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Dr. Alessandra Wal spent her first seven years of life living in the Middle East. She then spent ten years in France. All of these experiences gave her a rich view of different peoples and cultures which still serve her well today.   At the age of 18, she came to the United States where she attended undergraduate school at Duke University. She will tell us how “different” life was for her in a major college sports town, at least different from the kind of environments she had experienced up to that time. She attended graduate school at the University of Texas Medical center in Dallas where she eventually earned her PHD in Psychology. From an early age she loved to read, learn about people and wanted to understand them. For her, Psychology was the natural route to take.   Fairly recently Dr. Wal decided to shift from being a practicing psychologist to being a leadership coach for women. She has fascinating stories of the kinds of efforts her coaching practice has undertaken. She specializes in helping smart, ambitious executive women in male-dominated industries build wildly successful AND deeply fulfilling careers. When asked, she is quick to point out that men are very much a part of the equation. I leave it to Alessandra to explain and teach.   Dr. Wal and I had a wonderful and natural conversation. I came away blessed for the opportunity to speak with her and to better understand how all of us need to work harder and better at communicating and supporting each other.   About the Guest:   Dr. Alessandra Wall made a major career switch from a busy psychologist to successful founder & high-impact executive coach at Noteworthy. She specializes in helping smart, ambitious executive women in male-dominated industries build wildly successful AND deeply fulfilling careers.  Dr. Wall is on a mission to build a world where seeing women access the highest levels of leadership and success is so common, it's no longer noteworthy. She's confident that she can move the needle for women both through her 1:1 work with women and through her training, consulting, and partnership with companies that understand and value the impact of women leaders. You can find out more and access free resources at noteworthyinc.co.   When she's not busy helping executive women balance ambition, corporate dynamics, and personal well-being you will find her curled up in an armchair with a good book and an a piping hot cup of coffee.   Ways to connect with Dr.Alessandra: Website:Noteworthyinc.co LinkedIn https://www.linkedin.com/in/dralessandrawall/   About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog.   Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards.   https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/   accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/   https://www.facebook.com/accessibe/       Thanks for listening!   Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below!   Subscribe to the podcast   If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app.   Leave us an Apple Podcasts review   Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts.     Transcription Notes: Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us.   Michael Hingson ** 01:20 Hi and welcome once again to unstoppable mindset we get to meet every so often and chat and we get to have a number of people come on the podcast to have interesting stories to tell. And it is no different today we get to talk with Dr. Alessandra Wall. And she is a psychologist. Am I saying that right? Yes. Yeah. Are you psychologists to the founder and CEO of noteworthy and we'll get to that. But Alessandra and do you go by Alessandra or anything else?   Dr. Alessandra Wall ** 01:59 Now? Full name. I forgot, Alessandra. Oh, no, it is. Yep.   Michael Hingson ** 02:02 Perfect. So welcome to unstoppable mindset. We're glad you're here.   Dr. Alessandra Wall ** 02:07 I am very glad to be here. Thank you.   Michael Hingson ** 02:10 Well, thank you for taking the time to be here. Well, let's start talking about maybe a little bit of the earlier Alessandra growing up and all that sort of stuff. That's always fun to do that.   Dr. Alessandra Wall ** 02:22 Who doesn't love waxing poetic about their childhood? There   Michael Hingson ** 02:26 you go. So wax poetic as long and as much as you wish.   Dr. Alessandra Wall ** 02:29 Let's see. Most important things about my job most interesting things   Michael Hingson ** 02:34 are unimportant either way. So   Dr. Alessandra Wall ** 02:37 things you can't hear when I speak anymore. Although somebody the other day at the airport said I had an accent and I'm like an accent. I have an accent. I don't hear it. But if you say so, I grew up. I grew up in I was born in Iran, moved to Kuwait, moved to Saudi Arabia, moved from there to France, which is where my mom was born and raised, and lived there until I was 18. And I didn't move to the States until I was 18. My father is from Kansas. A lot less traveling for him. But apparently I still have an accent. But the person in the airport was adamant it was not a European accent. He said maybe Midwestern. And I'm like, there's really just no chance of that, based, at least geographically on where I've lived in the world.   Michael Hingson ** 03:27 Interesting. Well, how long were you in Iran and Kuwait and the first   Dr. Alessandra Wall ** 03:33 seven years of my life, my parents spend a total of 10 years in the Middle East, okay. I got to I got to spend the first seven years of my life and then move to France in what was at the time right outside of Paris, which is in one of the coldest winters they've ever had. That was a that was quite a shock making the move, but not not not too uncommon. We'd spent a few Christmases in Goodland, Kansas, and it snows a good deal there.   Michael Hingson ** 04:02 Yeah. So what what are what were your parents doing in the Middle East? What was work or whatever I assume? Go?   Dr. Alessandra Wall ** 04:10 For my dad. Yes, my mom didn't work put into in some of the places we live. But she my father was an engineer. Also all the things that engineer, engineer and electronics. So all the things that engineers and electronics do, or did at the time, this is the late 70s, early 80s in the Middle East and then just made interesting choices. He's a man who was very bold with his choices from life, given that he was born in 1928 in the Dust Bowl, and those weren't necessarily typical choices for his background.   Michael Hingson ** 04:49 I had friends they've, he's passed away now. And my wife actually knew them first and introduced me but he worked for us. And they spent several years in the late 70s In Iran, and actually were there when the Shah was overthrown. And it was a major challenge to get her and their cats out. And then he got out as well. But they, they made it happen. But it was a definite tense time all the way around. It was   Dr. Alessandra Wall ** 05:27 my father worked for us too, but not by the time he moved to Iran. And we left right before the Scheifele. Yeah, both my parents learned Farsi. I had siblings who spoke, my brother spoke four languages. By the time he was five from traveling, French and English, Italian because they were living in Rome before and my mom is a first generation French of Italian descent. And then Farsi, they all spoke Farsi.   Michael Hingson ** 05:56 So what do you remember about living in the Middle East? And what was it like as a child kind of growing up there?   Dr. Alessandra Wall ** 06:02 I have very fond memories. And I mean, for a variety of reasons. I remember I remember the kindness of people, and how welcoming most people were. I remember, I mean, depending on what years there were times where we lived in compounds, which with all expats and all foreigners, right. And those those experiences were fun, but very different, very Western. But I also remember sitting outside a house in Kuwait, with the neighbors right around Ramadan and watching them, you know, butcher chickens to cook I. I tell people in the states we don't think about late, but I when I hear the call to prayer, the Muslim call to prayer, I have very fond memories in the same way that when I hear church bells, and that was that was my recollection for moving in France, right is hearing church bells and doves on a regular basis. Like they, they're fond memories, like some people might, you know, have a smell that brings them back to childhood. And I had a brother who would wear navy blue corduroy pants in the desert, which is also very interesting to me. So it speaks you know, we talk about being adaptable. And it speaks to human adaptability.   Michael Hingson ** 07:23 Yeah, it must have been wearing corduroy pants and so on, it must have been pretty hot over there. It   Dr. Alessandra Wall ** 07:31 was pretty hot. I'm not strange one Strangely, I didn't I didn't start talking in Fahrenheit until I moved to the States. And then there's never got that bad, but my understanding is, so at least 40 degrees Celsius Celsius, if not more and humid, apparently very humid, certain times of years. But again, like for my brother, he was in the middle east from the time he was two or three until 13. He spent the full 10 years of his life there. So really, it's bouncing around from country to country bouncing around from culture to culture, will having to learn having to integrate having to getting not having to in this case, like getting this opportunity to develop richness in your practices from living in so many places and meeting so many different people. That for me, those are part of the reasons why all of that is so fond, and yeah, moved later on both to like my first friends in France where they were mixes right there were like my best friend was his mom was British and his dad was French. And then my other best friend her. She her parents were on the dad's side he was a first generation French of Italian. Parents mom was all French but same thing in college when I moved my first friends were all people who had multicultural backgrounds because there was an ease of fitting in.   Michael Hingson ** 09:01 It certainly must seem a lot different. Now over there, as opposed to what it was when you were living there.   Dr. Alessandra Wall ** 09:10 I am told it is very different. I know that for the Middle East, my for Iran, specifically my mother, my mother loved it. She loved she loved the language. She loved the culture. had wanted to go back but every time we spoken to people who who stayed or who let who had to leave and who came back. They talked about how jarring the differences. As for the Middle East. I am still looking for opportunities. I'm crossing my fingers for opportunities actually to go speak in the Middle East. So if anybody's listening and he's a speaker, I'm just gonna throw that out there. They keep on telling my mom the second I get an opportunity. I'll invite her to come with me. I   Michael Hingson ** 09:54 spend time this past August August 2023 I add excessively in Tel Aviv, this first time I'd been to Israel. And we also then went to Jerusalem. So we went through the West Bank and into Jerusalem. I very much enjoyed it. It is so sad as to what's occurring there now. And it's the usual thing that so often politicians and others just don't tend to listen to others. And it certainly makes it a lot more difficult to try to create some sort of meaningful and peaceful relationships, doesn't it? Definitely.   Dr. Alessandra Wall ** 10:32 Right. I mean, that's the challenge of leadership, ultimately, actually, can you? Can you rise to a position where you have the privilege, and therefore the responsibility of leading well, and still stay in touch with the people you're supposed to be? Leading, I was thinking about the word the other day, actually, just this weekend talking to my husband about a civil servant, which is, which is ultimately, what politicians are supposed to be their civil servants. Hello, hello,   11:06 people.   Dr. Alessandra Wall ** 11:10 And whether it's politics, or the corporate world, they just think that it's very easy to forget that. To quote Uncle Ben, in Spider Man, you know, with great power comes great responsibility.   Michael Hingson ** 11:26 It is very true. And the and the problem is it's so easy to and we seem to easily forget all of that. And we forget that leaders really are supposed to be servants. They're supposed to guide and they're supposed to help people vision and make the vision happen but not dictate. And that's just not what goes on isn't? Nope,   Dr. Alessandra Wall ** 11:50 not anymore. Well, realistically, I say not anymore. I think not mostly many points in history where that wasn't the case, either. We had a brief period where things look that way. Yeah.   Michael Hingson ** 12:05 So when you came to the US, at 18, that must have been a major culture shock compared to what you had experienced in Europe in the Middle East. It   Dr. Alessandra Wall ** 12:18 was I wasn't expecting it. My father, as I said, was actually born in Nebraska, I grew up in Kansas, we would come back to the States to visit my cousins and aunts and uncles who had, for the most part, migrated to California and Los Angeles and like the golden age of Los Angeles. So my assumption was that I would walk in and I would fit in because in France, I was, you know, here's my friend, she's American. Right? That's that's how I was introduced very often. But coming to the states, it was there was a massive culture shock and one that I don't think a lot of people realize, because if people look at me, I, I look the part of you know, white, I'm white, I speak with no accent I do sometimes, especially when I get tired to say weird things because my brain literally translates from one language to another. So I when he would come here, and I would say to offer a gift, because in French you offer gifts, give a gift. And I use some British expressions, such as to q where a booth or to talk about the trunk of a car. They, I as my mom would point out to me, I articulated far more before I moved to the States and was easier to understand, apparently, but the big thing was just habits I remember, you know, there going I went to Duke University for undergraduate and I remember being handed a a leaflet about things that that were okay to discuss in America and things that weren't okay to discuss, or the notion of small talk and how important it is to the social interactions in the US. I remember being asked my very, very first night feeling very homesick and alone. If it's true that French people were really rude and they didn't shave and they smell bad. And my response to the young woman who asked me that question was, well, far less rude than you're being right now. The women wax and yeah, sometimes a second shower would work well. So getting in the habit of kind of figuring out simple things that make sense to people in America like in dorm room experiences. One thing that makes sense in America is you leave your dorm room open. And so as people walk down the hallway, they might walk in pop their head I didn't understand those things. I close my it was my bedroom door I closed bid, which also meant that I was harder to make friends, because they didn't understand the social patterns. Interestingly enough, nowadays and the work I do I spend a lot of time teaching people how to build relationships, make connections relate to other people in the in the American culture, and sometimes I get to work with with people who are working for large American corporations or have moved to branches of their corporations in the US and are really struggling with that disconnect between the way things are done in their cultures or their enter their country and the way things are done here.   Michael Hingson ** 15:39 Well, when you went to Duke, did you learn to play basketball? Because that's a rule in North Carolina, of course,   Dr. Alessandra Wall ** 15:45 well, here's the thing, I had no idea what Duke basketball was about. None. I didn't get why it was a big deal. I also remember walking around and telling my Mother, why are these people walking around wearing shirts and baseball caps that say, Duke we know you're here, like, it's good. You're okay. Like, all those things that seem so again, commonplace things we do not think about because they're part of our lived experience. To me, were so awkward. So now I did not learn how to play basketball. I too, went to the UNC campus. I think on my second weekend, totally made friends with a bunch of Tar Heels. They broke all the rules. There was a massive failure in some ways.   Michael Hingson ** 16:30 There is relevance in communicating, though I've went to speak in North Carolina. And I will also say if anybody needs a speaker, I'd love to talk with you about speaking. Having been in the World Trade Center, and all the things that I've done, it's it's fun. And I'd love to travel abroad again, as well. But I went to Carolina to North Carolina to do a speech several years ago. And Duke, UNC and NC State were all poised to make it into March Madness, except that NC State and UNC had a game of the Thursday night I arrived. And I expected just to be able to watch some television and turn on the TV only to hear the announcer say shows are not going to be on tonight because of the game went okay. And I was in Kentucky when the Wildcats were actually not only in March Madness, but it was the final game. And they were one of the two teams in the final game. And I was doing a speech somewhere and was told, we have to end this entire event at 630. If you go beyond by one minute you will speaking to an empty gym. And we ended it on time. And sure enough, by 631, there were only about two or three people in the gym. And one of them was me and the other person was the person who was going to take me back to my hotel. Amazing. It is   Dr. Alessandra Wall ** 18:00 really really you know, if we bring it back to like this larger concept that for people who don't, maybe listening who don't get it or understand it, it really comes down to when you walk into a space, do you understand what the people around you are about? What's important to them? Like what defines that our culture? And can you adapt to it? And I could absolutely and totally see what you're talking about happening. Like there's going to be nobody here.   Michael Hingson ** 18:30 And there wasn't, it was, I have never seen a gym clear out like that. And it wasn't even an emergency. But they were they were all gone. But it is interesting that as you point out and around this country, there are a lot of different cultures living in and I've been in Massachusetts and live there for three years, and I've lived in other places as well in New Jersey. And the cultures are so different in a lot of ways than here in California. And at the same time, unless you experience a number of those different cultures, you don't tend to get a flavor for or get some sort of depth of knowledge to be able to understand how to adapt. I, for example, met a person in New Jersey, who lived within 20 miles of New York City. This was a grown woman in her 50s and had never been to New York City. She had never really been out of Springfield, New Jersey and then the surrounding areas but it never been to New York City just wasn't even a priority to travel 20 miles   Dr. Alessandra Wall ** 19:39 that that I cannot that does not compute for me. I mean, I know people like that I've very good friends in San Diego who have been born and raised here and we talked about the love for travel that like if they travel they traveled to go see friends in Oregon. And that's about it and there's no curiosity and Don't judge them for that it just does not compute. Yeah,   Michael Hingson ** 20:02 it's not, it's not a judgment issue at all. Whereas my wife, who was married to me for 40 years, she passed away last year, which is sad. But I've got 40 years of marriage, and I know she's monitoring. So if I'm ever not a good kid, I'm going to hear about it. So it works out. But the thing is that she had no fear of driving, when we were in New Jersey, into New York, and she drove all around California, when, when we needed to go and do different things, and all that and, and loved to see different places. And so I always grew up with that kind of attitude. And so it helped me when I went to different places, and went to places like West Virginia and an experience the foods that they have there, which are significantly different than in California. And just all the different things. It's I think, important that we find ways to broaden our horizons and at least learn to respect those and those environments that are different than ours. I   Dr. Alessandra Wall ** 21:07 agree that I mean, on so many levels, right, to go back to some of the things we're talking about. I was reading articles this week about the risk of loss of the ability for people to have civil discourse, and a reading call about that very specifically in the workplace, that it's this huge potential risk for workplace initiatives for innovation for companies to be able to work together also for companies to be able to access like a broad spectrum of talent, because if people now only start working in companies where there's a one to one alignment on culture and values, and then then we lose, we lose that diversity of that creation. So the it's a, it's a big kind of space that people need to start thinking about in 2021. But part of what it takes to be able to move the way I did as a child or even in the state, so I moved to North Carolina, very different from Paris, France, in so many ways, but took the time to travel up and down the coast many times then left North Carolina moved to Texas to Dallas for graduate school. And as I was reminded day three in Texas when I asked for a sweet tea, I was like they told me Honey, this is not the South is the southwest. I'm like, okay, very different set of cultural norms, very different set of habits. For people who aren't, who haven't lived in both of those places. They might just put lump everything together in Boston. I've spent enough time in New York City I've been now in Southern California moving to Southern California. I don't know how things are in Victorville. But in San Diego, there's this thing that I later learned was called the SoCal flake. Buddy moving to Southern California. So let's take LA County all the way south, if you have plans with somebody, and they cancel on you about 10 minutes before your due to me because they're tired, and they just decide they'd stay home. It's not you. It's them. Yeah, but that is a typical, that is a typical culturally acceptable thing to do here. And I would, first of all, when I moved, I found it very difficult. But when I was still practicing, as a psychologist, and I would talk to people who moved here and felt very isolated very alone, I often brought that up and the sense of relief, they just didn't understand why it was so difficult to meet people why people were so inconsistent or flaky, thus the name so Catholic, and to just explain like that is just that you, your plans need to always be very agile and ready to switch. You know, this is these are just habits. So that ability to adapt, and the ability to have distress tolerance. Right, which is really what we're supposed to learn when we're toddlers distress tolerance. Yeah. becomes essential.   Michael Hingson ** 23:59 My inlaws spent most well a significant amount of their lives in California. My father in law was born in Canada, but moved here fairly young, my mother in law grew up in Arizona, but they really spent most of their time from maybe late 20s on in California. So they also went the other way. They would decide on a Saturday or a Sunday or whatever, let's have a party and they had a whole bunch of people who were friends, what they call the instant party group, and all they had to do is call and everybody show up. Love it. No plans just showed up. And people would bring things or not, and it didn't matter. But yeah, but the whole, the whole environment is definitely different than the structured environment of, say the east coast, where things are expected to be a certain way and That's just the way it is. And it's okay. But we need to learn to tolerate it and understand it. And as you pointed out this whole concept of social discourse and in the workplace and elsewhere, we're losing the art of conversing. Because there are so many people who don't necessarily think the way we do. And unfortunately, there are some people who have led so many people down that path of saying, Well, if you don't think the way I do, then you can't be good.   Dr. Alessandra Wall ** 25:33 It's, you know, my opinion is that there's a tendency to take a lot of it very personally, that if somebody doesn't agree with you on something, that it's that it's personal, it's about you, and it isn't. And a lot of the work, a lot of I do a lot of work around, mastering difficult conversations, I work with people in high stakes situations, right. So they're, they're often big personalities. And because I work with women, sometimes they know how to stand and tall and big in front of those personalities. And other times, it feels very unfamiliar to counterculture. And a lot of it is learning how to calm yourself down how to recognize what you are thinking, recognize what you what's triggering you. And making sense of whether the things that are triggering you pertain to the situation that's in front of you, or it's like your own history, it's your own baggage. That's where there's a massive crossover between what I used to do as a clinical psychologist, and then the work I do now,   Michael Hingson ** 26:41 one of the one of the things that people just don't do nearly enough, though, is to end in an in a nice way, in a curious way, ask questions, we are afraid. And I think we're taught that, you know, I see it all the time is I am somewhere and a child will want to know about my dog and they'll say to their parents, I want to go pet the dog or they'll compensate something to me in the parents will go don't talk to that man, he may not want to talk to you don't talk to that dog, it might bite. And I will stop no matter what I'm doing when some of that happens. especially dealing with the dog. And I'll take the dogs harness off and say absolutely, the dog won't bite come on over and visit. And the reality is the dog loves it even more than the child no matter what child it is, because they love the chance to take a break and get attention. But people are just taught how not to ask questions and how not to be curious. Which is so sad. Yeah,   Dr. Alessandra Wall ** 27:42 because they don't get practice on how to frame a question. And I understand the the impulse of the parents, I think a lot of time the impulse is we don't want to make somebody feel different or feel bad. Certainly having done a lot of work in di there's that idea of you're you think you're the first person to ask the question. That's the 20th time this person has had to feel this question that day. The same time? If if the questions are never asked if the answers are never given, then things don't nothing gets normalized. Then people stand out as outliers because I have to stare at them and try to make a story in my head. Now I'm staring at somebody instead of asking them living in living in San Diego, we have a lot of wounded warriors, right. I would always tell my kids, when they would ask what do you think happened to that person's legs or their arms or whatever? I said, Listen, if you really, really, really want to know, you can respectfully ask them, Would it be okay? If I asked you a question? And they're not idiots? They know exactly what the question is, pertaining to. And then they have the right to say, No, I'm tired. I'm sorry, I'm busy, whatever blow you off, or you can simply ask. But what I don't want you doing is that like whispering pointing can sound like either you're truly curious asking with children, you get away with that a lot more, especially if they're cute and polite. Or you're not curious enough to ask in which case, then walk on by and go on and go, like live your life and do your day. But don't sit and stare at somebody and like whisper behind their back that's humanly evolutionarily, that's an incredibly uncomfortable position to be placed in as a human.   