TrustCast Show

TrustCast Show

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TrustCast Show episodes

  • Mark Astor on the Marchman Act, Why the Baker Act Has No Due Process,
    What happens when a British kid who grew up watching his father build businesses from nothing comes to America for college, stumbles into a trial courtroom as a law school intern and knows within five minutes that's where he belongs, spends five years trying 200 jury trials including capital murder cases for Palm Beach County, walks away burned out, loses himself for a decade trying desperately not to be a lawyer, loses his father 11 months into a new practice, watches a family member get Baker acted two days after the burial, and then builds the firm that Florida families — and families from Oregon, Hawaii, New Jersey, and North Carolina — call at 2 a.m. when a loved one is disappearing into addiction?
    In this episode of the Trustcast Show, Zane Myers speaks with Mark Astor, founder of the Mental Health Addiction Law Firm, about the Marchman Act, the Baker Act, and guardianship — the three Florida statutes that together give families legal authority to make the decision their loved one's hijacked brain cannot make — and why the disease itself is one of the reasons someone won't go to treatment, because the disease does not want its own antidote. Mark explains why a Baker Act detention has none of the due process protections of a criminal arrest despite the fact that the person being detained has done nothing wrong, why facilities with health insurance incentives are motivated to keep patients and document accordingly, and why he files more habeas petitions than any other attorney in Florida after watching those patterns up close.
    They also discuss what happens when a family calls at noon on Monday and how a pod of an associate, paralegal, and law clerk gets a petition filed and an order sought before the end of that same business day, why the belief that you can't force someone into recovery misunderstands what the disease has done to the person you are looking at, the statistic that if someone stays in recovery for one year there is a 70% chance they stay for life, the family whose son was a market genius until marijuana sent him into psychosis and why it took eight months of Marchman Act and guardianship before he started turning the corner, and the adopted daughter whose father had marchman-acted her multiple times before she walked out of treatment, overdosed, and died — the call that still stays with him.
    Mark Astor is the founder of the Mental Health Addiction Law Firm, based in Boca Raton, Florida.
    Connect with Mark Astor:
    mentalhealthaddictionlawfirm.com
    Boca Raton, Florida
    Chapters
    00:00 Introduction to Mark Astor
    00:41 Starting at Palm Beach County State Attorney's Office in 1994 and knowing within five minutes this was the place
    01:32 200 jury trials in five years — and burning out completely
    02:48 A decade of misery, a failed marriage, an LLM, a presidential campaign, and failing the California bar exam twice
    04:28 Meeting R. John Robbins and discovering the business side of running a law firm
    06:10 Finding the people who needed his help — behavioral health — and why nobody was doing it
    07:30 14 months before the first behavioral health case, building from a library with cheap coffee and Vistaprint cards
    08:15 His father dying 11 months in — and then watching a family member get Baker acted two days after the burial
    09:00 The mission of the firm — saving families whose loved ones are disappearing into addiction and mental illness
    10:37 The three statutes — Marchman Act, Baker Act, and guardianship — and how they work together
    12:15 Can we also work the other side — representing respondents and why Mark will take those cases
    12:44 My son is in Florida rehab and just called saying he's walking out — what do I do in the next hour
    13:47 How the Marchman Act works on an ex parte emergency basis — same day filing and orders within hours
    14:00 Baker Act versus Marchman Act — the key distinction between substance use and mental health statutes
    15:23 Guardianship — broader relief but why courts are reluctant to grant it ex parte
    15:18 How the Baker Act works — the 72-hour detention, sovereign immunity, and the incentive to keep patients
    17:06 Why Mark has filed more habeas petitions than any other lawyer in Florida — and what started it
    18:24 Two Baker Act cases that show how it goes wrong — the mother-daughter misquote and the 80-year-old husband
    20:30 Children getting Baker acted for social media posts and T-shirts after Marjorie Stoneman Douglas
    21:54 What a significant period of detention actually means — up to six months and how facilities buy extra time
    23:59 Who actually stays in these facilities — and the insurance connection Mark won't say plainly but will imply clearly
    25:29 My daughter is 24 and using fentanyl and says she has no problem — when does a family have legal options
    #MarkAstor #MentalHealthAddictionLawFirm #TrustcastShow #MarchmanAct #BakerAct #AddictionLaw #FamilyAddictionHelp #SubstanceUseDisorder #FloridaAddictionLaw #HabeasPetition
    55 min
  • JoDee Neal on Prosecuting Crimes Against Children, Why the System Can't Be the Basis of Your Healing
    What happens when a five-year-old who watched her father help people in his Dallas law office decides she wants that same response from the world, becomes the youngest prosecutor ever assigned to crimes against children in Collin County at 27, spends two decades in courtrooms trying to protect kids, helps recover nearly $3 billion for Texas counties in the opioid epidemic, goes to Singapore to fight child trafficking with Interpol, and then comes home, becomes a survivor who finally told her own story, and wrote the book that distills everything she has learned into a step-by-step guide for the 57 million American women carrying this in silence?
    In this episode of the Trustcast Show, Zane Myers speaks with JoDee Neal, former prosecutor, author of Outcry Witness, and founder of Neal Now Legal, about what to do in the first 24 hours after a child discloses abuse, why the perpetrators control the evidence they leave behind and why child credibility is established through how the outcry takes place rather than physical proof, and why the legal system — as necessary as it is — cannot be the foundation of healing because you are giving your power away twice. JoDee explains what grooming actually looks like before any abuse occurs, why the child who goes silent afterward is not recanting but surviving, and why the bravest thing she has ever seen a human being do is say the truth about what happened to them in front of the person who did it.
