Podcasts about San Rafael

Ann Kneeland, CS, from San Rafael, California, USAHear more from Ann on this week's episode of Sentinel Watch.

Maya is back with Caitlin Dietz and Eliot Goldstein to talk about Episodes 6 and 7 of Survivor Season 48. Highlights include discussions about Mitch, a contestant on the show who stutters, his social game and personal story, as well as strategic plays and alliances forming among the castaways. In the episodeSave the date for Proud Stutter's Stuttering Awareness Week event happening in San Rafael, CA on May 8. Details will be released soon!Check out the recap of Proud Stutter's latest event in Chicago in the Daily Northwestern.Support this podcast at — https://redcircle.com/proud-stutter/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

#trump #aranceles #volkswagen #troc Desde los estudios centrales de ONDACERO Madrid Sur te acercamos las últimas noticias del motor, pruebas de los últimos modelos que llegan al mercado, consejos y recomendaciones y seguridad vial. Nos puedes escuchar en directo en ONDACERO Madrid Sur y ONDACERO Jaén. Analizamos las siguientes noticias: • Trump impone un arancel del 25% a partir del 2 de abril a todos los automóviles que sean exportados a su país. • Von der Leyen lamenta "profundamente" los aranceles de Trump a los coches, pero no aclara las represalias de la UE • La Asamblea Nacional suprime las Zona de Bajas Emisiones en todas las ciudades de Francia • Repasamos la gama eléctrica VW • Las matriculaciones en Europa ya acumulan dos meses de caídas con un descenso del 3% • Conocemos un viaje de 2.700 km en un VW Golf GTI Mk2 de 1991, desde Madrid- Wolfsburgo. • Buzón del oyente: Nuestro oyente con Nick “Jacas”, nos pregunta sobre que vehículo 100% eléctrico comprar que no este muy por encima de los 30.000€. Nuestro oyente Patxi Santero nos escribió realizando una denuncia pública sobre el socavón que ha paralizado la nacional 6 al paso por la localidad de San Rafael. Hablamos con él en directo para que nos cuente todos los detalles. • Comentamos todo lo que sabemos sobre el nuevo Volkswagen T-Roc • Seguridad Vial: - ¿Pones las luces en “auto” cuando coges el coche? ¿Haces algo especial cuando llueve? • Motorsport: - Miguel Tineo nos acerca la actualidad del Rallye Tierras Altas de Lorca y del Rallye Safari. - Pablo García nos cuenta su podium en el EcoRallye de Mallorca. Intentando dirigir a estos profesionales del motor: Antonio R. Vaquerizo. El equipo de gala que ha acompañado en este programa ha sido: Fernando Rivas, José Lagunar, Javier Llorente y Pablo García de Motor1. Invitado especial: - Joaquín Torres, Jefe de Prensa de Volkswagen España. En la sección de TotalEnergies, conocemos los reductores, un elemento mecánico vital para el correcto funcionamiento de los automóviles eléctricos. Todos los podcast: https://www.podcastmotor.es Twitter: @AutoFmRadio Instagram: https://www.instagram.com/autofmradio/ YouTube: https://www.youtube.com/@AutoFM Contacto: info@autofm.es

Analyzing the Core Weave IPO and its impact on the AI and public markets, The effect of Trump tariffs on Ferrari and other car manufacturers, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Andrés Ortega, presidente de la Federación Empresarial Segoviana, analiza la situación por el cierre de la Travesía de San Rafael.

Stocks moving  higher thinking Trump is negotiating, Shares of several automakers declined after Trump announced 25 percent tariffs, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Patrick Belisle, Director of Philanthropy at the Hoffman Institute Foundation, is our guest today. A self-described practical mystic, Patrick embarked upon a spiritual journey that took him around the world and the country. In 2022, he participated in what he calls the pinnacle of his spiritual journey, the Hoffman Process. In this conversation with Drew, Patrick shares his unique perspective on money as “financial energy.” He explains how philanthropic giving is a win-win; a way to fulfill both parties' goals and dreams. Patrick's approach to money will inspire you to craft your own financial story. We hope you enjoy this conversation with Patrick and Drew. More about Patrick Belisle: Patrick Belisle is a self-described "practical mystic" who studied theology with Benedictine monks at his college in Minnesota, meditated with Buddhist monks in Thailand, and had a powerful spiritual awakening at the Osho Commune in Pune, India. He and his wife Jane, also a Hoffman graduate, traveled around the world for a year, and around North America for another three years, in search of the meaning of life. They live happily and authentically in Charlottesville, Virginia. Over the years, Patrick has worn many hats: He is a longtime student and teacher of famous psychic Edgar Cayce's readings. Patrick had a 15-year tenure as a Director at Edgar Cayce's Association for Research and Enlightenment (A.R.E.) in Virginia Beach, VA. He's also worked for  Dr. Ian Stevenson's Division of Perceptual Studies at the University of Virginia for many years. UVADOPS.org applies rigorous scientific research to Near-Death Experiences (NDEs), children who seem to remember past lives, psychic phenomena, and other consciousness-related topics. Patrick has practiced hypnotherapy for many years. He has worked with young people in many capacities, facilitated various relationship workshops, and officiated over 60 weddings, baby blessings, and celebrations of life. Patrick currently serves as Director of Philanthropy at the Hoffman Institute Foundation. He helps raise over $2 million annually for student scholarships and teacher training. Beginning in 2025, Patrick and Hoffman's Board has set a goal to raise $25 million to purchase and renovate Hoffman's new Santa Sabina campus in San Rafael, CA. Santa Sabina will open in 2026. His unique perspective on money as “financial energy” will inspire you to think of your financial energy in a whole new way; how it comes to you, how you use it, and how it all works. As mentioned in this episode: Ways to Donate to Hoffman Catholic Benedictine monks Eastern Philosophy Mysticism Breathwork David Brooks •   How to Know a Person: The Art of Seeing Others Deeply and Being Deeply Seen •   The Second Mountain: The Quest for a Moral Life The Post-Process Weekend Integration: Participants often feel very different after completing their Process, almost like a new self inhabiting a new life. It is important to orient and synthesize everything you have experienced and learned. We strongly recommend taking the weekend to complete this quiet integration. Raz Ingrasci & Liza Ingrasci, Founders of the Hoffman Institute Foundation •   Listen to Raz on the Hoffman Podcast Hoffman Scholarships Hoffman tools mentioned The Hoffman App Join Hoffman's Instagram Daily Quad Checks at 8:00 am PT Hoffman 1-Day Graduate Refreshers in the US and Canada The Hand-on-Heart Practice Left Road/Right Road - Making a Choice Negative Love Patterns •   Pattern tools: Pre-Cycling, Vicious Cycle, Recycling

Peter Kirby is a researcher, writer, and activist based in San Rafael, California. Born in 1971 in San Francisco and raised in nearby Brisbane, California, he has a background in radio, television, and film, having studied at Cal State Long Beach and San Francisco State. Since 2009, Kirby has focused extensively on researching and writing about geoengineering. Kirby is the author of Chemtrails Exposed: A New Manhattan Project, a book in which he argues that a large-scale, covert scientific program—akin to the original Manhattan Project—is responsible for a plurality of projects that are impacting the earth's climate. He asserts that this operation involves major institutions, and is backed by significant funding and numerous patents. His work suggests that these activities are hidden from the public through a mass-disinformation campaign. Kirby has collected significant evidence tying elevated levels of toxins like aluminum and barium in rainwater and air samples to geoengineering activities.

Patrick O'Hare from Briefing.com provides an update on the uncertain market conditions, Rob highlights StubHub's upcoming IPO driven by high demand for live events, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

March consumer confidence data reflected a significant drop, 23andMe is for sale and maybe our DNA data, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Javier Figueredo, alcalde de El Espinar, nos habla del corte en la Travesía de San Rafael y el pago en el peaje.

Queja peaje, vecino de Ávila detalla la situación vivida esta mañana en el peaje de San Rafael.

Talking Economy and Retirement Planning, Buy the Dip mentality on Wall Street right now, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Today will be an active day creating heavy volume, Problems with Airline Industry, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

In this episode, Michael Archuleta, Chief Information Officer and HIPAA Information Security Officer at Mt. San Rafael Hospital, shares how his team is revolutionizing rural healthcare through cutting-edge AI, advanced cybersecurity, and digital transformation. He discusses the hospital's nationally recognized IT achievements, the power of AI-driven radiology, and the critical role of cybersecurity in modern healthcare.

The S and P 500 traded into the green after some solid housing data assuaged some concerns about the U.S. economy falling into a recession, Jobless claims were only up slightly last week while layoffs remain low, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

In this episode, Michael Archuleta, Chief Information Officer and HIPAA Information Security Officer at Mt. San Rafael Hospital, shares how his team is revolutionizing rural healthcare through cutting-edge AI, advanced cybersecurity, and digital transformation. He discusses the hospital's nationally recognized IT achievements, the power of AI-driven radiology, and the critical role of cybersecurity in modern healthcare.

