5% mortgage rate, even for renovated properties, not just new build. That's the kind of spread that turns a good deal into a great one. So to give you an idea, if you get a 30 year fixed rate mortgage loan amount of 125k with a 7% mortgage rate, your principal and interest payment is 832, at a 5% rate, it's just 671, so that's $160 more cash flow right there, and it's made a tad sweetener than that with just a 5% Property Management rate. And I don't know how long that offer is going to last, but it is available now and for the next little while, you can ask about it. When you visit mid southhomebuyers.com that's mid southhomebuyers.com and you can ask them about their triple five program. More next. I'm Keith Weinhold. You're listening to Episode 595, of get rich education.    Keith Weinhold  16:19   Flock homes helps you retire from real estate and landlording, whether it's one problem property or your whole portfolio, through a 721 exchange, deferring your capital gains tax and depreciation recapture, it's a strategy long used by the ultra wealthy. Now Mom and Pop landlords can 721, the residential real estate request your initial valuation, see if your properties qualify@flockhomes.com slash GRE, that's F, l, O, C, K, homes.com/gre. You know, most people think they're playing it safe with their liquid money, but they're actually losing savings accounts and bonds don't keep up when true inflation eats six or 7% of your wealth. Every single year, I invest my liquidity with FFI freedom family investments in their flagship program. Why fixed 10 to 12% returns have been predictable and paid quarterly. There's real world security backed by needs based real estate like affordable housing, Senior Living and health care. Ask about the freedom flagship program when you speak to a freedom coach there, and that's just one part of their family of products, they've got workshops, webinars and seminars designed to educate you before you invest start with as little as 25k and finally, get your money working as hard as you do. Get started at Freedom family investments.com/gre, or send a text. Now it's 1-937-795-8989 Yep. Text their freedom coach directly. Again, 1-937-795-8989,   Dani-Lynn Robison  18:08   this is freedom family investments. Co founder, Danny Lynn Robinson, listen to get rich education with Keith Weinhold, and don't quit your Daydream. You Brenda.   Keith Weinhold  18:24   Today's guest is someone that America knows as the long haired, bearded money guy in the past, he's drawn physical appearance comparisons to Jesus Christ. He's a prominent financial strategist. Founded an eight figure company, hit the Inc 500 he's both a New York Times and Wall Street Journal bestselling author. He is just an electric speaker, including appearances in front of dozens of billionaires. And he's just got this great way of speaking to financial freedom that hits you differently. He even has a comedy special that's great to welcome back to the show. Garrett Gunderson,   Garrett Gunderson  19:02   that's good to be back. Man. Is really good. Love your energy. Has a nice intro.   Keith Weinhold  19:07   Well, you give a lot of like, nice guidance to people that's somewhat different than they're used to hearing. You know, Garrett, I think a lot of the conventional guidance is, you know, it's not very far above Elementary School advice like, put your credit card in the freezer so you don't use it too often, but a lot of times you speak to either business owners or people that have already had some success, and I think a lot of your underlying mantra is, hey, you better live your best life now   Garrett Gunderson  19:35   I kind of feel like you are your greatest asset, and if you starve out that asset because you don't feed it with knowledge, or you don't invest in yourself, or you don't gain the skills that really matter because you're so addicted to scrimping and sacrificing and building your balance sheet right, trying to build savings accounts and retirement plans and doing all you can to pay off that mortgage. Yeah, you could become a millionaire on paper. But will you live like one? Will you enjoy your. Life. What about all the memories that you miss along the way? What about having quality of life today and creating a life you don't want to retire from? The wealthy people, they didn't get that way because they shrunk their way there. They didn't get that way because they were amazing budgeters. They built businesses. They created value. They learned how to, you know, sell or speak or market or have business acumen that grow business or to hire people, and having those systems that actually impact more people or more deeply impact the people that they serve, because it's about value creation and their value creators. And I think this notion of just thinking, Oh, I could just trade time for money and set money aside. Man, that's a really painful way to get to a million dollars, but Northwestern Mutual, they just put out an article that said, 32 or 34% of millionaires don't feel wealthy, because if you have money tied up in an account that isn't kicking off cash flow, it doesn't feel like wealth. You can't spend that net worth. It's just a statement if you don't learn how to create cash flow. And I love financial independence, where people have cash flow from assets to cover their expenses now their lifestyle is covered from that cash flow. Now they can reinvest every active dollar into themselves and their quality of life, into more cash flowing assets, into taking trips along the way, not just waiting until they're too old to enjoy it.   Keith Weinhold  21:13   You work with business owners all the time, and you've even worked with some ultra high net worth people that still seemed to scrimp and save. Do you think really, what is that the function of? Is it more of the wrong mindset or the wrong tactics when someone acts that way?   Garrett Gunderson  21:32   It's a mindset that's really kind of handed down to them? Yeah, maybe from their parents or grandparents or from a different era, like there's people that were, you know, in the Great Depression, that then tells stories to their family about how tough it was, and you never know when that money could go away. So you got to hold tight, and it's a scarcity mindset. So one of the wealthiest clients I ever had, I mean, this was a guy who he was worth a lot of money, but you would never know it. I saw him on TV one day. I was like, Dude, he needs new clothes, and we found a strategy to save him a bunch of money. He was just buying his inventory with cash or like, let's buy it on a plum card, and you'll get cash back. I just said, Just take 10% of that cash back, which was over $100,000 a month, and spend it on yourself. He's like, Well, I wouldn't know to spend it on I'm like, Well, how about some new clothes to start with? He's like, Okay. And then the next month, he bought a nest system for his house. The next month he bought a sound system. Eventually, saved up enough money to buy a Tesla, which he really wanted, like it was money that was there for him, but it changed his entire paradigm, because now he had a quality of life. He was very philanthropic and donated money. He built massive businesses, but he never treated himself well. He'd never felt like it was okay to spend that money because of his upbringing, because the way that his parents viewed money and the way that their parents viewed money, and it was always something that felt scarce. So it felt like, okay, will this go away? And the reality was, we just found money in your couch cushions, essentially. So why not enjoy it along the way? He eventually bought a home that he loved on the water, that he loves the garden. I mean, it was like a total transformation with that one simple thing to help him heal his relationship with money, overcome scarcity, because he was already highly productive. He just had to break free from this budgetary mindset.   Keith Weinhold  23:09   That's great. It was almost like, Dude, I can see it in you. Before we even talk. You got that code off the rack at Burlington. I swear you can do better than this. Come on, now   Garrett Gunderson  23:17    30 years ago, 30 years ago too. You know, it doesn't even fit anymore.   Keith Weinhold  23:23   Well, you know, I recently dedicated a complete episode Garrett to the way I put it is that the risk of delayed gratification is denied gratification. Now, there are some good things to be said for delayed gratification, I think, especially when you're younger, or you're just starting out in the working world, and you just tried to cover rent for your apartment and you don't have much else. Delaying some gratification is good. You need to form capital. You need to get liquid. I try to avoid saying stacking savings, because that gets people in the mindset of becoming super savers sometimes, and they miss out on returns. But what I mean about the risk of delayed gratification, being denied gratification, if it's taken too great of an extent, is, you know, I'm talking about the guy where, when he was 24 he used to say, Oh, I'm going to visit the Galapagos Islands someday. That's what I want to do. But you can just tell by the time you talk to the dude, when he's 48 he begins to use the past tense for things he wanted to do, for example, then he might start saying, Oh, well, I guess I never did visit the Galapagos Islands. You know, you can tell with people when they use the past tense, and that's when you know that their future is not bigger than their past, and a lot of that is the reflection of their financial status.   Garrett Gunderson  24:40   I got married at age 23 and the first two years, well, it was really like the first year and a half, maybe I was just such a miser. I gave my wife a $400 a month budget for an apartment, and we found out that there's places you don't want to live in Utah. I didn't know it, but she's like, is this what you want? And I was like, This doesn't feel like a safe neighborhood. And then you. Know, I was like, All right, maybe $600 I was still kind of really scarce. And my parents were like, Why don't you just live in our basement, rent free, and my wife's like, sex free. If you think that's where we're living, I'm gonna live in my parents basement, you know? Because I just thought money was something to save. So I saved me over 50% of my income. And a lot of people were like, that's amazing. Congratulations. Great job. And so I felt really good about it, and then I realized that my business wasn't growing as fast as this other person my age. I met him at an event, and a year later, he was doing better. And I was like, Dude, what's going on? I could hear it in your voice. I could hear like, you're just a different person. He goes, Oh, I'm doing two things. One, I just hired this guy, Steve D'Annunzio, and he changed my entire life. And I was like, I need to meet him. He's like, he happens to be here in Vegas. He's from Rochester. Introduced me. I hired him as my coach right away. I'm hearing all these people talk about strategic coach at the same event, and they had a booth. So I signed up for Strategic Coach, which meant I had to part with some of my money. Think it was $7,500 I hired Steve as a one on one mentor, and all of a sudden I was investing in myself, yeah. And I broke free from those chains of like, reduction and restriction into the game of production. And then I even had a situation where a woman called me out at the same event. This was a life changing event where she's like, I wonder what it's like living in a financial prison you built for your wife. It's like, Oh, see, that's what happened. I thought I was responsible, and building that responsibility that's actually building walls. And when I came home for that event, my wife and I started looking for our home. Within a few months, we found one. I bought a home. It was very easily within my means. I basically made as much as I paid for this house that we loved. We lived there for nine years. We built so many memories. You know, we had our two kids while we were there, I started host study groups, and that year, I grew my income by $170,000 with the coaching of strategic coach, Steve dnunzio And this woman, Nancy, calling me out. The next year, it grew by even more because the skills started to compound. I decided from that moment forward, I would spend at least $40,000 a year, which I might be able to reach for some people, but at least $40,000 a year on mentors. Is a guy named Alan. He writes my meal plans and my workouts, and I'm at 10% body fat because he knows exactly what they do. I do what he says. It was worth this $10,000 investment, because now I pay attention what I pay for, and I look at like if I'm my greatest asset, how can I create more energy? How can I create more value? How can I feel better about myself? How can I show up the very best version of I am, so I can deliver the most to the other people. And so I've always just been in amazing groups. I just got back from two different events in Beverly Hills around amazing people, learning incredible things that allow me to grow. I haven't spent a huge amount of money on a mentor last year to figure out something that I hadn't been able to figure out to this point. It's the same thing I did to become a speaker, to become a writer or even learn how to sell or market, you've got to invest in the skill, not just in the savings account. You grow yourself first, and then you grow your money. If you starve yourself out because you're in that miserly mindset, you're going to stunt your growth and never be fully fulfilled.   Keith Weinhold  27:56   You're your own best investment. And yes, this stuff is the varying definition of investing in yourself. Don't live below your means. Grow your means and all of that.   Garrett Gunderson  28:05   Grow your means and be more efficient within your means. I mean, the best way I know how to save is not overpay on tax, which 98% of business owners are doing that today. You know, don't overpay on interest, because you either restructure your loans, renegotiate your interest rates, reallocate underpouring funds to pay it off, or you remove investment drag. A lot of people have unnecessary fees and hidden commissions that drag on their investments. Or just design your insurance properly so it's more efficient. Those four i's, IRS, interest, investments and insurance show you how to keep more of what you make, take some of that money, build up your foundation so you have a peace of mind fund, so you have staying power, at least six months of liquidity and then invest more into yourself or learn how to create cash flow. This is the game the wealthy play. But the poor middle class, they think it's about paying off a mortgage and funding the retirement plan, and they will argue about it until it's too late, when they get there and now their homes paid off, but the property taxes are higher than their mortgage was 20 years ago, you know. Or they have home maintenance they have to take care of, or inflation has destroyed the value. Like if someone were to put away 100 grand and they wait for 30 years if they got 10% which the market did the last 30 years, if you reinvest dividends, they're going to have right around $1.7 million but if they have to pay 2% in fees, fiduciary fees, 12 b1 fees, which are marketing fees for the fund expense ratio, you know, the fees of maybe a retirement plan, and they now have 2% fees. It only goes to 1.1 million. Huge difference. And that 1.1 million if we account for inflation, even if we said inflation was low, like 2.7% over that 30 years. Well, by the time we pay for inflation and tax, guess what? The purchasing power value is like, 300 grand $300,000 that's a problem, and it's because they didn't learn to create cash flow. It's because they didn't learn to invest in themselves. It's because they relied completely on a market they don't control. I'm not saying the market is completely something to avoid. I'm saying we go in sequence. How do you grow your income for. First, then how do you keep more of the income you make with? You know, financial savvy and plugging leaks. Then learn to grow your money, but maybe growing your money. For some I like to think of like three dimensional assets, like real estate's three dimensional. It can grow in equity, it can create cash flow, and it has tax advantages. But my business is three dimensional, the more my business creates cash flow, without me, the more equity it has, and that business has major tax advantages. So most people are one dimensional, pay off a loan, put a money in retirement account. That's the poor, middle class. Wealthy people build a system where they've got three dimensional assets, equity, cash flow and tax savings. And that is a complete game changer, because then they can employ the buy borrowed I strategy, if you have assets like, you know, an individual stock, or if you have assets, like a piece of real estate or a business, you could borrow against it. There's no tax on that five for life, right? You keep refinancing. Or you can even do charitable