These days, many businesses, families and individuals suffer from skyrocketing healthcare cost. To use partial assessments and then pay for endless expensive symptom relieves is a BIG cause.
In fact, many years of treatments can become months, weeks, or even days, for example, heart attack, stroke, burnout, depression, insomnia, weight gain, etc. Individuals can stay healthy and be their best! Businesses can beat rising healthcare costs, optimize healthcare quality AND be an employer of choice! This video will show you why and how.
Welcome to The Prince Synergy. I am Bin Yang. Today, I want you to look at work, life, and health from a different angle and think differently.
These days, many businesses, families and individuals suffer from skyrocketing healthcare cost. In fact, many years of treatments can become months, weeks, or even days. Many deaths and disabilities can be reversed. First, let me share a story with you.
Case Study: Beat Setback & Failure, Stay Healthy!
Not long ago, I ran into Mr. Z at a hospital. Mr. Z was a great football player at high school and had a very successful business. Unfortunately, he lost all his money in oil market. He drank heavily ever since and developed cirrhosis and gastric mass in 2 years. When he was admitted to hospital for vomiting blood, he looked like 70 years old when he was only 42. I became the first one to discuss Adversity Quotient with him.
Did the hospitals miss anything?
The hospitals failed to address the root cause– Mr. Z’s poor Adversity Quotient (AQ). Unless his AQ could be strengthened, Mr. Z would keep on going back to the hospitals and getting worse. Healthcare would become endless symptom relieves, wasting his life and money.
I became the first one to help him rebuild his AQ. Mr. Z quit drinking in 1 week. His liver and stomach recovered rapidly in the following 4 weeks.
The world does not challenge only your strengths. However, many people handle setbacks and failures via drinking, smoking, drugs and other unhealthy means due to a poor AQ and develop various health issues.
Unless we can get to the root cause, healthcare will become endless symptom relieves, wasting life and money. Let’s go to the second case.
Case Study: Eliminate Insomnia with the Right Law
One time I had a patient who was an attorney. Because his parents left all their money to him, nothing to his sister, his sister kept on suing the family, and he had to manage. As time passed by, he developed insomnia and anxiety. He had been to other firms before he came to me and was quite familiar with standard maneuvers, such as position change.
I asked him if his family had set up a family fund. He said no. So, I told him, “Set up your family fund, so you do not have to give your 40% to Uncle Sam. Give it to your sister.” The attorney was speechless. From that day, he needed no more sleeping pills or therapies. What he needed was a right law. Once his issue was gone, his health issues disappeared.
Where Did the Success Started?
When I was doing residency, I noticed many people went to the hospitals because they could not handle the challenges outside. Usually, once I found the missing tools to meet their challenges, many got well quickly with minimum re-occurrence rates. Many years of healthcare treatments into months, weeks, or even days.
About 70% of primary
clinical visits are related to stress.
However, most people just keep on going back to their doctors. In fact, one big cause of stress-related health
issues is the lack of the right tools to meet challenges. Each person has 6Q, IQ, EQ, Learning Q,
Adversity Q, Public influence Q and Health Q.
Doctors mainly fix health through medicine. Individuals usually miss some tools to other
Traditional education gives some tools in IQ and EQ, which mainly covers half of the human system. By finding their missing tools, we have helped many patients recover quickly, including the same day, with minimum re-occurrence. That is what we called “Find Your Missing Tools, See Doctors Less.” Our success started at clinics in 2004 where we invented the 6Q Approach.
What is Missing in Health Risk Assessment and Biometric Screening?
Many institutions provide workers an opportunity to complete a health risk assessment and a biometric screening. (Health Risk Assessment includes questions about a person’s medical history, health status, and lifestyle. Biometric Screening focuses on risk factors such as body weight, cholesterol, blood pressure, stress, and nutrition.)
What is missing in the two assessments? They miss the impact of challenges over a person’s health. A person can suffer from heart attack and stroke even if the person is a vegetarian and an athlete and has no past and family medical history.
Beat Skyrocketing Healthcare Costs!
To use partial assessments and then pay for endless expensive symptom relieves is a BIG cause of today’s skyrocketing healthcare costs!
In fact, individuals can stay healthy, recover quickly if needed, and be their best! Businesses can beat rising healthcare costs, optimize healthcare quality AND be an employer of choice!
Contact us if you need more case studies and a solution: D R E A M & P O W E R www.dreamandpower.com, +1-310-668-1828
Healthcare costs have been soaring every year so fast that President Barack Obama once said, “By a wide margin, the biggest threat to our nation’s balance sheet is the skyrocketing cost of healthcare. It’s not even close.” In The Cost Conundrum, Dr. Atul Gawande described how some doctors at McAllen, Texas turn a population of twelve thousand dollars income per capital into one of fifteen thousand dollars per enrollee in Medicare, almost twice the national average.
The doctors’ business drive is only one internal cause. Middlemen’s profit sharing is one external cause. The non-health cause that contributes to about 70% of primary clinical visits for stress-related health issues and the limited way how businesses and individuals meet challenges and stay healthy also give those white-coat wolfs legitimate reasons and endless opportunities to suck the blood out of individuals, businesses, and economic systems. In addition, not all doctors have the best knowledge and problem-solving.
We can not only cut down healthcare costs but also improve healthcare quality and productivity at the same time. We can not only cut down today’s healthcare costs but also anticipate development needs in coming challenges, make wise investments and take early action. Our success started at the clinic in 2004 when I first invented the 6Q Approach. Here are 5 main steps.
Meet challenges with the Right Tools
– How Can Medical Treatments Become Expensive and Endless Symptom Relieves?
A study at Toronto University Family Medicine found that 70% of their primary visits are stress related. Most stress-related health issues are directly related to the lack of the right tools to meet the challenge, relax and restore self, for example, insomnia, heart attack, diabetes, obesity, and fast aging. McAllen could have heavy drinking sixty percent higher than the national average because many individuals in that area have lower education and fewer opportunities, so they drink to achieve a fast relief. Smoking and food are other common antidepressants. Then obesity and others associated diseases follow, such as heart attack, diabetes, and hypertension.
Some doctors and hospitals do not want their patients to find their missing tool—they want their patients to keep on coming back. Some doctors indulge their patients with heart failure not to sleep and eat right so they can have “a new heart” quicker. Until individuals can find their missing tools, the same issues often keep on coming back and getting worse. Because doctors and hospitals are often paid by visits and procedures, medical treatments can become expensive and endless symptom relieves with legitimate reasons. As people go to the clinic or hospital more, more complications can emerge, which require further treatments. Heart disease is a good example.
