1 00:00:00,320 --> 00:00:03,919 Speaker 1: The content of this podcast is provided for general informational 2 00:00:03,960 --> 00:00:07,000 purposes only and is not intended as nor should it 3 00:00:07,040 --> 00:00:22,039 be considered a substitute for professional medical advice. Hello, this 4 00:00:22,160 --> 00:00:25,239 is Karen Nickel, family nurse practitioner, and you are listening 5 00:00:25,280 --> 00:00:27,839 to Itchy and Bitchy, a podcast that provides answers to 6 00:00:27,879 --> 00:00:32,159 your many unanswered health questions. As I mentioned in the 7 00:00:32,240 --> 00:00:36,320 last three episodes, after nine years of hosting Itchy and Bitchy, 8 00:00:36,920 --> 00:00:40,000 it is time for the podcast to grow up and 9 00:00:40,039 --> 00:00:44,439 evolve with new hosts and a slightly different format. Growth 10 00:00:44,479 --> 00:00:47,880 and change is good, I keep telling you that. Also 11 00:00:48,159 --> 00:00:51,840 remember that if you get a hankering to hear my 12 00:00:52,000 --> 00:00:56,439 voice again, all of the previous Sweaty and Piss and 13 00:00:56,640 --> 00:01:01,159 Itchy and Bitchy episodes will remain on the same podcast feed, 14 00:01:01,719 --> 00:01:05,879 all two hundred and fifteen episodes. As I have shared 15 00:01:05,879 --> 00:01:09,200 in the past three episodes, Steven Miller and Keith Nillica 16 00:01:09,640 --> 00:01:13,319 will be the future hosts of Itchy and Bitchy. As hosts, 17 00:01:13,319 --> 00:01:16,120 they will have a comprehensive approach to wellness with a 18 00:01:16,159 --> 00:01:20,719 focus on connecting human health, animal health, and environmental health. 19 00:01:21,319 --> 00:01:25,480 This is the fourth of four episodes and the tables 20 00:01:25,760 --> 00:01:29,040 will be turned during this episode because Stephen and Keith 21 00:01:29,480 --> 00:01:33,799 will be interviewing me. Doctor Stephen Miller is an acute 22 00:01:33,840 --> 00:01:37,640 care nurse practitioner who during his twenty six years of practice, 23 00:01:37,840 --> 00:01:41,280 has become known for his expertise in diagnosing and treating 24 00:01:41,439 --> 00:01:45,480 cardiovascular disease. And Keith Nilica is a veterinarian and board 25 00:01:45,560 --> 00:01:50,879 certified veterinary dermatologist who has been in practice for thirty years. 26 00:01:51,400 --> 00:01:54,439 To learn more details about them and their expertise, please 27 00:01:54,519 --> 00:01:57,040 make sure to listen to the episodes dated April fourth 28 00:01:57,400 --> 00:02:02,400 and April eleventh of twenty twenty six. Hello Stephen, High Care, 29 00:02:03,159 --> 00:02:09,439 Hello Keith. Hello, we have arrived. We have arrived at 30 00:02:09,439 --> 00:02:13,439 the transition moment. So what are we talking about today? 31 00:02:14,000 --> 00:02:17,599 Speaker 2: What a great way to go into this. I was 32 00:02:17,680 --> 00:02:22,280 pondering this conversation and so many people throughout the stages 33 00:02:22,319 --> 00:02:28,319 of life experience mental health concerns or issues, and some 34 00:02:28,479 --> 00:02:34,080 are positive and some are negative that revolve around life transitions. 35 00:02:34,960 --> 00:02:37,560 Among the three of us, we have one hundred and 36 00:02:37,759 --> 00:02:40,319 eighty two years of experience. 37 00:02:41,560 --> 00:02:43,759 Speaker 1: Why do I feel like I'm the biggest third out? 38 00:02:44,479 --> 00:02:49,680 Speaker 2: And so we have a lot of life experience wisdom, Wisdom, 39 00:02:50,000 --> 00:02:52,759 and I think the three of us have a depth 40 00:02:53,039 --> 00:02:57,360 of life experiences across the decades of our lives that 41 00:02:57,520 --> 00:03:00,479 have impacted us, and we've experienced them in different ways. 42 00:03:01,039 --> 00:03:05,280 So I wanted to look at and discuss sort of 43 00:03:05,319 --> 00:03:14,080 major life transitions. Most of those include things like retirement, bereavement, parenthood, divorce, 44 00:03:14,680 --> 00:03:19,560 and job loss. And all of those major transitions have 45 00:03:19,759 --> 00:03:24,159 effects upon mental and physical health, and the impact varies 46 00:03:24,199 --> 00:03:28,599 depending on multiple factors. And so people talk about socioeconomic 47 00:03:28,719 --> 00:03:33,319 status or individual coping resources, or the nature of transition itself. 48 00:03:33,919 --> 00:03:40,400 So there's research available, longitudinal research on the experiences of 49 00:03:40,439 --> 00:03:45,080 major life events, and we've determined that it may or 50 00:03:45,080 --> 00:03:49,319 may not be necessarily associated with mental health. So one's 51 00:03:49,400 --> 00:03:53,319 response to life transitions is not necessarily related. So I 52 00:03:53,360 --> 00:03:57,280 wanted to sort of dive in a bit here. And 53 00:03:58,240 --> 00:04:02,039 so the points that the launch Jotal research points out 54 00:04:02,159 --> 00:04:04,879 is that it's the appraisal of those events or the 55 00:04:04,919 --> 00:04:07,280 perception of the challenge or impact that the. 56 00:04:07,199 --> 00:04:09,360 Speaker 1: Person has as the transition is happening. 57 00:04:09,639 --> 00:04:14,280 Speaker 2: That's exactly right. So, for example, you know you're in 58 00:04:14,319 --> 00:04:20,399 this transition now to complete retirement, and how does that 59 00:04:20,439 --> 00:04:23,560 look and how do you perceive that to be within 60 00:04:23,600 --> 00:04:29,439 yourself and your lifespan. And interestingly, we mediate the relationship 61 00:04:29,879 --> 00:04:33,959 with anxiety and depression and PTSD and loneliness through how 62 00:04:34,000 --> 00:04:39,519 we perceive those events, So that's all mediated between those perceptions. 63 00:04:40,160 --> 00:04:43,439 There actually is a model that's currently out called transitional 64 00:04:43,480 --> 00:04:46,480 stress models, and so those are how this is built. 65 00:04:46,920 --> 00:04:49,519 And so I just wanted to among our group and 66 00:04:49,560 --> 00:04:52,279 among the layers of experience, start to open up a 67 00:04:52,279 --> 00:04:56,920 bit about our transitions, because I think certainly our listeners 68 00:04:57,480 --> 00:05:03,319 are interested in how we cope and how we perceive transitions. 69 00:05:03,759 --> 00:05:07,839 So many people get lost in loneliness and depression and 70 00:05:07,920 --> 00:05:09,600 anxiety when transitions happen. 71 00:05:09,680 --> 00:05:13,120 Speaker 3: So this sounds like a whole discussion about vulnerability. 