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Meet again Joe Sherman. Joe grew up in a family being the youngest of seven siblings. His parents who had not gone to college wanted their children to do better than they in part by getting a college education. Joe pretty much always wanted to go into medicine, but first obtained a bachelor's degree in engineering. As he said, in case what he really wanted to do didn't pan out he had something to fall back on.   Joe, however, did go on and obtain his MD and chose Pediatrics. He has been in the field for 35 years.   This time with Joe we talk a lot about the state of the medical industry. One of Joe's main efforts is to educate the medical profession and, in fact the rest of us, about burnout among medical personnel. Joe tells us why burnout is so high and we discuss what to do about it. Joe talks about how the medical profession needs to change to keep up with the many challenges faced by doctors and staff and he offers interesting and thought-provoking ideas. Again, I hope you will find my discussion with Joe Sherman beneficial, productive and helpful to you, especially if you are a doctor.       About the Guest:   Dr. Joe Sherman helps health professionals transform their relationship with the unrelenting demands of their jobs and discover a path toward meaning, professional fulfillment, and career longevity. He believes the key to personal and professional success lies in bringing “soul to role” in your medical practice.   Dr. Sherman is a pediatrician, coach and consultant to physicians and healthcare organizations in the areas of cross-cultural medicine, leadership, and provider well-being.  He is a facilitator with the Center for Courage & Renewal and a Master Certified Physician Development Coach with the Physician Coaching Institute.   Dr. Sherman has been in pediatric practice for over 35 years concentrating on healthcare delivery to underserved and medically complex children in the District of Columbia, Tacoma, Seattle, Uganda, and Bolivia.  He has held numerous faculty positions and is currently Clinical Associate Professor of Pediatrics at the University of Washington.   Ways to connect with Dr.Joe:   My website is: https://joeshermanmd.com/   LinkedIn: www.linkedin.com/in/joeshermanmd   Direct email connection: joe@joeshermanmd.com       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 ** 01:21 Well, hi all. This is your host, Mike hingson, and welcome to another episode of unstoppable mindset. And today we are meeting once again with Dr Joe Sherman. And if you remember our last show, Dr Sherman is a board certified pediatrician and master certified physician development coach, and I won't give any more away, because it's more fun to talk to him about all of that. But we had such an interesting discussion, it just seemed like what we ought to do is to have a continued discussion, because we didn't get to cover everything that he provided to us last time, and and I know we've probably got lots more that we can add to the discussion. So, Joe, welcome to unstoppable mindset. We're glad you're here   Dr. Joe Sherman ** 02:10 again. Thanks so much for having me. Michael, it's good to be back.   Michael Hingson ** 02:13 Well, glad you're here and all that. Do you want to start by kind of, maybe refreshing people about you a little bit life and all that, any anything that you want to give us just to start the process? Sure,   Dr. Joe Sherman ** 02:25 I currently live in Seattle, Washington with my wife. We have a few grown children that are in their early 20s, and I am a pediatrician, and now am a physician professional development coach, and I facilitate retreats for health professionals, medical teams, and most of my focus is on trying to bring who we are to what we do kind of being more authentically who we are in our workplace, trying to come to our work with a more balanced mindset, and trying to work A little bit more collegially as medical teams in today's ever changing health care environment. So now, I have practiced for about 35 years in pediatrics, and am now devoting all of my time to coaching and facilitation. You   Michael Hingson ** 03:37 know, gosh, there's so many, so many things that would be interesting to discuss, and I do want to stay away from the whole idea of politics, but at the same time, what do you think about the whole way the medical profession, you know, of course, one of the things that comes to mind is just everything that happened during COVID. But what do you think about the way the medical profession and some of the things that the profession is trying to do is being treated by politicians, and a lot of times it seems like people don't take it seriously, or it just doesn't fit into their agenda. Does that make sense?   Dr. Joe Sherman ** 04:15 You mean, as far as so as a pandemic was concerned? Well, the   Michael Hingson ** 04:20 pandemic, or, you know, there were some discussions about end of life or life discussions, and some people poo pooed, having that kind of thing and saying that isn't something that doctors should be doing. Oh,   Dr. Joe Sherman ** 04:33 I think, right now, I think that politics and healthcare are intricately entwined. Especially after the pandemic, and I think right now, the idea of the politics getting in the way of a kind of. The doctor patient relationship is, is challenging. It's challenging for healthcare workers. I think where we desperately need political courage is in trying to develop a healthcare system that works for everybody in the country. So I think that that's where the focus should be.   Michael Hingson ** 05:21 What do you think about? And I've had a number of people tell me, single pay healthcare system wouldn't be a good thing. It's too socialistic, and we'll leave that out of it just wouldn't be a good thing. It seems to me that it has been very successful in a number of places, but the kinds of arguments that people give are well, but by having competition, we have been a lot better at producing new and innovative technologies that wouldn't be produced or wouldn't be provided if we had just a single pay kind of system. I don't know whether that makes sense or I'm expressing it the best way, but it just seems like there's an interesting debate there. I   Dr. Joe Sherman ** 06:03 think there is debate because I do think there is some truth in the statement that our health care system has enabled development of technology and research in ways, perhaps that other countries have not. On the other hand, our health outcomes and our health access for people who live in this country is not very good, especially given the degree of wealth that our country has. So I used to joke, although it's not that funny, but one clinic where I worked that was a low income clinic, I used to joke that if one of our patients were to come out of their apartment To cross the street to come to the clinic. They may be turned away at the door because they don't have any insurance, or they don't have the proper insurance, or they can't pay but if they happen to be get run over by a car in the street on their way across the street, there would be no questions asked. The ambulance come pick them up. They'd be taken to the emergency room, given the best treatment to try to save their lives, admitted to the ICU and incur a huge medical bill with the greatest of technology, but they would not have been able to have gotten that primary care appointment to be in with. Yeah. So we are very kind of high tech, high intensity, high specialized in our approach to health care, whereas other countries focus much more on primary care.   Michael Hingson ** 07:54 I know in 2014 in January, my wife became ill. Started out as bronchitis, and it kept getting worse, and she didn't want to go to the hospital, but, and she was always in a wheelchair, so she she found that they didn't really know how to deal with can Well, she was congenital or always paralyzed from basically t3 from the breast down, and she so she didn't like to go, but finally, we compelled her to go to the hospital. And was on a Saturday, and the next day, the bronchitis morphed into double pneumonia and ARDS, and her lungs ended up being 90% occluded, so she had to even to get air into her lungs, they had to use a ventilator, and she had a peeps level of 39 just to get air into her lungs. Yeah, you know what that that means. And it was, it was pretty amazing. People came from all over the hospital just to watch the gages, but she had literally, just about turned 65 and we were very blessed that we didn't get any bill because Medicare, I Guess, absorbed the entire thing, and we we, we didn't know whether, whether we would get anything or not, and we didn't. And she did recover from that, although she felt that she had coded a couple times, and then her brain wasn't quite as good as it had been, but, but she did well, and so we got incredible care from Kaiser Terra Linda up in the San Rafael area, and it all went well. Of course, I we had gotten the pneumonia shots, and I complained to our physician to talk about joking. I complained to our primary care physician. I. Well, you say that these shots are supposed to keep it from happening, but we both had the shots and and, and she got double pneumonia anyway. Of course, the unfortunate thing was that that the doctor had an answer. She said, Yeah, but it would have been worse if he hadn't gotten the shot. Darn. She shot me down, but it was fun to joke.   Dr. Joe Sherman ** 10:18 Well, I'm sorry that that happened to you that that's, that's a unfortunate situation, it   Michael Hingson ** 10:26 was, but you know, things, things do happen and and we did get over it. And out of that, we ended up moving down to Southern California to be closer to to family. So it worked out okay. But we we love the and really support the medical system in any way that we can. We see both of us did, and I still, you know, and wherever she is, she must see the value of of what's done. And it just is so frustrating anytime people say doctors are crazy people. They don't, they don't really look out for people's interest, and just so many different things. It, it's unfortunate, because, you know, I can tell you from personal experiences. I just said what we saw,   Dr. Joe Sherman ** 11:16 yeah, I think that what is happening in our healthcare system now is this epidemic of burnout amongst professionals, especially amongst physicians and nurses, but and a lot of that has to do with the amount of administrative tasks and the amount of pressure that's put on physicians and other health care providers in trying to see as many patients as they can in the shortest amount of time as possible, and this is because of our system of fee for service reimbursement for medical care, the way that that health systems stay afloat is by trying to see as many patients as possible, and this unfortunately, combined with the amount of administrative work that needs to be done for each of those visits, plus the amount of communication that comes in from patients, as well as referral sources and requests for prescription refills, all of that comes in constantly through the computer of any physician that's trying to work as an outpatient or inpatient doctor, and it just becomes overwhelming,   Michael Hingson ** 12:43 yeah, how do we fix that? That's a good loaded, general question, isn't   Dr. Joe Sherman ** 12:50 it? It is it is a good question. And I I think it's a multi pronged approach. I do think that one thing that has happened is that the technology of healthcare and the business of healthcare has changed dramatically during the time that I've been a physician, a pediatrician, and the culture of healthcare, kind of, the way we do things, really hasn't changed. So that means that the business and the technology has placed more demands on us, and at the same time, we're kind of doing things pretty much the same way we've always done them, because of these extra demands that are placed on physicians and other health professionals, what's needed are experts that are in those areas of billing, administrative, administration, technology, it all of those things that now all feed into seeing patients in the office or in the hospital. So you need all of those professionals working together side by side along with the physician, allow the physician to do the work that she's been taught to do, which is actually deal with the patient and take care of the patient, and then let other people do the data entry, do the billing, take care of all of the messages and other things that are coming in around that that that provider. Do   Michael Hingson ** 14:23 you think that the same level of burnout exists in other countries that exists here?   Dr. Joe Sherman ** 14:29 You know it does. I do think that burnout exists everywhere in healthcare. I do think that it is less in low income countries, which seems kind of strange, but I've worked for many years in my life in low income countries in Africa as well as South America. And it's a different culture. It's a different culture. Culture of health care there is, there are different expectations of doctors, I think, in other countries, especially countries that are used to seeing a lot of disease and mortality, the pressure on saving lives and the pressure on having to be perfect and always get it right and knowing everything to do it each time that a patient comes in is not quite as intense as it is here. So I do think that it is different in other places. However, I will say that I have spoken to physicians in definitely in the more developed, higher income world, parts of the world that this epidemic of burnout is pretty universal   Michael Hingson ** 15:57 now, It seems to me that I've been seeing in recent years more what they're called physician assistants. Is that a growing population, or is it always been there, and I just haven't noticed it? And does that help?   Dr. Joe Sherman ** 16:14 I do think that in our country, here in the US, the future, will see many more physicians assistants and nurse practitioners, what we call Advanced Practice clinicians, or advanced practice practitioners, providers. We're going to see many more of them doing primary care, and a model that I think would would probably work very well is a team based model where the MD, who is kind of trained at a much higher level for many more years, leads a team of other providers made up of physicians assistants and nurse practitioners to do primary care, to take care of a group of patients, and perhaps that MD is there to consult, to be back up and to care for the more complex patients, while the nurse practitioners and PAs Are are getting the primary care, delivering the primary care.   Michael Hingson ** 17:23 Well, I know that the PAs that I have dealt with through the years, it seems to me, have, especially in the last 10 years, but have been very, very competent, very qualified. And I I don't, I don't know that, where I would say that they're less rushed, but I've had the opportunity to have some good conversations with them sometimes when, when the doctor just doesn't have the time. So it that's one of the reasons that prompted the question. It just seems to me that the more of that that we can do, and as you said, the more that that takes off. Perhaps some of the load from the physician itself may, over time, help the burnout issue.   Dr. Joe Sherman ** 18:10 I do think so. But I also feel like there's tremendous pressure right now on those pas and nurse practitioners, because they're under a lot of pressure too, too, and there aren't enough of them. Reduce and yes, so actually, right now, there's a movement within the the federal government to expand the number of positions in training programs for nurse practitioners and PAs. We have far too few, especially Physician Assistant schools. We don't have nearly as many as we need in this country. And if you look at the numbers, I think it's more competitive to get into PA school than it is to medical school,   18:54 really. Yeah,   Dr. Joe Sherman ** 18:58 I, you know, I that's been my experience of what I've seen from people just, you know, the number of applicants toward compared to the number of accepted, hey,   Michael Hingson ** 19:09 they wouldn't let you into a PA school, huh?   19:11 Exactly? Yeah.   Michael Hingson ** 19:15 No, I know. Well, it's, it is interesting. I know we read a few years ago that University of California Riverside actually started a program specifically, I'm trying to remember whether it was for training doctors. It was something that was supposed to be an accelerated program. Oh, some of the hospitals sponsored it. And the agreement would be, if you went to the school, you'd get the education, you wouldn't pay and at the end, and you would go to work for those hospitals like, I think Kaiser was one of the major sponsors of it. And again, it was all about trying to bring more people into the profession. Which certainly is admirable by any standard.   Dr. Joe Sherman ** 20:04 Yes, I think there are. Now, there are a few medical schools, and they're expanding the numbers that have free tuition, and they some of those schools, such as NYU Medical School has a generous donor who is given a tremendous amount of money as a donation and as an endowment. It pays for all the education of the students that go there. And there are some other schools that have the same arrangement. I think, I think if I were to be boss of the country, I would make all medical education free in in return, people would have to work in an underserved area for a certain number of years, maybe a few years, and then after that, they would be free to practice debt free, in any specialty and anywhere they would like.   Michael Hingson ** 21:10 Well, we need to do something to deal with the issue, because more and more people are going to urgent cares and other places with with different issues. I have someone who helps me a little bit. She's our housekeeper, and she also comes over once a week for dinner, and she has some sort of allergy. She just her face and her neck swelled up yesterday and had all sorts of red spots and everything. It's the second time she took not Benadryl, but something else that made it go away the first time, but it was back, and several of us insisted that she go to urgent care, and she went, and while she was there, she heard somebody say that they had been waiting four hours. So she left, you know, and which doesn't help at all. So I don't know actually whether she went back, because I talked with her later and said, Go back. So I don't know whether she did, but the waiting time is oftentimes very long, which is unfortunate. And I don't know whether more people are getting sick, or they think they're getting sick, or they're just taking ailments that are less too urgent care, but there are definitely long waiting times.   Dr. Joe Sherman ** 22:25 Yes, people, the people do not have a medical home. Many, many people don't have a medical home, a true medical home, that early in my practice pediatrician, as a general pediatrician, if there was a child that was in our practice and at night time or over a weekend, somebody would be on call. If that parent was concerned about a child in any way, they call the emergency line for the practice, the on call line, and that operator would page whoever the doctor was on call, and I would, as the doctor covering call that parent and talk directly at home, give advice over the phone, say what to do, make a decision of whether that child needed to go to the emergency room or not, or in the vast majority of cases, could give advice over the phone about what to do and then follow up when the office was open the next day or on the next week. Yeah, but nowadays, people aren't connected to offices like that. Yeah. We have call centers nurse advice lines of people that don't have access to medical records or have very strict protocols about what type of advice to give and the bottom line and the safest thing is go to the emergency room or go to urgent care. So that's unfortunately why some of the highest burnout rates are in emergency room doctors, and some of the biggest problems with understaffing are in emergency rooms right now. And   Michael Hingson ** 24:16 I can understand that, and makes perfect sense to hear that, and it's unfortunate but true. So yeah, but yeah, you're right. So many people don't really have a home. We've been blessed Karen, my now late wife, of course, was always a patient of Kaiser, and was a strong advocate for the way they did most of all of what they did. And so I eventually, when we got married and we were in a Kaiser area, then I did the same thing. And mostly I think it worked out well. I think. Kaiser is a little bit more conservative than some when it comes to perhaps some of the the newer procedures or newer sorts of things like they, you know, we see ads on TV now for the Inspire way of dealing with sleep apnea, as opposed to CPAP machines. And I don't know whether Kaiser has finally embraced that, but they didn't for the longest time. At least our doctor said that it wasn't really great to have to undergo surgery to deal with it, and the CPAP machines work fine, but I think overall it to to use your your words, definitely, if you're in that kind of an environment, it is a little bit more of a home, and you have definite places to go, which I think is valuable. And I think that more people really ought to try to figure out a way to find a home if they can.   Dr. Joe Sherman ** 26:00 Yeah, I do think that it is in the amount just society has advanced so so rapidly and so much in in how communication is instantaneous these days, through texting and through internet and through instant messaging, all these different ways that everything is sped up so people are looking for answers right away. Yeah, and it's, it's that's often puts too much pressure on the people that are trying to manage all of the patients that and all of their inquiries that they have. So I think, I think we need to make some serious changes in the way that we, that we staff hospitals, the way we staff clinics, and look and see what are the specific duties that need to be done, the specific activities and responsibilities in attending to a patient and specifically target personnel that are skilled in that activity, instead of having a physician who you know, is not the greatest typist, or is not the greatest at trying to figure out a code of billing for insurance or how to look at 100 messages that came in while she was attending to, you know, 25 patients in A clinic. It's just too much. It's overwhelming. And I mean, I now facilitate a group. It's a support group for physicians through physicians anonymous, where physicians are suffering from anxiety, depression, addiction. Suicide, ideation, and it's it's really at at scary levels right now, and I do think that the healthcare systems are starting to be aware of it. Think patients need to be aware of it, and the reason why, when you call, you're on hold forever or you never do get to speak to a real person, where it takes months to get in to see a doctor, it's because nobody's home. Yeah, everybody is many, many people have, have quit.   Michael Hingson ** 28:39 Yeah, there's such a shortage. I know at least we see ads oftentimes for nurses and encouraging people to go into the field, because there's such a shortage of nurses, just like there's a shortage of teachers. But we don't do as much with the conversation of, there's an incredible shortage of physicians. I think it's probably done in some ways, but not as publicly as like nurses and some other types of physicians.   Dr. Joe Sherman ** 29:13 Yes, I think right now, the I always feel like, I mean, this has been always true that on hospital floors, because the profit margin for hospitals is very narrow, there are only certain services that hospitals truly make profit on. So usually the staffing levels are kept to the very bare minimum, and now that just puts too much pressure on those that are remaining. And so now we're seeing many more hospitals have nurses that go out on strike or or decide to slow down, or. Or do other measures to try to get the attention of how dangerous it is to have understaffing in the hospital.   Michael Hingson ** 30:08 Have we learned anything, because of all the stuff that happened with COVID Now that we're in this somewhat post COVID world, have we have we learned a lot or any or anything, or is anything changing, and is there really ever going to be a true post COVID world? For that matter? That's a fair question.   Dr. Joe Sherman ** 30:29 That is a fair question. And I do think recent changes in policy by the CDC of of treating COVID As if it were influenza, or RSV or other type of respiratory viruses is there are many physicians that disagree with that policy, because COVID, this COVID, 19 that We've been dealing with, causes many more complications for those that have complex medical conditions, and this long COVID situation is something that we really don't have a grasp on at this point, but I believe one innovation I would see or expansion that has come about is the whole telehealth movement, now that there are many, many more video visits, I do think that's a good thing. I also believe that it can provide more flexibility for healthcare providers, which will help to decrease burnout, if providers are able to perhaps do their telehealth visits from home, or be able to spend time doing telehealth visits as opposed to having to see patients in person. I think what happens now is we need to get better organized as far as which types of visits are should be telehealth, and which types should be seen in person, so that one provider is not going back and forth from, you know, computer screen to seeing somebody in person, back and and so that gets too disorganized. Yeah, I think at times, other things, I think we learned a lot about infectious disease. I think that the general public learned a lot more about infections and infection control. I think that's all good. I think one thing that we did not learn, unfortunately, is how desperately we desperately we need to do something to try to stem the tide of burnout, because it just accelerated during COVID and then has continued to accelerate because of the economic crunch that healthcare systems find themselves in now.   Michael Hingson ** 33:10 Well, and what is, to me, a little bit scary, is all it takes is one COVID mutation that we don't expect or encounter, and we're almost in back where we were, at least for a while. And I hope the day will come when, rather than using the the mRNA type vaccine that we use now that we truly will have a vaccine like an influenza vaccine, that can really kill the virus and that we can then take, even if it's yearly, but that will truly build up the immune system in the same sort of way. Although I have no problem with the current vaccine, in fact, I'm going in for my next vaccine vaccination a week from tomorrow. And what cracks me up is I've been there a number of times, and some people talk about the conspiracies of all they're doing is injecting you with all these little things that are going to track you wherever you go. And I'm sitting there going, Fine, let them. Then if there's a problem, they're going to know about it, and they'll come and get me, you know, but what I really love to do is a nurse will come over, she'll give me the the vaccination, and she pulls the needle away, and then I reach over with my one hand and slap my hand right over where she did the shot. And I said, Wait a minute. One just got out. I had to get it, you know. And, and she says, you know, there aren't really any trackers. I said, No, I'm just messing with you, but, but you know, it will be nice when that kind of a vaccination comes, and I'm sure. Or someday it will.   Dr. Joe Sherman ** 35:02 Well, I think the vaccines it this specific, these types of respiratory viruses do mutate quite a bit. There's all kinds of variants, and they change every year. So I think no matter what kind of vaccine we get, we're still with with infections such as influenza or COVID, we're still going to end up needing to get annual vaccines, most likely, yeah,   Michael Hingson ** 35:34 and that is the issue, that even with influenza, we do get lots of variants, and I know a couple of years, as I understand it, they kind of predict what strains to immunize for based on like, when Australia gets in our middle of the year and things like that. But sometimes it doesn't work. That is they they guessed wrong when it gets to us, or it's mutated again, and it's unfortunate, but it is, it is what we have to deal with. So for me, as far as I'm concerned, anything that we can do is going to help. And I really have found the current vaccines that we do get for COVID, at least, whether it will totally keep you from getting it or not, which I gather it won't necessarily, at least it will mitigate to a large degree what could happen if you didn't take the vaccination.   Dr. Joe Sherman ** 36:34 Yes, yes, that's correct. We We are. We're seeing much less deaths as a result of COVID infection. However, in the peak of the winter time in the clients that I was that I've been coaching, who work in in hospitals and in ICUs, they were seeing still a large number of patients that were there. It's just that we've now developed better treatment and management for it and so, so then less people are dying of it. But it is, you know, we have, again, the amount of research, medical research and development that has developed these vaccines has prevented so much infection that what doctors are called on to do now and what they're called on to treat and manage has shifted much more into areas of behavioral health and lifestyle change than it is treating infections. That's dramatically different experience through my pediatric training than what type of training that a pediatrician these days gets   Michael Hingson ** 38:01 and there again, that means that the physicians have to spend the time learning a lot of that that they didn't learn before, which also takes a toll, because they can't be in front of patients while they're learning or while They're studying.   Dr. Joe Sherman ** 38:18 Yes, yeah, it's what the medical students and residents now are being called on to manage in the hospital are very, very complex, specialized conditions and very serious conditions. My experience as a resident was much more. The vast majority of people I took care of as a pediatric resident were normal, healthy children who happen to get sick, mostly with infection and sometimes very seriously sick, come in the hospital, receive treatment, and walk out as a child, a normal, healthy child again, we don't see that as often as pediatric residents, just speaking from pediatricians point of view, and I think that that has a an emotional toll on the resident physicians. I got a tremendous amount of reward from caring for patients with serious infections that received antibiotics and got completely better than patients who already have complex chronic conditions that just get worse or a complication, and they come In and the resident helps to manage them a little bit, and then sends them on their way. But really doesn't feel like they cured them contributed in the same way and that that was they don't have that same type of reward, that rewarding feeling, I think, are   Michael Hingson ** 39:59 we seeing? More of that kind of patient, significantly more than we used to in the hospital. Absolutely. Why is that? Is there really are more or   Dr. Joe Sherman ** 40:11 or what? Well, there aren't. We've taken care of most of the serious bacterial infections that used to be treated in the hospital with antibiotics, we've taken care of them with vaccines, and then we've also advanced the the quality and and variety of conditions that we can treat as an outpatient now, so that people that used to come into the hospital all the time for conditions, simple, basic things, are now treated as outpatients. And that's a good because you don't want to be in the hospital any longer than you absolutely have to. No,   Michael Hingson ** 40:58 I had, well, my father, I don't remember how old I was. It must have been in the we 1960 sometime he had to have a his gallbladder out. So it was a pretty significant operation at the time, because they he was in the hospital a couple days, and came home with a nice scar and all that. And then my brother later had the same thing. And then in 2015 suddenly I had this, really on a Thursday night, horrible stomachache. And I figured there is something going on. I hadn't had my appendix out, but this wasn't right where my appendix was, but we went to the local hospital. We called Kaiser, and they there isn't a hospital, a Kaiser hospital up here, so they sent us to another place, and they took x rays, and then we ended up going down. They they took me by ambulance on down to Kaiser, and it was a gallbladder issue. So I guess all the men in my family had it. But what happened was that when they did the surgery, and by the time we got down to Kaiser, the there was a gallstone and it passed. So I didn't want to do the surgery immediately, only because I had the following Sunday an engagement. So we did it, like a week later, the doctor thought I was crazy, waiting. And then later he said, Well, you were right. But anyway, when I had the operation, there were three little band aids, and it was almost, I guess you call it outpatient, because I went home two hours later. Wow, I was I was blessed. So they it was almost like, and I've had colonoscopies before. I didn't spend any more time doing the gallbladder operation than I did, really, with all that I spent in the hospital doing a colonoscopy, it was pretty good,   Dr. Joe Sherman ** 42:58 right? I do think that there's been again, major advances in endoscopic surgeries and robotic surgeries and minimally invasive procedures to be able to to treat patients. I mean, again, I have to say that our ability now to treat stroke and and heart attacks, myocardial infarction, our abilities to our ability to treat those acutely, do something to try to improve the outcome, has improved dramatically just recently, I would say, especially stroke management. So what we have is amazing, dramatic changes in in reducing the morbidity and mortality from stroke now, and I think that it's remarkable. Even as a physician, I didn't even realize until a recent trip I took to Bolivia with a group of neurosurgeons how stroke is treated now, and it's, it's, it's phenomenal that before you have a stroke, and it's just kind of like, well, you hope for the best. You support hope that some blood flow returns to that part of the brain. Now, if you have a stroke, and people are taught to recognize it and immediately get to the hospital, they can give a medication to melt the clot, or actually go in there with the catheter and extract the clot out of the vessel and restore you back to full function and   Michael Hingson ** 44:56 remarkable, and have a glass of red wine while you're at it. Yeah. Uh, or, or, do we still say that TPA helps some of those things a little bit? You   Dr. Joe Sherman ** 45:07 know, it's interesting. It's, you know, as far as as I think I've never seen so many articles written about the consumption of alcohol coffee, going back and forth and back and forth. You know what's helpful? What's not? Everything in moderation, I would say this point,   Michael Hingson ** 45:28 yeah, I I would not be a good poster child for the alcohol industry. I have tea every morning for well, with breakfast. And the reason I do is that I decided that that would be my hot drink of choice. I've never been a coffee drinker. The caffeine doesn't do anything for me, so it's more the tea and then a little milk in it. It is a hot drink. Ever since being in the World Trade Center, I do tend to clear my throat and cough more, so the tea helps that, and that's the reason that I drink tea. But I remember seeing old commercials about red wine. Can can help you. So if I have a choice in wine, I'll oftentimes get red just because I've heard that those commercials, and I don't know how how true it is anymore, but hey, it's as good a reason as any to have a glass of wine every other week. And that's about what it usually is.   Dr. Joe Sherman ** 46:26 Yeah, sounds like. Sounds like a good, a good plan. Yeah,   Michael Hingson ** 46:31 works. Well, it's, it's now kept me around for a while, and we'll keep doing it. It works. So what is it that healthcare workers and physicians do to kind of restore their love for what they do and work toward burnout? What can individuals do?   Dr. Joe Sherman ** 46:54 I think we're at a point now where in in approaching the issue of burnout and approaching the issue of overwhelm with the amount of work that physicians are called on to do these days is a combination of personal Changes to mindset and approach to our work, as well as structural and organizational changes to facilitate our work. And I think that the organizational structural changes, again, have to do with trying to improve specific staffing to match the activities and responsibilities that are that are called on in the medical setting, and being able to do more in the in the formation of medical teams and in teamwork And in people having a common mission, working together, appreciating what each other does, and hospital administrations and and those folks that run the business of the hospital truly value and enlist The engagement of frontline workers in policy and procedures. So those are kind of structural changes right on the personal side, yeah, I was that's I just a lot of it has to do with being more realistic. And I'm speaking to myself too. We can't do everything for everyone all the time we are human. We often have been taught that we are super human, but we're not. And if, if we try to do too much and try to do it perfectly, then our bodies will rebel and we'll get sick. So I think we need to set boundaries for ourselves. We need to be able to say, these are the hours that I'm working. I can't work any more than that. We need to say that you can't reach me three different ways, 24 hours a day, all the time, and have me respond to all of those inquiries, we have to set limits, and we have to really look at what it is that we love about medicine, what it is we love to do within medicine, and really try the best we can, I Think, with the help of coaches and other types of mentors and folks that can help us to create the types of jobs and the types of positions that help us maximize that experience of fulfillment, that experience of of. Feeling like we truly are contributing to the health and well being of our patients. Do   Michael Hingson ** 50:07 you think overall that the kind of work you do, and then others are doing to address the issue of burnout is is really helping? Are we are we making more progress, or are we still losing more than we gain.   Dr. Joe Sherman ** 50:23 I think we're making progress on an individual basis, on people that do seek help. But we need also to change the mindset of ourselves as physicians, to be willing to seek help. We need to seek help and be admit that we need that type of support, but until we get organizational commitment to trying to change the structures and the systems that we work under, then we will continue to have more physicians lost to burnout, depression and suicide.   Michael Hingson ** 51:05 Are healthcare institutions recognizing more the whole issue of burnout, and are they? Are they really starting to do more about it?   Dr. Joe Sherman ** 51:17 Some, I think some are. I think organizations are recognizing it. Associations of physicians are recognizing it. But when it comes to surviving as a health organization, healthcare institution, the bottom line is, what runs a show, and the way you make income is through billing, and the billing occurs as a result of a health care provider providing and billing for what they Do. So if there's an economic crunch, the first thing to go is anything that doesn't generate income and supports for the well being of staff does not generate direct income. What it does, though, is that it retains staff. It it results in a happier staff, a more higher professional satisfaction, and in the long run, is going to save you money,   Michael Hingson ** 52:33 yeah, which, which is another way of making some more money.   Dr. Joe Sherman ** 52:39 Yeah. I mean the total cost, the average cost for replacing a physician who has decided to quit is anywhere from about 600,000 to $2 million depending on the specialty of the physician. Yeah,   Michael Hingson ** 52:57 and then getting people to necessarily see that is, of course, a challenge, but it still is what what needs to happen, because it would seem to me that those costs are just so high, and that has to account for something that is still a fair chunk of money. Yeah, it   Dr. Joe Sherman ** 53:16 is. It's a great deal of money. And, you know, our again, our system of health care, we were headed in the right direction. And I think eventually we have to get there to population based health in looking at health outcomes and trying to look at overall health of of our our citizens and and those who live here in our country in trying to, instead of having a fee for service model, have a model that looks at reimbursement for health care based on the total health of The patient, and that is contributed to by nurses, doctors, technicians, receptionists, community health workers, all those types of health professionals.   Michael Hingson ** 54:12 What can we do to get the wider society to become more aware of all of these issues and maybe to advocate for change.   Dr. Joe Sherman ** 54:25 I think, I think avenues like this, these   Michael Hingson ** 54:29 podcasts, this podcast is one.   Dr. Joe Sherman ** 54:32 I also believe that look at your real life, lived experience of trying to access healthcare today compared to how it was 20 years ago, and are you having more trouble? Are you having is it more expensive? Are you having more challenges? This is direct result of a. System that's not functioning well.   Michael Hingson ** 55:02 Did the whole process of what we now call Obamacare, did that help in the medical process in any way? I   Dr. Joe Sherman ** 55:11 think what happened with Obamacare was well, and the bottom line answer is yes, it has helped. And the way it has helped is that more people have access to health insurance, less people are completely uninsured than ever before. So I think from that perspective, that's been helpful, but there were so many compromises, oh yeah, to insurance companies and two different lobbyists that were all looking out for their interests, that what ended up happening was a much more watered down version of what was initially proposed, but step in the right direction, And if we continue to work toward that, and we have some contribution of government sponsored health insurance, then we're going to be better off as a nation,   Michael Hingson ** 56:14 yeah, well, and anytime we can make a step forward, it does help, which is, of course, a good thing. So if there's one thing you want listeners to take away or watchers, because we are on YouTube, if there's one thing you want people to take away from this, what would it be?   Dr. Joe Sherman ** 56:33 It would be, pay attention to your own personal experience with healthcare. Pay attention to your own health and observe what's going on in the clinics, in the offices and in the hospitals where you receive your medical care. If somebody is treating you well with respect and compassion, point it out. Make it known. Thank them. Yeah, make it known that you know that they're under tremendous stress and pressure, and that anytime that they can be kind, then that means that they are very dedicated to to treating you, treating patients. And if you're finding that where you're going to receive your health care seems to be understaffed, and say something about it. If you have a health care provider who is a bit snappy, is not patient with you, doesn't seem to be listening to you, it's not because they don't want to. Yeah, they desperately want to. It's just that the conditions are such that they're not able to   Michael Hingson ** 57:44 and and it would probably be good to at least engage them in a little dialog and say, hey, hey, I'm not trying to yank your chain here and kind of try to help warm them up. I've been a firm believer that in a lot of places where I go, like in the in the airline world, the TSA people and so on, I love to do my best to make them laugh. So like when I go up to the kiosk and the TSA agent says, I need to see your ID, especially when I'm wearing a mask, I'll say, Well, what do you want to see it for? You can't tell who it is behind this mask, right? And I've had a couple people who didn't expect anything like that, but they usually laugh at it. Then the other one I love to use is they ask for my idea. I say, Well, what's wrong with yours? Did you lose yours? And I just love to try to make them laugh where I can, because I know it's a thankless job, and I know that what doctors and medical people deal with is a pretty thankless job, too. So it's fun to try to make them laugh whenever I can and get them to smile.   Dr. Joe Sherman ** 58:47 Yep, they all could use a little bit more humor. Yeah, there's always that. So   Michael Hingson ** 58:51 if people want to learn more about you and reach out and learn about your work and so on, how do they do that? Where do they find you, online or any of those things? Sure,   Dr. Joe Sherman ** 59:00 I have a website that you can go to. It's Joe Sherman md.com and you can reach me by email. Joe at Joe Sherman md.com also on LinkedIn, so you can find me there. Too Cool. Well,   Michael Hingson ** 59:20 once again, I want to thank you for being here. This has been a lot of fun and very enjoyable and in a lot of ways, but certainly educational, and I've learned a lot, and we got through all the questions this time that we didn't get through last time, which is always a good thing. So see, it was worth doing it twice.   Dr. Joe Sherman ** 59:39 Great. Thank you so much. Well, it was   Michael Hingson ** 59:42 fun, and of course, for you listening out there, reach out to Joe, and I want to hear from you. I want to hear what you think of today. So please email me. Michael, h i at accessibe, A, C, C, E, S, S, I, B, e.com, or go to our podcast page, www, dot. Michael hingson.com/podcast and Michael Hinkson is m, I, C, H, A, E, L, H, I N, G, s, O n.com/podcast, would really appreciate a five star review from you, wherever you are listening to us. We like those reviews if you can, if you know anyone that you think ought to be a good guest on unstoppable mindset. And Joe you as well. We'd love to hear from you or provide us introductions. Always looking for more folks to to meet and to chat with, and love the incredible diversity and subjects that we get to talk about. So that makes it a lot of fun, but I do want to just once more. Joe, thank you for being here. This has been enjoyable, and I really appreciate it. Thanks   Dr. Joe Sherman ** 1:00:40 so much, Michael, I enjoyed the conversation.   Michael Hingson ** 1:00:48 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.

