Podcasts about surgeons

In this episode, Hasan B. Alam, Surgeon-in-Chief at Northwestern Memorial Hospital and Chair of the Department of Surgery at the Feinberg School of Medicine at Northwestern University, joins the podcast to discuss building a strong workplace culture, securing partnerships and funding without compromising research quality, and improving the discharge process to enhance patient outcomes and operational flow.

For eleven days after Monique Tepe and her husband Dr. Spencer Tepe were found shot to death in their Columbus home, the man charged with their murders was still working as a vascular surgeon in Illinois. Michael McKee, 39, pleaded not guilty on January 23rd to four counts of aggravated murder. Prosecutors say ballistic evidence links a firearm from McKee's Rockford property to shell casings recovered at the crime scene. Surveillance footage allegedly captured his vehicle arriving just before the December 30th killings and leaving shortly after. Columbus Police Chief Elaine Bryant called it a "targeted" and "domestic violence related attack." The couple's two young children, ages four and one, were found unharmed inside the home. McKee and Monique divorced in 2017 after less than two years of marriage. She and Spencer were approaching their fifth wedding anniversary. But the murder charges aren't the only story here. McKee's Nevada medical license had expired in June 2025. Court records show he was added to a malpractice lawsuit just months before the killings. He allegedly provided fake addresses on official documents. Yet he was credentialed to perform surgery at OSF Saint Anthony Medical Center in Rockford. How does this happen? We expose the National Practitioner Data Bank—a database Congress created to catch problem doctors that the public can't access and many state medical boards don't check. Over 500 doctors disciplined in one state are practicing elsewhere with clean records. More than 250 who surrendered licenses are operating in new states with no consequences. They call it "passing the trash" in education. In medicine, there's no equivalent reform. No federal accountability. Just a system protecting physician mobility over patient safety. McKee faces life without parole. But how many doctors like him are out there right now?#SpencerTepe #MoniqueTepe #MichaelMcKee #TepeMurders #MedicalMalpractice #StateMedicalBoard #ColumbusOhio #PatientSafety #TrueCrimeToday #AggravatedMurderJoin 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.

Michael McKee is sitting in a Franklin County jail cell facing four counts of aggravated murder. The evidence police have described is damning—ballistic matches, vehicle surveillance, the figure in the alley footage, and a firearm suppressor. Prosecutors allege the vascular surgeon drove 300 miles from Chicago to Columbus to execute his ex-wife Monique Tepe and her husband Dr. Spencer Tepe while their children slept nearby. Eleven days later, investigators say they recovered the murder weapon from McKee's property. But how do you prove premeditation when there are no eyewitnesses and an eight-year gap since the divorce? And what defense strategies are even available when the forensic evidence appears this overwhelming? Former felony prosecutor Eric Faddis joins us live to break down exactly what the state needs to establish—and where cases like this can fall apart. Faddis spent years in the Special Victims Unit handling first-degree murder cases and has tried 45+ jury trials. He knows how prosecutors weaponize contradictory alibis, how they establish motive across a decade-long timeline, and why charges were upgraded from murder to aggravated murder. We'll also examine McKee through the Dark Triad framework—narcissism, Machiavellianism, and psychopathy—to analyze how these personality patterns typically manifest in criminal defense situations. A man who allegedly evaded a malpractice lawsuit nine times and fled his marriage after seven months may be incapable of accepting accountability even when his freedom depends on it. The same arrogance that allegedly drove him to murder may be the thing that convicts him.#MichaelMcKee #MoniqueTepe #SpencerTepe #EricFaddis #TepeMurders #AggravatedMurder #DarkTriad #ColumbusOhio #TrueCrimeLive #HiddenKillersLiveJoin 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.

Bryan Kohberger studied crime for a living. Michael McKee allegedly studied his ex-wife's home for hours before he came back to kill her. Both believed preparation was protection. Both were wrong.Kohberger—the criminology doctoral student who pled guilty to the Idaho student murders—turned his phone off during the killings but created a traceable return route when it came back online. McKee allegedly achieved a 17-hour phone blackout by leaving his device at the hospital where he worked. On paper, that's smarter. In practice, police tracked his vehicle arriving in Columbus before the murders and leaving after. They found it in his workplace parking lot with fresh scrape marks where a sticker had been hastily removed.The pattern goes deeper. Kohberger's phone pinged near 1122 King Road 23 times in the months before the murders. All between 10 p.m. and 4 a.m. He was watching. McKee allegedly made a reconnaissance trip to the Tepe home on December 6, 2025—24 days before the murders—spending hours on the property while the family was at the Big Ten Championship game. According to the affidavit, Monique Tepe left the game early, upset about something involving her ex-husband. She may have seen him on her security cameras.The indictment says McKee used a suppressor. That's why no one heard shots. But the ballistics matched anyway. NIBIN linked the gun found at his Chicago condo to casings at the scene. Intelligence creates arrogance. Arrogance creates blind spots. And the system only needs one mistake.#TrueCrimeToday #BryanKohberger #MichaelMcKee #SpencerTepe #MoniqueTepe #IdahoStudentMurders #ColumbusOhio #Premeditation #CriminalMindset #JusticeForVictimsJoin 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.

CHOP and the Richard D Wood Jr. Center for Fetal Diagnosis and Treatment is at the forefront of new medicine doing wonderful work to stem the 1 in 3 birth defects of babies born in the US. Mark interviews Dr. Scott Adzick in this episode.

Rory McGowan talks to Dr. Aurimas Širka, an Orthopaedic Surgeon from Lithuania who's operated on British citizens, about what his surgery has seen in the last few years, in regards to people who have gone abroad to procedures that they would've had to wait years for on the NHS. Both of them talk about what the most popular procedures are, how to vet any abroad surgery and the consequences of being stuck with a bad hip or knee over the long term.

Dr. Michael McKee is facing four counts of aggravated murder for allegedly killing his ex-wife Monique Tepe and her husband Spencer in their Columbus home on December 30th. The prosecution has ballistics. Vehicle tracking. Video footage. A suppressed weapon. No forced entry.And McKee just hired Diane Menashe.If that name doesn't mean anything to you, it should. In 2022, Menashe co-counseled the defense of Dr. William Husel — the Mount Carmel physician charged with murdering 14 patients with fentanyl overdoses. The prosecution called 53 witnesses over six weeks. Menashe called one. Husel walked on every count.She also kept Reagan Tokes' killer Brian Golsby off death row when eight jurors wanted him executed. She saved cop-killer Quentin Smith from lethal injection.Diane Menashe doesn't do hopeless cases. She does cases everyone else thinks are hopeless — and finds the fractures in the prosecution's fortress.Today we analyze her potential defense strategy: attacking the NIBIN ballistics match that isn't as ironclad as it sounds, questioning the shadowy Ring camera identification, exploiting the missing motive, and potentially presenting McKee's documented spiral — malpractice suits, disappearing from colleagues, expired licenses — as evidence of psychological deterioration rather than cold premeditation.McKee isn't walking free. The evidence is too damning. But the difference between life with parole eligibility and life without parole? That's what Menashe fights for. That's what money buys.Two orphaned children. A thousand mourners. And the best defense attorney in Columbus.#HiddenKillers #MichaelMcKee #MoniquTepe #SpencerTepe #DianeMenashe #TrueCrime #MurderDefense #WilliamHusel #OhioMurder #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.

A review has found that 94 children were harmed as a result of botched operations and treatment carried out by a limb reconstruction surgeon at Great Ormond Street Hospital in London. Also: Sir Keir Starmer says he's secured "concrete outcomes" that will benefit the UK after holding talks with President Xi as part of his trip to China. And scientists say polar bears living in the Norwegian Arctic are getting fatter, despite warnings that the decline in sea ice has made it harder for them to hunt for food.

In this episode, JACS Editor-in-Chief Tom Varghese, MD, FACS, and Digital Media Editor Lillian Erdahl, MD, FACS, review 6 impactful articles from the past year, highlighting key themes shaping modern surgical practice. Dr Erdahl focuses on the surgeon as a subject, discussing research on moral distress, second-victim syndrome, health policy challenges, and peer surgical coaching. Dr Varghese then explores advances in surgical science, including pragmatic applications of artificial intelligence for risk prediction and operative documentation, as well as comparative evidence on robotic, laparoscopic, and open operation. Together, they emphasize clinically relevant research, thoughtful innovation, and ongoing critical inquiry to support surgeons and improve patient care. Listen to the podcast episodes mentioned at facs.org/operative-word.   Articles discussed: Surgeon Perception and Attitude Toward the Moral Imperative: Institutionally Addressing Second Victim Syndrome in Surgery A Framework for Managing Moral Challenges Related to Health Policy for the Surgeon What About the Coach? Mixed Methods Study Assessing the Experience of Coaches in a Peer Surgical Coaching Program Validation of Artificial Intelligence-Based POTTER Calculator in Emergency General Surgery Patients Undergoing Laparotomy: Prospective, Bi-Institutional Study Enhancing Accuracy of Operative Reports with Automated Artificial Intelligence Analysis of Surgical Video Robotic vs Laparoscopic vs Open Ventral Hernia Repair: Insights from a Network Meta-Analysis of Randomized Clinical Trials   Disclosure Information: Drs Varghese and Erdahl have nothing to disclose.   Learn more about the Journal of the American College of Surgeons, a monthly peer-reviewed journal publishing original contributions on all aspects of surgery, including scientific articles, collective reviews, experimental investigations, and more.   #JACSOperativeWord

Sports cars comprise around 1% of new car sales these days, sadly. We discuss, and Steve-0 and our trauma surgeon Dr Stephan Moran pick our five favorite sports cars of all time.Trauma surgeon safety segment: For many years, Dr Moran has been advocating for better crash dummies ("They should have 20 different size and gender dummies lined up, and the tester can pick any one and put it into a car and run the test", is what he's been saying). Chinese manufacturer Geely has built a safety testing facility that can test 60 crash dummies, so finally someone out there has been paying attention and making cars safer through better crash testing. Dr Moran discusses.Stephan spots an insane Honda Accord. Us old guys think it's Fugly, but presumably "da kids" love it.Steve-0 gets into 2025 new car sales data and draws some conclusions: big pickups rule, compact crossovers and big SUVs are selling like crazy, BEVs are fading fast, and BMW is dominating the luxury market (with Lexus close behind).#carsoncallpodcast #automobile #traumasurgeonsafety #sportscar #bmw #lexus

