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In this week's episode of Real Integrative Medicine, Dr. Jordan Robertson and Carmen Stansberry discuss the intersection of evidence-based practice and individualized care in women's health. Carmen shares her journey from conventional medicine to a holistic approach, emphasizing the importance of understanding the unique needs of women. They explore the complexities of symptoms like fatigue, the risks of over-screening, and the importance of building trusting relationships in healthcare. The conversation highlights the need for more research in women's health while advocating for a balanced approach that combines evidence with personalized care strategies.----Carmen Stansberry is a double board-certified nurse practitioner specializing in women's hormone health, perimenopause, longevity medicine, and the intersection of hormone deficiency with chronic disease risk and immune dysfunction. She is a leading voice in modern midlife health optimization, advocating for women to take charge of their well-being beyond outdated medical paradigms.As the founder of The Advanced Practice, Carmen not only built a successful private practice but also mentors clinicians on how to launch and scale high-impact, cash-based healthcare businesses that provide specialized and forward-thinking medical care. Through her expertise in clinical strategy, patient-centered care models, and marketing for modernhealthcare, she has helped countless providers transition from traditional systems into thriving, independent practices that prioritize outcomes, prevention, and patient autonomy.Carmen's approach bridges the gap between clinical expertise and business acumen, ensuring that both patients and practitioners have access to next-generation healthcare solutions. Her work has been featured in Verywell Health, Giddy, and multiple podcasts, and she serves as an expert clinical advisor for Hot Flash Inc., a media company dedicated to women's health in midlife.She holds graduate degrees from The George Washington University and Wayne State University and continues to push the conversation forward on women's health, perimenopause, and longevity, ensuring that women receive the evidence-based care they deserve.Learn More on Carmen's WebsiteFollow Carmen on Instagram----Dr. Jordan Robertson is a leader in naturopathic and integrative medicine. She is dedicated to evidence-based healthcare and founded The Confident Clinician, which empowers practitioners with up-to-date research and practical tools. With over 15 years in clinical practice and experience teaching at McMaster University's Health Sciences program, she bridges the gap between research and real-world application.Follow Dr. Jordan on Instagram----Do you ever wish there were a knowledge base built just for you?Have you searched for a resource that supported you so you could focus on what really matters for your business?The Confident Clinician is the ONLY medical knowledge base built for integrative practitioners.Over 750 clinician members have simplified their patient care by using our knowledge base and exclusive members-only education.Our knowledge base and clinical topics are updated on an ongoing basis and, and we offer exclusive members-only courses that support you, whatever your clinical focus.Ready to be supported in your work?Learn More About The Confident Clinician HereDiscover The Confident Clinician's 5-Day AI Smart-Search ChallengeIf you're a clinician and you're loving the content of the show, I'd love to invite you to subscribe to our clinician-focused free magazine called The Stacks. The Stacks offers research focused articles, editorials and opinion pieces on business and practice and unlocks some of our best Confident Clinician content every month.Subscribe to The Stacks Here----Thank you for listening. Please subscribe and share.
Joining us today is Dr. Chris Phelps, dentist, entrepreneur, and CEO of the Cialdini Institute. We explore the evolution from clinical practice to scalable, self-managing businesses. Chris shares how his first entrepreneurial breakthrough came from simplifying dense dental school material into condensed study guides—eventually monetizing his problem-solving ability. Listen in to gain powerful takeaways on using behavioral psychology to drive team performance and patient commitment, the transformative power of Kolbe assessments for building high-functioning teams, and how marketing strategy must begin with clarity around the ideal avatar. If you like this episode, here are more episodes we think you'll enjoy: Ep #539 - Dr. Matt VanderMolen: – Building People First: Creating a High-Performance Dental Practice and Business Ep #538 - Jake Conway – Scaling Smart: Navigating Growth, Profitability, and Dental Exit Strategies Check out the show notes for more information! P.S. Whenever you're ready, here are some other ways I can help fast track you to your Freedom goal (you're closer than you think): 1. Schedule a Call with My Team: If you'd like to replace your active practice income with passive investment income within 2-3 years, and you have at least 1M in available capital (can include residential/practice equity or practice sale), then schedule a call with my team. If it looks like there is a mutual fit, you'll have the opportunity to attend one of our upcoming member events as a guest. 2. Get Your Dentist Retirement Survival Guide: The winds of economic change are here, and now is the time to move to higher ground. This guide gives you the steps to protect your retirement, your family, and your peace of mind. Get the 25-point checklist here. 3. Get Your Free Retirement Scorecard: Benchmark your retirement and wealth-building against hundreds of other practice professionals, and get personalized feedback on your biggest opportunities and leverage points. Click here to take the 3 minute assessment and get your scorecard.
The Advanced Practice Registered Nurse Modernization Act is on the move again at the State Capitol. Sen. Patrick Testin, Chair of the Senate Agriculture and Revenue Committee says this legislation could relax some of the human resource issues being faced in Wisconsin, especially rural communities. Under APRN, qualified registered nurses would be able to practice independently and without the need for a collaborative agreement with a physician – so long as the cases do not fall outside their areas of expertise. Testin says the bills language has been circulating in Madison for over a decade. He hopes this time, with bipartisan support, it will cross the finish line and be signed by Governor Tony Evers. See omnystudio.com/listener for privacy information.
Hays Post reporter Cristina Janney chats with Babe Breit APRN-BC, MSN-FNP Listen Here
In this episode we will be exploring the importance of workforce planning in relation to the development of the advanced practice workforce. We will explore this at a regional, system and organisation level, and discuss some of the key aspects and barriers to robust workforce planning in general, and specifically for advanced practice.We hope you enjoy listening. Host: Lou Buckle, NHS England South West, AdvancedPractice Education and Development Specialist Lead Guests: Tony Overd, NHS England South West, Senior Workforce Planning Lead. Dan Hoare, NHS Somerset, Integrated Care System Workforce Planning Lead. Julie Reeve, Somerset NHS Foundation Trust, Associate Directorof Advanced Practice & Consultant Nurse in Emergency Medicine
Today, we're honoured to host Professor Deborah Harding, a distinguished figure in the field of advanced clinical practice. Professor Harding serves as the Supervision Lead for the NHS England for Advancing Practice, where she has been instrumental in developing supervision frameworks that support advanced practitioners across various healthcare disciplines. With a rich background as a registered speech and language therapist, Professor Harding has extensive experience in multi-professional management and leadership within the NHS. Her academic pursuits led her to complete a PhD focusing on supervision for allied health professions, culminating in a constructivist grounded theoretical perspective on the subject. In her role at City St George's University of London, Professor Harding has led curriculum development for the MSc and integrated degree apprenticeship in advanced clinical practice. Her work emphasises the importance of clinical supervision in supporting the development of advanced clinical practitioners, ensuring they are equipped to navigate the complexities of modern healthcare environments. In this episode, we'll explore the critical role of supervision in advanced practice, discuss the challenges practitioners face in pre-hospital care, and gain insights from Professor Harding's extensive research and experience. Stay tuned for an enlightening conversation that sheds light on the future of advanced practice in pre-hospital care. See and read more here: https://advanced-practice.hee.nhs.uk/And here: https://thepermeablepractitioner.com/
Dr. Centor discusses concerns about proposals that nurse practitioners and physician assistants are interchangeable with primary care physicians with Dr. Christin Giordano McAuliffe.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/CC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/NFR865. CME/MOC/CC/AAPA/IPCE credit will be available until May 25, 2026.Biologic Therapy for CRSwNP: Exploring the Advanced Practice Provider's Role in Patient Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc and Sanofi.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Video Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/CC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/NFR865. CME/MOC/CC/AAPA/IPCE credit will be available until May 25, 2026.Biologic Therapy for CRSwNP: Exploring the Advanced Practice Provider's Role in Patient Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc and Sanofi.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/CC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/NFR865. CME/MOC/CC/AAPA/IPCE credit will be available until May 25, 2026.Biologic Therapy for CRSwNP: Exploring the Advanced Practice Provider's Role in Patient Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc and Sanofi.Disclosure information is available at the beginning of the video presentation.
PeerView Family Medicine & General Practice CME/CNE/CPE Audio Podcast
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/CC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/NFR865. CME/MOC/CC/AAPA/IPCE credit will be available until May 25, 2026.Biologic Therapy for CRSwNP: Exploring the Advanced Practice Provider's Role in Patient Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc and Sanofi.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/CC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/NFR865. CME/MOC/CC/AAPA/IPCE credit will be available until May 25, 2026.Biologic Therapy for CRSwNP: Exploring the Advanced Practice Provider's Role in Patient Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc and Sanofi.Disclosure information is available at the beginning of the video presentation.
This content has been developed for healthcare professionals only. Patients who seek health information should consult with their physician or relevant patient advocacy groups.For the full presentation, downloadable Practice Aids, slides, and complete CME/MOC/CC/AAPA/IPCE information, and to apply for credit, please visit us at PeerView.com/NFR865. CME/MOC/CC/AAPA/IPCE credit will be available until May 25, 2026.Biologic Therapy for CRSwNP: Exploring the Advanced Practice Provider's Role in Patient Care In support of improving patient care, PVI, PeerView Institute for Medical Education, is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.SupportThis activity is supported by an independent medical education grant from Regeneron Pharmaceuticals, Inc and Sanofi.Disclosure information is available at the beginning of the video presentation.
