Podcasts about wake forest university school

This week, Russell Moore, Charlie Sykes, and Clarissa Moll break down new polling about Americans' responses to changes in the economy, US involvement in foreign affairs, and their opinions on presidential hopefuls for 2028. Then, CT's Sho Baraka joins to discuss how modern vices of marijuana use, AI porn, gambling look different with an undercurrent of loneliness and isolation. Finally, Sho and Russell discuss NASA's reports that the Tigris and Euphrates Rivers are drying up at an alarming rate, and how people are relating this to a prophecy in Revelation. REFERENCED IN THE EPISODE: AtlasIntel Poll GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in your podcast app of choice. ABOUT THE GUESTS: Charles J. Sykes is a political commentator who hosted a conservative talk show in Wisconsin for 23 years. He was the former editor-in-chief of The Bulwark, and is currently an MSNBC contributor. Sykes has written for The New York Times, The Wall Street Journal, Politico, Salon, and other national publications. He has appeared on the Today Show, ABC, NBC, Fox News, CNN, PBS, and the BBC. Sho Baraka is Christianity Today's Big Tent editorial director. He is a recording artist, performer, culture curator, activist, and writer. He is a cofounder of Forth District and the And Campaign, and he has served as an adjunct professor at Wake Forest University School of Divinity. He was an original member of influential hip-hop consortium 116 Clique, recording with Reach Records. ABOUT THE BULLETIN: The Bulletin is a twice-weekly news analysis podcast from Christianity Today, with editor-at-large Russell Moore and executive editor of news Clarissa Moll. Each episode offers commentary on current events and headlining news with a roundtable of premier guests, and shares a Christian perspective on issues that are shaping our world The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: Kevin Morris Graphic Design: Rick Szuecs Music: Dan Phelps Executive Producer: Erik Petrik Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

Following the 2026 National ICE-T Conference in Charlotte, North Carolina, Zahra Mahmoudjafari, PharmD, MBA, BCOP, FHOPA, and Barry Paul, MD, spoke with CancerNetwork® about high-level takeaways that emerged during the meeting. They discussed how CAR T-cell therapies, bispecific antibodies, and other novel modalities currently fit into the treatment paradigm across multiple myeloma, leukemia, lymphoma, and other hematologic oncology populations. The experts first discussed ideas from a session dedicated to innovations in CAR T cells and cellular therapies, with Mahmoudjafari emphasizing ongoing work exploring novel constructs such as dual-targeting chimeric antigen receptors (CARs) that may overcome antigen escape. According to Paul, a need remains for determining appropriate biomarkers to identify patients who are most likely to derive long-term benefit from agents like ciltacabtagene autoleucel (Carvykti).Regarding another session related to bispecific antibodies and T-cell–engaging agents, Mahmoudjafari described how many new off-the-shelf therapeutic options are challenging clinicians to rethink care delivery models that can provide both high acuity monitoring and outpatient flexibility. Paul also stressed the importance of determining whether fixed-duration therapy with bispecific antibodies may provide similar benefits as indefinite therapy while avoiding the risks of overtreatment.Looking beyond the most recent meeting in April, Mahmoudjafari and Paul outlined the potential themes of the upcoming National ICE-T Conference in Orlando, Florida, which will take place this July. The next meeting, Mahmoudjafari said, will continue to build upon the field's shift from innovation to implementation of novel cellular therapies by focusing on operationalizing treatment delivery models across different settings. Paul stated that the meeting in Orlando will help further delineate new targets for developing therapies that may be more effective and less toxic for patients.Mahmoudjafari is a clinical pharmacy manager in the Division of Hematologic Malignancies and Cellular Therapeutics at the University of Kansas Health System. Paul is an assistant professor of cancer medicine at Atrium Health Levine Cancer Institute of Wake Forest University School of Medicine.

Solving The Loneliness Epidemic: The Complete Guide To Making Friends Making friends is hard – even more so if you think differently than the people around you. But having meaningful connections is a crucial component of a fulfilling life. Caroline Maguire, an ADHD coach, breaks down the components of making friends and how to be your most authentic self in these relationships. Guest: Caroline Maguire, ADHD coach, author, Friendship Skills for Neurodivergent Adults   Your Child Is Not Their Weight: How To Promote A Healthy Body Image Parental obsession with a child's weight can often fracture the family bond instead of improving health. Our experts this week explore the power of storytelling in helping adolescents navigate these pressures, and provide tips on how to instill healthy habits in the home. Guest: Rebecca K. Morrison, author, The Blue Dress, Dr. Joey Skelton, professor of pediatrics, obesity medicine specialist, Wake Forest University School of Medicine, author, Your Child Is Not Their Weight Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Your Child Is Not Their Weight: How To Promote A Healthy Body Image Parental obsession with a child's weight can often fracture the family bond instead of improving health. Our experts this week explore the power of storytelling in helping adolescents navigate these pressures, and provide tips on how to instill healthy habits in the home. Guests:  Rebecca K. Morrison, author, The Blue Dress Dr. Joey Skelton, professor of pediatrics, obesity medicine specialist, Wake Forest University School of Medicine, author, Your Child Is Not Their Weight Host: Greg Johnson Producer: Polly Hansen Facebook: ingoodhealthpodX: @ ingoodhealthpodIG: @ingoodhealthpodYouTube: @ingoodhealthpodSpotify Apple Podcast In Good Health PodcastSubscribed to the newsletterFull ArchiveContact UsBecome an Affiliate Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This week, President Trump rejected Iran's proposal to end the war, saying he isn't willing to accept Iran's terms unless they agree to gut their nuclear capabilities. CT's Bonnie Kristian joins Russell Moore and Clarissa Moll to discuss the status of the war. Eyes are on English celebrity Russell Brand assessing the authenticity of his conversion to Christianity. Why do Christians care so much when celebrities profess faith, and what is the role of testimony in the church? Bonnie, Russell and Clarissa weigh in. Finally, former US Senator Ben Sasse has terminal cancer and is using his final months to publicly talk about his love for his country, family, and God. CT's Sho Baraka stops by for a heartfelt conversation about what it means to live and to die well. REFERENCED IN THE EPISODE: Christianity Today Bible Studies “AI Necromancy Impersonates the Dead” by Haleluya Hadero GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in your podcast app of choice. ABOUT THE GUESTS: Bonnie Kristian is the deputy editor at Christianity Today. She is the author of Untrustworthy: The Knowledge Crisis Breaking Our Brains, Polluting Our Politics, and Corrupting Christian Community and A Flexible Faith: Rethinking What It Means to Follow Jesus Today. Her writing has been published at outlets including The New York Times, The Week, USA Today, CNN, Politico, and others. Sho Baraka is Christianity Today's Big Tent editorial director. He is a recording artist, performer, culture curator, activist, and writer. He is a cofounder of Forth District and the And Campaign, and he has served as an adjunct professor at Wake Forest University School of Divinity. He was an original member of influential hip-hop consortium 116 Clique, recording with Reach Records. ABOUT THE BULLETIN: The Bulletin is a twice-weekly news analysis podcast from Christianity Today, with editor-at-large Russell Moore and executive editor of news Clarissa Moll. Each episode offers commentary on current events and headlining news with a roundtable of premier guests, and shares a Christian perspective on issues that are shaping our world The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: Kevin Morris Graphic Design: Rick Szuecs Music: Dan Phelps Executive Producer: Erik Petrik Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

What do people mean when they say we were founded as a "Christian nation"? Is that true?  Revisit this 2019 conversation on the political and religious history behind that idea. BJC Executive Director Amanda Tyler talks with Dr. Steven Green, author of Inventing a Christian America: The Myth of the Religious Founding, about the political history of this concept, including how, when and why it originated. They also discuss misguided claims that the Ten Commandments are the basis of our legal system. On the second half of the episode, we hear from church historian Bill Leonard on what religious leaders said and did during the founding of the United States and how that relates to the freedoms we have today. This conversation was part of our podcast series on the dangers of Christian nationalism, first released on August 14, 2019.    SHOW NOTES Segment 1 (starting at 02:22):  Steven Green on the political history of the idea This program originally aired August 14, 2019, as episode 3 in our 10-part BJC Podcast series on the dangers of Christian nationalism. Dr. Steven Green is the Fred H. Paulus Professor of Law and Affiliated Professor of History and Religious Studies at Willamette University. His most recent book – released in 2022 – is Separating Church and State. He is the author and co-author of several books, including Inventing a Christian America: The Myth of the Religious Founding; Religious Freedom and the Supreme Court; and The Third Disestablishment: Church, State, and American Culture, 1940-1975.   Segment 2 (starting at 21:18): Bill Leonard on the religious history of the idea The Rev. Dr. Bill Leonard is the founding dean at the Wake Forest University School of Divinity, who now holds the title of "professor of divinity emeritus." He has written some 25 books, and his research focuses on church history with particular attention to American religion, Baptist studies, and the Appalachian religion.  During the episode, Amanda Tyler mentions an article he wrote for Baptist News Global: Legislating 'In God We Trust': using the state to do the Church's work. To learn more about BJC's work countering Christian nationalism, visit ChristiansAgainstChristianNationalism.org or BJConline.org/ChristianNationalism. You can also access our discussion guide to go with this podcast series. Respecting Religion is made possible by BJC's generous donors. You can support these conversations with a gift to BJC.

I'm delighted today to be joined by Dr. Joseph Skelton, professor of Pediatrics, founder and director of Brenner Fit, a program at Wake Forest University School of Medicine. FIT stands for Families in Training, which is a family-based pediatric obesity program. He's the author of a new book on children and their weight, a topic we discussed in a separate podcast. But in this podcast, we're talking about something he teaches at Wake Forest, a course in culinary medicine. This is a fascinating, pioneering area of focus, so let's dig in. Interview Transcript There's a lot of language about medicine and nutrition now, so people talk about food as medicine. There's a move afoot to get more training and nutrition and medical education, and here you are doing culinary medicine. Tell me how all these things differ from one another. Our interest in this here at Wake Forest School Medicine started a little organically with our program. A lot of what we do is focus on family meals. There are decades of research showing the benefits of family meals, not only for the nutrition and obesity risk, but the quality of nutrition, time spent together, parent child communication. Kids are less likely to get pregnant or do drugs and alcohol. All these things from just spending that time together over the meal. And I inherited a small teaching kitchen that was at a local organization that someone before me had gotten funding for. And we, sort of, took it over and used this opportunity to teach families how to cook. And a lot of families know how to cook but trying foods in different ways and to get kids involved and things like that. Then a couple years after that, the local YMCA approached us. They had some space and wanted to do this as a partnership. So I became a fundraising machine for a year or two and took a lot of dinners to raise the funds. And we built this gorgeous teaching kitchen, and we were mainly doing it in the efforts of sort childhood obesity treatment or prevention, getting families, teaching them new recipes, which then kind of extended to that whole key thing of getting families just to be comfortable in the kitchen and spending that time together. And we just started seeing these amazing things. We always say we've converted more kids to Brussels sprouts than I think any other effort of just getting them cooking it a different way. You and I were both probably raised with steamed Brussels sprouts, which I think is an abomination. If you really want to highlight the sulfur smell of a food, then you're going to steam it. And so, we really started to do that. And then students started volunteering. Actually, it was a student, Josh Patman, he's an emergency medicine physician now at East Carolina University, and he was a cook in a professional kitchen college. And he said, hey, could I help volunteer with that? And then more student medical students wanted to do it. And then we all found that you, much like I did, I'm a self-taught cook myself, and the more time you spend in that, the more you learn, the more comfortable you are. And the more you start to know, you know, I can teach med students nutrition all day, but that doesn't teach them how to get nutrition on their patients' plates, into their mouth. And so it really grew from there. And then I, kind of, stumbled upon what other people were doing. It started in New York, but the biggest program started was really Tulane School of Medicine that had it as a very focused way about teaching nutrition through cooking. Not just on a blackboard through PowerPoint slides and stuff like that of like hey, let's teach it in a different way. And the old-fashioned analogy, and actually the medical educators hate this, it used to be see one, do one, teach one. That was sort of the old surgical thing. And so, it's really you got to see how to make a recipe and you got to do it yourself. And what we found that when students start then teaching each other, or teaching patients or teaching community members, it really drives home and gives them a much deeper understanding of what nutrition in the real world is. Let's talk about the need for this. If we go back in time and we think about your parents or my parents, you know, the likelihood is that meals were being prepared from the real foods rather than from a package, let's say, or in a micro. How are things different now for the modern parent that has kept people distanced from their food and where it comes from, and that's led families to be distant because they're not having meals together as much? What does that look like now? Yeah, pulling from our own history, you know, Home Ec is not really a thing anymore. We did this study in our own med students. You know, most of their cooking, nutrition, the nutrition education they're getting tends to be the popular media. They're learning it from social media. Very few students have a degree in nutrition or took a nutrition class. And as much as we have to cram into medical student's education, there's not much room for it. They mainly learn to cook from their families. And what we know is families are cooking less and less for multiple reasons. They're much busier. Especially parents, actually parents of kids of all ages with that. And again, the marketing of food, you know, it's much easier to get ready made meals. And I'm not badmouthing those, you know. We're in talks right now of actually writing a cookbook for families, and one of the things that we promise is we're going to have a chapter on assembled meals. You know, having a pre-made salad with a rotisserie chicken, that's still going to be a better thing to do if you bring that home, sit at a table or at a bar or around a coffee table and eat that meal together. It's still going to be better for your family in multiple ways on multiple levels than eating out. And what I see, it really with families right now when it comes to actually raising "healthy eaters" or raising good eaters is when we... and again, I love a good restaurant, I'm not trying to badmouth that... but when you're going out to eat a lot of kids have endless choices and there's two issues. One is a paradox of choice. Whatever they get, they're always going to think that other thing might have been better. And it doesn't allow them to spread their palate and try different foods and get exposed to different things. And we always laugh... whenever in this field we want to play a drinking game where every time you say complex or complexity, you take a drink because, but it is such a complex issue with parents. You know, with kids and getting meals on the table. And hopefully finding some time, whether it's a breakfast or it's a dinner, but finding that time to come together around a meal. You mentioned the paradox of choice. I was reminded at one point I downloaded this cute app called You Choose or something like that. And it would help you make a decision if you were undecided. It would flip a coin, it would roll a dice. It would do, yes, no, it would do rock, paper, scissors, it would do all these things. And I was at a restaurant once. I couldn't decide between two entrees, so I used it. I did rock, paper, scissors, or something, and I then it said, okay you should choose X. So I ordered X and the second I ordered it, I immediately thought I should have ordered Y. Alright, so tell us about culinary medicine. What does this course look like that you teach? Yeah, the best way to think about it is applied nutrition. Because again, you can understand a ton about nutrition, but if that doesn't change into you getting the foods that you want in front of you, to me it's almost theoretical or scientific. It's applied nutrition. It's this idea of teaching some very basic cooking skills, and then including within that very core elements of nutrition. And for us, we tend to do it by the balanced plate. We think that works really well for families. But having it be very real world. You know, so again, we have recipes... in two weeks, I'm doing one... we're doing a rotisserie chicken and you're breaking it apart and making a chicken salad out of it. We were always teaching using microwavable rice and a couple of the students cornered me and said, this is very offensive to my culture. You need to teach people how to make real rice. But what it looks like for us is about a quarter, almost a third of med students will rotate through these classes. So, it's voluntary. Next year we're actually hopefully going to surpass half of the first-year med school class. That's unbelievable. That's very impressive. Well, especially up until last year I was doing this in my free time and paying for it with fundraising money. But yeah, Wake Forest is really behind this now. But about a quarter to a third of med students. They do five classes. And it's set up and again, that sort of theme of that family meal. They come in and we get stuff cooking. We get stuff in the oven; we get stuff on the stove top. We usually take some time out for a very short lecture. Again, tends to be very practical stuff. We include a lot about social determinants of health and food insecurity. Given what I do, we talk about picky eating. Very little do we go into details about Mediterranean diet and Dash diet and some of the really core things with that. We really just try to keep it about getting that balanced plate of a protein, a starch and a fruit or vegetable on the plate in front of you. They come back and usually finish what they're cooking, and then they sit down to eat together. And unlike when I was in med school and you were in grad school, or when you were teaching, a lot of students don't go to class anymore. A lot of students, they record the lectures so they can listen to them at one and a quarter speed and study in the best way for them. I love getting to know my students on a different level of sitting down. And that's what my really own exposure to medical student education anymore is really through this, which to me is just the ultimate. Being able to sit down, teach them some interesting things, eat a meal with them. Given my chemistry background, I love getting into the science of a lot of the stuff. And I think for them being, you know, sort of STEM kids, it makes a lot more sense. One of my favorite things is the science of grilling, you know, the science of garlic, you know, things like that. And it helps them sort of understand and helps them remember that, and also peppering it with the stories. It just tends to stick that much more when they know the science, they know the story, they know the culture behind it. So, it's five classes. It's all set up that way, that there's a short lecture. They're preparing everything they can and they're eating it. Again, we include some very easy stuff. One of the classes we do microwaveable vegetables because that's what a lot of what their patients are doing. The bagged vegetable medleys. And one, the important thing that we teach them is most of these don't have any seasoning. So yeah, you can microwave them, but you have got to teach your patients throw a bit of olive oil on there, throw a pad of butter, do some salt and pepper, add some other spices to it. And they go nuts with one group will do some more Indian spices. One group will do more sort of traditional, one to do more Asian flavorings to it in our teaching kitchen. It's really teaching very practical things like that. The fun part of that, that's really spun onto the other things that I'll tell you about, is about half of those students that do that- we have about 18 per semester- and about half those students end up volunteering with us. They come to the classes that we have that are community focused. Now some of the students are going through lead teacher training. They get Serve Safe Certified. It's awesome for me and my staff because it saves us a lot of time and overtime that they come in, they let themselves in the kitchen, they set up, they run the class, they clean up, and they can't get enough of it. They absolutely love it. Now you do some celebration of different food cultures in your class. Tell, tell us about that. Including, as I understand, some of the food culture that you grew up with. Yeah. Yeah. That, that's about, that was a big understatement right there. We just love that and that's a great thing. Wake Forest, being a private medical school, kids are from all over the country, from all different backgrounds. And so, we absolutely sort of herald that. One of the things I love doing is class three is a plant-based proteins class. The first class is a general cooking class. The second class has a focus on animal proteins, and again, we're always also cooking vegetables and fruits and starches. The third class is plant-based proteins, and I do that as Southern cooking. And I just love that sort of theme with that. So, we do pinto beans, you know, And the slow cooker. We tell them how to use instant pots, pressure cookers. We do black eyed peas. A lot of these kids don't know that you're supposed to eat that on New Year's Day. I do a vegetarian collard green recipe, taught to me by a local chef. And I think this is probably my number one post that I do in social media is cornbread night. And teaching them how to make cast iron skillet cornbread, which is the only way to do cornbread in my book. And letting them know, sort of, the background of a lot of the stuff. My wife is from South Carolina, so I teach them great thing about cornbread if you're a poor student, is you have a slice with your beans and your collard greens, and then for dessert you put honey on. Which is what I picked up in South Carolina. So, you know, really celebrating that stuff. We have a whole Spanish speaking program, and we have an article written, we just haven't found the right journal for it. It says, leave my tortilla out of this. Instead of, you know, saying, oh, you have to eat less tortillas, celebrate it. Why is that such an important part of not even that culture, but this family's food history and stuff like that. Because food is personal, it's cultural, its family, and it's to be celebrated. We do a fourth-year elective, it's the last full elective of their fourth-year class and a very lucky 20 students get to do that class. And we always have one called Family Night where they bring a dish that's important to them and their family. And it could be like me, it was the roasted chicken that one of my classmates in med school cooked. And I just thought that was so exotic. You know, I never had a whole roasted chicken before. You know, we had a student that had spent the first part of her life in Australia, so she did pavlova and told the history about where the pavlova came from. Now that's considered sort of the national dessert of Australia. And I always remember this one student, he was going to emergency medicine, very quiet kid. And he's over there cooking these porridges. That's the only way I could describe it is just these porridges. We said, what are you doing? And he told the most amazing story. I almost tear up when I talk about it. His grandfather fled Saddam Hussein. He was Iraqi Christian and fled Saddam Hussein and his grandfather lived with them. And this was their afterschool snack. Was this Iraqi dish that his grandfather would make. And there was a sweet one and there was a savory one. And so just stuff like that is... it's fantastic. I just, I can't get enough of that. And they remember that. And so, as students leave us, and I just came from Match Day where they found out where they're spending the next three to seven years of their life. And I always say wherever you're going, learn something about that culture and that food. If you're moving to Cincinnati, you have got to learn about Cincinnati Chili and getta. take something from that. I did all my training in Wisconsin and the Wisconsin supper clubs and how you can tell what a fresh cheese curd is, and it's just... food is fantastic. And we can take that with us wherever we go. And it can give you a way to know your patients even better. And when I hear of a family that they're from West Africa, ah, you like Jollof Rice. And their face lights up and like, oh yeah, where'd you have Jollof rice? So, it's a great way to get to know more about people. So, there's way more to it than cooking technique. I mean, there's, you know, you roast a chicken that this temperature for that long, or here's how long you microwave. It's really a lot more than that, isn't it? It's just like medicine. It's science and an art. And you know that one of my most popular lectures I give does not have to do with obesity but has to do with barbecue and all the different styles of barbecue. And what is just amazing, despite what we know about the science of taking spareribs, which are an incredibly tough cut of meat, and you have to cook them low and slow to get that temperature up. I think it's 189 degrees or higher where you start to get the collagen that breaks down and they turn tender. So yeah, spareribs to be good tender and edible, you're talking four to six hours. But then you go to Tuscaloosa, Alabama and you go to Dreamland Barbecue. They do spareribs over live coals for an hour and a half. I sat there talking to the person doing it. I'm like, you must bake them ahead of time. Do you soak them? And he's just like, nope. And so again, I know the science of that. So how do these jokers do that for an hour and a half, and it turns out in what my opinion are the greatest bear ribs in the world. Oh really? Oh, I'll have to try. I'll have to try that place out. Yeah, there's several. Birmingham has two there. There's several in Southeast and they cook them for an hour and a half. Over live coals. Violating every scientific principle of low and slow. Don't get it. It's fascinating. That sounds really good. Yeah. Well, Joey, thanks very much. One final question. Do you see this... is this a movement in medicine now or more and more people doing this? Yeah, you know, it was really big for a while. Tulane had so much. You know, they were sharing their curriculum and they were doing some good research. And that's where a lot of what you see now as the food is medicine food is medicine or as medicine where hey, we need to find ways to get medically tailored meals in the patient's hands. There's really good evidence of that with diabetes and stuff like that. I think what you're seeing now is, I think especially with some of our efforts in the government right now, is sort of demanding more nutrition education in medical school. And I'm going to double down on culinary medicine because you know what? My students, myself, I don't need to know more about the biochemistry of carbohydrates. I need to know the biochemistry of cooking and how to do that quickly and safely to teach my patients. And also, with that, we have to forget, there's an entire field that's already doing this, you know? Dietetics and nutrition and there's professionals that probably are way better than us. But I think having this increased understanding, especially dwelling in that food space, is going to help us relate to them that much more. So even though I do a lot of nutritional counseling and talking, I still use my dieticians way more. I think they're going to be way better at that. So I think there is a lot of steam building towards that, but we don't need to turn doctors into junior dieticians. But I think we can give them deeper understanding of how food and nutrition affects their health and the broader aspects of that. It's not about the biochemistry of insulin secretion, it's about where are they accessing food and how can they make use of the food pantry near them. And let them know, hey, it's okay when you open a can of beans it's gonna smell like cat food initially, but you know what? You wash that off and actually it's not going taste like cat food. And you know, just kind of be able to work with them. Hey, canned beans are perfectly fine. Guess what? Canned beans now are coming in no salt added and low salt preparations. And here's an easy way that you could take these canned great northern beans, chop up some herbs with olive oil and a chunk of garlic and you can make some fantastic bean recipe that is incredibly filling and healthy and cheap as dirt. Oh, that's really nice. Well, this is an exciting advance in the field and you're really at the forefront of it, and your students are lucky that they have this available to them. So, thanks very much for being with us and sharing your experience. Well and what the big secret about this is, Kelly, is this is fantastic. I love doing it. Our med school really values it, but it's a lot of fun. That's the thing. You can tell just by the way you're talking about it. It is so much fun. And again, I just saw all my students that were graduating. And that some of these I hadn't seen in three years and they're like doing Doctors in the Kitchen and then seeing patients, they're cooking and being able to relate to them in those ways. I just have a text from one of my students going to family medicine, and she's like, this changed the trajectory in my career. And I'm not taking credit for that, but just the idea of giving that experience I think especially in my world to medical students, I absolutely love it. In the end it's a hell of a lot of fun. BIO Joseph A. "Joey" Skelton, MD, MS, FAAP, FTOS, DABOM is a Professor of Pediatrics, and of Epidemiology and Prevention, at Wake Forest University School of Medicine. He is the Founder and Director of Brenner FIT® (Families In Training), an interdisciplinary pediatric obesity treatment, prevention, research, and educational program. He serves as the Director of the Center for Prevention Science in Child and Family Health, Vice Chair of Research for the Department of Pediatrics, Associate Leader of Community and Stakeholder Engagement at Wake Forest University School of Medicine. He is the Editor-in-Chief of the journal Childhood Obesity. He is board certified in Pediatrics and Obesity Medicine. His research and clinical work has focused on the treatment of children with obesity. He has secured nearly $10 million in funding over the past 15 years, has given over 50 national and international presentations, and has over 130 peer-reviewed publications. He enjoys teaching cooking classes that are both fun and informative to anyone who will listen.

