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Jeff Granville, Founder and President of Mindful Presents is a Mindfulness Practitioner. Coherence Counselor. Spiritual Advisor, and Trauma Specialist. He is endorsed by Bruce H. Lipton, Ph.D., and Bruce Cryer, former CEO, HeartMath. Jeff served for 4 years as a member of the Family advisory council at Seattle Children's Hospital and trained as a first responder in the Parent Support team. He served on the nurse training, anesthesiologist training, Root Cause Analysis and Hospital Acquired Condition panels. As well as consultant to the clinical efficacy department.Jeff is a 5th generation inhabitant of the San Juan Islands, growing up on and around the waters or the Pacific Northwest. And is a father of 8 and Grandfather of 10 beautiful children.After his youngest son Makoy was diagnosed with a rare form of T-cell Leukemia, Jeff became a Mindfulness Practitioner and formed the nonprofit Mindful Presents to bring the gift of mindfulness, coherence and controlled breathing to pediatric patients, families and care providers.Since then, Jeff has opened up his services to the general public and specializes in Coherence Breathing, STIR; Somatic Trauma Imprint Release and aspect reintegration.Mindfulpresents.orgjeff@mindfulpresents.orghttps://www.facebook.com/MindfulPresents.orghttps://www.youtube.com/@jeffgranville4790360-941-7005More about Liz:Work- https://www.raisethevibewithliz.com/Radio Show- https://www.voiceofvashon.org/raise-the-vibePodcast- https://www.buzzsprout.com/958816Facebook- https://www.facebook.com/raisethevibewithlizInstagram- https://www.instagram.com/raisethevibewithliz/*** Support the show! https://www.buzzsprout.com/958816/supporthttps://paypal.me/LisbethPeterson?country.x=US&locale.x=en_USJoin The Community!

The baseball season is sliding into the dog days of summer, and we've got the latest on the ups...and the downs.5:30 - Reminder that All Star voting is open, and you can vote 5x/day until June 25th at 12pm ET! We go over current rankings...with some surprises.11:38 - We kick off position player news with the IL report (IKF is on, Tommy is off, Mune is progressing), this week's Hot List features Anthony Volpe with an 8-game on-base streak and Trevor Larnach nearly reaching .500 in his last 7 games, and on the "Less Hot List" Steven Kwan has another tough week at the office and Jahmai Jones has a rough Father's Day. 26:20 - Ohtani shocks us all by announcing the birth of his second child...and only taking one day off for it?! 36:55 - In pitching, Bryan Woo crushes it thanks to some very special patients at Seattle Children's Hospital (and the AIB bump, ofc), Joey Cantillo aka JOEY CURVES is lights out, Shota Imanaga is solid, and Tatsuya Imai has another fantastic start. 48:55 - HOT TOPIC: Are Christians being discriminated against in being punished for putting bible verses on their Pride Night hats? (No, they are not)

Join Ellen & special guest science communicator, infectious disease researcher, and the Khaleesi of Mosquitos for a review of some of the animal kingdom's most controversial creatures. We discuss whether our guest would rather fight 10,000 mosquitos or a gorilla, evil squiggles and how malaria works, larval cannibalism and mosquito-on-mosquito crime, what the insectary is doing with all those soup cups and dental dams, and so much more.  Links: Follow Cassandra on Instagram or YouTube! Learn more about the the Kaushansky Lab at Seattle Children's Hospital's Center for Global Infectious Disease Research! For more information about us & our podcast, head over to our website! Follow Just the Zoo of Us on BlueSky, Facebook, Instagram & Discord! Follow Ellen on Instagram or BlueSky! Help support this show and unlock bonus content! Become a member at https://maximumfun.org/joinjustthezoo

