Category Archives: Health

4 Ways a Healthy Diet Can Change Your Health 

When people hear the word “diet,” they automatically associate it with weight loss.  And while weight loss is undoubtedly one of the perks that come along with following a diet, there are many other benefits that come along with eating the right foods. Ultimately, your health is more than just a dress size or a number on the scale. The foods that you eat can play a significant role in every aspect of your life, from your immune system, to your mental health. Here are some of the ways that a healthy diet can transform your life in ways that extend beyond your appearance.

Increased Lifespan

Statistics show that people who live the longest are the ones who prioritize their diets. A healthy diet is critical if you hope to live a long and healthy life. When you nourish your body full of naturally healthy foods, you’ll feel better and look better well into your older years.  Not to mention, your life expectancy can significantly increase when you’re selective about the foods you put into your body.

Increased Energy

The foods we eat are fuel. They provide the energy we need to carry out our daily activities. Eating a diet that’s rich in whole grains, fruits and vegetables, will sustain your energy, and help you maintain optimal energy. When you eat foods that are full of natural sugars, your body will process these foods in a way that makes you feel more vibrant and alert. However, when you eat artificially processed sugars and fats, you’ll eventually experience an energy crash.

Improved Digestion

A diet full of fiber is one that is regular, and free of indigestion or pain. When you eat a whole and rich diet, you’ll avoid constipation, and also maintain a healthy weight. When you consume foods like yogurt, and even kimchi, you’re filling your body full of probiotics which improve gut health, and in turn fewer gastrointestinal issues like gas or bloating.

Mental Well-Being

Certain foods can significantly improve our mental clarity, and leave us feeling more focused and alert. In fact, some foods have been shown to directly affect our susceptibility to things like anxiety and stress. Consuming foods like fish and eggs for example is highly recommended for people who are concerned about cognitive decline.

Besides improving your memory, the right foods can even improve mental clarity. Think of it this way—if you’re going to sit down and read a book, what do you think is going to sustain your focus and energy more? A bowl of almonds, or a big piece of greasy pizza? Choose your foods carefully, and you’ll thrive and flourish from the inside out as a result.

What Role Does Iron Play in Senior Nutrition?

As people grow older, their dietary needs change. Some nutrients become even more crucial for staying healthy and well. Iron is one key nutrient that’s very important in the meals of elderly folks, especially those living in assisted homes. This piece explores why iron matters so much to elder nutrition.

The Importance of Iron in Aging Bodies

Iron is key in our bodies as we age. Most notably, it helps create hemoglobin, the component that lets red blood cells spread oxygen all over your body. Sadly, when folks get older, their system doesn’t take up iron like it used to, which could lead to a lack of iron or ‘iron deficiency anemia.’ 

This issue can make you feel tired and weak and even mess with how well your brain functions. This greatly affects life’s quality! Iron also backs up immune systems, especially since natural defenses drop off as people age.

Recommended Iron Intake for Seniors

How much iron one needs differs based on age and whether you’re male or female. Men over 50 need about 8 mg of iron each day. The same goes for women in that age group, which is a lower amount than what they needed back when they could have kids. 

But these numbers can switch up depending on your health status, how fast your body takes in nutrients, and what foods you choose to eat. For advice tailored to their unique situation without going beyond safe levels of consumption, it is always wise for seniors to check with medical professionals.

Dietary Sources of Iron

Eating a varied diet full of iron is really important for older adults. Iron comes in two types – heme and non-heme. Your body absorbs the heme kind more easily, which you can get from meats like beef, chicken, or fish. 

The other type, non-heme, is found in plants such as lentils, beans, spinach, and fortified cereals, but taking it with Vitamin C boosts its absorption rate. To ensure they’re getting enough iron, elderly folks should make sure their meals are filled with both animal-based (heme) and plant-based (non-heme) sources.

Risks of Iron Deficiency and Overload in Seniors

Iron deficiency can be a big issue, especially for older folks. But taking too much iron is also something to watch out for. Too much iron, called hemochromatosis, could even harm your liver or heart and cause diabetes. 

Therefore, it’s crucial that seniors get the balance right, not too little, but definitely no surplus of this vital nutrient in their diets. To make sure they’re on point with optimal levels, regular blood tests are advised, particularly if they have ongoing health issues (chronic conditions)  or take supplement pills regularly.

