Newsletter
Solving Healthcare with Dr. Kwadwo Kyeremanteng

Solving Healthcare with Dr. Kwadwo Kyeremanteng

Solving Healthcare features interviews and discussions on the topic of improving healthcare delivery in Canada.

All Episodes

303: Revolutionizing Physician Collaboration with Tim Rice, CEO of The Rounds

In this amazing episode of Solving Healthcare, we're joined by Tim Rice, CEO of The Rounds. Tim introduces their collaborative network for physicians, emphasizing its role in overcoming geographical barriers and supporting physician well-being. The episode explores how this approach is reshaping healthcare delivery and professional collaboration.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSGYATA NUTRITIONGyata Nutrition is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Get your Gyata Strong Bundle and save 50%Visit gyatanutrition.com and use promo code kwadcast15 to save on your order now!LMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
October 15, 2024

Unlocking the Power of Supplements: Introducing Gyata with Dr. K and Alysen Clark

In this episode of Solving Healthcare, Dr. K is joined by Alysen Clark to explore the world of supplements. Alysen shares her transition from academic research to the supplement industry and discusses the misconceptions surrounding supplements. They introduce their new supplement brand, Gyata, and provide insights into the quality and benefits of their products. The discussion covers the importance of protein, collagen, fish oil, magnesium, and cognitive enhancers like MindGain, highlighting how these supplements support overall wellness, particularly as we age. They emphasize the significance of selecting high-quality products to complement a balanced diet.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSGyata NutritionGyata Nutrition is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Get your Gyata Strong Bundle and save 50%Visit gyatanutrition.com to order now!EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
October 8, 2024

301: Navigating Childhood Cancer: A Mother’s Journey with Tamy Bell

In this episode of Solving Healthcare, we're joined by Tamy Bell, who shares the journey of her son Griffin battling neuroblastoma from birth to his passing. Tammy discusses the challenges and triumphs, highlighting the importance of communication and support from healthcare providers. She reflects on navigating the healthcare system, and the role of validation from the healthcare team. Tammy's story underscores the broader impact of childhood cancer on families and the essential roles of advocacy and fundraising in advancing pediatric cancer treatment.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSGyata NutritionGyata Nutrition is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Get your Gyata Strong Bundle and save 50% Visit gyatanutrition.com to order now!EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
October 1, 2024

300: Honoring Sindy Hooper: A Legacy of Strength and Resilience

In this episode of Solving Healthcare, we revisit our chat with the remarkable Sindy Hooper. A triathlete and advocate for cancer awareness, Sindy was diagnosed with pancreatic cancer in 2013 but continued to compete in Ironman races, raising funds for research and inspiring many with her resilience. Recently, Sindy passed away, and in this episode, we revisit her incredible journey, her battle with cancer, and her reflections on the healthcare system's role in supporting patients.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSGyata NutritionGyata Nutrition's pre-sale is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Why Join the Pre-Sale:Free 28-Day Reboot CourseReset your health with practical tips, meal plans, and expert advice.Free E-booksGain insights on fasting, sleep, keto, and efficient ways to stay healthy.Free Magnesium SupplementSpend over $99 and get a free bottle of premium magnesium.Free ShippingEnjoy free shipping on orders over $99.Products ship on October 1st!Be among the first to experience Gyata Nutrition’s supplements.Visit gyatanutrition.com to order now!EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
September 24, 2024

299: Rethinking Metabolic Health: Prevention, Sugar, and the Future of Patient Care with Dr. Robert Cywes

In this episode of Solving Healthcare, Dr. Robert Cywes, an obesity medicine specialist, discusses the importance of addressing metabolic health to prevent and reverse disease. He shares his journey of emotional eating and highlights the role of sugar in metabolic diseases. Dr. Cywes emphasizes the value of continuous glucose monitoring, individualized patient care, and the need for sustainable lifestyle changes. He also challenges the current healthcare system’s focus on treatment over prevention and explores how maternal nutrition can impact conditions like autism spectrum disorder.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSGyata NutritionGyata Nutrition's pre-sale is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Why Join the Pre-Sale:Free 28-Day Reboot CourseReset your health with practical tips, meal plans, and expert advice.Free E-booksGain insights on fasting, sleep, keto, and efficient ways to stay healthy.Free Magnesium SupplementSpend over $99 and get a free bottle of premium magnesium.Free ShippingEnjoy free shipping on orders over $99.Products ship on October 1st!Be among the first to experience Gyata Nutrition’s supplements.Visit gyatanutrition.com to order now!EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
September 17, 2024

298: Unlocking Weight Loss: GLP-1, Eating Habits, and Effective Strategies with Dr. K

In this minicast of Solving Healthcare, Dr. K shares his insights on weight loss, exploring the science behind GLP-1 agonists and their impact on appetite control and metabolism. He breaks down effective strategies for sustainable weight management, focusing on the role of healthy eating habits and lifestyle adjustments. Whether you're starting your weight loss journey or looking for new approaches, Dr. K provides practical tips and expert advice to help you succeed.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSGyata NutritionGyata Nutrition's pre-sale is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Why Join the Pre-Sale:Free 28-Day Reboot CourseReset your health with practical tips, meal plans, and expert advice.Free E-booksGain insights on fasting, sleep, keto, and efficient ways to stay healthy.Free Magnesium SupplementSpend over $99 and get a free bottle of premium magnesium.Free ShippingEnjoy free shipping on orders over $99.Products ship on October 1st!Be among the first to experience Gyata Nutrition’s supplements.Visit gyatanutrition.com to order now!EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
September 10, 2024

297: Redefining Success: Prioritizing Human Connection in Healthcare with Dr. Shelley Dev

In our latest episode of Solving Healthcare, I had the pleasure of speaking with Dr. Shelley Dev about the profound challenges of burnout and maintaining authenticity in the demanding world of medicine. Dr. Dev's candid insights on the pressures to be superhuman, the impact of loss, and the need for cultural change in healthcare resonate deeply. We also discussed the importance of mindfulness, reflection, and cherishing time with loved ones.Listen now on Apple & SpotifyI'm excited to share that Dr. Dev will be delivering the keynote at our upcoming Pulsecheck event, organized by Lionheart Innovation in partnership with the Royal College Foundation. This is a unique opportunity to engage with Dr. Dev's wisdom either in person or virtually.Don't miss out on this free event—register now to secure your spot: http://www.lionheartinnovation.org/pulsecheck2024.html.Featured Sponsor: Gyata NutritionWe're excited to announce that Gyata Nutrition's pre-sale is now live! Founded by Dr. Kwadwo Kyeremanteng, Gyata Nutrition offers top-quality supplements, including New Zealand Whey Protein Isolate, Collagen, Magnesium, and Fish Oil—all Health Canada-approved.Why Join the Pre-Sale:Free 28-Day Reboot CourseReset your health with practical tips, meal plans, and expert advice.Free E-booksGain insights on fasting, sleep, keto, and efficient ways to stay healthy.Free Magnesium SupplementSpend over $99 and get a free bottle of premium magnesium.Free ShippingEnjoy free shipping on orders over $99.Products ship on October 1st!Be among the first to experience Gyata Nutrition’s supplements.Visit gyatanutrition.com to order now!LMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
September 3, 2024

296: The Dangers of Sedentary Lifestyles: Tips from Physiotherapist Jethro Constant

In this episode of Solving Healthcare, we're joined by Jethro Constant, a seasoned physiotherapist with extensive experience in promoting health through movement. Jethro discusses the significant risks of sedentary lifestyles, highlighting how prolonged inactivity can lead to various physical issues, from musculoskeletal pain to chronic conditions. He also shares practical tips for injury prevention that can be easily integrated into daily routines, emphasizing the importance of personalized care to meet individual needs and promote overall well-being.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
August 27, 2024

295: The Power of Diet: David Robinson’s Journey to Health and Wellness

In this episode of Solving Healthcare, we're joined by David Robinson. He shares his remarkable journey with epilepsy and how discovering the ketogenic diet transformed his treatment approach. David discusses his experiences with seizures, the challenges of medication, and the discipline required to maintain a ketogenic lifestyle. He emphasizes the importance of empowerment and taking control of one's health, encouraging listeners to take the first step toward a healthier life. David also offers support and advice through his website and book, providing a beacon of hope for those facing similar challenges.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
August 20, 2024

294: How to Master Time Management and Productivity: Insights with Dr. Christina Shenvi

In this episode of Solving Healthcare, we're joined by Dr. Christina Shenvi, an emergency physician and coach. We discuss time management, productivity and more. Dr. Shenvi shares her journey of managing multiple roles and emphasizes the importance of prioritization. She introduces the concept of Ikigai, a Japanese framework for finding purpose, and provides strategies for saying no, focusing energy, and reducing distractions. Dr. Shenvi and Dr. K explore setting boundaries, utilizing tools like Calendly and text expanders, and the significance of delegation, automation, and mindset in achieving goals.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thanks for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng! This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
August 13, 2024

293: Reversing Type 2 Diabetes: A Lifestyle Medicine Journey with Dr. Brendan Byrne

In this episode of Solving Healthcare, hosted by Dr. K, we're joined by Dr. Brendan Byrne. Dr. Byrne shares insights into Lifestyle RX, a virtual clinic focused on reversing type 2 diabetes through lifestyle changes. Learn how the clinic adapted during COVID-19, utilizing technology for personalized support. Discover the four plus two strategies driving A1c improvements and weight loss. We also look into the role of lifestyle medicine in achieving diabetes remission, emphasizing personalized nutrition and empowerment for patients. Join us as we explore the empowering journey toward metabolic health and diabetes remission.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
August 6, 2024

292: Kyeremanteng’s in Ghana

In this minicast of Solving Healthcare, Dr. K shares stories from his recent trip to Ghana, including eye-opening experiences and reconnecting with family. The episode offers a blend of personal anecdotes, cultural and healthcare insights, and reflections on the broader implications of his journey.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
July 30, 2024

291: Empowering Holistic Well-Being: Karina McKenzie on the Eudemonia Summit

In this episode of Solving Healthcare, we're joined by Karina McKenzie, who discusses the upcoming Eudemonia summit focused on holistic well-being. The summit empowers individuals through five pillars: movement, nourishment, mental optimization, restoration, and connection. Featuring experts like Dr. Andrew Huberman, Dr. Mark Hyman, and Dr. Siddhartha Mukherjee, Eudemonia integrates knowledge-sharing, fitness classes, and experiential activities. The event also advocates for healthcare policy changes to prioritize well-being and preventive care, aiming to leave attendees feeling integrated, restored, and connected.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
July 23, 2024

290: Exploring Psilocybin-Assisted Therapy with Tara Pertelli

In this episode of Solving Healthcare, we're joined by Tara Pertelli, a practitioner of psilocybin-assisted therapy. Tara shares her journey from being a paramedic to working in a holistic treatment facility, ultimately discovering psilocybin as a powerful tool for mental health. She explains her retreat process, which includes preparation, ceremonies, and integration sessions, and highlights the transformative experiences of her clients, such as a physician who overcame arrogance and shifted his life perspective. Tara also discusses the potential benefits of microdosing psilocybin and the promising future of psychedelic therapy.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
July 16, 2024

289: Transforming Lives with Trikafta: Jeremie Saunders on Cystic Fibrosis

In this episode of Solving Healthcare, we're joined by Jeremie Saunders to discuss the Breathless podcast series on cystic fibrosis (CF) and the transformative impact of the drug Trikafta. Jeremie shares his personal experience with CF, detailing how Trikafta has revolutionized his life, improving his physical abilities and offering new hope for the future. The conversation explores the challenges of living with CF, the importance of community and connection, and the role of advocacy in raising awareness. They also touch on dietary changes required for CF patients and the psychological adjustments to a future once thought impossible.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
July 9, 2024

Becoming the Change: Dr. K’s Insights on Community and Healthcare Transformation

In this minicast of Solving Healthcare, Dr. K shares his thoughts on becoming the change you want to see in your community and in healthcare. He emphasizes the importance of bringing solutions forward, vocalizing ideas, and overcoming concerns. Dr. K discusses practical ways to drive positive change, from advocating for better healthcare practices to inspiring community involvement. This episode is a motivational guide for anyone looking to make a meaningful impact in their community and the healthcare system.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
July 2, 2024

Exploring Naturopathic Approaches with Dr. K

In this minicast of Solving Healthcare, Dr. K shares his thoughts on the naturopathic community and their approach to finding the root cause of health issues. He discusses the topics of insulin resistance, fasting, the ketogenic diet, and low-carb lifestyles. Dr. K explains how these strategies can address underlying health problems and improve overall wellness. This short episode is a quick exploration of how naturopathic methods can offer alternative solutions for those seeking to manage their health through diet and lifestyle changes.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkoutThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
July 2, 2024

288: Unbiased and Evidence-Based: The Mission of Examine.com

In this episode of Solving Healthcare we're joined by Nicholas Milazzo from Examine.com. For over 11 years, Examine.com has provided unbiased, evidence-based information on supplements and nutrition. Known for their transparency and extensive citations, they help users make informed health decisions with intervention pages, research feeds, and supplement guides. Examine.com continuously updates its content and is developing new products for health professionals.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
June 25, 2024

Transforming Healthcare: A Holistic Approach to Efficiency and Prevention

This quick minicast of Solving Healthcare, emphasizes the belief that healthcare is a solvable problem and explores the potential to create a more holistic and efficient system. Dr. K discusses the crucial role of prevention in reducing costs and improving outcomes, the importance of focusing on high-resource users, addressing system inefficiencies, and learning from successful healthcare models. The conversation underscores the need for a new mindset and approach to effectively tackle these healthcare challenges.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSEXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
June 18, 2024

287: Personalizing Recovery: The Power of Choice and Empowerment with Jacki Hillios

In this episode of Solving Healthcare, we're joined by Jackie Hillios, Deputy Executive Director of The Phoenix. Jackie discusses her journey in social work and The Phoenix's holistic approach to recovery, focusing on community, connection, and meaningful activities. She highlights the importance of accessibility and empowerment in recovery, and the need for innovation in healthcare and education to improve outcomes. Tune in to learn more about The Phoenix's mission and its ambitious plans for the future.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERS EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
June 11, 2024

Addressing the Mental Health Crisis: The Impact of Cellphone Bans in Schools

This quick minicast of Solving Healthcare, hosted by Dr. K, focuses on the recent ban on cell phones in schools. Dr. K acknowledges the growing mental health crisis among youth, highlighting the detrimental impact of social media on their well-being. He also examines the effects of virtual learning, which, despite offering flexibility, often lacks the essential social interaction and structure of in-person education. The COVID-19 pandemic has exacerbated these issues, leading to increased isolation and disrupted student routines. Dr. K suggests that the cellphone ban might be a step toward mitigating the negative effects of technology on young people's mental health.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”EXAMINE.COMBest source for evidence based nutrition and supplement information.Exclusive Offer for Kwadcast FollowersWe are thrilled to roll out a special offer exclusively for the subscribers of Kwadcast.substack.com, made possible by our new partnership:* 7-Day Free Trial: Start your journey with Examine.com with no strings attached. Explore their exhaustive resources and see how they can aid in meeting your health and wellness objectives.* Discounted Subscription Plans: Enjoy a special discount on Examine.com’s membership, tailored just for you:* Monthly Subscription: Originally $29, now just $25 — a saving of 14%.* Yearly Subscription: Typically $198, now only $171 — saving you 14% as well.Get Your Discounted AccessReady to dive in? Simply use this special link to access these exclusive discounts. The link will direct you to a sign-up page where your discounts will be automatically applied at checkout.Discount LINK for Examine.comExciting New Partnership: Bringing Examine.com's Trusted Research to Kwadcast NationDR. KWADWO KYEREMANTENG·APR 25I'm excited to share some fantastic news with you that marks a significant milestone for our community. We have officially partnered with Examine.com, a platform that I, personally, have immensely relied on for the most reliable, evidence-based information on nutrition and supplements.Read full storyLMNTWe're excited to announce our partnership with LMNT, a pioneer in superior hydration solutions. The key to proper hydration isn't just water—it's water plus electrolytes. This balance is vital to avoid issues like muscle cramps and energy dips, often caused by the dilution of electrolyte levels from excessive water intake, a condition known as hyponatremia.Enter LMNT, an electrolyte drink mix that's tasty, convenient, and free from sugar or artificial additives. Co-created by Robb Wolf and Luis Villasenor, LMNT provides optimal ratios of sodium, potassium, and magnesium, ensuring not only health and performance benefits but also a delightful taste experience with flavours like Orange Salt, Citrus Salt, and the new Watermelon Salt.To celebrate our partnership, we're offering you a free sample pack.Simply visit DrinkLMNT.com/kwadcast and start your journey to better hydration. LMNT stands behind their product with a no-questions-asked refund policy.Together with LMNT, we're redefining hydration. Remember, it's not just about water—it's about water PLUS electrolytes. Stay hydrated, and stay healthy!LMNTMyPROTEINAs a Kwadcast member, you get special discounts at MyProtein, a top sports nutrition brand.I'm a big fan of their Clear Whey protein. It's light, refreshing, and perfect for post-workout recovery. My family and I love it, and it's become a staple in our fitness routine.To enjoy your discount, just use this link:MYPROTEINEnjoy the benefits of quality nutrition at great prices!EFFYDESKWe’re massive fans of standup desk.Effydesk provides amazing electric standing desks that we are monster fans of.Use this for 10% off.SHM DiscountHigher Healths CanadaWe allow you to optimize and restore peak health by filling the nutritional gaps we have in our diets. We enable you to become your very best self without compromise. Our products are 100% pure, unaltered and nutritionally in demand. It's time to put back in what's been missing in our diets.  Feel the difference real nutrition makes. Welcome to Higher Health's.Go to https://www.higherhealths.ca/Use code 'solvinghealthcare' at checkout.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
June 4, 2024

286: Sleep Secrets Unveiled: Insights from Mollie Eastman

In this episode of Solving Healthcare, hosted by Dr. K, we're joined by sleep expert Mollie Eastman. Mollie explores the vital role of sleep, sharing personal insights on overcoming sleep challenges. She emphasizes circadian rhythm entrainment and the impact of light exposure on sleep quality. Mollie offers practical tips for improving sleep, especially for shift workers, advocating for the use of apps like TimeShifter and Shift Work for personalized support. With Mollie's guidance, you can gain valuable tools to prioritize sleep and enhance overall well-being.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
May 28, 2024

Navigating Post-Pandemic Challenges in Canadian Healthcare with Dr. Verna Yiu

In this episode of Solving Healthcare, Dr. K hosts Dr. Verna Yiu, former CEO of Alberta Health Services, now VP at the University of Alberta. Dr. Yiu addresses post-pandemic healthcare challenges, advocating for innovative solutions like engaging retired professionals and community-centered care. She underscores the importance of integration, empathetic leadership, and renewed commitment to publicly funded healthcare. Dr. Yiu urges candid conversations to address systemic weaknesses and provides a roadmap for navigating Canada's healthcare with resilience.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
May 14, 2024

284: Minicast: Dr. K shares his thoughts on Ozempic. Is it right for you? What are the common risks? Check out what he has to say on this revolutionary weight loss drug.

Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
May 7, 2024

283: AI Unveiled, Navigating Healthcare’s Future with Dr. K and Walter Robinson

In this episode of Solving Healthcare, join us as we explore the realm of AI in healthcare with Walter Robinson. We discuss the growing excitement surrounding AI's applications in various facets of healthcare, from revolutionizing imaging and diagnostics to enhancing efficiency and personalization in patient care. Opportunities and challenges presented by AI, discussing regulatory and governance hurdles and envisioning the landscape of other exciting technologies shaping the future of healthcare. Tune in for an illuminating discussion on the forefront of healthcare innovation and transformation.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
April 23, 2024

282: Empowering Healthcare Access: A Conversation with Joe Blomeley, EVP of Green Shield

In this episode of Solving Healthcare, hosted by Dr. K, we are joined by Joe Blomeley. Joe is the Executive Vice President of Green Shield, an innovative health services organization. Today Joe shares insights into Green Shield's commitment to enhancing healthcare accessibility. From mental health to primary care, diabetes, and hypertension management. Discover how Green Shield is revolutionizing healthcare with virtual and in-person solutions. Tune in to explore the array of services designed to connect you with top-notch pharmacists and elevate your healthcare experience. Green Shield is not just changing the game – it's empowering you to take charge of your well-being. Don't miss this transformative discussion!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
April 9, 2024

281: Transforming Lives Through Nutrition with Temple Stewart

In this episode of Solving Healthcare we are joined by Temple Stewart, a seasoned nutritionist and wellness advocate. With over two decades of experience, Temple shares invaluable insights into the transformative power of nutrition, covering topics like fasting, mindful eating, calorie counting, and personalized meal planning. Through her holistic approach, listeners will learn how subtle dietary changes can lead to profound improvements in overall health and well-being. Join us as we explore the journey to a healthier lifestyle with Temple Stewart.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
March 26, 2024

280: Finding the Keys to Joy: A Conversation with Cynthia Loyst

In this episode, we are thrilled to welcome Cynthia Loyst, a celebrated Canadian talk show host and media personality, currently co-hosting CTV's "The Social." Today, Cynthia shares insights from her book, "Find Your Pleasure: The Art of Living a More Joyful Life." Join us as we explore the world of pleasure, healing, and rediscovery, and learn how to create a life overflowing with joy and connectionListen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
March 19, 2024

279: Empowering Caregivers & Navigating Healthcare Challenges with Amy Coupal

In this episode of Solving Healthcare, Dr. K chats with Amy Coupal, CEO of the Ontario Caregivers Organization. Amy shares insights on caregiver challenges and the crucial need for healthcare support. Highlighting their integral role, she discusses OCO's services and envisions a future where caregivers are empowered and included in decision-making. Amy also emphasizes the pivotal role of caregivers in improving patient outcomes and advocates for their recognition within the healthcare system. Tune in for this informative episode!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERS Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
February 27, 2024

278: Revolutionizing Healthcare with Dr. Anmar Salman

In this episode, we're joined by Dr. Anmar Salman. Dr. Salman, a Family Doctor from Ottawa, joins us to speak about the game-changing approach of Novel Health, a primary health clinic rewriting the rules of healthcare. Dr. Salman reveals the clinic's non-traditional strategies that are reshaping the healthcare scene. Get ready for a glimpse into the future of personalized care and wellness initiatives that could change the way you perceive your health journey.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
February 13, 2024

277: Mastering Goals and Mindset: A Conversation with Jodi Wilding

In this episode of Solving Healthcare Dr. K is joined by Jodi Wilding. They discuss the importance of clarity, beliefs in goal-setting, and exploring emotions tied to success. Sharing their 2024 goals focused on impact and fulfillment, Dr. K seeks Jodi's advice on execution and energy prioritization. The discussion covers saying no, being present, and finding joy in problem-solving. They also tap into the role of mindset, building a supportive network, and overcoming challenges. Plus, reflections on loss and the significance of honoring memories. Tune in for valuable insights on mindset and success!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. This is a public episode. If you’d like to discuss this with other subscribers or get access to bonus episodes, visit kwadcast.substack.com/subscribe
January 30, 2024

276: Discovering The Gratitude Effect: A Transformative Journey with Clarissa Arthur & Karen Jolicoeur

In this episode, we're joined by Clarissa Arthur and Karen Jolicoeur, creators of The Gratitude Effect journal. Discover the personal story behind their collaboration and the journey that led to this transformative 100-day journal. Clarissa shares a heartfelt account of how she met Karen, setting the stage for an exploration of gratitude's profound impact on life changes and vital skill-building. Get ready for an inspiring conversation that unveils the essence of The Gratitude Effect and the powerful stories that shaped its creation.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSSolving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
January 16, 2024

275: Breaking Barriers: Jeremie Saunders on Resilience and Redefining Illness with Sickboy

In this episode, we're honoured to have Jeremie Saunders share his powerful journey battling Cystic Fibrosis. As the host of Sickboy podcast, Jeremie actively challenges the stigma surrounding the illness. Join us for a compelling conversation that explores resilience, compassion, and the transformative power of honest storytelling. Don't miss this episode as we dive into the strength of the human spirit and the impact of breaking down societal barriers through open dialogue.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
January 2, 2024