What if the sequence we've always assumed—plaque causes arterial stiffness—is actually backwards? Dr. Lily Johnston proposes that impaired nitric oxide signaling may stiffen arteries first, creating the endothelial injury that then promotes plaque formation.Dr. Lily Johnston is a board-certified vascular surgeon and newly certified obesity medicine physician who bridges the operating room and metabolic medicine. After years of scraping plaque from arterial walls, she began questioning why surgical outcomes remain so modest—and discovered that what she was treating might represent the end stage of multiple distinct disease phenotypes, not a single condition.In this episode, Dr. Johnston shares her forest fire analogy for understanding LDL risk, explains why tissue surrounding diseased arteries shows profound inflammation even in first-time surgeries, and reveals why 80–90% of the operations she performs could potentially be prevented with upstream metabolic intervention.Questions Answered in This Episode:Do metabolically healthy people with elevated LDL need the same treatment as those with active disease?Why might someone with "great" biomarkers still have significant plaque burden?What will individualized cardiovascular treatment look like in 20 years?To what extent is vascular disease a metabolic disease—and is this accepted in vascular surgery?Where do you stand on the LDL particle number vs. metabolic context debate?What percentage of vascular surgeries could have been avoided with earlier metabolic intervention?A surgeon's-eye view of what happens when metabolic dysfunction goes unaddressed for decades—and a practical framework for intervening before the fire starts.Find more of Dr. Johnston online:Live Q&AYoutube channelLinkedInCoresight HealthSpecial thanks to the sponsors of this episode:✅ Genova Connect – Get 15% off any test kit with code METABOLICLINK here.✅ Toups and Co – Get 15% off your first order with code METABOLIC here.✅ Troscriptions – Get 10% off your first order with code METABOLICLINK here.✅ MudWtr – Get up to 43% off + free shipping and a free rechargeable frother with code METABOLICLINK here.In every episode of The Metabolic Link, we'll uncover the very latest research on metabolic health and therapy. If you like this episode, please share it, subscribe, follow, and leave us a comment or review on whichever platform you use to tune in!You can find us on all your major podcast players here and full episodes are also up on our Metabolic Health Summit YouTube channel!Find us on social: Instagram Facebook YouTube LinkedIn Please keep in mind: The Metabolic Link does not provide medical or health advice, but rather general information that does not serve as a substitute for a licensed healthcare professional. Never delay in seeking medical advice from an appropriately licensed medical provider for any health condition that you may have.

Michael McKee stood before a Franklin County magistrate on January 23rd and pleaded not guilty to four counts of aggravated murder in the deaths of Monique Tepe and Dr. Spencer Tepe. The 39-year-old vascular surgeon waived bond and remains in custody. His defense attorney, Diane Menashe—known for representing Dr. William Husel in the Mount Carmel deaths case—entered the plea on his behalf via video appearance. Prosecutors allege McKee traveled from Illinois to Columbus and killed his ex-wife and her husband in the early morning hours of December 30th while their two young children slept nearby. The children, ages four and one, were found unharmed but alone with their parents' bodies. Columbus police say they have surveillance footage placing McKee's vehicle at the scene before and after the killings, and preliminary ballistic analysis links a firearm seized from his property to shell casings recovered inside the home. The charges include firearm specifications for using a gun and a suppressor. McKee's medical license expired months before the killings. Monique divorced him in 2017 after less than two years of marriage. She and Spencer were days away from their fifth wedding anniversary. If convicted, McKee faces a minimum of life with parole eligibility after 32 years—or life without parole.#MichaelMcKee #TepeMurders #MoniqueTepe #SpencerTepe #ColumbusOhio #AggravatedMurder #TrueCrimeLive #DomesticViolenceCase #HiddenKillersLive #JusticeForTepeJoin 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.

In this final part of the series, Dr. Warren brings it all together — turning the science, the faith, and the commandments into a daily, livable, empowering practice. He shares how hope is the first dose, but action is the medicine. How transformation isn’t an event, but a series of tiny, faithful choices. And how to become the kind of person who notices, names, and rewires thoughts in real time—right in the middle of stress, uncertainty, fear, and life happening. This episode is about reclaiming agency… with God as your guide. It’s about partnering with the One who designed your brain for healing. And it’s about stepping into a version of yourself that is clearer, calmer, more grounded, and more connected to God than ever before. If you’ve ever wanted a roadmap for what inner healing looks like day-to-day, this conversation is it. GUEST: Dr. Lee Warren // wleewarrenmd.com // @drleewarrenDr. Warren's Podcast: https://wleewarrenmd.com/podcast/Pre-Order Dr. Warren's New Book: DrLeeWarren.com/preorder HOST: Leanne Ellington // StresslessEating.com // @leanneellington To learn more about Leanne, head over to www.LeanneEllington.com, and to share your thoughts, questions, feedback, or guest suggestions instantly, head on over to www.WhatsGodGotToDoWithIt.com.Follow Leanne on Instagram: https://www.instagram.com/leanneellington/See omnystudio.com/listener for privacy information.

Implant placement is one thing, but making sure those implants survive years of chewing forces is another. In this episode, Dr. Grant Stucki welcomes back Florida general dentist Dr. Vic Martel to dive deep into occlusion from an implant perspective. In today's conversation, Dr. Martel explains why implant occlusion is often even more critical than occlusion on natural teeth, how uneven load sharing leads to problems like loose screws, chipped porcelain, bone loss, and even loss of integration, and why surgeons are ultimately at the mercy of their restoring dentists' occlusal skills. He discusses practical guidelines for single posterior implants, angled implants in full-arch cases, maxillary second molars, anterior implants, and zirconia hybrids, as well as how to check occlusion correctly in centric, excursions, and with the patient both reclined and upright. Dr. Martel also shares how to manage bruxers, when to splint restorations, why screws need to be replaced after loosening, and ways frequent maintenance and clear patient instructions can prevent many complications before they start. Tune in now!Key Points From This Episode:How Dr. Martel defines occlusion as “load sharing” in the context of implant dentistry.Why occlusion is critical for natural teeth and how uneven load sharing leads to failures.Hear how to set occlusion for an implant using shim stock in normal closure and clench.Explore how to manage axial and non-axial loading on angled implants in full-arch cases.Steps for checking occlusion and why screw-retained restorations have become his standard.Discover common reasons for loose screws and why the screw often needs to be replaced.Steps for navigating microtrauma on implants, patients who brux, and splint restorations.Typical reasons why certain implants fail and guidelines for anterior implant occlusion.Find out how to distribute forces across implant-supported anterior bridges to avoid load.Unpack how the shift from acrylic hybrids to zirconia has changed occlusal schemes. Learn about the complications from occlusion and why it should be checked frequently.What to tell patients about soreness, looseness, night guards, and regular maintenance. Dr. Martel's final takeaways for preventing occlusion-related implant problems.Links Mentioned in Today's Episode:Dr. Victor Martel on LinkedIn — https://www.linkedin.com/in/victor-martel-dmd-fagd-91431922/ Dr. Victor Martel on Instagram — https://www.instagram.com/drvicmartel/ Dr. Victor Martel Email Address — vicmartel@gmail.com Dr. Victor Martel Phone Number — 561 602 7222 Martel Academy — https://martelacademy.com/ Everyday Oral Surgery Website — https://www.everydayoralsurgery.com/ Everyday Oral Surgery on Instagram — https://www.instagram.com/everydayoralsurgery/ Everyday Oral Surgery on Facebook — https://www.facebook.com/EverydayOralSurgery/Dr. Grant Stucki Email — grantstucki@gmail.comDr. Grant Stucki Phone — 720-441-6059

