Um, I mean, you have seven kids too. Oh, we're being live stream. What's up? Hi, everybody. Okay. So we're being live stream. We've got some weird. There we go. Good to go. I am still working on the computer getting up. But if everybody's joining us right now, you might, Samantha, I'll kick it off and kick it right to you. And then we're going to follow up with what I was going to say. Oh, OK. Is it, you go with that or you want me to start? Whatever you want. I'm good with all the things. Well, I don't want to, I know you're very strategic. And I don't want to mess up your plan. I love you. No, it's OK. I can do whenever I'm good. I've got a lot of good stuff to share. I don't want to mess up your plan. Well, I don't, I have to, I have to, yes. I have a really, I mean, I have a lot of energy, y'all. Hey, y'all, my name is Dustin Schaefer. If you're joining us or if you're watching this as a replay, this is going to be, this is kind of a kickoff zoom for 2023. And, and this is, this is big. Now we in speaker view, Samantha, just so we can make the view look kind of good. But here's, here's, here's the deal is we have a lot of energy. Samantha's going to take you through. And if you guys don't know Samantha, I can't wait to introduce her to you. She's somebody that when we first met, apparently she didn't like me very much. She said, I like that guy. And the reason why is Samantha is very determined, very structured and very and not necessarily read personality, but very like she's when she's focused on where she wants to go, she's going there. And if you interfere with that path, it's like it's a ruffle. And that's a muscle she's built because she wanted to grow even bigger.  And we always talk about this AQ, EQ, meaning emotional questions.  Are you taking it in because it might be the right thing for you?  And so so what I respect most about Samantha is that even though we butt heads quite a few times, but that's the strength of what we have is because she has a skill set that I don't have. And I have a skill set she doesn't have. We have them, but they're not our strengths, if that makes sense. And so today I really want to I want us to think about, you know, what and I contributed to a lot of the leaders that I get to work with.  What's different?  Can you sit on your couch? And that's going to be my one challenge for you guys is give you sat on your couch right now and everything that you set to stage the goals, the plan, the the the intentions of 2023. What's going to be different? And how are you going to feel like I can see it right now?  I can feel it like right now I can just sense it in my energy, right? I've been building this muscle. This wasn't something I could do five years ago, six years ago. I had to practice what it felt like to achieve in the future.  But I'm going to give you guys an opportunity to let Samantha take you through some goal aspects. And she has a really good training for the end of the month to start out the new year that could be a better timing. And then I'm going to wrap up with something that I'm very passionate about, something that I'm I am very passionate about.  And I want to do that after Samantha, but I want you to take really good notes with Samantha, because the reason why is that I think I'm going to get you thinking so much that I don't think you're going to hear necessarily what she might say. And her stuff is too valuable not to take notes on and not to put into action. OK, but I'm super passionate about what we're going to talk about at the end here, because if you understand what I'm going to talk about at the end, your life will change forever and prove it. Your business proof of business is going to be different than you've ever could even imagine it to be. So dream big, the bold. What is it? What is Joseph said? Future favors the bold or something like that? And so I want you all to take a minute, give Samantha a big shout out. YouTube right now, if your eyes are on or you're watching the replay, give us some comments, let us know and give us your feedback as we go through this. So, Samantha, the floor is yours. Dream big, be bold. I forget. Bold and mighty forces will come. I don't know what he says either, but anyway, Samantha, it's on you. I don't know what he says either. I don't know what he says either. But wow, what an introduction. Hopefully I can live up to all these expectations. No, I'm just kidding. Thank you, Dustin. I'm really excited. I'm really excited to share this stuff with you. I've actually been working on a lot of the stuff that I'm going to share with you guys all month long. This is part of my daily routine, my monthly routine, my yearly routine. So like Dustin said, this is definitely a perfect time. Could not be any better. So I just want to start. And Dustin is the host right now. I don't know what happened. OK, speaker view. I see someone else's face. I see Ricky. I'm going to pin my video because there we go.  Oh, there's me big. All right, so someone else co-host. I see all these notifications. But all right, thank you, Cameron. I think I made you co-host or someone. All right, so let's talk about goal setting. Let's talk about goal setting. Right now it is December 29th. All right, it's December 29th. And we're coming up on the end of the year. We're coming up on a really, really important time of the year. And if you guys don't already do something like this, let this be the first year that you do this. And the only like everything in the past is just like, oh, I used to not do this. And in 2022 and December 29th, I learned something that's amazing. And I started doing this and every single year it got better and better. So if I have your commitment to take what you learn and start implementing it every single year, drop a one in the comments, please, because I want to see who here is actually serious about building their dream life, building and manifesting and creating their future, setting a plan and putting things to action, taking the things that you learned from the year before and identifying what you can learn from it, what you can leave in the past, what no longer serves you, that stays back there. But then identify the things that do serve you, that you are bringing forward into the future. Drop a one. OK, good, good, good. I see all the ones. Good. See, ones make me happy. I'm just making sure you guys are alive still. All right, so I'm going to give you guys an overview of what I do. And why I do it and how I do it and really what the purpose is first.  So you're going to walk away from this zoom, fully equipped, ready to go with a plan, ready to take action. OK. So what I do to start is I spend every single December, whether it be times throughout the month, a two week period, a one week period, excuse me. And I focus on review reviewing my year and I'm not going to give you a whole training on how to review your year, but I am going to give you a couple little bullet points to get your wheels turning and how to start thinking about it. What I do is I actually go through my photo album and this all has to do with goal setting. I go through my photo album on my phone and I start with January of the year of 2022. And I start making a list and then I just start writing down the things that I accomplished, my big wins, the things that I've learned, things that I love, celebrations, things that I'm taking away, things that I learned not to do, things that I learned to do. And I use my photo album because I'm a visual learner, I guess. I love I love being able to go back and kind of relive the moments to remind myself all the things that I actually did and accomplish in the year before. And this plays a huge role in my goal setting for next year. So I'll tell you why. 80 percent of resolutions fail by February. 80 percent, 80 percent of people who set resolutions and personally, I don't use, I don't even like the word resolutions. I don't use it, but I'm going to use it because it's a commonly used term. 80 percent of resolutions, like the idea, the intentions, the the decision, right? Like you can decide a resolution is like that decision, not determining fact, like I'm going to do it, right? But unless you take action on it, it's just a resolution. It's just a decision to say, I want to do this. I desire it, right? So 80 percent of those desires and resolutions fail by February. So drop a two in the chat if you're going to be part of that percentage, that 20 percent whose resolutions don't fail in February. OK, drop two in the chat. Kerry Clark is like, two, Cameron Moss, two, two, two, two, two, two, two, two, two, two, two, two, right? Everybody on this Zoom should be popping twos right now. OK, I want you guys to leave this Zoom setting goals that you're willing to fight for every single day. OK, I want you to get complete with last year. I want you to look back and take this time like you could do it on the 29th, you could do it on the 30th, you could do it all weekend long, you could do it on the first. But do it soon and take this time to review your year. Identify what you did, what you experienced, what you learned, celebrate it, love it, live in it, embrace it. Take, leave behind the things that don't serve you and identify what you are going to take moving forward. Most people immediately get into goal setting when it comes to the first of the year and they don't take their time to review their year. They don't take their time to go back and do these things. They don't take their time to identify these learnings. OK, so get complete with the previous year. Do not project your past into your future. It is not recommended that you project your past into your future. And this is going to be life changing for everyone who actually does this. OK. I want you guys to have a prosperity mindset. And prosperity mindset means that you're always thinking about what's possible for the future.  I want you to make decisions based on your future. And that's why it's so important to have that vision. For the future to have that crystal clear vision of what your future looks like and the future that you're creating looks like. OK. Because of some total of all of your conscious and unconscious thoughts and emotions are going to be brought into the future with you, they will. Unless you gain control of those conscious thoughts, you know, we can't control our unconscious mind. I mean, we can't to an extent, but we want to take all of our beliefs and emotions and everything in a positive way into the future. So, again, what I do moving into my next year is I take my biggest wins. My biggest learnings and then I create my big goals for the next year. OK. So my big wins. If you want to, you know, make a list, I do it on a note. I do it on like a never ending note. Like I said, I go through January, February, March, April, May, I write down the things and then I really start to get intentional. I'm like, all right, what are my biggest wins from last year? You can I like to narrow it down to about 12, right? If I could do like one win a month, you don't have to do a certain number. You could do three, you could do one. You can do 10, you know, do what works best for you based on the place that you're at in your mindset and your business and whatever it is that you're looking to do and then identify your biggest learnings. You can ask yourself, what is there to learn from this situation that I was in? What can I learn about what I do and don't want? If I were in this situation again, moving forward in the future because an experience is just an experience until you detach emotionally from it. And that's when it then turns into wisdom. That's when you then learn something from it. If you're emotional, if you're emotionally attached to any situation. That should be your first indicator to say there's something to learn here. If you feel some type of trigger or emotion, that should be your time to say, oh, there's something to learn here because the second you learn it and