Podcasts about stanford hospital

Dr. Storage was raised in Southern California and is a proud father of two boys. He is a diplomat of the Medical Board of California for Physicians and Surgeons and a diplomat in both Child/Adolescent as well as Adult Psychiatry for the American Board of Psychiatry and Neurology. He graduated from the University of California Berkeley magna cum laude with a degree in molecular and cell biology and earned his medical degree from the University of California Los Angeles School of Medicine where he served as class president for two years. He completed his general psychiatry residency at Stanford Hospital & Clinics and his child/adolescent psychiatry fellowship at the University of Southern California, where he served as a Chief Fellow. Prior to joining Amen Clinics, Dr. Storage was Clinical Assistant Professor of Psychiatry at USC and worked on a busy inpatient psychiatric consultation service at Children's Hospital Los Angeles where he also served on a number of committees and advisory boards. He continues to serve as Adjunct Clinical Professor of Psychiatry at USC where he mentors child psychiatry fellows.Dr. Storage has published several peer-reviewed articles and given numerous presentations covering a variety of subjects including neuroimaging of psychiatric disorders, effects of substance use on the brain, anxiety, the effects of social media on mental health, and psychosomatic medicine.He has received several teaching awards in the past including the Dean's Teacher of the Year at USC Keck School of Medicine in 2021 and the Outstanding Teaching Award for the Psychiatry Clerkship at USC Keck School of Medicine in 2020.His areas of clinical expertise include child/adolescent and adult general psychiatry, autism spectrum disorders, anxiety, depression, suicidal ideation, bipolar spectrum disorders, ADD/ADHD, impulsive/disruptive behavior disorders, psychotic disorders, psychiatric symptoms in medically complex patients, OCD, PTSD, and TBI, among others. He is singularly focused on helping patients achieve the best versions of themselves, and utilizes a comprehensive approach (lab work, functional imaging, psychotherapy, nutritional supplements, lifestyle changes, pharmacotherapy, and technology-based interventions) to assess and treat his patients.Our Sponsors:* Check out Kinsta: https://kinsta.com* Check out Mint Mobile: https://mintmobile.com/tmf* Check out Moorings: https://moorings.com* Check out Trust & Will: https://trustandwill.com/TRAVIS* Check out Warby Parker: https://warbyparker.com/travisAdvertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

This week we speak to the authors of the brilliant book 'Preventing Prostate Cancer: Reduce Your Risk with Simple Proactive Choices' , Dr Benny Gavi M.D and Maya Eylon. Dr Gavi is a Harvard trained medical doctor who works at Stanford Hospital and Stanford Medical School in California, and Maya Eylon is a medical researcher and medical student . In this episode they talk to us about how lifestyle and nutrition can play a role in reducing the risk of developing prostate cancer, as well as slowing the progression and improving outcomes in men already diagnosed with prostate cancer. They analysed hundreds of studies to bring us the most concise up to date medical evidence on the impact of lifestyle choices, to empower men to take back control and improve their health. The studies referenced in today's episode can all be found here: https://uk.bookshop.org/p/books/preventing-prostate-cancer-reduce-your-risk-with-simple-proactive-choices-benny-gavi/7039574?ean=9781570674099

Dr. Andy Sabatier, a physiotherapist passionate about the mechanics of breathing, joins us. After training at Stanford Hospital's Cardiac ICU and serving as the primary ICU physical therapist for a hospital system in Oregon, Andy has dedicated himself to eliminating confusion and harmful practices around breathing. We continue the conversation on breathing that we started a few weeks ago with Alison Starr.In this episode, Andy explains the difference between functional and dysfunctional breathing, the anatomy of the breathing muscles, and simple practices to optimize your breathing. You'll walk away with a fascinating new perspective on this essential bodily function we often take for granted.Get full show notes and more information here: https://erikabelanger.com/242 Hosted on Acast. See acast.com/privacy for more information.

We are excited to welcome Kafunyi Mwamba as our preacher this week. Kafunyi is a chaplain at Stanford Hospital and part of the pastoral staff at our partner church, St Mark AME Zion in East Palo Alto. A native of the Democratic Republic of Congo, Kafunyi truly represents the title of his sermon, "Joy." In his own words: "The topic today is joy. And the chief question is: How can we be happy in difficult times, in dark times? How can we be happy when we are sick, and we are in pain?" Join us in exploring JOY on Sunday!

Meet Holly Rockweiler, CEO of Madorra. This episode explores the transformative journey of Madorra from a Stanford Biodesign fellowship project to a pioneering force in women's health aiming to revolutionize the treatment of vaginal atrophy and dryness without hormones. Holly's story is not just about groundbreaking medical devices, but also about the passion and determination that drive the quest for better healthcare solutions. Through engaging storytelling, this episode unveils the challenges and triumphs of bringing novel technologies to market, the power of female leadership in STEM, and the broader impact of MedTech on improving lives.  Guest links: www.madorra.com | https://www.linkedin.com/company/madorra-inc-/ | https://www.facebook.com/MadorraMedical | https://twitter.com/MadorraMedical Charity supported: Equal Justice Initiative Interested in being a guest on the show or have feedback to share? Email us at podcast@velentium.com.  PRODUCTION CREDITS Host: Lindsey Dinneen Editing: Marketing Wise Producer: Velentium   EPISODE TRANSCRIPT Episode 033 - Holly Rockweiler [00:00:00] Lindsey Dinneen: Hi, I'm Lindsey and I'm talking with MedTech industry leaders on how they change lives for a better world. [00:00:09] Diane Bouis: The inventions and technologies are fascinating and so are the people who work with them. [00:00:15] Frank Jaskulke: There was a period of time where I realized, fundamentally, my job was to go hang out with really smart people that are saving lives and then do work that would help them save more lives. [00:00:28] Diane Bouis: I got into the business to save lives and it is incredibly motivating to work with people who are in that same business, saving or improving lives. [00:00:38] Duane Mancini: What better industry than where I get to wake up every day and just save people's lives. [00:00:42] Lindsey Dinneen: These are extraordinary people doing extraordinary work, and this is The Leading Difference. [00:00:51] Hello, and welcome back to another episode of The Leading Difference podcast. I'm your host Lindsey, and I'm so excited to introduce you to my guest today, Holly Rockweiler. Holly is co-founder and CEO of Madorra, a woman's health company dedicated to changing the treatment paradigm for vaginal atrophy and dryness. She co-founded Madorra as a spin out of the Stanford Biodesign fellowship, where she implemented ethnographic research to identify unmet clinical needs and define user market and product requirements for solutions and women's health, urology, and infectious disease. Prior to Biodesign, she worked as a Senior Research Scientist at Boston Scientific, where she developed therapies to enable more efficient care for patients living with heart failure. Her preclinical and clinical research has led to more than 20 pending and issued patents. Holly holds an MS and a BS in Biomedical Engineering from Washington University in St. Louis. Welcome, Holly. It's so wonderful to have you here today. Thanks so much for joining us. [00:01:49] Holly Rockweiler: Thanks for having me. [00:01:51] Lindsey Dinneen: Yeah, absolutely. Well, I was wondering if you wouldn't mind starting off by telling us a little bit about yourself and your background and maybe what led you to the medtech industry. [00:02:02] Holly Rockweiler: Sure. So let's see. So my background is in biomedical engineering. I majored in biomedical engineering. Maybe I can say why, like I, I knew that I wanted to be an engineer. I felt like, well, first of all, as a woman in math and science growing up, when I did every teacher told me to be an engineer, but I didn't really know what that meant until I got to college, but I liked it. Pursued engineering and I started undecided, but very quickly found that I was, most just excited about the problems in the biomedical engineering field. I remember one of my classes was like "calculate the torque of a drill on a tooth," I was like, "Wow, that's amazing. I think I found it." [00:02:41] So majored in biomedical engineering, got my master's and bachelor's at Wash U in St. Louis, and then I went to work for Boston Scientific. And so they are a medical device company. And so that's obviously how I got into it, but I did seek that out. When I was thinking about what did I want to do, I thought about... chemistry was never an area I felt very strongly about. I liked stuff I could hold in my hands and really conceptualize. And so I think that's what led me more in the device road and then had a incredible opportunity to work at Boston Scientific. [00:03:15] And so I worked there for several years in their implantable cardiac division. So that's pacemakers and ICDs, working in the research department. So that was also really cool because we were on the front end helping to define the next generation products and was able to also work very cross functionally. So just because research conceived of an idea didn't mean it was going to be in the product development had to help it go forward, and obviously we were keyed in very closely with the marketing team to understand. What were the needs that we were solving. [00:03:45] So it was an incredible introduction to our industry. And then I decided that I wanted to try a smaller company. There was just some broader themes of working in a large company that didn't totally jive for me. And so I was like, "Well, I don't know the first thing about startups." So I had heard about the Stanford Biodesign program, which is where I went next. And the company that I started, Madorra, is a spin out of that program. [00:04:14] Lindsey Dinneen: Wow. Okay, so your path is really cool, and I love that you are an engineer, and I love your passion behind it too, just hearing you talk about that one random problem and your excitement about it. I adore that. I do. Because that is not my leaning. So whenever I hear somebody just get really excited about that kind of thing, I'm like, "Yes, tell me more." [00:04:40] Holly Rockweiler: Well, then you're in the right field too, I would say. [00:04:42] Lindsey Dinneen: Indeed. Indeed. Indeed. So, yeah. I'm just curious. Okay. So, so going back just a little bit, you started off at Boston Scientific and kind of developed this appreciation for the medical device space and innovation. And then with Stanford Biodesign, can you tell me a little bit about being a part of that and then how you were able to spin off into your own company? I mean, that's not, that's like a one sentence thing that you put in there, but I know that it took a lot of work, and I'd just love to hear about that process, and your experience. [00:05:17] Holly Rockweiler: So, absolutely. So, the Stanford Biodesign program has many different facets. I was part of the fellowship, but they also have classes they teach and books and online resources. And then other universities have kind of sister programs around the world, frankly. So I was very interested in joining the program, like I said, to kind of-- what I was telling myself was like a way to dip my toe in the water of what a smaller company would be like. Now that's not at all what Stanford pitches the biodesign program as. Really what it is a an academic training program for an innovation process. And that's what they teach you. Now there are a lot of companies that end up spinning out of it. [00:05:56] And so I thought, "Well, maybe, like I said, this is a way to dip my toe in the water, but also if I decided to come back to a larger company setting, this skill set still would be highly useful given what I want to do in my career. So that's what I set out to do. And so the program I love, I think is fantastic. It's as described initially, it's this innovation process and they teach you that in a very hands on way. So first you start with really understanding and building a list of unmet needs, and so that starts by looking for problems in Stanford Hospital. You kind of have this unfettered access as an engineer. It was the 1st time I had that, you know, observe and ask questions and talk to physicians and patients and other health care professionals and then. you end up with, obviously, a long list of problems that you can find, just like any, anywhere in the world, right? This could happen. But also this, in healthcare, it happens. [00:06:55] And then you translate those problems into what the program calls need statements, to really-- there's a lot packed into that, but once you have those, then you spend the bulk of the program actually learning how to filter that long list of problems down into a couple key top unmet needs that you're working on. And so again, this is their goal is academic. They want to teach them their product is the people. They want to teach people this process and have them go out and share this process and use it to be successful in whatever, you know, vein they end up going down. [00:07:32] And so I was like, I was just having a conversation with my husband this weekend. I was like, we were talking about something interpersonal and I said, "Well, the unmet need here really is..." So it certainly has, you know, I've drank the Kool Aid completely and love to share it. So, but anyways, so, but what happens because you're working hands on these projects you very often, which was the case for myself and my co founders, by the end of the year, you may have something that you're pretty passionate about. [00:08:00] And so what has now become my about me description is working in women's health. I had no idea how passionate I would be about. I feel like I kind of backed my way into it, but now kind of reviewing that history, it's like, "Oh, maybe I was always kind of destined for this given my interest in, in, you know, activism." So kind of combining all of this together is what led us here. So, spinning it out was a consequence of having a lot of hard work with my team throughout the year. And we had other projects too, but this became the one that kind of survived every stage gate. And we ended up spinning out. into the company, Madorra. [00:08:42] Lindsey Dinneen: Wonderful. Well, thank you for sharing a little bit about that. And also, I love the crossover into real life, not that's not real life, but I do your daily life as well. Oh my gosh. That's great. I'm going to start doing that. Okay, so can we talk now a little bit about your company and the product that you've developed and where you're kind of looking to take it in the future? [00:09:05] Holly Rockweiler: Certainly. So, again, being born out of Stanford, we started with an unmet need around creating a treatment for vaginal dryness and atrophy for postmenopausal women that didn't rely on hormones. So this is a problem that I had never heard of before we literally met patients with this problem and talk to providers about this problem. And as we started researching, "Wow, up to 75 percent of all postmenopausal women are dealing with some, you know, degree of this. How have we not heard of this before?" That is a striking number of people. [00:09:39] And so as we continued to do our research, very quickly learned the gold standard treatment here is hormone therapy, but even though this market is huge, only 7 percent of the market is using hormones today. And so that... there's a lot of reasons why, but that's really what motivated us to say, "Wow. There needs to be another option." Because if you don't want hormones right now, the only other FDA cleared product or category for treating this are over the counter lubricants and moisturizers. And those are like, both of the products that exist today are really, those categories are really great, but they're not enough. [00:10:16] And again, with 43 million women in the United States with this problem, like we need more than just those two categories. And it really felt like no one had really looked at this. I mean, hormones, again, are a good solution for the patients who want to or can use them. But for patients who can't, for example, breast cancer survivors, they're stuck with, you know, just kind of subsisting off these over the counter products that really are not enough when your case is more moderate or severe. [00:10:43] And so we said, "Well, let's look at this and see if there's a better way or, you know, something we could combine," and ended up developing the idea for what is now the main product that we're developing at Madorra, which is a home use device that uses ultrasound to really rekindle the body's natural lubricating process. And so our whole goal has been to be very supportive of the other products in this category. We think hormones should be used more often than they are, frankly, but that women shouldn't have to make a compromise. If they don't want to use hormones, then they should have other options, and that's where we come in. [00:11:21] So our product, we will, it's not on the market yet. We're working towards that, but when it's out there, what we envision is a prescription happens from the gynecologist, and then the patient uses the product at home on a regular basis to, like I said, kind of revitalize that natural process. And what patients have told us they like about this is that It is restarting their own natural lubrication rather than some exogenous hormone or chemical. And there's less of a kind of a goop ick factor, you know, than having to use these over the counter things, which again, they like say that not to say that those don't have their place because they absolutely do, but it's not enough. [00:12:01] And so, we're pre FDA clearance, but we have a breakthrough designation from FDA. So that's feather in our cap and will help us get through the agency more expeditiously. And we have done several clinical trials and look forward. We've published one of those trials in our first manuscript, and we look forward to putting more of our data out there to help really lay the foundation to say, "Yeah, ultrasound is an appropriate approach to treating this and has virtually no side effects." So this should be a great option to be available to as many people as possible. [00:12:36] Lindsey Dinneen: Oh, that is incredible. Oh my goodness. Well, yeah, first of all, again, you know, it boggles my mind and it probably shouldn't anymore, but it continues to when you tell me statistics like this, that 75 percent of women who've are in this situation or have this concern or whatnot. And you're just think, you're addressing it in a way that's so innovative. And yet that hasn't really been addressed yet and it happens again and again with healthcare for women. And I'm wondering, you know, you mentioned earlier being very passionate about this. So I'm wondering if you can speak a little bit to fem tech and women's health and how you're involved in helping to push the conversation forward 'cause I know that can be a little challenging at times. [00:13:23] Holly Rockweiler: Absolutely. Yeah. And well, it's super fascinating too, because we spun out of Stanford in 2014. So we're coming up on 10 years here and the conversation is so different today than it was just, well, just 10 years. I mean, it was a decade, but it feels like yesterday. Like a lot has changed. When we first were starting Femtech wasn't a hashtag, like that was not a conversation. And people would say like, "Ooh, that's a niche." Yeah. And that doesn't happen anymore, which is really great. So while that's, that's certainly progress, so we should acknowledge that and be proud of everyone who's worked towards creating that progress. So I think what's been interesting, though, it's like the pace of progress, maybe? [00:14:09] So it's very exciting to know that there are, for instance, obviously I spend a lot of my time fundraising, there are women's health focused venture groups now. They, that's fantastic. That we just need bigger and bigger funds to be focused on that. We just need more and more We need more of everything, right? I mean, one of many things I've been very surprised to learn is how little training physicians get on menopause specifically. And so that has to change. And so there's just like a lot. [00:14:40] And so to the point of activism, like there's a lot to say, and so I think, it's... being raised by parents who are feminists, that helps, I think, me just start by saying, "Well, no, this shouldn't be . We can do better, and we will do better." So that's helpful, and I think that's also what really keeps me going-- obviously, every job is hard, and in our startup world, this is certainly a lot emotional rollercoaster. And so when I think about when I have harder days, it's like, "Wow." We've had patients tell us, for example, "I can't believe you're even paying attention to this. I can't believe you're listening to what I have to say." And so one, that's disturbing that's, as little as it's needed to make someone feel better. Secondly, it's "Wow, we can have such an impact by just being out there." So like the fact that we exists, I always think is helpful and that we do things like this and have open conversations about vaginal health for an aging population. [00:15:39] I will also say that, a year ago at the Super Bowl last year, there was an ad for a hot flash drug. And so that's like, you know, the world stage, menopause is being discussed. That was not happening 10 years ago. There is real progress being made. The last thing I want to say is that one thing I, I have also really appreciate about working in women's health and how supportive everyone is of everyone else. Every, anytime, even like our closest competitor, when I met their CEO, she was wonderful to me and, you know, shook my hand and said, "How can I help you?" And it's like, "Where else does that happen?" That's incredible. I think 'cause we all see there's a lot of work to be done. We can't do it alone. We want to support each other. [00:16:19] Lindsey Dinneen: Oh, I love that. Yeah, that is something that I have really admired and appreciated about the medtech industry. I think because people are curious, and their mindset is very innovation problem solving, "how can I help?" It seems like even with competitors. Yes, we're maybe vying for similar people to sell to. However, there's this idea of camaraderie, which I don't find in a lot of industries. So yeah, to your point, I think it's really helpful to have those allies in the space because that's, it's a little different. [00:16:53] Holly Rockweiler: Totally. [00:16:54] Lindsey Dinneen: Yeah. So yeah. And I, I love what you were saying about these conversations are happening more and they're becoming more mainstream and less embarrassing or taboo, which sounds hilarious because it's 50 percent of the population or whatever. But anyway, the point being, it is exciting to see this continue to move forward. And I'm wondering, even as a company, obviously your next big hurdle is getting that FDA approval, going to market and whatnot. But as you continue down the road, what other kinds of problems are you looking to solve? Or are you not even there yet? This is just like, "Let's start here. We'll get into that later." [00:17:38] Holly Rockweiler: Yeah. No, it's a great question. I think like what kind of harkening back to the just the prior question about the community of women's health. It's like you can't go a day without finding five other problems that you want to solve. So absolutely. I think that yeah, I mean, like with Madorra, we are very focused obviously on this technology and developing it, but we certainly have a roadmap of where this technology could go and other ideas of where to take it. And then what I find fascinating is that there is no menopause "brand." Like no one owns menopause, which I, if I worked at Procter and Gamble or Kimberly Clark, I would be like, hopefully 15 years ago, I would have said, "Guys, let's do it." So it's very surprising to me. So I think there's a lot of opportunities. [00:18:23] So would Madorra be that brand? I would love that. We would need a lot of other products that come together with us. So what I really see is a roll up in the future of multiple women's health products together. So I think that's exciting. In terms of, also a little bit maybe more broadly speaking, and this is no surprise to you, I'm sure, or your listeners, that reimbursement is an area that needs massive... I don't know, I was gonna say like overhauling, but that sounds pretty drastic. [00:18:53] It just needs to be clearer and cleaner and simpler. In terms of a process. I'm not saying that we should be handing out reimbursement left and right, but any investor conversation I have is, we go there immediately. And it's like, "Okay, what's the path? Well, why do you think that's going to happen?" And when, you know, X, Y, Z, other company had this happen and I can, we have a good strategy. I think I have a good pitch, but, oh, just... it just is an area that is really murky, and given that's a really critical piece in any business is how are you going to get paid? That's an area that I think there's a lot of good work being done. It just moves at a pace that is painfully slow. I don't have anything insightful to say about it except that, thank you to the people who are working on it, and I support you. I think the TCEP program is a step in the right direction, but even that has been very slow, and not without its own issues, so. [00:19:53] Lindsey Dinneen: Yeah. Still work to be done, but thankful for the work that is being done. [00:19:58] Holly Rockweiler: Well said. Yes. [00:20:00] Lindsey Dinneen: So, yeah, so, okay. So obviously, listening to you speak about your background and about the industry, it's really clear how passionate you are about this. And I, I wonder if there are any moments or series of moments that stand out to you as kind of confirming that, "Yes, I am in the right place at the right time. I'm here for a reason." [00:20:23] Holly Rockweiler: Oh, good question. Yeah. I'm trying to think like, there are plenty. There's plenty of times in the moment where it's like, "Of course, yes." And then there's like quickly like, "Oh, what's the next fire I'm trying to put out?" So it's hard to really think. I wish I had a super answer right away. I'm thinking, I guess I always come back to the patient and so like hearing-- so we've done some clinical trials in Australia and various team members of ours have gone over and been able to support the trials and be a part of them. And just hearing the stories that they bring back, it's just like, "Yes, we have to keep doing this." [00:21:01] One of our employees was there and came back with a couple stories of one of them was just like after the study visit, the patient was speaking to her and was saying, "It's a conspiracy of silence. This is a huge problem. So many of us are suffering. We're so glad you're here." And then it's other things like we did, for instance, a human factors study that was really helpful to us. And we learned a lot from, and in that study, it was like patients came in to do mock use of the device so we could improve our training materials and also, you know, all parts of the user experience. And it was amazing to me. [00:21:38] So patients, you know, participants, I should say, got zero benefit theoretically about being in that study. It was all for us to learn how to do this better. I mean, we did compensate them, but marginally, right? And so many people wanted to be in that study. And even if it was the early on patient who had-- I'm going to make it up. I had like, "Oh, the user manual didn't make sense to them" or something. They were still like, "I'm so glad to be here to help you because this product needs to be out there." And so it's like, " This is incredible. Yes!" And that part is really rewarding to me. [00:22:09] For me, it's the patients and their feedback and just their enthusiasm. And then, I was gonna say also for the healthcare providers too, we have a lot of wonderful physicians that we work with and their support has been helpful. Like for instance, as I mentioned, we put a paper out there and one of our clinical advisors was highlight, or I think a couple of them highlighted to us that like, "We need to do a second paper on a specific subset of that data because it's super valuable and hasn't been out there before," which may be the clinicians do that for everything they do 'cause they, they know the scene and they know what needs to be published, but it just felt like we have a lot of people who really are rowing in the same direction and really want to make an impact like we do. [00:22:49] Lindsey Dinneen: Oh, wow. Yeah, that's incredible. Thank you for sharing those stories. I think, you know, as you alluded to earlier, because your role has so many components, because that's the space you're in and you've got so much going on, I think it's really compelling to have something to hold onto when it gets hard and go, "You know what? I remember that patient who was so thankful just to have the opportunity to be a part of it and just wait until this gets into the hands of so many more." [00:23:15] Holly Rockweiler: Totally. [00:23:17] Lindsey Dinneen: Yeah. Yeah. Yeah. And so for you, you know, you obviously have a very strong background in engineering and innovation. How was it for you going from that to also now being an entrepreneur, and having a business, and having to also learn all of those skills as well. How was that transition? [00:23:42] Holly Rockweiler: Fun. I think that-- there's a lot of personal growth, and I've learned a lot about myself and what where I find passion. So I think there's definitely a lot of hard parts too, but what, well, one thing is that I think there's also a heavy dose of naivete that was important. I didn't know what I didn't know. And so here I am 10 years later I think, you know, in the beginning too, I was not... what do I say? I wasn't convinced, yeah, I wasn't convinced that I could be a CEO, that I should be or could be. And so I think that was, and is maybe still a definitely a continuous journey to it. So why is, why did I think that? What does that mean to me? And where am I now? That's been certainly a learning process. [00:24:31] But that's also like why I said fun, because I, I get to do such a variety of, like, I get to have this opportunity to speak to you on this podcast. I get to work with our clinical advisors on a paper. And I also get to apply for grants. And there's a lot of hard things that come with all those things, but I feel like it's been a really, I don't know, just an incredible opportunity to have a job that It requires so many different things. It also requires me to do financial modeling, which I'm terrible-- well, was terrible at-- have learned and much better at, but also don't really love doing. [00:25:04] So it teaches you what, what you might look for in a future chapter of your life as well. But I'm someone who really thrives on, I have a very curious mind. So trying new things and figuring out new things. And that, I think that curiosity is well satiated by an entrepreneur's life. The managing your own psychology is really difficult, but that's why you have a great community of people around you, both within the entrepreneur community and outside of it. [00:25:36] Lindsey Dinneen: Oh my word. I think I just need to take what you just said those last couple of sentences and just make it into a quote because that was so well articulated. [00:25:45] Holly Rockweiler: Oh, thank you. [00:25:47] Lindsey Dinneen: I cannot think of a better way to describe that journey. So thank you for, but also thank you for being vulnerable and willing to share that, because it is such a journey and it is a learning curve, but kudos to you for embracing it with an attitude of fun, like, "Let's just learn something new and it might not go great the first time, but that's okay. I'll try again." [00:26:10] Holly Rockweiler: Yeah, I was thinking, I was like, "Well, if any of my investors are listening, I have gotten really good at a lot of these things, so y'all don't need to worry." But I do think that's maybe the blessing and the curse of being a first time entrepreneur. So I think, you know, there's certainly a lot of benefits for having done it before and knowing exactly what to expect. But I think with anything in maybe any regulated industry, or maybe any startup, really, there's always going to be curveballs. So that keeps you excited. [00:26:41] Lindsey Dinneen: it's never boring. It keeps you on your toes. There's at least that. [00:26:45] Holly Rockweiler: Yes, absolutely. [00:26:47] Lindsey Dinneen: Excellent. Pivoting the conversation just for fun. Imagine that you were to be offered a million dollars to teach a masterclass on anything you want. It can be within your industry, but it doesn't have to be. What would you choose to teach and why? [00:27:04] Holly Rockweiler: Oh, that's interesting too. And that's a nice paycheck. [00:27:08] Lindsey Dinneen: Right? I [00:27:10] Holly Rockweiler: Let's see. It's getting right to what do I think I'm good enough at to teach a class about. So, I mean, I think one thing that I've been thinking about a lot recently is scientific communication and how, how different voices get amplified and how the kind of stereotypical scientific persona is, it's not the one that wants to be necessarily on social media with a gazillion followers and all these TikTok videos. So I think that I would like to teach the class in concert with, I have a lot of ideas of like, who would be a great way, who would be great people to collaborate with in order to teach or really to help promote more scientific discourse in a conversation that's appropriate and approachable for anyone. [00:28:04] I think that obviously our country has faced a lot of division and I don't think that's really true. I think that a lot of that is-- well, there certainly is a lot of division. I don't mean that. I just mean that I think there's a path to human connection via communication and that, wouldn't it be cool if we could help bridge conversations. And obviously I'm, I am a scientist. I think of myself as a scientist, so I want to think about ways to provide other voices out there to be amplified as well, or perhaps amplify the right voices to help promote just a more enriched dialogue than what is often presented as the country's dialogue today. [00:28:48] Lindsey Dinneen: I love that. [00:28:50] Holly Rockweiler: It's kind of rambling. I can get back to you with my course description, but that's probably where I would go. [00:28:56] Lindsey Dinneen: Syllabi due Tuesday. No, I think that is absolutely incredible. And I love that because I think that is something that's missing and there's some translation error that occurs. And one of the things that I'm passionate about is helping to bridge that gap between-- so I'm right on board with you-- but to bridge that gap between maybe taking some what are traditionally considered complex ideas, concepts, whatever, and distilling it down to a more accessible format. And because everyone learns differently, it's just helpful to have a wider range of options. [00:29:35] Holly Rockweiler: Totally. [00:29:36] Lindsey Dinneen: So I love what you would be passionate about sharing. I mean, I would sign up for that masterclass. [00:29:41] Holly Rockweiler: You can help me teach it, I think. [00:29:43] Lindsey Dinneen: Okay. Deal. We'll get back on that. [00:29:45] Holly Rockweiler: Okay. [00:29:47] Lindsey Dinneen: Excellent. Yeah. How would you wish to be remembered after you leave this world? [00:29:53] Holly Rockweiler: You have some great questions. Yeah, let's see. You know, I've honestly never thought about that. I think that I would, what would I want people... well, I think about like what I would want my friends to think. That, like, they were loved and that they hopefully shared that love broadly. But then, well, let's see, that's not really, like, remembering. Yeah, I guess, maybe it is. So, yeah. That I'm a lover, a curious person, and that I, there is a lot of beauty in the everyday, and so there's a lot to be excited about even on the hard days, [00:30:32] Lindsey Dinneen: Yeah. I love that. And then, final question. What is one thing that makes you smile every time you see or think about it? [00:30:41] Holly Rockweiler: Certainly my family. I have a four year old son and he is, keeps me very present and cracks me up continuously. And so, my husband and I are very lucky to have him. And obviously my husband makes me laugh. A lot. And so I really appreciate them. And so even when, you know, the work day is hard, I feel really fortunate to have a very rich personal life outside of that. So my family and then my friends also. [00:31:09] Lindsey Dinneen: Oh, yes. Of course. That's wonderful. And I'm so glad you have that amazing support system to bring that smile to your face, especially on the tough days. [00:31:19] Holly Rockweiler: Absolutely. [00:31:20] Lindsey Dinneen: Well, Holly, this has been a wonderful conversation. I'm so thankful for you and what you're doing in this space and the fact that you're tackling an issue that affects so many people, and that you're just bringing all this innovation to, and you're so passionate about sharing that in a way that resonates with people. So I just want to first say, you know, thank you so much for the work that you're doing. I know it's not easy and there are probably days where you, you just kind of want to, you know, toss something in the trash, but honestly, thank you for continuing to do the work you're doing. It's not nothing. And I want to appreciate that. [00:31:59] Holly Rockweiler: Well, that is very kind. Thank you. And that means a lot. And thank you for doing what you're doing, too, to give people like me a chance to share, and also us to listen to others sharing their stories. And for asking, I will say, asking questions that are more about me as a whole person too. I think that when I've been in other conversations sometimes are really-- and there's nothing wrong with those, but it's fun to have, we can ask these questions. I'm like, "Wow, I would do some thinking this weekend about how I want to be remembered" because I've never thought about that. [00:32:30] Lindsey Dinneen: Yeah. There you go. I love it. Well, and we are so honored to be making a donation on your behalf as a thank you for your time today to the Equal Justice Initiative, which provides legal representation to prisoners who may have been wrongly convicted of crimes, poor prisoners without effective representation, and others who may have been denied a fair trial. So thank you for choosing that organization to support, and we just wish you continued success as you work to change lives for a better world. [00:32:59] Holly Rockweiler: Well, thank you. It's been a pleasure. Thank you. [00:33:03] Lindsey Dinneen: Me too. And thank you so much for our listeners for tuning in. And if you're feeling as inspired as I am right now, I would love if you would share this episode with a colleague or two, and we will catch you next time. [00:33:16] Ben Trombold: The Leading Difference is brought to you by Velentium. Velentium is a full-service CDMO with 100% in-house capability to design, develop, and manufacture medical devices from class two wearables to class three active implantable medical devices. Velentium specializes in active implantables, leads, programmers, and accessories across a wide range of indications, such as neuromodulation, deep brain stimulation, cardiac management, and diabetes management. Velentium's core competencies include electrical, firmware, and mechanical design, mobile apps, embedded cybersecurity, human factors and usability, automated test systems, systems engineering, and contract manufacturing. Velentium works with clients worldwide, from startups seeking funding to established Fortune 100 companies. Visit velentium.com to explore your next step in medical device development.

