21 Burst results for "Dr Alexander"

"dr alexander" Discussed on MikeyPod

MikeyPod

04:19 min | 5 months ago

"dr alexander" Discussed on MikeyPod

"For that. And here is build me up. See. Staring at the wall..

"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

Skeptiko - Science at the Tipping Point

04:48 min | 7 months ago

"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

"By hearing these voices if they're having hallucinations in their psychotic or experiencing schizophrenia. We know that looks like and it doesn't look very good for that person and herbs of their stress level in terms of how they socially function in terms of how they function work. Hey we look at this person. Those things are happening. That is incredibly powerful. Than i love the way you just went through it again in a very matter-of-fact way but in a very methodological way because it gets to this fundamental mind body problem which isn't really a problem which is always been more or less obvious but science is kind of done this enron on it about materialism and it can only be you know. The the mind is one hundred percent of function of function of the brain. It kind of addresses that problem in a very direct way but what is so fascinating which is level three is then you come back around and say oh yeah but we are looking at the biology of a two. We are looking at genetics. Might play a role in a two. Which would then kind of turn the whole thing upside down and our gut instinct i think is of course it has to be both. It can't be an either or thing because again experiential. that's what we know. That's what we're observing. So what do you think about that whole package of the kind of busting through the materialism but at the same time coming back in leaning on materialism in a way and saying well. You weren't totally out to lunch. There might be something there. Yeah i like very much at. His title has stolen his said that the future is the ground. This though is not extremes so usually when there have extreme together the eighteen. Both i fashion. Correct the both partial wrong. And i more and more even my eighteen culprits. The in i. I've emphasized much with miami metro students. My psychiatrist dance and so on so far that we ought bio psychosocial spirit. Opiates so then..

schizophrenia enron miami
"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

Skeptiko - Science at the Tipping Point

03:25 min | 7 months ago

"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

"I i've always been Concern about the logical reader and also having philosophical and started understanding of science and what actually makes science and what are the other stuff that are not necessarily size but some ideological commute demands on historical perspective. That six so but the bottom line is of course we had to do struggle with several challenges but actually it was much easier than i had thought and also it was very interesting that Festival a here in brazil. I was surprised by many key. Figures in scientific community that despite not being openly interested in religion and spirituality when they found out that out that someone like me was interested in pursuing a research on that i received a lot of support some famous behind the scenes some sometimes more openly but also that of eddie grateful to many Leading researchers worldwide that were fad vet kind So it's amazing. How living people in this field in many different countries have been supportive to myself into my career. That's super interesting to me. Because i've invited so many folks that i do believe that your experience is maybe if not unique is unique to your culture. I think brazil is more forward thinking more flexible more free To kind of move through those things. I've talked to so many researchers in the united states and in the uk who it was much much more difficult than there was much more kind of hostility so great and that's great and it's good to know that that's possible but i did want to give folks more of a of concrete sense of the work that you do. So i've pulled up your amazon page on the screen and then in particular. Here's the book spiritism and mental health. And i just wanted to run through the table of contents of this book. Because i think it will help people understand what i meant. In terms of where you kinda fit in the world so this is compiled and edited by. Dr emma. brogden am not familiar with her but she looks like she has a pretty impressive person. But she called upon you to write chapters a brief overview of philosophy and development of spiritism methodologies the spiritus view of mental disorders. Which we're going to talk about in a minute fascinating the relationship of median ship and mental disorders. Another topic that you're interested in. You didn't actually write that chapter on metro you contributed anyways my people the no you know Then there's like whereas allen wallis who's been on the show you know A science of understanding the mind allen wallace spiritual and health and then we have Dean raden and maryland schlitz compassionate intention as therapeutic intervention by partners of cancer patients and again..

brazil Dr emma brogden eddie united states amazon uk allen wallis allen wallace Dean raden schlitz maryland cancer
"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

Skeptiko - Science at the Tipping Point

03:47 min | 7 months ago

"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

"So this is obviously a very complicated issue. So it's good to know that it's being tackled by somebody who can handle the complexity. I mean this is someone who actually earlier in. His career researched john of god. You know the now expos sex trafficker rapist cult leader murderer. Who was friends with. Oprah winfrey and bill clinton until an investigative reporter who later was suicide revealed that the whole thing was about sex traffic and other evils that can only imagine. And that's something we get into a little bit in this interview but imagine this worst of the worst john of god figure you know when you really go study them you come back with reports of people being healed so some people are paying incredibly abused but some people are being healed. You wanna talk about complexity there you go. This is important research important forward-looking science and i loved every minute of it. Hope you enjoyed as well. Look to skeptic skeptical where we explore countries so science and spirituality with leading researchers thinkers and their critics. I'm your host. Alex harris and today we welcome dr alexander. Maura this folks. This ought to be a good one. dr al mida is a recognized around the world world. Recognized leader in spirituality and health research tons of academic clinical experience in psychiatry psychotherapy while scientific research md phd in brazil. Postdoctoral and duke writes books with dean. And merrill lynch let's allen wallis andrew newberg and i only throw those names out there because those might be ones that you've heard on this show because we've interviewed all those folks so this is really really a very prominent and important figure in this field of the intersection of science spirituality and medicine and it's really a terrific opportunity for us to have him join us today. Dr mata thank you very much for being on skeptical or what. Thank you very much. It's a great for being here talking to you and to the audience of skeptical way. Congratulations for the work. That have done skeptical. Well that's very nice of you to say but let's let's talk about your background a little bit your A brazilian and i think from the beginning from your bio sorta brings forward the kind of more full flavored understanding that we might have of how these things do. Merge together how spirituality and rational scientific inquiry your bio is is that story in a lotta ways. Isn't it yeah. I was doing my when i was a medical student. I was just the beginning to the in practice in seeing patients. But at the same time i was interested in scientific research and specifically during a second or third year of medical school i got to know about the psyche surgeries and i've had Some articles in newspapers and magazines Here in brazil about decide about the controversy about the schroeder Than i thought hope why instead of just the a making the positions about this stuff white don anyone go there than studying analyze. What's happening so it was exactly what we did. We went there..

Alex harris dr alexander dr al mida allen wallis andrew newberg expos Oprah winfrey john bill clinton Dr mata Maura merrill lynch brazil dean
"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

Skeptiko - Science at the Tipping Point

03:14 min | 7 months ago

"dr alexander" Discussed on Skeptiko - Science at the Tipping Point

"And if any of you are troubled. I encourage you to speak out testify. I'm hoping you can pray for us. We're soldiers home on leave and my friends here are troubled. Cheever has a very bad back and a broken marriage. Any wants to take his own life antique as wounded in the private parts. Which is why. He's lying to his fiancee about going to horse. That's a scene from the movie. The lucky ones with rachel mcadams where she's seeking a spiritual healing. Which is a topic touch on with. Today's guest the extraordinarily excellent dr alexander. More data l. mida. Who is a world class brazilian doctor. An expert on spirituality and health is an md university professor researcher and one of the big takeaway messages that he has is that even the were conditioned to immediately apply the crazy tag to any connection between spirituality and health the actual science leads us to the verified fact that there is a connection. Here's a clip. Sometimes curse that is the dark sides. Office beauty piloted. But it's not the average. The on average. The use of religion spirituality spa studios and have even impact on mortality. Just one example. Professor tyler deal. He's a chair of the house at harvard. University's one of the best statisticians in the word nowadays has suffered studies. Seven thousand eight thousand people for ten fifteen years and showing for example that the people who attended a religious service at least once a week died fifty percent less in la forty years following or died six times less from swiss suicide in this also farting years follow up so that is our is strong impact but now the challenge is. I could send you nate. This information to general population and also in the training of physicians nurses and psychologists because some bands. This knowledge has not been translate the ad in extra pimco training of professionals of health professionals and the second challenge thing that happens is more even of interest. Do skeptical audience is okay. But what is the meaning of spirit so spirituality is because of course we can understand okay Church a tennis can relate to social support can be relate flu believes but this actually have any own large Is there something actually beyond matter. So i think this study is example disputes experiences and tried to understand the ultimate source of dispute experience. And the meaning offer these Human nature. I think is one of the most interesting challenging thinks that we have nowadays.

dr alexander md university Cheever Professor tyler rachel mcadams harvard pimco nate la tennis flu
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