Michelle Curtin is a clinician educator in Developmental Behavioral Pediatrics at Advocate Health Wake Forest Baptist and an Associate Professor at Wake Forest University School of Medicine. She shares her latest insights in approaches to treatment and advances in Autism Spectrum Disorder. Find out more about Dr. Curtin at: https://www.wakehealth.edu/providers/c/michelle-curtin This episode is part of the Podcast CE Learning Series. Earn 1 hour CE Credit for listening to this episode. Find out more here: https://go.northwestahec.wakehealth.edu/podcastce

So going back more than 30 years, I was involved in work on childhood obesity. It was a prevalent problem at the time, but little attention was being devoted to children and weight issues. And it was fair to say that the field, as it were, was an academic backwater. Little was known about short and long-term effects of childhood obesity. The social and emotional lives experienced by the children hadn't really been documented or studied much. There was very little known about treatment or strategies for parents, but thankfully, things are different now. Thanks in part to the work of a number of really innovative people in the field, and one of the most innovative is our guest today, Dr. Joseph Skelton. He's a professor of pediatrics and founder and director of Brenner Fit. FIT stands for Families in Training, which is the family-based pediatric obesity program at Wake Forest University School of Medicine. He's also editor of the Journal of Childhood Obesity is involved in clinical care, research, education, and community outreach. Dr. Skelton has just published what I think is a really important book through the American Academy of Pediatrics, entitled Your Child Is Not Their Weight: Parenting in a Size Obsessed World. I was asked to review the book and was delighted to see it before it was published and just was so happy to see that such a book existed at all, but such a good quality book at entering the picture. Really a very important advance in our field. Interview Transcript There have been some books about pediatric weight issues in the past. Who is this book for and how is it different than what's been out there? I feel overall the big audience for this book is any parent, especially of my generation, that were raised during some really toxic diet culture in the '70s, '80s, and '90s. And so, I think the main folks that that's for is that parent: I want my kids to eat healthy, to be active, to lead healthy lives. But I don't want them to become concerned about their weight to feed into our culture's focus on the ideal body image. I don't want to feed into that. But you know I do want to pay attention to the health habits. How can I do this in a healthy way? How can I focus on health habits with my kid that's not a focus on weight and do it in a way that's backed up by science. You know, that's what parents always want to know. Am I doing this right? Am I causing harm? And it is actually who the book is dedicated to, you know, all those parents that were raised in a toxic diet culture and want to do things differently with their children. So, in modern day America, what is life like for a child whose weight exceeds the standards that we know might be healthy, and for the parents who are raising those children? From personal experience and 20 years of running a program, as well as what the research shows, it can be kind of rough. Despite a lot of the advances that we've made around weight bias we're still in a place that kids are trying to live up to this idealized body image. And then they have all these toxic messages when it comes to nutrition and body image. I think it's rough. We know that kids in bigger bodies tend to have a lower quality life. They tend to have more symptoms of depression, anxiety; and it's because of this world that we live in. You mentioned messages that they might be getting from places like the media, but what are interactions like with peers and teachers and doctors and others in their lives that are affecting how they feel? Yes. So, the adults in their life were raised in that toxic culture. They're my generation and the generation behind me that was raised in that. You know, there's the myth that a smaller body is healthier than a bigger body. And I think we can't break away from that. And I think that still sort of comes through. We still see this as a lifestyle issue, and everyone has an opinion. Everyone has a thought of, you know, well, I did this... and I lowered my cholesterol... I did this and I lost weight, you need to do it too. And I think in the medical profession, because of a lack of understanding, a lack of training - I think that still occurs. I don't do a ton of medical education. I'm getting more and more into it, especially when it comes to areas around nutrition. But that's what I'm trying to avoid in the next generation of healthcare providers and even actually a lot of our community collaborators, teachers, and stuff like that. To get away from that. This is not a simple issue, so don't share advice because sometimes that advice can be damaging or could be wrong. You know, good lord how much I hear about carbs on a weekly basis. And not the carbs I like to talk about, which is around dessert and Carolina Gold rice and all these other food stuff. But it tends to be around sort of demonizing certain foods and just really bad messages that still are floating around out there. Let's dive in a little deeper about what you refer to as toxic diet culture that was especially pronounced in previous generations. What does that mean? Does it affect standards for what the ideal body looks like? What about messages about how much control you have over that yourself, and how responsible you are for your weight? How your self-image should be influenced by how you look? But tell us more about what you mean by that. We wanted this to be a book that didn't necessarily dwell on weight so much, but actually one of the first chapters is to say let's cover how complex weight really is. We know that 50% or more of someone's weight is heavily, heavily influenced by their genetics. Where they live, you know. The amount that our lifestyle affects that is much, much smaller. It's the minority of what goes into our body size. And even that, our habits are so influenced by the world around us. But it's, you know, trying to get people to understand that, hey, body sizes are just different. I love this picture from the Olympics and it was a medalist in gymnastics- it was Simone Biles; you know, the huge media personality of Ilona Maher who is a bronze medalist in rugby; and then one of the women's basketball players. You're talking 4'9", 5'10" and pure muscle and six foot seven, all people at the top of their game. And not only different heights, different body types. And, you know, body type is a hard thing to talk about because there's not standard body types. We're all just built differently. And starting that message at a young age that people are just oftentimes built differently. There's very little control that we have over our weight. And even though there are things that we can do about weight, what you can do is you can focus on your habits for health. And that has just gotten lost. We talk about in the book the, we call it veiled weight talk, and it's basically where you're just substituting the word health for the word weight. And kids pick up on that. They know when their parents and others are talking about weight. And so, a really big thing we want to accomplish is like, Hey, you know, eating for health is important. Being active for health is important. In my world, and I did one part of my early research in this, and we always try to have that message as there's so much more to health than weight. In our medical world right now, our primary outcome on these lifestyle changes that people are making is weight. You mentioned genetics as a contributing factor to who is affected by the problem. Tell me how you look at the food environment out there that people are exposed to now, and things like food marketing and the processing of foods. The availability of all these foods that are contributing to obesity and things. And the reason I ask is, you know, there was a time in our country when the prevalence of childhood obesity was probably close to zero. And there are plenty of countries around the world where that's still the case. But now in many countries there's large amounts of childhood obesity. And it's not as if the genetics have changed. When people move from other countries to the United States, their weight tends to go up. Their genes obviously don't change. There's something pretty toxic about the food environment that's driving this. So, thinking about things that way, does that help parents by shifting some of the blame from them and their children to an environment that they might be able to manage in some way? Absolutely. Because parents…they blame themselves oftentimes. You know, how did I let this happen? What did I do to sort of cause it happen and it's not. So, we do try to shift that of looking at ourselves as the reason blame. But you can kind of look at the - and I'm just going to focus on nutrition as the focus - the broader food environment and how that impacts. We tend to get a lot of buy-in or understanding when you talk about how they are trying to market to kids. And so, for any parent, all you have to do is bring up the checkout line at a grocery store, you know? And all the things that are at the kids' level that is just made to make your life as a parent hard when you're trying to feed your kids well-balanced regular meals but you're just kind of constantly walking through this landmine. It's the same thing with electronics and social media. There are so many things that they have a lot more money than you do to market to you than you do to protect yourself against it. And it absolutely influences it. And the way I talk about this is really when it comes down to snack foods, and using the parenting language that snacks get you between long periods of time between meals, but that got co-opted by companies marketing snack foods. And when you see food, smell food or hear about food, you kind of want that food. And that's what parents have every day to now the point is. Snacks always have to be crunchy, salty, and sweet, and we're supposed to give kids snacks when they ask for it, because that's what these companies tell us about hunger. You know, hunger hits us every time and you have got to have this bar to sort of get through that. Parenting is hard enough and then trying to parent through this when they're directly marketing kids... you know, in most European countries, they're not allowed to market to kids. In some countries it's age eight. Some countries it's age 12 because they don't quite recognize this is marketing, they're want you to buy this. It makes it a lot harder for parents. You know, when I was on the faculty at Yale, I got to know a political scientist. A very impressive person named Jacob Hacker. And he'd written a book called The Great Risk Shift. What he talked about was how government and American businesses have systematically shifted the responsibility for overcoming harm from products from themselves onto the consumer. And that's really true in a way here, isn't it? Because the problem is created by corporations who are marketing unhealthy foods in such high levels. It's not the only cause, but it's certainly an important one. But the responsibility for solving the problem then falls to the parents and the children who have it. And one party has way more resources than the other. As you said, it's really not a fair fight and parents have a very tough battle dealing with these things. Yes. There was a marketing study called The Nag Factor, and I'm an old Simpsons fan, you know. You imagine the people behind the one-way mirror watching things and trying to manipulate. And that's what the nag factor was. How can we get kids to nag their parents more effectively? And what they found is parents that were immune to nagging tended to be the more educated, higher-income parents. And so, they literally had this plan of we need to change how we're getting these kids to nag. We need to give them reasons to nag. And that's when you started seeing vitamin C, high in protein. So, you think the checkout at the grocery store is bad, but then the signage in the commercials each and every day are giving kids reasons they can go to their parents to tell them get me this. Because nagging is not going to be enough for the high-income parents. They have to have some purpose behind it. You know, when I was growing up, the only way I saw advertisements for food was on Saturday morning cartoon television. And there were three channels showing it. Well, it shows how old I am, but now it's just an avalanche of messages on social media, built into gaming, and it's just everywhere. And it's probably pretty hard for parents to control that. Wouldn't you say? Well, now that you've said that, that's what my phone's going to start doing. The next time I open up my Facebook, there's going to be an ad for some sort of food camp because it's listening to us. Absolutely. Oh yeah. There's just no comparison. And I think that's also something very hard for parents, regardless of the topic, is what worked for me that my parents used is different than for my kids. And even between your kids. You know, my 24-year-old and my 20-year-old are completely different kids. You wouldn't even know they're related and different personalities. And so, what worked for one, you can't necessarily apply to the other. And whereas we love the idea of multi-generation households and, you know, being involved and being there to give advice. And you should take the advice of your parents, but it doesn't always apply. It's just a different world. I feel like I need to give credit to my East Tennessee farming roots. There are two stories I always remember my dad talking about when they would go to a car hop. Maybe some of your listeners know what a car hop is maybe they don't. It's like a Sonic, you know, it's the old school drive up. Or for you Atlanta folks, like the varsity drive up. My grandparents would make my dad put on his Sunday clothes. You know, that was how rare they went out is they would actually get dressed up driving into town to go try these hamburgers and these French fries. Versus now you can you DoorDash that 24/7. I mean just what a different world and concept. And I still have to share this other story for my grandfather, who my oldest son is named after, he was a tobacco and sustenance his farmer in East Tennessee. And every time I have a med student that's a vegetarian in my cooking class, I always tell the story of he came home one day, and he was talking to my aunt. He says, you know what? The county agent said one day people are going to be eating soybeans. That's so funny. Soybeans were fed to cattle back then. It's really just how drastically we change and now it's changing even faster. I mean, my grandchildren will be light years different than what my children are. Let's dive back into your book. Tell me about the collaboration with the American Academy of Pediatrics and how did the book come about? They have had two books in the past that were sort of geared towards parents, you know, how to address weight in your kids if your child has a problem with their weight, what can you do about it? Well-written books. They had done well. But they were looking to try to do something different. It was kind of time to sort of update that. And the last book was great by Natalie Muth. It was a fantastic book. So, a lot of my friends were on the 2023 clinical practice guidelines. And when that came out, there was a huge blowback from the eating disorder community. And, again, it's sort of the polarization of our country right now. And, they had asked me to speak at a conference saying, hey, can you try to do something in the middle? They knew that we included elements of the body positivity movement in what we do. We're big adherents and teachers of authoritative parenting. And they said could you try to give a talk that kind of goes in between what we're trying to do with the treatment of obesity that's affecting children's health as well as the body positivity movement. It's kind of, again, speaking of the Saturday morning cartoons, it was kind of those things that everyone stepped back, and Bugs Bunny was still in the front and got volunteered. It was sort of one of those situations. And so, I gave this presentation and they said, hey, well, what do you think about turning this into a book? Would you be interested in writing a book? And I said, absolutely not. I don't have time. And never in a million years would I do it. But this needed to be out there. So, first of all, the AAP asks, as a pediatrician, you do it. And second of all, I feel like this book needs to be out there. Both for who I talked about earlier, those parents that don't want to hurt the kids' feelings, make them hate their bodies, feel like something's wrong with them, which is what a lot of kids say. But it's also for those parents that are wanting to do something. These are the parents that, you know, they want to put their kid on a diet or make a comment to them of you sure you need to have seconds on that? You know, which we know can do damage. And of course, parents, you know, they don't want to hurt their kids and get in the way. And so, it was kind of geared toward those parents that were starting down an avenue that may not have been safe. You know, they don't have access to a good evidence-based program. And so, it's also for those parents that says, hey, your kids aren't little adults. Don't take these weight loss approaches to kids. It's just a different beast. We'll come back in a minute and talk about specific parenting strategy, but you alluded to this blowback from the eating disorders fields and the clinical guidelines. Tell us a little bit more about that, because it's one of the key features that would drive the need for a book like yours. I'm not an eating disorder specialist, but there was a big concern that one of the big recommendations that was new was that you can't have watchful waiting anymore. It used to be, you know, if younger children were starting to gain weight, before you intervene or start into treatment or start to change a lot that maybe just wait to see if, you know kind of the old-fashioned thing, are they going to outgrow it? Are they going to go through a growth spurt? So that was a part of the recommendations. The evidence says that watchful waiting in today's world, you're unlikely to see a kid outgrow it anymore, including bariatric surgery, use of medications and things like that. And so, they felt like this increased focus that this was going to cause pediatricians and parents to focus even more on weight and therefore lead to eating disorders. And then that was coinciding over the previous five years, a lot of studies were coming out and then it got put into a couple of systematic reviews of meta-analyses that showed that kids in bigger bodies, kids with overweight and obesity, had a two to three times higher prevalence of eating disorders. Because typically eating disorders are always thought to occur in underweight or thinner children. But it actually is much higher risk of these in children in bigger bodies. And so, we use that term threading the needle, how do you help families who want to do something about their child's weight for health reasons but not worsening disorders. And so that blowback was really saying, hey, by increasing focus on this, you're going to make things worse with that. And it was kind of surprising. A lot of my good friends were on that practice guidelines and they're kind of taken aback because these are experts in the field. Well-meaning people that for 10, 15, 20 years had dedicated their careers to helping these kids looking for help. And I think any care provider to be accused of causing harm is always, always jarring. Tell us how you navigate that and what sort of advice do you give parents in this book? Yeah, so one is that I call weight literacy. It's sort of understanding this is a complex issue. It's not something you did. This is something that happens. We can't always explain it. There are still things, this is where you read too much of this science, it gets you really paranoid about microplastics and things like that. There are some legitimate arguments to me be made there in endocrine disrupting chemicals and stuff like that. We can't always explain why kids are growing bigger than other kids or at a heavier weight. So, the weight literacy, sort of, understanding this is a complex issue, this is not a lifestyle issue. And the second thing is it's worthwhile to focus on healthy eating and physical activity for health. Sometimes that will see improvements in weight, sometimes it won't. But it's still important to do. That's the idea of getting away from that weight being the primary outcome. We feel like this is a great adjunct for someone who might be pursuing bariatric surgery or medications, because it does give us the opportunity to not keep pushing kids harder on nutrition and physical activity, which could lead to that disorder eating. And I think the final thing is sometimes parents and kids are aligned. You know, give me a 15-year-old girl that wants to lose weight. A 15-year-old girl that wants to lose weight, that is unfortunately a child that's very high risk of developing disordered eating. And maybe the parents really wanted to help. But what oftentimes we see a lot is tension brewing between the parent and child. The parent making efforts to help the child with their health and their weight, and the child interpreting those efforts as you think I'm fat, you think I'm ugly, you think something's wrong with me. And it's causing that tension: you know, you can't eat too much of that. Taking Food away. That movie Spanglish with Adam Sandler, several scenes in that sort of reflect that of just small comments that parents can make. You know, actually wanting to help and how that can hurt children. And what we would hope for a lot of parents is to say how can you do this in a way that can be helpful. And one of our chapters is called how to not talk to your children about their weight. You know, the idea that parents don't need to feel that pressure to bring that up. Now, if their child wants to talk about it, absolutely they need to be there, and we give a lot of tips for that. But, you know, your job as the parent, you don't really have control of your child's weight, but there's lots that you can control and lots that you can do to promote the healthy development of your child. You know there's a heavy dose of compassion in your book. That was one thing that appealed to me about it and impressed me. Because if one thinks about a book for parents on dealing with their overweight children, you sort of default to, oh, this book is probably a diet or an exercise program, or things like that about how the child can change their weight. And you're talking much more here about understanding the psychological world of the child. Being sensitive to possible risks of talking to them in ways that are unhelpful or lead to eating disorders and things like that. It's wonderful that you pay so much attention to those issues. And it's very affirming because you're saying that there are some things parents can do about this in ways that affirm their children, accept them as individuals. It's built into the title of your book that your child is not their weight. And that just means so much, I think. Oh, thank you. That is what we had hoped. I mean, you know, parents love their children and in endless, endless ways. And the parents are the key to their children and their children's health. And I feel like sometimes we push too hard. Now we're doing it for good reasons. We want this child to be healthy. We want to help make some improvements. And we put a lot on the parents' back. And I think sometimes then that pressure then is extended to the children. And a lot of this is trying to get parents some insights of, we know you love your children. Here's how to make sure that your child is being loved. You know, the old parenting typology, and I kind of go through some of that history in there, really kind of gets at that. But sometimes we do or say things that doesn't make their children feel loved by accident of course. And it sort of highlights that, not to make parents feel bad, just so they're aware. I've been guilty of it. None of us are perfect parents. And you know, making sure that our kids are feeling, loved by us. Family-based treatment is obviously the key. And I always think of one of your, one of your hypertension studies, I think from 1983. I still quote it to this day. You know, the idea that even though we talk about family-based treatment, we're usually dealing with a parent and a child. The dyad. Now they're representative of the family and I've always felt like something was, sort of, missing there. And two things really influenced me. One of that is one of my co-authors, Dara Gardner-Edwards, who is a licensed clinical social worker. And they are all about the family. They know how to do family assessments. And so, recognizing there's more than just those parents and the child in the clinic with you. In addition to that, working the whole field, I didn't know about human development and family studies. Didn't know that was a field and actually came from the University of Minnesota. I was one of the early. Strong program. So, UNC-Greensboro, our neighbor over there. I started working with a professor over there, Cheryl Buehler, and we would go meet over sushi and she essentially taught me a four-hour freshman-focused family studies course. And just this whole other world, social science world of family dynamics and recognizing when you're working with that child and parent. You may or may not be affecting the family dynamics in the household, of that family system. And so being able to extend differently and having some more appreciation of the complexity of families and the relationships with families. Hopefully we're helping people understand making changes in health habits, relationships matter. We have a project going right now, led by one of my medical students. She was always impressed, in shadowing with us, of how many siblings were picky eaters. And I brought this up to my team, like, oh yeah, this is a huge stress. You know, this parent is obviously wants to change the habits of the entire family but is obviously focused on this child we have in clinic. But the struggle of having this other kid that's a picky eater really throws off those dynamics. And being able to account for that and that stress that that puts on families, and what can we do around that? Oh, that's so interesting. You know, the more aggressive, dramatic treatments that are being used for adults like bariatric surgery and the GLP one drugs, how do they fit into this picture? Yeah, so we feel like it's a perfect adjunct if someone is pursuing with this with their child, because it still is talking about that parenting approach. And it's not really going to change anything with how you're parenting around these things. You know, bariatric surgery for many years has been done safely and effectively in children. Not that it's always perfect, but again, because of the cost, the idea that it's not reversible and typically you want that done in a center that's very experienced with working with kids. So, access issues tend to be really big with that. It can be very effective for some kids but is not available to everyone. We're in the same situation with the medicines with GLP1s. There's one that has been approved for use down to age 12, and overall, they tend to work very well with kids. But we're in the real world now. We're learning a lot about that. It can be miraculous for some children because it gives them success with their weight. It takes pressure off themselves. We're always trying to prevent that restriction, both in hearing that from another adult or the child doing it themselves, trying to tell themselves to eat less. It's always going to backfire. It's going to increase your hunger and things like that. And having that GLP1 is going to help with that. It's actually going to lower that pressure. And oftentimes they can get in that healthy routine much quicker. In others, it's causing some problems. We are seeing some kids that it is absolutely wiping out their appetite. And we're figuring out now the kids are sort of at risk for that. And you can't do that. The kids gotta eat. But for some kids, they just lose all appetite whatsoever. And they can't not eat. And so, we're still figuring out through the real world. But I think, what we're also finding is the job that we do in these multidisciplinary teams, it's just as important if not more important when you're using medications than when you're not. Let me ask you a big picture question and let me see how optimistic you might feel about how, where things are going. So, think of a physician who is treating people with lung cancer. So, the lung cancer is caused by this terrible environmental influence: cigarettes. And the physician then is in the position of having to treat the people who have that really unfortunate problem. And thank God there are physicians who do that, and there's research showing how to treat it effectively. But of course, it would be better if the environmental insult that's causing the problem in the first place didn't exist. That would make everybody happier, except for the companies that sell the product. So, do you think you and colleagues who are doing similar work are faced with a similar kind of a problem? There are all these environmental things that are helping push this problem in the first place. Thankfully, there's kindness, compassion and effective care available and your book helps push that forward even further. But are you hopeful at all that the environmental situation, you know, all the bad foods and stuff out there is changing in a positive way so that there might be less of the problem, or it might be easier on the children now who deal with the problem? Some people think it's getting worse. Others think we might see some progress. But what do you think about that? My brother is an HR guy and he kind of talks about these different typologies with that. And, I forget, I'm called something like the mad scientist, which is you're very pessimistic in complaining, but you have enthusiasm. I don't really know how to take that. But I think, you know, I'm enthusiastic obviously about this topic and what we can do to help parents. But I'm a little pessimistic when it comes to the broader world. I think there's enough, and not saying that every for-profit company's bad, but I think a lot of history is on my side with that. I don't get paid more the more kids I see and the better success I have. I don't get paid more. My job is to be here to help. But, you know, companies, every time I see a for-profit company that comes out and says safety is our number one priority. Or, you know, your satisfaction is number priority, I'm like, no, it's not. Your number priority are your shareholders. And I think that's a very, you know, jaded way to say, I don't quite trust companies right now because of that. Are there some positives that you see, and do you see some changes being made in some menus? Do you see some different products out there that are really trying to get it healthy? But it's hard. I think I have some trust issues and I think that's well founded. Maybe that's my Appalachian background. I tend to be very distrustful of the large mining companies coming in. That, speaking of your lung analogy, that I think I have some healthy distrust that is well founded. So, I think trying to help, and that's obviously a big movement that we have, of trying to help people be more discerning parents, more discerning consumers. But it's hard because they, like you said earlier, they have a whole lot more marketing dollars to convince you to buy their product than we have trying to convince them to make smarter choices about it. BIO Joseph A. "Joey" Skelton, MD, MS, FAAP, FTOS, DABOM is a Professor of Pediatrics, and of Epidemiology and Prevention, at Wake Forest University School of Medicine. He is the Founder and Director of Brenner FIT® (Families In Training), an interdisciplinary pediatric obesity treatment, prevention, research, and educational program. He serves as the Director of the Center for Prevention Science in Child and Family Health, Vice Chair of Research for the Department of Pediatrics, Associate Leader of Community and Stakeholder Engagement at Wake Forest University School of Medicine. He is the Editor-in-Chief of the journal Childhood Obesity. He is board certified in Pediatrics and Obesity Medicine. His research and clinical work has focused on the treatment of children with obesity. He has secured nearly $10 million in funding over the past 15 years, has given over 50 national and international presentations, and has over 130 peer-reviewed publications. He enjoys teaching cooking classes that are both fun and informative to anyone who will listen.