My conversation with Emily begins at 30 mins Stand Up is a daily podcast that I book,host,edit, post and promote new episodes with brilliant guests every day. Please subscribe now for as little as 5$ and gain access to a community of over 700 awesome, curious, kind, funny, brilliant, generous souls Check out StandUpwithPete.com to learn more Emily Feiner on Blue Sky Emily on Facebook Emily Feiner, LCSW currently serves as the Chief of Social Work at the VA New Jersey Healthcare System (VANJHCS), a large healthcare system with 2 main campuses and 11Community Based Outpatient Clinics (CBOCs). In that capacity she oversees a staff of over 150 professional social workers and support staff that provide a wide range of social work services in inpatient acute, outpatient and residential settings. Social workers at VANJHCS provide case management, discharge planning, program coordination, psychotherapy and educationservices. Prior to being appointed to her current position, Emily was the Program Manager for the Transition and Care Management (TCM) program at VANJHCS which serves Post 9/11 Veterans, providing case management and other support services. She began her career with the VHA in 2008 when she was hired as a CBOC Social worker at the Hudson Valley VA Health Care System. In that capacity she provided concrete services, case management and crisis intervention to Veterans in a Primary Care clinic. This allowed her to learn the VHA system inside and out rather quickly. Prior to joining VA, Ms. Feiner enjoyed a varied career in Social Work spanning over two decades. She worked with adolescents and young adults in schools and an outpatient clinic, homeless pregnant women in a maternity shelter, and was the Director of an Outpatient Substance Abuse Counseling Center. Ms. Feiner was also an adjunct professor of Social Work at Fordham Graduate School of Social Services where she taught courses in Advanced Practice, Human Behavior and the Social Environment, Substance Abuse Treatment and Clinical Practice seminar. In addition, she also taught in the Human Services program at Westchester Community College. She has maintained a private psychotherapy practice since 1988. Emily has always had a strong commitment to her community and has served on the boards of several community agencies including HeadStart of Rockland and Planned Parenthood Hudson Peconic. She was twice elected to her local Village Board of trustees. Ms. Feiner holds a Bachelor of Arts degree from Hamilton College and a Masters of Social Work from Hunter College of the City University of New York. She has completed the coursework for a PhD in Social Work at New York University. She is the proud mother of two young adults, and enjoys going to hear live music, skiing and hiking in her free time. Emily Feiner, LCSW currently serves as the Chief of Social Work at the VA New Jersey Healthcare System Prior to being appointed to her current position, Emily was the Program Manager for the Transition and Care Management (TCM) program at VANJHCS which serves Post 9/11 Veterans, providing case management and other support services. She began her career with the VHA in 2008 when she was hired as a CBOC Social worker at the Hudson Valley VA Health Care System. In that capacity she provided concrete services, case management and crisis intervention to Veterans in a Primary Care clinic. She worked with adolescents and young adults in schools and an outpatient clinic, homeless pregnant women in a maternity shelter, and was the Director of an Outpatient Substance Abuse Counseling Center. Ms. Feiner was also an adjunct professor of Social Work at Fordham Graduate School of Social Services where she taught courses in Advanced Practice, Human Behavior and the Social Environment, Substance Abuse Treatment and Clinical Practice seminar. In addition, she also taught in the Human Services program at Westchester Community College. She has maintained a private psychotherapy practice since 1988. Emily has always had a strong commitment to her community and has served on the boards of several community agencies including HeadStart of Rockland and Planned Parenthood Hudson Peconic. She was twice elected to her local Village Board of trustees. Ms. Feiner holds a Bachelor of Arts degree from Hamilton College and a Masters of Social Work from Hunter College of the City University of New York. She has completed the coursework for a PhD in Social Work at New York University. She is the proud mother of two young adults, and enjoys going to hear live music, skiing and hiking in her free time. Join us Monday's and Thursday's at 8EST for our Bi Weekly Happy Hour Hangout's ! Pete on Blue Sky Pete on Threads Pete on Tik Tok Pete on YouTube Pete on Twitter Pete On Instagram Pete Personal FB page Stand Up with Pete FB page All things Jon Carroll Follow and Support Pete Coe Buy Ava's Art Hire DJ Monzyk to build your website or help you with Marketing Gift a Subscription https://www.patreon.com/PeteDominick/gift
Britney Broyhill, DNP, ACNP-BC, FAANP, is the Senior Director of Advanced Practice for Atrium Health.Thanks for tuning in! Check out more episodes of The Well-Being Connector at www.bethejoy.org/podcast.
American English shadowing exercises are for people interested in expanding their American English accents, whether you are located in the US, North America, or other areas around the world. For the best use of shadowing exercises in American English, listen to a section of audio, pause, and repeat what you hear. Try to use the same pronunciation, intonation, stress, pitch patterns, and linking that you find native English speakers use; record yourself and compare the differences.Support the show
Jenny Michel is the Director of Advanced Practice at Akron Children's and works clinically as a nurse practitioner in the emergency department. She is currently the co-chair of the provider resilience committee, the Well-Being index APP champion, and an advocate for recognizing the importance of provider wellness and improving the health and wellness of APPs. In 2022, she participated in the Intelligence for Quality Improvement program and completed a project with a focus on increasing APP interactions with the well-being index tool. She has previously presented on the topic of APP wellness both regionally and nationally and recently was recognized for her work to support APP wellness by the Ohio Organization of Nursing leaders as the recipient of the 2023 Workforce Wellness award.Thanks for tuning in! Check out more episodes of The Well-Being Connector at www.bethejoy.org/podcast.
On episode 122 of PSQH: The Podcast, Laura Kline, Senior VP of Business Development, TDC Group, talks about how advanced practice clinicians are taking on bigger roles in primary care delivery.
NA'ALEH YOGA: Nidra Journeys for Deep Rest+ Close Your Eyes and Stay Awake... This is a traditional Yoga Nidra practice is created to honor your inner experience as you journey through the 5 sheaths of consciousness. Designed for those who have some prior experience with yoga nidra, this intermediate/advanced session focuses on minimal verbal cues, allowing for a deep and personal exploration of consciousness. In this practice, there is less talking and more silence to support your internal focus with as minimal external input as possible. For the same reason, there is no background music--this practice is voice only. Episode Summary: Here's what you can expect: Preparation: Begin by settling into a comfortable position with your spine in alignment. Intention Setting: You will be prompted to set an intention (Sankalpa/kavanah) for this practice. Choose a meaningful, positive "I am..." statement that resonates with your heart and soul. Rotation of Consciousness: Body scan to rotate your consciousness into a state of deep relaxation. Breath Awareness: Breathwork to deepen your state of relaxation Awareness of Opposite: Alternate between contrasting polarities to explore how you create your inner experience Visualization: Experience a succession of vivid images from multiple levels of awareness Return to Your Intention: Reconnect with the intention you set earlier. Let it resonate deeply Externalization: Gently transition back to your ordinary waking state, integrating this practice. Reconnect with your surroundings and return back to the waking state. Subscribe to Na'aleh Yoga for more meditative Yoga Nidra journeys and transformative experiences. If you like this podcast, please share it with your friends or leave a comment on YouTube or the platform of your choice. Feel free to reach out to me through the links below. I'd love to connect with you so don't be shy! Biosite: https://bio.site/ruthieayzenberg YouTube Channel: @naalehyoga Email: naalehyoga@gmail.com May you be peaceful and safe! DISCLAIMER: This practice is NOT a medical treatment and NOT a replacement for medical treatment. Although this is a very safe, non-invasive meditative practice, this podcast does not take responsibility for any undesired experiences. This is a holistic psychospiritual practice that can be a beneficial adjunct to other treatment methods.
In this episode with Dr Sharon Chan-Braddock, we dive deep into corticosteroid injections. We discuss: How corticosteroid injections workHow long corticosteroid injections lastHow has has the use of corticosteroid injections changed over timeUse of local anesthetics with corticosteriod useWhen we should be using corticosteroid injectionsRepeated corticosteroid injectionsDr Sharon Chan-Braddock is a highly experienced Musculoskeletal Medicine clinical academic and Advanced Practice physiotherapist, with many years of diverse experience of MSK across clinical, academic, education and quality agenda areas regionally and nationally. In 2024, Sharon became the first physiotherapist in the UK, and internationally, to gain dual SOMM Fellowship and MACP Membership, which is a recognition of meeting consultant level of practice and International MSK standards of practice set by IFOMPT.If you like the podcast, it would mean the world if you're happy to leave us a rating or a review. It really helps!Our host is @James_Armstrong_Physio
Welcome to a compelling episode of the Business of Aesthetics Podcast, where we explore the evolving intersection of aesthetics and wellness with Carmen Stansbury, a double board-certified nurse practitioner and founder of The Advanced Practice. With over two decades of clinical expertise spanning women's health, menopause care, obstetrics, and more, Carmen is a trailblazer in empowering aesthetic professionals to transform their practices through innovative strategies. She brings a wealth of experience to the conversation, sharing insights that will resonate with anyone looking to bridge aesthetics with holistic wellness. In this episode, Carmen illuminates the pivotal role of addressing the whole person's mind, body, and spirit in aesthetic practices. By incorporating wellness solutions like hormone optimization and lifestyle enhancements alongside aesthetic treatments, practitioners can foster deeper patient trust and loyalty. Aesthetic professionals will gain actionable knowledge on crafting patient-centered care plans, integrating cutting-edge trends like longevity medicine and natural aesthetics, and cultivating meaningful connections with patients. Whether you're a seasoned clinician or just starting your practice, this conversation with Carmen will inspire you to embrace a holistic approach that elevates patient outcomes and transforms the way you deliver care.
