35 Burst results for "Dar Chris"
The mystery of the flute boy bones
"Was originally on display beautiful in the center of the room. When my office is. I remember just being immediately really captivated by what is the story with that skeleton. It was just incredibly irreverend yet. Really surprising to say something with so much huma and whimsical and kind of goes against the grain of what we think about medicine today. I encountered the skeleton as a medical student. Now assisting over sort. Of course it's got to be real big suspicious. It's a fake scott. What otherwise look like a normal foot likely but it is unlikely ending credible story. You're about to hear from a collection that the public can't say it's tucked inside the harry. Brookes allen museum of anatomy used to take generations of medical students at the university of melbourne including this guy at the entrance to that museum. There are a few specimens skeletons and one in particular. Was this little boy sitting on a pedestal with this one leg so in his quite unusual looking arms and hands he's has a flute recorder just held up to his mouth. My name is dr. Chris o'donnell and just has patients who are alive and dead. So i spend about half my time doing radiology of the living butts. My job is as a rail. Just or as. I call myself a nick radiologist looking at right all of the safest at the victorian shooter forensic medicine
For 7 New Yorkers, a pandemic year's fight for the future
"I'm Julie Walker a year ago the Associated Press told the story of a day in the life of the stricken city through the eyes of new Yorkers on the front lines and in quarantine as they faced beer tragedy isolation and upheaval the year has been surreal I mean that's a real for everyone not just us Dr Chris your doctor Joseph had bush says it's also made us pause and focus on family and friends and seeing what's important it's it's it's a room there's a silver lining to that Carla brown is in charge of getting meals to homebound seniors says at first she didn't know how they make it through now I'm waiting for her to New Jersey and just looking forward to getting back to whatever new normal is going to be FDNY paramedic Travis castle says it's been a long frustrating year with a lot more downs than ups feel like you gave your all and there are still five hundred thousand Americans
WHO releases coronavirus origins report
"Than a year after the coronavirus pandemic i swept the globe. The world health organization report into the virus has finally been released although it doesn't give a definite origin for the disease the w. h. o. Says it's likely that it was transmitted from a bat to humans via an unidentified intermediate animal species virologists and monocle. Twenty four health and science correspondent. Dr chris. smith joins me to discuss this now. chris. Thanks for coming on firstly. Why was this report so long in coming and there are a number of reasons but one of them was that the chinese were not terribly supportive. If you record just a few months back. The investigators were held up getting visas. Getting into china they were just stuck in singapore rages and then once they got there. It was very much. The staged managed thing and this is not happen for the first time in so many times before the they've been number of obstacles pushing the way which meant that. That was difficult for a start. And just doing this kind of work is really tricky. You're saying where is the smoking gun that caused a pandemic in a city that has millions of people living in it into country with a billion plus people living in an is a big country such try and track all these different moving parts down and pin them down on one mechanism is really really tough. Which is why this report has a number of different possible reasons to account for what they think might have gone on. It has also taken a very long time
Indiana health leaders concerned about COVID variants
"But the virus is still around. As of yesterday, Indiana has had 57 cases of the UK variant reported on the CDC. Zmapp and new cases continue to come in. Experience is much more transmissible and we need more people vaccinated so that we can win this race between the vaccine and the variants. They health Commissioner Dr Chris Box says Indiana should see a large shipment of the three available vaccines by the end of this month. White House chief Medical Officer Anthony
One year on: What have we learned about viruses since news of COVID-19
"Is a year since the world. Health organization declared a global pandemic and the world's began to adopt the lockdown status. That we are now so familiar with and according to the. Who also face the prospect of the pandemic staying with us until at least the start of next year. So what have we learned or dr. chris. Smith is multiple twenty-first health and science correspondent and a regular voice on one twenty four. Good morning chris. Well i remember this time last year. We were having a very similar conversation about the world going into lockdown. And he said we've got a book on bird flame. We're having a meeting. I think we might be all right. How how things out for you. In what respect. Because i if you look at different aspects of of how my life has played out then busy would be the best definition. But but i have a career which is a media career and providing science and medical commentary on things like pandemics at the same time. I have a medical career. Which is vera gist. So it's a bit like someone took. Ill musk's big effing rocket and place like no one on each leg and just ignited the same time i appreciate i. I've been very busy and in some respects. It's been an exhilarating terrifying right for others. It's obviously been devastating in terminal respect as well as in a sort of economic respect. So i think everyone is fed very differently. But maybe that wasn't what you were asking. Well let's focus on the variety section of it there. Is this sense of trying to be prepared. I think there's a feeling that many people had this time last year that we didn't know what was around the corner but the everybody was doing their absolute utmost to make sure that they could be as ready as they could be. What was it that we learned about viruses and how to deal with them within in the last year. We'll know not the golden rule book for anything night this because every situation is different every viruses different. And we'd never had a situation like this. We'd had similar situations. We've had flu outbreaks before and we'd had saws marquand the ancestor. That came in two thousand eighteen. Two thousand and three off of saul's sauce covey too but we hadn't seen anything quite like this as a result the there is no golden rule. Book says when this happens. This is how you handed of course. Also every country's different every population is different than makeup of those countries is different the way in which people work how they live what they do as a country how they respond as country. The letter prepared misses. The country is different. The amount of travel that goes on between countries is different. So it's really tricky. When you've got that extremely heterogeneous makeup of the world which makes a great place. of course. it's very difficult to then say. Well this is how you control something because there is no evidence to fall back on apart from things they'll related but not the same and when you've got that difference and it's a fluid situation where it's always a moving target because as we might one step forward things change the then mean. The virus takes a step foot. We've seen that with the various example. It's been tricky all the while it's been a massive learning process at every stage to work out how we can best out this challenge and we are not there yet. I mean my my mistake. My biggest mistake. I think was anticipating that we would have solved this problem by now. I honestly thought that by now We we would have been on the road closer to home for
Update on Vaccine Administration in Washington State
"This week a lot of washingtonians suddenly became eligible for covid vaccines. But as kyw's anna boyko y rock reports the supply of doses is still limited. There are not enough vaccine doses in the state for all the teachers school staff in childcare workers right away in all that's around a quarter of a million people instead. The state department of health says there will be doses for half of them over the next two weeks. The goal is for everyone in the newly eligible group to get at least one dose by the end of the month. Snohomish county health officer dr chris bidders urges patients. You may not get your maxine today or this week but keep trying. You will get one soon. The federal government is sending doses for this new group to six pharmacy chains in the state. Teachers and school staff can also sign up through the kaiser permanente health system
Oxford University To Begin Trial On Mixed Vaccines
"The university of oxford is to start to trial combining vaccines made by astrazeneca. And it's an order to introduce more flexibility and speed in vaccinating the world but it comes to switzerland has said it needs more data before it approves the oxford astor's annika job despite both the uk and the eu not only approving it but fighting last week over. Getting hold of enough doses. Let's hear from dr chris smith monocle twenty health and science correspondent. Good morning chris. Good to have you back. How does this work then when you combine to actions well this technique is good hetero lagos vaccination quantum mouthful. But what it basically means. Is you give persons one jab of one time and then a bit later on after three four weeks twelve weeks you give them a totally different vaccine. But also on the designed to program the immune system against coronavirus. We've been doing this thing fractured decades for different kinds of infections. And it works really well and the reason. It probably works very well. Is that when you go to school and you learn your lessons you then learn how much you've learned when you sit in the exam whole basically it's knowledge but it's being applied tested and stressed in a different way and it sort of similar with how the immune response works to Seeing one kind of stimulus decry navarre's than another one. And you make them much more. Resilient and robust response that way or at least not as the theory that's the outstanding knowledge. We haven't tried it with krona var so to make sure that what we assume is happening. That's why the government is putting forward this seven million initiative to find
New Strains Of CoronaVirus Are Breaking Out Worldwide
"Now anybody who has had any experience of life on this earth the last year or so. We'll be firmly of the belief that one strain of covid nineteen is more than enough as it spreads itself around the world however new variations keep being detected including one in the uk which appeared more readily transmissible a south african one which might be might be rather somewhat resistant to vaccines and brazilian one. Ditto small numbers of both of the latter have already been identified in the uk and dot dallas present elsewhere or on route. One joined with more. By dr chris smith monocle twenty fours health and correspondent also a virologist at cambridge university. Chris as we have discussed many times before all viruses mutate. What they do. Is this one doing so unusually quickly an door. Dramatically hello andrew. We don't think so in some respects. This is to be expected for the reason. You've outlined that the that all viruses mutate and change this one's no exception and therefore we're going to see a gentle drift or evolution of the virus specifically. We're going to see that happening. Most often. in parts of the world where the prevalence of the disease is highest in other words. Where you've got lots of people being infected. I'm passing the virus to lots of other people. That's loss of the roles of the genetic dice that the virus can take in order to accrue changes and optimize itself because at the end of the day viruses optimize themselves in order to spread most efficiently in their particular host and this is a new infection humans therefore it was pretty well adapted to us but not perfect. There's some room to maneuver and that's what the virus is doing. Its adjusting its behavior and its biology. A bit in order to spread most optimally among us. Humans the different variations though in different places those responses by the virus to local conditions. I guess whether it's it's climate or something else yes. Any kind of organism on earth is going to adapt itself in response to selective pressure applied by the environment in which it lives. These corona is a living in a human environment and therefore all behavior to a certain extent affects the behavior of the virus as we apply more selective pressure to it by making his job harder to spread between us for instance by social distancing through various other public health measures and spread control infection control. You'll going to select for viruses that all reproductive fitter in other words. They're better at doing what they do. And and in that way you'll get something that is usually more transmissible. That's what we saw the slight surprise here. Is this question about whether it is causing more severe illness or not now. Obviously the jury is a little bit out on this. At the moment we do have some directional data than that may be the case but it is early days of only just begun to take this trend. So we're not entirely sure whether this is a statistical artifact just a product to the fact there are lots of numbers and so the viruses is producing lots of infections. So we're seeing more severe infections or whether the genuine is evidence for higher talapity rate in each of the cases. So that figure we've been given by the uk government that suggests that the uk variant might be thirty percent More deadly which is an alarming sounding figure. Is it possible that figure is either less alarming than it sounds or actually not entirely accurate. Will the government put this across a downing street. Press briefing country balance-sheet presenting numbers in terms of deaths per thousand. And he said if you look at say a sixty year old man the risk with the parent strain of corona virus of that person passing away. If you had ten people with a thousand people with krona vars you might get ten people with die with this new variant that ten rises to thirteen or fourteen hence a forty or thirty percent increase in the mortality rate so they are nevertheless odds to emphasize the case fatality rate remains very low so in other words we haven't got something that's killing thirty percent people what we've got something that appears to based on the data that initially have been analyzed. Be a little bit more lethal as in not for the person. Obviously if you die but it's on average killing slightly more people than before but we don't know for sure if that's the case i mean. We have got a number of studies that present this london school hygiene tropical medicine of showing that the the risk ratio is about one point three five times greater with the new variant than the over one point three five. That's a thirty five percent increase. Imperial college of donna. Study then numbers range somewhere between high twenties to mid thirties. In terms of percentage increase in risk ecstasy university They did a smaller study. One point nine one was there multiple in other words. It's ninety percent worse. A public health england cited figure one and a half or so so therefore all of them seem to be centering on there being an increase in risk. But we don't know exactly how big that risk is but we think there is one but we need to reassure ourselves. This is real finding. it's not just a product of the fat. We're seeing lots of infections with this new air. It might be that. We're there foreseeing because of the disguise of the the problem more people who are at risk of having a severe infection. Cropping up with this very factional. They are trying to control for that so it doesn't like it might be real
Wednesday 23 December
"Later today lufthansa cargo flight from frankfurt will touchdown doncaster sheffield airport bringing of food supplies to forestall shortages caused by the recent severing of land and sea trade routes between the uk and europe with jew recognition that this is more to do with covid nineteen than brexit. There is something piquant about britain entering the last week of its transition period reliance on a reverse of the berlin airlift. The uk's present difficulties due to a new and highly infectious variant of covid nineteen heavily concentrated in london and the southeast on joined with more by monaco. Twenty fours health and science correspondent dr. Chris chris this or something like to be expected because all viruses mutate. Don't they indeed covid nineteen already has once or twice at least before andrew say actually the uk's victim of its own success in this because we do as jones san accurately said have a world class in fact one of the best in the world screening systems set up to detect precisely this sort of thing. It's called coke. Uk their job is to scrutinize genomes of corona viruses collected from patients who are diagnosed with the disease so far. They've looked through the genetic codes of more than one hundred and sixty thousand viral sequences. They're all being to find things precisely like this and of course then we. We say we found one this and then the whole world says we don't want you of course they don't want us all the all the virus but not surprisingly just to cautionary stage but yes It it's likely that this sort of thing is a bit of an inevitability and it may well be it's farther afield. Things like farther afield than anyone knows yet because they just haven't detected e. Yeah so what do we know about this mutation will. It's not a single mutation. It's a variant the calling it variant because rather than just a mutant which is one genetic change. This one's actually got a constellation of genetic changes there are seventeen independent genetic differences in this new variant that seems to confer opponent the ability to spread a bit better and they're peppered throughout the genetic code of the virus they affect v aspects of how the virus works but there's a big cluster of these changes all centered on what's called the essel spike protein. Which is the key part of the virus. That's all of these out coats that it uses to infect ourselves and so this is why researchers think that it may be more transmissible. Something has changed in the way the virus behaves in terms of its its ability to engage with our cells its ability to penetrate and jack cells and then cause disease and then spread to another person We don't know exactly how it's doing that yet. And we don't know for sure that it really is more transmissible but based on the numbers that we're seeing the the epidemiology the pattern of spread. It seems like a likely reasonable supposition. Is it possible that this variation is a response to the measures that we have undertaken to defeat it is is the virus adapting to survive ovar adapt to survive. And that's really what charles darwin point out. And that was his big breakthrough his grand unified theory of biology. If you like that everything responds in a dynamic way. All the time to pressure applied from its environment and where we think. This may have arisen. This new variant is actually in the blood of an individual or individuals with poorly functioning immune systems because individuals. Who don't have a good immune response to the virus. Tend to hang onto the virus fa- longer. They have a chronic infection with the virus. And this means that as their immune system limps along trying to control it the virus is getting a chance to see inner workings of the immune response and it can see where the chinks in our alma and therefore it can adapt and shift in that direction a bid to take advantage of those changes to cling onto survival in that person. Now if that person then transmits a virus which has adapted in this way it's basically passing on a more weaponized or more tooled up version of the virus. The reason that such as a putting forward this hypothesis is because when we have treated patients and documented what happens in them when they have an impaired immune system for various reasons. Were genetic reasons. There are also acquired reasons why people's immune systems might not work very. Well they've seen very similar changes happening in the viruses in those people to this variant that circulating suggesting that it may will be homegrown as it were and borne out of the fact that some people can't can't fight it off as well as efficiently giving the varsity insight into how our immune system works and enabling it to adapt accordingly. I mean we have talked before about the fact that it's not in the interests of viruses whose only interest eads the perpetuation replication. It's not necessarily in the interest of any virus. To kill its hosts. Is it possible that viruses variation to become more transmissible but perhaps less deadly. Well we don't know at the moment and That's one of the key questions that people are going to want to be asking. It's a relatively new discovery first appeared as a blip on the radar of kochi uk. The consortium that founded back in september and the cases them were just a few and far between become a lot more common sense obviously rising to one in four cases in november perhaps as many as sixty percent of cases in december in some parts of the country that means that we've now got the chance to see firsthand in greater detail in greater numbers. What is impact on people is and so people will be asking this very question this thing if it does transmit more efficiently which it appears it does does it as we believe not cause such severe disease or cause any more severe disease than the standard parent from which its rose the moment it doesn't look like it translates into getting more severe disease. It doesn't look like it's currently beyond the reach of the protection conferred by the immune response In response to the vaccine but we don't know that crucial question has it surrendered some of its violence. In order to optimize. In this way time will tell you partially answered what. I'm sure is now the key question because the the glimmer of optimism in which we have all been basking these last few weeks is the approval and roll out of the vaccine. Several hundred thousand people here in the uk have already received at least the first injection. Is it possible that nineteen could mutate or very this quickly Out of the reach of the vaccine. Matt hancock rishaad everybody when he made the announcement last week about the discovery of this new variant. That it didn't look like it would be able to sidestep the immune response conferred by the vaccine the experiments to prove that that is the case. Though are still ongoing. Thankfully they're very easy experiments to do. And that's what porton down will currently be investigating. And i would hope that they will provide that reassurance. Quite soon the way you go about this is you. Grow the virus in the lab and that's actually very easy to do and you add to it samples of the antibodies that a person makes when they're vaccinated and if the antibodies still work against the variant. And you do this with samples across the country. Then you can say these neutralize this virus even though it's the variant and therefore these people will be protected if they have the vaccine. So that's that's kind of what we're waiting for now to to see that data. It's very easy the experiments to go to do them properly though. That will give us reassurance to answer that question what the future holds. Though we don't know and that's why some researches saying this could be a stepping stone on the part of the virus towards a more comprehensive ability to sidestep our immune response including the response to the vaccine and for that. It's a sort of shot across out immunological bowels. We have to keep it onto surveillance. Keep searchlight trained upon it so that we can see where it's moving anticipate is next. Move and try to head off
London And Surrounding Areas Restarting Lockdowns Due To Coronavirus Mutating