trust to avoid the taxes upon the sell of those paying no tax when there's gains. Or you can pass it on to the next generation with a step up in basis, which means they get it at the full value and not have to pay the difference. And if you have life insurance, the life insurance will pay back the loan that tax free as well. So buy, borrow, die. I mean, it's a completely different thought process of defer taxes. If you defer taxes, I get it. You could do a Roth IRA or Roth 401. K Sure, that'll let you put after tax money in and grow it. But where's the cash flow? What's the underlying investment? How does it help you create financial independence? How does it help you does it help you grow your skills to become a better investor? We've been taught to be lazy, not that people are lazy. We've just been taught to be lazy with our money. We've been fed a narrative. I don't have the time, I don't have the skill, I don't have the interest, but I want to have it, so I just hand it over. And who do we hand it over to Keith Wall Street. Wall would you trust Wall Street? Like you flew to Frankfurt not long ago. Would you get on Wall Street airlines where they're like, hey, sometimes our planes go up, sometimes they go down. That would brand, and he'd feel inspired, right? Would you go to Wall Street, you know, hospital? Or like, hey, he lost one of your kidneys, and by loss, we stole it and resold it. You know, like, Wall Street doesn't have a brand. That's good. It's boiler room. It's Wolf of Wall Street. It's the movie Wall Street with Michael Douglas. You know, greed is good like yet that's what people put their money into. And you can go to any downtown and any major city, and guess who has the biggest buildings, insurance companies, banks and Wall Street investment companies. So you're taking the size of your home and shrinking it to build up their building and put money in their pocket. And their story is, it's because they're Ivy League, they're smart. They try to make it complicated, but you don't have to know most of the things you think you need to know about finance. The foundational things are important, how to protect your assets, how to design insurance, to transfer risk, how to have some liquidity, how to automate your savings. And then you focus like Warren Buffett would teach. He said, You know how people would become a better investor if they only had 20 investments they could make over their lifetime? He says, I don't diversify because I'm in the know. He's like, I'm a good businessman, therefore I'm a good investor and I'm a good investor because I'm a good businessman. I don't separate the two. Yeah, most people think he's a stock market investor. No, he buys out the companies in the stock market. Rarely does he have minority stakes in it. He does have some of that, maybe with Coca Cola and apple, but he bought a lot of companies outright, whether it was Geico, whether it was See's Candies, whether it was like he buys these companies, he's so far outperformed the stock market by billions of dollars from an index fund like what he has, versus someone that put the same money in an index fund, Warren has billions more from his investments than the person that put all their money in the index fund, even if it was the same amount. It's completely about strategy, not about luck.   Keith Weinhold  33:30   Yeah, it's the Andrew Carnegie, put all your eggs in one basket and then watch your basket. Yeah? Watch that basket like a hawk. Totally. Yeah. I mean, stacks mutual funds, they have what I call those five simultaneous drags. If you think you're getting a 10% long term return over time, subtract out inflation, emotion, taxes, fees and volatility. What do you have left? Not much. But there's no friction there. It is just the easiest thing to do ever since decades ago, 401 K contributions begin to become automated throughout your paycheck, sometimes even automatically, automated   Garrett Gunderson  34:04   values your permission opt out. It's easy. You have to opt out, right? It's Big Brother. You don't know what's best for you. And by the way, how crazy are four one K's. Part of the reason the market has gone up in value is because people consistently fund for one case, whether the market's going up or down, they're told $8 cost average. So that's artificially fueling the market. When we see the numbers, there's a buffet index, and it's like 2.9 times higher than what he's comfortable with, with the stock market, because of how overinflated the market is, partially due to inflation, partially because people put money in. But let's remember, why did 401, K's even come about? Because pensions failed. And by the way, these pensions failed and they had world class money managers managing these multi billion dollar pensions, but they didn't know about something called disinvesting, or didn't know enough about it. When the market goes down and pension money is owed, they still have to pull money out of the pension to pay the employee which disinvests, which pulls more money out of the account. So now instead of just being 10% down, they might be 17% down. And so even if the market comes back 10% it's 10% of only 83% of the money. So not even back to square one. And if it goes down a second year in a row, they're in real trouble. It starts to chip away at the principal, and they can't recover. And that happened to pensions, and they said, Oh, here, we can't handle these. We're going bankrupt. We're going to get rid of pensions. You take care of it. Well, guess what? Vanguard says, the average balance in a 401, k right now is $148,000 how someone's supposed to live on $148,000 even if you could get 10% that's $14,800 a year taxable, that's not going to do it. Even if you have a million dollars, where are you going to put the million dollars to get the return without risking it going down? Maybe you're going to be in treasuries at 5% that's $50,000 taxable per year. You're a millionaire on paper, but living poorly. That's why I'm here to call these things out. I think that my book Killing Sacred Cows, which was my original New York Times bestseller, which is probably how we met. Yeah, I rewrote it. I rewrote it, rereleased it in 2024 and I'll give people the audiobook. They just have to DM me on Instagram. Garrett B Gunderson and DM the word cows with Keith's name, cows and Keith or Keith and cows. I'll hook you up with the book for free, so you can learn about the nine financial myths. We're talking about some of them here, but there's also some comedy in there, so they can laugh after each chapter. I threw some comedy in there. You know, if you like my comedy, I'm not the funniest comedian. I'm just the funniest money comedian. That's the reality.   Keith Weinhold  36:33   When we had the very inventor of the 401 k plan, Ted benna, come onto the show, he revealed to us that when 401 K plans rolled out, they were first called salary reduction plans. They had to scrap that name in order to foster participation. But reducing your salary is still principally what it does to you. You got to think about it that way and blow up some of these myths. But Garrett, you've already given a lot of great technical information about what someone can do, how someone can think differently. Bigger pictures, we're sort of winding down here. You know, when I'm thinking about this whole delayed versus denied gratification thing, how do you meter it out right throughout your life? I mean, what's your earmark your family legacy? How do you meter it out, right so you don't have too much or too little at the end of your life?   Garrett Gunderson  37:15   I like to see this strategy of, like, what would the rockfellers do that I wrote about is, you know, the beginning before that strategy is you pay yourself first, which has always been around Richest Man in Babylon. Tons of books talk about it. My argument is you want to pay yourself at least 15% of your personal income, off the top, to a separate account. Once you get six months in that account, now you start to invest that money, but you build your stability with that peace of mind. And we want 15% because the luxury once enjoyed becomes a necessity. So you want more money in the future, not the future, not less propensity to you know, there's also, just like planned obsolescence, things break down. You have to repair them. Technological change, we're buying new technology that doesn't even exist. I have now subscriptions to a bunch of AI things that help me out, right? But I'm spending more money. There's also taxes, those could go up in the future, or 38 trillion in debt as we film this, which is a crazy number. And there's also inflation. If we give 3% to each of those five factors, that's 15% now again, use the four i's, IRS, interest, investments and insurance to find that money, not just budgeting. But then here's the magic. At least 3% of your income should go to a separate account called the Living wealthy account. That's your guilt free spending, value based spending account, so you enjoy some money along the way. These are the things that are the finer things in life that people might say are wasteful. You know, there's a book called unreasonable hospitality that talks about this, 11 Madison Avenue was the number one rated restaurant in the world. And, you know, will who wrote the book talked about they had 3% of their budget to just go wild on their customers dream making money, right? So to create the special experience in the restaurant, and even the bear, I think was season three, showed some of that process of how they do that. So I highly recommend taking a certain percentage. You get to enjoy along the way. It could be higher than 3% but start there, and you're going to feel better, you're going to have different energy, you're going to show up in a different way. And then from there, I just believe in having trust, so that your money's outside of your estate, and protecting financial predators so you own nothing but control everything. And I personally use life insurance. I use just standard over, you know, like basically properly structured, optimally funded whole life, so that death benefit will come in after I die. It allows me to spend more of my money and then have it replenished so I can enjoy more of my money along the way, because I know that death benefit will be there for my wife or even for my family trust after I'm gone, so I don't disinherit the people that I love.   Keith Weinhold  39:31   Garrett Gunderson, he can take you through these steps, which he calls financially fit, to financially independent, and then finally to financially free. Tell us a little more about that going through those steps.   Garrett Gunderson  39:44   So financial fitness means your financial house is in order. You've got everything handled properly, car insurance, homeowners, liability, disability, medical life insurance, your corporate structures as a business owner, how you pay yourself, your taxes the last three years and move. Moving forward your investments. It's like, you know what it's going on. You've improved your cash flow, and you're dialed in. You're as safe as you could possibly be. Then financial independence is, how can we create income, especially from a business that comes in when you don't, that's people, that's processes, that's technology, so that you can be involved, but you don't have to be involved. This is the part most people miss, yeah, and I think it's crazy. A lot of people have this notion they're just going to work so hard so they can sell their business one day, I'm like, What about just creating a business that you love so much you don't want to sell it? What about giving up the things that are burning you out and have the employees that can take care of that so you do the things that you love and then just enjoy life along the way, take some little trips, take some time off and come back in. The business grows up when you're away, they learn how to do things without you, and then you can still create value into that business. I sold the business in 2021 and really regretted it, because I kind of was so removed from the business. I kind of felt like it lost its soul and I didn't feel connected to it. So this time around, I started a business in July of 2024 I'm like, I'm only going to work with the P with the people I love, building things that I love, and I'm not going to let myself get burned out by doing too much. We're going to take two weeks in Hawaii coming up here in April, just enjoy some time together as a family. We do quarterly family retreats with my wife and kids. We do traditions with my family up at my cabin, like I want to have this great life where it's blurs the lines between work and play. I have a little quote from someone else that talks about that art of life is blurring the lines between work and play, but also just having complete play sometimes that there is no work. So I come back refreshed, relaxed, rejuvenated and ready to create. And so really, that financial independence gives you permission to swing for the fences and what you do, knowing your foundation is handled, knowing that your lifestyle is covered, from assets to create cash flow gives you work optional freedom. But instead of retiring, think, what could your biggest impact be like? Create the life you don't want to retire from. Create a vision so compelling you can dedicate your life to it and find that the win is actually in the work, not just the outcome. I think that is the elegance of we win when we play, and when we have more play in our life. We don't try to escape from something. And when you start something, you might have to do things you hate, but you can eventually delegate it, and then life becomes great. I mean, one of my early coaches, Dan Sullivan, who I mentioned, a strategic coach. He's in his 80s, still behemoth of creating value in the in the market. To listen to him, you know, he's phenomenal. He's made such a huge difference in my life, and he has no intent of retiring. He just gets smarter every year, adds more value, builds more infrastructure, and he's the one that taught me the merit of free days, just taking time off, taking time away. So, yeah, that's financial independence. Is cash flow, and then financial freedom is a state of mind. It's when money is no longer the primary reason or excuse you would do or not do something. It's a consideration, but it's no longer the consideration means that you have a healthy relationship with money. Money is an asset and an ally, not an enemy. You don't come from a place of scarcity. You come from a place of abundance. You can be more present with your family and doing what you do without feeling distracted. I think wealth is our ability to be present, not necessarily how much money we have in a bank account. I think we have a good amount of money in a bank account, and we can be present. That is like true wealth.   Keith Weinhold  43:12   It harkens back to the John D Rockefeller, he who works all day has no time to make money. Rockefeller would have said, you can architect a wealth plan if your head is down on the assembly line, that means gradually move your offer. It's from trading your time for dollars over to owning assets that pay you to own them. Garrett's comedy special is called the American Ream. There's no D in that word, R, E, A, M. You can look that up, Garrett. It's been enlightening as always. Thanks so much for coming back onto the show.   Garrett Gunderson  43:43   Hey man, good to be back.   Keith Weinhold  43:51   Always. A lively conversation with Garrett, besides some great mindset perspective, he's really good at saving you tax and setting you up with asset protection. Though he's not as real estateish as me, he's pretty savvy. For example, He's aligned on the fact that, for example, say you have an 80k debt. Well, it doesn't necessarily mean that it makes sense for you to pay that off sometimes it does, but what happens to your net worth anytime you pay off an 80k debt, well, let's see. You've reduced your asset side by 80k and you've reduced your debt side by 80k so your net worth is the same, and retiring the debt means that you might have lost leverage, lost cash flow and lost tax advantages, all at the same time on Instagram, send a DM with the two words, Keith Cows to Garrett B Gunderson, and he'll hook you up with his book for free next week on the show, we go deep on does America really have a housing shortage with an expert analyst. Until then, I'm your host. Keith Weinhold, don't quit your Daydream.    Speaker 4  45:01   Nothing on this show should be considered specific, personal or professional advice. Please consult an appropriate tax, legal, real estate, financial or business professional for individualized advice. Opinions of guests are their own. Information is not guaranteed. All investment strategies have the potential for profit or loss. The host is operating on behalf of get rich Education LLC, exclusively   Keith Weinhold  45:29   The preceding program was brought to you by your home for wealth. Building, get richeducation.com  