72 00:05:13,360 --> 00:05:18,199 Speaker 1: Oh oh, yikes, Maybe you can interview someone else. 73 00:05:19,800 --> 00:05:25,959 Speaker 2: Well, my thought is that over the years, we've learned 74 00:05:26,360 --> 00:05:32,519 to be flexible and we perceive change in different ways 75 00:05:32,560 --> 00:05:38,079 based upon those thoughts, and so I'm interested care sort 76 00:05:38,120 --> 00:05:40,839 of in how some of your transitions. You've had some 77 00:05:40,879 --> 00:05:44,439 really amazing transitions in life, from your theater to Knoxville, 78 00:05:44,560 --> 00:05:51,519 and transition from medical to just podcast and now transition 79 00:05:51,639 --> 00:05:53,000 from podcasts to. 80 00:05:54,480 --> 00:05:59,360 Speaker 1: Absolutely glory. I'm teasing. But you know, my listeners all 81 00:05:59,399 --> 00:06:03,800 know that I I'm an opera singer and having established 82 00:06:03,959 --> 00:06:08,399 an opera career and being well known in the business, 83 00:06:08,439 --> 00:06:11,040 and my husband was well established, and then we had 84 00:06:11,079 --> 00:06:15,600 a baby and sorting out how to continue to have 85 00:06:15,639 --> 00:06:19,079 a career that involves a lot of traveling and being 86 00:06:19,079 --> 00:06:23,000 in different locations for weeks at a time with a 87 00:06:23,040 --> 00:06:27,360 baby and then who became a toddler, who then became 88 00:06:27,399 --> 00:06:31,439 a preschooler, all while trying to be a good singer 89 00:06:31,519 --> 00:06:34,800 and a decent mother. And my husband was on the 90 00:06:34,879 --> 00:06:38,759 road as well, so we weren't performing together, so I 91 00:06:38,839 --> 00:06:41,519 was doing a lot of single parenting on top of 92 00:06:41,600 --> 00:06:46,319 everything else. So it was really stressful. And I loved 93 00:06:46,360 --> 00:06:48,800 having Forest with me, and I think he learned a 94 00:06:48,879 --> 00:06:52,680 lot being around music all the time. But the way 95 00:06:52,759 --> 00:06:55,399 I dealt with that is I said to my husband, 96 00:06:56,240 --> 00:06:59,519 we need to change something. This is not going to 97 00:06:59,560 --> 00:07:02,480 work long term because Forrest at nine years old, is 98 00:07:02,519 --> 00:07:05,199 going to say I'm not going on the road with you. 99 00:07:05,759 --> 00:07:08,199 And maybe he never would have done that, but we 100 00:07:08,279 --> 00:07:10,800 don't know, You know, he was He's his own person 101 00:07:10,879 --> 00:07:13,040 and he doesn't want to be hauled around while we 102 00:07:13,680 --> 00:07:17,000 you know, jump from place to place. So I said 103 00:07:17,000 --> 00:07:19,160 to Andy, we need to find a way to be 104 00:07:19,399 --> 00:07:23,959 in one spot more frequently. And I was really interested 105 00:07:24,000 --> 00:07:28,279 in going to Germany to perform there and infest what 106 00:07:28,360 --> 00:07:30,720 they call a fest contract, where you're in one place 107 00:07:31,160 --> 00:07:34,319 and you get a two year contract, et cetera. Anyway, 108 00:07:35,399 --> 00:07:38,079 we ended up at the University of Tennessee with Andy 109 00:07:38,279 --> 00:07:41,560 taking that job as a professor of voice, which did 110 00:07:41,879 --> 00:07:46,199 put us in the same place mostly and allowed us 111 00:07:46,199 --> 00:07:50,199 to Germany. Yeah, it's not Germany. It's not smell Tennis, 112 00:07:50,560 --> 00:07:53,839 which is nice, which is nice, Okay, but you know, 113 00:07:53,879 --> 00:07:56,399 we had different ideas of what being in one place 114 00:07:56,439 --> 00:07:59,279 would be, but it's all worked out. Look, I wouldn't 115 00:07:59,279 --> 00:08:02,959 know you incredible people if that had not happened. So 116 00:08:03,160 --> 00:08:08,480 I think sometimes it's helpful to have the resources to 117 00:08:08,560 --> 00:08:11,839 be able to say we've got something's got to change, 118 00:08:12,199 --> 00:08:13,199 something's got to change here. 119 00:08:13,480 --> 00:08:13,680 Speaker 4: Yeah. 120 00:08:13,800 --> 00:08:15,879 Speaker 2: So I think I mean to me what I'm hearing, 121 00:08:16,040 --> 00:08:20,720 and it may not at that moment have been completely clear, 122 00:08:22,000 --> 00:08:26,439 as in most transitions in life, things are not immediately clear. 123 00:08:26,879 --> 00:08:30,959 But I think you're speaking to the testament of resilience 124 00:08:31,040 --> 00:08:36,440 theory and pondering the possibilities and how do we play 125 00:08:36,440 --> 00:08:39,279 that into a life that can be successful. 126 00:08:38,679 --> 00:08:40,559 Speaker 1: And make it a positive Yeah. 127 00:08:40,600 --> 00:08:42,759 Speaker 2: And I think our readers, you know, if you ever 128 00:08:43,000 --> 00:08:45,799 have an interest in resilience theory, I think it would 129 00:08:45,799 --> 00:08:50,159 be great to read on it. It's an incredibly deep 130 00:08:50,399 --> 00:08:54,879 topic but also offers insights into multiple aspects of a 131 00:08:54,919 --> 00:08:58,799 person's life and how to get through. And it's not 132 00:08:59,039 --> 00:09:03,000 sort of this therapy session. It's more of a logical 133 00:09:03,080 --> 00:09:06,480 approached theories of how people respond to change. 134 00:09:06,519 --> 00:09:07,039 Speaker 1: Yeah. 135 00:09:07,080 --> 00:09:09,120 Speaker 2: And so I think what you're saying, Kieran is like 136 00:09:09,200 --> 00:09:12,360 when you transitioned, you thought, okay, well we've got to 137 00:09:12,440 --> 00:09:17,000 have a workable solution. And it sounds like you were 138 00:09:17,080 --> 00:09:20,360 open to the I mean, from Germany to East Tennessee, 139 00:09:20,519 --> 00:09:22,120 that's that's quite at. 140 00:09:22,080 --> 00:09:24,879 Speaker 1: I had a wide range of options. 141 00:09:24,360 --> 00:09:26,720 Speaker 3: Well, and from opera to medicine. 142 00:09:26,759 --> 00:09:29,600 Speaker 1: Medicine, Yeah, And then there was that transition, and that 143 00:09:29,679 --> 00:09:33,559 happened because once we moved here at the time, you 144 00:09:33,639 --> 00:09:36,159 really needed to be in the New York City area 145 00:09:36,360 --> 00:09:39,159 or in New York City to you know, get your 146 00:09:39,320 --> 00:09:44,159 auditions done, get your work with your management, get coachings, 147 00:09:44,240 --> 00:09:48,039 get lessons. Dudy Doudy dot all that stuff. Now it's 148 00:09:48,159 --> 00:09:52,799 changed because we have the interweb. You know, they can 149 00:09:52,840 --> 00:09:55,720 do a lot of things by just zoom auditions, that 150 00:09:55,799 --> 00:10:01,120 kind of thing. Anyway, so I decided that I would 151 00:10:01,159 --> 00:10:07,559 just change completely, leave singing and go into medicine, which 152 00:10:07,600 --> 00:10:10,480 was always an interest in mine. It seems sort of 153 00:10:10,559 --> 00:10:12,840 weird and radical, but it actually