Podcasts about Schrier

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Best podcasts about Schrier

Latest podcast episodes about Schrier

Social Anxiety Solutions - your journey to social confidence!
Why You Still Fear Rejection and How to Stop

Social Anxiety Solutions - your journey to social confidence!

Play Episode Listen Later May 23, 2025 55:12


In this episode... If rejection terrifies you, you're not alone, and you're not broken.  In this episode, Social Confidence Coach, Sebastiaan van der Schrier, and EFT expert, Rick Wilkes, reveal what's really behind your fear of rejection… and why it lingers, even after therapy or exposure. You'll discover how to gently dissolve the emotional charge behind past rejections, and why tapping (EFT) helps you feel safe being yourself, without needing approval from everyone. Get the free “7 Secrets to Social Confidence” mini course here → bit.ly/socialconfidencepodcast _________________________________________________________________ Do you feel awkward in social situations? Do you struggle to be yourself around others? And do you fear being judged, being seen anxious, and embarrassing yourself? You're not alone. I've been there. It sucks. Big time. But there's hope. I've been fortunate enough to overcome my Social Anxiety... ... and I've helped hundreds of socially anxious clients overcome their struggles too. Thankfully, there's a gentle, powerful, and effective solution to beat it. It won't happen overnight, but with certain techniques and strategies, you can reduce your Social Anxiety quickly. And with persistence, you can become completely anxiety-free. Without needing to force yourself to awkwardly face your fears. Ready to get started on your journey to Social Confidence? Here are your first steps: 1.) Follow this Podcast and always get the latest episodes! 2.) Go to https://bit.ly/socialconfidencepodcast and receive access to a short transformational video to reduce your anxiety immediately. AND you'll also get my FREE “7 Secrets to Social Confidence” Mini Course. 3.) Let's connect! • SUBSCRIBE to my YouTube channel https://www.youtube.com/@Social-anxiety-solutions • FB https://www.facebook.com/socialanxietysolutions • IG https://www.instagram.com/socialanxietysolutions • Twitter https://twitter.com/socialanxietysb All the best on your journey to effortless social ease. Warm regards, Seb  

Pro Series with Eric Dillman
EP. 189 Scaling Smarter: Practice Freedom with Jamey Schrier

Pro Series with Eric Dillman

Play Episode Listen Later May 1, 2025 39:08


In this episode of Pro Series, Eric sits down with Jamey Schrier, founder of Practice Freedom U and a true veteran of the physical therapy industry with over 20 years of experience. Jamey has spoken at top conferences like the Private Practice Section, APTA Combined Sections Meeting, and Ascend Conference, and is connected with thousands of PT practice owners nationwide.We dive into the core challenges that hold practice owners back—and how to break through them using smarter systems, not just more hustle. Jamey shares insight from his live trainings, coaching programs, and the proven strategies that have helped countless practice owners achieve more freedom and profitability.Whether you're just starting or looking to grow sustainably, this is a must-listen episode filled with practical advice and inspiration.https://practicefreedomu.com/https://practicefreedomu.com/dcwithjamey/

Untold Physio Stories
Are You Holding Yourself Back? With Jamey Schrier

Untold Physio Stories

Play Episode Listen Later Mar 5, 2025 16:28


Dr E's good friend and PT Business Coach Jamey Schrier is back on the podcast. Jamey talks about how he got into coaching and simple questions he often asks possible mentees. We often think we need more knowledge, but it's about not being sure what to do, but more about a deeper worry that needs to be addressed.You can take Jamey's Quiz here.Untold Physio Stories is sponsored by⁠Comprehend PT⁠- Leave Comprehend PT running in the background or record audio when you have time. The AI based SOAP note generator does the rest! No need for accuracy or exact wording! It's a game changer and will give you more time with your patients! Use code MMT50 to save 50% off your first month. Free trial available at sign up!⁠⁠The Eclectic Approach Network⁠⁠ - Check out Dr. E's all new private, non tracking and ad free network for rehab pros! It's free to join, has chat, feed, and all the features of other social networks without the creeping tracking.Check out ⁠⁠EDGE Mobility System⁠⁠'s Best Sellers - Something for every PT, OT, DC, MT, ATC or Fitness Minded Individual https://edgemobilitysystem.com

The Pacific War - week by week
- 170 - Pacific War Podcast - Invasion of Iwo Jima - February 18 - 25 - , 1945