Michael Smith—Managing Partner and Founder, Emerald Advisors Michael Smith shares how a client-first philosophy, niche specialization, and independence helped Emerald Advisors grow from $385mm to more than $1B in assets. In Summary What happens when an advisor builds a business around client service rather than operational efficiency? Jason Diamond speaks with Michael Smith, Founder and Managing Partner of Emerald Advisors, about the path from a successful Merrill practice to an independent RIA that has grown from approximately $385mm to more than $1B in assets. Along the way, Michael shares the story of being told he was “overservicing” clients, why that moment became a catalyst for independence, and how a highly specialized service model fueled the firm's growth. Drawing on lessons from a 24-year Navy career, Michael offers a perspective on leadership, specialization, client care, and what it takes to build a durable business in today's wealth management landscape. The Storyline Growth is often viewed as the result of marketing, referrals, acquisitions, or scale. Michael Smith sees it differently. After building a successful practice at Merrill, Michael found himself at odds with the constraints of the traditional wirehouse model. What ultimately stood out wasn't compensation, technology, or platform capabilities. It was a philosophical difference around client service. When he was told he was spending too much time helping clients navigate tax planning, equity compensation, and other financial decisions outside the traditional scope of investment management, he began to question whether the model aligned with the way he wanted to serve families. That realization eventually led him to launch Emerald Advisors in late 2019. The firm started with roughly 85 clients and approximately $385mm in assets. Today, Emerald serves more than 225 families and oversees more than $1B in assets. Throughout the conversation, Michael reflects on the lessons learned from building an independent firm, developing a niche around concentrated stock positions and executive compensation, navigating custodial and technology decisions, and creating a culture rooted in accountability and service. Underlying it all is a simple belief: when firms become highly intentional about who they serve and how they serve them, growth often becomes the outcome rather than the objective. Topics Covered Merrill breakaways and independence Client service as a growth driver Building an RIA RIA growth and scalability Organic growth strategies Concentrated stock positions and equity compensation planning Ideal client personas and niche specialization Schwab and Fidelity custody relationships Advisor succession and enterprise value Navy leadership principles in wealth management The rise of mega RIAs Advisor technology and infrastructure > Download a transcript of this episode… Listen and Learn Highlights for Advisors Why did being accused of “overservicing” clients become a turning point? (08:15)Michael explains how a conversation with management revealed a deeper misalignment between his client-service philosophy and the wirehouse model. What does client service look like beyond portfolio management? (11:30)The discussion explores how tax planning, equity compensation guidance, and proactive coordination can deepen client relationships. Why can specialization accelerate growth? (15:45)Michael shares why serving a defined niche often creates stronger referrals, greater expertise, and clearer positioning. How has the RIA landscape evolved since 2019? (20:30)Michael reflects on the rise of mega RIAs, changing technology capabilities, and why he believes independent firms still have significant advantages. What role do custodians really play in an independent business? (23:15)Michael discusses his experience working with Schwab and Fidelity and why he views custodians as strategic partners rather than competitors. Is the wirehouse model still the right fit for some advisors? (26:45)The conversation challenges the assumption that independence is the best path for everyone and explores the realities of running a business. Does reaching $1 billion in assets actually change anything? (32:45)Michael offers a practical perspective on growth, success, and why asset milestones can be misleading. What can advisors learn from the “steamboat” philosophy? (37:15)Drawing on his Navy experience, Michael shares a leadership framework that continues to shape how he approaches business building and decision-making. Key Takeaways Exceptional client service can become a meaningful competitive advantage when it extends beyond investment management. Independence gave Michael the flexibility to build a service model that aligned with his philosophy rather than adapting his philosophy to fit the platform. Developing a niche around executive compensation and concentrated stock positions helped accelerate Emerald's growth. The ability to make technology, custodial, and operational decisions quickly remains a significant advantage for independent firms. Not every advisor should be independent. Running a business requires a different set of skills and responsibilities than serving clients alone. Growth milestones are useful, but they do not define success. Michael believes success existed long before Emerald reached $1 billion in assets. High-performing teams with a clear client focus often find that growth becomes a natural byproduct of execution. https://youtu.be/RjzsMcC2DnY Quotable Moments “I literally had to go back and Google the word overservicing.” “Servicing the client is the most important thing that we can do today.” “If you serve a niche and you're very good at that niche, that word gets around.” “Growth becomes the outcome.” FAQs Can an advisor really “over-service” clients? The discussion explores the tension between efficiency and depth of service. While some business models prioritize scale and consistency, others are built around solving a broader range of client problems. The right answer often depends on the advisor's philosophy and business model. Does specialization still matter in a relationship business? Michael argues that developing expertise in a specific area can accelerate growth by making referrals easier and helping advisors become known for solving a particular set of problems. What actually changes when an advisor becomes independent? Beyond economics, independence often creates more flexibility around client service, technology, processes, and business decisions. At the same time, advisors assume responsibility for running the business itself. Is full independence the right path for every advisor? No. Michael acknowledges that many advisors benefit from the structure, support, and resources available within traditional firms. Independence offers flexibility, but it also introduces complexity and responsibility. How should advisors think about the $1 billion milestone? Michael views asset milestones as useful benchmarks but not measures of success. In his view, business quality, client outcomes, and sustainability matter more than any specific asset number. What role does an ideal client persona play in growth? Rather than trying to serve everyone, Emerald built its business around a clearly defined client profile. Michael believes that focus improves service, creates operational consistency, and supports organic growth. How can advisors balance growth with client service? One of the central themes of the episode is that growth and service are not necessarily competing objectives. In some cases, a differentiated service model becomes the reason a business grows. The discussion explores the tension between efficiency and depth of service. While some business models prioritize scale and consistency, others are built around solving a broader range of client problems. The right answer often depends on the advisor's philosophy and business model. Michael argues that developing expertise in a specific area can accelerate growth by making referrals easier and helping advisors become known for solving a particular set of problems. Beyond economics, independence often creates more flexibility around client service, technology, processes, and business decisions. At the same time, advisors assume responsibility for running the business itself. No. Michael acknowledges that many advisors benefit from the structure, support, and resources available within traditional firms. Independence offers flexibility, but it also introduces complexity and responsibility. Michael views asset milestones as useful benchmarks but not measures of success. In his view, business quality, client outcomes, and sustainability matter more than any specific asset number. Rather than trying to serve everyone, Emerald built its business around a clearly defined client profile. Michael believes that focus improves service, creates operational consistency, and supports organic growth. One of the central themes of the episode is that growth and service are not necessarily competing objectives. In some cases, a differentiated service model becomes the reason a business grows. Related Resources The Transitioning Advisor's Lament: Things I Wish I Knew Before Freedom vs. Familiarity: Is it Worth Disrupting Comfort for Something That Might Be Better? IBD vs. RIA Revisited: Two Independent Pathways for Advisors to Consider Advisor Transition Report 2026 Guest Bio Michael Smith, CPWA® is the Founder and Managing Partner of Emerald Advisors, an independent wealth management firm overseeing more than $1 billion in assets for affluent families, executives, and business owners with complex planning needs. Mike entered the wealth management industry in 2005 after a distinguished 24-year career in the United States Navy, where he served both as an enlisted sailor in the Submarine Force and later as a Limited Duty Officer aboard USS Abraham Lincoln and on major staffs around the world. He earned a Bachelor of Science in Management and an MBA with dual emphases in Finance & Accounting and International Business. Throughout his career, Mike has been known for his commitment to comprehensive planning, helping clients navigate complex issues involving concentrated stock positions, executive compensation, tax strategy, estate planning, philanthropy, and multi-generational wealth transfer. His client-first approach and passion for education have helped Emerald Advisors grow from a startup firm in 2019 to a nationally recognized RIA serving more than 225 families. Outside of the office, Mike is an avid ultrarunner, golfer, lifelong learner, and dedicated advocate for children’s health initiatives. He is a current member of the Legacy Council at Seattle Children’s Hospital and has served in leadership and board roles supporting the Juvenile Diabetes Research Foundation, the Barbara Davis Center for Diabetes, the ALS Association, and the Alyssa Burnett Adult Life Center. He is also the proud father of Kat Smith. NOTE: The views and opinions expressed by the guests on this podcast are their own and do not necessarily reflect the views and opinions of Diamond Consultants. Neither Diamond Consultants nor the guests on this podcast are compensated in any way for their participation. View the transcript of this episode… From “Overservicing” Clients to Building a $1B RIA: A Merrill Breakaway Story A conversation with Jason Diamond and Michael Smith, Managing Partner and Founder of Emerald Advisors.      Jason Diamond: Welcome to the latest episode of our podcast series for financial advisors. Today’s episode is From “Overservicing” Clients to Building a $1B RIA: A Merrill Breakaway Story. It’s a conversation with Michael Smith, managing partner and founder of Emerald Advisors. I’m Jason Diamond and this is the Diamond Podcast for financial advisors. Mindy Diamond: At Diamond Consultants, we help elite advisors identify the right environment for their businesses to thrive whether that’s at a wirehouse, boutique or independent firm. With nearly three decades of experience, we’ve guided thousands of advisors and represented more than a quarter of a trillion dollars in assets transitioned and, each year, one in four advisors managing a billion dollars or more who change firms are our clients. Our process is education driven and based on building relationships starting as your strategic partner well before you’re even thinking of a move. To schedule a confidential conversation, call us at (908) 879-1002. Wondering why advisors change firms and where they’re headed? Are transition deals going up or down? Those very questions and more inspired us to create our annual advisor transition report. It’s the award-winning, data-driven resource designed for advisors that connects the dots between the motivations around movement and the firm’s appetite for top talent. Arm yourself with the knowledge you need to make smart decisions. Download your copy at diamond-consultants.com/transitionreport. Jason Diamond: Growth is often viewed as the result of better marketing, stronger referrals, a larger team and even acquisition and that’s all true yet growth can be the byproduct of something else entirely. For example, Michael Smith built a successful practice at Merrill then, one day, he was told he was spending too much time with his clients, or his management put it over-servicing clients. For Michael, that wasn’t a warning sign about his approach, it was a signal that he might have outgrown the firm and the model. Today, Michael is the founder and managing partner of Emerald Advisors, the independent RIA he launched in late 2019 with roughly 385 million in assets and 85 client relationships. Less than seven years later, the firm has grown to more than a billion in assets while remaining deeply focused on a highly-specialized client base and an unusually hands-on service model. What makes this story particularly interesting isn’t just the growth, it’s the thinking behind it. Michael’s perspective was shaped long before he entered wealth management. After serving more than two decades in the Navy, he brought a leadership philosophy centered on accountability, discipline and what he calls steamboat people, those who keep moving forward regardless of conditions, that mindset continues to influence how he builds his team, serves clients and evaluates opportunities. In this episode, we discuss the decision to leave Merrill, the realities of launching a fully independent RIA, why specialization can accelerate growth, the evolving role of custodians and technology and why he believes exceptional client service remains one of the industry’s most durable competitive advantages. Because Michael’s experience suggests that growth isn’t always the result of finding more opportunities, sometimes it’s the result of creating the freedom to execute the vision you already had so let’s jump in. Michael, thank you so much for joining us today. For starters, can you walk us through your background and what brought you to the world of wealth management? Michael Smith: Jason, thank you so much for the opportunity to be here today, I do listen to the podcast a lot especially before I left Mother Merrill. But my background and how I got into financial services is really distinct because I was on the board of JDRF back in the day and the national sponsor for JDRF was UBS PaineWebber and they’re like, “Mike, why don’t you be a financial advisor?” And my master’s degree was actually a finance and accounting in portfolio management because I’ve managed my own portfolio for years and years and so, when I couldn’t get a job, I just fell into it because I couldn’t get a job and I needed a job. That was 21 years ago, Memorial Day so that’s how I got into this industry. Jason Diamond: It’s a unique background, it’s super interesting and I want to talk more about it. You mentioned Mother Merrill, we’ll certainly get there. Before we do, give us a little bit of context on the current business you operate, Emerald Advisors, any context you can share on size, number of staff, types of clients you serve would be great. Michael Smith: Sure. So, we launched Emerald in 2019, November 2019 with about 85 clients and you always talk about this on the podcast how scared it is to launch and go independent. And I would say we took over about 95% of our clients that we wanted to bring over and today we’re at about 230 clients, I think we have some onboarding right now, we have just over a billion of assets. So, we launched with the 85 clients and around 350, 385 million, now we’re over a billion. Jason Diamond: Good for you. Michael Smith: Thank you. And I launched with four employees and we’re now at 11. And I would give a shout-out to one of my key employees because, when I launched, I actually hired somebody that had no experience with us and that was really a good thing because that allowed that person to really focus on operations and back office stuff while my business partner Emily and I were able to focus on bringing on the clients and alleviating any issues that they may have or thought. Jason Diamond: So, meaning you hired somebody basically immediately upon launch to help you with the transition and with this next chapter? Michael Smith: Correct. I hired them before but they started the day we launched. Jason Diamond: Brilliant, I love it. Oh, let’s definitely talk more about that because I think that’s a great strategy for … You’re right, you said it in a joking manner now because you’re seven years past but it’s a very real fear that advisors have and I think it’s worth talking more about. I want to mention too you have, obviously, built this business and grown this business dramatically. I don’t want to make this episode about the pandemic but you moved the business at a, certainly, a unique time. Did it impact your growth at all? Did you feel like you hit a brick wall? Just curious about your thoughts. Michael Smith: No, Jason, that’s a great observation. I would venture to say that the pandemic was actually a good thing for us. Jason Diamond: Interesting. Michael Smith: And I say that because, all of a sudden, you could hit pause because everyone was relearning how to do business, how do we do client reviews, how do we communicate with clients in a environment. So, I think the pandemic allowed us to just really reset our expectations visiting with clients because I used to fly a lot because I have clients in 38 different states so this has actually been, not just good for me, but good for the industry because I think it’s reset our expectations that we don’t have to be every day with a client facing. Jason Diamond: I agree with that largely and it’s true of our business too, by the way, it’s certainly reshaped the way people expect to be communicated with. I think Zoom has become much more mainstream, phone calls and we’ve heard from many other advisors who say something similar. I was just curious because you moved so close to or if there was an impact but I get, honestly, I think you’re right, it allowed you to have this nice natural inflection point and almost like flipping a switch of a clean slate. Michael Smith: It allowed us to learn the processes too. So, we launched in November 1st, by March we were in lockdown and so it gave us the opportunity to take several months of just learning the processes of how to be an RIA, it was pretty good. Jason Diamond: Absolutely. So, one of the things you mentioned in that was the way in which you serve clients and I’d read something funny and I think it was around the time of your move. You were talking about that, Merrill, you had a manager who spoke about that you would overserve your clients, you serve clients too much, tell me about that. Michael Smith: That was such an interesting topic because I got called down to the ops officer’s office and they’re like, “Ugh, Mike.” And it brought my admin down with me and they’re like, “Mike, these reports that you’re taking care of your clients too much,” and I’m like, “What do you mean?” “Well, you’re overservicing them.” Jason, I literally had to go back and Google the word overservicing because I was like, “How do you overservice the client? I’m not making their bed.” It was just so funny to me that I got counsel for overservicing clients when we’re in a client-facing job and I think that was part of the catalyst. Jason Diamond: Tell me more about what they meant, you think. Michael Smith: Hindsight, I think they … I like to take care of people which means I’m very intuitive towards taxes, I understand how the tax code works, I understand how everything impacts their bottom line. So, when we’re doing deferred comp enrollments or 401(k) enrollments or I’m a big believer in Roth 401(k)s and backdoor Roths and I’ve been doing them for years, I think what Mother Merrill wanted at that time was us not to do that. And, again, nothing against Merrill, I get it but this is how they wanted us to act and I wasn’t in that mold, I was taking care of clients to a much deeper depth is how I would say it. Jason Diamond: And I think that speaks to you outgrew the model not necessarily the firm. I think Merrill does a lot of things really well, you would agree with that, I think given that you built 85 clients and 350 million in assets is nothing to sneeze at. But the model that it seems like you value client service and an integrated client service experience of that and the wirehouse model oftentimes doesn’t put a premium on that. Tell me about your ethos or your thoughts around client service today and what being independent enables you to do. Michael Smith: So, that’s an interesting observation because one of my clients actually just mentioned to me that the reason we’re growing so much is because of our service model and the fact that we deliver a tremendous amount of value over just portfolio management. I said my managers is in portfolio management, I don’t do that any longer, I have a staff that handles that for me but it’s really the servicing of the clients because they don’t know what we know and I think servicing the client is the most important thing that we can do today. Jason Diamond: Give me some examples of what you mean by servicing the client in a more holistic way. I agree with you, by the way, portfolio management, table stakes, financial planning, table stakes, tell me more about what you mean. Michael Smith: By that I mean we do a quarterly review on tax. So, a lot of people don’t understand how taxes work and how estimated taxes work. So, estimated taxes are January 1st to March 31st, January 1st to May 31st, January 1st to August 31st, that’s how you do your estimated tax payments, you figure out what that is. And for compensated employees where they have RSUs that come in at different times of the year or different grants or exercise their options at a different time, that can affect their estimated tax liability and I’m not big on giving Uncle Sam any more money than they have to have until they need it. And then everyone doesn’t understand how the penalties and interest works on the IRS. And I’m big on the tax payments because that’s where we can add a lot of value for not a lot of time and we integrate it with our portfolio so we know what we’re doing with our gains. And I happen to reside in Washington State which has a long-term capital gains tax rate once you surpass about 270,000 of long-term capital gains. So, it’s super important for us to be aware of this and that’s how we service them. We also help them with their rebalancing of their 401(k)s, things that wirehouses cannot supposed to do, we are not supposed to be helping them with some of their aspects of life. Jason Diamond: Yup. That’s what I was alluding to earlier, it’s limitations on the model, not because they’re bad models, it’s just a different way, a different ethos around client service. You mentioned RSUs and corporate employees, I know that’s a niche you have is around concentrated stock positions and equity comp plans. I guess let me ask you two different questions around this. First of all, why that niche? Interested. And then, second of all, do you think a team needs to have a specialization to be competitive these days or do you think it’s okay just to be like, “My job is to be the best advisor and I want to service assets wherever those assets may come from?” Michael Smith: Another great observation. I’m going to address the niche first and foremost. I think, and I talked to R.J. Shook’s staff just recently, and having a niche gives you a specialization and it also accelerates your growth factor. If you serve a niche and you’re very good at that niche, then that word gets around. If you’re a jack of all trades, you can do lots of things but I don’t think you’re focused and you’re not hitting the right numbers that I like to see. And I think that would be my theme is the niche allows you to focus on a very specific type of ideal client, that’s a Schwab thing where you have an ideal client persona and our firm has an ideal client persona. As far as having the equity comp, I absolutely was one of the teams at Merrill Lynch that was equity compensation designated, I managed a couple of plans. My exposure to that, Jason, I haven’t thought about this in a very long time, came from UBS where I had team members that were colleagues that were associated with the Nextel Sprint plan. And I always thought that you’re taking care of the top executives but, really, my background being in the military was how do we take care of the troops, the troops, I call them sailors, and how do we educate those sailors. And one of the things I’ve always said in my entire career in the military and I still say to this day is 50% of every bonus or a promotion or something like that should go to long-term savings. So, I use that same mentality with RSUs, with stock options, with bonuses. Set that aside, let that grow because you’re not used to spending it and you will learn to spend what you make. Jason Diamond: I think that’s a great reason, it’s super smart and I love your explanation, it was a very simplistic way. Honestly, even I hadn’t thought about that around your niche, I think, becomes almost like a force multiplier for your own growth because it’s much easier to become the guy in X, Y, Z vertical than to be the guy in every financial advisor of America, across America. Let me ask you a follow-up question, you mentioned the ideal client persona. I spend a lot of time at our firm thinking about this as well, what does your ideal client persona look like. How do you think about an opportunity though that differs from that persona? So, it’s great. Obviously, everybody, it’s easy, you get somebody who’s your perfect prospect, they walk in the front door, sign me up. But when you get something that’s not down the fairway for you, is it just I evaluate it on a one-off basis or are you super disciplined to that approach because it’s who your firm is? Michael Smith: I truly haven’t given that a whole lot of thought but I will tell you how I would handle that because I am handling it with some one-offs. I like the opportunity because you’re stretching your brain in that you’re thinking about how somebody else is reacting so you’d never know. So, I like it from a learning perspective but I also know it comes with a lot of other baggage, I’ll call it baggage, because, all of a sudden, they want to short the market, they want to go long-short strategies. So, all of a sudden, they’re not in our niche and, all of a sudden, they’re taking a lot of time, they’re draining our time so I think you got to be very careful about what you wish for. And there’s a lot of great advisors out there that will walk circles around these topics that I’m like, “Okay, I would rather refer somebody so they get the right experience than give them the wrong experience.” Jason Diamond: I absolutely love that answer. The bow you just put on it, I think, is the appropriate way in my mind to put a bow. At the end of the day, wouldn’t you rather service somebody more optimally even if you don’t believe it’s yourself, I agree with that. I want to ask you one more point on the client service piece. I was playing around on your website and, on your service model, you have health as a component of the client experience of your diagram. Why do you think health matters in a financial context? Michael Smith: I always believed in a healthy mind and a healthy body will bring so much joy to you and I think health is just part of your persona. If you don’t take care of yourself and your body and your mind, then it doesn’t matter what I do, I think you got to start with health. So, I’m very big on the executive physicals, I routinely require all of our staff to have an annual physical. And, again, they’re young people but you got to have these annual … I live and breathe going to see a doctor every year to do my annual physical, not because I think I’m pretty good health, I still run, I do a lot of things but I think your life starts with being healthy. Jason Diamond: Yeah, it’s refreshing to hear that, no doubt. It’s funny to think about but 2019 is a long time ago now and, in RIA world, I almost think of it like dog years. You’ve been around the block now for a little while so I’m curious how have you seen this space change since you launched in 2019? Michael Smith: In 2019, I didn’t know what I was doing, I could barely get out a wet paper bag but I do think it’s changed dramatically. I would say the biggest thing I’ve seen in just the six and a half, almost seven years is the rise of the mega RIAs and how they’re going to shape the industry. Everyone talked about fee compression at Merrill Lynch. When I was at Merrill, we talked about fee compression, then they talked about robo-advisors and now they’re talking about artificial intelligence replacing advisors, I don’t believe that and I don’t think that’s going to happen in the RIA space. What I see the RIA space maturing is into these very big mega firms as well as these independent RIAs like myself that serve a very niche market where we can walk in our lane. The ability to transact today is so much easier as an RIA than it was at a wirehouse as well because we have instant access to technology. My military background, my Navy background says make a decision right, wrong or different, if you don’t like it afterwards or you get new data, course change. So, in our industry, we can change on a notice. I hired a tech firm last year, I didn’t like the experience nine months into it, guess what, they’re not coming back. So, I can do that but you can’t do that at the bigger firms and even the bigger mega firms would have a hard time navigating a change just like that on a dime. Jason Diamond: You bring up an interesting point. To the extent you face competition, do you find yourself competing more against traditional wirehouse type firms or RIAs like yourself, mega caps RIAs? Are your clients attuned to any of this? Michael Smith: That’s an observation I haven’t thought of either there, Jason. I would say I don’t feel that I have a … I know there’s competition out there but we have a growth issue more than we have anything else so I don’t … I can’t take on the clients that want to become