JANUARY 2026 The Most Impactful Biotechnology
Leaders to Watch in 2026
PG-22
Dextrocardia: What It Means When Your Heart Is on the Right Side
PG-34
Preventive Health Checkups by Age Groups: Never Skip These for Lifelong Health
PG-48
Water Psychotherapy: Your Ultimate Guide to Healing Through Water
Founder and CEO
Medix LLC,
STEVE LAZAR Turning an Ancient Compound into a Modern Miracle
DearReaders,
Sincerely,
PANKAJGHOLAP ManagingEditor
Designing the Code of Life Biologywasonceasubjectwesimplyobserved.Wecatalogedplants,studiedanatomy, andhopedforthebestwhenillnessstruck.Today,biologyisnolongerjustafieldof study;itisadesigndiscipline.Wehavemovedfromtheeraofdiscoverytotheeraof engineering.Aswelooktowardthehorizonof2026,thedefinitionofa"biotechleader" hasshifted.Theyarenolongerjustscientistsinwhitecoats;theyareentrepreneurs, strategists,andvisionarieswhoaretakingtherawmaterialsofnatureandreassembling themtosolvehumanity’smosturgentproblems.Theyareturningthe“impossible”into the"treatable."Itisthisspiritofpragmaticalchemythatwecelebrateinourlatestissue, The10MostImpactfulBiotechnologyLeaderstoWatchin2026.
LeadingthischargeonourcoverisSteveLazar,theFounderandCEOofMedixLLC. Steve’sjourneyisatestamenttotheideathatyoudon’tneedachemistrydegreetochange thefaceofmedicine;youneedvisionandgrit.Inspiredbythestoriesofmedicalpioneers toldbyhismother,Steveturnedhisentrepreneurialfocustothecritical“goldenhour”of trauma.Harnessingtheuniquepropertiesofchitosan,abiopolymerderivedfromshrimp shells,histeamcreatedProClot,ahydrogelthatstopsbleedingwithoutthecomplications oftraditionalmethods.Steve’sleadershipisdefinedbyrefreshinghumility;heviewseven majorbreakthroughsas“toddlersteps,”refusingtorestuntilhisinnovationissavinglives inreal-time.
JoiningSteveinthiseditionisagroupofpioneerswhoarerewritingtherulesoftheir respectivefields.WearehonoredtofeaturethesurfaceinnovationofSteveMcDaniel, FounderandChiefInnovationOfficeratReactiveSurfaces;thelongevityresearchof AdamVincentGilmer,FounderofGeneticLifespan™;thelaboratorystrategicguidance ofWilliamT.Budd,CEOofAlliantLabConsulting;andtheoncologyleadershipof GregoryA.MercurioJr.,SeniorVicePresidentofRadiationOncologyatAmerican SharedHospitalServices(ASHS).
Theseleadersremindusthattheanswerstoourgreatestmedicalchallengesareoften hidinginplainsight,waitingfortherightmindtounlockthem.
PUBLISHER
EDITOR-IN-CHIEF
MANAGING EDITOR
PROJECT EDITOR
PROJECT MANAGERS
VISUALIZER
GRAPHIC DESIGNER
HEAD OF DISTRIBUTION & PRODUCTION
HEAD OF OPERATIONS
RESEARCH ANALYSTS
ADVERTISING
ARCHANA GHULE
VIKRAM SURYAWANSHI
PANKAJ GHOLAP
YOGESH UJJAINKAR SATISH WATHORE
RAJNISH KUMAR
POONAM JADHAV
MARK DAVIS
OMKAR URAVANE
AAKASH MAHAJAN
ROBERT SMITH
JAMES ADAMS
MARIA SMITH
SteveLazar STEVE LAZAR Thethingaboutbleedingisthatitisthemost urgentclockintheworld.Inthesterilequiet ofasurgicaltheaterorthechaoticdustofa roadsideaccident,theescapeofbloodfromthebody isacountdownthatdrownsouteveryotherconcern.It isaproblemasoldasbiologyitself.Forcenturies,we havetriedtostopitwithpressure,withcauterization, withgauze,andwithhope.Butinasmallofficein Cleveland,Georgia,atownbetterknownforits mountainviewsthanitsmedicalbreakthroughs,Steve Lazarisworkingonasolutionthatfeelslesslike medicineandmorelikemagic.Heisholdinga compoundthatcanturnintoasolidbarrierthe momentittouchesawound.Asubstancederivedfrom thehumblestoforiginstosolvethemostviolentof problems.
SteveLazaristheFounderandCEOofMedixLLC, abiotechnologycompanythatsitsquietlyatthe vanguardofhemorrhagecontrol.Heisnotadoctor Heisnotachemist.Infact,ifyouaskhimabouthis collegedays,hewilltellyouwithaself-deprecating chucklethatanunderstandingofchemistry“eluded” him,forcingachangeinhiscareertrajectory.Yet,here heis,steeringashipthatreliesonadvancedpolymer science,bringingaproductcalledProClottoamarket thatisdesperateforit.Heisamanwhohasspent fortyyearsasanentrepreneur,acareerthatislessa straightlineandmoreaseriesofnavigationsthrough theunpredictablewatersofbusiness.Now,inwhat mightbethedefiningchapterofhislife,hehasfound hismissionnotinaboardroomstrategy,butinthe molecularstructureofashrimpshell.
TheEchoofaMother’sStory Tounderstandwhyamanwoulddedicatethelatter stagesofhiscareertothegruesomerealityoftrauma wounds,youhavetogobacktothebeginning.You havetogobacktothestories.Stevegrewupina housewheretheboundariesofmedicalpossibility werebeingpushedeveryday.Hismotherworked alongsidetheearlypioneersincardiology,thegiants whowerefiguringouthowtofixabrokenheartbefore theworldevenfullyunderstoodhowitworked.
Shewouldcomehomeandtellhimstoriesoftheir work.Thesewerenotdryclinicalrecitations;they weretalesofadventure,ofhighstakes,ofthe profounddifferenceasingleinnovationcouldmake betweenlifeanddeath.
ThesestoriesplantedaseedinyoungSteve.Theygavehima reverenceforthemedicalfrontier.Hewantedtobeapartof thatworld.Hewantedtopursueacareerinmedicine,to standinthegapbetweenpatientandmortality
Butlife,asitoftendoes,hadotherplans.Thechemistry classesincollegebecameawallhecouldn’tclimb,andsohe pivoted.Steveenteredtheworldofbusiness.Forfour decades,hebuiltcompanies,managedteams,andnavigated thecomplexitiesofthemarket.Hehonedadifferentsetof skills:theabilitytospotanopportunity,theresilienceto weathereconomicstorms,andtheleadershiprequiredto guideavisionfromanapkinsketchtoabottomline.He becameamasterofthe“how”ofbusiness,evenifthe“what” wasconstantlychanging.Then,afewyearsago,the“what” changedforthelasttime.Helearnedabout chitosan.
TheMiracleintheShell Chitosanisafascinatingcompound.Itisderivedfrom chitin,thestructuralelementintheexoskeletonsof crustaceanslikeshrimpandcrabs.Itisabundant,itis renewable,andithasasingular,almostmiraculousproperty: it is positively charged.Humanbloodcellsarenegatively charged.Whenthetwomeet,theyclingtoeachotherwithan elementalforce,formingaclotthatisrobustandimmediate.
Steve,withhisentrepreneur’seye,sawsomethinginthis compoundthatothershadmissed.Hesawanopportunity Buthedidn’tjustseeaproduct;hesawawaytofinally fulfillthatchildhoodambitioninstilledbyhismother’s stories.Hesawawaytoheal. “I recognized the opportunity,” hesayssimply. “This put me on the path I am on today. To develop the full potential of this amazing compound.”
TheresultisProClot.Unlikeotherpowdersorgauze productswhichmustberemovedfromthewound,often painfullyandmoreoftenremovingtheclotcausingmore bloodloss.ProClotisatruehydrogel.Itisaninnovative solution.Applyittothewound,applypressureandsecureit inplace.Itextendsthe“goldenhour”whileyouseekmedical attention.Peopledieafterreachingamedicalfacilityfrom thecomplicationsofbloodloss.ProClotisbiodegradableand biocompatible.Itdoesnotenterthebloodstreamorhaveto beremovedfromthewound.ProClot worksonpeople takingbloodthinnersandpeoplewithbleedingdisordersand doesNotaffectpeoplewithshellfishallergies.
Stevetalksaboutthistechnologynotwiththejargonofa scientist,butwiththeaweofaconvert.
Heexplainsthattheychangedthecompany namefromMedixProClottosimplyMedix becausethevisionhasoutgrownasingle function. “We are much more than hemostasis,” heinsists.Heseesafuturewhere thistechnologyisn’tjuststoppingbleedingin traumacenters,butistreatingchronicwounds, deliveringdrugs,andchangingthestandardof careacrosstheboard.
TheToddlerSteps
Runningabiotechcompanyinahighly regulatedenvironmentisagruelingendeavor ItisaworldofFDAsubmissions,safetytrials, andtheconstant,grindingpressureof fundraising.Whenaskedabouthismilestones, aboutthegoldstarsonhischart,Steveoffersa metaphorthatisbothhumbleandrevealing.
“I don’t consider what we are doing as having milestones any more than a toddler learning to walk,” hesays.
Itisastrikingimage.Atoddlerdoesnot considerasinglestepavictory;thevictoryis thewalkingitself.Thevictoryisthe movement.Steverefusestopathimselfonthe backfortheintermediarysteps. “Maybe the first step, forming Medix, was a milestone,” he concedes. “But until you win a gold medal or bring your product to market, I personally don’t think of the intermediary steps as ‘milestones.’I could be wrong, maybe it’s a character flaw.”