Revolutionizing Healthcare: Time for Creative Solutions

Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.The healthcare system is experiencing a critical crisis. A significant number of individuals are struggling with the inaccessibility of primary healthcare services, such as refilling prescriptions or undergoing necessary tests, due to a lack of family doctors or primary care providers. This urgent situation calls for innovative and creative solutions.One of the key strategies is to fully utilize our foreign-trained graduates. Many Canadians who received their medical training abroad face bureaucratic hurdles that delay their integration into the healthcare workforce. By streamlining their entry, we can significantly bolster our medical personnel.Another essential approach is incentivizing primary care. This could involve better compensation for general practitioners (GPs) or offering discounted medical education for those choosing to specialize in family practice or general practice. Incentives would attract more professionals to this vital field.Leveraging the skills of nurse practitioners and pharmacists in prescribing medications is also a feasible and effective strategy. With appropriate safeguards, these professionals can play a crucial role in easing the burden on the healthcare system.A remarkable innovation in Renfrew involves virtual emergency triage. This system allows patients with minor ailments to receive advice or prescription renewals through virtual consultations. This not only provides quick and efficient care but also reduces the unnecessary crowding of emergency rooms.Additionally, the concept of a virtual primary care physician is gaining traction. Patients in one location could have a virtual family doctor in another, who can then coordinate tests and treatments locally. This approach could be scaled up nationally to provide widespread benefits.Lastly, the idea of national licensure for medical professionals could revolutionize healthcare delivery. By removing provincial barriers, doctors and specialists could offer their services across the country, greatly enhancing the accessibility and quality of care.In conclusion, it's time for action. We need to think outside the box and implement these innovative solutions to address our healthcare crisis. Our country's well-being depends on it, and we must move swiftly to ensure everyone receives the care they need. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 29, 2023

274: Decoding Health: A Conversation with Kashif Khan, CEO of The DNA Company

In this episode, we're joined by Kashif Khan! Kashif is CEO of The DNA Company, a pioneer in personalized medicine. Discover the ground-breaking work in genomics, as Khan shares insights on tailoring healthcare and its impact on heart conditions, cardiovascular health, and more. Whether you're a medical pro or curious about genetic insights, this brief episode explores the future of personalized healthcare. Tune in for a quick dive into the intersection of genetics and innovation with Kashif Khan!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 26, 2023

273: From Jamaican Roots to Dragon Investor: Navigating Success with Wes Hall

In this episode, we're joined by Wes Hall, a distinguished Canadian businessman and entrepreneur best known as a "Dragon" investor on Dragons' Den. Join us as Wes shares the remarkable journey from his upbringing in Jamaica to his thriving entrepreneurial success in Canada. Delve into his insightful strategies, learn about his approach to fostering talent in the workplace, and gain valuable perspectives on crucial topics such as racial equity and diversity. This episode is a must-listen for those seeking inspiration and practical wisdom from a seasoned business leader.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 19, 2023

From Jamaica to Canada: Wes Hall’s Journey of Embracing Heritage and Fostering Diversity in Leadership

Wes Hall, an author, entrepreneur, and speaker, shares his inspiring journey from rural Jamaica to success in Canada. He emphasizes the importance of embracing one's background and using it as a driving force for growth. Wes discusses the challenges faced by black leaders and the need for diversity and authenticity in organizations. He also highlights the flaws in the healthcare system and the potential for improvement. Wes encourages a mindset that celebrates and learns from successful individuals, rather than vilifying them. In this conversation, Wes Hall discusses his perspective on contributing to the country and the importance of showing appreciation. He also shares the story behind the Black North Initiative and its mission to address the lack of representation of black people in various sectors. Lastly, he emphasizes the significance of authentic leadership and being unapologetic about one's identity and values. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 15, 2023

272: Nutrition Unveiled: A Conversation with Certified Health & Keto Coach, Lillie Kane

In this episode, we're joined by Lillie Kane, a certified Health & Nutrition Life Coach and a certified Keto Nutrition Health Coach. Today, she graciously shares her personal story and imparts her wealth of knowledge in the world of nutrition, eating habits, diets, and more. Stay tuned as we explore the fascinating intersection of health and lifestyle with Lillie's unique insights and experiences. Whether you're a seasoned health enthusiast or just starting your wellness journey, this episode is packed with valuable information to inspire and guide you.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 12, 2023

Andrew Holmes on How to Improve Our Sleep

Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.SummaryIn this conversation, Andrew Holmes, a sleep expert, discusses the importance of sleep and provides tips for improving sleep quality and duration. He explains the impact of sleep apnea on metabolic health and highlights the need for timely access to sleep testing. Andrew also emphasizes the role of consistency in sleep routines and the importance of creating a sleep-friendly environment. He cautions against relying too heavily on supplements and encourages natural approaches to sleep improvement. In this conversation, Andrew Holmes, RPSGT, discusses various aspects of sleep testing and the importance of addressing sleep issues. He emphasizes the need to explore deeper into sleep problems rather than relying solely on supplements. The conversation also highlights the benefits of conducting sleep testing at home, reducing the burden on hospitals. The future of healthcare is seen to involve bringing more care into people's homes. Finally, Andrew provides information on how to access sleep testing and encourages individuals to advocate for their own healthcare.TakeawaysSleep apnea can have serious health consequences, including an increased risk of heart attack, stroke, and congestive heart failure.Consistency in sleep routines, such as going to bed and waking up at the same time, is crucial for optimal sleep.Creating a sleep-friendly environment, including a cool and comfortable bedroom, can improve sleep quality.Avoiding caffeine and alcohol close to bedtime can help promote better sleep.Supplements like melatonin and magnesium may be helpful for some individuals, but should be used with caution and under the guidance of a healthcare professional. When addressing sleep issues, it is important to explore deeper into the problem rather than relying solely on supplements.Conducting sleep testing at home can reduce the burden on hospitals and provide a more natural environment for testing.The future of healthcare involves bringing more care into people's homes, including sleep testing.Individuals can advocate for their own healthcare and request sleep testing without a family physician.Chapters00:00 Introduction and Background05:23 Incidence of Sleep Apnea and Sleep Disorders08:18 Impact of Sleep Apnea on Metabolic Health13:22 Importance of Sleep for Overall Health and Performance16:33 Tips for Improving Sleep Quality and Duration25:26 Can You Catch Up on Sleep?31:37 Improving Sleep Quality36:04 Strategies for Falling Back Asleep39:27 Supplements for Sleep43:11 Exploring Deeper Sleep Issues44:16 The Future of Sleep Testing44:58 Accessing Sleep Testing Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 8, 2023

271: Cultivating Wellness Wisdom: A Conversation with Lydia Di Francesco

In this captivating episode of Solving Healthcare, your host, Dr. K, engages in an enlightening conversation with the accomplished Lydia Di Francesco. With over 12 years of experience in the wellness industry, Lydia serves as the CEO and Employee Wellness Specialist at Fit + Healthy 365. Tune in as Lydia generously imparts her extensive wisdom on holistic well-being, tackling burnout both personally and within our teams, fostering self-upliftment, discovering joy, and offering a wealth of invaluable advice to empower us all to achieve more!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
December 5, 2023

270: Embracing Life’s Lessons Through Personal Loss: A Tribute to My Mother

Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
November 28, 2023

Unlocking the Secrets of Sleep: A Conversation with Andrew Holmes, Founder of Sleep Efficiency Inc.

In this episode, we're joined by Andrew Holmes, Owner/Founder of Sleep Efficiency Inc., with over 15 years of experience in sleep diagnostics and PAP therapy. Today we dive into the world of sleep health, exploring obstructive sleep apnea, its risks, and practical tips for improving sleep quality. Andrew also shares insights on melatonin and other supplements, offering a concise guide to optimizing your sleep routine. Join us for a conversation packed with expert advice on enhancing your sleep for a healthier and more restful life.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
November 22, 2023

Revitalizing Health: A Journey Through Diet, Lifestyle, and Cutting-Edge Insights with Dr. Philip Ovadia

In this episode, we revisit a powerful discussion led by esteemed cardiothoracic surgeon, Dr. Philip Ovadia. With Dr. Ovadia, we explore the worlds of transformative diet and lifestyle changes. Our discussion spans a spectrum of health-related topics, including insights into ketogenic diets, effective weight loss strategies, the intricacies of heart disease, the role of cholesterol, optimal methods for assimilating essential minerals and vitamins, and the promotion of healthy food practices. Tune in for a wealth of knowledge that transcends conventional boundaries!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
November 14, 2023

267: Exploring Healthcare Horizons with Joelle Lachance

In this episode, we revisit an amazing sit-down we had with Joelle Lachance. Joelle serves as the Director of Clinical Management at Bayshore HealthCare. We'll be looking into a multitude of crucial healthcare topics, including PSWs and home care, acute care, virtual care, health promotion, and the indispensable practice of providing education to both families and patients. Whether you're a healthcare professional, a dedicated caregiver, or keen to explore the ever-evolving healthcare landscape, this episode promises valuable insights.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
November 7, 2023

266: Finding the Keys to Joy: A Conversation with Cynthia Loyst

In this episode, we are thrilled to welcome Cynthia Loyst, a celebrated Canadian talk show host and media personality, currently co-hosting CTV's "The Social." Today, Cynthia shares insights from her book, "Find Your Pleasure: The Art of Living a More Joyful Life." Join us as we explore the world of pleasure, healing, and rediscovery, and learn how to create a life overflowing with joy and connection.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off | Use discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
October 31, 2023

Unlocking Optimal Health: A Deep Dive into Metabolic Wellness and Nutrition Therapies with Shana Hussin

In this episode, we are joined by Shana Hussin, a seasoned registered dietitian with 23 years of experience. Together, we jump into the world of metabolic wellness and health, exploring the fascinating realm of intermittent fasting, the power of medical nutrition therapy, and the frontier of natural and innovative nutrition therapies. Join us as we uncover the keys to optimal health and well-being through evidence-based dietary approaches and cutting-edge nutritional strategies with Shana as our guide.
October 24, 2023

264: Power of Nutrition: Exploring RX Food with Dr. Jeff Alfonsi

In this episode, we are joined by Dr. Jeff Alfonsi. Dr. Alfonsi is a multidisciplinary expert, with qualifications in engineering and medicine, and he specializes in Internal Medicine, Obesity Medicine, Clinical Pharmacology, and Toxicology. Notably, he holds the position of Co-Founder and serves as the Chief Product and Medical Officer at RxFood. In today's discussion, we get into the world of nutrition and the transformative potential of dietary choices. Additionally, Dr. Alfonsi provides insight into the innovative concept of RX food and how it has the capacity to impact your life positively.
October 17, 2023

263: Navigating Special Education and Behavioral Challenges with Gianna Colizza

In this episode, we are joined by Gianna Colizza, a distinguished Special Needs Education and Behavior Consultant with over two decades of experience. Gianna's expertise has positively impacted countless children with special needs, their families, and schools. Today's conversation explores crucial topics, from educating our children and addressing behavioural issues to diving into ADHD and other mood disorders. Gianna also shares her remarkable journey as a UK principal, shedding light on her invaluable insights into helping children thrive and more.
October 10, 2023

262: Exploring Sugar Addiction, Health, and Well-Being with Karen Thomson

In this episode, we're delighted to have Karen Thomson as our guest. Karen is a multifaceted individual, wearing the hats of an artist, festival organizer, and the innovative founder of HELP (Harmony Eating Lifestyle Program). Her pioneering work involves treating carbohydrate and sugar addiction as an inpatient program—a first of its kind. Today, Karen shares her insights on sugar addiction, the path to a healthier lifestyle, her personal journey, and more. She also provides a glimpse into the extraordinary Revitalize Health Festival, an event that delves deep into the realms of optimal well-being.
October 3, 2023

261: Unveiling the Heart’s Hidden Battle: Adam Hoerdt’s Journey with ARVC

In this episode, we revisit an insightful conversation with our esteemed guest, Adam Hoerdt. Together, we explore his relentless commitment to raising awareness for ARVC—an inherited heart muscle disease notorious for triggering cardiac arrests without warning. Adam shares the raw details of his personal journey battling arrhythmogenic right ventricular cardiomyopathy (ARVC), reflecting on the heartbreaking loss of his wife and the profound impact it has had on his own life and the lives of his family members.
September 26, 2023

260: Unlocking Nutritional Excellence: A Deep Dive into Protein with Dr. Ted Naiman

In this episode, we revisit a classic conversation with our guest, Ted Naiman, a board-certified Family Medicine physician from a leading medical center in Seattle. Ted shares expert advice on a protein-focused diet and its role in enhancing overall nutrition, including insights on caloric intake, food habits, and more!
September 19, 2023

259: Unapologetic Leadership: A Conversation with Dr. K and Niki Papaioannou

In this episode, we are joined by a special guest, Niki Papaioannou, the founder of 'Niki Inc,' a Toronto-based publicity firm. Niki sits with Dr. K to discuss his newly released book, 'Unapologetic Leadership'. 'Unapologetic Leadership' offers a refreshing perspective on leadership that challenges the conventional norms. Drawing from his extensive experience as an ICU physician, Dr. K argues that authentic leadership should be rooted in values rather than fear.  Join us for an engaging discussion as we break down the fascinating insights shared by Dr. K in his remarkable release, 'Unapologetic Leadership.' Don't miss out!
September 12, 2023

Unlocking the Future of Healthcare: A Conversation with Zayna Khayat on AI and Innovative Strategies

In this episode, we are joined by Zayna Khayat. Zayna currently serves as the Vice President of Growth and Client Success at Teladoc Health in Canada and is the resident health futurist at Deloitte Canada's Healthcare practice. We engage in a captivating conversation about the future of healthcare and the transformative power of cutting-edge technology. We also explore the ways in which artificial intelligence is poised to revolutionize healthcare delivery, take a look at some innovative strategies implemented by healthcare providers, and much more!Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off.http://betterhelp.com/solvinghealthcareUse Discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
September 5, 2023

257: Solving Healthcare Through Integrative Thinking, with Roger Martin

In this episode, we revisit a captivating discussion with none other than Roger Martin. Renowned as the former Dean of the Rotman School of Management at the prestigious University of Toronto and acclaimed author of "When More Is Not Better," Roger Martin graces us with his insights once again. Our conversation explores healthcare solutions, the art of integration, and the invaluable wisdom derived from cross-disciplinary inspiration. Join us as we glean valuable cues and insights from diverse facets of life, enhancing our understanding of innovation and adaptation.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off.http://betterhelp.com/solvinghealthcareUse Discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
August 29, 2023

256: Empowering Metabolic Health: Unveiling the Potential of Low Carb and Ketogenic Approaches

In this episode, we are joined by Dr. Laura Buchanan and Dr. Matt Calkins. We jump into the world of metabolic health, particularly using a low-carb ketogenic diet as a potent tool for countering metabolic disorders like type 2 diabetes and obesity. We also explore Laura and Matt's personal journeys and experiences as they advocate for and uncover the potential of low-carb ketogenic strategies in promoting metabolic well-being. Throughout the conversation, we shine a light on their accomplishments, their obstacles, and their dedicated efforts to educate and inspire their peers within the medical community.Listen now on Apple & SpotifySPONSORBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off.http://betterhelp.com/solvinghealthcareUse Discount code “solvinghealthcare”OFFERSThank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
August 22, 2023

255: A Holistic Healthcare Approach: Prevention, Holistic Care, and Barrier-Free Access for All with Dr. Faisel Syed

In this episode, we are joined by Dr. Faisel Syed, National Director of Primary Care for ChenMed. Our conversation revolves around pioneering approaches to healthcare: prevention, early intervention, and holistic end-of-life care. We tackle the limitations of standard care in the US, financial constraints, and the mission to provide accessible primary care for all. Join us to explore a compassionate and innovative perspective on healthcare with Dr. Syed. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
August 15, 2023

254: New Tech for Better Healthcare: A Conversation with Dr. Jonathan Fitzsimon, Chief of Medicine and Pioneer of Virtual Triage Assessment

In this episode, we are joined by a distinguished guest, Dr. Jonathan Fitzsimon, the Chief of Medicine at Arnprior Regional Health and the visionary physician behind the innovative Virtual Triage Assessment Centre (VTAC). We look deeper into the dynamic world of healthcare optimization, delivery, and advancement as we engage in a thought-provoking conversation with Dr. Fitzsimon. From resource optimization strategies to cutting-edge approaches in patient engagement, we explore the transformative impact of VTAC and the visionary insights that drive its success. Tune in to gain invaluable perspectives on shaping the future of healthcare and fostering meaningful connections with patients. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
August 8, 2023

253: Transforming Healthcare: AI, Patient Care, and Biohacking with Hamed Shahbazi

In this episode, we are joined by Hamed Shahbazi, a pioneering entrepreneur, tech expert, and founder of the TIO Networks. Hamed brings a unique perspective on how AI and other tech advancements are shaping the future of healthcare, and transforming how medical services are provided and received. We explore the cutting-edge applications of artificial intelligence in healthcare, breaking down its role in telemedicine, remote monitoring, and personalized treatment plans. Hamed shares insights on biohacking and the mind-body connection, inspiring listeners to embrace the limitless possibilities of technology in improving overall well-being. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
August 1, 2023

252: Transformative Nutrition: Cultivating Healthy Habits with Jennifer Broxterman

In this episode, we are joined by Jennifer Broxterman, a renowned expert in nutrition and wellness. Throughout the episode, Jennifer shares invaluable insights and tips on how to improve one's eating habits, cultivate a positive mindset, and create a healthy environment to facilitate transformative life changes. Drawing from her expertise and experiences, Jennifer explores the significance of forming sustainable healthy habits and discusses the crucial role of mindset and environment in supporting personal growth. Don't miss this enlightening conversation packed with practical advice for anyone seeking to enhance their overall well-being and lifestyle. Tune in to gain valuable knowledge and inspiration from Jennifer Broxterman! Jen Broxterman | Prosper Nutrition Coaching Free Liftoff Course: https://www.prospernutritioncoaching.com/courses  Instagram: @prosper_nc YouTube: https://www.youtube.com/@ProsperNutrition Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
July 25, 2023

251: Unmasking Post-Pandemic Mental Health: Insights from Dr. K and special guest Dr. Catherine Kyeremanteng

In case you missed it! Check out the inaugural episode of Solving Healthcare on Sauga960AM with your host, Dr. K! In this enlightening episode, Dr. K explores the profound impact of the post-pandemic era on mental health. Joined by Clinical Psychologist Dr. Catherine Kyeremanteng as a special guest, they cover the prevalent issues of depression, anxiety, and shifting perspectives over the past four years. Gain valuable insights and expert analysis as Dr. K leads the conversation, offering hope and practical solutions for navigating the evolving mental health landscape. Don't miss this engaging episode where healthcare challenges find their answers! Listen to more Dr. K every week at 3pm on Sauga960AM! Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
July 18, 2023

250: A thank you to our healthcare providers, new initiatives and more exciting news!

Welcome to this week's minicast episode of Solving Healthcare! Get ready for some exciting news as Dr. K shares updates that you won't want to miss. We have a special release coming up that you'll want to mark on your calendar. Additionally, we'll be discussing new initiatives that we're eager to explore, bringing you the latest developments in healthcare. And of course, we can't forget to extend a heartfelt thank you to our dedicated healthcare providers who make a difference every day. Tune in and join us for these thrilling updates and express your gratitude to those who keep our healthcare system running smoothly. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
July 11, 2023

249: Optimising Nutrition: unravelling the intricacies of nutrient density and its impact on overall health with Marty Kendall

In this episode, we are joined by Marty Kendall. Marty comes to us with a wealth of expertise in the field of nutrition and metabolic health. Marty's background in engineering combined with his passion for optimizing nutrition has led him to become a leading authority in the field. Marty created the website Optimising Nutrition and has dedicated his work to unravelling the intricacies of nutrient density and its impact on health. With a focus on data-driven analysis and evidence-based strategies, Marty provides invaluable insights into topics such as protein requirements, glucose monitoring, the benefits of fasting, and various dietary approaches. Join us as we discuss these subjects and explore the vital role of exercise in achieving overall well-being. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
July 4, 2023

248: Metabolic health, nutrition, and living a healthy lifestyle with type 2 diabetes with Obesity Medicine Physician Dr. Tro

In this episode, we are joined by Dr. Tro, a board-certified Internal Medicine & Obesity Medicine Physician and the medical director and founder of Dr. Tro's Medical Weight Loss and Direct Primary Care. With a wealth of experience in the field, Dr. Tro shares with us some valuable insights on metabolic health, nutrition, reversing type 2 diabetes, and medical weight loss. We explore the intricacies of these topics, uncovering practical strategies to promote optimal health and well-being. Prepare for an enlightening conversation that will empower you to make informed choices for a healthier lifestyle. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
June 27, 2023

247: The transformative potential of fasting to improve your overall health with Dr. Jason Fung

In this episode, we are joined by the esteemed Dr. Jason Fung, a renowned medical doctor and one of the world's leading experts on using fasting as a powerful tool for weight loss and the reversal of type 2 diabetes. We discuss the intricacies of type 2 diabetes, the effectiveness of fasting and intermittent fasting in promoting overall health, reversing diabetes, the significance of nutrition, and much more. Prepare to be enlightened as we explore the ground-breaking insights shared by Dr. Jason Fung, shedding light on the transformative potential of fasting and its profound impact on our well-being. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
June 20, 2023

246: Home Hospital: Revolutionizing patient centered care with cutting-edge strategies and technologies with Dr. David Levine

In this episode, we are joined by Dr. David Levine, a primary care physician at Brigham and Women's Hospital in Boston. We explore the fascinating realm of advancing healthcare delivery, focusing on the transformative aspects of home care and home hospitals. With David's extensive expertise in primary care, we delve into the cutting-edge strategies and technologies that are revolutionizing patient-centred care. David shows us the work being done at the forefront of healthcare delivery and the valuable insights and experience we gain in empowering patients through innovative approaches. Get ready for an enlightening conversation on advancing healthcare with the esteemed Dr. David Levine. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
June 13, 2023

245: Balancing Productivity and Well-being: Insights and Tips for a Fulfilling Career with Kristina Beauchesne

In this episode, we are joined by Kristina Beauchesne, a renowned expert in the Canadian education system. With two decades of experience as a teacher, school administrator, and facilitator, as well as being a Culture & Leadership Development Consultant and founder of Common Ground Consulting Inc., Kristina brings a wealth of knowledge to our conversation. Join us as we delve into topics such as work-life balance, incorporating play into your workday, taking breaks, and overall wellness. Gain valuable insights and practical tips to enhance your well-being and productivity. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare” OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
June 6, 2023

244: Embracing The Change: Navigating Menopause with Catherine Brennan

In this episode, we are joined by Catherine Brennan, a remarkable advocate for women's health. We discuss the topic of menopause and perimenopause. Catherine also shares her personal journey of seeking treatment and embracing hormone replacement therapy. With a strong commitment to empowering women, she discusses her mission to help individuals take charge of their health and proactively seek support. We explore the nuances of women's health, delve into the transformative phase of menopause, and highlight the importance of self-advocacy. Join us as Catherine Brennan inspires listeners to navigate their health journeys with confidence and resilience. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
May 30, 2023

243: A personalized, holistic approach to women’s care with Dr. Lara Briden

In this episode, we are joined by Dr. Lara Briden, a prominent naturopathic doctor specializing in women's health, author, and podcast host. Dr. Briden shares her expertise and insights on a wide range of topics including menopause, hormone therapy, and the concept of evolutionary mismatch. We also discuss navigating menopause and the various treatment options available, including the use of estrogen therapy. Dr. Briden's knowledge and holistic approach provides listeners with a deeper understanding of how to optimize women's health during this transformative stage of life. Listen to this enlightening conversation as we explore the complexities of menopause and the realm of personalized care and well-being. Listen now on Apple & Spotify SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
May 23, 2023

242: Solocast – New Initiatives & Sponsors

In this episode, Dr. K shares a lineup of updates and new initiatives. He dives into the achievements of The Huskies A2 hockey team, proudly sponsored by Crossford, the exceptional services of Kelly & Kerry Real Estate, the empowering work of Integrate - Healthcare Collective, and the upcoming Reversing Diabetes Summit. Plus some info on the importance of mental health with Better Help, the benefits of LMNT electrolyte replacements, and more!  SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
May 16, 2023

241: The Importance of Personalized Care with Entrepologist and Naturopathic Dr. Meghan Walker

In this episode of the podcast, we speak with Meghan Walker, an Entrepologist (On-tre-polo-gist) and Naturopathic Doctor. Meghan shares her insights on delivering the best care for patients, optimizing healthcare, and the importance of personalized care. We discuss the areas we need to overcome as healthcare providers, the benefits of getting curious about our own health, and the role of innovations and technology in healthcare. Meghan emphasizes the importance of taking ownership of our health and making informed choices that align with our unique needs and goals. Tune in to this episode to learn more about how to optimize your health and well-being. SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
May 9, 2023

240: Tools and strategies to lead a fulfilling life & reach your goals with Certified Executive Coach, Dr. April Elliott

In this episode, we are joined by Dr. April Elliott, a life, leadership & certified executive coach. Coach April works with people nationwide to help them achieve their goals and lead fulfilling lives. Coach April shares her insights into the coaching process and how she helps her clients develop self-awareness, build confidence, and overcome obstacles in their personal and professional lives. Through her compassionate and empathetic approach, Coach April provides practical tools and strategies for her clients to transform their lives and reach their full potential. Listen more about Coach April's work as a life and leadership coach and discover how you can apply her insights to your own life. SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
May 2, 2023

239: How diet & lifestyle changes can improve ADHD symptoms in children with holistic nutritionist, Shawna Hughes

In this episode, we are joined by Shawna Hughes, a Canadian Registered Holistic Nutritionist who specializes in treating children with ADHD. Shawna graduated from the Canadian School of Natural Nutrition and has since been dedicated to helping children achieve optimal health through a holistic approach. Today, we discuss the relationship between nutrition, medication, and ADHD symptoms in children. Shawna shares her expertise on how diet and lifestyle changes can improve ADHD symptoms in children and discusses her approach to assessing young patients, and how she creates personalized plans that address their unique needs. Tune in to learn more about how Shawna's approach to nutrition, ADHD, and how she works with parents to support their children's health. SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" RESOURCES OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
April 25, 2023

238: The Magic of Wanderlust, with Karina MacKenzie

In this episode, we speak with Karina Mackenzie, representative of Wanderlust. Karina shares her experience in leadership within the wellness industry and the origins of Wanderlust, including everything they do from hosting yoga and meditation festivals to running yoga studios, and more! We discuss the growth and success of Wanderlust, the challenges and opportunities faced in the wellness space, and the importance of mindfulness and community in today's world. Karina also shares insights into her personal journey and the lessons she has learned along the way. Join us for a thoughtful and inspiring conversation about wellness, leadership, and personal growth. FYI, signup for Total Reset Sign up (it's free!) for the Total Reset, which is a 14-day course bringing together practice + functional medicine insights + plant-based recipes, and nutritional supplements. SPONSOR BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" RESOURCES OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
April 18, 2023

237: Health and wellness with Kwadwo – get on track and maintain a positive well-being!