-Limited Talent Management Also Contributes to Health Issues
The best way for talent to minimize stress-related health issues is to stay on the right track (avoid unsuitable challenges) and meet challenges with the right tools. However, people often lack the right tools to meet challenges, especially those resulted from non-IQ and non-EQ sources.
Behaviors can reflect the underlying structure in different environments but often change as environments changes. Thus, insignificant weaknesses in that environment will not surface but can impact the next project. We call the weakness Relative Weakness. The 360-degree evaluation can only collect behavior observation AFTER a person gets into the specific environment. “Shoot Burnout, Save His Job!” is a good example. Individuals with high EQ can control what others can observe at the workplace and alter 360-degree evaluation results. A 2016 Deloitte survey found that only 13% of companies believe they are building effective global leaders.
Manage Self Efficiently
Jamie Dimon, CEO of JP Morgan, repeatedly said at top MBAs that individuals ought to take care of themselves and not to expect their company to babysitter them. However, many people cannot manage self efficiently due to poor knowledge and then develop or worsen their health issues, for example, stroke and fast aging.
Some people go to the hospital too late, which makes a small problem big, big problem impossible. One couple called 911 after their son got choked. By the time when an ambulance arrived, the boy already died as the human brain can only tolerate no oxygen for 6-7 minutes. The couple should have removed the foreign object and started CPR (cardiac pulmonary resuscitation) while waiting for the ambulance. In heart attack and stroke, the window time to dissolve the clots is only a few hours. However, many people miss the precious hours and have a feeble recovery.
Self-management can be the most difficult task in the world because of human nature and knowledge base, starting from decision-making to execution, including time management, teamwork, relaxation, restoration, etc. Many individuals miss some tools along the process, which can impede their success and destroy their health.
NOT to Rely on the Hospitals
Not every doctor and hospital has the best knowledge or keeps the best interest of their patients in mind. Some doctors only want to use their specialty to solve ALL problems. For example, a Psychiatrist wants to treat a heart attack by easing a patient’s mind, and a Surgeon likes to use a knife instead of preventive care. Some physicians have limited knowledge and creativity. Many disabilities and deaths result from improper treatments or unnecessary treatments.
In 1997, my mother and I were rear-ended in a tragic auto accident. She was put on a ventilator since she could not breathe on her own. About 5 weeks later, her doctor diagnosed that she would be ventilator-dependent for the rest of her life since she did not improve. My mom refused to live on the ventilator, so I had to be the one to discontinue her lifeline. I decided to exam her myself before I took the final step. To my surprise, I found her diaphragm was intact, which meant that she could breathe by raising and relaxing her diaphragm (abdominal breath). I taught her the new way of breathing. She got off the ventilator in three days. Later she regained her independence through both the Eastern and Western medicine.
I suffered a Traumatic Brain Injury in the accident. Almost all experts predicted that I could not recover. In the meantime, we got zero compensation from the courts, including the US Supreme Court. After I cried for a whole night, I decided to recover myself and apply for a medical license. In addition to the Eastern and Western medicine, I studied hard, joined all kinds of events and tried everything I could found. Thank God, I have passed all 3 steps of medical license examinations and received many excellent letters of recommendations at the clinics.
Anticipate Issues, Take Early Action
Each person’s 6 quotients are integrated, which is why health issues can have non-health causes, and poor IQ and EQ performance can result from non-IQ and non-EQ sources. By knowing individual 6Q structures, we can anticipate when relative weaknesses will become significant, which strengthen can be irrelevant, so businesses and individuals can make wise investments.
* Using one tool for All Issues
* Stay out of their maximum comfort(aptitude) zone
* Tripped up by relative weaknesses
* Unable to utilize resources
* Run out of gas (energy)
* Inability to handle setbacks and failures
* Insufficient relaxations and restoration techniques
* Go to the hospital only for stress-related health problems.
Look at the Big Picture, Think Differently
Human work, life, and health are integrated. As long as health issues can have non-health causes, health management is NOT equal to hospital management. We cannot rely on hospitals and medicine alone to stay healthy nor use IQ, EQ, and behavior tools only to meet challenges and avoid stress-related health issues. Partial approaches only offer legitimate reasons for greedy doctors and hospitals to suck the blood out of customers and economic systems and destroy the competitiveness of businesses and nations and bankrupting millions of families.
The efficient solution is to link health management with talent management, remove the root causes of endless symptom relieves and empower individuals to participate in personal health management and utilize health resources wisely. Individuals can get well quickly, including the same day, with the minimum re-occurrence like the cases above. Businesses can optimize productivity and minimize absenteeism and healthcare costs. In addition, both can anticipate development needs, including health needs in coming challenges, make wise investments, and take early action. Solving problems around healthcare alone is inefficient. Unlike health insurance companies, businesses do not have the conflict of interests in paying for personal development.
It is time to look at the big picture, think differently and target issues with the right tools. By doing so, we can not only cut down healthcare costs but also improve healthcare quality and productivity at the same time and help more businesses become an employer of choice.
About the Author Bin Yang is the Managing Director of The Prince Synergy (www.theprincesynergy.com), a leading consulting firm that focuses on empowering leaders and elites to be their best and stay healthy (TPS Dream & Power) and building exceptional leaders to strengthen society (TPS Executive Academy). She is the author of What Stops Leaders from Good to Great. For more information or to schedule an interview, lecture, or appointment, please contact 310-668-1828.
Many people have been told that Traumatic Brain Injury victims achieve maximum recovery in 2 years (called 2-year plateau).
THAT IS NOT TRUE as their uninjured brain cells have
the same DNA and can learn, and some injured cells can still heal. That
is how I could recover myself from Traumatic Brain Injury happened in 1997,
passed medical license exams in 2001-2003, and received excellent letters of recommendation at the
I have helped every Traumatic Brain Injury victim I have met,
who were 5-12 years beyond their 2-year plateau. One had left upper brain removal due to Traumatic Brain Injury ten years
before he came to the clinic. His mother always accompanied him to the clinic and answered
almost all the questions for him. I knew
that the only way the man could speak better is to practice whenever possible.
