Podcasts about shands

In the pursuit of happiness, it is essential to recognize that our goals must be clearly defined and aligned with our values and desires. David Shands delves into the nuances of happiness, particularly as it relates to financial aspirations and personal fulfillment. Through his insights, Shands encourages listeners to reflect on their goals and the paths they choose to achieve them.Subscribe to the Social Proof Podcast:Apple Podcasts: https://podcasts.apple.com/us/podcast...Spotify: https://open.spotify.com/show/6GT6Vgj...

Send us a textWelcome baddies to Called to be Bad. In this episode I talk with professor, anti-racist, anti-oppression and peace educator Regina Shands Stoltzfus who co-authored the book Been in the Struggle: Pursuing an Antiracist Spirituality with Tobin Miller Shearer. Our primary topic is critical race theory, but we cover other elements of anti-racism and anti white-supremacy work within the world of education and church-life. BioRegina Shands Stoltzfus was born in Cleveland, Ohio, and lived there the first half of her life. She currently lives in Goshen, Indiana, and teaches at Goshen College in the religion, justice and society department. Regina is co-founder of the Roots of Justice Anti-Oppression program (formerly Damascus Road Anti-Racism Program) and has worked widely in peace education.  She holds a master of arts degree in biblical studies from Ashland Theological Seminary and a PhD in theology and ethics from Chicago Theological Seminary. She is the author of two previous books and her many articles have appeared in publications such as Sojourners and The Mennonite. She has also written for the Anabaptist Historians blog.Resources: Where to find Regina: https://www.goshen.edu/faculty/reginass/https://www.mennomedia.org/author/regina-shands-stoltzfus/Her book: https://heraldpress.com/9781513809458/been-in-the-struggle/Roots of Justice: https://www.rootsofjusticetraining.org/Wider Stand: https://www.widerstandconsulting.org/The water tracking app Regina mentions

In this episode of Faith for Normal People, Jared and Jennifer Garcia Bashaw talk with Regina Shands Stoltzfus about the intersection of faith and nonviolence, how theology taught in church moves us to certain beliefs about violence, and how we can begin addressing societal issues through peace-focused actions. Show Notes → Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode, we explore the dynamic landscape of marketing in 2024 and share some great insights so you can elevate your marketing game. Celina Shands ⁠Schedule a consult⁠ ⁠Marketing Courses at eFCM Learning Hub⁠ ⁠eBooks & Case Studies at FCM Blog⁠ ⁠Connect with Celina on LinkedIn⁠ Celina Shands, M.S. – Founder/CEO Full Capacity Marketing, Inc. Co-founder: Behind Every Employer 270 N. El Camino Real #285 Encinitas, CA 92024 T: 760.274.6370 F: 760.274.6325 M: 858.735.2883 ⁠celina@fullcapacitymarketing.com www.FullCapacityMarketing.com Join the Movement: Behind Every Employer⁠ My Men Richard/Richard Lesperance richardlesperance.com richard.lesperance@gmail.com https://www.instagram.com/mymenrichard2/ https://linkedin.com/in/richardlesperance https://tiktok.com/@mymenrichard2 https://tiktok.com/@mymenrichard https://www.facebook.com/1richardlesperance/ https://www.youtube.com/@mymenrichard https://twitter.com/MyMenRichard --- Send in a voice message: https://podcasters.spotify.com/pod/show/richard-lesperance/message

Thomas Shands v. Cmsnr. IRS

Ethan and Christian engage in a competition to see who can name the top 5 most common boy names for D and W (the first letters of their last names). Whoever loses, has a punishment for next week. See who wins this heated battle this week on the Breezy Bird Podcast Follow us on Instagram: @thebreezybirdpodcast Follow us on Tiktok: @thebreezybirdpodcast Follow us on Twitter/X: @BreezyBirdPod

When you're running a mission-driven business, marketing is about more than just landing new clients–it's about getting your message out to more people. Celina Shands is an expert at helping her clients tell their brand story and communicate their value to potential customers, partners, and funders. As CEO of Full Capacity Marketing, Celina is the 2017 Marketing CEO of the Year in the Pacific Coast USA, a former American Marketing Association Marketer of the Year, and a two-time Women Who Mean Business finalist. For the past 25 years, she's been a strong advocate for workforce education and economic development missions.  As a communications expert, Celina has helped more than 500 workforce development and K-12/post-secondary education organizations build high-performing outreach campaigns that empower vulnerable populations, students and job seekers to embrace their potential.  Finding the Best Marketing Strategy for Your Business After 25+ years experience in workforce development and marketing, Celina says she still follows the same process with all of her agency clients.  The first step is to sit down and define what problem the business is trying to solve in the market and what their unique selling proposition is. From there, the agency performs market research to understand the psychographics of the client's target audience. Customers are inundated with marketing messages so it's essential to use data to cut through the nose.  The last step is to add outreach strategies, which may involve a new website with search engine optimization (SEO), paid ads, or PR. The best strategy will depend on where your ideal client spends their time online. Relationship-Building and Word-of-Mouth Born and raised in North Carolina, Celina approaches business like a true southerner by putting relationships first. Up to 97% of her agency clients come from word-of-mouth referrals. From the early days of her business, Celina has prioritized her sense of mission and helping others. She built her network through email outreach, phone calls, and speaking at conferences. To this day, the company has never run an advertising campaign. Instead, Celina shares information freely with her audience through email newsletters, blogs, and ebooks. This educational approach has resulted in long-term, repeat customers–many of whom have become like family. Tips for Running a Remote Team Celina's agency is fully remote and has been from the beginning–something she sees as an inherent advantage. Not only does working remotely save on overhead costs, but it also promotes greater communication between team members. Celina's team works across several different time zones, but she's flexible on when her employees work, as long as they continue to deliver results.  Although these days there are many tools for remote work, technology alone isn't enough to ensure the success of your virtual team. It's equally as important for the CEO to set the tone and culture. You need to have systems and processes in place, and communicate clear expectations at the start of every project. Establishing key milestones will help keep everyone on track, and your team will appreciate having the freedom to work on their own schedule. Enjoy this episode with CEO and Marketing Expert Celina Shands…  Quotes “The reason why we're called Full Capacity Marketing is because I want each of our clients to be at full capacity long after our contract concludes.” “If you position yourself as a partner versus a vendor, you have more opportunities that come in. That's why we do things like ebooks, teaching, and things of that nature. Whether you work with us or not, we want you to succeed, especially in those missions.” “I can't say we've had all this success intentionally. We set the course as best as possible and then go with the flow and see what opportunities come up.” “PR strategies are fantastic for entrepreneurs–getting them out there, getting their voice, and having a connection in the community.”  “How does your business not only solve a problem, but connect to a bigger mission that is of value and relevance in the community or the markets that you serve?”  “My grandma always said, ‘No one can argue with results.'” “There's room for everybody. It's not a competitive thing, even though you're trying to be unique in your own way. It's really about being authentic." Links mentioned in this episode: Full Capacity Marketing Website: http://www.fullcapacitymarketing.com  Connect with Celina Shands on LinkedIn: https://www.linkedin.com/in/celinashands/  Check out Celina's new book, Business On Purpose: https://www.amazon.com/Business-Purpose-Inspiring-Overcomers-Changing-ebook/dp/B0CGWWF372  eFCM Learning Hub: https://www.fullcapacitymarketing.com/skills-building/ 

Remote workers are not going away. Maybe you have a hybrid situation, regardless my guest Celina Shands has been running a creative team for 20 years remotely. She shares some nuggets that will improve your remote management. She also played basketball in college and shares a story about challenging this fella Michael Jordan to a one-on-one game. Go grab a cocktail, a cigar and strap in for another entertaining and informative episode of Sales and Cigars. Get your free copy of Walter Crosby's new book: https://www.the7criticalmistakes.com/the-7-critical-mistakes-optin Connect with Walter Crosby: E-mail: walter@helixsalesdevelopment.com LinkedIn: https://www.linkedin.com/in/walterlcrosby/ Website: https://helixsalesdevelopment.com/  Calendly: https://calendly.com/walter-helix/15-minute-virtual-cup-of-coffee Connect with Celina Shands: LinkedIn: linkedin.com/in/celinashands Website: fullcapacitymarketing.com Blog: fullcapacitymarketing.typepad.com/  Portfolio: fullcapacitymarketing.com/portfolio.shtml  Twitter: https://twitter.com/CelinaAtFCM

As CEO of Full Capacity Marketing, Celina Shands wass the 2017 Marketing CEO of the Year in the Pacific Coast USA, a former American Marketing Association Marketer of the Year and a two-time Women Who Mean Business finalist. For the past 25 years, Celina has been a strong advocate for workforce, education and economic development missions. Her company has earned more than 65 global awards for marketing and communications innovations in the public and nonprofit sectors. Celina is a sought-after keynote speaker and trainer at national and state workforce, education and economic development conferences. #celinashands #ceo #fullcapacity #marketing #thoughtleader #education #workforce #communications #california #tsc #gogetit  Social Media Links Wrote by Me Site https://t.co/loWDv6eU7x Youtube Channel youtube.com/c/ChipBakerTheSuccessChronicles LinkedIn http://linkedin.com/in/chipbakerthesuccesschronicles Facebook- Profile https://www.facebook.com/tscchipbaker Facebook- Page facebook.com/chipbakertsc Instagram https://www.instagram.com/chipbakertsc/ Twitter twitter.com/chipbaker19 TikTok tiktok.com/@chipbakertsc Linktree https://linktr.ee/ChipBakerTSC Online Store http://chip-baker-the-success-chronicles.square.site/ Chip Baker- The Success Chronicles Podcast https://anchor.fm/chip-baker

Dans un communiqué, l'Élysée a annoncé ce jeudi 24 août que la visite de Charles III en France (qui avait été reportée à cause de la mobilisation contre la réforme des retraites en mars) aura lieu du 20 au 22 septembre. Devenu roi il y a un an à la mort d'Elizabeth II, Charles III a été couronné roi d'Angleterre et du Royaume-Uni le 6 mai dernier. À ses côtés, Camilla, née Shands recevait, elle aussi, la couronne et le titre de reine. Le temps où le couple défrayait la chronique est révolu… Après la disparition d'Elizabeth II, Charles doit aujourd'hui assurer la survie d'une institution dont l'étoile a pâli dans la jeunesse britannique. Et dans cette entreprise, la reine Camilla sera l'atout maître de Buckingham Palace. (Rediffusion du 7 mai 2023)« Voir Camilla couronnée dans l'abbaye de Westminster, voir le chemin parcouru par cette femme qui a vraiment été l'ennemi public numéro un dans la presse britannique, c'est incroyable ! » Philip Kyle, auteur de Charles III, partage l'incrédulité de beaucoup de Britanniques. Certains regrettent leur reine de cœur, Diana, d'autres, comme le biographe qui a travaillé quelques années pour la fondation du prince de Galles, The Prince's trust, s'émerveillent.L'histoire commence dans le sud rural de l'Angleterre où Camilla Shands grandit entre ses chevaux et ses livres, deux passions qui lui resteront, dans un milieu privilégié, où l'on fréquente la famille royale. Son arrière-grand-mère fut d'ailleurs la maîtresse du roi Édouard VII. Lorsque la jeune Camilla croise le prince Charles en 1970, le coup de foudre est réciproque, mais le destin sera contrarié. Le prince Charles part dans la Marine, Camilla épouse le Major Andrew Parker Bowles en 1973, avec qui elle aura deux enfants. En 1981, le prince Charles épouse Diana Spencer. Mais Charles et Camilla s'aiment toujours.À lire aussiCouronnement du roi Charles III: «Il y a un sens de l'histoire qui s'accomplit»« Personne ne connaissait vraiment Camilla Parker Bowles à l'époque où Charles s'est marié avec Diana », raconte le Britannique Philip Turle. Mais lorsque la liaison est révélée, c'est un lynchage : « La presse commence à s'acharner contre Camilla. Elle est traitée de destructrice de mariage, de rottweiler – une insulte de Diana à l'origine – elle a été "élue" femme la plus mal habillée de Grande-Bretagne… On lui a craché dessus, jeté des choses en pleine figure. Cela a été une période extrêmement difficile pour Camilla. Et malgré tout, malgré cet acharnement de la presse, elle a tenu le coup. Parce qu'avant toute chose, avec Charles, c'était une grande histoire d'amour. Camilla Parker Bowles est une femme forte, confirme Philip Kyle, ce qu'elle doit en partie à son enfance. Le fait d'avoir eu une éducation entourée par des parents aimants, dans un cocon familial très solide, et dans un environnement finalement assez relax lui a permis de développer une personnalité assez équilibrée, c'est quelqu'un de résiliant, qui peut affronter les défis, qui sait ce qu'elle veut. Mais aussi qui aime la vie. »Réhabiliter CamillaEn 1995, Camilla divorce d'Andrew Parker Bowles, qui avait, lui aussi, d'autres amours. Les ex-époux sont aujourd'hui très bons amis. Le prince Charles et la princesse Diana divorcent en 1996. La détestation du public envers Camilla ne fait qu'empirer après la mort de Lady Di à Paris, l'année suivante. La résilience ne suffit plus, le prince de Galles charge un spécialiste en communication de réhabiliter Camilla : c'est l'opération PB - pour Parker Bowles. « Très progressivement, un certain nombre de moments de leur vie, par l'image, ont permis de l'installer dans l'esprit des Britanniques ; de montrer qu'elle était là, et qu'elle était là pour rester », explique Philip Kyle.Camilla calibre ses apparitions et ses sourires à la presse, mais elle doit aussi se faire accepter par la famille royale : « Un épisode a tout changé, c'est la mort de la reine mère. La mère de la reine Élisabeth II était farouchement opposée à l'idée de légitimer Camilla. » Elisabeth II se rend alors à l'évidence, poursuit Philip Kyle : « Petit à petit, elle a compris qu'avec Camilla à ses côtés, Charles pourrait être un roi plus apaisé – sans doute le voit-on aujourd'hui – plus apaisé et plus serein, ce qui permettrait d'apporter une stabilité à la couronne britannique. »« Faire en sorte que la monarchie britannique survive »Camilla et Charles se marient donc en 2005 avec l'accord d'Elizabeth II. Mais si Camilla est aujourd'hui reine à son tour, « ce n'est pas encore gagné, constate le journaliste Philip Turle. Elle n'est qu'à 38 ou 40% d'opinion favorable, ce qui est loin derrière d'autres membres de la famille royale comme William, Kate ou même la princesse Anne qui recueille 72% d'opinion favorable. Mais sa popularité est en constante augmentation. Et c'est une personne très travailleuse, qui passe beaucoup de temps à aider les gens en difficulté, qui très abordable ».La nouvelle reine est en effet engagée dans la lutte contre les violences aux femmes. Elle est marraine d'Emmaüs UK, s'implique dans la prévention de l'ostéoporose et pour l'apprentissage de la lecture. Le roi apprécie son humour et son optimisme. Ils forment un couple solide et aimant. Tant mieux, car le défi est immense. « La première tâche de Camilla et Charles, souligne Philip Turle, c'est de faire en sorte que la monarchie britannique survive. Ce n'est pas une mince affaire, mais je pense qu'entre Charles, qui a attendu 70 ans pour devenir roi, et Camilla qui a traversé tellement de difficultés pour arriver à ce grand jour, si deux personnes sont capables de faire le travail, c'est bien eux ! »Un vent de modernité va-t-il souffler sur la couronne ? Camilla a d'ores et déjà renoncé à employer des dames de compagnie, une première à Buckingham Palace.► À lire aussi : Royaume-Uni: revivez le couronnement de Charles III et Camilla de Westminster à Buckingham