In this episode, I'm joined by Diana Blum, a mom featured in Eli Steele's new documentary, "Killing America." We will discuss the film, but can only show stills because YT will not allow the film of any clips of it to be shown on this platform.Please visit the link below watch the film prior to watching this episode to fully understand what we will be discussing.https://rumble.com/v4np95x-killing-am...Dr. Diana Blum is a board-certified neurologist who graduated from the University of Chicago, Pritzker School of Medicine and completed her Neurology Residency at Stanford Hospital and Clinics. She is a mom of two currently enrolled SUHSD students and during the pandemic, she began noticing that an illiberal ideology was dominating the narrative in school curriculums. She spent the following two years volunteering in the classroom at Belle Haven Elementary in East Menlo Park to better understand what the root issues were.SUPPORT THIS CHANNELIf you appreciate this type of programming, please consider supporting my work:Join The Reason We Learn Community @WOKESCREEN : https://wokescreen.com/thereasonwelearn/Join The Reason We Parent - Parent Support Group: https://wokescreen.com/the-reason-we-...Hire me for consulting, tutoring and public speaking: https://thereasonwelearn.com Buy Me a Coffee: https://www.buymeacoffee.com/trwlPayPal: paypal.me/deborahfillmanPurchase TRWL Merch: https://store.wokescreen.com/the-reas...Purchase books from Heroes of Liberty with my referral link and get 10% off!https://heroesofliberty.com/?ref=Zqpq...#DEI #education #k12 #censorship #hypocrisy #antisemitism #equity #criticalracetheory #intersectionality #holocaust #history #americandream #parenting #SFUSD --- Support this podcast: https://podcasters.spotify.com/pod/show/debf/support Get full access to The Reason We Learn at thereasonwelearn.substack.com/subscribe

The COVID-19 pandemic may have a longing impact on youth kids who may have missed out on sport and recreation opportunities for nearly a year. However, Elite Weightlifting Coach Kevin Doherty used the barbell during this time to help his community flourish through connection and sport. Owner of Hassle Free Barbell Club, Coach Kevin Doherty safely coached first generation kids through the pandemic to ensure that they could remain active while the world shutdown. Coach Doherty talks about the importance of Weightlifting as a tool for building confidence. Also in this episode, Kevin shares his perspective on goal setting beyond physical PRs so that athletes can thrive outside of the gym. This episode continues our Coaching and Leadership series. It was incredible to hear how much of an impact a coach can make on an athletes life alongside physical strength. The relationships forged through weightlifting can help set the foundation for lifelong success. He also emphasizes the value of collaboration and uplifting others. If you were curious why athletes find weightlifting to be a lifetime sport - listen to this episode with Coach Kevin Doherty. THE GRITTY DETAILS Youth weightlifting is a window to introduce children to many different sports. Weightlifting builds skills and confidence for other sport disciplines. Less is more in your strength and conditioning program. The basics will benefit you as long as you are moving correctly and loading the barbell heavy enough. Goal setting goes beyond reps and sets but should include life goals to develop a well-rounded human. This is especially important for athletes who may experience setbacks or injuries. CONNECT WITH THE GUEST  Follow Hassle Free Barbell Club on Instagram or on the web. Stanford Hospital says “Weight room no longer off limits to kids.” EPISODES YOU MIGHT ENJOY Episode 42: Trusting the Coaching Process Episode 32: Building Community Through Sport  Episode 3: Coaching Discipline and Leadership CONNECT ON SOCIAL Follow the Podcast on Instagram Follow your host

In episode 45 of The Heart Chamber Podcast, we dive into Aimee Mackovic's inspiring journey through a triple organ transplant during the pandemic. An accomplished poet and English professor from Austin, Texas, Aimee shares her battle with a congenital heart defect and subsequent heart and liver failures. Her memoir, "Contains Recycled Parts," available on Amazon, details this life-altering experience. Aimee was born with a congenital defect and needed the Fontan procedure at 15 months old. To her surprise, she learned at age 44, she would need a new heart and liver and then, eventually, a new kidney. We discuss the challenges she faced, including recovery, the importance of understanding medical information, and the invaluable role of community support. Aimee emphasizes the significance of emotional readiness and the impact of writing as a healing tool. Tune in to hear her incredible story of resilience and the life-saving power of organ donation.A Little More About Today's GuestAimee Mackovic was born with a congenital defect (a hole in the middle of her heart) and underwent her first open heart surgery at 15 months for a pulmonary banding, which was a temporary fix. That "fix" lasted until she was 22 years old. At 22, Aimee underwent another open-heart surgery to potentially now repair the hole. Due to the nature of the defect, a full repair was not possible, so they did a newly touted Fontan procedure, which was meant to be a bridge surgery to an eventual heart transplant. Well, another 22 years later with another hospital stay, she is admitted to Dell's Children Hospital in Austin, TX with heart and liver failure. The very complex and urgent nature of her case caused her to be taken on by Stanford Hospital in California, where she received her heart and liver on December 13th, 2019. She received a kidney transplant in June of 2022. In June of 2023, she moved back to Austin, TX, where she resumed her teaching life at Austin Community College and her social life with her friends. Her memoir, Contains Recycled Parts, is a humorous, gut-wrenching look at her triple-transplant journey.How to connect with AimeeInstagram: @aimeemackovicWebsite: www.aimeemackovic.comBook: Contains Recycled Parts - https://twosisterswriting.com/book/contains-recycled-parts/**I am not a doctor and this is not medical advice. Be sure to check in with your care team about all the next right steps for you and your heart.**How to connect with BootsEmail: Boots@theheartchamberpodcast.comInstagram: @openheartsurgerywithboots or @boots.knightonLinkedIn: linkedin.com/in/boots-knightonBoots KnightonIf you enjoyed this episode, take a minute and share it with someone you know who will find value in it as well. You can share directly from this platform or send them to:Open Heart Surgery with Boots

Listen as Raven Heyward, founder and host of DiversifyHER, converses with Shaunté Kinch. Shaunté Kinch, CEO of Empact Global and an expert with over 20 years of experience in healthcare and aerospace engineering. Kinch, a transformative force in healthcare, holds a Master's in Mechanical Engineering and certifications in Lean Practice, Project Management, and Systems Engineering. Her impactful work at Stanford Hospital and UCLA Health System focused on improving clinical quality and patient satisfaction. Kinch's innovative approach includes leveraging AI for equitable access to quality care. As an Innovation Architect with NASA, she applies her problem-solving skills to address significant challenges. Kinch's leadership has earned her accolades, such as Profiles in Diversity's Black Leadership Award and the 2020 Working Mother of the Year, showcasing her commitment to global change through empathy and ingenuity.Connect with Shaunté:Linkedin: Shaunté Kinch Website: https://www.empactglobal.com/

Fr. Nathan discusses the compassionate response to Paul, Who Thought He Was Minus-Four Man with the help of his Prayer Partner: John Sanchez. Told in greater detail in “Afterlife, Interrupted: Helping Stuck Souls Cross Over Book 1.”In this episode of The Joyful Friar Podcast, Fr. Nathan shares the compassionate response to Paul, Who Thought He Was Minus-Four and mistook a narrow, wooden raised bit of roadway for an old section of road, and his car fell through and landed in the water. All four passengers perished and this is Paul's Afterlife story. Prayer Partner John Sanchez is a native of Mountain View, CA. After 15 years of working within the music industry, the video game industry, and as a photographer, John found balance working for a Catholic church. When he isn't helping stuck souls cross over, he is learning how to help people who feel stuck in this life. John enjoys volunteering as a Eucharistic Minister of Holy Communion at Stanford Hospital and spending time with his Godsons Julian, Jayden, and Jonah. ​Connect with Father Nathan Castle, O.P.http://www.nathan-castle.comFacebook: https://www.facebook.com/fathernathancastleInstagram: https://www.instagram.com/father_nathan_castle/?hl=enYouTube: https://www.youtube.com/c/FatherNathanGCastleOPListen to the podcast:Apple Podcasts: https://apple.co/3ssA9b5Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5idXp6c3Byb3V0LmNvbS8xODkwNTE1LnJzcwPurchase books on Amazon:https://tinyurl.com/34bhp2t4 Donate:https://nathan-castle.com/donate/ My Dominican brothers and I live a vow of poverty. That means we hold our goods in common. If you enjoy this podcast and feel called to donate please do. 501©3 of the Western Dominican Province. #fathernathancastle, #nathancastle, #thejoyfulfriar, #afterlifeinterrupted, #Interrupteddeathexperience #consciousness #lifeafterdeath, #lifeafterloss #spirituality #awakeni...

Fr. Nathan introduces us to Paul, Who Thought He Was Minus-Four Man with the help of his Prayer Partner: John Sanchez. Told in greater detail in “Afterlife, Interrupted: Helping Stuck Souls Cross Over Book 1.”In this episode of The Joyful Friar Podcast, Fr. Nathan shares the story of Afterlife, Interrupted: Paul, Who Thought He Was Minus-Four and mistook a narrow, wooden raised bit of roadway for an old section of road, and his car fell through and landed in the water. All four passengers perished and this is Paul's Afterlife story. John Sanchez is a native of Mountain View, CA. After 15 years of working within the music industry, the video game industry, and as a photographer, John found balance working for a Catholic church. When he isn't helping stuck souls cross over, he is learning how to help people who feel stuck in this life. John enjoys volunteering as a Eucharistic Minister of Holy Communion at Stanford Hospital and spending time with his Godsons Julian, Jayden, and Jonah. ​Connect with Father Nathan Castle, O.P.http://www.nathan-castle.comFacebook: https://www.facebook.com/fathernathancastleInstagram: https://www.instagram.com/father_nathan_castle/?hl=enYouTube: https://www.youtube.com/c/FatherNathanGCastleOPListen to the podcast:Apple Podcasts: https://apple.co/3ssA9b5Google Podcasts: https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5idXp6c3Byb3V0LmNvbS8xODkwNTE1LnJzcwPurchase books on Amazon:https://tinyurl.com/34bhp2t4 Donate:https://nathan-castle.com/donate/ My Dominican brothers and I live a vow of poverty. That means we hold our goods in common. If you enjoy this podcast and feel called to donate please do. 501©3 of the Western Dominican Province. #fathernathancastle, #nathancastle, #thejoyfulfriar, #afterlifeinterrupted, #Interrupteddeathexperience #consciousness #lifeafterdeath, #lifeafterloss #spirituality #awakeni...

Shame is overrated, according to Dr. Towery, who recently won the 2022 Shame Attacking World Championship! Dr. Towery also goes over mindset shifts as related to the growth mindset, and how thoughts shape feelings as well as behaviors. Dr. Jacob Towery, MD is Adjunct Clinical Faculty at Stanford University School of Medicine. He has been featured in The New York Times and The Washington Post. He received his Bachelors of Science in Psychology from Duke University and then attended the University of Virginia School of Medicine. He completed residency as well as a fellowship in adolescent psychiatry at Stanford Hospital and Clinics. He is extensively trained in TEAM-CBT and is the author of The Anti-Depressant Book. He is also the winner of the 2022 Shame Attacking World Championship. 

As coisas importantes que a vida ensina. Número Um: A mais importante pergunta Durante meu segundo mês na escola de enfermagem, nosso professor nos deu um teste surpresa. Eu era uma aluna escrupulosa e tinha passado rápido pelas perguntas, até que li a última: "Qual é o primeiro nome da mulher que limpa a escola?" Certamente isso era algum tipo de piada. Eu tinha visto a faxineira várias vezes. Ela era alta, de cabelos escuros e na casa dos 50 anos, mas como eu saberia o nome dela? Entreguei minha prova, deixando a última questão em branco. Antes do fim da aula, um aluno perguntou se a última pergunta contaria para a nota do teste. "Absolutamente", disse o professor. "Em suas carreiras, você conhecerá muitas pessoas. Todas são importantes. Elas merecem sua atenção e cuidado, mesmo que tudo o que você faça seja sorrir e dizer 'olá'". Nunca esqueci essa lição. Também aprendi que o nome dela era Dorothy. Número dois: Pick-up na chuva. Uma noite, às 23h30, uma mulher afro-americana mais velha estava parada na beira de uma rodovia do Alabama tentando suportar uma forte tempestade. Seu carro quebrou e ela precisava desesperadamente de uma carona. Encharcada, ela decidiu acenar para o próximo carro. Um jovem branco parou para ajudá-la, geralmente inédito naquela década de 1960 cheia de conflitos. O homem a levou para um local seguro, ajudou-a a conseguir ajuda e a colocou em um táxi. Ela parecia estar com muita pressa! Ela anotou o endereço dele, agradeceu e foi embora. Passaram-se sete dias e bateram à porta do homem. Para sua surpresa, um console gigante de TV em cores foi entregue em sua casa. Uma nota especial foi anexada. Dizia: "Muito obrigado por me ajudar na estrada na outra noite. A chuva encharcou não apenas minhas roupas, mas meu espírito. Então você apareceu. Por sua causa, pude chegar à casa de meu marido moribundo ao lado da cama pouco antes de ele falecer. Deus o abençoe por me ajudar e servir aos outros desinteressadamente. Atenciosamente, Sra. Nat King Cole." Número Três: Lembre-se sempre daqueles que servem. Numa época em que um sorvete custava muito menos que hoje, um menino de dez anos entrou numa lanchonete e sentou-se à mesa. Uma garçonete colocou um copo de água na frente dele. Quanto custa um sundae? 50 centavos. O menino puxou as moedas do bolso e começou a contá-las. Bem, quanto custa o sorvete simples? A essa altura, mais pessoas estavam esperando para serem atendidas e a garçonete começava a perder a paciência. 35 centavos, respondeu-lhe, de maneira brusca. O garoto, mais uma vez, contou as moedas e disse-lhe: Vou querer, então, o sorvete simples. A garçonete trouxe o sorvete simples, colocou-o na mesa e saiu. O menino acabou de tomar o sorvete, pagou a conta no caixa e saiu. Quando a garçonete voltou, começou a chorar, à medida que ia limpando a mesa, pois ali, do lado da taça vazia de sorvete, havia 15 centavos em moedas, ou seja, o menino não pediu o sundae porque queria que sobrasse a gorjeta da garçonete. Número Quatro: O obstáculo em nosso caminho. Nos tempos antigos, um rei tinha uma pedra colocada em uma estrada. Então ele se escondeu e observou para ver se alguém removeria a enorme pedra. Alguns dos mercadores e cortesãos mais ricos do rei passaram e simplesmente contornaram o local. Muitos culparam veementemente o rei por não manter as estradas limpas, mas ninguém fez nada para tirar a grande pedra do caminho. Então apareceu um camponês carregando uma carga de vegetais. Ao se aproximar da pedra, o camponês largou sua carga e tentou mover a pedra para a beira da estrada. Depois de muito empurrão e esforço, ele finalmente conseguiu. Como o camponês escolheu carregando sua carga de legumes, ele notou uma bolsa caída na estrada onde a pedra estava. A bolsa continha muitas moedas de ouro e uma nota do rei indicando que o ouro era para a pessoa que removeu a pedra da estrada. O camponês aprendeu o que muitos outros nunca entenderam. Cada obstáculo apresenta uma oportunidade de melhorar a condição de alguém. Número Cinco: Doar sangue. Muitos anos atrás, quando trabalhava como voluntário no Stanford Hospital, conheci uma garotinha chamada Liz que sofria de uma doença rara e grave. Sua única chance de recuperação parecia ser uma transfusão de sangue de seu irmão de 5 anos, que sobreviveu milagrosamente à mesma doença e desenvolveu os anticorpos necessários para combatê-la. O médico explicou a situação ao irmãozinho dela e perguntou ao menino se ele estaria disposto a doar o sangue para a irmã. Eu o vi hesitar por apenas um momento antes de respirar fundo e dizer: “Sim, farei isso se salvar Liz”. À medida que a transfusão avançava, ele se deitou na cama ao lado da irmã e sorriu, como todos nós, ao ver a cor voltar às faces dela. Então seu rosto empalideceu e seu sorriso desapareceu. Ele olhou para o médico e perguntou com a voz trêmula: “Vou começar a morrer imediatamente?” Sendo jovem, o menino havia entendido mal o médico; ele pensou que teria que dar à irmã todo o seu sangue. Atitude, afinal, é tudo. --- Send in a voice message: https://podcasters.spotify.com/pod/show/malhete-podcast/message

This episode features Patrice Callagy, Director of Emergency Medicine at Stanford Hospital and Clinics & Dr. Sam Shen, Vice Chair of Clinical Operations & Quality and Clinical Professor in the Dept of Emergency Medicine at Stanford University School of Medicine Dept of Emergency Medicine. Here, they discuss their background & current responsibilities at Stanford, innovation opportunities they are excited about, where they see the best opportunities for growth in the future, and more.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming HIT + Digital Health + RCM Meeting Oct, 3-6 2023 here.

This episode features Patrice Callagy, Director of Emergency Medicine at Stanford Hospital and Clinics & Dr. Sam Shen, Vice Chair of Clinical Operations & Quality and Clinical Professor in the Dept of Emergency Medicine at Stanford University School of Medicine Dept of Emergency Medicine. Here, they discuss their background & current responsibilities at Stanford, innovation opportunities they are excited about, where they see the best opportunities for growth in the future, and more.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming HIT + Digital Health + RCM Meeting Oct, 3-6 2023 here.

This episode features Patrice Callagy, Director of Emergency Medicine at Stanford Hospital and Clinics & Dr. Sam Shen, Vice Chair of Clinical Operations & Quality and Clinical Professor in the Dept of Emergency Medicine at Stanford University School of Medicine Dept of Emergency Medicine. Here, they discuss their background & current responsibilities at Stanford, innovation opportunities they are excited about, where they see the best opportunities for growth in the future, and more.Want to network with peers and hear more conversations like this? Apply to be one of our complimentary guest reviewers at our upcoming HIT + Digital Health + RCM Meeting Oct, 3-6 2023 here.

Thank you Stanford Hospital!

On this episode I talk with Charlene Platon. She's a registered nurse, and she's in a leadership position at Stanford Health Care, which includes Stanford Hospital. She's now launched a startup on the side, called Fifth Window. It's a digital platform with a mission of revolutionizing the well-being of nurses worldwide. She talks about her journey as a startup founder, and also thoughts on how startup founders can optimize their time in order to achieve their goals.

Stand Up is a daily podcast. I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 740 awesome, curious, kind, funny, brilliant, generous souls. Hello Friends! I want to try something new with the show and host at least one hour a week where I am talking to someone very smart about mental health issues and struggles that will help us all deal with suffering and find joy ! So today I have Dr Eli Merritt back. Last week we talked with him about how to save our democracy but today we will talk about how we save ourselves.  Eli Merritt, M.D., completed undergraduate studies in American History at Yale, graduate studies in Ethics at Yale, a medical degree at Case Western Reserve, an internship in internal medicine at the Lahey Clinic, and psychiatric residency at Stanford. Upon graduation from Stanford, he opened private practices in San Francisco and Palo Alto, California, and received appointment to the Clinical Faculty at Stanford, where he taught resident doctors the twin disciplines of psychotherapy and psychopharmacology for five years. Following this position, he served for eight years as the president of the San Francisco Psychiatric Society before founding Merritt Mental Health. Additionally, Dr. Merritt has held positions on the Committee on Medical Ethics at Stanford Hospital and the Council and Professional Education Committee of the Northern California Psychiatric Society. His honors include the Gulevich Award in Psychotherapy and Humanistic Psychiatry at Stanford, the Humanism in Medicine Award at Case Western Reserve, the Saunders Award in Family Systems at Case Western Reserve, and graduating Magna Cum Laude with Distinctions in History at Yale. He has written on diverse topics in medicine, psychiatry, and medical ethics, including diagnosis, insomnia and depression, addiction, suicide prevention, informed consent, and privacy issues in mental illness. He has taught medical students and resident physicians courses on psychiatric interviewing, ethical standards and boundary violations, the placebo effect, hyperthyroidism, and medical decision-making, among other subjects. Dr. Merritt is happily married and lives in San Francisco with his wife and two sons. In addition to his work as a psychiatrist, he enjoys travel, hiking, skiing, tennis, writing, early American history, community volunteering, and playing competitive board games like chess and backgammon with his two sons. Check out all things Jon Carroll Follow and Support Pete Coe Pete on YouTube Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page

Good Grief—Featuring Mike Christensen     Mikes' beloved friend, Kris Yip, word-ranked bicyclist who suddenly and tragically died. Mikes' beloved dog and best friend, Josie, who died the day before the podcast was recorded In today's podcast we feature one of our favorite people, Mike Christensen. Mike is a Certified Level 5 Master TEAM CBT Therapist and Trainer, and is the Director Feeling Good Institute, Canada. Mike is a Registered Clinical Counsellor with the British Columbia Association of Clinical Counsellors and holds a Master of Arts in Counselling Psychology degree. His diverse background in business, community organizations, and family support roles has provided Mike with a wide array of experience in leadership, administration, parenting training, and team building. He provides advanced level online training with the Feeling Good Institute for therapists around the world and is currently co-authoring a book with Maor Katz on Deliberate Practice of TEAM-CBT. Mike specializes in treating depression and anxiety, with experience and training in addictions, PTSD, and relationship challenges. Today, Mike comes to us today with a personal issue, grief and loss. The day before the recording Mike's beloved dog, Josie, died, and this came on the heels of the death of one his best friends, Kris Yip, a month earlier. Kris had died suddenly and unexpectedly at the age of 47. Kris was 7 or 8 years younger than Mike, and appeared to be the perfect example of health and fitness, so his loss was an unexpected and devastating punch in the gut. Mike explained that Kris was a celebrity in the bicycling community. He was the Canadian national champion and war ranked 59th in the world. However, he was humble and never promoted himself. Instead, he always focused on others, encouraging even those who were just beginners. Mike has also been a competitive bicyclist, and Kris had invited Mike to join an online racing team consisting of four friends who got together daily on stationary bikes linked by videos on the internet so they could talk while biking. In January of 2023, while riding, Kris's heart suddenly stopped. A friend of Kris called Mike to say, “Kris is gone!” This was devastating to Mike, who said: “He was the fittest of our group. The impact was profound.” He had trouble sleeping and was in disbelief. He said, “It felt surreal. It felt like something is wrong. He told himself, “I should be able to keep it together without falling apart.” Mike also told himself that Kris, was too young to go, and missed him tremendously. Mike thought of Kris's mom, and how much she was suffering, so he spent a week with Kris' family and friends in Prince George. Which was where Mike was born, and his brother and his other biking buddies live.  He said, “We cried together and were together.” He explained, “Whenever I got on my bike to ride, Kris was always there. He'd always say, ‘Let's ride.' I miss his voice.” He also said that during his rides, you could see Kris' face on the video feed, and he was always struggling, digging deep, suffering, but loving it! Mike said that all of his losses, including his sister, his son, and Kris,  were actually double losses, because “I lost not only what had been, but what was to come in the future, and didn't.” Mike said, “Kris was so humble, so I want to brag for him. He always cared and made all of us feel so encourage and inspired!” Mike mentioned some of the positives he saw in the pain of grief: It honors the depth of the love and the depth of our relationship with Kris. Our grief has motivated us to cherish our riding group and to cling together even more closely. Tears can be the purest form of love. Tears allow us to keep the other person alive in our hearts and minds. I mentioned how I talk to three people I've lost every day when I do my “slogging:” my beloved cat Obie, and two dear colleagues I've lost, Ann Hantz in Philadelphia and Marilyn Coffy from Oakland. Mike described how touched he was when visiting Kris' family, and how his mom had arranged all of Kris' bicycles in the garage, ready to be ridden, with all of his racing jerseys on display. Mike confessed that also felt angry and often thought: “You bugger. It  should have been someone else!” Mike has endured many tragic losses in his life, including the devastating death of his older sister when he was just 15, and the tragic loss of his son, Graeme Michael, who died shortly before birth. Mike reminded us about the various conceptualizations we use in TEAM-CBT, which can include individual mood problems (like depression or anxiety), personal relationship problems, habits and addictions, and “non-problems.” A non-problem refers to people who do not have distorted negative thoughts or problems that need to be solved—they just have strong and appropriate negative feelings, and the job of the therapist is simple: resist trying to “help,” and instead use the Five Secrets of Effective Communication to listen and give the grieving person the chance to vent and expression their feelings. With this in mind, Mike described the support he received from colleagues at the Feeling Good Institute, including one who told him to make sure he was feeling sad! He greatly appreciated this! In my clinical experience, “non-problems” were actually rare, but there were several patients who only needed to vent and receive support. one of my favorite chapters In my first book, Feeling Good, was Chapter 3. entitled Sadness is not Depression. I described my experience as a medical student with a terminally ill elderly man in the Stanford Hospital who reminded me of my grandfather. His extended family had gathered around the bedside as he was slipping into a coma from liver failure due to metastatic kidney cancer, and asked “Would it be okay for you to remove his catheter? It was a bit uncomfortable for him, and we're not sure if he still needs it.” I was very inexperienced and asked at the nursing station if it would be okay to remove it, and if so, how would I do it. They said he was, in fact, dying, and would not last much longer, and explained how to remove the catheter. I pulled the curtain around his bed, and did that and told the family, with tears in my eyes, “He can still hear you, but not for much longer, so it's time to tell him how much you love him and say goodbye.” Tears were flowing down my cheeks and they began to cry as well, and began saying good bye. I went to the room where the medical students and resident make their notes, and wept. The family later told the department chairman how much they appreciated what I did for them. I was a pretty terrible medical student, and for the most part had a bad attitude, but that was on moment I still feel very proud of. There are several differences between sadness and depression. First, the thoughts that trigger depression, like “I'm defective. There must be something wrong with me,” are distorted. Depression, as I've often said, is the world's oldest con. In contrast, Mike's thoughts, like the thoughts that trigger healthy grief, are not distorted, like “I miss Kris. I admired him and loved him, and he made a tremendous difference in my life, and the lives of all who knew him.” Second, depression can go on and on endlessly. I've had patients who told me that they'd never had even one happy moment in their entire lives. Healthy grief, in contrast, only needs to be accepted and expressed, and runs its course naturally, If grief is extended, or impairing the person's life, then it's a certainty that distorted thoughts are present and preventing the person from healthy grieving. In this case, treatment can be enormously helpful. Finally, depression robs us of joy, hope, and productivity. Life often seems meaningless and worthless. Grief, in contrast, though painful, enriches us and provides us with a deeper level of meaning and gratitude for life. Rhonda and I are very sad for Mike's many losses, now and in the past as well. But we are both grateful to have him as a friend, and cherish him tremendously. Thank you, Mike, for letting us in today! Warmly, Mike, Rhonda and David Following the session, I emailed Mike to ask a couple questions about peoples' names, and also find out if we might have perhaps let him down during the podcast, not given him enough space to grieve, and so forth. When I get worried about things like that, I have found that checking it out usually beats “Mind-Reading” by a pretty huge margin. Here's the wonderful email that Mike sent. It will give you a deeper view of his inner warmth and depth. Hi David, Thank you for your kind words. I experienced our time together as deeply moving and came out of it with a renewed sense of purpose in the sadness. I guess my hope was that we might be able to illustrate and share the value in empathy and the positive reframe in our grief work. That was enhanced to a new level for me with the way you guided me to explore some aspects I had missed. I wouldn't change a thing about it. It also opened up the way in which your stories and the journey we go on with clients can provide healing for others. I am so grateful that you were willing to take that time to revisit them. Our son's name was Graeme Michael. He was in between our oldest (Thomas now 25) and our middle daughter (Janae now 22). We (my wife Janna and I) never had the opportunity to hear his voice or see him smile. We were informed that it was a chord accident. Janna knew something was wrong and an ultrasound confirmed that she would have to deliver him knowing he was already gone. The first time we held him was also the last. Whenever people ask me how many children I have I say 3 (Thomas, Janae & Caelyn -19  & you will meet soon)  but in my mind it is always 4. Thank you for asking. My wife Janna is a nurse and the director of a pregnancy outreach program. She has been blessed with the opportunity to work with at-risk pregnant moms and young families for 17 years and our experience has brought incredible connection and support to so many (I also worked there for 7 years part time with the young dads). While we would never wish our journey on anyone, the suffering of loss has given us insight, motivation, inspiration, understanding and opportunities that we would never have without it. The sadness has deep purpose and meaning and continues to be an expression of our love for Graeme and all the young families we meet. Mike

Dr. Rusty Hofmann is a board-certified Interventional Radiologist and entrepreneur in the healthcare and health technology space. He holds many positions that are as listed: Chief Interventional Radiologist at Stanford University School of Medicine. Medical Director of Digital Healthcare Intervention at Stanford Healthcare Co-Medical director of the Cardiac and Interventional Radiology Department at Stanford Hospital and Clinics Co-founder of Grand Rounds Health (now included health), which is a tech-driven healthcare company that offers an employer-based technology alternative for healthcare services. They've recently acquired a telehealth company, doctor on demand, and the company is now valued over $1 billion with a B. Rusty has become a friend over the years and I am excited to share this conversation with you. Please enjoy this conversation with Dr. Rusty Hofmann. ------------------- 0:01 Introduction 0:39 Who is Dr. Rusty Hoffman? 1:50 Icebreaker with Dr. Hoffman 2:40 Dr. Hoffman's fishing story 6:43 Dr. Hoffman on his company Grand Rounds 7:44 Dr. Hoffman's purpose for Grand Rounds 11:03 Could the same online healthcare be used for physical therapy? 12:42 Further explanation of the motivation behind Grand rounds. 16:04 What does the ideal healthcare system look like? 20:45 Further discussion into searching databases. 22:39 Dr. Hoffman explaining the startup Evidently. 23:40 Outro --- Send in a voice message: https://anchor.fm/strongsociety/message

Episode 119: #OnTheStacks in the blu door studio with Mary Vanesko, Founder and Owner of Well-Nurtured Development. Mary is a licensed and certified Occupational Therapist that provides services to infants, children, and their families with a holistic approach to family centered care. Before venturing down the entrepreneurial path and starting her own business, she worked at some of the most prestigious hospitals around the country including Thomas Jefferson University Hospital, CHOP, Stanford Hospital, and even served as a consultant to help build the level 2 NICU and rehabilitation program at USC Hospital. In this episode Mary talks about resiliency, mindfulness, personal and professional development, and creating and fostering connection. We also explore the term, "Neurodiversity," by discussing how we think of developmental disorders and ways we can help reduce stigma around learning and thinking differences to promote inclusion in society, schools, and the workplace. Watch the full episode here: https://youtu.be/OssLFVzERr0 Please enjoy! This episode is brought to you by Brrrn. Get 15% Off at thebrrrn.com with code "STACKS15" at checkout! #ad This episode is brought to you by blu door Financial. blu door Financial helps you save money and reduce taxes to live a fuller financial life. To learn more, visit blu door Financial at www.bludoorFinancial.com. #ad Engage with us on social media: Instagram, Facebook, LinkedIn, or visit us at www.OnTheStacks.com.