    They also discuss what makes institutions like churches, schools, and daycares legally liable when an employee harms a child — and the pattern JoDee keeps seeing where perpetrators resign rather than get arrested and then move district to district with clean background checks — the DARVO defense that corporations deploy when an employee comes forward, why the person generating income for the company almost never gets removed and the victim almost always does, what the beach ball analogy explains about why locking trauma away and surviving is not the same as living, and what her consulting practice now offers to both survivors and businesses who want to get ahead of the liability before it costs them millions.
    JoDee Neal is a former prosecutor, author of Outcry Witness, and founder of Neal Now Legal, a consulting and legal practice based in Dallas, Texas.
    Connect with JoDee Neal:
    jodeeneal.com
    neilnowlegal.com
    Book: Outcry Witness — A Former Prosecutor's Guide to Healing and Justice After Sexual Violence
    Chapters
    00:00 Introduction to JoDee Neal
    00:48 Growing up in her father's Dallas law office at age five — what she saw that made her certain
    01:30 Youngest prosecutor ever assigned to crimes against children in Collin County at 27
    02:18 A child just told me something happened — what do I do in the next 24 hours
    02:56 I'm terrified my child won't be believed — how does child credibility actually get established
    03:48 Reporting to CPS versus law enforcement — when to choose one and whether you should do both
    04:39 The person who hurt my child is a family member — does going legal blow up the entire family
    05:38 My child is acting totally normal now and won't talk about it — did I imagine it
    05:59 What grooming actually looks like before the abuse starts — how perpetrators weaponize kindness
    07:02 The statute of limitations for child sexual abuse in Texas and whether it is ever too late
    07:50 Why the legal system cannot be the basis of your healing
    08:19 Walking through what actually happens from first disclosure all the way to the courtroom
    09:30 Best practices — the Children's Advocacy Center, the video recorded interview, and vertical prosecution
    11:40 How do you avoid re-traumatizing a child through the entire process
    12:45 Kids in court — bringing survivors to the courtroom in advance so fear of the unknown is removed
    13:17 Why testifying in person has a healing property that closed circuit testimony does not
    13:52 Cross-examination of a child — the constitutional tension that nobody has solved yet
    15:49 Can you sue civilly without a criminal conviction — and what makes it worth the effort
    16:50 What makes institutions legally liable — and what most churches, schools, and daycares are not doing
    18:24 Perpetrators who resign rather than face arrest and move district to district with clean records
    19:22 What systemic failure with pattern and practice of coverup looks like in discovery
    20:34 Can a company report an allegation to the next employer without creating defamation liability
    24:12 Outcry Witness — the book, the primary message, and what a reader takes away
    25:29 The 45% of American women who have survived contact sexual violence — and what that number means for society
    26:29 An adult who has carried this for 30 or 40 years — what does the book offer them
    #JoDeeNeal #OutcryWitness #NealNowLegal #TrustcastShow #ChildSexualAbuse #SurvivorHealing #CrimesAgainstChildren #SexualViolence #WorkplaceHarassment #ChildProtection
    39 min
  • Drew Sewell on State Shifting, Why High Performers Break Down at Home
    What happens when a trauma therapist trained in EMDR, interpersonal neurobiology, and dialectical behavior therapy decides that the most important work he can do is not in a clinical setting but in a coaching practice built around a single observation — that the most capable, dependable, highest-functioning people around us are quietly carrying more strain than anyone can see, and that the maintenance tasks required to sustain a human being are the first things to go when performance becomes the only priority?
    In this episode of the Trustcast Show, Zane Myers speaks with Drew Sewell, founder of Avora Coaching, about what invisible strain actually feels like from the inside — hollowness, irritability, disconnection, no patience, and eventually the darker versions that show up as substance use or thrill-seeking — and why telling a high performer to back off is exactly the wrong framing. Drew explains state shifting, the nervous system reset technique he developed from his EMDR and trauma therapy background that can be installed in a single session and accessed with one word, and why the goal is never to stop building but to stop burning through the fuel that makes building sustainable. He also explains why the people who are functioning perfectly on the outside and feel empty on the inside are exactly who he built this for.
    They also discuss why vacation does not fix the problem — and why going on vacation with kids is not actually a vacation — what happens in the body and brain when someone has been carrying high pressure for too long and starts borrowing from relational and emotional functioning to keep cognitive performance going, how this work translates to legal proceedings where a witness or client whose nervous system blows a circuit at the wrong moment can tank a case that took years to build, the concept of the mind as a house and what it means to actually build usable capacity rather than outsourcing stress to alcohol or affairs or hobbies that just create more demands, and why nobody wants to work anymore is almost always a red flag that someone is building a skyscraper on a foundation meant for a house.
    Drew Sewell is the founder of Avora Coaching, a performance and wellness coaching practice based in Winston-Salem, North Carolina, serving high performers virtually nationwide.