    Love Marry Kill
    Laura and Craig Rideout

    Love Marry Kill

    Play Episode Listen Later Mar 2, 2026 67:59 Transcription Available


    In 2016, in Rochester, New York, Laura and Craig Rideout were going through a bitter divorce that pitted the couple's seven children against their father. When Craig's body was found in the woods just hours after his disappearance, suspicion quickly fell on Laura and her boyfriend, Paul “PJ” Tucci. But as the story unfolded, it revealed a shocking betrayal of a loving father by his own family.Today's snack: Utz Original, Kettle and Crab chips (thanks Amy and Doug!)Support us on PatreonSourceshttps://www.peacocktv.com/watch/playback/vod/GMO_00000000334998_01/c667c682-6fe3-39b6-a974-a355b8ddba64?orig_ref=https%3A%2F%2Fwww.google.com%2F Dateline The Devil's Bathtub Season 25, Episode 48https://www.democratandchronicle.com/story/news/2017/08/13/surveillance-videos-show-tucci-rideouts-hours-before-murder/539677001/ surveillance footage from Walmarthttps://medium.com/@deborahhalber/the-untidy-murder-of-craig-rideout-275506da6cedhttps://www.reddit.com/r/UnresolvedMysteries/comments/mz2vix/craig_rideout_casedevils_bathtub_did_pj_get_away/ good write-up on Reddithttps://www.democratandchronicle.com/story/news/2018/07/19/craig-rideout-murder-anniversary-paul-tucci-laura-colin-alex-where-they-now/778756002/ pictureshttps://www.democratandchronicle.com/story/news/2018/07/19/craig-rideout-murder-anniversary-paul-tucci-laura-colin-alex-where-they-now/778756002/?gnt-cfr=1&gca-cat=p&gca-uir=true&gca-epti=z114741v114741d--52--b--52--&gca-ft=150&gca-ds=sophihttps://www.democratandchronicle.com/story/news/2017/09/23/craig-rideout-murder-what-nbc-dateline-didnt-tell-you-about-case/676837001/https://13wham.com/news/local/new-evidence-the-rideout-jury-never-heardhttps://www.whec.com/archive/an-in-depth-look-at-the-rideout-family/https://www.whec.com/archive/laura-rideout-appeal-for-new-trial-denied/https://www.whec.com/archive/in-depth-colin-rideout-claims-his-mother-let-him-take-the-fall/https://www.whec.com/archive/in-depth-the-colin-rideout-interview/https://thecinemaholic.com/where-are-laura-colin-and-alexander-rideout-now/https://www.democratandchronicle.com/story/news/2017/10/04/paul-tucci-wife-death-liver-disease-rideout-murder-case/731153001/https://www.wxxinews.org/local-news/2016-12-02/four-indicted-in-the-death-of-craig-rideout-including-family-membershttps://www.dailymail.co.uk/news/article-3709125/Mom-sons-accused-cleaning-blood-slaying-victims-home.htmlhttps://www.whec.com/archive/an-in-depth-look-at-the-rideout-family/https://www.newspapers.com/image/721723185/?match=1&terms=craig%20rideouthttps://source.colostate.edu/parental-alienation-means-matters/#:~:text=Parental%20alienation%20is%20when%20one%20parent%20intentionally,ends%20or%20when%20they%20are%20still%20together 

    Connections with Evan Dawson
    Teens hope new center will curb gun violence and promote peace

    Connections with Evan Dawson

    Play Episode Listen Later Mar 2, 2026 50:55


    "We want the ones who's stealing the cars. We want the ones who's robbing. We want the ones who's failing with their schoolwork." That's what staff members at Teen Empowerment (TE) say about connecting with local young people. The nonprofit works alongside teens to foster peace, equity, and justice in the community. As reported by WXXI's Noelle Evans and Max Schulte, the center recently opened a new location at the corner of Magee and Dewey avenues — an area on Rochester's north side that has been the site of numerous deaths by gun violence in recent years. TE leaders say it an opportunity to offer young people a different pathway forward. This hour, we sit down with some of the teens and a Teen Empowerment leader to discuss their work, their goals, and what the new hub means for their mission. In studio: Shanterra Mitchum, program director at Teen Empowerment Sahiyra Dillard, program coordinator at Teen Empowerment Emerra Moore, Teen Empowerment participant Paul Ross Jr., Teen Empowerment participant ---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.