is a little more 154 00:10:12,879 --> 00:10:16,120 cyclical than it appears, since that I was a biology 155 00:10:16,159 --> 00:10:19,720 major in college with plans on pre med Anyway, it 156 00:10:19,840 --> 00:10:21,720 just so happens that I was talking to someone and 157 00:10:21,720 --> 00:10:24,080 they said, oh, did you know there was this program 158 00:10:24,120 --> 00:10:27,519 at ut where you can have a bachelor's degree in 159 00:10:27,600 --> 00:10:31,320 anything and get your r IN and your MSN in 160 00:10:31,360 --> 00:10:37,759 a compacted three year period. And I said, uh, even 161 00:10:37,799 --> 00:10:42,919 if it's a bachelor's degree in voice performance. And the 162 00:10:43,120 --> 00:10:45,080 person said, well, you might need to check on that, 163 00:10:45,240 --> 00:10:48,240 but anyway, so it just it was one of those 164 00:10:48,279 --> 00:10:51,639 happenstance things that somebody just said the right thing at 165 00:10:51,639 --> 00:10:52,279 the right time. 166 00:10:52,840 --> 00:10:54,720 Speaker 2: But I think, I think what you're saying to me 167 00:10:54,960 --> 00:10:59,480 is that you embraced the change, right, So you you 168 00:10:59,519 --> 00:11:03,600 embraced it, but then the path forward was that you 169 00:11:03,759 --> 00:11:08,080 had something that you engaged in and you you thought, Okay, 170 00:11:08,320 --> 00:11:10,080 this is what I'm going to do with this. I'm 171 00:11:10,080 --> 00:11:12,039 not going to sit around and eat bond bonds and 172 00:11:12,519 --> 00:11:14,879 gain weight and do all these things. I'm going to 173 00:11:15,360 --> 00:11:18,159 come up with a proactive plan where I'm now in 174 00:11:18,639 --> 00:11:23,600 new social groups and I'm going to impact change. And 175 00:11:23,639 --> 00:11:28,000 that actually is the basis for social identity model of 176 00:11:28,080 --> 00:11:31,159 identity crisis. So it's an acronym. I know. 177 00:11:31,240 --> 00:11:34,919 Speaker 1: See, I love that I'm learning so much about myself. 178 00:11:35,039 --> 00:11:39,519 Speaker 2: But it's amazing with your own personal resilience and that 179 00:11:39,639 --> 00:11:45,000 change that you fell into that semic model, because that's 180 00:11:45,039 --> 00:11:48,759 something that you created, and it took energy to create it, 181 00:11:48,799 --> 00:11:54,000 and it took proactive steps to make it happen, and 182 00:11:54,080 --> 00:11:58,120 you didn't get consumed by well the cants of your life, 183 00:11:58,240 --> 00:12:00,600 what you couldn't do or what you wouldn't do where 184 00:12:00,600 --> 00:12:01,360 you were locked in. 185 00:12:01,879 --> 00:12:05,919 Speaker 3: So do you how much similarity was there between the 186 00:12:06,039 --> 00:12:11,440 artistic opera side and the medical side. It would seem 187 00:12:11,519 --> 00:12:15,159 very divergent. Well, as a practitioner, there is an art 188 00:12:15,200 --> 00:12:16,000 of medicine. 189 00:12:16,120 --> 00:12:18,240 Speaker 1: Well, there is an art of medicine. I have to say, 190 00:12:18,360 --> 00:12:21,559 I think by first of all my life skills because 191 00:12:21,559 --> 00:12:26,600 I went into medicine later in life, late enough that 192 00:12:26,799 --> 00:12:29,480 everybody in the class I was in were probably at 193 00:12:29,559 --> 00:12:31,799 least fifteen years younger than I, and I was the 194 00:12:31,799 --> 00:12:34,840 grandma of the group, the only one who owned a house. 195 00:12:35,480 --> 00:12:39,759 So I think that there are a lot of things 196 00:12:39,840 --> 00:12:43,159 that I was able to bring to the exam room 197 00:12:43,600 --> 00:12:46,360 because of my life experience and my experience in the 198 00:12:46,399 --> 00:12:49,240 opera world. I mean, when you work with conductors and 199 00:12:49,279 --> 00:12:53,519 directors who are very demanding and very difficult, you learn 200 00:12:53,600 --> 00:12:56,039 to have a tough scan. I mean you figure that out, 201 00:12:56,200 --> 00:13:02,120 and you also have appreciation for people who are on 202 00:13:02,200 --> 00:13:06,080 the receiving end of that kind of behavior. So I 203 00:13:06,679 --> 00:13:10,000 think because of where I came from, I was always 204 00:13:10,080 --> 00:13:14,799 a good listener. I'm very compassionate. I think I just 205 00:13:15,639 --> 00:13:20,759 saw the beauty in the medical puzzle, and I loved 206 00:13:20,960 --> 00:13:26,360 solving those puzzles. And I know that what I experienced 207 00:13:26,399 --> 00:13:30,600 for the first twenty years of my adulthood impacted in 208 00:13:30,639 --> 00:13:35,320 a positive way how I practiced. And I tried to 209 00:13:35,320 --> 00:13:37,279 bring a sense of humor. I mean I always took 210 00:13:37,320 --> 00:13:40,600 everything seriously, of course, in terms of health and wellness, 211 00:13:40,639 --> 00:13:43,200 but I always brought a sense of humor into the 212 00:13:43,240 --> 00:13:44,000 exam room. 213 00:13:44,279 --> 00:13:47,759 Speaker 3: And your patients have missed you desperately, they have. So 214 00:13:48,960 --> 00:13:50,399 how long were you in practice? 215 00:13:50,879 --> 00:13:51,840 Speaker 1: Twenty two years? 216 00:13:51,919 --> 00:13:55,600 Speaker 3: Twenty two years, and then you we retired. I retired 217 00:13:55,720 --> 00:14:00,039 from clinical practice clinical practice and kept doing this podcast, kept. 218 00:13:59,799 --> 00:14:03,960 Speaker 1: Doing the podcast, and then I lasted two months in retirement, 219 00:14:04,120 --> 00:14:07,879 and that's when I designed the course for perimenopausal menopausal 220 00:14:07,960 --> 00:14:11,720 women and started getting people to invest in a course 221 00:14:11,840 --> 00:14:15,720 that would help them in these perimenopausal menopausal years, because 222 00:14:15,840 --> 00:14:18,559 I realized, even after twenty two years of doing it, 223 00:14:18,679 --> 00:14:21,840 there was still so many women out there who couldn't 224 00:14:21,879 --> 00:14:25,279 find the help they needed in that transitional time of life. 225 00:14:26,039 --> 00:14:28,039 It was so frustrating to me to see that that 226 00:14:28,159 --> 00:14:30,759 was still going on. So that's what led me to 227 00:14:30,799 --> 00:14:32,000 start the course. 