my clients so I’m not competing with people too much. Jason Diamond: A capacity issue, you mean? Michael Smith: Yeah, I have a capacity issue. Jason Diamond: I think you’re not alone in that. How can I even think about competition and the like when … A lot of advisors would probably say that. I want to talk more about the capacity situation but, before I do, let’s talk a little more about the RIA setup. Who do you custody with, remind us, and why or how did you arrive at that decision? Michael Smith: Yeah. So, when I launched, I went with Schwab, Schwab is a phenomenal partner, they helped me get a lot of stuff done, I couldn’t have done it without Schwab. During the pandemic, I realized that I should probably … So, remember, during the pandemic, we had a lot of issues with the banking industry, it was almost like a financial crisis but in a very compressed time. So, during the COVID, I decided to add Fidelity as another custodian so now I have two custodians and I opened accounts on both sides of the house but I like the custodians that are there to help you, they’re very good at what they do. I don’t even consider them a competitor and they aren’t competitors, they have their own branch so I don’t consider them competitors, I think they’re my partners and both Charles Schwab and Fidelity are good partners. Jason Diamond: Yeah, I think that’s the healthy way to look at the custody relationship. That’s a very common approach, I think, is launching with one custodian and then adding a secondary custodian or a tertiary custodian down the line for one reason or another so I appreciate you sharing that because we get those types of nuts and bolts questions a lot so I figured I’d ask you. One last question on the setup and then we’ll shift gears. Has anything been a negative? So, you talked about leaving Mother Merrill behind and, Mother Merrill, we use it facetiously but obviously it implies a degree of comfort and the homeland so I’m curious if you miss anything. Michael Smith: I miss the camaraderie of being with a bunch of other folks. I mentioned this when I first launched, I mentioned it year over year with my team, the one thing that we miss as an RIA and, again, Dynasty has their benefits as well and the mega RIAs have their benefits but, if you’re a true independent like myself, we get to go to conferences that we want to and that’s a timing issue, really, a time constraint. But one thing Merrill and Morgan, JPMorgan, and the other big wirehouses have as well as the megas, they have the ability to put conferences together for their advisors or their administrators and have this education. That’s the one thing that, I think, would evolve in the RIA industry in the future as well. They’re not my competitors, they’re my business colleagues. And if we think of them as competitors, and a lot of people do because I don’t want to share my client information or what I do with my competitor because they may steal them, if you’re that insecure, then you’re probably not the right advisor in the first place. Jason Diamond: I don’t disagree with that. It’s interesting too, I hear two common answers to that question, not about Merrill but just about somebody who’s broken away, what do you miss about the captive firm world. Either on this podcast or just in conversations with advisors, brand comes up a lot and then the point you just raised. I’ll even hear like, “Hey, forget the conferences and the trainings, just being able to have an office where I’ve got eight other advisors on a row for me, it’s a little bit of a different setup than in the independent space,” and I think that’s just a reality of you take the good with the bad. And for other advisors, by the way, one of the things I want to ask you about to this point is do you believe that there are advisors that are just better served in the W2 traditional firm world or do you think that every advisor should be looking at the RIA space? Michael Smith: I think that wirehouse serves a great purpose and- Jason Diamond: Okay, me too. Michael Smith: … there’s a lot of great people that are great advisors in that wirehouse, they need the structure. What I hadn’t alluded to is, and I mentioned this to a former manager from Merrill Lynch of mine just recently, actually, I was like, “I don’t think advisors realize what it takes to run a business.” I’m not trying to sugarcoat it, running an RIA is hard work, it takes a lot of your time day in and day out to run a business as well as taking care of and servicing your clients so I do think the wirehouse venue is the right way to go. And, Jason, I want to go back to one other thing about your identity. I launched as the Smith Group because that’s what I was known at Merrill Lynch. Within three or four months, I changed that name to a firm because I did not want to be associated with it. So, when you’re at one of the wirehouses, you’re known as your team name or something of that sort, I didn’t want to be known as that, I wanted to be known as Emerald Advisors not the Smith Group because, all of a sudden, you have a single point of failure. So, brand identity, it’s not so unique inside the wirehouse because it’s a team name versus Merrill or Morgan Stanley or something like that. Jason Diamond: It’s a good segue because I’ll tell you where my mind goes when you bring that up. My mind goes is you’re smart in a way that you might not even realize or maybe you do realize which is that, if and when it ever comes time to sell this business, it is probably more valuable without your name attached to it or maybe not. But in some way, shape or form, as an RIA, you have an obligation to be thinking about that or it’s probably on your radar, maybe not an obligation. Have you given an ounce of thought to M&A either acquiring businesses, growing in that way or, ultimately, when you succeed out of this business and what the RIA space enables you to do? Michael Smith: To answer that question, yes. Everyone’s thinking about merger and acquisition, I think about succession planning from day one. I actually thought about I’m a big team person, I come from the submarine force where everyone is a key player on a submarine, every single person has a job and responsibility on a nuclear submarine. So, inside the financial services industry, I know Merrill Lynch was very big on teaming, I understand Morgan Stanley is as well because teaming gives them a breadth of responsibility where the responsibilities are shared. So, mergers and acquisitions or selling my business, I think, if you’re not thinking about that … And I’m not thinking about selling my business because that’s a distraction to me. If I needed the money, then I would’ve went to a wirehouse and that’s okay, you monetize your life’s work. Today, I’m all about what’s right for the client, what’s right for my team and what’s right for where I want to be in the next 10 to 20 years. So, I am growing, I do want to grow, I’m looking at opening offices in probably three locations in the next 24 months or so. Jason Diamond: Well, that’s what I was going to say, plenty of advisors I think would say the same, I have a lot of runway. But what about the other side of this equation which is you’ve had tremendous organic growth, you’ve tripled your client base, you’ve more than tripled the asset base, have you thought about acquisition as a mean to jet fuel the inorganic growth side of things? Michael Smith: I have but not in the typical sense that you’re looking at as buying a book of business. I want to partner with like-minded advisors that share that common thread of taking care of clients where you can serve as their trusted counsel and sit in the meetings with their attorneys and sit in the meetings with the accountants and give them sage counsel that you can only do because you’ve been with the family for 20 years. You know this family and that, not always, but I think that’s missed a lot in other firms. Jason Diamond: Yeah, I think that’s fair. I just thought of something else that you brought up. You brought Dynasty so I’m going to ask … I’m going to pull on this thread. That implies to me that you’re at least loosely aware of the supportive independence models that are out there yet you chose a very independent, autonomous path, why? Michael Smith: Because I didn’t know what I was doing. Jason Diamond: Fair. Michael Smith: Let’s be honest, I like Dynasty, I talked with Dynasty when I left. I talked to them all, I talked to Rockefeller, I talked to Morgan, I talked to Dynasty and then, when push came to shove, I wanted to be Mike Smith and launch my own firm and learn. And I will tell you, you learn drinking through a fire hose and we did that, we learned, I know the mistakes. What I didn’t want to do is just go to someplace where this is the stuff you’re going to have to use. So, I think Dynasty is a great launching platform, I think there’s other ones out there that are similar to Dynasty or the Rockefellers or the Morgans, it’s truly what you’re trying to achieve in life. What do you want for you and your clients and I always put my clients before me because I’ve always had this lifelong thing of, you do the right thing, you’re going to get taken care of. Jason Diamond: Yeah. And that’s a very common analysis, by the way, and it’s very common too for big advisors like yourself to say I did my homework across all of those different categories. I looked at the traditional wirehouses and regional firms and boutique firms, I looked at the independent broker dealers, I looked at the support platforms and the aggregators and the roll-ups and here’s ultimately what I landed on and why. Did you always know that though or was that something that it took you a diligence process to figure out? There was plenty of advisors, by the way, who come to us and they’re like, “I knew for the last five years that I was sitting there I was launching an RIA someday.” Michael Smith: Yeah. I did not know that and, to be honest with you, hindsight, I think one of those partners probably could have made me a little bit better at first because then I could have focused on clients versus focusing on, hey, how to open a business, who’s your technology … We talked about custodians and some other things but we didn’t talk about technology, how do you go find that technology. Where’s your email address come from? Who’s your chief compliance officer? When it resides on you, you got to look in the mirror. So, I think those parties out there that provide that for brand-new advisors launching could be very beneficial. I had in my mind what I needed to do and I knew I’m very frugal so mine boiled down to how much money I wanted to spend, to be honest with you. Jason Diamond: I think it is a cost benefit analysis, it is. It’s absolutely … Because if you list the functions of a support platform on paper and you showed it to somebody who didn’t know the industry, they would say, “Why on earth wouldn’t you do this? They’re taking off your plate compliance and tech and custody and the like,” and the answer is because there’s a cost associated with it and plenty of advisors decide what you decide, I wanted … Or I just wanted a greater degree of autonomy and freedom, to your point, the name on the door piece, I wanted this to be mine. Michael Smith: And, Jason, I think it also goes to the uncertainty. I had never done anything since Navy, financial advising and then launching. So, for me, I was launching with four employees I had to take care of and here I was going to hire a third party that I was going to have to spend X amount on and I didn’t even know what my income was going to be. That’s different if you’re a multi-billion dollar FA coming out of a wirehouse, the monetary dynamics are different. Jason Diamond: Agreed. Okay, here’s a good one for you. We get this concept from advisors, from firms, from private equity that a billion dollars in assets is like this magic number in our industry. Do you feel like anything’s changed now that you’re at a billion and what’s the next chapter for Emerald Advisors? Is it just continuing on this steady trajectory and serving clients and trust that everything else comes with that? Michael Smith: I go back and forth on a billion, everyone thinks that’s the right number, the biggest number that you need but I think it’s just an arbitrary numbers because it didn’t define who I was. And a lot of people define success at a billion, they define success that you’re a successful firm at a billion. I think I was a successful firm at 300 million, I was a successful financial advisor with 20 clients in 2005. I would say a billion is a multiplier, what I would tell new advisors out there today is gather assets. The more assets you have, the more revenue you generate. The more revenue you generate, the more money you can put in your pocket which means the longer you can stay in the industry. The problem with the industry is an attrition problem, not anything else. So, assets just give us the ability to have revenue which gives us the ability to grow. Jason Diamond: And is that the plan? Keep adding assets, keep growing one client at a time with the focus though, obviously, on what makes you which is a very client-centric service model. Michael Smith: Correct. There’s a lot of things I want to do in the next couple of years and expanding our footprint is our biggest one with the right partners and then just keep adding. I have a business development officer that I’m probably offer a job to here pretty soon and things are going well. Jason Diamond: Yeah, that’s great. You mentioned the tech stack and the other components of the business and I hear you on the frugal cost-benefit analysis. But who did you turn to for some of those early decisions, was it Schwab primarily who helped hold your hand through that? Michael Smith: Schwab was very good at helping me identify the tech stack at first and the tech stack is actually the one consistent, there’s a lot of things I’ve been consistent on but tech is one that I’ve stayed with them. I launched with RightSize, now they’re Advisory, they’re very good, they do the right job for us and I’m big on cybersecurity. So, tech was helpful from Schwab, Schwab helped us with that. Jason Diamond: So, we spoke a little bit about your naval experience but, I’m curious, can you tell us how has your naval experience shaped your perception or your experience in wealth management? Michael Smith: My Navy path was a lot different than many officers. I served 12 years as an enlisted person before I got my direct commission as a Mustang officer, typically called limited duty officers or loud, dumb and obnoxious as I like to say. But that experience gave me a unique perspective because I was able to be the enlisted side and officer which are the workers and then the management side so I had both experiences which was unique. When I was commissioned, Admiral Jerry Ellis, a submarine admiral that commissioned me, heard this lesson to the podium, he was just talking about me in this point but he said, “There are three kinds of people in every organization. You have rowboat people who need to be pushed, you have sailboat people who move whenever the conditions are favorable and then there’s steamboat people, they move continuously through calm or storm.” And he said, “This is Ensign Michael Smith,” he said, “Make your course.” And that’s always stood with me because you do have those three types of people in life. You got people that are just … They’re robo people, they go until they get tired. You got sailboat people that go wherever the wind blows them and then you got steamboat people that chart their own course. I would say for advisors out there make your course or just be happy with what you’re doing. But for some of us hard chargers, I think that analogy has stayed with me my entire career. Jason Diamond: It’s fantastic. I love the analogy, great naval tie in also. Thanks for sharing that. We got time for one more question. You have a fascinating background, a fascinating path to the industry, obviously, an incredibly disciplined approach around client service, any parting thoughts, words of wisdom especially as it relates to growth? That’s what strikes me most about your story is the growth that your move unlocked and that’s what every advisor who listens to our show is looking for. Michael Smith: I’m going to give another plug to Schwab on this. We actually were fortunate and I got their consulting group to come in right afterwards and I’m a big believer in having offsite. So, I’ve had an offsite, two offsites a year for my team and it’s the entire team unlike the wirehouses where you don’t take your admins and stuff like that. I take my entire team to an offsite and we group up on what we’re trying to achieve and have goals and objectives for the year. Schwab allowed us to use their consultants and we came up with our ideal client persona. Teams or firms that have this model become high performing. When you become high performing, growth becomes the outcome. I couldn’t do anything but grow. Jason, I couldn’t not grow because I had this ideal client persona, I knew how I was going to do it, it was measurable. So, growth becomes the outcome and, if you hold people responsible, then we’re all going to grow together and it’s a fun outcome. Jason Diamond: Fantastic, it’s a great place to end. Thank you so much for sharing your expertise with us, I can’t wait to see what the next chapter holds for Emerald, this has been a lot of fun. Michael Smith: Jason, thank you so much. I appreciate everything you do for the industry as well. Mindy Diamond: As a financial advisor, you hold yourself to the highest standards of integrity, honesty and credibility. You are successful because you take your professional responsibility seriously and are dedicated to your clients. But are you living your best business life? Are your goals aligned with your firms or could a better option exist? Should I Stay or Should I Go? Is a book written with you in mind? It’s a self-guided journey that walks you through the key steps that we take with our advisor clients. This strategic thought process and roadmap to professional self-discovery is designed to help you ask the right questions and think critically and objectively whether you’re considering change or not. Learn how to get your copy at diamond-consultants.com/thebook. From “Overservicing” Clients to Building a $1B RIA: A Merrill Breakaway Story A conversation with Jason Diamond and Michael Smith, Managing Partner and Founder of Emerald Advisors.      Jason Diamond: Welcome to the latest episode of our podcast series for financial advisors. Today’s episode is From “Overservicing” Clients to Building a $1B RIA: A Merrill Breakaway Story. It’s a conversation with Michael Smith, managing partner and founder of Emerald Advisors. I’m Jason Diamond and this is the Diamond Podcast for financial advisors. Mindy Diamond: At Diamond Consultants, we help elite advisors identify the right environment for their businesses to thrive whether that’s at a wirehouse, boutique or independent firm. With nearly three decades of experience, we’ve guided thousands of advisors and represented more than a quarter of a trillion dollars in assets transitioned and, each year, one in four advisors managing a billion dollars or more who change firms are our clients. Our process is education driven and based on building relationships starting as your strategic partner well before you’re even thinking of a move. To schedule a confidential conversation, call us at (908) 879-1002. Wondering why advisors change firms and where they’re headed? Are transition deals going up or down? Those very questions and more inspired us to create our annual advisor transition report. It’s the award-winning, data-driven resource designed for advisors that connects the dots between the motivations around movement and the firm’s appetite for top talent. Arm yourself with the knowledge you need to make smart decisions. Download your copy at diamond-consultants.com/transitionreport. Jason Diamond: Growth is often viewed as the result of better marketing, stronger referrals, a larger team and even acquisition and that’s all true yet growth can be the byproduct of something else entirely. For example, Michael Smith built a successful practice at Merrill then, one day, he was told he was spending too much time with his clients, or his management put it over-servicing clients. For Michael, that wasn’t a warning sign about his approach, it was a signal that he might have outgrown the firm and the model. Today, Michael is the founder and managing partner of Emerald Advisors, the independent RIA he launched in late 2019 with roughly 385 million in assets and 85 client relationships. Less than seven years later, the firm has grown to more than a billion in assets while remaining deeply focused on a highly-specialized client base and an unusually hands-on service model. What makes this story particularly interesting isn’t just the growth, it’s the thinking behind it. Michael’s perspective was shaped long before he entered wealth management. After serving more than two decades in the Navy, he brought a leadership philosophy centered on accountability, discipline and what he calls steamboat people, those who keep moving forward regardless of conditions, that mindset continues to influence how he builds his team, serves clients and evaluates opportunities. In this episode, we discuss the decision to leave Merrill, the realities of launching a fully independent RIA, why specialization can accelerate growth, the evolving role of custodians and technology and why he believes exceptional client service remains one of the industry’s most durable competitive advantages. Because Michael’s experience suggests that growth isn’t always the result of finding more opportunities, sometimes it’s the result of creating the freedom to execute the vision you already had so let’s jump in. Michael, thank you so much for joining us today. For starters, can you walk us through your background and what brought you to the world of wealth management? Michael Smith: Jason, thank you so much for the opportunity to be here today, I do listen to the podcast a lot especially before I left Mother Merrill. But my background and how I got into financial services is really distinct because I was on the board of JDRF back in the day and the national sponsor for JDRF was UBS PaineWebber and they’re like, “Mike, why don’t you be a financial advisor?” And my master’s degree was actually a finance and accounting in portfolio management because I’ve managed my own portfolio for years and years and so, when I couldn’t get a job, I just fell into it because I couldn’t get a job and I needed a job. That was 21 years ago, Memorial Day so that’s how I got into this industry. Jason Diamond: It’s a unique background, it’s super interesting and I want to talk more about it. You mentioned Mother Merrill, we’ll certainly get there. Before we do, give us a little bit of context on the current business you operate, Emerald Advisors, any context you can share on size, number of staff, types of clients you serve would be great. Michael Smith: Sure. So, we launched Emerald in 2019, November 2019 with about 85 clients and you always talk about this on the podcast how scared it is to launch and go independent. And I would say we took over about 95% of our clients that we wanted to bring over and today we’re at about 230 clients, I think we have some onboarding right now, we have just over a billion of assets. So, we launched with the 85 clients and around 350, 385 million, now we’re over a billion. Jason Diamond: Good for you. Michael Smith: Thank you. And I launched with four employees and we’re now at 11. And I would give a shout-out to one of my key employees because, when I launched, I actually hired somebody that had no experience with us and that was really a good thing because that allowed that person to really focus on operations and back office stuff while my business partner Emily and I were able to focus on bringing on the clients and alleviating any issues that they may have or thought. Jason Diamond: So, meaning you hired somebody basically immediately upon launch to help you with the transition and with this next chapter? Michael Smith: Correct. I hired them before but they started the day we launched. Jason Diamond: Brilliant, I love it. Oh, let’s definitely talk more about that because I think that’s a great strategy for … You’re right, you said it in a joking manner now because you’re seven years past but it’s a very real fear that advisors have and I think it’s worth talking more about. I want to mention too you have, obviously, built this business and grown this business dramatically. I don’t want to make this episode about the pandemic but you moved the business at a, certainly, a unique time. Did it impact your growth at all? Did you feel like you hit a brick wall? Just curious about your thoughts. Michael Smith: No, Jason, that’s a great observation. I would venture to say that the pandemic was actually a good thing for us. Jason Diamond: Interesting. Michael Smith: And I say that because, all of a sudden, you could hit pause because everyone was relearning how to do business, how do we do client reviews, how do we communicate with clients in a environment. So, I think the pandemic allowed us to just really reset our expectations visiting with clients because I used to fly a lot because I have clients in 38 different states so this has actually been, not just good for me, but good for the industry because I think it’s reset our expectations that we don’t have to be every day with a client facing. Jason Diamond: I agree with that largely and it’s true of our business too, by the way, it’s certainly reshaped the way people expect to be communicated with. I think Zoom has become much more mainstream, phone calls and we’ve heard from many other advisors who say something similar. I was just curious because you moved so close to or if there was an impact but I get, honestly, I think you’re right, it allowed you to have this nice natural inflection point and almost like flipping a switch of a clean slate. Michael Smith: It allowed us to learn the processes too. So, we launched in November 1st, by March we were in lockdown and so it gave us the opportunity to take several months of just learning the processes of how to be an RIA, it was pretty good. Jason Diamond: Absolutely. So, one of the things you mentioned in that was the way in which you serve clients and I’d read something funny and I think it was around the time of your move. You were talking about that, Merrill, you had a manager who spoke about that you would overserve your clients, you serve clients too much, tell me about that. Michael Smith: That was such an interesting topic because I got called down to the ops officer’s office and they’re like, “Ugh, Mike.” And it brought my admin down with me and they’re like, “Mike, these reports that you’re taking care of your clients too much,” and I’m like, “What do you mean?” “Well, you’re overservicing them.” Jason, I literally had to go back and Google the word overservicing because I was like, “How do you overservice the client? I’m not making their bed.” It was just so funny to me that I got counsel for overservicing clients when we’re in a client-facing job and I think that was part of the catalyst. Jason Diamond: Tell me more about what they meant, you think. Michael Smith: Hindsight, I think they … I like to take care of people which means I’m very intuitive towards taxes, I understand how the tax code works, I understand how everything impacts their bottom line. So, when we’re doing deferred comp enrollments or 401(k) enrollments or I’m a big believer in Roth 401(k)s and backdoor Roths and I’ve been doing them for years, I think what Mother Merrill wanted at that time was us not to do that. And, again, nothing against Merrill, I get it but this is how they wanted us to act and I wasn’t in that mold, I was taking care of clients to a much deeper depth is how I would say it. Jason Diamond: And I think that speaks to you outgrew the model not necessarily the firm. I think Merrill does a lot of things really well, you would agree with that, I think given that you built 85 clients and 350 million in assets is nothing to sneeze at. But the model that it seems like you value client service and an integrated client service experience of that and the wirehouse model oftentimes doesn’t put a premium on that. Tell me about your ethos or your thoughts around client service today and what being independent enables you to do. Michael Smith: So, that’s an interesting observation because one of my clients actually just mentioned to me that the reason we’re growing so much is because of our service model and the fact that we deliver a tremendous amount of value over just portfolio management. I said my managers is in portfolio management, I don’t do that any longer, I have a staff that handles that for me but it’s really the servicing of the clients because they don’t know what we know and I think servicing the client is the most important thing that we can do today. Jason Diamond: Give me some examples of what you mean by servicing the client in a more holistic way. I agree with you, by the way, portfolio management, table stakes, financial planning, table stakes, tell me more about what you mean. Michael Smith: By that I mean we do a quarterly review on tax. So, a lot of people don’t understand how taxes work and how estimated taxes work. So, estimated taxes are January 1st to March 31st, January 1st to May 31st, January 1st to August 31st, that’s how you do your estimated tax payments, you figure out what that is. And for compensated employees where they have RSUs that come in at different times of the year or different grants or exercise their options at a different time, that can affect their estimated tax liability and I’m not big on giving Uncle Sam any more money than they have to have until they need it. And then everyone doesn’t understand how the penalties and interest works on the IRS. And I’m big on the tax payments because that’s where we can add a lot of value for not a lot of time and we integrate it with our portfolio so we know what we’re doing with our gains. And I happen to reside in Washington State which has a long-term capital gains tax rate once you surpass about 270,000 of long-term capital gains. So, it’s super important for us to be aware of this and that’s how we service them. We also help them with their rebalancing of their 401(k)s, things that wirehouses cannot supposed to do, we are not supposed to be helping them with some of their aspects of life. Jason Diamond: Yup. That’s what I was alluding to earlier, it’s limitations on the model, not because they’re bad models, it’s just a different way, a different ethos around client service. You mentioned RSUs and corporate employees, I know that’s a niche you have is around concentrated stock positions and equity comp plans. I guess let me ask you two different questions around this. First of all, why that niche? Interested. And then, second of all, do you think