How does your daily skincare routine impact fertility, pregnancy, or your overall health? Which products and sunscreen are ok while trying to conceive and pregnant and which are NOT? Can you do botox, filler, red light therapy while trying to conceive? Dr. Heather Rogers joins Baby or Bust to answer these questions and give valuable advice on finding a safer skincare routine without compromising your safe care. Dr. Rogers is a double-board certified dermatologist and founder of Doctor Rogers Skin Care line. She knows building a family isn't easy for everyone and can take longer than you might like. So her recommendations are in line with putting yourself first and making your skincare routine manageable and safer for the various stages of fertility, pregnancy, and all stages of life. In the education-packed episode, Dr. Lora Shahine and Dr. Rogers discuss endocrine disruptors and toxins, tips for finding the right products for you, practical recommendations for using retinol, fillers, sunscreen, red light therapy, Botox, and IPL before and during pregnancy, and Dr. Rogers shares her top 5 products for your best skin.  In this episode you'll hear: [2:08] Meet Dr. Heather Rogers, founder of Doctor Rogers Skin Care [4:38] So many choices for skincare: Find Safer Ones [8:05] The truth about parabens and endocrine disruptors [13:45] Navigating skincare product safety [19:08] Dos and Don'ts for trying to conceive products and pregnancy products [28:34] The five products you need for amazing skin [35:09] Red light therapy [37:35] Sunscreen recommendations [41:35] Where to find more information from Dr. Heather Rogers   Resources mentioned:  www.doctorrogers.com Enjoy 15% discount with code DRSHAHINE at checkout www.mdinseattle.com Follow Dr. Rogers on Instagram & Tiktok  @drheatherrogers  Follow Doctor Rogers Skin Care @doctor.rogers Ep 80 Finding Safer Products with Lanning Ardente: Let Sorette Do the Research for You    Dr. Shahine's Weekly Newsletter on Fertility News and Recommendations Follow @drlorashahine Instagram | YouTube | Tiktok | Her Books

This episode features, Jamiroquai, Roy Ayers, Cheryl Lynn, Force MD's, MF Robots, and many more!DJ Rhythm Dee hosts a recurring segment known as the Black Magic Sounds. The show will feature the smooth grooves of Neo-Soul, and Jazz, as well as Funk, R&B, Disco, Soulful House, Slow Jams, and anything that moves you. It's all about feeling the music and hearing some tracks that were forgotten or entirely new to you.Remember when music was Music!PLAYLIST1. Me & You (Dr. Packer Remix)/Re-Tide, Lukas Setto2. Give it Up (f/Kathy Brown, Dr. Packer Remix)/Eminence, Kathy Brown, Dr. Packer3. Joy (Dr. Packer Remix)/Staxx, Dr. Packer4. Little L (Dave Lee Reblend)/Jamiroquai5. Still In Love /Rose Royce6. Dish It Out/The Isley Brothers7. Forever and Ever/Juicy8. Females/Atlantic Starr9. Touch and Go/Force MD's10. No One Else Will Do/Cheryl Lynn11. Are You The Woman (with Whitney Houston)/Kashif12. Dangerous Jazz/Ferry Ultra, Roy Ayers13. Vibe/Wez Whynt, Hannah Khemoh14. I'd Rather Dance With You (f/ Narada Michael Walden) House Mix/Cornell C.C. Carter15. Turning It Up For Sunshine/The Tribe of Good16. Gold  (Atjazz Love Soul Remix)/MF Robots17. Like Sunshine (Funkopolis Mix)/Sound Syndicate

“The Seven Attributes of You” – Dr. John The qualities we attribute to the Divine, must also be the qualities of you and me. This is an exploration into how that applies.  Released Sept. 29, 2024 Your generosity helps to support our Podcasts. Please visit our website: http://www.cslftl.org to donate. Thank you!  

Everything and anything We want is simply because We think We will feel better!   You can feel better and have peace in this magical episode that will take You to green pastures and still waters here.   And discover how God works in magical ways to answer Your prayers, and have Your cup overfloweth with more than You asked for   Open Yourself this week to the miracles that await You  Dr. Hank    If you want more information on how you can live the life you've always wanted, call or text me at 214-753-7204

