Everybody forced here. We got 2023 chrome black baseball 12 box haste number 44 Random teams let's randomize and then that we will rip. Good luck y'all Well five times three and two names first one Two three four and five Mike F down to Brandon L and five times on the teams one Two three four and five got Dodgers down to Rockies Mike F Dodgers Joseph N rangers Josh s angels Brady T Yanks Victor with the Red Sox Drew Oh Tigers David O Marlins Robert F raised Nats Drew Oh Mariners Jordan W D-backs Michael K White Sox Eric T Pirates Drew Oh Phillies Gregory J Blue Jays Paul and Guardians Nick P With Minnesota Brandon S Orioles Josh B Astros Brian a Royals Ray G with A's Michelle has the Cubs Drew Oh with the Braves Chris D Padres Joseph S Reds Jake R With the Mets light as the Giants Brewers drew Oh Cardinals Brandon L Rockies Here comes the link for the results. Let's get started Good luck. All right, Arkansas gone to John G. We are down to 11 and 15 on those uh, we're not 11 15 10 and 15 Got your team shy. That's pretty cool. And it's a good team. All right. Here we go If you guys can remember We walk out the door tonight. Tell me to get my mail. Okay Because I forgot to get it yesterday And I will I'll just want to go home after we're done. So All right guys, we are a little behind not going to do a recap on this one There's going to be a pretty quick break here Not going to recap this one Let's get those Hall of Fame models, baby Dan with a spot on Sunday funded on a 17 right about halfway But again, not going to recap this one. We're a little behind So I would like to catch up a bit But it's a quick rip That's another thing if a break is under it's going to be like under 10 minutes. You don't have to recap it Like a flawless one boxer. All right, there's a Volpe rookie A shohio tani refractor 40 of 199 for the angels a seager Followed by a base auto Pablo Lopez with the twins Twins Pablo Lopez That uh, our eyes and Lopez right. I ended up being a pretty fair trade Do we pull we pull one? Uh, we pull one like friday or something to move for 30 or something like that thursday All right, there we go. We got an adley rookie All by a refractor to 199 of Juan soto the yellowch Next auto It's going to be green and it is trevor hoffman. You're asking for you talking about the legend autos nice hoffman for the padres of 99 old-time great That's a sick one Probably what second best-closer all time I had marion river probably it was definitely moe That's like well Eric ganye with the one year Dude ganye for that one you you talked to sam about eric ganye sam loves eric ganye Yeah, red sox legend red sox legend eric ganye Anderson green the 99 he'd got beaver for the guardians and a michael bush rookie The next auto is going to be base auto uh von grissom for the braves Rookie out of von grissom Local guy he's from right around here Well, do you say that for a lot of uh a lot of the uh Baseball players in this rookie class riley green Riley green went to the same high school Kyle oh nice mount castle same school Around here Green the 99 a freddy freeman for the dodgers I forget the grass. I don't know where we're somewhere I'm talking about uh Riley green Talking about Riley green a rookie auto is equal tovar for colorado Feel pretty solid about a shape Feel pretty solid about it Yeah, Lopez was really good. He also had a really good playoff outing not everyone Give my homes is uh Throwing some dimes and they can't they're not getting pressure Those heaters on the roof of the stadium Who's that new boyfriend Blue law of a rookie riley green out of 75 tigers Double thumbs up. I heard Riley green spencer I was talking about a rookie auto Matthew liberator for the uh cards Why yes spencer parentheses tigers superfan and parentheses you did hear Riley green Yeah Sean took some time to make that thing too. That's the funniest part We should send we should send those out in uh people's packages Green waved the 99 is Shane beaver for the guardians Lure fracter at a 75 wander franco tampa and a baby rookie Could throw the wander in the truck just and then an auto rookie bow nailer for the guardians Sorry bow nailer bow is pretty good Where's the other nailer at? There's a third one now He's with like san diego or something A system. Oh, yeah, I saw him. He was in uh one of those leaf products recently every one of those Dude has a handle and everything Oh, yeah, you can help me tell us shan haran. It looks good Uh, there's a lindore followed by rookie image variation atl. Michael for the braves Lure fracter verlander for the Mets out of 75 Years from now, we're gonna be like yeah verlander was on the Mets at one point guys A very nice gold auto for the Baltimore Orioles that's cedric mullins going to shipe PC hit for shipe there Gold mullins auto I feel like mullins is still underrated. He was all star what 22 I was shaking nobody Miller purple mini diamond 150 kb color match rockies a tovar base And then the next auto is going to be wild the chuck for oakland rookie auto SETI WAP. Is that what they call them SETI WAP SETI WAP that's pretty good actually That's better than most nicknames that play on words Best thing in those muscle hamster. Doug martin hated that nickname That's why it was so much better It's like kd and slim reaper. He hates it, but we're all like nope. That's why it's great Does it make sense? Not gonna call late not gonna call a hit on that They blew they blew the whistle like 15 minutes ago langle ears purple mini diamond ulcin 150 braves And gray rod and a rookie auto pasquatch for the royals Vinnie pasquantino I like how I like to pace this game so far though It's going quick, but the action is there. Well, hold me. Oh Oh, man That's not the baker touch. Got kershaw Blue lava to 75 us of tray for the fillies I have latty Next is a Refractor auto mark appell rookie for the fillies the 150 mark Almost had him, but that's when you can't under throw to be fair Exactly you're gonna miss that's where you missed That's my home. So gotta have it. Come on. That's where bakers should throw in the one ball livens like You know the two-pointer the one behind they try to get fracter rookie. There we go masatakioshita for boston one soto And then redemption is going to be erin just The all-white auto gold trim Yeah, the eye they call I don't they must have changed the name before it came out because yeah That says all white, but it's the ivory auto that is going to be sick. Congrats to the yankees Gold trim. I think the gold trim. I think it might be the 58 might be lower on the on the on the all-white auto That's sick Thanks for makin that for me. You can try to put the leighton over the bad boy Go Phil's got the stop All right, the last box you got bb Gold mini dime nice costus the 50 for boston. I like that 15 to 50 costus dude. He's got a you got a big beard now Edward julian rookie. He did have cornrows Now he has like a ponytail. I think yeah, dude the guy is all over the place He's like I gotta I gotta test out what my look is gonna be But he swears a touchdown keep the haircut and then a 150 rookie refractor auto cow michel for the pirates Cal michel that'll do it everybody. Thanks again moving on now to more baseball


People know this. Kwa pakejo people must be in cut-offly ways between their families, because they didn't belong to another state, they are economic farmers and they're always on the line. The government is making sure that they will succeed. Together we can achieve idealisation in unity of countries. We can transform Zambia into an industrialised hub. So, let us all rise to the occasion and ensure that industrialization becomes a reality in our lifetime, or in my ten work place. By the way, I'm only going up to 21, eh?