I asked him to answer all the questions and told him that I had all the time I
Of course, I did not have unlimited time. However, the man’s issue was
straightforward. I had already read his medical history and could always
ask his mother if needed. He was very slow initially, but he answered all my
questions. Then I gave him some homework, asked him to read aloud at home and
tell me the homework for the next visit. As he could speak more and more,
the man became more and more alive, energetic and shinning.
Impeded the Recovery from Traumatic Brain Injury?
The 2-year plateau in Traumatic Brain Injury has a lot to do with the limited focus and power of current rehab: • Focus on damaged brain cells instead of both injured AND uninjured ones, and Western medicine has limited healing at the chronic stage. • The cognitive therapy is mainly supportive instead of helping individuals be who they were.
The brain rehab I went to mainly help me stay alive, no fall and no choking, which was essential but did not help me get back to who I was. Doctors mainly knocked my knees and elbows (reflex check) during follow-up visits. Social service and psychological support mainly let me express my fear and struggle and then advised me to be patient or accept my “new life.”
Attorneys often focus on making more money now instead of
clients’ recovery and future. I had
three attorneys in workman’s compensation as my head injury happened on my way
to work. All of them wanted me to claim
100% disabilities even
after I passed medical licensing exams and received excellent letters of
recommendation. If people like me was
100% disable, how many are able out there?
Who will trust me?
Why Are We Enthusiastic about Traumatic Brain InjuryRecovery?
Everyone has the right to pursue freedom, success, and happiness. Nothing can be more painful and frightening than to lose brainpower, the inner ability to execute and defend the fundamental human right. Without a normal-functional brain, breath and heartbeat are meaningless! Having been there, I will never forget the endless fear and agonizing pain in my soul.
The next is the financial
impact. Per Centers
for Disease and Prevention, about
2.8 million people sustain a Traumatic Brain
Injury annually. The
lifetime costs of a patient’s treatment for a traumatic brain injury are
estimated to run from $85,000 to $3 million. The unemployment rate two years after
diagnosis is 60% while the national unemployment average of 5.1%. Up to
53% of the homeless are affected with a brain injury (I almost became one of
them). In fact, many of these victims can regain independence and dignity
like me if they have the tools they need.
However, most people do not know the pathway to be themselves again. Many states and others only want to pay for what they are used to, for example, neuro assessment and daily living assistance.
How We Beat Traumatic Brain Injurybeyond the “2-Year Plateau?”
First, the victims need to have enough uninjured brain cells that still have the same DNA and can learn. Then we can help them enhance the healing of injured cells and install high cognitive function into uninjured cells. The tools we use are the Eastern and Western Medicine and the 6Q tools that can build leaders and elites beyond IQ, EQ, and Behavior. I will discuss the 6Q tools more below.
Recovery from Traumatic Brain Injury v. Leadership Development
Current leadership and talent development focus on IQ and EQ and use behaviors to guess the rest system that also includes Learning Q, Adversity Q, Public Influence Q, and Health Q. That often leads to poor results. In 2016, Deloitte found that 13% of companies believe they are building effective global leaders. The partial approach also impedes individuals’ recovery from Traumatic Brain Injury.
A big part of traumatic brain injury recovery is to restore high cognitive function and help individuals be who they were as much as possible. Although the process can be more complicated than to develop leadership and other skills, the principle of success is the same. That is to get to the root cause of individual behaviors, instead of mimicking behaviors alone.
I was determined to recover myself and acted
as if I had recovered from the beginning. However, I still needed to restore my
high cognitive function, heal myself as much as possible, make my learning
easy, and absorb all the medical knowledge required to pass medical licensing
exams. However, current rehab mainly motivates
patients, and nothing further.
Behavior change in Traumatic Brain Injury recovery can be another typical example. A young business owner suffered from Traumatic Brain Injury and had to relearn everything. He was so frustrated that he often called 911 to go to the emergency room (ER), yelling at the doctors and nurses there to vent his stress. His ER visits lasted for years, and the ER doctors could not solve his issue but be supportive. One day I was doing my rotation at ER and met him. I understood his frustration, talk to him about his progress, and share with him my live sample of success. It took about 10 minutes, and he thanked me in the end. ER nurses later told me that the ER visit was his shortest and most pleasant one, and he soon went to work. I could change his behavior in 10 minutes because I got the root cause of his behavior.
By evaluating all 6Qs and getting
to the root causes of behaviors, we can help victims identify learning needs precisely
and learn easy and fast.
Recovery from Traumatic Brain Injury v. Skyrocketing Healthcare Cost
The steep lifetime treatment of $85,000 to $3 million has a lot to do with unnecessary or inefficiently medical treatments. Many Traumatic Brain Injury victims can regain their independence and dignity and be a contributor to society like me instead of taking endless treatment and living in fear, pain and agony. All they need is to rehab with the right tools that include Western and Eastern medicine tools and the 6Q non-health tools.
Ineffective treatments affect not only traumatic brain injury victims but also those of stress-related health issues, other injuries and more, for example, heart attack, stroke, weight gain, insomnia, diabetes, fibromyalgia, wrongful deaths, etc. You can read more case studies on our website.
medical errors are another contributor of today skyrocketing healthcare costs, killing
as many as 400,000 people every year, per Pacific Business Group on Health.
It is not hard to solve the above two issues. Then businesses and individuals can enjoy high-quality health care at affordable prices.
How We Help Traumatic Brain InjuryVictims? Who Can Benefit from Us?
Each person has different needs. In general, we design custom cognitive solutions through the 6Q Approach and promote further healing through Eastern and Western medicine, self-care, and other non-health tools. ManyTraumatic Brain Injury victims can show some improvement in 8 weeks if they work hard and achieve much more in 8-10 months. Complete recovery can take years.
anyone benefit from efficient cognitive function restoration?No, only those
who can learn and are eager to learn. Also, we require all participants to
be medically stable at this time.
Those who have suffered Traumatic Brain Injury and desire to recover beyond the 2-year plateau.
Those who are medically stable and able to learn.
world, nothing can be more valuable to a person than brainpower, the inner
ability to pursue and defend human freedom, success, and happiness. With
the right tools, many individuals can regain independence and dignity and be contributors
beyond 2-year plateau just like me instead of spending $85,000 to $3 million in
lifetime treatment. That will make a big difference to the individuals as
well as families and businesses involved.
many other illnesses and disabilities can be avoided, and a lot of healthcare
dollars can be saved. We are making a movie to educate the public and
looking for a person with left side partial brain removal due to Traumatic Brain Injury to play the patient. In return, we will
offer the person our 10-month recovery program free. Please
share the message with your network. We also offer referral fee.