The Pacific War - week by week

Play Episode Listen Later Feb 18, 2025 46:02


Last time we spoke about the liberation of Bataan and Corregidor. The Shimbu Group's commander launched a coordinated raid on northern Manila, aiming to weaken enemy defenses. Despite heavy casualties, the Allies captured key locations, including Nichols Field. Meanwhile, General Chase's 38th Division overcame strong Japanese defenses at ZigZag Pass, while General Hall's forces secured Bataan. Plans for an airborne assault on Corregidor were set for February 16, leveraging surprise against the outnumbered Japanese garrison. American forces launched the strategic attack on Corregidor, dropping paratroopers from the 503rd Regiment. Despite facing sporadic fire, they secured key positions. The following days saw intense skirmishes as the 3rd Battalion, 34th Regiment landed and established a foothold. Over eight days, they repelled numerous Japanese counterattacks, inflicting heavy casualties. By February 26, organized resistance crumbled, leading to the island's capture. Meanwhile, in Manila, American troops advanced, clearing buildings and securing the city, inching closer to victory in the Philippines. This episode is the Invasion of Iwo Jima Welcome to the Pacific War Podcast Week by Week, I am your dutiful host Craig Watson. But, before we start I want to also remind you this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Perhaps you want to learn more about world war two? Kings and Generals have an assortment of episodes on world war two and much more  so go give them a look over on Youtube. So please subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry for some more history related content, over on my channel, the Pacific War Channel you can find a few videos all the way from the Opium Wars of the 1800's until the end of the Pacific War in 1945.    A few weeks ago we spoke about Operation Detachment. Admirals Nimitz and Spruance were planning an invasion of Iwo Jima with General Schmidt's 5th Amphibious Corps. During a thorough campaign of preliminary air and naval bombardment against the Volcano Islands, the 4th and 5th Marine Divisions, along with other Corps units, were loading at Hawaii between December 25 and January 25. Once training and loading were complete, Admiral Turner's Task Force 51 and Admiral Hill's Task Force 53 left Pearl Harbor on January 27, initially heading toward Saipan. By February 12, Admiral Spruance's 5th Fleet had gathered in the Marianas and was prepared to sail for Iwo Jima. Additionally, Admiral Mitscher's Task Force 58 had departed Ulithi to conduct a series of supporting air strikes over and around Tokyo, known as Operation Jamboree. Task Force 58 sortied from Ulithi 10 February and shaped a course eastward of the Marianas and Bonins. On the 12th, the air groups rehearsed with the 3rd Marine Division on Tinian. Two days later the task force fueled at sea from one of Admiral Beary's replenishment groups. Everything possible was done to guard against detection. Measures included radio deception, scouting by Pacific Fleet submarines to dispose of any picket vessels there might be en route, scouting by B-29s and Navy Liberators from the Marianas to clear the air. On the 15th a scouting line of five destroyers ranged ahead of the carriers, and antisubmarine air patrol was set up. At 1900 a high-speed run-in began towards launching positions, where the carriers arrived at dawn 16 February. Thanks to these precautions, and to thick weather most of the way, they arrived undetected. General LeMay's 21st Bomber Command, which was being reinforced by the 313th and 314th Bombardment Wings, would also assist Detachment with several strikes against Japan. Following some unremarkable high-altitude daytime missions in late January, 129 B-29s from the 73rd and 313th Bombardment Wings targeted Kobe on February 3, using a mix of incendiaries and fragmentation bombs. This attack caused significant damage to the urban area and local war production, resulting in the loss of 2 bombers and damage to 35 others. Subsequently, on February 10, a precision strike was launched against Ota's Nakajima aircraft factory, with 84 out of 118 dispatched B-29s successfully bombing the site. However, only 14% of the bombs hit the target, leading to the loss of 12 bombers and damage to 29. Nearly one-third of the factory buildings sustained damage, primarily from the incendiaries combined with high-explosive bombs. Five days later, LeMay dispatched 117 B-29 bombers to target Mitsubishi's engine works in Nagoya. However, an unexpected cold front resulted in only 33 bombers reaching the target area, yielding lackluster results. Meanwhile, after conducting some assault rehearsals, Spruance's amphibious support forces and tractor groups set sail for Iwo Jima on February 14, followed two days later by Turner's main assault convoy. At the same time, the reserve 3rd Marine Division continued loading at Guam, with its 21st Marines departing for Iwo Jima on February 16, followed by the main body of the division the next day. On the morning of February 16, Admiral Blandy's Amphibious Support Force arrived off Iwo Jima and promptly commenced the final preliminary bombardment and minesweeping operations, although inclement weather hindered these efforts. However, the next day, Task Force 52 successfully carried out these missions; beach reconnaissance by UDTs faced heavy mortar fire, resulting in the sinking of one LCI gunboat, damage to eleven others, and casualties of 44 killed and 152 wounded. Despite this, the frogmen encountered no obstacles on the beaches and managed to create accurate maps of the approaches. Meanwhile, by February 16, Mitscher's carriers had quietly moved to a position 60 miles off the coast of Honshu, launching extensive fighter sweeps against airfields in Tokyo Bay and bombing raids on aircraft frame and engine plants in the Tokyo area.  About 100 Japanese fighters attacked Admiral Davison's planes as they crossed the coast and about 40 of them were shot down. American pilots found the Japanese on the whole reluctant to engage; Admiral Mitscher had correctly told his pilots, "He is probably more afraid of you than you are of him". In fact the IJAAF 10th Hiko Shidan immediately ordered an IJAAF night-fighter group and all “second-class” personnel to take cover, while all aircraft not intercepting were ordered to be dispersed, fuel tanks drained, and ammunition unloaded. In contrast, American pilots reported Tokyo antiaircraft fire “the most accurate and intense yet encountered.” By nightfall, Rear-Admiral Matthias Gardner's night-flying carrier group conducted a sweep of night fighters to cover the enemy airfields at dusk. This operation was repeated the following morning, but poor weather ultimately forced the carriers to retreat toward Iwo Jima. Despite this, significant damage was inflicted on aircraft frame and engine facilities, with 10 vessels sunk, including the unfinished escort carrier Yamashio Maru. A total of 531 aircraft were reported destroyed, at the expense of losing 88 planes and damaging two destroyers. On February 18, after the enemy battery camouflage had been obliterated during the previous two days of bombardment. This revealed batteries not previously known to exist, the island's defenses were for the first time properly revealed; and formidable they were indeed. Fortunately for the Americans, the support of UDTs with LCI gunboats had convinced General Kuribayashi that the main landing had started, and to repel it he unmasked batteries that would have caused very heavy casualties on D-day had they not been discovered two days before. This was the only serious mistake made by the Japanese general in his defensive tactics, which won the rueful admiration of his enemies. Blandy opted to focus on the immediate area and flanks of the eastern beaches. Heavy ships moved closer to 2,500 yards to deliver concentrated direct fire on all targets. Consequently, bombardment ships provided continuous direct fire throughout the day, effectively dismantling enemy defenses. However, during the night, the Japanese launched a minor raid that caused significant damage to the destroyer minesweeper Gamble and the destroyer escort Blessman. At 06:00 on February 19, Turner's main force arrived off Iwo Jima and began maneuvering into final positions. Simultaneously, Admiral Rodgers' warships executed the last pre-landing bombardment, coordinated with air strikes from Mitscher's carriers. Between 08:25 and 08:55, as the first wave crossed the line of departure and advanced toward the shore under the protective rocket fire of gunboats, shells fell heavily on Iwo Jima, marking the most intense pre-landing bombardment of World War II. At 08:57, as the leading armored amtracs approached their targets, naval gunfire shifted inland and to the flanks. The LVTs of the first wave touched down on Iwo Jima at 09:02 and began moving forward through the high terraces of soft black volcanic ash, engaging inland targets from the water to support subsequent landings. Three minutes later, the Marines of the 4th and 5th Divisions started landing side by side on the Green, Red, Yellow, and Blue beaches. The assault infantry battalions of the Landing Force received assistance throughout D-Day from all the supporting arms available to the Amphibious Support Force. Carrier pilots of Task Force 58 and the escort carriers of Task Force 52 flew missions all day as airborne observers and spotters maintained constant vigilance over the target. Including pre-H-Hour strikes, 606 support aircraft flew 26 missions on February 19 and dropped 274500 pounds of bombs. These planes also fired 2254 rockets into the island defenses and dropped over a hundred napalm bombs. Air and naval gunfire liaison teams remained in communication with both air and sea supporting units through the hectic hours that followed the beach assault. Naval rifles from 5- to 16-inch caliber pounded enemy positions in response to Marine requests. Gunfire support vessels engaged enemy artillery that covered landing areas from high ground to the north, and concentrated on concealed Japanese mortars that shelled landing areas with deadly effect. The units quickly reorganized and began their advance inland, facing only light resistance, although their progress was hampered by the sandy terrain. General Kuribayashi's forces, however, had been waiting in well-fortified underground positions as planned, emerging only after the bombardment ceased to unleash a barrage of machine-gun, rifle, and mortar fire on the advancing troops. As the initial waves of Marines struggled to advance, congestion along the shore became increasingly critical, while the full force of the Japanese defenders was unleashed shortly after 10:00. By 10:30, elements from all eight assault battalions had landed on the island, successfully bringing ashore about 6,000 men and bulldozers that were clearing paths for tank deployment. On the far left flank, Colonel Harry Liversedge's 28th Marines, having landed on Green Beach, initiated a rapid advance across the half-mile isthmus below Mount Suribachi to isolate this crucial position. The attack unfolded in such a way that some units were delayed while others managed to break through and continue westward despite suffering heavy casualties, ultimately crossing the island while the bypassed enemy was being dealt with. By midday, the reserve 3rd Battalion and tanks landed under heavy fire to join the afternoon assault on Suribachi, but intense enemy fire hindered their progress to the assault positions. Consequently, the 2nd Battalion launched an attack on its own, gaining only 150 yards before retreating to regroup with the 3rd Battalion for the night. At the same time, Colonel Thomas Wornham's 27th Marines had landed on the Red Beaches, making swift progress inland despite increasing casualties and bypassing numerous enemy positions. By 11:30, Company A was moving across the southern end of Airfield No. 1, establishing a presence along the western edge while other units continued to advance past the airfield. The 1st Battalion launched an attack on the airfield with tank support but faced strong enemy resistance, resulting in minimal gains. Meanwhile, the 2nd Battalion pushed westward and reached the cliffs overlooking the western coast. Additionally, the reserve 3rd Battalion landed and began clearing bypassed positions, while the artillery units from the 13th Marines and General Rockey's reserve 26th Marines also arrived in the afternoon as the 27th and 28th Marines solidified their positions. By nightfall, although the 5th Marine Division was still a considerable distance from the O-1 Line, it had established a firm foothold on the island, with Mount Suribachi isolated and portions of the airfield under their control. To the east, General Cates' 4th Marine Division also landed successfully, with Colonel Walter Wensinger's 23rd Marines coming ashore at the Yellow Beaches and Colonel John Lanigan's 25th Marines landing on Blue Beach 1 and the southern part of Blue Beach 2. The two regiments began their advance inland, hindered by intense enemy fire but managing to gain between 400 and 600 yards by midday. As tanks were being deployed, the 3rd Battalion of the 25th Marines moved to the right to clear the remaining area of Beach Blue 2 and encircle the threatening quarry zone. At this stage, as the assault battalions continued their advance, Wensinger and Lanigan deployed their reserve battalions to cover the gaps in their attack lines. With the support of tanks that had finally reached the front, the 23rd Marines advanced towards Airfield No. 1 and successfully captured its outskirts. Meanwhile, the 25th Marines initiated a coordinated assault, with the 3rd Battalion advancing about 200 yards along the beach to secure the problematic quarry, while the other two battalions moved north to seize the high ground to the northwest of the quarry. By the end of the day, Cates had also landed half of the artillery from the 14th Marines, along with his reserve 24th Marines, which began to relieve some of the frontline units from both assault regiments. Although the penetration by the 4th Marine Division was not as extensive as intended, by nightfall, the front lines included the eastern edge of the airfield and extended sufficiently inland from the Blue Beaches to ensure the beachhead could be held successfully. The Marines, forced to advance across open terrain while enduring intense fire from well-concealed positions that were difficult to target, fell significantly short of the O-1 objective. Nonetheless, by the end of the day, six Marine regiments, an equal number of artillery battalions, and two tank battalions had landed and were positioned to defend the narrow beachhead against a potential night counterattack.  Throughout this first day, the situation on the beaches prevented landing of any but the highest priority "hot cargo." This consisted of ammunition, rations, water, and signal equipment brought to the beach in LCVPs and LCMs. Shore party teams, working under extremely adverse conditions without sufficient trucks and other heavy equipment, could do little more than stack the supplies on the beach above the high water mark. LVTs and weasels made trips from the beach dumps inland carrying these supplies to the troops and returned bearing wounded men. The busy amtracs also made nonstop trips from LSTs, ferrying critically needed items direct to Marines on the front lines. Most of the transports and other vessels of the task force retired from the island at nightfall, but some command ships, preloaded LSTs, and hospital LSTs remained behind. Emergency items, especially 81mm mortar ammunition, were brought in during the night, but actually very little unloading was accomplished and many of the wounded spent this night on the beach because they could not be evacuated. Some progress was made cutting exits through the terrace and clearing mines, but enemy fire and the shortage of equipment limited this activity. Despite this, the Japanese did not launch any large-scale assaults, although their mortars and artillery relentlessly bombarded Marine lines along the front throughout the night. Consequently, Allied casualties on this first day totaled 548 killed and 1,755 wounded. On February 20, the goal was for the 28th Marines to take Mount Suribachi while other units advanced north to capture the two airfields. Initially, in the south, after a coordinated air and naval bombardment, Liversedge launched another assault on the volcano but managed to gain only 75 yards by midday. During the forenoon, Marines gained only 50-70 yards. Aircraft and ships pounded Japanese positions and the 3d Battalion, 13th Marines fired mission after mission, but stiff enemy resistance continued, particularly from well-camouflaged pillboxes hidden in the brush to the front of the Marine lines. These emplacements, too close to friendly troops to be engaged by heavy support weapons, could only be silenced by coordinated attacks of assault demolition teams using flamethrowers and explosive charges. Tanks then moved in to provide support, allowing the attack to progress from pillbox to pillbox; however, by the end of the day, the Marines had only advanced 200 difficult yards. Meanwhile, Schmidt's other regiments initiated a coordinated offensive to the north following extensive artillery, naval gunfire, and air support. Despite facing heavy resistance, the 23rd Marines successfully overran most of Airfield No. 1 by noon. Wensinger continued to push his units in the afternoon, but progress was limited as tanks were hindered by minefields and rough terrain. Wornham's 27th Marines pressed their attack on the left flank, overcoming enemy mortar and artillery fire to gain about 800 yards along the coast. In contrast, Lanigan's 25th Marines, affected by friendly fire, made only minimal advances against enemy crossfire from concealed positions. At 1600, friendly planes misdirected their fire to the 25th Marine's area, adding terror to the situation. An air strike consisting of .50-caliber machine-gun strafing, rockets, and bombs fell on troops of Company B of the 24th Marines, which was positioned on top of the quarry some 400 yards inland from the eastern shore. This strike was made without a preliminary "dry-run", and despite the fact that yellow front line panels were displayed prior to and during the aerial attack. The 1st Battalion, 24th Marines suffered five killed and six wounded as a result of this misguided effort. Shortly after the planes left the area, this battalion reported that friendly artillery and naval gunfire was being registered on its lines. Due to the slow progress, Schmidt attempted to land his reserve 21st Marines, but high seas and congested beaches ultimately thwarted these efforts. Nevertheless, the remaining 14th Marines were landed, albeit with significant casualties, and elements of the corps artillery began to come ashore. During the night, there were no counterattacks on Mount Suribachi, but the 4th and 5th Marine Divisions had to fend off some small counterattacks on their front lines. On February 21, following a strike involving 40 aircraft, Liversedge's 28th Marines launched another assault on the volcano. The 1st Battalion on the right swiftly advanced along the west beach to the base of Suribachi, while the 3rd Battalion in the center pushed nearly to the foot of the mountain despite facing heavy resistance. Meanwhile, the 2nd Battalion on the left moved cautiously along the east beach toward the volcano's base, with Company F heading toward Tobiishi Point. At the same time, other regiments continued their offensive towards O-1 after a bombardment from air, artillery, rockets, and naval gunfire. Rockey's units made significant progress, advancing over 1,000 yards, while the 23rd Marines achieved similar gains on the left flank, where slightly sheltered areas allowed for local and limited encirclement, but only advanced 100 yards in the right and center. The 25th Marines maintained steady pressure against the strong enemy defenses, gaining between 50 and 300 yards across the front. Colonel Hartnoll Withers' 21st Marines successfully landed this time; due to heavy casualties in the center, they were assigned to relieve the exhausted 23rd Marines. By nightfall, the Marines had to fend off several local counterattacks and infiltration attempts.  During the night, 50 kamikaze planes targeted Blandy's Task Force 52. They were picked up by the radar of the USS Saratoga, a veteran carrier of the Pacific War, and six fighters were sent to intercept. They shot down two Zeros but the remaining Zeros plowed on through the low lying cloud, two of them trailing smoke, and slammed into the side of the carrier turning the hangers into an inferno. Another solitary attacker smashed into the flight deck leaving a gaping hole 100 yards from the bow. Damage control teams worked wonders and within one hour the fires were under control and the Saratoga was able to recover a few of her planes. Another aircraft, a "Betty" twin engined bomber, tore into the escort carrier USS Bismarck Sea. The decks were full of aircraft and the ensuing explosion caused uncontrollable fires. Abandon ship was sounded and 800 men went over the side. Within a few minutes a huge explosion ripped off the entire stern of the carrier and she rolled 38 over and sank. Three other ships were also damaged: the escort carrier USS Lunga Point was showered with flaming debris as four aircraft were blasted out of the sky; the minesweeper Keokuk was damaged when a "Jill" dive bomber hit her deck; and LST 477 loaded with Sherman tanks received a glancing blow. The Saratoga, with destroyer escort, returned to Pearl Harbor, but by the time the damage was repaired the war was over. The kamikazes had done their work well: 358 men killed, one carrier sunk, and another severely damaged. It was a grim preview of the mayhem they would later cause during the invasion of Okinawa in April. On February 22, amidst a dreary cold rain, Liversedge renewed his assault on Suribachi, where only half of the original garrison remained to oppose the Marine advance. There was no let-up in the weather on Wednesday as Marines of the 28th Regiment, drenched to the skin and bent by the wind, prepared to renew the attack on Suribachi. Fresh supplies of ammunition had been brought to the front during the night, but the Shermans were mired in mud and the Navy declined to supply air support in the appalling weather. It was to be up to the foot soldier with rifle, flamethrower, grenade, and demolition charge to win the day. Colonel Atsuchi still had 800-900 men left and they had no intention of allowing the Americans an easy victory. Major Youamata announced: "We are surrounded by enemy craft of all sizes, shapes and descriptions, enemy shells have smashed at our installations and defenses, their planes bomb and strafe yet we remain strong and defiant. The Americans are beginning to climb the first terraces towards our defenses. Now they shall taste our steel and lead." Throughout the day, the 28th Marines engaged Japanese positions on the lower slopes of the mountain, with the 3rd Battalion making the final push to the base of Suribachi while the other two battalions cleared the coastline to completely encircle the volcano. Simultaneously, Schmidt's northern sweep continued, with the 21st Marines replacing Wensinger's troops, and Colonel Chester Graham's 26th Marines taking over on the 5th Division front. The 26th Marines advanced approximately 400 yards in the center but ultimately had to withdraw as the flanking units could not progress; the 21st Marines began their assault on the formidable defenses of Colonel Ikeda's 145th Regiment in front of Airfield No. 2, managing to advance only about 250 yards on the right; and the 25th Marines were unable to launch an attack on the left due to Withers' lack of significant gains and had to fend off several local Japanese counterattacks. Marine "Howlin' Mad" Smith aboard the USS Auburn was counting the cost. Three days of battle and the Regimental Returns listed 2,517 casualties for the 4th Division and 2,057 for the 5th: 4,574 dead and wounded and the O-1 line had just been reached. Little did he know that as his Marines approached the hills, ravines, canyons, gullies, and cliffs of the north the worst was yet to come. Additionally, as the 4th Division remained stalled, Cates ordered Colonel Walter Jordan's 24th Marines to relieve the weary troops of Lanigan on the right. During the night, most of Task Force 58 departed the area for a second air strike against Tokyo, which significantly limited the availability of aircraft for direct support of ground forces on Iwo Jima. On February 23, the 28th Marines under Liversedge launched their final assault on Suribachi. The 2nd Battalion was tasked with scaling the volcano's heights, while the 1st Battalion advanced south around the mountain's western side. To their surprise, they encountered no enemy fire, and small patrols reached the crater's edge by 09:40. 1st Lieutenant Harold G. Schrier, executive officer of Company E, and a 40-man detachment set out to follow the patrols and occupy the highest point of land on Iwo Jima. The number of live Japanese lurking in caves along this north face was unknown, so flankers were sent out to guard against ambush as Schrier's men clawed their way warily upward. Still there was a mysterious lack of enemy activity, and the only Japanese encountered were the harmless dead. Positions along the rim of the crater were reached at about 10:15, and as Marines scrambled over the lip, the tenseness was eased by action. A small defending force challenged the patrol and a short, hot fight developed. Even while this skirmish was in progress, some of the men located a length of Japanese iron pipe, secured a small American flag to one end, and raised the Stars and Stripes at 10:20. It was an inspiring sight for thousands of Americans on Iwo as the flag waved bravely from the summit. Shortly after the mounting of this flag that measured only 54 inches by 28 inches, an unidentified Marine went aboard LST 779, beached near the base of the volcano, to obtain a larger set of colors. As this second and larger (8 feet by 4 feet 8 inches) flag was being carried up the slopes of Suribachi, photographer Joe Rosenthal, who covered the Iwo operation for the Associated Press, noticed it and instantly started in close pursuit. His efforts that morning resulted in the now famous picture of the second flag raising. Also since it's one of my favorite movies, I wanted to add this passage from the book “Flags of our Fathers” by James Bradley The Secretary of the Navy, James Forrestal, had decided the previous night that he wanted to go ashore and witness the final stage of the fight for the mountain. Now, under a stern commitment to take orders from General Holland "Howlin' Mad" Smith, the secretary was churning ashore in the company of the blunt, earthy general. Their boat touched the beach just after the flag went up, and the mood among the high command turned jubilant. Gazing upward, at the red, white, and blue speck, Forrestal remarked to Smith: "Holland, the raising of that flag on Suribachi means a Marine Corps for the next five hundred years". Forrestal was so taken with fervor of the moment that he decided he wanted the Second Battalion's flag flying on Mt. Suribachi as a souvenir. The news of this wish did not sit well with 2nd Battalion Commander Chandler Johnson, whose temperament was every bit as fiery as Howlin Mad's. "To hell with that!" the colonel spat when the message reached him. The flag belonged to the battalion, as far as Johnson was concerned. He decided to secure it as soon as possible, and dispatched his assistant operations officer, Lieutenant Ted Tuttle, to the beach to obtain a replacement flag. As an afterthought, Johnson called after Tuttle: "And make it a bigger one." Following this, the 28th Marines conducted mopping-up operations to eliminate remaining enemy positions and seal off caves at the base of Suribachi. All accessible outer and inner slopes were covered as the Marines annihilated enemy snipers and blasted shut the many cave entrances, sealing in an uncounted number of Japanese. Much observation equipment was found, emphasizing the fact that this had been an excellent point of vantage from which hostile observers directed murderous fire against the entire beachhead. Marine artillerymen, ready and eager to seize this advantage, hastened to move flash-ranging equipment into position. By nightfall, approximately 122 Japanese soldiers were killed while attempting to infiltrate American lines. Over the five-day period, the 28th Marines suffered 895 casualties, while nearly 2,000 Japanese were either killed or trapped in over 1,000 caves in the area. Kuribayashi had not anticipated the loss of this strategically significant location so early in the battle, and the survivors who managed to breach American lines faced severe reprimands upon their return to the north. For the remainder of the month, the 28th Marines focused on clearing out stubborn Japanese forces, reorganizing, and reequipping. Meanwhile, fighting in the north persisted as the three assault regiments advanced toward the O-2 Line. The 26th and 21st Marines faced heavy fire and struggled to make progress, while the 24th Marines advanced along their entire front, gaining up to 300 yards in some areas. On this day, the situation on the beach steadily improved as clearance efforts, construction of exits, and unloading continued, facilitating the arrival of essential ammunition and an additional 25 tanks. On February 24, following extensive air, naval, and artillery preparations, the offensive resumed. However, the initial failure of tanks to join the assault due to minefields and heavy anti-tank fire forced the Marines to advance slowly under intense fire from various sources. In the center, the 3rd Battalion, 21st Marines advanced 800 yards, reaching the north side of the east-west runway of Airfield No. 2, while the 2nd Battalion gradually moved northward around the end of the runway by noon. In the afternoon, as tank support began to arrive, Withers' 3rd Battalion captured the hill north of the airstrip after a fierce hand-to-hand battle. Simultaneously, his 2nd Battalion coordinated with the 26th Marines to seize the elevation beyond the airfield. Graham's troops easily secured the ground in front but had to pause their advance when they found themselves about 400 yards ahead of the 21st Marines. On the right flank, the 24th Marines initially made significant progress alongside Withers' men toward the airfield but were ultimately halted by the strong defenses on Charlie-Dog Ridge.  Running along the southeast edge of the east-west runway of Airfield Number 2 was a ridge known only as "Charlie-Dog Ridge." In prolongation of this ridge, on a lower level to the southeast, was a semicircular rise of ground that formed the "Amphitheater." In this area, Japanese engineers had constructed some of the most formidable defenses on the island. From the south, the approach traversed bare flat ground swept by guns on the ridge. To the east, the route led across a weird series of volcanic outcroppings and draws. It was against these positions that the 24th Marines moved out on D-plus-5. Assault squads then had to methodically clear the ridge, moving from one strongpoint to another, using fire and explosives until Charlie-Dog was secured. While the overall gains for the day were notable by Iwo Jima standards, the casualty figures were also high, with the Marines suffering 1,034 killed and 3,741 wounded during the five-day push to the second airfield. Additionally, the remainder of General Erskine's 3rd Marine Division began landing that day to officially take control of the central area. On February 25, a decision was made to hold back the 26th Marines to allow the 3rd Division to align with them. After another intense bombardment, Colonel Howard Kenyon's 9th Marines advanced through the 21st to continue the assault, but the two-battalion attack only managed to gain a meager 100 yards against Ikeda's determined defenders. Kenyon then deployed his reserve 3rd Battalion in the center, but it also failed to break through. To the east, the 23rd and 24th Marines launched simultaneous attacks, but only the 23rd made significant progress, overrunning the eastern end of the strip and establishing a foothold on the high ground to the north. Meanwhile, in the morning, Mitscher's carriers conducted a second strike on Tokyo. The Japanese sighted 600 US carrier aircraft on February 25, but Rear Admiral “Ted” Sherman reported, “The enemy opposition was only halfhearted and Japanese planes which were not shot down seemed glad to withdraw from the scene … as swiftly and unceremoniously as possible. Even here, over their own capital, the enemy were notably inferior to our naval aviators in aggressiveness, tactics, and determination.” TF-58 aircraft hit the Ota and Koizumi aircraft plants, but increasingly snowy, stormy weather meant Mitscher canceled further Tokyo strikes at 1215hrs. Spruance and Mitscher decided to hit Nagoya instead. En route to Nagoya that night destroyers USS Hazelwood and Murray sank three small Japanese craft. Eventually Mitscher realized TF-58 would not reach launching position on time, and at 0530hrs Spruance and Mitscher canceled the Nagoya strikes and headed south to refuel. TF-58 claimed 47 Japanese planes shot down and 111 destroyed on the ground for a total of 158 Japanese planes destroyed on February 25. Two hangars, one radar station, and two trains were destroyed. About 75 percent of the Ota engine plant's buildings were destroyed and an additional 15 percent heavily damaged. The Koizuma plant had also been heavily hit, and five coastal vessels and several smaller craft sunk, with another 14 vessels damaged. Total US losses were nine aircraft to antiaircraft fire and four to operational causes; four pilots were lost.. After TF-58 aircraft had plastered the Nakajima Ota airframe plant with 45 tons of bombs, February 25 photoreconnaissance revealed Ota to be 60 percent destroyed and 30 percent heavily damaged, although half of this was believed due to B-29s. After the photos TF-58 aircraft dropped another 13 tons on the plant. The Nakajima Koizuma plant was attacked on February 25 with 35 to 40 tons of bombs, with hits concentrated in the center of the plant. Reconnaissance showed 20 percent of the Koizuma roof damaged. The Hitachi–Tachikawa aircraft engine plant was attacked by one Task Group strike, with US airmen reporting “excellent results.” Photographs showed many bomb hits, but smoke made precise damage assessments difficult. Slight damage was also inflicted on the Tachikawa airframe plant. TF-58 planes struck the B-29s' nemesis, the Musashino-Tama aircraft engine plant, with 40 tons of bombs in the center of the Tama complex.  On that day, LeMay also dispatched 231 B-29s to attack Tokyo with incendiaries, with 172 successfully dropping 453.7 tons of bombs, incinerating a square mile of the city. This operation served as the "conclusive" test of the incendiary bombs that the 20th Air Force had requested, with valuable lessons to be learned for future use. The next day, the 26th Marines resumed their attack despite the high ground on the left remaining unclaimed, successfully advancing over 300 yards in the right and center. In the center, the 9th Marines continued their assault with the 1st and 2nd Battalions side by side, but they made no notable gains. On the right flank, the 23rd Marines launched another assault towards Hill 382, facing heavy resistance and managing to advance only about 200 yards. Concurrently, Lanigan's 25th Marines moved through the battered 24th Marines, achieving an advance of approximately 100 yards before encountering intense machine-gun fire from the Amphitheater and Turkey Knob. On February 27, Wonrham's 27th Marines took over from the exhausted 26th and continued to push northward despite rising casualties, successfully overrunning several strongpoints and gaining about 500 yards across the front. In the center, the 9th Marines finally breached the enemy's main defenses towards Hill 199-O and captured Hill Peter, securing Airfield No. 2. Meanwhile, on the right, the 4th Division pressed on against the heavily fortified Japanese positions at the Meatgrinder, advancing only 150 to 200 yards on each flank while struggling to make headway against the Amphitheater and Turkey Knob. In the final attack of the month, the 27th Marines advanced towards Hill 362A, reaching its base but were forced to retreat nearly 100 yards due to Japanese counterattacks and loss of communication. In the center, Withers' 21st Marines moved past the 9th Marines and rapidly advanced north of Airfield No. 2, making significant progress on the right as they swept through Motoyama village and captured the high ground overlooking Airfield No. 3. To the east, Cates continued to send troops into the Meatgrinder, with the 23rd Marines gaining over 200 yards and launching an attack on Hill 382, while the 25th Marines struggled to make any headway against the Amphitheater and Turkey Knob, achieving only minor gains along the coast. I would like to take this time to remind you all that this podcast is only made possible through the efforts of Kings and Generals over at Youtube. Please go subscribe to Kings and Generals over at Youtube and to continue helping us produce this content please check out www.patreon.com/kingsandgenerals. If you are still hungry after that, give my personal channel a look over at The Pacific War Channel at Youtube, it would mean a lot to me. And thus we have begun one of the most brutal battles of WW2, let alone the Pacific War. It was a controversial decision to invade Iwo Jima and the Americans could never have predicted how the Japanese would change their tactics to turn the entire ordeal into one giant meat grinder.

Illinois News Now
“Here's to Your Health” with Hammond-Henry Hospital's Newest General Surgeon Dr. James Schrier

Illinois News Now

Play Episode Listen Later Feb 4, 2025 10:07


Hammond-Henry Hospital is thrilled to introduce Dr. James Schrier as their newest general surgeon. Dr. Schrier, a board-certified surgeon, brings a wealth of expertise to the community, offering a wide range of surgical services, including appendectomy, breast cancer care, and robotic surgeries using the DaVinci system. With a strong educational background from the University of Iowa and extensive surgical experience, Dr. Schrier is set to enhance the hospital's surgical offerings. Tune in to WKEI 1450 AM and 102.1 FM on Wednesday, February 5, for an in-depth discussion with Dr. Schrier about the surgical services available locally. For more information or to make an appointment, call 309.944.1595 (referrals are necessary to make an appointment).

Profiles in Leadership
Jamey Schrier, PT, DPT, The Fire Destroyed My Business, but Gave Me a Chance to Reinvent How to Run a Business

Profiles in Leadership

Play Episode Listen Later Jan 27, 2025 62:49


JameySchrier, DPT, is a best-selling author, speaker, and CEO of Practice Freedom U, a business coaching and training company designed for physical therapists. He is a former private practice owner, and his book, The Practice Freedom Method, has helped scores of physical therapists treat less, earn more, and enjoy the life they deserve. After selling his practice, he began teaching other owners and their teams his proven business methodology to create successful private practices. He has assisted hundreds of owners in achieving financial prosperity and freedom and is on a mission to help hundreds, if not thousands, more.

The NeuFit Undercurrent Podcast
Ep 93: The Practice Freedom Formula: Building a Business That Works for YOU with Dr. Jamey Schrier

The NeuFit Undercurrent Podcast

Play Episode Listen Later Dec 6, 2024 59:09


Jamey Schrier's inspiring journey from clinician to successful business owner holds the blueprint for transforming your practice into a thriving business. He shares his proven strategies for creating a scalable, profitable clinic that allows you the time to focus on what matters most – your life and goals. In this episode, you will:  Learn how Jamey transitioned from being overwhelmed in patient care to achieving true practice freedom. Discover why it's worth positioning your clinic as the “Ritz Carlton” of rehabilitation – and the mindset that will allow you to do it. Explore practical ways to integrate cash-based services and maximize revenue. Hear actionable advice on building a business strategy that balances profitability and reduced workload. Gain insight into how coaching and mastermind groups drive accountability and results. This episode is packed with insights for any practice owner looking to reclaim their time, scale their impact, and love their business again. Whether you're looking to grow, sell, or reinvigorate your practice, Jamey's expertise will guide you to the next level.  