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Today in the business of podcasting:SiriusXM has struck a non-exclusive distribution and advertising deal with Fox's free streaming service Tubi, bringing popular video podcasts including Conan O'Brien Needs a Friend, Rotten Mango, and The School of Greatness to the platform starting in late June.The ANA's Q1 2026 Programmatic Transparency Benchmark finds a growing performance gap between top advertisers, who convert 54% of programmatic spend into quality impressions, and lower-performing peers who convert just 32.1%, with private marketplace transactions accounting for 85% of all programmatic spending.The IAB has filed an amicus brief in Baker v. Seattle Children's Hospital, a case before the Washington Supreme Court in which plaintiffs argue a hospital's use of Meta Pixel for marketing constitutes illegal wiretapping under 1960s-era laws — a theory the IAB's general counsel says could threaten all ad-supported media.Media, Built newsletter author Steve Raizes argues the podcasting industry is better served by confronting accurate audience metrics sooner rather than later, using Apple's iOS 17 auto-download change as a precedent and pointing to the Alliance for Measurement in Podcasting's ongoing work to establish a verified industry metric.To find links to these, and every article covered in today's episode, click here. You can also subscribe to The Download's newsletter to receive the full issue straight to your email inbox every day.

Today in the business of podcasting:SiriusXM has struck a non-exclusive distribution and advertising deal with Fox's free streaming service Tubi, bringing popular video podcasts including Conan O'Brien Needs a Friend, Rotten Mango, and The School of Greatness to the platform starting in late June.The ANA's Q1 2026 Programmatic Transparency Benchmark finds a growing performance gap between top advertisers, who convert 54% of programmatic spend into quality impressions, and lower-performing peers who convert just 32.1%, with private marketplace transactions accounting for 85% of all programmatic spending.The IAB has filed an amicus brief in Baker v. Seattle Children's Hospital, a case before the Washington Supreme Court in which plaintiffs argue a hospital's use of Meta Pixel for marketing constitutes illegal wiretapping under 1960s-era laws — a theory the IAB's general counsel says could threaten all ad-supported media.Media, Built newsletter author Steve Raizes argues the podcasting industry is better served by confronting accurate audience metrics sooner rather than later, using Apple's iOS 17 auto-download change as a precedent and pointing to the Alliance for Measurement in Podcasting's ongoing work to establish a verified industry metric.To find links to these, and every article covered in today's episode, click here. You can also subscribe to The Download's newsletter to receive the full issue straight to your email inbox every day.