In this episode, Ingrid Harm-Ernandes, PT, WCS, a seasoned physical therapist, author, and speaker with over 40 years of experience, including almost three decades specializing in women's health, joins us for a discussion into the often overlooked but crucial topic of pelvic health, its critical role in everyday functions like bowel and bladder control, sexual health, & maintaining stability, and treatment options and resources available including NMF's free Menopause MicroCourse on genitourinary symptoms of menopause (GSM). As women enter menopause, the pelvic floor faces additional challenges, including incontinence, prolapse, and pain during sex (aka sex dysfunction). Ingrid noted that these issues are commonly misunderstood or dismissed as inevitable and as a result are not addressed. In actuality, these issues are quite treatable and should be addressed as soon as they are noted.She stressed the importance of recognizing symptoms early and seeking help from qualified, credentialed professionals (e.g., physical therapists, urogynecologists, and certified menopause practitioners / CMPs). Many of these conditions, though common, are manageable with the right care.One of the most misunderstood pelvic health issues is prolapse, where organs like the bladder or uterus shift from their normal position. Ingrid explained how prolapse often starts subtly, with symptoms like pressure or discomfort, but can progress over time without intervention. Fortunately, prolapse is treatable with both non-surgical and surgical options.Ingrid emphasized the importance of follow-through, whether it's attending physical therapy after surgery or making small changes to daily habits. Being aware of changes and understanding how to navigate health issues is an important part of continued self-care. She shared simple but effective strategies to promote pelvic health:Strengthen the Pelvic FloorStay ActiveHydrate and Eat WellSeek Professional HelpAsk QuestionsIngrid is a member of NMF's Medical Advisory Committee (MAC) and was co-faculty for the NMF's Menopause MicroCourse on genitourinary symptoms of menopause (GSM). Her book, The Musculoskeletal Mystery: How to Solve Your Pelvic Floor Symptoms, provides a deeper exploration of these topics. She has served on committees for both the American Physical Therapy Association's (APTA) Specialization Academy of Content Experts (SACE) committee and the American Urogynecologic Society (AUGS), including serving as the Chair and Vice Chair for the Advanced Practice, Physical Therapy and Allied Health (APPTAH) Special Interest Groups (SIG) and the AUGS Advanced Practice Provider (APP) conference committee.Connect with Ingrid:LinkedIn: https://www.linkedin.com/in/ingrid-harm-ernandes-5057773b/Instagram: @harmernandesFacebook: https://www.facebook.com/ingrid.harmernandes.71/Resources referenced in the podcast: The Musculoskeletal Mystery: How to solve your pelvic floor symptoms -- available on DesertHarvest.com and Amazon.comThe National Menopause Foundation's Menopause MicroCourses
On episode 503 of The Nurse Keith Show nursing and healthcare career podcast, Keith interviews Dr. Brenda Marshall, a tenured professor, Fulbright scholar, psychiatric nurse practitioner, and the co-author of Psychiatric Mental Health Guidelines for Advanced Practice Nurses, published by Springer Publishing. In the course of their conversation, Keith and Dr. Marshall discuss the broad implications of her excellent book, including the crucial role of advanced practice nurses in understanding the complexities of 21st-century mental health in the context of a world plagued by depression, anxiety, and existential threats like climate change, a divisive political landscape, and a beleaguered healthcare system. Dr. Brenda Marshall, a full tenured professor at Montclair State University's School of Nursing, is a Psychiatric Nurse Practitioner (PMHNP-BC) certified in Nursing Administration (NA-BC), a Master Addiction Counselor (MAC) and a sensorimotor psychotherapist. She has earned a doctorate in Education from Columbia University in Behavior Science/Health Education, a Master's of Science in Psychiatric Nursing from The University of Medicine and Dentistry of New Jersey, and a Master's of Science in Policy and Health Management from the Wagner Graduate School of Public Service at New York University. As a Fulbright Scholar Specialist in Mental Health Dr. Marshall lived and taught psychiatric nursing in Malta. Dr. Marshall was the principal investigator on the US Department of Education's Model Programs on College Campuses grant (2006-8), conducting research at Montclair State University related to reducing alcohol use by freshmen students, and investigating the relationships between attitude and behavior and parental engagement and student drinking behavior. More recently, Dr. Marshall has had her research funded in the areas of evaluating outcomes of psychotherapy using fMRI imaging, investigating depression in parents of children with ASD, assessing the physical effects of depression on African Americans with diabetes and heart disease, examining the impact of Mental Health First Aid (MHFA) Training on healthcare workers in a post pandemic world, MHFA training for nursing students,and MHFA training for teachers, and providing education on Substance Use Disorders to all health care providers. Dr. Marshall has authored five books, numerous chapters in psychiatric nursing text books, and scores of articles. She is the Psychiatric Nurse Practitioner Liaison for Holy Name Medical Center in Teaneck NJ. This episode of the Nurse Keith Show is brought to you in collaboration with Springer Publishing, who have been delivering award-winning healthcare education and exam prep materials focused on nursing, behavioral health, and the health sciences for more than 70 years. We thank Springer Publishing for their support. Connect with Dr. Brenda Marshall: Dr. Marshall's website Dr. Marshall on LinkedIn Springer Publishing Psychiatric Mental Health Guidelines for Advanced Practice Nurses Contact Nurse Keith about holistic career coaching to elevate your nursing and healthcare career at NurseKeith.com. Keith also offers services as a motivational and keynote speaker and freelance nurse writer. You can always find Keith on LinkedIn. Are you looking for a novel way to empower your career and move forward in life? Keith's wife, Shada McKenzie, is a gifted astrologer and reader of the tarot who combines ancient and modern techniques to provide valuable insights into your motivations, aspirations, and life trajectory, and she offers listeners of The Nurse Keith Show a 10% discount on their first consultation. Contact Shada at TheCircelandtheDot.com or shada@thecircleandthedot.com.
We are continuing the ACEND Series with Dr. Rayane AbuSabha discussing doctoral programs in dietetics. More notably, ACEND's new Advanced Practice Doctoral Standards. This episode is great for those interested or curious in pursuing terminal degrees. We discuss PhDs, what a Doctorate in Clinical Nutrition (DCN) is, and where the new APD standards fall into place. For more information about the new APD standards, visit this link: https://www.eatrightpro.org/acend/accreditation-standards-fees-and-policies/advanced-practice-standards-for-doctoral-programs
Caffeinators, we hope you're having a wonderful holiday season! For our last episode of 2024, we have another incredible guest for you, from Scotland! Sam Fontaine, RVN, MSc, PGCAP, BSc, DipAVN(Med), FHEA, SFRET, recently came by the Vet Tech Cafe. She launched a Master's in Advanced Practice in Veterinary Nursing program in the UK, that is completely online and takes students from around the globe. It was fascinating to hear about the creation of the program and how adaptable it is to different career paths. We also spent some time talking about life as an RVN in Scotland and what that looks like-SPOILER ALERT-they face many of the same challenges we do in the United States, just as all of the other countries from which we've had previous guests face. It's really interesting to see where the future of post-graduate education for veterinary technicians may go! Show Links: https://www.gla.ac.uk/postgraduate/taught/vet-nurse/ Videos on the Uni's Youtube channel: https://www.youtube.com/watch?v=3W6g8Bq69zs (PG cert course leaders discussing the first year of the program) https://youtu.be/Hip9GrN6T9I (a short interview with Kat Carman, one of the recent US MSc graduates) Our Links: Check out our sponsor https://betterhelp.com/vettechcafe for 10% off your first month of therapy Follow us on Facebook: https://www.facebook.com/vettechcafe Follow us on Instagram: https://www.instagram.com/vettechcafepodcast Follow us on LinkedIn: https://www.linkedin.com/company/vet-tech-cafe Like and Subscribe on YouTube: https://www.youtube.com/channel/UCMDTKdfOaqSW0Mv3Uoi33qg Our website: https://www.vettechcafe.com/ Vet Tech Cafe Merch: https://www.vettechcafe.com/merch If you would like to help us cover our podcast expenses, we'd appreciate any support you give through Patreon. We do this podcast and our YouTube channel content to support the veterinary technicians out there and do not expect anything in return! We thank you for all you do.
