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. GET YOUR MEECH BELOW

In this episode, we step inside the NHS to explore how the Generation Study is brought to life - from posters in waiting rooms to midwife training. We follow the journey of parents joining the study at the very start of their baby's life, and hear from those making it happen on the ground.  Our guests reflect on the teamwork between families and hospitals, the importance of informed consent, and the powerful insights this study could unlock for the future of care and research.  Our host Jenna Cusworth-Bolger, Senior Service Designer at Genomics England, is joined by:  Tracie Miles, Associate Director of Nursing and Midwifery at the South West Genomic Medicine Service Alliance, and Co-Investigator for the Generation Study at St Michael's Hospital in Bristol Rachel Peck, parent participant in the Generation Study and mum to Amber If you enjoyed today's conversation, please like and share wherever you listen to your podcasts.  For more on the Generation Study, explore:  Podcast: How has design research shaped the Generation Study  Podcast: What can we learn from the Generation Study  Podcast: What do parents want to know about the Generation Study  Blog: Genomics 101 - What is the Generation Study  Generation Study official website   “I think from a parent's point of view I guess that's the hardest thing to consent for, in terms of you having to make a decision on behalf of your unborn child. But I think why we thought that was worthwhile was that could potentially benefit Amber personally herself, or if not, there's a potential it could benefit other children.” You can download the transcript, or read it below. Jenna: Hi, and welcome to Behind the Genes.   Rachel: I think if whole genome sequencing can help families get answers earlier, then from a parent perspective I think anything that reduces a long and potentially stressful journey to a diagnosis is really valuable. If a disease is picked up earlier and treatment can start sooner, then that could make a real difference to a child or even Amber's health and development. Jenna: My name is Jenna Cusworth-Bolger and today I have the great pleasure to be your host. I'm a senior service designer at Genomics England specifically working with the hospitals involved in delivering the Generation Study. In March 2023 we started with our very first hospital, St. Michael's in Bristol. I am today joined by Tracie Miles who I had the utter pleasure of working closely with when they were setting up. And we also have Rachel Peck, one of the mums who joined the study in Bristol. Regular listeners to this podcast may already be familiar with the Generation Study but for those who are not, the Generation Study is running in England and aims to sequence the genomes of 100,000 newborn babies from a cord blood sample taken at birth. The families consented to take part will have their babies screened for over 200 rare genetic conditions most of which are not normally tested for at birth. We expect only 1% of these babies to receive a condition suspected result, but for those 1,000 families that result could be utterly life changing as it could mean early treatment or support for that condition. Would you like to introduce yourselves and tell us what it means to you to have been that first hospital open in this landmark study. Tracie, I'll come to you first.  Tracie: Hi Jenna, lovely to be with you all this morning. And for those who are listening it is early in the morning, we get up early in the morning because we never know when these babies are going to be born on the Generation Study and we have to be ready for them. So, my name is Tracie, I am the Co-Investigator with the wonderful Andrew Mumford, and we work together with a huge team bringing this study to life in Bristol. I am also the Associate Director of Nursing and Midwifery at the South West Genomic Medicine Service Alliance. Jenna: Thanks Tracie. We're also joined today by Rachel. Would you like to introduce yourself and your baby, and tell me when you found out about the Generation Study?  Rachel: Hi, thank you for inviting me. My name's Rachel, I'm based in Bristol. My baby is Amber; she was born four months ago in St. Michael's hospital in Bristol. I first heard about the Generation Study when I was going to one of my antenatal appointments and saw some of the posters in the waiting room. Amber is napping at the moment, so hopefully she'll stay asleep for long enough for the recording. Jenna: Well done, that's the perfect mum skill to get a baby to nap whilst you're busy doing something online. So, Rachel, you said you heard about the study from a poster. When you first saw that poster, what were your initial thoughts? Rachel: I thought it was really interesting, I haven't come across anything like that before and I thought the ability to screen my unborn baby at the time's whole genome sounded really appealing.  Jenna: Fantastic. So, what happened after the poster?  Rachel: If I remember correctly, I scanned the QR code on the poster which took me to the website. I filled out a few simple questions online and then I was contacted by one of the research team where I arranged a formal consent conversation. That was done by Zoom I think in the evening because I've already got a toddler at home so post bedtime works best for me. So, we had about a forty-minute conversation on the phone where I could ask all the questions that I needed to ask and if I was happy which I was. I then gave my consent and then I believe my maternity records were kind of highlighted to say that I signed up for the Generation Study and that when my baby was born then a sample was going to be taken, and I would be given the results in due course. Jenna: And did all that go smoothly, that you're aware of? Rachel: Yeah, as far as I'm aware. It was genuinely really simple to do. After that initial consultation where I signed the consent form there wasn't any follow-up appointments so the next thing I knew, I think it was just chance, but one of the research nurses actually came down to see me on the day which was really nice. Just to say, ‘Oh, just to let you know that the team are aware.' And then, other than that, the next thing I knew was getting the results through by post. Jenna: Sure. So, behind the scenes your baby's blood was collected from the umbilical cord, that would have been registered, packaged, sent off and went on a whole journey for you to ultimately get your result. It all sounds very simple, but I think we're going to dig into a lot of the mechanisms that kind of went behind the scenes to make something that seems simple come to life. Tracie, we met in the summer of 2023 I believe. I came to St. Michaels with a suitcase full of our materials which we had started to bring to life, including that poster. We've sat together and we were trying to figure out exactly how this was going to come to life in our very first hospital and how, what Rachel described, was actually going to become real. Tracie, can you tell me what you remember about those conversations and the thinking that you did as a team ahead of getting that green light to go ahead and start recruiting?  Tracie: Listeners, just to let you know that Rachel hasn't been primed to say that it was a seamless journey from delivery to getting results. I'm delighted to hear that it was. And I think the reason that we've achieved that in Bristol and across England now with the other teams that Jenna and the team have helped roll out, is teamwork. And part of our team is our mum, in this case Rachel. If you hear me or Jenna describing our mums as "Mia", that's the name, the significant name or the identifier we give for our participant. So, yeah, Jenna, I think the thing was it was about those first conversations. It was about teamwork and who shall we involve? We involved everybody didn't we, Jenna? So, I know that the team, by the time they came to us they'd already been planning for two years. So, in fact what came to us in Bristol was a wealth of work and information, and two years of behind the scenes of the team working. We involved every midwife. Now a midwife is a cover all term.  We involve community midwives, research midwives, antenatal midwives, post-natal midwives. They all do different things for the mum pathway. Not forgetting dad as well, he is involved in all of this and Rachel I'm sure will testify later to the fact that when she was offered the consent, her partner was offered to come along too. UHBW, that's United Hospital Bristol and Western, that our maternity hospital as part of, have got a fantastic R&D department and they were on straightaway with the rule book checking that we knew what we were doing. So, for those of you that aren't in the medical world, that's making sure we've got the right governance, that we're doing things by the rule book. Andrew went out and spoke to lots of different clinicians that would be involved in the pathway after the results were back, for those babies where we found a condition suspected. So, essentially Jenna, I think the list that was fairly long, grew longer and longer. Jenna: I think that was something that I was really struck by when I came back and visited you repeatedly after that. You were particularly good at getting some of those staff members that you might not even think about involved in the study, like the receptionist on your sonography department who you had recruited to make sure that they gave out the leaflet and the participant information sheet to all the mums coming in for their twenty-week scans etc. All that thinking was really valuable and something that I've passed on and taken out on my trips to other hospitals along the way. We heard from Rachel that she heard about this study from the poster. Now that you've been going for just over a year, what are all the different ways that people hear about the study, is it just the poster? Tracie: No, it's not just the poster. So, essentially when we first opened, we had lots of material. We had banners, we had posters. A short leaflet that you might often pick up at the GP, a little one that you can unfold into three pieces, and then a bigger patient information leaflet which actually described the whole study and also signposted the mums and dads to go and have a look on the website to hear more about it. What we did was we literally walked the mum's journey as she came into the hospital through antenatal and placed those posters and leaflets in the places where we knew she would see them. Now we had to be very careful about that as well because we couldn't just distribute them everywhere, we wanted to make sure that mum was getting sight of them, or mum and dad if they were coming together, at a place where their pregnancy was in hopefully, a safe position. So, that's around about 20 weeks onwards.   We didn't want to be giving that information out in the early days of pregnancy when actually mum and dad are getting flooded with lots of information, but we wanted them to feel secure in their pregnancy and for us to feel clinically secure. That worked really well and really effectively, but there's nothing like people pairing. So, in fact getting our ultra sonographers. So, for those of you that have been through pregnancy will remember at around about twenty weeks you have a scan, it's often called a dating scan or an anomaly scan, and we would get our receptionist to physically hand out a leaflet then. What we have evolved over the last year working with the team from Genomics England to make sure that we keep the wording right so that we can share with all the other sites across England, because it's good to have consistency. And also, as this evolves if this becomes standard of care, if this proves that actually this is useful for future-proofing for all of us in the public, if this study becomes something in real clinical terms, we've actually started sending out what we call, a signposting email. So, this is an email that goes to all of our prospective parents at 20 weeks plus, once we've checked that the pregnancy is safe and healthy. That has absolutely paid dividend and actually plays into the NHS future promise of analogue to digital to using those quick smart ways of working to reach our families. So, that has created a huge influx of recruits for us, Jenna.  Jenna: That's really interesting. We've sort of observed that same sort of thing. As we go through the hospitals now there's kind of three main ways that people are finding out the study. We call it like the passive way. So, that's what Rachel did which is the posters, the banners, but that doesn't work for everyone. In hospitals poster blindness is real. And also, you're coming for your twenty-week scan, you've got other things on your mind. You're not really looking around wanting to pick up leaflets and things and obviously we've also got to think about our non-English speakers. Or even an English speaker who sees the poster, but their literacy isn't very high, or their health literacy isn't very high. So, reading a message that says something about genomics and testing, it can be quite overwhelming for people and not something that they would respond to.  So, then we're signposting as our other kind of keyway and that's trying to get exactly what Tracie described, all the different staff involved. Who could be physically putting this leaflet in somebody's hand? Who could be mentioning it albeit briefly, just, you know, this is something you might like to consider. Rachel, I want to ask you what Tracie was describing there about the message kind of being better to be given later in pregnancy or after that 20-week scan point, because of all that information overload you get earlier in your pregnancy. Does that resonate with you?  