This week, a photo circulated on social media that showed an IDF soldier in southern Lebanon smashing the face of a fallen statue of Jesus. Rabbi Michael Holzman joins Russell Moore and Clarissa Moll to discuss this incident and Americans' shifting attitudes towards Israel. Then, FBI Director Kash Patel files a defamation lawsuit against reporter Sarah Fitzpatrick and The Atlantic for publishing an article stating that Patel consistently drinks on the job and is a national security vulnerability. Justin Giboney and Sho Baraka join the conversation. Then, Bonnie Kristian stops by to talk about why pastor John Mark Comer has become so popular. REFERENCED IN THE EPISODE: The FBI Director Is MIA - Sarah Fitzpatrick, The Atlantic Is Hurry the Great Enemy of Spiritual Life? - Nancy Waleki, The Atlantic ABOUT THE GUESTS: Rabbi Michael Holzman is the spiritual leader of the Northern Virginia Hebrew Congregation and the founder of the American Scripture Project and Faith250. Rabbi Holzman has partnered with a variety of organizations like the Aspen Institute, Philanthropy for Active Civic Engagement and the Shalom Hartman Institute of North America to examine the intersection of faith and democracy. Sho Baraka is Christianity Today's Big Tent editorial director. He is a recording artist, performer, culture curator, activist, and writer. He is a cofounder of Forth District and the And Campaign, and he has served as an adjunct professor at Wake Forest University School of Divinity. He was an original member of influential hip-hop consortium 116 Clique, recording with Reach Records. Justin Giboney is an attorney, political strategist, and ordained minister in Atlanta. He is also the cofounder and president of the And Campaign, a coalition of urban Christians who address the sociopolitical arena with the compassion and conviction of the gospel. Giboney is the coauthor of Compassion (&) Conviction: The AND Campaign's Guide to Faithful Civic Engagement. Bonnie Kristian is the deputy editor at Christianity Today. She is the author of Untrustworthy: The Knowledge Crisis Breaking Our Brains, Polluting Our Politics, and Corrupting Christian Community and A Flexible Faith: Rethinking What It Means to Follow Jesus Today. Her writing has been published at outlets including The New York Times, The Week, USA Today, CNN, Politico, and others. GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in your podcast app of choice. ABOUT THE BULLETIN: The Bulletin is a twice-weekly news analysis podcast from Christianity Today, with editor-at-large Russell Moore and executive editor of news Clarissa Moll. Each episode offers commentary on current events and headlining news with a roundtable of premier guests, and shares a Christian perspective on issues that are shaping our world The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: Kevin Morris Graphic Design: Rick Szuecs Music: Dan Phelps Executive Producer: Erik Petrik Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

Is the separation of church and state in the Constitution? How does Christian nationalism overlap with white supremacy? Why do we keep seeing so many proposals to post the Ten Commandments? In this wide-ranging conversation from 2024, Amanda Tyler talks about these issues and more as she discusses her book "How to End Christian Nationalism" with the Rev. Dr. Bill Leonard.  "How to End Christian Nationalism" is a vital companion for countering the dangerous ideology, and it is available from your favorite local bookseller.  This conversation was recorded Oct. 29, 2024, and was first released Nov. 7, 2024.   SHOW NOTES Segment 1 (starting at 01:30):  Amanda Tyler and Bill Leonard on "How to End Christian Nationalism" You can order Amanda's book, How to End Christian Nationalism, wherever you get your books. Visit EndChristianNationalism.com for more information. The Rev. Dr. Bill Leonard is the founding dean at the Wake Forest University School of Divinity, who now holds the title of "professor of divinity emeritus." He has written some 25 books, and his research focuses on church history with particular attention to American religion, Baptist studies, and the Appalachian religion.  You can watch a video recording of this conversation (and entire podcast) on BJC's YouTube channel. This event was a partnership between Knollwood Baptist Church, First Baptist on Fifth, and Ardmore Baptist Church – all three churches are located in Winston-Salem, North Carolina.  Respecting Religion is made possible by BJC's generous donors. You can support these conversations with a gift to BJC.

The U.S. POINTER study is one of the first large-scale, randomized controlled clinical trials to focus on how lifestyle interventions impact dementia risk and cognitive decline. On a special bonus episode of Dementia Matters, Dr. Laura Baker joins the podcast to explain how the clinical trial came to be, what it found and what the next chapter of lifestyle intervention research and clinical trials looks like. Guest: Laura Baker, PhD, professor, Gerontology and Geriatrics, Wake Forest University School of Medicine, principal investigator, U.S. POINTER Study Show Notes Learn more about the U.S. POINTER Study on the Alzheimer's Association website. Learn more and register for the Alzheimer's Association Wisconsin State Conference, happening May 19-20 in Wisconsin Dells, by April 17, 2026 on their website. Learn more about prevention strategies and the six pillars of brain health on our website. Connect with us Find transcripts and more at our website. Email Dementia Matters: dementiamatters@medicine.wisc.edu Follow us on Facebook and Twitter. Subscribe to the Wisconsin Alzheimer's Disease Research Center's e-newsletter. Enjoy Dementia Matters? Consider making a gift to the Dementia Matters fund through the UW Initiative to End Alzheimer's. All donations go toward outreach and production. Learn about and pre-order Dr. Chin's book, When Memory Fades: What to Expect at Every Stage, from Early Signs to Full Support for Alzheimer's and Dementia, out June 2, 2026.

In our fractured and sometimes dark world, we so often focus on the leading causes of death – but what if we focused our energy on what gives life? That is the pioneering work of my guests today. Dr. Somava Saha and Rev. Dr. Gary Gunderson are leaders in public health. And while they come from very different faith traditions, together they believe that communities have within them the belonging, agency, and wisdom to thrive.  Gary Gunderson is an ordained Baptist minister and professor of Faith and Health at Wake Forest University School of Divinity. He developed the five leading causes of life: agency, coherence, connection, generativity and hope. Gary has managed major faith and healthcare collaborations where he saw these causes in action.  Dr. Somava Saha is a Baha'i, and has dedicated her career to intergenerational wellbeing. She's currently CEO of Wellbeing and Equity in the World, and her work has reached millions of lives. Through this conversation, recorded in cooperation with Interfaith America, you'll gain a deeper understanding of how to tap into the power and resourcefulness that exist in the communities you serve -- and how you can work towards being a better ancestor.  Leading Causes of Life Betterancestors.org With & For is a podcast of the Thrive Center, an applied research center that exists to catalyze a movement of human thriving, with and for others through spiritual health. Learn more at thethrivecenter.org. Follow us on Instagram @thrivecenter Follow us on LinkedIn @thethrivecenter Dr. Pamela Ebstyne King hosts With & For, and is the Executive Director of the Thrive Center and the Peter L. Benson Professor of Applied Developmental Science at the School of Psychology & Marriage and Family Therapy at Fuller Seminary. Follow her @drpamking. About With & For Host: Pam King Senior Director and Producer: Jill Westbrook Operations Manager: Lauren Kim Social Media & Graphic Designer: Wren Juergensen Senior Producer: Clare Wiley Executive Producer: Jakob Lewis Produced by Great Feeling Studios Special thanks to the team at Fuller Studio and Fuller Seminary's School of Psychology & Marriage and Family Therapy. The podcast was made possible through the support from the John Templeton Foundation. The opinions expressed in this publication are those of the host and guests, and do not necessarily reflect the views of the John Templeton Foundation.

On Tuesday, the Supreme Court rejected a Colorado law that restricted counselors from assisting clients who wished to change their sexual orientation or gender identity. Luke Goodrich from The Becket Fund for Religious Liberty joins to discuss with Russell Moore and Clarissa Moll why the Supreme Court was nearly unanimous on the decision, and the implications for free speech. Then, CT's Sho Baraka stops by to discuss the high unemployment and underemployment rate of college graduates, and where grads can find hope. Finally, Daniel K. Williams joins to analyze Secretary of Defense Pete Hegseth's service at the Pentagon in which he prayed imprecatory prayers against America's enemies. This in contrast with Pope Leo's Palm Sunday sermon, in which he prayed for peace in the midst of war. REFERENCED IN THE EPISODE: Conversion Therapy, TikTok's Algorithm, and Child Abuse Convictions - The Bulletin Young Graduates Face the Grimmest Job Market in Years - The New York Times War Projections, 2028 Hopefuls, AI Novels, and Men's College Attendance - The Bulletin ABOUT THE GUESTS: Luke Goodrich is vice president and senior counsel at Becket, where he represents religious organizations and individuals in religious liberty disputes in courts across the country, including in the Supreme Court. He is the award-winning author of Free to Believe: The Battle Over Religious Liberty in America. Luke has appeared on CNN, Fox News, ABC World News, PBS, and NPR, and has been published or quoted in major outlets like The Wall Street Journal, Washington Post, and The New York Times. Sho Baraka is Christianity Today's Big Tent editorial director. He is a recording artist, performer, culture curator, activist, and writer. He is a cofounder of Forth District and the And Campaign, and he has served as an adjunct professor at Wake Forest University School of Divinity. He was an original member of influential hip-hop consortium 116 Clique, recording with Reach Records. Daniel K. Williams teaches American history at Ashland University and is the author of several books on Christianity and politics in the United States, including The Politics of the Cross: A Christian Alternative to Partisanship and Defenders of the Unborn: The Pro-Life Movement before Roe v. Wade. His work has been published in The New York Times, The Washington Post, and The Atlantic. GO DEEPER WITH THE BULLETIN: Join the conversation at our Substack. Find us on YouTube. Rate and review the show in your podcast app of choice. ABOUT THE BULLETIN: The Bulletin is a twice-weekly politics and current events show from Christianity Today moderated by Clarissa Moll, with senior commentary from Russell Moore (Christianity Today's editor-at-large and columnist) and Mike Cosper (senior contributor). Each week, the show explores current events and breaking news and shares a Christian perspective on issues that are shaping our world. We also offer special one-on-one conversations with writers, artists, and thought leaders whose impact on the world brings important significance to a Christian worldview, like Bono, Sharon McMahon, Harrison Scott Key, Frank Bruni, and more. The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more. “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: Kevin Morris Graphic Design: Rick Szuecs Music: Dan Phelps Executive Producer: Erik Petrik Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

Dr. Jamie Justice is the Executive Director of XPRIZE Healthspan - a $101 million, 7-year global competition to extend human healthspan by developing therapies that restore muscle, cognitive, and immune function by 10 to 20 years in people over 50. She is also a leading geroscientist and Adjunct Professor at Wake Forest University School of Medicine.In this episode, Jamie breaks down the science of aging, the geroscience hypothesis, what 744 competing teams are building, and why the next few years could fundamentally change how we age.We discuss:- Jamie's journey from art scholarship and sports therapy to becoming a leading geroscientist- The legendary Tom Johnson vs. Lynn Hayflick debate: are aging genes real, or is it all entropy?- Why aging isn't like an oil tanker wearing out - the role of repair mechanisms and emergent complexity- Steve Austad's quote: "The number of theories is inversely proportional to our understanding of a thing"- The hallmarks and pillars of aging - the framework that gave the field testable targets- Geroscience: targeting aging itself rather than one disease at a time- Why we keep hitting a ~30% lifespan extension wall in mice- Rectangularizing the curve: healthspan equals lifespan- The Austad-Olshansky bet on a 150-year-old human - and why Jamie thinks that person is probably alive today- Longevity escape velocity: why Jamie doesn't touch that question- XPRIZE Healthspan: $101M, 744 teams, clinical trials in humans over 50- The competition structure: semifinalists, finalists in August 2026, winners in 2030- What's winning: metabolism/nutrient sensing and immune-targeting therapies lead- The surprise entries: reprogramming teams ready for human trials sooner than expected- Circadian-based teams, functional food approaches, and one team proposing to study nuns- The upcoming XPRIZE in ovarian health - why it matters for both sexes- How population-level shifts require more than individual breakthroughsGuest: Dr. Jamie Justice, Ph.D.Executive Director, XPRIZE Healthspan | EVP, Health Domain, XPRIZE FoundationAdjunct Professor, Wake Forest University School of MedicineXPRIZE Healthspan: xprize.org/competitions/healthspanMentioned in this episode:- Peter Diamandis - XPRIZE founder- Steve Austad - The "Dos Equis man of mContinue this conversation on SubStack: https://robertlufkinmd.substack.com Lies I Taught In Medical School : Free sample chapter- https://www.robertlufkinmd.com/lies/ Web: https://robertlufkinmd.com/X: https://x.com/robertlufkinmdYoutube: https://www.youtube.com/robertLufkinmd Instagram: https://www.instagram.com/robertlufkinmd/LinkedIn: https://www.linkedin.com/in/robertlufkinmd/TikTok: https://www.tiktok.com/@robertlufkinThreads: https://www.threads.net/@robertlufkinmdFacebook: https://www.facebook.com/robertlufkinmd Bluesky: https://bsky.app/profile/robertlufkinmd.bsky.socialMastodon: ...

If you have ever felt overwhelmed trying to help your child with eating, weight, or health—this conversation is for you.In this episode of Family in Focus, I'm joined by Joey Skelton, MD, MS, FAAP and Dara Garner-Edwards, MSW, LCSW, co-authors of Your Child Is Not Their Weight: Parenting in a Size-Obsessed World.Together, we explore how to support your child without shame, pressure, or food battles—and why focusing on weight often does more harm than good.Dr. Skelton and Dara bring nearly two decades of experience working with families through the Brenner FIT Program at Wake Forest University, where they focus on practical, family-centered care that creates lasting change.In this episode, we discuss:• Why weight-focused conversations can backfire• What children actually hear when we talk about food• The impact of pressure, restriction, and “fixing”• How to support your child's health without shame• Why connection—not control—creates real change• The power of family meals and reducing stressIf you've ever felt stuck or unsure how to help your child, this episode offers a new way forward.About Our GuestsJoey Skelton, MD, MS, FAAP – Pediatrician and professor at Wake Forest University School of Medicine, leading the Brenner FIT Program.Dara Garner-Edwards, MSW, LCSW – Family counselor specializing in helping families create sustainable change without shame or judgment.Along with Melissa Moses, MS, RDN, LDN (co-author and registered dietitian), they wrote:

If you have ever felt overwhelmed trying to help your child with eating, weight, or health—this conversation is for you.In this episode of Family in Focus, I'm joined by Joey Skelton, MD, MS, FAAP and Dara Garner-Edwards, MSW, LCSW, co-authors of Your Child Is Not Their Weight: Parenting in a Size-Obsessed World.Together, we explore how to support your child without shame, pressure, or food battles—and why focusing on weight often does more harm than good.Dr. Skelton and Dara bring nearly two decades of experience working with families through the Brenner FIT Program at Wake Forest University, where they focus on practical, family-centered care that creates lasting change.In this episode, we discuss:• Why weight-focused conversations can backfire• What children actually hear when we talk about food• The impact of pressure, restriction, and “fixing”• How to support your child's health without shame• Why connection—not control—creates real change• The power of family meals and reducing stressIf you've ever felt stuck or unsure how to help your child, this episode offers a new way forward.About Our GuestsJoey Skelton, MD, MS, FAAP – Pediatrician and professor at Wake Forest University School of Medicine, leading the Brenner FIT Program.Dara Garner-Edwards, MSW, LCSW – Family counselor specializing in helping families create sustainable change without shame or judgment.Along with Melissa Moses, MS, RDN, LDN (co-author and registered dietitian), they wrote:

Dr. Mary Rosser, obstetrician gynecologist and director of Fazzalari Women's Health at NewYork-Presbyterian The One and Columbia, joins us to explain how the endocrine system functions and how external chemicals can disrupt hormonal signals that influence metabolism, fertility, cancer risk, and long-term health. She details the most common sources of endocrine disruptors — including plastics, personal care items, cleaning products, and pesticides — and shares clear, manageable strategies for reducing everyday exposure. Dr. Rosser's guidance empowers listeners to make small, sustainable changes that can help protect hormonal well‑being.   Chapters: 00:00:00 — Understanding Hormones and Endocrine Disruptors 00:05:01 — Health Effects Linked to Endocrine Disruptors 00:09:55 — Everyday Sources and How to Reduce Exposure 00:17:28 — Can the Body Recover? Practical Steps and Final Takeaways   Key Topics Covered What hormones are and how the endocrine system works What endocrine disruptors are and how they interfere with hormone signaling How endocrine disruptors enter the body (skin, food, air) Health impacts: metabolism, fertility, cancer risk, and chronic conditions Common sources of disruptors (plastics, BPA, phthalates, cosmetics, cleaning products, pesticides, microplastics) Practical ways to reduce exposure in daily life How to monitor hormone health and when to talk to a doctor The body's ability to recover once exposure is reduced   Takeaway Message This episode empowers listeners to understand how everyday chemicals can interfere with the body's delicate hormonal system — and shows that small, practical changes in the products we use and the foods we choose can meaningfully reduce exposure.   Expert Guest Dr. Mary L. Rosser, M.D., Ph.D., NCMP is an obstetrician gynecologist and the director of Fazzalari Women's Health at NewYork-Presbyterian The One and Columbia. She is the Richard U. and Ellen J. Levine Assistant Professor of Women's Health (in Obstetrics and Gynecology) at Columbia University Vagelos College of Physicians & Surgeons. She joined the faculty of Obstetrics and Gynecology at Columbia University in April 2018 to provide routine gynecology care and to further develop a comprehensive well-woman program. She has been a practicing obstetrician gynecologist for more than 20 years, starting in private practice and then joining the faculty at Montefiore Medical Center in Bronx, NY. While at Montefiore, she created, launched, and led the forty-person Division of General Obstetrics and Gynecology. Dr. Rosser received her undergraduate degree at Emory University and a Ph.D. in Endocrinology at the Medical College of Georgia. She attended Wake Forest University School of Medicine and completed her residency at Emory University. She is also a NAMS Certified Menopause Practitioner, able to provide high-quality care for patients at menopause and beyond. Primary care and heart disease in women have always been areas of focus for Dr. Rosser. She conducted basic science research on heart disease during graduate school and was the Chair of the "Women & Heart Disease Physician Education Initiative" for District II of the American College of Obstetrics & Gynecology. She continues to conduct clinical studies around patient awareness and understanding of heart disease and well-woman care. Dr. Rosser serves on the Medical Leadership Team of the Go Red for Women movement of the American Heart Association and she is ACOG's liaison to the American College of Cardiology.  

