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Surgeon and health tech strategist Sarah Matt discusses her article "Why fee-for-service reform is needed." Sarah analyzes the friction between efficient digital health tools and an outdated payment system that rewards activity over quality. She proposes replacing analog metrics like visit volume with shadow KPIs that track actual health outcomes such as time-to-resolution and preventable hospitalizations. The discussion outlines a practical strategy to utilize existing billing codes for remote patient monitoring while simultaneously gathering data to negotiate shared savings agreements. Listen to learn how clinicians can drive the transition toward a more logical health care economy. Partner with me on the KevinMD platform. With over three million monthly readers and half a million social media followers, I give you direct access to the doctors and patients who matter most. Whether you need a sponsored article, email campaign, video interview, or a spot right here on the podcast, I offer the trusted space your brand deserves to be heard. Let's work together to tell your story. PARTNER WITH KEVINMD → https://kevinmd.com/influencer SUBSCRIBE TO THE PODCAST → https://www.kevinmd.com/podcast RECOMMENDED BY KEVINMD → https://www.kevinmd.com/recommended
Breaking down the Tepe murder case. Vascular surgeon Michael McKee, 39, is charged with two counts of premeditated aggravated murder in the shooting deaths of his ex-wife Monique Tepe and her husband Spencer Tepe in Columbus, Ohio on December 30th, 2025. Their two young children — ages one and four — were found unharmed in the home.McKee and Monique divorced in 2017 after a seven-month marriage. Family members describe the relationship as emotionally abusive, with death threats and lasting psychological damage. Monique's brother-in-law Rob Misleh told reporters she was "terrified" of McKee for years and "would talk quite often about how much he messed with her mental health."In the months before the murders, McKee was actively evading medical malpractice lawsuits in Nevada. Attorney Dan Laird documented nine failed attempts to serve him — fake addresses, a fax machine phone number, and colleagues who said he'd "just disappeared." His Nevada license had expired in June 2025. Meanwhile, Monique had remarried, had two children, and just celebrated her fifth anniversary with Spencer.Police tracked McKee through neighborhood surveillance and linked a firearm from his Chicago residence to shell casings at the scene. He was arrested at a Chick-fil-A in Rockford, Illinois and waived extradition. He plans to plead not guilty. Columbus Police Chief Elaine Bryant called it a "domestic violence-related attack." The case continues to develop.#SpencerTepe #MoniqueTepe #TepeMurders #MichaelMcKee #TrueCrimeToday #BreakingCrime #ColumbusOhio #DomesticViolence #SurgeonArrested #OhioHomicideJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.
Hidden Killers With Tony Brueski | True Crime News & Commentary
Michael David McKee knew how to vanish. When a Las Vegas attorney tried to serve him with a malpractice lawsuit, he encountered fake addresses, a fax machine instead of a phone number, and colleagues who had no idea where McKee had gone. "He just disappeared," one told the attorney in October 2025. Two months later, McKee allegedly resurfaced — driving 300 miles to Columbus, Ohio, where prosecutors say he shot and killed his ex-wife Monique Tepe and her husband Spencer in their home.The marriage ended in 2017 after just seven months. But according to family, McKee never accepted it. Monique's brother-in-law says McKee was emotionally abusive and threatened her life during the marriage. Reports indicate he allegedly sent birthday cards signed "Your Husband" after the divorce. Monique remained terrified of him for eight years — even after remarrying, even after building a beautiful life with Spencer and two children.McKee's professional life was unraveling in 2025. His Nevada medical license expired. Malpractice lawsuits were closing in. Meanwhile, Monique had just celebrated her fifth anniversary with Spencer. In her wedding vows, she spoke of "wrong relationships" and a "waterfall of tears" — a clear reference to her past with McKee.Police tracked McKee through surveillance footage and linked a firearm from his Chicago condo to shell casings at the scene. He was arrested at a Chick-fil-A. He faces life without parole if convicted. This is a deep dive into alleged obsession, evasion, and a surgeon who reportedly couldn't let go.#TepeMurders #MoniqueTepe #SpencerTepe #MichaelMcKee #HiddenKillers #TrueCrimePodcast #DomesticViolence #ColumbusOhio #SurgeonMurder #ObsessiveExJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.Join Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.
Major developments in the Tepe family murders out of Columbus, Ohio. Police have confirmed the murder weapon was recovered from Michael McKee's Chicago residence. NIBIN — the federal ballistics database — matched shell casings from Spencer and Monique Tepe's bedroom to a firearm seized from McKee's penthouse. Multiple weapons were recovered. McKee, 39, is a vascular surgeon and Monique's ex-husband. They divorced in 2017 after a seven-month marriage. Eight years later, police say he allegedly drove 300 miles to their home and executed both of them while their children slept. The children — a 4-year-old girl and 1-year-old boy — were found alive. According to Law & Crime, McKee reportedly gave police an alibi that fell apart before his arrest. He was taken into custody at a Chick-fil-A in Rockford, Illinois by ATF agents. At a press conference, Chief Elaine Bryant called this a "targeted domestic violence attack." When asked if McKee had been seen near the Tepe home days before the murders, she said police couldn't share that information — but didn't deny it. The family says the arrest was "not a shock." Spencer's brother-in-law said Monique never called McKee by name. Called him a monster. Said she was always worried about him. McKee is charged with two counts of aggravated murder with prior calculation and design. He waived extradition and plans to plead not guilty. Court date is January 23rd. In Ohio, aggravated murder is death penalty eligible.#TrueCrimeToday #TepeMurders #MichaelMcKee #BreakingNews #MurderWeapon #SpencerTepe #MoniqueTepe #OhioMurder #SurgeonArrested #DomesticViolenceJoin Our SubStack For AD-FREE ADVANCE EPISODES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.
The abusive ex who assassinated his ex-wife & her dentist hubby is caught with the smoking gun cops say, at his pad. Her family says she lived in fear of him for years - and knew he was behind the double murder. A jilted husband who butchered his estranged wife and then raped her corpse is sentenced to life... Plus, the CEO assassin's kin is now making headers & headlines. Jennifer Gould reports. See omnystudio.com/listener for privacy information.
An arrest in the Ohio double murder has made headlines. Surgeon Michael David McKee is accused of killing his ex-wife, Monique Tepe, and her new husband, Spencer. In Virginia, former IRS agent Brendan Banfield is on trial for allegedly murdering his wife and a stranger. His former lover -- the family au pair -- testifies against him. Plus, a trial date has been set for alleged Gilgo Beach serial killer Rex Heuermann. And an expert gives us the lowdown on 911 calls. Find out more about the cases covered each week here: www.datelinetruecrimeweekly.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
On Wednesday, Columbus Police Chief Elaine Bryant held a press conference which revealed new details surrounding the December 2025 murders of Spencer Tepe and his wife, Monique Tepe. Monique's ex-husband, Michael David McKee was arrested this weekend and charged with the killings. Police described the crime as a 'targeted domestic violence attack.' FOX News National Correspondent Bryan Llenas provides an overview of the case and looks ahead at what's next for McKee. Follow Emily on Instagram: @realemilycompagno If you have a story or topic we should feature on the FOX True Crime Podcast, send us an email at: truecrimepodcast@fox.com Learn more about your ad choices. Visit podcastchoices.com/adchoices
In this episode, Dr. Vera Tarman spoke with Adrienne Sprouse, MD, a Columbia-trained physician with extensive experience in emergency medicine, toxicology, and environmental medicine, as well as more than four decades of stable food recovery. Adrienne reflected on how growing up in an alcoholic family system shaped her early coping strategies and how food became a primary source of comfort and regulation. Over time, she began to notice that certain foods didn't simply soothe emotional distress but instead triggered a predictable cycle of cravings, symptoms, and relapse. This realization led her to distinguish between compulsive overeating as a behavioral response and food addiction as a physiological reaction to specific foods. A central focus of the conversation was Adrienne's Prouse Rotational Eating Plan, a structured four-day rotation approach rooted in the concept of cyclic food allergy, originally described by Dr. Herbert Rinkle. Adrienne explained the difference between fixed food allergy—where symptoms occur every time a food is eaten—and cyclic food allergy, where symptoms depend on frequency and amount. She described how repeated exposure to the same foods, common in modern eating patterns, can "stack" in the body and contribute to escalating symptoms such as bloating, edema, headaches, joint pain, and the familiar experience of temporarily "getting away with it" before relapse. Adrienne also outlined the 24-day home food-testing process described in her book, which was designed to help individuals identify their "sober foods," clarify which foods destabilize them, and create a rotation that supports long-term stability without relying on willpower alone. The conversation extended beyond biology into emotional and spiritual recovery. Adrienne shared why she believed that a food plan alone was insufficient for many people and how 12-step recovery supported her ability to cope with stress, trauma, and relational dynamics that previously fueled her eating. She described 12-step principles as a stabilizing force that helped her maintain honesty, accountability, and resilience alongside her eating structure. Adrienne's book, 50 Years of Twelve Step Recovery, was discussed as a synthesis of lived experience, physiology, and recovery practice, offering both individuals and clinicians a broader framework for understanding relapse cycles, abstinence, and whole-person healing. In this episode: How Adrienne differentiated compulsive overeating from food addiction physiology What she meant by "sober foods" and why identifying them reduced chaos and cravings Why cyclic food allergy patterns are often overlooked How the four-day rotation was intended to reduce food "stacking" and stabilize symptoms An overview of the 24-day food testing approach outlined in her book How certain foods might be reintroduced medically, while acknowledging psychological and spiritual considerations Why chemical exposures and non-organic foods were discussed as potential contributors to craving Adrienne's perspective on GLP-1 medications, including their limits in teaching coping skills How 12-step recovery complemented biological interventions and supports long-term maintenance About Adrienne Sprouse, MD Adrienne Sprouse, MD, graduated from Columbia University College of Physicians and Surgeons and trained in emergency medicine at Bellevue Hospital, toxicology at the New York City Poison Center, and Nutrition/Allergy/Detoxification/Clinical Ecology with the American Academy of Environmental Medicine. She later served as faculty for the Academy, educating physicians internationally for 17 years. She was Medical Director of Manhattan Health Consultants for decades and was featured in major media outlets including ABC, NBC, Fox Good Day New York, and The New York Times. She is the author of 50 Years of Twelve Step Recovery, drawing on both long-term personal recovery and decades of clinical practice. The content of our show is educational only. It does not supplement or supersede your healthcare provider's professional relationship and direction. Always seek the advice of your physician or other qualified mental health providers with any questions you may have regarding a medical condition, substance use disorder, or mental health concern.