Adversity can create an inner fire can move you in directions you could never imagine. At a young age, Celina Shands turned to sports as a welcome and rewarding distraction from a troubled home environment, and found a passion and talent that would continue to drive her to achieve greatness throughout her life. As a former Female Athlete of the Year, Celina attributes her love of sports as the driving force and passion that she puts into every single project. She is now the founder/CEO of Full Capacity Marketing (her 3rd company!), a 20+ year old national consultancy specializing in brand storytelling and strategic communications for those in the workforce, education and entrepreneurship sectors.  FCM's customer-centric model has earned the company more than 75 global awards for its customers who have built sustainable and relevant brands across the nation. Celina's story is inspiring and insightful... learn from her incredible journey in this episode.

Celina Shands is the CEO of Full Capacity Marketing. Their mission is focused on brand storytelling and strategic communications in workforce, education, and entrepreneurship.In this episode you will learn about how and why to build a remote workforce which celina has done 20+ years, the importance of mentorship, why it is important for you to find work that you enjoy and the significance of entrepreneurship.https://www.fullcapacitymarketing.com/New Episodes every Monday!www.stringcastmedia.com

Episode No. 8 of the Art Throb Podcast features Julien Robson who talks about the Mary and Al Shands Collection, the exhibition of their work Rounding the Circle currently at the Speed Art Museum, and the Great Meadows Foundation that today has awarded more that $850,000 in grants to over 300 artists in the region. ​Julien is an Independent Curator who shares his time between the US and Austria. Educated at art schools in the UK, he began his curatorial career in the University Gallery system in England, and subsequently spent ten years working in private galleries in Vienna.Moving to the US in 2000, for eight years he served as the curator of contemporary art at the Speed Art Museum in Louisville, and then at the Pennsylvania Academy of Fine Art in Philadelphia organizing many solo and group shows at these museums.In 2012 he moved back to Louisville and began curating the collection of contemporary art collector couple Mary and Al Shands and, in 2013, edited and contributed to Great Meadows: The Making of Here, a book about the Shands' house and collection.  In 2015 he helped found INhouse, an initiative of Kentucky contemporary art collector and philanthropist Brook Smith that supports residencies and special creative projects.  In 2016 Robson was appointed the director of the Great Meadows Foundation, an initiative of Al Shands that supports the growth of artistic activity in the Kentucky region. Additionally since Al Shand's passing in 2021, Julien now holds the position of Director of the Mary and Al Shands Art Preserve.The Speed Art Museum will present Rounding the Circle: The Mary and Al Shands Collection, a major exhibition celebrating the extensive and significant collection assembled by the late Alfred R. Shands III (1928-2021) and his wife Mary Norton Shands (1930-2009), until August 6, 2023.

As the world changes so do the requirements of the corporate world. What does it take to get a job today? What do corporations require of us when it comes to hiring? Here to give you the answers is Celina Shands, the founder/CEO of Full Capacity Marketing (FCM). She joins Rosie Zilinskas to share with us what companies are doing to hire these days as they grapple with the world's ever-changing landscape. Is a four-year degree really that essential? What can you do instead if you don't have it? Celina also breaks down the skillsets companies are looking for and the challenges many skilled laborers are facing. Full of important information that will help you advance your career, this conversation is one you won't want to miss. Find out what you need to get hired in today's job market!

Samedi 6 mai, Charles III est couronné roi d'Angleterre et du Royaume-Uni. À ses côtés, l'amour de sa vie, Camilla, née Shands, reçoit, elle aussi, la couronne et le titre de reine. Le couple a défrayé la chronique pendant des dizaines d'années. Il a aujourd'hui la lourde tâche d'assurer la survie d'une institution dont l'étoile pâlit dans la jeunesse britannique. Dans l'entreprise, Camilla sera l'atout maître de Buckingham Palace. Portrait. « Voir Camilla couronnée dans l'abbaye de Westminster, voir le chemin parcouru par cette femme qui a vraiment été l'ennemi public numéro un dans la presse britannique, c'est incroyable ! » Philip Kyle, auteur de Charles III (éditions Perrin), partage l'incrédulité de beaucoup de Britanniques. Certains regrettent leur reine de cœur, Diana, d'autres, comme le biographe qui a travaillé quelques années pour la fondation du prince de Galles, The Prince's trust, s'émerveillent.L'histoire commence dans le sud rural de l'Angleterre où Camilla Shands grandit entre ses chevaux et ses livres, deux passions qui lui resteront, dans un milieu privilégié, où l'on fréquente la famille royale. Son arrière-grand-mère fut d'ailleurs la maîtresse du roi Édouard VII. Lorsque la jeune Camilla croise le prince Charles en 1970, le coup de foudre est réciproque, mais le destin sera contrarié. Le prince Charles part dans la Marine, Camilla épouse le Major Andrew Parker Bowles en 1973, avec qui elle aura deux enfants. En 1981, le prince Charles épouse Diana Spencer. Mais Charles et Camilla s'aiment toujours.► À lire aussi : Couronnement du roi Charles III: «Il y a un sens de l'histoire qui s'accomplit»« Personne ne connaissait vraiment Camilla Parker Bowles à l'époque où Charles s'est marié avec Diana », raconte le Britannique Philip Turle. Mais lorsque la liaison est révélée, c'est un lynchage : « La presse commence à s'acharner contre Camilla. Elle est traitée de destructrice de mariage, de rottweiler – une insulte de Diana à l'origine – elle a été "élue" femme la plus mal habillée de Grande-Bretagne… On lui a craché dessus, jeté des choses en pleine figure. Cela a été une période extrêmement difficile pour Camilla. Et malgré tout, malgré cet acharnement de la presse, elle a tenu le coup. Parce qu'avant toute chose, avec Charles, c'était une grande histoire d'amour. Camilla Parker Bowles est une femme forte, confirme Philip Kyle, ce qu'elle doit en partie à son enfance. Le fait d'avoir eu une éducation entourée par des parents aimants, dans un cocon familial très solide, et dans un environnement finalement assez relax lui a permis de développer une personnalité assez équilibrée, c'est quelqu'un de résiliant, qui peut affronter les défis, qui sait ce qu'elle veut. Mais aussi qui aime la vie. »Réhabiliter CamillaEn 1995, Camilla divorce d'Andrew Parker Bowles, qui avait, lui aussi, d'autres amours. Les ex-époux sont aujourd'hui très bons amis. Le prince Charles et la princesse Diana divorcent en 1996. La détestation du public envers Camilla ne fait qu'empirer après la mort de Lady Di à Paris, l'année suivante. La résilience ne suffit plus, le prince de Galles charge un spécialiste en communication de réhabiliter Camilla : c'est l'opération PB - pour Parker Bowles. « Très progressivement, un certain nombre de moments de leur vie, par l'image, ont permis de l'installer dans l'esprit des Britanniques ; de montrer qu'elle était là, et qu'elle était là pour rester », explique Philip Kyle.Camilla calibre ses apparitions et ses sourires à la presse, mais elle doit aussi se faire accepter par la famille royale : « Un épisode a tout changé, c'est la mort de la reine mère. La mère de la reine Élisabeth II était farouchement opposée à l'idée de légitimer Camilla. » Elisabeth II se rend alors à l'évidence, poursuit Philip Kyle : « Petit à petit, elle a compris qu'avec Camilla à ses côtés, Charles pourrait être un roi plus apaisé – sans doute le voit-on aujourd'hui – plus apaisé et plus serein, ce qui permettrait d'apporter une stabilité à la couronne britannique. »« Faire en sorte que la monarchie britannique survive »Camilla et Charles se marient donc en 2005 avec l'accord d'Elizabeth II. Mais si Camilla est aujourd'hui reine à son tour, « ce n'est pas encore gagné, constate le journaliste Philip Turle. Elle n'est qu'à 38 ou 40% d'opinion favorable, ce qui est loin derrière d'autres membres de la famille royale comme William, Kate ou même la princesse Anne qui recueille 72% d'opinion favorable. Mais sa popularité est en constante augmentation. Et c'est une personne très travailleuse, qui passe beaucoup de temps à aider les gens en difficulté, qui très abordable ».La nouvelle reine est en effet engagée dans la lutte contre les violences aux femmes. Elle est marraine d'Emmaüs UK, s'implique dans la prévention de l'ostéoporose et pour l'apprentissage de la lecture. Le roi apprécie son humour et son optimisme. Ils forment un couple solide et aimant. Tant mieux, car le défi est immense. « La première tâche de Camilla et Charles, souligne Philip Turle, c'est de faire en sorte que la monarchie britannique survive. Ce n'est pas une mince affaire, mais je pense qu'entre Charles, qui a attendu 70 ans pour devenir roi, et Camilla qui a traversé tellement de difficultés pour arriver à ce grand jour, si deux personnes sont capables de faire le travail, c'est bien eux ! »Un vent de modernité va-t-il souffler sur la couronne ? Camilla a d'ores et déjà renoncé à employer des dames de compagnie, une première à Buckingham Palace.► À lire aussi : Royaume-Uni: revivez le couronnement de Charles III et Camilla de Westminster à Buckingham

This week Mary and Alex chat about the term “health anxiety.” Is it real? Is it a positive or negative concept? Is there any value in it? #Podcast #Spotify #Anchor #research #advocacy #healthanxiety #trepidation #anticipation #fear #hypochondria #worry #munchausensyndrome #familyphysician #TodayShow #UFHealth Stay Connected  Email Us: downthereaware@gmail.com Instagram:@downthereaware  Facebook: Down There Aware  Twitter: @downthereaware Pinterest: Down There Aware TikTok: Down There Aware Episode Highlights Intro [0:13] Welcome Back! [1:25] Time to chat [1:46] The TODAY Show [1:53] Peloton instructor dx with breast cancer [2:03] Health Anxiety [3:19] “Scanxiety” [3:39] Hypochondria [6:45] Negative connotation [7:40] Worry [8:35] What Ifs [10:05] Hug the Mountain [12:30] Shout out to Victoria [14:50] Alex's teaching emergency [15:20] Sadie Mae [16:57] Healthy attitude and preparation [17:18] Munchausen Syndrome [18:20] Shands experience [18:48] Develop honest relationships with doctors [20:40] Trusted Internet sites [22:50] Yikes! We lost our  video!  [24:11] Importance of regular check-ups [25:25] Vital role of family physicians [26:04] Thanks for listening! [27:16] Summary Keywords Podcast, Spotify, Anchor, research, advocacy, health anxiety, trepidation, anticipation, fear, hypochondria, worry, munchausen syndrome, family physician, Today Show, UF Health --- Send in a voice message: https://podcasters.spotify.com/pod/show/downthereaware/message

Deputy Troy Anderson pulled over a car one night for an average car stop. Before he could sense any threat the suspect fired a gun twice and shot him in the face and hand. It was a rural area far from help and an off duty deputy, near the area, cleaning the patrol car heard his call for help on the radio. The suspect was later killed in a shootout with a civilian while invading that person's home.  Deputy Anderson had no way of knowing that the driver was a a registered sex offender. And according to investigators was hell bent on violence. "I truly believe he had an evil mindset and his thought process was to kill and destroy innocent people," Dixie County Sheriff Darby Butler said about Miedema at the same event. "Fortunately, he did not succeed in that." Troy tells the horrifying story of the shooting and the wonderful medical professionals that saved his life.   One of the images in podcast cover from WCTV. Follow us on MeWe, Twitter, Instagram, Facebook. Never miss out on an episode of the Law Enforcement Today Podcast subscribe to our free email newsletter, never more than 2 issues a week sent out. Click here and scroll down about halfway. Check out the Clubhouse: Drop In Audio Chat App for free. It is social audio, think of truly interactive talk radio. Be sure to become a member of our club for free, LET Radio and Podcast.  Be sure to check out our website. Interested in being a guest, sponsorship or advertising opportunities send an email to the host and producer of the show jay@lawenforcementtoday.com. Background song Hurricane is used with permission from the band Dark Horse Flyer.See omnystudio.com/listener for privacy information.