Yes, a long title but absolutely appropriate and worth it for this guest. Meet Joe Sherman. Joe grew up in a family being the youngest of seven siblings. His parents who had not gone to college wanted their children to do better than they in part by getting a college education. Joe pretty much always wanted to go into medicine, but first obtained a bachelor's degree in Engineering. As he said, in case what he really wanted to do didn't pan out he had something to fall back on. Joe, however, did go on and obtain his MD and chose Pediatrics. Wait until you hear his reasoning of why he wanted to help child patients over adults. Much of my time with Joe revolves around discussing the current status and future of medicine. Spoiler alert! I already invited Joe back for a second episode. He had a lot of good and interesting material to share and there was simply no way to get it all into one episode. I hope you will find my discussion with Joe Sherman beneficial, productive and helpful to you, especially if you are a doctor. About the Guest: Dr. Joe Sherman helps health professionals transform their relationship with the unrelenting demands of their jobs and discover a path toward meaning, professional fulfillment, and career longevity. He believes the key to personal and professional success lies in bringing “soul to role” in your medical practice. Dr. Sherman is a paediatrician, coach and consultant to physicians and healthcare organizations in the areas of cross-cultural medicine, leadership, and provider well-being. He is a facilitator with the Center for Courage & Renewal and a Master Certified Physician Development Coach with the Physician Coaching Institute. Dr. Sherman has been in pediatric practice for over 35 years concentrating on healthcare delivery to underserved and medically complex children in the District of Columbia, Tacoma, Seattle, Uganda, and Bolivia. He has held numerous faculty positions and is currently Clinical Associate Professor of Pediatrics at the University of Washington. Learn more at skyeteam.com Ways to connect with Dr.Joe: My website is: https://joeshermanmd.com/ LinkedIn: www.linkedin.com/in/joeshermanmd Direct email connection: joe@joeshermanmd.com About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can also subscribe in your favorite podcast app. Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes: Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us.   Michael Hingson ** 01:21 Well, hi, everyone. Thanks for being here with us. We're glad that you're here. Wherever you happen to be in the world. I am your host, Michael Hingson. And you are now listening to or watching unstoppable mindset. We're inclusion, diversity in the unexpected meet. And unexpected is what we do most of the time. Anyway. So that's what we're going to do today, we get to chat with Dr. Joe Sherman, who is a board certified pediatrician. And he is also a certified master coach. And specifically, he is a master certified physician development coach, which is even more impressive sounding. We're gonna learn about that as we go forward. But I want to again, thank you all for being here. And Joe, welcome to unstoppable mindset. Thanks for being here with us.   Dr. Joe Sherman ** 02:13 Thanks for having me, Michael. I really appreciate the invitation.   Michael Hingson ** 02:17 Now you're up in the Washington area, right?   Dr. Joe Sherman ** 02:20 I am. I'm in Seattle, Washington, the land of cold freezing rain and clouds right now.   Michael Hingson ** 02:27 Ie up well, it got up to 64 today here where I am down in Victorville. And so I have little space heaters that are keeping the house warm enough that I don't have to turn on the gas furnace. And so that saves a bunch of money since everything here is in this new house is solar. We like that.   Dr. Joe Sherman ** 02:48 That sounds very cozy compared to the rest of the country. Well,   Michael Hingson ** 02:53 at least it's it's cozy here. My cat likes it and Alamo, my guide dog like it so I can't, can't complain too much. Good for you. Well, why don't we start? Why don't you tell us a little bit about the earlier Joe Sherman growing up and some of that stuff?   Dr. Joe Sherman ** 03:11 Sure, I'd love to. So I am originally from the east coast, from Washington, DC, and I'm the youngest of seven kids. And when I grew up in my family, it was all about get the education get the most education you can and achieve as much as you can academically to go as far as you can. Neither of my parents went to college. And so it was a big deal, especially for my father to make sure we we all went to college and and it really I think the message I got was find a profession and a job that you actually want to go into work every day to do.   Michael Hingson ** 03:54 How many of you were there? How many sores seven of us, oh my god and   Dr. Joe Sherman ** 04:00 and he worked for the post office and he had tough work tougher out there. But he was able to put five of seven of us through college and through our work and his work. But there definitely was a message that I went into college with which was at being the youngest of seven, wanting to do something different from the rest wanting to be better than the rest often because competition was big. And no one was in healthcare. And I really enjoyed this idea of trying to be of service to people. I enjoyed coaching sports, I enjoyed tutoring and, and being doing community service things. And I thought since I did well academically, Madison was a great route to go. So that's the route I took. studied engineering in college because my parents, and I decided you always want to have a backup in case you don't make it into medical school and engineering was a good, good way to get a job. And most of this stuff really is a preface to how much we follow the messages we were given by other people and the messages which have been kind of, programmed into us for better or for worse by people who really wanted the best for us. And for me, that was to go to medical school. And I thought that that would be a great profession, social status, income, helping people and giving me a certain amount of autonomy as far as where I would work and, and kind of what I would do. If those were the reasons I went in that direction.   Michael Hingson ** 06:00 It's interesting. I've heard so many times on unstoppable mindset and just other times in my life about how parents didn't go to college, and they wanted their children to go to college, and they were really committed to doing it. But I love the other part, which parents sometimes did, and sometimes didn't necessarily do, which in your case was find a job that you like and that you want. And I think that's really great. They were not only really committed to helping you go to college, but they wanted you to do what you found enjoyable to do, which is cool.   Dr. Joe Sherman ** 06:38 Exactly. And they were very supportive. I have to say, since I was the youngest of seven, by the time I made it into college and was making my way through, they were getting older, and they were getting sick with different ailments to the point that my senior year of college, they both died. What year was separate incidences that was in 1980 1880, and 1981. So   Michael Hingson ** 07:12 did they're getting older and having illnesses in any way influenced you to being interested in medicine.   Dr. Joe Sherman ** 07:20 My experience, I would say, with interacting with their doctors and the medical system, as they became ill and eventually died, definitely influenced the kind of doctor I became. And my approach to medicine.   Michael Hingson ** 07:40 Will Tell me more about that, if you would what?   Dr. Joe Sherman ** 07:42 Well is almost a contrast of two extremes. My mother died of heart disease, and she was diagnosed with heart disease after I was born, and was in the hospital for months. And then the rest of her life, she struggled with congestive heart failure. She had a cardiologist to doctor who was actually a friend of the families. He was there with her every step of the way. The night before she died, I was in the hospital there, having then called back from school to be there because she was so sick. And he brought his wife to the hospital that night, to say goodbye to be with her, and, and to be able to talk to the family. And so shot was an example of a very supportive, compassionate physician accompanying someone at a tough time,   Michael Hingson ** 08:44 that had to have an impact on you. That was   Dr. Joe Sherman ** 08:47 a big impact. The other extreme was a couple of months after my mother died, my father had gone in for a procedure for finding blood in his urine. And eventually, he didn't know what was going on. And what the reason was. His doctor never told him but instead told me a 21 year old kid that he had metastatic bladder cancer and was going to die. There was no treatment for that.   Michael Hingson ** 09:22 I didn't why didn't he tell his patient?   Dr. Joe Sherman ** 09:25 Well, I asked him that question. And I said, Well, I don't think my father knows the diagnosis, or that there's no treatment. Is there are you going to tell him? And he said, Well, I was a little worried that he might get too depressed since his wife just died. And I was not in medicine. I didn't know what I was listening to. But that doctor after two follow up visits after his procedure and diagnosis and Ever Told him and my oldest brother eventually had to tell him. And that was a very, very difficult time in my life when I was home over Christmas break, and I knew my father was going to die. And he didn't know. That really was the negative example for the kind of doctor I wanted to be. I want did not want to be someone that was dishonest with my patients that wasn't supportive of my patients that wasn't there to answer their questions and to accompany them at any point in time. Yeah.   Michael Hingson ** 10:45 In 2014, my wife became ill started with bronchitis and it kept getting worse. And we both had colds. And mine didn't last long. But she had been in a wheelchair her whole life, and tended to when she got when she got a cold or the flu or anything, she really got it. And so she ended up going into the hospital on a Saturday and the next day, they had to put her on a ventilator because it went into double pneumonia and acute respiratory distress syndrome. And her lungs. And they told me it happened, like literally just in a few hours because they thought she had the flu. And she kept saying she didn't. And I knew she didn't. But anyway, her note lungs were more than 90% occluded. By the time they got her on a ventilator, and they put her in an induced coma. And the ventilator to start to try to clear out the lungs. They had to use a peeps level of 39 just to get air into her lungs. Yeah. You understand that? Because I guess normally peeps is the I forget what peep stands for. But it's basically the pressure that it takes to put air into your lungs. And it's normally between two and five.   Dr. Joe Sherman ** 12:04 Exactly. Positive and inspiratory pressure.   Michael Hingson ** 12:09 Yeah. And she had 39 Everybody from around the hospital came just to see the gauges because no one believed it. But she survived. Wow. And the so the doctors were honest with me. And when they finally brought her out of the coma they had, they had given her propofol. So this was now with night it was 2014. So as long after Michael Jackson, but when she did come out of it, I asked her if she remembered singing thriller, or any of those kinds of things says she had propofol. But she, they also were very forthright with her. They knew that she understood her body. And we were very pleased at the fact that people were direct with her in a good way. But they they did not try to keep things from her.   Dr. Joe Sherman ** 13:08 I think that's very important I, in my situation, it was as I started to go through medical school, especially in my clinical years, I used to go back as a medical student and sit with my patients and talk to them get to know them better. It was not just a matter of carrying out all of the duties that a medical student was supposed to do. But it was truly getting to know my patients as people. Yeah, not just diagnoses. And that was influenced a lot by what I experienced with my parents.   Michael Hingson ** 13:50 When I was going down the stairs getting out of the World Trade Senator, we had firefighters passing us and so on. And we asked what was going on. And they didn't tell us. And there were a couple of other times along the way that I asked people what was happening. And they said, there's just no time to really tell you, this is what you got to do. I also know that they probably did that with me and others because they didn't want to cause panic by saying terrorists and attack the towers. On the other hand for me, and they didn't know b Of course, I love information. And it would have been invaluable for me to know, because it would have actually made a difference in the decisions that we made and where we walked, which ended up putting us in more danger because we were very close to tower to when it collapsed rather than going a different way. And but you know, they didn't know me and I appreciate people not doing that. But I also think that we as a people can learn to accept information. But it is a problem that we have often that we we let unexpected things overwhelm us and Fear blindness as I describe it, as opposed to learning to control it, and it is, it is a problem. So, I would think that the doctors really should have understood or your doctor should have understood about your father, and it would have been appropriate and honest. But sometimes they're afraid to I guess. Exactly,   Dr. Joe Sherman ** 15:20 exactly. I think that was the situation that was, you know, as physicians, we are given a lot of power we are. And we are built up during our medical training to believe that we have the answers to always expect to have the answers. And when we don't have an answer, when we don't have a treatment or cure, then sometimes we feel like we failed in some way. And so being present to patients in that moment, can be very difficult for some physicians. For me, it's just a change in plan. It's a plan that doesn't involve an operation or chemotherapy, or whatever the treatments that would be futile otherwise, might be. But instead, the plan going ahead is to comfort patients and to be present to family members and answer as many questions as possible. And I think that that also is delivering medical care and to be compassionate to patients and families. I   Michael Hingson ** 16:46 have heard so many times when someone who has eye problems goes to see their ophthalmologist, and the ophthalmologist after doing whatever work they do, knows that this person is going to lose their eyesight. And they just say, I'm sorry, there's nothing I can do. And they leave the room. And they're taught, I'm told oftentimes in the schools where they go, that if they can't save a person's eyesight, then it's really a failure. And we've got to somehow get away from those kinds of attitudes and ideas.   Dr. Joe Sherman ** 17:29 Yes, I think this is something that everybody is different, you know, every physician is different. And I think a lot. I think something that's forgotten is that we all come into medical training, already with our demeanors our personalities, our belief systems, as well as our values. And we're taught to fit in a certain way, and behave a certain way in order to get to our destination, which is graduating from medical school, finishing a residency and getting a specialty. And during that process, many of us lose sight of who we are, what our values are. Because we've been given things to take on such as death as a failure, or you should always know the correct treatment. Otherwise, you failed certain amount of perfectionism a certain amount of European never, you're never going to know it at all. So you always are have to keep working, working, working and striving. It's Yes, it's a recipe for burnout easily. Yeah.   Michael Hingson ** 18:48 And nowadays, of course, in our sort of fractured chaotic society, on so many things in the medical environment in the medical world have become politicized, which has to really make it even harder for doctors.   Dr. Joe Sherman ** 19:06 Yes, I would say I think for most physicians that I encounter, the the politics that that they wrestle with more than anything is the business of health care. How they can fit into the increasing corporatization of health care. Yeah. Coming from coming from a profession that is really meant to be human centered, and relationship based. But functioning within an environment of business and corporate gain is a cultural collision that many physicians are wrestling with now.   Michael Hingson ** 19:56 Yeah, I'm the in the insurance industry in the corporate business industry just seems to want to dominate and forget what medicine and the philosophy of medicine and being a doctor is really all about.   Dr. Joe Sherman ** 20:16 Yes, I think it's, you know, it's it's a challenge, because in our country and the United States, healthcare is really a commodity that we purchase, just like everything else. It's not, it's not considered to be a right like a social, like a social benefit that government is responsible for. There are only select groups of the population that that is considered to be a responsibility of government. And even that is extremely politicized and charged. But because it is a commodity, to be bought and sold, right now we have medical groups, hospitals, health systems that are being bought and sold by corporations, venture capitalists, private equity firms, every kind of businesses that you can imagine. How   Michael Hingson ** 21:18 do you deal with the issue, though, and I've heard people argue this that, yeah, the whole idea of socialized medicine, and as in other countries, and so on, but we're more advanced, we've done more to contribute to medical progress here than anywhere else. And that has happened in part, because of the capitalistic way we do things and the business and competitive way we do things.   Dr. Joe Sherman ** 21:44 Yes, I would say, for our situation in United States, as far as medical technology, advances in research, for the most technical specialized care, we have made amazing strides. Even since I finished medical school, I can't keep up with the amount of medical information that there is, and, and everything that's been discovered, and, and, and all the technology available in hospitals. However, if you look at primary care, and access to quality care, across the board for the entire population, we really have not made such great progress. And as far as developing countries around the world, we are decreasing in our progress as far as access and quality primary care for everyone.   Michael Hingson ** 22:48 Yeah, it is really strange. To see what's happened in the world of medicine, and so on, and I go every year for a physical and the physical is no more than a half hour, and then you're you're pushed out because the next person has to come in. And I know that it's not nearly as thorough as it used to be. But that's kind of the way it is. So I've had to spend time learning a little bit more about my own body and bringing any questions and so on to the doctor during the examination, or I do have email access. But still, we you're right, we were not. We're not progressing in that arena, like we really ought to, given the kind of country that we are.   Dr. Joe Sherman ** 23:45 Yes, I think that's true. And I think because the technology of medicine has advanced so much and because communication as advanced so much has become so instantaneous. That that demands on all health professionals, not only doctors but nurses and, and technicians and, and everyone that encounters patients. The pressure and the amount of work that's now on our laps, has increased dramatically, especially in the last 20 to 30 years. And I think with the advent of the electronic health record, which is a wonderful resource as far as sharing information, but it's really designed for coding and billing and being able to document whatever you need to document in order to build correctly. It is not really designed to convey information about what you have found medically with a patient from one person to another. And this amount of information that is now coming to each physician, through the computer or through The patient portal, through messages through phone calls through referral demands through prior authorizations for medications and treatments, all of that comes to one place. And it's really hard for each physician to be able to attend to patients that are coming through the office, or the hospital throughout the course of the day, and also take care of all of this other administrative burden that's heaped upon them right now.   Michael Hingson ** 25:30 Yeah, and, and the other, of course, challenges as we have a society that is getting older with baby boomers and so on, the number of patients that doctors are going to have see is just going to increase.   Dr. Joe Sherman ** 25:43 Yes, so there is there has been a movement in our country for what's called population based health management, which is not so much being paid fee for service meaning doctors traditionally have seen a patient of a certain complexity or a certain time, and is billed a certain amount of money for that visit, we started to move toward trying to keep people healthy, and not so much trying to get people in the office to see them again and again and again and again and Bill each time, but instead to get their overall health in line. So trying to look at the whole patient and try to prevent illness and also manage chronic illness well, whether they come into the doctor's office or not. And that's really what we've been trying to move toward. But again, like you mentioned, the politics of trying to get there has been a challenge. So we find ourselves stuck in between two different systems of healthcare.   Michael Hingson ** 26:55 What do you think about this evolving concept of telemedicine?   Dr. Joe Sherman ** 27:00 I think telemedicine is amazing. I think that it has improved access tremendously. I think there are limitations to telemedicine. And I think that those things are, again, when you look at trying to get through the course of a day one medical provider, whether it be a physician, a physio, physician's assistant, nurse practitioner, trying to get all the work done for the course of a day. If you have to be attentive to who comes in the office, who then appears on the computer and then go back and forth and do all of these different things. It's just one more thing to be concerned about and worry about. However, I do know several physicians who have increased their flexibility, their amount of time they can spend with patients and are very pleased with the way telemedicine has opened those gates. So again, I think technology used appropriately and constant vigilance about how many people and what talents of people and skills are needed to handle all the information and work is that's something that we really need to keep an eye on and do a better job at managing   Michael Hingson ** 28:27 and a physician get as much information from a telemedicine visit or a tele visit as you can from having a person actually coming into the office?   Dr. Joe Sherman ** 28:42 Well, it depends on what you're looking for. But I would say my experience being a doctor of going to doctors. I've been amazed at how little of a physical exam has actually done the course of visit. So I would say short of the physical exam. I think that a lot of information for certain complaints can be handled through telehealth. So I do think that that it's made tremendous strides. Mental Health, I would say has been revolutionized by telehealth. My wife is a psychologist, clinical psychologist therapist. And ever since the pandemic and the lockdown she does predominantly teletherapy now it's challenging. It's challenging to look at a computer should I much prefer the old fashioned way of adding a three dimensional being in front of me. But But still I do think that it has improved access for several people.   Michael Hingson ** 29:51 I guess I'm a little bit of an oddity compared to some because I'm I'm so used to working some in a virtual world but also not looking at people that talking to people on a computer never bothers me. Now I do a lot of traveling and speaking today. Or I'm, I have been, and we're ramping it up again after my wife passed in 2022. But I like in person visits for doing speeches because I can actually hear more of the audience reactions, as I'm speaking, which helps me fine tune a talk as I go along. And I don't get any of that, with being able to communicate on Zoom, because I don't get to hear audience reactions. What's fascinating in from the reason I said it, in part is, I've actually talked to a couple people this week, who can see, and who said the same thing, we really don't get to see the same level of interaction from doing speeches on Zoom, as we do from actually doing in person presentations. But I can see where the whole idea of telehealth and interacting over a computer can make life in some senses, perhaps a little bit better for physicians and certainly transmit the same or more information in the same period of time.   Dr. Joe Sherman ** 31:17 Yeah, I think I'm all for improving access for patients, no matter what the modality is, again, as long as you have the correct and appropriate amount of people on the other end the handling the information and handling all of the requests that are being made.   Michael Hingson ** 31:41 Well, we've been kind of deviating from some of the stuff that I know we you and I had originally talked about. So I like to get back to you a little bit you went through and you got your degrees? And then what got you into pediatrics? Or what did you go from there? Well,   Dr. Joe Sherman ** 31:56 I think when I entered medical school, I was really drawn to a few different professions. One was medicine, one was teaching. And the other was counseling. I really enjoyed all of those types of interactions and relationship based professions. And as I went through medical school, I always loved kids, I always loved working with kids. And so I had my eyes on pediatrics the whole time. And I remember going through medical school looking for role models, looking for somebody who was a teacher and attending physician, someone who's in practice in the community, where I could look at that person and say, I can see myself doing what they're doing. I can see myself in them. And that happened finally with pediatrics. And I realized that I could do counseling, teaching medicine, all through pediatrics, I can counsel parents, I can teach students and residents. And I can use the knowledge and skills that I've learned in order to care for patients. And so that's what drew me toward pediatrics. That and that I can be funny, and I don't have to be serious all the time. When I see patients throughout the course of the day, that always helps.   Michael Hingson ** 33:27 Yeah, I mean, it is just no fun to have to be serious all the time. People don't always get that about me. But I think there's a lot to be said for having a sense of humor in a positive way. And as I tell people when we talk about them coming on the podcast, the only rule is we got to both have fun. So if you're not having fun, you got to say so so we can fix it. But we have to have fun otherwise what good is life? Absolutely.   Dr. Joe Sherman ** 33:56 And what other medical specialty allows you to dress up on Halloween with whatever else you want to dress out and and go in and take care of patients. And so as a resident in pediatrics, we always came into the hospital dressed in costumes. And so that's that was always good time.   Michael Hingson ** 34:17 What was your favorite costume?   Dr. Joe Sherman ** 34:19 Oh, I think one of my favorite costumes was one of the residents dress as a baby and complete with just a sheet on as the diaper as in the baby bottle and baby bonnet and the whole deal. So that was one of my favorites.   Michael Hingson ** 34:38 Did he talk baby or she talked baby? Just checking.   Dr. Joe Sherman ** 34:44 Yeah, a little bit of everything. But it was just it's nice to be able to accommodate kids and parents at the same time. Parents reacted well to that too. They usually do because they want the bad As for their kids, yeah. And I think that anything that makes their child feel more comfortable, then they're in favor of,   Michael Hingson ** 35:09 will you have, you've traveled to various places, and practice still all over the world? Have you ever gotten tired or had real burnout from doing a lot of the medicine stuff or just dealing with people all day?   Dr. Joe Sherman ** 35:27 You know, I have to say that I've been fortunate in my career to have had a variety of activities through the course of my jobs. Each job that I have had, I've been able to see patients teach residents and medical students participate in community activities and child advocacy activities. So that having that type of variety of activities has really sustained me in my career. And part of that has been experiences internationally. I was fortunate enough during my residency to spend a month in Bally's. This was in 1988, on the border of Guatemala, and Belize. And that's when I started to realize that medicine, healthcare in other countries is just not the same. And it's just fascinating to see how culture culture influences health care, and, and trying to learn from living in another country, especially a low to middle income country that were, you have to use more of your creativity, and more of your people skills to try to, to try to help as many people as you can. So ever since that first trip to Belize, I was hooked on international health. And so throughout my career here in the United States, mostly combining teaching residents in pediatrics with bringing them to the community and seeing where their patients and families live. I've always combined my work in the US with trips abroad, whether they be short term, one month at a time, or long term, we, my wife and I moved to Uganda for two years and work there doing HIV prevention from mothers to infants. And later, after we had our own children, we moved to Bolivia. And we lived there for four years, working with a mission organization, and getting to do a variety of activities, as well as living within the community that we were serving. So that's always been a major part of my medical career.   Michael Hingson ** 38:10 Have you ever experienced any kind of burnout or just being overwhelmed?   Dr. Joe Sherman ** 38:14 Absolutely, absolutely. I would say I changed jobs, as some people would say fairly frequently, I never had one job the same job more than five years. Some of those moves, most of them were for other opportunities, or because of a plan that our family decided to, to move to another country, something like that. But I have to say that I have also had jobs, where the amount of work and the amount of responsibility I took on for myself became overwhelming. And I have the kind of personality that wants to fix everything for everybody, and try to make everything right for everybody. And that is a prescription for burnout. We don't learn in medical school or medical training, how to take care of ourselves, we learn how to take care of other people. And so when we don't do that, and we don't do it, well, then we lose the ability to take care of other people because we have no fuel in our own engines. So I learned the hard way I burned out, became very anxious ventually depressed, had to step away completely from medicine for a while until I was able to rediscover all of those values, all those things that brought me to healthcare and and really drew me in which was predominantly the relationships and we're Working with other people on a medical team and sharing the load. And I discovered that for myself, and now, I try to help other physicians to discover where they are really passionate in healthcare, where it is that they can bring who they are to what they do bring their soul to their role as physicians, is that kind of why you're most of my time to do now?   Michael Hingson ** 40:26 Is that kind of why you went into the whole idea of coaching? Absolutely,   Dr. Joe Sherman ** 40:29 absolutely. Facilitating retreats for physicians so that they can get away and spend the time reflecting on why they even went into medicine to begin with, as well as working one on one with career discernment. And trying to decide if where you are is the best place for you. And if it's not, then what you need to change externally and internally, in the way that you approach your job and your work.   Michael Hingson ** 41:03 Of course, that also has to be something that's done in a non judgmental way, because so often, we just always like to try to fix blame or blame someone or something for something. And that just doesn't help.   Dr. Joe Sherman ** 41:19 No, I think that one of the greatest challenges for me, shifting from being the physician and treating patients, to being a coach is to let go of having all the answers to let go of having that prescription that of knowing exactly what's needed in the situation. Instead, I spend more time, inquiring, questioning, challenging, but realizing that the true creativity and wisdom comes from within the client I'm working with. So that is a challenge for me. And I work on it and continue to grow myself in that ability to attend to people without wanting to have the magic answer all the time.   Michael Hingson ** 42:10 Yeah. Well, and you're right. And my understanding of coaching has always been that you're asking questions, and you're trying to guide the client to discover the answers, because it's not your job to have the answers but to help people find the answers for themselves.   Dr. Joe Sherman ** 42:31 Exactly, exactly. And I think this is a challenge when I coach physicians, because many of them come to me wanting answers. And the temptation is to say, just do what I did. But I know that when it comes to medicine and a career in healthcare, I was the exception. I was the strange, odd ball. I so I don't expect anybody to follow in my footsteps, I think that would be a wrong choice. I think. Instead, it's important for me to help people discover their own path. And to do that, in a humble and open minded way, way that is open to self awareness and personal growth.   Michael Hingson ** 43:23 How has COVID changed all of this and how you deal with people, what physicians are facing and so on. I mean, I'm I know, it's been very stressful. And during the height of COVID, thusfar. Physicians had to be incredibly overwhelmed. And the ones who especially were the caring, most caring ones, it had to hurt a lot. But I also suspect that it just numbed a lot of people who cared. And they just kind of had to go through the motions and do what they could.   Dr. Joe Sherman ** 43:58 I think our experience of the COVID pandemic is very complex. And I think in some ways, all of the ills that our healthcare system was suffering. were revealed the curtain was pulled back, and people could see wow, you know, we weren't prepared for this. We already have a a staff of health professionals that were already burned out, we're already kind of operating on fumes and we push them even farther. And, for me, I still hold out hope that we're still examining that experience and realizing that we need to change things that we need to attend to the health and well being of our health care providers as much as we do our general population of patients. But I feel like so many people are traumatized that they feel like, let me just get back to something I called normal before. But what we're really looking for as a new normal, what we're looking for is post traumatic growth, not post traumatic stress, or just returning to the same old ways, really need to learn from our experiences, on a micro level, on a personal level, and on the systemic level.   Michael Hingson ** 45:32 I know, after September 11, I kept hearing people say we got to get back to normal. And I never liked that. And I realized and then started including it in speeches, normal will never be the same again, we can't get back to the same normal or the same thing will happen again. Normal will never be the same again. And it's just as true with COVID. You can't go back to normal, what's normal?   Dr. Joe Sherman ** 46:01 Yeah, I mean, that's, I think, I think forever, people want to forget, they want to put that out of their minds and out of their out of their thoughts. But it's there, that experience is there. We were traumatized. I know, my kids were in school, throughout that entire time. They were traumatized. They, they had to change their entire way of going to school. And it was it was challenging as parents is for kids and for everyone involved. Yeah.   Michael Hingson ** 46:38 And the reality is change is something that happens all the time. We we, we don't like change. But we keep saying it's all around us, but we still don't like it. And the reality is, it's I think that the COVID offered us a lot of opportunities if we learned how to take them.   Dr. Joe Sherman ** 47:02 Yes, they did. And I think I think we advanced in a lot of areas. But I feel like there are still several areas that we really, really need to take a hard look, I think right now, what's happened as a result of COVID is the acceleration of fuzziness, physicians and other health care providers leaving their professions. And we're going to go through and have are currently going through a severe health care provider shortage. And I know that people are starting to realize more and more when they try to call their doctor's offices and there's no one picking up the phone. It's because there's nobody home people have left. And it's hard to find people to replace physician, the nurse practitioner, Pa who has built up a practice and really has become skilled at what they do. It's better to try to provide the support they need to sustain them to keep them there. So that patients do have somebody to call somebody to see them when they're sick.   Michael Hingson ** 48:17 What do you see is what we should do to better help and deal with the health of physicians? And I'm, I guess, as part of that, I would also ask, What can we as patients do to help that process?   Dr. Joe Sherman ** 48:34 I think that this is a great question, because my belief is now that until there's a patient uprising, and that patients, including those in government, start to realize that their own health care is being compromised, that we're not really going to make significant changes. I would say that there's changes that need to be made on a systemic structural level, organizational level, as well as personal changes that need to be made with each physician with each health care professional. I think personally, we need to take better care of ourselves. We need to be able to advocate for ourselves and to really be self compassionate, to let ourselves be less than perfect to let ourselves walk away from situations when we are exhausted and not try to overdo it. And to come up with methods of balance of choice for ourselves, set boundaries that we haven't set before structurally and organizationally. There is too much work to be handled by one person or the few people that do it. If you are in an in a corporation in technology, and you had developed and invented some new technology then You would have a whole crew of people around to try to take care of all aspects of that new product. Because now you do things a different way you've invented something different. So you need people who are specialized in those areas. Instead, in healthcare, we have the same kind of people handling so much more work. And it cannot all be done. For each physician seeing patients throughout the course of the day, there needs to be a person completely dedicated to handling all messages that come in all requests for referrals, for consultations, for prescription refills, and all of that, because the physician needs to be attending to patients that are there during the day. We also need people that are able to be experts and billing and coding and all of the things that the electronic health record is calling us to do. And we need to have flexibility and the amount of time that we have to spend with patients, it can't be this cookie cutter schedule, that gives the same amount of time for somebody with multiple complex illnesses, as we do with someone that has a very straightforward respiratory infection. So these are some of the changes that I feel we really need to make to catch up to where we are in the business of healthcare right now.   Michael Hingson ** 51:26 Are we making those changes? Are we making progress? You   Dr. Joe Sherman ** 51:31 know, very, very slowly and in small ways. When it comes to health care, now the business of health care, it's still the bottom line. It's still how much are you taking in compared to how much you're spending. And I would say, when you think about programs that make the experience for physicians and other health care providers, more tolerable, or even fulfilling, it ends up being last on the list. So I feel like there needs to be more pressure in this area. And that's where patients can help they can become advocates for their physicians for their providers, and try to ask, on a personal level, when next time you go in for health care, how are you doing? How are you holding up? How are you dealing with all the pressures that are on physicians these days, just inquiring, and knowing somebody cares about us is helpful. So I think that that's one small step people can do.   Michael Hingson ** 52:42 And I think it makes sense. You know, the personal relationship is a two way one. And so we need to care about our doctors, as much as we want them to care about us. It has to be a two way street. And again, hopefully we can do things to help make life more fun for them. I know for me, I have the advantage. When I do go visit my doctor even heard the fiscal physical every year, I take a guide dog with me, so he gets a dog fixing anybody in the office gets a dog fix. So we're, we're very popular when we go in.   Dr. Joe Sherman ** 53:19 That's great. That's great.   Michael Hingson ** 53:20 We're gonna have   Dr. Joe Sherman ** 53:23 little dog fixes in every office.   Michael Hingson ** 53:25 Well, and and the director of medicine, where we go discover this and so there's a mandate that we need to let him know whenever we're going to come in so that he can can also come in and he'll stand in the doorway and won't let us out until he has enough of a dog fix. So it's really kind of fun. You know, and who can complain about that? I'm certainly not going to sites that's the dog loves it.   Dr. Joe Sherman ** 53:56 That's fantastic. Personal Touch. That's great. Yeah,   Michael Hingson ** 54:00 I think it's it's something that you know, we need to do more of their people to and it I'm I'm of the opinion that there are so many people who do thankless jobs, I love to tease TSA people when I go through airports, and work to make them smile, because they don't get nearly enough of that. And mostly, I'm pretty successful. There are a few people who take themselves too seriously. But mostly we can do pretty well at it. And I can make people laugh like they'll they'll ask me for my ID and I say things like Well, why do you need mine? Did you lose yours? Or might have if I were a kid, I'll wear a mask usually and they'll say I need to see your ID and I said What good is that gonna be I got a mask on. You know? We have fun with it.   Dr. Joe Sherman ** 54:46 That's good. It's good. It's always good to keep up the spirits. Yeah,   Michael Hingson ** 54:51 well, I got I love to laugh at it too. So it works out well. You know, in in this New Post COVID world I guess there are a lot of things are changing, I guess it's really fair to say maybe the real, really maybe the question to ask is, do we have a post COVID world? Is there ever going to be a post COVID world,   Dr. Joe Sherman ** 55:15 I think, in talking to my physician clients who are in hospitals, right now, they say that, across the United States, the wards are packed with COVID patients. And it's back, it's here, it's never left. There are different variants of COVID that are present. Immunization helps decrease the complications tremendously. The hope is that COVID will become another respiratory virus, like RSV, valenza, that we just deal with each year. As long as we keep vaccinated and keep up with those boosters, then I believe that that will decrease the amount of death and serious illness that we see from COVID.   Michael Hingson ** 56:09 Do you think that we're at some point, going to have a, I don't know, I guess it would be a live vaccine or a more traditional type vaccine that may help to do more to actually cure it, as opposed to just cutting down symptoms? And I'm man, I will say right off, I make sure I get vaccinated every chance I get.   Dr. Joe Sherman ** 56:32 Yeah, I think each, each bacteria or virus that we have immunizations for are different. And so these respiratory viruses, such as influenza, COVID, they change so much, and they, they have so many variants, so many different mutations, variants, whatever you want to call it. So unfortunately, there's not one shot fits all certain bacteria that's different, or with other viruses like varicella, or herpes, or other things, other viruses that don't tend to have as many variances of a wide variety. But as we are right now with, with COVID changes so much that we're most likely going to have to have a different vaccine every year. Well,   Michael Hingson ** 57:34 I think it is absolutely amazing that we got the mRNA vaccine so quickly. And I know artificial intelligence, as they call it had something to do with helping with that. But it does say something about what we can do that we did get some backs on the vaccine so quickly. And I really wish some people who keep spreading conspiracies about oh, it's not really a vaccine, they're putting little radio monitoring devices in us, you know, and things like that would just stop that. It's it's doing such a disservice to everyone.   Dr. Joe Sherman ** 58:12 Yeah, I agree. I think, unfortunately, there's a lot of mistrust within the healthcare system. And people have reasons to not trust. But I do think that that people who do spread false information that can be very dangerous.   Michael Hingson ** 58:31 Talk about having fun every time I go in for a vaccine. As soon as they give me the vaccine, I'll reach over if I have it in my right arm, I'll reach over with my left arm and slap my hand over the bandit and said, Oh, wait a minute, there's one that's trying to get away. Let me get it. And, you know, again, they think they get it in they laugh. Actually, one person wasn't sure what I meant and said there is no conspiracy. I said no, you missed the point. But, you know, I have had and my wife had no problems in dealing with the lockdown. She had rheumatoid arthritis. So it was an autoimmune thing that also made her more susceptible to such things and we were blessed at not getting COVID and and very glad to keep it that way. And you know, she passed just because she was in a wheelchair her whole life and her body just slow down and we lost her in 2022 so it's me and a dog and a cat. And none of us get COVID and we we don't mind being in the house so we're good. But I do I do get to travel now when I can find speaking engagements and I'm we're doing more of that. And I also travel on airplanes with masks. I don't see a problem with it.   Dr. Joe Sherman ** 59:46 Yeah, I think seeing more and more people doing that routine.   Michael Hingson ** 59:49 Yeah. Yeah, I mean, it works. Yeah, so it makes perfect sense to do. Well, how do you see Um, the whole evaluation process of what's happening in medicine, you know, going forward, what what are the major improvements that you think we will be seeing that will help mental health and everything else?   Dr. Joe Sherman ** 1:00:16 Well, wow, mental health, you just opened up a whole nother? Yeah, I know. But I would say, you know, we destigmatize mental illness as a huge goal that we need to do. And it the way life presents itself now is extremely stressful, and we all need support and help. Our brains were not, were not created to deal with such a flood of information constantly, and trying to sort all that out and it can become overwhelming. So I'm hoping that we can approach things from a compassionate, open minded point of view, to try to take care of everyone, both the health care providers, as well as the people that need treatment, and across the board the entire population. And that's really the direction that I'm hoping we all move toward.   Michael Hingson ** 1:01:23 I think we have to, we have to do something. And you know, because the flow of information isn't going to slow down. Exactly. You know, we have been doing this for more than an hour. And we could go forever. But I would like to ask if we went ahead and stopped. But could we do another one and continue this discussion? Would you want to do that? I'd be willing to do that. Sure. Yeah,   Dr. Joe Sherman ** 1:01:51 I'd be happy to,   Michael Hingson ** 1:01:52 then I suggest let's go ahead. And I want to thank you for being on unstoppable mindset, I think it will be absolutely fun to do more of this. And I'm always fascinated to, to be involved in these discussions. And, and I think it's, it's great to learn, I learned a lot and want to continue to do that. So I think it'd be fun to have another one. And I believe that people listening will agree. So I want to thank you for coming on. And I want to also just thank everyone for listening. If people want to reach out to you, how can they do that?   1:02:24 Yes, they can check out my website, which is Joe Sherman md.com. That's my name, Joe Sherman, m d.com. And if you want to reach me directly, you can email me at Joe J o e at Joe Sherman md.com. And you can also schedule if you are a physician health professional, seeking help or support through coaching. You can schedule a consultation with me for free directly from my website. So I welcome any inquiries, or anyone out there that believes that they are struggling as a health care provider and needs support. I   Michael Hingson ** 1:03:13 don't know whether my cat would acknowledge that she could probably use some help in doing one thing or another. But she she thinks she's the boss. So I guess we have to contend herself with that.   Dr. Joe Sherman ** 1:03:24 One, too. Yeah. Well, boss got   Michael Hingson ** 1:03:26 Yep. Oh, yeah. Oh, this one's acuity. She yells at me when she's hungry, and I have to go pet her while she eats. So she's pretty funny. But I do want to thank you for being here. And I want to thank you all for listening. Reach out to Joe. I'm sure that he has a lot of other kinds of things he can talk with you about. And if you are a physician or related in any way to that business, I have no doubt that Joe is a person who can assist a lot in dealing with questions and issues and everything else under the sun regarding all of this. So thanks for for doing it. I want to say again, thank you all for monitoring us and listening to us today. I'd like to hear from you. If you would be willing to feel free to email me with any thoughts or questions or comments, you can email me at Michaelhi, m i c h a e I h i at accessiBe A C C E S S I B E.com. Or go to our website www dot Michael hingson.com/podcast. And Michael hingson is m i c h a e l h i n g s o n.com/podcast. Most of all, we'd love it and really appreciate it if you give us a five star rating here on unstoppable mindset. So give us a rating and we'd love your reviews. And I've mentioned it a few times and I'll say it now at the end. I do travel and speak talking about teamwork and trust and inclusion and diversity and of course telling my story of escaping from the World Trade Center on September 11. And if you're looking for a speaker, please reach out love to hear from you. But once again, Joe, I want to thank you for being here and we will definitely set this up and do another one.   Dr. Joe Sherman ** 1:05:06 Thank you so much, my god enjoy   **Michael Hingson ** 1:05:13 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.