Michael Hingson ** 29:23 The media is what the media is, but I have to say, for me, and I've said it before on this podcast, after September 11, I made the choice to allow the media to come and interview me and I've been literally brought before cameras and had hundreds of interviews and I've been asked the dumbest questions in the world up to the most intelligent and smartest questions in the world. And I will not say even today, there is not a question that hasn't been asked because every so often, I'm surprised Somebody will come up with a new question that that makes me think. But I made the choice to do that. And it has been such a blessing to have all of that because it actually was great therapy for me because it made me talk about September 11. And all that was involved with that. But at the same time, it was a way to really get into discussions, and then learn how to frame responses. And the more times people wanted to interview me, the more I had to learn to deal with it, and did learn to deal with it to the point where it got to No, I wouldn't say be automatic to answer questions. But I was always open to answering questions, because the other part about it for me was being blind and different than 99.95% of the population. I figured that I needed to be a teacher. So I very rarely would refuse to answer a question. Because if I didn't, the odds are they wouldn't get the question answered. And usually, questions came as I understood them from misconceptions about what blind people could and couldn't do. And what I say wasn't what I say wasn't. So it was important to answer questions, and I really enjoyed and enjoy doing it.   Dr. Alessandra Wall ** 31:26 So I'm really curious, I have two questions for you. Do you? Yeah. If you feel free not to answer them if you don't want to. So I'll give them both. And you can answer them both, or in any order. So one of the questions is I have to ask, I mean, you said, I've been asked some of the stupidest questions. So I'm really curious what the stupidest question you've ever been asked is. And then the other question I have, because again, this is something I've worked on myself. This is something I've worked with other people, it's, there's an art to being able to answer things on the fly or process information on the fly, especially high stress or demanding environments. And so I'm wondering if you have any tips on how to do that?   Michael Hingson ** 32:12 Well, I'll answer that one first, just because you asked it. Second, we're talking about it. It's just practice. For me, a lot of times I had to when people asked questions in interviews, sometimes had to stop and think about how to answer and what to answer, because I hadn't been asked a particular question before, but the more I practiced at it, and the more I answered, the easier it became to think of doing things on the fly. And I'll and I'll tell you another on the fly story in a moment. But to go back to your first question. So the reason that I got very exposed in the media was that Guide Dogs for the Blind after a while on the 12th. I called and told them what had happened, Guide Dogs for the Blind up in Santa fell, because that's where I've gotten all of my guide dogs. And some of the people from there had visited me in the World Trade Center. So my wife reminded me that somebody was going to remember that at some point, so I called and anyway, they put out a story. And it was clear what happened, right? I was in the World Trade Center, I got out I worked in the World Trade Center was reported, I was the Mid Atlantic region sales manager for a computer company, a fortune 500 company and other things. You can't imagine the number of times that people would still say to me, what were you doing in the World Trade Center anyway? Hello, don't you read? And, and of course, the other thing was, they would say, Well, did you know what happened? And I said, No, not until later. Well, of course you didn't you couldn't see it. And so Mike, stock response to that is the last time I checked, Superman and X ray vision, were fiction. And the reality is, I was on the south side of Tower One, when it was struck. On the north side. 18 floors above be no one going down the stairs where I was had any clue what happened, eyesight had nothing to do with it. Yeah. And it is so difficult to get people to recognize that because they really don't understand that disability is not a lack of ability. And I know you mentioned Dei, earlier, but if you ask the average expert in diversity and so on about what diversity means they'll talk to you about race, gender, sexual orientation, so on and will not mention disabilities, which is so unfortunate. We're not part of the conversation. And that just bleeds over into almost everything. But the fact of the matter is, is I love to tell people, sighted people have disabilities to your biggest disability is your light dependent, and you can't do a lick if suddenly the power goes out. you'll lose all your lights until you can find a light source. Thomas Edison fix that for you guys originally, but the reality is that light dependence is just as much a disability as light independence. The only difference is that we are so technologically advanced in terms of providing light sources, that your disability gets covered up so often because you can turn on us flashlight or a smartphone or we have lights everywhere, it doesn't change the fact that the disability is there. And, and I don't mean any of that in a sarcastic or negative way. But I'm using that tool to try to start to get people to understand that disability isn't what you think it is, of course, some diversity. People say, Well, disability doesn't mean a lack of belief, because it starts with this. And I say, yeah, and tell me what it is about the word discrete, that makes it negative. You know, there's a dis indiscreet. Tell me about that, you know, and they can't, because the reality is that it has nothing to do with this disability is a characteristic. And it manifests itself in so many different ways. And very frankly, I've learned a lot of that by articulating it on various episodes of unstoppable mindset. So some people are probably getting bored with me saying it all the time. But it is still true, that we need to recognize that everyone has differences. It doesn't make any of us less than anyone else. Think   Dr. Alessandra Wall ** 36:27 about this, you You're right, the majority of conversations that take place around D I have to do with race and gender. Let's just start there. Right. The majority of my conversations have to do with those, those two things are the intersection of those two things. And there's a lot of conversation that is starting to take place around like neurocognitive since right and when I when I talk with people who for example have pretty bad ADHD often present it like it's just really bad thing I'm like hold on because there's somebody who has a DD ADHD what I will say is, is it a disadvantage when I have to remember numbers absolutely terrible person cannot argue with my husband and win an argument the man can watch a movie quote the whole movie. Remember? Literally he will. He will say you remember we met at college, they'll say you remember that night we were playing spades. And so you played this card this person played and he'll go through the whole thing. Like everybody's hands on like, no, yeah, what was on TV and was I eating pickles like that might help me place the night who was there? Right? I'm a good person. I remember like broad strokes themes. But where it becomes an incredible advantage is and coming up with solutions. Because the brain constantly like I call it. I said, I say you know, it's the star blasts like a thought comes and you have 10 Other thoughts that spring from it. And then 10 others in 10 others and 10 others. If you can rein that in. If you can gain some control over that. It's a huge advantage. You talked about sidedness right and, and the advantage of being able to work in spaces with low light is somebody who's entering middle age or who's fully middle aged and whose eyesight went from perfect. To me wondering why people ever thought that six point font was a reasonable font, for any kind of label, and being very dependent suddenly on readers, especially in low light, right, looking at having to figure out the world in different ways becomes interestingly challenging. So there is this advantage. It's about looking at and this growth mindset, among other things, right. It's about being able to look at where where's there an opportunity here, as opposed to just thinking different equals bad? Yeah.   Michael Hingson ** 38:54 It is, it is something that we need to do and it can I submit, it still all goes back to curiosity, the more curious we are, and the more curious we allow ourselves to be, the more we will open ourselves to being able to learn and it is just the thing that we're not taught to do from an early age. So when you went to Duke, what did you major in psychology?   Michael Hingson ** 39:21 Of course you did.   Dr. Alessandra Wall ** 39:22 I started off I so I was an avid reader of as Pat Conroy, and ever read any Pat Conroy his stories are all about people being incredibly twisted and broken and in one way or another family dynamics. One of the books I read was The Prince of Tides. Now, I'm going to add to this contextual story. I was born because my older sister too at the time drowned and died. It was not planned. My mother neither my parents were not planning on having a kid actually. They would have been empowered. First of all, if not for the fact that my mother's an obstetrician told her when she went to get her tubes tied the year before, wait a year, and if in a year you still want this will do it. And in that year my sister died. So I came into a family with a lot of psychological trauma from all of that. So sometime in as a young teenager, I decided I want to be a psychologist. Right, that was the decision. I am going to be a psychologist and I had it all planned out what my career was going to be like. So I, I majored in psychology I specialize in as a child psychologist, I went directly to graduate school for clinical psychology specialize in child psychology. Where did you go? The University of Texas, Texas Medical Center in Dallas. It's a mouthful, but it is. And then came to came to here to San Diego because my husband got matched for residency with UCSD and same thing went directly got a postdoc, and as a child psychologist, open a practice as a child psychologist had my kids. And then I thought, who all the stuff that was fun about interacting with kids all day long, every day suddenly was not as much fun when I had to come back home and interact with his all day. So move to working with adults very specifically in anxiety, stress, what would be called burnout nowadays, yeah. Name back then. You perfectionism and, and then I did that for a few years and fell out of love with it. And then looked at what I did love about being a therapist, and the people I really enjoyed working with and fast forward a decade. I am where I am now.   Michael Hingson ** 41:49 So how did you come up with the name noteworthy.   Dr. Alessandra Wall ** 41:53 My mission for my company for what I do professionally, was to build a world where women could access the highest levels of leadership and empower at such a regular level that it was no longer noteworthy. Right now is very noteworthy, right, we'll say so and so the first the second CEO, female CEO of Pepsi, the first whatever, we haven't had our first female president, I don't think we'll have one for a very long time, right, those those kinds of things. They just want to get to a place where we can do see so and so CEO of Yeah, president of Yeah. And when I rebuilt my website, I showed it to two friends who are part of my, my board of advisors, personal board of advisors, and I said maybe maybe I should come up with a new name. The company's name is life and focus coaching, right? Because that I started as a life coaching business was my first transition. And one said, why don't you do noteworthy? Just like it is in your mission? That is where you're trying to women right now. We're still very noteworthy. So that's, that's, that's the story. I just need to get some of my clients for, say not worthy. And I'm like, no, no, no, not not worthy. No, worthy. You are worthy.   Michael Hingson ** 43:14 Yeah. So no, worthy certainly is, I think, a cool title. And I'm glad that you're doing it. So tell me a little bit more about exactly what you do. And why you do it.   Dr. Alessandra Wall ** 43:30 These days, I spend my time I'm really lucky. We just had a holiday dinner with my San Diego clients I have, I've worked with women all around the world. But because I'm San Diego base, I have a large contingency of current and former San Diego clients. And towards the end of dinner when most of them are gone. Because I cannot do a speech about something that moves me without tearing up and I'm like, I did still want to cry again. I looked down at the table, there were about five women left. And I said I just I just need you all to know that you are my dream come true. Right, which is true. I am very privileged to get to work with women who I genuinely believe are extraordinary. I do believe they're no worthy in their own right, whether they feel that way or not. And they tend to be by design for what I'm trying to achieve for them women who are executives, usually VP to the C suite. And these are women who have a track record of excellence. They're at the top of their game. But the cost, the price to pay, the effort that they've had to put forth in order to reach where they are in their careers tends, historically to have been much higher than their male counterparts. That's just the fact it's not a judgment. It's just a fact. And so when they show up in these situations, there are some habits that need to be broken. The habit of raising your hand to do all the things you can do versus positioning yourself to do what you do best and building your brand and your reputation around your top value. Knowing how to set boundaries without feeling guilty, the a lot of women I work with have fantastic titles, but they don't always feel or sometimes it's not about feeling it is the reality, they don't always have the authority that they need, with those titles to be able to lead very effectively or with impacts. That's, that's the work we do with these women and I, I get to leverage all the things I love about being a psychologist, so building trust, getting deep, understanding what what holds people back internally, and breaking down those barriers, plus all the behavioral, like everything I learned about being a psychologist working with children, and teaching parents how to parent effectively conditioned behavior, all of that gets applied to the these workplace interactions. So I do that with individual women. And then more and more, we're getting an opportunities to also work with companies and come into companies and either help them support and elevate individual women or build programs that will allow the woman that they have on staff to show up much more effectively to be really successful, which is great for the company and tends to drive retention. It is it is it is a dream come true. Because I'm one of the few privileged people that I know of who when she was really miserable with her job just got to rewrite kind of how she wanted to work and what she wanted to do. So that is that is what I do.   Michael Hingson ** 46:43 So in working with women, and so on, where can or do men get involved in the equation at all,   Dr. Alessandra Wall ** 46:49 they get involved in a couple places, a lot of the work I do around actually I'm on a, I had a committee I co founded a committee is around male ally ship. So simply teaching, helping good men understand why the experience is different for women, and helping them understand how to position themselves actively. So that they can be the men they think they are when it comes to supporting folks, in this case, women but I but I often make the case I'm like whatever I'm talking about that has to do with gender, it has to do with anybody and everybody this is human dynamics. So men have this like really great opportunity to kind of take off blinders and see situations for what they are and intervene and a couple of capacities. One capacity is simply sometimes to call out things that they see that have been normalized. Because as women when we call them out, or label this hysterical or emotional or too sensitive, or bra burners, whatever, just you know, another great way for men to step in is by using sponsorship really sitting there and opening doors. That's literally what sponsorship is, it's what we all do. You know somebody you know, you like them, you know that they do a good job like you recommend them to other people. That's what sponsorship is all about. So being able to do that having conversations with other men about stuff, right these are these are this is where men can really play an incredibly powerful role. So I we run trainings for male allies, which are fun. i It's a five part training and we don't start talking to them about techniques until we talk to them about constantly talk to a bunch of women and get their perspective. And then we'll come back then they'll say I didn't realize like, I never thought about the fact that when I leave on a business trip, I just need to like, take one pair of shoes plus my comfortable tennis shoes and think about this, but she needs an extra 30 minutes to get ready because there's an expectation that she's going to look a certain way. We talk about roadblocks all the reason why men despite having the best of intentions, despite like morally really being like solid human beings might not take action. And again, these are human patterns. They don't just pertain to gender, but things like being afraid of screwing up. What if I say what if I'm trying to help and I say or do something that's wrong and I make things worse, or being afraid to step in and do something nice for somebody who doesn't want your help? And I'm my guess is that comes up a lot when we talk about ABLE like ableism right? People somebody who might try to open the door for somebody or help somebody or give their seat another person I don't need you to do this. I don't need your help. Right and so that's another fear and of course the third one is what if I stand up and speak up and because of that I lose my status that I get I get told them all these things too sensitive to whoa too. And and then I start losing opportunities and to men and Generally, I'll say, those are all good things to be afraid of, they will all happen. Like every single one of them, you will put your foot in your mouth, you will make a mistake and trying to do something helpful, you will screw it up, you will one day try to help somebody who's going to look at you and be pissed off that you tried to help them because they didn't need your help. And you will get called out by somebody somewhere and at the end of the day, you'll survive, like you will just be fine. It's uncomfortable. And that's just the price of showing up for people. It's uncomfortable sometimes.   Michael Hingson ** 50:36 It gets back to what we talked about earlier. How much of that? And the answer is, I'm sure a lot how much of that is learned behavior?   Dr. Alessandra Wall ** 50:46 I mean, I think most of it is learned. Yeah. I you know, and I actually will say this, I think most of the non action is learned behavior. If you ever watched a little kids, I mean, children, by definition are humans, by definition are egocentric, and children are like the, the the ultimate egocentric, like stage of human beings are completely focused on their world. And what's happening with kids are, we talked about this, like, relatively curious. When you teach them basic manners, it comes kind of naturally to them to open up doors to help to do things. We teach people to be afraid, we teach people to worry about making mistakes, we teach people to like stay in your lane, just stay in your lane, right. And then that gets carried like, to our adult selves and our adult behaviors.   Michael Hingson ** 51:38 Yeah, and that's, of course, the issue, we, we don't learn to be more open, we don't learn to be more curious. And we don't learn to be willing to step out or step, step back, and then step out and explore.   Dr. Alessandra Wall ** 51:57 And the same things that I teach men, by the way, I teach women to do for other women, and I teach women to do for other people, period, I am very selective. And one thing about all my clients is, they have to be the kind of women who will lift while lift others while climbing, they cannot be women who are going to get to the top, and we're going to guard their place. And we're going to put other people through the same hazing through the same, like, hurdles that they face just because well, I had to. Mm hmm. So this is a skill set to teach. And he's just about being a good human. I really like ultimately, it's what it comes down to.   Michael Hingson ** 52:40 What's the most important skill you think that a woman should learn as, as they're working in advancing and integrating in society,   Dr. Alessandra Wall ** 52:49 I will say that data shows that the most important skill a woman needs to learn for advancement is visibility, and how to build visibility. But what it comes down to, if we tap into like my, my experience, as a psychologist, what it comes down to is the ability to recognize and own what your true value is. Right. And that's such a gift. Once you do that for yourself as a as a woman in the workplace. First of all, yes, you can build visibility. So you can you can speak about what you bring to the table, you can articulate how that skill set can really drive impact in certain spaces, you can start building like your reputation as an expert, or your expertise in a field, like all of those things are really good. But the back end of that is also it's about owning it. It's about walking into the world and being clear about what you have to add to the conversation into the space. And to do that without false humility, or a sense of shame. And for a lot of women and a lot of girls, we're taught to not do that little girls from the time from the time they're in, like they're in sandboxes, I would say are taught to be collaborative and be helpful and share and give it to to their own detriment. So I've worked with women all around the world. And on every single continent, every single basic, general culture, larger culture, every woman tells me Well, in my culture, in my family, it's not acceptable to speak about myself, it's not acceptable to say I'm really good at this. It's not acceptable to say, well, you know, part of the reason we won that game, part of the reason we moved the needle forward on this project was because I was able to dot dot, dot. But if as women we learned to do this, not only will it benefit us, but it actually benefits the people we work with and for because by being very clear about what our top skills are and how best to leverage them, what we're actually communicating to people is how we can help them And the best way to help them.   Michael Hingson ** 55:03 And the reality is sometimes to break in as being a part of a team is to really be willing to say not in an egotistical way, but to say, what skills you bring and why you're a valuable part of the team. Yep,   Dr. Alessandra Wall ** 55:17 I was just having a conversation with a client of mine, who's a returning client. And she recently got a promotion, which is why she came back. And she has she's suddenly working on we talked about, like, her team is all pros, meaning they're like the top of the top. And initially, she's like, well, I don't even know what I bring to the conversation. They're all so autonomous, in some degree need to go back to the basics. What is it that you do really well? How can that skill set support? You support them? And how can you position that and rethink about what your value is to this team and communicate it to them so that you can support them what she's done very well in six months. And she's just onboarding a new, a new team member. She said, What should I do to help him integrate better? And I said, ask him the same questions. What does he love doing that he's really good at? How does he? How does he want those skills? Leverage? Where can you make the greatest impact? How does that fit in your team communicate that we build? The sense of togetherness? Those   Michael Hingson ** 56:16 kinds of questions will tell her more about the person she's talking with than most anything else she could do.   Dr. Alessandra Wall ** 56:24 And time and time again, it pays off.   Michael Hingson ** 56:27 Of course it does. It has as it should. So is there a book in you? Have you written a book? Are you thinking about it? Yes,   Dr. Alessandra Wall ** 56:34 I have co authored chapters in many books. There is a book in me, I want to write a book that will be called. Now you see me about this idea of visibility and everything that goes into it. I don't know when I'm going to have the time to do this isn't that every would be one of the author's excuse. If you talk to my very first coach who I hired in 2018. He would he would tell you all summer has been saying I've been telling her to write a book since 2018 24. I don't know No,   Michael Hingson ** 57:08 you just have to decide that that's the priority and take the time to do it. That is true, then it will happen at the right time. If it matters enough, it will for matters to you or to whoever you'll you'll make it happen. Well, this has been fun. And I really have enjoyed doing it. I know you've got children to go pick up so I don't want to make you too late for that. So I want to thank you again for being with us and doing this episode with us. I appreciate it.   Dr. Alessandra Wall ** 57:38 And Michael, thank you. It's a delightful way to end the year. So I really, I have very, very much enjoyed our conversation.   Michael Hingson ** 57:46 Well, this has been fun. We'll have to do another one. We don't even need to wait till you you have a book but I want to thank you. I want to thank you all for listening to us on unstoppable mindset please give us a five star rating wherever you're listening. And please transmit your opinions, your views your thoughts Melisandre would like to know and I would love to know what you think so feel free to do that. If people want to reach out to you and possibly work with you or usually as a coach, how do they do that?   Dr. Alessandra Wall ** 58:11 There are two way places to find me one is the website which is noteworthy inc.co So noteworthy i n c.co. And then the other one is LinkedIn. So I'm there under D at whatever Dr. Alessandra Wall, but those are best places to reach me   Michael Hingson ** 58:30 and Alessandra A l e s s a n d r a Yep.   Dr. Alessandra Wall ** 58:34 And while is like the Pink Floyd album, W a l l, W   Michael Hingson ** 58:38 L. Well, thanks again all of you for listening. I'd love to hear from you. Please email me email, email me at MichaelHi at accessibe A c c e s s i b e.com Or go to our podcast page www dot Michael hingson.com/podcast. And Michael Hingson is m i c h a e l h i n g s o n i love to hear from you really appreciate your thoughts. And Alessandra, for you and for everyone listening if you know of anyone who might be a good podcast guest or you'd like to suggest anyone, please reach out. I'm always looking for folks. And since we've both mentioned it Alessandra and I are speakers, we are always looking for speaking opportunities. She wants to go to the Middle East, I'll go there, but I want to make sure it's a little bit more peaceful when I go but I'd love to speak so if anybody knows of any speaking opportunities, let us both know, right? Yep, please. Are we speaking? We appreciate it. So again, Alessandra, for you one more time. Thank you very much. This has been fun.   Dr. Alessandra Wall ** 59:39 Thank you so much. Have a wonderful rest of your day.   Michael Hingson ** 59:48 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