06:38 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"This is way more expensive because of the pandemic. i don't think it matters that much matter that much. You know i. I wasn't gonna buy thirty boxes. Gloves know to start out with. I was interested in buying five boxes. Because you know. Each fox has two hundred gloves in it. I'm not gonna see hundred patients the first day you know. It's just not going to happen if one hundred patients the i know quarter. That's great good for you. Man for not hoarding everything. And we appreciate like just know for people. What's been some of the best and worst companies you've worked with so far throughout this process. Let's say let's start with a companies that have had great experience with her really have been pretty good at communicating from the supplier. End darby is really good Their prices are very good and A they have people on the phone that i can talk to enable ship really fast. Do charge for the shipping But you know. I get everything one to two days later so that helps me get the supplies that i needed something. That was a little bit more challenging than i would have liked it to be was getting furniture especially getting it on so you know wayfair was okay but the quality a lot of times for the amount of money i was trying to send. Wasn't that great. I know you can buy nicer things too but you know it. It can get expensive The people that were really slow west. Elm had some things that i wanted that had that kind of gold accent matches with other things in the office and know some of those things took twelve eight to twelve weeks to come which is know just like a ridiculous amount of time Come in so decorating. The office has been a little bit. Tough at times I think that is a large part of kind of the supply issues that had had might be related. I mean a lot of that stuff is made in china and now not just the pandemic slowing things down but all the terrorists and everything else No trade has not been flowing quite as as neatly as he would've liked True yeah okay. So it's been the best and worst company so far. I think that that's that's probably some standouts I love working with my dad's company. Because i understand the software and everything works pretty smoothly today. When you know my internet senator crap out my program is still running. And it's still there and that's just really nice. Yeah that is good. That is really really good. Well that's really nice but then last question. Alex wanted to ask you. What is the vision of your practice. So let's say a patient a walk in and a walkout. What do you want me to convey to the community. If i'm talking about your practice right now. Like man. Dr alex and his practice. What's the name of your practice. Genuine orthodox genuine orthodontics is. What like what do you want the community to see. It is once. It's all kind of in the name there so the whole idea. There is that I i wanna treat people like like i want to be treated. Which is you know. I i wanna know the information. I want to know. What kind of treatment. is is out there. I want to know what the possibilities are. I want to be part of the process in selecting the best option So it has a lot to do with trust and honesty on. I feel like you know dennis As as a general whole from the from the public perspective where often seen as people who aren't necessarily that honest about the procedures we do not necessarily that they're just expensive but that we don't tell people clearly enough how long things last in what's Required to maintain it well. And sometimes it's because we have so many patients that can't have those conversations with people so the whole is to make sure that communications really good and to really be a partner in treatment and care. And i think that's a great concept because you know if you're doing a good job in orthodontics you're not just seeing you know one person here and there you're seeing families come to you and everyone gets now had that before now people come all the way from. You've seen both kids. The mom then comes in and then the dad comes at the end because impressed. They're like. Hey you know. I i've had this thing it's been bothering me for a long time and i feel like i trust you enough that i really wanna see what you can do it like that. So genuine trust right like skies like a part of the community. He's probably like our second cousin. Somehow i like that. That's cool not be related to everybody. But but close gotcha bet so alex. Thank you so much for being with us. It was a pleasure but before we say goodbye. Can you tell our listeners. Where can find you sure Probably the best way to find more information about me is still look at my website. It's genuine orthodontics dot com and that has my contact information. So that's the best way to find me awesome guys and that's going to be in the show notes below in case y'all have any questions or concerns you just wanted to follow a little bit more on alex journey so alex. Thank you so much for being with us was a pleasure and we'll hear from you soon. Thank you michael. And that's going to do it for this episode. Alex thank you so much for tuning in. We truly appreciate it guys. If you have any questions or concerns or you want to reach out to alex you can find him in the dental market or society facebook group. If you want to continue the conversation about this episode you can continue it on there. It's going to be the first link in the show notes below and at the same time. thank you. Thank you so much for tuning into this episode. I truly appreciate it if you like what. You're listening to remember to subscribe to the podcast. And please please please share this episode with one other person. It can be your favorite person. It can be your favorite practice owner. Your buddy your partner. Whoever just share it with one. Other person i truly truly appreciate that. So thank you so much for tuning. In and i'll talk to you in the next episode..

china Alex michael thirty boxes facebook hundred patients five boxes wayfair alex twelve weeks today Each fox one hundred patients both kids twelve eight two hundred gloves one person two days later second cousin first link
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

08:05 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"That's an ongoing process that doesn't really end. Are you doing your the website yourself for you. Have a company doing it for you. Yes i i love computers so you know all that stuff is kind of like a side job for me. It's it's of fun and play around with that. So i do all that myself. Okay nice so then you basically do you plan to do. Another round of Mailers 'cause you only did a one right or you didn't more than once. I don't think i will I've done mailers For my dad's company as well. I don't think they're particularly effective. You know it. It's something that i've heard. People say in dentistry is great. And i think that has a lot to do with the demographic that they're targeting for for a dentist a good patient is someone who's a little bit And really needs some dental work right Somebody who's looking to have a crown done or You know a few crowns done or some feelings and crowns Maybe some dentures Depending on what you're looking for those patients are not really. You know the same patients that i'm looking for They check their mail. They save coupons in their mail. You know my my demographic is is like it's really wide you know in a lot of times it's like you know you you have the school kids You know you want people to come in now. Starting when they're about seventy can check to make sure there's something wrong then you want to really get people started when they're middle school and You know have a lot of the permanent teacher. All And then he a lot of adults that nobody need some redo treatment Maybe they to do something but more static All those people tend to be under fifty so the the demographic is different. I'm not sure that people even in their forties early check in their mail that much. No they're so used to getting things in the mail and dropping the trash. That i just don't i don't expect much. I had two friends that lived in those areas where they were doing mailers And one of them got to and the other one. No not so i. I know too that the post office always that accurate about how they placed in the nba. Post office boxes man. I didn't know that about the post office. Like can be that accurate so then. Yeah i mean. I'm not an expert at mailers direct miller. Add i lately have been hearing. Maybe for like the past two years. The more strict and concise and specific. You are the better right so like if you were to make mailers for new move ins only and then have a specific thing on their about women's and for their families and then you know what i mean like more specific than i hear. It's i mean. I don't know i agree with you. What you said like every demographic is completely different. I like the fact that you go everywhere though man. I'll i really liked the fact that you're going to like doctors places right a contain will we've been doing in order to get into the locations so for example like you know what i mean. You know how you said. Oh we're not letting anybody in just drop off the stuff. So i would just be like oh. I wouldn't walk in there with really anything. I'm just like hey. I just wanted some of your information so we can have it in our practice. Any referrals. what you know. And then they'll either let me or they'll get stuff and i'm like l. Can i give you some of our stuff to then. Yeah sure cool. You know kind of Continue that way. And then i'm like didn't have to waste a gift basket on like on right on everything but you you do that. Continuously right like i noticed the more we did it like every other month the more they see us the better. You know what i mean. They're like hey what's up. Alex and stuff like that. So that's a big thing. People want to know you. They want to know who you are and they wanna make sure that if they send a patient to you that you know you're going to be nice to them and treat them well. I mean it has a lot to do with trust. Building trust takes time. That's not something that happens overnight. Yeah definitely throughout this whole process. What's been your biggest. i guess. Struggle or failure pitfall. I think there's been a lot of challenges. It's hard to pinpoint one thing. When you start practice you wear a lot of different hats. And i'm sure that everyone else who who's been in the same position can relate to that It's a learning curve and say it kind of ready. Whatever falls in your lap. You have to be moving with whatever it is. Whatever problem comes up Today my internet went down to add to reconfigure new router. So that i could see my x ray. Sent write my notes You know that that's every day something new comes up that you have to be ready for. I think one thing that's been challenging is haitian communication. I think that's a challenge for a lot of new practices I would really love to have a text messaging system. That works super well But have found something that i'm confident you know. There's a lot of things out there that you can spend tons of money on and Our voice provider know is reasonably priced but also doesn't have extensive option that is hip a- compliant so we are not using et the moment i feel like that's one thing that could help us to better job following up on leads with that would be you know one thing that i think is challenging So you're not texting them at all right now No i sometimes you know if my my receptionist meet somebody that wants racists. You know she'll give them her number. Which isn't really ideal. And i love that Because you know. I want her to get text after work and feel like she needs to do something for a patient. That's not completely right. So that's something that will be adding in. I have a lot of other ways for patients to interact though you know i. I have a text messaging system that works through the software. But it's more of a notification system that a two way system people can text back but it goes to email address rather than you know a centralized hub. Let's say And you know that that's technology standpoint that that that is difficult. I think the other thing that was really difficult. Especially if i was getting supplies And you know we had a lot of trouble getting together that i needed No initially you couldn't get gowns is just wasn't possible Was gonna sell me at ninety five. I kind of excited about that right now. I have more than a need because the ada released several packets that you kinda by And we're going through it slowly which is just fine. Know we don't need you to use all of it all at once I think the equipment thing and it wasn't just you know. Pp people was like you know some of the brackets that i use are are made in california gonna use. Those factories were shut down. So they're behind. They don't have the supply that they need and so making sure. That the supplies that i need or in the right place at the right time has been a lot more work than it should be when all those people are struggling to get the right things to the right people at the right time I mean even like cleaning solutions for like a cold sterile. That was really hard to get for a little while Yeah it was it was it. Was it still is but it was tough. You know what i mean. But i mean it's getting a little a little bit better better. The nice thing. Now is that. When i need something. It's like one or two things you know. Not like everything when i was putting the practice together like all this stuff and nobody has it. Go out there and find it their fight man. That was difficult man. That was really really hard. How much did you budget for that. Would you say like you had a good or did you under budget. You're like man..