Good morning. Are you all right? I do not see smile on your face. Are you doing well at your exams, quizzes?  Let me take over as the director of this institute and then I abolish examinations.  You know we have been talking about production of speech sounds and we saw how human beings are able to produce a variety of speech sounds and with those variety of speech sounds a larger variety of words is still larger variety of sentences is still larger variety of discourses poems short stories speeches quarrels friendships love affairs divorces all that happens happens through the combination of those speech sounds. We also saw how speech sounds are produced classified described what terminology is there and now we will move into the second unit of the course which is called please write phonology or how speech sounds are put together. So far we have been talking only about one speech sound at a time correct. So we have been talking about but after this module we will talk about how and how are put together how an e are put together or how more than two sounds are put together. What grammar is there does is just as there is a grammar of how words can come together is there a grammar of how speech sounds can come together is there a rule that sound x comes before sound y or do they occur anyway anywhere we will look at some of these questions in the next module. But before we step into that it may be a good idea for us to review what we have done so far and if you have not by chance you see there is a lot of learning pressure on you I realize I understand and I appreciate that you are doing a variety of courses including this and in suddenly one month somebody bombards you with 100 new terms I am very sure you had never before heard words like Wheeler or words like vocal chords or voiced sounds or voiceless sounds or you know plosive or africate am I right am I right. So it is a it is a it is too much of a load on your memory in a limited period of time that is partly the fault with our educational system partly human being survive so what I am trying to do is I am trying to help you understand what you have got alright easily and what is yet to be learnt properly and therefore this review this test is not for grading okay but I expect you to participate whole heartedly if you make a mistake tell me you have made a mistake if you have done well allow me to pat your back verbally I mean not physically you know my hand will break correct shall we start okay so I am going to present a screen with questions look at the questions and write their answers is that okay just the answers you do not have to write the question I am anyway going to mail these PPT slides to you okay let us see number one first right and then answer then speak right one or two words say for example why can dead people not speak why can the dead not speak what is your answer. They have the vocal cords no breath please write that is the correct answer they have no breath they have everything else they have the teeth they have the heart pallet they have lips they have alveolar age they have everything except that air has gone out of their body it can neither get in nor get out so dead people cannot speak okay number two what is ingressive airstream mechanism right and then quickly tell me somebody please what is ingressive airstream mechanism and if you cannot say just write DK just write cannot say DK is do not know do not say do not know say cannot say CS what is ingressive airstream mechanism the air that goes from outside into our mouth from which we produce a speech sounds there are very few speech sounds with that airstream such as okay any other example no that is whistling there you throw air out but when you say you are sucking air in when you say you can feel it keep your hand here and click your tongue and you do not see any air do not feel any air going out air gets in okay but there are very few sounds human language is used with ingressive airstream mechanism let us go to the next why do men most men not all men not all women but why do most men sound different from most women please write that word on your notebook and then answer me I give you just 30 seconds easy it is you know fastest fingers first okay now tell me what is the answer please raise your hand so that my friends behind the camera can capture your lovely face okay raise your hand does not matter if you make a mistake how does it matter there is no price there is no punishment what is the answer why do men sound different from women because women have give me the proper answer because women have a shorter aditinoid cartilage in the case of most women it is how long 18 millimeters long only whereas in the case of most men it is 21 millimeter long lovely great okay why do adults sound different from children the same reason adults have a longer aditinoid cartilage and that changes their voice quality they have bigger jaws bigger tongue you know there are lot of other reasons right number five what are voiceless sounds right and then tell me in the production of which please write and tell me quickly you know the three or four words in the production of which vocal cords do not vibrate okay or in the production of which vocal cords are wide open there is no vibration number six now you have a good question I am sure lot of people here can answer it when is format frequency higher in the production of consonants or in the production of vowels okay let me also check by answer I am not too sure yeah consonants have higher fundamental frequency check your answers okay give yourself marks if you answered correctly so anyone who got six on six or five on six I also pat myself on the back okay anyone who got less than two on six or only two on six marvelous everybody here passes let us go to the next screen okay what do you mean by tone in linguistics what is tone you know a little more difficult question than that shall we pass come on try somebody please what is tone yeah right variation in the frequency of what variation in the frequency of what variation in the frequency of the vibration of vocal cords that is tone or change in the frequency of the vibration of vocal cords I am going to give you these ppt's except when you are attempting an answer you do not have to write okay you know when we define vowels we say question number nine vowels must be oral continuous and unobstructed that is what we said continuous voiced not voiceless vowels must be oral continuous and voiced okay next is there a language which has round front vowels where E is produced with rounded lips yes there is one there there not more than one there is French and there are other languages among the better you know more widely known languages French has in French the word for in in French the word for T W E to is do sorry is is is is do you know with flat lips okay they also have similarly front round vowels there you might remember vowel trapezium we showed you some red symbols those red symbols are exception look them up I am going to ask you again at the examination at the quiz all this will also form portion of your quiz before the end of this month right what is vowel trapezium we have been talking about vowel trapezium what does it mean what is it it is an imaginary area it is an imaginary area in the oral passage through from which different vowel sounds are produced okay don't many people don't seem to have got it right how many cardinal vowels are there the vowels at the extreme points if you remember vowel trapezium you will remember extreme points and you can quickly say how many are there many people say eight but there can be more right how many cardinal vowels are rounded three yes lovely and what are those O O and O or O O and O okay what is a diphthong can you write quickly I will give you 30 seconds and then you can possibly answer better and compare your answer once you write what is a diphthong compare your answers okay how many people got seven on seven six on seven please don't capture it on the camera ignore it okay sorry four on seven thank you God bless you at least three on seven okay so you pass somehow please pay attention to this area you have the slides and you have the book okay come to the third set what are centering diphthongs thinking now you know I will give you 40 seconds for each question what are centering diphthongs you can write and then answer you might make mistakes but it doesn't matter you know please try you know you can say centering diphthongs or those vowel sounds where the tongue moves from this position to the next position so fill in those blanks from and to what are centering diphthongs the answer is there in the question right what is the answer moves towards the centre you know moves towards the centre centre in the centre of the vowel trapezium that is centering diphthong so you know fronting diphthong is where the final movement is towards the front of the mouth closing diphthong where the final movement is towards the closed position in the mouth backing diphthong where the final movement is towards the back of the mouth etc you know you can you can say that right consonants differ by consonants from one another differ by voice whether they are voiced or voiceless by place of articulation and manner of lovely please write what are semi vowels please write what are semi vowels they are produced like vowels but but I told you yesterday okay right we will check why is it is not n what is it that sound question number 19 why is that not a vowel sound. It is nasal it is not oral okay otherwise it is voiced it is continuous there is no obstruction in the nasal passage but it is nasal and therefore it is not a vowel sound alright what is a fricative sound write the answer please fricative sound is that sound which is produced now complete the sentence which is produced yeah with partial or extruction through audible friction that sort of thing what is an affricate sound okay who can answer it total abstraction but yeah that speech sound which is produced with total obstruction but gradual release okay compare your answer and give yourself ticks and crosses how many people got seven on seven six on seven five on seven let us continue and you know I want you to do this exercise back home back in your room again before some of these appear at the quiz please write definitions what is a plosive sound write it on your notebook please write number 22 what is a plosive sound number 23 using three term level describe as in home English word okay number 24 using relevant three term level describe as in away you can look into one another's notebook after you have written okay not before first write your own definition you know this is a self test self appraisal I am I am getting you to see how much of the course has already seeped into you number 25 using relevant three term level describe a as in away it is a dip thong it will take two descriptions have those descriptions from X to Y position number 26 what is an active articulator write the definition and active articulator is that organ of articulation which now complete the sentence you can also say an active articulator and then complete the sentence number 27 you can say yes or no is opera you know opera lower teeth is tooth and active articulator yes or no no how many knows raise your hands please capture them okay right you know this is the kind of picture I would like to show the world you see my students give always correct answers other pictures I will delete I will ask them to please cut out those seconds from the recording number 28 to order what kind of sound is you will a lowered nasal please write okay check your answers once again see if you got all the seven right particularly check the three term levels okay in a sudden sense it you know it is a very good test of your understanding of the phonetic processes give yourself you know take our cross your answers okay who got seven on seven this time six on seven K thank you lovely five on seven four on seven okay I want