"And parts of essex and hot fanfare are hours away from returning to the highest level of covid nineteen restrictions following an alarming spike of cases in the capital pubs restaurants and other indoor entertainment. Venues will close once more. The latest surge has been ascribed to a new variant of the corona virus which appears to be growing more rapidly than previously for the moment however the uk's government says it has no plans to review the curious christmas truce. It appears to think it has negotiated with the virus. While i'm joined with more on this boy monocle. Twenty four health and science correspondent dr. Chris smith also a virologist at cambridge university chris. This the idea that there's a new strain of covid nineteen sounds like the very definition of the absolute last thing. We want to hear at this point. How grim news is this to be quite honest with you. I'm not alarmed. I'm not surprised. And i'm actually quite reassured and explain all those things ovar mutate because they're based on the same genetic code is running in pretty much will life on earth then the same mechanisms that lead to life evolving and changing apply viruses. And so as they go through their hosts they would evolve and change and corona virus is no exception. That's exactly what's happened to you. Therefore we would anticipate that we would see different strains and different emerging and indeed. This is not the first time it has happened. We've seen happened early. On in the pandemic in china we've seen it happen and disclosed various different forms of the viruses spread across the world and in europe they documented some of the same changes are now being seen in this new variant in the south east of england. So this is not altogether new in terms of concept and is not altogether new in terms of variant. This being disclosed. We're reassured by matt. Hancock saying yesterday house commons the the. Don't think although they are confirming that this will lead to the virus sidestepping the effects of a vaccine. We don't think it makes people who catch it for ill. It just may be transmits a bit better. Although that speculation on airpods that they're they're saying it might be linked to an increasing cases in the southeast england in terms of course load but don't know for sure if we're going to try to be exceptionally optimistic about this. Is there any possibility that the reason the viruses having to mutate to survive is there an indication that perhaps that means we've got it on the run will certainly when you apply pressure to a virus and by pressure. I mean for instance putting a vaccine into a population so you create an immune barrier or you put in place public health measures. You are forcing the virus to change to optimize to those new conditions. Because that's why things evolve in the first place. They're responding to selective pressure from their environment. And we know we do this to the flu. We know this happens with hiv. When we give people hiv drugs for example then the virus that grows in them is the only one that can bypass the blockade of drug. And that's why we use multiple drugs at wants to minimize the chance. The happening so the concept is common. Well understood so yes. It is. Theoretical possibility that by applying pressure to the virus. We are forcing it to become more infectious so that despite robbing it of opportunities to transmit it can still continue to transmit given the does appear to have become more infectious in the capital. However does it make the proposed relaxation of restrictions around christmas. Look even more. Ill advised than they might have. Well we don't know it has become more infectious in the capital. We know we've got more cases same in the east and southeast of england essex positive of cheer kent. They've seen big increases in numbers of the trend is in an upward direction. Which is why caution. Reproach has been taken in the uk by moving. Probably the best part of eleven million people who live in those territories into a so-called tier three situation to apply more pressure to the virus. The idea i think is this is anticipating the trend is going upwards where we are today is not where we're going to be tomorrow and so by bearing down on ahead of christmas when there's going to be this loosening effect where we got five days of reveling and Enhanced mixing the there are going to be more cases so if we start molo point and already have more control at the virus to start with them. We're going to end up finishing the low point than we otherwise would is or anything that the rest of the world should have learned from the united states. Experience we've thanksgiving because that was sort of a test run of what happens if all of a sudden millions of people travel by aircraft and by train and spend at least today in close quarters with households other than their own well. This is exactly what happened with chinese new year and when millions of people were mobilized to crush china to get together for the chinese new year this probably spawned even more cases because people traveled internationally for that event to so yes. History is full of examples of peop- of of Repeating itself and this is no exception. We are anticipating that. The mixing that goes on over christmas will lead to more cases. The question is how many more cases and how are we going to cope with them. So is there a good reason at least scientifically good reason. Why not just this government. But any government wouldn't just say to its people look seriously. Christmas is basically cancelled We are just going to have to suck this up for a few more months. We do have a vaccine to look forward to. We do have a restoration of normality to look forward to. We might maybe think about throwing in an extra couple of bank holidays around. June but christmas is basically not going to happen. Will the president of the royal college of emergency medicine was asked this very question on bbc. Radio four's pm program. Yesterday an her answer was. Are you asking me. This is a doctor or as you asking me this as human and actually you get a very different also because the doctor slash the infection control person is going to say which just council everything we should imprison. Everybody break the chain of transmission bear down on the virus but the human element of this is people need something to look forward to. Morale is incredibly important. And if you rob people away of the one thing. They've looked forward to in. What is the end of a very dismal year than this will probably translate into poor compliance in the long term. it will probably therefore translate into in the long-term more cases more headaches more problems and ultimately more casualties from are so. I think the government have of compromise. Here the trying to go for a controlled christmas. Where if you allow people some flexibility you know that most people will be responsible. You hope that they are. You're willing to tolerate some degree of of letting your hair down because you know that in a noncompliant christmas where you'd said don't do this and if on breaks the rules anyway he's probably going to be a higher price to pay in the long term. I think that's really the equation that they've done. Well let's look finally at the progress of that vaccine which is now being rolled out in united kingdom and again it's a question of government messaging. Does it strike you. As a missed opportunity that there is a website with a rolling hourly update of how many people have now been vaccinated. Well the numbers are not that high yet You see numbers like yesterday. They did three hundred people or four hundred people in this hospital and that hospital. And when you see that there's this peak of mount everest which is sixty eight million people in the uk high eight billion people on earth. Hide one what. You wanna do When you knock a few hundred off that is not much. And so. I think maybe that's coming may be there. There is that opportunity in the future but for now. It probably wouldn't be a big demonstrable difference
Covid-19 vaccine: First person receives Pfizer jab in UK
"Well. Biontech and pfizer's landmark coronavirus vaccine has been given to the first person in the uk as part of a mass immunization program. The uk's vaccine roll it is being watched keenly across the rest of the world has other countries begin. Prepare to vaccinate their own populations for the latest on this. Let's talk to our health and science correspondent. Dr chris smith. Chris is also consultant for all the gist at cambridge university. I good afternoon. Chris tyler so i guess So far so good at least we have. We have a soundbite already. We had at the top of the program from this ninety year old woman. Who's been there the first to be to vaccinated chris last week. We saw a little bit of Chest thumping on the part of some politicians the uk saying look. This is great The uk is steaming ahead. How eagerly he would you say not. Just the immediate neighbors across this side of the channel but around the world are going to be watching. What are they going to watching. Forty you think over the coming days and weeks as this rolls out well think it will be a confidence boost to those other countries because no one likes to be i they unless it's a shorty. A dead cert. There's always some risk with any kind of intervention. And this is no different. So having a regulator a regulator that's world renowned the jewelry the medicines and healthcare products regulatory agency. Which is the. Uk's regulator which prior to just having jurisdiction over the uk walls prior to the brexit transition kicking providing that service for the whole of europe. Now europe does that through the ama it. It gives a precedent that other countries can look to and say right. Okay one fairly ferry. Big actor has gone ahead with this nathan. It's good therefore we're happy to Gives us some confidence too. So i think that there's always that aspect to it and it's coming good for the uk in the sense that it saying here we are. We've had a pretty rough time with this. But now some some fantastic triumph of sciences kicked in and we're about to start deploying this across the country and we're gonna we're gonna protect our outpatients. We have this type of approval from a respected Player how much do agencies elsewhere of course within the eu and obviously similar bodies all over the world. how much does it short circuit For them as you said. It establishes a precedent And does that mean that you have you know days or weeks then knocked off the process. Of course he. I'm sitting here in switzerland. Obviously a lot of talk as well about of course is also on the uk as well so does it actually then really prevent And and and and you do you have a moment where you have a real series of time locked off. They'd process well. The europeans are considering this through the jurisdiction of the ems the european medicines agency but the uk is still subject to a you know and in the uk is used one particular rule which is a regulation one seven four which is a specification for in public health crisis. Or emergency you can. Emergency approved something for use in your particular jurisdiction so the nhra has used that to approve this for the uk. Any other country in europe could've done the same thing so it's quite interesting that they've actually decided to white on a broad overarching decision from the a. But it doesn't matter. Who your regulator is they have to meet the same checks and balances. Because at the end of the day they all the gateway between a manufactured product and the public who going to receive it and it's on their neck that the decision rests so then going to say a will. They did it so we'll kind of ignore with this stuff would just sign it off. They are going to apply wherever they are in the world the same rigorous checks that they would apply whether or not someone else regulated something but it does help to give them confidence and he gives them a bit more political impetus when they see that. Another major regulator has taken a product which is also going to be wheeled out in that particular country and said well you know what's good enough is enough the ganda over the past few weeks. Of course astrazeneca moderna in this case. Biontech visor they. They've all been popping up in the headlines. Chris and of course various speeds that of course these approval processes have been working at now. We have three vaccines. We're we're now told her that there might also now be a fourth which is very much in play might be getting closer to approval. How different are all of these in terms of effectiveness and and do they all function largely the same way or do you. Also because obviously many countries that are hedging their purchasing all of them. Am i going to be particularly concerned. In a couple of weeks. If if i choose to get the moderna vaccine versus the astrazeneca versus the by pfizer one. In fact i think the uk has go options in on seven different vaccines and yes. You're right three of them are nearing the finishing nine in the uk but there are many others waiting in the wings around the world. There are ten different types of vaccine the work in ten different types of ways or being generated a more than forty and now in advanced stages of clinical trials. So pretty soon. We're going to have more vaccines than we can shake a stick at up to a point. That's a good thing and it's a good thing because not vaccines are going to be suitable for all people not vaccines are going to be available to all people not vaccines are going to work in all territories and what i mean by. That is if we take the fiso vaccine as an example. This needs to be kept at minus seventy degrees until five days or so before you're going to use all nine hundred and seventy five doses that are in batch and i've just seen a letter go from medical director saying can we make sure that we we use all nine hundred seventy five days in a within the five days so that we don't waste any of this very precious vaccine. Now that's going to be no use whatsoever in some countries where they don't even have a stable. Electricity supply let alone a stable minus eighty degrees freezer. So therefore having lots of options is a powerful thing also We don't know what the long term outcomes with these vaccines against be. We know that they provide pretty high level of protection but short after the vaccination program is finished in other words in in the weeks to a month or so. The person's completed the vaccine course. They're protected with the fis vaccine to the level of about nine hundred ninety five percent. But what happens in five months. What happens in a year. we don't know. And it may well be that other products that come along are able to confer a longer term protection. They might confer a big boost if you give one of those on top of one of the other products. This is a learning process. We're going to be sort of going through this process as time goes on an. It's always good to have more options. Where this sort of things concerned. If if your project yourselves twelve months twenty four months out do you think we also end up in a place because of because of cost because of stability many other things that they're only going to be potentially to vaccines. Is that the way things often go. The other ones might be effective but they might be too expensive as you said they might be too volatile and they fall by the wayside. I so i guess what i'm getting at. Will there sort of a clear winner in all of this in terms of one of the players and obviously the concoction that that ends up within the syringe. Well it's hard to say. I mean you know it's like niels bohr. Who is the forefather of quantum mechanics. Said prediction is very difficult especially when it concerns the future. But it's it's going to be very hard to know because we don't know what the long term outcome with these agencies. They are expensive. These genetic vaccines that pfizer. Madonna offering all pricey the astra zeneca vaccine. Which is still sitting with the regulator here in the uk. At the moment that one will be much cheaper and is also much easier to deploy and store so that there are pros and cons of all these things and it may not come down to simply a case if this one does this and this one does this therefore two horse race. I think we will definitely be a market for a few of these products whether or not. That market's going to be sufficient to sustain all forty plus of the clinical trials that are going on now but but certainly while the world is rushing to get this stuff in sufficient volume. Because that's the issue at the moment the companies just can't push it out the door fast enough the moment it's any partner storm so people are desperate to access whatever vaccine they can as fast as they can and just before we go chris any sense. When you're maybe discussing with your medica- medical call leaks. What the uptake is is going to be. I was talking to a doctor at the university hospital here in zurich the other day his defense was that you know probably just within the hospital owned probably fifty percent of the staff. You know would not be interested in taking the vaccine. Is that sort of a a pretty good gauge. In terms of how the public will look at this. Or if you're not in the medical trenches all day maybe you're going to be keener to take it any any house view from your side. I'm sensing quite a degree of what we dub vaccine hesitancy based on the questions that are coming into various radio programs on participating in basic enquiries from members of the general public and if you look at the day to this come out of the pew research center in america have been running a number of population surveys in the states and originally that was very alarming showed that fifty percent of people would reject a vaccine offered one at that point in time. They recently repeated that survey found that in fact the uptake had risen to fifty from fifty to sixty percents so in other words forty percent. Turn it down. But that's still forty percent. Turn down right now in the uk. We think it's probably going to be Less than that but at the same time still a significant proportion of people are uncertain citing rapid production very rapid approval. As a reason for concern. I do think this is largely going to take care of itself though because what will happen is that because of the way in which these vaccines are being rolled out to high priority high risk groups. I with a trickle down into the younger echo lonzo society over time by the time many of the people who live in countering who is saying. I'm nervous about this. Come to be offered a vaccine. It will have actually been through a very significant proportion of other people and that may well have in still quite a bit confidence into people are safe track record by then so i think it may be one of those short term problems. The actually takes care of itself. That's what i'm hoping anyway. Chris thanks very much for that. That was monocled health and science. Dr chris smith.
Two-week COVID-19 new case rate up 20% in Seattle area's Snohomish County
"Rate is up. Another 20% 20% and and 80% 80% of of the the airborne airborne isolation isolation ICU ICU rooms rooms are are occupied. occupied. Snohomish Snohomish County County Health Health officer, officer, Dr Dr Chris Chris Spitters Spitters says says hospitals hospitals can can re re engineer engineer some some rooms rooms to isolation rooms, but they're also worried about a shortage of health care workers to staff. Um Spitters says the county tested 13,000 people last week. But he says 90% of those were people with symptoms that suggest that the system is being stressed in terms of providing testing that everyone who wants it, But we're still much better off than we were last spring, and the health district's continued to work to expand and provide more testing sites. Says supplies of personal protective equipment is adequate for now, but that those supplies won't last indefinitely. So, he says, we have to turn things around what started as an attempted to you. Why stop ends with an effort man charged with shooting
Dr. Chris Winter On Why Your Sleep is Broken and How to Fix It
"Chris. It's great to have you on entangled today. thanks so much for being here. Thank you so much. I appreciate it. I want to start by asking you this question as a neurologist. How did you originally become so interested in sleep and the problems that we all have with sleep. The short answer is is all very accidental. But this is something kind of intoxicating about sleep. It's very easy to have fun with well. It's funny. I mean it's good news bad news right because people love to talk about sleep because we have so many challenges with it if it were simple hey spleen split big can take it out if you do. This is not even necessary exactly but you can't like not sleep. Let's talk about that. That's an important sentence right there. You just said yeah. And i mean i personally have had sleep problems forever so i'm super excited about getting some of this information. I did love your book. Although i'm still not sleeping perfectly but i'm still not doing i'm supposed to be doing so that's air. Why does so many of us have sleep challenges to begin with. There's a couple of answers that one is. I think that for the first time we have generations. Now that are looking at sleep as a modifiable. Variable and not a trait okay. You're going to have to say more about that. What does that mean by that. Is i think that probably in the past if you slept poorly just kinda slept poorly. Didn't really think much of it and now with the idea. That sleep is its own science. There's all kinds of things you can do can alter the lighting you can do a sleep study to determine if there's something wrong with your sleep versus there's nothing i can do about the fact that i'm short of sort of big years and i've green is like those things are traits. I can't fix those. I don't know maybe a hundred years from now they won't be and you can choose your own hide. You can easily genetically altered your colored. This has now come into this idea. That sleep is a science not just sort of a casual observation. I also think there's a lot more out there. That is impacting our sleep. Where twenty four hour culture now. We're always awake where shift were culture. We can eat whenever we went to. We can watch. Game of thrones starting right now until sometime at the end of next week one episode after another of these. Were not things that we had. The cell phone is a huge issue with us right now. Our access to information and all these things were not a problem in the past. It was sort of boring to stay up all night. And you're living in a cabin. That had a whale fat lantern and papas fiddle on the wall. Like that was it. It was nothing to really do. And you work really hard all day while you had sunlight so there were things are naturally regulated our sleep a lot better than we have right now not mention the chemicals we put in our body cetera et cetera. So i think a lot of excitement about technology and moving into the future. But there's also some drawbacks particularly when it comes to a biological organism. The probably wasn't meant to do a lot of things doing right. Now when you talk about. Binge watching game of thrones or cell phones. Do you think that these. Let's call it addiction. Or even the lure of these entertainments options are these causing more insomnia in our culture right now. Or how do you see that connection. I think it's really important right off the bat define when insomnia is just. We're all very clear. I've got a bunch of slide shows that i've done for people. One of my favorite slides is a series of headlines that have come out of the last few years and they literally go like from forbes magazine and very reputable sources. why forty million. Americans can't sleep and the next one for the new york times. It says fifty million americans can't sleep and here's why we're talking about insomnia. We're not talking about people who can't sleep that doesn't exist. And that's very important thing. Say there are people out there who dissatisfied with their sleep. Have certain drawbacks or obstacles are trying to overcome but nobody out. There can't sleep and it's important because that's what most people associate in their mind with the idea of insomnia on song note that is that's when somebody can't sleep and that's not what insomnia is insomnia. Really is more of an individual who is not sleeping in a way. They want to or at a time they want to. They have gone to bed at eleven o'clock and it's taken them two hours to fall asleep. They woken up at two in the morning and is taking them an hour to get back to sleep so heart one is. You're not sleeping in the way you want to part two. Is you have to have a negative emotional response to it. Meaning if i meet somebody who says takes me two hours to fall. Asleep by next question is always. How do you feel about that. If the individual says auto remind can alight lying in bed away thinking about my day planning out my weekend. Forget what to do my wife or anniversary thinking about my celebrity crush. Your whatever it is. It takes the emotional upset to really create insomnia care so do phones does. Game of thrones create more insomnia probably but it also creates the flip side of insomnia. So when you're looking at the people that we treat clinic we treat. I can't sleep. We also treat. I can't stay awake
