POPULARITY
3 episodes with siadh
4 episodes with siadh
4 episodes with siadh
2 episodes with siadh
2 episodes with siadh
2 episodes with siadh
2 episodes with siadh
2 episodes with siadh
2 episodes with siadh
In this episode, Sam Ashoo, MD and T.R. Eckler, MD discuss the April 2025 Emergency Medicine Practice article, Sodium Disorders in the Emergency Department: A Review of Hypernatremia and HyponatremiaHypernatremia (High Sodium Levels)Definition: Sodium level greater than 145 mEq/LBreakdown into three categories based on total body water statusHypovolemic HypernatremiaEuvolemic HypernatremiaHypervolemic HypernatremiaCommon causes and conditions associatedHyponatremia (Low Sodium Levels)Definitions: Mild (130-135 mEq/L), Moderate (125-129 mEq/L), Profound (< 125 mEq/L)Breakdown into three categoriesPseudo HyponatremiaHypovolemic HyponatremiaEuvolemic HyponatremiaHypervolemic HyponatremiaCommon causes and conditions associatedTreatment Guidelines and StrategiesEmphasizing slow correction to avoid complications like cerebral edema and osmotic demyelination syndromeSuggested treatment rates for acute and chronic conditionsSpecial ConsiderationsAddressing severe cases and the importance of proper diagnosticsPre-hospital care considerations and scenariosPediatrics and consideration of child abuse in sodium disordersFive Things That Will Change Your PracticeCentral lab sodium values over point-of-care for accuracyRectal temperature checks in endurance athletesLoop diuretics for hypervolemic hyponatremia (e.g., CHF patients)Enteral treatment for hypernatremia, if possibleConsidering COVID-19 as a possible cause for new onset SIADH
In this episode, we review the high-yield topic of Syndrome of Inappropriate ADH (SIADH) from the Endocrine section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
This episode covers the antidiuretic hormone, SIADH and diabetes insipidus.Written notes can be found at https://zerotofinals.com/physiology/endocrine/antidiuretichormone/ or in the endocrinology section of the 2nd edition of the Zero to Finals Medicine book.The audio in the episode was expertly edited by Harry Watchman.
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
On this episode of the Real Life Pharmacology Podcast, I start my journey on summarizing the most highly testable pearls with the top 200 medications. I'm going through the top 200 medications, 5 drugs at a time, and sharing my experience and clinically relevant information about these medications. Escitalopram is an SSRI that can cause serotonin syndrome, sexual dysfunction, and SIADH. Simvastatin is a cholesterol medication that can cause myopathy and rhabdomyolysis. Levothyroxine is a thyroid hormone replacement medication that has numerous binding drug interactions. Vicodin is a brand name combination of hydrocodone and acetaminophen. It is an opioid combined with and OTC analgesic. Lisinopril is an ACE inhibitor used for hypertension that can cause a chronic dry cough and hyperkalemia.
Antidiuretic hormone (ADH) plays an essential part in the body's osmotic/fluid balance, sodium homeostasis, and blood pressure regulation. This hormone is synthesized in the hypothalamus and released from the posterior pituitary gland. In conditions such as Diabetes Insipidus (DI) and Syndrome of Inappropriate ADH (SIADH), there is a lack of synthesis or over-production of this hormone which results in negative downstream effects. At the request of a podcast listener, we have decided to cover these conditions in this episode. Tune in as we discuss DI (central and nephrogenic), SIADH, and hypo/hypernatremia. Get CE hours for our podcast episodes HERE! -------------------------------------------- Twitter @heavyhelmet Facebook @heavyliesthehelmet Instagram @heavyliesthehelmet Website heavyliesthehelmet.com Email contact@heavyliesthehelmet.com Disclaimer: The views, information, or opinions expressed on the Heavy Lies the Helmet podcast are solely those of the individuals involved and do not necessarily represent those of their employers and their employees. Heavy Lies the Helmet, LLC is not responsible for the accuracy of any information available for listening on this platform. The primary purpose of this series is to educate and inform, but it is not a substitute for your local laws, medical direction, or sound judgment. -------------------------------------------- Crystals VIP by From The Dust | https://soundcloud.com/ftdmusic Music promoted by https://www.free-stock-music.com
We've talked about hyponatremia, but what do you know about Syndrome of Inappropriate Antidiuretic Hormone secretion (SIADH) and Diabetes Insipidus (DI)? In this episode, host Sarah Lorenzini and Nick McGowan RN, MSN dive into these diseases that develop from complex hormonal responses that manage the body's water and sodium.They explore the pathophysiology of both conditions, contrasting the excessive water retention in SIADH with the excessive water loss in DI and how this impacts diagnostic and treatment approaches. Nick identifies which labs and assessments are crucial to accurately diagnose and treat patients, highlighting the importance of neurologic assessments and best practices for correcting sodium.Sarah and Nick also touch on the debate around cerebral salt wasting, and share interesting facts about the history of these conditions. Tune in to hear key lessons on recognizing and treating these conditions from an experienced ICU nurse!Topics discussed in this episode:Symptoms and signs of SIADH and DIThe pathophysiology of SIADH and DIDiagnostic approaches and key lab valuesTreatment and management of SIADHTreatment and management of DILessons from SIADH and DI patient storiesCheck out Nick's course over at Critical Care Academy!
In this week's episode of NCLEX Ready, I'm doing something a bit different.I'll be answering a special request from one of our followers, Catherine A. Catherine needed help on topics around endocrine diseases, and so, I decided why not make a whole episode of it?So today, on behalf of Catherine, I'll be breaking down everything you need to know about pituitary gland problems, which include hyperpituitarism, hypopituitarism, diabetes insipidus, and the syndrome of inappropriate antidiuretic hormone secretion (also known as SIADH).Ready to learn more?Tune in now!P.S: If you have any episode suggestions or questions for me like Catherine, don't hesitate to contact me at requests@qdnurses.com. I can't wait to hear from you!Key Takeaways: Introduction (00:00)What is the pituitary gland? (01:57)Hypopituitarism (06:04)Hyperpituitarism (06:57)Diabetes insipidus (10:53)Syndrome of Inappropriate Antidiuretic Hormone Secretion (14:41)Additional Resources:
A síndrome da secreção inadequada de ADH (SIADH) provoca um tipo de hiponatremia euvolêmica cujas etiologias são diversas, sendo seu diagnóstico desta síndrome é de exclusão. Quais as causas de hiponatremia que devemos inicialmente na avaliação diagnóstica da SIADH? Há algum exame que auxiliará? Não perca!
ReferencesJC mentioned that the diagnostic accuracy of 24 hour urine collection increases with more collections! Metabolic evaluation of patients with recurrent idiopathic calcium nephrolithiasisWe didn't refer to a particular study on sodium intake and the 24 hour urine but this meta-analysis Comparison of 24‐hour urine and 24‐hour diet recall for estimating dietary sodium intake in populations: A systematic review and meta‐analysis - PMC 24‐hour diet recall underestimated population mean sodium intake.Anna looking up ace i and urinary sodium Effects of ACE inhibition on proximal tubule sodium transport | American Journal of Physiology-Renal PhysiologyThe original FENa paper by Espinel: The FeNa Test: Use in the Differential Diagnosis of Acute Renal Failure | JAMA | JAMA NetworkSchreir's replication and expansion of Espinel's data: Urinary diagnostic indices in acute renal failure: a prospective studyHere's a report from our own JC on the Diagnostic Utility of Serial Microscopic Examination of the Urinary Sediment in Acute Kidney Injury | American Society of NephrologyJC shared his journey regarding FENa and refers to his recent paper Concomitant Identification of Muddy Brown Granular Casts and Low Fractional Excretion of Urinary Sodium in AKIAnd Melanie's accompanying editorial Mind the Cast: FENa versus Microscopy in AKI : Kidney360 (with a great image from Samir Parikh)JC referenced this study from Schrier on FENa with a larger series: Urinary diagnostic indices in acute renal failure: a prospective studyNonoliguric Acute Renal Failure Associated with a Low Fractional Excretion of Sodium | Annals of Internal MedicineUrine sodium concentration to predict fluid responsiveness in oliguric ICU patients: a prospective multicenter observational study | Critical Care | Full TextA classic favorite: Acute renal success. The unexpected logic of oliguria in acute renal failure Marathon runners had granular casts in their urine without renal failure. Kidney Injury and Repair Biomarkers in Marathon RunnersCute piece from Rick Sterns on urine electrolytes! Managing electrolyte disorders: order a basic urine metabolic panelThe Urine Anion Gap: Common Misconceptions | American Society of NephrologyThe urine anion gap in context CJASNExcellent review from Halperin on urine chemistries (including some consideration of the TTKG): Use of Urine Electrolytes and Urine Osmolality in the Clinical Diagnosis of Fluid, Electrolytes, and Acid-Base Disorders - Kidney International ReportsRenal tubular acidosis (RTA): Recognize The Ammonium defect and pHorget the urine pH | SpringerLinkOutlineChapter 13- New part: Part 3, Physiologic approach to acid-base and electrolyte disorders - Do you remember the previous two parts? - Renal physiology - Regulation of water and electrolyte balance- Chapter 13: Meaning and application of urine chemistries - Measurement of urinary electrolyte concentrations, osmolality and pH helps diagnose some conditions - There are no fixed normal values - Kidney varies rate of excretion to match intake and endogenous production - Example: urine Na of 125/day can be normal if patient euvolemic on a normal diet, and wildly inappropriate in a patient who is volume depleted. - Urine chemistries are: - Useful - Simple - Widely available - Usually a random sample is adequate - 24-hour samples give additional context - Gives example of urinary potassium, with extra renal loss of K, urine K should be < 25, but if the patient has concurrent volume deficiency and urine output is only 500 mL, then urine K concentration can appropriately be as high as 40 mEq/L - Table 13-1 - Seems incomplete, see my notes on page 406 - What is Gravity ARF?- Sodium Excretion - Kidney varies Na to maintain effective circulating volume (I'd say volume homeostasis) - Urine Na affected by RAAS and ANP - Na concentration can be used to determine volume status - Urine Na < 20 is hypovolemia - Says it is especially helpful in determining the etiology of hyponatremia - Calls out SIADH and volume depletion - Used 40 mEq/L for SIADH - Also useful in AKI - Where differential is pre-renal vs ATN - In addition to urine Na (and FENa) look at urine osmolality - Again uses 40 mEq/l - Mentions FENa and urine osmolality - Urine Na can estimate dietary sodium intake - Suggests doing this during treatment of hypertension to assure dietary compliance - 24 hour urine Na is accurate with diuretics as long as the dose is stable and the drugs are chronic - Diuretics increase Na resorption in other segments of the tubule that are not affected by the diuretic - Points to increased AT2 induced proximal Na resorption and aldosterone induced DCT resoprtion - In HTN shoot for less than 100 mEq/Day - Urine Na useful in stones - Urine uric acid and urine Ca can cause stones and their handling is dependent on sodium - Low sodium diet can mask elevated excretion of these stone forming metabolites - 24-hour Na > 75 and should be enough sodium to avoid this pitfall - Pitfalls - Low urine sodium in bilateral renal artery stenosis or acute GN - High urine sodium with diuretics, aldo deficiency, advanced CKD - Altered water handling can also disrupt this - DI with 10 liters of urine and urine sodium excretion of 100 mEq is 10 mEq/L but in this case there is no volume deficiency - Opposite also important, a lot of water resorption can mask volume deficiency by jacking up the urine sodium - Advises you to use the FENa - THE FENA - < 1% dry - >2-3% ATN - It will fail with chronic effective volume depletion - Heart failure, cirrhosis, and burns - Suggests that tubular function will be preserved in those situations - Also with contrast, rhabdo, pigment nephropathy - Limitations - Dependent on the amount of Na filtered - Goes through the math of a normal person with GFR of 125/min and Na of 150 has filtered sodium of 27,000/day so if they eat 125-250 mEq their FENa will be 600-800 - Urine osm < plasma osm in face of hypernatremia indicates renal water loss due to lack of or resistance to ADH - In ATN urine OSM < 400 - In pre-renal disease it could be over 500 - Specific but not sensitive due to people with CKD who are unable to concentrate urine- Specific gravity - Plasma is 8-10% igher than plasma so specific gravity is 1.008 to 1.010 - Every 30-35 mOsm/L raises urine Osm of 0.001 - so 1.010 is 300-350 mOsm/L H2O - Glucose raises urine specific gravity more than osmolality - Same with contrast - Carbenicillin- pH - Normally varies with systemic acid-base status - PH should fall before 5.3 (usually below 5.0) with systemic metabolic acidosis - Above 5.3 in adults and 5.6 in children indicate RTA - PH goal 6.0-6.5 - Separate individual RTAs through FR of HCO3 at various serum HCO3 levels - Also can monitor urine pH to look for success in treating metabolic alkalosis - Look for pH > 7 - In treatment of uric acid stone disease - Want to shift eq: H + urate – uric acid to the left because urate is more soluble - PH goal 6.0-6.5
Découvrez en 30 minutes, avec Dr Benjamin Savenkoff, PH en néphrologie au CHR de Metz, l'essentiel à savoir sur l'hyponatrémie en MG. Connaissez vous les 3 étapes clefs pour trouver la cause de l'hyponatrémie ? Quel bilan bio de base gagnant à tous les coups demander face à une hyponatrémie ? Qu'est ce que le "Tea and toast syndrome ? Connaissez vous l'urée officinale pour soulager les patients atteints de SIADH para néoplasique ? Comment corriger l'hyponatrémie en ville ? Quand et comment adresser au néphrologue pour le bilan complémentaire ?
In meinem Artikel zum Diabetes insipidus und SIADH letztes Mal hatte ich schon einmal kurz die Vaptane als Therapieoption angesprochen, die sich bisher scheinbar nicht so sehr durchgesetzt haben. Es schloss sich eine Suche nach aktuellen Publikationen an, und tatsächlich: Die Indikationen und der Einsatz und Nutzen scheinen nach wie vor sehr begrenzt zu … Weiterlesen
This episode covers syndrome of inappropriate anti-diuretic hormone (SIADH).Written notes can be found at https://zerotofinals.com/medicine/endocrinology/siadh/ or in the endocrinology section of the 2nd edition of the Zero to Finals medicine book.The audio in the episode was expertly edited by Harry Watchman.
Today, we're tackling the absolutely mammoth topic of hyponatremia after JAMA recently published a fantastic article about its diagnosis and management. We start with a review of some relevant physiology before talking about the ways in which hyponatremia can present, and the approach to determining the underlying cause of the hyponatremia.In this episode, we specifically talk about determining whether the patient has either hypertonic, isotonic or hypotonic hyponatremia, as well as a discussion of the causes of hypertonic and isotonic hyponatremia. From here, we go on to focus on the relevant history and examination when working up a patient with hypotonic hyponatremia in order to further sub classify their hypotonic hyponatremia as being hypovolaemic, euvolaemic or hypervolaemic. Resources for today's episode:Diagnosis and Management of Hyponatremia - A Review by Adrogue, H.J., Tucker, B.M. and Madras, N.E. (JAMA) Hyponatremia StatPearlsUp to Date articles:Causes of hyponatremia without hypotonicityCauses of hypotonic hyponatremia in adultsDiagnostic evaluation of adults with hyponatremiaOverview of treatment of hyponatremia in adultsPathophysiology and aetiology of the syndrome of inappropriate antidiuretic hormone secretion (SIADH)Treatment of hyponatremia: Syndrome of inappropriate antidiuretic hormone secretion (SIADH) and reset osmostatCerebral salt wastingFeel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode. Thanks for listening, and happy studying!
Today, we're tackling the absolutely mammoth topic of hyponatremia after JAMA recently published a fantastic article about its diagnosis and management. Part 2's episode focuses on determining the cause of a patient's hypotonic hyponatremia. From here we also go on to discuss the pathophysiology of both the Syndrome of Inappropriate ADH secretion (or SIADH) and cerebral salt wasting before discussing the markedly different managements for these two conditions.Lastly, we talk through the principles of managing hyponatremia. Resources for today's episode:Diagnosis and Management of Hyponatremia - A Review by Adrogue, H.J., Tucker, B.M. and Madras, N.E. (JAMA) Hyponatremia StatPearlsUp to Date articles:Causes of hyponatremia without hypotonicityCauses of hypotonic hyponatremia in adultsDiagnostic evaluation of adults with hyponatremiaOverview of treatment of hyponatremia in adultsPathophysiology and aetiology of the syndrome of inappropriate antidiuretic hormone secretion (SIADH)Treatment of hyponatremia: Syndrome of inappropriate antidiuretic hormone secretion (SIADH) and reset osmostatCerebral salt wastingFeel free to email us at deepbreathspod@gmail.com if you have any questions, comments or suggestions. We love hearing from you! And don't forget to claim CPD for listening if you are a consultant or fellow. Log us as a learning session which you can find within the knowledge and skills division, and as evidence upload a screenshot of the podcast episode. Thanks for listening, and happy studying!
第10回 下垂体⑤ ADH分泌異常症としての中枢性尿崩症とSIADH （解 説）名古屋大学 糖尿病・内分泌内科 教授 有馬 寛氏（ききて）東京大学 腎臓・内分泌内科 准教授 槙田紀子氏
Digital Education Conference 2022 in Oct 7 & 8 2022: https://cmecatalog.hms.harvard.edu/digital-educationWhat does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine urea? What studies can be used to better assess response to treatment? How can uric acid be utilized as a diagnostic tool? What is the interplay between ADH and UOsm?Show notes, Transcript and References: https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-imTags: urine studies, SIADH, Core IM, IMCore, antidiuretic hormone, hospital medicine, family medicine, nephrology
“Sometimes in our daily routine of taking care of patients, it's more about looking at the treatment side effects. But look at those wide array of symptoms that can present with an oncologic emergency. They will kind of sneak up on you, and as an oncology nurse, we all need to be educated about them,” ONS member Diane Cope, PhD, APRN, BC, AOCNP®, director of nursing and oncology nurse practitioner at Florida Cancer Specialists and Research Institute in Fort Myers told Stephanie Jardine, BSN, RN, oncology clinical specialist at ONS. During this episode, Cope explained the clinical manifestations associated with syndrome of inappropriate antidiuretic hormone (SIADH) and its medical and nursing interventions. The episode is part of a series about oncologic emergencies; the previous episodes are linked below. You can also earn free NCPD contact hours by completing the evaluation linked below. Music Credit: "Fireflies and Stardust" by Kevin MacLeod Licensed under Creative Commons by Attribution 3.0 Earn 0.5 contact hours of nursing continuing professional development (NCPD) by listening to the full recording and completing an evaluation at myoutcomes.ons.org by July 1, 2024. The planners and faculty for this episode have no relevant financial relationships with ineligible companies to disclose. ONS is accredited as a provider of NCPD by the American Nurses Credentialing Center's Commission on Accreditation. Episode Notes Check out these resources from today's episode: Complete this evaluation for free NCPD. Previous Oncology Nursing Podcast episodes on oncologic emergencies ONS Huddle Card™: Hormone Therapy ONS books: Understanding and Managing Oncologic Emergencies: A Resource for Nurses (third edition) Clinical Manual for the Oncology Advanced Practice Nurse (fourth edition) Clinical Journal of Oncology Nursing articles: STAT: Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Syndrome of Inappropriate Antidiuretic Hormone Secretion in Malignancy: Review and Implications for Nursing Management Hyponatremia and SIADH: A Case Study for Nursing Consideration To discuss the information in this episode with other oncology nurses, visit the ONS Communities. To provide feedback or otherwise reach ONS about the podcast, email pubONSVoice@ons.org.
Many concepts you will learn in nursing school are related, but different enough that it can often be confusing to keep all the key elements distinct from one another. A great example of these are the two related-but-different conditions DI and SIADH. Diabetes insipidus (DI) and syndrome of inappropriate antidiuretic hormone (SIADH) are essentially opposite of one another. It's important you understand how to differentiate between the two in clinical and on your exams. Are you starting nursing school soon? Get prepped with Crucial Concepts Bootcamp before the sale ends on April 11, 2022! A big “thank you” to HCA Healthcare for sponsoring this episode. Click here to learn more about HCA Healthcare's robust nurse residency program. Want to maximize your learning by reading this information, too? Check out the article and references here. RATE, REVIEW AND FOLLOW! If this episode helped you, please take a moment to rate and review the show! This helps others find the podcast, which helps me help even more people :-) Click here, scroll to the bottom, then simply tap to rate with 5 stars and select, "write a review." I'd love to hear how the podcast has helped you! If you're not following yet, what are you waiting for? It takes just a quick moment and the episodes show up like magic every Thursday. And, when I release a bonus episode, those show up, too! You'll never miss a thing! In Apple Podcasts, just click on the three little dots in the upper right corner here. Know someone who would also love to study with me? Share the show or share specific episodes with your classmates...when we all work together, we all succeed! On Apple Podcasts, the SHARE link is in the same drop-down as the follow link. Spread the love! Thanks for studying with me! Nurse Mo
SIAD ou SIADH, que conjunto de letras danado para trazer tanta dor de cabeça para muita gente!! Dezenas de causas possíveis, tratamentos muitas vezes difíceis de serem implementados... motivos não faltam (e nem estamos falando sobre hipertensão intracraniana ainda…hehe). Na medicina muitas das nossas condutas na prática clínica são baseadas e explicadas por mecanismos fisiopatológicos apimentados com um tal de “bom senso”, não sendo diferente na Nefrologia. Na SIAD, quando confrontamos as nossas diretrizes terapêuticas ancilares com ensaios clínicos randomizados recentes, tais como o EFFUSE FLUID TRIAL publicado em 2020, e o trial com a Empagliflozina, a realidade clínica é posta à prova. A ureia então, mais falada do que de fato utilizada (imagine engolida…), carece de qualquer estudo maior para justificar seu uso nesses pacientes. Restrição hídrica então, tem alguma medida terapêutica mais árdua de ser colocada em prática???….morando em um país tropical então… Embarque conosco nessa discussão sobre a entidade sindrômica menos rarefeita dos distúrbios hidroeletrolíticos!! Com Dr Igor Pietrobom 0:01 - 0:43 Introdução 0:44 - 6:29 Critérios Diagnósticos 6:30 - 9:35 Tipos de SIAD 9:36 - 11:27 Causas de SIAD 11:28 - 17:29 Tratamento 17:30 - final Tratamento da hiponatremia grave
Dr. Barry Gorlitsky, Assistant Professor of Nephrology at the South Carolina campus of the Virginia College of Osteopathic Medicine, joins the podcast to discuss topics in nephrology in this PV Roundup Specialist Spotlight podcast.