About the Author
Bin Yang is the Managing Director of Dream & Power and The Prince Synergy, leading consulting firms that focus on optimizing healthcare values and cost-efficiency and building exceptional leaders and performance management systems. For more information or to schedule an interview, lecture or appointment, please call 310-668-1828.
We have discussed how to build Level 5 leadership from different angles. Now we are talking about how to beat rising healthcare cost. Is there a connection between the two, looking at the hot topics below? • Take Your Leadership to Level 5 to Get Ahead and Stay Ahead or Beat Setbacks & Failures Ahead?
• What Stops Leaders from Being Level 5?
• Should A CEO Be Charming?
• How to Retain Startup DNA?
• What Is Missing in Health Risk Assessments & Biometric Screenings?
• Why Google Behaves Differently When Beating Rising Healthcare Cost?
The issues that we try to solve all have something to do with what is missing in traditional partial approaches except they have different symptoms and emerge at various stages that often starts with decision-making and ends with healthcare. What is missing in traditional partial approaches?
• IQ and EQ tools cannot solve non-IQ and non-EQ issues efficiently, for example, adversity and self-care. Studies have found about 70% of primary clinical visits are stress-related or due to lack of the right tools to meet challenges.
• Behavior tools can observe individuals 360 degrees but cannot anticipate development and health needs. Studies found that only 13% of companies can develop global leaders efficiently.
• Healthcare is not set to find the missing tools but can provide expensive symptom relieves, and Doctors are often paid per visit or procedure. In addition, not every doctor has the best knowledge. Some do unnecessary procedures. Some try to qualify their patients for more expensive procedures quicker…
• In the meantime, most people cannot take care of self and use health system efficiently.
Without the right tools to handle non-IQ and non-EQ challenges, such as choosing the right direction, using the right people, handling setbacks, and restoring self, leaders can fail or end their journey too early.
When talent is not on the right track or does not have the right tools, they will not get the job done and take good care of self but can develop various health issues.
What is missing in leadership development and talent management gives healthcare the legitimate reason to provide endless and expensive symptom relieves, not to mention that businesses need to pay for many avoidable treatments, surgeries, emergency room visits, chronic illnesses, disabilities, and deaths.
The more people can meet challenges with the right tools, stay healthy, get well quickly if needed, the better businesses and individuals can beat rising healthcare cost. The sooner businesses can start right, the more benefits they can enjoy along with their journeys, such as Level 5 leadership, hearts and minds, smooth project completions, and healthcare saving. By working on health alone, the bills for endless and expensive symptom relieve and avoidable treatments, surgeries, disabilities, and deaths will keep on coming. High deductions and co-pays can stop some unnecessary services but can also make small problems big or impossible and hurt work performance and loyalty.
Where Do You Want to Start?
About the Author
Bin Yang is the Managing Director of The Prince Synergy (www.theprincesynergy.com), a leading consulting firm that focuses on building exceptional leaders and beating rising healthcare costs to strengthen society and equal opportunities. She is also the author of “What Stops Leaders from Good to Great.” For more information or to schedule an interview, lecture or appointment, please contact us at 310-668-1828.
Los Angeles, CA July. 26th, 2017– The Prince Synergy (www.ThePrinceSynergy.com) announces that TPS Dream & Power (www.DreamandPower.com) will focus on beating rising healthcare costs and offer free “Find Your Missing Tools, See Doctors Less” for 3 days (7/26-7/28/2018).
When asked about the focus, Bin Yang, the 6Q Approach Inventor and Managing Director of The Prince Synergy, said, “The skyrocketing cost of healthcare has threatened almost every business, family, and individual. Big co-pays and deductions cannot save efficiently but backfire. The key is to minimize endless and expensive symptom relief, unnecessary emergency room (ER) visits, and utilize healthcare efficiently. Businesses and individuals can not only save years of healthcare costs but also improve healthcare quality and productivity. These only take 1/3-1/2 of their one-year healthcare cost to set up. Our success started at the clinic in 2004. It is time to look at the big picture and think differently!”
Studies found about 70% of primary clinical visits are stress-related (emerge or worsen under stress), for example, heart attack, stroke, insomnia, burnout, diabetes and obesity. The leading cause of stress is the lack of the right tool(s) to meet challenges, relax and restore self. To find the missing tool(s) BESIDES relieving symptoms is the key to minimize the 70% visits. Otherwise, businesses and individuals need to pay endless and expensive symptom relieves, including ER visits, BECAUSE HOSPITALS ARE NOT set to find the missing tools. You can find case studies in this video:
In addition to unnecessary ER visits, many chronic illnesses, disabilities, and deaths can be avoided if individuals can learn how to utilize healthcare system and recognize unethical and poor doctors efficiently. How Ms. Yang recovered her mother and herself are two good examples.
TPS Dream & Power provides what is missing in traditional approaches: healthcare cannot handle non-health causes, many people treat healthcare as hospital care, and traditional IQ, EQ and behavior tools alone have limited power over non-IQ and non-EQ issues and cannot avoid stress-related health issues (SRHI) efficiently. TPS Dream & Power empower leaders, managers, and elites based on the mistakes found at the clinics and businesses as well as efficient ways to meet challenges, stay healthy and bring the best performance.
“Find Your Missing Tools, See Doctors Less” is one diagnostic program, helping individuals with SRHI find the missing tools to meet their current challenges. Individuals often get well quickly with minimum re-occurrence and require no or fewer follow-up clinical visits and associated drug, treatments, time and money. TPS Dream & Power also helps clients build smart systems, anticipate development needs, especially health needs, and get ready quickly for their upcoming challenges. TPS Dream & Power loves feedback and new ideas and will continue challenging status quo and perfecting its services.
About The Prince Synergy:
The Prince Synergy (www.theprincesynergy.com) is a leading consulting firm who focus on building exceptional leaders to strengthen society (TPS Executive Academy) and shooting performance and rising healthcare costs with one stone (TPS Dream & Power). For more information or to schedule an interview, lecture or appointment, please contact Judith Sullivan at 310-668-1828.
Many people do not understand why CEO stress has anything to do with CEO health. In fact, the two are closely connected.