Arizona education, health leaders launch 'Healthy Kids, Open Schools' campaign amid COVID-19 surge
"State health director, Dr Carrick. Crist is announcing a new campaign called Healthy Kids Open Schools to Help slow the spread of Cove in 19. As cases rise in Arizona. This campaign focuses on the importance of keeping kids home when they're sick or have a positive test result. Dr Chris says masks must be worn any time at school or on the bus and any time kids are around other kids that they don't live with. The Arizona Department of Health Services is on high alert and are discussing mitigation. Measures of virus cases continue
COVID-19 rates hit record high in Seattle area's Snohomish County
"County four times higher than just a month and a half ago, prompting a plea from health officials there will sue Romero with the latest health officer, Dr Chris Peter, says the county infection rate is now nearly 190 cases per 100,000 people That's up from 50 cases just six weeks ago, he says. Hospitalizations are also up, and he fears an impending crisis if hospital capacity has reached sometimes, even though hospitals have beds. They don't have the people to put next to the bed to take care of the patient, Spitters says. Outbreaks are coming from quote all directions at workplaces, school settings and social gatherings. Holding galleries. Gatherings is a threat to all. We should stop it. For the time being plain and simple. Just stop the gatherings, he says. People should keep a bubble of no more than five people even through the holidays until Snohomish County can flatten out this spike, see Romero
COVID continues to surge as Indiana breaks another record
"The Corona virus surging all across the U. S. With new daily cases by half over the last two weeks. Coronavirus may be as bad as it's been in Indiana since the pandemic started, says state health Commissioner Dr Chris, Pa. Perhaps the greatest train right now is in our hospital workforce. Which is in the ninth month now of responding to this pandemic and facing the greatest patient load. Yet Indiana has set a new single day high for Corona virus with more than 4400 positive test today, 45 new deaths as well, more than 4200 Hoosiers have died from Corona
Building an Email Newsletter Directly from Instagram with Steph Compton
"Welcome to episode number eighty one of the grab blogger podcast the song for helping academics change the world through online business helping you by give me the tools and tips to strategies. You need to build online business write a research experience around your background and your expertise and around change you want to make in the world owes. Dr. Chris cloning and Days episode were talking about building an email newsletter directly from Instagram and we're doing that with Steph Compton from Steph access on Instagram & Stef's, I access them on Twitter and we don't have a website to give at the moment which will actually be talked about in this podcast episode. So Steph, I want to say thank you for coming on the ground blogger podcast and sharing your your experience today. Yeah. I'm heading me. I'm excited to be here. I'm really excited to have you on niba from notes by niba who we had on episode 69 and 70 of the podcast recommended. I reach out to you just gave me your Instagram wage. So I went there got a link Tree on your profile I clicked on it first link is bold letters new and improved get my Weekly Newsletter plus Q&A. It's like well, okay that's forward and off. I love it. But then try clicking through the other links and there was no website cuz I want to learn more about you and what you do and then I was so intrigued that you had the newsletter and this Instagram following but website that I I had to sign up for your newsletter that point I got to figure out what's going on here and I was pretty pleasantly surprised me on the news later. It's a really well-written. You're very open with what you're dead. You're very helpful. You take Q&A in the newsletter, which is well let you describe the newsletter more detail, but there's a lot of cool things in there that I just was impressed about and thought that others could Implement a in their newsletter strategies, but may be I need to get you on to figure out what's going on with this no website and how do you start building newsletter without a website because we work with people all the time that you know have a website but aren't willing to start birth. Their newsletter it was I just intrigued by this whole setup. So I said I got to get stuff on the podcast. I appreciate you coming on. Yeah. Yeah, so in this episode and this is actually a two-part episode. If you're in Chicago and how to use Instagram the next episode next week's will have tips and strategies on how step uses Instagram to build a following there in this episode over and talk more about steps of background how she took Instagram a server newsletter has she monetized reference online and we'll follow up on what's the deal with this this website and can we see one coming in the future? So as always you can download tracks this episode at gravatar.com / 81 and just when you download that you can control that you can find what we're talking about here and then use that to implement your own business as well. So stuff just jump in I guess. Can you share some of your academic background to some of your your story how you got online? Yeah. Sure. So hello everyone. I am Steph so I'm actually a third-year PhD student wage. Virginia Tech currently I am in the department of human nutrition foods and exercise and I study a varying cancer metabolism so very much a basic background, but I got my start at a very small arts college called Emory and Henry College. That's where I did my bachelor's degree and got that in biology and then it came to Virginia Tech actually for my Master's and kind of switch lanes. So I actually did my Master's in community nutrition and dietetics. So I did a lot of like all across the research spectrum of doing like this basic plant genetic science and my undergrad moved into my Master's Degree, which was very much community-based and learning like dietetics and applications and and standards of care within Healthcare and then I kind of combined my two loves of both nutrition with Biology to pursue my PhD at Virginia Tech as well in the same department, but I switched gears to go more like cellular molecular track. So right now like I said, I'm a third-year PhD student. Hopefully we'll be doing my my name. Asian proposal pretty soon. So I'll actually be a PhD candidate hopefully within the next few months, but I'm also got an Instagram about almost two years ago. It'll be two years in December, I believe so I actually got on Instagram at the at the suggestion of science Sam which I'm sure some listeners may be familiar with science Sam is an amazing science communicator and Neuroscience. She's been doing a lot of information about covid-19 Ali and she's been a really great support system in a really great person to follow and kind of look up to and then the science communication community. So I had actually been talking to her for my personal account that I have and talking about like science communication and accessibility as well. So we're accessibility ties into my story is when I came to Virginia Tech. I actually I worked as a braille transcriber and a tactile Graphics designer and the accessible Technologies office at Virginia Tech. So what when I originally started my account, it was a combination of doing science computer. Station but also teaching people how to make their information more accessible. So I kind of started in that area and eventually kind of brought in more of my nutrition background as well. So actually educating people about nutrition in the science of nutrition because that's really where my expertise lies and then also at the same time talking to people like Health Care Providers and other science communicators and other people who use Instagram to Market and like get themselves out there and educate on how they can make their communication more accessible So within that as well, I also teach a class called Health counseling is currently averaging a text. So I kind of bring all of my different experiences and I have the nutrition that I'm actually doing I had the science and I'm doing every day in the lab. I have the accessibility that I've worked in before as well as my life experience being an educator in the classroom and online and my my account has really expanded throughout all of those different things. I always joke on my account that I'm super multi passionate and it's because I had These different areas. I really want to come together in my account. And so that's that's really how I started and where I've gone from there in the two years. I've had my account
WHO: Letting virus spread to reach herd immunity is "unethical"
"As the covid nineteen pandemic has been sucked ever further. into. The deeply tedious culture wars polarizing many Western democracies they gathering climate has been made on behalf of so called herd immunity. This is the fairy which holds that if nature is permitted to take its course, within reason, sufficient antibodies will be distributed among the populace to reduce the viruses spread to a manageable kroll. The World Health Organization has now sat emphatically upon this view who chief Ted, Ross Cabrera's calling herd immunity scientifically, and ethically problematic one joined with more by Dr. Chris Smith. Our Health and science correspondent also virologist Cambridge University. Chris, he calls it scientifically and ethically problematic I. Think the ethical problem is pretty easy to spot, which is that you know a great many people would need to die. What's the actual scientific problem here if you would just taking a brutally utilitarian approach? Well I think really it's a lack of knowledge the moment we think that about ten percent of the world's population. So perhaps even as many as a billion people rounds bit more than ten percent have had the infection, but we don't know, and the reason we don't know is because in order to work out with people have had it or not we have to do antibody tests and antibodies. And you can think of this as the analogy is a bit like footprints left in the snow when you've had an infection, a person who has had it and cleared it no longer has any virus detect, but the footprints of the vars having been there all the antibodies left in your immune response. If you take those antibodies, that's a sure fire marker, you must have encountered whatever the infection is that you're interested in the problem is that it's not clear to us that when we test people for antibodies, all we rarely detecting all the people that have really been infected or have. We missed some have we missed. A few are more people responding in ways where they might antibodies the we're looking for. We just don't know at the moment. So scientifically, we don't really know what we're tackling here. We don't know what the long term consequences of coronavirus infection are. They may be trivial. They may not at least for proportion of people there is this phenomenon dubbed. Long Cove where people have post infection, inflammatory syndromes and symptoms that can go on for months. Now, we don't know what fraction of the population get that or whether certain people are more susceptible to that younger people older people we don't know. So scientifically, medically, there are issues here. If we understood the thing completely you'd say, well, we know exactly what we're getting into. Sign. On the dotted line or not whereas with this, it's a black box. We don't know what's inside on the subject of understanding things completely where are you on the UK's most recent? Of restrictions lay his TIA's and levels. The U. K. seeking to make things clearer because they've been criticisms levelled at the government for having rules that people not even prime minister. An Very Scottish MP's can remember, and as a result, this is leading to confusion transgressions and that's translating into more spread of the virus. So in order to gain a tighter grip on the virus, the outbreaks in various parts of the country, this tiered system has been introduced to on tier two tier three also dubbed medium high, very high risk and the idea is that everybody across. The country has a baseline of medium risk and so anybody who's not in special restrictions at the moment is medium but in other parts of the country where there are special measures needed, you have this way of escalating up to high risk and the threshold is said to be one hundred per hundred thousand people in the population who are affected in order to trigger that escalation and I think part of this is not just that the people everywhere know where they stand they know how prepare for if they're area becomes. A higher risk area local planners can put in place policies but also means that more control can be potentially devolved to local authorities and local actors because there, there's a lot of knowledge on the ground are very skilled people in public health and so on who could work more strategically locally and I think some of these measures do open the door to more of that kind of thing. But again, it's it's produced the usual anticipated reaction of people. As I'm away confused today blame them people are confused there's lots of. Uncertainty and no one likes this sort of change when you've just got used to work in one way and then morals come in and people are obviously trying to to make sense of how exactly this is or isn't going to work the thing that would of course stops or savers from having to try and understand what the government is telling. US would be a vaccine in has been bad news I guess on that front, which is Johnson and Johnson suspending trials of their vaccine. Do we know why that happened? Nobody's worth bearing in mind that this happens all the time. When we're developing drugs, foams, companies go into the drug development vaccine manufacturing process expecting to fail ninety percent of the time not because they're not good at what they do. It's because they're very good at what they do that they succeed ten percent of the time, but it's a very tough. Challenge with very rigorous standards and west safety is an absolute priorities of red line that you can't cross safety and ethics. So as soon as you have a trial running if there's anything untoward, the the safe thing to do that point is you hope the trial you investigate and you appoint somebody independent of the trial who is an independent observer who will Come, in they would appraise the situation and then they'll cite note we can. We can say this is not because of the drug this is because of natural occurrences something you can resume your trial but on safety grounds, you always hope thing investigate and then make a decision and this happens a lot to happen to Astra Zeneca a couple of months ago. A month or so ago with with their co vaccine and investigators came end, they found that there were cases reported. There was a new case of a of a condition transverse lightest, which is an inflammatory condition of the central nervous system. They were able to say, well, because this happened sporadically in the population, there's no reason to suspect that this was caused. By the vaccine in this case. So we'll resume the trial. It may be that this the same will happen for. Johnson. And Johnson's vaccine trial. So is there any consensus really among you and your fellow boffins about likely timeframe for vaccine will I've asked a couple of people this one person who is working on behalf of one of the regulators to keep. Tabs on one of the vaccine projects. Another person who's actually in the finance sector has been having conversations with the pharmaceutical companies at the front runner in this and both interestingly guy very similar time windows suggesting that about of next year was the most likely time by which we would have data assuming that the data that is provided are provided shows. The vaccines work I mean. Let's assume that because that's a big. If an it's necessary if assuming everything works, then you've got to go through various checks and balances and take a lot of boxes from a safety point of view which takes time and so that's why they're saying probably midway through next year, and then there's the whole issue of WHO's going. To get vaccinated because in a report in the Financial Times last week Kate. Bingham who's the vaccine taskforce lead said an acknowledged that about thirty million people are front runners for receiving vaccines. But where does that leave the other thirty five, million not? No, no information has been provided. Yes. On on what the government strategy is going to be.
"dr chris" Discussed on Relentless Dentist
"Today when you're an episode that I just record of my good friend. Dr Chris Phelps is really good to connect with him as a friend, but I also knew he would have some timely advice for this covert economy as you'll hear now. And you'll hear in the episode. The fire alarm goes off from time to time. We're not. Testing the alarm system. We were joking. That is because the episode is purifier that you'll hear those sirens go off, but if you don't know Chris, go back. He's recorded several episodes with me. One was a boot camp in two thousand fifteen. That really dives in to these timeless principles that help you ethically with integrity steer patients towards more referrals, less no-shows higher case acceptance now in this cove economy, just getting them in and making sure that we're maintaining their dental health so I hope you enjoyed this episode. Anchors Phelps welcome back to the show. How are you? Fantastic. Thanks for having me man. Yeah, it's good to catch up always those of you who don't know Chris Phelps I'd be surprised, but there's something that's really worth your time about five years ago, Chris was generous enough to a whole series on the principles of persuasion Valuable content and really appropriate to tie in with our conversation today, so that was five years ago, September, two, thousand, fifteen I believe, and still one of my top downloaded podcast I think people go back to that and consider a kind of a boot camp on how to really level up their engagement with their patients and their team the interesting thing I was listening to do you know Shane Arish from the knowledge project. Don't digs deep into decision making and he. He has a computer science degree. And he was talking about in his first job how he treated people. I computers only to find out that they're completely irrational, completely emotional, but if we understand the psychology of the people that were treating serving and the people that work with us, we can have lots of breakthrough so where I thought we'd start today Chris. Is that like my clients right now? They're busy. They're happy and they're excited, but my concern is that we've. Hit It's a false positive meaning. There's pent up demand. There's a rush to get in. There might be that little. Nagging broken cuss that you know needed attended to, but it wasn't enough to call in for emergency, and my fear is that in a couple months two to three months that wave May to diminish, and then we'll hit that opening where we didn't have our hygiene. Re Care scheduled in what September October and we can be in trouble for not leveling up our game, and then I read an article that you wrote an excellent article about that the risk, averse versus a non risk, averse and so. What I thought we should today's dive into those timeless principles, persuasion and talk about. Modern Day real current applications and the timestamped recording on July. Two Thousand, twenty people are back to work. There's a wave of patients coming in, but my question is. How long does that last? Is that artificial? Yeah, I agree a hundred percent. It is completely artificial in there is a gap coming. and what I've seen as cove, nineteen disasters is Kinda created to mindsets and Dr Robert Chow Dini has been my mentor for the last six plus years, and I've had the benefit, the train under him and look at his research, the research of others out there and really get into the details on why people do what they do, which I've always found fascinating. and seeing that there's all kinds of things that create might and people you know you hear that phrase, and you're like it's a popular buzzword today mindset this mindset that what does that even mean right and mindset is all about who you are in the moments or the moments leading up to when you make a decision right and who you are in that moment is really about where you. You are in that moment where you are cognitively. Like what are your thoughts dwelling on? Are they positive negative? What have you where you are emotionally? In that moment? Can how you feeling about things, and where you are physically like the context environment that you're exposed to leading up to that in this environment, we've been exposed to in the mindset kind of push people into one of two parties right? Know. We've been back opened since in north. Carolina here where I'm at Charlotte since May fifteenth of things so couple of months now. Only been slant like we're beating. Last year's numbers are nuts, but I see a pattern who's coming in the door and who's not a right and so those that are coming in amateur, my article or those risk tolerance, reactive mindset, folks. You know those people who really thought that they had time right. It didn't bother me today a new. I needed to get to it I'm GONNA, get to it at some point. But when we got shut down for two months, they couldn't go anywhere. They just realize suddenly crap. I don't have time. As you, said this Pinta demand was there when you the scarcity of taken away that they thought they had time. has totally motivated then to now. The doors are back open. The floodgates are coming down right in water should come back so that is an interesting crowd. Right so these people crack me up, so we taken all these precautions. We've done all these things we got. All these toys and technologies keep people safe and they could care less. I got four or five of them hanging out in the waiting room. Nobody's wearing a mask. They're all talking to each other. They don't care what we. Write to them. It's just business as usual. And their mindset is big on their same day. People Right? It's kind of like your plan right now should be anybody walking through your front door treatment. Plan them as much as you can get done today. That's the only thing is you're talk about. Is. They're gonNA. Say Yes what she'd get done today because we can't get it done today, they're not coming back. Not for some x number of time, so my focus has been on treating gleaning for today. Right so it's not just ruin our doing. The REU cannot build up in the ground today. I. We're trying to get as much done as possible for them. Are you seeing much in terms of financial hurdles? Meaning people have been out of work in there a little bit less likely to all the trigger on treatment that they would have said yes to a few months ago. Not necessarily again, the the the fun thing is about the reactive mindset. Folks is is that they knew this was coming right? They knew their expectation was already set that when the wheels fall off the bus when the combat is off. Consul. Hype so they knew they were going to be writing a check for something. Guy So if he's wrong as you're around that expectation, sometimes be the expectation because I thought was going to be worse than it actually is you went..