An arrest in the Ohio double murder has made headlines. Surgeon Michael David McKee is accused of killing his ex-wife, Monique Tepe, and her new husband, Spencer. In Virginia, former IRS agent Brendan Banfield is on trial for allegedly murdering his wife and a stranger. His former lover -- the family au pair -- testifies against him. Plus, a trial date has been set for alleged Gilgo Beach serial killer Rex Heuermann. And an expert gives us the lowdown on 911 calls. Find out more about the cases covered each week here: www.datelinetruecrimeweekly.com Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
What an honor to begin 2026 with an inspiring conversation with Sports Medicine legend, and AAOS President Dr. Annunziato "Ned" Amendola!We cover a lot of ground in this conversation, his legacy work at Duke, AAOS, NBA shoe consultancy, mentorship, cartilage replacement, even Italian food!!What a towering figure in sports medicine and foot and ankle care at Duke University, where he serves as a distinguished professor, chief of sports medicine, and executive director of the James R. Urbaniak, MD, Sports Sciences Institute. Since joining Duke in 2015 he has served as head team physician and chief medical officer for Duke Athletics, providing exceptional care to elite athletes while advancing innovative treatments for knee and ankle injuries. Internationally renowned for pioneering arthroscopic and biologic resurfacing techniques that have transformed cartilage repair and rehabilitation, Dr. Amendola has authored over 300 peer-reviewed articles, secured numerous research grants, and earned prestigious honors such as the Excellence in Research Award, Cabaud Memorial Award, O'Donoghue Award, and the Kappa Delta Ann Doner Vaughn Award. His leadership culminated in serving as President of the American Academy of Orthopaedic Surgeons (AAOS), where he has championed excellence in musculoskeletal care and mentored countless surgeons worldwide.Beginning his journey in Canada with training at the University of Western Ontario and fellowships in sports medicine and foot and ankle surgery, he previously held key roles including director of sports medicine at the University of Iowa. His contributions have earned him additional accolades like the Achilles Award from ISAKOS, the Roger Mann and Leonard Goldner Awards from the American Orthopaedic Foot and Ankle Society, and induction into the AOSSM Hall of Fame. Join us (and Skeletoni) at the next AAOS meeting: https://www.aaos.org/Clinic: https://www.dukehealth.org/find-doctors-physicians/annunziato-ned-amendola-mdPlease support our Sponsor, Anika Therapeutics: https://anika.com/Duke World Games: https://ryortho.com/2026/01/duke-health-is-warming-up-early-and-ortho-is-leading-the-charge/Support the show
We all love winners. We love hearing about the big wins and the perfect track records. It feels good. It feels safe. It instills us with a sense of trust. But I've been in business long enough to know that virtually all individuals who are long-term winners have had profound moments of failure from which they learned invaluable lessons. Those are the people I really want to hear from. They have the kind of knowledge we all need as we navigate through life. It's called wisdom. Surgeons have a saying: “If you've never had a complication, you haven't done enough surgery.” In my surgeon days, I had a handful of complications. Let me tell you—they are no fun. You stay up at night replaying things in your mind, trying to figure out how you could have done things differently—how you could have had a better outcome. Even when unavoidable, those complications teach you something you'll never get from textbooks. It's been no different for me when it comes to business and investing. But I take comfort in knowing that even the greatest investors of all time had their moments of failure and rose from the ashes stronger and wiser. Warren Buffett. Ray Dalio. Every big winner has a story of failure. And while it may be cliché to say that we learn best from mistakes, I truly believe it. The good news is that those mistakes don't have to be our own. Learning from other people's mistakes can be just as effective. This week's episode of the Wealth Formula Podcast is with Russell Gray—a guy many of you already know from his podcasting and radio career. Russ lived through 2008 up close. He took a beating, and he talks openly about what went wrong. But that period also changed the way he sees the world—in a good way. It changed how he thinks about risk, leverage, and what actually matters when things stop going up. That mindset is a big reason he's been successful since then. It's a conversation worth your time. Transcript Disclaimer: This transcript was generated by AI and may not be 100% accurate. If you notice any errors or corrections, please email us at phil@wealthformula.com. If you let the debt run, at some point you fall into a debt trap where the interest on the outstanding debt consumes all of the available discretionary income, and then you’re borrowing just to service the debt. Welcome everybody. This is Buck Joffrey with the Wealth Formula Podcast coming to you from Montecito, California. Before we begin today, I wanna remind you there’s website associated with this. Podcast called wealthformula.com. It’s where you will go if you would like to, uh, become more, uh, ingrained with the community, including getting on some of our lists such as the Accredit Investor Club. Of course, it is a new year and there are new deal flows coming through. Lots of opportunities that you won’t see anywhere else if you are a, an accredit investor, which means you. Make at least $200,000 per year for the last couple years with a reasonable expectation of doing so in the future. That’s 300,000 if you’re filing jointly or you have a million dollars of net worth outside of your personal residence. If you, uh, meet those criteria, you are an accredited investor. Congratulations. You don’t have to apply for anything, whatever, but you do need to go to wealthformula.com. Sign up for the Accredited Investor Club, get onboarded. And all you do at that point is look at deal flow, and if nothing else, you’ll learn something. So check it out. And who doesn’t want to be part of a club? Now let’s talk, uh, a little bit about today’s show. You know, um, we all love winners, right? We love hearing about big wins, the perfect track record. It feels good. It feels safe, gives us a sense of trust. But the thing is, I’ve been in business long enough to know that virtually all individuals who are, what you would call long-term winners, have had profound moments of failure from which they learned, um, invaluable lessons. So those are the people that I really like to hear from. You know, they have the kind of knowledge we all need that as we navigate through all of life, and it’s called wisdom. Um, surgeons, as you know, I’m an ex surgeon. Have a saying, if you’ve never had a complication, you haven’t done enough surgery. Uh, in my surgery days, I certainly, you know, had a handful of complications just like anyone else who did a lot of surgery. And, and lemme tell you, there, there are no fun, right? So you stay up at night replying things in your mind, trying to figure out how you could have done things differently, how you could have had a better outcome. And sometimes you realize that those mistakes were unavoidable, but. You still learn something from them. And in these cases, you always learn something that you’re not gonna get from the textbooks, just from reading something. And you know what, it’s been no different for me when it comes to business and, and investing, but I, I take comfort in the fact, uh, that even the greatest investors of all time had their moments of failure and arose from the ashes stronger and wiser. All you have to do is look up stories of Warren Buffet and Ray Dalio. And Ray Dalio basically lost everything at one point, uh, because he, you know, he had a macro prediction that went completely south. But listen, uh, the, the point I’m trying to make here is that every big winner, every big winner I know of as a story of failure. And while it may be cliche to say, you know what we learned best from our mistakes, I, I truly believe that. But the good news is that those mistakes don’t have to be our own, right? So you can learn from other people’s mistakes as well, and that can be just as effective. Uh, so this week’s episode of Well, formula Podcast is featuring a guy that you may know. His name is Russell Gray. Russ, uh, has been around a long time, uh, in the podcasting world. And radio. You know, he talks a lot. He’s talked many times to me at least about living through 2008. And you know what that was like, the beating he took and, you know, what went wrong? Uh, you know, it’s, it’s something that he talks about because, you know, he’s a successful guy and that period in time changed. You know, the way he sees the world, the way in which he behaves in that world. How he thinks about things like risk and leverage and you know, what actually matters when things stop going up. Uh, it’s a mindset thing and it’s important. Um, and we also obviously talk about other things as well, such as, uh, Russ’s current take on the economy. Uh, so anyway, it’s a, a good conversation and it’s one that you’re gonna wanna listen to, and we’ll have that for you right after these messages. Wealth formula banking is an ingenious concept powered by whole life insurance, but instead of acting just as a safety net, the strategy supercharges your investments. First, you create a personal financial reservoir that grows at a compounding interest rate much higher than any bank savings account. As your money accumulates, you borrow from your own. Bank to invest in other cash flowing investments. Here’s the key. Even though you’ve borrowed money at a simple interest rate, your insurance company keeps paying. You compound interest on that money even though you’ve borrowed it at result, you make money in two places at the same time. That’s why your investments get supercharged. This isn’t a new technique, it’s a refined strategy used by some of the wealthiest families in history, and it uses century old rock solid insurance companies as its back. Turbo charge your investments. Visit www.wealthformulabanking.com. Again, that’s wealth formula banking.com. Welcome back to Show Everyone. Today my guest on Wealth Formula podcast is Russell Gray. He’s a second generation financial strategist and, uh, you may know him from being a, the former co-host of the Real Estate Guy Radio Show, which is one of the longest running, uh, uh, radio shows of its time, uh, in the United States. He’s, he’s a founder of. Raising Capitalist project, which is an initiative focused on helping aspiring investors and entrepreneurs how to better understand how wealth is actually created and how uh, economic systems really work. Uh, he’s best known for his emphasis on real assets, cash flow, economic cycles, and preserving wealth and what he views as an increasingly fragile financial system. Welcome, Ross. How are you? Good buck, happy to be here. And, uh, proud of your success on your show. I remember way back at the beginning you were like, Hey, I wanna start a podcast. Yeah. Yep. You’ve done a great job. Yeah, it was an idea. I was like, here’s the idea. Start a podcast, build a community, all that kind of stuff. But it’s interesting. Uh, well, and let’s talk about what’s going on now. You’ve spent decades teaching people about, you know, real assets and cash flow. But lately your writings feel more focused on systems and and macro forces. So what’s changed? Has something finally become too big to ignore? Well, I think there’s two things you know personally, uh, most people who have heard of me or followed me know that 2008 wasn’t kind to me. I was in the mortgage business. I was very leveraged into real estate all over the place. Had my businesses for cash flow, had the real estate for equity growth. Believed that real estate was hyper resilient and gonna be the beneficiary of inflation. Didn’t understand the dependency on credit markets in both my business and my portfolio. And so that was a big mess, not doing, uh, a real SWOT analysis and understanding. And the third part of that, that was tough, is that I operated the business primarily on credit lines as well. So I had virtually no cash. And so when the credit markets seized up. Canceled my income, it canceled my credit lines and it evaporated my equity. And now all I had was negative cash flow on debt, on real estate. I couldn’t control. And so I looked at that and I said to myself, you know, I’m a pretty smart guy. I. Pride myself on paying attention. So obviously I’m not paying attention to the right thing. So I became obsessed with the macro, uh, picture and, and the financial system, which, you know, to me it’s, it’s the macro economy is what’s going on with, uh. Geopolitics and the energy and, you know, even policy, uh, that affects, uh, how well money can flow through the system. Both monetary policy from the Federal Reserve and fiscal policy from the government now today in the Trump administration trade policy. And so I began to pay attention to all those things, but from the standpoint of not how it was gonna affect the stock market, but how it was gonna affect the bond market and interest rates and the availability of credit, and how it was gonna affect Main Street. Directly and specifically now in terms of jobs and job creation are real wages. And so when I started really looking at all that, um, I, I, I realized that there were some things happening that were gonna be really good, and there were also some things that we needed to pay attention to. And these things move very slowly. So in 2010. I saw that coming outta the financial crisis, the Chinese were very upset with the United States about how much the Fed Balance sheet was expanding, and they were concerned about their very large investment in US dollar denominated. Bonds, and so they began creating bilateral trade agreements with Russia and many other countries to where they could begin this large process of de Dollarizing. Well, that was the first time I’d seen that movie, because it was the same thing that the Europeans did after they saw the Nixon default. Right? They began working on the Euro, which took ’em from 71, 72 when they started, maybe 74 when they started, but it took ’em till 99 to get it done. But you know, once they got it in place, over time, the Euro, the Euro has taken over 20% of global trade. You know, that’s market share from the US dollar. And so I saw this BrickX thing beginning to form. Uh, and then I saw the other thing on the macro that I thought was gonna be really good was in the jobs act, something you’ve benefited from as a syndicator, we. I wrote that report, new law breaks Wall Street Monopoly. And so, uh, even though I, I can’t tell you I was a big fan of Barack Obama, but he signed that legislation that happened on his watch. And I think it was fantastic because now it allowed Main Street syndicators, main Street Capital raisers to advertise for accredited investors and began to really, uh, level that playing field and open up Main Street, uh, to invest directly in Main Street. And so I met you in the syndication program that we put together with the real estate guys to coach real estate investors on how to become capital raisers to, to capitalize on that trend. So that’s, you know, kind of how I kind of became doing what I’m doing. And then when I decided, uh, just about 20 months ago to depart the real estate guys, I wanted to take some of the things that I originally set out to do when I first met Robert Helms way back in the day. And, you know, as relationships go, you know, he has his interest in the things that he wants to do, and I had my interest in things I came to do. And for a long time we were aligned well enough to continue to work together. But it got to a point where, for me, I, I wanted to go off in a different direction, and part of that was driven. By the, the death of my late wife. Uh, you had me on the show right after that happened to me, and I was going through this like, who am I? Why am I here? What am I supposed to do next? What do I really want to get done before I die? And so all of those things kind of informed my personal decisions to, to make a switch. And then of course, what’s going on in the macro. Um, what I saw with Trump 1.0, what I saw in the Biden administration and those policies, and then what I thought would happen in Trump 2.0. And I did a presentation on this at the best ever conference in March of 2025, right after he’d been inaugurated. And, and so, uh, that, that’s kind of has me where I feel like there’s some real opportunity coming. Uh, there’s also some things we need to be aware of on Main Street. Yeah. So you’re bullish on Main Street in general, but you’ve been pretty cautious about the broader financial system. So, uh, what are the things that you’re worried about? Well, I, I think if you understand the way the financial system works, uh, it has a shelf life and that. It’s because it’s, it’s a system that is, depends upon ever increasing debt. Um, people say, I wanna pay the debt off, but if they, if they really understood the system, at least the way I think I understand it, uh, and I’m not alone in this, so it’s not something I just figured out on my own. But, um, you know. I, I don’t want to sit here and pretend like I’m the world’s foremost expert, but the way I understand the way the system works is that it, it requires ever increasing debt, and if we were to pay the debt off, it would collapse the system. So I think you waste a lot of time and energy and from a policy perspective, trying to argue about doing that. And I think that’s why it’s never, ever, no matter what administration, what politician, what mix of congress, what. Pressure there is everywhere globally. The system, the central banking system, the way it works globally, is designed to create ever increasing debt. So the, the flip side of that then is to let the debt run. And if you let the debt run, at some point you fall into a debt trap where the interest on the outstanding debt consumes all of the available discretionary income. And then you’re borrowing just to service the debt. Yeah, that’s about $1 trillion right now, by the way. Which is. Which is, uh, about the, the, the defense, uh, budget. Well, and I think that the bigger thing is when you look at, at the interest on the debt and mandatory spending, there’s virtually no room left after that. So if you’ve got, you’ve got the mandatory spending and you’ve got, um, debt service, you, you have very little room. So it’s not. Feasible either for two reasons. One is there’s just not enough discretionary