JM in the AM Interviews
Nachum Segal Hosts Mark Zomick and Rabbi Elliot Schrier of Cong. Bnai Yeshurun in Teaneck, NJ for a Siyum in Memory of the Victims of OCT 7th

JM in the AM Interviews

Play Episode Listen Later Oct 28, 2024


JM in the AM
10.28.2024: Guests: Mark Zomick and Rabbi Elliot Schrier

JM in the AM

Play Episode Listen Later Oct 28, 2024 179:51


Nachum Segal presents great Jewish music, the latest news from Israel, Morning Chizuk with Rabbi Dovid Goldwasser, an interview with Rabbi Elliot Schrier and Mark Zomick to make a Siyum in memory of the victims of OCT 7.

Million Dollar Relationships
Breaking Through Mental Blocks with Mentorship: Jamey Schrier's Journey

Million Dollar Relationships

Play Episode Listen Later Oct 23, 2024 37:04


How can coaching and authentic relationships transform not only your business but also your entire life?   In this episode of the Million Dollar Relationships podcast, Kevin welcomes Jamey Schrier, a physical therapist turned business coach, to explore the profound impact of coaching and meaningful relationships in his journey. Jamey shares candid insights from his personal and professional experiences, including the challenges of building his own practice and the transformations he underwent through key relationships. He emphasizes how authentic relationships and mentorship can unlock one's potential, push through mental blocks, and guide entrepreneurs to success beyond just financial gains.      [00:01 - 08:19] The Power of Connection The impact of meeting people through trusted mutual connections Why shared values are the foundation of lasting relationships The ripple effect of influencing others through relationships   [08:20 - 16:55] A Therapist's Journey to Entrepreneurship Transitioning from physical therapist to business owner The challenges of managing staff and growing a business The realization that business success requires more than just technical expertise   [16:56 - 24:22] Breaking Free from Burnout The turning point when Jamey decided to stop treating patients How reducing his workload led to a 20% business growth The importance of setting boundaries for personal and professional well-being   [24:23 - 32:02] Life-Changing Relationships Key mentors like Dan Sullivan, Jesse Elder, and Walt Hampton that shaped Jamey's journey The value of coaches who challenge and inspire personal growth How each of these relationships contributed to Jamey's success   [32:03 - 37:03] Overcoming Money Blocks The mental shifts necessary to charge what you're worth How Jesse Elder helped Jamey break through his limiting beliefs around money The importance of understanding the value you bring to clients     Key Quotes:     "The only thing you really have control over is just showing up as the authentic and genuine you." - Jamey Schrier   “The more you step into your true self, the more you connect with great people, and the more confidence you build in how you show up.” - Jamey Schrier       Connect with Jamey:   Website: https://www.practicefreedomu.com  LinkedIn: https://www.linkedin.com/in/jameyschrier  Facebook: https://www.facebook.com/jamey.schrier       Honoring: Dan, Jesse, Lee, and Walt     Thanks for tuning in!   If you liked my show, please LEAVE A 5-STAR REVIEW, like, and subscribe!    Find me on the following streaming platforms:   Apple Spotify Google Podcasts IHeart Radio Stitcher

FreightCasts
Loaded and Rolling EP129 Choosing the right TMS with Doug Schrier

FreightCasts

Play Episode Listen Later Sep 3, 2024 27:35


In today's episode Doug Schrier, VP of Growth & Special Projects at McLeod joins us to talk about what fleets need to consider when choosing the right TMS from capabilities to cost.  Follow the Loaded and Rolling Podcast Other FreightWaves Shows Learn more about your ad choices. Visit megaphone.fm/adchoices

Loaded And Rolling
Choosing the right TMS with Doug Schrier

Loaded And Rolling

Play Episode Listen Later Sep 3, 2024 27:35


In today's episode Doug Schrier, VP of Growth & Special Projects at McLeod joins us to talk about what fleets need to consider when choosing the right TMS from capabilities to cost.  Follow the Loaded and Rolling Podcast Other FreightWaves Shows Learn more about your ad choices. Visit megaphone.fm/adchoices

Be a Better Ally
184: Building better futures with games

Be a Better Ally

Play Episode Listen Later Aug 22, 2024 34:57


On this week: Dr. Kat Schrier discusses the potential of games to help people better connect with themselves and others. She shares her research on using games to enhance compassion, empathy, and reduce biases, as well as her work on a game in Nigeria that teaches about different ethnicities and discrimination. Dr. Schrier also highlights the importance of understanding multiple perspectives and the complexity of games. She emphasizes the need to reframe how we think about games and the diverse uses and possibilities they offer. The conversation explores the intersection of games and empathy, the value of grief literacy, and the hope that games can bring. Dr. Kat Schrier (she/they) is Full Professor, Director of the Play Innovation Lab, and Director of the Games and Emerging Media program at Marist College. She is the author/editor of over 100 published works, such as We the Gamers: How Games Teach Ethics & Civics (Oxford University Press, 2021) and Knowledge Games (Johns Hopkins University Press, 2016). She has previously edited two book series, Ethics and Game Design and Learning, Education, & Games. She was a Belfer Fellow with the ADL's Center for Technology & Society, and she is co-PI for a Templeton Grant on designing VR games for empathy. Prior to joining the Marist College faculty, she worked as a media producer at Scholastic, Nickelodeon, and BrainPOP. She is currently consulting with the World Health Organization (WHO) as a game designer. She has a doctorate from Columbia University, a master's from MIT, and a bachelor's from Amherst College. https://www.karenschrier.com/ https://www.karenschrier.com/publications https://www.adl.org/resources/blog/how-we-can-use-games-understand-others-better

Will Power
Navigating the Coaching Landscape with Jamey Schrier

Will Power

Play Episode Listen Later Aug 20, 2024 39:52 Transcription Available


A Journey from Physical Therapy to Transformative CoachingEver wondered how the right mentor can guide you through profound career changes? In this episode, we welcome Jamey Schrier, founder of Practice Freedom U, who shares his journey from owning a successful physical therapy business to becoming a dedicated coach. Jamey's inspiring story offers insights on pursuing your true passions, facing challenges head-on, and the transformative power of genuine coaching.Key Takeaways:The Coaching JourneyNavigating the Coaching MarketplaceStanding Out in the Coaching FieldRedefining LeadershipThe Coaching ProcessInvesting in YourselfVirtual Rockstars specialize in helping support or replace all non-clinical roles.Book a free call to learn how a Virtual Rockstar can help scale your physical therapy practice.Subscribe here to our completely free Stress-Free PT Newsletter for your weekly dose of joy.

The Practice of Therapy Podcast with Gordon Brewer
Jamey Schrier | Thriving in Private Practice: Insights and Strategies | TPOT 342

The Practice of Therapy Podcast with Gordon Brewer

Play Episode Listen Later Aug 5, 2024 37:57


Welcome to this episode of The Practice of Therapy Podcast, where Jamey Schrier dives deep into the current challenges facing private practice in today's landscape. From navigating insurance reimbursements and integrating complex technologies like Electronic Health Records (EHRs) to grappling with the soaring costs of professional training, Jamey illuminates the daunting realities many mental health practitioners face despite the growing demand for their services. He argues passionately that the survival of private practices hinges on treating them as serious businesses, advocating for a shift towards equipping clinicians with essential business acumen alongside their therapeutic skills. Jamey's insights underscore the critical need for strategic thinking, scalability, and profitability to not only sustain but thrive in the evolving healthcare market. Join us as Jamey shares practical strategies and profound insights aimed at empowering clinicians to navigate and succeed in the complex world of private practice. Resources Mentioned In This Episode: Read the full show notes here GUSTO: Earn $100 when you run payroll Use the promo code "GORDON" to get 2 months of Therapy Notes free Start Consulting with Gordon Send me the FREE Podcasting Roadmap PDF The PsychCraft Network The Practice of Therapy Community Mental Health Wear Jamey's Website Tired of Working More and Making Less? Take Jamey's Quiz Jamey on Facebook Jamey on YouTube Jamey on Instagram Jamey on LinkedIn Meet Jamey Schrier: Jamey Schrier, P.T. is an author, former private practice owner and founder of Practice Freedom U...a company focusing solely on helping practice owners work less, earn more and build a business that sets you free. Jamey has helped hundreds of growth-minded owners in physical therapy, occupational therapy and other health professionals, create a vibrant practice that runs like clockwork. Working less hours and focusing on the things you love to do is a requirement to achieve what he refers to as "Practice Freedom.” Jamey has worked with owners wanting to expand locations, remove themselves out of patient care or wanting to maximize the clinics value before selling. He helps you build your dream practice and spend less time working “In” the clinic, and more time working "On" your business and enjoying life!

Emergency Medical Minute
Podcast 912: Narcan (Naloxone)

Emergency Medical Minute

Play Episode Listen Later Jul 15, 2024 6:44


Contributor: Taylor Lynch, MD Educational Pearls: Opioid Epidemic- quick facts Drug overdoses, primarily driven by opioids, have become the leading cause of accidental death in the U.S. for individuals aged 18-45. In 2021, opioids were involved in nearly 75% of all drug overdose deaths The rise of synthetic opioids like fentanyl, which is much more potent than heroin or prescription opioids, has played a major role in the increase in overdose deaths What is Narcan AKA Naloxone? Competitive opioid antagonist. It sits on the receptor but doesn't activate it. When do we give Narcan? Respiratory rate less than 8-10 breaths per minute Should you check the pupils? An opioid overdose classically presents with pinpoint pupils BUT… Hypercapnia from bradypnea can normalize the pupils Taking other drugs at the same time like cocaine or meth can counteract the pupillary effects Basilar stroke could also cause small pupils, so don't anchor on an opioid overdose How does Narcan affect the body? Relatively safe even if the patient is not experiencing an opioid overdose. So when in doubt, give the Narcan. What if the patient is opioid naive and overdosing? Use a large dose given that this patient is unlikely to withdraw 0.4-2 mg every 3-5 minutes What if the patient is a chronic opioid user Use a smaller dose such as 0.04-0.4 mg to avoid precipitated withdrawal How fast does Narcan work? Given intravenously (IV), onset is 1-2 min Given intranasal (IN), onset is 3-4 min Given intramuscularly (IM), onset is ~6 min Duration of action is 60 mins, with a range of 20-90 minutes How does that compare to the duration of action of common opioids? Heroine lasts 60 min Fentanyl lasts 30-60 min, depending on route Carfentanyl lasts ~5 hrs Methadone lasts 12-24 hrs So we really need to be conscious about redosing How do you monitor someone treated with Narcan? Pay close attention to the end-tidal CO2 to ensure that are ventilating appropriately Be cautious with giving O2 as it might mask hypoventilation Watch the respiratory rate Give Narcan as needed Observe for at least 2-4 hours after the last Narcan dose Larger the dose, longer the observation period Who gets a drip? If they have gotten ~3 doses, time to start the drip Start at 2/3rds last effective wake-up dose Complications Flash pulm edema 0.2-3.6% complication rate Might be from the catecholamine surge from abrupt wake-up Might also be from large inspiratory effort against a partially closed glottis which creates too much negative pressure Treat with BIPAP if awake and intubation if not awake Should you give Narcan in cardiac arrest? Short answer no. During ACLS you take over breathing for the patient and that is pretty much the only way that Narcan can help Just focus on high quality CPR References https://nida.nih.gov/research-topics/trends-statistics/overdose-death-rates#:~:text=Drug%20overdose%20deaths%20involving%20prescription,of%20deaths%20declined%20to%2014%2C716. Elkattawy, S., Alyacoub, R., Ejikeme, C., Noori, M. A. M., & Remolina, C. (2021). Naloxone induced pulmonary edema. Journal of community hospital internal medicine perspectives, 11(1), 139–142. https://doi.org/10.1080/20009666.2020.1854417 van Lemmen, M., Florian, J., Li, Z., van Velzen, M., van Dorp, E., Niesters, M., Sarton, E., Olofsen, E., van der Schrier, R., Strauss, D. G., & Dahan, A. (2023). Opioid Overdose: Limitations in Naloxone Reversal of Respiratory Depression and Prevention of Cardiac Arrest. Anesthesiology, 139(3), 342–353. https://doi.org/10.1097/ALN.0000000000004622 Yousefifard, M., Vazirizadeh-Mahabadi, M. H., Neishaboori, A. M., Alavi, S. N. R., Amiri, M., Baratloo, A., & Saberian, P. (2019). Intranasal versus Intramuscular/Intravenous Naloxone for Pre-hospital Opioid Overdose: A Systematic Review and Meta-analysis. Advanced journal of emergency medicine, 4(2), e27. https://doi.org/10.22114/ajem.v0i0.279 Summarized by Jeffrey Olson MS2 | Edited by Meg Joyce & Jorge Chalit, OMSII

Celebrate Kids Podcast with Dr. Kathy
Overcoming Trauma and Challenges with Kids and Teens - Considering "Bad Therapy" by Abigail Schrier - ReAir

Celebrate Kids Podcast with Dr. Kathy

Play Episode Listen Later Jun 17, 2024 15:35


Exploring the delicate balance between building resilience in children and seeking professional help when needed, this episode delves into the importance of instilling efficacy in young people. Drawing on insights from journalist Abigail Schreier, the discussion challenges the prevailing narrative around trauma and emphasizes the power of overcoming challenges. Dr. Kathy's expertise in parenting offers valuable perspectives on navigating these complex issues

The Jason Rantz Show
Hour 1: Driver that killed WSP trooper has bail reduced, Schrier's primary opponent, Memorial Day travel

The Jason Rantz Show

Play Episode Listen Later May 23, 2024 46:22


What’s Trending: The illegal immigrant that killed Washington State Trooper Chris Gadd had his bail significantly reduced. A thief stole over $1k from a teen at a pawn shop in Lynnwood. // Early returns from Mulanomah County in Oregon suggest that radical DA Mike Schmidt and Pramila Jayapal’s sister have lost in their primary elections. Meanwhile, Rep. Kim Schrier is getting a primary challenge in Washington’s 8th congressional district. // Memorial Day weekend travel is going to be chaos.

Entrepreneur Mindset-Reset with Tracy Cherpeski
From Burnout to Success and Freedom Featuring Jamey Schrier EP 123

Entrepreneur Mindset-Reset with Tracy Cherpeski

Play Episode Listen Later Apr 17, 2024 37:29 Transcription Available


In this inspiring episode, Jamey Schrier, a physiotherapist turned successful business coach, shares his remarkable journey from the thrills of starting a private practice to the challenges of managing a growing team and maintaining work-life balance. Jamey's authentic and engaging storytelling offers invaluable lessons on overcoming adversity, effective leadership, and the importance of personal growth in achieving professional success. Key Takeaways: Jamey's transition from clinic owner to dealing with the stresses of employee management and its impact on his personal life. The turning point after a fire destroyed his clinic, leading him to re-evaluate his priorities and approach to business. How perseverance, delegation, and clear communication transformed Jamey's practice, leading to significant growth. The parallel between leadership and parenting, emphasizing the need for support systems like therapy and coaching. Overcoming personal biases, hiring challenges, and the role of self-awareness in effective decision-making. The emotional and financial costs of lack of clarity, and Jamey's evolution as a leader and person. Opportunities for growth through positive associations, networking, and surrounding oneself with influential people. Jamey's actionable advice, including taking his "Practice Quiz" to identify areas for improvement. The importance of applying knowledge rather than just learning, with a call to action for practice owners. Whether you're a healthcare practitioner, business owner, or anyone seeking inspiration for personal and professional growth, this episode is a must-listen. Jamey's story is a powerful reminder that success lies in the relentless pursuit of self-improvement and the willingness to adapt and lead with authenticity. Jamey's Bio: Jamey Schrier, P.T. is a best-selling author, speaker and CEO of Practice Freedom U, a business coaching and training company who's helped hundreds of practice owners create highly profitable businesses. Jamey is a former private practice owner and his book, The Practice Freedom Method has helped scores of practitioners Work Less, Earn More, and enjoy a life they deserve. Find Jamey: Website Jamey's LinkedIn Practice Freedom U LinkedIn YouTube Facebook Connect With Us: Be a Guest on the Show Thriving Practice Community Schedule Strategy Session with Tracy Tracy's LinkedIn Business LinkedIn Page Thriving Practice Community Instagram  

Sizzle and Chill Delray
Ep. 12 - Unveiling Chiropractic Wonders: A Journey Beyond Pain Relief with Dr. Schrier

Sizzle and Chill Delray

Play Episode Listen Later Apr 1, 2024 24:03


Have you ever considered the intricate dance between your spine and overall health? Dr. Schrier invites us into his world of chiropractic magic, where vertigo and migraines bow to the power of specialized upper cervical treatments. Through a candid retelling of his personal and professional journey, he paints a vibrant picture of how chiropractic care transcends the boundaries of back and neck pain relief. With each patient's story, we are reminded of the profound impact tailored chiropractic care can have on well-being, and the lengths people will go to find healing.In an enlightening conversation with Dr. Schrier, we peel back the curtain on the chiropractic profession, exploring the wide array of techniques and the rigorous training behind them. It's a world where over a hundred different approaches to spinal care coexist, and where chiropractors are redefined as nervous system doctors. This episode is a treasure trove of insights for anyone who's had a brush with chiropractic care, offering hope and guidance to those still on their path to finding the right practitioner. Join us and discover the transformative possibilities that lie within the hands of a dedicated chiropractor.Contact Dr. Schrier:Email: info@drelan.comWebsite: https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648Get Connected:Pay It Back Pizza Facebook page:  https://www.facebook.com/profile.php?id=61550823995332&mibextid=LQQJ4d.Cold plunge and sauna link https://www.drelan.com/cold-plunges-saunas/

Behind Design
Ep. 16 - Mastering Wellness and Entrepreneurship with Dr. Elan Schrier

Behind Design

Play Episode Listen Later Mar 26, 2024 22:50


How does a chiropractor leverage entrepreneurial skills to create a unique business model? Dive into this episode of "Behind Design" with Rachel Pesso as she explores Dr. Elan Schrier's innovative business strategies that go beyond traditional healthcare. Uncover how Dr. Schrier intertwines wellness with business acumen through ventures like his distinctive "Sizzle and Chill" podcast, local masterminds, and strategic community collaborations. Learn how he harnesses the power of giveaways and Google reviews to boost engagement and trust. This episode is a treasure trove for anyone interested in entrepreneurship, community building, or innovative business strategies, offering a deep dive into Dr. Schrier's successful integration of health and business.Show Notes:Website: www.drelan.com Instagram: https://www.instagram.com/drelanschrier?utm_source=qr%20%2CFacebook: https://www.facebook.com/chiropracticservicesWant to learn more about where to connect with Rachel? Websites: www.rachelpesso.com  |  www.soulthemes.comInstagram: https://www.instagram.com/rachelpesso/TikTok: https://www.tiktok.com/@rachelpessoFacebook: https://www.facebook.com/rachelpessodesign/LinkedIn: https://www.linkedin.com/in/rachelpesso/