Voices In My Head (The Rick Lee James Podcast) - Episode 539 God Gave Rock and Roll to You - Dr. Leah Payne     https://global.oup.com/academic/product/god-gave-rock-and-roll-to-you-9780197555248?cc=us&lang=en Leah Payne is Associate Professor of American Religious History at Portland Seminary and a 2023–2024 Public Fellow at the Public Religion Research Institute (PRRI). She holds a Ph.D. from Vanderbilt University and her research explores the intersection of religion, politics, and popular culture. Payne is author of God Gave Rock & Roll to You: a History of Contemporary Christian Music (Oxford University Press, 2024), and co-host of Rock That Doesn't Roll, a Public Radio Exchange (PRX) podcast about Christian rock and its listeners and Weird Religion, a religion and pop culture podcast. Her writing and research has appeared in The Washington Post, NBC News, Religion News Service, and Christianity Today. Web Site: https://www.drleahpayne.com/ VINYL SALE THUNDER by Rick Lee James ONLY $9.99. (Plus you get a free digital download of the album)     “KEEP WATCH, DEAR LORD” BY RICK LEE JAMES

Voices In My Head (The Rick Lee James Podcast) - Episode 539 God Gave Rock and Roll to You - Dr. Leah Payne  Leah Payne is Associate Professor of American Religious History at Portland Seminary and a 2023–2024 Public Fellow at the Public Religion Research Institute (PRRI). She holds a Ph.D. from Vanderbilt University and her research explores the intersection of religion, politics, and popular culture. Payne is author of God Gave Rock & Roll to You: a History of Contemporary Christian Music (Oxford University Press, 2024), and co-host of Rock That Doesn't Roll, a Public Radio Exchange (PRX) podcast about Christian rock and its listeners and Weird Religion, a religion and pop culture podcast. Her writing and research has appeared in The Washington Post, NBC News, Religion News Service, and Christianity Today.Web Site: https://www.drleahpayne.com/VINYL SALETHUNDER by Rick Lee JamesONLY $9.99. (Plus you get a free digital download of the album)VINYL SALE - https://rickleejames.bandcamp.com/album/thunder“KEEP WATCH, DEAR LORD” BY RICK LEE JAMES

Ralf Gum, Clara Hill - Don't Talk (Main Mix) Los Charly's Orchestra, Juan Laya, Jorge Montiel - Vibration (Opolopo Remix) Daisuke Miyamoto - Street Players The Coney Island Rhythm Band, Jerk Boy - Dancing Down The Path Joey Negro, Dave Lee, Mistura - Tonight (Todd Edwards Mix) Roger Sanchez, Twilight - I Want Your Love (Roger's Classic Club Mix) Soulista, Tracy Hamlin - Invitation (Extended Mix) Sybil, Frank Blythe, John Khan - All The Places We Will Go (John Khan's Soulful House Mix) Jamiroquai - Runaway (Grant Nelson Remix) Right To Life - Love Blind (Micky More & Andy Tee Remix) Saturday Love, Kon, Fiorious - Come Out Curtis Hairston - I Want You All Tonight (John Morales M+M Extended Remix) Re-Tide, Lukas Setto, Dr Packer - Me & You (Dr. Packer Extended Mix) Dave Leatherman, Bruce Nolan - Moments of Love The Shapeshifters, Obi Franky - The One That Got Away (Extended Mix) Nick Hussey, Jamie van Goulden, Steve Edwards - Momentum of Love (Extended Mix) Micky More, Andy Tee - Say to Ya Christian Vila, 4Peace - Soul Heaven ATFC - Get Busy (Extended Remix) Armand Van Helden, Lorne - Give Me Your Loving (feat. Lorne) (Classic Club Mix) Blaze, UDAUFL, Barbara Tucker - Most Precious Love (Dj Kone & Marc Palacios Extended Remix)