"The CDC reports that queer youth attempt suicide at nearly three times the rate of their straight peers.  About half of all queer youth report recent symptoms of depression… but there's a ray of hope.  You know what stops these numbers cold?  A voice.  Not my voice, not our voice: your voice.  When a queer kid feels threatened, or ashamed, or isolated, one expression of reassurance, kindness or support, from a non-queer peer seems so little, but that can save a life." Seattle Men's Chorus travelled to Mercer Island High and Middle Schools with a message of Allyship that resonated off the walls of the auditorium and beyond.  Seattle Men's Chorus artistic director, Paul Caldwell, joins Coping 101, along with students from Mercer Island High School, to share the impact that straight allies and peers can create in the journey towards love and acceptance.  Coping 101 is an award-winning student-led podcast from c89.5, presented in partnership with Seattle Children's, Forefront Suicide Prevention, and other community-minded partners, where Seattle area high school students get real about mental health. Through honest conversations with peers, Artists and behavioral health professionals, they break down stigma and share tools for coping with life's challenges — because no matter your age or background, we all struggle sometimes, and there are healthy ways to cope.  Find more c89.5 podcasts at c895.org/podcast Seattle Men's and Women's Chorus: https://www.seattlechoruses.org/ Seattle Men's Chorus Upcoming Events: https://www.seattlechoruses.org/seattle-mens-chorus-current-season/ SMC on social: https://www.instagram.com/seattle.mens.chorus/ KOMO News "New program uses music, student storytelling to tackle bullying against LGBTQ community": https://komonews.com/news/arc-seattle/new-program-uses-music-student-storytelling-to-tackle-bullying-against-lgbtq-community

Yesterday, we spoke with KUOW reporter Anna Boyro Weyrauch about the social media maelstrom that has taken over Seattle. I am talking about the drama between the Laurelhurst neighborhood and Seattle Children’s Hospital over helicopter landings. When we talked about this yesterday – we were curious to hear how the whole saga had unfolded from the perspective of someone living in Laurelhurst. Did the average resident even know about this policy? How did they feel being at the center of the online firestorm?Well, I asked for feedback and you delivered. Relevant Links: KUOW: How online scrutiny is changing Seattle Children's and Laurelhurst's helipad policy Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

For decades, helicopters that transport kids to Seattle Children’s Hospital were required to land a mile away in some cases and make the rest of the journey by ambulance. That’s because some residents of the Laurelhurst neighborhood were concerned about noise. After a social media post reignited the controversy, the hospital and the neighborhood association have agreed to revisit the policy. We talk with KUOW reporter Anna Boiko-Weyrauch. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.

Every week we talk about the most fascinating stories in the news and what they say about the Pacific Northwest. We call it Front Page. It’s our chance to talk about the latest news with a rotation of plugged-in journalists and guests, taking a look at the headlines from the weekend and the stories that we'll be following as the week moves forward. Guest: Ryan Packer - Contributing Editor at The Urbanist Related Links: Seattle Children's and Laurelhurst neighborhood agree to change controversial helicopter landing policy Noisy protest calls out limits on airlifts to Seattle Children's Sound Transit Board Grapples with Plan to Rebalance ST3 Somers Proposal Keeps Rail to Everett and Tacoma On Track, Stops Short of Ballard Seattle Sound Transit Leaders Rally to Avoid Light Rail Delays Who doesn’t want WinCo store to open in North Seattle? Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

For decades, Seattle Children’s Hospital has been restricted from using its helipad except when transporting a child who is critically ill or facing a life-threatening emergency. These restrictions come from an agreement between the hospital and the nearby neighborhood of Laurelhurst. The old agreement became the subject of new scrutiny on Reddit and now a change may be in the works. Guest Anna Boiko-Weyrauch, general assignment reporter at KUOW Related links KUOW: Seattle Children's and Laurelhurst neighborhood agree to change controversial helicopter landing policy Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

Effort to repeal 'millionaires tax' is underway, Seattle Children's and Laurelhurst neighborhood agree to change helicopter landing policy, and thousands in WA have dropped their health coverage. It’s our daily roundup of top stories from the KUOW newsroom, with host Patricia Murphy. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.

In January 1993, a lot of children started showing up at Seattle Children's Hospital with the same unusual symptoms. Doctors didn't know what was going on – until they realized that most of the children had recently eaten at the same restaurant: Jack in the Box. Jeff Benedict's book is Poisoned: The True Story of the Deadly E. coli Outbreak That Changed the Way Americans Eat. Say hello on Facebook, Instagram and TikTok. Sign up for our occasional newsletter. Follow the show and review us on Apple Podcasts. Sign up for Criminal Plus to get behind-the-scenes bonus episodes of Criminal, ad-free listening of all of our shows, invitations to virtual events, special merch deals, and more. We also make This is Love and Phoebe Reads a Mystery. Artwork by Julienne Alexander. Check out our online shop. Episode transcripts are posted on our website. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Seattle Children’s wants to “revisit” policy that has medical helicopters land a mile away // Movie Theaters Charge $50 for Tickets — They Sold Out in Minutes // SCENARIOS!

Seattle Children’s says Laurelhurst noise concerns burdens lifesaving care for children // United flight from SFO disrupted by 'possible drone strike' // WOULD YOU RATHER

This Gritty Nurse episode is my special kick-off to the National Nursing Week 2026, celebrated May 6–12 in the United States  and celebrated May 11-16 in Canada. Nursing week dedicated to honoring the nurses who show up for us at every stage of life. What does it really mean to care for someone — and why has the profession built around that act been so misunderstood for so long? To open the week, host Amie Archibald-Varley sits down with Sarah DiGregorio, journalist and author of Taking Care: The Story of Nursing and Its Power to Change Our World — a sweeping cultural history of nursing from the Stone Age to the present day. Part love letter, part urgent call for change, the book traces how nurses have always been at the vital intersection of healthcare and community, appearing in hospitals, schools, prisons, homes, and even at NASA — yet remain chronically undervalued in ways rooted in misogyny and racism. Sarah shares how personal encounters with nurses during family medical crises inspired her to write the book, why she believes we need to radically reframe nursing as a fundamental human necessity rather than a supporting role in medicine, and what gets lost when we reduce the profession's rich history to a single heroic figure like Florence Nightingale. We dig into the forgotten nurses whose contributions have been erased from the historical record, the urgent need for nurses to have a seat at the table in advocacy and policy-making, and the persistent racial disparities in healthcare that nursing is uniquely positioned to help address. Whether you're a nurse, a patient, a caregiver, or simply someone who believes the people doing the hardest work deserve to be seen — this conversation is for you.

Get ready to laugh, swoon, and maybe cringe just a little—Love Me or Leave Me from Letters Aloud unleashes the wild side of romance in a whirlwind show packed with real letters from history's most lovelorn (and love-scorned) souls. With a cast of spirited actors, comedy crackles from every confession, break-up, and "did-they-really-write-that?" misadventure, all paired with lively music that sets hearts and funny bones tingling. It's an unfiltered anthology of grand gestures, awkward flirtations, ridiculous rejections, and letters so sincere (or spectacularly misguided) you can't help but cheer. Whether you arrive hopelessly romantic or deliciously cynical, you'll end the night loving every memorable misstep on the bumpy road to happily ever after. Real letters, by real people, read by professional actors. Since 2014, we have traveled the country sharing intimate letters written by individuals who have left their mark on history. With a power to evoke both laughter and deep emotion, these letters serve as a testament to humanity's extraordinary ability to unearth hope, purpose, and happiness amidst life's many challenges. With live musical accompaniment and a dynamic slideshow, a Letters Aloud evening is guaranteed to inspire! (As one fan said, "It's a modern day 'A prairie Home Companion' – but with letters.") ABOUT THE PERFORMERS Paul Morgan Stetler is the creator and curator of Letters Aloud and a co-founder and former Artistic Director of Seattle's multi-award winning New Century Theatre Company. A well-known Seattle actor, Paul has appeared on numerous local stages over the past 20 years, including ACT Theatre, Seattle Repertory Theatre, Village Theatre, Seattle Children's Theatre, Intiman Theatre, and Empty Space Theatre, as well as numerous regional theatres across the country. He holds a BA in English Literature at Cal State Northridge and an MFA in Theatre Arts from Penn State University. Basil Harris is a Seattle actor and musician who has worked extensively on stage here in Seattle, and in film and media. As a voice actor, he's a regular contributor to the audio dramas of Jim French's Imagination Theater. He also plays in the alt-pop band "Awesome", which has often appeared here at Town Hall. More at basilharris.com Jen Taylor is a Seattle-based stage actor and voice performer whose career bridges some of the city's most respected theatres and one of pop culture's most iconic AI characters. She is widely recognized worldwide as the original voice of Cortana in the Halo video game series and Microsoft's digital assistant, a role she has carried from the first game through multiple sequels and into the live-action Halo television adaptation. Jamie Maschler is a musician, music director, educator and an ambassador of the accordion. She is co-founder of the Brazilian bands Foleada, En Canto, and the accordion duo Creosote. She has been heard with the Pueblo Symphony, Seattle Symphony and Seattle Philharmonic. Jamie has also played the role of Nelly Friedman in Paula Vogel's award winning play Indecent twice.

Andrew GallExecutive Creative Director / Head of StrategyAndrew is a creative strategist and writer known for blending business results with "emotional resonance."Role: He co-leads the creative department at Copacino Fujikado, where he focuses on "Human-Centric" marketing—the idea that even B2B buyers should be treated as emotional humans rather than clinical logic-processing machines.Author: Outside of advertising, he is a published author of three books. His most notable title, Everything Is Better with a Gorilla, was illustrated by Vince Soliven and has sold over 15,000 copies.Thought Leadership: He frequently writes and speaks on how brands can use Generative AI responsibly to improve product launches while maintaining a "human" brand voice.Vince Soliven - Chief Creative OfficerVince is a multidisciplinary creative leader with over 21 years of experience in art direction, design, and film directing.Role: As CCO, he oversees the visual craft and bold "unexpected" thinking for the agency's roster, which includes the Seattle Mariners, Premera Blue Cross, and Seattle Children's Hospital.Background: A native of Hawaii, he was previously the ECD at MVNP (a DDB Associate) in Honolulu, where he was named one of the city's "Top 40 Under 40" business leaders.Philosophy: He is a strong advocate for "intentional friction"—the belief that creative breakthroughs happen best through spontaneous, in-person collaboration rather than through digital tools like Slack or Zoom.The two are best known for their work on Kimberly-Clark (specifically the Huggies and Pull-Ups brands) during their time at Ogilvy Chicago, and more recently for their award-winning "Emotional B2B" campaigns.Common Client History:Consumer: Seattle Mariners, Brooks Running, Corona, Heinz, and Symetra.Travel/Lifestyle: Hawaii Tourism Authority, Chateau Ste. Michelle, and various luxury hotel groups.