Heard a Pop in My Head: The Stroke Warning Sign Most People Ignore When Phat heard a pop in his head, it didn't feel dramatic. There was no collapse. No sirens. No panic. Just a strange sensation. A few minutes of numbness. Then… everything went back to normal. So he did what most people would do. He ignored it. Five days later, he was being rushed to the hospital with a hemorrhagic cerebellar stroke that nearly cost him his life. This is not a rare story. It's a dangerously misunderstood stroke warning sign and one that often gets dismissed because the symptoms disappear. When You Hear a Pop in Your Head, Your Brain Might Be Warning You “Hearing a pop in my head” isn't something doctors list neatly on posters in emergency rooms. But among stroke survivors, especially those who experienced hemorrhagic strokes, this phrase comes up more often than you'd expect. For Phat, the pop happened while stretching on a Sunday. Immediately after: His left side went numb The numbness lasted about five minutes Everything returned to “normal” No pain. No weakness. No emergency, at least that's how it felt. This is where the danger lies. Stroke Symptoms That Go Away Are Often the Most Misleading One of the most common secondary keywords people search after an experience like this is: “Stroke symptoms that go away” And for good reason. In Phat's case, the initial bleed didn't cause full collapse. It caused a slow haemorrhage, a bleed that worsened gradually over days. By Friday, the real symptoms arrived: Severe vertigo Vomiting and nausea Inability to walk Double vision after stroke onset By Sunday, his girlfriend called an ambulance despite Phat insisting he'd “sleep it off.” That delay nearly killed him. Cerebellar Stroke: Why the Symptoms Are Easy to Miss A cerebellar stroke affects balance, coordination, and vision more than speech or facial droop. That makes it harder to recognise. Common cerebellar stroke warning signs include: Sudden dizziness or vertigo Trouble walking or standing Nausea and vomiting Double vision Head pressure without sharp pain Unlike classic FAST symptoms, these can be brushed off as: Inner ear issues Migraine Muscle strain Fatigue or stress That's why “pop in head then stroke” is such a common post-diagnosis search. The Complication That Changed Everything Phat's stroke was classified as cryptogenic, meaning doctors couldn't determine the exact cause. But the consequences were severe. After repairing the bleeding vessel, his brain began to swell. Surgeons were forced to remove part of his cerebellum to relieve pressure and save his life. He woke up with: Partial paralysis Severe balance impairment Double vision Tremors Aphasia A completely altered sense of identity Recovery wasn't just physical. It was existential. The Invisible Disability No One Warns You About Today, if you met Phat, you might not realise he's a stroke survivor. That's one of the hardest parts. He still lives with: Fatigue Visual processing challenges Limited multitasking ability Balance limitations Cognitive overload This is the reality of invisible disability after stroke when you look fine, but your nervous system is working overtime just to keep up. Recovery Wasn't Linear — It Was Personal Phat describes himself as a problem solver. That mindset became his survival tool. Some of what helped: Self-directed rehabilitation (sometimes against advice) Meditation and breath-counting to calm the nervous system Vision therapy exercises to retrain eye coordination Strength and coordination training on his affected side He walked again after about a year. Returned to work after two. And continues to adapt more than four years later. Recovery didn't mean returning to the old version of himself. It meant integrating who he was with who he became. Why This Story Matters If You've Heard a Pop in Your Head This blog isn't here to scare you. It's here to clarify something crucial: If you hear a pop in your head followed by any neurological change, even if it goes away, get checked immediately. Especially if it's followed by: Numbness Vision changes Balance issues Confusion Head pressure or vertigo Stroke doesn't always announce itself loudly. Sometimes it whispers first. You're Not Alone — And Recovery Is Possible Phat now runs a platform called Hope for Stroke Survivors, sharing stories, tools, and reminders that recovery doesn't end when hospital rehab stops. If you're early in recovery, or terrified after a strange symptom, remember this: Stroke recovery is complex Timelines vary Healing continues for years You don't have to do it alone Learn more about recovery journeys and tools in Bill Gasiamis' book: The Unexpected Way That a Stroke Became The Best Thing That Happened Support the podcast and community on Patreon: Patreon.com/Recoveryafterstroke “I heard a pop in my head… and because everything felt normal again, I ignored it.” Final Thought If this article helped you name something you couldn't explain before, share it with someone you love. Because sometimes, recognising a stroke doesn't start with fear. It starts with understanding. Disclaimer: This blog is for informational purposes only and does not constitute medical advice. Please consult your doctor before making any changes to your health or recovery plan. “I Heard a Pop in My Head” — Phat's Cerebellar Stroke Story A pop. Five minutes of numbness. Then everything felt “normal.” Days later, Phat collapsed with a cerebellar haemorrhage. Phat Cao’s Linktree Research shortcut I use (Turnto.ai) I used Turnto.ai to find relevant papers and sources in minutes instead of hours. If you want to try it, my affiliate LINK PDF Download The Present Moment Is All We Have: You survived the stroke. Now learn how to heal from it. Highlights: 00:00 Introduction and Life Before the Stroke 01:14 The Stroke Experience 09:05 Initial Diagnosis and Recovery 13:29 Rehabilitation Journey Begins 17:44 Mental Challenges of Recovery 22:40 Identity Transformation Post-Stroke 30:57 Mindset Shifts and Control 36:39 Breath Control Techniques for Stress Relief 42:04 Managing Tremors and Physical Recovery 48:09 Growing an Online Presence and Sharing Stories 01:01:01 Understanding Stroke Recovery Transcript: Phat (00:00) on a Sunday. And then it wasn’t until I felt like severe stroke symptoms on a Friday, which was about, what is it, four or five days. And then I didn’t think I was having a stroke because I didn’t realize the details of the stroke. And so I just went about my day on that Sunday and until Friday I started getting like some BEFAST symptoms and then, you know, I tried to sleep it off it was actually just me and my girlfriend at the house and then she didn’t feel, comfortable. So then she called the ambulance, even though I told her I’ll just sleep it off. It’s okay. Introduction and Life Before the Stroke Bill Gasiamis (00:37) today’s guest is Fat Kyle, a stroke survivor who experienced something most people would brush off. He heard a pop in his head. It went away, so he kept going. Days later, his brain was bleeding. Fat story isn’t traumatic for the sake of it. It’s honest, it’s thoughtful, and it speaks directly to anyone who’s ever ignored a symptom because it didn’t last. In this conversation, we talk about delayed stroke symptoms, cerebellar hemorrhage, identity loss, invisible disability, meditation, and what it really takes to rebuild a life when your old one disappears. And if you’ve ever had that moment where you thought, was that something or nothing? This conversation really matters. Now, before we get into it, I want to briefly mention something that fits naturally with this topic. When you’re dealing with stroke, whether you’re newly affected or years into recovery, finding clear relevant information can be exhausting. research opinions, patients, stories and updates constantly coming out. And most of it isn’t written. with stroke survivors in tool I personally use and find helpful is Turn2. I like it because it cuts down the time and energy it takes to stay informed. Instead of digging through endless articles, Turn2.ai pulls together all stroke-related research updates, expert insights, and patient discussions in one place based on what you actually care about. It’s not about replacing doctors, it’s about reducing noise. when your focus, energy and capacity are limited. You’ll find the link in the description. And just to be transparent, if you choose to use my link, it helps support the podcast at no extra cost to you. All right, let’s get into Fats story. Bill Gasiamis (02:23) Phat Cao Welcome to the Phat (02:26) Hey Bill, thank you. It’s an honor to meet you. Bill Gasiamis (02:29) pleasures all mine. I pronounce that correctly? Phat (02:32) Yeah, you know you did. It’s not that complicated. Fat Cal is right. I blame my parents. Bill Gasiamis (02:39) Fair enough. that a common name in Vietnam? Phat (02:42) You know, it’s not a common name. Actually, it’s not a common Vietnamese name. But a lot of people do have fat, the first name, and then the last name people do. Some people do have it. It just happens in America, it means something else, you know, in English. Bill Gasiamis (02:58) It totally does, it sounds like I’m being mean. Phat (03:01) Yeah, I get it all the time. I’ve had to grow up like this. It’s been kind of rough. Bill Gasiamis (03:08) I hear you. Have you ever considered making a change to one of the names just for the sake of ease? Phat (03:15) Phat’s so funny. You know what? Because I wasn’t born in the US, because I live in the US. And when I got my citizenship, that was something I thought about. But then after I thought about it, I’m like, well, this is the name that was given to me. Vietnamese, it means something else. And so then I decided to keep it. Bill Gasiamis (03:33) What does it mean in Vietnamese? Phat (03:34) Phat was kind of like, means prosperity and also like high prosperity. Bill Gasiamis (03:41) Dude, that’s a cool name. Phat (03:43) Thank you, yeah. Yeah, so yeah, when I tell people, they’re like, oh wow. Bill Gasiamis (03:47) I had, ⁓ my name is not Bill, it’s Vasili. Phat’s my Greek name. My parents gave me that name when I was born. And when I had, when I turned 18 and I got my driver’s license, they asked me, because my birth certificate says Vasili, what do you wanna have on your driver’s license? And I think I made the wrong decision then. I chose Bill for the sake of ease of use. And once it’s on your driver’s license, then it goes on pretty much every other document after that. And it’s really difficult to go back and change everything. I kind of, I don’t regret it, but I love the connection to your roots, you know, with the original name that you were given. Phat (04:23) Yeah. ⁓ yeah. I get, you know what, I had that decision too, because everyone pretty much in my family, they changed their names. So, you know, when I was at that point, I decided not to. And so, hey, it is what it is. You know, I had to go through some stuff, but I think it kind of set, it created me to, you know, to kind of not care so much and just embrace my roots. Bill Gasiamis (04:59) Yeah. And with a name like prosperity, it’s probably helpful in taking, that attitude to the rest of your life, especially after a stroke, man. Phat (05:11) Yeah, yeah, definitely I had to live it, you know, but yeah. I don’t know how prosperous or how much that is since I had a stroke, but I had to live it. Bill Gasiamis (05:25) You have to adapt it somehow. So what was life like before stroke? Anyway, how did you go about your day? Phat (05:32) You know, before the stroke, was active. You know, I like to do a lot of community service. I was involved with a lot of nonprofits. You know, I felt like I did various things. You know, I went through a lot of different stages in my life, but I’ll start off coming to America here. You know, I grew up in a trailer home. My parents escaped Vietnam, took us over here. And, you know, we grew up pretty poor and so you know he’s just growing up in the US my parents didn’t know a lot of English and so that was kind of my childhood. But just growing up and slowly you know learning how to adjust you know that was kind of my thing and I was trying to learn as much as I could so that way I can help my family and stuff and you know be the one to provide and stuff too and help them out for all their sacrifices. But yeah that was my life before the stroke in a nutshell. Bill Gasiamis (06:31) What kind of conditions did they escape? Phat (06:33) You know what, was towards, it was at the end of the war and so the communists had taken over. So they were fighting for the South, you know, which is allies with the U.S. and they wanted to bring us over here for freedom. Bill Gasiamis (06:48) Wow, pretty intense. old were you? Phat (06:49) Yeah. You know, I was one year, not even one years old when I got over here, but during when they escaped, they went to a refugee camp in the Philippines and that was where I was born. I also have two older sisters that were born in Vietnam, but I was the only one born in the Philippines at the refugee camp until they got, they got accepted to the U.S. and then they took our whole family over here. Bill Gasiamis (07:16) And what year was that? Phat (07:18) Phat was 1983. Bill Gasiamis (07:20) Dude, you don’t look like you were born like in 1983. You look like you were born only like in the 2000s. Phat (07:24) Hey, I appreciate it. No, I was born in 1983. So I’m 42 right now. Bill Gasiamis (07:34) Now you don’t look like you’re 42, but that’s great. Phat (07:38) I it. Yeah, you know, I had the stroke when I was 36. So it’s been about four years and seven months. I did a calculation. Bill Gasiamis (07:48) How did that come about? happened? How did you end up having a stroke? Phat (07:54) You know, as far as the stroke, I had a hemorrhagic stroke. It was actually a cerebellar stroke and the doctors could not determine exactly how it happened. And so, you know, they did some tests and stuff, but they couldn’t figure it out. So mine is considered cryptogenic. Bill Gasiamis (08:13) Defend the means. They found the bleeding blood vessel though, right? Phat (08:19) Yeah, they found a bleeding. ⁓ One of the arteries in the cerebellum was bleeding. And so it was like, I felt like a on a Sunday. And then it wasn’t until I felt like severe stroke symptoms on a Friday, which was about, what is it, four or five days. And then I didn’t think I was having a stroke because I didn’t realize the details of the stroke. Heard a Pop in My Head And so I just went about my day on that Sunday and until Friday I started getting like some BEFAST symptoms and then, you know, I tried to sleep it off and until, you know, it was actually just me and my girlfriend at the house and then she didn’t feel, you know, like comfortable. So then she called the ambulance, even though I told her I’ll just sleep it off. It’s okay. Bill Gasiamis (09:14) Did you actually hear a pop? Felt a pop? I’ve heard similar stories before. like, what was that like? Phat (09:22) Okay, you know, I did feel a pop. And then actually, when I was stretching at that time, which I don’t tell a lot of people because it sounds really funny, but I was stretching at that time and then I felt a pop. And so that’s when like part of my left side went numb. And then I was wondering if it was a stroke and I didn’t know much about strokes, right? You have your assumptions. what a stroke is and so I was like, well maybe it’s a stroke and at that time I waited about five, 10 minutes and I felt normal again. So then I just went about my day and at that time I was doing a lot of stuff so I kind of forgot about it. Which, you know, it doesn’t make sense but yeah, I forgot about it. Bill Gasiamis (10:13) Did the numbness hang around the entire five days before you got to the hospital? Phat (10:19) It did not. It only stayed for about five minutes and then it went back to normal. Bill Gasiamis (10:25) Wow. Phat would kind of distract you from thinking that there was something wrong, right? Because the numbness goes away. hear a pop, so what? Like everything’s fine. Phat (10:26) So then… Yeah. Yeah, then I should have went to the hospital and got it sort of looked into, but at that time I didn’t. And then I just continued with what I had to do and I went back to work and not realizing it was a slow bleed. You know, I think your body, now that I’m looking back, I think your body kind of fixes itself a little bit as much as it can. And then it was like, it turned into like a slow bleed until it got to a point where. Bill Gasiamis (10:50) realizing it ⁓ Phat (11:04) I was nauseous, I couldn’t walk my vertigo, I was throwing up. My eyes, I had double vision, and that’s when it really hit me. Bill Gasiamis (11:05) just being vicious. I could be little bit of wimp, I could be the longest three in the I know why. Friday would have been the worst day, was that kind of progressively getting worse as the days were passing or did it just sort of suddenly come on on Friday? Phat (11:15) Friday. It just suddenly came on on Friday. I had a lingering like small headache, but then it suddenly came on on Friday. Bill Gasiamis (11:27) Thank Hmm. And then from there, were you, let’s go to the hospital or were you trying to play it down again? Phat (11:40) I was trying to play it down until Sunday. So I was trying to sleep it off. And then, you know, by the time Sunday hit, you know, finally my girlfriend just called the ambulance and that’s when they came and then they checked me out and they found out I was having a stroke. Bill Gasiamis (11:58) I had a similar experience. I noticed, I didn’t hear anything, but I noticed numbness in my big toe, my left toe. And that was on a Friday. And then it was slowly, the numbness was spreading from my toe to my foot, to my ankle. And then by the Friday later, so seven days later, nearly eight days later, the numbness had gone down my entire left side. Phat (12:07) Mmm. Bill Gasiamis (12:27) So I was progressively getting worse every day. It was slowly creeping up as the blood vessel kept leaking. The blood clot got bigger and bigger. And my wife was telling me, you need to go to the hospital. You need to get a checked out, all that kind of stuff. I went to the chiropractor because I thought I’d done something to my back. And that’s why I had a pinched a nerve. I thought something like that. Chiropractor couldn’t find anything. I went back to the chiropractor the Friday. The chiropractor said, you need to go to the hospital because whatever’s happening to your left side is not happening because of your ⁓ back or your spine or any of that stuff. And instead of going to the hospital when he said so, I went home. My wife said, you what did he say? I told her, I told her that he said I should go to the hospital. She said, why are you at home? ⁓ I was reluctant the whole time. Like I didn’t wanna go because I had work to do, I was busy. Phat (13:13) Really? Rehabilitation Journey Begins Bill Gasiamis (13:26) It was really busy work week. We were helping out a whole bunch of clients. So yeah, it was insane, but what you’re describing that delay, the delay is very familiar. Phat (13:35) Phat’s insane. You know, that’s the first time I’ve heard someone that has a similar experience to mine and I can relate with you. You know, I was like, it’s okay. And there was a lot going on. didn’t want to, you know, delay certain things that was going on. I was in the process of closing on a house and stuff. So I’m like, okay, let’s just finish this up. You know, I didn’t want it to put me behind or nothing. Bill Gasiamis (14:01) Yeah. What kind of work were you doing? Phat (14:03) You know, I was doing engineering, so I’m an engineer for Boeing. Bill Gasiamis (14:08) Yeah, pretty intense job. Phat (14:11) Yeah, you know, I do see that, but it wasn’t because of stress. I don’t believe it was. Because I really did have a good, I feel like I did have a good balance of with my stress and also a balance of, you know, play and stuff like that too. And I felt like I was handling it okay. Bill Gasiamis (14:31) smoking, drinking, any of that kind of stuff. Phat (14:34) You know, before then I was smoking and drinking more, but I wasn’t smoking that much. Before the stroke, I probably had quit about a year before that, but I was smoking before that for about like 10 years, 15 years. Bill Gasiamis (14:41) Yeah. Yeah, again, familiar. I was 37 when I had my bleed the first time and I was also, yeah, yeah, that’s crazy. Like it happens around the same age for so many people I’ve interviewed between the age of 35 and 40 when they’ve had bleeds specifically. I don’t know why. And my, and I was smoking for, Phat (14:58) ⁓ we’re like the same age. joke, yeah. Bill Gasiamis (15:19) I was 37, so I was