DPT to CEO: The Podcast
Embracing Truth: Physical Therapy Business Insights with Jamey Schrier

DPT to CEO: The Podcast

Play Episode Listen Later Mar 3, 2024 57:54


Join me on another episode of DPT to CEO Interview Series! Our special guest during this episode is Jamey Schrier, physical therapist, entrepreneur, business coach, and owner of Practice Freedom U. During this interview we dive deep into all things business, mindset, and betting on yourself when considering starting a cash based practice. Jamey emphasizes the importance of being vulnerable, seeking truth, and being willing to learn about yourself in order to become the best entrepreneur you can be. He talks us through the misconceptions of "needing approval" that we all struggle with as professionals, and encourages physical therapists out there that they are experts in their field when they come out of school. Another certification isn't the answer to your business success. If you're looking for motivation and inspiration as a business owner, student, or clinician, this episode is for you! -- Follow me on Instagram: @drmorganmeese | Join my Facebook Group: DPT to CEO | Ready to start your own cash based practice? Let's talk! morganmeese.com/bookacall | MUSIC: We Are The Best Team! by WinnieTheMoog Link: https://filmmusic.io/song/6235-we-are-the-best-team- License: ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠http://creativecommons.org/licenses/by/4.0/⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠   Like our content? Buy us a coffee! ⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠⁠https://www.buymeacoffee.com/buymorgancoffee --- Support this podcast: https://podcasters.spotify.com/pod/show/dpt-to-ceo/support

Zen Business - Mindfulness, Hustle and Fulfillment
76) Allyson Schrier; Helping the Elderly While Profitably Growing a Bootstrap Tech Startup

Zen Business - Mindfulness, Hustle and Fulfillment

Play Episode Listen Later Feb 19, 2024 50:38


Altruistic business ideas? Can they scale and become profitable? For this episode of ZBP, we sat down with Allyson Schrier, co-founder and president of Zinnia Technologies, Inc. She has an enormous amount of passion for the company, its customers, and their service. ZinniaTV is an app for mobile devices and connected TVs that supports people living with dementia and those who care for them. ZinniaTV helps foster connection and engagement for caregivers and their loved ones suffering with dementia using artfully-crafted videos optimized for people with dementia. Schrier came up with this solution because she personally understood the problem. Her husband was diagnosed with dementia at the age of 47. How do you find inspiration for an app? How do successful app creators do the problem solving that goes into app design, to build a product that delivers real value its users? In this episode, you will learn the answers to the questions above and much more. Listen to New Zen Business episodes every Monday - Available on Spotify, Apple Podcasts, Overcast & More Find @itsjmaxim on Instagram where you can get free Marketing, Mindset and Money tips. If you're an investor-backed startup or a new app looking for a leg up, contact us @viralapplaunch on IG for performance-based marketing - where we only win when you do.

Social Anxiety Solutions - your journey to social confidence!
How to heal from Social Anxiety: Introducing the Social Confidence Club

Social Anxiety Solutions - your journey to social confidence!

Play Episode Listen Later Feb 8, 2024 52:08


In this episode... We interviewed Sebastiaan van der Schrier, the founder of Social Anxiety Solutions, a former sufferer of Social Anxiety Disorder turned Social Confidence Coach. Seb shares his journey from battling social anxiety to founding the Social Confidence Club, soon celebrating its 5th anniversary. The conversation begins with an exploration of social anxiety—its essence, underlying causes, and the critical insights required for healing. Seb shares about the creation of the Social Confidence Club, explaining the addition of various elements over the years and how these elements help you on your path to overcoming social anxiety. He discusses his use of EFT tapping, concepts of advanced psychology, and the value of a supportive community of like-minded people. Through numerous examples from Club members and his coaching experience, Seb illustrates the impact of these tools and the sense of belonging within the group. Seb answers key questions about the Club: -What is the Social Confidence Club and why does it often help when nothing else has? -How can someone benefit from group coaching if they're not tapping with you directly? -How does the club keep members motivated on their journey? -What are some new elements people can expect in the club this year? -What is the ‘Social Confidence Challenges' webinar? Check it out! Sign up for the early announcement list to be notified when registration opens on February 23rd, 2024 at https://bit.ly/socialconfidenceclub -- Do you feel awkward in social situations? Do you struggle to be yourself around others? And do you fear being judged, being seen anxious, and embarrassing yourself? You're not alone. I've been there. It sucks. Big time. But there's hope. I've been fortunate enough to overcome my Social Anxiety... ... and I've helped hundreds of socially anxious clients overcome their struggles too. Thankfully, there's a gentle, powerful, and effective solution to beat it. It won't happen overnight, but with certain techniques and strategies, you can reduce your Social Anxiety quickly. And with persistence, you can become completely anxiety-free. Without needing to force yourself to awkwardly face your fears. Ready to get started on your journey to Social Confidence? Here are your first steps: 1.) Follow this Podcast and always get the latest episodes! 2.) Go to https://bit.ly/socialconfidencepodcast and receive access to a short transformational video to reduce your anxiety immediately. AND you'll also get my FREE “7 Secrets to Social Confidence” Mini Course. 3.) Let's connect! • SUBSCRIBE to my YouTube channel https://www.youtube.com/@Social-anxiety-solutions • FB https://www.facebook.com/socialanxietysolutions • IG https://www.instagram.com/socialanxietysolutions • Twitter https://twitter.com/socialanxietysb All the best on your journey to effortless social ease. Warm regards, Seb  

Mind Your Fitness
The Athlete's Guide to Digestive Health w/ Meg Steffey-Schrier

Mind Your Fitness

Play Episode Listen Later Feb 2, 2024 37:44


In this episode, we dive deep into common digestive issues faced by athletes. We cover various topics that can relate to both active individuals and athletes who struggle with gut issues. Meg Steffey-Schrier is a Certified Sports Dietitian and Digestive Health Expert with her own private practice. Prior to that, she was the Lead Dietitian at Harvard University having worked within both athletics and health services. 

Navigating the World with Your Aging Loved One
From Caregiver to Innovator: Allyson Schrier, Founder of Zinnia Live at Teepa Snow's Positive Approach to Care Conference

Navigating the World with Your Aging Loved One

Play Episode Listen Later Jan 15, 2024 15:36


At the 2023 Positive Approach to Care conference, I had the opportunity to interview Allyson Schrier, co-founder of Zinnia Technologies. This company was established in 2019, inspired by Allyson's experiences as a dementia family caregiver. Addressing the lack of engaging and digestible TV programming for people living with dementia, Allyson collaborated with a former Apple designer, known for the 'Memories' product. Together, they developed an app for connected TVs and a mobile app, providing a library of over 200 videos. These serve as non-pharmacological tools to foster connections, alleviate anxiety, and assist with daily living activities. Allyson and I have also recorded a podcast, which I'll include in our episode description for further listening. It's always a pleasure to reconnect with her and share updates. Our discussion highlights why the organization is so significant to both of us, and the impact it has had on our lives. We also give a shout-out to Jimmy Zollo and discuss the collaboration between Joe & Bella and Zinnia. We also talk about Allyson's journey as a family caregiver and discuss the appropriate timing for placing a loved one in a care community, including relevant questions to ask and the importance of supplemental training and education. Spending time with Allyson is always enriching, and it's an honor to share our conversation. This episode is powered by Seni, which provides support and products for those caring for their loved ones. Learn more at www.zinniatv.com   Listen to our previous episode  Flourishing Together: Community and Innovation in Dementia Care HERE.    *This episode is brought to you by Gigi Betty co. A boutique gift shop raising awareness and funds for caregivers and care partners. Show now at www.gigibettyco.com. Use the special code WILLGATHER20 for 20% off your order- Just for our podcast listeners! LISTEN NOW: Apple Podcasts, Spotify & on your favorite podcast platform. are not medical professionals and are not providing any medical advice. If you have any medical questions, we recommend that you talk with a medical professional of your choice. willGather has taken care in selecting its speakers but the opinions of our speakers are theirs alone. Thank you for your continued interest in our podcasts. Please follow for updates, rate & review! For more information about our guest, podcast & sponsorship opportunities, visit www.willgatherpodcast.com

Conversation Balloons
47. Married to Madness? w/ Allyson Schrier

Conversation Balloons

Play Episode Listen Later Jan 9, 2024 34:35


Allyson Schrier's husband was descending into dementia.  Here's how she grew into caregiving, eventually founding Zinnia TV, programming for those living with dementia and other challenges.  Allyson is an award-winning leader in the field of technological and human support for those with cognitive deficits and speaks to us with expertise, yet candidly from the heart as she tells her story.  Be aware that some parts of this interview may disturb youngsters. Additional resources: thrivingwithdementia.com zinniatv.com info@zinniatv.com

Engaged In Rec
S3E5 - Allyson Schrier of ZinniaTV

Engaged In Rec

Play Episode Listen Later Dec 30, 2023 38:39


This one is near and dear to my heart because of my love for working with people who have dementia. Allyson joins me to introduce ZinniaTV, an app available on all of your devices with videos that improve the quality of life for people living with mid- to late-stage memory loss or dementia by bolstering a sense of identity and fostering connection with loved ones and care partners at home and in long-term care settings. You've got to check this one out! --- Send in a voice message: https://podcasters.spotify.com/pod/show/engagedinrec/message

PRACTICE: IMPOSSIBLE™
2.009 Reviving Success: Overcoming Practice Devastation to Business Coach - Jamey Schrier, PT Shares His Story

PRACTICE: IMPOSSIBLE™

Play Episode Listen Later Dec 14, 2023 38:49


This week, we are honored to have Jamey Schrier, PT, as our guest to discuss physical therapy education and professional development. Jamey is an extraordinary expert in his field because he loves what he does and has a special knack for solving problematic situations. He has helped several practice owners with development mindsets achieve phenomenal success without spending excessive hours at the clinic.Come listen to Jamey as he reveals the secrets to successful marketing that will bring in unending referrals. Learn the foolproof method for attracting and retaining many loyal patients who will gladly return for future treatments and even spread the word about your clinic on their own. Here, Jamey demonstrates his mastery of the art of patient satisfaction by offering sound guidance on establishing a setting that encourages meaningful connections with patients and their families, increasing the likelihood that they will remain loyal customers.In this episode, you will find practical advice and ideas to help any physical therapist or clinic owner increase their clientele and revenue. Don't pass up the chance to hear from the visionary who has changed the face of physical therapy like Jamey Schrier. Listen in now to start a life-altering adventure that will propel you to extraordinary heights in your career.Show NotesYouTube

Sizzle and Chill Delray
Ep. 10 - Sailing the Sea of Healing: An Exploration of Floatation Therapy and Community-Centered Entrepreneurship

Sizzle and Chill Delray

Play Episode Listen Later Dec 11, 2023 29:58


Ready for a journey into the healing world of floatation therapy? Buckle up as I, Dr. Schrier, along with my guest Matt Beck, owner of Float 8, share secrets of this unique wellness approach. Matt, an entrepreneur who's opened five Float 8 locations, sheds light on the therapeutic experience of floating in a fully saturated salt solution, a practice that helps you disconnect from the daily hustle and rejuvenate your mind and body.As we navigate the tranquility of floating, we unveil personal testimonials and transformative benefits that come with it - be it pain relief, improved sleep, reduced anxiety, or heightened focus. But it's not just about floating. We also touch on the importance of other self-care practices and the power of networking and community support for personal and professional growth. So, if you're in pursuit of natural well-being enhancement or intrigued about how a community can fuel entrepreneurship, this episode is your boarding pass. Let's sail the sea of complete healing and growth together.Contact Matt Beck:Website: https://float8ion.com/Instagram: float8ionContact Dr. Schrier:Email: info@drelan.comWebsite:https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648Get Connected:Pay It Back Pizza Facebook page:  https://www.facebook.com/profile.php?id=61550823995332&mibextid=LQQJ4dCold plunge and sauna link https://www.drelan.com/cold-plunges-saunas/

The Upper Cervical Marketing Podcast
UCM 189: How Dr. Elan Schrier Got 600 Google Reviews

The Upper Cervical Marketing Podcast

Play Episode Listen Later Nov 6, 2023 25:09


Dr. Elan Schrier joins us on the Upper Cervical Marketing Podcast From Schrier Family Chiropractic in Delray Beach Florida. In this UCM Podcast, Dr. Bill Davis and Dr. Schrier discuss how he has been able to get 600 Google reviews for his upper cervical practice. We talk about the importance of consistency and focus in his practice. Stay on mission with us and get fired up…no complacency!

google elan bill davis schrier delray beach florida
Healthy Wealthy & Smart
Jamey Schrier: How the Gap in the Game Affects Physical Therapy Business Owners

Healthy Wealthy & Smart

Play Episode Listen Later Oct 5, 2023 50:31


In this episode, I am joined by Jamey Schrier, PT to discuss how the “gap in the game” can affect physical therapy business owners. Jamie explains that the gap is a concept introduced by Dan Sullivan, which involves creating an ideal vision for the future and then measuring oneself against that vision. This can often lead to feelings of disappointment and inadequacy. Jamie emphasizes how this concept can apply to physical therapy business owners and other entrepreneurs. Tune in to learn more about navigating the gap and finding fulfillment in your business journey.   Show notes:  [00:01:02] The concept of the gap. [00:05:08] Progress, not perfection. [00:09:07] Setting measurable goals. [00:13:09] Moving closer to the ideal. [00:18:23] Measuring progress towards the ideal. [00:23:34] Happiness and extrinsic goals. [00:25:31] Putting yourself out there. [00:29:41] Belief in "more is better". [00:35:32] The writing reflex. [00:37:02] Learned qualities of good leaders. [00:42:26] Marketing and developing relationships. [00:46:20] Being nicer to my younger self. [00:48:04] Stay healthy, wealthy, and smart.   More About Jamey: Jamey Schrier, P.T., is a best-selling author, business coach, speaker, and CEO of Practice Freedom U, a business training and coaching company. Jamey has helped hundreds of private practice owners Treat Less, Earn More, and live a life of prosperity and fun.   Resources from this Episode:  Freedom U Website Jamey's Facebook Jamey's LinkedIn Jamey's X Jamey's YouTube   Follow Dr. Karen Litzy on Social Media: Karen's Twitter Karen's Instagram Karen's LinkedIn   Subscribe to Healthy, Wealthy & Smart: YouTube Website Apple Podcast Spotify SoundCloud Stitcher iHeart Radio      

Sizzle and Chill Delray
Ep. 6 - Real Estate and Resilience: Justin Himmelbaum's Thoughts on Success, Health, and Philanthropy

Sizzle and Chill Delray

Play Episode Listen Later Sep 25, 2023 27:02


Prepare to be inspired as Dr. Schrier, brings real estate entrepreneur and philanthropist Justin Himmelbaum on board. From serving tables at Park Tavern to becoming a leading name in real estate, Justin's journey is replete with life-altering events, resilience, and determination. We'll travel through his life's chronicle, exploring how he seized control of his destiny, shifted into the realm of real estate, and consistently strives for excellence. Be ready for revelations about mindset transformation, personal growth, and the power of having a coach.In the cold plunge, we shift gears toward Justin's unique health routines and his philosophy on striking a balance between purpose and pleasure. Dr. Schrier opens up about Pay It Back Pizza, a non-profit initiative enabling him to give back to his community. We'll dissect the benefits of infrared sauna and cold plunge therapy as tools for a healthy lifestyle. Listen closely as Justin shares valuable insights about staying passionate, savoring the journey, and his perspective on social media. This episode is a testament to the power of resilience, discipline, and the rewards of persistent hard work. So, are you ready to get your gears grinding and be inspired? Tune in!Contact Dr. Schrier:Email:info@drelan.comWebsite: https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648Get Connected:Pay It Back Pizza Facebook page https://www.facebook.com/profile.php?id=61550823995332&mibextid=LQQJ4dCold plunge and sauna link https://www.drelan.com/cold-plunges-saunas/Contact Justin Himmelbaum: Email: thehometeam@kw.com IG: @himmelsellshomes

Channel Your Enthusiasm
Chapter Thirteen Meaning and Application of Urine Chemistries