“I'm just a regular guy who has put years and years of work in and it finally paid off… If you keep working at it, the sky is the limit. I only ran 30:50 for the 10K in college and now I'm running 2:09 for the marathon. If you like people who put their nose to the grindstone and don't quit on their dreams, then I'm probably the guy to root for.”My guest for today's episode is Turner Wiley. If you're looking for one of the most relatable stories in American marathoning right now, he might be it. Turner didn't come through the sport the traditional way. No NCAA titles, no national team buzz. He was a Division II runner at Seattle Pacific who never qualified for nationals. He was the kind of athlete most people assume fades out of the sport after college. But he didn't. He kept showing up, kept building, and kept believing that the marathon might eventually unlock something bigger.Fast forward a few years and he's now a 2:09 marathoner, the runner-up at last December's Marathon Project, and a Brooks sponsored athlete heading into Boston — all while working a full-time job at Seattle Children's Hospital and raising a newborn at home.Turner is the guy waking up at 5 a.m. to get his first run in before work. He's logging 130–140 mile weeks, mostly solo, pushing a stroller on second runs, and stacking years of consistent, unflashy training until it finally clicked.In this conversation, we talk about that slow burn of development — from blowing up in his debut marathon in Paris, grinding through the club system in Seattle, to breaking through with a 2:09 at The Marathon Project. We get into what it looks like to chase elite performance without making running your entire identity, how fatherhood has reshaped his perspective, and why he genuinely believes his best racing might still be ahead of him.This is the next episode in a series of interviews that we're doing with Brooks marathoners in the lead-up to the Boston Marathon. Stay tuned as we announce our schedule of events with Brooks out of the Hyperion House. We'll have a shakeout run on Saturday morning at 8 a.m., a live chat with Jess McClain, and more.____________Host: Chris Chavez | ⁠⁠@chris_j_chavezGuest: Turner Wiley | @turner_wiley93Produced by: Jasmine Fehr | ⁠⁠⁠@jasminefehr____________SUPPORT OUR SPONSORSWAHOO: With the Wahoo KICKR RUN, you can simulate the exact Boston or London Marathon course right in your own home. You can also use the run free mode, which uses sensors to automatically match the belt speed to your stride. No buttons, no interruptions, no breaking your flow. ⁠When you use code CITIUS at checkout, you'll also get a free KICKR Headwind Smart Fan. Check it out today at wahoofitness.com.XENDURANCE: When you finish a hard workout, the work isn't actually done. That's when recovery starts. Xendurance Protein is designed specifically to help your body recover, rebuild, and get stronger after training. It combines four different types of protein, so your body gets both fast absorbing protein for immediate recovery and slower release protein to support muscle repair over time. ⁠⁠Check it out at Xendurance.com and use code CITIUS for 25% off your first order.OLIPOP: Olipop's Tropical Punch tastes like a vacation in a can. It has the perfect balance of pineapple, passionfruit, mandarin, and apple. You get that nostalgic fruit punch flavor, but way more crisp and way more refreshing. Every can contains their Olismart blend, which includes ingredients designed to support digestive health and help feed your gut microbiome. If you haven't had tried Olipop yet, grab a can and see what the hype is all about!⁠⁠ Head to DrinkOlipop.com and use code CITIUS25 at checkout to get 25% off your orders.⁠⁠

The Rao Lab at Seattle Children's Research Institute developed a three-dimensional (3D) tissue-engineered model of osteosarcoma to investigate the effects of the extracellular matrix on malignant cell function. The study demonstrated that culturing osteosarcoma (OS) cells within a 3D collagen matrix induced unique cellular responses, altered morphology, enhanced tumorigenic behavior, and reduced chemosensitivity compared to cells cultured in 2D collagen or on standard tissue culture plastic. They identified overexpression of drug efflux pumps as a key mechanism of chemoresistance and further showed that a tyrosine kinase inhibitor could suppress drug efflux activity, thereby enhancing the efficacy of standard chemotherapeutic agents.While this earlier study examined the effects of a single collagen concentration on osteosarcoma phenotype, clinical solid tumors are characterized by altered extracellular microarchitecture, including increased matrix density and stiffness. These changes restrict drug transport and limit chemotherapy-induced cell death.Dr. Rao will present findings from engineered tumor models incorporating varying matrix densities and demonstrate how matrix density influences osteosarcoma function. This work was funded by the 2025 Outsmarting Osteosarcoma Young Investigator Hope Award.Dr. Rao is a Pediatric Hematologist Oncologist at the Seattle Children's Hospital and a Principal Investigator in the Ben Towne Center for Childhood Cancer and Blood Disorders Research at the Seattle Children's Research Institute. His lab harnesses biomaterials and tissue engineering technologies to design 3D models of osteosarcoma to understand how cell-matrix interactions lead to chemoresistance.

A subpoena from the Department of Justice isn't just paperwork, it's a powerful tool that can drain resources, intimidate providers, and threaten patient care.  In this eye-opening episode of Succeed In Medicine, host Dr. Bradley Block welcomes back Dr. Crystal Beal, along with Adrian Levitt from the ACLU of Washington. In June 2025, Dr. Beal's small private practice received one of over 20 identical DOJ subpoenas targeting providers of gender-affirming care for adolescents. While large institutions like Boston Children's, Seattle Children's, and Children's Hospital of Philadelphia also received subpoenas, the impact on a solo practitioner is uniquely daunting. Dr. Beal describes the anti-climactic moment the subpoena arrived via their accountant and the immediate decision to fight it with pro bono support from the ACLU, Arnold & Porter, and Perkins Coie. The conversation unpacks the broader context: the Supreme Court's decision in United States v. Skrmetti, executive actions, funding cuts, and the federal government's stated goal of ending gender-affirming care for minors. Adrian explains how the DOJ is using the Federal Food, Drug, and Cosmetic Act (FDCA) in a novel way, traditionally applied to drug manufacturers, to investigate individual physicians. The subpoena demanded extensive records, including patient names, addresses, dates of birth, Social Security numbers, training materials, and communications with pharmaceutical reps. Throughout the episode, they emphasize their ethical obligation as a physician to provide evidence-based, life-saving care and reflect on the deeper moral questions raised by this moment in history. Three Actionable Takeaways: Know your rights and secure legal support early: If you receive a government subpoena or face regulatory pressure, contact organizations like the ACLU or the Abortion Defense Network immediately. Do not assume you must comply right away. Document and practice ethically, but prepare for scrutiny: Continue providing medically necessary, evidence-based care while understanding that political targeting of certain specialties is increasing. Build relationships with legal counsel before crises hit. Speak up and combat misinformation: Physicians have a unique platform in their communities. Learn about gender-affirming care if it's within your scope, talk openly with colleagues and patients, and stand against efforts to criminalize or restrict legitimate medical practice. About the Show: Succeed In Medicine covers patient interactions, burnout, career growth, personal finance, and more. If you're tired of dull medical lectures, tune in for real-world lessons we should have learned in med school! About the Guests: Dr. Crystal Beal is a board-certified family medicine physician and founder of Queer Doc, providing expert, individualized queer and gender-affirming medical care. A nonbinary femme with lived experience in the community, Dr. Beal has extensive training in sexual health, queer health, and gender-affirming care. They also offer continuing education on transgender medicine through QueerCME.com. Adrian Levitt is an attorney with the ACLU of Washington, specializing in protecting access to gender-affirming care and defending providers against government overreach. Website: QueerCME.com Queer Doc website: https://queerdoc.com About the Host: Dr. Bradley Block – Dr. Bradley Block is a board-certified otolaryngologist at ENT and Allergy Associates in Garden City, NY. He specializes in adult and pediatric ENT, with interests in sinusitis and obstructive sleep apnea. Dr. Block also hosts Succeed In Medicine podcast, focusing on personal and professional development for physicians Want to be a guest? Email Brad at brad@physiciansguidetodoctoring.com  or visit www.physiciansguidetodoctoring.com to learn more! Socials: @physiciansguidetodoctoring on Facebook @physicianguidetodoctoring on YouTube @physiciansguide on Instagram and Twitter This medical podcast is your physician mentor to fill the gaps in your medical education. We cover physician soft skills, charting, interpersonal skills, doctor finance, doctor mental health, medical decisions, physician parenting, physician executive skills, navigating your doctor career, and medical professional development. This is critical CME for physicians, but without the credits (yet). A proud founding member of the Doctor Podcast Network!Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

When life feels like chaos—family emergencies, work stress, and living between two houses—what if the secret to staying grounded is as simple as watering the relationships that matter most? This week David & Londa share how a family emergency (their newborn granddaughter life-flighted to Seattle Children's) reminded them to “water” relationships: daily routines, roses & thorns at dinner, gratitude stacking, and visualization (chair flying) kept them grounded while juggling work, a move, and grandkids. Tune in for honest stress-management tips, self-awareness takeaways, and why connection matters most. #WaterYourRelationships #MentalHealth #RealEstateLife

Confused about ADHD or looking for effective ways to support a child or teen? Dr. Ruston is joined by Erin Schoenfelder Gonzalez, PhD, a clinical psychologist at Seattle Children's Hospital, who explains how ADHD is diagnosed and how symptoms evolve from childhood through adolescence. They explore both the strengths and challenges associated with the condition. The episode focuses on research-based strategies that parents and other adults can use to support youth, including "point-of-performance" actions, preventing "dopamine cliffs," and other approaches for managing screen time, physical activity, and sleep. Dr. Schoenfelder Gonzalez also shares her work developing FAST (First Approach Skills Training), a free, evidence-based program designed to give parents practical tools to support youth with ADHD and other conditions.   Featured Expert‍ Erin Schoenfelder Gonzalez, PhD ‍ Research References Sibley, M. et al. Non-pharmacological interventions for attention-deficit hyperactivity disorder in children and adolescents. Lancet Child & Adolescent Health. 2023 Sharma, A. et al. Stimulant medications affect arousal and reward, not attention networks. Cell, 2025.   Resources‍ Fast Approach Skills Training Program   ‍Additional Resources Screenagers Website Bring Screenagers to Your Community‍ ‍‍‍‍ Time Code 00:00 Welcome and Topic Setup 01:34 Meet Dr Erin Felder Gonzalez 02:37 Why ADHD Not ADD 03:33 ADHD Across Ages 08:14 Motivation and Reward Brain 09:53 Explaining ADHD Positively 11:59 ADHD and Mood Struggles 12:59 Screenagers Films Break 13:49 Parent Training Big Picture 17:10 Positive Reinforcement Skills 18:50 Family Media Plan Basics 21:59 Handling Screen Limit Pushback 24:50 Transitions and Consequences 27:10 Choosing Better Content 29:06 Physical Activity in Teens 31:26 Sleep Challenges and Tips 34:51 ADHD Brain Differences 36:54 FAST Program Resources 37:52 Community Support and Wrap 39:19 Final Thanks and Subscribe

“What if a blood draw didn't have to feel terrifying, Abby Rose is a child life specialist. And if you have never taken advantage of all they have to offer when your child is hospitalized, you're going to want to connect with them after you listen or watch this podcast!The North American Cystic Fibrosis Conference is one of those places you attend to learn—but it's also a place where you meet people who quietly leave a lasting mark. One of those people is Certified Child Life Specialist Abby Rose.Abby works at Seattle Children's Hospital, supporting both the Cystic Fibrosis program and Pediatric Hemodialysis. Originally from Wisconsin, she earned her bachelor's degree in Psychology and Family Studies from the University of Wisconsin–Eau Claire, followed by a master's degree in Child Life from Edgewood College.In her role, Abby focuses on outpatient care, working closely with children and families to create individualized coping plans. She supports kids through procedures many of us take for granted—blood draws, throat swabs, vaccinations, while also helping families navigate pill swallowing, treatment tolerance, sibling support, and the everyday challenges that can feel overwhelming in CF care.People like Abby made a profound difference for kids like one of my daughters—children who are frightened by procedures or don't fully understand what's about to happen to them. Child Life Specialists play a critical role in hospital settings, helping children feel safer, more informed, and more in control during some of their most vulnerable moments.Today, I'm excited to talk with Abby about the work she does—and why it matters so deeply.In our conversation, we'll explore:The Beads of Courage program and why it's so meaningful to children and familiesWhy Abby is such a strong advocate for transparency, open communication, and the rights of patients and familiesWhat draws her personally to Child Life work, and why she believes in it so deeplyAnd some of the “tricks of the trade”—the practical tools and techniques she uses to help kids feel calmer and more cooperative during procedures like blood drawsThis is a conversation about care, trust, and the people who help make hard moments just a little bit easier. Please like, subscribe, and comment on our podcasts!Please consider making a donation: https://thebonnellfoundation.org/donate/The Bonnell Foundation website:https://thebonnellfoundation.orgEmail us at: thebonnellfoundation@gmail.com Watch our podcasts on YouTube: https://www.youtube.com/@laurabonnell1136/featuredThanks to our sponsors:Vertex: https://www.vrtx.comViatris: https://www.viatris.com/enRead us on Substack: https://substack.com/@lstb?utm_campaign=profile&utm_medium=profile-pageWatch our trailer of Embracing Egypt: https://youtu.be/RYjlB25Cr9Y

Seattle has a Paralympic Nordic skier competing in Milan. When she’s not training for competitions, she’s working at Seattle Children’s Hospital as a nurse. We’ll chat with Seattle's own Paralympian Erin Martin about what it takes to be great at para-Nordic skiing. Here's the Seattle Center pop-up performance application. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.