In July 2021, Kaitlyn McCaffery suffered a traumatic brain injury (TBI) as a result of a scooter accident in Bali, Indonesia and was given a 1% chance of survival. With the help of supporters all over the world, over $200,000 was raised via GoFundMe to help evacuate Kaitlyn to Stanford Hospital in California to undergo surgeries and treatment. Three months later, Kaitlyn was transferred to the Rehabilitation Center at Santa Clara Valley Medical Center where she continued her recovery. Kaitlyn was discharged home in December 2021 and continues to rehab and inspire others through her story of survival, perseverance and kindness. Connect with Kaitlyn on Instagram! @fearlesstravelers Visit Kaitlyn's GoFundMe for ongoing medical and rehab costs: https://www.gofundme.com/f/v8jjk4-help-bring-kaitlyn-home --- Support this podcast: https://anchor.fm/nicksvancast/support

In July 2021, Kaitlyn McCaffery suffered a traumatic brain injury (TBI) as a result of a scooter accident in Bali, Indonesia and was given a 1% chance of survival. With the help of supporters all over the world, over $200,000 was raised via GoFundMe to help evacuate Kaitlyn to Stanford Hospital in California to undergo surgeries and treatment. Three months later, Kaitlyn was transferred to the Rehabilitation Center at Santa Clara Valley Medical Center where she continued her recovery. Kaitlyn was discharged home in December 2021 and continues to rehab and inspire others through her story of survival, perseverance and kindness. Connect with Kaitlyn on Instagram! @fearlesstravelers Visit Kaitlyn's GoFundMe for ongoing medical and rehab costs: https://www.gofundme.com/f/v8jjk4-help-bring-kaitlyn-home --- Support this podcast: https://anchor.fm/nicksvancast/support

AAOS Advocacy extends beyond the halls of Capitol Hill to ensure that quality initiatives continue to improve patient outcomes and reduce administrative burden. In this episode, AAOS Advocacy Council Chair and podcast host Douglas Lundy, MD, MBA, FAAOS sits down with James Huddleston III, MD, FAAOS Professor of Orthopaedic Surgery at Stanford Hospital to discuss the role that advocacy has in advancing the quality of musculoskeletal care through the AAOS family of registries. More on the AAOS Registry Program: https://www.aaos.org/registries Guest: James Huddleston III, MD, FAAOS, Professor of Orthopaedic Surgery, Stanford Hospital Host: Douglas Lundy, MD, MBA, FAAOS, AAOS Advocacy Council Chair

As the founding medical director of Palliative Care Services at Stanford Hospital, Dr. Stephanie Harman is no stranger to death and grief. In this episode, she shares the story of how she discovered palliative care through the death of someone close and what it looks like to transform what are often the moments of greatest patient suffering into moments of profound meaning and humanism. In addition to her palliative care work, Dr. Harman is a clinical associate professor of medicine, a co-chair of the Stanford Health Care Ethics Committee, and Associate Chair for the Women in Medicine initiative in Stanford's Department of Medicine.In this episode, you will hear about: How PBS, zebrafish, and comparative literature influenced Dr. Harman's decision to enter medicine - 3:08How the death of someone close propelled Dr. Harman into palliative care and informs her philosophical focus on honoring a patient's values and wishes - 8:09Why Dr. Harman felt drawn to a medical specialty that so often deals with the most painful part of medicine: witnessing patients dying - 15:53How Dr. Harman had to advocate for the legitimacy and dignity of palliative medicine, despite being told it was “a waste of her career” - 19:18How Dr. Harman processes the emotional weight of her chosen field with preventive and supportive measures - 22:20A discussion of how the COVID-19 pandemic has forced public and personal conversations about grief to the forefront - 27:24Dr. Harman's vision for the future of medicine, and specifically the broader adoption of palliative care services - 33:33Dr. Harman's advice to new medical professionals and students - 38:49You can follow Dr. Harman on Twitter @Steph_HarmanMDVisit our website www.TheDoctorsArt.com where you can find transcripts of all episodes.If you enjoyed this episode, please subscribe, rate, and review our show, available for free on Spotify, Apple Podcasts, or wherever you get your podcasts. If you know of a doctor, patient, or anyone working in health care who would love to explore meaning in medicine with us on the show, feel free to leave a suggestion in the comments or send an email to info@thedoctorsart.com.Copyright The Doctor's Art Podcast 2022

Kevin and Minh Nguyen talk about how the recent nurses strikes fit into the larger conversation about labor, capitalism and “The Great Resignation.” Then, they touch on what to make of Elon Musk buying Twitter, and revisit the Ukraine war two months after Russia's mass invasion.   *Here's why hospital nurses, the pandemic's ‘health care heroes,' are so ticked off *UCSF Official report on impact of COVID-19 on Nursing workforce  * “Nursing Homes Are in Crisis. We Can't Look Away Any Longer.”  *I'm a Nurse at a Stanford Hospital. I'm Burned Out, Fed Up, and Ready to Strike. *Why my fellow nurses and I are ready to strike at Stanford Hospital  

On today's episode, meet Dr. Leah Backhus. Dr. Backhus trained in general surgery at the University of Southern California (USC) and cardiothoracic surgery at the University of California Los Angeles (UCLA). She practices at Stanford Hospital and is Chief of Thoracic Surgery at the VA Palo Alto. She is also Co-Director of the Thoracic Surgery Clinical Research Program, and has grant funding through the Veterans Affairs Administration and NIH. Her current research interests are in imaging surveillance following treatment for lung cancer and cancer survivorship.

Welcome back to The Nerd Expansion! Today's guest is the one and only Cory Wyszynski and his nerd love is The Simpsons. Woah. It's awesome.CoRy is a storyteller turned photo alchemist. He is an actor, the author of the sci-fi mindbender, U-turn at Next Synapse, co host of See No Evil, a horror videogame play through podcast, and a genre narrative improvisor. Now a days, time is spent home•bound, fighting unseen horror for better health. Since 2021, CoRy launched a design shop on threadless and created a late night show! From the Couch, which included segments recorded from Stanford Hospital for its season finale, is available on Youtube! Socials: @corywysz (Twitter, Insta-germ)Hosted By: Nick Bowan & Sasha WeissTheme song written by Korrie YamaokaPerformed by Sasha Weiss & Korrie Yamaoka

Are you a thriving people manager in a high-performing, fast-paced corporate environment, charging teams that produce results and bring unprecedented growth to the organization? If this is you, expect nothing less than a promotion offer coming at your feet. But the more substantial questions are: Have you prepared for the emotional and mental work ahead? How does this sound coming to terms with the relationships in your life, with your family or, fit into the conversations you currently have in your head?If such a situation is forthcoming to you or someone you know,  this episode is a must for you. In this episode, we speak with Xavier Lee. He is an international leadership trainer,  mindfulness teacher, and executive coach specializing in mindfulness and high-performance mindset.  Xavier helps individuals and leaders create high-performance culture through enhancing emotional/social intelligence, mindfulness, and practical leadership skills. More importantly, he helps functional leaders step up the corporate ladder without losing their identity and finding more meaning in their new roles.Xavier Lee is a certified mindfulness teacher at Search Inside Yourself Leadership Institute (SIYLI), a mindfulness training program developed at Google and Stanford University. He is also a Master Trainer in NLP (Neuro-linguistic Programming) from NLPU, an Ontological coach, a Transformational Business Coach, Language and Behavior (LAB) Consultant, Limbic CoachⓇ, and Wingwave Coach. Listen in and be inspired by Xavier's journey into executive coaching and how he might be the person who can help you move up the corporate ladder with grace.Episode Challenge (48:21-53:27)Do 3-5 rounds of the 478 Breath Technique a couple of times within the week. Great way to feel more relaxed and instantly feel calmer when you're starting to feel panic, simply just wanting to reset right before a meeting, or trying to get a restful sleep. Here's how to do it:Sit up comfortably with your back straight.Take a deep breath in with your mouth closed counting 1-2-3-4Hold your breath, counting 1-2-3-4-5-6-7Breathe out with your mouth open 1-2-3-4-5-6-7-8Do two more rounds of steps 1-4Tell us about your experience and how you felt afterwards. If you upload it to social media tag us @thebtopodcast and use #breakthroughtheordinarypodcast and #btochallenge or email your video to us at hello@breakthroughmediaco.com.Guest's Bio:Xavier Lee is a certified mindfulness teacher at Search Inside Yourself Leadership Institute (SIYLI), a mindfulness training program developed at Google and Stanford University. He is also a Master Trainer in NLP (Neuro-linguistic Programming) from NLPU, an Ontological coach, a Transformational Business Coach, Language and Behavior (LAB) Consultant, Limbic CoachⓇ , and Wingwave Coach. Currently, he serves as Head of Executive Programs and faculty member at Ideal Coaching Global, ACTP/ICF accredited coach training school and co-facilitator for CORE Mastermind Group, and a partner at Centered Leadership Institute.He specializes in helping individuals and leaders create high-performance culture through enhancing emotional/social intelligence, mindfulness, and practical leadership skills. Before becoming an executive coach, he led driven and highly-motivated teams in the corporate world. As VP of Strategic Marketing at Cigna International, Mr. Lee led New Product Development, Internet Business, and Strategic Marketing business units. He was recognized for his ability to build high-performance teams. Mr. Lee and his team achieved a 300% increase in the new product portfolio in less than 12 months. At American Express, he developed new market entry strategies for the US and international markets, adding more than $200 million in new revenue opportunities.Drawing from his rich global leadership experience and having served in strategic planning and marketing positions at Fortune 100 companies such as American Express and Cigna in the US and international markets, Mr. Lee was able to lead numerous leadership and training programs in various organizations such as Atotech /Carlyle Group, BMW,  Boehringer  Ingelheim, Disney/Lucas Films, Goldcorp, Hult International  Business  School, Paypal, Pepsico, Plekhanov Russian University of  Economics, Project Management Institute, Shire Pharmaceuticals, Stanford Hospital, Western University of Health Sciences, Whole Foods, etcThis certified mindfulness teacher has also created and led numerous leadership programs, including The Executive  Leadership Program at ICG, and an innovative leadership program for international C-level executives at Silicon Valley where participants unanimously rated the program as “one of the best leadership programs” in their post-program surveys. Mr. Lee holds an MBA from Cornell University where he was awarded the prestigious Park Leadership Fellowship and a BA in International Relations from the University of California where he was Awarded a Full Army ROTC scholarship.To learn more about Xavier Lee's work on mindfulness, executive coaching, and leadership training programs, check out these links:https://idealcoachingglobal.com/the-team/https://generativemindset.com/en/http://centeredleadershipinstitute.com/https://siyli.org/Follow the Podcast: Apple Podcast - https://podcasts.apple.com/us/podcast/breakthrough-the-ordinary/id1579129631Spotify - https://open.spotify.com/show/7L6XsP0M87M8CX7AJ2LRS4Google Podcasts - https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5zaW1wbGVjYXN0LmNvbS9DQ1V1NVR6agAmazon Music - https://q4k0kx5j.r.us-east-1.awstrack.me/L0/https:%2F%2Fmusic.amazon.com%2Fpodcasts%2F05bbcd2c-1e6b-4d09-934e-4eac42e12362/1/0100017af9eb75aa-8c17c10b-25b5-4300-b24e-c002d99f89b3-000000/lIGTk2xPKpZbRH-tqg7FXsRKud4=229iHeartRadio - https://iheart.com/podcast/85365975/Follow Us [@thebtopodcast]: Instagram - https://www.instagram.com/thebtopodcast/Facebook - https://www.facebook.com/thebtopodcastTwitter - https://twitter.com/thebtopodcastTikTok - https://www.tiktok.com/@thebtopodcastWebsite - https://btopodcast.comContact Us - thebtopodcast@gmail.comAbout the podcast: Are you ready to commit to your future self---if you are, Marc Chiaramonte, a creative entrepreneur, coach, and adventure seeker, and Claudine Chiarmonte, psychotherapist, coach & joy creator, are ready to take you on a journey of self-discovery to unlock your highest potential! Join Breakthrough the Ordinary to reveal what awaits you on your next quest of exploration, bringing practical strategies, tools, and secret fairy dust that our guests, coaches, healers, entrepreneurs, and thought leaders, will be sharing with you! New episodes drop every MONDAY!

A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was in ICU awaiting surgery that I mentally wrote my first business plan to include inspirational keynote speaking, motivational team training and sales education.  My mission is to teach you how to convert your biggest vision and inherent talent into business development to the enjoyment of the Smooth Sale! Elinor Stutz is the CEO of Smooth Sale, an Inspirational Speaker, Author and Trainer known worldwide.  

Let's focus on the presence and the grace of God here and now. So be vigilant at all times but to what? To God's grace. To God's beauty right here, right now in the midst of all of this. God is among us here. Let's notice with wonder and look with fresh eyes and celebrate the gift of God's presence today. Here is the my homily from this past weekend. Please feel free to share it with others. (Read more…)I am sorry that is is later than usual but it is with a heavy heart that I share with you that my brother and best friend, Paul peacefully passed away on Tuesday, November 30 at 3:40 p.m. in the afternoon at Stanford Hospital surrounded by his wife, Maria, his children Daniella, Dominic, & Sean, and myself. He fought as hard as anyone could have but this cruel type of pancreatic cancer was relentless and he endured incredible levels of pain and suffering over the past 6 1/2 months since diagnosis. We are all devastated and heartbroken over the loss of an amazing father; husband, brother, uncle, brother-in law, son-in-law, friend and co-worker that made each of our lives better in some impactful way. We pray for all who are mourning his passing and hope we can all support each other together during this unimaginable and painful time.In addition to this loss, my Spiritual Director and close friend, Fr. Dave Ayotte also died on Monday night following a year-long battle with pancreatic cancer.Funeral arrangements for Paul have yet to be determined but will take place at Holy Spirit Church in San Jose. More information will be provided as it is known. Thank you for all your love and support.Please pray for my family and me.

I attended the STAT Summit last week and heard the heart-wrenching story told by Charles Johnson, who is the founder of 4Kira4Moms, which is a group dedicated to improving maternal health equity. Charles's family is African American. After a planned C-section, his otherwise-healthy wife died an avoidable death because 10 hours after the clinical team was alerted that she had internal bleeding—10 hours later—they got around to wheeling her into surgery. At that point, she had three liters of blood in her abdomen. She bled out and died, leaving her newborn infant motherless. This all went down at a large, incredibly well-respected integrated delivery network. One of the biggest issues in healthcare today … well, there are many issues, so maybe I should start again. One of the biggest issues in healthcare that is going to be discussed on this podcast today is how to engage those patients or members or employees or consumers who might need our healthcare industry to work better on their behalf. This is especially a problem (a well-known problem) when we consider those patients who our healthcare system in so many ways does not serve well: many minority patients, Black people, other people of color, the LGBTQ community, people who do not speak English as their first language. These patient cohorts emerge on the other side of our healthcare industry sporting patient outcomes that are even worse than our usual not-so-great average patient outcomes.   In this healthcare podcast, we're gonna talk about a new coalition formed by Walmart and six other employers, plus Included Health, which is the combined entity of Grand Rounds and Doctor On Demand. (They merged recently.) So, there was a coalition that was formed. It's called the Black Community Innovation Coalition, and in short, it's a new virtual-care program aimed at combating health disparities among African American workers. I wanted to learn more about this coalition, so in this episode I'm speaking with Ian Tong, MD, about the aforementioned Black Community Innovation Coalition—the how and also the intent. Dr. Tong is the chief medical officer over at Included Health and also a clinical assistant professor and adjunct faculty in the medical school at Stanford. One reason I was so intrigued is that the Black Community Innovation Coalition leverages ERGs (employee resource groups) in a way I thought was different. If you're unfamiliar, ERGs or, as I said, employee resource groups, used to be called employee affinity groups. Many big companies have them. These ERGs bring together groups with shared identities, shared experiences, shared interests. What I thought was worth contemplating if you're interested in improving health equity, health outcomes … through these existing ERG organizations, it might be possible to pull the healthcare system and these patients closer together to create healthcare benefits and care delivery models that are designed with them in mind. So, what I think might be actionable to others relative to this coalition and its methodology is the best practice of building the engagement mechanism into the design of the initiative. So often it's an afterthought if you think about it. We build the thing, and then we wonder how to “market” it—like the “marketing” is this separate and sequential function. It's not. And marketing is also probably a limiting misnomer. This is especially true, though, when contemplating minority populations for a whole bunch of reasons that we get into in this conversation. So that's number one: Build the engagement mechanism into the program design. But here's number two: Consider the engagement mechanism relative to existing channels of engagement, re: ERGs or otherwise. Other links on the show include: Rebecca Etz, PhD (EP295) talking about some best ways to measure primary care quality. The Harvard Implicit Bias Test You can learn more by checking out the Implicit Bias Test, the CDC REACH site, and includedhealth.com.  Ian Tong, MD, is chief medical officer at Included Health (formerly Doctor On Demand and Grand Rounds Health). In this role, Ian leads all clinical care delivery, including clinical products and service lines, clinical quality, and practice performance of the clinical staff. Prior to Doctor On Demand, Ian held leadership roles including chief resident of Stanford Internal Medicine and co-medical director of the Arbor Free Clinic. He also founded and was medical director of The Health Resource Initiative for Veterans Everywhere (THRIVE), honored with the Award for Outstanding Achievement in Service to Homeless Veterans in 2008 by the US Secretary of Veterans Affairs. A national collegiate champion in rugby at the University of California at Berkeley, Ian was named to the All-American Team in 1994. He graduated from Berkeley with a bachelor's degree in English, then earned his medical degree from The University of Chicago Pritzker School of Medicine. He completed residency and chief residency at Stanford Hospital and Clinics and is currently a clinical assistant professor (affiliated) at Stanford University Medical School. He is board certified in internal medicine. Ian has dedicated his career to improving equity in, and access to, high-quality care. He lives in the San Francisco Bay area. 04:33 What is the Black Community Innovation Coalition? 05:06 Who are the partners behind the Black Community Innovation Coalition? 06:23 How is the Black Community Innovation Coalition focusing on patients? 08:05 “If you take a one-size-fits-all approach to your employees, that is not going to be adequate or complete.” 08:56 How the Black Community Innovation Coalition is incorporating engagement into its core foundation. 13:18 “There's a great deal of hesitancy around engaging care, and there's a high level of avoidance.” 15:26 EP338 with Nikki King, DHA.16:34 “The technology is not making that experience worse. It's a bad experience, and it's broken already.” 23:27 “I feel very strongly that everyone should probably have a virtual primary care clinician.” 27:20 EP295 with Rebecca Etz, PhD.28:15 “We really want to pay attention to that encounter being the best encounter possible because that … might be the only chance you get to engage that patient.” 29:00 Why is virtual care important for self-insured employers? 32:08 “We cannot afford to have low-value encounters.” You can learn more by checking out the Implicit Bias Test, the CDC REACH site, and includedhealth.com.  @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth What is the Black Community Innovation Coalition? @Driantong discusses community health initiatives on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth Who are the partners behind the Black Community Innovation Coalition? @Driantong discusses community health initiatives on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth How is the Black Community Innovation Coalition focusing on patients? @Driantong discusses on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “If you take a one-size-fits-all approach to your employees, that is not going to be adequate or complete.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “The technology is not making that experience worse. It's a bad experience, and it's broken already.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “I feel very strongly that everyone should probably have a virtual primary care clinician.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “We really want to pay attention to that encounter being the best encounter possible because that … might be the only chance you get to engage that patient.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth Why is virtual care important for self-insured employers? @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth “We cannot afford to have low-value encounters.” @Driantong discusses the Black Community Innovation Coalition on our #healthcarepodcast. #healthcare #podcast #healthcareinitiatives #pophealth Recent past interviews: Click a guest's name for their latest RHV episode! Mike Schneider, Peter Hayes, Paul Simms, Dr Steven Quimby, Dr David Carmouche (EP343), Christin Deacon, Gary Campbell, Kristin Begley, David Contorno (AEE17), David Contorno (EP339), Nikki King, Olivia Webb, Brandon Weber, Stacey Richter (INBW30), Brian Klepper (AEE16), Brian Klepper (EP335), Sunita Desai, Care Plans vs Real World (EP333), Dr Tony DiGioia, Al Lewis, John Marchica, Joe Connolly, Marshall Allen, Andrew Eye, Naomi Fried, Dr Rishi Wadhera, Dr Mai Pham, Nicole Bradberry and Kelly Conroy

We want to thank you for joining us for another Quick Tips episode of All Home Care Matters. Today, we are talking about how to stay warm, stay safe, and stay active this winter. Winter can be beautiful, but dangerous for seniors. We want to make sure you can enjoy this cold weather safely! Now let's move on to the rest of the show.   If you've been listening to the podcast for a while, you probably heard our episode on extreme heat. If you missed the episode, you can find our episode, Keeping Seniors Safe in the Heat, wherever you listen to your podcasts and also on our YouTube channel. In this episode, we talked about how our natural ability to regulate our body temperature diminishes as we age and seniors may have trouble cooling themselves off when exposed to heat for too long. Because of this, seniors often experience heat stroke and sickness. It's no different when it comes to colder weather.   According to the National Institute on Aging, older adults can lose body heat fast—faster than when they were young. Changes in your body that come with aging can make it harder for you to be aware of getting cold. A big chill can turn into a dangerous problem before an older person even knows what's happening. Doctors call this serious problem hypothermia.   Hypothermia is what happens when your body temperature becomes critically low. For an older person, a body temperature of 95°F or lower can cause many health problems, such as a heart attack, kidney problems, liver damage, or worse. Being outside in the cold, or even being in a very cold house, can lead to hypothermia.   How cold is too cold? It can be hard to tell yourself if you are experiencing hypothermia. We found Bob's story from the National Institute on Aging that illustrates how one senior experienced hypothermia. Bob says that Vermont winters can be very cold. Last December, he wanted to save some money so he turned his heat down to 62°F. He didn't know that would put his health in danger.   Luckily, his son Tyler came by to check on him. Tyler saw that his dad was only wearing a light shirt and that his house was cold. Tyler said he was speaking slowly, shivering, and having trouble walking. Tyler wrapped him in a blanket and called 9-1-1.   It turns out that Bob had hypothermia. His son's quick thinking saved his life. Now on cold days, he keeps his heat at least at 68°F and wears a sweater in the house.   Bob's story luckily has a happy ending, but if his son hadn't stopped by, it may have ended very differently. Hypothermia can happen when you least expect it. Knowing the signs ahead of time could save your life.   According to HealthInAging.org, the warning signs of hypothermia include cold skin that is pale or ashy, feeling very tired, confused, and sleepy, feeling weak, problems walking, and slowed breathing or heart rate. If you notice any of these signs, call 911 immediately and try to warm up.   HealthInAging.org also recommends taking the following precautions to prevent hypothermia:   Stay indoors (or don't stay outside for very long). Keep indoor temperature at 65 degrees or warmer. Stay dry because wet clothing chills your body more quickly. Dress smart – protect your lungs from cold air and layer up! Wearing 2 or 3 thinner layers of loose-fitting clothing is warmer than a single layer of thick clothing. Think about getting your thermals! When going outside during the winter, make sure to wear a hat, gloves (or preferably mittens), winter coat, boots, and a scarf to cover your mouth and nose. You should also keep a backup of these items in your vehicle in case of an emergency.   Another major concern for seniors during the winter is frostbite. According to The AGS Foundation for Health in Aging, extreme cold can also cause frostbite, which is damage to the skin that can go all the way down to the bone. Frostbite usually affects the nose, ears, cheeks, chin, fingers, and toes. In very bad cases, it can result in loss of limbs. People with heart disease and other circulation problems are also at a higher risk of getting frostbite. To protect against frostbite, cover up all parts of your body when you go outside. If your skin turns red or dark or starts hurting, go inside immediately. You should also know the telltale signs of frostbite: numbness, skin that's grayish-yellow or ashy, or skin that feels hard or waxy.   If you think you or someone else has frostbite, call for medical help immediately. A person with frostbite may also have hypothermia, so check for those symptoms, as well.   Seniors should also be cautious when walking outside. Snow and ice can make the ground hazardous by covering up cracks and making slick spots. Dr. Stanley Wang, a physician at Stanford Hospital in Palo Alto, California recommends older adults wear shoes with good traction and non-skid soles and stay inside until the roads are clear. Replacing a worn cane tip can make walking easier, and older people are advised to take their shoes off as soon as they return indoors, because often snow and ice attach to the soles and, once melted, can lead to slippery conditions inside.   For more information about reducing your risk of a fall, you can listen to our episode on fall safety tips. If you don't have time for a full episode, we also have a quick tips episode on fall prevention. You can find these episodes on our website, our YouTube channel, and wherever you get your podcasts.   Seniors should also be cautious shoveling snow. No one really enjoys this task, but it can be dangerous for older individuals. If you have heart problems, trouble balancing, or are feeling weak, you should avoid shoveling snow. If you have any health issues, ask your doctor if it is safe to shovel snow.   During the winter, it's nice to sit in front of a fireplace or a heater, but make sure you are properly taking care of these heat sources to prevent fires and carbon monoxide poisoning. Make sure to properly vent and clean your fireplace and appliances and know the warning signs of carbon monoxide poisoning.   According to HealthInAging.org, carbon monoxide poisoning can cause headaches, weakness, nausea or vomiting, dizziness, confusion, blurred vision, and loss of consciousness. Carbon monoxide poisoning is also behind several ghost sightings. Many people that believed they were living in a haunted house actually were suffering from carbon monoxide poisoning. Pacific Heating and Cooling warns that if you are hearing and seeing things, feeling zapped of energy, and sense a strange presence at home, it may be due to a carbon monoxide leak. If you suspect you may have a gas leak in your home, evacuate your home and call 911 immediately. You should also have a carbon monoxide detector in your house since we can't detect it ourselves.   If anyone in your family is showing any signs of carbon monoxide poisoning, you should also get them to the emergency room as soon as possible. According to Pacific Heating and Cooling, even small amounts of carbon monoxide can cause irreparable damage, including brain and organ damage. See a doctor immediately if there is any evidence of carbon monoxide leaks in the home.   Now that we've told you all about staying warm and staying safe this winter, let's move on to the final part of our episode, staying active.   It may be harder to exercise in the winter when you can't walk outside as often, but you should still exercise in other ways. Signing up for indoor classes is a great way to exercise and socialize during the winter. If you don't want to leave your home to exercise, you can take a virtual class or use items around your home to work out.   The Mayo Clinic suggests doing some of the following in your home workout routine:   Use cans of soup or water bottles as hand weights. Go from a sitting to a standing position out of a dining room chair two to three times in a row instead of just once. Walk up and down a hallway or large open space. Go up and down your stairs multiple times. Turn up the music and dance in your kitchen.   Staying active doesn't just mean exercising. You should keep up on other social activities, as well. If you normally go for walks with a friend, consider walking around an indoor mall. Going to the movies or a museum is a great way to get out of the house and both of these activities can be done solo or with a group.   Whatever you do, don't let the cold weather stop you from doing what you enjoy. As long as you bundle up and listen to your body, you can still enjoy the cold weather. Just remember to stay safe, stay warm, and stay active.   We want to say thank you for joining us here at All Home Care Matters, All Home Care Matters is here for you and to help families as they navigate these long-term care issues. Please visit us at allhomecarematters.com there is a private secure fillable form there where you can give us feedback, show ideas, or if you have questions. Every form is read and responded to. If you know someone who could benefit from this episode, please share it with them.   Remember, you can listen to the show on any of your favorite podcast streaming platforms and watch the show on our YouTube channel and make sure to hit that subscribe button, so you'll never miss an episode. We look forward to seeing you next time on All Home Care Matters, thank you.   Sources: https://www.hchcares.org/wp-content/uploads/2016/09/wintersafety_tips.pdf   https://www.healthinaging.org/tools-and-tips/tip-sheet-winter-safety-older-adults   https://www.nia.nih.gov/health/cold-weather-safety-older-adults   https://www.care.com/c/winter-safety-tips-for-seniors   https://www.pacificheatingcooling.com/2018/12/27/carbon-monoxide-hauntings-co-furnace-safety/   https://www.mayoclinichealthsystem.org/hometown-health/speaking-of-health/ways-for-seniors-to-remain-active-this-winter