Briefing.com Strategist Patrick O'Hare Talks About the Markets, March Madness could cost US economy 20 billion dollars due to lost productivity, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

What to know about Market Jitters, Have we hit a bottom, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Maya interviews Philip, a contestant from Deal or No Deal Island, who shares his experience with stuttering on the reality TV show and how stuttering has impacted his life and career. Philip talks about the audition process, navigating gameplay, and forming relationships with other contestants, including Survivor's Parvati. He also touches on his background as a first-generation American and educator, his transition to becoming a personal trainer, and his aspirations in motivational speaking. Catch Deal or No Deal Island on Tuesdays on NBC.Announcements & Updates from Proud StutterSupport a filmmaker who stutters - Help Michael Turner celebrate the 10 year anniversary of his film during Stuttering Awareness WeekApril 9 - Register to Proud Stutter's free event in Chicago with Northwestern UniversityMay 8 & May 15 - Save the date for Proud Stutter's upcoming documentary events in San Rafael, CA with CA FilmPartnership cornerMarch 29 & March 30: Music and Theater tell the story of life with a stutter in the premiere of Tyler Eschendal's solo show ACTIONS.April 1: Enroll for SPACE's Community & Arts programs this Spring. Learn more here.Support this podcast at — https://redcircle.com/proud-stutter/exclusive-contentAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

(Sesquicentenario del Nacimiento de Félix Carvajal, «El Andarín») «Félix Carvajal, “El Andarín”, considerado por muchos el más grande fondista cubano de todos los tiempos, nació el 18 de marzo de 1875 en La Habana, Cuba.... No fue hasta llegada la adultez que aprendió a leer y a escribir[, y sin embargo] se dice... que tenía una facilidad extraordinaria para los idiomas.... El que mejor dominaba era el inglés.... »Su primera victoria como corredor [fue en San Antonio de los Baños,] al derrotar al maratonista español Mariano Bierza, un atleta que iba de pueblo en pueblo jactándose de su resistencia.... »En Cuba, “El Andarín” ejercía de cartero ocasional en Navidad, festivos y vacaciones, y le gustaba mucho andar. Reseñas biográficas destacan que llevaba letreros y carteles en su cuerpo anunciando productos. »Antes de los Juegos Olímpicos de San Luis, [Misuri, celebrados en los Estados Unidos de América,] “El Andarín” recorrió las calles y parques de La Habana con una camiseta en la que pedía dinero para que un atleta cubano pudiera permitirse pagar el billete que le posibilitara ir a competir en la prueba de maratón. Logró conseguir el dinero, pero el juego [de apuestas] y los estafadores pronto lo dejaron sin dinero, por lo que tuvo que afrontar el resto del viaje a pie, desde Nueva Orleans hasta San Luis, separadas por más de mil kilómetros.... »[En esos] Juegos Olímpicos de San Luis 1904 en los que finalizó en la cuarta posición, pese a no haber alcanzado el podio, el esfuerzo del corredor para costearse el viaje hacia Estados Unidos, sus peripecias en el país norteño, y su casi milagrosa participación en [aquella insólita prueba maratónica en pleno verano] lo convirtieron en una verdadera leyenda.... »[Concluidos aquellos] Juegos.... “El Andarín” continuó sus logros deportivos, cosechando más de 57 galardones.... »En 1928, ya con 53 años, [logró] la proeza de darle 4.375 vueltas a la Manzana de Gómez (ubicada entre las calles Monserrate y Zulueta; Neptuno y San Rafael) en La Habana Vieja. Dos años después... cubrió ida y vuelta los 1.100 kilómetros por carretera entre Guane (Pinar del Río) y la ciudad de Santiago de Cuba. »Félix Carvajal vivió los últimos veinte años de su vida en una mísera casucha debajo del llamado Puente de Arango, hoy conocido como Puente de La Lisa, donde falleció... solo y enfermo, a los 73 años de edad.» Así resume el Diario Las Américas la vida de aquel extraordinario fondista en su artículo titulado: «Félix Carvajal, “El Andarín” cubano que se volvió leyenda».1 Al parecer, lo único a lo cual pudo haberse aferrado aquel laureado y sin embargo sufrido corredor son las siguientes palabras de aliento a su pueblo de parte del profeta Isaías: «Los que confían en el Señor [su Dios] renovarán sus fuerzas; levantarán el vuelo como las águilas, correrán y no se fatigarán, caminarán y no se cansarán.»2 Carlos ReyUn Mensaje a la Concienciawww.conciencia.net 1 «Félix Carvajal, “El Andarín” cubano que se volvió leyenda», Diario Las Américas, Historia, 13 junio 2016 En línea 4 octubre 2024. 2 Is 40:31 (NVI)

The S and P 500 rose trying to make a comeback from correction territory following a four-week rout, The markets turmoil is exacerbated by President Donald Trump's chaotic tariff policy rollout and falling consumer confidence, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Stocks rebounding after a tariff-fueled slide, A crazy week for Tesla stocks, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

El Comité Local de Emergencias ante la previsión de lluvias ha decidido decretar el estado de pre-emergencia. Muy pendientes del caudal del río Guadalquivir a su paso por la capital, que en este momento ha superado ya el nivel amarillo, pero que podría entrar en naranja si empieza a desembalsar el pantano de San Rafael de Navallana, que está llegando al límite de su capacidad. El resto de los pantanos de la provincia se encuentran desembalsando cinco de ellos y ocho con capacidad hidráulica todavía.Escuchar audio

Investors digested the latest tariff threat from President Donald Trump while they pored through new U.S. inflation figures, Trump threatens to put 200 percent tariff on French Champagne and other EU spirits, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Trump said steel and aluminum duties would go up by an additional 25 percent, This is the latest in a series of escalating trade policy moves that have stoked fears of a U.S. economic recession, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Briefing.com Strategist Patrick O'Hare Talks About the Markets, Markets are slipping as increasing tensions between the U.S. and key trade partners continued to rattle investors, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Conferencia en San Rafael Mendoza. -Suscríbete a nuestro canal: https://www.youtube.com/channel/UC8XT... -Síguenos en nuestras Redes Sociales: Facebook: https://www.facebook.com/impulsodeuna... Instagram: https://www.instagram.com/impulsodeun... -Visita nuestro sitio web: http://www.impulsodeunanuevavida.org/ #DanielFerminades #Impulsodeunanuevavida #Filantropo #Conciencia #Paciencia #Compasión #Espíritu #VerdadesDeveladasDesdeLaConciencia https://www.youtube.com/watch?v=Wt0sD-LdW10&t=4550s

We are in the throes of a manufactured correction as the new administration's tariff programs loom, The tech-heavy Nasdaq was weighed down by declines in the Magnificent Seven cohort, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

A framework for looking at stocks, Briefing.com Strategist Patrick O'Hare Talks About the Markets, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Investors sought out more clarity on latest U.S. tariff measures and their impacts on the economy, The major averages have each lost more than 2 percent this week, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Briefing.com Strategist Patrick O'Hare Talks About the Markets, Stocks pushed higher eyeing a rebound from a sharp sell-off amid hopes that President Donald Trump could soon scale back his new tariffs on Canada and Mexico, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

Helpful tips to remember regarding money, Looking at retirement in different ways, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

US stocks were mixed as a looming deadline on tariff plans approach, The major US indexes are coming off a volatile week and a losing month in February, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

The latest on Inflation, Nvidia did not have the best week, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

In this episode of "Tales From The Green Room" Sam Grisman Project mainstays Max Flansburg and Chris English visit with hosts Dennis Strazulo and Tami Larson backstage at Terrapin Crossroads' Sunday Day Dream Vol. 4 in San Rafael, CA. Max Flansburg shares his experience of visiting California for the first time, his musical beginnings in the Finger Lakes region, and joins the roster of stellar guitar players marveling at the mystical encounters surrounding their playing of Jerry Garcia's iconic Alligator Stratocaster, with his own jaw-dropping story! Percussionist extraordinaire Chris English reflects on his rich musical background rooted in a family of pastors, delves into the background of the formation of SGP and describes the emotions of band leader Sam Grisman as he prepared to step in for the ailing Phil Lesh with the day's headliners moments after the interview.  Both guests describe the magic moment from the night before when Billy Strings joined the band during their show at the UC Theater in Berkeley along with long-time friend and cross-genre violinist, Alex Hargreaves -  adding an exciting twist to the backstage tales told by these fine musicians. It's a perfect warm up for anyone planning to catch SGP shows as they tour the country,  and a chance for listeners who have already heard this must-see band to learn more about two of its extraordinary members. Listen and you'll want to hang out with them!MusicDawg FunkSam Grisman ProjectLinkshttps://www.samgrismanproject.net/ https://www.dirtyblanket.net/ https://chrishollywoodenglish.com/ https://www.sundaydaydream.com/ https://www.alexhargreaves.net/ https://www.billystrings.com/ https://peter-rowan.com/

Guide Dogs for the Blind operates two campuses — one in San Rafael, California, and one in Boring, Oregon. The nonprofit raises and trains dogs to work with people experiencing vision loss, and provides a variety of programs for the humans who will one day partner with them. Plans are underway to expand GDB’s Boring campus through a new community hub, which would double the number of clients the organization can serve in Oregon.  Susan Armstrong is vice president of client programs for GDB. George Miers is a partner at Studio Miers | Chou | Poon, which designed the new facility. They both join us to talk more about the expansion and what it takes to design a facility with senses other than vision in mind.