smoking from the age of 13 or 14 on and off. Um, I wasn’t drinking heavily, but it was drinking. But again, my thing was, um, something I was born with. was potentially going to bleed at some point. And, um, it’s just one of those things. Uh, but I think that my, uh, my lifestyle didn’t. Phat (15:36) all yours. Bill Gasiamis (15:44) It didn’t make things better. It sort of created the perfect storm for it to bleed. And that’s why since then I don’t drink and I don’t smoke 100%. You know, like I’ve just completely stopped. I have a drink maybe once a year. Phat (15:56) yeah, I’m the same way too, I just… Yeah, I get you. I was never like a heavy drinker maybe once a weekend, you know, but now I completely stop smoking or drinking. It just doesn’t interest me. Bill Gasiamis (16:09) Yeah, what were the early days like? Were you scared? Was it confusing? How do you deal with the initial diagnosis and your brain’s bleeding? Phat (16:21) Yeah, you know, in the beginning, it was a big shock. know, I think looking at me now, you know, you couldn’t tell. But, you know, I’ve built up to this point. But the biggest thing was I had complications when I had the stroke and, know, I had ⁓ my brain was swelling and so they had to do a second surgery on me to remove part of my brain. And so then that’s what left me with the, you know, disabilities and stuff, which, you know, I had most of the symptoms that most stroke survivors experience, spasticity, aphasia. I had tremors, know, partial paralysis, my balance, vision, things like that. But yeah, it was tough for sure, just coming home and at first you’re just so busy in the hospital working to regain, you know, yourself again, to rebuild yourself. But coming home, yeah, it’s just a… It hits you because you can’t do anything that you used to do. And everything changes, know, even your relationships change. Bill Gasiamis (17:22) Yeah. Which part of the brain did they take out man? And why did they need to take it out? Was it just a blood vessel that burst or? Mental Challenges of Recovery Phat (17:33) They took part of my cerebellum out and it was because after they repaired, since I had a hemorrhagic stroke, they repaired that vessel. It was, my brain started swelling and there was blood just filling up so then they had to remove part of my brain so they can allow space for it to swell up. Bill Gasiamis (17:59) Wow. Phat (18:00) Yeah, so I don’t know, you know, they decided to remove part of my brain, but it ended up working out. Actually before that, before they removed the second surgery, I was completely partially paralyzed. But in a way, since that happened, I had some movement. Bill Gasiamis (18:18) It’s just crazy, isn’t it? I had a recent brain scan where, because I’ve been having a lot of headaches and to throw caution into the wind, like they went and got me another brain scan literally about six months ago. And it was the first time I saw what my brain looks like after brain surgery. And there’s like a canal. Phat (18:37) they do. Yeah. Bill Gasiamis (18:47) like a canal from my ear, that’s all, there’s like an entry wound and then there’s a line that goes in to the spot where they went and removed the blood vessel, like where the damage has caused my deficits, the ones that are still with me. And it’s just intense that you can have a little bit of your brain missing or gone or whatever removed and you’re still functioning. It is just amazing how far technology and how far Phat (19:04) Yeah. Bill Gasiamis (19:17) Medicine has come. Phat (19:18) Yeah, that’s so incredible. The human body too, it makes you think about it. You know, I hear different things about, and just knowing like parts of our brain is dead, you know, and it’s able to, you know, regain different things. Neuroplasticity, right? Bill Gasiamis (19:36) Yeah. How long did it take you to get back on your feet after you realized you can’t walk? Phat (19:42) It took me about a year, but at that time I was still using a walker. Yeah, so about a year. Bill Gasiamis (19:47) And then from a walker, it become, how do you take the first steps away from a walker? What happened to allow that progression? Phat (19:57) you You know, I was told to use a cane and it would have helped me big time. But what I did was I skipped the cane and and then I use I just did it without the walker and I slowly built up built up the confidence. You kind of adjust. think each each time you transition like from one one from wheelchair to walker, you know, and then without the walker, you have to. Re-adapt the whole time and so that’s what I kind of did and it was ugly, know I fell a lot and stuff, but that’s what I did. I just kind of went for it Bill Gasiamis (20:33) So for those of you watching on YouTube, you might’ve noticed the change in scenery. That’s because the first part of the interview was recorded more than a week ago. And we had some technical difficulties because fat was in the car and we couldn’t get a decent connection. So we’re reconvening with that fat at home. Phat (20:55) Yeah, this is is better better connection Bill Gasiamis (20:58) Way better. And we finished the discussion off by me asking you a question about what you had said about how you continued your rehabilitation alone, where you were meant to be walking with the the Walker and you ditched it. And I was wondering, did your team find out that you weren’t walking with a Walker? Did they kind of like suss out that you We’re being, what’s the word, maybe a little bit risky or unsafe in the way that you were going about your rehab. Phat (21:34) Yeah, you know, I didn’t, I kind of, didn’t mention it to them really, but there was one of them that I did mention it to and she recommended I use a cane to be safe. And, you know, I did, I did say, tell her that I was trying it without it because I noticed that when I like switch like from the wheelchair in the beginning to the walker, it just like every time you switch, I noticed that you would have to adjust. so That’s the reason why I just went from the walker just to walking without a cane. Bill Gasiamis (22:08) Is it so that there’s less of an adjustment period between one thing to the next thing to the next thing was a kind of like just bypass everything in between and go straight to walking. Phat (22:18) Yeah, it was me being risky too, because I know if you fall or something, it could cause a lot of damage. But yeah, it was kind of my risk and my therapist, she wasn’t too happy about it. But I didn’t talk about it that much either. So I kind of kept it a little private too. Identity Transformation Post-Stroke Bill Gasiamis (22:40) what would you say some of the toughest challenges that you faced early on? Phat (22:44) I would say the toughest for sure is the mental and getting used to my new identity. You you come home and everything’s completely different. It kind of hits you at once. And I think, you know, living a normal life and then all of a you’re, you have a disability and you know, you can’t do the same things, you know, you could do the independence. So I think it’s all that. Bill Gasiamis (23:14) Yeah, you know, the mental, what does that mean for you? Like what is the mental challenge? Like, can you describe it? Phat (23:24) Yeah, I would say sadness. think anxiousness, fear. You don’t know what’s going to happen in your future. I think the unknown. Low energy. think those are the things that pop up in my head. Bill Gasiamis (23:45) Does it make you kind of overthink in a negative way or are you just comparing your old self to your new self? Phat (23:51) I think comparing my old self to my new self. Bill Gasiamis (23:55) Hmm. Do you reckon, do you reckon you brought some of that old self with you or is there a pause on the old self and why you’re kind of trying to work out what’s happening moving forward? Because a lot of people will talk about how, you know, their identity gets impacted, especially early on. And then sometimes down the track, when I speak to stroke survivors who are many years down the track, they might talk about how They brought some of their identity with them and then, and they’ve integrated that old identity into the new way they go about their lives. Early on is the old identity kind of far away over there and then there’s something completely different here. How did you experience it? Phat (24:44) Yeah, I think initially there were a lot of things and I wasn’t sure how to handle it. But I think throughout this time, you know, part of me has learned how to process it and resolve it and also rebuild myself. And so I think now, if anything, I take that experience to my present day to learn from and grow from. I feel like I’ve invested in myself enough to ⁓ not feel the same way, the negative things that, you know, were coming in the beginning. But now I think I’ve processed it correctly. And so I think I’m a lot better now. Bill Gasiamis (25:27) A lot of stroke survivors always often ask me for a timeline, you how long before this happened? How long before that happened? And we’re all so different, so it doesn’t really apply. But do you have a sense of the time that it took for you to integrate old self with new self? ⁓ I know you ⁓ got a substantial amount of your movement and your function back. How did you integrate? Phat (25:52) Yeah. Bill Gasiamis (25:53) the two and how long did it take before you kind of felt okay with who you were. Phat (25:57) Yeah, that’s a that is a hard question to say it wasn’t like Suddenly everything was okay. It was kind of a process I think as you I mean I’m for over four and a half years now and so it was gradual but I would say initially about Two years, you know is when it took me two years to build myself up to when I could finally work again and Maybe about the two-year mark I felt like things were starting to come more together. But it was an evolution. feel like, you know, every year, every month or whatever, you learn different things. And so it’s kind of a process. Even today, you know, I’m still learning different things and, you know, it’s changing too in different ways, right? But that’s how was for me. Bill Gasiamis (26:48) Yeah. What kind of person are you? Are you like curious? Are you a problem solver? I’m very interested about kind of understanding how people come to be on my podcast. I know that there’s a portion of people who come on because they want to share their story and help connect to other people. Also share their story to help people through the early days of their own challenge. People also connect to meet me so that we can create a conversation and meet each other. Phat (26:55) You know. Yeah. Bill Gasiamis (27:19) How do you go about your, what is your approach to stroke recovery about? What’s the fundamental thing that it’s about? Phat (27:29) Yeah, you know, that’s what I love about your podcast because it’s people from all walks of life. And I really like how you set it up. I mean, you say you don’t have to even prepare for it, but I think I’m the type of person. Yeah, I think I am ⁓ naturally a problem solver. think, know, in initially someone asked me if I cried and normally I, I don’t cry. And I remember when I had the stroke, once I got home, You know, I suddenly broke out in tears and you know, it was with my mom right there. And so it just hit me. know, initially I think, you know, we all get hit with that and our emotions and, you know, everything bottles up and has to come out or should come out. But, um, you know, I am a problem solver. I felt like after time, it gave me some time to process it. And I started thinking a bit like, okay, so how am I going to tackle this? So I tried to think of it like a problem that I had to solve and I slowly broke it down into pieces and started building myself up. know, I mean, when you look at me now, you you wouldn’t look at me and think like, okay, his stroke probably wasn’t that bad. But you know, it’s a lot different now than it was in the beginning. And so, you know, and that’s why with me, I figured it out. I started figuring out things and slowly improved until where I’m at now. Bill Gasiamis (28:53) That whole thing is that if you look at me now, you wouldn’t know that I had a stroke and I don’t come across as somebody who had a stroke, et cetera. And that’s a real challenge for me because I have had the worst week leading up to this interview again. Today’s probably the first day I felt really good, maybe for about four or five days. And I was struggling with fatigue and I was struggling with brain fog and I was struggling with sleep. And I was just a mess. Phat (29:04) Yeah. Bill Gasiamis (29:23) half the person that I was a week earlier. And it’s. I’m always conscious about the fact that I put off of this vibe on my podcast interviews, because I try and be the best version of myself, because you need to be the best version of yourself when you’re interviewing another person, even if you don’t feel the best. ⁓ But at the same time, you want to be, what’s the word like? Phat (29:38) That’s so good, yeah. Bill Gasiamis (29:45) you wanna be authentic. I mean, that’s the only word I can come up with. And that means that I need to tell people about how I’m feeling during a podcast. Like I might be tired, half asleep. I might even come across a little bit off, but then still, this is sometimes what stroke looks like and the part of stroke. After the interviews, you may not see, you may not see what it’s like. And I don’t want people comparing themselves to me just because I mostly look okay on a podcast interview. Phat (30:21) Yeah, I think that’s the frustrating thing. no matter whether you look like it or don’t, I think we still both experience different types of things in After Effects. And I understand your situation because it is frustrating because a lot of times we might not show it, but we’re still dealing with things that survivors still experience. Mindset Shifts and Control And, you know, we in front of the camera, we had to put on a face, right. And even sometimes like at work or in front of my family, they don’t realize I’m still dealing with things. And, you know, even my significant others, there’s things she doesn’t fully understand, and I’m still dealing with it. You know, or I might do something and she’s like, why are you doing that? But she doesn’t realize what I’m going through inside. And the external is one thing and the internal is another. Bill Gasiamis (31:12) Yeah, extremely difficult for me to even wrap my head around it still. And, you know, I’m nearly 14 years post first stroke, you know, and I’m 12 years post surgery and there’s so many things that have improved and so many things that are better. But you know, when I’m, my kids were over the other day and they don’t often hang around with me for a long amount of time. So they don’t often see what it’s like for me. Phat (31:23) Yeah. Bill Gasiamis (31:41) But everyone assumes that I am what’s wrong. Like everyone assumes there’s something wrong. And it’s like, I’m not cranky. There’s nothing wrong. I’m just having a stroke day. Like I can’t be better than what I am right now. And it’s not you, you know, it’s me. Phat (31:58) Yeah, big time. Yeah, I really feel like sometimes it’s hard for people to understand too if they haven’t had a stroke, but even for survivors to know that even people with, there are invisible disabilities out there, know, and each stroke is so complex and different. So we’re all, you know, having to deal with different things. And so that’s something to be aware of. And it’s good to be aware of that. Bill Gasiamis (32:25) What are some of the things that you still miss out on that you haven’t gone back to or you can’t do anymore or you choose not to do? Phat (32:36) Yeah, you know, I used to be a lot more active. I like, I love to snowboard before I can’t do that anymore because my balance is not at that point. And, plus I don’t want to take that risk in case something happens. Like, you know, I get some kind of traumatic brain injury or something or fall. ⁓ You know, my coordination, my fine manipulation isn’t good. My memory isn’t the best. I still have double vision, so I can’t do any type of like, like people are trying to invite me to play pickleball and I definitely can’t do that. You know, I can’t fall and track the ball, you know, plus my balance is horrible. Yeah. You know, I think my processing, I can only retain so much information or like Multitasking even though I think I believe multitasking isn’t the best but it’s like I can’t multitask, know, so you have to really focus in on one thing You know, I mean I built myself up to this point But it’s hard to do multiple things like if I’m really focused on something it’s hard for me to pay attention to something else Yeah, those are just some things Bill Gasiamis (33:52) You know with double vision, I don’t know anything about it. I’ve met so many stroke survivors who have double vision as a result of the stroke. Phat (34:00) Yeah. Bill Gasiamis (34:01) This might sound like a silly question. If you close one of your eyes, does the double vision go away? Phat (34:08) It does go away. So just to explain, it’s just your eyes aren’t… normally your eyes work together, but then one is kind of offset a little bit. So you’re seeing two pictures, but if you close one eye, then the double vision goes away. But in order for you to improve the double vision, you got to train it to work together. Bill Gasiamis (34:23) Okay. Is that some kind of training that you’ve done that you’re continuing to do? Phat (34:30) So there’s. ⁓ Yeah, know what I did initially, I saw a vision therapist that I was seeing them for about a year, but it got really expensive. So I stopped. But now I’m just taking what I learned and I’m practicing it on my own. There is an option for people to get surgery, but I am focused on just doing everything naturally. And so it’s still healing as long as I continue to practice it and exercises stay consistent. But just recently, since I’m doing a lot of things, I haven’t been as good at being consistent with my vision therapy exercises, so it’s actually getting worse. Bill Gasiamis (35:14) huh. So what does the surgery do? Does it change the position of the eye? Phat (35:16) Yeah. Yeah, the surgery does change the position and then it corrects it right away. Which there’s a lot of survivors that have done that. My double vision actually was really extreme, but it’s at the point now where it’s almost corrected. Bill Gasiamis (35:40) And is that a muscle issue? that like, you know how some strike survivors talk about weakness on their left side? It’s that the muscle activates or becomes deactivated in a particular way. And therefore it doesn’t respond in the same way that it used to. It doesn’t contract and release from the contraction in the same way that it used to. Is that a similar thing that’s happening to the eye? Breath Control Techniques for Stress Relief Phat (36:09) Yeah, it is kind of similar to that. And so what I’ve learned from talking to different therapists, it helps when you like isolate one side and you build that side and strengthen it. And so that’s the part where I’m missing because I’m working them together, but still the affected side is weaker. And so it’s just not strong enough to keep up. It’s kind of like our bodies, like, you know how one side is more affected. So we is good for us to isolate it and build it and that’s what I try to do with my effective side normally but with the eye it’s more difficult with the eye because you really have to like wear a patch or something you know Bill Gasiamis (36:50) Yeah, I hear you. Okay, so you wear a patch, you isolate the other eye, but then at the same time, you’re decreasing the strength of the other eye, or you might be interfering with that one by isolating it. Phat (37:02) Yeah, you’re right. Yeah, that’s exactly it. So you don’t want to patch it too much because you also want the eyes to work together. Bill Gasiamis (37:09) Yeah, that sounds like a task. I know going to the gym when I’m ⁓ pushing weights with the barbell, my left side might be pushing the same amount of weight, but it’s never going to become as big or as strong as my right side. It always seems to be just, you know, the few steps behind it, no matter what I do. it’s improving in strength, but it’s always the weakest link. It’s always the link that kind of makes the last few exercises not possible because it fatigues quicker than the right side. Phat (37:43) Yeah. Yeah, that’s what I deal with too. And a lot of times your dominant side does help it out a lot. Bill Gasiamis (37:58) kind of dominant side, my dominant side kind of over helps. And then it puts that side at risk. Phat (37:58) So yeah, sometimes. Yeah, it will help. Yeah, big