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Dr. DebWhat if I told you that the stomach acid medication you’re taking for heartburn is actually causing the problem it’s supposed to solve that your doctor learned virtually nothing about nutrition, despite spending 8 years in medical school. That the very system claiming to heal you was deliberately designed over a hundred years ago by an oil tycoon, John D. Rockefeller, to create lifelong customers, not healthy people. Last week a patient spent thousands of dollars on tests and treatments for acid reflux, only to discover she needed more stomach acid, not less. The medication keeping her sick was designed to do exactly that. Today we’re exposing the greatest medical deception in modern history, how a petroleum empire systematically destroyed natural healing wisdom turned medicine into a profit machine. And why the treatments, keeping millions sick were engineered that way from the beginning. This isn’t about conspiracy theories. This is a documented history that explains why you feel so lost about your own body’s needs welcome back to let’s talk wellness. Now the show where we uncover the root causes of chronic illness, explore cutting edge regenerative medicine, and empower you with the tools to heal. I’m Dr. Deb. And today we’re diving into how the Rockefeller Medical Empire systematically destroyed natural healing wisdom and replaced it with profit driven systems that keeps you dependent on treatments instead of achieving true health. If you or someone you love has been running to the doctor for every minor ailment, taking acid blockers that seem to make digestive problems worse, or feeling confused about basic body functions that our ancestors understood instinctively. This episode is for you. So, as usual, grab a cup of coffee, tea, or whatever helps you unwind. Settle in and let’s get started on your journey to reclaiming your health sovereignty all right. So here we are talking about the Rockefeller Medical Revolution. Now, what if your symptoms aren’t true diagnosis, but rather the predictable result of a medical system designed over a hundred years ago to create lifelong customers instead of healthy people. Now I learned this when I was in naturopathic school over 20 years ago. And it hasn’t been talked about a lot until recently. Recently. People are exposing the truth about what actually happened in our medical system. And today I want to take you back to the early 19 hundreds to understand how we lost the basic health wisdom that sustained humanity for thousands of years. Yes, I said that thousands of years. This isn’t conspiracy theory. This is documented history. That explains why you feel so lost when it comes to your own body’s needs. You know by the turn of the 20th century. According to meridian health Clinic’s documentation. Rockefeller controlled 90% of all petroleum refineries in America and through ownership of the Standard Oil Corporation. But Rockefeller saw an opportunity that went far beyond oil. He recognized that petrochemicals could be the foundation for a completely new medical system. And here’s what most people don’t know. Natural and herbal medicines were very popular in America during the early 19 hundreds. According to Staywell, Copper’s historical analysis, almost one half of medical colleges and doctors in America were practicing holistic medicine, using extensive knowledge from Europe and native American traditions. People understood that food was medicine, that the body had natural healing mechanisms, and that supporting these mechanisms was the key to health. But there was a problem with the Rockefeller’s business plan. Natural medicines couldn’t be patented. They couldn’t make a lot of money off of them, because they couldn’t hold a patent. Petrochemicals, however, could be patented, could be owned, and could be sold for high profits. So Rockefeller and Andrew Carnegie devised a systematic plan to eliminate natural medicine and replace it with petrochemical based pharmaceuticals and according to E. Richard Brown’s comprehensive academic documentation in Rockefeller, medicine men. Medicine, and capitalism in America. They employed the services of Abraham Flexner, who proceeded to visit and assess every single medical school in us and in Canada. Within a very short time of this development, medical schools all around the us began to collapse or consolidate. The numbers are staggering. By 1910 30 schools had merged, and 21 had closed their doors of the 166 medical colleges operating in 19 0, 4, a hundred 33 had survived by 1910 and a hundred 4 by 1915, 15 years later, only 76 schools of medicine existed in the Us. And they all followed the same curriculum. This wasn’t just about changing medical education. According to Staywell’s copper historical analysis. Rockefeller and Carnegie influenced insurance companies to stop covering holistic treatments. Medical professionals were trained in the new pharmaceutical model and natural solutions became outdated or forgotten. Not only that alternative healthcare practitioners who wanted to stay practicing in alternative medicine were imprisoned for doing so as documented by the potency number 710. The goal was clear, create a system where scientists would study how plants cure disease, identify which chemicals in the plants were effective and