Stocks See-Saw on Tariffs and Nvidia, YouTube Star MrBeast Is Raising Money at a 5 Billion dollar Valuation, More on Pints and Portfolios Saturday March 29th at 12pm in San Rafael

This is Episode 15 of Season 2 of The RUN TMC Podcast. In this special preview episode, Dave, Duffy and their team of correspondents preview the North Coast Section basketball playoffs and discuss the merits and challenges of the new "competitive equity" based seeding system.  Player Control Clarification: On the Boys Side, Castro Valley is a #15 seed Show Notes: Musical intro credit to Stroke 9//Logo credit to Katie Levine Content and opinions are those of Dave, Duffy and their guests and not of affiliated organizations or sponsors. email us at: theruntmcpodcast@gmail.com check out our website at: theruntmcpodcast.com Thank you to our sponsors: West End Nursery and Batiste Rhum and San Domenico Nike Summer Basketball Camps and The Hub in San Anselmo AI Summery Welcome to the latest episode of the Run TMC Podcast, where host Duffy Ballard dives into the excitement of basketball in Marin County, supported by local businesses such as West End Nursery and Batiste Rum. This episode focuses on the North Coast Section (NCS) playoffs, offering listeners a comprehensive preview of the Marin teams as they embark on this intense journey. Join Duffy and special guest Dave as they analyze the girls' and boys' brackets, featuring insights from coaches and correspondents. Discover how local favorites like San Rafael, Marin Catholic, and San Domenico are poised to compete, and hear about the anticipated matchups that promise to deliver thrilling basketball action. The episode also takes a closer look at the challenges posed by the new NCS competitive equity format, the impact of algorithms on team seedings, and the debate between public and private school dynamics. Tune in for a thoughtful critique and gain valuable perspectives as Marin's basketball scene gears up for postseason excitement.

Lo que parecía ser un incómodo momento entre madre e hija terminó convirtiéndose en una tragedia imposible de olvidar. El 8 de enero de 2024, la policía de San Rafael, California, recibió varias llamadas reportando una violenta discusión en un complejo de departamentos. Cuando llegaron, encontraron a Tonantzin Oris Beltrán cubierta de “rojo” y sosteniendo un cuchillo junto al cuerpo sin vida de su madre, Olivia Beltrán. Este caso ha conmocionado a la comunidad no solo por la brutalidad de los hechos, sino porque pudo haberse evitado. Todo comenzó la madrugada del 7 de enero, cuando Tonantzin fue arrestada tras una persecución vehicular. La policía contactó a su madre para que la ayudara a salir bajo fianza, sin imaginar que estaba firmando su propia sentencia. Horas después, una tensa interacción entre ambas quedó grabada en un video que ahora es una pieza clave en la investigación. ¿Qué llevó a Tonantzin a cometer un crimen tan atroz? ¿Hubo señales de advertencia que fueron ignoradas? En este video analizamos los detalles de este perturbador caso que dejó en shock a todos.   Distribuido por Genuina Media

¡Milagro de “San Rafael”! Gracias al alcalde de Lima, miles pudieron entrar a la Plaza de Armas y gritar “fuera, Dina” frente a Palacio de Gobierno. ¿Antauro ya no podrá postular? Su partido fue declarado “ilegal. Transportistas anuncian paro nacional.

This week Amber covers the unsolved murder of Ashley Yamauchi. In 2008, Ashley was found murdered in the back parking lot of a busy bar. Then, Naomi covers an incredible protest event that left an indelible mark on the Native American activist movement.For this episode, Amber was drinking Zonin Prosecco. Amber's Sources:On The Case With Paula Zahn S24 E4 “Dark Clouds Lead To A Storm”Family of woman slain in San Rafael 13 years ago fights for justice | KTVU FOX 2Ashley Yamauchi Case Remains Unsolved 13 Years Later - Rafu ShimpoR.I.P. Ashley Yamauchi | FacebookNaomi's Sources:https://www.history.com/native-american-activists-occupy-alcatraz-islandhttps://en.wikipedia.org/wiki/Occupation_of_Alcatrazhttps://en.wikipedia.org/wiki/Alcatraz_Federal_Penitentiaryhttps://en.wikipedia.org/wiki/Treaty_of_Fort_Laramie_(1868)https://www.zinnedproject.org/news/tdih/alcatraz-occupation/https://en.wikipedia.org/wiki/Alcatraz_Islandhttps://www.bia.gov/regional-offices/great-plains/self-determinationSupport the showGo check out our patreon page athttps://www.patreon.com/crimewineandchaosFor more information about Crime, Wine & Chaos, or to simply reach out and say "hi,"https://www.crimewineandchaos.comCrime, Wine & Chaos is produced by 8th Direction Records. Music by Jeremy Williams. Artwork by Joshua M. DavisAmber is the vocalist in the band, Tin Foil Top Hat. You can find more of her work on all of the music streaming platforms or athttps://www.tinfoiltophat.comNaomi has a twenty year career in tech, and a lifetime interest in all things macabre. She walked away from #startuplife to strike a new path rooted in service. You can find out more about the work she's focused on, support those initiatives, and keep up on her socials here: https://linktr.ee/missgnomers

Interview with Paul Barrett, CEO of Rome ResourcesOur previous interview: https://www.cruxinvestor.com/posts/rome-resources-lsermr-42m-investment-accelerates-exploration-at-promising-drc-tin-projects-6463Recording date: 21st January 2025Rome Resources has announced promising results from its tin-copper project in the Democratic Republic of Congo (DRC), with the first two drill holes intersecting significant 30-40 meter wide zones of tin mineralization at the Mont Agoma prospect. The company is applying the geological model of the San Rafael tin mine, where mineralization typically transitions from copper-rich zones at shallow depths to tin-dominant mineralization at depth.CEO Paul Barrett highlighted the significance of these wide intercepts, noting that they are substantially larger than comparable operations. "These are relatively shallow holes, but the really interesting thing is that they're very wide tin intercepts. At this depth we're still in the tin-copper transition with quite a lot of zinc... The key focus obviously is the tin," Barrett stated.The company is currently operating three drilling rigs at Mont Agoma and is nearing completion of its drill program at the nearby Kalayi prospect. A maiden resource estimate is expected in Q1 or early Q2 2025. Barrett indicated that after completing the current phase of drilling, the company will still have substantial funds available for future exploration.Following a recent financing, Rome Resources is well-funded and has shifted its focus from seeking additional investment to pursuing strategic partnerships with larger companies. The company recently held discussions with potential investors in London and plans similar meetings in Cape Town next month, emphasizing its preference for partnership opportunities over further equity dilution.The tin market outlook remains favorable, with prices stabilizing around $30,000 per tonne. Barrett expressed optimism about the long-term fundamentals: "Longer term, the signals are still very, very good. Shareholders understand that. If we come into production, it's going to be longer term, that's positive."Tin's importance in the energy transition continues to grow, driven by its essential role in solar panels, batteries, and electronics. With limited new tin projects globally and production largely dependent on artisanal mining in countries like Indonesia and Myanmar, supply constraints could benefit companies bringing new production online.Rome Resources sees itself as potentially following in the footsteps of Alphamin, with its Mont Agoma and Kalayi prospects located near Alphamin's Mpama tin mine. The company's strategy focuses on expanding its resource base through deeper drilling while maintaining a strong financial position. With multiple catalysts expected in 2025, including resource estimates from both prospects, Rome Resources aims to establish itself as a significant player in the tin sector.View Rome Resources' company profile: https://www.cruxinvestor.com/companies/rome-resourcesSign up for Crux Investor: https://cruxinvestor.com