    The Break Room
    Planning The Sweet 16

    The Break Room

    Play Episode Listen Later Mar 2, 2026 31:09


    The Break Room (MONDAY 3/2/26) 9am Hour 1) Duffy is in denial that this big time celebration is on the horizon 2) A bold cheater

    The Break Room
    A Useless Ramp

    The Break Room

    Play Episode Listen Later Mar 2, 2026 41:00


    The Break Room (MONDAY 3/2/26) 8am Hour 1) If it's too dangerous to use and too expensive to fix, what's the plan for it moving forward? 2) The consequences of fake plates 3) An unusual store to be located in a shopping mall

    The Break Room
    Back It Up

    The Break Room

    Play Episode Listen Later Mar 2, 2026 36:47


    The Break Room (MONDAY 3/2/26) 7am Hour 1) It might be a douche move, but it's DEFINITELY more practical 2) No end game for the getaway 3) A dip in pizza sales

    The Break Room
    Take Advice From The Guy Who Has Been There Before

    The Break Room

    Play Episode Listen Later Mar 2, 2026 43:09


    The Break Room (MONDAY 3/2/26) 6am Hour 1) Do as I say, not as I do, kid. 2) Too old for a music festival 3) Surprise vet bill

    Pauly Guglielmo Show
    293 - Jen Newman Feat. John Urlaub (Serial Entrepreneur / Young Lion)

    Pauly Guglielmo Show

    Play Episode Listen Later Mar 1, 2026 60:03


    Jen is best known to us over the past decade as the mind and passion behind Young Lion, but it turns out that Young Lion was actually her 4th entrepreneurial journey. Jen will tell us about the several software companies that she and her ex-husband started and exited prior to founding Young Lion. She'll tell us about selling off Young Lion, and finally we'll hear how Rohrbach came to acquire the brand recently. Lots of great nuggets in this one from the greatest of all time.. my friend Jen.Mentioned in this episode:Nights and WeekendsStay connected to Rochester's local music scene with Nights and Weekends! https://feeds.captivate.fm/nightsandweekends/Getting Real with Bossy: For Women Who Own BusinessCheck out Getting Real with Bossy: For Women Who Own Business on Lunchador! https://feeds.captivate.fm/gettingrealwithbossy/Connections PodcastConnections with Evan Dawson - Subscribe wherever you get your podcastsConnectionsJoe Bean Coffee - Coffee that lifts everyone.Use promo code Lunchador for 15% off your order! https://shop.joebeanroasters.com

    Tick Boot Camp
    Episode 556: Solving Lyme Diagnostics and Discovering New Tick-Borne Pathogens with Dr. Bobbi S. Pritt

    Tick Boot Camp

    Play Episode Listen Later Feb 28, 2026 111:28


    Dr. Bobbi S. Pritt joins Tick Boot Camp Podcast for a scientific deep dive into Lyme disease diagnostics, co-infections, and emerging tick-borne pathogens. Dr. Pritt is Professor and Chair of Laboratory Medicine and Pathology at Mayo Clinic and Director of the Clinical Parasitology Laboratory in Rochester, Minnesota. An internationally recognized expert in vector-borne diseases, she is globally known for discovering new tick-borne pathogens—including Borrelia mayonii and Ehrlichia muris eauclairensis—and for advancing cutting-edge molecular and metagenomic diagnostic testing used nationwide. This episode offers essential clarity for anyone navigating Lyme disease, unexplained symptoms, or confusing test results. Dr. Pritt explains why standard tests often miss early Lyme, how PCR and molecular tools can detect active infection, and what metagenomic sequencing may offer for more accurate and comprehensive diagnostics in the future. Episode Summary Dr. Pritt breaks down how Lyme and other tick-borne diseases are detected through antibody testing, PCR, tissue analysis, and cutting-edge molecular methods. She explains how her lab discovered multiple new pathogens in the upper Midwest, the role of tick species in disease transmission, and why co-infections complicate diagnosis. This conversation also explores geographic spread, climate change, tick behavior, and the strengths and limitations of today's test algorithms. Key Topics • Discovery of Borrelia mayonii as a second cause of Lyme disease in the U.S. • Identification and characterization of Ehrlichia muris eauclairensis • Geographic hotspots and why the upper Midwest produces unique pathogens • Tick species differences: blacklegged vs. lone star ticks and their hunting strategies • Co-feeding in ticks and its role in pathogen evolution • Why early Lyme tests often return false-negative results • The science behind false positives and cross-reactivity • PCR advantages and limitations for detecting Borrelia • When skin biopsies can outperform blood tests • Differentiating Lyme, B. miyamotoi, Anaplasma, Babesia, and Powassan virus • When clinicians should order a full tick-borne disease panel • How climate and ecological changes drive new tick-borne threats • The promise of metagenomics and immune-signature diagnostics What You'll Learn • Why current Lyme testing algorithms struggle in early infection • How new tick-borne pathogens are discovered and validated • Why lone star ticks are more aggressive and changing regional risk • When and why molecular testing is more effective • What symptoms point to co-infections needing additional testing • Why doxycycline is not effective for certain pathogens like Babesia • How metagenomic sequencing could identify every pathogen in a single sample • Where diagnostic innovation is heading and what patients can expect

    The Break Room
    Cocaine Grandpa

    The Break Room

    Play Episode Listen Later Feb 27, 2026 36:08


    The Break Room (FRIDAY 2/27/26) 6am Hour 1) This guy seems a little long in the tooth for this to be his drug of choice 2) Pay to scoop 3) A potential new product in liquor stores

    The Break Room
    Snooty Town Gets More Snooty

    The Break Room

    Play Episode Listen Later Feb 27, 2026 25:24


    The Break Room (FRIDAY 2/27/26) 9am Hour 1) We knew this town ranked high, we just didn't know HOW high on this list 2) Why sign up for that if you don't have to?

    The Break Room
    Faking Friday

    The Break Room

    Play Episode Listen Later Feb 27, 2026 42:57


    The Break Room (FRIDAY 2/27/26) 7am Hour 1) If you were this person's spouse, would you see this lie as a relationship betrayal? 2) Landline emergency 3) Once you give a customer the ability to do this, it's not a good look to then take it away

    The Break Room
    Paid Sick Days

    The Break Room

    Play Episode Listen Later Feb 27, 2026 37:58


    The Break Room (FRIDAY 2/27/26) 8am Hour 1) Why WOULDN'T you want this at your workplace? 2) Fancy soda 3) Whalemobile for adults please!

    The Capitol Pressroom
    Senate transportation leader on Waymo, public transit, and infrastructure

    The Capitol Pressroom

    Play Episode Listen Later Feb 27, 2026 16:21


    Feb. 27, 2026- State Senate Transportation Committee Chair Jeremy Cooney, a Rochester-area Democrat, laments the governor abandoning an expansion of for-hire autonomous vehicles and calls for a new car registration fee to fund public transit.

    The Sports Bar
    Friday - February 27, 2026 - 1:00-1:21PM EST

    The Sports Bar

    Play Episode Listen Later Feb 27, 2026 21:53


    Tim's radio clothes & his Ernie Clement connection. More TSB theme song entries. Guests Today: Sal Capaccio & Andrew Mossbrooks. Bills. Amerks vs Laval & Scott Metcalf celebration. Luke from Rochester. BANNED! Should he be reinstated? Chris from South Central Kentucky TSB Theme Song.

    The Sports Bar
    Friday - February 27, 2026 - 1:25-1:50PM EST

    The Sports Bar

    Play Episode Listen Later Feb 27, 2026 25:42


    Sal Capaccio joins the show to discuss the NFL Combine in Indianapolis. Bills personnel & Jim Leonhard's defense. Taron Johnson's future. Bills depth & secondary needs. Bills linebackers in 2026. Bills WR room. KC Concepcion's Rochester roots. What to do with Keon Coleman? Bills under Joe Brady vs Sean McDermott. Josh Allen's health & his relationship with Joe Brady. Sal's role in Buffalo Bills Hallmark movie.

    The Sports Bar
    Friday, February 27, 2026 - Hour 1 | 1PM EST

    The Sports Bar

    Play Episode Listen Later Feb 27, 2026 50:02


    Tim's radio clothes & his Ernie Clement connection. More TSB theme song entries. Sal Capaccio & Andrew Mossbrooks. Amerks vs Laval & Scott Metcalf celebration. Luke from Rochester. BANNED. Should he be reinstated? Chris from South Central Kentucky TSB Theme Song. Sal Capaccio Joins The Show. The NFL Combine in Indianapolis. Bills personnel & Jim Leonhard's defense. Taron Johnson's future & role. Bills depth & secondary needs. Bills linebackers in 2026. Bills WR room. KC Concepcion's Rochester roots. What to do with Keon Coleman? Bills under Joe Brady vs Sean McDermott. Josh Allen's health & his relationship with Joe Brady. Sal's role in Buffalo Bills Hallmark movie. NFL Salary Cap Rises. What can Bills do with it? Mike Evans? Preview Hour #2.

    The Sports Bar
    Friday - February 27, 2026 - 2:00-2:21PM EST

    The Sports Bar

    Play Episode Listen Later Feb 27, 2026 20:07


    Hour 2 begins with NFL Combine talk and KC Concepcion's Rochester roots. Theme Song Entry. Chris from Kentucky submits song #2. Buffalo Bills add Trace Mcsorley to the coaching staff. RIT Tigers Men's Hockey this weekend, Rochester Knighthawks lacrosse and Chris Berman to retire in 2029.

    The Sports Bar
    Friday, February 27, 2026 - Hour 2 | 2PM EST

    The Sports Bar

    Play Episode Listen Later Feb 27, 2026 46:42


    Hour No.2 begins with NFL Combine talk & KC Concepcion's Rochester roots. The Sports Bar Theme Song Entry. Chris from Kentucky Song #2. Buffalo Bills add Trace Mcsorley to the coaching staff. RIT Tigers Men's Hockey. Rochester Knighthawks lacrosse. Chris Berman to retire in 2029. Amerks Andrew Mossbrooks joins the show, did he sneak into the Cleveland Cavaliers game? His seats. Devon Levi's workload. The Amerks tough schedule and facing the Laval Rocket. Celebration of Scott Metcalf tonight. The NHL & AHL Trade Deadline. Jarmo Kekalainen. Needing Depth & Sabres-Amerks Playoffs? MLB Spring Training. George Pickens Tagged. Last Call. World Baseball Classic. Gene urges Brandon Beane to draft KC Concepcion. Preview of Monday's show.