    Connect with Drew Sewell:
    avoracoaching.com
    Phone: 338-629-5044
    Chapters
    00:00 Introduction to Drew Sewell
    00:41 Restoring what success has cost them — what that phrase actually means
    01:26 What invisible strain feels like from the inside — hollowness, irritability, and the darker versions
    02:04 High performers who are always exhausted — is sleep really the answer
    02:48 The cross-country road trip analogy — stopping for gas is not backing off
    03:20 State shifting explained — accessing a nervous system state with more energy and clarity in minutes
    04:39 What a neural loop is and why high performers get stuck in them
    05:58 How the state-shifting install actually works — the walking technique from EMDR adapted for coaching
    07:08 Building the magic room — what memory-based state activation looks like in practice
    08:11 How many times you have to do this to lock in the link — one time
    08:44 When to rehearse it and how to strengthen the neural pathway with 30 seconds a day
    09:40 Does state shifting come at the beginning of the coaching program
    10:06 Virtual versus in-person, and what happens administratively before you start
    11:01 The first session — installing the state, walking through future stress scenarios, and designing the system
    12:26 How this impacts family life — coming home without resenting it
    13:52 A story from practice — the high performer who starts fighting at home and drinking to take the edge off
    16:39 Building usable capacity versus just feeling better — the difference
    17:47 Going outside the house — affairs, alcohol, and hobbies that create more stress instead of solving any
    18:28 If everything looks great on the outside but feels hollow on the inside — is that enough reason to reach out
    19:28 The three-month program — six sessions, every other week, and why you have to build it yourself
    20:16 Rapid fire — what Drew does to actually recover, one book that changed how he sees people, the question that always means something deeper
    21:55 The red flag phrase — nobody wants to work anymore
    22:47 State-based functioning explained for a non-clinician
    23:30 What happens in the body and brain after carrying high pressure for too long
    24:48 Why vacation does not fix it — and why changing your oil once a year is not a maintenance plan
    25:50 What success actually looks like at the end of working with Drew
    #DrewSewell #AvoraCoaching #TrustcastShow #HighPerformerBurnout #StateShifting #ExecutiveWellness #PerformanceCoaching #TraumaInformedCoaching #NervousSystemReset #BurnoutRecovery
    33 min
  • Sonia Rodriguez on Betrayal Trauma, Why Women Override Their Own Intuition
    What happens when a psychotherapist and women's life transition coach who has lived through her own relational trauma decides that the most powerful thing she can do with that pain is build a platform, write in thirteen anthologies, launch a nonprofit to help women leave toxic relationships, and spend her career helping other women recognize the difference between a partner who lost interest and a partner who was lying to their face for years?
    In this episode of the Trustcast Show, Zane Myers speaks with Sonia Rodriguez, founder of Transition to Wellness, about why so many women override their own intuition even when something has felt off for a long time — often because they haven't found the physical evidence yet, or because they are being told they are crazy, jealous, or controlling by the very person they are trying to trust. Sonia explains the difference between heartbreak and betrayal trauma, why betrayal trauma is one of the most challenging forms of trauma anyone can experience because it causes you to question everything you believed was real, and why emotional pain shows up so profoundly in the body — in sleep, in appetite, in shoulder tension, in stomach issues — because the mind and body are not separate systems.
    They also discuss why there is no timeline for healing and why rushing someone through it is the worst possible thing to do, what self abandonment actually looks like in someone who doesn't recognize it — constantly giving up what you need to stay in a relationship — how the concept of self leadership shifts that dynamic by building non-negotiables, why love bombing is the reason so many women end up asking what happened to the person they fell in love with, what attachment style theory explains about why people repeatedly choose the same kinds of partners, and what the one thing is that any woman can do today before she ever books a session to start shifting things.
    Sonia Rodriguez is a psychotherapist, women's life transition coach, author, speaker, and founder of Transition to Wellness, serving women navigating relational trauma, toxic relationships, and major life transitions.