Laurelee and Carol talk about what is true recovery and how to get there. Carol has been working with eating disorder recovery since 1988 when she co-founded Beyond Hunger with Laurelee Roark, a non-profit that provides support groups and eating disorder prevention education. In 1998 they published their first book It's Not About Food, based on their own recovery and their work with eating disorder clients. They later published Over It: A Teens Guide to Ending the Obsession with Food and Weight, and Body Love Cards. For more information about Carol or Amrita Treatment Center please contact her below. Carol Normandi, LMFT, Lic. #29505, 30 N. San Pedro Road, Ste. 265, San Rafael, CA 94903, (415) 488-1104  ★ Support this podcast on Patreon ★

Meet again Joe Sherman. Joe grew up in a family being the youngest of seven siblings. His parents who had not gone to college wanted their children to do better than they in part by getting a college education. Joe pretty much always wanted to go into medicine, but first obtained a bachelor's degree in engineering. As he said, in case what he really wanted to do didn't pan out he had something to fall back on.   Joe, however, did go on and obtain his MD and chose Pediatrics. He has been in the field for 35 years.   This time with Joe we talk a lot about the state of the medical industry. One of Joe's main efforts is to educate the medical profession and, in fact the rest of us, about burnout among medical personnel. Joe tells us why burnout is so high and we discuss what to do about it. Joe talks about how the medical profession needs to change to keep up with the many challenges faced by doctors and staff and he offers interesting and thought-provoking ideas. Again, I hope you will find my discussion with Joe Sherman beneficial, productive and helpful to you, especially if you are a doctor.       About the Guest:   Dr. Joe Sherman helps health professionals transform their relationship with the unrelenting demands of their jobs and discover a path toward meaning, professional fulfillment, and career longevity. He believes the key to personal and professional success lies in bringing “soul to role” in your medical practice.   Dr. Sherman is a pediatrician, coach and consultant to physicians and healthcare organizations in the areas of cross-cultural medicine, leadership, and provider well-being.  He is a facilitator with the Center for Courage & Renewal and a Master Certified Physician Development Coach with the Physician Coaching Institute.   Dr. Sherman has been in pediatric practice for over 35 years concentrating on healthcare delivery to underserved and medically complex children in the District of Columbia, Tacoma, Seattle, Uganda, and Bolivia.  He has held numerous faculty positions and is currently Clinical Associate Professor of Pediatrics at the University of Washington.   Ways to connect with Dr.Joe:   My website is: https://joeshermanmd.com/   LinkedIn: www.linkedin.com/in/joeshermanmd   Direct email connection: joe@joeshermanmd.com       About the Host:   Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/   https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset .   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.       Transcription Notes:   Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us.   Michael Hingson ** 01:21 Well, hi all. This is your host, Mike hingson, and welcome to another episode of unstoppable mindset. And today we are meeting once again with Dr Joe Sherman. And if you remember our last show, Dr Sherman is a board certified pediatrician and master certified physician development coach, and I won't give any more away, because it's more fun to talk to him about all of that. But we had such an interesting discussion, it just seemed like what we ought to do is to have a continued discussion, because we didn't get to cover everything that he provided to us last time, and and I know we've probably got lots more that we can add to the discussion. So, Joe, welcome to unstoppable mindset. We're glad you're here   Dr. Joe Sherman ** 02:10 again. Thanks so much for having me. Michael, it's good to be back.   Michael Hingson ** 02:13 Well, glad you're here and all that. Do you want to start by kind of, maybe refreshing people about you a little bit life and all that, any anything that you want to give us just to start the process? Sure,   Dr. Joe Sherman ** 02:25 I currently live in Seattle, Washington with my wife. We have a few grown children that are in their early 20s, and I am a pediatrician, and now am a physician professional development coach, and I facilitate retreats for health professionals, medical teams, and most of my focus is on trying to bring who we are to what we do kind of being more authentically who we are in our workplace, trying to come to our work with a more balanced mindset, and trying to work A little bit more collegially as medical teams in today's ever changing health care environment. So now, I have practiced for about 35 years in pediatrics, and am now devoting all of my time to coaching and facilitation. You   Michael Hingson ** 03:37 know, gosh, there's so many, so many things that would be interesting to discuss, and I do want to stay away from the whole idea of politics, but at the same time, what do you think about the whole way the medical profession, you know, of course, one of the things that comes to mind is just everything that happened during COVID. But what do you think about the way the medical profession and some of the things that the profession is trying to do is being treated by politicians, and a lot of times it seems like people don't take it seriously, or it just doesn't fit into their agenda. Does that make sense?   Dr. Joe Sherman ** 04:15 You mean, as far as so as a pandemic was concerned? Well, the   Michael Hingson ** 04:20 pandemic, or, you know, there were some discussions about end of life or life discussions, and some people poo pooed, having that kind of thing and saying that isn't something that doctors should be doing. Oh,   Dr. Joe Sherman ** 04:33 I think, right now, I think that politics and healthcare are intricately entwined. Especially after the pandemic, and I think right now, the idea of the politics getting in the way of a kind of. The doctor patient relationship is, is challenging. It's challenging for healthcare workers. I think where we desperately need political courage is in trying to develop a healthcare system that works for everybody in the country. So I think that that's where the focus should be.   Michael Hingson ** 05:21 What do you think about? And I've had a number of people tell me, single pay healthcare system wouldn't be a good thing. It's too socialistic, and we'll leave that out of it just wouldn't be a good thing. It seems to me that it has been very successful in a number of places, but the kinds of arguments that people give are well, but by having competition, we have been a lot better at producing new and innovative technologies that wouldn't be produced or wouldn't be provided if we had just a single pay kind of system. I don't know whether that makes sense or I'm expressing it the best way, but it just seems like there's an interesting debate there. I   Dr. Joe Sherman ** 06:03 think there is debate because I do think there is some truth in the statement that our health care system has enabled development of technology and research in ways, perhaps that other countries have not. On the other hand, our health outcomes and our health access for people who live in this country is not very good, especially given the degree of wealth that our country has. So I used to joke, although it's not that funny, but one clinic where I worked that was a low income clinic, I used to joke that if one of our patients were to come out of their apartment To cross the street to come to the clinic. They may be turned away at the door because they don't have any insurance, or they don't have the proper insurance, or they can't pay but if they happen to be get run over by a car in the street on their way across the street, there would be no questions asked. The ambulance come pick them up. They'd be taken to the emergency room, given the best treatment to try to save their lives, admitted to the ICU and incur a huge medical bill with the greatest of technology, but they would not have been able to have gotten that primary care appointment to be in with. Yeah. So we are very kind of high tech, high intensity, high specialized in our approach to health care, whereas other countries focus much more on primary care.   Michael Hingson ** 07:54 I know in 2014 in January, my wife became ill. Started out as bronchitis, and it kept getting worse, and she didn't want to go to the hospital, but, and she was always in a wheelchair, so she she found that they didn't really know how to deal with can Well, she was congenital or always paralyzed from basically t3 from the breast down, and she so she didn't like to go, but finally, we compelled her to go to the hospital. And was on a Saturday, and the next day, the bronchitis morphed into double pneumonia and ARDS, and her lungs ended up being 90% occluded, so she had to even to get air into her lungs, they had to use a ventilator, and she had a peeps level of 39 just to get air into her lungs. Yeah, you know what that that means. And it was, it was pretty amazing. People came from all over the hospital just to watch the gages, but she had literally, just about turned 65 and we were very blessed that we didn't get any bill because Medicare, I Guess, absorbed the entire thing, and we we, we didn't know whether, whether we would get anything or not, and we didn't. And she did recover from that, although she felt that she had coded a couple times, and then her brain wasn't quite as good as it had been, but, but she did well, and so we got incredible care from Kaiser Terra Linda up in the San Rafael area, and it all went well. Of course, I we had gotten the pneumonia shots, and I complained to our physician to talk about joking. I complained to our primary care physician. I. Well, you say that these shots are supposed to keep it from happening, but we both had the shots and and, and she got double pneumonia anyway. Of course, the unfortunate thing was that that the doctor had an answer. She said, Yeah, but it would have been worse if he hadn't gotten the shot. Darn. She shot me down, but it was fun to joke.   Dr. Joe Sherman ** 10:18 Well, I'm sorry that that happened to you that that's, that's a unfortunate situation, it   Michael Hingson ** 10:26 was, but you know, things, things do happen and and we did get over it. And out of that, we ended up moving down to Southern California to be closer to to family. So it worked out okay. But we we love the and really support the medical system in any way that we can. We see both of us did, and I still, you know, and wherever she is, she must see the value of of what's done. And it just is so frustrating anytime people say doctors are crazy people. They don't, they don't really look out for people's interest, and just so many different things. It, it's unfortunate, because, you know, I can tell you from personal experiences. I just said what we saw,   Dr. Joe Sherman ** 11:16 yeah, I think that what is happening in our healthcare system now is this epidemic of burnout amongst professionals, especially amongst physicians and nurses, but and a lot of that has to do with the amount of administrative tasks and the amount of pressure that's put on physicians and other health care providers in trying to see as many patients as they can in the shortest amount of time as possible, and this is because of our system of fee for service reimbursement for medical care, the way that that health systems stay afloat is by trying to see as many patients as possible, and this unfortunately, combined with the amount of administrative work that needs to be done for each of those visits, plus the amount of communication that comes in from patients, as well as referral sources and requests for prescription refills, all of that comes in constantly through the computer of any physician that's trying to work as an outpatient or inpatient doctor, and it just becomes overwhelming,   Michael Hingson ** 12:43 yeah, how do we fix that? That's a good loaded, general question, isn't   Dr. Joe Sherman ** 12:50 it? It is it is a good question. And I I think it's a multi pronged approach. I do think that one thing that has happened is that the technology of healthcare and the business of healthcare has changed dramatically during the time that I've been a physician, a pediatrician, and the culture of healthcare, kind of, the way we do things, really hasn't changed. So that means that the business and the technology has placed more demands on us, and at the same time, we're kind of doing things pretty much the same way we've always done them, because of these extra demands that are placed on physicians and other health professionals, what's needed are experts that are in those areas of billing, administrative, administration, technology, it all of those things that now all feed into seeing patients in the office or in the hospital. So you need all of those professionals working together side by side along with the physician, allow the physician to do the work that she's been taught to do, which is actually deal with the patient and take care of the patient, and then let other people do the data entry, do the billing, take care of all of the messages and other things that are coming in around that that that provider. Do   Michael Hingson ** 14:23 you think that the same level of burnout exists in other countries that exists here?   Dr. Joe Sherman ** 14:29 You know it does. I do think that burnout exists everywhere in healthcare. I do think that it is less in low income countries, which seems kind of strange, but I've worked for many years in my life in low income countries in Africa as well as South America. And it's a different culture. It's a different culture. Culture of health care there is, there are different expectations of doctors, I think, in other countries, especially countries that are used to seeing a lot of disease and mortality, the pressure on saving lives and the pressure on having to be perfect and always get it right and knowing everything to do it each time that a patient comes in is not quite as intense as it is here. So I do think that it is different in other places. However, I will say that I have spoken to physicians in definitely in the more developed, higher income world, parts of the world that this epidemic of burnout is pretty universal   Michael Hingson ** 15:57 now, It seems to me that I've been seeing in recent years more what they're called physician assistants. Is that a growing population, or is it always been there, and I just haven't noticed it? And does that help?   Dr. Joe Sherman ** 16:14 I do think that in our country, here in the US, the future, will see many more physicians assistants and nurse practitioners, what we call Advanced Practice clinicians, or advanced practice practitioners, providers. We're going to see many more of them doing primary care, and a model that I think would would probably work very well is a team based model where the MD, who is kind of trained at a much higher level for many more years, leads a team of other providers made up of physicians assistants and nurse practitioners to do primary care, to take care of a group of patients, and perhaps that MD is there to consult, to be back up and to care for the more complex patients, while the nurse practitioners and PAs Are are getting the primary care, delivering the primary care.   Michael Hingson ** 17:23 Well, I know that the PAs that I have dealt with through the years, it seems to me, have, especially in the last 10 years, but have been very, very competent, very qualified. And I I don't, I don't know that, where I would say that they're less rushed, but I've had the opportunity to have some good conversations with them sometimes when, when the doctor just doesn't have the time. So it that's one of the reasons that prompted the question. It just seems to me that the more of that that we can do, and as you said, the more that that takes off. Perhaps some of the load from the physician itself may, over time, help the burnout issue.   