Channel Your Enthusiasm

Play Episode Listen Later Sep 18, 2023 91:40


ReferencesJC mentioned that the diagnostic accuracy of 24 hour urine collection increases with more collections! Metabolic evaluation of patients with recurrent idiopathic calcium nephrolithiasisWe didn't refer to a particular study on sodium intake and the 24 hour urine but this meta-analysis Comparison of 24‐hour urine and 24‐hour diet recall for estimating dietary sodium intake in populations: A systematic review and meta‐analysis - PMC 24‐hour diet recall underestimated population mean sodium intake.Anna looking up ace i and urinary sodium Effects of ACE inhibition on proximal tubule sodium transport | American Journal of Physiology-Renal PhysiologyThe original FENa paper by Espinel: The FeNa Test: Use in the Differential Diagnosis of Acute Renal Failure | JAMA | JAMA NetworkSchreir's replication and expansion of Espinel's data: Urinary diagnostic indices in acute renal failure: a prospective studyHere's a report from our own JC on the Diagnostic Utility of Serial Microscopic Examination of the Urinary Sediment in Acute Kidney Injury | American Society of NephrologyJC shared his journey regarding FENa and refers to his recent paper Concomitant Identification of Muddy Brown Granular Casts and Low Fractional Excretion of Urinary Sodium in AKIAnd Melanie's accompanying editorial Mind the Cast: FENa versus Microscopy in AKI : Kidney360 (with a great image from Samir Parikh)JC referenced this study from Schrier on FENa with a larger series: Urinary diagnostic indices in acute renal failure: a prospective study​​Nonoliguric Acute Renal Failure Associated with a Low Fractional Excretion of Sodium | Annals of Internal MedicineUrine sodium concentration to predict fluid responsiveness in oliguric ICU patients: a prospective multicenter observational study | Critical Care | Full TextA classic favorite: Acute renal success. The unexpected logic of oliguria in acute renal failure Marathon runners had granular casts in their urine without renal failure. Kidney Injury and Repair Biomarkers in Marathon RunnersCute piece from Rick Sterns on urine electrolytes! Managing electrolyte disorders: order a basic urine metabolic panelThe Urine Anion Gap: Common Misconceptions | American Society of NephrologyThe urine anion gap in context CJASNExcellent review from Halperin on urine chemistries (including some consideration of the TTKG): Use of Urine Electrolytes and Urine Osmolality in the Clinical Diagnosis of Fluid, Electrolytes, and Acid-Base Disorders - Kidney International ReportsRenal tubular acidosis (RTA): Recognize The Ammonium defect and pHorget the urine pH | SpringerLinkOutlineChapter 13- New part: Part 3, Physiologic approach to acid-base and electrolyte disorders - Do you remember the previous two parts? - Renal physiology - Regulation of water and electrolyte balance- Chapter 13: Meaning and application of urine chemistries - Measurement of urinary electrolyte concentrations, osmolality and pH helps diagnose some conditions - There are no fixed normal values - Kidney varies rate of excretion to match intake and endogenous production - Example: urine Na of 125/day can be normal if patient euvolemic on a normal diet, and wildly inappropriate in a patient who is volume depleted. - Urine chemistries are: - Useful - Simple - Widely available - Usually a random sample is adequate - 24-hour samples give additional context - Gives example of urinary potassium, with extra renal loss of K, urine K should be < 25, but if the patient has concurrent volume deficiency and urine output is only 500 mL, then urine K concentration can appropriately be as high as 40 mEq/L - Table 13-1 - Seems incomplete, see my notes on page 406 - What is Gravity ARF?- Sodium Excretion - Kidney varies Na to maintain effective circulating volume (I'd say volume homeostasis) - Urine Na affected by RAAS and ANP - Na concentration can be used to determine volume status - Urine Na < 20 is hypovolemia - Says it is especially helpful in determining the etiology of hyponatremia - Calls out SIADH and volume depletion - Used 40 mEq/L for SIADH - Also useful in AKI - Where differential is pre-renal vs ATN - In addition to urine Na (and FENa) look at urine osmolality - Again uses 40 mEq/l - Mentions FENa and urine osmolality - Urine Na can estimate dietary sodium intake - Suggests doing this during treatment of hypertension to assure dietary compliance - 24 hour urine Na is accurate with diuretics as long as the dose is stable and the drugs are chronic - Diuretics increase Na resorption in other segments of the tubule that are not affected by the diuretic - Points to increased AT2 induced proximal Na resorption and aldosterone induced DCT resoprtion - In HTN shoot for less than 100 mEq/Day - Urine Na useful in stones - Urine uric acid and urine Ca can cause stones and their handling is dependent on sodium - Low sodium diet can mask elevated excretion of these stone forming metabolites - 24-hour Na > 75 and should be enough sodium to avoid this pitfall - Pitfalls - Low urine sodium in bilateral renal artery stenosis or acute GN - High urine sodium with diuretics, aldo deficiency, advanced CKD - Altered water handling can also disrupt this - DI with 10 liters of urine and urine sodium excretion of 100 mEq is 10 mEq/L but in this case there is no volume deficiency - Opposite also important, a lot of water resorption can mask volume deficiency by jacking up the urine sodium - Advises you to use the FENa - THE FENA - < 1% dry - >2-3% ATN - It will fail with chronic effective volume depletion - Heart failure, cirrhosis, and burns - Suggests that tubular function will be preserved in those situations - Also with contrast, rhabdo, pigment nephropathy - Limitations - Dependent on the amount of Na filtered - Goes through the math of a normal person with GFR of 125/min and Na of 150 has filtered sodium of 27,000/day so if they eat 125-250 mEq their FENa will be 600-800 - Urine osm < plasma osm in face of hypernatremia indicates renal water loss due to lack of or resistance to ADH - In ATN urine OSM < 400 - In pre-renal disease it could be over 500 - Specific but not sensitive due to people with CKD who are unable to concentrate urine- Specific gravity - Plasma is 8-10% igher than plasma so specific gravity is 1.008 to 1.010 - Every 30-35 mOsm/L raises urine Osm of 0.001 - so 1.010 is 300-350 mOsm/L H2O - Glucose raises urine specific gravity more than osmolality - Same with contrast - Carbenicillin- pH - Normally varies with systemic acid-base status - PH should fall before 5.3 (usually below 5.0) with systemic metabolic acidosis - Above 5.3 in adults and 5.6 in children indicate RTA - PH goal 6.0-6.5 - Separate individual RTAs through FR of HCO3 at various serum HCO3 levels - Also can monitor urine pH to look for success in treating metabolic alkalosis - Look for pH > 7 - In treatment of uric acid stone disease - Want to shift eq: H + urate – uric acid to the left because urate is more soluble - PH goal 6.0-6.5

Sizzle and Chill Delray
Ep. 4 - The Balance of Health and Success: An Insightful Discussion with Scott Perry, Former NBA General Manager

Sizzle and Chill Delray

Play Episode Listen Later Sep 18, 2023 14:37


Join us for a captivating discussion with our special guest, Scott Perry, the former General Manager of the New York Knicks. In his riveting 23-year career within the NBA, Scott has amassed a wealth of experiences and insights that he's eager to share. From discussing his health regimen to his love for golf, Scott provides a glimpse into his life post-retirement, all while offering sage advice on success and wellness.As we venture into the realm of health and fitness, Dr. Schrier enlightens us on some trending practices. His perspective on flotation therapy and visualization in sports provides an interesting look at preventative healthcare. The debate heats up as we question the true benefits of cold plunges - are they genuinely advantageous or simply a fleeting fad? Scott's experiences and viewpoints serve as a wealth of knowledge for aspiring athletes and health enthusiasts alike.Scott's expertise doesn't stop at the basketball court. He shares his favorable experiences with chiropractic care, attributing it to aiding him and many other athletes in reaching their peak performance. So, buckle up for an exceptional ride through the world of professional sports, health practices, and more. You are sure to walk away with fresh insights and a newfound appreciation for the delicate balance between health and success.Contact Dr. Schrier:Email:info@drelan.comWebsite: https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648

Sizzle and Chill Delray
Ep. 5 - From Adrift to Empowered: Exploring Hypnotherapy and Social Ventures with Sam Rosenbaum

Sizzle and Chill Delray

Play Episode Listen Later Sep 11, 2023 25:23


Join me, Dr. Schrier, on a venture into the captivating realm of hypnotherapy with my esteemed guest, Sam Rosenbaum. Prepare to be inspired as Sam relays her personal journey, from feeling adrift in the sea of life to harnessing the power of hypnotherapy and unearthing her true potential. We scrutinize the belief that crises often serve as a catalyst for triumph and affirm the power of self-trust in our pursuit of health and well-being. In an exhilarating twist, we shift gears to my latest project, Pay it Back Pizza. This unique social enterprise aims to foster empowerment among the homeless and economically disadvantaged by teaching them to operate their own pizza businesses. We are thrilled to be on the cusp of achieving nonprofit 501c3 status and are eager to see this venture evolve. Sam imparts her wisdom on the mind-body-spirit connection and the potential of various therapies, such as chiropractic, to enact transformative changes. Hang on for this enlightening discourse sure to leave you feeling awakened and inspired. This is a powerful episode!Contact Dr. Schrier:Email:info@drelan.comWebsite: https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648Contact Samantha RosenbaumWebsite: https://grounded-visions.com/

Private Practice Elevation with Daniel Fava
142. Emotional Intelligence: The Powerful Ingredient for Private Practice Success with Jamey Schrier

Private Practice Elevation with Daniel Fava

Play Episode Listen Later Sep 5, 2023 46:46


In this episode of The Private Practice Elevation Podcast, you'll learn about one of the most important factors that may determine your success in private practice: how you handle your emotions.   Most people think they can land on some optimized marketing plan, a system for scaling, or a specific strategy that's going to help them achieve success for their private practice.   While those things are all important, if you're unable to handle your emotions and stressful situations successfully, you'll likely sabotage your growth.   To be a successful private practice owner requires a deep understanding of human emotions and the ability to navigate them effectively. Starting without your own!   This is where emotional intelligence comes into play. Emotional intelligence, often referred to as EQ, is the powerful ingredient that can elevate private practice success to new heights.   Private practice professionals, such as doctors, therapists, lawyers, and consultants, face unique challenges in their daily interactions with clients. Building strong relationships, managing client expectations, and providing exceptional service are paramount. These tasks go beyond the technical and clinical skills acquired through education and experience.    They require a keen awareness of emotions, both our own and those of our clients, as well as our employees, and the ability to harness that awareness to make informed decisions and cultivate meaningful connections.   Today we're talking with Jamey Schrier all about how you can become more self-aware and grow in your emotional intelligence - and why it's crucial to your private practice success. As Jamey says:   “How you handle yourself under stress will determine your success as a private practice owner.” In This Episode, You'll Learn: Why working harder is not the answer to achieving private practice success How emotional intelligence - how to handle emotions Why emotional intelligence is a more important factor to you your success than what you know as a therapist Tips for increasing your self-awareness - the first step for increasing your emotional intelligence A simple exercise to help you understand the things that trigger you  Jamey's “10-second pause” exercise that will help you be more present with the clients and people around you Tips to be more socially-aware so that you can recognize the emotions and challenges in others so that you can handle challenging situations calmly and successfully How emotional intelligence can help you develop better relationships with referral partners and grow your business Steps for dealing with negative self-talk so you can move past your own barriers and grow your business Simple tips to reducing your schedule so you can focus on yourself and the tasks that matter  Links mentioned in this episode: Practice Freedom U Take The Practice Quiz Emotional Intelligence 2.0 - Book (affiliate link)  

Sizzle and Chill Delray
Ep. 2 - From Soccer Star to Wellness Advocate and Social Entrepreneur: The Inspiring Journey of Devon Kerr

Sizzle and Chill Delray

Play Episode Listen Later Aug 21, 2023 34:52


Ever felt like you're on the wrong life path but don't know how to pivot? Join the club! But unlike most, our special guest Devon Kerr was brave enough to make the switch. Once a soccer superstar listed among the top 100 players in the US, Devin made his career in Germany before transitioning to broadcasting with MLS and ESPN. Tune in to hear his captivating story of self-discovery, his unorthodox journey to professional soccer, and the rituals that helped him stay on top of his game. Now, imagine floating in a tank, isolated from all distractions, and emerging with a clear and focused mind. This isn't a sci-fi movie; it's Dr. Schrier's reality. When life threw him into a mental health crisis, he discovered the transformative power of float therapy. Sharing his deeply personal experiences, Dr. Schrier takes us along on his wellness journey, which includes practices like cold plunging and sauna. Listen to how these unconventional methods brought him solace and mental clarity even in the darkest times. But Dr. Schrier's story doesn't end here. In the midst of the global pandemic, he came up with a unique business idea - Pay Back Pizza. More than just a pizza pop-up, it's a mission to help the homeless find their way back into the workforce. Understanding that providing jobs alone won't solve the issue, Dr. Schrier envisions to equip them with business skills and a franchise, turning the homeless into entrepreneurs. Tune in to be inspired by his heartening story of perseverance and his vision to create opportunities where few see them.Contact Dr. Schrier:Email:info@drelan.com Website: https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648Contact Devon Kerr:Facebook: https://www.facebook.com/devonkerr84?mibextid=LQQJ4d Instagram: @dvnkrr

The Be More Today Show
BMT EP 130: “The Fear and Fancy of Financial Freedom” featuring Physical Therapist and CEO of Practice Freedom University Jamey Schrier

The Be More Today Show

Play Episode Listen Later Aug 21, 2023 60:19


Jamey Schrier, P.T. is a best-selling author, speaker and CEO of Practice Freedom U, a business coaching and training company. He has helped scores of private practice owners treat less, and earn more, and enjoy a life of prosperity and fun. Check out our conversation about how to make more and work less in the health care system. Curious about what's standing in the way of you being a practice owner? For more information visit https://practicefreedomu.com/ and take their free survey today. --- Send in a voice message: https://podcasters.spotify.com/pod/show/bemoretoday/message Support this podcast: https://podcasters.spotify.com/pod/show/bemoretoday/support

Sizzle and Chill Delray
Trailer-Float, Sizzle, and Chill

Sizzle and Chill Delray

Play Episode Listen Later Aug 10, 2023 2:02


 Having always been incredibly passionate about healing, helping others, and paying it back, pun intended. I entered the holistic world of chiropractic and began carrying out my dream to help others in a better, more natural way than the rest of the world. Gaining insight and knowledge not only through my own personal crisis but also academically. I decided one day while floating and chilling myself, I was ready to create a safe space where we can share our stories, let things go, and trust the process of moving forward. Welcome to Float Sizzle and Chill, an extreme podcast about all the good things that help us heal. I'm your host, Dr. Schrier. Do you feel frustrated with all the options and conflicting information about what it takes, not only to look and feel good but to actually be healthy inside too?  Float, Sizzle, and Chill is your one-stop podcast for all things holistic. You'll never have to Google another fad diet or trendy health craze again, then waste time questioning and wondering whether it'll work for you. I'll do the research for you and when you join me and my Epic guests each week, such as successful athletes, knowledgeable practitioners, and other holistic healers, you will hear what speaks to you so you can live your best life. We'll talk about the latest and best in health, wholeness, anti-aging, and how to let go of any emotional hang-ups keeping us from living a full, healthy, and prosperous life. Oh, and a portion of all the revenue the show generates will be given a charity. Talk about paying it back. There you go again. Come float, sizzle and chill with us on Apple, Spotify, and watch us on YouTube wherever you listen to your favorite shows.  Contact Dr. Schrier:Email:info@drelan.com Website: https://www.drelan.com/For specific questions, or to schedule an appointment in our Delray Beach, FL location, please call (561) 445-2648

Navigating the World with Your Aging Loved One
Flourishing Together: Community and Innovation in Dementia Care with Allyson Schrier, CEO and Co-Founder of Zinnia

Navigating the World with Your Aging Loved One

Play Episode Listen Later May 17, 2023 59:42


Allyson Schrier's life took an unexpected turn when her husband was diagnosed with frontotemporal dementia. At the time, he was 47 years old, and their kids were 12 and 15. Like many families, they faced the challenges of caring for their loved one and have a deep desire to help families thrive beyond the diagnosis.   My guest today is Allyson Schrier, CEO and co-founder of Zinnia. Allyson is also the recipient of the Maude Awards for innovation in Alzheimer's care and was named a visionary caregiver by caregiving.com. Zinnia was formed in 2019 in response to Allyson's experience as a dementia family caregiver. Allyson joined forces with the former designer of Apple's memory product, and together they created an app for connected TVs and a mobile app that delivers a library of videos functioning as a non-pharmacological tool to create connections, reduce stress, and provide soothing aids to help with daily living activities.   In our conversation today, Allyson vulnerably shares her experience as a spouse caregiving for her husband, as well as the factors we should be looking for. We talk about the specific challenges of frontotemporal dementia and the unique dynamics of spouse caregiving. We shed light on early detection, as the average age of diagnosis for this condition falls between 30 and 50 years, but confirmation can often take a long time. We discuss what we should be looking for and Allyson's personal journey in finding hope and managing caregiver burnout, while also covering available resources such as the invaluable expertise of Teepa Snow and the groundbreaking work at the University of Washington's Memory and Brain Wellness Center.   We also address the delicate issue of when a loved one wants to keep their condition a secret and discuss the gifts that come from sharing the diagnosis with friends, family, and coworkers. Together, we explore the power of finding community and the impact of research and prevention. Allyson shares about the innovative partnerships they've established, including the collaboration with Touchtown and their participation in the Techstars Future of Longevity Accelerator. This has been a transformative journey for Allyson, and she emphasizes the importance of supporting one another in driving to make a difference in the lives of those living with dementia. Their mission is to ensure that no one faces the challenges of memory loss alone, and Allyson's call, like the name and flower of Zinnia, is that we bloom even in the harshest conditions. Zinnia helps people flourish beyond their diagnosis. Thank you, Allyson, for your work in education and advocacy! Learn more at https://www.zinniatv.com/ *This episode is brought to you by Gigi Betty co. A boutique gift shop raising awareness and funds for caregivers and care partners. Show now at www.gigibettyco.com. Use the special code WILLGATHER20 for 20% off your order- Just for our podcast listeners!   We are not medical professionals and are not providing any medical advice. If you have any medical questions, we recommend that you talk with a medical professional of your choice. willGather has taken care in selecting its speakers but the opinions of our speakers are theirs alone. Thank you for your continued interest in our podcasts.   Please follow for updates, rate & review!   For more information about our guest, podcast & sponsorship opportunities, visit www.willgatherpodcast.com   Instagram: @willgather Facebook: WillGather   Nicole Will is our host and founder of willGather.

New Books Network
Karen Schrier, "We the Gamers: How Games Teach Ethics and Civics" (Oxford UP, 2021)

New Books Network

Play Episode Listen Later May 11, 2023 36:11


Ethics and civics have always mattered, but perhaps they matter now more than ever before. Recently, with the rise of online teaching and movements like #PlayApartTogether, games have become increasingly acknowledged as platforms for civic deliberation and value sharing. We the Gamers: How Games Teach Ethics and Civics (Oxford UP, 2021) explores these possibilities by examining how we connect, communicate, analyze, and discover when we play games. Combining research-based perspectives and current examples, this volume shows how games can be used in ethics, civics, and social studies education to inspire learning, critical thinking, and civic change. We the Gamers introduces and explores various educational frameworks through a range of games and interactive experiences including board and card games, online games, virtual reality and augmented reality games, and digital games like Minecraft,Executive Command, Keep Talking and Nobody Explodes, Fortnite, When Rivers Were Trails, Politicraft, Quandary, and Animal Crossing: New Horizons. The book systematically evaluates the types of skills, concepts, and knowledge needed for civic and ethical engagement, and details how games can foster these skills in classrooms, remote learning environments, and other educational settings. We the Gamers also explores the obstacles to learning with games and how to overcome those obstacles by encouraging equity and inclusion, care and compassion, and fairness and justice. Featuring helpful tips and case studies, We the Gamers shows teachers the strengths and limitations of games in helping students connect with civics and ethics, and imagines how we might repair and remake our world through gaming, together. Rudolf Inderst is a professor of Game Design with a focus on Digital Game Studies at the IU International University of Applied Science, editor of “Game Studies Watchlist”, a weekly messenger newsletter about Game Culture and curator of @gamestudies at tiktok. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

The Practice of Therapy Podcast with Gordon Brewer
Dr. Jamey Schrier | Creating True Private Practice Freedom | TPOT 278

The Practice of Therapy Podcast with Gordon Brewer

Play Episode Listen Later May 8, 2023 45:56


In this episode, Dr. Jamey Schrier, a physical therapist who has been in the business ownership world for over 25 years, joins the show. Jamey shares his experience working with hundreds of practice owners and what it takes to create true practice freedom. He also discusses his background and how he got started in business ownership, highlighting the importance of taking a leap of faith to pursue your passions. He also discusses the common challenges and misconceptions associated with private practice ownership and offers practical advice on how to avoid burnout and achieve success in the long run. This episode provides excellent resources for those interested in practice building and learning how to do a better job in business growth. Resources Mentioned In This Episode Use the promo code "GORDON" to get 2 months of Therapy Notes free Join The PsychCraft Network Today! Launch Club The Practice of Therapy Community Focus Groups Dr. Schrier's Website Dr. Schrier on YouTube Dr. Schrier on Facebook Dr. Schrier on LinkedIn The Practice Freedom Method Why You Should Outsource in Private Practice

HEALTHCARE HACKS AND CONNECTIONS
Creating Lifelong Customers Through Relationship Marketing with Jamey Schrier