In this quick solo cast, Dr. K shares everything from the new book, 10 Optimal Health and Wellness Tips. It breaks down everything you need to get on track and maintain positive well-being. Dr. K gets into some topics from the book including, nutrition and increasing your protein intake, intermittent fasting, weightlifting, yoga, stress management, improving your sleep, meditation, and more!   SPONSOR BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" RESOURCES OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
April 11, 2023

236: Group Health, with Dr. Michelle Peris

In this episode, we are joined by Dr. Michelle Peris. Michelle is a naturopathic doctor with a clinical focus on women's health, pediatrics, digestive and hormone health, and fertility optimization. Michelle joins us today to speak with us about The Wild Collective and a group health approach, including some shared experiences and their focus on female empowerment. Michelle is a health advocate passionate about helping women of all ages tune into their bodies. She shares with us a bit about her background and how she now supports her patients through body literacy.SPONSORBetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up HERE for 10% off.http://betterhelp.com/solvinghealthcareUse Discount code “solvinghealthcare"RESOURCES OFFERS Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.TRANSCRIPTKK: We are on the brink of a mental health crisis. This is why I'm so appreciative of the folks over at BetterHelp everywhere the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to better help.com And use a promo code ‘solvinghealthcare’ and get 10% off signup fees.SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive, but one of the blessings it has given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to [email protected], reach out on Facebook at kwadcast or online at drkwadwo.ca.KK: Welcome to Solving Healthcare. I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of resource optimization network. We are on a mission to transform healthcare in Canada. We're going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.KK: Kwadcast nation. Welcome back, we have another exciting episode with Michelle Peris from ‘The Wild Collective’. Why is she on the show? Number one, she's amazing human being naturopathic physician that's changing the bogey. How she’s changing the bogey? by introducing group health, looking at ways that you as a patient or client, being in a group setting, to be able to learn off each other, have that shared experience, talk about ways of getting collectively healthier, almost being a cheering section for each other. Just makes so much sense, especially when we have so many shortages and issues in healthcare right now. So really excited about this, you're going to enjoy this episode. Before jumping on though, I want you to go to kwadcast.substack.com. That's our new newsletter. That's where all our information is. I'm talking podcasts, videos of our episodes, vlogs, blogs, the latest and the greatest on healthcare solutions, right on one spot. So, you got to jump on the train baby, jump on the train. Alright, so without further ado, Michelle Peris.Kwadcast nation - as usual, we got an exciting guest. I'm going to go ahead and even call Michelle, a friend. We met at the EPIC live event, and was very kind in terms of her messaging, but also reached out and expressed some of the amazing stuff she is doing with ‘The Wild Collective’ and I think, honestly, can transform how we approach medicine. Really, as we like to say, ‘changing the boogey’. So, without further ado, Michelle Peris, welcome to the podcast.MP: Thanks so much for having me. I am really excited to connect with you and grateful to call you friend, you’ve been so inspiring to me. It's a wonderful opportunity to be here.KK: Oh, that's very kind and but I mean, this is all about you. So, you started ‘The Wild Collective’ your background in naturopathic medicine. Yeah. So, maybe tell us just a bit of your background and how you landed in producing this amazing initiative.MP: I often say our mess is our message. So, you know, it goes as far back as really struggling as a young girl of feeling that, you know, magical experience of belongingness always having a difficult time as a young girl to belong, and to feel like I fit in somewhere. That really, I guess, primed what the natural evolution of this was but I fell into naturopathic medicine largely through learning the power of food and nutrition. For the first time at that point, really learned what it meant to belong with a bunch of people who are like minded and suddenly, I felt very capable and very happy and satisfied with life. That was something that stuck with me those moments and seven years into clinical practice as a naturopathic doctor loved a very successful practice loving who I was serving. But feeling really dissatisfied with the consistency of results. At the same time, there was like this growing body of information of all of these, you know, health ramifications of social isolation and loneliness. It being the leading cause of mortality, and all these things, and I really felt like I was failing my patients. First, I didn't really have a screening process for loneliness and then I didn't have support for them on the other side of that, and I think it was really, all these moments that culminated this motivation in for me to solve this problem for my patients. Through that, we created this closed group experience where there's enough time created to not only empower and teach women about body literacy, and how to prioritize their health and why they need to think critically and be the CO creators of their health with their health care providers but also give them the benefits of community medicine and all of the beautiful consequences or side effects that happen when you engage in a community. What started to happen, what started as a very small project, it turned into a global mission, because I really do think this is how we can impact healthcare in a meaningful way how we can alleviate a lot of the burden on the system, is if we are able to disseminate health information that we know is important if people knew how important it was to prioritize their health or create metabolic flexibility or understand nutrition, then they could start to take radical responsibility for the health and start to co create that with their one on one providers and really start to alleviate the system. There are many studies that have demonstrated that that's possible that there are, you know, clinics in the US that are you leveraging this, that you have to go through a group program first. Then Dr. Mark Hyman is a great example, 80% of those cohorts that go through that group program don't require his care at the end of it. So, so much of what we do, we can really empower people to do on their own, and they don't necessarily require a one-on-one care. For me, this was exciting. I think the other things too, is that we spent a lot of time and educating ourselves on all these obstacles, secure the things that get in our way. I don't think we have enough time in one-on-one care to unpack what those could possibly be. Maybe it's not feeling connected in our relationships are unfulfilled in our work, we don't necessarily have mission and purpose that drive our day. These are huge drivers to overall well being. They need to be understood, and we need to take responsibility for them to be, like transformed in that healthcare experience. I think I think group health does that beautifully. So that was a lot. But that's what I'm doing.KK: No, that's good. That's good. It paints a beautiful picture. Michelle, so maybe give us a sense of what a common topics that come up or common ailments that you see like, who what's the typical person that comes to see you?MP: I know this, everyone always wants us to define this. I really want to reach every woman, but I would say women come to us typically because they're interested in learning more. Most women who are interested in something like this have been told by someone that everything looks fine, but they don't feel fine. So usually, there's some kind of overwhelm, anxiety, stress, burnout, maybe a hormonal symptom as a result, or insomnia. Or they're aware that there's a, you know, low thyroid situation happening. That's what's really prompted them to explore naturopathic medicine and get more curious about that root cause piece. Then I think what ultimately gets them interested and what has created a whole access to a different type of, of health education is once they understand what we're doing in a group health setting, so not only are we helping them understand optimal ranges for bloodwork results, or other areas to explore, I think you do a good job of highlighting this but for many people who are just learning this it's never just one symptom or one pot. It's like one system of the body that is going on, right, like they they're all They're all interconnected. So, I think when we're looking at things in a very condensed way, and we're not expanding and helping people widen the lens on what could be going on. I think health information helps individuals do that. So, We can talk about maybe the reason they came in is that they had hot flashes. But if we can educate them on, you know how their nutrition might be impacting that, or how their stress levels might be contributing to that, I think that's what really creates a lot of interest for women to want to learn that. I think the people that we tend to attract is they want to know this information, and they feel so overwhelmed by the content on Google, I think what keeps them fascinated and why they stay in this type of work, is that we like to expand the conversation and take it one step further, and really start to unpack those other obstacles that might be getting in the way are where they're feeling like, mystified, there's so many women out there, ‘I don't know why I keep gaining weight, it's not making sense’ when we start to really go a little bit deeper and look at different concepts of like speaking our truth, and trusting our intuition and just digging a little bit deeper. How our relationships are actually affecting our physical health, I think we start to make it a bit richer and more interesting for them. Now they start to see all the ways that they may have ended up in this dysfunctional health state. I think there is this growing curiosity to want to understand that I think we serve a lot of people if we're being super honest. It's probably not the thing that they come forward with, but they feel like they've checked all the boxes, and they still feel quite unfulfilled or dissatisfied. That probably comes from being lonely, or not actually being purpose driven. So, I think we tried to create a health information. So, we've done tried to do so many things, but we attract people by educating them on their health and their body. And then we take it one step further, and really get them to step into that space of also taking radical responsibility for those day-to-day things that are negatively impacting their health.KK: I would imagine in a group setting, people learn off each other? I'm curious, Does the group specifically have common complaints? Or it’s a random number of women? Six women, you put them in one group? Or is it a common issue that they want to address? How do you determine this?MP: I think you can do it several ways. I think this is being successfully done in both of those fashions. So, for us, we've been more about how we're a very fundamental foundational program for women. So, there's a nonspecific attraction to it. Not, we're not like, oh, here we are for autoimmunity, those groups do happen and they're fabulous, because it gives you that opportunity to really niche down in the types of conversations you want to have. I think what I've learned for doing this for the last seven years is that there always is that unifying universal normalization of the human experience that happens in any group that you're in. I think this can work in either capacity, is there are a specific condition that one is drawn to this group for or are you there, because you want to become more empowered in your health, and you want to take that radical responsibility to that next step and be in this space. If you know, we all here you become the five people you spend most of your time with. If you start to go into that like minded, health-conscious community, how do we use things that will naturally make those habits easier to embody?KK: Mhm, it's like you get a team. When you're in a group, you want to encourage each other don't want to let each other down. So, you've got that automatic cheering squad, telling you like, Let's go!MP: My two frustrations and one on one practice where lack of support for my patients and lack of really understanding what we were doing what why we were doing their treatment plan. That's exactly it's there's that let's go energy that's happening in that group. I remember so many patients would leave my office and they'd be like, ‘I'm so excited like you've made you've given me so much hope I see why this is important. I really want to execute on this plan’ and then they'd come back for their six week follow up. They’ll say ‘My husband wasn't in full support. I don't want to cook all these different meals that that that that that that like all the excuses’ It becomes really difficult to adhere to any plan as brilliant as it is if we lack the social support in order to override the discomfort of change and transformation. It's incredibly difficult. So, when we provide the community, that has that ‘go go rah rah rah’ support. Not only that, but the safe space also to say ‘I'm really struggling today, I don't really love this ketogenic approach, I'm here today, I'm hungry, I'm missing cookies’ whatever, you have this group that's like, I understand, I see you, I am you, and you've got this, you can make this one more day. Suddenly, it doesn't feel so hard to learn these new habits, because you're in a space that supports and understands you. It becomes a lot less scary or overwhelming when you're in that kind of health inspired space.KK: I mean, you're selling it, you're definitely selling it, I want a stage where we got to think about healthcare delivery, you know, and in ways that they can outside the box here, because our current models and system aren't serving enough for the public. What you're proposing is ways of addressing more patients in a group setting that maybe, as you said, it's more effective because of all the things you stated. So, I think that to me is what's exciting about is that this could be a model that we should be doing at scale. I guess one of my questions for you is, do you feel like the women that see you, do they wish they would start utilizing this technique before they have problems? Do you know what I mean? Is it fair to say that when they see you there's already some significant issues that they want to address?MP: Yeah, yeah, I agree. Where are we perfectly fit in is in that preventative phase. That's what we were well trained to talk about, and educate and empower on it's like, where we're very well suited in healthcare. Unfortunately, as it stands still because we're fighting against a system, and everyone is so primed in that way. We all think a certain way with respect to how healthcare delivery happens, and how we navigate through the system, that this is still quite a disruptive thought. So even when they're ending up in our one-on-one practice, typically there is something going on, and it's well progressed, it's well beyond the preventative phase. What I'm seeing now we've created teen programs, Mother/Daughter programs, because we to see the potential, like what if you had this information from the start?  I really do believe, and I've said this to not be so bold, I would love to support in any way, I do think this is a very viable solution that fits the gaps that are currently missing. If we're talking about disparity in health care, access to health information, a lot of the criticism with extended health care. Visits, not everyone can access and afford that. Well, Group Health really helps to solve that problem as well. So how do we get this fabulous information that we now know in terms of education, nutrition, lifestyle, or dementia, stress reduction, all these tools that will be disseminated in a very affordable fashion in a large group setting. When people have access to the information, they desire to take radical responsibility for their health, they feel supported by the collective and therefore now they can alleviate a system that is on the brink of collapse that is struggling to keep up with the pace. People are co creating their own health and they are under they understand the role that they play. That's not currently the paradigm we exist in and that was a frustration of mine. Even as a naturopathic doctor, we were still often, you know, viewed as green aloe pass like they still wanted the supplement. I still met that resistance at the very end of my one-on-one practice, you know, there are people like ‘Michelle, I just came to you for the supplement. I didn't want you to talk to me about all the things’ it's like, well, I'm sorry, I can't unsee what I know now.KK: Absolutely. In terms of the nitty gritty of the programs, because you alluded to the idea that you have like mother daughter programs, for example. Two questions:  What are the programs available? What's the structure like? Is it all naturopathic physician, doctors that will run the program or do you have facilitators?  Walk me through how you navigate through this?MP: Yeah, so we have a 10-module foundational program that everyone goes through. That is delivered by anyone who is educated enough to articulate the fundamentals of health. So, under a good healthy understanding of physiology, symptom expression, how that shows up in our body testing options, and then natural interventions. So, we have collaborated with mostly naturopathic doctors, we have functional medicine doctors, we have MDs in the US who are teaching and educating the ‘Wild Collective’ we have very well-educated holistic nutritionist that are capable, we have pelvic floor physios that we've partnered up with, and they teach it as their whole clinic delivers certain modules. So, their naturopath delivers a thyroid module, you know, right. So, we we've seen all ways in which this program could be used. And it runs as a closed group. Because for me, that connection piece, like once that piece was well established in my mind that that was what we really needed. I didn't want it to be open, I really wanted them to create a very strong social group that was going to support them through that. So, they these sessions occur either once a month or twice a month or every week. They're two hours in duration, we spend 50% In of the time in connection. So, we ask very curated questions that are going to stimulate a very high-level health-conscious conversation that will also normalize their own human experience, just through the absorption of like, ‘oh, my gosh, I'm not alone, her story is so similar to mine’ there's just this wonderful thing that happens when people start to share and open up. That part to me is so fascinating, that has always ended up being my favorite part is that we spend so much time talking about the big T trauma, little T trauma, all these things that get in the way, you know, we can be really accelerated through a lot of those and freed up with a lot of the things that we carry, when we hear someone's story, it's so similar to our own and they overcame it, and they didn't have to hold on to it. There's just so much power and value in the story sharing part. Then we spend the other 50% in curriculum and health education. At the end of that, then they can move to other levels should they want to continue on, but that is the part that we're now making available globally, because we just want to help as many women as possible. We know that what we have is valuable. We know that it's responsible for consistent health transformation. Man, just like really helping women step up in their own life and leading others that we just wanted to make sure that whoever was capable was it was in the hands of those people and they were teaching it.KK: Beautiful, beautiful. I'm curious, in one of these sessions when you say you ask one of these standardized questions to be able to get people to open up, do you have an example of that? Not to put you on the spot but do you have an example?MP: Yeah, so I'll walk you through a little bit of it. So, we start off with our hormone module, which tends to be the most popular where we teach women about cyclical living and how we're different, we're fundamentally different at our different phases of our menstrual cycle. We will open up the circle talking  ‘what has your experience been like? If you could define it in a couple of words? open up the circle, very open-ended questions, we then move to the detoxification module. We talk all about our body's natural capacity to detoxify all the systems of detoxification, and we start to get the questions and it starts to get a little more interesting so that we open up the floor with ‘What are some other things that you need to detox from?’ and I always say you can say very simple things, if you're aware of alcohol consumption, or gluten. You could also be very aware that there are certain relationships, that are no longer serving you, or there are certain parts of your life or habits that are getting in the way of you living your most aligned life. What you're really trying to do is just open up that safe space. I think where we've been very successful as, as facilitators, we see ourselves as equal, so we're equally sharing and we're setting the tone of what's safe in that space. Then leaving it totally open for them to make their own connections. Because what's really beautiful is you never really know how profound the transformation is on the inside from what they're hearing and receiving and what's going on as a result of that information sharing and it's usually quite profound. So, we really try and tie in concepts of intuition and divine feminine with that question asking period. So, the next one is my thyroid, and we have a beautiful thyroid module, but we also start talking about do you speak your truth? Where maybe is a situation where you were unsuccessful and what was the consequence or what was the situation where you were successful? And what was the consequence? And we really start to open up these concepts of ‘oh my gosh, if I'm holding all this in, how is this impacting my health?’ and we really start to tie these pieces together for them so that they realize that they're holding on to things that are no longer serving them. There must be some safe space for that to move through them, so that they can really get to the real obstacles that are getting in their way of their health.KK: Wow. Certainly, you highlight the mind body connection in terms of how we need to heal, which is grand. It makes sense when you hear similar experiences from you, how that can validate and could make the experience that much more real. This sounds good. In terms of the other programs, you have a mother daughter program. Is there any other kind of unique programs that you have?MP: We have mother/daughter, we have teen, we have perimenopause, and menopause.KK: What's your most popular one?MP: Our fundamental one is our most established. So, I'd say that is the most popular and now we're stepping into like, and I'll say in my mind, I have this everybody just like gets along. I really thought that this would just attract women, no matter what diversity of age diversity of background. That necessarily wasn't the case. That's why we now are targeting certain audiences to help bring them in. Age is a big one for women, so we had to create the perimenopause, menopause, there's slightly different content, of course, that needs to be delivered. But more the real obstacle is that aging women don't necessarily feel celebrated or safe to join where there are younger women. It was a real obstacle for me, if it's going to be a barrier then we must find a different way to reach them.KK: The answer came from them.MP: Yeah, the answers definitely came from them.KK: Interesting. What's the big picture vision? You've alluded to the scaling up of such and the globalization of, ‘The Wild Collective’ and I must say the idea that it could be affordable, scalable, all these things make it very attractive. Where would you love to see this goal?MP: Yeah, if I were the queen for a day, I there would be a shift, there would be a paradigm shift in our thinking that everyone understood that we took this responsibility on and I'm happy to take this on. That we were advocating and articulating the value of where group health fits in, in the health care system. That every person understood that the health, the health care experience, included community. That it was like the first step that it was concurrent with our one-on-one care, because there were other frustrations, as a clinician, that this alleviates our discomforts, too, I was exhausted at the end of my day, because I was saying the same things over and over. I was trained for strategy, and really building all these beautiful plans and I spent most of my day talking about hydration and protein. It's inefficient, we are way too educated to be hanging out in that space in that capacity. So, let's innovate the whole model. I want to disrupt the model. I want every person to understand the value that group has in their health but also in their life. I think we would see a totally different system and a different health outcome if that were the articulation and so my mission not only moving, what we're bringing forward, but really is to stand for Group Health. The thing that's most difficult, I coach and mentor other clinicians now and building their own group programs. So, I've seen autoimmunity and Lyme and all these other group programs do amazing. We all held up against the same resistance, which is that we as a population as a as a global population, we don't understand the value of it. It's not the articulation of health care, therefore we're naturally resistant to it until we've experienced it. So, I would love to, I would love to create a lot of clarity there, so that everyone understood the value and they just prioritize that as part of the house strategy. That that for me, I think we would change a whole lot with respect to public health. It would be advantageous for everybody, I think it would care for the doctors, I think it would care for public health at a greater scale. That is what I'm set out to do and I want to be of service in that capacity. However, that rolls out. I think my biggest obstacle is trying to articulate the value to people who have only seen one on one care as the only option for health delivery.KK: Well said, I reflect back, we did a episode, the names gonna escape me all of a sudden put on the spot. It was an episode on social prescribing, and the impact that has had on many patients. You're gonna go to cooking class or a yoga class and prescribing that. I remember leaving that interview saying like, ‘Yes! this is where we need to go’ and a lot of the patients that would be referred, unfortunately, are deep into their ailments. I think twofold, 1. leaning on the preventative side that's at scale in a group setting, I think is grand. 2. Then also just having here in a group session, can be so powerful for the reasons you've mentioned. The reason I'm sloppy is because I'm thinking at the same time, I'm thinking even for our project with metabolic health we should make sure I think I might be in the grant, but we should emphasize the idea of having group sessions. Adding this as part of the care package that they'll receive. There's too much upside, it's more efficient. It's just as glorious.MP: I agreeKK: You've convinced me now. I love it. So, anything else that you want to give love to with ‘The Wild Collective’, I just want to make sure that we're catching all the magic that you guys are doing. As we say, many times on the show ‘y'all are changing the bogey’. We want to make sure that that bogey gets amplified, so any other initiatives or, or things that you want to highlight MichelleMP: I just I just want to emphasize the importance of social connection for everybody who's listening. I think there's just been so much impact and impair from the last few years of being strongly encouraged to, to socially distance and fully understand why that happened. There's been a lot of impact and our brains are socially wired to connect and this this needs to be a must have, it ought to be prioritized. Certainly, we'd love to serve you we are always here in the ‘Wild Collective’ to direct you wherever is the best fit or to welcome you into our community. Social connection, the power of that with respect to overall health, well being and longevity in terms of even living eight years longer. I mean, it's just like such a no brainer. It can be successfully done with one other person in your life. So, for me, what was so exciting is this was a free tool that everyone had access to with respect to health that had a massive impact in overall health, well being longevity, anti inflammation, increased satisfaction, decreased risk of anxiety and depression. It is such a powerful tool. I love the work that we're doing, and you can check out our website. I'll give that to you for the show notes. We have facilitators all over the world. We just want to be of service and ensure everyone who wants access to this type of healthcare support can have it I really do think it is the future of medicine. The more that we stand for that and create we normalize the conversation around that I think the easier buy in we're going to have and the more people we're going to be able to help so that's really all I have to say and if I can contribute in any way. I'm happy to because this really is my life's work now. I'm super grateful to know this information now and to have actually stuck with it long enough to see the power of it. To be brave enough to stand for it and continue to scream at the mountaintops for it.KK: This is great. You've you found your purpose, we are certainly glad you, you found your purpose. To reinforced, the lack of connection and the lack of community in the last couple of years has been significant. I could not agree more. So, thank you, Dr. Michelle Peris for coming on the Kwadcast and please let everybody know where we can get a hold of you.MP: Yeah, thank you so much for having me. I'm most social on Instagram. So, you can follow me over @drmichelleperis. I love to personally connect, like I said, and like you said the consequences over the last few years. If you're if you're looking for resources, please don't hesitate to reach out. I'm happy to give support and we are global site is www.the-wild-collective.com. I also have a podcast called ‘Wild Medicine’ and I think we do a really good job not only explaining the benefits of the wild collective but community medicine at large.KK: Beautiful, beautiful. Thank you so much for joining us. This was awesome. I'm feeling inspired.MP: Thank you so much for having meKK: Kwadcast nation thanks for listening to that episode. Follow us on Instagram, YouTube, Facebook, Twitter and Tiktok @kwadcast. Leave any comments at [email protected]. Leave that five-star rating. Do it, do it. We appreciate you. Go to Kwadcast.substack.com. Paid membership gets you a membership to solving wellness gets you access to video content. You guys are going to love it! Subscribe today. Stay precious, stay beautiful, peace. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
April 4, 2023