#entrepreneur #smallbusiness #podcast #howtoHere are some points that were taken away from this Shands Rants mashup.-We all are consistent at something but the key is to be consistent at the thing(s) that will get you closer to your goal(s).-Be earlier for yourself than you are for others-You are dong all you can today based on who you are.-If you are having problems changing something you may have to get to place within yourself where you are so tired of it that you won't tolerate it any longer.-Realize your patterns

#entrepreneur #smallbusiness #podcast #howtoWe all have habits. Habit is defined as - a settled or regular tendency or practice. People tend to allow their lifestyle to be shaped based on what feels good without assessing whether it IS good.Usually, environment plays huge role on the habits we establish. If you want to break a habit it's important to also think about what new habit will take its place. It's usually not enough to simply stop doing a thing and that's it... What will you replace it with.

#entrepreneur #smallbusiness #podcast #howtoEnvironment is probably the most influential when it comes to shape a mindset. We all are in some kind of environment. Each mindset reflects the environment(s). The reverse is true in that wherever a person goes they will also do things that comes from another space causing a new space to reflect what's in their minds. So, we also carry environments with us.If anyone wants to intentionally change their mindset overtime they must change what's going into their minds. It won't be overnight. This is a cultivation that happens over an extended period of time.

In this episode we talk to Jim Shands about his nearly 40 years of work at Killington. We discuss his early years “sled doggin'” and learn just what that term means. Then we dive into his team's role in the construction of the new K-1 Lodge and how the job will never really be done. Then we talk with Mike Solimano, President and General Manager of Killington and Pico Resorts about the exciting news of one more World Cup Race. We also discuss all the fresh snow stacking up for more open terrain and the big K-1 Lodge grand opening celebration. Links The Killington App https://apps.apple.com/us/app/killington-resort/id1532074858 https://play.google.com/store/apps/details?id=com.wearlynx.slandroidkillington Instagram https://www.instagram.com/killingtonmtn/ Facebook https://www.facebook.com/killingtonresort Twitter https://twitter.com/KillingtonMtn YouTube https://www.youtube.com/user/KillingtonMountain Host: Justin Cash Guests: Kristel Killary, Jim Shands, Mike Solimano

#entrepreneur #smallbusiness #podcast #howtoThis is a mashup of David Shands ranting about a range of topics on entrepreneurship.

After a long hiatus, Lillee & TJ are finally back with another crazy malpractice case! In 2006, Lanette Gervato arrives at Shands Teaching Hospital for severe headaches but leaves paralyzed on one half of her body and unable to care for herself. Who's responsible for these life-threatening mistakes? Well, the trial outcome may just leave more questions than answers.Buy Merch, Subscribe, & Follow Us!https://linktr.ee/EthicalSideEffectsInstacart - Groceries delivered in as little as 1 hour. Free delivery on your first order over $35. Stop scrolling and starting listening now, with Newsly! Use promo code ESEFFECT at newsly.me and receive a 1-month free premium subscriptionSupport the show

PageantCast Classic Original Release: 2007 Staci Shands, Ms. Liberty America International 2007 This week's show: Intro by Stephanie Daughenbaugh Opening Notes Upcoming Interviews Interview with Staci Shands, Ms. Liberty America International 2007 Jeannine Rosolie ID...

As a result of participation in this activity, participants should be able to:1. Describe the most common causes of nasal obstruction.2. Outline the initial treatment protocol that should be prescribed.3.Discuss when referral to ENT and surgical intervention may be helpful.

How are you able to find the solutions to elevating your life if the problem seems BIGGER than your way out? Tap in with me as I share a quick story about how I allowed A MAJOR PROBLEM to overshadow my world for a few days. I promise there's a gem in here somewhere! -Dave

Making $30,000 in a day vs. $30,00 a year is a big difference! Not only is there a marked change in person's life financially but also in their mindset, network, and habits. In this session I'll unpack with you the truth behind why I was able to make a seismic shift in my life in all of these areas! Let's talk about it- Dave

How often do you journal? Having a written record of your thoughts, inspirations, and challenges is one of the most common keys to successful individuals. There is a saying that if you didn't write it down or document it, it didn't happen! Sit with me for a few minutes as I unpack the power of journaling and writing notes. It may be the key to your next level! - Dave

When building an apparel brand, you have to know who you are creating for. The old wisdom of “ if you build it they'll come” doesn't apply here! After building a successful clothing brand, I wanted to open up the apparel line blueprint to you but we only have 5 minutes! You have to be aware of three kinds of shoppers who may be your ideal client. Tap in with me for a few minutes- Dave

Every entrepreneur has many ideas that they never put into action fully! With "shiny object syndrome" being a real struggle for many people, it is key to be CONSISTENT with one idea at a time until it is seen all the way through. Let's talk about it, I promise this will help you! - DaveJoin David's Morning Meetuphttp://www.themorningmeetup.com⁣*** Grab the Podcast EBOOK

Creating content consistently is a major difference maker in the life of a business if you want to get in front of as many people as possible. Carving out your piece of the marketplace can be done if you follow the ABC's of content creation which include knowing your Avatar, dropping content in “The Bucket”, and Creativity. Let's unpack why these three pillars can skyrocket your engagement and reach to the next level! - DaveJoin David's Morning Meetuphttp://www.themorningmeetup.com⁣*** Grab the Podcast EBOOK

What are some of the key behaviors and values of those who put in the time, effort, and energy to become wealthy? How To Get Rich is one of the most popular questions and there are tons of resources that can teach you how to do so. Let's unpack a few principles that I believe will get you started on the right path on this week's Five Minute Friday ! - DaveJoin David's Morning Meetuphttp://www.themorningmeetup.com⁣*** Grab the Podcast EBOOK

Welcome to Five Minute Friday! During this time we will dive into some of the most powerful strategies to help you get to the next level in 5 minutes or less! Today's episode is all about Brand Awareness. What are you most known for? What is your name synonymous with ? This will be the key to people being aware of your brand. Let's talk about it! - Dave. Join David's Morning Meetuphttp://www.themorningmeetup.com⁣*** Grab the Podcast EBOOK

This week we are thrilled to be joined by Regina Shands Stoltzfus and Tobin Miller Shearer to discuss their antiracism work and their book Been in the Struggle: Pursuing an Antiracist Spirituality.  We chat about their friendship, work in and for the Mennonite church, and why we think they should consider branching out and writing Amish romance.  Purchase their book, Been in the Struggle, through MennoMedia or wherever you get your books. Let us know your thoughts! You can reach us at plainwrongpod at gmail.com, or on Twitter, Instagram, and Facebook. Follow us: Twitter: https://twitter.com/plainwrongpodInstagram: https://www.instagram.com/plainwrongpod/ Website: http://plainwrongpod.com/ 

Welcome back to the Chamber Connect Podcast! This week Tara and Blake interview Morgan, Bartlett, Baggett, & Shands to talk about the interesting world of insurance, how these companies have merged, and the benefits that creates for the community and their clients. The Chamber Connect Podcast is presented by IT Enabled - Learn more about IT Enabled here: https://bit.ly/355JGsV Each week hosts Tara Watson-Watkins, CEO of the Lufkin Angelina County Chamber of Commerce and Blake Pollino CEO of BP Media Group sit down with local leaders, small business owners, and people of interest to share education and inspiring stories from right here in our community. Thanks so much for listening! Make sure you rate and review the podcast wherever you're listening. Subscribe on Youtube: https://bit.ly/3PqmQPp Like us on Facebook: https://bit.ly/33ubk2i Follow us on Instagram: https://bit.ly/3rV9C3j Learn more about the chamber: https://bit.ly/3ByV9gD The Chamber Connect Podcast is produced by BP Media Group - Learn more at https://bit.ly/3v0p7ZE

Mike Shands, the Vice President of Learning and Development at APi Group Inc., shares his powerful anecdotes about the importance of self reflection. He offers insights on the importance of mentorship and how other individuals have helped him shape a career he now loves. Finally, Shands reflects on embarking on a new journey moving to Europe as APi Group expands. 

We continue through Black History Month on ~ing Podcast, this time as host Rev. Allison Maus sits down with Dr. Regina Shands Stoltzfus. She is a Professor and the Director of Peace, Justice, and Conflict Studies at Goshen College. Regina is co-founder of the Roots of Justice Anti-Oppression program (formerly Damascus Road Anti-Racism Program) and has worked widely in peace education. In this week's episode we look back at Regina's origin story, her passion for this work, and what gives her hope for the future of the Church in this challenging space. Allison and Regina will also discuss themes from Regina's new book, coauthored with Dr. Tobin Miller-Shearer (former ~ing Podcast guest on episode #27) titled Been in the Struggle: Pursuing an Antiracist Spirituality, available now from Herald Press! A written transcript of this episode is available at our website - https://www.mennomedia.org/ing-podcast/ Today's episode is supported by Goshen College, a private liberal arts college in Goshen, Indiana. It was founded in 1894 as the Elkhart Institute of Science, Industry and the Arts, and is affiliated with Mennonite Church USA. Today's episode is also supported by The Center for Justice and Peacebuilding and Eastern Mennonite Seminary, two graduate programs at Eastern Mennonite University. Find out more at - https://emu.edu/ing/ ~ing Podcast is a production of MennoMedia, a nonprofit Publisher that creates thoughtful, Anabaptist resources to enrich faith in a complex world. To find out more, visit us online at MennoMedia.org --- Send in a voice message: https://anchor.fm/ing-pod/message

Public K-12 schools across the country have introduced elements of critical race theory into their curriculums. The Biden Administration has produced a federal rule that would prioritize funding for history and civics programs shaped by CRT. Meanwhile, lawmakers in 16 states have introduced or passed legislation seeking to limit the teaching of critical race theory within public institutions. And parents across the country have pushed back against school boards adopting CRT and filed litigation to that effect. What is critical race theory? And are states and localities within their rights in designing and limiting curricula and what can and cannot be taught in public schools, or do laws that do so potentially violate First Amendment rights or other applicable law?Featuring:Reverend Michael Barber, S.J., Professor of Philosophy, Saint Louis UniversityJosh Hammer, Opinion Editor, Newsweek and Research Fellow, Edmund Burke FoundationKimberly Hermann, General Counsel, Southeastern Legal FoundationDave Roland, Director of Litigation, Freedom Center of MissouriModerator: Mark Bremer, Partner, Shands, Elbert, Gianoulakis & Giljum, LLP and President, St. Louis Lawyers Chapter

A conversation with Dr. Regina Shands Stoltzfus activist, author, and professor of peace, justice, and conflict studies at Goshen College, about her new book: Been in the Struggle: Pursuing an Anti-Racist Spirituality. Dr. Shands Stoltzfus' other books: Set Free: A Journey Toward Solidarity Against Racism Resist, Organize, Transform: An Introduction to Non-Violence and Activism

A conversation with Dr. Regina Shands Stoltzfus activist, author, and professor of peace, justice, and conflict studies at Goshen College, about her new book: Been in the Struggle: Pursuing an Anti-Racist Spirituality. Dr. Shands Stoltzfus' other books: Set Free: A Journey Toward Solidarity Against Racism Resist, Organize, Transform: An Introduction to Non-Violence and Activism

We spoke with Tobin, Professor of African American Studies, several months ago (https://www.themissionplace.org/allthatsholybluecollar/episode45) and learned that he wasn't keeping up with University of Montana Football (nonetheless, Go Griz). We speak to Tobin again and meet his long-time friend and partner in struggle to dismantle racism, Dr. Regina Shands Stoltzfus of Goshen College. Regina is professor in the Religion, Justice, and Society department and worked at anti-oppression and anti-racism for over thirty years. Over that time, she and Tobin co-founded several anti-racism initiatives for institutions, leaders, and the general public. We're visiting with them because of their new book, Been in the Struggle: Pursuing and antiracist spirituality, by Herald Press.We gained some insight, and we hope you'll be curious to learn:· what is racialization?· how does culture play a role in developing both our spirituality and our racialization?· in the midst of injustice and oppression, how do both compassion and reckoning function? When might “grace” not be the best approach?Follow and interact with The All That's Holy: Blue Collar Podcast on Facebook and TwitterFollow and buy music from At The Speed of Darkness on Bandcamp and Instagram.