Starbucks is shuttering five more locations in Seattle, including one at Seattle Children's Hospital, as CEO Brian Niccol continues his overhaul of the company. Union organizers are criticizing the move, claiming Starbucks is 'failing' its hometown. These closures, set to take effect in early April 2026, follow corporate layoffs in late 2025. The closures raise concerns about the economic health of Seattle and the future of Starbucks' presence in its birthplace. Is this a strategic move or a sign of deeper problems within the coffee giant? We'll delve into the potential reasons behind these closures and what they mean for Seattle's economy and Starbucks' brand.

In this episode, Dr. Zafar Chaudry, Senior Vice President, Chief Digital Officer and Chief AI and Information Officer at Seattle Children's, shares how the organization is deploying agentic AI for clinical pathways, ambient documentation and translation tools, while strengthening cybersecurity, optimizing IT spend and expanding digital access for patients and families.

Send a textLife can be hard, especially for our queer children. They often face unique obstacles, encounter discrimination, and endure marginalization in their lives and in their pursuits of happiness. Resilience helps our children (and us) cope with life's challenges and setbacks, allowing folks to recover and grow stronger from difficult experiences. Resilience fosters emotional regulation, optimism, and a strong support network, which are essential for maintaining mental well-being and overall life satisfaction. Joining us In the Den is Dr. Kate Lund, a licensed psychologist, Tedx Speaker, author of Stepping Away the Keys to Resilient Parenting, and an expert on the topic of resilience. Dr. Kate insists that resilience does not have to be complicated and that we all are capable of living our best lives, regardless of our setbacks.Special Guest: Dr. Kate LundDr. Kate Lund is a clinical psychologist, keynote speaker, published author, and resilience expert dedicated to helping individuals and families thrive within their own unique contexts. With advanced training from three Harvard-affiliated hospitals and decades of experience in clinical practice, Dr. Lund specializes in emotional intelligence, stress resilience, and sustainable well-being for parents, athletes, and high performers. She is the author of Bounce: Help Your Child Build Resilience and Thrive in School, Sports, and Life and Step Away: The Keys to Resilient Parenting. Dr. Lund also hosts Resilient Parenting with Dr. Kate, a podcast that explores the science and lived experience of resilience through conversations with parents, educators, clinicians, and leaders. Known for her relatable, evidence-based approach, Dr. Lund blends clinical expertise with personal insight as the mother of twin boys and while working as a volunteer with her dog Wally as part of the animal assisted therapy program at Seattle Children's Hospital. Whether on stage, in session, or on the air, she empowers people to step away from overwhelm and step into clarity, connection, and confidence.Links from the Show:Kate's Book Step AwayKate Book BounceKate's WebsiteJoin Mama Dragons todayIn the Den is made possible by generous donors like you. Help us continue to deliver quality content by becoming a donor today at www.mamadragons.org. Support the showConnect with Mama Dragons:WebsiteInstagramFacebookDonate to this podcast

Bruce Lee wasn’t born an icon. First, he was a baby, born in San Francisco and then a kid in Hong Kong who followed his father into acting. And it wasn’t a straight line from child star to groundbreaking Hollywood action star who broke stereotypes about Asian Americans. Lee’s adult life in America started when he moved to Seattle, still a teenager – where he studied at the University of Washington, washed dishes at a restaurant, and eventually opened his own gung fu schools. He also met his wife, Linda, once a martial arts student. His five years in Seattle were formative for Lee both in terms of learning about America, but also about himself and honing his cross-cultural philosophy. That’s the subject of a new play at Seattle Children’s Theater called Young Dragon: A Bruce Lee Story, it runs through March 22nd. Guest: Shannon Lee, founder and chair of the Bruce Lee Foundation and author of Be Water, My Friend: The Teachings of Bruce Lee Relevant Links: Seattle Children's Theater page Bruce Lee Foundation website Seattle Times: Seattle Children’s Theatre Bruce Lee play fights on after Kennedy Center canceling See omnystudio.com/listener for privacy information.

In this episode, Dr. Zafar Chaudry, Senior Vice President, Chief Digital Officer and Chief AI and Information Officer at Seattle Children's, shares how the organization is deploying agentic AI for clinical pathways, ambient documentation and translation tools, while strengthening cybersecurity, optimizing IT spend and expanding digital access for patients and families.

In this episode, Dr. Zafar Chaudry, Senior Vice President, Chief Digital Officer and Chief AI and Information Officer at Seattle Children's, shares how the organization is deploying agentic AI for clinical pathways, ambient documentation and translation tools, while strengthening cybersecurity, optimizing IT spend and expanding digital access for patients and families.

"Even though we come from different communities we all get to meet here, and the school truly acts as a bridge between all of our communities."  Wilbur-Creston-Keller is the ultimate cooperative school, bringing three different rural communities together to give all these students a second home. Wilbur-Creston-Keller Cooperative School is so much more than the sum of it's parts.  This small school in Central Eastern Washington bring three small communities together for scholastic and community care, to ensure that "All Wildcat's Thrive". Their unique situation requires unique answers to questions around mental health, and school Principal Teresa Chirsman, and student, Jocelynn, sit down with our host to break it all down. Coping 101 is an award-winning student-led podcast from c89.5, presented in partnership with Seattle Children's, Forefront Suicide Prevention, 4Culture and other community-minded partners, where Seattle area high school students get real about mental health. Through honest conversations with peers, Artists and behavioral health professionals, they break down stigma and share tools for coping with life's challenges — because no matter your age or background, we all struggle sometimes, and there are healthy ways to cope.  Get started with more episodes, and find community-centric resources online at c895.org/coping101 Wilbur-Creston-Keller Cooperative: https://www.wcsd.wednet.edu/ Forefront Suicide Prevention: https://intheforefront.org/ Forefront in the Schools: https://intheforefront.org/programs/forefront-in-the-schools/ Rural Health Info: https://www.ruralhealthinfo.org/states/washington

Mike and Cam are joined by Anne Moon and Dr. Annemarie Rompca from the Seattle Children's Celiac Disease Program, to discuss how comprehensive, community-focused care can help kids and families thrive after a celiac diagnosis. They cover early challenges, mental health support, youth mentorship, community outreach with restaurants, and the future of celiac research — all through the lens of both medical expertise and lived experience.

On the latest episode of the Celiac Project Podcast:Mike and Cam are joined by Anne Moon and Dr. Annemarie Rompca from the Seattle Children's Celiac Disease Program, to discuss how comprehensive, community-focused care can help kids and families thrive after a celiac diagnosis. They cover early challenges, mental health support, youth mentorship, community outreach with restaurants, and the future of celiac research — all through the lens of both medical expertise and lived experience.Listen here: https://celiacprojectpodcast.libsyn.com/

At what point does a “routine” sinus or ear infection become a warning sign of immunodeficiency? In this episode of the BackTable ENT Podcast, board-certified allergist-immunologist Dr. Basil Kahwash explores the intersection of immunodeficiency and otolaryngology with Dr. Lauren Gunderman, a pediatric immunologist at Seattle Children's Hospital. Learn why ENTs should remain vigilant for underlying immune disorders, and how to manage suspected immunodeficiency. --- SYNPOSIS The conversation reviews common signs and symptoms of immunodeficiency, key elements of the diagnostic workup, and when ENT physicians should consider referral to immunology. Dr. Kahwash and Dr. Gunderman discuss the role of family history and genetics, as well as current management strategies, including antibiotic use, immunoglobulin replacement therapy, and lifestyle modifications. Throughout the episode, Dr. Gunderman emphasizes the importance of multidisciplinary collaboration between otolaryngologists and immunologists to improve outcomes for patients with recurrent or severe infections. --- TIMESTAMPS 00:00 - Introduction 02:45 - Understanding Immunodeficiency in ENT08:20 - Common Immunodeficiencies and Indicators11:02 - Basic Immunology Refresher22:13 - Initial Diagnostic Workup25:05 - Challenges in Allergy and Immunology Testing27:57 - When to Refer to an Immunologist34:01 - Antibiotic Stewardship in Immunodeficient Patients46:07 - Advances in Diagnosing Immunodeficiency50:31 - Final Thoughts and Takeaways --- RESOURCES Lauren Michelle Gunderman, MDhttps://www.seattlechildrens.org/directory/lauren-michelle-gunderman/

In this episode of PeDRA Pearls, PeDRA Fellow Hannah Chang speaks with Dr. Milie Fang, a pediatric dermatology fellow at Seattle Children's Hospital, about her journey into pediatric dermatology. Dr. Fang reflects on how her personal experience with eczema sparked her interest in the field, her evolving research focus, and the mentorship and community she's found through PeDRA. They also discuss navigating imposter syndrome, building a career in academic medicine, and her hopes for the future of pediatric dermatology.Tell us about you!

Some families are living on an emotional rollercoaster. One minute everyone seems fine. The next, it feels like the wheels are coming off. In this episode of Complicated Kids, I sit down with Dr. Kate Lund, a licensed clinical psychologist, resilience expert, and twin mom, to talk about resilience as a way of living rather than a trait you either have or do not have. Instead of seeing resilience as "you hit a challenge and bounce back," we explore what it looks like to build a steadier baseline so you can ride the waves of real life with a little more ease. Dr. Kate shares how she helps parents understand their own context first. That includes their nervous system, history, strengths, and the particular stressors they are carrying. From there, we talk about practical tools for modulating your stress response, including a simple daily relaxation practice that helps you learn what "regulated" actually feels like in your body so you can return to it more often. We also talk about timing. Kids of all ages need space to feel their feelings before they can look for possibilities or "what's next." We walk through real-life examples, including college rejections, tough games, and everyday disappointments, and how to sit with your child's emotions without rushing to fix them. A big part of this conversation focuses on perfectionism and comparison. Dr. Kate and I discuss why there is no resilience formula, why siblings in the same family can need completely different things, and how to move away from "perfect outcome" thinking and toward doing what is optimized within your own context. If you've ever wondered how to be a grounded leader in your family while still being a real human with your own feelings and limits, this episode will give you language, tools, and a more compassionate way to think about resilience for both you and your kids. Key Takeaways Resilience is a lifestyle, not a moment. Regulation becomes more accessible when tools are woven into daily life instead of saved for crises. Your nervous system sets the tone. When you are already stressed, even small challenges can overwhelm the whole family. A simple daily practice matters. A five-minute breathing practice paired with a calming word can teach your body what calm feels like. Self-awareness comes before strategy. Resilient parenting starts with being honest about your own strengths, limits, and stress patterns. Every child has their own context. Siblings can need completely different support based on their nervous systems. Validation comes before possibility. Kids need their feelings acknowledged before they can move forward. Sharing struggles builds connection. Age-appropriate honesty shows kids that resilience includes falling down and getting back up. Perfectionism blocks resilience. Growth happens when you work within your real life, not an imaginary ideal. There is no one-size-fits-all formula. Resilient families stay curious and adjust over time. Possibility lives on the other side of hard things. Holding a long view allows hope without minimizing today's challenges. About Dr. Kate Lund Dr. Kate Lund is a licensed clinical psychologist, resilience expert, author, and host of The Optimized Mind podcast. With specialized training from three Harvard Medical School–affiliated hospitals and more than two decades of clinical practice, she helps parents, athletes, students, and entrepreneurs thrive within their unique contexts. She is the author of Bounce: Help Your Child Build Resilience and Thrive in School, Sports, and Life and Step Away: The Keys to Resilient Parenting. Dr. Kate also volunteers at Seattle Children's Hospital with her dog, Wally, supporting young patients facing medical challenges. About Your Host, Gabriele Nicolet I'm Gabriele Nicolet—toddler whisperer, speech therapist, parenting life coach, and host of Complicated Kids. Each week, I share practical, relationship-based strategies for raising kids with big feelings, big needs, and beautifully different brains. My goal is to help families move from surviving to thriving by building connection, confidence, and clarity at home. Complicated Kids Resources and Links

Two Seattle schools shelter in place over reported ICE activity, Seattle Children's Theatre withdraws from Kennedy Center production, and the Crocodile venue is up for sale. It’s our daily roundup of top stories from the KUOW newsroom, with host Paige Browning. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.