Alex Today two friends forties california haitian under fifty two things tons of money more than once one thing ninety five about seventy two way one past two years
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

08:21 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"Some of the keywords that i'm using in my business and the big spikes in tennessee for covid were kind of late. August No into september and then it got better and then again middle of november. It started getting really bad And it's gotten better again so the funny thing is if you look at the google searches for those two things. They nosedive every time that those numbers go so there's just less interested patients in the public. Wow do that's interesting. I never knew that. So you go to google and then you just type in the search bar google analytics and then that comes up and then in google analytics you click it and then you type in the term orthodontist in not not quite So the thing. That i do is that i have google my business page. Think most dental businesses will have that activated in that will help you track a lot of that information The other thing. If you have a google ad that you have linked into it that will give you more information and you can also With your website. And there's a letter to for website providers out there so it might be different for different ones that you can go to google analytics. Stayed strictly as long as you have a website and have control over the ownership of it. You can log into that. You can pull some of the data that they are gathering on your behalf to man. This is interesting. wow. I didn't know that. So then right now. How many new patients would you say. You're getting monthly new exams. I think we're we're getting close to like new exams. Among something like that on some of them are people who want retainer six. So i try to make a distinction sometimes if these concerts bizzare exams because no one type of patient wants full treatment of the type Full treatment or they've already had okay so then like would you say the ones who want treatment there about ten a little bit less net. Say gotcha okay gotcha. So then i mean like for for new new exams and everything like that. Especially my can't complain. I mean people do call in. And there's some weeks where i'm like. Wow this is great. You know people are really finding us which is really nice and encouraging but making those conversions can be a little tough sometimes. The reason they found me is because they've really dive deep and they want a lot of detailer. They are going for a lot of second opinions. Now as opposed to you. Know the big Orthodontic cracks in town. There are several of them. You know they're easy to find. Maybe you've already had a friend or a family member that's been treated. Their people generally are going there for a second opinion. Neither they're going there for their first through. Yeah gotcha okay. So then right now. What are you doing for marketing and advertising. What am i not doing. I had tried just about everything under the sun As far as i know. But i'm open suggestions so i I tried edm marketing which is through the post office. And you can designate a mailer to go out. So i designed to mailer. I had printed by vistaprint. Save me money. And then i Worked with the post office. You'd be the m tool online and designated which is i wanted to have the mail or delivered head a little discount on it so i was hoping that people come back with it in that way i could track. You know who was seeing it. So i mailed it out to about twenty four hundred Households in the area I could use the post office tool to designate. Which neighborhoods head. The best demographics. So i tried not to hit neighborhoods. That had let's say a lot of seniors is generally orthodontic services. Aren't that interesting to them and also tried to avoid neighborhoods where The population was pretty young. You know twenty to thirty years old because a lot of them are really either have just had orthodontic treatment or aren't ready to pay for large treatment or don't have insurance Those are really common. Thanks for for younger populations. So i mailed all those out. I got zero results from. It was amazing but i did save money by doing it myself and i learned a lot which was great So that was an interesting thing to do. i Did an open house. And i use the suggestions that i saw on facebook so i during covid when things cooled down in october i got a food truck out here and i had a musician. There's musicians in nashville letter out of work. And so i had someone play live music and i invited a bunch of dental area. I did get five or six in office discount. That was really really good and that was more successful. I definitely have gotten some referrals from that We've done several times going to deliver thirty five offices in the area Donuts we've done. I ordered mugs with my logo on them I had coffee and tea That gave them. We did a lot of deliveries Two rounds of those. We did at christmas delivery to where we had a little basket or little bucket In that had some homemade hot chocolate mason jars with different layers in it so the hunter pretty. And i think people like that. We were Hopefully going to do something again here pretty soon. That seems to be a really good way to not just meet people Do something nice for them. You know just going to get to meet some of the dennis that everybody's gonna say hi right now. Now i had a lot of people say. Hey you know. We aren't letting anybody come in. So you know you just give them the gift of the door and hope that someday they remember that you just nice to them New and so that. That's one thing that i've also done. I've tried obviously google ads. That has been pretty good but you need to be careful to fine tune it so initially when i had set it up it was saying people who were like from here. Didn't have to actually be located in the bounds of my. You know ten or fifty mile radius. That i had drawn and so i was getting people from ultramar calling in like hey i need a dentist. I'm like first of all. I'm not a dentist second of all. I'm nowhere near baltimore. Wow so that didn't help. So i learned a little bit about how to set that properly and i do get calls from that. But when those searches nosedive your your cost per click like it through the roof and it doesn't make sense anymore to advertise through google if nobody's searching on google so that was one thing that i turned it off in december for a month. I was just when you take a pause here because i don't wanna pay seven dollars for a click that's just too expensive And i notice also that kind of got a little bit in the summer. Every single orthodontist round me was hitting google. Know so you're competing with a lot of other people I tried facebook A whole lot from that I had you know invisible line. Companies will have marketing materials. You can use. I tried that got some likes from it. Nobody called So that was kind of helpful. I had my car wrapped so it. Has you know by logo on it. It has a big skyline of nashville. C-can recognize me. Wherever i go in the police can find really easy So know and then the other thing is just you know trying to continue to develop the website to make it a place that is nice to go forward to be a good source of information. I think.

nashville twenty december five september october fifty mile seven dollars middle of november first two things christmas zero results thirty five offices tennessee facebook about twenty four hundred Hous August vistaprint google
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

06:34 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"One hundred thousand dollars with tax while we hanya. But you need right so i it just. It's that next step forward. So i didn't really want to invest in old technology I didn't wanna to the machine. So you don orthodontics traditionally a to d pan and a to d seth and those are the two films that he used to help you diagnose the patient This machine will take a whole head three film and then he can make those other films from and plan. Mecca says that it uses less radiation than those too old films together. Even though i'm getting way more information by having three d. picture gotcha got you. Let me ask you some demand. What helps you make these decisions. 'cause it feels like to me doesn't talking to you. I'm gonna tell you a little bit like you. You don't sit in the like should i. Should i not you know. What are we going to eat. You know what i mean like type of and then you go back and forth back and forth with yourself and you got up. Moved to tennessee. You you build a practice. You immediately said. I want this. I want this right here. Not one hundred thousand and it's going to cost a little bit more on budget. You could have been going back and forth in your head. You know what i mean like saying should i. Should i wait later. You know what i mean. What helps you make these decisions. You're not seeing. I mean it was a lot of trepidation on that. I look into the different options including buying one of those machines. Us and i decided that a new machine. That was just a pan. Seth i mean. They're still pretty extensive. And so i didn't really want to spend the money on that when i really wanted something else so think maybe with pandemic it would have been nice to save that money but i still really love that machine and every time i showed it to a patient. They're really impressed. With the information that i can get from it and the improved certainty that it gives me in recommending a certain treatment over another. You know it really tells me a lot more about where the teeth are and beth really helpful. Gotcha i i see that as a bonus i mean The other thing that i did that is a little bit more modern. Let's say in orthodontics dentistry. I think may also be getting to this point soon. As i didn't buy any impression material i don't i don't have any office I just have the three d. scanner. And i have a three d. printer. So that's it. I don't have any stone. I don't have any of the traditional lab Setup all that stuff costs money too so my idea was why invest in all that old stuff when all the new stuff is not that much more expensive. Yeah you're right man. You're right i it's sometimes We think Like you know what. I mean like an extra couple thousand and it turns his off right because we're like. Oh we might need it for something else we've been taught to save. You know what i mean like especially now we're like we gotta save. Save as much as you. Can i think just allocating it in the right way and saving like how. I thought that was brilliant. What you did where us one laptop. You know what i mean for the whole. And i'm like what the heck i learned that at western dental and i can say that seeing eighty patients today you can do it on one computer. You don't need five. You don't need one at every station and it's not always even that nice because if you're assistance write the notes for you there's mistakes On and the notes are inconsistent harder to read so just training people how to use the software can be annoying. It's a lot of work in ninety computers. Nobody's using them in. You spent that much now at the beginning. So i get you the software that we use the it runs on mac only so you can imagine. The max are extensive to start practice with that saves a more money. Why did you decide to go with that software. I mean the obvious connection. Have you know i. I have a family relationship. There isn't being learned of it I've loved macintosh computers. Ever since i was a little kid and it just makes sense to me. I have more control over the system. I understand how it works. And it's really polished on so for me it. It cuts down on. I mean i can manage the it infrastructure myself. Because i know how it works. And i'm really good with that kind of computer On the windows side. I don't really understand enough to make that functional. Gotcha gotcha okay. So then you've been open since you said july or june june right now as of this month if you can give me a rough range around or if you want to be specific how's business going. What's your collections looking like. Collections are good And the area that i opened up been is a relatively wealthy so for looking at like being delinquent I don't have any you know. Everybody's making all their payments. The one caveat to that is the insurance companies who've been trying to delay their payments as much as possible and sometimes have weird ways payout especially in orthodontics. Now if you're getting thousand dollar benefits the insurance. They may decide to pay that quarterly for an entire year rather than giving two years lonesome So so that's kind of the more difficult part in terms of collections The the actual amount of patients has been difficult. You know so we i. I'd really like to see more money coming in now. We're getting close to covering overhead and rent any other expenses in some months but every time that it gets a little bit dicey or with covid. I see things declined really so like breakdown for me. What do you mean by dice here. Like whenever they announced like oh there's another mandated like Shutdown or or what. What do you mean. So one of the things that have been using to track my effectiveness in the interest from the general public Is google searches. So i use its google analytics. Basically that records all that information and so you can see who's searching for orthodontic services.

eighty patients ninety computers five Mecca one hundred thousand two years macintosh one computer western dental july two films tennessee mac today One hundred thousand dollars google one laptop june june one one caveat
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