228 00:14:32,360 --> 00:14:36,440 Speaker 3: So kind of expanding your footprint from a local clinical 229 00:14:36,559 --> 00:14:40,440 practice where you can see twenty six patients a day 230 00:14:41,000 --> 00:14:46,039 hopefully God forbid, but that happens to a national, international 231 00:14:46,120 --> 00:14:49,399 footprint where really you can provide one on one care 232 00:14:49,519 --> 00:14:52,480 for people around the globe well. 233 00:14:52,519 --> 00:14:55,759 Speaker 1: And it is a course setting. So the challenge was 234 00:14:56,279 --> 00:14:58,440 if what I did in the exam room for these 235 00:14:58,480 --> 00:15:03,080 women could translate into a course setting where I am 236 00:15:03,120 --> 00:15:07,240 not their provider but I'm giving them all the information 237 00:15:07,440 --> 00:15:11,759 they need to get better during these times when there 238 00:15:11,759 --> 00:15:14,759 are so many symptoms that can happen for women, and 239 00:15:14,799 --> 00:15:18,120 there are so many things that you can do without 240 00:15:18,120 --> 00:15:23,519 prescriptions even that can help. So it was an interesting 241 00:15:23,559 --> 00:15:26,440 transition in that regard, and I wasn't entirely sure that 242 00:15:26,480 --> 00:15:29,279 it would be successful going from the exam room to 243 00:15:29,600 --> 00:15:33,919 a classroom online classroom, but found that it worked even 244 00:15:34,120 --> 00:15:35,200 in a course situation. 245 00:15:35,399 --> 00:15:42,000 Speaker 2: So your relative resilience was clearly moderate to high, and 246 00:15:42,320 --> 00:15:49,960 your ability to accept risk was moderately high. And so 247 00:15:50,039 --> 00:15:53,039 the combination of both of those things I think leads 248 00:15:53,080 --> 00:15:57,360 to success. After the fact, you continue to press in 249 00:15:57,480 --> 00:16:00,399 on things, and so I think your greater calling there 250 00:16:00,519 --> 00:16:05,159 would have been looking at population health, and you get 251 00:16:05,200 --> 00:16:09,159 that perspective from nursing and how do I, as one 252 00:16:09,320 --> 00:16:13,360 person impact the lives of hundreds of thousands of people. 253 00:16:13,279 --> 00:16:18,240 Speaker 3: Signing you up for PhD Public Health masters. 254 00:16:18,440 --> 00:16:21,480 Speaker 2: But I think what it is, though, is in your 255 00:16:21,720 --> 00:16:25,720 nursing career and in the nursing literature there is loads 256 00:16:25,759 --> 00:16:31,120 of information on impacting populations of health and population change 257 00:16:31,240 --> 00:16:34,960 and how do we use a quality perspective to do that? 258 00:16:35,039 --> 00:16:38,600 And I think using the course and using the podcast 259 00:16:38,639 --> 00:16:41,879 to be able to impact a group of people women 260 00:16:43,240 --> 00:16:48,480 and have that platform offers you that and that essentially 261 00:16:49,159 --> 00:16:52,360 helps you with the transition because you've done something that 262 00:16:52,399 --> 00:16:57,080 feeds your desire to help and do better for others. Right, So, 263 00:16:57,440 --> 00:17:02,000 Keith has had some transitions, both of you have, Yeah, many, many, 264 00:17:02,080 --> 00:17:04,920 and we'll talk about all of this and that I. 265 00:17:04,839 --> 00:17:06,599 Speaker 3: Haven't really done with Karen yet. 266 00:17:06,640 --> 00:17:10,519 Speaker 1: Okay, but wait before we go on to Keith or 267 00:17:10,559 --> 00:17:14,400 Steven and both, but one at a time. Hopefully we're 268 00:17:14,440 --> 00:17:16,519 going to just take a quick little break and we'll 269 00:17:16,559 --> 00:17:34,759 be right back. Stay with us, Welcome back. So we're 270 00:17:34,799 --> 00:17:39,240 going to talk about other people's transitions other than Karen's transitions. 271 00:17:39,440 --> 00:17:43,240 Speaker 2: Yeah, So with each decade there are some challenges that happen. 272 00:17:43,319 --> 00:17:47,559 So classic life transitions from say ten to thirty includes 273 00:17:47,640 --> 00:17:54,240 things like puberty, education, leading home, early relationships, parenthood, and 274 00:17:54,279 --> 00:17:58,359 then from thirties to sixties it's things like divorce, widowhood, 275 00:17:58,440 --> 00:18:03,079 job lost, empty nesting, and retirement. And then fifty plus 276 00:18:03,160 --> 00:18:08,319 is retirement, bereavement, caregiving, chronic illness, and relocation many times. 277 00:18:08,799 --> 00:18:13,400 So clearly we've all had lots of trenches. Keith has 278 00:18:13,440 --> 00:18:16,160 had some transitions in life, and so I think I 279 00:18:16,160 --> 00:18:21,039 would be interested in his perspective as a you know, now, 280 00:18:21,359 --> 00:18:25,480 I want to tell the viewers now, clearly in this 281 00:18:25,599 --> 00:18:30,759 group there's a higher level of intellect with a lot 282 00:18:30,799 --> 00:18:34,880 of degrees layered on, and that does weigh in on 283 00:18:34,880 --> 00:18:37,519 one's ability to be able to respond to transitions. 284 00:18:37,559 --> 00:18:39,000 Speaker 1: Well, I was going to say too when you were 285 00:18:39,240 --> 00:18:42,359 saying talking about my resiliency, and I think I do 286 00:18:42,599 --> 00:18:46,559 have resiliency, and I do have a creative mind that 287 00:18:46,880 --> 00:18:49,000 I think, oh I could do this, I could do that. 288 00:18:49,240 --> 00:18:51,640 But I also have a lot of support, right, I 289 00:18:51,640 --> 00:18:53,960 have a lot of support. You know, I have a 290 00:18:54,039 --> 00:18:57,000 husband who if I have a crazy idea, he's like, okay, 291 00:18:57,039 --> 00:18:58,319 and that sounds fine with me. 292 00:18:59,119 --> 00:19:02,079 Speaker 3: So we're your transition has planned the so did you 293 00:19:02,480 --> 00:19:05,119 always have sort of the next step is going to 294 00:19:05,160 --> 00:19:05,480 be this? 295 00:19:06,759 --> 00:19:06,839 Speaker 1: So? 296 00:19:06,920 --> 00:19:09,720 Speaker 3: Now, did doors open and you walked through them or 297 00:19:09,880 --> 00:19:12,759 they were random acts of opportunity? 298 00:19:13,160 --> 00:19:17,640 Speaker 1: I think doors opened and I took them. Hearing having 299 00:19:17,680 --> 00:19:20,839 that conversation with someone saying, oh, you know there's this 300 00:19:20,880 --> 00:19:24,759 program at UT, I could have gone okay, fine, but 301 00:19:24,839 --> 00:19:27,440 I thought, man, I'm looking into this, and as a 302 00:19:27,440 --> 00:19:31,839 matter of fact. I went to the nursing school and 303 00:19:31,880 --> 00:19:35,160 they said, well, you're going to need these prerecs based 304 00:19:35,200 --> 00:19:38,440 on your transcripts. And I wanted to get in in 305 00:19:38,559 --> 00:19:41,799 the fall, and this was already late fall, you know, 306 00:19:41,880 --> 00:19:46,519 like we're at December, and I needed the spring semester 307 00:19:46,640 --> 00:19:50,759 to get these prerecs done. So I went into the 308 00:19:51,079 --> 00:19:54,359 admissions people and I sat down with a woman and 309 00:19:54,359 --> 00:19:57,599 she said, well, emissions for the spring semester are closed. 