Thisrefusaltocelebrateearlyisahallmarkof hisleadership.Itisbornfromfortyyearsof seeingthingsgorightandseeingthingsgo wrong.Heknowsthatinbusiness,asin trauma,thesituationcanchangeina heartbeat.Heprotectshisteamwiththis realism.Hedescribeshisprimary responsibilityasbalancingstrategicleadership withtherelentlessneedforresources. “I am fortunate to have a very good fund-raising team that allows me to focus on innovation,” Stevesays.Heactsasashieldforhis scientistsanddevelopers,absorbingthe pressureofthemarketsotheycanfocuson thepressureofthehydrogel.
“ TheWeightofResponsibility Theshiftfrombeingasoloentrepreneurto leadingateamofdedicatedprofessionalshas weighedonSteveinthebestpossibleway “The present is the most challenging time I have faced,” headmits.Intheearlyyears,when itwasjusthim,amistakewasapersonaltuition fee.Hecouldabsorbthecost,learnthelesson, andmoveon.
“Now I have a team,” hesays. “I have more responsibility to the team and the company.”
Thestakesarehigher Thelivelihoodsofhis people,andthepotentiallivessavedbyhis product,restonhisdecisions.Hisphilosophy fordealingwiththispressureisbrutallysimple: “Don’t make the same mistakes and work harder.” Itisthemantraofamanwhodoesnot believeinshortcuts.Herespectshisteam deeply,lookingforindividualswhoarenotjust skilled,butwhoareunafraidtospeaktheir minds. “Through discussion we find ideas,” Stevesays, “ideas lead to innovation.”
Stevenavigatesthedelicatebalanceof innovationandsafetywithasimilar pragmatism.Heisgratefulthatchitosanis naturallysafe,whichremovesonemajorhurdle, butheremainswaryoftheregulatorylabyrinth. Heexpressesaquiethopethatthepost-COVID worldmightseeashiftinhowagenciesoperate, amovetowarda“commonsense”approach thatprioritizesgettingsafe,effectivetreatments tothepeoplewhoneedthemwithout unnecessarydelay
TheViewfromCleveland Cleveland,Georgia,isalongwayfromthe biotechhubsofBostonorSanFrancisco.Butin away,itistheperfectsettingforMedix.Itisa placethatvaluessubstanceoverflash,aplace wheretheworkspeakslouderthanthehype. Stevefitsinhere.Heisamanwhoenjoysthe outdoors,whofindssolaceinfishingandart.
Currently,however,thefishingrodisgathering dust. “Currently there is no balance,” hesays bluntlywhenaskedabouthiswork-life
dynamic. “The scales are tilting heavily to work.” Hedoesnot saythiswithcomplaint,butwithasenseofduty.Heknowsthat heisinthemiddleofthesprint.Heknowsthatthe“toddler”is stillfindingitsfooting,andhecannotlookaway
Steve’svisionforthefutureisnotaboutalucrativeexitora magazinecover.Itisaboutcompletion. “God willing, I will be able to see chitosan fully developed,” hesays.Hewantstosee Medixproductsonshelves,inambulances,insoldier’spacks.He wantstoknowthatwhentheclockstartsticking,onableed,his st life'sworkistheretostopit;essential1 aidonlyworks,ifitis available.
AUniversalGoal SteveLazarisamanoffewpretensions.Hedoesnotclaimtobea genius.Hedoesnotclaimtohavealltheanswers.Heclaimsonly tohaverecognizedanopportunityandtohavethestubbornnessto seeitthrough.Heasksustokeepanopenmind,toseethingsas theyare,buttoimaginewhattheycouldbe.
“I believe our goals are universal,” Stevesays. “Peace and health. If we can achieve that, everything else will follow.”
Itisasimplephilosophyfromacomplexman.Heisthefailed chemistrystudentwhoisrevolutionizingwoundcare.Heisthe hardenedbusinessmanwhoisdrivenbyhismother’sstoriesof healing.Heistheleaderwhorefusestocallastepamilestone untilthejourneyisdone.Andinhishands,thehumbleshellofa shrimpisbecomingashieldagainstthedarkness,awaytobuy time,tosavealife,andtoensurethattheclock,foronemore patient,keepsonticking.
Live with Purpose Rehabilitation Services
www.medixproclot.com
VINCENT GILMER Architect of Genetic Lifespan AdamVincentGilmer’sstory beginsinJohannesburg,South Africa,buthisimpactspans continentsandindustries.Fromhisearly daysasadeterminedimmigranttothe UnitedStatestobecomingaglobal entrepreneur,strategist,andthoughtleader, Adam'slifeisdefinedbyresilience, curiosity,andvision.
Formorethanthreedecades,hehasbuilt andscaledcompaniesinsales,marketing, media,andwellness.Alongtheway,hehas mentoredthousandsthroughleadership events,authoredtheacclaimedbook The 80/20 Rule for a Better Life,andinspired professionalsworldwidewithhis philosophyofbalance,clarity,andfocus. Hisguidingbelief: by identifying the 20 percent of actions that create 80 percent of results, people can unlock productivity, fulfillment, and success
YetAdam’sjourneyhasalwaysbeenaboutmorethan businessmilestones.Eachchapterofhislifehas preparedhimforalargermission—redefiningthe futureofhealth.
TheFrustrationofaFlawedSystem Thepivotintobiotechnologywasbornfrom frustration.Adamlookedatthemodernhealthcare systemandsawafundamentalflaw:itwasreactive,not proactive. “We saw a large chasm between conventional medicine and what people actually needed: proactive, predictive, and preventative insights tailored to their own biology,” heexplains.
ForAdam,theproblemwasclear.Medicinewaitsfor illnesstoappear,oftentreatingsymptomsafter irreversibledamagehasbegun.Worse,thesystem reliesonone-size-fits-allsolutionsthatignorethe uniquenessofeachperson'sbiology. “Disease doesn’t start when symptoms show,” Adamargues. “It starts at the cellular and genetic level, often decades earlier.”
ThatconvictionledtothefoundingofGenetic TMLifespan in2023,headquarteredinIncline Village,Nevada.Thecompanywasdesigned toclosethegapbetweenreactivehealthcare andtrueprecisionmedicine.Itsmission: empowerpeopletotakecontroloftheirhealth withpersonalized,DNA-guidedstrategiesthat extendnotonlylifespan,buthealthspan.
DecodingtheBlueprintofLife AttheheartofthisvisionisGenetic ™ Lifespan’sflagshipprogram:AgeCode .From ™ asimplebloodsample,AgeCode analyzes morethan200biomarkersacross11vital organsystems,makingitoneofthemost comprehensivegeneticandepigenetictests availabletoday.
™
Thescienceisstaggering.AgeCode examines over725,000SingleNucleotide Polymorphisms(SNPs)and225,000CpGsites inmethylationprofiling.Whatemergesisnot justrawdatabutastorywritteninthe languageofcells—revealingbiologicalage, nutrientdeficiencies,predispositions, environmentalexposures,andtheverypaceof aging.
Theprogramisdesignedasajourney.Clients beginwithabaselinetest,receivea personalizedwellnessprotocol,andretestat sixandtwelvemonths.Thisfeedbackloop providesmeasurableproofofhowlifestyle changes—nutrition,exercise,supplementation, stressmanagement—areinfluencingtheir biologyinrealtime.
™“AgeCode shows people they can actually take charge of how they age,” Adamsays.
BreakingdownBarriers Traditionally,suchadvancedgenetictesting wasconfinedtoeliteclinics,accessibleonlyto aprivilegedfew.Adamandhisteamsoughtto ™ changethat.ByintegratingtheTasso+ lancet,anFDA-clearedClassIIdevice, GeneticLifespanenabledvirtuallypainless, push-buttonbloodcollectionathome.
Thisinnovationdemocratizedaccess,openingthedoorto decentralizedhealthcare.Whetherinremotetownsor majorcities,peoplecannowgainthesamelevelofinsight ™ oncereservedforthefew AgeCode condensesthe informationfrommorethan17separatemedicaltestsinto asingleAI-enhancedreport—makingprecisionhealthboth accessibleandactionable.
BuildingtheEcosystemofLongevity Adam’svisiongoesfarbeyondtesting.GeneticLifespan isbuildingafullecosystemforprecisionhealth,drawing togethermedicaldoctors,PhDs,integrativepractitioners, longevityscientists,regenerativemedicineleaders,and wellnessclinics.
PartnershipswithCLIA-certifiedand FDA-approvedlabsinHoustonandVirginia,alongwith collaborationswithAIdevelopersandclinicalresearchers, ensurethatGeneticLifespanstaysonthecuttingedge.
™AgeCode iscurrentlyundergoingpeerreview,validating andrefiningitsscience.
Meanwhile,thecompany’spipelineisexpanding. Upcominginitiativesinclude:
● Essentials:aseriesofaccessible,cash-payhealthtests coveringmorethan100keymarkers.
™
● LivinGene :anutraceuticallinedesignedtodetoxify thebodyandactivatestemcells.
™
● Imun :animmunecellbankingservicethatpreserves youthfulimmunecellsforfuturetherapies.
™ ™
● GenomicPeptideDiscovery (GPD ):personalized ™ peptideprotocolsbuiltfromAgeCode data.