Rachel: Yeah, I think that sounds about right. For lots of people when there's so much uncertainty in early pregnancy and I think some people are quite almost superstitious and don't want to sign up for things that potentially might not happen. So, I think from a personal perspective and from other friends who haven't been quite as fortunate, I think actually waiting until a little bit later when you've got a little bit more headspace and mental capacity for that sounds about right. I think there's too many things early on. It sounds like you're aiming at the right spot. Jenna: Absolutely. I think one of the other interesting aspects of all of this is the fact that Amber's cord blood was taken on the day that Amber was born, and I'm interested to understand a little bit about how that baton was passed from the moment that you consented, Rachel, to make sure that that sample was taken. I know it sounds like Rachel; you were in hospital at a point that the staff were there so they actually popped down to your bedside to see you but that doesn't always happen. Our teams don't work 24/7 and babies do get born at 2:00 a.m. over a bank holiday weekend. But Tracie, how do you make sure that that kind of message is passed through at St. Michaels, and what's worked well and what have the challenges been?  Tracie: So, a bit like how did we get the message through, is there one way? And the answer is no. There are posters, there are emails, etc. What we do do is first and foremost we encourage our mum, like Rachel here, and the dad, it might be two mums coming in together, to advocate for themselves. To say, ‘I'm on the Generation Study.' We don't expect that to be the only signal however because if a mum is coming in in full labour having done that a couple of times myself, I might forget. Now Genomics England have made some great bag tags, some stickers, all sorts of different visual identifiers that some hospitals around England are using, some aren't. We in fact actually don't get our mums to carry them, that may change. There are lots of different ways of doing it and every hospital maternity unit will find their fit. So, visual clues that mum and dad, or mum and mum, advocating for themselves as they come in, but also making sure that we have spoken with the delivery suite midwives and the theatre midwives.   Because in our hospital, which it seems to be the same sort of ratio around the country, sometimes up to about 40% of deliveries are done in theatre. So, we need to make sure we talk to our theatre staff and the people there as much as our central delivery or labour ward, for listeners who aren't familiar with the terms. So, we make sure that we went and walked the floor in the delivery labour ward and theatre on a regular basis. So, the task for us was to make sure that our midwives, all 200 of them know that if a mum is in the Generation Study and coming in for delivery, that they know that she's on the study. So, ways we do that is research midwives are an absolute ally, they do walk the floor. They do pop down to delivery suite and they do alert the team that there is a potential that a mum might be coming in that week with a planned Caesarean section, that's one easy. That actually can be an email. But we still do that by word of mouth, or they have a big board up in the delivery suite, which I gather is quite often the way across a lot of the country. Also, really, really key and this once again fits with our NHS plans, analogue to digital. The majority of our sites now are taking on electronic records. So, we put a key flag on the electronic record to say that this mum is on a research study. Staff are used to that because it's not the only research study that is happening. Now it doesn't have to just be an electronic note, it can be done on the retro paper notes as well. So, for those of you that have got paper notes or if we've got mums who are holding paper notes, fear not, there is an area on the notes where we can put that too. So, it's basically anywhere where we know the delivery midwife has sight of the babies' notes we will put a sticker, we will say something. So, it's one size doesn't fit all. Jenna: Yeah, what you've described there is just so lovely and so true about it's got to be belt and braces. The research team, the study team and the hospital might be a small number of people working Monday to Friday. Your people you completely rely on are those huge numbers of delivery midwives that need to have that message transmitted to them potentially over a 20 week timespan from the time the consent has happened to that day that that baby is born. So, what was really key as my role as service designer was going to the sites. I'm still doing this to this day, onboarding new sites all the time. We go and we speak to the sites, help them envisage how they might deliver this, how it's actually going to work. What's the nitty-gritty of all that mechanism that's going to happen but making sure that what they really understand is, what's the outcome? What do we want to happen? We want as many babies as possible to have those cord bloods taken and not missed. How you actually send that message whether it's through a paper note, a sticker on a paper note, giving a pack to the family to bring in so they've got something physical to hand over to their delivery midwife as a physical memento. Magnets that are put on the handover boards, or any or all of these things, in lots of ways the hospitals that have still got paper notes actually find it easier because that can staple a bag with the bottle that we use for our cord blood samples and this mum is part of the Generation Study to the front of the notes. It's more obvious than it would be as a digital flag. Tracie: I totally agree with that, it's all about that visual cue that we were talking about earlier. We actually fund a midwifery support worker, her name's Lauren. Hello Lauren, if you're listening. And what Lauren does is actually she makes sure that in all the rooms where women deliver that there are little set bags with all the equipment needed to take that cord blood. She also came up with a brilliant idea and again, a visual clue and Genomics England help us to design it, a poster. We would put on the outside of the door of mum and dad when they said they were on the study. So, if you've got a changeover of midwives then those midwives know that they're going into a room to support and deliver a mum that's got a baby on the study. Jenna: And I think that's something that's really key is what you said there about Lauren and her bright idea to create that poster and things like that, and that's been really key to how we've worked from Genomics England as a kind of service design kind of wrapper if you like around all of these hospitals. I have taken on the role of chief pollinator, so I've flown from hospital to hospital taking all the best ideas. So, Lauren's idea of the poster, I came along and I took a photograph of that poster. That poster is in a slide and that slide gets shown when I go and do onboarding and training sessions with future hospitals. Bristol were really key because as our first site and as the first early days check in we did, the photographs I took at your hospital at Birmingham Women's and at the Rosie in Cambridge which were the first three hospitals, you still to this day make up a large percentage of what we show because you were the first to have all those great ideas and we share those out. But we don't go round all the other hospitals, and we have found new ideas all the time and they are put together in our service design manual which is all available for all the sites. Something that St. Michael's can refer back to to see what new things they could be thinking about. But basically, raising up the best and allowing hospitals to borrow from each other. Before we just move on from how it all works, I just want to ask Rachel, did you notice any of that or were you very busy having a baby? And did you remember to kind of advocate to yourself and mention the study? Rachel: I did remember to advocate for myself, also it was one of the jobs that I allocated to my husband as well as a, well, if I forget which is likely, can you make sure that you mention to them. I had a caesarean section. For other people who have had caesarean sections, there's quite a lot of waiting round time. So, when we were in the theatre getting ready, having a chat with the anaesthetist it was a nice opportunity to be able to take my mind off the impending surgical procedure and just mention about the Generation Study. But incidentally, they knew about it anyway. I think I remember seeing some kind of sticker or maybe the blood tubes or something on my theatre records. But see them taking the sample, I wasn't aware, I had other things on my mind at that point. Jenna: Absolutely. You were cuddling Amber for the first time probably. One of the things that you touched on Tracie, was you had to go round all of your delivery suite midwives and make sure they all knew how much blood to take, what tube to put it in. The fact that they had to invert it 10 times, put it in a particular fridge so that you knew where to find it. All of those are really important training messages that you had to pass on. But for you to be able to pass them on, we had to train you in the first place. So, my memory was that we came down to you one cold December day and spent a whole day with you down at St. Michaels trying our best to train you as seamlessly as we could. My memory of that day is it wasn't terribly slick because it was our first and we're always learning. I'd like to think we've got it a lot more slick now, but what do you remember about that day? And just in general kind of learning what you needed to do on the study and what kind of worked well for you, and what worked less well? Tracie: I do remember that day, it was very cold. I think what's changed Jenna is on that December day the whole team felt that they were having to take on the whole of the journey. They now as the work has developed, realise and learn the part of the journey that they need to be involved in and don't have to be concerned about the rest of the journey. Jenna: I learnt an awful lot and I think it's really true that it's really important that people who are taking the samples, they just need to know their role. But they do need to know a little bit about what the study is, why it's worthwhile, why this mum has signed up and what value it's going to bring to that family. I think the other thing that we learnt when we came to your training as well was in the same way that we went a bit too deep for some people in their role, we didn't go deep enough for your team that were actually going to be doing these consent conversations. At that, at end of that training day, you still felt trepidatious about doing those conversations and so we really took that on board and then developed our informed choice cards which are like scenario cards that allow teams to kind of practice, rehearse and think through how they're going to answer those common questions. And we've taken those into a session that allows people who are just doing the consent conversation to go even deeper, so we do that online in a webinar now which we run monthly and that allows any new members of staff to go that little bit deeper in terms of what is this consent conversation? What is it that I need to get people to understand and be fully informed about before they come into this study? A key objective of the Generation Study which after all is a research study, is to understand if the NHS and families would benefit if screening for conditions via whole genome sequencing was something that became part of NHS standard care. Rachel, can I ask you as a mum, is that something that you've reflected on at all and how would you feel about it?  Rachel: Yeah, I've thought about quite a bit. I think if whole genome sequencing can help families get answers earlier then from a parent perspective, I think anything that reduces a long and potentially stressful journey to a diagnosis is really valuable. If a disease is picked up earlier and treatment can start sooner, then that could make a real difference to a child or even Amber's health and development. So, I think that would be potentially very advantageous. I guess in a resource limited NHS that we have, there are, you know, clear challenges in rolling out whole genome sequencing for everyone. But I'm guessing that the Generation Study will provide the evidence to help understand if this is feasible or worthwhile. And clearly the Generation Study needs to show that the screening of these 200 or so conditions is as good as the existing screening that already exists. From a parent perspective, if it's shown to be equally as good at doing that, plus all these other disorders then it seems like a win-win.  