    Connect with Sonia Rodriguez:
    transition2wellness.com
    Instagram: @transition.to.wellness
    LinkedIn: Sonia Rodriguez
    She Wins Women's Network: shewinsWomensnetwork.com
    She Rises Studios: sherisestudio.com
    Chapters
    00:00 Introduction to Sonia Rodriguez
    00:34 Who Sonia is and what Transition to Wellness actually does
    01:00 I feel like I'm going crazy — the anger, obsessive checking, and intrusive thoughts — is this a trauma response
    01:20 The power of intuition and why something feels off before the evidence appears
    02:20 Why women talk themselves out of what they already know — and the role gaslighting plays
    03:19 Are women uniquely different from men in how they navigate these situations
    03:57 The difference between heartbreak and betrayal trauma — and why betrayal is on another level entirely
    05:40 My body is falling apart — why emotional betrayal shows up so physically
    06:03 The mind-body connection — The Body Keeps the Score and releasing trauma from the body
    06:59 People telling you to just get over it — and why there is no timeline for healing
    07:20 Triggers that appear years later even when the healing work has been done
    08:48 The first real clinical step forward — not take care of yourself, but the actual first step
    09:37 What clinical therapy with integrative wellness and spiritual practices actually looks like
    10:43 What a typical session looks like — anger, sadness, relief, and the small goals that matter
    12:04 Thirteen anthologies on Amazon and a book coming out this year on turning pain into purpose
    13:07 How her own relational trauma became the foundation of her coaching, nonprofit, and community work
    14:07 Why some women seem to go from one toxic relationship to another — and how to break that cycle
    14:58 Love bombing — what it is, how it hooks people, and why the glimmers keep them stuck
    16:00 Attachment patterns rooted in childhood dynamics — and why you keep choosing the same partner
    17:08 Attachment styles explained — anxious versus avoidant and why that pairing creates so much suffering
    18:56 What if you fall in love with someone you shouldn't — and how to decide what you're willing to give up
    19:18 Self abandonment — giving up what you need to stay in a relationship
    20:37 You can't fix people — what you can do instead
    21:50 From self abandonment to self leadership — recognizing your non-negotiables
    23:38 Who her clients are — ages 13 to 68, primarily middle-aged women navigating life transitions
    24:19 What betrayal trauma after 43 years of marriage would actually feel like
    26:32 Is it possible to recover from anything — and yes couples do choose to repair and rebuild
    #SoniaRodriguez #TransitionToWellness #TrustcastShow #BetrayalTrauma #WomensHealing #RelationalTrauma #AttachmentStyle #ToxicRelationships #SelfLeadership #WomensLifeCoach
    33 min
  • Mike Kennedy on Switching Sides After 15 Years Defending Builders,
    What happens when a lawyer who spent 15 years defending builders against construction defect claims — learning exactly how insurance companies calculate risk, what motivates adjusters to settle, and what plaintiff firms do that make cases harder to resolve — wakes up one morning after pulling an all-nighter to write ten motions, taking a deposition, and driving straight to the courthouse without sleeping, only to get grilled by an insurance rep about a plan detail that didn't matter, and decides that maybe the homeowners with leaking balconies are actually the good guys?
    In this episode of the Trustcast Show, Zane Myers speaks with Mike Kennedy, construction defect attorney at Berding Weil, about how an HOA knows whether water intrusion is a maintenance problem or a construction defect the builder has to pay for, what the 10-year statute of limitations in California actually means and how to find when your clock started, and why letting the builder come out and do repairs does not close your claim unless a new California bill passes that the building industry drafted to do exactly that. Mike explains the forensic investigation process — walking the property, homeowner questionnaires, destructive testing — and how a case that started with rusting fire pit igniters and canvas awnings in South Orange County turned into an eight-figure claim once the balcony leaks and slope movement were uncovered.
    They also discuss what happens when the builder has gone out of business and the only path to recovery runs through the subcontractors, why filing with the HOA's own insurance is almost never the right answer and can make the affordability crisis worse, how the contingency fee structure means HOAs typically spend nothing out of pocket, the war story about settling a $700,000 case for $300,000 and somehow getting in trouble with the insurance company for it, and what his internal reaction is the moment a defense lawyer opens with a lowball number — he skips the counter and goes straight to trial.
    Mike Kennedy is a construction defect attorney at Berding Weil representing HOAs and building owners in California.
    Connect with Mike Kennedy:
    LinkedIn: Mike Kennedy
    California State Bar searchable at calbar.ca.gov
    Chapters
    00:00 Introduction to Mike Kennedy
    00:34 The moment he realized he was on the wrong side — the all-nighter, the deposition, and the insurance rep
    01:45 Waking up and deciding the property owners are the good guys
    02:22 Growing up in Mission Viejo watching the builders cover everything and developing a vague resentment
    03:52 First job out of law school on the defense side — student loans and the first best offer
    04:16 An HOA president just found water intrusion in three units — how do you know if it's a defect or maintenance
    05:43 The 10-year statute of limitations — and how to find when your clock actually started
    06:25 City inspection sign-offs — does city approval mean anything in a defect claim
    07:39 The builder already did some repairs — does that close the claim
    08:17 The pending California legislation the building industry drafted to cut off claims after repairs
    09:38 Becoming an involuntary lobbyist — working with trade groups in Sacramento on HOA legislation
    10:44 How 15 years on the defense side gives insight into what motivates insurance carriers to settle
    11:50 The war story — settling a $700,000 case for $300,000 and getting in trouble for it
    14:30 How HOAs find a construction defect attorney — usually through the community manager
    15:05 The forensic investigation process — site walk, homeowner questionnaire, destructive testing
    16:45 The case that started with fire pit igniters and canvas awnings and became eight figures
    18:20 What to do when emergency repairs are needed but the builder has the right to repair
    20:08 When the builder calls and says don't worry we'll fix it — should you let them
    21:52 Should the HOA file with their own insurance — and why that almost never makes sense
    23:08 What happens when the builder has gone under and has no active policy
    24:55 How much is this going to cost us — the contingency fee model explained
    26:15 How to stretch the settlement across priorities and sometimes have money left over
    27:05 The South Orange County eight-figure case from start to finish
    30:02 Town halls every 90 days, coffee and donuts on Saturday mornings, and what you can and cannot say in public
    31:15 When does a construction defect case go to trial versus arbitration
    32:36 The four-week jury trial defending the repair contractor — and the defense verdict
    33:36 Why juries key on something completely unrelated and how experienced trial lawyers account for that
    #MikeKennedy #BerdingWeil #ConstructionDefect #TrustcastShow #HOALaw #CaliforniaHOA #BuildingDefect #ConstructionLaw #HOAAttorney #HomebuildersLiability
    39 min
  • Jennifer Higgins and Melissa Goldberg on the Perry Mason Moment That Sank the Plaintiff's Expert,
    What happens when a Queens DA prosecutor who spent six years putting felony offenders away in domestic violence and special victims cases discovers that everything she learned about expert witnesses, burden of proof, and preparing witnesses for hostile questioning translates perfectly into defending physicians — and then teams up with a partner who grew up inside a medical family, watched her physician father do expert work on malpractice cases, came out of Hofstra already thinking in anatomy and science, and built her specialty around seeing every case as a chess match where you are always thinking about the appellate record before the trial even begins?