™
● PDRXN (Practitioner&DoctorReferralXchange Network):aglobalreferralnetworkconnecting patientswithcertifiedGeneticLifespanproviders.
Adamcallsthismodel “real precision clinical wellness”—aphrasethatcapturesboththe depthofthescienceandtheaccessibilityofitsapplication. How we store data
If you can see a better future and communicate it passionately, others will follow.
Vision alone isn’t enough. You must do the work, adapt, and stay true to your mission-even when it’s hard. Culture,Balance,andVision ForAdam,scienceandbusinessareonlypartofthe equation.ThesuccessofGeneticLifespandepends onculture:aligningeveryperson,fromlab scientiststomarketers,aroundthemissionof advancinghumanhealth.
● “Ifyoucanseeabetterfutureandcommunicateit passionately,otherswillfollow.”
● “Visionaloneisn’tenough.Youmustdothework, adapt,andstaytruetoyourmission—evenwhenit’s hard.I’llshowyoumyfaithbymywork.”
● “Howyoudoanythingishowyoudoeverything.”
SomeofAdam’sproudestmomentscomefrom doctorsthemselves. “Seeing the excitement on a doctor’s face when they realize they can finally get ahead of aging, not just manage it—that’s when I know we’re making an impact.”
Balanceremainscentraltohisphilosophy.Despite ademandingschedule,Adamprioritizesfamily, prayer,travel,andwellness.Hefindsgroundingat hishomeinLakeTahoe,whetherinnature,fast cars,orquietmomentsofreflection.Fromthe disciplinehelearnedtrainingattheShaolinTemple totheefficiencyprinciplesofthe80/20rule,Adam livesbytheveryprinciplesheteaches.
WordstoLeadBy Adam’sleadershipisrootedinclarityand discipline,distilledintoafewcorephilosophies:
RedefiningtheFutureofHealth AdamVincentGilmerhasspentalifetimetransforming boldideasintothrivingventures.ButwithGenetic Lifespan,hehastakenonhismostambitiouschallenge yet:reshapingthewaytheworldapproacheshealth, longevity,andhumanpotential.
“The futur “And we’r
Dextrocardia What It Means WhenYour Heart Is on the Right Side Mostpeoplehavetheirheartpositionedonthe leftsideofthechest.Butinrarecases,aperson isbornwiththeheartontherightside,a conditionknownasdextrocardia.Youmusthavecome acrossatleastasinglepersonwiththiscondition.
Eventhoughdextrocardiaisextremelyrare,itoccursin about1in12,000peopleglobally.Itoccurswhentheheart's apex(thepointedlowertip)facestherightinsteadofthe left.
ItsnamecomesfromLatinwords dextro (right)and cardia (heart). Althoughsomepeoplewithdextrocardialive healthyliveswithoutsymptoms,othersmayexperience complicationsdependingonhowtheirorgansandheart structuresdeveloped.Mostcasesareidentifiedatbirthor duringachestX-raylaterinlife.
Thisarticlebreaksdownwhatdextrocardiais,itscauses, complications,diagnosis,andtreatment.
(Disclaimer: This blog is for informational purposes only. Always consult a healthcare professional for personalised advice.)
Let’sUnderstandDextrocardiaMore
FormsofDextrocardia
1.DextrocardiaSitusInversus
Inthistype,theheartisontherightside,andotherinternal organs,suchastheliver,spleen,andstomach,arealso reversedlikeamirrorimage.Thisiscalledsitusinversus,a completeorganreversalthatoftencausesnosymptoms.
2.IsolatedDextrocardia(SitusSolitus)
Here,onlytheheartisreversed,whileotherorgans remainintheirusualpositions.Thistypehasahigher chanceofbeingassociatedwithheartdefects.
3.Dextroposition
Thisisnottruedextrocardia.Instead,theheartistothe rightduetoanothercondition,suchaslungdiseaseor abnormalitiesinthechestcavity.
WhyDoesDextrocardiaHappen
Dextrocardiadevelopsveryearlyinfetalgrowth,within thefirstfewweeksofpregnancy.Duringthisperiod,the hearttubeloopsandrotatestotheleft.Indextrocardia, thislooprotatesabnormallytowardtheright.
Theexactcauseisnotalwaysknown,butidentified factorsinclude:
1.GeneticCauses
Somecasesoccurduetogeneticmutationsaffecting earlyorgandevelopment.Forexample,defectsingenes thatguideorganplacement(left–rightpatterning)can leadtoorganreversal.
2.AssociatedGeneticSyndromes
Somepeoplewithdextrocardiahaverelatedsyndromes suchas:
●Kartagenersyndrome,whichincludeschroniclung infectionsandsinusproblems.
●Primaryciliarydyskinesia(PCD),where malfunctioningciliaaffectorgandevelopment.
3.UnknownCauses
Inmanycases,noclearcauseisidentified,andthe conditionisconsideredsporadic.
WhataretheSymptomsofDextrocardia
Noteveryonewithdextrocardiaexperiencessymptoms. Peoplewithdextrocardiasitusinversusoftenlive normalliveswithoutknowingtheyhave thecondition.
However,othersmayexperience:
●Breathingproblems
●Chronicsinusinfections
●Heartmurmurs
●Fatigue
●Cyanosis(bluishskin),incaseswithcongenitalheart defects
●Digestiveissues(rare)
Thepresenceandseverityofsymptomsdependonwhether theheartandotherorgansdevelopednormally.
HowDextrocardiaIsDiagnosed
Diagnosisusuallyhappensthroughroutineimaging,often whenahealthcareprovidernoticesheartsoundsontheright side.
Testsinclude:
1.ChestX-Ray
X-rayshelpidentifythiscondition,showingtheheart shadowontherightside.
2.Electrocardiogram(ECG)
Here,theelectricalpatternsappear“reversed,”akeyclueto thiscondition.
3.Echocardiogram(HeartUltrasound)
Inthistest,heartstructuresandbloodflowcanindicate abnormalities.
4.CTorMRIScans
ToolslikeCTorMRIscansprovidedetailedimagesof organplacement.
5.GeneticTesting
ItisusedwhensyndromeslikePCDorKartagener syndromearesuspected.
CanDextrocardiaCauseComplications
Onitsown,dextrocardiaisnotalwaysdangerous.Many individuals,especiallythosewithdextrocardiasitus inversus,haveanormallifeexpectancy.
However,whenassociatedwithcongenitaldefects,itmay increasetheriskof:
●Heartvalveabnormalities
●Holesintheheart(septaldefects)
●Complexstructuralheartissues
●Respiratoryproblemsduetociliarydisorders
Amongpeoplewithcompletesitusinversus,only5–10% developcongenitalheartdefects,muchlowerthanin dextrocardiawithoutorganreversal.
Childrenwithdextrocardiahaveahigher-than-average chanceofcongenitalheartdisease,especiallyifsitus inversusisabsent.
WhatIstheTreatment&Management Thereisnocureforrepositioningthehearttotheleftside, andthisconditionitselfusuallydoesnotneedtreatment.
Instead,treatmentfocusesonassociatedconditions:
1.ManagingHeartDefects
Childrenwithstructuraldefectsmayneedtreatmentsinthe formofmedication,catheter-basedprocedures,andsurgery.
2.TreatingRespiratoryProblems
ThosewithKartagenersyndromeorPCDmayrequire treatmentssuchasairwayclearancetherapy,antibioticsfor infections,andregularlungmonitoring.
3.PreventiveCare
Theavailablepreventivecareincludesroutineheart evaluations,screeningfororgan-relatedissues,and monitoringduringsurgeryoremergencycare(asorgan positionsdiffer).
LivingWithDextrocardia Peoplewithdextrocardiacanlivenormal,healthylives, especiallyifnosignificantdefectsarepresent.
However,it’simportantto:
●Informhealthcareproviders,especiallyintimesof surgeriesandemergencies.
●Stayupdatedwithcardiaccheck-ups
●Monitorforrespiratorysymptoms
Conclusion Dextrocardiaisararebutfascinatingconditionwhere theheartsitsontherightsideofthechest.While manyindividualsexperiencenocomplications,others mayfacechallengesdependingonheartstructureand organdevelopment.Withmodernimaging,early diagnosis,andspecialisedcare,peoplewith dextrocardiacanenjoyfull,healthylives.
Ifyoufoundthisarticlehelpful,shareitwithothers; youmighthelpsomeoneunderstandararecondition betterandfindthissecretabouttheirheart.
Senior Vice President of Radiation Oncology I ASHS GREGORY A. MERCURIO JR. Thenews,whenitcame,feltlikeaverdict.The60% majorityshareholderofthreeradiationoncology centersinRhodeIsland,vitalarteriesinthestate’s cancercareecosystem,wasfilingforbankruptcy Thetwolocal healthsystempartners,eachowning20%,hadnoexperiencein radiationoncologyoperationsandwerenotinterestedin investing.Themajorityshareholderwasplanningtopetitionthe bankruptcycourttoclosethethreefacilities,whichwerecaring for100patientsperday.
Forthehundredsofpatientsinthemiddleoftheirtreatment regimens,thenewswascatastrophic.Cancercareis acontinuum,arelentless,preciselytimedbattle. Aninterruptionisnotaninconvenience;itisapotentialdefeat, alife-threateningdisruptiontoacarefullylaidplan. Thesituationwaspoisedtobecomean “enormous negative impact,” apublichealthcrisisunfoldinginreal-time.