Recently, the health of Steve Jobs, the CEO of Apple, has raised a national discussion. Many people think that his health is not his private matter because so many others depend upon him. Some even have raised a stock security issue. Forbes has pointed out that the Apple CEO turned to cancer removal surgery eight months after the diagnosis. Would there be less unfortunate issues to begin with if leaders could take better care of themselves?
When talking about how to be a CEO, people usually do not think about sustainability at times of unexpected change, intense stress, illness or injury. Unfortunately, life is full of unexpected challenges, which can disable our mind, or even take away our success. It takes a different set of skills to sustain our optimal creativity and health than to utilize them. It is important to have both. An unfortunate outcome affects not only the key person, but also his/her family, partners, colleagues, employees and more.
Can You Count on Doctors?
People tend to count on doctors for their health. However, how we handle illnesses before and after seeing doctors can mean life or death, recovery or disability. Although I had excellent medical training, I could have lost my mother had I not questioned the Intensive Care Unit (ICU) physicians after a tragic auto-accident. My mother suffered a cervical-2 fracture. Even after five weeks of intensive care, she could not get off of the ventilator. Her ICU physicians “concluded” that she would be ventilator-dependent for the rest of her life. My mother refused to live on a machine. I never doubted the ICU physicians. But at the last moment, I chose to do my own assessment and found that she did not breathe efficiently. Through a new way of breathing I taught her, my mother was taken off the ventilator successfully after only three days!
In another example, a prestigious rehab center had some very well known experts in Traumatic brain injury (TBI). These experts concluded that the poor impulse control secondary to TBI was incurable since they could not find the cure. A resident physician with a history of TBI had one unfortunate incident. These experts linked the incident with her past injury, and concluded that she had a poor impulse control and could not handle stress. They took away her residency training at the last minute even through her references from clinical training prior were excellent. Instead of telling her their reasoning, they told her something else, which has caused her a huge waste of time and money. In fact, the victim had found a way to correct the impulse control. But to these experts, if they could not find the cure, no one could! And they abandoned their own victim when their support was needed most!
Not everyone needs to go to medical school. However, we need general and systemic health knowledge about ourselves and different health systems, for example, what costly health mistakes to avoid, and how to select specialists. We need to stay in charge, especially when it is a matter of life or death, recovery or disability. A part of our 4-day Executive Synergy Program provides hands-on training in this area.
What is Missing in Your Stress Management?
According to a survey of Vistage (an international organization for CEOs), 100 percent of 2,400 participating CEOs are suffering stress. CEO stress can come from external sources, like an uncertain economy. CEO stress can also come from our body and mind, such as the examples described above. Stress, while a great motivator, can disable our thinking and creativity, which are the keys to leadership. Stress can also harm our health and emotions. To some extend, a par of how to be a CEO is how to manage CEO stress. An exceptional CEO usually manages stress at another level.
Stress management to many people is limited relaxation exercises, such as deep breathing, brisk walking, meditation, Yoga and breaks. These are not enough to handle intense CEO stress. We need to build up our personal relaxation hierarchies, which are the right tools for the right levels of stress. At The Prince Synergy, we call it “overarmed.” We need a clear mind to look into underlying causes and figure out solutions. Different people need different relaxation hierarchies.
Another common definition of stress management is “coping with stress” and “positive thinking.” We don’t have to “live with stress.” We can prevent, utilize, reduce and transform stress. We can manage stress in many ways, business, medical, legal or even “technical” ways. A CEO suffered newly onset insomnia due to insecurities of her business. None of her relaxation methods or sleeping pills worked. Sleep is very important to productivity and wellness. She could not have a real sense of security until her business thrived, which could take time. However, she could use her faith as “the sense of security” by placing it into her unconscious level. Afterward, she has been sleeping like a log every night. In addition to faith, law can also help to eliminate stress and subsequent insomnia.
Strong stress management training is even more important at times of extreme crisis, where the level of stress is highest. Some CEOs tend to check themselves into the hospital. I had a crisis in 2007, and started crisis management immediately. I used my relaxation hierarchy to keep a clear mind, and in the meantime, kept telling myself that the crisis was not the end of the world. Instead of spending time in the hospital, I worked on my solution to turn the crisis into an opportunity the same night.
Our beliefs, perceptions, standards, visions and expectations can also affect the outcome. The cases of my mother and the rehab center are also good examples of blindly following authority figures (such as the ICU physicians) and assumptions.
What we can see in society and ourselves determines how we act and what we can achieve. I did not value Eastern medicine i at medical school. After being through family injuries and personal challenges, I have appreciated its recovery and relaxation power more and more. I sometimes acupuncture myself and pick up my own herb tea for certain types of tiredness and stress. I did not know about the internet or computers in high school. What I want and can do today is different fr om what was possible back then. There are many ways to sustain our optimal levels. We won’t “see” them until we can open to them.
How we act can also affect our health and potential profoundly. A star athlete from Fargo High School joined Stanford on a four-year football scholarship. After he ran into bigger and meaner competitors, he chose to focus upon his economics major. He has since built a multi-billion-dollar investment bank. What if he had chosen steroid for temporary gain, or used drugs for temporary high like many others? He would have to face more problems down the road, such as systemic injuries or issues related to addictions.
Our mind, body and stress management are one integrated system. We can be limited internally and externally. The limitations can lead to stress issues in business and health if we do not take care them efficiently. We can and need to, utilize our full internal and external resources efficiently, and prosper in business and life. Leaders should not settle with how to be a CEO, but how to be an exceptional CEO.
In summary, the skills to utilize our creativity and health and to lead are different from those to sustain the potential from unexpected change, intense stress, costly health mistakes and injury. In this age of intense competition, CEOs need these skills to stay at their optimal level and save subsequent agony from CEO stress. “Deal with Stress, Be Healthy & Happy” can identify your “missing software,” teach what you need in just a few days and help you build a firewall for your leadership. This is not only about how to be a CEO, one key individual, but also about your family, partners, colleagues, employees and more.
About the Author
Bin Yang is the Founder and CEO of The Prince Synergy, a worldwide leading resources in human capital development that focuses on sustainable leadership and health recovery from unexpected change, stress, illness and injury. Its services have been featured in Forbes and Euroinvestor. Dr. Yang possesses a strong background in medicine, Law and Business. For more info, please contact us at 310-668-1828.