235: Midlife women’s health and dissolving HRT myths with Dr. Ardelle Piper

In this episode, we are joined by Dr. Ardelle Piper. Ardelle is an obstetrics gynecology specialist and works with the health community to help them learn more about menopause. Today she speaks with us about how she chose her career path and her work on midlife women’s health, pre-menopausal and peri menopause care. We also cover safe hormone replacement therapy and dissolve a few myths surrounding the concern with some previous studies.  Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. ADDITIONAL RESOURCES SPONSOR BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" OFFERS Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
March 28, 2023

234: Bridging the gaps in healthcare to take women safely from conception to childbirth and returning to safe exercise with Janette Yee

In this episode, we welcome Janette Yee to the show. Janette is a Perinatal Athletic Therapist of over 20 years and works with athletes specializing in running and rugby injuries. Janette is focused on helping mothers postpartum, today she shares how she helps pregnant athletes and provides in-home pregnancy care. We also hear about how Janette helps moms navigate postpartum rehabilitation, bridging the gaps in healthcare to take a woman safely from conception to childbirth and returning to safe exercise, cesarean birth prep, and more!  Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. SPONSOR BetterHelp is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone. Sign up HERE for 10% off. http://betterhelp.com/solvinghealthcare Use Discount code “solvinghealthcare" OFFERS Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
March 21, 2023

233: Improving autoimmune disease symptoms through meditation, culinary nutrition, focusing your mind and more! with Meghan Telpner

In this episode, we welcome back Toronto-based author, nutritionist, and founder of the Academy of Culinary Nutrition, Meghan Telpner. Today Meghan shares a little about her past, her diagnosis with Chron's disease and how it affected her lifestyle. Meghan shares how she reversed her symptoms through meditation and culinary nutrition, focusing your mind, and more! We also enjoy a guided meditation presentation developed by the HeartMath Institute, showing us how to tune our breathing techniques and feel at ease and peaceful. Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
March 14, 2023

232: How your pelvic health affects your lifestyle and sexual health: navigating perimenopause, menopause and more with Marie-Josée Forget

In this episode, we welcome Marie-Josée Forget. Marie-Josée is a bilingual Pelvic Health Physiotherapist, educator, and mentor with 18 years of clinical experience. She operates a private physiotherapy practice focused on treating pelvic floor dysfunction and teaches courses related to pelvic anatomy and health at Pelvic Health Solutions. Marie-Josée Forget speaks with us about women's health. We learn about perimenopausal, and menopausal women and their pelvic health. How your pelvic health affects your lifestyle and sexual health, Kegel exercises, navigating perimenopause, menopause, and more!SPONSORBETTERHELPBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare"Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.TRANSCRIPT KK: We are on the brink of a mental health crisis, and this is why I am so appreciative of the folks over at BetterHelp. It provides the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today. Go to betterhelp.com And use a promo code ‘solvinghealthcare’ and get 10% off signup fees. SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that is given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change, the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to [email protected], reach out on Facebook at Kwadcast or online at drkwadwo.caKK: Welcome solving healthcare. I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of ‘Resource Optimization Network’ We are on a mission to transform healthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.KK: Kwadcast nation welcome back. We have a tremendous episode with MJ Forget. She is a pelvic floor specialist in physiotherapy and sees a lot of perimenopausal women and was really knowledgeable in terms of the issues that she sees firsthand. Many people can benefit from a pelvic floor physio, for example, if they're having incontinence, pain or with sexual health, this is such an important aspect of things. Then she dives into how holistic the approach must be how the physio can actually make some significant strides. How lifestyle changes can impact things. Honestly, I learned so much in this episode. So, we'll jump on it right away here. But first, I want to give a quick plug to our latest newsletter on substack kwadcast.substack.com. Where you can stay up to date with all our releases, our blogs, or blogs or guest appearances, courses all are on one site and it's all point. Check out kwadcast.substack.com and jump on the train. So, without further ado MJ Forget. KK: Welcome to the show. We we've been talking more about women's health, specifically, perimenopausal and menopausal women. One of the areas that I must say it was a bit foreign to me and I didn't realize it was such a big issue was pelvic health. So MJ you've been at this for a while, like when you started? You said over 20 Maybe 25 years? MJ: 25 years? Yeah. KK: What lured you to pelvic health and like how big of an issue has is pelvic health ben for people?MJ: When we graduate from university, you know, and the medical fields we get to find areas of interest when we graduate and that's kind of all that we do. And you know physio, some of them want to do orthopedics and work with sports teams. When I graduated, I went to the hospital system, which is a lot of what physios do, and I worked in ICU and I worked on the floors, I did orthopedics, post knee posts, hips, and it really wasn't where my passion lied by any means. But it was a really great introduction to all thing’s physios working in a hospital setting. So, when I thought about where do I want to go? And what do I want to do? I always had an interest at the time what we call more women's health. Now we call it pelvic health because again, all genders have pelvic health issues. I had classmates who did their thesis on incontinence. I remember thinking at the time oh my gosh “That's something that we can do?”. It really wasn't anything we were taught in university, nobody really talked about, again pelvic health, women's health, women's health issues, menopause, that was never covered in our degree. So, I took my first course and Alberta back in 1997 and I never looked back. I had no idea how much pelvic health issues was a problem. Remember 25 years ago, nobody talked about any of that. Nobody talked about bladder control issues or bowel control issues. Certainly, nobody talked about menopause, and nobody talked about sexual health, which is a lot of what we do in pelvic health. So, I started my career, like I said, I was in my early 20s and that's all I've been doing now, for 25 years. This is where I'm at. KK: Wow. You alluded to, you didn't realize how big of a problem it was, like how big of a problem truly is it? MJ: If we talk just about incontinence in Canada, if we just talk about general stats in Canada, 3.3 million Canadians have bladder issues in Canada. When we think about gender differences, one in four women, one of one to nine men, so it's significant. It actually gets a little worse as we age. That's an issue with menopause. So, if we think about the female population, there's about a 20% to 30% incidence of incontinence in our young adulthood. Think of like your 20s and 30s. Then that spikes up to almost 40%. By the time we get into middle age, which is kind of the perimenopausal menopausal age. Then it goes up as high as 50% in our elderly, which is a really big concern. One of the main reasons that our clients get admitted into nursing homes is because of bladder issues, and fecal incontinence rate, loss of bladder and bowel control is usually kind of an event where families then have a hard time maybe coping with taking care of their of their loved ones, and that will increase admissions to nursing homes. So, we're not talking about small numbers. It's a significant number and we have an aging population in Canada. We have a lot of people going through perimenopause and menopause. One of the biggest risk factors of incontinence is actually menopause. We have a lot of people right now who are entering kind of that phase, you know, and I think in Canada, the stats are that there's 10 million of us in this age group in perimenopause, heading into menopause in Canada. That's a big number.KK: It's massive. And I think this is what's motivated us to cover some of this content because these are years of productivity, have high needs, like moms that are in that perimenopausal age where you're active with your family, your career paths, like a lot of people this is where they're starting to peak in their careers, a lot of demands just to be to be on the workforce, like when I think of health care workers. So, anything we could do to make them more functional and thrive. I think we need to really look at. I don't know if I realized that, like this is kind of like the peak or one of the main concerns during the perimenopausal perimenopausal menopausal timeline. What can you do? What do you do to help? MJ: There's so much we can talk about this for hours, but we'll try to kind of keep in to keep our timeline because I can get started. I mean, if we're just going to focus on, we’ll talk the impact of perimenopause and menopause. Like you said, it's such a difficult time. You know, people going through perimenopause and menopause, like you said, are working. They are often parents, with children that still require a lot of our attention. Plus, sometimes we're taking care of our parents as well. We're kind of like in that middle group where we're busy with our careers. We may or may not have children, but we also may have parents that we help and it's a really stressful time, and quality of life really starts to take an impact. So typically, when people come to see a pelvic health physiotherapist, or a physiotherapist who's done postgraduate studies in pelvic health, what we do is we are often seeing people that come for problems of bladder control and bowel control. So that would say that's kind of when I started that was the most of what I've seen, but we also help our patients with sexual function and the ability to have pain free sexual intercourse, which is a big issue again in perimenopause and it can actually worsen and menopause as well. We help with conditions called pelvic pain, pelvic pain can be anything like you know, our patients telling me I have vaginal pain or rectal pain, and when I treat my population of men it could be prostate related type of pains. Pain in the pelvis. A lot of pain in the pelvis affects sexual function and has an impact on your bladder and bowel function. So, it's all related together. When you come and see a pelvic health physio, what's important to know is we take what they call a biopsychosocial approach to care. So that means when you come and see us, we're looking at you as a whole person. What's really great about our profession is we have the luxury of time, because when you come and see us, we have an hour on assessment with you. Follow up treatments can be half an hour, 45 minutes or even an hour. So, we have the luxury of time, and we have the luxury of talking. S o the main thing that we always want to do is let people tell us their story, you know, why are you here? What's bothering you? And how much is this bothering you? Because again, when it comes to menopause, or bladder issues, or sexual function, these are not subjects that people want to talk about easily, right? There's a lot of taboo, a lot of embarrassment. A lot of my clients think they're the only ones who cant have intercourse anymore than the only ones who are losing bladder control and can't, you know, run a marathon. Everybody thinks they're the only ones but there are in fact, not, the stats are actually quite high in terms of impact of blood, bladder, health and sexual health on our patients. So, we talk and then we address all things incontinence, bladder, bowel, sexual function, and things like constipation and pain in the pelvic area. So, we do all of that. It's quite a bit and it spans quite a lot of topics. We also talk about lifestyle because lifestyle is important. On the on, on maybe my first visit or second visit, I'm going to talk to you about are you sleeping well? Are you managing your stress well? Are you having any issues with your mental health? depression, stress, anxiety that you're not managing? Well, how are you feeling hormonally? Because part of what we do and what I've noticed during COVID a lot as well is we've kind of become a little bit of the gatekeepers, I want to see we really had to help our patients navigate the healthcare system, and a time that it was really difficult to navigate the health care system. I always tell my clients, I'm here to help build your team around you who do you need to help you navigate perimenopause and menopause so you can live your best life, because as physios, we have to stay in our scope of practice, we can't do everything. So, if I talk about nutrition, I can talk about why nutrition is important, but I'm not allowed to give you advice on nutrition because it's not in my scope. But I'll send you to the people who do that. And the biggest challenge and menopause is that for a long time, there was nobody to send people to. Right? If you think about, you know, how many menopause clinics do you know, that exist out there? Right. There's one at Mount Sinai. There's just not a lot of menopause clinics that are run by a gynecologist and maybe have a nutritionist and a psychologist all working together and maybe with a pelvic health physio, that'd be great. That could look at that whole biopsychosocial approach to care to really help our patients navigate menopause. I think that's now starting to change. I think now, you know, the tagline right now is menopause is having a moment while menopause is having a moment. I think partly because there's a lot more of us in our field talking about it on social media, there's definitely some gynecologist now that are much more vocal on social media, talking about hormones, talking about safety of hormones. When I started 25 years ago, hormones were a no go, there was so much fear around all things hormonal replacement therapy, and it was really difficult because as a physio, I could see how devastating some of the symptoms of menopause were and there wasn't really a lot of options for my patients at the time as to what to do about it. Because everybody has such a fear of hormone, whether it's topical hormones or hormonal replacement therapy, and I think that that's shifting as well. So, we talk about all of these things with our clients when they come in. Then we help navigate and say, Okay, if you're struggling with nutrition, who could we send you to? If you're really struggling with your hormones, who are the hormone, menopause, hormonal experts out there to send you to? If your mental health is an issue, who do we send you to for that so that you can kind of work on your anxiety and your depression and your stress? There's been a lot of stress, you know, in the last few years, and then as physios, we take care of more that kind of the physical kind of component of incontinence, pelvic pain, bowel health, constipation and sexual health.KK: You know, what I'm really appreciating is you’re saying MJ is how holistic the approach is, it's not so just the physical aspects and the rehabilitation, you need to know how it's affecting your life, how you're doing from a lifestyle perspective, stress level, sleep, how well you're eating, and just approaching it that way. That's what I'm finding really encouraging about this is that you know, you're just not soloing the approach, it really comes down to how the person is doing as a whole. In my opinion when it comes to so many issues in medicine, this is the only way like, you need to really address so many of the needs outside the actual physical concern. Another thought just came to mind too, is just hearing all the, the symptoms that so many perimenopausal and menopausal women have to go through it, it just, it really is sad that so many people have had to go through without it go through all this without attention. You put it together, the hot flashes, the mental health concerns, weight issues,MJ: the insomnia, the anxiety KK: Then you add the pelvic pain, the incontinence on top of that MJ: It's significant, and it's all today can be a very overwhelming time and our client’s life, because, again, they're so busy, they're under a lot of stress, they have a lot of obligations. Then they're dealing with, you know, ‘I can't have intercourse with my partner, it hurts too much. I'm leaking urine, I can't exercise. Now I'm gaining more weight. I am going through perimenopause, I got insomnia, I can't sleep’. That has huge repercussions on the human body. It's important that we all talk about those things. And it's important that we recognize the lane that we're in as, as health professionals and find the right people, for our clients so that they get better. I think you know, again, it's the tides, I think are changing that we're taking a little bit more of this kind of like sort of biopsychosocial approach, looking at the whole person. Also giving permission to our clients to talk to us about these things that it's okay to talk to me about your bladder issues and your sexual health concerns and, and your stressors in your life and how maybe you're having really hard time balancing work life balance and seeing how we can help with that. We can all help with that, in our own way. KK: Absolutely. Give us a sense, MJ when someone walks into the office what some of the stuff you're assessing? what do you do as a physio to help patients that's within your scope? the exercises? help me understand the potential and the things that you do to help address these issues.MJ: So, once we've listened to everybody's story, and they tell us what their main concerns are, and what their goals are, in terms of what would they like to achieve with our time together. We do a lot of education, and education can be like I said, lifestyle, sleep, how are they functioning with nutrition? Are they exercising? are they happy? Are they stressed? then we really go into the function of the pelvic floor. So, if we talk about the main concerns most of our clients are coming in with often it will be bladder issues, bowel issues, it will be sexual health issues, and maybe constipation issues, like some bowel issues, that all tends to act up in perimenopause. That's when we take out our props. I have lots of props to explain to people about the pelvis. Because again, we are not taught anything about the pelvis as human beings. And if we think about our education in our primary schools, in our high schools about pelvic health, there's none of that. So, we often don't really know about the pelvis, right? And where the pelvic what's happening to our pelvis. If we look at this wonderful pelvis has been with me for 25 years, so it's falling apart. KK: People listening, you might have to be extra descriptive, extra descriptiveMJ: Okay, so when we look at the pelvis, if I take the muscles out of the way, this is the front of your pelvis. So that's your pubic bone. By turning the pelvis around, that's your kind of your spinal column and your tailbone would be right here. And if we look at the bottom, while the bottom is all muscular, it's just muscles down there, and you have layers of muscles, and we call it because we're not very clever. We're calling it the pelvic floor muscles. There's a lot of fancy terms in anatomy, so we won't go through that but for the sake of purpose, the pelvic floor and there's layers. The first layer, which is the most superficial, so meaning that you can touch it from the outside. These muscles here go from your pubic bone to your tailbone here at the bottom, they wrap around your clitoris, and your vaginal opening, and then they also wrap around the anal opening. All of these muscles here, the main function of these little muscles are that the vaginal opening or for sexual function, which is why sometimes we can have difficulties with maybe having an orgasm, libido, desire orgasms, and maybe we have pain with intercourse. These muscles which are under voluntary control, so we can learn to use them, they must contract, but they must relax. When things go in the vagina, all these muscles must have the capacity to stretch into expand, and that should never cause us pain. So that's this first little group. We'll maybe dive into kind of sexual function a little later. But that's the first little group. Then deeper inside your pelvis, you have another group of muscles that are deeper inside your body. These muscles, they're quite big, quite large, they wrap around your vaginal opening and your anal opening all the way from your tailbone at the back to your pubic bone at the front, those are your bladder and bowel control muscles. So if I take that muscle out, just to show you how big it is, the big muscle, front to back. When you laugh, when you cough, when you sneeze, when you lift things that are heavy, these muscles tighten around your urethra, or tighten around your anal opening so that you don't lose bladder control, you should be able to hold on to those muscles to get to the bathroom on time. Then when you sit to go to the bathroom, they relax this stretch the expand to allow us to go to the bathroom. So, when people come to see us for bladder issues, bowel issues, or sexual health issues and sexual pains, what we're trying to determine is what's happening to that little group of muscles, what's happening to that pelvic floor. I always tell my clients, there's two groups of you. There's a group that come that comes to pelvic health physio, where when we evaluate the function of their pelvic floor, they just lost a lot of strength and endurance. We see that in perimenopause and menopause because this is my hormones are important. When you go through perimenopause, your hormones are starting to dip down. They're not gone yet. But your estrogens are dipping your testosterone and your DHEA, which are your androgenic hormones are decreasing. We need estrogen for muscle strength, and protein synthesis and collagen. When we have a loss of estrogen, we start to lose muscle strength, we start to have what we call sarcopenia. Right. And that starts to increase as we age if we're not moving and exercising. So, estrogen is really important for muscle function to testosterone, which we have, we don't maybe have as much as our male counterparts. We do have some in it, it is important because it helps with muscle strength and muscle tone. That impacts the pelvic floor. So, I may have someone who has never had babies never, never could not have children or decide not to have children who come to see me, and perimenopause and menopause and they'll say, Why am I having incontinence, I never got pregnant. Well, that's because even if you have not had children, you're gonna go through menopause, you're gonna have those hormonal fluctuations. You can still have some symptoms of menopause and one of them could be incontinence. And the other thing what these pelvic floor muscles do, which is really great when they're working well, and you're able to use them properly, they help decrease the sense of urgency and frequency, right. So, some people say I go to the bathroom all the time I'm peeing every half an hour, I'm getting up three, four times a night to go to the bathroom. When we help regain function of these pelvic floor muscles to reduce incontinence can also reduce urgency and frequency and the need to get up at night. So, group number one may have a lot of weakness and loss of strength in their pelvic floor. Again, that happens in menopause with the loss of our hormones. A lot of the symptoms tend to worsen about seven to 10 years after you're done having your menstrual cycles remember that you are menopausal if you've gone 12 months without your menstrual cycle, usually symptoms of menopausal peak a kind of that seven to 10 years. I's about honestly, they're saying about 50 to 65% of the population may have actually some symptoms, you know, at those seven years, post menopause. Second group of people that often come in is when we evaluate their pelvic floor, they have all the same symptoms will have bladder issues or going to the bathroom a lot. But then they tell us they have pain, they have pain with sexual activity. Then when we look at their pelvic floor, they actually have too much tension. Okay, and that's a problem because if you look at this little layer of your pelvic floor, these muscles that wrap around the vaginal opening and your clitoris, so these are your clitoral muscles. So important to have orgasms if you have too much tension in these muscles like this when things going in the vagina start to hurt. Again, that can start to be a problem in perimenopause and into menopause, again because of hormonal changes. What happens is, you're going through perimenopause, or menopause, or maybe you're in menopause, your estrogen levels have dipped down. Estrogen is like the fountain of youth, estrogen plumps up our tissues, it increases blood flow to the area, it provides elasticity to all of our tissues, and that's your labia, and at the vaginal opening. This area is really, really rich in what we call estrogen receptors. And of course, when we go through perimenopause and menopause, that's a decreasing, and so things get a little thinner, things get a little drier, and things lose the elasticity. What often can happen is, my clients will have intercourse, and it hurts, and maybe they bleed a little bit, because again, you know, when estrogen goes low, everything gets a little drier and more sensitive, and they've been prone to maybe even some tearing, well, then that pelvic floor is actually very clever, these muscles here, they're there to protect us as well. So, if you have pain, then the next time you think about engaging in sexual activity, your brain is going to say, You know what, that really hurt last time and right away, we start to tense up our pelvic floor. And then we get caught in this vicious cycle, where we have that episode of pain because of hormonal changes, then it hurts and then our pelvic floor tenses up. Then we keep trying to have intercourse, but then we keep irritating that area, then the pelvic floor just increases in tension and increases in tension. That can lead to more pain, with sexual activity as well. So, I always tell my clients that we need to figure out which of the two groups do you belong to? Do you have a pelvic floor that just needs strengthening? Or do you have a pelvic floor that maybe requires a little bit more stretching and relaxation, to help you regain proper sexual function? You know, having sexual function without pain? In everything that we do, you know, we always take that step back and go, Okay, well, you know, what are the stressors in your life that also increases muscle tension, right? So, stress and anxiety, and lack of sleep, all increase our fight or flight response. And that's why sleeping is so important to kind of really get you restorative health, you know, and to make sure that we're refreshed in the morning, managing our stress is really important, because when you're under stress through the day, and you're in that fight or flight responses, all your muscles tense up, including your pelvic floor, right? So, then what we do is we do a physical exam. This is kind of where, you know, doing a really good explanation of the pelvic floor is really important. So, I have these really great models that I've designed over the years. And what I do is I show all of the muscles, so you've got muscles at the vaginal opening, that can be the reason you have pain with sexual activity, you've got deep muscles inside that your bladder and bowel function muscles. So, when we do a pelvic exam, we do not use speculums. We don't have you in stirrups, it's not like kind of a pap, we're going in manually with one finger and we start on the outside and we just have a look at all these muscles to see are they causing you any discomfort that could actually explain some of your pain with sexual activity. If we're able to do that, then we can go in. We can look at all of these bands, all of these muscles that you see here that's colored, these are all your pelvic floor muscles. We can evaluate all these bands of muscles right side left side to determine Are any of these muscles causing you any pain, because pain with sexual activity can be pain at the opening? or some people will tell me you know, it's deep inside. ‘It's like I can't like we have to stop it hurts so much deep inside’. Then we evaluate these muscles I say, ‘Okay, if I said to you try to contract, try to squeeze those muscles, especially with people that have incontinence, bladder or bowel, I'll say try to contract your pelvic floor’. That's where we're assessing strength and endurance, okay, how strong are your muscles? You know, how much endurance and power does your muscles generate? And if that's lacking, we're gonna work on that. So that's kind of the physical exam and the physical exam is as per our client's comfort levels. So, some people on day one will say, I'm not comfortable with a pelvic exam, maybe they need a visit or two to get comfortable with the idea. You know, some people are not aware that that's what a pelvic health physio is trained to do. We are trained to do pelvic exams for the purpose of evaluating what's happening to all these layers of pelvic floor muscles. So, you can regain bladder control bowel control, and sexual function. The other thing that this pelvic floor does, it's like a shelf, it holds up our organs and so a lot of our clients will say, ‘I feel like feel like something's falling out of my vagina’. They get diagnosed with something called the ‘prolapse’, which is everything kind of softening up and estrogen is important for that because estrogen is what we need to have strong ligaments and strong tendons. A lot of times heading into perimenopause or menopause, somebody may have had a prolapse when they had their, two, three children in their early 20s, and did absolutely fine. But now they're starting to have symptoms because their estrogen levels are decreasing. That's really altering kind of the function of what we call the collagen fibers in their tendons and in their ligaments. We have a lot of ligaments that hold up our organs, and everything just kind of soften. So obviously, nothing's ever going to fall out of your body. It's never going to happen but everything softens a little bit and part of what we have to do is strengthen that pelvic floor if needed to kind of create that supportive system from the bottom. It really is all about exercise. It's about exercise. KK: That was going to be my next question, maybe with that first option of picking up someone that is having issues with incontinence, assuming you're addressing the lifestyle issues, and so on. But what's an example MJ of exercises or type of exercises that they will be using to try and rectify the problem? MJ: Everybody's heard about those famous Kegels right? Everybody's heard about Kegels KK: I’m doing them right now MJ: Kegel, he was a physician; he was a gynecologist back in the 50s. Dr. Kegel and who's who had done kind of a lot of research on the field of the pelvic floor. We call them pelvic floor exercises. So yeah, we teach our clients how to properly contract their pelvic floor. What's important to know is that you can read online on how to do cables, and how to engage your pelvic floor, but they're not easy to do. It's important to see a pelvic floor physio, because a lot of people think they're doing them properly. Then they come and see us and they're confident ‘Oh, no, no, I’ve been doing my ‘Kegels’ fantastic, I think I'm good’ and we test them, and they're not doing them properly. We tend to cheat a lot. When we try to engage your pelvic floor, we're holding our breath, maybe we're squeezing your bum, or we're sucking in our belly. Really, you should be able to squeeze your pelvic floor, you can think about I was kind of give the example to my clients, I'm like, imagine a little ping pong at the opening of your vagina and just try to grab and pick up your ping pong and for my patients that have penises, I'll say try to lift up your penis, right. Those are some of the things that we explain. That's how you think about engaging your pelvic floor or think about stopping gas. The reason it's so important for us to do a pelvic exam is from the outside, I can't tell if you're doing a proper pelvic floor exercise. When we do a pelvic exam, it really tells us how well you are using those muscles. If you have pain, then we're at least kind of finding out that there's too much tension and if you have too much tension, I'm not giving you Kegels to do. That makes sense, right? So, if you're coming in just for incontinence, I evaluate your pelvic floor, there's no discomfort, when I'm palpating those muscles and you're good to go. Yeah, then we're going to work on some strengthening. If you're already here, and then you've got pain, with intercourse, maybe it hurts to go to the bathroom, you're not peeing really well. So the muscles are not relaxing, and I evaluate your pelvic floor and there's too much tension, well, I'm not going to give you more Kegels to do. So, in that case, we're doing things to relax the pelvic floor, and this is where we do breath work. And we do yoga-based movements, a lot of pelvic openers and yoga, a lot of breathing, maybe some meditative type of practices to help relax that tension. Once we relaxed that tension, once the pain goes away, then maybe we can do some strengthening, if that's what your body needs at that time. That's why it's so important for us to do an exam because again, I can look at you and I have no idea if you've got a pelvic floor that's too weak or a pelvic floor that has too much tension but when we palpate it we can see and then we can give you the proper exercisesKK: This is good because once again I think there is a lot of women that are struggling with these concerns and with that are maybe at a loss. Are there a lot of pelvic specially physios out there? for example if people want to get access to someone of your caliber and this is not something you could be doing virtually either right? MJ: I did a lot of virtual; I still do. Virtual is really good for is sometimes even just the initial assessment like the first time because we do talk so much and we do a lot of education. So during COVID we did quite a lot of virtual and I continued to do so and sometimes that day one. Maybe you know if you've got COVID You can't come into the clinic well then, I'll just do a virtual with you do all the education and then you come back in to see me for kind of an in person visit when you're feeling better you know when you're not sick, things like that. So there's a lot of us doing virtuals as well. The best place to kind of find a physio in your area that has the qualifications to do a pelvic exam and to do pelvic health, is to look at the website called pelvichealthsolutions.ca and there's a find a physio feature there. You can actually click in your area, look at people's names, it shows all the courses they've done, so then you can kind of look at, oh, this person's done a menopause course, great. This person's done a hormonal health course. That can help you choose a physio in your area. That's a really great feature that we have. pelvichealthsolutions.ca is a great resource. There's a lot because we're, when I started 20 odd years ago, there was four of us in Ontario doing pelvic health. Now we have hundreds of physios who decided to take pelvic health courses as postgraduate training. We are not without pelvic health physios out there to help anybody who has a pelvic floor, anybody who has incontinence, anybody that has any problems with sexual health, anybody with constipation, there's so much we can do. Like I said, we've become resources for our clients to help them find the right people to go see whether it's nutrition, stress management, mental health and whatnot is really part of what we do to help her patients navigate perimenopause and menopause. KK: Wow, MJ, pure gold. In terms of knowledge and resources I must say, this was some of the best explanations of the issues when it comes to pelvic health. This is the stuff as a physician, you hear about these concerns, but the way you just simplified it, using language that all of us can understand, conceptualizing it in ways that we will understand. Putting it into, for example, two frameworks, or two patient populations that you typically see, you're the GOAT. MJ: Thank you! That's why we say to people, if you're not sure at least come in for the first visit. So, you get a chance to chat, you know, and that's a nice thing about doing virtual, you're not sure about it, we'll do a virtual and we can talk through and I think a lot of people then realize, ‘Oh, there is help for me, oh, sexual, sexual dysfunctions and payment sexual activity’. That's not okay. No, it's not okay. It's not okay, that you're not sleeping through the night because of hot flashes, right. Then really talking about the research and the evidence behind what we do. And we have a fairly high level of evidence in what we do in terms of treating incontinence and prolapse and pelvic pain. Having a chance to talk to our potential clients about that is good. Again, to make everybody feel more comfortable with topics that are not comfortable to talk about. I mean, there are still a lot of taboos around bladder and bowel health. There's a lot of taboos around sexual health. There's a lot of taboos about talking about menopause. Because we've been told, while menopause is just part of life and deal with it, suck it up, right, suck it up, you know, don't complain about it, you know. I think, I think our clients are starting to get fed up with feeling so poorly, and so discouraged about their quality of life. Like I said, it's not insignificant, there's over 30 symptoms of menopause. If we can improve any one of them, I think we're doing well, to help navigate, you know, and these challenges that our clients have. We have great research, I was just reading, just to get ready for today, that strength training again, we're physios you know, we're all about exercise motion is lotion. We encourage our clients to even get out like I always tell my clients, even your pelvic floor loves to go for a walk, just walk outside. The thing with walking is that you're outdoors in the fresh air in the sunlight, you're getting your vitamin D, you're setting your circadian rhythm, there's good research to say that if you get outdoors in the morning and bright sunshine for a good walk, you're gonna sleep better at night. Right? But strength training, which we again love to encourage your patients to do reduces hot flashes by 44%. you know, again, this is kind of in the purview of a pelvic physio or any physio is we're all about, you know, strength training to help mitigate the effects of losing estrogen and testosterone, right, strength train to reduce your hot flashes by 44%. Wow, you know, strength training to reduce osteoporosis because that increases when we hit menopause as well, because of all the hormonal changes, strength training to improve your insulin resistance so that you can lose weight and strength train for your pelvic floor because when you're strong, your whole body, everything's strong, even these little muscles here, and so kind of giving permission to your clients to exercise, but it's hard, right? because, you know, it's time, you know, and part of what happens in menopause is that people are overwhelmed with stress, and people are not taking the time to do the things they, you know, that we all get told to do, you know, eat well, sleep well ,exercise. So, it's kind of helping our clients navigate, you know, where could they find time to sneak in a little bit of exercise? What can they cut out? Right? What can they let go? What's not important, you know, and, you know, talking about the importance of strength training, I think, again, it's an eye opener. So that's why the education is so important, because when we educate people go, ‘Oh, okay, well, that's a good reason to act’ maybe that's the one thing you needed to hear, to allow you to go and think about strength training, and it doesn't have to be a lot, you know, just a couple of, you know, 10-15 minutes a day can maybe be a good start. Because the impact is so amazing, just like the impact of yoga and osteoporosis and yoga and constipation and it doesn't have to be an hour of yoga, you know, I can help find a video, that's like, 15 minutes, maybe you do that before you go to bed, right to help you sleep and so education is really key, and to, to really help our clients navigate all of these crazy symptoms they have and making sense of it all. Hopefully, get that buy in that motivation that something that speaks to them that says, okay, I am going to try to make a change. When it's hard, you know, you know, one of the things that happens with our clients and menopause is they stopped exercising because they're losing bladder control. KK: Yeah, that was actually one of the things you're mentioning the resistance training. To create the habit, it's not about the result always. You got there, you did your part of the process, even if you get to the gym for that five minutes, and you didn't do all the exercises you were planning to do, but you're getting that that habit developed. So, yeah, as you alluded to, it's hard to do all these things. But to develop the habits, I think is, is where, if you could develop the habits, you'll be moving in the right direction. MJ: Yeah. And I think the more information people have about the benefits, beyond what we already know, right? I mean, we kind of go, weight loss, and I gotta quit smoking, but sometimes you can actually reduce your symptoms of menopause this way or that way, you know, again, that might be enough to persuade someone to say, okay, you know what, then I do need to carve out time in my day, I need to let go of the things that maybe are not that important, and really spend time on myself, and really improved my sleep, and improved my nutrition, and improved my stress management and try to think about exercising, because again, it doesn't take a lot to make a really big change. It doesn't take a lot to go for a walk, I'm happy if you start off with 10 minutes, I'm happy. If we decide Yoga is the best way for you to manage your stress or to help with your IBS or osteoporosis that you're doing even 10 minutes of it. 10-15 minutes of it. We start small, and we build on that. We provide encouragement, because again, we all have bad days where we fall off the rails, and it's okay, we're humans, we're human beings. As long as you just keep at it, you'll start to see some changes. And, and like I said, it's building a team, because our clients need to have the right people helping because MJ can't do everything for everybody like that, you know, if we're only one person, so who are the menopause experts out there who are the nutritionists out there who have a really good interest in menopause and Hormonal Health. Who do you go see if you're having insomnia, right? Because there's CBT there's cognitive behavioral therapy for insomnia. Okay, who are the people for that? Do you want to get hooked up with a personal trainer to kind of motivate you to strength training? Okay, let's find you someone to do that. It's all about building a team and it's all about dialogue, and always talking about these things and giving our patients permission to talk about what's bothering them, and to be open about their frustrations and you know, if they're having frustrations with their weight loss and okay, let's see who's out there who can help you with that.KK: MJ, this has been grand, it's been grand! How do people get a hold of you? I am working right now, I'm in downtown Ottawa. I'm at a clinic called Killens Reid physiotherapy, killensreid.com, we're three pelvic physios at that clinic. There's myself, my lovely colleagues, Natalie and Sophie all of which can help you with menopausal issues. You can look at that pelvic health solution website to find people in your area. It's a great resource. That's the group that I'm one of the teaching instructors for pelvic health. You can see how many great pelvic health physios we have all across Canada. There are also naturopaths, who have taken our courses that are listed. So, if you want to maybe work with a naturopath who has a knowledge of pelvic health, they're listed on there as well. We have some nurse practitioners that have taken our courses, who again have developed an interest in pelvic health. You can find all those people on the pelvichealthsolutions.ca website. Killensreid.com to reach the clinic that I'm at, you can I have a website as well mjforgetpt.ca. I'm on Instagram ‘mjforget’. There's lots of different ways to find us and, and to kind of help you with all your symptoms. KK: I love it. I love it. Thank you, MJ, for the knowledge that you threw down the holistic approach the benefits of seeing the likes of you, I really appreciate you coming on. This is awesome. I appreciate any opportunity to talk about all things pelvic health, and I appreciate all of you've done again, because you've taken quite a holistic approach yourself as someone in medicine right in really thinking about nutrition or sleep or stress or you know, exercise mindfulness and it's always nice to talk to kindred spirits, I say.KK: Thank you so much. Alright, well, I hope you've enjoyed that episode. Please follow us on Instagram YouTube, Facebook, TikTok, Twitter at kwadcast. Please leave any comments [email protected]. Leave a five-star rating on wherever you listen to podcasts. Leave a review. Check out our newsletter at kwacast.substack.com. Everybody stay beautiful Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
March 7, 2023