you're able to detach emotionally and say, OK, cool, this is what I learned. I'm not going to do this again or I am going to do this better or whatever. And then you take it and like you leave all of the other stuff in the past. You just take your learnings into the future. So I sit there and I really low than that and I figure out what I learned because I don't want to take anything from my past into my future. Right. I want to create my future based on what I have learned from my past. And remember what I said, most people go straight into goal setting without actually learning from their past. So you're taking your past into your future every time you set new goals without actually reviewing what you just accomplished or experienced. OK, drop a three if that makes sense. Drop a three if you're like can I help? Can I impact that with you just for just 10 seconds? Sure. That was absolutely brilliant. I love it. A couple of things I would love for people just to take a second on because I know that that when I started 12 years ago, setting goals and like really intentionally trying to put this thing all together. I would have found in just think about this, if you have a lot of things you learned, I love that you said learns, not failures or not mistakes. I love that you use the word learning, right? Because when we when things don't work out our way, we're learning from it. And we learn from good things too, right? But you tend to learn a little bit more from things that didn't work out as you intended. So I love that you did that. But if you're your person right now that has a lot of things that you learned and you have a harder time finding the wins. Is anybody out there like that? Whether you're like, I don't I can't find the wins. I see Bobby, I see you shaking your hand, shaking your head really quick. Let me just look just how many people out there are kind of like, I can't find the wins, but I have a lot of things I learned. OK, so Samantha, I know that in itself is a perspective to take when you're taking this future into the future is like you're you're pretty damn hard on yourself, y'all.  We have people that are constantly going through life and different things. And it puts it in perspective, right?  A big win is that you can you can walk a big win that you didn't quit. So I want you to think about when you think about winning is there's so many factors that come into the concept of winning. So make sure you define what that means to you, but then also hold yourself to a standard that you want to hold yourself to. OK, so I just wanted to take a second, Samantha, and kind of put that in perspective because I know sometimes people go to the I learned so many things and they didn't find that sense of gratitude of what they did do.  She walked away from proof it a few years ago. And like she still communicates with me.  And now she's surrounded herself with non positive. And I'm like, you can come back. Just not with me to find somebody else. But I hope that makes sense. I just wanted to take a second and share that, Samantha. I'm going to let you go. This is brilliant. This is a wonderful. I think it's a great thing and and please do this activity because I know I'm going to be doing it because I haven't done quite like this before. Hello, awesome. Thank you for that. Yes, definitely. And we'll talk about some things and strategies to identify what your wins and your learnings are for sure. Let me pull this back really quick. OK, there we go. OK, so after we focus on the learnings, OK, ask, you know, ask yourself, what is there to learn from the situation that will allow me to let go of any limiting beliefs? That's a question that is very, very helpful. I actually keep a list of questions here as well. I had it on my wall bigger and I read the question so many times that now all I need to do is kind of look at this. And I already know like what I need to be asking myself. That's how the reminder, how deep it's in my brain. But you can ask yourself a couple of questions like this. How can I produce more results? How can I, for example, maybe how can I make more money in less time? How can I accomplish more things in less time? How can I be more intentional about things in less time? What beliefs do I need to let go of in order to achieve my goals? What new beliefs must I adopt to achieve my goals? Right. Maybe you need to let go of something. Maybe you need to gain something. So always think about what do I need to let go of or what can I gain or what do I need to gain? And this doesn't just apply to business. This is all aspects of life, health, wellness, fitness, mindset, family, relationships. OK, what do I need to let go of in order to achieve my goals? Both myself and like it could be a person. For me, when I first did this, there was a person. It was who do I need to let go of? OK, or maybe what expectations do I need to let go of? What do I need to become in order to achieve my goals? These are things you can really think about. What do I need to become? What what do I need to step into? What mindset do I need to have? Right. Write these things down. What habits do I need to let go of or attain? What habits do I need to create for myself? What do I need to be doing to achieve my goals? You can also ask yourself, what do I have too little of? And what do I need more of? Or what do I want more of? OK. Is what I'm doing right now in alignment or assisting me with achieving my goals? I have that printed out several places, including my refrigerator is what I am doing right now in alignment with what I am creating. It's a reminder for my habitual eating challenges that I have. Right.  And the last one is what I'm doing is what I'm doing right now in alignment with what a billionaire would be doing, because that's what my future consists of. So if what I am doing right now is not in alignment with what my future consists of, well, then that future doesn't. Won't exist. So the more that you focus on where you're going, the more your body and your mind and your language and your activity and every single thing that you do will actually be in alignment and will automatically just start to create and manifest. OK. So another thing that I like to do. And again, this could be you can scale this to huge and you could scale this to one or two things. You can literally create this into whatever you want, right? I want you to make a list of your top wants for the year, like things that you really want to do for the year. If failure wasn't an option, if being nervous and scared wasn't a thing, like just things that you would freaking love if you had a magic wand and you could wave it and you wanted to accomplish and achieve it this year. I want you to make a list of those things. Personally, I start out with 100 and I do it that way to challenge myself. The first time I did it, it took me three days. I've had people on my team do this who have literally not been able to complete the 100. I've had friends and families get into arguments with me, telling me that they would be selfish for asking for those 100 things. And then there's some people is one guy I'm working with. He literally did it in like an hour. He's like, did it. I've got four hundred ninety two. Right. So this, for me, was an awareness of how big I'm able to dream, how big I'm able to see things, what I'm capable. I literally I literally wrote down as one of my wants to go to space to have a bioluminescence lake in my backyard to be able to eat large amounts of food and not store fat. Like literally it could be anything in the world that you want, a private jet, vacations to places, things with my family, a new computer, a new car, a new ring light. All right. I've done this every year for the last couple of years and every single year I knock off 70 percent of this list following the strategies that I am sharing with you guys right now. It's proven. It's done. I check it off year round so you can start small and start with 12 things. Maybe it's one thing a month or you can start with a hundred. And then I'm going to teach you how to narrow it down and then narrow it down to my top 12 and then I narrow it down to my top three. And all three of these lists always stay in front of me. Always.  It's on my phone. It's in my notes. It's printed on my wall. It's everywhere. It's accessible. I have people who actually eliminate theirs. OK. So what I want you to do and then that's all I'm going to talk about with like numbers and lists and stuff, you know, I just wanted to throw that down at the beginning to set a solid foundation for you guys to really know what you would need to do if you want to really dig deep into this. OK. So I want you to get as complete as possible. Thank you, Christy. I appreciate it. I want you to get as complete as possible with everything and everyone from last year before you move on to setting any goals at all. OK. At all.  OK. And when you achieve a goal, you gain momentum. You gain momentum, right? You want to you want to achieve, celebrate, gain your momentum and keep going. Don't celebrate too long, but don't not celebrate. Keep the flow. It's just like a water well. You're pumping, you're pumping, you're pumping, and then you like keep pumping and then the water starts flowing. If you start to celebrate, you're going to stop pumping and then eventually the water is going to slow down. But if you celebrate for a second and pump and celebrate and pump and celebrate and pump, you're going to gain this momentum and this flow and the flow is going to look like this, grow, learn, shift, grow, learn, shift, grow, learn, shift, grow, learn, shift, grow.  I know where I'm going. I know what my goals are. I know what it takes to get there. And I'm going to do it no matter what. And I'm never going to settle for anything less. And if you feel that, drop a one in the chat. If you feel that, drop a one. If you feel that you can get into this flow state and you're in a place and you're in an environment and you have people in your life and in your business that are going to support you through that, drop a one in the chat because that's what we're here to help you do. Get into flow, get into flow. OK, so get rid of any negative psychokinetics. All right, what that is is just really negative mind, body connection, anything you think that's negative goes straight to your mind and that's negative to get rid of those negative thoughts, get rid of those negative things from the past, learn from them and move forward. Two of my mentors ingrained this stuff in my brain a couple of years ago. One of the things is every day and every way I'm getting better and better. Every day and every way I'm getting better and better. Every day and every way I'm getting better and better. Every day and every way I'm getting better and better. I say it all the time. I actually have sticky notes at my computer every day and every way I'm getting better and better every day and every way I'm getting better and better. It's a mantra.  I'm getting better and better. OK, even like I have all of these reminders focused on what you want. And if you think of anything that you don't want, ask yourself, what do I want instead? These are great reminders. Smile and laugh more.  