In this episode of Visible Voices, host Dr. Resa E. Lewiss sits down with sleep medicine physician and circadian rhythm expert Dr. Katie Sharkey — inaugural director of the Center for Sleep and Circadian Rhythms at Wake Forest University School of Medicine — to break down the science of sleep health, insomnia treatment, and women's sleep across the lifespan. They cover why alcohol disrupts sleep quality and worsens sleep apnea, how circadian rhythms regulate mood and mental health, the truth about naps and melatonin, perimenopause and sleep disturbances, cognitive behavioral therapy for insomnia (CBT-I) and digital CBT-I apps, wearables like the Oura Ring and the risk of orthosomnia, the glymphatic system's role in brain detox during sleep, AI-powered sleep scoring, and the perinatal sleep crisis driving maternal morbidity. Dr. Sharkey closes with three actionable microskills: keeping a sleep diary, maximizing daytime light exposure, and practicing self-compassion around sleep variability. Wish to help the show? Click

Host: Yuval Zabar, MD Guest: Michelle Mielke, PhD Guest: Henrik Zetterberg, MD, PhD For the latest insights on tau and neurodegeneration biomarkers in Alzheimer's disease (AD), tune in to this recorded presentation featuring Doctor Michelle Mielke and Professor Henrik Zetterberg. Together, they delve into the role of tau in AD, exploring the ‘tau cascade', the current use of tau and neurodegeneration biomarkers in tracking disease progression, and how the AD biomarker landscape may evolve over time. Doctor Mielke is a Professor of Epidemiology and Neurology at the Wake Forest University School of Medicine, and Professor Zetterberg is a Professor of Neurochemistry at the University of Gothenburg. To learn more about tau in Alzheimer's disease, explore the Know Tau medical education platform. Know Tau is created and funded by Biogen and is intended for healthcare professionals only.

Dr. Sandra Hassink is joined by Dr. Joey Skelton, a professor of pediatrics, and of epidemiology and prevention, at Wake Forest University School of Medicine. Together they discuss Dr. Skelton's new book, Your Child is Not their Weight. Resources: • Your Child Is Not Their Weight: Parenting in a Size-Obsessed World (https://tinyurl.com/3b48sp26) • The Role of the Pediatrician in the Promotion of Healthy, Active Living (https://tinyurl.com/3byuuxdh) • Eating Disorder Webinar Series, 2024 & 2025 (Obesity Education Opportunities for Healthcare Professionals) (https://tinyurl.com/IHCWProfEducation) • Building a Foundation for Healthy Active Living, Module Series (https://tinyurl.com/y73veyrh)

Editor Choice:  Comparative outcomes of simple versus radical hysterectomy in patients with and without very low-risk early-stage cervical cancer: An exploratory analysis from the Gynecologic Cancer Intergroup/Canadian Cancer Trials Group CX.5/SHAPE trialHosted by: Gregg Nelson, MD, PhD, FRCSC University of Calgary, Calgary, Alberta CanadaFeaturing: Janice S. Kwon  MD, MPH, FRCSC, University of British Columbia, Vancouver, Canada and  R. Wendel Naumann, MD Atrium Health, Wake Forest University School of Medicine, Charlotte, NC 28203, USAhttps://www.gynecologiconcology-online.net/article/S0090-8258(26)00001-6/https://www.gynecologiconcology-online.net/article/S0090-8258(26)00789-4/Check out more content on the journal's homepage at https://www.gynecologiconcology-online.net

Scientific Sense ® by Gill Eapen: Prof. Stephen Kritchevsky is Professor in Geroscience at Wake Forest University School of Medicine. He co-directs the Sticht Center for Healthy Aging and Alzheimer's Prevention. He studies nutritional influences that affect trajectories of health and disability in older adults including vitamins, protein, energy balance, obesity and exercise. Please subscribe to this channel:https://www.youtube.com/c/ScientificSense?sub_confirmation=1

In this episode, I sat down with Thomas Gaffney to unpack what's really happening as blockchain and real-world asset tokenization quietly reshape real estate, finance, and ownership. We talked about how mortgages are moving on-chain, why transparency could prevent another 2008-style collapse, and how people may soon pay mortgages and car loans with crypto. We also explored Bitcoin as digital gold, fractional ownership of massive assets like apartment buildings, and why blockchain's biggest impact will mostly happen behind the scenes. This conversation completely reframed how I see the future of money, real estate, and risk. About Thomas Gaffney: Thomas Gaffney is the Chief Operating Officer of OFA Group, a public company focused on architectural design, AI-driven innovation, digital assets, and real-world asset tokenization. He's served in this role since March 2024 and brings over a decade of experience as a startup financing attorney, guiding technology companies from seed stage through IPO and strategic exits. Thomas's expertise spans venture capital financing, equity structuring, and navigating complex legal frameworks in tech and finance. He holds a bachelor's degree in political science from Penn State University and a Juris Doctor from Wake Forest University School of Law. Under his leadership, OFA is advancing blockchain infrastructure and real-world asset tokenization through platforms like Hearth Labs. Connect with Thomas Gaffney & OFA Group • LinkedIn: Thomas Gaffney / OFA Group• Website: ofacorp.com• Public Ticker: OFAL About Justin: After investing in real estate for over 18 years and almost 3000 deals done, Justin has created a business that generates 7 figures in active income through wholesaling and fix and flipping as well as accumulating millions of dollars of rental properties including 5 apartment buildings, 50+ single family homes, and 1 storage facility Justins longevity in real estate is due to his ability to look around the corners, adapt to changing markets, perfecting Raising private capital, and focusing on lead generation which allows him to not just wholesale and fix & flip, but also accumulate wealth through long term holds. His success in real estate led him to start The Entrepreneur DNA podcast and The Science Of Flipping podcast and education company, and REI LIVE where he's actively doing deals with members. He has coached and mentored thousands of aspiring and active investors over the last decade. Connect with Justin: Instagram: @thejustincolby YouTube: Justin Colby TikTok: @justincolbytsof LinkedIn: Justin Colby Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