Conclusion

So, this piece covers all the bases when it comes to iron and elderly nutrition. We’ve talked about why it’s important, how much you need daily (recommended intake), what foods can give you a good dose of iron, and avoiding taking in too little or too much!

Managing Chronic Back Pain: A Holistic Approach with Spinal Decompression

Chronic back pain is a formidable adversary that can disrupt every aspect of our lives. It’s estimated that 80% of people will experience back pain at some point in their lives, and for many, it becomes a chronic and debilitating condition. In the quest for relief, individuals often turn to conventional treatments like medication or surgery. There’s a holistic approach that offers new hope: spinal decompression combined with chiropractic care and physical therapy.

In this article, we’ll delve into the holistic aspect of spinal health and how Lakeside Sports Chiropractic and Physical Therapy has been pioneering an innovative approach that harnesses the power of spinal decompression Cornelius NC alongside complementary therapeutic techniques. This multidisciplinary approach not only offers effective pain relief but also addresses the root causes of chronic back pain.

Understanding Chronic Back Pain

Chronic back pain can result from various factors, including herniated discs, spinal stenosis, degenerative disc disease, and muscle imbalances. The traditional approach often involves managing symptoms with pain medication, which doesn’t always address the underlying issues. This is where a holistic approach comes into play.

The Power of Spinal Decompression

Spinal decompression is a non-invasive treatment that gently stretches the spine, relieving pressure on the discs and nerves. This technique is particularly effective for conditions like herniated discs and spinal stenosis. By creating negative pressure within the affected disc, spinal decompression encourages the flow of nutrients, oxygen, and healing factors to the damaged area. This helps reduce pain and promote the body’s natural healing process.

Chiropractic Care: Aligning the Body

Chiropractic care focuses on the relationship between the spine and the nervous system. Misalignments in the spine can disrupt the body’s ability to function optimally, contributing to back pain and other health issues. Chiropractors use manual adjustments to correct these misalignments, promoting better spinal health and overall well-being. When combined with spinal decompression, chiropractic care can enhance the effectiveness of the treatment by ensuring that the spine is in proper alignment.

Physical Therapy: Strengthening and Rehabilitation

Physical therapy plays a crucial role in the holistic approach to managing chronic back pain. It involves exercises and techniques designed to strengthen the muscles surrounding the spine, improve flexibility, and enhance overall posture. These exercises can help prevent future injuries and maintain the benefits gained from spinal decompression and chiropractic care.

The Holistic Approach to Action

Lakeside Sports Chiropractic and Physical Therapy exemplifies the holistic approach to managing chronic back pain. Their team of experts collaborates to create customized treatment plans for each patient. Here’s how it works:

Evaluation: Patients undergo a comprehensive evaluation to identify the underlying causes of their chronic back pain. This includes physical examinations, imaging, and a thorough medical history review.

Spinal Decompression: For patients with conditions suitable for spinal decompression, this treatment is integrated into their plan. The gentle stretching and decompression alleviate pressure on the spine, providing immediate relief.

Chiropractic Care: Chiropractic adjustments are used to correct any spinal misalignments and ensure that the spine is functioning optimally.

Physical Therapy: Customized exercise programs are developed to address muscle imbalances, improve posture, and prevent future back issues.

Lifestyle Recommendations: Patients are provided with guidance on lifestyle modifications, including ergonomics, nutrition, and stress management, to support long-term spinal health.

Benefits of a Holistic Approach

Long-Term Relief: Unlike pain medications that offer temporary relief, a holistic approach addresses the root causes of chronic back pain, providing lasting results.

Non-Invasive: This approach avoids the risks and recovery time associated with surgery.

Improved Quality of Life: By focusing on overall spinal health and well-being, patients experience not only pain relief but also increased mobility and vitality.

Managing chronic back pain requires a comprehensive strategy that goes beyond symptom management. Spinal decompression, when combined with chiropractic care and physical therapy Cornelius, offers a holistic approach that addresses the underlying issues and promotes long-term relief. Lakeside Sports Chiropractic and Physical Therapy’s pioneering approach showcases the potential of this multidisciplinary approach to transform the lives of those suffering from chronic back pain. Don’t let back pain control your life; explore the holistic approach to spinal health and rediscover the joy of pain-free living.