Jim Boston of Boston & Hughes, PC reviews the differences between a lawsuit and a Texas Medical Board (TMB) case; how board complaints are filed and what to expect; common patient complaints; and some best- and worst-case scenarios when faced with a TMB complaint.

Stories we're following this morning at Progress Texas: The anticipated public forum held by the Texas Medical Board seeking to clarify rules governing abortion access exceptions in Texas did little but increase confusion: https://www.texastribune.org/2024/05/20/texas-medical-board-abortion-guidance/ ...Among those testifying was Kate Cox: https://www.wfaa.com/article/news/politics/kate-cox-tells-texas-medical-board-newly-proposed-rules-wont-help-clarify-abortion-law/287-4d342554-38fc-4e5c-a425-8e494289de39 ...And Progress Texas staffers Tatum Owens and Reagan Stone: https://progresstexas.org/blog/lack-guidance-medical-emergencies-puts-texan-lives-line Texas A&M's administrator of Title IX finds himself suspended for the offense of speaking in compliance with new federal guidelines, while his bosses plan to defy the feds: https://theeagle.com/news/a_m/tamu-system-title-ix-director-suspended-investigated/article_a75aa62c-146c-11ef-9617-eb4a3d655faf.html Cypress Fairfield school board members have voted to redact science textbook content that hurts their feelings: https://www.theguardian.com/us-news/article/2024/may/19/us-public-schools-texas-book-bans As another historically hot summer builds, so do risks of an "avoidable blackout" in Texas: https://www.forbes.com/sites/arielcohen/2024/05/19/texas-is-heading-towards-an-avoidable-blackoutagain/ Texas provides an early example of the overall erosion of American democracy: https://www.inquirer.com/opinion/commentary/texas-abbott-pardon-murderer-blm-protester-20240519.html Early voting starts TODAY and continues through Friday in the primary runoff: https://govotetexas.org/ Progress Texas could use your help in funding our trip to June's Texas Democratic Convention in El Paso - thanks in advance! https://progresstexas.org/donate Progress Texas invites progressive candidates to share their views with us - which we'll then share with our statewide audience - via our Certified Progressive questionnaire: https://progresstexas.org/blog/progress-texas-certified-progressives-2024-progressive-values-questionnaire Instagram users: be sure to enable political content on that platform, which has begun opting users out: https://x.com/ProgressTX/status/1771276124498100667?s=20 Thanks for listening! Find our web store and other ways to support our important work this election year at https://progresstexas.org/.

Stories we're following this morning at Progress Texas: At the behest of two Texas attorneys, the Texas Medical Board is set to discuss clarification for medical exceptions to the near-complete ban on abortion care in Texas: https://www.texastribune.org/2024/03/14/texas-medical-board-doctors-abortion-guidance/ Ken Paxton escalates his assault on Frisco ISD, whose social media posts about funding he sees as illegal electioneering: https://communityimpact.com/dallas-fort-worth/frisco/education/2024/03/14/texas-attorney-general-claims-frisco-isd-violated-restraining-order-files-contempt-motion/ A shadowy Texas company that paid an FBI informant now under indictment for lying to his handlers about Hunter Biden has been connected to Donald Trump: https://www.theguardian.com/us-news/2024/mar/14/company-paying-fbi-informant-trump-connections ...While Republicans freak out at the suggestion by U.S. Rep. Vicente Gonzalez that Trump is kinda like Hitler: https://www.texastribune.org/2024/03/14/vicente-gonzalez-trump-jews-for-hitler/ Good and bad news for the Texas grid as a major fossil fuel-fired power plant will go offline next March: https://www.bloomberg.com/news/articles/2024-03-14/texas-s-strained-power-grid-is-poised-to-lose-a-big-gas-plant ...While a Spanish renewable energy company prepares to build a huge renewable generation and battery storage facility in Texas: https://www.yahoo.com/news/battery-storage-facility-texas-continues-040000054.html March is Women's History Month! See a new analysis of what that month really means in Texas: https://progresstexas.org/blog/inspire-inclusion-celebrating-international-womens-day-2024-texas Thanks for listening and have a great weekend! All about all we do, and several fun ways to support our work, can be found at https://progresstexas.org/.

Founder & Executive Director of Texans for Medical Freedom, Jackie Schlegel, joins Del to discuss her 6 year long fight to pass a Medicaid Discrimination bill in Texas that has finally come to fruition. Hear how this warrior mom has worked to win over the hearts and minds of elected officials and has her eyes on any upcoming legislation that challenges the medical freedoms of all Texans.

     "Is the tyranny of a prince within an oligarchy is not so dangerous as the apathy of the individual within a democracy.  Dr. Eric Hensen"             Hold on to your headphones, podcast listeners, because we've got an electrifying episode coming your way! We're bringing you the daring and trailblazing Dr. Eric Hensen, a board-certified physician from the Lone Star State who's making waves

Meet Tessa. She's a Cannabis advocate and a mother. In this episode, Tessa shares with us what a Texas Medical Marijuana card looks like, how this plant helps her inflammation with Lupus, her passion for avoiding seed oils and how shopping at the farmers market was a game changer. Tune in, while Tessa shares with us how cannabis brings you closer to the moment you're having and connects you with your inner child.

Meet Tessa. She's a Cannabis advocate and a mother. In this episode, Tessa shares with us what a Texas Medical Marijuana card looks like, how this plant helps her inflammation with Lupus, her passion for avoiding seed oils and how shopping at the farmers market was a game changer. Tune in, while Tessa shares with us how cannabis brings you closer to the moment you're having and connects you with your inner child.

In this episode of Real Physician Reacts we will be having a discussion on the white male student by the name of George Stewart who is suing not one or two but 6 different medical schools as he claims that he was not accepted strictly due to his race. Tonight's discussion focuses on another covert challenge against affirmative action & why grades are the only factor in getting into med school. Click here to watch the full video on YouTube Several discussion points today; Who is George Stewart & why he's suing several medical schools Who is really behind the lawsuit I discuss why it would be difficult for me to see him get accepted into school without bias. Links AAMC Data Reports Texas Medical School Lawsuits

The news of Texas covered today includes:Our Lone Star story of the day: In Texas House rules fight, Speaker Phelan once again went overboard to show loyalty to the trangender-homosexual-woke political agenda as well as to the Democratic Party. Is this what you elected Christian conservative Republican state reps to support?Want “mainstream” press? GOP conservative-backed rules changes over LGBTQ issues fail in Texas House.Phelan also proved me right again by doing things in a way that prevents reps from ever having to cast a vote on these deeply controversial and political issues.Our Lone Star story of the day is sponsored by Allied Compliance Services providing the best service in DOT, business and personal drug and alcohol testing since 1995.The hypocrisy of the Biden classified document scandal versus that of Trump, both in the press and in the government, is causing our county to lose its legitimacy in the minds of others on the globe which is necessary to remain the global leader. It's a donation to our enemies. It's different when Biden gets caught with classified docs CNN Defense of Biden Collapses as 2nd Batch of Classified Documents Found Biden classified memo drama reignites concern about first family's ties to Beijing, China influence Texas state senators drew, due to redistricting, for 2- or 4-year terms. Also, the Senate voted to re-open redistricting as a safety measure against a Dem-filed lawsuit.The pro-racism of Texas public medical schools must be stopped. “Affirmative action” all these generations later is not justified and certainly dangerous when it comes to medical school admission. Systematic discrimination as policy should not be acceptable in any case even if the intentions are said be good.And, other news of Texas.Listen on the radio, or station stream, at 5pm Central. Click for our affiliates.www.PrattonTexas.com

Basketball star Brittney Griner departs medical military facility in Texas. Listen for more details.To learn more about how CNN protects listener privacy, visit cnn.com/privacy

Lamont Ratcliff of Texas MMJ Doctors is the guest for this episode. Lamont talks about the patient makeup of the #TCUP (Texas #Compassionate Use Program) that they see, the issues the program is facing in Texas and much more. Find us on social media Facebook: https://www.facebook.com/txcancollective Twitter: https://twitter.com/txcannaco Instagram: https://www.instagram.com/txcannabiscollective/ YouTube: https://www.youtube.com/c/TexasCannabisCollective

Lamont Ratcliff of Texas MMJ Doctors is the guest for this episode. Lamont talks about the patient makeup of the #TCUP (Texas #Compassionate Use Program) that they see, the issues the program is facing in Texas and much more. Find us on social media Facebook: https://www.facebook.com/txcancollective Twitter: https://twitter.com/txcannaco Instagram: https://www.instagram.com/txcannabiscollective/ YouTube: https://www.youtube.com/c/TexasCannabisCollective

Whether you are planning to apply to DO vs MD degrees in Texas, you will need to submit your applications using TMDSAS, the Texas Medical and Dental Schools Application Service. This unique medical school application process is meant to secure and meet the educational and medical needs of Texans, first and foremost. Medical schools in Texas are not easily accessible to out-of-state and international students, even though some of them are the easiest medical schools to get into. In this podcast, you will learn absolutely everything you need to know about TMDSAS, including its application components and timeline, how to fill out your employment and activities history, how to write stellar TMDAS essays, and how to proceed with your TMDSAS secondaries!

The Dell Medical School was founded as the graduate medical school of The University of Texas at Austin in Austin, Texas. It is one of the schools that participate in the Texas Medical and Dental Schools Application Service (TMDSAS). The Dell Medical School is a cutting-edge institution built from the ground up at a top-tier academic university in a thriving, entrepreneurial, socially responsible, and attentive community. The Dell Medical School's mission is to create a critical, holistic health environment that transforms how people get and stay healthy. In this guide, we will go through some of the information that can help you increase the chances of getting into medical school in Texas, including admission requirements and application processes. Disclaimer: BeMo does not endorse or affiliate with any universities, colleges, or official test administrators. The content has been developed based on the most recent publicly available data provided from the official university website. However, you should always check the statistics/requirements with the official school website for the most up to date information. You are responsible for your own results. 

Dallas attorney Mark Underwood of Underwood Law Office answers your questions about medical malpractice lawsuits in the State of Texas, including a few that you didn't even know to ask.  For more information, visit his website.

Trigger Warning: This episode of Good Nurse Bad Nurse contains material of a sensitive nature (child abuse, abuse, self-harm) that may not be suitable for some listeners. Discretion is advised. On this week's episode, Tina is joined by long-time friend and medical coder, Tiffany. Together they discuss the case of Melissa Lucio, the first woman of Hispanic descent to be sentenced to death in Texas, and the misleading testimony of the medical examiner that lead to her conviction. The Good Nurse segment centers on the story of nurse and country music artist Naomi Judd.   Sources: https://innocenceproject.org/melissa-lucio-9-facts-innocent-woman-facing-execution/ https://www.texastribune.org/2022/04/25/melissa-lucio-execution-texas/   Got FOMO? Fear not! Don't miss an episode of Good Nurse Bad Nurse! Subscribe on your favorite podcast platform! Please support our podcast by becoming a patron, just visit https://goodnursebadnurse.com/ to learn more! Feeling disconnected? Check out our socials and follow us on Facebook and Instagram. Facebook: Good Nurse Bad Nurse Podcast Instagram: @goodnursebadnurse  Check out our sponsors below! Thank you to our new sponsor HCA Healthcare! If you're a newly graduating nurse, please visit them at https://careers.hcahealthcare.com/pages/hca-healthcare-careers-for-new-graduate-nurses to learn about their nurse residency program! Thank you to Trusted Health for sponsoring this episode. Please go to https://www.trustedhealth.com/gnbn and fill out a profile to help support our podcast and see what opportunities are out there for you! Thank you to our sponsor Samuel Merritt University! If you're interested in getting more information on their MSN and DNP programs and scholarships visit them at fnp.samuelmerritt.edu and show them how much you appreciate them for sponsoring our podcast! Thank you to our sponsor CBD Stat! If you use CBD oils, please try CBD Stat and get 30% off high-quality CBD available at http://www.cbdstat.care/goodnursebadnurse And finally, thank you to our sponsor Eko! Please visit them at https://ekohealth.com and use promo code GNBN for $20 off your purchase of the new Littmann Cardiology IV stethoscope with Eko technology!  

The news of Texas covered today includes:Our Lone Star story of the day: The Texas Medical Board continues to use anonymous “complaints” to go after physicians who offer successful treatment to WuFlu patients. Oddly they haven't gone after doctors for off-label prescription use for sex-change procedures.Our Lone Star story of the day is sponsored by Allied Compliance Services providing the best service in DOT, business and personal drug and alcohol testing since 1995.Local sales tax receipts see yet another big jump across Texas.The “preliminary” report out on the Uvalde school massacre gets much attention but doesn't provide much we didn't already know. I'm not sure we should be releasing “preliminary” reports – it might be wise to wait until the investigations are completed.Biden making you pay to take illegal aliens to other states so that they can obtain abortions.And, other news of Texas.Listen on the radio, or station stream, at 5pm Central. Click for our affiliates.www.PrattonTexas.com

St. Vincent's House | A staple in our island communityAt the age of 25 Fred Walter Sutton of Saint Augustine of Hippo Episcopal Church arrived in Galveston. The year was 1953. By 1954, Fred Walter Sutton had been consecrated as a priest. He made it his new mission to begin looking for an area of most need in order to establish his ministry through Saint Augustine. Fred found out quickly if the area north of Broadway and west of Rosenberg Avenue was the area that he was being called to serve. The need for health and general assistance to the community north of Broadway had been neglected by social progress for decades. He originally invited groups of the underserved and neglected to his home until his mission and generosity outgrew his own walls. The importance of the work he was doing was acknowledged by the three Episcopal congregations on the island. Saint Augustine of hippo, Grace church and Trinity church, 1958 these three congregations pulled their resources and chartered St. Vincent‘s house. Over the past six decades, St. Vincent‘s house has provided services such as a food pantry, shower and laundry services, comprehensive case management, family services, assistance in self-sustainability, financial literacy, speech, as well as occupational and physical therapy, general medicine and provides availability to multiple specialty clinics. All of these services available to those in need. The University of Texas Medical branch has played a key role over over the past 40 years. Providing support, personnel, and medical services. St. Vincent‘s House has played a key role in serving and providing to the north Broadway community for over six decades.Interested in information covered in this episode? Reference links below:St. Vincent's HouseTrinity Church GalvestonSaint Augustine of Hippo Episcopal ChurchSaint Augustine of Hippo Episcopal Church | GHF Grace Church St. Vincent's Student Run Clinic

The news of Texas covered today includes:Our Lone Star story of the day: Senator Bob Hall is rightly calling for much needed reforms of the Texas Medical Board. The problems have long existed, and in many ways are quite un-American, but it is WuFlu that has made those problems know to a wider audience. Holly Hansen at The Texan has provided excellent coverage of the issue.Our Lone Star story of the day is sponsored by Allied Compliance Services providing the best service in DOT, business and personal drug and alcohol testing since 1995.A visit with Konni Burton, founder of The Texan and a former state senator, on her efforts to provide straight news in a world of “advocacy journalism.”Texas Democratic Party fight for chairman heats up with allegations of “workplace violence.”Some Tarrant County “Republicans” want a Democrat County judge because the Republican nominee is actually a conservative.Lt. Gov. Patrick wants a Texas version of Florida's new law to prevent schools from sexualizing young children. Texas press runs the Leftist propaganda phrase “don't say ‘gay'” in headlines even though the bill has no such requirement.And, other news of Texas.Listen on the radio, or station stream, at 5pm Central. Click for our affiliates.www.PrattonTexas.com

For educational purposes only. Never Break the Law in your city, state, and municipality. Our Video: https://youtu.be/MjjUDhWwUbs ICYMI – Ground Game Texas to Put Cannabis Initiatives on Local Future Texas Ballots https://open.spotify.com/episode/3BkcELxqYzZVvD8qcNpM8W?si=187a0dea10b74b3e ICYMI - The Road to Victory is Local in Texas - El Paso City Council Approves Measure to Issue Citations for Low Level Cannabis Arrests https://open.spotify.com/episode/1caF1a6opni0UdSuYpVShS?si=IFLTlGPaQt6caSbkFnG_ww ICYMI - Is it Hemp or Is it Cannabis? Two Central Texas Lawyers Craft a Great Song to Help You https://open.spotify.com/episode/70MnGtNb35zZmRny9XzRJL?si=7_fY6uCpQ26ZROD7x8W6Hg ICYMI - Some Swag from Bill Smoke Out a Republican and Thoughts About the GOP and Cannabis https://open.spotify.com/episode/691uBiHzV2IWoVRWdMb70V?si=9e0f9a7fb02c4d16 ICYMI - A Conversation with Bill of Smoke Out a Republican https://open.spotify.com/episode/2AKIGmGf1zvMaex9PwXps3?si=xr5BjsQtR2iapTSVUK3cRw ---------------------------------------- To Follow Mr. Sativa on Social Media: Twitter - https://twitter.com/icsativapod GETTR - https://www.gettr.com/user/icsativapod Periscope: https://www.pscp.tv/icsativapodcast Instagram - https://www.instagram.com/_iamcannabissativa/ Please become a Patreon at just $1 a month - http://bit.ly/2NJmshn Please support us via PayPal - paypal.me/icsativapodcast If you want to support us via Anchor: https://anchor.fm/iamcannabissativapodcast/support My Twitch Channel - https://www.twitch.tv/iamcannabissativa My YouTube Channel: https://www.youtube.com/channel/UCdMtiTbOFE3D39rpLfLglaw? My Rumble Channel: https://rumble.com/c/c-1354573 Get Great Quality CBD products from Sequoia Organics: https://www.sequoiaorganics.co/?a_aid=iamcannabissativa My Email: iamcannabissativa@gmail.com Like Our Facebook Page: https://www.facebook.com/iamcsativapodcast/ Now Syndicated on Radical Russ Radio: https://streamingv2.shoutcast.com/radicalruss-radio --- Send in a voice message: https://anchor.fm/iamcannabissativapodcast/message Support this podcast: https://anchor.fm/iamcannabissativapodcast/support

Does surgery have to be expensive? Watch and listen as free market advocate Sean Kelley from Texas Medical Management explains how he saves patients tens of thousands on healthcare procedures using the power of the free market on Health Solutions with Shawn and Janet Needham! You'll learn • Why Lower Price Means HIGHER Quality In Healthcare?! • What's The FIRST Step To Fixing Healthcare? • How To Search For and Find The Best Drs ~ Chapters ~ 0:00 Intro 1:46 Free Market Healthcare Explained 2:51 Founding Texas Medical Management 13:32 First Step To Fixing Healthcare 17:42 Do Drs have Any Power? 22:29 Preferred Provider Networks 27:25 How To Find The Best Drs 35:56 Save Tens Of Thousands On Surgery! 41:19 Lower Price HIGHER Quality? 42:46 Why Is Dialysis Expensive? 47:49 Sean's Passion 51:42 Contact Sean 52:36 Outro ~ Episode Resources... https://texasfreemarketsurgery.com/about/ https://www.linkedin.com/in/smkelley/ ~ #SeanKelley #TexasMedicalManagement #Healthcare #Liberty #EducateAndEmpower #NeedhamHealthSolutions #TeamNeedham #Boise #IdahoFalls #Tricities #JohnStossel #SiouxFalls #KristiNoem #Wenatchee #ShawnNeedham #HealthSolutions #MosesLakeProfessionalPharmacy #MLRX #SickenedTheBook #ShawnNeedhamRPh #ThinkOutsideTheSystem #OptimalHealthMatters #ItsTime ~ *** #BenShapiro & #DaveRamsey Fans. Learn how to be in the driver's seat for your healthcare choices {not the system or doctors!}

Registration is OpenWe offer comprehensive evaluations and recommendations for medical Marijuana to qualifying patients in Texas.https://www.texasmedicalmarijuanadoctors.com/news-and-updates