310 00:19:57,880 --> 00:20:02,720 And I said, oh, listen, look at me time. She's 311 00:20:02,759 --> 00:20:08,519 a wasting I cannot wait another year to get into 312 00:20:08,519 --> 00:20:09,119 this school. 313 00:20:09,359 --> 00:20:12,799 Speaker 3: You were an opera diva, so that helped. 314 00:20:13,359 --> 00:20:16,279 Speaker 1: And she just laughed and she said, okay, okay, you 315 00:20:16,839 --> 00:20:18,759 can enroll for the spring something. 316 00:20:19,039 --> 00:20:22,119 Speaker 2: You know, this is a clearly transition care that you 317 00:20:22,160 --> 00:20:26,319 and I share. I previously was a nuclear chemist and 318 00:20:26,400 --> 00:20:30,640 decided to go back to graduate school at thirty, and 319 00:20:30,720 --> 00:20:34,279 then in my mid fifties went back and got my doctorate. 320 00:20:34,680 --> 00:20:39,079 And so making those transitions it takes a lot of courage. 321 00:20:39,839 --> 00:20:42,799 First of all, I think it takes a lot of 322 00:20:42,960 --> 00:20:49,119 wisdom in researching options that are available and thinking about 323 00:20:49,279 --> 00:20:52,599 successes and what can be successful and sustainable. So we 324 00:20:52,680 --> 00:20:56,680 try to think them through, and then there's the value 325 00:20:56,720 --> 00:21:01,039 that comes to you from the transition, your personal value 326 00:21:01,480 --> 00:21:06,200 that grows. So yeah, that transition for me, I was 327 00:21:06,240 --> 00:21:09,839 not happy as a nuclear chemist, and so I wanted 328 00:21:09,880 --> 00:21:13,119 to get back into healthcare. I worked in healthcare in 329 00:21:13,200 --> 00:21:16,039 high school in this net, so I decided to do 330 00:21:16,079 --> 00:21:17,880 the same type of thing. I went in with a 331 00:21:17,960 --> 00:21:20,599 bachelor's in chemistry and biology, a. 332 00:21:20,599 --> 00:21:23,000 Speaker 1: Little bit different than voice performance, but okay. 333 00:21:22,920 --> 00:21:26,920 Speaker 2: And applied and got in. I only applied at one school, 334 00:21:27,000 --> 00:21:29,759 which was for whatever, I was arrogant enough to think 335 00:21:29,839 --> 00:21:30,559 I didn't need. 336 00:21:30,400 --> 00:21:31,200 Speaker 1: To apply elsewhere. 337 00:21:31,240 --> 00:21:33,680 Speaker 2: I don't know, I just didn't, And so I ended 338 00:21:33,759 --> 00:21:36,079 up getting in at Vanderbilt and that worked beautifully for me. 339 00:21:37,160 --> 00:21:42,400 But it was such a positive growing experience. And that's 340 00:21:42,440 --> 00:21:45,920 another reason I'm kind of interested in asking Keith about 341 00:21:45,920 --> 00:21:47,279 some of his transitions too. 342 00:21:48,599 --> 00:21:51,960 Speaker 1: Yes, we're going to take another really short break and 343 00:21:52,000 --> 00:21:57,240 we will be right back with more fascinating transition stories. 344 00:21:57,799 --> 00:22:09,119 Be right back, welcome back. So Stephen was saying that 345 00:22:09,240 --> 00:22:12,079 Keith might have a transition story for us. 346 00:22:12,240 --> 00:22:18,079 Speaker 2: Stephen, Yeah, So Keith tell us you had the bereavement 347 00:22:18,480 --> 00:22:22,119 experience at a really early age. 348 00:22:22,440 --> 00:22:25,920 Speaker 3: Yes, So, my father passed away when I was eighteen, 349 00:22:26,759 --> 00:22:30,039 and interestingly, his father passed away when he was eighteen, 350 00:22:30,279 --> 00:22:33,000 and his father's father passed away when he was eighteen. 351 00:22:33,119 --> 00:22:36,000 So when my children turned eighteen, it was a little 352 00:22:36,039 --> 00:22:39,680 bit of nerve wracking. A little nerve wracking, yes, but 353 00:22:40,440 --> 00:22:45,160 so you know, things happen and it's easy to look back. 354 00:22:45,240 --> 00:22:49,519 But definitely I had the advantage of being a self centered, 355 00:22:49,640 --> 00:22:53,359 arrogant teenager at the time. And so it was my 356 00:22:53,480 --> 00:22:57,240 senior year in high school and my father was killed 357 00:22:57,240 --> 00:23:02,119 in a car accident suddenly, and you know, so I'm 358 00:23:02,279 --> 00:23:04,799 Asperger's OCD enough to think that, you know, if you're 359 00:23:04,839 --> 00:23:09,039 going to die quickly without pain and suffering, is not 360 00:23:09,119 --> 00:23:11,359 a bad way to go. But at the same time, 361 00:23:12,039 --> 00:23:14,960 my entire life changed. I was living with my father 362 00:23:15,480 --> 00:23:18,640 during my high school my parents were separated, and so 363 00:23:18,759 --> 00:23:22,599 suddenly that was gone. But at the same time, I 364 00:23:22,680 --> 00:23:26,480 was transitioning to independence in college. It was a very confusing, 365 00:23:26,799 --> 00:23:33,960 very weird transition. It also, retrospectively, I was the beneficiary 366 00:23:34,119 --> 00:23:37,519 of life insurance money that opened up opportunities that I 367 00:23:37,640 --> 00:23:42,200 never would have had otherwise. So it was a very weird, bizarre, 368 00:23:42,799 --> 00:23:48,720 kind of situation later in life, I was straight married 369 00:23:48,799 --> 00:23:52,960 for nineteen years, wonderfully happy marriage and ended up getting 370 00:23:52,960 --> 00:23:56,960 a divorce, not my choosing. But now I'm same sex marriage, 371 00:23:56,960 --> 00:23:58,960 so I'm in a gay marriage, and I think back 372 00:23:59,000 --> 00:24:01,599 to about what my thought other would have thought about that, 373 00:24:02,039 --> 00:24:03,559 and I never had to deal with that, So in 374 00:24:03,559 --> 00:24:08,319 some ways, that's also sort of a different perspective. 375 00:24:08,359 --> 00:24:11,039 Speaker 1: So do you think he wouldn't have I don't embraced that. 376 00:24:11,839 --> 00:24:13,599 Speaker 3: I don't know. That's a really good question. So I 377 00:24:13,640 --> 00:24:16,559 think he was open minded. He was a professor at 378 00:24:16,640 --> 00:24:21,440 Vanderbilt University in medical sciences, so I think he would 379 00:24:21,480 --> 00:24:24,319 have been fine. But you know, as a male child 380 00:24:24,559 --> 00:24:28,160 with your father's approval, you never know, So you know, 381 00:24:28,200 --> 00:24:32,880 I definitely do think that being an arrogant, independent teenager 382 00:24:33,720 --> 00:24:37,480 softened the blow to some degree. But there were a 383 00:24:37,519 --> 00:24:39,319 lot of things changing all at once and it was 384 00:24:39,359 --> 00:24:43,359 hard to separate out which part was the upsetting part. 385 00:24:43,960 --> 00:24:48,079 Speaker 2: So yeah, so it's kind of interesting you were at 386 00:24:48,079 --> 00:24:52,519 that age, you were in the highest vulnerability group for 387 00:24:53,160 --> 00:24:59,880 transitional risk for transition and that yet you had very 388 00:25:00,039 --> 00:25:06,039 being circumstances that play into resilience. So in other words, 389 00:25:06,079 --> 00:25:10,920 your socioeconomic class was not offset some of that a bit. 390 00:25:11,160 --> 00:25:12,799 Speaker 3: I had a lot of support. Going back to what 391 00:25:12,880 --> 00:25:15,000 Karen said is that I had a friend group that 392 00:25:15,160 --> 00:25:20,759 was very healthy. I was financially you know, stable, My 393 00:25:20,960 --> 00:25:23,960 college career was already mapped out, so that was, you know, 394 00:25:24,119 --> 00:25:24,759 not in question. 