In this episode, we review the high-yield topic of Syndrome of Inappropriate ADH (SIADH) from the Endocrine section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets
In this episode, we review the high-yield topic of Syndrome of Inappropriate ADH (SIADH) from the Endocrine section. Follow Medbullets on social media: Facebook: www.facebook.com/medbullets Instagram: www.instagram.com/medbulletsofficial Twitter: www.twitter.com/medbullets --- Send in a voice message: https://anchor.fm/medbulletsstep1/message
Matt Report - A WordPress podcast for digital business owners
Today's a bittersweet moment in WordPress business land with the announcement of Awesome Motive acquiring Sandhills Development suite of plugins including Easy Digital Downloads, AffiliateWP, and more. I'm honored to call Pippin my friend who has helped me “grow up” in the WordPress community. I'm happy for him, and sad that he's retiring from the WordPress world…for now. I had a chance to sit down with him earlier this morning to hash out all the feels around this news. I hope you enjoy the episode, please share it with others! Episode Transcript [00:00:00] Hey,[00:00:01] Matt: everybody. Welcome back to a special episode of the Matt report, breaking news almost. And not this one's not erring on the WP minute, but we broke a lot of news on the WP men. They go to the WP minute.com. If you want your weekly dose of five minute WordPress news delivered in your inbox every week, uh, this episode is sponsored by easy support videos, easy support videos, support your WordPress users right inside the WordPress admin.[00:00:23] Using videos. Check out easy support. Dot com why am I doing this in line with the episode? Because we have a special guest today, Pippin, Williamson, Pippin. Welcome to the program. Thank you, Matt.[00:00:35] Pippin: It's great to be back.[00:00:37] Matt: I woke up writing my weekly script for the WP minute and I was getting all of the acquisition news in there.[00:00:43] I was getting all of the liquid web and learn dash and what WooCommerce was up to and I was ready to send it to my executive producer and I looked on Twitter one last time. And there you were saying that Sandhills was acquired. My awesome[00:00:59] Pippin: motive. Sorry to screw up your, uh, your scheduling plan.[00:01:04] Matt: I had a donut in my mouth and I'm trying to type in like, oh my God, what's happening.[00:01:08] I was real newsroom, uh, breaking moments here. First of all. Congratulations. Thank you. Um, at the top of this episode, what I want people to do is an, a link this in the show notes is please. For the love of all that is holy. If there's anything you do with what I say here at the med report, read the blog post on Sandhills dev.com that Pippin wrote about the breakdown, phenomenal piece, one of your best, the best that you have written, uh, you know, uh, to, to bookend this, this, this book, this chapter of your life.[00:01:49] Uh, you know, it's, it's, it's actually an emotional thing for me. I don't have a question straight away. It's an emotional thing for me. I feel like I've been part of this journey with you. Have you felt that same vibe from others in the WordPress?[00:02:02] Pippin: You know this entire morning, um, when we publish the, the announcement that all of the WordPress products were joining automotive and that after a transition period that I'm retiring from WordPress, um, and moving onto some other things, uh, it has been pretty much a constant stream of messages from.[00:02:25] Friends colleagues, people that we've met once or twice at word camps and, and so many friends. And, um, from over the years, just, you know, saying hi, saying congrats, mentioning, you know, something about, you know, what we did together. You know, there's so much. People that we have worked with over the years and that I've had the amazing opportunity to get to know.[00:02:51] Um, so yeah, it was it's, it's been a pretty wild ride and a journey and hearing how many different people, um, have been impacted by the work that we've done over the last 10 years is an amazing way to, um, you know, maybe conclude this part of it.[00:03:14] Matt: They're in my, in the WP minute, uh, script that I wrote today, I said that you are your Sandhills and you specifically are either one of the most respected.[00:03:30] Product companies in the WordPress space, if not the most respected, uh, WordPress plugin company in the space. There's yeah. There's such a deep connection that I think a lot of people share this. It's what makes WordPress special, I guess, is because we all get, so the reason why we're all so emotional about it, or at least I know I am is because we all get so connected with one another.[00:03:51] We want to see each other when we want to see the software do well. I'm retiring from work. I was, I just ran to grab a coffee before we hit record. And I was thinking about some of the questions that I was going to ask you. This is probably a pretty blunt question to ask, but there's the side balconies of the world.[00:04:13] And then there's you and me, right? How do you frame yourself to be able to say, okay, I'm retiring with WordPress from WordPress. I don't even think the word retire is. In vocabulary. What do you think makes the entrepreneur your yourself as an entrepreneur versus SIADH maybe so different and has that played a role into making this decision?[00:04:40] In other words, we're world domination,[00:04:43] Pippin: really? So it absolutely played a role. You know, one of the, one of the most challenging parts of, of this type of transition is we have this, this huge history of, of, of customers, of our team, of our products that, you know, those don't just turn off those don't just suddenly go away because I'm moving on to other things.[00:05:11] What we have to try really, really hard to do. I spent an enormous amount of time on over this last summer is finding the best avenue for those to carry on for the products to carry on for the customers to continue to be supported better than we were ever able to do. And, you know, finding the right fit that ensures that that will happen.[00:05:34] Truthfully requires someone like CYA, you know, SIADH is extremely laser-focus. And driven for his mission of helping small businesses. And he, his, you know, the first thing when, when he, and I started talking about this in depth over the summer, one of the first things that I, I asked him is, you know, what are you, what are you going to do?[00:05:58] And what is the time, um, you know, do you plan to continue working on these and building these for years to come quick answer was, yeah, for at least this next 60 years, uh,[00:06:12] You know, that is something that is a huge amount of reassurance for someone in my position that is, you know, knows that it's time to move on to something else, but also, you know, agonizes over the details of how do we ensure that the customers and the team and the products are taken care of and, you know, knowing that he is committed to the long-term future, um, is extremely important to me.[00:06:36] Um, You know, I, I recognize a couple of years ago that while I have had an amazing time and I absolutely loved the last decade, I'm not ready to keep doing it for another decade, you know, I need to do something else. Um, so[00:06:56] Matt: yeah. I mean, it takes a lot of courage to admit that you've always been one, that's been transparent with your posts and, you know, income reports and all this stuff with, with the product and the services side of the product services side of things.[00:07:08] Uh, but to sort of put your entrepreneurship. Scars, you know, in front of everyone. Right? Cause I know what it's like to run a business at a very much smaller scale than obviously you, you and I had spent some time in a mastermind years ago where we were just banging heads with things that were just so uninteresting, probably to both of us, like talking about taxes and like when VAT came out and you're like, good, I don't want any of this.[00:07:36] I didn't choose to be the janitor and the tax guy doing this stuff. It's not fun. I just want to code and. You stumbled onto the success that you had, and it is, it's a totally different weight. And I think a lot of people are jaded in this space. Sometimes myself included saying he's got everything he wants and needs right in front of him with this busy.[00:08:00] But sometimes it's not what you want. And, and what you wrote in this piece. Uh, again, please read this people about family, your father, your grandfather has a deep connection to me because I started a business with my father. He started a business with his father and it's this lineage that has, you know, gone on.[00:08:20] So, I mean, it really hits home with me. But I think a lot of people just want you to keep going. And sometimes it's, it's not what you, what you want. And, uh, again, no real question here just like applauding you to,[00:08:32] Pippin: you know, the thing that I think so often people don't realize or think about enough until they find themselves in that position.[00:08:40] Is any, anybody who is, is heading a team or a company. When they no longer have the passion for it or the drive, or maybe not that their passion for it has gone away, but maybe passion for something else has eclipsed. It is the longer that they stay in that seat, the more disservice they are going to do to their customers and their team and all of the people that they work with in some capacity or other, you know, anybody who leads a ship needs to be the best of themselves.[00:09:16] As much of a time as they possibly can. Um, because that's the only way that you can do your absolute best to take care of, of your team, of your customers and of your business. And when you are no longer your best in that seat, the best thing you can probably do, if you can, if you know that that is a permanent thing and not just a transitory.[00:09:40] It's put someone else in that seat. Uh, it's hard to do, and it's really, probably even harder to admit to yourself when you reach that point. But if you don't, you know, that that's what causes amazing things to decline over time. That's what causes businesses to slowly fail and, and start to suffer is when, you know, obviously there's other factors too, then, you know, there's other things that can cause somebody to go downhill.[00:10:03] But when, when the captain of the ship is, is no longer. Wanting to be there, no matter what their level of dedication, you know, it hasn't been.[00:10:12] Matt: Yeah. How does that unfold internally at, or how did it unfold internally at Sandhills? Like when you got the gut feeling, did you gut check and, uh, you know, talk to the, the, the top brass at, I dunno, what, what you, what you title them, but do you talk to the top brass and say, I got this feeling.[00:10:31] What do you all think before. Dispersed[00:10:33] Pippin: everywhere for this one. It, um, it unfolded in a couple of ways. So first, uh, you know, a much longer string of events is I'll say that it first started to happen years ago for me, which was basically the day that I, you know, one day I recognized I had hired myself out of it.[00:10:54] 'cause I had, you know, we had, we had grown the team. We had hired, we had grown the dev development team, the support team, the marketing team, even the leadership team. And I re realized that like, I don't, everything that I did, everything that I used to do that I was passionate about is now somebody else's responsibility.[00:11:13] So that happened years ago. Uh, and that was probably one of the first periods where I started to like really recognize that, you know, I don't know that being a CEO is. What I desire to be in the long-term future. I just want to write code again. I spent the next few years trying to get back into code and it, it never happened for one reason or another.[00:11:36] There's lots of reasons. Um, you know, here, here and there, I would, I would dive back in and have a little bit of, of success building something for fun. Um, but like on a day-to-day basis, I never returned to being in the. And it, and that was where my, my true passion was. I loved writing code. I loved the, you know, just cranking something out and, you know, more or less building something from nothing.[00:11:58] It was so fun and magical. So that when realizing that that had happened, that, that transition where I was no longer doing that. Is the first step to what got us to today. And that was years ago, much more recently. Um, basically, uh, when my, my dad's health issues that I mentioned in the blog post popped up, that was when I, I think I really got serious with myself to admit that it was probably time.[00:12:31] Um, at that time I wrote out a message to my partners, um, and. Basically told them. I wrote, I wrote up this very, actually a very short message and it was just titled the exit is near and FYI. Here's basically the way that I'm feeling now. And I think I'm going to start having conversations. And, and that was, it was very, it was very brief, but then we, you know, we followed up and had a lot of in depth conversations as, as a partners group for the next several months.[00:13:05] And then, you know, I kept wavering. I kept going back and forth and, you know, deciding to, to sell something you've spent 10 years building isn't some, like, at least I don't maybe, maybe some people, it happens this way, but for me it was not like a light bulb moment. It was not this, you know, one day I just know, you know, okay, that's fine.[00:13:27] Let's do it. No, it wasn't that at all. It was, you know, it's this, this inkling, this feeling, this, this like weight in your stomach that says. I think it's time, but I'm a F I'm truthfully terrified of that commitment of that, you know, actually making that choice. So over, over a couple of months, you know, trying to figure out if that was the right move or not, I finally decided, you know what, I'm going to take a sabbatical.[00:13:54] I'm going to take three months off the entire store. I'm going to close slack, I'm going to close base camp. I'm going to close emails, disabled, all notifications. I'm going blackout mode for the next three months and see what happens that the, you know, our, our team was set up and so effective that, you know, I was able to do that.[00:14:17] Um, I was not necessary for the day-to-day operations. And so I knew one of two things was going to happen. Through that sabbatical either. I'm going to go out, get refreshed and decide, you know what? I love this. I want to keep going. Um, I'm back, I'm 100% committed and let's put the pedal to the let's hit the gas, or I'm going to know for sure that this is the right move.[00:14:44] Um, and obviously with today's new news that we announced, um, we know how that ended. I knew that it was the right move after I'd spent several months away from it. And you know, it just helped me realize that I'm ready for this.[00:14:59] Matt: Yeah. I mean, and again, I've known you for awhile. A lot of people have known you for awhile, but if you haven't known PIP in, um, You know, just all like the moments at word camps, replaying in my head with like sitting with you and you sitting with your team and just like whatever diving into code features, new product announcements.[00:15:18] How are you going to market this? How are you going to grow the team the whole, how do I get a great team chemistry? Like your. Like the painting that I have of you over your time in this space has never been like, how do I build this thing to sell it? Right. And over the years I've seen which I guess, like, I don't fault anybody anymore.[00:15:35] I used to have like really strong opinions on it, but now people want to build a business and sell it, whatever, Hey, that's just another way of going about it. Like you're building it to sell it, to acquire it. And it's all strategically done. Thumbs up, Hey, that's your way of doing it. Um, you know, and, and just seeing the way that you've done over the years, you know, knowing that this was, this wasn't the intention, although as you highlight, it was[00:15:57] Pippin: a reality that was known to have a strong likelihood of happening,[00:16:01] Matt: right?[00:16:01] Yeah. There's a, there's a point in the, um, in the blog post where you say every business owner knows or will eventually learn that there are three possible fates for their. One one day it'll be passed on to someone else perhaps whose family inheritance, uh, to it's solely or rapidly decline at some point, uh, be shut down entirely three.[00:16:22] It'll be sold to a new owner, uh, for one reason or another. I want to just shift gears a little bit in the conversation. Get a little bit more like strategic businessy, uh, on number two, uh, it'll slowly or rapidly decline at some point be shut down entirely. Um, before we got on, I was talking to somebody else.[00:16:39] Who's going to be writing up a piece on the business of WordPress space. They asked me a couple of questions about what I think about this and why acquisition is so hot right now. Um, I think that there are a lot of mature businesses like yourself, or like Sandhills, where you get to a certain point where, Hey, it's successful.[00:16:57] It's good, but you hit this plateau. And in order to get to the next step, the next stage. You have to almost build a whole other business model or hold a product whole or business. It's not just, Hey, two X, my effort now it's like 50 X my effort to get to that next point strategically that did that have a, a role in this.[00:17:20] And then we'll talk about awesome motive and how I feel like you slot into that, that suite of services. But was that a thing for you?[00:17:26] Pippin: Oh, absolutely. Um, you know, like any, any business that has been going for. Uh, while, you know, and, and at this point we were, uh, almost 10 years old. Um, the sandals development as a, as a company, as a brand is eight years old.[00:17:41] But the products, you know, it's been, I think, 10 years since we launched EDD, um, or close to it, um, you know, what, what used to work, what works when you're really, really small and you're new and you're growing. It's not the same thing that works today. You know, when, once you reset maturity point, um, it's a totally different set of challenges.[00:18:05] Um, and the consequences for getting your approaches wrong are a lot more significant. Um, you know, w at our peak, we were a team of 28 people, you know, if we, if we screw up and we do. Aim for the future properly. And we don't manage our growth and we don't recognize where our pain points are. You know, the consequences of that are a lot more significant than when, you know, it's just two or three people that are, you know, mostly just late night keyboard hacking and having a good time doing it and, you know, have a little bit of success with it.[00:18:41] Yeah. So, you know, when I said that when I, when I went on a sabbatical, I knew one of two things was going to happen. And one of those possibilities was that we were going, I was going to come back refreshed and ready to just hit the gas. We have definitely been at that stage for the last couple of years where we were trying to figure out how do we hit the gas?[00:19:02] You know, we're, we're still doing good. We're still comfortable, but the signs are there, that what we're doing. Is not going to sustain us for the next 10 years or even the next five years. There are, there are changes that we're going to have to make. Um, you know, we didn't, we ended up going through this process with automotive before we really had to dive into what those changes were going to be.[00:19:27] And so, you know, I honestly, I can't tell you what they are cause I, cause I don't. Um, but we knew that we were going to have to adapt our approaches and adapt our strategies and adjust, um, and do things in a different, in at least some form of different ways. Um, because it wasn't going to be enough to get us through the next five years.[00:19:46] Matt: I think a lot of successful. And this is, and again, these are just my opinion and obviously happy to hear yours, which just, you just hinted that really. But, you know, you get to a certain point where it's like, Like, if you looked at EDD or your suite of prod products, let's say affiliate EDD. So you have like the affiliate side of e-commerce you have e-commerce, but then it's like, okay, what does everybody want?[00:20:10] You know, with e-commerce is, I don't know, maybe like the hot thing of, uh, customizing checkouts or lead gen or all of this stuff. And it's like, man, That's like another 10 years, right. To like, think about how to build that, like the thought process on how to succeed with that. Yeah, man, it takes so much time and money, um, to really get to that.[00:20:34] So, and I[00:20:35] Pippin: thought a very careful planning. Yeah. I had[00:20:37] Matt: a lot of planning. It's. It's not like the concept of cowboy coding in the early days where it's just like, yeah, just throw another feature and see what happens when you say throw another feature. It impacts 28 employees that you're responsible for tens of thousands.[00:20:52] I'd imagine customers that you have, and it's not just as flip, flip of a switch. That is, is that easy to just change? Oh, that feature wasn't good. Let's pull it back out. Like no, maybe nobody will notice. Oh no, it doesn't work that way. Uh, it's very hard. Uh, I want to talk about finding a suitor for the company.[00:21:11] Now I know how SIADH found you because quite literally, I was at a word camp where I think SIADH was walking around, asking if anyone was for sale. This was like five, six years ago. And I think he would literally walk around, Hey, you want to sell? Hey, you want to sell? Hey, you want to sell? So I know he's got into your ear years ago.[00:21:31] I wrote a blog post back in February, 2020, where I predicted they would buy e-commerce. And I had a discussion with somebody privately that they would probably look to EDD to sell, to, to acquire. Did you look at anybody else? Did you have those conversations and what was[00:21:45] Pippin: that like? So when I first announced, uh, to my partners team, that I felt it was time for me to, to find an exit, uh, immediately after that.[00:21:58] I started reaching out and having conversations with people. Um, and I talked to quite a few. Um, I had. Uh, and I, I mentioned this a little bit in the, in the blog posts, but there were a couple, there are some requirements that I really needed to have met. Um, and so as I, as I started to reach out to, you know, people that I thought might, might be interested, I had a, I had a list of, you know, maybe 10, 10 companies or individuals that I felt.[00:22:29] Would fulfill the requirements that I needed. So number one, that, you know, obviously they had to be capable of doing it. Um, and, and both, you know, both from a finances perspective, but also from, you know, their ability to carry on what we had built. You know, I had no interest in. You know, selling, selling this to a private equity group that, or venture funded group that their goal is just to, you know, cash cow and kill and shut it down.[00:22:56] No interest whatsoever. So I had, I had a few requirements. The, I had to trust and know that their ability. Was there to carry on what we built to. They had to take all of the products. Um, I was not interested in piecemealing, the suite of products that we've built. We have a lot of overlap between our products, between the team that works on the products, um, and our customer base.[00:23:25] I did not want to, you know, send one, one, place one to another one to another, and then try to figure out, okay, what goes there? What goes there? What goes there? That just sounded like a disastrous nightmare that wasn't going to end well for anyone except maybe myself, maybe. So they had to take the whole suite of products.[00:23:43] They had to take the whole team, you know, no acquisition is perfect. No transition is perfect, but I needed them to commit, to taking the whole team, be willing to take everybody, you know, if somebody didn't want to go over, that was, that was okay. That was understandable. But they needed to have that commitment from day one.[00:24:00] If we're taking this as a complete package, um, and. You know that as we, as we had those requirements, um, it, it, we, it, it narrowed down our candidates list, if you will, um, pretty quickly, um, because for one, you know, we'd go in, we'd have a conversation and then somebody would be like, this is great. I really love this stuff.[00:24:24] But honestly, I only want to feel like it'd be cool. Thanks for your time. Maybe I'll circle back to you if you know, if something else doesn't work out and we repeated that quite a few times, uh, CYA. And I have known each other for a long time, uh, actually fun stories at site. And I have had conversations in the past, um, specifically around EDD.[00:24:45] Um, and I turned them down early on and that was several years ago. Um, so it's kinda fun to come full circle now, but with when, when I approached SIADH, um, and I, I told him very bluntly said, are you interested having a conference? If the answer is yes, here's my four main requirements. And if the answer to any one of those is no thanks.[00:25:09] Um, let's not waste each other's time and it was immediately. Yes. Um, so he, he was very, very interested and was immediately happy and will in knew that he wanted to meet all of those requirements.[00:25:22] Matt: Yeah. I mean, I could see, I could, I could definitely see like the negotiation room where like you're both in the room and then SIADH leaves and his lawyers come and you're like, Hey, we say, Hey, where are you going?[00:25:32] Like you leaving, are you staying up, stay around for this conversation. How long did that process take? Was it months Fido two months. But[00:25:39] Pippin: so, um, it, it's, it's funny the way that you characterize it, because while like, I think that's probably how a lot of people expected negotiations with sign to go.[00:25:48] Honestly, that couldn't be further from the truth. Um, it's when, when you negotiate with SIADH, when you sit down and have a conversation with him, it's a very one-on-one candid conversation. We hopped on a lot of zoom calls and we chatted face to face, and I never once negotiated with the attorneys or anything.[00:26:06] You know, it's always cited is extremely personable actually. Um, and he and I have always had a really good relationship. And so we were able to be very candid with each other and, you know, share what we, what we need. What we wanted, what our, what our desired outcomes were and what our challenges were. Um, and then, you know, when an issue was raised, um, you know, whatever it was, we addressed it and we worked through it.[00:26:30] Um, it was, uh, it was a wonderful experience. Honestly, I would, I would repeat the process with SIADH again in a heartbeat. Yeah.[00:26:40] Matt: Uh, we, uh, you know, Matt report listener, you can look forward to a, uh, interview with Saya next week. He's a little. This week. I don't know why he does things on his plate, but we are going to S we are scheduled for an interview next week.[00:26:53] So look forward to that PIP and wrapping up, wrapping up here. Um, yeah. So the hinting at the size of the deal, I won't directly ask you the questions. I mean, you are retiring. Life is probably pretty good for at least the next couple of years. Yes, no, we'll be, we'll[00:27:12] Pippin: be. Okay.[00:27:14] Matt: Uh,[00:27:14] Pippin: we are plenty to put our focus on you.[00:27:17] Matt: I like in the blog post, uh, you sort of say, uh, in the section, what's next for Pippin, uh, after finishing the transition period with automotive, I'll retire from WordPress, then put my focus into spending time with family nature conservation efforts, which I know you've been big on even years ago. I remember you talking about some of the stuff you were doing in Kansas, uh, in Sandhills brewing.[00:27:40] Listen, you, I like how you just threw that in there, kind of the Sandhills, really. But if anybody who does, like, I follow you on Instagram, right. For Sandhills brewing. And I remember it's this like, Hey guys, like on our mastermind calls, check out these bottles I made. Right. And it's just like, you know, You got like a six pack and like I made these bottles and then like our next call, you were in like your tub in the bathroom.[00:28:01] Like, look at my tub full of beer. And then it was, Hey guys. Uh, I got so many crates in my basement. Like I have to get like a rental store. And then now, like Instagram, you have people working for you. I see the, you know, the Instagram models holding the beer there's food. There's build-outs, that's like a whole, like you're not retiring from businessman.[00:28:19] You get a whole.[00:28:20] Pippin: Other big things. It's a pretty, pretty hefty operation at this point.[00:28:24] Matt: I mean, that's going to probably still take up a lot of your time, I'd imagine. And you run that with your brother.[00:28:29] Pippin: I do. Yes. Uh, my, my twin brother and one other business partner. Um, so we, we built two different locations.[00:28:36] Uh, my brother and I live about three hours apart and, uh, we, we really wanted to build this brewery together. Uh, and then we realized like, well, I'm not going to move and you're not. So obviously the next best thing is we build, do locations. Let's do it.[00:28:53] Oh, COVID tool is a interesting monkey wrench. You know, all of them. Everything about COVID aside. I will tell like the, the health and the, the stupid politics around it and all of the worries and the concerns and the financial sides I was telling you that that is one of the most interesting business challenges I have ever gone through is trying to run a hospitality business during a global pandemic.[00:29:16] I have no interest in repeating it. But it is something that I think has been a very, very valuable experience because of how many different things it taught us. You know, if you want to see a great like years from now, we're going to go back and look. At businesses that, that survived businesses, that failed businesses, that thrived and businesses that you know, everything in between.[00:29:43] And we're going to have so much valuable learning about building resiliency and flexibility, and like the ability to pivot in businesses, because that was what, you know, March, 2020 was like, that's when, when that happened. Your businesses that succeeded and made it through were those that had some level of financial resilience because do the hit the hits to the hospitality industry was brutal to had the flexibility and the willingness to change.[00:30:20] And then, and three, just the, the wherewithal to. Chug on and no pun intended, but like seriously, like that was a drag. That was probably the hardest thing that I've ever done in business was surviving COVID as a hospitality business. Um, and, uh, yeah, there's, there's gonna be so much to learn from it in the years to come, uh, as we, you know, are able to take steps further back and reflect on it.[00:30:50] Matt: Yeah, man. Uh, yeah, even, I mean, congrats on that. You know, as somebody who. Again, has been in a S has seen a small, uh, portion of your experience growing a business. When I see these things, when I see like the success of like, where you're going with that brewery, like as fast as it happened, I felt pretty fast to me.[00:31:11] I'm sure it felt, I dunno, maybe fast to you, but yeah, it depends on the day I looked at that. I was like, man. Yeah. This, dude's not long for WordPress, because like I know like, man, if I could just give up everything, I would just go cut people's grass and just be like, there's no worries about the colors I'm picking for you.[00:31:28] There's no worries about like sound audio quality. I just go cut your grass. You just tell me where to cut the grass. And like, that's what I would do for the rest of my life. If it could sustain, uh,[00:31:37] Pippin: you know, three kids you're years ago when, when my brother and I. Well, we're getting ready to commit to building this brewery.[00:31:45] Um, he, he said something to me. I think we were just sitting down late at night. One time. He was like, you know what? I realized why I liked beer and he wasn't talking about the why he likes drinking it or making it, it was why it likes the business of beer, you know, in the software world, we get this opportunity to work with and keep my, my brother runs a software company, 3d animation, right?[00:32:05] Yeah. Uh, so, you know, we get this opportunity to work with. Amazing customers and amazing people. But do you know what the truth is? Like the only time that we actually get to talk to customers, unless we, except the outreach that we do do with them is when there's a problem at the end of the day, all I am is a problem solver.[00:32:27] People bring me problems. Good, bad, enormous, small. It doesn't matter, but I just, I solve problems. You know, like if you've ever heard somebody describe themselves as, you know, like a code janitor or something like that. Like I was not for the longest time that my, my role as, uh, as the CEO of this company was basically to be a janitor, you know, because at the end of the day, everything that comes to me is typically a problem.[00:32:52] I'm kind of tired of solving problems. So the beautiful thing about. Do you know what happens? People come to celebrate. People are happy to see you. You know, when you work customer support, most of the time, people aren't happy to talk to you. People are doing so begrudgingly because there is a problem and they want, and you have the ability to fix their problem.[00:33:14] But with, with beer, people come to celebrate, they're happy to see you. They're thrilled to be in your space, you know? Yes. There's the, there's some darker sides to it. They come to more and they come when they're sad or upset. But in general, you, you are a bearer of good news and they're there because they want to be there.[00:33:33] Um, and that is a very interesting, like psychological difference in the industries. Uh, And it was so refreshing. Yeah. Yeah.[00:33:42] Matt: I can imagine. And look, if I had beer in front of me right now, I would raise a toast to you and everything early in the morning. Well, you know, it's never too early when you're selling beer.[00:33:53] Um, I'd raise a toast. To you and everything that you've done over the years, uh, you know, we hopped on this call last minute. I feel like I was rambling with some of these questions as a seasoned podcaster, but I feel like I'm just trying to hold onto the final threads of my Pippin in the WordPress world.[00:34:10] Um, like, like the Sopranos ending and just watching that last episode, like, I can't believe it's over. Uh, w will you show up at other WordPress events and do you have any final statements for the WordPress community?[00:34:22] Pippin: It's been an amazing journey. Um, you know, my, my current intentions at this point are, you know, truthfully to see what happens.[00:34:33] I don't have any short-term plans to continue working in WordPress, but I don't know what the future is going to hold. Uh, My, my goal and my hope is that sometime in the future, be it in six months in nine months, in 10 years, the itch to code again will strike and I'll build something completely for fun.[00:34:55] Uh, and it might be a WordPress. It might be something totally unrelated. Um, but if it does then, you know, I'm, I'm looking forward to that. Um, so truthfully, I, I don't know, uh, it's been work. WordPress has. Been a wonderfully weird world. And, uh, some of my best memories, the best people I've ever met are from WordPress.[00:35:20] Um, it's given me the opportunity to travel around the world and visit so many amazing places and see, and meet people from all of them. Uh, I, I realized something a few years ago. That was really pretty cool. Is that because of WordPress and because of what this. Community has made possible. I think I know somebody in probably every major city of this world, you know, I may not realize they're there, but I think it's pretty darn close because of just the connections over the last 10 years that have been made.[00:35:58] And that's amazing. And so fricking cool. Um, so you know, this might be the, you know, the end of my WordPress experience, uh, And I will miss it. I will, but I'm happy to end it on a high note where I know my team, the customers and the products are an exceptionally good hands. You know, the truthfully the future for them has, has never been brighter.[00:36:32] And, uh, I'm really looking forward to watching what they do.[00:36:36] Matt: Yeah, absolutely. Bravo to you, sir. Thanks again for everything. Uh, Twitter, I guess now is probably the best place or do you know anyone? You don't really want to talk to people anymore? Stay away from me. I'm come[00:36:46] Pippin: buy some beer, email me, uh, you know, my Twitter account is still active.[00:36:51] But, uh, I, I'm not very active on Twitter. I was very active today for the first time in months and months and months. Uh, but so contact me via email. Um, it's pippin@sandhillsdev.com. Uh, you can find me@sandozdev.com. That is that's still my place. Um, and, or you can find me at my personal website.[00:37:09] Matt: Fantastic everyone else.[00:37:10] matterport.com airport.com/subscribe. Don't forget to miss. Don't forget to miss. No, don't forget to not miss your, your weekly dose of WordPress news. over@thewpminute.com. Support the show by buying me a coffee. Buy me a coffee.com/matt report. Thanks everyone for listening. Thank you again, Pippin. And for the last time, please read the blog post, which will be, uh, linked up in the show notes.[00:37:33] Fantastic PR. To the saga that is Pippin Williamson in the WordPress world. Thanks everybody for listening. And we'll see you in the next day,[00:37:42] Pippin: everyone. And thank you. Ma'am. ★ Support this podcast ★