then recreate a similar but not identical chemical in the laboratory that would be patented. E. Richard Brown’s documents. The story of how a powerful professional elite gained virtual homogeny in the western theater of healing by effectively taking control of the ethos and practice of Western medicine. The result, according to the healthcare spending data, the United States now spends 17.6% of its Gdp on health care 4.9 trillion dollars in 2023, or 14,570 per person nearly twice as much as the average Oecd country. But it doesn’t focus on cure. But on symptoms, and thus creating recurring clients. This systematic destruction of natural medicine explains why today’s healthcare providers often seem baffled by simple questions about nutrition why they immediately reach for a prescription medication for minor ailments, and why so many people feel disconnected from their own body’s wisdom. We’ve been trained over 4 generations to believe that our bodies are broken, and that symptoms are diseases rather than messages, and that external interventions are always superior to supporting natural healing processes. But here’s what they couldn’t eliminate your body’s innate wisdom. Your digestive system still functions the same way it did a hundred years ago. Your immune system still follows the same patterns. The principles of nutrition, movement and stress management haven’t changed. We’ve just forgotten how to listen and respond. We’re gonna take a small break here and hear from our sponsor. When we come back. We’re gonna talk about the acid reflux deception, and why your cure is making you sicker, so don’t go away all right, welcome back. So I want to give you a perfect example of how Rockefeller medicine has turned natural body wisdom upside down, the treatment of acid, reflux, and heartburn. Every single day in my practice I see patients who’ve been taking acid blocker medications, proton pump inhibitors like prilosec nexium or prevacid for years, not for weeks, years, and sometimes even decades. They come to me because their digestive problems are getting worse, not better. They have bloating and gas and nutrition deficiencies. And we’re seeing many more increased food sensitivities. And here’s what’s happening in the Us. Most people often attribute their digestive problems to too much stomach acid. And they use medications to suppress the stomach acid, but, in fact symptoms of chronic acid, reflux, heartburn, or gerd, can also be caused by too little stomach acid, a condition called hyper. Sorry hypochlorhydria normal stomach acid has a Ph level of one to 2, which is highly acidic. Hydrochloric acid plays an important role in your digestion and your immunity. It helps to break down proteins and absorb essential nutrients, and it helps control viruses and bacteria that might otherwise infect your stomach. But here’s the crucial part that most people don’t understand, and, according to Cleveland clinic, your stomach secretes lower amounts of hydrochloric acid. As you age. Hypochlorhydria is more common in people over the age of 40, and even more common over the age of 65. Webmd states that the stomach acid can produce less acid as a result of aging and being 65 or older is a risk factor for developing hypochlorhydria. We’ve been treating this in my practice for a long time. It’s 1 of the main foundations that we learn as naturopathic practitioners and as naturopathic doctors, and there are times where people need these medications, but they were designed to be used short term not long term in a 2,013 review published in Medical News today, they found that hypochlorhydria is the main change in the stomach acid of older adults. and when you have hypochlorydria, poor digestion from the lack of stomach, acid can create gas bubbles that rise into your esophagus or throat, carrying stomach acid with them. You experience heartburn and assume that you have too much acid. So you take acid blockers which makes the underlying problem worse. Now, here’s something that will shock you. PPI’s protein pump inhibitors were originally studied and approved by the FDA for short-term use only according to research published in us pharmacists, most cases of peptic ulcers resolve in 6 to 8 weeks with PPI therapy, which is what these medications were created for. Originally the American family physician reports that for erosive esophagitis. Omeprazole is indicated for short term 4 to 8 weeks. That’s it. Treatment and healing and done if needed. An additional 4 to 8 weeks of therapy may be considered and the University of Minnesota College of Pharmacy, States. Guidelines recommended a treatment duration of 8 weeks with standard once a day dosing for a PPI for Gerd. The Canadian family physician, published guidelines where a team of healthcare professionals recommended prescribing Ppis in adults who suffer from heartburn and who have completed a minimum treatment of 4 weeks in which symptoms were relieved. Yet people are taking these medications for years, even decades far beyond their intended duration of use and a study published in Pmc. Found that the threshold for defining long-term PPI use varied from 2 weeks to 7 years of PPI use. But the most common definition was greater than one year or 6 months, according to the research in clinical context, use of Ppis for more than 8 weeks could be reasonably defined