time. You know, I’ve learned that there’s different ways to do it. You can build that affected side like with reps and then also sometimes doing a little bit heavier just a few times. I don’t know. I feel like it gets really in depth like how you want to do it. You know, sometimes even like holding a lightweight like up for a long time, it kind of gets heavy and it wants to like fatigue out real fast. So there’s different variations that I’ve learned throughout this process. Bill Gasiamis (38:40) Yeah. Was there a moment, would you say that you had a moment where your mindset shifted and you realized that you were kind of growing through this, even though you had all this challenge and difficulty that you had to overcome? Phat (38:58) Yeah, you know, I have to really think about it. It’s kind of just been a process and I’ve kind of accepted so much to happen, but I would say for the longest time over a year, you know, I would go down on myself and think about, ⁓ I miss the old ways. But I think as I’ve continued on this path and Maybe I don’t think about it as much because I keep myself busy and just trying to recover. so, yeah, but I think I’m trying to think of when it was like kind of like a light bulb moment, but I kind of knew that I couldn’t stay stuck in that because I couldn’t change anything about it. So I had to focus on what I could do or what I had control over. Bill Gasiamis (39:52) Yeah, that control part is really important. It seems like people who lose control of things ⁓ tend to, depends if you’re a control freak kind of person, right? Some people really like the illusion of control. They tend to feel good when things are predictable. I’m kind of that way, I lose, if I lose predictability, take control. I like to take a few steps back and see what I can control. can control the way I think about things, the way I respond to things, the way I act, the way I behave. It becomes about what then I can control on a micro scale. Whereas some people will do control on a macro scale. And some people will control like, Phat (40:16) Yeah. Mm-hmm. Bill Gasiamis (40:44) their environment and if their environment is okay, then they’re okay within their environment. But I don’t try and control external things. I try to influence them in a positive way, but I won’t expect an outcome from something that I don’t have any influence over. ⁓ And then I kind of try and work on what do I need to do to feel better about that thing that I am out of control of that I cannot change. but I can change how I respond to it. That’s kind of where all the work has been. Like where’s the work for you been? Phat (41:21) Yeah, you know, I do know that I do practice meditation and even before I had a stroke, I did practice meditation and that is one of the big things from meditation that you just naturally have that mindset to do that and to understand. And so I feel like that practice has actually helped me to be more flexible and accept certain things and focus on what I can control more. But just to say with the benefits of meditation, a lot of the benefits are specifically for stroke survivors. So I feel like it has helped me tremendously. Managing Tremors and Physical Recovery Bill Gasiamis (42:04) Did it begin, was that kind of one of the tools that helped you to begin to feel hopeful again? Phat (42:10) Yeah, to feel hopeful, to be able to focus better, have better memory, I guess reduce the pain that I was feeling, the depression. Yeah, there’s a list of things, yeah, think that’s, those are the ones off the top of my head. Yeah, I know it’s like. Bill Gasiamis (42:32) Are you a guided meditation? Phat (42:35) You know, I don’t, I just do ⁓ the most simple breath counting meditation. Yeah. It’s kind of, I can explain it, but you just focus on your breathing and counting. So it helps you with your focus too. don’t know. A lot of survivors have a problem with their focus. I did. So, and I still do actually now it’s not like to where I was before the stroke, but it’s getting almost there. Bill Gasiamis (42:45) What’s your kid? Counting how many counts in, how many counts out do you do? Phat (43:10) So you do inhale and exhale is one, inhale, exhale two, all the way till ten, and then you start over again. If that makes sense, yeah. Bill Gasiamis (43:23) So you just basically trying to get even inhale and exhalations. Are they even? they one is longer than the other or shorter than the other? Like how does it go? Phat (43:36) You can do even. I tend to do a longer exhale. Maybe like a, well, cause now I’ve built up the endurance. do about five second in inhale and then like a eight second exhale. But I also put together a PDF. I can send it to anybody for free if they want to just reach out to me. Yeah. And I can, you can put my information on the show notes. Yeah. It’s a really basic thing I put together if anyone’s interested. And Navy SEALs, use this type of, I mean, it’s also called box breathing. It’s kind of box breathing or meditation. And, you know, I know they use it for like extreme stress and things like that too. Bill Gasiamis (43:59) Okay, cool. helps people calm their autonomic nervous system to go into a parasympathetic state, which is the relaxed state. That’s what the, yeah, the longer exhalation helps people go there. You can basically intervene in a ⁓ heightened anxious state or a stressed state or a upset state. And you can intervene within a few minutes and bring yourself into a calm state just by changing the way that you breathe. You know what’s really cool fat? Phat (44:29) That’s exactly it, yeah. Bill Gasiamis (44:53) my gosh, I learned this the other day on TikTok. think I saw it. I can’t remember who it was that showed it to me. So unfortunately I can’t credit them, but also people who do yoga or that kind of stuff probably already know this, but to me it was like the most brand new amazing thing that I’ve ever learned. And what it was, if you can see my fingers, right? They said that if you try this, if you press ⁓ your thumb onto the finger after Phat (44:54) Yeah. and Bill Gasiamis (45:22) your little finger, I don’t know what it’s called, finger. So these two, so not your thumb, your thumb and not the little finger, the next one over. When you breathe, what do you notice? And what I noticed, tell me if you noticed this, is I noticed that my breathing shifts from my belly to my chest. somehow my chest takes over the breathing. Somehow my breath moves to my chest and it feels like a labored more anxious breath, right? And then if you shift it from that to your thumb and your first finger, Phat (45:43) But, sorry, just need to focus. Thank Bill Gasiamis (46:06) your breath automatically shifts to the belly and your diaphragm expands and contracts. And I tried that and I had the most profound experience. The first finger, your first finger and your thumb, two fingers next to them. Phat (46:16) really? on. Bill Gasiamis (46:26) Yeah, those two, yeah, yeah. ⁓ I felt like my breath shifted automatically on its own when I did that. And I don’t know if everyone gets that experience. So then for fun, I tried it with my wife and I said to her, can you please do this with your fingers? The first one was the little finger. I wish I knew what they were called, but the finger next to the little finger and the thumb. Phat (46:26) this. really? Bill Gasiamis (46:54) I asked her to do that and I asked her to tell me how does that feel when you’re breathing and she said that feels really terrible, I feel anxious. And I said, okay, cool. Now just please change it to the other two fingers, the first finger and your thumb and then see what that feels like. And she said that feels far better and the anxiousness has gone away. Phat (47:17) Really? Wow. Bill Gasiamis (47:18) Yeah. So I reckon if you have a play with that and you pay attention, I think I’ve seen a lot of yogis or people who practice yoga or who meditate, think I’ve seen people hold their fingers like that. And as a result of that, perhaps they automatically instinctively activate the diaphragm and the belly breath instead of the chest breath, which is the more anxious breath. It was such an interesting little hack to experience literally by changing which two fingers you’re pressing together. And it kind of connects to that meditation side of it. And I think it would add for me, it would add something extra to meditation that I previously didn’t know about. So isn’t that fascinating? Growing an Online Presence and Sharing Stories Phat (48:09) Yeah, that is so fascinating. I actually don’t even normally sit like that. I just put my hands in my lap. But I did. If you notice, I still have tremors on this side, and that’s how I actually got my tremors to reduce is I would hold it like this sometimes and just meditate. And then it’s just like heels or something. But yeah, before it used to shake a lot. Now it’s a lot better. Bill Gasiamis (48:17) Yeah. Yeah. Mm-hmm. Yeah. So do the meditation from now on. Phat (48:39) but sometimes just doing these finger taps. Bill Gasiamis (48:42) Yeah, right. That’s for coordination and that, right. Phat (48:44) Okay, you might try that. Yeah, yeah. Also you do use the pointer finger and the thumb. Bill Gasiamis (48:47) Yeah, try those first two fingers. Make a circle with it. That’s it, is that what it’s called, the pointer finger? Phat (48:55) Okay Bill Gasiamis (48:57) just connects to your belly. Phat (48:59) I’m off to the end. Bill Gasiamis (49:01) I have no idea how, but I love it. love that it does. It’s such a cool thing. Phat (49:05) Yeah, especially you feel that I’m gonna try it. Yeah Bill Gasiamis (49:10) So you know that tremor that you said about your hand, is that also in your leg? Phat (49:15) No, it’s only the hand. Bill Gasiamis (49:17) and it it gets worse when you are tired, I imagine. Phat (49:19) Yeah. Yeah, it does get worse under like pressure or if I’m tired. Yeah. Bill Gasiamis (49:32) but you’ve found that it’s settled down a lot since the early days. Phat (49:37) Yeah, it has. So as I continue to build it, it has. Yeah, in the beginning it was really bad, but I continued to do different things. A lot of resistance training, like with rubber bands and stuff like that, yeah. I do different things. Bill Gasiamis (49:58) Do you remember what it was like in the early days? Is that the dominant hand that you use or? Phat (50:05) No, it’s not my dominant hand. Bill Gasiamis (50:08) Did they make you try and use it too? Okay. Phat (50:09) because I’m bright, dumb, and… Yeah, they said they want me to use it. Sometimes I do get lazy too. I try different things, like even for a time frame I’ll brush my teeth with my effective side, my non-dominant. But a lot of times I get lazy because it is a lot slower. So I just go to my dominant hand. I’m still guilty of it. Bill Gasiamis (50:39) just to get the job done quicker. Phat (50:41) Yeah, yeah. Bill Gasiamis (50:42) Tell me a little bit about your, ⁓ your Instagram page. Phat (50:49) Okay. Well, I started an Instagram page. It’s called Hope for Stroke Survivors. And initially, I just made it for myself to collect information on recovery. Because I felt like I was limited on the information out there. And I would find some stuff on social media. And so I started collecting it for myself and know, eventually I made it public and I started, people started following it and gravitating towards it. And so I decided to start sharing different like tips. And then I continued to do that and more people started following it until I think that was around a year after my stroke. And now I just continue to do that and it’s grown to this point now. And so I felt like a part of it was kind of my outlet. You know, you know, I’m passionate about strokes and I want to share and provide awareness. so, yeah, I started for myself, but now it’s grown to where it’s at now. And I feel like, you know, it’s, I want to provide hope and also share different people’s stories because I really enjoy, and I still enjoy seeing comeback stories. And so, you know, that’s what happened with that. And so now it’s been about, what is it? for four years or something. Yeah. Bill Gasiamis (52:19) Hope for stroke survivors like 11.6K followers. Phat (52:23) Yes, call them. I’m sorry, what was that? Bill Gasiamis (52:26) It’s got 11.6K followers, 929 posts, and in the description it says, don’t fear change, trust the process. My goal is to spread hope while recovering from a severe stroke. Check out the stories from fellow stroke survivors too. Phat (52:45) Yeah, you know, after a while, I felt like, ⁓ I want to share survivor stories. feel like bring our community together. There’s a lot of survivors out there that are doing great things like yourself. You know, I found your stuff. And so, you know, I feel like it really gives a lot of us, you know, motivation, hope to believe what’s possible out there, because a lot of us have. you know, we get the wrong information, you know, I want to be able to show people what’s possible because a lot of times, you know, there’s like myths or whatever, and I just want to give people that hope. So I’ve expanded it to YouTube and also TikTok. And so, yeah, it’s grown tremendously on YouTube also. So it’s pretty cool. Bill Gasiamis (53:33) now. What kind of content you put out on YouTube? Phat (53:37) I, the same stuff, I pretty much just blast the same thing on. Well, now I’m starting to do more, I want to do more interviews, but recently I have kind of cut back on it because of time, but I want to do more interviews for like survivors and therapists and doctors on YouTube. I think that’s where I want to take it. Bill Gasiamis (54:00) Yeah. Yeah. To kind of share more information about the kind of ways that they help other people. Phat (54:08) Yeah, it’s exactly like, you know, what you’re doing. I think that’s amazing. I mean, you helped me out so much. remember yours is actually my top podcast and I would listen to it all the time. Bill Gasiamis (54:13) Yeah. Yeah. Yeah, I really appreciate that. mean, you know what I love is that you’ve been doing this for four years. I’ve been doing this for 10. Somehow you’ve cracked the code. You’ve got 36.8k subscribers. I’ve barely got 8,000. So that’s very interesting to me. Like how that some channels that share pretty much the same type of content grow. And then mine has been going for 10 years and I can’t seem to get above 10,000 subscribers. What’s your trick? know, like how did you manage to get that many subscribers? Is there something that you do consistently? I’m also asking for me, but at the same time, there’ll be other stroke survivors who are thinking about starting a YouTube channel perhaps, or thinking about sharing some way or growing this type of a community. And they’re reluctant because they don’t know what they need to do and they don’t know what could happen. Now I’m not completely dissatisfied with 8,000 followers. I’m perfectly satisfied with that. But of course I wanna make sure I reach way more stroke survivors because that’s the whole point of this is to get out. Do you have any tips as to what it was that kind of helped the channel grow so fast? Phat (55:25) Yeah, yeah. Yeah, you know, I think a big one is consistency. You know that. But, you know, I have learned a lot of things. read a lot and a part of it is also. Initially, I would share other survivors stories and also it was ⁓ like even survivors in who have had like cancer or different types of sicknesses. And so initially I was just doing that for fun. so then I think it attracted more people because it was a variety of things. But then, you know, I know that I didn’t plan to do it. if it’s. If I was going to do that, I don’t want to share other people’s things, you know, like if I want to be more serious, I have to niche down or I got to share my own stuff because I don’t want to take stuff from people. But initially. I was sharing a bunch of stuff and not wanting, I wasn’t expecting it to grow like that and I was just doing it for my own reason, for my own purpose and I think that’s how it attracted so many people too. Bill Gasiamis (56:46) Yeah. Look, it’s, it’s very cool that, um, the people have subscribed. Absolutely. And what’s good about it, even though it’s not all your content, it doesn’t really matter because if you’re putting content out there that people, uh, I mean, you’re not stealing the content, you’re not changing the names or anything like that or repurposing it. All you’re doing is, um, uh, all you’re doing is kind of pointing people to the direction of somebody else’s content channel or whatever. you know what I mean? Phat (56:58) Yeah. Bill Gasiamis (57:17) ⁓ but I know what you’re saying. Phat (57:18) Yeah, yeah. mean, I would always put their contact or their credit. But that wasn’t my intent of doing it. And I’m not making any money off of it. But then I’m learning about, OK, what can I do to make this bigger and help more people? And now I’m trying to focus down or just come up with my own content so that way people can see that too. Bill Gasiamis (57:31) Yeah, yeah. Yeah. ⁓ I think there’s not enough voices in stroke recovery and awareness and support and why, you know, we need more. need every version of person, how they’re affected and different cultural backgrounds and that we need way more people kind of putting content out and sharing their version of the story. My story resonates with you, but it might not resonate with someone else, you know? So if, if we can have more people out there listening, who are curious about it. Phat (57:53) Yeah. You’re right, you’re right. Bill Gasiamis (58:17) ⁓ biting the bullet and doing it. It would be fantastic if that happened and then more people to collaborate with. Phat (58:21) You know, I think it’s Yeah, I think it’s easy to pay attention to the subscribers or the followers, but a lot of times too, the way how I did it is if it can just help one person, you know, that makes me happy and then it just grew like that. But that’s what I continue to do. You know, I mean, maybe there’s more subscribers. but maybe your content is connecting really deeply with more people, you know? So I feel like it can’t always be compared exactly to the followers. And if you’re a survivor, you know, I wouldn’t want to let you feel like demotivated because of that. you know, I think if you’re passionate about it, just do it. you know, I think there’s plenty of room for a bunch of people, right? Like you were saying. Bill Gasiamis (59:15) I what you said, like if you’re just passionate, just do it. That’s why I started, I didn’t start out to get a certain number of subscribers or anything like that. I just started out to share. What’s cool is that the subscribers have happened. What’s fascinating is to view like how other people have grown their channel. what, it’s a completely different version of what you’ve done and yours has grown and I’m just keen to learn about it. And I think it will encourage or help other people, you know, do the same thing. Phat (59:24) Yeah. Bill Gasiamis (59:45) ⁓ And that’s kind of why I raised it. What I love about what you said is if it helps one person, like I said the same thing, dude, it helps so many more than one person. You just don’t know it because very few people reach out. Not that you’re expecting them to, but people just get the help and then they move on and they go and do good stuff. And it’s like, even better. ⁓ But every so often I get people like you sending me messages going Thanks for that episode. That was a great interview. I really got a lot out of that Can you point me in this direction or can you connect me with that person? One of the things that I do best I think then better than anything is I can connect people from all around the world with people who Are ⁓ listening and they want to get information about the thing that you tried or that service that you ⁓ purchased or whatever, you that’s what I love about it the most is I can connect people and they could be on different continents. And I love that I can do that from Australia, you know, like it’s crazy. Understanding Stroke Recovery Phat (1:00:58) Yeah Yeah. And especially, yeah, it has affected me too. You know, like I wouldn’t, I wouldn’t be standing here like this if I didn’t hear your podcast. You know, I could literally say that, you know, so that’s pretty cool. Yeah. And you’re in Australia. I’m in Arizona. Bill Gasiamis (1:01:17) It’s fabulous, man. It’s so fascinating. That’s one of the things I love about technology is that with time, technology will improve and make things better for people. And hopefully it’ll help way more people than it’s helping at the moment. It’s definitely helped me with my mental health, having this podcast, this platform,