Inthismomentofimpendingchaos,GregoryA.MercurioJr sawnotjustaproblemtobesolved,butapromisetobekept. Thiswashiscommunity Thesewerehisneighbors.Hemoved quickly,notwithpanic,butwiththefocusedcalmofamanwho hasspentalifetimeunderstandinghowtheintricategearsof healthcareactuallyturn. “I compiled the best group of industry professionals to quickly remedy this,” herecalls,thesimplicity ofhisstatementbelyingthecomplexityofthetask.
Aftervettingmanypotentialsuitors,heselected AmericanSharedHospitalServices(ASHS), apubliclytradedcompany,toacquirethe60% interest.ASHSinvested$2.7millioninthe acquisitionandanother$2millionintechnology andinfrastructureimprovements.Hepreserved thepatients’continuumofcare,afeatof businessacumenandsheerwillthatstandsas oneoftheproudestmomentsofhiscareer.
TounderstandhowGregorycouldsteersucha crisistoasafeharbor,youhavetounderstand thepaththatledhimthere—apaththatbegan withacloseddoor
TheFortuitousPivot Likemanybright,ambitiousyoungpeople, GregoryMercurio’sinitialambitionswereset onbecomingaphysician.Butafternotgaining admittancetomedicalschool,hefaceda crossroads.Insteadofseeingitasanend,he sawitasaredirection.Hemadeadeliberate choicetofocusonthebusinessofmedicine,to findadifferentwaytomakeanimpacton patientcare.
Thatdecision,hereflectsnow,was“indeed fortuitous.” Gregory’sfirstrole,beginningin1983,wasinthe orthopedicindustry,afieldheremainedinthrough2000. Thispivotawayfromaclinicaltracksethimonacourse throughorthopedics,lasersurgery,andeventually,radiation oncology.Itwasajourneythatallowedhimtotouchthe machineryofhealthcarefromauniquevantagepoint. “Through my career,”hesays, “I have personally been able to impact patient care of many more individuals than if I had become a physician.”
Today,thatimpactiswieldedfrommultipleleadership positions.HeistheSeniorVicePresidentofRadiation OncologyatASHS,theCEOofPrecisionRadiation OncologyofRhodeIsland,andtheCEOofBrachyclip HeisalsotheChiefStrategyOfficerforIylonPrecision Oncology,aworldwidecompanyprovidingcustom chemotherapyprescriptions.
InhisroleatASHS,hehasoversightofthreeradiation therapyfacilitiesinRhodeIsland,driveslocalbusiness partnershipinitiatives,and,asamemberofthesenior managementandexecutivecommittee,isinvolvedinevery criticaldecisionregardingbusinessdevelopmentand radiationfacilitiesonaglobalscale.Itisalongwayfrom thatinitialcloseddoor.
TheArchitectofPartnerships AttheheartofGregory’ssuccessisanuancedanddeeply personalapproachtobusiness. “While I am a highly competitive individual,” headmits, “my approach and style to negotiations is cooperative and collaborative to ensure the result works for all parties.” Inanindustrydefinedby highstakesandcomplexnegotiations,heoperateswitha philosophybuiltontwopillars:deepexpertiseand long-standingrelationships.
Gregorynavigatestheintricateworldofhealthcare partnershipsbyhavinganin-depthunderstandingofthe goalsandobjectivesofeverystakeholderatthetable. However,histruestrategicadvantageissomethingless tangible,aqualityhecalls “a nuance that is often overlooked but invaluable.” Heexplains, “Relationships matter and I have spent my entire life in the communities I have served and serve, professionally and personally, so it is obvious I have a vested interest in the outcomes.” Heis notjustabusinessmanflyinginforadeal;heisa communitymemberwhosereputationiswovenintothe fabricoftheregion.Thisgiveshimaleveloftrustand credibilitythatcannotbemanufactured.
HespecificallychoseASHSasapartnerbecauseof theircommitmenttoinvestinRhodeIslandcancer care,expandaccessinunderservedcommunities (suchasBristol),andintroducecutting-edge technologieslikeProtonTherapy.Equallyimportant, ASHSwasnotashort-terminvestoraimingtoflipthe equityin4–5yearsforquickprofit,butalong-term partnergenuinelyfocusedonimprovingpatient outcomes.Gregoryacknowledgesadeepsenseof gratitudetowardASHSforbelievinginhisvision andinvestingsignificantlyinRhodeIsland’scancer carefuture.
ThePeopleParadox Evenwithsuccessfulpartnerships,Gregoryfacesa pressing,industry-widechallengethatrequires constantcreativity. “Challenges with radiation oncology physician recruitment, as well as all the specialty clinical roles unique to radiation oncology are immense,” hestates.It’sastarkrealityofsupply anddemandwhere “the national demand for these roles far exceeds the current and future available pool of qualified individuals.”
Thisisn’tafleetingissue;Gregoryidentifiesitas “both a short-term and long-term challenge with no quick or easy solutions.” Successinthisenvironment requiresmorethanjustacompetitiveoffer “We have to be creative,” heinsists, “and utilize all our expertise, experience and resources to attract the most qualified and compassionate individuals to serve our patients’ needs.” It’saconstant,high-stakessearchfor theverypeoplewhomakeworld-classcarepossible.
FromCrisistothePinnacleofCare Gregory’sabilitytonavigatebothhumanand regulatorycomplexitiesiscrucialinhisfield.Radiation therapyisahighlyregulatedindustrypreciselybecause itinvolvestheuseofradiation,apowerfuland potentiallydangeroustool.Toensuresafety,about50 percentofstatesmandatethatprovidersobtain CertificatesofNeed(CONs)toacquirenew technology.Heseesthis “government created safeguard” notasabureaucraticobstacle,butasa necessaryprocesstoensureonlythemostcapable providersareapproved.WhilesomeviewtheCON processasarduous,hiscollaborativestylehasmade himexceptionallysuccessfulinsecuringthesevital approvals.
Thisskillhasbeeninstrumentalinpursuing whatGregorycallsthe“pinnacleofradiation therapy”:ProtonTherapy.Heidentifiedthat eachyear,approximately400patientsinthe regionwouldbeidealcandidatesforthis treatmentbutwereforcedtotraveltoBostonor NewYorktoreceiveit.SecuringtheCONfora futureProtonCenterinRhodeIslandisoneof hisproudestaccomplishments,alongside obtainingaCONfortheunderserved communityofBristol,RI.Thenewproton facilitywillbeagame-changer,allowing patientstobetreatedwithatechnologyso precisethatitavoidsunnecessaryradiationto healthytissue,resultinginfewersideeffects.
ThisistheultimateexpressionofGregory’s leadershipphilosophy:apatient-centric principlethatdemands “the right treatment, provided by the most highly qualified physicians, at the right time, with the right technology, in a compassionate manner.”
‘ ‘ All healthcare businesses must be operated in a patient centric, regulatory compliant, manner. - American Heachievesthisnotbymicromanaging,butby empowering. “By assembling the best team and truly empowering them to work together to best serve patients’ needs,” hesays.Recently,dueto theseaccomplishments,hewashonoredwitha HealthCareHeroesAward,amomenthe celebratedwithhisfamily,friends,and colleagues.
ALegacyofImpact Foramanwhoadmitstobeing “a highly driven individual,” theconceptofaperfectwork-life balanceiselusive.Gregory’sworkdayoften extendsintoeveningsandweekends.
Hefindshisbalanceintimespentwithfamily,in philanthropicworkwithorganizationslikethe Jeffrey Osborne Foundation,andonthegolf course,thoughhe “certainly do not claim to have the perfect work-life balance.” Thedrivetomake animpactistoostrong.
Lookingahead,Gregoryisenergizedandexcited aboutthedaythefirstpatientistreatedatthenew ProtonCenter.Afterthat? “Perhaps retirement,” hemuses,thoughitsoundslesslikeadestination andmorelikeabriefpause. “Of course, if something else comes across the horizon, that I feel I can positively contribute to providing or impacting patient care I will certainly find myself involved in those initiatives.”
Itisthisrelentlessfocusonthepatientthat definesGregory’sentirecareer.Hebelievesall healthcarebusinessesmustbeoperatedina patientcentric,regulatorycompliant,manner
Forhim,thismeansthatincancercareespecially, “patients’ physical, psychological, social and economic needs must be tended to in a high quality, compassionate, cost-effective manner.” It’saholisticviewofcarethatheseesasthe foundationofsustainablesuccess.
“If this path is followed, with patients’ needs first, then business will grow, and profits will be realized,” Gregoryconcludes.Itisasimple, powerfulformulathathasguidedhimfroma closeddooratthestartofhiscareertothe pinnacleofcancercare,buildingalegacyof healinginthecommunityhehasalwayscalled home.
In cancer care especially, patients’ physical, psychological, social and economic needs must be tended to in a high quality, compassionate, cost-effective manner. ‘ ‘ - American Shared Hospital Services PREVENTIVE HEALTH CHECKUPS BY AGE Stayinghealthyisn'tjustabouttreatingillness;it’sabout
preventingit.Today,almost60%ofearlydeathsare linkedtopreventableconditions.Nearly1in3adults worldwidehashypertension,but46%don’tknowtheyhaveit. Thatiswhenaregularhealthcheckupcomesinhandy
Routinecheckupsfindrisksearly.Regularscreenings,especially healthcheckupsbyagegroups,helpdetectsilentriskslikehigh bloodpressure,diabetes,orcholesterollongbeforesymptoms appear
Thisguidebreaksdownhealthcheckupsbyagegroupsforevery lifelonghealth,fromearlyadolescencetoolderadulthood,helping youunderstandwhichpreventivecheckupsmattermostandwhy
StayAwareforLifeWithTheseHealthCheckupsbyAge Groups
Belowisalist-stylebreakdownofessentialhealthcheckupsby agegroups,startingfromearlyadolescence.