231: Client focused healthcare at home with ‘Bayshore HomeCare’

In this episode, we are joined by a fantastic group of employees from Bayshore HealthCare. A Canadian-owned company, Bayshore HealthCare is one of the country’s leading providers of home and community healthcare services, providing customized care plans and solutions that allow clients to remain in the comfort of their own homes. Today, we get to hear from a few of their dedicated employees about their health and wellness journey, wellness in the community, personal care, challenges faced through the pandemic and more! Our panelists share with us their diverse backgrounds and how they impact their community as well as their amazing experience working with Bayshore HealthCare. Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. SPONSOR BETTERHELP BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone. Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare" Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 28, 2023

BHM: COVID-19’s Impact on BIPOC Communities, Residential Schools, Vaccine Passports, Systemic Racism & More, with Dr. Michael Kirlew (Recast)

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionalsSOLVINGWELLNESS.COMKEYNOTE SPEAKINGsolvinghealthcare.ca or [email protected] up today: http://betterhelp.com/solvinghealthcareand use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.The full conference can be purchased for $9.99 at solvinghealthcare.ca/shopDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://t.co/jxsWRsnWwH?amp=1 Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 27, 2023

BHM: Racism, Colonialism & Hope. The Realities of Indigenous Health, with Dr. Michael Kirlew (Recast)

Sign up with Audible: https://amzn.to/2T44qsxAn unmatched selection of audiobooks performed by world-class talent.3 titles for each month of their gift membership: 1 audiobook + 2 Audible Originals.30% off any additional audiobooks.Anywhere, anytime listening with the free Audible app.Free and easy audiobook exchanges.An Audible book library they'll own forever.Sign up today: http://betterhelp.com/solvinghealthcareand use Discount code “solvinghealthcare"Solving Healthcare Merchandise.https://solving-healthcare.myshopify.com/Proceeds will be going to Ottawa Inner-City HealthDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 25, 2023

BHM: Systemic Racism, How to Create Change and More with, Dr. Chika Oriuwa (Recast)

SponsorsKim Sutton:  http://solvinghealthcare.ca/kimsuttonFor Lara's Courses, here's the link:https://jq191.isrefer.com/go/tt/solvinghealthcare/Use promo code SOLVINGHEALTHCARE to get an exclusive discount for Lara CharityHelp children in need in our community. Check out our charitable initiative,Bridges Over Barriers:https://donate.micharity.com/education-foundation-of-ottawa/3796079647/donate?campaign=33MerchandiseShop our Solving Healthcare merchandise and help support our community! All proceeds will be going to Bridges Over Barriershttps://solving-healthcare.myshopify.com/NewsletterHave you signed up for our newsletter yet? Keep track of everything going on at Solving Healthcare by subscribing at the link below:https://resourceoptimizationnetwork.us19.list-manage.com/subscribe?u=45cbdf2bcb2b4aaebef54a196&id=124e477919 WebinarsSubscribe to our expert-led, interactive webinar series:https://resourceoptimizationnetwork.us19.list-manage.com/subscribe?u=45cbdf2bcb2b4aaebef54a196&id=ed860b52f9Catch up on our previous webinars on our Youtube channel:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w/videosHow to subscribe to the podcast:Solvinghealthcare.caMake sure to subscribe to the Solving Healthcare podcast! You can find us on Apple Podcasts, Spotify, iHeart Radio, Castbox or Simplecast. Links to each platform can be found below:solvinghealthcare.ca/podcastSocial platforms:Twitter https://twitter.com/kwadcastInstagram https://www.instagram.com/kwadcast/Youtubehttps://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8w/videos Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 24, 2023

BHM: COVID-19: Impact on Racialized Communities, Vaccine Hesitancy & The Power of Community Engagement, with Dr. Onye Nnorom (Recast)

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionalsSOLVINGWELLNESS.COMKEYNOTE SPEAKINGsolvinghealthcare.ca or [email protected] is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.The full conference can be purchased for $9.99 at solvinghealthcare.ca/shopDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://t.co/jxsWRsnWwH?amp=1 Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 23, 2023

Improving Metabolic Health At Scale, with Dr. Tony Hampton (Black History Month)

SOLVINGWELLNESS: An amazing wellness platform for healthcare professionalsSOLVINGWELLNESS.COMKEYNOTE SPEAKINGsolvinghealthcare.ca or [email protected] is the largest online counselling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet and affordable access to a licensed therapist. BetterHelp makes professional counselling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use Discount code “solvinghealthcare"Solving Healthcare Seminars & Merchandise.The full conference can be purchased for $9.99 at solvinghealthcare.ca/shopDepartment of Medicine site: https://ottawadom.ca/solving-healthcareResource Optimization Network website: www.resourceoptimizationnetwork.com/Follow us on twitter, TikTok & Instagram: @KwadcastLike our Facebook page:https://www.facebook.com/kwadcast/YouTube:https://www.youtube.com/channel/UCLmdmYzLnJeAFPufDy1ti8wBridges Over Barriers:https://t.co/jxsWRsnWwH?amp=1 Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 22, 2023

225: Sports Link MD, efficiency in sports medicine with orthopedic surgeon Dr. Alfred Atanda

In this episode, we are joined by Dr. Alfred Atanda. Alfred is an orthopedic surgeon specializing in sports medicine. Today Alfred shares with us everything about his initiative, Sports Link MD, a telemedicine service for youth athletes, connecting them with specialists efficiently. Alfred also shares with us some of his past, how he balances work and his personal life and talks about physician wellness, physician burnout and his work to help optimize the physician experience, racism in the workplace and more. Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 21, 2023