Laughter may be one of the most powerful tools we have for navigating stress, burnout, and the weight of modern life. In this conversation, I had the pleasure of sitting down once again with Sir James Gray Robinson to explore why humor, self-awareness, and gratitude matter far more than most of us realize. James and I talk about how easily we lose the ability to laugh at ourselves, how that loss feeds stress and burnout, and why taking life too seriously often does more harm than good. Along the way, we reflect on comedy, culture, trauma, and the simple truth that being able to laugh can shift perspective faster than almost anything else. James also shares what he has learned from years of coaching high-stress professionals, especially lawyers, about how laughter resets the nervous system and opens the door to better problem solving. We talk about gratitude as a powerful antidote to fear and anger, the role artificial intelligence can play as a daily tool for perspective, and how self-reflection helps us separate reality from the stories our minds create. We even explore James's work with an ancient royal order dedicated to service and philanthropy. I believe you will find this conversation thoughtful, grounding, and surprisingly uplifting, because at its core, it reminds us that joy, humor, and connection are not luxuries. They are essential to living an unstoppable life. Highlights: 00:59 – Learn why losing the ability to laugh at yourself creates stress and emotional rigidity.04:26 – Understand the difference between witty humor and humor that harms rather than heals.11:03 – Discover how laughter resets the nervous system and interrupts burnout patterns.15:35 – Learn why gratitude is one of the strongest tools for overcoming fear and anger.16:16 – Hear how artificial intelligence can be used as a daily tool to shift perspective and invite joy.35:19 – Understand how burnout often begins with internal stories that distort reality and fuel stress. About the Guest: Sir James Gray Robinson, Esq. is an award winning third-generation trial attorney who specialized in family law and civil litigation for 27 years in his native North Carolina. Burned out, Sir James quit in 2004 and has spent the next 20 years doing extensive research and innovative training to help others facing burnout and personal crises to heal. He has taught wellness, transformation, and mindfulness internationally to thousands of private clients, businesses, and associations. As a licensed attorney, he is focused on helping lawyers, professionals, entrepreneurs, employers, and parents facing stress, anxiety, addiction, depression, exhaustion, and burnout. Sir James is a highly respected speaker, writer, TV personality, mentor, consultant, mastermind, and spiritual leader/healer who is committed to healing the planet. He possesses over 30 certifications and degrees in law, healing, and coaching, as well as hundreds of hours of post-certification training in the fields of neuroscience, neurobiology, and neuroplasticity, epigenetics, mind-body-spirit medicine, and brain/heart integration. Having experienced multiple near-death experiences has given him a deeper connection with divinity and spiritual energy. Sir James regularly trains professionals, high-level executives, and businesspeople to hack their brains to turn stress into success. He is regularly invited to speak at ABA and state bar events about mental and emotional health. His work is frequently published in legal and personal growth magazines, including the ABA Journal, Attorneys-at-Work Magazine, and the Family Law Journal. Sir James has authored 13 books on personal growth and healing, including three targeting stressed professionals as well as over 100 articles published in national magazines. He has produced several training videos for attorneys, executives, entrepreneurs and high-level professionals. Sir James has generously endowed numerous projects around the world to help children, indigenous natives, orphans and the sick, including clean water projects in the Manu Rain Forest, Orphanages, Schools and Medical Clinics/Ambulances in India, Buddhist monks in Nepal, and schools in Kenya, Ecuador, and Puerto Rico. In addition to his extensive contributions, Sir James produced and starred in three documentaries that will be released in 2024, focusing on healing, mental and emotional health. The first, "Beyond Physical Matter," is available on several streaming platforms, including Amazon Prime. The trailer can be found at www.BeyondPhysicalMatter.com. The second, “Beyond the Mastermind Secret”, is scheduled for release in the fall of 2024. The trailer can be found at https://BeyondMastermindSecrets.com/. The third, “Beyond Physical Life” is scheduled for release at the end of 2024. The trailer can be found at https://beyondphysicallife.com/. He has formed an entertainment media production company known as Beyond Entertainment Global, LLC, and is currently producing feature length films and other media. In recognition of his outstanding work and philanthropy, Sir James was recently knighted by the Royal Order of Constantine the Great and Saint Helen. In addition, Sir James won the prestigious International Impact Book Award for his new book “Thriving in the Legal Arena: The Ultimate Lawyer's Guide for Transforming Stress into Success”. Several of his other books have won international book awards as well. Sir James was recently awarded the President's Lifetime Achievement Award by President Joe Biden for his outstanding service to his community, country and the world. He will be awarded the prestigious International Humanitarian Award known as Men with Hearts, in London, England in the fall of 2024, as well as Man of the Year and Couple of the year with his wife, Linda Giangreco. Sir James has a wide variety of work/life experiences, including restauranteur, cattle rancher, horse trainer, substance abuse counselor, treatment center director, energy healer, bodyguard, legal counselor for several international spiritual organizations, golfer and marathon runner. He graduated from R.J. Reynolds High School in 1971, Davidson College in 1975 and Wake Forest University School of Law in 1978. Ways to connect with Sir James**:** FB - https://www.facebook.com/sirjamesgrayrobinson  IG - https://www.instagram.com/sirjamesgrayrobinson/  TikTok - https://www.tiktok.com/@sirjamesgrayrobinson?_t=8hOuSCTDAw4&_r=1 Youtube - https://www.youtube.com/@JamesGrayRobinson LinkedIn - https://www.linkedin.com/in/gray-robinson-/ 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 subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset . 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  01:17 Well, hi everyone, and welcome to another edition of unstoppable mindset. And we're doing something today we haven't done too often, but we've done it a few times. We are having a second conversation with James Gray Robinson, actually, sir, James Gray Robinson, and we're going to talk about that part of it today we did last time, but I'm going to start actually a little bit different way. You and I were just talking about humor. We were talking about Mel Brooks, because I, when you came into the to the room, I said, What in the wide, wide world of sports is it going on here, which is a very famous line from Blazing Saddles. And you pointed out that that movie probably couldn't be made today, and I agree. But why do you think that is Sir James Gray Robinson, Esq  02:10 I think that we've become so disenchanted with ourselves that everything's offensive now, I think back when we and when I grew up in the 50s and 60s, people had so many really, you know, life threatening things to think about, like atomic war and, you know, it just seems like people have shifted their consciousness away from having a good time to simply having to be right all the time. And so we've lost the ability to laugh at ourselves. I mean, one of my favorite lines is, if you think Talk is cheap, you've never talked to a lawyer. And the thing is, is that I'm a lawyer, and I find that incredibly funny, yeah, because if you can't laugh at yourself, then you really are going to struggle in life, because a lot of times, things don't work out the way that we anticipated or wanted them to. And there's a couple of different ways that we can react to that or respond to that. There's a I found that people are losing the ability to take responsibility for themselves and that they blame everything on everybody else. We're raising a nation of victims, and victims are not going to laugh at anything. So what we, I think, what we have to do is we have to start teaching our children how to have a sense of humor. If something doesn't happen the just the way we want it to, then laugh at it. It doesn't have to, you know, unless it's pain, you know, if it's physically abusive or something, then you know. But the thing is, we're trying to helicopter parent everything, and we all get so upset when somebody says something off the cuff or maybe without fully thinking through what they're saying. So it's, it's just unfortunate that there are many, many things in life I think could be avoided with just a good chuckle and go ahead. Well, I was just going to say, you know, like if somebody said to me, you're. Eyes on wrong I'd laugh because it would what difference does it make? But what my tile looks like? Yeah, and I would just laugh, and I would laugh at me, and I would laugh at them, because somebody thought that there was something wrong with that, yeah. Michael Hingson  05:21 Well, what about people like Don Rickles? You know, who, who was always known for insulting everyone and being an obnoxious character. What do you think about him? Sir James Gray Robinson, Esq  05:36 I you know the thing is, is that he was offensive, but he wasn't, what's the word? I would say he he wasn't profane, because he never cursed at anybody. You know, I've watched a couple of roasts. You know, they call them roast, right? They get a bunch of people together, and they make fun of somebody. And back in the day, when Don Rickles and Johnny Carson, Milton, burl, rich, little even, what couple of committee is, I can't think of, but they were extremely witty, and they were perhaps offensive, but they weren't necessarily insulting to the point where you It's not Funny. And I think we've got and we've gone to the point where we now are seeing these roasts. And I thought I saw Tom Brady's roast. Actually paid to watch it, and it was the most profane, you know, unfunny, hurtful, hour and a half I think I've ever watched, and it just I didn't smile once. I just was wincing the whole way through, wondering why people think that sort of nonsense is funny. Michael Hingson  07:19 Well, I asked about Don Rickles, because I saw an interview with him on the Donahue show, when Phil Donahue had his TV show, one of the things. And after he said this, I thought about it, and of course, never really was able to see in person, but I believed him. Don rickel said, Look, I never pick on someone if I think they're going to be offended. He said, If I see somebody in the audience and start picking on them and it looks like they're taking offense or they're getting angry about it, I won't pick on them anymore. And he said I might even go talk with them later, but he said I won't pick on them anymore. And I thought about that, he said, I will never there are lines I won't cross, which is some of what you just said. But he really was absolutely adamant about the fact that he didn't really want to insult people. He wanted people to have fun, so he always looked for people in the audience who would laugh at what he had to say and how he and how he abused them and so on. He said those are the people that he really liked to to interact with because they weren't taking offense, which I thought was a very intuitive and interesting concept on his part. And if you really want to talk about a comedian who was never profane no matter what he did or happened to him, later, think about Bill Cosby, Sir James Gray Robinson, Esq  08:49 yeah, and or Red Skelton, or Red Skelton, yeah, that was and always, he would always end up with God Bless. And the thing that amazes me about today's comedy is how much violence. There's a subtle undercurrent of violence under all of their humor. And it's, you know, they're kind of like laughing at somebody who is hurt or is not as intelligent as the comedian thinks he is. Or, you know, they're making fun of stuff just to be hurtful. And it's not, you know, they've lost the connection between being taken taking fun, making fun of somebody and being hurtful. And I just amazed when I see a lot of comedians today. I mean, there's lots of very witty, very intelligent, grand guffaw producing comedy out. There. And it's, there's some, they're very, very talented comedians out there, but then there are the other people that want to drag you through the Michael Hingson  10:07 mud, yeah? And it's all shock. It's all shock, yeah, Sir James Gray Robinson, Esq  10:12 and intentionally offend you to, I guess it's some kind of power play, but it's simple. You know, people, I think that people actually are so traumatized that they they think it's funny when somebody traumatizes somebody else. Michael Hingson  10:34 Well, I Oh, Sir James Gray Robinson, Esq  10:35 go on. No, go right ahead. Michael Hingson  10:38 I I never got to see Don Rickles live, although I would have loved to, and I would love to have paid the money to sit in the front row, hopefully, hoping that he would pick on me so I could jump up and say, Yeah, I saw you once on TV. I took one look at you and haven't been able to see since. What do you think about that? Sir James Gray Robinson, Esq  11:02 Never that would be appropriate, yeah? I mean, because he'd love it, you're making fun, yeah, you're making fun of him, and you're making fun of yourself. And that's what I call self depreciating humor. He where the jokes, yeah, the joke really is about you. It's not about him, yeah, and it's in it, so it's people probably wouldn't take offense to that. But when people sit there, you know, start poking fun at how people look or what they their educational level, or their, you know, cultural background is I, I just don't get that. I mean, it's and I grieve that we're turning into bullies. Well, you know, and it's, it's unfortunate you Michael Hingson  11:52 you've dealt a lot, especially over the last 20 years, with burnout and things like that. Do you think that what's happening in in society based on what you're talking about, with the lack of humor, without self deprecating environments and all that. Do you think that's because it's stressful, contributing to burnout? Sir James Gray Robinson, Esq  12:14 Yes, I think, well, we again, we take ourselves way too seriously. The one thing that I've noticed, especially with my clients, is when I can get them to laugh, they start to take a different perspective of their life. But when they think everything that they're what I call they're stuck in Warrior mode. There's, you know, we have a, don't know if we talked about this last time, but we have a nervous system that goes one or two ways. It either goes to fight or flight, called the sympathetic nervous system, where you know you're reacting to everything in a negative way, because it's a matter of survival, or we go to the parasympathetic nervous system, which is the fun part of our psyche, and we can enjoy ourselves, but everybody is so scared of something there that they the body cannot stand That level of stress for years. I mean, that's what burnout is, and it it tears your body apart until it actually turns off. And that's what happens when you burn out. We used to call it nervous breakdown, but, you know now it's burnout. But the point is, is you just wear yourself out because you don't have anything that will break the constant stream of stress, and one of the best ways that you can handle stress is to laugh. Laugh at yourself, laugh at something, a joke, laugh at whatever you find stressful, because it breaks that autonomic nervous system response. And if you can reset yourself every now and then that you know, one of the ways I teach people how to deal with stress is to research jokes. Go buy a good joke book, and you can go and find enough. You know, all you need is a couple of jokes to start the day, and you're going to be in a much better frame of mind going to work or dealing with whatever you have to deal with. If you've laughed at least once before you go to work, because that that engages your parasympathetic. I call it the guru. And you can deal with adversity. You can deal with problems. You can actually problem solve. You. And but when we're stressed out because we're afraid of what's going to happen, we're afraid of making mistakes, and we're afraid of what somebody's going to think of us, then we are just going to end up in a very bad place, mentally and emotionally and physically. So it's, you know, one of the things that you can do, as if you're having to deal with stress on a daily basis, is to just remember how to be grateful. I mean, I think that of all the emotions, gratitude is probably the most powerful one there is because it will overcome fear, it will overcome anger, it will overcome shame, it will overcome guilt, it will overcome envy, all the negative emotions cannot stand up to gratitude. And so if you can learn to be grateful, and especially grateful for the struggle, then you are going to be a happy camper, and you can probably learn to laugh, until you can be grateful though you're going to struggle. And that's we're not designed to do the struggling. We're designed to have fun. I mean, that's people always say, what are my purpose, you know? And why am I doing here? And I said, you only have two purposes in life. One is to breathe, and the other one is to laugh. Everything else is just a complication. So if you just remember that, if you can be grateful and laugh once in a while, you're going to be a lot better off than somebody that takes it too seriously, Michael Hingson  16:44 yeah, well, and you, you must see a lot of it, because I know you, you do a lot of coaching and working with especially lawyers, which is a very stressful situation, especially people who are truly dedicated to the Law and who look at it in the right way, there must be a lot of stress. How do you get them to relax? I like the idea of getting a joke book. I think that's that's cute, and I think that that makes a lot of sense. But in but in general, how do you get people to laugh and to do it as a habit. Sir James Gray Robinson, Esq  17:24 Well, I've been doing this for 20 years, so my answer 20 years ago is probably a little different than the answer I have now. Artificial Intelligence is my friend, because I can, I can do anything with artificial intelligence. And one of the best ways I, you know, I program my artificial intelligence to to respond, to react and to know who I am. I put, I put all of my books onto artificial intelligence. Every time I write an article, I put it in there. I'm always talking to it. I'm always saying, Well, this is the way I feel about this. This is the way I feel about that. This is what this is funny to me. This something happened to me today that is was really funny. And then I tell it what was funny. And I would program this thing. So the next, when I wake up in the morning, I can just ask it tell me something that'll make me laugh, and it always has something that will make me laugh. And so because it can, not only does it know what I fed into it, it knows everything that's on the internet, right? And so you can, you can get a, you know, something funny, something to start your day, make me glad to be alive, you know, tell me something that'll make me grateful. All those things. It'll, just in a millisecond, it'll be on your screen, yeah. And so it's, that's a tool we obviously didn't have even a year ago, but 20 years ago, it was a little bit more depth, a little bit more effort to find these things. But you could, you could do that. I mean, we did have the internet 20 years ago, and so we, we could go looking and go searching for funny stuff. But it's not as easy as is artificial intelligence, so you know. And if you I'll tell you one thing, it's been a real tool that has been very useful for me, because sometimes if I'm not sure what I should say, my old my old motto was, if you don't know what to say, shut up. But now I asked, I asked, and I'm not sure what, how I should respond to this. What do you suggest? And it'll come up with some. Give me five things that I could say. Michael Hingson  19:59 Does it do? Will tell you, does it ever tell you should just shut up? Just checking yes, yes. Sir James Gray Robinson, Esq  20:04 Okay, good, good for you. Don't say any. Don't say anything, you fool. But the point is, is that it's got, you know, every book that's ever been written about psychology in its database, so you can find things that would make you sound wise and profound. And I use it all the time to figure out what to say, or to how a better way to say something is Yeah, and that way I've managed to stay pretty much out of trouble by and, you know, it's like having a friend who you could ask, What should I say? And they would come back with a couple of answers that you know, then you can just decide yourself which one you should use, right? Michael Hingson  20:57 And you may, and you may, in addition, tweak it which which makes sense, because AI is, is a tool, and I, I am not sure that it is going to ever develop truly to the point where it, if you will, wakes up and and becomes its own true intelligence, Skynet Sir James Gray Robinson, Esq  21:24 on all the Terminator series, Michael Hingson  21:27 or or in Robert heinleins, the Moon is a Harsh Mistress. The computer woke up. It helped as a still my favorite science fiction book, and it was, if you've never read it, it's a story about the the moon in 2076 which had been colonized and was being run by the lunar authority back on Earth, it had no clue about anything. And so in 2076 the moon revolted, and the computer and the computer helped. So on July 4, 2076 it was a great movie or a great book. I'd love to see it dramatized. If somebody would do it the right way, I think it'd make a great radio series. But haven't done it yet. Sir James Gray Robinson, Esq  22:14 Well, Robert Highland is a genius. No doubt about that, Stranger in a Strange Land was big in my developmental years, yeah, and Michael Hingson  22:26 that was the book that came out right after the Moon is a Harsh Mistress. I still think the moon and harsh mistress is even a better book than Stranger in a Strange Land. But Stranger in a Strange Land really did catch on and and rightfully so. It was, it was very clever. Sir James Gray Robinson, Esq  22:42 Well, most people, I mean, you know, clean humor is a good place to start, yeah, because I think that all of the profanity that comedians rely on to shock people. And, you know, there are two ways that we have the laugh response one is, is that it shocks you in the sense that it makes you afraid, because it seems like a attack on you. It's a defensive mechanism that we have. It's not even if it's not funny, we will laugh, because that's our body's way of dealing with something that's really traumatic. The other way is when we something strikes us as funny because it's witty or clever, and that is more of a that's a less stressful response. And can we, we can laugh, and it's a more of a genuine response than one where we're basically traumatized, right? And I think that, and with everything else, is who? Who do you hang around? Who is your tribe? Who do you? Somebody was somebody said, some psychologist said, you know, show me 10 of your friends and I'll tell you exactly what your problem is, because the people you hang around will mirror what's going on in your interior landscape. And if you've got friends who are problematic, that means that there's some things on your psyche that you need to take a look at. And you know that, and it's especially people who have been traumatized early in life. Their coping mechanisms and their judgment is not so good, right? So they have to take a step back and look at well, are these people helping me? Are they hurting me? Because if you notice, a lot of traumatized people will surround themselves with traumatized people, and all they do is whip themselves in the lather. Are every day, and they get so melodramatic, and they get so upset about everything that's going on in life, they can't find any sense of humor or any sense of joy, yeah, and it's until they let go of those, those trauma responses they're they're pretty much in a hat, in a self repeating habit that is not going to be healthy. Michael Hingson  25:29 And I think you're absolutely right. It is very much about joy. And we, we should. We should find ways to be joyful and feel joy, and, of course, laugh and not take life so seriously. Unfortunately, there's so much going on today with people who clearly have no sense of humor, or at least they never exhibit it, that it tends to really be a problem. And unfortunately, I think we're all learning some really bad habits, or many of us are learning some very bad habits because of that. And I don't know what's going to break that cycle, but the cycle is going to have to break at some point. Sir James Gray Robinson, Esq  26:14 It will, unfortunately, a lot of times it takes a revolution, yeah, in order to replace old, unhealthy thought patterns with better thought patterns. You know, I'm reminded of the old saying that when an idiot tries to teach another idiot, you end up with two idiots. So you you have to be careful about who you're taking advice from, right? And so if, especially you know my my advice to anybody that's struggling and suffering is turn off your phone and turn off your TV, and if you know how to read, go read a book, because when you can get into a period of calm, quiet reflection, you're going to be able to make More sense out of what's going on in your life, and especially if you're reading a book that will explain to you the best way to deal with challenges, right? But just or just read a funny book, you know, something you know I find sarcasm and cleverness, extremely funny. So I love books like Forrest Gump, who who take extreme examples and turns them into funny scenarios, and they did a good Michael Hingson  28:01 job making that into a movie too. I thought, Sir James Gray Robinson, Esq  28:05 I mean, I tell you, I forget who the director was, but they were brilliant because they were able to spin a story that was honest. But it wasn't offensive, and you could laugh because of all of forests characteristics and everything else, but it was presented in the way that it wasn't, you know? It wasn't being mean, right? And it wasn't, being unkind, and so it was just a story of a man who ended up being a success, and it was more through Providence than anything else. You know, I love the Marx Brothers, oh, sure, because they always had a way of making fun of each other and making fun of other people and making fun of themselves that was truly humorous. And it was more sight gags. It was more, you know, one liners, and it wasn't by being mean to anybody. It was as about being very aware of what was going on. Michael Hingson  29:25 I'm trying to remember which movie it was. I think it was duck soup. Somebody fell into the water and she yelled, throw me a lifesaver. And so somebody threw her a lifesaver. That is a candy. Yeah, it's just so clever. It was clever. But, you know, one of the things that I enjoy is old radio shows, radios from the shows from the 30s, 40s and 50s, and the humor, again, was respectful of. Hmm, and they could pick on people to a degree, but it was never in a in a mean way, but just the humor was always so clever, and so I would, Sir James Gray Robinson, Esq  30:14 I would listen George and Gracie Allen, George, Jack Benny, Michael Hingson  30:19 Phil Harris, Sir James Gray Robinson, Esq  30:21 and you was his name, Jackie Gleason, Michael Hingson  30:29 Amos and Andy. And of course, people today have decided Amos and Andy are offensive because they say it's all about blacks, and you're insulting black people. If anybody would go back and look in history, the reality is that Amos and Andy probably was one of the most well, it was one of the most popular shows on radio to the point where, if you were in a movie theater on Saturday afternoon watching a movie, they would stop it when Amos and Andy came on and play the show, and it didn't matter what the color of your skin was. In fact, I asked an Amos and Andy expert one time, when did they stop referring to themselves as black or dark? And the reason I asked that is because the first time I was exposed to Amos and Andy was actually the Amos and Andy TV shows, and I didn't know they were black, and I learned later that they were taken off the air when people started becoming offended because there were two black people. But I asked this, this lady about Amos and Andy, and when did they stop referring to themselves as black? And she said, Well, probably about the last time that she was aware of where there was a reference to it was 1937 so for many, many years, if you decided that their voices were black people, then, then you did, but they didn't talk about black or white or anything else. And and so it was. It was a very interesting show. And one guy usually was trying to con the other one and the other, well, king fish would con Andy, who usually fell for it. But gee, how many shows with white people do we see the same thing. You know? The reality is that it was a very funny show by any standard. Sir James Gray Robinson, Esq  32:26 Well, Sanford and sons, Sanford, same thing. I mean, that humor was, it was cutting you know, anytime you get on a cutting edge type of program, you know, it's inevitable that somebody's going to take offense. But I always laughed out loud. I watched that show, and it wasn't because they were demeaning anybody. It was just watching people trying to get by and using their wits. And a lot of times it was, it was comical because it wasn't very clever, but it was just they were doing the best they could to make a living. They were doing the best they could to live in their society. And I always admired that. I mean, they never, and they were able to, I guess, touch on the aspect of racial inequality without burning the house down. And it was like always admired them. You know, Sanford and sons, the Jeffersons, all of those shows, how about all the family? If you want to talk all in the family too well they they were just, you could switch one script with the other because it was more about human beings being human than it was about what the color of your skin was, yeah. So, you know, I would invite anybody who is offended by something to really ask yourself, what is it that offends you? Because there's always something in your consciousness that you find offensive. You would never be offended by anything if you unless you found something within yourself that's offensive, whether because and it's called the psychological term is called projection. You're projecting on what you're perceiving, and it's called bias. We all have conclusions. We all have prejudice. We all have judgments. Our brain is built that way to keep us alive, and so we're always interpreting data and perceptions to see if there's any threat out there, and if, when we start taking words as threatening, then we've got a problem. Yep, and. But because things like comedy and humor shouldn't offend anybody, but because you believe in something that makes that offensive, that's why you're offended. And so it's really as useful to people to really think about what is it that I believe that makes that offensive? Because most of the time you will find that whatever it is that you believe may not be true, and it's just something that some kind of conclusion you've drawn because of your experiences, or what you've been taught or what you've witnessed that's given you a wrong idea about something. So I invite anybody who is mad or angry that they look and see what is that belief that is making you angry? Michael Hingson  35:59 Yeah, it gets back to self analysis. It gets back to looking at yourself, which is something that most of us haven't really learned a lot about how to do. How. How did you pick up all these, these kind of nuggets of wisdom and so on. Sir James Gray Robinson, Esq  36:19 Well, when I burn, when I had my nervous breakdown back in 2004 I quit practicing law for a while because I couldn't bear the thought of going into my office and fighting another day of the battles that trial lawyers always fight. Now I won't say that transactional lawyers don't have battles, but Trial Lawyers end up probably picking a few fights on their own that, you know, they didn't really need to go there, but they do because, you know, Trial Lawyers have a, You know, a talent for arguing they have it's exciting to most of them, and they love to fight. And so when? But eventually, if you don't know how to manage it, it will, yes, the key wear you down. Yeah. So I got out of the law business for a while, and instead, I decided I wanted to go find out. Number one, why did I burn out? And number two, how to heal it. And so I went and studied with a number of energy healers who were very, very conscious people. They were very, very aware. You might even say they were enlightened, but it was they were always teaching me and always telling me about whatever I'm experiencing on the outside is just a reflection of what's on the inside. And so it's not so much about somebody being right or somebody being wrong. It's just the world is a mirror to whatever is going on inside between our ears. Yeah, and it's not because it's we're seeing something that's not there, or we're not seeing something that is there. It's just simply, how do we process that information that comes in through our sense organs and goes into our amygdala, then the hippocampus and then to the rest of our brain to try to figure out and but it's well documented that the brain will see whatever the brain wants to See, and a lot of times it's not what the eyes see, because there are lots of experiments you can take with graphics and other things that are illusory. Because, you know, you can see these graphs or prints that look like a spiral that's going around and is moving, but it's actually circles. But the way our brain puts things together, it makes it move. And another way is sounds. If you don't know what a sound is? Your brain is going to make up a story about that sound. And it could be either That's the sound of a frog, or it could be the sound of a somebody getting attacked. It could be the sound of whatever your brain it has to put a label on it, because that's the way the brain has been wired over our couple of hundreds of 1000s of years of evolution. That's how we manage to stay alive, because we make up a story about stuff, and if we're accurate, we live. If we're not accurate, we don't. Yeah, so the a lot of people are very good at making up stories in their head about what they're seeing, hearing, tasting, smelling, whatever, because a lot of lot of smells will have psychological responses in our brain. So you know the smell of baby's milk or the smell of mown grass, or, you know smell of something rank, you always will have an instant story about what you just smell. And so when I would spend long periods of time thinking about these things, contemplating them, trying to figure out, well, what does that mean for me? I mean, how does that? How will it looking at this change my life? And basically, what I learned is is that the more objective you can be, the less you make up stories about stuff, the more successful you can be, and the more happy you'll be. Because, for example, there's a term called Mind reading, where people will be listening to somebody talking, and in the back of their mind, they're making up a story about what that person means, or they're making up a story about, well, where is this guy going with this? And it's, you know, it's, it's the opposite of listening, because when listening, you're focusing on the words you're hearing, yes, and then when it's your turn to talk, you can respond appropriately, but most people are thinking while they're hearing and it totally colors their experience, because if they think that this person doesn't like them, then they're going to interpret whatever is being said a certain way. If they think that person does like them, then they will interpret it a completely different way. So it's fascinating to me how people can get the wrong idea about things, because it just is a story that their mind made up to try to explain to them why they're experiencing what they're experiencing. Michael Hingson  42:25 That's why I like to really say that I've learned so much from dogs, because dogs don't do it that way. And as I tell people, dogs don't trust unconditionally. They love unconditionally, but they don't trust unconditionally, but dogs are open to trust, and they're looking for reasons to trust, and they also, by definition, tend to be more objective, and they react to how we react and how we behave and and I think there's so much to be learned by truly taking the time to observe a dog and how they interact with you and how you interact with them, and that's going to make a big difference in how they behave. Sir James Gray Robinson, Esq  43:11 Well, you could definitely see a difference in the dog's behavior if they've been traumatized. Michael Hingson  43:16 Oh, sure, that's a different story altogether. Sir James Gray Robinson, Esq  43:19 Yeah, I agree that dogs are extremely innocent. You know, they don't have an agenda. They just want to be loved, and they would, they want to love Michael Hingson  43:31 and they want to know the rules, and they then they're looking to us to tell them what we expect. And there are ways to communicate that too, yes. Sir James Gray Robinson, Esq  43:41 And you know you all have to is give as a great example of how we should treat each other. Is all you have to do is, you know, a dog will forgive you eventually. And if you're kind to a dog. A dog will just give his entire being to you. Yeah, and it because they don't have any Guile, they don't have any hidden agendas. They just want to be you know, they want to eat. They want to be warm. They want to have fun. They do want to have fun, and so if you treat them timely, you will have a friend for life. Michael Hingson  44:29 Yep, we adopted a dog. We cared for it for a while. It was a geriatric dog at Guide Dogs for the Blind who had apparently had never worked as a guide dog, and she had been mistreated and then sent back to Guide Dogs for the Blind. She was 12. The school was convinced she was totally deaf because she wouldn't react to anything. They dropped a Webster's Dictionary next to her, and she didn't react. But we took her and we started working with her, and. It took several months before she would even take a walk with Karen, and Karen in her, you know, in Karen's wheelchair, and this wonderful golden retriever walking next to her. But the more we worked with her, the more she came out of her shell. She wasn't deaf. I'm sure she was hard of hearing, but you could drop a dictionary and she'd react to it, and if you called her, she would come. But it is all about developing the relationship and showing that you care and they will react. And so she she lived with us for more than three years before she passed, but was a wonderful creature, and we were, we were blessed to have her. Sir James Gray Robinson, Esq  45:48 Well, go ahead. No, I was just going to comment that I've got three Pomeranians, and they run the place course. You know, it's there. It's amazing how a six pound dog can run your life, but Michael Hingson  46:03 you let them, but you still establish, but you still establish some rules and you know, but that's, that's, yeah, I have a cat who runs the place, but that's okay. Well, we have not talked about, and I do want to talk about it when I first started hearing from you, your emails were all signed, sir, James Gray Robinson, and I always was curious, and you eventually explained it to me. But why don't you tell us all about your title and and all of that? Sir James Gray Robinson, Esq  46:39 Well, since we last talked, I've had a promotion. Now I'm a baron, so it's Baron James Gray Robinson, Scottish, Baron of Cappadocia. But I belong to a royal order that's known as the Royal Order of Constantine, the great in st Helen, and it was established in 312, 312, 12. Ad, when Constantine, who was the emperor of the Eastern Roman Empire, conquered the Western Roman Empire, who it was brother who was the emperor of the Western Roman Empire, and they can then he consolidated the eastern and the western empires. And it was that way until 14 153 when they were defeated by the Solomon Turks. So for 1100 over 1100 years Well, let me back up. The most important battle in that war between the two brothers was the Battle of the Milvian Bridge, which was in Rome and Constantine awarded, rewarded 50 knights, 50 warriors, soldiers who fought on that campaign and carried the day against much superior forces. And he rewarded them by making them knights and giving them land in Turkey, in an area that's known as Cappadocia. And this, if you know anything about Turkey, there's an area which is honeycombed with caves that have been dug out over the millennia, and it's kind of like some body was doing some renovation work, and they broke through the floor, and they went into a cave system that would have been hand dug, and it goes down 17 layers, and it could house 30,000 people. But that was, that was Cappadocia and Constantine the Great charged these warriors with the with the duty to protect the Christian church, because that's because Constantine had converted to Christianity. His mother, Helen, was one of the driving forces in the early Christian church. She's the one that decided to build a cathedral on top of the the nativity, the manger, which is actually a grotto in Bethlehem, I've been there. I spent Christmas Eve there one year. And so the Christianity was just a fledgling religion, and he charged these nights and all successive nights, with the obligation to protect the Christians and to protect the churches. And so a lot of people credit the royal order with advancing the Christian religion. So it's been around since 312 and it's the oldest peerage and a peerage. Is a group of royalty that have knights. They have royalty like Dukes and nobles and that sort of thing. But if you look at other orders that we're aware of, the Knights of Balta didn't get established until about 1200 ad the Knights of the Templar nights, similar thing. They didn't get established till about 1000 years after we did. So it's a very, very ancient, very traditional order that focuses on helping abused women and traffic children. We have, you know, we have a lot of, you know, compassion for those people in the world, and so we are actively supporting those people all over the world. And then on the other side, we have the knights, and we have the women, equivalent of that are called dames, and then we have the nobles who are like barons and other ranks that go all the way up to a prince who is actually related To the King of Spain. So it's been a interesting history, but we can try, we can directly trace our lineage all the way back to 312 and what the you know, we have a couple of reasons for existing, one being the charitable, but also to honor people who have been successful and have accomplished a lot for other people and who care about their fellow man and women, so that we accept Anyone in eight different categories, everywhere from Arts to athletics to entrepreneurship to medicine to heroics. We have a number of veterans that were credible. Have incredible stories. We have a lot of A listers, movie stars, professional athletes, that sort of thing. Also philanthropy. I got in for philanthropy because I've given a lot of money over my life to help people all over the world, and that's one reason why I was awarded the Presidential Lifetime Achievement Award. But we're a group of people. We just today started a Royal Academy of Arts and Sciences because we want to help people all over the world learn things like finances and you arts and crafts and trades and so that people who are oppressed cultures that are in third world countries will be able to learn a good earn a good living, raise their status in life, and then learn how to go on and help other people. So that's very exciting. We've got a lot of things going on with the royal order that are we're growing very rapidly, where somebody said we're 1700 year old startup, but it's, you know, we've gone through some regime changes where people have died and there weren't any heirs, so they've had to go laterally to find somebody to take over. And that's where we are now. You know, interestingly enough, my sons will inherit my title, so it's a true royalty kind of thing, where it passes down by inheritance. But you know, we don't, you know we're, we're hundreds of people in our thing. It's like 300 people in our order right now. We'd like that to be 100,000 times that because we do good work and we foster principles of charity, silvery and honesty, so that we're trying to change the culture around us to where people don't take offense in everything that they're in a society that supports each other and that people can feel safe knowing that there's they have a brother or sister that will support them. Michael Hingson  54:57 Definitely fascinating. I was not familiar with it at all. All until you and I check, yes. Sir James Gray Robinson, Esq  55:03 Well, it's amazing that me. I guess you have to be somewhat of a history buff. Yeah, and there, and there are lots of service organizations like the Masons and the Shriners and every all the animal ones, the Moose Lodge, the beavers and all these people are doing, you know, charitable work. But not not. Many of them have a royal heritage that goes back to 312 right? So, and we do dress up like knights from time to time, and ladies, and we have swords and we have robes, and we have big parties, and we have gala events, and where we induct more people into our order, and it's all great fun, and it's, you know, and we raise money for charity. So it's a win, win situation. Cool, and it doesn't hurt having Baron on your resume. Michael Hingson  56:08 No, I am sure it doesn't well. I want to thank you for explaining that, and I want to thank you for being here again. This has been a lot of fun, and I'm glad that we had a chance to really talk about humor, which, which is more important, I think, than a lot of people realize. And again, if people want to reach out to you, how do they do that? Sir James Gray Robinson, Esq  56:31 My website is James Gray robinson.com Michael Hingson  56:36 There you go. Easy to spell, easy to get to. So I hope people will do that. And again, I hope that you all enjoyed today, and that you will let me know that you enjoyed it. Please feel free to email me at Michael h i at accessibe, A, C, C, E, S, S, i, b, e.com, please give us a five star rating. Go off and read history and learn about the royal order. I think that's probably relevant and important to do as well. And again, if anyone knows anyone who ought to be a guest on the podcast, please let us know. Introduce us. Give us a rating of five stars wherever you're listening. And again, James, I just want to thank you for being here. Excuse me, sir. James. Barron, James, really appreciate you being here, and we'll have to do it again. Sir James Gray Robinson, Esq  57:24 Well, Michael, my hat's off to you. I think you're doing amazing work. I think you're helping a lot of people. You have a great podcast I've gone on your website or your YouTube, and it's a lot of fun. And I think you're doing a great service for people. Michael Hingson  57:45 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.