room to be able to cut expenses enough to, to ever manage the debt. Number two, as I previously mentioned, if we were ever to effectively try to pay down the debt in any appreciable way, it would crash the the system. So the, the way I look at it is it’s, it’s, it’s got to be replaced. There’s going to be a great reset. I think the World Economic Forum was trying to set that up for the world, and they had an agenda. I’m, I’m not particularly fond of. Um, there’s been talk about creating a central bank digital currency, which I think is what, you know, the Federal Reserve and the, what I all call the wizards, uh, or the powers of B would prefer. Uh, but I think if you care about privacy and, and, you know, individual sovereignty, uh, and, and just personal freedom, um, I have a lot of concerns about a central bank digital currency. Um, I think the popularity of Bitcoin, uh, if it was, you know, and who knows what the. True origins were, but let’s just take it at face value. I think a lot of the people, at least that were the early adopters before it had the big price run up, was just a way to escape, uh, the system before it failed. And so you’ve got that. And then you’ve got, again, as I mentioned, the bricks and this global effort to de dollarize, which was I think really kicked off. After the great financial crisis and the massive expansion of the Fed’s balance sheet. And then I think picked up a little steam when we froze Russian assets and people began to see that the US might use the dollar and the dollar system, uh, for political instead of being neutral. And I think that picked up some steam. And, and so there’s, there’s both a geopolitical drive to. Uh, come up with a new system. There is, I think we’re at the end of a shelf life that some type of a new system is gonna have to be, uh, created. Uh, and, and then you look at what Donald Trump is doing and what he’s espousing. You know, let’s get rid of income taxes. Let’s get back to pulling in, uh, revenue from tariffs the way the country was originally founded. Uh, he’s talked about eliminating the IRS and going with an ERS, an external revenue service. There’s people that think that he might beat. Wanting to try to get back on some form of sound money, you know, coming out of, Hey, let’s audit the Fed, let’s audit the gold. I mean, let’s audit the gold. And, um, so, you know, we, you, you never know what what’s really gonna happen, but, but I think what we have to pay attention to are the signs that the system is beginning to break down. And one of those signs that I pay a lot of attention to is monetary, metals, gold and silver. I make a distinction between precious metals, which would also include platinum and palladium, and of course they’re strategic metals, but I just focus on monetary metals, which would be gold and silver, and gold and silver. We’re telling you that people would prefer to be the, the, the safe ha haven asset is no longer us treasuries, but, um, but, but gold and central banks have been driving a lot of it. This isn’t the retail market driving it yet. It, it’s really central banks have been accumulating. And so those are the ultimate insiders when it comes to currency. And if the insiders in the currency markets are repositioning into gold, uh, I’d, I’d call that a clue. Yeah, absolutely. Um. Yeah. You recently commented on the public criticism, president Donald Trump made toward, uh, uh, Peter Schiff. What stood out to you about that exchange? Maybe give us some background people. Not everybody knows who Peter is and, and, uh. And all that. So, yeah. Well, I mean, as you know, I’ve known Peter for 12 or 13 years and, uh, I had read his father’s work way back in the day. He is a very famous in the tax protestor world as somebody who just believed that income taxes were unconstitutional. And he resisted that and ended up going to jail for, died in jail as a matter of fact. And so that was, uh, I think sad. Um. But, but to me it felt like a little bit of being a political prisoner, but be that as it may, that’s how I got to know Peter. And so Peter is a guy that comes from the Austrian School of Economics and he believes in sound money. He believes in gold. He does not like Bitcoin. I’ve sat on panels the last two years with Peter, uh, in between him and Larry Lepard. And you know, Larry is a, a former gold guy. He’s still not opposed to gold, but he’s a hardcore sound money guy. But he likes Bitcoin. Peter hates Bitcoin and they get into it, and I usually sit in between ’em and try to keep things calm. Well, you know, so Peter ended up going on Fox and Friends, uh, I think on whatever it was, Friday the eighth I think it was, or whatever, whatever day that was. And he, he criticized Donald Trump’s spending. And, um, budget deficits and said that it would lead to inflation, and that’s a hot button for Trump. And so Trump, yeah. Uh, responded to him, uh, I think like four 30 in the morning on Saturday morning and called Peter, uh, a. Jerk and a total loser. Well, actually I saw it before Peter did, and so I took a screenshot and I texted it to him. I said, Hey, have you seen this? You know, maybe I’ll press is good press. And I think to a degree, maybe it has been me from, I understand Peter ended up on Tucker Carlson’s show as a result of that. So, but I made a video right after that because I, you know, there was a time when. I’m friends with Peter Schiff and I’m friends with Robert Kiyosaki. As you know, I, we introduced you to both those guys and, and at one point they didn’t like each other very much. They got into it ’cause, you know, and, and so we introduced ’em to each other and found that they had more in common than they, they didn’t. And I, I think that that would be true. Not that I’m in a position to introduce Peter to, to Donald Trump, but I think the way Peter is looking at it is true. Um, but there’s context and I think the context is super important. Now I’ve been studying Donald Trump as a businessman way before he was a presidential candidate or a politician, you know, before he was a polarizing guy, a pariah for some people. He, he was just this real estate guy. He’s good at marketing, he’s a real estate guy, and as you know. We got to know his longtime attorney, George Ross. And so I’ve had a chance to have conversations about what it was like working with Donald Trump, the real estate guy, and when he became a politician, I asked George, is he a crazy man? Does he shoot from the hip? And you know, I got a lot of reassurances that he is a sober sound. Methodical, self-disciplined guy and, and I think he uses the eroticism to keep people off balance as a negotiating tactic. And he writes about that in the art of the deal. So the context that I think that people need to have, and I’m not here to defend Donald Trump, the man. I’m not here to defend Donald Trump, the politician, but I look at the policies and what I think he’s up to in the context of realizing that we have a system that is fundamentally flawed and has to be remodeled. So to use a real estate, uh, metaphor, it would be like we have a hotel building that is very tired. It’s at the end of its life, it’s got to be remodeled, and so you can’t. Completely shut it down because it’s an operating business, so it’s gotta operate during the remodel. And so you begin to, um, reposition things and. You, you, you’re not gonna run optimally, so you’re gonna run some deficits while you’re doing the remodel. You’re gonna go into debt because you got a lot of CapEx to do, and during that period of time, your debt and deficits are gonna be a problem. But real estate guys look at debt and deficits not as a permanent condition. I think Peter is saying, Hey, you’re just running up debt and deficits. Well, in the short term he is. Honestly, I don’t think Trump is concerned about that. I think he’s focused on getting this remodel done, and part of that remodel was showed up in the last jobs report, right? We lost jobs to a degree, but they were government jobs, and what we got was a lot of gains in private sector jobs. Scott descent, his treasury secretary, has come out and overtly said, we are an administration for Main Street, not for Wall Street. So if you’re going to de financialize this economy and turn it back into a productive economy. You’re going to have to have policies that are gonna stimulate Main Street, and that’s, that’s the, the, the new units that you’ve rehabbed in your hotel that you wanna move people into. At the same time, you gotta move them outta the old units, which is people making money, trading claims on wealth instead of producing real goods and services, which is the financial ice economy. So it’s not about banking, it’s not about stocks, it’s not about Wall Street. You know, you need the stock market to stay up. But really what you need to do is you need to create production. And, and, and I think that’s fundamental. I think he understands we’re never gonna pay the debt off by cutting. We’ve got to keep the system running until we can get to some form of sound money. We’re actually paying the debt off as realistic, and then we have to earn so much money that the debt relative to our earnings shrinks. So it’s not paying down the debt, it’s paying down the percentage of GDP by growing GDP. And the presentation I did at best ever in March of 2025 was me explaining why I thought. His policies, were going to allow him to increase velocity and increase wages by cutting taxes, interest regulation, transportation costs, and, and again, that was six weeks into administration. That was theory. I’m gonna do a follow up in March of this year to say, okay, looking back when I gave the speech a year ago, what’s transpired, but I can already tell you a lot of the stuff that I thought he would do. He’s done. And I think that’s muting some of the inflation that his spending and deficits to Peter’s point are causing. And that’s why when this last CPI report came out, it wasn’t as ugly as everybody thought it would be. And, and this is when you don’t look at, when you look at it in the mono, you just look at one thing and Peter’s very fixated on this quantity of money theory. Then the expectation is that you print a bunch of money, you run a bunch of deficits, you’re gonna get inflation. And it’s just a. Equals B or A leads to B. But there are other nuances and I think Trump is looking at more like a real estate developer, which makes sense. ’cause that’s his background. Yeah, yeah, absolutely. It’s, I mean, and then the other just point to, to make there is that there is probably, um, now inflation’s a tricky thing, right? Like on the one hand you don’t want this riding up, but on the other hand, it actually helps with that debt. You’re, you’re basically eroding the debt by letting inflation ride a little bit higher at the same time. And I think the Trump administration knows that it’s a tricky thing to balance, but the goal is to, you know, get GDP pumping at, you know, four or 5%, but it’s gotta be real production buck. And that’s the difference, right? The old way of dealing with the debt was inflation. And, and I think people think that he’s using the old formula, but I don’t think he is. Well, I think it’s, I think, I think it’s definitely geared towards increasing real GDP, but I think in the process there’s probably, they probably care less a little bit. Of inflation riding up a little bit in the meantime. ’cause you’re still gonna have, I think he thinks he can mute it. I think he can mute it with lower taxes, lower interest expense, lower energy costs. And the energy is the economy. And from day one, that was the first policy. He’s, he’s aggressively gone after lowering energy costs because that has a, a, a ripple through, it just affects every area of the economy. And then the regulations in, in the last cabinet meeting. It was reported, the way I understood it, that for every regulation his administration passes, they’ve eliminated 48. So it’s actually, he’s removing the friction. And I think the bigger thing is, and I, and I was on a panel at Limitless, uh, this last summer, and TaRL, Yarborough was moderating the panel, asked the panelists what we were looking at that maybe other people weren’t looking at that. Um. You know, is, is a signal about maybe the direction it was. We, I, I can’t remember. This was a prediction panel and what I said was trade policy because everybody in finance spends all their time looking at the flow of money and trying to get in front of the flow of money. And we’re so used to the money coming from the Fed or coming from the treasury. So they’re gonna come from monetary policy or fiscal policy. And that’s what Peter’s doing. He’s looking at the Fed and he is looking at the treasury. And so what I’m looking at is not just the tariff income, which is relatively minor, but I’m looking at the trade deals, and those are published at the White House and there’s a couple trillion dollars of money that’s FDI, foreign Direct Investments coming right into Main Street. And it’s gonna build infrastructure. It’s gonna build factories. It’s good. And they tell you where it’s gonna be because they, they came back with the opportunity zones, which I thought they would do. Makes sense. It’s the way he thinks. And then taking those opportunity zones, the governors can say where in their state they want that money to go. Well, people on Wall Street don’t think geography ’cause they operate in a commodity world that trades on global exchanges. But real estate people. Geography matters a lot. So if I’m a Main Street person, I live on Main Street and I’m looking for Main Street opportunities, I wanna look where that money is going to be flowing in geographically. And then there may be opportunities in real estate or small businesses in those economies, and you can see it coming, but nobody talks about it. So I created Main Street Capitalist as a show to begin to talk about it. I still do the investor mentoring club, which is, you know. A premium thing where we get together every month and we talk about these things. And the point is, is that if you understand, I think what he’s doing, then you can, you can begin to paddle into position. And I think, again, I am really bullish if he loses inflation. If he loses to inflation, he’s cooked. He knows it. I think that that even the suggestion that Peter made that he was losing to inflation is what flared him up. And so I wasn’t trying to necessarily defend. Peter and I wasn’t trying to defend Trump, I was just trying to reconcile that it is possible that both guys could be right at the same time from their perspective. And so I, you know, I, I had one guy take exception because he felt like I was defending Trump, but for the most part, I got positive feedback on the video. I, I, I, you saw it. So you tell me. Did it make sense? Yeah, yeah, yeah. Absolutely. So when you look at today’s environment, everything going on, where do you think investors are most vulnerable? Um, I, I think that if you are very dependent upon, um, healthy credit markets, we could have a disruption. And that’s what happened to me. If Trump loses the inflation battle even for a little while, little be reflected in interest rates. And the challenge is right now that he is asked the Fed to quote unquote lower rates, but the Fed actually doesn’t like. Set rates, what they do is they set a target and then they manipulate markets to achieve those rates. And if, if people believe the fed, there’s a little bit of front running. So what’ll happen is the Fed will come out and go, oh, we’re gonna lower rates, which means bond prices are gonna go up. So they’re like, that’s great, let’s go buy a bunch of bonds, which drives rates down. So the Fed just by talking. Begins to move the market and then they hope that later on the Fed will buy those bonds from them at a profit to push rates down. Does that make sense? So, so when the last two times the Fed has raised rates in their target, the 10 year has responded in the opposite direction. Which means that the market is like not buying in, and the Fed is gonna have to step in. And when the Fed steps in, they do it by printing money out out of thin air. Now, the concern about that is that when they print the money out of thin air. If they’re replacing bonds on their own balance sheet, that’s kind of a circle and it doesn’t leak out into the economy. If they’re buying new issuance from the the treasury, then that money is gonna work its way through the government to to to main street. Now, the Trump administration can prevent some of that by keeping the money in the Treasury, for example, uh, Trump 1.0 left. The Biden administration with, I think over a trillion dollars in, in the treasury checking account, and Janet Yellen put that into the economy right away during the lockdowns, which immediately created extreme inflation because you muted production at the same time you goose. Uh. Purchasing power, you know? So anybody with like three ounces of economic understanding could have told you that that inflation was gonna come, it was gonna come hard, it was gonna come fast, and it was gonna be stickier than than you thought. ’cause once you let that money out in the economy, it’s out. It’s out and the only way to mute it is either to suck it back, which is very, very difficult, or to outproduce it, and it’s very hard to produce anything when everything’s in lockdown. So I think that, you know, those days are behind us. I think the policies that we’re embracing now are more. Pro productivity. And I think that even if the Fed does have to step in, as long as that money doesn’t leak out into the economy, and part of it is the treasury being able to throttle some of that, and the money that does go into the economy doesn’t go into stimulus, but goes into CapEx and infrastructure, that’ll actually, uh, create. Production. Then I think that, you know, this, this game plan that I think they’re trying to execute has a chance. And so I, I’m, I’m watching for it. And of course, to answer your question, what do we have to worry about that it doesn’t work? Right? If it doesn’t work, then inflation will show up. Interest rates will rise, credit markets will crash, it will take real estate values with it. And the hedge is really gonna be, what I’ve always talked about is gold. I started talking back in 2018 when we were the zero bound with interest rates. Hey, there’s only one way interest rates can go and that’s up. And if they go up fast, then that’s gonna crash bonds. So it would be smart, and that’s gonna take real estate equity with it. So it’d be smart when you have real estate equity and low rates to pull some of that equity out and move it into gold. And I called that my precious equity strategy. If I have a video I did at the Vancouver Resource Investment Conference