HEALTHCARE HACKS AND CONNECTIONS

Play Episode Listen Later Mar 16, 2023 41:31


How do you market your physical therapy practice? How do you communicate with potential and existing clients? Have you ever heard of relationship marketing? Acquiring a new client is 5 to 25 times more expensive than keeping those you already have. A PT practice (and any business in general) that consistently shoots for new clients as their primary sales objective, will inevitably fall short with modern clients. The less you prioritize people, the less they will buy from you. Relationship marketing is founded on the premise that authenticity and honesty is what sells. In today's Healthcare Hacks and Connections episode, Nate will interview Jamey Schrier, P.T, a best-selling author, speaker and CEO of Practice Freedom U, a business training and coaching company. His book, The Practice Freedom Method has helped scores of private practice owners Treat Less, and Earn More, and enjoy a life they deserve. Jamey will touch on such topics as:How to look at the past and use it to improve the future.Effective hiring strategies for 2023.Breaking down relationship marketing and the advantages it offers.Why you should make your relationship marketing efforts less salesy and more authentic.The Give A Crap Strategy: Breaking through the noise to make sure your message reaches the intended audience.Make relationships with people that can send you lots of people. Hack: You will make exponential growth in 2023 by being quick at learning from your past mistakes and applying different strategies to achieve better results. Reach out to Jamey Schrier:Social Media:LinkedIn: @jameyschrierInstagram: @practicefreedomuFacebook: @PracticeFreedomUTwitter: @JameySchrierWebsite: https://practicefreedomu.com/Get Your Copy of his Book: The Practice Freedom Method by Jamey Schrier Reach out to Me:Socials:Instagram: @thepodcast_docFacebook: www.facebook.com/nate.navas Affiliates:physiomemes.com (Discount code = Nate20)www.poddecks.com (Discount code = PODDOC)

Rocci Stucci
WWII Iwo Jima Veteran Don Graves Joins Battle Scars Podcast

Rocci Stucci

Play Episode Listen Later Mar 5, 2023 73:11


Rocci Stucci and Tim (TK) Klund officially kicked off Battle Scars Podcast at The Country Network in Fort Worth, TX. Their first guest was B. Taylor Ambassador. You can catch the episode HERE:Going into the second episode, we're honored to sit down with WWII Iwo Jima Veteran Don Graves. Saturday, March 4th at 6PM CST.For most it's an iconic moment captured in a timeless photo and placed in just about every U.S. history book in existence: that moment a group of United States Marines planted the American Flag on the peak of Iwo Jima during World War II.It's an image of patriotism for most, but for Don Graves it's a memory that still lives as clearly in his mind as it did the day after he stood just feet away from that flag being planted in the rocks.“That was my Colonel's flag,” said Graves who was 19 when he and his unit fought in that infamous battle. “He gave it to Lt. Schrier and said, ‘put this up Harold. Get some boys together, and put it up for me.'”Graves, who's now in his 90's, said gunfire was raining down on him and his fellow marines as they took in the sight of that flag being planted on the Japanese island; a battle that ended up being a major step in victory during the war.https://battlescarspodcast.comhttps://butverve.comhttps://romikadesigns.com

Hypermobility Happy Hour
62 - Camille Schrier on Advocacy, Awareness & More

Hypermobility Happy Hour

Play Episode Listen Later Jan 31, 2023 65:49


On this episode, Camille Schrier returns to talk about her life as a pharmacy student and her continuing advocacy efforts regarding Ehlers-Danlos Syndrome. Camille graduated with honors from Virginia Tech in 2018 with dual Bachelor of Science degrees in Biochemistry and Systems Biology. She is currently pursuing a Doctor of Pharmacy degree at Virginia Commonwealth University. In 2019 Camille earned the title Miss Virginia after performing a science experiment (the catalytic decomposition of hydrogen peroxide) as her onstage talent. In December 2019, Camille was named Miss America 2020, again after showcasing her science skills. Camille also provides STEM outreach via Her Royal Scientist. Links: https://www.camilleschrier.com

Healthy Wealthy & Smart
Jamey Schrier: Perfect Pricing: How to Price, Charge and Get Paid for What You Do