to ask I am embarrass you more than that please please answer what is the state of vocal cords when we whisper into the ears of others okay what is the state of vocal cords when we whisper there are you know either vocal cords can be either wide open or tight shirt or loosely together what is the position of the vocal cords please write number 30 our nasal sounds voiced or voiceless write your answer 31 what kind of speech sounds are produced when you will I raised please write when you will I raised 32 what are the two major classes of sounds which all of speech sounds which all languages of the world have what are the two major classes of speech sounds what are the two major classes of speech sounds which all languages of the world have next are all back vowels rounded yes or no no some are also unrounded 34 can women produce all vowel sounds yes or no yes yes obviously 35 can children produce all consonant sounds depends on the sound very young children take time but you know once they cross in fancy they can produce all consonants and all vowel sounds but in friends take time check your answers okay this time it should have been easy how many people got seven on seven one two three four not bad six okay five okay great okay I am going to answer this question okay going to give you some test in transcription now I am going to write some words in phonetic alphabet and I want you to transcribe it into the common Roman orthography sorry ask me so you do not have to write that yes no language of the world has all possible sounds okay so the question is what kind of symbols do we use and I advise you to look up Google say Google IPA symbols and you will get a big chart that chart has possibly all symbols and diacritics what is a diacritic diacritic is the extra mark are you with me everybody please are you with me everybody please diacritic is the extra mark which you use to indicate additional feature say for example in Hindi you have to write K and R how do you write it in Hindi you write it this way this is your symbol and this is the diacritic or in Hindi you want to write KU how do you do this you write this is your symbol and this is your diacritic in Telugu you can write this and what is this so this is the diacritic Telugu also has caps shoes sticks you know Indian writing systems we make fun of it you can make fun of English writing system but writing system everywhere has basically I am trying to get organized a lecture on writing systems by one of my colleagues in the department of biotechnology he has designed a script using which all Indian languages can be written with greater efficiency so one day I am going to ask him to come and talk to us and I would like you to come for that lecture please so there is diacritic so what we do is say for example in Indian languages we have ta ta da da na now ta is produced with you know tip of the tongue touching the back of the upper teeth okay this symbol how do we indicate that symbol so we say this and now we add a diacritic this is ta as in my mother tongue the word is sorry what is this teen 3 in Hindi also there is teen 3 in Telugu there is ta ta okay so this is dental so you indicate it through diacritics so IPA chart international phonetic alphabets chart gives you symbols and gives you diacritics using which you can by enlarge describe all possible sounds in all possible languages have I answered you yes see all languages have only some sounds okay no different language has all the sounds say for example for Englishman this was a very difficult sound no Englishman could in India pronounce no when I say no I mean many many Englishman could not produce ta okay so Tamil has some sounds which are unique to Tamil but Tamil has don't doesn't have some other sounds that doesn't matter I told you yesterday that each language has only some sounds out of a possible box of sounds out of a possible range of sounds but to describe those sounds phonetically we have the terminology and we have the tools the tools are IPA symbols and the chart is that okay right shall we continue okay I am going to give you a test in using because you know in the coming weeks you will have to use lots of phonetic alphabet to describe any example I will say please use phonetic alphabet and when we come to phonology how do is two speech sounds come together we will still need these symbols okay so please get them right right I am going to write words in phonetic alphabet you can write in roman alphabet and check whether you got the symbols right please write you you you just have to write the roman word I am giving you transcription okay and you can use roman alphabet latin you know the alphabet that we use to write the English language okay I will give you exactly 30 seconds write it in roman alphabet write it in roman alphabet please whenever you use phonetic alphabet you should first use slanted bars by convention it means that you are now going to use phonetic alphabet it is not the letter of any particular script it is the symbol of international phonetic alphabet okay check whether you got it right or wrong this is church how many people got it right lovely that is great church this is judge and this is theory okay now I am going to write words in roman alphabet and I expect you to write it in phonetic alphabet shall we do that shall we do that okay please okay got it use phonetic you know use these slanted bars please check anyone who got them all correct okay you got at least say 80 percent of these symbols right okay one okay got at least 50 percent right okay okay okay okay okay you need some practice I am going to write a name tell me what you know I want to see how you transcribe it okay please okay then Ali Raman okay I am going to give you a difficult name now okay everybody please write your own name in phonetic transcription now done okay my my surname my first name is Shree and my family name is Chaudhary write my family name in phonetic alphabet the way I pronounced it Chaudhary okay check with mine this is how I will write it but you know there can be variations okay final test last you know in one minute and then I am going to stop I am going to write some words in phonetic symbol don't pronounce it immediately look at it make up your mind and when I say please pronounce then pronounce that word anyone together or separately as you like okay here is the word what's it this is an English word oh you see oh you see oh you see a word okay what is this got got got this is got okay what is this wait wait wait as in cat as in rat what is this four four four what is this what is this four four four what is this four what is this toy toy okay I think I will stop here well all I have tried to do is you know please don't believe please don't have the impression that I have tried to tell you guys know nothing you know a lot already these are the only few instances where you have made a mistake but these are typical okay I will add the quiz later this month ask you some of these things and I expect everybody to get full marks 10 on 10 or 20 on 20 if you have any doubts any questions please consult me look up the book have some practice and have a good day nice weekend right thank you


Today, I have a special guest, Dr. Laura Slayer. Celia, right? Celia, sorry, I said you got it. You got it. And she, it was, I'll just give you a little bio on her. She's IFMCP certified just like I am. And we actually met through a training with Flow. So we're going to talk about Flow today. If you don't know what that is, stay tuned. It's really fun. It's exciting. It'll make your life so much more amazing, really. You can tap into all those creative pursuits and things that you've always wanted to do and do it with much more ease as well. But Laura will enlighten us with that. She was shocked to discover herself struggling with burnout 15 years ago in her career as a rural family medicine physician to alleviate this heartbreak of feeling trapped in a lackluster career. She started painting, drawing, and running all flow state inducers, right? The regular dose of neurochemical flow states resulted in improved well-being and decreased stress. So just like most of us, you kind of learn through your own journey, which we're going to talk about. She began studying the effects of stress cortisol on her physiology, accumulating in her decision to certify with the IFM. And she resigned from her employee position and opened a holistic membership practice where she leverages technology to build a cohesive tribe of wellness in her local community through innovative group medical visits, online health education, and traditional individual services. She's continued in the Flow Research Collective Certification Program, which is where we met. We kind of found each other. We're like, IFM, yes, medicine. She speaks across the globe on her mission. And I just love the content you're creating, the stuff.  Because again, most of us as physicians are pretty analytical. So finding this other side, right? So let's just get in without further ado. And tell me your story. Clearly, as I introduced you, I have a little glimpse of your story. But how did you get into medicine? And then tell us a little bit about what happened. Oh, thank you so much, Dr. Jill. First, I feel like we almost need to start with I-L-L-I-N-I. Yeah. Right? I mean, this is where it all begins is the University of Illinois. I believe you and I share that alumni status. So I would say getting into medicine is just like any bright-eyed, bushy-tailed pre-med where you want to save the world and help patients. And it's fascinating who doesn't love learning about the body. But fast forward into how technology has advanced, how our health care system has advanced, not to our benefit or our patients. And suddenly, there I was barely 41 and I was burned out. I loved the idea of being a rural family doctor. I loved taking care of babies and grandmas and sewing up lacerations and putting casts on. And being in a rural practice was good in theory. But what I did not recognize until it was almost too late is I was burning out.  I already made that decision. I was going to resign from my employed position. I didn't yet know how I was going to use my skills. So I had worked with a physician life coach and I had looked at alternative ways to use my skills. And I thought, one more CME, let's see. And I went to IFM, AFMCP, which is their five-day flagship buffet course. And I thought, you know, yoga, organic food sounds like a fun time. Little did I know it made me fall right back in love with medicine. And I realized it wasn't medicine that was burning me out. It's just the way it was being practiced. And so that lit a fire under me. And even before then, as I started running or drawing or doing things to try and alleviate this feeling, what I was doing to myself is getting myself into flow and realizing that that was really helping bolster this burned-out feeling. And once you align your values and there's congruence, as you know, you have a purpose and a mission. Nobody can stop you. So this is where I am today and basically mentoring professionals across the world, helping them do their own catalyst, you know, medical practice where they can have their own creativity and work-life masterpiece. So I'm loving it. I love it too. And you can totally feel whether it's your post or your today live or anywhere, you feel the joy. And you feel that kind of a spark that we all, like you said, we had it going into medicine. We were, you know, most of it was passion for healing and for changing the world and for helping patients. And it's so true, our conventional system. I, you know, as I've written my book recently, I've write about the medical school experience, right? It like almost trains out the empathy and it trains out the creativity. So you're in this like straight, you know, and very masculine, which is great energy to be driven. But we need both. And the more feminine, creative, right, to come back. So as those women, at least for