Hello gut check project fans and KB MD health family. I hope that you're having a great day soon to be joined by my awesome co host, Dr. Kenneth Brown. It's time for episode number 61. And today's episode, I'm just going to ask everyone, no matter what part of the spectrum that you come from, come with an open mind on this episode. This is a fantastic episode very, very informative. Our guest today is Michael ruark. He is the lead strategist for only one of three licenced medical cannabis companies. Good blend medical cannabis. And yes, that is THC, which is utilised as a medicine for specially designated criterion. And they update it every single year. So September 1, which we just recorded this right before September 1, there's actually a whole new list of medical conditions, which are now legal to be treated by medical professionals. And believe it or not, they have a network of already over 500 positions throughout the state of Texas since 2018, which are licenced and actively dispense medical cannabis. And good blend is one of those companies. So Michael joins the show today to really answer some fantastic questions. And Michael's an amazing person in his own right. He's, he's got a an electrical engineering degree from Stanford as well as his master's he served in the US Air Force, he led a team at National Security Agency, the NSA. I mean, this man is no slouch, he came to this profession to this company. By no mistake whatsoever. He simply doesn't want to just do good. He wants to do great by the citizens of Texas and simply help people live a better life. There's a better way for some of the elements out there and he has a very, very strong passion for helping out our veterans and the Veterans Administration. So I don't want to give away everything in the episode because Miko does a much better job of articulating all of that stuff. So let's get to our sponsors, of course are trying to they've been a sponsor for every show and I imagine they always will be because they were created by my co host, Dr. kins brown are trying to get your daily poly phenol is love my tummy, calm, stop the bloating, stop the abdominal discomfort. If you're an athlete, you need paly finos every single day. And I don't know maybe some of us are worried about a virus and I don't know maybe you're interested in things that function is natural zinc on fours. Well, polyphenols are natural zinc ion fours. So anyhow, without saying too much draw your own conclusions at what this awesome natural product can do for you, but go to love my tummy.com load up on your daily polyphenols today. Love My tiny.com artron deal. And of course, KB m d health.com. You want to learn a little bit more about Dr. Brown learn a bit more about his philosophy. And of course connect with his own branded KVM D health CBD go to KB Md health.com. Use code GCP save 20% off of anything in the store that includes Brock elite that includes the signature packages of CBD artron teal, and rock elite, you can combine the whole thing in there KB Md health.com. Sign up for our newsletters. It's KB MD health is actually growing quite a bit. And we've got some new things in store this fall. So keep in contact with us. And of course do you like great food? Do you like food that tastes awesome? Do you have to sometimes worry about though what kind of diet it fits into? Maybe you're paleo maybe you're gluten free. Of course. I'm going to mention unrefined bakery. They've been a longtime sponsor, unrefined bakery.com go to unrefined bakery. And if you think that just because you suffer from celiac disease, that you can't have an awesome cupcake. Or you can't have some awesome tasting bread or some trail mix that you can trust pie crust, check out unrefined bakery, they My wife has celiac disease This is her go to. And it's just incredible food you'd have no idea that they were all specialty foods to fit specialty diets, unrefined bakery go to unrefined bakery.com you can get 20% off of your entire first order. By using code gut check again your entire first order. So low up on bread load up on pie crust load up on cupcakes, are you selling cupcakes are just incredible. No levy cake, I mean like cake and they got great cakes or cupcakes there and I love the unrefined bakery.com check it out. Use code gut check 20% off your entire first order. Okay. Love those sponsors. they've kept the show going But what really keeps the show going just as much is awesome guests like Michael ruark coming up next episode number 61though KB MD health and gut check project fans, I hope you have a great day. It is now time for episode number 61. I am joined by my awesome co host, Dr. Kenneth Brown. And we got a special guest today, Mr. Marcus ruark. Ken, why don't you go ahead and fill us in.5:38  So it's gonna be super exciting show. Today we have Marcus ruark. And this is something that is very, very important. It's important for my patients. It's important for anybody that deals with all kinds of diseases, but I'm thrilled to have him here. thrilled to be here. Marcus, thank you so much for coming in Marcus ruark is president of good blend, Texas, which is headquartered in Austin, Texas, and proudly sells cannabis products that are cultivated and produced right here in the Lone Star State as one of only three state licenced medical dispensaries. Now, Marcus, I saw your bio, this is super cool, you have a very interesting background. And prior to joining good blend, you received your electrical engineering degree from Stanford. Then you received your master's degree at Stanford and I keep saying Stanford because Eric and I both have kids which are applying for college. And when I see Stanford, that's the sort of crown jewel that most parents want their kids to go to. And they like tennis players. And they like you received your master's degree at Stanford in management, science and engineering. Following this, you went on to serve as a captain in the US Air Force, where you lead your team in the National Security Agency, followed by advanced Systems Division of us Space Command. That's crazy. Following that, your bio discusses a lot of other really fascinating things that I want to get into. But before we get into that, I want to talk a little bit about what's not in your bio. Okay, tell me about you. Family. What's going on with Marcus?7:21  Sure. Well, we just had a big week in the ruag family took my daughter to college, which you just alluded to a little bit ago there. She's going to San Diego State nice, pretty excited about that. But also, you know, it's a little bit anxious and first first kid out of the nest, so to speak. So that's exciting. And then my son started up eighth grade first time back in school since spring of his sixth grade year, right when everybody went home for COVID. So very exciting there too, and he's trying out for football. So fingers crossed,7:49  right on, right on.7:51  That's a plate right there. And so San Diego State that's Trojans, she's a Trojan Aztecs, Aztecs. Yeah. I'm learning too. Nice. All right, that's a Southern California Nevermind. Sorry.8:02  So the family, your background, there was this huge section in your bio, we're very clearly you have an entrepreneurial spirit, you have leadership skills, you are willing to push the boundaries a bit and try some different positions technologies. Can you give me what led you up to this?8:24  Absolutely. So after I got out of the Air Force, I was very interested in joining the the high tech scene that was happening in San Francisco. So did that ride around? Actually not the best time for that because it was right around the bubble here is where there was a big crash back in 2000. But that being said, really got interested in bringing new products to new markets, and bringing new benefits to customers who maybe hadn't seen those benefits before in the past. So very exciting, did a lot of startups founded a lot of companies. And then at some point I crossed over into healthcare so a startup in the healthcare space and it hit me then that as rewarding as I thought it had been doing startups in high tech to do in healthcare it was even more special because not only are you starting a company but you're actually helping people right we were helping doctors treat patients better we were helping patients have better outcomes in their in their hospitals stays. So it was really rewarding. And at some point after that, I was able to join a company called Fluence which you probably saw on the on the resume, but they were in the LED lighting space. And I started there to help out with the customer experience for their customer base. And I learned that the customer base was primarily in three segments, customers who are coming to a growing produce companies who are growing flowers, and then cannabis companies and can imagine which one of the segments was probably the fastest growing it was their cannabis customers and so that was entirely new to me the cannabis world and I as you guys have I dove deeply into it the endocannabinoid system the the benefits of cannabis and learned about cultivation and Creation of products and distribution, all that kind of good stuff. And right around, I guess was the spring of 2017, Texas announced the grant of the first couple of licences for the Texas compassionate use programme. And when, you know, I reached out to one of the companies and say, I think I can help you guys here in Texas. And so I came on board as president of goodwill in Texas at that time.10:21  And that's fascinating. So I mean, obviously, it was just natural as a natural progression. You ended up seeing that there was a need, it was certainly new to you. Sounds like maybe correct me if I'm wrong, but you're inspired by things that you don't know enough about, but seem intriguing could help people I'm still learning10:35  and so much to learn in this space still, but but it ends up it's a great match for all that because it's it's technology, right? It's, it's horticulture, and it's it's helping people within today, right was what was what we're here to do is help Texans.10:48  So it's an electrical engineer, I get that you were drawn to the LED space, but then getting drawn to healthcare and now more of a I mean, what would you describe your position at good blood?10:59  I, I'm leading the entire Texas team here. Everything from cultivation, to product development, formulation, packaging, distribution, working with physicians, working with patient support groups, so pretty much everything setting strategy product roadmap and trying to build a great culture for the team here.11:18  So one of the things that we talk about in our company is the why the why the underlying reason why all this is happening, because if you don't have a solid, why then what you're describing, nobody else really will believe in that. But it sounds like you found your y even if you haven't defined your y statement, you found the Y11:37  Well, I can define it for you. It's we are empowering Texans to find their well being right through natural medicines that our patients say work. And it's, it's, it's so rewarding. Now, we have a we have a group of we have a role the company called mobile wellness coordinators, and these are the folks it's probably one of the hardest jobs at the company, you have to be knowledgeable about cannabis, the endocannabinoid system, talking to patients, so you have to be bit of an extrovert, right? It'll talk to patients. But you also have to drive across the large distances of Texas to deliver medicine to patients doors. So you also have to be a bit of an introvert there to be happy listening to podcasts while you're driving. They have the best job in the company, though, because when they're making that second delivery to a patient, they get to hear how that patient did they could hear the patient testimonials, and they're incredibly rewarding. And it's I feel really almost envious that they get to do this. But they're they're so nice to come back and share their stories with us after they've had these amazing conversations.12:38  So where are you with the company before they ended up having their first dispense of their certified? Yeah,12:45  I've been with the company since 2017. We served our first patients in early 2019. Okay, and what12:52  was it like? What was the anticipation like to get your first patient that had been referred in and and bringing those physicians on board to do that here in a state that didn't do it before?13:01  Well, I think predict my answer was huge and hugely rewarding. Like I said, it's this, the testimonies we hear are fantastic. And as we've come to market with even a wider set of products, different ratios of CBD to THC, different terpene profiles, were able to help more people were able to give prescribing doctors more choices, and patients more choices on how they how they help themselves.13:28  But it just seems like it would be a really cool opportunity to paint a picture of how you feel like you're going to be able to deliver something that maybe a physician doesn't feel like they've got a total grasp, because that's why you would offer an alternative. And then now you've recruited them to go now then just a new novel way, but prior to your launch wasn't really necessarily well embraced. How hard is it to get that message and get physicians to want to buy in to do that?13:54  It is still a challenge today. Sure. And one of the reasons I'm so excited that you invited me here today is because one of my number one missions right now is to try to get the word out to increase awareness. I suspect. We don't have a random text in here right now. But if we grabbed one walked outside in the heat, and ask them if cannabis was legal in the state of Texas, most likely they're gonna say no. And even for the patient groups where it is legal right now, most of them don't know that it's legal. So our number one job right now is creating awareness growing the number of Texans who are aware that they have this treatment available to them. And I really appreciate being on a show like this to help get the word out.14:32  What I think is so cool is that somebody with your pedigree has chosen to do this and now finding out why you chose to do it, which is you got into healthcare, you had the opportunity to do these, these other companies where it could have just been about financial reward. But once you got in and saw the impact that you can have that then you chose to do this with that message of we're going to empower people to take, take their health over what was your statement again,14:57  you're going to empower empower them to take charge with Their own wellbeing,15:01  empower them to take charge of their own well being. That's something that I try to do as a physician all the time. And so many times, it's limited because of the insurance plan because of lack of funding because of lack of efficacy. Sure. So I'm thrilled that Texas decided to do this because we've been waiting to see this happen. I've talked to my colleagues and other states, where medical cannabis is legal. And they tell me about the success that they're having with their patients. As a gastroenterologist, when I looked at, let me just pick a patient population, like my inflammatory bowel disease patients, I'm open to discuss things I I'm more of a functional type person. So I will ask these questions. And if somebody has Crohn's disease, and they're between the ages of 18 to 40, I just say, Are you using cannabis for your health? And they'll stop and be like, yeah, how did you guess? Yeah, I mean, they just go, yeah. And because they're on forums, they're talking. And I said, well, it's pretty exciting, because I think we're headed that way with Texas. And I think that we can make this so that you don't, so that you can have control over this so that you can actually empower your own health with this with products that are meticulously cultivated that have Certificate of analysis that you don't question, which is what good blend is doing. Right. Right.16:23  Well, the other the other message I'd like to get across and it ties into what you just said, is that it's actually easy to do, it's easy to get into the programme. So right, not only do they do Texans not know what exists, but if they do, they probably think it's incredibly difficult to get a prescription and to get product and to be able to afford it. And that's another message I would like to leave with folks is that it, take a look into it, right? Go to good blend.com because it's actually easy to get signed up and get to be part of the programme.16:48  Oh, we're gonna get into all of that. I have a feeling I want to like, where do I go? I love I love talking to people that have been there done that, that have degrees, like you have that have seen so many things. I want to know, you know, what Goodwin does where it is. But I think one of the most important things that people have to realise is that you've got very, I've been to a programme and I've met the doctors that showed up to the programme. And I've talked to paediatrician, psychiatrists and pain doctors here in Texas here in Plano, not just I'm not going very far out. And they told me the effects they're having on their patients. And these are smart people, somebody like you, also extremely smart, we start validating this whole industry and start shedding that kind of negative feeling that people have carried over over the years, obviously, other states are a little more advanced. But even my patients today, we had a 65 year old woman that is quite miserable from an autoimmune disease. And she just said flat out, would you care if I started smoking weed, and I'm like, not only do I not care, but I'm going to send you to a doctor because one of your diseases qualifies you, at least right now on this fairly limited set. And we'll talk about the different programmes, which are easy to get into and all these other things. And she just completely was like, You're kidding. I'm like now and these are, then you start briefly talking about ratios. And it's not about you know, smoking yourself, so you can't move on the couch. I just18:22  want to add to that, because where she is and where she finds herself. And this is why I think what company like good blend really bridges a gap that needs to be bridged. And that is, the reason why she asked or was hesitant to bring up the use of marijuana is because probably up until a certain point she felt shameful and trying to find a solution. And finally, she worked up enough nerve to finally throw it to Ken and say, do you mind if I do? So how long had she been sitting on the fence before she finally worked up the nerve, because we've seen it before. She's not a stranger to the clinic, to work up enough energy to be able to do that. And what I think is great about a company like good blend is stop waiting, we want you to feel better. And there's actually an easy pathway to do. So it's kind of how you see the the access there. Absolutely.19:10  It's it's one of the reasons that we try to have a vast selection of products that feel a little bit less intimidating. Right? So we'll probably get into that later too. But everything we can do to help folks out I mean, I'm actually kind of feeling bad for this person. Right? Because like you said, How long have you been sitting on that and not sharing that and she could have been helped a lot earlier. So yeah, and Texas is making really good strides there. Every two years. I have a legislative session and every two years we've been expanding the programme so I'm I'm very optimistic.19:43  It's if you are knowledgeable about this, so Eric and I got heavy into the CBD. Yes. area when CBD was still people were being arrested in Iran a foreigner here Yeah, Marin County. Over in Fort Worth. They were getting arrested. And I'm like I call Eric I'm like there's another person like what are we doing here? endocannabinoid system. This is perfect. And when you start talking about I'm like this person has an Endocannabinoid deficiency. They've got these chronic diseases, we are just putting band aids on all of these things, including pain meds. If we can get their endocannabinoid system back to balance, it is something that they need. If I have an asthmatic that shows up and they're wheezing, and I say you the only thing that that that is allowable under your plan, the only thing that's allowable in this, I'll take it back one second. Simone Biles, oh, yeah. Alright, so Simone Biles, this is and this was shared, I didn't I haven't talked to her. But it was viewed on a couple different articles that seemed pretty credible. It makes sense. Regardless, it different countries have different rules. Japan does not allow ADHD medication to be taken. She's been on ADHD medication for most of her life. So she goes to the Japan Olympics. And nobody's discussing that she couldn't take that it's a banned substance in the country. It's an accepted substance in the Olympic Committee, because it's an exemption, because they understand that. So she goes there. And everybody's like, what she's lost her train of thought and everything. So imagine if you can't get the drug that you need or the product that you need, and it's available right there. But somebody is putting a wall that's right there, if you're an asthmatic, and you're wheezing, and I can't give you ventolin inhaler to open up your Bronco airways because guess what? ventolin and bronchodilators. It has to be an exception. If it's if you're on the Olympics, like you have to get it exempt. Otherwise, it's considered a enhancing thing. There's things like that that are on that. You know that that's why you get NSF certified for different things, right things. So this is one of those deals where I'm like, if you're a diabetic and you need insulin, or if you need Metformin, and you can't get that, when I look at some of my patients, I'm like, Oh, my gosh, a beautiful balance of your endocannabinoid system may correct 90% of what you have going on, and we can take these eight drugs away. That's what I'm excited about.22:14  Yeah, so I have, I have a theory on this, which is that well, and partly this may end up being preaching to the choir, but it's my understanding that the endocannabinoid system is not well taught in med school, if at all. And if that's true, that means you have to learn it after you graduate. But it also means you may have some scepticism about it, it was only discovered in the 1990s. Yeah, I mean, how can we couldn't do better and discover before them, but that Okay, so it's discovered in the 90s. It's really important, right? And I've heard you guys talk about it a lot. But it is the I call it the it's like the conductor of the symphony. So it is conducting all the other systems in our bodies. And it's telling you that when to get a little louder, or that when to slow down. It keeps everything in balance. And a word you guys use frequently is homeostasis, right? It helps maintain that. And yet I was in a doctor's office the other day with my daughter had to get a COVID test before being allowed to go to San Diego State. And on the wall, this doctor's office you guys probably have to is the systems of the body. Right? It's got the skeletal system nervous system. And I look pretty hard on that poster, it could not find the endocannabinoid system. So to me, that kind of said, everything23:23  is that surprising. And it's unfortunate because it The end result is what we have now. It just simply becomes ignored. And then it becomes taboo. Because if it's being ignored, then maybe it's not acceptable to talk about and it's not acceptable to talk about then you have patients who are fearful for bringing forth an idea for a solution and then we're just slowing recovery when in fact, I mean, I'm not an advocate saying that THC is going to solve everything for anybody. But that doesn't mean it won't work for someone.23:51  We've talked about this before that I believe I'm a gastroenterologist I focus on the gastro anthological system. There are neurologists there are endocrinologist cardiologists, we will have an Endocannabinoid ologists because that is something that people have to get on board to get on board with. There's when you like First of all, a quick side note I suggest everybody after this is over go to good blends website that website is great. It is filled has so much information. So much great information about the history about why it became sort of tucked under the rug about how it was manipulated on a political level and then ultimately about how all these other cannabinoids are involved. So it's I don't know if you can't see it, it's way over there. But I purposely put I put a terpene in there we got lemonade being diffused right now so we can stay mentally clear. You know, terpenes being involved in all this. So as an induction as an Endocannabinoid ologists we're going to get to the point where we'll be like okay, well tell me what your Oh perfect. Sounds like You need some assistance with this. This is probably the blend that you need. This is more of you need a more CBD front heavy with immersing terpene to calm down and one thing in the morning. Yes, absolutely. And the fact that it's all natural and and does that.25:19  You want to repeat that. Just fixed my. We knew it didn't pop right back. I25:25  know what? No, I just said that. I think an Endocannabinoid ologists will eventually be able to fine tune what people take based on the terpenes. And Jen, and you mentioned,25:38  you mentioned maybe one thing in the morning, right to get you ready for your day and another thing in the evening to help you get ready for bed.25:44  Absolutely. And if we could get to that point where people are doing this, then they're like, okay, or as needed. The delivery systems. It's like, Okay, I'm a little overwhelmed right now I'm feeling really anxious. I just did a little something to cut this off. And non addicting all these other things. And Eric can attest to this. When we see these patients and we cringe every single time how many people show up young people. You look at their med list and you're like holy cow that Xanax, that's three different antidepressants. You got a muscle relaxer. How maybe Ambien will frequency so much Ambien, so much other sleep medicines. But let's look at the addictive potential of some of these medications, ultra opioids and benzodiazepines almost criminal, what has happened with these addictive medications that we know they're addictive, but without anything else to give them and you have a patient that's there. And as physicians and healthcare I ultimately want to help people and I have given opioids and I have had the discussion with them. Like I understand you're in a tremendous amount of pain, I need you to sleep. I'm willing to give this to you for a very short period, because I feel like if I can get you to sleep, your pain will be markedly better. And we can stop these other things. As somebody who the world's now not that recent, but five months or so ago, I had my first real neck injury where the pain was an I've redefined my pain scale kind of thing. People go, Oh, that's an eight out of 10 I really thought stubbing my toe. redefine it. And we've talked about him before but Wade McKenna, an orthopedist, you know, he told me he's like, Listen, I'm gonna, I don't I don't like, you know, hitting you with a bunch of opioids and stuff like this, what we really need is to call the muscles down, I'm going to give you a long acting, benzo for days, take it for four days, stop taking it after that, because your muscles will calm down at that point, there was a plan, there's a plan to get me on as a plan to get me off. And he purposely said, I don't mess with these opioids. Are you kidding me? As an orthopaedic surgeon, and when if we could sit there and say, okay, you a patient comes to me, I'm a, I'm a primary care doctor, and somebody has a significant injury. And so tell me what the biggest thing about this. It's the anxiety of knowing that I don't know what's going to happen, okay, then you give a blend, which is more effective on the anxiety, tell me what's happening here, the pain keeps me up. Okay, let's do this, we now have the opportunity to treat these symptoms that ultimately may or may not need some other intervention. But we know it's not addictive. We know that it actually has. And now we're going to get into the science of it. But we know that it actually has these different properties that help decrease the inflammatory processes by blocking p parganas. by blocking these different pathways, g couple proteins, we can get all sciency about it. But the reality is, I don't do that with my patients, I say, Tell me what it is that's bothering you the most. Let's see if we can give you something for that. That's the beauty of what you're doing right now. Good blend has the ability to take these natural molecules in different ratios to help in different scenarios. Totally agree.29:15  I mean, that's actually hit you reminding me it's kind of dissonant disheartening to look at a patient's med list when they come in. And there's a bunch of things kind of like what can just describe, and we're almost used to the polypharmacy or the or the multiple meds that are all listed there. And truly, knowing that a natural alternative could probably reduce that load. So we're playing less of this chemical warfare with this patient because it's almost a new we're kind of hinting at it earlier. It's almost like you're taking one thing to balance out the other thing that I've just gave them this new thing, and you're almost always chasing rather than actually treating and then and letting them be themselves.29:59  So we are getting that feedback from patients which is that once they've been on our medicine for a while they're their drug list is decreasing. Tell us I've we've had we have been able to stop these three things and now I'm down to these things I've been able to reduce the dose of these things. And if you I'm not, I'm not asking you to do this, but if you want to go Oprah on me and ask for patient testimonials I I made, you know, their tear jerker is really, in terms of helping things we're able to do with people.30:25  Well, you know what, yeah. Do you want to do it? Brian? Yeah, yeah. Tell me about one word, somebody, it made such a profound difference in their life that they couldn't hold back.30:34  Yeah. So there's a there's a patient we have that has terminal cancer. And that was a hard just that you guys have these conversation. I don't, it was a hard conversation for me to have. But he had a great outlook on his life. And he started taking our medicine, and he was able to cut back on his opioid use. And the way he described it to me was, it's not just good for me, it's really good for my family. Because on opioids, I'm a zombie. And with your medicine, since I've been able to decrease the opioids, I can be myself around my family my final days. So they're hard stories, but happy stories. Another mom said to us, her son had so many seizures a day that, and he had so many anti seizure medicine. He was kind of just there, right? But on our medicine, he was able to stop taking some of his anticonvulsant medicines. And he said, how this is when it gets me he says to us, one day, Mom, I have feelings.31:34  Wow.31:36  That's, I mean, what a What a crazy thing to have to lose as a kid the ability to basically participate in life because it's being taken away from you by a chemical that up until now was necessary, because you you obviously can't just sit there and suffer from seizure activity over and over again, that's, that's dangerous in and of itself. Right. But not knowing that there's a better alternative is honestly criminal. It's criminal, not to know that there's a better solution than just taking anticonvulsants to control I'm assuming epilepsy or something similar to32:09  right. So that's, so that brings up a really good point that mom, I have feelings. These medications have side effects, and the side effects that most people don't talk about as the pharmaceutical medicines, the pharmaceutical medications. Correct. So I get so many of these patients that are on polypharmacy, because so many of them have anti parasympathetic, meaning they affect the gut. Almost all of them do one way or the other. Oh, I have diarrhoea. When did that start? Six months ago, I see you're on Zoloft. When you start Zoloft. Seven months