Fulfill Your Dream with Power, Beat Stress-related health Issues,
Many people desire to Be YOur Best & Stay Healthy.” The video below will show you with case studies why traditional education and career management cannot help you be your best efficiently but contribute to stress-related health issues, and how to find your missing tools and fulfill your dream with power. If like to know how well you do, take a free “Mini Be Your Best Quiz:”
Today, I want you to look at work, life, and health from a different angle and think differently.
Most people, from the CEOs at the Fortune 500 companies to students at universities, know if you work too hard, if something happens, you do not feel well or feel worse, rush to the hospital. That is a correct approach. However, if you only go to the hospital, most likely the same issue will keep coming back and getting worse. Why? Because you still missed the tools to meet the challenges. Many health issues emerge or get worse under stress, called stress-related health issues. They count for about 70% of primary clinical visits. We set up Dream & Power to enable people like you to be your best and stay healthy efficiently.
I first helped people deal with stress and stay healthy during my residency. I noticed that, usually, once I found their missing tools, many got well quickly, including the same day. Their re-occurrence rates were minimum. That is how I invented the 6Q whole system approach. Let’s have a case study.
Case Study 1: Eliminate Insomnia with the Right Law
One time I had a patient who was an attorney. Because his parents left all their money to him, nothing to his sister, his sister kept on suing the family, and he had to manage. As time passed by, he developed insomnia and anxiety. He had been to other firms before he came to me and was quite familiar with standard maneuvers, such as position change. I asked him if his family had set up a family fund. He said no. So, I told him, “Set up your family fund, so you do not have to give your 40% to Uncle Sam. Give it to your sister.” The attorney was speechless. From that day, he needed no more sleeping pills or therapies. What he needed was a right law. Once his issue was gone, his health issues disappeared.
Not all health issues are like the attorney’s insomnia. Still, meeting challenges with the right tools is critical.
Case Study 2: Beat Heart Disease
Most people know CPR. Now a person with heart disease is saved and ready to go back to work. What will happen if he cannot meet the next challenge? The person will collapse again, right?
What if we can identify the skills he needs and make learning easy and fast? What if we can also evaluate if he is on the right track and help him avoid unsuitable challenges? Can he achieve his goal easier and quicker with fewer or no health issues? Of course, he can. Our success started at clinics in 2004.
Each person has 6Q, IQ, EQ, Learning Q, Adversity Q, Public influence Q and Health Q. Doctors and hospitals mainly fix health through medicine. However, individuals also need the other 5Qs to meet their challenges, which are beyond Medicine. No one tool can solve all issues. Issues with any of these Qs, especially Adversity Q, can crash a person, and then the challenge-collapse-hospital cycle repeats, medical treatments become endless and expensive symptom relief, which only benefit some doctors and hospitals.
– Heart Cath: $7,000-11,300
– Heart Stent: $11,000-41,000
– Heart Bypass: $70,000-200,000
– Heart Transplant: $780,000- 1,200,000
The Impact of Traditional Education and Career Management
There are many other stress-related health issues, for example, burnout, headache, ulcer, stroke, fast aging, weight gain, diabetes, fibromyalgia, etc. Any health issue that emerges or gets worse under stress is stress-related.
Most people miss a few tools to meet their challenges, including self-management. Besides, poor IQ and poor EQ can result from non-IQ and non-EQ sources where IQ, EQ, and behavior tools have limited power. Then many “tough issues” in leadership & performance are created. As the world is changing fast and more “hard issues” surface, healthcare costs continue soaring every year. Besides, not every doctor and hospital want their patients to find their missing tools due to the conflict of interest.
We have reviewed that each person has 6Qs and hospitals mainly cover a part of health management. Individuals usually miss some tools in the other 5Q, including self-management, for example, relaxation and energy restoration. If we empower people with their missing tools, they should achieve their goal faster and better and have fewer or no health issues. That is what we called “Find Your Missing Tools, See Doctors Less.” However, traditional education mainly covers half of the human system.
Let’s take a look at the talent and leadership development history. It has progressed from IQ-> EQ->IQ+ EQ+ some learning Q. However, the three Qs only cover one half of the human system. Some people try to use behavior to explore the unknown parts. However, the same person can behave differently in different environments. Because all 6Qs are integrated, poor IQ and poor EQ can result from non-IQ and non-EQ sources where IQ, EQ, and behavior tools have limited power. Then many “tough issues” in leadership & performance are created. Subsequently, more stress-related issues emerge, which is why healthcare costs continue soaring every year.
Traditional career management also contributes to the cycle as it focuses on personal interest, personality and some learning and skills. In fact, we also need to know your skills, talent, and levels to determine your talent type and direction. To advance career effectively, you also need other potential and stability down the road, for example, whether you can continue learning, utilize new knowledge efficiently; if you can be cool in the storm and restore your energy efficiently. There are many other issues and solutions, including how to maintain your optimal performance. It can be very struggling for individuals to identify these additional elements, and it can be very time-consuming.
What should you do? Find missing tools to meet existing challenges and stay healthy now. In the long run, you need to get on the right track to avoid unsuitable problems, have the right tools to advance career efficiently and be your doctor first, so you can be your best and stay healthy. We provide Assessment, Consultation, Training, and Management to help you at different stages. One thing I need to mention is that your 6Q data is usually valid for 2 years in the absence of significant events, which means that you can use the same data to handle other challenges and crises.
Case Study 3: Shoot Burnout, Save His Job! Let’s have another case study. This case is about an executive who had MBA and ten years of experience at a well-known leadership consulting firm in roles from consultant to local VP. He was promoted to Regional Manager to boost regional sales and minimize turnover. Two months later, while sales remained flat, turnover got worse. In the meantime, his wife was pregnant, very unhappy as Mr. B spent a great deal of time away from home due to the new job. By the time when I met him, he was burned out, contemplating if he should resign.
I did Executive 6Q Assessment for him and found many excellent characteristics in consulting and leadership. He was also weak in sales, marketing, public influence, emotional expression, and energy restoration, and others. These weaknesses were not significant to a local VP but significant to a Regional Manager. There was no way I could address so many issues at one time, so I chose to optimize his emotional expression and teach him to share his professional stress with his wife, gain her support, and later connect with his clients. It was 30-minutes training. He eliminated his family crisis. A week later, he became more confident about his job.
So, through 90 minutes of assessment, 30 minutes of training, plus my staying up late to read his Executive 6Q Assessment, the man made a breakthrough and saved his job and region.