Meet again Joe Sherman. Joe grew up in a family being the youngest of seven siblings. His parents who had not gone to college wanted their children to do better than they in part by getting a college education. Joe pretty much always wanted to go into medicine, but first obtained a bachelor's degree in engineering. As he said, in case what he really wanted to do didn't pan out he had something to fall back on. Joe, however, did go on and obtain his MD and chose Pediatrics. He has been in the field for 35 years. This time with Joe we talk a lot about the state of the medical industry. One of Joe's main efforts is to educate the medical profession and, in fact the rest of us, about burnout among medical personnel. Joe tells us why burnout is so high and we discuss what to do about it. Joe talks about how the medical profession needs to change to keep up with the many challenges faced by doctors and staff and he offers interesting and thought-provoking ideas. Again, I hope you will find my discussion with Joe Sherman beneficial, productive and helpful to you, especially if you are a doctor. About the Guest: Dr. Joe Sherman helps health professionals transform their relationship with the unrelenting demands of their jobs and discover a path toward meaning, professional fulfillment, and career longevity. He believes the key to personal and professional success lies in bringing “soul to role” in your medical practice. Dr. Sherman is a pediatrician, coach and consultant to physicians and healthcare organizations in the areas of cross-cultural medicine, leadership, and provider well-being. He is a facilitator with the Center for Courage & Renewal and a Master Certified Physician Development Coach with the Physician Coaching Institute. Dr. Sherman has been in pediatric practice for over 35 years concentrating on healthcare delivery to underserved and medically complex children in the District of Columbia, Tacoma, Seattle, Uganda, and Bolivia. He has held numerous faculty positions and is currently Clinical Associate Professor of Pediatrics at the University of Washington. Ways to connect with Dr.Joe: My website is: https://joeshermanmd.com/ LinkedIn: www.linkedin.com/in/joeshermanmd Direct email connection: joe@joeshermanmd.com About the Host: Michael Hingson is a New York Times best-selling author, international lecturer, and Chief Vision Officer for accessiBe. Michael, blind since birth, survived the 9/11 attacks with the help of his guide dog Roselle. This story is the subject of his best-selling book, Thunder Dog. Michael gives over 100 presentations around the world each year speaking to influential groups such as Exxon Mobile, AT&T, Federal Express, Scripps College, Rutgers University, Children's Hospital, and the American Red Cross just to name a few. He is Ambassador for the National Braille Literacy Campaign for the National Federation of the Blind and also serves as Ambassador for the American Humane Association's 2012 Hero Dog Awards. https://michaelhingson.com https://www.facebook.com/michael.hingson.author.speaker/ https://twitter.com/mhingson https://www.youtube.com/user/mhingson https://www.linkedin.com/in/michaelhingson/ accessiBe Links https://accessibe.com/ https://www.youtube.com/c/accessiBe https://www.linkedin.com/company/accessibe/mycompany/ https://www.facebook.com/accessibe/ Thanks for listening! Thanks so much for listening to our podcast! If you enjoyed this episode and think that others could benefit from listening, please share it using the social media buttons on this page. Do you have some feedback or questions about this episode? Leave a comment in the section below! Subscribe to the podcast If you would like to get automatic updates of new podcast episodes, you can subscribe to the podcast on Apple Podcasts or Stitcher. You can subscribe in your favorite podcast app. You can also support our podcast through our tip jar https://tips.pinecast.com/jar/unstoppable-mindset . Leave us an Apple Podcasts review Ratings and reviews from our listeners are extremely valuable to us and greatly appreciated. They help our podcast rank higher on Apple Podcasts, which exposes our show to more awesome listeners like you. If you have a minute, please leave an honest review on Apple Podcasts. Transcription Notes: Michael Hingson ** 00:00 Access Cast and accessiBe Initiative presents Unstoppable Mindset. The podcast where inclusion, diversity and the unexpected meet. Hi, I'm Michael Hingson, Chief Vision Officer for accessiBe and the author of the number one New York Times bestselling book, Thunder dog, the story of a blind man, his guide dog and the triumph of trust. Thanks for joining me on my podcast as we explore our own blinding fears of inclusion unacceptance and our resistance to change. We will discover the idea that no matter the situation, or the people we encounter, our own fears, and prejudices often are our strongest barriers to moving forward. The unstoppable mindset podcast is sponsored by accessiBe, that's a c c e s s i capital B e. Visit www.accessibe.com to learn how you can make your website accessible for persons with disabilities. And to help make the internet fully inclusive by the year 2025. Glad you dropped by we're happy to meet you and to have you here with us. Michael Hingson ** 01:21 Well, hi all. This is your host, Mike hingson, and welcome to another episode of unstoppable mindset. And today we are meeting once again with Dr Joe Sherman. And if you remember our last show, Dr Sherman is a board certified pediatrician and master certified physician development coach, and I won't give any more away, because it's more fun to talk to him about all of that. But we had such an interesting discussion, it just seemed like what we ought to do is to have a continued discussion, because we didn't get to cover everything that he provided to us last time, and and I know we've probably got lots more that we can add to the discussion. So, Joe, welcome to unstoppable mindset. We're glad you're here Dr. Joe Sherman ** 02:10 again. Thanks so much for having me. Michael, it's good to be back. Michael Hingson ** 02:13 Well, glad you're here and all that. Do you want to start by kind of, maybe refreshing people about you a little bit life and all that, any anything that you want to give us just to start the process? Sure, Dr. Joe Sherman ** 02:25 I currently live in Seattle, Washington with my wife. We have a few grown children that are in their early 20s, and I am a pediatrician, and now am a physician professional development coach, and I facilitate retreats for health professionals, medical teams, and most of my focus is on trying to bring who we are to what we do kind of being more authentically who we are in our workplace, trying to come to our work with a more balanced mindset, and trying to work A little bit more collegially as medical teams in today's ever changing health care environment. So now, I have practiced for about 35 years in pediatrics, and am now devoting all of my time to coaching and facilitation. You Michael Hingson ** 03:37 know, gosh, there's so many, so many things that would be interesting to discuss, and I do want to stay away from the whole idea of politics, but at the same time, what do you think about the whole way the medical profession, you know, of course, one of the things that comes to mind is just everything that happened during COVID. But what do you think about the way the medical profession and some of the things that the profession is trying to do is being treated by politicians, and a lot of times it seems like people don't take it seriously, or it just doesn't fit into their agenda. Does that make sense? Dr. Joe Sherman ** 04:15 You mean, as far as so as a pandemic was concerned? Well, the Michael Hingson ** 04:20 pandemic, or, you know, there were some discussions about end of life or life discussions, and some people poo pooed, having that kind of thing and saying that isn't something that doctors should be doing. Oh, Dr. Joe Sherman ** 04:33 I think, right now, I think that politics and healthcare are intricately entwined. Especially after the pandemic, and I think right now, the idea of the politics getting in the way of a kind of. The doctor patient relationship is, is challenging. It's challenging for healthcare workers. I think where we desperately need political courage is in trying to develop a healthcare system that works for everybody in the country. So I think that that's where the focus should be. Michael Hingson ** 05:21 What do you think about? And I've had a number of people tell me, single pay healthcare system wouldn't be a good thing. It's too socialistic, and we'll leave that out of it just wouldn't be a good thing. It seems to me that it has been very successful in a number of places, but the kinds of arguments that people give are well, but by having competition, we have been a lot better at producing new and innovative technologies that wouldn't be produced or wouldn't be provided if we had just a single pay kind of system. I don't know whether that makes sense or I'm expressing it the best way, but it just seems like there's an interesting debate there. I Dr. Joe Sherman ** 06:03 think there is debate because I do think there is some truth in the statement that our health care system has enabled development of technology and research in ways, perhaps that other countries have not. On the other hand, our health outcomes and our health access for people who live in this country is not very good, especially given the degree of wealth that our country has. So I used to joke, although it's not that funny, but one clinic where I worked that was a low income clinic, I used to joke that if one of our patients were to come out of their apartment To cross the street to come to the clinic. They may be turned away at the door because they don't have any insurance, or they don't have the proper insurance, or they can't pay but if they happen to be get run over by a car in the street on their way across the street, there would be no questions asked. The ambulance come pick them up. They'd be taken to the emergency room, given the best treatment to try to save their lives, admitted to the ICU and incur a huge medical bill with the greatest of technology, but they would not have been able to have gotten that primary care appointment to be in with. Yeah. So we are very kind of high tech, high intensity, high specialized in our approach to health care, whereas other countries focus much more on primary care. Michael Hingson ** 07:54 I know in 2014 in January, my wife became ill. Started out as bronchitis, and it kept getting worse, and she didn't want to go to the hospital, but, and she was always in a wheelchair, so she she found that they didn't really know how to deal with can Well, she was congenital or always paralyzed from basically t3 from the breast down, and she so she didn't like to go, but finally, we compelled her to go to the hospital. And was on a Saturday, and the next day, the bronchitis morphed into double pneumonia and ARDS, and her lungs ended up being 90% occluded, so she had to even to get air into her lungs, they had to use a ventilator, and she had a peeps level of 39 just to get air into her lungs. Yeah, you know what that that means. And it was, it was pretty amazing. People came from all over the hospital just to watch the gages, but she had literally, just about turned 65 and we were very blessed that we didn't get any bill because Medicare, I Guess, absorbed the entire thing, and we we, we didn't know whether, whether we would get anything or not, and we didn't. And she did recover from that, although she felt that she had coded a couple times, and then her brain wasn't quite as good as it had been, but, but she did well, and so we got incredible care from Kaiser Terra Linda up in the San Rafael area, and it all went well. Of course, I we had gotten the pneumonia shots, and I complained to our physician to talk about joking. I complained to our primary care physician. I. Well, you say that these shots are supposed to keep it from happening, but we both had the shots and and, and she got double pneumonia anyway. Of course, the unfortunate thing was that that the doctor had an answer. She said, Yeah, but it would have been worse if he hadn't gotten the shot. Darn. She shot me down, but it was fun to joke. Dr. Joe Sherman ** 10:18 Well, I'm sorry that that happened to you that that's, that's a unfortunate situation, it Michael Hingson ** 10:26 was, but you know, things, things do happen and and we did get over it. And out of that, we ended up moving down to Southern California to be closer to to family. So it worked out okay. But we we love the and really support the medical system in any way that we can. We see both of us did, and I still, you know, and wherever she is, she must see the value of of what's done. And it just is so frustrating anytime people say doctors are crazy people. They don't, they don't really look out for people's interest, and just so many different things. It, it's unfortunate, because, you know, I can tell you from personal experiences. I just said what we saw, Dr. Joe Sherman ** 11:16 yeah, I think that what is happening in our healthcare system