Matt Report - A WordPress podcast for digital business owners
I appreciate a good side hustle story. Someone slogging away in the cubical but slowly building up an audience on Twitter on the weekends. I'm sure you know all about the “build in open” movement, and today's guest really shocked me with that. See, maybe like you, I've listened to Dave Rodenbaugh on his podcast (with my boss Craig) Rogue Startups, for years now. But what really got me in today's story, is that he was never really even “part-time” into his business Recapture.io. In fact, the way he put it, he was only devoting 10% of his energy into the business while being contracted at a corporate gig he recently had the chance to exit from. There's lots of fun stuff in today's episode covering everything from managing a day job to which marketing skills you need as a developer to kickstart your business. I hope you really enjoy it. Transcription Recapture – Dave and Matt – Matt Report [00:00:00] This episode is brought to you by paid memberships pro well, actually it's their other product. Site-wide sales at site-wide sales.com. It's a complete black Friday cyber Monday and flash sales tool for WooCommerce or paid memberships pro. Before, you know it, the deal day holidays will be fast upon us. And you want to prepare your WooCommerce or paid memberships pro website. [00:00:20] With the site-wide sales plugin, use it to make custom sale banners, targeted landing pages or apply discounts automatically in the cart. Use it to track the performance of all of these promotional features using the reporting feature, which will paint the picture of your black Friday and holiday shopping sales. I use it to help make your woo commerce or paid memberships pro store more money. [00:00:43] Get the first 30 days for free. And then it's an easy $49 a year. Check out site-wide sales.com. That's site-wide sales.com to make more money. This holiday sale season. [00:00:56]Let me tell you about creator courses.com/matt and how you can save 20% off using code mat to grab a hold of the great courses instructed by none other than Joe Casabona. So, what can you get from creator courses.com/matt. Courses to help business owners create stuff with absolutely no code. Learn how to build a website using beaver builder, Gutenberg, or both. [00:01:23] [00:01:23]And that's not all visit creator courses.com/matt and save 20% off Joe's other courses on PHP, full site editing in my two favorites. Podcasting in automation. I think learning the automation stuff is well worth the ticket in my eyes. Go to creator courses.com/matt. Right now. Seriously, stop the podcast and use code mat at checkout to save 20% off that's creator courses.com/matt and use code mat to save 20% off today. [00:01:52]I appreciate a good side hustle story. Someone's slogging away in the cubicle, but slowly building up an audience on Twitter on the weekends. I'm sure you know, all about the building open movement and today's guest really shocked me with that. See maybe like you I've listened to Dave Rohde and bond his podcast with my boss, Craig rogue startups for years now. [00:02:12] But what really got me in today's story is that he was never really even part time into his business. recapture.io. In fact, the way he put it, he was only devoting 10% of his energy into the business. While being contracted at a corporate gig, he recently had the chance to exit from there's a lot of fun stuff in today's episode, covering everything from managing and day job to which marketing skills you need as a developer. [00:02:38] To kickstart your business. I hope you really enjoy it. You're listening to the Matt report, a podcast for the resilient digital business builder. Subscribe to the newsletter@mattreport.com slash subscribe and follow the podcast on apple, Spotify, or wherever you listen to your favorite podcasts. Better yet. [00:02:54] Please share this episode. On your social media. We'd love more listeners around here. And side note, [00:03:00] I had to rerecord with Dave after some Zen caster snafoos so we're picking up from our conversation a little bit, warmed up. Okay. I hope you enjoy. [00:03:09] Matt: [00:03:09] One of the things that I caught you at a great time last time because you were only, I think like two weeks a free man on your own you get out of that sort of day job slash consultancy that you were in. I had you at an interesting moment where you were like, everything's coming at me. This is exciting. [00:03:28]I, I'm kind of like looking to go to the next chapter of, of running recapture. Is that feeling still here or now that we're like a month into it, things have settled, like, oh my God, you [00:03:39] Dave: [00:03:39] know, it's kind of funny. It hasn't really, I have not felt that euphoria lift yet. I imagine at some point it probably will. [00:03:48]No, th this is, this is definitely the honeymoon phase, right. And at some point the honeymoon phase will always go. But I still feel it. In fact, I was just having breakfast with my wife this morning. We were sitting outside and, I noted her. I said, Hey, it's been, almost two months since I left the freelance job. [00:04:03] And she went, I know. And I was like, and it's still great. So, I still, I still get up in the morning and we go do our walk and I come back and I have breakfast and coffee and I'm like, I get to spend my day on whatever the hell I want to today, which is of course recapturing my business, but there's something still very energizing about that. [00:04:27] Like, it's all, it's my own experience. I'm not really beholden to anybody other than the customers. I don't have to do. Stupid bullshit meetings and phone calls and status reports and just all of that stuff that I had to deal with in the corporate world. It's just all gone like that lift that sh that weight has still lifted off my shoulders. [00:04:47] And I am just as happy then as I am. One [00:04:51] Matt: [00:04:51] of the things I think you hide really well. And I don't know if this was intentional or I maybe just never even saw it because I've always been just looking at what you were doing with the recapture. You've been on the show, my podcast, before you have the podcast with Craig, who's a happens to be my boss. [00:05:07] I never knew how much. And then we had our discussion more in depth. I never knew how much that freelance gig. Was sort of like weighing you down or how much it consumed when you and I chatted. I think you, throughout the, the ratio of like, it was 90% day job in 10% recapture, and that was kind of mind blowing, like how you manage that, how did you manage like so much of recapture with only 10% of energy. [00:05:37] Dave: [00:05:37] That's an excellent question. And some days I'm amazed that things were able to progress along as well as they had because of that exact issue. And in fact, that was one of the main things I think that sort of drove me into this direction, like recapture could be doing so much better and here I am barely giving it enough oxygen to survive. [00:06:00] [00:05:59] Why, why can't I do more? So, but it wasn't always this way. The freelance thing, it was probably at one point it was like 40% freelance and 60% everything else. But at the time that 60% was a good chunk of the WordPress plugins. I had that I sold last year and recapture, that was the directory, a business directory plugin that was business directory and AWP PCP. [00:06:25] So. Those were things that all consumed my time. And I think when you said, hiding, I think that's an excellent observation because I. I definitely compartmentalize when it comes to things like here's this chunk of my business, here's this other chunk, here's this other chunk. And, I could operate in each of those worlds fairly separately without letting them bleed into each other. [00:06:52] But there came a point when the freelancing just was such a mentally taxing thing to deal with. I had. Just all kinds of toxic stuff going on in the corporate culture that I was there and the project that I was working on and the direction that it was all going. And it just, at some point I was like, this is too much. [00:07:12] I can't deal with this anymore. I can't keep it in the box. It's bleeding out into everything else. So usually when I got onto podcasts, like the Matt. It would give me an opportunity to express the enthusiasm for that box that I didn't get to really express any other way. So, it was like my brief window into positive energy venting, if you will. [00:07:34] And then it was back to the slog of the corporate world and yeah. So [00:07:39] Matt: [00:07:39] that's tough. How much of the success of recaptured thus far? Is because you chose, these are my words. These are not your words. So obviously I hope for you to color in the lines here, but how much of the success of recapture is the market and the product that you chose. [00:07:58] And I'll preface that with saying is like abandoned cart problems are or solutions. I should say. There's a lot of them. I feel like it's a big space, which is. Some people might look from the sidelines going, God, I don't want to get into that space. There's so much competition, but I feel like maybe in your case, it is, and was a good thing. [00:08:19]If you look at I think cart hook probably was where you were at and then just matured into a much larger product and solution, I think right on the heels of. Recording that we had Jilt shut down, which was a sort of like another, I guess, benefit to you. How much of the success do you think has, has leaned on, Hey, I picked the right product and the right market, because sometimes I think that could be something that kind of goes under the radar. [00:08:44] That a lot of people aren't aware of. [00:08:47] Dave: [00:08:47] Well, I talked about this on other podcasts and I'll mention it here as well. I believe very heavily in the notion of luck, surface area. So just quick definition for [00:09:00] somebody who might not be familiar with this, basically. Everyone in business is going to encounter some level of luck and whether you're prepared for that luck or unprepared for that luck has to do with the surface area that you've created. [00:09:17] So in other words, can I capitalize on this lucky opportunity that comes around at this time because. I've made some kind of preparation for it. I'm ready to accept it. I've got the bandwidth to deal with it. Like all of these things have to kind of line up. I've had opportunities that appeared in my space and I wasn't ready to capitalize them. [00:09:37] So they weren't within my luck surface area, but being, being ready for those opportunities makes a huge difference in whether you're successful or not successful. So, there were definitely lots of. We'll call them lucky moments. We all want to think that entrepreneurship is solely about hard work and hard work is a piece of it. [00:09:57] And you can't succeed without the hard work, but at the same time, every element of luck that you encounter that you can capitalize we'll will level up your business. And the more of those that you can do, the better off you will end up. The same thing is true of Castillo's when Craig and I have talked about this on the podcast. [00:10:15] I Craig, you and Craig have encountered many lucky moments in Castro's getting into tiny seed, him having an opportunity to hire you when you were available. Each of these helps build on all of the previous moments that you've had before. And the same thing is true with recapture. So like for example, When I was able to acquire a recapture back in 2016, that was a lucky moment for me because I happened to have the money to do it. [00:10:41] And I was looking specifically for something that was, e-commerce SAS, recurring revenue. And it was in a space that I understood and it was a space that I could be passionate about. So that is a lucky moment where all of those things that kind of I've been preparing for came together in one shot. [00:10:58] And then after that, like the pandemic was another lucky moment. I know this is not lucky for a lot of people that lost loved ones, but if you were in e-commerce. Everything kind of took off in certain verticals and certain services, right? Capture was one of those services. And because we had been spending a lot of time, integrating with woo commerce, integrating with easy digital downloads, integrating with restrict content pro being on Shopify at that point and optimizing our listing all of these things, when that massive uptick in e-commerce store interest went on. [00:11:33] We were there and able to capitalize on it because we were available to people. We, we had enough interest and awareness in the community that people were able to take us and, and use the service at the time that they needed it the most. So that's another lucky opportunity we were able to capitalize on. [00:11:53] And, it's just building on moments like that again and again and again, in your business. [00:12:00] Entails, like I said, a lot of hard work and you've got to get out there and you've got to do the homework. I had to network with, the, I have a relationship with nexus and liquid web, and I think I was trying to, I was badgering poor Chris lemma for life. [00:12:14] 12 months, no joke. Like every two months, I just like ping out and say, Hey, what's going on? Are you guys ready to integrate this yet? And they were like, yeah, no, not talk to me in a little bit. And I just kept doing that and kept doing that and kept doing that. And eventually it turned out. Initial relationship and then Jilt shut down. [00:12:31] And now it's a bigger relationship cause they were relying on Jill. So again, it's about timing and persistence and hard work. And the more you can make that surface area, big, these lucky events that come flying through your space, you can grab a hold of them and, let it ride your busy. [00:12:49] Matt: [00:12:49] Where do you rank the priority of. [00:12:52]Like developing features versus being. Social and networky and markety in the grand scheme of your luck surface area, like if you were sitting in front of a class of one year WordPress plugin entrepreneurs who are mostly developers, Would you tell them to increase the lung surface area by creating those integrations or, Hey, you got to blog more, you got to outreach more, maybe start a podcast. [00:13:24] Where do you set those priorities to, to increase that luck surface? [00:13:30] Dave: [00:13:30] I would never prioritize features on that list until I had some understanding of what's out there in the space. Like we didn't integrate with WooCommerce and easy digital downloads because I love those two so much. It happens that I do, but that's not why I integrated with them. [00:13:48] I integrated with them because there was a huge market opportunity and doing that. That I can go after those opportunities and it allows me to be in other spaces. So I understood the market well enough to know that those were good plays, but part of what I would say to that, younger group of plugin authors, is that the reason that I knew those things is that I created relationships first. [00:14:14] So I had attended events, like word camps, and PressNomics where I talked with these others. Hosting companies and plugin authors and agencies and all of these other things to understand what are their concerns, who are the people in the space that are the movers and the shakers that I can learn more from that. [00:14:34] If I connect with it's going to, improve my sphere. Of being able to do better things in the world, right? It's not about, me personally, it's about how can I improve my impact on the world and that, you're not going to get that sitting around typing features out on a keyboard. [00:14:50] So those things matter, but they don't matter first. Like you need to get the other things before you can get. The features, because you won't know the right features [00:15:00] to build until you've talked to people, talk to your customers, talk to other people that are going to use your tool. Talk to hosting providers that might find a way to use you to improve the offerings to their customers. [00:15:10] If you can make somebody better with your product, then they're going to be interested in you, but you're not going to know that unless you get out there and talk to other people and find out what the hell they're doing, right. Podcasting is another great way to do that. [00:15:22]Matt: [00:15:22] I forget which episode of. Rogue startups. [00:15:24] It was, but it might've been a more recent one when you were talking about the new SMS functionality of the product. And you'll have to remind me of like what the context was, but you said something like here I am working on something else. And like the SMS stuff is just sitting, waiting to go, or at least that's how I kind of remember it. [00:15:45] And you were, you were like, oh God, if I just, I just got to get out there and launch this, like, what am I doing? Spending all this time in this area when I can just, this features almost kind of ready, let me just launch it. I think that that's. Such a common, well, first of all, am I getting that right? [00:16:00] Am I remembering this, this tug of war you had at one point with releasing that feature and other things you were doing? [00:16:06] Dave: [00:16:06] I think so. So there was a, a combination of forces that were coming in at the time. And we were talking about trying to release SMS first. It was going to be an April, then it was going to be in may and then it was going to be in June. [00:16:16] And it finally got released on July 1st. So I don't have to say that anymore, but thank God. But it. I got distracted by a bunch of other things. And one of the things I think that kills us as entrepreneurs is lacking focus. So you see, and I, I'm as guilty as anybody else. Here's a new shiny object over here. [00:16:34] Ooh, look at that. If we develop that boy, that would really make a move on MRR. Oh wait. But we could be doing this marketing hack right here instead. And all of those things are just constantly coming up in your, your field of view and you've got to, nail it down and say, look, I did this. If I don't shove it out the door now I'm in big trouble. [00:16:54] So, for me, with the SMS stuff, what that came down to was that I was distracted by content marketing. And I spent like a month trying to hire a content marketer. And then the Jilt shutdown came along in June and all of a sudden everything got shuffled. Right. So then it was like, oh, geez well, SMS, isn't going to really move the needle with Jilt customers because Jilt didn't support SMS. [00:17:15] So now what do I need to do to make it. Jilt customers would be better served by recapture. Well, I gotta add marketing emails, broadcast emails. And so we were really close on that one too. So we just bundled it all together. SMS was done. And so we just put these two and said, all right, July 1st is when we're launching. [00:17:32] We finished that up inside of a week in June and then pushed it out the door. But yeah, focus was killing me there and that was totally my bad. [00:17:42]Matt: [00:17:42] Back to, I guess, the, the luck surface area. And you hinted about this before too, is, you have a plan. And we, everyone says good, create a plan, create a calendar, like have these automations in these processes and everything will be running smoothly. [00:17:56] And then suddenly it's like, okay, well maybe this. [00:18:00] Yeah. And it blows up and you're like, oh, maybe new feature. And then like you start building a new feature, then suddenly Jill shuts down and that's just a matte, like now you have to be like, okay, I literally have to drop all this other stuff because this is just now a massive opportunity. [00:18:16] And, and this is not really a question, but more of a statement just to frame it. Like we went through this, we're going through this at and I'm only bringing it up because you talked to Craig every week, but it's like, we're doing all of these things where new products, new features, new things are rolling out new enhancements, and then suddenly it's. [00:18:36] There's an opportunity to buy another company. Well, that's pretty big deal. And like, now we do that. So it's just like, there's that? And then there's right. Craig working in is working his butt off to raise money and he raises money for the company. And then it's just like right back to the feature grindstone have finished the migration. [00:18:59] Now we've got this app that just launched literally yesterday. Yesterday. Yep. Monday. And now there's just like right back to the feature grindstone and you're like, wow. Like things move at a pace. That's it's exciting. But also, man, there's no plan for this. There's no playbook, there's nothing, there's nothing. [00:19:17] Dave: [00:19:17] There's no question. Yeah, no. There's, there's a certain chaotic insanity to the whole entrepreneur journey. And in some ways you can do all the planning you want, but no plan survives first contact with the customer. And in many cases, no plan survives first contact. Random events that happen out in the real world, acquiring companies, getting funding, Jilt shutdowns, all of these things, just things happen. [00:19:47] And the speed at which you can react to something is definitely whether your business lives or dies in these events. And it definitely is also whether the business grows or fails in these times as well. Those that were not able to. Advantage of the dynamic nature of the e-commerce, if they weren't pivoting hard during their vertical, like if you were in the travel vertical during COVID shutdown, people were just pounding on you with a sledgehammer into the ground, like six feet deep. [00:20:16] They didn't stop, but if you were in like like a lounge wear sweat pants, hoodies, things like that, you couldn't keep the stuff inside. Your warehouse long enough to sell it. So, you had to be reactive to the act of circumstances there, or it kills your business and, that's what Craig's doing with Castillo's and that's what I've tried to do with [00:20:36] Matt: [00:20:36] recapture, for sure. [00:20:37] Yeah. I want to go back to talking about partnerships which will eventually segue into word PR into woo commerce versus Shopify. But before we get to that flaming ball of chaos, Navigating partnerships in WordPress. I'm interested to hear just your opinion on it. Sometimes. I think, especially for somebody like you with a product that could [00:21:00] really latch onto a hosting company, those are very tricky waters to now. [00:21:04]I know I used to work at Pagely and it was just like, man, like people wouldn't even say WP engine around me. Like it wasn't like, [00:21:13] Dave: [00:21:13] like we don't talk about that. No. Yeah. [00:21:16] Matt: [00:21:16] It wasn't on any of those podcasts where there were other web hosts. Like, it is a very, I feel like in the hosting world, maybe it's getting a little bit better that it was like, you gotta be in a camp and that's the camp you're in and there's isolation there. [00:21:28]Any thoughts around navigating. And also just like critical feedback on products and services in the WordPress space. I feel like doesn't exist in the normal zeitgeists like, I'm looking at my Sony camera right now. And like, if you went online to YouTube and you looked at, or a forum and you went to Sony versus Panasonic and there would be like great debate. [00:21:54] Like critical. Like, but every, at the end of the day, everybody's fine about the two companies. But I feel like in the WordPress space, you don't get that like damn EDD for doing this. And this is why I'm woo commerce. I don't have the right phrase for it, but I feel like that partnership slash criticism in the WordPress space doesn't exist. [00:22:14] Maybe. We're all too friendly with each other. Can I say that like, we're all friendly? I dunno, it's just a weird thing. Like I feel like if you walk down the hall. And talked about your favorite brand of anything else. There could be clear debate, clear, concise, love it, hate it. I could go without it, but in the WordPress space that doesn't exist. [00:22:33] Am I making sense with that? Like, do you feel that thing in the air, like I do. I, I [00:22:37] Dave: [00:22:37] totally hear what you're saying on that one and I know exactly what you mean. Yeah, there's, there's definitely this weird space where it seems like. You can talk about one hosting company, but you can never say hosting company a versus B, right. [00:22:50] Or if you do like that discussion gets shut down real fast. And I don't think it's a conscious thing, but I've seen it on chats. And just over the years on blog posts, like it's very rare that somebody sits down and truly compares one to the other. Head to head and say, look, if you really like these things, this hosting company makes a lot of sense. [00:23:11] And if you like these things, then this other hosting company is a better fit for you. But yeah. So, you were talking about navigating partnerships. I think it's kind of the same thing. Like as soon as you declare allegiance to one. It's almost like the others kind of look at you with a little side eye and with a little bit of stink-eye on top of it. [00:23:32] And they're like, well, you've already got them in your camp, so we can't be in your camp at the same time. I think that goes to the detriment of all WordPress users. Like there's nothing that says you can't be friendly and competitive in the same thing. And I think when you say that they're overly friendly, I wouldn't characterize it like that. [00:23:55] I would characterize it. Yeah. Unwilling to criticize in general, it's something about the [00:24:00] community. I don't know what it is. If they are looking not to drum up drama and they feel like that's going to create unnecessary drama or unhelpful drama, it probably could. I definitely could see that that could get into some real nasty debates that just degenerate into ad hominem attacks. [00:24:16] And, you suck because you picked oh, well, okay. Yeah. Back off, man. That's it. That's that's not necessary. So yeah, I don't know. I've, I've felt that and it's weird, but the partnership thing. [00:24:31] Matt: [00:24:31] Because it's farther back now. Like, I'll say, well, you can do, you can define it. Is it a, is it a partnership with nexus? [00:24:38] And if so, like, do you feel like one, maybe you can't because you've signed something or two, like, do you feel like, ah, man, it's gonna be a little bit harder for me to knock on the door, WP engine to do this because they see me over here with nexus and Chris. So like that kind of friction that you think that holds you back. [00:24:55] Dave: [00:24:55] It doesn't hold me back. Let me say that. Okay. To sign because like the stuff that I set up with nexus, it wasn't exclusive anyway. And it was very friendly. Like, look, I've got this thing, your customers can use this thing. You got this offering and it makes it more valuable to your customers. If we say we put this on your dashboard here, like, it was very much like how can we make this a win-win thing and like help. [00:25:15] I will be happy to help create content to make your customers more successful. Like at the end of the day, That story should play well with any hosting company, right? If I can give you something that helps your customers be more successful and you help me bring more customers, and we're both winning in this relationship, it shouldn't matter how many people I've set that deal up with because your customer success should be the foremost thing at the top of your mind. [00:25:42] But, I don't know from if I have this deal going on with nexus, does that make me. A bit of a hot potato with WP engine. I don't really know. I noticed that before I had any deal in place of any hosting company at all, like just getting to the right person who was interested in what I had to say, and that saw the value of it. [00:26:02] Was kind of a non-trivial thing to navigate, especially when, folks are coming and going and coming and going. Even if you have the right contacts at these companies and the network relationships I've made gives me some ins to most of these hosting companies where I can say, Hey, I want to talk to so-and-so. [00:26:20] It still doesn't necessarily mean that that company is interested in your offering or that they're thinking about things the same way that you are. So. It kind of is another thing where it has to all line up. They've got to be thinking about this the same way that you're thinking about this. And that's where I've met. [00:26:39] The most resistance, I think is that, I say, Hey, are you thinking about a managed WooCommerce hosting? And I'm like, okay, well, we're, we're already missing this each other here. And I don't, maybe it's going to be a better fit in a year or two years or something like that. [00:26:53] So with nexus, they were very much like, yep. We've got that. Yep. We want this. All right. Let's make it all happen. [00:27:00] With a little bit of persistence. It's so. [00:27:02] Matt: [00:27:02] It almost, and really almost makes you appreciate like a bigger business. Right. You kind of have an appreciation for it. And, and again, I'll frame that is when you look at somebody like Austin, like SIADH from awesome motive. [00:27:16] Right. And you see. Well, the, the sheer size, the competency of business and you have a relationship there because that's where you sold the plugins to. Right? So you kind of see there's a trust there. And then you can kind of make sense, because if you're just solo developer, Dave knocking on the door of, big web hosting conglomerate. [00:27:38]They're going to look at you and be like, well, man, we can't, this is way too much of a risk to just take your software, slapping it in front of 30,000 customers potentially. And we are just going to trust you. You start to kind of appreciate, okay. The bigger businesses can kind of win. There's more sustainability, there's better trust. [00:27:56]There's just more invested in the whole thing. And as a small business owner, like you kind of get it once you start going through the throws of, of navigating those, I dunno, corporate waters, enterprise waters whatever you want to call it. Kind of appreciate a little bit more, at least I do anyway. [00:28:10] Yeah, [00:28:11] Dave: [00:28:11] no, I would agree with that. And it's interesting. These larger companies. Because they're so big, like, it's the difference between moving like a cheetah and moving like an elephant. You're the small start-ups. So you can navigate pretty quickly make the fast sprints and turn quickly. They're kind of plotting along in a very straight direction and they're not going to change their direction very quickly. [00:28:34] So it takes them awhile to get going in a direction. And then once they're going in that direction, it takes them a while to change directions. And the bigger the company gets, the bigger the elephant gets, right? Yeah. So by bringing in small companies, I think a lot of them want to increase their agility in that sense. [00:28:53] But of course, there's that whole trust aspect. Like we know you're smaller than us, but are you big enough that you can handle what we hand the hand over to you? And if that trust isn't there, then yeah. That's, that's all gone. So again, this is part of the networking aspect. If you can have that relationship with another person and that they get to know your business and they're like, oh yeah, you've been around for awhile. [00:29:13] Oh, look, you've got some customers. Oh, look, you served a lot of customers. Oh, you've done a pretty decent volume. Hey, maybe you not, might not be a fly by night. Business and we might be able to trust you like that. Trust isn't something that just happens overnight. Right? You got to build it slowly over years. [00:29:28] Matt: [00:29:28] Yeah. Shopify versus a woo commerce when we chatted. Yeah. Forget [00:29:33] Dave: [00:29:33] it. We're done. Now. I have a lot to say about this. Go ahead. [00:29:37] Matt: [00:29:37] We chatted last time. I think one of the things now, look, I have only set up a handful of Shopify. Generally out of just helping some friends and some local entrepreneurs in my area do it. [00:29:47]I think one of the things I'll try to make this a quick question. Like one of the things I really appreciate from Shopify is. On the outside anyway, like their partnership program looks more mature. Like the way they work with [00:30:00] agencies looks more mature. And generally, I feel like they're willing to work with the freelancers of the world versus. [00:30:07] WordPress and WooCommerce is kind of just like, see you later. Bye. Like, we'll see it at the end of the road, by the way, we'll sell $5,000 websites@wordpress.com. Right. And to me, that's like, man, like I look at it Shopify and I'm like, yeah woo commerce, WordPress should have something like this. But I guess at the end of the day, it's not all roses and rainbows from the outside because Shopify is going to. [00:30:35] I guess watch like a watchful eye of, what you're doing as an, as an app, as an integrator, as an agency. And if they see something that's super profitable, I guess they could just go. Yeah, we'll just do that. We'll just do that in house and just demolish your app, I guess in the matter of seconds is what they could do. [00:30:52] So again, sharp road to navigate. I like it from the outset. Like it's an opportunity for a freelancer or a small agency to get more work. But curious on your thoughts on partnership program in generally working with a Shopify versus a WooCommerce. [00:31:09] Dave: [00:31:09] Yeah. So you wanted a short answer, right? Well, I [00:31:14] Matt: [00:31:14] was, I was trying to make a short question, [00:31:16] Dave: [00:31:16] which is okay, so I can have a long answer. [00:31:18] Yeah, yeah, yeah. So. Let me talk about the platforms first in general. So I think when you're picking Shopify versus woo, there's a lot of things that go into that decision in general, that should make you, focus on what are the strengths of each of those platforms. So with Shopify very easy to get started, low tech threshold, to understand there's lots of stuff that you can do without being a full stack developer. [00:31:47] Integrate apps and just basically get a store up and running. So if you aren't sure, like you're doing it drop shipping or it's a new product and you're trying to find product market fit or product audience bit or whatever it is. I think Shopify gets you up and running quicker to something that's pretty polished that comes at a y'all are costs. [00:32:10] So, the hosting that Shopify, the apps that you're adding on and all of that, but. That can be managed and I think it's simplifies things and gets you going pretty well to where you want be. With that said, once you reach a certain point and you're like, now I want my store to do this. And I want my checkout to have this in it. [00:32:32] And I want to use these payment methods, but not these other ones. And I also want this post purchase, checkout flow to be going on. And I want these kind of abandoned cart emails, and I want this, and I want that like for somebody who knows exactly what they want, Shopify can be incredibly expensive and very frustrating because it has been traditionally difficult to cut it. [00:32:53] So, this is where Woo's strength comes to play. In my opinion, is that, if you're on the right hosting provider [00:33:00] and you have a good agency that you can work with, that knows what they're doing with Boone. These are out there. You can do a nice build and you can customize the hell out of it. [00:33:08] Yeah. And get exactly what you want. And if you've got a good developer on Wu, you can make it run as fast or faster than a Shopify store. So performance, isn't an issue necessarily if you've done the right things and you've done your homework. And, there are plenty of smart wound stores that do that. [00:33:25] The downside to that, of course is complexity. And you got to have a higher threshold of technical knowledge either for yourself or a team to put that together. And, you've got to find the right agencies and the right developers. And if you're talking about the energy and the Wu space and the energy. [00:33:43] Shopify space. They're pretty different. And there's a lot of energy in Shopify and it's hard to ignore that and there's energy and Wu