as long-term use. Now let’s talk about what these acid blocker medications are actually doing to your body when used. Long term. The research on long term PPI use is absolutely alarming. According to the comprehensive review published in pubmed central Pmc. Long-term use of ppis have been associated with serious adverse effects, including kidney disease, cardiovascular disease fractures because you’re not absorbing your nutrients, and you’re being depleted. Infections, including C. Diff pneumonia, micronutrient deficiencies and hypomagnesium a low level of magnesium anemia, vitamin, b, deficiency, hypocalcemia, low calcium, low potassium. and even cancers, including gastric cancer, pancreatic cancer, colorectal cancer. And hepatic cancer and we are seeing all of these cancers on a rise, and we are now linking them back to some of these medications. Mayo clinic proceedings published research showing that recent studies regarding long-term use of PPI medication have noted potential adverse effects, including risks of fracture, pneumonia, C diff, which is a diarrhea. It’s a bacteria, low magnesium, low b 12 chronic kidney disease and even dementia. And a 2024 study published in nature communications, analyzing over 2 million participants from 5 cohorts found that PPI use correlated with increased risk of 15 leading global diseases, such as ischemic heart disease. Diabetes, respiratory infections, chronic kidney disease. And these associations showed dose response relationships and consistency across different PPI types. Now think about this. You take a medication for heartburn that was designed for 4 to 8 weeks of use, and when used long term, it actually increases your risk of life, threatening infections, kidney disease, and dementia. This is the predictable result of suppressing a natural body function that exists for important reasons. Hci plays a key role in many physiological processes. It triggers, intestinal hormones, prepares folate and B 12 for absorption, and it’s essential for absorption of minerals, including calcium, magnesium, potassium, zinc, and iron. And when you block acid production, you create a cascade of nutritional deficiencies and immune system problems that often manifest as seemingly unrelated health issues. So what’s the natural approach? Instead of suppressing stomach acid, we need to support healthy acid production and address the root cause of reflux healthcare. Providers may prescribe hcl supplements like betaine, hydrochloric acid. Bhcl is what it’s called. Sometimes it’s called betaine it’s often combined with enzymes like pepsin or amylase or lipase, and it’s used to treat hydrochloric acid deficiency, hypochlorhydria. These supplements can help your digestion and sometimes help your stomach acid gradually return back to normal levels where you may not need to use them all the time. Simple strategies include consuming protein at the beginning of the meal to stimulate Hcl production, consume fluids separately at least 30 min away from meals, if you can, and address the underlying cause like chronic stress and H. Pylori infections. This is such a sore subject for me. So many people walk around with an H. Pylori infection. It’s a bacterial infection in the stomach that can cause stomach ulcers, causes a lot of stomach pain and burning. and nobody is treating the infection. It’s a bacterial infection. We don’t treat this anymore with antibiotics or antimicrobials. We treat it with Ppis. But, Ppis don’t fix the problem. You have to get rid of the bacteria once the bacteria is gone, the gut lining can heal. Now it is a common bacteria. It can reoccur quite frequently. It’s highly contagious, so you can pick it up from other people, and it may need multiple courses of treatment over a person’s lifetime. But you’re actually treating the problem. You’re getting rid of the bacteria that’s creating the issue instead of suppressing the acid. That’s not fixing the bacteria which then leads to a whole host of other problems that we just talked about. There are natural approaches to increase stomach acid, including addressing zinc deficiency. And since the stomach uses zinc to produce Hcl. Taking probiotics to help support healthy gut bacteria and using digestive bitters before meals can be really helpful. This is exactly what I mean about reclaiming the body’s wisdom. Instead of suppressing natural functions, we support them instead of creating drug dependency, we restore normal physiology. Instead of treating symptoms indefinitely, we address the root cause and help the body heal itself. In many cultures. Bitters is a common thing to use before or after a meal. But yet in the American culture we don’t do that anymore. We’ve not passed on that tradition. So very few people understand how to use bitters, or what bitters are, or why they’re important. And these basic things that can be used in your food and cooking and taking could replace thousands of dollars of medication that you don’t really need. That can create many more problems along the way. Now, why does your doctor know nothing about nutrition. Well, I want to address something that might shock you all. The reason your doctor seems baffled when you ask about nutrition isn’t because they’re not intelligent. It’s because they literally never learned this in medical school statistics on nutritional education