Join us this week for a fantastic discussion about neuroblastoma courtesy of our guest, Dr. Brittany Greene of Seattle Children's Hospital. We discuss common presenting symptoms, work-up, and the nuance of stage-specific treatment! 

This episode is another very personal one. My son eight year old son William was diagnosed with medulloblastoma nearly a year ago. He's since on embarked on an incredible journey of brain surgery, radiation, and chemotherapy – and recently rang the bell completing his treatment right before Thanksgiving.His response to this adversity has been nothing short of amazing and awe-inspiring. His smile and laughter has never ceased, his poise and strength are well-beyond his years, and I've chronicled his story on LinkedIn – where you'll see his incredible strength and optimism on display. Along the way, I've met some incredible people and world changers. One of those world changers is Dr. Jim Olson from Seattle Children's. James M. Olson, MD, PhD, is program director for the Invent at Seattle Children's Postdoctoral Scholars Program, a principal investigator in the Ben Towne Center for Childhood Cancer and Blood Disorders Research, and a professor at the University of Washington School of Medicine. He co-founded three biotechnology companies and has mentored more than 30 graduate students and postdoctoral research fellows. He chaired a national phase III clinical trial for high-risk medulloblastoma patients that led to a 20% improvement in five-year survival for Group 3 patients. Dr. Olson is the principal investigator on multiple projects that focus on developing effective new therapies for pediatric brain tumors; methods that allow surgeons to better visualize the border of brain cancer and normal brain, and the discovery of immunotherapeutics for several cancers. Dr. Olson's game changing research in immunotherapy could potentially revolutionize the standard of care as we know it – and has the potential to replace radiation and chemotherapy. In lab trials, this treatment completely eliminated cancer in 90% of brain tumors that are otherwise universally fatal in children. Mice that received the treatment were alive and disease-free, while the untreated mice died within 18 days.In this podcast, we discuss his research, next steps for funding and clinical trials – and what this could mean for families moving forward. Please enjoy this conversation and donate to Dr. Olson's groundbreaking immunotherapy trial here.

In this critical episode of The Gritty Nurse Podcast, Amie Archibald-Varley hosts Kara Yates, RN (WSNA Union Co-Chair) and Therese Hill, BSN, RN(Membership Officer) to discuss a historic turning point for nursing in Washington. This conversation goes beyond the headlines, exploring the dire conditions that led nurses to the negotiation table. We expose how stalled contract negotiations have endangered patient safety, fueled critical staffing shortages, and allowed workplace violence to escalate—all while the hospital remains highly profitable. But since the episode, things have changed.  For the first time in its 118-year history, nurses at Seattle Children's Hospital have overwhelmingly authorized a strike. Yates and Hill detail the nurses' core demands, emphasizing that the potential strike is not about wages alone but is a necessary action to protect the community's children by ensuring safe staffing and a workplace where nurses can heal without losing their PTO after being assaulted. Hear firsthand why this show of unity is a powerful mandate for change, and why community support is now vital to pushing the hospital to prioritize care over corporate profit. Links for WSNA: https://www.wsna.org/ https://www.wsna.org/news/2025/seattle-childrens-nurses-vote-overwhelmingly-to-authorize-strike https://www.wsna.org/news/2025/perspective-seattle-childrens-is-promoting-ableism-with-its-sick-time-policy * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Like & Subscribe! Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com   

"One of our team physicians published a study . . . about rates of suicide in student athletes, and it came from a database that was national, not just here at the University of Washington, and looked at a ten year period in what the suicide rate was . . . Not only was suicide the second leading cause of death in student athletes, the rate of suicide . . . doubled from the first ten years to the second ten years." The Unversity of Washington is working hard to provide suicide prevention and mental health training to it's students, because even the physically strong face mental difficulties. UW Athletics partnered with Forefront Suicide Prevention to pioneer one of the first athlete focused suicide prevention training programs in the country.  University of Washington football player, Paul Mencke Jr, volleyball players Elise Hani and Katy Wessels, and Director of Psychological studies, Dr. Kelly Schloredt, sat down with us to discuss this important athlete training that takes place off the field. Coping 101 is an award-winning student-led podcast from c89.5, presented in partnership with Seattle Children's, Forefront Suicide Prevention, 4Culture and other community-minded partners, where Seattle area high school students get real about mental health. Through honest conversations with peers, Artists and behavioral health professionals, they break down stigma and share tools for coping with life's challenges — because no matter your age or background, we all struggle sometimes, and there are healthy ways to cope.  Get started with more episodes, and find community-centric resources online at c895.org/coping101 Forefront Suicide Prevention: https://intheforefront.org/ Forefront in the Schools: https://intheforefront.org/programs/forefront-in-the-schools/ Forefront on social: https://www.instagram.com/intheforefrontwa/ UW Department of Family Medicine "The Mental Health Game Plan": https://vimeo.com/1072599693 UW Athletics on social: https://www.instagram.com/uwathletics/?hl=en

Dr. John Liu joins Newly Erupted to share what he's learned from making the transition from private practitioner to academician, including how his residents help him learn daily. Dr. Liu and good friend and host Dr. Joel Berg discuss what factors impacted Dr. Liu's shift to teaching, including desire for a new work/life structure and a readiness to give back to the profession, and how impressed he is with the future of pediatric dentistry. Guest Bio: Born in Taipei, Taiwan, Dr. John Liu spent his childhood in Southern California. He graduated from Loma Linda University in La Sierra, California, with a BS degree in Biology. Dr. Liu went on to also receive his DDS degree from Loma Linda University's School of Dentistry and was accepted into the pediatric dental residency program at Children's Hospital in Cincinnati, Ohio. After 30 years of private practice in Issaquah, WA, Dr. Liu recently returned to Cincinnati Children's Hospital Medical Center as an assistant professor with a faculty appointment through the University of Cincinnati College of Medicine within the Division of Pediatric Dentistry and Orthodontics at CCHMC. While training future pediatric dentists, a primary focus of his work will be providing support to residents transitioning into the world of private practice and all it entails. Within AAPD, Dr. Liu has held a range of positions over the past decade, including as Board of Trustees Secretary/Treasurer, President-Elect, and 2010-2011 President. He is a Fellow of the American College of Dentists, served as president of the Washington State Academy of Pediatric Dentistry, chaired the Washington State Oral Health Coalition, and served on the boards of the Seattle Children's Museum and the Washington Dental Service Foundation. Nominated by his peers, Dr. Liu was inducted into the American College of Dentists in 1999, the Pierre Fauchard Academy in 2007, and the International College of Dentists in 2009. In 2013, Dr. Liu was honored as the AAPD Pediatric Dentist of the Year.See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.

In this episode, we explore how artificial intelligence is transforming medical decision-making, clinical workflows, and patient outcomes. Our guest, Dr. Zafar Chaudry, Senior Vice President, Chief Digital Officer, and Chief AI & Information Officer at Seattle Children's, breaks down what a true human-AI partnership looks like inside modern healthcare. Watch the full video here. We discuss how AI is being used as a clinical co-pilot, supporting clinicians with faster access to medical knowledge, evidence-based guidelines, and real-time patient data. Dr. Chaudry shares real examples of AI improving diagnostic accuracy, enhancing patient safety, and enabling more personalized treatment plans. You'll also hear insights on the ethical considerations, accountability, and integration challenges that healthcare leaders need to understand as AI becomes more embedded in clinical practice. Topics covered in this episode: How AI supports medical decision-making and clinical workflows Real-world use cases where AI improves patient care and outcomes The role of AI in diagnostics, risk prediction, and personalized medicine Ethical considerations, transparency, and accountability in AI deployment How clinicians and AI can work together without losing the human touch What healthcare leaders should prioritize as AI adoption accelerates This episode is ideal for healthcare executives, clinicians, digital health leaders, and anyone navigating the rapidly evolving landscape of AI in healthcare. Listen to learn how organizations can responsibly and effectively integrate AI to enhance clinical practice and improve patient care. Connect with Dr. Chaudry on LinkedIn. Find Dr. Chaudry's work at https://www.seattlechildrens.org Subscribe and stay at the forefront of the digital healthcare revolution. Watch the full video on YouTube @TheDigitalHealthcareExperience The Digital Healthcare Experience is a hub to connect healthcare leaders and tech enthusiasts. Powered by Taylor Healthcare, this podcast is your gateway to the latest trends and breakthroughs in digital health. Learn more at taylor.com/digital-healthcare About Us: Taylor Healthcare empowers healthcare organizations to thrive in the digital world. Our technology streamlines critical workflows such as procedural & surgical informed consent with patented mobile signature capture, ransomware downtime mitigation, patient engagement and more. For more information, please visit imedhealth.com   The Digital Healthcare Experience Podcast: Powered by Taylor Healthcare Produced by Naomi Schwimmer  Hosted by Chris Civitarese Edited by Eli Banks Music by Nicholas Bach  

Special Guest: Wendy Sue Swanson Bridging the digital divide between doctors and patients, Dr. Wendy Sue Swanson, Chief of Digital Innovation at Seattle Children's Hospital has blazed a trail of patient education using her voice through a variety of different channels in traditional and social media. Through her blog, podcast , social media channels and her parenting book she translates science and parenting information to the public. Swanson also regularly partners with reporters in traditional print, online, and television media and makes weekly TV appearances in Seattle with NBC affiliate, KING5 News. She hopes to transform the paternalistic approach to messaging into an empowered, patient-centered one where peers learn from each other and from expert advice online. Check her out at http://seattlemamadoc.seattlechildrens.org/ The post How to Talk to Kids about Food Allergies with Wendy Sue Swanson – Rerelease appeared first on Dr Robyn Silverman.

You’re probably heard the term “microplastics.” And you’ve probably also heard that they’re bad for you. A write up from Stanford Medicine says, quote, “they’re in the water we drink, the food we eat, the clothes we wear and the air we breathe.” But what exactly are they? A local doctor is helping us understand what exactly these particals are, and how or if we should avoid them. GUEST: Dr. Sheela Sathyanarayana, a professor of pediatrics and adjunct professor of environmental and occupational health sciences at the University of Washington and the Seattle Children's Research Institute RELATED LINKS: Microplastics and our health: What the science says - Stanford Medicine Thank you to the supporters of KUOW, you help make this show possible! If you want to help out, go to kuow.org/donate/soundsidenotes Soundside is a production of KUOW in Seattle, a proud member of the NPR Network.See omnystudio.com/listener for privacy information.

Enuresis, or bedwetting, is one of the most common concerns encountered in pediatrics. It can present as nighttime bedwetting, daytime urinary accidents, or a combination of both. Oftentimes, families and clinicians are left wondering what's typical and what's considered concerning. In this episode, we focus on the evaluation and management of enuresis in children. Each case is influenced by a range of factors including fluid intake, bowel habits, sleep quality and lifestyle routines. While first-line, non-pharmacologic strategies are the cornerstone of care, effective treatment requires attention to detail and a comprehensive approach. This episode was recorded on the exhibit floor at the 2025 American Academy of Pediatrics Conference in Denver, Colorado. In this episode, we are joined by Julie Cheng, MD, an Assistant Professor of Urology at Seattle Children's Hospital and the University of Washington.  Some highlights from this episode include:  Differentiating between types of enuresis  How key elements in pediatric history and physical examination can help diagnose the problem  Evidence-based first-line interventions and when to escalate care  The role behavioral factors, such as sleep or screen time, play in enuresis  For more information on Children's Colorado, visit: childrenscolorado.org. 

West Coast alliance releases vaccine recommendations, Army helicopter crashes in Thurston County, and Seattle Children's Hospital announces layoffs. It’s our daily roundup of top stories from the KUOW newsroom, with host Paige Browning. We can only make Seattle Now because listeners support us. Tap here to make a gift and keep Seattle Now in your feed. Got questions about local news or story ideas to share? We want to hear from you! Email us at seattlenow@kuow.org, leave us a voicemail at (206) 616-6746 or leave us feedback online.See omnystudio.com/listener for privacy information.