too, but to like sort out the wheat from the chaff is a little more challenging because those really good Wu developers aren't necessarily out there trumpeting themselves, talking about how great their agency is. [00:34:04] I can tell you the top five shops. Development agencies right off the top of my head because of what I see on Twitter, because of what I see in their blogs and just general social media activity, I would have a harder time doing that for woo commerce based on those factors. I know a few of them, but they're harder to pick out. [00:34:21] Matt: [00:34:21] Right. So do you think that's because Shopify helps prop those agencies up to part of their marketing and sales? [00:34:28] Dave: [00:34:28] Yes. So WooCommerce as a platform, doesn't do enough for partners and agencies, not the way that Shopify does, like here at Shopify at unite announced that they were abolishing the 20% at a revenue share on all of their partner apps up to your first million dollars a year. [00:34:49] So basically it's like everybody on the platform got a 25% raise, including recapture, which I was thrilled about. WooCommerce. If you want to go to their store, there was this discussion in post status that I was contributing to. If you are exclusive to the woo commerce store, 40% revenue share. If you're non-exclusive it's 60%. [00:35:09]I understand why WooCommerce didn't want. To just let every person possible onto the platform and turn it into the repo, like the repo turned out to, it's kind of a, we'll call it a mixed bag. I think that's the, the most politically correct way I could say it. Yeah. There's a lot of garbage out there and there's a lot of good stuff and it does take some time to sort through it and figure out, I think they were trying to curate the woo commerce store experience to be a little higher quality than that. [00:35:41] But I think they went about it wrong. And it's [00:35:43] Matt: [00:35:43] been it's 60% to automatic [00:35:45] Dave: [00:35:45] or 60, 60% to automatic. Yes. Wow. Which is, like, come on really. You're taking more than half of my business. How am I supposed to be profitable at that point? It's not this isn't a charity to you. So these numbers are just [00:36:00] wrong in my, like, they don't encourage [00:36:02] Matt: [00:36:02] catches a lot of flack for 30%, right? [00:36:05]Dave: [00:36:05] Come on, apple, apple at 30 bucks percent is considered untenable and you all at WooCommerce that are doing 40 and 60%. Come on, give me a break. That's why my plugins are never going to be on the WooCommerce repository. I know I'm not alone in this. So, there are some plugins that are there, but guess what? [00:36:23] They're all free. 40% of zero is still zero. So you're good. They're, they're asking for me to share my revenue 60% a month. You just killed my profitability to the point where I can't run my business anymore. So it's that sort of mentality. That I think is hurting the Wu commerce ecosystem. Like there isn't an agency support program. [00:36:44] There isn't a big conference every year. That has the energy of Shopify unite. There isn't a partner program that really nurtures everybody along. Like with Shopify partners. Like you sign up, you're getting an email a day for like 30 days telling you here's some partner tips. Here's this development thing. [00:37:01] Here's this resource. Here's this? Here's this here's this guess how many times we got from WooCommerce? Zero. Yeah. Yeah. I, it they're very different ecosystems and I think it's to the detriment of WooCommerce, that they are not putting more energy into that, that piece of it, because that is a big part of why Shopify has been successful. [00:37:23] Matt: [00:37:23] Yeah. I agree a hundred percent. And again, I have very little experience from the Shopify side. I just know from what I don't receive from support from WordPress and seeing what everything else is happening. And I guess look at when you. Zoom out and take a look at the sheer size of WordPress compared to Shopify just I'm talking like installed platform based like that kind of thing. [00:37:46] Yeah. The, the, the play for WordPress and automatic is when it comes to open source. How are you going to monetize it? It has to be done through like that trust factor. So it's open source. It's super flexible. It's the same message. Automatic and you and I can go out and tell a customer and they'll just win by having the most trusted plugin, a jet pack or a premium ad-ons from woocommerce.com or something like that. [00:38:17] And they'll win. On that trust level where Shopify, you're just going to go there and spend money. Like you're choosing that platform. So you're you, you've made the decision to go there and they're telling you, the whole platform is trusted with WordPress it's. Hey, it's great. It's open source. Do whatever you want. [00:38:34]But by the way, Jetpack is the most trusted way to secure and manage your site. And that also comes with whatever WooCommerce add ons that you buy for those bundles that they have for like 2 99, 3 99 or whatever. And their argument will be you trust it because it comes from ashore. You can go get Dave's go ahead and get Dave's. [00:38:53] But you know, you're going to trust us better because we're the, the company behind it kind of thing. So I can't fault them [00:39:00] for it. It's just, one of those things. So many people have pushed towards jet pack or excuse me, to WooCommerce and WordPress because they love the software and there's no, there's that love doesn't come back to us. [00:39:15] What are we going to do? [00:39:16] Dave: [00:39:16] Nothing we can do. There's nothing we can do, unfortunately. And the other thing. I, I don't like, is that w well, so to contrast this, let me say, oh, Shopify does this. So Shopify does do acquisitions on things, but not like, not at the same level that I've seen automatic do it, where they pull in things like mail poet, right. [00:39:35] Or there pull all this stuff in and turn it into Jetpack. Like Shopify is not doing that. They build stuff and they'll build it to a level like, there was a year, I think it was like the first unite I went to and it was me. Two years after I'd acquired recapture and they released the abandoned cart emails. [00:39:52] And those that knew me at the conference were like, so how do you feel about abandoned cart emails on Shopify now is like, I feel okay about it because they're just, they're 60% solution and I'm a hundred percent solution. And I can tell you like all the shortcomings, it's great for people getting started out and it gives you those tools to get going and get your store off the ground. [00:40:14] It's never serious enough to like take you to the next level. So it'll get you to like the 5,000 a month rate. But after that, it's going to break down pretty quickly. Cause you're just not doing as good of a job as you could be with other apps that are more professional. And I've seen this a little bit in big commerce, too, where they build in these features and then know they're okay, but they're not great. [00:40:35] And you build your store up to a certain level and then you get these other things and you use them instead. I don't see that with WooCommerce. They're trying to pull in everything and say, okay, we're going to be really good at email. We've got mail poet now, but are you really the best at email? Because you got all these other things you're doing too. [00:40:54] And you've got this team, that's doing mail poet, and I don't want them to fault the male poet folks. They're a great plugin and they do a lot. It's just, your priorities are going to be driven by the platform, not the customers that are using it. So. Is that going to make it the best it could possibly be and truly drive be driven by the needs of the customers on the platform, as opposed to the benevolent dictator for [00:41:18] Matt: [00:41:18] life. [00:41:19] Yeah. What's next from, is there a next platform play for you to integrate with? I think I was looking at another W3C techs report the other day and it for specifically for, e-commerce and. I would have to go back and dig this report out. Maybe, I saw woo commerce and in the Squarespace, e-commerce almost like neck and neck. [00:41:41] Is that true? Is there square? I was like, suddenly like what Squarespace e-commerce is this big and even realize it is that like an area you're going into or another platform? That's interesting. [00:41:50]Dave: [00:41:50] We've, I've taken a quick look at Wix and Weebly and Squarespace, all kind of in the same breath. [00:41:57]There is definitely a. [00:42:00] We'll call it an economic shift on this platform where it is. It is aiming for a tier of store that doesn't want to pay as much as you get in Shopify, or you want to get in Wu. And it's difficult for me to convince a customer who's paying $4 a month for their e-commerce website to pay 29 for mine. [00:42:23] And I know this because of how the pricing worked in Shopify, like the base level in Shopify as 29. And the fact that I aligned with that. It makes it easier for me to sell my product because they've already made that mental commitment for 29. They're getting another 29. Isn't that bad. But when you're at four and you jumped to 29, that's too big and that's not a, that's not a battle I want to fight. [00:42:45] That's not a set of customers that I think are easy to deal with in that regard. So, I've looked at other platforms where we can head up markets. So our other e-commerce spaces. So things like Salesforce, cloud commerce. Things like that, but it's a little trickier to get into that because you kind of need to know some stores to have the testability. [00:43:09] Cause it's not like you're just downloading this, installing it and testing it out. You kind of have to work in tandem with somebody else. So, I I've got some plans. We're kind of cooking that up right now. I don't see, I'm keeping an eye on Squarespace and Wix and Weebly. And if they start moving up market. [00:43:25] Mid tiers, which is quite possible. They could, then it would make a lot of sense to integrate because there's going to be a large customer base there, but right now it doesn't look economically viable. Yeah, yeah. [00:43:37] Matt: [00:43:37] Yeah. That makes, that makes total sense. I guess that's probably why I was so shocked at the footprint of the Squarespace. [00:43:42] Cause I was like, yeah, it makes sense. Because then you're like, well, what are these people selling? They're really seriously. Probably something like photo prints, and a couple of handmade things. That's probably about it, certainly not an apparel line or kayaks, which you'll probably find on Shopify, right? [00:44:00] People who are manufacturing, things, stuff like that. Very cool. Dave wrote ball, recapture.io. Congrats on being a free man than the last time I talked to you running the business day to day. Where else can folks find you? What else can they look forward to from. [00:44:15] Dave: [00:44:15] Well, we just did our big release the 1st of July for SMS card abandonment and order notifications on recapture. [00:44:23] So if you've been itching to try that out or see what that's like, come to recapture.io and check that out. We also have broadcast emails out after Jill announced their shutdown, we had to make sure that was working to be able to seamlessly migrate folks over. So if you're. A former Jilt customer and you're looking for a place to land. [00:44:41] We'd love to talk to you at recapture and see if we can make things work for you. If somebody is looking to get a hold of me, you can find me on Twitter at Dave. [00:44:51] Matt: [00:44:51] I heard you're actually making phone calls too. Right? You're calling people up, doing it the old fashioned way [00:45:00] [00:45:00] Dave: [00:45:00] because your cell phone fashioned way, I would like, knock on their doors and press the flashes as it were, but that's not happening. [00:45:08] Matt: [00:45:08] Everyone else. Matt report.com maryport.com/subscribe. Join the mailing list. Don't forget to tune in to your weekly dose of five minute WordPress news every week@thewpminute.com. Thanks for listening. We'll see you. In the next episode. ★ Support this podcast ★
Matt Report - A WordPress podcast for digital business owners
I appreciate a good side hustle story. Someone slogging away in the cubical but slowly building up an audience on Twitter on the weekends. I’m sure you know all about the “build in open” movement, and today’s guest really shocked me with that. See, maybe like you, I’ve listened to Dave Rodenbaugh on his podcast (with my boss Craig) Rogue Startups, for years now. But what really got me in today’s story, is that he was never really even “part-time” into his business Recapture.io. In fact, the way he put it, he was only devoting 10% of his energy into the business while being contracted at a corporate gig he recently had the chance to exit from. There’s lots of fun stuff in today’s episode covering everything from managing a day job to which marketing skills you need as a developer to kickstart your business. I hope you really enjoy it. Transcription Recapture – Dave and Matt – Matt Report [00:00:00] This episode is brought to you by paid memberships pro well, actually it’s their other product. Site-wide sales at site-wide sales.com. It’s a complete black Friday cyber Monday and flash sales tool for WooCommerce or paid memberships pro. Before, you know it, the deal day holidays will be fast upon us. And you want to prepare your WooCommerce or paid memberships pro website. [00:00:20] With the site-wide sales plugin, use it to make custom sale banners, targeted landing pages or apply discounts automatically in the cart. Use it to track the performance of all of these promotional features using the reporting feature, which will paint the picture of your black Friday and holiday shopping sales. I use it to help make your woo commerce or paid memberships pro store more money. [00:00:43] Get the first 30 days for free. And then it’s an easy $49 a year. Check out site-wide sales.com. That’s site-wide sales.com to make more money. This holiday sale season. [00:00:56]Let me tell you about creator courses.com/matt and how you can save 20% off using code mat to grab a hold of the great courses instructed by none other than Joe Casabona. So, what can you get from creator courses.com/matt. Courses to help business owners create stuff with absolutely no code. Learn how to build a website using beaver builder, Gutenberg, or both. [00:01:23] [00:01:23]And that’s not all visit creator courses.com/matt and save 20% off Joe’s other courses on PHP, full site editing in my two favorites. Podcasting in automation. I think learning the automation stuff is well worth the ticket in my eyes. Go to creator courses.com/matt. Right now. Seriously, stop the podcast and use code mat at checkout to save 20% off that’s creator courses.com/matt and use code mat to save 20% off today. [00:01:52]I appreciate a good side hustle story. Someone’s slogging away in the cubicle, but slowly building up an audience on Twitter on the weekends. I’m sure you know, all about the building open movement and today’s guest really shocked me with that. See maybe like you I’ve listened to Dave Rohde and bond his podcast with my boss, Craig rogue startups for years now. [00:02:12] But what really got me in today’s story is that he was never really even part time into his business. recapture.io. In fact, the way he put it, he was only devoting 10% of his energy into the business. While being contracted at a corporate gig, he recently had the chance to exit from there’s a lot of fun stuff in today’s episode, covering everything from managing and day job to which marketing skills you need as a developer. [00:02:38] To kickstart your business. I hope you really enjoy it. You’re listening to the Matt report, a podcast for the resilient digital business builder. Subscribe to the newsletter@mattreport.com slash subscribe and follow the podcast on apple, Spotify, or wherever you listen to your favorite podcasts. Better yet. [00:02:54] Please share this episode. On your social media. We’d love more listeners around here. And side note, [00:03:00] I had to rerecord with Dave after some Zen caster snafoos so we’re picking up from our conversation a little bit, warmed up. Okay. I hope you enjoy. [00:03:09] Matt: [00:03:09] One of the things that I caught you at a great time last time because you were only, I think like two weeks a free man on your own you get out of that sort of day job slash consultancy that you were in. I had you at an interesting moment where you were like, everything’s coming at me. This is exciting. [00:03:28]I, I’m kind of like looking to go to the next chapter of, of running recapture. Is that feeling still here or now that we’re like a month into it, things have settled, like, oh my God, you [00:03:39] Dave: [00:03:39] know, it’s kind of funny. It hasn’t really, I have not felt that euphoria lift yet. I imagine at some point it probably will. [00:03:48]No, th this is, this is definitely the honeymoon phase, right. And at some point the honeymoon phase will always go. But I still feel it. In fact, I was just having breakfast with my wife this morning. We were sitting outside and, I noted her. I said, Hey, it’s been, almost two months since I left the freelance job. [00:04:03] And she went, I know. And I was like, and it’s still great. So, I still, I still get up in the morning and we go do our walk and I come back and I have breakfast and coffee and I’m like, I get to spend my day on whatever the hell I want to today, which is of course recapturing my business, but there’s something still very energizing about that. [00:04:27] Like, it’s all, it’s my own experience. I’m not really beholden to anybody other than the customers. I don’t have to do. Stupid bullshit meetings and phone calls and status reports and just all of that stuff that I had to deal with in the corporate world. It’s just all gone like that lift that sh that weight has still lifted off my shoulders. [00:04:47] And I am just as happy then as I am. One [00:04:51] Matt: [00:04:51] of the things I think you hide really well. And I don’t know if this was intentional or I maybe just never even saw it because I’ve always been just looking at what you were doing with the recapture. You’ve been on the show, my podcast, before you have the podcast with Craig, who’s a happens to be my boss. [00:05:07] I never knew how much. And then we had our discussion more in depth. I never knew how much that freelance gig. Was sort of like weighing you down or how much it consumed when you and I chatted. I think you, throughout the, the ratio of like, it was 90% day job in 10% recapture, and that was kind of mind blowing, like how you manage that, how did you manage like so much of recapture with only 10% of energy. [00:05:37] Dave: [00:05:37] That’s an excellent question. And some days I’m amazed that things were able to progress along as well as they had because of that exact issue. And in fact, that was one of the main things I think that sort of drove me into this direction, like recapture could be doing so much better and here I am barely giving it enough oxygen to survive. [00:06:00] [00:05:59] Why, why can’t I do more? So, but it wasn’t always this way. The freelance thing, it was probably at one point it was like 40% freelance and 60% everything else. But at the time that 60% was a good chunk of the WordPress plugins. I had that I sold last year and recapture, that was the directory, a business directory plugin that was business directory and AWP PCP. [00:06:25] So. Those were things that all consumed my time. And I think when you said, hiding, I think that’s an excellent observation because I. I definitely compartmentalize when it comes to things like here’s this chunk of my business, here’s this other chunk, here’s this other chunk. And, I could operate in each of those worlds fairly separately without letting them bleed into each other. [00:06:52] But there came a point when the freelancing just was such a mentally taxing thing to deal with. I had. Just all kinds of toxic stuff going on in the corporate culture that I was there and the project that I was working on and the direction that it was all going. And it just, at some point I was like, this is too much. [00:07:12] I can’t deal with this anymore. I can’t keep it in the box. It’s bleeding out into everything else. So usually when I got onto podcasts, like the Matt. It would give me an opportunity to express the enthusiasm for that box that I didn’t get to really express any other way. So, it was like my brief window into positive energy venting, if you will. [00:07:34] And then it was back to the slog of the corporate world and yeah. So [00:07:39] Matt: [00:07:39] that’s tough. How much of the success of recaptured thus far? Is because you chose, these are my words. These are not your words. So obviously I hope for you to color in the lines here, but how much of the success of recapture is the market and the product that you chose. [00:07:58] And I’ll preface that with saying is like abandoned cart problems are or solutions. I should say. There’s a lot of them. I feel like it’s a big space, which is. Some people might look from the sidelines going, God, I don’t want to get into that space. There’s so much competition, but I feel like maybe in your case, it is, and was a good thing. [00:08:19]If you look at I think cart hook probably was where you were at and then just matured into a much larger product and solution, I think right on the heels of. Recording that we had Jilt shut down, which was a sort of like another, I guess, benefit to you. How much of the success do you think has, has leaned on, Hey, I picked the right product and the right market, because sometimes I think that could be something that kind of goes under the radar. [00:08:44] That a lot of people aren’t aware of. [00:08:47] Dave: [00:08:47] Well, I talked about this on other podcasts and I’ll mention it here as well. I believe very heavily in the notion of luck, surface area. So just quick definition for [00:09:00] somebody who might not be familiar with this, basically. Everyone in business is going to encounter some level of luck and whether you’re prepared for that luck or unprepared for that luck has to do with the surface area that you’ve created. [00:09:17] So in other words, can I capitalize on this lucky opportunity that comes around at this time because. I’ve made some kind of preparation for it. I’m ready to accept it. I’ve got the bandwidth to deal with it. Like all of these things have to kind of line up. I’ve had opportunities that appeared in my space and I wasn’t ready to capitalize them. [00:09:37] So they weren’t within my luck surface area, but being, being ready for those opportunities makes a huge difference in whether you’re successful or not successful. So, there were definitely lots of. We’ll call them lucky moments. We all want to think that entrepreneurship is solely about hard work and hard work is a piece of it. [00:09:57] And you can’t succeed without the hard work, but at the same time, every element of luck that you encounter that you can capitalize we’ll will level up your business. And the more of those that you can do, the better off you will end up. The same thing is true of Castillo’s when Craig and I have talked about this on the podcast. [00:10:15] I Craig, you and Craig have encountered many lucky moments in Castro’s getting into tiny seed, him having an opportunity to hire you when you were available. Each of these helps build on all of the previous moments that you’ve had before. And the same thing is true with recapture. So like for example, When I was able to acquire a recapture back in 2016, that was a lucky moment for me because I happened to have the money to do it. [00:10:41] And I was looking specifically for something that was, e-commerce SAS, recurring revenue. And it was in a space that I understood and it was a space that I could be passionate about. So that is a lucky moment where all of those things that kind of I’ve been preparing for came together in one shot. [00:10:58] And then after that, like the pandemic was another lucky moment. I know this is not lucky for a lot of people that lost loved ones, but if you were in e-commerce. Everything kind of took off in certain verticals and certain services, right? Capture was one of those services. And because we had been spending a lot of time, integrating with woo commerce, integrating with easy digital downloads, integrating with restrict content pro being on Shopify at that point and optimizing our listing all of these things, when that massive uptick in e-commerce store interest went on. [00:11:33] We were there and able to capitalize on it because we were available to people. We, we had enough interest and awareness in the community that people were able to take us and, and use the service at the time that they needed it the most. So that’s another lucky opportunity we were able to capitalize on. [00:11:53] And, it’s just building on moments like that again and again and again, in your business. [00:12:00] Entails, like I said, a lot of hard work and you’ve got to get out there and you’ve got to do the homework. I had to network with, the, I have a relationship with nexus and liquid web, and I think I was trying to, I was badgering poor Chris lemma for life. [00:12:14] 12 months, no joke. Like every two months, I just like ping out and say, Hey, what’s going on? Are you guys ready to integrate this yet? And they were like, yeah, no, not talk to me in a little bit. And I just kept doing that and kept doing that and kept doing that. And eventually it turned out. Initial relationship and then Jilt shut down. [00:12:31] And now it’s a bigger relationship cause they were relying on Jill. So again, it’s about timing and persistence and hard work. And the more you can make that surface area, big, these lucky events that come flying through your space, you can grab a hold of them and, let it ride your busy. [00:12:49] Matt: [00:12:49] Where do you rank the priority of. [00:12:52]Like developing features versus being. Social and networky and markety in the grand scheme of your luck surface area, like if you were sitting in front of a class of one year WordPress plugin entrepreneurs who are mostly developers, Would you tell them to increase the lung surface area by creating those integrations or, Hey, you got to blog more, you got to outreach more, maybe start a podcast. [00:13:24] Where do you set those priorities to, to increase that luck surface? [00:13:30] Dave: [00:13:30] I would never prioritize features on that list until I had some understanding of what’s out there in the space. Like we didn’t integrate with WooCommerce and easy digital downloads because I love those two so much. It happens that I do, but that’s not why I integrated with them. [00:13:48] I integrated with them because there was a huge market opportunity and doing that. That I can go after those opportunities and it allows me to be in other spaces. So I understood the market well enough to know that those were good plays, but part of what I would say to that, younger group of plugin authors, is that the reason that I knew those things is that I created relationships first. [00:14:14] So I had attended events, like word camps, and PressNomics where I talked with these others. Hosting companies and plugin authors and agencies and all of these other things to understand what are their concerns, who are the people in the space that are the movers and the shakers that I can learn more from that. [00:14:34] If I connect with it’s going to, improve my sphere. Of being able to do better things in the world, right? It’s not about, me personally, it’s about how can I improve my impact on the world and that, you’re not going to get that sitting around typing features out on a keyboard. [00:14:50] So those things matter, but they don’t matter first. Like you need to get the other things before you can get. The features, because you won’t know the right features [00:15:00] to build until you’ve talked to people, talk to your customers, talk to other people that are going to use your tool. Talk to hosting providers that might find a way to use you to improve the offerings to their customers. [00:15:10] If you can make somebody better with your product, then they’re going to be interested in you, but you’re not going to know that unless you get out there and talk to other people and find out what the hell they’re doing, right. Podcasting is another great way to do that. [00:15:22]Matt: [00:15:22] I forget which episode of. Rogue startups. [00:15:24] It was, but it might’ve been a more recent one when you were talking about the new SMS functionality of the product. And you’ll have to remind me of like what the context was, but you said something like here I am working on something else. And like the SMS stuff is just sitting, waiting to go, or at least that’s how I kind of remember it. [00:15:45] And you were, you were like, oh God, if I just, I just got to get out there and launch this, like, what am I doing? Spending all this time in this area when I can just, this features almost kind of ready, let me just launch it. I think that that’s. Such a common, well, first of all, am I getting that right? [00:16:00] Am I remembering this, this tug of war you had at one point with releasing that feature and other things you were doing? [00:16:06] Dave: [00:16:06] I think so. So there was a, a combination of forces that were coming in at the time. And we were talking about trying to release SMS first. It was going to be an April, then it was going to be in may and then it was going to be in June. [00:16:16] And it finally got released on July 1st. So I don’t have to say that anymore, but thank God. But it. I got distracted by a bunch of other things. And one of the things I think that kills us as entrepreneurs is lacking focus. So you see, and I, I’m as guilty as anybody else. Here’s a new shiny object over here. [00:16:34] Ooh, look at that. If we develop that boy, that would really make a move on MRR. Oh wait. But we could be doing this marketing hack right here instead. And all of those things are just constantly coming up in your, your field of view and you’ve got to, nail it down and say, look, I did this. If I don’t shove it out the door now I’m in big trouble. [00:16:54] So, for me, with the SMS stuff, what that came down to was that I was distracted by content marketing. And I spent like a month trying to hire a content marketer. And then the Jilt shutdown came along in June and all of a sudden everything got shuffled. Right. So then it was like, oh, geez well, SMS, isn’t going to really move the needle with Jilt customers because Jilt didn’t support SMS. [00:17:15] So now what do I need to do to make it. Jilt customers would be better served by recapture. Well, I gotta add marketing emails, broadcast emails. And so we were really close on that one too. So we just bundled it all together. SMS was done. And so we just put these two and said, all right, July 1st is when we’re launching. [00:17:32] We finished that up inside of a week in June and then pushed it out the door. But yeah, focus was killing me there and that was totally my bad. [00:17:42]Matt: [00:17:42] Back to, I guess, the, the luck surface area. And you hinted about this before too, is, you have a plan. And we, everyone says good, create a plan, create a calendar, like have these automations in these processes and everything will be running smoothly. [00:17:56] And then suddenly it’s like, okay, well maybe this. [00:18:00] Yeah. And it blows up and you’re like, oh, maybe new feature. And then like you start building a new feature, then suddenly Jill shuts down and that’s just a matte, like now you have to be like, okay, I literally have to drop all this other stuff because this is just now a massive opportunity. [00:18:16] And, and this is not really a question, but more of a statement just to frame it. Like we went through this, we’re going through this at and I’m only bringing it up because you talked to Craig every week, but it’s like, we’re doing all of these things where new products, new features, new things are rolling out new enhancements, and then suddenly it’s. [00:18:36] There’s an opportunity to buy another company. Well, that’s pretty big deal. And like, now we do that. So it’s just like, there’s that? And then there’s right. Craig working in is working his butt off to raise money and he raises money for the company. And then it’s just like right back to the feature grindstone have finished the migration. [00:18:59] Now we’ve got this app that just launched literally yesterday. Yesterday. Yep. Monday. And now there’s just like right back to the feature grindstone and you’re like, wow. Like things move at a pace. That’s it’s exciting. But also, man, there’s no plan for this. There’s no playbook, there’s nothing, there’s nothing. [00:19:17] Dave: [00:19:17] There’s no question. Yeah, no. There’s, there’s a certain chaotic insanity to the whole entrepreneur journey. And in some ways you can do all the planning you want, but no plan survives first contact with the customer. And in many cases, no plan survives first contact. Random events that happen out in the real world, acquiring companies, getting funding, Jilt shutdowns, all of these things, just things happen. [00:19:47] And the speed at which you can react to something is definitely whether your business lives or dies in these events. And it definitely is also whether the business grows or fails in these times as well. Those that were not able to. Advantage of the dynamic nature of the e-commerce, if they weren’t pivoting hard during their vertical, like if you were in the travel vertical during COVID shutdown, people were just pounding on you with a sledgehammer into the ground, like six feet deep. [00:20:16] They didn’t stop, but if you were in like like a lounge wear sweat pants, hoodies, things like that, you couldn’t keep the stuff inside. Your warehouse long enough to sell it. So, you had to be reactive to the act of circumstances there, or it kills your business and, that’s what Craig’s doing with Castillo’s and that’s what I’ve tried to do with [00:20:36] Matt: [00:20:36] recapture, for sure. [00:20:37] Yeah. I want to go back to talking about partnerships which will eventually segue into word PR into woo commerce versus Shopify. But before we get to that flaming ball of chaos, Navigating partnerships in WordPress. I’m interested to hear just your opinion on it. Sometimes. I think, especially for somebody like you with a product that could [00:21:00] really latch onto a hosting company, those are very tricky waters to now. [00:21:04]I know I used to work at Pagely and it was just like, man, like people wouldn’t even say WP engine around me. Like it wasn’t like, [00:21:13] Dave: [00:21:13] like we don’t talk about that. No. Yeah. [00:21:16] Matt: [00:21:16] It wasn’t on any of those podcasts where there were other web hosts. Like, it is a very, I feel like in the hosting world, maybe it’s getting a little bit better that it was like, you gotta be in a camp and that’s the camp you’re in and there’s isolation there. [00:21:28]Any thoughts around navigating. And also just like critical feedback on products and services in the WordPress space. I feel like doesn’t exist in the normal zeitgeists like, I’m looking at my Sony camera right now. And like, if you went online to YouTube and you looked at, or a forum and you went to Sony versus Panasonic and there would be like great debate. [00:21:54] Like critical. Like, but every, at the end of the day, everybody’s fine about the two companies. But I feel like in the WordPress space, you don’t get that like damn EDD for doing this. And this is why I’m woo commerce. I don’t have the right phrase for it, but I feel like that partnership slash criticism in the WordPress space doesn’t exist. [00:22:14] Maybe. We’re all too friendly with each other. Can I say that like, we’re all friendly? I dunno, it’s just a weird thing. Like I feel like if you walk down the hall. And talked about your favorite brand of anything else. There could be clear debate, clear, concise, love it, hate it. I could go without it, but in the WordPress space that doesn’t exist. [00:22:33] Am I making sense with that? Like, do you feel that thing in the air, like I do. I, I [00:22:37] Dave: [00:22:37] totally hear what you’re saying on that one and I know exactly what you mean. Yeah, there’s, there’s definitely this weird space where it seems like. You can talk about one hosting company, but you can never say hosting company a versus B, right. [00:22:50] Or if you do like that discussion gets shut down real fast. And I don’t think it’s a conscious thing, but I’ve seen it on chats. And just over the years on blog posts, like it’s very rare that somebody sits down and truly compares one to the other. Head to head and say, look, if you really like these things, this hosting company makes a lot of sense. [00:23:11] And if you like these things, then this other hosting company is a better fit for you. But yeah. So, you were talking about navigating partnerships. I think it’s kind of the same thing. Like as soon as