08:21 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"The right time. It i'm were you nervous at all. When for example march came around and then the shutdown. And you're like holy crap. I'm doing all this during this What your mind going through my mind was going so at that point i had pretty much finished the build out. A lot of the essential equipment was already coming in so my big question was how can i save money on other things. Make sure that. I keep cash because surviving. This is gonna require cash flow. And that's something. That young practices have very little outs. We'll solution for that. Then how did you start carrying cash in your pocket. I mean i. I bought less furniture. That i was planning to. That was one big thing I bought a lot less computer. Snow is planning to so. I have like a computer holder. A computer mount on each one of my opera tories. And i didn't by any of those so at six thousand dollars in savings so and what i did instead as. I have one laptop that i roll around on a rolling standing desk in. I can go from each opportunity to each auditory. And that actually works really. Well i i mean i don't see a whole lot of patients anyways. At this point it takes time to build that up especially in an ortho practice to have one laptop totally sufficient. I did the same thing at western dental when seen seeing eighty patients today we had one laptop that we will roll around and i would right every single note myself interesting. It's almost like we probably do that. In any practice. You know what. I mean starting up and then little by little. Add more and more yeah. I'm a little surprised people start with such a large. it infrastructure because it's really expensive to maintain and when you actually do need that infrastructure in place. When you're really busy you probably need to replace all this anyways secretary to i know so okay you did that did you do anything else to like that. Ca- corners but like add more liquid. Not that much Because what happened. Was you know all the funding that i had went into the build out in the equipment but the tenant improvement allowance stipulated in my lease contract that i wouldn't receive that until after i had opened the practice so That was a pretty large amount. And i knew that there was going to be this big chunk of cash that i really had nothing but just you know rent retina. Basically it was going to be used for those things at the future time that i needed a could we ask. How much was your. Ti a little bit over one. Hundred thousand dollars. Wow yeah huge. Hurry of ovid like that's yeah. That's good man. This really good. I knew it wasn't going to last. And so i needed to be really careful about using it slowly And i'm still depending on that because my expenses are are still large and you know the patients are coming in slowly. So it's taken time now. There's just in ortho. I remember my parents started a practice in the nineteen eighties and they said it took them six years to really get busy. I think that's still pretty true now. That's okay so if you don't mind me asking how much is your right now. Like how much would is your monthly expenses. Think i'm close to fifteen brand amongst and that's with covering everything right like absolutely everything. Rent overhead please is s ended also covers my loan payment and some equipment that i'm still paying off a scanner that is not completely eight off. Let let me let me transition really. Quick your employees. How many employees do you have one. Okay one employee and you found them. Or how did you hire them. I am friends with her so She came in to help me out when personnel previously hired left and she was great with patients. And i thought hey i need. Somebody do do something to help me. You know and it doesn't have to be a dental assistant. She was looking for a job. And i said i need someone to do. The job of jerking coordinator in receptionist. And she's in great now. It's it's really nice to have somebody that you can depend on and who doesn't come in and just say hey you know basically earn an hourly wage and not really interested in learning a lot. I've noticed that on a lot of people that you hire the new things are really hard and a startup is owning. That's so wait you. You had to let someone go before her or day they left. I think that i. I don't know exactly why you know i. I think the reason i got was that there was better opportunity out there and somebody was allowing them to work. Oh and you know. I kinda understand that. There's a lotta jeff jobs like that And i think that it was probably a little boring especially at the beginning and air just trying to get off the ground and it's like nothing is really happening though so so you only have one employee right now and they're the ones doing the front office and they're there every single day right now or not every single day. We're open three days a week so just just those three days. Okay okay so three days a week and then the other days you are assuming you're associating some roster now so i did look for associate positions in a had two offers they were pretty good actually But i also had the opportunity to work More directly with my dad's software company. So i'm working. There are time as a consultant. I can do that remotely which is really nice because My first daughter was born. I first child was born At the end of july. Wow congrats man. So you're so much has happened for you man so much. It's been a really really wild year. And i'll probably look back on it and say that was that was amazing. That happened all at the same time. Like honestly from this point on if you tell you unless you had like triplets or something but and then another pandemic captain and shut down. But other than that i mean. You can't really tell yourself like this is too much because you you're doing it all you know what i mean. You're you put it all on the you're putting it all on your shoulders man which is wife and i joke about that a lot because when we got married she took boards like a week before then she we got married then we both quit our jobs and then we moved to nashville and we got new jobs and four months later we bought a house We we've never really slowed down one day man when we're eighty one radio we should probably take two okay so then you hired your employees and then associating earn your with your software company that your dad has right now for the meantime you're open three days a week and then with a quick so going back to overhead and everything who'd you go with four equipment. I work with henry. Shine trip Why did you decide to go with them. I don't know if i have a great reason. i heard the prices good. I worked with equipment specialist. Help design the space itself in. They had a good connection with the planemaker up. That makes the extra machine that i bought and so is able to get an extra machine that i really wanted at a discounted price even though it was still a huge portion of my budget. How much was the tree machine over..

nashville six years Hundred thousand eighty patients three days first daughter western dental two offers six thousand dollars four months later eighty two today first child one day one laptop one employee a week before three days a week dollars
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

07:27 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"The back they Very you know some of the retail spaces that i had negotiated with weren't really interested in providing any assistance in trying to get more light into the space which you know for fourth It's really nice to have you. You work generally in a more open environment. And i've been spaces that feel kind of caves. I just didn't want that so that was another thing. That kinda helped me. Gotcha okay where i wanted to be. This could like that. I like the you kinda came win with that vision. Already really quick. I wanna rewind a little bit kind of off subject. Why'd you pick ortho from a family perspective. There was a great place to be Now i i had some connections already and i knew that there were a lot of worth it honest my life growing up you know not just my parents and everybody seemed to really enjoy what they did It a nice job map perspective. And i did like the ability to and this is a little different than a lot of things dentistry. I think you get to talk to patients about making their teeth. Awesome and not just fixing things that are broken which is kinda rare times. So that's the main reason why you kind wanted to jump in with all right. That's true you're right like we talk about fixing like the small or like you know what i mean like talk for example got ortho it was Came in you're gonna smile. You know what i mean like. Oh i got a crack like a cabinet in the back as you look forward to it fun. You know you can see the progress in front of you and a lot of times. People are super happy with it. It's really exciting and it can be an uplifting job net sense. Yeah i like that not to say you can't do that industry You know there are certainly a lot of new ways to do that. Yeah yeah no. But i get you i get you man so festival were then right now you found the location and then you decided to get your. You went to get along right okay. So which bank did you go with. I talked to several. I went with wells. Fargo almost go ahead a low rate and they were a little more flexible on the repayment terms. Think that was attractive. So a little more flexibility there are less entities on paying it back on. They did offer a little bit less money than bank of america which i talked to bank. America wasn't willing to go down the rate quite as much. What was the rate that you able to get. Its four point three nine. And i think just judging by where people are currently. That's actually kinda high so rates have come down a lot and this was you must have been last december or less january when actually signed off on everything kind of right before everything crazy. Yeah okay so then and bank so you got. How much did you alone for. The loan was for five hundred thousand. Okay in right now. How much was your build out the build up all of that so build up build a an equipment together build out was a think. Just a little bit more than half. Gotcha gotcha okay and your serie. Now you build out and everything like that. How did it go. How's it coming along. When are you scheduled to open so the bill. That great One of the best decisions that i made along the process with the contractor also built the building that i am in and i got bids from several different contractors the initial bid from the company. That was managing. This building was actually kind of expensive. So i looked at a few others and once they architecture find the plan a little bit and i give it back to the builder that ended up working with. They said hey you know we have a lower option for you. And so the new bid was actually. I think one of the best ones that got. I thought it just makes sense to work with the person's viewpoint the building together And with them. Every friday with a sub kahn or the superintendent and the contractor and we reviewed Just different things that we needed to will check. Always kind of listed questions were reviewed a lot of the materials that were use than you know. I think that really helped the bill that move along not only that but when things actually did get shut down. Construction was designated as a an essential business in tennessee and so they were able to continue working in to finish the project. Despite some difficulties that we had had nice this good do you. Did you negotiate with your landlord like a couple of months for free before or after you open or anything like that or no. Yes oh car. A lot of negotiation for me and then we worked on the finer details the lawyer and so i got five months to build out the space or about five months and then three months of free rent and then my rent it kind of goes up a little every year so it starts at one point ends up in a different point. Well okay so being. Is it ever like to the point where you can renegotiate the rent to or is it going to continue to go up forever forever. It will go up a little bit forever. an iky in ad five extra years onto my lease. I have a ten year lease at that point. There is some room for the price to fluctuate a little bit about. I don't think it'll go down. I know yeah. So there was no delays or anything like that during the construction or no like headaches there were some small ones and Trying to remember what were the biggest headaches. The ceiling A lot of spaces are built out for you. Nine or eight foot ceilings depending on the building that you're in this is a newer building. So as bill to in two thousand four. I think and i wanted to see links to be as high as possible so they had to be a little creative on getting the va. V units that move around To fit up there and we ended up you know. Some of the areas are a little higher than others In that's because it just didn't fit in the right way but it still managed to make it look really good so that was that was one of the kind of curve ball you know during the construction that in deleted quite a bit or no no but i remember that the took a little while to get there. I would just say general. We didn't have a lot of delays. You know from from the planning to the the finished building. i mean. we're probably four months. We went really quick and it had a lot to do with just good planning and having a lot of the people ready at.

three months five hundred thousand five months Nine bank of america last december ten year eight foot two thousand tennessee Fargo five extra years four months America fourth january about five months one point one wells
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