    In this episode of the Trustcast Show, Zane Myers speaks with Jennifer Higgins and Melissa Goldberg, partners co-leading the Medical Malpractice Defense Division at Abrams Fensterman, about what is actually going through a physician's mind the morning they open a summons, why talking to a colleague who has also been sued is one of the most legally dangerous things a doctor can do, and why the belief that the truth will simply come out at trial is one of the costliest assumptions in the field. Jennifer walks through the Perry Mason moment she actually experienced — forcing the plaintiff's expert to admit that the book he edited was authoritative, then hammering him on the specific chapter her client had followed to the letter, until he announced he didn't care about the book and sent his water cup flying — and explains how she used pasta to help a jury understand the difference between an arteriovenous malformation in the lung versus elsewhere in the body.
    They also discuss the causation defense that Melissa used to win a rheumatic fever case at the appellate division after losing summary judgment — where even a correct diagnosis on the day of the visit could not have changed the patient's outcome — why the hospital or employer is not always on the physician's side, how the appellate record has to be built during trial before anyone knows whether an appeal will be needed, and why Abrams Fensterman's one-stop-shop model gives physicians something most malpractice defense firms simply cannot offer.
    Jennifer Higgins and Melissa Goldberg are partners co-leading the Medical Malpractice Defense Division at Abrams Fensterman in Lake Success, New York.
    Connect with Jennifer Higgins and Melissa Goldberg:
    abramslaw.com
    Phone: 516-328-2300
    Lake Success, New York
    Chapters
    00:00 Introduction to Jennifer Higgins and Melissa Goldberg
    00:54 Jennifer's path — six years as a Queens DA in domestic violence and special victims, then pivoting to physician defense
    02:11 What pulled her out of the DA's office — student loans, a love of complexity, and the courtroom
    03:23 Working with DNA and medical experts as a prosecutor — and how that prepared her for retaining defense experts
    03:53 Melissa's path — growing up in a medical family and going straight into healthcare defense
    05:09 A doctor opens a summons on a Tuesday morning — what is happening inside that person's mind
    05:41 The first call to the insurance carrier — notify immediately and request preferred counsel
    06:43 Doctors who don't even know who the plaintiff is — how that happens and how the team handles it
    07:50 Over 95% of physicians experience significant emotional distress when sued — what Jennifer sees across the table
    08:13 Hand-holding through every step — phone calls on weekends and bringing the blood pressure down
    09:30 When malpractice leads to OPMC licensing issues — working hand in hand with the full-service team
    10:01 Jennifer as the litigator, Melissa as the strategist and appellate thinker — how the two roles work together
    11:09 Seeing every case as a chess match — anticipating every move before making any decision
    11:25 How often cases actually reach trial — and why preparing every case for trial is the standard anyway
    11:48 The discovery process — medical records, depositions, and the path to resolution
    12:43 Path A versus path B — thinking through long-term ramifications of every litigation decision
    13:08 Building the appellate record during trial — why having appellate counsel in the room matters
    14:06 Notifying the insurance carrier and what to say and what never to say on that first call
    15:19 The cardinal rule — talk only to your carrier and your lawyer, nobody else
    16:55 The physician deposition — talking too much is the single biggest mistake
    17:43 How deposition differs from trial — open questions versus controlled cross-examination
    18:39 Preparing physicians for deposition — you do not throw them to the wolves
    19:32 Taking apart the plaintiff's medical expert — cross-examination and prior contradictory testimony
    #JenniferHiggins #MelissaGoldberg #AbramsFensterman #MedicalMalpracticeDefense #TrustcastShow #PhysicianDefense #NewYorkMalpractice #StandardOfCare #HealthcareLaw #MalpracticeAttorney
    39 min
  • Dr. Brandy Hauck on the Russian Orphanage Research That Built PC Care,
    What happens when a clinical child psychologist goes to Russia as a graduate student to study children in baby homes — places where zero to four-year-olds may see 60 to 100 different caregivers in their first two years and never the same caregiver on two consecutive days — observes firsthand what sensitivity and consistency do when they're introduced into that environment, and then brings that insight back to co-create a seven-session therapy that is now turning around parent-child relationships in foster care settings and private practices across the country?
    In this episode of the Trustcast Show, Zane Myers speaks with Dr. Brandy Hauck, clinical child psychologist and CEO of Red Leaf Psychology in Sacramento, about what she saw in those baby homes that confirmed what most people intuitively know but almost no institution was willing to act on, and how the directors of the control homes responded when shown the data — they said they didn't believe it, and what they were doing was better. Brandy explains the three things always at play when a child is melting down and nothing works — the child, the parent, and the relationship between them — and why the fastest sign that a child is struggling emotionally is actually the one most parents celebrate: the child who is perfectly behaved, never gets in trouble, and never takes a chance.