now is this epidemic of burnout amongst professionals, especially amongst physicians and nurses, but and a lot of that has to do with the amount of administrative tasks and the amount of pressure that's put on physicians and other health care providers in trying to see as many patients as they can in the shortest amount of time as possible, and this is because of our system of fee for service reimbursement for medical care, the way that that health systems stay afloat is by trying to see as many patients as possible, and this unfortunately, combined with the amount of administrative work that needs to be done for each of those visits, plus the amount of communication that comes in from patients, as well as referral sources and requests for prescription refills, all of that comes in constantly through the computer of any physician that's trying to work as an outpatient or inpatient doctor, and it just becomes overwhelming, Michael Hingson ** 12:43 yeah, how do we fix that? That's a good loaded, general question, isn't Dr. Joe Sherman ** 12:50 it? It is it is a good question. And I I think it's a multi pronged approach. I do think that one thing that has happened is that the technology of healthcare and the business of healthcare has changed dramatically during the time that I've been a physician, a pediatrician, and the culture of healthcare, kind of, the way we do things, really hasn't changed. So that means that the business and the technology has placed more demands on us, and at the same time, we're kind of doing things pretty much the same way we've always done them, because of these extra demands that are placed on physicians and other health professionals, what's needed are experts that are in those areas of billing, administrative, administration, technology, it all of those things that now all feed into seeing patients in the office or in the hospital. So you need all of those professionals working together side by side along with the physician, allow the physician to do the work that she's been taught to do, which is actually deal with the patient and take care of the patient, and then let other people do the data entry, do the billing, take care of all of the messages and other things that are coming in around that that that provider. Do Michael Hingson ** 14:23 you think that the same level of burnout exists in other countries that exists here? Dr. Joe Sherman ** 14:29 You know it does. I do think that burnout exists everywhere in healthcare. I do think that it is less in low income countries, which seems kind of strange, but I've worked for many years in my life in low income countries in Africa as well as South America. And it's a different culture. It's a different culture. Culture of health care there is, there are different expectations of doctors, I think, in other countries, especially countries that are used to seeing a lot of disease and mortality, the pressure on saving lives and the pressure on having to be perfect and always get it right and knowing everything to do it each time that a patient comes in is not quite as intense as it is here. So I do think that it is different in other places. However, I will say that I have spoken to physicians in definitely in the more developed, higher income world, parts of the world that this epidemic of burnout is pretty universal Michael Hingson ** 15:57 now, It seems to me that I've been seeing in recent years more what they're called physician assistants. Is that a growing population, or is it always been there, and I just haven't noticed it? And does that help? Dr. Joe Sherman ** 16:14 I do think that in our country, here in the US, the future, will see many more physicians assistants and nurse practitioners, what we call Advanced Practice clinicians, or advanced practice practitioners, providers. We're going to see many more of them doing primary care, and a model that I think would would probably work very well is a team based model where the MD, who is kind of trained at a much higher level for many more years, leads a team of other providers made up of physicians assistants and nurse practitioners to do primary care, to take care of a group of patients, and perhaps that MD is there to consult, to be back up and to care for the more complex patients, while the nurse practitioners and PAs Are are getting the primary care, delivering the primary care. Michael Hingson ** 17:23 Well, I know that the PAs that I have dealt with through the years, it seems to me, have, especially in the last 10 years, but have been very, very competent, very qualified. And I I don't, I don't know that, where I would say that they're less rushed, but I've had the opportunity to have some good conversations with them sometimes when, when the doctor just doesn't have the time. So it that's one of the reasons that prompted the question. It just seems to me that the more of that that we can do, and as you said, the more that that takes off. Perhaps some of the load from the physician itself may, over time, help the burnout issue. Dr. Joe Sherman ** 18:10 I do think so. But I also feel like there's tremendous pressure right now on those pas and nurse practitioners, because they're under a lot of pressure too, too, and there aren't enough of them. Reduce and yes, so actually, right now, there's a movement within the the federal government to expand the number of positions in training programs for nurse practitioners and PAs. We have far too few, especially Physician Assistant schools. We don't have nearly as many as we need in this country. And if you look at the numbers, I think it's more competitive to get into PA school than it is to medical school, 18:54 really. Yeah, Dr. Joe Sherman ** 18:58 I, you know, I that's been my experience of what I've seen from people just, you know, the number of applicants toward compared to the number of accepted, hey, Michael Hingson ** 19:09 they wouldn't let you into a PA school, huh? 19:11 Exactly? Yeah. Michael Hingson ** 19:15 No, I know. Well, it's, it is interesting. I know we read a few years ago that University of California Riverside actually started a program specifically, I'm trying to remember whether it was for training doctors. It was something that was supposed to be an accelerated program. Oh, some of the hospitals sponsored it. And the agreement would be, if you went to the school, you'd get the education, you wouldn't pay and at the end, and you would go to work for those hospitals like, I think Kaiser was one of the major sponsors of it. And again, it was all about trying to bring more people into the profession. Which certainly is admirable by any standard. Dr. Joe Sherman ** 20:04 Yes, I think there are. Now, there are a few medical schools, and they're expanding the numbers that have free tuition, and they some of those schools, such as NYU Medical School has a generous donor who is given a tremendous amount of money as a donation and as an endowment. It pays for all the education of the students that go there. And there are some other schools that have the same arrangement. I think, I think if I were to be boss of the country, I would make all medical education free in in return, people would have to work in an underserved area for a certain number of years, maybe a few years, and then after that, they would be free to practice debt free, in any specialty and anywhere they would like. Michael Hingson ** 21:10 Well, we need to do something to deal with the issue, because more and more people are going to urgent cares and other places with with different issues. I have someone who helps me a little bit. She's our housekeeper, and she also comes over once a week for dinner, and she has some sort of allergy. She just her face and her neck swelled up yesterday and had all sorts of red spots and everything. It's the second time she took not Benadryl, but something else that made it go away the first time, but it was back, and several of us insisted that she go to urgent care, and she went, and while she was there, she heard somebody say that they had been waiting four hours. So she left, you know, and which doesn't help at all. So I don't know actually whether she went back, because I talked with her later and said, Go back. So I don't know whether she did, but the waiting time is oftentimes very long, which is unfortunate. And I don't know whether more people are getting sick, or they think they're getting sick, or they're just taking ailments that are less too urgent care, but there are definitely long waiting times. Dr. Joe Sherman ** 22:25 Yes, people, the people do not have a medical home. Many, many people don't have a medical home, a true medical home, that early in my practice pediatrician, as a general pediatrician, if there was a child that was in our practice and at night time or over a weekend, somebody would be on call. If that parent was concerned about a child in any way, they call the emergency line for the practice, the on call line, and that operator would page whoever the doctor was on call, and I would, as the doctor covering call that parent and talk directly at home, give advice over the phone, say what to do, make a decision of whether that child needed to go to the emergency room or not, or in the vast majority of cases, could give advice over the phone about what to do and then follow up when the office was open the next day or on the next week. Yeah, but nowadays, people aren't connected to offices like that. Yeah. We have call centers nurse advice lines of people that don't have access to medical records or have very strict protocols about what type of advice to give and the bottom line and the safest thing is go to the emergency room or go to urgent care. So that's unfortunately why some of the highest burnout rates are in emergency room doctors, and some of the biggest problems with understaffing are in emergency rooms right now. And Michael Hingson ** 24:16 I can understand that, and makes perfect sense to hear that, and it's unfortunate but true. So yeah, but yeah, you're right. So many people don't really have a home. We've been blessed Karen, my now late wife, of course, was always a patient of Kaiser, and was a strong advocate for the way they did most of all of what they did. And so I eventually, when we got married and we were in a Kaiser area, then I did the same thing. And mostly I think it worked out well. I think. Kaiser is a little bit more conservative than some when it comes to perhaps some of the the newer procedures or newer sorts of things like they, you know, we see ads on TV now for the Inspire way of dealing with sleep apnea, as opposed to CPAP machines. And I don't know whether Kaiser has finally embraced that, but they didn't for the longest time. At least our doctor said that it wasn't really great to have to undergo surgery to deal with it, and the CPAP machines work fine, but I think overall it to to use your your words, definitely, if you're in that kind of an environment, it is a little bit more of a home, and you have definite places to go, which I think is valuable. And I think that more people really ought to try to figure out a way to find a home if they can. Dr. Joe Sherman ** 26:00 Yeah, I do think that it is in the amount just society has advanced so so rapidly and so much in in how communication is instantaneous these days, through texting and through internet and through instant messaging, all these different ways that everything is sped up so people are looking for answers right away. Yeah, and it's, it's that's often puts too much pressure on the people that are trying to manage all of the patients that and all of their inquiries that they have. So I think, I think we need to make some serious changes in the way that we, that we staff hospitals, the way we staff clinics, and look and see what are the specific duties that need to be done, the specific activities and responsibilities in attending to a patient and specifically target personnel that are skilled in that activity, instead of having a physician who you know, is not the greatest typist, or is not the greatest at trying to figure out a code of billing for insurance or how to look at 100 messages that came in while she was attending to, you know, 25 patients in A clinic. It's just too much. It's overwhelming. And I mean, I now facilitate a group. It's a support group for physicians through physicians anonymous, where physicians are suffering from anxiety, depression, addiction. Suicide, ideation, and it's it's really at at scary levels right now, and I do think that the healthcare systems are starting to be aware of it. Think patients need to be aware of it, and the reason why, when you call, you're on hold forever or you never do get to speak to a real person, where it takes months to get in to see a doctor, it's because nobody's home. Yeah, everybody is many, many people have, have quit. Michael Hingson ** 28:39 Yeah, there's such a shortage. I know at least we see ads oftentimes for nurses and encouraging people to go into the field, because there's such a shortage of nurses, just like there's a shortage of teachers. But we don't do as much with the conversation of, there's an incredible shortage of physicians. I think it's probably done