5 Healing Benefits of Food 

We’ve all seen the infamous food pyramid poster, and of course, we’ve all heard that we should eat our fruits and vegetables. But what few of us actually know is why we should eat these kinds of foods. 

Many of the nutritional choices we are encouraged to eat are centralized around weight management. And while weight management is beneficial for our overall well-being, it’s not the only health benefit that the right foods can offer us. 

Different foods contain different nutrients— nutrients that can help our bodies in all sorts of ways. Here are some of the healing benefits that foods can offer that you may find interesting.

Improved Brain Function

Unfortunately, some of us are genetically inclined toward developing memory-related diseases like dementia. And while we may not always be able to deny our DNA, we can improve our brain function and memory retention. 

Eating foods that contain omega-3 fatty acids can help enhance brain power and prevent memory loss.  By including plenty of foods like salmon, nuts, and leafy green vegetables into your diet, you’ll pack plenty of the right brain-boosting nutrients into your day.

Immune Support

A strong immune system is the cornerstone of optimal health. The more you can defend yourself against pesky bugs that come your way throughout the year, the last time you’ll find yourself miserable in bed.  There are many different foods that contain immune-boosting nutrients, however, some of the best are garlic, citrus fruits, and yogurt. 

If you can manage to incorporate some of these into your life at every meal, you’ll find it can be just as good if not better than a daily multivitamin.

Mood Regulation

Have you ever noticed that even though some foods taste delicious in the heat of the moment, the aftermath isn’t as good as the temporary pleasure? This is because when we eat foods that are highly processed and full of saturated fats and sugars, it often affects our moods. 

There are all sorts of hormones and chemicals in foods that are prepackaged so, the more we can eat foods that are naturally derived and pure, the less we’ll find ourselves experiencing mood swings.

Increased Energy

Do you find yourself dipping in energy at certain points during the day? It may very well have something to do with your diet and nothing to do with the amount of coffee you drink. Eating heavy and starchy foods may fill us up temporarily, but it puts our digestion on overdrive, to the point where we may experience fatigue. Some nutrition experts believe that this is a result of a glucose crash. 

Try to not only opt for healthier foods but also consider changing the order in which you eat things. By saving your starches and fats for last, you’ll find a significant improvement in your energy levels.

Food is so much more than just something we eat. It can be a powerful healing tool and the key to our overall well-being. By making a conscious choice to eat well, you can live a healthier and more well-rounded life.

5 Nutrition Tips For Seniors

Eating a nutritious diet is important for everyone of any age. However, as we get older we can become more susceptible to certain conditions and diseases. Eating well is an essential part of staying healthy and keeping our organisms at top form.  

Yet, people who are just getting started incorporating a healthier diet in their lifestyle at an older age may not be sure where to begin.  To help you kickstart better nutrition in your senior years, here are some of the best tips.

Eat Plenty of Vegetables

Vegetables are the cornerstone of a healthy diet because they are full of plenty of nutrients, fiber, and are extremely low in calories. Rather than filling yourself up with starches and proteins initially, always start your meal with some vegetables. Although raw vegetables are ideal, any sort of vegetables are a good thing. Whether frozen, or any can, try to incorporate more vegetables into every meal whenever possible.

Eat a Wide Range of Proteins

Protein is equally as important in a diet. However, it’s important that you vary the protein sources that you eat.  From poultry, to fish, to eggs, add different sorts of proteins to get the maximum benefit out of them. Get creative with your recipes, and try proteins that you may not have considered trying before. You may be surprised to find that you like things you never imagined!  Sometimes it just takes a little creativity and flavor.

Avoid “Diet” Foods

There are all sorts of “diet” options available on the market— from cookies, to dairy, to breads. Although the idea of eating “diet” versions of foods is admirable, ultimately, foods in their original form are always best. Often diet foods are lower in fat, but are packed full of sugars and extra calories trying to make up for the lack of flavor. Do yourself a favor and eat small amounts of full fat foods rather than large quantities of so-called “diet” variations.

Cut Back on Salt

Salt adds flavor to food, and it’s a great way to bring life to your food that would otherwise be bland. However, too much of anything is a bad thing.  Not only can salt impact your blood pressure, but it can also lead to water retention, and feeling bloated. Instead of always reaching for the salt, consider other spices like pepper, sage, or even rosemary. While you’re at it, consider starting your own herb garden and get creative with different spice combinations. You might just find that once you discover the world of flavors out there, salt becomes your least favorite spice.