This week, President Trump hosts the Saudi crown prince Mohammed bin Salman for a formal White House visit, despite the prince's responsibility for numerous human rights abuses. National security expert Elizabeth Neumann joins Mike Cosper and Clarissa Moll to discuss how to interpret this visit. Then, New York Times columnist David French stops by to talk about shifts in the Republican party as the U.S. emerges from the government shutdown. Finally, CT's Sho Baraka joins us to talk about the TikTok trend of the performative male, and how one man in Detroit is using jujitsu to teach boys and men to control their strength and be emotionally open.  REFERENCED IN THIS EPISODE: -Mastering Masculinity with Jason Wilson by Sho Baraka   GO DEEPER WITH THE BULLETIN:  -Join the conversation at our Substack.  -Find us on YouTube.  -Rate and review the show in your podcast app of choice.  ABOUT THE GUESTS:   David French is a columnist for The New York Times. He's a former senior editor of The Dispatch and author of Divided We Fall: America's Secession Threat and How to Restore Our Nation. Elizabeth Neumann is a national security expert who has served across three presidential administrations: on the inaugural staff of the White House Homeland Security Council under President George W. Bush, as an advisor to the office of the director of national intelligence during the Obama Administration, and as the Department of Homeland Security's deputy chief of staff and assistant secretary for counterterrorism and threat prevention in the Trump administration. Neumann is also a national security contributor for ABC News. Sho Baraka is a recording artist, performer, culture curator, activist, and writer. Baraka is an alumnus of Tuskegee University and the University of North Texas. He is a cofounder of Forth District and the And Campaign, and he has served as an adjunct professor at Wake Forest University School of Divinity. He was an original member of influential hip-hop consortium 116 Clique, recording with Reach Records. In 2024, Baraka became the Big Tent editorial director for Christianity Today. Learn more about your ad choices. Visit podcastchoices.com/adchoices

Co-hosts Ryan Piansky, a graduate student and patient advocate living with eosinophilic esophagitis (EoE) and eosinophilic asthma, and Holly Knotowicz, a speech-language pathologist living with EoE who serves on APFED's Health Sciences Advisory Council, interview Evan S. Dellon, MD, and Elizabeth T. Jensen, PhD, about a paper they published on predictors of patients receiving no medication for treatment of eosinophilic esophagitis. Disclaimer: The information provided in this podcast is designed to support, not replace, the relationship between listeners and their healthcare providers. Opinions, information, and recommendations shared in this podcast are not a substitute for medical advice. Decisions related to medical care should be made with your healthcare provider. Opinions and views of guests and co-hosts are their own.   Key Takeaways: [:52] Co-host Ryan Piansky introduces the episode, brought to you thanks to the support of Education Partners GSK, Sanofi, Regeneron, and Takeda. Ryan introduces co-host Holly Knotowicz.   [1:14] Holly introduces today's topic, predictors of not using medication for EoE, and today's guests, Dr. Evan Dellon and Dr. Elizabeth Jensen.   [1:29] Dr. Dellon is an Adjunct Professor of Epidemiology at the University of North Carolina School of Medicine in Chapel Hill. He is also the Director of the UNC Center for Esophageal Diseases and Swallowing.   [1:42] Dr. Dellon's main research interest is in the epidemiology, pathogenesis, diagnosis, treatment, and outcomes of eosinophilic esophagitis (EoE) and eosinophilic GI diseases (EGIDs).   [1:55] Dr. Jensen is a Professor of Epidemiology with a specific expertise in reproductive, perinatal, and pediatric epidemiology. She has appointments at both Wake Forest University School of Medicine and the University of North Carolina at Chapel Hill.   [2:07] Her research primarily focuses on etiologic factors in the development of pediatric immune-mediated chronic diseases, including understanding factors contributing to disparities in health outcomes.   [2:19] Both Dr. Dellon and Dr. Jensen also serve on the Steering Committee for EGID Partners Registry.   [2:24] Ryan thanks Dr. Dellon and Dr. Jensen for joining the podcast today.   [2:29] Dr. Dellon was the first guest on this podcast. It is wonderful to have him back for the 50th episode! Dr. Dellon is one of Ryan's GI specialists. Ryan recently went to North Carolina to get a scope with him.   [3:03] Dr. Dellon is an adult gastroenterologist at the University of North Carolina at Chapel Hill. He directs the Center for Esophageal Diseases and Swallowing. Clinically and research-wise, he is focused on EoE and other eosinophilic GI diseases.   [3:19] His research interests span the entire field, from epidemiology, diagnosis, biomarkers, risk factors, outcomes, and a lot of work, more recently, on treatments.   [3:33] Dr. Jensen has been on the podcast before, on Episode 27. Holly invites Dr. Jensen to tell the listeners more about herself and her work with eosinophilic diseases.   [3:46] Dr. Jensen has been working on eosinophilic gastrointestinal diseases for about 15 years. She started some of the early work around understanding possible risk factors for the development of disease.   [4:04] She has gone on to support lots of other research projects, including some with Dr. Dellon, where they're looking at gene-environment interactions in relation to developing EoE.   [4:15] She is also looking at reproductive factors as they relate to EoE, disparities in diagnosis, and more. It's been an exciting research trajectory, starting with what we knew very little about and building to an increasing understanding of why EoE develops.   [5:00] Dr. Dellon explains that EoE stands for eosinophilic esophagitis, a chronic allergic condition of the esophagus.   [5:08] You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have EoE, it is a long-term condition.   [5:24] Eosinophils are a type of white blood cell, specializing in allergy responses. Normally, they are not in the esophagus. When we see them there, we worry about an allergic process. When that happens, that's EoE.   [5:40] Over time, the inflammation seen in EoE and other allergic cell activity causes swelling and irritation in the esophagus. Early on, this often leads to a range of upper GI symptoms — including poor growth or failure to thrive in young children, abdominal pain, nausea, and symptoms that can mimic reflux.   [5:58] In older kids, symptoms are more about trouble swallowing. That's because the swelling that happens initially, over time, may turn into scar tissue. So the esophagus can narrow and cause swallowing symptoms like food impaction.   [6:16] Ryan speaks of living with EoE for decades and trying the full range of treatment options: food elimination, PPIs, steroids, and, more recently, biologics.   [6:36] Dr. Dellon says Ryan's history is a good overview of how EoE is treated. There are two general approaches to treating the underlying condition: using medicines and/or eliminating foods that we think may trigger EoE from the diet.   [6:57] For a lot of people, EoE is a food-triggered allergic condition.   [7:01] The other thing that has to happen in parallel is surveying for scar tissue in the esophagus. If that's present and people have trouble swallowing, sometimes stretching the esophagus is needed through esophageal dilation.   [7:14] There are three categories of medicines used for treatment. Proton pump inhibitors are reflux meds, but they also have an anti-allergy effect in the esophagus.   [7:29] Topical steroids are used to coat the esophagus and produce an anti-inflammatory effect. The FDA has approved a budesonide oral suspension for that.   [7:39] Biologics, which are generally systemic medications, often injectable, can target different allergic factors. Dupilumab is approved now, and there are other biologics that are being researched as potential treatments.   [7:51] Even though EoE is considered an allergic condition, we don't have a test to tell people what they are allergic to. If it's a food allergy, we do an empiric elimination diet because allergy tests aren't accurate enough to tell us what the EoE triggers are.   [8:10] People will eliminate foods that we know are the most common triggers, like milk protein, dairy, wheat, egg, soy, and other top allergens. You can create a diet like that and then have a response to the diet elimination.   [8:31] Dr. Jensen and Dr. Dellon recently published an abstract in the American Journal of Gastroenterology about people with EoE who are not taking any medicine for it. Dr. Jensen calls it a real-world data study, leveraging electronic health record patient data.   [8:51] It gives you an impression of what is actually happening, in terms of treatments for patients, as opposed to a randomized control trial, which is a fairly selected patient population. This is everybody who has been diagnosed, and then what happens with them.   [9:10] Because of that, it gives you a wide spectrum of patients. Some patients are going to be relatively asymptomatic. It may be that we arrived at their diagnosis while working them up for other potential diagnoses.   [9:28] Other patients are going to have rather significant impacts from the disease. We wanted to get an idea of what is actually happening out there with the full breadth of the patient population that is getting diagnosed with EoE.   [9:45] Dr. Jensen was not surprised to learn that there are patients who had no pharmacologic treatment.   [9:58] Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are early in their disease process and still exploring dietary treatment options.   [10:28] Holly sees patients from infancy to geriatrics, and if they're not having symptoms, they wonder why bother treating it.   [10:42] Dr. Jensen says it's a point of debate on the implications of somebody who has the disease and goes untreated. What does that look like long-term? Are they going to develop more of that fibrostenotic pattern in their esophagus without treatment?   [11:07] This is a question we're still trying to answer. There is some suggestion that for some patients who don't manage their disease, we very well may be looking at a food impaction in the future.   [11:19] Dr. Dellon says we know overall for the population of EoE patients, but it's hard to know for a specific patient. We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range.   [11:39] Some people get symptoms and get diagnosed right away. Others might have symptoms for 20 or 30 years that they ignore, or don't have access to healthcare, or the diagnosis is missed.   [11:51] What we see consistently is that people who may be diagnosed within a year or two may only have a 10 or 20% chance of having that stricture and scar tissue in the esophagus, whereas people who go 20 years, it might be 80% or more.   [12:06] It's not everybody who has EoE who might end up with that scar tissue, but certainly, it's suggested that it's a large majority.   [12:16] That's before diagnosis. We have data that shows that after diagnosis, if people go a long time without treatment or without being seen in care, they also have an increasing rate of developing strictures.    [12:29] In general, the idea is yes, you should treat EoE, because on average, people are going to develop scar tissue and more symptoms. For the patient in front of you with EoE but no symptoms, what are the chances it's going to get worse? You don't know.   [13:04] There are two caveats with that. The first is what we mean by symptoms. Kids may have vomiting and growth problems. Adults can eat carefully, avoiding foods that hang up in the esophagus, like breads and overcooked meats, sticky rice, and other foods.   [13:24] Adults can eat slowly, drink a lot of liquid, and not perceive they have symptoms. When someone tells Dr. Dellon they don't have symptoms, he will quiz them about that. He'll even ask about swallowing pills.    [13:40] Often, you can pick up symptoms that maybe the person didn't even realize they were having. In that case, that can give you some impetus to treat.   [13:48] If there really are no symptoms, Dr. Dellon thinks we're at a point where we don't really know what to do.   [13:54] Dr. Dellon just saw a patient who had a lot of eosinophils in their small bowel with absolutely no GI symptoms. He said, "I can't diagnose you with eosinophilic enteritis, but you may develop symptoms." People like that, he will monitor in the clinic.   [14:14] Dr. Dellon will discuss it with them each time they come back for a clinic visit.   [14:19] Holly is a speech pathologist, but also sees people for feeding and swallowing. The local gastroenterologist refers patients who choose not to treat their EoE to her. Holly teaches them things they should be looking out for.   [14:39] If your pills get stuck or if you're downing 18 ounces during a mealtime, maybe it's time to treat it. People don't see these coping mechanisms they use that are impacting their quality of life. They've normalized it.   [15:30] Dr. Dellon says, of these people who aren't treated, there's probably a subset who appropriately are being observed and don't have a medicine treatment or are on a diet elimination.   [15:43] There's also probably a subset who are inappropriately not on treatment. It especially can happen with students who were under good control with their pediatric provider, but moved away to college and didn't transfer to adult care.   [16:08] They ultimately come back with a lot of symptoms that have progressed over six to eight years.   [16:18] Ryan meets newly diagnosed adult patients at APFED's conferences, who say they have no symptoms, but chicken gets caught in their throat. They got diagnosed when they went to the ER with a food impaction.   [16:38] Ryan says you have to wonder at what point that starts to get reflected in patient charts. Are those cases documented where someone is untreated and now has EoE?   [16:49] Ryan asks in the study, "What is the target EGID Cohort and why was it selected to study EoE? What sort of patients were captured as part of that data set?"   [16:58] Dr. Jensen said they identified patients with the ICD-10 code for a diagnosis of EoE. Then they looked to see if there was evidence of symptoms or complications in relation to EoE. This was hard; some of these are relatively non-specific symptoms.   [17:23] These patients may have been seeking care and may have been experiencing some symptoms that may or may not have made it into the chart. That's one of the challenges with real-world data analyses.   [17:38] Dr. Jensen says they are using data that was collected for documenting clinical care and for billing for clinical care, not for research, so it comes with some caveats when doing research with this data.   [18:08] Research using electronic health records gives a real-world perspective on patients who are seeking care or have a diagnosis of EoE, as opposed to a study trying to enroll a patient population that potentially isn't representative of the breadth of individuals living with EoE.   [18:39] Dr. Dellon says another advantage of real-world data is the number of patients. The largest randomized controlled trials in EoE might have 400 patients, and they are incredibly expensive to do.   [18:52] A study of electronic health records (EHR) is reporting on the analysis of just under 1,000. The cohort, combined from three different centers, has more than 1,400 people, a more representative, larger population.    [19:16] Dr. Dellon says when you read the results, understand the limitations and strengths of a study of health records, to help contextualize the information.   [19:41] Dr. Dellon says it's always easier to recognize the typical presentations. Materials about EoE and studies he has done that led to medicine approvals have focused on trouble swallowing. That can be relatively easily measured.   [20:01] Patients often come to receive care with a food impaction, which can be impactful on life, and somewhat public, if in a restaurant or at work. Typical symptoms are also the ones that get you diagnosed and may be easier to treat.   [20:26] Dr. Dellon wonders if maybe people don't treat some of the atypical symptoms because it's not appreciated that they can be related to EoE.   [20:42] Holly was diagnosed as an adult. Ryan was diagnosed as a toddler. Holly asks what are some of the challenges people face in getting an EoE diagnosis.   [20:56] Dr. Jensen says symptoms can sometimes be fairly non-specific. There's some ongoing work by the CEGIR Consortium trying to understand what happens when patients come into the emergency department with a food bolus impaction.   [21:28] Dr. Jensen explains that we see there's quite a bit of variation in how that gets managed, and if they get a biopsy. You have to have a biopsy of the esophagus to get a diagnosis of EoE.   [21:45] If you think about the steps that need to happen to get a diagnosis of EoE, that can present barriers for some groups to ultimately get that diagnosis.   [21:56] There's also been some literature around a potential assumption about which patients are more likely to be at risk. Some of that is still ongoing. We know that EoE occurs more commonly in males in roughly a two-to-one ratio. Not exclusively in males, obviously, but a little more often in males.   [22:20] We don't know anything about other groups of patients that may be at higher risk. That's ongoing work that we're still trying to understand. That in itself can also be a barrier when there are assumptions about who is or isn't likely to have EoE.   [23:02] Dr. Dellon says that in adolescents and adults, the typical symptoms are trouble swallowing and food sticking, which have many causes besides EoE, some of which are more common.   [23:18] In that population, heartburn is common. Patients may report terrible reflux that, on questioning, sounds more like trouble swallowing than GERD. Sometimes, with EoE, you may have reflux that doesn't improve. Is it EoE, reflux, or both?   [24:05] Some people will have chest discomfort. There are some reports of worsening symptoms with exercise, which brings up cardiac questions that have to be ruled out first.   [24:19] Dr. Dellon mentions some more atypical symptoms. An adult having pain in the upper abdomen could have EoE. In children, the symptoms could be anything in the GI tract. Some women might have atypical symptoms with less trouble swallowing.   [24:58] Some racial minorities may have those kinds of symptoms, as well. If you're not thinking of the condition, it's hard to make the diagnosis.   [25:08] Dr. Jensen notes that there are different cultural norms around expressing symptoms and dietary patterns, which may make it difficult to parse out a diagnosis.   [25:27] Ryan cites a past episode where access to a GI specialist played a role in diagnosing patients with EoE. Do white males have more EoE, or are their concerns just listened to more seriously?   [25:57] Ryan's parents were told when he was two that he was throwing up for attention. He believes that these days, he'd have a much easier time convincing a doctor to listen to him. From speaking to physicians, Ryan believes access is a wide issue in the field.   [26:23] Dr. Dellon tells of working with researchers at Mayo in Arizona and the Children's Hospital of Phoenix. They have a large population of Hispanic children with EoE, much larger than has been reported elsewhere. They're working on characterizing that.   [26:49] Dr. Dellon describes an experience with a visiting trainee from Mexico City, where there was not a lot of EoE reported. The trainee went back and looked at the biopsies there, and it turned out they were not performing biopsies on patients with dysphagia in Mexico City.   [27:13] When he looked at the patients who ended up getting biopsies, they found EoE in 10% of patients. That's similar to what's reported out of centers in the developed world. As people are thinking about it more, we will see more detection of it.   [27:30] Dr. Dellon believes those kinds of papers will be out in the next couple of months, to a year.   [27:36] Holly has had licensure in Arizona for about 11 years. She has had nine referrals recently of children with EoE from Arizona. Normally, it's been one or two that she met at a conference.   [28:00] Ryan asks about the research on patients not having their EoE treated pharmacologically. Some treat it with food avoidance and dietary therapy. Ryan notes that he can't have applesauce, as it is a trigger for his EoE.   [28:54] Dr. Jensen says that's one of the challenges in using the EHR data. That kind of information is only available to the researchers through free text. That's a limitation of the study, assessing the use of dietary elimination approaches.   [29:11] Holly says some of her patients have things listed as allergies that are food sensitivities. Ryan says it's helpful for the patients to have their food sensitivities listed along with their food allergies, but it makes records more difficult to parse for research.   [30:14] Dr. Dellon says they identify EoE by billing code, but the codes are not always used accurately. Natural Language Processing can train a computer system to find important phrases. Their collaborators working on the real-world data are using it.   [30:59] Dr. Dellon hopes that this will be a future direction for this research to find anything in the text related to diet elimination.   [31:32] Dr. Jensen says that older patients were less likely to seek medication therapy. She says it's probably for a couple of reasons. First, older patients may have been living with the disease for a long time and have had compensatory mechanisms in place.   [32:03] The other reason may be senescence or burnout of the disease, long-term. Patients may be less symptomatic as they get older. That's a question that remains to be answered for EoE. It has been seen in some other disease processes.   [32:32] Dr. Dellon says there's not much data specifically looking at EoE in the older population. Dr. Dellon did work years ago with another doctor, and they found that older patients had a better response to some treatments, particularly topical steroids.   [32:54] It wasn't clear whether it was a milder aspect of the disease, easier to treat, or because they were older and more responsible, taking their medicines as prescribed, and having a better response rate. It's the flip side of work in the pediatric population.   [33:16] There is an increasingly aging population with EoE. Young EoE patients will someday be over 65. Dr. Dellon hopes there will be a cure by that point, but it's an expanding population now.   [33:38] Dr. Jensen says only a few sites are contributing data, so they hope to add additional sites to the study. For some of the less common outcomes, they need a pretty large patient sample to ask some of those kinds of questions.   [33:55] They will continue to follow up on some of the work that this abstract touched on and try to understand some of these issues more deeply.   [34:06] Dr. Dellon mentions other work within the cohort. Using Natural Language Processing, they are looking at characterizing endoscopy information and reporting it without a manual review of reports and codes. You can't get that from billing data.   [34:29] Similarly, they are trying to classify patient severity by the Index of Severity with EoE, and layer that on looking at treatments and outcomes based on disease severity. Those are a couple of other directions where this cohort is going.   [34:43] Holly mentions that this is one of many research projects Dr. Jensen and Dr. Dellon have collaborated on together. They also collaborate through EGID Partners. Holly asks them to share a little bit about that.   [34:53] Dr. Jensen says EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join.   [35:07] EGID Partners also needs people who don't live with an EGID to join, as controls. That gives the ability to compare those who are experiencing an EGID relative to those who aren't.   [35:22] When you join EGID Partners, they provide you with a set of questionnaires to complete. Periodically, they push out a few more questionnaires.   [35:33] EGID Partners has provided some really great information about patient experience and answered questions that patients want to know about, like joint pain and symptoms outside the GI tract.   [36:04] To date, there are close to 900 participants in the registry from all over the world. As it continues to grow, it will give the ability to look at the patient experience in different geographical areas.   [36:26] Dr. Dellon says we try to have it be interactive, because it is a collaboration with patients. The Steering Committee works with APFED and other patient advocacy groups from around the world.    [36:41] The EGID Partners website shows general patient locations anonymously. It shows the breakdown of adults with the condition and caregivers of children with the condition, the symptom distribution, and the treatment distribution.   [37:03] As papers get published and abstracts are presented, EGID Partners puts them on the website. Once someone joins, they can suggest a research idea. Many of the studies they have done have come from patient suggestions.   [37:20] If there's an interesting idea for a survey, EGID Partners can push out a survey to everybody in the group and answer questions relatively quickly.   [37:57] Dr. Dellon says a paper came out recently about telehealth. EoE care, in particular, is a good model for telehealth because it can expand access for patients who don't have providers in their area.   [38:22] EoE is a condition where care involves a lot of discussion but not a lot of need for physical exams and direct contact, so telehealth can make things very efficient.    [38:52] EGID Partners surveyed patients about telehealth. They thought it was efficient and saved time, and they had the same kind of interactions as in person. In general, in-state insurance covered it. Patients were happy to do those kinds of visits again.   [39:27] Holly says Dr. Furuta, herself, and others were published in the Gastroenterology journal in 2019 about starting to do telehealth because patients coming to the Children's Hospital of Colorado from out of state had no local access to feeding therapy.   [39:50] Holly went to the board, and they allowed her to get licensure in different states. She started with some of the most impacted patients in Texas and Florida in 2011 and 2012. They collected data. They published in 2019 about telehealth's positive impact.   [40:13] When 2020 rolled around, Holly had trained a bunch of people on how to do feeding therapy via telehealth. You have to do all kinds of things, like make yourself disappear, to keep the kids engaged and in their chairs!   [40:25] Now it is Holly's primary practice. She has licenses in nine states. She sees people all over the country. With her diagnosis, her physicians at Mass General have telehealth licensure in Maine. She gets to do telehealth with them instead of driving two hours.   [40:53] Dr. Jensen tells of two of the things they hope to do at EGID Partners. One is trying to understand more about reproductive health for patients with an EGID diagnosis. Only a few studies have looked at this question, and with very small samples.   [41:15] As more people register for EGID Partners, Dr. Jensen is hoping to be able to ask some questions related to reproductive health outcomes.   [41:27] The second goal is a survey suggested by the Student Advisory Committee, asking questions related to the burden of disease specific to the teen population.   [41:48] This diagnosis can hit that population particularly hard, at a time when they are trying to build and sustain friendships and are transitioning to adult care and moving away from home. This patient population has a unique perspective we wanted to hear.   [42:11] Dr. Jensen and Dr. Dellon work on all kinds of other projects, too.   [42:22] Dr. Dellon says they have done a lot of work on the early-life factors that may predispose to EoE. They are working on a large epidemiologic study to get some insight into early-life factors, including factors that can be measured in baby teeth.   [42:42] That's outside of EGID Partners. It's been ongoing, and they're getting close, maybe over the next couple of years, to having some results.   [43:03] Ryan says all of those projects sound so interesting. We need to have you guys back to dive into those results when you have something finalized.   [43:15] For our listeners who want to learn more about eosinophilic disorders, we encourage you to visit apfed.org and check out the links in the show notes below.   [43:22] If you're looking to find specialists who treat eosinophilic disorders, we encourage you to use APFED's Specialist Finder at apfed.org/specialist.   [43:31] If you'd like to connect with others impacted by eosinophilic diseases, please join APFED's online community on the Inspire Network at apfed.org/connections.   [43:41] Ryan thanks Dr. Dellon and Dr. Jensen for joining us today. This was a fantastic conversation. Holly also thanks APFED's Education Partners GSK, Sanofi, Regeneron, and Takeda for supporting this episode.   Mentioned in This Episode: Evan S. Dellon, MD, MPH, Academic Gastroenterologist, University of North Carolina School of Medicine   Elizabeth T. Jensen, MPH, PhD, Epidemiologist, Wake Forest University School of Medicine, University of North Carolina at Chapel Hill   Predictors of Patients Receiving No Medication for Treatment of Eosinophilic Esophagitis in the United States: Data from the TARGET-EGIDS Cohort   Episode 15: Access to Specialty Care for Eosinophilic Esophagitis (EoE)   APFED on YouTube, Twitter, Facebook, Pinterest, Instagram Real Talk: Eosinophilic Diseases Podcast apfed.org/specialist apfed.org/connections apfed.org/research/clinical-trials   Education Partners: This episode of APFED's podcast is brought to you thanks to the support of GSK, Sanofi, Regeneron, and Takeda.   Tweetables:   "I've been working on eosinophilic gastrointestinal diseases for about 15 years. I started some of the early work around understanding possible risk factors for the development of disease. I've gone on to support lots of other research projects." — Elizabeth T. Jensen, MPH, PhD   "You can think of EoE as asthma of the esophagus or eczema of the esophagus, although in general, people don't grow out of EoE, like they might grow out of eczema or asthma. When people have it, it really is a long-term condition." — Evan S. Dellon, MD, MPH   "There are two general approaches to treating the underlying condition, … using medicines and/or eliminating foods from the diet that we think may trigger EoE. I should say, for a lot of people, EoE is a food-triggered allergic condition." — Evan S. Dellon, MD, MPH   "I didn't find it that surprising [that there are patients who had no treatment]. Some patients are relatively asymptomatic, and others are not interested in pursuing medications initially or are … still exploring dietary treatment options." — Elizabeth T. Jensen, MPH, PhD   "We have a bunch of studies now that look at how long people have symptoms before they're diagnosed. There's a wide range. Some people get symptoms and are diagnosed right away. Other people might have symptoms for 20 or 30 years." — Evan S. Dellon, MD, MPH   "EGID Partners is an online registry where individuals, caregivers, and parents of children affected with EGIDs can join. EGID Partners also needs people who don't live with an EGID to join, as controls." — Elizabeth T. Jensen, MPH, PhD