"dr chris" Discussed on The Dentalpreneur Podcast with Dr. Mark Costes
"These are things that we really. I mean. It's it's this is huge. It's unprecedented but it's become the new normal. It's actually quite interesting And I think that you know humanity is very resilient and I love the fact that people are still smiling Even when you're even when you're at the grocery store everybody's walking around with masks everybody's still super polite and pleasant It's nice to see a little flashes of humanity amongst the amongst the chaos. It's funny just yesterday. We participated in and I'm sure others have heard about this and they're doing that but our our youth pastor at our church is One of his daughters turned six yesterday and we participated in in a drive-by birthday party and And we had so much fun and we drove by their house which is about thirty minutes away from us and there were probably fifty sixty cars there and you know everybody had signs and they were dropping presence out of their car windows and I mean the the the sense of community is something that can't be stopped. It's something that can't be hindered and You know thank goodness for technology where we can at least virtually connect with people but I I think there will come a time. Mark when Our leaders are GONNA come to their senses and and and not to say that. What's been done so far? Hasn't been a good thing. I'm not saying that at all but I I have a feeling that within the next I don't know it could be as soon as a month month and a half or so. I think our leaders are going to step in and say you know what we gotta go and we we gotta get going again and You know some. Some people have said that the cure has been worse than the disease and So anyway I don't WanNa go soapbox on you but but I do think that there is a place in time for us to sit back to sit there and say you know what we really need to get moving again and I hope that time comes sooner than later. Yeah dude very very well said. I mean the reason that we're the dominant species and the reason that we have survived as a species as because we know how to work together and and the community aspect thing is huge for evolutionary. We need it. We need it and This isolation is not good for anybody. And you do scratch your head and wonder if the the the The Cure is worse than the disease. But I'll leave that to To history and we'll see what happens Agreed but man. I can't thank you enough for joining us today. Chris. It's so funny it's it's it's so great to talk to you because you teach communication. I this is funny right. Okay so I don't know if you've ever seen this but there's people that teach like public speaking and they're terrible speakers right right and there's people that that that teach like rapport building and they don't know how to build rapport. It's weird It's refreshing because you you speak on and your specialty communication and your master communicator. So I really do appreciate every time that you you say yes to to being on the podcast and I really appreciate your friendship and unite have More so than most quote unquote influencers. That I know you and I go way back to the very beginning man man that was like right in the beginning of when I started speaking and stuff so I have a huge fondness for you and I appreciate your friendship man. I feel the exact same way. It's amazing to see how far you've come from that day where we decided to split a table in half and because we were both to pay for the and we both had families there actually. I met Lesley and your kids that same weekend. You've met my kids and Elizabeth and you know it's it's really amazing to see how far you've come in to see this whole ds. Ds. I and I think you've got your. I think you've quartered everything begins with DS so except for DSS. We don't want to touch that one. Yeah man it's it's just been a pleasure and an honor to be associated with you and your groups and I just I look forward to contributing in any way that I can to help other doctors other team members whatever. I can do to help them and help you. Guys get back to business and get back to not just normal but you know we can make this better. We can make it when it's time to get going again. It may take a while we may have to fight for it but we can make it better and until we all believe that you know I hear so many people out there saying oh it's not going to be as good as it was and it's just it's we're going to have to get used to what others have said that in the past and they were proven wrong. Yeah and and I say let's challenge each other to prove those people wrong and to enter. Show the world into show each other what we're really capable of. Yeah IT'S A. It's a great unique opportunity to yup to show what we're made of and true leaders are really defined character is defined in moments. Like this. I try to. I try to remind myself that every day when I get up during this that leaders are defined right. Now how you project your presence to the world and to your team and your family it all matters right now more than ever So so thanks for leading the charge brother. Yeah I'm happy to in any way I can. Okay once again as gentlemen Dr Chris Bowman and that wraps it up for another episode of the Dental.
"dr chris" Discussed on The Dentalpreneur Podcast with Dr. Mark Costes
"Each team member in her practice in each team member had about thirty seconds. Or so. Where were they said? Hello and hey. I'm doing fine and our families doing well. I hope you guys are doing well. I really miss you. I mean it was like three or four minutes long and I'm telling you market it was emotionally tugging. It was a wonderful message and I mean just a really heart warming message. I mean. Imagine if you were to get a message like that from your medical doctor or from our from someone like your whoever cut your hair or someone that you see on a regular basis. I hate we really miss you. It no clinical stuff no promotion. No nothing just something personal. I think one of those you know would be a wonderful idea for everybody to consider. We're going to actually do. It already contacted my team and we're going to start putting something like that together. That's one thing. Certainly you can keep people updated on the latest news of Cova nineteen and how it relates to our practice to our business and the the delivery of dental care. You could even almost foreshadow the fact that you're considering you know adding something to the practice to give patients to peace of mind the things we just talked about so there's some opportunities there to communicate with him now. I would also say though that we probably don't need to do it too much right now because frankly most of them probably listening. That's true people are people are in panic mode right now but reassurance. I love the idea of that of that video. We just did When we decided to close even to emergencies because our specialists in town are still taking emergency. Call our oral surgeons and our ended honest of all remained open for emergencies so we thought that best that I not expose my team to. You know acute emergencies because we're trying to do our part to decrease person to person contact like everybody else's so we made that tough decision to close even to emergencies. But we did you know one of those collages that everybody's doing right now. We all have held up a sign with one letter on it and it said something like we have decided to close our doors completely in an effort to decrease the spread the rapid spread of Kovic. Nineteen we miss you all very much. stay safe and healthy. Sia soon and everybody was holding up one letter and it was. Yeah a collage of my entire team. And we're getting so many so many people reaching out saying thank you guys so much for for the pictures and it was everybody at home because we decided that we're going to take it from from our own from from our own Houses and it received a lot of positive feedback. People are looking for that reassurance and just the humanity right now but a video would have been even that much more powerful I. I commend that doctors. Well You know you You teach courses on case acceptance and overall communication. I think that's your forte. You're a master at it so as we go back into a love how you broke it up into this thing like I. I can wrap my head around the fact that everybody go back to their practice and pretend that you're start up. You know you have to really engage the community. You have to re-engage your own patient base as if they're not your patience anymore. I love that idea. It makes perfect sense to me. So what type of communication tips can you give us As we go back into our offices what do we have to make sure that we're doing to make sure that we're Keeping the energy the way that it needs to be an end and and Exuding confidence that we need to exude. Yeah that's such a good question mark enough thought about this with our own team and it's a matter of fact. I have a zoom call that I've got scheduled with my own team for tomorrow. Okay it may not be longer than thirty minutes but we're going to get together and one thing we're going to do is say hi. I'm the other and it's going to be important for us to connect and say hi. We've been on a group text constantly but frankly most of the communication has been about things like unemployment benefits and all this. Just paint in the bud stuff. That just doesn't make anybody feel any better so I want to reconnect with my team. And and just say hi and spend a little time catching up but then getting down to business I believe that that prelaunch period of let's just say two to four weeks before we reopened. Wow that'd be really important Minimum two weeks before he reopened. And honestly it's going to be difficult to engage your team to focus on what we're going to do in the practice until we have a target date for getting in the practice so sandoval. Yeah yeah so I think right now. Spending a lot of time with your team on verbal skills and communication and things like that that I teach. It may not have as much Staying power as it would if it were within the first four weeks of opening definitely within the first two weeks maybe four weeks to learn it and then two weeks to practice it so What we're going to do is rewind to set up a kind of a prelaunch schedule so when we begin to understand about. When we're going to reopen we're going to start putting some things in place And again if you think about it like you're launching a space shuttle or a rocket. There is a system of things that happens during that t minus two weeks t minus one week t minus five days all the way down to to lift off and if those things don't happen then they abort the launch and that's how important it is for that prelaunch the pre launch is more important than the lodge because the laws are already. There has done. Yeah Yeah you're you're already there. It's like it's like it's starting to starting to perform play but there was no rehearsal. Yeah you know you gotTA BE READY. So the pre-lunch is going to be critical As far as how we communicate with patients but also how we communicate with our team so back to your question about training for communication We're going to really go back and reexamine all processes Beginning at the very least two weeks before we open. And that's actually. When I intend to put everyone back on payroll fulltime is two weeks before we open and much of that time. Mark is going to be dedicated to that training. And whether it's at home or whether it's at the office and you know if it's pre-opening than I may have them on a reduced salary okay But we're going to do that and we're going to have everybody rocking and rolling so that when we get back we are ready to go like almost like a soft opening for a restaurant. You know we we really WANNA be ready. Is there a help us? Visualize what that training looks like as their role playing their scripting are they. Are they going into small groups and and and practicing this This new communication and what we should be what we should be saying to the patients had. What does it look like yet? We're definitely going to do that. Mark you know. My team has been trained in stuff sense. You know fifteen years we've been. We've been doing it ourselves. However I've got some employees that have been with me less than five years a matter of fact. I've got several so we're going back to basics and we're going to start at the beginning and I've told my team for my veterans. This is going to be a review but it's also going to expose some and for our newer employees. I've got one hygienist to She's fantastic. She's only less than a year out of hygiene school and She's got great personality patience or love and are already and she's going to be starting from scratch and she's you know she's shown me that she's knowledgeable and she's ready to learn and that's the reason harder because she's got the great attitude All of my team has great attitudes and We're GONNA make sure that we get up to speed on our communication from the from the new patient phone. Call all the way through the whole process. I'm basically going to go through entire communications course with my team. Almost as if we've never done it before and I think that's going to be critical for really any dental practice to make sure that your processes are down and if there are any gaps in your processes then you try to tighten those gaps. Now before you open. You know one thing that you know I would consider if there's interest is that I could do a training for other dental offices. That might be interested in doing this as we get closer to opening not now now's not the time around. We're we're still trying to figure out what we're GONNA do with the PPO load. You know it wouldn't. I don't think he would stick if we tried it now. But as we get closer to to to the relaunch you know? That's something that I want to be available for for other doctors. Who Want to do that but in no way would I even recommend that you start doing it right now? Yeah and you do travel you travel offices and give these full one day trainings. They one day or two day Chris. I've got the flexibility to do it in one day as a matter of fact when I started doing this I did a course in Los Angeles back in two thousand fourteen as a one day course and the feedback I got at the end of that day was hey great course. Chris needs to be two days. Yeah one day I it is. It is and involve the whole team and when we did the two day course. The feedback was great. Course could be three days but I'm glad it's too and You know heads are spinning in. You know we try to give everyone in action list. Hey these are the most important things start with first. So that when you get in your practice. You're not overwhelmed. Well I'll I'll raise my hand and Let let's schedule something for my team. in the T minus two weeks. I'd love that if you had time to do it. The I love to it. You know it's funny. I was in Saint Louis with a free dental three practice group March sixth and seventh as on we ran into each other at the. Yeah Airport I was on the way to Saint Louis Does Charlotte. I was speaking of the Charlotte Dental Society. That was like the last trip. They locked down after that weekend. You and I was like last trip. I think you made to right. That was my that was a that was my last trip and then the next weekend. What's crazy is the next week was the ACC tournament basketball and And then like that week. Which was I believe March maybe eleventh or twelfth or whatever that's when they cancelled the NCAA tournament and you know today's what April ninth. Three days ago was supposed to be the National Championship game in college basketball. You know in. None of us have thought about that. That's that's a big deal in North Carolina for US. I mean the whole. Nba Season is canceled. The whole this is soccer is completely done Baseball Spring Training is done. I mean this is. These are things that we really. I mean. It's it's this is huge. It's unprecedented but it's become the new normal. It's actually quite interesting And I think that you.
"dr chris" Discussed on No Challenges Remaining
"Thing is just wash your hands. Wash your hands. Wash your hands. But the virus can't does not spread through food. You can't catch it through food but if as your waiter is handing you your plate in your brush with. There's that's a potential contact right. It's their I guess. What is it that you mentioned the three every cold and flu season? You know. There's precautions? We talked a little about that offline before about how a lot of these things are not dissimilar advice. You would have any flu season. What is it that makes Corona virus? I guess so particularly scary to health. Experts into all these organizers who are shutting everything down I was saying is we were starting to feel the biggest sort of the first like real pandemic that I've been conscious of but then you were saying the swine flu. H One n one breakout. Which was which year was that in December? Two thousand nine thousand nine eleven years ago was similar But why does why does this one seem bigger? Why does this one the one? That's getting feels like the big attention. Maybe I just have nothing memory of that time but I don't remember throwing weren't NBA shutting down. Anything like that right. The single biggest in in my opinion the single biggest scariest thing about this right now is the uncertainty. We don't know enough about this And it's one of these situations where the little bit that we do know about. Corona virus makes us particularly worried The last corona virus we had was the murders some Middle Eastern Respiratory Syndrome. The one before that was SARS if we can remember anything that was back in two thousand two but these other corona virus new corona viruses followed a similar pattern to this when they initially broke out. they were detected because there were people dying at pretty high rates of these viruses. Neither of those viruses reached pandemic levels And this one has. Fortunately this current virus does seem to be substantially less lethal than those. But the main reason to worry is even if this is just as equally lethal as the influenza. That circulates every year Influenza kills tens of thousands of Americans every year it infects millions a it's responsible for Huge losses and productivity of the economy millions of miss days of school. And the like the last thing we need is yet another virus. That's just as bad as the flu floating around so Even in the best case scenario over this just ends up being sort of another virus that's floating around We don't need that. We have enough virus so anything we can do to reduce the number of problematic viruses. Out there We should do that. and in this case because we still don't know how severe it might be. We need to be doubly cautious until we have more information. What would by sort of thing I think? What would the finish line look like for this? Like how will we know? We're seeing a light at the end of the tunnel. Mike what will just be like. Is it like the flu? Has a tip like you said has a flu season. Which has an end date? Will this be a seasonal thing? Is this going to be signed? That is GonNa go away when the weather gets warmer in summer or is it going to possibly persist for well into the summer. I mean had had. We wanted things. I think that I find most disconcerting. I don't know you know that was buying groceries today if I should be You Know How. What sort of With a time span is on the on the worst of this but what what the duration of that would be. What do you know that would give us any indication of what the ARC might be interested? Just time yeah. So I don't know and the short and the and nobody else knows nobody knows the only way we're GonNa know is to let time pass and see what happens that being said Most respiratory viruses. Follow a pretty predictable schedule that we call flu season. And other corona viruses. That are less severe than this that circulate every year Their rates tend to go down when the weather warms up And so the hope that this will happen with this virus that being said these viruses do circulate all year round right. You've people get colds in the summer. is just the way more of them get colds in the winter And so what we don't know is a hopewell hopefully it slows down when the weather warms up and hopefully by the time we get there understand this virus a lot more and we know a lot more about how it spread and who it spreads in and who is at risk of having severe disease. And who isn't I think over? The coming months will start to get a lot more information. A lot of that is going to hinge on our ability to test people and really the answer is time will tell the biggest concerns that I have as a doctor and has an intensive care. Doctor is every cold and flu season. We fill up our emergency rooms. Fill up Intensive care units fill up. And that's when we don't have an extra virus running around and so I wear we're GONNA START. Seeing potential problems is If lots of people are getting sick all at the same time it's going to put a lot of stress on our healthcare system. If doctors and nurses and therapists pharmacists start getting sick That'll put stresses honor system and so we might be feeling the fallout of this from medical standpoint for awhile and the rest of the economy going to be feeling it for a while And that includes the you know sports and entertainment industries so it it may be a while before things return to normal but I think panic will hopefully decrease sooner rather than later. Thank you very much for your soothing. Panic reducing or at least at least blood pressure reducing or pulse. Whatever whatever the past medical terms say what you reduced but you produce something that feels positive so Thank you for that Chris for comeback on the show and hopefully There are no further global geopolitical issues in medicine and sport intersecting foreseeable future. As much as it's been nice having you on while well it happens again. I'm happy to come back and chat about it as parting words again recommend CDC dot Gov Slash Corona Virus Wash your hands and For the podcast listening audience the single dirtiest thing you own. Is Your smartphone So scrub that down with alcohol regularly. How do you do that with a phone? That'd be nervously at liquid on a phone Well a lot of driver. Phones are waterproof. But you can get like Bureau would probably like smudge But if you can get a little alcohol swabs alcohol wipe or a Lysol wipe Or put some rubbing alcohol on a on a cotton ball. Your phones are disgusting. Everybody's phone is really gross. And you hold your face too right and you touch them all day long on that note. I'm looking at my phone with disgust and Thank you for the looking at you. Much more much more pleasantly. Thank you for being on here a you. Can you were on twitter as well throughout the pandemic at Ou Hurts? Worsham as your handle their Any other you've mentioned. Cdc Dot Gov any other things that you've read their. I don't know if any articles come to mind I can. You can send me links. Can put them into description. I think a the CDC is probably your best bet unfortunately a politician's a seem to not really understand this well. And have a lot of trouble communicating. What needs to be communicated of the CDC is run by a lot of people who really know what they're talking about. And so I think the best information is there. An from local health officials the New England Journal of Medicine and Ej M dot org Provides a lot of Interesting more scientific takes but that they're providing free and are geared towards the general public During this outbreak so I think that's a good source as well. Well thank you very much for all of that and thank you all for listening to the show. B- Well out there. So thank you to Dr Chris. Warren once again. And thank you guys for listening to this show. We're going to keep going on with the show during the stoppage of play and one of our first is for that according to have come up with is by doing an NC our book club. Which I think we've talked about maybe doing in the past but now we are have all the time in the world to do it. It seems like with this suspension of the tours. We're going to start with one of our favorite books. Which is Venus envy by Jon? Wertheim which came out in two thousand and one. I believe in covers the two thousand season in women's tennis the WPA at mentioned it in passing extra couple of minutes ago with Sally Brad. Field about how. It's my favorite book. Tennis pretty much into so much fun in such an interesting time and so fun and well told by John and so we encourage everybody to read that book as we get ready to talk about it and we've couple of other selections we're GonNa be doing as well. We're GONNA be doing a hard courts by Shawn Feinstein as well as the rivals by John. Howard which is about Chris Evert and Martina Navratilova Suratnari. So first books lined up. We're GONNA start with Venus Envy and if you can get us on Amazon or hoping is still in print actively but definitely available as an e book is well however you want to get it from the local library. Those are all good thanks to do and so happy reading and thank you everyone following with us through all this following the you're not listening you can do so by following us on twitter and Sarah underscore. Tennis has emails to know challenges. Remaining at gmail.com leave reviews. Whatever your pod cast catcher of your choice is it really helps us out is especially makes more people are able to find cr which we really appreciate and do tell your friends enough looking for quarantine entertainment and the are and the book club are here for them. We have our patriarch page where we really appreciate your generosity and donations in the more than hundred people who already signed on to help us with the show and help us with additional expenses as our tour and at least for me Ernie living grinds to a halt for the time being. So thank you to everybody. Who's done that? Thank you to our slam. Champ level backers who are betty. Schwann Win Liz Kennel and Jonathan Wind. Bom as well as our Goat Backer J. O. D. Thank you to them if you want to hear your own name on. The show patriarch dot com slash. John's remaining will see you guys. Next time with the book probably will be our next episode. Maybe some happened. I but I think the book club. Venus envy will likely be.