Dr. Joe Sherman ** 18:10 I do think so. But I also feel like there's tremendous pressure right now on those pas and nurse practitioners, because they're under a lot of pressure too, too, and there aren't enough of them. Reduce and yes, so actually, right now, there's a movement within the the federal government to expand the number of positions in training programs for nurse practitioners and PAs. We have far too few, especially Physician Assistant schools. We don't have nearly as many as we need in this country. And if you look at the numbers, I think it's more competitive to get into PA school than it is to medical school,   18:54 really. Yeah,   Dr. Joe Sherman ** 18:58 I, you know, I that's been my experience of what I've seen from people just, you know, the number of applicants toward compared to the number of accepted, hey,   Michael Hingson ** 19:09 they wouldn't let you into a PA school, huh?   19:11 Exactly? Yeah.   Michael Hingson ** 19:15 No, I know. Well, it's, it is interesting. I know we read a few years ago that University of California Riverside actually started a program specifically, I'm trying to remember whether it was for training doctors. It was something that was supposed to be an accelerated program. Oh, some of the hospitals sponsored it. And the agreement would be, if you went to the school, you'd get the education, you wouldn't pay and at the end, and you would go to work for those hospitals like, I think Kaiser was one of the major sponsors of it. And again, it was all about trying to bring more people into the profession. Which certainly is admirable by any standard.   Dr. Joe Sherman ** 20:04 Yes, I think there are. Now, there are a few medical schools, and they're expanding the numbers that have free tuition, and they some of those schools, such as NYU Medical School has a generous donor who is given a tremendous amount of money as a donation and as an endowment. It pays for all the education of the students that go there. And there are some other schools that have the same arrangement. I think, I think if I were to be boss of the country, I would make all medical education free in in return, people would have to work in an underserved area for a certain number of years, maybe a few years, and then after that, they would be free to practice debt free, in any specialty and anywhere they would like.   Michael Hingson ** 21:10 Well, we need to do something to deal with the issue, because more and more people are going to urgent cares and other places with with different issues. I have someone who helps me a little bit. She's our housekeeper, and she also comes over once a week for dinner, and she has some sort of allergy. She just her face and her neck swelled up yesterday and had all sorts of red spots and everything. It's the second time she took not Benadryl, but something else that made it go away the first time, but it was back, and several of us insisted that she go to urgent care, and she went, and while she was there, she heard somebody say that they had been waiting four hours. So she left, you know, and which doesn't help at all. So I don't know actually whether she went back, because I talked with her later and said, Go back. So I don't know whether she did, but the waiting time is oftentimes very long, which is unfortunate. And I don't know whether more people are getting sick, or they think they're getting sick, or they're just taking ailments that are less too urgent care, but there are definitely long waiting times.   Dr. Joe Sherman ** 22:25 Yes, people, the people do not have a medical home. Many, many people don't have a medical home, a true medical home, that early in my practice pediatrician, as a general pediatrician, if there was a child that was in our practice and at night time or over a weekend, somebody would be on call. If that parent was concerned about a child in any way, they call the emergency line for the practice, the on call line, and that operator would page whoever the doctor was on call, and I would, as the doctor covering call that parent and talk directly at home, give advice over the phone, say what to do, make a decision of whether that child needed to go to the emergency room or not, or in the vast majority of cases, could give advice over the phone about what to do and then follow up when the office was open the next day or on the next week. Yeah, but nowadays, people aren't connected to offices like that. Yeah. We have call centers nurse advice lines of people that don't have access to medical records or have very strict protocols about what type of advice to give and the bottom line and the safest thing is go to the emergency room or go to urgent care. So that's unfortunately why some of the highest burnout rates are in emergency room doctors, and some of the biggest problems with understaffing are in emergency rooms right now. And   Michael Hingson ** 24:16 I can understand that, and makes perfect sense to hear that, and it's unfortunate but true. So yeah, but yeah, you're right. So many people don't really have a home. We've been blessed Karen, my now late wife, of course, was always a patient of Kaiser, and was a strong advocate for the way they did most of all of what they did. And so I eventually, when we got married and we were in a Kaiser area, then I did the same thing. And mostly I think it worked out well. I think. Kaiser is a little bit more conservative than some when it comes to perhaps some of the the newer procedures or newer sorts of things like they, you know, we see ads on TV now for the Inspire way of dealing with sleep apnea, as opposed to CPAP machines. And I don't know whether Kaiser has finally embraced that, but they didn't for the longest time. At least our doctor said that it wasn't really great to have to undergo surgery to deal with it, and the CPAP machines work fine, but I think overall it to to use your your words, definitely, if you're in that kind of an environment, it is a little bit more of a home, and you have definite places to go, which I think is valuable. And I think that more people really ought to try to figure out a way to find a home if they can.   Dr. Joe Sherman ** 26:00 Yeah, I do think that it is in the amount just society has advanced so so rapidly and so much in in how communication is instantaneous these days, through texting and through internet and through instant messaging, all these different ways that everything is sped up so people are looking for answers right away. Yeah, and it's, it's that's often puts too much pressure on the people that are trying to manage all of the patients that and all of their inquiries that they have. So I think, I think we need to make some serious changes in the way that we, that we staff hospitals, the way we staff clinics, and look and see what are the specific duties that need to be done, the specific activities and responsibilities in attending to a patient and specifically target personnel that are skilled in that activity, instead of having a physician who you know, is not the greatest typist, or is not the greatest at trying to figure out a code of billing for insurance or how to look at 100 messages that came in while she was attending to, you know, 25 patients in A clinic. It's just too much. It's overwhelming. And I mean, I now facilitate a group. It's a support group for physicians through physicians anonymous, where physicians are suffering from anxiety, depression, addiction. Suicide, ideation, and it's it's really at at scary levels right now, and I do think that the healthcare systems are starting to be aware of it. Think patients need to be aware of it, and the reason why, when you call, you're on hold forever or you never do get to speak to a real person, where it takes months to get in to see a doctor, it's because nobody's home. Yeah, everybody is many, many people have, have quit.   Michael Hingson ** 28:39 Yeah, there's such a shortage. I know at least we see ads oftentimes for nurses and encouraging people to go into the field, because there's such a shortage of nurses, just like there's a shortage of teachers. But we don't do as much with the conversation of, there's an incredible shortage of physicians. I think it's probably done in some ways, but not as publicly as like nurses and some other types of physicians.   Dr. Joe Sherman ** 29:13 Yes, I think right now, the I always feel like, I mean, this has been always true that on hospital floors, because the profit margin for hospitals is very narrow, there are only certain services that hospitals truly make profit on. So usually the staffing levels are kept to the very bare minimum, and now that just puts too much pressure on those that are remaining. And so now we're seeing many more hospitals have nurses that go out on strike or or decide to slow down, or. Or do other measures to try to get the attention of how dangerous it is to have understaffing in the hospital.   Michael Hingson ** 30:08 Have we learned anything, because of all the stuff that happened with COVID Now that we're in this somewhat post COVID world, have we have we learned a lot or any or anything, or is anything changing, and is there really ever going to be a true post COVID world? For that matter? That's a fair question.   Dr. Joe Sherman ** 30:29 That is a fair question. And I do think recent changes in policy by the CDC of of treating COVID As if it were influenza, or RSV or other type of respiratory viruses is there are many physicians that disagree with that policy, because COVID, this COVID, 19 that We've been dealing with, causes many more complications for those that have complex medical conditions, and this long COVID situation is something that we really don't have a grasp on at this point, but I believe one innovation I would see or expansion that has come about is the whole telehealth movement, now that there are many, many more video visits, I do think that's a good thing. I also believe that it can provide more flexibility for healthcare providers, which will help to decrease burnout, if providers are able to perhaps do their telehealth visits from home, or be able to spend time doing telehealth visits as opposed to having to see patients in person. I think what happens now is we need to get better organized as far as which types of visits are should be telehealth, and which types should be seen in person, so that one provider is not going back and forth from, you know, computer screen to seeing somebody in person, back and and so that gets too disorganized. Yeah, I think at times, other things, I think we learned a lot about infectious disease. I think that the general public learned a lot more about infections and infection control. I think that's all good. I think one thing that we did not learn, unfortunately, is how desperately we desperately we need to do something to try to stem the tide of burnout, because it just accelerated during COVID and then has continued to accelerate because of the economic crunch that healthcare systems find themselves in now.   Michael Hingson ** 33:10 Well, and what is, to me, a little bit scary, is all it takes is one COVID mutation that we don't expect or encounter, and we're almost in back where we were, at least for a while. And I hope the day will come when, rather than using the the mRNA type vaccine that we use now that we truly will have a vaccine like an influenza vaccine, that can really kill the virus and that we can then take, even if it's yearly, but that will truly build up the immune system in the same sort of way. Although I have no problem with the current vaccine, in fact, I'm going in for my next vaccine vaccination a week from tomorrow. And what cracks me up is I've been there a number of times, and some people talk about the conspiracies of all they're doing is injecting you with all these little things that are going to track you wherever you go. And I'm sitting there going, Fine, let them. Then if there's a problem, they're going to know about it, and they'll come and get me, you know, but what I really love to do is a nurse will come over, she'll give me the the vaccination, and she pulls the needle away, and then I reach over with my one hand and slap my hand right over where she did the shot. And I said, Wait a minute. One just got out. I had to get it, you know. And, and she says, you know, there aren't really any trackers. I said, No, I'm just messing with you, but, but you know, it will be nice when that kind of a vaccination comes, and I'm sure. Or someday it will.   Dr. Joe Sherman ** 35:02 Well, I think the vaccines it this specific, these types of respiratory viruses do mutate quite a bit. There's all kinds of variants, and they change every year. So I think no matter what kind of vaccine we get, we're still with with infections such as influenza or COVID, we're still going to end up needing to get annual vaccines, most likely, yeah,   Michael Hingson ** 35:34 and that is the issue, that even with influenza, we do get lots of variants, and I know a couple of years, as I understand it, they kind of predict what strains to immunize for based on like, when Australia gets in our middle of the year and things like that. But sometimes it doesn't work. That is they they guessed wrong when it gets to us, or it's mutated again, and it's unfortunate, but it is, it is what we have to deal with. So for me, as far as I'm concerned, anything that we can do is going to help. And I really have found the current vaccines that we do get for COVID, at least, whether it will totally keep you from getting it or not, which I gather it won't necessarily, at least it will mitigate to a large degree what could happen if you didn't take the vaccination.   Dr. Joe Sherman ** 36:34 Yes, yes, that's correct. We We are. We're seeing much less deaths as a result of COVID infection. However, in the peak of the winter time in the clients that I was that I've been coaching, who work in in hospitals and in ICUs, they were seeing still a large number of patients that were there. It's just that we've now developed better treatment and management for it and so, so then less people are dying of it. But it is, you know, we have, again, the amount of research, medical research and development that has developed these vaccines has prevented so much infection that what doctors are called on to do now and what they're called on to treat and manage has shifted much more into areas of behavioral health and lifestyle change than it is treating infections. That's dramatically different experience through my pediatric training than what type of training that a pediatrician these days gets   Michael Hingson ** 38:01 and there again, that means that the physicians have to spend the time learning a lot of that that they didn't learn before, which also takes a toll, because they can't be in front of patients while they're learning or while They're studying.   