in January of 2022, explaining that when you could still really execute on that, and I’m not saying that you couldn’t do it today, but it’s harder, but the people who did it back then, I mean, you know, they’ve, they’ve seen their gold almost triple. And at the same time, they were able to lock in interest rates that are, you know, a half what they are today. So when you see those mega trends and you can begin, and that’s the stuff I didn’t know how to do in 2006, 2007. I didn’t understand any of this stuff. The, the, you know, losing everything in 2008 forced me to become a hardcore student and then try to apply that to Main Street strategy. And so I think gold and real estate and debt, they all work really well together depending on where you are in the cycle. Do you think that Main Street investors may actually have some advantages in periods like this? Yes, a ton because I think what’s gonna happen is if we have a, um, a, a, a restructure of the financial system into something more responsible, which I think is either gonna be forced upon us or it’s gonna be done by design, and I hope we do it by design. But when that happens, then the days of just buying low and selling high and riding the inflation wave that goes away. And so now it’s gonna be very, very important to understand how to invest for. Productivity. So I call it, you know, buy low sell high trading as an acronym, B-L-S-H-T you. You can sound it out for yourself phonetically. And then the other one is poo, which is productivity of others. And I think that if people focus on investing in the productivity of others, which is what Main street investors, especially real estate investors, focus on, I think cash flow, real profits on small businesses, not speculating on. Uh, exit price or a company that’s gonna take a company public, everybody trying to tap into this giant flood of money that gets pre created from thin air in the banking system and in Wall Street. If, if, if people on Main Street will just start investing. Kind of what Kenny McElroy was doing going through 2008, just focusing on sound assets and good markets with good fundamentals. That cash flow and, and are run by good managers, whether it’s a business, an apartment building, a mobile home park, a self storage, residential assisted living doesn’t really matter. Invest in real businesses that produce real profits where you’re not overpaying for that production of income and especially where there’s some upside. Not to flipping out of the stock, but to actually growing the market share and growing the income. That’s what investing really should be. Wall Street has perverted it into just placing bets and riding a wave and trying to figure out where the money is gonna flow from the Treasury or for from Fed stimulus. And I think Main Street is gonna pick up on the new game sooner. And the good news is if you get good at playing that game, even if the system stays the same, you’re probably gonna do better off anyway. When you talk about buying, buying or investing into productive businesses, I mean, what, what’s the difference in your mind between investing in a private business versus investing in a, you know, a publicly traded business that’s run off, you know, dividends? Yeah, so I, I, I think that it could be okay if the dividend yield makes sense, but anytime you have a publicly traded security, it’s a highly liquid market, which means it’s gonna be volatile and the stocks become chips in the casinos where professional traders are just gambling all day long. And some of that gambling can create an impact on the stock, and it doesn’t matter to you if you’ve only bought it for production of income. Um. And so, uh, you know, I, I don’t think it’s bad. I’ve, you know, Peter’s always been an advocate of, uh, dividend paying stocks, and I think if you’re gonna be in the stock market, that’s what you want to do. I think the opportunity in a private placement in a small business is the opportunity not to have to pay the high multiples because it’s not a perfect market. It’s, it’s the same reason there’s so much more opportunity in real estate. If real estate could trade on an electronic exchange where. You know, millions of buyers could find it, and you could have perfect price discovery. It’s very difficult to find a deal, right? It’s very difficult. But we, if you buy a private business, you know there’s gonna be considerations. You, you deal with a, a owner. Who cares about his customers, who cares about his team, maybe would be willing to carry back the way you would if you were buying a, a, a piece of property from somebody that cares about their neighbors or whatever. I mean, there’s, there’s, there’s a lot more humanity in it. There’s a lot more room for negotiation in it. And a lot of times there’s a lot more room to have control. So, you know, one of the adages with real estate that real estate investors like is, I’m gonna buy an asset, one that I understand, two that I can control. And so when you buy a stock, like a dividend paying stock, you, you might understand the business, you may not understand completely the. Uh, market dynamics that drive the stock price. But as long as the dividends are there, that can be okay, but you don’t have any control. When you actually go buy a small business, you have a, a degree of control. Now, if you’re a passive investor buying into a syndication, then you still have a little bit more, um. Relationship, you have a little bit more insight. You maybe have a voice. You may know the people that are making the decision and running the company personally. So it’s the same thing. You know, you Buck is a syndicator. When you go do a deal, your investors know you. They have a personal relationship with you. Go buy stuff in the stock market and mutual fund managers and investor. You don’t have a relationship with that fund manager and I think that’s worth something if you have a voice right. So we’ve, we’re talking a little bit about credit markets, um, volatility, you know, interest rates. Are they gonna go down like, you know, Donald Trump would like to see, and you know, we’ve got a new fed share coming, all that kind of thing. How should investors be thinking about leverage and risk right now? I, I think the adage with real estate, uh, I mean, sorry, with leverage is always the same, is, um, you know, manage cash flow. I, if, if you use leverage to speculate, that could be a real problem. And whether you did it. Do it for real estate like I did by having very thin or negative cash flow and making that up someplace else and believing that somehow, you know, rents or appreciation are gonna do it. Or buying a non-income producing asset with borrowed funds hoping it’s gonna go higher. I think that would be dangerous, but I think if you fundamentally use debt as a tool. Based on cash flows and you use conservative cash flows, you know, so the debt service coverage ratio, you know, if you have $10,000 a month going out in debt service, make sure you have at least, you know, $12,000 a month coming in on income or above. Then that’s how you begin to build resiliency into your portfolio. And the other thing is don’t borrow long to invest short, right? So your duration matters a lot. We were talking about this before we hit the record button, and I think what happens is people. Uh, make a mistake when they try to operate like a bank. ’cause banks lend short and invest long. And the only reason they get away with it is because they have the Federal Reserve Bank system backstopping them. But you don’t have that as an individual, so you better to do the opposite. Um, if you can match the durations, that’s perfect, right? ’cause then you know what your interest expense is for the, for the duration of the investment. And once you lock in the spread, then you just have the counterparty risk of the, whoever is responsible for creating that income stream that’s gonna service the debt you use to control the asset. And then it just comes down to underwriting and then recourse. And if you feel comfortable with the underwriting and you feel comfortable with the recourse, and you’ve got spread and you’ve locked in a, a duration. Um, that, that is compatible, then that can be a, a, a fairly safe way to use debt. And if interest rates work against you, then you’re okay. And if interest rates work for you, you might be able to refinance your debt and actually increase your spread, but you don’t need it to happen to be successful. Let’s talk a little bit more about what you’re doing right now. So in the past year, you’ve launched, um, several new initiatives. You had masterminds via platforms. Tell us a little bit about this and, and a little bit more what, what you’re trying to accomplish. Well, you know, after losing my wife, um, you, you go through this. Period of time of like figuring out, okay, life is short. What do I want to get done before I left die myself. And so, um, after thinking about that, I went back to really what I came to do when I first met Robert Helms and got involved in the real estate guys. And so I just kinda went back to home base and. Then the other thing is now I’ve got 17 grandchildren, and so I’m thinking a lot less like a father, more like a, a grandfather, a founding father. And, um, and so I’m thinking about what the world is gonna be like in 40, 50, 60 years, and what can I do to plant a seed that will make that world better for my grandchildren? And so I, I did a couple things. One is, um, after I left the real estate guys, we were going through a merger with Ken McElroy, George Gammon and Jason Hartman to create, um, a mastermind group, which we did. And I, I was CEO of that for the. The year during the merger. And that took up some time. And the second thing I decided to do, uh, ironically, it was after a conversation I had with Charlie Kirk. I had a conversation with Charlie Kirk. I said, Hey, I’ve got this idea to help, uh, K through 12 get involved in, in capitalism by starting businesses or working with businesses. Their parents start, and I explained to him the model. He goes, I love it. I want to help you. And so that encouraged me. And then I had a follow up meeting in January of 20. 24 with Mark Victor Hansen, and he really encouraged me. And so with the strength of those two endorsements, I go, you know, I’m gonna do this. And so, uh, I left the real estate guys in, um. March, late March of 2024, and in the summer of 2024, I, I launched the Raising Capitalists Foundation, and people can learn more about that by going to raising capitalists plural.org. And I, I literally launched it at Freedom Fest on July 13th, 2024 and five minutes before I took the stage, Donald Trump got shot. Always remember where I was and how distracting it was, but I did record that presentation and it’s on the website, and so it explains the model. But in, in short, it’s pairing, um, or it’s, it’s putting parents who are in what Kiyosaki, uh, rich Dad would call the E-Class employees. And, uh. Put them under a mentorship program with experienced entrepreneurs and investors to help them start a business, a side hustle. They need the money and they need a mentor. And so then they, um, it can create a situation where their children can come to work for them in the business. And today, information Society, you know, there’s a lot of things kids can do where they learn real life skills, um, working with their parents. So that’s what the Raising Capitalist Foundation is all about. Then I launched two shows. Uh, in 2025, uh, one is I literally just launched like a week ago, and that’s. That Donald Trump video was really the first one that I put out, the Donald Trump versus Peter Schiff video on YouTube. I haven’t even started the podcast side of it. Um, and in on September 27th, uh, on pray.com, I started, uh, another show that, that one’s called the Main Street Capitalist. So if you go to YouTube and look at the Main Street capitalist, you’ll, you can find me there. And then the other one I created was the Christian capitalist. And I kind of went back to, you know, my, my core roots of realizing when I started looking at. Where the country was at, John Adams said that, um. Our Constitution was designed for a moral and religious people and is really wholly inadequate for any other, and so I thought, you know what? I’m I, I’m going to do that because my experience as a, as a Christian businessman is that I find that sometimes the stuff I get in church is more consumer oriented, and it doesn’t, it’s more employee oriented. I, I don’t. And, and then the other part of that is I created a, a ministry called Fellowship, a Christian capitalist, which is really about helping people put purpose into their business and then, you know, express their faith. Love your neighbor. Through their business. And so I’ve got all these different initiatives going and then I created the Main Street Media Network because I wanting to reach youth. I hired a YouTube coach and I said, look, I want to create content to encourage youth. He goes, that’s great. You can’t do it. You’re too old, he said, so what you need to do is find young people you can mentor and teach them the things that you’ve learned and let them teach it in their own words and they’ll reach their generation better than you. So with Main Street Media Network, I’m I, I’ve got. Two guys that I’m apprenticing right now, but I’m gonna be adding a lot more. Um, one, one young man is 20 years old, the other one is 26 years old. And, uh, I just came back from the Turning Point USA event where we had a broadcast booth and they were conducting interviews and I did the New Orleans Investment Conference. And so these guys are sitting down with Peter Schiff, Robert Kiyosaki, Mike Maloney, Ken McElroy, you know, you, you know what that did for you, buck with your show. You know, you, you met all these people through us and then you. We’re able to build upon that and create a very credible show. So I’m doing that for these guys that are in their twenties with the idea that they will be able to reach a generation of people. Uh, I call it putting Boomer Wisdom in Gen Z mounts. I mean, they get to process it and it gets to be their own. And I’m helping them build financial podcasts that actually make the money and is the foundation of, in this case, they’re both capital raisers of their capital raising business. I got all these different things going, but I’m doing it through leaders, so I’m not trying to do all things myself. Yeah, yeah. Um, but I’m building out an ecosystem to accomplish all these goals and so far so good. It’s a lot. Sounds working like a young man, man, man. I’ll tell you that. I know, I know. Wow. I I thought you were gonna slow down after you. No, I’ve actually, I put my, I put, I put my foot on the gas. I, I’ve probably never worked, uh, harder. Um, but I, I think I’m working smart, you know, so I’m hiring coaches and I’m bringing in, um, leaders and going through all that EOS and organizing to scale stuff. Sounds good. Well, always a pleasure, Russ. Um, make sure not to be a stranger to have you on again, um, you know, in a few months and figure out where you’re going with all this stuff. All the new things that you’ve accomplished, but it’s, uh, it’s great to see you. Well, happy to be here, proud of you. Uh, keep up the good work and keep educating people. Thank you. You make a lot of money, but are still worried about retirement. Maybe you didn’t start earning until your thirties. Now you’re trying to catch up. Meanwhile, you’ve got a mortgage, a private school to pay for, and you feel like you’re getting further and further behind. Now, good news, if you need to catch up on retirement, check out a program put out by some of the oldest and most prestigious life insurance companies in the world. It’s called Wealth Accelerator, and it can help you amplify your returns quickly, protect your money from creditors, and provide financial protection to your family if something happens to you. The concepts here are used by some of the wealthiest families in the world, and there’s no reason why they can’t be used by you. Check it out for yourself by going to wealthformulabanking.com. Welcome back to the show everyone. Hope you enjoyed it. As always, Russ, uh, is, uh, you know, he’s, he’s got a lot of wisdom. He is the guy you really wanna listen to. And I would encourage you to follow his work anyway. Uh, just pivoting back, you know, to where this economy is and all that. I think for me personally, it’s about allocating capital in a market that is a, uh, is certainly losing value in its dollars. And, um, and I think that we’re gonna continue to see that. Speaking of that, make sure if you haven’t, as I mentioned before, sign up for the Accredited Investor Club. Go to wealthformula.com, go to investor club, as we have plenty of those types of things that are hedging against inflation, um, saving taxes in terms of tax mitigation strategies, that kind of thing. Check it out. That’s it for me This week on Well Formula Podcast. This is Buck Joffrey signing off. If you wanna learn more, you can now get free access to our in-depth personal finance course featuring industry leaders like Tom Wheel Wright and Ken McElroy. Visit wealthformularoadmap.com.
The ex-husband of Monique Tepe has been arrested and charged with murdering her and her husband Spencer Tepe in their Columbus, Ohio home. Michael David McKee, 39, a vascular surgeon living in Chicago, was taken into custody Saturday in Rockford, Illinois, after detectives linked him to a vehicle captured on surveillance footage near the crime scene. Spencer Tepe, 37, a dentist, and Monique Tepe, 39, were found shot dead on December 30, 2025. He suffered multiple gunshot wounds; she was shot at least once in the chest. Three 9mm casings were found inside. No weapon was recovered. No forced entry. Their two children — a 4-year-old daughter and 1-year-old son — were found unharmed. McKee and Monique married in August 2015 and separated seven months later. Divorce documents reveal Monique listed both her engagement and wedding rings as "Separate Property" with the explanation "I paid." The separation agreement required her to reimburse McKee $1,281.59 with a 23% interest penalty. She filed for divorce citing incompatibility and paid for a private judge to speed things up. Eight years passed. She remarried. Had kids. Built a life. And then, allegedly, her ex-husband drove from Illinois and killed her and Spencer in the home where they'd exchanged vows. Police have not released a motive. McKee awaits extradition to Ohio.#TepeMurders #MichaelMcKee #SpencerTepe #MoniqueTepe #ColumbusOhio #OhioMurder #ExHusbandCharged #WeinlandPark #DoubleHomicide #TrueCrimeTodayJoin Our SubStack For AD-FREE ADVANCE EPISDOES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.