William Wu, a flight nurse with Stanford Hospital's Life Flight program, drops by to talk glutinous balls, doing the splits, and all things nursing while airborne.Show notes: https://jasonandkelcey.com/2021/07/11/flight-nursing-with-will/Contact us: https://jasonandkelcey.com/contact/

Today is Monday, July 12, 2021. Now that Sir Richard Branson has been to the edge of space and back, his company, Virgin Galactic, wants you to have a chance to do the same. Virgin Galactic and Omaze have opened a sweepstake giving you and a friend the chance to win two seats on "one of the first" commercial flights into space. An international tennis star Rafael Nadal will compete in the DC summer tradition at the Citi Open tournament. Nadal, a 20- time grand slam champion, has not played professionally since the French Open back in June opting out of both Wimbledon and the Olympics. Good luck getting tickets, as of today the Citi Open which runs from July 31 to August 8, is completely sold out. MoCo has another Olympian competing in the swim this summer. 27 year old Andrew Wilson will compete in the 100- and 200-meter breaststroke races in Tokyo this month. The others from Montgomery County are Katie Ledecky of Bethesda and Phoebe Bacon of Chevy Chase. Nats had a rough few series on the West Coast, but some good news. Nats' pitcher Joe Ross' father, Willie Ross, was in attendance at the Giants game to cheer on his son's team when a spectator started choking on a hot dog. It is a good thing Willie Ross was there to save her, he is a doctor at Stanford Hospital and administered the heimlich. MLB All Star Festivities kick off tonight with the Home Run Derby. Nationals outfielder Juan Soto will be competing for the title. Max Scherzer and Trea Turner will be on the field for the All Star Game on Tuesday. Howard University School of Business alum, Nicholas Perkins, where he's also worked as an adjunct professor and owner of Perkins Management Company is buying the hamburger brand Fuddruckers. According to Howard University, the Fuddruckers purchase will make him the first African American with 100% ownership of a national burger franchise. Capitol Fence erected after the insurrection came down over the weekend. Tommy reviews the movie Black Widow. From Real.Fun.DC. “The Tommy and Kelly Show” is produced in Washington, DC providing news, culture, playful conversation, positive energy, and a dose of morning fun any time. Download the Real.Fun.DC. APP to check out our wide array of programming Follow Kelly Collis Instagram and Twitter: @CityShopGirl LinkedIN: Kelly Collis Follow Tommy McFLY Twitter: @TommyMcFLY Instagram: @MrTommyMcFLY LinkedIN: Tommy McFLY

In this episode, Imani and Reginald discuss with Dr. Backhus and Dr. Goodney the historical implications of the longstanding poor relationship between the Black community and the medical community, and its effect on current practices and patient care in vascular surgery. They also explore the role of research in creating demonstrable changes in practice to aid in ameliorating this relationship. Leah Backhus, MD, MPH, FACS (@leahbackhusmd) practices at Stanford Hospital and is Chief of Thoracic Surgery at the VA Palo Alto, where she focuses on thoracic oncology and minimally invasive surgical techniques. She is also Co-Director of the Thoracic Surgery Clinical Research Program and has grant funding through the Veterans Affairs Administration and NIH. Her current research interests are in imaging surveillance following treatment for lung cancer and cancer survivorship. She is a member of the National Lung Cancer Roundtable of the American Cancer Society serving as Chair of the Task Group on Lung Cancer in Women. She also serves on the Board of Directors of the Society of Thoracic Surgeons. As an educator, Dr. Backhus is the Associate Program Director for the Thoracic Track Residency and is the Chair of the ACGME Residency Review Committee for Thoracic Surgery.  Phillip Goodney MD, MS (@DartmthSrgHSR) is a vascular surgeon, health services researcher, Vice-Chair of Research in the Department of Surgery, Director of the Center for the Evaluation of Surgical Care at Dartmouth (CESC), and Co-Director of the VA Outcomes Group at Veterans Affairs Medical Center in White River Junction, Vermont. His research interests include outcomes assessment using both quantitative and qualitative methods, clinical trials, patient preferences, and shared decision making. He received a Career Development Award from the National Heart, Lung, and Blood Institute in 2010, the Lifeline Research Award from the Society for Vascular Surgery (SVS), and research funding from VA HSR&D, PCORI, FDA, and others. He was elected to the American Surgical Association in 2016 and serves on multiple editorial boards of surgical, cardiovascular, and health services journals.  Background The U.S. Public Health Service Syphilis Study at Tuskegee American Eugenics and Forced Sterilization The Story of Henrietta Lacks Johns Hopkins NP Colonoscopy Training Additional Resources:  Warren et al. (2020) “Trustworthiness before Trust — Covid-19 Vaccine Trials and the Black Community.” NEJM, 383(22) Blanchard et al.(2020)  “A Sense of Belonging.” NEJM, 383(15): 1409–1411 Armstrong et al. (2007) “Racial/Ethnic Differences in Physician Distrust in the United States.” AJPH. 97(7): 1283–1289. DeShazo, Richard D. (2020) The Racial Divide in American Medicine: Black Physicians and the Struggle for Justice in Health Care. University Press of Mississippi.  Jacobs et al. (2006) “Understanding African Americans' Views of the Trustworthiness of Physicians.” JGIM. 21(6): 642–647 Frakt, Austin. (2020) “Bad Medicine: The Harm That Comes From Racism.” The New York Times. Tweedy, Damon. (2016) Black Man in a White Coat: a Doctor's Reflections on Race and Medicine. Picador, Armstrong et al. (2013) “Prior Experiences of Racial Discrimination and Racial Differences in Health Care System Distrust.” Medical Care. 51(2): 144–150 Greenwood et al. (2018) “Patient–physician gender concordance and increased mortality among female heart attack patients” PNAS. 115(34): 8569-8574. SVS Foundation VISTA Program Host Introductions Imani McElroy, MD, MPH (@IEMcElroy) is a general surgery resident at the Massachusetts General Hospital in Boston, MA. Reginald Nkansah, MD (@NkansahReginald) is a first-year vascular surgery resident at the University of Wahington in Seattle, WA. What other topics would you like to hear about? Let us know more about you and what you think of our podcast through our Listener Survey or email us at AudibleBleeding@vascularsociety.org. Follow us on Twitter @audiblebleeding Learn more about us at https://www.audiblebleeding.com/about-1/ and #jointheconversation.

Podcast 248 Ask David and Rhonda! In today's podcast, Rhonda and David answer some fascinating questions submitted by listeners like you! We both thank you for your interest in our show, and for your kind comments and terrific questions! The Questions Kati asks: I notice that in your therapy sessions, the negative feelings of most of your patients are reduced all the way to 0%, and many become euphoric. I was wondering whether this somewhat contradicts the idea that our negative feelings are useful to us in some way? Kati also asks: Do you believe that empathy can be ‘taught'? Yiftah asks: How could one dangle the carrot effectively and responsibly when offering a cognitive exposure exercise? Yiftah also asks: From your experience can you give examples of cases in which cognitive exposure may not be as safe or as effective? Esther asks: You say there is no convincing or consistent evidence to support most psychodynamic claims about the causes of things. What you said resonates, but aren't you also just making claims? I have a psychodynamic supervisor, and am struggling to choose between empirically validated treatments and traditional psychodynamic approaches. Sean asks: Burns, what can you do when you are using the disarming technique and the person keeps interrupting you? Ben asks: Since exercise improves the mood of some people who are feeling down, doesn't this prove that physiologic changes can improve mood, as opposed to changing negative thoughts? The Answers  Note: The answers below were based on David's email exchanges with the people who asked the questions and were created before today's podcast. Therefore, the podcast may contain new and different information from these show notes. Hopefully, both the show and the notes will be helpful to you. Rhonda and David   Kati asks I notice that in your live therapy sessions, the negative feelings of most of your patients are reduced all the way to 0%, and many become euphoric. I was wondering whether this somewhat contradicts the idea that our negative feelings are useful to us in some way. David responds Hi Kati, thank you for the kind comments! It is great to get negative feelings to zero and experience enlightenment and joy. However, no one can be happy all the time, so you will have plenty of opportunities to "learn" from negative feelings again. In addition, there is a difference between healthy and unhealthy negative feelings. Healthy sadness is not the same as clinical depression, healthy fear is not the same as a phobia or panic attack, healthy and unhealthy anger are quite different, and so forth. There will bumps in the road of life for all of us at times. * * * Kati also asks Do you believe empathy can be “taught?” As a mum (of a 15 and a 10 year old girls) and a (HS) teacher I notice some people seem to have it more ‘innately' than others but would also love to think it is an aspect that can be intentionally developed in others in some way. If you think like me, I would love to hear your thoughts on how that could be done (i.e. what practices or strategies would be most helpful to use with young people in particular). I am still in awe that we can have a sort of conversation with such a brilliant and creative mind and I humbly hope you can address these two questions either in one of your podcasts or by responding to this message. In admiration, Kati David responds Thanks again, Kati, With regard to empathy, it is something that can be learned, but it takes commitment and practice. A good first step is the book I wrote on this topic called Feeling Good together. In addition, there is, as you say, an "aptitude" that people have for this or any skill, with a tremendous variability in the population. But regardless of your natural aptitude or lack of it, you can learn and grow tremendously. I started out with very poor listening skills. You can also search for Five Secrets of Effective Communication on the website, using the search function, and you'll find lots of podcasts teaching these skills. david * * * Yiftah asks How could one dangle the carrot effectively and responsibly when offering a cognitive exposure exercise? Dear Dr. Burns, I love your podcast and books. They have completely changed my practice and had helped my personally. In particular it was great to hear you working with Dr. Levitt with cognitive exposure, and your discussion about it. I have two questions regarding cognitive exposure with PTSD (for the podcast. First, how could one dangle the carrot effectively and responsibly when offering a cognitive exposure exercise? David responds Hi Yiftah, I try to deal with the Outcome and Process Resistance issues prior to agreeing to help any patient with anxiety. I might say something like this: “Jim, I'd really love to help you with your fears of X (whatever it is), and I'm pretty convinced that if we work together, you can make some great progress in overcoming your fears. I have more than 30 great tools to help you overcome anxiety, and you're probably going to love all of them except for one, exposure. Confronting your fears is just one tool among many, but is a vitally important part of the process, and cure is usually impossible without exposure. “For example, I may ask you to do is (I explain the type of exposure we might use.) I know that will be terrifying, and it needs to be terrifying to be effective. I'll be with you every step of the way, of course. But I need to know if you'd be willing to do that type of thing if I agree to work with you. “I know you've told me that you've had many therapists in the past who did not use exposure, and that might be why their treatments were not as effective as you'd hoped. And if you absolutely don't want to use exposure, I would totally understand and support you, but sadly could not agree to treat your fear of X.” * * * Yiftah also asks From your experience can you give examples of cases in which cognitive exposure may not be as safe or as effective? You have a lot of experience with successful exposure treatments, but I had never worked with PTSD. And I hear some "PTSD experts" say that cognitive exposure is a dangerous process that can backfire. And according to papers I've read it doesn't always help. In other words, assuming that one had worked correctly with the Empathy and Assessment of resistance phases: how safe and how effective is prolonged cognitive exposure with severe PTSD? From your experience can you give examples of cases in which cognitive exposure may not be as safe or as effective? I mean are there some conditions or distorted thoughts that categorically need to be dealt with successfully before going for exposure? For example, would there be any special considerations when working with patients with thoughts connected to shame, self-blame and hopelessness, as well as habits and addictions, or relationship issues? Thank you Yiftah David responds Thanks again! Let's assume that you are treating a veteran who is paranoid and living alone in the woods, who tells you that he is afraid of “losing it” and blowing people away with his automatic rifle. I would not want to have him fantasize blowing people away in order to overcome his fear, especially if he is prone to violence and has poor impulse control, and is psychotic. This could conceivably trigger him to do something violent, and I'd have a hard time explain my therapy methods to the police after he kills many people in the local mall. At the same time, the vast majority of anxious people who are afraid of doing something horrible or violent have OCD, and are totally safe. So, it takes judgment. Powerful techniques require therapists with exceptional skills, training, and thoughtfulness. It ALWAYS pays to be thoughtful and cautious! And this has nothing to do with cognitive exposure per se, but all of the > 100 techniques that I use. They can all hurt, including empathy, if not done skillfully, and with compassion. Backfiring occurs when therapists don't do or know how to prepare the patient for the methods you plan to use. Anytime you “throw” techniques at patients, you are asking for trouble. Remember, TEAM is a systematic, step-by-step package that is done as a sequence. Your patient has to give you an “A” on empathy before you can even go on to the Assessment of Resistance. My experience has shown me that most therapists, including the so-called experts, do not know how to get an A grade on empathy, and may not have outstanding empathy skills. Trust is so important in the treatment of anxiety, and always has to come first. Before using any M = Methods, you will need to address the patient's Outcome and Process Resistance, and get some agreement on what you plan to do and how you plan to do it. Should we not use a technique because it doesn't always work? All techniques often fail. TEAM is based on “failing as fast as you can!” If you can't use a technique that sometimes fails, then you can't use ANY technique! Also, I never treat anxiety with one technique. I use a great many techniques drawn from four very different treatment models: the Cognitive Model the Motivational Model the Exposure Model the Hidden Emotion Model I sometimes get tired / annoyed with so-called experts who love to spout off, saying things that to my ear sound like half-truths. But then again, I do the exact same thing! At any rate, neither Jill nor I have ever had a bad outcome with any form of exposure, but we are both pretty careful, and try hard to be compassionate and to prepare the patient. You have to be thoughtful and careful. For example, Shame Attacking Exercises can be life changing, but they require half a brain on the part of the therapist. For example, I wouldn't throw someone with poor interpersonal skills into a potentially awkward or hurtful Shame Attacking Exercise. All powerful techniques have the potential to heal or harm. The same scalpel that a surgeon uses to save a life can also be used by a murderer to slit someone's throat. d * * * Esther asks You say there is no convincing or consistent evidence to support most psychodynamic claims about the causes of things. What you said resonates, but aren't you also just making claims? I have a psychodynamic supervisor, and am struggling to choose between empirically validated treatments and traditional psychodynamic approaches. Hi David, I absolutely love your stuff! I've used some parts of feeling good in my practice as a therapist and in my personal life for some time, but I've recently gotten much more into your teachings and I've been thinking a lot about TEAM-CBT. And thank you for providing all these free resources for the public! In episode 230 (about 22 minutes in) Rhonda asked you about a common psychodynamic type of claim- “a child of alcoholics either become an alcoholic, marries an alcoholic or becomes a therapist of an alcoholic.” You responded by saying “people love those kinds of theories because people want to think they know the causes of things.” Then you went on to disagree, claiming that there isn't much evidence to support these types of claims. At first what you said very much resonated with me, and yet I began to think about it and realized the irony in your response: you had explained people's tendency to come up with such theories with your own cause (“people want to think they know the causes of things”), something which I doubt you've been able to test in a research study (though perhaps I'm wrong!) And yet what you said still resonates with me and highlights the crux of my question: isn't there any value in intuition (without any evidence) in determining the causes of things? For instance, I think your causal explanation here is highly intuitive. (Even though an alternative explanation could have involved something not inherently psychological, like “people err because they think correlation implies causation” or something. This is not just a theoretical question for me. I currently work under a wonderful supervisor who takes a psychodynamic approach to many issues, and I am very suspicious of some his theories, but it seems that he is a great therapist. Further, I think that many people in school and in the early stages of practice (including myself) are conflicted about whether or not they wish to train further in evidence-based approaches or in a psychodynamic type of school. I think this important question is sometimes at the root of the issue. (Although psychodynamic theories are sometimes not at all intuitive.) For a practical example- something I always found intuitive is the role low self-esteem seems to play in people with inflated egos or the role it can play with those who have anger issues (In which the ego or anger serve to “compensate” for the low self-esteem). When I was working with a client who suffered in these two areas, I began by educating him about this notion (which resonated with him) and we began to address his low self-esteem. Later, however, I happened across an article claiming that this intuitive notion is not supported by research. It called into question many of my intuitions when conceptualizing cases and treating my clients. Finally, I just picked up a copy of “Feeling Great” (it's awesome, by the way!) and I noticed you talked about the hidden emotion technique. Once we're on the topic of evidence; do you have any evidence that this particular technique is helpful? Is there research backing such a technique? (I'm particularly suspicious of it given its psychodynamic flavor :) I apologize if you've addressed these questions somewhere already- I've only just begun to avidly read your stuff and listen to your podcast. Thank you so much! Esther David responds Hi Esther, This is an important email and if I can find the time, and may address it in an Ask David. You write: “This is not just a theoretical question for me. I currently work under a wonderful supervisor who takes a psychodynamic approach to many issues, and I am very suspicious of some his theories, but it seems that he is a great therapist.” It's great that he is a great therapist, and it will be fun for you to learn from him. There are two caveats, perhaps. First, therapists' views of changes in the negative feelings of their patients, like depression, are not especially accurate, so his self-report of his effectiveness may not have a lot of credibility. I have measured therapist accuracy in a study at the Stanford Hospital, and found an accuracy of only 3% in detecting changes in depression, even after exhaustive, systematic interviews with patients about how they feel. Second, most therapists have only a placebo effect, although they will strenuously insist it ain't true! And their effectiveness is almost definitely not the result of the specific tools they are using, but other factors. Many outcome studies have been consistent with this type of conclusion. But still, learning from the wisdom of an older therapist can be awesome! With regard to the Hidden Emotion Technique, it IS a kind of modernized psychodynamic technique. I don't think it has been studied, but I no longer keep up with research. I find it exceptionally helpful in myself (I am anxiety prone) and in about 50% or more of anxious patients. And I have found I can engage in really rewarding conversations with psychodynamic therapists when I describe this technique. I enjoy this type of dialogue, challenging our favorite ideas. Have you ever heard of the “confirmation paradox?” My memory is that if theory A predicts observation B, and you see observation B, you may wrongly conclude that theory A is confirmed. For example, the theory that the sun revolves around the earth predicts that the sun will come up in the east in the morning and set in the west in the evening. So, we do see that every day, and we wrongly conclude that we have confirmed our theory that the sun revolves around the earth. Same is true for psychological theories about the causes of depression or whatever. The problem is that your observations also confirm a large number of alternative theories that all would have predicted the same thing. You can disconfirm a causal theory with data based on an experiment or natural observation, but you cannot actually confirm any theory in science. You can only say that your data are consistent with this or that theory, and that you have failed to disprove your theory based on your observations. I tested many theories about the linkages between Self-Defeating Beliefs (SDBs), like Perfectionism, and changes in negative feelings over time in several hundred patients treated at my clinic in Philadelphia. The data was not consistent with causal linkages between SDBs and negative feelings, even though there were strong correlations between them at both time points, and even though changes in SDBs were strongly correlated with changes in SDBs. david PS You might enjoy this psychoanalysis poem by another Esther who is a member of our Tuesday TEAM training group at Stanford. GOODBYE TO ALL THAT: THE JOY OF PRACTICING PSYCHOANALYSIS No more forms, no need for technique No more brain strain week after week, Ditch those methods — fifty, a hundred, A thousand ways I might have blundered.   So long agenda, don't mention homework Just perfect that withering shmirk. Surveys, grades, throw them away You know it's sex, whatever they say.   Gone for good are your twelve distortions, Out with charts and their crazy proportions. Is that a purse I see before me? Nope! It's your mother's vagina. You think that's a joke?   Such progress we are making you must admit Only ten years and we are ready to dip Into that complex where troubles all lie The mom you must marry, the dad who must die.   Two hundred sessions a year and each one two hundred Over ten years $400,000! I sundered… WHAT? I was…er… giving thought to your dream (And the cabbage I missed doing TEAM.)   How can you say you're worse off than before While standing in front of Enlightenment's door? You say you've awakened to find I'm a nitwit, & at last you're done with all of this horseshit!   Goodbye, my patient, there's the door, A pity you are so very sore. But let me say just one thing more — You really are a frightful bore.   — Esther Wanning * * * Sean asks Dr. Burns, what can you do when you are using the disarming technique and the person keeps interrupting you? I've recently been practicing the 5 secrets and I am still learning how to apply the techniques. I listened to many podcasts and I'm reading your books/doing the exercises. I'm a complete believer in your method! Thank you! During the disarming, if the person continues to aggressively interrupt and ask pointed questions, how do I continue to stay engaged in the conversation? I repeat the steps. I agree/try and find the truth, paraphrase the comments, along with practicing feeling/thought empathy. The person continues to interrupt, argue, blame, and ask questions to prove their point. Do I just continue to try the secrets? In the moment it seems like it's impossible, but I stay committed. Thanks Sean David responds Hi Sean, I have often said that these abstract questions have very little value. The devil is in the details, the specific example. If you give me an example of what the other person said, and what, exactly, you said next, I will probably, or almost certainly, be able to show you what your errors were, and how you are forcing the person to keep attacking you. However, this can be painful, to suddenly see how you are causing the exact problem you are complaining about. But also freeing. So, the answer, in short, is that you are probably not using the Five Secrets correctly, but you get lots of credit for your efforts, and some feedback may help you. d PS Sadly, I never got a specific example from Sean. That is too bad, because abstract questions and answers never have much, if any, practical value or impact. All the learning is in the specific example, which becomes a mind-blowing learning experience. But, sometimes people don't seem to “get” this message! * * * Ben asks Since exercise improves the mood of some people who are feeling down, doesn't this prove that? Hello David! I am a frequent listener of your podcast, and am currently going through your new book, "Feeling Great". The importance of treating depression at specific moments in time, addressing self-defeating beliefs, and the death of the "self" are all topics that are of particular interest to me. I have a question for you. You make the claim that depression & anxiety always result from distorted thoughts -- that our thoughts always cause our feelings. If that is the case, what do you make of the research that shows that aerobic exercise can be an effective treatment for them? Doesn't that indicate that there could be a physical basis for some cases of anxiety & depression? I have certainly found exercise to be tremendous help for me in keeping my anxiety at bay -- a vigorous session of exercise just seems to "slow down" my mind or reduce the volume of the voice that's always chattering away in the background for hours afterward. Could people be getting more depressed and anxious because they simply don't move as much or as vigorously as our bodies have evolved to? Thank you for your amazing work and the generosity with which you share it. I've recommended your podcast to many people, and will continue to do so! Take care, Ben David responds Hi Ben, Great question. I like your critical thinking! To test this idea, we would, of course, have to measure the positive and negative thoughts of individuals who are, and individuals who are not, helped by exercise. You cannot just assume something either way. I believe that all change in moods, regardless of the treatment intervention, is mediated by a reduction in the distorted thoughts that trigger the depression. This is a testable hypothesis. Many people tell themselves things like, “Oh, I'm exercising now, this will really help me, I'm keeping up with my commitments to my health,” and so forth. I, for one, have never had a mood elevation from exercise. My daughter finds exercise very helpful. I suspect you will find a sharp reduction in negative thinking in individuals who are helped by exercise. We have to be careful about jumping to conclusions about causality. I have a mild case of sciatica, and a medication like Tylenol makes the pain disappear. Does this mean that sciatica is due to a Tylenol deficiency? I did a study with an N of 1. I asked a severely depressed man to fill out a part of a Daily Mood Log every evening. He recorded the situation, then circled and rated his feelings, and then recorded his negative thoughts and how much he believed them. Then he flipped a coin and either jogged for 45 minutes or worked on challenging his distorted thoughts for 45 minutes. In both cases, after 45 minutes he recorded any reductions in his negative thoughts and feelings. The days when he worked with the DML he experienced pronounced reductions in his belief in his negative thoughts and in his negative feelings. The days he jogged, in contrast, there were no reductions in his negative thoughts or feelings. analysis of the data with structural equation modeling confirmed that the change in his negative feelings was caused by the reduction in his belief in his negative thoughts. Just a small pilot study, and could be done on a larger group. However, the researcher would have to have a sophisticated understanding of how the DML works, and how to elicit distorted thoughts from people who are depressed and anxious. david Ben's reply Wow! I didn't expect such a quick and thorough reply! Thank you, David. Love the Tylenol example. Such a powerful way to demonstrate the hazards of assuming causality, and also show me how easy it is to assume causality without even realizing I am doing so. Your study of the severely depressed man was ingenious as well. It gave me some good food for thought about *why* exercise might be so helpful for me -- that I can't assume that it's because I've manipulated my physiology in some way. It could very well be that I end up feeling good because I have pursued a difficult activity that I value, and thus feel as though I have accomplished something. I can see why someone who *doesn't* rely on accomplishments to feel "worthwhile" or doesn't even think of exercise is an accomplishment might not get the same boost. Indeed, there have almost *certainly* been times that I've exercised and felt WORSE afterward, but I'm mentally filtering those instances out. Like when I've gone for a run even though I was supposed to be getting dinner ready, and then the family is frustrated w/ me and hungry! ;-) I don't really get to bask in the glow of Accomplishment(tm) then! Take care, and thanks again! -Ben David responds again Hi Ben, Thanks. I ‘ve always said the thing about exercise raising brain endorphins was just something someone made up, but people wouldn't listen to me for the most part. I pointed that human brain endorphins cannot be measured, so there cannot be any evidence all for this theory. I recently said an article where they blocked brain endorphin receptors in people who got the runner's high. They still got the runner's high, proving brain endorphins could not possibly be involved! People tend to believe what they want to believe, regardless of the evidence. We see this in politics and in religion in a big way, but it is true in all walks of life. david Rhonda and David

This marks the 150th episode of DNA Today! Our guests to celebrate this landmark episode of DNA Today are Dr. Euan Ashley, a medical geneticist and cardiologist. And Dr. Stephen Quake, a physics professor, bioengineer and pioneer in microfluidics. A Scotland native, Dr. Euan Ashley graduated with degrees in Physiology and Medicine from the University of Glasgow. He completed medical residency and a PhD in molecular physiology at the University of Oxford before moving to Stanford University where he trained in cardiology and advanced heart failure, joining the faculty in 2006. In 2010, he led the team that carried out the first clinical interpretation of a human genome. The paper published in the Lancet was the focus of over 300 news stories, and became one of the most cited articles in clinical medicine that year. The team extended the approach in 2011 to a family of four and now routinely applies genome sequencing to the diagnosis of patients at Stanford hospital where Dr. Ashley directs the Clinical Genome Service and the Center for Inherited Cardiovascular Disease. In 2014, Dr Ashley became co-chair of the steering committee of the NIH Undiagnosed Diseases Network. Stephen Quake is a professor of bioengineering and applied physics at Stanford University and is co-President of the Chan Zuckerberg Biohub. He holds a B.S. in Physics and M.S. in Mathematics from Stanford University and a doctorate in Theoretical Physics from the University of Oxford. Dr. Quake has invented many measurement tools for biology, including new DNA sequencing technologies that have enabled rapid analysis of the human genome and microfluidic automation that allows scientists to efficiently isolate individual cells and decipher their genetic code. Dr. Quake is also well known for inventing new diagnostic tools, including the first non-invasive prenatal test for Down syndrome and other aneuploidies. His test is rapidly replacing risky invasive approaches such as amniocentesis, and millions of women each year now benefit from this approach. He was also the fifth person in the world to have their genome sequences and his genome was the subject of clinical annotation by a large team at Stanford Hospital led by Dr. Ashley. On This Episode We Discuss:The first clinical interpretation of a human genomeGenome sequencing technologiesThe cost of sequencing a genome Understanding the genomic codeThe future of precision medicineDr. Ashley's book, The Genome OdysseyWant to read the Genome Odyssey? Enter to win your own copy! Head over to our Twitter, Instagram, Facebook, and LinkedIn to enter to win a free book!Be sure to follow Dr. Ashley and Dr. Quake on Twitter! How do you keep research articles organized? We have struggled with this for years, but have finally found a solution that is simple and easy. It's called Paperpile! It radically simplifies the workflow of collecting, managing and writing papers. Paperpile allows you to highlight and annotate papers, manage references, share and collaborate and even cite directly in Google Docs and Microsoft Word. Paperpile's new mobile apps allows you to sync your library to all your devices so you can read and annotate on your iPad, iPhone, or Android device. Start your free 30 day trial today at paperpile.com with promo code “DNATODAY”. Paperpile costs only $36 per year, but with code “DNATODAY” you save 20%! Want to become a genetic counselor? Looking for ways to engage with the field and boost your resume for grad school applications? Then you should check out Sarah Lawrence's “Why Genetic Counseling Wednesday Summer Series”! Every Wednesday this June Sarah Lawrence is hosting this series where you can interact through Zoom with genetic counselors from different specialties for an hour and a half. You can sign up at SLC.edu/DNAtoday to register to level up your resume for applications in the fall. Stay tuned for the next new episode of DNA Today on July 2nd, 2021! We'll be joined by Dr. Richard Michelmore and Dr. Brad Pollock who will be discussing COVID-19 variants. New episodes are released on the first and third Friday of the month. In the meantime, you can binge over 150 other episodes on Apple Podcasts, Spotify, streaming on the website, or any other podcast player by searching, “DNA Today”. All episodes in 2021 are also recorded with video which you can watch on our YouTube channel. See what else we are up to on Twitter, Instagram, Facebook, YouTube and our website, DNApodcast.com. Questions/inquiries can be sent to info@DNApodcast.com.