in medical schools are staggering and help explain why we have such a health literacy crisis in America. According to recent research published in multiple academic journals, only 27% of Us. Medical schools actually offer students. The recommended 25 h of nutritional training across 4 years of medical school. That means 73% of the medical schools don’t even meet the minimum standards set in 1985. But wait, it gets worse. A 2021 survey of medical schools in the Us. And the Uk. Found that most students receive an average of only 11 h of nutritional training throughout their entire medical program. and another recent study showed that in 2023 a survey of more than a thousand Us. Medical students. About 58% of these respondents said they received no formal nutritional education while in medical school. For 4 years those who did averaged only 3 h. I’m going to say this again because it’s it’s huge 3 h of nutritional education per year. So let me put this in perspective during 4 years of medical school most students spend fewer than 20 h on nutrition that’s completely disproportionate to its health benefits for patients to compare. They’ll spend hundreds of hours learning about pharmaceutical interventions, but virtually no time learning how food affects health and disease. Now, could this be? Why, when we talk about nutrition to lower cholesterol levels or control your diabetes, they blow you off, and they don’t answer you. It’s because they don’t understand. But yet what they’ll say is, people won’t change their diet. That’s why you have to take medication. That’s not true. I will tell you. I work with people every single day who are willing to change their diet. They’re just confused by all the information that’s out there today about nutrition. And what diet is the right diet to follow? Do I do, Paleo? Do I do? Aip? Do I do carnivore? Do I do, Keto? Do I do? Low carb? There’s so many diets out there today? It’s confusing people. So I digress. But let’s go back. So here’s the kicker. The limited time medical students do spend on nutrition office often focuses on nutrients think proteins and carbohydrates rather than training in topics such as motivational interviewing or meal planning, and as one Stanford researcher noted, we physicians often sound like chemists rather than counselors who can speak with patients about diet. Isn’t that true? We can speak super high level up here, but we can’t talk basics about nutrition. And this explains why only 14% of the physicians believe they were adequately trained in nutritional counseling. Once they entered practice and without foundational concepts of nutrition in undergrad work. Graduate medical education unsurprisingly falls short of meeting patients, needs for nutritional guidance in clinical practice, and meanwhile diet, sensitive chronic diseases continue to escalate. Although they are largely preventable and treatable by nutritional therapies and dietary. Lifestyle changes. Now think about this. Diet. Related diseases are the number one cause of death in the Us. The number one cause. Yet many doctors receive little to no nutritional education in medical school, and according to current health statistics from 2017 to march of 2020. Obesity prevalence was 19.7% among us children and adolescents affecting approximately 14.7 million young people. About 352,000 Americans, under the age of 20, have been diagnosed with diabetes. Let me say this again, because these numbers are astounding to me. 352,000 Americans, under the age of 20, have been diagnosed with diabetes with 5,300 youth diagnosed with type, 2 diabetes annually. Yet the very professionals we turn to for health. Guidance were never taught how food affects these conditions and what drug has come to the rescue Glp. One S. Ozempic wegovy. They’re great for weight loss. They’re great for treating diabetes. But why are they here? Well, these numbers are. Why, they’re here. This is staggering to put 352,000 Americans under the age of 20 on a glp, one that they’re going to be on for the rest of their lives at a minimum of $1,200 per month. All we have to do is do the math, you guys, and we can see exactly what’s happening to our country, and who is getting rich, and who is getting the short end of the stick. You’ve become a moneymaker to the pharmaceutical industry because nobody has taught you how to eat properly, how to live, how to have a healthy lifestyle, and how to prevent disease, or how to actually reverse type 2 diabetes, because it’s reversible in many cases, especially young people. And we do none of that. All we do is prescribe medications. Metformin. Glp, one for the rest of your life from 20 years old to 75, or 80, you’re going to be taking medications that are making the pharmaceutical companies more wealth and creating a disease on top of a disease on top of a disease. These deficiencies in nutritional education happen at all levels of medical training, and there’s been little improvement, despite decades of calls for reform. In 1985, the National Academy of Sciences report that they recommended at least 25 h of nutritional education in medical school. But a 2015 study showed only 29% of medical schools met this goal, and a 2023 study suggests the problem has become even worse. Only 7.8% of medical students reported 20 or more hours of nutritional education across