in some ways, but not as publicly as like nurses and some other types of physicians. Dr. Joe Sherman ** 29:13 Yes, I think right now, the I always feel like, I mean, this has been always true that on hospital floors, because the profit margin for hospitals is very narrow, there are only certain services that hospitals truly make profit on. So usually the staffing levels are kept to the very bare minimum, and now that just puts too much pressure on those that are remaining. And so now we're seeing many more hospitals have nurses that go out on strike or or decide to slow down, or. Or do other measures to try to get the attention of how dangerous it is to have understaffing in the hospital. Michael Hingson ** 30:08 Have we learned anything, because of all the stuff that happened with COVID Now that we're in this somewhat post COVID world, have we have we learned a lot or any or anything, or is anything changing, and is there really ever going to be a true post COVID world? For that matter? That's a fair question. Dr. Joe Sherman ** 30:29 That is a fair question. And I do think recent changes in policy by the CDC of of treating COVID As if it were influenza, or RSV or other type of respiratory viruses is there are many physicians that disagree with that policy, because COVID, this COVID, 19 that We've been dealing with, causes many more complications for those that have complex medical conditions, and this long COVID situation is something that we really don't have a grasp on at this point, but I believe one innovation I would see or expansion that has come about is the whole telehealth movement, now that there are many, many more video visits, I do think that's a good thing. I also believe that it can provide more flexibility for healthcare providers, which will help to decrease burnout, if providers are able to perhaps do their telehealth visits from home, or be able to spend time doing telehealth visits as opposed to having to see patients in person. I think what happens now is we need to get better organized as far as which types of visits are should be telehealth, and which types should be seen in person, so that one provider is not going back and forth from, you know, computer screen to seeing somebody in person, back and and so that gets too disorganized. Yeah, I think at times, other things, I think we learned a lot about infectious disease. I think that the general public learned a lot more about infections and infection control. I think that's all good. I think one thing that we did not learn, unfortunately, is how desperately we desperately we need to do something to try to stem the tide of burnout, because it just accelerated during COVID and then has continued to accelerate because of the economic crunch that healthcare systems find themselves in now. Michael Hingson ** 33:10 Well, and what is, to me, a little bit scary, is all it takes is one COVID mutation that we don't expect or encounter, and we're almost in back where we were, at least for a while. And I hope the day will come when, rather than using the the mRNA type vaccine that we use now that we truly will have a vaccine like an influenza vaccine, that can really kill the virus and that we can then take, even if it's yearly, but that will truly build up the immune system in the same sort of way. Although I have no problem with the current vaccine, in fact, I'm going in for my next vaccine vaccination a week from tomorrow. And what cracks me up is I've been there a number of times, and some people talk about the conspiracies of all they're doing is injecting you with all these little things that are going to track you wherever you go. And I'm sitting there going, Fine, let them. Then if there's a problem, they're going to know about it, and they'll come and get me, you know, but what I really love to do is a nurse will come over, she'll give me the the vaccination, and she pulls the needle away, and then I reach over with my one hand and slap my hand right over where she did the shot. And I said, Wait a minute. One just got out. I had to get it, you know. And, and she says, you know, there aren't really any trackers. I said, No, I'm just messing with you, but, but you know, it will be nice when that kind of a vaccination comes, and I'm sure. Or someday it will. Dr. Joe Sherman ** 35:02 Well, I think the vaccines it this specific, these types of respiratory viruses do mutate quite a bit. There's all kinds of variants, and they change every year. So I think no matter what kind of vaccine we get, we're still with with infections such as influenza or COVID, we're still going to end up needing to get annual vaccines, most likely, yeah, Michael Hingson ** 35:34 and that is the issue, that even with influenza, we do get lots of variants, and I know a couple of years, as I understand it, they kind of predict what strains to immunize for based on like, when Australia gets in our middle of the year and things like that. But sometimes it doesn't work. That is they they guessed wrong when it gets to us, or it's mutated again, and it's unfortunate, but it is, it is what we have to deal with. So for me, as far as I'm concerned, anything that we can do is going to help. And I really have found the current vaccines that we do get for COVID, at least, whether it will totally keep you from getting it or not, which I gather it won't necessarily, at least it will mitigate to a large degree what could happen if you didn't take the vaccination. Dr. Joe Sherman ** 36:34 Yes, yes, that's correct. We We are. We're seeing much less deaths as a result of COVID infection. However, in the peak of the winter time in the clients that I was that I've been coaching, who work in in hospitals and in ICUs, they were seeing still a large number of patients that were there. It's just that we've now developed better treatment and management for it and so, so then less people are dying of it. But it is, you know, we have, again, the amount of research, medical research and development that has developed these vaccines has prevented so much infection that what doctors are called on to do now and what they're called on to treat and manage has shifted much more into areas of behavioral health and lifestyle change than it is treating infections. That's dramatically different experience through my pediatric training than what type of training that a pediatrician these days gets Michael Hingson ** 38:01 and there again, that means that the physicians have to spend the time learning a lot of that that they didn't learn before, which also takes a toll, because they can't be in front of patients while they're learning or while They're studying. Dr. Joe Sherman ** 38:18 Yes, yeah, it's what the medical students and residents now are being called on to manage in the hospital are very, very complex, specialized conditions and very serious conditions. My experience as a resident was much more. The vast majority of people I took care of as a pediatric resident were normal, healthy children who happen to get sick, mostly with infection and sometimes very seriously sick, come in the hospital, receive treatment, and walk out as a child, a normal, healthy child again, we don't see that as often as pediatric residents, just speaking from pediatricians point of view, and I think that that has a an emotional toll on the resident physicians. I got a tremendous amount of reward from caring for patients with serious infections that received antibiotics and got completely better than patients who already have complex chronic conditions that just get worse or a complication, and they come In and the resident helps to manage them a little bit, and then sends them on their way. But really doesn't feel like they cured them contributed in the same way and that that was they don't have that same type of reward, that rewarding feeling, I think, are Michael Hingson ** 39:59 we seeing? More of that kind of patient, significantly more than we used to in the hospital. Absolutely. Why is that? Is there really are more or Dr. Joe Sherman ** 40:11 or what? Well, there aren't. We've taken care of most of the serious bacterial infections that used to be treated in the hospital with antibiotics, we've taken care of them with vaccines, and then we've also advanced the the quality and and variety of conditions that we can treat as an outpatient now, so that people that used to come into the hospital all the time for conditions, simple, basic things, are now treated as outpatients. And that's a good because you don't want to be in the hospital any longer than you absolutely have to. No, Michael Hingson ** 40:58 I had, well, my father, I don't remember how old I was. It must have been in the we 1960 sometime he had to have a his gallbladder out. So it was a pretty significant operation at the time, because they he was in the hospital a couple days, and came home with a nice scar and all that. And then my brother later had the same thing. And then in 2015 suddenly I had this, really on a Thursday night, horrible stomachache. And I figured there is something going on. I hadn't had my appendix out, but this wasn't right where my appendix was, but we went to the local hospital. We called Kaiser, and they there isn't a hospital, a Kaiser hospital up here, so they sent us to another place, and they took x rays, and then we ended up going down. They they took me by ambulance on down to Kaiser, and it was a gallbladder issue. So I guess all the men in my family had it. But what happened was that when they did the surgery, and by the time we got down to Kaiser, the there was a gallstone and it passed. So I didn't want to do the surgery immediately, only because I had the following Sunday an engagement. So we did it, like a week later, the doctor thought I was crazy, waiting. And then later he said, Well, you were right. But anyway, when I had the operation, there were three little band aids, and it was almost, I guess you call it outpatient, because I went home two hours later. Wow, I was I was blessed. So they it was almost like, and I've had colonoscopies before. I didn't spend any more time doing the gallbladder operation than I did, really, with all that I spent in the hospital doing a colonoscopy, it was pretty good, Dr. Joe Sherman ** 42:58 right? I do think that there's been again, major advances in endoscopic surgeries and robotic surgeries and minimally invasive procedures to be able to to treat patients. I mean, again, I have to say that our ability now to treat stroke and and heart attacks, myocardial infarction, our abilities to our ability to treat those acutely, do something to try to improve the outcome, has improved dramatically just recently, I would say, especially stroke management. So what we have is amazing, dramatic changes in in reducing the morbidity and mortality from stroke now, and I think that it's remarkable. Even as a physician, I didn't even realize until a recent trip I took to Bolivia with a group of neurosurgeons how stroke is treated now, and it's, it's, it's phenomenal that before you have a stroke, and it's just kind of like, well, you hope for the best. You support hope that some blood flow returns to that part of the brain. Now, if you have a stroke, and people are taught to recognize it and immediately get to the hospital, they can give a medication to melt the clot, or actually go in there with the catheter and extract the clot out of the vessel and restore you back to full function and Michael Hingson ** 44:56 remarkable, and have a glass of red wine while you're at it. Yeah. Uh, or, or, do we still say that TPA helps some of those things a little bit? You Dr. Joe Sherman ** 45:07 know, it's interesting. It's, you know, as far as as I think I've never seen so many articles written about the consumption of alcohol coffee, going back and forth and back and forth. You know what's helpful? What's not? Everything in moderation, I would say this point, Michael Hingson ** 45:28 yeah, I I would not be a good poster child for the alcohol industry. I have tea every morning for well, with breakfast. And the reason I do is that I decided that that would be my hot drink of choice. I've never been a coffee drinker. The caffeine doesn't do anything for me, so it's more the tea and then a little milk in it. It is a hot drink. Ever since being in the World Trade Center, I do tend to clear my throat and cough more, so the tea helps that, and that's the reason that I drink tea. But I remember seeing old commercials about red wine. Can can help you. So if I have a choice in wine, I'll oftentimes get red just because I've heard that those commercials, and I don't know how how true it is anymore, but hey, it's as good a reason as any to have a glass of wine every other week. And that's about what it usually is. Dr. Joe Sherman ** 46:26 Yeah, sounds like. Sounds like a good, a good plan. Yeah, Michael Hingson ** 46:31 works. Well, it's, it's now kept me around for a while, and we'll keep doing it. It works. So what is it that healthcare workers and physicians do to kind of restore their love for what they do and work toward burnout? What can individuals do? Dr. Joe Sherman ** 46:54 I think we're at a point now where in in approaching the issue of burnout and