"dr chris" Discussed on 15 Minutes to Freedom: A Warrior’s Daily Focus on Journals and Meditations
"Am hero Dot Com. Click on it right on Alto. You having had access to some of the back end of Chris's created as well as getting at him and I are friends. There's some sort of like half-cocked interview the stuff that's in. There is so profoundly brilliant but also simple and execute -able where I think that's one of the things that really for the shiny object. Why we want overcomplicate. What success really is we want you to look for the One? Click magic button. That's GONNA saw problems or we assume if not the one has to be this ninety seven step one legged Hula hooping competition to win and Chris has really created a system and a process. It's very simple right. It's logical it's it works it's foundational. It's it's what your life is based around this isn't sub SORTA. That's the other thing in man. I'M GONNA be on a Soapbox Bosch for a second. There's a lot of people that are also criticized space that will stand on their soapbox and say this is the way it is overweight is and you start peeling back. The layers and their life doesn't line up with what a preach rather just read in a book or they think it's GonNa sell because it's great marketing and cash behind the hire a copywriter boost magically. Now you're something that you're not inherently supposed to be inside. I'll tell you as we're having this interview like Chris Flipping through notes to figure out quotes. Chris isn't these things are part of who he is. And he comes out and all the content of comes up in what he shares on social and it's brilliant to see because the marketplace is just with a bunch of it's flood with a bunch of people that just want to take a bunch of cash from you and and do what they do within a capitalist right. I believe all should make money. I believe that you're not going to if you're not going to invest in yourself to fly your credit card in marketing to use the stuff anyways you've heard me say that you as you're listening a bunch of times but this isn't some sort of Gimmicky upsell path into rent and spend. I'll make up numbers. You spend one hundred bucks now and then. He calls me back through later. Spend five hundred Boston released later unless spend two grand because he's not giving you quote unquote enough access to actually do something with the opposite of what he stands for. It's not the opposite. It is the opposite. Right is like no. Here's cheers the plan. Here's how it works. Here's here's what's got him to the point of being able to have twenty eight hundred adjustments a week like there's a different mental wiring. I really wish you could as you're listening about what it would take three to twenty eight hundred of anything in a week at do twenty eight hundred twenty eight hundred push ups in twenty hundred pushups in a week and then dropping comments also harder was and it's one of those things like it's it's not the work behind it you're right it's it there. There's a there's the formula behind it and it's not what many people think it's like like you do it when you were trying to be the best in the world. That's something you would do it when you were. You felt that you were on a on a mission like you're saving the world like when you get these pauses that you've heard Christmas. Internet has been in and out and so I refuse to post produce or.
"dr chris" Discussed on 15 Minutes to Freedom: A Warrior’s Daily Focus on Journals and Meditations
"While I love Chris. You're you're talking about. Inspirations out of things that zest general by human. That's that has killed more businesses more ideas and cost me more money than almost anything else I can think of get bored like you figure out how to make it work. You figure China levels excess. Whatever that means to at least to me and there's the additional knowledge growth hurdle to jump over problem that I would create sly had something to solve. I feel like I'm dying relegates. Its Ordering Shit. Somme. It's not. It's not exciting for me anymore and Ryan but I think we start to do especially our our personality types because we stay the same thing when we should have moved on or delegated brought people in his restrained the same thing and we're not growing we're not contributing higher. We're not evolving. We subconsciously may even start to self sabotage ourselves to create again or to like like almost crumble it to force us to now have to go create again right. So it's like we're creative beans like that's what we create revolve. And I find that I would self sabotage things just to put me into a creative mode and it's I know it sounds crazy like they need therapy but sometimes I would do that to create problems south. We the only one right. I think that's one of the profound things they've not having this conversation as right. I believe I'll stereotype. Men also type A personalities producers. We all feel like we're alone in some capacity where I'm sticking these crazy like why intentionally not doing this thing. I know I'm supposed to do whilst because if I wait long enough. That has any mess. Ups and I can come into the euro read. I can save it on the order. The magic one I feel better. Dopamine hit US hands off the mountain again or not for a while. And then okay let me let me run the plane inside the building. We've earned the shit down so I can say I overcame insert here again and it's what I do. I hear this all the time. Like I'm not the only two people on the planet that are living this or had been living until you're heightened sense of awareness kind of the way it works for a lot of us one hundred percent and that's our finances that's business that's relationships in. That's our health will do that in other areas. So it's like what's what's the road or self lands to keep evolving moving forward and having the systems in place but yeah I e because if because if I'm not moving forward I'M NOT BUILDING ANYTHING. You're not excited about any future stuff. You're not creating something you you're like okay like. I'm on a potter and I just wish the Klay again to rebuild it where I should have you know. I should have said okay. Listen I'm being called to do something new and different and take the risk jump into the unknown everything that people. That's the problem when you're successful at any degree it's it's the risk could be costly because things are really good. It's different if you and I were living always your stallone Sylvester. Sony's living in the bus station you know it's like yeah when you're there every every risk is worth it when you like things are good. I'm Kinda comfortable and so you want me to give away the security to do something that I knew I would love to do. Might take me time on my take me five years longer or it might not ever kick but I would be happier but this is more comfortable. So it's dilemma. And that's I don't know what you want to call it right but it's like when you are in a good position We won't see we stay good and it hold us back from becoming great. Were happy you know. Sh WE ACT AS A my side. Chris. If I'm doing something what I'm succeeding when I have already climbed up at metaphorical mountain and I believe him at the top. The last thing I wanna do then is have my e. Oh take the blow of not being deemed the best or very good or elite as on climbing the next mountain especially the mountains on a whole mountain range Riley. It's one thing to go from this level coach that level coach right. It's same vein of business say mountain ranges but all of a sudden say. Yeah I WANNA BE RACECAR driver coaching. I'M GONNA BE RACECAR driver. Do that Shit quietly or wrist ridicule which obstinately comfortable. Rt what? They're all the ridicule of the token world. I don't have to deal with cripples. A child in May have not wanted to have to do that. That's the whole thing over again. But you'll until you and I are like listen when we find something that that creates just self love and enjoyment. The whole thing was like or we could do something that the act of doing it is the only reward we're looking for and then of course the good at it because we love it then. Of course you know. The the monetary value is is constant. You know as a side effect but just imagine like see a chef. And you know it's a good one like the act of the cooking is the reward you know when you see someone who's doing something they act of the practice like a piano violinists like the practicing is the the whole time so it just happens to be the act of doing that. Thing is the reward not the actual end results and I really do believe Riley. Some people find that thing that they do with the rest of their life and I think we. We think it's arrested the life thing like Billy Graham or something like that right. I also believe that for some of us it could be a seasonal theme united. Might be seven years ten years and then you do something else very In it may not be. I think when people think their purpose I think this is my purpose. And it's something that's GonNa take me to the end of my life but I believe it up different purposes at different stages lives on. I'm glad you're saying that because if not I'm screwed. Purposes changed so many times like it's two or three years. Sometimes they're five or six where it's it's interesting to hear you say that and when you bring that up Chris what are. We covered some cells and all that. I don't know push but what's what's the next thing that you're getting excited about. You're excited about currently that. You are in the process of building so in I watched mill by I. Am I watch? I am here project stuff because it's speaking to me is when I watched that man. I know I get emotional. Atira you know I get inspired. And it's all it's all it's all a sort. I call source feelings. It's like it says it's tax the place I need to be you know and I don't get that in the adjusting or even stem cells. Yes on helping people. But it's like a real is when you feel like you don't go by logic motions like I would love to be a teacher this principles and even if I I was thinking possibly like know you have your fifteen minutes. I was like maybe ex-yugoslav Success Book. I love it six hundred pages just ten minutes of reading through it commentary for ten minutes. I go to the whole book in maybe three years of content. Where it's like. I would love teaching people were doing with you and I are doing right now. Not being able to speak what we're speaking about today and then you think well if I can do this and actually be able to take care of expenses like like right. Now I'm sweating not because I'm running around because we're in the zone. We're in our own now. I would. This is this is more satisfying like always say the like. This is the greatest gift I got today. Because it's like like I'm I'm I'm never in a better mood than when I'm doing this right now so if I could find a way for that to happen. That's those hero principles and Comissioning CO creating with people. I would much rather do that but then again you think well how am I gonNa do it so I try to keep the how out of it and just saying well. Maybe I just started youtube channel. Maybe just start because if I was to just do an interview with you every day it would never feel like work would feel great. Feel exciting. I would have more energy at the end of this interview when I started. I feel like joints cups of coffee right so these are all signs and symbols of your life going up. That's the that's the direction but when you do something in your frigging like Oh my God. My brain feels like it's melting. That's kind of like there's resistance there so I love teaching principles success in mindset. Because I believe that's that's things that hold everybody back and I remember. I never load the target and lowering the target comes in your head where someone's listening. Where can they connect with you? Right where can I find more Project WEAR WORDS. What are the entered once of taking this from ut rhyme like everybody watching tonight or rear on the same wave in our lives like that's why we show also your Ryan all my all my instagram stuff. Which is awesome. I love and I think we gotTA instagram. That's where you could conduct to me. Answer all the comments and in all the DM's but Ryan that that content's been preloaded and there's GonNa come a time where when content runs out. I don't know I don't know if I'm going to continue to do that. You know what I mean like I just like. I'm Kinda like you took that time. I'm just to be officer for a while. So so instagram's a good phrase but I really I would like everybody. I am here dot com..
"dr chris" Discussed on 15 Minutes to Freedom: A Warrior’s Daily Focus on Journals and Meditations
"Stuff that he is but like his successor be average. I'm like managers. Nothing more profound that you can be in my opinion love to have just open habitation. I can be obsessed with results in time periods of life. That's all allow me to obsession of things and I think that's where my generation is currently completely lacking it up like I work twenty hours a day. That's what you know like I can. I can be obsessed for ten hours a day and then leave my work hat at work. And then we'll be obsessed with my family for six hours so the vacancy about loud so. I don't bring that to the ground obsessive quality sleep possible so I can show up dog in the nice debt. That's my belief but I I love to hear your sample. Well yeah I agree to things. I believe that. No one that we would ever talk about that. I think everybody should be Arash Obsessed no matter what but also at the same time. It's like you're Ryan at all times. You are all the hats. This is the whole work balance ownership like your Ryan. You're the entrepreneur. You're the DAD. You're the husband so I realized like those things don't make you successful. You're really successful person and you bring the best of you the hero of you to that area. So it's not Ryan changes his hat and goes to be husband. No you bring the hero to the wife here to daughter the hero to the workplace. So it's you make those things successful so you were all the hats at no time jam. I just one area. I'm always dad. I'm always the doctor. I'm Marie is like that's worth. So you're the hero grains you bring all of your hero or the best of you that you're who you are to the scene at all times and you can be rashly obsessed it the whole work life. Balance is another industrialized way of making people feel guilty. Yeah what do you mean by that? Like the whole work like nights like work like Your Work Life Balance Ryan. Might look different. The person next door so it's like the a ritzy the standard which the litmus tests like. I don't know like for you. You know like you. You and Lindsey might work together on certain podcast. It's like wow spouses working together. You know that's why I don't know I don't know the. What is the signature of a true work life balance and a lifetime? It's almost like this perfectionist. Thing were perfectionism always leads to segregate like not good enough. I messed up. You know so I was like as a family unit. Would we agree? Like I love that as a family How can we be on the same mission? Ridge we feel. What is our canvas of what a proper work-life relationship should look like so. I think each individual family should decide what that is. I love it. That's A. That's a brilliant. Chris and is your as you're sharing that I'm you've started to recalibrate the way recalibrate frogger long-term. I love to see the stuff with your sons who are talking about how the different hats are. Always there and always present like it was right. Before we went Arrhythmia Europe going to the John Wicks threes premier. And like. I didn't know you doing this. Rise were friends. We don't catch. I'm guilty call you as much as I probably should right. Now I've seen this on social media. You're in New York at the premiere with your son. That is such a phenomenal experience to see right at the connection between you him first and foremost which I think is almost as powerful anything else but then what he was sharing with you from being added experience because at the is our child right. He's young man. But the is much different than you're experiencing right you get this different perspectives. Every there's there's a really negative in your life you could always find something. That's that's the press responsibly. So going through going through a very amicable divorce you know. Even when I was twenty four seven I mean I was present right. That didn't mean I enjoyed good times and good experience with them. It was like it was always like well someday. Ab over get around to that so now when the situation happens we're not. I'm separated from family. I don't see him as much. So now you WanNa make homerun experience so I put what did I do? I wanted to create. It gave me the inspiration in the motivation to now create homerun opportunities. I realized even though I was with them. Twenty four seven. I wasn't really president. So that's each quarter. I'm going to do so amazing experience surprise so John. With just moving on my me and my twelve year old son got into. Yes you know watched Joan with End so I said listen to be great to take New York. Go to the red carpet stars because I as a child bureau. I want my son to realize that anything he wants is possibly a check away or a credit card away like like the world is a lot smaller than you think. It is and for him to start thinking big market. Because I realized the recent Milo with target is because I had to let it internal self doubt and even a paradigm that I believe story. I was telling myself that may be lower the targets so we did John Wick by took him to the US Open because he's into tennis. So you WANNA play tennis buddy. So now I'm going to take him to the best in the world Doll was there the rest number one in the world and I just did for this Ryan to say listen. Two hundred feet from the tennis court would may take fifteen years of the hardest. Work Your Life to step on that court in his mind to see like look with the best in the world. Liquid Excellence is excellence. This is what excellence is this is what excellence does and it takes a shitload hard work. But man look at the look at the benefit and the Great Western. It worth it again to try to be the best in the world at which you do so. Those experiences are teaching connecting. Like he'll never forget that like take off work we will he? He'll always remember that for the rest of his life and Dotson is worth every penny. All the investment swallow invest in experiences. Now like Jim. Rohn said ex wife should be a series of experiences back back as intensely as possible. That's what life should be and I believe that when we do our and we need to spend that money and investing experience with that one in Chris so powerful. Because you right you said investing in those homerun experiences and how easy it is like. I'm I'm guilty as you're saying it was saying to. Jonah. Lindsey like we'll get to that because there's this thing there's a thing that's motivating me. That's in front of me. Whatever the next benchmark the next hurdle the next. There's the next thing that I selfishly want. And what's interesting is even happy when I get there. Whatever that thing is it's like I was listen next next thing into have all take new to New York City. Christmas lights like they love. That derive the horse secure to Central Park. And it's like man. There's just so much entrepreneurs I'll I will generalize it that I miss out on riding my my blinders on like no no. Here's here's X. benchmark next thing I have to do to be able to pivot and be able to recognize Adam. Pour so much into it. Were extremists route. A House Assay like I'm speaking to my my mirror. It right now like yes more protein more weights more more more success more business more and it's so easy to get sidetracked in. Forget how you can pour more into the family. In a way. That's those experiences. There would be ashamed for you. Have to say like you. I don't want you to think differently. If you only solvency and Jonah like once a month then it would shift you like. Why am I seeing once a month? So what happens? Is that once a month now? You focus like this is the only. I only have already eight hours with them. So you see that things with those that shift but again. We're with them all the time. They'll the worst thing my my former wife Whitney and my kids and I'm taking more responsibility. Is they allow me to get away with it? Ryan allowed me to get away with. Well I let me focus here. I'm done with this project. And they I knew would be there when I came home right. When they're not always there then ship you think differently. Yeah yes Chris explained to me right. You're you're back in be in the car world. You're back. Houston right get riddick Gregson yes. Yes there wasn't and we've we've seen the emergence of brilliance inside of science as far as the human body lettuce stem cell right. I've been fortunate to have some sale treatments from down in Costa Rica. Went through a couple of those might be thirty million or six million units inside of me float around right now. It's time for an effort a refresher but number one. What got you into a number to explain the science behind it. There's a good chance of someone's listening. You're a professional right. Your doctor that specializes in. Cohen's a practice in which you can receive stem cell treatment so I love to know your perspective on that and just the the science behind. What part of me. That OF IMPOTENCE. In taking care of the whole body of the person 'cause I can work on your spine you know. Help your body function correctly but you know when a patient had a bad shoulder elbows back hips. Degenerate KNEES RIBBON ROBISKIE. When do whether it was from chemotherapy? Your diabetes your feet start degenerating also rate like I. Couldn't you know for Democrats Drugs Surgery? And I saw the horror that stuff so just looking at using stumps those just those areas railroad regenerate and how people no matter what their age avoid the surgeries of the joints. And reverse robin the means reverse amputation separate and quality life and it was it was just it. Kinda completed the piece of the puzzle and then what I did is it was something Ryan or something that I could fit into my model and my model was bring people to a gathering I speak they come into the office undertake so my motto is always you stand in front of meter neutral territory and I speak so. I was always highly driven speaking seminar. I'm always the speaker teach earth. That's when we think teacher and it was able to fit was able to fit in the motto. Wasn't this this. I didn't have to leap to the brand new of Process Procedure to get people also just fit of by model. It's how I educated Allegra my other practice and it was you know what Ryan and let's let's talk with a it was exciting again. It was refreshing. So we like the reason. Why my practice? 'cause I was excited not so I say all this is exciting. It's refreshing new and that that created inspiration to allow us to put in twelve fourteen hour days. Like why do we work hard because we enjoy doing? My son practices tennis like crazy because the the hours into it don't feel like work lead. The active doing it is the reward so it became something new refreshing exciting. Then you see the results so it's something where on because of my inspiration because of my excitement and Mike Charisma and my My my my my excitement or it gets people can to.