ago, huh? I have so much conversation What's going on? Oh, you're on the opioids? Oh, I've got a date all there. I'm fully aware that there's completely these are necessary drugs. But my job when I during residency. Some of us were chosen for basically treating older people. So I went to the older people clinic. And so my the technical term for it, that's the tactic. The older people,33:21  obviously, yes.33:23  Yeah. The layman's term is gerontology. But yeah, but we call it the older people. OPC. I would sit there. And as a resident, I'd looked at these lists, I'm like, you're 90, you're still here. Why do we care about your cholesterol that has this effect on this? And this? Why are you on this? Right? My sole job I viewed in that clinic, was to just get people off medicines, because the side effects at some point are just completely Yeah, outweighing that. And that was just a lifetime of going to this doctor that doctors cardiologists going to give this guest route, they just keep adding up. They just keep adding up him. Somebody shows up with a list of this. None of these drugs have ever been conducted in a trial, where they're all together. What happens then? We don't know. Well, I'm dealing with that now. And I've got a nine year old person and just every time they'd come back, they'd be more alert more. If you made it to 90. You're a baller. You've done it right. You deserve to drink, what's your mama smoke,34:28  what you eat what you want, do whatever it is. And they would love that by the time they were there. Yeah, they start having fun again, and it was just about getting them off their drugs. You got to hit on something, though. And maybe you seen this because you said you've seen a show or or two but something that we've had we have hit on is lifespan, and life expectancy is just a number. But what's way more important truly, to enjoy those numbers is to have a good health span. And to be able to function and participate in life if you're going to live it. You may have It'll be involved in it right? How do you How does? How does your company view healthspan? In relation to to that?35:09  I would say it's similar to the the things we've been talking about, which is if you can, if, if there's, if there's an opportunity to live a higher quality life, right. And there's a natural way to do that, and to get off some of the pharmaceuticals that maybe are causing some of the side effects, and you can live a happier higher quality life. I mean, that's, that's what we're here for. Right? It's kind of what I talked about well being that's exactly what we're here for.35:36  So if you gave two quick testimonies, one, obviously about someone with epilepsy and one from somebody who was suffering from terminal cancer, yes, what other what other ailments to kind of focus on as it stands right now?35:51  The so there is a treatable conditions list on Texas. And it is, it was created by statute. As you know, it started out in 2015, as intractable epilepsy, that was the only treatable condition. In 2019, the programme was expanded in a significant significant way where a lot of new conditions were added. So terminal cancer, autism, ALS, Parkinson's, spasticity, a whole giant category of conditions under the headline, incurable neurodegenerative diseases. And that has a list of about 300 things underneath it. So it was pretty significant expansion. And I would say across all those, all those treatable conditions, we're hearing positive testimonials.36:36  That's fascinating. And actually, I had glanced at it, I don't think that they cannot have spent any time on it. But I did notice that there was autism. And I don't know that you do you have a testimony or not. But it's definitely something that's near and dear to this guy in our research, just to polyphenols but he's made he's made no mistake about it. There's a play there with with cannabinoids as well.36:59  Yeah, I'll give you my I'll give you my take. In fact, we work with a great asset. She's been on the show before Angie cook. And she wrote up an incredible which I've yet to publish, partly because at the time, people were being I mean, Texans don't even I, I can go around right now and talk to my patients about CBD. And I've got CBD all over my office. And they will be like, Oh, boy, no, I'm not into that. And I'm like, let me explain that to you real quick. And let me explain this. Do you have any chronic condition, whatever, like, Well, yeah, totally do well, and then they end up, you know, purchasing it and saying, yeah, it made a huge difference. And it comes down to that rebuy rate. So as a business person, we know that I've got a almost 50% rebuy rate on Tron teal. And this is like, you know, worldwide. We know that that works. Because as if anybody's ever been in the pharmaceutical industry, I prescribe a drug and they come in and I'm like, Did that work and their trials that you know, the studies show? It's 8% better than placebo, whatever. So it all comes down to does the person want to come back and purchase more? That's To me, that's the that's where the rubber hits the road. My move towards autism became very personal. When I had a patient that brought her son in and he had become I'm an adult doctor, he had moved on from paediatrics to adult. And she said he's becoming almost impossible to take care of when he eats. He cannot communicate. He flailed he gets almost violent. And he's, you know, he's 16. Is he just becoming a young man, and this is getting really bad. I said, Listen, I don't know a whole lot about autism. But I do know that. You said when he eats, let's treat his gut. Let's fix his gut. And I'm just now getting into something where I believe it will play a role. And I put them on CBD. And now looking back, we're going to look at this, I'm going to be sitting in a lecture someday and an endocrinologist will have the exact thing to give that person. But right now that was best I could do is your mother shows up three months later, crying. And her son is communicating, not high level, but she's like, he's like, Hi. And he's talking. And I'm like, How do you feel? And he's like, you know, good. And she's like, This is crazy. It's been 10 years and I have not seen this person. And like, I don't know if it was the fix in the gut. I don't know if it was the CBD regardless, I think it's both. And that's where it came in. So then Angie did this incredible write up and maybe we can team up with your people to get it published, but it's like 50 pages long. It's super sciency. It's all about autism and the effect on the endocannabinoid system. And when I go to my colleagues and they say there's no science on this, we share a Mandalay capability, what Mandalay is. So we share this, the repository of journals that are out there are published and we've got a whole folder on There's a whole folder on CBD a whole folder on cannabis and cannabis. And the sciences, they're animals to humans. The problem is the science in the United States is not here the science that is recognised by our journals here, because, and we talked about this, that people don't realise that it was approved if you're going to study cannabis, and Michael Pollan was talking about this, the author Michael Pollan was talking about this, that the cannabis, which is approved by the FDA to be used in studies. It comes from one place, one place some crap lace, it's like 60 years old. Yeah, it's been around, and kind of just40:40  shit marijuana. It just it's not indicative. It's not similar to the kinds of Medicinal Products that you're gonna get.40:47  Yeah, exactly. This40:48  is what it is, and correct me if I'm wrong, but this is, this is what all sanctioned and allowed us research is done on is basically just this one lot. Correct.41:00  or from a federal perspective, I believe that's right. Yeah. Having said that, very exciting news in this most recent legislative session. Nice. The statute that they added to the statute that Texas can start its own research programme. So the department State Health Service real for real so yeah, they're they're writing the rules right now. And yes, it's very exciting. So Texas cannabis research. Does part of the Texas compassionate use Berg did not know that did not know that. And it goes beyond the treatable conditions list. For sure. do research, the research, whoever the research institution is picks what they want to study,41:40  I need people to hear that said a little bit close with money. Which part the?41:46  The research so the Texas compassionate use programme is introducing a research element. And the department State Health Services is writing the rules right now. I think they're even posted for public comment. And it's gonna happen. And so the research, whoever the research institution is, and they provide a list of who can qualify, you pick the condition you want to do research on. You do have to find an IRB. But it's sky's the limit. Oh,42:12  my gosh, that makes me so excited that just that turned into hope for my IBD patient. Yeah.42:20  So just to click and you42:21  get to use our products. You don't have to use the federal cannabis.42:25  Okay, I have been that is exciting having you on just for that one thing. I hope my partners listen to this because ga right now is we're getting close to 1000 providers strong. And in the state of Texas, basically everybody in the state now as part of this one group, to be able to power a study like that could be fan tastic. I have just, I thought that it was completely prohibitive. And Gotta love Texas. Gotta love. We're gonna do it in Texas if the feds don't want us. That's awesome.42:59  No comment on that. Your point about autism, I've had the I've been very fortunate to be able to attend a to medical cannabis conferences in Israel. And then one was in LA. And there's plenty of studies out there about autism and THC for43:14  sure. And that's what this 50 page review that Angie put together, put a lot of sweat and tears into it. And it's something that we should probably team up with some of your scientists to update it because it's about two years old. Yeah. But I was shocked reading it, the level of science, the level of information out there, and the amount of benefit that you can actually do and the correlation. So for me as gastroenterologist the correlation that when the endocannabinoid system is off, it affects all systems. But in my opinion, all health begins and ends in the gut. If you don't have a healthy gut, you ultimately affect the brain. And we've got we've done podcasts on this where we can show that neuro inflammation or chronic inflammation affects f h, which is the enzyme that breaks down your own endocannabinoids. And when you lower your inanda mind, which is the one that you know is your low level keeping you there. It's your body's own equivalent to THC. It's your body's own equivalent. And then on the flip side, when you have to a G which is the spotlight if that's getting turned on all the time, that's your that's like a that's the other portion of the endocannabinoid system. The difference between a Stanford grad and a simple country but doctrine Nebraska is I've used the same example the endocannabinoid system, but you referred to it as a symphony conductor. I refer to it as a traffic cop. Yeah. They're both good. I could say mines. You know what? I won't say. Yours is more elegant to start using that from now on. Yeah,44:52  elegant was exactly the word I was gonna say. So I'm glad you said it is refined and yours is quickie, Martin.45:00  To your point about the importance of the gut. And if you haven't checked out this research, please do. I think you're gonna find it very interesting. There's one of the leading researchers in the field of cannabis is a Dr. Ethan Russo. And he has a I think he calls it. I may begin this wrong, but the grand unified theory, but of course it spells out gut, but it's all about the the brain gut connection and with the endocannabinoid system as a key part of it, and you've you've addressed this in previous conversations, but they're all tied together.45:33  One of my problems that I have had, and I'm curious how you and your sales people have dealt with this, it's the person that I know how to say this. I'm enthusiastic. And it took me a long time I've read vitamin weed, which is a great book, forgot the Michelle Ross, Michelle Ross. That's it. Michelle Ross wrote that she's a PhD. You know, there's Goldstein's book. These books are great. But I had to read them a couple times. The first time I started getting into it before you start going because it's it's a different language. It's that's why I think we're gonna have an Endocannabinoid ologists. My problem is when I have somebody, it's that the vomit of knowledge that I have to keep myself from doing when somebody is like, what's that? And then you start getting into it, and you're like, what's the endocannabinoid system? So I've always I'm a little bit curious, from a business perspective, how you as a company, get into that naive, let's just start with the naive doctor46:38  that says, Why don't know about this? They start with the, you know, yeah, you know, I'm kind of curious. He may not want to divulge everything, but I really kind of want to know how many practitioners throughout the state are actively participating in this programme.46:50  So the state publishes some data about the programme. The most recent date is from July, and there were over approximately 50046:59  Oh, wow, it's much47:00  bigger than I thought. And to be a prescribing doctor, you have to be a board certified specialist, as you are. So it's, it's not every doctor, you have to write you have to be board board certified. And then the patient, the patient count as of July was right around 7070 507,500. That may not sound like much, but it's growing 10% every single month. Well, it'll be one of those things every single and this is in the in the official kickoff was 2019. Right. For the first patients. The first patients were actually served in 2018. Okay, not by us, but okay.47:38  So that is so tip of the iceberg because as a clinician, I went on once I found out you know, one of your sales people that had has known me for a long time as a friend and they got involved with this knowing that I'm involved with CBD and understand the endocannabinoid system. So first thing I did is I tried to sign up well, my specialty is not listed. So as a gastroenterologist, I'm not listed as currently interesting currently, because when I did the whole thing and went through it and tried to I couldn't find that. And then for me, it was a little daunting to say, Well, I'm internal medicine is there on board certified internal medicine, but I really practice 100%, gastroenterology. And I did not want to false under any false pretences as this is, because it's just a matter of time. It's better a short time. So discussing that, from a business perspective, what can I do? As a physician who's very interested in this? help some of the legislation, bring in other let's start, I've got a tonne of questions about that all these little things, but help bring in other specialists are there? I mean, I don't I don't even know I don't even know, like committees are?48:55  Well, hopefully, a discussion like this helps. Right? For starters, right? It was one of the reasons. I mean, hopefully doctors watching this who are board certified specialists who are intrigued and have heard how much this can help will apply to get the programme. It's very simple for doctors to get in. You, you just provide your Texas Medical licence number, I think and your board certification number and the Department of Public Safety checks those two things. And that's pretty much the extent of it, you become registered and at that point, they very much leave things up to the doctor. That's one of the great things about the programme is Let's trust the doctors.49:33  So in this case, not knowing enough about that. I'm like, Well wait till my specific specialty, it just there was neurology, oncology, pain, internal medicine. There was a lot of specialists so if there's a physician listening to this, go check it out, because more likely you're there. I'm just saying that gastroenterology was one of the few that was not listed.49:55  I can I can certainly bring that up with them and ask, you know, we can get If we can get that specialty added, I'm surprised it's not on there.50:02  That was eight months ago, nine months ago, something like that. Maybe it is I haven't checked recently. But I thought, well, it should50:11  be one of the things I think you should be is. And I actually learned this from you in our very first phone call. One of the treatable conditions, which I don't think I listed before is called spasticity. And it is unlike everything else on the list for your very intelligent audience. They know as soon as I say that they're like, which one is not like the other spasticity is a symptom, am I correct, and everything else is a sort of a disease or condition. And you informed me that much of what happens between the mouse the top and the bottom, you know, by the way, for those who don't know, if you get on a phone call with a gastroenterologist, it can get like, it was unexpected. I was not expecting to have that conversation. In my day. I'm on the phone. I'm like, Whoa, because we went top to bottom, or you did, but apparently, it's all a lot of it's muscle. And there can be spasms in that muscle spasticity in the muscle, and that is a treatable condition.51:03  It's nerves innervating muscles and the muscles if they go into spasm create tremendous pain. And if you're ever worked in ER, and you ask an ER physician, what's the what's some of the most common complaints, it's abdominal pain. Now that can be all the way from a perforated bowel appendicitis. But a lot of times people just get labelled, Oh, you've got a bug or IBS, and then they get sent out. That's it's a huge chunk, because it covers so much territory. So yeah, for spasticity. If we can get the spasticity handled, I can help so many people, my cebo people. So if you have small intestinal bacterial overgrowth, one of the reasons why you have so much pain is because the bacteria produce gas, which stretch the intestines, in a reflex, the intestines trying to track back, that's a spasm, this is reminiscent of our phone call together. except you're eating at the time. When somebody poops like this, you want to make sure that52:06  I'm kind of curious about if if, in the new, you put it in these words, if a if a interested position, or one on the fence, even we're, we're considering this, and you've already talked about what it takes to get approved. So let's talk a little bit about what's the experience like to be that practitioner. For one, you write a, an opioid, or what something has a highly addictive property, or even if it's classified that way, it's called a controlled substance. And then in Texas until recently, we always came with the paper, triplicate, I mean, there was a there was a form to do so. So what's it like? What's the process for the writing of the prescription? And the experience going through your company? And what is the physician See? How is it dispensed? What's the fall ill insurance your ongoing?52:52  Sure. A challenge for a patient can be finding a doctor who can prescribe we've tried to help with that by we have we have a virtual clinic on our website. So if you go to good blend calm, you can actually see a doctor through telehealth, it's one of the very great things the state of Texas has done is enabled telehealth for this programme, which is super exciting. You can see a doctor through a telehealth appointment or you can go to a doctor's office and see them there. They're either either the doctor will diagnose you with one of the treatable conditions, or you bring your medical records from a different doctor who's, for instance, if you had a patient and in their chart, and you'd put spasms of the gutter specificity, or they could actually take that chart to another doctor and get a prescription.53:37  That is fantastic video. So as somebody who's learning and I'm risk averse, and all these things, I just don't want to I want to make sure that I follow the lay of the wall, which is why I stopped when my own specialty wasn't there. That is fantastic to know that I can say look I can right now I'm not comfortable doing it. But I truly believe that you could benefit from this, please go to this website. Set up a virtual visit. Show them this note, fax them my clinic note 100% Oh, that's54:08  easy fan. TAs this, that's awesome news because it actually allows a physician on the fence or is worried about blowback from maybe their own partners, they can now safely dip their toe in the water and say, Look, I've got a pathway for you to get we have doctors that do this all the time.54:21  Oh my gosh, that is great. You're exactly right. When I first started doing CBD, one of my partners grabbed all my all my pamphlets and said brown wants to sell weed in our clinic. That's fine, but I'm not taking part of it. Not a joke. So and then if I actually,54:37  you know because there's just this much misinformation and and the people don't educate themselves. That is awesome. Because what are we talking about here and you said it you started off this interview. We want to help people and the people we want to help as the patients and you don't care if you're getting the credit as the doctor who is being in this position to do Do that. This is about the patient who comes in and says I hurt or I can't get over it or I as you said with the with the kiddo I can't feel. Let's get them on a route to do so if you're uncomfortable doing it's fine. Let them take what you found with them and then and then head over to G website55:18  not to digress really quick. But when you said that I can feel for the first time imagine your child who you love dearly that has never been able to express love can then express that because of this because you got them off these meds as living that's living. Yeah. That's, that's awesome.55:38  Yeah, it's fantastic. Oh, and I know you didn't mean to digress, but I am curious though. Yeah. Once they rot55:44  that continues a journey for Yeah, sure. So that everything the patient record for the programme lives on a Texas website. It's the it's called curtsy u RT, the Compassionate use registry of Texas. A prescribing doctor would go into it's it's an online service, but you go into you log into that service. And then you create a new patient profile for your new patient. And then you create a prescription for that patient. And so your prescription you have they give ultimate flexibility for how you want to write this prescription. The ones we recommend are flexible to give the patient flexibility. So you would specify here's the milligrammes of THC, I think would work for you over a an X day period. So this prescription is going to exist for 30 days, 60 days, 90 days, we recommend 90 days, because I think one of things we've learned from the the, like the CVS is in the Walgreens of the world is that you can write that longer prescription you're going to get better compliance for for the second round of dispensations, but so 90 day prescription, this much THC and milligrammes and then you have to specify the means of administration, you can get very specific with that you can say, it's got to be tincture, or got to be a gummy, or there's a box that says, I think it says other any means other any means. And then there's a notes field. And so what you could say to a patient is, so you do all that. And you could say I recommend you start with this in the morning, this in the evening. And if you want to dabble with your, you know, try, try this and see how it works for you, you can try that too. So that all exists in an electronic record. The next step then is for the patient to contact, good blend. And then we they tell us their identifying information, we pull up that patient record and that prescription and we're able to dispense against that one opportunity for improvement in the programme. And some doctors do this some don't is you think about it, when the patient leaves that appointment. You know how this goes, I can't I can't remember really half what a doctor says when I leave that appointment, cuz it's a high stress, time. And when you get home, I have trouble remembering what the doctor said. So we do recommend you give the patient something that says, here's what I'm prescribing you, or you send them a follow up email and says, here's, here's the prescription I gave you, otherwise, they don't remember what you're prescribed. And then we're the ones reminding them, Hey, your doctor prescribed X, Y and Z. But that's the process. So you see a doctor doctor interest, the prescription into the compassionate use registry of Texas patient contacts us we dispense against that in terms of getting the medicine and products to patients. We offer a lot of different ways to do that. We started out as 100% a delivery model. So we were delivering to patients homes. We've recently added the the ability for patients to come into certain doctor's offices and pick up their what they've ordered. And even more recently, we've added the ability. It's almost like a miniature retail experience. But we bring unassigned product into the doctor's office, and a patient could walk right out of your appointment. you've entered their prescription and occurred and we can they can shop right there and buy what they want. And then so a one stop shop.58:50  Let me clarify that really quick. So you're saying that a physician can actually have product in their office and they can sell it directly to the patient.58:59  We do the selling? Yes. Okay. We are there in the in the lobby or wherever, wherever we are and patient comes in and they they see what we have to offer and then they buy what the prescription says and sorry, pharmacy extension, essentially essentially I'm okay. Okay,59:13  so just one small caveat on this journey, so far, so much like, just so that people don't think that a physician is just guessing what the milligrammes are, whenever a new minute, whenever a new medication comes out that isn't cannabis. They utilise representative representatives to go and educate a physician. I doesn't matter if it's a new blood pressure medication. Every blood pressure medication that you've ever taken has had a representative go in and basically detail a physician on that. So I would imagine that there is a detailing process on best practices, things to look for cues. Correct. Thank you for bringing that up.59:51  Yes, we as you would a physician would not be guessing. We have we have dosing guides. In For instance, if you want the prescription to be 90 days long. And you're thinking about prescribing x, we have a recommended daily dose and just multiply by 19. Put that into the prescription. So yes, we, we provide all those sorts of collateral educational material and that1:00:09  kind of stuff. I mean, that's, that's not unique just to cannabis. I mean, we do that literally with every single pharmaceutical that has ever been rolled out. Physicians practitioners need to be educated on it. So this, love this because this is no different. And except for that it is because people have worried away from it. And I think it shouldn't1:00:31  be different, right? And we're getting to the point where it's not sure I got here, you one other way, it's similar to the way prescriptions work in the pharmaceutical side is, if a patient were to call us or, or ask for something that was slightly different than what you prescribed, then we have the ability to contact the prescribing doctor and say, Hey, the patient is interested in this slightly different than what you prescribe. So for instance, let's say you, you check the box for tincture, and the patient decides they want to try our 12 ounce beverage or patient wants to try gummies might be in the same ratio might even be the same dose, it's just a different means of administration, we're able to contact you and say, Are you okay? If the patient gets this instead, and then we just write the note into the look like a little hamster typing there. We just write the note into the, into the prescription.1:01:21  But I mean, that happens with generics and name brands and regular pharmaceuticals, too. So I mean, I think I think it's awesome that y'all it's it's completely your legitimising something that should have been legitimise a very, very long time ago. I love that you'll have that in your model. Yeah, it's1:01:36  transparent. Yeah. I love how that's, that's well. And also, let's, since you brought it up several times, let's talk about these different means of administering. If you have examples, like what what are some of the things that you that you've seen your practitioners have success with that some of the clients the patients seem to like, because a lot of people don't realise A lot of people think oh, I, I don't I just have to smoke it. Right. That's the only thing that that it's there for it. So this is a medicinal product. What are some of the ways? Sure, sure.1:02:06  So we started with started with tinctures back in the our first first couple months and and that was when the programme was in early days of the programme. I should back up a second say. One thing to note about the Texas compassionate use programme is we are capped at a THC maximum currently of 0.5%. by weight. If you know your you know the world of cannabis, you're thinking that's a very small amount of THC. It goes up to 1% starting September 1 based on most recent legislation, but one of the things we realised is that if depending on what the product is what depending what the means of administration is 0.5% can actually be a lot right the heavier the other ingredients are. The more you can get in there more THC you can put in the product and still stay below the 0.5% limit. So we had tinctures for a while and then we moved on to Los Angeles. We were the first company in the state to come out with an edible product like that it was lozenges meant to kind of dissolve in your mouth and for absorption of the cannabinoids after lozenges, we came out with gummies we're the first in the state come out with gummies we have one to one CBD THC ratio gummies and we have five milligrammes THC straight up. And in those gummies we've got different terpene profiles, we've got a sativa profile and indika profile that that's getting our doctors from prescribing flexibility we see you know, common common prescription might be take the one to one gummy, that's sativa in the morning, because it can be more stimulating and it's not you know, it's a one to one CBD THC so you have those working together. But when you're getting ready for bed, take the five milligramme indika gummy which can can be relaxing and can help you sleep. So those gummies really helped with prescribing flexibility. We then came out with lotions. So we've got some topical products, which now again you have to have one of the treatable conditions. But if you also have some other symptoms that could be helped by our medicines, then you're in the programme. Sure you have access to everything once you're in the programme. We launched medical capsules, which is a really nice, very precise dosing product for doctors. And then most recently, we were the first. By the way, all of these were first in the state. We most recently launched our 12 ounce beverage cannabis infused beverage, which I guess I have since I brought pot props, I might as well show the prop. It's empty because right now we don't have a prescription. But all these are getting great feedback I'd say are1:04:47  the most popular. What are some of the other products that you brought. These1:04:50  are all empty, of course there's our gummies here, these are the Texas Orange City, the five milligrammes I got one of our lotion, one of our topical lotion jars, here. Sure. Thank you for asking that question because one of the things I should mention is one of the things we did launch, this is our dream tincture. So it's it's designed with a terpene profile for evening use. Yeah, but one of the things we also did with this tincture, and it's a different bottles that we added, lowers, they can go to our website and see a nice rendering of the bottle. But one of things we did with this launch of the dream tincture is we had a