We have reviewed that work life and health are integrated, which is why health issues can have non-health causes, poor IQ, and EQ performance can result from non-IQ and non-EQ resources. Traditional education and Career management mainly reveal pieces of human performance instead of the whole. Unless we can target issues with the right tools, more hard matters and stress-related health issues will be created.
Each person is built uniquely. Unlike a computer, human performance can fluctuate under internal and external turbulence. Not everyone has what they should. However, today is no longer yesterday. By evaluating all 6Q elements, we can make wise investments. By targeting issues with the right tools, we often can achieve results in weeks or days instead of years or months, the attorney and the Regional manager are good examples.
A lot of time can be saved, and many dreams can come true. Everyone deserves to be their best and stay healthy. The 6Q technology enables you to fulfill your dream with power.
Again, look at the big picture, think differently, and then ask yourself what you need at your stage and in the long run. Above all, do not give up before consulting The Prince Synergy Dream & Power even if your issue is impossible to anyone else! I mean ANYONE else!
In order to build stronger leaders of tomorrow, we need to strengthen child education today. Here are several critical issues that we have found in child study.
1. What Fits Adults May Not Fit Children Unlike adults, child study has a lot to do with the management of their parents. For instance, some parents have achieved great successes in science and technology, so they strongly encourage children to do the same. What if the children are Shakespeare, Michael Jackson, and Muhammad Ali? Going where they do not fit, the children will run into more challenges, setbacks, and failures than successes. Learning can improve skills but never create geniuses. Career planning should start with children as well.
2. How Children Study Is Different Most people believe that hard-working and motivations are the key to study well. In fact, there are more ways as well as more rules in child study. For example, one student studied very hard, only slept a few hours a day and had almost no break. While her parents were proud of her hard-working, her grades remained poor. After 30 minutes assessment, we suggested letting her sleep enough and have enough breaks and exercises. Two weeks, her ranking improved 40 spots in her grade! Each person has different ways to maintain their optimal brain and body power, so do children. We need to take customized actions to fasten learning, called Custom Fast Learning.
3. How Children Handle Setbacks Is Different
How to handle setbacks and failures is critical to each child, especially the smart ones. Studies have found that early successors often crush far worse than others since they have not exercised their muscle to be resilient. I have met many of early successors at hospitals for various stress-related health issues, for example, depression, cirrhosis (due to over drinking), addiction, suicide, etc. The CEOs at Fortune 500 who have to “retire early” often have low Adversity Quotient.
Unlike adults, children may show nothing under setbacks or failure but can take dramatic action! Being their friends and knowing how to handle setbacks and failures are the most efficient way to win their trust and help them grow. In addition, it is much easier to strengthen this piece of muscle before they have too many successes and too much proud. Furthermore, if we strengthen their Adversity Quotient now, there will be fewer setbacks and failures for us to handle in the future.
4. Children Need Faster Health Care The #1 cause of death in children is Accident, and their health can be worse and better faster than adults. Most people called 911 or rush children to Emergency Room when this happens. One 18-y old boy got choked. His parents called 911 immediately. The ambulance arrived in 10 minutes; however, the boy was already dead. Why? The human brain can only live without Oxygen for around 6-7 minutes. The couple almost ended up in divorce. Many children and adults get to the hospital too late, which makes small issues big and big ones hard or impossible. Our first doctors are not those in the hospital, but ourselves or the people around us.
Due to their unique development stage, children need extra guidance and support. It is essential to assess adult management and child study at the same time. Like adults, each child is an integrated system of ability, health, and relations with self and society. It is better to look at the big picture instead of Psychology, Health or other parts only, so children can grow healthier and happier and gain more confidence. Early actions on common issues are often critical but straightforward, and each child can be a great leader or a key performer in the future.
You can be not only the leader of your company or community but also the leader of the next generation. Some companies pay employees to help their children study. In fact, they can shoot 2 issues with one stone–empower their employees so that they can manage self and children. If talents are your extended arms and legs to achieve your business goal, you and The Prince Synergy are each other’s extended arms and legs to build a stronger next generation.
About the Author Bin Yang and Wenny Freeman, chief and senior consultants at The Prince Synergy, a leading human capital consulting firm that helps clients know talents on a personal level, make wise investments, get ahead and stay ahead with exceptional human capital. For more info or to schedule a class and interview, please contact us.
Jim Collins introduced “Level 5 Leadership” as a powerful way to take a company from Good to Great and characterized the highest level of leadership as HUMILITY + WILL. Both HUMILITY and WILL are behaviors, which exist at the surface of Level 5 leadership. Many institutions try to build Level five leadership through either behavioral modification or EQ training, both of which are psychological tools. Do internal structures matter in Level five leadership building? Can one tool solve all problems? These principles apply to both leaders and talent.
Beneath the surface of HUMILITY + WILL lie a healthy Ego, a deep understanding of life, a big dream, extraordinary abilities and other integrated internal structures. Individuals with a healthy Ego typically accept themselves, can focus on the big picture, and have no need to seek satisfaction through pathological behaviors that will backfire later. Humility reflects a healthy Ego but is NOT the only reflection. Those who understand that success requires the right time, the right place and hard-working can easily understand and respect others. These individuals can direct their energy efficiently to pursue their big dream. Extraordinary abilities combined with other characteristics will increase their chances of success. In fact, many leaders who are great public speakers and somewhat self-centered also share these great features, for example, Winston Churchill and Franklin D. Roosevelt.
The Limitation of Behavior Approach
The Behavior Approach is a great tool for leadership development, but like any other tool it has its limits and cannot solve every underlying problem. For example, individuals can be HUMBLE because of a weak Ego, which stems from unsuccessful bids to gain parental approval during childhood. The parents are usually busy or are indifferent to the child. Behavior therapy can enhance their HUMILITY, but cannot build the powerful WILL needed to overcome various hurdles. However, with the right tools, it takes only days to help individuals stop seeking parental approval. It is better to identify the underlying cause(s) and target the issues precisely to achieve fast and lasting results.
In addition to a healthy Ego, WILL is closely linked to confidence that is built on vision, knowledge, learning, resources, health, and more. When confidence wanes, WILL will be threatened. For example, a young business owner suffered a Traumatic Brain Injury and became extremely frustrated by the necessity to re-learn EVERYTHING. He often called 911 as his stress management tool. Once transported to the Emergency Room (ER), he yelled at the doctors and nurses there. I recovered myself from TBI via a similar path and was doing a residency rotation in the ER the day when this young man came in. I understood his frustration, so I walked to him, discussed with him his progress and offered my own real life success in overcoming the challenges associated with TBI. He thanked me in the end, and the ER nurses later told me that his ER visit that day was his shortest and most pleasant, and he never came back again.