What’s life like behind bars for Dr. Michael McKee, alleged vengeful ex-husband who murdered his ex, Monique Tepe and her husband, Spencer Tepe, while their children were inside their Columbus, Ohio home on December 30, 2025? Crime Online's Dave Mack joins investigative reporter Drew Nelson.See omnystudio.com/listener for privacy information.

Description: In this episode of the BOSS Business of Surgery Series, I sit down with Dr. Ronan Elefant, trauma surgeon, entrepreneur, and pilot, to explore a radically different way of delivering surgical care. Dr. Elefant shares how his background in biomedical engineering shaped his view of surgery, why he believes healthcare insurance should be reserved for catastrophic events, and how transparent, bundled cash pricing can lower costs while paying surgeons more. We discuss his company, ACES National Surgical Team, which leverages underutilized ambulatory surgery centers (ASCs) nationwide—without building hospitals. We also dive into how aviation allows him to scale surgical access across multiple states, manage complications safely, and maintain quality of life—plus how mid-career surgeons can shift from achievement to mentorship without burning out. Keywords: surgery entrepreneurship, healthcare economics, cash-pay surgery, ambulatory surgery centers, surgeon business models, physician leadership, nontraditional surgical practice

A leading surgeon, Dr. Eric Lullove, explains how insurers, Medicare Advantage, and deregulation created America's healthcare catastrophe—and why universal care is the solution.Subscribe to our Newsletter:https://politicsdoneright.com/newsletterPurchase our Books: As I See It: https://amzn.to/3XpvW5o How To Make AmericaUtopia: https://amzn.to/3VKVFnG It's Worth It: https://amzn.to/3VFByXP Lose Weight And BeFit Now: https://amzn.to/3xiQK3K Tribulations of anAfro-Latino Caribbean man: https://amzn.to/4c09rbE