I think for me the main advantage and the main reason why I was keen to enter for Amber was if she were at risk of getting one of these rare disorders then there's an advantage to picking that up earlier for her. Because I'm aware that lots of people if they have a rare disorder, it can take a long time to get to that diagnosis and that can be really stressful for you as the parent but also for the child. Anything I think to minimise their suffering is worthwhile. So, it sounds fantastic, if it works. Jenna: Absolutely and I think that's what's really nice about being involved in something like this is that the study itself is set out to find out those things. It's not set out to find out how we could do whole genome sequencing in the NHS, it's whether we should. As part of the study, you also consented to have Amber's data go through into the National Genomic Research Library which leads us to one of the secondary objectives of the Generation Study which is to understand the implications of keeping a baby's genomic data over their childhood, or even over their lifetime. Amber will be contacted when she is 16 by Genomics England to find out whether she herself is happy for her data to be kept. But keeping that data for that length of time offers up opportunities for further screening for other conditions later in Amber's life. Or using that data with your consent of course, to do further research into genes and health. And so over the next few years you may be contacted by Genomics England to invite you to take part in future studies. And, I was just wondering about how much you have been told about the potential for that and again, how you feel about that kind of aspect of being part of this study. Rachel: Yeah, that was definitely discussed quite a lot in the consent conversation that I had with Siobhan, and we were told that Amber's data would be stored long term and that there might be future opportunities for the team to kind of get in touch or do additional testing. And I think from a parent's point of view I guess that's the hardest thing to consent for in terms of you having to make a decision on behalf of your unborn child. But I think why we thought that was worthwhile was that could potentially benefit Amber personally herself, or if not, there's a potential it could benefit other children. So, I think that whole kind of for the greater good, that kind of prevailed. And I think the other, not concern as it were, but other thing we wanted to discuss with that consent was the security of that data. And certainly, when I was discussing it with my husband that was his kind of main point to kind of clarify, if the data is being stored long term and if that was safe. And in terms of the safety, thinking about could future employers or can insurance companies, you know, get hold of that data? As a parent, the last thing you want to do is accidentally prevent your daughter from getting a job that she wants to get. But it was all explained that that wouldn't happen, but I think that was something that was us for us personally important to clarify. Jenna: I think that's really where that depth of the consent conversation is so key and why we do that sort of additional training to allow staff who may be very used to doing research and doing research consent, but never before have done a genomic consent where it's about keeping genomic data and the implications of keeping it for that really long time. What else do you remember about that consent conversation, Rachel? Is there anything else that kind of stands out that you had to sort of really dig into with Siobhan on that day?  Rachel: I'm just trying to think back because it was a little while ago. The main kind of points that I want to discuss was the security of the data and then what would happen if for whatever reason the umbilical cord blood sample wasn't taken and if that meant that we could still be part of the study or not. It was explained that yes, there is a way, they would do an initial heel prick blood sample. But that was reassuring to know that if for whatever reason if there was some kind of emergency and it didn't happen the way we wanted. So, I think that was the other kind of practical thing that was discussed.  Jenna: It sounds like Siobhan sort of had by that point all of the answers at her fingertips, but that kind of links back I guess to how important it is for all the training and all of the materials, because quite a lot of the answers to those questions are in the participant information sheet. Quite a few of them are covered in the participant video which is a sort of a four-minute-long video, it's meant to make the understanding a little bit more accessible. But it's not relying on one route of information, it's the conversation and that face to face you have with someone. It's the written information and it's those videos and other materials. So, we need to go as far as we can to kind of get the word out. One of the limitations that we had, certainly back in the day when we just had St. Michael's and a couple of other hospitals on board was that trying to get the word out about the study widely was also going to disappoint quite a lot of people who weren't able to take part because their hospital wasn't in it. We've talked a lot about this consent conversation, and I think something that's really important, underpinning for the whole study is the ethics that's been involved and all the work that's been done around that area. As the study is free and optional and taking part involves a commitment from families to have babies' data held for at least 16 years, the consent conversation and getting that right is so vital. We touched upon this in a previous episode with my colleague Mathilde Leblond where we talked about all the design research that our team did in the build up to launching this study, so that we could really deeply understand what families wanted and needed as part of their experience. So, Tracie, we've heard from Rachel the things that she was concerned around, but what were your reflections as a team in St. Michaels around the ethical aspects of the study? And what has been particularly tough about that in relation to you guys in Bristol? Tracie: I would say informed consent is something that we all take as healthcare professionals, and we all hold dearly the governance. So, I was mentioning earlier that actually consent may not be a one-off situation. So, for example, Rachel had forty minutes with Siobhan. That was the conversation that she had where Rachel felt that she was enabled and informed enough to take consent, and Siobhan listening to her having that conversation with Rachel felt that that was appropriate at the time. So, consent was achieved between the two of them. Now, that wasn't the only part of Rachel's consent is Rachel was telling us there's the patient information leaflet that she read, so that's also part of the informed consent. And we have to be sure that our mums and the other parent of the baby have read that information. And one of the things that I was very worried especially about at the beginning was it's a superb information leaflet, it's quite long, it needs to be. It signposts the parents of the unborn baby to a website which is fantastic. Do they all look at it? Not always. Would I? Probably not. So, there's no criticism of the parents here. So, one of the things that I was really concerned about from the genomics perspective of this and the data protection because this is not a one-off, this is a longitudinal study. Amber when she's 16 years old will decide whether or not she wants to continue, so it's not a one-off moment that her lovely mum and dad have consented her for. There's a lot that's been consented for. All great and all appropriate and all future-proofing for future Ambers. But my concern was actually, are we getting that information across to all the mums and dads as they sign up? So, it was really important that when we were training our midwives and our genomic practitioners, those that were consenting, to make sure that they were really cognisant of the enormity of the wealth of science we were signing our parents and their babies' futures up to. Jenna: Indeed, and very well said and I think you touched on something that is really close to our hearts as well that we've thought a lot about but still continue to do work to get right, which is the patient information leaflet if you have the health literacy and written language literacy to be able to sit and read a 16-page document, great, but not everybody does. As I've gone place to place and hospital to hospital, I'm always struck by the different communities that surround different hospitals and the different challenges that they might have. So, if you compare somewhere like Royal London which is in the heart of Whitechapel, I think around 40% of their birthing parents there are first generation Bengali women who have little to no English. Also, whose health literacy is quite low as well. So, engaging them takes a very different approach to an approach you might take elsewhere. So, it's definitely not a one size fits all. Tracie, how have you adapted some of your approaches to your local communities in Bristol? Tracie: So, we have a fairly diverse population, not as diverse as the Whitechapel example that you gave, but in fact we were aware, a bit like the team in London that we have a population of Somali potential birthing parents. What we've done is we've worked with community leaders and elders from the Somali population to develop a day, or it might be a couple of mornings, for us to talk about and workshop to explain about the study. So, we have all of the information. We have the translations that have been done by Genomics England. And hat we are doing is we are working with the community elders for them to tell us the right fit. Should it be a whole day? Probably not. Should it be a coffee morning or a tea morning? Probably. Should it be where we get a guest speaker in? That was their idea. What is the key condition suspected, one of those 200 conditions that the study is looking at that is prevalent in that community? Let's ask the community elders what they think, and we'll do what we're told. So, it's been fabulous actually doing that. Jenna: It's really, really great to hear about that. I think we've got little pockets of work like that popping up all over the country now which is really exciting to start seeing. I think at first, we were very much about getting the study up running and out there. And now we're starting to make sure we get that reach and we get that equity, and the opportunity for all pregnant people to decide whether this is right or wrong for their family. It's about informed choice and you can't make an informed choice whether that's an informed yes or an informed no if you don't have the information. We are proud that we go further than most research studies in terms of our accessibility, in terms of translations and we know that not English speaking is not the only barrier to access, there's lots of cultural barriers as well. But with the translated materials we support 10 languages as far as our professionally translated participant information leaflet. I was also really pleased when I found out at first that our website team had built the website in such a way that it worked not only with screen readers. So, somebody with a visual impairment could ‘read', in inverted commas, the website but that also it translates via Google into the 160 languages that Google support, which we know Google translations aren't perfect but they're better than nothing. And going back to what Tracie sort of said, the website doesn't have to do everything, it's about a conversation at the end of the day. It's a consent conversation that can be supported by a professional interpreter but it's about getting that initial message out there so they even get as far as having that conversation with an interpreter. We heard from Rachel around her reflections for the future, Tracie, about the study potentially becoming NHS standard care and about that potential of us having Amber and 99,999 other babies' data in the National Genomic Research Library and the potential that gives us for further research. Or for potentially re-screening those children as they grow up. When you look to the future and think about the Generation Study and what it might pave the way for, what are your hopes or perhaps fears? Tracie: So, my belief working in the genomics field is genomics is everybody's business. So, it's the 3 of us talking today, we're all very keen about genomics but there is a fear around genomics. Actually, I feel that this landmark study is absolutely fantastic. It makes genomics everybody's business. And it actually helps the whole healthcare community looking after these parents and the unborn babies as they go through the journey learn about the positivity of genomics. I think this landmark study is an absolutely win-win. It speaks to the whole family. Jenna: Thank you, Tracie. I'm also particularly excited about what the future could hold. I think as the service designer that's been working so closely with the hospitals, I'm really excited around what we've learned through this study in terms of reaching families and getting genomic information and options out to them. As you say, it is everybody. I continue to enjoy meeting new hospitals and seeing their kind of innovative take on that and kind of pollinating that back to other trusts so that we can reach as many families as possible and get that equity of access for everybody. I'm also particularly excited that we're moving into a phase where we're going to be learning more from the parents themselves that are taking part.  So, I think we'll wrap up there. Thank you to our guests Rachel, Tracie for joining me today as we discuss the rollout and impact of the Generation Study at St. Michael's Hospital in Bristol. If you'd like to hear more about this, please subscribe to Behind the Genes on your favourite podcast app. Thank you for listening. I've been your host Jenna Cusworth-Bolger. This podcast was edited by Bill Griffin at Ventoux Digital and produced by Deanna Barac.