"SHUNGITE REALITY” - Nancy Hopkins, Mark Joseph and Walt Silva https://www.newparadigmtools.net/ SHOW PHOTO: https://www.cosmicreality.com/uploads/1/8/0/9/18090901/210518-srs-walt_orig.jpg Buckyball Installation Timelapse - Leo Villareal, 2019 | New Stanford Hospital https://www.youtube.com/watch?v=dS9qTT34lMc&t=16s FB Video of lighting https://www.facebook.com/beverly.estes.9/videos/2614300405249256 Buckyball sculpture installed at new Stanford Hospital https://scopeblog.stanford.edu/2019/07/23/buckyball-sculpture-installed-at-new-stanford-hospital/ Genesa Crystal http://www.young-design.com/about-genesa-crystals/ La Soufrière volcano in St. Vincent and the Grenadines April 13 https://news.un.org/en/story/2021/04/1089722 Mystical Wares Video Sales: https://www.mysticalwaresvideosales.net/?fbclid=IwAR3z1eEype0UVSN8kFkwCl0UTpGhLXdItHPeW8oaAFjigSGp6MVRNh6vA7s COUPON “SAVE10" for 10% off MysticalWares: https://www.mysticalwares.net/ The Shungite Radio Show is seen Tuesdays Noon-2 pm EST https://www.cosmicreality.com/radio.html Shungite World Grid https://www.cosmicreality.net/the-shungite-grid.html Metaphysical Perspectives You Tube https://www.youtube.com/channel/UChEUcAqF6ekzbC4jQZpW5yQ Shungite Reality Book https://www.mysticalwares.net/product-page/shungite-reality-book Cosmic Reality Radio Archives - https://www.cosmicreality.com/archives.html Shungite Store & Information - http://www.cosmicreality.net Cosmic Reality Radio - http://www.cosmicreality.com Shungite Beehives Forum - https://www.shungitebeehives.com/ Cosmic Reality YouTube: https://www.youtube.com/channel/UCok5CPB8dw5HvW1_jBgC6sw?view_as=subscriber Shungite Radio Show Playlist: https://www.youtube.com/playlist?list=PLtgrQLgUkS0tBKkCTL-vlzlLYZmWIYEcx Shungite Beehives YouTube: https://www.youtube.com/channel/UCkIHsF6Kw2QLkrhdS8nK7dg “Shungite Reality” Facebook Group: https://www.facebook.com/groups/713944828952438/ “Cosmic Reality” Facebook Group - https://www.facebook.com/groups/504212719691742/ Music: Barbara Meneses & Craig Stuart - https://www.Baj-Pendulos.com/en/

Cosmic Reality Radio” with Nancy Hopkins, Walt Silva, and Dolly Howard SHOW PHOTO https://www.cosmicreality.com/uploads/1/8/0/9/18090901/210518-crr-law-of-one_orig.jpg Buckyball Installation Timelapse - Leo Villareal, 2019 | New Stanford Hospital https://www.youtube.com/watch?v=dS9qTT34lMc&t=16s FB Video of lighting https://www.facebook.com/beverly.estes.9/videos/2614300405249256 Buckyball sculpture installed at new Stanford Hospital https://scopeblog.stanford.edu/2019/07/23/buckyball-sculpture-installed-at-new-stanford-hospital/ Genesa Crystal http://www.young-design.com/about-genesa-crystals/ La Soufrière volcano in St. Vincent and the Grenadines April 13 https://news.un.org/en/story/2021/04/1089722 CRRS is seen Tuesdays 6-8 pm EST at https://www.cosmicreality.com/radio.html Walt Silva: http://www.newparadigmtools.net/  NANCY'S BOOKS https://www.cosmicreality.com/books--blogs.html SHUNGITE STORE: https://mysticalware.ositracker.com/182795/11616 ARCHIVES: https://www.cosmicreality.com/archives.html PODCASTS: https://pod.co/cosmic-reality-radio Healing Tones: https://www.cosmicreality.net/cosmic-reality-blog/healing-tone Music by Renate Jett, Jett Music https://myspace.com/jett4music/music/songs Music by Barbara Meneses & Craig Stuart - https://www.Baj-Pendulos.com/en/ YouTube CRRS playlist: https://www.youtube.com/playlist?list=PLtgrQLgUkS0tf6I6di7CdrXY8BO7EQ8JN Please, subscribe to our Face Book Groups: Cosmic Reality Group - https://www.facebook.com/groups/504212719691742/ Shungite Reality: https://www.facebook.com/groups/713944828952438

"SHUNGITE REALITY” - Nancy Hopkins, Mark Joseph and Walt Silva https://www.newparadigmtools.net/ SHOW PHOTO: https://www.cosmicreality.com/uploads/1/8/0/9/18090901/210518-srs-walt_orig.jpg Buckyball Installation Timelapse - Leo Villareal, 2019 | New Stanford Hospital https://www.youtube.com/watch?v=dS9qTT34lMc&t=16s FB Video of lighting https://www.facebook.com/beverly.estes.9/videos/2614300405249256 Buckyball sculpture installed at new Stanford Hospital https://scopeblog.stanford.edu/2019/07/23/buckyball-sculpture-installed-at-new-stanford-hospital/ Genesa Crystal http://www.young-design.com/about-genesa-crystals/ La Soufrière volcano in St. Vincent and the Grenadines April 13 https://news.un.org/en/story/2021/04/1089722 Mystical Wares Video Sales: https://www.mysticalwaresvideosales.net/?fbclid=IwAR3z1eEype0UVSN8kFkwCl0UTpGhLXdItHPeW8oaAFjigSGp6MVRNh6vA7s COUPON “SAVE10" for 10% off MysticalWares: https://www.mysticalwares.net/ The Shungite Radio Show is seen Tuesdays Noon-2 pm EST https://www.cosmicreality.com/radio.html Shungite World Grid https://www.cosmicreality.net/the-shungite-grid.html Metaphysical Perspectives You Tube https://www.youtube.com/channel/UChEUcAqF6ekzbC4jQZpW5yQ Shungite Reality Book https://www.mysticalwares.net/product-page/shungite-reality-book Cosmic Reality Radio Archives - https://www.cosmicreality.com/archives.html Shungite Store & Information - http://www.cosmicreality.net Cosmic Reality Radio - http://www.cosmicreality.com Shungite Beehives Forum - https://www.shungitebeehives.com/ Cosmic Reality YouTube: https://www.youtube.com/channel/UCok5CPB8dw5HvW1_jBgC6sw?view_as=subscriber Shungite Radio Show Playlist: https://www.youtube.com/playlist?list=PLtgrQLgUkS0tBKkCTL-vlzlLYZmWIYEcx Shungite Beehives YouTube: https://www.youtube.com/channel/UCkIHsF6Kw2QLkrhdS8nK7dg “Shungite Reality” Facebook Group: https://www.facebook.com/groups/713944828952438/ “Cosmic Reality” Facebook Group - https://www.facebook.com/groups/504212719691742/ Music: Barbara Meneses & Craig Stuart - https://www.Baj-Pendulos.com/en/

In this episode, I talk with Dr. Kenji a Lead Scientist at the Stanford Hospital and Stanford University. With the many doubts, myths, and concerns many people have been having about the vaccine, I invited him to my platform to help clear some of these doubts and debunk the myths as well. Dr. Kenji has been actively involved in combating this monster of a virus. He encourages us to get vaccinated and wear our masks as our own contribution at individual levels to fight this virus. Tune in and hear from the expert himself! Follow me on Instagram - SolangeChe1 Please Subscribe to my YouTube Channel for Podcast Video Coverage - https://www.youtube.com/channel/UCgBsyhGPw0kjUjDOGaMKV6A See more about who Dr. Kenji is and the great job he does at Stanford- https://abc7news.com/coronavirus-california-covid-19-variant-stanford/10475384/ --- Support this podcast: https://anchor.fm/solange-che/support

Nirvik finished high school in Singapore where he was able to complete as many college prerequisites as he could and participated in rigorous extra curricular activities related to his interest in computer science. He is currently completing his double degree in Computer Science and Classical Languages from Stanford University. His high school experiences allowed him to get placed into advanced sequence classes freshman year. Continuing on, he was also able to work as a teaching assistant for beginner comp sci classes. He is currently working as a researcher for TockOS. Additionally, he is also a research assistant for the Stanford Byers Center for Biodesign where he is creating an advanced care planning platform for the Stanford Hospital system. He hopes to continue on to academia in the future.

What are some mental health challenges for Asian Americans today? Can you share your thoughts on the most recent acts of violence against Asian Americans and where it comes from? In this timely and important episode, we interview Dr. Rona Hu on mental health in the Asian American community. Dr. Hu is Medical Director of the Acute Psychiatric Inpatient Unit at Stanford Hospital, specializing in the care of those with serious mental illnesses, including schizophrenia, bipolar and depression. She completed medical school and residency in psychiatry at the University of California, San Francisco, and fellowships in Pharmacology and Schizophrenia Research through the National Institutes of Health. She is also active in  minority issues and cultural psychiatry, and has received regional and national recognition for her clinical care, research and teaching. Dr. Rona J. Hu received her medical degree in 1990 from the University of California, San Francisco School of Medicine, and completed her residency at the University of California, San Francisco Medical Center in 1994. She received her board certification in psychiatry in 1995 from the American Board of Psychiatry and Neurology. Dr. Hu completed two fellowships while at the National Institutes of Health (NIH) from 1994-1998. She completed the PRAT (Pharmacology Research Associate Training) program from 1994-1996, and a schizophrenia research fellowship from 1996-1998. Dr. Hu received the 2016 APA Nancy Roeske award for Excellence in Medical Student Education, the 2017 Faculty Award from Stanford University's Asian American Activities Center, and the 2017 Community Engagement Award from Stanford Department of Psychiatry.

Edie Littlefield Sundby has been a great friend to Slow Baja. Since I originally aired my conversation with her in July of last year, she has introduced me to many of her Baja community. A few have been interviewed on Slow Baja already, and I hope to record with the rest as time and travel allows. When a family member was headed to the hospital for major surgery, I turned to Edie for advice. She had the answer, and her relentless positivity was deeply appreciated. The surgery went well. With a little time to to recover life will be back to normal, and I should be back in Slow Baja soon. Enjoy this enlightening conversation with my friend Edie Littlefield Sundby. My guest, Edie Littlefield Sundby, was arrogantly healthy when she received word that she had stage-four gallbladder cancer. The doctors gave her three months to live. "I had to kill cancer before it killed me," Sundby said. Seventy-nine rounds of chemotherapy, five-and-a-half years, and four radical surgeries later, she was in remission. The battle took half of her liver, ten inches of colon, two inches of her stomach, part of her throat, and all of her right lung. Amazingly, her spirit was intact! While driving up highway 101 to Stanford Hospital for surgery, she noticed the Mission bells denoting the El Camino Real. "I had this obsession to hug them, to follow them, I had to walk the old California Mission Trail. I had to walk all 21 Missions, saying a prayer of thanksgiving at each one." On a cold, rainy day in February of 2013 -six months after losing her right lung, she started walking from Mission San Diego to Sonoma. Fifty-five days and 800 miles later, she made it. "When I got to Sonoma, I was soaring; I did not want to stop!" In 2015, when cancer returned, and she knew it would, she reflected on how happy the walk to Sonoma had made her. In an instant, she decided to walk all the Missions in Baja. "It was wonderful to have that to look forward to; I had another walk; I had a mission I had something larger (to focus on) than what was going on inside of me." Through the internet, she found the guide and outfitter Trudi Angel in Loreto. "I had the promise of a burro for ten days and a vaquero for five days; that was good enough for me." She walked across the border to Tijuana and boarded a flight to Loreto, Mexico. Listen to the podcast here Visit The Mission Walker website here Follow on Instagram Follow on Facebook

We have two brief segments in today’s episode: News and analysis of the Johnson & Johnson COVID vaccine pause, and the widespread hack of Microsoft Exchange Servers across the country (and the dramatic and unusual steps the FBI took in response).Johnson & Johnson: Federal health officials last week revealed that six women who received the vaccine had developed rare and severe blood clots in their brain, in one case fatally. Even more recently, a panel of expert advisors to the Centers for Disease Control determined that they needed more time to assess the risk of the drug, which was approved by the FDA under Emergency Use Authorization, or EUA.Our experts are General Partner Jorge Conde, who previously appeared on a episode on J&J efficacy rates, and General Partner Vineeta Agarwala, who is also a practicing clinician at Stanford Hospital, and recently joined us on "16 Minutes" with Dr. Bob Wachter of UCSF to analyze the vaccine rollout in the U.S. They address the clinical facts about the six J&J cases (and contrast it to the social media conversations and headlines), the incidence rate, and what the J&J vaccine shares with the Astra Zeneca vaccine, which has been halted or limited in Europe and elsewhere over similar blood clot concerns.FBI and Microsoft Exchange Servers: The Department of Justice recently announced that the FBI, after getting court authorization, had removed malicious code from hundreds of computers running on-premises versions of Microsoft Exchange Server software used to provide email services. In March, Microsoft had announced the initial hack and released detection tools and patches to help owners of the compromised computers, but the latest government announcement revealed that the FBI had taken the step of removing the malicious code, in this case web shells that enable remote administration, from computers that had not mitigated the risk. Microsoft has associated the hackers with state-sponsored actors in China.Our expert is a16z's Joel de la Garza, who explains what’s behind this unusual action and figure out where it fits into larger trends of enterprise security and even national security.###The views expressed here are those of the individual AH Capital Management, L.L.C. (“a16z”) personnel quoted and are not the views of a16z or its affiliates. Certain information contained in here has been obtained from third-party sources, including from portfolio companies of funds managed by a16z. While taken from sources believed to be reliable, a16z has not independently verified such information and makes no representations about the enduring accuracy of the information or its appropriateness for a given situation. In addition, this content may include third-party advertisements; a16z has not reviewed such advertisements and does not endorse any advertising content contained therein.This content is provided for informational purposes only, and should not be relied upon as legal, business, investment, or tax advice. You should consult your own advisers as to those matters. References to any securities or digital assets are for illustrative purposes only, and do not constitute an investment recommendation or offer to provide investment advisory services. Furthermore, this content is not directed at nor intended for use by any investors or prospective investors, and may not under any circumstances be relied upon when making a decision to invest in any fund managed by a16z. (An offering to invest in an a16z fund will be made only by the private placement memorandum, subscription agreement, and other relevant documentation of any such fund and should be read in their entirety.) Any investments or portfolio companies mentioned, referred to, or described are not representative of all investments in vehicles managed by a16z, and there can be no assurance that the investments will be profitable or that other investments made in the future will have similar characteristics or results. A list of investments made by funds managed by Andreessen Horowitz (excluding investments for which the issuer has not provided permission for a16z to disclose publicly as well as unannounced investments in publicly traded digital assets) is available at https://a16z.com/investments/.Charts and graphs provided within are for informational purposes solely and should not be relied upon when making any investment decision. Past performance is not indicative of future results. The content speaks only as of the date indicated. Any projections, estimates, forecasts, targets, prospects, and/or opinions expressed in these materials are subject to change without notice and may differ or be contrary to opinions expressed by others. Please see https://a16z.com/disclosures for additional important information. 

Lahari talks to Dr. Gaya Murugappan, MD, at Stanford Hospital, about fertility, sex, and vaginismus. We start with egg freezing is and the scientific process, comparisons to previous generations, sex vs. reproduction. and the privilege of affording newer fertility treatments. The second half of the conversation brings us to raising awareness on vaginismus, specifically the secrecy, hurt, and shame associated with it. We go into how it happens, how to support someone who has it, what treatments are available, and why we should care about this - whether or not you identify as a woman. Follow us at @downtobrown_

Today on our news analysis show 16 Minutes — since this show is all about teasing apart what’s hype/ what’s real and where we are on the long arc of innovation — we're taking a quick pulse-check with the experts on just where we are with the COVID vaccine rollout in the U.S. Our experts today are Dr. Bob Wachter, the Chair of the Department of Medicine at UCSF — he has come to additional prominence during the pandemic as a regular public resource, providing daily updates & reports on Twitter throughout the crisis. He’s also currently guest-hosting the “In the Bubble” podcast. We also have Dr. Vineeta Agarwala, a general partner in a16z bio who is also a practicing clinician at Stanford Hospital. You can catch our ongoing coverage of all things vaccines at a16z.com/vaccines.But in this episode we cover where we really are right now with the vaccine rollout — is it working or not, given all the buzz and mixed messages we’ve been hearing on social and in the media? We cover everything from distribution, in practice (that is, from the clinical/ on-the-ground perspective); to other dynamics (such as new strains), to demand for the vaccines (including vaccine hesitancy, and it's not just about anti-vaxxers); to the data (which is where we start). On Friday the CDC reported that about 77 million people in the U.S. have currently received at least one dose of a COVID vaccine, with about 42 million who have been fully vaccinated. 

Mental health is just as important as physical health. It’s not just a concept of being weak but rather, it is a concept of psychological and emotional well-being that needs to be in the spotlight more for people to better understand it. The stigma surrounding mental illness keeps people from getting the help they need to get better and causes them to hide their pain. Today many individuals including students face mental health crises because of academic pressure, peer or family problems, and even because of the pandemic. That is why in this episode, Dr. Gabiola and her co-host, Ms. Alyssa, were joined by eight students - brilliant minds who shared their insights and thoughts about mental health awareness and their personal experiences about this matter.Learn from these amazing students about the importance of mental health awareness, different coping mechanisms, and strategies that you can apply, do’s and don’t whenever you are experiencing anxiety and depression, ways on how to break the stigma of mental health, and what you can do as an individual.Jump right in to listen to this episode and remember that mental illness should not be something to be ashamed about or thought of differently. YOU are important, YOU are loved, and YOU got this!Memorable Quotes:Since May 2020, on average, more than one in three adults in the United States has reported symptoms of anxiety and or a depressive disorder, compared to only one in ten adults reporting the same symptoms from before the pandemic in January to June of 2019. - Alyssa SalesOne of the most important tools with mental health is having a support system. - EvanThe mental health of resident physicians is really important because future doctors are just constantly stressed by this pandemic. - John SoyLeaders want to see change, but you also can take it within yourself to see what you can do and how you can be that change. - Jamie AlbertsonThere's a cultural barrier to addressing mental health. - John SoySelf-isolation really impacts relationships with your friends and family. It's not combating issues, not combating anxiety, it's not combating depression because it's only enhancing it and feeding it. - John SoyHaving a diary is really helpful because you can rant and let all of the thoughts that are in your head and write them out on paper. While is more of you take these thoughts and then you can categorize them into different thoughts and bring more awareness to it and being more mindful with it. - John SoyBeing able to realize where you are with your own mental health and then finding something to be an outlet to help you grow and to help you come out of your own thought. - John Soy Emotions are normal. Sadness is normal. Anxiety is normal. - John SoyOne of the main stigmas of mental health is that it is a weakness. - Kate WilliamsEvery person wants someone to speak out, remind them that they can see themselves in. - Kate WilliamsContinuing on this cycle of creating this pressure and creating a very unhealthy environment where mental health, depression, anxiety, suicidal ideation can just grow because of the way the students see themselves to make academic success. - Kate WilliamsAbout the Guest/s:Alyssa Sales, the co-host for today’s episode, is a sophomore at Columbia University whose multiracial background drives her to improve resources for the underserved and marginalized people through a dialogue on culture and tradition, and mental health.Kate is a senior in high school and the president of ROCN, Reach Out Care Now, a mental health organization. She’s also the wellness commissioner for the student executive council. Danette Navalo or “Kata” is currently a sophomore attending Columbia University, majoring in Political Science and Ethnicity and Race studies. She creates social content that focuses on indigenous identity with a special emphasis on lifting other indigenous creators. Evan is a junior high school leader of the KUTO club, or Kids Under Twenty One, which deals with mental health awareness. John Soy is a resident physician at Stanford Hospital. He got his master's degree in Molecular Neuroscience at Johns Hopkins, and currently, he is studying Psychiatry. Jamie Albertson is a student educator and activist in the Bay area. And Sophia is a junior at Lynbrook High School and she’s part of Lynbrook Alafia, a student outreach publication that serves as a safe place for students to anonymously share their stories with the community.About the Host:Dr. Jette is a Clinical Professor of Medicine at Stanford University and the President & CEO of ABCs for Global Health. Click here for her full profile or read her full interview here.Click here for the FULL TRANSCRIPT. See acast.com/privacy for privacy and opt-out information.

Shane talks with Multiple Sclerosis Specialist, May Han, about the new research being done on MS, the diagnosis process, and things patients can do to help treat their symptoms. They are joined by special guest and personal friend of Shane's, Megan, who shares her personal journey through being diagnosed with Multiple Sclerosis.  Dr. Han is a Board-certified neurologist and a clinician-scientist who specializes in multiple sclerosis and central nervous system demyelinating diseases as well as the Associate Professor of Neurology & Neurological Sciences at Stanford School of Medicine.  Her research focuses on utilizing Systems Biology approach (genomics, transcriptomics and proteomics) to identify targets for therapy in MS and NMO. Dr. Han is also an attending physician at the Neuroimmunology clinic and at the Stanford Hospital. Thank you for watching and being an inquisitive being. Learn more about your ad choices. Visit megaphone.fm/adchoices

Shane talks with Multiple Sclerosis Specialist, May Han, about the new research being done on MS, the diagnosis process, and things patients can do to help treat their symptoms. They are joined by special guest and personal friend of Shane's, Megan, who shares her personal journey through being diagnosed with Multiple Sclerosis.  Dr. Han is a Board-certified neurologist and a clinician-scientist who specializes in multiple sclerosis and central nervous system demyelinating diseases as well as the Associate Professor of Neurology & Neurological Sciences at Stanford School of Medicine.  Her research focuses on utilizing Systems Biology approach (genomics, transcriptomics and proteomics) to identify targets for therapy in MS and NMO. Dr. Han is also an attending physician at the Neuroimmunology clinic and at the Stanford Hospital. Thank you for watching and being an inquisitive being. Learn more about your ad choices. Visit megaphone.fm/adchoices

Ask David: Questions on self-esteem, recovery from PTSD, dating people with Borderline Personality Disorder, recovery on your own, and more! Jay asks: Is psychotherapy homework still required if you’ve recovered completely from depression in a single, extended therapy session? Is Ten Days to Self-Esteem better than the single chapter on this topic in Feeling Good? Are people who were abused emotionally when growing up more likely to get involved with narcissistic or borderline individuals later in life because the relationship is “familiar?” Many patients can read your books and do the exercises and recover on their own. Is a teacher or coach sometimes needed to speed things up? Is it possible for a person to become happy WITHOUT needing anyone else if they have had depression in past and/or PTSD? Also, how would Team-CBT address treating PTSD? PTSD can involve a person having multiple traumas. * * * Is psychotherapy homework still required if you’ve recovered completely from depression in a single, extended therapy session? Thanks, Jay, I will make this an Ask david, if that is okay, but here is my quick response. Although many folks now show dramatic changes in a single, two-hour therapy session, they will still have to do homework to cement those gains, including: Listening to or watching the recording of the session Finish on paper any Daily Mood Log that was done primarily in role-playing during the session. In other words, write the Positive thoughts, rate the belief, and re-rate the belief in the corresponding negative thought. Use the Daily Mood Log in the future whenever you get upset and start to have negative thoughts again. I also do Relapse Prevention Training following the initial dramatic recovery, and this takes about 30 minutes. I advise the patient that relapse, which I define as one minute or more of feeling crappy, is 100% certain, and that no human being can be happy all the time. We all hit bumps in the road from time to time. When they do relapse, their original negative thoughts will return, and they will need to use the same technique again that worked for them the first time they recovered. In addition, they will have certain predictable thoughts when they relapse, like “this proves that the therapy didn’t rally work,” or “this shows that I really am a hopeless case,” or worthless, etc. I have them record a role-play challenging these thoughts with the Externalization of Voices, and do not discharge them until they can knock all these thoughts out of the park. I tell them to save the recording, and play it if they need it when they relapse. I also tell them that if they can’t handle the relapse, I’ll be glad to give them a tune up any time they need it. I rarely hear from them again, which is sad, actually, since I have developed a fondness for nearly all the patients I’ve ever treated. But I’d rather lose them quickly to recovery, than work with them endlessly because they’re not making progress! People with Relationship Problems recover more slowly than individuals with depression or anxiety for at least three reasons, and can rarely or never be treated effectively in a single two-hour session: The outcome and process resistance to change in people with troubled relationships is typically way more intense. It takes tremendous commitment and practice to get good at the five secrets of effective communication, in the same way that learning to play piano beautifully takes much commitment and practice. Resolving relationship conflicts usually requires the death of the “self” or “ego,” and that can be painful. That’s why the Disarming Technique can be so hard for most people to learn, and many don’t even want to learn it, thinking that self-defense and arguing and fighting back is the best road to travel! * * * Is Ten Days to Self-Esteem better than the single chapter on this topic in Feeling Good? Yes, Ten Days to Self-Esteem would likely be a deeper dive into the topic of Self-Esteem. It is a ten-step program that can be used in groups or individually in therapy, or as a self-help tool. There is a Leader’s Manual, too, for those who want to develop groups based on it. * * * Are people who were abused emotionally when growing up more likely to get involved with narcissistic or borderline individuals later in life because the relationship is “familiar?” I was involved with a woman with Borderline Personality Disorder, and it was exhausting! Why was I attracted to her? Thank you for the question, Jay. Most claims about parents and childhood experiences, in my opinion, are just something somebody claimed and highly unlikely to be true if one had a really great data base to test the theory. We don’t really know why people are attracted to each other. Many men do seem attracted to women with Borderline Personality Disorder. Perhaps it’s exciting and dramatic dynamic that they’re attracted to, and perhaps it’s appealing to try to “help” someone who seems wounded. Good research on topics like this would be enormously challenging, and people would just ignore the results if not in line with their own thinking. Our field is not yet very scientific, but is dominated by “cults” and people who believe, and who desperately want to believe, things that are highly unlikely, in my opinion, to be true. I do quite a lot of data analysis using a sophisticated statistical modeling program called AMOS (the Analysis of Moment Structures) created by Dr. James Arbuckle from Temple University in Philadelphia, someone I admire tremendously. This program does something called structural equation modeling. In the typical analysis, the program tells you that your theory cannot possibly be true, based on your data. If you are brave, this can lead to radical changes in how you think and see things, especially if you are not “stuck” in your favored theories. But this type of analysis is not for the faint of heart. All the best, David Here is Jay’s follow-up email: HI Dr. Burns, As you know A LOT of people attribute their present problems (depression / anxiety / relationship conflicts / addictions) to their "abusive" or "toxic" relationship with their parents. It is interesting that it seems some people internalize negative beliefs about themselves based on what their parents said to them on a consistent basis. But it seems you are saying the data does not support that theory. Jay Thanks, Jay, I’m glad you responded again. There may be some truth to those kinds of theories. We know, for example, that abused or feral cats often have trouble with trust. So, we don’t want to trivialize the pain and the horrors that many humans and animals alike endure. At the same time, people are eager to jump onto theories that “sound right” to them and serve their purposes, and most of these theories are not based on sound research. Here are two examples from my own research. I tested, in part, the theory that depression comes from bad relationships, and also that addictions result from emotional problems. I examined the causal relationships between depression on the one hand and troubled vs happy relationships with loved ones on the other hand in several hundred patients during the first 12 weeks of treatment at my clinical in Philadelphia, and published it in top psychology journal for clinical research. (will include link) That was because there were at the time two warring camps—those who said that a lack of loving and satisfying relationships causes depression, and those who said it was the other way around, that depression leads to troubled relationships. And the third group said it worked both ways. My study indicated that although troubled relationships were correlated with depression, there were NO causal links in either direction. Instead, the statistical models strongly hinted that an unobserved, third variable had causal effects on both simultaneously. This is the only paper in the world literature that I am aware of that has tested the causal links between intimacy and depression, but because the results did not satisfy anyone, the paper is rarely or never quoted, and did not seem to influence those who were advocates of one or the other theories. As they say, wrong theories die hard. Here’s the reference: Burns, D. D., Sayers, S. S., & Moras, K. (1994). Intimate Relationships and Depression: Is There a Causal Connection? Journal of Consulting and Clinical Psychology, 62(5): 1033 - 1042. I also looked at the causal links between all kinds of emotional problems and all kinds of addictions in 178 or so patients admitted to the psychiatric inpatient unit of the Stanford Hospital. I was unable to confirm any significant causal links between depression, anxiety, loneliness, anger, and so forth and any kind of addiction (overeating, drugs, alcohol, etc.) The only possible causal link I could find was a small causal link of depression on reducing the tendency to binge or overeat. This was a secondary and unpublished analysis of data I collected in validating my EASY diagnostic system. I don’t mean to encourage insensitivity to suffering or and I don’t want to stop or stifle creative thinking about the causes of depression and anxiety and addictions. I simply want to emphasize that the causes of depression, and most other emotional problems, are still totally unknown. That is a very simple statement, but it seems to me that most folks don’t “get it,” or don’t want to hear it. Maybe we all want to explain things, or blame others, or think of ourselves as “experts,” or perhaps we feel uneasy with thinking that we don’t yet know the causes of most psychiatric problems, like depression and anxiety or troubled relationships. It may be comforting to think we do know the causes of negative feelings or human conflict. This is my thinking only, and I’m often off base! Tell me what you think. David