Victoria Guido hosts Dr. Ramon Lizardo, CEO of Tele911, to discuss his company's innovative approach to emergency room diversion. Dr. Lizardo shares his journey from being a physician frustrated with the inefficiencies in emergency care to leveraging technology for better healthcare delivery. Tele911 is a service that transforms how emergency responses are handled. Rather than transporting patients to hospitals for non-critical care, Tele911 facilitates on-site treatments through paramedics equipped with iPads, allowing doctors to provide remote consultations, streamlining emergency services, and reducing unnecessary hospital visits and costs. Dr. Lizardo's motivation for founding Tele911 was driven by personal experiences and the desire to improve emergency healthcare delivery. He recounts the challenges of pioneering in digital health, particularly the initial skepticism from investors and potential users about remote medical services. The COVID-19 pandemic became a turning point, accelerating acceptance and demand for Tele911's services, and Dr. Lizardo discusses the challenges of scaling the service, maintaining data privacy, and the importance of a values-driven approach to business. Tele911 (https://www.tele911.com/) Follow Tele911 on LinkedIn (https://www.linkedin.com/company/tele911/), X (https://twitter.com/tele911_), Instagram (https://www.instagram.com/tele911_/), or YouTube (https://www.youtube.com/@Tele911). Follow Dr. Ramon Lizardo on LinkedIn (https://www.linkedin.com/in/ramonlizardomd/). Follow thoughtbot on X (https://twitter.com/thoughtbot) or LinkedIn (https://www.linkedin.com/company/150727/). Become a Sponsor (https://thoughtbot.com/sponsorship) of Giant Robots! Transcript: VICTORIA:  This is the Giant Robots Smashing Into Other Giant Robots Podcast, where we explore the design, development, and business of great products. I'm your host, Victoria Guido. And with me today is Dr. Ramon Lizardo, CEO of Tele911, the leader in emergency room diversion. Dr. Lizardo, thank you for joining me. DR. LIZARDO: Hey, Victoria. Good to connect with you once again. How are you? VICTORIA: I'm good. It's raining in San Diego, so, unlike the song, it does happen sometimes in Southern California. DR. LIZARDO: [laughs] But I love San Diego, by the way. It's one of those places where I feel like you have literally the perfect weather and perfect access to food. I'm a fan of Mexican food. And you can literally get the best Mexican food from, like, all of the trucks in San Diego. I truly believe that. VICTORIA: That's true. The only better place to get Mexican food in San Diego is just to go to Mexico. You -- DR. LIZARDO: There you go [laughter]. VICTORIA: Yeah. I actually went to a startup event that was in Tijuana on a Tuesday night and just walked over the border and walked back, and it was great. DR. LIZARDO: That is awesome. VICTORIA: [laughs] DR. LIZARDO: You know, there's a lot of expats living there now. It's really interesting, in Baja, California. VICTORIA: Yeah, there's some back and forth there. And yeah, so just give me a little bit about your background and a little bit more about Tele911. DR. LIZARDO: I'm a physician by training, but I've been in tech for about 15 years now. Tele911 is basically the child of a parent that was really frustrated with their specialty. So, I signed up for emergency medicine, and I realized a lot of what was happening was primary care. That led me to pursue a career in consulting. I worked at one of the Big Fours, interned at McKinsey, worked at Deloitte. Then, I started or joined a series of other startups that were very successful. About three exits in, I said, hey, remember that idea that actually got me out? Being frustrated in ER because a lot of these patients didn't need to go to the hospital but were there. Well, this is how this comes about. Tele911 is basically the product of a lot of frustration, but a lot of innovation. And now we're pretty much reshaping history. In California, Texas, or Florida, when a patient calls 911 now, an ambulance shows up, but instead of being taken to the hospital, they're actually seen at home in something called treatment in place. We're the doctor on the iPad of the paramedic. VICTORIA: So, thank you. That's a great interest. So, you had this background in consulting, and you had this experience as a physician, and then you decided to solve this really big problem with the cost around emergency rooms. So, before we dive into more around Tele911 and what you're doing with it, I thought we could warm up a little bit by just telling me, what gets you up in the morning? DR. LIZARDO: [laughs] What gets me up in the morning? Well, I'm blessed because I have a two and a six-year-old. So [laughs], the truth is they're the ones that get me up. They usually wake up way before I do. So, if you come to this house about 5:15, 5:30, I feel like everyone's awake, and if you come to this house at 9:00 p.m., we're fast asleep. But what gets me up in the morning is that, above all, I'm a father and a husband. I also run the nation's largest ER diversion company, which operates 24/7, and emergencies happen throughout the night. So, depending on what's happening throughout the night, I'm either up at 2:00, 4:00, 6:00 a.m. But what fuels me, though, every day is two things. One is I want to be an excellent husband and father, and I want to be present for everything that I can, especially when I'm home what's happening in my family's life. But two, I'm part of this company that's changing the landscape of healthcare. You know, I've been part of other companies, but this is really one of those legacy events in life where I'm building something that's really changing the way healthcare is being delivered. And I understand that's my personal mission, and that's something that I strive for every day, and because of that, that drive just comes naturally. I'm working on something that's way bigger than me, something that my kids are going to be reading about 10, 20, 30, 40 years from now, and probably they're going to say, "Yeah, that was innovative back then [laughs], but now this is how we receive healthcare, which is awesome." VICTORIA: That's cool. So, it's like the impact your company's having and the drive to be a part of your family and, of course, your kids waking you up in the morning. And is it all of that, or is it also the chickens? Because I had chickens growing up. DR. LIZARDO: [laughs] VICTORIA: And they would always, like, crow, like, really early in the morning. DR. LIZARDO: [laughs] Yeah, Victoria, that's awesome. If you come to this house at 5:45, what you're going to see is me in a robe in the middle of a snowstorm, at least for now, going out and changing the water of the chickens. So, one of the things that we've done with our household is made it more of a sustainable household. There's a living thing in every one of these rooms in our house. There's a guava tree growing in our living room, literally, a tree from the tropics growing in Princeton. There are citrus trees growing in our dining rooms. We grow about 30 different types of vegetables and fruits on our property. And we also have livestock like chickens, which, honestly, I think we've learned that when we see things grow, we're more inclined to try them and taste them. You know, over the weekend, we had our neighbors, and one of the neighbors was like, "You have an actual olive tree from Italy growing in your..." it's about eight feet in our family room...sorry, in the kids' playroom. They were like, "I've never seen that before." I basically told them, "You should come back in a few months and pick some olives." We love this ecosystem that we've built around sustainability, and it basically has brought our family together in order to work on things like trying to figure out how to grow these trees inside our house and outside our house. VICTORIA: It must be such a cool experience for your kids to see something grow from a seed into something they can eat and, interact with and enjoy. And to bring it all back, I'm wondering, what was the seed for you to decide to focus on 911 or emergency services and solving that problem that people face? And maybe describe even a little bit of, like, what is the impact of divergent and emergency room services. DR. LIZARDO: I feel like every great leader has something personal that's attached to what's fueling them, and, in my case, it's my dad. So, my dad has a heart condition, and, you know, there's been times where they've had to call 911. In the nation right now, 911 is a very antiquated and struggling system. As a matter of fact, ambulances have become very expensive Uber drivers. Eight out of every ten calls that's medically related to a 911 does not need an ambulance and yet uses one to go to the hospitals. Most people in the U.S. believe that if they call 911 and they get an ambulance, they're going to be expedited at the hospital, which is not true. So, I know, unfortunately, that one day, my dad's going to call 911 because he really needs it, or someone in my family will. And I'm basically building a system that when he calls, he's going to get a faster response. By doing that, by basically doing what we do, we actually take care of the low-level emergency so when the real emergencies come, they actually are able to go through. You know, Tele911 really tackles three things, three major problems in the industry. One is basically the pipes into 911 are overflooded. Sometimes, you're put on hold. Sometimes, you call 911, and they transfer you to another state because they're just so overrun. And basically, now we're creating pipes that actually allow them to take the real emergencies. Two, the health plans. Every health plan in the United States 80% of what they do is actually try to figure out how to keep you out of the hospital. It's called utilization management. And it's just crazy how if you look at these monster health plans, their number one rule is, 'Please don't go to the hospital,' and that's the number one thing people actually do. And, for them, what we're solving is a huge problem because now they're able to take risk and actually control their budgets a lot better and, in effect, give better rates because they know that if they call 911 unnecessarily, they're going to be treated in place. But lastly, it's because the people that are calling 911...medical debts is the number one reason for bankruptcy in the U.S. right now, and these people that are calling 911 they're going bankrupt. If you call 911 in California, in certain counties, the ambulance is $6,000, again, 6,000, even if you use it unnecessarily, let's say for a paper cut. And what I've done is basically created a company that solves for all three: for patients that need the care and basically think 911 is the only resource, for health plans that want to control these costs, but both fall for our lines. I want our lines to be free for the true emergencies. VICTORIA: So, it was a personal experience with your father and the need for that. And I can relate to that, as well as having elderly family members who have conditions, who regularly need support. A lot of trouble is even just getting people to the hospital, and they can have services delivered right there in their home. Anything in the early discovery phase of trying to solve this problem that caused you to pivot your strategy in your approach? DR. LIZARDO: Absolutely. So, Tele911 right now is the product of, you know, an idea that was written on the back of a greasy napkin [laughs] at a Bojangles in South Carolina at a medical conference. But what you see today as the nation's leading ER diversion company and one of the most successful companies in digital healthcare is a product of three failures. We actually tried this multiple times and failed. And it wasn't until COVID happened, and we realized there was an acceleration and an acceptance for video calls, that we noticed that, hey, this is actually a better way, and it can happen now. The irony of this [chuckles] is that we didn't think it was going to work so well. When we went commercial last year, we were like, maybe we could just do 300 calls. And in exchange, we started doing this by the thousands. A few months in, we're in the several thousands, and we're like, oh my God, this is working. And then, by the end of the year, we covered over 5 million lives by geography, and I realized we're on to something. Legislations passed with our name on it. So, you know, this idea that struggled, and we had to restart multiple times, we did not give up. And in exchange, I mean, we're literally making history. VICTORIA: I love that. Yeah, so pre-COVID the idea of having medical services delivered virtually, I wonder what feedback you got from investors or from people interested in the idea at that time. DR. LIZARDO: [laughs] No one wanted it [laughs]. No one wanted, you know, you show up to someone's house, and they're like, "Yeah, we're not going to take you to the hospital. We're going to have you see a doctor on the screen." They would be like, "No, I'm going," right? [laughs] Like, "This is not working." Also, even the counties, they were like, "This is too risky. What do you mean the doctor's going to be on the screen?" There wasn't a high level of adoption for something like this, and, you know, it struggled a lot. I recall pitching the idea and people coming back to me and saying, "Well, you know, I love this. Tell me when it works. Tell me when you have enough traction." You know, it's funny because those are the same people now that are on our waitlist who now basically really need this, really want this, but we let them know there are 35 million more lives in coverage based on the counties just in our waitlist. It's a testament to just how awesome this product is and how fast it's adopted, but also the true need for something like this as part of the healthcare delivery continuum. VICTORIA: Wow. Yeah. That's incredible that once you found the right fit, it became acceptable and even necessary to receive care virtually during the pandemic, and it really took off. So, now that you've gotten some initial traction and more than enough, what are your challenges that you see on the horizon? DR. LIZARDO: So, a few challenges. Let's talk about how this went from, hey, a good idea to now a standard across different states. So, for example, in certain counties, and, I mean, this happens in every state as well. I'll give you an example of Florida. The hospitals are literally two hours away. Florida is incredibly rural. They either are able to see a doctor through our telemedicine platform, or they have to go on an ambulance for two hours, and that ambulance is away for six hours, like an entire shift. So, one of the things that I've seen is a huge challenge is our product has grown expansively. So, what we do is we're basically building a larger network to be able to deliver for a larger volume. By the way, every time someone presses that button, within 40 seconds, on average, you get an emergency medicine physician that's board-certified in that state. And, I mean, that number used to be 2 minutes, then 1 minute, and now we're at 40 seconds. Eventually, it's going to be 10 seconds. I'm pretty sure myself, someone who worked in emergency medicine, can't reach my friend in 10 seconds [chuckles], but this product does, which is what's fascinating about it, that high level of care. But with that same issue, we're now doing this for the tens of thousands. And within the next two years, we're going to be doing this for the hundreds, you know, we're forecasting hundreds of thousands of calls. So, how do we prepare for that? How many emergency medicine physicians are in the U.S.? Can we cover those amount of lives? You know, do we continue to expand across auxiliary like APNs and higher tiers below MDs? So, these are the kind of things that I have to constantly think about. These are the kind of things that the government now reaches out to me to just get some advice on. Everyone's approved this. Now it's more, how do we scale this as we continue to make this the gold standard? VICTORIA: The scaling becomes a top priority. And as a CEO who needs to build a management team around yourself, how do you identify where you have needs and where to find the people to perform the task you need to scale? DR. LIZARDO: That really does depend on the role. One of the good things...so I used to sit on clinical boards for about 16 health plans, which allows me to have a very expansive network, particularly within healthcare and products. So, I know that the people are out there. The thing is, working at Tele911 is a very different type of environment than most people are used to. Here, we really fall fast collectively, lick our wounds, and redirect together. Everyone has access to me. There's no hierarchy. It's more of a matrix environment, at least at this level. And then I tend to hire people at the management level that don't look like people that you would generally hire, and the reason is that there are two factors in order to be successful here at Tele911. You have to have that human component; to me, that's important. A lot of the people here...actually, I was sharing this with someone, but for the majority of my tenure here at Tele911, I was actually the youngest person at the company. I hire people with tenure and wisdom. But a lot of the types of people that I hire here are actually outside of the industry, people who can bring in those thought processes over to Tele911 across repeatability, monetization, and scalability. Some of them are from manufacturing. Some of them...it really does depend. But when I look around the team, and I'm like, wow, you know, we are a team of misfits, but we produce amazing results. I mean, Tele911 in the last year alone, 3x volume and 5x just billing. So, we understand that we are part of something unique, and people just bring their ideas into that and adapt to it. VICTORIA: Your approach, it sounds like, to play it back a little bit, is to find people who are smarter than you [laughs] about some things and then, yeah, really reach for wisdom and not fall into the same pattern that other organizations may be advised to follow to build their team because you have that insight into your market and your industry, and you can navigate what you need in order to scale. DR. LIZARDO: Yeah. Also, at Tele911, this is innovation. So, there's really nowhere else to look for talent who have done this before. So, we really have to outsource from different industries. You know that adaptability is key, but what I really look for is repeatability. Has this person been ingrained with figuring out the pieces that make it whole and basically integrating them into our process, repeatable, monetizable, and scalable? VICTORIA: Right. And maybe that answers my next question, but what core values drive your everyday decisions? DR. LIZARDO: As I said before, and I think I said it at the beginning of the call, people know me as a father and a husband. That's who I am, and above all, that's my number one job. So, that human component is so critical in order for you to succeed here. Life happens while you're at Tele911. Parents get sick; kids have the flu; like, life happens. And we have to understand that this is an empathetic environment. Someone in the management team had a baby today, and we were at a debrief meeting. And in the middle of a meeting, someone said, "The baby is here," [laughs] and everyone was rejoicing. If someone externally would have been in that meeting, they're like, "Who's baby, and why are we announcing it in the middle of a management meeting?" But, to us, is we function as a family, which is critical. Another value that we really stress here is integrity. Because we're part of innovation, we have to be very clear about our numbers and very clear about how we're achieving our traction [inaudible 18:24]. I'm not really interested in the goal. I'm more interested in the process, but be very, very clear. You have to be creative. You know, I spent some time studying quantitative methodology over at Harvard, and repeatability is important, but being able to think outside the box because, again, this has never been done before. So, you have to look at this from an angle of, like, the art of the impossible, and then go and try it. VICTORIA: Right, yeah. And I think it's really interesting, too, like, you know, when you think about making art or innovation, you can sometimes look and see how other people have done it. But then you have to decide what's your path. And, like, how do you solve for this particular problem? And, like, what can you learn from these [inaudible 19:08] this is the way you should or shouldn't do that; practice is really interesting, I think. DR. LIZARDO: You know what? And I think that's probably been the most exciting part about this. I've never been in a situation where there was nothing to look back to reference. Like this is the first time in history that this is going, and it's accelerated so fast. We don't have a, hey, this is what good looks like. We basically have us, and we've had to adapt to that. And along the way, what we've done is we've basically done basic, like, micro-moments of learning, adding on to those and saying, "Okay, this is what good looks like. But then what would great look like?" And I think that that's the example of...remember when I mentioned earlier, you know, it used to be 2 minutes, and 1 minute, you know, then 50 seconds, now 40 seconds. And we're like, "Hey, what if we could do 10 seconds where people press a button and get a board-certified doctor upon a 911 call?" And you're just like, yeah, that sounds impossible, but so did this idea now. So, we know the art of the impossible is just a few stone throws away as we continue to make traction. Mid-Roll Ad: When starting a new project, we understand that you want to make the right choices in technology, features, and investment but that you don't have all year to do extended research. In just a few weeks, thoughtbot's Discovery Sprints deliver a user-centered product journey, a clickable prototype or Proof of Concept, and key market insights from focused user research. We'll help you to identify the primary user flow, decide which framework should be used to bring it to life, and set a firm estimate on future development efforts. Maximize impact and minimize risk with a validated roadmap for your new product. Get started at: tbot.io/sprint VICTORIA: You know, there's the impact for the person experiencing an emergency and having it be able to resolve within their home. It also opens up that possibility of remote work for doctors and nurses, which I'm sure you know more than me about the current state of the strain on our medical system and the people who are working in it and how you think about the impact on them as well. DR. LIZARDO: Just for context, my wife is a physician. And during COVID, we ended up having two kids, one right before and one during. And because of our–one–our parenting style but also our life choices, what we basically is we took turns at different points in order to stay home with our kids. But one of the things that, you know, have always bugged me is we saw every specialty practice virtually, but emergency medicine had to be practiced in the hospital. And unfortunately, because of that force and that strain in the system, less than 50% of the spots in emergency medicines were filled last year. People don't want to do it. So, what we did is we went out to a lot of these parents and said, "Hey, do you want to join this network where you're able to see patients while you take a nap virtually?" And they're like, "Whoa, let me try that." And, Victoria, within three weeks, dads and moms were showing up in droves with their babies to the interviews, saying, "This is what my life looks like. He takes a nap between 2:00 and 4:00. Can I grab a shift for those 2 hours?" And along the way, we ended up building the nation's largest virtual emergency medicine practice. Out of that pain point in us and just asking questions, we built this awesome system that now propels people to basically press a button and within 40 seconds, get a doctor. And I think that's the art of the impossible. We actually look at it and say, "Well, we could probably do something better on that." But we've also now reshaped emergency medicine to the point that now we're the ones that are writing the fellowship for virtual emergency medicine. We are now creating the protocols and our data now is in journals as, hey, this is what the specialty should look like, and this is what they're able to do. So, we're equally as excited about that and just on the outcome. And it's just a huge honor. VICTORIA: Wow, that's incredible that it would go in that direction, and you'd have this opportunity to really reshape an industry and define how even people learn how to perform emergency services and medicine. DR. LIZARDO: [laughs] You know what the most amazing thing is? It's actually a lot easier than what other specialties have done because cardiologists have been able to, you know, see patients virtually, but they can't do an EKG. But our team can because the medics are on-site within 8 to 10 minutes of that call, and they're able to do an EKG. They're able to do a pulse ox. They're able to even do an IV drip. So, it's actually a new way to practice emergency medicine, where the medic is your hands, eyes, ears, but the doctor's basically working in conjunction with them, guiding them to best do the assessment. VICTORIA: That's, like, such a revolutionary idea, and I think it's so cool. I'm curious: how do you perform user research and design for patients and for emergency responders? DR. LIZARDO: [laughs] That's a question that we're actually working through right now. So, emergency responders they actually all have an iPad or a computer on them when they show up at your house. But that looks a lot more like the Nokia phone, the blue phone from back in the day. There's very little interaction on that iPad. And what we've done is we've put an app that's dynamic that allows them to basically best assess the patient, understand their protocol. So, it actually has its enhancer experience. Also, remember, these medics are some of the smartest people on earth. I mean, they see patients more than doctors do. They know where they live. They know what their house looks like, and they've seen them thousands of times. So, what they're really good at is interacting with the iPad in a way that actually shows the surrounding, shows the patient, and shows what's important. When it comes to our doctors, particularly in emergency medicine, they've been dying to basically practice virtual emergency medicine. So, what we've done is we've basically provided the initial data set of what they need, along with a video. But now we're actually augmenting that with additional data sets that allow them just to have a more comprehensive picture of the patient, including some look back data, what happened before, what should be happening afterwards, integration with their health plan. They actually have more data and a better experience with practicing in their home than if they were at the hospital. VICTORIA: I appreciate that viewpoint. And I can understand how interesting it must be to design for those two different user personas. I'm curious; you mentioned data. What's your strategy around data privacy, and protection, and security in your application when you're at the same time trying to be very innovative and move very quickly? DR. LIZARDO: Well, you know, I've always believed data is on a need-to-know basis, particularly because we're dealing with PHI. We're dealing with clinical data. I always tell people it's one thing for someone to walk into a hospital and tell you their name, last name, phone numbers. It's a whole other thing for you to go to their home and start gathering information. So, that is basically one of our key standards here. We understand the gravity of the data that we're collecting and how critical it is, not only to health plans, health systems, but, above all, the member and how that privacy should be kept. And it's such a critical component to the company. As we continue to grow and mature, we've added additional layers in order to best protect the company–but above all, best protect the member in situations like this. VICTORIA: Yeah, well, I appreciate that viewpoint. And starting, you know, probably your background as a consultant and also working as a doctor, you have a really deep understanding of the type of data you're dealing with and how sensitive it is. So, I appreciate that that's a priority for you within the company. What is the wind in your sails? What keeps you going? What keeps you committed to doing this work? DR. LIZARDO: So, at this point, we are reshaping an entire history. We're literally going in the books now. So, now we can't stop this. I remember going through medical school and reading through some books. I was joining part of a community of doctors. Now, I'm rewriting and creating a new version of how this entire industry is being practiced. And understanding the gravity of such a monumental place in society that keeps me going. We can't stop it now. And that, to me, is what's monumental in all of this. VICTORIA: That's great. So, it's that big overall vision of the impact you're making on not just a few people, a few million people, but really the whole industry and for many years to come. DR LIZARDO: Exactly. Exactly. So, just so you know, for example, our patients aren't just...we don't just do emergency medicine. Some of our patients have psychiatric needs, and some of our patients have, you know, oncological needs. So, we are actually the largest lead generator of patients into the right system for the United States because we're capturing them at the 911 call. So, there are so many great companies out there, and their number one problem is not how to solve for the things that they build; it's who's going to use it. How do you find more customers to actually use it? And what a lot of these companies have realized is, hey, we've been trying to find these people for years, and yet they're walking into Tele911's front door. How do we partner up with them, and how do we basically show Tele911 the services that differentiate us in order for them to walk the patients towards us? VICTORIA: That's such a cool stat to have that you're really putting people into the right path. And you have these great things that you all have achieved. I wonder, do you write key objectives and results? Because some of those it sounds like, well, I don't know you would ever be able to dream up that result [laughs], right? DR. LIZARDO: Yeah. Well, yeah, we do function. We actually have a KPI doc that we use. We all track, and everyone at the company has visibility into them. It's super critical for everyone to be aligned no matter the level for that. I always say KPIs should not be unachievable, but they should be a stretch. Tele911 expects to grow 10x on its second year; very, very, very few companies in the history of digital health have grown 10x. And we are not only with foresight of, like, how we're going to achieve that; we're actually executing on a trajectory for that 10x. That's a dangerous number to say for me as a CEO. And I look at the KPIs, and I'm like, well, we did 5x last year and cut almost a million in operating costs, so we can do 10x this year. Any consultant outside would be like, "Yeah, that's crazy," and then they look at our model, and they're like, "Yeah, these people might be crazy enough to actually do it [laughs]." VICTORIA: Well, that's great. I mean, and, I guess, it's, like, all about how do you picture it? Like, are you trying to make a goal that gets everyone excited and gets everyone motivated and dreaming of the art of the possible, or are you just trying to make it so that you can check it off at the end of the year [laughs], right? DR. LIZARDO: No. Actually, checking things off is...listen, at the end of the year, we're looking at the following year's list, right? We're not just checking things off. What we're doing is, we understand our mission, and because of our mission, what we're saying is, how aligned with our mission are we? I don't know if that's a circle or a checkpoint, but it's more about alignment for that mission of democratizing access to the best care as fast as possible upon a 911 call. VICTORIA: I love that. That makes a lot of sense to me, just bringing it all back to the mission and the impact and why we're all here in the first place, right? DR. LIZARDO: Exactly. VICTORIA: I love that. Wonderful. Do you have any questions for me? DR. LIZARDO: No. I mean, it was excellent to, one, just to be able to connect with you, two, to be...actually, as I was talking through these questions with you, you know, I realized how...just for context, my favorite author is Walter Isaacson. If you ever have the chance, please read one of his books. I'm reading Benjamin Franklin, and I read Steve Jobs' book. There's actually a few books. My favorite book in the whole world is Da Vinci by Walter Isaacson. And, you know, I hope that people listening to this they can do two things. One, they can get to know me just a little bit and the things that we're doing, but two, they can be inspired because I think that's what we really need. There's a lot of people starting companies just because someone's doing something they could do it better. I mean, that's cool and all, but just so you know, most of those things actually fail. There's a reason why 9 out of 10 companies actually fail today. We don't need more copycats. Think of the art of the impossible and create that, and then pursue it as if nothing's holding you back. And if you do so, you just might find yourself with a Tele911 company. VICTORIA: Well, that gets me fired up. I'm excited. I really love that advice. I appreciate you sharing that with us. Is there anything else that you would like to promote today? DR. LIZARDO: Yes. If I could just take a second to share about this, I know that a lot of people who listen to this podcast want to start companies. A lot of people are trying to figure out, how do I get my idea started? But I also realized a lot of these people really haven't written down their ideas. They're basically pursuing things that haven't really been written down. And one of the things that I shared, if we go back to this podcast, I said, this idea was written on the back of a greasy napkin in South Carolina during a storm at a Bojangles. I literally recall seasoned fries, dipping it in the grease of the chicken, which is terrible for you, by the way, cleaning my hands, and writing on the back: What if people call 911 and this and this and this happened? And if I could leave you with one thing is, please write your ideas down. Send me photos of your napkins [chuckles], like, share napkins with people on a plane, people on a train, share these ideas, write them down. Because the ideas that write them down basically have an opportunity to go back and reestablish, to modify. But one of the things that I know is these ideas eventually echo in eternity at one place or another. And when I leave, just with an encouragement, please just write your ideas down. VICTORIA: Great advice. I really appreciate that. You know, everything in moderation. I'm not going to say fried chicken or fries is bad for you [laughter] because I like it. DR. LIZARDO: [laughs] VICTORIA: But yeah, no, thank you so much. I loved sharing with that and, hopefully, people will share your ideas. You can subscribe to the show and find notes along with a complete transcript for this episode at giantrobots.fm. If you have questions or comments, email us at hosts@giantrobots.fm. And you can find me on X, formerly known as Twitter, @victori_ousg. This podcast is brought to you by thoughtbot and produced and edited by Mandy Moore. Thanks for listening. See you next time. AD: Did you know thoughtbot has a referral program? If you introduce us to someone looking for a design or development partner, we will compensate you if they decide to work with us. More info on our website at: tbot.io/referral. Or you can email us at referrals@thoughtbot.com with any questions.