me, I used to wear like the black pants suits just and I'm like, what was, like, yes, it's almost like we need like different parts of our personality. And then, you know, if you ascribe to the family systems and parts, we do need to embrace all our parts. But I feel like a lot of us are given this promise that it'll get better. And so we put these parts on the back burner. I mean, I put my creativity on the back burner and as did you and many of us thinking that eventually this will all work itself out. And it's just not looking very well for us. So we have to reclaim it and empower and actually stand firm in holding tight to your creativity and nurturing it and flow because that's really what can help you alleviate burnout and prevent it. So true. And I love that you kind of organically found and then obviously the flow initiatives is so powerful, that training. How did you end up finding that piece? So you first tell us from the kind of burnout to how you kind of fell into that. So I love this story because it's just, I feel like anybody can feel it. And when you're burned out, sometimes you don't know the label. I actually was very skeptical. I thought that's crazy. I'm not burned out, but you know it rather than labeling it. And I remember the time my nurse walked in, it was every other typical day in family practice she put down on the corner of my desk an obituary of a patient that I had, an elderly woman. It's not surprising she passed. You have 1900 patients and you're going to have some that pass and she had lived a long life. And I remember like reflecting, she was a really sweet lady, I had cancer for five years, a great support system, family was there. So it was more of a relief that she would be gone. Normally that would trigger me to open my desk drawer and pen a little short card saying I was an honor taking care of your grandmother. I loved seeing the pictures for dogs or her knitting or whatever that was. But instead that day, I felt immense celebration and jubilation that there was one less person in this world that I had to worry about. I mean, talk about shameful, right? But talk about obvious as well that is the epitome of caregiver burden where you feel like you're just taking care of so many things. So that caused me to pause because that is not the kind of doctor I ever wanted to be. And that really made me be more introspective. And so I started doing more things, drawing and I'm not a trained artist but I grew up in a very creative family. I can play clarinet and I started running more and doing more things to try and figure myself out.  You start getting connections and epiphanies and the great aha moment of flow and it led me down that path of, well, maybe there's other solutions, which... Maybe I can actually heal people and help people but in a way that's different. And I so relate to this because I was again, both of us kind of this conventional and unfortunately the conventional system is very masculine, very driven, very analytical which are all good things, we need both parts but it was this refinding, for me it happened after I moved out to Colorado, I kind of started my own practice I was still pretty much in that thing but at the same thing I realized, oh my gosh there's this creativity that needs to blossom and I started writing and I started coloring. Like coloring was a transition for me, like coloring books. I'm not the artist you are but I like still to this day when I need to get into a flow state I'll bring all my coloring books and I'll go to the coffee shop or I literally, this is a funny story I'm gonna tell you, I don't think I've told anyone publicly do it. First thing is in my car all the time is a big bag of beautiful markers and pencils and coloring books. So anytime, anywhere if someone with therapy or a friendship I bring all my coloring books and I said, let's color and you know it's funny I kind of give you this look but every time the kinds of conversations we have they open up, it just opens up this place because you're so real, you come back to that childlike state so it's been magical with my friends and my conversations and now I'm like, do you have your coloring books can we color? I love that! Funny thing Lori, so a couple years ago in my garage was just secure someone got in and actually broke into my car and nothing was stolen except my old sunglasses which were only precious to me, they had no value and I had a bag in the back that was coloring books and they stole my coloring books and I had to laugh so hard because every one of them was like inspirational and some were versus some were like just inspirational quotes but I thought, oh that thief must have needed my coloring books. Maybe that was something they needed. So I just laughed, I was like, well good that's good that they got that and they probably thought it was something really valuable and then hopefully it made their day and they went. Right, I mean there is something primitive though and really cool about holding colors and in all the workshops I do with residencies or hospitals, I'll bet, I always laugh because there's always one person that's like they don't want to play my reindeer game they're like, I don't want to color this is stupid I'm not an artist why am I even doing this, why? And that person is the one that's like where's that purple marker? Where's that crayon? Because we can't help but color and how lovely that you do this and share this with your friends that they're witnessing this in that parallel play that we're used to when we're little it's just great. Yeah, and like you said it brings ideas and creativity and then so let's talk about for those that first of all as you're listening we could talk all day Laura and I can have this fun conversation but what I think might relate if you're listening out there is during the pandemic people have been stirred up like what am I doing? Do I love this?   The overwhelm? If you're stuck in a house maybe with some whatever kinds of things that are different that have changed and now we're coming back out of course but there's a lot I think that shifted for a lot of people. So if you're listening I bet many of you can relate feel free to share in the chat of maybe the shifts or transitions you saw because I think a lot of people are reevaluating what is work life? What's home life? What's balance? What's flow? So I wanted to state that because I think people are probably hearing us and maybe giving thoughts for themselves either their own experiences or the change that we all like deep down I was like, oh, there's something more, right? And that's what you both had this like, oh, this shift and I went from a conventional hospital as medical director and crazy hours to starting my own practice and very similarly I tried to create a place that was like sustainable and that I love going into and you too. So let's talk about flow that like flow is how we get out of the stuckness, right? Yes, oh my goodness, you and I are both like drinking from the same water. Okay, so let's start and dial it back to burnout because it starts with burnout, right?  I mean, we all experience burnout which is depersonalization loss of personal achievement you feel like nothing's happening and you feel really jaded, right? And you feel emotionally exhausted. So when you recognize that I have flirted with burnout a bit then you learn that burnout appears under functional MRI the same exact brain pattern as grief. So if you think about our society and how we've made space for grief we have tools for grief we have support groups for grief we allow grief to be part of our human nature that we're going to process grief and we're going to learn from grief. And yet burnout we tend to look down upon people saying well, why are you burned out? Just stop it. There's a judgment there, right? Yes. You take it free of that because even ourselves I'll tell you if I would say, oh, I'm burned out I'd be like, oh, come on Jill, get over it, right? Same, same. And it's a conversation just to have and to allow that awareness of burnout to come in and out of your life even now, even though I love what I'm doing I can feel those triggers where I'm going okay, I sense this it's a familiar feeling I know what I can do now to avoid and this is where flow is like medicinal to the brain so just as grief and burnout appear the same in our brain under functional MRI flow state is the time when your brain produces all five neurochemicals of happiness and it feels euphoric it can feel really action oriented and so there's a wonderful energy that comes with flow when you learn how to harness that power and create that cadence and I hate the term work-life balance I prefer to say work-life masterpiece because I feel that there's never balance but you can learn to play with those energies to make whatever you're putting on your canvas even more textured and nuanced and something that only you can do. Yeah, I love that. So you introduced flow, flow is a state where we have all five neurochemicals I'll tell you a little bit about first of all what is the neurochemistry of flow and then what are some practical ways we've talked about coloring and art therapy and running and but let's kind of go the gamma because I always think it's interesting because athletes can be in flow but then I'm like I'm not a surfer I don't know how to surf, I'd love to but so what else might someone else do? So first of all neurochemicals and then what can people do? Right, well first there's the state of flow is a great synthesis of challenges something that is challenging but you have just enough skills so it's not too easy or else it'd be boring but it's also not too hard where you feel overwhelmed so this is the common myth people think flow should just inherently drop right in and be easy like Ernest Hemingway writing a novel but what he understood is he would write and leave half a sentence unwritten so that the next day then he could pick that up and go forward and flow needs a little bit of struggle it needs just a tiny bit where there's a challenge after that challenge you move into this release this active nitric oxide, this epiphany where you feel this aha moment and much like Archimedes was running down the street when he knew the volume of water and could understand this aha this happens in autopilot so it's like when you're in a experience where you can let your brain relax a bit like in the shower that's why 72% of us have creative ideas Right, because you're on autopilot but you're getting this experience of just tactile sensation of the water you're staring at the wall maybe you're reading in the label of your shampoo bottle but that's when your brain then that alpha brainwave comes forward and gives you these things they've noticed oh yes remember it's your grandmother's birthday and you saw that ad for flowers you need to order her a bouquet and then after this release of this aha you go into this deep flow which is a combination serotonin, oxytocin you know you've got anatomide and dorfins and this can be anywhere from a quick five minutes all the way to several hours on average just between 90 and 120 minutes but when you learn how your own flow triggers can be placed in your day like a quick walk outside or maybe you color at your desk you start to learn how to plant those flow triggers it really eases your whole day into something that's more enjoyable I love that and I love that you're just making it so practical because like I said when you first read about flow a lot of like Stephen Kotler is one of the leaders who's taught both of us in some of his books Rise of Superman, Art of Impossible again great want to read more highly recommend those but a lot of those are about these athletes that are like super human literally they do these waves and I'm like wow that's amazing but right but like you said okay look at this is here I didn't plant this here's my colors and it's right beside me here because I sometimes will pick up my notebook and just start to