you declare allegiance to one. It’s almost like the others kind of look at you with a little side eye and with a little bit of stink-eye on top of it. [00:23:32] And they’re like, well, you’ve already got them in your camp, so we can’t be in your camp at the same time. I think that goes to the detriment of all WordPress users. Like there’s nothing that says you can’t be friendly and competitive in the same thing. And I think when you say that they’re overly friendly, I wouldn’t characterize it like that. [00:23:55] I would characterize it. Yeah. Unwilling to criticize in general, it’s something about the [00:24:00] community. I don’t know what it is. If they are looking not to drum up drama and they feel like that’s going to create unnecessary drama or unhelpful drama, it probably could. I definitely could see that that could get into some real nasty debates that just degenerate into ad hominem attacks. [00:24:16] And, you suck because you picked oh, well, okay. Yeah. Back off, man. That’s it. That’s that’s not necessary. So yeah, I don’t know. I’ve, I’ve felt that and it’s weird, but the partnership thing. [00:24:31] Matt: [00:24:31] Because it’s farther back now. Like, I’ll say, well, you can do, you can define it. Is it a, is it a partnership with nexus? [00:24:38] And if so, like, do you feel like one, maybe you can’t because you’ve signed something or two, like, do you feel like, ah, man, it’s gonna be a little bit harder for me to knock on the door, WP engine to do this because they see me over here with nexus and Chris. So like that kind of friction that you think that holds you back. [00:24:55] Dave: [00:24:55] It doesn’t hold me back. Let me say that. Okay. To sign because like the stuff that I set up with nexus, it wasn’t exclusive anyway. And it was very friendly. Like, look, I’ve got this thing, your customers can use this thing. You got this offering and it makes it more valuable to your customers. If we say we put this on your dashboard here, like, it was very much like how can we make this a win-win thing and like help. [00:25:15] I will be happy to help create content to make your customers more successful. Like at the end of the day, That story should play well with any hosting company, right? If I can give you something that helps your customers be more successful and you help me bring more customers, and we’re both winning in this relationship, it shouldn’t matter how many people I’ve set that deal up with because your customer success should be the foremost thing at the top of your mind. [00:25:42] But, I don’t know from if I have this deal going on with nexus, does that make me. A bit of a hot potato with WP engine. I don’t really know. I noticed that before I had any deal in place of any hosting company at all, like just getting to the right person who was interested in what I had to say, and that saw the value of it. [00:26:02] Was kind of a non-trivial thing to navigate, especially when, folks are coming and going and coming and going. Even if you have the right contacts at these companies and the network relationships I’ve made gives me some ins to most of these hosting companies where I can say, Hey, I want to talk to so-and-so. [00:26:20] It still doesn’t necessarily mean that that company is interested in your offering or that they’re thinking about things the same way that you are. So. It kind of is another thing where it has to all line up. They’ve got to be thinking about this the same way that you’re thinking about this. And that’s where I’ve met. [00:26:39] The most resistance, I think is that, I say, Hey, are you thinking about a managed WooCommerce hosting? And I’m like, okay, well, we’re, we’re already missing this each other here. And I don’t, maybe it’s going to be a better fit in a year or two years or something like that. [00:26:53] So with nexus, they were very much like, yep. We’ve got that. Yep. We want this. All right. Let’s make it all happen. [00:27:00] With a little bit of persistence. It’s so. [00:27:02] Matt: [00:27:02] It almost, and really almost makes you appreciate like a bigger business. Right. You kind of have an appreciation for it. And, and again, I’ll frame that is when you look at somebody like Austin, like SIADH from awesome motive. [00:27:16] Right. And you see. Well, the, the sheer size, the competency of business and you have a relationship there because that’s where you sold the plugins to. Right? So you kind of see there’s a trust there. And then you can kind of make sense, because if you’re just solo developer, Dave knocking on the door of, big web hosting conglomerate. [00:27:38]They’re going to look at you and be like, well, man, we can’t, this is way too much of a risk to just take your software, slapping it in front of 30,000 customers potentially. And we are just going to trust you. You start to kind of appreciate, okay. The bigger businesses can kind of win. There’s more sustainability, there’s better trust. [00:27:56]There’s just more invested in the whole thing. And as a small business owner, like you kind of get it once you start going through the throws of, of navigating those, I dunno, corporate waters, enterprise waters whatever you want to call it. Kind of appreciate a little bit more, at least I do anyway. [00:28:10] Yeah, [00:28:11] Dave: [00:28:11] no, I would agree with that. And it’s interesting. These larger companies. Because they’re so big, like, it’s the difference between moving like a cheetah and moving like an elephant. You’re the small start-ups. So you can navigate pretty quickly make the fast sprints and turn quickly. They’re kind of plotting along in a very straight direction and they’re not going to change their direction very quickly. [00:28:34] So it takes them awhile to get going in a direction. And then once they’re going in that direction, it takes them a while to change directions. And the bigger the company gets, the bigger the elephant gets, right? Yeah. So by bringing in small companies, I think a lot of them want to increase their agility in that sense. [00:28:53] But of course, there’s that whole trust aspect. Like we know you’re smaller than us, but are you big enough that you can handle what we hand the hand over to you? And if that trust isn’t there, then yeah. That’s, that’s all gone. So again, this is part of the networking aspect. If you can have that relationship with another person and that they get to know your business and they’re like, oh yeah, you’ve been around for awhile. [00:29:13] Oh, look, you’ve got some customers. Oh, look, you served a lot of customers. Oh, you’ve done a pretty decent volume. Hey, maybe you not, might not be a fly by night. Business and we might be able to trust you like that. Trust isn’t something that just happens overnight. Right? You got to build it slowly over years. [00:29:28] Matt: [00:29:28] Yeah. Shopify versus a woo commerce when we chatted. Yeah. Forget [00:29:33] Dave: [00:29:33] it. We’re done. Now. I have a lot to say about this. Go ahead. [00:29:37] Matt: [00:29:37] We chatted last time. I think one of the things now, look, I have only set up a handful of Shopify. Generally out of just helping some friends and some local entrepreneurs in my area do it. [00:29:47]I think one of the things I’ll try to make this a quick question. Like one of the things I really appreciate from Shopify is. On the outside anyway, like their partnership program looks more mature. Like the way they work with [00:30:00] agencies looks more mature. And generally, I feel like they’re willing to work with the freelancers of the world versus. [00:30:07] WordPress and WooCommerce is kind of just like, see you later. Bye. Like, we’ll see it at the end of the road, by the way, we’ll sell $5,000 websites@wordpress.com. Right. And to me, that’s like, man, like I look at it Shopify and I’m like, yeah woo commerce, WordPress should have something like this. But I guess at the end of the day, it’s not all roses and rainbows from the outside because Shopify is going to. [00:30:35] I guess watch like a watchful eye of, what you’re doing as an, as an app, as an integrator, as an agency. And if they see something that’s super profitable, I guess they could just go. Yeah, we’ll just do that. We’ll just do that in house and just demolish your app, I guess in the matter of seconds is what they could do. [00:30:52] So again, sharp road to navigate. I like it from the outset. Like it’s an opportunity for a freelancer or a small agency to get more work. But curious on your thoughts on partnership program in generally working with a Shopify versus a WooCommerce. [00:31:09] Dave: [00:31:09] Yeah. So you wanted a short answer, right? Well, I [00:31:14] Matt: [00:31:14] was, I was trying to make a short question, [00:31:16] Dave: [00:31:16] which is okay, so I can have a long answer. [00:31:18] Yeah, yeah, yeah. So. Let me talk about the platforms first in general. So I think when you’re picking Shopify versus woo, there’s a lot of things that go into that decision in general, that should make you, focus on what are the strengths of each of those platforms. So with Shopify very easy to get started, low tech threshold, to understand there’s lots of stuff that you can do without being a full stack developer. [00:31:47] Integrate apps and just basically get a store up and running. So if you aren’t sure, like you’re doing it drop shipping or it’s a new product and you’re trying to find product market fit or product audience bit or whatever it is. I think Shopify gets you up and running quicker to something that’s pretty polished that comes at a y’all are costs. [00:32:10] So, the hosting that Shopify, the apps that you’re adding on and all of that, but. That can be managed and I think it’s simplifies things and gets you going pretty well to where you want be. With that said, once you reach a certain point and you’re like, now I want my store to do this. And I want my checkout to have this in it. [00:32:32] And I want to use these payment methods, but not these other ones. And I also want this post purchase, checkout flow to be going on. And I want these kind of abandoned cart emails, and I want this, and I want that like for somebody who knows exactly what they want, Shopify can be incredibly expensive and very frustrating because it has been traditionally difficult to cut it. [00:32:53] So, this is where Woo’s strength comes to play. In my opinion, is that, if you’re on the right hosting provider [00:33:00] and you have a good agency that you can work with, that knows what they’re doing with Boone. These are out there. You can do a nice build and you can customize the hell out of it. [00:33:08] Yeah. And get exactly what you want. And if you’ve got a good developer on Wu, you can make it run as fast or faster than a Shopify store. So performance, isn’t an issue necessarily if you’ve done the right things and you’ve done your homework. And, there are plenty of smart wound stores that do that. [00:33:25] The downside to that, of course is complexity. And you got to have a higher threshold of technical knowledge either for yourself or a team to put that together. And, you’ve got to find the right agencies and the right developers. And if you’re talking about the energy and the Wu space and the energy. [00:33:43] Shopify space. They’re pretty different. And there’s a lot of energy in Shopify and it’s hard to ignore that and there’s energy and Wu too, but to like sort out the wheat from the chaff is a little more challenging because those really good Wu developers aren’t necessarily out there trumpeting themselves, talking about how great their agency is. [00:34:04] I can tell you the top five shops. Development agencies right off the top of my head because of what I see on Twitter, because of what I see in their blogs and just general social media activity, I would have a harder time doing that for woo commerce based on those factors. I know a few of them, but they’re harder to pick out. [00:34:21] Matt: [00:34:21] Right. So do you think that’s because Shopify helps prop those agencies up to part of their marketing and sales? [00:34:28] Dave: [00:34:28] Yes. So WooCommerce as a platform, doesn’t do enough for partners and agencies, not the way that Shopify does, like here at Shopify at unite announced that they were abolishing the 20% at a revenue share on all of their partner apps up to your first million dollars a year. [00:34:49] So basically it’s like everybody on the platform got a 25% raise, including recapture, which I was thrilled about. WooCommerce. If you want to go to their store, there was this discussion in post status that I was contributing to. If you are exclusive to the woo commerce store, 40% revenue share. If you’re non-exclusive it’s 60%. [00:35:09]I understand why WooCommerce didn’t want. To just let every person possible onto the platform and turn it into the repo, like the repo turned out to, it’s kind of a, we’ll call it a mixed bag. I think that’s the, the most politically correct way I could say it. Yeah. There’s a lot of garbage out there and there’s a lot of good stuff and it does take some time to sort through it and figure out, I think they were trying to curate the woo commerce store experience to be a little higher quality than that. [00:35:41] But I think they went about it wrong. And it’s [00:35:43] Matt: [00:35:43] been it’s 60% to automatic [00:35:45] Dave: [00:35:45] or 60, 60% to automatic. Yes. Wow. Which is, like, come on really. You’re taking more than half of my business. How am I supposed to be profitable at that point? It’s not this isn’t a charity to you. So these numbers are just [00:36:00] wrong in my, like, they don’t encourage [00:36:02] Matt: [00:36:02] catches a lot of flack for 30%, right? [00:36:05]Dave: [00:36:05] Come on, apple, apple at 30 bucks percent is considered untenable and you all at WooCommerce that are doing 40 and 60%. Come on, give me a break. That’s why my plugins are never going to be on the WooCommerce repository. I know I’m not alone in this. So, there are some plugins that are there, but guess what? [00:36:23] They’re all free. 40% of zero is still zero. So you’re good. They’re, they’re asking for me to share my revenue 60% a month. You just killed my profitability to the point where I can’t run my business anymore. So it’s that sort of mentality. That I think is hurting the Wu commerce ecosystem. Like there isn’t an agency support program. [00:36:44] There isn’t a big conference every year. That has the energy of Shopify unite. There isn’t a partner program that really nurtures everybody along. Like with Shopify partners. Like you sign up, you’re getting an email a day for like 30 days telling you here’s some partner tips. Here’s this development thing. [00:37:01] Here’s this resource. Here’s this? Here’s this here’s this guess how many times we got from WooCommerce? Zero. Yeah. Yeah. I, it they’re very different ecosystems and I think it’s to the detriment of WooCommerce, that they are not putting more energy into that, that piece of it, because that is a big part of why Shopify has been successful. [00:37:23] Matt: [00:37:23] Yeah. I agree a hundred percent. And again, I have very little experience from the Shopify side. I just know from what I don’t receive from support from WordPress and seeing what everything else is happening. And I guess look at when you. Zoom out and take a look at the sheer size of WordPress compared to Shopify just I’m talking like installed platform based like that kind of thing. [00:37:46] Yeah. The, the, the play for WordPress and automatic is when it comes to open source. How are you going to monetize it? It has to be done through like that trust factor. So it’s open source. It’s super flexible. It’s the same message. Automatic and you and I can go out and tell a customer and they’ll just win by having the most trusted plugin, a jet pack or a premium ad-ons from woocommerce.com or something like that. [00:38:17] And they’ll win. On that trust level where Shopify, you’re just going to go there and spend money. Like you’re choosing that platform. So you’re you, you’ve made the decision to go there and they’re telling you, the whole platform is trusted with WordPress it’s. Hey, it’s great. It’s open source. Do whatever you want. [00:38:34]But by the way, Jetpack is the most trusted way to secure and manage your site. And that also comes with whatever WooCommerce add ons that you buy for those bundles that they have for like 2 99, 3 99 or whatever. And their argument will be you trust it because it comes from ashore. You can go get Dave’s go ahead and get Dave’s. [00:38:53] But you know, you’re going to trust us better because we’re the, the company behind it kind of thing. So I can’t fault them [00:39:00] for it. It’s just, one of those things. So many people have pushed towards jet pack or excuse me, to WooCommerce and WordPress because they love the software and there’s no, there’s that love doesn’t come back to us. [00:39:15] What are we going to do? [00:39:16] Dave: [00:39:16] Nothing we can do. There’s nothing we can do, unfortunately. And the other thing. I, I don’t like, is that w well, so to contrast this, let me say, oh, Shopify does this. So Shopify does do acquisitions on things, but not like, not at the same level that I’ve seen automatic do it, where they pull in things like mail poet, right. [00:39:35] Or there pull all this stuff in and turn it into Jetpack. Like Shopify is not doing that. They build stuff and they’ll build it to a level like, there was a year, I think it was like the first unite I went to and it was me. Two years after I’d acquired recapture and they released the abandoned cart emails. [00:39:52] And those that knew me at the conference were like, so how do you feel about abandoned cart emails on Shopify now is like, I feel okay about it because they’re just, they’re 60% solution and I’m a hundred percent solution. And I can tell you like all the shortcomings, it’s great for people getting started out and it gives you those tools to get going and get your store off the ground. [00:40:14] It’s never serious enough to like take you to the next level. So it’ll get you to like the 5,000 a month rate. But after that, it’s going to break down pretty quickly. Cause you’re just not doing as good of a job as you could be with other apps that are more professional. And I’ve seen this a little bit in big commerce, too, where they build in these features and then know they’re okay, but they’re not great. [00:40:35] And you build your store up to a certain level and then you get these other things and you use them instead. I don’t see that with WooCommerce. They’re trying to pull in everything and say, okay, we’re going to be really good at email. We’ve got mail poet now, but are you really the best at email? Because you got all these other things you’re doing too. [00:40:54] And you’ve got this team, that’s doing mail poet, and I don’t want them to fault the male poet folks. They’re a great plugin and they do a lot. It’s just, your priorities are going to be driven by the platform, not the customers that are using it. So. Is that going to make it the best it could possibly be and truly drive be driven by the needs of the customers on the platform, as opposed to the benevolent dictator for [00:41:18] Matt: [00:41:18] life. [00:41:19] Yeah. What’s next from, is there a next platform play for you to integrate with? I think I was looking at another W3C techs report the other day and it for specifically for, e-commerce and. I would have to go back and dig this report out. Maybe, I saw woo commerce and in the Squarespace, e-commerce almost like neck and neck. [00:41:41] Is that true? Is there square? I was like, suddenly like what Squarespace e-commerce is this big and even realize it is that like an area you’re going into or another platform? That’s interesting. [00:41:50]Dave: [00:41:50] We’ve, I’ve taken a quick look at Wix and Weebly and Squarespace, all kind of in the same breath. [00:41:57]There is definitely a. [00:42:00] We’ll call it an economic shift on this platform where it is. It is aiming for a tier of store that doesn’t want to pay as much as you get in Shopify, or you want to get in Wu. And it’s difficult for me to convince a customer who’s paying $4 a month for their e-commerce website to pay 29 for mine. [00:42:23] And I know this because of how the pricing worked in Shopify, like the base level in Shopify as 29. And the fact that I aligned with that. It makes it easier for me to sell my product because they’ve already made that mental commitment for 29. They’re getting another 29. Isn’t that bad. But when you’re at four and you jumped to 29, that’s too big and that’s not a, that’s not a battle I want to fight. [00:42:45] That’s not a set of customers that I think are easy to deal with in that regard. So, I’ve looked at other platforms where we can head up markets. So our other e-commerce spaces. So things like Salesforce, cloud commerce. Things like that, but it’s a little trickier to get into that because you kind of need to know some stores to have the testability. [00:43:09] Cause it’s not like you’re just downloading this, installing it and testing it out. You kind of have to work in tandem with somebody else. So, I I’ve got some plans. We’re kind of cooking that up right now. I don’t see, I’m keeping an eye on Squarespace and Wix and Weebly. And if they start moving up market. [00:43:25] Mid tiers, which is quite possible. They could, then it would make a lot of sense to integrate because there’s going to be a large customer base there, but right now it doesn’t look economically viable. Yeah, yeah. [00:43:37] Matt: [00:43:37] Yeah. That makes, that makes total sense. I guess that’s probably why I was so shocked at the footprint of the Squarespace. [00:43:42] Cause I was like, yeah, it makes sense. Because then you’re like, well, what are these people selling? They’re really seriously. Probably something like photo prints, and a couple of handmade things. That’s probably about it, certainly not an apparel line or kayaks, which you’ll probably find on Shopify, right? [00:44:00] People who are manufacturing, things, stuff like that. Very cool. Dave wrote ball, recapture.io. Congrats on being a free man than the last time I talked to you running the business day to day. Where else can folks find you? What else can they look forward to from. [00:44:15] Dave: [00:44:15] Well, we just did our big release the 1st of July for SMS card abandonment and order notifications on recapture. [00:44:23] So if you’ve been itching to try that out or see what that’s like, come to recapture.io and check that out. We also have broadcast emails out after Jill announced their shutdown, we had to make sure that was working to be able to seamlessly migrate folks over. So if you’re. A former Jilt customer and you’re looking for a place to land. [00:44:41] We’d love to talk to you at recapture and see if we can make things work for you. If somebody is looking to get a hold of me, you can find me on Twitter at Dave. [00:44:51] Matt: [00:44:51] I heard you’re actually making phone calls too. Right? You’re calling people up, doing it the old fashioned way [00:45:00] [00:45:00] Dave: [00:45:00] because your cell phone fashioned way, I would like, knock on their doors and press the flashes as it were, but that’s not happening. [00:45:08] Matt: [00:45:08] Everyone else. Matt report.com maryport.com/subscribe. Join the mailing list. Don’t forget to tune in to your weekly dose of five minute WordPress news every week@thewpminute.com. Thanks for listening. We’ll see you. In the next episode.
Ta rolando o Curso de Pronto Atendimento do Tá de Clinicagem! Método inovador, direto ao ponto! Abordagem sindrômica das principais queixas! As inscrições vão até 28/04! Cupons promocionais com as ligas. Clique no link abaixo e se inscreva!! https://hotmart.com/product/curso-de-pronto-atendimento-ta-de-clinicagem/E50717033X Finalmente falamos do eletrólito preferido do clínico! Joanne apresenta um caso para o Pedro e o Kaue, que trouxeram uma maneira de organizar esse tópico tão polêmico: Hiponatremia. Ficou faltando alguma coisa? Comente com a gente no @tadeclinicagem, no instagram e no twitter! Referências Spasovski, Goce, et al. "Clinical practice guideline on diagnosis and treatment of hyponatraemia." Nephrology Dialysis Transplantation 29.suppl_2 (2014): i1-i39. Voinescu, Gentiana C., et al. "The relationship between urine osmolality and specific gravity." The American journal of the medical sciences 323.1 (2002): 39-42. Braun, Michael M., Craig Barstow, and Natasha Pyzocha. "Diagnosis and management of sodium disorders: hyponatremia and hypernatremia." American family physician 91.5 (2015): 299-307. Minutagem: (1:36) Curso do TdC (3:50) Caso clínico (7:22) Resumo e comentários iniciais (9:45) Alerta sobre hiponatremia (11:38) Primeira etapa no manejo (12:25) Conceito de tonicidade e osmolaridade (14:19) Hiponatremia isotônica (16:36) Gravidade quanto aos sintomas (17:10) Correcao do NA (19:08) Segundo alerta do NA (20:00) Situações em que deve-se tomar cuidado (20:46) Seguimento do caso (21:46) Exames solicitados (23:15) Laboratorio do caso (25:00) Seguimento do caso (25:48) Três perguntas hiponatremia hipovolêmica (28:48) Voltando ao caso (29:12) Osmolaridade urinária (34:20) Osmolaridade do caso (34:48) Na urinário (37:48) SIADH (41:45) Falseadores do Na urinário (42:35) Revisão algoritmo do caso (48:12) Dosagem de acido úrico (50:54) Finalização do caso (55:12) Desafio da semana anterior (55:54) Desafio da semana (56:12) Salves Formula osmolaridade= (2xNa ) + Glicose/18 + Ureia /6
Pediatric intensivist Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline? How common is hyponatremia in hospitalized patients and why does it matter to your practice? What is SIADH and how does it contribute to hyponatremia in acutely ill children? How can we prevent hyponatremia in our hospitalized patients? What are the differences between hypotonic and isotonic fluids? What are balanced solutions and why might they be preferred as compared to saline in some clinical settings? All of this and more from the Department of Pediatrics and the Medical College of Georgia. Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG,Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083 Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in CriticallyIll Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584 CuzzoB, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/ Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS*A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72 Peti-Peterdi J, Harris RC. Maculadensa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759 Wilcox CS. Regulation of renal blood flow by plasma chloride.J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820
What does each diagnostic test tell you? How do you interpret urine osmolality, urine sodium, or urine urea? What studies can be used to better assess response to treatment? How can uric acid be utilized as a diagnostic tool? What is the interplay between ADH and UOsm? Time Stamps: 04:50 General Diagnostic Approach 12:26 Serum Osmolality 19:34 Urine Osmolality 32:09 Urine Sodium 45:23 Uric Acid Show notes, Transcript and References: https://www.coreimpodcast.com/2021/02/10/5-pearls-on-hyponatremia-episode-1/ ACP CME: https://www.acponline.org/cme-moc/cme/internal-medicine-podcasts/core-im Tags: urine studies, SIADH, Core IM, IMCore, antidiuretic hormone, hospital medicine, family medicine, nephrology
Matt Report - A WordPress podcast for digital business owners
After Automattic released their experiment with selling $5,000 websites, I published a video, I spell it wordpress now. A video which has been viewed over 1,400 times and caught the attention of today's guest, Matt Mullenweg co-creator of WordPress & Founder of Automattic. I've had the pleasure of interviewing Mullenweg back in 2015, and have consumed nearly every other podcast he's been featured on since. I thought about doing a more in-depth analysis on Matt's responses to my questions, but I'd rather let the content speak for itself, allowing you to digest our discussion then arrive at your own conclusions. Though there is one word that sticks with me, and that's: vulnerable. There are some vulnerable moments when discussing topics relating to blue collar digital workers — or builders/implementors — that could spark a change in Matt's long-term regard to a group of WordPress users that I feel control the under current of the CMS's adoption. Matt is also responsible for nearly 378,000* products under Autoamattic's umbrella, to which he informed there's a new internal initiative rolling out to help disperse some of the responsibilities not only from him, but the 1,400 other Automattician's. As for me, I do get very passionate about WordPress and my response to moments like these might do better if I sit on them a little longer or reach out to Matt directly. Who knows, maybe we'll get more podcast episodes out of it. I hope you enjoy today's episode, please share it with the world, and leave a comment on the post. Subscribe to my newsletter for more. ⭐️ THANK YOU to the sponsors!! ⭐️ The WP Minute – A new audio experience for WordPress news coming soon. Easy Support Videos – A fun way to support your customers inside WordPress with videos and text. show transcript show lessMatt Medeiros and Matt Mullenweg[00:03:42] Medeiros: [00:03:42] I'd say 99.999% of the folks listening today know who you are and what you do is there one thing people don't know. That you do.[00:03:51] Do you practice like jujitsu or are you a culinary master behind the scenes? Anything else that's new that people just might not know is like a hobby or something that you do really [00:04:00] well on the aside from work[00:04:01]Mullenweg: [00:04:01] Some people might know, but it's been so long now, but I know I want a jazz musician and that was how I got into building websites. And it's why releases a WordPress are named after jazz musicians. Don't know if I can still call myself that, but I definitely was for a long time. And it's what I thought I was going to do professionally before.[00:04:18]I got into this web stuff.[00:04:20]Medeiros: [00:04:20] Look, I think a lot of folks think about this conversation and I don't know why, but they're there. I see comments. Like I can't wait for Matt to talk to Matt about this stuff and like really roll up their sleeves and get at it. I don't feel that way at all. In fact, I highly regard your position.[00:04:39] I think I've told you before. I wouldn't want your position. I know I wouldn't want to have to thwart the the comments that come at you every day and run a thousand ish person company. A lot of work. So I applaud you and really respect that position. I'm really interested to chat today and maybe see both sides of [00:05:00] our views and opinions and have a better understanding at the end of the day.[00:05:05]Mullenweg: [00:05:05] I think the mat squared report is a great recurring feature. So I'm sorry that we had some scheduling trouble, but glad that we could make it back on. Probably they thought that because I did leave that a pretty lengthy comment on your, I spell it WordPress video. Cause I disagreed with some points there, but it didn't feel thank you for responding.[00:05:23] I felt like you, you listened and you read it and maple loop to some of that as well.[00:05:28]Medeiros: [00:05:28] Before I get there, I want to tell you, I love simple note. Simple note is the app I use every single day of my life. I'm dying for more simple notes stuff. And this is a bigger question. Look, you're responsible for, by say you're responsible and maybe you can enlighten me. Maybe you're not responsible, but I feel like man, there's so much product.[00:05:54] Under Matt Mullenweg, WordPress, Automattic, .com all the offerings, [00:06:00] jetpack simple note, Tumblr, the list goes on happy tools, Jetpack CRM. there's so much where do you find yourself focusing that attention for like crazy simple note users like myself to say give us more.[00:06:15]Mullenweg: [00:06:15] The good news for something like simple note is it happens without me having to think about it. Cause I to a minute, 20 times a day, at least, and on all of the different devices. So I'm a very passionate user. Simpler does not where I. I consciously focus my time, but I was just talking to the team the other day about like changing where the search is on desktop, because we moved it to be more like a Mac iOS standard, but it's a little more confusing.[00:06:38] It's, that's like a fun thing for me. Maybe after hours. Some of the other products you mentioned tumbler, Woo, wordpress.com are more of an official part of my day. And the way I cover so much is just by having really fantastic teams and and folks I work with on every side of it whether that's Josepha on the .org side of things Paul Miorana on WooCommerce, the list [00:07:00] goes on and on.[00:07:00] Try to think of automatic as a fractal organization. We're about 1400 people. Now let's say a VIP's run running around 200 this week. That looks a lot like Automattic did when we were 200 people and Nick who runs that has a similar executive structure underneath him that I did when we were doing to people for the whole company or that rather Tony Schneider did.[00:07:20] So there's a lots of ways to approach it. And we found that form of scaling is a very effective and I really don't see a ceiling on it. We'll hire. And onboard probably 400 people this year. And it's that if you had told me that 10 years ago, that would seem completely crazy. And I wouldn't even know, I couldn't name 400 people in my life, let's just hire them.[00:07:44]And now it actually seems like a very natural progression of what we've been doing the past few years in terms of scaling the business.[00:07:51]Medeiros: [00:07:51] Do you look at these endeavors? And I think when I, of course now I'm forgetting the gentleman that I interviewed about simple note [00:08:00] I think you call them is it, are they called long bets? Is that like the code name internally?[00:08:04] Mullenweg: [00:08:04] internally we other bets. The long bets would also be a great name and I'm part of the long now foundation. So that would be a good one. They are often long-term but there are things other than our main areas, which is basically consumers, subscriptions e-commerce and enterprise are the three main areas.[00:08:21] Automattic focuses on.[00:08:22] Medeiros: [00:08:22] And when you look to hire, is it primarily just Automattic, VIP? Folks are going to be focusing on your core focus other than let's say a simple note or a happy tool or something like that.[00:08:35]Mullenweg: [00:08:35] Much like we, we try to follow a five for the future for.org. Something we built into Automatic's culture is having a five for the future for our products. So that's other bets. So we try to have about 5% of the company focused just on contributing.org and then about 5% of the company working on things that are going from zero to one.[00:08:54] So they're there in that pre-product market fit phase of building things. [00:09:00] It's a little less right now. I think we're good on the.org side, but we're a little low on the other beds and that's just cause it's a, it's a. It's been a busy year. And particularly with things like the turnaround for Tumblr and others, we want to make sure that we have enough people on things to to see like an acquisition through it's. The biggest mistake companies usually make with acquisitions is it's been a ton of time leading up to it and buying the company and then they don't pay as much attention to it afterwards. And for example, for DME, what we want to make sure that we have. Yeah, the best team possible to grow that potential, which is it tens of millions of monthly active users blogging, which is really cool.[00:09:39] So let's get them the best are blogging capabilities. And then and see what happens.[00:09:44]Medeiros: [00:09:44] Is that something that when you look at Tumblr, do you look at. This might be getting it. I don't know, maybe into too much of the secret ingredients of all of this stuff. But does that look when you make an acquisition, like tumbler, do you say, yeah, we're going to run Tumblr as an independent business and [00:10:00] we will focus on that.[00:10:01]I, on his business model to monetize tumbler, or do you see that more of how do we integrate this more into a.com feature like tumbler powered by.com tumbler powered by Gutenberg? Like how do you see that synergy happening? If there even is one.[00:10:16] Mullenweg: [00:10:16] Yeah. We try to have kind of three or plans for every business where the first year is fairly high resolution and it gets a little fuzzy or there's further educate, which is okay. Same thing with acquisition, we try to say, okay, what step was the three applying for this on the three-year plan for Tumblr?[00:10:34]The initial parts are very much advertising focused since that's been their business model thus far. But as we get into year two, which we are now and three. I think there's a very interesting e-commerce and membership opportunity for tumbler and some really passionate creators, so much happening there.