. GET YOUR MEECH BELOW

. GET YOUR MEECH BELOW

. GET YOUR MEECH BELOW

. GET YOUR MEECH BELOW

REDBLACKS DB King Ambers talks to the media ahead of making his first career start in the CFL

. GET YOUR MEECH BELOW

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

In this episode of Make:cast, Dale Dougherty from Make Magazine chats with Marilyn Nash and Amber Hudson, authors of 'A Maker's Life'. Both of them are former teachers - Marilyn is retired and Ambers works at 1st Makerspace in Indiana. They discuss the impact their book has had on readers, igniting meaningful conversations about the maker mindset among people of all ages. Amber shares the story of how she and Marilyn met and collaborated on the book, which serves as both a personal narrative of Marilyn's life as a maker and a reflective guide for developing makerspaces. They delve into Marilyn's background, influenced by her mother who was a diarist and a creator, and how art and making provided her solace during tough times. They emphasize the importance of self-expression, creativity, and the generational influence of making. The conversation also touches on the educational system's challenges in integrating a maker mindset and its potential to transform learning environments. The authors hope to inspire not just students but also older generations and educators to embrace their identity as makers.A Maker's Life email: amakerslifebook@gmail.comA Maker's Life website: amakerslife.orgTo purchase the book visit on Amazon: bit.ly/3Ex3tn8https://make.co/make-cast/