all 4 years of medical school. This systemic lack of nutrition, nutritional education has been attributed to several factors a dearth of qualified instructors for nutritional courses, since most physicians do not understand nutrition well enough to teach it competition for curriculum time, with schools focusing on pharmaceutical interventions rather than lifestyle medicine and a lack of external incentives that support schools, teaching nutrition. And ironically, many medical schools are part of universities that have nutrition departments with Phd. Trained professors who could fill this gap by teaching nutrition in medical schools but those classes are often taught by physicians who may not have adequate nutritional training themselves. This explains so much about what I see in my practice. Patients come to me confused and frustrated because their primary care doctors can’t answer basic questions about how food affects their health conditions. And these doctors aren’t incompetent. They simply were never taught this information. And the result is that these physicians graduate, knowing how to prescribe medications for diabetes, but not how dietary changes can prevent or reverse it. They can treat high blood pressure with pharmaceuticals, but they may not know that specific nutritional approaches can be equally or more effective. This isn’t the doctor’s fault. It’s the predictable result of medical education systems that was deliberately designed to focus on patentable treatments rather than natural healing approaches. And remember this traces back to the Rockefeller influence on medical education. You can’t patent an apple or a vegetable. But you can patent a drug now. Why can’t we trust most medical studies? Well this just gets even better. I need to address something that’s crucial for you to understand as you navigate health information. Why so much of the medical research you hear about in the news is biased, and why peer Review isn’t the gold standard of truth you’ve been told it is. The corruption in medical research by pharmaceutical companies is not a conspiracy theory. It’s well documented scientific fact, according to research, published in frontiers, in research, metrics and analytics. When pharmaceutical and other companies sponsor research, there is a bias. A systematic tendency towards results serving their interests. But the bias is not seen in the formal factors routinely associated with low quality science. A Cochrane Review analyzed 75 studies of the association between industry, funding, and trial results, and these authors concluded that trials funded by a drug or device company were more likely to have positive conclusions and statistically significant results, and that this association could not be explained by differences in risk of bias between industry and non-industry funded trials. So think about that. According to the Cochrane collaboration, industry funding itself should be considered a standard risk of bias, a factor in clinical trials. Studies published in science and engineering ethics show that industry supported research is much more likely to yield positive outcomes than research with any other sponsorship. And here’s how the bias gets introduced through choice of compartor agents, multiple publications of positive trials and non-publication of negative trials reinterpreting data submitted to regulatory agencies, discordance between results and conclusions, conflict of interest leading to more positive conclusions, ghostwriting and the use of seating trials. Research, published in the American Journal of Medicine. Found that a result favorable to drug study was reported by all industry, supported studies compared with two-thirds of studies, not industry, supported all industry, supported studies showed favorable results. That’s not science that’s marketing, masquerading as research. And according to research, published in sciencedirect the peer review system which we’re told ensures quality. Science has a major limitation. It has proved to be unable to deal with conflicts of interest, especially in big science contexts where prestigious scientists may have similar biases and conflicts of interest are widely shared among peer reviewers. Even government funded research can have conflicts of interest. Research published in pubmed States that there are significant benefits to authors and investigators in participating in government funded research and to journals in publishing it, which creates potentially biased information that are rarely acknowledged. And, according to research, published in frontiers in research, metrics, and analytics, the pharmaceutical industry has essentially co-opted medical knowledge systems for their particular interests. Using its very substantial resources. Pharmaceutical companies take their own research and smoothly integrate it into medical science. Taking advantage of the legitimacy of medical institutions. And this corruption means that much of what passes for medical science is actually influenced by commercial interests rather than pursuant of truth. Research published in Pmc. Shows that industry funding affects the results of clinical trials in predictable directions, serving the interests of the funders rather than the patients. So where can we get this reliable, unbiased Health information, because this is