Dr.Sarah Tirimacco Pinnaclehill Chiropractic
Dr. Sarah Tirimacco is a chiropractor, educator, and entrepreneur dedicated to helping people move, heal, and live healthier lives. She is the co-owner of Pinnacle Hill Chiropractic in Rochester, New York, where she specializes in women's health, pregnancy and postpartum care, chronic pain, and evidence-informed musculoskeletal rehabilitation.
Beyond clinical practice, Dr. Sarah is passionate about advancing the chiropractic profession through education and advocacy. She serves on the Board of Directors for Clinical Compass, a nonprofit organization focused on evidence-based chiropractic resources, and regularly speaks to healthcare professionals and community groups on topics related to women's health, integrative care, and patient-centered practice.
She is also the co-founder of the Rochester Endo Collective, a community initiative that provides education and support for individuals living with endometriosis. When she's not in the office, you'll likely find her creating educational content, planning community events, mentoring colleagues, or spending time with her husband, Dr. Mike.
Miss Cynthia L.S. Ely The Refinement Studio
Miss Cynthia brings more than 25 years of experience in learning and development, etiquette training, and leadership formation, with a heartfelt commitment to guiding both children and the parents who raise them. As a Certified International Youth Etiquette Consultant, trained and certified in London through the prestigious International Etiquette and Protocol Academy of London, she blends international etiquette, cultural awareness, and leadership principles into a thoughtful and practical approach to child development.
In addition to her work with families, Miss Cynthia has served in significant leadership roles across both nonprofit and corporate sectors, including over 20 years as a director on corporate boards in both California and New Zealand. Her work has always centered on one guiding belief: leadership begins in childhood.
Through The Refinement Studio LLC, Miss Cynthia partners with parents to help children develop self-awareness, emotional regulation, respect for others, confidence, and leadership readiness; skills that shape not only how children behave, but how they will one day lead, serve, and engage the world around them.
Her philosophy is simple yet powerful: “Etiquette is not about rigid rules; it is about awareness, consideration, character, and learning to move through the world with grace, confidence, and purpose.”
Josh Falling Leaf in a Forest
Leaf in a Forest is an indie/alternative project from Rochester, NY, created by multi-instrumentalist and songwriter Josh Falling. Inspired by the genre-bending energy of bands like Twenty One Pilots and AJR, Falling delivers emotionally honest songs that explore themes of uncertainty, personal growth, and the shared human experience.
Driven by a unique blend of ukulele, drums, bass, and cinematic orchestration, Leaf in a Forest has over 500,000 streams on Spotify across two conceptual releases: Galleria, an album inspired by classic paintings, and Ampersand, an exploration of the dualities and connections that bind us together.
The project's latest installment, Compass, takes listeners on an anthemic journey through life’s emotions and memories and is available to stream everywhere on June 24th, 2026.
Doug Johnston Impact 4 Results
Doug Johnston is the President and Founder of Impact4Results, a leadership development and consulting firm dedicated to helping professionals and organizations communicate more effectively and achieve meaningful results. For more than 20 years, Doug has worked with leaders at every level—from Fortune 500 executives to entrepreneurs and frontline teams—delivering keynote presentations, leadership workshops, and strategic planning sessions that simplify complex challenges and inspire lasting change.
A seasoned executive and the author of four books, Doug brings decades of real-world leadership experience to every conversation. His expertise in communication, conflict resolution, and organizational growth has helped thousands of professionals become stronger leaders and build healthier workplace cultures. Doug joins What's Up Rochester to share insights on leadership, business growth, and the power of meaningful conversations.