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

Host Laurel Holland and guest Amber Lilyestrom discuss their personal and professional journeys, emphasizing the importance of inner work and gratitude. Amber shares her life as a 43-year-old mom in New Hampshire, highlighting her resilience from childhood trauma and her commitment to living authentically. She describes her business model, which integrates personal growth with professional success, and stresses the significance of witnessing and self-reconciliation. Amber's work focuses on helping clients align their inner and outer lives, fostering a sense of purpose and fulfillment. They also touch on the importance of knowing oneself and the role of dreams in guiding one's path. 0:00 Laurel introduces Amber, her work, their connection 3:00 Amber talks about her beautiful life, focusing in the season of life she is in and the qualities that she loves about her present life 5:00 Laurel notes that Amber spoke with so much gratitude and how it relates to manifestation 6:00 Amber shares her story of inner work beginning with a childhood story of sexual abuse and the trajectory of how that beginning required continued inner work to navigate her inclinations as an overly-responsible young person 8:30 Amber shares about how she managed her emotional energy as she was growing in her youth and into college life that developed into an eating disorder. She shares about her first marriage and why it ended and the personal journey of tuning into who she was in her heart and soul. 10:20 Laurel and Amber talk about committing to inner work early in life and the gift of what this means 13:00 The motivation of wanting to change personal patterns in order not to pass them on to your children, your children being the mirror to your truth 14:10 The surprising realization that perfectionism patterning can keep us out of falling into a victimhood mentality 16:20 Women and oppression, overcoming any victim mentality and the importance of being a witness for women so that they may step into their power 18:00 Amber speaks into the power of witnessing one another as women, and doing inner work, and how it can support our empowered action to move to what we want and create our lives more consciously 19:20 The importance of embracing the ordinary and honoring the mundane 20:10 Amber speaks about the entrepreneurial journey and honoring the deep desires she held for her work that ran counter-culturally to what she learned from other coaches in building business 22:45 Amber's aha moment about her shift in her work 24:44 Amber's realization that her life belonged to her 25:30 Amber's belief on "if the dream is in you it is for you" and her coaching around this to help others go after their dreams 30:30 Laurel and Amber talk about life purpose 32:30 Amber's belief about business as self-expression 34:00 How Amber moved out of the trauma response through self-discovery and relaxing into her truth and organizing her life in alignment with her true self 38:00 Amber talks about her next vision for her life Links/Books mentioned- Ambers poetry book - Paddle Home The email to send questions to Laurel Boivin is laurel@fluxflowcoaching.com and for Laurel Holland - laurel@liveyourinnerpower.com The link to our private Facebook group - https://www.facebook.com/groups/beautifulworkbeautifullife Host/Cohost/Guest Info Guiding others to become effective leaders of their own lives, Laurel Holland has been on a journey of awakening and transformation throughout her life. Writing about inner work, Laurel has authored four books, including Crossroads and Love's 8 Laws. Her books, Live Your Inner Power, the Journal, and Courageous Woman, introduce, share, and explore the eight foundational practices for creating transformation from the inside out. Through her books, programs, and innovative talks, Laurel's great desire is to lift others up and courageously step into the life they came here to live. Laurel Boivin, life coach and founder of Flux+Flow Professional Coaching, helps high-performing professionals overcome overwhelm and disillusionment by increasing self-awareness and shifting perspective to improve performance, increase personal contribution, and experience a greater sense of fulfillment and purpose. Laurel began coaching after a 30-year corporate career. A Reiki master and yoga practitioner, collector of sea glass and antiques, she lives in New Hampshire and summers in Maine.

On this week's Vogue & Amber: Amber's sick, Vogue's already sick of hearing about it. Plus, taxis, truths, getting banned from nightclubs, how well Vogue knows Kevin Costner, lending friends money & Ambers big Galway food tour. Remember, if you want to get involved you can:Email us at vogueandamberpod@global.com OR find us on socials @voguewilliams, @ambrerosolero @vogueandamberpodListen and subscribe to Vogue & Amber on Global Player or wherever you get your podcasts.Please review Global's Privacy Policy: https://global.com/legal/privacy-policy/

Send us a textJoin us for a new episode of Walt's Apartment Presents as welcome our new friend Amber The Wine Country Mom. Amber and Shawn discuss her passion for the wine country and the awesome group she has created in support of moms all over. The they dive into Ambers love for Disney and her journey to becoming a Influencer. They wrap it up with Ambers thoughts on Disneyland's 70th Anniversary. We hope you can join us and as always, We hope you enjoy the view from Walt's Apartment.  Join us in our completely free discord https://discord.gg/4nAvKTgcRnCheck Out  All Of Our Amazing Sponsors!!Getaway Todayhttps://www.getawaytoday.com/?referrerid=8636If you want to book a Disney Vacation please use our friends at Getaway Today. Also if you call 855-GET-AWAY and mention Walt's Apartment you will get a special dose of magicThe Themepark Scavenger Hunt Game - Where In The Parkhttps://shop.whereinthepark.com/?ref=waltsaptpodcastCheck Out Sunken City Designs - from the mind of Louis Medinahttps://sunkencitydesigns.bigcartel.comWe are proud to be part of the Disney Podcast Family , checkout all the other great shows below https://linktr.ee/DisneyPodcastFamilyStardust Stories - Helpful Hands Podcast with Philip GarciaWelcome to Stardust Stories, where astrology meets real life with a healthy...Listen on: Apple Podcasts Spotify

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

Episode 269. Presented by Royal Retros - In the final part of their 2025 CFL Draft Prospect Series, Tim Capper and Cliffy D Pine welcome King Ambers (DB - East Texas A&M University) into the Flightdeck for an interview. Listen to the opening segment for a special offer from our presenting sponsor RoyalRetros.com (Save 10%). Affiliate sponsor: Stubforge.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

Send us a textIn this Inspired episode, Ms Amber Red shares the exciting news of her eyeliner tattoo workshops now taking place in Las Vegas—following her successful class in Colorado. These workshops are designed for both newbies looking to dip their toes into the world of eyeliner tattooing and seasoned artists wanting to sharpen their skills with hands-on break out session including stretching, eyeliner mapping and more perfect for all learning styles.Amber breaks down why this affordable workshop format is perfect for those wanting to see if eyeliner tattooing is the right procedure for their business, while also offering a fresh approach for more experienced artists looking to level up. Whether you're just starting out or looking to fine-tune your technique, this workshop is an amazing opportunity to learn directly from one of the best in the biz.Ready to master your winged eyeliner game? This is your chance to get the skills and confidence you need to take your artistry to the next level. Don't miss out!The next eyeliner workshop is June 6th 2025! It is already half sold out! This workshop also includes access to Ambers online eyeliner course (a $479 value) The workshop is currently only $399! Yup you heard that right! To take advantage of this offer before the price increases or sells out click the link to sign up and save your seat today!https://www.inspiredbymsamberred.com/offers/vYBFG2WD/checkout?coupon_code=LINERWORKSHOPJUNE2025Support the showFollow Ms Amber Red on all social media platforms: IG: inspiredbymsamberred - https://www.instagram.com/inspiredbymsamberred/ TikTok: msamberred - https://www.tiktok.com/@msamberred?_t=8We7Q2Gtd0&_r=1 FB: msamberred permanent makeup - https://www.facebook.com/Msamberred Website: http://www.inspiredbymsamberred.comSupport our podcast here! - https://www.buzzsprout.com/2235069/support

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

. Hey You Guys! Welcome to the “ Jst Us” Podcast! Season 3 Make sure to Like, Comment, and Subscribe! For business Email: Jstuspod@gmail.com

Love to hear from you; “Send us a Text Message”From battling inner demons to founding a Christ-centered filmmaking ministry, Amber and Mark Archer's journey is nothing short of transformative. Their starkly contrasting upbringings—Mark's in a Christian home and Amber's in a tumultuous, faithless environment—converge at a point of redemption, igniting a shared mission to create films with a biblical perspective. We dive into the stories behind their impactful documentaries, like "The Mind Polluters," which challenges graphic sex education and its links to pornography addiction, and "Inwood Drive," a gripping narrative of a local abortionist. Through divine guidance, Amber and Mark shed light on crucial societal issues, aiming to inspire awareness and change.Visit Fearless Features here! As filmmakers navigating the turbulent waters of societal transformation, Amber and Mark discuss the notion of spiritual warfare and moral complexities that confront us today. With projects like "Dysphoria," and "Title IX," they explore the transgender movement and its ties to ideological underpinnings, urging parents to safeguard their children amidst these cultural shifts. Their storytelling approach uncovers unsettling truths, fostering a sense of urgency for individuals to stand firm in their beliefs and actively participate in societal change. Through powerful narratives, they reveal how rejecting God can manifest evil, emphasizing the importance of choosing good over evil.Please visit Fearless Features, view, share and support Mark and Ambers incredible work!! (The Video-Podcast of this Episode will be made available on Rumble shortly. For past episodes on Video visit our Rumble Channel and don't forget to subscribe!) Follow us and watch on X: John Paul II Renewal @JP2RenewalOn Rumble: JohnPaulIIRCCatch up with the latest on our website: jp2renew.org and Sign up for our Newsletter!!  Contact Jack: info@jp2renew.orgRead Jack's Blog substack.com/@jackrigert  Support the show