    The Break Room
    You Can't Avoid The Tracks

    The Break Room

    Play Episode Listen Later Feb 26, 2026 39:43


    The Break Room (THURSDAY 2/26/26) 6am Hour 1) If you can't go around them, how long are you willing to wait to cross them? 2) Falling for a casino scam 3) The new car technology you don't trust just yet

    The Break Room
    It's Not Going To Stop Me

    The Break Room

    Play Episode Listen Later Feb 26, 2026 39:06


    The Break Room (THURSDAY 2/26/26) 7am Hour 1) Even if there was science to back this up it probably wouldn't stop you from losing ALL your hair 2) The town is smelly... OKAY? 3) Crows and Hoes Fest

    The Break Room
    PB4WEGO

    The Break Room

    Play Episode Listen Later Feb 26, 2026 39:18


    The Break Room (THURSDAY 2/26/26) 8am Hour 1) Who is the biggest jerk in this story of jerks? 2) Living with animal noises 3) McDonalds takes a swing on something new

    The Break Room
    Can't Spot A Jerk

    The Break Room

    Play Episode Listen Later Feb 26, 2026 26:15


    The Break Room (THURSDAY 2/26/26) 9am Hour 1) Tommy says women are bad a reading a room 2) Bucket-o-coffee

    Oncology Overdrive
    Navigating Health Care on Social Media with Franziska Haydanek, DO

    Oncology Overdrive

    Play Episode Listen Later Feb 26, 2026 36:30


    In this episode, host Shikha Jain, MD, speaks with Franziska Haydanek, DO, about building a social media presence, approaching the rise of misinformation online and more. ·       Welcome to another exciting episode of Oncology Overdrive 0:14 ·       About Franziska Haydanek, DO 0:25 ·       The interview 1:09 ·       Tell us about your journey. How did you get into the OB-GYN space, and later into the digital creation space? 1:31 ·       What do you do to balance your content creation with your clinical and personal lives?  6:31 ·       How do you handle attacks and negativity online? 11:19 ·       How do you continue to put content online despite the rise in negativity and misinformation? […] How do you keep yourself motivated to create content? 12:31 ·       Do you feel that there has been a shift on social media in recent years? 14:37 ·       How do you advise patients to navigate the truth online? 16:18 ·       Jain and Haydanek on ways to combat misinformation. 19:53 ·       How do we make sure the voices that need to be heard are the ones being amplified? 21:31 ·       Jain and Haydanek on approaching the ways in which physicians speak to audiences online. 22:47 ·       How are you seeing the politicization of women's health play out in the spaces you are in? 25:53 ·       What do we do to try and advocate for changes toward the issues surrounding women's health? 27:01 ·       Jain and Haydanek on how health care has become political, and what physicians can do to continue advocating for their patients. 29:50 ·       If someone could only listen to the last minute of this episode, what would you want listeners to take away? 34:44 ·       How to contact Haydanek 35:50 ·       Thanks for listening 36:10 Franziska Haydanek, DO, FACOG, is a board-certified OB-GYN practicing full scope obstetrics & gynecology in Rochester, NY. She is also known as Paging Dr. Fran online, working as a medical content creator with over 1.3 million followers. She is a strong advocate for her fellow healthcare workers as well as the patients she serves. We'd love to hear from you! Send your comments/questions to Dr. Jain at oncologyoverdrive@healio.com. Follow Healio on X and LinkedIn: @HemOncToday and https://www.linkedin.com/company/hemonctoday/. Follow Dr. Jain on X: @ShikhaJainMD. Haydanek can be reached across social media @PagingDrFran. Disclosures: Jain and Haydanek report no relevant financial disclosures.

    The Backyard Bouquet
    Ep. 87: Starting and Scaling a Flower Farm: Jenny Rae Swan's Journey with Flowerwell

    The Backyard Bouquet

    Play Episode Listen Later Feb 26, 2026 54:41


    In Episode 87 of The Backyard Bouquet Podcast, Jennifer sits down with Jenny Rae Swan, founder of Flowerwell, a cut flower farm and floral design studio in Rochester, New York.As a first-generation farmer, Jenny Rae didn't grow up in agriculture, but she followed her pull toward flowers and built Flowerwell from a small plot on a neighboring blueberry farm into a thriving flower farm and design business. In this conversation, she shares what it really looks like to start a flower farm without a roadmap and steadily scale it over time.Jennifer and Jenny Rae discuss:• Starting a flower farm without farming experience• Scaling from a small growing space to multiple acres• Hiring and building a farm team• Balancing the roles of farmer and florist• Navigating growth, risk, and long-term vision• Lessons learned from nearly a decade in businessIf you're dreaming about starting a flower farm, actively growing one, or wondering what the next level looks like, this episode offers honest insight into the realities of building something sustainable in the floral industry.Whether you're a backyard grower or working toward full-time flower farming, Jenny Rae's story is a reminder that growth happens season by season, and that you don't need to have it all figured out to begin.Connect with Jenny Rae at Flowerwell:Website: https://www.flowerwellny.comInstagram: https://www.instagram.com/flowerwellnySign up for our podcast newsletter: https://bit.ly/thefloweringfarmhousenewsletterJoin Us At The Profitable Dahlia SummitThe first-ever virtual summit focused exclusively on growing dahlias for profit is here!Join us March 3–4, 2026 to learn from experienced dahlia growers who are selling bouquets, tubers, CSA shares, event tickets, and more — and doing it profitably.You'll walk away with real strategies to turn your passion into income, even if you're just getting started.Save your spot here: https://thefloweringfarmhouse.mykajabi.com/profitabledahiliasummit/

    NSC Wrestling And Gaming Podcast
    Episode 198 - NSC Wrestling And Gaming Podcast

    NSC Wrestling And Gaming Podcast

    Play Episode Listen Later Feb 26, 2026 33:46 Transcription Available


    Don't be like your father - interview with the one saintBecome a supporter of this podcast: https://www.spreaker.com/podcast/nsc-wrestling-and-gaming-podcast--4855340/support.

    The Sports Bar
    Thursday - February 26, 2026 - 1:51-1:56PM EST

    The Sports Bar

    Play Episode Listen Later Feb 26, 2026 4:27


    Gene Talks MLB. Rochester is a baseball town. NY Yankee's Spring Training. Will Jason Dominguez or Randal Grichuk make the team. NY Yankees Outfield in 2026? Preview Hour Number 2.

    The Break Room
    Break Room Hate Mail - They're Lying To You

    The Break Room

    Play Episode Listen Later Feb 25, 2026 36:07


    The Break Room (WEDNESDAY 2/25/26) 8am Hour 1) If this man is accusing the police of lying about the numbers, wouldn't they want the stats to say something else? 2) Is my package in there? 3) If getting the call right means the game never ends, let's just keep things the way they are

    The Break Room
    Thousand Dollar Bribe

    The Break Room

    Play Episode Listen Later Feb 25, 2026 29:16


    The Break Room (WEDNESDAY 2/25/26) 9am Hour 1) This situation might be a win-win for both you AND your kid when it comes to your wallet 2) Check your chicken

    The Break Room
    That Doesn't Belong To You

    The Break Room

    Play Episode Listen Later Feb 25, 2026 37:20


    The Break Room (WEDNESDAY 2/25/26) 6am Hour 1) Duffy says he's doing this for ALL the stolen hoodie victims out there 2) Fight at the checkout counter 3) The woman you least suspect

    The Break Room
    It's Not Move-In Ready

    The Break Room

    Play Episode Listen Later Feb 25, 2026 40:46


    The Break Room (WEDNESDAY 2/25/26) 7am Hour 1) What SHOULD'VE been an exciting time for these new home owners turned into a $100k+ bill 2) Why bring it up again if you don't have to 3) Same question, different day.

    Endocrine News Podcast
    ENP111: Addressing the Endocrine Workforce Shortage

    Endocrine News Podcast

    Play Episode Listen Later Feb 25, 2026 30:12


    The endocrine workforce shortage is affecting the lives of endocrinologists and the patients they treat. Many practices would benefit from any support that would give endocrinologists more capacity to focus where they really need to. Could advance practice providers, such as nurse practitioners and physicians assistants, be able to provide that support if they had a little more training?   The Endocrine Society and the American Association of Nurse Practitioners? (AANP) think so. Together they have developed a new program called Clinical Advantage: Endocrinology Certificate for Advanced Practice Providers. What does the certificate represent, how does the program work?   To help answer those questions and more host Aaron Lohr talks with two guests who helped develop the program: Sara R. MacLeod, DO, MPH, Assistant Professor of Medicine at University of Rochester; and Shannon K. Idzik, DNP, CRNP, ANP-BC, FAANP, FAAN, Professor and Associate Dean for the Doctor of Nursing Practice Program at University of Maryland School of Nursing.   Listen to learn how Clinical Advantage is working to address the shortage. Show notes are available at https://www.endocrine.org/podcast

    Creative Guts
    Erin Sweeney

    Creative Guts

    Play Episode Listen Later Feb 25, 2026 47:39


    In this episode of Creative Guts, co-hosts Becky Barsi and Laura Harper Lake  sit down with Erin Sweeney, an artist, educator, and founder of BrickHouse Arts.  Erin's practice bridges book arts, printmaking, fiber arts, and installation, with work rooted in storytelling and a deep appreciation for craftsmanship. In this episode we learn about Erin's journey as a creative, and how teaching at Plymouth State University, running her creative studio, and connecting with her community fuel her artistic journey. Learn more about Erin and her work at www.erinsweeney.net, www.instagram.com/brickhousearts, and https://www.plymouth.edu/person/erin-sweeney. Listen to this episode wherever you listen to podcasts or on our website www.CreativeGutsPodcast.com. Connect with us on Instagram, Facebook, LinkedIn, and Discord. Subscribe to our Substack newsletter at creativegutspod.substack.com.  If you love listening, consider making a donation to Creative Guts! Our budget is tiny, so donations of any size make a big difference. Learn more about us and make a tax-deductible donation at www.CreativeGutsPodcast.com.  Thank you to Kennebunk Savings Bank for being an official sponsor of the podcast! Thank you to our friends at Art Up Front Street Studios and Gallery in Exeter, NH and the Rochester Museum of Fine Arts in Rochester, NH for their support of the show!  Any views or opinions expressed by our hosts or guests do not necessarily reflect the views or positions of Creative Guts.