Church Music Military   That is the foundation of my guest, Dr. Steven Bradley. Dr. Steven Bradley is a board-certified anesthesiologist, medical ethicist, and host of the Black Doctors Podcast.  Dr. Steven interviews minority professionals in a variety of career paths. In this episode, he's on the hot seat as we learn more about him.  Some of the topics we cover are: Going to a religious college Working as a construction worker under Shands hospital  Getting past imposter syndrome and deciding  to apply to medical school His path to Anesthesiology The origins of the Black Doctor Podcast   WATCH THIS EPISODE ON YOUTUBE! https://www.youtube.com/drniidarko   JOIN MY COMMUNITY Text PODCAST to 833-230-2860   Twitter: @drniidarko Instagram: @drniidarko Email: team@drniidarko.com Podcasting Course: www.docswhopodcast.com Merch: https://docs-outside-the-box.creator-spring.com   This episode is sponsored by: Locum Story. Learn how locum tenens help doctors make more, and have the lifestyle they deserve!. Check them out at www.locumstory.com   Physician CEO. Turning doctors into executive leaders, through world-class education at the Kellogg School of Management at Northwestern University. Build your business, grow your practice, and develop your business plan while still practicing as a physician. Visit https://physician-ceo.com/dotb/ to learn more!    

Ashley and Justin sit down to talk with Regina Shands Stoltzfus, professor of peace, justice, and conflict studies at Goshen (Indiana) College about building resilience when teaching intense topics, community care in the classroom, and more. Regina is co-author, with Tobin Miller Shearer, of the new book, "Been in the Struggle: Pursuing an Antiracist Spirituality" (Herald Press).

This week Brent and Rachel chat with the incredible Carolyn McClanahan, M.D., CFP, about how to protect our loved ones and clients from Elder Abuse. We focus on the financial side of things. The conversation gets into discussing the issue, its prevalence, and practical ways it can be addressed. Carolyn focuses on financial planning. She completed her undergraduate degree at Mississippi University for Women, medical school at the University of Mississippi, and residency in Family Medicine at Virginia Commonwealth University. In 1998, she was recruited to teach on faculty at the University of Florida, Shands, Jacksonville.  Carolyn is a member of the National Association of Personal Financial Advisors (NAPFA), the Financial Planning Association, and the American Academy of Family Physicians. She volunteers as a physician with Volunteers in Medicine Jacksonville, providing health care for the working uninsured. Carolyn speaks nationally to financial planners and physicians on the interplay between health and financial issues. She serves on the CNBC Financial Advisor Council and has been quoted in numerous publications, including the Wall Street Journal, Washington Post, and New York Times. She has appeared on CNBC, Hardball, and NPR. You can find Carolyn at https://www.lifeplanningpartners.com/ and on Twitter @CarolynMcC.

The confidence and positivity coming from guest Dr. Lauren Chism can easily put your mind at ease about Mesquite ISD students making it through these tough times of a pandemic. The principal of Cannaday Elementary, who has also served Kimball and Shands elementaries and Terry Middle School, earned her doctorate in educational leadership at SMU with podcast co-host Dr. LaDonna Gulley. Hear how Dr. Chism uses her leadership role with educators and students to infuse the joy of learning into the student learning recovery process. Learn how she uses trauma-informed care and behavioral intervention best practices, helping students with behavioral difficulties thrive in the general education classroom.

The passion and industry expertise from each of our consultants is an important part of what makes FBMC unique. On mic are two of our Employee Benefits Consultants: Shands Bussey and Kevin McCarthy. Listen in as Shands and Kevin discuss their work in the insurance industry and how it has shaped their perspective on what delivering quality service looks like.To listen in and subscribe to more episodes, visit our website: fbmc.com/podcast.MORE ABOUT OUR GUESTS:Kevin McCarthy, Employee Benefits ConsultantFBMC.comKevin McCarthy brings 21 years of experience in working with health and voluntary employee benefits in Texas schools. Kevin has been a professional songwriter, musician and actors in Austin since 1987.After graduating from the University of Texas he started as a high school AP/IB Eco and Gov teacher at Anderson HS in Austin, Texas.For the last 22 years he has helped Texas schools with their voluntary supplemental benefits. His experience as a teacher continues to inform his work as a consultant for his clients.Shands Bussey, Employee Benefits ConsultantFBMC.comShands brings 4 years of human capital management experience with a focus on employee benefit solutions to FBMC's clients. He adds a proven track record of assisting public and private entities streamline, maintain, and grow their Health & Benefits offerings. His focus is on delivering high performance healthcare benefits and service by engaging and empowering the healthcare consumer.

LATEST EPISODE: Dr Treva Gear and protesters cause a stir at the Adel City Council Meeting, an Adel man is life flighted to Shands after an accident, and Cook High gets a competition cheer team again...Each week the Adel News Tribune brings you the latest news from around Cook County, just like we have for over a century. And now that everyone is busier than ever, it's more important than ever to stay connected to what's happening NOW.  That's why we've created this new WEEKLY podcast, giving you the news you need to know…faster…this podcast is one of the first of its kind in Small Town Journalism...

Full Transcript: Kira:  Being a launch copywriter is not the easiest thing in the world. You've got to understand launch strategy, be able to write sales pages and emails, maybe even write webinar scripts, Facebook and Google or YouTube ads, and more, and often even just support your client through the launch experience, which can be a rollercoaster at times. It's the kind of work that can easily lead to burnout if you're not careful. Our guest for the 239th episode of The Copywriter Club Podcast is former Think Tank member, Kristina Shands. She joined us to talk all about the work involved with writing and strategizing for launches, and she talked about ways to make launches more enjoyable too. Rob:  So, before we get to our interview with Kristina, we want to tell you that this podcast is brought to you by The Copywriter Think Tank. This is something we've been talking about quite a bit recently, and if you're tired of hearing us promote the Think Tank, maybe just visit the copywriterthinktank.com and find out what it's all about. It is our private mastermind for copywriters and other marketers who want to challenge each other, create new streams of revenue in their business, to receive coaching from the two of us, and ultimately grow your business to six figures or find more time for the things that you value, whatever your goals are, it's designed to help you reach them. If you've been looking for a mastermind to help you grow as a copywriter or as a business owner, again, visit copywriterthinktank.com to find out more. Kira:  Yeah, and we're not going to stop talking about it anytime soon. So, sorry. Okay, let's jump into our conversation with Kristina, as we usually do, with her story. Kristina:  The roundabout way is how I got here. I spent a lot of time in college just doing random stuff, and then I discovered this thing called public relations, and I figured out I could write pretty well. So, I got a degree in public relations and worked for nonprofits, and then one day, I came in, and my boss said, "Our grant isn't approved for next year, you're the only person that I can let go, and sorry." And so, I was like, "Oh, okay." So, I spent a year working with other fundraising coaches, worked as a grant writer. I've taught fundraising to local nonprofits, and then I worked with graphic designers. And I had some friends that owned a web company, and I had no idea what I was doing, but I knew I could write. I'd still at this point didn't know what copywriting was, I just knew I could write scripts and I could write stuff. Had no direction whatsoever. And then ended up finding out what internet marketing was, and got into that world, studied with some of the first, Frank Kern, sort of those types of copier, those types of internet marketers. And then became a VA, discovered launching from a client, came into her company as a junior copywriter, and that was when I was like, "Oh, wait, there's a science behind copywriting. It's not just writing words randomly and asking someone to do something, there's actually a formula and science and metrics and things that I can actually study." And then from there, it became a really dive into what it takes to be a real copywriter, how to become a better copywriter, about storytelling. And because my client was doing a lots of launches, I just got to study with her and watch her team do launches. From there, I just went on and started working with other friends and coaches and found my way through the maze. I've just been really lucky to get really great referrals and learning as I go and studying, and then found my way here. Long story short, I happened into it, and I'm really glad I did. Rob:  So, Kristina, I'm curious, going back to PR days, fundraising days, when you started mentioning that, I'm like, "Okay, how do you fundraise? What are the secrets to fundraising?" Because when you're offering somebody a product to sell or to buy, obviously,

On the 239th episode of The Copywriter Club podcast, we’re joined by Kristina Shands, Copywriter and Launch Strategist. Kristina took her background in nonprofit and Public Relations and has been able to transform her clients’ businesses through the launch of their products and services. If you’re somebody who’s been dabbling in the launch world, and you want to increase the experience you provide your clients, this episode is a must-listen. We also talked about: How launching has changed and how the “what” has stayed the same. Giving people what they need to make an empowered decision by listening to what they have to say. How to hold space for your clients during a launch when launching can be high-energy and demanding. The strategy you can provide for your clients, so they don’t feel they have to do it all. The better way to have a killer launch and not get burned out. The easiest way to set reasonable standards and expectations for clients. The benefit to asking specific future pacing questions to prospects. How to implement love languages and human design into your business. The #1 component of being a better business owner and entrepreneur. Why it’s important to honor your energy management and the effects it has on your day. The secret to adding self-care into your launch strategy and why it needs to be a must. The right way to go down a rabbit hole and make it a beneficial use of your time. How learning something new can be self-sabotaging and impractical. Jumping ahead in your personal and business growth, so you can be “lucky.” The element you need to be part of the persuasion process. How to get off the “hustle” cycle and learn to trust the journey and opportunities that will come with time. Launching can be exhausting, but it doesn’t have to be. Listen in on this episode or check out the transcript below.   The people and stuff we mentioned on the show: Kira’s website Rob’s website The Copywriter Club Facebook Group The Copywriter Underground Kristina’s website    Full Transcript: Transcript is underway...    

Who better to tell you how to livescope Grenada Lake than 2 guides who spend literally every day out there on the water? These guys not only get to learn from using it themselves but they have to be able to help clients catch fish with it and so there isn't much these guys haven't seen. You guys should learn a lot from this one, hope you enjoy and thanks for watching!

On March 8, 2021, the Federalist Society's Missouri lawyers chapters held a statewide conference via webinar. The conference opened with a panel on "The Future of the Missouri Constitution: Constitutional Convention? Initiative Petition Reform?".Missourians will vote in 2022 whether or not to have a constitutional convention. But why wait? Pending legislation proposes changes to the initiative petition process.Introduction12:00 p.m. - 12:10 p.m.Stephanie Bell, Partner, Ellinger and Associates LLCThe Future of the Missouri Constitution: Constitutional Convention? Initiative Petition Reform?12:10 p.m. - 1:30 p.m.James R. Layton, Of Counsel, Tueth Keeney Cooper Mohan Jackstadt P.C.Lowell Pearson, Office Managing Partner, Husch Blackwell LLPRep. John Wiemann, Speaker pro tempore, Missouri House of Representatives (MO-103)Moderator: Judge Stephen R. Clark, United States District Court, Eastern District of MissouriIntroduction: Mark Bremer, Partner, Shands, Elbert, Gianoulakis & Giljum, LLP*******As always, the Federalist Society takes no position on particular legal or public policy issues; all expressions of opinion are those of the speakers.

Mr. Shands is back. CREEPYPASTA STORY►by jalapeno-whiskey: https://www.reddit.com/r/nosleep/comm...Creepypastas are the campfire tales of the internet. Horror stories spread through Reddit r/nosleep, forums and blogs, rather than word of mouth. Whether you believe these scary stories to be true or not is left to your own discretion and imagination. LISTEN TO CREEPYPASTAS ON THE GO-SPOTIFY► https://open.spotify.com/show/7l0iRPd...iTUNES► https://podcasts.apple.com/gb/podcast...CREEPY THUMBNAIL ART BY►Angela Sae-Lam: https://www.artstation.com/artwork/o1xLmSUGGESTED CREEPYPASTA PLAYLISTS-►"Good Places to Start"- https://www.youtube.com/watch?v=g7YCb...►"Personal Favourites"- https://www.youtube.com/watch?v=AEa2R...►"Written by me"- https://www.youtube.com/watch?v=gX6RA...►"Long Stories"- https://www.youtube.com/playlist?list...FOLLOW ME ON-►Twitter: https://twitter.com/Creeps_McPasta►Instagram: https://instagram.com/creepsmcpasta/►Twitch: http://www.twitch.tv/creepsmcpasta►Facebook: https://www.facebook.com/CreepsMcPastaCREEPYPASTA MUSIC/ SFX- ►http://bit.ly/Audionic ♪►http://bit.ly/Myuusic ♪►http://bit.ly/incompt ♪►http://bit.ly/EpidemicM ♪-This creepypasta is for entertainment purposes only-

Real people. Real stories. Real Problems. This is Lauren Lake's Paternity Court. Ms. Shands is devastated that her first love is denying paternity of her son. Both Mr. Hollis and his mother say Ms. Shands is a pathological liar and believe they can identify who the real father is.