Ausschliesslich starke Frauenstimmen in dieser Ausgabe!In dieser Woche stehen zwei beeindruckende Alben im Rampenlicht: Lainey Wilson mit ihrem mitreißenden Werk „Whirlwind und die talentierte Rheintalerin Amber Rae, die mit ihrem ersten Country-Album die Herzen im Sturm erobert hat. Zwei Stunden voll mit kraftvollen, weiblichen Countrystimmen, die Geschichten erzählen, und Emotionen wecken. Lass dich von Laineys energiegeladenen Klängen und Ambers gefühlvollen Melodien mitreißen – hier wird Girlpower großgeschrieben! Press Play

Welcome to The No Homo Show, where we dive into all things Homo! We're thrilled to celebrate our 100th episode with a special guest-Amber's Closet, a trailblazer in the LGBTQ+ community. As always, we bring a variety of perspectives to the table, so don't forget to share your thoughts in the comments below! TO JOIN OUR PATREON | GET TICKETS TO OUR LIVE SHOW | FOR MERCH VISIT: www.TheNoHomoShow.com GET READY FOR ATLANTA BLACK PRIDE WEEKEND! AUG.29TH-SEPT 2ND 2024! MAKE SURE TO FOLLOW @ENHERGYPRIDE  www.EnHERgyPRIDE.com FOR ALL YOUR PLEASURABLE TOYS MAKE SURE TO GO TO SHOPSTARSHIP.COM FOR 15% OFF USE CODE: NOHOMOSHOW Please Follow: Boss Britt x DJ eXeL: https://instagram.com/bossbrittxdjexel?igshid=YmMyMTA2M2Y= The No Homo Show: https://instagram.com/thenohomoshow?igshid=YmMyMTA2M2Y= Boss Britt: https://instagram.com/bossbritt__?igshid=YmMyMTA2M2Y= DJ eXeL: https://instagram.com/djexel?igshid=YmMyMTA2M2Y=

In this episode of the Broken System Podcast, host Robert Parmer delves into the story of Amber Spradlin, who was murdered in Martin, Kentucky. The podcast discusses the community's quest for justice, the recent arrests of three individuals linked to the crime, and their subsequent legal challenges, including high bonds and procedural motions. Featuring insights from Brett Talley, a federal prosecutor and co-host of the Prosecutors Podcast, the episode examines the nuances of the legal process, the intricacies of grand jury secrecy, and the implications of bond conditions. Robert aims to illuminate the flaws in the justice system and speaks about the resilience of those seeking justice.Advertising Inquiries: https://redcircle.com/brandsPrivacy & Opt-Out: https://redcircle.com/privacy

It's bubbly time y'all! On this episode of Wrestling Winedown, Lo is joined by seasoned journalist Megan Ambers, whose bylines include Blavity, Revolt, The Source, 1AMRadio and most recently, Bodyslam.net. The duo discuss:Megan's love of professional wrestling and what has kept her interested in the sport over the years.When Megan knew she wanted to pursue journalism as a career and if she had any apprehension about entering the field as a black woman.Megan's expansive and impressive list of bylines and some of her favorite pieces that she worked on while in entertainment journalism and some of her hardest pieces while covering world news.How Megan was able to transition from covering entertainment news and world news to covering professional wrestling with Bodyslam.net.The discourse surrounding everyone having a seat at the wrestling media table and if Megan believes that there is a spot for everyone.What advice Megan would give to those entering the field of journalism, whether as a new graduate, someone switching careers or someone looking to make their mark.and much more!Music- Prod. by Jay 808Logo Design- Joy Lin ArnessTwitter: www.twitter.com/wwdcastInstagram: www.instagram.com/wwdcastTik Tok: https://www.tiktok.com/@wwdcastFacebook: https://www.facebook.com/wwdcast/Merch: www.shop.wrestlingwinedownlv.comFollow Megan On Social Media!Twitter: https://x.com/iammeganambersInstagram: https://www.instagram.com/meganambers/

Ambers joins us once again, with an armful of quizzes and her special type of positivity. Topics include: generic candy; proper bong usage; dong ia a funny word; a shitty Willy Wonka exhibit; Ben Schwartz's improv tour; fake news vs real news; a quiz about fried foods; a quiz about Pride month #podcast #funny #comedy #comedypodcast #genericcandy #bong #dong #WillyWonka #WillyWonkaExhibit #BenSchwartz #fakenews #friedfood #summer #pride Cartoon avatars of Tom & Mike created by Gary Bacon: https://twitter.com/pixelbud  ***************************************************** VISIT OUR OFFICIAL SITE! https://www.tomandmike.com  ***************************************************** Check out our let's play channel, Gaming with Tom & Mike: https://www.youtube.com/@gamingwithtommike 

Links to Phillip & Ambers (tonight's guests) sites - https://www.facebook.com/groups/1779872305798317 https://www.tiktok.com/@illuminatethebeyond https://www.instagram.com/illuminatethebeyond Phillip & Amber join us this evening to tell us about Paranormal Investigations. Amber shares a story about building a rapport with an African American soldier from the Civil War during a paranormal investigation. They discuss the energy required for spirits to communicate and share their experiences of feeling unsafe during investigations. They debunk the misconception that everything is a demon and emphasize that spirits are just people without bodies. They speculate on the agendas and purposes of ghosts, including unfinished business and fear of the unknown. They also discuss the mix of good and bad spirits they encounter. The conversation explores the nature of spirits and how to communicate with them. The speakers discuss encounters with spirits that are watchful and protective, as well as those who are confused and unaware of their passing. They emphasize the importance of establishing a respectful relationship with spirits and debunking paranormal claims. The conversation also touches on topics like near-death experiences, UFOs, and haunted locations in Kentucky. Some takeaways from the show: Building rapport with spirits can take time and effort Spirits require energy to communicate and may need breaks to recharge Not all spirits are evil or demonic, they are just people without bodies Ghosts may have various agendas and purposes, including unfinished business and fear of crossing over Paranormal investigations can be unsettling and may evoke feelings of fear and unsafety Spirits can be watchful and protective, especially if they are connected to a specific location or burial ground. Establishing a respectful relationship with spirits is important for effective communication. Spirits who died suddenly may not realize they have passed and can be confused. Not everything is paranormal, and it's important to debunk claims and look for logical explanations. There is interest in exploring near-death experiences, UFOs, and haunted locations in Kentucky.