[00:10:50]So much culture is still happening on Tumblr and originate down tumbler. And then I have said publicly, and it's still on the roadmap to switch tumbler to be powered by WordPress. [00:11:00] So imagine I, how we have Calypso for wordpress.com, which is a JavaScript. Essentially clients to talk to multiple WordPress sites at once.[00:11:08] And it's what you load when you visit wordpress.com. It's totally open source is an equivalent. They call red pop, which is again, a react power JavaScript client to their API. Imagine that API or that client. So you have the exact same tumbler interface, but it's talking to a WordPress API instead.[00:11:24] That would be. Probable first step for how we start to switch over their sites, but there are a massive number of blogs, I think over half a billion. So obviously not all active, but it is a fairly large migration task. How will we do that?[00:11:39] Medeiros: [00:11:39] Yeah, certainly not just pick it up, throw it on your S3 bucket and off to the races you go for any stretch of the imagination. Let's talk more about the recent shift, or it's not even a shift, really, because as you said, this might just be an experiment with the I don't even know what your proper title of it is.[00:11:59] Is [00:12:00] website services by Automattic or.com or something like that. I will try to quickly preface this to give you hopefully a bird's eye view of. my take and my reasoning for being so passionate about this stuff. First and foremost, love WordPress, defend WordPress, It doesn't matter what Hill I'm dying on.[00:12:21]It's old, he's WordPress. I'm a mentor in a local accelerator and, I see all these people going Wix and Squarespace, and I'm just like, you gotta use WordPress. And as painful as it might be for very beginner users, it's getting better. When I see in the impetus behind the original video, I spell it.[00:12:39] WordPress now. You have to take a look back at me years ago, as somebody who was trying to monetize WordPress plugin, trying to break into the space. There's a lot of threads of thought here, but it's just many years of. just not feeling appreciated is not the right word. It's the first one that comes to my [00:13:00] head.[00:13:00] But you try to submit a theme to the theme team. And you remember, this is decade ago. We don't like ads. We don't like upsells. There's this, you look@wordpress.org repository from a 50,000 foot view and wow, isn't this just themeforest now, tax me to be here. Happily pay the tax to be, to have an ecosystem that I can tap into Alyse Shopify in web flow and things like that.[00:13:26] And then I also see from the Shopify and Webflow side partnerships, open app store, like that kind of thing, being a lot more open, and what I feel is a constant shift into moving all things. The best WordPress experience, moving all things to jet pack and to wordpress.com. And then the icing on the cake is we'll build your website now.[00:13:52]So then I[00:13:53] Mullenweg: [00:13:53] lot going on there. I don't know if I agree with all those assumptions, but we can talk through[00:13:57] Medeiros: [00:13:57] there. There's a lot of deep roots here, Matt. So [00:14:00] I have this [00:14:00] Mullenweg: [00:14:00] we start 10 years ago[00:14:01] when you submitted the theme? [00:14:02] Medeiros: [00:14:02] 10 years ago. Blue collar, digital worker. That's the phrase that I use, I feel as a very underrepresented segment of even when automatic looks at the community, designers, developers like is probably like what, 80% of the core community. And then there's folks, [00:14:23] Mullenweg: [00:14:23] like the term [00:14:24] Medeiros: [00:14:24] to build, trying to build a business, trying to do things with WordPress and. It's that frustration. It's the weight of all of that,[00:14:34] I tweeted out the other day I was working on a friend site, had jet pack. It went to install a plugin and the message that on the plugin install screen said, Oh, by the way, I forget what the exact word is, but you could get exploited or malware through the plugins. Yes, but it's but Jetpack, you came from wordpress.org, who do I trust?[00:14:54]And it's those types of things that it's not these big things that happen. It's death by a thousand [00:15:00] paper cuts. And that's the feeling. It's a feeling that I think a lot of people, I know a lot of people feel and are frustrated by. And all of that bubbles up to, like me making a video, that thousand people watch and most of them agree.[00:15:18] That's how we got here at this moment in time, and that's the level of frustration. There's a lot to even like attack at that point or to respond to at that point. But I just wanted to lay it all out on the table for you. Is that how I've gotten to this point of feeling. Man, maybe it's the implementer.[00:15:38] Who's not very valuable in this community. And if it isn't that's okay. I'll leave the floor up to you to figure out which bone you want to pick out first.[00:15:47] Mullenweg: [00:15:47] to start. Let me start with what you called implementers, which I have to call builders. I do agree that they're not always the most prominent and like core discussions. Sometimes these [00:16:00] people are busy, they're building sites for people, so they might not be in our Slack or things like that.[00:16:05] I take it as a personal responsibility to stay very connected to that community and try to represent their needs and the core direction. I would argue that Gutenberg itself was largely in response to what I was hearing from, I would say smaller builders, shops, people one to 10 employees, building sites for five to $20,000.[00:16:35]It was that the numbers are going to be different internationally as well. So I, these numbers aren't necessarily useful, but No. I was hearing from them that they were starting to use third-party tools to build things, to save time for clients that clients they were having to build very complex things with advanced custom fields and other kind of like interfaces that weren't very WYSIWYG to help people create about pages or make it easier for [00:17:00] their clients to update.[00:17:01] And that was part of what brought us to Gutenberg. I was saying, there is a easier WYSIWYG ish way to approach some of these problems that doesn't need someone on a random database form fields is something that looks like PHP, my admin to update their about page versus, something where you're actually seeing the images and like it's more one-to-one with What you're building, what the other good news is that I hear a lot from this community. So for whatever reason, they find my contact form and Twitter handle, and I get a lot of DMS. And that's obviously not fully representative, but I do feel like I get a little more feedback from that section of the many stakeholders that WordPress has.[00:17:40]A good mountain. I would love more. So there's anyone listening to this that wants to just share with me your story about how WordPress is working or not for you, your favorite plugins, all this stuff like what's beautiful is every story is valid and whatever someone's feeling is what they're feeling.[00:17:57] So it's true. And these [00:18:00] antidotes one we can digest enough of them so often can show patterns that can be really useful. For determining what is a future focus for WordPress, the four phases of Gutenberg post and page editing, full site editing essentially workflow.[00:18:16] And then multi-lingual a hundred percent. And for the feedback I've gotten from various constituents, since the WordPress community now WordPress is not one thing over another. We are open source, everyone can and does use the software and. I think one of the beautiful tension that we maintain how I like to put it is every single release, making it more accessible and easier for people new to WordPress and more powerful and flexible for those who are familiar with WordPress already.[00:18:46]I think a lot about interfaces, not just being easy, but being intuitive so that whether you're seeing, what have you been using WordPress for one day or 10 years? When you come across a new feature, a new interface, you can [00:19:00] have some guideposts to how to use it. That addresses very one small part of what you said, but I don't want to talk for 10 minutes, so I just I'll throw it back to you.[00:19:08]Medeiros: [00:19:08] There's a camp of people who are like, man, something happens my video or this, tiny little blip on the radar, this jet pack thing, but jet pack is much larger. It is the monetization play. I'll say it, I guess you could say no, but it's the monetization play from automatic to say we've got all of these free WordPress sites out there.[00:19:29] How do we monetize it? Yes. How do we make the experience better for the consumer, but also how do we monetize this? It's a perfectly finding that the thing is quite obvious at this point, but anything that ever happens in this space to defend you, people go, it's just, it's, he's just going to make money with this stuff.[00:19:45] I don't really care about that side of it. You an Automattic, there's nothing wrong with that. In my eyes, it is, the lack of that connection to looking at the community members [00:20:00] and saying, how will this impact, how will this impact them? And I think. People forget that, like now you are a 1500 person company.[00:20:10]Matt is no longer in the room with us building WordPress with us anymore. It's a totally like it was maybe 20 years ago. It's a totally different ball game. Now there's a lot of things at play. When you look at what Shopify does, and I guess here's a more direct question when you look at what Shopify does or what Webflow does with their.[00:20:28] Partnerships in their communities. Do you ever see yourself going in that direction or even formalizing a marketplace on wordpress.org to just have a component that I can just bolt into and say here's 30% for automatic. Here's 70% for me. And we do business that way.[00:20:48]Mullenweg: [00:20:48] Good set of questions there. One for the staying in touch point of view, one thing I think, which has allowed WordPress to be a lot more adaptable is the accessibility of the people building it, no matter, [00:21:00] even if you're a very large store on Shopify, you can't join Shopify, Slack where they're building it.[00:21:06] And DM Toby, he's a nice guy, but there's not the level of flexibility, but if you wanted to join a WordPress out of work, Slack and DME, and you can. And by the way people do that. So don't be shy there. I also tried to be on the post status Slack, that I tried to be very accessible because I love to learn.[00:21:23] I love to read. So those are just things that are part of a good feedback loop. And I would say that applies to, if you look at the 500 plus people who were part of the last word, press release You could get in touch with pretty much any of them. And that's pretty special. There's very few things like that on internet.[00:21:42] Certainly the scale of the WordPress is [00:21:45] Medeiros: [00:21:45] yeah, when I'm mad at my iPhone, I can't, Hey, Tim want to be on my podcast, like that's not happening. So I totally appreciate this connection. And the value of that in the community.[00:21:57] Mullenweg: [00:21:57] And it's things like the podcast, but it's also the little [00:22:00] things, The one thing you said was the marketplace. We've always kept wordpress.org in particular free Joe people pay 0% and there's businesses making tens of millions of dollars a year on there. And they're not paying anything to automatic or anyone else.[00:22:16]There's so there's not really any plans to. To build a billing system or charge for things I think is also perfectly fine that third-party marketplaces like at the forest spring out and they take their 30% or whatever the percentage that's fine. Again, tens of millions or hundreds of millions of dollar businesses built on top of WordPress and they that's one of the freedoms to do I don't see WordPress being held back by the lack of our marketplace on the automatic side. There we do run marketplaces. So there's the marketplace, there's a WooCommerce marketplace. So there are different areas where we can provide access to a lot of users, maybe a one-click checkout experience.[00:22:57] And then there's a revenue share for that. I love those [00:23:00] models because it's like what you said, people make money together. Hopefully we're selling things that we're in, we're selling to customers that would be hard to reach otherwise. And hopefully the customer's getting value to that.[00:23:10] And there can be a win-win. I don't see it again, Shopify you could ask a lot of the partners and they're not crazy about that. Remember famously MailChimp and Shopify did that big break up that was around very onerous terms from Shopify. The participation in the marketplace and what that rev share with even MailChimp.[00:23:28]Shopify is also, I think a good example of almost an Amazon like marketplace, which allows a bit of freedom in the marketplace and then copies it and crushes the people in the community. That I haven't really seen happen in the WordPress community, even when automatic has moved into something like a WooCommerce.[00:23:47] Easy digital downloads still seems to be doing great. And the other e-commerce plugins in the marketplace. So I don't look to them as models as a good thing, and also like the Apple app store, like the [00:24:00] fact that WordPress itself almost got banned from the store. Like I really much prefer the more open source open access.[00:24:06]There is some trade off there in terms of if someone does want a commercial solution, they might need to sign up for a new site and put their credit card in again. But to me that's getting easier and easier with Apple pay and other things.[00:24:19]Medeiros: [00:24:19] Would you say that? And I think one of the statements that came out of our last conversation almost five years ago was, and I think it's even more true today is. Jet pack is the best way to experience WordPress[00:24:33]Mullenweg: [00:24:33] I think of WordPress plus Jetpack is really compelling.[00:24:37] Medeiros: [00:24:37] because if I were your marketing person, that's what I'd be saying. A jet pack is the best way to experience WordPress and. So now let's lay a foundation to that. If all of a sudden .org had a marketplace tomorrow, it would probably impact, people maybe even turning to jet pack or potentially even utilizing some of the features of jet pack.[00:24:57]The feeling of [00:25:00] frustration that a user has, I think, is a benefit to jet pack. I've got 10 plugins from 10 different authors. And now I have to go and knock on Pippin's door. I have to knock on Yoast's door, I have to go to Syed's for opt-in monster. And I'm like, Hey guys, what? It's not working on my site.[00:25:17] How do I get this working? [00:25:18] Mullenweg: [00:25:18] Yeah. [00:25:19] Medeiros: [00:25:19] Your longterm success with Jetpack is to smooth all those edges out and say, you know what? We have everything here. So it's almost that Amazon model where it's like, Hey, we see forms are working really well. Let's get forms in here. We see CRM. This is the craziest one of, I'll admit we see CRMs are working.[00:25:38] Let's bring CRM jet pack in, and it's a fair statement to say that all roads leading to jet pack is to make that experience. It's better. True. False.[00:25:47]Mullenweg: [00:25:47] trying to follow. But I would say is part of what jet pack was created was what the common complaint of things not working together with each other. The vast majority of plugins that people use are free [00:26:00] plugins, not the commercial ones. The commercial ones are the small minority. And so it's not necessarily paid things, interrupting but it's really just stuff working together.[00:26:11]The other thing that Jetpack was created for it is to, important things that need a SAS service How can we provide those? Anti-spam being a great example. We're plugging approaches to anti-spam had been ineffective, but the kind of, AI approach that kismet takes, which is part of Jetpack has been very effective over now, 15 years.[00:26:32]So how can we essentially fund those and a Robin Hood's been in the news for the wrong reason, but let's go back to the story of Robin hood. Like what's the bare minimum we can charge for, to subsidize providing a service for free. To 99% of users. And maybe that's another differentiation from like Amazon prime, where everyone pays dues, Amazon prime, 99% or more of Jetpack users are free.[00:26:56] So really it's a little bit of a hack in that. [00:27:00] There are certain SAS things that I think make WordPress a lot more compelling that if we charged for it, probably make a lot of if we charged for stats or some of the things that are built into free Jetpack probably make a lot of money. But WordPress would be smaller.[00:27:14] And my goal, which means it's Automattic's goal and also a lot of WordPress, the goal We want as many WordPress's in the world and I think it's good to put in context. And like you mentioned there were some people that were took the conclusion that you did around like the Jetpack notice.[00:27:32] That got fixed really quickly, but maybe the build it for me program, or they do it for me program. The 5k we'll build a site for you as like some sign of a larger conspiracy or that we're being evil or that we're holding back this important part of WordPress, or we don't care about that anymore.[00:27:49]But over the past 12, 13 months, there've been over 400,000 sites in the top 10 million that have been come onto WordPress. That's 400,000 high end [00:28:00] sites. Each one of those spending probably at least 10,000 a year to build, to maintain, to hiring people. And that's, when you get into the likely millions of people who are making their living in and around WordPress yeah, a few of 'em get worked up on Twitter and by the way, I'm part of this too, I'll reply to quickly.[00:28:17] And then that kind of escalates. And but if we zoom out a little bit and look at. What's happened? What are the large numbers happening? Even the most controversial video or something like that is probably two or three orders of magnitude smaller than just the number of sites built in the past year.[00:28:36] And the thing I just ask people to remember as well is that Twitter is a little bit designed to get people worked up. That is his business model. And by the way, I know this, but it happens to me too. And it's just I think it's the length, it's short, it's hard to have a nuanced conversation like we're having now and even 280 characters.[00:28:55] It is the algorithm for promoting these hot takes and controversy. [00:29:00] It's the context, meaning that I maybe saw like a political thing or an environment, like something that got me really rattled up. Two tweets before I saw the screenshot of the Jetpack notice. And yeah, maybe I do believe that there's a vast conspiracy by oil companies to.[00:29:16] Trick is that recycling is a thing when it's really just a way to sell more plastic and like we have to fight this. And I'm really worried that personally about that. It's a true thing, by the way. And then I see this Jetpack notice and I'm like, Oh, there's another one. This is just as bad as Exxon and Chevron and all the, all the kind of like grand conspiracies and the Davos and the Illuminati or whatever it might be like.[00:29:37] It's easy to draw lines between things that. Things that might be large and small can seem really large on Twitter. And and then things happen quickly. The what's the old saying like disinformation can get, make its way around the world before the truth has a chance to put his pants on.[00:29:53] There's just the. What it rewards moving quickly versus the [00:30:00] truth, which gets out there very slowly. I experienced that really toughly. There's something really tough. It might've been definitely in the past 18 months where there was someone who tweeted accusation that automatic had fired our African-American editor of one of our publications and this got over a thousand retweets more than that likes it was yeah, it was around the time that there was all social unrest and riots and everything like that.[00:30:28] And so there was a huge pile on to this. It was factually untrue. The person replied, she had actually taken a job. Preserved foods left for a higher, more prominent job. And the original person who tweeted this actually replied a correction as well. So to their credit, like corrected this misinformation that correction got five retweets. So it was literally like a 200 to one ratio of the. The controversial, but untrue thing, so that true, but maybe a little less [00:31:00] of a salacious story thing that went out there. And that really broke my heart as well, because that's obviously an issue that's near and dear to the hearts of many people.[00:31:10] And especially over the past year. And to know that there might have been folks who might've applied for automatic and then saw that and said, Oh, this isn't a place that's going to be welcoming to me. Was just despondent. So it's just a good example of that. There's also someone usually on the other end of these tweets, like in the jet pack example, like someone who made that example, the person who fixed it, like within 24 hours, like we should remember this humans on the other side,[00:31:36] Medeiros: [00:31:36] right. Yeah. And definitely appreciate the team that, that adjusted that I would say for the record that I'm not spreading disinformation or cosmetic conspiracy[00:31:45] Mullenweg: [00:31:45] do use your crushers. I appreciate.[00:31:47]Medeiros: [00:31:47] That I tried to do this stuff. I am very passionate about it. Yes. And I can only make assumptions. The what I will say is I think that in the longterm where you might not [00:32:00] call jet pack a direct competitor, I would say that there will be a market correction.[00:32:06]As Jetpack solves things like grab like forms better or galleries better, or I dunno, some other feature in there better than let's say Pippin's plugins. Eventually. I feel like the advantage that Jetpack has in both a brand and positioning that we'll see a correction of maybe losing three of these smaller product companies.[00:32:30] In the longterm as jet pack becomes much more mature, much more fortified. Is that fair?[00:32:36]Mullenweg: [00:32:36] I do worry about that, but it is a very, long-term worry. Meaning at the point when we're unable to add new users have worked for us[00:32:45] Medeiros: [00:32:45] Right?[00:32:46] Mullenweg: [00:32:46] and that's remember, there's still 6.9, 9 billion people who haven't used WordPress yet. So we have a ways to go, but for extremely mature technology companies, Facebook has 2 billion people, daily active users, they're running out of people.[00:32:58] And so it is much more zero sum. [00:33:00] One thing that it was cool about all the year-end wrap-ups that got posted from the different commercial companies, the volunteers, everything of the people in WordPress community last year, which by the way, it was a challenging year for humanity. Was a pretty good year for all of the businesses you just mentioned and also a good year for automatic.[00:33:17]As we expand the pie, everyone's portion of the pie can also keep growing without a necessarily be a zero sum between them. We can work in these economics of abundance versus economics of scarcity. And that's why if I get ever criticized. For really prioritizing growing the number of numbers of users of WordPress.[00:33:38]It is true. It is very important to me that we at in our mission to democratize publishing that we bring more people on the WordPress, the platform. I think it's, is it a trailing indicator of us doing our job of creating good product? Also keeps the companies from it allows us to work together a lot more.[00:33:54]Even one thing that's beautiful and WordPress direct competitors work together all the time. Hosting companies that are literally selling [00:34:00] the exact same thing. We'll have developers coordinating on a new feature. I also will say yourself included that WordPress is blessed with a really great media.[00:34:09]We have had in the past say a few years, some of the polarization where the, of the world seep into our communities where we're fast to jump to conclusions or create sides on things. But at the same time I've never run into someone in the WordPress kind of public space or things like that, that didn't really care about the truth as well.[00:34:31] And was, it was willing to update their worldview based on new information. And I hope myself included. I can demonstrate that I'll have strong opinions, but loosely held if new information is there, I want to update my, my view of reality because. If I am far from reality, that's going to be bad for myself and everyone involved, everyone that have influence over where the closer I can be to understand reality the better and my [00:35:00] role in responsibility as a leader within this community, I can help navigate and focus my attention and my contributions to whatever's most con constructive for all the stakeholders and WordPress community.[00:35:13] Medeiros: [00:35:13] I'd say that I have a good understanding of your view of jet pack so far I'm not fully convinced that maybe not maybe saying even reached the resolution on the implementer or the builder's space and the connection there and that's okay. What I want to[00:35:29] Mullenweg: [00:35:29] a good question to ask though. Automatic is a business and does move into business areas. Has any business automatic moved into so far, the elimination of all its competitors. Have the host grown or shrunk since wordpress.com started are the other foreign plugins doing better or worse than Jetpack forum started?[00:35:49] Like you can almost look at every single example. We, my experience has been that automatic entering a place generally grows the market. Doesn't operate in a zero sum way. [00:36:00] Enterprise is the same way. Think this came up, actually, it was a great tweak correction. It might've been Bridget or someone who said, automatic copy the, I forget what it was and I don't want to misquote it.[00:36:08] But basically the implication was we moved into enterprise space and took the oxygen out of the room from these companies I 10 up and others. And in fact, all those companies started after cross hybrid, et cetera, started after VIP. And I think VIP has been a big contributor to their business growing and scaling.[00:36:24]Medeiros: [00:36:24] One of the things that I think that I've often talked about again, when for some reason people ask me like, what your thoughts are. I don't know I don't know what[00:36:30] Mullenweg: [00:36:30] You are an influencer.[00:36:32] Medeiros: [00:36:32] name. The people say don't you think it's just because, they want to IPO and they want to do all of this and they have this investments and they need to pay back the investors and that kind of thing.[00:36:43] My hunch is that you've had tyranical capitalism knocking at the door to try to do something with core WordPress, wordpress.org and with Woo commerce, and the only like real painting I've [00:37:00] illustrated to myself and to maybe others is that, that you are actually defending. From, the monetization of core WordPress or, this aggressive capitalistic play on monetizing WordPress.[00:37:12] I think that you might be actually defending, I can't imagine the amount of emails you've deleted, where people wanted to throw money at you for the sake of the greater good being WordPress of course. And it's four freedoms. But there has to be some loss there. And I think maybe the loss is we're going to defend this thing called WordPress and to appease investors.[00:37:34] And it's not even a piece, it's not even the right word, but we're going to show them. We have this thing called Jetpack. That is Matt's defense. Your defense to say, look, we don't look guys. Don't worry about trying to monetize wordpress.org or WooCommerce directly. Let me show you Jetpack instead as a way to defend WordPress with the unfortunate cannon fodder being the implementer or the business person.[00:37:58] And I don't even at [00:38:00] not even saying that this is a bad thing, because I can't even imagine how many times you've had to defend and put a fence around people who have said, if you just put an ad right here, you could make $5 million a month by putting a buy now on the install, WordPress page or something like that.[00:38:16]It's, that's a feeling of mine. I have obviously, no. Insight into that, but you can either speak to that or not, but I feel like that is Jetpack is is a great way for you to say save the core WordPress open source. This is what I focus on. If we're not talking about Jetpack, we're not talking about investing in, in, in automatic or even looking at WooCommerce, that kind of thing.[00:38:39] Do you think that's fair?[00:38:40]Mullenweg: [00:38:40] Yeah, there. Yeah. So I would say a weakness of mine is I'm not building websites anymore for $25 an hour. I've been very fortunate even outside of WordPress with my investments and everything like that to essentially be a lottery winner. And so since. My early twenties. I have not been motivated by [00:39:00] more money cause I have more than any one person could need, but really motivated by the impact of my work and the things I'm supporting in a part of in the world.[00:39:11] And the toughest thing within any open source or any open community is essentially commercial interests. That take too much for themselves without putting enough back. That's why we have the fire for the future program. It's amazing that all it takes is 5% 95% could be doing whatever. But if every company in the WordPress community did put that 5% in WordPress would actually be, I would say three to five times larger than it is today.[00:39:42]We have some amazing companies, the tinnitus, the Yost automatics that do a lot of this. And I hope that more and more joining the suture as they see those companies also do really well. But. That is my motivation. So that, I guess the bright side of that is it would be really hard to bride me.[00:40:00] [00:40:00] The downside of that is that I do need to do extra work, to stay in touch with the builders with everyone else that you talked about the other companies. And so that's why I just try to have that open door policy and know I had a zoom with one of the With a large agency folks yesterday and just hearing like, how's your business going?[00:40:18] How's, what's the latest, what's the, what are they hearing from their clients? What are they building on Gutenberg versus others? How are they bidding against other things in the market? How's Adobe experience manager doing? So these things are really helpful because I do have the part of the world that I work in every day.[00:40:33] And and so I need help to stay connected to all the rest of the things going on in WordPress.[00:40:37]Medeiros: [00:40:37] You said your one week, that was one week. I think, man, you do a lot. You do too much, Matt. You do too much like that. You let it go. Like you said, you were very, you felt very personally responsible for the builders. When I jokingly, maybe it doesn't come off as a joke and I'd say things like a PR agency or stuff like that, like I think.[00:40:54] You need to just give someone that role to really stay grounded [00:41:00] to that, and then maybe report to you or something like that. I feel like you, I, this is just me speaking bluntly. I feel like you wear too many hats but kudos to you for balancing it for 20 years. [00:41:10] Mullenweg: [00:41:10] So I'm always putting hats on and taking hats off.[00:41:13]A good example is I was actually personally running wordpress.com last year. And so that was a lot of work. [00:41:19] Medeiros: [00:41:19] Yeah. [00:41:19] Mullenweg: [00:41:19] And, part of doing that was also identifying someone I could pass that hat to. Actually we just started a new framework inside automatic called hats. That sort of shows that like many roles, especially in a fast growing company, you might take on and put off without necessarily a title change or something like that. So we need to be flexible to do things differently. I really do look up to, these are flawed role models, but folks like.[00:41:45]Elon Musk or bill Gates, or, folks who are, can say highly, technically connected to every single part of the business, and then use that knowledge to help navigate, because I do believe that the more layers of [00:42:00] abstraction you're dealing with the further away from reality you are and the harder it is to understand what's really going on.[00:42:06]So we do, we do obviously hire lots of people that do the things I used to do things instead of me But occasionally I feel, and for any leaders listening to this it's it's good to dive down into the details. I was doing some live chat support last week. Yeah. I'm hoping to do some more this week.[00:42:20] So if you chatted with wordpress.com support, you might've gotten me is that the most valuable use of my time? If it were 40 hours a week now, but if it were a couple of hours a month, Oh it's invaluable. I think it's actually one of the most valuable things I do. So it's I would say, think about even when you scale to thousands of people, how you can stay connected to the core of your business, which is really the customer[00:42:42]Medeiros: [00:42:42] I think maybe one of the things that be coming out of 90, and we're not even out of the pandemic yet, but we're go through those that this whole last year and seeing so many. People that I've seen on Twitter saying, look, the client business has dried up I say, man, wouldn't it be great. If [00:43:00] instead of automatic launching their division of $5,000 websites, there was this collection of building and boutique agencies that could satisfy the needs of a $0 to $5,000 website. And lift these people up. Who've been, cheerleaders for WordPress for many years.[00:43:19] Mullenweg: [00:43:19] I a hundred percent agree with you there.[00:43:21]So I think we're in total agreement. It's just an order of operations, to, to launch the test, we've done things like Jetpack pro and other things to pick up pro and others that essentially build an agency list. Obviously the enterprise side of the business works with dozens of partners there and sends all that out.[00:43:38]But for this, which is literally a test with one or two people working on it, it was easier to work with an Upworker, a codeable to try to see if we'd get that funnel. Because it's no good for us to bring in 20 or a thousand agencies, if there's only five clients a month going through it. We need to flow first.[00:43:53] And so just from the order of building it, like to test this concept, to see whether this is even something people signing up for wordpress.com want [00:44:00] it was just, what the resources, this thing was, I really did mean it was an experiment when it's very much to go. I think that's when you start to say, okay, how do we open this up?[00:44:09] It is very clear. And I've said this before automatic is not a consulting company. We're not a people shop and we're very much all about technology and engineering and algorithms and that sort of deep tech and SAS services and that sort of stuff is where we're always going to focus. So any place where we're able to send out consulting or building or something that we're going to look for the opportunities to do because that's just how we've.[00:44:37] Define the business. It is pretty core to our identity. There's also things like jobs.wordpress.net that we do need to loop back on and do a better job of I noticed actually as part of that discussion that the LinkedIn jobs, that word presented had fallen off the footer of wordpress.org, by the way, for those who don't know, which probably almost everyone, this is a free job listing site where people can list.[00:44:58] People they want to hire or look for [00:45:00] jobs in the WordPress world. That's, you're probably be way better. Maybe also someplace where we charged the minimum amount to keep out spam and stuff. So that might be, someplace where we say it's $5 to list your job or something that just goes to the WordPress foundation.[00:45:12] But again, if we ever charge for things, it's usually for They keep the quality high, like why do we charge for our camp tickets it's so we can properly plan for how much food to buy and how many t-shirts to order, because when you make a totally free, a lot of people sign up and don't show up.[00:45:26] So if we charge 20 to 25 bucks, it's not going to keep anyone from going, you get by the way, probably $500 or a thousand dollars worth of value from that. But allows for less wastage in the planning. So sometimes if you do see a charge on the.org side of things, it's usually for that reason then necessarily trying to.[00:45:44] Create a marketplace or something. And a lot of people don't know this, but.org doesn't have the WordPress foundation has no full-time employees. There's zero. And so that is a design goal. So when you say make a marketplace, it's already even a small marketplace, I need to hire 20. Or [00:46:00] twenty-five people building the billing systems, handling refunds, doing support, all these sorts of things.