doodle probably you too yes I was gonna say I've got a little bit of like music flow here yeah music when I phone for me especially as I'm writing more that was one of the things like okay how do I get into that state so what I was gonna say if you're not an athlete just walking movement can work anything that's a little challenging so like I love to jump on my motorcycle or see something new take a new route to work like take it taking some it's kind of novelty yes novelty yeah so novelty and then and then creativity so whether it's writing or coloring or doing clay or any sort of creative process can use that music music whether it's listening and certain types of things are flow triggers and they're often a little bit melodic and hypnotic they often have repeatable things they often don't have lyrics so that your mind can kind of just go think on its own and have and you can literally look on any sort of Pandora spotify whatever and look for flow kinds of music or flow list and I think the flow initiatives even has their own playlist right right you can do it and of course any musician if you've ever watched a jazz musician improvise right like you can see them they just go into the state and how you know you're in flow and again correct me if I'm saying anything wrong is that like timeless like all of a sudden time is just gone an hour yes right yes and you're sort of driven by this internal energy and joy and unimonia this like flourishing and I think this is what my goal is for doctors is not to put creativity and flow behind this this like mirror or this glass you have to have a week in a cabin in the woods to write your novel or you have to like be a good surfer like you said or or have these big Olympic moments but it's daily accessible little things to just get out of your own way and be curious and open-minded like the triggers of feeling good dopamine and novelty so a playlist that will get you in a good mood or maybe a YouTube list of your funniest comedic little clips from a favorite show getting outside and experiencing nature is very flow forward and it's just allowing that thinking of creativity and flow as meaningful and worthy of daily appreciation so that's why I like to say it's like a sixth vital sign you know it's really something that we should be asking our patients what do you do to give yourself joy when's the last time you played with a hobby are you curious about trying something and not to be good at it but just to have fun yeah oh I love some of those things you're saying is so important because I come from like a highly productive work-oriented family background right so it was like for me to sit down and just write in a journal or take a walk it wasn't productive and so yes for my transition I felt like a lot of that was put aside because it's like oh I can't be unproductive I can't just yeah hello America this is like all our hustle mentality and we've realized now the jig is up you know right we're seeing that this doesn't get you anywhere but early heart attacks and high cortisol on stage three HPA access and balance you know so I'm telling people just dump things in a journal I love Julia Cameron's book The Artist's Way and don't let the title scare you you don't have to be an artist what she's doing is helping you unblock your inner child and just play and so every morning I do morning pages where I write three pages of this junk whatever's in my brain and it's almost like detoxification so you can start your day fresh and I think it's just this appreciation that most of us don't realize that it's the unhustle that's going to help us be anti-burnout yeah uh love love love and I love Julia and I love her work because it really is so and then she talks about artist dates right and this is like yes self like to the zoo or to the museum or like on a special hike and it's no dogs no spouses no I mean not that you couldn't do that too but oh come on dogs are allowed everywhere I know right I'm like lights down here beside me but don't really get it yeah but I was like oh I love that and just for the fun of it not for it's almost like again for especially for me I had to really come out of that work productivity oh yeah I think all of us have that right especially as women in a usual male-centric world you have to prove yourself you know the minute you're in that world whether you are married single kids no kids you're still you know socialized as a woman so you kind of have to feel like you have to prove yourself and how dare us take time for ourselves how dare us take ourselves on a date and just nurture whatever we want to do for fun and and it's really kind of liberating and it's addicting so I'll tell you like when people start doing artist dates lighting a candle painting drawing whatever it's really fun and you see the benefit on the flip side love it and it's almost like like falling in love with play you could say it that way right like that yes so you so you mentioned motorcycle and I know you ski as well don't you yeah oh I loved it yeah so I do kind of do these dopamine driven I ride my motorcycle and I love that and literally it's so funny it's quite an expensive hobby for just getting into flow but that's literally I don't go on road trips I don't go over weekends I just get on for an hour and go drive on a mountain road or I go to the coffee shop and but it induces flow so consistently that it's literally my flow machine my I have a question I love this because see have you gone through and like gone and analyzed your recipe of flow for example having your motorcycle ride you mentioned a mountain road and when I would run I used to realize and notice that I didn't get into flow unless I was running on a trail because I wasn't having to make decisions like how to cross the street or where the traffic is so do you find like some motorcycle rides are more flow centric than others? Oh I love this because you're totally right on and the other things I'll say skiing and rock climbing which I haven't done a lot but when I have it's like you know why and so suck what you said I have to on the motorcycle on the rock climbing and when I'm skiing with my helmet and my music I have to be completely present there's no scatter there's no squirrel there's no like I am completely in the present moment and I'm such a person who thinks forward past everything and I'm analyzing it literally takes my brain and shuts it down to be present and that's what puts me in the flow and so it's but I'm forced to in a way because the motorcycle is dangerous if I'm not concentrating right right rock climbing if I'm so all these things I think there's enough danger there which is part of the like challenge yes that's the dopamine you're getting that dopamine that's getting you into that flow and it's also why we procrastinate I know Stephen Kotler's talked about that where we procrastinate because it's kind of raising that risk and that's a good dopamine to get us into flow so I love that you've kind of hacked your own recipe when I love that you talk about that because that's my classic thing of I said I mean I can do things ahead of time but most of the time I wait because that pressure gives me the motivation right to do it and they're like oh come on Jill why didn't you do this last week but then I actually do way better if I'm under a little bit of pressure so it's right right and it's it's fun to see how we tend to go towards what we're feeling comfortable with like for example you obviously athletic skiing you know I can't I cannot even imagine myself doing anything rock climbing I'll stay on the ground I'm much more comfortable with paint and music but you know pushing each other to do things like you picked up the colors you put your writing and likewise you know I last summer started jump roping and trying to do fancy footwork and it's fun to challenge your brain because that is great for cognitive decline you know we need to really continue that neuroplasticity and lots of bilateral movement and having to learn new patterns of how your body does things so it's just going to be the future I believe to help us all stay healthy you know what's interesting we're talking about ourselves as you know physicians or women or men listening or whatever but let's transition into the patient who has illness and this is relevant to them to maybe more than anything and I want to set you up because I want you to tell us about it but I just want to share I recently I'm actually in the middle of a book called cured Jeffrey Ridinger Harvard psychiatrist who talks about spontaneous healing and you know what I find in this there's clearly some you know faith stuff there's some food diet stuff all the functional myths and principles are there but probably the biggest thing that I keep seeing as a theme is refinding a purpose which is so clearly like relevant to this like you with burnout or me with like transitioning into coloring it's almost like that finding that deeper joy and purpose in what we're doing that's one of his core things to spontaneous healing so let's take this oh my god how will she take flow and implement it in your visits with patients because I think it is all about healing like this might be the core thing about healing oh absolutely as humans but also especially those with chronic disease and that label is a big umbrella label but sadly Americans are getting more chronic disease as thankfully we are are lucky to have you to teach us you know all about lime and mycotoxin and and when this is part of your life as somebody with chronic disease you can feel very disempowered so when you start to play with flow or creativity you almost feel like you're just being an imposter like it doesn't feel real you don't you feel lost and this is the thing is we're disconnected right and healing this is my experience as running a functional medicine clinic the number one way I find people healing is when they do connect to that limbic system retraining and rebalancing and creativity and flow is part of that when they start to dive in and learn about ways they're getting into their own self sabotage behaviors but then also revisiting their values and going well wait maybe my values have shifted maybe I'll I'll try something new over here and they learn to find their own joy there's power in that but it's also bravery because as you know when when you're suffering from a chronic disease when in our system of healthcare has taught you that there is a fixer there's a pill there's something that they're missing if you just find that person or that pill or that procedure you'll be better and it can feel very scary to go well maybe you have that in you to heal yourself it can feel scary to say oh well what about all those years I didn't heal myself but yeah if we look beyond the grief and go look at the power you have that you can reconnect and you know get that vagal toning going get all those parasympathetics humming and you have new purpose and vision and suddenly your body is less inflamed and how funny that is I love that and I love that you're bringing it in and both of us realizing how critical it is to healing and sharing it with patients because it's like both of us went on this journey of self discovery and found a new way and a flow and a creativity that brings joy and happiness but really it's only like that's going to help our health and then we can take that to the patient and as well and I love that that it can't be a little scary because it is easy to source outsource outsource our health right to the interest or to the position or to whatever else when we have to start to own it which is a little bit like oh my gosh it's my responsibility really but it's right powering it is it is and I feel like as as I've shifted I've had to relearn my identity you know as you go from a conventional family practice position which I love my conventional colleagues my husband is family practice and there is no shade cast upon that I mean we serve a purpose there so I had to