Episode 4

In 1999, Chris Malachowsky was on the team at NVIDIA that invented the Graphics Processing Unit, an invention that transformed the consumer electronics industry. The GPU is now used by video games and virtually all social media platforms. The son of a doctor, Chris started out as pre-med but switched to engineering and got hired by Hewlett Packard. “I never felt we were at risk,” Chris says of his early start-up days. But he cautions early entrepreneurs, “don’t do it for the money or the glory. It’s too hard.” (Mild profanity) *This episode was originally released on November 20, 2019.* TRANSCRIPT: Intro (00:01): Inventors and their inventions, welcome to Radio Cade the podcast from the Cade Museum for Creativity and Invention in Gainesville, Florida. The museum is named after James Robert Cade, who invented Gatorade in 1965. My name is Richard Miles. We’ll introduce you to inventors and the things that motivate them, we’ll learn about their personal stories, how their inventions work and how their ideas get from the laboratory to the marketplace. James Di Virgilio (00:39): For Radio Cade, I’m James Di Virgilio. Our guest today is a 2019 Florida Inventors Hall of Fame, inductee, University of Florida alumnus, and co founder of NVIDIA. His name is Chris Malachowsky. Chris went on to found a fortune 1000 company that invented the Graphics Processing Unit, which for me was a large part of my life and had a big introduction to video games. But that unit did much larger things than that. It’s now used by Facebook, Twitter, Google, super computers, a whole host of other things. And in fact, Chris and his cofounders transformed the visual computing industry by creating a consumer oriented 3D graphics market. Chris, thank you so much for joining us today. I’m looking forward to hearing about your story. As we spoke off air, your story is like so many other inventors and entrepreneurs stories and that it does not move in a straight predictable line. Tell us how your story began. Chris Malachowsky (01:34): Well, I was a kid about to get in trouble in New Jersey and, uh, wanted to graduate early, before I succumb to the wildly ways with my friends and knew I wanted to get out of New Jersey. It was middle of winter it’s slushy, it’s cold, it’s dreary. And my father was a physician. My parents and their friends all assumed I was to be a doctor. I like carpentry and cabinet making and, and thought that was the path I wanted, but didn’t really think I needed to make up my mind. So what I did decide was warm and green was the criteria for school. If they had a medical school and a building construction school, I could decide later, let me just get on with my life, get out of New Jersey. And so I applied to Tulane, they had a really pretty lawn and sunny scene on the cover of their catalog thought that was attractive. They had a medical school on a building construction school done, I flied, and got in. My parents were a little gas that I wasn’t giving myself more options and that maybe I should at least see the school. So my older brother was given my parents’ car and him and I drove off to Tulane. And after being there for a couple of days, I really didn’t think that was going to work out for me. I was going to get myself in some serious trouble in the French Quarter. So on the way home I was dismayed because I did not give myself any options. I stopped, to see a cousin who was going to University of Florida. I spent a couple of days there and really did like it. And it also had the same characteristics of building construction school and a medical school. And I decided this is cool. So I picked up an application and on the way, driving home to New Jersey, I filled it out, mailed it in, got in. And I guess the rest is history that brought me to that Florida. James Di Virgilio (03:07): Now tell me about your experience in college and then how your life became what it became, because I’m going to love, I know before I even hear what you’re going to say, how life is so much more unplanned than we ever think. And I’m looking forward to hearing how those dots connect. Chris Malachowsky (03:22): Yeah. So at Florida, you didn’t really have to declare a major. So I started off doing all the normal general ed stuff with an idea that I was premed. And I remember going to see the premed advisor who was very clear. And I went with one of my roommates. This is maybe as a sophomore and the guy looks me square in the eye and says, so who have you helped lately? I said excuse me, it’s just, you want to be a doctor? I mean, come on, everybody wants to be a doctor, a lawyer what’s this about? He says, don’t even tell me your father was a doctor or a lawyer. And the other kid’s father was a lawyer. My father was a doctor. He says, you know, what discipline are you going to choose? And I said, well, I was thinking of engineering. And my roommate said, you’re not gonna make that. I mean, you just might as well go home. We walked out of that advisor’s office and I’m like crying. My roommate’s like he’s talking about me. And it turned out, it was really just a challenge. And fast forward, three years later, whatever I’m graduating, I’m getting ready to graduate. I’m going to take the medical school entrance exam, which was in like May and graduations like June or maybe was April, May something along those lines. And you’re supposed to study very hard and be very rested because after the morning sessions, that all day thing after the morning session, your grade is supposed to drop considerably in the second half. You’re exhausted. You’re tired. So I remember going to the Shands teaching hospital in Gainesville and I take the first part of the test and I’d stayed over one of the quarter breaks to study. And I had a lot to remember, cause I had electrical engineering as the way I was getting into a medical school. You had to pick something. And I got an A in that section of physics, it sounded like, why not? Didn’t really have any love for it, but apparently I was good at it. So I’m laying on the picnic table in the Florida sun, trying to relax between the morning session and the afternoon session. And I started thinking of my father the obstetrician who would work for five days straight, come home for an hour. Somebody would go into labor, he’d leave. And I’m thinking, is that really what I want for my, I never even thought about it. It was, doctor was just a thing you hero is like, if I finished this test, I actually might have to be one. And I was thinking, no, I think I’d rather figure out what all the engineering stuff was about. I’ve been introduced to computers and electronics, and I only took introduction to cause everything else was chemistries and things aimed at biology and stuff for the medical school. So I thought, no, I actually want to learn more about that. So I changed my mind, took the rest of the test. I thought it was easy. There was no pressure. It didn’t matter anymore. It didn’t count. I remember buying a six pack and driving home to the house we were living in and I called my parents and I said, mom, dad, I got good news and bad news. Well, what’s the good news son. Well, I thought the test was actually really easy. It was made out to be much harder than I actually experienced. That’s what I think I probably did pretty well. Well, what’s the news. Well, I don’t want to be a doctor anymore. And my mother without hesitation about half a second. Good. You never read directions anyway. We thought you were doing it just for your father. I said, well, okay then. So I ended up abandoning my medical school hopes or plans got a job with Hewlett Packard in a manufacturing role. Actually, I don’t even remember the role yet, but I went off to California to Hewlett Packard. I’d been transferred twice. What I ended up in was a manufacturing role. I don’t even remember what it was I accepted. And it turned out for a kid that had only introduction to, as a background. It gave me a chance to sort of figure out what engineering was about and to learn why things work and how you make more than one of something, which turns out to be a very valuable thing for an engineer, not just make the one offs, but build a product that could be produced reliably and tested and repaired and to solve somebody’s problem. So that manufacturing background, I excelled at it and did well and got invited to join the R&D lab at Hewlett Packard and worked on microprocessor design. And I leveraged that into well, as that was coming into a close talking about serendipity. In the meantime I had married my wife who was from Gainesville and we were living in California. We didn’t have any kids yet. While I was at Hewlett Packard, I got my masters at a local college there and we thought, well, maybe it’s time to move before we have kids and get settled down. I went and interviewed at HP labs in Bristol England and was thinking about moving there. And I didn’t want to be paid as a British citizen. I wanted to be paid as an American abroad. The only one at that lab being paid like that was the division manager. So they weren’t really interested in, in my negotiating a better package. And so then we thought, well, maybe we’ll move to North Carolina. My wife was from Florida, North Florida. I was from central Jersey, coastal New Jersey and Raleigh and North Carolina tech belt. There was halfway between maybe that’s what we should do. And looking at doing that. I practiced interviewing at a local company, which turned out to be sun Microsystems and they had an interest in building some computer graphics. And I realized one being in North Carolina, wasn’t going to help me. It was still a six hour drive to New Jersey or six hour drive to Florida. And it was a six hour flight from California. So in six hours I was going to get home, whichever home we wanted to go to. So I ended up joining sun to work on computer graphics with a gentleman Curtis Curtis. And I did that for six and a half years. We ended up building a graphics accelerator at graphics chips that accelerated the graphics of the sun workstation, which was aimed at professional users and people in the industry happened to be the first windowing system and windows three, one came out from Microsoft and created a consumer window in the system. So I was getting some experience with that. So at sun we learned, I learned the trade of computer graphics. Curtis was the graphics architect. I was the principle chip designer and we made use of a local firm in California that did our CIF manufacturing. And I met the third founder of NVIDIA. So Curtis and I, and this gentleman from a company called LSI logic, decided that we could take what we knew about this professional workstation and apply it to the consumer space because three D graphics was such a compelling medium for telling stories, for communicating, obviously for games, but there really wasn’t much gaming at the time, the Wolfenstein and the like were early games, but they didn’t make use of any acceleration. They just used the programers skill to get the most out of just a generic PC. We came in with a product aim to provide a level of acceleration that will allow the game writer to target something much more powerful. And we brought this workstation technology and style of acceleration to the consumer PC. And it was a great idea. Problem was that we didn’t sell to the game writers. We had to sell to Dell. We had to sell to micron and gateway and, and these other PC manufacturers. So why we created some really great technology. It was a really pretty shitty product and it didn’t help our customer win in their business. And before we ran out of money, we made that recognition and decided, what are we in business for it to succeed or to create cool technology? And we decided, no, we actually wanted to create something. So we went back modified what we did to be in line with how a Dell or micron would win. They had to win PC magazine editor’s choice award. And that means you had to be the facet. You had to be the best at whatever PC mag measured. We could do 3D graphics, but we couldn’t do it at the expense of what they measured, which was 2D graphics. So we ended up building world’s fastest, 2D graphics with 3D and that launched us out of the doldrums and started our ascension to a real company. And these days I know I’m proud to say, I think we’re one of the most important technology companies in the world we’re powering devices from your cell phone and laptops to the world’s fastest, super computers. And we’re at the heart of AI and autonomous vehicles. And it’s been quite a ride. James Di Virgilio (10:39): That’s an amazing thing. I think what’s really unique about your story is it sounds like if I would have asked your 21 year old self, would you see yourself as an entrepreneur or an inventor or even the word creative, maybe those were three things that you probably would not have applied to yourself. Chris Malachowsky (10:55): No, and it’s, it’s kind of funny off the three founders of NVIDIA. Two of them had an aspiration to start something. I actually didn’t. But when the opportunity came, I felt like I had nothing to lose. Yeah. We went without salaries for, you know, six months. But, uh, it was a well paid well-respected engineer. And if it didn’t work out, I’d go get another job. We were in an environment where experienced talented engineers or were hireable. I never felt we were real risk. So for me it was like, well, why not? I should want this. Let me give it a try. And it ended up working out quite well. I’m glad I took the leap. James Di Virgilio (11:25): Yeah. And it’s great to hear you also echo something that I’ve heard countless other entrepreneurs say, which is, you’ll almost never hear someone say that risk was too great. I was worried or I was afraid. It’s something along the lines of what you just mentioned. I looked at the opportunity and I thought, well, whatever happens, this will work out. I’ll find a way to make something of it. Chris Malachowsky (11:41): I wasn’t worried my family wasn’t going to eat or the kids weren’t going to get shoes next week. But it seemed like something worth trying. I would say this to somebody contemplating, don’t do it for the money. Don’t do it for the glory. Don’t do it for the headlines. The press do it because it’s a passion because it’s too hard. It’s too consuming. It’s too all encompassing to make it work. You can imagine the way you said you’ll be tested. The ways you’ll be pulled and yanked. And the likelihood is it doesn’t work out. I mean, you just got to acknowledge that upfront and not be disappointed, but not let that deter you. If it’s something that’s important to you. And if it’s something that accomplishing will be satisfying in whatever way, then I think it’s worth doing and you’ve got to go into it. Head on. James Di Virgilio (12:20): Yeah. I think that’s really solid. And you echo another common theme. That’s there is. If you really believe in what you’re doing, if you’re creating something, if you’re crafting something, the failures are learning points and opportunities versus crushing blows. If success is your goal, failure then becomes this measuring stick. That you’re further from it. When you’re building something, it’s just, okay, now we know that’s not great. And in your story, you actually have that exactly moment. Chris Malachowsky (12:44): I can tell you every major juncture of improvement, profitability, stock, price, market share all was on the heels of some disastrous failure, easy to hang your head in shame and walk away from. And I’m proud of the folks that we have at NVIDIA. I mean, adversity brings out the best of people. If they’re the right people and you just say, Hey, what can we learn from here? How can we be better? How can we make this? Never reflect us again, and each one of them has been a big learning curve. And a matter of fact, when we introduced our first product, the one I described as good technology, but a shitty product. There were something like 35 companies competing with us because we would sell to a board manufacturer and they came and told us they selected us over 35 others. We ended up doing a corporate partnership, but it probably costs us $15 million to develop that first product. And it went into a non-market and if everybody else did this, there was a half a billion dollars being spent to keep us from succeeding in a non-market. And the reality is if we hadn’t failed because we were the first ones out the gate, we hadn’t failed. We had the advantage of being brought into and saying, we can’t buy your product because it doesn’t help us win. You can’t buy your product because it’s not the best at this. We had the wherewithal to say, Oh, well, we built the wrong product. We were full of ourselves looking to their customer that doesn’t help them. And so almost going out of business and internalizing the lessons, made us a better company. And each one of the junctures along our path to here 25 years later is based on some failure that the right people with the right mindset found a way to leverage into strength. James Di Virgilio (14:12): And when the idea is bigger than our pride than our current knowledge, so that you can make those pivots that you have done. And that’s such an essential, obviously I can tell a piece, not only in your professional life, but I can tell in your personal life that that’s something that you hang your hat on. And I think that’s a truism for not only the most successful creators and innovators, but also people to recognize that, Hey, I don’t know everything. And when something hits the wall here, I can adjust and learn and change, or I can just keep pushing ignorantly into something that’s not going to. Chris Malachowsky (14:40): It’s also, there’s another lesson here. Surround yourself with the smartest people, be the dumbest one in the room. That’ll help you. They may not be this comfortable because your ego isn’t being stroked and not everybody’s looking to you for every answer, but that makes you more adept and more nimble. And when the pieces fall to the right collection of people, we’ll find a way to reassemble them into something better. You’re not a lone wolf. Cog in the wheel, you got to build the right wheel. James Di Virgilio (15:04): He is Chris Malachowsky co founder of NVIDIA and a 2019 inductee into the Florida inventors hall of fame. Chris, thank you so much for joining us today. I certainly hope this is part one of a part, two series of conversations between you and I for Radio Cade. I’m, James Di Virgilio. Outro (15:22): Radio Cade would like to thank the following people for their help and support Liz Gist of the Cade Museum for coordinating inventor interviews. Bob McPeak of Heartwood Soundstage in downtown Gainesville, Florida for recording, editing and production of the podcast and music theme. Tracy Collins for the composition and performance of the Radio Cade theme song, featuring violinist Jacob Lawson and special thanks to the Cade Museum for Creativity and Invention located in Gainesville, Florida.