395 00:25:24,839 --> 00:25:27,039 Speaker 1: And did you go into college shortly after he. 396 00:25:27,119 --> 00:25:29,039 Speaker 3: Passed That was within three months. 397 00:25:29,319 --> 00:25:30,960 Speaker 1: It might have been a different story if you'd had 398 00:25:30,960 --> 00:25:33,319 to move back in with your mother, correct, that would 399 00:25:33,359 --> 00:25:38,519 have been a huge. 400 00:25:36,279 --> 00:25:40,400 Speaker 3: You know, I was already planning to leave the home anyway, 401 00:25:40,480 --> 00:25:42,880 and then he passed away and the home disappeared, that 402 00:25:43,440 --> 00:25:45,279 I was flying off. 403 00:25:45,839 --> 00:25:49,160 Speaker 2: It was very So you look at that age group 404 00:25:49,200 --> 00:25:53,599 and that's the peak onset of depression and anxiety. You 405 00:25:53,640 --> 00:25:56,960 look across the decades ten to twenty nine year olds, 406 00:25:57,759 --> 00:26:01,440 and the highest level of anxiety and depression rates are 407 00:26:01,480 --> 00:26:07,440 among that group. But then you had resilience in various factors. 408 00:26:07,480 --> 00:26:11,599 Your mom also was very well educated and family very 409 00:26:11,599 --> 00:26:14,319 well educated. So I think a lot of that played 410 00:26:14,440 --> 00:26:19,119 into your response and your perception of that experience. 411 00:26:19,839 --> 00:26:22,920 Speaker 3: I think so too so speaking of transitions and coming 412 00:26:22,960 --> 00:26:27,640 back to the modern day reality, So with the podcast, 413 00:26:27,640 --> 00:26:30,160 I think Stephen and I are very excited about the 414 00:26:30,200 --> 00:26:34,640 opportunity to take this over that sided for you, which 415 00:26:34,759 --> 00:26:38,039 kind of begs the question of why why are you 416 00:26:38,519 --> 00:26:44,119 leaving all of your listeners at this moment of turmoil 417 00:26:44,200 --> 00:26:44,799 in the world. 418 00:26:46,640 --> 00:26:49,359 Speaker 1: Thanks for making me look like a quitter. 419 00:26:52,640 --> 00:26:57,000 Speaker 3: Well, so maybe I should preface this. So at dinner time, 420 00:26:57,599 --> 00:27:00,519 Karen told us several months ago that she was going 421 00:27:00,559 --> 00:27:03,920 to just end the podcast, and I said why, and 422 00:27:04,319 --> 00:27:07,319 I didn't like. I didn't like your answer, and I said, 423 00:27:07,599 --> 00:27:10,200 you have a valuable asset and you have lots of 424 00:27:10,240 --> 00:27:12,680 listeners that are listening to You can't just leave. You 425 00:27:13,240 --> 00:27:17,079 have to do something. And so it ended up that 426 00:27:17,400 --> 00:27:21,599 I guess we are the something. But you clearly loved it. 427 00:27:21,640 --> 00:27:24,720 You clearly helped a lot of people through the podcast 428 00:27:24,759 --> 00:27:27,759 and listeners, so what you know. 429 00:27:27,799 --> 00:27:31,400 Speaker 1: It's interesting you were asking about the door opening, if 430 00:27:31,400 --> 00:27:36,160 that's the thing that helps me through transitions, And it 431 00:27:36,200 --> 00:27:40,160 was fascinating timing to me because Annie and I had 432 00:27:40,279 --> 00:27:42,960 just my husband and I had just spoken about the podcast, 433 00:27:42,960 --> 00:27:45,319 and I said, I think it's time for me to 434 00:27:45,440 --> 00:27:49,160 let the podcast go. And a couple of days later 435 00:27:49,359 --> 00:27:51,559 we had this conversation and you were. 436 00:27:51,400 --> 00:27:52,920 Speaker 3: Like, I, you can't do that. 437 00:27:53,240 --> 00:27:56,359 Speaker 1: I think we had the conversation that I was thinking 438 00:27:56,400 --> 00:28:00,160 about leaving, but when I really decided I think I 439 00:28:00,160 --> 00:28:02,799 need to walk away. It was a couple of days 440 00:28:02,839 --> 00:28:05,880 later that you all approached me and said we'd be 441 00:28:05,960 --> 00:28:08,359 interested in taking over the podcast, and I was like, 442 00:28:08,599 --> 00:28:14,440 what in the world talk about doors people. I was 443 00:28:14,519 --> 00:28:18,319 just amazed that that door opened literally within forty eight 444 00:28:18,359 --> 00:28:21,240 hours of my saying to Andy, because I talked about 445 00:28:21,240 --> 00:28:22,880 it as like, oh, yeah, I'm not going to do that, 446 00:28:22,920 --> 00:28:26,839 But that moment I had with Andy was really I 447 00:28:26,839 --> 00:28:30,640 think now's the time. And you know, I can't really 448 00:28:30,680 --> 00:28:35,480 give a super definitive answer to your question unfortunately. I 449 00:28:35,720 --> 00:28:39,680 just think that, you know, listen, with medicine, there's always 450 00:28:39,720 --> 00:28:43,079 something to talk about. You know, there's endless number of 451 00:28:43,119 --> 00:28:49,079 subjects to teach about. But I just felt that I 452 00:28:49,119 --> 00:28:52,920 had done it for nine years. I am ready to 453 00:28:54,000 --> 00:28:57,960 spend more time traveling and doing things with my husband, 454 00:28:58,079 --> 00:29:03,559 and hopefully traveling to hear performances that Forrest has and 455 00:29:04,640 --> 00:29:08,920 especially with the course and the podcast, it really involves 456 00:29:09,599 --> 00:29:13,680 taking time on a regular basis to do those things, 457 00:29:14,440 --> 00:29:18,440 and I just wanted a little more flexibility and I 458 00:29:18,519 --> 00:29:21,680 just thought it was time for me to do that, 459 00:29:22,000 --> 00:29:26,000 especially not that my husband's old. He's going to be 460 00:29:26,000 --> 00:29:30,480 listening to this podcast episode, so I need to be careful. 461 00:29:30,519 --> 00:29:34,839 But you know, he's nine years my senior, and I'm 462 00:29:34,880 --> 00:29:37,799 well aware that anything can happen in any day. It 463 00:29:37,960 --> 00:29:42,240 probably outlived me, but I just think that time is 464 00:29:42,279 --> 00:29:47,759 precious and I want that time with my husband and 465 00:29:47,799 --> 00:29:49,480 my son and my friends. 