InYour10s
Thisiswhenlong-termhealthfoundationsarebuilt.WHOreports that1in7adolescentsgloballyfacenutritionaldeficiencies.
1.GeneralPhysicalExam
Ayearlyphysicalexaminearlyadolescencehelpsmonitorhow wellthebodyisgrowingduringoneofthemostrapid developmentalperiodsoflife.Doctorsmeasureheight,weight, BMI,andwaistcircumferencetoidentifyearlysignsofobesityor nutritionaldeficiencies.
2.VisionScreening
Visionproblemsoftenbeginorworsen betweentheagesof10to13duetoincreased reading,digitalscreenuse,andschoolwork. Regulareyeexamshelpdetect nearsightednessandfarsightedness.Itensures childrendon’tstruggleacademicallydueto unrecognisedvisionissues.
3.DentalCheckup
Dentalissuessuchascavities,gum inflammation,andmisalignedteethoften emergeduringearlyadolescence.Regular dentalexamshelppreventlong-termtooth decay,addressproblemslikeearly orthodonticneeds.So,educatechildrenon properbrushingandflossingtoprotect lifelongoralhealth.
4.ImmunizationUpdates
Vaccinationduringearlyadolescenceplaysa criticalpreventiverole.TheHPVvaccine protectsagainstinfectionsthatcanleadto cancerslaterinlife.Whiletetanus,diphtheria, andpertussisboostersstrengthenimmunity intoadulthood.Dependingonnational guidelines,additionalvaccinesmayalsobe recommended.Stayingupdatedensures strongprotectionduringschoolyearsand earlyteenagesocialdevelopment.
InYour20s
Thisisthedecadeofpeakenergy,butalsowhen lifestylerisksbegin.Almost70%ofyoungadultsfail togetannualcheckups.
EssentialPreventiveCheckups: 1.Bloodpressurescreening:
Highbloodpressureoftenbeginssilentlyinthe20s duetostress,longworkhours,high-saltdiets,and irregularsleep.Checkingyourbloodpressureatleast onceayearhelpsdetectearlyhypertension,whichis oneoftheleadingriskfactorsforheartdiseaseand stroke.
2.Bloodglucosetest:
Your20sarethedecadewheninsulinresistancecan quietlydevelop,especiallywithsedentaryjobsand frequentconsumptionofsugaryfoodsandpackaged snacks.AfastingbloodglucosetestorHbA1chelps identifyearlysignsofprediabeteslongbefore symptomsappear.
3.Lipidprofile:
ManyyoungadultsnowexperienceelevatedLDL levelsduetolowphysicalactivityandmoderneating patterns.Alipidprofilemeasuresgoodandbad cholesterol,helpingassesshearthealth.Identifying abnormallevelsearlypreventsfattybuildupin arteries,reducinglong-termheartdiseaserisk.
4.Thyroidfunctiontest:
Thyroiddisorderscommonlybegininthe20sand affectenergylevels,metabolism,mood,andweight.A thyroidpanelhelpsidentifyhormonalimbalancesthat maycontributetofatigue,hairloss,irregularperiods (inwomen),orunexplainedweightchanges.Early managementimprovesoverallhealthandqualityof life.
5.VitaminD&B12levels:
Modernlifestyles,longhoursindoors,limited sunlightexposure,andirregulardietsmakevitaminD andB12deficienciesextremelycommonamong youngadults.
6.STIscreenings:
Sexuallyactiveindividualsintheir20sshouldundergoperiodic screeningsforSTIssuchasHIV,chlamydia,syphilis,andHPV Manyinfectionsshownoearlysymptoms,butroutinetesting ensuresearlytreatment,protectspartners,andsupportsoverall reproductivehealth.
Keepingupwithhealthcheckupsbyagegroupinyour20s preventsfuturemetabolicandhormonaldisorders.
InYour30sand40s Inthisagegroup,chronicdiseasesbegintorisenoticeably The WHOestimatesthatnoncommunicablediseases(NCDs)cause 74%ofallglobaldeaths,manystartingsilentlyinthesedecades.
EssentialPreventiveCheckups: 1.BloodPressure&Heart-HealthEvaluation
Here,work-relatedstress,sleepchanges,andlifestylehabits begintoinfluenceyourcardiovascularsystem.Regularblood pressurecheckshelpdetectearlyhypertension,asilent condition.Doctorsmayalsorecommendcholesteroltestingat leastonceevery4–6yearsormorefrequentlyifyourfamilyhas ahistoryofheartdisease.
2.MetabolicScreening Metabolicdisordersoftenstartdevelopingquietlyintheearly 30s.Screeningfordiabetes,abnormalcholesterol,andobesity helpsyourdoctortrackearlymetabolicshiftsdrivenbydiet, inactivity,orgenetics.
3.ReproductiveHealthCheckups Forwomen,Papsmears,HPVtesting,breastexams,and discussionsaroundfertilityplanningbecomeimportantinthe 30s.Formen,testicularexamsandearlyscreeningforhormonal imbalancesmayberecommended.Thesecheckupshelpdetect infections,cancers,orfertilityissuessooner,whentreatmentsare moreeffective.
4.Eye&DentalCheckups Visioncanundergoearlydeteriorationduetolongscreenhours atwork.Similarly,dentalcleaningsandoralexamspreventearly gumdisease,nowlinkedtoheartproblemsanddiabetes. Maintainingoralandeyehealthinyour30spreventschronic issuesthatcouldcompoundinlaterdecades.
5.CancerScreenings Cancerriskincreasesgraduallywithage.Womenmaybe advisedtobeginregularmammogramsaroundage40, dependingonnationalguidelinesandfamilyhistory.Men mayrequireprostate-specificantigen(PSA)testingifthey haveriskfactorssuchasgeneticsorurinarysymptoms. Screeningforcoloncanceralsobecomesimportantinthe late40s.
Itisthemostcrucialtimetocommittohealthcheckupsby theagegroupof30sand40stopreventmidlifehealth complications.
InYour50sandBeyond Healthrisksincreasesignificantly.Accordingtoglobaldata, 1in4adultsover50hasdiabetes,andmultiplechronic illnessesoftencoexist.
1.ComprehensiveHeart&MetabolicEvaluation Your50smarkacrucialtimeformonitoringcardiovascular health.Bloodpressure,cholesterol,bloodsugar,ECG,and sometimesechocardiogramsorstresstestshelpdetect hiddenrisks.Thisdecadecarriesoneofthehighestratesof heartdiseaseonset,makingpreventivechecksextremely valuable.
2.Colonoscopy&GI-RelatedScreenings Mostguidelinesrecommendstartingcoloncancerscreening atage50(orearlierforhigh-riskgroups).Colonoscopy helpsdetectpolypsthatcandevelopintocancerovertime. Yourdoctormayalsoassessdigestivehealthissuessuchas acidreflux,gutinflammation,ornutrientdeficiencies.
3.BoneDensityScan(DEXA) Osteoporosisbecomesmorecommon,especiallyin postmenopausalwomen.ADEXAscanmeasuresbone strengthandhelpspreventfracturesbeforetheyoccur.Men withriskfactorssuchassmoking,long-termsteroiduse,or lowphysicalactivitymayalsobenefit.
4.Vision,Hearing&NeurologicalScreening Thisistheagewhencataractsandhearinglossbecomemore noticeable.Earlyscreeningcanpreventaccidents,falls,and dailydiscomfort.Cognitivescreeningsalsohelpdetectearly memorychanges,ensuringinterventionattheearlieststage.
Prioritisinghealthcheckupsbyagegroupscansignificantly extendyourlifespan,andthattoo,ahealthyandawareone.
PracticalTipstoGetStarted ●Startwithabasicannualcheckupifyou’veneverdone one.
●Movetomorecomprehensivescreeningsasyouenter your30s,40s,and50s.
●Maintaindigitalorwrittenrecordsoftestvalues.
●Pairscreeningswithhealthylifestylechanges.
Conclusion
Preventivehealthisn’toptional;itisthefoundationof lifelongwellness.Byfollowinghealthcheckupsbyage groups,youreducetheriskofchronicdisease,detecthidden problemsearly,andstayhealthierfordecades.
Yourhealthisaninvestment.Starttoday.Andifthisguide helpedyou,shareitwithyourfamilyandfriendssothey cantakecontroloftheirhealthtoo.
SteveMcDanielneverintendedtospendhisdays
thinkingaboutpaint.Hewassupposedtobea doctor AsayoungmaninaPre-Medprogram, hesawhisfutureinthequiet,sterilehallwaysofa hospital;alifespentmendinghumanbodies.Hewas goodattheprerequisitesciences,particularly biochemistry,thatintricatedanceofmoleculesthat underpinslifeitself.Butthenhebecameahospital orderly,andtherealityofmedicine,theraw,visceral,and oftenheartbreakingproximitytosuffering,hithimwith anunexpectedforce.Herealizedhistemperamentwas bettersuitednotfortheimmediate,messyworkof healing,butforthepatient,methodicalsolitudeof research.Itwasapivotal,quietretreatfromthebedside totheworkbench,adecisionthatwould,inthemost unforeseenway,leadhimbacktoprotectinghuman healthonascalehecouldneverhaveimagined.