    They also discuss why the zero to five window is the most powerful period to intervene but it is never too late regardless of a child's age, how PC Care builds a positive relationship in the early sessions before ever touching the hard stuff like commands and consequences, the foster care story of a little girl who was terrified of her new foster father and how PC Care brought them to a place where he and his wife requested to move toward adoption, why foster children with disruptive behaviors get caught in a terrible cycle of placement changes that makes everything worse, and how PC Care's introduction into Sacramento's foster system during the first 90 days of placement measurably reduced that cycle.
    Dr. Brandy Hauck is a clinical child psychologist and CEO of Red Leaf Psychology in Sacramento, California, and co-developer of PC Care therapy.
    Connect with Dr. Brandy Hauck:
    redleafpsychology.com
    Social: @TheNerdyPsychologistBookClub on Instagram, TikTok, and Facebook
    Chapters
    00:00 Introduction to Dr. Brandy Hauck
    00:34 Going to Russia as a graduate student — what the baby homes actually looked like
    01:03 The baby home system in Russia — why children with disabilities were relinquished at birth
    03:38 Three different baby homes in the study — no intervention, training only, and structural plus training
    05:03 Sixty to one hundred different caregivers in the first two years — never the same face on back-to-back days
    06:01 What happened to kids in the homes where sensitivity and consistency were introduced
    07:21 Presenting the data to the other baby home directors — and being told they didn't believe it
    08:07 How that research informed the creation of PC Care with Susan Timmer and Lindsay Armendariz
    09:10 Seven sessions seems too short — why most of the gains happen in the first seven weeks anyway
    10:02 My kid's melting down and nothing works — is this a parenting problem, a child problem, or something else
    11:17 How do I know if what my child is doing is a phase or something that needs professional help
    12:00 The sign parents miss most — the perfectly behaved child who never gets in trouble
    13:04 What is actually going on behind the perfect child — over-control, anxiety, and the cost of the facade
    13:38 My child went through a divorce, a move, or a loss and their behavior completely changed — what is happening
    14:24 How the nervous system adjusts to stressful events and what that looks like in behavior
    15:07 Is there a window where the parent-child relationship becomes too damaged to repair
    16:09 Zero to five is the most powerful window — but it is never too late
    17:07 A parent loves their child but genuinely does not like being around them right now — can therapy help
    18:19 How playing together in session creates a moment where the parent discovers their kid is actually cool
    19:27 Family therapy conflict causing families to quit — how PC Care avoids that by starting with easy
    20:35 The seven sessions broken down — what happens in each one
    23:00 One parent is all in and the other thinks therapy is pointless or is actively working against it
    25:24 Where to find PC Care — Sacramento in person, virtual coaching, paraprofessional parent coaching, and group classes
    27:13 For therapists — PC Care trainings in San Francisco in August and ongoing training across the country
    28:41 The foster care story — a little girl terrified of her foster father and how it ended in a request for adoption
    #BrandyHauck #RedLeafPsychology #PCCare #TrustcastShow #ChildPsychology #ParentingTherapy #FosterCare #ParentChildRelationship #ChildTherapy #NerdyPsychologistBookClub
    35 min
  • Natasha Taken on FDA Warning Letters, Why Your Competitor's Bold Claims Don't Mean You're Safe,
    What happens when a molecular biology student who wanted to be a doctor until she worked in a hospital, pivoted to law school with healthcare in mind, picked up her patent bar along the way, and then took a mentor's advice to try FDA law — and discovered that most brands selling health and wellness products online are one Instagram post away from a problem they don't even know is coming?
    In this episode of the Trustcast Show, Zane Myers speaks with Natasha Taken, founder of The Advertising Lawyer, about the single most dangerous mistake founders make when writing copy for a health product — copying what competitors are saying without knowing their science, their ingredients, or what's happening to them in the background — and why a several hundred thousand dollar settlement can flow from a single claim on a pack that may or may not have been substantiated. Natasha explains the critical distinction between a structure/function claim and a disease claim, why saying your supplement supports healthy sleep is legal while saying it fixes insomnia makes it a drug, and why the FTC and FDA are always watching regardless of how small your brand is.
    They also discuss why a civil investigative demand from the FTC is actually scarier than an FDA warning letter and can lead to 20 years of paperwork and headaches, what the FTC updated in its endorsement guides and why most brands in e-commerce still don't know about it, why hashtag ad is often not enough disclosure for influencer partnerships, what the current GLP-1 comparison minefield looks like and why supplement brands comparing themselves to Ozempic are asking for trouble, why a ton of glowing testimonials about a supplement curing serious illness will draw enforcement faster than almost anything else, and what a brand that has its advertising compliance dialed in is actually doing that most brands aren't.
    Natasha Taken is the founder of The Advertising Lawyer, an FDA and FTC advertising compliance practice serving e-commerce brands, supplement companies, and health and wellness founders.