Dr. Joe Sherman ** 38:18 Yes, yeah, it's what the medical students and residents now are being called on to manage in the hospital are very, very complex, specialized conditions and very serious conditions. My experience as a resident was much more. The vast majority of people I took care of as a pediatric resident were normal, healthy children who happen to get sick, mostly with infection and sometimes very seriously sick, come in the hospital, receive treatment, and walk out as a child, a normal, healthy child again, we don't see that as often as pediatric residents, just speaking from pediatricians point of view, and I think that that has a an emotional toll on the resident physicians. I got a tremendous amount of reward from caring for patients with serious infections that received antibiotics and got completely better than patients who already have complex chronic conditions that just get worse or a complication, and they come In and the resident helps to manage them a little bit, and then sends them on their way. But really doesn't feel like they cured them contributed in the same way and that that was they don't have that same type of reward, that rewarding feeling, I think, are   Michael Hingson ** 39:59 we seeing? More of that kind of patient, significantly more than we used to in the hospital. Absolutely. Why is that? Is there really are more or   Dr. Joe Sherman ** 40:11 or what? Well, there aren't. We've taken care of most of the serious bacterial infections that used to be treated in the hospital with antibiotics, we've taken care of them with vaccines, and then we've also advanced the the quality and and variety of conditions that we can treat as an outpatient now, so that people that used to come into the hospital all the time for conditions, simple, basic things, are now treated as outpatients. And that's a good because you don't want to be in the hospital any longer than you absolutely have to. No,   Michael Hingson ** 40:58 I had, well, my father, I don't remember how old I was. It must have been in the we 1960 sometime he had to have a his gallbladder out. So it was a pretty significant operation at the time, because they he was in the hospital a couple days, and came home with a nice scar and all that. And then my brother later had the same thing. And then in 2015 suddenly I had this, really on a Thursday night, horrible stomachache. And I figured there is something going on. I hadn't had my appendix out, but this wasn't right where my appendix was, but we went to the local hospital. We called Kaiser, and they there isn't a hospital, a Kaiser hospital up here, so they sent us to another place, and they took x rays, and then we ended up going down. They they took me by ambulance on down to Kaiser, and it was a gallbladder issue. So I guess all the men in my family had it. But what happened was that when they did the surgery, and by the time we got down to Kaiser, the there was a gallstone and it passed. So I didn't want to do the surgery immediately, only because I had the following Sunday an engagement. So we did it, like a week later, the doctor thought I was crazy, waiting. And then later he said, Well, you were right. But anyway, when I had the operation, there were three little band aids, and it was almost, I guess you call it outpatient, because I went home two hours later. Wow, I was I was blessed. So they it was almost like, and I've had colonoscopies before. I didn't spend any more time doing the gallbladder operation than I did, really, with all that I spent in the hospital doing a colonoscopy, it was pretty good,   Dr. Joe Sherman ** 42:58 right? I do think that there's been again, major advances in endoscopic surgeries and robotic surgeries and minimally invasive procedures to be able to to treat patients. I mean, again, I have to say that our ability now to treat stroke and and heart attacks, myocardial infarction, our abilities to our ability to treat those acutely, do something to try to improve the outcome, has improved dramatically just recently, I would say, especially stroke management. So what we have is amazing, dramatic changes in in reducing the morbidity and mortality from stroke now, and I think that it's remarkable. Even as a physician, I didn't even realize until a recent trip I took to Bolivia with a group of neurosurgeons how stroke is treated now, and it's, it's, it's phenomenal that before you have a stroke, and it's just kind of like, well, you hope for the best. You support hope that some blood flow returns to that part of the brain. Now, if you have a stroke, and people are taught to recognize it and immediately get to the hospital, they can give a medication to melt the clot, or actually go in there with the catheter and extract the clot out of the vessel and restore you back to full function and   Michael Hingson ** 44:56 remarkable, and have a glass of red wine while you're at it. Yeah. Uh, or, or, do we still say that TPA helps some of those things a little bit? You   Dr. Joe Sherman ** 45:07 know, it's interesting. It's, you know, as far as as I think I've never seen so many articles written about the consumption of alcohol coffee, going back and forth and back and forth. You know what's helpful? What's not? Everything in moderation, I would say this point,   Michael Hingson ** 45:28 yeah, I I would not be a good poster child for the alcohol industry. I have tea every morning for well, with breakfast. And the reason I do is that I decided that that would be my hot drink of choice. I've never been a coffee drinker. The caffeine doesn't do anything for me, so it's more the tea and then a little milk in it. It is a hot drink. Ever since being in the World Trade Center, I do tend to clear my throat and cough more, so the tea helps that, and that's the reason that I drink tea. But I remember seeing old commercials about red wine. Can can help you. So if I have a choice in wine, I'll oftentimes get red just because I've heard that those commercials, and I don't know how how true it is anymore, but hey, it's as good a reason as any to have a glass of wine every other week. And that's about what it usually is.   Dr. Joe Sherman ** 46:26 Yeah, sounds like. Sounds like a good, a good plan. Yeah,   Michael Hingson ** 46:31 works. Well, it's, it's now kept me around for a while, and we'll keep doing it. It works. So what is it that healthcare workers and physicians do to kind of restore their love for what they do and work toward burnout? What can individuals do?   Dr. Joe Sherman ** 46:54 I think we're at a point now where in in approaching the issue of burnout and approaching the issue of overwhelm with the amount of work that physicians are called on to do these days is a combination of personal Changes to mindset and approach to our work, as well as structural and organizational changes to facilitate our work. And I think that the organizational structural changes, again, have to do with trying to improve specific staffing to match the activities and responsibilities that are that are called on in the medical setting, and being able to do more in the in the formation of medical teams and in teamwork And in people having a common mission, working together, appreciating what each other does, and hospital administrations and and those folks that run the business of the hospital truly value and enlist The engagement of frontline workers in policy and procedures. So those are kind of structural changes right on the personal side, yeah, I was that's I just a lot of it has to do with being more realistic. And I'm speaking to myself too. We can't do everything for everyone all the time we are human. We often have been taught that we are super human, but we're not. And if, if we try to do too much and try to do it perfectly, then our bodies will rebel and we'll get sick. So I think we need to set boundaries for ourselves. We need to be able to say, these are the hours that I'm working. I can't work any more than that. We need to say that you can't reach me three different ways, 24 hours a day, all the time, and have me respond to all of those inquiries, we have to set limits, and we have to really look at what it is that we love about medicine, what it is we love to do within medicine, and really try the best we can, I Think, with the help of coaches and other types of mentors and folks that can help us to create the types of jobs and the types of positions that help us maximize that experience of fulfillment, that experience of of. Feeling like we truly are contributing to the health and well being of our patients. Do   Michael Hingson ** 50:07 you think overall that the kind of work you do, and then others are doing to address the issue of burnout is is really helping? Are we are we making more progress, or are we still losing more than we gain.   Dr. Joe Sherman ** 50:23 I think we're making progress on an individual basis, on people that do seek help. But we need also to change the mindset of ourselves as physicians, to be willing to seek help. We need to seek help and be admit that we need that type of support, but until we get organizational commitment to trying to change the structures and the systems that we work under, then we will continue to have more physicians lost to burnout, depression and suicide.   Michael Hingson ** 51:05 Are healthcare institutions recognizing more the whole issue of burnout, and are they? Are they really starting to do more about it?   Dr. Joe Sherman ** 51:17 Some, I think some are. I think organizations are recognizing it. Associations of physicians are recognizing it. But when it comes to surviving as a health organization, healthcare institution, the bottom line is, what runs a show, and the way you make income is through billing, and the billing occurs as a result of a health care provider providing and billing for what they Do. So if there's an economic crunch, the first thing to go is anything that doesn't generate income and supports for the well being of staff does not generate direct income. What it does, though, is that it retains staff. It it results in a happier staff, a more higher professional satisfaction, and in the long run, is going to save you money,   Michael Hingson ** 52:33 yeah, which, which is another way of making some more money.   Dr. Joe Sherman ** 52:39 Yeah. I mean the total cost, the average cost for replacing a physician who has decided to quit is anywhere from about 600,000 to $2 million depending on the specialty of the physician. Yeah,   Michael Hingson ** 52:57 and then getting people to necessarily see that is, of course, a challenge, but it still is what what needs to happen, because it would seem to me that those costs are just so high, and that has to account for something that is still a fair chunk of money. Yeah, it   Dr. Joe Sherman ** 53:16 is. It's a great deal of money. And, you know, our again, our system of health care, we were headed in the right direction. And I think eventually we have to get there to population based health in looking at health outcomes and trying to look at overall health of of our our citizens and and those who live here in our country in trying to, instead of having a fee for service model, have a model that looks at reimbursement for health care based on the total health of The patient, and that is contributed to by nurses, doctors, technicians, receptionists, community health workers, all those types of health professionals.   Michael Hingson ** 54:12 What can we do to get the wider society to become more aware of all of these issues and maybe to advocate for change.   Dr. Joe Sherman ** 54:25 I think, I think avenues like this, these   Michael Hingson ** 54:29 podcasts, this podcast is one.   Dr. Joe Sherman ** 54:32 I also believe that look at your real life, lived experience of trying to access healthcare today compared to how it was 20 years ago, and are you having more trouble? Are you having is it more expensive? Are you having more challenges? This is direct result of a. System that's not functioning well.   Michael Hingson ** 55:02 Did the whole process of what we now call Obamacare, did that help in the medical process in any way? I   Dr. Joe Sherman ** 55:11 think what happened with Obamacare was well, and the bottom line answer is yes, it has helped. And the way it has helped is that more people have access to health insurance, less people are completely uninsured than ever before. So I think from that perspective, that's been helpful, but there were so many compromises, oh yeah, to insurance companies and two different lobbyists that were all looking out for their interests, that what ended up happening was a much more watered down version of what was initially proposed, but step in the right direction, And if we continue to work toward that, and we have some contribution of government sponsored health insurance, then we're going to be better off as a nation,   Michael Hingson ** 56:14 yeah, well, and anytime we can make a step forward, it does help, which is, of course, a good thing. So if there's one thing you want listeners to take away or watchers, because we are on YouTube, if there's one thing you want people to take away from this, what would it be?   Dr. Joe Sherman ** 56:33 It would be, pay attention to your own personal experience with healthcare. Pay attention to your own health and observe what's going on in the clinics, in the offices and in the hospitals where you receive your medical care. If somebody is treating you well with respect and compassion, point it out. Make it known. Thank them. Yeah, make it known that you know that they're under tremendous stress and pressure, and that anytime that they can be kind, then that means that they are very dedicated to to treating you, treating patients. And if you're finding that where you're going to receive your health care seems to be understaffed, and say something about it. If you have a health care provider who is a bit snappy, is not patient with you, doesn't seem to be listening to you, it's not because they don't want to. Yeah, they desperately want to. It's just that the conditions are such that they're not able to   Michael Hingson ** 57:44 and and it would probably be good to at least engage them in a little dialog and say, hey, hey, I'm not trying to yank your chain here and kind of try to help warm them up. I've been a firm believer that in a lot of places where I go, like in the in the airline world, the TSA people and so on, I love to do my best to make them laugh. So like when I go up to the kiosk and the TSA agent says, I need to see your ID, especially when I'm wearing a mask, I'll say, Well, what do you want to see it for? You can't tell who it is behind this mask, right? And I've had a couple people who didn't expect anything like that, but they usually laugh at it. Then the other one I love to use is they ask for my idea. I say, Well, what's wrong with yours? Did you lose yours? And I just love to try to make them laugh where I can, because I know it's a thankless job, and I know that what doctors and medical people deal with is a pretty thankless job, too. So it's fun to try to make them laugh whenever I can and get them to smile.   Dr. Joe Sherman ** 58:47 Yep, they all could use a little bit more humor. Yeah, there's always that. So   Michael Hingson ** 58:51 if people want to learn more about you and reach out and learn about your work and so on, how do they do that? Where do they find you, online or any of those things? Sure,   Dr. Joe Sherman ** 59:00 I have a website that you can go to. It's Joe Sherman md.com and you can reach me by email. Joe at Joe Sherman md.com also on LinkedIn, so you can find me there. Too Cool. Well,   Michael Hingson ** 59:20 once again, I want to thank you for being here. This has been a lot of fun and very enjoyable and in a lot of ways, but certainly educational, and I've learned a lot, and we got through all the questions this time that we didn't get through last time, which is always a good thing. So see, it was worth doing it twice.   Dr. Joe Sherman ** 59:39 Great. Thank you so much. Well, it was   Michael Hingson ** 59:42 fun, and of course, for you listening out there, reach out to Joe, and I want to hear from you. I want to hear what you think of today. So please email me. Michael, h i at accessibe, A, C, C, E, S, S, I, B, e.com, or go to our podcast page, www, dot. Michael hingson.com/podcast and Michael Hinkson is m, I, C, H, A, E, L, H, I N, G, s, O n.com/podcast, would really appreciate a five star review from you, wherever you are listening to us. We like those reviews if you can, if you know anyone that you think ought to be a good guest on unstoppable mindset. And Joe you as well. We'd love to hear from you or provide us introductions. Always looking for more folks to to meet and to chat with, and love the incredible diversity and subjects that we get to talk about. So that makes it a lot of fun, but I do want to just once more. Joe, thank you for being here. This has been enjoyable, and I really appreciate it. Thanks   Dr. Joe Sherman ** 1:00:40 so much, Michael, I enjoyed the conversation.   Michael Hingson ** 1:00:48 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