03:29 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"Was a nice way to kind of get. The process started basically gotcha gotcha determination to be like. This is a for sure. Good spot and this part right here. The sucks the spot. You know the funny thing was that the areas that i thought would be amazing Before i did the search turned out not to be that good. I think in particular a lot of the emerging areas if you started counting actual people now how many people were there. It didn't always look quite as good. There were a lot of orthodontists. They are already Because they were saying. Hey emerging place. It's going to be amazing. But if he start counting the number of people that are actually there it. It ended to be a lot less than there were in more urban areas. Which surprised me a little bit. You know i thought It would be a better ratio of patients or potential patients to doctors in a more rural setting or more developing setting and it turned out not to case in a lot of locations. Wow okay that's interesting that so that was. How long did this all take you. Because i know a lot of people hire like dente graphics or demographic company but all this kind of took you how long. It's hard to say. Because i didn't work at that consistently i think you know i i. I was taking in so much information from so many different directions. That point. I cannot put it all together. I think the toughest thing was just figuring out all the different websites that i needed. And how to actually pull the information than just putting it onto spreadsheet it probably takes or six hours to kind of gather all the information and put it together. That's i guess gotcha gotcha Who helped you also wasn't real estate consultant. Who was the real estate consultant. I worked with car They're based out of colorado. I believe And they were. They were really helpful. I mean that was the other part of the puzzle. You know even if you identify an area that might be good. Open an office and you see that there are actually a lot of people here. There aren't a whole lot of dentists for orthodontist or whoever they're A lot of times he started delving into that area and real estate consultant. Says there's nothing there you know so that can be a problem or if there's something there there's a dentist there already and they have a agreement with complex for the area and you can't open her 'cause they're restricted. So you can't open anywhere. You really don't have that many options a lot of times. Gotcha gotcha so you found the spot that you were looking for. Do your own research and car real estate. And what were the pros and cons of this spot. That you found there were The biggest con is there were a lot of orthodontist thirty here So i think. I have seven orthodontist within a three mile radius that i'm competing with which is a lot And the pro is that there were a lot more people in syria. So that was good I think the other thing that i really liked the space itself. I looked at a lot of different spaces retail spaces which are getting more common for dennis to be in. They tend not to have any windows. And so you have. Windows can Front.

six hours thirty colorado three mile people seven
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

07:55 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"Alex has gone going great man. It's good to hear. have you want me asking. Where's the last name from a good question. i m german so My family was from germany. Poland and saint blaise with is a catholic saint And in german that is saint blasios. So it's a very similar sounding name and spelling adjusted somewhere and that's where it came from got you meant. I don't know why i was thinking. It was like because the be brazilian. I don't know. I don't know what i mean. That'd be cool. I'm not that exotic though. Phys ed so alex. Tell us a little bit about your past your present. How did you get to where you are today. Sure I went to dental school. Up residency amount. If your for orthodontics. After that i worked for the a sewing california for a year while my wife finished her a residency and then We made the move out to nashville. I worked here for a large group practice for almost three years and was kind of going through the process of starting my own practice and opened up in june of this Last year so twenty. Twenty right after although lockdowns loosened up a little bit and Yeah just some some family background. My parents both orthodontist. My father was a dentist. My parents My dad started a software company that does imaging Tracing in particular. It's called quick steph and That's been running ever since i was born. Pretty much so He's also active on banishment. Side in used both products in my own practices. Well man. that's awesome. So you said your dad was a both parents were ordos. yes yeah they. They both went to linda for ortho in. California was born so no way. So you're from so when you said you were. What s office did you work at in california. I worked for western western. Okay and you're living wearing california. Well i grew up in san diego went to college. Ucla and then went up. Gop in san francisco so pretty much everywhere except for your literally from the bottom. 'cause loma linda. Our offices are in rancho cucamonga. So we're not that guy from loma. Linda and the first doctor i worked for. She was in loma linda to or practicing Graduate from among the. That's awesome great school. That's pretty cool. So then you did that then. You just recently said you moved to tennessee or no. We did in two thousand seventeen so we got married in san diego and then came out here. Two weeks later man living the dream man cause i was literally talking to my wife and we were like house nashville or memphis. We're trying out of la and we're like maybe it would be the only one moving here. There are a lot of a. Folks and i've gotten calls from patients still living in california planning to move here like houses the transfer process work. And how can we be patient there. So that's kind of amazing. Why why is it. Why did you move mealy over there. I think for young professionals. Especially when you're married to another dennis and you've gone from you know having one dental school loan payoff having to you. Start to get really scared about you. Know how much money you need to pay back. So you know in california. Where not only he has this loan. You have high cost of living. You have a lot of competition from the side of the new dentistry You have a high cost a start. Grab this all those things really. Add up and you say his his fourth. Now do i really need to work your in and honestly in most other states including states with a lower tax burden you make a very similar amount of money and might not be exactly the same everywhere but we decided that it made more sense to live somewhere else and we had come here on a trip and we like nashville because it had a lot of things. We're looking for a while. The mexican food was good. That was one of our boxes. we can't we can't move anywhere without that right And so you know we. We really liked the young vibrant growing environment Everyone seemed to be going somewhere and The cost of living was so much lower to afford a house here. That is nice now. You looking somewhere between five hundred and a million in california five hundred you barely get out of some of the not very nice areas. So it's it's tough. Yeah while so. You live in nashville. I actually south in a suburb called franklin That's pretty nice this man. That's good man. That's this really really quite got to ask you. Maybe a little bit more after that are but other than that man. So let's dive into your your business in your practice. You decided to do this. Is it a or is it. A transition acquisition. This is the completely start from scratch. practice So i built up a new basically open shelf space and made it into a practice okay. So let's talk about. How did you find this location. So that was a little bit of self search and a little bit of demographics and then also some help from the real estate consultant. That i worked with um would would i started looking at was there. Were some podcasts. That kind of describes how to look for locations that might be a good opportunities in an area. And so i did a whole bunch of Kind of like self demographic search. I used Who my maps to map. Kind of dennis in an area i used. Kml generator to circle generator to make little circles. That you can put on google maps or google earth. Excuse me Exported all those. Google my maps dennis orthodontists and other specialists into that map And then i could kind of see them together and then there is missouri. One of the universities in missouri has a nice online tool over. You can search for the amount of people within a certain radius so That corresponds to them. The circles that you have placed on google earth. Now so what i did is i selected. I selected grocery stores that were evenly spaced between so no one one grocery store chain store right next to itself so i just met that all the grocery stores in use those addresses and drew one three and five mile circles of radius wise from each one of those counted. The dentists Counted some of the other things like schools encountered the population. And i got a just a general idea if you know what. What is the location. Like with spe- With not so good us thought that that.

Alex Linda tennessee san francisco germany san diego five hundred california Poland today nashville franklin five mile both California Twenty google earth both products five hundred and a million rancho cucamonga
"dr alexander" Discussed on The Dental Marketer

The Dental Marketer

04:12 min | 11 months ago

"dr alexander" Discussed on The Dental Marketer

"Hey welcome to the dental marketer podcast. I'm your host michael in this episode. Two hundred and ninety eight. Thank you so much for tuning in. I know i say that a lot. And i don't mean to say thank you as like. Oh it's automatic. No i truly truly appreciate you always picking this episode and wherever you're listening. I truly appreciate it that. You're you're tuning him. We're gonna jump right into it in this episode I speak with dr alexander. Bliss sioe really really awesome guy truly appreciate it alex. If you're listening. I truly appreciate you allowing us to dive deep into your ortho startup. So he did an ortho startup but wind a little bit and he worked for a dsl in california and then moved to tennessee to do his startup. which is honestly something. I wanna do. i live in california right now and i'm we me and my wife have been eyeballing tennessee for like about a year. Now we we might make the move. You know what. I mean but Anyways we talked to him about his ortho startup he lets us know all the ins and out he tells us who has real estate consultant was how to look for locations. That might be good opportunities. Something interesting that he did was. He did his own demographics. Search how long this take him and by the way guys he lets. you know. Step-by-step how he did this but those instructions are also in the show notes below so a case you want to follow along or just below. Look at the instructions on how to do this. You can definitely go do that too as well. We also discussed the pros and cons of the space that he found for a startup. Why he went with wells fargo for his loan and the terms of that loan. We discuss how one of the best decisions he ever made was going with the contractor. He went with and then we also discussed the biggest headaches during construction and how many employees he has currently and why and we also discuss something. That's super important especially you're doing startup and even if you own a business or if you're just the practice owner is what helps alex make decisions and is important because sometimes we think we need to make one hundred percent spot on decisions all the time but i want you to think of it like an archer right an archer. The closer he gets to the boise awesome right. Dan means you made the right decision. Now is he gonna hit the bullseye every time probably not. There has to be so many more factors. What if it's in a different distance. What if something's in the way. What the winds blowing a lot harder than it was before. What if he's using a different type of bow and arrow archer has so much more to to think about and if he has the time to think about this he can make it but if he does not and he has less time than the first time even when he hit the bullseye. He's probably not gonna hit the bullseye again. He probably might from all his training. Get close enough. And that's the thing sometimes close enough. Decisions are just as good as the bulls eye. And so how do you get close enough right. How do you even get to the radius of like am i near the bulls. I kind of close right because as archie. You're probably not going to make the right decision every single time actually scratch. You're not gonna make the right decision every single time. I can guarantee you that so you want to get close enough. So how do we do that so anyways. If you're following me we discuss a what helps him. Make these decisions and then at the same time. We also discussed the best and worst companies. He's worked with something interesting about his marketing. We talk about is how he uses. Google searches and google analytics which are completely free tools to see who searching for orthodontists and when they are searching throughout the year and this is super interesting because he i guess a makes his marketing Justices marketing by the season. So he's like oh. People are searching for an orthodontists. A lot right now Let me boost the marketing. Let me do more of this marketing. Very very interesting stuff. And then finally we discuss. What's the vision of his practice. So guys without further delay here is.