A vascular surgeon with no criminal record. A Chicago penthouse. A firearm that police say matches shell casings from a double homicide 300 miles away. And eight years of alleged obsession that ended with Monique Tepe and her husband Spencer dead while their children slept down the hall.Former FBI Special Agent Robin Dreeke—who headed the Bureau's Counterintelligence Behavioral Analysis Program—identifies Dr. Michael McKee as a potential "wound collector." These are people who don't move on from perceived injuries. They catalog grievances, assign blame, and carry resentment for years until it explodes. Dreeke breaks down how wound collectors think, how high-functioning professionals mask dangerous resentment, what finally triggers them to act, and how they convince themselves they're the victim. Understanding this psychology might help someone recognize the signs before the next tragedy.Former FBI Special Agent Jennifer Coffindaffer analyzes the forensic evidence. Surveillance footage captured McKee's vehicle arriving before the killings and leaving after. A hooded figure walked through an alley at 3:52 AM. A preliminary NIBIN ballistics match ties a firearm from McKee's penthouse to the crime scene. But the investigation raises questions: how did someone allegedly enter the Tepe home with no forced entry? And why would a surgeon—someone whose entire career is built on precision—allegedly keep the murder weapon in his own apartment for eleven days?Coffindaffer examines the behavioral red flags that emerged months before, including a malpractice process server who tried nine times to locate McKee at addresses that didn't exist. She explains what investigators are holding back, what the defense will exploit, and why waiving extradition might be calculated. McKee maintains his innocence and plans to plead not guilty to two counts of premeditated aggravated murder.#TeepeMurders #MichaelMcKee #WoundCollector #RobinDreeke #JenniferCoffindaffer #TrueCrimeToday #FBI #MoniqueTepe #SpencerTepe #NIBINJoin 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.