    Moon to Moon
    226. The Tower Can Also Be Soft with Danielle Houser, Janessa Quinn, and Emily Pumm

    Moon to Moon

    Play Episode Listen Later Feb 24, 2026 72:37


    In the episode, Britten LaRue is joined by TMT Alums Danielle Houser, Janessa Quinn, and Emily Pumm for an exploration of a paradoxical phrase: The Tower Can Also Be Soft. Together, they share how they found Britten's work and The Magician's Table, what it felt like inside the container, and how their offerings shifted through the experience - threading themes of choice, vulnerability, spiritual diversity, confidence, and the tenderness that can hold us through big transformation. Topics They Cover:  Finding Britten's work and coming into their Yes for The Magician's Table (including hesitation around logistics, money, timing, and identity) The paradox of a "soft tower," and how choosing participation can change the texture of transformation The container as a place of disarming vulnerability, mutual respect, and a kind of softness that made experimenting feel safe What they'd tell someone who feels unsure they belong, doesn't know how they'll make it work, or is afraid to use their voice THE DOORS TO THE 2026 MAGICIAN'S TABLE ARE NOW OPEN! The Magicians of the Class of 2026 are taking their seats!   The only way to apply to TMT is to be on the mailing list. Join it now and will receive the link to the application.   About Danielle Houser: Danielle Houser, MS, LPCC, is a licensed therapist, educator, and speaker whose work lives at the intersection of psychology, spirituality, and decolonized healing. With over a decade of clinical experience and twenty years in teaching, she practices the magic of the Breakthrough — the moment when soul-level questions meet real-world decisions and what is sensed internally begins to shape how people live. Whether in a workshop, individual therapy, or a one-time Breakthrough Session, Danielle helps people untangle inherited patterns and internal noise so they can hear the voice that already holds the answers — the one that has been quietly calling them forward.  Book a Breakthrough Session www.daniellehouser.com/breakthrough-session WEBSITE: www.daniellehouser.com     About Janessa Quinn: Janessa Quinn is an artist, astrologer, and mom extraordinaire located in Minnesota. As a tender of flame and keeper of hearth, she is here to inspire and encourage others to liberate themselves by remembering their fire within. With the help of her 8th house Libra sun and fiery chart ruler, Jupiter in Aries, Janessa illuminates the treasure we can only find in the dark and boldly shares it with the world via her many offerings, including one-on-one consultations, workshops, writing, and her podcast, The Astro Garden. You can find out more about Janessa's work at her website, byjoveastrology.com or on Instagram at @byjoveastro. Janessa's podcast is available on all streaming platforms, including YouTube, and her writing is available both on her website and her Substack, https://byjoveastrology.substack.com/. WEBSITE: byjoveastrology.com INSTAGRAM: instagram.com/byjoveastro YOUTUBE: https://www.youtube.com/@byjoveastro SUBSTACK: https://byjoveastrology.substack.com/ About Emily Pumm: Emily Pumm is an Empowerment Coach based in Rochester, NY, supporting people through meaningful life transitions with courage, clarity, and compassion. Her work is deeply informed by lived experience. After years of overworking herself to the bone during college, Emily found herself navigating debilitating full-body chronic pain and fatigue. That journey ultimately reshaped her relationship with success, rest, and self-trust. Now, in remission, she is devoted to helping others reconnect with their inner wisdom and move forward in ways that feel sustainable, embodied, and aligned.  Emily is trained through the Holistic Coach Training Institute and is currently working toward certification with the International Coaching Federation (ICF). She is also a Co-Leader of the Rochester Conscious Community, helping steward a network of 450+ people through wellness-centered events such as Authentic Relating and Ecstatic Dance, and is a versatile content creator, photographer, and filmmaker collaborating with HappyEarthTea.com—bringing presence, creativity, and care into everything she builds. INSTAGRAM: https://www.instagram.com/emilypumm/ EMAIL: emilypumm@gmail.com   +++   Learn More about The Magician's Table:  The Magician's Table is a 3-month container for personal growth, community connection, and practice growing one's tools as an intuitive and magical practitioner. Doors open on Sunday, February 22nd, with an early bird window and a Pick Your Tuition model offered on a first-come, first-served basis. Britten invites you to take your time attuning to the container, exploring the course page, and feeling into whether this experience is a true yes for you. Join the waitlist: ​​https://mailchi.mp/brittenlarue/tmt-2026-waitlist  Visit the course page: https://brittenlarue.com/course/the-magicians-table/    +++   Introducing the 13th Readers for 2026:  Arizona Smith: @arizonasmithhealing  Leanne Thurogood: @oftheearthesoteric Lily Hussey: @goodhussey Suprasensory Shahir: @suprasensoryshahir   +++   E M E R G E N C E  A S T R O L O G Y ⁠⁠https://brittenlarue.com/ ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠Instagram: ⁠⁠⁠⁠⁠@brittenlarue Order Living Astrology Join my newsletter here Check out my new podcast CRYSTAL BALLERS on Spotify, Podbean, and Apple.   +++   Podcast art: Angela George. Podcast music: Jonathan Koe.    

    Connections with Evan Dawson
    Young professionals on redefining service in 2026

    Connections with Evan Dawson

    Play Episode Listen Later Feb 24, 2026 51:01


    What are the priorities for the next generation of community leaders? We sit down with members of Rochester Young Professionals (RYP). The grassroots, volunteer-led organization focuses on connecting young leaders dedicated to uplifting the community. The group is hosting a gala later this week to honor members who have gone above and beyond in their efforts to shape Rochester in positive ways. We talk with RYP representatives about their work and what service looks like in the current sociopolitical climate. Our guests: Jordynn Barnhart Sullivan, Rochester Young Professionals Excellence Award winner and vice president of marketing at Lilac Manor Rehabilitation And Nursing Center Maggie Coleman, Rochester Young Professionals Excellence Award winner and founder of Roc Girl Walks  Miranda Leo, Rochester Young Professionals Excellence Award winner and senior recruiter at Insero Talent Solutions Izzy Loughlin, co-chair of Rochester Young Professionals Rachel Yuhas, Rochester Young Professionals Excellence Award winner and event and program coordinator at Genesee Regional Bank  ---Connections is supported by listeners like you. Head to our donation page to become a WXXI member today, support the show, and help us close the gap created by the rescission of federal funding.---Connections airs every weekday from noon-2 p.m. Join the conversation with questions or comments by phone at 1-844-295-TALK (8255) or 585-263-9994, email, Facebook or Twitter. Connections is also livestreamed on the WXXI News YouTube channel each day. You can watch live or access previous episodes here.---Do you have a story that needs to be shared? Pitch your story to Connections.

    The Break Room
    Simple Not Flashy

    The Break Room

    Play Episode Listen Later Feb 24, 2026 43:57


    The Break Room (TUESDAY 2/24/26) 7am Hour 1) Can this type of restaurant find success on the East side of town? 2) Prices change based on faces 3) The Mediterranean diet

    The Break Room
    It's Easier To Hide

    The Break Room

    Play Episode Listen Later Feb 24, 2026 38:03


    The Break Room (TUESDAY 2/24/26) 8am Hour 1) Though the numbers are lower than they've been in the past, this seems like something that will never go away completely 2) Stop that EBike! 3) Who is this movie for?

    The Break Room
    Dogs Climb Trees

    The Break Room

    Play Episode Listen Later Feb 24, 2026 39:47


    The Break Room (TUESDAY 2/24/26) 6am Hour 1) Never come to the Break Room for important animal facts 2) Where did that hatchet come from? 3) How to corral a cow

    The Break Room
    WHERE THEY WHININ'?! - The "Not My Problem" Attitude

    The Break Room

    Play Episode Listen Later Feb 24, 2026 31:56


    The Break Room (TUESDAY 2/24/29) 9am Hour 1) This person has lost their faith in humanity after seeing a man ignore an elderly woman in need of help 2) Even if you love this activity, would you want to be seen doing it on television?