Loni Clark - U (Mood II Swing Club Version) Randy Roberts, DJ Spen, Thommy Davis - The Question Is (Original Extended Mix) DJ Wady, Kike Fernadez - Blessing Craig C, Sheree Hicks - Full Circle (Original Mix) Yooks, Hannah Khemoh, Wez Whynt - Enough (Wez Whynt Remix) Richard Earnshaw feat. James Vargas - Inside and Out (Main Mix) Luke Delite, Michelle Weeks - Give Me Your Love (Dave Lee Edit) Re-Tide, Lukas Setto, Dr Packer - Me & You (Dr. Packer Extended Mix) Gianni Bini - Friday Night (Micky More & Andy Tee Extended) Key To Life, Kathleen Murphy, The MuthaFunkaz - Find Our Way (Breakaway) (Muthafunkaz Found A Vocal Mix) Arduini & Pagany, Eric Kupper - Caught In The Middle Feat. Chanelle (Eric Kupper Remix) Harvey Ross - Disco's Finest Yam Who?, Rikky Disco - Set Me Free Jay Caruso, Phie Claire - Dance A Little Bit Closer (Original Mix) Danny Kane, Princess Freesia - I Love the Way You Do (Opolopo Vocal Remix) Dubby Disco Boyz - Tonight (Daisuke Miyamoto Remix) Steve Taylor, Guerrilla Disco - Love Walked Through The Door (Extended Mix) Junior Jack, David Penn - Stupidisco (David Penn Extended Remix) Jo Paciello - Roof Party in Soho (Original Mix) David Penn, KPD - Ain't Got No (Extended Mix) Mark Knight, Green Velvet, James Hurr - The Greatest Thing Alive (Extended Mix)

"Release the Light within You" / Dr. Ron and Miriam Cohen / Omegaman Episode 10671 Recorded 1-15-2024 on OMEGAMAN www.roncohen.org    

Welcome to a thought-provoking episode of the "It's My Turn Podcast." In this enlightening conversation, your host, Kelsey Mead, is joined by the brilliant Dr. Megan Daley as we explore the journey towards self-discovery and personal growth. In this special episode, we dive deep into the following transformative topics: Navigating Burnout: What It Means for You: Dr. Megan Daley brings her expertise to the table as we delve into the multifaceted world of burnout. Together, we uncover the various ways in which burnout can manifest in your life and discuss strategies to navigate this challenging experience. Knowing Your Why: Discover the power of purpose as we explore the importance of understanding your "why." We delve into how identifying your true purpose can be a compass guiding you towards a more fulfilling and authentic life. Experiencing Freedom: How do you break free from the chains that bind you to living for the wrong things? Our conversation touches on the liberating experience of embracing your true desires and breaking away from societal expectations. Living for the Wrong Things: We discuss the common trap of living a life that doesn't align with your true passions and values. Learn how to shift your focus towards a life that truly resonates with your heart's desires. Developing Tools to Move You Forward: Dr. Megan Daley shares her expertise in developing practical tools and strategies to propel you forward on your journey of self-discovery and growth. Join us for this inspiring episode as we unravel these critical insights and engage in a transformative conversation with our special guest, Dr. Megan Daley. Whether you're seeking to understand burnout, discover your purpose, or simply yearn for a more authentic and fulfilling life, this episode is bound to empower and enlighten. It's time to declare, "It's My Turn to thrive and be true to myself!" CONNECT WITH Dr. Megan IG: https://www.instagram.com/moveonthedaley/ Website:  https://www.moveonthedaley.com/  CONNECT WITH KELSEY Follow me on IG: @kelseymead_Follow me TikTok:@kelseymead_ Want to master your mindset? Every Monday I send out an email with mindset tips or tools you can use for the week. Click here so you don't miss that email: https://www.kelseymeadcoaching.com/services  Grab your FREE Re-Alignment Roadmap Workbook here: https://www.kelseymeadcoaching.com/scripting-workbook-freebie Get the Vibrant Life Journal here:  https://a.co/d/8huHUH6  *Subscribe so you know exactly when the next episode drops! Music:  A Day For Smiles by Mixaund | https://mixaund.bandcamp.com Music promoted by https://www.free-stock-music.com

Healthy Living & You - Dr. Ujomoti Akintunde, Consultant Physician/Cardiologist RCCG League of Champions Ikeja

WARNING! This show is for adults. We drink cocktails, have potty mouths and, at least, one of us was raised by wolves. The Clockwork Cabaret is a production of Agony Aunt Studios. Featuring that darling DJ Duo, Lady Attercop and Emmett Davenport. Our theme music is made especially for us by Kyle O'Door. This episode aired on Mad Wasp Radio, 10.22.23. New episodes air on Mad Wasp Radio on Sundays @ 12pm GMT! Listen at www.madwaspradio.com or via TuneIn radio app! Playlist: Pink Martini – Que Sera Sera Nouvelle Vague – I Wanna Be Sedated Hellblinki – All for You Dr. Steel – Build the Robots Walter Sickert & The Army of Broken Toys – Come Black Magic Tom Waits – Hang On St. Christopher PJ Harvey – Meet Ze Monsta Nick Cave & The Bad Seeds – Papa Won't Leave You, Henry 16 Horsepower – Black Soul Choir The Bridge City Sinners – Stray Cat Strut Mother Ukers – Love Cats The Dead Brothers – Old Pine Box Vermillion Lies – Wednesday's Child Charming Disaster – Monsters Rasputina – Humankind, as the Sailor Puddles Pity Party – Where Is My Mind The Tiger Lillies – Nevermore Clara Rockmore – La Vie en Rose Emilie Autumn – Always Look On the Bright Side of Life Eric McFadden – Edgar Allen Polka Christopher Fitzgerald, Sutton Foster, Fred Applegate & Ensemble – Transylvania Mania Tim Curry – Sweet Transvestite The 69 Cats – Werewolves of London Fields Of The NephilimPreacher Man Faith & The Muse – She Waits by the Well Mount Sims – Fragile Breaks Fragile Urban Heat – Goodbye Horses

WARNING! This show is for adults. We drink cocktails, have potty mouths and, at least, one of us was raised by wolves. The Clockwork Cabaret is a production of Agony Aunt Studios. Featuring that darling DJ Duo, Lady Attercop and Emmett Davenport. Our theme music is made especially for us by Kyle O'Door. This episode aired on Mad Wasp Radio, 10.22.23. New episodes air on Mad Wasp Radio on Sundays @ 12pm GMT! Listen at www.madwaspradio.com or via TuneIn radio app! Playlist: Pink Martini – Que Sera Sera Nouvelle Vague – I Wanna Be Sedated Hellblinki – All for You Dr. Steel – Build the Robots Walter Sickert & The Army of Broken Toys – Come Black Magic Tom Waits – Hang On St. Christopher PJ Harvey – Meet Ze Monsta Nick Cave & The Bad Seeds – Papa Won't Leave You, Henry 16 Horsepower – Black Soul Choir The Bridge City Sinners – Stray Cat Strut Mother Ukers – Love Cats The Dead Brothers – Old Pine Box Vermillion Lies – Wednesday's Child Charming Disaster – Monsters Rasputina – Humankind, as the Sailor Puddles Pity Party – Where Is My Mind The Tiger Lillies – Nevermore Clara Rockmore – La Vie en Rose Emilie Autumn – Always Look On the Bright Side of Life Eric McFadden – Edgar Allen Polka Christopher Fitzgerald, Sutton Foster, Fred Applegate & Ensemble – Transylvania Mania Tim Curry – Sweet Transvestite The 69 Cats – Werewolves of London Fields Of The NephilimPreacher Man Faith & The Muse – She Waits by the Well Mount Sims – Fragile Breaks Fragile Urban Heat – Goodbye Horses