I keep these things at my desk as a reminder. I've made these sticky notes so many times they fall out like until they aren't sticking anymore than I remake them. Be a month ahead always. Keep this stuff in your face. Listen to your gut and take action faster. Say this stuff to yourself every day. Set new boundaries for your new healthy rhythm. This is good stuff, but my mentors ingrained this stuff in my brain and I just do it every single year and every day and every way. I literally just keep getting better and better. You can learn by example or you can learn by warning, right? You can learn by example. You can learn by warning. You can learn by positive. You can learn by negative. You can learn what you do want. You can learn what you don't want. Every person, every experience, every relationship, every everything was put into our life for some reason. Nothing is permanent. It's words that I live by. I might even get that tattooed on my arm one day. Nothing is permanent. OK, every experience, every person in every relationship plays a role in every day and every way you are getting better and better. OK, even the most terrific moments and the most traumatic moments were put into our life for a reason. So I want you to ask yourself as well. These are some more questions that you can ask yourself. What is the purpose of this relationship? What is the person of what I'm what is the purpose of what I am doing right now? You can ask, what is the purpose of the time that I'm spending at this moment? What is the outcome, the intentional with what you do? When you have your list of goals, these questions become more powerful because everything that you do is going to either be a part of or push you farther away from your goals. In all aspects of life. And the mind can tell the difference between things that are real and things that are imagined. It can't tell the difference. It can't it can't tell if you're thinking about creating your future or if the future is actually happening. So you have to have it in your mind where you're going, what you want to accomplish, what you are accomplishing, what your future looks like and your mind will not be able to tell the difference. It will immediately take action towards that. It will immediately your language will change. Your mindset will change. Your thoughts will change. Your fears will change. Your determination will change. Your passion will change. Everything will change. I promise once you start doing these things, you're not you're not going to recognize your mindset or yourself or your abilities this time next year.  It's insane. OK, like if you can't at the end of this, right, the test to see if you're ready is if you can't close your eyes and get goosebumps when you're thinking about what your goals are, then you're not dreaming big enough yet. If you can't close your eyes and get goosebumps thinking about the future you're creating right now and like jump out of bed like, yes, I am so ready right now to take on the day. I am so freaking excited. Then you need to dream bigger and you need to set your goals higher and you need to get really, really, really clear with what you are doing and what you are aiming for and what you are spending your time on. OK, because people who are not clear. Or people who are not certain. They'll settle for less than what they actually want. Someone who's 100 percent certain of what they want and what they hope for will never actually settle for anything less than that. OK, so make sure you're clear and you need to know what you're aiming for.  Like that's the point where you actually believe it. And that's really how you manifest and you set your goals. And then, of course, taking action is the part where you decide if you are going to play a role in the manifestation process or if you're just going to keep visualizing it and it's just going to remain a dream. Are you willing to do what it takes. To make it a reality. And tell me, are you willing to do what it takes to make these dreams and these visions and your future come true?  Your language will follow, your activity will follow. As long as you're certain of what you're going after and the plan that you create to get there and the desire to make it happen, everything that you have is within you already. You have it all. Nobody on the Zoom is any different than anybody else. OK, you have everything that you need. And I'm going to give you one more thing. You have everything except for this one thing. And I'm going to send it to Dustin. I'll turn it into an image. I'm going to share my screen really quick. And then I'll pass it to you, Dustin. I know I've been talking forever, but is this helpful for you guys? Are you guys liking this? Is this helpful? Should I share this with you or should we pass it to Dustin and get this thingy? The one thing give it to us. OK, all right, I got you. All right, ready? This is what changed my life when I heard all this. And I was like, I don't want to start. I don't know what to start. I was like, I get it. It makes sense in my brain. I got goosebumps hearing it. I'm fired up. I dropped lots of ones in the chat. But like, how do I do that? Like, well, well, I created something. And I created something because this is just how my brain works. And I know if my brain works this way, there's got to be somebody out there whose brain also works this way. So let me start down here. OK, so maybe you guys have maybe you guys haven't heard of something called smart goals and this was the thing that helped me really simplify all of this information that was in my brain and put it into writing and be able to break it down simply. And it's very, very simple. So what smart goal setting is is the S stands for specific, like is your goal clear? Is it as clear as it needs to be in order to accomplish it? Is it measurable? Oh, the next one's measurable. Perfect. M stands for measurable. Can you measure the goal? Will it be completed? Does it state like how many or how much or how often it has to be like a number like can actually measure it and say, oh, I accomplished that three times or whatever. Is it attainable? Can you achieve that goal in the allotted time? Like, if I'm like, I want to jump 27,000 feet by next week, that's not that attainable. I don't know if anyone can do that in the world, right? So make sure that it's attainable. And will you be able to get the support needed? I think that's one of the most important questions, whether that support be from within, within the team around you, your friends and family, and really identify who your support system is and your accountability and things like that. Is it relevant? Is the goal that you're working on relevant? Is it important to you? And is it relevant to, is it in alignment with what you're wanting to accomplish, right? Anybody can set a goal, but make sure that it's in alignment with what you want to accomplish and what you wrote down on your paper. And is it timely? Is there a time on it? When will it be completed? Everything needs to have a deadline always. Like, even for yourself, set deadlines for everything. Not like, I'm gonna accomplish this this week. No, I'm gonna accomplish this by this date, by this time, set those things. I promise it makes a difference psychologically. And when you're in creation, your unconscious mind needs to have that deadline. So I made this little list. And I'm gonna show you the chart that you can like fill out and print out and do this literally every week. You could do it digital, you could do it in writing and some questions to ask yourself while you're doing this every week. The number of goals that you met last week, track the numbers of goals that you didn't meet the week before because you're not gonna accomplish 100% of them every time and that's okay. Majority of the time I don't actually, I usually accomplished about 70%. Hey, just like my whole year, 70% every time, right? Don't beat yourself up if you don't get everything done. It's totally cool. What helped you meet your goal last week? Start thinking about like what helped you accomplish them? What got in the way? Find things like maybe it's distractions and then go through, how can I eliminate distractions or whatever it is that held you back from achieving your goal the week before. And then ask yourself, what will you plan to do this week to support meeting your goal? Like what would you do better? So here's what the chart looks like. And at the top, what you do is basically brain dump anything that you want to accomplish this month. Okay, so you can get that from your 100 wants list. You can get that from your top 12 or your top 10 and say, you know, one of those things that this year I identified I wanna accomplish these things and this month this is that one or two or whatever, how many things I really wanna focus on. I want you to brain dump that at the top of your list so you keep it in your face at all times and it could be related to work, home life, family, relationship, self-care, health, fitness, whatever it is but identify those things. And then pick three of these weekly goals or your short-term goals what you're gonna do to accomplish them. So I gave you an example here, this is my goal. So when I pulled up this sheet to send to you guys I had actually written in here 50 K in volume and I was like, I did that last month and I actually made that sheet like last month. So as you see, like the goal grew so then I changed it to 65 because that's my goal for this month, 65 K in volume. So what are my three things? Create a non-negotiable DMO sheet for myself. Like things that I'm going to do every day non-negotiable and what that looks like for me I'm gonna write that all out. I'm gonna do one product live per week, one additional live per week on something else I'm gonna break down my DMO sheet, color coordinate it and do all the things, right? So over here on the right, there's smart goals. You get to check off, is it specific? Is it measurable? Is it attainable? Is it relevant? Is it timely? You literally get to check off these things and then you can circle at the end, was it met? Yes or no? And then when you're done, you go to the bottom and you fill out the questionnaire and then you start a new one for the next week. You could literally create your whole future if you do this all through 2023.  I swear, it's crazy. It's magical, literally. It feels like it. So, did that make sense? Yes, yes, yes, yes, yes. I might just replay this every day. Good, I just love you too, Lynn. I love you too. Good, yes, yes, Tyler. We use smart goals as teacher tools. Listen, Tyler is like this magical organized, she called me a shame, just like I've got everything organized for the Bahamas, I have all the information we've got this, we've got a plan, let's do it. I love that. Do that for like everything in your life. Like people who, you see, look at her attributes and she's like, I'm smart goals and we've never even talked about this and she's on my team, right? So follow this, I promise you this system works. This is not just like some secret. My occupational therapist at my MS clinic is the one that actually just reintroduced smart goals to me and I was like, oh yeah, I learned that a couple of years ago. This is actually really good for the team, right? That's a lot. Oh no, well, clarity creates speed, it really does. Well, if you feel like something is right now in a place where like this is a lot, I'm not sure where to start or where to go. I really highly encourage you to jump on a one-on-one call with whoever it is that you're working with the most and just take a deep breath because it was a lot for me too. Until I actually sat down and did it, I didn't process it. I had to actually print it out and I actually had to do it in order for me to understand it and that's how I am with everything. You can ask Cameron. She's like, and I'm like, wait a minute. No, I can't stop it. I can't make a decision. I don't even understand it. Literally, that's me until I like print it out, look at it and I start putting it into action. And I'm like, oh, this is great. I totally get it, all right, let's do it. I mean, am I wrong? Am I wrong Cameron? Even for this call, I was like, wait a minute. I don't know about the time what do you mean, the goal? It's okay, I promise you. Once you start doing it, this is like the most simple thing. Literally, even my kids were learning smart goals in school. So like, it's so simple once you actually do it, I promise. And work with the person that you're working with. It's not something that just like absorbs overnight, but it is something that once you take action on it and you start doing it, you'll customize it and create it based on whatever works best for you. Yeah, don't tell your brain that lie. I know, I was gonna say that, but you said it, thanks. Correct your mindset. Sam is like, Tyler is the new captain organized, not wrong. I did say that to her. I was like, okay, Tyler's hosting our Bahamas Zoom. You're welcome, Tyler. So I love you guys. I hope this brought you value. It was on my heart and this is literally what I'm in the midst of doing. As we speak, I wish I could show you guys all my things, but you know, then you would be really overwhelmed. But Dustin, I know you have a lot to share on creating vision and creating vision is actually the first part of all of this. Like without the vision, you won't even know what to write down on your goals. So I'm really excited for Dustin to share with you guys everything that he knows. He's the one that's, listen, he's the one. Before I pass it, he told me one time that I did not dream big enough. And I was like, I'm appalled. That's so. And he actually taught me how to dream and how to create a vision. He was one of those main people that kind of life was like, yo, you need to do this. So I'm so grateful and so blessed that you did that. I'll pass this to you, Dustin. Hey, that was amazing. Honestly, I have to go do an MRI right now. So I'm gonna have to talk later, but that was too good to stop. I'm just kidding. I mean, I got 10 minutes for you guys and I don't need 10, I only need six. But I want to use, everybody in the chat gives Samantha some love. That was absolutely extraordinary. And this was what my suggestion, this is recorded, it'll be on my playlist channel. We'll make sure we pulse that out.   