Food Prep

One of the biggest culprits for opting for unhealthy meal options is convenience. All too often we’re hungry and we reach for the first thing we find in our cupboards or fridge. That’s why, meal prepping is a great way to ensure you have healthy choices on hand at all times.  Spend one day a week batch cooking and store it in Tupperware in your fridge or even freeze to be thawed later.

3 Health Tips For People With Multiple Sclerosis

Multiple Sclerosis, or MS is a terrible disease affecting people from all different walks of life, and it is more common than you might think.You probably know at least one person with MS, but you may not know much about it and could be curious about what you can do to help. 

If a close friend of yours, your spouse, or you yourself  have been recently diagnosed with MS, you might feel scared and completely lost. This is normal! Once you let the news sink in, start doing your research. With all of the medical advances, people with MS can live happy lives well beyond reaching retirement. To help you get started on this journey, here are 3 health tips for people with MS. 

Change Your Diet

Although there are differing opinions amongst the medical community on exactly what type of diet is best for those with MS, there is no doubt that eating healthier in general can help to alleviate symptoms and reduce flare-ups. 

Cutting out gluten, dairy, sugar, and processed foods is a great place to start. You don’t necessarily have to be on a specific diet if you have MS, but eating cleaner is a good idea because it will help prevent inflammation in your body and other things that can aggravate the disease. 

Invest In Air Conditioning And Heat

Temperature control is extremely important for people with MS because they are extra sensitive to hot and cold. If you or someone who lives with you has MS, it is a good idea to make sure you have air conditioning or heat. If you are on disability or even if not, have a doctor write a note to see if you will be able to get your insurance company to pay for these amenities since they are important to your health. 

Be Honest With Yourself

Being honest with yourself about what you can and cannot do is important because unfortunately, MS does cause some limitations. This doesn’t mean that you won’t be able to do any of the things you love, but it does mean you will need to listen to your body and when you are struggling to do something physical it is OK to take a break or stop completely. 

Having a support system who understands your condition will help you to be honest with yourself and take care of your health so that it can slow the progression of your MS and reduce the severity of flare-ups. 

Although an MS diagnosis can be overwhelming and hard to deal with at first, with a good doctor, a strong support system, and a lot of knowledge, you will be able to live a long and happy life. Hopefully these tips are helpful in taking care of your own health in your fight with MS! 

5 Things Not To Forget in Your Cook Resume

Whenever you are looking for a new position, it’s vital to update and refresh your resume. Suppose you are looking to change roles as a chef or cook and move to a higher-paying role or a role with more responsibility. In that case, you’ll want to ensure a professional, well-crafted resume highlighting your skills, experiences, and education for potential employers.

Don’t forget there’s plenty of advice and guidance online, including an example of a cook resume from ResumeHelp that is explicitly designed to help cooks and chefs land their dream roles. 

Let’s look at 5 things to remember when updating your cook resume.

  1. Choose a Format That Highlights Your Strengths

When writing your resume, the first step is choosing a format highlighting your strengths as a candidate. Generally speaking, there are three resume formats to choose from: a chronological resume, a functional resume, and a combined resume.

A chronological resume focuses on your work history, with your work experience section listing your previous roles placed higher in the resume. On the other hand, a functional resume is a skills-based resume emphasizing your broad skillset over experience. A combined resume contains elements of the chronological and functional resume formats.

The resume format you choose depends on what you want to highlight for the recruiter. For instance, if you are a chef with lots of experience working at various restaurants demonstrating knowledge of different cuisines and an understanding of how kitchen teams work, you may opt for a chronological resume. However, if you’re relatively new to the profession but you have gained lots of skills through a culinary course, you may want to opt for a functional resume. 

  1. Include a Resume Summary or Resume Objective

A resume summary or objective is an excellent addition for candidates wishing to give a snapshot view of their career—and it’s a step many applicants miss. It succinctly summarizes your strengths for the recruiter. 

A resume summary briefly summarizes your career highlights thus far, usually referring to your years of experience or expertise in no more than three sentences. It’s like the headline advertising your qualities as a professional chef. A resume summary is therefore great for experienced candidates.