Healthy Wealthy & Smart

Play Episode Listen Later Nov 29, 2022 46:00


In this episode, CEO of Practice Freedom U, Jamey Schrier, talks about pricing your services appropriately. Today, Jamey talks about the guilt surrounding pricing, accessibility and luxury, and the 3X model. How should we express the outcomes of our services? Hear about job security, pricing according to the market, and get Jamey's advice to his younger self, all on today's episode of The Healthy, Wealthy & Smart Podcast.   Key Takeaways “You don't strengthen the weak by weakening the strong.” “We need to charge appropriately for not what we do but benefits that we provide.” “Always get paid for R&D.” “People will pay for your results.” “I would've gotten help from an outside source sooner.”   More about Jamey Schrier Jamey Schrier, P.T., is a best-selling author, business coach, speaker, and CEO of Practice Freedom U, a business training and coaching company. Jamey has helped hundreds of private practice owners Treat Less, Earn More, and live a life of prosperity and fun.   Suggested Keywords Healthy, Wealthy, Smart, Pricing, Money, Quality, Experience, Value, Business,   Resources: FREE GIFT: PT Practice Quiz.   To learn more, follow Jamey at: Website:          www.practicefreedomu.com. LinkedIn:         Jamey Schrier. Instagram:       @jameyschrierpfu. Facebook:       Jamey Schrier.   Subscribe to Healthy, Wealthy & Smart: Website:                      https://podcast.healthywealthysmart.com Apple Podcasts:          https://podcasts.apple.com/us/podcast/healthy-wealthy-smart/id532717264 Spotify:                        https://open.spotify.com/show/6ELmKwE4mSZXBB8TiQvp73 SoundCloud:               https://soundcloud.com/healthywealthysmart Stitcher:                       https://www.stitcher.com/show/healthy-wealthy-smart iHeart Radio:               https://www.iheart.com/podcast/263-healthy-wealthy-smart-27628927   Read the Full Transcript here:  Unknown Speaker  0:02   Hey, Jamie, welcome back to the podcast, one of my most frequent guests, and I love you for coming on. It's so great. I love seeing you. If only your wife would were here, that would make it so much better. Unknown Speaker  0:14   Well, thank you so much, Karen. And she couldn't be here. But I think she's having fun with her friends, because it's around the holidays. And that's what she does. Unknown Speaker  0:23   Oh, wow. Next time she's coming on. So let's see, last time we saw each other was that PPS in Colorado? And you had you did a pre con there, right? What was that pre con about just kind of tell the audience in case you do it again, we can get some you know, Unknown Speaker  0:44   it's it's one of my it's one of my best pre cons. It's one of my best workshops, it's five steps to additional five figures. And what I do is just grab, like, a few key areas in every business needs these. So for this one, we did a lot of foundational stuff around vision and values. We then went into messaging like, actually, how do you communicate what you do we always complain, no one understands what we do. Chad went into a whole thing on you know, how to develop your message and how to put this message everywhere. So people actually understand what you do. And let's see, we did delegation. Who not you. So to get that stuff off your plate that we all hate doing. You and I are talking about behind the scenes, video editing, it's, we all have things that we hate doing, you hire someone else. And we did some other things around development of systems. So it was four hours, and it was awesome. And it went like just like that. Unknown Speaker  1:52   I'm sure it did. Well, it sounds great. And if you do it again, hopefully at PPS people you'll get I know you had like a sellout crowd, right? Unknown Speaker  2:02   Well, yeah, I mean, we had it sold out in like a few days. And I thought that we're going to expand it, because we had plenty of room but there was some mix up or whatever. So I'm hoping I can get back there next year and literally do the same talk. I think we could probably get 150 people in there without without a problem. Because it was it was great. I got people still reaching out to me saying, oh my god, I did what you said I, I tweaked my my ad and all of a sudden people reached out to me, they want to work for me. Amazing. There's no secrets, but there's definitely some certain principles that can can always help us. Right, right. Unknown Speaker  2:38   Absolutely. And so today we're gonna talk about pricing our services. So this is a question I get a lot, I'm sure it's something you get a lot. And I have a feeling it's what a lot of people struggle with is how do I price my services appropriately? So what is your best advice? Let's just start with that. So how do we how do we properly price our services? And before we even start, I'll also say, I think a lot of physical therapists, maybe you may disagree, are uncomfortable around this conversation of pricing. Because Unknown Speaker  3:19   therapists are uncomfortable around the conversation of money. Right? Unknown Speaker  3:23   Right. So let's start. Let's start. Let's start with that. So what do you say to those people who are like, Oh, I don't know, I feel bad. I feel bad charging people for what I do. How many times have you heard that? Unknown Speaker  3:37   A lot. I heard today, I had three conversations. One too, with clients, current clients and one with someone that was interested in our program. And they all brought up the same word guilt. Guilt is a word I hear so often. And it's the guilt of whatever making money, the guilt of what I should be charging the guilt of, you know, I feel like it should be in with my team and working all the time with them. Or, you know, it's just this idea of this guilt is a motion that isn't a rational emotion. Right. It's an irrational emotion. And that kind of leads us to making some decisions that aren't beneficial for anyone. So, you know, when people say, you know, I, I feel bad about charging and, you know, my, my response back is, you know, what, specifically do you feel bad about? And that's when they kind of stop and it's more of, well, why don't really know, like, they don't know why they feel bad. It's almost like a default mechanism. Right? It's just, it's if you say you feel bad, it's, I kind of refer to it almost like I feel bad. So I'm a good person. Like if I feel bad about charging people, I'm a good person. Now you and I would do a reframe on that. If I don't to charge you, then you don't get to experience my services in a way that you get to pay and feel the value of what I deliver, like that reframe all of a sudden changes the whole relationship. But we don't look at it from that way, a lot of times, I mean, obviously, if we really wanted to become multimillionaires, we probably wouldn't have gone into physical therapy. So we would be, you know, right down the street from in Wall Street. So, you know, many of us do have this idea that helping people and doing good in the world somehow means we shouldn't make money or can't make money. I mean, there's some deep money blocks that that are going on there. And I think that's what interferes, when we try to determine how much do we charge for our services? Unknown Speaker  5:50   Mm hmm. Yeah. 100%. And, you know, I think early on in my career, I had those feelings of like, wow, I don't know, I don't feel right about this. And then, and then you realize you have that mind shift of like, well, wait a second. If I am not charging appropriately, to keep my doors open, then I'm doing a disservice to my community, because I can't reach the people I need to reach. Unknown Speaker  6:20   Yeah, I mean, I say this all the time. It's, you don't, you don't strengthen the weak by weakening the strong, we are the strong, the business owner is the strong, we're the one that's taking this risk. We're the ones that is, you know, trying to create this vision is something that we want to do and help other people. And yet, we're the ones that work more hours than anybody in our business. Typically, if you add up the hours, you work by what you pay yourself, you're making less than your therapists that you're that you're paying. And you're stressed out, it affects your relationships at home, it's like you give your best to the people that you work with. And you give whatever energy is leftover to the people that you love and that are at home. Right, the whole model screwed up. And it has a lot to do with kind of kind of going back to either our childhoods or what schools kind of teaching us or whatever our influences are, that is screwing us up when we go into this business of physical therapy. Unknown Speaker  7:24   Right, right. Because, for me, what was the biggest aha moment or a change in mindset, if you will, is going from being a physical therapist who happens to own a business, to being a business owner, who happens to be a physical therapist. So once you're in that business owner mindset, you need to keep your doors open, you need to know what you need to make to turn a profit to gosh, I mean, at least pay your bills, right. But you should want to pay your bills and turn a profit. So you know, when it so let's talk about when it comes to pricing. Is there a formula? Is there something that people can look at or can plug and play? That gives them a better idea on what they can charge? Unknown Speaker  8:18   Yes. So I like to share a little story with you. Um, New York has some beautiful hotels, right? What's What's the nicest hotel you know, of in New York? What's the peninsula? Unknown Speaker  8:33   Peninsula, you're like, I don't know. flippin insula. Unknown Speaker  8:36   I don't know. Okay, the peninsula. Pretty Unknown Speaker  8:38   nice place, right? Right charges. Who knows how much per night but it's not. It's not like 150 bucks. And then there's the opposite end of the peninsula, there's probably, you know, maybe a red roof or something floating around there, maybe a small little Fairfield inn or whatever the case is. Right now, the peninsula probably does pretty well. And I know the Red Roof Inn, they do pretty well as it also. So these are two hotels. These hotels have to make a decision about what is your avatar? What are you about? What do you stand for? And if the peninsula thinks that they're trying to be a red roof in and do some of the things that the Red Roof Inn does, then you as someone that loves peninsula will be turned off. And of course, if the Red Roof Inn starts charging $20 for water in the room, which I imagined the peninsula will do minimum, then you're going to turn off that ideal client. So it is not about what you charge, you first have to answer the question, Who is the audience you're trying to track? And even before you answer that, you have to go in too, what are you about? Where do you put yourself from the peninsula, the high end, Four Seasons Hotel even higher, and the Red Roof Inn, because it isn't bad and isn't good. They're just very different in how they identify their avatar, and how they deliver deliver services and how they market and how they deliver the experience of the Avatar, they both have an avatar, and they both do financially very well. That's where we have to begin, we have to begin with identifying well are we going to be more of a place that might be, hey, we're a little bit more of a volume business, we accept insurance, we're only getting paid 50 bucks a pop, we got to see three people an hour, we do pretty good service, the beds are clean, the pillows work, you know, we keep the place clean, we keep the lights nice, but it is it's like you're going to stay the night and it does the job. Versus Are you going to be a high end boutique, high touch kind of place, you're going to do things that most places don't, you're gonna get that call, the person is going to have your cell number they're going to reach out to it's just a different experience. Each of those places has to charge a different amount they have to write this is really an exercise on clarity. This is an exercise on you looking in the mirror and saying what is this place about? And you have to be honest, because if you're like, well, we deliver the greatest care in New York and where the best work, okay, then that means you have to align your business to demonstrate that don't say you're the greatest, and you got a leak in the ceiling. Your carpet hasn't been changed in 20 years. Right? You know, you got some water fountains sitting outside. One of my one of my clients, he's in Brooklyn, he, you know, we did this exercise years ago, and I said, Lou, what are you about, and he goes on Equinox, I go, um, hi. And he does PT he does ot he does, you know, a little bit of rehab stuff. And by golly, you walk into his place, it is high. And that is his whole way of doing things from the towels he gives in the bottle of water in the art, everything is for that person that appreciates that. And yes, many of his non insurance prices reflect that. So that's, that's where you have to start, you have to determine where you are on that spectrum, let's say make it easy. Let's just say it's one to five. All right, the wine is solid, nice. Probably a little more volume ish, lower price, the high end Peninsula, that's where you have to start. Unknown Speaker  13:06   Yeah. And that's when I sort of started my business, I sort of coined the phrase like a concierge practice, because I patterned my business after a high end concierge is like at the peninsula, or at the Four Seasons, or at the, I don't know, the Andaz or something like that, right, these very high end, hotel chains that go above and beyond, you know, they go the extra mile. And so that's how I created my practice and what my practice is, you know, we're all about excellence in every sense of the word. Unknown Speaker  13:47   And if you said that to me, and I'm like, Oh, my God, that's great. I love that because I'm status, right? Yeah. When someone tells me the peninsula, it's not because the beds are really that much better. They probably are. But it's not because of that. Let's face it, Seth Godin talks about this all the time, it's connecting with status on a certain status. Now, if you said, I'm the greatest, and you told me you charge $75 a visit, I wouldn't go to you, right? Because that's not enough. I need to be connected with the best, right? Let's face it, the best usually has the biggest price tag. That's why Mercedes, that's why BMW are a different level than some of the other car companies, right. That's what people expect, even if they pay a lower amount, because they started bringing their prices down to fit a different type of it still has that element of oh, I drive a Mercedes. Unknown Speaker  14:43   Right. And I think it also comes down to you know, you're looking at that word luxury. Right. So I and I often wonder, I do I think physical therapy is a luxury item. I don't I mean it Well, it could be, but I do think physical therapy should be accessible to everyone. But why can't you be accessible and be luxury at the same time? Unknown Speaker  15:11   Well, that's interesting. So you're going to start now moving towards a little bit of the heartstrings that you and I have talked about many, many times. This is where people get into trouble, right? I'm working with a client right now. And he's coming out of a really bad situation for the last couple of years, because he made a decision and impulsive financial decision to accept Medicaid, his businesses, typical outpatient, ortho, you know, one of those types of places, whenever be a half hour type of thing. And he did this because he said, Oh, my God, there's nobody doing Medicaid. The money's not too bad. And we don't even have to mark it, we can get a million people. Well, what he failed to really go through is realize that this population didn't align with everything else that he's doing. It was a completely separate population. It doesn't mean he couldn't have them in, but it was just mixing everything up. almost cost him his business. So he realized, oh, yeah, it was it was seven figures, it was costing him. So he realized, Oh, my God, this is a disaster. Now, he said, like you said, I wanted to try to help and serve more people. So I can help them serve more people. It was easy to generate a referrals. And we can see the population. But the population that came in the type of services that were delivered, the type of culture, not bad or good, it was just very different. What they had, so it caused a lot of internal strife. And of course, the amount of work it took to actually get paid from the government. Unknown Speaker  16:56   Right, right. Yeah. Unknown Speaker  16:59   So when you start doing things out of alignment, just like our spine, when your spine is out of alignment, it starts to create a problem, it starts to break down. So this this a question about what should I charge? The question is, what are you about? What do you believe in? And then you start to do research, not comparing yourself what someone else is charging. You do research around? I'm similar to Karen. I feel like I'm that place. What is Karen charge? She charges 250 a visit? What is someone else? HR 300. This purchase this person charges? Two. So now, you know, anywhere from two to 300 is in that world? Unknown Speaker  17:42   Yeah, you're in the right ballpark, Unknown Speaker  17:44   you're in the right ballpark. Now that number can be I don't know, I mean, people that say, Well, I charge 125 of this, like, Okay, the first question is, is that number going to get you what you want? And that's a hard question to ask, right? Why would you want to make? Well, I want to make 200,000 I go, Well, 125 an hour is not gonna get you there. I don't care where you live. Right. Right, right. These are really difficult questions that we have to answer. But the idea is, value is not about. It's not about the techniques. It's not about all that stuff. You're learning all that stuff that our profession sells us, you got to learn more about this stuff, you got to have the fancy technique. It's not about that values, really about the big result. You help people plus the benefits that you add the result or the outcome, and the ancillary benefits. That's ultimately what we're selling, all of us are selling. And if you do this exercise, right, you really start looking at Karen, well, what is the big result that we're giving people? Yes, we're getting them out of pain. But what are they getting back to? They're getting back to running, they're getting back to work. They're getting back to living their life in full. You tell me what that's worth. Because if you dig down deep enough, guess what it's worth? It's priceless. Right? If you truly think about what we do, it's priceless. Because of our health because we only have one body. And you know, if you don't feel good, it's just a miserable, miserable way. So if the value that we provide is really priceless. Then we're just using the the hotel model to figure out where we want to be. And then we align our business and we align everything else we're doing in that way. Right the alignment that's the biggest issue. Because we all say we want to be the boutique, especially the cash base programs, we want to be boutique but our heartstrings, in the way we run our business is the red roof in one's not bad ones not good. It just doesn't aligned. And that creates stress. Unknown Speaker  20:10   Right, right. Yeah. So I think if, as when you're thinking about pricing, and correct me if I'm wrong here, but I think you want to look at quality, like, what is the quality of the product you're delivering? What kind of experience and reward are you creating for your patients? Is it through like a controlled sort of channel? Or is it chaos? That makes a big difference? Nobody wants chaos. And then finally, is it a personalized service? Or is it cookie cutter? And I think you have to think about all of those things before, as you're thinking about your pricing. Don't you think? Unknown Speaker  20:56   I'll push back a little bit on that? Yeah. I've never met anyone that told me they had a cookie cutter practice, ever. We everyone knows people. But when you look at yourself, right, says they have a cookie cutter practice. Right. Right. So you know, you said you said something about experience. I'll push back on that. I don't really care how much you know, I know. I Unknown Speaker  21:22   don't I don't mean, my experience. I mean, greens for the patient. Oh, their experience? Yeah. Have creating a good experience for your customer? I've heard that before. Yeah, that's my experience. No, no, no, Unknown Speaker  21:36   I got 10 years and 20 years. I'm like, No, it's the value you provide? Unknown Speaker  21:41   Yeah, no, I mean, the, like the patient experience, I should have been more specific the experience that you provide for for them? Unknown Speaker  21:50   Exactly. I mean, you know, look, if you're providing if you feel you're providing a higher service, and part of that higher service is creating an experience that really meets people where they are and meets their physical needs, their emotional needs, and all these other needs that they have, then you need to price it appropriately. So you need to look at other places that do something similar, and get an idea of where you should be. Right. I can tell you right now, nobody does that. What they do is they just pick a number out of the hat based on their internal guilt system. Am I feel okay with this number, or if I feel too guilty with it, it's a completely irrational system. And that's how they do because I've seen people people come in our program, and I go, how much you charge? And I like 121 30. I'm like, is that what you're worth? They're like, No, I'm worth 180. I go in charge 180. They're like, really? I can do that. I'm like, Sure can. And then you start getting into, well, what if they say no, what? Every single time very few people ever lead, they just gave himself a massive raise. And now they feel better about the services are providing, right? Let's face it, I guarantee when you were a little younger, as a therapist, you charge less, there's a slight little resentment, I care and just a slight, just a little resentment, like, I'm so freaking good at what I'm doing. And I'm only charging this amount. I know with me there was because I spent a fortune on my education, continuing it hours upon hours learning to get paid the worst paying insurance that I accept it. Right. I mean, it's it's a tough thing. But you need to really look at, you know, a great exercise I like to do is what are the benefits your service or program provides? Like, if you're trying to figure out what are the benefits? What is what is the model? Like, what is the treatment model? We refer to it as the business model. You know, this is the revenue you make for the program or for the service. And then what does the market charge for a similar thing? Now I know people listening will be like, well, no one does it quite like me. No one will ever do it quite like you. But let's face it, there's other people that do something similar to the outside public. It may not be similar to you, but if you're looking outside, it's similar. That will give you an idea of where where you can play, whether you get the high end, the middle end or the low end, not service or anything, just the lower end of what you're going to build for the services. And typically, like you said before, the lower end you charge, you're going to have to do more volume. I just did a masterclass and financial unit We're talking about this yoga program around financials and financial statements and how to look at what's a profitable model. And I like to use the three times model, meaning whatever you charge, per, whatever you charge, whatever you make per hour, has to be three times of what you're paying the person to deliver it. So if you're paying someone $50 an hour, that person has to generate at least $150 an hour. If not, there's not enough money for profit, and for overhead, and salaries and labor costs and all that. So that three times model was always a good model, you can use that really easily in the cash base model, right? Because typically, in a cash base model, you're literally just paying because a lot of cash base is an hour. But hey, if you're paying the person $50 an hour, you can charge less than 150. That makes it really easy to figure out. But I know your model, you're like, I'm not doing three times my models five times, even better. And as long as people are willing to pay it, and you feel good, and they feel good. This is more of a mind a mindset. What do you value, your own services. And the challenge we all have Karen is, once we learn all this stuff, once we go through all the heartache, once we go through all that stuff, all the money and everything, we typically forget about how much we put into doing this. And we only look forward, we only look at other people that we think are better than us. And they know more, and who am I to charge more, they don't even charge that much. When we get into that whole world. And that's tough. We need to to charge appropriately for not what we do, the benefits that we provide. Right? Right. That's what we're billing out. We build out outcomes benefits results. Unknown Speaker  27:02   100%? And how do you? What do you advise people to? Or how do you advise people sorry, to? To express that, to whether that be on their website? Or when they're talking to a patient on a sales call? How do they express what they do for them? So what those outcomes would be? Because in the end, everyone's always like, How much is it? Which is normal? Like if people are coming for your services, they should know how much it is right? So how do you so now we're getting Unknown Speaker  27:41   into the sales conversation? Well, you know, my favorite topics. Yeah. Unknown Speaker  27:48   It's up to you how deep of a dive you want to go on this. Unknown Speaker  27:51   But I love I love the sales conversation because it can be really, really simple. Right? I don't have a complicated sales process. I had three calls today. They're the most genuine, authentic just conversation, here's the thing. Step one, identify where the person is, what trouble what pain, what difficulty, are there have it step one be? What are those? What are the problems that they're having? How are they affecting their lives? So in our world, in the marketing world, it's called pain points. What are their pain points. This is not just physical pain points. These are emotional pain points. It could be spiritual pain points, it could be financial pain points, think about financial pain points for a second. So you're working with someone, and you're helping them potentially to avoid a $35,000 back surgery. So there's huge benefits to this, right, you're also potentially avoiding them because they don't want to take medication. So they're now not going to be hooked on oxy. So what's the benefits of that? What's the results of that? So you always start with where people are, have the problem that they're having. So we call them you start in the pain. And then you transition to their desires, their aspirations, their wants, what do they want? And I've had people say to me, well, Jamie, of course, they want to be out of pain. I go, No, they want more than that. Getting out of pain is one part of it. But to do what, like I've had chronic back pain for 30 years. Now when my back pain flares up. First of all, I'll write a check. I don't care how big 100% Right Second of all, what I want is not to get out of pain, necessarily. I want to go back and play basketball. Now of course, it's a hell of a lot easier to play if I'm not in severe pain. Now the question was, or the question is, so what is it about basketball? Well, it's social. It's physical. I stay in shape. I stay connected with my friends. What happens if you can't play basketball? Well, frankly, I'll get a little depressed. I'll just be a slob. I you know, a walk around the neighborhood but that's I'd like to talk smack with my buddies. So you get people into this emotional place of where you are now. And where they want to be where they want to be. The only thing that you need to provide, besides a sense of trust, which is, what's the biggest thing you provide, is you're providing a bridge from what I like to refer to as the House of Pain. Because I like to house the pain. Sure, jump around to play. Yeah, Unknown Speaker  30:30   of course, that was that was House of Pain, right? jump around, Unknown Speaker  30:33   I know you you got the House of Pain, to Pleasure Island, are going from pain to pleasure. The thing that gets us there, the bridge that gets us from pain to pleasure. That's what you provide. Now, if they want to know the specifics of what you do, then you can share the specifics you could share Well, step one, we do an intake evaluation, and we go through ABC, step two, we determine what's going on step three, we turn the player of the plan, step four, we get you better. So 1234, that's our plan. So because when I trust you caring, if I trust you, I don't need to know every little thing that you're going to do. I really don't care. All I care about is can you help me get what I want? And get me out of this place that I'm at right now. This is the, quote, sales conversation. I have. I mean, I tell people what the sales conversation because people think this is like some bait and switch, some coercive, the best sales conversation in the world are the ones that are most authentic, most genuine, and you actually care and you want to understand where they are. And you want to understand where they want to go. And you have confidence in what you do. If you don't have confidence. You show up weak weaknesses in something people trust, and you show up. I don't know if you're gonna be they really helped me. So if I asked you well, how much do you charge? Well, I don't I mean, kind of I mean, is 100 too much? I mean, I mean, I'll see you a couple of visits, like, you start almost apologizing, right? I've done it. Unknown Speaker  32:21   I've done it. I've done it a million times. 100. Yeah, absolutely. Unknown Speaker  32:26   But I've gotten over my emotion towards money, because that was my issues. And now it's just very clear. Well, here's what the program is, here's what we do, here's how much it costs. Hey, whatever, you know, credit card, check, whatever worried. And, yeah, I mean, this, this is where, you know, when we do an exercise around sales, you come out of this, not thinking twice about it. But we have to appreciate the fact that we went into physical therapy, we do have some money issues, we do have some guilt issues. But we can address those, because those aren't helping us get create the life that we want. And that's not going to serve the people we want to serve. And that's not going to attract the people that want to work for us either. Right? Because your staff, as much as we like to say, well, the generation, whatever generation we're on Z, Y, whatever, they don't want to work, they don't want to do anything they don't want to nobody wants to work for a boss who's broke. Because you know, why selfishly speaking? Karen, if you're broke, that means my job's unstable. My security is unstable, right? I want you to do well. So it's not that I don't want you to do well. But let's face it, it's it's it's expensive out there. And I want to make sure that I'm secure. So most of the people that bitch and complain about the people out there, they volunteer about his money. Well, the problem is, why can't you afford to pay them? And it's because you're not running an efficient business. Because of some of the things we talked about. Your services aren't priced correctly, you don't know actually how to position and sell your services. But those are skills. Those are skills you can learn there's nothing magic about it. Unknown Speaker  34:15   Right. And you can practice those skills. Absolutely. You have Unknown Speaker  34:19   to practice Yeah, well, how many when I worked with my, one of my first coaches in this business and in the coaching and training business on my nine years ago, he had me do this extra because he I had so much damn money stuff in my head. He goes, what what's the most you've ever sold in a program is like $500 Like, okay, so you're gonna charge $5,000 for your upcoming 90 Day Program. This This was the first thing I sold. I didn't sell a $97 program or $7 The first thing I was selling despite that I was sweating. And I go what do I say because you say exactly this. You ask them about this, you ask smell that. And then you say, here's what the price is, and you shut up. And I was scared I was sweating up for people said, Yes, I made more money in that thing. And they ended up being clients for a long time. Right? So what he had me do here was the exercise. He goes, I want you to practice doing the sales on your phone. And then I want you to send it to me. I'll give you some feedback. You do it again. So I practice 10 times. give me feedback. I practice 10 more, I knew the sales close. Right? Hey, so what are your thing? All right. So this, what do you that? So I kind of practice that, that thing. And by the end, I'm not saying I still didn't have some issues and butterflies when I said it, but it was a lot less emotional for me. And, of course, the people came on and they they loved it, they did well. So this is what we get to do we get to increase our skill levels and capabilities by practicing for sure. Unknown Speaker  36:06   Right, right. And and it's okay to not be perfect right out of the gate. Unknown Speaker  36:12   You're not going to be perfect, you're gonna screw this up, of course, you're gonna mess it up. And you know what, they're still going to pay you. Unknown Speaker  36:20   That's right. That's right. Unknown Speaker  36:22   Another mentor of mine told me always get paid for r&d. And everything's r&d. In other words, everything we're doing, we're just practicing, right, we're gonna practice this, you might as well practice it on people that can write new checks and come in as, as a patient. So, lean into the fear, lean into the worry, practice the the conversation and all that figure out where your price point is, and be confident people, people will pay for the results. Now, that's not your population. If your population is $125 a visit, that's fine, that's fine. People will pay for the results. That's right, you get to choose where your thing is, the only advice I would give you is just make sure you're at that three times multiple, do not charge and we're not talking about you because nobody pays themselves. We're talking about if you are someone if you're just a solopreneur. If you are someone to deliver services, just make sure what you're charging is three times what you pay them. If not, you're gonna you're gonna buck up on some on some issues there. Unknown Speaker  37:38   Right, right. And I think that's really good advice, and kind of a one. One have a really good solid takeaway from our conversation. Are there any other takeaways that you want the audience to remember? Unknown Speaker  37:54   Decide whether you're the peninsula or the red roof. Look for the people in that level of your market. Look at where they are and what their services are, and charge and price accordingly. Absolutely, Unknown Speaker  38:11   yeah. Yeah. I couldn't agree more great advice. Did we miss anything in our conversation? I feel like we hit a lot of really solid points. Was there anything that you were like I really wanted to get this point in? And we didn't hit it? Unknown Speaker  38:26   No, I don't think so. I mean, you know, you and I have lots of conversations around this. wish this was more complicated. It's not. It's not complicated. We make Unknown Speaker  38:38   it complicated. Unknown Speaker  38:39   I don't want to make it more complicated. Because I'm really good at doing that. I don't want to make this complicated. By giving all this other stuff. Here's the biggest problem we have with this. It's not that we're great at delivering what we do. The problem is we have our own internal issues around money around pricing around guilt. That's the part we have to address. No amount of fancy strategy, this subnet is going to change that. So the thing I gave you with the hotels with the this and that, it gives you an idea where you feel comfortable, make sure it's three times what you would have to pay someone to do it and try it. See they'll thank you. They'll thank you for doing that because your issues your own stuff is all in your head. So the only way you can address it is by addressing it so you don't need any more fancy stuff. It's just figure out where you are who you are. Charge it and go get Unknown Speaker  39:43   it right kiss keep keep it simple, stupid, right? Unknown Speaker  39:47   Keep it simple. Unknown Speaker  39:48   Keep it simple. absolute love it now. I know you know this question. So what advice would you give to your younger self? You've given plenty of advice here to your younger self, and I feel like it's a never end Doing well, sources. So give us another one. Unknown Speaker  40:03   What advice would I give to my younger self? Um, I probably I would have, I would have gotten help from an outside source sooner. Unknown Speaker  40:19   I love it. I just said that the other day, I think that's great advice. Unknown Speaker  40:23   You and I, you and I have a value system very similar when it comes to learning. You and I are lifetime learners. Mm hmm. And I wasn't always like this, I learned in my profession. But when it came to the business of physical therapy, I did not invest one 100 of what I invest in my, you know, manual skills and stuff, I, I wouldn't, I wouldn't, I would buy a book. And my younger self, I would have invested much more in my business acumen, I would have hired a coach, I would have went through the uncomfortableness of writing a check to my coach, which I eventually did. But then on the other side of that, you know, you get so much back of that, because you have to go through the fire, all of us have to go to the fire, even the overnight successes, which there's no such thing goes through the fire. So I would have gone through the fire sooner so I could get on the other side instead of through the torment that I did for for pretty much nine years. Unknown Speaker  41:27   Right? Right. I couldn't agree more. And now where can people find you? And what is your free gift for the listeners? Because I know there is one here. So they can you can follow me quiz. Ah, your PT practice quiz. Unknown Speaker  41:46   Yeah, I mean, look, the first thing you want to do is really understand kind of where you are in your business, you might think you understand where you are. But this this, this pte practice quiz and I have asked you questions that you're not asking yourself. So there's it only takes about five minutes to do it gives you a score kind of rates you where you are in your business, and then I provide resources to help you overcome those challenges that you're having. Because business really comes for most of us, you're really in three different areas of your business, you're in a Stage One Business stage two, stage three. And really what that means is where your income is your your total revenue, whether it's zero to 400,000 400,000 to a million or million to 3 million, that's where 90% of all of us are. So this quiz kind of will ask you some questions and really kind of teach you a lot about your business. So that's definitely something that I would highly recommend taking you want to reach me you know, best way to do is just follow me on LinkedIn. You know at Jamie Schreier. You can reach out for my you know, shoot me an email if you want to shoot me an email Jamie at practice freedom you. I'm all over the place. I'm like you, Karen. I'm all over social media. I tried to get myself out there and try to deliver good, good resources for people to try to help them. Unknown Speaker  43:07   Cool and I'll just remind people of the website it's practice freedom you the letter u.com Unknown Speaker  43:14   Yeah, practice u.com And then yeah, there's there's a quiz right there or you can leave the link to the quiz. Unknown Speaker  43:20   Yes, everything will all of Jamie's information will be at the podcast, website at podcast at healthy wealthy smart.com. In the show notes under this episode, one click will take you to anywhere you want to go. Jamie Schreier related. So I think that's pretty good, right. That's great. Great. So Jamie, thank you so much for coming on. Again, as always a great conversation. I really appreciate you. So thank you so much. Thank you, Karen. And everyone. Thanks so much for listening. Have a great couple of days and stay healthy, wealthy and smart.

The Jason Rantz Show
Hour 1 - Liar Schrier gets called out

The Jason Rantz Show

Play Episode Listen Later Nov 3, 2022 42:12


What's Trending: Kim Schrier lied on KIRO Radio and Seattle sees its 53rd homicide. // Stephen Colbert gets called out on a lie about the Michigan governor's race and Sunny Hostin can't believe women would vote republican. // The first storm of the winter could be hitting Western WA and why would anyone care about Starbucks Christmas cups?See omnystudio.com/listener for privacy information.

Seattle Now
Battle for the 8th

Seattle Now

Play Episode Listen Later Nov 2, 2022 13:54


Just outside Seattle in Washington's 8th district, there's a tight race playing out in the midterms.Democratic incumbent Kim Schrier is up against Republican Matt Larkin for a seat that could shift control of Congress.Historically the 8th has voted red, but that changed in 2018 with Schrier's win, and now it looks like it's up for grabs again.KUOW political reporter David Hyde is here to bring us up to speed on this race.We can only make Seattle Now because listeners support us. Make the show happen by making a gift to KUOW: http://bit.ly/seattlenowAnd we want to hear from you! Follow us on Instagram at SeattleNowPod, or leave us feedback online: https://www.kuow.org/feedback

The Faster Than Normal Podcast: ADD | ADHD | Health
Please Mind Your Meds w/ Scientist Miss America Camille Schrier, H.R.S.