[00:46:03] And we do try to keep the employee base of the word presentation. Totally zero. Now we have lots of people working full-time on WordPress, but they are generally. Sponsored or volunteering or doing that as part of they're employed by someone else. So that's just also something good to put out there because a lot of people don't realize that[00:46:21]Medeiros: [00:46:21] Let me just drill down on that one that one specifically, because it was a note that I had, but I skipped over it, the quick story is I remember years ago.[00:46:28] And let's talk about some of the, the frustration of a product person. This should have gone earlier in the conversation, but the frustrations of a WordPress product person, stemming from some of the experiences we, it's not just me, it's many others openly blogged about it.[00:46:42]Spending a theme to wordpress.org many years ago. I remember the theme that I put in was called journal, right? We're writing it, we're making a journal. And someone said. Now that name is too too vague, too ambiguous, right? We have to get something tighter and then Mo and then months later, I saw a theme get approved [00:47:00] called paper, and I was going, wait a minute, journal paper.[00:47:04] What's the difference? So it's these, this is a small blip in the galaxy of events, but it's those types of things where it's largely led by volunteers. And people should not be upset of the volunteers. It's the nature of the structure. And this is where I think people turn to and say if you made it a paid marketplace, there would be.[00:47:26] There's probably, and you probably know this better than I do. It's probably a billion dollars that flows through wordpress.org. There's probably something in there where we could carve out some money to pay for a team. It's not an easy task, but one that I think would still be very profitable.[00:47:40] I could be totally wrong. So that is a feeling and it's not just me. This is many people echo this feeling of why is it free? Why is it volunteered? Why are they making decisions? Commercially based decisions, those types of things. [00:47:53] Mullenweg: [00:47:53] It's it's a, it's one of the, I think biggest mistakes I seen as a meme, the WordPress world that [00:48:00] free can not mean high quality. And I think WordPress itself. Largely developed by volunteers. Again, 95% of the contributors are not paid or sponsored by any company that you can actually have something that's world-class, the equivalent of millions of dollars of value.[00:48:17] If you were paying Adobe or someone for a CMS that wasn't as good as WordPress developed for free by volunteers, Wikipedia, like there's so many examples, Bitcoin, gosh doing that, never underestimate, underestimate. The power of people, passionate about an area working on it together for love, not money and doing so in a way where the ownership is shared.[00:48:41]So if anything, I want to encourage a lot more of that. It doesn't mean people can't make money. It just means that let's never assume that just because something is free. A free theme. Can't be the best darn theme in the world. The free page builder, can't be the best darn page builder, not just in the WordPress world, but in the entirety of all CMS, it's a with [00:49:00] Gutenberg.[00:49:00] So there's ways to do it. And so if you ever find yourself saying that, just question that assumption. Cause there's so many counterfactuals to it.[00:49:06]Medeiros: [00:49:06] Do you ever feel like. You're just getting started with WooCommerce. Like when you just take a step back and you look at, and you go, man, I haven't even done anything. And again, people ask me all the time. What do you think Matt is doing with WooCommerce? Like I know, I feel like you have the same challenges.[00:49:26] A lot of us product people have where you have money. But you just can't get enough darn people on this thing at the same time to get this thing moving. It's a very similar challenge to maybe even Pippin's plugins and SIADH and Yoast. It's not the money. It's the time. It's the people and getting that all in sync.[00:49:47]What are your thoughts on WooCommerce? Just getting started or however you see it.[00:49:54] Mullenweg: [00:49:54] it's day one with all commerce, the, when you look at the potential there [00:50:00] I often say that we're WooCommerce is where WordPress was in 2008. I would say that's for software maturity in terms of like where sort of percent of the market that it's captured, it's where WordPress wasn't like 2003, what?[00:50:14] It was like B2, plus some hacks. There's just so much there and probably a good place to mention that automatic is hiring for 30 or 40 open roles. So whatever is, you're a copywriter. If you're a support person, if you're person like, we are hiring as fast as possible. And and a lot of those new hires are going into the WooCommerce side of things.[00:50:33] So if you're interested in that, it is it's the largest rocket ship I've ever been a part of. And if we do it right, it is not just bigger than all the rest of automatics businesses combined, but probably maybe like a. Two to 10 X bigger.[00:50:51]Medeiros: [00:50:51] That's tremendous. One of the things. Speaking of products. I wish you put more money into things like video press was a [00:51:00] phenomenal product, but it's all integrated into Jetpack. Now with this rise in a video and all of this stuff is that just going to be a long-term bet or is, do you not see like that chunk of Jetpack or the business being something that's a very alluring right now?[00:51:17] Mullenweg: [00:51:17] Yeah, just to give two little previews for your audience. Cool update the video press conference. It is very eminent, good player, especially is so much cooler so much nicer. It feels even more modern than like a YouTube player. Continuous updates to the infrastructure. So we're making as automatic builds out its global network.[00:51:35] I think we're 30 plus points of presence globally. If you look at DNS perf we're usually second to only CloudFlare or Google for how fast the network is, it's a kind of hidden part of automatic. Then I'm really proud of that. Not a lot of people know about. So look for that to be a lot faster.[00:51:51] And then finally as you probably see with Jetpack CRM, Jetpack backup, a few things is we're making it so you can both buy and [00:52:00] install these things. All a cart. Don't think video press is still standalone plugin right now, but essentially what we've been doing with Jetpack is architecting it.[00:52:07] So if people just want one of these features, they could just install that, add on a plugin much like Jetpack backup for CRM or how kismet and Jetpack interact. We want to get people the flexibility. To pick and choose just what they want because I do it's not entirely true because Jetpack has its own internal plugin system.[00:52:27] So if you're only using one module, the rest of the code has been loaded. It's not somebody on your side at all. But I do get the perception where people will like, does 20 things while using five of them. So yeah, ways that we can break it up, I think are are helpful. Aye. There still is.[00:52:41]The truth is that if you install Jetpack and the CD and everything go make your site faster, though. And I think a lot of people, I appreciate that people can start different benchmarks and things to overcome the the myth that Jetpack slows your site down. When in fact it actually speeds it up.[00:52:54]Medeiros: [00:52:54] I don't do bonus rounds anymore, but here it is. I totally side with you on the [00:53:00] The other Matt and Matt feud with the JAMstack stuff. Look, I, again, diehard a WordPress fan. When I start to see all of these points of services connecting together, just for me to publish a website, I'm like, what's the point?[00:53:13] I can do it all with WordPress. And the note. And so they're getting to the question the no code, low code movement. Is phenomenal right now. I feel it's again, like you were saying, like it's like WordPress 2004, when everyone was like, look what I can build with advanced custom fields in WordPress.[00:53:30]Arguably WordPress, probably the best no-code low-code tool that's that's been in existence for for 20 years. [00:53:37] Mullenweg: [00:53:37] But maybe we have the worst marketing team. So we've got some things we can learn there.[00:53:41]Medeiros: [00:53:41] And I see all these people putting, Hey, I'm using web flow, I'm using air table. And then I'm coupling that with a gum road and MailChimp. And and I'm looking at it, just, my head is hurting but you don't own any of these points in your stack that you could do with WordPress.[00:54:00] [00:54:00] And I guess the frustration. Is that a lot of people look at it and go, geez. I don't think I can do this with WordPress or WordPress is too slow, too. Yada, whatever they have to say. It's an amazing time. Do you feel like the no code, low code movement is a fad? Do you see all of these things going away to a degree[00:54:19] Mullenweg: [00:54:19] some of the companies are fats. The movements is basically the movement. It's a multi-decade movement that WordPress has been surfing, which is this idea that things you used to have to spend hundreds of thousands of dollars to do. Sometimes software, I can make it with a few clicks you can do.[00:54:39] And that's so empowering. That's a promise where to see technology at its best when it essentially gives super powers to people. That's what we mean by democratization is it's providing a freedom of expression capabilities that wouldn't be there without the software. And so that, it's been rebranded recently.[00:54:58] He's like low-code or no-code [00:55:00] you are correct that WordPress is. In many ways, a low-code or no-code tool we don't get credit for it. There was basically, I just saw a website builder report and I was like, Shopify is 50%. I was like, what? And then I looked and they weren't counting WordPress as a website builder.[00:55:15] And I was like, Oh, okay. [00:55:18] Medeiros: [00:55:18] This is where your angry tweet comes in. Why did you do this?[00:55:21] Mullenweg: [00:55:21] okay. They have a very specific reason where it basically like, as Gutenberg gets further on, I think they'll count us as a website builder. So the methodology was consistent if even if I didn't agree with it. And it is true that Shopify is really the only other platform other than WordPress that's growing in a meaningful way.[00:55:40] So I think it was interesting to look at,[00:55:41] Medeiros: [00:55:41] Yeah.[00:55:43] Mullenweg: [00:55:43] go ahead.[00:55:44] Medeiros: [00:55:44] I was going to say to your note about like empowering, like feeling empowered through software the biggest. Revelation to me as a quote, unquote developer many years ago was Drupal version four with the combination of CCK and views. My mind [00:56:00] was blown. Like I could build a view of data without having to write a query and knowing, back then and how to write SQL and stuff like that.[00:56:09] And I was like, wow, this is magical. Those are moments that you feel powerful when you're able to do that kind of thing.[00:56:17] Mullenweg: [00:56:17] I think where there's a huge opportunity for word press community, including individual bloggers is an education and tutorials. So let's say that something, when you just listed the Webflow plus air table and come road. What's each one, each name you listed. There is a business with sometimes hundreds of employees.[00:56:36] That's making millions and millions, probably tens of millions of dollars. And so they invest a lot into essentially user education, tutorials conferences, things like that. We need to do a lot better job. At writing the walk-throughs did you ever see a video game walkthrough? It's like curious how to get through super Mario or something like that.[00:56:56] Like, all these things are possible with WordPress, but some of those [00:57:00] levels, the boss monster is really hard and people don't make it fast enough. So if there's a little bit of a tutorial or walkthrough, that's really valuable. And I think it's also important for these to come from folks without necessarily commercial interests.[00:57:13] There are a lot of. A lot of the tutorial, if you Google for a lot of things around WordPress, you end up on affiliate sites and people are just trying to sell you a particular thing. And, we need a lot more of that. Here's the best way to do it. Maybe it says you should buy something.[00:57:29]Maybe it doesn't, maybe there's a free alternative. And so I think that's a downside as well as almost every WordPress company has an affiliate program. Sometimes the sort of free and unbiased tutorials and things are. Are just shelling for one [00:57:43] Medeiros: [00:57:43] Let, let Let me step in as your PR coach, Matt. Nope. Let's avoid. That is a lot of people listening to this who are WordPress YouTubers myself included, but I don't use a lot of affiliate links. [00:57:52] Mullenweg: [00:57:52] I'm not saying there's anything wrong with affiliate links, but I think what's beautiful is you want to promote the best solution and you don't have the [00:58:00] integrity to say that maybe something's not paid. It might be the best solution for this particular thing.[00:58:05]Medeiros: [00:58:05] A hundred percent Matt Mullenweg. Thanks for taking some time out of your day to, to reach out and have this discussion. Obviously folks can find you everywhere. Twitter, your blog, M a T [00:58:17] Mullenweg: [00:58:17] made that TT. Yeah. Fotomat pho, T O M a T on Tumblr, Instagram and Twitter. I'll try. I'm trying. One of my resolutions is to fight less on Twitter. So I'm trying to [00:58:28] use that one a little less. I could do a lot more if I use Twitter less. So watch out 2021.[00:58:36] Medeiros: [00:58:36] Take to by someone everyone else. mattreport.com. mattreport.com/subscribe to join the mailing list. We'll see you in the next episode.[00:58:43] Mullenweg: [00:58:43] Hey Matt, thank you so much. I really appreciate this.[00:58:47] Medeiros: [00:58:47] I appreciate it as well. Matt. Thanks a lot. ★ Support this podcast ★
Copeptin and its role in the diagnosis of diabetes insipidus and the syndrome of inappropriate antidiuresis - Clinical Endocrinology. 2019;91:22–32. (DOI: https://doi.org/10.1111/cen.13991)
Today we go over SIADH and Diabetes Insipidus! --- Support this podcast: https://anchor.fm/scott--shapiro/support
Pediatric intensivist, Dr. Will Cagle joins the show to discuss the AAP Maintenance IV fluid guidelines and considerations when choosing IV fluids for pediatric inpatients. What do you need to know from the 2018 AAP maintenance IV fluid guideline? How common is hyponatremia in hospitalized patients and why does it matter to your practice? What is SIADH and how does it contribute to hyponatremia in acutely ill children? How can we prevent hyponatremia in our hospitalized patients? What are the differences between hypotonic and isotonic fluids? What are balanced solutions and why might they be preferred as compared to saline in some clinical settings? All of this and more from the Department of Pediatrics and the Medical College of Georgia. Check out our website for detailed show-notes: https://www.augusta.edu/mcg/pediatrics/residency/podcast.php Special thanks to Dr. Asif Mansuri and Dr. Gene Fisher for providing peer review for this episode. Questions, comments, or feedback? Please email us at mcgpediatricpodcast@augusta.edu Want Further Reading? Check out the clinical practice guideline from the AAP and our other references below. Feld LG, Neuspiel DR, Foster BA, et al. Clinical Practice Guideline: Maintenance Intravenous Fluids in Children. Pediatrics. 2018;142(6):e20183083. doi:10.1542/peds.2018-3083 Semler MW, Self WH, Wanderer JP, et al. Balanced Crystalloids versus Saline in Critically Ill Adults. N Engl J Med. 2018;378(9):829-839. doi:10.1056/NEJMoa1711584 Cuzzo B, Padala SA, Lappin SL. Vasopressin (Antidiuretic Hormone, ADH) [Updated 2020 Apr 28]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2020 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK526069/ Chowdhury, Abeed H. BSc, MRCS*; Cox, Eleanor F. PhD†; Francis, Susan T. PhD†; Lobo, Dileep N. DM, FRCS, FACS* A Randomized, Controlled, Double-Blind Crossover Study on the Effects of 2-L Infusions of 0.9% Saline and Plasma-Lyte® 148 on Renal Blood Flow Velocity and Renal Cortical Tissue Perfusion in Healthy Volunteers, Annals of Surgery: July 2012 - Volume 256 - Issue 1 - p 18-24 doi: 10.1097/SLA.0b013e318256be72 Peti-Peterdi J, Harris RC. Macula densa sensing and signaling mechanisms of renin release. J Am Soc Nephrol. 2010;21(7):1093-1096. doi:10.1681/ASN.2009070759 Wilcox CS. Regulation of renal blood flow by plasma chloride. J Clin Invest. 1983;71(3):726-735. doi:10.1172/jci110820
Die Hyponatriämie ist eine sehr häufige Abnormität, die zumindest milde bei bis zu 30% der hospitalisierten Patienten gefunden wird. Milde und ohne Symptome muss sie meist gar nicht besonders – vielleicht mit Ausnahme von „normaler“ Infusionstherapie mit balancierten Vollelektrolytlösungen – behandelt werden. Kommen aber Symptome hinzu, wird es spannend. Eine Überkorrektur ist mindestens genauso schädlich … Weiterlesen
Drs. Young, Blaine and Ambruso explore a case of SIADH, why we DON'T use normal saline in SIADH and how to correct symptomatic hyponatremia.
In episode three we talk about the difference between DI and SIADH, commonly misunderstood Endocrine subjects! A topic that confuses many, but listen to how Dr. Zeeshan breaks this bad boy down! Many people get overwhelmed with all the information that's out there, we keep it simple! Join us weekly for FREE Zoom Sessions and be one of the many REPEAT test takers that passed the exam by spending NO MONEY with NCLEX High Yield! NCLEX High Yield is a Prep Course and Tutoring Company started by Dr. Zeeshan in order to help people pass the NCLEX, whether it's the first time , or like the majority of our students, it's NOT their first time. We keep things simple, show you trends and tips that no one has discovered, and help you on all levels of the exam! Follow us on Instagram: @NCLEXHighYield or check out our website www.NCLEXHighYield.com Make sure you join us for our FREE Weekly Zoom Sessions! Every Wednesday 3PM PST / 6PM EST. The link is in out Instagram Bio, or email contact@nclexhighyield.com to be added to our list. --- Support this podcast: https://anchor.fm/nclexhighyield/support
In this podcast, I discuss the pathophysiology, signs and symptoms, causes, treatment and nursing interventions of Syndrome of Inappropriate Antidiuretic Hormone (SIADH). Let's Review!
Dr. Joel Topf joins us on Rounds to discuss and review key concepts in the recognition and management of acute kidney injury (AKI) in the SICU. AKI is a common and morbid complication among hospitalized patients. Further, trauma and surgical patients, in particular, are at an increased risk for AKI due to the myriad of pre-, intra-, and postrenal insults that commonly occur at the time of injury, during resuscitation, surgery,, as well as from iatrogenic insults including IV contrast, NSAIDs, antibiotics (aminoglycosides and the infamous Pip/Tazo/Vanco ice cream sandwich). From the use of a DDAVP clamp in patients with severe hyponatremia to the use of balanced solutions in critically ill patients, kidney_boy breaks it down for us as only a true salt whisperer can!
Þórir Einarsson Long sérnámslæknir í almennum lyflæknir ræðir hýpónatremíu í eitt skipti fyrir öll. Hvað er hýpónatremía og hvað eigum við að lesa í það að ef sjúklingur mælist með of lágt natríum? Þórir ræðir hvaða stýrikerfi í líkamanum koma hér við sögu og fer í kerfisbundið í gegnum uppvinnslu og meðferð. Hvað ber að varast og hvernig forðum við sjúklingnum frá natríumbjargbrúninni? Stjórnendur Dagáls læknanemans eru Sólveig Bjarnadóttir læknanemi á 6. ári og Teitur Ari Theodórsson læknanemi á 5. ári. Dagáll læknanemans er sjálfstæð þáttasyrpa innan Hlaðvarps Landspítala.
HelixTalk - Rosalind Franklin University's College of Pharmacy Podcast
In this episode, we discuss the pathophysiology, drug-related causes, diagnosis, and treatment of a common type of hyponatremia called the syndrome of inappropriate antidiuretic hormone (SIADH).
Take your salt game to the next-next level. We brushed off this fan favorite episode and rebooted #48 hyponatremia deconstructed with our Chief of Nephrology, Dr. Joel Topf aka @kidney_boy aka The Salt Whisperer for your CME earning pleasure. Learn the correct steps to diagnose and manage this common and dangerous condition. Topics covered include: true versus false hyponatremia, SIADH, tea and toast hyponatremia, beer potomania, safe rates of sodium correction, IV fluid choice, vaptans and more. Listeners can claim Free CE credit through VCU Health at http://curbsiders.vcuhealth.org/ (CME goes live at 0900 ET on the episode’s release date). Show Notes | Subscribe | Spotify | Swag! | Top Picks | Mailing List | thecurbsiders@gmail.com | Free CME! Credits Original episode written and produced by: Matthew Watto MD, FACP Show Notes and CME questions by: Deb Gorth ScM Cover Art and Infographic by: Edison Jyang Hosts: Stuart Brigham MD; Matthew Watto MD, FACP; Paul Williams MD, FACP Editor: Molly Heublein (written materials); Matthew Watto MD (audio) Guest: Joel Topf MD Sponsors POCUS Fellowship at University of Pennsylvania A novel, collaborative, POCUS fellowship training is available at the University of Pennsylvania for IM and FM graduates! In 2016 they leveraged the robust EM ultrasound fellowship training infrastructure with UPenn’s progressive Department of Medicine to create the 1st multi-specialty clinical ultrasound fellowship. Their graduating fellows have made them proud by accepting leadership positions, and if you want to be on the cutting edge, you should join their team. Interview season is in full swing and they’re actively accepting applications. Please go to pennultrasound.org or contact nathaniel.reisinger@pennmedicine.upenn for information. You can apply for fellowship using the eusfellowships.com portal. VCU Health CE The Curbsiders are partnering with VCU Health Continuing Education to offer FREE continuing education credits for physicians and other healthcare professionals. Visit curbsiders.vcuhealth.org and search for this episode to claim credit. Note: A free VCU Health CloudCME account is required in order to seek credit. Time Stamps 00:00 Intro 03:30 Guest interview 07:15 Pick of the week w/Dr. Topf 16:20 Clinical case of hyponatremia 17:48 False hyponatremia normal osmolality 19:34 False hyponatremia high osmolality 20:36 Understanding why osmolality matters 23:28 Workup false hyponatremia 24:45 Recap of discussion so far 25:40 ADH dependent vs independent hyponatremia 27:00 Psychogenic polydipsia 289:15 Renal failure and hyponatremia 30:03 Tea and toast, and Beer Drinker’s potomania 35:22 ADH dependent hyponatremia 38:15 Volume versus osmolality 40:00 Volume status exam 45:14 Additional testing with urine lytes and uric acid 47:30 Treatment for SIADH 52:42 Discussion of the vaptans 58:21 Additional testing in SIADH 62:50 When to admit patient for hyponatremia 63:59 Clinical case of hyponatremia complications 68:56 Fluids and rate of correction 73:36 DDAVP clamp 76:30 Moderate hyponatremia 78:35 Diuretic dosing DOES matter! 81:59 Loop diuretics for SIADH 84:25 Take home points 87:25 Outro Links* Dr. Joel Topf’s Textbook Dr. Joel Topf’s Blog Dungeons and Dragons Tartine (cookbook) by Elizabeth M. Prueitt I Hate You, Don’t Leave Me by Hall Strauss Intentional Parenting by Sissy Goff Mindset by Carol Dweck Nintendo Switch 8.0 Bit Techno- The Curbsiders Theme Song by Stuart Kent Brigham Ure-Na European Society of Endocrinology Clinical Practice Guidelines. Don’t miss Dr. Topf on twitter aka @kidney_boy. *The Curbsiders participates in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for sites to earn advertising commissions by linking to Amazon. Simply put, if you click on our Amazon.com links and buy something we earn a (very) small commission, yet you don’t pay any extra. Goal Listeners will recall the pathophysiology of hyponatremia and develop a systematized approach to identifying the type and cause of hyponatremia, as well as how to safely manage hyponatremia. Learning objectives After listening to this episode listeners will… Differentiate true and false hyponatremia Recall the pathophysiology of true and false hyponatremia Interpret blood and urine tests to identify the cause of hyponatremia Recall the limitations of the volume status exam List ADH dependent causes of hyponatremia List ADH independent causes of hyponatremia Explain the pathophysiology of beer drinker’s potomania and “tea and toast” hyponatremia Use uric acid to differentiate SIADH from other causes of hyponatremia Basic therapy for SIADH Recall safe rates of correction for hyponatremia Disclosures Dr. Topf has received honoraria from AstraZeneca and Cara Therapeutics. He is joint venture partner in Davita Dialysis centers receiving dividends. The Curbsiders report no relevant financial disclosures. Citation Topf J, Gorth DJ, Williams PN, Brigham SK, Heublein M, Jyang E, Watto MF. “REBOOT #48 Hyponatremia Deconstructed”. The Curbsiders Internal Medicine Podcast. https://thecurbsiders.com/episode-list Original air date: July 17, 2017; Updated September 7, 2020.
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NRSNG NCLEX® Question of the Day (Nursing Podcast for NCLEX® Prep and Nursing School)
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Have you been trying to keep up with the medical literature, but its eat out to help out, and nothing is getting in the way of 50% your favourite pizza joint?In this months episode:..How to use D-dimers to diagnose cerebral venous thrombosis...(04:17)Heldner, Mirjam R et al. “Prediction of cerebral venous thrombosis with a new clinical score and D-dimer levels.” Neurology vol. 95,7 (2020): e898-e909. doi:10.1212/WNL.0000000000009998...Do we still need metronidazole for pneumonia?...(07:13) Marin-Corral, Judith et al. “Aspiration risk factors, microbiology and empiric antibiotics for patients hospitalized with community-acquired pneumonia.” Chest, S0012-3692(20)31905-X. 17 Jul. 2020, doi:10.1016/j.chest.2020.06.079...Ambulatory pneumothorax management...(09:45) Hallifax, Rob J et al. “Ambulatory management of primary spontaneous pneumothorax: an open-label, randomised controlled trial.” Lancet (London, England) vol. 396,10243 (2020): 39-49. doi:10.1016/S0140-6736(20)31043-6...SIADH management: more to it than just fluid restriction?... (16:37)Krisanapan, Pajaree et al. “Efficacy of Furosemide, Oral Sodium Chloride, and Fluid Restriction for Treatment of Syndrome of Inappropriate Antidiuresis (SIAD): An Open-label Randomized Controlled Study (The EFFUSE-FLUID Trial).” American journal of kidney diseases : the official journal of the National Kidney Foundation vol. 76,2 (2020): 203-212. doi:10.1053/j.ajkd.2019.11.012...How harmful are steroid bursts?... (22:15)Yao, Tsung-Chieh et al. “Association Between Oral Corticosteroid Bursts and Severe Adverse Events : A Nationwide Population-Based Cohort Study.” Annals of internal medicine vol. 173,5 (2020): 325-330. doi:10.7326/M20-0432...Candesartan's role in cognitive decline... (25:11)Hajjar, Ihab et al. “Effects of Candesartan vs Lisinopril on Neurocognitive Function in Older Adults With Executive Mild Cognitive Impairment: A Randomized Clinical Trial.” JAMA network open vol. 3,8 e2012252. 3 Aug. 2020, doi:10.1001/jamanetworkopen.2020.12252...Weight loss: when do you go hunting for cancer?... (29:16)Nicholson, Brian D et al. “Prioritising primary care patients with unexpected weight loss for cancer investigation: diagnostic accuracy study.” BMJ (Clinical research ed.) vol. 370 m2651. 13 Aug. 2020, doi:10.1136/bmj.m2651...Baloxavir: the antiviral no ones talking about...yet...(33:15)Ikematsu, Hideyuki et al. “Baloxavir Marboxil for Prophylaxis against Influenza in Household Contacts.” The New England journal of medicine vol. 383,4 (2020): 309-320. doi:10.1056/NEJMoa1915341...Is race/ethnicity a factor in physician burnout?... (29:16)Garcia, Luis C et al. “Burnout, Depression, Career Satisfaction, and Work-Life Integration by Physician Race/Ethnicity.” JAMA network open vol. 3,8 e2012762. 3 Aug. 2020, doi:10.1001/jamanetworkopen.2020.12762
Heute geht es um das Syndrom der inadäquaten ADH Sekretion. Ihr könnt mir gerne unter podcast@ilja-osthoff.de schreiben, wenn Ihr Wünsche oder Anregungen habt
Drs Ambruso, Blaine and Young review a case of an elderly woman who is admitted to the hospital with hyponatremia. They slowly take the listener through distinguishing between hyponatremia from too much water consumption vs inadequate solute intake vs SIADH.
El tratamiento de la hiponatremia es un arma de dos filos, el tratamiento de una hiponatremia aguda o crónica puede ocasionar complicaciones que aunque poco frecuentes, debemos hacer lo posible por evitar. Time Stamps 00:30 --- Hiponatremia introducción 01:10 --- Hiponatremia consideraciones del tratamiento 01:50 --- Hiponatremia aguda frente a crónica 05:15 --- Síntomas de hiponatremia 08:15 --- Caso clínico 1, hiponatremia Aguda . 09:30 --- Características de hiponatremia aguda sintomática 11:00 --- Tratamiento hiponatremia con síntomas graves 11:50 --- Cómo hacer una solución salina 3% 16:00 --- Límites para la corrección de hiponatremia 20:15 --- Hiponatremia crónica 21:40 --- Factores de riesgo para demielinización osmótica 23:30 --- Sobrecorreción de hiponatremia 24:00 --- Caso clínico 2: SIADH 27:00 --- Fenómeno de desalinización 28:40 --- Causas de SIADH 30:20 --- Tratamiento de SIADH 35:50 --- Relación electrolitos urinarios / Na sérico 37:50 --- Caso 3: Hiponatremia secundaria a tiazidas 39:40 --- Tratamiento de hiponatremia secundaria a tiazidas 41:18 --- Caso clínico 3: Hiponatremia hipovolémica 42:30 --- Factores de riesgo para sobrecorreción de hiponatremia 44:35 --- Clamp de arginina-vasopresina 51:10 --- Papel del potasio sérico en hiponatremia 52:00 --- Puntos para llevar a casa
In this podcast, Dr. Kimberlee Thielen, an internal medicine physician and nephrologist with Kidney Specialists of Minnesota, discusses hyponatremia, more specifically a water balance issue. Enjoy the podcast! Objectives: Upon completion of this podcast, participants should be able to: Define how sodium effects the body. Identify signs and symptoms of hyponatremia. Explain the 4 goals for hospitalized patients with hyponatremia. Select proper treatment modalities for individuals with identified hyponatremia. CME credit is only offered to Ridgeview Providers for this podcast activity. Complete and submit the online evaluation form, after viewing the activity. Upon successful completion of the evaluation, you will be e-mailed a certificate of completion within approximately 2 weeks. You may contact the accredited provider with questions regarding this program at rmccredentialing@ridgeviewmedical.org. Click on the following link for your CME credit: CME Evaluation: "Hyponatremia: You Ain't Worth The SALT in my Tears" (**If you are listening to the podcasts through iTunes on your laptop or desktop, it is not possible to link directly with the CME Evaluation for unclear reasons. We are trying to remedy this. You can, however, link to the survey through the Podcasts app on your Apple and other smart devices, as well as through Spotify, Stitcher and other podcast directory apps and on your computer browser at these websites. We apologize for the inconvenience.) The information provided through this and all Ridgeview podcasts as well as any and all accompanying files, images, videos and documents is/are for CME/CE and other institutional learning and communication purposes only and is/are not meant to substitute for the independent medical judgment of a physician, healthcare provider or other healthcare personnel relative to diagnostic and treatment options of a specific patient's medical condition.” FACULTY DISCLOSURE ANNOUNCEMENT It is our intent that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts. It is not assumed any potential conflicts will have an adverse impact on these presentations. It remains for the audience to determine whether the speaker’s outside interest may reflect a possible bias, either the exposition or the conclusions presented. Planning committee members and presenter(s) have disclosed they have no significant financial relationship with a pharmaceutical company and have disclosed that no conflict of interest exists with the presentation/educational event. SHOW NOTES: CHAPTER 1: When we are talking about hyponatremia we are not talking about Na+ problems but rather a water balance issue. The normal amount of Na+ in the plasma water is usually 136-142 meq/L. The body's Na+ balance is important for volume regulation which is controlled by renin angiotensin/Aldosterone system. This is different than the body's water balance which is maintained by antidiuretic hormone (ADH). Normal physiology of water balance requires ADH which involves the hypothalamus-post pituitary and the kidneys. To understand hyponatremia you need to first understand the physiology of water balance and where ADH is produced. ADH is produced in post pituitary and released by 2 physiologic stimulators: (1) elevated serum osmolality, (2) decrease circulating volume. The majority of serum osms are made up of sodium. When your Na+ is high there are osmoreceptors in your hypothalamus that sense increased extracellular serum Na+ which synthesizes ADH which is released once again from the post-pituitary. The posterior pituitary can also synthesize ADH 2nd low volume status regardless of serum osmolality. Parasympathetic response from left atrium, aortic arch & carotids sense the low volume status or volume contraction with decrease arterial blood flow thereby stimulating a vagus nerve response which leads to the posterior pituitary releasing ADH. ADH once released acts at the renal collecting tubule via cyclic AMP which inserts water channels called aquaporins in the collecting tubules flowing via the medullary interstitial osmotic gradient. Next water moves from the intratubular space to the medullary interstitial space thereby concentrating the osmolality. So the further you travel through the kidney more water is removed from intratubular space to medullary interstitium concentrating the urine. A normal healthy person can concentrate their urine upwards of 1200 milli osms and dilute it to around 60 milli osms, which narrows as we age, likely to nephron drop. We all tend to lose some GFR as we age. Nephron Drop Out attrition of nephron units that scar up generally due to athrescleortic disease. ADH- insert aquaporins into collecting tubules - based on osmolality of urine and interstitial water will flow down the osmotic gradient through the aquaporins. Collecting tubules as they go deeper into the kidney the medullary interstitial osmotic gradient increases. The water that is reclaimed is through a complex peritubular capillary network returning to the venous system. CHAPTER 2: Hyponatremia in most patients is going to be hypo-osmolar hyponatremia. When talking about hyponatremia we are generally talking about a serum Na+ less than 135 mew which once again is a water balance issue. Most cases of hyperosmolar hyponatremia are clinical relevant and usually caused by hyperglycemia, prostate or uterine surgery, glycine, sorbitol, mannitol, IVIG. You get an increased osmolar state in the blood which pulls water from intracellular space leads to hyponatremia. Pseudohyponatremia are iso-osmolar and generally a laboratory artifact. Can have your lab run serum Na+ via direct ion selective electrode measurement to obtain true Na+ level. What is hypo-osmolar hyponatremia? Causes are divided into 3 categories: (1) water intoxication, (2) SIADH, (3) volume stimulated ADH. You can differentiate by 2 urine tests: Test #1- Urine Osmolality which we would expect to be low or max dilute. Test #2 is Urine Sodium. Water Intox - The urine Osms are maximally dilute. SIADH and Volume stimulate ADH urine osms not max dilute. Urine sodium is low in volume stimulated ADH and generally >40 meq per/L in SIADH. Which is due to the kidney seeing itself as euvolemic. So this will cause the release of sodium into the urine. In volume stimulated ADH the kidney perceives itself ischemic or underperfused. So the urine Na+
We are going to discuss Tissue nanotransfection technology, a new emerging technology that can manipulate cell function. We are also going to introduce you to SIADH and Diabetes Insipidus Thanks for listening Shownotes: http://cupofnurses.com/episode-52-siadh-di/ Website: https://cupofnurses.com/ Travel Nursing Checklist: https://cupofnurses.com/travel-checklist/ Youtube: https://www.youtube.com/channel/UCZtVmKMaDrBSV_MxxBWuHng Join Our Facebook Group: https://www.facebook.com/groups/cupofnurses/
My notes from this week's reading: Diabetes Insipidus and SIADH [Syndrome of Inappropriate Antidiuretic Hormone ] Let's remember, these bad boys are my notes, they aren't perfect. Sometimes I'm not perfect and I cannot read. Sometimes I can't even speak. Either way I hope this helps you in your studies!