In our opinion, Amber Chaves is a super hero. By day, she's a loving mom and devoted wife, while by night, she's a talented musician full of passion for what she does! Music runs in her veins and the apple doesn't fall far from the tree as both her mother and brother are established musicians as well. Sit down with us as we talk to Amber about her aspirations as a musician and a mother and how she juggles her family life with her professional musician life. You can find Ambers music here: https://linktr.ee/amberchavesmusic And don't forget to subscribe and follow our podcast! https://linktr.ee/musicalchairsmass #makingmondaysmusicalagain

What do you do when life hurts? You need more than bubbly inspiration to see you through life's storms. You need a God who meets you in the blurry confusion of heartache and carries you through to the other side. Discover how to find faith when things don't make sense, adopt a hope-filled perspective in hard times, receive grace for when you fail, and so much more! Whether you're navigating hurt right now or fortifying your faith for the days to come, You Can Trust God When Life Hurts will help you live with hope in God no matter what comes your way   You can check out Ambers books and connect with her here:  www.AmberAlbeeSwenson.com   Or you can also find her books here: www.timeograce.org   Amber's Previous Podcast Episodes are: Episode #147 & #220  

Amber Ontiveros, Gen X, joins us to discuss her book ‘Heal The Four Woundings, A Guide to End Discord and Discrimination'. After a life-altering near-death experience, Amber recognized the limitations of traditional racial equity conversations and was inspired to innovate. Amber is an Unconscious Bias coach and has crafted tools grounded in the neuroscience of unconscious bias to heal herself from beliefs that result in discord, discrimination and oppression. Here are the topics we covered in the episode:    2:28 Ambers amazing background         15:11 Different kinds of biases and what happens in our brain     19:18 Dr. Martin Luther King's quote about love/light  23:03 The four wounds      24:20 Mindfulness listening        28:29 Loved Awakening Grace Here are the three takeaways: 1.   "Everything is not accidental". 2.   The only way to combat darkness is with light. 3.   The secret is self-love…you can't give what you don't have.   As Mentioned:   Her book: Heal The Four Woundings, A Guide to End Discord and Discrimination Ep. 115 PART 1: Inside Out: Unveiling the Layers of Internal Family Systems (IFS) with Uri Talmor Ep, 116 PART 2: Inside Out: Unveiling the Layers of Internal Family Systems (IFS) with Uri Talmor    More About Amber:   Amber Ontiveros, a longtime civil rights advocate, served in advisory roles at the US Department of Transportation for the Bush and Obama Administrations, and now runs Ontiveros and Associates specializing in change management, policy development, executive and spiritual coaching.   How to Reach Amber:   amber@aoassociates.biz   https://healthefourwoundings.com/   How to Reach Yo Canny:   Our website: www.girltaketheleadpod.com  You can send a message or voicemail there. We'd love to hear from you!   email: yo@yocanny.com (Yo)   FB group: Girl, Take the Lead https://www.facebook.com/groups/272025931481748/?ref=share   IG: yocanny (Yo)   YouTube   LinkedIn: https://www.linkedin.com/in/yocanny/

Book: Beyond Business as Usual Melissa Ambers AI Integration Consultant | Author | International Speaker | Marquis Who's Who Listee | Top 10 Emerging Change Management Company | Top 10 Organizational Development Service Provider | Top Business Podcast Business As Usual In the dynamic landscape of the digital era, the ability to adapt, innovate, and thrive is not just a choice; it's a necessity. Whether you're a C-suite executive guiding your organization through a digital transformation, a sales professional seeking to excel in a digital-first world, a small business owner aiming for sustainable growth, or a project manager tasked with delivering successful digital initiatives, this book is your indispensable companion. The purpose of this book is simple yet profound: to equip you with the knowledge, strategies, and insights needed to navigate the challenging waters of digital transformation. It's a roadmap that will lead you from the familiar shores of the status quo to the uncharted territories of digital excellence.

WNBA Draft / Caitlyn Clark on being drafted // Tax Day – H & R Block had technical issues / Coachella surprise musical guests Billie Eilish upbeat songs...anyone??? Foosh at the Woody Show // Coffee is 600,000 years old. Using genes from coffee plants around the world, researchers built a family tree for the world's most popular type of coffee. Pioneer's chicken...T-Bones worked at Amber's Chicken // Cross with Mo'Kelly 

Welcome to the Psychedelic Conversations Podcast!    Episode 111:  In this episode we discuss Ambers personal journey of supporting her husband through multiple combat deployments and their struggles transitioning back to civilian life, leading to the discovery of psychedelic therapy as a path to healing. Her story is one of love, resilience, and the pursuit of healing, not only for her husband but for countless other veterans facing similar challenges. We delve into the challenges spouses face, the importance of community support, and the potential of psychedelics like ibogaine and 5-MeO-DMT in treating PTSD, TBI, and fostering a deeper connection to life and purpose. As we explore the growth of VETS and their mission to expand access to psychedelic therapies, Amber's insights highlight the importance of individualized approaches, legislative change, and ongoing personal work in the healing journey.     Join us as we uncover the profound impact of psychedelic therapy on veterans, their families, and the broader community, emphasizing hope, healing, and the endless possibilities of the human spirit.    About Amber:  Amber Capone - Co-Founder and Chief Executive Officer. Amber has a history of fixing, building, and tenaciously seeking solutions to complex challenges. In 2019, she chose to walk away from a successful career at the top-producing real estate agent in order to pursue her most critical work yet, serving as a Co-Founder and chief executive officer of VETS. As her own personal and professional life began to unravel upon Marcus' separation from the military, she became determined not to become a victim but to pursue victory for her own family, as well as countless others who are suffering. Amber possesses a heart for serving others and a steadfast determination to make a difference.    Connect with Amber:  Website - https://vetsolutions.org/   LinkedIn for Amber: https://www.linkedin.com/in/amber-capone/   Linkedin for VETS: https://www.linkedin.com/company/vetsolutionsorg/   VETS Instagram: https://www.instagram.com/veteransolutions/?hl=en     Marcus and Amber Capone Instagram:  https://www.instagram.com/marcus_amber_capone/?hl=en    Thank you so much for joining us!     Psychedelic Conversations Podcast is designed to educate, inform, and expand awareness.    For more information, please head over to https://www.psychedelicconversations.com    Please share with your friends or leave a review so that we can reach more people and feel free to join us in our private Facebook group to keep the conversation going. https://www.facebook.com/groups/psychedelicconversations    This show is for information purposes only,   and is not intended to provide mental health or medical advice.    About Susan Guner:  Susan is a trained somatic, trauma-informed holistic psychotherapist with a mindfulness-based approach grounded in Transpersonal Psychology that focuses on holistic perspective through introspection, insight, and empathetic self-exploration to increase self-awareness, allowing the integration of the mind, body and spirit aspects of human experience in personal growth and development.     Connect with Susan:  Website: https://www.psychedelicconversations.com/  Facebook: http://www.facebook.com/susan.guner  LinkedIn: https://www.linkedin.com/in/susan-guner/  Instagram: http://www.instagram.com/susanguner  Twitter: http://www.twitter.com/susanguner  Blog: https://susanguner.medium.com/  Podcast: https://anchor.fm/susan-guner    #PsychedelicConversations #SusanGuner #AmberCapone #PsychedelicPodcast #Microdosing #PsychedelicScience #PlantMedicines #PsychedelicResearch #Entheogens

The Amber Alert system is a messaging alert system that notifies the public, and asks for their help in cases of very concerning or life threatening cases of missing children. This system started in the United States, and is currently in multiple countries around the world. The goal of Amber Alerts are to quickly disseminate relevant information about a disappearance through a variety of sources including television, radio, and even personal cellphones to increase the chances of finding a missing child.Studies show that in 76% of child abduction cases, the child is killed within three hours after their disappearance. This system is a way to have as many people aware of a situation as possible; in hopes that someone will see something to bring a missing child home safely. As of January 2, 2023; 1127 children were brought home through the United States Amber Alert system. But sadly; the little girl that this system was named after did not have this fate.So get comfortable my spooky friends…you are about to hear the sad story behind the creation of the Amber Alert System. But before we start today, I must give you a warning. In today's episode we will be talking about murder, child abduction, and graphic crime scenes. Listener discretion is advised.We got merch! Shop now: HorrifyingHist1.redbubble.comJoin our fan club at: https://www.patreon.com/horrifyinghistory Facebook: https://www.facebook.com/horrifyinghistoryInstagram & Threads: https://instagram.com/horrifying_historyTwitter: https://twitter.com/horrifyinghist1 Horrifying History is part of the Darkcast Network. Check out their other amazing podcasts at https://www.darkcastnetwork.comThis show is part of the Spreaker Prime Network, if you are interested in advertising on this podcast, contact us at https://www.spreaker.com/show/4180070/advertisement

