In this episode, Rich explores how many intraoperative neurophysiological monitoring (IONM) cases are performed annually in the U.S.—and why it’s surprisingly hard to get a straight answer. He breaks down the limitations of large claims databases, introduces alternative methods for estimating case volume, and highlights key insights into the number of active CNIMs and their average case loads. Rich also discusses historical trends, future growth projections, and what all of this means for the IONM workforce over the next decade.

Rich talks about ASNM's accomplishments during his term as President, what it's like being ASNM President, and what the future holds for the Society. 

Rich talks about the 2025 ASNM Annual Meeting, which took place May 16-18 in Denver, CO. Topics covered include sessions, speakers, topics, award winners, and how the meeting has changed over time.

Rich talks about the widely popular Myers-Briggs Personality Type Indicator. Despite being invented as little more than a game, the "test" has become a multi-million dollar international sensation used by governments, schools, career coaches, and >85% of Fortune 500 companies. There's just one problem... it's a scam!

Rich answers listener questions about public speaking, and ends the episode with a special announcement. 

Rich speaks to a national audience about how to develop a presentation and overcome fears of public speaking. Recorded on July 27, 2024 at the annual meeting of ASET - The Neurodiagnostic Society. Slides are included in the video, which is best viewed on YouTube.

Rich wonders why Boomers just won't quit, discusses narcissism as a personality type, introduces the concept of "generational narcissism," and predicts the downfall of Google. NOTE: There is an error in this episode. I stated that Donald Trump has a 20% chance of dying of natural causes during the next 4 years. The correct number is 27%. I also said the average chance of either presidential candidate living through the next 4 years was 70%. The correct number is 67%. 

Rich shares his Presidential Speech from the 2024 ASNM Annual Meeting.

Rich talks about camping in banjo country, being an uncle, and shares the award winners from the 2024 ASNM annual meeting.

Rich talks about non-compete, non-solicitation, and TRAP agreements in the context of the FTC's recent ruling that bans non-compete agreements.