Stevedidn’tendupmendingbones,buthewouldsoon beworkingtomendtheveryfabricofourenvironment. Hisworkbegannotwithagrandvision,butwitha humblecuriosityaboutsoilbacteria.Inthequietofhis lab,hemanagedtocloneagene.Itwasaremarkable littlepieceofcodefromtheearth,capableofproducing anenzymethatcouldmeticulouslybreakdown organophosphoruspesticides.Itwasafascinating discovery,aneatbiochemicaltrick.Andforatime,that’s allitwas.
ThencameSeptember11,2001.Theworldchanged overnight.Suddenly,the “kissing cousins” ofthose pesticides,organophosphoruschemicalweaponslike VX,Sarin,andSoman,werenolongeradistantthreat butaterrifyinglyplausiblereality.ATVinterview,a casualquestionabouthisresearch,andafriendwitha businessmindwouldconspiretopullSteveMcDaniel andhisdirt-dwellinggeneintotheglobalwaronterror, andintheprocess,sethimonapathtocompletely reinventthesurfaceswetoucheveryday.
TheBirthofaReactiveWorld Thelogicwasdeceptivelysimple.Chemicalnerveagents arenotaninvisiblevapor;theyaretiny,insidious dropletsthataredesignedtosettleonsurfaces.They contaminateeverythingtheytouch:tanks,barracks, publicbuildings,computers,doorknobs.Thequestion posedtoStevewasstraightforward: Could his enzyme work against these weapons? Hisanswerwas conditional. “Only if that enzyme could be entrained in a coating system and placed on a surface,” hereasoned.
Itwasalightbulbmoment.Abusinessbrokerfriendsaw thepotentialimmediately.Ifheraisedthemoney,would Stevebewillingtostartacompanytofindoutifitcould work?Stevesaidyes.Andwiththat,in2002,Reactive SurfaceswasborninAustin,Texas.Themission wastotransformpassivesurfacesintoactive, self-decontaminatingshields.TheresultwasWMDtox,a coatingadditivethatwasnothingshortofrevolutionary. Testsconfirmeditwasover99%effectiveatneutralizing organophosphoruschemicalweapons.Theimplications werestaggering.AsSteveputsit,“a surface coated with WMDtox could be safely used as your dinner table just 24 hours after being exposed to a deadly nerve agent.”It wasn’tjustaclaim;inaSeptember2002decisionsheet, theNATOArmyArmamentsGroupvalidatedthe discovery,stating, “This technology could be of significant importance in dealing with sensitive equipment or vehicle/facility interior decontamination.” Theresearcherwhohadfoundmedicinetoo heartbreakingwasnowdevelopingtechnologytosave countlesslivesfromoneofhumanity’scruelest inventions.
TheUniverseinaCanofPaint TounderstandhowSteve’stechnologyworks,youfirst havetoreconsiderwhatacanofpaintreallyis.Weseeit asasimpleliquidcolor,butonamicroscopiclevel,it’sa complexandspaciousuniverse.Across-sectionofa polyurethanefilmrevealsalandscapeofpigment particlesandtitaniumdioxidecrystals,somemeasuring upto525cubicmicrometers.Atypicalbacterialcell,by comparison,isamerespeck,onlyacoupleof micrometersinsize.Evensmallerarebacterialspores. Whatthismeansisthatacoatofpaintisnotaseamless, impenetrablebarrier.Itisaporousscaffold,a microscopicmetropoliswithplentyofroomformicrobial tenantstomoveinandsetupshop.Apaintedwallcan becomeareservoirfordisease.
ThisiswherethegeniusofReactiveSurfaces’core innovationlies.TheenzymesandpeptidesSteveworks withareinfinitesimallysmall,theactiveenzymein WMDtoxislessthan0.01cubicmicrometers Theyare molecularmachinesfarsmallerthanthebacteriatheyare designedtofight.Byentrainingthesebioactivemolecules intoacoating,McDanieldiscoveredtheycouldretain theirfunction,effectivelytransformingtheentirepaint filmintoahostileenvironmentforcontaminants.Theyfit perfectlyintotheavailablespace,lurkingexactlywhere bacteriaandsporesreside,readytoact.
Thisprincipleopenedupaworldofpossibilities beyondchemicaldefense.Apivotalopportunity arosewhenSteve,whoisalsoanintellectual propertyattorney,wasrepresentingabiotech startup.Theclienthaddevelopedalibraryof53 millionsyntheticantimicrobialpeptides(AMPs) intendedtotreatrespiratoryinfectionsinAIDS patients,buttheprohibitivecostsofbringinga newpharmaceuticaltomarkethadshuttered theirefforts.Insettlingtheiraffairs,Stevemade ashrewdoffer:hewouldexchangehislegalfees forthepatentrightstotheirentirepeptide library.Hehadahunchhecouldentrainthese AMPsintoacoating,justashehadwithhis enzyme.Hishunchwascorrect.Theresultwas ™ProteCoat ,anon-toxic,non-leaching antimicrobialadditivethatworksforaslongas thecoatingitselfisintact.
Itwasasafer,moredurablealternativetoexistingtechnologieslike MicroBan,whichleachestoxinsandhasbeendeemedecotoxicin theEU.Thisinnovationalsoaddressedadeeperconcernwithin healthcareitself.In2015,forexample,KaiserPermanentechoseto banantimicrobialcoatingsfromitshospitals,notoutof indifference,butinalignmentwiththemedicalethicof“first,dono harm”(primumnonnocere).
Traditionalwaterbornecoatingsrelyontoxicbiocidestoprevent spoilageinthecan,andonceapplied,thosetoxinscanleachintothe environment,puttingvulnerablepatientsatrisk.ReactiveSurfaces tookadifferentpath.Bycreatingandpatentingin-canpreservatives madefromnaturallyoccurring,safeingredients,thecompany eliminatedtheneedfortoxicbiocides.Evenmoresignificantly, thosesamesafepreservativescontinuetoperformoncethepaintis applied,providinglastingantimicrobialprotectionwithout compromisingpatientsafety.Indoingso,ReactiveSurfacesturned abarrierintoasafeguard,aligningsciencewithmedicalethics.
TheSelf-CleaningWall Theproblemwithconventionalsurfacecleaningisthat it’satemporaryfix.Disinfectantslikebleachwork,but theymustbereappliedeverytimeasurfaceis contaminated.It’saconstant,Sisypheanbattle.Steve’s enzyme-basedapproachoffersamoreelegantand resilientsolution.Oncethecoreprinciplewas established,theapplicationsbegantomultiply.Ifan enzymecouldbreakdownachemicalweapon,what elsecoulditdeconstruct?
™
TheanswerledtoinnovationslikeDeGreez .By entraininglipolyticenzymes,whichbreakdownfats, oils,andgreases,intoacoating,thesurfaceessentially createsamicroscopiclayerofsoap.Fingerprints, greasesmudges,andoilyfilmsarecontinuously brokendown,makingthesurfaceeasiertoclean.
It’sthebasisforanti-fingerprintcoatingsoncomputersandselfcleaningtechnologyforeverythingfromkitchencounterstosewer pipes.Anotherapplicationtacklesthegrowingcrisisofantibiotic resistance.ByentrainingenzymesthatbreakdownDNAand RNA,ReactiveSurfacesdevelopedcoatingsthatdestroystray geneticmaterialintheenvironment,preventingmicrobesfrom incorporatingantibioticresistancegenesintotheirgenomes.
Theserepresentafundamentalshiftinhowweinteractwithour builtenvironment.Thesurfaceisnolongerapassivevictimof contaminationbutanactiveparticipantinitsownhygiene.
TheArtofProtectedInnovation Leadingahigh-stakesbiotechfirmrequiresmorethanjust scientificbrilliance;itdemandsacultureoffierceprotectionand collaborativecreativity. “As a CIO, you must not just innovate, you must protect these innovations,” Stevestates.
INNOVATION IS A TWO-PART MISSION: YOU MUST NOT ONLY CREATE, YOU MUST FIERCELY PROTECT THAT CREATION. SOMETIMES THAT MEANS TAKING ON A GOLIATH, NOT JUST FOR THE ROYALTY, BUT FOR THE PRINCIPLE THAT GOOD SCIENCE DESERVES TO WIN.
Thisphilosophywasputtotheultimatetestina David-and-Goliathbattlewithoneoftheworld’s leadingcarmanufacturers.ReactiveSurfaceshad pioneeredandpatentedanenzymaticsolutionforoily fingerprints.Theautogiantsoughtandwrongly obtainedpatentsforasimilartechnologyafterthem.
Invalidatingapatentheldbyaglobalcorporationisa monumentalandexpensiveundertaking.Stevehadto findhighlyskilledlitigatorswillingtotakeonthe caseinexchangeforashareoffutureroyalties.He succeeded.Theattorneysinvalidatedthewrongfully obtainedpatents,securingavictorythatwasasmuch aboutprincipleasitwasaboutprofit.It’satestament tohisdualidentityasbothinnovatorandlegal strategist.
Thisdriveisfueledbyacultureofsharedcreation. Stevedoesn’tseehimselfasthesoleinnovatorbutas afacilitator.Heengenderscreativitybybringingin leadingscientistsfrompowerhouseinstitutionslike theUniversityofSouthernMississippi,North America’spremierpaintandpolymerdepartment,the UniversityofTexas,andColoradoStateUniversity. “To be creative, lead with intuition and inspiration, and not merely intellect,” Steveadvises.