The news of Texas covered today includes: Our Lone Star story of the day: If you are facing serious illness do you want a physician who spent all time possible training to heal you or, do you want a doctor with less medical training to make room for Leftist dogma indoctrination? It’s the latter in UT’s Dell School of Medicine with “health equity” training, which has nothing to do with medicine, being made a core competency item of curriculum for medical students. See the story here: https://www.statesman.com/story/news/healthcare/2021/06/07/university-texas-dell-medical-school-adds-focus-health-equity-curriculum/7489892002/ News in the campaign and political stack including from across the Lone Star State. Stench of local government stories out of Abilene and Amarillo. Biden’s border disaster gets even worse. At V.P. Harris’ visit, Guatemala’s president specifically blames the Biden Administration for the immigration problems as opposed to “climate change” as empty-headed Harris did. Haitians pouring into Del Rio illegally; criminal aliens pouring into Texas and the U.S., and; Texas’ governor steps up the pressure saying the state will start arresting illegal aliens. There are many problems with such but in it you see the value of primary challenges. https://thefederalist.com/2021/06/07/guatemala-president-blames-biden-for-border-crisis-kamala-harris-deflects-blaming-climate-change/ And other news of Texas. www.PrattonTexas.com

What is it like to actually give someone emergency Glucagon? What happens next? This week, Stacey talks to Bonnie O'Neil whose son was diagnosed with T1D at age 5 and is now 24. They had a scary situation while on vacation and out of the country. Everything worked out; Bonnie shares what she learned and what she wants other families to know. Bonnie is the author of a brand new book: Chronic Hope (learn more here). She has a unique family history of diabetes, losing a brother before she was even born and has a older sister who is still thriving today. In Tell Me Something Good this week, a big honor for one of our favorite frequent guests and fun news if your child plays Minecraft. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider.   EPISODE TEXT HERE... Check out Stacey's book: The World's Worst Diabetes Mom! Join the Diabetes Connections Facebook Group! Sign up for our newsletter here ----- Use this link to get one free download and one free month of Audible, available to Diabetes Connections listeners! ----- Get the App and listen to Diabetes Connections wherever you go! Click here for iPhone      Click here for Android Episode Transcription  Stacey Simms  0:00 Diabetes Connections is brought to you by Daria health. Manage your blood glucose levels. Increase your possibilities by Gvoke HypoPen the first premix auto injector for very low blood sugar, and by Dexcom take control of your diabetes and live life to the fullest with Dexcom.   Announcer  0:21 This is Diabetes Connections with Stacey Simms   Stacey Simms  0:27 this week, what is it like, what really happens, when you need to use that emergency glucagon, I talked to a mom who found out while on vacation out of the country,   Bonnie O'Neil  0:37 I was just all I could do to stop my hands from shaking and mix that glucagon and get it in him. So point number one was when you go on vacation, make sure that glucagon doesn't stay in your hotel, keep it on your person you just never know.   Stacey Simms  0:52 Bonnie O'Neil's son was diagnosed at age five and is now 24. She has advice about using and carrying glucagon. She also has a unique story. She'll talk about growing up in the shadow of a family tragedy with diabetes, and how she and her sister have overcome that in tell me something good this week, a big honor for one of my favorite frequent guests. And does your child play Minecraft? Stay tuned. This podcast is not intended as medical advice. If you have those kinds of questions, please contact your health care provider. Welcome to another week of the show where we aim to educate and inspire about diabetes with a focus on people who use insulin. My son was diagnosed with Type 1 14 years ago, my husband lives with type two diabetes. I do not have diabetes myself, I have a background in broadcasting. And that's how you get the podcast. longtime listeners will know that this show is not really about our experience my family's experience of diabetes week in and week out. I don't share a ton of personal information about Benny, but we do talk about our experiences. And I bring that up because I did a show recently with him to mark 14 years, which was a pretty big milestone. And we've done a couple of shows together over the years. I always say Benny is a big goofball. But you know, he's got good things to say I like to talk to him. I'm very proud of him, even though I give him a hard time. And I got a really nice review that I wanted to share. I don't ask for reviews very often. Maybe I should if you'd like to leave a review, you can send one to me at the email address at Stacey at Diabetes connections.com. You can leave them on whatever podcast app you're listening to. You can drop them in the Facebook group. But this one really was nice. And so I wanted to share it and say thank you to Ruth Ann, who posted it following that 14 year episode where I talked to Benny and she says “I listened to it yesterday and came away feeling understood. I've had type one for almost 45 years diagnosed at age 12. Then he was honest in the way teenagers can be when they don't feel pressured to spin things to make other people happy. I found him incredibly inspiring.” She goes on to write “To me The message was you can be upbeat about life. But don't succumb to pressure to sugarcoat the hard realities of managing type one. I think being real is the healthiest approach to coping with a challenging chronic illness. Please tell him thank you from a grandma in Utah, Ruth.” And I will say thank you to you. That meant the world to me. I agree. I think it's so important to be honest to write that line of diabetes can't stop you from doing the things you want to do. But it will stop you and slow you down sometimes right not to sugarcoat things too much. I really appreciate you taking the time to write that down and share it with me. And of course, I will share it with Benny and Wow, good luck to you. 45 years with type one, you're the inspiration. If you would like to tell us something always happy to get nice messages like this. I'm always happy to take constructive criticism as well. I do have a few people over the years who have yelled at me. But I think I'm pretty easy to find either on social media or via the email address. And you can always go to Diabetes connections.com and get all the contact information there. But Ruth boy you made my day All right, we're gonna talk about using glucagon what that is like, and Bonnie's really interesting story in just a moment. But first Diabetes Connections is brought to you by Dario health. You know, over the years, I find that we manage diabetes better when we're thinking less about all the stuff of diabetes tasks. And that's why I love partnering with people who take the load off on things like ordering supplies, so I can really focus on Benny, the Dario diabetes success plan is all about you all the strips and lancets you need delivered to your door one on one coaching so you can meet your milestones, weekly insights into your trends with suggestions for how to succeed, get the diabetes management plan that works with you and for you. Dario has published Studies demonstrate high impact clinical results, find out more go to my radio.com forward slash Diabetes Connections. My guest this week is here to talk about using glucagon and I think we can all From that, but she has another important story that I don't want to gloss over. Bonnie O'Neil has been part of the diabetes community since before she was even born. bit of a warning, this may be hard to hear Bonnie's older brother died when he was eight, his type one went undiagnosed until it was too late. Now, this was back in the 1960s. But we know that's still gonna happen today. Her older sister was later diagnosed, she survived and is still thriving now. And Bonnie has a new book out. It's called chronic hope. So there's a lot to unpack here, including that very valuable information about her family's experience with glucagon. I found this to be a very valuable and eye opening conversation. And I hope you do too. Bonnie, thank you so much for joining me. Congratulations on your book. And I'm excited to learn all about you. Thanks for jumping on.   Bonnie O'Neil  5:48 Thank you for having me. I'm excited to be here today. Stacey,   Stacey Simms  5:51 tell me about your son. But he's doing now because he was diagnosed as a little kid. And he is all grown up now.   Bonnie O'Neil  5:57 Yes, I've lived all the stages with him. So he was diagnosed as a five year old and he is now 24. So he's living not too far away from me about 15, 20 minutes, which I guess is every T one D mom's dream when their kid grows up that they live independently, but yet, we can still get our eyeballs on them and our arms around them from time to time. So yeah, he's doing great.   Stacey Simms  6:22 You it's funny because being diagnosed, what does that 19 years ago? Isn't that long ago. I mean, my son was diagnosed 14 years ago. But in some ways, it feels like a different world. Do you mind taking us back to that time, if you could tell us the diagnosis story. And I'd love to also talk about what you all started in terms of management.   Bonnie O'Neil  6:41 Sure, yeah, that's actually an interesting story. So I have diabetes in my family. So my brother was unfortunately died in the diagnosis process when he was eight years old. And that was before I was born. And so my parents had me in their 40s, basically to, you know, replace the child that they had lost. And then my sister was diagnosed when she was 16. And I was eight years old. And so I just grew up with it. We grew up with this fear of it being there. So I was always on the lookout for it. And I remember my first pediatrician when I want to have my first child, I said to him, so how do we test for this thing? Because I don't want it to be in in my child. This wasn't Austin. This is my oldest son, Alexander. And, and he's like, oh, Bonnie, you know, it comes on acutely. We can't just run a blood test every every few months, but you'll know it if you ever see it, frequent urination, and intense thirst. And so I was always looking and so the day that I noticed that in my son, Austin, you know, obviously, there's the major panic, but I had grown up through my three pregnancies, I had done the urine testing for gestational diabetes. And so I knew exactly what to do. I went to the pharmacy, I bought a test kit, and I dipped Austin's urine in it, and it turns deep crimson. And so I diagnosed him at home freaking out going to the doctor and saying, they're like, calm down. This is Odile, like it, maybe it's not type 1 diabetes. I'm like, Well, do you know what else it could be? And so we, you know, I bundle up the three kids and we're living in Connecticut at the time, I took them over to the pediatrician. And he didn't have ketones, because we caught it so early. And so their practice was leaning into something that they told me was what Yale was practicing at the time, although I have an endocrinologist friend from Yale, who assures me they never offered, I suggested that, but the thinking was, if your child doesn't have ketones, you don't admit them to the hospital. Hmm. So we went home, we literally went home without so much of the shot of insulin. As you can imagine, I was just freaking out because my brother didn't make it through his diagnosis story. So I was like, you know if you can remember Terms of Endearment and Shirley MacLaine, like shaky over the crib. Yeah, that was me that night, just like leaning over my son and just making sure all night long that he stayed alive anyway, that the pediatrician, the endocrinologist that my pediatrician was able to find for us was one who really didn't work with pedes. The youngest children they saw were really about 15 or 16. So we saw him The following day, and the long acting insulin that he gave him was Lantus.   Stacey Simms  9:37 I was wondering if that was even approved, because I remember was not really 2000 so it was for little guys.   Bonnie O'Neil  9:43 Okay, it was not it was it was not under age 10 and so I don't I didn't know any of that you know, and so, so that was the first there's two things that were very interesting in our in our care different so that was the one and then when we got to CHOP the Children's Hospital. Philadelphia. A week later, I forgot to say all this diagnosis happened exactly one week before we moved house from Philadelphia. Oh   Stacey  10:07 my god,   Bonnie O'Neil  10:08 I never recommend that moving house be part of your diagnosis to be that as it may that was our case. And so when we got to CHOP our the endocrinologist there was actually very keen to see know what would happen to this child being on Lantus at age five, I'm pretty sure that it's going to work out well, I can't prescribe it. But he came to me that way. So I can leave him on his protocol. So that was interesting. And it worked beautifully. So my son never used NPH. And I had friends at that time, who were very familiar with that insulin and just told me how fortunate we were that he never had to be on that. So that was one thing. And the other was, so my sister, the reason I gave you the backstory on my sister was that I grew up in a family of using exchanges, where you counted your you didn't count carbohydrates, but you looked at food, in terms of whether it was fat, or protein, or carbohydrate. And you gave each one an exchange. And so I was used to that world. And I literally was given a counting book that had both on it, it was the exchanges and the carbs. And it was kind of you could do it however you wanted. They were recommending I just use the carbs, but the exchanges were there as well. So that was interesting. Oh, and then there's a third one.   Bonnie O'Neil  11:33 But I remember. So his diagnosis was shortly after the DCCT trial, results came out and talking about intensive insulin therapy and how important that was. And I remember several visits, going in and talking to my CDE and saying, I'd really like Austin to be on that intensive insulin therapy. And she would, she would look at me like I had 12 eyes and like to say something, and I didn't understand what she was saying. And she didn't understand what I was saying. And it was many months later that I realized that Austin was   Stacey Simms  12:11 using Lantus and short acting together. Yes, exactly, was   Bonnie O'Neil  12:14 exactly. So yeah. So I was sort of living in some a couple of old paradigms and had to get with the program pretty quickly. Yeah,   Stacey Simms  12:22 but what a transitional time. Here was that that he was diagnosed,   Bonnie O'Neil  12:26 it was 2002. Yeah. And I'm so thankful I that is it is that so spot on Stacey, because just a few years earlier, and and the story would have been very different. My sister's story is very different. Sure.   Stacey Simms  12:37 And let's talk about your family for a moment. If we could be there's so much information there. You mentioned your brother, gosh, I can't I'm not even sure what to ask. But he died before he was diagnosed or during his diagnosis story. Was   Bonnie O'Neil  12:48 this in the 70s? The 80s Yeah, it was 1962   Bonnie O'Neil  12:57 Yeah, yeah. So my sister was six years old, my my sister Barb, and my sister Johnny, my brother, Johnny was eight. And so it was Christmas week, and my sister had the stomach bug. And a couple of days later, after she got better, my brother started throwing up. And they assumed that he just had the stomach bug as well. And he may have had that, but it clearly he then slipped into decay. And so by the time he got to the hospital, which was actually New Year's Eve, what he was in a coma. And so he passed away three days later, to make the story even more unbelievable. My mother delivered my sister Betsy, just nine days after that.   Stacey Simms  13:43 Oh my gosh. Oh my goodness. Yeah. You know, DKA is I don't have to tell you this. You know, it is the most dangerous time for people with type one and it's amazing to me how now. Gosh, we are you know, more than 50 years after what happened with your family with your brother? Yeah, we are still having something like 30 to 40% of people who are diagnosed with type one diagnosed in DKA, I know you work a lot are you you've written a lot with beyond type one. You know, are you involved in efforts? Do you see the you know the DKA awareness that's something that you you talk about.   Right back to my conversation with Bonnie and we are going to hear her talk about glucagon in just a minute or two. And when you hear her talk about the emergency redbox, please remember, there are more options now and Diabetes Connections is brought to you by one of those by Gvoke Hypopen. Almost everyone who takes insulin has experienced a low blood sugar and that can be scary. A very low blood sugar is really scary and that's where Gvoke Hypopen comes in. It's the first auto injector to treat very low blood sugar. Gvoke Hypopen is pre mixed and ready to go with no visible needle. That means it's easy to use. Find out more go to Diabetes connections.com And click on Gvoke logo. Gvoke shouldn't be used in patients with pheochromocytoma or insulinoma, visit Gvoke glucagon.com slash risk. Now back to my conversation with Bonnie and I just asked her about her family's tragic experience with DKA and how that's influenced her with what she does now in the diabetes community.   Bonnie O'Neil  15:22 Yeah, I mean, I do write for beyond type one, and I'm very active with JDRF. I'm on the board of the founding chapter, the greater Delaware Valley chapter. And I know that we're doing a lot of advocacy work around that and, and even just trying to get the shift in titling someone has type 1 diabetes, a JDRF, has done a lot of work around that, and is seeing that that shift so that it's, you know, reframing it, so it's not Oh, they got diabetes, or my son didn't get diabetes on June 19 2002. That was when we discovered that he would be insulin dependent for the rest of his life. He was developing the disease before that. And so we're trying to change that language. I think we're making progress. So that there's there's an understanding that you are, you know, certainly with some of the antibody tests, that testing that is being done now to be able to know that, you know, this person's body is being set up to get the disease, you know, if you have, I think it was three out of the four markers. It's, yeah,   Stacey Simms  16:31 well, and I was gonna ask you about that, about T one detect, we just did a show on that. We did an episode on that a couple of weeks ago. And when you think about something like that a person who has type one in their family, like you had and was so front of mind, I would imagine that you would have taken advantage of that with your kiddos, you know, years and years ago.   Bonnie O'Neil  16:48 Yeah. And, you know, back then, and that was something that I asked my endocrinologist was, so should we do any sort of testing and their response, and I had to agree with it was, well, there wasn't anything that they could offer. Other than Gee, I'm really sorry, it looks like your child is probably going to get type one. So the way I've handled it now, as a mother of two adult children who don't have diabetes, is that decision is yours. If you want to be tested, we can get you tested. If you don't want to, I have to respect your decision.   Stacey Simms  17:25 One of the things I really was looking forward to talking to you about and looking forward as a term I really should not use there. But I was very interested in is you were one of the few people I know who has had to use glucagon on their child, and then wrote about the experience. So I really appreciate you talking about this publicly. It is a fear that so many people have, you know, we have never had to break out that red box. And I'm so thankful for that. Would you share that story with us? You're even at home, right? You're on vacation?   Bonnie O'Neil  17:54 Yeah. And I'd be happy to because you know, it's a it's a story that still brings up a lot of emotion in me, but it does have a happy ending. And there are some good takeaway points for your listeners in terms of preparedness. So yes, I'm happy to share the story. My family went on vacation to Costa Rica. So it was my oldest son's first year in college, Austin, that would have made him a sophomore, I think in high school and my daughter would have been eighth grade. And we realized that all the spring breaks were aligning all three kids were in three different schools. And we're like, Yes, let's go and do something fun. So we plan this, this sort of dream trip, you know, where you're going to be renting, staying in a treehouse. And like, I'd have some time at the seaside all kinds of great stuff. So adventure, but fun. Yeah, so we get there and the very the very next day, I think we got there like late afternoon. So the next day, spent a little time poolside and then decided to go to this restaurant for lunch that was literally like an oasis on the seashore. So like in the sand cluster of trees and this restaurant was in these trees on the sand. And so it's just a walk up the beach, it was probably, I don't know, 20 minutes of a walk. We get up there. My son Austin actually ordered the only sensible meal he ordered a pizza which is cooked my husband and I ordered cbj which is raw and my other two kids ordered some sort of salad again raw and when you're in a developing country, you should go cooked rather than right anyway. So you know it was a big piece of pizza and or you know, personal pizza. And so we give this was before wearing a Dexcom so we have no arrows indicating the dress. In which his blood sugar is going, we just have a blood sugar of somewhere around 250 probably. So we have to give a nice correction dose, I have to give the combo bolus that we were doing for the pizza to accommodate for the, for the fat. So it's gonna be dripping in for a while. And I didn't factor in the walk that he had just had. So right after lunch, he and his brother asked to go into the sea and play. I'm like, Sure, that's fine. So they did about five minutes later, he came back and he said, I feel shaky. So I tested him and he was in the mid 60s. And we ordered him a coke. And he started to drink. And still his blood sugar wasn't going up. Eventually, he drank the whole big bottle of Coke, and still really wasn't going up. And I was getting a little suspicious. And then he said, I don't feel well. I feel nauseous. And then I knew we were in trouble. And your mind just immediately goes to like, the cheese was tainted. The basil on it hadn't been washed and was in was unclean. Something, you know. Yeah. And I knew that he had like, over 10 units of insulin on board. And then the next thing I know he he starts vomiting. And I mean, pardon me, but projectile vomiting. And this is one of those moments when you just snap into too high alert gear. And it's to my son, and my, my oldest son and my husband go back to the hotel, get the glucagon because of course the glucagon was with us. But it wasn't with us.   Unknown Speaker  21:39 Right? It was   Bonnie O'Neil  21:40 in the hotel, helping the pillows in case they had a low but now it was it was tucked away with all the other supplies. And so the two of them ran back along this shoreline. And I knew it would have to be at least 30 minutes before they would get back. Right? Because there and back. And actually my son got back before my husband did because the roads were so rutted and so circuitous, that it just took him forever, it seemed to get back in the car. So all the while I don't speak Spanish, I speak fluent French, I don't speak a lick of Spanish. And all of these people were trying to help me and they didn't speak any English. And they all they could do is bring towels and bags for my son. And you know, I knew that if he drank any more, he was just going to vomit it. So there was no point in trying to give him more to drink. And so we just waited. And I have never seen a sunset so fast in my life. Oh, I don't know if it was where we were located on the Costa Rica coast. I know we were having a late lunch. But anyway, it just started to get dim. And by the time my eldest son got back with the the glucagon and cuts all over his bare feet, it was just all I could do to stop my hands from shaking, and mix that glucagon and get it in hand. So point number one was, when you go on vacation, make sure that glucagon doesn't stay in your hotel, keep it on your person, you just never know. Point number two with practice that injecting or at least mixing up glucagon. Every year, when your glucagon expires before you throw it away. Don't neglect that gift of having the opportunity to practice drawing it up because I was going to ask you,   Unknown Speaker  23:27 did you ever do that?   