Welcome to the latest episode of The Hormone Prescription Podcast, hosted by Dr. Kyrin Dunston! In this informative and engaging episode, Dr. Kyrin Dunston talks to renowned guest Faraz Khan about reversing hair loss and regaining hair vitality at midlife. Faraz is an expert in the field of hair loss in women, founder of FullyVital, and host of the Anti-Aging Hacks Podcast.    Faraz's innovative thinking and empathetic approach towards hair health have made him a highly sought-after voice in the field. In this conversation, he delves into the molecular level of how testosterone and DHT, specifically around menopause, can affect hair follicle health, ultimately contributing to a broader understanding of hair loss patterns in women. Some highlights of the episode include: - Understanding the role of testosterone and DHT in hair health - Strategies to reverse hair loss during midlife - The complex interplay of hormones, diet, and lifestyle that impact hair health - Faraz's unique perspective and empathetic approach to hair health    It's an episode that you won't want to miss if you want to understand the root cause of hair loss and learn how to regain your hair's vitality at midlife. So, don't miss out on the valuable insights Faraz shares and the helpful knowledge he imparts.    Make sure to subscribe to The Hormone Prescription Podcast to stay updated on all the latest episodes and be a part of our community of listeners working towards better hormonal health. If you enjoyed this episode, please consider leaving us a review!** Your positive feedback helps others discover our podcast and benefit from the insightful conversations we have with experts like Faraz Khan. Together, we can help more people gain control of their hormonal health and enjoy fuller, more vital lives.   Speaker 1 (00:00): Our bodies are magical and they know exactly how to heal. We just have to give them time so they can kickstart the process. Stay tuned to learn how to heal your hair and reverse hair loss at midlife. Speaker 2 (00:15): So the big question is, how do women over 40 like us, keep weight off, have great energy, balance our hormones and our moods, feel sexy and confident, and master midlife? If you're like most of us, you are not getting the answers you need and remain confused and pretty hopeless to ever feel like yourself again. As an O B G Y N, I had to discover for myself the truth about what creates a rock solid metabolism, lasting weight loss, and supercharged energy after 40, in order to lose a hundred pounds and fix my fatigue, now I'm on a mission. This podcast is designed to share the natural tools you need for impactful results and to give you clarity on the answers to your midlife metabolism challenges. Join me for tangible, natural strategies to crush the hormone imbalances you are facing and help you get unstuck from the sidelines of life. My name is Dr. Kyrin Dunston. Welcome to the Hormone Prescription Podcast. Speaker 1 (01:08): Hi everybody. Welcome back to another episode of The Hormone Prescription with Dr. Kyrin. Thank you so much for joining me today as we dive into reversing hair loss at midlife. How to make it fully vital with my guest today, Faraz Khan. Hair loss is a huge problem for women at midlife and beyond, and it's not only a cosmetic issue. Sure, our identity is very tied up in our hair and we want our hair to look its best 'cause it is tied to our identity, and we feel our best when our hair looks good, but it's about so much more. Your hair is part of the trilogy of what I call the canary in the coal mine, and that's hair, skin, and nails. These three aspects of your body will out picture what's going on inside. So if your health is not optimized inside, if you're in hormonal poverty, for instance, which occurs for most women after 40, then your hair is not going to be as thick as it should, as long as it should, as vital as it should, as healthy as it should, and your identity is gonna suffer as a result. Speaker 1 (02:22): So just like erectile dysfunction in men is very often a harbinger of cardiac issues, right? It's not just about erectile dysfunction in women. Hair problems are not just about the hair, it's about your metabolism, your physiology, your biochemistry, what's happening inside the body. And so the hair is one of the places that will out picture this. So I really want you to pay attention. If you've got hair problems, it could be a sign of something deeper. And we're gonna dive in today into what are the deeper causes of hair loss. Yes, it's about hormones, but it's not only about hormones. So there are other dysfunctions and disruptions that can be going on that you need to pay attention to. And we're gonna dive into that and we're gonna talk about the quote that Farad shared that I shared with you and the teaser. And we're gonna give you some solutions. Speaker 1 (03:13): Best of all, what do you do about it? There's testing that can be done, there are treatments that are available to you. There's further diagnosis, more than your doctors and dermatologist's office. There are specialists in this. So we're gonna dive into all of this and really give you a good understanding. First, I'll tell you a little bit about for us Khan, and then we'll get started. He's the founder of Fully Vital and the host of the Anti-Aging Hacks podcast. He's a leading expert in the field of hair loss in women and has dedicated his career to understanding the complex interplay of hormones, diet, and lifestyle on hair health. His work focuses on the molecular level of how testosterone and D H T affect hair follicles, as well as the other factors that go into hair loss. He has innovative thinking and an empathetic approach. This has made him a sought after voice in the field. He's helped countless individuals regain confidence and control over their hair health. His insights into hormonal imbalances, particularly around menopause, perimenopause, hormonal poverty, have contributed to a broader understanding of hair loss patterns in women. So please help me welcome Rascon to the show. Thank Speaker 3 (04:23): You so much, Dr. Kyron. I'm a big fan and I'm glad to be here. Yeah, Speaker 1 (04:26): I'm super excited to talk about hair loss. Back over a decade ago when I weighed 243 pounds and had fibromyalgia and chronic fatigue and all the health problems that I had, and I looked and felt 20 years older than I was, hair loss was a huge component of my dysfunction. I would wash my hair and it would look like there was a small dog in the drain. It would just come out. It was diffuse hair loss. I didn't have any bald patches, and it wasn't growing like it should. It was dry and brittle, it was falling out. And of course, all that reversed when I did all the things that we're gonna talk about. But it's near and dear to my heart. I, I don't think that a lot of women understand something that you said to me before we started recording, that really, hair loss is not just a cosmetic issue. Speaker 1 (05:21): It's about so much more. And it, it really is an indicator that your longevity is being affected and your overall health is being affected. So if you're listening, I really want you to pay attention if you're having hair loss because it's a sign that something bigger is going on. I used to call it, I still call it the canary in the coal mine, hair, skin and nails. If you're having a problem with your hair, skin and nails, these are the canary in the coal mine. You just chalk it up as a cosmetic issue. You might not even address it, but I say it's kind of like erectile dysfunction in men could be an indicator of cardiac disease that if you've got this as a woman, you really need to pay attention. Right? Speaker 3 (06:05): Yeah, totally. It's very important. Thank you for bringing that up. And I'm a big fan of your message as well. What happens is that as women, especially after the age of 35, hormones start changing. And Dr. Karen, you talk about, you know, the other things that come with that. Hormonal changes, especially as women get closer to menopause and all of those factors can play a part in hair thinning and hair loss. And it's very, very tied to the health of your overall system, the stress levels. Because when you're, when you're losing hair, your stress levels go up, and when your stress levels go up, you lose more hair. So that's also challenging. You've gotta take that into consideration. In addition, women tell us that they stop going out, they start, they stop communicating as much. And so this leads to self isolating, which again, is very bad for longevity and very bad for a long life and a healthy life. Speaker 1 (06:53): Yeah, it's so true. So let's dive into what causes it. And I know there are a lot of women out there with hair loss. They're looking for the one quick fix. What's the one thing that I have to do? You know, it's really how we're trained to look at our health problems. I have a symptom. How do I fix that symptom when I fix that symptom? We claim victory, we think we're done. But what I wanna encourage everybody listening to understand is that symptoms are not the problem. They are the sign post, post pointing to the problem, and it's incumbent upon us to investigate, to figure out the cause. And usually there isn't one cause of a symptom. It's usually multifactorial. And I think this is no better illustrated than with hair loss. So let's dive into the factors that go into contributing to hair loss. Totally. Speaker 3 (07:45): And if I may, let me explain the hair cycle really, really quickly. Yeah. Speaker 1 (07:49): So Speaker 3 (07:49): There's context behind everything we're talking about in this interview. The hair cycle has three different distinct phases. The first one is the growth phase or the antigen phase that it's called. About 85 to 90% of your hair is in the growth phase at a particular time, which is why there's so much hair in your head. And then there's the second phase, which is very, very short. It's about 10 days, it's called kagen. That's just a transition phase from the growth phase to the third phase, which is called telogen, which is where your hair follicle is just resting for two to three months. And in those two to three months, it'll fall out at some point. And so at this, in this stage, it's not growing at all. And sometimes the hair may not grow back out of the stage back into the growth phase. So I'll come back to that in a second. Speaker 3 (08:32): So what can we do in terms of goals? The, there's three goals that we have for hair follicles, especially as we get after, get over the age of 35 or 40. Number one, you want to keep the hair follicle in the hair growth phase as much as possible. And there's ways to do that because the longer it's in the hair growth phase, the longer it's gonna grow and the thicker your hair is gonna gonna look. Number two, we wanna make sure your hair is healthy, it's thick, the scalp is healthy so that there's a very good environment for this to keep growing. And then thirdly, what we wanna do is if your hair follicle does go into the shedding or the transition phase, which normally they will do after three to seven years of growing, then we wanna make sure all of those hair follicles are able to grow back and a bunch of them don't decide not to come back, which will lead to a much thinner looking scalp, which is very bad. Speaker 3 (09:23): So those are the three phases that we talk about. Now when it comes back to the question that you asked me is what are the reasons for hair thinning? The number one reason is something that you talk about Dr. Kyron all the time is due to hormones. So again, after the age of 35, and especially after the age of 40, estrogen and progesterone in women start to fall. And this causes a relative imbalance with testosterone. And this testosterone converts to dihydrotestosterone or D H t and d h t goes to your hair follicles and it starts to shrink them, makes them smaller and smaller and starve them. So your hair goes from nice thick hair to a wisser and wisser and wisser hair until it can't even grow anymore. So that's what it does. The other thing, d h t does that, it keeps your hair in the resting phase for a much longer period. Speaker 3 (10:11): So it appears that you have less hair on your scalp. So both of those are bad, but D H T can also prevent your hair from growing back out after the hair cycle is done. So we wanna be very careful with, especially this one, because it's a progressive condition and if you don't address it, it will keep going. Just like you see with men. The same thing happens to men, but happens to younger men 'cause they have high testosterone levels in their late teens, early twenties. And so testosterone is converting to D H T, which is causing progressive thinning of the hair follicle. And eventually for men there's baldness. But luckily for women it's more diffused. It's not completely gone from every single area. But of course this causes a lot of anxiety and shame in women. So that's the number one reason. Speaker 1 (10:54): Yeah. And do you wanna talk a little bit about the different patterns of hair loss that women can experience and what that might tell you, whether it's diffuse or you could have male pattern or female pat pattern. Talk a little bit about that. Totally Speaker 3 (11:07): Love that. So the number one reason, like I said, is due to hormones or D H D. And that directly corresponds or correlates to what is known as female pattern hair loss or androgenetic alopecia. It's the same as male, male pattern hair loss. 'cause The hormone behind it is the same. And so what happens is women will experience hair loss right in their crowns. Their Christmas or their tree, or their part, I should say, is gonna get wider and wider and wider. And they'll notice it first over there, but they can also see loss on the temples or in the front as well. And for men, again, same thing happens because it starts in the crown or in the front or the temples. And for men it completely meets in the middle and it's all of it's gone. But for women, thankfully, they don't lose all their hair, but they will notice it first in the part area. Speaker 3 (11:53): So that is the female pattern. Hair loss. The other way to tell is I had a client call me or a customer call me and say, Hey, I don't know what type of hair loss I have. And I asked her to just do a simple exercise in the shower. So next time you're washing your hair to take a few hair strands that you have in your hand, because of course we all lose hair in the shower, especially when we're washing it. And then stick 'em on the TILs. And when you see a difference, when you see some hairs that are thicker and some hairs that are thinner, this is a telltale sign that this is hormonal or female pattern hair loss. And that D h C is causing your hair to thin progressively. So that's number one. This is the most common hair loss pattern in women. Speaker 3 (12:31): The next is called diffuse hair loss. And this happens all over the scalp, even in the back areas, which are pretty much immune to the hormonal aspects. So hair above the ears and hair on the back of your scalp is pretty immune to hormonal imbalances, which is why men, you see them, they lose the top of their scalp, but not the sides in the back, similar for women. But in the diffuse hair loss, what happens is that you lose hair everywhere, all over your scalp. And this is typically the causes are multifold for this, but it could be because of a nutritional deficiency. This could be because of chronic ongoing stress. This could be due to a big stressor that has happened in your life, like the virus or giving birth or you know, even moving to a different city or a breakup, divorce, for example, psychological or physical stressor, a big one. Speaker 3 (13:23): Then there's a medications that you might be taking that can cause hair thinning. Also, there's thyroid, especially low thyroid conditions, they seem to be becoming a little bit more common in the women as opposed to men. And so a lot of these factors can cause diffuse hair thinning. And then lastly, there's the, this type of hair thinning or hair loss, which is very rare, but it's autoimmune related, where you will see, you know, complete loss of hair, you'll see shiny bald patches in your scalp, that's an autoimmune condition. Anywhere from two to 5% of women will get that. So will experience that at some point in their life. And typically that's managed by going to a dermatologist and getting either steroid shots or something else to kind of calm down the immune system. Speaker 1 (14:09): Yes, thank you for going through that. You know, I remembered a patient as you were talking who actually had different bald spots on her head and ends up she had a rain worm infection, in her scalp. Yeah. Which is fungal, which is very unusual, but then it was causing the hair loss. And then of course when she treated the rain worm, the hair grew back, it wasn't a problem. Mm-Hmm. And I know that you mentioned also that you thank your mother for did you, were you thanking her for your baldness or tell me about your mother's involvement and you, your interest in, in hair. Speaker 3 (14:45): Totally. What a great question. So I, this, this is going back to me in college. I was a soccer athlete. I thought I was, you know, I was the man and I was pretty confident at that time. But one day in the shower I was washing my hair and I looked down on my hands and they're full of my beautiful hair. And my stress levels went from a four to an 11 in that moment. I'll never forget that moment. And so I started seeking help, but I also started asking the right questions of where is this coming from and how do I fight this? And so I looked through my dad's, you know, the, my dad's side of the family, and I said, all of them have gorgeous hair. My grandfather had more hair than me at the age of 90. So I go, that's not the problem. Speaker 3 (15:25): What about my mom's side? And all three uncles, my mom's brothers, all of them were balding or bald. And I go, oh my God, this is coming from my mother's side of the family. I'm screwed. And so that's what started off as a, what I thought was a genetic condition that was coming from my parents. And it turns out that that's a big reason for Hairing as well. And it come, it can come from both sides. So my mother also, over the years, while I was doing nothing about it, trying to solve my own hair loss, kept complaining that her part was getting wider. She was seeing more and more hair loss. And interestingly, right now she's visiting me, my parents are. And so every three or four days were microneedling her scalp and we're putting all the serums and we're trying to help her grow back her hair as well. So it, the reason I went down this path is not only to solve this for myself, but also help my mother and see what I can do for her . Speaker 1 (16:18): Yeah. And you know, she's lucky to have your help, but it brings me to a larger philosophical question about why are we so attached emotionally to our hair? Speaker 3 (16:30): Yeah. This goes back thousands of years, Dr. Karin. It's like, at least for women, it is their identity. And it is so I guess the media kind of celebrates big hair. If you see Marilyn Monroe back in the sixties or whatever, it was like big hair, right? Barbie dolls, big hair. It's just all over the media for generations and for thousands and thousands of years across cultures, Cleopatra beautiful, gorgeous hair. And so it's just ingrained in her culture that that is a woman's power. It's her identity. And for men, it's not the case because men, unfortunately, most of us experience hair thinning starting in our twenties and beyond. And so we just kind of lose that, lose the crown. And so it's not so, so much a part of our identity as much as it's for women. Mm-Hmm. . Speaker 1 (17:16): Yeah, I, I think I've read that for women it's actually a sign of fertility. So the sexual kind of appeal of women often historically, has come from signs of good fertility, like wide hips, long thick hair. And it, these are really signs of vitality. And so I think it gets back to what we were talking about earlier, that hair loss is, it should be like a level three alarm in your mind when you have it. Because it's not just, oh, I'm afraid that I'm not going to look the way that I want to look. It's, oh my God, what is happening inside my body that's so off that my hair is falling off? Because that's affecting your heart and contributing to heart disease. It's affecting your brain and contributing to potential future dementia, affecting your bones, and contributing to future osteoporosis. It's affecting every cell and every system in your body, not just your hair. Mm-Hmm. So see this as a red alarm. So we talked a little bit about hormones. Yes. We talked about the sex hormones and you mentioned stress. What about cortisol? ? Speaker 3 (18:29): Yeah, huge, huge part. Cortisol has been known to shorten the hair cycles. We talked about trying to keep your hair in the growth phase for as long as possible. So hair typically grows anywhere from two to seven years. And we want it to be on the side of the seven years as much as possible. 'cause A lot of women actually call in and they say, I can't grow any hair, I can't or I can't grow longer hair. And so this is a common complaint that we get, especially from women over 40 years. How do I grow my hair longer? Well, hair's the thing, your hair doesn't stop growing every day. Your body's growing 0.3 millimeters off your hair, every single hair. So it's, your body's doing its job, it's just that the hair is falling out, which is why you can't grow past a certain stage. Speaker 3 (19:16): And so the, the best thing we can do is to keep the hair in the hair growth phase as long as possible. Now, stress unfortunately shortens the hair growth phase from seven years to five, to even three, which means you're not gonna be able to grow long tresses like you want to. And so there's two types of stresses here. And I kind of briefly alluded to this, but I wanna come back to this. Number one is the big, big stressor, which could be, you know, a lot of my friends have gotten the virus and they experienced a huge shedding and we're talking 30 to 40 to 50% of their hair coming out. And they thought that they were gonna have to shave their head off. They were looking at wigs and luckily they were able to save their hair, all of them. So that's one. Speaker 3 (20:00): But it can also happen from, as a result of surgery, as a result of a breakup, as a result of a divorce or anything that's physical or you know, psychological. So those are big stressors. We wanna be very careful. And typically the big shed comes after the big stressor about two to three months after. So it's very hard for you to kind of correlate to what's causing this. But just know that if you're losing handfuls of hair every single day, it's because something happened two or three months back and there are strategies for you to make sure all of that hair comes back. Which goes back to my earlier point. If you are transitioning, you wanna make sure every single hair comes back. The other reason that stress kind of plays a part in this is if you have chronic ongoing stress. So my friend Ashley called me from LA and she goes, I'm losing a bunch of hair. Speaker 3 (20:44): And I said, so what's going on? She goes, well, my coworker left a few months ago and I'm having to cover for her. I'm having to do two jobs. So she's stressed out for the past four or five months and as a result, her hair cycle is shortening and she's losing a lot of hair. And so what we wanna do is balance the cortisol levels, balance the stress levels to ensure that we have the best possible hair growth. But also what cortisol will do is it will pull all of your resources towards your vital organs. 'cause Your body says, okay, what is expendable? Hair, nails? I can expend all those and still live. I have to protect the organism. And we are under big dur, we're under big stress. So let's bring all the blood flow, all the nutrients, let's repu redistribute them to the vital organs as opposed to the hair follicles, which happen to be furthest from your heart, vertically speaking. So your heart has to work even harder to pump that blood up. And the other thing that cortisol will do is it will shrink your blood vessels so your blood can't go as fast or as far and considering that has to go all the way to the top of your scalp. It's very important to have healthy levels of cortisol or balance them and to make sure your circulation is good as well. Speaker 1 (21:51): And so many women these days are under chronic stress constantly. They've got aging parents they have to care for, they have children, they have partners, they have jobs. And it's this constant, constant stress. So if you're listening and you haven't done your salivary cortisol test, you need to do it and then you need to address it. And you may need to change some things in your life, but stress can be not only coming from lifestyle and psychosocial interactions and situations, it can be coming from inside the body like toxicity and inflammation. And that can affect care growth as well. Right? Speaker 3 (22:28): Yeah, totally. So I'm glad you brought that up. The other things that we learn about as we talk to women is that the average woman, Dr. Kyron, you know this very well, is putting on 10 to 12 different chemicals on her face, on her body, on her scalp before she leaves the home in the morning. And this is a lot to do with the modern beauty products that we have that that include parabens, that include phalates, that include benzoates, formaldehyde, fragrances. We don't actually know what's in these beauty products. And so the best thing, especially if you're experiencing hair thinning, is to use as natural of products as possible. You can pick any brand but make sure that it's very, very natural. It doesn't have all of these chemicals be listed because they are adding oxidative stress to your hair follicles. And as your hair follicle is fighting to survive and grow during times of hair thinning, we don't wanna add any extra stress to it. Speaker 3 (23:20): The other thing you mentioned is inflammation. Inflammation has been directly linked to hair loss. It's been measured in the hair follicles from scientists that are studying hair loss. And so we also know that as we get older, inflammation is, is known as inflammaging. It's one of the reasons why we age faster. If there's more inflammation in your body, you're likely gonna age faster than others that are have less inflammation. So we wanna get that back under control. Some ways to do that is having very good sleep, having low oxidative stress, having low cortisol levels as Dr. Karin mentioned. But also you can take some natural supplements that can help balance stress inflammation levels in your body to normal range. Yeah, Speaker 1 (24:03): I always think about inflammation like fire in the body. Yeah. And you can think of a, like a lot of little fires or one big fire, but how do you stop a fire? Well, you stop feeding it. So get the firewood out. So stop putting, using the chemicals changed to natural products. Stop eating things with pesticides and artificial flavorings and colorings processed foods and get them out of your environment. So stop feeding the fire. But then also you can quench it with antioxidant types of supplementation, which can be helpful. But it's so funny 'cause some people will say, oh great, I'll, I'll take this, this anti-inflammation supplement. I'm good. No, you still need to, to detox your life and stop using all the toxic things and stop eating gluten and all those inflammatory foods. Alright, so inflammation, we've got hormones, we've talked about sex hormones, we've talked about cortisol. What else can contribute to hair loss? Speaker 3 (24:59): Yeah, totally. There are thyroid conditions. Mm-Hmm. Having too low thyroid and having too high thyroid can both lead to hair thinning. And, and I'm sure you talk to people all the time about having low thyroid, but the symptoms include, you could even be losing hair on the eyebrows, you could be gaining weight, you know, e or when you sit down you get pretty lethargic. You have cold hands and feet and of course hair thinning. So that's the low thyroid. When you have high thyroid then you're just, your engine's running very, very fast and very hot and you'll be jittery and you'll lose hair as well as a result. And so there's only two tests that we, for the most part, when we recommend, because we wanna make sure we're not asking women to spend too much money. One of them is the full thyroid panel with antibodies. Speaker 3 (25:45): And this gives us a very good indication that you have either low thyroidism or you have Hashimoto's, which is something that we have to deal with outside of our products to make sure that that is normal. And sometimes when the thyroid gland is being attacked by the immune system in the body, you wanna make sure to stop that progression as quickly as possible. Otherwise you will lose the thyroid gland and you'll have to take medications for the rest of your life. And so that is the one thing that we, if you do notice that you have low thyroid, we recommend getting, or if you feel like you have low thyroid, we recommend getting the full thyroid panel with antibodies. So that's one. And then the other thing I, I guess I didn't mention is that nutritional, there's some nutrition aspects which can cause hair thinning. Speaker 3 (26:25): There's the big five, as we like to call it, in the hair loss world. These are vitamins and minerals. So what are these? Iron is very important for hair. We've got zinc, that's very important. Vitamin D is very important. Folate and B 12, you've gotta have enough of these in your body to support hair health and to make sure that it's not falling out because you're, you're deficient in these, interestingly enough, vegans these days, veganism is, is getting more and more popular. And I have friends in Los Angeles and New York that, that have gone vegan and you know, if that's what you wanna do, that's totally fine. But vegans are at risk of being deficient in three of these five nutrients, which is iron B 12, and folate. So make sure that you're either getting enough from your foods and or taking a supplement that has these ingredients so that you can fulfill those needs and you're not, you're not losing your hair and then wondering what's going on. Yeah, Speaker 1 (27:19): I would just caution people that I, I remember a while back, years ago, I don't know if someone was on Oprah talking about biotin, I think Yeah. For hair. And everyone was taking these mega doses of biotin. And what a lot of people don't understand is that when you supplement certain B vitamins, which biotin is, or even other vitamins to the exclusion of others, especially in these humongous doses, you cause these relative deficiencies in the others. And you can actually cause your chemical processes in the body to malfunction and cause more problems. So I always say it's best to get your nutrients from nutrient dense food mm-hmm. and supplement if it's targeted, and maybe you've had a nutritional test to target those nutritional components, but then retest to see do you still need those doses of those nutrients? And other than that, to use more broad-based type supplementation. But yes, nutrition is important and then hair is dead protein, right? Yeah, Speaker 3 (28:27): Yeah. It's keratin. I, I do want to come back to the nutrition aspect that you mentioned. I love what you're saying in that there are certain nutrition or nutritional aspects meaning vitamins and minerals. If you take too many of them or too much of them, then you'll cause her, you'll cause hair loss as well. So it's very interesting that vitamin A iron, both of these selenium, all three of these taken too low or being deficient in can cause hair thinning. But if you have too many of these, it can also cause hair thinning. So you've gotta be very careful, like Dr. Kyron mentioned, don't take these for months and years on end if you're taking target supplements, but do get measured to make sure you're not going over the limit for any of these. And then of course, hair fo hair, the hair strands are actually dead proteins. They're made up of keratin. And there's also melanin in them, which is the color, which creates the color in the hair follicle. And, and so that's what it is. You've gotta make sure you've got enough protein in your diet too, so it can have the amino acids to create the actual strand for the hairs. And so lots of things that go into her follicle health and I'm glad we're discussing these. Speaker 1 (29:34): Yes. And most women are not getting enough protein. So that's why, to make sure to mention that, that it's super important to make sure you are getting enough protein. And you also mentioned something before we started recording, I think everyone would find fascinating is that the density of hairs on a woman's head varies by hair color. Can you talk a little bit about that? Speaker 3 (30:00): Yeah, this was shocking to me when I learned this as well. So blondes seem to have more fun because they have the most hair on their head. It's about 150,000 hair follicles that blondes have and brunettes like myself and yourself, Dr. Kan if that's your natural color, we have about a hundred to 120,000 hair follicles on our scalp. And then redheads have to have seem to have the, the worst luck when it comes to hair follicles to have about 80 to 90,000 hair follicles. But still, I just wanna mention that, that that's plenty of hair follicles that's gonna cover your scalp very, very effectively. But coming back to the point that you made, blondes do have to do, seem to have the most hair and it's the thickest for them, especially early on. Speaker 1 (30:45): Yeah. And I, after you told me that, I started thinking, I wonder why that is and because I love to think about questions like that. . Yeah, . And I had this thought that, you know, blonde hair is more, it's lighter and opaque so it doesn't look as dense and maybe you need more of it to be substantial, whereas darker hair is more visibly obvious. But then I thought hair isn't on us to be seen, it's for thermodynamics, it's to keep us warm. So I'm not sure exactly why that is. It's very interesting. If anyone listening has an answer, I'd love to hear about it to reach out on social media or maybe you know the answer. Yeah, Speaker 3 (31:30): I'd love to hear the answer as well, . Speaker 1 (31:33): So what else is important for a woman to know or investigate if she's noticing hair loss? Speaker 3 (31:42): Yeah, the number one reason that I believe that women are not successful with fixing their hair loss problems is because they're not sure of the reason. As we mentioned, there can be multiple reasons for hair thinning and the number one reason, of course is hormonal. But sometimes there can be an additional reason like stress is adding to the hormones or you're taking a certain medication, or you have, you're low nutritional deficiencies in certain aspects or certain vitamins and minerals. And so understanding where the hair loss is coming from and and addressing it in multiple ways that seems to get the best results. What I've seen in practice and what I've learned from all the interviews and all the discussions I've had with hair experts over the years and hair researchers over the years, is that to get the best results, to stop hair thinning and to regrow your hair regrow, thicker, fuller hair, you've got to stimulate hair follicles in multiple ways. Speaker 3 (32:39): And that multiple stimulation seems to have the best combined effect. It's all synergistic inside and outside. You know, either taking something nutritionally and or applying pressure or massage to your scalp, all of that and also derma rolling, all of that seems to have very good benefit synergistically. But by itself, I'm sure you've talked to dozens if not hundreds of women that have tried a hair pill or that, that have tried a hair serum and had little to no results to show for it. For some it can work because that is the cause of their hair thinning. But if you take a holistic approach and say, okay, what's going on in your life? And if I had to just, if I had to get products, how could I make sure that these products address 80 or 90% of the reasons of my hair thinning without me having to get a PhD in hair science? That is the best way to move forward. Speaker 1 (33:29): You know, as you're talking, I I'm thinking we should talk about, well, how do most doctors address this, right? So if you're having hair loss, having practiced regular corporate mainstream medicine for many years, we really weren't given the tools to be able to properly assess why hair loss, even dermatologists. And so if you're listening, and this is you, you've probably already talked to your doctor and you probably haven't gotten satisfying answers, so I'm glad you're here. But let's talk about some of the different treatments. I mean, Rogan is something that you can purchase over the, the counter minoxidil. You talk mentioned dermal rolling. I've heard of stem cell injections, their transplants. So can you talk a little bit about what the different treatments are? I mean, I would say you gotta first look at it as a warning sign from your body that there are hormonal imbalances, there are toxicities, there are nutritional deficiencies. You've got to examine and address those. And then once you address them though there may be other things available to you. What are some of those things? Speaker 3 (34:35): Totally. And so what I'd love to do is to walk this down through simple ways to stop hair thinning and to regrow your hair to more complicated and or expensive ways. And there's a whole ladder you can walk up or walk down depending on how you're coming at this. So the simplest things which you could do is make sure that if you were just looking for solutions, then maybe like a supplement or something that helps balance counterbalance some of the hormones inside of your body, gives you the nutritional supplements, reduces in inflammation, reduce oxidative stress with antioxidants that can be multifactorial and go after a lot of things could be beneficial to you. But like I said, you wanna combine these with multiple things. So a supplement may be good, but you want to combine it with the serum that you apply topically to your scalp that's acting on the area that you need it to work. Speaker 3 (35:24): And then the third thing that has scientific evidence behind it is the derma roller, just by itself, a derma roller has proven to grow 15% more hair with nothing else, no other interventions. So that's a good one as well. To add to your protocol, women already are familiar with derma roller of their face and it's easy to do it on the scalp. So that's the third. And the fourth one that we kind of recommend quite a bit is brushing your hair a hundred to 200 times a day. Because what happens the first thing that happens when you're losing your hair, you don't wanna touch it, you don't wanna wash it, you don't wanna heal it, right? That happened to me for many, many years. In fact, I was putting these hair fibers in my scalp because I was so afraid of my scalp showing through when I was going out in Los Angeles where you get judged for how you look. Speaker 3 (36:08): And so if you're gonna do that, then those are the, the base layers. You want to do multiple of those at the same time. And they're pretty cheap, right? They're pretty economical for most people. Then if you say, well, I wanna go to a doctor or a dermatologist and I wanna get professional advice one, I would say that yes, absolutely you can do that. I would say that dermatologists aren't spending a lot of their time focusing on hair science. And you can also, I'm sure validate this Dr. Kyron because you're just too busy. There's too many patients to see, there's too much to do, there's too many conditions to treat. So dermatologists in their offices, they're getting a lot of Botox, a lot of fillers, a lot of all kinds of aesthetic things where they don't have a lot of time to figure this out. Speaker 3 (36:47): So what they'll typically recommend at a dermatologist or even doctor's office is they'll recommend P R P or platelet rich plasma, which are basically, they draw blood outta your body and they centrif use a centrifuge to spin it and then they, they inject it back into your scalp. The idea being that there are some growth factors that are available in this hair that can help rejuvenate and thicken your hair follicles. And if you look at the studies, there's meta-analyses that have been done on P R P. It's very individual to the type of machine, used to the process of the centrifugation. Many dermatologists that are not aware of the different types of machines will go to Amazon and buy one or they'll buy one from a pushy sales rep from many, many companies that are selling these centrifuges. And so it's really a crapshoot on when it comes to results. Speaker 3 (37:33): So if you're going to go down that route, make sure to ask for before and afters, make sure to validate that this doctor has results. Because what they're gonna do is they're gonna ask you to sign up for three or four of these injections over three to four months and they're gonna be a thousand dollars each. So you're gonna be $4,000 in and you're not gonna know if it's gonna work or not. And they won't even guarantee it and there is no money back. So you're gonna be out a few thousand dollars. So again, just know that the other aspect with regenerative medicine, it appears that stem cells unfortunately don't have as much good data. Even though there's anecdotal evidence of some, some individuals getting results, but on the whole stem cells have do not have good data on hair growth. In fact, exosomes, which are basically made from stem cells or extract from stem cells, seem to have better data on the, the hair as opposed to both P R P and stem cell. Speaker 3 (38:27): So if you're gonna choose a therapy, I would recommend you at least ask your doctor or dermatologist about exosomes. Again, note that it's not, not gonna be cheap. This is in the thousands of dollars with exosomes, you're probably just gonna do one treatment and there, you know, you'll have to see how that turns out for you. For some it works good for others, it may not work at all. Then we get to the hair transplants. This is the easiest solution for at least some men that have lost a lot of hair. The way this works is that if you have lost a bunch of hair in a particular area, this is can be very effective because they can pull the hair from the back of your scalp, which is immune to the dihydrate testosterone or D H T and you, they can implant it in the front so this hair won't fall out again. Speaker 3 (39:09): But you've gotta be very careful to address the underlying causes of hair thinning, because even if you do transplant hairs in the front or the top, the other hair will continue. This is a progressive condition, they'll continue to thin and they'll continue to fall out. So I've heard of instances where some men at least have used the hair transplants to get a bunch of hairs in the front, and then they got a second transplant and a third transplant, and then they just ran out of donor hair in the back. And so now they have a bunch of hair in the front and nothing behind it. So they had to laser off $40,000 of hair transplants that they had done. So you wanna be careful. And in addition, women are typically not the best candidates for hair transplants because when you're injecting or when you're implanting new hair or transplanting new hair, that causes a shock loss around. Speaker 3 (39:59): So the existing hair that may be around that newly transplanted hair, when you transplant it, it gets a shock because there's a damage to the skin. And so that hair might go, that hair might be lost because of this transplant. So again, speak with a very, somebody that's got a lot of ears on in in their practice for a hair transplant surgeon. I guess the final thing I would say is that some women, when they experience hair thinning in the front of their scalp, they can get scalp reduction surgery as well. So they will just cut out maybe a centimeter or half an inch of your scalp in the front and then staple it back down, which then brings your hairline lower. And so it makes you look more youthful. It makes you look like you have more hair. And women seem to do this more compared to men that will do the hair crime, spine surgery. Speaker 1 (40:45): Interesting. I didn't, I wasn't aware of that surgery. Another thing to do to ourselves, Speaker 3 (40:52): Totally, but never stops. Speaker 1 (40:54): Our hair is such a part of our identity that only you as the person dealing with this problem can say what it's worth to you and what, what you would like to have done. So I say follow your heart when it comes to that. I do wanna mention there is a type of specialist called a ologist, which most people have never heard of who is a hair specialist. They're not doctors, but they have specialized training in the evaluation and management of the hair follicles, particularly on the head. And they have very specialized equipment where they can evaluate hair follicles and see what state they're in, the size of them, their health, whether they're able to grow hair or not. And so if you're really struggling with this and a lot, it's funny 'cause I've even met a lot of dermatologists who don't even know that trick exists. Speaker 1 (41:53): Yeah. So you can, oftentimes there aren't that many of them, but you can look on Google to find a trick and go to them for a full evaluation. And they're often very good guides. I won't say that they're necessarily good at helping you evaluate the systemic conditions that we've been discussing that can contribute not only to hair loss, but also to decreasing your longevity and vitality. They, I haven't found that they universally are aware of that or know how to do it, but when it comes to targeted treatment, they're, they're the experts. So I did wanna mention that. Yeah, Speaker 3 (42:32): Totally. I've been to, I have many psychologist friends of my own. I've been to them. They have looked at my hair and scalp and microscopes. Yeah, they have 50 x magnification so they can look at what's going on. They can give you advice about, so yeah, totally agree. Yeah. Speaker 1 (42:46): But this is great information and I'm glad to have you here. I know you've given hope to some women today who are really struggling. You now know the steps you need to take, evaluate your hormones, so your sex hormones, your cortisol, your thyroid, I'd say your insulin too. Look at your inflammation levels, your toxicity or to decrease that toxin fire. And then look at your nutrient inputs, where are you deficient and work to sup supplement those. And then there are local things that you can do that we've discussed for us. Thank you so much for coming on the show and sharing all this wonderful information. Tell everyone how we can find out more about you. Tell 'em about your Anti-Aging Hacks podcast. Where are you online? Speaker 3 (43:32): Totally. Thank you Dr. Karin. So a couple of places. Number one, I'm the host of the Anti-Aging Hacks podcast, where we talk about wge and anti-aging and how to bring typical or simple resources to help you slow down your aging now and then in time, also reverse it because that revolution is coming very soon. So that's what I talk about on the Anti-Aging Hacks Podcast. The other is, I'm the founder of a hair wellness and hair growth company called Fully Vital, where we combine different products to give you maximum coverage for the reasons for hair thinning. So we've got a, a supplement that we talked about. We've got a, a serum for the hair, we've got a derma roller they will sell and also a hairbrush. So we sell a bundle that you can get, which covers, in my opinion, 80% of more of all the hair thinning reasons that will give you the best results. Speaker 3 (44:23): And if you do go with us, then we recommend that you use the get the three month bundle because hair growth takes a little bit of time. So you've gotta be patient with it. Get the three month bundle. And the best part about us is that we have a four month money back guarantee, full money back guarantee. So try us out for three months. We're covering the most spaces out of anybody out there, and for some reason, if you don't get results, email us and we'll refund all of your money. So there's, there's no risk attached to that. And you can find that@fullyvital.com. And Dr. Kyron, if you would allow me, I'd love to offer your listeners a coupon code as well for this. Speaker 1 (44:59): Sure. We can put it in the show notes. Speaker 3 (45:02): Okay, perfect. Awesome. Speaker 1 (45:04): Thank you so much for Oz before coming and sharing your wisdom about hair. Thank Speaker 3 (45:09): You Dr. Karin, honored to be on your show. Speaker 1 (45:11): And thank you for joining us for another episode of The Hormone Prescription for Dr. Kieran. I hope that you have learned something today that you can put into practice to change your hair, but maybe even to change your hormones and your life. I look forward to hearing about it on social media, so please reach out and let me know, and I hope you have a great week Until next week, peace, love, and Speaker 2 (45:34): Hormones, Speaker 1 (45:34): Y'all. Speaker 2 (45:36): Thank you so much for listening. I know that incredible vitality occurs for women over 40 when we learn to speak hormone and balance these vital regulators to create the health and the life that we deserve. If you're enjoying this podcast, I'd love it if you'd give me a review and subscribe. It really does help this podcast out so much. You can visit the hormone prescription.com where we have some free gifts for you, and you can sign up to have a hormone evaluation with me on the podcast to gain clarity into your personal situation. Until next time, remember, take small steps each day to balance your hormones and watch the wonderful changes in your health that begin to unfold Speaker 1 (46:15): For you. Speaker 2 (46:16): Talk to you soon.   ► Get 10% discount on FullyVital hair growth products - CLICK HERE. ► Feeling tired? Can't seem to lose weight, no matter how hard you try? It might be time to check your hormones. Most people don't even know that their hormones could be the culprit behind their problems. But at Her Hormone Club, we specialize in hormone testing and treatment. We can help you figure out what's going on with your hormones and get you back on track. We offer advanced hormone testing and treatment from Board Certified Practitioners, so you can feel confident that you're getting the best possible care. Plus, our convenient online consultation process makes it easy to get started. Try Her Hormone Club for 30 days and see how it can help you feel better than before. CLICK HERE.   ► Do you feel exhausted, moody, and unable to do the things that used to bring you joy? It could be because of hormonal poverty! You can take our quiz now to find out if your hormone levels are at optimum level or not. Take this quiz and get ready to reclaim your life; say goodbye to fatigue and lack of energy for good. We want every woman to live her best life — free from any signs or symptoms of hormonal poverty, so they can relish their everyday moments with confidence and joy. Imagine having a strong immune system, vibrant skin, improved sleep quality… these are all possible when hormones are balanced! CLICK HERE now and take the #WWPHD Quiz to discover if you're in hormonal poverty — it only takes 2 minutes! Let's get started on optimizing your hormone health today.  