A resume objective is slightly different in that it is aspirational. You utilize it to communicate your career goals using phrases like “I am looking for opportunities” and “seeking career progression.” It’s a valuable way for those with less experience as a cook to express that their goals align with the position they’re applying for.

  1. Don’t Forget Your Contact Information

An essential element that you should never forget is your contact information. The hiring manager needs to be able to contact you about your application to their restaurant or kitchen. Therefore, remember to include all your contact information where it is easily visible in your resume header. You’ll need your full name, address, email, phone number, and possibly even your professional social media links, like your LinkedIn profile, with evidence of your cooking skills.

  1. Use the Job Description

A great tip for anybody writing a resume is to use the job description for clues about what the recruiter is looking for. You can customize your resume so it catches the recruiter’s attention by including the specific skills that the recruiter is looking for. 

When applying for a role as a cook, this will be especially relevant when compiling your skills section. What kind of role are you applying for? A leadership position? Will you need specific cooking skills? Will you be involved in the process of managing and buying stock? Answers to these questions and more should dictate which skills to feature in your skills section to help the recruiter see how you will fit in the role.

  1. Include Relevant Qualifications

This one is a bit of a no-brainer, but don’t forget to include any relevant courses you have completed along your culinary journey. These qualifications may include a degree from culinary school or shorter professional certificates and awards for food hygiene and safety.

This section is important to establish your credibility, so anything you can include to evidence your expertise and impress the hiring manager of the restaurant will be helpful.

Elbow Surgery Types

Elbow Surgery is a last-resort surgical treatment for individuals who suffer from intractable joint pain that does not respond to non-surgical treatment options. In most cases, the surgery is necessary to restore the normal range of joint mobility and avoid lasting upper limb disability. 

Like other surgeries, elbow procedures can be performed in a minimally invasive manner or as an open surgery, depending on the particular treatment needs. Read on for a brief overview of the most common types of elbow surgery performed today. 

Synovectomy

This procedure targets the synovium, which is a thin lubricant-producing layer that lines the elbow joint and most other mobile joints in the body. This surgery is usually performed for severe cases of RA (Rheumatoid Arthritis), which is a debilitating joint disease associated with joint deformities and inflammation.

Total Arthroplasty

When the joint is irreparably damaged and no minor procedure or medical treatment can save it, a total elbow arthroplasty might become necessary. A diseased joint is replaced with an artificial joint containing mechanical components.

Debridement

Debridement is a process that removes redundant or diseased bone or soft tissue elements from an elbow. The procedure is used for post-traumatic arthritis and selected cases of osteoarthritis involving the elbow. 

Interpositional Arthroplasty

This surgery is performed to treat conditions like osteoarthritis that involve rubbing of bones against each other, resulting in pain and inflammation at the elbow joint. A soft tissue medium is placed between the eburnating surfaces to reduce frictional damage and achieve symptomatic improvement. 

There are several methods to treat an elbow issue but it will surely provide patients with long-lasting relief, restoring the hand function, and enhance the appearance of the arms and hands. To achieve this, it is ideal to choose an expert orthopedic surgeon specializing in hand and wrist surgeries. Dr. Gregory Kolovich is an award-winning hand doctor based in Savannah, Georgia. As the cofounder and CMO of Oxos Medical, a developer of orthopedic imaging devices, and also the President of the Georgia Society for Surgery of the Hand, Dr. Kolovich utilizes is expertise, mechanical skills, accuracy, vast knowledge, and efficiency in helping people who suffer from hand injuries and disorders to regain their hand function and improve the quality of their life. See his 5-star testimonials at Healthgrades.

You may request an Appointment with Dr. Kolovich at Optim Orthopedics.

Lori Nazemetz Examines Advances in Medical Technology That May Help With Nutritional Health

Lori Nazemetz is a nutritional specialist who believes that technology can help her clients take better control of their life and health. The most recent advances in this tech have been fascinating and could help change this field forever. Understanding these ideas, which are just now getting implemented many years after early investigation, may help you take better control of your overall health. It could even help you plan a perfect meal plan that meets your daily needs.

Lori Nazemetz: Nutritional Tech to Watch in 2022

Nutritional technology is a fascinating field, one that Lori Nazemetz watches with interest every year. After many years of study, a few new concepts are emerging in 2022 that could be vitally important. The first of these is nutrigenomics, a unique study field that is examining how diet and nutrients affect a person’s genetic expression. In other words, how nutrition affects a person’s DNA and the ways DNA affects a person’s eating patterns and behaviors.