approaching the issue of overwhelm with the amount of work that physicians are called on to do these days is a combination of personal Changes to mindset and approach to our work, as well as structural and organizational changes to facilitate our work. And I think that the organizational structural changes, again, have to do with trying to improve specific staffing to match the activities and responsibilities that are that are called on in the medical setting, and being able to do more in the in the formation of medical teams and in teamwork And in people having a common mission, working together, appreciating what each other does, and hospital administrations and and those folks that run the business of the hospital truly value and enlist The engagement of frontline workers in policy and procedures. So those are kind of structural changes right on the personal side, yeah, I was that's I just a lot of it has to do with being more realistic. And I'm speaking to myself too. We can't do everything for everyone all the time we are human. We often have been taught that we are super human, but we're not. And if, if we try to do too much and try to do it perfectly, then our bodies will rebel and we'll get sick. So I think we need to set boundaries for ourselves. We need to be able to say, these are the hours that I'm working. I can't work any more than that. We need to say that you can't reach me three different ways, 24 hours a day, all the time, and have me respond to all of those inquiries, we have to set limits, and we have to really look at what it is that we love about medicine, what it is we love to do within medicine, and really try the best we can, I Think, with the help of coaches and other types of mentors and folks that can help us to create the types of jobs and the types of positions that help us maximize that experience of fulfillment, that experience of of. Feeling like we truly are contributing to the health and well being of our patients. Do Michael Hingson ** 50:07 you think overall that the kind of work you do, and then others are doing to address the issue of burnout is is really helping? Are we are we making more progress, or are we still losing more than we gain. Dr. Joe Sherman ** 50:23 I think we're making progress on an individual basis, on people that do seek help. But we need also to change the mindset of ourselves as physicians, to be willing to seek help. We need to seek help and be admit that we need that type of support, but until we get organizational commitment to trying to change the structures and the systems that we work under, then we will continue to have more physicians lost to burnout, depression and suicide. Michael Hingson ** 51:05 Are healthcare institutions recognizing more the whole issue of burnout, and are they? Are they really starting to do more about it? Dr. Joe Sherman ** 51:17 Some, I think some are. I think organizations are recognizing it. Associations of physicians are recognizing it. But when it comes to surviving as a health organization, healthcare institution, the bottom line is, what runs a show, and the way you make income is through billing, and the billing occurs as a result of a health care provider providing and billing for what they Do. So if there's an economic crunch, the first thing to go is anything that doesn't generate income and supports for the well being of staff does not generate direct income. What it does, though, is that it retains staff. It it results in a happier staff, a more higher professional satisfaction, and in the long run, is going to save you money, Michael Hingson ** 52:33 yeah, which, which is another way of making some more money. Dr. Joe Sherman ** 52:39 Yeah. I mean the total cost, the average cost for replacing a physician who has decided to quit is anywhere from about 600,000 to $2 million depending on the specialty of the physician. Yeah, Michael Hingson ** 52:57 and then getting people to necessarily see that is, of course, a challenge, but it still is what what needs to happen, because it would seem to me that those costs are just so high, and that has to account for something that is still a fair chunk of money. Yeah, it Dr. Joe Sherman ** 53:16 is. It's a great deal of money. And, you know, our again, our system of health care, we were headed in the right direction. And I think eventually we have to get there to population based health in looking at health outcomes and trying to look at overall health of of our our citizens and and those who live here in our country in trying to, instead of having a fee for service model, have a model that looks at reimbursement for health care based on the total health of The patient, and that is contributed to by nurses, doctors, technicians, receptionists, community health workers, all those types of health professionals. Michael Hingson ** 54:12 What can we do to get the wider society to become more aware of all of these issues and maybe to advocate for change. Dr. Joe Sherman ** 54:25 I think, I think avenues like this, these Michael Hingson ** 54:29 podcasts, this podcast is one. Dr. Joe Sherman ** 54:32 I also believe that look at your real life, lived experience of trying to access healthcare today compared to how it was 20 years ago, and are you having more trouble? Are you having is it more expensive? Are you having more challenges? This is direct result of a. System that's not functioning well. Michael Hingson ** 55:02 Did the whole process of what we now call Obamacare, did that help in the medical process in any way? I Dr. Joe Sherman ** 55:11 think what happened with Obamacare was well, and the bottom line answer is yes, it has helped. And the way it has helped is that more people have access to health insurance, less people are completely uninsured than ever before. So I think from that perspective, that's been helpful, but there were so many compromises, oh yeah, to insurance companies and two different lobbyists that were all looking out for their interests, that what ended up happening was a much more watered down version of what was initially proposed, but step in the right direction, And if we continue to work toward that, and we have some contribution of government sponsored health insurance, then we're going to be better off as a nation, Michael Hingson ** 56:14 yeah, well, and anytime we can make a step forward, it does help, which is, of course, a good thing. So if there's one thing you want listeners to take away or watchers, because we are on YouTube, if there's one thing you want people to take away from this, what would it be? Dr. Joe Sherman ** 56:33 It would be, pay attention to your own personal experience with healthcare. Pay attention to your own health and observe what's going on in the clinics, in the offices and in the hospitals where you receive your medical care. If somebody is treating you well with respect and compassion, point it out. Make it known. Thank them. Yeah, make it known that you know that they're under tremendous stress and pressure, and that anytime that they can be kind, then that means that they are very dedicated to to treating you, treating patients. And if you're finding that where you're going to receive your health care seems to be understaffed, and say something about it. If you have a health care provider who is a bit snappy, is not patient with you, doesn't seem to be listening to you, it's not because they don't want to. Yeah, they desperately want to. It's just that the conditions are such that they're not able to Michael Hingson ** 57:44 and and it would probably be good to at least engage them in a little dialog and say, hey, hey, I'm not trying to yank your chain here and kind of try to help warm them up. I've been a firm believer that in a lot of places where I go, like in the in the airline world, the TSA people and so on, I love to do my best to make them laugh. So like when I go up to the kiosk and the TSA agent says, I need to see your ID, especially when I'm wearing a mask, I'll say, Well, what do you want to see it for? You can't tell who it is behind this mask, right? And I've had a couple people who didn't expect anything like that, but they usually laugh at it. Then the other one I love to use is they ask for my idea. I say, Well, what's wrong with yours? Did you lose yours? And I just love to try to make them laugh where I can, because I know it's a thankless job, and I know that what doctors and medical people deal with is a pretty thankless job, too. So it's fun to try to make them laugh whenever I can and get them to smile. Dr. Joe Sherman ** 58:47 Yep, they all could use a little bit more humor. Yeah, there's always that. So Michael Hingson ** 58:51 if people want to learn more about you and reach out and learn about your work and so on, how do they do that? Where do they find you, online or any of those things? Sure, Dr. Joe Sherman ** 59:00 I have a website that you can go to. It's Joe Sherman md.com and you can reach me by email. Joe at Joe Sherman md.com also on LinkedIn, so you can find me there. Too Cool. Well, Michael Hingson ** 59:20 once again, I want to thank you for being here. This has been a lot of fun and very enjoyable and in a lot of ways, but certainly educational, and I've learned a lot, and we got through all the questions this time that we didn't get through last time, which is always a good thing. So see, it was worth doing it twice. Dr. Joe Sherman ** 59:39 Great. Thank you so much. Well, it was Michael Hingson ** 59:42 fun, and of course, for you listening out there, reach out to Joe, and I want to hear from you. I want to hear what you think of today. So please email me. Michael, h i at accessibe, A, C, C, E, S, S, I, B, e.com, or go to our podcast page, www, dot. Michael hingson.com/podcast and Michael Hinkson is m, I, C, H, A, E, L, H, I N, G, s, O n.com/podcast, would really appreciate a five star review from you, wherever you are listening to us. We like those reviews if you can, if you know anyone that you think ought to be a good guest on unstoppable mindset. And Joe you as well. We'd love to hear from you or provide us introductions. Always looking for more folks to to meet and to chat with, and love the incredible diversity and subjects that we get to talk about. So that makes it a lot of fun, but I do want to just once more. Joe, thank you for being here. This has been enjoyable, and I really appreciate it. Thanks Dr. Joe Sherman ** 1:00:40 so much, Michael, I enjoyed the conversation. Michael Hingson ** 1:00:48 You have been listening to the Unstoppable Mindset podcast. Thanks for dropping by. I hope that you'll join us again next week, and in future weeks for upcoming episodes. To subscribe to our podcast and to learn about upcoming episodes, please visit www dot Michael hingson.com slash podcast. Michael Hingson is spelled m i c h a e l h i n g s o n. While you're on the site., please use the form there to recommend people who we ought to interview in upcoming editions of the show. And also, we ask you and urge you to invite your friends to join us in the future. If you know of any one or any organization needing a speaker for an event, please email me at speaker at Michael hingson.com. I appreciate it very much. To learn more about the concept of blinded by fear, please visit www dot Michael hingson.com forward slash blinded by fear and while you're there, feel free to pick up a copy of my free eBook entitled blinded by fear. The unstoppable mindset podcast is provided by access cast an initiative of accessiBe and is sponsored by accessiBe. Please visit www.accessibe.com . AccessiBe is spelled a c c e s s i b e. There you can learn all about how you can make your website inclusive for all persons with disabilities and how you can help make the internet fully inclusive by 2025. Thanks again for Listening. Please come back and visit us again next week.
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Retaining highly skilled advanced practice nurses and physician assistants in intensive care units is vital for maintaining excellent quality and safety in critical care. In the third episode of SCCM's podcast series on quality and safety in critical care, Diane C. McLaughlin, DNP, AGACNP-BC, CCRN, FCCM, is joined by Roy H. Constantine, MPH, PA-C, PhD, FCCM, and Jose Chavez, DNP, CNS, RN, CCRN, FCCM, to discuss best practices for retention and how retention impacts patient outcomes in critical care settings.
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Cameron Tharp, MPH, RTT joins The Accelerators (Drs. Matt Spraker and Simul Parikh), and we host radiation therapist Shaun Caldwell, EdD, RTT to discuss the Advanced Practice Radiation Therapist (APRT) role. Here are some things we discussed during the show:Mohan et al. on record and verify systems (1984)American Society of Radiologic Technologists (ASRT)American Registry of Radiologic Technologists (ARRT)Health Education England Advanced Clinical Practice DefinitionHere are some peer reviewed publications on the APRT role:Lawlor and Leech. Scoping review of established APRT rolesSkubish et al. Exploring possibilities for the APRT in the USThe Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company.If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.