Thisapproachhasyieldedsignificantrecognition.In 2008,ReactiveSurfacesandtheiruniversitypartners receivedthefirst-everAmericanCoatingsAward,an honorgiventotechnologydeemedlikelytochange theindustryforthenext50years.Morerecently,the companywonthe 2021 Waterbourne Coatings Siltech Best Paper awardforaclimatechangetechnology, anditsPresident,BethMcDaniel,Steve’swifeand businesspartner,wasnamedaThoughtLeaderby Coatings World magazinein2024.
FromMicrobestoClimateChange Today,themissionofReactiveSurfacescontinuesto expand.Theyhavebuiltanimpressivetoolboxof materialsthatcanserveasafirstlineofdefense againstmicrobialcontaminationandantibiotic resistance.Thenextfrontierismigratingthese laboratorysuccessesintoclinicaltrialstoprovetheir efficacyinreal-worldhospitalsettings.
Buttheambitiondoesn’tstopthere.Thesame innovativethinkingthatturnedawallintoa self-cleaningsurfaceisnowbeingappliedtooneof themostexistentialthreatsofour time:climatechange.
ReactiveSurfacesinvented‘CarbonCapture Surfaces,’atechnologydesignedforthedirect removalofexcesscarbondioxidefromthe atmosphere.ThecompanywasnamedaTop100 Finalistinthe$100MillionXPRIZEfortheBest CarbonDioxideRemovalTechnology.Although thatcompetitionhassinceconcluded,the recognitionunderscoredthepotentialoftheir approach.It’satechnologyaimedataddressingthe rootcauseofhealthcrisesfromrespiratorydisease tothespreadofinfectiousillnesses.
ForSteve,theintensepressureofthisworkis counterbalancedbyalifeofmindfulpursuits.A lifelonginterestinmeditationprovidesacalm center.Fly-fishingandgardeningoffera connectiontothenaturalworldthatfirstinspired him.Buttheultimatekeytohiswork-lifebalance, hesays,ishavinghiswife,Beth,ashis entrepreneurial,business,andspousalpartner Together,theynavigatethefinancialandtime constraintsoftheinnovationbusiness.
Fromasinglegenefoundindirt,SteveMcDaniel hasbuiltauniverseoftechnologiesthatare makingtheworldsafer,cleaner,andmoreresilient. Themanwhoonceshiedawayfromtheheartbreak ofmedicinehasfoundawaytohealtheworld,one surfaceatatime.
Psyothy Your Ultimate Guide to Healing Through Water Haveyouevernoticedhowyour shouldersdropandyourelax themomentyoustepintoa warmbath,oryourbreathdeepenswhen youcatchyourfirstglimpseoftheocean? It’snotjustinyourhead.Forcenturies, humanshavesoughtoutwaterasa sanctuaryforthesoul,buttoday,this naturalinstinctisbeingharnessedintoa powerfulclinicaltoolknownaswater psychotherapy
Evenwhenwefeelcompletely overwhelmed,wecravealongshowerto washawaytheday,right?That’syour body’sintuitivepulltowardwater-based healing.
Whiletraditional“couchtherapy”focuses onthemind,waterpsychotherapy recognisesthatouremotionsareoften storedinourbodies.Bycombiningthe scienceofpsychologywiththeunique physicalpropertiesofwater,thisholistic approachoffersapathtomentalclarity thatwordsalonesometimescan’treach.
Inthisguide,we’lldiveintohow submergingyourselfinanaquatic environmentfortherapycanresetyour nervoussystem,dissolveanxiety,and providealiteral“fluid”spacefor emotionalbreakthrough.
WhatIsWaterPsychotherapy? WaterPsychotherapyisatherapeuticapproachthatuseswatertohelp relaxthemind,easeemotionalstress,andsupportmentalhealth.Itincludes guidedpracticessuchashydrotherapy,aquaticpsychotherapy,andother water-basedhealingmethods,usuallydoneinwarmpools,baths,or specialisedtherapyspaces.
Unliketraditionaltalktherapy,thisapproachworksdirectlywiththebody Watergentlysupportsmovement,relaxesmuscles,andcalmsthenervous system.
Thismethodhelpspeoplefeelsafe,present,andmoreopentoemotional healing.Psychotherapywithwaterbringstogetherelementsofpsychology, physicaltherapy,andbody-basedhealingforamorecompleteexperience.
HowDoesWaterPsychotherapyWork Waterhasuniquepropertiesthatmakeitespeciallyeffectiveformental wellness:
● Buoyancy:Watersupportsyourbodyweight,makingmovementeasier andlighter.Thiscanreducephysicaltensionandhelploweranxietyand createasenseoflightness.
● Temperature:Warmwaterencouragesthebodytorelaxbyactivatingthe parasympatheticnervoussystem,whichhelpsreducestresshormones.
● Hydrostaticpressure:Thegentlepressureofwateraroundthebodycan improvecirculationandcreateacalmingeffectonthenervoussystem.
● Sensorystimulation:Beingimmersedinwaterstimulatesthesensesina balancedway,improvingfocus,mood,andemotionalawareness.
Together,theseeffectshelpstrengthenthemind–bodyconnection,allowingemotionalhealingtohappennaturally andcomfortably
WhatAreTheCoreBenefits of
WaterPsychotherapy Watertherapycanhelpyourmentalhealthinvariousways,
1. StressReductionandAnxietyRelief
Spendingtimeinwarmwatercansignificantlyreducestress.Gentlemovementsandwatersupporthelpcalmthe body,lowercortisollevels,andincreasefeel-goodhormones.Manypeoplefeeldeeplyrelaxedafterevenonesession.
2. MoodImprovementandEmotionalBalance
Water-basedtherapyoftenleavespeoplefeelinglighterandmoreemotionallybalanced.Thesoothingenvironment makesiteasiertoreleaseemotionaltensionandbuildresilienceovertime.
3. BetterSleepandOverallWell-Being Relaxationfromwaterwillimproveyoursleepquality,whichhaspositiveeffectsonmentalhealth.Bettersleep supportsemotionalstability,mentalclarity,andphysicalrecovery
4. ImprovedMindfulnessandFocus
Water’scalmingenvironmentnaturallysupportsour minds.Thefeelingoffloatingormovingslowlyhelps bringattentiontothepresentmoment,reducing overthinkingandnegativethoughtpatterns.
5. SupportforSpecificMentalHealthConditions Researchsuggeststhatwater-basedtherapiesmayhelp withconditionssuchasanxiety,milddepression, trauma-relatedstress,anddevelopmentalchallengesin children.Forsomeindividuals,waterprovidesasafe andcomfortingenvironmentforemotionalregulation.
WhatMethodsAreUsedinWaterPsychotherapy WaterPsychotherapycanlookdifferentdependingon individualneeds.Commonapproachesinclude,
1. Hydrotherapy:
Guidedmovementsorrelaxationinwaterusing temperature,resistance,orjets.
2. AquaticPsychotherapy:
Therapysessionsthatcombineemotionaland psychologicalworkwithgentlemovementinwater
3. MindfulnessinWater:
Focusedbreathing,bodyawareness,andcalm movementwhilefloatingorstandinginwater.
4. SpecialisedTechniques:
PracticessuchasWatsu,whichusegentlestretching andrhythmicmovementtorelaxthebodyandmind.
Eachmethodsupportsholisticmentalhealthby blendingemotionalcarewithphysicalcomfort.
WhichMentalHealthConditionsNeedWater Therapy
WaterPsychotherapymaybehelpfulforpeople experiencing,
● Ongoingstressoranxiety
● Milddepressionoremotionalimbalance
● TraumaandPTSD
● Emotionalburnout
● Behaviouralordevelopmentalchallenges inchildren
ForindividualswithPTSD,water-basedtherapymayhelp reduceanxietyandimprovesleepbyofferingasenseof safetyandsupport.
IsWaterPsychotherapySafeandEffective Whenguidedbytrainedprofessionals,waterpsychotherapy isgenerallysafeandlowrisk.Itdoesnotrelyonmedication andinsteadworkswiththebody’snaturalabilitytorelaxand heal.
However,peoplewithcertainmedicalconditions,suchas heartproblemsoropenwounds,shouldconsultahealthcare providerbeforestarting.Professionalguidanceensuresboth safetyandeffectiveness.
HowtoGetStartedWithWaterPsychology
IfyouarecuriousabouttryingWaterPsychotherapy,
1. Lookforaqualifiedtherapisttrainedin water-based oraquatictherapy
2. Shareyourmentalhealthgoalsandanyconcernsbefore starting.
3. Learnaboutthetherapysetting,includingwater temperatureanddepth.
4. Beginwithgentlesessionsandnoticehowyourbodyand mindrespond.
WaterPsychotherapycanbeusedonitsownoralongside othermentalhealthtreatments.
Conclusion WaterPsychotherapyismorethanjustawellnesstrend.Itis agentle,holisticapproachthatuseswater,anaturalsource, asatooltosupportemotionalbalanceandmentalhealth.
Fromeasingstressandimprovingmoodtoencouraging mindfulnessandbettersleep,water-basedhealingoffersreal benefitsforpeopleofallages.
Whetheryouareexploringself-careoptionsorlookingto expandyourmentalhealthtoolkit,thistherapycanbea meaningfulsteptowardoverall well-being.
Ifthisguidehelpedyou,considersharingitwithotherswho maybenefitfromthehealingpowerofwater.