Advances in this field focus on simplifying DNA testing equipment and decreasing its overall cost. For example, new advances in 2022 are making it easier to spot new biomarkers in mRNA that may help scientists better understand how nutrition affects DNA and vice versa. The possibilities in this field are expansive and, while they may be subtle to some people, are worth discussing here.

For example, a study using wearable activity monitors discovered that people who ate breakfast in the morning typically spent more energy on involuntary fidgeting and other movements than people who don’t eat breakfast. Lori Nazemetz believes that studies like these can help better understand metabolic science and how seemingly small changes like that can affect a person’s overall health.

Furthermore, she states that these advances can be helped by cellphone technology that lets people not only track their dietary health but take DNA samples as well. For example, advances in phone scanning technology may help people scan bits of hair or skin and send this DNA directly to nutritionists. These professionals can then create dietary and exercise plans that make sense for people.

This type of self-assessment is something that Lori Nazemetz believes is highly possible with increasing technology. Teaching people how to use devices like these can make nutritional care easier. Plotting a person’s biomarkers for health and dietary consistency can help nutritionists better diagnose a person’s health problems, including difficulties digesting gluten and other materials.

In fact, it’s possible that such advances could help nutritionists create individualized dietary plans for each client, allowing them to maximize their overall health. For example, some people may need more protein based on their genetics, while others need less. Adjusting a person’s diet based on these facts could help them lose weight, manage their vitamin absorption, and minimize undernourishment.

Even better, Lori Nazemetz thinks that such advancements could help streamline people’s food intake by focusing them on meals that satisfy their taste and prevent excessive hunger. Though this process may seem initially challenging to some, she believes that it could dramatically improve many people’s overall dietary health and create better overall health for generations.

All you Need to Know About Bernard Brozek

There are significant and popularized personalities on this globe who have earned remark in their respective fields of talent and innovation. One of these is also the renowned and established being from the lands of United States who has contributed his wealth of leadership skills and marketing strategies in many corporate sectors of the country; Bernard Brozek. He is a remarkable personality with his achievements in the vast sectors of his country. To say less of him than this is not justified.

Without any further delay, let’s dive into the specificinformationconcernedwithBernard Brozek.

Who is Bernard Brozek?

Bernard J. Brozek also known as Bernie Brozek has long been acknowledged as the leader of ingenious and rapidly-unfolding franchises across the country. And at this day, Mr. Bernard Brozek is the Chief Operating Officer of Revibe Men’s Health.

He was also the Chief Operating Officer and Board Member at Apex Longevity known to be the nation’s top-tier DMPO which focuses on providing services for chiropractors across the United States.

He had been the Chief Operating Officer and Board Member at the Healthsource Chiropractic which is the largest Chiropractic Health and Wellness franchise in the known in the world.

Bernard Brozek is currently dwelling and contributing at a popular group of fast-growing franchises in Austin, Texas. Here he has been workingon the position of President.

Skill and Experience

Being a leader and corporate sectors’ manager, Bernard Brozek’s capacities and significant capabilities in the business sector have become unmatched and prominent.

He possesses many strengths which are known to envelop recruiting, public advertisement and also public relations, in his gripoverseveral aspects of business development. Theattributes he has gotmake it highly expandable for the marketof any corporal organization.

Bernard Brozek also known as Berniehad beenpromoted toLaundromax Chief Operating Officer in 1999. By rehabilitation of operations and financial strategies of the company, he was able to lead the company to a profitable increase of up to 30-35% percent.

Career and Establishment

Bernard Brozek’s career envelops a significant variety of brands which include; PepsiCo, Yum, Sport Clips, Home Depot, and Strategic Franchising.

A vehement and determining leader, Bernard Brozek, has allocated life to the American dream for thousands of small business traders, marketers and franchisees. He tool use of his extensive operations, accomplished coaching abilities, and the expertise of modeling.

Bernard Brozek has established around 2000 franchise, even many corporate stores across the United States. He has differentiated in assisting rapid and sustainable growth for the  entrepreneurial companies.

Bernard Brozek has ensured the growth and development of many successful Franchise Operations through his amazing inbuilt skills in innovation, vision and accountability in the United States since the start of his career.