And we'll send that out also for you guys. But I do recommend it's simple. You can go Google it right now, print it off and get started right there. But I wrote something down that I need to share before I'm gonna give my piece here is, I wrote down this and it just kind of came to me why Samantha was talking was, don't, she said that like, if you have a bad relationship in the past, like don't bring that to the future. You may have to grieve. I know Alex L talked about this on stage. Sometimes you have to grieve something. Maybe it's a breakup from 20 years ago, right?    So I say grieve, reflect. When you reflect, you're reflecting back on 2022 and taking your wins and taking your learning lessons so that you can set your goals for your future, set your intention for the future. And I don't know, I just, and then go do the actions, do the work that, do the activity that's gonna help you achieve those goals. So I truly appreciate that and SMART goals are absolutely truly amazing. We do have an activity zoom that's coming up in nine or eight, 11 minutes. So for every one of you that wanna get to work, let's get to work. But before you get to work on this activity zoom after I finish here, maybe the first five minutes of the activity zoom is put in the intention of one, that what's the one win you want? What's that one win that you had in 2022 and what's that one thing that you learned that you can take forward and as a lesson to create in 2023? So, y'all, I have a little energy right now and I'm gonna, like I said, I'm gonna try to keep this tight. But how many times are you hearing that it's a cost of our product that is so hard? It's the most common obstacle I get is the cost. The, and I was talking with Lynn yesterday and I'm gonna pull up what she sent me and she goes, what, how do I, she asked me this question, how do we help people build confidence? How do we help people build confidence?  I'm gonna blow it away in a few minutes. Okay. And, and I was like, that's a great question. How do you actually build confidence? Would y'all want more confidence? Part of that confidence is knowing where you're gonna go. If you're in a boat without a destination, you're lost. If you're lost, how many people are gonna follow you? Does that make sense? I want everybody just to visualize yourself sitting in a boat in the ocean with no place to go. Like you don't know where, you know you wanna get away from where you're at. But you don't know where you're going. How many people will join you? Christopher Columbus did not land where he wanted to go. Y'all know that, right? He didn't actually make it his destination. But everybody joined him. Not everybody, but a lot of people joined him on a place because he had a vision and a mission and a direction of where he wanted to go. That's you setting your goals and your intention for the year. Okay. So the more that you know where you wanna go, the more confident you are. The less, the more that you don't know where you're going, I just wanna help a few people. Guess what? Yeah, you do, but you're not really confident in destination. So therefore, not many people need to join you to help you with a few people. But the reality is you really wanna make an extra $5,000 a month to change your family's life. Does that make sense? So when you have a goal, you gotta start to believe in that goal. How do you feel when you achieve that goal?  The reality is we all wanna help people, but I promise you, if you have more money and you have a bigger team, you help more people. It's just the way it works. The most wealthy people on this planet help the most people. You may not like them all the time, but that's just the truth, okay? How do you build more confidence? Results on the product. Success is how you build more confidence. Get people started faster on the product and on the business. Success builds confidence. Now, at the same time, confidence can waive, right? If you've gained some weight back, do your confidence waived? Yes. So guess what? If you are not where you are or where you wanna be in your health goals, that better be one of your goals for 2023.  I'm four days into the IFAST. I'm challenging every one of you all right now, starting Monday, do the IFAST. If you don't have the kit on you, do it anyway. Like do it. I'm telling you right now, like last, if you'd have heard me last time, my wife's like, Jesus, I don't know if I want you to keep doing this. Like I am up here. I am completely up here. And it's just like, I mean, I'm going so fast that Brian, I have to have Nick, Nick Martinez is translating for me because he's like the only one that can understand Dustin when he goes crazy for Brian to articulate what I mean by Brian. It's like, it's out of control, but how do you build confidence? Have success in what you wanna do. Plug into the community of the overall vision of this company. So stay plugged into as many Zooms as you can. So I want everybody to have more confidence in what they're doing. But there was something that I realized when Lynn asked me this question and it took me a while to answer it. Something I realized I thought was super valuable is that why are people having a cost objection? I don't understand. Y'all, I'm gonna take a second for you all. Make sure we're on speaker view. I feel like I'm a little Samantha. I don't know why. Can you guys see me? Am I in speaker view or is this Samantha's? Anyway, spotlight for everyone. Okay, good. Sorry guys. So here's the deal. Why are we having such objections with our product? Why is that the limitation? Why is that in the way? And I realize it's not about the person buying the system. It's the person selling the system. It's us. That's the big obstacle, which we've said before. But then I'm on calls. Kate will contest to this. I'm on a call with a lady. She might be on, she might not be on. And she's literally using a product. I didn't know what it was. So I had to Google it and she has like $2,000 worth of this stuff in her house. And I Google it, $2,000 worth of this stuff. She uses it. She lost some weight for a while. She's gained it all back and she feels absolutely horrible. And then she's now joining Provid because she's not happy. Y'all. And I'm like, I go and Google this stuff and I wouldn't give this to anybody. I would feel like it's a crime. Like I'd be a criminal to let somebody use the products that she's using this. She spent thousands of dollars on to get results for a temporary time and to not actually feel good and to gain overweight back. And I'm like, you spent how much? And people are complaining about $200 a month. $200 a month in Provid.  My cousin just called me, he's a cop. He spent $35 in the gas station in the middle of the night eating crap. And I'm like, you better not talk about costs with me, brother. I go, you spent $35.  And it would have saved you money, right? So then I started thinking, I'm like, what does it cost? What do you guys think right now? I'm just trying to be like as calm as I can cause I'm super juiced on this right now. I'm literally at Epic.  He doesn't stand behind anything unless it's like you can take it to Mars. We literally listened to the top naturopathic doctor in the world speak. We listened to the two number one formants. You all brought Jacob Wilson and Ryan and Ryan Lowry, Dr. Both doctors, they work with Tony Robbins. They work with every lead athlete. They fly all over the world to see those guys to work with those guys because they're the best of the best of the best. Literally Dubai, the sheets fly them in so that they can coach them and guide them. Dr. Angela Poff, one of the leading formulators of leading educators in the entire world of keto. She's not promoting all of these other little systems out there. She's promoting the number one supplement that's ever been launched in the history of the world ever. Y'all, this is not, this isn't little. This is huge. This is generational changing products. And I'm sitting there thinking like people think $100, $200, $300 a month is expensive. I'm like, I don't get it. How is Herbalife doing $5 billion a year? You guys want to know what it costs per month to do Herbalife? $240, it's the cheapest one. I saw Herbalife. I refuse to sell Herbalife, refuse to sell it. Because I have a standard of what I put in my body. Does it work? Yeah, people get success. Is it good business? They're doing billions of dollars, but $240 a month. Could you imagine if every one of your customers were committing to $240 a month and they drank our product with our community and our education and our wisdom, you think how great would they be doing? Change their life forever, change generations. I'm seeing, I see Carrie Clark here and look at, I think of her mom, Bonnie. Like she's changed her family's trajectory of their future forever because of Provid, not because of this other stuff. NutriSystem, $495 a month for NutriSystem. Jenny Craig, $840 a month. MetaFast, $429 a month. Octavia, $500 a month. Y'all, I don't recommend and wouldn't recommend any of those. I've known about those for years. I didn't join them. Dr. Ford didn't join them. Ryan Lauer didn't join them. Dr. Wilson didn't join them. Angela Poff didn't join them. Like, does this make sense? Like the most elite, smart people about human optimization and getting people to change their life forever didn't join them. Our product per month is way less, way less for them. And so my energy about this right now is we need to build certainty in each of us around the clock. And I will do this call over in different ways and shorter ways, but here we have to because we have the number one supplement that I've ever seen in my career that we may ever see in our lifetime that's changing lives. We don't need to add new stuff. We don't. We have it. Now we're going to add new stuff to advance and accelerate and make it exciting. But at the end of the day, we have a plan, a program. So when you're looking at doing an iFast, I feel like I'm yelling at you guys, then iFast with two boxes of ketones, that's 300 bucks or $320 a month. That's what, $32 a day. Not even that, that's $15 a day. That's not even, it's $15 a day. $15 a day to change the trajectory of your entire future's family. That's not that expensive. You're going to get coaching by the top. I mean, literally, I wish I could say more, I can't, but you're going to get coaching by the top. Like the coaching that goes into this doesn't exist anywhere else. I have a lady in the UK right now. She was a coach at another fat loss company or weight loss company that she had no success in. She uses our product and now she can't sell our product to that company. They're all, what are you doing? Well, I'm not doing our program, I'm doing their program. True story. She was in turmoil because that's where she made all her money from was selling a program that wasn't working for her or her clients, but ours is. And it's simpler. So certainty is the huge thing, y'all. We have it. We have the number one system, product, community. Think about the community. Think about the love and the, I mean, just think about what we can give people if we plug in and we work together. In 2023, we're coming together. We're coming together. We're not going to be so disjointed. We're coming together and we're going to bring a team. We're launching a team. We are the legend team in the making, meaning it's not just making one legend.  