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MPF Discussion with Amber LarkinsThe Freedom In Laying Down Your Past with Amber Larkins About Amber Amber Larkins is a visual artist, entrepreneur, published photographer, storytelling expert, speaker, coach, and visionary. She got her vision from helping others share their stories over 10 years ago while photographing athletes. After hearing inspiring stories of triumph and what these athletes overcame using fitness, she went on a mission to help share impactful stories in a larger capacity, to encourage and inspire others.  She is the creator of the Transformation through Trauma Project and the creator and host of the Through the Trauma Podcast. She also created the Authority Amplifier Framework, which helps impact driven entrepreneurs amplify their story so they can become a media magnet and make a profit while fulfilling their purpose. On this episode of My Perfect Failure) The Freedom In Laying Down Your Past) An inspiring discussion with Amber Larkin who has an unwavering belief that each of us possesses the innate power to effect positive change in the world. It all begins with the decision to open our mouths and advocate for the changes we wish to see in ourselves and the world around us.  Amber is testament to this as she has harnessed her past to live a life fuelled by purpose.  Amber truly believes we all have unique stories that are waiting to be told, shared to light up the world.  Some of The Aras We Discuss·       The Importance of asking ourselves the “Why Question”.·       We all have unique talents.·       The power in recognising Everyday we have a “New Choice” how we can show up.·       Why we all have unique stories waiting to be unleashed into the world.·       A Relentless Mindset.  Connect with Amber·       Website: https://transformationthroughtraumaproject.com/ ·       Through The Trauma Podcast- Subscribe: https://transformationthroughtraumaproject.com/the-podcasts/·       YouTube: https://www.youtube.com/channel/UCKUp-HND3mXE33A6FBiYB7g·       Insta: https://www.instagram.com/empowerographyfiles/ ·       Listen to Ambers story: https://youtu.be/GiO9kY81M9M    Please Leave A Review Like this show? Please leave us a review here, even one sentence helps! Consider including your Twitter handle so we can thank you personally!   Paul: Contact Details  ·         Work with me: paul@myperfectfailure.com ·         MPF Website: http://www.myperfectfailure.com/  ·         Insta: follow: https://www.instagram.com/myperfectfailure/   ·         Twitter: https://twitter.com/failure_perfect   

Do we have a killer episode for you!!We want to caution you that a lot of what this episode contains is very explicit content about Ambers story as a Combat Medic and Mother. Police those little ears as always and if you're ready to rock and roll, we encourage you to listen to the entire episode.I met Amber while in Ireland this past summer while attending a music healing camp with our friends with Operation Rock The Troops. What a beautiful and life changing experience for so many of us. We can't wait for the documentary to be released but until then, we hope you can get a little insight of what we did as we sit down with Amber and relived a bit of it. She is small but mighty and we lover her dearly here in the states. Thank you all for your continued support around our mission and guests. They bring it every time and Ambers story is no different. We are honored to know this woman and can't wait for her to visit the great state of Texas! We hope you enjoy!! Connect with Amber:Instagram Handle @warrior_bambie_ghMusic: "Miracle" by ONLAP (Spotify, Apple Music)Support the showFind us on all major streaming platforms or connect with us if you're ready to share your story.Link to be on the show:https://2200taps.com/podcast

Ambers calendly link to book a special free call! https://calendly.com/amberdolanbath/special-offer  Ambers Podcast link: https://podcasters.spotify.com/pod/show/selfcarefornewmoms  Ambers FB Group link: https://www.facebook.com/groups/selfcarefornewmomspodcast

Skincare can be overwhelming, don't you think? I mean, you walk into the store looking for a moisturizer, and suddenly you're surrounded by a sea of serums, lotions, and unfamiliar ingredients that claim to be essential. It's hard to figure out what to buy, what you actually need, and what's worth the money. Join me as we talk through all of this. This week's guest is Amber Budd, a skincare expert who I have the pleasure of seeing every six weeks or so. Amber is a self-described skincare nerd and the Skincare Fairy Godmother. She's been featured in Oprah, Fast Company, Munaluchi Bride, and ESPN2. She's worked with Caitlyn Jenner, Mike Tyson, and for the US Ryder Cup Wives. Ambers is also the owner of an award-winning spa. She's a product developer, a jewelry designer, a Navy wife, and the mom to a very chatty toddler. This episode is jam-packed with skincare wisdom. We cover everything from skincare routines for common skin challenges to the latest trending ingredients and services. Amber was so generous with her knowledge that we chatted longer than expected. I hope this conversation clears up some of your skincare confusion, and inspires you to shake up your routine a little and try some new things so you can reach your skincare goals.  In this episode you'll learn: What it means to have holistic skin-cell health The difference between dry and dehydrated skin The correct order to apply skincare How to identify your skin's specific needs How long you should stick with a product or routine before seeing the results Thoughts about facial trends including cryotherapy facials, LED masks, and so-called vampire facials For even more of Amber's skincare tips head on over to the Extra Credit podcast for the bonus episode! This is another REALLY amazing benefit you'll get as a Style Circle member. See ​The Style Circle for details. Full show notes and resources: https://youreverydaystyle.com/amber-budd

Amber Brueseke is the founder of Biceps After Babies and believes that being a mom doesn't mean your fittest days are behind you. She is a mom of four children, a former RN, and the signature founder of Macros 101. Amber has also created a transformational fitness coaching program for health and fitness coaches to improve results with their clients by getting to the root cause. Ambers podcast Biceps After Babies Radio shares weekly motivational and educational episodes on improving your fitness journey. Andrea and Amber discuss what consistency means and how to improve consistency in your life and fitness journey by getting to the root cause. Follow Amber Website  bicepsafterbabies.comPodcast   bicepsafterbabies.com/podcastInstagram   @biceps.after.babiesMake it Simple is sponsored by Cozy EarthVisit www.cozyearth.com to get 40% off using code SIMPLE40Follow the Make it Simple Podcast@make.it.simple.podcast Follow Andrea on Instagram@deliciouslyfitnhealthy@dfh.training.picsTraining & Coachinghttps://www.deliciouslyfitnhealthy.com/linksVisit Andrea's Websitewww.deliciouslyfitnhealthy.comProduced by Light On Creative, LLC

Ja'mie's home life as a mid level influencer, singing to Ambers bulldog Demi Lobarko, giving up on boys, Kwami nudes advice, a signature smoothie recipe, generational trauma issues, getting a lifetime ban from The Sheaf and moreTo support the podcast with a donation click herehttps://supporter.acast.com/jamiezingDM “Ask Ja'mie” questions towww.facebook.com/jamiezingthepodcastLINKS JA'MIEZING MERCHANDISEwww.chrislilleyshop.comJA'MIEZING WEBSITEwww.jamiezing.comJA'MIEZING FACEBOOKwww.facebook.com/jamiezingthepodcastWritten, Produced and Performed by Chris LilleyMusic by Chris LilleyCHRIS LILLEY MERCHANDISEwww.chrislilleyshop.comCHRIS LILLEY INSTAGRAMwww.instagram.com/chrislilleyCHRIS LILLEY YOUTUBEhttps://youtube.com/channel/UCujV5kEXw-DuzDJysGUFMxwWhile Ja'miezing is a podcast parody and intended as comedy, it may have brought up some real life issues or concerns for you. If so here's some links you may find helpful. https://butterfly.org.auhttps://www.beyondblue.org.auhttps://www.lifeline.org.auhttps://au.reachout.comhttps://kidshelpline.com.auThis is a work of fiction. Names, characters, places and incidents either are products of the author's imagination or are used fictitiously. Any resemblance to actual events or locales or persons, living or dead, is entirely coincidental.We acknowledge the Traditional Owners of country throughout Australia and recognise their continuing connection to land, waters and culture. We pay our respects to their Elders past, present and emerging.Support this show http://supporter.acast.com/jamiezing. Hosted on Acast. See acast.com/privacy for more information.