Pathophysiology of SIADH --- Support this podcast: https://anchor.fm/kamesa-anota/support
Antidepressants are dispensed by doctors like a cure-all candy. In the United States, about 11% of the population is taking an antidepressant. It is a booming business for big pharma. What the medical system rarely talks about is how some people become brain injured - sometimes permanently - from the toxic effects of the medication - this is called neurotoxicity, or Toxic Encephalopathy. In this episode of Medical Error Interviews, I chat with “Conrad” about how he went from a physically fit father with a very successful career, to a victim that has been disabled by medical error, ignorance and ego. Conrad’s doctor dismissed his reports of side effects from the medication, erroneously attributing them to anxiety, and instead doubled Conrad’s dose. This would prove to be catastrophic to Conrad’s long term health. “Conrad” is not his real name, he is using a pseudonym to protect himself from further harm by the medical industry. But his experience should be a warning for any one who has been prescribed an antidepressant. SHOW NOTES: Conrad: Neurotoxicity - brain injury caused by antidepressant Conrad - physically fit father with successful career 5:00 "Conrad" (a pseudonym to protect his identity from further medical harm) grew up in Chicago - fantastic childhood - a lot of friends, not the best student, but into sports, typical boy in 70s and 80s 6:00 Graduated high school 1985 - went to college, more playing less studying - very social guy, built friendships and relationships - decided didn't need to finish college and would go into sales 7:00 Started simple phone sales, but quickly into technology and telecommunications during the tech boom - worked for MCI - went into software industry in the 90s for several years - evolved into IT consulting up to 2015 - focusing on outsourcing, working for 3rd largest consulting company in the world until became disabled in 2015. 8:15 In 2006, traveling more due to job advancement - never a fan of turbulence, make him uneasy - at that time only psychiatrists could prescribe a SSRI medication antidepressant - Conrad took the medication, not sure the medication helped, but getting used to frequency of flying helped - continued to progress in sales career until 2015 as mid-level sales executive specializing in outsourcing 10:40 In 2015 started struggling with his health - in and out of emergency rooms - at one point ER docs thought he had a stroke - ran a bunch of tests and got a diagnosis of hyponatremia - also known as SIADH - occurs mid-life with brain injuries - as an adverse effect of an SSRI or antidepressant - it is salt balancing in the brain and can cause a lot of neurological problems 11:30 His doctor told Conrad to stop antidepressant as they concluded it was causing his symptoms - stopped in SSRI mid 2015, but symptoms did not go away, they were chronic - hyponatremia is well known side effect of SSRI 12:40 Conrad experienced headaches, balance issues, confusion, a general unwell feeling - not enough to disable, but indication of what the medication was doing to Conrad - started the med in 2006 - but the side effects had been building the last few years 13:45 Stopped the med and struggled for a few months with the hyponatremia symptoms - Conrad had been offered the perfect job for his skills, and was the cieling in his career, with good salary and bonus structure - went to his PCP (Primary Care Physician) to get better and fix what was going on with medical issues - PCP suggested going back on the SSRI Hyponatremia Symptoms 15:00 This is the point where story gets a lot worse - Conrad not sure why he's prescribed antidepressant for anxiety (flying, speaking in front of large audience) - but he trusts the doctor - also gave him benzos and Xanax for those extra bumpy flights which he never took 16:20 Re-started SSRI meds, but this time the previous hyponatremia symptoms much worse - severe headaches, agitation type anxiety, severe exhaustion, insomnia - like being plugged into electrical outlet - called PCP's nurse to say something is not right with this med - she asked doctor and called Conrad back and cussed him out, saying these were normal side effects, you're dealing with anxiety and, as per the doctor, you need to double your dose. 17:45 So PCP ignored adverse effects and instead doubled the dose - within 24 hours, the headache was "unbelievable", like a "vise grip around my skull" - Conrad has worked out every day for 35 years - so thought he could sweat out the toxicity by going to the gym 19:15 Backing out of garage took off antenna and garage door, so working out wasn't a good idea - because confused, cognitive impairment - went back to doctor - experiencing adverse chemical effect causing anxiety - the doctor says Conrad cast too complex, but doesn't admit the SSRI is causing problems - suggested a psychiatrist 20:30 Conrad went to the psychiatrist and within 5 minutes she diagnosed him with panic disorder - she ignored all the physical symptoms and only concentrated on the one emotional symptom of anxiety - made a ridiculous statement like 'you're revisiting your mother's death in the 1990s' - so now being misdiagnosed with a mental health illness he didn't have 21:45 Conrad had to turn down the job offer because he still couldn't work so had to go on disability for 'anxiety disorder' - continued to see doctors to find out what was physically wrong - was diagnosed with chronic fatigue syndrome, with fibromyalgia - but these were symptoms of something more complex 22:45 All the doctors in the medical group wanted nothing to do with questioning SSRI medication, they would end the appointment, did not want to talk about it - so they tested for MS (Multiple Sclerosis), and they found brain lesions but classified as 'unspecified medical condition' on MRI report, and not consistent with MS - when Conrad said that SSRI can cause brain lesions, but the doctors are rejecting it and say can't help you Toxic Encephalopathy 24:00 Kicked off disability - now no way to support family, children - kept researching online and found condition called 'neurotoxicity' also called 'toxic encephalopathy' - can be caused by meds - Conrad starts looking for specialist - but also wanted more imaging before seeing specialist - suggested a brain Spect scan that showed low blood flow and toxic neuro inflammatory process in every lobe of his brain 25:30 Got QEEG results indicated brain injury - so Conrad had 3 images showing dysfunction - indicating neuro toxicity - at this point couldn't operate car, read books, follow tv, pay the bills, fatigue, weakness - Conrad had stopped the SSRI shortly after seeing the psychiatrist, but on the advice of another doctor - so was on the SSRI for 2 months 27:00 Flew for appointment with famous forensic neuropsychologist / neurotoxicologist Dr Raymond Singer, studies the effect of chemicals on the nervous system - his research had found SSRI can cause side effects - he used more objective evidence and full medical background review, tested Conrad for malingering and was able to prove that Conrad had a toxic exposure 28:30 Found that Conrad had extreme deficits in information processing, short term memory impacted and executive functioning impacted - but Conrad's speech and long term memory not affected - but can't watch movie, or drive car - consistent with neurotoxicity - 16 hours of evaluation by Dr Singer and Conrad was diagnosed with toxic encephalopathy and medication induced major neurocognitive disorder 31:00 Fatigue and pain symptoms affect entire nervous system - validation by Dr Singer's report was huge, concluded Conrad was disabled from employment - his insurance reinstated his disability payments, a huge stress relief 33:00 Today Conrad's symptoms are worse because the condition has progressed - has to go for re-testing with Dr Singer to measure Conrad's changes - also sees MD who treats holistically with symptoms 34:30 Nothing helps alleviate his symptoms of headache and cognitive impairment, fatigue and pain - impacts every area of his life: physically, emotionally, financially, relationships - disability only pays a fraction of what he used to earn - can't hop in the car to visit his children, can't work out, can't walk the dog, can't read books, can't watch tv - has been trying to spread awareness Data Shows the Danger 36:00 Frustrated with the medical community - there are 1000s of people who have been affected by medications, but rejected and denied by their doctors - they are heavily influenced by the pharmaceuticcal industry - as a result they are not supporting their patients - they don't know what drugs do 37:30 From Conrad's research, psychiatric medications are the most dangerous - they cause dementia, neurotoxicity - just about all of the do - suicide is a black box warning on some - antibiotics and statins can be dangerous - certain classes more dangerous than others - if people looked at independent research journals, not funded by the pharmaceutical industry, they would find that data showing the danger 39:45 Conrad says when he got sick 6 years ago, there was no information on the internet regarding damaging effects, now there is an article every day - overwhelming info just on the SSRI class of meds - opening people's eyes how the pharmaceutical and medical industries operate, and work too closely - because of social media, things can change, people are becoming more aware 41:30 Re class action lawsuits, but it is very difficult for a small law firm to go up against a large pharma - but hard to build momentum, but gaining ground - but there are whistleblower doctors writing books showing brain imaging and linking them to mitochondria damage, chronic fatigue syndrome, fibromyalgia, neurotoxicity - doctors from each drug class are coming forward 43:00 But for lawyers it very hard to win - expensive, $100k just for discovery in a lawsuit - there is also statute of limitations for suing a doctor, and that limit is 2 years - Conrad was diagnosed more than 2 years after he was injured - this is the dance doctors do - doctors don't want to say a drug caused an injury, they don't want to get into conflict with their colleague - there is some code going on there, that leaves people very vulnerable 45:00 The trauma of his symptoms was deepened by the way the medical system responded - when a doctor denies symptoms or side effects it causes stress - and when they do harm, they don't stand behind it - there are 1000s that have been harmed and doctors have turned their back on them Conrad Hopes for Recovery 46:20 Conrad lives day to day, trying to get better - working with a physician familiar toxic encephalopathy and praying - she says Conrad is permanently disabled, but he's hoping there is something - people talk about hyperbaric, maybe stem cells someday - he's optimistic - but there is not a pill that will fix what he has, it was a pill that got him here 47:10 Conrad was perfectly healthy before he went to the pyschiatrist - was not in habit of going to the doctor - even when his nose was broken - and when he finally started to go to a doctor, they gave him a pill that made him chronically ill - sometimes its best to stay out of the doctor's office 48:30 Conrad says even the warning inserts with medications only list the mild side effects, they don't mention neurotoxicity, toxic encephalopathy or brain damage unless the FDA tells them to 50:00 Dealing with grief is hard - personal relationships affected - can't go out and have a beer with friends, can't go to football game - misses his sons the most, they were his best friends, they did so much together - they won't understand until they're adults - but hopes one day they read the 73 page report that shows exactly what happened to him 51:10 Raising awareness is one way Conrad deals with grief - talking to his sons, and seeing them doing well in school and activities is what he looks forward to - prays one day the will understand how this missed out on their highly functioning father 52:30 Conrad says if you suspect you have this injury, they should contact Dr Raymond Singer if the prescribing doctor is pushing back - Dr Singer is like Erin Brockovich, he's involved in testifying in court cases representing people injured by chemicals - he can making diagnosis, and that will get respect from other doctors and they won't say its a mental illness - doctors are our equal - used to think doctors are above us 54:00 Doctors know their field, but they do not know medications - and if they're telling you something you don't agree with, push back, do your own research, and stand up for yourself Connecting Conrad on Twitter: @SSRI_Injured - Pharma Harmed/ Drug Safety Advocate Facebook awareness groups: Pharmaceuticals Exposed Legal Death-In Drugs We Trust Neurotoxicity from NIH.gov: https://www.ninds.nih.gov/disorders/all-disorders/neurotoxicity-information-page Research: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5347943/ https://www.ninds.nih.gov/Disorders/All-Disorders/Encephalopathy-Information-Page https://www.verywellmind.com/medication-or-substance-induced-neurocognitive-disorder-4144778 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3334530/ https://www.ncbi.nlm.nih.gov/pubmed/27508501/ _______________________________________________ Medical Errors Interview podcast host Scott Simpson and counsellor at RemediesCounseling.com A safe space for victims and survivors of medical error.
In this episode, we explore the world of OZ... OZmolality, urine specific gravity and the disease processes of SIADH and Diabetes Insipidus. These are important for advance certification exams preparation and overall patient application. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn’t make this podcast without you. Thanks for listening!
In this episode, we explore the world of OZ... OZmolality, urine specific gravity and the disease processes of SIADH and Diabetes Insipidus. These are important for advance certification exams preparation and overall patient application. Remember that reviews are key to help keep us high on the charts where your friends and family can find us. We couldn't make this podcast without you. Thanks for listening!See omnystudio.com/listener for privacy information.
Real Life Pharmacology - Pharmacology Education for Health Care Professionals
On this episode, I discuss carbamazepine pharmacology. This drug is most commonly used for seizures, bipolar disorder, or trigeminal neuralgia. Carbamazepine is an autoinducer and can reduce the concentrations of numerous drugs. Some examples include apixaban, warfarin, rivaroxaban, diltiazem, verapamil, and many more! Carbamazepine has the potential to cause Steven Johnson's Syndrome. This has a much greater chance of happening in patients with certain genetics. Carbamazepine can contribute to SIADH and cause significant hyponatremia. Carbamazepine has boxed warning for numerous potential events like aplastic anemia, agranulocytosis, and the above-mentioned SJS.
Niche Radio — Nova Chocolate is a sugar-free, gluten-free and vegan-friendly chocolate. However, in this episode, I discuss why the epigenetic consumption intake requires the liberal use of seaweeds. Marine vegetation can mitigate ocean acidification, study finds. The reason, however, eludes them: Polyunsaturated fatty acids (PUFAs) in marine vegetation have a lot of deuterium in them (Seafood/DHA does not) and this deuterium indirectly affects the salinity of seawater to affect the pH scale. Deuterium is capable of shifting pH because of its extra neutron compared to acids with H+. It turns out the oxygen isotope Oxygen-18 (O18) is linearly related to deuterium content in the water on Earth. The concentration of O18 in precipitation decreases with temperature. The coldest sites on Earth, in locations such as Antarctica and Greenland, have about 5 percent less O18 and deuterium than ocean water. When this water melts into seawater it dramatically affects the salinity of the sea. The same is true of Cerebrospinal fluid (CSF) in your brain. When you liberate O18 and deuterium in your body it has a radical effect on your salinity. We see this in neurosurgical conditions like Diabetes Inspidus, SIADH, and ANF. Does this relationship in nature scale to nature? It does. Many of the most important records of past climate variability from the tropical oceans are based on proxies linked to the stable isotopic composition of seawater. In particular, carbonate records of 18O derived from fossil corals and marine microfossils and shells of seafood are key indicators of past changes in ocean temperature and salinity. What are the implications of this? As we live in a 5G blue light world resulting in us to collect more deuterium and O18. As it accumulates in our tissues it will decrease our intrinsic salinity and we'll need more salt not less as we irradiate ourselves with nnEMF to maintain our bone mass.
In this episode I cover lung cancer. We also talk in detail about paraneoplastic syndrome.If you want to follow along with written notes on lung cancer go to https://zerotofinals.com/medicine/respiratory/lungcancer/ or find the respiratory section in the Zero to Finals medicine book.This episode covers the types, pathophysiology, signs and symptoms, red flags, diagnosis, complications and management of lung cancer. The audio in the episode was expertly edited by Harry Watchman.
In this episode I cover the pathophysiology, causes, investigations and management of SIADH.If you want to follow along with written notes on syndrome of inappropriate anti-diuretic hormone (SIADH) go to zerotofinals.com/siadh or find the endocrinology section in the Zero to Finals medicine book.This episode covers the pathophysiology, causes, investigations and management of SIADH. We also look at the pathophysiology and presentation of central pontine myelinolysis.
Join us for this recap of the key clinical pearls and favorite fan voted episodes from 2017 including: lipids, asthma, diuretics, hyponatremia, CKD, vertigo, and dizziness. Plus, Picks of the Year, exciting announcements for 2018, and Paul reveals that he has a wife! Matt, and Paul are joined by Curbsiders Correspondent, Dr. Chris Chiu, who wrote and produced this episode. Stuart was out with the Man Flu. My apologies to Dr. Bryan Brown whose name I forgot to shout-out when listing our Correspondents. Thanks to Kate Grant for her beautiful cover image. Full show notes available at http://thecurbsiders.com/podcast Join our mailing list and receive a PDF copy of our show notes every Monday. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Time Stamps 00:00 Intro 01:18 Getting to know Chris Chiu introduction 03:07 Picks of the week and 06:10 Picks of the year and discussion of vancomycin and pip-tazo causing AKI 11:41 Recap of Scott Weingart and EM vs IM episode 17:45 Discussion of Lipids, PCSK9, CAC, CCTA 27:10 Asthma pearls recapped 32:43 Dizziness and vertigo recapped 38:40 Diuretics, diuretic resistance, and secondary hypertension diagnosis and treatment 44:35 Diuretic dosing 46:25 Hyponatremia, volume status, solute loads and SIADH 50:08 CKD, when to refer, and an argument about low protein diets 54:25 Matt, Paul, and Chris reflect on important lessons learned from 2017 59:32 Listener questions and comments 63:35 Wrap-up, and shout outs 66:22 Announcements for 2018 67:25 Outro Tags: hyponatremia, salt, kidney, ckd, asthma, vancomycin, zosyn, injury, weingart, emcrit, emergency, lipids, pcsk9, statin, dizziness, vertigo, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, meded, medical, medicine, practitioner, professional, primary, physician, resident, student
Step up your salt game. We deconstruct hyponatremia with expert tips from our Chief of Nephrology, Dr. Joel Topf aka @kidney_boy aka The Salt Whisperer. Topics include: true versus false hyponatremia, SIADH, tea and toast/beer potomania, safe rates of sodium correction, fluid restriction, salt tablets, IV fluid choice, DDAVP clamps, and more. Full show notes available at http://thecurbsiders.com/podcast Join our newsletter mailing list. Rate us on iTunes, recommend a guest or topic and give feedback at thecurbsiders@gmail.com. Case: 85yo F with anxiety, asthma, HTN (on a CCB), hypothyroidism with TSH of 3 on therapy. Sodium was 128 from previous values 134-137 mg/dL. She is more fatigued than usual. Time Stamps 00:00 Intro 03:00 Guest interview 06:45 Pick of the week w/Dr. Topf 15:50 Clinical case of hyponatremia 17:18 False hyponatremia normal osmolality 19:04 False hyponatremia high osmolality 20:06 Understanding why osmolality matters 22:58 Workup false hyponatremia 24:15 Recap of discussion so far 25:10 ADH dependent vs independent hyponatremia 26:30 Psychogenic polydipsia 28:45 Renal failure and hyponatremia 29:33 Tea and toast, and Beer Drinker’s potomania 34:42 ADH dependent hyponatremia 37:45 Volume versus osmolality 39:30 Volume status exam 44:44 Additional testing with urine lytes and uric acid 47:00 Treatment for SIADH 52:12 Discussion of the vaptans 57:51 Additional testing in SIADH 62:20 When to admit patient for hyponatremia 63:29 Clinical case of hyponatremia complications 68:26 Fluids and rate of correction 73:06 DDAVP clamp 76:00 Moderate hyponatremia 78:05 Diuretic dosing DOES matter! 81:29 Loop diuretics for SIADH 83:55 Take home points 86:55 Outro Tags: hyponatremia, salt, sodium, SIADH, ADH, vasopressin, fluids, electrolytes, kidney, nephrology, osmolality, urine, concentration, assistant, care, education, doctor, family, foam, foamed, health, hospitalist, hospital, internal, internist, nurse, medicine, medical, primary, physician, resident, student
We have two topics today: 1. Signs and symptoms of SIADH 2. Does the PANCE/PANRE matter? The short answer is no - let me explain... Click here to subscribe to the channel as we're answering questions Monday - Friday :) Website: http://physicianassistantboards.com Personal IG: https://www.instagram.com/and_reid PABoards IG: https://www.instagram.com/paboards FB: https://www.facebook.com/paboards1
Read the full story with photos at: https://www.otsuka.co.jp/en/company/globalnews/2014/0614_01.html Otsuka Pharmaceutical Germany’s ‘Look closer’ hyponatremia awareness campaign was honored with the Astrid Award, a design prize for Outstanding Achievement in Design Communications. The Astrid Awards, established 25 years ago, celebrate and reward the best international design communications in healthcare. The international Astrid Awards program received nearly 550 entries from around the world and Otsuka won Bronze. The campaign is targeted at Healthcare Professionals in Germany. It was developed to create awareness for hyponatremia and to work on the paradigm shift in hospitals to make physicians aware of the disease and to ensure that patients get the best treatment for hyponatremia. A chameleon has been chosen as image of the campaign as it also changes appearance, can hide, and cannot easily be seen sometimes, so you have to take a closer look to find it. The same is valid for hyponatremia. With that eye-catcher we want to draw the attention of the physician to the disease. “I was very proud and happy that we won the award. As a company that provides the only approved treatment for hyponatremia secondary to SIADH (syndrome of inappropriate anti-diuretic hormone secretion) in Europe, we have to constantly work on raising awareness of this condition. So physicians recognize hyponatremia, see the patients, and are able to treat these patients in the best possible way,” said Kristina Saala, Marketing Manager - Specialty Products, Otsuka Pharma GmbH. Patients with hyponatremia secondary to SIADH have a water overload, so they are often “treated” with fluid restriction. They are sometimes only allowed to drink only 500 ml per day, which is a real torture. With our innovative drug, patients are allowed to freely and partly drink according to their thirst. And as this, an Otsuka creative oral drug, is a Vasopressin receptor antagonist, it induces aquaresis, so the patients lose the overload of water. It is worth working every day to create awareness, so that patients will receive the best, modern treatment. We believe the design of the chameleon shows the valuable change of innovative therapy to patients with hyponatremia.
This episode is sponsored by Dizzy Blonde Studios. “Beautifully hand-dyed yarns in a variety of superwash bases and inspired knit design.” Listen to the episode for a special coupon code. Catching Up: (1:03) Jen is playing a lot of guitar to prepare for two benefit gigs: one for Generations on the Move and one for the Village of Hope. She's also prepping to teach. Laura's father has been ill with SIADH, but he is recovering. She is also working on the Sunnydale Yarn Club. Pre-registration is open now! Knit Dizzney was so much fun! Thank you to the following people who provided swag and coupons for the goody bags: Benjamin Levisay from XRX, 5elementknitr, Wolfe Farms, Yarn Garden, Yarnosphere, and Karen from id.me Promotions. And thank you to all who came. In the Knitting Bag: (10:07) Jen is working on an Aesop's Cables hat for the Podcaster Throwdown out of Red Heart Soft. She's also working on her Watership Dow out of Unique Sheep Selene in the color Nature Walk. She's also started her Rocky Coast Cardigan out of Fibre Company Organik in the colorway Highlands. She started the California Poppy Shawl out of Baah La Jolla in My Sweet Valentine. This is for Melissa, who wants the shawl, but doesn't want to knit it. Finally, she has one Sunshine Sock done and the second one cast on. She loves working with the Dream in Color Smooshy in Butter Peeps and Laura wants to eat it, because it looks like Peeps. Laura is working on the Claudia Hat out of Berroco Vintage in Vintage for the Podcaster Throwdown. She is working on two pairs the Tree of Life Mitts for a friend and his wife. The first pair is in Knitpicks Wool of the Andes in Forest Heather. She is also knitting some socks (Roman udones like this) for Roman re-enactment out of Knitpicks Palette in Clover Green. She's almost done with her Sassy-tis (Clapotis). Finished Objects: (16:11) Gratuitous Artsy Shot Jen finished her Effervescence Cardigan for Camp Loopy, just under the wire. And she's done 3 hats for the Throwdown, two Gerri hats (one in Wendy Peter Pan yarn and one in Naturally Caron Spa) and one Hermione Hearts Ron in leftover Pashmina. One Throwdown Hat! BOOM! Laura has finished her Malcub Reynolds Mother Bear and one Throwdown hat, the Reversible Beehive Hat in Berroco Comfort. Devil's Tower (20:05) The Broncos Scarf (Lattice Wingspan) is coming back out, because she ran out of yarn, but now she got more. Frog Pond: (20:49) Jen made her Aesop's Cables too short so she has to redo the top part. Laura maybe used the wrong needle size when casting on her Claudia hat and is debating ripping it out. It's wading in the frog. On Deck: (23:34) Jen is going to do a sweater design inspired by the cover of the Sweetheart of the Rodeo album; Laura will make a second pair of Tree of Life Mitts in gray. Both will work on more hats for the throwdown. Knit Culture: (25:32) We give an update on the Podcaster Throwdown. Listen to Episode 8.5 for information. You can join our Ravelry group. The teams currently in are Craftlit and Knitmore Girls. There is a rumor about Webs. Laura calls out the Yarniacs and Knit 1 Geek 2 to join. We are giving away the Eton Hat if you submit a hat for Team KnottyGirls in September. We are sourcing prizes... We review Fiber Factor Challenge 4. We review Wrapped in Color: Stranded Knitting in the 21st Century by Deborah Tomasello. We definitely recommend checking it out. And we have in interview with Johnny Vasquez of the 30 Day Sweater Challenge. There are awesome prizes and if you want sign up, you can go here Geek Culture: (1:00:05) We discuss upcoming geeky television shows for fall, including a re-air of Torchwood: Miracle Day and Orphan Black on BBC-America. Events: (1:08:57) Dizzy Blonde Yarns will also be for sale at the Yarnosphere Fiber Festival, in the Toluca Knit Jewelry and Fine Yarns Booth. This is a new festival, taking place October 12 and 13th. We will not be there, because we are at Cogknitive, but go support so we can keep a cool yarn festival here. We will both be at the CogKNITive Fiber Retreat in Tehachapi from the evening of October 11th to the morning of October 13. Dizzy Blonde will be a vendor and Jen will just be hanging out and taking classes. The retreat is full, but contact Dr. Gemma to be on the waiting list. We will be collecting hats for Halos of Hope! We will be at the Southern California Handweaver's Guild Annual Weaving and Fiber Festival (WEFF) at the Torrance Convention Center. Parking is free, entry is seven dollars. Laura will be vending. You can drop off Halos Hats at her booth. We will be having a Knitalong in October! The Socktober Knitalong! Knit something (anything (hats)) out of sock yarn (fingering weight or any yarn that would make good socks) between October 1st and October 31st. Post finished projects there for a chance to win a prize. Please do a separate entry for each project. Our next milestone drawing is at 500 members in the Ravelry Group, so join!
Read the full story with photos at: https://www.otsuka.co.jp/en/company/globalnews/index.php?year=2012 Otsuka Pharmaceutical Europe Ltd.'s 'Read between the lines' hyponatraemia awareness advertising campaign was honoured with two Awards of Excellence at the Rx Club Show Awards Ceremony 2012. New York's Rx Club Show is internationally renowned in the healthcare industry for showcasing the world's best healthcare advertising and recognising excellence in global healthcare communications. It honours the creative aspects of pharmaceutical advertising and promotion and is judged by a panel of industry experts that are solely centred on creativity. The campaign is targeted at Healthcare Professionals and brings the patients' perspective to the forefront of the mind, making the campaign a highly emotive one. It was developed to promote awareness and recognition of the symptoms of hyponatraemia so that minor, as well as major symptoms are considered and drive earlier treatment and referral. "I was truly happy and proud that we won the award. As a company in Europe that provides a treatment for hyponatraemia secondary to SIADH (syndrome of inappropriate antidiuretic hormone secretion), we have a lot to do to raise awareness of this difficult to treat condition. It all starts with increasing the disease awareness in order to be able to identify patients who need treatment and to treat them better," said Anne-Sophie Audibert, European Product Manager - Specialty Products, Otsuka Pharmaceutical Europe Ltd. The first award of excellence was received for an advertising awareness campaign that was published in a number of key international journals, including Kidney International. The second award was for a digital online banner advert that was hosted in a number of highly regarded electronic journals, such as the New England Journal of Medicine. Both of these serve to drive Healthcare Professionals to the www.hyponatraemia.com disease awareness website, which aims to provide education and increase the awareness of hyponatraemia.
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