La psicóloga Mónica Monedo, especialista en psicología clínica de cuidados paliativos del hospital San Rafael de Madrid. Master en ansiedad, estrés, en cuidados paliativos y postgrado en atención psicosocial a pacientes con enfermedad avanzada y familiares afirma que la clave es saber, conocer y entender ¿Qué necesita cada persona que está con una enfermedad terminal? Hay que identificar ¿Cuál es el sufrimiento inevitable y cuál es el sufrimiento que podemos evitar?"Aprender a vincularte y a desvincularte, es mi filosofía de vida"

In this very special episode of Tales from the Green Room - recorded backstage at Terrapin Crossroads' Sunday Daydream Vol. 3 in San Rafael, CA on July 21, 2024, on what turned out to be the late Phil Lesh's final performance -  hosts Dennis Strazulo and Tami Larson sit down with legendary musician Stanley Jordan, Greg Loiacono (Greg Loiacano and Stingray, Mother Hips, and Jerry Saracini (Forgotten Space) all who shared the stage with Phil that day.  The conversation is steeped in rich history and bittersweet emotions as the musicians reflect on their personal journeys, the profound impact of Terrapin Crossroads and the teachings of Phil Lesh From Stanley Jordan's innovative "touch technique" to Greg Loiacono's stories of community and camaraderie with The Mother Hips, and Jerry Saracini's perspective on channeling energy through music, this episode celebrates the intersection of creativity, tradition, and transformation. The artists share deeply personal insights, explore the healing power of music, and pay homage to Phil Lesh's monumental contributions to the music world and their careers.Photo Gallery from Sunday Daydream Vol. 3 by Gabriel David BarkinTales of The Mekong Delta Bluesman by Son VoEpisode Highlights:Stanley Jordan: Shares his unique approach to guitar through his touch technique, blending influences from piano and jazz. Stanley delves into his role in Grateful Dead tributes and reveals exciting details about his upcoming album, Feather in the Wind. Deborah Barsotti, Educator and Music Therapist, joins the conversation to discuss her collaboration with Stanley supporting the mission of MusicOne empowering youth to grow and thrive and enabling mindfulness through music and performance.Greg Loiacono: Reflects on his journey with The Mother Hips, his discovery of the Grateful Dead songbook, and the serendipitous connections that led him to Terrapin Crossroads.Jerry Saracini: Discusses his passion for drumming, improvisation, and connecting with audiences. Jerry opens up about the distinct dynamics of playing Grateful Dead music and leading his band, Forgotten Space.Phil Lesh's Legacy: The trio honors Phil Lesh's vision for preserving the Grateful Dead's legacy and passing it on to new generations through family, community, and musical tradition.The Healing Power of Music: A deep dive into how music brings people together, builds communities, and creates a sense of belonging, with insights from Deborah Barsotti's work in music therapy and Stanley's reflections on cosmic energy.https://www.musicone.org/ - Deb Barsotti - Learn about this impactful organization fostering youth creativity through music educationQuotes from the Episode:"Today I made a special point of listening in particular to Phil and making sure the lines I was playing were compatible with Phil.”  - Stanley JordanI put American Beauty in my cassette player and when I heard Box of Rain for the first time “I started weeping, I started crying, and I had this very emotional experience.”" – Greg Loiacono“I feel like one of the lucky ones who lived in another city and yet somehow got wired into the rotation" of Terrapin Crossroads – "it felt like a home away from home.” - Jerry SaraciniListen Now:

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Mark Richards (1953–) is a convicted murderer serving life without parole in California State Prison, SolanoWikipedia's W.svg at Vacaville, California.[1] He prefers to be known as "Captain" Richards, although he never served in the military. After graduating from high school in 1971, he attended the College of Marin and then graduated from Dominican College in San Rafael in 1976. He has spun multiple bizarre yarns about his service in the so-called "Secret Space Program" battling alien forces, in addition to his imaginary service in the US NavyInvestigation by a journalist from the Marin Independent Journal revealed a dimension to the murder that was literally incredible. The writer, Erik Ingram, reported that behind the Baldwin murder "may be a secret organization, called Pendragon, that appeared to be planning an armed takeover of Marin." Ingram reported that police detectives had retrieved from Richards' home maps, aerial photographs of Marin County, plans for a laser-gun, instructions for the construction of machine-guns, and "notebooks containing references to a new form of government." He wrote that behind the Baldwin murder "may be a secret organization, called Pendragon, that appeared to be planning an armed takeover of Marin."In the weeks that followed, a number of witnesses came forward with stories indicating that the Pendragon group in fact existed. Crossie Hoover told investigators that one of the inducements to the murder was Richards' promise to appoint him Duke of Angel's Island. It appears that Richards fantasized about converting Marin County into a version of King Arthur's Camelot, with himself as King. He allegedly promoted plans in meetings with his workers to take over Marin County by destroying the Golden Gate and Richmond-San Rafael bridges and placing a laser gun on top of Mount Tamalpais. Carl Shapiro, a San Anselmo attorney representing Richards, asserted that the documents found by the police were research materials for a science-fiction book (Imperial Marin) that Richards was writing. The prosecution countered that regardless of Richards's writing, he used the Pendragon material to manipulate Hoover into committing the murder.Starting in November 2013, Richards became a major source for conspiracy theorist Kerry Cassidy. On that date Cassidy conducted a 1h 18m video interview[2] at the prison in Vacaville. Cassidy regards Richards as an important whistleblower exposing the "Secret Space Program." She has said that he was framed for the Baldwin murder, and that he is imprisoned by the Illuminati-Draco run planetary government.[3][note 1] At the time of writing Cassidy says she has conducted nine interviews with Richards, for an aggregate time over 14 hours. Since recording devices are not allowed in the prison, the normal format of these videos is Cassidy speaking to camera recalling what was said immediately after her meeting with the convict. Her tenth Interview with Richards was released in March, 2019.Much of the material consists of tales of personal heroism, as Richards commands exotic space battleships fighting and defeating aliens. He commanded an Orion battleship at the asteroid Vesta in August 1979. Soon after that, he led an attack against aliens to reclaim a secret base at Dulce, New Mexico. The aliens had violated a treaty and abducted humans for experimentation.[4]Richards claims that he was on active duty at the age of 13, with a high security clearance. After graduating from high school, Richards said he became an Army officer flying helicopters in Vietnam and later became a Navy Captain. He also claims to be a Rhodes Scholar with several advanced degrees and to be a member at the highest levels of the Republican National Committee. Neither Cassidy or Richards have provided documentation to support his claims.[5]Become a supporter of this podcast: https://www.spreaker.com/podcast/the-opperman-report--1198501/support.