critically important, because your health decisions should be based on the best available evidence, not marketing disguised as science. And so here are some sources that I recommend for trustworthy health and nutritional information. They’re independent academic sources. According to Harvard Chan School of public health their nutritional, sourced, implicitly states their content is free from industry, influence, or support. The Linus Pauling Institute, Micronutrient Information Center at Oregon State University, which, according to the Glendale Community college Research Guide provides scientifically accurate information about vitamins, minerals, and other dietary factors. This Institute has been around for decades. I’ve used it a lot. I’ve gotten a lot of great information from them. Very, very trustworthy. According to the Glendale Community College of Nutrition Resource guide Tufts, University of Human Nutritional Research Center on aging is one of 6 human nutrition research centers supported by the United States Department of Agriculture, the Usda. Their peer reviewed journals with strong editorial independence though you must still check funding resources. And how do you evaluate this information? Online? Well, according to medlineplus and various health literacy guides when evaluating health information medical schools and large professional or nonprofit organizations are generally reliable sources, but remember, it is tainted by the Rockefeller method. So, for example, the American College of cardiology. Excuse me. Professional organization and the American Heart Institute a nonprofit are both reliable sources. Sorry about that of information on heart health and watch out for ads designed to look like neutral health information. If the site is funded by ads they should be clearly marked as advertisements. Excuse me, I guess I’m talking just a little too much now. So when the fear of medicine becomes deadly. Now, I want to address something critically important that often gets lost in conversations about health, sovereignty, and questioning the medical establishment. And while I’ve spent most of this episode explaining how the Rockefeller medical system has created dependency and suppressed natural healing wisdom. There’s a dangerous pendulum swing happening that I see in my practice. People becoming so fearful of pharmaceutical interventions that they refuse lifesaving treatments when they’re genuinely needed. This is where balance and clinical judgment become absolutely essential. Yes, we need to reclaim our basic health literacy and reduce our dependency on unnecessary medical interventions. But there are serious bacterial infections that require immediate antibiotic treatment, and the consequences of avoiding treatment can be devastating or even fatal. So let me share some examples from research that illustrate when antibiotic fear becomes dangerous. Let’s talk about Lyme disease, and when natural approaches might not be enough. The International Lyme Disease Association ilads has conducted extensive research on chronic lyme disease, and their findings are sobering. Ileds defines chronic lyme disease as a multi-system illness that results from an active and ongoing infection of pathogenic members of the Borrelia Brdorferi complex. And, according to ilads research published in their treatment guidelines, the consequences of untreated persistent lyme infection far outweigh the potential consequences of long-term antibiotic therapy in well-designed trials of antibiotic retreatment in patients with severe fatigue, 64% in the treatment arm obtained clinically significant and sustained benefit from additional antibiotic therapy. Ilas emphasizes that cases of chronic borrelia require individualized treatment plans, and when necessary antibiotic therapy should be extended their research demonstrates that 20 days of prophylactic antibiotic treatment may be highly effective for preventing the onset of lyme disease. After known tick bites and patients with early Lyme disease may be best served by receiving 4 to 6 weeks of antibiotic therapy. Research published in Pmc. Shows that patients with untreated infections may go on to develop chronic, debilitating, multisystem illnesses that is difficult to manage, and numerous studies have documented persistent Borrelia, burgdorferi infection in patients with persistent symptoms of neurological lyme disease following short course. Antibiotic treatment and animal models have demonstrated that short course. Antibiotic therapy may fail to eradicate lyme spirochetes short course is a 1 day. One pill treatment of doxycycline. Or less than 20 days of antibiotics, is considered a short course. It’s not long enough to kill the bacteria. The bacteria’s life cycle is about 21 days, so if you don’t treat the infection long enough, the likelihood of that infection returning is significant. They’ve also done studies in the petri dish, where they show doxycycline being put into a petri dish with active lyme and doxycycline does not kill the infection, it just slows the replication of it. Therefore, using only doxycycline, which is common practice in lyme disease may not completely eradicate that infection for you. So let’s talk about another life threatening emergency. C. Diff clostridia difficile infection, which represents another example where antibiotic