re-identify how I work with patients in my new role and I view it more like a partnership like a co-working partnership and and helping them understand that you know they have to partner with me so we can learn about their body and it is difficult to be told for a long time there's no answers and to then be given situations where wait maybe if I try to reframe or think and I never promise cure I never promise remission what I promise is clarity and understanding and just a new perspective so as patients come in I have them draw what would they look like in a year what would they be doing in a year if they were free of some of the things that they're coming to see me for and it's sort of a positive visualization exercise it's also planting that seed of possibility and it gets us that starting point of okay how can we help you find that I love that and instead of just like for me I might ask but you literally give them a pencil and paper and ask them to draw they actually get it ahead of time they get this little video ahead of time saying here you go and today I had a patient come in and she it's so cool you can you can see a lot about their perspective you know the colors they choose the the and she literally said the word flow she goes all these lines I don't know I'm not an artist but this is really flowy and I really want to find flow again I'm like you're in the right place because you know I think all of us need it oh my gosh I love it and something else you mentioned that I think is so key and it sounds like both of us have found that is not all women but at least for me as woman in the culture I grew up in there was a lot of like take care of everybody else's needs and and not your own and I had to rediscover when I first started kind of shifting and healing my own self in these ways I had to really say what do I need and I didn't know I was class right like I didn't oh because that muscle is atrophied you know we don't know right and and also just as as realizing our place in this ecosphere of the global community all our differences our privileges that we may not recognize all the things that make us who we are when you start to look at wait a second I could take care of myself it feels selfish it feels like you're being selfish and in reality that's the best thing you can do is if you take care of yourself you'll be a better partner and a better clinician and a better patient and a better citizen of the world so it's really accomplishing both goals but we're so used to being told that we need to see and help everyone else first yeah oh either or right like it can be both and and it doesn't have to be either or yeah I remember with a very beginning like someone I was working with said Jill you know you just need to think about what do I need at this moment it might be I need to sip of water and then you just follow through by sip of water and you actually reinforce those neural networks so same thing is what do I need right now oh I'm maybe a little bit of place you pull your colors out and you do some so this if you're listening and you're not sure sure I started or you're a little confused you might just starting by checking in and often if we've lived above our neck and we're all here and we've shut that down so like I don't know what I need right but yeah so you're talking about interoception right like interoception is how we feel we've totally lost that connection I love that you bring up the idea of taking a sip of water it's very similar to what artists do when they ask well what does this painting need next and we need to ask ourselves are you thirsty are you are you hungry like what do you need that's beautiful exactly and it can be so simple like what I learned is I got I would get stuck because I'm like I don't know what I need but it could be so simple like okay right now I just need to shift in my chair and like so simple and then you do it and what that does is start to feedback oh I can have a need and fulfill it and it's not hard and it's not difficult and so it can be very so I need to just move my phone I need to but you know so simple things that you can do and that you can check in with and then you follow through and your brain starts to rewire that you can take care of those needs and you can be creative and totally totally I'm so excited because you're touching on a lecture I saw at the healthcare burnout symposium last January that was a dismal conference oh no I mean it's like three days of burnout me and you not like yeah but it had all the great researchers Shanna felt and Mazlok and all of that was worth it but but they talked about how when we train ourselves to be more self efficacious and that's exactly what you're talking about is identifying a need then giving yourself that need it provides that reinforcement loop that you can take care of yourself and it gives a sense of control over your environment even if you can't switch jobs or you and that's the biggest thing I hear is patients or colleagues that I'm mentoring say well I'm in an undesirable situation I can't change everything overnight but these small things that you can control the sip of water the little coloring the shifting in the chair that gives you that feedback loop and it builds on itself and you start to become more self efficacious and less burned out love it because I'm assuming what you're describing is that helplessness right and when we feel helpless like we have no control that definitely is a contributor to stress and burnout because it's like oh my gosh we have no agency right yes no autonomy no agency and there's always some little choice you can make and it's just yeah absolutely you're hitting it right on the head love it well and I'm thinking about flow triggers purpose passion and then the third one's alluding me do you remember the purpose passion oh there's lots I think there's an autonomy mastery at the bottom when it's thinking about yes and it's like so purpose and passion we'll just talk about those because that's the purpose being passionate about something that you do or even it can be played too and I love the autonomy mastery piece because that was that was not hot for me of why like I did my own practice and I first of all I've for 20 years I want to master functional medicine I don't know if you know this Laura but about just 12 years ago when I first started this you know consulting practice I was like what do I want to do what do I want to be and I thought I want to be an expert in functional medicine so I got a trademark on Dr. Jill your functional medicine expert like I'm patented registered trademark but was so funny at the time I did that 12 years ago I didn't feel like the expert but I actually had this goal I put it out there and I put it on paper and I became it like I was able to become that but it was first calling myself what I wanted to become and then I sent it out there to the universe and on public you know like on the website and then I I literally became it but it was first like that and so that's that mastery and that mastery has given me the sense of control and ability to you know know that I can master other things and then autonomy is ability to set your own hours set your own schedule not everyone has that but there's always ways like we talked about getting a sip of water or taking a break where if you can pull some autonomy into your work life for your home life that really does give you more satisfaction oh my goodness yes and and I love that you share that story because you're sharing this you know manifestation that you put it out there and so many practitioners that I mentor are are just wanting to have it all figured out before they take that step you don't you don't you literally actually neuroscience research supports that the more positive visualization predicts more positive outcomes you have to you have to play in the manifestation space and it can feel kind of woo woo to a lot of us like driven doctors you know and so it's just inviting people to say what if maybe spend time every morning being that functional medicine expert and I love how you went the step further and said I am going to totally patent that it's registered trademark which is yeah the company's like that imposter syndrome because in the beginning now I own it I do believe I'm an expert one of many but I am one of many and and so I own it but at the time I did not I was like what am I doing I'm not the expert yet I know imposter syndrome is real I think we all fight it back every day and and I love that you just embrace that okay I'm gonna make this happen you know I'm gonna go and move forward towards this and that is the epitome of how all of us should you know lead a rich and meaningful life is is making it what we want and even if we don't have all the Lego building blocks yet just start stacking them and you got you got the vision of what you want and and move towards that every day so how do you encourage say a patients in front of you and they're like you know Dr. Laura I am just struggling I'm burned out or I'm like what kind of first steps do you give them whether it's with their health or their career or their family because I'm sure you draw people in that need that kind of resource you have how do you have them start do you give them health tips yes oh I love it in fact it's it's sort of like I wish I could talk to them for a whole day because I do workshops for residents on this and there's such a combining of worlds but in functional medicine when it's a patient of mine I dip into that that flow research side where I say okay the first thing is let's try and find some autonomy and that's exactly we talked about earlier that is the biggest domino that I can help you know topple which will end up in a good result so I have them start time blocking you know you're familiar with Cal Newport's deep work you know and I talk about really being honest with ourselves like I love scrolling TikTok I love social media and being honest of starting our day mindfully and and creating a little ritual and and a cadence and really being cognizant because time is our only currency we have and once it's gone it's gone so when we start to time block and I use that phrase if and if you're not familiar and you're listening it's it's basically tagging parts of your day that you're going to do things all the way down to I'm going to answer that email or I'm going to call and pick up my dry cleaning and if it doesn't happen you move it around and you start to learn your own little ways that you self sabotage or things that may not be as important start to bubble up to the top and you get more of a sense of autonomy so that is where I start with any of my patients that are burned out is time blocking oh that's brilliant brilliant brilliant and then it sounds like encouraging them to play or color or do something kind of oh absolutely yes very cool fantastic so what about you know a patient may be struggling just with a physical ailment where they're like struggling you know like the chronic fatigue so common and put long COVID we're seeing more cases than so maybe out there listening you've got Lyme or Mold illness or some of these things that are really serious and you're trying to get out of bed what would how would we start with flow with someone who's really struggling just to get through the day how could we advise them well I would start with trying to recall a time when you did feel flow in the past so even if it's an activity you can't do now then I would I would use creative skills and have you draw that activity on a paper I would have you start to journal with that activity and ask well what did it feel like write down those adjectives make it a creative exercise where you're really diving into what that feels like because our brain is one of these amazing machines that even if you can't be doing that activity physically right now if you think about it it's like you're doing it it lights up that's why you see these three-pointer basketball coaches teaching