    The Bee's Knees
    A Knee Recovery Nightmare

    The Bee's Knees

    Play Episode Listen Later Feb 24, 2026 33:52


    A Knee Recovery Nightmare! Right Total Knee Replacement My Physical and Emotional Fight Against Pain Hypersensitivity and Protective Muscle Guarding – written by Cathy Banovac – interview by Lisa Pelley and Mary Elliott – Cathy was coached by Erin Rempher, PTA My name is Cathy and I reside in Arizona. I am 57 years old, a homemaker, and have had a genetic history of chronic osteoarthritis.  From a very young age, I have always had a very low pain threshold.  Prior to the commencement of pain in my knee, I considered myself a fairly fit and active person…loved gardening, entertaining family and friends, cooking, crafting, playing golf, traveling with my husband, walking our dogs, and playing with our grandchildren. Life was good! Early Summer In addition to the normal aches and pains that come with aging, I began to experience more than usual pain in my right knee.  I was experiencing daily occurrences of popping/clicking, giving out when walking at times, difficulty negotiating steps or stairs, and nightly interrupted sleep due to pain.  Over the counter medications, icing, heat, etc. was no longer managing my symptoms.  Upon visiting an orthopedic surgeon for examination and subsequent imaging, I learned I was over 70% bone on bone in my right knee joint.  I was told I was looking at a total knee replacement.  I was preparing to head to Michigan for a family vacation on the lake with my kiddos in August, so was not happy to hear this news.  I convinced my doctor to give me a steroid injection just to buy me the time I needed to take my vacation.  He was reluctant and told me that he predicted it would do nothing to help my condition at the very least or, at the very most, last for a brief time.  I made it through the trip, yet 3 weeks post-injection the symptoms had returned. No More Injections My surgeon declined my request for another injection, instead reiterating my need for the TKR.  Over previous years, I had witnessed my mother, father, husband and a few friends have knee replacement surgeries.  All came through their surgeries with what appeared to me to be a fairly pain controlled, timely recovery and successful return to their regular daily activities.  I was told I was on the younger side for this type of procedure, nevertheless, would greatly benefit from extended quality of life and return to desired activity, given my current quality of life and daily activity was becoming more diminished by the day. My Knee Replacement I underwent RTKR on September 25.  All went well and as expected with the surgery.  I was up and walking, began some light physical therapy exercises, and maintained post-op range and motion through use of a CPM while in hospital.  I was discharged to home on the third day post-op, with a couple of narcotic pain medications (initially Percocet/Oxycodone and Morphine) and directions to commence in-home physical therapy the following day.  My follow-up visit with the surgeon was scheduled for 6 weeks post-op.  Day one at home began my challenging journey of recovery, both physically and emotionally.  I experienced difficulty managing my pain even with narcotics and over the counter medications.  My swelling was as expected and able to be kept in check with anti-inflammatory meds and icing.  I experienced annoying side effects from the narcotics, i.e., headaches, nausea, constipation, and thus was bounced from one medication and dosage to another, none of which seemed to be the right combination or solution to my pain.  Out of complete desperation and in uncontrollable pain, I went to the emergency room after being home for four days post-op, hoping to get some relief. A Problem with the Surgery? I thought surely there must be something wrong.  A few hours later, together with a lecture from the hospital PT and some morphine, I was discharged back to home.  Back on more medication, I failed to again find relief from pain.  I was averaging about 2-3 hours of sleep per night and little sleep during the day.  My home physical therapist had her work cut out for her.  Over the next 4 weeks (twelve 45 min. sessions of in-home PT), I had yet to reach better than 85 degrees flexion and 10 degrees extension.  My in-home therapist said she spent most of those 4 weeks strengthening my calves, hamstrings, and quad muscles, all which were extremely weak.  Therefore, already I was approximately 4 weeks behind in range and motion advancement.  My pain was still very much out of control, all while I feared becoming more and more dependent on the narcotics prescribed. At the first follow-up appointment (six weeks post-op), my flexion was below 90 degrees and extension still not at the zero degree mark.  I was informed by my surgeon that I needed a Manipulation Under Anesthesia (MUA).  My knee felt very stiff, pain was still unmanageable, and I was stuck without advancement in physical therapy. Manipulation Under Anesthesia He took x-rays and made sure the appliance was not loose or slipping out of placement.  All was found to be in proper order and an examination found no infection that could be causing pain or other symptoms.  My surgeon had done his job.  I was told however, that he believed I was stuck due to scar tissue build-up and thus was in need of the MUA to break up the scar tissue.  This would also permit the ability to continue physical therapy, working towards achievement of the desirable degree of range and motion outcomes.  I underwent the MUA six weeks and one day post-op and immediately resumed PT the following day.  I was told not to worry about a reduction in my flexion and extension after having the MUA.  An MUA tends to put patients back about 3-4 weeks, so it is almost like starting all over again.  However, the idea is that advancement in range and motion should become easier now that the scar tissue has been broken up by the procedure.  I went to PT for 5 days in a row the first week following the MUA, did my home exercises faithfully on my own twice a day, then returned to PT three times a week for the next several weeks. After the MUA At the two week follow-up appointment post the MUA, I was still in unmanageable pain, still getting only 2-3 hours of uninterrupted sleep per night, and running every gamut of emotion and temperament.  My poor husband was beside himself and wondering whatever became of the woman he married 27 years ago.  My flexion was still only reaching in the low 90's and my extension was no better either.  I was still experiencing great sensitivity to the touch anywhere on or around my surgical knee.  I couldn't stand wearing pants or having any sheet or blanket covering my knee.  My pain was the worst at night, just when I was settling in for some restful moments on the couch watching TV with my husband.  I would suddenly be lifted off my seat with either pain that mimicked touching a lit match to my knee, or the stabbing of a knife, or the shock of a taser. Dealing with the Pain This pain varied and sometimes was relentless for several minutes.  I was in tears most evenings and headed to bed to ice or apply heat, which calmed the nerve pain somewhat.  I would take meds (Hydrocodone/Norco, Extra-Strength Tylenol, Ibuprofen,  Zofran (for nausea) Vitamins, a stool softener (due to Hydrocodone) and Gabapentin aka Neurontin.  I was soooo sick of taking medications.  I think my surgeon was beside himself as to how to control my pain and sensitivity, therefore, he recommended I seek help at a Pain Management Clinic for possible sympathetic blocks, as well as my medicinal pain management.  Both he and my physical therapist told me I was forecasting pain neurologically before any exerted physical effort on their part was made to cause any pain.  My intolerance for any amount of pain was prohibiting any measurable progress in my range and motion, thus scar tissue was building at a rapid pace.  Physical therapy continued to be a challenge as I protective muscle guarded any force applied by my therapist to get better R&M.  I cried through most of my sessions. Pain Management At my first appointment with the Pain Management Clinic, I met with the doctor.  Most people have sympathetic blocks in their back to relieve nerve pain, but the doctor I was referred to chose to recommend a Genicular Neurotomy, accomplished through a procedure called Coolief Cooled Radiofrequency Ablation.  I first underwent a test which involved Lidocaine injections in four areas surrounding my new knee.  The patient then logs their pain and activities over the following 72 hours.  A follow-up appointment with a Nurse Practitioner then reviews the log and determines eligibility for the ablation procedure.  At this appointment she chose to cut my medication cold-turkey for a couple of days as she deemed I was dependent on them, even though I was getting little pain control.  I experienced severe withdrawal symptoms for two days. A Change in Medication I thought I was going to go out of my mind.  A change in my medication increased the Gabapentin I was taking, and I was found to be eligible for the ablation.  I underwent that procedure approximately 6 weeks post my first MUA, just before the Thanksgiving holiday.  I was told that I would still be experiencing pain for approximately 4-6 weeks, due to the fact that the ablation was going to make my nerves “angry” as they fought their temporary death.  I was also informed that this procedure is temporary as nerve endings most often regenerate themselves over a 6 month to 2 year period.  Some patients must undergo two or three of these procedures to get lasting relief. Unhappy News This was not happy news to my ears, yet I was still desperate for relief and reaching out for anything, and I mean anything, that would control my pain.  I returned to the pain clinic for a follow-up to the ablation procedure only to report pain still very bad and that I was still taking a boatload of medication, icing, heat to quad muscles to relieve cramping, and poor results in physical therapy sessions.  I was told to give it more time and come back in a few more weeks.   At my next follow-up approximately 3 weeks later, I discharged myself from the Pain Management Clinic.  I felt that their treatment plan was not successful for me and they had no other plan to offer other than continued reliance on prescription medication and time. When recovery goes wrong – Read More A Desparate Time After barely getting through the Christmas holidays, persisting in physical therapy and weaning myself down on prescription medications (since they didn't seem to be having any great effect on my pain), I began to explore the possibility of medical marijuana as a solution to my pain control.  I have never tried marijuana and had little desire to smoke or vape it, but was interested in edibles they have out now.  I was desperate and finding myself sinking into anxiety, panic attacks and, at times, depression.  My family and my husband were becoming very concerned as I was changing into a person they did not know and they were at a loss as how to help me through my circumstances. Medical Marijuana Since medical marijuana is legal in the State of Arizona, I sought out a doctor with whom I met and applied for a patient card.  This process took approximately 3 weeks, including approval of my application through the Arizona Department of Health and Human Services.  Upon receiving my card, I met with a licensed nurse at a dispensary to become educated about the various products and my specific needs.  She was recommended by the doctor who signed off on my patient eligibility and works with a number of cancer patients to help control their symptoms.  We met for over an hour.  She was extremely patient with me, educating me about cannabis (which I knew little of) and gave me recommendations to try.  I purchased three of her recommendations.  I also decided to try getting a light massage once per week.  The massages lasted for approximately three weeks before I decided to suspend them, as I found them not helpful enough to warrant the expense. Little if Any Improvement Having done everything I was asked to do in my recovery and still making little if any gains, I found myself in a very dark place emotionally, desperate to end my pain, and I was done!!  One day, I was occupying my time, in between home therapy and out-patient therapy sessions, searching the Internet for anything that might literally save me.  When in answer to my prayer, I came across several website postings about a therapy called X10.  I shared some of it with my husband, my parents and my kids.  They encouraged me to explore it more.  After reading some of the patient blogs and watching a few of the videos that I could access, I made my first contact with PJ Ewing by emailing him.  PJ responded very quickly telling me that the X10 Therapy and machine was not yet available in the State of Arizona, but he provided me with some other resources.  I was initially devastated by this news, but I almost immediately decided that I was not going to accept that response.  I instantly thought to myself, “Well, if it is not available in AZ, then maybe I can travel to wherever it is available. Not Taking ‘No’ for an Answer This time, I placed a phone call to PJ and we talked for over an hour.  As it so happened, in our conversation I discovered that the X10 headquarters is in Franklin, MI, and I had family who lived in Rochester, MI.  PJ was more than gracious in discussing all the parameters and specifics of the possibility of travel to Michigan to undergo the X10 program.  To say the least, after completion of my discussion with PJ, I heard God say “Not yet, Cathy, I still have a plan for you on this earth.”  I discussed the possibilities with my husband and shared them also with my son and daughter-in-law, exploring their permission to have me as a houseguest for 2-3 weeks.  Of course, they couldn't have been more gracious and welcoming. Pain Still a Big Problem My pain was still out of control, I continued out patient PT three times a week with slow or little advancement in my R&M, had my six week MUA follow-up with my surgeon only to be told I was facing a second MUA.  I told my surgeon and my physical therapist about the X10 Therapy website I had discovered, and PJ sent me the clinical data to share with them.  Each of them, I am grateful to say, told me they had looked at the data and were “intrigued” by the therapy plan.  Both encouraged me to pursue it as an option for me, yet both also strongly indicated that enough time had passed between my first MUA and the ablation, therefore, still recommended I have the second MUA before commencing X10 Therapy. Turning to X10 Therapy after a Second MUA Once my husband and I had made the decision to pursue this plan, the wheels began to roll quickly.  Initially, I scheduled the 2nd MUA and a flight out from Phoenix to Detroit by myself the next day following the MUA.  I notified PJ of my  plans and he began to put things in motion by placing me in contact with Mary Elliott, Melissa, Mike, a therapy Coach, Erin a Physical Therapist, and Marty, a technician for machine home delivery and set-up.  The X10 Therapy approach is really a “team” approach to wellness, in addition to the machine itself and the technological programs it delivers to the patient. The Second MUA Was Coming Up As the days approached the 2nd MUA, I became extremely anxious and experienced a couple of panic attacks.  I began to stress about the MUA pain, having gone through one already.  The thought of flying alone, even though my son would be there to meet me at the other end of my flight, and having to get through a 4 hour flight plus 1 hour car ride to his home in pain, had me scared beyond belief.  I was consumed with thinking about how I would manage my pain.  Should I just knock myself out to sleep on the plane?  What if that didn't work?  What meds could I then take if in pain?  What about my leg position – straightening and bending?  How would I get help from curb, through security, to gate, onto plane and the same again when arriving including a stop at baggage claim?  How am I going to sleep at night?  Is this therapy going to put me back in unmanageable pain again, even though the X10 Therapy information says I am in control?  What if it doesn't work?  Can this end my knee recovery nightmare? And on and on and on…! Making Plans After talking it over with my husband and doctor, it was decided that I would delay my trip to Michigan for one week following the 2nd MUA.  I would continue outpatient PT immediately following the MUA, but have some time to consult with a psychologist concerning my sleep depravation, fears, anxiety/depression and develop a plan to manage my pain, as well as talk to the airline for special assistance to help solve my transportation needs.  My husband decided to make the trip with me for a couple of days, just to get me settled and started with X10 Therapy.  Armed with a revised medication and travel plan, I notified the X10 Team of my change in start date and all were extremely understanding and accommodating.  I had the 2nd MUA  on January 18.  I continued outpatient PT for three more sessions, in addition to my own home exercises twice per day.  My daily sleep and pain control was managed better and I was counting the days until our departure date.  It simply could not arrive fast enough! Friday, January 19 This will remain a very important and pivotable day in my life.  My journey towards healing, life anew and well-being would begin that very day.  Having endured a comfortable flight and having managed all the transportation arrangements with ease (kudos to Delta Airlines), we arrived at my son's home ready to commence what I can now claim as my own personal miracle.  Within an hour, Marty arrived with a smile, this technological marvel known as the X10 machine, and a thorough first orientation/training session filled with words of encouragement and confidence.  I was on my way, although until I began to see results (which were really displayed within that first session), I Had Hope I was still cautiously optimistic about where I was headed.  Could I really achieve the flexion and extension goals I was unable to achieve thus far with any of my existing recovery methods?  Would this therapy really enable me to manage my pain comfortably with mild medications?  Could I trust my X10 therapist and her plan for me?  Would the X10 team really be there for me when I needed them?  Was the X10 therapy the answer to my prayers?  Would I really be returning home in as little as  just over 2 weeks time to see my surgeon's and physical therapist's jaws drop as they witnessed my flexion and extension reach what we all thought would be skeptical results, but instead blow them away with incredible success?  It would not be long before I could actually acknowledge to myself that the answers to each of those questions would be a resounding YES! 110º Flexion Once I was able to reach the 110 degree mark for flexion, it was decided that I would add 5 min a day on the stationery bike. As I felt comfortable, I was able to increase that time in small increments and add another bike session in the evening.  While my progress was measurable daily, I did experience some cramping in my right thigh and calf, dealt with some bursitis in my right hip for about two weeks, and waking with some right leg pain some nights. Taking Care of Myself I found icing and elevating regularly after each exercise session, icing my hip, heat on my upper thigh at night, Tramadol 50 mg. only twice a day with Ibuprofen and Acetaminophen alternated during the day, and Theraworx Relief foam massaged in the cramping areas once or twice a day helped keep my discomfort manageable.  In addition, I spent some resting time researching dietary recommendations for inflammation and pain.  I incorporated tumeric, magnesium, Osteo Bi-flex, 100% Cherry or Pineapple Juice, Vitamin B6 & B12, Vitamin C, Vitamin D3, Zinc, fresh berries and decaffeinated tea with ginger, lemon and honey in my daily diet.  I also decided to limit carbohydrates and sugar intake in an effort to keep my inflammatory response in check. One Week In After one week on the X10 and with constant reassurance and communication from all of my X10 team, I could actually begin to call this journey and the X10 Therapy my miracle.  I had breached the 100's for flexion after starting at 55 degrees, and reached 0 degrees at the end of the first session on my extension, previously at 8 degrees.  My fears, anxiety and uncertainty soon gave way to renewed love for life, joy at gaining confidence in doing daily activities again, sharing my daily success by telephone with family and friends, and hope for the future.  The almost daily contact from one or more of my X10 team members answered any questions that arose, provided authentic cheerleading for my cause, and motivated me to press on for better and better results. Working with My Coach Mary called often to check in with me and was my calm and steady encourager.  My conversations with her were uplifting and kind of like talking to an old friend, casual and comforting.  My PT, Erin, made a home visit to discuss my history and offered varied strategies for increasing my flexion degrees, as well as made adjustments in my therapy plan due to some bursitis that I had recently developed in my right hip.  She was careful to make the appropriate adjustments to my therapy plan.  She and Mike (my strengthening coach and with whom I also met in person to go over exercises), together modified my plan by delaying some of the exercises, while still permitting three sessions a day for range and motion growth. Conclusions As I approach my last day of sessions on the X10 Therapy machine and a return home to Arizona tomorrow, I write my story to encourage anyone who has experienced one or more of the circumstances that I experienced subsequent to a total knee replacement.  I am happy to report that I was successful in breaking through some of my scar tissue, reaching 0 degrees for my extension and 117 degrees flexion.  My gait is much improved and, as I have returned to walking without a limp or dragging my surgical leg, the pain in my hip and lower back has also improved greatly. My knee recovery nightmare has finally come to an end. Some Rehab Insurance I will continue outpatient therapy immediately upon my return home in order to solidify my current range and motion, and even further improve my flexion as I am able.  I write this also as a means of paying it forward to future patients of the X10 and in grateful appreciation to my X10 Team, my family and my friends who affirmed, guided, encouraged, and yes, celebrated, my X10 Therapy journey of success.  The proof, as they say, is in the pudding, which is said to mean that you can only judge the quality of something after you have tried, used, or experienced it.  I absolutely cannot wait to share my experience and demonstrate my range and motion achievement in person to my surgeon and PT Team back home in Arizona. Thanks be to my God, to all of my support team and to X10 Therapy… life is good once again! To read about total knee replacement for a younger population, click here. The X10 Meta-Blog We call it a “Meta-Blog” because we step back and give you a broad perspective on all aspects of knee health, surgery and recovery. In this one-of-a-kind blog we gather together great thinkers, doers, writers related to Knee Surgery, Recovery, Preparation, Care, Success and Failure. Meet physical therapists, coaches, surgeons, patients, and as many smart people as we can gather to create useful articles for you. Whether you have a surgery upcoming, in the rear-view mirror, or just want to take care of your knees to avoid surgery, you should find some value here. #mc_embed_signup{background:#fff; clear:left; font:14px Helvetica,Arial,sans-serif; }/* Add your own MailChimp form style overrides in your site stylesheet or in this style block.We recommend moving this block and the preceding CSS link to the HEAD of your HTML file. */ Subscribe to the Blog Here * indicates required Email Address * First Name Last Name