california michael alex Google Dan tennessee one hundred percent first time dr alexander dental marketer Two hundred google single time about a year one wells fargo ninety eight analytics
Near-Death Experiences

Unexplained Mysteries

04:28 min | 1 year ago

Near-Death Experiences

"Accounts of near death. Experiences can be polarizing indie. Most often happened while people are unconscious so researchers are incredibly limited in what they can actually measure. They must rely on human testimony to fill in. What's actually happening in other words. Andy ease exist near the intersection of two seemingly contradictory ideas science and faith which is why after a neurosurgeon reported in n. d. e. it became central to the conversation in nineteen eighty eight. Dr eban alexander began his career in boston at one of the most prestigious hospitals in the country. Brigham and women's well working as a neurosurgeon. Dr alexander simultaneously target his father's alma mater. Harvard medical school in both institutions. He had access to some of the most cutting edge medical technology in the world. Soon dr alexander became an expert in a non invasive. Surgical treatment called stereo tactic. Radio surgery a procedure that uses targeted radiation to address medical abnormalities. In the brain it can even eliminate tumors without needing to open the skull in his own practice. Doctor under-used stereo tactic. Radio surgery to treat cancer. Epilepsy mentoring nerves and tangled blood vessels and for nearly a decade in the field of medicine. His star was on the rise until two thousand one when an elderly woman from arizona. Whom will call. Rose contacted him to remove a benign tumor in her brain. Dr alexander was one of the few surgeons in the country capable of performing the procedure. So rose flew from arizona all the way to boston but she didn't receive the treatment that she expected when rose arrived at the hospital orderlies placed her in a wheelchair and brought her into the operation. Room apparently no one spoke to her or explain what was happening. After doctors strapped into a device rendering it immobile rose demanded to meet. Dr eben alexander. She was about to go under and he had yet to introduce himself mere minutes before the operation began. Dr alexander stepped in front of her said. Hello and assured her that she was in good hands then she drifted into unconsciousness and the surgery began when rose woke up in the icu. She couldn't move the left side of her face. Dr alexander never warned her about the risks associated with her surgery and though he'd successfully eliminated her tumor half of her face was now permanently paralyzed. Ultimately rose filed a lawsuit. Her lawyers asked to see the paperwork she'd signed before entering surgery. But apparently dr alexander could only produce a single sheet of paper. It didn't even have rose's signature on it. Apparently dr alexander had misplaced a number of her forms. The case was eventually settled out of court shortly after. Brigham and women's fire dr alexander from their roster administrators have not stated whether or not the dismissal was related to the lawsuit. Either way dr alexander moved on to work for umass memorial medical center located in worcester massachusetts. Where apparently his careless behavior continued during one operation. Dr alexander reportedly left a small piece of plastic inside a woman's nick. In addition to the pain this caused her she needed another intensive surgery to have it removed then in august two thousand three umass suspended dr sanders for an error made during an operation. On another patient's brain stem the specific details surrounding. These punitive measures remain confidential by early two thousand seven. Dr alexander relocated to lynchburg virginia and began work as a staff surgeon at lynchburg general hospital but his lack of professionalism and care continued

Dr Alexander Dr Eban Alexander Brigham Dr Eben Alexander Boston Harvard Medical School Arizona Andy Tumors Epilepsy Rose Cancer ICU Umass Memorial Medical Center Dr Sanders Worcester Massachusetts Umass
"dr alexander" Discussed on Physical Activity Researcher

Physical Activity Researcher

04:06 min | 1 year ago

"dr alexander" Discussed on Physical Activity Researcher

"You can't necessarily use different versions of that. Monitoring expect the data to be comparable so there are a lot of challenges that way with the consumer based monitors in that. We don't know the data compatibility over time. And we don't have any control over. How the data are outputs are managed because that all goes back to the company versus with the research device. We know we have all the decision making power in in a which cut points to be used. What's our non where time criteria which sleep algorithm to we use those types of things and so as a researcher can give you greater confidence that not necessarily. Your date are more accurate but at least they're more comparable over time. Yeah so so with all this in mind would you recommend not using consumer activity trackers in in research projects. I in less. If you. I guess so. Consumer monitors is a you know. It's it's a general term. I use it. Generally referred to things like fitbit or apple. Watch know there are some devices that kinda straddle they The consumer versus research fields. I know i know you're monitor fabian. At least it seems like it has a lot of the appeals of the consumer type monitor and that it has it will give you the outcomes of interest without you having to decide what you know inputs from the accelerometer data. Go into it. I would feel more comfortable with the monitor. Like that. Because i would guess that fabian is a company would be more transparent about when updates are happening like acta graph does. It's very clear when they do firmware updates and then you can go in and read about the update and whether it's likely to have changed anything about how the data are processed. Is there a change in the al gore. You know those types of things..

fabian fitbit apple al gore
The Future of Activity Tracking Devices

Physical Activity Researcher

04:20 min | 1 year ago

The Future of Activity Tracking Devices

"Are going to talk about extra metric and activity tracking Our Guest expert in the team is working as an assistant professor of Integrative physiology and health science Alma College in Michigan us home. He studies the accuracy and reliability of various physical activity monitors and also uses them as incidents and tools to help individuals become more physically active ladies and gentlemen, I'm honored to introduce Our Guest assistant professor Alexander. Montoy. Welcome Alex. Thank you Alan great to be on the podcast fully my plessure. So you've been looking quite a bit activity-tracking among athletes or Sports specific context. What do you mean? CS the most promising things is it for for research purposes or do you see that the athletes would actually benefit from them in their training? What do you see as the most potential things? Yeah, that's a great question. So the the research we've been doing I would say eventually the goal is to help specific athletes or help coaches to understand when they're athletes are ready to return the sports safely or what restrictions they should have in practices or maybe how many minutes they should be limited to in a game setting off. Certainly. That's the that is the future goal with our work. We are not there yet. Although a lot of your more commercial type companies have have moved into that realm of activity tracking and and feedback that specific to the individual. So just for example a couple of brands that come to mind catapult is a system that I know are are my research birth. Or collaborators at Michigan State use in a lot of their athletic teams. So catapult is a it's a chest worn accelerometer and I believe it has heart rate as well. So it's a multi-sensor device and then catapult does a lot of the outcomes derivation I guess so they you know, they they're not like Thursday. It's not looking at the raw data catapults got some proprietary algorithms for Translating that into activity intensity or they'll report outcomes such as volume or training load and both coaches strength conditioning specialists can look at that data then and then for specific players see who has the highest training loads, maybe try to scale training or practice. This is that the the training load you're getting in a practice is similar to the load that you're getting in a game situation or they can make sure that people aren't so let's say, you know, you're coming off the summer. Especially this summer. It's been bad in terms of at least here at Alma very low engagement in practicing and the offseason cuz they're just is not access to gyms right now with everything closed and so we could look at a training volume for individual when they come in and say, you know, you're at the training volume of just use some arbitrary numbers. Let's say 10,000 in a match or a game play you're going to have to be the training load of a hundred. So how do we develop a training plan that can progress you up at a rate that you're not likely to get injured but also would allow us to know when you're ready for full participation in gameplay if that makes sense. So there are companies like catapult. I know hexoskin is another one that's a it's actually compression shirt that has sensors in it has heart rate. It does breathing rate and depth so you get a ventilation variable as well as an accelerometer and so that can give birth. Lot of individual data and so you can again compared training to gameplay type situations. So there are a number of commercial technologies that seek to make the the page comes very easy for the end user to get and then making make decisions on for individual athletes to help them manage injury return from injury increased rate of volume that type of

Professor Alexander Montoy Alma College Michigan Alan Alex Michigan State United States
"dr alexander" Discussed on The Know Show