their team to like imagine syncing that three-pointer imagine going down that hill imagine the big tidal wave that you're surfing and so if you're stuck and you're feeling kind of downtrodden and you used to be a virtuoso violinist draw it out or write about it create adjectives remind yourself what that felt like because then your body wakes up and you start to then become a predictive machine your brain starts to look for more ways you can experience just a little wisp of that flow and it starts to become inviting into your life oh brilliant love love love that because it's so practical soon as not everybody is you know like we talk about athletic even me I'm not really that athletic but oh goodness this is so inspiring such a great conversation and it's so fun just to talk to you because you're clearly your energy is just it's bright and beautiful and I love our colored hair yes I mean we have to get another selfie soon next time I see you at a conference I mean we have to do a little a little line ILL I and I cheer you know yes and it's usually yeah you're usually in that realm of blues and greens and I'm in the pink and purple so it kind of is a nice color wheel good good balance good balance love it Laura what a great conversation love this where can people find out more about you where can people get more information tell us where to find you awesome well thank you Dr. Jill I love any opportunity to chat with you people can color outside the lines with me and they can find me on my website Dr. Lara Salier.com they can follow me on Instagram Dr. Lara Salier TikTok creativity doctor and just anywhere that you see rainbows and colors unusually around there either dancing drawing trying to get people to understand creativity is the sixth vital sign so I challenge all of you to draw something today Oh great one so we'll leave you with that challenge to draw feel free to share any experiences here or wherever you listen to the podcast thank you so much Laura for your time today thank you


everybody forced here ripping 2023 gilded collection baseball hobby six box case number 49 picker team style got alex d with the rays andy f guardians braden has the fieldies brent c pirates clayton b twins darin has the royals david o jays ethan s redsox glen k metz james j cubs james p with the mariners jeff t tigers in amarlans joseph s nationals josh will be brewers and a's lance m dodgers michael c yankees cardinals and rangers paul b has the astros hydrae's white socks and rockies theodore with the giants thomas j diamondbacks braves and orioles and yuan has the reds and the angels all set to get started here all right so seven to go on certified four box number 16 another spot came in four origins that first origins eight boxers at 18 to go now all right here we go gilded full case nice start dodgers rookie james outman number to 199 sorry i saw something weird an email folder okay dodgers lance there you go lance after that is rookie codice and god is 75 last spot mojo already for glenn with the metz autograph here rookie tyler freeman guardians the 99 cleveland is andy and a 75 rookie auto is equal to ron to 75 texas michael c with the rangers and a byron buckson a 99 from minnesota it's clayton b with minnesota framed auto 225 emerald edgar martinez good one for seattle james p with the mariners on the edgar rookie wave matthew liberator to 75 for the cardinals now uh cardinals as michael c mini diamond to 50 rookie royals drew waters uh it's darin with the royals followed by an auto of joy monez says nationals nationals rookie joseph for joseph s here for the 99 and rookie michael harris the second number 37 of 99 for the braves now thomas j with the braves that's a sweet harris framed auto at 25 white sox herald baines a lot of white sox frames tonight just across the the few gilded breaks uh paul b with the white sox we've been four boxes so far gilded tonight three of them have been white sox framed autos aloha marz aloha wave mani machado out of 75 uh paul b with the padres followed by mini diamond gives into 50 cardinals michael c with the cardinals auto rookie christopher morrell to 99 cubs james j with the cubs nice hits chris bryans out of 99 rockies on the parallel paul b with colorado in a framed auto out of 50 for the brewers paul molitor that's joshua b with the brewers i believe yep paul molitor to 50 we'll see a monster hit here be cool to pull the jfk auto wave of nolan ryan out of 75 for the angels you on with the angels rookie michael bush to 199 dodgers goes to lance with the dodgers now yellow rookie auto nick proto royals to 75 darin g with the royals and freddy freeman dodgers to 99 a lot of dodgers cards in this one so far for lance framed auto out of 50 steve carlton fillies lefty for the fillies braiden a bogs z to 99 red sox uh ethan s with boston ray wave shane beaver to 25 guardians nice card guardians that's andy f yellow rookie auto to 75 baltimore grace and rodriguez for thomas j it's an awesome gray rod right there and a wave of barry larkin to 75 for the reds barry was pretty good dude you on with the reds framed auto out of 50 donnie baseball for the yankees now donnie baseball michael c with the yanks wave of satchel page to 75 that goes to the orioles st louis browns are the baltimore orioles thomas j with the os out of 50 is david orteez red sox big poppy for ethan word 46 of 50 blue rookie auto carlos perez out of 50 for the white sox here paul b white sox and rookie shantaro fuji nami to 99 for the a's nice hit for the age josh will be fuji nami and framed auto is roger clemens red sox out of 30 sweet hit boston the rocket ethan again man sweet clemens maybe a sec we'll do a quick recap here nothing huge in the case unfortunately but some teams did pretty well all right number to 199 we got michael bush james outman to 99 we've got freeman bogs bryant fuji nami harris and buxton the 75 nolan orion very larkin mani machado satchel page matthew liberator codais sanga to 50 got big poppy drew waters bob gibson to 25 beaver autos now of freeman morel manes s nick prato is equal to ron grace and rodriguez and carlos perez framed autos of roger clemens boston don mattingly yankees steve carleton fillies herald bain's white sox edgar martinez mariners and paul mallard or brewers thanks everybody for filling that up moving on now to our one basketball break tonight


What's up you guys it's Adana welcome back to my channel so I get these questions about like health care experience and patient care experience and you know your virtual shadowing versus shadowing and just basically your experiences that are needed for CASPA because when you're applying to PA school you need experiences mainly direct patient care experience and so it was asked do these hours ever expire and so that's what we're going to be answering in today's video. All right what's up you guys so I have this question posed for me and I think it's a really relevant question because honestly it is pretty important you want to know if the hours that you are getting if the hours you've gotten in the past will ever expire and so this was asked by Andrew Perez and Andrew asked great video Adana I'm a pre-PA student and all of your videos have helped a lot oh thank you I've reached that I was wondering if patient care hours expire I fall into the late 20s range and was an EMT for five years before returning to school I'm no longer an EMT but neither me or my advisors know if those five years can count towards my patient care hours thank you well thanks for taking all the time to keep us informed you are very welcomed Andrew and so like I said I believe that this is a very very relevant question it is important and from all the research that I've done the answers point to the fact that they it's like it's murky they don't expire but they do expire okay and so to just help clear that up I want to share my screen with you guys and I will show you exactly what I mean by it's a little bit murky I've gone to it's going to pop up on the screen like to my left you guys is right but I've gone to CASPA's website so if you haven't gone to CASPA ever in your life you need to because this is where you're going to be applying to most of the PA schools most of the PA schools in the US are like they participate with CASPA okay so you have to put your application through CASPA and then you will send them to the various different schools CASPA has a frequently asked question section you can navigate through that I literally just googled CASPA in Google and then I went down to their frequently asked section and then when you get there you kind of just go down to filling out your CASPA application and here you will go to supporting information because that is all of the additional information that you will need you will then click on experiences and then it gives you an overview of the various different experiences what they mean what they count for some examples of those experiences and how to enter them but I just wanted to go down to this part right here where it says note that each that since each program's definition and requirements vary CASPA has no specific preferences as to which category you choose now this is for all of your different experiences and as I go down here you can have non-health care experience research volunteer patient care experience and health care experience as well as shadowing okay this is where like your virtual shadowing that you would get through the get that C university virtual shadowing program that will be launching soon that's where you would put that information in okay so once you've gone through and you've seen what your actual experiences that you're going to enter in then you can go back in there and make all of like the specific necessary adjustments okay it says these categories are broadly based on feedback from various physician assistant programs and are not a comprehensive list of every type of experience so they want to be clear that you can have other various different types of experiences okay that may not fall on the list that they've provided says if you have any questions I'm jumping down to the next paragraph if you have any questions about your experiences fill fulfilling an individual programs prerequisite requirements contact that program directly and I mean obviously this is a little bit of like I'm just covering myself but it's true I tell you guys this all the time like you can't just take my word from it for it okay I'm just a girl on YouTube talking about my experiences that I've had and some of the research that I've done but you have to do your own research to ensure that you are getting the most up-to-date information you come to me you do some research you you know you subscribe to my channel you see okay this is what Adana says but go and verify this okay verify this information with the school and then just with our governing bodies so if you have any questions specifically about that go to the school but this is where Andrew your question is answered it says although you can enter any experiences that you believe are relevant to your application we recommend focusing on those experiences within the last 10 years and at the collegiate level and above enter only current and in progress experiences not planned experiences and check your programs require requirements regarding documentation okay so that is that all right you know you guys you you just heard it right there they said that it's not that it's a requirement per se but they suggest that you do this within the last 10 years which makes sense okay a lot of your actual prerequisite requirements in terms of the academic work those like science courses they expire at a max of 10 years and so keeping that in mind it would be like it would be essential and it would behoove you to actually allow your patient care experiences to kind of cover that same span now this does not mean that you cannot enter it in because I'm a big big believer in putting the information on there because you have the