What if burnout was actually the beginning of something better? In this episode of Unstoppable Mindset, I sit down with Sir James Gray Robinson, a third-generation trial lawyer who walked away from a successful career to heal himself—and now teaches others how to do the same. Sir James and I talk about what really happens when stress takes over the body, how to shift from warrior mode to guru mode, and simple vagus-nerve resets that can calm the mind and restore focus in minutes. You'll hear why information isn't the same as experience, how neuroplasticity shapes your habits, and how purpose and service can keep you grounded even in high-pressure work. This conversation is packed with science, wisdom, and hope for anyone ready to reclaim their peace and performance. Highlights: 00:51 Learn why information isn't knowledge and how experience locks in learning.03:00 See how becoming a modern knight reshaped values like chivalry and service.04:06 Understand the Royal Order's code, vetting, and service mission.07:53 Hear how a top trial lawyer hit burnout and what actually flipped the switch.11:10 Get the ABA survey wake-up call on lawyer stress and its impact.13:01 Spot the “warrior vs. guru” modes of the autonomic nervous system.16:03 Learn why serotonin, oxytocin, and dopamine thrive in “guru mode.”22:24 Use vagus-nerve activators to shift out of fight-or-flight fast.27:36 Try the smile reset to trigger calming cranial-nerve pathways.29:22 See why singing or chanting reduces stress before work.31:00 Apply cold water and forearm rubs as quick nervous-system reboots.41:38 Plan your day to prevent anxiety loops and channel problem-solving.45:00 Replace adrenaline addiction with team brainstorming and clear tasks.50:43 Drop multitasking for focused sprints to work smarter and earn more.1:00:00 Add purpose and service so high achievement stays healthy and effective. About the Guest: Sir James Gray Robinson, Esq. is an award winning third-generation trial attorney who specialized in family law and civil litigation for 27 years in his native North Carolina. Burned out, Sir James quit in 2004 and has spent the next 20 years doing extensive research and innovative training to help others facing burnout and personal crises to heal. He has taught wellness, transformation, and mindfulness internationally to thousands of private clients, businesses, and associations. As a licensed attorney, he is focused on helping lawyers, professionals, entrepreneurs, employers, and parents facing stress, anxiety, addiction, depression, exhaustion, and burnout. Sir James is a highly respected speaker, writer, TV personality, mentor, consultant, mastermind, and spiritual leader/healer who is committed to healing the planet. He possesses over 30 certifications and degrees in law, healing, and coaching, as well as hundreds of hours of post-certification training in the fields of neuroscience, neurobiology, and neuroplasticity, epigenetics, mind-body-spirit medicine, and brain/heart integration. Having experienced multiple near-death experiences has given him a deeper connection with divinity and spiritual energy. Sir James regularly trains professionals, high-level executives, and businesspeople to hack their brains to turn stress into success. He is regularly invited to speak at ABA and state bar events about mental and emotional health. His work is frequently published in legal and personal growth magazines, including the ABA Journal, Attorneys-at-Work Magazine, and the Family Law Journal. Sir James has authored 13 books on personal growth and healing, including three targeting stressed professionals as well as over 100 articles published in national magazines. He has produced several training videos for attorneys, executives, entrepreneurs and high-level professionals. Sir James has generously endowed numerous projects around the world to help children, indigenous natives, orphans and the sick, including clean water projects in the Manu Rain Forest, Orphanages, Schools and Medical Clinics/Ambulances in India, Buddhist monks in Nepal, and schools in Kenya, Ecuador, and Puerto Rico. In addition to his extensive contributions, Sir James produced and starred in three documentaries that will be released in 2024, focusing on healing, mental and emotional health. The first, "Beyond Physical Matter," is available on several streaming platforms, including Amazon Prime. The trailer can be found at www.BeyondPhysicalMatter.com. The second, “Beyond the Mastermind Secret”, is scheduled for release in the fall of 2024. The trailer can be found at https://BeyondMastermindSecrets.com/. The third, “Beyond Physical Life” is scheduled for release at the end of 2024. The trailer can be found at https://beyondphysicallife.com/. He has formed an entertainment media production company known as Beyond Entertainment Global, LLC, and is currently producing feature length films and other media. In recognition of his outstanding work and philanthropy, Sir James was recently knighted by the Royal Order of Constantine the Great and Saint Helen. In addition, Sir James won the prestigious International Impact Book Award for his new book “Thriving in the Legal Arena: The Ultimate Lawyer's Guide for Transforming Stress into Success”. Several of his other books have won international book awards as well. Sir James was recently awarded the President's Lifetime Achievement Award by President Joe Biden for his outstanding service to his community, country and the world. He will be awarded the prestigious International Humanitarian Award known as Men with Hearts, in London, England in the fall of 2024, as well as Man of the Year and Couple of the year with his wife, Linda Giangreco. Sir James has a wide variety of work/life experiences, including restauranteur, cattle rancher, horse trainer, substance abuse counselor, treatment center director, energy healer, bodyguard, legal counselor for several international spiritual organizations, golfer and marathon runner. He graduated from R.J. Reynolds High School in 1971, Davidson College in 1975 and Wake Forest University School of Law in 1978. Ways to connect with Sir James Gray Robinson**:** FB - https://www.facebook.com/sirjamesgrayrobinson  IG - https://www.instagram.com/sirjamesgrayrobinson/  TikTok - https://www.tiktok.com/@sirjamesgrayrobinson?_t=8hOuSCTDAw4&_r=1 Youtube - https://www.youtube.com/@JamesGrayRobinson LinkedIn - https://www.linkedin.com/in/gray-robinson-/ 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.

Dr. Laura Baker, PhD, is a professor of gerontology and geriatric medicine at Wake Forest University School of Medicine and the principal investigator of the U.S. POINTER study, a large, Alzheimer's Association–backed trial inspired by Finland's landmark FINGER study. Designed to test whether lifestyle can protect brain health in a diverse U.S. population, POINTER enrolled 2,111 adults ages 60 to 79 across five regions. Participants who were not already exercising or eating a Mediterranean-style diet engaged in lifestyle changes across four pillars: physical activity, nutrition, cognitive and social engagement, and tracking health numbers like blood pressure and blood sugar.In this interview with Being Patient's Mark Niu, Baker traces how POINTER was designed, what a coach-supported lifestyle program looks like in practice, and why community partners matter. She also previews what's ahead — from brain imaging to sleep and vascular findings — and offers practical guidance for caregivers and older adults.—-If you loved listening this Live Talk, visit our website to find more of our Alzheimer's coverage and subscribe to our newsletter: https://www.beingpatient.com/Follow Being Patient: Twitter: https://twitter.com/Being_Patient_Instagram: https://www.instagram.com/beingpatientvoices/Facebook: https://www.facebook.com/beingpatientalzheimersLinkedIn: https://www.linkedin.com/company/being-patientBeing Patient is an editorially independent journalism outlet for news and reporting about brain health, cognitive science, and neurodegenerative diseases. In our Live Talk series on Facebook, former Wall Street Journal Editor and founder of Being Patient, Deborah Kan, interviews brain health experts and people living with dementia. Check out our latest Live Talks: https://www.beingpatient.com/category/video/

Data science training programs often jump straight into technical methods without teaching one of the most critical skills for project success - problem framing. Without proper framing, data science projects are doomed to fail, right from the start, as data scientists find themselves solving the wrong problems or building models that don't address real business decisions.In this Value Boost episode, Professor Jeff Camm joins Dr. Genevieve Hayes to reveal the specific problem framing framework that decision scientists use to ensure they're solving the right problems from the start, dramatically improving their success rates compared to traditional data science approaches.You'll discover:The medical doctor approach to diagnosing business problems by distinguishing symptoms from root causes [02:09]The critical question that reveals what decisions actually need to be made [04:53]How to turn model "failures" into valuable strategic insights for management [06:24]Why thinking beyond the data prevents you from building technically perfect but business-useless solutions [10:04]Guest BioProf Jeff Camm is a decision scientist and the Inmar Presidential Chair in Analytics at the Wake Forest University School of Business. His research has been featured in top-ranking academic journals and he is the co-author of ten books on business statistics, management science, data visualisation and business analytics.LinksConnect with Jeff on LinkedInConnect with Genevieve on LinkedInBe among the first to hear about the release of each new podcast episode by signing up HERE

Most data scientists have never heard of decision science, yet this discipline - which dates back to WWII - may hold the key to solving one of data science's biggest problems: the 87% project failure rate. While data scientists excel at building models that predict outcomes, decision scientists focus on modelling the actual business decisions that need to be made - a subtle but crucial difference that dramatically improves success rates.In this episode, Prof Jeff Camm joins Dr. Genevieve Hayes to explore how decision science approaches problems differently from data science, why decision science approaches lead to higher success rates, and how data scientists can integrate these techniques into their own work.This episode reveals:The fundamental difference between modelling data and modelling decisions [04:12]Why decision science projects have historically had higher success rates than current data science efforts [10:42]How to avoid the "ill-defined problem" trap that kills most data science projects [21:12]The medical doctor approach to understanding what business problems really need solving [22:28]Guest BioProf Jeff Camm is a decision scientist and the Inmar Presidential Chair in Analytics at the Wake Forest University School of Business. His research has been featured in top-ranking academic journals and he is the co-author of ten books on business statistics, management science, data visualisation and business analytics.LinksConnect with Jeff on LinkedInConnect with Genevieve on LinkedInBe among the first to hear about the release of each new podcast episode by signing up HERE

In this important episode of Transmission Interrupted, host Jill Morgan is joined by a distinguished panel of experts to provide a comprehensive update on respiratory illness trends for the 2025 season. Dr. Ryan Maves (infectious diseases and critical care medicine, Wake Forest University), Dr. Kari Simonson (pediatric infectious diseases, University of Nebraska Medical Center), and Dr. John Horton (clinical affairs, gynecology and obstetrics, Emory University) share the latest data and evidence-based recommendations for healthcare providers and the public.The discussion covers the full spectrum of respiratory viruses currently impacting our communities, including influenza, RSV, COVID-19, and pertussis. The panel addresses the unique risks facing infants, children, pregnant individuals, older adults, and those with underlying health conditions. Listeners will gain valuable insight into current vaccine guidance, the role of updated testing strategies, and protective measures that go beyond vaccination—such as proper mask use, respiratory and hand hygiene, and the importance of source control and eye protection.This episode offers practical guidance for both healthcare workers and the public as we enter another busy respiratory virus season. Drawing on real-world experience and the latest research, our guests emphasize steps we can all take to reduce transmission, protect vulnerable populations, and maintain safety in both clinical and home settings.GuestsJohn Patrick Horton, MD, MBAVice Chair of Clinical Affairs for Gynecology and Obstetrics Emory UniversityDr. John Horton is the Vice Chair of Clinical Affairs for Emory University's Department of Gynecology and Obstetrics. He also serves as Emory Healthcare's Division Director for General Gynecology and Obstetrics, and Interim Operations Director for the Gynecologic Specialties Division. Additionally, Dr. Horton is the Director of the Obstetric Rapid Response Team at Emory Healthcare and is Associate Professor at the Emory University School of Medicine Department of Gynecology and Obstetrics. Ryan Maves, MD, FCCM, FCCP, FIDSAProfessor in Infectious Disease and Critical Care MedicineOffice of Global HealthWake Forest UniversityDr. Ryan Maves is a Professor of Medicine at the Wake Forest University School of Medicine in Winston-Salem, North Carolina, where he serves as medical director of transplant infectious diseases and as a faculty intensivist at North Carolina Baptist Hospital. A graduate of the University of Washington School of Medicine, he entered active duty in the U.S. Navy in 1999. He completed his residency in internal medicine and fellowships infectious diseases and critical care medicine at Naval Medical Center San Diego. During his military service, he served as the flight surgeon for Carrier Air Wing SEVENTEEN embarked onboard the USS George Washington (CVN-73), at the Naval Medical Research Unit No. 6 in Lima, Peru, conducting preclinical and clinical studies in antimicrobial drug resistance and vaccine development, as director of medical services at the NATO Role 3 Multinational Medical Unit at Kandahar Airfield, Afghanistan, and as ID division chief and fellowship director in San Diego. He retired from active duty in 2021 and joined the faculty at Wake Forest. He is the chair of the ABIM Critical Care Medicine Examination Board, co-chair of the SCCM Congress Program Committee, and Chair-Elect of the Chest Infections and Disaster Response Network in CHEST, as well as deputy editor for outreach for the journal CHEST and contributing editor for Critical Care Explorations. He is an author of over 150 scientific manuscripts, 15 textbook chapters, and 100 conference abstracts and invited lectures. He lives in Winston-Salem with his wife, Robin, whom he met in the traditional manner (in the ICU, next to a...

Today's episode is going to focus on the management of rotator cuff retears — including tips and tricks for successful revision repair and augmentation options.We are joined today by two outstanding guests! Dr. Brian Waterman is a Professor of orthopedic surgery at Wake Forest University School of Medicine, Chief of Sports Medicine & Shoulder Surgery at Wake Forest Baptist Medical Center and Director of the Sports Medicine & Shoulder Surgery Fellowship. He is on the editorial board of the Arthroscopy Journal and American Journal of Orthopaedics. Dr. Waterman is a team physician for Wake Forest University, Winston-Salem Dash and US Ski and Snowboard.Dr. Gabriella Ode is an orthopedic surgeon specializing in sports medicine and shoulder surgery at the Hospital for Special Surgery, Assistant Professor of orthopedic surgery at Weill Cornell Medical College and adjunct faculty with the Department of Bioengineering at Clemson University. She is also a team orthopaedic surgeon for the New York Liberty of the WNBA.So, without further ado, let's get to the Exhibit Hall!

Hemorrhoidal disease, pathology of the tissue lining the anal canal, affects approximately 10 million individuals in the US. Author Jean H. Ashburn, MD, of Wake Forest University School of Medicine and JAMA Senior Editor Karen E. Lasser, MD, MPH, discuss the current evidence on the epidemiology, pathophysiology, diagnosis, and treatment of hemorrhoidal disease. Related Content: Hemorrhoidal Disease

Our guest is a dermatologists who sees patients and does research at Wake Forest University Baptist Medical Center in Winston-Salem, one who is internationally recognized for his work in dermatology, particularly in psoriasis and on how well patients use recommended treatments. If you count publications, our guest may be the most productive researcher at Wake Forest. With over 1,500 Medline-referenced publications, his research spans clinical trials, behavioral economics, and public health policy. Today, we'll dive into the risks and benefits of sun exposure, the amazing landscape of modern psoriasis treatment, and what we've learned about how poorly patients take their medication and whose fault it is. Welcome Dr. Steve Feldman, Professor of Dermatology at Wake Forest University School of Medicine. Learn more about Dr. Feldman's background and research at https://school.wakehealth.edu/faculty/f/steven-r-feldman

Drs. Jeffrey Jensen and Johanna Richey welcome Dr. Ashleigh Medda from Wake Forest University School of Medicine in Winston Salem, NC.  Dr. Medda graduated from the University of North Carolina with her degree in both Biology and Spanish.  She then went on to Temple University for her Doctorate of Podiatric Medical degree.  She then had the opportunity to be one of the first residents at the Wake Forest Baptist Medical Center where she completed her 3-year surgical residency program.  She is board-certified by both the American Board of Foot and Ankle Surgeons in the American Board of Podiatric Medicine. Dr. Medda is the Residency Director for the Wake Forest University School of Medicine in Winston-Salem North Carolina.  Previously she had been the clerkship director and the assistant program director.  To name to hear her advice about what it is like to be a student on externships or resident at their program.  Dr. Medda is kind, intelligent and warm as she discusses what it is like to go through the processe.  She is also a mentor through the Wake Forest University undergraduate clinical internship program and has been a mentor to multiple medical students through the process.  Listen in as she has excellent tips, advice and pearls for students in the medical field. She is also incredibly involved in her community and with the profession at large.  She is a committee member on multiple ABFAS boards including the exam prep task force committee and the standard setting panel.  She is also part of the ACFAS consumer education committee as well as the American podiatric medical Association (APMA) communications committee.  But her service to her community is what really stands out.  She describes a special project that she helped launch in 2020 called the DEAC foot and ankle clinic which helps deliver equal access to care to underserved and vulnerable populations in her hometown.  Join us, as she discusses why service is so important to her and her philosophy of how we care for patients and each other. We hope you enjoy this fabulous episode! https://school.wakehealth.edu/education-and-training/residencies-and-fellowships/podiatry-residency/current-residents https://www.apma.org/ https://www.abfas.org/residents https://bmef.org/ https://www.acfas.org/  

Geroscience aims to define and modify biologic pathways associated with aging and age-related diseases. Author Stephen B. Kritchevsky, PhD, of the Wake Forest University School of Medicine and JAMA Deputy Editor Mary M. McDermott, MD, discuss current evidence regarding geroscience, human health, and promising therapies that may slow aging and age-related decline. Related Content: Geroscience ----------------------------------- JAMA Editors' Summary

This week on The Bulletin, Russell, Mike, and Clarissa discuss how the Trump administration tried to create distractions to sidestep conversations about Jeffrey Epstein. Then, CT's Sho Baraka joins the show to discuss the couple who was caught on the Coldplay concert jumbotron. Finally, the only Catholic church in Gaza was hit by Israeli munitions, killing three people. What's the situation of Christians in the region?       REFERENCED IN THIS EPISODE: -Last week's episode: Epstein, Zyn Addiction, and the Legacies of Jimmy Swaggart and John MacArthur.  -Russell Moore's newsletter: Why We Want to See the Epstein Files. -Sho Baraka's writing for CT.  GO DEEPER WITH THE BULLETIN:  -Send a question you have for Mike or Russell to podcasts@christianitytoday.com - Join the conversation at our Substack.  - Find us on YouTube.  -Rate and review the show in your podcast app of choice.    ABOUT THE GUESTS:   Sho Baraka is a recording artist, performer, culture curator, activist, and writer. Baraka is an alumnus of Tuskegee University and the University of North Texas. He is a cofounder of Forth District and the And Campaign, and he has served as an adjunct professor at Wake Forest University School of Divinity. He was an original member of influential hip-hop consortium 116 Clique, recording with Reach Records. In 2024, Baraka became the Big Tent editorial director for Christianity Today.  ABOUT THE BULLETIN:  The Bulletin is a twice-weekly politics and current events show from Christianity Today moderated by Clarissa Moll, with senior commentary from Russell Moore (Christianity Today's editor in chief) and Mike Cosper (director, CT Media). Each week, the show explores current events and breaking news and shares a Christian perspective on issues that are shaping our world. We also offer special one-on-one conversations with writers, artists, and thought leaders whose impact on the world brings important significance to a Christian worldview, like Bono, Sharon McMahon, Harrison Scott Key, Frank Bruni, and more.  The Bulletin listeners get 25% off CT. Go to https://orderct.com/THEBULLETIN to learn more.   “The Bulletin” is a production of Christianity Today Producer: Clarissa Moll Associate Producer: Alexa Burke Editing and Mix: TJ Hester Music: Dan Phelps Executive Producers: Erik Petrik and Mike Cosper   Senior Producer: Matt Stevens Learn more about your ad choices. Visit podcastchoices.com/adchoices

In this episode we're joined by Dr. Christy Cobb and Dr. Katherine Shaner to talk about their new edited volume, Ancient Slavery and Its New Testament Contexts (published by Eerdmans). Dr. Christy Cobb is Associate Professor of Christianity in the Department of Religious Studies at the University of Denver, and Dr. Katherine Shaner is Associate Professor of New Testament at Wake Forest University School of Divinity. Over the course of the episode we discuss the different essays in the volume, what the inception of the collection was, Dr. Cobb and Dr. Shaner's respective contributions to the book, and some of the intriguing developments on the scholarship of ancient slavery for understanding New Testament texts. Team members on the episode from The Two Cities include: the Rev. Dr. Nathaniel Adishian, Dr. John Anthony Dunne, and Rev. Daniel Parham. Get bonus content on Patreon Hosted on Acast. See acast.com/privacy for more information.