We're legends in the making and that's just where we're going to go. If you want to raise your, and legends are who you are in here. It's not the fricking thing in the back. It's who's in here.  We have it. It's not a cost thing. If people think it's about the cost then they don't understand what they're competing against. They're competing against nothing else in the world that exists. Tesla wasn't competing with anybody because they created it. No, no, to this day, Tesla doesn't, doesn't compete with this other stuff. When people go, I got my BMW. Well, here, get my Tesla.  That's not even a competition, right? So we have 10 years before somebody's going to compete with us. Let's take advantage of this. Let's take advantage of what we have. It's not expensive. Our product, people shouldn't, I'm just going to tell you, do a trial, get them interested, but people shouldn't be starting with the box of product. They should, two or three boxes, they should be doing the IFAS with two boxes minimum, should be their starting point. And that should be what they should commit to for two or three or four months. You're going to change their family's fricking future. Bonnie didn't just try ketones. She changed her life, $110,000 out moving her body. Now it's like, it's, all right guys. So I do have to go to my MRI. I am excited. And if you're on here to do the action hour, I would just tell you to stay there. It's like, let's go change people's lives. We're going to build confidence. To me, the word of January, January, 2023 is about building confidence. And we want to build, I want to build your confidence as many as my confidence. My confidence are higher now than ever before. I've said, I'm actually sick and tired. I'm watching Kate Higdon. I'm watching, I'm watching Samantha Rose. I'm watching Cameron Moss and so many other leaders right now that haven't hit their potential yet within the back office. They are legends, but I haven't seen it yet. And we're bringing it together so that we can create legends. We are a team of not legends. We are creating legends. We are a team of legends. I guess that's where you would say it, but it's legend in the making. And that's what we're going to be doing from here on out and helping people live the best life they can be. And we can do that.  So if we got to do a live with me, I'll do a live coaching. That's what I'm great at is giving people insight and information inspiring them. That's what I'm good at but we're going to put people in their strength zones in the 2023 to change this, this team is going to another stratosphere and we're going to organize a little bit. We're going to have some places, things that are going to simplify some processes but cost and uncommitment isn't an answer for me. Not an acceptement. It's not acceptable. Like not when I see you, how much do you look at the value of these companies that I just named and I wouldn't try any of them. I wouldn't, I couldn't recommend them to my doctors. I couldn't recommend it to my friends. I would not do that. Yet I will stand behind this product, this company, this community all day long as well, these top influencers, the entire planet. If I could show you a list of the people that I get on calls with, the only, the elites don't do this. They do, they don't do these. They do this because it's the right way. It's the thing that's going to change people's life. It's what's going to change the health of our country. It's what's going to improve the metabolic health.  It doesn't mean that you have to follow a perfect diet. It just means you got to drink your ketones, get healthier and start moving to better. So with that said and done, y'all, I'm going to kick it back at the same ma'am, some ma'am. And actually I got to stop the recording. I appreciate you all. The action hour is going to happen now and whoever's doing that can take over for me so I can get out of here. Same here, the man take over, some ma'am. I'm just going to leave it, I'm going to leave it running for people that want to do that. They missed the action hour. They got to watch this first because it's too valuable not to. Oh, wait. Oh, sorry.  Yeah, go ahead and stop it. And then.


Marshall Chin, who will be moderating and speaking in the next session, is the Richard Parillo family professor of healthcare ethics and an associate director at the McLean Center. Marshall is a general internist with extensive experience caring for vulnerable patients, patients with chronic disease, and a national expert on health disparities in medicine. Marshall went to medical school at the University of California San Francisco and did his residency fellowship and public health master's degree at Harvard. He is the associate chief and the director of research for the section of general internal medicine here at the University, as well as the director of the Chicago Center for Diabetes Translation Research. Last month, just last month, it was announced that Marshall was one of 60 physicians throughout the nation who were elected this year to the prestigious National Academy of Medicine. Today, as I say, Dr. Chin will moderate the next panel and will also give a talk entitled Movement Advocacy, Personal Relationships, and Ending Healthcare Disparities. But let's just welcome Marshall again. Thanks, Mark, for the kind introduction. So this summer I spent two and a half months in New Zealand, and summer in Chicago is winter in New Zealand at the New Zealand Southern Hemisphere. And so my wife Noko and Toshi, a son, they came up for two and a half weeks, and we did a little bit of traveling, which included skiing in the summer. This is Queenstown area in New Zealand. It's a beautiful country. And about two years ago, we spent some of our winter holiday here in the States in Michigan, also skiing. Not quite the same view, but still wonderful to do the skiing. And you know how it is during a family vacation where you're not supposed to work? I actually found that there were a couple issues that were really sort of gnawing at me. And so I found that late at night, after the family went to bed, I would start going to laptop and writing. And I would get up early in the morning and write also. And what it was, was right around that time, a couple years ago, this is the height of the Black Lives Matter movement, as well as here in Chicago, there was a Laquan McDonald shooting. Naturally, there's got news also that a terrible video of a young black man being shot in cold blood by the police. And then here, close to home, this was one of the, again, it was the height of the protests regarding the lack of a trauma center here in Chicago. I don't even know if you remember, I think it was like one of the weekly conferences. I don't think it was the annual conference, but I remember vividly, Mark was introducing a speaker, I think it was for the weekly conference where the local protesters came and interrupted for about 30 seconds and then left. But it was impacted in the McLean Center also. And I think that the, it troubled me in a sense of that, like I tend to be sort of an in-the-system person, that sort of marching in streets isn't my natural sort of comfort zone. And yet, there were these huge issues in terms of police brutality, in terms of the lack of a trauma center on the south side. And therefore, I was at the computer screen during the vacation and in Michigan writing. And for this particular talk, I'm going to share that paper with you, that the three goals are to describe health as a human justice issue and the role of movement advocacy, second to outline the roles of interpersonal relationships and trust in achieving health equity. And third, and really this is core, is to discuss the tension between advocacy and building trusting personal relationships for achieving health equity. And really asking, is it possible to reconcile the two? And I had to say this is, I've written a lot of papers in my career, and this is the paper where I've asked for the most feedback. I got personal feedback from these 16 or so different folks, including I guess by chance, or maybe not by chance, all the speakers in this morning's panel. And so the paper, the paper is much better because of their input. And I've worked for the trainees here and fellows that the past two years were a good paper writing period for me. And I think that of all of papers in the past two years, this paper is probably one of the two or three most thoughtful ones I've written. It's also a paper that was rejected six times. So it's journal number seven. So don't give up in terms of like submitting. And also, I don't like to stew on it so that I would actually turn around rejection within one or two days so that I think from the time of initial submission to acceptance, it was about eight months. So pretty fast. So one of our colleagues in France, Monica Vella, who some of you know, she's a general internist here at UC. In the past dozen years, she's led a required health disparities course for the incoming first year students. She told me a story maybe six to seven, eight years ago where some of the students came up to her and said, Dr. Vella, but we so appreciate that you're giving this course. But to be honest, we don't need it, that we're the post racial generation that we're colorblind. We realized you and older folks like you is a different era. And there were these issues, but well, not for us. Well, this taro Pollock is going to speak a little bit later who who taught me that like, technology can be a disruptive influence. And so we have the ubiquitous cell phone with camera and we have now like the dash cams on the police cruisers. And so we saw them in the recent years, then vivid video showing that unfortunately, we aren't in a post racial society. And in some ways, our young students six or seven, eight years ago were perhaps overly optimistic. It's a famous quote from Martin Luther King that some of you have heard of of all the forms of inequality in justice and health is the most shocking and the most inhuman. It turns out it's not inhumane, which many people think, but the inverse includes inhuman. And if you think about like the civil rights movement, and then also then like police brutality now in terms of I guess race minorities, some ways it's a good test case for the question of when is movement advocacy necessary. And I would argue that there are three main criteria where when it reaches this point, then this type of advocacy is necessary. When the injustice is great. So again, think civil rights movement or police brutality, when the power differential between a presser and a press is large and with the willingness of a powerful to reform the system is low. So you may ask, well, for health disparities, so do these criteria apply? Well, I mean, as bad as police brutality is this far many more people that die or are harmed by health disparities. So the injustice is great. The