Moving COVID-19 patients from one ICU to another is possible thanks to transportation ventilators. In the second of two episodes on ventilators, James Di Virgilio talks to Dr. Richard Melker, Professor Emeritus of Anesthesiology at the University of Florida College of Medicine. He holds over 25 issued U.S. patents including several for emergency medical devices in use throughout the world, and by the US Special Forces. TRANSCRIPT: Intro: 0:00 Welcome to a special two-part edition of Radio Cade . We’ll be discussing COVID-19 and ventilators. In part one, we visit with Dr. Sem Lampotang. And in part two, we visit with Dr. Richard Melker. We hope you enjoy the program. Inventors and their inventions. Welcome to Radio Cade a podcast from the Cade Museum for Creativity and Invention in Gainesville, Florida. The museum is named after James Robert Cade , who invented Gatorade in 1965. My name is Richard Miles. We’ll introduce you to inventors and the things that motivate them, we’ll learn about their personal stories, how their inventions work and how their ideas get from the laboratory to the marketplace. James Di Virgilio: 0:54 Welcome to a special episode of Radio Cade. I’m your host, James Di Virgilio. Today we’re going to be covering mechanical ventilation and its effect on the COVID-19 crisis. Mechanical ventilation is a life-saving therapy that is used extensively and modern intensive care units. The origins of modern mechanical ventilation can be traced back five centuries ago to the seminal work of Andreas Vasilis really the founder of modern human anatomy. Joining the program now is Dr. Richard Melker. We just had him on the show very recently. He is the professor emeritus at the Department of Anesthesiology at the UF College of Medicine. We touched on ventilators last time you were with us Dr. Melker, COVID-19 had not taken off yet like it is now. We want to talk with you about ventilators. I know you have a story about how you got interested in them. Welcome to the show. And tell us a little bit about that story. Dr. Richard Melker: 1:49 Well, thank you. Yeah, I think using a chronological order will allow people to understand how we got to the sophisticated ventilators we have today, and also as to why we don’t have enough of them. So I went to medical school and graduated in 1974 and did my residency in pediatrics at a hospital in Los Angeles called Harbor General Hospital. It’s now called Harbor UCLA Medical Center, but most people would never recognize the name of the hospital, but the hospital had another name called Rampart General. And Rampart General was a hospital used in a TV show called The Emergency. And back in the days, when I was doing my residency at Harvard General Hospital, they were filming this show and using my hospital as where the patients were taken by ambulance. And I was doing my residency and realize that when the paramedics came in, they really had no understanding about children. So I went to the chairman of my department and I said, you know, Los Angeles County has one of the best EMS systems in the United States. It was one of 12 systems that was a paramedic system at the time. And I said, if I can spend some time with them, I would like to write some material that they could use for training paramedics on how to care for children. And my chairman was all for it. So every Friday at 12 o’clock, I would leave the hospital and I would go to ride with the paramedics for the rest of the day. And the fire station that they were using on television was actually the fire station that I worked out of with the paramedics. And by the time I completed my residency and was ready to move to Florida, I had written a textbook some information on how paramedics should care for children. And so I had filled a gap that one wouldn’t think needed to be filled, but it was very clear that it was because this information was shared around the United States. So I came to the University of Florida in 1977, and I did a fellowship. And during that fellowship, which means I was already a licensed physician and I spent two additional years doing pediatric cardiology and critical care medicine. And I was fortunate enough at the University of Florida to work in the critical care division with some of the most brilliant faculty who were developers of some of the original ventilators that were used, both for adults and for children. And when I completed that fellowship, obviously I knew a lot more about ventilators. And when I started and I became the medical director of the Alachua County EMS system, and I started riding on the ambulance with the crews, or I would carry a radio and I would meet them at the scene of an accident or whatever the medical issue was. And what I realized was that on the way to the hospital, they were ventilating patients. And I’ll describe ventilation in a moment. I’ll define it for you. They were ventilating in patients with what was called the demand valve. And basically many of your listeners would be familiar with a lot of demand valves like scuba gear. When you want to take a breath, you breathe in and the valve gives you as much air compressed air as you need. And when you’re filling your lungs with air, then you exhale. And the valve closes so that it’s not wasting gas. And you’re only using the gas when you need it. Another example of a demand valve is a fireman where these face masks, which have a demand valve built into them so that they can go into a fire and their faces are covered and they’re breathing air from a cylinder. And so they’re not breathing in all the toxic fumes and everything. So anyway, the demand valve that was used for all these other applications had been modified so that you could use it to ventilate a patient. So what are you trying to do when you have a patient who’s not breathing on their own or breathing inadequately? What you’re trying to do is to push gas into their lungs. And in order to do that, you have to use a pressure higher than the ambient pressure. So you push the button on the demand valve and it forces oxygen into their lungs. And when they exhale outcomes the carbon dioxide, that’s building up in their blood. So when you ventilate somebody, you give them oxygen under pressure. And then they usually passively the lung recoils and outcomes, the carbon dioxide. So that’s what a ventilator does. And a ventilator is different than a respirator. And the terminology right now is getting very confused. Respirators are devices that the user is breathing normally, and either it filters the air or serve some other purpose, but it’s driven by the normal breathing pattern of the patient who’s using it. So when you and I are breathing like, while we’re talking, now I take a breath in and the pressure inside my chest is lower than the sea level pressure that we’re at. And therefore a gas goes into my lungs and that requires muscles, the respiratory muscles for that gas to get into my lungs. The gas comes out when you stop breathing in because the chest wall and the muscles recoil and the gas comes out. So a respirator is a device where the user is breathing in and out. Now a ventilator is a device that does exactly the opposite if using positive pressure forces gas into the lungs of the patient, and then they exhale. So some people say you inhale and you exhale. And other people use the older terminology where you’re really then is inspiration. But unfortunately when you breathe out, it’s expiration. So you’re expiring. And with what’s going on now, and other terms we went to inhalation and exhalation because of the poor connotation of the word expired . So I’m now at the University of Florida. And I I’m looking at these devices that the paramedics are using. And I was fortunate to have many colleagues, like I said earlier, who had a lot of background in the development of ventilators. As a matter of fact, some of our faculty helped develop the baby bird, which in early 1960s was the first ventilator designed specifically for neonates and these people at the time were in the military. And they developed the baby bird with a scientist and aviator by the name of Forest Bird. So anyway, one of my colleagues, a respiratory physiologist , and I went into the laboratory and studied how this demand valve that they were using on the ambulances works . And what we found is that when you push the button, it would drive gas into the stomach because the resistance to the gas was lower into the stomach than it wasn’t to the lungs. And another problem with it is that it had a peak pressure because everybody was afraid of over pressurizing the lungs. So as you push the button and the pressure went up, the flow of gas would go down. And so it became very apparent that what was needed in what’s called the prehospital arena or the military theater was a ventilator that worked just like the ventilators that we were using in the hospitals. And so with a number of colleagues and I, we developed and actually produce a number of portable ventilators, which is generically called transport ventilators. And so we spent the next couple of years writing papers and doing the research and looking at different transport ventilators. And we liked to believe that we helped advance the development of more and more sophisticated transport ventilators. James Di Virgilio: 11:03 So with regards to transport ventilators, we can look at this like other ventilators your innovation story from start to finish, you said was several years, correct? Dr. Richard Melker: 11:13 Correct. James Di Virgilio: 11:14 Okay. Where we are now with regards to ventilation, let’s bridge these stories, and we just talked with Dr. Lampotang and he was saying that the FDA of course, is relaxing some restrictions that exist, that I’m sure you were facing fully when creating your transport ventilator to allow for these new designs to come into play. So in the arena of ventilation, the question everyone is asking is why don’t we have enough ventilators. They’re academic studies that are from the early two thousands that suggest that in a surge situation, we won’t have enough of them. Hospitals could not possibly afford to have all the $50,000 ventilators, but they could have cheaper solutions on hand in the event that this happens. So why do think we haven’t done that? And should we have even done that in the first place? Maybe we should have waited until we had an event. What are the answers, I guess, to these medical innovation questions when it comes to crisis predictable crisis maybe? Not really sure. Dr. Richard Melker: 12:07 So, as you’ve mentioned, the ventilators that are being used in the hospitals to care for these patients are extremely sophisticated. The permutations and combinations of settings on these ventilators are mind boggling. And these are extremely expensive devices because they have electronics in them. And they have a lot of other features and they’re made in relatively small numbers as we have unfortunately become aware of. And so when we started working on transport ventilators, we actually had companies come to us that were contracted with the military to develop ventilators for use in the battlefield scenario. And I know of ventilators that some of those companies made for the military exclusively, which I am sure in the right patients would be more than adequate to ventilate them in the hospital. Now, one of the interesting things that we’re learning and most of this information is coming from Italy because unfortunately they were severely hit by the virus and undermanned to care for the tremendous number of patients that they saw. But the lung injury that we’re seeing with the COVID-19 virus is very different than the lung injuries that we normally use these highly sophisticated ventilators for, and I’m not doing clinical research anymore, but it would seem to me that because this lung injury is different and it doesn’t require some of the high pressures and sophisticated techniques that are used in the intensive care units, that some of these ventilators would actually be excellent ventilators for the properly chosen patients. As a matter of fact, the doctors in Italy assumed that the lung injury was similar to what they had normally encountered during their practice. And they initially set up the ventilators so that they could treat these patients. And they found that the patients were doing very poorly. So some very good scientists who were also clinicians did some studies using CT scanning and showed that when they set up the ventilator to ventilate these patients with the normal settings that they were using, they were over inflating the lungs. And what happens when you’re over inflate , the lungs, your heart can’t push blood through your lungs. And so one of the major findings that the Italians found and obviously is now well known everywhere. They’re treating patients with COVID-19 is that you don’t have to what they call positive end expiratory pressure. In other words, you don’t need a lot of pressure to keep the lung from collapsing. And as a matter of fact had deleterious effects on the patients. James Di Virgilio: 15:04 Very interesting. I don’t think I’ve seen even a single article yet that has talked about that in detail with regards to that, which to me immediately raises another question. In my professional life, I’m an investor. And all my years of studying have led me to believe that predicting things as humans is often a fool’s errand, we think we know the solution to something we say here’s variable, A and variable B, variable C will be this, which then creates something called a three body problem. For those of you listeners who enjoy things like that, where you really don’t know what the third variable is going to be. So oftentimes in my life, I’ve found that reacting quickly tends to be the best way to handle something. What you’re saying is interesting. Here’s a different situation. Although we could have predicted a surge event, maybe we would have spent a lot of money building ventilators that wouldn’t necessarily work , or in your case, we actually already have ventilators that you were saying solve this problem. Now the question is producing them. So with your ventilator specifically, is it difficult to get the parts to make your ventilator? Now, if you had to mass produce your ventilator, could it be done or is there not enough supply of those parts? Dr. Richard Melker: 16:10 So there’s several answers to your question. Number one, there are a couple of companies that have mass produced ventilators for the military, and I’ve not kept up with them. In other words, when they were developing those ventilators and wanted to know what features had to be in those ventilators for use by the military, that’s where we were involved. But I’ve actually met with the president of the company a couple of years ago at a special forces meeting. And they were selling ventilators like crazy to the military. And I personally believe that those ventilators have features in them that would make them more than adequate to care for many of the patients with COVID-19. So I don’t know how many of those ventilators the military has stockpiled, but you asked the second question, which is equally as important. So, these sophisticated ventilators, and even these less sophisticated transport ventilators or field ventilators have lots of parts of them. And we can tell every company in the United States to start making ventilators, but there are only a certain number of the key parts for those ventilators. And so right now, and I’ve spoken to several people. In other words, there are chat rooms and a lot of different ways that I keep up with my colleagues who are still doing research on ventilators and parts has become a real problem. So, I’ll just give you one little anecdote. When I was at the University of Florida doing my fellowship, we wanted to transport patients from other facilities to our facility. And there was a brilliant respiratory therapist by the name of Paul Blanche. And he went and built a ventilator. And because it was a one off, it did not have to go through FDA certification. We’ll just skip that whole story. And he built a couple of Blanchlater. And when the helicopters service came into being at the University of Florida, we would transport patients from other facilities to our facility using the Blanchlater. Now the Blanchlater’s a little box, you know , size of a shoe box. The ventilators that they using in the hospitals weigh several hundred pounds and they’re huge. And by now you’ve probably seen plenty of pictures of them. So the Blanchlater at our hospital was what we use to move patients from the operating room to the intensive care unit or from the intensive care unit. So you have an MRI done because you can’t bring an MRI machine up to the ICU or from the ICU to a CT scan. So, our hospital had a Blanchlater, a couple of them for these unique transport situations. Well, it turns out that Paul’s little ventilator was so good that he formed a company with a gentleman who had been involved in ventilator companies for his whole career. And they started manufacturing this ventilator and went through FDA approvals and everything. And they were selling and are selling a considerable number of these ventilators every year. But they’ve got an order from the government for 10 times that. So, from one day where you’ve got all your parts and everything to build ventilators at the rate that your company is building them to suddenly have to make 10 times or a hundred times that number of ventilators, where are the parts going to come from? Where are the components going to come from? And that has turned out to be part of the issue. So I don’t personally believe telling general motors to make ventilators is going to solve our problem because they have no inventory. What we need to do is have the companies that are making the ventilators maximize, you know, maybe go to three shifts a day, do whatever they have to do to make more ventilators, but it’s getting the components into the companies to assemble into a ventilator. So, you asked the key question , are we going to continue to make $20,000 ventilators, which after this is over, hopefully are gonna sit in storage somewhere, or are we better off looking at some of these other ventilators that are not quite as sophisticated, but require less parts? FDA clearances is a lot simpler. And I don’t really know the answer . When I heard about the ventilator shortage, I just started scratching my head and calling up my colleagues who still are either working with her consult with the companies that make the ventilators. And they said, the problem is parts. The problem isn’t that there aren’t people to make ventilators. The problem that they have identified is that everybody needs parts at the same time. And because these are expensive products and you’re only turnover a few ventilators a year in a hospital. Normally, in other words, over the past, I would say decade or two people have used ventilators a lot longer than they used to so that they don’t have to buy this capital equipment, which is so expensive. So, the one thing that I see missing, or that I haven’t heard about is who are the people looking at the alternatives to $25 – $30,000 ventilators, because I’m sure knowing friends of mine and colleagues who build ventilators, that they don’t have to be that sophisticated and understanding the underlying lung disease created by this virus who had made me believe that you don’t need quite that level of sophistication. James Di Virgilio: 22:24 Well , I think you’re definitely articulating that correctly. Dr. Lampotang was telling us that his ventilator could probably get 60% of the capacity, the ability of , of the $50,000 ventilator. And it costs him $300 to make it. It’s also rather disposable, right? The parts are a hundred total dollars plus other stuff. So hospitals could just throw a part of it away and spend a hundred bucks to get another one. So you don’t have to worry about issues when it comes to the ventilator cleanliness or transmission of disease, interesting stuff. But I think that raises the next question that you’re touching on, which is complicated and it has to do with supply and demand. So why 15 years ago, did we not produce a lot of ventilators? Well, one, you still had the same supply and demand issue. You didn’t have enough supply to make enough of these $50,000 ventilators. And to what you said is also true hospitals, can’t simply outlay lots of capital to buy ventilators because for every ventilator they buy, that’s something else they can’t buy. They have to steward their funds correctly. And only in the event of a surge, would you need even enough of these ventilators? And like we just talked about, you may not even need the Cadillac ventilator. So now what are we to do? If there’s no supply for the ventilators that we know how to make, what happens next, incomes, someone like Dr. Lampotang, in comes someone like you and your story noticing a need, and then fixing that problem, creativity, innovation come in, they take the place