Real innovation? It's not just the tools and techniques you use, it's how you think. In this episode of the BackTable OBGYN podcast, hosts Dr. Mark Hoffman and Dr. Amy Park welcome Dr. Kevin Stepp, a MIGS surgeon and urogynecologist in Charlotte, North Carolina, and an OBGYN professor at Wake Forest University School of Medicine. Dr. Stepp shares his journey into the field, including his serendipitous start in single-port laparoscopy and the many surgical innovations that he has pioneered. --- SYNPOSIS The conversation highlights the importance of anatomical knowledge, thinking beyond conventional surgical approaches, and the significance of teamwork and efficiency in the operating room. A central focus is placed on the development and application of single-port techniques, highlighting the associated learning curves and the evolving role of robotic surgery. The discussion also explores how surgical team dynamics, effective communication, and ongoing innovation collectively contribute to better patient outcomes and advancement in the medical field. --- TIMESTAMPS 00:00 - Introduction03:50 - Pioneering Single Port Laparoscopy10:10 - Challenges and Advantages of Single Port Surgery13:52 - Cosmetic Considerations and Incision Techniques27:27 - Innovative Approaches and Future Directions30:40 - Understanding 3D Anatomy in GYN Surgery32:10 - Sustaining Innovation in Urogynecology33:53 - Efficiency in Surgical Procedures39:20 - Advancement of Surgical Educational Materials 42:47 - Single Port and Robotic Procedures50:50 - Building a Team through Positive Surgical Culture01:02:13 - Continuous Improvement and Humility in Surgery

In this episode of Health Matters, Dr. Mary Rosser, a gynecologist at NewYork-Presbyterian and Columbia, explains perimenopause, breaking down what symptoms are normal, when it's time to see a doctor, and the best options for managing some of the more challenging symptoms of perimenopause. ___Dr. Mary L. Rosser, M.D., Ph.D., NCMP is the Director of Integrated Women's Health at NewYork-Presbyterian/Columbia University Irving Medical Center and the Richard U. and Ellen J. Levine Assistant Professor of Women's Health (in Obstetrics and Gynecology) at Columbia University Vagelos College of Physicians & Surgeons. She joined the faculty of Obstetrics and Gynecology at Columbia University in April 2018 to provide routine gynecology care and to further develop a comprehensive well-woman program. She has been a practicing obstetrician gynecologist for more than 20 years, starting in private practice and then joining the faculty at Montefiore Medical Center in Bronx, NY. While at Montefiore, she created, launched, and led the forty-person Division of General Obstetrics and Gynecology. Dr. Rosser received her undergraduate degree at Emory University and a Ph.D. in Endocrinology at the Medical College of Georgia. She attended Wake Forest University School of Medicine and completed her residency at Emory University. She is also a NAMS Certified Menopause Practitioner, able to provide high-quality care for patients at menopause and beyond.Primary care and heart disease in women have always been areas of focus for Dr. Rosser. She conducted basic science research on heart disease during graduate school and was the Chair of the "Women & Heart Disease Physician Education Initiative" for District II of the American College of Obstetrics & Gynecology. She continues to conduct clinical studies around patient awareness and understanding of heart disease and well-woman care. Dr. Rosser serves on the Medical Leadership Team of the Go Red for Women movement of the American Heart Association and she is ACOG's liaison to the American College of Cardiology.___Health Matters is your weekly dose of health and wellness information, from the leading experts. Join host Courtney Allison to get news you can use in your own life. New episodes drop each Wednesday.If you are looking for practical health tips and trustworthy information from world-class doctors and medical experts you will enjoy listening to Health Matters. Health Matters was created to share stories of science, care, and wellness that are happening every day at NewYork-Presbyterian, one of the nation's most comprehensive, integrated academic healthcare systems. In keeping with NewYork-Presbyterian's long legacy of medical breakthroughs and innovation, Health Matters features the latest news, insights, and health tips from our trusted experts; inspiring first-hand accounts from patients and caregivers; and updates on the latest research and innovations in patient care, all in collaboration with our renowned medical schools, Columbia and Weill Cornell Medicine. To learn more visit: https://healthmatters.nyp.org

The institution of slavery permeated the ancient world, such that the realities of slavery and its long shadows pervade the New Testament and other early Christian texts. Yet enslavement remains an under-taught aspect of the context of the New Testament and early Christianity, leaving pastors, laypersons, and neophyte college students alike to fill knowledge gaps about enslaved persons, enslavers, living and laboring conditions, and much more with partial information, assumptions, or a range of highly technical and specialized monographs.  Ancient Slavery and Its New Testament Contexts (Eerdmans, 2025), co-edited by Christy Cobb and Katherine A. Shaner, takes on these issues, introducing readers to the textures, complexities, and material realities of slavery in the Greco-Roman world. International scholars with a range of expertise, from New Testament and early Christian studies to classics, theology, ethics, and more, contribute to a tapestry of introductory themes, topics, and interpretive frameworks with a wealth of literary, inscriptional, pictorial, and theoretical evidence from the material culture of Roman antiquity in this significant volume. Dr. Cobb and Dr. Shaner joined the New Books Network to initiate important conversations that they hope will continue in religious studies classrooms, schools of theology and divinity, and local church small group settings. Christy Cobb (Ph.D., Drew University, 2016) is Associate Professor of Christianity at the University of Denver. She is the author of Slavery, Gender, Truth and Power in Luke-Acts and Other Ancient Narratives (Palgrave Macmillan, 2019) and has also co-edited a volume entitled Sex, Violence, and Early Christian Texts (Lexington Books, 2022). Dr. Cobb is also a member of the editorial board for the Journal of Feminist Studies in Religion, and her research and teaching interests include slavery, gender, sexuality, Acts, and Apocryphal Acts. In her recreational time, Christy enjoys reading novels, crafts, and spending time with her nine-year-old son in Denver. Katherine A. Shaner (Th.D., Harvard University Divinity School, 2012) is Associate Professor of New Testament at the Wake Forest University School of Divinity. She is the author of Enslaved Leadership in Early Christianity (Oxford University Press, 2018) as well as numerous articles on slavery in the New Testament. Dr. Shaner is an ordained pastor in the Evangelical Lutheran Church in America (ELCA) and regularly preaches and teaches in churches around the United States. In her free time, Katherine enjoys hiking in the mountains, reading historical fiction, cooking dinner for friends and spending time with snuggly dogs. Rob Heaton (Ph.D., University of Denver, 2019) hosts Biblical Studies conversations for New Books in Religion and teaches New Testament, Christian origins, and early Christianity at Anderson University in Indiana. He recently authored The Shepherd of Hermas as Scriptura Non Grata: From Popularity in Early Christianity to Exclusion from the New Testament Canon (Lexington Books, 2023). For more about Rob and his work, or to offer feedback related to this episode, please visit his website at https://www.robheaton.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/jewish-studies

The institution of slavery permeated the ancient world, such that the realities of slavery and its long shadows pervade the New Testament and other early Christian texts. Yet enslavement remains an under-taught aspect of the context of the New Testament and early Christianity, leaving pastors, laypersons, and neophyte college students alike to fill knowledge gaps about enslaved persons, enslavers, living and laboring conditions, and much more with partial information, assumptions, or a range of highly technical and specialized monographs.  Ancient Slavery and Its New Testament Contexts (Eerdmans, 2025), co-edited by Christy Cobb and Katherine A. Shaner, takes on these issues, introducing readers to the textures, complexities, and material realities of slavery in the Greco-Roman world. International scholars with a range of expertise, from New Testament and early Christian studies to classics, theology, ethics, and more, contribute to a tapestry of introductory themes, topics, and interpretive frameworks with a wealth of literary, inscriptional, pictorial, and theoretical evidence from the material culture of Roman antiquity in this significant volume. Dr. Cobb and Dr. Shaner joined the New Books Network to initiate important conversations that they hope will continue in religious studies classrooms, schools of theology and divinity, and local church small group settings. Christy Cobb (Ph.D., Drew University, 2016) is Associate Professor of Christianity at the University of Denver. She is the author of Slavery, Gender, Truth and Power in Luke-Acts and Other Ancient Narratives (Palgrave Macmillan, 2019) and has also co-edited a volume entitled Sex, Violence, and Early Christian Texts (Lexington Books, 2022). Dr. Cobb is also a member of the editorial board for the Journal of Feminist Studies in Religion, and her research and teaching interests include slavery, gender, sexuality, Acts, and Apocryphal Acts. In her recreational time, Christy enjoys reading novels, crafts, and spending time with her nine-year-old son in Denver. Katherine A. Shaner (Th.D., Harvard University Divinity School, 2012) is Associate Professor of New Testament at the Wake Forest University School of Divinity. She is the author of Enslaved Leadership in Early Christianity (Oxford University Press, 2018) as well as numerous articles on slavery in the New Testament. Dr. Shaner is an ordained pastor in the Evangelical Lutheran Church in America (ELCA) and regularly preaches and teaches in churches around the United States. In her free time, Katherine enjoys hiking in the mountains, reading historical fiction, cooking dinner for friends and spending time with snuggly dogs. Rob Heaton (Ph.D., University of Denver, 2019) hosts Biblical Studies conversations for New Books in Religion and teaches New Testament, Christian origins, and early Christianity at Anderson University in Indiana. He recently authored The Shepherd of Hermas as Scriptura Non Grata: From Popularity in Early Christianity to Exclusion from the New Testament Canon (Lexington Books, 2023). For more about Rob and his work, or to offer feedback related to this episode, please visit his website at https://www.robheaton.com. Learn more about your ad choices. Visit megaphone.fm/adchoices Support our show by becoming a premium member! https://newbooksnetwork.supportingcast.fm/new-books-network

Tracy Latz, M.D. is an Integrative Psychiatrist, Multidimensional Healer and has served as an Associate Clinical Faculty member in the Department of Psychiatry at the Wake Forest University School of Medicine. She holds a Masters degree in Immuno-Biology; doctorates in Medicine, Metaphysics & Holistic Healing; certifications in Mind-Body Medicine and is currently in her own solo private practice in a suburb of Charlotte, NC with over 20 years of clinical experience in shifting lives. In episode 565 of the Fraternity Foodie Podcast, we find out why Dr. Latz chose Wake Forest University, how students can manage anxiety (especially before exams, presentations, or interviews), what are the 'Four Love Connections' and how could knowing them help students build better partnerships, how students can use her 'La Cucaracha' technique for the toxic people in their life, some simple holistic practices students could start using today to feel more energized, focused, and resilient, how students can step into their own power to create positive change without feeling overwhelmed, and how Dr. Latz wants young adults to approach mental health. Enjoy!

312: Moving Your Organization from Toxic Stress to Radical Resilience (Brett Loftis)SUMMARYSpecial thanks to TowneBank for bringing these conversations to life, and for their commitment to strengthening nonprofit organizations. Learn more about how they can help you at TowneBank.com/NonprofitBanking.Why are so many nonprofit leaders exhausted, irritable, or dealing with chronic health issues—and not realizing the deeper cause? In episode 312 of Your Path to Nonprofit Leadership, Brett Loftis explores how unacknowledged trauma and toxic stress infiltrate nonprofit organizations, often masked as burnout or fatigue. Brett, a national leader in trauma-informed care, explains how individuals and entire organizations can become "trauma-organized," and what it takes to shift toward radical resilience. Drawing on decades of experience in child advocacy and organizational leadership, he shares practical tools like emotional safety plans and values-based leadership practices that support healing and sustainability. Learn why self-awareness, grief processing, and cultural rituals are essential for leaders and teams to thrive—and how your organization can transform stress into strength. This episode is a must-listen for any nonprofit leader seeking long-term impact and well-being.ABOUT BRETTBrett Loftis graduated from Furman University with degrees in Sociology and Political Science and in 2000 from Wake Forest University School of Law. After spending numerous years working in ministry and child advocacy, including as the Executive Director of the Council for Children's Rights in Charlotte, NC, Brett came to Crossnore in 2013 as Chief Executive Officer. In this role, Brett leads all initiatives of the organization, including programs, external relations, operations, and organizational growth. In his spare time, he enjoys coaching youth soccer and basketball. Brett is married to Sally, and the couple has three sons.EPISODE TOPICS & RESOURCES Ready for your next leadership opportunity? Visit our partners at Armstrong McGuireNo Bad Parts by Richard SchwartzGet Patton's book Your Path to Nonprofit Leadership: Seven Keys to Advancing Your Career in the Philanthropic Sector – Now available on AudibleDon't miss our weekly Thursday Leadership Lens for the latest on nonprofit leadership

Send us a text In this episode, Dr. Eeks is joined by neuroscientist Dr. Dwayne Godwin and cartoonist Dr. Jorge Cham, the creative duo behind Out of Your Mind, a book that makes neuroscience both fun and digestible—perfect for Nerds and Nerd Nots alike (yes, that's my podcast tagline). They kick things off with love—what it is, why we fall for some people and not others, and whether science could create a love potion that turns romance into a biochemical hostage situation. From love, they move to hate and how some people actually get addicted to hate. They'll also discuss AI—whether it could ever develop consciousness and what that might mean for humanity—before diving into addiction and the ongoing debate over how much of it is choice versus biology. They'll talk about happiness, whether money can actually buy it, and a bizarre true medical case of a man who, after a brain surgery gone wrong, was left permanently stuck in the present moment.  Finally, they'll explore what happens when we die and whether the authors ever get existentially bummed out thinking about how fragile and robotic we really are. If you like science with a side of humor and deep, slightly absurd questions, this episode is for you. Dr. Dwayne Godwin is a neuroscientist, educator, and professor in the Department of Translational Neuroscience at Wake Forest University School of Medicine. His research focuses on abnormal brain rhythms, exploring calcium channel function, epilepsy, and traumatic brain injury to develop potential treatments for neurological diseases. Beyond the lab, he is passionate about science outreach, co-creating Mind in Pictures for Scientific American Mind and contributing to blogs for the Society for Neuroscience and the Museum of the Moving Image. Dr. Jorge Cham is a Daytime Emmy-nominated, best-selling cartoonist and the creator of PHD Comics, a popular online comic strip about academia. He is the co-creator, Executive Producer, and Creative Director of Elinor Wonders Why, a top-rated PBS Kids animated series. Cham has co-authored several popular science books, including We Have No Idea: A Guide to the Unknown Universe and Frequently Asked Questions about the Universe, as well as the children's book Oliver's Great Big Universe. He also co-hosts and co-creates the hit podcast Daniel and Jorge Explain the Universe. Originally from Panama, Cham earned his Ph.D. in robotics from Stanford University and was a researcher at Caltech.You can contact Dr. Eeks at bloomingwellness.com.Follow Eeks on Instagram here.Or Facebook here.Or X.On Youtube.Or TikTok.SUBSCRIBE to her monthly newsletter here.Support the show

African Americans' knowledge traditions, religious practices, political cultures and ideas are rich resources that facilitate new concepts of religious freedom. On this episode of Respecting Religion, Dr. Sabrina E. Dent and Dr. Corey D. B. Walker join Amanda and Holly to discuss the book they co-edited, African Americans and Religious Freedom: New Perspectives for Congregations and Communities. It's  a collection of essays that provide novel interpretations of religious freedom informed by African American experiences, which are essential for a full public discourse about the topic. First released in the days before the January 6, 2021, attack on the Capitol, the second edition includes a new preface addressing the need for religious freedom to undergo a deep interrogation in our perilous times.   SHOW NOTES Segment 1 (starting at 00:38): Introducing the book and the conversations it inspires Dr. Sabrina E. Dent is the director of the BJC Center for Faith, Justice and Reconciliation. Learn more about her on BJC's website. Dr. Corey D. B. Walker is the dean of the Wake Forest University School of Divinity, Wake Forest Professor of the Humanities, and director of the Program in African American Studies. Learn more about him on the Wake Forest University School of Divinity website. The second edition of African Americans and Religious Freedom: New Perspectives for Congregations and Communities is now available, free to all.  Dr. Dent mentioned the religious freedom course with students from religious graduate schools at historically Black colleges and universities that began many of these conversations. Read about that in this 2019 article by Adelle Banks for Religion News Service: Black seminarians take first-time religious freedom course Learn more and read the text of David Walker's Appeal to the Coloured Citizens of the World on the website of the National Constitution Center. The Columbia Law School Law, Rights & Religion Project released the Black Religious Liberty Curriculum in 2024. You can see the 12-part video series and access the curriculum on their website.    Segment 2 (starting at 18:51): Pushback and barriers to expanding the narrative You can access a PDF or read a flip-through edition of the book African Americans and Religious Freedom. Visit our website for more details.   Segment 3 (starting 31:01): The launch event on February 28 You can watch a recording of the Feb. 28 event celebrating the re-release of the book on YouTube. The Rev. William Lamar IV talked with NPR about the ruling that gave his church the copyright of the Proud Boys. You can listen to his conversation here. Learn more about the BJC Center for Faith, Justice and Reconciliation on our website at BJConline.org/center Respecting Religion is made possible by BJC's generous donors. Your gift to BJC is tax-deductible, and you can support these conversations with a gift to BJC.

Send us a textDr. Cynthia Emory, board certified orthopaedic oncologist, treats soft tissue sarcomas, bone sarcomas, metastatic bone disease, lymphoma and myeloma of the bone.  She is a professor and the chair of the Department of Orthopaedic Surgery and Rehabilitation at Wake Forest University School of Medicine. She also serves on the graduate faculty at Wake Forest University Graduate School of Arts and Sciences.“I enjoy the challenging cases in orthopaedic oncology. No two tumors are the same: different locations, different tumor types, different patients. I enjoy being able to help adults and children through a very difficult time in their lives and continue to see them years later.”Recent announcement!  The investiture of Dr. Cynthia Emory as the inaugural L. Andrew Koman, MD Professor of Orthopaedic Surgery and Rehabilitation. This prestigious endowed position celebrates Dr. Emory's exceptional contributions to orthopaedic research, education, and patient care since joining the faculty in 2010.The professorship also honors the extraordinary legacy of Device Nation guest Dr. Andy Koman, whose innovations and mentorship have shaped orthopaedics for over 40 years.Dr. Emory is the principal investigator for a registry to evaluate outcomes in patients who receive a novel implant to stabilize impending pathologic fractures of the bone from metastatic disease. The research led to FDA approval of this device with expanded applications over subsequent years to include patients with pathologic bone fracture from osteoporosis.  Saw this personally in an oncology case recently, such a cool technology!She is passionate about mentoring, leadership and professional development. She is the past chair of the Women in Medicine and Science Committee at Wake Forest University School of Medicine and the past president of the North Carolina Orthopaedic Association. Additionally, she serves on the board of the Eastern Orthopaedic Association. She also completed the Hedwig van Ameringen Executive Leadership in Academic Medicine (ELAM) Program, a national program for women in academic medicine with senior leadership positions.Clinic Page: https://profiles.wakehealth.edu/display/person/clemory                Follow her on LinkedIn: https://www.linkedin.com/in/cynthia-emory-md-mba-46b31678/Jada Love: https://myfox8.com/news/north-carolina/high-point/high-point-teen-undergoes-special-surgery-with-determination-a-smile/Support the show

In the second episode of A Deep Dive into HRD Testing in Ovarian Cancer, a three-part podcast series sponsored by AstraZeneca, we're speaking with Dr. Erin Crane who will highlight how HRD testing provides helpful information to ovarian cancer patients.   Erin K. Crane, MD, MPH, is a gynecologic oncologist with Atrium Health Levine Cancer in Charlotte, North Carolina. A graduate of the SUNY Upstate Medical University in Syracuse, NY, Dr. Crane completed her residency at the University of Virginia and a fellowship at The University of Texas MD Anderson Cancer Center in Gynecologic Oncology. She is board certified by the American Board of Obstetrics and Gynecology in Gynecologic Oncology and Obstetrics and Gynecology. Dr. Crane is a Clinical Associate Professor of Obstetrics and Gynecology at the Wake Forest University School of Medicine.   For more information, visit https://www.azprecisionmed.com/tumor-type/ovarian-cancer/hrd-testing.html For patient resources, please visit TestForHRD.com.   This podcast does not necessarily reflect the opinions of AstraZeneca and are the spokesperson's opinions and experience.

Looking to connect with a community of physician podcasters? We provide the tools, connections, and resources you need to amplify your voice and grow your audience. Be part of something exciting as we prepare to launch. Join the Doctor Podcast Network today!—---------Dr. Junaid Niazi and Dr. Samantha Eksir discuss the challenges doctors face, such as managing heavy workloads, balancing patient care with administrative tasks, and overcoming perfectionism.Dr. Eksir shares her struggle to balance patient care while spending excessive time on documentation, striving for “A+ notes,” which leaves her exhausted. Dr. Niazi encourages her to aim for “good enough” notes that prioritize efficiency without compromising quality. He suggests using tools like dot phrases, templates, and visual reminders, such as colored sticky notes, to streamline her workflow.They also explore ways to improve patient communication. Dr. Eksir finds typing during visits impersonal, so Dr. Niazi advises informing patients when she needs to document, ensuring they still feel seen and heard.BIODr. Samantha Eksir is a family medicine physician committed to delivering comprehensive, patient-centered care. She attended Wake Forest University School of Medicine and completed her Family Medicine residency at Duke University in 2017. Since then, she has been working in an outpatient primary care clinic. She is married and has two young children.---------For information about Dr. Junaid Niazi, visit here:Dr. Junaid Niazi - Allina Health ProfileDr. Junaid Niazi - Doctors on Social MediaProsperous Life MDDid you know…You can also be a guest on our show? Please email me at brad@physiciansguidetodoctoring.com to connect or visit www.physiciansguidetodoctoring.com to learn more about the show!Socials:@physiciansguidetodoctoring on FB@physicianguidetodoctoring on YouTube@physiciansguide on Instagram and Twitter Visit www.physiciansguidetodoctoring.com to connect, dive deeper, and keep the conversation going. Let's grow! Disclaimer:This podcast is for informational purposes only and is not a substitute for professional medical, financial, or legal advice. Always consult a qualified professional for personalized guidance.