others, well, you know, we do have a lot of mountains to climb to achieve health equity. I just put down a few here in terms of, well, you know, are we really working on these? So the battle over spanning health insurance been really tough. Do we truly tailor care to different populations? Some, but not enough. Do we address the social terms of health hardly at all? And what are we doing to reform the payment system of health care to so health equity is sustainable? Essentially nothing. So we do have sort of a long way to go in terms of people really caring about the issue and then this power differential. And there are important policy levers, both governmental in terms of regulation and then the free market in terms of then the policy levels of the free market. So really there was advocacy involved in terms of both levels. So also around this time I wrote this sort of bizarrely titled blog piece, Moonshots, Opioids and Incentives, which was accompanied by this picture actually. And when I got down to it, I actually concluded that so why do health disparities persist? A simple answer is that our country tolerates them. So early in the presidential campaign, some people may remember this, that there was a black lives protest where I think it was Bernie Sanders and then it was the Maryland's governor who was running for office where they interrupted the campaign event and they actually Bernie Sanders and that the governor could not speak. And so before when I got Senator Clinton's events, she actually approached the protesters and said, look, don't interrupt me now, I'm going to be happy to speak to you after my talk. And so if you Google the video it's really quite amazing that it says video and that's just a point of campaign where people were criticizing Clinton for being too passive. So the video is maybe like four or five minutes where she's just listening to the man on the right talk about the issues of the black lives matter and then she really sort of lays into it. I'll share two quotes from you. So Senator Clinton, you can get lip service from as many white people you can pack into Yankee stadium and a million more like it. We're going to say we get it, we get it, we're going to be nicer. That's not enough, at least in my book, says Senator Clinton. She goes on to say, look, I don't believe you change hearts. I believe you change laws, you change allocation of resources, you change the way systems operate. You're not going to change every heart, you're not. But at the end of the day we could do a whole lot to change some hearts and change some systems and create more opportunities for people who deserve to have them. So Senator Clinton was appealing to the issue of changing systems and systems are powerful and actually the other thing she says, she really does talk about changing the heart also, that this idea about appealing to the best in everyone, everyone's intrinsic motivation in a sense, both being very important. And another example right around this time was Missouri, so you may remember this story. So an example of advocacy for increasing understanding and motivation. So on the University of Missouri campus there were a number of racial and anti-LGPT incidents, these bigotry incidents. And then the University of Missouri school admission was quite slow in terms of response. And so you remember the national story was then the football team, before one of the big games was probably going to bring a lot of money to the university, they basically protested saying we weren't going to play unless you address this in more detail. And it was amazingly fast. I think it was literally one or two days and then the president of the university resigned. So an example of advocacy to increase understanding, to increase motivation for change. And back to Martin Luther King, a letter from the Birmingham jail, very famous, I have earnestly opposed violent tension, but there's a type of constructive, nonviolent tension, which is necessary for growth. This is an issue then of well, reconciling advocacy then with the interpersonal relationships and trust, which I believe are necessary to achieve health equity. Some of it is internal, so in terms of self-awareness and commitment. So clinicians understanding their subconscious biases and shared decision making with patients or administrators recognizing how their clinic delivers care, maybe systematically set up in a way that leads to these disparities and worse outcomes. So in some ways to have that type of self-awareness, it does require a trusting environment. The University of Chicago where like in year four of the equity initiative, James Williams, who is part of the leaders here, is here part of the initiative. One of the first things we did as an initiative was we actually had the people who were going to be leading the initiative have a two-day retreat basically to work through our own personal baggage regarding equity and biases and whatnot. It's thought to be such a fundamental part of it. It's also this issue that like when you do reforms of quality improvement or changes, when you try to have equity lens, the same thing that to address these fundamental issues, it requires then a certain amount of trust and a certain amount of developing good relations for the people that you work with.  Well, it's a difficult environment in terms of that type of context. So again, there's this tension between having a safe, non-threatening learning environment and discomfort to convince some of the need for change. So the woman on the far right, her name is Jennifer Smith, who's a physician, used to be at Cook County Hospital, recently retired. General internist, a wonderful person. She also is a palliative care physician and a geriatrician by background. And so I took this like a workshop, this breakfast workshop that she was leading on conflict, a conflict resolution. And I thought she had some really wise things to say and I want to share this quote from you. She said that, so Dr. Jennifer Smith explained that a conflict is a personal narrative with a beginning, middle and end. At the beginning, parties frequently experience powerful emotions such as anger, frustration, fear and surprise and often make assumptions based on their values and biases. The middle phase encompasses listening and telling, adjusting facts and clarifying options. In the end, one can hope for agreement, compromise and reconciliation, but at a minimum it should be possible to envision a new future with common facts, decrease the motion and more clarity moving forward. So you can think about her context that as a physician at Cook County working on end of life care decisions with a very diverse population, you can imagine that there being a lot of tough issues that come out, a lot of conflict. That was actually a very nice analogy for what we're talking about now. And so some may say to you, well, you know, Marshall or Dr. Smith, are you being Pollyannish here? The thing about our current sort of national environment where it is so partisan right now and some of our national leaders have had quite divisive rhetoric and clearly that has not helped. But I do think that when you break it down to an individual level, so when you talk to individuals or you bring in individuals who you may have a conflict with and learn their stories, their experiences, then my experience has been that that's what works in terms of when people have to, if you make progress, people need to understand and identify with the issues of the other person in their particular shoes. And so I do think that what Dr. Smith says here is reasonable and possible in terms of you're not going to solve the world in once a swoop or potentially have a lot of agreement initially, but that issue of understanding the other's perspective. And so a lot of my talks, I actually talked about when it comes down to like addressing equity, it requires an honest discussions about racism, colonialism, equity. So caveat here. So after this workshop, then I revised my paper. I was all happy about it. I had this line about, well, then one of the keys is dialogue. And then this is actually Monica Peaks feedback. It's one of the most important feedback she gave me on the paper.  So I think about the University of Missouri sample. So if I said, well, you know, racial ethnic minority students, you just need to basically sort of sit down with the administration and have an honest discussion at all. And Monica's point was that it's a power differential between disparate populations and establishment, which make it difficult. So in terms of, like, if you circumvent them as potentially equal partners and then, therefore, the expectation, especially from the marginalized population of having equal seat at the table. So it's just like, if you're a marginalized population, you're also battling the weight of the status quo or the administration or the asset of God, all the power. And her point being that there also needs to be acknowledgement and appreciation of the difference in lived experiences of the different parties and encouragement of people to tell their stories. And also this is a point about the importance of strong community relationships, because they will be inevitably, and I think we find here in the University of Chicago, something like working on the trauma center or disparate in general on the South Side, they will be inevitably difficult conversations and storms that will require this type of honest dialogue within this context. So this is an iconic picture, a Japanese picture. So in the 60s in Japan, like in many other countries, there were a variety of different protests against the establishment. So this is a very famous iconic picture. I think it's sort of a lot embedded in this image. So I ended the paper by saying, well, I believe that movement advocacy can break down ingrained structural barriers and policies to impede health equity while clinicians, healthcare organizations, and advocates build trusting relationships and resolve conflict with mutual respect and honesty. We must combine advocacy and relationship building to end disparities. Achieving health equity will require policy changes and personalized critical care in organizational transformation that are dependent on good will and trust. So I'm going to end up with a story about Paul Farmer. And so this is a picture from Paul. And this is Jim Kim, who is the co-founder of Partners of Health. And both are amazing people. Jim is currently the president of the World Bank. But they did their residency. They're both medical students at Harvard, and they did their residency at the Brigham Women's Hospital. So my senior year, my third year of residency year, during my make you intensive care rotation, Paul happened to be my intern. So yeah, they got all these stories, like how Steph allows. So I saw Marshall, what did you do today? Well, I was so happy. I was going to get the IV into this patient that was a difficult stick. So Paul, what did you do today? Oh, my hospital in Haiti saved 1,000 people's lives. So looking at Paul is that he's an amazing clinician so that I remember there was this one patient. It was an older white woman who was quite sick. And she was depressed. And she wanted to die.  