In this episode of "Vibe Science," hosts Ryan Alford and Chris Hansen sit down with Kurtis Lee Thomas, a renowned keynote speaker and corporate mindfulness trainer, to explore his personal journey of transformation through breathwork. Kurtis delves into how breathwork helped him overcome serious health challenges that conventional medicine couldn't resolve, shedding light on its profound benefits such as emotional release, heightened awareness, and holistic healing. He contrasts the challenges many face with yoga and meditation, presenting breathwork as a more accessible and effective practice for self-healing and personal growth.TAKEAWAYSPersonal development and self-discoveryThe significance of breathwork as a healing techniqueKurtis Lee Thomas's journey and experiences in personal developmentThe importance of applying knowledge for real changeIntegration of new knowledge and skills for lasting transformationThe role of NLP (Neuro-Linguistic Programming) in understanding internal dialogueEmotional release and healing through breathworkAccessibility of breathwork compared to yoga and meditationConnection between breathwork and weight lossThe impact of stress on health and the benefits of breathwork in reducing stressTIMESTAMPSIntroduction to Vibe Science (00:00:00)The hosts Ryan Alford and Chris Hansen introduce the podcast and its focus on personal wellness.Guest Introduction (00:00:16)Kurtis Lee Thomas, a renowned keynote speaker and corporate mindful trainer, is welcomed to the show.Kurtis's Travel Experiences (00:01:07)Kurtis shares his solo travel experiences to sacred sites, emphasizing personal growth through cultural observation.Kurtis's Journey in Personal Development (00:03:03)Kurtis discusses his exploration of personal development and the importance of self-investment.Importance of Application (00:05:00)Kurtis highlights the need for applying knowledge rather than just absorbing it for true transformation.Integration of Knowledge (00:06:30)Kurtis stresses the significance of allowing time for integration after learning and taking action.Diverse Modalities in Personal Development (00:07:12)Kurtis reflects on his various certifications and the diverse techniques he has explored in personal development.Hypnotherapy Insights (00:07:35)Kurtis explains fascinating insights from hypnotherapy, including the brain's inability to distinguish reality from imagination.Effects of Media on Mental Health (00:08:41)Kurtis warns about the negative physiological impacts of consuming scary media and news.NLP and Self-Reflection (00:10:40)Kurtis discusses Neuro-Linguistic Programming (NLP) and its connection to self-awareness and internal dialogue.Understanding Intuition (00:11:07)Kurtis explores the concept of intuition and its distinction from logical thinking.Intuition as a Superpower (00:15:25)Kurtis shares thoughts on intuition as a valuable asset, referencing Steve Jobs and Henry Ford.Breathwork as Healing (00:19:23)Kurtis describes breathwork as a transformative practice that helped him heal from a chronic stomach condition.The Importance of Breathwork in Yoga (00:22:37)Discussion on body shaming barriers to yoga and the significance of breath in enhancing spiritual practice.Meditation as an Advanced Practice (00:23:37)Exploration of challenges in meditation and how breathwork can prepare individuals for effective meditation.Breaking Neural Pathways with Breathwork (00:24:40)Insights on how breathwork can disrupt negative thought patterns and promote emotional healing.Weight Loss Through Breathwork (00:25:53)Revelation of breathwork's role in detoxification and significant weight loss through proper breathing techniques.Stress Reduction and Eating Habits (00:27:01)Discussion on how breathwork alleviates stress and reduces cravings for unhealthy foods.The Importance of Proper Breathing (00:29:00)Ryan shares his realization about incorrect breathing during exercise and its everyday implications.The Benefits of Diaphragmatic Breathing (00:29:56)Kurtis explains how proper breathing engages the belly and its significance for health and emotional well-being.Emotional Storage in the Belly (00:31:26)Kurtis discusses how emotions can be stored in the belly, affecting weight and health.Understanding Energetic Highways (00:32:00)Kurtis introduces the concept of 'naughties' and their role in energy distribution throughout the body.The Science of the Sigh (00:34:04)Kurtis explains the sigh as a natural method for relieving built-up tension and stress.Breathing Techniques: Nose vs. Mouth (00:36:25)Kurtis discusses the benefits of breathing through the nose versus the mouth during breathwork.Learning More About Breathwork (00:40:50)Kurtis invites listeners to follow him on Instagram and explore his breathwork programs.Encouragement for Breathwork Practice (00:42:15)The speakers discuss the value of breathwork in daily life and its accessibility for everyone.Creating Space for Breathwork (00:45:15)Kurtis and the hosts stress the need to prioritize time and coaching for effective breathwork practice. Follow us on Instagram: @Vibe.Science Subscribe to our YouTube Page: www.youtube.com/@Vibe.Science
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Episode Resources:Connect with Janice on the WOCN Community platform.Post ostomy clinic questions in the ostomy community and/or professional practice community. About the Speakers:Janice Erbe Gorski, DNP, APNP, FNP-BC, CWON-AP, is an ostomy nurse practitioner who is employed at the Medical College of Wisconsin as a lead Ostomy APP. She is responsible for the development of the ostomy program and works in both the inpatient and outpatient clinic settings. In her role, Janice opened a nurse practitioner led ostomy clinic which has dramatically grown to support two dedicated ostomy nurse practitioners.Janice became certified as a wound ostomy nurse in 2008 and received her Doctorate of Nursing Practice in 2020. She is active with the Wound Ostomy Continence Nursing Society at both the Chapter and National levels. She is the current president of the North Central Chapter. Additionally, she serves on the United Ostomy Associations of America (UOAA) Education Committee.
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Welcome to another enlightening episode of the Finding Harmony Podcast! In this episode, Harmony sits down with the incredible Kate O'Donnell, an Ayurveda expert, author, and holistic health practitioner. Kate shares her vast knowledge and insights on Ayurveda, specifically focusing on women's health and her new book, "Everyday Ayurveda for Women's Health." Key Topics Discussed: The uniqueness of Ayurveda for women's health Understanding the balance between solar and lunar energies The importance of nourishing the body and mind Practical Ayurvedic tips for daily living The transformative power of oil massage Addressing hormonal changes and managing stress Embracing the natural cycles and rhythms of the body Want to listen to more episodes with Kate? Check these out! Everyday Ayurveda with Kate O'Donnell episode A Round Table on The Advanced Practice with Kate O'Donnell episode Connect with Kate O'Donnell: Instagram: @kateodonnell.ayurveda Website: healwithkate.org Connect with Us (We love to hear from you!) B-School with Harmony: https://harmonyslater.com/b-school-marie-forleo Harmony Slater's Website: http://harmonyslater.com Finding Harmony Community https://harmonyslater.com/harmony-slater-coaching Find Harmony on Instagram Follow the Finding Harmony Podcast on IG Two Minute Breathwork Session Yoga Gives Back Fundraiser Special Offers: Purchase Kate's new book, "Everyday Ayurveda for Women's Health" from all major retailers. Join Kate's annual membership for access to seasonal self-care and cooking classes. Participate in Kate's seasonal cleanses for a hands-on experience of Ayurveda. Call to Action: Don't forget to subscribe to the Finding Harmony Podcast and leave a review if you enjoyed this episode!
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The Accelerators (Drs. Matt Spraker and Simul Parikh) host a very special guest! Cameron Tharp, M.P.H., R.T.T. has joined the TAP team to help us out with show development and offer new perspective to our content. We introduce Cameron and tease future discussions on a hot radiation therapy topic: Advanced Practice Radiation Therapy.Of course, Simul makes Cameron sit in The Hot Seat. Here are some resources as well as some other things mentioned in the show:Oliveria et al., Advanced practice roles of therapeutic radiographers/radiation therapists: A systematic literature review.Skubish et al., Exploring opportunities & pathways for advanced practice radiation therapy roles in the United States.McDonagh et al., An Environmental Scan of Advanced Practice Radiation Therapy in the United States: A PESTEL Analysis.D'Alimonte et al., Toronto APRT Experience."Intersting discussion" of the Advanced Practice Radiation Therapy role on TwitterASRT White Paper, Advanced Practice in Radiation Therapy Flow State, arousal and challenges at workThe Accelerators Podcast is a production of Photon Media, a division of the Cold Light Legacy Company.If you'd like to support our efforts, please visit the Cold Light Legacy Company to learn more.
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AUA2024: Chemotherapy and Immunotherapy for the Urologist and Advanced Practice Provider CME Available: https://auau.auanet.org/node/41048 At the conclusion of this activity, participants will be able to: 1. Define the similarities and differences between the various oral pharmacotherapies for overactive bladder (OAB) 2. Review the principles of physiology and pharmacotherapy for currently available agents including the antimuscarinics and beta-3 agonists. 3. Review the salient features as well as changes in the updated AUA/SUFU guideline on OAB 4. Analyze the clinical (and theoretical) advantages and limitations of currently available agents 5. Discuss potential future pharmacological pathways and therapies for OAB. ACKNOWLEDGEMENTS This educational activity is supported by independent educational grants from: Astellas
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Dr. Pooja Singhal, a Gastroenterologist with Oklahoma Gastro Health and Wellness, returns to the show to share her expertise on Eosinophilic Esophagitis (EoE). Specifically, Dr. Singhal answers questions about the role Non-GI Advanced Practice Practitioners play in keeping EoE patients on track with their treatment and when a patient should be referred to a gastroenterologist. She highlights what makes EoE a progressive condition and why early diagnosis, treatment and ongoing management is vital. This episode is brought to you by Sanofi Regeneron.
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