This episode dives into the story of Cody Pritchett and his journey through business, marriage, and faith. Cody shares honest perspectives from the lessons learned along the way and the experiences that shaped who he is today. A real conversation you won't want to miss.

The Intro to AOX Course is coming to Tempe, AZ! Join us for a hands-on deep dive into the clinical and business systems behind predictable full-arch success. Seats are limited - register now to secure your spot. https://products.sharedpractices.com/tfap-intro-to-aox-2026 In this episode of The Full Arch Podcast, Dr. Steven Vorholt sits down with Dr. Paige Moorhead to talk about an often-overlooked factor in long-term surgical success: the surgeon's body. They explore how strength training, conditioning, and recovery directly impact focus, stamina, and longevity in full-arch dentistry. From managing long surgical days to preventing chronic pain and burnout, this conversation reframes fitness not as a personal hobby—but as a professional responsibility. This episode highlights why treating your body as an asset is just as important as refining surgical skill, especially for clinicians committed to sustaining a long, high-performing career. Key Highlights:

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

Michael McKee was a vascular surgeon trained at Ohio State, Virginia Tech, and the University of Maryland. He held medical licenses in multiple states. He worked at respected surgical practices. And according to two separate lawsuits filed in Nevada, he allegedly left destruction in his wake—then vanished before anyone could make him answer for it.The first lawsuit claims McKee's team left over eight inches of catheter inside a patient's body during a 2023 procedure, requiring emergency surgery. The complaint alleges the defendants concealed what happened and failed to provide truthful medical records. The second lawsuit is federal—a civil rights case claiming McKee sat on a prison medical panel and deliberately delayed an inmate's care until the man suffered permanent injury, including the loss of a testicle.McKee denies the federal allegations. In the state case, no attorney has even appeared on his behalf. And that's because when lawyers came looking for him, Michael McKee had already disappeared. Process servers documented fake addresses, a fax number instead of a phone, and colleagues who said he simply vanished. A judge had to grant permission to serve him by newspaper publication—a rare last resort.Six months after his Nevada medical license expired, McKee allegedly drove from Illinois to Ohio and shot his ex-wife Monique Tepe and her husband Spencer Tepe to death in their home. Their two young children were inside. He's been charged with aggravated murder and has indicated he'll plead not guilty.This is the story of a surgeon who couldn't be found—until he was arrested for double homicide.#HiddenKillers #MichaelMcKee #TepeFamily #SpencerTepe #MoniqueTepe #ColumbusOhio #TrueCrimePodcast #MedicalMalpractice #DomesticViolenceAwareness #JusticeForMoniqueJoin 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 prosecution has surveillance footage, a ballistics match, and an alleged suppressor. But tonight we're looking at the McKee case from the defense's perspective — because every case has holes, and this one has several.Defense attorney Bob Motta joins us live to analyze the gaps prosecutors still haven't filled. How did McKee allegedly enter the Tepe home with no forced entry? No broken windows. No kicked-in doors. The aggravated burglary charge suggests they have a theory — but what is it?There's no disclosed motive. No prior reports from the Tepe address about McKee. No restraining orders. No 911 calls. No documented conflict in the years since the divorce. If you're the defense, do you lean into that — argue the state can't explain why your client would do this?McKee is a surgeon. Intelligent. Educated. His career is built on precision. The prosecution's theory requires him to allegedly drive to Ohio, use a suppressor to commit murder — and then keep the murder weapon in his apartment. How does a defense team reconcile that with the profile of someone who plans meticulously?McKee "disappeared" before the murders. Process servers couldn't find him. A colleague said he vanished. Is that consciousness of guilt — or a man between jobs?The suppressor allegation — was it legally owned or illegally obtained? That question matters. Both victims were shot multiple times. Does that help or hurt the defense?Motta predicts where this case goes: conviction, acquittal, or hung jury — and what McKee's team needs to do to create reasonable doubt.#MichaelMcKee #MoniqueTepe #SpencerTepe #BobMotta #HiddenKillersLive #TepeMurders #DefenseStrategy #NoForcedEntry #ReasonableDoubt #CriminalDefenseJoin 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.

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.

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.

Dean's Chat hosts, Drs. Jensen and Richey, welcime the current American College of Foot and Ankle Surgeons President, Dr. Alan Ng, to the podcast!This episode is sponsored by Bako Diagnostics - a leader in student, residency and physician education and hands on training!A Denver native, Dr. Alan Ng went to Chicago and Texas for his medical training and surgical fellowship, as well as a short stint in practicing podiatric surgery, before eventually moving back to his hometown to join Advanced Orthopedics. Dr. Ng specializes primarily in Foot and Ankle Reconstructive Surgery and Trauma. Outside of his own practice, he is heavily involved in the world of podiatric medicine, serving as a past President of the American Board of Foot and Ankle Surgery, and is currently president elect American College of Foot and ankle Surgeons.Dr. Alan Ng is also heavily involved in designing surgical equipment and consulting for multiple surgical companies to enhance patient outcomes and to use new technology to improve surgical techniques. He currently consults and designs surgical devices for Stryker Foot and Ankle/Sports Medicine, Restore 3D, Orthosolutions, Medline Unite, Organogensis, Anika Orthopedics, Lifenet, Sinaptic, and Paragon 28/Additive Orthopedics.Education• Residency: Foot/Ankle Surgery/Fellowship – Harris County Podiatric Surgical Residency Program, Houston, TX• Medical School: Doctor of Podiatric Medicine – Dr. William M. Scholl College of Podiatric Medicine, Chicago, IL• Undergraduate Degree: University of Colorado, Boulder, COBoard Certifications• American Board of Foot & Ankle Surgery – Reconstructive Rear Foot/Ankle Surgery and Foot SurgeryMemberships & Organizations• Continuous Certification Committee and Exam Oversight Committee- American Board of Foot and Ankle Surgery• Highlands-Presbyterian St. Luke's Podiatric Surgical Residency Program (Committee Member)• Board of Directors, President - American College of Foot and Ankle Surgeons• Fellowship Director – Rocky Mountain Reconstructive Foot and Ankle Fellowship• Residency Committee – Highlands/Presbyterian St. Luke's Podiatric Surgical Residency ProgramInterests & Hobbies• Skiing• Golf• Martial Arts (Karate & Muay Thai Kickboxing)Ennjoy this conversation with a true leader in podiatric surgery!

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 topic of today's show is A.I. (artificial intelligence) in healthcare. The use of AI in healthcare is expanding rapidly and shows great promise in advancing treatment in many areas. It is becoming widely used in the area of imaging where it is able to Read X-rays, CAT scans, and MRI's with accuracy that sometimes surpasses human Radiologists. It Is even showing promise in the area of robotic surgery, assisting Surgeons, and in ongoing trials doing autonomous robotic surgery (without human intervention). Joining CoHosts Paul Hoppe, Dr Gene Shively, and Dr Michael Flynn is our guest, Doctor Donald Henderson. Dr. Henderson is the director of health care administration at Lake Erie College of Osteopathic Medicine located in Bradenton FL

Matthew 8 :1-17; Matt Clegg, Associate Pastor at RMC

Send us a textJoin Loren Gaye on Quantum Conversations for a profound transmission featuring me, Vandana Atara, your guide to galactic healing and inner mastery. Together, we explore self-regulation tools for empaths, unveil my bundle of five transformative programs, and lead you through a live etheric spirit surgery meditation to reclaim wholeness amid global chaos.​Tune in as I share heart-centered practices to check in with your organs, regulate your nervous system, and dissolve chakra blocks from womb trauma to spine alignment. Discover how to channel your 5D spirit doctor team from Sirius and Arcturus for cord-clearing, soul fragment retrieval, and quantum upgrades that heal medical fears and awaken your innate healer. This episode empowers the wounded divine feminine, healers, and sensitives to rise above fear through love and community.Support the showStay Connected with Vandana Light Healing :✨ Website: vandanalighthealing.com YouTube: @VandanaLightHealing Facebook: VandanaLightHealing Podcast: Hope & Healing LinkedIn: Vandana Atara Noorah Instagram: @vandana_light_healing Amazon Author: Vandana Atara Noorah

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.

The VW GTI turns 50 this year. That's a big deal and we discuss and list our 3 favorite GTI generationsOur trauma surgeon Dr Stephan Moran discusses the safety problems that software-heavy new cars have and how those problems can be addressed Car spotting: Stephan spotted a 2002 Dale Earnhardt Sr signature Chevy Monte Carlo. We hate it and think Dale Sr would have too, had he been alive.They say that your habits at 21 will be your habits for life. When I was 25, my goal car for when I was 50 - 55 and successful was the BMW 535i. But things have changed. We discuss what each of our 25yo car goals were and what they were when we were 35, 45, and 55, and how much things have evolved over time.#carsoncallpodcast #traumasurgeonsafety #automobile #vwgti #gti

The First Minister answers questions from Party Leaders and other MSPs in this weekly question time. Topics covered this week include: Keith Brown To ask the First Minister whether he will provide an update regarding the Scottish Government's latest engagement with the UK Government in relation to the distribution of Local Growth Fund allocations in Scotland. Douglas Ross To ask the First Minister for what reason the Scottish Government is going to court to continue to allow it to house male prisoners in the female prison estate, in light of any projections it has made of the cost to taxpayers in Scotland of challenging the Supreme Court ruling in this way. Pam Duncan-Glancy To ask the First Minister what the Scottish Government's response is to findings published by the Royal College of Physicians and Surgeons of Glasgow indicating that a majority of clinicians anticipate practical challenges in implementing the Assisted Dying for Terminally Ill Adults (Scotland) Bill. A full transcript of this week's First Minister's Questions will be available on the Scottish Parliament website: https://www.parliament.scot/chamber-and-committees/official-report

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. 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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.

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

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