And Paul was so patient with her that he's one of the few clinicians that has that he can get away with calling a patient by their first name. So every day, he would spend so much time with her, sit in the bed, talk with her. And basically, a lot of us non-medical, basically sort of encouraging her and basically helping her to move on. So when I wrote it off the rotation, she was still in the hospital. And later found out she ended up pulling through. And later when she was able to speak thoroughly, she credited Paul for more that sort of emotional support in terms of really being so much the classic McLean Center physician. So the classic physician here. My last month of residency was the beginning of my fellowship when I was still in Boston. I heard Paul give a talk, which will probably be reasonably similar to the talk we'll hear this afternoon. And it's the first time I actually heard Paul speak in terms of the public health pet. And it's a different Paul farmer. I actually had a hard time finding the right picture for this, that you look on the web for Paul's pictures. Most of them, he's smiling. But it was a different emotion that he was projecting in this particular talk. And the emotion he was projecting was anger. It was a really angry Paul farmer. I'd never seen him that way before. And this is one of the quotes from one of his books that I think captured why he was angry. Structural violence is one way of describing social arrangements that put individuals and populations in harm's way. The arrangements are structural because they are embedded in the political and economic organization of our social world. They are violent because they cause injury to people. So aside from Fleckman over the years, in some ways I think Paul is able to reconcile these tensions I've talked about, that he's an amazing individual. And my guess is he's talking a lot, but it'll also come across in terms of him as a compassionate kind of physician. But he speaks out about injustice and these huge factors that do need efficacy. So I think it is possible to combine both in our lives. And so I'll end by saying that leadership matters. And it's not just the Paul farmers of the world that Paul, he's amazing. But in all of us, I'm increasingly convinced that all of us have a really important role in terms of addressing equity. So a professional responsibility as clinicians, administrators, and policymakers to improve the way we deliver care to diverse patients. We can do better. Thank you very much. Deborah. Hi there. Thank you. That was lovely. I guess I feel compelled to speak out for the people that I work with who I think are completely unrepresented. And that would be people with chronic psychiatric illnesses. They meet all the criteria that you list. They are disenfranchised. The injustice is enormous. We have plenty of data going back 50 years showing that white people and black people who present with the same symptoms are diagnosed differently and that black people are put on medications that serve to quiet them so that they can't articulate the real trauma they've experienced while white people are treated very differently and ferreted toward psychotherapy where they can express the trauma they've experienced. And I think there is nobody who is effectively representing these people. The city of Chicago a number of years ago closed half the mental health centers. The University of Chicago made a decision which had consistently reaffirmed that psychiatric patients have no place in our hospital. And who will represent these patients? I am struggling with that. And I applaud your optimism. But I'm struggling to join you in that optimism. And I wonder what thoughts you might have. Well, thank you very much, Deborah. And I'm lucky to look forward to you. I think I've encouraged you over time to do more speaking and writing about this. I think the first step is like more stories that we need to have more patient stories about how this plays out in terms of individuals' lives. And I think that type of combination with the detailed knowledge of people like you who understand the system factors than that are driving this. That combination of the two, the individual stories plus the knowledge of how the system can be changed.  You know, that'd be a great first step. But thank you for the comment. You're right on target. Good. So we're going to move on to one more. One more. If you can name and where you're from, thank you. Yeah, thank you for the wonderful question. I'm going to refer you to a paper we have in the journal General Tournament this year on we call it high stakes for LGBTQ people of color. It sort of grapples with this issue of like advocacy. This is in brief. What I would say is that there's no right one answer that people have to figure out where along the spectrum advocacy is the right place for you. I think all of us would agree that we need to advocate for individual patients. Some people may feel comfortable at marching the streets. Some people may feel comfortable working with organizations. And so there's like three or four different domains you can think about in terms of patient care, in terms of teaching and mentoring roles for others, in terms of outright health policy, and then sort of systems change within your organization. All of them are very legitimate ways to advocate. And again, the right answer is that it depends upon you as a person, individual. I would encourage people though to not be afraid and to develop skills in each of the different areas because a lot of people don't feel comfortable because they don't definitely have done this before. So I think like a part of people that have experience and over time developing your skill set. And also, too, you have different roles in terms of your work role as well as your role as a citizen. So different hats will also mean different times, different opportunities. But check out that article. Thank you very much. And so our second speaker is Albert Huang, who was a professor of medicine here at the University of Chicago, a general internist. And he's one of the, I think, most thoughtful people here at the University of Chicago. And he, again, he's like a Paul farmer. He has the ability to sort of integrate sort of understanding of individuals and people with macro health policy. He is an international leader in terms of geriatric diabetes policy, cost policy, analyses for diabetes. And spent a year in the Obama administration after the Affordable Care Act. He was one of the people that wrote the regulations for implementing the Affordable Care Act. So Albert, geographic disparities and diabetes and obesity and the long arc of health policy.


अजे श्हाँज़न्स्प्च्ट्टिंपच्भाऔरी जलागा तो जोन्गानिस्पच्ट्टिन्भाछोरी मिसद ठिए साथ नभगा वी न वनागे वी replaced भी भी लग्ड़़े के पहल यहाँ दान तेलिविशिनुच दर थूत मैं जनल रही इूर ऄनुराख बत्रा जी चूँ आद़ेझे इस क्व हिता कहना कच्वाजगा ले। कि आप दिजागी मिद्या के लिखटे शकाजती का च्वाजगी मिद्वेशा दिजी लेंगी च्वाजगाजगे पीलने लिगा वी नदास का जगाजती थान ठीं�唔 बघा मेंखें। वाँ कुई लिदिट सी आनजाद लग कुगटार यह वाँत मीरत्टीं लिदिट वाँत सी तुरोजा कुगटार बाँत करागद्टीं चानज्द और रहा एक पर रहा है. और उपनों ठीईने जीगगी रीडा ओँजी दीगेगा दीगेगेगा. आप दीगेगा ते में अवाशी कि काई गईगा धाना किव of the web, आप दिजिटल नूज़ा आप ख्लिप्स from television news in the smaller format are on social media and these mediums are growing number of internet homes in India is about 350 million number of social media users in India around 350 to 400 million and clearly that is the medium that's going to come in because people are on the move are on the move and they need capsules they need news which is tailored to them and something that catches their attention and they can do it consume it in in the smaller short of format which is the way we are going forward. But it may happen in some of the developed countries in the West. In India, l think there is a large section that still communicates when somebody is talking to them. The whole process of understanding news, the whole process of understanding news in India, साँ तेटेर के some body is talking to them तेटेर होल पीच सब अहरे особенно ऑिटिट patio,the whole process of cashing newsमनाचा uranium jadpartyने प्लऔ मुँँँँँँँँँँँँँँँँँँँँँँ. जर महल कोँे की भात ऴीसे जूंदनाचा stilling between closing America कि दोंपर्रएी सब अहाँत, इनकी बड़ी़ बाई बाई तुम्म०ी कीण के तवास करे लिए केने रागा। अल बाउरे थे करते तुम्म। अगर दोगा मुदी करे खॉल कोंएर क्य तुम्से का था ल॑का है। और दिस तुम्म पाइंगे उस दिन क्य होगा। रोग छ काट सनने रह Julian हमारे यहां रहां, बहुत रिवाज रहा है. पहले हम अपनी डादी नानी से सुनते थे. हमें आमर्चित्र कताने कितनी कहानिया वताएई. एक जैनरेशन है, जिसने अपनी सारी हिस्ट्री की नोलिज शाएद आमर्चित्र कता से ली. और उसी को फिर हमारे जमाने मेगजभ फम चोटे तो कहानियो कि के सेट्स बंते थे. और हम उनको बी सुनते थे. एक चीन्गगा नावाग च्छटिए खंगा रहा है. तो विरने आप ज्छटिए पहले है. ज़ूम आप आप atadhaam chande kaal kaan that we as journalist have to be extremely aware about is the fact that we keep changing ourselves and adapting ourselves to the changing requirements of our audiences, of our viewers, of our consumers. नहीं भी देखार में उश्वार देबेट एक रहा हैं वो भी वार्द विग डेजान देखान के शमग वारग हैं बाँ तरस्पने than we have a date. अआथ भीक देख पीक्ब लुग बाग temos the appointment and some people come back and they engage themselves with one channel or the other or surf or whatever and and see news. बाँ बाँ सोवने क्या करी थी रही है। but a lot of people will pick up clips from your show. कोई ज़रनेलिस, सुरक्ल, और ज़्लाँ स हो, ये रूरूम हो. ये वालगाथ, पीक अप करो � victims । ये बिगिन तो और और स्विन्नाशिनि एँ। यह अप ज्बाजांग बच्चिनि कुलिए बस शूम बात्झीट। ये वाईर लोगा ये वलक्तिख अप करो इसको दिजिटल पे डालो अन देन यो बिगिन तो सी दे सेमिनेशिन और विदिन राफनार अप यो शो गेटिंग वोगा यो साथन ली सी देद अप परटिकिलर क्लिप दाप वस क्या कल की खवर वोगा ये पीपर तिल तो देए देजिग ग्रोइं अप दिजिटल देजिटल देजिटल is a medium where we will have to be present and we will have to be smart about presenting नूस in the day is what we present in terms of the developments नूस in the evening changes a bit an edit page of a newspaper used to be with lot of opinion and debate where you have different perspectives and get them together to argue and reason out their views and then the whole process starts again the next morning and in the middle of this we are making the smaller, crisper versions of news which is for various digital media so my sense is that news is not something that's ever going to go out of fashion it is something that will be consumed in India it is the best reality television and developments is something people just get hooked on to in India as compared to other countries you'll see that every news channel has lots of text written around it in BBC you won't find anything like this there is nothing below in a small line or just a little story slug that's it and they have a neat and clean but here everybody is watching television on mute and you want to have a language that communicates even with people who are watching television on mute which is why you'll see graphics you'll see top lines you'll see grades you'll see various kinds of forms where we put text so that anybody who's not hearing the people talking on screen can actually read and know what's going on so I think we've done this brilliant sense of tailor making news first aid to grab attention because there is competition last we heard there were 403 news channels in our country and if you have to compete there are regional channels there are Hindi channels there are English channels if you have to compete you have to catch the attention of your viewer that's issue number one once you've caught the attention you can tell them what you want to but the first issue is to catch the attention and in that catching the attention what is important is not just to give them opinion but give them news give them news which is not run of the mill give them news which is not a handout give them news which is beyond what is officially stated by various people in positions of power and I have spent the last 28 years of my career doing just that when I was in Indian Express for 10 years I was told I am the exclusive story machinery in the office so I don't need to have cobwebs in my mind about daily routine and that's your agenda you get exclusive stuff stuff that ordinarily is not available to people and that is what is going to be the value add that you do why will somebody choose you from 402 other channels it is only because you are doing something different you are giving something different you are doing a value others don't have and you can present it better excelling in each of these areas is extremely important and then when you have the basics you can tailor