"dr chris" Discussed on 15 Minutes to Freedom: A Warrior’s Daily Focus on Journals and Meditations
"Damage guy is really compelling content. It's brilliant. It's Napoleon Hill Brian Tracy. It's all these things except laughingly is at the Chris. What we had a whole shit is a very intelligent very build individual that is successful and wrote. What is this? What how did that start? When when was that pool answered so I want you guys think of it and this? I was in my life because I couldn't talk to anybody about it. I could talk to you about it. I'm talking to everybody about it so I checked off all the boxes. I lived in a paradigm that I believed some way that I had check off these. So what was it successful business? Check make an impact. Chuck Dot married. Chuck what happens? Kids check for house. Check cool car in the garage sector so check off the boxes that I thought would be success but guess what happened. There was no party. There was nothing like and in fact nearly that but I started feeling myself. Feeling somewhat depressed numb were in doubt in a wasn't from being ungrateful. That's why I felt guilty. Showing the Sunni race saw. I internalized everything. I would do like that fake smile. You know like down. There was something very unsatisfied. And Bury a depressant bury a disengaging so I became not my thought if I could cash IHEART ALLAH. I would feel this emotion but what. People don't realize numbness is still an emotion. Right it's still emotion. It's it's you're not numbing emotions. I remember one day was getting really bad I was getting very disengaged with my family and my patients and I heard my son in the other room because I would just say in my office at home or at my my oldest son says say are to a smile. Mom what happened back in a way Ryan where it wasn't like ricky new. My sorry my young son was able to see like a diet of my soul. That people couldn't see from outside and so I said hey listen can you give me? I think back? Now you're back. Oh did I loose your we buy? So we'll assume that we we lost action for for whatever the reason as your back. Now you're clear could be. This is okay so I went out. Did you hear about my son did hear about that when we heard the son that you know you speaking to your wife you you heard it. I I believe you started on the path of so. Just give me a minute and then then we lost it so I look I was. I really had a search for my why because you'd be saying well. Why do you do what you do? Chris Cox I WANNA HELP. People live better lives. It was all it was. It was all success when one answer bullshit and I think we all live behind our answer that we want everybody to hear but I wanted to know which Rothe me and the deep down thing that drove me was it. I finally came to it after a lot of times so as I just wanted to be. Appreciated admired for doing things in the world that has never seen before so. I just wanted to be admired and appreciated love for doing things that had never been done in the world before. And that's the only time I kinda got excited was a selfish lie. You all my why answers were were unselfish but like when. I finally got to myself try. I felt excited and so I looked up the words and see what they meant. I saw the difference Shapiro or the deficit hero was one who is idolized admired for courage contribution a lives to test the concert. I eighty six sooner. We're back buddy. I like it so I found the euro. I realized that I was suffering that the definition was something that everybody wanted. I did one hundred. Eighty six lives in a row got great feedback. People were loving it. That's when I started. I am here project. It was like a new watch too old personal development six Self help things that were just old logic that I believe it had a new spin to it like pride and ego. I think that's important. I think. Pride is one cents a private ones Ones acceptance in appreciation of their own gifts talents and desires are those of others so when really that you got your pride Nego your. They're enhancing which you already have. Gay Pride in eager to Harvard just to be more nasty but it wouldn't give it to the good heart and you like a hero. They have some Friday up eager. They believe they're doing is important. So I believe it's taken on it's allowing people to remember like a child who they were and appreciate and take a little bit prided ego what they do so of course. How long did that project right? You do? The hundred eighty plus days of facebook lives. When did that start? That started two years ago. Okay I bring that up. Because consistency right out in switching put in entrepreneurial. Hafer moment right. It's like anything that I've ever wanted is going to require almost an obsessive level of consistency in order to make it be successful by gets I love. I mean I don't love great car. Don't true a lot of.
"dr chris" Discussed on 15 Minutes to Freedom: A Warrior’s Daily Focus on Journals and Meditations
"L. Today. A good friend of mine. Call him before this episode. We have sems- AFICIONADO. We have. Kiro resurrect her chiropractor. All these things. Dr Christine Chris Century. On the show my friend. Thank you so much Ryan. You've everybody's watching or listening. Today I thought about when he said you're seeing what it should call me remember rocky three we had Thunderlips was called the mountain of Molten. Less The He's got a couple of. I like the mountains multiple lest I'll take that I'll I'll be whatever I like it so these episodes before we dive into the the meat potatoes.
"dr chris" Discussed on Let's Talk About It with Taylor Nolan
"Masturbation and like watching people's faces they get so on they. Do they get comfortable? And I'm like hit it. It's true like and it doesn't mean that I'm like sex grades all or almost white or any of these things but it is a way to like physically relieve some anxiety in your body and also kind of like prevent you from potentially being really came unhealthy sexual dynamics out of confusion. That's right and again. I just want us to honor that like anybody. Technology is a body technology. And whether you're manipulating your body and your no chemistry with Meditation Yoga Fasting Diet Sleeping more exercise. Whatever it is. Masturbation is the same thing. It's just another technology away to use your body and it shouldn't even be spiritual some people use sexuality as a way to transcend themselves and to go into a spiritual space again if you can do all the other practices prayer chancing meditation. Yoga poses all of it. Like why? Can't this be because it actually is and it's just another body technology. I love thinking about it like that. I mean Super Super Helpful for people Honestly I have a whole list of notes of things that I was just like. This is all great content And great conversations to have and I'm super appreciate your vulnerability and also just like lending your education as well I wasn't sure if there's anything specific that you would want to make sure that you share with listeners. I know one thing that I thought it would just be. Super Important to note was about information. Prep that you shared with us but that could just be Really good important piece for people to be educated on so prep is an interesting topic. It's a daily pill that you take and it has a higher efficacy rate More so than condoms condoms. I think about like a ninety six percent rate rate at preventing the transmission of HIV but prep is I think ninety nine percent so basically. It's a daily pill you take. It's for all genders all sexual orientations. And if you're on it and you're taking it as prescribed you had not get HIV so we are able to prevent the transmission issue. Take that in addition It's also important no equals you which means undetectable on transmittable those that are taking the medication as prescribed that are HIV positive and have gotten their viral load down to undetectable cannot transmit that to someone else as well so if you are currently negative and on prep. You can't become positive if you're currently positive taking your meds you cannot transmit it and New York City. Yesterday just came out saying that they're hoping to eradicate new transmission rates in the next couple of years in the city. They've knocked down so low because people are on meds and taking with the need to take. Wow Wow so. It's a huge thing so if you're highly sexually. Active.
"dr chris" Discussed on Let's Talk About It with Taylor Nolan
"I'm I'm starting to get cranky. I'm starting to develop internal model of like not not trusting the system you to my buddy. I was like I'm interested in someone. We're spending a lot of time together. And even though there's not a lot of history between us I think I'm going to delete my apps in service of just taking a break and maybe just focusing on this person and if it doesn't go anywhere it's still beyond the break from the APP. Yeah is that where you're at? Well I haven't been on APPS for a while but partially for that reason so I was in a long distance relationship for about a year and ended that in September Along the distance candidates. Run OUT TO SEATTLE. I'm talking to someone right now. Toronto from California so I also am right now to airport like Carpool airplane album trip. It's a trip. It is quicker cheap. Nope exactly costumes isn't quick. It's a big investment to be a long distance relationship And especially when like you said. There's not a lot of history there so like even right now. I'm kind of like building towards something with someone but there is that distance there and so there's a lot of gray area there haven't been conversations around like commitment or anything like that and trying to navigate that is a really tricky place. And there's there's I for me there's base for non monogamy there and there's space for You know not necessarily dating APPs because last year when I was on them I did feel super burnt out and just like people you know going on a date and a guy being like. Oh you like Google do beforehand. Like you're on the bachelor is like what? I was looking for a start my time so but again. I think you're like myself or I'm hearing you say this. That like I believe in love and relation and so I will put in the time and energy to see if it fails me. I'll do it again with someone else. Long-term IF I'm interested because to me it's important enough and I was tell people like do it do it again and I think it's worth it so have you had any kind of conversation even fantasy land of one of you moving to the place so not yet and what's interesting is in my last relationship which was a year of long distance. That never came up as a serious conversation. Even like my lease came up in May and so it was like Oh you know like do you want to but but it was never like legit conversation and with this relationship now. He's contemplating perhaps in the next year. Maybe like New York or La type of move and in stole. Yeah and in my brain. I Ju- jump quite a bit ahead especially when you are a long distance. They have to be intentionally plan. These things we've done my head. I'm like yeah you know if he were to live in L. A. Could I see myself moving? You know and it's not conversation we've had yet by when your long distance. That's something you have to think about ways sooner than you would living in the same city of like she got there. It's true it's true but you like Seattle. I absolutely adore Seattle. What's so funny when I came home from Seattle? I was telling you how much I love. The weather and people are blown away by that but I love that kind of weather I when I was there but I spend my free time just sitting outside inside huddled in and be sitting on the Veranda or the Loudwar area by myself drinking coffee or glass of wine. Now it is beautiful and it's even in all the gray like there's so much beauty there and maybe I partially just you know. Get a little like me about it and like make it a very spiritual like big picture type thing of leg. It's not always you know. Sunshine Butterfly is the shadow growing comfortable in like building a viewing that for the beauty. That's in it as well as opposed to just always looking at that as like a gloomy bad negative time. You know very well you can also survive long distance because a lot of people. I know that sounds horrible and I say well it's different but I I do honestly appreciate the ability to long for someone and the value you place on the time together where you're not willing to take the four days you have once a month this each other to fight over something stupid. If you can do that way. And I'm so far there have been there have been uncomfortable conversations that we've had but there hasn't been any kind of argument or anything but I I do think in that. Sometimes and long distance you can then miss some opportunities to see like the the compatibility in a relationship because you are avoiding those conversations because you just want to enjoy your time together and also if you have a fight. There's nothing worse than not being able to like hug or kiss them or look at them afterwards to make sure you're okay you keep texting. And they're like yeah and you're like are you sure you're like. Are you sure because I can't see you right now? But that's my both my breakup from two long term relationships from the show. And then this last one we're actually like solidified. The facetime this last one. I was able to like go and we did have a final closure conversation in person which was really nice because that is very tough part about it. Yeah but it's worth it you just you gotTa do and I'm wondering one of the things you spoke about in the workshop. That was also another lightbulb for me. was which honestly is just common sense a little bit like the foundation of a relationship in order to feel safe and fulfilled with having that reliability that consistency That security piece which was something that was challenged a lot in my last relationship But that a I find is always an interesting dynamic. Just as we're talking about long distance creating those kinds of things consistency reliability. When you are long distance can be difficult. And I'm wondering what your experience is like building that foundation long distance. Yeah I've I've done. I've done a decent number of them. It's it's again. It's hard like a long distance is not ideal because it really doesn't allow you to utilize all the necessary things like I contact touch and like you said consistency reliability. So again we're kind of this is what I always do and I naturally do this with people that are even living local. Because I like a lot of closeness and intimacy and a lot of things. I'm about to say some people would be turned off by and they're going to see it as very clean. Your coat appended. That's cool. That says more about them not about me because for me it feels very good but I was people where I text a lot I'm big on sending photos of what I'm doing and it's not a mechanism of control to mechanism sharing caring where I'm like. Yes I'm walking down the street. I got a coffee on facetime or I'm setting video and I like dating people out of the same thing like at the airport heading home here. I'm at the airport missing. You send a photo and so sending images and photos and videos and just constantly trying to find all the ways through technology we can stay connected and it's the best you can do and also I work a lot but I make sure in terms of consistency reliability that I try to be as available as I can between clients and I try to also show up to the text messages which has with as much as possible. Because it's all you got. Sometimes you're not going to see them. That night sleepover. Yeah I'm a big fan of voice messages audio. No yes and love those throws people off at first because they expect that to come in to hear their voices like there's something really powerful them. I'm big fan of those too but I didn't even know we had that function on my ear. Now we're GONNA use it. Yeah so I'm curious. What what's your sign Scorpio I was thinking why. What did you think it's going to go down towards some of these things in common and I was like oh I wonder if he's like. I thought you might be a cancer to Emma cancer so I feel like I'm very interesting. Yeah I don't know anything about astrology. Though I mean I feel like it actually. It does have some like. I'm not like a hardcore but I'm like everything I read about. A cancer is like it's me so have you dated anyone who signed was a compatible with yours that proved to be truly compatible or incompatible. Does it play out as yeah. I mean my longest relationship was one that's supposed to be compatible virgo and cancer and then such Terry s and cancer are a bit difficult. And that's one of my. That was my first relationship when I had my sexual debut virginity with And then my last two were agitated and now I'm moving from Sagittarius and dating someone who's an aries which I've never dated book. Yeah one of my worst relationships. I know what the sign was and I don't know if we're supposed to be compatible or not but because of the experience I I've determined to being able. Yes when people mentioned it again. No Gemin- is ask me talk. My Mom Gemini Thank you. Yeah I mean. I consider that piece of compatibility but one thing that I think was my biggest lightbulb in the training and something that is shared on social media while that people had a lot of questions around was distinguishing Romantic Orientation Sexual Orientation Yeah I think the most valuable thing about the distinction between romantic orientation and touch tation is. It's in the people's lives were doesn't line up so I use it as a normative toll to make people feel like normal because I work with some people again where they'll say you know. There's one gender that I tend to date I only date and they'll say however sexually. I have ideas or fantasies or experiences that bump into something a little opposite of that and they get confusing. I'll say okay we'll sexually. You might be very opener. Fluid but romantically. You're just very much into men or women or whatever it is and that it's uncommon or shocking a lot of people's Romantic and sexual lineup. So they've never had to unpack this talk about if you're distinct and my life is very much mirror that and that was really powerful to understand that And there's so much in that right like you know why why for some people is that so separated and I think there's a lot in their homophobia slut shaming misogyny like there's so much in there that will never know what our core romantic or sexual orientation would be because it's really hard to just work through all of that. You know what I mean like. We're in it and we're further along the most people but we're still beat up by like I'm still shocked where I'll be like. Wow I just thought that or I just said that about sewn in my head man and is to be further along and I still mess up so I hold a lot of grace for people that are struggling anyway. Long Story Short. Yeah there's a big distinction between the two and culturally. We have to start talking more about it because yeah your sexuality doesn't necessarily determine who you want to have long term romantic relationship with relationships and said that that kind of mirrored your experience. Yeah you know I mean I'm still figuring it all out because again. I think that our sexuality in our Romanticism should be an open ended thing that we're always letting evolve because we are should always be changing. It isn't every other area right like if we're talking about food and I'm constantly discovering new things that I didn't realize I liked or I thought I hated it and I find it in another cuisine with some other flavor and I'm like wow. This isn't as bad as I thought. We allow that with movies. You'll be like oh I used to hate Har- moves around Com. Then I saw this. I'd like to even musical tastes but sex. Somehow were like oh you come out as gay or straight or whatever it is and then you're like Don ever and I've just been in different camps sexually in relational and Had boundaries pushed or different experiences? And it's like wow I have the capacity to be attracted to that and not to that and it's just so interesting so I just really stay open and go where so drawn. Yeah and I think as as I reflect on that for myself it's been it's been interesting. I I remember. I was in middle school now. I had I was like a freshman. I had just moved to Maryland and my closest friend from South Carolina who I was in their middle school where that came up to visit me and this was when Katy Perry's I kissed a girl came out.
"dr chris" Discussed on Let's Talk About It with Taylor Nolan
"Episode one eight so we will be speaking with the lovely Dr Chris Donahue and this is the first episode and eight episodes where we are back in the you asked this episode was recorded on a trip to La and got to meet with Dr Chris Donohue actually I in Seattle for a training with the sexual health alliance where I am getting certified. As sex therapist he was the trainer for one of the courses. One of my workshops and just was absolutely fantastic. All of my notes on him were just. It was a lot of notes I took. He had a lot of great things to say. And I learned a lot and you all also asked some questions during my instagram. Live During that training sexual health alliance and their trainings are also open to the public. So you don't only have to be in the helping field to attend their training if you are just a little sex nerd and you want to learn more about sex or you just want to maybe become a sex nerd or you just want to learn some different things about sex. We didn't get the best sex education in our know education and our public education or private education even even within college. We don't necessarily receive any kind of sexual education so attending their trains. Could be a great way for you to kind of brush up on some of that and I absolutely loved working with them and we'll continue to share all my trainings with them and advocacy. In this episode you get access to really cool awesome professionals to learn from where it's actually a very fun experience. It's not this boring. Boring Lecture So you never really check them out and yet. Today's episode with Dr Chris. I mean I could've talked with him for a Burger and I feel privileged and very lucky to say I consider him a friend now He is you guys actually might recognize him aside from talking about him on Instagram. Because he's an international lecturer therapist and educator he is the director of Clinical Education for Sexual Health Alliance the organization. I was just mentioning anti also hosted he hosts and actually relaunched love line and nightly radio show. And he's also co host of the ember roadshow with Dr Christie podcast. And he's a weekly expert on the borough show and he's also he's got a handsome facie my really recognize jail because he frequently co host on the doctors. Tv show so super super amazing to meet with him. I was also on love. Line The same night when we recorded this which was so awesome to be on there and just so amazing all the things that he's doing his several books out that I highly recommend and you can check them out in the episode notes for this episode But today honestly just to kind of get you little ready for this episode and what person I talk about We talked about things like online dating. We did talk a lot about non monogamy the difference between having chemistry versus compatibility who that was a good one. And how to honor your true self in your romantic and sexual relationships. We Really Challenge. Societal norms around sacks and both definitely charts and personal experiences In regard to how to kind of evolve and grow sexually So again going into this episode. Have some open ears open? Heart Open Mind. We're here to challenge ourselves to learn to be vulnerable to put ourselves out there and I really hope. I think that there's a lot you can take away from this episode. It's one that I've gone back and listen to a few times So without any further dale talked about it all right. Welcome to the show. Thank you so much for taking the time to come on the podcast and continue this conversation around all things sex super happy to be here. Yeah and so I'm GonNa be on your show and a little bit as well and Can Challenge just a little bit about the shows you? I feel like you do a lot of even know anymore what I do I think right now. The main focuses hosing love line. 'cause it's relaunched. After twenty five years over here at entercom and podcast with amber rose and travel and just do some lectures and trainings based on books. Yeah and that's part of how we got connected through. Sexual Health Alliance. You do trainings through there. As and what's so great about that as I meet. People like you people that are just really passionate about the work and it's great because you know the general population might listen to my work or read some books but to work with people that are also in the field like yourself we get to just go so much deeper And so I get tired of these like powerful conversations around topics that I love. Yeah Yeah it's I had so many questions through the training and you did a fantastic job you take. Such high energy comes from sometimes. I really don't often myself watching the weird ways. I'll sit or stand. Yeah the boys says it is now. It's fantastic And it really felt like one of the things I love about these trainings and just talking to other people in the sex world. Is there still much authenticity there? And there's so much real ness and the and because of that. There's so much you can connect with so many light bulbs In in this one training that that we did and the one major lightbulb I had was around chemistry incompatibility. It's such a powerful thing and what's funny is. I talked about this in the training but just for people that are listening I was. I was walking through Central Park and I was talking to a friend of mine very smart. Friend of mine about a relational situation where a dilemma. And he was like dude. I was like what he's like. You are so confused right now. What's going on it's like? You're confusing chemistry. About a billion is like our own stuff even as therapists. We can always see ourselves right. And so we need people to reflect back the chemistry versus compatibility thing game changer. Yeah because because you get so like all of your hormones and your emotions get wrapped up in the chemistry whether it's like spiritual chemistry or sexual chemistry like chemistry that sometimes we're not even considering the compatibility of the chemistry compatibility wives are conflict. Why don't we get along and so drawn to them? We have these things in common. It's like because you're not compatible in the tube you come together your personalities it's something really horrible and unsustainable even though you're so drawn to each other you love these elements of each other. That doesn't mean that you're meant to be long term relational partners. It's heartbreaking a year. You know what I mean. Because that's his idea. We think that like if we like someone enough or attracted to them enough that we can just be wherever we want and I think the Li- also in therapy sometimes From people within the field outside of the field is that we can make anything work and we can't. There's just something that can't be done the I I used. I used to really feel like that. I used to think in my relationships like I would just be like you know. I know that I know the skills and the tools like if we just apply this like we can. We can overcome anything and then I reached the point where I was like. Actually no like sometimes. It's just off and sometimes it's really not right and it should not take that amount of work in order for it to feel like something that's fulfilling and healthy and sustainable and it's a scary thing because there's it's really hard to decide what is too much and that's kind of what every couple of percents to decide like what what is tolerable and end up using that word. A Lot with people is. Is it tolerable because every relationship as we all know it's going to have some work to be done but is it tolerable? What it's GonNa require because what what. Some people require is just for me personally beyond. I'm willing to do every day. Yes yeah and when we look at the compatibility piece can maybe share a little bit of how people can start to really examine that compatibility and how they're able to see it separately from the chemistry chemistry things pretty easy right. It's just about the desire when you look at this person how much you want to kiss them or fuck them or hug them or how much you're drawn to them but the compatibility piece is really about personality styles. How how high conflict are the two of you out of the tube you deal with conflictual situations and differing opinions? And that's a use those concepts or other specific moments. Because I think those are when we see compatibility the most when you disagree or you have different needs. Her needs aren't getting met or you're working through an issue that's when it really comes to the surface but again it's about what is it like when we're not having sex and we're not being romantic or affectionate and it's the two of US sitting there. What door personalities come together and create And whatever that answer is. Is that something you can tolerate for weeks months or years and you know in this person from which these example came. When I was walking through central park talking to my friend I was like no. There's a lot of chemistry but what happens when we come together and the kind of conflicts and issues we have because of the two of US know I couldn't imagine that long term. That's and then. Are you able to act on that? Are you know Cayenne because I hold myself accountable so powerfully to doing the work that I talk about that? I think the bars really high for myself I'm not perfect but I try to. Definitely apply might theories and methods but it's difficult And also what I have to take into account and all of that is that we have to also look at how are is like our our dating market value and then all sorts experiences. Meaning you know. I'm lucky in that. I have a lot of dating opportunities. I'm lucky in that a lot of the people I'm interested in are also interested in me so I get to lean on. There's always other people not everyone does and so for some people for whatever reason Sally because of cultural norms they don't necessarily meet a lot of the standards of a lot of people are looking for and so maybe they do have to hang in there a little bit longer and that's something that the kind of throw into the conversation not everyone can go on tinder and have fifty people hitting them up in a day. Yeah Yeah and even then if you're in that situation and he got fifty people hitting out the day part of what you went over in the train as well. It was about like mindfully using dating apps which I think since then actually has been conversations. I've had with my clients because this is very relevant because people really do. They feel burnt out from that. Because even when you have a lot of options is the quality there is the is the chemistry there and is the time and energy there. Yeah I'll tell you I was just having this conversation in our go with a friend of mine wrote saying I am Bernau..