466 00:29:50,039 --> 00:29:51,960 Speaker 3: That sounds great. Do you have a favorite memory? 467 00:29:52,640 --> 00:29:53,160 Speaker 1: I do. 468 00:29:53,240 --> 00:29:56,240 Speaker 3: You've done this nine years. I know that's a lot 469 00:29:56,440 --> 00:30:00,880 of memories. Two hundred and fifteen episode, that's a lot. 470 00:30:01,079 --> 00:30:05,079 Speaker 1: Yeah, well it'll be two sixteen with this episode. So yeah. 471 00:30:05,119 --> 00:30:08,960 I did an episode in which I reviewed my top 472 00:30:09,119 --> 00:30:12,240 ten podcast episode, so if you want to go back 473 00:30:12,279 --> 00:30:14,240 and hear that, you can hear the other ones. But 474 00:30:14,960 --> 00:30:20,279 I would say the most amazing gift the podcast gave 475 00:30:20,359 --> 00:30:23,599 me is the connection I made with a listener who 476 00:30:23,680 --> 00:30:28,240 lives halfway across the world. The story she shared not 477 00:30:28,279 --> 00:30:32,759 only connected me to her, but to her entire family, 478 00:30:33,559 --> 00:30:37,039 and I truly feel like they're part of my family 479 00:30:37,160 --> 00:30:40,200 now and I'm part of their family now. They're probably 480 00:30:40,279 --> 00:30:42,839 listening to this episode going what what. 481 00:30:44,799 --> 00:30:44,920 Speaker 3: So? 482 00:30:45,119 --> 00:30:49,480 Speaker 1: Because this listener shared her story. Another listener, who is 483 00:30:49,599 --> 00:30:54,000 also halfway across the globe, heard the story realized she 484 00:30:54,119 --> 00:30:58,279 was having some suspicious symptoms based on this other person's story, 485 00:30:58,799 --> 00:31:02,720 and she listened to her. She trusted her instincts and 486 00:31:02,839 --> 00:31:07,279 insisted on getting a practitioner to hear her concerns and 487 00:31:07,319 --> 00:31:09,640 do an appropriate evaluation. She had to go to a 488 00:31:09,640 --> 00:31:13,920 couple people. Actually, that resulted in getting a very early 489 00:31:14,079 --> 00:31:20,519 stage one ovarian cancer diagnosis. And as you know, early 490 00:31:20,680 --> 00:31:25,759 diagnosis of ovarian cancer is extremely rare because most women 491 00:31:25,839 --> 00:31:31,119 don't have symptoms or don't complain of symptoms until they're 492 00:31:31,119 --> 00:31:33,640 in their late stages of the disease, so it's usually 493 00:31:33,799 --> 00:31:38,279 diagnosed stage three or four. But this listener paid attention 494 00:31:38,440 --> 00:31:40,839 to the mild symptoms she was having and sought help 495 00:31:41,440 --> 00:31:44,519 rather than ignoring the symptoms and chalking it up to 496 00:31:44,640 --> 00:31:48,680 gas pain or whatever. The main reason she did that 497 00:31:48,839 --> 00:31:52,960 is she listened to the podcast about this other person's 498 00:31:52,960 --> 00:31:58,359 story and journey, and to know that you can help 499 00:31:58,400 --> 00:31:59,119 someone like that. 500 00:31:59,240 --> 00:32:02,000 Speaker 2: I'm going to get to that's okay, I think it is. 501 00:32:02,240 --> 00:32:10,039 It is truly the testament of extending your gifts and 502 00:32:10,759 --> 00:32:16,079 impact impacting populations and in a way that's totally a 503 00:32:16,079 --> 00:32:20,359 different model than what you may have gone into, but. 504 00:32:20,519 --> 00:32:21,400 Speaker 3: Just as impactful. 505 00:32:21,480 --> 00:32:24,839 Speaker 1: Yeah, just as impactful. I mean, it's just sort of 506 00:32:24,839 --> 00:32:29,720 mind blowing really. But you were going to talk about, 507 00:32:30,960 --> 00:32:32,440 is there something else you want to ask me? 508 00:32:33,480 --> 00:32:35,039 Speaker 3: How are you feeling? You have anxiety? 509 00:32:35,400 --> 00:32:38,640 Speaker 1: I don't have anxiety. I don't have any anxiety. 510 00:32:38,680 --> 00:32:48,319 Speaker 5: I am grateful, and I am I'm grateful, and I'm 511 00:32:48,640 --> 00:32:50,000 I'm a little bit sad. 512 00:32:51,799 --> 00:32:53,440 Speaker 1: And and and a lot happy. 513 00:32:53,799 --> 00:33:00,160 Speaker 2: Yeah, yeah, yeah, Well, you have been impactful on so 514 00:33:00,240 --> 00:33:06,359 many people's transitions in life. And at a later podcast. 515 00:33:06,319 --> 00:33:09,440 Speaker 1: You can share that share and I'll come back for 516 00:33:09,480 --> 00:33:09,839 that one. 517 00:33:10,000 --> 00:33:12,640 Speaker 2: I think you would, you would have to be part 518 00:33:12,680 --> 00:33:18,160 of that, and I think that's just a gift that 519 00:33:18,240 --> 00:33:23,599 you have, is the ability to help people. I do 520 00:33:23,839 --> 00:33:30,160 want to say to the listeners that having diverse friend 521 00:33:30,160 --> 00:33:35,119 groups or social networks is vital to maneuvering transitions in life. 522 00:33:35,480 --> 00:33:39,519 And if you are feeling vulnerable because of a current 523 00:33:39,559 --> 00:33:45,799 transition bereavement, job, loss, any transition, and you're feeling negative 524 00:33:45,839 --> 00:33:48,920 impact from it, you should reach out to your provider 525 00:33:49,519 --> 00:33:52,960 and reach out to a counselor to work through that 526 00:33:54,519 --> 00:33:59,440 because it is definitely will add value to your health 527 00:33:59,759 --> 00:34:02,279 to be able to maneuver some of that. But diverse 528 00:34:02,599 --> 00:34:07,279 and friend groups social networks are super important to being 529 00:34:07,319 --> 00:34:11,760 able to maneuver you. I met Karen through social network 530 00:34:11,840 --> 00:34:16,119 and we've been brother and sister for twenty six years. 531 00:34:16,199 --> 00:34:19,480 Speaker 1: So we started practicing together. 532 00:34:20,159 --> 00:34:22,599 Speaker 2: We did, and you helped me. 533 00:34:23,000 --> 00:34:26,280 Speaker 1: And you were a baby and I was a grandma. 534 00:34:25,000 --> 00:34:32,920 Speaker 4: No maybe a mother, no, not so much, but anyway, yeah, 535 00:34:33,360 --> 00:34:36,039 so so anyway, just having said that, I think the 536 00:34:36,400 --> 00:34:39,760 purpose of this podcast has been to help educate people 537 00:34:39,760 --> 00:34:44,840 about transitions and vulnerability as well as resilience and growing resilience, 538 00:34:45,199 --> 00:34:48,960 and if any way you can gain any insights from 539 00:34:48,960 --> 00:34:52,199 that from our podcast, we are certainly grateful to be 540 00:34:52,239 --> 00:34:53,519 able to help in those ways. 541 00:34:54,599 --> 00:34:58,639 Speaker 2: Hopefully, if you have questions about how to make transitions, 542 00:34:58,719 --> 00:35:03,760 we hope you will email us, send messages put. 543 00:35:03,639 --> 00:35:06,239 Speaker 1: On the Facebook page. They're going to be taken over 544 00:35:06,280 --> 00:35:09,519 all these places where you contacted me, you can contact 545 00:35:09,559 --> 00:35:13,239 them so and they might have more other ways to 546 00:35:13,320 --> 00:35:16,840 contact because they're more efficient than I am. Keith will 547 00:35:16,880 --> 00:35:19,360 probably have like a dozen ways for you to contact 548 00:35:19,400 --> 00:35:21,079 them because he's it. 549 00:35:22,079 --> 00:35:25,199 Speaker 3: Savvy and have some insomnia something. 