224: Everything Awesome with Neil Pasricha

In this episode, we welcome Neil Pasricha. Creator of ‘The Book of Awesome’ Neil is a New York Times bestselling author and journalist. His work has spent over 200 weeks on bestseller lists and hit over 2,000,000 copies sold across dozens of languages worldwide. A proud Canadian, currently living in Toronto, Neil holds degrees from Queen’s University and Harvard Business School, his first TED talk gained notoriety as one of the 10 Most Inspiring of all time. Today Neil shares with us his journey toward happiness and bits of his past that inspired him to focus on mental health and well-being. He gives us incredible tips on how to start and end your day and how he continues to help people live healthy, purpose-led lives through intentional living.SPONSORBETTERHELPBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare"Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.TRANSCRIPT KK: We are on the brink of a mental health crisis. This is why I am so appreciative of the folks over at BetterHelp everybody the largest online counseling platform worldwide, they change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists that are helped make professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to betterhelp.com And use a promo code ‘solvinghealthcare’ and get 10% off signup fees.SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that is given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change, the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to [email protected], reach out on Facebook at kwadcast or online at drkwadwo.caKK: Welcome to ‘Solving Healthcare’ I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of ‘Resource Optimization Network’ We are on a mission to transform healthcare in Canada. I'm going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved.KK: Kwadcast nation my goodness, we got Neil Pasricha show on the show man. I don't know if you guys know how balling this is. He is a New York Times best seller, TEDx speaker, entrepreneur, podcaster, public speaker right now. His latest book, ‘Our Book of Awesome’ is out. It's on my nightstand. In full effect. I am so excited to bring this episode to you folks because Neil encompasses the changes we need to make, the mindset changes to be happier, to live a more fulfilling life. Especially in a time where we're struggling, a lot of people are struggling healthcare providers are looking for that sense of purpose. This episode is so much fun, we talk about how to start your day, how to end your day, how to how to be intentional and be purposeful throughout your day. And all these little things I think they just add up into living a more fulfilling life. He also talks a lot about not taking anything for granted, which I think is so important in terms of living a more fulfilled life. Talk about gratitude, all these things that we just need to appreciate and at the end of this episode, you will feel hope, you will feel that there is light at the end of the tunnel. I won't lie to you man; this episode was strait up gangster. Before jumping into it make sure to jump on our kwadcast.substack.com Essentially, it is all things kwadcast, we got videos, blogs, all our podcasts on one platform, one stop shop, essentially for healthcare solutions. So, jump on kwadcast.substack.com. That's where we'll be changing the boogie. Alright, without any further ado, Neil Pasricha. NP: Thanks so much for having me on. I really, really appreciate it. I love the work you're doing and it's a thrill to finally connect.KK: Oh, man, this is thank you for that. This has been a long time coming. The reason Neil I wanted to get you on the show is because you are creating the change as so many of our youth so many of our health care providers need right now. How do we get well, how do we find fulfillment? How do we get happy again? How do we get awesome again? Honestly, I think the best place to start is just your story like this is this is not a typical story in terms of someone that ends up on the bestseller list. How did how did we get here?NP: Well like it as you say, it's not typical. My parents are Indian immigrants. My mom is from Nairobi, Kenya. My dad is from Amritsar, India, they had an arranged marriage in England, they came to Canada in the 1960s. I was born in a suburb of Toronto called Oshawa, Ontario, which I'm sure some of your listeners know and many of your listeners probably don't. For those that don't know, this is like a GM blue collar kind of town. I was born there in 79. My mum worked as an accountant at General Motors my dad was a high school physics teacher, the very first one in the in the region. You know, I didn't come up into the world of arts being a thing that you could even do you know, at all. For me, it was about getting good grades in math, how's the chemistry marks? you know, what did you get? and 92 on the paper, tell me about the questions you got wrong, you know, so my whole life philosophy was oriented towards, you know, academic achievement. For me, the wheels didn't fall off until my late 20s. I'm happily married. I'm living in Mississauga, Ontario. I've got a steady job. I'm now working as a manager of leadership development, Walmart, Canada, I got the job, I got married, I got a house, I've got potentially going to have kids. Everything's going according to plan. Then the span of a couple of days, the wheels fell off. Two things happened. Number one, my wife told me, she doesn't want to be married anymore. She's like, I've fallen in love with somebody else. I don't know how to tell you this. I really don't want to break your heart. But like, this isn't working for me. We'd been together four years. We've been married for two, we just bought this house. We're talking about having kids. It was like, you know, I'd say it was shock. But it was it was before that it was like I couldn't even comprehend what she was saying, I was like kind of miffed, you know, I was like, what are you talking about? but at the same time, I didn't have time to even start to process that shock. Kwadwo because three days later, my very best friend Chris, sadly took his own life. We need to talk about suicide more. You guys are on the front lines, your healthcare professionals, you know that the suicide numbers are off the charts. 18 per 100,000 murder rates are 6 per 100,000; meaning we are three times more dangerous to ourselves and anybody else is to us. I lost my best friend, I lost my wife, I lost my house, so we sold the house. I'm like losing, I lose weight. I even lose 40 pounds due to stress. Everybody at work at Walmart was like, ‘You look great. What's your secret? What are you eating?’ You know, we have this preoccupation in our society you and I could probably go deep on this topic where like, we take anyone losing weight as like some sort of proxy for wellness, you know, which is totally unhealthy but we have this preoccupation. So, I'm like trying to answer questions about how I why I look so good, even though I just did literally not eating not sleeping, you know, that's the recipe… don't recommend. In the throes of this like overwhelm and anxious depressive place. I decided one night to start a blog. Why? Well, I had written when I was a kid, I was the, you know, elementary school newspaper editor, the high school newspaper editor. I even went to Queen's University and helped edit the newspapers are called ‘Golden Words’ which is a weekly comedy newspaper there. For years after I graduated, I wasn't doing anything like that. So, I was like, writing was a place for me. I looked for it again, I started a blog called ‘1000awesomethings.com’ with the goal of writing one awesome thing for every day for 1000 days. What's an awesome thing? I don't know, I didn't even know I just said, like, I picked the blog title in like 10 seconds. I don't know. I wrote my first post was called brocco flower, the strange mutant hybrid child of nature's ugliest vegetables. No one liked that post, including me. You know, no one liked that thing. I was just like, put something up there. That's a lesson by the way, just start just do something. The next day number 999. The last crummy triangle of potato chips in the corner of the bag and I talked about cutting the bag open pouring into your mouth and licking your fingers sticking it in. Again. Nobody liked it. Nobody read it. Number 998. The next day getting grass stains running around getting grass. Again. Nobody. Eventually my mom was very nice. One day I'll tell you she sent it to my dad and my traffic double. It was unbelievable. I got like two hits. Then one day I started to get 10 and then I got a comment from someone I never heard of. Then I started getting 50 hits and then 100 hits and then a 1000s and I'm not kidding you it started hitting the front page of websites like ‘FARC’ and ‘Digg’ and ‘Reddit’ and I know we're about the same vintage so you might remember these kind of like, you know, original kind of pre social media websites that were sort of building up link sharing as a thing right. I know Reddit is still around but digg.com and FARC.com , we're also huge back then. So, I wrote a post number 980. Keep in mind this is 20 days after I started the thing, and it was called ‘Old dangerous playground equipment’ and I wax prophetic about burning your legs and hot slides, falling into cigarette butts and milk vessels getting a cast on your arm and have everybody sign it. It was like a, that was like saying, remember how good it was. That post got 50,000 hits in one day and for me, as somebody who's getting 50 hits a day, I was like, ‘What's going on?’ and then the people didn't leave that 5000 stuck around and then 10,000 stuck around and then 50,000 stuck around and like I said, I started getting millions of hits. 1 million, 2 million, 5 million 10 million, I get a phone call. Yhe voice at the other end of the line tells me this is like nine months after I started the blog now. The voice says you just won the best blog in the World Award. Which no one's heard of that before. It doesn't even sound like a real award. It sounds like saying you won the Best Tiktok or award like was that even a thing? Is that even who's making this up? Right? Turns out there's an ‘International Academy of Digital Arts and Sciences’ they fly me down to New York City a parade on stage accept an award for best blog in the world sounds like nothing but I get home to Toronto. Now I live in downtown and then by myself for the first time in a big city for the first time in a bachelor apartment for the first time lots of firsts here. I'm still like distraught depressed, I'm not dating. I'm not leaving my apartment. I'm just like hunched over my keyboard writing blogs at night, eating takeout. But you know, I didn't even have salt and pepper shaker. I remember when I had somebody over and they were like, where's your salt pepper. I don't even have the salt and pepper. When you get takeout. They give you a little packets of salt and pepper. I didn't even have bowls. I didn't have oven trays. I had like one fork. You know, I was like living like a cave dweller. Then this blog, you know, won this award and then they turned that all these people came out of the woodwork to turn it into a book. Well, that book was probably how you know me in the first place came out in 2010. It's called ‘The Book of Awesome’ and no one thought this thing would be a hit. They printed 6000 copies, but a kind and lovely woman named Heather Riesman who is the CEO and founder of Indigo Books are decided to make it a ‘Heather's Pick’ She started a propulsive momentum swinging change that I'm still feeling 12 years later, the repercussions of the book ended up selling millions of copies. It became a number one best seller for like years, it wasn't even weeks it was like it was the number one book in Canada for 2010, 2011. Up to that, like it kept going and all the sequels and spin offs started and then I'll tell you what happened is I realized a few years later I'm like ‘The book of even more awesome’, ‘the book of holiday awesome’  in ‘the journal of awesome’, ‘the calendar of awesome’. I was like this is starting to feel like krusty the clown imitation gruel, you know the Simpsons joke like 9 out of 10 orphans can't tell the difference. So, I thought and by the way, heads up I'm still working the job of Walmart despite all the I'm like this isn't gonna last like East Indian immigrant parents. You can't even quit your job to go write calendars about farting and elevators that's not gonna work. I'm like, this is like a 15 second of fame and stuff. Okay. It's a 15 minute of fame. Okay, it's an hour of fame. Well, eventually, after eight years from starting my blog to the day I finally quit Walmart. Eight years later, I wrote five books in the middle. I finally quit that job. I realized I got to figure myself out. I started dating. I started meeting people, I fall in love with a wonderful woman in downtown Toronto. Her name is Leslie. She's a teacher in the Toronto District School Board. We fall in love. A year later we move in together a year later, I get down on one knee I asked her to marry me. Well, you know what happens after that she plans the wedding. I planned the honeymoon, we ended up going to Southeast Asia. But on the flight home from that honeymoon, guess what she tells me I'm pregnant. She bought the pregnancy test and the six-hour layover in the Kuala Lumpur airport; she did the pregnancy test 30,000 feet above sea level in the tiny airplane bathroom in the front of the airplane. So now I got a new thing to think about. I'll tell you what happened is for me, my wife, the muse and my ideas. I had this early success. So, I stopped chasing it. theoretically, I stopped chasing. Then I spent the last five years of my life writing about things that interest me. The books didn't sell as well, but I think they're better. I wrote the ‘Happiness Equation’ about finding happiness. I wrote ‘You are awesome’ about how to develop the muscle of resilience. Now I'm working on a book all about trust. So, I'm chewing on these big, gigantic themes. Why? Because I'm writing the books I want to read. I'm trying to figure out how to live this one tiny, short finite life that we all have a 30,000 days on this planet. That's the end. That's all you get.  115 billion people have lived on this earth. If you're listening to this right now, you're one of 8 billion people alive today. You already won the lottery. 14 Out of every 15 people will never see another sunset, have a bowl ice cream, or kiss the kids ‘good night’. So, there is one of the 15 lottery you want. If you are in Canada, Canada like you and I are Kwadwo, you know, that's another lottery, right? Because there's 35 million of us in this country and there's a billion in the world that's another lottery. That's a one and 200 Lottery, we're at the top of the happiness rankings, we trust our neighbors more, we have clean water out of our taps, we can marry who we want, we can live where we please, these freedoms are not common around the world, let's say. So, we've won this other lottery. I'll tell you, if you make more than $6,000 a year, you make more than the world average income. If you make more than $50,000 a year, you make more than 99.9% of people around the world. If you have a post secondary education of any kind, any size, shape, color, whatever, of any kind. Well guess what? 94% of people in the world do not have that. You’re the 6% of people that do and I could go on and on and on and on. I think of my life as having won the lottery. I think all of us need to feel that way. I think news media and social media punish us and tease our brains and cajole us into thinking the opposite is happening. I know I'm not on the frontlines of healthcare like you are. You can slap me silly right after I go on this finish this rant you can tell me I'm all wrong about this. But here's what I'll say. We got 30,000 days. That's it, boom, we're done. So how can we spend our lives as best we possibly can, living the deepest, richest, most intentional lives possible? I've dedicated now 10 books and journals to exploring this topic.KK: Neil, my friend, number one, rant of the century, throwing that down - thank you for that. But I gotta say one thing that that really resonates with me. I truly believe is a reason why I feel kinship to you is that appreciation that we are not here forever. I see this every day, my friend, in the ICU, palliative care doc. I see patients in their last days. It is hard. In this day and age to appreciate how lucky we are. We truly are blessed. The ability for you to bring it out and others to say, ‘Hey, this is where the beauty is’ ‘This is where awesomeness is’ ‘This is where happiness is’ is truly a blessing. It really is.NP: Dead people are quiet; they don't say much. Well, we can’t hear the 110 billion voices of people that aren't here. But if you could ask them one question, ‘what would you want? What would you want?’ I know that most of them would say just one more day, give me another couple of days.KK: Doing stuff that meet that's meaningful, the stuff that they want to do. Because if you think about it, what percentage of effort do we put into not improve our overall well being to please others to do things that we're supposed to do? You got to Indian parents, I got West African parents’ man, the same same flow, you know, I mean, same flow, but I got two sisters that are dentists. You had to go into medicine son or something along those lines. The other point I was going to make his point I think is critical for a lot of folks, you leaned into that creative side when you were struggling that story about going through the loss of your best friend, which I'm sorry that happened and also having your wife leave. You leaned into that creative side and there's something there's something healing about that. I don't know if you found that in the moment or could reflect on that or you just automatically do that. But there's something healing about that.NP: Yeah, absolutely. Well, there's a few things here number one is I want to talk to you about regrets you probably heard of nurse ‘Bronnie Ware’ who wrote that she was with over 1000 people as they died, and she wrote a very famous book called ‘The Five Greatest Regrets of the Dying’  I cite it in my book ‘The Happiness Equation’ but the number one overall regret of people dying, according to this nurse who has been with 1000s of people as they've died ‘I wish I lived my life true to myself. Not the life others wanted me to live’ that's the number one regret. So if you're listening to this right now it's the top regret people have when they die. I wish I lived the life more true to myself. So, if you're listening to this, what is it? What's what, who is that person you want to be with? What's the city you want to live in? What's that job you want to try? What's the small business you want to start? What's the person you want to tell you love them? What's that food you want to eat? Just do it like you got you don't how much time So it's not like you can plan this whole bucket list concept. I don't like that. I don't like the bucket list. I'm against the bucket list. I'm against this idea of a future later, forever thing that you're going to like, come on that is that's capitalism. That's what it wants us to do to delay gratification to move things, you will be the greatest version of yourself if you are purpose led today and purpose that I mean, ikigai, that's what I'm talking about. When I say purpose. People might say stop me right now say ikigai. What are you talking about Neil? I'll tell you this. The longest living people in the entire world those from Okinawa, Japan, studied by National Geographic researchers led by Dan Buettner, who lived healthy lifestyles over the age of 100. Higher than anyone else in and around the whole planet. And they don't have a word for retirement. They don't have a word for quitting stuff completely. Instead, they have a word called a ikigai that spelled I-K-I-G-A-I. I'm gonna write it down on a piece of paper.KK: Let's see it. Let's see. Let's do this.NP: It’s ikigai. Roughly translates as the reason you get out of bed in the morning. So, what I say to people, the conversations I have with people are, what's your ikigai? What's the reason get a bed in the morning? If you can't answer that, that's good. Because now we get to have a conversation. Now we get to have a conversation about ‘what is your ikigai?’. I'll give a great present to my wife Leslie, before we were married. I'm going to give the here anyone listen to this. It needs a good Christmas present. Here's a good tip. On Christmas morning, I had her watch a video called ‘How to live to 100’. On TED talks by Dan Buettner, who I mentioned earlier, the National Geographic researcher. In that video, he gives all these examples of things he's learned from studying Blue Zones, like, you know, people in Sardinia, Italy only drink Cannonau wine, right? It's better for your heart. One of them is the use of small plates, not large dinner plates. Another one is, they all have an ikigai. Well, it's the cheapest present because really what I'm buying my wife is a bottle of wine, a small plate, and these little cue cards, just like this, I got each of us one, I fold them into tents. I said ‘Okay, let's spend some time on Christmas morning writing down what we think our ikigai is’. So, I wrote down ‘helping people live happy lives’. My wife wrote down, she wasn't my wife at the time, she wrote down ‘building community empathy’, okay, as an inner city school teacher, and as somebody who does kind of community groups and stuff. It's great, because what you do is you leave these little ikigai cards on your bedside table. That should be the first thing you wake up and see in the morning, not your cell phone. It should be your ikigai card, it just gives you a little bit of a Northern Star, an orientation. Why are we talking about this? Because we're talking about purpose led lives. Why are we talking about that? Because purpose led lives are one of the ingredients to living an intentional life. Why are we talking about that, because life is tiny, short and finite and beautiful. It's always always always fleeting. So come up, conjure up, an ikigai card that you can leave at your bedside table that you look at when you first wake up. By the way, I'll tell you, you can change it, you know, your ikigai for a while could be ‘I really want to make it through this week’ It can be ‘taking care of my mom in her last days’ It can be you ‘showing up for my child, this summer the way I didn't last summer’ because I was working all the time. You can see I now in a podcast, I'm starting to process my own issues. So, that is why I'm saying this just you write it down, then it's you giving yourself a purpose lead day, right? When you open your eyes, get the phones out of the bedroom, I'm telling you,KK: For real, the phones need to get out of the bedroom. The point about being more intentional, is something I think people could take away, almost like the number one thing to take away as far as I'm concerned. Having that ikigai because even I think about my health care professionals with the amount of burnout. What was it that got you to that job? What made you want to be that nurse? What made you want to be like that?NP: Well, I just watched your video you just posted a few days. It was great.KK: Thank you - because it's real. I see it every day about you know our colleagues thinking about leaving the profession. How much in a time right now we need them the most. But it is that being more intentional. So let me ask you this. How do people become more intentional? Yes, you can write that ikigai card. Is it a matter of looking at that on a regular basis is about journaling about your ikigai like how do we create that for more people?NP: Okay, so first thing I want to say at a high level is watch your inputs, watch your inputs. If you're listening this conversation right now you're already doing it you've choosing your inputs. Remember, we live in a capitalistic society the orientation of capitalism is to come constantly feed us advertisements to cajole and convince our behavior change to buy more stuff. That's the purpose of all news media. That's the purpose of all social media. I'm telling you all news media, all social media, the whole point is to keep us addicted so that we buy more stuff. Remember that that's the world we live in. Now within that you can decide to sleep with my phone next to my bed or is it just going to show me like Apple news on add on the weather? How many times you woken up at 530 in the morning just to see if there's going to snow and all of a sudden something's blaring telling you to buy ‘Tide’. I mean, come on, get that crap out of the bedroom. Instead, inputs people start your day with something I call the two-minute morning practice. I even turned it into a journal there it is my best-selling book of all time has nothing in it. Seriously, it is just three points every single day I start my day with it every single day on a posted up here if you're watching on the video, if you're not I'll say it out loud. ‘Number 1. I will let go of. Number 2.  I am grateful for. Number 3.  I will focus on.’  I'll tell you a Kwadwo everybody's awake for 1000 minutes a day. I didn't make that number up. It's an average, average time you're awake per day is 1000 minutes you got 1000 minutes a day, you got 1000 Is tomorrow you got 1000 minutes the day after by the way, you only got 1000 month total surprise. That's the that's the length of life. 1000 months 30,000 days. So how do you start your day on the right foot you take two minutes to write down I will let go of you don't there's a reason why Catholics go to the Catholic confession chamber. Bless me father for I have sinned. But did you know it's not just Catholicism, Buddhism, Mormonism, Judaism. Did you know almost every world religion has a form of confession or repentance in the in the religious practice. I'm saying religions all around the world for 1000s of years, all have the same idea that you should get to get stuff out here. Meanwhile, the fastest growing religion in the world right now by far is none. According to National Geographic, the fastest growing religion in the world is none. Don't got one no religion. Don't throw the baby out with the bathwater people. I do not ascribe to a particular faith, but I'm studying what we've learned for 1000s of years and realizing this is important. You can look at science magazine, too. There's been wonderful reports published that shows if you can write down something you're stressed about, you take it off your brain. You take it off your mind. I will let go of yelling at my kids to tie his shoes last night. I will let go of the fact that I haven't seen the bottom of my kitchen sink in two years because there's always dirty dishes in it. I will let go burning my kids brains on Paw Patrol. I will let go the nasty thing I said to my sister oh my gosh, I wish I didn't say that. But you're thinking of these things subconsciously, so you got to process what I'm telling you. The first way you start your day is I will let go of. You are wiping a wet Shami across the Blackboard of your mind. Then I am grateful for, the research from Emmons and McCullough shows if we write down five gratitudes a week. We're not just happier. We're physically healthier. Don't buy an AB don't buy a stomach shaker off the late night shopping channel. Just write down gratitude. Here's the problem. Nobody knows how to do this. Everybody. Oh yeah. Oprah told me this and 98 Well, everyone, if you look at anyone's gratitude journal, first of all, they got one page filled out, the rest is empty. I'm speaking from experience here. Then what they write on the gratitude list is, oh, yeah, my husband, my kid, my dog. That ain't gonna do it. I'm telling you, you're actually trying to get area 17 And your visual cortex to light up again, that's an area in your brain that re-lights up when you experience something again, but your brain doesn't know where it is. So, all the insight is that you got to be specific. Don't write down my husband. Say when my husband Neil put the toilet seat down. Don't say my kids and my five-year-old daughter Sonya learned how to write the letter s Don't say my dog say when the rescue puppy. We've gotten the pandemic's up peeing on the pillows. All I'm doing is taking an extra minute to come up with the detail required to actually conjure up an image that actually happened over the last point for hours of my life. Remember, the research says you only need five. By the way those researchers compare gratitude writers to people that wrote down hassles and people who wrote down events. So, the study is done. It's legit, it's works. You gotta write down five a week. You're priming your brain for positivity. Why is this important? You know this, the neural pathways in your brain are oriented for negativity. You got an amygdala in there, secretes fight or flight hormones all day and it's why we all rubberneck. It's why we always look for the high cholesterol in the blood. That's why we all look for the math question we got wrong. Our brains are oriented to look for problems and for 3 million years of evolution that's been awesome. We don't need it today. You can press a button on your phone and get a meal on your doorstep in 20 minutes. We got a good. So, what we need to do is remember how good we got it. I am grateful for and the last point on my list and I'll shut up after this is I will focus on decision fatigue is leading to a nation of overwhelmed people. I will focus on, as a one item checklist that you do every day. I will focus on spending 10 minutes with my baby I will spoke I will focus on taking my car in for that oil change the lights been on for three months. I will focus on finally calling the dentist, finally donating blood. I'm going from here to donate Blood. Because I've been saying, I will focus on this for a year haven't done it. So, I wrote it down, I will focus on making an appointment to donate blood. Guess what? They had an appointment available today, they need blood. I'm gonna go do it. Finally, I get across it off my list tomorrow morning to gather these three prompts provide a two-minute morning practice, I cell phone free way to wake up and control your inputs. You start your day off happy; your day is happier. What happens if you're happier 31% more productive. 