    Connect with Natasha Taken:
    theadvertisinglawyer.com
    Social: @theadvertisinglawyer on YouTube, TikTok, and Instagram
    Chapters
    00:00 Introduction to Natasha Taken
    00:46 One Instagram post away from a serious problem — was there a specific moment
    01:03 The first year out of law school — a several hundred thousand dollar settlement over pack claims
    02:29 From molecular biology to FDA law — why she left the hospital path and found the intersection
    03:57 The single most dangerous mistake founders make when writing product copy
    04:43 What is the difference between a structure function claim and a disease claim
    05:32 Why supplements can say they support healthy sleep but cannot say they fix insomnia
    05:56 Do nutritional companies make this mistake frequently — and why newer brands get it wrong
    07:04 What the FDA and FTC are actually looking for — and how often they are watching
    08:16 They're always watching — even small brands are not invisible
    08:44 The made in USA claim crackdown the FTC is running right now
    09:12 Can the FTC fine you for a customer review you never asked for
    10:48 What makes a testimonial a legal liability versus just a review
    11:01 What makes an influencer partnership a legal liability for a brand
    12:01 Why hashtag ad is often not enough disclosure under FTC rules
    12:32 Native advertising — when a news story is actually a paid ad and nobody discloses it
    13:51 My competitor is making bolder claims than me and nothing is happening — does that mean I'm being too cautious
    14:32 FTC investigations are quiet until they're made public
    15:08 What changed in the FTC's 2023 updated endorsement guides
    16:01 Fake doctors, AI-generated endorsers, and employees posing as customers
    17:14 The speeding analogy — just because others are doing it does not mean you will not get caught
    17:21 I sent free samples to influencers without a contract — what is the brand's liability
    19:01 Rapid fire — the product claim that made her physically wince, favorite travel destination, dream FDA committee
    20:19 What she does on weekends to completely not be a lawyer
    20:37 What actually happens in the first 24 hours after a brand gets an FDA warning letter
    21:31 FDA warning letter versus FTC civil investigative demand — which one should scare you more
    22:36 A civil investigative demand can lead to 20-plus years of paperwork and headaches
    23:44 What a brand with its advertising compliance dialed in is actually doing that most brands aren't
    24:40 When a company realizes mid-investigation that their own documents don't make them look great
    25:55 How Natasha helps a brand figure out what claims they can actually make
    #NatashaTaken #TheAdvertisingLawyer #TrustcastShow #FDACompliance #FTCMarketing #HealthProductClaims #InfluencerMarketing #SupplementLaw #AdvertisingLaw #EcommerceLaw
    30 min
  • Frank Mayo on Never Miss Twice, Running Clinical Operations Without Being a Clinician
    What happens when a certified athletic trainer who played three sports in high school and four years of college baseball, spent his first career taping ankles and rehabbing hamstrings on the field, walks into a clinical operations role at a multi-location healthcare practice and discovers he loves the data, the KPIs, the marketing cycles, and the standard operating procedures just as much as he ever loved the field — and then builds an entire personal and professional philosophy around three words he wears on his wrist every single day?
    In this episode of the Trustcast Show, Zane Myers speaks with Frank Mayo, COO of NJ Sports Spine and Wellness in New Jersey, about what Never Miss Twice actually means and how Atomic Habits shaped the way he thinks about consistency, discipline, and forgiving yourself for missing one day without letting it become two. Frank walks through the three KPIs that tell him the most about the real health of a clinical practice — referral source, cancellation rate, and retention rate — and why the most meaningful one is always where the patient referrals are coming from, because that number tells you whether the community actually trusts what you're doing. He also explains why he tells every provider he manages that he works for them, not the other way around, and what it actually looks like to practice servant leadership in a clinical environment where the stakes are people's health.
    They also discuss what it costs a clinical practice to fight with insurance every single year — declining reimbursement rates, rising deductibles, and the internal billing team that makes it survivable — why private equity ownership filters all the way down to the front desk and how patients feel the difference between a practice owned by clinicians who still treat patients versus one owned by a firm chasing benchmarks, why the gold is always underneath your feet rather than somewhere else you haven't looked yet, and why if you're not evolving as an independent practice every single year, you're dying.
    Frank Mayo is the COO of NJ Sports Spine and Wellness, a multi-location sports medicine and orthopedic practice with offices in Matawan and Marlboro, New Jersey.
    Connect with Frank Mayo:
    njsportsspineandwellness.com
    Phone: 908-8NO-PAIN
    Instagram: @Frank.J.Mayo
    Matawan and Marlboro, New Jersey
    00:00 Introduction to Frank Mayo
    00:34 The Never Miss Twice philosophy — where it came from and what it actually means
    01:30 Atomic Habits, building consistent patterns, and forgiving yourself for missing one day
    02:50 The wristband that keeps the mantra in front of him every single day
    03:39 From Salisbury University to head athletic trainer at Stepinac High School to clinical operations
    04:03 The mentor who told him the gold is underneath your feet — and what that changed
    05:00 Why influencing multiple providers beats treating patients one at a time with two hands
    06:35 What NJ Sports Spine and Wellness actually does — conservative and medical services under one roof
    07:34 What the typical patient looks like — spine, orthopedics, concussion, and everything in between
    08:41 Retooling from athletic training to spine rehabilitation when he made the clinical transition
    10:54 Being intimately involved in KPIs every single day — and why data alone is never enough
    11:30 Why great COOs go into the office and talk to the people driving the numbers instead of just reading reports
    12:22 The discharge paradox — your goal is to get patients better and out the door
    13:55 Referral source as the number one KPI that reveals the health of the company
    15:04 Cancellation rate and retention rate — what those two numbers actually tell you about your providers
    17:53 How patient volume is managed across providers without putting marketing pressure on clinicians
    18:20 The marketing team's role — digital, community, schools, tournaments, and seminars
    20:15 When a patient referral asks specifically for their provider — how the schedule gets managed
    21:15 Servant leadership in a clinical environment — I work for them, not the other way around
    22:52 Private equity is buying up independent practices — is staying independent worth the fight
    24:20 Why the owners being chiropractors who still treat patients changes everything about the culture
    25:15 Insurance reimbursement declining, deductibles rising, and why evolving every year is not optional
    27:11 Where NJ Sports Spine and Wellness is headed in the next three to five years
    28:34 Two offices in Matawan and Marlboro — serving Middlesex and Monmouth County
    29:23 How to reach the practice and book same day or next day
    #FrankMayo #NJSportsSpineWellness #TrustcastShow #NeverMissTwice #ClinicalOperations #HealthcareLeadership #ServantLeadership #SportsMedicine #IndependentPractice #PhysicalTherapy
    30 min
  • Dr. Blake Hampton on When to Have Cataract Surgery, Premium Lens Implants
    What happens when a neurobiology honors graduate and valedictorian from the University of Miami completes his chief residency at Nassau Medical Center, watches the growing shortage of ophthalmologists turn into a national healthcare crisis, and decides that surgery alone is not enough — that he also needs to help reshape how the entire country delivers eye care through AI-powered intake tools and telemedicine?