it you can put it on digital you can put it in video format but basic raw material is news that is exclusive which is not available to others which is what your team of reporters should be doing and that is the mantra that we follow at times now because what's available to everybody else is alright will be available but to catch attention to make my value add make a product differentiation from the others in the market I must have something that the others don't have and that is the quest for different kind of journalism and a different credibility and standard of journalism and you know I think Rahul Mahajan will bear me out we see a channel we see a journalist and we know that this news is credible something exclusive is going on he has said it will be alright he is saying check it once don't we do that all the time so that is what you bring to the table you bring to the table credibility absolutely exclusive stuff and then comes in the presentation the formatting and whatever else you can do in terms of icing on the cake but the basic ingredients of the cake is something you should never let your eye off because that is the eye of the fish and the eye of the fish is something we as journalists have to keep in mind I don't know much about marketing TRPs are something that I have got into thinking about only in recent times yes it's important to be a business model that is successful otherwise journalism can't survive but I think on a day to day basis to just get mad about TRPs is an unnecessary burden that we put on our heads I just feel that if you do good work sooner or later it will be recognized few people get tired some people get to know them so the idea is to keep your eyes on the quality on the value add there can be I think technology will drive the mediums that we use to put out what we do and while I do I do agree with Mr. Anurag Bhattra that these awards are very important but sometimes without thinking about the awards just to know if our mantra is there then distraction will never happen awards are good they encourage our body of journalists to do more to do better but at the same time TRPs and awards are not a baggage that you should have on your back because in news you're as good as your last story and every morning is a new morning and television is a monster that requires to be fed every half an hour on the channel and with digital Pachori ji I don't know how you do it because that monster is every second or nanosecond monster well there are many more experienced people to talk about news but I just feel quality value add and presentation is what should be our mantra and of course in the world you can't be a neutral journalist the concept has gotten out of fashion because if you said that this policy is good then you are a devotee and if you said this policy is wrong then you are pseudo liberal so whatever the definition is put any label on the package if you know if you like if you're useful that's the biggest test that's the biggest test of a journalist am I making sense to my viewer it doesn't matter whether I make sense to my colleagues or whatever or some area that I'm trying to impress what matters is my connect with my viewer and that connect and that emotion that I need to read from the viewer's response is something I should always keep in mind as a journalist that is the learning that I've had from my 15 years 14 and a half years in television and I guess 10 years in 12 years in print and 14 and a half years in television is a long time to know a little bit about journalism but I can still say that despite all this time we learn every day and we work every day and every morning is a new morning the excitement is the same the goals are the same just the height of those goals goes on rising thank you very much ladies and gentlemen if you're with us then we'll take another 2-3 minutes because I've left the news and many times I love the fraternity which is our culture and we work in certain environments so I love it no that's not true so I know love is not a word that's used in news a lot but I am genuinely a news junkie so I wanted to ask you two questions one is I know you, I've talked about that one big interview I saw and you really asked a tough question and I texted you and I was very happy you asked and he got irritated also you could see it how do you differentiate because nowadays how do you become like others I won't take anyone's name but in your channel these people who try to copy in other channels and whatever ratings you are getting whatever channel you are doing if there is news then how do you differentiate whether it's the same whether it's the same minister whether it's party president whether it's the same people then how do you differentiate the other one whether it's echo chambers whether it's about you then how do you differentiate whether it's about the news which was 5 years ago or 10 years ago in my country news has become a little less how do we have hope going forward that in some way we will reclaim the credibility that we lost I am not talking about you I am talking about the industry I don't know what you mean by how do you keep it different how do you differentiate I agree with you mannerism, style people do but in the world Amitabh Bachchan is the same so the background where I feel that a woman can never be Amitabh Bachchan so you should not try you don't need to try that secondly secondly what do you do see I came into television at the wrong age when people when people leave the television and go back to the print on that age I made a transition in the television which was at the age of around 40 or something that I came into television and everybody told me at that time that are you crazy big big people told me I am getting this opportunity so let's do it for 6 months and see if it will be good otherwise Indian Express always used to tell me that your chair is here your mind is not going to be there so I said no I will go back so I just came for a luck let's try in the new media otherwise it will come back today it will be 15 years so how do you do it different I only know one way of doing news which is I have not been a prisoner of the studio so how do I do my news even today I go to the ministries I go to meet people until you do that then the news which will be given to you in the name of the news you will have to run it but if you keep going meeting not just political class with other people you will know what is really going on so it will be different has always been in getting news never to forget that you are a journalist only if you have news you can be an anchor if your journalist bring that news if you are an anchor without knowing the news you will never have the feel or the confidence of having that news I don't know you have been knowing about your reputation absolutely right I have heard that there are 6 or 10 news which are established I am talking about your network I feel some part of the network is very friendly and some part of the network very honest on the current government news channel job is to be able to critique the current government see there are two things that divide me I don't make an opinion of a person and then do the news my news dictates the opinion that I have on a particular day if I think that the news that is emanating is against the establishment I will take that position I have the conviction to do that and I must say there has been reception to the critique that I have given and I have got calls to say you were harsh but what you were saying was not wrong that is the reason for the balance because you got seen on one side or the other so I just feel it's from person to person but this whole thing about echo chambers I don't agree with you do your market research you do 2004 has the country shifted a bit towards the right that's the popular sentiment which has gone out and what is that who am I to decide that who viewpoint is wrong or the opposite viewpoint who am I to decide that because the country has expressed its engagement with the leader whose popularity has not decreased after 5 years it has increased the mandate has increased we were thinking what will happen in 2019 they will need support of 35 that was the conversation that was going on in every newsroom 100% how many people started playing middle of the road at that time you know but did times now because you will go on to the ground you will get feedback that you get and you honestly put out we all engage our own sephologies to do our service we honestly put that out also I may or may not agree with it from a reporter point of view but I always leave that this is a science and he is doing it through a science it's okay if it doesn't match with mine that's what I am saying that don't make your opinion dictate your news dictate your opinion if you think like that whether you are a reporter editor or a desk editor thank you Navika ji Navika ji you have seen everything your promotion has been done news channels popular and senior face senior in terms of being respected heft, gravitas in the next 3 to 5 years what do you expect from Navika ji what is your message I don't have any such important message I have not set any benchmarks for myself I have been playing in life till here ahead if it is the grace of the upper class I will go ahead I always wanted to do something in the news that people should see that there is news because a journalist according to my definition is somebody who has news and will keep getting news I don't know if it will last 3 to 5 years I have never planned it because what you plan never really happens go with the flow do an honest day's work be sincere be passionate and passion about news is something that has only increased over the last 28 years it hasn't decreased and I will tell you a small anecdote my younger son passed out of class 12 only last year now he has gone to college so frankly I feel this is the first year that I feel free that I can do something otherwise my career decisions have always been based on don't do more than this go home and do homework so don't plan go with the flow do your work and leave the rest to God and I can tell you one thing when I did the 7 o'clock slot many years ago I was happier because I got home by 8 o'clock now I get home by 11 o'clock so you don't plan you just go thank you so you can never take a mother or a woman out of a professional my daughter's 10th class exam and I know my wife is really really I was never tensed in my exams also my parents were but I understand where you are coming from we wish you luck and we will keep watching what you put out and we know that you are somebody who is on the ground who knows news from the source and not listening from the rumors so we wish you luck and I am sure you will do even better please give Narika ji a big round of applause


I'm from Alabama, 21st Military Police Company, Airborne. Basically, this is what I signed up for. I know this is what I'm getting into, so I have to keep pushing every day. This was not, you know, required of me to. So every day I'm trying to get up and continue to drive forward and try to find the good in each little thing I do. So for mid-shift, it's a 21 to 05 petaflet shift. We usually come in about 1,700 to about 1,815 for a shift PT with the shift guys. I have weapons draw, 1915 and 1930, so we'll come in there.  Then we'll have a formation. Our sergeants will check us for all of our tasers, handcuffs, make sure everything's working, flashlights. Make sure we have everything in the shift. And then we'll march over to the LEC PMO around 1945, 1950. About 2100, we'll have a guard mount class. I'm going over paperwork we need for the shift. Briefing from the last shift, what happened, what to look out for. And then PMCS in our vehicle to make sure there's no, what scratches are there. Make sure our lights and sirens are working, the camera's working, the base step of our vehicle. And then we'll hit the road about 2100 and we'll start patrolling.