of going on, but sort of this rigid structure. Hey GM, Hey 3N, Hey, go make these things seems great. Sounds good. But it’s not really even possible as you are mentioning. And I think the good news is, as you’ve said, continually, especially from a medical perspective, there are other solutions and these other solutions not only work in the U.S. but they can help people across the world that don’t have the same resources we have to hopefully effectively treat their patients. And the transport piece. I want to touch on that because this is interesting, right? We know in New York city, we’ve got an issue. We have all these patients in ICU’s and in hospitals. And if we have to get them from one hospital to the other one, and they’re on ventilation, how do you get them there? In comes the transport device you’re mentioning, if we have enough of these transport devices, Dr. Melker, are we then able to help efficiently spread out our COVID-19 cases to get use of ICU beds and other maybe even States that aren’t being utilized. Is that a realistic transportation alternative? Dr. Richard Melker: 24:40 The answer is clearly, yes. The provisor is can the companies that make those ventilators gear up quickly enough to dramatically increase the number of those ventilators that are available, or are they having the same part problems that we are a lot of our components aren’t even made in the United States anymore. And we all know the story about why that’s happening. Let me give you a little anecdote, which always brought this to my attention right after 9/11, I was starting to work with a company up in Bowling Green, Kentucky to make a detector for a drug that we use for anesthesia. And the original application of that detector was to detect nerve agents. So it was used by the military and developed by a brilliant scientist. And he formed his own company because he couldn’t get anybody to fund it. So he built his own company. I mean, that’s what you call entrepreneurship. So anyway, he was making these detectives for nerve agents for the military. After 9/11, he got called up by the military and was told every component that you need to make these 24 hours a day, seven days a week. So we can have them in the subway systems. We can have them anywhere where nerve agents might be used to kill Americans. You have priority for everything you need. And what he did was put together a list of the components and the companies that were making the components. He went to three shifts and within two months he was shipping a hundred to a thousand times as many of these detectors systems. And they’re still running today in the New York subway system and all over the United States. So that’s what the system is geared to do during a warfare situation. The government can tell people who have components that are needed to protect the American people, that they must supply those components for the good of the country. James Di Virgilio: 27:09 Indeed. And we saw that invoked multiple times this week, really by the president with regards to the dope act, right? And vote on 3N and whether or not you think it’s good for the president to be able to have such a power or not something you’re saying remains true, which again comes down to that wall of supply and demand. And in your story, there were enough supplies to be able to ramp up in the ventilator story if there’s not enough supplies, the beauty of entrepreneurship and human innovation is, creativity allows us to tweak things or find alternative ways to do it, to get maybe almost all the way there, and sometimes even improve the situation that we are in which I think is just an interesting story of people, right? And that comes down to whether you think as a society, we should predict ahead of time, what’s going to happen, stockpile things, or you think, Hey, we can very quickly respond to what’s happening, tactically. And that’s the most efficient way to do it. Those are obviously debates for a different style podcast , but I want to ask you a medical question. Obviously, you think about things. You are the director of EMS, you’ve run departments, hospitals. When this starts happening, COVID-19 comes on board, they’re meeting, they’re getting together. They have disaster plans . What if we have overflow, how much overflow do we have? Where can we send people in the event of a shortage? These are the types of exercises that are being done by hospitals across the country, correct? Dr. Richard Melker: 28:26 Correct James Di Virgilio: 28:28 And then in the event of an actual shortage, do you feel like the hospitals would be able to work with let’s like, let’s take Gainesville here with private practices and say, well, you’ve got a certain bed because you’re an into an ICU and Shand’s has doubled the surge capacity. Or do we feel that we still even utilizing all of the available rooms , space, buildings we have would not be able to handle a surge. Are we that deficient when it comes to facing something like COVID, or is there a way to plan to be able to expand our capacity? Dr. Richard Melker: 28:55 So the United States has had repeated warnings that this was going to happen. We had SARS, and then we had the middle East respiratory syndrome and epidemiologists, and the military have been telling our governments. This is just a matter of time. We lucked out with SARS. Ebola was kind of a different story. It killed people so fast that you had a ventilator the next day, but particularly the Coronaviruses. And remember, we’re not even talking about an attempt intentionally to harm the American people with a biological weapon. This was just a mutation that occurred in a virus, which every year people would get upper respiratory infections with. But it mutated this time into a virus that we have absolutely no natural defenses for. So if you read what epidemiologists have written, the United States has not paid enough attention to this. And I know everyone wants to believe that we have the best healthcare system in the world, and that could be a debate for a show by itself. But we got caught with our pants down. We were very slow to react. We did not, and still today have not on a national level, done all the things that we have to do to minimize the loss of life. And I think there are people in the administration now who are going people aren’t listening to us. We, you and I are sitting in the state of Florida and our governor, our governor did not issue look orders, and still, it appears somebody has to twist his arm to get him to do anything. Now, I don’t want to get into the political reasons for that, but when you have an epidemic like this, where days matter and accumulate down the line in deaths, every governor in the United States on the first day should have issued proclamations that people need to stay at home, social distancing, everything else. And the proof of it is that where that was done in the United States, we’re going to have far fewer deaths than in areas of the United States, where the governors waited and to say on national television, that you didn’t know that there could be asymptomatic carriers of this disease after everything that all of us see every day in the news is beyond my comprehension. James Di Virgilio: 31:50 Well, you raise a lot of the current points that are going on right now. Obviously, why did we not prepare for this? Why are we slow to react to it? You can study the Spanish flu, right? Influenza of 1918 to see that very much the same things happened. We have cities like St. Louis that instituted social distancing, and actually largely avoided a lot of the significant deaths that other cities at the time like New York didn’t do. And then we have this one, which is different. The benefit of COVID is it’s a lot less deadly for people without underlying conditions that are young, very, very deadly for those underlying conditions. How do we respond? What do we do? But here is something, and for me, I should full disclosure I’m a very small government person. I believe in people taking care of what they can reacting locally reacting quickly. But I think you have to look at what the government spends money on and say, what’s important. You know, we’ve spent $1.5 trillion on a fighter jet program that is basically still defunct, 1.5 trillion. And I don’t even agree with the idea of stockpiling things for the future because we can’t predict the future. But at the very least, if you’re going to take taxpayer dollars and spend it, you would think spending it on the health and welfare of your citizens would be a potentially important thing to do. And here we are, like you said, in this quagmire, because it’s a rope, right? If we pull too far in one of the rope, we’re going to lose the economy, we’re going to have a depression. You’re going to have difficult things. And if you pull too far, the other way, too many people are going to die and we’re stuck with this very difficult, complicated problem to solve. And now the question is looking forward, what do we do? And I think what’s interesting about today’s discussion with you and Dr. Lampotang is obviously people, real people, you and I, and others that have real expertise that can help are able to find solutions to these problems. If we can empower them to solve them right now. And what you said is true right? Every day, we wait to react to what we now know is real, is a day that we’re wasting. And I think that maybe is the saddest narrative out of all of this is there’s a lot of voices out there, but unless we’re able to react to something quickly and less and less cooler heads can prevail to address the problems, what are we left with? What do we do? Where do we go? So in your opinion, are we at a critical risk right now with hospital capacity? If we get surged, are we to the point to where we wouldn’t have alternatives or solutions to be able to treat people, is it as bad as some people say it is? Dr. Richard Melker: 34:05 So I would say that in Gainesville, I can only speak about Shands, but Shands is prepared. In other words, we’ve had enough time in Gainesville to know what works and what doesn’t work. So for instance, whoever was the first person who said, you know, we have all those anesthesia machines that have a ventilator in them. We can jury rig the anesthesia machine and turn it into a ventilator. Okay. Well, if you have 26 ORs , you just got 26 ventilators. Okay? And I’m not going to talk much about the issue of sharing one ventilator with more than one person, because that’s a quagmire, it’s been tried, they tried it in Italy, they’re trying it here. And as you know, the news reports, what they’re told and by and large, most reporters, even reporters who focus on the healthcare field are not going to have the level of sophistication to know which of these things are gonna work and which ones aren’t, but I’m scratching my head a lot and going well, that wasn’t a good decision. But if we talk about North central Florida, I can tell you because I get the emails every day that Shands is prepared. I think South Florida, with the elderly population and so many people living in high rises, where the only way they can get up and down is in an elevator, which is just an incubator for the virus. I think South Florida is in huge trouble. And I believe that the time that we’ve lost is going to translate into a huge number of deaths. I mean, it’s a horrible thing to say, and it’s a horrible thing to even believe. But I was trying to put all of this into something that I could write for lay people to understand. And I think I’m correct. And if I’m wrong, somebody is going to let me know. But despite the fact that we have the first amendment and we have the freedom of speech, if you yell fire in a movie theater and there isn’t a fire and somebody gets injured, that’s not covered. However, if there really is a fire in a movie theater and you run out and don’t tell anybody else, don’t pull the fire alarm, don’t, you know, there’s a fire, you have no liability. And so, you know, I’m thinking, well, what are we going to do to these governors who didn’t respond appropriately to the threats , but you really can’t because the fires occurring and they didn’t do anything about it. So when I was thinking of some way to put this into terms that people would understand, because there are so many people now who are fearful of the government, they’re fearful of the information they’re getting. They’re getting mixed signals every single day. In one news conference, you can cut different people. Different speakers can contradict the person who spoke just before them. How are the American people going to understand the seriousness of this and the fact that not only can they die, but if they’re young and relatively healthy, they can be responsible for the deaths of many, many people and never know it to me. It’s just frustration. You wake up every morning and you go, Oh my God, we’re just not doing it right. We are not taking this seriously. We are so behind the eight ball. And there are a million reasons why, and I think some of them are legitimate. And I think a lot of them aren’t legitimate, but that doesn’t matter. The simple fact is we have to a very large extent, created this scenario. James Di Virgilio: 37:59 A lot of things were said there that I think are echoing. What a lot of other experts are saying. I want to ask you this. What do you make of having to deal with limited information, right? Because on one hand you take information. We have the data I’m looking right now at NYC Health’s, daily data summary on Coronavirus deaths and in New York city. Right now we have 26 people that have died with no underlying health conditions. We have 1400 that have died with underlying health conditions. If people look at the data and they say, well, I have no underlying health conditions. I’m safe. I should be out there developing herd immunity while the at risk patients should be isolated or staying away. What do you say to that solution? Or is that nonsense? And it doesn’t matter what happens to economies or work life, we have to do this to save lives. Like what’s the scale? What I’m not hearing people tell me is what’s the scale? What percentage are we looking at? If we isolate a certain part of the population versus everyone, 20%, 30%, 50%, what’s the prudent course of action. I think I would hope right, most Americans want to do what’s best for everyone. I want to do what’s best for my neighbor. And what’s best for the world around me. How do we know what the right course of action is given maybe some of the difficulty of interpreting the data, what’s the right move in your opinion? Dr. Richard Melker: 39:11 Okay. First of all, you’re asking the question that is the most difficult to answer. And the one that keeps me awake at night, but let’s look at what happened in China and whether we believe they’re true statistics, or we don’t believe their statistics. And we think they should have notified the world sooner, which I believe they should have. What they did to control deaths was taunting . If you look at other countries and we haven’t talked about testing, and I think the biggest single failure of the United States healthcare system has been the screw up of telling people, anybody can get a test anytime they want over two months ago and today, not even being able to do surveillance so we know how to answer the question that you just asked. But if you look at the countries and they’re not all dictatorship , so they’re not all totalitarian South Korea because they tested and identified very quickly those patients with the virus and quarantined them they have kept their death rate extremely low. Okay. Now, what did it take to do that? What rights in the South Koreans give up to do that? Not nearly as much as what we’re going to give up, having not done it. Singapore is a very interesting country as anybody who’s ever studied, their governmental system would know about, Singapore has also managed to have much better control over the spread of the virus. Now the Philippines pick out a slightly different take on it. They’re just going to shoot you. So we’re not going there, but we do have examples of countries that have reacted quickly. And in my opinion, appropriately, and the key to everything was testing. Knowing who had the virus and who did now, what do you do once you have that information is the question you’re answering. And I don’t know the answer, but for a very short period of time in England, they decided that they were going to go with the herd immunity we’re dealing with this and they very quickly gave that up and they’re in big trouble now. So I think the big problem with the herd immunity solution is that not only are we going to wipe out the elderly population and I can see a lot of younger people going well, that’s Medicare, that’s all the things that I didn’t want to pay for anyway. But the reality is that younger people are dying as well. And I don’t think people appreciate the fact that what we call elderly today. Isn’t that elderly. I was thinking the last couple of days, because I’m in my seventies now. But if I died 10 years ago from whatever, cause what technology I developed after that that’s being used like crazy now we’d never had been developed. And so I don’t know the answer to your question, but I just, in my gut have this feeling that the herd immunity solution isn’t going to work. It sounds like a good idea. Now there’s a piece of news that came out today, which obviously your listeners won’t hear today, but it’s very interesting information from Scripps Institute in California. And what they did is they got an individual who had the original SARS Coronavirus back in 2002. And they took the blood from that person. And they found that that person still could have immunity to Coronavirus and that the antibodies in the blood of that person actually worked against the new novel virus. Now, if that pans out, that means we may have, because the antibodies are so similar and we now have the capacity to replicate antibodies very quickly. We have the potential maybe of getting to a vaccination very quickly. Now, I’m sure there are a lot of differences between using an antibody that’s already developed versus most vaccines are either killed or attenuated bacteria or viruses or organism that you’re trying to develop immunity against. But it’s really exciting to me that somebody who had the original SARS still has immunity 18 years later. That’s a pretty good vaccine. James Di Virgilio: 43:58 Yeah, I’d say so. Right? And this is SARS II something that I think has gotten lost from this. Dr. Richard Melker: 44:03 Yeah. I don’t think people realize that the original name was SARS COVID II. We’ve seen this picture. James Di Virgilio: 44:10 Right. We got a glimpse and it didn’t, as you mentioned get transmitted as far Dr. Richard Melker: 44:13 And the messenger came and we shot. James Di Virgilio: 44:16 We did. And I think what’s interesting is the conclusion for me is the data, right? If you talk about innovation, you talk about entrepreneurship. You talk about moving humanity forward. That always has to come from good data. You can’t improve something unless you understand how something works and why it works and why maybe it could work better. And I think that’s the big problem that we have as you said, is without the data, the thesis of, Hey, let’s let the younger people go out. It looks like healthy, young people aren’t dying. Let’s send them out into the world. Could be a good one the thesis of keeping everyone apart from each other could be the best one. The real problem is like you said, what do you do when you don’t know? And that’s where I think you see this middling response. And certainly it’s something we actively could have done much, much better was to figure out who has it, who doesn’t have it give clear messaging to those that have it to stay away. We dropped the ball on that. Something you mentioned, we’ll be on our next episode, we are going to talk all about vaccines and vaccinations, which is obviously the big solution to this problem as far as mitigating the top end risk. And obviously Dr. Melker, thank you for joining us today. Great discussion on a wide range of topics. We appreciate your efforts in the field of medicine, as well as in the field of ventilators. We know that your expertise has been very helpful and hopefully will continue to help those as we go through this. Thank you for joining us on the program today. It’s been fantastic. Dr. Richard Melker: 45:31 I enjoyed it also, and I hope that we move forward more quickly to resolve these issues. Thank you again. James Di Virgilio: 45:39 For Radio Cade, I’m James Di Virgilio. Outro: 45:42 Radio Cade is produced by the Cade Museum for Creativity and Invention located in Gainesville, Florida . This podcast episodes host was James Di Virgilio and Ellie Thom coordinates, inventor interviews, podcasts are recorded at Hardwood Soundstage, and edited and mixed by Bob McPeak. The Radio Cade theme song was produced and performed by Tracy Collins and features violinist, Jacob Lawson.