Matt Perry first broke into medical sales in 2014 with Zimmer. Shortly after he came on board, they became Zimmer Biomet. He started out as an associate sales rep and within a year, he had worked his way up to a full line rep, covering the entire Zimmer Biomet bag . Within 2 years, he was pulled up to take on Stanford Hospital as his account. That position helped prepare him to take on a role as a Team Lead in the Scottsdale Market for Zimmer Biomet. Matt was told by numerous recruiters to take a B2B sales position before trying to break into medical sales. Matt knew what he wanted, so he ignored that advice, and through grit and determination, broke into the Medical Sales Industry without any previous formal sales experience. During this episode we will dive into Robotic Surgery, Total Joints, what it is like to cover an academic institution, interview tips for people trying to break in to this industry, and more!______________This podcast was brought to you by Legacy Now Coaching LLCWebsite: https://www.legacynowcoaching.comBook an appointment here: https://www.legacynowcoaching.com/bookingRoad to Medical Sales Podcast here: https://roadtomedicalsales.buzzsprout.com Legacy Now Coaching Linkedin Page: https://www.linkedin.com/company/legacy-now-coaching/?viewAsMember=true Legacy Now Coaching Instagram: https://www.instagram.com/legacynowcoaching/?hl=en Legacy Now Coaching Facebook: https://www.facebook.com/legacynowcoaching/?view_public_for=102904654693161 _____________This video was also brought to you by Legacy Now Coaching LLC ______________© 2020 Legacy Now Coaching______________Song: The Odyssey AheadArtist: Dream CaveLicense Purchased By: Legacy Now Coaching LLCLicense ID: DL-0oh-yawcarn4qpSupport the show (https://www.buymeacoffee.com/legacynow)

Collaboration. The Superpower of the 21st Century XPRIZE convenes the world’s brightest minds to help solve some of the most pressing challenges, and for this special Giving Tuesday episode, we’re taking a look back at 2020 with avid entrepreneur, philanthropist and XPRIZE Trustee Paresh Ghelani; physician-scientist, inventor, entrepreneur, and Chair of the XPRIZE Pandemic Alliance Task Force Daniel Kraft; and Sonny Kohli, co-founder and Chief Medical Officer at CloudDX, a co-winner of the $10M Qualcomm Tricorder XPRIZE, a Fast Company "World Changing Idea" finalist. Paresh, Daniel and Sonny look back at the year to share their personal stories, recounting how they collaborated their own work in unexpected ways, to fight one of the most pressing challenges of our time, COVID-19. With real world impact including $1M Next Gen Mask Challenge, XPRIZE Rapid COVID Testing, and more, we’ll explore the origin story of the Pandemic Alliance and provide highlights of what our partners and our ecosystem have accomplished and where we’re headed into 2021.Paresh Ghelani is an avid entrepreneur and philanthropist who focuses on solving problems through innovation and entrepreneurship. He is currently active in building and investing in Moon Express, Viome Inc, DTV Motor Corporation, Ferrate Treatment Technologies, Casepoint, Radimmune Therapeutics. He believes in investing and mentoring companies and entrepreneurs who are taking moon shots and changing the world by building breakthrough technologies. One of Paresh’s passion project as a philanthropist is XPRIZE Foundation which leads the world in solving grand challenges through incentive prize. Paresh along with Ratan Tata and Naveen Jain also brought the XPRIZE foundation to India to solve India’s greatest challenges like health, sanitation, women’s safety, access to clean water, waste management, and other challenges. Truly living by his motto, “work hard in silence and let your success be the noise”, Paresh has successfully founded and built the 2020 Company LLC , from the ground up from 1 to 1000+ employees, providing the US government advance technology in education, defense, and healthcare space. The successful company was later acquired by a private equity firm. Prior to the 2020 Company LLC, Paresh had founded and successfully built two other companies in the technology field.Through his body of work and achievements Paresh sets an example as an entrepreneur, philanthropist and also is an inspiration to young aspiring entrepreneur around the world who are on a mission to make a positive impact on humanity moving forward.Daniel Kraft is a Stanford and Harvard trained physician-scientist, inventor, entrepreneur, and innovator and is serving as the Chair of the XPRIZE Pandemic Alliance Task Force. With over 25 years of experience in clinical practice, biomedical research and healthcare innovation, Kraft has chaired the Medicine for Singularity University since its inception in 2008, and is founder and chair of Exponential Medicine, a program that explores convergent, rapidly developing technologies and their potential in biomedicine and healthcare. Following undergraduate degrees from Brown University and medical school at Stanford, Daniel was Board Certified in both Internal Medicine & Pediatrics after completing a Harvard residency at the Massachusetts General Hospital & Boston Children's Hospital, and fellowships in hematology, oncology and bone marrow transplantation at Stanford.He is often called upon to speak to the future of health, medicine and technology and has given 5 TED and TEDMED Talks.He has multiple scientific publications and medical device, immunology and stem cell related patents through faculty positions with Stanford University School of Medicine and as clinical faculty for the pediatric bone marrow transplantation service at University of California San Francisco. Daniel is a member of the Kaufman Fellows Society (Class 13) and member of the Inaugural (2015) class of the Aspen Institute Health Innovators Fellowship. Daniel's academic research has focused on: stem cell biology and regenerative medicine, stem cell derived immunotherapies for cancer, bioengineering human T-cell differentiation, and humanized animal models. His research has been published in journals that include Nature and Science. His clinical work has focuses on: bone marrow / hematopoietic stem cell transplantation for malignant and non-malignant diseases in adults and children, medical devices to enable stem cell based regenerative medicine, including marrow derived stem cell harvesting, processing and delivery. He also implemented the first text-paging system at Stanford Hospital. He is heavily involved in digital health, founded Digital.Health, and is on the board of Healthy.io and advises several digital health related startups. Daniel recently founded IntelliMedicine, focused on personalized, data driven, precision medicine. He is also the inventor of the MarrowMiner, an FDA approved device for the minimally invasive harvest of bone marrow, and founded RegenMed Systems, a company developing technologies to enable adult stem cell based regenerative therapies. Daniel is an avid pilot and has served in the Massachusetts and California Air National Guard as an officer and flight surgeon with F-15 & F-16 fighter Squadrons. He has conducted research on aerospace medicine that was published with NASA, with whom he was a finalist for astronaut selection.Sonny is an attending Physician in Intensive Care and Internal Medicine at Oakville Trafalgar Memorial Hospital and Assistant Clinical Professor (Adjunct) of Medicine at McMaster University. In 2008/09, Sonny was an Astronaut Candidate at the Canadian Space Agency (CSA) where he was awarded a Scholarship to the Johnson Space Center.Links:xprize.org/blog See acast.com/privacy for privacy and opt-out information.

Join Laurie with author Heather Robyn as they talk about Heather's funny TikTok videos (how much time do those really take to make?!).Heather teaches Informatics Education for Stanford Hospital, holds a Doctorate degree in Education and worked for several years as a Social Worker with foster youth and homeless veterans. She really enjoyed the work and helping others which spills over into her books. At the end of the day, Heather really just wants her books to help people.Heather has some solid advice for children's authors based on her own experiences... listen to the show now to hear it!Facebook: Robyn’s NestInstagram: @heathererobynauthorTwitter: @HeatherRobyn2TikTok: @heathererobynauthor

January Jones welcomes author, Elinor Stutz and the CEO of Smooth Sale discussing her latest book, Nice Girls Do Get the Sale featured in Time Magazine., translated into multiple languages and sold worldwide. Elinor reveals: A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was in ICU awaiting surgery that I mentally wrote my first business plan to include inspirational keynote speaking, motivational team training and sales education.  My mission is to teach you how to convert your biggest vision and inherent talent into business development to the enjoyment of the Smooth Sale! Elinor Stutz is the CEO of Smooth Sale, an Inspirational Speaker, Author and Trainer known worldwide.  

Today, the guys sit down with Dr. Kittle from Stanford Hospital. The episode starts out innocent enough: her path into medicine from EMS, the culture of medical schools, and her role navigating the medical patient pre and post surgery.Then, it takes a turn for the incredible and mind-blowing. Medical hypnosis. The guys could not stop talking after they recorded this episode about how absolutely fascinating this topic is: medical hypnosis, how she discovered it for medical uses, and application for medical/surgical patients. Consider this episode as a teaser for a future episode as the guys process everything they learned for an upcoming in-depth episode. John is a personal friend to Dr. Kittle and she is one of the most awesome, driven, fun, passionate, and amazing humans on this planet. Please do give this episode a listen, he promises you will not be disappointed. Email the guys at: offtheboxpodcast@gmail.comFollow us on Instagram - our pictures are worth 1001 words.

Parvez and Omar welcome Dr. Amer Raheemullah (M.D.) to put a light on the increasingly important (and sometimes taboo) subject of addiction, a topic perhaps more important than ever in the "Age of Covid".   Dr. Raheemullah specializes in opioid and benzodiazepine tapers, and treating substance use disorders in residential and outpatient programs, as well as inpatient and office-based settings.  Dr. Amer Raheemullah is a Clinical Assistant Professor at Stanford University School of Medicine and Director of the Addiction Medicine Consult Service at Stanford Hospital. He is board-certified in Addiction Medicine and Internal Medicine. He completed his addiction medicine training at Stanford University School of Medicine and his Internal Medicine training at the University of Illinois College of Medicine.  He is also a consultant at the Silicon Valley based startup Lucid Lane, which empowers people with medication dependence and substance use disorder to live better and healthier lives, leveraging data driven interventions and personalized behavioral health support.

Carrie Hayes, MHS, PA-C, RDMS, RVT, is an Interventional Radiology Physician Assistant for Stanford Hospital in Palo Alto, California and has over fifteen years of experience as a Registered Diagnostic Medical Sonographer and Vascular Technologist. Additionally, she currently serves as the Clinical director for RAD-AID International, a radiology non-profit organization whose mission is to improve and optimize access to medical imaging and radiology in low resource regions of the world.  

Bassam speaks with Dr. Italo Brown, a physician-writer and assistant professor in Social Emergency Medicine at Stanford Hospital, about the recent Black Lives Matters movement and its relationship to medicine. Dr. Brown also discusses health disparities, COVID-19, HBCUs, and gives advice for underrepresented in medicine students on getting their foot in the door.Complete episode show notes can be found here: https://www.doctorhustle.com/episode11/Doctor Hustle Twitter: @doctor_hustleDoctor Hustle Instagram: @doctor.hustle

Welcome to The Doctor Is Out, a podcast hosted by Dr. Sharif Vakili, resident physician at Stanford Hospital and investor at Polaris Partners. Join Sharif in exploring the nonclinical practice of medicine as he interviews healthcare leaders who have gone from bedside to build companies, run health systems, spearhead public policy and much more. --- Send in a voice message: https://anchor.fm/tdio/message

In this fascinating interview, Dr. Thomas Lew, a hospitalist at Stanford, gives great advice on pursuing passions. He reflects on his decision to become a physician, especially with the influence of his siblings, who are all also doctors. Additionally, Dr. Lew speaks on his strong volunteering background and his love of writing, both passions that intersected with medicine. Dr. Lew also discusses how the financial burden of pursuing medicine can be overcome and his ritual that helps him through the difficult part of his job as a physician, such as delivering bad news to a patient. Give this episode a listen for inspiration to follow your passions and confidence that you can do it too!

Edie Littlefield Sundby was arrogantly healthy when she received word that she had stage-four gallbladder cancer. The doctors gave her three months to live. "I had to kill cancer before it killed me," Sundby said. Seventy-nine rounds of chemotherapy, five-and-a-half years, and four radical surgeries later, she was in remission. The battle took half of her liver, ten inches of colon, two inches of her stomach, part of her throat, and all of her right lung. Amazingly, her spirit was intact! While driving up highway 101 to Stanford Hospital for surgery, she noticed the Mission bells denoting the El Camino Real. "I had this obsession to hug them, to follow them, I had to walk the old California Mission Trail. I had to walk all 21 Missions, saying a prayer of thanksgiving at each one." On a cold, rainy day in February 2013 -six months after losing her right lung, she started walking from Mission San Diego to Sonoma. Fifty-five days and 800 miles later, she made it. "When I got to Sonoma, I was soaring; I did not want to stop!" In 2015, when cancer returned, and she knew it would, she reflected on how happy the walk to Sonoma had made her. In an instant, she decided to walk all the Missions in Baja. "It was wonderful to have that to look forward to; I had another walk; I had a mission I had something larger (to focus on) than what was going on inside of me." Through the internet, she found guide and outfitter Trudi Angel in Loreto. "I had the promise of a burro for ten days and a vaquero for five days, that was good enough for me." She walked across the border to Tijuana and boarded a flight to Loreto, Mexico. Tune in for the rest of this inspirational story. Visit The Mission Walker website here Follow The Mission Walker on Facebook

In episode 31 I sat down with Holly Tabor, PhD. Holly is Associate Professor of Medicine at the Stanford University School of Medicine, and Associate Director for Clinical Ethics and Education at the Stanford Center of Biomedical Ethics. She is also the co-Chair of the Ethics Committees for Stanford Hospital and Lucille Packard Children's Hospital. She has published articles on a wide-range of topics in bioethics, especially on ethical issues in genetic and genomic medicine and research. She has also written and spoken about ethical issues and inclusive health practices for adults and children with disabilities. We talked about ethics during this time, how our families have adapted to COVID and Shelter-in-Place, finding hope, and more. This was a great conversation with someone involved in important health and wellness conversations.A couple of links from Holly:An Unlikely Superpower on NPR https://www.npr.org/2020/03/18/817977005/an-unlikely-superpowerPandemic as Teacher — Forcing Clinicians to Inhabit the Experience of Serious Illnesshttps://www.nejm.org/doi/pdf/10.1056/NEJMp2015024?articleTools=trueThe Truth About Cocoons What caterpillars really go through in there has applications for our moment.https://www.nytimes.com/interactive/2020/05/21/magazine/covid-quarantine-self.html?fbclid=IwAR288towzno8l9UVuVwR-l0jyprdheN_zLgwvmWpUixrIlfQtKCuLc2PvTkThe final segment, as always, is about what we are watching, listening to, and reading. Enjoy!Instagram Mentions: @theheumannperspective @nprinvisibilia @cripcampfilm @thehistorychicksAnd do not forget to get your LGBTQIA+ pronoun swag from More Light Presbyterians. Use Code: BRC for 15% off your entire purchase except for stoles and patches: https://mlp.org/shop/Listen to all of Bruce's Podcast tomfoolery on Spreakerhttps://www.spreaker.com/user/breyeschowSupport Bruce's podcast-making over on Patreonhttps://www.patreon.com/breyeschowConnect with Bruce Reyes-ChowWebsite: http://www.reyes-chow.comTwitter: https://twitter.com/breyeschowInstagram: https://www.instagram.com/breyeschowFacebook: https://www.facebook.com/breyeschowBruce's dogs would be very happy if you subscribed to and rated this podcast and they would be over the moon if you followed, liked, tagged, and shared this podcast on —Twitter: https://twitter.com/brcandfriendsInstagram: https://www.instagram.com/brcandfriendsFacebook: https://www.facebook.com/brcandfriendsSpreaker: https://www.spreaker.com/show/brc

Jennifer Abrams is an international educational and communications consultant for public and independent schools, hospitals, universities and non-profits. Jennifer trains and coaches teachers, administrators, nurses, hospital personnel, and others on new employee support, supervision, being generationally savvy, having hard conversations and collaboration skills.In Palo Alto USD (Palo Alto, CA), Jennifer led professional development sessions on topics from equity and elements of effective instruction to teacher leadership and peer coaching and provided new teacher and administrator trainings at both the elementary and secondary level. From 2000-2011, Jennifer was lead coach for the Palo Alto-Mountain View-Los Altos-Saratoga-Los Gatos Consortium's Beginning Teacher Support and Assessment Program.In her educational consulting work, Jennifer has presented at annual conferences such as Learning Forward, ASCD, NASSP, NAESP, AMLE, ISACS and the New Teacher Center Annual Symposium, as well as at the Teachers' and Principals' Centers for International School Leadership. Jennifer's communications consulting in the health care sector includes training and coaching work at the Community Hospital of the Monterey Peninsula and Stanford Hospital.Jennifer's publications include Having Hard Conversations, The Multigenerational Workplace: Communicating, Collaborating & Creating Community and Hard Conversations Unpacked – the Whos, the Whens and the What Ifs. Her upcoming book, Swimming in the Deep End: Four Foundational Skills for Leading Successful School Initiatives, will be out March of 2019. Other publications include her chapter, “Habits of Mind for the School Savvy Leader” in Art Costa's and Bena Kallick's book, Learning and Leading with Habits of Mind: 16 Essential Characteristics for Success, and her contribution to the book, Mentors in the Making: Developing New Leaders for New Teachers published by Teachers College Press. Jennifer writes a monthly newsletter, Voice Lessons, available for reading at and subscribing to on her website, www.jenniferabrams.com and is a featured columnist, writing about personal development at www.eschoolnews.com.Jennifer has been recognized as one of “21 Women All K-12 Educators Need to Know” by Education Week's ‘Finding Common Ground' blog, and the International Academy of Educational Entrepreneurship. She has been a featured interviewee on the topic of professionalism for ASCD's video series, Master Class, hosted by National Public Radio's Claudio Sanchez, and in the lead article, “Finding Your Voice in Facilitating Productive Conversations” for Learning Forward's The Leading Teacher, Summer 2013 newsletter; as a generational expert for “Tune in to What the New Generation of Teachers Can Do,” published in Phi Delta Kappan, (May 2011), and by the Ontario Ministry of Education for their Leadership Matters: Supporting Open-to-Learning Conversations video series.Jennifer considers herself a “voice coach,” helping others learn how to best use their voices – be it collaborating on a team, presenting in front of an audience, coaching a colleague, supervising an employee and in her role as an advisor for Reach Capital, an early stage educational technology fund. Jennifer holds a Master's degree in Education from Stanford University and a Bachelor's degree in English from Tufts University. She lives in Palo Alto, California. Jennifer can be reached at jennifer@jenniferabrams.com, www.jenniferabrams.com, and on Twitter @jenniferabrams.

It's a strange time for all of us, but only healthcare workers know the particular stresses of caring for sick people right now—and what it feels like to put themselves at risk for contracting coronavirus every day they're at work. In this episode, nurse Mary-Elizabeth Suarez records from the ER at Stanford Hospital.

Responding to coronavirus as individuals, society, and governments is challenging enough in the United States and other developed countries with modern infrastructure and stable systems, but what happens when a pandemic strikes resource-poor and fragile countries that have few hospitals, lack reliable electricity, water, and food supplies, don’t have refrigeration, and suffer from social and political violence?   To explore these scenarios and talk about policy solutions during the coronavirus pandemic, Vanda Felbab-Brown, a senior fellow in Foreign Policy at Brookings, talks with Paul Wise, a medical doctor and a senior fellow at the Freeman Spogli Institute for International Studies at Stanford University, where he is also a professor of pediatrics at Stanford Hospital. Subscribe to Brookings podcasts on iTunes, send feedback email to BCP@Brookings.edu, and follow us and tweet us at @policypodcasts on Twitter. The Brookings Cafeteria is part of the Brookings Podcast Network.  

January Jones welcomes author, Elinor Stutz and the CEO of Smooth Sale discussing her latest book, Nice Girls Do Get the Sale featured in Time Magazine., translated into multiple languages and sold worldwide. Elinor reveals: A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was in ICU awaiting surgery that I mentally wrote my first business plan to include inspirational keynote speaking, motivational team training and sales education.  My mission is to teach you how to convert your biggest vision and inherent talent into business development to the enjoyment of the Smooth Sale! Elinor Stutz is the CEO of Smooth Sale, an Inspirational Speaker, Author and Trainer known worldwide.

There is a saying that I love from an old Bette Midler movie. It’s about a set of twins who were switched at birth. One set was the Bette Midler character, the other set was Lilly Tomlin. The Movie was called Big Business. At one point the level-headed, business-oriented Thomlin character says, “Lord, my load is heavy.” I use that phrase often. I like it. I’m using it now. Because the podcast and video I produced about the COVID19 virus included incorrect information. It was wrong. Basically, all the facts I quoted from Stanford Hospital did not come from Stanford Hospital. I’m here to correct that information. My load may be heavy, but I’m still a reporter at heart and I was to set the record straight. Why would somebody create a factually incorrect post? Then share it. I know, as a former reporter to always get two sources of information. In my defense, I did go to the Stanford Hospital website and look for the source of the incorrect info. I could not find the source. That was my red flag. I should not have posted the info. I have pulled the video and the podcast, I apologize for passing along a "Scam" In the future, I will ALWAYS USE TWO SOURCES! The new information comes from FactCheck.org, here is the link:  https://www.factcheck.org/ FactCheck.org's information comes from these professionals.  Sources Avril, Tom. “Coronavirus has shut down schools and events. Here’s why that helps, short- and long-term.” Philadelphia Inquirer. 8 Mar 2020. “Coronavirus COVID-19 Global Cases.” Center for Systems Science and Engineering, Johns Hopkins University. Accessed 27 Jan 2020. “Coronavirus disease 2019 (COVID-19) | Situation Report – 51.” World Health Organization. 11 Mar 2020. Johnson, Krys. Assistant professor of epidemiology and biostatistics, Temple University. Email to FactCheck.org. 12 Mar 2020. “Report of the WHO-China Joint Mission on Coronavirus Disease 2019 (COVID-19).” World Health Organization. 20 Feb 2020. “Steps to Prevent Illness.” U.S. Centers for Disease Control and Prevention. Accessed 12 Mar 2020. Weinberg, Abigail. “There’s a Facebook Coronavirus Post Going Viral Claiming to be From Stanford. Don’t Believe It.” Mother Jones. 11 Mar 2020. “WHO Director-General’s opening remarks at the media briefing on COVID-19 – 11 March 2020.” World Health Organization. 11 Mar 2020. “WHO Director-General’s opening remarks at the Mission briefing on COVID-19 – 12 March 2020.” World Health Organization. 12 Mar 2020. World Health Organization Western Pacific (@WHOWPRO). “Q: Does drinking water alleviates a sore throat, does this also protect against 2019-nCoV infection? A: While staying hydrated by drinking water is important for overall health, it does not prevent coronavirus infection.” http://bit.ly/COVID19Mythbusters…

Taqwa Surapati is a Cancer Care Chaplain for Stanford Hospital in Palo, Alto, California. She completed her chaplain residency at Stanford Health Care, before going to Hartford Seminary in Connecticut for a Graduate Certification in Islamic Chaplaincy in 2014. Prior to that, Taqwa served for a decade as a Spiritual Care volunteer at Stanford and other local hospitals in the San Jose area. Currently finishing her Master of Art in Islamic Studies from Graduate Theological Union in Berkeley, Taqwa’s interests include oncology chaplaincy, how people of faith think of end-of-life situations and advance health care planning. Taqwa came to the US in 1998 from Jakarta, Indonesia.  Taqwa was very gracious in offering her time and sharing a bit about her work with us. She describes what is it like to be a “first responder” to people presented with a sense of their own mortality – which often manifests as a spiritual question. Why death? Why suffering? Why me? Taqwa shares how her Muslim faith helps to sustain her in this work, along with being a mother, and having a simple joy and sense of humor that interrupts her when she’s feeling down, and we hear how all these help to fill the infinite well of compassion she needs for the work she does.

“And immediately he saw the heavens opened and the Spirit descending upon him like a dove…” (Mk. 1).    Waiting for jury duty this week a new friend asked me why I got ordained. It is the most obvious question, and that I didn’t feel ready to answer shows that I’ve been spending a great deal of time with people who already know me here. But the short answer to his question is that I am deeply, unequivocally, incurably in love with God. I want to know about God, read about God, hear people’s experience of God, encounter God myself, all the time. This is true every day, but over the years, that point of contact seems to grow stronger and more steady. I was ordained a priest a this time of day exactly twenty-five years ago. It feels like yesterday. I spent that afternoon walking and praying in the green Berkeley Hills as a Pacific storm swept through the Golden Gate. Then in that warm redwood chapel, St. Clement’s Church, where I had gone to church in college, with everyone there – my family, friends from middle school every stage of my life, I knelt on the red carpet. All the assembled clergy put their hands on my shoulders. Afterwards old retired priests asked me for my blessing. It was a day filled with moments when heaven opened up and the spirit descended like a dove. At that point I had no idea what I was getting into. Since then I’ve felt God’s spirit descend in so many ways. It happened we taught children Christmas carols at pageant rehearsals, after sleeping on the marble floors of St. Paul’s Cathedral in Boston for a youth group event, while keeping vigil at Stanford Hospital with an old Marine veteran and then with a twenty year old girl. The weddings and baptisms have been magical. I rmember the first board meeting of the little school we started, playing the clarinet in the church band, the hospitals, prisons, courtrooms, government offices and schools I visited on official church business. 1300 ordinary Sundays were transformed because every Sunday is a feast of our Lord. Bill Countryman, the retired New Testament professor at our Berkeley seminary says that a priest is anyone who points out what God is doing and draws our attention to the love of Jesus. He goes on to say that even people who would never consider getting ordained do work that is priestly. He writes, “By priest I mean any person who lives in the dangerous, exhilarating, life-giving borderlands of human existence, where the everyday experience of life opens up to reveal glimpses of the HOLY – and not only lives there but comes to the aid of others living there.”[1] At that time and over the years I continue to take great pleasure that today is the feast day of the poet and country parson George Herbert (1593-1633). I delight in his poems and in his whole approach to the spiritual life. In that time of intense political and religious conflict leading up to the English Civil War, George Herbert continued to emphasize that beauty matters, that God can be experienced in simple things, that worship is the way to finding and fulfilling our true self. “He writes “All things are of God… and have God in them and he them in himself likewise.”[2] We sing as a hymn George Herbert’s poem “The Call.” The last stanza goes like this “Come, my Joy, my Love, my Heart: / Such a Joy, as none can move: / Such a Love, as none can part: / Such a heart, as joys in love.”[3] But George Herbert also said, “The country parson preacheth constantly, the pulpit is his joy and his throne.”[4] With this in mind I better stop. But before I do let me implore you to fall in love with God. Look around. See the spirit descending on you. And every day in prayer, in acts of mercy and kindness, walk more deeply into the divine mystery. [1] L. William Countryman, Living on the Border of the Holy: Renewing the Priesthood of All Believers (Harrisburg, PA: Morehouse Publishing, 1999) xi. [2] “All things that are of God (and only sin is not) have God in them and he them in himself likewise.” George Herbert, The Country Parson, The Temple ed. John N. Wall (NY: Paulist Press, 1981) xv. [3] Ibid., 281. [4] Ibid., xiii.

In our second episode of Protégé Podcast Presents: Black Man Brilliance, I'm joined by emergency room physician and health disparities scholar Dr. Italo Brown. As a physician and clinical instructor at Stanford Hospital, Dr. Brown is on the front lines of research designed to improve access to healthcare for black men. Dr. Brown and I discuss why it's important for black men to get an annual health check up and why seeing a therapist can improve our overall mental health. 