    Gist Healthcare Daily
    The Future of the Rural Family Physician Workforce

    Gist Healthcare Daily

    Play Episode Listen Later Feb 23, 2026 13:36


    Rural communities across the United States are facing a sustained decline in access to primary care. Since 2017, the number of family physicians practicing in rural areas has dropped by more than 10%, according to a report published late last year. In many regions, that reduction has implications for care capacity, hospital stability and long-term workforce planning. In the second part of the conversations, host J. Carlisle Larsen speaks with Colleen Fogarty, M.D. of the University of Rochester about the structural factors shaping the rural physician workforce and what it will take to strengthen it, examining rural residency programs, medical training pipelines, immigration pathways and loan repayment incentives as policy levers aimed at stabilizing rural access to care. You can listen to the first half of the conversation here. Hosted on Acast. See acast.com/privacy for more information.

    The Break Room
    Keeper Of The Passwords

    The Break Room

    Play Episode Listen Later Feb 23, 2026 28:01


    The Break Room (MONDAY 2/23/26) 9am Hour 1) In any relationship, there is one person who is responsible for ALL important passwords 2) While this product might be the better bad alternative, it's still not great

    The Break Room
    Beers, BBQ and Fun

    The Break Room

    Play Episode Listen Later Feb 23, 2026 37:33


    The Break Room (MONDAY 2/23/26) 8am Hour 1) A one stop shop for all your favorite things 2) Road cone rage 3) Don't mess with the magic of this candy

    The Break Room
    You Have To Warn Him

    The Break Room

    Play Episode Listen Later Feb 23, 2026 44:54


    The Break Room (MONDAY 2/23/26) 7am Hour 1) If you thought your family member was doing something that put their life in danger, you'd tell them... right? 2) Paid in weed 3) To-go wings

    The Break Room
    No Longer A Status Symbol

    The Break Room

    Play Episode Listen Later Feb 23, 2026 39:01


    The Break Room (MONDAY 2/23/26) 6am Hour 1) Does what you pay the bill with still let people know how rich you are? 2) More morning sports! 3) Reward for diming on a coworker

    Pauly Guglielmo Show
    292 - Adam Eaton (Black Is Beautiful)

    Pauly Guglielmo Show

    Play Episode Listen Later Feb 22, 2026 66:26


    Adam Eaton, a Rochester native, was feeling a little lost. He was an artist at heart, but his day job wasn't allowing him to exercise that creative muscle. So, one day, he signed up to take a photography class, and the rest is history! Now a published author, Adam is on tour promoting his new book "Black Is Beautiful"WARNING: This episode has some mention of suicidal thoughts. If that is a trigger, you may want to skip it.Mentioned in this episode:Joe Bean Coffee - Coffee that lifts everyone.Use promo code Lunchador for 15% off your order! https://shop.joebeanroasters.comConnections PodcastConnections with Evan Dawson - Subscribe wherever you get your podcastsConnectionsBehind the Studio DoorHosted by Molly Darling and Christian Rivera, Behind the Studio Door takes listeners on a captivating exploration of artists and their creative processes. Through deep and meaningful conversations, they uncover the stories and experiences that shape the outward expression of their work. https://behind-the-studio-door.captivate.fm/Common ThreadCheck out Common Thread on Lunchador! https://feeds.captivate.fm/common-threads-hardcore/

    Jim and Them
    Marcie Hume Clapback Queen - #902 Part 2

    Jim and Them

    Play Episode Listen Later Feb 21, 2026 147:12


    Corey's Army: Corey rants on Twitter about ya boys after someone allegedly did something at a screening in Rochester. Someone calls in to claim they did it.Phil Shapiro: We get direct response from Phil Shapiro regarding Corey calling him a rat and HDM calling him an abuser.22 Oath: It's time for Marcie to pay up and take the Oath of 22! This is about community, this is a way of life.Stalkers and Clapbacks: Marcie breaks down her Internet stalker and claps back at Youtube commenters.MAGIC CASTLE!, COREY FELDMAN!, PHIL SHAPIRO!, BIGGEST RAT!, GOBLIN GHOUL!, MINIONS!, FART GUN!, TWITTER!, EPSTEIN!, ARMY!, LAST STRAW!, TELL YOUR STORY!, SKEPTICAL!, GOONIES!, KERRI GREEN!, VIP!, MEET AND GREET!, FRIENDSHIP ARC!, KICKED OUT!, SECURITY!, ICLOUD!, BACKUP!, FOOTAGE!, DELETED!, BRAIN SURGERY!, COREY FELDMAN VS THE WORLD 1.5!, FILMMAKER!, ARTIST!, REACTION!, EDITED BY JIM!, SYMPATHETIC CHARACTER!, FUNNY GUYS!, 22 OATH!, COMMUNITY!, BIRD ON A WALL!, STALKERS!, MATT KENNEDY!, COREY'S TEAM!, CONFIRMED!, TROLL!, SPAMMING!, PR PERSON!, GOOFY GUYS!, CALLERS!, FOOTAGE!, AUDIENCE QUESTIONS!, HEART ON OUR SLEEVES!, MY TRUTH DOCUMENTARY!, PROVIDED FOOTAGE!, ANTHONY CUMIA!, YOUTUBE COMMENTERS!, HATERS!, DISTRIBUTION!, PLATFORMS!, NETFLIX!, INTERNATIONAL!, HALLE BARRY KEOGHAN!, MARCIE CLAPBACKS!, TREVOR!, HARMONY!, JOKER!, BONFIRE!, BOBBY KELLY!, CRITIQUES! You can find the videos from this episode at our Discord RIGHT HERE!