    In this episode of the Trustcast Show, Zane Myers speaks with Dr. Blake Hampton, ophthalmologist and cataract surgeon, about when a cataract actually needs surgery versus when you can safely wait, what the 10 to 15 minute procedure involves and why conscious sedation is almost always enough, and why the premium lens implants that cost extra are genuinely different from the standard ones rather than just a marketing upgrade. Blake also explains refractive lens exchange — the same surgery as cataract removal performed on a clear lens before it clouds over, for people who want to stop wearing glasses entirely — and why the multifocal lens inside your eye performs so much better than a multifocal contact on the surface of it.
    They also discuss why ophthalmology is projected to have one of the worst physician shortages of any specialty by 2035 with 30% of patient need going unmet, why rural financial incentive packages alone are not enough to bring surgeons to underserved communities, how locums and contractor models like the one Blake is doing in Lynchburg, Virginia may be more effective than relocation packages, and the AI-powered medical intake platform First History that Blake has been building eye care content for — a tool that delivers structured symptom-specific intake to patients before they walk through the door, pulls it automatically into the EHR, and uses natural language processing to route each patient to the right clinical track before a technician ever says hello.
    Dr. Blake Hampton is an ophthalmologist and cataract surgeon currently operating every Tuesday at an ambulatory surgery center in Lynchburg, Virginia, and serving as an advisor and clinical content developer for First History, a Canadian AI telehealth company.
    Connect with Dr. Blake Hampton:
    Harmon Eye — Lynchburg, Virginia
    First History AI platform: firsthistory.com
    Chapters
    00:00 Introduction to Dr. Blake Hampton
    00:48 Valedictorian, neurobiology honors, chief residency — the moment he knew medicine was the path
    01:24 My doctor just told me I have a cataract — how do I know if it's time for surgery
    02:30 Why cataracts rarely require emergency surgery and what the warning signs of waiting too long look like
    03:28 What the surgery actually feels like — conscious sedation, numbing drops, and 10 to 15 minutes
    04:38 What actually happens during those 10 to 15 minutes — phacoemulsification, the capsule, and the lens implant
    06:07 My doctor is recommending a premium lens — what am I actually paying for and is it worth it
    07:10 Multifocal lens implants, astigmatism correction, and the dysphotopsia problem with early versions
    09:22 If I got an old lens implant years ago, can I go back and get an upgrade
    10:32 Intraocular lens exchange — why the capsule makes it harder the longer you wait
    11:48 Exchangeable lens rings on the horizon — the next generation for people who don't want to commit
    12:08 What can actually go wrong in cataract surgery and how often does it happen
    14:31 RLE — refractive lens exchange for people who want to stop wearing glasses before they have a cataract
    15:45 Why multifocal contacts don't work as well as multifocal lens implants inside the eye
    00:07 After residency — from North Carolina to locums work in Lynchburg, Virginia
    01:03 The ophthalmologist shortage — 30% of patient need may go unmet by 2035
    02:41 Frontier Care and the attempt to bring ophthalmologists to underserved communities
    03:07 Why healthcare policy and regulation are creating the shortage despite good intentions
    04:36 The medical industrial complex — why the system is reactive rather than preventive
    07:59 Why locums and contractor models may solve the geographic access problem better than relocation
    08:28 First History — the AI-powered medical intake platform Blake helped build the eye care content for
    09:53 How the intake works — text link, smartphone, auto-populated EHR before the patient arrives
    12:50 Where AI actually comes in versus what is just smart automation — the distinction that matters
    13:49 Natural language processing routing patients to the right clinical track based on their symptoms
    14:08 How many intakes have been completed and where the platform is currently deployed
    #BlakeHampton #CataractSurgery #TrustcastShow #Ophthalmology #PremiumLensImplant #FirstHistoryAI #EyeCare #OphthalmologistShortage #MedicalAI #CataractRecovery
    36 min

About TrustCast Show

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The TrustCast Show features in-depth conversations with successful business leaders who are shaping their industries. Host Zane Myers sits down with top attorneys, physicians, plastic surgeons, and…