Hidden Killers With Tony Brueski | True Crime News & Commentary
Michael David McKee, a 39-year-old vascular surgeon from Chicago, has been arrested and charged with two counts of murder in the deaths of his ex-wife Monique Tepe and her husband Spencer Tepe. The couple was found shot dead inside their Columbus, Ohio home on December 30, 2025. Their two young children — ages 4 and 1 — were discovered unharmed in another room. McKee and Monique were married in August 2015 but separated after just seven months. Divorce documents obtained through public records reveal she listed her engagement ring and wedding ring as "Separate Property," stating "I paid" as the reason. The separation agreement included a clause requiring her to pay McKee $1,281.59 with 23% interest if late. She filed on grounds of incompatibility and paid for a private judge to expedite the process. Eight years later, Monique had remarried Spencer Tepe, a dentist, and built a new life. Columbus detectives tracked McKee through surveillance footage showing a vehicle near the Tepe home before and after the killings. He was arrested without incident in Rockford, Illinois. No motive has been released. McKee had no prior criminal record. His neighbor told reporters she used to chat with him poolside — "and then he turns out to be a killer."#MichaelMcKee #MoniqueTepe #SpencerTepe #TepeMurders #ColumbusOhio #ExHusbandCharged #VascularSurgeon #OhioHomicide #TrueCrime #HiddenKillersJoin Our SubStack For AD-FREE ADVANCE EPISDOES & EXTRAS!: https://hiddenkillers.substack.com/Want to comment and watch this podcast as a video? Check out our YouTube Channel. https://www.youtube.com/@hiddenkillerspodInstagram https://www.instagram.com/hiddenkillerspod/Facebook https://www.facebook.com/hiddenkillerspod/Tik-Tok https://www.tiktok.com/@hiddenkillerspodX Twitter https://x.com/tonybpodListen Ad-Free On Apple Podcasts Here: https://podcasts.apple.com/us/podcast/true-crime-today-premium-plus-ad-free-advance-episode/id1705422872This publication contains commentary and opinion based on publicly available information. All individuals are presumed innocent until proven guilty in a court of law. Nothing published here should be taken as a statement of fact, health or legal advice.
Our conversation picks back up with an article titled “Mental toughness in surgeons: Is there room for improvement?” This paper was published in the December 2019 issue of the Canadian Journal of Surgery and evaluates mental toughness among general surgery residents and staff surgeons using the Mental Toughness Index. The authors found that staff surgeons score significantly higher across all domains—including self-belief, attention and emotion regulation, optimism, buoyancy, and adversity capacity—than residents. Survey data from three Canadian academic centers showed that although both groups use some techniques to manage stress, staff rely on these strategies more frequently, and both residents and staff express strong interest in further developing mental toughness skills. The study also identifies gender differences, with men scoring higher in attention and emotion regulation. The authors highlight the lack of formal mental toughness training in surgical education despite evidence from athletics and paramilitary fields supporting structured psychological skills training. Then, from this month's issue of the Journal of the Association for Surgical Education, we review an article titled “Do expert surgeons use mental skills to improve their surgical performance?” This study explores whether expert pancreaticoduodenectomy (Whipple) surgeons use mental skills during complex operations and how these strategies map onto known performance psychology frameworks. Through structured interviews with 15 internationally recognized high-volume surgeons, the authors found that all participants consistently employ cognitive techniques—including preoperative mental rehearsal, deep task focus, emotional regulation, maintaining situational awareness, and reframing unexpected events—to optimize performance under pressure. Surgeons described entering a “flow-like” state during critical steps, relying on deliberate calmness, structured routines, and controlled breathing to manage stress and maintain precision. These mental skills closely parallel those used in elite athletes and high-stakes professions, suggesting that expert surgical performance is supported not only by technical mastery but also by refined psychological strategies. The authors argue that mental skills training could be formally integrated into surgical education to help trainees develop the cognitive tools that expert surgeons intuitively use.
Guest: Ronald White. Returning to duty, Chamberlain led a frontal assault at Petersburg in 1864, where he suffered a catastrophic wound through the hips that surgeons deemed fatal. Believing he was dying, he wrote a farewell letter to Fanny, yet miraculously survived due to his brother Tom's help and sheer will. Later, at the Battle of Five Forks, he defended General Warren against General Sheridan's dismissal. At the war's end, Chamberlain was selected to receive the Confederate surrender at Appomattox. In a controversial but defining gesture, he ordered a marching salute to honor the courage of the defeated Southern soldiers.1863 GETTYSBURG
Broadcast from KSQD, Santa Cruz on 1-08-2026: Dr. Dawn concludes her 2025 medical advances recap, noting that while GLP-1 weight loss drugs showed unexpected benefits for addiction, schizophrenia, and dementia risk, Novo Nordisk recently reported semaglutide had no effect on cognition in people with existing dementia or mild cognitive impairment. She describes the first successful human bladder transplant performed on May 4th. The 41-year-old recipient received both kidney and bladder due to the bladder's complex blood vessel network. Surgeons practiced on cadavers with active circulation before achieving success, opening pathways for future bladder-only transplants for the 84,000 Americans diagnosed with bladder cancer annually. An emailer follows up about purslane for cognitive health. Dr. Dawn reviewed the referenced studies and found neither actually supported claims about purslane and cognition—one discussed the Lyon Heart Study's Mediterranean diet, the other described antioxidant properties. She cautions listeners that websites citing "scientifically proven" claims often reference articles that don't support their assertions. An emailer asks about statin alternatives after developing severe muscle pain on both atorvastatin and rosuvastatin. Dr. Dawn suggests he shouldn't be on statins given his classic adverse reaction. She recommends ezetimibe plus oat bran for cholesterol, metformin for his elevated triglycerides indicating insulin resistance, and checking LDL particle size and inflammation markers. She emphasizes that cholesterol is a risk factor, not a disease, and treating 50 low-risk people for 10 years prevents only one heart attack. A caller discusses plaque formation theory, comparing it to calluses. Dr. Dawn explains Linus Pauling's similar hypothesis that plaque forms at vessel bifurcations to protect against turbulent blood flow damage. She warns against driving total cholesterol below 130, as it disrupts steroid hormone production. The caller shares his mother's near-fatal rhabdomyolysis from statins—muscle breakdown releasing myoglobin that clogs kidneys—and criticizes data transfer failures between hospital systems. An emailer reports four UTIs in two months at age 79. Dr. Dawn questions whether all were true infections, since vaginal contamination causes false positives on dipstick tests. For confirmed UTIs, she recommends D-mannose and cranberry to prevent bacterial adhesion, post-void residual ultrasound to check for incomplete emptying, lactobacillus probiotics, and vaginal DHEA (Intrarosa) to restore mucosal thickness and disease resistance. Dr. Dawn describes Stanford's Phase III trial for dystrophic epidermolysis bullosa, where defective collagen-7 causes skin layers to separate at the slightest touch. Researchers take patient skin biopsies, use retroviruses to insert corrected genes, grow credit-card-sized skin grafts over 25 days, then suture them onto wounds. At 48 weeks, 65% of treated wounds fully healed versus 7% of controls. She reports a Stanford study showing premature babies who heard recordings of their mothers reading for 2 hours 40 minutes daily developed more mature white matter in language pathways. The left arcuate fasciculus showed greater development than controls, demonstrating how early auditory stimulation shapes brain circuitry even in NICU settings. Dr. Dawn concludes with tattoo safety concerns. Modern vivid inks contain compounds developed for car paint and printer toner, including azo dyes that break down into carcinogenic aromatic amines—especially during laser removal. Pigment particles migrate to lymph nodes and persist in macrophages, causing prolonged inflammation. She advises those with tattoos to avoid laser removal, wear sunscreen, practice lymphatic hygiene, and reconsider extensive new tattoos.
Why would God wound the righteous? In this episode of Light + Truth, John Piper turns to Job 32–37 to show how pain can rescue those God loves.
About this episode: Emmy-award winning drama "The Pitt" returns for a second, thrilling season that follows 15 hours in an emergency department for doctors, nurses, residents, and administrators. In this episode: Dr. Emily Boss discusses what the show gets right about real-life hospitals, from the medicine to the stress to the systemic barriers that can make delivering quality health care difficult. You don't have to watch the show to enjoy this conversation! Guests: Dr. Emily Boss, MPH, is a pediatric otolaryngologist and a professor of Health Policy & Management at the Johns Hopkins Bloomberg School of Public Health. Host: Dr. Josh Sharfstein is distinguished professor of the practice in Health Policy and Management, a pediatrician, and former secretary of Maryland's Health Department. Show links and related content: I'm a Surgeon. This Is the Messy Truth 'The Pitt' Exposes—Newsweek Transcript information: Looking for episode transcripts? Open our podcast on the Apple Podcasts app (desktop or mobile) or the Spotify mobile app to access an auto-generated transcript of any episode. Closed captioning is also available for every episode on our YouTube channel. Contact us: Have a question about something you heard? Looking for a transcript? Want to suggest a topic or guest? Contact us via email or visit our website. Follow us: @PublicHealthPod on Bluesky @PublicHealthPod on Instagram @JohnsHopkinsSPH on Facebook @PublicHealthOnCall on YouTube Here's our RSS feed Note: These podcasts are a conversation between the participants, and do not represent the position of Johns Hopkins University.