"dr chris" Discussed on Relentless Dentist
"With everyone <Speech_Male> on. If <Speech_Male> if you ideas on <Speech_Male> how you might want to do <Speech_Male> that in your practice <Speech_Male> I can work <Speech_Male> with team months <Speech_Male> awfully principles <Speech_Male> firm Emirates. <Speech_Male> They're <Speech_Male> cool things that you can do in <Speech_Male> a private setting <Speech_Male> <Speech_Male> Larger practices <Speech_Male> that made me <Speech_Male> adoption <Speech_Male> <SpeakerChange> travel for <Speech_Male> your whole team a <Silence> I've <Speech_Male> <Speech_Male> from the requests <Speech_Male> of different authors <Speech_Male> of <Speech_Male> grown to <Speech_Male> do both so <Speech_Male> no <Speech_Male> speaking federal <Speech_Male> and <Speech_Male> ACA schedule them <Speech_Male> of son's baseball schedule. <Speech_Male> I've <Speech_Male> got a limited amount <Speech_Male> of openings for the remainder <Speech_Male> of the year. And <Speech_Male> what I'm doing right <Speech_Male> now. Dave is <Speech_Male> putting together those eight <Speech_Male> so in the next <Speech_Male> <Speech_Male> week. <Speech_Music_Male> I'M GONNA have all <Speech_Male> date to look Asian soul <Speech_Male> <Speech_Male> and I can share those <Speech_Male> with you and <Speech_Male> <SpeakerChange> show <Speech_Male> of Debbie <Speech_Male> Awesome. If <Speech_Male> somebody's interested <Speech_Male> in one of those <Speech_Male> private consultations <Speech_Male> our duty <Speech_Male> courses. I guess <SpeakerChange> as a better <Speech_Male> way to put it. What's <Speech_Male> the best way <Speech_Male> to connect them <Speech_Male> and <Speech_Male> dial in a day <Speech_Male> and figure out <Speech_Male> the <SpeakerChange> <Speech_Male> logistics? <Speech_Male> Yeah the best <Speech_Male> thing to do. Right now is <Speech_Male> really simple. Just <Speech_Male> email me. <Speech_Male> Matter of fact I'll give you <Speech_Male> my email address and I'll <Speech_Male> also give you my mobile <Speech_Male> phone number. Okay <Speech_Male> and your feel free <Speech_Male> to text me or email <Speech_Male> me and <Speech_Male> if you would <Speech_Male> anyone who's interested <Speech_Male> these <Speech_Male> were can <Speech_Male> force <Speech_Male> and subject <Speech_Male> line <Speech_Male> as I probably <Speech_Male> won't recognize your <Speech_Male> email address and <Speech_Male> I might <Speech_Male> not recognize your name <Speech_Male> but if you <Speech_Male> put that in there it'll help <Speech_Male> me because I get about eight <Speech_Male> hundred meals a day like <Speech_Male> most people do <Speech_Male> or you can text <Speech_Male> me again. A this is <Speech_Male> so and so <Speech_Male> communications <Speech_Male> courts ever <Speech_Male> <Speech_Male> happy ex-packer <Speech_Male> Ema <SpeakerChange> backwards <Silence> <Speech_Male> awesome. <Speech_Male> So we'll post at all <Speech_Male> in the show notes relentless <Speech_Male> Dennis Dot Com <Speech_Male> always <Speech_Male> awesome to connect <Speech_Male> always fun conversations. <Speech_Male> <Speech_Male> Doctor <Speech_Male> Bowmen thanks for <Speech_Male> your generosity of <Speech_Male> information. You don't <Speech_Male> ever hold back and <Speech_Male> you kind of <Speech_Male> back the curtain and <Speech_Male> say what needs to be said and <Speech_Male> that's what I appreciate <Speech_Male> about you because <Speech_Male> I know your heart <Speech_Male> is. I know how you want <Speech_Male> impact patients and <Speech_Male> our and our colleagues <Speech_Male> and <Speech_Male> your generosity <Speech_Male> always shines <Speech_Male> through so <Speech_Male> appreciate you for that. <Speech_Male> I appreciate for your <Speech_Male> friendship and <Speech_Male> look <SpeakerChange> forward to talking <Speech_Male> to you again soon. <Speech_Male> Yeah same here Dave. <Speech_Male> I mean that's what it's really <Speech_Male> all about is is <Speech_Male> lifting all the boats <Speech_Male> right. <Speech_Music_Male> <Advertisement> Everyone wins <Speech_Music_Male> <Advertisement> when you when you do <Speech_Music_Male> <Advertisement> the right thing.
"dr chris" Discussed on Relentless Dentist
"Then my up and again I'm going to go back to the same thing that understand a half problem thing nations. That are not going in the direction. What Ben they become open listening options or treatment patient and F- weights. Except that happens. In my opinion act happened it could happen in a consultation room. Ikea says the Allies. Those my consultation room is the five opera. Or if I have but you can certainly have a consultation room and do A. I wouldn't even maybe treatment planning visit or obligation but I would focus eighty percent of that conversation on the album thing missions now they profess they get worse and then even showing them the other side of the problem another words. What's going to happen if we won't treat this and that's GonNa lead something. That's more complex. More and more time consuming than the treatment they were recommending right now. Don't do that. Asians are going poon. Stink of league hair treatment were recommending. Who either no treatment or to the simplest form are and we have to show them the other side of the problem to realize that. And I'll give you an example so with carry a donald disease one of the phrases that we all use in the practice and this station is at your current level of inspection. I'm competent entry monsour. And when we say non-surgically they there is get a little bit bigger and the perk up a little bit. We're needing to know well. You know if you will allow period all disease to go farther it could. It could be so bad. He's pretty surgery now. The surgery and range from Mount of five hundred dollars are watering. Maybe in pretty expensive to what we're recommending nonsurgical therapy and a lot of people were all scaling and root planning the fraction of the audit surgery. So now you've compared it to something a whole lot worse but it's also realistic. You know if you allow gum disease to get worse. It's GonNa go there so we are very realistic with where we where we play station on this extra but at the same time. They don't realize that the air conditioner moving in at direction are usually not gonna be as motivated are inclined to do something. I love how the consequences are bill. Right into the the phraseology of the nomenclature. I mean not right. That's pretty sophisticated stuff and stuff that we overlook and south that we could utilize every day bringing the conversation full circle we focus on these home. Run home runs. That might do once a quarter or once a month and we miss these things that are really going on right under knows all day every day every point of on the phone and the chair so thank you for shining a light on. I certainly learned a lot. Always do for fun to connect. I'm curious to know about your training services. I know that there's kind of a private lane if I wanted to bring you into my practice. What does that look like? And then also tell me if you're doing some events what that what you Kinda have forecast for two thousand one. Sure yet we are currently in the process of selecting dates and locations for going to be the middle to the later part of the year choosing some some centrally located cities for example Chicago. Dallas Scottsdale perhaps and maybe my city Charlotte or maybe Atlanta. Maybe Florida going to choose somewhere between three and five locations for the remainder of the year. There's going to be centrally located courses which are easy to get two free. Asli held courses in Auto Dallas at a and bullets and and usually get yet great. Attendance averaging anywhere from thirty five to maybe sixty attendees. I think that's a sweet spot for me. These are tonight Vince. Ockrent name absolutely is is essential deemed beyond board can. They're very hard for Oscar in Newark Access. And keep everyone same thing that they just learned and it really helps. Everyone be on the same page in it literally. My nation scores Aches. Asian relationship process from the very beginning is of all all the way through to the new patient appointment. I didn't assistance pretending. Problems and improvement also includes endurance issues. Anthony Arrangement everything higher process and arranged in chronological order. So it makes sense for people. I also covered bowls autumn. Best Photographs Upper Asian or a lot of components that we throw in a little bit of marketing or Mark Effort Marketing. How to get amazing reduce a really really an from aviation in the base out of builders relationships though beat the courses are cities the private practice option is allowing me to come in your practice vaccine thing your theme now. Last year I was in a few different places like Cincinnati for example where we had forty eight team members in two large practices and next month. I'M GOING TO SAINT LOUIS SUED NEW PRACTICES. That are all from one group and our time together a Exact same thing. Communication Court advantage. There is that I can see your back at so I can actually do an agent walk through with everyone on. If if you ideas on how you might want to do that in your practice I can work with team months awfully principles firm Emirates. They're cool.
"dr chris" Discussed on Relentless Dentist
"Right. Because she's she's an expert. She knows a little bit more about dentistry than any of her patients. Most likely she's a dental expert. My point was every team member in your practice. Expert need to be able to empower them with the nation. Communication skills do if them permission do communicate what they find with patients and and number three. Just elevate them to that expert status but at patients really understand from the key members I see him as a look on and then you can actually move up the ladder of authority the Ns one one more quick thing about that. I actually have a hygienist. You're now in my practice for three weeks. She has a new high Dennis in. She's literally seven months out of out of allied nickel and she is an asset. And she just kind of came in as an Noah and I said this is awesome. Now I can really work with you. I've spent time talking to her about how to present album than how to show them and all that stuff and and she's just really soaking then you ask And she's given herself permission for a lot of people will say well. I can't diagnose I can't do this and I come. I ain't look you can everything legally April doing and even though somebody may not feel I notes sure can recognize when and then that opens the door of the whole conversation. I think you point on a very big issue is that empowerment thing is what do you. What do you say to a dentist to as an extended that trust and thinks that they're the expert and isn't willing to delegate some of that those conversations to team members and ultimately ends up being the biggest bottleneck on the planet to their own practice tripping over themselves all day? Yeah yeah totally agree with you. And you know for a little while I was that bottleneck because I felt like I should be the one to talk about it and then I learned from some people smarter than me that that that wasn't the best way to go. I guess you know one question that Dr might be. You know you want to continue to be the only one or the only source. You Got Really Smart. People that work for you. Let's leverage their legal capabilities and and they're smart people and they see things enough had filling hygienists office. And so there. There's some of the funniest member handle because they have been in another practice from doctor didn't say anything and I'll walk in the room and and they'll just kind of like slowly carefully slide on the nation like say like that. I saw I think in and they're really afraid but I tell them right off the bat look no share each homered seeing. I will never make you wrong. Even if what I'm seeing may not be something. I'm like you know what actually I'm so glad that I totally see but you're Utah. I agree with you. That's notable and what thankfully this these may not need treatment right now. I bet but that way member gets up and they really feel good about where he do. And like. I said it's why. Would you not utilize the intelligence and the capabilities are in help? You I mean man bactheatre for you and it saves me a whole lot of time and energy because I don't have to start from scratch and like I said this is this is a really important and call it going up ladder of authority so if a member brings it up first and you're the patient you learn it from them. I then when I come into the room and sit down remember chairs with she saw and I become second opinion mon activists I become the one that validates and confirms what she found. That's really important as then say oh yeah I totally agree and this is what I would recommend al. I'm Kinda last word bit. It's the opposite. Commemorated doesn't say anything. Say The hygienist H. and Bryn our and awkward and that the for fifty minutes agents in there. And nothing's really been said about the problems that the patients could a automatically assume that. Everything's Okay would you agree to that they're going to. Everything's okay all of a sudden here. I COME DOCTOR. I sit down and find all these problems. L. That's GONNA be surprised and patient as the patient for all that time sat there all al. Your I come of album. Oh and by the way. I'm owner back. It's unknown moneygrubber and right then the patient look back the team member after I leave the room and say some light and all that so now. The patients asking a team member to confirm allocate. Dr Set Nets. That's what I call. Go DOWN THE LADDER. Interesting as it really make any sense. Yeah so then the patient and this is all like I. I believe some of this is so then ation saying to myself will it benefited goodness in because it didn't make sense for me to sit there all that time and then anything now learn other stuff very end and and I should go find another doctor. No so we know now second so interesting because you're pointing out a truth and most of our practices. I mean I have a lot of patience. That say they love me in reality. I think they love my team. Members and at bright is a by product of the environment of you know I lead them. And what have you and so you might have the authority but they might have the rapport and trust. And if if you don't sequence in a proper manner they may undermine all of that for everyone and you might have a real oil patient who becomes disloyal. Just because they're scared and confused or whatever that might manifest because the sequencing felt off or the method in which you pointed out it makes for a lot of sense to me. Psychologically but I've never seen it spelled out so clearly so a lot of Dennis issues comes from them thinking they're the person that needs to make the conversation and so allow this as some ego suppression and some proper delegation. May the everyone's winning the team members of winning the practice winning and the patients are winning all day long every appointment and when when I share this with other team members and other practices to a person the team members feel empowered. And and and I tell the doctors like if I'm to a private practice for example or or even in one of my centrally located courses. I'll tell I'll try to tell the doctors. Hey Look I'm gonna I'M GONNA POWER. Your team members here and remembers will come up to me and say oh my Gosh. I feel I feel like I can. I can say something like is they see it. They recognize it. You know. They've been around it long enough and it just makes much more sense and then that makes it so much easier. Oscars docker literally just amended and not that easy as we said. Many separation might remember to recognize some things and they would make some deductions like. Hey maybe onyx would help with your mother. You lose your earlier and I walk in. And they've already got some some more Labor mark further east and I know that high dentist insistent isn't necessarily qualified to who evaluate inclusion and find a word on the Bat. But what if the team member whom you've trained like some things as simple like at recognizes that at blue marks should not be on inclined to not be on slopes and and then when you see that you're like let so if you did that and I agree I think the big thing for you and it opened so many doors at never or I mean? That's an incredibly important point. Like not only how does it work and worry off your plate as a dentist? How does it create trust and rapport and goodwill with the patient but about the team members experience in their work experience? I mean we. We as dentists always want a dialogue. Do the dollar an hour raise do do the bonus system as Caribou. What people are longing for to stay motivated as autonomy a lot of times and so to make sure that they have a growth curve and we have kept their ability to serve. Our patience is really important as far as just job satisfaction. Because they'll tell you that they're leaving it for a for a better hours or better wage but a lot of times as they have more opportunity to spread their wings and we don't appreciate that for what it is that we're undermining morale unintentionally because of our dog matic ways or inability to delegate our inability to to say like that doesn't require dental license. I trust you to do it. Yeah yeah absolutely and I'll tell you when when we started doing this here when I started working with my team and and and and another good thing to do for doctors is to literally spend time with your team members and look at photographs of teeth and ask them what they see and share with them. What you see and I can tell you Dave within a few months even sooner but definitely within a few months if you do this on a periodic basis every week or to your team members will become extremely competent and identifying problems identifying ambitions and bring it in a way that suits your clinical protocols because I know every dentist as different owner calls would be something. Franken drives me crazy but you know outpatient simone practice. I'll say look. Let's just take incipient lesion for example? Yeah the ARC lines and Bruce of your molars molars now basis. You go to three different dentists and one Dennis is GonNa ride over these things and not even say a word another dentist is going to look at them and say doesn't quite look right but maybe I'm not ready to do a feeling yet. Let's watch these and then there's a dentist like me. Who very proactive. And if that is a certain adepts and Barcus. I'm you know the chances are overwhelmingly so that there are some early decay in these teeth. Or it's an acre these while they're really small and ultimately let patients beside and that's another example like if a dentist decides that something doesn't look right something wrong if Dennis decides to watch it and in some ways they may even take away that choice from Asian again again. I'm like show the patient everything. Us Excellent Cook offi agent. Everything you see it. Any patients will see that and and a some patients need a little more information to realize. It doesn't look right and then no another thing. We do show them. Photographs of other patients teeth. Who are like there's and when we've actually entered tooth in other words. We've removed killing. See all that Yucky underneath it or be open up tip. See those black dots in the bounce off underneath now. Patients really understand. Oh this is what's going on underneath this new and and that type of at educating your agents know a lot of us here the term educate your patients and but usually happened. Is it process of work like this is how we do a crown? Nobody really wants to know that diamond. We're using today exactly but when they really get educated on processor album. I'll be your albums. That's what a patient actually INSA get uncomfortable. Housing are and they say what people are uncomfortable. Getting industry done so they actually have a more uncomfortable with their ignition and they are uncomfortable. Thought Glories clearly. How much sense right I know? One of your areas of expertise are kind of addressing objections before they appear and I also know that. A lot of dentists think that cases made a broken when the financial coordinator comes in put the onus of how much acceptance has gone on the coordinator. What would you say to somebody who does? Kinda stuck in that aired on. Well I would say that I used to feel the same way and a quick response would be that since I changed my perspective. My results got a lot better so when I realized that it wasn't a do solve problems and financial. I realized that that was ace. Are that that was not the case..