The Faster Than Normal Podcast: ADD | ADHD | Health

Play Episode Listen Later Oct 19, 2022 20:09


Hey guys! Peter Shankman the host of Faster Than Normal here. I wanna invite you to something! I am hosting a Mastermind with 12 amazing speakers who are gonna be talking about everything from ADHD to mental health, from entrepreneurship, to just living your life better. It's gonna be on November 10th, It's gonna be virtual from anywhere in the world. Incredible, incredible speakers. The leading fitness trainer in Canada for all things. Me! A whole bunch of speakers- Scott Carney, who wrote the book which is to all about how he goes and takes ice showers every day. It's gonna be 12 amazing speakers, the CBS Early Shows' Jennifer Hartstein, really, really great people. And I'd like you to join us. Check out the link below in the show notes at ShankMinds 2022 and we will see you there. And a matter of fact, look for the discount code in the show notes as well, that'll take a hundred bucks off the cost. We'll see you soon! https://shankman.lpages.co/shankminds-virtual-2022/ DISCOUNT CODE: SMFriends22 Currently pursuing a Doctor of Pharmacy degree at Virginia Commonwealth University in Richmond, Camille completed dual Bachelor of Science degrees in Biochemistry and Systems Biology with honors at Virginia Tech in 2018. Breaking from tradition, Camille blew up the onstage talent competition with a highly engaging and entertaining version of the “catalytic decomposition of hydrogen peroxide,” winning Miss Virginia in June of 2019 and then Miss America in December 2019 live on NBC. While competing for the job, Camille Schrier wanted it known that “Miss America can be a scientist and a scientist can be Miss America.” Through her time as Miss America and beyond, Camille has focused on advocating for her social initiative “Mind Your Meds: Drug Safety and Abuse Prevention from Pediatrics to Geriatrics” with a major focus on the opioid epidemic, as well as for exciting youth in the areas of STEM. In 2021 Camille launched her own science educational brand, “Her Royal Scientist,” which furthers her goal to inspire and educate youth and normalize females in science roles. She also works to raise awareness around Ehlers Danlos Syndrome, a genetic condition that impacts her life each day. Today's episode is important to literally anyone who has ever been given a prescription. Enjoy! In this episode Peter and Camille discuss:   01:26 - Thank you so much for listening and for subscribing! 02:14 - Intro and welcome Camille Schrier! 03:30 - Ref: Margaret Hamilton's Apollo code 03:54 - Women in STEM [Science Technology Engineering Math/Medicine] 04:56 - On Imposter Syndrome and growing up in public education without many neurodiverse role models 05:47 - On a non “A+B+C= ‘this or that'” approach to goal-setting and systemic education 06:40 - There is no one ‘right way' for everyone to do something. We are unique. 07:00 - How did you wind-up winning Miss America, was it a goal? A note on risk taking 09:17 - How did your initiative “Mind Your Meds” come about and get started? 11:00 - Eyes open about medication use in the collegiate community Ref:  Safe-RX 13:53 - So much about prescription drugs has become perception, not actual awareness of what they may, and may not do!  15:40 - Adderall and co-morbidities 16:00 - Talk to your peers and kids, not everyone reacts the same! 18:00 - In the neurodiverse community we are even more at risk of addiction, if not misuse. 19:04 - How can people find more about you? Web: www.CamilleSchrier.com Socials:  @CamilleSchrier everywhere.  Twitter  INSTA  FB  YouTube  LinkedIN 19:20 - Guys, as always thanks so much for subscribing! Do you have a cool friend with a great story? We'd love to hear. I'm www.petershankman.com and you can reach out anytime via email at peter@shankman.com or @petershankman on all of the socials. You can also find us at @FasterNormal on all of the socials. It really helps when you drop us a review on iTunes and of course, subscribe to the podcast if you haven't already! As you know, the more reviews we get, the more people we can reach. Help us to show the world that ADHD is a gift, not a curse!  19:40 - Faster Than Normal Podcast info & credits — TRANSCRIPT via Descript and then corrected.. somewhat:  Hey guys. Peter Shankman the host of Faster Than Normal here. I wanna invite you to something! I am hosting a Mastermind with 12 amazing speakers who are gonna be talking about everything from ADHD to mental health, from entrepreneurship, to just living your life better. It's gonna be on November 10th, It's gonna be virtual from anywhere in the world. Incredible, incredible speakers. The leading fitness trainer in Canada for all things. Me! A whole bunch of speakers- Scott Carney, who wrote the book which is to all about how he goes and takes ice showers every day. It's gonna be 12 amazing speakers, the CBS Early Shows' Jennifer Hartstein, really, really great people. And I'd like you to join us. Check out the link below in the show notes at ShankMinds 2022 and we will see you there. And a matter of fact, look for the discount code in the show notes as well, that'll take a hundred bucks off the cost. We'll see you soon! https://shankman.lpages.co/shankminds-virtual-2022/ — [00:01:26] Peter: Hey guys. Peter Shankman here. Welcome to another episode of Faster Than Normal, it is a thrill to have you as always. It is another Monday when I do all my FTN interviews for the month. We are talking to Camille Schrier today, and I will tell you a little bit about her in a second. Uh, as you heard from the ad, there is a conference coming up on November 11th. I would love to see you there. Um, there should be a discount code in the uh, show notes, use it. You'll get a hundred bucks off and hear from 12 amazing speakers and me, so if you haven't had enough, there's even me. So that'll be fun. November 11th, virtually wherever you are in the world. All right, cool.  It is Monday. It is gray and yucky outside, but that's cool cause we're talking to a ray of, of sunshine and light today. Camille Schrier is currently pursuing a doctor of pharmacy degree at Virginia Commonwealth University in Richmond. She completed a dual Bachelor of Science degrees in Biochemistry and Systems biology with Honors of Virginia Tech in 2018. Oh, and she was Miss America in December, 2019. Uh, so yeah, there's that. She won Miss Virginia and June, 2019. Miss America, in December of 2019. You've probably seen her on YouTube where her, on stage talent competition was an entertaining version of the catalytic decomposition of hydrogen peroxide. Very, very cool stuff. I actually had seen that on YouTube before she came to my attention. Uh, it is wonderful to have you here, Camille. Thanks for so much for taking the time today.  [00:02:52] Camille: Oh my gosh. Thank you so much for having me and making me sound way cooler than I really am in real life.  [00:02:58] Peter: So, you know, you sort of broke the mold in that regard. You, you, you came up and, and you said, Okay, I'm gonna show the world that girls can be scientists, right? That, that women can do these things and it doesn't, You can mix and match. It doesn't have to be one or the other. I always look back at. Amazing photo from NASA where I was, when I was serving on the NASA Civilian Advisory Council. They sent me this, they showed me this photo. They have framed, it's the woman who wrote the majority of the code for, uh, the Apollo 11 landing. And, um, she's standing on a, uh, next to a stack of code that's literally like taller than her, right? And, and it was just, You know, you never Yeah. A woman did that. And, and I love as a, as a father of a nine year old daughter, I love that, you know, I'm talking to you and I'm gonna have my daughter, Jessa listen to this podcast because you're showing girls, um, my daughter's age and beyond that there is so much they can do. There's nothing they can't do, and, and you're doing it a lot better than me, as her dad ever could. .  [00:03:54] Camille: Well, thank you. And I think even more than that, I mean, we know that women can be scientists. There's probably more women than ever Yeah. In STEM careers. But I think one of the things that I have realized as I've progressed through my own career is that it's not always normal to see a very feminine woman, exactly. In the sciences, and maybe women feel like they have to conform to kind of be like their male counterparts or maybe are afraid to express their femininity in a lot of those fields. And so bringing the science into something that is traditionally a feminine role like Miss America was a really interesting way to break that mold open even more, and show people that you can do whatever you want. And I think that's something that even defies gender is just embracing who you are and doing it on purpose and being fearless in every single thing that you do. And so hopefully it inspired, um, young girls, young men and beyond.  [00:04:54] Peter: Well, it's interesting you bring that up because one of the things about ADHD is imposter syndrome and, and this concept that, You know, you are consistently broken and no matter what you've done, it's all been luck and you don't really have the skill to do anything. And I grew up with that, um, uh, through no fault of anyone but my own. I mean, you know, my parents were, were constantly supportive. But, you know, I grew up in an environment, in a school system, uh, public school system, which was, you know, you're different. And so you're being, you're being, uh, uh, uh, you're disobeying and, and you're, you're breaking the rules and you gotta be like everyone else. And it took me probably till. You know, late thirties, uh, to, to sort of get over that. And I think that, that, um, the more role models we have who can show that there is no one way to do anything right, I think is, is better for the world as a whole. And I see that, I see that, uh, you know, with, with what you've done. I see that more and more today, which gives me a little bit of hope.  [00:05:47] Camille: I think we do need that because we're, we're taught to follow directions. Yeah. Right. And that's what we're seeing at, That's how we are shown success is, is you do these certain things and you get success. If you go through a certain amount of education, if you do these leadership activities and get extracurriculars and get a certain gpa, then you get X, Y, or z. And I think that often as young people working on this formula, that's not necessarily allowing us to embrace what makes us unique. Sometimes we can do that in that situation, but it's often really hard. And I've struggled because I want to do things the right way, but there is no right way to do things. I've always been really focused on doing things, um, at the most, at the highest level of achievement and success and getting to a certain level. Um, but I've forgotten a lot about what I want in that, and I think imposter syndrome is so real in what I have experienced. My becoming Miss America wasn't a longtime goal. I literally signed up for a competition that was two weeks away that went to Miss Virginia. And I was like, This will be fun. Let's do it. . And I won. And then eight weeks later I won Miss Virginia and six months later I won Miss America. And I was like, how did I end up here? Right? And did I deserve this? How? How did I. How did I successfully make my way through this in doing something that was totally different than anyone else had done before, but actually winning Miss America by doing something vastly different than anyone else had done was the best reward in taking a risk and doing something different than I had ever had in my life. Yeah, because I was always afraid to take a risk because what if it goes wrong? Right. But ultimately, if it went wrong, I would just come home as not Miss America. Exactly. So, The odds were pretty good to have a good experience, and it rewarded my creativity and my ability to try something new that then set me on a path to wanna do that more in my professional life. [00:07:48] Peter: Well, that's one of the things that I try to explain to, uh, people, you know, especially the kids. And, and you know, when they, when they read my book and then, and they, they reach out is, you know, the concept that, that, that being the, the, the worst, the biggest risk it said is not taking one. Right. And, and the concept. you can do something and fail or you cannot do it, and you'll be in the same place if you failed. Yeah. So the only option you have that breaks you out of that is to try it, you know? And I, I love, I love that. Cause I think that that, you know, again, I didn't have that mentality. It was funny. I didn't have the mentality as a kid yet. I was always different. So it was like I was, I was fighting, I was swimming upstream, I was fighting against that. And once I embraced it, You know, the whole world opened up and so I sort of think you're doing that as well. Um, so Miss America can be a scientist and a scientist can be Miss America. I love that. Tell me about, um, mind your meds. So, you know, when I was growing up and we talked about the offline, when I was growing up, the, uh, the concept of medication for ADHD or anything like that, really. Kids didn't really take meds. Um, they took medication if they were sick, I get, get penicillin, right? Whatever, you know, or Sudafed and I, but it wasn't, I, I grew up, I guess in an earlier time in the eighties we didn't have that. We had cigarettes and um, you know, I once I, and they were healthy back then, so it's fine. But, um, you know, I look at, I look at. Today I have, I have, I have friends who have kids in college and, and they're like, Yeah, the, the kids, the kids pass around, uh, Adderall, like it's candy. And, you know, that's not necessarily a good thing. Um, so talk about Mind Your Meds. Where did it come from, the concept? Uh, how, how'd you get to where it is?  [00:09:16] Camille: Sure there's such a huge problem related to pharmaceuticals and medications in the country. And as a doctor of pharmacy student, I wanted to choose a cause that I would represent as Miss Virginia and Miss America that was something I was passionate about, but also something that I felt like would affect every person that I came across, that would be relevant to every individual in some way. And I feel. All of us have either taken a medication or have known someone who's taken a medication in their lives. We all have kind of lived that or taken even just a over the counter medication at some point. And when I went through my pharmacy education, I started to realize how easy it is to make mistakes, to take things improperly, the dangers of medications that are even over the counter. Let alone things that are prescription or controlled substances, the risks that can come along with those things, and how we can really do things that are very easy to prevent, um, harm and misuse and things that damage our communities essentially. So I wanted to focus on medication safety as one big piece of what I do. But then on the other side, there's also an issue with substance use disorders in this country. With stimulants, with opioids and many other substances, um, both prescription and illicit. And I saw more and more of that as time went on. Now I spend a lot of time talking about the opioid epidemic, which is one that has just drastically increased over the past 20 years for a lot of different reasons, but is really running rampant, uh, in our communities and is, is killing people at a level that I've, I never would've anticipated, but is really sad. So, Looking back at kind of all of the things that I have gotten to do. You mentioned stimulants and when I was growing up, I can't really even remember a lot of my peers taking stimulants for, for diagnoses like adhd. Now I went to school, like elementary school, middle school, in the early two thousands. So a little bit after, but still not that long ago I do feel like as time has gone on, it's become more popular. Right? Um, and. I will say when I got into college was the first time where I really saw medications being misused in my, with my own eyes. And it was always stimulant medications. And I think as someone who's looking at ways, uh, That people can be proactive with medication safety. I feel like if you have a prescription medication, especially controlled substance like a stimulant, you have to be a responsible steward of that sub of that substance. It is your responsibility to take control of that and prevent others from potentially being harmed by that. And so I've actually teamed up with a company called Safe- RX who produces locking pill viles. Mm. And that's just like an easy tool that I can recommend to families to kind of secure these medications, either at home or or students taking them to college. I talk a lot about children accidentally taking medications because they don't know what they are. They think that they're candy, making sure that you are locking up medications, keeping them up and away from children, being a safe steward of medications. These are all things that can not only keep people safe, but prevent misuse, prevent substance use disorders from coming up in our communities. It's all a cycle, and I think that it needs to be talked about more. It's not really an educational topic that I heard a lot about when I was in school and that I still don't really hear a lot about. And so I think, you know, as a pharmacy student, pharmacists have such a unique perspective and role in being a medication safety expert, and that's why I'm excited to be a pharmacist as well. [00:13:06] Peter: That's a wonderful answer. I remember in the eighties, uh, you'd come home from school at like 3:00 PM and you'd watch like cartoons or whatever, and there was always a really, really bad. Like cringy commercial called pills aren't candy. And I don't know if you, I don't know if you had that in the 2000's by the way. I, I, I died a little bit when you said, you know, I, Yeah, I went to school in the two early two thousands. I just, I'm sorry. Died a little bit . Um, I had, I had someone I was watching, uh, TikTocs with my daughter and, uh, There was one where a woman goes, uh, you know, the, the older generation on TikTok, you know, the ones like born in the late nineties. I'm like, You, we, you're,  [00:13:39] Camille: I've seen that it even made me cringe  [00:13:41] Peter: everyone's app, right? Yeah. I'm deleting off everyone's phone right now, . But um, but yeah, no, I remember the we are not candy thing and, and it's, and it's true. I mean, as a, you know, I had the conversation with my daughter years ago, you know, this is anything in a bottle that looks like this or whatever. You don't, you don't take anything you don't know. You don't take anything. I haven't. Yeah. And, and, um, the interesting, interesting thing about the lock. You know, I wonder if it's, if it's also a peer pressure thing in the respect that, oh, you know, dude, can I, can I score that off you, can I tell, you know, score real, And it's a, kids that I've talked to don't necessarily look at it as medication. They look at it as a, as finals help. You know, there's a difference in, in, in how you look at it.  [00:14:20] Camille: I think that you're absolutely right and that's how I saw it used in students that were trying to stay up all night Yes. And study, and that it was really a commodity instead of a prescription medication that genuinely helps people Yeah. That have disorders like ADHD and is extremely effective in that. Um, I do feel like what you're saying is very true and, and potentially even putting something in a container like a locking pill vile could mentally even make that seem like less of a commodity and something that should be protected. Um, and obviously I don't think there's studies along what that impact might be for students, but I think just looking anecdotally, that would be something that I'm sure that my peers probably would think differently about when I was in college. Uh, instead of just this, Oh, can I get one of these off of you? Which really surprised me, even though I'm a little bit straight edge to begin with. But seeing students talking about in group messages of like, Oh, does anyone have an Adderall? I have an exam tomorrow. Um, Really bothered me to my core because I just felt like it was so wrong. Um, and so risky from a medical perspective as well, because patients and students that have comorbidities who maybe they don't even know that they have yeah, an issue, maybe they have an undiagnosed cardiovascular problem that they don't know about, and taking a medication could, could really be detrimental for them. There's so many things that go into making sure that a medication is right for a patient. But if that, that's why these medications are prescription, because there's a prescriber that's evaluating all these different things. And I really wanna stress if there's parents listening, to have those candid conversations with your students about what the, what the ultimate risks of this medication could be for them and for other people around them and the importance of keeping that to yourself. And the also the importance of not taking anyone else's medications. Especially I have to, to emphasize in the time of fentanyl. Yeah. When we are not sure what is in any pill that we take, we aren't sure that a pill that someone gives us is actually from whatever they say that it's from. It could be a pill that was produced, uh, not in a pharmaceutical manufacturing facility that could be cut with fentanyl and could lead to an overdose. There are so many risks taking any type of medication or any substance from anyone I believe. Playing Russian roulette right now. And so that's a continued conversation outside of just protecting your own prescription, but emphasizing to everyone, students, children, adults, and beyond that we have a huge problem in this country with opioids and with fentanyl that is now coming into other pieces of, of the, um, kind of drug scene maybe in the stimulant sector with, um, methamphetamines and beyond, which is a deadly, a deadly consequence that could happen. And I, I hate to be dramatic and I know that sometimes I sound like a broken record in that, but it's a one decision that you could potentially make that you cannot correct. Right. And that is something that I really emphasize to everyone that I meet because it's, it really. It goes beyond just, Oh, I made a mistake and I'm gonna apologize. And it's unfortunate. So, uh, I do think that it's so important for us to not only be safe stewards, but have those conversations, have candid conversations with people, um, because these medications are also really difficult to get, specifically when we're talking about stimulants, right? And part of those reasons that they're difficult to get is because people misuse them. And so, uh, not contributing to that and making it more difficult for people that need those medications to access them, um, that's not gonna help us.  [00:18:05] Peter: Well, what's interesting about that is, you know, especially, um, when you are neurodiverse, when you're a d d, when you're adhd, studies have shown you have much higher, uh, addiction prevalence, right? And, and so putting yourself deliberately, putting yourself into harm's way in that regard is something kids don't think about in their, you know, late teens, early twenties, and, You know, look down the road 10, 20, 30 years, where do you wanna be? So, there's no question about it. It's really, really cool. Camille, I, I gotta, we gotta cut it off for time, but I would love to have you back at some point. This is wonderful.  [00:18:36] Camille: Oh my gosh. I would love to come back and talk about this. Thank you so much for having, uh, a great conversation about, uh, these issues. And they're so, they're so prevalent and I, it really upsets me that we, we see this growing rather than getting better. But I think having conversations like these are the way that we end. [00:18:52] Peter: How can we, uh, how can people find you?  [00:18:54] Camille: So you can find me on any social media platform at Camille Schrier my first and last name. Uh, you can also find mr at www.camilleschrier.com.  [ www.CamilleSchrier.com @CamilleSchrier everywhere: Twitter  INSTA  FB  YouTube  LinkedIN] [00:19:04] Peter: Awesome. Camille Schrier, thank you so very much for taking the time. [00:19:07] Camille: Thank you! [00:19:08] Peter: Guys as always. We'll back next week with another amazing interview. Our thanks to our guest, Camille Schrier our thanks to Steven Byrom who produces this end every episode, and is just an awesome all around human being and I hope you have a wonderful week. We will see you guys soon. Take care. Credits: You've been listening to the Faster Than Normal podcast. We're available on iTunes, Stitcher and Google play and of course at www.FasterThanNormal.com I'm your host, Peter Shankman and you can find me at shankman.com and @petershankman on all of the socials. If you like what you've heard, why not head over to your favorite podcast platform of choice and leave us a review, come more people who leave positive reviews, the more the podcast has shown, and the more people we can help understand that ADHD is a gift, not a curse. Opening and closing themes were composed and produced by Steven Byrom who also produces this podcast, and the opening introduction was recorded by Bernie Wagenblast. Thank you so much for listening. We'll see you next week!