What if your chronic pain, bloating, or fatigue wasn't in your head, but in your blood vessels? In this episode, Dr. Linda Bluestein sits down with vascular surgeon Dr. Robert Hacker, who's on the front lines of diagnosing and treating complex conditions like MALS (Median Arcuate Ligament Syndrome), Nutcracker Syndrome, May-Thurner Syndrome, and pelvic venous congestion syndrome, conditions that disproportionately affect women and often go undiagnosed for years. Together, they dive into the frustrating diagnostic delays, the overlap between vascular compression and syndromes like POTS (Postural Orthostatic Tachycardia Syndrome) and EDS (Ehlers-Danlos Syndrome), and how new surgical approaches are offering hope. Whether you're navigating chronic pelvic pain, unexplained GI symptoms, or fainting episodes, this conversation breaks down the misunderstood links between your veins, nerves, and connective tissue—and what to do about them. Takeaways: MALS isn't rare, it's rarely diagnosed. Dr. Hacker explains the symptoms and scans to look for when your gut symptoms don't match the tests. Why so many women are misdiagnosed with IBS or anxiety. Pelvic venous congestion, Nutcracker Syndrome, and May-Thurner often mimic more common conditions—but require totally different treatments. The surprising connection between vascular compression and POTS. It's not just nerves, your veins might be compressing in ways that worsen dysautonomia. Surgery isn't a silver bullet, but it can be life-changing. Dr. Hacker shares what makes a good surgical candidate and how his team helps patients navigate workup and recovery. When your connective tissue works against your vascular system. Hypermobility and EDS can make vascular compression more likely and more complicated to treat. Want more Dr. Robert Hacker? Instagram: https://www.instagram.com/stlvascular/ Want more Dr. Linda Bluestein, MD? Website: https://www.hypermobilitymd.com/ YouTube: https://www.youtube.com/@bendybodiespodcast Instagram: https://www.instagram.com/hypermobilitymd/ Facebook: https://www.facebook.com/BendyBodiesPodcast X: https://twitter.com/BluesteinLinda LinkedIn: https://www.linkedin.com/in/hypermobilitymd/ Newsletter: https://hypermobilitymd.substack.com/ Shop my Amazon store https://www.amazon.com/shop/hypermobilitymd Dr. Bluestein's Recommended Herbs, Supplements and Care Necessities: https://us.fullscript.com/welcome/hypermobilitymd/store-start Thank YOU so much for tuning in. We hope you found this episode informative, inspiring, useful, validating, and enjoyable. Join us on the next episode for YOUR time to level up your knowledge about hypermobility disorders and the people who have them. Join YOUR Bendy Bodies community at https://www.bendybodiespodcast.com/. YOUR bendy body is our highest priority! Learn more about Human Content at http://www.human-content.com Podcast Advertising/Business Inquiries: sales@human-content.com Part of the Human Content Podcast Network FTC: This video is not sponsored. Links are commissionable, meaning I may earn commission from purchases made through links Learn more about your ad choices. Visit megaphone.fm/adchoices
In this episode of the Brain and Life podcast, host Dr. Daniel Correa is joined by Dr. Elvis Francois, a spine surgeon known for integrating music into his practice. They discuss the intersection of music and medicine, common spine conditions, and the importance of human connection in healthcare. Dr. Elvis shares his journey from being a young musician to a surgeon and how music can enhance patient care and emotional well-being. Additional Resources How Spinal Surgery Helped Gloria Gaynor Beat Chronic Pain and Return to the Stage What is Spinal Cord Injury? The Growing Role of Music Therapy in Health Care Brain & Life Podcast Episodes on These Topics Answering Your Spinal Cord Injury Questions with Dr. Shelly Hsieh "Roll with Cole & Charisma" On Building a Life Together as an Interabled Couple How Disability Advocate Wesley Hamilton Became Empowered by Adversity We want to hear from you! Have a question or want to hear a topic featured on the Brain & Life Podcast? · Record a voicemail at 612-928-6206 · Email us at BLpodcast@brainandlife.org Social Media: Guest: Dr. Elvis Francois @dr.elvis.francois Hosts: Dr. Daniel Correa @neurodrcorrea; Dr. Katy Peters @KatyPetersMDPhD
In this episode of The Cordial Catholic, I'm joined by my new friend Deacon Patrick Lappert, MD a double-board certified Naval surgeon with what must be one of the wildest Catholic conversion stories you'll ever here. Seriously, buckle up for this one. Deacon Patrick's story is one of God relentlessly pursuing someone in love. Raised Jewish, Deacon Patrick spent most of his life as an atheist and through a series of increasingly unmistakable, unavoidable miracles, began to look into Christianity and the Catholic faith. The parallels Deacon Patrick saw between his Jewish upbringing and Catholicism – the connections – as well as the incredible miracles God was doing in his life, led Deacon Patrick to the unmistakable conclusion that God wanted him to become Catholic.The rest is history. But, wow, what a story!For more from Deacon Patrick check out his work through Courage International.Send your feedback to cordialcatholic@gmail.com. Sign up for our newsletter for my reflections on episodes, behind-the-scenes content, and exclusive contests.To watch this and other episodes please visit (and subscribe to!) our YouTube channel.Please consider financially supporting this show! For more information visit the Patreon page. All patrons receive access to exclusive content and if you can give $5/mo or more you'll also be entered into monthly draws for fantastic books hand-picked by me.If you'd like to give a one-time donation to The Cordial Catholic, you can visit the PayPal page.Thank you to those already supporting the show!Theme Music: "Splendor (Intro)" by Former Ruins. Learn more at formerruins.com or listen on Spotify, A very special thanks to our Patreon co-producers who make this show possible: Amanda, Elli and Tom, Fr. Larry, Gina, Heather, James, Jorg, Michelle, Noah, Robert, Shelby, Susanne and Victor, and William. A very special thanks to our Patreon co-producers who make this show possible: Amanda, Elli and Tom, Fr. Larry, Gina, Heather, James, Jorg, Michelle, Noah, Robert, Shelby, Susanne and Victor, and William.Beyond The BeaconJoin Bishop Kevin Sweeney for inspired interviews with Catholics living out their faith!Listen on: Apple Podcasts Spotify Beyond The BeaconJoin Bishop Kevin Sweeney for inspired interviews with Catholics living out their faith!Listen on: Apple Podcasts SpotifySupport the showFind and follow The Cordial Catholic on social media:Instagram: @cordialcatholicTwitter: @cordialcatholicYouTube: /thecordialcatholicFacebook: The Cordial CatholicTikTok: @cordialcatholic
Luxury isn’t accidental—it’s engineered. On this episode of Right About Now, Ryan Alford is joined by Dr. Deepak Dugar, one of the world’s most respected surgeons and the architect behind one of Beverly Hills’ most exclusive medical brands. Dr. Dugar shares how he built a global reputation by going all-in on a single niche, refusing to compete with mediocrity, and designing a business that prioritizes quality over volume—in clients, hiring, and brand positioning. This conversation goes far beyond medicine. It’s a blueprint for entrepreneurs who want to: Stand out in hyper-competitive markets Build premium brands with demand built in Create exclusivity without paid advertising Hire elite performers and avoid energy vampires You’ll Learn: Why “riches in the niches” is more than a cliché How luxury brands intentionally repel the wrong customers The difference between good revenue and bad revenue Why elite operators pick their competition carefully How to build a brand that attracts the world’s best clients Connect with Dr. Deepak Dugar Instagram: Deepakdugarmd Website: www.Scarlessnose.com
Empowered Relationship Podcast: Your Relationship Resource And Guide
Ever notice that it's not the everyday conversations or simple disagreements that shape the quality of a relationship—it's those high-stakes moments, the tough talks that feel risky and uncomfortable, that truly define the connection. Far too often, we skirt around what really needs to be said, trading short-term relief for long-term regret. Whether it's at work or at home, these avoided discussions can lead to resentment, disconnection, and a sense of self-abandonment. In this episode, listeners will dive deep into understanding why we tend to avoid these "last 8%" conversations, what emotional forces are at play, and how learning emotional intelligence can transform conflict into an opportunity for growth. Through practical insights and relatable stories, the discussion explores how you can recognize your own patterns under pressure, build self-awareness, and learn strategies to approach difficult dialogues with clarity, empathy, and courage. If you're ready to break out of avoidance and start showing up authentically—for yourself and your relationships—this episode offers a roadmap to addressing the hard stuff and reclaiming connection. Bill Benjamin is a Partner at the Institute for Health & Human Potential. He has degrees in Mathematics and Computer Science and 30 years of business experience. Bill explains how you can build a high-performance Last 8% Culture by leveraging the science of emotional intelligence. His clients include NASA, Marriott, Intel, the Mayo Clinic, the U.S. Marines and Surgeons. Episode Highlights 05:07 The importance and science behind emotional intelligence in relationships and business. 07:24 The origin of the "Last 8%" concept and its impact on difficult conversations. 10:03 Fight, flight, and the roles we play: Avoiders, mess-makers, and emotional triggers in relationships. 14:39 Navigating emotional intelligence at work versus at home. 18:16 The costs of avoidance. 21:06 Recognizing your role and contribution in conflict. 28:36 Understanding others' intentions in pressure situations. 29:15 Practical strategies for handling relational conflict. 35:12 Addressing shame and trauma in relationship pressure points. 36:15 Taking action: Sensitive communication and resources for emotional intelligence development. Your Check List of Actions to Take Start with Self-Awareness: Regularly check in with your body and mind for early signs of emotional activation, like tense muscles or scattered thoughts. Pause Before Reacting: If you notice emotional triggers, pause and take several deep breaths to regain mental clarity and composure. Name Your Patterns: Reflect on whether you tend to avoid difficult conversations or "make a mess" by confronting too strongly. Get Curious About Others: In moments of tension, intentionally seek to understand the other person's perspective—what's driving their reaction or behavior? Build Empathy Bridges: Imagine stepping over to the "other side of the bridge," as suggested, to genuinely validate the other person's feelings before expressing your own. Return To The Conversation: If you need a break during a heated moment, communicate that you'll revisit the topic, rather than letting it drop indefinitely. Express Your Emotional Needs: Practice communicating your own needs and boundaries directly, knowing it's essential for building mutual respect and trust. Seek Support When Needed: If shame, trauma, or persistent avoidance is hindering healthy interactions, reach out to a therapist, mentor, or supportive resource for guidance and perspective. Mentioned Performing Under Pressure: The Science of Doing Your Best When It Matters Most (*Amazon Affiliate link) (book) The Secret to Building a High-Performing Team (Harvard Business Review article) 12 Relationship Principles to Strengthen Your Love (free guide) Connect with Bill Benjamin Websites: ihhp.com Facebook: facebook.com/IHHPGlobal X: x.com/IHHP YouTube: youtube.com/channel/UC0UYI0Vuy99P8Hdj-r3hr4w Instagram: instagram.com/ihhpglobal LinkedIn: linkedin.com/in/bill-benjamin-12b671
After a long break, Disrupt Dublin is returning on Thursday, 26 February 2026, bringing fast talks, sharp thinking, and real conversations about the future of work in Ireland. In this episode, I'm joined by my event co-host Bill Banham, Editor of HR Gazette, host of the HRchat Podcast, and one of the long-standing forces behind Disrupt events across the UK, Ireland, the US, and Canada. We talk about why now is the right time to relaunch DisruptHR Dublin, what makes the format different from traditional HR conferences, and what attendees can expect on the night. What Is Disrupt? Disrupt was founded in 2013 in Cincinnati and has since run events in more than 170 cities worldwide. Its format is simple and demanding: Five-minute talks Twenty slides Slides auto-advance every 15 seconds Speakers have no room to waffle. They must be clear, direct, and honest. The result is high-energy talks that get straight to the point and often say the things people are already thinking but rarely hear on stage. Bill explains how this format changes the dynamic for both speakers and audiences, creating a sense of shared risk, focus, and connection. The aim is not polished perfection, but useful ideas that spark new thinking. Why Disrupt Dublin Matters This will be the first Disrupt event in Dublin since before the pandemic, and the relaunch is designed to feel social, open, and practical. Rather than a full-day conference, Disrupt Dublin is an evening event with time built in for proper conversations. Talks are recorded and added to the global Disrupt library, which now hosts thousands of short presentations from around the world. Topics on the night will span leadership, culture, talent, technology, learning, wellbeing, and how work is really changing in 2026 and beyond. Tickets here: https://www.eventbrite.ie/e/disrupt-dublin-returns-tickets-1976595846385. Event Details Date Thursday, 26 February 2026 Time 5:00 pm to 8:30 pm GMT Location Personio Dublin Georges Quay House, 43 Townsend Street, Dublin 2 Agenda 5:00 – 6:00 Registration and networking Drinks, canapés, and first conversations 6:00 – 6:15 Welcome and opening remarks 6:15 – 7:00 Lightning Talks – Round One 7:00 – 7:15 Break 7:15 – 8:00 Lightning Talks – Round Two 8:00 – 8:30 Wrap-up and final networking Speakers Include Kelsey Cates, Global Head of Learning Experiences, Google Elizabeth Buckley, HR Director, Forvis Mazars John Kennedy FCIPD, Head of HR Organisational Development, Iarnród Éireann and Vice Chair, CIPD Ireland National Committee Dr. Mary Collins, Chartered Psychologist, Royal College of Surgeons in Ireland Simon Peter Haigh, Founder and CEO, GCM Growth Group Ivan Stojanovic, Co-founder, Taladria Bill Banham, Editor, HR Gazette More speakers and partners will be announced closer to the event. Who It's For Disrupt Dublin is designed for in-house HR and Talent professionals, people leaders, founders, researchers, and workplace innovators. Capacity is limited, and priority will be given to practitioners and guests of partners and speakers. How to Attend Places are limited. Registration does not guarantee entry, and tickets may be refunded if the event is full or attendee criteria are not met. Tickets here: https://www.eventbrite.ie/e/disrupt-dublin-returns-tickets-1976595846385. If you are looking for a short, high-energy event that challenges standard thinking and brings together people who are actively shaping work in Ireland, this is one to put in the diary. About The A Better HR Business Podcast The A Better HR Business shares strategies, tactics, success stories, and more about marketing for HR consultancies and marketing for HR tech companies, and how to get more clients. Follow the show on Apple Podcasts or Spotify so you don't miss future episodes. For show notes and to see details of our previous guests, check out the podcast page here: www.GetMoreHRClients.com/Podcast HR BUSINESS GROWTH RESOURCES Get the new book - Grow A Successful HR Business Your Way Launch your own business podcast: B2B Podcast Agency Get the powerful marketing platform -HR Growth Engine™. VISIT GET MORE HR CLIENTS Want more clients for your HR-related consultancy or HR Tech business? Visit the Get More HR Clients website for articles, newsletters, podcasts, videos, resources, and more at www.getmorehrclients.com.
Channeling the imposing physicality of brutalist concrete monoliths into that thing we call dystopian techno. The UFO95 flew over Brussels one night, With Absence Has Shape tucked under its light, Through brutalist towers so starkly imposing, Where concrete dreams lay decomposing. “Oh MORD!” cried the vessel, “Oh MORD!” it did say, “I'm bound for the club on the sixth of Febru-ay! With radiophonics both retro and keen, And dystopian grooves never before seen!” The Tresor did rumble, the Berghain did shake, As techno Tardises whirled in its wake, With low-end saturation and thunderous throb, It zipped and it zingled, it wobbled, it bobbed! Brussels-based electronic musician Killian Vaissade – better known as UFO95 – constructs brutalist sonic architecture from the ruins of utopian dreams. On “Absence Has Shape,” the second track from his forthcoming album A Brutalist Dystopian Society Part 2, the Tresor resident channels the imposing physicality of concrete monoliths into that thing we call dystopian techno. Brutalist structures as monuments to failed promises, their stark minimalism now haunting reminders of what never came to pass. Vaissade translates this visual language into dark, dramatic, stripped back essential techno. “Absence Has Shape” throbs with hypnotic tension, interlocking grooves and low-end density. Drawing inspiration from Function, Jeff Mills, Surgeon, and Sandwell District, UFO95' approach is “Moroder-meets-Mills” – melding retro radiophonics that address brutality in its many forms: war, repression, corruption. A Brutalist Dystopian Society Part 2 drops on February 6th via MORD on vinyl, download, and streaming. The album follows acclaimed releases on Tresor, WSNWG, and TSSRCT (which he co-runs with Hadone), cementing Vaissade's reputation as a masterful producer whose tracks cut through the noise. Vaissade doesn't DJ, opting for improvised live sets, a practice that's earned him a residency at Berlin's legendary Tresor and slots at Berghain, Berlin Atonal, and Bassiani. Catch him on tour throughout January and February, including upcoming dates at Berghain (Jan 10), Razzmatazz Barcelona (Jan 17), and Fuse Brussels (Jan 24), with stops across Europe and the Americas.