"dr chris" Discussed on Relentless Dentist
"Gun shy with future treatment presentation experience. The same thing we might even become fearful of those conversations so then we're gonNA choose what we think is the safe route which which are interpretation. Might be well. Let's just present the cheaper option? The middle of the road option. Because yeah they're going to be more likely to accept that but man. We really shortchange ourselves when we do that. Don't we? I mean we really miss out on the opportunity to to have maximum satisfaction from our from our profession we shortchange patient on on receiving our best and therefore having the maximum satisfaction for what we do for that. So I mean it's just starts it. Does it starts from within a member Walter Haley from Dental boot camp days. Many listeners may not even know much about Walter Haley but he was an older gentleman and he passed away probably about fifteen years ago and he had a very very well known statement he would say. Put it ten on your forehead and basically what it meant is. I'm a ten and nobody can take that away from me and I think when you enter a situation with a patient or with your team where you're saying to yourself. Look I'm GonNa give this my best and not everyone's going to say yes. Not everyone's GonNa want what you offer and I think when we accept that it's actually a little bit freeing for us and now I can go into a to a room with a patient and I know that that I'm going to be able to give them my best and I know that not all of them are going to accept that and and I'm comfortable with that allows me to leave my practice every single night or every single day. Happy with with where I am. I mean obligation trusted adviser. I think that really drives that point home as that's why we have a license is to come straight in the eye and call the balls and strikes on the communication skills are certainly the enhanced effort to make sure that they understand but knowing that we're not fully doing our job for treatment to planning the two o'clock patient than than the three o'clock patient there if we're if we're being honest is probably an ethical issue for not really just saying like what's in the best interest of the patient one hundred percent of the time other thing you alluded to that. I think is important and since you and I have been around the block more than once. The most of our assumptions are wrong anyway. So there's been so. Hey now that I'm in this very candid place or I have no trouble telling people what they need. A season Basilan as an example. I'll tell somebody about their occlusive disease and how we can move the teeth so they're sliding knock colliding and I walk out and I think maybe in two or three years but not today and I find out they started and then the next day the person says. Yep Arm ready to get ready. We've discussed it. You know the sales cycle of three or four hygiene vicinity. So I tell US assistant you get the the scanner ready and then the patient walks out like what happened so even when we get good at this there are barriers and time and things that get in the way that make us realize that our judgment as a as pure as maybe thinking and. That's that's something that I address a lot. You know it always say. Have we ever been surprised by the patient that we we thought was going to be the perfect patient yet? They did nothing. I mean that happens to all of us and then on the other hand. There's the patient and I've had this happen in practice where you know. I'm assessing the patient and I'm thinking yeah okay I'm GonNa go ahead and have this conversation but deep down even you know even now I still think to myself. You know the chances of this patient accepting probably pretty low but then that same patient goes up to the front and just calmly pulls out a roll of hundred dollar bills and begins to prepay her for anterior steady. I mean you just don't know who's going to accept and WHO's not. So why would we not give everyone our best option and our best recommendation? So yeah I think everyone deserves that to tell us a little bit about your journey window. What kind of spark this curiosity to understand? What compelling conversation and communication looks like in the workplace on a dental practice? Yeah I'm GonNa give you a short one word answer I and its failure so but I'll back up a little bit. You Know I. I WanNa be a sports caster throughout my childhood and when I was sixteen years old. I got hit in the mouth with a racquetball racket. Playing doubles racquetball. Which is not recommended so all of a sudden my interest shifted towards dentistry when I was getting my tooth fixed and so I decided soon thereafter. I think I might want to want to be a dentist so I became pre dental going into college and I felt initially like I should probably be a science major like chemistry biology and I literally swept from chemistry to biology. Started looking at the curriculum ahead. And you know it's probably isn't for me. You know organic kind of kicked my butt. And I don't really get into the rest of that. And then I found myself in a psychology class and I also found myself literally identifying with every point every concept. It was easy for me to understand and I think it's my own. I think I discovered that I always had an internal curiosity about why people do the things they do. Why do they make decisions? Why did why did that person just do that thing? And that's psychology so the study of human behavior became a major now fast forward through dental school and now into my dental practice. And you know you would go to all these continuing education courses. Learn all these new skills and these lieutenant new techniques and then you get back into your practice and you start seeing your patients in a whole different light because you know now I'm doing you know complicated or complex cluele cases and and things like that but then also realized that a lot of patients number one didn't really understand what I was doing number two. They didn't really understand the reason why they would benefit from it so then I started to hear a lot of the things that we hear a lot. Which is no let me think about it. I'll think about it. I'll do it later. You know a lot of a lot of negative responses so then I started asking myself a wire patients not moving forward with the best option. Care that makes so much sense for them to do and of course we all know that people don't make decisions logically they make decisions emotionally and I found that a lot of my patients weren't moving forward with the with the work that I know that they either needed or would benefit from so that was when I began my quest and I began thing. Okay what can I do differently to help? Patients understand number one. Why the things that I can do for them will benefit them and number two. What is it about their situation? That calls for that so what I kind of backed into and I gotTa tell you this for years. I focused on talking about treatment focused on presenting the case and new. We've all heard the term case presentation presenting treatment and that's okay but but I think for many. It comes way too early in the conversation because the patient has to thoroughly understand the nature of their problems and their conditions for them to understand why they would either a benefit for the treatment or be even want the treatment so we can go on and on and on about the benefits of treatment. But if they don't understand why they need the treatment or why they would benefit from it. They are not going to be interested in it. Because I was having a conversation with with Alan Meade from you know from dental hacks and we were talking about this very thing and it occurred to me that no one wants dentistry. Like even me. I'm I'm about to have an implant placed in the spot to number nine. Which is that same. Got Hit with a racquetball racket. It had extra resorption and I've just recently lost a tooth and I'm due to have the implant place. Well I've actually put that off for a few months because I I've got some speaking engagements coming up and I just didn't WanNa go through it right now. I am not really looking forward to getting the implant place. I don't fear it but I'm not looking forward to it. So even I the dentist who gets people to say yes doesn't want the dentistry but you know what we do want and this is really important what we do want. Everyone wants the problems that they know that they have to go away so if we can get really good at showing patients and explaining to patients the nature of their problems their conditions and how those things are not going in the direction that they want then we can get really effective at a gaining acceptance for our treatment recommendations. Does that make sense honor percent? I mean I think like in your case that typical dentist would write it off as they don't have a high dental. Iq Well then like you is an question here right and I think about it outside of my industry so I can step out and walk a mile in my patients shoes so I don't know much about how car I don't know much about say my roof and someone just tried to sell me a new shingle job without owning out the holes of the leaks. I mean. It's ludicrous that I would even think about buying that and by yet. That's how we do a lot of our dentistry saying you need three fillings without talking about problems or consequences like it's a shameful that we all think that that might work and try for days and years or maybe your whole career earlier now that you step back and think about it from another friend. Yeah I agree and I you know I even thought about where that comes from like what how did that originate and I really believe it. That whole idea of just tell them what they need. Which is what. I was trained to dental school. Tell them what they need. I believe that came from the way dentistry was before where it was may as mainly reactive so if a patient comes in with a toothache for example you know by tooth is really hurting. It's been hurting for a long time. I'm swollen maybe so what do I need? Well you need to have that tooth taken out or you need a root canal because you need to get out of pain. See in that situation the patient clearly perceives a problem they definitely want that problem to go away and and if you if you think about it when when they know they have a problem especially in urgent problem then than other typical objections like time. Fear money most tend to go away really crazy. Yeah Yeah 'cause patient look I don't care how much it cost. I don't care when I get in there. I just didn't get speaking Arab so if we can ways to to ethically elevate the urgency of albums we see and make it front and Center for Ancient One. They really discover a what's going on as an ANC probably GonNa do something about it care. They're all health So it really becomes about presenting and selling problem. That had knows about selling solution. And that's really what a lot of my courses about a lot of. My Training has a lot of Tom. Keene and now you mentioned something very important like do well. Who's responsible like do it? We Are we who else is going to tell them with on nobody else in their life is simple expert everyone in agendas. Practice is dental speaking at an event Years ago big event people and I asked all the team members of stand not and then I said okay beverage been energy less than five years sit down and then I quickly went through Dell. I found one person in the room. It had been at a practice two weeks and she was the only one laugh at least amount of dental experience and I looked at her and I said it didn't gentleman me a.
"dr chris" Discussed on Relentless Dentist
"Bizzare host Dr Dave and today. I've got an old friend. I think we first met. Maybe Gosh maybe a decade ago and it seems like we get to see each other about every year so he probably familiar with him. If not Dr Chris. Bowman at a startling North Carolina. You wear a lot of hats dentist. Father Practice owner but today. We're GonNa talk about something that I think is really critically important. Which is how we communicate which I find a little bit funny because we spend time training on Sinus less than things that we might use on occasion but something is important this we kind of put on the back burner and we pay a price for it so one welcome to the show again Dr Bowman and to get to see you we just we just left voices at Dentistry. Got The share a couple beers and some great conversation. So it's great to see you not in person but virtually in and kind of deepen the dialogue about some of those things. Dave is great to see you as always I had so much fun at voices of Dentistry reconnecting with you and catching up with you and your family and I love speaking about this topic and I'm really looking forward to our conversation any takeaways that you took from Scottsdale. I know that's kind of informal meeting and so I think a lot of the learning happens in an informal setting but in the brakes and the evenings more so than I've seen another conference any any takeaways that you have from Scottsdale. Yeah you know one of the takeaways that kind of a broad based thing that it's amazing to me I've been dentistry now. For Twenty six years you know. I graduated Dental School in Nineteen Ninety Four. And what's amazing to me? Is that not only. Are things changing rapidly but the pace of change is accelerating? And I'm seeing things happening. That are so different and and there are quickly becoming more different. So many different ways for dentists to be successful a lot of the ways that Dennis refining to be successful are incredibly different from the ways that we were finding ourselves to be successful and and it's just amazing how the profession is changing in many ways. Good ways in in in some in some ways bad but the takeaway from Scott that was just learning for so many people who were doing things so many different ways like how they're doing things and whether it's owning multiple practices or guys that are just killing it with with all on four sixes and and things like that I. I don't venture into that frontier at this point in my career I might eat but I've always said I like the white stuff. I don't like the red stuff as much but still Kudos to them. I mean it's amazing to see these really young dentists jumping in there and just getting after it to me. That's one of the biggest differences between the dentist. That do well. Dennis donors is those that are willing to just get in there and do it. Lean into. I mean it's really. It's easy to become risk averse because a lot of our clinical skill sets don't reward courage they're learning and then sticking with the tried and true system but developing skills and mentality and business and a lot of the things like building rapport and communication. Like those are acts of courage telling somebody that they need something they don't want to hear about as an act of courage and the other point that I think is worth kind of elaborating on is that with change. Accelerating hitting that kind of hockey stick growth with tech and AI and robotics. The things that you teach are the things that are going to be coming more and more or Nestle trion future-proof ourselves because there are certain things that we're going to get their certain skills that are going to get replaced by machines. There's no doubt about it but things like communication connection that human need will never be replaced. Alliston anonymous probably not in my lifetime so enhancing these skills I think almost becomes more important in an age where a lot of things will be done better by thing. They call convergence or an a and wrote robotics become one and the same and all of a sudden are diagnostic and treatment plan is done by scanner and we just have to do the work or maybe not. Even that are to tell but just assign a lot on what? You're teaching the human connection the things we need to become better humans so to speak to. Because we're not GONNA win some of those games that are you know in an effort to not be replaced. Yeah that's right and as you were talking I wrote down a note. A couple notes one obligation that we have you know we we have an obligation. I believe in Dentistry. Not just dentist but team members we have an obligation to number one identify things that aren't going in the direction that our patients want them to go. And there's a whole lot to unpack there because in order for us to find that out we have to find out first what they do want wet direction. Do they want to go with their oral health? And their overall health we have an obligation to let them know what we can do for them in because nobody else is going to tell patients what we can do for them and our dental practices. And I've always said this they're not gonna just no you know patients orange just know what we can do for them and and and we have that obligation to let them know what we can do for them. Let them know about the things that either are or are not moving in the direction that they want their health to go and or their smile. If it's about cosmetics and like you said you know hey I is awesome technologies awesome but really only humans can make it personal. Only humans can can connect on emotional level. There may be a day where where I can do that but I really believe that. At least for the foreseeable future. That's going to be up to us and we have to be able to connect with our patients on an emotional personal level. And that's when we can really see the magic happen with regard to building those relationships and from those relationships comes trust and from trust comes that trusted adviser relationship where we become their trusted adviser and then the patients are going to be much more likely to follow our recommendations if they know that we we ethically have their best interests at heart and and you know that's when it becomes relational instead of transactional. Romagoza one of the things that I remember you telling me four five years ago that I took into my practice because I think it comes from a good place but sometimes we're either timid trim planners trimmed timid salesman. But he helped me understand how offended I would be if I went into a car dealership and they showed me the car that I thought I wanted and gave me. The upgrades only thought I could afford or if I went into my stockbroker and they didn't tell me to sell because they thought I would be resistant. Like that's I'm going there because I want them to have my best interests at heart and the phrase they use was let them say no to your best treatment and from then on. I let some of that filter out where I said. Listen they can say no. That's fine but I'm not calibrate based on a some sort of gooey like I don't know nothing objective on I think they can afford it. I think they wanted. I think this guy wants a big filling in this guy wants a crown. That's kind of full disclosure but a lot of us go through that journey where the incipient sieg is treated on this person and it doesn't get treated until because it doesn't bother me on this person like early people in their practice. I think struggle with that but you kind of make it cut and dry without obligation. Yeah and you know when it's funny because when you mentioned that given the opportunity to say to say no it's actually one of the very first thing I say when I'm speaking to a group whether I'm speaking to a group of communications course or it's my own practice or if I'm teaching the six miles course whatever I do I always start with my my main motto which is give everyone the opportunity to say yes or no to your best care and it's okay if they say no just like you said but it's not okay if you don't ask and you have to give him that chance and and all those other things that you mentioned which involves we've all heard the term prejudging and. I think it all comes from an inherent fear of hearing the word no and being rejected. Nobody wants to be rejected. Maybe I was rejected enough in my life earlier to to to be able to be okay with it but I think we all have this inherent fear to be rejected so then we began thinking of. Okay well what are the reasons why someone would reject are? I don't WanNa say pitch but our recommendation. Maybe it's because of insurance maybe it's because of financial maybe it's because of fear so then we begin guessing meeting. We're like well you know he. He's not dressed that well. Maybe he has an affordability issue. So maybe I'm going to start talking about affordability and then you realize that affordability isn't the issue for this patient. So when you begin guessing about things. That really aren't your concern. Then you've already lost your ear or at least you may get lucky but your chances of succeeding. Go way down and your chances of of allowing a patient to choose your best option. Go way down so I'll always said. Look you know financial issues. Fear issues those things. The patient needs to be concerned about insurance. That's the patient's concern. We can make it easy for them in all those areas we can alleviate a lot of those concerns but but my my goal is. I want them to know what we can do for them and I want to give them an opportunity to accept that all the other stuff goes away and and and those objections we can deal with. I mean I I do work on that. How do we raise objections that they may have before they raise them in eliminate those but but yeah? You're right David. In in the end we really just need to be able to let them know what's available. What we would recommend for the best results for them. Why would we withhold that from people? Why would why would we withhold that from from a patient or from a customer? Client Watt will withhold our best. And it just to me. It baffles me. Even though I've done it in the past but I I kinda got angry with myself when I really sat down and had a long conversation with myself about it and I decided that from that point forward. I was going to do it differently. I think that's an important point to touch on because my work in coaching has a lot to do with identity and clearing out. Some of those limiting beliefs in a lot of this stuff is fear. But it's deeper Beaumont a lot of kinds of a self worth issue it's the value placed under dentistry. It's a level of confidence so it's not just tactic like you said it's really. It's really who you see when you look in the mirror that can define a lot of this having some uncomfortable conversations. Not only with your team. But but the guy staring back at you and you shave in the morning or whatever it may be. I think that's critical that touch on because those those can be Biman's that if we don't acknowledge them can haunt us for an entire career. Oh hundred percent and you're right that that feeling of I'm not good enough or they're not going to accept much right you know it's Kinda it's Kinda like a patient who's had bad dental experiences so therefore they hate going to the dentist if we've had bad conversational experiences or bad treatment presentation experiences so to speak then we might become more.