WilliamT. “ Tough times call for great leaders. BeforeWilliamT.BuddwasaCEO,before
heheldaPhDinIntegrativeLife Sciences,andlongbeforehewasan expertintheintricatemolecularpathwaysof cancer,hewasamanwhounderstoodcrisis.He wasafirefighterandacriticalcareparamedic,a firstresponderonthefrontlinesofhumanfragility. Hisofficewasthebackofanambulance,achaotic, high-stakestheaterofhumanfragility.Heworked withthecriticallyillandthecatastrophically injured,peoplewhosebodieswereengagedina desperate,paradoxicalcivilwar
Inthosemoments,surroundedbytheblareofsirens andtheintricatemachineryoflifesupport,adeep fascinationtookroot.Williamobservedhowthe humanbody’sowncompensatorymechanisms,its elegantsystemsdesignedtosaveitself,could, duringperiodsofextremeillness,begintocause moredamagethantheinitialinjury.Itwasa profound,firsthandlessoninthestunning complexityandsometimestragicfallibilityof biologicalsystems.Thisexperience,witnessingthe body’sintricatesystemsbreakdownattheirmost fundamentallevel,wouldbecomeanunlikelyyet powerfulfoundationforacareerdedicatedto rebuildingthem.
Thestoryof WilliamBuddisthestoryofaman whotraveledfromthefrontlinesofhumantrauma tothefrontiersofmolecularbiology.Itisthestory ofaleaderwhounderstandsthattosolvethemost complexdiseases,youmustfirstunderstandthe complexityofthesystemsthemselves—whether theyexistwithinasinglehumancelloracrossa nationalnetworkofclinicallaboratories.
ThePivottotheCellularLevel Thequestionsthataroseinthebackofthe ambulancefollowedWilliamto Virginia Commonwealth University (VCU).Hisinterestin thebody’scomplexinteractionsledhimtopivot fromemergencycaretotheintricateworldof scientificresearch.HecompletedhisMasterof ScienceinBioinformaticsin2010,followedbya PhDinIntegrativeLifeSciencesin2012,witha concentrationinmolecularbiologyand biochemistry Themacro-levelchaosoftraumacare wasreplacedbyafascinationwiththemicro-level chaosofcancer
“While at VCU, I became interested in the processes of tumorigenesis and cancer progression,” Williamrecalls.He immersedhimselfinthestudyofprostatecancer,helpingto elucidatethecrucialrolethatmicroRNAs—tiny,non-coding molecules—playintheinitiationofatumoranditsdeadly progressionintometastasis.Hewaslearningtoseediseasenot asasingleevent,butasasystemsfailure,acascadeofbroken communicationwithinthemostcomplexnetworkofall.This systemsbiologyframework,theideathatcomplexdiseasescan onlybeunderstoodbyintegratingmultiplelevelsofdata, becamehisguidingscientificprinciple.
BuildingaRemedyfortheSystem Afteryearsinresearch,Dr Williamsawadifferentkindof systeminneedofattention:theclinicallaboratoryecosystem itself.Hesawlabsstrugglingwithinefficientworkflows, navigatingshiftingregulatorylandscapes,andtryingto commercializebrilliantnewtechnologieswithoutaclearpath tomarket.In2022,hetookthehelmasCEOof AlliantLabConsulting,acompanydesignedtoaddressthese systemicproblemshead-on.
AsCEOoftheSouthaven,MS-basedcompany,hiskey responsibilitiesarethedevelopmentandmaintenanceof strategicpartnerships.AlliantLabConsultingactsasacrucial bridgebetweenworlds.Theyworkwithclinicallaboratories, deviceandassaymanufacturers,andphysiciangroups,offering asuiteofservicesdesignedtooptimizetheentirelaboratory lifecycle.Theircoreofferingsareadirectreflectionofthepain pointsDr Williamhasobservedintheindustry:
● Validationoflaboratory-developedtests
● Installationoflaboratoryequipment
● Optimizationofworkflow
● Installationoflaboratoryinformationmanagementsystems
● Healthcarecompliance
● Revenuecyclemanagement
● Developmentofcustomassaysandgoto marketassessments
“As a clinical life science leader, I need to ensure that I remain cognizant of the quickly shifting reimbursement landscape and help our clients stay ahead of the changes,” Dr.Williamsays, highlightingoneofthemostpressingchallengeshispartners face.Anotherisstaffing.Inresponse,Alliantstarteditsown recruitingandstaffingdivision,dedicatedtocontinuously sourcingthe “best and brightest in the industry” foritsclients. Hisroleistoensurehisscientificteamshaveeveryresource theyneed,clearingthepathsotheycansolvethecomplex problemsathand.
TheMetricsofImpact ForDr.William,successisnotanabstractconcept;itisaset ofmeasurable,real-worldoutcomes.Whenworkingwith clinicalpartners,histeamassessessuccessthroughalensof directimpact.
● Havetheydecreasedtheturnaroundtimefortesting?
● Havetheybroughtanew,vitaltestin-housethatwas previouslyoutsourced?
● Havetheyimplementedasolutionthatallowsaclinician toinitiatedefinitivetreatmentforapatientmorequickly?
Forhisbiotechandmanufacturingpartners,thequestions arejustasdirect:
● Havesalesincreased?
● Hasthequalityoftheproductintheclinical environmentimproved?
Thisfocusontangibleresultsextendstohisowncompany’s KPIs,whichincludeincreasedtestutilizationandrevenue forclients,decreaseddenialsfrompayers,andthenumber ofprojectscompletedpermonth.Itistherigorous, data-drivenmindsetofascientistappliedtothecomplex, oftenmessy,worldofbusiness.
LeadershipForgedinCrisis “Tough times call for great leaders,” Dr Williamstates. “It is easy to appear to be a good leader when things are going well. It is not clear that you’re a good leader until things are not going well.” Thisisnotatheoreticalmaximforhim;itis aphilosophyforgedinthecrucibleofprofound professionalchallenges.
Hisleadershipwasmostseverelytestedwhenhewas workingwithalargecompanythatwassuddenlyand catastrophicallyabandonedbyitsprivateequityfirm.Without warning,fundingwaspulled,andover300peoplewerelaid off.Theoperationwasinfreefall.Dr.Williamwasfacedwith themonumentaltaskofshuttingdowntheentireoperationin anorderlyfashion.Hehadtoconvinceasmall,essential contingencyofpeopletoremainbehindandhelphim,all withoutanyguaranteethattheywouldbepaidfortheirwork.
Itwasamomentthatstrippedleadershipdowntoitsmost essentialelement:trust “Thankfully, there were a number of people that respected and trusted me enough to help,” Dr.Williamrecalls.Thatagroupofpeople,inthefaceof suchuncertaintyandbetrayal,chosetostayandwork alongsidehimisperhapsthemostpowerfultestamenttohis leadershipstyle,onethatinspiresloyaltyeveninthedarkest oftimes.
Thisexperiencestandsinstarkcontrasttowhathedescribes ashishighestmoments: working with and mentoring junior scientists.Hefindsimmensejoyin “seeing the excitement they feel when they are able to make connections between didactic and experimental work.” Itistheheartofateacher,a leaderwhofindsfulfillmentinempoweringothers.
TheCOVID-19Response OneofDr.William’sproudestandmostimpactful accomplishmentscameattheverydawnoftheCOVID-19 pandemic.Atthetime,hewasworkingforasmallclinical toxicologylaboratoryandhadbeenhiredtostartamolecular diagnosticsprogram.InlateDecember2019,withthefirst whispersofanovelcoronavirusemergingfromChina,hehad theforesighttoreachouttoacorporatecontactintheUK. Together,theybegantocollaborateondevelopingaPCR assayforSARS-CoV-2.
ByFebruary2020,beforethevirushadfullygrippedthe world,theyhadsuccessfullydevelopedandvalidateda clinicalassay.ByearlyMarch,whentheneedbecame critical,theywereready
It is easy to appear to be a good leader when things are going well. It is not clear that you re a good leader until things are not going well. “ “We scaled quickly to provide results on the same day of receipt for over 3000 samples at a time other national labs were taking up to 7 days to report results,” Dr.Williamsays.Theyworkedcloselywith publichealthpartners,implementingdrive-through testingsitesinmultipleareasattheheightof thepandemic.
Buttheinnovationdidn’tstopthere.In2021,as multiplevariantsbegantocirculate—variantsfor whichtreatmentoroutcomesmightdiffer—histeam developedaclinicalassaythatcoulddeterminethe specificvariantinrealtime.Itwasaremarkablefeat ofspeed,foresight,andscientificrigorthat undoubtedlysavedlivesandprovidedcriticaldata whentheworldneededitmost.
TheFutureisIntelligent Lookingahead,Dr.Williamismostexcitedbythe potentialofartificialintelligence,particularlylarge languagemodels(LLMs),totransformtheclinicallab industry.HeseesafuturewhereAIcanhelpidentify gapsincareandrecommendpotentialsolutions directlytoclinicians,creatingamoreintelligentand responsivehealthcareecosystem.
ForAlliantLabConsulting,thenextyearwillbe focusedoncontinuingtodevelopstrategic partnershipswithvendorsanddevicemanufacturers. Heisalsokeenlyinterestedintheburgeoningfieldof direct-to-consumer(DTC)testing,seeingthe continuedshiftoftestingfromthedoctor’sofficeto thehome.
Throughitall,Dr.Williammaintainshisbalanceby ensuringhetakestimeoffeveryfewmonthstoget away,reset,andrefresh.Itisanecessarypracticefora leaderwhohasspenthiscareerrunningtoward,not awayfrom,themostcomplexchallenges.Fromthe backofanambulancetothefrontiersofAI,William Buddhasneverlostthecoreinsightthatinspiredhim fromthebeginning:thatthebestwaytohealistofirst understandthesystem,andthenhavethecourage,the vision,andtheleadershiptobuildabetterone.
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