Our trauma surgeon Dr Stephan Moran is shopping for a plug-in hybrid PHEV for his wifeSteve-0 decides to sell his 2013 E92 BMW M3, which he bought new and took delivery of in Munich. Lots of memories, but it's time.Trauma surgeon safety topic: the famous Vince Zampella Ferrari 296 crash. Dr Moran breaks it down and discusses why it happened and why it was fatal for Zampella and his passenger.Steve-0 spots a 2004 Ford ExcursionWe discuss the biggest automotive stories of 2025 as well as our favorites#carsoncallpodcast #automobile #traumasurgeonsafety #zampellacrash #vincezampella #fordexcursion
How do you go from being the Ohio State University mascot to an ICU Nurse, and finally to a top-tier Pharmaceutical Sales Rep at Pfizer in just 11 weeks?In this episode of Medical Sales U, I sit down with Corey Stewart to break down his incredible career transition.- The "Hospital Cafeteria" Interview: The insane story of how Corey interviewed for Pfizer while his wife was in labor (and still crushed it).- The STAR Method: Watch a live roleplay of how to answer the "Tell me about a time..." question using courage and clinical experience.- Salary Negotiation: Full transparency on the numbers. See how Corey negotiated a $112k offer up to a $158k total first-year package.-Networking Strategy: Why reaching out to the team is more important than reaching out to the manager.If you are a nurse, teacher, or athlete looking to break into Medical Device or Pharma Sales, this will give you some insight.CHAPTERS0:00 - Intro: Meeting Brutus Buckeye & The "Expert of One" Mindset2:15 - Why Leave Nursing? Burnout, Family, and Income8:45 - The Strategy: Networking with Peers vs. Hiring Managers15:30 - Master Class: Using the STAR Method in Interviews (Live Example)24:10 - The "Courage" Story: Challenging a Surgeon in the ICU32:45 - Must See: Interviewing for Pfizer While His Wife was in Labor!40:20 - The "Re-Close": How to Tell Them You Got the Job45:50 - Money Talk: Negotiating Base Salary, Commission, & Relocation ($158k Total)52:10 - Final Advice: Betting on YourselfWANT TO BREAK INTO MEDICAL SALES? Ready to leave the bedside or the classroom and start a 6-figure career? Apply to Medical Sales U today: medicalsalesu.com/ABOUT THE GUEST: Corey Stewart is a former Ohio State "Brutus" mascot, a Cardiovascular ICU Nurse, and now a Pharmaceutical Sales Representative at Pfizer. He successfully transitioned into the industry in just 11 weeks using the Medical Sales U coaching program.#MedicalSales #Pfizer #NurseToSales #SalaryNegotiation #OhioState #BrutusBuckeye #PharmaSales #CareerTransition #InterviewTips #DaveSterrett #MedicalSalesUDisclaimer: The views expressed in this video are those of the speakers and do not necessarily reflect the official policy or position of any other agency, organization, employer, or company.
November 14, 2025. Steve Adubato sits down with Adam Hamawy, MD, Medical Director at Princeton Plastic Surgeons and Former U.S. Army Combat Surgeon, to shed light on the ongoing humanitarian crisis in Gaza, including the medical challenges on the ground and the impact of the war on civilian lives. Show 724
In this gripping conversation, trauma surgeon Max Sirkin MD shares his harrowing experience of being a patient in a mass casualty situation following a helicopter crash. He recounts the chaos of the event, the physical and emotional trauma he endured, and the profound lessons learned about resilience, brotherhood, and the importance of being present for others in crisis. Sirkin's narrative highlights the stark realities of military medicine and the bonds formed in the face of adversity. In this conversation, Max shares his harrowing experience in the trauma bay after a serious injury, reflecting on feelings of inadequacy and failure in the face of trauma. He discusses the psychological impact of moral injury and the importance of behavioral health in recovery. The conversation emphasizes the principle of 'less is more' in trauma care, highlighting the need for careful decision-making in chaotic situations. Max also recounts his experience with ketamine during treatment, illustrating the limited situational awareness of patients in trauma. Finally, he underscores the significance of camaraderie and support among peers in the recovery process. In this conversation, Max Sirkin shares his harrowing experiences in a life-threatening situation, emphasizing the importance of training and preparation in chaotic medical environments. He discusses the critical role of behavioral health in recovery from trauma and the necessity of learning from failures in medical practice. The dialogue highlights the need for teamwork, effective communication, and continuous training to ensure readiness in emergency situations.TakeawaysHe shares his unique perspective as a patient in a mass casualty situation.The chaos of a mass casualty requires quick and effective decision-making.Surviving a helicopter crash was a life-altering experience for Sirkin.The importance of brotherhood and support in crisis situations is paramount.Sirkin emphasizes the need for medical professionals to be present for their patients.He reflects on the emotional toll of being unable to help others in distress.The narrative illustrates the unpredictability of trauma care in combat zones.Sirkin's story serves as a reminder of the resilience of the human spirit.The conversation sheds light on the realities faced by military medical personnel. It's hard to face the reality of failure in trauma situations.Moral injury can be as impactful as physical injuries.Behavioral health is crucial for recovery after trauma.Less intervention can sometimes lead to better outcomes.Situational awareness is limited when you're a patient.Keeping injured individuals together can aid in recovery.The importance of communication in chaotic medical situations.Ketamine can provide pain relief but also alter perception.Understanding the dynamics of trauma care is essential for providers.Camaraderie among peers is vital for emotional support. Training is essential for managing chaos in medical emergencies.Behavioral health is crucial for recovery from trauma.Surgeons should not consider themselves special; everyone is vulnerable.Daily medical practice is necessary for readiness.Teaching non-medical personnel basic medical skills saves lives.Failure in medicine is inevitable; learning from it is essential.Hope alone is not a strategy in critical care.Understanding trauma can lead to better coping mechanisms.Team dynamics and communication are vital in emergency situations.Every medical provider should be prepared for the unexpected.For more content go to www.prolongedfieldcare.orgConsider supporting us: patreon.com/ProlongedFieldCareCollective or www.lobocoffeeco.com/product-page/prolonged-field-care
Happy New Year! What were the best Beauty and the Surgeon moments of 2026? Dr. Martin and Amy picked out their Top 5 and Producer Nils delivers another mashup of all the funny moments for last years podcasts. Thank you to all our listeners! Keep your questions and comments coming. We love hearing from you! Have an excellent 2026! Watch this episode on YouTube: https://youtu.be/LOV_f0aNAYw Comments, questions, clarifications? Leave a voicemail (303) 630-9038 or email Amy@JasonMartinMD.com. Follow Beauty and the Surgeon: YouTube: Jason Martin MD > Beauty and the Surgeon Podcast Playlist Instagram: @beautyandthesurgeonpodcast TikTok: @jasonmartinmd Facebook: facebook.com/beautyandthesurgeonpodcast Website: beautyandthesurgeonpodcast.com Verify your plastic surgeon is board-certified at https://www.plasticsurgery.org
The good news is, when you're suffering under the hand of God, His eye is all the more bent on you. -------- Thank you for listening! Your support of Joni and Friends helps make this show possible. Joni and Friends envisions a world where every person with a disability finds hope, dignity, and their place in the body of Christ. Become part of the global movement today at www.joniandfriends.org Find more encouragement on Instagram, TikTok, Facebook, and YouTube.
In the sixteenth and seventeenth centuries, a medical revolution was afoot. Alanna Skuse ventures into the bustling medical marketplace of Renaissance England – a world of travelling surgeons, prosthetics craftsmen, faith healers and snake oil merchants. Can Alanna convince you to join her in just 15 minutes?Patreon members get extra time: 15 more minutes in which you get to see behind the scenes and find out how the book was written. You can subscribe here: https://www.patreon.com/cw/15MinuteBookClubBuy the book (UK) https://uk.bookshop.org/shop/15MinuteBookClubBuy the book (US) https://bookshop.org/shop/15MinuteBookClubPatreon members get extra time: 15 more minutes in which you get to see behind the scenes and find out how the book was written. You can subscribe here: https://www.patreon.com/cw/15MinuteBookClubWatch the video version: https://www.youtube.com/@15MinuteBook_ClubBuy the book (UK) https://uk.bookshop.org/shop/15MinuteBookClubBuy the book (US) https://bookshop.org/shop/15MinuteBookClub Hosted on Acast. See acast.com/privacy for more information.
It's New Year's Eve! We hope that you have had a wonderful 2025. As we look ahead to 2026, you may be making resolutions or setting goals for yourself. This is a time we all reflect on what changes we'd like to make. As we ponder these changes, it is important to note that things are changing in the finance world, too, and that there are some changes regarding 401K catch-up contributions. Nate Reineke and Kyle Hoelzle break down what these changes are and how they may impact physicians like you. We also answer your colleagues' questions. It's New Year's Eve. What contributions do people still have time for? An Infectious Disease Doctor in NY asks, “Does it make more sense for us to have separate HSA-eligible plans or one family plan?” A Surgeon in Illinois says “I have a new HSA, can I just leave the old where it's currently at?” A Psychiatrist in New York wonders, “My new employer is letting me choose between being a W-2 employee or a 1099 contractor. Which should I choose?” A Family Medicine Doc in Minnesota asks “When opening a solo 401(k) as a sole proprietor, should we use our SSN or get an EIN?” Are you ready to turn worries about taxes and investing into all the money you need for college and retirement? It's time to make a plan and get on track. To find out if we're a match visit physicianfamily.com and click get started or, you can ask a question of your own by emailing podcast@physicianfamily.com. See marketing disclosures at physicianfamily.com/disclosures
Since the first immunotherapy agent for lung cancer was approved in 2015, this class of drugs has captured the imagination and the narrative for the treatment of driver negative lung cancer. Immunotherapy is now the standard of care for most patients with lung cancer in some form. And while not all patients benefit, those that do, have the chance for transformative benefit. In today's episode, we focus not on the benefit of immunotherapy, which can be massive, but on the toxicity of immunotherapy. Guest: Dr. Jarushka Naidoo, a consultant medical oncologist at Beaumont Hospital Dublin and a Professor in the Royal College of Surgeons in Ireland. She currently serves as national lung cancer lead for Cancer Trials Ireland and serves on several international guideline panels including ASCO and SITC
Strap in and grab your NG tubes, because the EGS team in TIGER Country is taking you on a fast, forceful, and evidence-packed ride through 15 years of global SBO literature. From the OG 2011 Zielinski model to the latest 2025 predictive tools sweeping across Europe and North America, we're breaking down what matters when the bowel stops behaving and the clock starts ticking. Join Dr. Rushabh Dev and the Acute Care Surgery crew at the University of Missouri as they tackle the most common EGS consult in America with humor, data, and real-world pearls. Get ready for CT red flags, strangulation scores, Gastrografin truths, and the eternal battle between “operate early” vs. “wait it out.” Whether you're a med student trying to decode your first CT or a seasoned attending debating the next Gastrografin challenge, this episode delivers the insights you need to Dominate the Day. Participants: Dr. Rushabh Dev FACS (Moderator, Surgical Attending) – Assistant Professor of Surgery, Associate PD ACS & SCCM Fellowship, SICU Medical Director, Lieutenant Commander United States Navy Reserve Dr. Raymond Okeke; Acute Care Surgery & SCCM Fellow Dr. Eugene Ismailov, General Surgery Resident; PGY 5 Dr. Brycen Ratcliffe, General Surgery Resident; PGY 4 Dr. Desra Flecher, General Surgery Resident; PGY 3 Objectives: 1. Identify the core clinical and CT predictors of operative need in SBO including mesenteric edema, free fluid, closed-loop obstruction, lack of enhancement, and feces sign absence — and understand how these features have remained consistent across 15 years of research. 2. Compare major international SBO predictive models (Zielinski, Geneva Severity Score, STRISK, and NOFA) and describe how they inform real-time decision-making in North American acute care surgery. 3. Apply evidence-based algorithms, including the 2025 JTACS EGS pathway to structure SBO evaluation, integrate Water-Soluble Contrast studies, and avoid delayed surgery in high-risk patients. 4. Evaluate the long-term impact of operative vs. non-operative management with emphasis on recurrence risk, timing between episodes, and how to incorporate recurrence data into patient counseling. 5. Synthesize 15 years of evolving SBO literature into practical bedside strategies by balancing red-flag findings, risk-model guidance, and individualized clinical judgment to optimize outcomes. STRISK and NOFA Calculator: Prediction Models | Clinical Abdominal Surgery Helsinki References 1. Geneva Clinical Severity Score Wassmer, C. H., Guber, J., Zeindler, J., Meier, R. P. H., Ouaïssi, M., Ris, F., Morel, P., Didier, C., & Gkikas, I. (2023). A new clinical severity score for the management of adhesive small bowel obstruction: A cohort study. International Journal of Surgery, 109, 262–270. https://pubmed.ncbi.nlm.nih.gov/37026805/ 2. STRISK & NOFA Predictive Models Räty, S., Rinta-Kilpinen, E., Eklund, M., Turunen, N., Koskinen, I., Rasilainen, S., Korhonen, T., & Paajanen, H. (2025). Development and external validation of prediction risk models for strangulation or non-operative treatment failure in small bowel obstruction: A multicenter prospective study. Surgery, 178(1), 45–56. Prediction Models | Clinical Abdominal Surgery Helsinki 3. JTACS EGS Algorithm – Evidence-Based, Cost-Effective Management Livingston, D. H., Wolfson, D., Cogbill, T. H., Rice, T. W., Patel, N., et al. (2025). Evidence-based, cost-effective management of small bowel obstruction: An Emergency General Surgery Algorithms Work Group project. Journal of Trauma and Acute Care Surgery, 98(4), 512–528. https://pubmed.ncbi.nlm.nih.gov/40842046/ 4. Tennessee Recurrence Study (Operative vs Non-Operative Management) Medvecz, A. J., Dennis, B. M., Wang, L., Countouris, M. E., Croce, M. A., Sharpe, J. P., Ivanova, A., & Miller, R. S. (2020). Impact of operative management on recurrence of adhesive small bowel obstruction: A longitudinal analysis of a statewide database. Journal of the American College of Surgeons, 230(4), 544–551.e1. https://pubmed.ncbi.nlm.nih.gov/31954815/ 5. Early Predictive SBO Work – Zielinski (2010–2011) Zielinski, M. D., Eiken, P. W., Bannon, M. P., Heller, S. F., Lohse, C. M., & Huebner, M. (2010). Small bowel obstruction—Who needs an operation? A multivariate prediction model. World Journal of Surgery, 34(5), 910–919. https://pubmed.ncbi.nlm.nih.gov/20217412/ 6. Zielinski, M. D., Haddad, N. N., Cullinane, D. C., Eiken, P. W., & Huebner, M. (2011). Prospective, observational validation of a multivariate small bowel obstruction model to predict the need for operative intervention. Journal of the American College of Surgeons, 212(6), 1068–1076. https://pubmed.ncbi.nlm.nih.gov/21458305/ Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US
Philip Jayhawk Chan, CEO and president of Lightspeed Investing, a company dedicated to giving top quality stocks trading coaching to ambitious traders.Through his coaching, Philip helps clients navigate the unpredictable nature of the markets by staying on top of trends, building resilience, and maintaining a long-term mindset.Now, Philip's journey from aspiring surgeon to stocks trading expert demonstrates how self discovery can lead to redefining success on your own terms.And while guiding clients to grow as traders in a volatile economy, he continues to show that courage and adaptability can create meaningful impact.Here's where to find more:https://www.linkedin.com/in/philipchan333________________________________________________Welcome to The Unforget Yourself Show where we use the power of woo and the proof of science to help you identify your blind spots, and get over your own bullshit so that you can do the fucking thing you ACTUALLY want to do!We're Mark and Katie, the founders of Unforget Yourself and the creators of the Unforget Yourself System and on this podcast, we're here to share REAL conversations about what goes on inside the heart and minds of those brave and crazy enough to start their own business. From the accidental entrepreneur to the laser-focused CEO, we find out how they got to where they are today, not by hearing the go-to story of their success, but talking about how we all have our own BS to deal with and it's through facing ourselves that we find a way to do the fucking thing.Along the way, we hope to show you that YOU are the most important asset in your business (and your life - duh!). Being a business owner is tough! With vulnerability and humor, we get to the real story behind their success and show you that you're not alone._____________________Find all our links to all the things like the socials, how to work with us and how to apply to be on the podcast here: https://linktr.ee/unforgetyourself
Send us a textHair transplantation ~ Succeeding as a female in a Male-Dominated FieldMargaret Zakhary is a surgical PA, licensed in 9 US states. She has a family history of hair loss, with her Mum first experiencing hair loss at 16 years old, when she suffered permanent scarring from chemical damage. She tried wearing a wig for hair loss, but it looked terrible!Later on, when she was only 33, she became very ill, and Margaret, being just ten, began experiencing hair loss herself, and since has had several forms of hair loss throughout her life.She believes in turning tragedy into purpose, and shares how these events inspired her to study hair loss, to ensure that every patient has an advocate, and that they can get the care they need.Connect with Margaret:Instagram Hair & Scalp Salon Specialist course Support the showConnect with Hair therapy: Facebook Instagram Twitter Clubhouse- @Hair.Therapy Donate towards the podcast Start your own podcastHair & Scalp Salon Specialist Course ~ Book now to become an expert!