The Know Show

03:16 min | 2 years ago

"dr alexander" Discussed on The Know Show

"If somebody's <Speech_Male> has never <Speech_Male> heard of the <Speech_Music_Male> <Speech_Music_Male> the <SpeakerChange> <Silence> The <Speech_Male> the <Silence> philosophy of physics. <Speech_Male> Where <Speech_Male> <SpeakerChange> would you <Silence> tell them to stop <Speech_Male> <Speech_Male> And <Speech_Male> they were interested <Speech_Male> in hearing <SpeakerChange> this conversation <Speech_Male> code so <Speech_Male> I guess <Speech_Male> it depends. <Speech_Male> What say <Speech_Male> life there <Silence> if they're <SpeakerChange> <Speech_Male> at <Speech_Male> the stage where they <Speech_Male> want to do <Speech_Male> undergraduate <Speech_Male> degree in <Speech_Male> philosophy that they <Speech_Male> should do that. <Speech_Male> There are <Speech_Male> few universities <Speech_Male> <Speech_Male> Round the country <Speech_Male> that do that <Speech_Male> In particular <Speech_Male> <Silence> <Speech_Music_Male> Oxford <Speech_Male> and Bristol <Speech_Male> and kings. <Speech_Male> I am <Silence> John <Speech_Male> leads <Speech_Male> <Silence> <Silence> <Speech_Music_Male> <SpeakerChange> <Speech_Male> If they <Speech_Male> <Speech_Male> just want <Speech_Male> to <SpeakerChange> think <Speech_Male> of how the stuff <Speech_Male> and read about this <Silence> stuff <SpeakerChange> <Speech_Male> <Speech_Male> than <Speech_Male> good question <Speech_Male> that <Speech_Male> I should recommend <Speech_Male> so <Speech_Male> I think that Sean Carroll <Speech_Male> stuff is actually riddick <Speech_Male> sensible and really <Speech_Male> philosophical. <SpeakerChange> <Speech_Male> He's a physicist <Speech_Male> <Speech_Male> <SpeakerChange> He <Speech_Music_Male> wrote a <Speech_Male> book called <Speech_Music_Male> <Speech_Music_Male> the <Silence> <Speech_Male> Bake <Speech_Male> picture I think <Speech_Male> which is really good <Speech_Male> and <SpeakerChange> interesting <Speech_Male> <Silence> <Silence> <Speech_Male> He also <Speech_Male> has a podcast. <Speech_Male> Maybe I shouldn't be <Speech_Male> advertising another <Speech_Male> <Speech_Male> which <Speech_Male> I think is really good where he <Speech_Male> interviews also philosophy <Speech_Male> physics and talks <Speech_Male> <Speech_Male> fascinating <Speech_Male> <SpeakerChange> <Silence> <Speech_Male> I would <Speech_Male> love to get <Speech_Male> into this <Speech_Male> MINI PSALMS. Psalms <Speech_Male> extremely <Speech_Male> interesting. <Speech_Male> I'm in <Speech_Male> having sat <Speech_Male> down with you for this period <Speech_Male> of time and listen <Silence> to US speaking. <Speech_Male> I <Speech_Male> think it would <Speech_Male> be a crime if you don't write <Speech_Male> a book a <Speech_Male> honestly <Speech_Male> <Speech_Male> so <Speech_Male> if you were to <Speech_Male> write a book <Speech_Music_Male> do you <Speech_Music_Male> think you'll be many well. <Speech_Male> Do you think <Speech_Male> you'll be just <SpeakerChange> your just <Speech_Male> your experiences <Speech_Male> and I think if I were Dr <Speech_Male> Beckett. Probably <Speech_Male> the title wise in <Speech_Male> physics <Speech_Male> <Speech_Male> and it <Speech_Male> would be to him all <Speech_Male> this stuff. I know about <Speech_Male> many worlds as <Speech_Male> something. I WanNa have <Speech_Male> you have you sort <Speech_Male> of <SpeakerChange> had these considerations <Speech_Male> those <Speech_Male> about Reina book? <Speech_Male> No <Speech_Male> I mean <Speech_Male> like I started <Speech_Male> a <Speech_Male> king like <Speech_Male> my first lake <Speech_Male> lectureship <Speech_Male> job <Speech_Male> <Speech_Male> in January. So <Speech_Male> okay I need <Speech_Male> to. I need to publish. <Speech_Male> Some papers <Speech_Male> can <SpeakerChange> start thinking <Speech_Male> about excellent. <Speech_Male> Excellent <Speech_Male> spoonful fantastic <Speech_Male> <Speech_Male> thank you. Where <Speech_Male> can where can <Speech_Male> <SpeakerChange> people find <Silence> you? Align at the moment <Speech_Male> <Speech_Male> <Speech_Male> I have a website. <Speech_Male> Which is Alexander <Speech_Male> Franklin <SpeakerChange> Dakota <Speech_Male> UK? So <Speech_Male> we'll <Speech_Male> see polling <Speech_Male> on screen <Speech_Male> <SpeakerChange> <Speech_Male> on twitter. <Speech_Male> Yes <Speech_Male> though <Speech_Male> I use <Speech_Male> it fairly <Speech_Male> infrequently <Speech_Male> I should use it more. <Speech_Male> I <Speech_Male> think is <Speech_Male> at <Speech_Male> Phil. <SpeakerChange> Alex <Speech_Male> will <Speech_Male> will put <Speech_Male> on <Speech_Male> the screen as well <Silence> <Speech_Male> So <Speech_Male> yeah just just to finish <Speech_Male> up. I want to thank <Speech_Male> you again. I think this has <Speech_Male> been a fascinating <Speech_Male> in. <Speech_Male> Listen <Speech_Male> I <Speech_Male> personally learned <Speech_Male> quite a bit from you <Speech_Male> so I would love <Speech_Male> to have <SpeakerChange> a <Speech_Male> follow up at some <Speech_Male> point accident. Yeah <Speech_Male> when when the book comes <Speech_Male> to.

Sean Carroll physicist twitter Reina US UK Alexander
"dr alexander" Discussed on The Know Show

The Know Show

17:01 min | 2 years ago

"dr alexander" Discussed on The Know Show

"You're listening to the no-show podcast. That brings you some of the most striking research ideas and topics that impact our everyday. I'm your host Hussein. I had to EUKARYOTIC SO ALEX was opposed to like Dr Franklin Bobby. Witt accent. So I'm welcome Alex. I don't want to kind of give an unjust introduction so What sort of loss know how he how you to being? A professor in the philosophy of physics are no yet professional Malaysia. Electric or Being ELECTRICAL SCHOOL IRENE. Your physics. I'm like my school. Physics teacher told me at some point. There was this 'cause physics and philosophy and the best bits about physics of you would like to understand stuff and get really think about what it means like what the world is like and the bits are you enjoy. I guess a bit less or the calculations and the experiments okay and so the amazing thing about philosophy physics. The thing that I really enjoy about it is that you can spend ages learning the physics and really came to grips with the mathematical basis. But then you can like zoom our and think about it think about what it means what it says and what the world is like if this theory is true and so that's that's the basic physics that. I really enjoy and I did this. Visit Philosophy degree together. That undergrad and then I did a Master's in kings and just still just doing the same thing like learning physics in loads of debt. And then thinking about what it means what the world is like how you can describe the world according to physics something like that. And then I go a post doc a lecture and and that's and and so you said you saw start of in undergraduate and then you into masters and then you went into the and still use. It's kind of like you grown in interest in about the subject aside from the fact that you can explain the world in physics terms. I really enjoy the way philosophy engages with questions like the kind of careful thought and conceptual analysis and really paying attention to what things mean. Ah Guess what part of what philosophy does. But there's the bits of philosophy that I enjoy most or applying those techniques and those philosophical ways of thinking to all slaves and I think in some ways visits stories because it comes up with the most accurate prediction. The next Manasian for the world is like so. He's claimed to think philosophy physics have the best way to come up with like a Rica. Resum calf idea of what the world is like and not. Just I won't be more interest. I it's fascinating you say that because to me when I was sort of looking at your work. And now the the philosophy of Physics. And it's like it's bringing an extreme awful with an extreme science foreman combining them and and to me. So what intrigued me most about it? So what did you? What did you look at it? As as part of your your okay so you want to say a little bit. I Buy. What philosophy of physics before so my guess is a slightly unusual kind of thing within the realm of things that are philosophy of physics? So I reckon there to sort of things that philosophers of Physics Day One is trying to look at how physics works and say like these are the kind of all given techniques physicists. Use and some of these are good and some of the the bad. It's this kind of critical approach so particularly like nowadays. You might have heard about it. Some people talk about it. Like crosses in high energy visit where people say like look. We got these huge particle physics experiments. We've done lots. And Lots. And Lots of these experiments and we've ended up confirming all of the theories that we have things called the Standard Model of particle physics. All confirmed we have really good reason to believe that we've gone unbelievably precise and accurate understanding of light. The world of the fundamental level. And now we don't really know what to do from here. We don't really know how to make the next step which would be like new noting particle physics with like gravitational physics. That's the next step and people don't really know how to proceed and then fail assists employees all these kind of arguments where they talk about kind of simplicity and beauty and elegance and naturalness. And those all sound really dodgy to me. Why because they're all uments on fundamentally about dove. This match with experiment does all like is all theory confirmed by going out into the world and doing experiments and checking them more like is our theory reconfirmed by it according with like the way we like to think about the world or something. North of intuitively appealing to people like that and so one aspect of philosophy of physics. Just things about the claims of arguments physicists. Make and says these are good arguments. Either all of which involve say thinking about experiment and maybe the the arguments which are bad or not so good and then as a because it philosophy control and some people argue that simplicity kind of arguments are really good kind of yeah makes since I just WANNA ask as a follow question. What do you think? Do you think the simplicity argument is is one that holds is with with arguing The annoying onset is like yes so they're adapted the context in which we wanNA use simplicity arguments. So do I think that that is a four school? Gravity which like accord somehow like coverage of space time in which keeps the earth going around Masan or do we think that there were like little green men which is sneakily pulling the earth around the sun but doing away way they're calls the lore experiments like obviously the green man argument stupid and the reasons you just because it's so ridiculously complicated and the simpler argument that the Earth's going around the sun because of this kind of coverage Space Time. It's obviously the better one so that kind of simplicity argument is a good one thing that implicity arguments where people say like we. Con- yeah do the experiments to work which claimed of particles. They're all like which is smoother than the kind of particle. We found the at all like at higher energies. The particles we've yet discovered we don't know which ones those are but we think it's simpler to have this set of particles raw than this set of particles that seems to me like a much more spurious argument and so they of an economics where they just model things they create a model that is is so far removed from the real world and had doesn't have any The same amount of complexities. Is it for the sake of removing these complexities? Certainty that we're not aware of a good question I think no. I think it's kind of different because I think that physics Don's in the context where it works like in the extremely rarefied circumstances of these experiments. You create a vacuum and you make it very cold vary hi magnet surrounded that thing. I think that all physics theories of so amazingly accurate that we're not really we are introducing some kind of these kind of idealization that they use an economic but not to the same level as that and I don't think those are getting in the way of our experiments describing the world accurate okay. I think that what's happening is that we're trying to. We got really good theories at work really well at one level and then we're trying to go the level below that we're trying to get even smaller stuff even higher energies. And then we can't yet do those experiments the experiments that we wanna do that would really tell us about the next level of physics might be impossible at the moment they might require a pot colloids so massive that no one could really ever build them and so then people have a set of choices like which theory toy lake and then that kind of choice about which theory the world like in the context in which I call it even do experiments kind of question. Where are we worry about the arguments that people are limited by immediate access right? Yeah we're limited by our. We got to the point. Where so you know about sun. The large Hadron Collider yes. So that's like could you just saw me explain explain. Hydrogen either isn't so the large Hadron Collider is a guy wrong? I think it's like forty kilometer in diameter. Tano engine Eva. And what that does is it. Takes. particles a protons on. It accelerates eminent big soccer till they get fostered off and it crashes them into each other and they crash into each other and then they lead to a shower of lots of jets have lots of different type support calls and then on the basis of the wool the different particles we observe coming out of these coming out of these stream. These jets we then can count late whether or not there is work. There is give us predictions about exactly which part goals will be scattered off by these kind of collision events and then we can test. We can look at our experiments. We can see which politics did in fact come off and the reason that I think that we've got like salt amazingly successful. Fundamental physical theories at the moment is the those experiments Matt the prediction so precisely and one of the predictions that they really like famously matched with this prediction that there was this thing called. The Higgs bows on this particular coined apart cool and that was predicted kind of in the seventeenth and then they did the experiment and then they found it. Okay also they found exactly the right corner signatures of The Hague's Roy. Coined OF PARTICLES CAME OFF. The hell does it. Was that and so that tells us so. I think that we're on the right track. We've got the right description of the world this particular level some Yeah I mean so then given that it does. I mean has so of support or confirm. Theories is that non argument to say well. Okay less push for the next level. Let's look less set of going for say other note of a four Columbia diameter lescoe for one hundred kilometer rights yet good so that is what lots of people saying that. The massive push to spend like billion pounds on like another big thing. The question is whether or not we should expect to find anything if we did that. And I think that might be some reason to think that we don't have any reason to build the next one because we have any reason to expect. There will find something as I said in the seventies I had this prediction of the headaches and so there was a reason that were lots of there. Are Lots of other particles discovered inbetween but there was a reason to build this big the large Hadron collider because they wanted to find this particle they predict and now no one has any solid predictions that any future particles. Okay right so so this is where to come back. This is where the ideas of simplicity and elegance come in people have lots and lots and lots of theories the all go beyond our current theory and or those theories or many of those theories will require different coins of experiment to test for them so the question is do we want to build every possible kind of experiments that we can. Maybe that's an economic question. Do we have like the hundreds and hundreds of billions of pounds to build all the experiments that where we should be investing our money. But I don't any convincing argument that we should build any particular one of these experiments because I don't think there's any particular all Yamin which has the same force or strength that we had to build a large Hadron collider where we that was one particular particle predicted the hangs designed that makes sense and so forth. So the way I understand is that now. You'll shifting away from having a solid theory that needs to be tested and now you have people arguing. Let's just have the tests and the fury to to to go with it. So exactly. That'S THE PROBLEM. And so that's one of this isn't actually the corner thing. Work generally bear my work in slightly relevant. This that's one way. Yes and say there's another way philosophy. Physics goes which is saying lasts. Take or best physics theories and try and put them into words. Like try and describe what the world is like if this theory is true So physicists often do visits mazing and been really successful at doing is coming up with these theories coming up with predictions coming up with explanations getting really good solid mathematical theories and showing that. They're somehow right because that predictions work and Eric for nations work thing. The thing that businesses do a bit last is say okay. If this theory correctly describes the world in this better the world. What does that mean the world is like and the reason this is particularly relevant is like our best physical theory like quantum theory that combines all of this stuff. We've just been talking about and not bother Betcha physics like the bits of physics. That control how Your Own World and semi conductors and like a huge amount of physics involves quantum theory bar. There's a central problem in it. There's this thing called the people call the measurement problem where people talk about these things like way part of Joe -ality and collapse the wave function..