The Blood Still Speaks (Let the Word of God Speak for You) - Dr. Joshua Joy Dara | Zion Hill Church Family - Sunday, August 27, 2023

In this episode, Hosts Gina Robinson and Lauren Kennedy sit down with Lisa Stallings to discuss growing in the battlefield of your own heart. Working on ourselves is some of the most difficult yet rewarding work that anyone can do.Resources from this episode:Books:Boundaries by Dr. Henry Cloud & John TownsendEnemies of the Heart by Andy StanleyTailor Made by Alex SeeleyBecoming Yourself by Stacie EldredgeForgetting What You Can't Forget by Lysa TerKeurstThe Marriage Devotional by Levi & Jennie LuskoPodcasts:The Best of You | Dr. Alison CookTherapy & Theology | Lysa TerKeurst

Associated Video: https://youtu.be/TLhR5dBbBWU Welcome back to a brand new season of HP podcast! My first guest of the season is Dr. John Kim, Pharm.D., FAARFM is a functional medicine pharmacist and the Owner/Pharmacist In Charge at Robinson Wellness Pharmacy. He's also quite a legend on social media. He has been in clinical practice for 15 years and he has been a foremost voice in health, wellness, and preventative medicine. He received his Doctorate in Pharmacy from Rutgers University with High Honors and trained in Functional Medicine from the American Academy of Anti-Aging Medicine (A4M). Dr. John actively lectures throughout the country and is an influencer within the functional medicine world to educate and empower everyday people to live a healthy fulfilling life. His message is Doctor of the Future is You - the patient. Do NOT miss this episode - there are going to be gems for everyone in this interview! Connect with Dr. John via: Instagram: @dr.john.pharmd www.drkimwellness.com Get the free Ebook here: https://m.drkimwellness.com/optin1676483017829 Quote: “The Doctor of the Future is You” - Dr. John Kim For more amazing content, visit us at https://drmarinabuksov.com. Music: https://www.purple-planet.com. *Disclaimer*: The statements made herein have not been evaluated by the Food and Drug Administration. Any/All products listed are not intended to diagnose, treat, cure, or prevent any diseases.

Welcome back to a brand new season of HP podcast! My first guest of the season is Dr. John Kim, Pharm.D., FAARFM is a functional medicine pharmacist and the Owner/Pharmacist In Charge at Robinson Wellness Pharmacy. He's also quite a legend on social media. He has been in clinical practice for 15 years and he has been a foremost voice in health, wellness, and preventative medicine. He received his Doctorate in Pharmacy from Rutgers University with High Honors and trained in Functional Medicine from the American Academy of Anti-Aging Medicine (A4M). Dr. John actively lectures throughout the country and is an influencer within the functional medicine world to educate and empower everyday people to live a healthy fulfilling life. His message is Doctor of the Future is You - the patient. Do NOT miss this episode - there are going to be gems for everyone in this interview! Connect with Dr. John via: Instagram: @dr.john.pharmd www.drkimwellness.com Get the free Ebook here: https://m.drkimwellness.com/optin1676483017829 Quote: “The Doctor of the Future is You” - Dr. John Kim For more amazing content, visit us at https://drmarinabuksov.com. Music: https://www.purple-planet.com. *Disclaimer*: The statements made herein have not been evaluated by the Food and Drug Administration. Any/All products listed are not intended to diagnose, treat, cure, or prevent any diseases.

Barrier Breakers: How to Break a Barrier that's Bigger than You | Dr. Eric Mason | January 8, 2022

2022 was a big year for women's health, and we've certainly come a long way in the past five years! But there's still much more to do in the world of women's healthcare. In this episode, Georgie Kovacs of Fempower Health reflects on season 3 of the podcast. She shares what it's been like on the journey from infertility to motherhood to menopause, and what she looks forward to regarding women's health innovation. She highlights some of the top guest interviews from 2022 and leaves with how we can all be better health advocates.  Discussed in this episode: Georgie's experience entering post-menopause  Highlights from the 2022 Women's Health Innovation Summit Upcoming FemTech developments that will improve women's health  How biopharma digital health companies can improve the healthcare industry  Concerns about celebrities raising awareness to sell products Trends that are impacting women's healthcare experts  How hosting the podcast helps Georgie stay informed about important women's health topics “Right now with women's health, we don't need another period tracking app or skin cream. What we really need is to solve the root of the problem.”  - Georgie Kovacs Referenced episodes mentioned by topic: Menopause: Perimenopause Common Symptoms | Dr. Alyssa Dweck Thyroid Disease: Managing Your Thyroid Condition | Rachel Hill PCOS: Managing & Reversing PCOS | Dr. Fiona McCulloch Autoimmune Disease: Undiagnosed Symptoms | Dr. Millie Lytle & Dr. Nicole Bundy Early Menopause: Primary Ovarian Insufficiency | Dr. Mandy Leonhardt Endometriosis: Endo Pain and Whole Women's Wellness | Peta Wright Gut Microbiome: Gut Health & Bloating | Dr. Edison de Mello Vaginal Microbiome: Products That Affect the Vagina | Pam Miles & Dr. Cindy Order Women's Health Book: Taking Care of You | Dr. Mary O'Connor & Kanwal Haq Heart Health: What Every Woman Needs to Know | Dr. Nanette Wenger Bone Health: It's Not Just Your Grandma's Concern | Dr. Jerilynn Prior Women's health resources mentioned: NAMS (North American Menopause Society): www.menopause.org Lorals, Oral Sex Protection: www.mylorals.com  Rosy, Sexual Wellness App: www.meetrosy.com  International Society for the Study of Women's Health: www.isswsh.org  Tosh at The Podcast Hub: www.podcasthub.ca  If you want to support this women's health podcast, leave a review for Fempower Health on iTunes or Spotify. Spread the awareness and share this episode with someone you know! Support and connect with our women's health community: Subscribe to the Fempower Health Podcast for new episodes every Tuesday Visit us online at www.fempower-health.com  Sign up for our weekly newsletter for the latest announcements, news, and research Follow us on Instagram, Facebook, and Twitter Email us for inquiries & outreach: info@fempower-health.com NEW! Join Fempower Health on Patreon   **The information shared by Fempower Health is not medical advice but for informational purposes to enable you to have more effective conversations with your doctor. Always talk to your doctor before making health-related decisions. Additionally, the views expressed by the Fempower Health podcast guests are their own and their appearance on the program does not imply an endorsement of them or any entity they represent.** **Contains affiliate links and I will be compensated if you make a purchase after clicking on my links**

Many physicians enter the field carrying an outdated assumption that there's no need to advertise. You simply showcase your achievements, connect with your network, and eventually the work comes. But that model is broken. Our very own Zed Williamson recently joined Dr. Scott Sigman on The Ortho Show Podcast to talk all things patient demand. In this special episode, Zed shares tangible examples of what an ineffective advertising message looks and sounds like, the bias our brains entertain, and how many patients are candidates for the very procedures that are tied to medical device cases for your technology. Listen to hear Zed's input on: How predictability in the human brain works and why you should care Neuroscience and heuristics bias and how that drives action Using bias as a learning mechanism Why the right message can attract or deter patients How to design emotional vs data driven responses Resources from this episode:  Get the free MedTech Talk Tracks for Action Episode 80: No One Can Blaze the Trail for You: Dr. Scott Sigman's Plea for MedTech to Think Differently Social Media:  Connect with Dr. Scott Sigman Connect with Zed on LinkedIn Connect with Clark on LinkedIn

听放克就像把自己放进洗衣机 -为什么？ -晃阿！ | 私人歌单 放你腚 FUNK YOUR ASS SELF LIST VOL.41 MIX:FAITHFUL 原地址： https://www.bilibili.com/video/BV1yP41137M8?spm_id_from=333.999.0.0&vd_source=0783b3f1f87a8ea8e955d7f1bcab30f6 歌单： Dabeull,Holybrune - DX7 Dabeull,Holybrune - You & I Michael Jackson - Thriller Bohannon - Let's Start The Dance Breakbot - Baby I'm Yours MSoundroll - True Fun Maker Michael Wycoff - Looking Up to You Dr. Hook - Sexy Eyes Parcels - IknowhowIfeel Ned Doheny - What Cha' Gonna Do For Me Powered by Firstory Hosting

9-4-2022 – The True Vine and You Dr. Michael Criner

Happy New Year! On episode 9 of the podcast I'm reflecting on my reads of 2021. Hope you enjoy! A Promised Land - Barack Obama (13:10) Professional Troublemaker - Luvvie Ajayi Jones (23:50) What Happened to You - Dr. Bruce D. Perry & Oprah Winfrey (27:05) You Are Your Best Thing: An Anthology - Edited by Tarana Burke and Brené Brown (34:00) Set Boundaries, Find Peace - Nedra Glover Tawwab (39:47) The Four Agreements - Don Miguel Ruiz (44:00) If you have any book suggestions for the new year, please share! Send them to btbwpodcast@gmail.com or reach out to me via my social media below. Follow me on social: Twitter: @uzoamakachinelo Instagram: @amaka_ag

Join me with my dear friend and roommate Margaret Mary Adams! We share how we first met, the comparison/competition that blocked us from getting closer to one another, and the power of vulnerability which led us to the deep friendship we now share. We also talk about relationships, chastity, anxiety, Catholic mindfulness, personality types, and so much more! I hope you enjoy this JOYful conversation as much as we did!Resources:The Mindful Catholic by Dr. Greg Bottaro"Ever Present God, here with me now, help me to be here with You" - Dr. Greg BottaroCatholic therapy & mindfulness course: https://www.catholicpsych.com/HallowHeadspace (also recommend checking out Nike Run Club's "Mindful Miles")Maggie's 1 thing to help stop comparison:"Be who God meant you to be, and you'll set the world on fire" - St. Catherine of SienaGet connected:Website: thevisitpod.wordpress.com Email: thevisitpod@gmail.comInstagram: @thevisitpod

The men and women that put on the RMU uniform are led to believe that they are representing their school. They wear it with respect knowing that they worked so hard to earn the right to be on the team. Dr. Howard has the same responsibility when making decisions that affect his students and the community. Not only does he disrespect his student athletes with his decision but also the school and himself. I have lost all respect for this so-called “man of excellence” who cowers behind his camera, refusing to answer the hard questions and kicking out the hardest working people at RMU. You Dr. Howard are a coward and should be ashamed.

The Ambassador of JOY, Barry Shore, is honored to Share with You Dr. Mark Schillinger. Mark is a thought leader, social philosopher, and chiropractor specializing in mind-body wellness. An expert in stress management and family dynamics, he is the creator of The RIGHT Way for Family Unity®, a method that helps families enjoy more caring and cooperative relationships. Dr. Schillinger was voted Best Chiropractor by the Marin Independent Journal readers' poll. You'll be intrigued as Barry and Mark discuss why he is called “the teen whisperer” and his ability to help teens discover their inner wisdom while also helping them develop their ability to become more relaxed, resourceful, responsible and resilient. He is the founder of the nonprofit, Young Men's Ultimate Weekend, a non-religious, wilderness rite of passage initiation that teaches young men Leadership Skills. Mark teaches health professionals how to help their patients use scientific stress reduction techniques. Spellbinding!

Power of Your Mind Podcast Interview with Dr. Nima Rahmany – How to Become Trigger Proof In Episode #98, I am talking with Dr. Nima Rahmany. Dr. Nima Rahmany is a Chiropractor as well as a Healing and Transformation Specialist who helps people that are stuck in toxic relationships, in career limbo, and who are struggling with emotional trauma to overcome their anxiety and create powerfully aligned relationships by deepening their intimate relationship with the most important person of all: themselves. We talked about: What it means to be Trigger Proof Why a chiropractor would teach this How you as parents can help break the cycle What is stopping most people from healing What makes Nima's heart sing And much more! Dr. Nima Rahmany's Gift to You: Dr. Nima Rahmany's Trigger Proof virtual 90-min workshop – go to www.drnima.com/vw1 and use promo code: triggerproof For more information about Dr. Nima Rahmany, check out his websites: Website: www.drnima.com Facebook: https://www.facebook.com/drnimarahmany/ YouTube show: Trigger Proof * * * * * Victoria Gallagher is a worldwide leader in Hypnotherapy, a #1 Best Selling Author, International Speaker, Life Success Coach, and Renowned Authority on the Law of Attraction. She has dedicated her life to empowering people all over the world to successfully live a life of liberty, aligned with their dreams through her effective meditative recordings and online courses. With the new HypnoCloud iOS app, you can achieve the wealth you desire, be healthy and fit, have the career you want, live the lifestyle of which you dream, and reach spiritual fulfillment. Download HypnoCloud from the App Store now: https://apps.apple.com/us/app/hypnocloud-relax-and-let-go/id1450270910 Get it on Google Play Begin your Personal Growth Journey Today with your 14-Day Trial to Personal Growth Club. Start your trial now at: http://PersonalGrowthClub.com For our listeners who found us on Power of Your Mind Podcast, go to Hyptalk.com and sign up for your Free Self-Hypnosis Video Training Course. Also First Time Customers get 35% off Your First Order of Hypnosis Downloads when you use the code "PODCAST" in your shopping cart at: Hyptalk.com Learn more about Victoria Gallagher and her new book Practical Law of Attraction at: VictoriaMGallagher.com If you enjoyed today's episode, please leave us a review! https://itunes.apple.com/us/podcast/power-your-mind-hypnosis-law-attraction-meditation/id1161784063?mt=2

Your Ambassador of JOY brings You Dr. Sarah Young the internationally recognized print/broadcast journalist, seminar speaker, disabilities advocate and therapist. You will cheer Dr. Young who is familiar to people worldwide. She currently holds two doctorates and certificates in 12 alternative health modalities and willingly shares her knowledge with her followers. Her community work in advocating for the disabled and especially veterans is known throughout the world. She recently received the Oprah Winfrey Up From Her Bootstraps Award from San Diego Women, Inc.Her position as Chairperson of the American Cancer Society Mira Mesa Relay For Life has led to her membership in the ACS Action Network, a national cancer advocacy group With her second doctorate in Clinical Hypnotherapy she founded The So Brave Foundation for active-duty and veterans with PTSD and TBI. Her role as a mentor in the DBA-sponsored Youth Entrepreneurial Program has made a major impact in Southern California. WOW!

Artificial Intelligence and You - Dr. Susan Schneider Smithsonian Associates, Inside Science Author Interview Welcome to The Not Old Better Show. I'm Paul Vogelzang and this is episode #401. As part of our Smithsonian Associates, Inside Science Author Interview series, our guest today is Dr. Susan Schneider. Dr. Susan Schneider is a cognitive scientist and philosopher at the University of Connecticut and the NASA/Blumberg Chair of Astrobiology at the Library of Congress. Dr. Susan Schneider's expertise is in Artificial Intelligence and is the author of the new book, Artificial You: AI and the Future of Your Mind. Dr. Susan Schneider will be presenting at Smithsonian Associates Inside Science series, November 12, 2019. Check out our site for more details. Dr. Susan Schneider writes about AI and says even today brain microchips and other techniques to integrate humans with artificial intelligence are under development. AI, Dr. Schneider says, is revolutionizing the economy, and will inevitably go inside the head as corporations attempt to allow us seamless access to our devices. Schneider addresses the implications of AI in our lives, and how to ensure the science develops in a way that promotes human flourishing. But, just wait for the next 20 years… That, of course, is our guest today, Dr. Susan Schneider, reading from her new book,  Artificial You: AI and the Future of Your Mind. Again, Dr. Susan Schneider will be presenting at Smithsonian Associates Inside Science series, November 12, 2019. Check out our site for more details, but Dr. Susan Schneider is here with us today, so please join me in welcoming to The Not Old Better Show via internet phone, Dr. Susan Schneider. My thanks Dr. Susan Schneider for joining me today. Links and ticket details for Dr. Susan Schneider's Inside Science presentation, Artificial Intelligence: Will It Go to Your Head Someday? , will be available at the NotOld-Better.com and the Smithsonian Associates web site, all of which we'll link to. And, thanks always to the wonderful Smithsonian team for all they do to support the show. Talk About Better. The Not Old Better Show. Thanks, everybody. For tickets and more details, please click here at Smithsonian Associates: https://smithsonianassociates.org/ticketing/tickets/artificial-intelligence-will-it-go-to-your-head-someday

The post Jezebel's War with You // Dr. Michael Brown appeared first on Grace Chapel.

“God is Over There—for You” Dr. Mercer by CrossLife Church

Hey Hey Hey! Happy almost-Thanksgiving BA Fam! This week, we talk about the shocking "Scandal" winter finale (Shonda...you still got it girl) and the Apple Music commercial that everyone's talking about. Brown Break: Tiffany explains why she is sick of "Money Mantras" and Mandi lays out the facts that seem to be conveniently missing from the   anti-Syrian refugee movement in the U.S. (yes, we're talking to YOU Dr. Ben Carson). Then, we spend some time answering a fabulous question from a reader who wants to know...how do I save for retirement when I'm constantly switching jobs and want to buy a house some day? Since we didn't have time to dig all the way into her situation, here are a couple of links to resources we mention on the show: 1: Tiffany's "Buying a Home Checklist" and 2) NAPFA.org, a database of fee-only financial planners where you can start your search for a financial advisor in your area. Have a question you'd like us to answer? email us at brownambitionpodcast@gmail.com or tweet us @TheBApodcast Learn more about your ad choices. Visit podcastchoices.com/adchoicesSee omnystudio.com/listener for privacy information.

Hey Hey Hey! Happy almost-Thanksgiving BA Fam! This week, we talk about the shocking "Scandal" winter finale (Shonda...you still got it girl) and the Apple Music commercial that everyone's talking about. Brown Break: Tiffany explains why she is sick of "Money Mantras" and Mandi lays out the facts that seem to be conveniently missing from the   anti-Syrian refugee movement in the U.S. (yes, we're talking to YOU Dr. Ben Carson). Then, we spend some time answering a fabulous question from a reader who wants to know...how do I save for retirement when I'm constantly switching jobs and want to buy a house some day? Since we didn't have time to dig all the way into her situation, here are a couple of links to resources we mention on the show: 1: Tiffany's "Buying a Home Checklist" and 2) NAPFA.org, a database of fee-only financial planners where you can start your search for a financial advisor in your area. Have a question you'd like us to answer? email us at brownambitionpodcast@gmail.com or tweet us @TheBApodcast Learn more about your ad choices. Visit megaphone.fm/adchoices

Freedomizer Radio Call in and join us - 347.324.3704 Join our live chat and listen at  http://www.freedomizerradio.com     The Jim Duensing Show "Opinions So Good They Ought to Be Yours" CthePower in YOU - Dr. Ozello joins us again We will be discussing the importance of physicial education and excercise for your children. Topics for better health, mentally and physically.  Find your voice; find your strengths, sing your truth out into the Universe.  Times are changing fast and as we learn new information, there is a need for change; sometimes painful, personal change.  We can all use more and better tools to facilitate those changes. There will be a music segment starting soon.  I am still getting the audio part organized for those who wish to share their own music.  Send MP3 or WAV files to with a subject line TUNED IN ; to cthepower@gmail.com ; along with contact information. Love from C   Conscious Resistance Your Host Derrick Broze; The show will offer you a fresh perspective of compassionate activism mixed with revolutionary voluntarism.  

Freedomizer Radio Call in and join us - 347.324.3704 Join our live chat and listen at  http://www.freedomizerradio.com     The Jim Duensing Show "Opinions So Good They Ought to Be Yours" CthePower in YOU Dr. Donald Ozello will be our guest on Oct 1 :  Family Chiropractic Care - Sports Injuries - Full Spine & Extremities - Nutrition  http://championshipchiropractic.com/ Dr. Ozello will chime in our series discussing HEALTHY KIDS IN A TOXIC WORLD - on Mondays at 10am PST .  Keeping our young athletes healthy, check his website and be ready to call in with questions. We can all use more and better tools to facilitate those changes in our awarenes. There is a music segment organized for those who wish to share their own original music.  Send MP3 or WAV files to with a subject line TUNED IN ; to cthepower@gmail.com ; along with contact information. Love from C at www.cthepower.org   Conscious Resistance Your Host Derrick Broze; The show will offer you a fresh perspective of compassionate activism mixed with revolutionary voluntarism.  

Join Kathryn and Nanette Gartrell MD Center of Excellence in Women's Health UC SF. NO is a very simple word—two letters, one syllable. Yet many women have a hard time saying it without feeling anxious or guilty. In My Answer Is NO.... If That's Okay with You Dr.Gartrell takes a fresh look at why even the most powerful, accomplished, and successful women find it difficult to say NO and offers a revolutionary approach to setting limits without jeopardizing important relationships. She has appeared on PBS and CNN. Also joining Kathryn is VocationVacations founder Brian Kurth Test Drive Your Dream Job:A Step-by-Step Guide to Finding and Creating the Work You Love. Are you still trying to figure out what you want to be when you grow up? You have a good job that pay the bills but doesn't bring meaning to your life.Try the career of your dreams without risking your present job, next mortgage payment or your kids' future... Kurth has appeared on the TODAY Show, CNN, NBC.

Join Kathryn and Nanette Gartrell MD Center of Excellence in Women's Health UC SF. NO is a very simple word—two letters, one syllable. Yet many women have a hard time saying it without feeling anxious or guilty. In My Answer Is NO.... If That's Okay with You Dr.Gartrell takes a fresh look at why even the most powerful, accomplished, and successful women find it difficult to say NO and offers a revolutionary approach to setting limits without jeopardizing important relationships. She has appeared on PBS and CNN. Also joining Kathryn is VocationVacations founder Brian Kurth Test Drive Your Dream Job:A Step-by-Step Guide to Finding and Creating the Work You Love. Are you still trying to figure out what you want to be when you grow up? You have a good job that pay the bills but doesn't bring meaning to your life.Try the career of your dreams without risking your present job, next mortgage payment or your kids' future... Kurth has appeared on the TODAY Show, CNN, NBC.