37% higher sales 300% more creative. Everything gets better.KK: What I like about this, you're priming yourself. You're priming yourself for a quality successful, joyous day. It really is true when you think about how much input you're getting throughout the day, like our brains aren't meant to be stimulated this much. You know, like, why kids are never bored? Our three lads. Problem? You know what I mean? Like it is a problem. So, what do we what do we? What are we going to do to really allow them to create the space and over all of us collectively create the space in this way? I really, I like this, his way of approaching the day. This is my question might come out of left field for you. But is it working for you? Are you happy? Are you achieving your goals of being? Awesome? Joyful?NP: Yeah. So two things, I'm much much much happier than I was - so absolutely, but two there is no such thing as perfectly happy. Happiness is a North Star. It is a journey, not a destination. The goal is not to be perfectly happier. Happy is just to be a little better than before. Every tool, every resource every tip I provide is meant to help someone take a step towards that Northstar. Am I ever going to be perfectly happy? No. Does anybody? No. The point is I am in a in a positive frame of mind, I am showing up as a better husband, as a better parent, as a better son, as a better brother than I was even just two, three years ago. Why? Because I've implemented a set of systems that get don't get me wrong. Do I fall off the rails all the time? Absolutely. But I don't beat myself up. I just get back on it. That's it. That's all I do. I just get back on it. That the two-minute morning practice is one of my core systems. That's one of my crucial systems. I have a litany more we could talk about do you want to go through the day we can go through the day?KK: Yeah, Let's do it.NP: By the way, on the boredom thing, I want to just echo that. I love when my kids say I'm bored. I say great. What are you going to do? I limit screen time. Okay, so I am one of these parents that limit screen time. What I do is we limit it to Sunday, because daddy also wants to watch football.KK: What’s your team?NP: I gotta go with the bills just because I live closest to them in Toronto. But really, I got into it through fantasy football with my college friends from 20 years ago. Yeah, so basically for me, though, I like when my kids are bored. How do you make your kids bored? You get them outside. Kids these days are spending 7% of their childhoods outside. 7% is the lowest level in recorded history. If you multiply 7% a day times seven days a week, it adds up to 49%. Seven times seven. Well, that means it takes a kid these days a whole week to spend half a day outside. This is the lowest level in history. There is so many ways the brain works that we don't understand. One thing we know is you can't learn it playing pinball. Okay, so you got to get aside break sticks, play with bugs, stare at the clouds, build things, let things fall, fall yourself like it's just all that shrapnel that scaffolding that that that sort of like building up of yourself happens when you have less structure around you. So, I'm all in favor of that doesn't mean I'm perfect. Doesn't mean I'm great. It just means it's another Northstar for me. Okay. Now, on the topic of daily routines, I gave you one to start the morning with let me go all the way to the end of the night. First off people listening you might have maybe you have a partner, maybe you're married, maybe you're not maybe you have a kid, maybe you don't. But is there someone in your life that you could close off the day with? Here's how you close it off. First off, you got to turn your phone off an hour before bedtime. When I say turn your phone off, I'll tell you this. People don't know how to do it. In fact, the new iPhone when you buy it doesn't even the screen doesn't even dim anymore. So, you know how you turn your phone off? Listen to this. Don't ask Siri by the way, Siri has no idea. Hey Siri, how to turn her phone off. I do not know that she knows everything right? She doesn't know how to turn herself off. So, what you must do just for people is I'm going to do a little education, your PSA. You got to hold both buttons on the side of your phone at the same time for longer than three seconds but shorter than five. If you hold it longer than three a sliding thing comes up that you can slide to the to the right if you hold it longer than five it your phone calls. 911. So you see it's we've we have set the device manufacturers have created a device where it's nearly you need like three hands to turn it off. So, but it's the ultimate power move you want to take control your day, turn it off. I don't care if you turn it back on five minutes later, just show yourself that you can do it. Now turn it off an hour before bedtime, why an hour before? Why not before? Truthfully, I'll be honest with you. The research says it shouldn't be two hours before because if you look at a brain screen within two hours of bedtime, your brain does not produce as much melatonin overnight. This is the sleep hormone secreted by your pineal gland. Research in Australia found that why? Well, because evolutionary biologists say you know what, what happened when the sun went down 3 million years ago, you got to run to the cave built. You got to get stuff set for bet like you gotta get a burst of energy they say now if you turn your phone off right before bed, which many people including me sometimes are guilty of, then you get a jolt of energy for anyone listening to this right now. If you ever lie in bed, you're like why am I so awake? Why am I so wide awake right now? Well, did you just turn your phone off? If so, your brain thinks the sun just went down? It's time to build your cave. This is a problem. So, turn it off at least one hour before bed off. I told you how to do it already. Now, what do you do that hour? Get to know your family. Hey, son, how long have you been living above the kitchen? You know? Get to know the people in your life and your family and your circumstances? Just reconnect with your family. Well, what am I going to do with my family play a board game? I got a game for you. It is called ‘Rose, rose, thorn, bud’ whether you do it on dinner table, whether you do it while you are brushing your teeth, while you do over Pillow Talk with your partners. What I do with sometimes when my wife is Hey, honey, what was your rose from the day? It always feels silly strange and awkward when you start, I've been playing this game for years. It still feels silly strange and awkward when you start.  My rose… they got a new flavor of Timbit. What about you Neil? Oh, my rose I don't know, my rose I met this amazing TikToker emergency room doctor he's well you know one of the very few interviewers that has energy that makes me energetic. He was just a great guy. So, I tell her and then we do it again another rose, the game's called ‘Rose, rose, thorn, bud’ you do roses twice. Well, the second Rose is inevitably easier by the time you get to you kind of want to go three and four because your brains now working your prime in the neural pathways or you're taking the machete in hacking through the bushes and brambles for positive thinking right, then a thorn. What's the thorn? Thought? You got to make space to vent. Got to make space to vent. Oh my gosh, I had a headache all afternoon. Oh, the bus went by, and I got slush all over my pants. Whatever. Right? You know, I called I you know, I emailed the boss two days ago, they haven't emailed me back yet. Do you think they hate me? Do you think they want to fire me today? Like, you know, everyone's brain does this kind of thing. So just say it out loud. The other person's goal here is just to listen. ‘Ah, that sucks’ Remember those three phrases you guys ‘Ah, that sucks’. Don't try this. Oh, you should email them. Don't try to solve their problem. We don't want any of that problem solving stuff. We just want you to listen. Then the finally the last thing is a bud. B-U-D ’Rose, rose, thorn, bud’. A bud is something you're looking forward to. I can't wait to have pancakes on Saturday, I want to I want to rent and ice and sauna hut and Finland when I'm 90, whatever it is something in the future. I'll tell you this, it's always awkward to play at the beginning at the end, everyone's in a good mood, every single time, you want to guarantee a finish. I'll tell you what it is. Everyone's in a good mood every single time you play this game. Then if you want to kind of wrap it up before you go to bed. I'll tell you what to do read a few pages of fiction from a real book. Why fiction? Well, because the annual review of psychology says only reading fiction opens up the mirror neurons in your brain responsible for empathy, compassion, understanding. My last job of Walmart was director of leadership development you know what skills you can never grow at work? empathy, compassion, understanding these you cannot ship people off to empathy class, doesn't exist. There's no there is no empathy class. When you read ‘Their eyes are watching God’ by Zora Neale Hurston. You are a slave in Alabama in the 1800s and you are there. You're there. You're in that gender, you're in that heat. You are there. Our brains have evolved to feel like we're there. When we read our reader lives 1000 lives before he dies. The man who never reads lives only one. Yes, I stole that quote from Game of Thrones. Even despite this, this is the greatest form of compressed wisdom we still have ever invented. That's why when you read the TED Talk transcripts, it takes three minutes but watching the movie takes eighteen. I'm just saying it's still it's you can still read faster than you can consume anything and fiction is a great place to go because you go into another world. You're another gender you know, the time of the one, you know the place throw you another. You're not just getting like tips, which is like, don't get me wrong. I'm guilty of reading nonfiction a lot, right? Like, I'm a nonfiction junkie too. But fiction people, it's fiction. It's fiction that we need to get back into. It's not just you. It's not just me, it's all of us. 57% of Americans read zero books last year.KK: That is an incredible stat to be honest with you. If you think about even 20-30 years ago, pre phone that number would have to be minimal. Reflecting on that now.  Neil, honestly this is gold.  I think we need to be a little bit prescriptive in terms of guiding a lot of folks. Great way to start the day, great way to end the day. Is there any advice to keep yourself on track during the day, like in terms of well?NP: People ask me, why did you write this book? Right? Like, why did you write another book? Awesome. I mean, I wrote, it's called ‘Our Book of Awesome’ as the time of recording, it's been a global bestseller all seven weeks, since it's been out, it came out in December 2002. I don't know when you're going to hear this, but we're recording this kind of like on the precipice of February 2023. Well, because I made this book as a tool to leave on the back of the toilet, to leave on your bedside table, to leave on the corner of your teacher's desk. So, when you do feel uninspired, overwhelmed, anxious, negative, it's going to happen to all of us every day, you just grab the book, you flip it open any page, and it says, the core of the cinnamon roll. Next page says, When the crosswalk changes to walk just as you approach it, the next page says, go into the movies by yourself. The next page has gone through a revolving door without having to push. But why do I keep making these books? I'll tell you why. Because I need the I need the provocation myself. So, the books of awesome are, and there's a new one, that's the new one, ‘Our Book of Awesome’ is a way to keep us on track. It's just meant to be like, this book doesn't tell you how to do anything. I'm the one yelling at you today. But there's none of me yelling at you. The book is just a pile of awesome things. As a reminder to reframe and retrain your brain. That's one tool to keep on track. We can talk about more if you want.KK: You've been on a roll,  more tools I want to hear more.NP: Yeah. Yeah, well, well, one big tool is no screens in the bedroom. I've already talked about I've already admonished people, including myself, if you ever bring a screen up, you know, your phone upstairs. People say ‘oh, yeah, well, you don't know me. You know, I'm very, very important. I get a lot of calls at three in the morning’ Really? Do you really get a lot of calls when your morning? So, then people say, Well, you know, my sister's really sick. Plus, I have a boss that, you know, they're kind of all my case. I say, Oh, here's what you do you get a landline don't you call up your telecommunications providers say you want a landline. They're like, hello, hello, like, know what they don't expect anyone to ever ask for this product ever again. However, all our homes are outfitted for them. That's why they're only $10 a month. When I pay my $10, I don't get call waiting. I just get the landline number you know, I get that landline number to my sister's not well, the boss might my text me, the boss the urgent, I give that number to the five urgent calls. That prevents me from taking a screen into my bedroom. Now I know that when it is a true emergency, I can be reached by those people. Yet when I open up the app, I won't get distracted and fall into an endless Twitter hole. You know, so that's a really big kind of system for me right there. Here's another system. I'll give you lots of systems. Now this system is installed a bookshelf as close as possible to your front door. Billy bookshelf -  99 bucks. Okay, it's that IKEA. It's the cheapest, most effective bookshelf they ever made. Right? If you want to get fancy, go ahead and get fancy. But there you go. You put one at your front door what happens when every single day you got to walk by your bookshelf on your when on your way out? You stop for a minute you pick someone up you read the back of one now they're settled Garfield cartoonists like wow pick that up. There is no book shame. There's no book guilt. I don't believe in reading the classics. I don't even believe there are classics. I believe in reading what you love in order to love reading. I have a whole podcast about this. I call it three books. I've read a single chapter, which is every single new moon and full moon I asked people like just interviewed Daniels who did that movie everything everywhere all at once I interviewed Quentin Tarantino, Brene Brown, Malcolm Gladwell, Roxane Gay, Benji Thomas,  David Sedaris. I asked him ‘Which three books most changed your life?’ and why do I do it this way? because I have found that the world again conspires not to give us good books, we end up picking up whatever's in a pile at the airport, those books are all paying to be there. By the way, we ended up doing whatever's on the Amazon recommendation engine. Those books are all paying to be there, by the way. So how are you? Good, we got to go back to the tribe. We got to go back to each other. We got to go back to community. You know, Dunbar's number you trust 150 closest people to you. We gotta go back. Ask people. What's one book you loved when you were a kid? Is it Charlotte's Web? Read Charlotte's Web. What's one book you wrote when you were a teenager is a ‘Catcher in the Rye’ read Catcher in the Rye. This is a graphic novel. Are you really into dog man? Go ahead, get dog man. Like, there's no book shame. There is no book, I can't emphasize this enough the entire education system which was created, as you know, in the industrial revolution to create cogs for the economy. This system has essentially taught us how to read wrong. That's why my friend kids love reading until they go to school. Every single kid that's 2/3/4/5, they're flipping around with books all over the place. They got flip books, card books, they love books, they love books, and you ask a grade nine kid you like books? I hate it. Because I had to read The Great Gatsby cover to cover followed by Hamlet. That's a great way to make someone hate reading is to force them or it's like saying ‘You like food?’ Here. Let me just shove a bunch of dry oatmeal down your throat. Read what you love, and tell you love to read.KK: I love it. I love I love this hack. You brought up a point that we try to address often on our platform was community. Especially we lacked it for too long. Now I feel I do not know if you find this too. But I do feel people are still a bit injured. People are getting together again. But it's not, personally I’m finding that it's not the same energy. It's not the same joie de vivre pre pandemic, but how do we, in your mind, create that community to really foster wellnessNP: I couldn't agree with you more. Trust in all levels of society is down. We have lower than ever levels of trust in business, media, and in government and in each other. So what's happening is, it's creating a destabilization of reality effect. When you combine that with the increased use of AI, and the deep fakes, it's starting to feel very hard to know what to trust. I've actually been fascinated by a business that opened up in Toronto a year ago and I want to tell people about it. It's really, you know, and again, I'm in Toronto, so I'm going to talk about a particular business, but it's really the spirit behind it. Okay, so this place is called ‘Othership’. It's in Toronto, and you pay, like 50 bucks. So, it's not cheap. You know, it's like a really super crazy expensive yoga class, let's call it and you go in and what ends up happening is everybody changes into their bathing suit. It is a gender neutral and co-ed change room, which again, is that's the first time I've ever seen that. So, there's little stalls where you can change in and out of your bathing suit. But otherwise, there's a community that already happens in you're not naked together, but you're changing together. Then you go and you have a cup of tea by a fire. I'm not kidding. You have a cup of tea by a fire, which we've been doing for millions of years. People start to talk guides calm and they start to ask you questions. I went last night to you know, a couple's class there they ask ‘what's one thing you love about the person you're with?’  So, they start to lead you into some thoughtful conversation. Keep in mind you can't bring your phone in. Then they take it to a sauna. So now you've got this sauna, sit seats, 50 people in it. So, they have a big sauna, you spend time in the sauna. Again, it's guided, there's music, there's meditative people purpose, and then you go to an ice bath, which was totally scary to me. But I did it. And because I'm doing it together with community, people are cheering you on and you feel totally, I don't know, if you I don't know if you're an ice bath person?KK: Cold shower at the mostNP: Then you feel totally rejuvenated and you've got a physiological reset and what's happening in this place. Of course, you can’t take a phone into a sauna, you cant take a phone into an ice bath, so you have no phones. So now you've got eye contact. Now you've got people looking at each other and you've got guides who are navigating the space with you. It's no wonder that this place that just launched less than a year ago is like you can't get in now because it's we are so in need of this type of community and connection. Could you find that a yoga studio? Could you find that in an independent bookstore? I personally think independent bookstores are like hidden gems in the world like this is annexing every single, every single person who's ever lived to today in the little room right here. You can hear other voices. Like it's unbelievable. It's right there these independent but they're right there, right and our streets like support your independent bookstore. Can you find that at a gym? Could you find that at a park? Could you find that, you know, there's a Park in downtown Toronto where I went there like midnight on like a Monday and they're playing like severe Ultimate Frisbee like hardcore. It's like midnight on Monday and it’s ultimate, but that's a tribe. There's a community of people that jump in the lakes together in the frozen lakes, there's a community of people that that goes bicycling together, if you go on a website, like meetup.com, or even OKCupid, you know, you can go on this on the kind of Platonic side, if it's platonic, you're looking for. You can find groups of people doing like minded things, get out of your house, put yourself in uncomfortable situations and reconnect with the people around you.KK: Amen. Honestly, Neil, I feel like right now, what we need is healing and anything that is empowering people to get better, I think is so important. So honestly, I think the advice you thrown down the books, the podcast, the public speaking engagements, you've taken a significant dent into this, and it's so appreciated. I have I have a selfish question for you. I don't know if this applies so much to our listeners as much as it is to myself, but I'm going to ask anyway. When did you make the pivot to stop chasing? How did that happen? When you said, he said earlier in the interview that you stopped working at Walmart. When you said ‘stop chasing’ I took it as external pressure or validation. What you want to do?  What makes you happy? How did you make that happen for yourself?NP: There's a few things. Some of the answers are healthy and polite and perfect. Some of them are just a little bit odd. But they're all true, at least to me. One is making money. Okay, so I will just be open about that. When I was working the eight years at Walmart, and newly divorced, ie, no partner, no children, no minivan. You know, I had eight years where I was working at Walmart and writing books and starting to give speeches. So, I was able to feel financially comfortable to make this leap or to stop chasing things. The financial comfort is something, it is real. There has been a study by Daniel Kahneman at Princeton University that showed that, at the time they did the study, which was I think, 2007 it was at the time $70,000. So, you want to put that in today's money, you might say it's $100,000. They said that there is a certain amount of money that people get incrementally happy and more comfortable with, because they're starting to meet their hygiene needs. Then above that, this was the big insight from the study. There is no better, there's no benefit. Everybody's numbers going to be a little bit different. It's based on how you grew up; it's based on your culture is based on your fears, it's based on your traumas. My number was probably way higher than it needed to be. That's why I was working two jobs right here. I'm literally coming home every night and then starting another eight hour job like blogging, writing books, answering emails, doing media interviews, you see them saying, so there is an aspect of that, and I don't want to shy over as I have done in the past. I want to just call that out there and say for everybody, that number is different. But you need to have something. I'm not going to be one of the people that says just ‘Burn the boats move to move to Colombia, you'll figure it out’ I understand the anxiety that comes in with financial security because I have lived with that my whole life. My dad's an Indian emigrate came here with eight bucks. Like, of course, I got some of that trauma, right? Of course, I got some of that worrying to make sure I'm okay. That's one. Second thing is there's a model that's backwards in society, that model is so glaringly obvious after you hear it. But we grew up think thinking and being taught that great work leads to big success, leads to being happy, right? You study hard, then you get good grades and you become a doctor, or you work hard, then you get promoted, then you're happy. It's not just parent parents saying this to our kids, we say it to our own kids, don't we? Come on, we want you to get into good school. Come on, we want you to get a good job. People talk like this all the time. They have their history. Unfortunately, it's backwards. Backwards. It was totally wrong. Because this model was backwards. It's not great. We're big success, be happy. It's the opposite. You got to train your brain to be happy first. Thinking of happiness like a practice, like a habit like something you can invest in, everyone's got a plastic card in their pocket, you got a gym membership who's got the same for their mental health? The place I just told you about ‘othership’ that's a mental health place, right? It's bringing mental health to the forefront. You invest in your mental first then guess what happens? Then you do great work. So, University of California Davis together with King and Diener did a study that shows if you show up to work happy, everything's better. We like working with happy bosses. We'd like happy peers, you're 31% more productive, you have 37% higher sales, you're 300% more creative. It goes on and on and on. The appendix on this study is like here is all the things that went up when you were happier, and it is all a lot. Then what happens the big success, it actually comes at the end, it actually comes at the end happy people live 10 years longer. University of Kentucky did a research study on nuns, if you're happier in the common the 1930s and 40s. You live 10 years happy people live longer. They live longer, we go back to our very beginning conversation. Why should you invest in app? Why should you do the stuff? Why should you get your screens out of your bedroom? Why should you start your day with two-minute mornings? Why should you put your bookshelf at the front door? Why should you spend more time outside? What? Because it's gonna get you 10 extra years of this. It's worth it. Now I got 30,000 days, I told you could press a button and get 3000 Bonus days would you press it? Here's the button. It's called invest in your happiness. How do you do it? I just gave you a bunch, I can give you a bunch more. There's lots of stuff about it. I wrote a whole book about it the Happiness Equation. That's just one book. There's lots of books, I can recommend many books about it. You can read the Happiness Project by Gretchen Rubin you can read The Happiness Advantage by Shawn Achor. There’s wonderful, there's lots of books out there, there's watching your content, right? There's lots of people out there trying to show you this, the hard part is doing them. It’s not knowing what to do, it’s doing them. The secret is to just start. That's it. That's the secret if you just start see we got another model backwards. We think motivation leads to action. You want to run a marathon you need good shoes, you want to write a book, you need a moleskin notebook, that ain't true. Motivation doesn't lead to action, action leads to motivation. You're under the stop sign in your dress shoes. Tomorrow, you run a little further you write tonight on a pen and a sticky note to next day you write two sentences. Action leads to motivation. It's the other way around. Now the hard part, then there's an old Einstein quote, I won't butcher it or paraphrase it. But it's like the hard part of everything is just getting started. That's it. Start, that's it, you'll suck, you'll fail, you fall off. But if you can just start you can keep on these paths I'm talking about.KK: Oh, man, Neil is straight up gold man, this really is straight up gold. This is what people get hung up on, they get caught up on how do I achieve these goals? They get stuck in their minds. Not enough of us are telling our preaching action. Just do it. It's the love with the process, the fact that you got up and went to the gym even for three and a half minutes. Yeah, that's a W. The fact that you wrote in that blog, a couple sentences and it was shitty. Don't matter. You f*****g stepped up. That's a W. You know, I'm saying like, this is what it's gotta be all about. We got to be in love with the process. This is what's going to help achieve happiness and wins. My friend, we covered a lot. Is there anything, especially for our healthcare providers, you think that we left out in terms of leading a more purposeful, intentional, joyous life?NP: Well, I mean to healthcare providers specifically, like just thank you. It's been unbelievable once in a century, you know, few years, and there's just no way there's any possible words to describe the level of tribal community based gratitude, we feel for those of you on the frontlines waging these battles for us, as our species has had to grapple with an entire new form of danger that we had never experienced before and hadn't wrestled with it and has had, you know, seven different levels of incoherent government saying different things at different times. Remember the World Health Organization ‘hey, no thing, no big deal guys, nothing to see here’ Like you remember that, like we you have had to navigate that in the frontlines. The thing is that I love as at the frontlines when I'm in the frontlines of health healthcare as a patient or when I'm on the front. We're just people. We're all people. We've all got hearts. We see each other with their eyes. We hold each other as best we can. If you're there and you're on the frontlines of health care. Thank you.  Hanging in there. Thank you. If you're thinking about going into this profession, you're wondering about it. Well, don't worry, the salaries are all about to go up. Because we need these people more than they want to do it. That's called supply and demand, you know, I just spoke to 5000 health care workers down in Louisiana, burnt out, overwhelmed, stressed, you know, large, large hospital system down there. Well, they can't find people. Then so then they hire temps, and then the temps, you know, aren't as good and they're more expensive, and then they get clunky, you know, then there's clunky processes. Well, there is only one solution, that markets gonna solve it, and it's to pay them more, that's just pay then more. Of course, you should pay them more. You should also pay teachers more, right, our society has over prioritize people that can wield technical financial instruments and made those people billionaires, whereas the people that are educating our children and taking care of our infirm are not compensated accordingly. So, when my dad became a teacher in India, he was born in 1944. So it's like 50s, and 60s is decided to become a teacher. I said to him growing up, I'll leave you with this. I said to him growing up 10 year old, like, ‘Dad, how come all our Indian friends in Oshawa in the 80s? How come? They're all doctors?’ they're all doctors, but you're a teacher. And you know what he said? Because they got paid the same in India. He was like, when I had to pick it was like those jobs, they got paid the same. You know, it's not just Neil going on a rant about just kind of, you can't just fix everything by yelling about a lot of podcasts. We need to be healthy. We deserve that. We owe that to ourselves. And we have the medicine and the systems and the tools. We know that. So right now, we're experiencing at a high level from a distance I'm not in the system. So, like if I say the wrong thing, like please don’t hold me to it. But from a distance. This is this is a big transition point where we're recognizing and realizing just how crucial and important these roles are, and our pipelines and our education pipelines and our compensation, but they gotta they gotta catch up. They gotta catch up.KK: This is it. This is it. Neil, thank you. Thank you for agreeing to do this. This was honestly, this is a lot of fun. I know somehow, whether it is in T dot, somewhere down the line, we got to connect. Brothers unite. I really appreciate you jumping on the show my friend.NP: It's a pleasure. Thanks for what you're doing. It's a gift to I'm an art of what you're doing and that you're doing that while you're doing you know, you're I know what it feels like to be doing two things at once. So thank you for putting out that's great, great content and vibes and energy for the world is much, much, much appreciated.KK: Oh feeling's mutual my friend.KK: Kwadcast, that was freaking awesome. So awesome. Feeling inspired folks. I hope you are too. If you enjoyed that, please leave us any comments at [email protected] Leave a five-star rating after that shows leave a six star rating. Dammit. That was so dynamic and juidy. Follow us on TikTok Instagram, YouTube, Facebook, Twitter at kwadcast. Jump on our newsletter upon our community. At kwadcast.substack.com, all things health care solutions all on one site. You're gonna love it. All right, people hope you're feeling local more jump in your step after that episode. Thanks for listening. Talk real soon. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 14, 2023