Bonnie O'Neil  23:28 I did it every year, I never threw one away without mixing it up. Because I knew that if I ever needed it, I wasn't going to be able to stop and read the directions. I just needed to know what to do. Because the only reason you would use it is if you're in an emergency. And in an emergency. We don't think so clearly, or our hands are shaking, you might be thinking but your hands are shaking so much that you just need to go from muscle memory. So eventually my husband got their like gate. So I drew it up. I gave him the glucagon. My husband got there. And we're in the car. And I was just surprised Stacey, his blood sugar didn't come right back up. I expected it would come up to like, I don't know, a perfect 110 would have been nice. You can even give me a question 150 I'd be happy with and if it didn't, it was I don't even know if it hit at oh well. And so I remember being in the dark in the backseat of that car just like trying to get every little whiff of the glucagon out and into him. And, and then I just realized I don't have another glucagon. I brought one. I didn't bring two and he's not in a stable enough place. Like I we need a doctor. So thankfully, this was probably the nicest hotel we had ever stayed at. And and I'm really thankful because they had a doctor on call. So we as soon as we got back to the hotel, we asked the concierge to call for a doctor and he was there. Oh probably within 45 minutes, something like that. What did he do for you? Did he give him more like IV glucose? Yeah, so he unfortunately was this big, you know, had a big headboard, big posters on it, and like a poster board sort of thing. And he just hooked an IV up to him and tied it up to the to the bedpost. And so the following morning, when he came back, Austin had a fever by that point. And he said, You know, I can't rule out that this isn't appendicitis, you have to get an emergency surgery in Costa Rica, this was not what I had in mind. And long story shorter, what ended up happening was he said, You've got to get him down to the Capitol to San Jose, four hours back down the way we had come up, you know, just two days before. So we have to do that, you know, it could have been the fever could have been from the food poisoning, which it was, but he said, you know, we have to be safe, it couldn't be appendicitis or something else. And so that was the longest four hour ride I've ever had in my life.   Stacey Simms  26:02 Yeah, it was not appendicitis, it turns out to just be   Bonnie O'Neil  26:07 a lot it was it was just the food poisoning. And he spent three days in hospital. And there again, you, as a diabetes parent know more about diabetes than emergency room physicians do. And it's important that you know that and that you believe in yourself about that. My son, his freshman year in college had to go to the ER for the stomach bug. And there to the emergency room, physicians relied on me for what I knew about how to take care of his diabetes. And so when we were in Costa Rica, the attending physician gave me her cell phone number, and said, I want you to be in touch with me. If this doesn't come around, if his numbers don't go in the way we want them to, we're going to take the pump off. And we're going to do it our way. But I will give you it was basically I'll give you six more hours, I think this was like on day two or something. Because she was letting me manage his diabetes. Right? And but then she said, You know, we're gonna do it six more hours this way. And let me know how things go. And it did it worked out fine. So here's two more points coming to my mind when you're traveling. Don't just take one glucagon, you might need to use a second one when we were leaving the hospital. Among the other prescriptions that the doctor wrote for me. I said, Could you write me a prescription for glucagon because I use the only one I had. And clearly, my son didn't get a stomach bug. It was food poisoning. So food poisoning could happen again. And I want protection from that. And she looked at me with these beautiful, innocent eyes and said, Bonnie, we haven't had glucagon in this country in over 10 years. Wow. And so just don't imagine that it's going to be available for you. So travel with to glucagon when you travel. The other thing was, when we were in the hospital, the only ketone tests they were doing were blood ketone tests, they weren't doing any urine ketone test. So I had to wait until they would come back. You know, they weren't doing blood tests as frequently as we would expect to be doing our ketone tests. So again, don't just travel with a bottle that has maybe 10 ketone strips in it. I had a nearly new bottle of 50 ketone strips, and I was worried that I was going to run out   Stacey Simms  28:29 going forward. I assume you're filming like to travel? I mean, this was obviously a big trip and a big treat. Did you hesitate about traveling again?   Bonnie O'Neil  28:37 I don't think I'll go to Costa Rica. I'm nothing against Costa Rica. It's just the memories are. They're profound. I do try to pay attention to where there is a hospital, which is an easy enough thing to figure out. We have continued to travel that is for sure. In my book, I talk about another episode that happened after that, where he his insulin pump broke, and we were in France, and he had to get a we had to locate him a pump in a foreign country. So that's another fun story. But no, we've continued to travel, but I think it's just being safe, bringing your supplies with you and an abundance of supplies, checking to know where the hospital is. And I think it's it's just about being comfortable. Making sure that you feel comfortable where you are. Well, you   Stacey Simms  29:32 mentioned your book. Let's talk about that. Sure. Yeah. Oh, congratulations. That's Thank you.   Unknown Speaker  29:39 Thank you very excited.   Stacey Simms  29:40 Yeah. So why'd you call it Chronic Hope? Tell me about where that title comes from?   Bonnie O'Neil  29:44 Okay. Well, you might want to edit this out. I'm not sure so I was I was thinking about how much you know, I loved my my son and the care I give for him. This As a chronic condition and the title chronic love came to my mind. And that actually had been my working title for a little while. And as I was working on my book proposal, I did a little research little Google search on chronic love, and it was a porn site. So I changed the title. And actually, once I came up with the subtitle, chronic hope, is exactly what I'm writing about. We all love our kids, we do in a way that we show our love to them, especially as full time caregivers, that just cannot be disputed. But there's some times when we as the parents just lose our way on the hope journey. Because it's, it's so long and so complicated and can be so unforgiving. And we can be unforgiving of ourselves. The message really is hope for us.   Stacey Simms  30:57 I may have to lead with the chronic love, I think that forget about editing that out. That's pretty funny. Oh, my goodness. But you've had this story and you for a long time. I'm curious what caused you to kind of write it now to release it now?   Bonnie O'Neil  31:14 Yeah, good question. Well, I love to write. That's the first starting point. I've been writing for a number of years and have been honing that craft. And as I was thinking about what the next topic was, that I wanted to write about, it just felt like it needed to be a story that I've been living, something that was really true. And that it wasn't just something I'm going through now, which so many of my blog posts words like, you know, it's that short, quick blog post is almost like an instant word. It's like what you're going through at that moment, and you write, but I felt like I needed to write something where I had come out the other side, and actually had some wisdom to share. And once I sort of landed at that place, it was well, this is what I know better than anything else. And living this story out first with my nuclear family. And then with my family with my children, I just have been steeped in that for so long. I speak for the jdrf education conferences, that type of nation summit, and that one of the earliest ones that I did, I was speaking on the psychosocial impact of T one D on the family. And it was the first time I had delivered the that talk and I was I was sharing about, you know, my nuclear family and then Austin's diagnosis and how that impacted me. And I was just really honest, and, and raw, and I talked about my anger, you know, the disease coming back into my family, and just the challenges with my husband, when the two of us were not on the same page and the fear, I carried my need for control, wanting to control the disease, and all of these things. And as I'm looking up at the group that I was speaking to, like, everybody's dabbing their eyes, and sometimes, like really crying and at the end, one man said to me, So when's your book coming out? And I chuckled and kind of tucked that away. And it later, I think informed me very well as to what I should write about next.   Stacey Simms  33:32 What is your I mean, you have more than one son, and I'm sure they are your children are all featured in the book in their own way. curious what Austin? Right Austin? Is your son with time? Yes. I'm curious what what Austin thinks of this?   Bonnie O'Neil  33:44 Well, Austin is a man of few words that he's not   Unknown Speaker  33:47 going to do. Much.   Bonnie O'Neil  33:51 I made sure that in the advanced copies that I have, that he was, he received the first one. And he very graciously accepted it and then said, Thank you. He has congratulated me a few times and said he was excited. I did ask him before I really started the writing, and was just sort of outlining things. I asked how he felt about it. And he said he was fine. And I did say to him, and it's the Absolute Truth. If there's anyone who looks ugly in the book, it's me. It's never hand because I am raw with how I processed my emotions. Because one of the things I feel like in that for us, parents have a child that lives with such a complicated disorder. 24 seven, we take so little time to attend to how we feel, you know, because it's how can I complain when my child has to go through so much. And so we don't really ever name what it is that we're feeling and give ourselves permission to feel what we're feeling. And so then we can't really attend to it and move along from some of those stuck places and I really feel that the You know, the emotional health of a family begins with that center of the mom and the dad. And we need to get our stuff together so that we can create a healthy family emotionally.   Stacey Simms  35:14 I agree it's so interesting because we, as you know, an initial diagnosis. And though those first few years, we as moms, I think so define ourselves by diabetes, it almost seems like we have it like and you come to a realization that Yeah, do not be do not have diabetes, we do not have our child's experience. But it doesn't make the experience of being a mom of a kid with a chronic condition, any less valid. It's just a different experience. And I think I'm hoping, kind of saying the same thing you are in that once you realize that it's a mom, that it's okay to take care of what you are going through, knowing that's different from what your kid is going through, you kind of name it and take care of it and acknowledge it and talk about how tough it is. And right now until you can do that. It's so difficult. Yeah,   Bonnie O'Neil  35:58 it's a kid. It is. And I'm so glad now that there's such increased talk about soul care, because that at least is putting it into the forefront of everyone's minds now. But I think parents of a child with a chronic illness just really need that permission to say, I too need this soul care. I am going through mourning. This wasn't what I was expecting. I was expecting my child to have the freest life imaginable. And they still do. But especially in those early years, it's a lot, we have to mourn the loss of this perfect health we had envisioned for our child, and we have to deal with the fact that Yeah, we are tired,   Unknown Speaker  36:42 a lot.   Bonnie O'Neil  36:43 And it's okay to say I'm really tired. And I think even under, like coming to terms with the fact that a lot of our friends just aren't going to get it. And there's a loneliness that we carry here as the caregivers of our children. And it's okay, and it's not it's once we begin to name it and look at it and explore it a little bit, and how it's affecting us. That's the beginning of healing and freedom.   Stacey Simms  37:09 And I meant to ask you earlier, and it's okay, if you don't want to talk about this at all, how is your sister doing?   Bonnie O'Neil  37:15 She has struggled in the last few years with some complications. She has had, I believe gastroparesis for, I think it's close to 10 years that I think, went largely undiagnosed, and then has been quite problematic in the last few years. She's begun going actually to my son's retinal specialist for some treatments for her eyes. And her second or third treatment, this most recent one, they found that the retinopathy had had gone away. So I'm very thankful for that. So she just maintains the most positive attitude through shouldering this disease through the longest time, but I can see that it you know, it has taken its toll.   Stacey Simms  38:06 And so in your family, you know, you have two people diagnosed at different times, but still almost, it's hard to describe how different it is. We talked about Lantus And then off air, you and I were talking about control IQ,   Unknown Speaker  38:19 right? No,   Stacey Simms  38:20 just a guess of reflection before we go of the technology and the advances of not only I assume your sister has is using different tools than she did when she was first diagnosed.   Bonnie O'Neil  38:30 She is for sure. And I think that has been a great asset to her. So yeah, she's using now the Omni pod and the Dexcom as well. I am so grateful for the time in which we live and for the medical advancements that Austin has been able to take advantage of. I know one of the my friends through jdrf. She said recently, I am so thankful for all of you parents who came before our family did who paved the way because my daughter her daughter was diagnosed at age two or three. I've never known what you have known. She's had the Dexcom as long almost as long as she's had diabetes. I don't know the sleepless nights that you know, I'm confident now like that each generation or micro generation is going to be able to say that to the ones who came before them that we're going to continue to advance and are the lives of our loved ones are going to continue to get better. And that also just gives me a lot of hope.   Stacey Simms  39:36 That's great. Well, thank you so much for joining me, Bonnie. I really appreciate your time. Best of luck with the book. I'm really excited for you. There's nothing like a book launch. And I hope we could talk again soon.   Bonnie O'Neil  39:47 Thank you so much. This has been such a joy to be with you. Thanks,   Unknown Speaker  39:50 JC   Announcer  39:56 you're listening to Diabetes Connections with Stacey Simms.   Stacey Simms  40:01 Learn more about Bonnie and her book and her story at Diabetes connections.com. In the episode homepage, as always, I put lots of links and info there, you could read an episode transcript, if you prefer to. Some people just like to read rather than listen to that it's fine by me as long as you get the info. In conjunction with this episode, I have a contest on social media. This is on the Facebook page for Diabetes Connections, not in the group this week. This is just on the page. And you can win a copy of her book chronic hope. I also want to point out and I know we had a commercial in there, but I think it's really important especially for newer families to know that there are now options when it comes to using emergency glucagon because since the 60s, we've had the red box or the orange box, which were basically the same thing as you heard Bonnie talked about there mixing it up, and the big needle and all that stuff. There are new options. gfo hypopyon, is one that I spoke about, they are a sponsor of the show, they are a you know premixed ready to go shelf stable glucagon. And it's very easy. It's all in the panel ready, nothing to mix and you don't see that huge needle, it's very different. It looks more like an epi pen or an insulin pen and simple to use. There's also baxi me, which is a nasal spray. And that is also very easy to use, I will link up more information about that. I just think it is enormously important to know that these things exist, knock on wood, knock on my head, knock on anything I can find. We haven't ever had to use emergency gun with Benny in 14 years. But as Bonnie illustrated, you just never know. So it's so important to be prepared. I'm also really interested in the future of this stuff. Because I keep hearing more and more people say that we're gonna be using it not just for Super lows, right? I mean, like me, you were probably told if He's unconscious, you know, if you can't keep anything down, that's when you use it. But now there's a new school of thought about using these in much smaller doses for less severe lows. So I don't have a lot of information on that. So I'm not gonna talk too much more about that. But I think that is very interesting. And something to watch. And certainly glucagon in an insulin pump is something that, you know, companies are working on, most notably the iLet from beta bionics. So, as we say all the time, stay tuned. Tell me something good, a big honor for a wonderful member of our community. And that's about Minecraft to just ahead. But first Diabetes Connections is brought to you by Dexcom. And you know, when Benny was very little, and in the bathtub or in the pool, anytime his hands would get wet. I always noticed his fingertips. You know exactly what I mean. Right? We poked him so much. They were just full of these little pinprick holes. It looks horrible. I mean, you can really see it when he got wet at age 16. I am not inspecting his hands. I rarely see his hands anymore, but his endocrinologist does. And we went for a checkup in early January, his fingertips are normal. It's incredible. We've been using Dexcom for seven years now. And with every iteration, we've done fewer and fewer finger sticks G6 eliminates finger sticks for calibration and diabetes treatment decisions that we used to do 10 finger sticks in the past. It makes me so glad that Dexcom has helped us come so far. It is an incredible tool. If your glucose alerts and readings from the G6 do not match symptoms or expectations, use a blood glucose meter to make diabetes treatment decisions or more, go to Diabetes, Connections comm and click on the Dexcom logo.   Over the almost six years of this show, I have been so fortunate to have some guests that really made an impact on me, who I'm really lucky, I think to call friends now, but who I turned to again and again for information. I know I can rely on them. They'll give it to me straight and in a caring way. And one of those people is Dr. Stephen ponder. Many people know him because of his sugar surfing talks and books, but he's a practicing endocrinologist. He's right there in the thick of things in Texas when he can pray and hopefully post COVID runs a fabulous diabetes camp and has lived with type one himself for more than 50 years. He got a really great honor recently, and he says he was stunned to learn that he has been selected for a big honor at the University of Texas Medical branch in Galveston. This is where he went to medical school. And then he stayed there another nine years where he says he became a husband, father, pediatrician and pediatric endocrinologist and the award is the Asheville Smith Distinguished Alumni Award. He will receive that formally in June during the graduation ceremonies at Galveston and the to read his post about this was it was really inspiring he gave a lot of credit to others and he finished by saying never in my wildest dreams did I imagine an honor such as this so congratulations to Dr. Steven ponder for a great award well deserved that's just fantastic. Another Tell me something good comes from Samantha Merwin who is the mom of Logan the elbow bump kid we've talked to them on the show before she is working to roll out a national program about Minecraft. This is a Minecraft t Wendy play project. She says she had a successful pilot and She's working to roll it out nationally, working out a lot of logistics apparently to roll it out for people outside of her home state. So more to come on that. And she's also been working on a project with the college diabetes network along with Cigna. This is a really cool program all about mentorship applications are going to open in February, I will link up the page that is already there for college diabetes network. Basically, it's a program for junior and senior undergraduate students, you got to be current junior or senior, and it pairs you with a Cigna employee who has a similar career interest. So if you want to learn more again, I'll put a link in the show notes. But this was really great. Samantha love the work that you're doing here definitely going to help a lot of people and keep us posted on both of these programs. My son used to love Minecraft he still plays it but man when he was like 12 or 13 that was all they played. It was pretty wild stuff. I don't know what he's moved on to now. Although that's a lie. He his friends are playing Uno. They were screaming and carrying on get the card game Uno. I asked him I was like why are you so loud? Kind of Be quiet. I figured there's like shooting people or doing something crazy. They're playing card games on the computer? I don't know, is there any sign that you're getting older than you don't understand the games your kids are playing. If you have a Tell me something good story, please send it Stacey at Diabetes connections.com or posted in the Facebook group.   Little bit of housekeeping before I let you go, starting next week, I'm going to be doing something different. I'm going to be releasing an additional episode every week. So we'll have the regular interview on Tuesday, the long episode with segments like Tell me something good and innovations and all sorts of stuff. The regular episodes on Tuesdays will continue that way. I'm adding an episode on Thursday. And these are going to be what I'm calling classic episodes. If you're a sharp eared listener, you will know that I dropped in a couple of these last year kind of as a test. They are interviews from several years ago, as I mentioned, we've been doing the podcast for almost six years now. This is Episode 347. So there's probably a couple that you have missed along the way. And what I'm going to do is put context to the interview, you know, kind of catch up with the person let you know what they're doing now, and then replay the interview from several years ago, we have really great stories from a lot of really terrific people that you may have missed. And this way, if you're newer, and you haven't heard it, it's super easy enough to scroll back. I mean, Apple podcasts only shows you 300 episodes Anyway, you don't have to go anywhere. It'll be delivered right to you. And you can catch up with some of the really cool people and stories that I spoke to back in 2015 and 2016. So that starts on Thursday, February 4. Right now I am scheduled to do it for about half the year. We'll see how it goes. And you'll have to let me know what you think. Because after all, the show is here for you. If you don't like it, don't wait half the year. Let me know right away. If you do like it, of course I would love to hear about that as well. Next week, you'll be hearing from Lily I talked to the folks from Ypsomed a couple of weeks ago. Ypsomed and Lily are partnering to bring a new insulin pump to the United States. It's not a new insulin pump elsewhere in the world, but it could be here as early as 2022. We're going to talk about why Lilly decided to pivot and go in this direction. That is next week. And thank you to my editor John Bukenas from audio editing solutions. Thank you so much for listening. I'm Stacey Simms. I'll see you back here next week. Until then, be kind to yourself.   Benny  48:29 Diabetes Connections is a production of Stacey Simms Media. All rights reserved. All wrongs avenged