Dr Franklin Bobby Alex Hussein Witt Malaysia professor Masan soccer foreman Joe -ality mazing Eric Don Matt Yamin
Two Years Without Sex

Motherhood Sessions

06:41 min | 2 years ago

Two Years Without Sex

"When was last time I think it was like two years ago? She's crazy all happened slowly. I I mean I don't know how does two years pass without having sex. I don't know it's been a long time and and it's like I want to find my way back to two viewing myself as a person that is a sexual person. I don't even know where where to begin with it. I don't even know how initiate sexy anymore. It's just feels incomplete incomplete. I feel like there's a big part of me that isn't being expressed. I feel like the sexual part of me is just doesn't exist anymore. This is mother had sessions. I'm Dr Alexander Sacks today I'm talking with a couple recalling recalling CASSIE and ray they're both artists and they've been together for more than eight years but three years ago around the time cassie got pregnant their sex life came to a standstill. Now their son is two years old and the problem has only gotten worse. CASSIE and I live in California but volunteered to fly to New York. Mark to speak with me. They said that they weren't comfortable leaving their toddler with babysitter so we decided to do our session. In a hotel room in downtown Manhattan while array was putting their son to bed Kassian. I spoke one on one. She began by telling me about the sexual problems. That pre existed the baby. I could could tell from early on that. We had different sex drive's or sexually different and I just think in general enroll. I'm just a more physically open and more sexual person than he is. And I have a higher sex drive than he does and It's never I mean before. It wasn't a huge issue because we connect on Sony different levels otherwise. And you know I mean he's my best friend he's the person I was just want to spend time with do everything with and so that I felt like. Oh this is something that we can work on and we can figure out together and meet in the middle and I think we were for a while. I think what started to happen was I started to get a little bit sick of being the one who's always initiating which kind kind of how started to feel. Yeah so I if it was like Oh this is fine. I can do this. But it never really shifted over to him being the one who wanted to initiate more so than it's sorta hard because it is like. Oh well does he really desire me like I desire him or what. Even though I know he does but it you know over time it just it builds up so that was there at the very beginning and what was what was sex lake when you had sex. Did you think This is maybe Eh. Not The best sex I've ever had. Did you like when you said meet in the middle. I mean what. What was it like early on with your husband? Well he is. He's physically guarded kind of guarded about his body. His physical self. He just I guess I have have more experience sexually than he does. And so an I feel like I'm very open. I kind of like Imbruglia in the moment about it and go with the flow and I. I'm not stuck in my head about what's going on in like stress out about it for me sexist Really great release. I guess I ha. I have this idea that when you're really connected and it's like like this really intuitive thing and it's just going really well it's that you don't have to talk about it you don't have to say like no. Can you do this or can you. That because it just kind of happens happens is more nonverbal. 'cause I know something that's come up with us is that he feels like I judge him early get critical with him About how he is sexually so I think the when it has worked well as you know. He didn't get that for me. When you say you give your husband feedback sometimes sometimes in bed? What are you asking for well? I guess there's Times like I was saying before you know where I don't always want to be the one to be leading in during what I know to do to have an orgasm. It's like sometimes I just want to lay back and have him do all the work. What's the feeling he's passive? He's disengaged you're wondering where he is. You're wondering tell me yes. Sometimes I do wonder worry is a little bit and he I mean here knows this too. You know it's like he does get incontinence head a lot so that yeah like give he if I feel like he's kind of disengaged or something or AH. I think what what would happen is that there would be like. He could sense me getting frustrated because I could sense that he wasn't really present president. Or whatever or you know or like not connecting with me and so then I would start to get kind of frustrated and then he would sense that and pull away even more and so then it's like he can't be sexually aroused if you feel like you're being critiqued or a win someone would give up. What is that look like? Was that him losing direction. And what look what does that look like. Someone gives up. Yeah losing losing his erection or Just I don't Know Lake just getting frustrated and yeah just being like Oh. I'm just not really in the mood. How did it make you feel when he would get up from bed and Sam on the mode? Oh well yeah. It doesn't feel good than it feels. Feels like Oh. He isn't desire me or I did something wrong. And I you know I is is. It's my fault what did I ruin it or then I would also get kind of angry wire. Aren't you trying harder are. Why don't you want this like I want this? Are you afraid of initiating sex now because you're worried about that that cycle repeating. I know that I need to USC. Ease up because he does he does a lot and he's a really great father and husband and I know he's emotionally really sensitive so I know that builds up with him and it's just like you know it's a lot to have to put up with somebody's naggingly constantly making you feel like you're not doing things things right and that sucks. I don't want somebody like that

Cassie Sex Lake Manhattan Sony Dr Alexander Sacks USC Know Lake Mark Kassian California President Trump New York SAM RAY
Novichok poisoning: Identity of Russian suspect 'revealed'

Bucket Strategy Investing

01:19 min | 3 years ago

Novichok poisoning: Identity of Russian suspect 'revealed'

"Investigative journalists said they had uncovered the identity of the second Russian man accused of poisoning former Moscow. Spice Sergei script all the suspect. Previously known as Alexander Petrov is actually Dr Alexander you Jennifer, Mishkin a trained military, doctor that's employed as an undercover officer for the Russian military intelligence last month. I suspect originally identified as the name Russmann Bushehr off, but his name is actually Antonioli Topeka. British authorities charged Bushehr off and Petrov with the March poisoning of scruple and his daughter in which they were attacked with a nerve agent. Nova Chuck official state the substance was spread on the doorknob of their selves berry home

Alexander Petrov Russmann Bushehr Antonioli Topeka Nerve Agent Dr Alexander Sergei Mishkin Moscow Officer Jennifer Official