King Celebration: Justice Speaks, Extended Convocation - Dr. Regina Shands Stoltzfus

In this episode Dr. Bree and Dr. LaQuita J. are joined by fellow Pharmacist Dr. Starr Shands. Dr. Shands is a Clinical Pharmacy Specialist.  Join us as she explains her process and journey from Retail/Community Pharmacy to The Indian Health Services.  It is an episode full of tips and jewels you don't want to miss.  : Leave a review for PharmD Unscripted and Connect with PharmD Unscripted Instagram: @pharmdunscripted FaceBook: PharmD Unscripted

This week's Leadership Tidbits with Coach Tee Wilson features the woman who wears many hats, the lovely Mardia Shands.Mardia graced the show willing to dive into the different ins and outs of many of the workforces she’s been a part of thus far. Before we get to her leadership tidbits, here’s some information you should know about Mardia Shands. Mardia earned a Bachelor's degree in Economics from the University of Cincinnati and a Master's degree in Labor and Employment Relations also from the University of Cincinnati. She currently holds the Senior Professional and Human Resources designation from the Human Resources Certification Institute and the Senior Certified Professional Certificate from the Society of Human Resources Management. Ms. Shands is the Executive Director for Partners for Competitive Workforce. The Partners for Competitive Workforce is a regional collaborative that leads the efforts to grow the skills of the workforce and create a talent pipeline to meet employers' needs for labor. Ms. Shands has more than 20 years of human resources and workforce development experience across multiple industries including manufacturing, health care, construction, and IT. Her career has spanned from multinational global corporations to small not-for-profits across North America and Africa. She has been recognized by the Cincinnati Business Courier as a 40 under 40 business leader and the YWCA of Greater Cincinnati as a Rising Star. Ms. Shands is the immediate past chair of the Workforce Investment Board of Butler, Warren, and Clermont counties where she was recognized as a regional expert on solving workforce development issues. She also serves on the board of directors for the YWCA of Dayton and Lifespan. As Ms. Shands began to share with us how she’s gone from field to field, she reminds all young leaders out there to “slow ya roll.” She states, “...young people and those moving through their career who are goal oriented, slow down. It's not going anywhere, it's going to be here, and give yourself time. What's for you is for you, so just slow your roll, you’ll be alright.”Overall, here are some leadership tidbits to take away from Mardia Shands: This work is hard, find what you need to get through, be flexible and adaptable, know where you stand, and find a good coach and/or mentor.

BrandonShotMe Interviews David Shands

David Shands interviewes Boniface Ogunti

Send Us Your Confessions And Contact Us At Confession2us@gmail.com Instagram: http://instagram.com/confession2us Facebook: http://facebook.com/confessionsessions Twitter: http://twitter.com/confession2us Live Podcast Sundays At 7:30 ET 6:30 CT http://blogtalkradio.com/confessionsession or call (516)595-8282 to join in the conversation! Confession Question: What Are The Pros/Cons Of Being In A Gay Relationship? Confessionals: Amber Rose Says Trump Is Kanye West In A White Mans Body Eve Admits To Drinking Heavily And Doing Drugs When Her Career Stalled Jay Z Tells Meek Mill To Not Go To The White House To Talk Prison Reform Teairra Mari's Ex-Boyfriend Says Lisa Bloom Is Behind The Accusations And He Didn't Do It!

David Shands interviews Jay Morrison

David Shands interviewed Tiwa Works

David Shands interviewed Dave Wongk of Pure Tropix    

David Shands Interviewed @Koereyelle

David Shands interviews Gee Bryant, owner of RI28

David Shands interviewed Melissa Mitchell

David talked about a conversation he had with Inky Johnson that opened his eyes

David spoke to a Elementary School in Houston TX

David Shands on the Black Wall Street Tour

David Shands did a staff training in L.A.

David speaking entrepreneurship at a Real Estate event

David spoke at a local School in Houston TX

David Shands spoke with a group of kids at the Harlem children zone in Harlem, NY

Send Us Your Confessions And Contact Us At Confession2us@gmail.com Instagram: http://instagram.com/confession2us Facebook: http://facebook.com/confessionsessions Twitter: http://twitter.com/confession2us Live Podcast Sundays At 7:30 ET 6:30 CT http://blogtalkradio.com/confessionsession or call (516)595-8282 to join in the conversation! Confession Question: What Are The Pros/Cons Of Being In A Gay Relationship? Confessionals: Amber Rose Says Trump Is Kanye West In A White Mans Body Eve Admits To Drinking Heavily And Doing Drugs When Her Career Stalled Jay Z Tells Meek Mill To Not Go To The White House To Talk Prison Reform Teairra Mari's Ex-Boyfriend Says Lisa Bloom Is Behind The Accusations And He Didn't Do It!

November 13, 2013 was a day like any other day, sunny and cool. After eating the usual oatmeal breakfast, Ron Hawk went to his wife's office and sat down on couch while she worked. He hadn't been feeling well, and tried to get up after a few minutes. He fell forward on a large exercise ball that was blocking his way. He got up again, and stumbled to his office. His wife was concerned and followed him. He tried to focus in and couldn't see her. When he said, "Oh, there you are!" She became concerned and called 911. He was having a stroke. He made his way out of his office and stumbled as if drunk. While his wife was on the phone with 911, she tried to get him to answer a few simple questions, but he was only babbling. He laid down on the bed and would not get up. He said he just wanted to sleep, and his wife and two EMT's could not get him up. They had to call for Sheriff's deputies to come assist them. There were 3 deputies and 2 EMT's surrounding his bed when he finally rose from the bed and walked out of the room and onto the stretcher. He laid down, they strapped him in, and took him to the local hospital where he stayed for five hours before he was airlifted to Shands in Gainesville. From the time he went to the hospital until he was transferred to the helicopter, the weather steadiy grew worse. The nurse was not sure they'd be able to lift off. Once they did, he was hospitalized in the neurology ward for 7 days, and then another 7 days in rehab before he was able to finally come home. Listen to Ron and his wife Penelope telling their stories. An extraordinary detour.

Executing a successful product or program launch requires extensive planning, productivity, and preparation. In our chat, Kristina Shands and I discuss the activities and tools an entrepreneur need to successfully launch without losing sanity. For show notes and a transcript, please visit https://thekimsutton.com/pp018.

Executing a successful product or program launch requires extensive planning, productivity and preparation. In our chat, Kristina Shands and I discuss the activities and tools an entrepreneur need to successfully launch without losing sanity. Get the show notes and transcriptions at https://thekimsutton.com/pp018

On the Wednesday June 17th. 2015 broadcast at 9AM PT/12 Noon ET our special guest is Steven Blumberg, Senior Vice President and Executive Director of AtlantiCare Health Solutions, AtlantiCare’s ACO. A member of AtlantiCare’s executive leadership team, he has responsibility for development of population health models, programing and delivery. Blumberg works with payors and employers to bring value-based purchasing of health services to the marketplace. Blumberg’s more than 25 years of health care leadership experience includes strategic planning, business development, joint ventures, group practice leadership, risk model development and operational integration. He has worked with both large group practices as well as major health systems. Prior to joining AtlantiCare, Blumberg was vice president for Planning and Business Development at Shands Healthcare at the University of Florida in Gainesville and Jacksonville, Florida, where he was also worked with the faculty practice. Prior to Shands he was the vice president for Planning and Marketing at Baptist Health; vice president of Operations, Baptist/St. Vincent’s Primary Care; and director, Baptist Health Doctors Office Network, all in Jacksonville, Florida. Blumberg was also director of Planning and Marketing at Nemours Children’s Clinic, Jacksonville. Join Fred Goldstein and me for an informative exchange on the population health management strategies of this progressive ACO.     

It's National Arts and Health Month, and Cathy's special guest is Tina Mullen, director of UF Health's Arts in Medicine program at Shands hospital. Tina has been involved in this world-renowned program since its inception more than 20 years ago. She has exhibited her own art throughout the United States, studied in France, and been a visiting artist at Penland School of Crafts in North Carolina, the Ringling School of Art in Sarasota, Florida, and the Ucross Foundation in Wyoming.   Tina says she often uses the phrase “out of the blue” to describe unexpected events and ideas that come to her. Listen and learn about her unexpected journey into the world of arts in medicine, then take your own musical journey into trust, led by Jana Stanfield, Penny Nichols, and David Roth.