In this episode of The Crux True Survival Stories, host Kaycee McIntosh interviews Dr. Mitchell Seruya, a board-certified plastic surgeon and peripheral nerve specialist at Cedars Sinai Medical Center. Dr. Seruya discusses his pioneering work in nerve surgery, including groundbreaking procedures that offer new hope to patients with paralysis and chronic pain. He shares his journey into medicine, the intricacies of his surgical techniques, and the remarkable recoveries of his patients, including a first-of-its-kind surgery for a previous guest. The conversation delves into the future of nerve surgery and the potential for advanced prosthetics and stem cell therapies. Dr. Seruya also emphasizes the importance of gratitude, mindset, and the spiritual aspect of healing in his practice. 00:00 Introduction to Dr. Mitchell Seruya 01:23 Dr. Seruya's Career Path and Inspirations 02:43 Understanding Nerve Injuries and Surgeries 04:09 The Impact of Nerve Surgeries 06:22 Dr. Seruya's Hollywood Experience 08:38 Common Nerve Injuries and Treatments 11:34 Nerve Grafting and Transfer Techniques 16:32 Challenges and Considerations in Nerve Surgery 19:29 Personal Practice and Cadaver Nerve Usage 19:51 Theresa's Unique Case and Surgical Approach 21:09 Innovative Nerve Rerouting Techniques 25:42 Post-Surgery Recovery and Patient Mindset 31:18 Time Sensitivity in Nerve Damage Treatment 33:12 Future of Nerve Transplant Surgery 35:40 Addressing Chronic Nerve Pain 38:18 Training and Collaboration in Peripheral Nerve Surgery 39:33 Finding the Right Specialist 40:22 Closing Remarks and Gratitude https://www.cedars-sinai.org/provider/mitchel-seruya-2624729.html Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.
In an exclusive conversation, Dr. Phil sits down with the surgeon who replaced his knee to reveal what's really happening inside joints and how modern medicine is changing the future of mobility. Dr. Jason Snibbe, the orthopedic surgeon behind Dr. Phil's recovery and Kris Jenner's widely viewed hip replacement, breaks down how AI-guided surgery, robotics, and minimally invasive techniques are transforming outcomes. From early arthritis and bone-on-bone breakdown to stem cells, PRP, and longevity strategies for ages 20 to 70, this episode cuts through the myths and misinformation. It's a rare, inside look at how technology, mindset, and movement work together to help people heal faster, stay active longer, and avoid unnecessary surgery.Dr. Jason Snibbe:https://www.drjasonsnibbe.com/https://www.instagram.com/drjasonsnibbe/https://www.instagram.com/docs.health/ https://www.instagram.com/snibbsfootwear/ Watch on Linear (Subscriptions needed):Spectrum/Charter - https://www.spectrum.com/cable-tv/channel-lineup (Search for Envoy TV; Channel may vary by location)Frndly TV - https://watch.frndlytv.com/channel/live/envoy_tvFAST (No subscriptions needed):SamsungTV Plus - Channel 2977 or found in the category Lifestyle & Pop CultureLocal Now - Download the app on your CTV or stream via Web https://localnow.com/channels/envoy-fastVIDAA on Hisense TV's - Watch on Hisense TV's with VIDAA OS or download the VIDAA App (IOS https://apps.apple.com/gb/app/vidaa/id1526408639 and Google Play https://play.google.com/store/apps/details?id=com.universal.remote.multi&hl=en_US)And more to come!See Privacy Policy at https://art19.com/privacy and California Privacy Notice at https://art19.com/privacy#do-not-sell-my-info.
In this episode, N. Nicole Moayeri, MD, MS, Neurological Surgeon at Cottage Health, joins the podcast to discuss creating better outcomes for patients through collaboration and thoughtful care delivery. She shares how working closely with other specialists can improve both clinical results and costs, while keeping patients at the center of every decision.
In this episode, Brandon P. Hirsch, MD, FAAOS, Orthopaedic Spine Surgeon at DISC Sports and Spine Center, discusses the expanding role of telemedicine, key policy changes shaping patient access, and emerging disruptors such as endoscopic techniques and digital engagement. He also shares his perspective on national healthcare reform and its direct impact on spine care.
In this episode, Anthony J. Tortolani, MD, FACS, FACC, Cardiac and Thoracic Surgeon and Professor Emeritus of Clinical Cardiothoracic Surgery at Weill Cornell Medical College, discusses the realities of declining profit margins and how leaders are balancing financial pressures with clinical excellence. He explores practical applications of AI in clinical medicine, including improvements in efficiency and less invasive surgical approaches, and shares why aligning strategic vision with day-to-day tactical planning is essential for long-term success in cardiovascular care.
What a holiday treat under the tree! Device Nation sits down for an inspiring conversation with Dr. Michael Karch, AI leader, book author, inventor, "Surgeon Santa", and so much more!We talk about his mission work around the world, one very smart drill, the Badlands 135, his work with the US Ski Team, Surgeon Avatars, 9/11, Reese's Peanut Butter cups, Sesame Street, his recent bestselling book, AI must reads, what it's like to run 58 marathons, whew.....we cover a LOT of ground in this episode (pun intended)!Clinic website: https://www.mammothortho.com/michael-karch-md.htmlMammoth Medical Missions: https://www.mammothmedicalmissions.org/mass-casualty-training48 hours in a MASH unit at Ground Zero: https://today.advancement.georgetown.edu/health-magazine/2016/karch-email/Reflections on 9/11: https://today.advancement.georgetown.edu/health-magazine/2016/reflections/The Neuron Daily https://www.theneurondaily.com/The Paradox of Progress: https://www.amazon.com/Paradox-Progress-Thorns-Artificial-Intelligence/dp/1544549296Badwater 135: https://www.badwater.com/Grand Rounds MD: https://grandroundsmd.com/missionSupport the show
In this episode, Andrew Tang, MD, Cardiac Surgeon at Medical City Heart & Spine Hospitals, discusses the increase in open-heart surgery and what it signals about patient needs and cardiovascular care trends. He reflects on the critical role mentorship plays in surgical training and leadership development, and shares his perspective on maintaining a healthy work-life balance while navigating the demands of a high-acuity surgical career.
In this episode, Michael Verdon, DO, FACOS, Neurological Spine Surgeon at Transcendent Care, Inc., discusses the challenge of delivering the same high level of spine care with fewer resources and the expanding clinical applications of AI. He highlights where he expects the most meaningful growth in the next 1–2 years, including efforts to standardize patient care, and explains how technologies traditionally used in the operating room are increasingly migrating into the clinic to improve efficiency and outcomes.
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Have you ever found yourself helping a loved one through a confusing medical situation and thought, "I wish I could do this full-time"? You're not alone. Many physicians are naturally drawn to patient advocacy and navigation, even if they don't yet realize it has a name or a career path. In this episode, I'm joined by Dr. Angie Ingraham, a former trauma surgeon and critical care physician who made a powerful career transition after her father's diagnosis with glioblastoma. Experiencing the healthcare system from the other side opened her eyes to the gaps patients and families face. That journey led her to launch True North Patient Advocates, where she now supports others through complex medical situations with clarity and compassion. Whether you've thought about becoming a patient advocate and navigator — or are simply curious about what this work actually involves — Angie shares the real-life steps she took to create a fulfilling and sustainable new path. In this episode we're talking about: How a personal family crisis led Dr. Ingraham to explore patient navigation The surprising barriers patients face, even with medical connections What professional patient advocates and navigators actually do and how physicians are uniquely qualified How she built her business without formal business training The variety of clients and services in her day-to-day work Financial considerations and typical rates for advocates Steps you can take to explore this path for yourself You can find the show notes for this episode and more information by clicking here: www.doctorscrossing.com/episode236 Links for this episode: Dr. Angie Ingram — True North Patient Advocates Greater National Advocates Directory Alliance of Professional Health Advocates - Offers a Boot Camp and 100-day program for business startup Health Advocate X Patient Advocate Certification Board National Association of Healthcare Advocacy Work Episode #68: Being a Patient Advocate is a Real Option Episode #156: How To Start A Side Gig Or Business As A Patient Navigator
Welcome back to our BTK/ASGBI Series! During this series, BTK fellow Agnes Premkumar and ASGBI hosts Jared Wohlgemut and Gita Lingam compare and contrast various aspects of surgery between the United States and the United Kingdom, debating who does what better. In this episode, we delve into all things artificial intelligence (AI) within surgery. Both the US and the UK have unique approaches to managing AI within healthcare and our experts help break down these key similarities and differences. We will discuss what AI and machine learning means, what does regulation look like in both these regions, and how is AI being used in both these countries. We are fortunate to have two representatives, Dr. Nelson and Dr. Larson, representing the US side. Dr. Nelson is a surgical oncologist working at the Brook Army Medical Center in San Antonio, he's very interested in expanding the role of AI within surgical education and beyond. Dr. Larson is a general surgery resident at the Mayo Clinic. She's currently in her research time and finishing up her master's degree in AI and studying the role of machine learning within surgical practice. We are fortunate to have Dr. Mukherjee representing the UK side. Dr. Mukherjee is a surgeon scientist alongside an Honorary Consultant General & Major Trauma Surgeon in Liverpool, England. He has a strong track record in research that spans the translational spectrum, with strengths in discovery science related to acute pancreatitis pathophysiology and mitochondrial injury, novel in vitro and in vivo experimental assay development and clinical translational research, including novel biomarker studies and clinical trials. He has won multiple awards, most recently the Hunterian Professorship 2024 from the Royal College of Surgeons of England. Take a listen and let us know what you think- what do you think is the best way to promote and regulate AI within healthcare? Please visit https://behindtheknife.org to access other high-yield surgical education podcasts, videos and more. If you liked this episode, check out our recent episodes here: https://behindtheknife.org/listen Behind the Knife Premium: General Surgery Oral Board Review Course: https://behindtheknife.org/premium/general-surgery-oral-board-review Trauma Surgery Video Atlas: https://behindtheknife.org/premium/trauma-surgery-video-atlas Dominate Surgery: A High-Yield Guide to Your Surgery Clerkship: https://behindtheknife.org/premium/dominate-surgery-a-high-yield-guide-to-your-surgery-clerkship Dominate Surgery for APPs: A High-Yield Guide to Your Surgery Rotation: https://behindtheknife.org/premium/dominate-surgery-for-apps-a-high-yield-guide-to-your-surgery-rotation Vascular Surgery Oral Board Review Course: https://behindtheknife.org/premium/vascular-surgery-oral-board-audio-review Colorectal Surgery Oral Board Review Course: https://behindtheknife.org/premium/colorectal-surgery-oral-board-audio-review Surgical Oncology Oral Board Review Course: https://behindtheknife.org/premium/surgical-oncology-oral-board-audio-review Cardiothoracic Oral Board Review Course: https://behindtheknife.org/premium/cardiothoracic-surgery-oral-board-audio-review Download our App: Apple App Store: https://apps.apple.com/us/app/behind-the-knife/id1672420049 Android/Google Play: https://play.google.com/store/apps/details?id=com.btk.app&hl=en_US