Doug was doing well, a very successful businessman whose diligence and motivation was helping a company bring in millions of dollars! But the high pressures of his job and the daily rigors of trying to stay on top of his game led to a life-altering experience and a heck of a story. One day while commuting and stopping at a coffee shop, Doug suffered a Widowmaker Heart Attack. But thanks to the swift actions of a real-life angel, the incredible care of the fine people at the hospital, and a little dose of lady luck, Doug held on and made it out alive. Amazingly, he was pronounced "dead" for 38 minutes and to this day holds the record for the longest amount of time "dead" before coming back to life in Stanford Hospital history. Listening to him recount the experience he had is mind-boggling. Now, he wants to educate people and let them know that this too can happen to you. With success comes stress, and if you let it, it can overwhelm you and lead you down a similar path that Doug went on. We are so thankful he is here with us today and shares with us his story. To learn more about the inception of the podcast, see the following page: https://www.yougofirst.live/episodes/you-go-first

We sit down with the Director of Human Performance and Sport Science for Proteus Motion, Dr. Will Waterman. Will discusses his journey to becoming a Physical Therapist, explains his time at Stanford Hospital, and give us insight into leaving a comfortable situation to join a startup. Laugh and learn in this episode as we get a good look at the future of resistance training.

Today, Rhonda rejoins us as host after a three week hiatus! My neighbor, Dave Fribush, joins us as well, as we answer two thought-provoking questions! Is it possible to treat “burnout?” Can negative feelings can make physical pain worse? 1. Does "burnout" exist? How do you treat it? Comment: Hi! I have been listening to your podcast for a while now and it has helped, and has encouraged me and made me feel less alone. Thank for your work and sharing your podcast with us! My situation now is very much defined by my burnout syndrome (a medical diagnosis in Sweden, not sure about the US) and/or depression. From what I’ve learnt there is no evidence of CBT as a treatment for burnout - really nothing other than adaptations at your workplace. What triggered me to ”hit the wall” was studying too hard and not giving my body and mind time to recover. Do you have any thoughts on burnout and effective treatment of it? I feel I have made huge progress in the underlying reasons to my burnout like perfectionism, performance-based self-esteem, figuring out how I want my life to be, who I am etc (although the last one is a big one!). All this with the help of CBT and other sorts of therapy. What remains is mental fatigue, on and off anxiety, not being able to focus and hardly any mental or emotional resilience. Through healthcare, you are basically treated for depression, the treatment being anti-depressants. I’ve been on sick leave full time for over four years now, am in my late twenties and am constantly frustrated, sad and feeling stuck. I want to get going towards this life I now know that I want but I don’t seem to get any better. I eat and sleep well and exercise. I realize this could be a complete medical question but nobody REALLY seems to know anything about burnout. A long question but hey ho :) Would be grateful for any thoughts you might have, thanks again! Sincerely, Elisabeth Hi Elisabeth, I’m sorry to hear that you’ve been struggling for some time, but I'm glad you've been making progress, and I'm so glad you wrote to me. To my way of thinking, there is really no such “thing” as burnout. Depression, anxiety, anger, and other negative feelings do exist. Burnout is just a vague buzzword for feeling upset when something upsetting has happened. When I was in clinical practice, I saw as many as 17 depressed and anxious patients in one day, and as the day went on, I just got higher and higher and more energetic. That's because I loved what I was doing and felt I had something to offer, a lot, actually. I only got "burned out," or unhappy, if I felt I had said something that hurt someone's feelings, or if I had not done a good job for someone. Then I got really upset, but it was my thoughts, and not what I was doing, that caused my feelings. That, of course, is the cognitive model. I found it helpful to zero in on one moment when I was feeling depressed, anxious, or “burned out,” and to do a Daily Mood Log focusing on that moment. I’ll attach one to this email in case you are interested. I’ve also included a completed one so you can see how it works. This is not a similar case, just something I grabbed by way of illustration. Thanks, David (a fellow Swede) On the show, I describe one of the most stressful experiences of my career, when I appeared on a Philadelphia TV show with Maury Povich, and a patient of mine threatened to commit suicide. Fortunately, the story had a surprise ending that was very positive. So my message is one of hope. The idea is to focus on some specific thing you are upset about, as opposed to getting overly focused on a concept like "burnout." I think we all feel pretty exhausted at times, and if you've been studying or working too hard, it definitely makes sense to take a break to take care of yourself. When I transferred from my residency training program at Highland Hospital in Oakland, California, to the residency program at the University of Pennsylvania, in Philadelphia, one of my supervisors gave me this advice--he told me to make sure I set aside at least one half a day a week to stare at walls. What he meant was that I was working intensely, 24/7, during the first two years of my residency, and he wanted to make sure I gave myself a break to rest from time to time. So every Sunday afternoon I just watched football games on TV, often with a cat on my lap. This was refreshing and helpful, and my supervisor's advice helped me avoid feeling guilty for not working 24/7! 2. More on physical pain. Is it really true that negative feelings can make physical pain worse? We recently did a podcast with Dr. David Hanscom, a back surgeon who emphasized non-surgical treatments for back pain that can be surprisingly helpful. In that podcast, I described my research indicating that 50% of the pain we experience can the result of negative feelings, such as depression, anxiety, and anger. And if you can reduce or eliminate those negative feelings, your physical pain will often diminish substantially, and may even disappear entirely. I first discovered this amazing phenomenon when I had a dramatic and traumatic personal experience as a medical student. One night I was drinking beer at a bar in Palo Alto, and hurt a commotion, and turned to look. A fight had broken out, and although I was not involved in the fight, I saw a beer mug flying in slow motion toward my face. It hit my jaw, and glass exploded everywhere, and blood came gushing out of my mouth.  I realized that my jaw was broken, and my front teeth were loose as well, so I ran outside to my old VW Beetle and drove at high speed to the emergency room of the Stanford Hospital. I ran inside and announced that I was a medical student and my jaw was broken. They put me on a gurney, and ordered an x-ray. I was in intense pain, and I was scared and angry, and still intoxicated, and probably wasn't the most cooperative patient. Eventually, a plastic surgeon was consulted and he talked to me after reviewing the X-ray. He explained that I had a broken jaw, and that he was going to hospital me and do surgery in the morning. He said my jaw would be wired shut for six weeks. I asked if I was going to lose my front teeth that were loose. He said he didn't think so, but that I would have a dental consult to check things out after they removed the wires on my jaw in six weeks. Then he said that he knew I was in severe pain, and that he'd ordered pain shots for me during the night. He said he wanted me to be comfortable, and explained that he wanted me to request a pain shot any time I was in pain during the night. Then he put his hand on my shoulder and said, "This is very routine, and you're going to be fine." At that very moment, my pain instantly went from severe to zero, and I did not need a single pain shot all night long. Dave Fribush emphasizes that while the surgeon's warmth and compassion were helpful, the thing that made my pain suddenly disappear was the sudden disappearance of my negative feelings--intense anxiety about losing my teeth, as well as anger at feeling that I was being neglected. And the very moment my negative feelings changed, my anger disappeared as well. My later research confirmed that negative emotions can, in fact, magnify the experience of physical pain, and that, on average, 50% of the pain we experience results from our negative emotions. This finding should provide hope for individuals struggling with physical pain, especially since this is a drug-free treatment not involving opiates. if you want to reduce your negative feelings, one approach would be to read one of my books, like Feeling Good or When Panic Attacks. They are, of course, not guaranteed to cure you, but research confirms that many people who read them do develop a more positive outlook on life and experience significant reductions in depression and anxiety. And the can be obtain inexpensively at Amazon or other book sellers.  Next week, David, Rhonda and Dave will discuss three more questions you have submitted: Does emotional trauma cause brain damage? Do you have to have a good cry when something traumatic happens? Why does avoidance make anxiety worse?  David & Rhonda

Ever wonder what it takes to make your side hustle your full-time hustle while working a graveyard shift, publishing New York Times Best Selling Books and raising two kids? If you’re looking to create work in a way that inspires you while still helping the community you serve without selling out who you are, then this episode is for you.  In this episode I get cozy with Michelle Tam. Michelle is the creator of the Saveur Award winning food blog, Nom Nom Paleo. Together with her husband, Henry Fong, she also produced a two-time Webby award winning cooking app, authored two New York Times bestselling cookbooks, and was nominated for a James Beard Award. Michelle has a degree in nutrition and food science from the University of California at Berkeley, and a doctorate in pharmacy from UCSF. For over a dozen years, she worked the graveyard shift at Stanford Hospital and Clinics as a night pharmacist before her side hustle, Nom Nom Paleo, became her main hustle.  We talk about her new Paleo-Friendly sauces featured in Whole Foods, how to talk to your kids about the food we eat, her unconventional way of writing books, and the journey to building a blog into a business What you'll hear (and don't want to miss!): :: What Michelle was told she was doing “wrong” in her business, and why she decided to keep doing things the way she was doing them :: Michelle’s pivot from being a full-time pharmacist, after 4 years of juggling her career with her side hustle and a busy family life :: What she’s done so well to build her online community and what didn’t work so well for her :: The ways that she stays creatively connected to her work after creating content for such a long time :: Why Michelle doesn’t try to keep up with every online trend - or even maintain an editorial calendar for the business :: How her line of paleo sauces came to be created, and for sale, in Whole Foods  You can find the full show notes from this episode over at https://jadahsellner.com/when-to-quit-michelle-tam-174 

Dr. George Tingwald, medical planning director for Stanford Health Care, gives an overview of what's inside the new Stanford Hospital and provides insight into the planning involved to help the institution deliver top-notch medical care. Palo Alto Weekly journalists Jocelyn Dong and Sue Dremann join him for the conversation. Read our story on the topic at https://bit.ly/2lSFEgY

Plus, Thomas Szaas, TV Shrinks, and more! David and Rhonda are joined today by David's neighbor, friend, and hiking buddy, Dave Fribush. He has incredible technological skills, and wisdom.  We thank Dave for his support of our podcasts! We open the podcast with a wonderful email from a fan named Sushant who listened to Feeling Good Podcasts for nine hours during a rigorous hike to the "Tiger Monastery" in Bhutan. You can see Sushant and his phone, showing the podcast icon, just in front of the monastery. Rhonda encourages podcast fans from around the world to send photos of yourself listening to the Feeling Good Podcast in additional unusual or exotic locations! Might be fun to see what you send to us!  Here are the questions for today's program: Ann asks: Loved your podcast (on the exposure model, #26)! But I do have a question - I have suffered from panic attacks for years - the past 2 years I've become agoraphobic and don't want to be far away from my house. So, my phobia is now "having panic attacks." Does that mean I just need to go out and have a bunch of panic attacks in public to get over my fear? The thought seems terrifying. Also, I am severely claustrophobic which affects me anytime I feel trapped (elevators, small cars, traffic, tight spaces, etc.) Is there a protocol you used to treat patients with this? Just wanted to suggest perhaps a podcast on this subject, or agoraphobia, as it does affect many people worldwide. Nathan asks: Dear David, Love your podcasts. I am currently preparing a lecture for psychology honors students here at Monash University on assessment of depression and anxiety. In your podcasts you mention that you conducted a "study on the psychiatric inpatient unit at the Stanford Hospital, in which I evaluated how accurate therapists’ perceptions of patients were after an interaction. Student researchers interviewed patients for several hours as part of a research study on psychiatric diagnosis." I was wondering if you could provide me with a reference to this study? I could not find a specific reference in your website and I would like to be able to highlight to student's the results of your research. Richard asks: I listened to your podcast on being worthwhile and found it interesting. You say all people are worthwhile. This may be true but does the whole world think this? If a person is worthwhile but the world thinks they are not worthwhile, isn't this almost as bad as not actually being worthwhile. Don't we have to play by the world’s rules, however bad, instead of our own or the Platonic rules? What do you think? Robert asks: Dear David. I am up to podcast #108. I am heading to India next month for a three-week trek and am going to download the rest onto my phone. Perhaps by the time I get back, I will be up to date! I have never heard you mention Tom Szasz, who, as I am sure you know, was making some of the same observations about the constructs of medicalizing you make back in the 1960s and maybe even in the 50s. In particular, his criticism of the psychiatric industry giving the names of diseases or syndromes to behavioral issues was very consistent with yours. Robert also asks: My other question is an idea for future podcasts and it is...How about critiquing the therapeutic approach we see so often on television and in the movies? For the lay audience, these are probably the source of much of what they know about therapy. And because these therapists are well-known and fictional, it would give you an opportunity to make critiques without having to criticize an actual person. And it could introduce some levity into what can often be quite heavy. Some of the Hollywood therapists people know best are: Judd Hirsch as the shrink in Ordinary People Lorraine Bracco as the shrink in The Sopranos Peter Bogdanovich as the shrink's shrink in The Sopranos Billy Crystal as the shrink in Analyze This! Robin Williams in Good Will Hunting Kelsey Grammer in Frasier I am sure there are many others. These are the ones who quickly came to mind I just found an article about this that might help make the case that what the public sees on TV and in the movies is not really reflective of the therapeutic process or good therapy. Here’s the link: https://www.huffpost.com/entry/therapists-on-the-big-and_b_4263798 Thanks for tuning in! David and Rhonda References for Nathan Burns, D., Westra, H., Trockel, M., & Fisher, A. (2012) Motivation and Changes in Depression. Cognitive Therapy and Research DOI 10.1007/s10608-012-9458-3 Published online 22 April 2012. Hatcher, R. L., Barends, A., Hansell, J. & Gutfreund, M.J. (1995). Patients' and therapists' shared and unique views of the therapeutic alliance: An investigation using confirmatory factory analysis in a nested design. Journal of Consulting and Clinical Psychology, 63(4), 636 - 643.  

Harry talks with Kevin Tabb, MD, the CEO and president of Beth Israel Lahey Health, the product of Lahey Health's merger this spring with Beth Israel Deaconess Medical Center (BIDMC) and several other hospitals in the Boston region. How does Dr. Tabb manage change inside a growing organization that—by his own admission—has to build and implement new tools, processes and the actionable data it needs to evolve beyond the fee-for-service era. Dr. Tabb was CEO of BIDMC before the merger, and previously served as chief medical officer at Stanford Hospital & Clinics in Stanford, CA, as well as head of the clinical data service division at GE Healthcare IT. Raised in Berkeley, CA, he emigrated to Israel at the age of 18, served in the Israel Defense Forces, studied medicine at Hebrew University's Hadassah Medical School, and served as a resident in internal medicine at Hadassah Hospital. Tabb says the most significant challenge for healthcare leaders is "figuring out how to calibrate the pace of change," in particular the gradual but accelerating change in business models from fee-for-service to outcomes-based global payments, and the shift toward "treating patients as people" and focusing on health rather than sickness. The big question, he says, is "How far ahead of the curve should we get, so that we’re ready for the significant changes to come, but not so far haead that we’ve shot ourselves in the foot and can't survive the interim period." The task requires "constant calibration" and "is more of an art than a science," Tabb says. But three key tools can help healthcare organizations manage the transition, he says: good, actionable information; incentives (monetary or otherwise) that are aligned among parties; and defined toolkits for change (which could include, but should never be limited to, new technologies). Check out the full show notes and other MoneyBall Medicine episodes at our website. Please rate and review MoneyBall Medicine on Apple Podcasts! Here's how to do that from an iPhone, iPad, or iPod touch: • Launch the “Podcasts” app on your device. If you can’t find this app, swipe all the way to the left on your home screen until you’re on the Search page. Tap the search field at the top and type in “Podcasts.” Apple’s Podcasts app should show up in the search results. • Tap the Podcasts app icon, and after it opens, tap the Search field at the top, or the little magnifying glass icon in the lower right corner. • Type MoneyBall Medicine into the search field and press the Search button. • In the search results, click on the MoneyBall Medicine logo. • On the next page, scroll down until you see the Ratings & Reviews section. Below that you’ll see five purple stars. • Tap the stars to rate the show. • Scroll down a little farther. You’ll see a purple link saying “Write a Review.” • On the next screen, you’ll see the stars again. You can tap them to leave a rating, if you haven’t already. • In the Title field, type a summary for your review. • In the Review field, type your review. • When you’re finished, click Send. • That’s it, you’re done. Thanks!

In this episode we interview Dr. Rona Hu on how to manage aggression and agitation in patients. Agitation and aggression in patients is a serious and potentially dangerous consequence of psychiatric illness. In this episode, we explore the most current, effective non-pharmacological and pharmacological treatments available for the management of aggression and agitation.    Dr. Hu is Medical Director of the Acute Psychiatric Inpatient Unit at Stanford Hospital, specializing in the care of those with serious mental illnesses, including schizophrenia, bipolar and depression. She completed medical school and residency in psychiatry at the University of California, San Francisco, and fellowships in Pharmacology and Schizophrenia Research through the National Institutes of Health. She is also active in the minority issues and cultural psychiatry, and has received regional and national recognition for her clinical care, research and teaching. Disclaimer: This educational activity may include discussion of unlabeled and/or investigational uses of agents that are not currently labeled for such use by the FDA. Please consult the product prescribing information for full disclosure of labeled uses. Send feedback on Facebook or LinkedIn. Rate us on iTunes!

Juan-Pablo Mas, Partner, Action Potential Venture Capital Juan-Pablo is a partner at Action Potential Venture Capital in Palo Alto, CA, and invests in companies that are pioneering bioelectronic medicines and neuromodulation technologies. Juan-Pablo was previously an investor at Lightstone Ventures and Morgenthaler Ventures, where he focused on therapeutic medical devices, mobile health, and biopharmaceutical investments. There he served as a Board Observer at various portfolio companies, including Ardian, Twelve, Holaira, Miramar Labs, Cabochon Aesthetics, SetPoint Medical, and Relievant Medsystems. Prior to investing, Juan-Pablo led efforts in R&D and Strategy in Medtronic's CardioVascular Division, including Pipeline Strategy, White-Space exploration, Business Development, and M&A integration efforts. He was named “Medtronic Inventor of The Year” in 2008, and has 30+ patents, granted or pending. Juan-Pablo also launched Effient (prasugrel) during his tenure on the Global Brand Strategy team at Eli Lilly & Co. Juan-Pablo earned an MBA from Stanford Graduate School of Business. He also conducted research in the Neurology Department at Stanford Hospital, while completing an M.S. in Electrical Engineering at Stanford University. There he worked on biometric signal processing applications such as neural-prosthetics, and EMG-driven feedback systems, and improved ICD algorithms. Juan-Pablo currently serves on the Board of Directors of the Boston-based non-profit, InnerCity Weightlifting.

Today…I have the Pleasure of introducing you to one very special lady. This woman is an accomplished and independent woman who knows struggle, hard-work, success, and the joy of motherhood. Growing up on the Navajo reservation she has a special perspective on everything Native American. She earned a Bachelors Degree in Exercise Science and has worked at esteemed organizations such as, Stanford Hospital, Dauther’s of Charity Hospital System, a multi-unit hospital system where she was responsible for numerous departments that related to complex coding systems. In 2015 she transitioned out of healthcare and started up a real estate company with her husband earning her real estate license as well. She loves sports, cooking, gardening, her kids, grandkids, and of course her 3 furry doggies. Who is this special lady? Give a listen.

Today we'll be talking about pulmonary embolism - from pathophysiology to management, the role that interventional radiology plays in treating this disease, and the multidisciplinary future of the field. Hosts: Adam Swersky and Benjamin Roush We welcome on Dr. Osman Ahmed, an interventional radiologist at Rush University Medical Center, and soon to be interventional radiologist at the University of Chicago Medical Center for the discussion. Dr. Ahmed completed his medical education at the University of Illinois College of Medicine at Chicago, radiology residency at the University of Chicago Medical Center, and his IR fellowship at Stanford Hospital and Clinics. You can follow Dr. Ahmed on twitter @TheRealDoctorOs and @JVIRMedia Visit www.pertconsortium.org for more information on the PERT Consortium Music: Balloons Rising by A. A. Aalto Find the link on our website CC BY NC

January Jones welcomes author, Elinor Stutz and the CEO of Smooth Sale discussing her latest book, Nice Girls Do Get the Sale featured in Time Magazine., translated into multiple languages and sold worldwide. Elinor reveals: A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was in ICU awaiting surgery that I mentally wrote my first business plan to include inspirational keynote speaking, motivational team training and sales education.  My mission is to teach you how to convert your biggest vision and inherent talent into business development to the enjoyment of the Smooth Sale! Elinor Stutz is the CEO of Smooth Sale, an Inspirational Speaker, Author and Trainer known worldwide.

David Farcy, MD FAAEM FCCM, Chairman of the Department of Emergency Medicine at Mount Sinai Medical Center - Miami Beach and President-Elect of AAEM, speaks with Andrew Phillips, MD MEd FAAEM, Fellow at Stanford Hospital and Clinics. Drs. Farcy and Phillips discuss post intubation decompensation. Discussion points include: the PUSH 100% and HOP mnemonics. Intro music by NICOCO, "Quiberon," from the album "Nicoco," powered by JAMENDO.

David Farcy, MD FAAEM FCCM, Chairman of the Department of Emergency Medicine at Mount Sinai Medical Center - Miami Beach and President-Elect of AAEM, speaks with Andrew Phillips, MD MEd FAAEM, Fellow at Stanford Hospital and Clinics. Drs. Farcy and Phillips discuss post intubation decompensation. Discussion points include: the PUSH 100% and HOP mnemonics. Intro music by NICOCO, "Quiberon," from the album "Nicoco," powered by JAMENDO.

January Jones welcomes author, Elinor Stutz and the CEO of Smooth Sale discussing her latest book, Nice Girls Do Get the Sale featured in Time Magazine., translated into multiple languages and sold worldwide. Elinor reveals: A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was in ICU awaiting surgery that I mentally wrote my first business plan to include inspirational keynote speaking, motivational team training and sales education.  My mission is to teach you how to convert your biggest vision and inherent talent into business development to the enjoyment of the Smooth Sale! Elinor Stutz is the CEO of Smooth Sale, an Inspirational Speaker, Author and Trainer known worldwide.

Jennifer Schneider is the Chief Medical Officer for Livongo Health. Prior to joining Livongo, Jenny held several leadership roles at Castlight Health, most recently as Chief Medical Officer. She has held leadership roles in the provider setting as a health services researcher and Chief Resident at Stanford Hospital. She has practiced medicine as an attending physician at Stanford, The Palo Alto VA, and Kaiser Permanente. Jenny has an undergraduate degree from the College of the Holy Cross, received her MD from Johns Hopkins School of Medicine, and MS in Health Services Research from Stanford University. She completed her internal medicine residency at Stanford University Hospital. If you want to stay up-to-date on future episodes or you want access to our Spotify Power Playlist, sign up at www.aprilseifert.com 

We’ve come to think of healing in mechanical terms, as repairing something broken, like fixing a flat tire. But for most of human history healing has meant more than repairing the body. Healing has meant restoring a sense of wholeness to a person—or even a relationship or community. In today’s show we’ll hear two stories that explore this older sense of healing. First, a Bay Area woman diagnosed with breast cancer finds healing through a complementary medicine modality at Stanford Hospital called Healing Touch. Second, a Stanford student living with an incurable disease finds healing in an encounter with the ocean and one of its creatures. How do we heal when our bodies are irrevocably changed? Host: Preet Kaur Producers: Bonnie Swift, Christy Hartman, Taylor Shoolery, Preet Kaur, Alka Nath, Will Rogers, Julie Morrison, Mallory Smith, Natacha Ruck, Claire Schoen, Jonah Willihnganz Featuring: Preet Kaur, Carolyn Helmke, Catherine Palter, Melissa Anderson, Rosa Fuerte, Marilyn Getas-Byrne, Anne Proctor, Laura Pexton, Margot Baker, David Wolf, Maggie Burgett, Maria Cacho, Katie Talamantez, Elizabeth Helms, Diane Wardell, Sue Kegal, Jim Batterson, Margaret Schink, and Mallory Smith Image via The Archeological Museum of Piraeus

This week on Brains and Bourbon, we chat with Boris Heifets about anesthesia and the brain, treating Parkinson's disease with electrical stimulation, and why taking ecstasy might be a good idea if you suffer from depression*. Dr. Heifets is an anesthesiologist at Stanford Hospital, as well as a postdoctoral researcher in Rob Malenka's lab. *And you do it in your doctor's office.

January Jones-Nice Girls Do Get The Sale January Jones welcomes author, Elinor Stutz and the CEO of Smooth Sale discussing her latest book, Nice Girls Do Get the Sale featured in TimeMagazine., translated into multiple languages and sold worldwide. Elinor reveals: A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was in ICU awaiting surgery that I mentally wrote my first business plan to include inspirational keynote speaking, motivational team training and sales education.  My mission is to teach you how to convert your biggest vision and inherent talent into business development to the enjoyment of the Smooth Sale! Elinor Stutz is the CEO of Smooth Sale, an Inspirational Speaker, Author and Trainer known worldwide.  

January Jones welcomes author, Elinor Stutz and the CEO of Smooth Sale discussing her latest book, Nice Girls Do Get the Sale featured in Time Magazine. Elinor reveals: A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service!I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. This show is broadcast live on W4CY Radio (www.w4cy.com) part of Talk 4 Radio (http://www.talk4radio.com/) on the Talk 4 Media Network (http://www.talk4media.com/).

Join host Elizabeth Hamilton-Guarino with special guest Elinor Stutz. Elinor is the Founder of Smooth Sale. A vision came to me while at Stanford Hospital lying on a stretcher with a broken neck. I had one of those near-death experiences you read about but never happens to you. My life flashed in front of me in the form of a report card. On the left hand side, I had very high marks, but the right hand side was startling – it was blank and entitled Community Service! I instantly recognized a need to begin giving back to communities at large. I vowed that if I were able to walk out of the hospital, I would begin doing just that. It was on that stretcher while waiting to be admitted, that I wrote my first business plan – to help others near and far understand how to take their natural talents and convert those into sales and grow business. Elinor Stutz is the CEO of Smooth Sale, LLC, plus an International Speaker, Author and Trainer. Elinor 's International Best-Selling book, “Nice Girls DO Get the Sale: Relationship Building That Gets Results”published by Sourcebooks was featured in TIME Magazine, translated into multiple languages and sells worldwide. Her new book, “HIRED! How to Use Sales Techniques to Sell Yourself On Interviews” is based upon years of community service teaching job-seekers how to interview best to land the job they desire. Audiences term Elinor's talks as both inspirational and motivational, and claim through her insights they more readily found success. You may find Elinor teaching webinars for entrepreneurs, training corporate sales teams, teaching students and job seekers how to interview best and earning standing ovations at conventions.

Join Gwendolyn Olson as she describes the process of identifying and documenting the slaves on the Lipscomb Plantation in Durham, NC.   Gwendolyn Olson is a Registered Nurse at Stanford Hospital in the California Bay Area. Her family roots have fascinated her as long as she can remember. Her father was an only child, and the youngest grandchild of a proud Spokane, Washington family. His mother, who belonged to an old respected Spokane African American family, died when he was very young. Raised by his widowed father, he was told stories about his family's Durham, North Carolina roots by his doting maternal aunts and cousins, and he shared these stories with his daughter.   Gwendolyn's research has led her to document the Slaves on the Lipscomb Plantation in Durham, NC and to meet many slave descendants of these families. She is also actively looking for more photographs of the former slaves, and their first generation descendants. She has complied a short history, of the slave history of the Lipscomb Plantation, which is made available to the guests of the Inn, and has turned out to be a very popular read.   Music - Sweet Mello Spice by Alvin K. Alexander

Amir Dan Rubin, the new chief executive officer of Stanford Hospital & Clinics, talks about his first few months on the job and how today's hospital CEOs navigate the challenges of the current health-care environment. (March 29, 2011)

Last week, Pam spoke about low breastmilk production and over-abundant production. Lots of good and helpful information was shared! Join her this week as she discusses plugged ducts, mastitis, thrush and more. Bring your questions - she's happy to answer them on the air, or you can post your question to the chat room if you'd prefer. There's even a toll free number for you to call in on! Pam is a favorite resource for many lactation consultants and lactation centers around the country, including Stanford Hospital in Palo Alto, CA, and several Kaiser Hospital lactation centers. Bring your questions and she will be happy to help you too!

Last week, Pam spoke about low breastmilk production and over-abundant production. Lots of good and helpful information was shared! Join her this week as she discusses plugged ducts, mastitis, thrush and more. Bring your questions - she's happy to answer them on the air, or you can post your question to the chat room if you'd prefer. There's even a toll free number for you to call in on! Pam is a favorite resource for many lactation consultants and lactation centers around the country, including Stanford Hospital in Palo Alto, CA, and several Kaiser Hospital lactation centers. Bring your questions and she will be happy to help you too!