550 00:35:25,039 --> 00:35:28,480 Speaker 1: And he has insomnia. Maybe that could be an episode too. 551 00:35:30,599 --> 00:35:34,760 Do you have anything else to share about the upcoming 552 00:35:35,360 --> 00:35:39,280 work you're going to be doing together to share with 553 00:35:39,320 --> 00:35:40,079 the listeners. 554 00:35:41,039 --> 00:35:44,480 Speaker 3: Yeah, so we're going to change the format a little 555 00:35:44,519 --> 00:35:48,360 bit and make it maybe a little bit more spicy 556 00:35:48,840 --> 00:35:52,079 and bitchy, since it is itchy and bitchy. So I 557 00:35:52,119 --> 00:35:54,360 think we have the itchy part cover the bitchy part 558 00:35:54,800 --> 00:35:57,880 that we may equify. Yeah, you might work that in 559 00:35:58,199 --> 00:35:59,760 we can work till eleven. 560 00:36:00,079 --> 00:36:03,559 Speaker 2: But I too think, you know, as I originally said 561 00:36:04,599 --> 00:36:08,159 in that, I think one of the interests that I 562 00:36:08,320 --> 00:36:12,280 had in the podcast is that there's so much evidence 563 00:36:12,320 --> 00:36:16,480 out there, good and bad, you know, that people just 564 00:36:16,480 --> 00:36:18,800 don't know what to do with. And so part of 565 00:36:18,960 --> 00:36:23,920 my goal is, in a conversational way, be able to 566 00:36:24,440 --> 00:36:29,440 help people use data in a way that is positive 567 00:36:29,679 --> 00:36:33,519 and look for good data to make decisions for your 568 00:36:33,519 --> 00:36:34,159 personal health. 569 00:36:34,199 --> 00:36:36,760 Speaker 1: Yeah, clarity in that area is really important. 570 00:36:36,960 --> 00:36:39,840 Speaker 3: So yeah, So we're also going to try to have 571 00:36:39,960 --> 00:36:44,199 a weekly upload, and we're going to plan to have 572 00:36:44,239 --> 00:36:47,960 a data driven episode every other week, very similar to Karen, 573 00:36:48,639 --> 00:36:52,280 and then on the alternate weeks have a behind the 574 00:36:52,320 --> 00:36:58,199 scenes what we're calling a clinic crawl, which is interesting, crazy, 575 00:36:59,119 --> 00:37:02,559 adventurous things that happened in the hospital or the veterinary 576 00:37:02,639 --> 00:37:03,679 clinic during. 577 00:37:03,480 --> 00:37:05,679 Speaker 1: The Oh see, the listeners will love that. 578 00:37:06,199 --> 00:37:09,280 Speaker 3: Maybe we'll see. Yeah, there are a lot of crazy stories. 579 00:37:09,480 --> 00:37:10,800 Speaker 1: There's a lot of crazy stories. 580 00:37:10,840 --> 00:37:13,599 Speaker 3: So a behind the scenes peak at what it really 581 00:37:13,679 --> 00:37:16,440 is like to be a provider in the veterinary and 582 00:37:16,559 --> 00:37:19,519 human world. Oh my, yeah, we'll see. 583 00:37:19,719 --> 00:37:23,239 Speaker 1: Okay, I'm listening. I'm going to be listening, all right, 584 00:37:23,360 --> 00:37:27,800 anything else, okay, Well, thank you so much, Keith, thank 585 00:37:27,840 --> 00:37:31,440 you Steven. You guys are awesome, and I want to 586 00:37:31,480 --> 00:37:35,960 thank each and every one of you listeners for listening 587 00:37:35,960 --> 00:37:38,400 to the podcast. Some of you have been with me 588 00:37:38,480 --> 00:37:42,000 since the beginning, and sharing my thoughts and ideas with 589 00:37:42,039 --> 00:37:44,840 you for the past nine years has meant so much 590 00:37:44,920 --> 00:37:48,440 to me. I hope you have experienced lots of learning 591 00:37:48,719 --> 00:37:51,920 by listening to Sweaty and pist then Itchy and Bitchy 592 00:37:52,079 --> 00:37:56,199 over the years. In researching information for the podcast, I 593 00:37:56,280 --> 00:37:59,440 have learned a lot myself, so I want to thank 594 00:37:59,480 --> 00:38:03,400 you for that. Again. Remember that there are two hundred 595 00:38:03,519 --> 00:38:06,360 and fifteen and after this one, two hundred and sixteen 596 00:38:06,440 --> 00:38:11,199 episodes available for you to visit or revisit. Wherever you 597 00:38:11,280 --> 00:38:14,320 listen to this podcast, please leave a review and rate 598 00:38:14,360 --> 00:38:18,519 the podcasts. Your reviews and ratings matter. Also make sure 599 00:38:18,559 --> 00:38:21,440 you follow the show so that it will be automatically downloaded. 600 00:38:21,920 --> 00:38:25,280 That also matters. I encourage you to visit the Facebook 601 00:38:25,360 --> 00:38:30,199 page which Keith and Stephen will be manning. That's an 602 00:38:30,320 --> 00:38:34,599 appropriate term. The Facebook page is imb Podcast, where you 603 00:38:34,639 --> 00:38:37,440 can give us a like or leave comments or questions 604 00:38:37,519 --> 00:38:41,119 for Stephen or Keith. Their website is itchyanbiitchi dot com, 605 00:38:41,159 --> 00:38:43,599 where there are blogs with some of our subjects available 606 00:38:43,639 --> 00:38:46,760 for you to read, and maybe Stephen and Keith will 607 00:38:46,760 --> 00:38:50,320 add some blogs there as well. Thank you to Forest Wintle, 608 00:38:50,519 --> 00:38:54,079 my son, our producer and composer of our theme music 609 00:38:54,119 --> 00:38:56,119 and the person who does all the behind the scenes 610 00:38:56,159 --> 00:38:59,800 work to make this podcast possible. And Forest will be 611 00:38:59,840 --> 00:39:03,440 sharing his producing knowledge and expertise with Stephen and Keith 612 00:39:03,599 --> 00:39:07,079 to help with the transition. Thanks Forrest. We're heading up 613 00:39:07,079 --> 00:39:10,719 to Baltimore next week to attend Forrest's graduation where he 614 00:39:10,840 --> 00:39:15,239 will receive his master's degree in music composition at Peabody 615 00:39:15,400 --> 00:39:20,199 Music Institute. What an amazing journey. If you want to 616 00:39:20,239 --> 00:39:22,079 listen to what he's creating, you can go to his 617 00:39:22,119 --> 00:39:28,519 website forrestwinsl dot com. Good luck to you, Keith and Stephen. 618 00:39:29,559 --> 00:39:33,840 I'm always here if you need me to my listeners. Please, 619 00:39:34,039 --> 00:39:36,800 if there is only one thing you remember from all 620 00:39:36,960 --> 00:39:40,639 the information I've shared with you over nine years, please 621 00:39:40,760 --> 00:39:55,800 let it be that your health is in your hands.