Business is rife with unexpected challenges, setbacks, and uncertainty, all of which can be more stressful than the challenges the above business owner has faced. Both HUMILITY and WILL can reflect the underlying structure and mainly belong to Emotional Quotient (EQ), an essential component of leadership. Those who act rashly under stress or uncertainty often have high EQs. To stay focused, individuals need the right tools to meet challenges, manage stress and handle setbacks and failures. One powerful tool is to be able to see the light at the end of the tunnel, either through their own resources or outside experts, which requires more than EQ.
Underestimated for decades, EQ is now overestimated, as if it is the only factor that matters in leadership development. In fact, many factors can affect EQ, either positively or negatively. Why? Each person is an integrated system of abilities, health, and their relationships with themselves and society. Each person is an integrated system of 6 Quotients that determine their directions and actions (Intelligent Q), help them stay updated (Learning Q), govern relationships with others (Emotional Q), maximize their results in society (Public influence Q), remain resilient in the face of adversity (AQ) and keep their energy level (Health Q). EQ is only a part of the integrated system, and, therefore, issues can come from IQ, LQ, PQ, AQ or HQ over which EQ or behavior has little or no power. How the young business owner acted before and after his last ER visit is a good example.
It takes great industrial or cross-industrial knowledge and instinct (IQ) to see the light at the end of the tunnel. It takes tenacity, problem-solving skills, learning, energy (AQ, IQ, LQ, and HQ) and more to see the light when facing setbacks and failures. Because he and other ER doctors were not sufficiently familiar with Traumatic Brain Injury recovery, the young business owner couldn’t see the light at the end of the tunnel. As time passed, his EQ became vulnerable. It is due to this same mechanism that some former high achievers develop “Learned Depression” after a series of failures. However, the business owner did not stay at home, depressed. He called 911 to go to the ER where I happened to be, and he regained his EQ power once I helped him see the light at the end of the tunnel. EQ can help an individual see the light and maximize resources and market share; however, EQ alone is usually not enough. Can Behavior Modification help him? No, because behavior approach cannot address root causes.
——————————————————————— How do you do in each part? Take a quick quiz
Level 5 Leadership Is a Whole Package of Executive Competitiveness
The internal structures of Level 5 leadership include a healthy ego that facilitates self-acceptance and the focus on the big picture, a deep understanding of human nature that fosters respect for others, a big dream that focuses energy, extraordinary abilities and more to leverage full power, maximize results and bounce back from adversity. Individuals with Level 5 leadership style often can see the light at the end of the tunnel when facing with uncertainty, either leveraging their own or external resources, so they have a strong WILL. They do not waste energy because of their healthy egos and a deep understanding of human nature (HUMILITY). People with Level 5 leadership style not only choose the right successor, but also use right people and create positive environments within their companies and society. As a result, they maximize their results and save even more energy. Individuals with Level five leadership are open to new ideas and new technologies, so they can stay on the right track and spend their energy and money more and more efficiently.
To develop Level 5 leadership style, individuals need not only key elements, but EVERY element to maintain internal stability and optimal performance. What sustains their stability and optimal condition can change as their environments change. Unfortunately, it only takes ONE element in one single process to break the whole system. The above young business owner is a good example. Weaknesses can be poor blind spot management of decision-making, under-utilization of new technology, poor reactions to adversity, etc. The insufficient elements may not affect their performance management today, but can be significant enough to impede them tomorrow when the environment changes. This is why we need to catch the development needs of a leader before “the 360 Degree evaluation” to Go from Good to Greatand Optimize Top Team Performance Efficiently.
“Can He Handle the Job?” is a good example of developmental needs that are insignificant today but significant tomorrow. “All-in” intensity does not surface until individuals have to face all issues related to an organization on a daily base. Those who die of stress-related health issues, such as heart disease, stroke, and suicide, are good examples of individuals who ultimately pay the price for matters that seem insignificant now but have a cumulative impact. Consequently, it is important to anticipate the development needs of a leader in the face of change and target the needs precisely with the right tools. If leaders can maintain optimal performance, it will obviously have a positive impact on business, people around them, and personal potentials for success.
It is inefficient to build Level five leadership by copying some behaviors or one “surface,” because, ultimately, the individual’s internal structure determines their behavior and psychological response. No one tool can address all issues. Emotion and behavior are only a part of the human integrated system of abilities, health, and relationships with the self and society. In addition, emotional training and behavioral approach have limited power over complex issues with non-psychological or non-behavior root causes, such as abilities and health, which can create “intractable issues” and add months or years to the time to achieve results. The right approach is to look into all elements, get to the underlying causes, identify the “missing software,” and target issues with the right tools.
Unlike computers, human capacity can fluctuate under change and storm, which involves adversity Q, health Q, and public influence Q besides IQ, EQ, and learning Q. Behaviors can reflect the 6Q structural change but have limited power to change the 6Q system. By getting to the root causes, we can anticipate development needs of a leader before “the 360-Degree Evaluation” and take wise action. By addressing the underlying causes with the right tools and installing “missing software” smoothly, leaders often begin to show results in days to weeks instead of months to years. One of the best ways to speed up the Level five leadership development process is to act as if you already possess the qualities you want to develop.
About the Author Bin Yang is a global CEO adviser, leadership Doctor and the Managing Director of The Prince Synergy (www.theprincesynergy.com), a leading consulting firm that focuses on building exceptional leaders to strengthen society and solves the hardest issues in leadership and performance that no one else can. She is also the author of Identify Your “Missing Software,” Go from Good to Great Efficiently. For more information or to schedule an interview, lecture or appointment, please contact us at 310-668-1828.
To many people, “motivation” is a magic word that can overcome any obstacle and enable them to be their best. In fact, they mainly use the psychological part of motivation at a basic level.
Without the right direction and sufficient tools, motivation alone may not improve productivity and innovation, achieve your goal but increase stress-related health issues like insomnia, burnout, heart attack and stroke. “Can He Handle the Job?” is a good example. In addition, studies found that workplace stress is also #1 cause of turnover. Turnover and healthcare costs all contribute to human capital costs. IQ, EQ, behaviors, and personality are not enough to know talent. Below is a comparison between traditional piecemeal approaches and the 6Q Approach.