223: Everything Women’s Health with Dr. Lucy McBride

In this episode, we welcome back Dr. Lucy McBride. Lucy is a Harvard graduate with expertise in the long-term management of hypertension, heart disease, lipid disorders, diabetes, mental health issues, and more. She joins us again today to talk about women's health. We go over everything from hormone replacement therapy, to different forms of hormone replacement, perimenopause, and more. Lucy addresses the medical risks and issues with taking estrogen, and we learn about the many alternatives to hormone replacement therapy. Later in the episode, Lucy answers a few questions from our listeners and gives some great feedback! SPONSOR BETTERHELP BetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone. Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare" Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it. Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
February 7, 2023

222: Transforming patient outcomes in the ICU with critical care nurse practitioner, Kali Dayton.

In this episode we welcome critical care nurse practitioner, Kali Dayton, DNP, AGACNP. Kali is a member of the Society of Critical Care Medicine and host of the ‘Walking Home From The ICU’ podcast. Kali works closely with international ICU teams to help transform patient outcomes. They focus on early mobility and management of delirium in the ICU. She joins us to chat about her early days and experience in the ICU, sedation in patients and the effects of mobility of patients in the ICU, medications, how she helps with patient healing and more. Kali tells us about what inspired her to start her podcast and shares a story about her experience with an ICU survivor.SPONSORBETTERHELPBetterHelp is the largest online counseling platform worldwide. They change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to a licensed therapist. BetterHelp makes professional counseling available anytime, anywhere, through a computer, tablet or smartphone.Sign up today: http://betterhelp.com/solvinghealthcare and use discount code “solvinghealthcare"Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber.TRANSCRIPTKK: We are on the brink of a mental health crisis. This is why I am so appreciative of the folks over at BetterHelp everybody the largest online counseling platform worldwide to change the way people get help with facing life's challenges by providing convenient, discreet, and affordable access to licensed therapists. BetterHelp makes professional counseling available anytime, anywhere through a computer, tablet, or smartphone. Sign up today go to better health.com And use a promo code solving healthcare and get 10% off signup fees.SP: COVID has affected us all and with all the negativity surrounding it, it's often hard to find the positive. One of the blessings that has given us is the opportunity to build an avenue for creating change. Starting right here in our community discussing topics that affect us most such as racism and health care, maintaining a positive mindset, creating change the importance of advocacy, and the many lessons we have all learned from COVID. If you or your organization are interested in speaking engagements, send a message to [email protected] or reach out on Facebook @kwadcast or online at drkwadwo.caKK: Welcome to ‘Solving Healthcare’, I'm Kwadwo Kyeremanteng. I'm an ICU and palliative care physician here in Ottawa and the founder of resource optimization that one, we are on a mission to transform healthcare in Canada. We're going to talk with physicians, nurses, administrators, patients and their families because inefficiencies, overwork and overcrowding affects us all. I believe it's time for a better health care system that's more cost effective, dignified, and just for everyone involved. KK: Kwadcast nation super exciting episode I got flowing with you. We got Kali Dayton. She is a nurse practitioner that has taken ICU delirium, ICU mobility so seriously, she's got her own consulting firm. She also has her own podcast ‘Walking from the ICU’. Such a great phenomenon. So, we got her you'll hear this episode. It's a live cast that we did a couple of weeks ago. I'm just proud of her. Someone that's taken getting people healthier and out of the ICU and functional seriously, and we need more of that going on right now. We're only gonna see higher demands. So, without further ado, I'm gonna bring Kali on but first, check out our latest newsletter, kwadcast.substack.com It has everything Kwadcast, our episodes, or newsletter, guest blog appearances, guest vlog appearances, you’re gonna love it. Kwadcast.substack.com Check it out. Without further ado, I want to introduce you to Kali Dayton. Welcome to the podcast.KD: Thank you so much for having me on. I've been following your podcast; I appreciate your mission. I see a lot of our objectives are in line.KK: Oh 100% 100%. So, Kali, can you walk us through your story? You're a nurse practitioner. That is, like I said, changing the outlook for critically ill patients. How did you get here?KD: Absolutely. I'm sure a lot of my listeners know my story very well. I started out as a brand-new nurse, many years ago, over a decade ago, in awake and walking ICU. That's just what I call it now. That's the term that I've coined to describe what they do there. In the interview in my naivete, I was just excited to be there. I had no idea what they were talking about when they asked, ‘Would you be willing to walk patients that are on ventilators?’ and I was willing to do anything, right. I was just brand new graduate. I said yeah, of course absolutely teach me everything. I didn't understand the magnitude of that question until probably three to eight years later. Because when I started working there, no one made a big deal out of it, for decades and that ICU it's a medical surgical ICU, its high acuity, they've had a COVID ICU throughout the pandemic. They've maintained it this practice of allowing almost every patient to wake up, usually right after intubation, unless there's an actual indication for sedation. What's been intubated on mechanical ventilation is not an indication for sedation. So, unless they have an inability oxygen with movement, seizures and cranial hypertension, something like that, otherwise they are awake. They're reoriented and they're allowed to communicate, tell us what they need. We manage their pain according to what they tell us. They're usually mobilizing shortly after within hours after intubation, and throughout the day, and throughout their time on the ventilator. So that was completely normal. No one told me ‘Hey, Kali, this is the gold standard of care. This is the model for all early mobility protocols in the world’ Everyone knows about this ICU. No one told me that. So, I spent a few years there thinking that that was normal critical care, medicine, knowing none the wiser. Then I became a travel nurse, and I went to other ICUs in the in the United States. My very first contract when I walked into the ICU, it just felt different. But I knew I expected things to feel different, right? It's a new environment. But everyone was in bed. Everyone looked like they were asleep. There were very few signs of life, and I got my patient assignment, and the patient was sedated and on the ventilator. I didn't know why they were sedated. I wanted to continue my routine, do a neuro exam, hopefully get the patient in the chair ready for physical therapy, because that was my routine, in the wake & walk ICU. A lot of times physical therapy comes out of that patient is in the chair waiting for the physical therapist, take them on a walk even on the ventilator. So, I asked my orientee nurse, ‘Hey, can I get this patient up and take him for a walk?’ and she looked at me in horror and said, ‘No, they're on the ventilator. They're intubated’ What didn't make sense to me, because I've cared for at least hundreds, maybe even 1000s of patients that were on the ventilator and were awake and walking. I had no idea what she was talking about. I said, ‘I know that they're intubated. But why are they sedated?’ ‘Because they're intubated?’ and I say, ‘Okay, but why are they sedated?’ and we went in circles. That was the first time it ever crossed my mind that a patient would be automatically sedated, just because they were intubated. I quickly realized that that was the common perspective throughout the ICU, that I was the odd man out there. Here's the thing. Despite my years of experience, treating patients like that, I knew how to do it. I didn't know why we did it. No one had taught me what sedation actually does. No one taught me what it's actually like for patients, and how much it changes outcomes. So, in that environment, I didn't have the tools to support my approach and my practices and to advocate for my patients. I was still kind of a new nurse, and I was, you know, you just had to fit in in the ICU. There's so much peer pressure, there's the culture is such a huge part of it. I ended up just taking the ‘When in Rome’ approach and I just went with what I was surrounded with, and I ended up following along sedating my patients. I didn't really obviously know the difference. I mean, I saw a difference in outcomes. I saw patients stay on the ventilator for far longer. I missed the human connection, I noticed that there were a lot of tracheostomies and nursing home and LTech discharges that I did not see the way can walk in ICU 93% of survivors from that high acuity medical surgical ICU that I came from, went straight home after the after the ICU.KK: That is nuts. That is nuts.KD: That's what I thought was normal. So, I was noticing things, but I couldn't really put my finger on it. I couldn't advocate and I just went with it. Right. I even laughed at some of the nursing jokes about yeah, I hope my patient sedated, and totally snowed today. Thinking that that was funny, and it wasn't till years later that I was in grad school. Of course, even in my acute care doctorate program, nothing was mentioned about sedation or mobility practices. It was just assumed even in our case studies, it was assumed that if a patient came in with pneumonia, they were going to be sedated if they were on a ventilator. I was on a plane ride, and I sat next to a survivor. When he heard that I was a nurse and ICU nurse, the color dropped from his face. He started telling me about his experience over four years before that moment when he was a patient. He told me what it was like to be on a ventilator. He just barely mentioned the ventilator. All he could fixate on was what it was like to be in the middle of a forest with his limbs nailed to the ground and trees were falling down on him and he couldn't run away. Demons were coming to the sky and lots of things that he still couldn't talk about, because he was so deeply traumatized. I was stranger on this plane and he’s sobbing to me, telling me about what he experienced. Of course, I wanted to diagnose him and I said ‘it sounds like you had ICU delirium’ but that meant nothing to him. I came to realize as I listened with real empathetic ears, that that wasn't just a nightmare. Those weren't hallucinations. Those were vivid and real. He was psychologically scarred as if he physically lived through those scenarios. I was really shaken. I really hoped that he was one in a million, because he was telling me that for year after discharge, it was really difficult to relearn how to sit, stand, walk, swallow, that was really hard. The hardest part was that for year after discharge, every time he closed his eyes, he would be lost back in that forest back in that scenario, and he could not sleep. So, the depression, anxiety, physical disability, I didn't ask about the cognitive function because I didn't enough know enough to know that he wouldn't be at high risk of having post ICU dementia. He said that he still had not returned to his career. His life was over. He said ‘I know I feel bad even telling you this, I should be grateful to the ICU to him for saving my life, but my life is over. The life I knew before the ICU is gone. I lost my life in the ICU. If I were ever to become sick, I would never cross a toe back into the ICU. He was a DNR/DNI in his 40s, with no other real comorbidities because he never wanted to live through that again. I think what he meant by that was ICU delirium. I had worked in the ICU about six years. We have never I never heard anyone talk about anything like that. So, I thought this must be a fluke, he must be one in a million. So, I went survivor groups. I thought I would have to post and ask survivors questions. No, the second I got into survivor group, I just scroll through and almost all their posts were about the trauma suffered under sedation and these medically induced comas, what it was like to not be able to balance their check book, read a book, read a clock, like they were barely able to text. These are people thinking ‘How long is this going to last? my brain is not the same’. So that is what got me into looking into the research. I was shocked to find decades of research, exposing the harm of our normal practices. Yet we continue to do those things and I was back in that awake and walk ICU. Seeing a completely different way and I've seen this contrast from what I experienced for years as a travel nurse. Then where I was currently at as a doctorate student, nurse, and then I started working as a nurse practitioner, in that same ICU. That's when I started this podcast ‘Walking home from the ICU’ to show what they were doing in the ICU and now it's turned into ‘how do we revolutionize our normal practices in the ICU?’KK: I got so much here, first. I never even would have comprehended or would have thought that your initial experience, I didn't realize that your initial experience was people were able to ambulate and get out of bed and reduce the amount of sedation. KD: People are gonna say ‘Oh, well, that must have been, you know, long term mentors or not that high acuity’ They were the first ICU to publish the study back in 2007, showing that it was safe and feasible to walk patients on ventilators and in that study, they had PF ratios less than 100.KK: What that means in nonmedical folk is that your lungs were extremely damaged and require a lot of supplemental oxygen to make sure your saturations are high enough that your oxygen levels are high enough. So, this is the sickest of the sick. From a breathing perspective, getting up and hustling and movement answered. So that is amazing. From a personal side, it must have been an absolute mind F that you couldn't, that you went from one extreme to the other. I'm doing tell you from my I've worked in several ICUs in my country, and the latter is the norm, people aren't getting up on a ventilator, you know, they're not getting, they're barely getting up into a chair on a ventilator. KD: They aren’t even getting sedation vacations, they're snowed. KK: One of my main jobs in the ICU when I walk in is minimize the sedation and even often I've seen in practice, they're getting Dilaudid or opioid infusions for no real reason to be honest with you. They're not post op. They have no pain syndrome and we're given pain medication in infusion, which accumulates and what you're describing to amongst patients, my other job is in palliative care when they get toxic or delirium. Delirium from medication. Yeah, that can be traumatic, these memories, these images. That must have been an absolute frustrating experience to go from one version to the other.KD: I was just really confused. I mean, I was still I feel like I'm still new in my career and impressionable. No one taught me the why that's the unfortunate thing about a lot of our medical education is we're taught how we're taught task lists, but we're not taught the why that allow us to critically think and see a bigger picture. I feel like looking back I was really victim to that. I but I would still ask every ICU ‘So, shouldn't this patient get up? Can I get them up?’ because it I knew that was beneficial. I wanted that and a lot of it for me was, I wanted to see my patients get better. When you're walking a patient moments later, you know that they're progressing, you get to connect with them, you get to know who your patients are, I had no idea who my patients were, they were just bodies in the bed. That's not why I got into medicine. So even just selfishly, I wanted them to be off sedation, had I known that by taking off sedation, we could decrease their seven-day mortality by 68%. Oh, I would have been all over that, but I didn't know. I did work in one ICU, where they had some level of ABCDEF bundle, which is a protocol to help guide teams to minimize sedation and get patients up. There's such a spectrum of compliance and different approaches to it. So, I was taught to do an awakening trial, which means you turned on sedation. The purpose really should be to get them off sedation, it should be sedation cessation, but I was taught. So, you know, at five o'clock in the morning, we must turn down sedation, it's super annoying, I know but just turn it down. Wait to see them thrash - that's how you know, when you see all their limbs move that they haven't had a stroke. When you can tell they can't tolerate the ventilator, then you turn the sedation back on and call it a failed trial, just chart it. I was confused. I didn't know what the objective was, I didn't know what we were doing. I didn't know why they were agitated. For her to say it's because I can't tolerate the ventilator. That was confusing to me because I'd seen so many patients tolerate the ventilator. I didn't understand delirium, and I hated awake new trials. They were laborious, they were stressful, they felt unsafe. It's hard to see patients between delirium, it's hard to see them be so uncomfortable, and you can see the terror in their eyes. But again, when in Rome, I just did what I was told, unfortunately. So, this is my journey now is almost my penance for the harm that I caused my patients during those years. KK: Well, Let's be honest, Kali, you can't be looking at it that way, man. We all remember sedation is the norm. What we're doing now is trying to advocate for change. I can't emphasize enough the change can be dramatic for people like it really comes down to function. If you in the ICU and you're paralyzed into intubated on sedation and analgesia, you're not moving, like you're not using your muscle. Then when you're trying to go back to what you want it to where you want it to be. I think a lot about our COVID patients. They were in the 40s/50s/60s, that are trying to get back to working, trying to get back to doing the activities that they love to do. When you think about this not only are you impacting their ability, like they're not getting to their functional level, but what's it doing for their family. Now you got a loved one that's got to take care of them, that might have to take off time off work too. It just is an absolute amplifier when people can't be functional.KD: For those that maybe don't work in the medical field, or even especially those that do, here's what we're not talking about the bedside, here's what we're not telling patients and families. When we go into surgery, they give us informed consent, they tell us here are the remote risk that things that could happen, right. What we don't do before intubation for patients and our families is tell them the actual risks of sedation. We don't understand ourselves that sedation is not sleep, it disrupts the brain activity so severely that they don't get real REM cycle. So, my perspective is that it's a form of torture, really, I mean, that's what we do, and war in the military, we deprive people of sleep, and that's what we're doing to our patients when we give medications that make it so they cannot get restorative sleep. Many of our study, sedatives are myotoxic, meaning that they're toxic to the muscles, so it causes more muscle breakdown. Then on top of that, if there's absolute disuse when you're stopped sleeping deeply sedated, you're not even contracting a muscle usually. So that disuse makes it so that our muscles break down more. That disruption of sleep often caught is one of the mechanisms that causes delirium, which is acute brain failure. It's an organ dysfunction. That can turn into long term post ICU, dementia, cognitive impairments. So, they cannot return to their normal lives can't take care of their families can't go back to their jobs because they can't. Cognitively their brains can't function the same way anymore. They have this post ICU PTSD because of those vivid scenarios that they live. I'm not going to call them hallucinations, because that's, that's not accurate. Those were real to them. We just don't see that big picture of sedation, and we just don't even question and I do that a lot in my life too. They're things that I'm just taught that I don't question, but we don't question whether or not sedation is necessary. Sometimes it is. When we understand how risky it is, then we can do a true risk versus benefit analysis for each patient to say, ‘they're intubated for this reason, does that necessitate sedation?’ If not, let's get it off and see what they need. Let them communicate. Let's prevent delirium. Your platform is all about preventative medicine. In the ICU you come in with one acute critical illness and we sign them up for chronic conditions?KK: Absolutely, as you said, like it really is about what can we do to prevent this from becoming a chronic condition. Honestly, it's a culture change, from what I could see. What's sad about medicine, is that we have data to support how bad things are or how good things are. The amount of time we invest in create that change is limited. If you look at the data for sedation vacation, so that same principle of, turn off someone's sedation, periodically, that we know that has positive outcomes, like we know that, but you could go through an ICU, throughout any country in North America and the odds are that they're not getting it routinely. Why doesn’t that happen? That’s why I’m proud of Kali. Number one, being a champion of this, ICU care sucks, but a lot of us that will end up in there. So, we want to be able to optimize care, but also like just doing some about it. It's one thing to want to bring attention to it but also, being an activist. I think it helps. So, you’ve got the podcast, Kali, you've done some other work, how else have you been able to increase awareness? You could even get into like, what the podcast also has done for you or in the people around you?KD: So with a podcast, I started that right before COVID hit. I don't know if your god person but I, God told me to start a podcast in December 2019. I barely even listened to podcast didn't know how to start one, but I couldn't. I couldn't rest. I knew exactly that I had to start, I had to put out 32 somewhat episodes by the beginning of March of 2020. I didn't know why it had to be so fast and so furious, and survivors came out of nowhere. I interviewed my colleagues, researchers, it was just this miraculous setup that just came together, put out all these episodes, and then COVID hit. I thought ‘well now it's all gonna be all about COVID, and no one's gonna care about this’. God back handed me and said, ‘This is for COVID They're gonna be millions of people on ventilators, how is this not relevant to COVID’. So, I continue to throw out COVID Even though I recognize that the ICU community was not really in a place to revolutionize. The hard thing is that this could have been so beneficial to COVID we created more work for ourselves with the sedation practices, you talked about awakening and breathing trials. Once I just looked at only wake & breathing trial started sedation, turn it off once a day and then turn it back on. Decrease ventilator days, by 2.4 days, days in the ICU decreased by three days in that hospital decreased by 6.3 days, when we're in a staffing crisis, we need to have a process of care that's efficient actually gets patients out of the ICU. Instead, we created this bottleneck where patients are now stuck on the ventilator because they're too weak to breathe on their own. Even if their lungs are better. Now they need tracheostomies. They're stuck in a ventilator. We can't at least in the States, we couldn't get them to LTACH because LTACH’s were too full of all the other COVID long term patients. So, then the ICU wasn't rehabilitating these patients, and so then they develop more hospital complications, and then they ended up needing more care. It's just we created so much more work for ourselves. It just was a hard time to really take on a new endeavor and totally change your practices. But during COVID, everyone ran back to the 90s. Not everyone but a lot of people ran back to the 90s. As far as using benzodiazepines, higher doses of sedation, deeper sedation longer times, there was so much fear. We did a lot of fear-based medicine. So, I just kept chugging along with my podcast, knowing that the community was going to need healing after all of this. We were going to need a lot of rehabilitation within our own clinicians, but also within our practices. So now, teams are coming to me saying what we're doing now. We're still doing COVID care even these are not COVID patients, we're still we're back to deeply sedated patients. Where are we lost so many seasoned clinicians, new clinicians came in during COVID. They've been trained to deep deep, deeply sedate, they don't know how to move patients they're scared to. But one team said I look on my ICU It's not an ICU, these aren't ICU patients. These are LTACH patients. These are rehab patients that we're not rehabilitating. We're bottlenecked. We can't get these patient outpatients out, we can't get new patients, we're stuck. We're creating that kind of scenario. So now, I work as a consultant and I do training with the teams, I teach them the why the reality of delirium, giving them a picture of an awake & walking ICU using real case studies, pictures, videos, so that we have a vision of what could be I feel like the ABCDEF bundle when it was rolled out in the mid 2000’s good change happened, a lot of things moved forward. I do feel like we didn't explain fully the why behind it. Until every ICU clinician hears the voice of survivors, they won't be afraid of sedation, they'll still be inclined. We started, we continued this start sedation automatically, then at some subjective point down the road, start to take it off, when they come out, agitated, turn it back on, we just didn't, we didn't give them this perspective of ‘Hey, most patients should be awakened walking. Here's how to treat delirium and here's how the team works together’ we put a lot of it on nurses, which is not fair, feasible or sustainable. So, as I work with teams, I tried to really give them a foundation of why, and then how, how to treat patients without automatically sedating them. When the sedation necessary. How do we navigate appropriate and safe sedation practices? When do we use it? How do we mobilize patients, I go on site with teams and I do simulation training, we do real case studies and practice and the whole team practices together. Because it's a skill set, we think about pronation, when we started printing patients, everyone was terrified. And it took so many people and it took so long, you know watching every little line and now teams flip them like pancakes, right? It becomes a skill set. So, I tried to get them opportunity to practice that on a pretend patient. So, they can think through critically think through the scenario, think through delirium, thanks for ICU acquired weakness, then practice mobilizing patients with different levels of mobility.KK: My brain is going like, the whole time, it's like you need to come see our group.KD: Let's do it. I’ll hope on a plane tomorrow – I can’t actually. I’m going to Kentucky tomorrow, but let me know I'll be there!KK: We would absolutely love to have you. Just knowing where a lot of clinicians lack is hearing the voice of the people that have gone through it. Clearly, that's been a motivator for you in terms of why we need to pivot and provide less sedation to our patients and mobilize our patients and avoid them from having all these secondary complications as a result of being immobile. The means are there. KD: The data is strong; the data is really powerful. I mean, decreased mortality by 68%. Who doesn't want to do that, right? So, but almost even more powerful are the voices survivors, when you hear their voices in your head when you're sitting in a patient. It's haunting COVID, there were times when patients could not oxygenate the movement. I had to sedate them. I hated it. I just felt sick because I, I just didn't know what they were experiencing. I didn't know if they were in pain. I didn't know what was going on underneath that they were going to live with us the rest of our lives, it's because of the survivors that have interviewed on my podcast, they are the educators.KK: Yeah, I have so many ideas going through my head. I would love after when we jump off, links to the some of the episodes from the survivors that we can pass along to our group, to our show in general, but our group to give a sense of what it really is like to go through this. Yeah, our patients don't come I mean, every once in a while we get a patient come back and say how they're doing but they don't give us the they don't give us the negative side, they really focus on showing some gratitude. KD: Which is good, but if they came back, it's probably because they weren't too traumatized to come back. The ones that don't come back. I mean, why would you go back to the place that you are sexually assaulted?KK: Yeah, no, yeahKD: It’s like to trigger and some people can't even go the same street as that hospital. On my website under the resources tab, the clinician podcast, at the bottom, the page is organized by topics. One of those topics is survivors of sedation and mobility, as well as survivors of an awake & walk ICU. So, you can hear their different perspectives and testimonies, it's organized by different topics. KK: You’re an organized cat, I'm looking at it right now. I can tell you, you're very structured and organized just by the way your website is set up. It's on point.KD: It's curriculum. This is education, this is not just a hobby. I mean, this is we've got to make sure we get the right information to the right people.KK: You’re so boss. You're gonna be running an organization one day, and ICU, I don't know. I see big things for you.KD: We'll see. I mean, I have a lot of optimism for the future of critical care, going to conferences, meeting with people at the bedside podcast listeners reaching out. It's not just me that cares about this. That's why I continue is that there are so many people that I call revolutionists, sometimes as the lone voice in their ICUs. But they're bringing big changes, they're making waves there so my motivation with podcasts is to provide the ammo, the quiver the arrows in their quiver, so that they can share that with their colleagues get more buy in, so that they don't have to reinvent the wheel. It's a lot to change a perspective and change a culture. It's hard.KK: Yeah, and maybe just seeking some advice, we had Dr. Wes Ely on the show and how to create some culture change around this issue. I want to hear your perspective. Kali, how do you think you do create that culture change? Because you bring this up to many staff, and they'll be like, ‘Oh, they're gonna extubate themselves? Oh, we're short staffed. This is not gonna be able to work.’ What are your thoughts?KD: Yeah, this has been a lot of my journey is figuring out what are the barriers? and how do we address them? I think we're over the checklists. I think it is important to systemize and protocolized our practices. When we implement these kinds of changes, we this can't just be “Hey, Nurse, take off the sedation’ that is not going to work. They have some valid fears at all I had ever seen. With a patient coming off sedation. After days, two weeks of sedation, I would have a lot of inhibitions. When I'm busy. I don't have time to wrangle that patient. I don't have time to make sure they don't self extubate. I have a Thank you for reading Solving Healthcare Media with Dr. Kwadwo Kyeremanteng. This post is public so feel free to share it.whole episode on unplanned extubations, but delirium increases the chances of unplanned extubations by 11 times. So, it's just changing the perspective understanding what is delirium? why should we be panicked about it? What causes it? We are practices are some of the biggest risk factors and culprits of delirium in the ICU, and to learn doubles that are in hours required for care. So, when we're short staffed, why would we create a delirium factory? When it doubles our workload? It doesn't make sense, but when that's all we know, we don't understand that there's a better way to do it. So, my approach when I go to help a team have culture change is to, again explain the ‘why’ give a perspective of what could be, here's what patients can be like, when we don't sedate them. If they when they wake up after intubation, it's like coming out of a colonoscopy. Endotracheal tubes not comfortable. Here are some tools to help make it more comfortable. Here's how we can talk to them. Give them a pen and paper, I would get agitated and panicked. I couldn't communicate. Here's how you involve the family, here's the toolbox to help you succeed and have that patient be calm & compliant. And they will protect their tubes. I've had patients write ‘please be careful my tube’ That's what I need to experience. So, when you find a couple of case that isn't so easy hits, easy wins. Allow your team to see a patient awake, communicative, calm in even more while on the ventilator, the perspective starts to shift. Then they start to ask, okay, that was easy. That was fun. That changed outcomes. They walked up the ICU. Who else can we do this on and it starts to have a domino effect. So suddenly, we expect him to just shut up and do it. That's, that's not going to cut it. I don't think that I think that's partially why the ABCDEF bundle rollout, years ago was not has kind of gone away, because we didn't provide the why. We also, again, I think starting sedation, and then taking off later, is a lot of work. We should only do that if it's absolutely necessary. Otherwise, I mean, I have an episode with a hospital in Denmark, they do the same thing and that allow patients to wake up right after intubation. They are so much easier, more compliant, because they don't have delirium, we have to understand that that agitation is usually rooted in delirium, we have to come to really be terrified of delirium.KK: I'm really enjoying this, I'm really liking this because it's even at that added perspective of saying, ‘Hey, your workload is going to be worse if people are delirious, so let's avoid going delirious in the first place’ Let's just get a grip on this bad boy, out of the gate.KD: You're all about preventative and it's like, Let's prevent one of the biggest culprits of mortality. Delirium doubles the risk of dying in the hospital. So, people say we don't have time to mess with all sedation practices, like let's just sedate them and like, save their lives and figure it out later. No. By doing that, by increasing the risk of delirium, we could double their chances of dying. So, if we care about mortality, then we will care about our sedation practices. We also know that ICU acquired weakness is really laborious. When people imagine mobilizing patients on ventilators. What they're imagining is taking off sedation days to weeks later when they're delirious. They can barely lift a finger and now we're trying to mobilize these, you know, 200 plus pound adults to the side of the bed. That's dangerous, laborious, it takes so many people. If a patient walks into the ICU or into the hospital, hypoxic hypotensive, whatever. We have moments later, we haven't stabilized. Why can't they walk? Did we cut their legs off? Right? So, once we have oxygenated, perfused, what's the harm in sitting outside of the bed and seeing how they do when they're not delirious, they can tell us how they're feeling. We can provide more support on the ventilator; they can probably walk better than they did come in and hypoxic. Once they're stabilized hours later, or even 24 hours later. So that is so much easier when they maintain their ability to walk. So, in the COVID ICU, many patients were standby assists to the chair with a nurse while they were on a ventilator, because they're alone in the room, right? Physical therapy could go in and work with a patient, just scoot the ventilator wall to wall as they're stuck in their rooms, help them stand or sit, step on steps, they were alone in that room with these patients, because they were strong enough to do it, because we didn't allow them to be under myotoxic sedation and I would say rot in the bed. So, all of that plays into an ease of workload. Then obviously the get off the ventilator sooner, get out of the ICU sooner. It makes the workload easier. So, it's a little bit of an exchange and efforts in some ways. Yes, you must talk to a patient. Yes, you must assess them a little bit more. But also, could during COVID, I was hearing about swapping out propofol bottles every hour, picking up to go in and out to titrate vasopressors that we were getting just because of the sedative and hypotensive effects. All of that is effort but wasn't necessary and wasn't beneficial.KK: I'm telling you, you are changing the boogie. Yeah, changing the conversation and perspective. This is something that can dramatically impact patient care. If we could get the buy in, in the culture. Wow.KD: You know, people will say ‘Well, we don't have we're trying to save $25 million this year. We can't afford to pay our payer clinician some extra time for education or whatnot’ The ABCDEF bundle, even in their spectrum of compliance, decreased healthcare costs by 24 to 30%. KK: Oh, yeah. KD: ICU acquired weakness increases healthcare costs by I want to say 30-40%. Delirium increases healthcare costs by 40%. ICU acquired weakness increases healthcare costs by 30.5%. So, by having a process of care that prevent those complications with decreased healthcare costs. So why wouldn't we, right? KK: 100%. We even we had a paper out last year showing the financial impacts of ICU delirium. We always think to have the opportunity cost, that money could be diverted into more staffing, more resources for physio, optimizing nutrition, all these things can be enhanced. If we, if we make it a priority. KD: I think it's one of our one of our strongest cards to play for staff, safe staffing ratios. To say staff is better, we'll get better care in this using this protocol. We will save you so much money so it's investing thousands to save millions or billions.KK: I love it. You’re speaking my language. We are definitely going to have you back in some capacity. I don't know that for some reason. It's not just gonna be the show. I really want to get you talking to our group. Maybe regional rounds, or something. I don't know what it's gonna be. It's something that we need to hear more of talked about the patient experience, your own experience and the drive like what's pushing this. Knowing my people a lot of intensivists and an ICU nurses and allied health professionals, we want to achieve this, get our patients to a point where they are better. Really better, not just alive, but thriving. This starts here. I really do believe it starts here. So I just want to give number one, Kali some mad love on what you're doing and continue to hustle, it's paying off. Second. How do people get to know you a little bit more? and about the show and the consulting and so forth?KD: So, have a website www.daytonicuconsulting.com. There's more information about consulting services available, the podcast is on there, the podcast has transcriptions and citations organized by topics. KK: So organized folks. KD: 116 episodes, and I really didn't even know how much of a what's called a rabbit hole that this would become. There's so much to learn about the science behind what we're doing as well as the patient and clinician perspective. So, check that out, find the topics. If nothing else start at the beginning. I think the beginning lays a foundation, I was very intentional about how I organized it at the beginning to lay a foundation of ‘why’ and ‘how’ comes later. I'm on Instagram @daytonicuconsulting, Twitter, Tik Tok. Go ahead and set up a consultation with me send me an email and we can chat about your team, your barriers, even your family members what's going on? I'm obviously obsessed. So, I'm here for you! let me know.KK: So good. So good. Thank you so much for joining us. Those on the chat group or that are watching live. You want a piece of this episode just tap NL into the chatbox will give you a copy the video and the end the podcast when it's released. Awesome work. Congratulations.KD: Thanks for caring about this.KK: 100% KK: Kwadcast nation that's exactly what I'm talking about changing the boogie right here in ICU care. Follow us on Instagram, YouTube Tiktok Facebook @Kwadcast Leave any comments at [email protected], subscribe to our newsletter. Essentially, it's like a membership you want to know more about Kwadcast nation. Go to Kwadcast.substack.com Check it out. Leave that five-star rating and continue to allow us to change boogie in unison. Take care, peace. We love you.Solving Healthcare Media with Dr. Kwadwo Kyeremanteng is a reader-supported publication. To receive new posts and support my work, consider becoming a free or paid subscriber. Get full access to Solving Healthcare Media with Dr. Kwadwo Kyeremanteng at kwadcast.substack.com/subscribe
January 31, 2023