Texas made news in November of 2020 for a medical cannabis bill that would create an extremely limited market for the cannabis industry.texas medical cannabis vertical licenseOnly the wealthiest operators would be able to get a license as they are completely vertical. Like in Arizona, Florida or Illinois, the states are still scared of the open market and want to choose a few super wealthy entities to operator the entire state's marijuana market.texas medical marijuana laws,texas medical cannabis bill,texas medical cannabis license,texas medical cannabis business,texas medical cannabis dispensing organization,texas legislature cannabis bill,texas,texas marijuana,texas marijuana legislation,medical marijuana,texas cannabis legalization,texas medical cannabis vertical licenseSupport the show (https://www.youtube.com/cannabislegalizationnews)

Our colleagues at the Tour for Diversity in Medicine join us for a special panel of physians who share their experiences in medical school and as pre-med students as part of the #BIPOCinMed series. Our panel includes: Dr. Nathan Lott, Dr. Brandi Kaye, Dr. Janelle Chavez, Dr. Corey Shy, Dr. Love Anani. About Tour for Diversity in Medicine: Conceived by former medical student leaders, Tour for Diversity in Medicine is a grassroots effort to educate, inspire, and cultivate future minority physicians and dentists. Current trends in racial and ethnic health care disparities are widely documented and a major focus of many recent federal and state health policy changes. One frequently discussed solution is the need to increase the number of minority providers. Follow Tour4Diversity at: Facebook: https://www.facebook.com/Tour4Diversity/ Twitter: https://twitter.com/tour4diversity  Instagram: https://www.instagram.com/tour4diversity/ YouTube: https://www.youtube.com/user/Tour4Diversity  ---------- Links: Connect with the Tour for Diversity in Medicine mentors at: http://tour4diversity.org/mentors/ Information on the SHPEP (Summer Health Professions Education Program): http://www.shpep.org/ The Latino Medical Student Association (LMSA)-http://national.lmsa.net/  The Student National Medical Association (SNMA)-https://snma.org/ ---------- Join our online communities to receive early access to the podcasts, ask questions about preparing for professional school, and receive information directly from TMDSAS/TXHES, professional schools and advisors. The TMDSAS Hub is open to all applicants.  The TMDSAS Non-Traditional Applicants group is open to all applicants who identify themselves as non-traditional. If you have any questions or comments about the podcast, reach us at podcast@tmdsas.com. Inside Health Education is a proud affiliate of the MededMedia network.

Join me and my guest, Kala DeHaan-Hill, as we talk about solving the mysteries of health and wellness. Kala is a women’s health nurse practitioner who saw the problem with traditional medicine and started a journey to connect more with people that need medical attention beyond a drug prescription.   In this episode, you’ll learn: The value of genuinely providing a remedy to a patient’s concerns. Antidepressants and postmortem depression. Menopause and how vitamin D, B12, and probiotics help with energy and hormones. How thyroid levels relate to age, genetics, and other factors. What are the medications for any complications? Inflammation, gut health, allergies, and hormones. And more!   ~   About Kala DeHaan-Hill   Kala has been in the healthcare field for more than 13 years. She received her BSN from UT Health Science Center San Antonio in 2002. She began her career as a Registered Nurse working in Labor and Delivery, worked in the mother/baby unit and in the nursery unit at Medical City Dallas Hospital. Kala then started working at Presbyterian Hospital of Allen from 2004-2007 where she served as charge nurse in Labor and Delivery. Being able to witness the continual onset of life was a very fulfilling experience for Kala, one she will cherish forever.    Kala earned her Master of Science Degree (MS) as a Women’s Health Certified Nurse Practitioner (WHCNP) from Texas Woman’s University in 2007. She graduated with a 4.0 GPA and was a member of the International Honor Society of Nursing, Sigma Theta Tau. She received her clinical hours working at Planned Parenthood, Parkland Gynecological Clinic, and multiple OB/Gyn doctors’ offices.    Kala then worked as a Women's Health Nurse Practioner at Texas Medical and Surgical Associates followed by Glen Lakes Ob/Gyn from 2007 to 2013. She specialized in all areas of women’s healthcare from teen health, pregnancy, postpartum care, annual exams, problem visits, contraception, and issues related to menopause. She trained several Nurse Practitioner students and found that she had a passion for teaching. She also provided Botox and Juvaderm treatments and currently does these injections at Pink Link Medical.    Kala then worked at Hirsch Clinic from 2013-2014 where she found her passion for working with hormone issues; especially disorders of the thyroid and PCOS. Working at Hirsch Clinic is what prompted her to want to start her own practice geared specifically towards hormone imbalances. This lead to the opening of PINK LINK MEDICAL in Plano, TX.   On her time off, Kala enjoys volunteering at Pathways, a non-profit organization that offers experiential and intensive programs designed to help empower men and women to better their lives and become the best they can be. She has sponsored numerous people through the process and is always willing share her story.    Kala comments on one of the main reasons she decided to pursue her own practice: “I always felt restricted in taking care of my patients. I did not feel 15 minutes was enough time to fully listen and evaluate patient concerns. I felt traditional medicine concentrated more on “fixing” the symptoms instead of taking care of the underlying problem. Personally, I have battled several health issues; PCOS and low thyroid being just a few. I felt frustrated with a short 15 minute visit, being shuffled from one doctor to the next, and feeling like I wasn’t being heard. I wanted to figure out a way to change this for the patients I treat. I am incredibly pass   Check out Kala’s suggestions with vitamins, supplements, and probiotics below!   Metagenics: https://kdehaan.metagenics.com/   OmegaGenics EPA/DHA 1,000mg (fish oil) 2 dailyPhytomulti (multivitamin with phytonutrients) 2 dailyVitamin D3 5,000iu/ dayCoQ10 100mg: daily Ultra Flora Balance Probiotic: I daily Glycogenics (B complex): 1 daily Magnesium Citrate 300mg: 1-2 at night (or Epsom salt baths 4x/ week for at least 20 min)During the pandemic I suggest Ultra Potent Vitamin C 1,000mg: 2 daily Zinc AG 20mg: 2 daily Of course I adjust the doses based on lab values. For example if someone has a ton of inflammation, I give more fish oil. If someone is low on magnesium I increase the dose. If someone is trying to get pregnant I increase the coQ10 :).   ~   You can find Kala DeHaan-Hill on...  Website: https://www.pinklinkmedical.com/ Email: alison@pinklinkmedical.com Facebook: https://www.facebook.com/kala.dehaan Instagram: https://www.instagram.com/krdnurse/   ---   Connect with me @jennydeanfitness Learn more at www.pinklinkmedical.com Connect with Kala @krdnurse Connect with me @jennydeanfitness

The Texas Medical Board issued emergency rules earlier this month for physicians who come in contact with patients in their facilities. For hospitals, this includes keeping 15% of their capacity for COVID-19 patients. Doctor's offices are required to post a sign in their offices stating that they would be following the four rules set forth in the Board's order. Jackson Walker Healthcare chair Virginia Mimmack breaks down the four rules, and what would happen if those rules are not followed. 1) Everyone must wear masks. 2) Patients must abide by screening procedures. 3) Offices must establish screening procedures. 4) N-95 masks and proper PPE are required whenever there is contact with a mucus membrane. For more information and additional JW Fast Take podcasts and webinars, visit JW.com/Fast. Follow Jackson Walker LLP on LinkedIn, Twitter, Facebook, and Instagram. The music is by Eve Searls. This podcast is made available by Jackson Walker for informational purposes only, does not constitute legal advice, and is not a substitute for legal advice from qualified counsel. Your use of this podcast does not create an attorney-client relationship between you and Jackson Walker. The facts and results of each case will vary, and no particular result can be guaranteed.

The governor has allowed Texas medical practices to re-open, but what does that mean for Texas medical spas? Alex Thiersch, JD, Michael Byrd, JD, and Brad Adatto, JD, run through additional challenges that medical aesthetic practices might face from a regulation and enforcement standpoint.

Enrique Jasso, Associate Director, Texas Health Education Service, answers your questions about how TMDSAS and Texas medical schools are reacting to COVID-19. Links: Full Episode Blog Post Meded Media Inside Health Education Podcast Joint Admission Medical Program (JAMP) NAPA LISTSERV Rosetta Stone

Today, Dr. Benjamin Robison discusses the TMDSAS, which is the Texas Medical and Dental Schools Application Service. There are some subtle differences between this application and the AMCAS.

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When this podcast goes out, the medical school application cycle for students wanting to start medical school in 2019 is opening. What do you need to do now? Links: Full Episode Blog Post The Premed Playbook: Guide to the MCAT The Premed Playbook: Guide to the Medical School Personal Statement The Premed Playbook: Guide to the Medical School Interview TMDSAS (Texas Medical and Dental School Application Service) AMCAS (American Medical College Application Service) AACOMAS (American Association of Colleges of Osteopathic Medicine Application Service) PMY 245: Why Does Texas Have Its Own App and More TMDSAS Questions Interfolio Grammarly Mock Interview Prep The Hangout Group

Session 28 If you've taken classes previously and you've done poorly, some schools will give you options. For example, they will get rid of your old courses if you take a new set of classes. They will remove them from your transcript and expunge them. Or maybe your college has the ability to say that if you come to their school, they will remove the initial grade from your transcript. It sounds great and it looks great. It increases your GPA on that transcript. But there's something you're failing to recognize and what's very important to know. [01:25] You Still Have to Put In the Courses When you are applying to medical school, you need to put every single course that you've attempted. So if it's not in your official transcript, you need to put it into AMCAS. Those failures from community college or whenever you had them that you need to now expunge, you still need to put them in your AMCAS application. This means that those grades get counted towards your AMCAS GPA. This the GPA that medical schools are using to evaluate your ability to complete medical school. This is what they're using to evaluate you to see if they want to interview you. "If you've walked into that classroom, one day, you need to put in your transcript." Hence, all of your courses, regardless if they're on your transcript or not, if you had them removed, they still need to go to the AMCAS application. I'm pretty sure it's the same for AACOMAS. [02:41] Texas Application Texas has the fresh start program that gives a ten-year window. And the Texas Medical and Dental Application Service recognizes that. It allows you to ignore those initial grades. So when you apply for the Fresh Start Program through the TMDSAS, your GPA is going to be higher because those initial grades are gone. But if you are also applying to AMCAS and AACOMAS outside of Texas, all of those Fresh Start classes that were removed, need to go into the AMCAS and AACOMAS applications. "If you've taken classes more than ten years ago and did poorly in them, Texas has the Fresh Start Program where you get a do over." If you're a Texas resident and you applied for Fresh Start and you're applying broadly outside of Texas, your GPA on the TMDSAS is going to be much higher than it is on the AACOMAS or AMCAS application. [04:10] AACOMAS Grade Replacement (Before) This is very similar to prior years passed where AACOMAS had grade replacement. And if you took a class, the newer score was counted and the older score was not counted. So students applying to both MD and DO schools, their AMCAS and AACOMAS GPAs were significantly different due to the grade replacement. Now, that's gone away! The only significant difference is between Fresh Start versus AMCAS/AACOMAS. [04:50] Final Thoughts What you need to keep in mind at the end of the day is that if you're applying to medical school outside of Texas' Fresh Start Program, every class that you've taken needs to go in your application. That includes all the classes you've been incomplete on or you were at an American university overseas, all the college-level classes you've taken in high school This also includes every class where you withdrew in and every class that ha been expunged and removed from your transcript. Again, you have to put it on all there! So don't go through the process of spending how much money it costs to redo all the classes to expunge your records when at the end of the day, they're all going to be counted anyway. Did you know? Our episodes in this podcast are recordings of our Facebook Live that we do at 3pm Eastern on most weekdays. Check out our Facebook page and like the page to be notified. Also, listen to our other podcasts on MedEd Media. Links: AMCAS AACOMAS Texas Medical School Application - Fresh Start MedEd Media Medical School HQ Facebook page

Session 67 This week’s question is all about shadowing, basically some do’s and don’ts to make sure you get the most out of your shadowing experience. We take questions directly from the OldPreMeds.org forums. If you haven't yet, go register for an account. It's free and easy. Feel free to ask questions. OldPreMeds Question of the Week: From Lydia: "I'm preparing for my first shadowing experience. I'll be shadowing a heme/oncologist MD. Does anyone have any suggestions for how to make the most of my experience. I'm planning on bringing a notebook and some good questions. Any other ideas or suggestions or must-ask questions? Thanks!" Here are my insights: [01:34] Shadowing and Clinical Experience Shadowing is so important in the game of premed life in order for you to understand what medicine is like. However, please note that shadowing and clinical experience are two different things. Clinical experience involves hands-on interaction with patients where you help them do things and talk to them. Hence, you are really interacting with them. Shadowing, on the other hand, is supposed to be a very passive experience where you're literally a shadow because you're there standing in a corner or behind the physician or beside the physician to just watch and observe. You're not there to ask questions during the patient interaction. You're not there to talk to the patients. Some physicians, however, are okay with students who shadow to do exams on the patient, if the patient allows it obviously. Some physicians will ask your thoughts during an exam or during taking a patient's history.  Basically, every physician is different. So just go in with the assumption that you're only going to stand there, watch, and be silent. Your opportunity to ask questions to the physician happens afters the patient encounter  but only if they allow you to. Some physicians won't give you any time to ask questions while other physicians will let you ask questions in between every patients. But just go in with the assumption that you won't be able to ask questions or interact in any way and that you're just going to be following the physician around. Anything else that is above and beyond that assumption is great. [03:57] What to Bring Don't go in with anything (notebook, pens, paper, etc.) unless it's a tiny book that will fit in your pocket. You're going in dressed up in business casual unless you're told something else by the physician or the clinic where you're shadowing. Go in with as little as possible so that you are not burdening the clinic with needing to store your stuff. Leave your backpack or purse in the car. Go in with nothing. The less you have, the better. [05:05] Questions to Ask Let the questions come to you naturally as you leave. Don't go in with a list of questions with what medicine is like and what life is like. Just ask questions at the end of the day about what you saw that day or the process  you saw during that day. As you build that relationship, more and more of these questions can come. Ask questions about the patient at the end of the day. Do not ask a generic list of questions because that is not necessary. [05:50] Taking Notes As you're done for the day, you may now get your notebook out and start journaling -physician's name, dates and times, what you saw, what left an impression on you, what made an impact on you, diseases you've seen, the kind of patient interaction the physician had, what you liked or not liked about what you saw that day, what could have been done better or different. Write those things down and be sure to keep a journal of all your interactions of shadowing, volunteering  (even including the non-medical stuff). Keep a journal of all your experiences because this can help you with filling out your AMCAS application, AACOMAS application, or the Texas Medical and Dental Application Service in that you have these memories and notes to go back to. Links: OldPreMeds.org The Premed Years Podcast MedEd Media Network AMCAS application ACOMAS application Texas Medical and Dental Application Serviced Media Network

This week's episode is different than our traditional practice growth shows.  It is about the recent judge's ruling in the case againt the TMA (Texas Medical Association) and what it means for the future of chiropractic in Texas. This interview is with newly elected president of the Texas Chiropractic Association, Dr. Tyce Hergert. How You Can Help: https://www.change.org/p/texas-state-house-freedom-for-texas-chiropractors https://teca.memberclicks.net/index.php?option=com_mc&view=mc&mcid=form_151003 http://mytexasdoctor.org More Tools: The ULTIMATE Chiropractic Facebook Training  http://go.billysticker.com/fb-training 3 Step Headache Campaign  http://chirocandy.com/headachefunnel FREE Marketing Strategy Session.– For a limited time, Billy is offering a free 30 minute strategy session.  This session is designed to equip you with a detailed, personalized action plan to take your practice to the next level.  The reason Billy is offering these strategy sessions for free is for a future course he’s looking to offer.  To see if you qualify, simply click the link below to apply. (The reason for the application process is to weed out those who are not serious about the growth of their practices.)  Click Here to Apply

Interview with Dr. Luis Fernandez on the Texas Medical Rangers which is a military medical brigade corps of the joint military force of the state of Texas.

Interview with Dr. Luis Fernandez on the Texas Medical Rangers which is a military medical brigade corps of the joint military force of the state of Texas.