space to do it so put the information in there and let the programs decide if you meet those all if all of those hours meet the requirements okay for you what you can do to just ensure that you're at least hitting the bar is ensure that okay if I did these courses five years ago or if I did them fit some of them 15 years or get or have some of these hours but they span into the 10 year mark like some may have been like within seven years some may have been within 10 some may have been within 15 put all of them but know that when you're counting it just just to be on the safe side you're counting only from those that are 10 years and above and then you can see generally speaking how many hours you have and then from that you can say okay well overall I may have like 20,000 hours of health care experience but within the last 10 years I have you know 8,000 or I have 12,000 and then you'll see exactly where you can line up with these programs but again verify verify verify call the programs ask them if they have any requirements on if these hours expire or not and if they don't you're good to go all right hopefully this answered your question continue to leave me questions in the comment section you guys I read them I comment on them I make videos with them and it really helps out in terms of me getting more content out to you guys please subscribe to my channel it helps my youtube algorithm out a lot a lot as I'm able to continue to make these videos for you the more you subscribe the more you like the more I'm able to put out more content because youtube will promote my video to others that aren't subscribed okay follow me on instagram and on the PA do the same for Get That See University on instagram at Get That See University and check us out on GetThatSeeUniversity.com thank you guys so much for watching I will talk to you guys next time bye


Felly chi fod i лwydd yn yr hynna'r met define nhw a mewn eisiau gwnaeth Wah Simwyr yn mythau byddol ynddig árha ac sydd oes y fydd yn byw i'w fydd yw'r cyllidio'r meddymiaeth Cymru. Ac rydyn ni'n ddweud fe ddweud, ddweud angen o bwysig â'r rhagdol yn rhaid, ac dyna rhaid i ddweud arwaith iawn, ac oeddw i ddweud cymryd ddweud mewn meddymiaeth Cymru, a roedden nhw'n ddweud a bwyin i'w suits cerdd, rym ni'n ddweud yn cael ei ddweud y mae'r ffaith, ac rydyn ni'n ddweud mewn ddweud ar y mynd, I wanted to be James Hatton and do all things for all creatures. Great and small. I got to vet school and I got fascinated by science. I had an option at one point to intercollate. I did a research project on herpes virus in cows, bizarrely. But it didn't matter what the topic was because I was working with this awesome bunch of people who were enthusiastic about science. My project was terrible really. I mean, it didn't work well, but it was tremendous fun. Ond yn y gweithio, byddwn cael gweld, ond rydych chi'n meddwl, yn ddoch chi'n rho, nad yn gweithio i'ch gwahanol a ddechrau, nid fyddwn na'n gallwn drwg ffrinddo. Ond rhaid i gael ei wneud. Ond ddim yn gweithio arall o'r clonwyr. Rwyf yn Bean Cross i'r glwarmau, i nad yw i'r clonwyr iawn, ac yn cymdeithasol ei cynnig. Mae ydych yn ar мыfnad y mae'r llwyth yn rhaid i'r llwyddiol yn ceisio am gynghreifftol. I got one of those little ratty pieces of paper in my mailbox saying, hey, PhD-available, orthopedics, if you're interested, call me. And I did and the next day I had a PhD and it was as simple as that. I have no understanding what happened, why I did that. I knew I wanted to do research but I thought I wanted to do clinic then research and I went to do research and I'd just never look back and I never really regretted it. So that's kind of how I got here. And what speaks to you about research? Why, is it the man you're so passionate about? Well, one of the reasons is the exact antithesis of why I, so basically the reason why I don't do clinic. For me clinic, I'm very, I get very impatient with once I can do something and I can do it reasonably well, I want to move on to the next thing. So I'm driven by that in part, I'm impatient and I'm also incredibly curious and inquisitive and it sort of drives me crazy sometimes but it does just drive me. So I really want to know the answers. I want to know, I know people are doing things but I want to know why they're doing things and why they're not doing something else and does it work. And so to me it's just a curiosity that just I can't quench. So my topic was going to be, it was changed but my topic ended up being about essentially the potential for using translationally relevant animal models. So historically like a lot of research, my research has involved the use of what we call preclinical animal models. So the animal models often of normal animals where we use them to test particularly safety of devices and biological therapies. But increasingly there is public pressure to be accountable for the use of animals which is very reasonable and a realisation that a lot of our normal animals while they are very interesting for giving us information about safety aren't really very predictive of what happens in patients. And I'm in a very fortunate position because I work within a veterinary school where we have access to and a demand from clinical patients with many of the same diseases that we see in humans. So I'm in a very active condition particularly so in the musculoskeletal arena the areas I work in are infection, osteoarthritis and bone cancer. And the bone cancer in dogs is very analogous to bone cancer in kids. It's just a little bit more aggressive but that's what we work on. So I'm actually funded by a human charity in the UK to do bone cancer. We're doing a clinical trial in dogs because dog disease is such a good model and unfortunately the number of cases we see that we can do discovery much quicker. So that's basically what I end up doing and how I'm driven. Scientists have laboured under this illusion that we just do things on animals and it's convenient and lazy and it's easy and it's not very kind frankly. And I think the reality is from my perception is from being within it for 20 years now is actually that's not what scientists are about. There are some outliers who maybe aren't as appropriate as others but the vast majority of good people are trying to do good things in an ethical way. But I think that rather than wait for the public to demand legislation we really need to be taking care of business ourselves. We need to guide ourselves and so that's a lot of the initiative that I've been involved with through the ORS, the preclinical model section of ORS through my involvement with AOVET which is another big group that works in this area to try and just challenge scientists to challenge themselves to do the right thing to do good models to be sure that the techniques they're using are clinically relevant, are high standards of care and they're ethical. And if we can do that then I think the public will accept the fact that animals are regrettable and unfortunate but necessary part of what we do because they are the most predictive things we've got. And when you say ethical what does that mean when you drill down that word? Well for me it means honestly it simplistically means sleeping at night. It means an ability to know. The bottom line is this and I say this to all of my graduate students when I do a surgical procedure on an animal it is absolutely undesirable to me to do that. I would far rather not do that but what I try and do is apply the same approach as I do in the clinic. So for me surgery can be one of two things it can be a big bump in the road or it can be a flat bump and for me the animal has to go through an experience that's flat and as painless and as humane as possible and if I can apply clinical principles of analgesia and anesthesia do a good job technically it means practising beforehand on cadavers and making sure that when you go to surgery you do an exemplary job, after care you do an exemplary job then at the end of it I don't like doing it but I'm very comfortable that the cost benefit has been appropriate. So for me that's what it's about it's about living with myself and the fact that you do this work which is really undesirable by any metric I'd rather not be doing it but until there's really truly something better we do a lot of work with computational models so predictive computer models but all of those predictions come from looking at animals and then converting it back in today and when we've got more of that data we'll do more of that modelling we do a lot of cell culture work but when you do these complex things of interactions in biological systems particularly when you're dealing with immune systems and all of these other things you unfortunately still need to go into an animal but it's about designing the right model with the right number of animals so you answer it and for me I cannot get the answer that the sponsor of the study wants but we will get the right answer so the right answer being that if I do it or a colleague in Japan does it or a colleague in America does it it's the right answer and if we do it well and we get the right answer we never do it again that's the best thing we can do because then we don't waste animals. 10, 15 years ago it was very competitive and I think the realisation is that the depth of knowledge in individual areas is now so deep that each of us cannot be an expert and I talked to my students about when I was at vet school I went into a library and everything I needed to know was in that one room now I go into that room and there's a room off it that's just about bone and off that there's a room that's got cartilage stuff it's got tendon stuff it's just exponentially grown and you can't be an expert in all of it so to me I work extensively with engineers and I love it it challenges me intellectually but it also fulfills me because I can do things I could never even think about doing and so I think we've moved a little bit away from competition there's still competition but I think it's much healthier and the reality is collaboration if you do it right means collaborative grants so everybody wins but you can really leverage the strengths of other people and the first rule of these things is surround yourself with people smaller than you it's a winner


Everybody forced here up in 21-22 Don Russ optic basketball choice five box number three random teams You can always find these results of late in sports cards calm. Thanks for joining everybody and good luck Yo, oh, man. I hope he's all right Warriors hollow clay Thompson Clippers Keon Johnson rookie optographs go Clippers so far. They've been like the best team to have in this product Right in green pelicans Zion Williamson Hey, sir, it's red rated rookie 59 of 88 Isaiah Jackson and non-numbered rated rookies Corey Kispert wizards and Jalen Green Rockets nice Jalen Green Hollow Thunder rated rookie Jeremiah Robbins and Earl Demsion Alprin Shengyu and rated rookie signatures choice Rockets having a good break Killian Hayes green dragon pistons not numbered Much shorter printer than the red and greens though Blazers 40 of 88 Robert Covington and red rated rookies GT Thor pelican our hornets and Rockets Alperin Shencun man Rockets doing very well. Well, he didn't play last year gills Guess I use other photos. I don't know There I've I person ever thought about that Hello T-wolves at the Edwards house your car David.  We had a mower bat-knob. We had a red rice harper from pristine There was Hollow rated rookie Clippers Jason Preston Pelicans rated rookie red choice auto Herbert Jones not numbered red and green sons Cameron Johnson Rockets Eric Gordon red choice 65 of 88 Red rated rookies Hawks Shreve Cooper and pistons Isaiah Livers bucks. Hollow drew holiday Warriors optographs David Lee heat red and green bam out of bio Thunder Lugans Dort 10 of 88 and rated rookie red Pelicans Trey Murphy the third and Nets Kessler Edwards That is gonna do it. Thanks again everybody. We've got one more of those choice breaks up next