Audio File:  Download MP3Transcript: An Interview with Heidi Roizen Managing Director, Mobius Venture Capital Date: August 15, 2007 NCWIT Interview with Heidi Roizen BIO: Heidi Roizen has spent her entire life in the entrepreneurial ecosystem of Silicon Valley, first as an entrepreneur and ultimately as a venture capitalist helping other entrepreneurs build the great companies of tomorrow. She is currently a Managing Director of Mobius Venture Capital, a venture fund with over $2 billion under management. In that capacity, Heidi serves on the Boards of Directors of Reactrix, Ecast, Perpetual Entertainment and AuctionDrop. Heidi began her career in 1983 by co-founding T/Maker Company, a software publisher and developer for early personal computers including the IBM PC and the original Macintosh. As CEO, Heidi led the company for over a decade, raised two rounds of venture capital and ultimately consummated a successful acquisition of T/Maker by Deluxe Corporation. In 1996, she joined Apple Computer as VP of Worldwide Developer Relations. After one year at Apple, Heidi decided to return to her entrepreneurial roots, this time as a Mentor Capitalist and ultimately a Venture Capitalist. Heidi has also been actively involved in the trade associations critical to the Valley. She is a past president of the Software Publishers Association and served on its board from 1987 to 1994. She also represented the venture industry as a member of the Board of Directors of the National Venture Capital Association from 2003 to 2007. She also served on the board of Great Plains Software from 1997 until its acquisition by Microsoft in 2001, and is a past Public Governor of the Pacific Exchange. She is also a frequent guest lecturer at Stanford as well as a speaker at conferences for technologists, entrepreneurs, or women executives. Heidi holds a BA and an MBA from Stanford University. She is married to orthopedic surgeon David Mohler and has two daughters. Lee Kennedy: Hi. This is Lee Kennedy, board member of the National Center for Women and Information Technology, or NCWIT. And this is part of a series of interviews that we're having with fabulous entrepreneurs, women who have started IT companies in a variety of sectors, all of whom had insightful stories to tell us about being entrepreneurs. With me, I have Larry Nelson, from w3w3.com. Hi, Larry. How are you doing? Larry Nelson: Oh, great. It's wonderful to be here again. And one of the things that is so exciting for us at w3w3.com is that we are helping support, I think, the most fabulous program that we've experienced since we got in the radio business in '98, and the idea that we're helping inspire young women, girls, getting into IT, looking into that, as well as being an entrepreneur. But now, we're also getting phone calls from business leaders, people in schools, who say, "This is such a great program. We'd like to help promote it, too." Lee: Well, that's wonderful. Larry: One of the interesting things that we have here that's a little bit of a twist is that we're interviewing an entrepreneur who became a venture capitalist, and also, of course, then, therefore works and helps support entrepreneurs. And we're very pleased that we're interviewing Heidi Roizen, who is a managing director of Mobius Venture Capital. And we've got a little bit of a twist here. Lee and I are here in Colorado, and Lucy Sanders, the CEO and founder of NCWIT, is in California, at Heidi's home base. So, Lucy, let's get started. Lucy Sanders: All right. Hi, everyone. I'm sitting here with Heidi in her beautiful home in Atherton. I've been here a few times, and I just think it's so much fun to be here and interview you here in your office. Heidi Roizen: Well, thank you. I hope the dogs don't participate. Lucy: Or they might. They might have something profound to say. Heidi: They often do. Lucy: One of the things that makes it so exciting to interview you is that when I think, about Silicon Valley, I think, about you. And I think that you're synonymous with Silicon Valley. You've done a lot, as Larry mentioned. You've started companies. You're in venture capital. You were educated here at Stanford. You're a part of the community... Heidi: I was actually born at the Stanford Hospital, which I think, I'm probably the only one in Silicon Valley... Lucy: And why don't you spend a minute or two bringing us up to speed about what you've been doing lately? Heidi: Well, I am currently serving on four boards. They keep me very busy. They are all companies that are definitely not in their "two guys and a dog and a laptop" stage any longer, but they're all still companies that aren't through to the end of the road yet. So, lots of interesting challenges in terms of recruiting, customer acquisition, strategic business development, and all the normal things one goes through in startup land. So, I'm working on those companies, and then I'm working on a few entrepreneurial ventures on the side, helping out some friends. I always love having my fingers in the very, very early stages, and so I like having a few of those to work on as well. Lucy: Well, and I happen to know you're very generous with your time for nonprofits and for Stanford students. Heidi: Yeah. Lucy: The last time I was here, we had a great dinner, where you brought them back to your home. And I think, you're going to have some great advice for us, so why don't we just get right to the interview? Heidi: OK. Lee: Well, Heidi, I'll jump in and ask our first question, and that's: how did you first get into technology? Was it when you were a child or in college? And then, what technologies do you think are really cool today? Heidi: OK. Well, the first question is one that I think, if you're born and raised in Silicon Valley, at this time ‑ born in 1958, graduated from Stanford, undergrad in 1980 ‑ you couldn't help but apply for a job and end up at a tech company. So, even though I was not a technologist ‑ in fact, my undergraduate degree is in creative writing ‑ I ended up as the editor of the company newsletter for a little startup called Tandem Computers. Lee: Wow. Heidi: And that's really where I got my first inkling that there was something really exciting about the computer industry. What I realized, at that time, was I kind of looked around, and everybody getting ahead either had an engineering degree or an MBA. And it was a little late for me to go get an engineering degree, I thought, but I figured the MBA thing looked like a pretty good idea. So, I went back to Stanford and got that, and really fell in love with personal computing at the time. It's hard for people... I mean, I sound like such an old geezer when I say this. But, I was the class of 1983, and there were only three people ‑ I was one of them ‑ who owned their own personal computer at school. And now, can you imagine being a graduate student and not having a personal computer? You'd be hopeless. So, started my company right out of school and just never looked back. I had the good fortune to have a brilliant programmer as a brother, who really didn't like the business side, and I loved the business side. And the thing I like to tell people, often, who are non‑technologists, who wonder about being in the technology field, I tell them, "You know, need a mix of people." I don't have to know how to build a car to drive one. And in fact, I'd say, particularly in my early times working with my brother, who was the genius programmer, sometimes he'd build features that were so genius that only he could use them, and they weren't very practical. So, I think, sometimes it's good to be the petunia in the onion patch, as I used to call it in the development hall. Lucy: Tell us a little bit about the technology that you're thinking about as being the next wave of technical, cool gadgets. Heidi: I think, gadgets is always a slippery slope, because there are gadgets that I just love. I mean, we're investors in Sidekick and Sling, so we definitely have some gadgets companies out there. If any of you have seen a Reatrix system in the malls and in the theaters, and the Reactive television systems, or an Ecast jukebox ‑ we've got tons of portfolio companies I can tell you about that all have exciting gadgets and technologies. To me, where I'm focused right now is I've been thinking a lot about the demographic that is me ‑ the woman who still wants to look good and feel good, who has more free time, who has more money, who, however, still has family obligations, has a career. We're hitting 50, and when our parents hit 50, we thought they were pretty much close to death... Heidi: Now, we are shocked to find that we are 50. And I think, what's interesting is that the Silicon Valley ‑ and it's a little bit like Hollywood ‑ get so focused on youth and the youth culture and the spending money that youths have and advertising to youths. And while I've got nothing against young people, I think that the people my age and women my age have been an underserved demographic, when it comes to utilizing the web as a medium for exchange, as a community, as an outlet for all sorts of things and a place to go learn about things. And I'm seeing more and more activities around that, and I can't tell you how many times... this is probably hitting all of my same‑age brethren entrepreneurs, but we're all sort of getting up and saying, "I don't really want to start the next teen cell phone. I really want to start something that my friends and I could use." And so I'm seeing a lot of really interesting companies come about, a lot that combine community with some of the really innovative things that can be done online. Lucy: Give it some time. Heidi: Yeah. Lucy: Give it some time. Larry: Yeah, you bet. I'm not that old yet. But, anyhow... Lee: That's right, Larry. Larry: They're laughing... Heidi: Somebody once asked me to predict the future of venture investing, and I said, "Just about the time we finally invest in the ultimate weight‑loss pill and the instant‑tan pill, culture will change so that it's not cool to be thin and it's not cool to be tan, and we'll lose again." Larry: Oh, boy. My personal friend, Mark Twain, said, "Youth is wasted on the young." Heidi: That's right. Larry: Anyhow. I can't help but ask this, Heidi. Many people don't look at venture capitalists as entrepreneurs, but anybody who is a managing director, believe me, they are entrepreneur. But, of course, Heidi has the background and experience of being an entrepreneur. She's now continuing to support and work with entrepreneurs. What is it about you that makes this all happen? And what makes it tick, in terms of an entrepreneur? Heidi: Well, there are so many answers. And I've had the pleasure to listen to many of your wonderful speakers on this series before myself, and I think, a lot of things have been mentioned about tenacity and creativity and mission and a passion about what you're doing. There are so many things that I can think of. And of course, if you look me up on LinkedIn, I refer to myself as a "recovering entrepreneur," which is a little bit of an inside joke at Mobius. We're recovering entrepreneurs. Heidi: I think, what I had to learn, going from being an entrepreneur to being a venture capitalist, is it's like being the quarterback and then being the coach. When you're a venture capitalist, you do work behind the scene, you do help a lot. But, they're sort of not your losses, and they're not your victories. And if you're doing your job right, the entrepreneur is on the cover of "Time" magazine, not you. When you're an entrepreneur, the buck stops here. It's funny. I just went on a walk with a fellow entrepreneur of mine, and he was talking about a friend who used to be a vice president of a big company and is now the CEO of a small company, and one of the things he was saying to her is, "Now you understand how the buck really stops here." Heidi: And I think, for me, what really defines an entrepreneur is something that somebody said to me once. When I was running T/Maker, we had this product line called ClickArt, which is still around today, and it's basically electronic clip art. But, you have to remember, when we did that product in 1984, there were no scanners; there was no PostScript; there was no anything. We were literally sitting artists down, at 128K max. We didn't even have a stylus. They were drawing with the mouse in 72 DPI to create electronic clip art. I mean, that's as basic as it was. And when we shipped that product, I remember staying at a trade show, and I can't remember how many people came up to me and said, "Wow! You know, I thought of that, too." Right? And in the back of my mind, I thought, "Yeah, you thought of it. But, we did it." Heidi: And I think, for most of these things, it's that "one percent inspiration, 99 percent perspiration." There are so many ideas that just die on the vine because a person doesn't go out and try to actually do them. They think they're a cool idea, but other things get in the way and they don't really work hard at it. And not only do they not work hard at the creative process, but the process I'll loosely call is the destructive process. With entrepreneurs, one of the things I respect the most is, when you come up with an idea, that instead of working on it for the first five days about how you're going to accomplish it, you spend five days trying to prove that it's already been done or it's not doable ‑ not because you're being pessimistic, but before you engage in the creative process, sometimes you have to go and say, "What else is already out there?" And one of my pet peeves as a venture capitalist is when somebody comes and pitches me an idea, and I say, "Have you ever heard about blahblah.com?" And they go, "What's that?" And I get on and I show them, and it's the exact company they were talking about building, but it already exists. My feeling is, today, particularly with Google and other search engines and the Internet, you can find a lot of this stuff out there, and you need to go out and look. But, I do think, ultimately, a long and winding answer, but the short answer is it's like Nike, man. It's "just do it." If you just do it, that's the only way to be an entrepreneur. If you're not willing to just do it, you're never going to be an entrepreneur. Lee: That is such great advice, Heidi, because so many people, even when they just go out and do it, it's not that first idea that they even end up doing sometimes. It's just having the guts to get out there and start the business and get in that industry and figure out what it is. Heidi: That's right. And ask a lot of questions and meet a lot of people and kiss a lot of frogs. Larry: Yeah. Heidi: It's always easy, in retrospect, to say, "Why did I take that meeting with that person?" But you don't know because, just as likely, you could take a meeting with another person. And I just had something happen this weekend, where I was helping someone on a music project. And we were talking to someone who was totally unrelated, and they just said, "Oh, what are you up to?" Totally unrelated to the music industry. And we told him what we were doing, and he said, "Hey, I'm good friends with..." And I won't name the names because it's all proprietary, but let's just say one of the most Grammy‑winning artists in the world. And he said, "I'll give him a call tomorrow and see if he's interested in helping you with this." So, it's like one of those random, like that's not what we were even there to talk about. But, that's how the conversation ended up going, and it could take us in a really exciting direction. You just never know when that kind of serendipitous stuff is going to occur. Lucy: Your remark about 1984, when you were doing T/Maker and you had to have the ClickArt, I just have to go back to that for a moment and say, in 1984, we were trying to draw things in P‑Roth inside... Lucy: That's not revolutionary. Heidi: Yeah, yeah. I remember the first time I showed my husband QuickTime, whenever it came out ‑ 1989, whatever. And I'd bring home my file, because we were under nondisclosure with Apple. And I'd show him this postage‑sized, grainy thing, and he goes, "Wow. I am really underwhelmed." Heidi: For me, as a computer geek, it was so exciting to see television on a computer. And for him, he was like, "Uh, honey? Have you looked at our TV set? It's like a lot better than this." Lucy: Because I know you, I think that one of the things that makes you a great entrepreneur is, in fact, you see potential, and you're willing to take the risk to develop the potential. Heidi: Yeah. It does make one quite dangerous. It's that joke about the person who buys houses because they see the good in every house. And I tend to be a person who sees the upside in things. Which I think, again, in order to be an entrepreneur, you have to be an optimist. You have to believe things are going to work out your way. But, you have to be realistic. And that's where I, again, for lack of a better word, call it the destructive process ‑ testing your idea, going out and thinking about the boundary cases: "What's the worse that could happen here? What's the worse that could happen here? How am I going to prepare for it?" And also going out and really combing the markets to make sure that what you're doing is unique, or, if not unique, that you're going to be the best somehow. Lucy: Well, along the way ‑ you've been here in Silicon Valley. You were born here. Heidi: Yeah. Lucy: And you've got a great network. And we are really curious to also understand who helped you the most. Who would you look to as being your mentor? Heidi: I was very fortunate to be born into a family where entrepreneurship was not a bad thing. I think, it's one of the things that makes California such a great place and will play a continuing role in the world economy is because we are just a culture, for 150‑plus years, of people striking out and doing something on their own, and failure not meaning social failure. You can be a business failure and still hold your head up and go to your kids' school and not be embarrassed about it. Lucy: "I failed today." Heidi: "I failed today." It's part of the process. I think that, for me, my father was a great role model for me because he was an entrepreneur. He was always thinking. He would say things to me like, "Today is the best day of my life because I have every day before today that I can draw on what I learned to apply to today." So, he was just that kind of person. And he wasn't like Mr. Rogers. I mean, he was just a great role model about how one could look for the opportunity in everything. And he was a very poor immigrant. I think, he graduated from high school. I'm not really sure. His dad died when he was 12, and he had to make money for the family to make ends meet. I mean, he had one of those really hard upbringings that made him very grateful and thankful, and very creative and resourceful. And he treated me like one of the boys. He never said to me, "Oh, you're a girl. You shouldn't do this," or "You can't go to graduate school," or "You can't do anything." In fact, if I said I couldn't do something because of being a woman, he would scoff at me. And my brothers joke that I'm the most like him... Heidi: So, he actually made me in his image, not my brothers. But, I was very lucky about that. I was very lucky, also, just to be in the computer industry in the late '70s and early '80s, because I really did get to grow up with the people who are the leaders in the industry. And so somebody said to me, "Wow! How did you get to be friends with Bill Gates?" And it's like, "Well, started 25 years ago." [laughs] Heidi: He was easier to get to then. But, it's things like that, that I think, I just had the great fortune to have a front‑row seat and be a participant in an industry that I really believe has changed the world. So, it gave me a lot of opportunities to learn from other people and have mentors and role models. Lee: So, Heidi, when you think about all you've done in your career ‑ building your own companies, being an investor ‑ what has been the toughest thing you've had to do in your career? Heidi: You know, you face so many tough challenges when you are the CEO and "the buck stops here." Someone once said to me, "Gosh, you're so lucky. You're the CEO. You have so much freedom." And I laughed, and I said, "You don't understand that when you're the CEO, you have the least freedom, because you can't just quit." I raised that money. I hired every one of these people. I gave those venture capitalists my commitment that I was going to bring it home for them. I'm not just going to walk out the door. I remember walking into my company every day. We had about 100 employees. And I would count the cars in the parking lot, and I would think about the car payments and the mortgage payments... Heidi: Everything that was dependent on this company. And so I would say, still, to this day, that the hardest thing you have to do is lay people off. I mean, the hardest thing you have to do is downsize your firm. It's not as hard to fire someone. This is an interesting thing. I would much rather terminate somebody for cause than lay people off because we can't afford it. When you terminate someone for cause ‑ and "for cause" is a real legal term. I don't want to use the legal definition of that. But, what I really mean is, when somebody's not a good fit for the job they're in, I find that it's really in their best interest to tell them and get them to move on to something else. And while that is sometimes hard, I think, it's the right thing to do, and I think, it's the right thing to do for the person. And I've often found that you check in with them a couple years later, they're better off where they are, even though this can be very difficult. I do think, going through the dot‑com bust and having to lay people off, knowing that there wasn't going to be another job they could just waltz into, was a really, really hard thing to do. To me, those were the hardest things I ever had to do. In fact, my T/Maker employees still joke about this time where we had our first loss ever and we had to lay off some people, and it was Christmas. I was about four‑months pregnant. I said to my husband, "I've got to do it myself. I hired all these people. I'm going to do it myself. I'm going to give each one of them the news." So I'm in my office, and they're coming in, or I'm going to their offices. And I'm pregnant, and so the hormones coursing through my veins. So, I am sobbing through these terminations, and they are comforting me. Heidi: They feel sorry for me. But, I have to lay them off. Sobbing, sobbing, sobbing. And I say to my husband, "This is the worst business day of my life, where I'm terminating some people who've been with me five, six years, and I just feel terrible. And it's Christmas, and I had to tell them, 'No bonuses for you guys, and you're getting laid off.'" I said, "Please go to Blockbuster and rent a funny movie so that when I get home, I can take my mind off of it." So, I come home, and what had he rented, but Chevy Chase's "Christmas Vacation." Heidi: And I don't know if you guys have seen this, but of course, the whole story is about a guy who believes he's getting a Christmas bonus and builds a swimming pool or something, and then he doesn't get the bonus, and he ends up kidnapping his boss. Heidi: It was just one of those moments: I just didn't know whether to laugh. I'll never forget that moment. I still cry when I see that show. It was on TV last Christmas, and I'm like crying through it. My kids are looking at me. They're like, "Mom, it's a comedy." Not for me. Lucy: Not for me. In fact, my answer to this question is the same. I think that laying people off is clearly one of the hardest things that I've ever had to do. Heidi: Absolutely. Lucy: We've heard a lot of great advice so far in this interview from you about entrepreneurship, and the Nike "just do it," and who cares if you've thought about it? Just get it done. Heidi: Yeah. Lucy: And other types of advice around doing your homework and seeing the potential. If you were sitting right here with a young person and you were giving them advice about entrepreneurship, what else would you tell them? And one of the things that comes to mind is a conversation we had sometime about networking. Heidi: Yeah. Lucy: And I thought you had some of the best advice about networking that I've ever heard. Heidi: Well, I have a ton of advice about networking. I'm a little typecast as a networking speaker because Harvard did a case on me a number of years ago that really is about my philosophy of networking. And when they approached me to do the case, I said, "Why would anyone want a case on this? It's all just common sense." It's kind of like that book: "Everything I needed to know about networking, I learned in the second grade." But, it's just commonsense and practical and courtesy. And so, they did do this case, and I do speak on the case a lot. And my fundamental belief is that it's very rare that anything happens as a singular effort. Yeah, you can go climb ‑ well, even climbing Mount Everest, it's a team, right? And entrepreneurship is a team sport with very many lonely moments. So, you have to be the one. I'm working on this project with someone. I got up at four o'clock in the morning a couple of days ago because I thought of something, and I knew if I waited till morning, it wasn't going to be the same. So, I had to get up and come down here and sit at the computer for an hour and write up my thoughts while they were fresh. I think, there are a lot of times when you're just singularly approaching something, but I think, you have to know how to ask for help, and how to give help. Students say this to me all the time, they say, "Well, I don't have anything to give." You always have something to give, everyone has something to give. Good lord, you can come and talk to me and baby‑sit my children while you're talking me. I had one guy who traded me, I would talk to him about his business and he was a personal trainer, so he would train me while I was talking to him about his business. Heidi: And I think that one of the errors that people make in networking is they try to hard to gather business cards, and they don't think about "What is my connection with this other person, and what do I have to give them? What in return am I going to ask them for?" Again, I will bring it back to this other comment, a lot of times you don't know how the other person is going to help you, and you're not quite sure always how you're going to help them. Sometimes, it's quite surprising, but if you put yourself open to that, and you use some of the modern tools ‑ like I've become a real LinkedIn convert, because I love being able to get on LinkedIn and see who my friends know that I might want to talk to about industries completely foreign to me and vice versa. If somebody has a good friend from college who now wants to do something in the out of home advertising market and sees I'm on the board of Aventure and would like to talk to me. I don't mind doing that stuff because I sort of feel like there's this great, you know, we all help each other in this community and I'm a little bit of a believer in that kind of pay it forward. It's interesting right now because in Aventure I'm working closely on, I have to reach out and ask for a lot of favors, and I've been very aware that for a lot of my current roles in life I'm the one that asks for the favors than asked. Now that I'm doing the asking it's interesting, I'm uncomfortable. I'd much rather do a favor for someone else than ask somebody for a favor. It's my nature, and it's the nature of many people. But, I think that you have to get good at understanding "What am I asking for? Is it appropriate for me to ask it? Is the person capable of delivering it? Is it an appropriate amount of time for them to send and do something for me? And what could I possibly do for them?" I always try to make sure that people know I'm quite open to doing something for you in exchange, and by the way, no is a perfectly good answer, too. If I ask you a favor and the answer is no, just tell me no. I'm very comfortable with that. Lucy: That's great advice because so many people they really are either afraid to network, or don't know how to network, and that just makes it really clear. Heidi: Networking is also very awkward; somebody from Stanford called me up once and said, "Can I network with you?" What is that is that like my pen pal or something? Lucy: Just network. Heidi: Let's say you want to meet someone, and I guess, with the powers of Google and the Internet and all that, you might want to meet some important person. If you have no context, it's going to be a very fruitless conversation. But, every one of them, their kids go to school, they are on a charitable board, they may enjoy a certain kind of athletic activity. I'm not saying become a stalker, but generally, for example, if you want to get to know a person and they happen to be on the board of a charitable organization go find out what the annual fundraiser is on that charitable organization and volunteer to work at it. Chances are you're going to be able to meet that person over time if you get involved in something like that. And, by the way, you're doing something good too. That's again, one of the powers of Silicon Valley ‑ both good and bad ‑ you've got to be careful, you've got to find out if other moms and dads on the soccer sidelines have MBAs because everybody's kind of in this business. Heidi: It is interesting that you have so many different places where you meet and run into people, and so many people I do business with are friends of mine in other context. Lucy: So Heidi, you had talked earlier in the interview about different characteristics that you thought were really important to help entrepreneurs grow and build companies, but when you think about yourself, what are some of your personal characteristics that you have that have helped you to be successful as an entrepreneur? Heidi: Certainly tenacity. I mean, I'm very tenacious about... you put me on something I'm on a mission and I'm not going to let it go. I like to learn new things, so I like to push myself and try to learn something new. I think, when you're constantly learning it helps you get a better job, [laughs] and in so many areas. I'm definitely a people person, I love talking with people, I love meeting people. I'm very comfortable asking people for their opinions and I think, I'm a pretty good listener. So, I think that that also helps me be an entrepreneur, because you learn from other people, you gather opinions, you mold what you're doing. Frankly, it helps you in terms of going back to asking for favors, giving favors, recruiting people. People generally want to work with people they like and people they respect, which is another thing. My belief is that I'm going to be in this world for, I hope, a pretty long time. One thing I've learned being almost 50 and being in the Valley all this time is that you run into the same people over and over and over again. So, don't burn a bridge unless you've decided that's the best course of action. I like to sleep at night. I don't like to do bad deals, and I don't like to squeeze the last nickel out of somebody just because I have the upper hand. I like to live that way. While there's always different opinions about anything you do, I try to test everything. Does this match my ethics? Can I sleep at night? If my husband or my kids knew I did this, would they think less of me as a person? I like to live that way. I think, an entrepreneurship is not a zero sum game. Your gain doesn't have to come out of somebody else's loss. Larry: Boy, I'll say. You know, Heidi, one thing I've learned to do is that I'm going to call you "Coach" from now on. I just want to clarify one little thing. You said something earlier about kissing the frogs, or was it kissing your dogs? Heidi: Yeah, kissing frogs. Although frogs wish it was kissing dogs. Larry: Yeah. And you also just mentioned that you should ask for help. Do you want to introduce me to Bill Gates? Heidi: No. Larry: No. OK. Heidi: That's a good one you bring up, because it is one of those, how do you manage a relationship towards a person who's very important or famous? One thing I had to decide early on is, I just set certain rules. And I've gotten very comfortable saying "No" to people. So, people will say to me, "Can you introduce me to Bill Gates?" And the answer is, "No, I can't," because if I did that for everybody, they would.... And the hardest part is people thinking, "I have the best charity in the world. I have something that would be so interesting to the Foundation. Please help me get to the right person. Can you please send this to Bill and Melinda?" And I say no. One of the things that gives me comfort in saying no is that I say, "Look my own husband runs a charitable organization called Refugee Relief that does medical assistance in countries under conflict. He'd be a perfect candidate, and he hasn't even asked Bill and Melinda for money." One of the things I try to do is live by my own rules. The other thing I try to do is, for example, when I sold a company from my portfolio to Microsoft I didn't even talk to Bill about it. I'm not going to mention, "Hey, I'm selling one of my portfolio companies" to him. It's not relevant. I really try to respect that, particularly people who are in positions like Bill where everyone's approaching you all of the time, you need to be respectful of the pressures on that person's time. I think, that's one of the reasons why Bill and Melinda and I have a good and long‑standing relationship. They know that I respect that there needs to be boundaries there, because they don't have the luxury of living normal lives. Larry: Yeah, that's fact. By the way, of course, you know I was just saying that to.... Heidi: Oh, I know. Larry: However, last week we interviewed Brad Feld and he did say, "Hi to Heidi." Heidi: Oh, that's so sweet. I adore Brad. Larry: All right. Let me ask you this question. In your approach to your professional life, you do so many things. How do you bring about balance? Heidi: That's an excellent question. If you'd like I can bring my 12 and 14 year olds in here right now to continue the counterpoint to that. Larry: oh. Heidi: I do try to set limits. In my house, although we have wireless access, I'm not the person who walks around with my laptop and uses it everywhere. We certainly have a "no laptop in the bedroom" rule. I don't tend to watch TV and do email at the same time. I have a home office that I come in to do my work and then I try to leave it. I also try to have a commitment with my kids. If I say, "I'm going to stop working at seven," then I'm going to stop working at seven. I mix business and pleasure a lot. I have a lot of social engagements with people. I have a lot of people over for dinner. I try to engage my kids in some of that, because luckily at their ages they find some of that very interesting. In one of the projects I'm working on right now, I ask them for advice a lot. I've been able to pick their brains a lot about it. And they've been really great. I tell them, you know, if I'm having a bad day, you know I had a bad day about a legal contract I was working on. And because it didn't get done I missed a window of production for something. And I said to them, they said you know, "Why are you in such a bad mood?" And instead of saying something like, "Well, I had a bad day at work." I said, "Well, let me explain to you. This company needs a piece of paperwork before we can contract this production facility. We didn't get the piece of paperwork. Now because this production facility can only do things in, you know, they have another client the next three weeks that pushed me out a month. So, here's a one day delay on a contract that's going to cost me a three week delay on the production. And that's why I'm so mad about this today." And so that what is the thing? A teachable moment right? You know, I try to bring them in to the things that I'm doing. But, it is important sometimes to just close the door and say, "I'm sorry I'm not going to do this." I try very hard not to schedule meetings on the weekends. I try very hard not to schedule meetings at night. I try to really limit my travel because it is very disruptive to my family when I travel. And so, I try to make accommodations. Lucy: Well, and your daughters are wonderful. And having seen them at a couple of dinners. I mean the integration works really well. Heidi: They're pretty cute. Yeah. Lucy: They're pretty cute. It works really well because they get to see a lot of different people over here. Heidi: Yes they do. Lucy: That they wouldn't ordinarily see. They lead unusual lives. Heidi: We had a nice conversation about Norwegian and other things this morning. So, it was very good. Lucy: They were very funny. Heidi: And they do provide very funny moments. One time actually, Bill and Melinda were coming over for dinner. And Nicky was playing on her Xbox. And she knew Bill was coming over and said like "Can I have him sign my Xbox?" "Oh, I guess, you can ask him to sign your Xbox." Which she didn't ultimately do when he came over because she was too embarrassed. But, she said to me, "Microsoft, yeah, they make the Xbox. Do they make any other products?" And I just had to laugh. Heidi: You know, the eyes of a thirteen year old is like all they make is the Xbox. Lucy: Well you really have achieved a lot. And you have front row seats to a lot. And I have no doubt, fifty or not, that you are going to be on the front row for many, many years. Heidi: Not done yet. Lucy: Not done yet. So, tell us what's next for you. Heidi: Oh, I'm so excited about what I'm doing. But, I can't tell you. Sorry. Lucy: I'm going to jump across the desk and strangle her. Heidi: I know. I know. I am. You know I'm continuing to do my work with Mobee and then a company that we work on. And Brad and Jake my partners there. I mean, you know, we have a great relationship and I'm enjoying that. But, I am definitely an entrepreneur at heart. In fact I've been thinking, at some point on my link and profile. Right now, it says venture capitalist and recovering entrepreneur. And someday soon it's going to say "Relapsed entrepreneur and venture capitalist" because I just can't help myself. Heidi: So, I just started a little company. I actually funded it yesterday. I'm fortunate enough to have provided my own seed capital. I joke to my husband. I said, "It's very important tonight because we're having cocktails with my lead investor," which of course was me. [laughter] So, we laughed about that. So, I have a little start up that I'm working on, which I will hope to tell you all about really soon. But, it's not quite baked enough yet. So, you'll just have to wait. Lucy: I just hope it's about fifty year old women. Heidi: You will, you will buy one of these products. Well, I'm going to give you one. And Lucy. Larry Series: Entrepreneurial HeroesInterviewee: Heidi RoizenInterview Summary: Born and raised in Silicon Valley, Heidi spent the first part of her career founding and growing tech companies. Now she enjoys helping entrepreneurs build companies as a coach instead of a player. Release Date: August 15, 2007Interview Subject: Heidi RoizenInterviewer(s): Lucy Sanders, Larry Nelson, Lee KennedyDuration: 34:33