treatment is absolutely essential, despite the fact that C diff itself is often triggered by antibiotic use. According to Cleveland clinic C. Diff is estimated to cause almost half a million infections in the United States each year, with 500,000 infections, causing 15,000 deaths each year. Studies reported by Pmc. Found thirty-day Cdi. Mortality rates ranging from 6 to 11% and hospitalized Cdi patients have significantly increased the risk of mortality and complications. Research published in Pmc shows that 16.5% of Cdi patients experience sepsis and that this increases with reoccurrences 27.3% of patients with their 1st reoccurrence experience sepsis. While 33.1% with 2 reoccurrences and 43.2% with 3 or more reoccurrences. Mortality associated with sepsis is very high within hospital 30 days and 12 month mortality rates of 24%, 30% and 58% respectively. According to the Cdc treatment for C diff infection usually involves taking a specific antibiotic, such as vancomycin for at least 10 days, and while this seems counterintuitive, treating an antibiotic associated infection with more antibiotics. It’s often lifesaving. Now let’s talk about preventing devastating complications. Strep throat infections. Provide perhaps the clearest example of when antibiotic treatment prevents serious long-term consequences, and, according to Mayo clinic, if untreated strep throat can cause complications such as kidney inflammation and rheumatic fever. Rheumatic fever can lead to painful and inflamed joints, and a specific type of rash of heart valve damage. We also know that strep can cause pans pandas, which is a systemic infection, often causing problems with severe Ocd. And anxiety and affecting mostly young people. The research is unambiguous. According to the Cleveland clinic. Rheumatic fever is a rare complication of untreated strep, throat, or scarlet fever that most commonly affects children and teens, and in severe cases it can lead to serious health problems that can affect your child’s heart. Joints and organs. And research also shows that the rate of development of rheumatic fever in individuals with untreated strep infections is estimated to be 3%. The incidence of reoccurrence with a subsequent untreated infection is substantially greater. About 50% the rate of development is far lower in individuals who have received antibiotic treatment. And according to the World health organization, rheumatic heart disease results from the inflammation and scarring of the heart valves caused by rheumatic fever, and if rheumatic fever is not treated promptly, rheumatic heart disease may occur, and rheumatic heart disease weakens the valves between the chambers of the heart, and severe rheumatic heart disease can require heart surgery and result in death. The who states that rheumatic heart disease remains the leading cause of maternal cardiac complications during pregnancy. And additionally, according to the National Kidney foundation. After your child has either had throat or skin strep infection, they can develop post strep glomerial nephritis. The Strep bacteria travels to the kidneys and makes the filtering units of the kidneys inflamed, causing the kidneys to be able to unable or less able to fill and filter urine. This can develop one to 2 weeks after an untreated throat infection, or 3 to 4 weeks after an untreated skin infection. We need to find balance. And here’s what I want you to understand. Questioning the medical establishment and developing health literacy doesn’t mean rejecting all medical interventions. It means developing the wisdom to know when they’re necessary and lifesaving versus when they’re unnecessary and potentially harmful. When I see patients with confirmed lyme disease, serious strep infections or life. Threatening conditions like C diff. I don’t hesitate to recommend appropriate therapy but I also work to support their overall health address, root causes, protect and restore their gut microbiome and help them recover their natural resilience. The goal isn’t to avoid all medical interventions. It’s to use them wisely when truly needed, while simultaneously supporting your body’s inherent healing capacity and addressing the lifestyle factors that created the vulnerability. In the 1st place. All of this can be extremely overwhelming, and it can be frightening to understand or learn. But remember, the power that you have is knowledge. The more you learn about what’s actually happening in your health, in understanding nutrition. in learning what your body wants to be fed, and how it feels, and working with practitioners who are holistic in nature, natural, integrative, functional, whatever we want to call that these days. The more you can learn from them, the more control you have over your own health and what I would urge you to do is to teach your children what you’re learning. Teach them how to live a healthy lifestyle, teach them how to keep a clean environment. This is how we take back our own health. So thank you for joining me today on, let’s talk wellness. Now, if this episode resonated with you. Please share it with someone who could benefit from understanding how the Rockefeller medical system has shaped our approach to health, and how to reclaim your body’s wisdom while using medical care appropriately when truly needed. Remember, wellness isn’t just about feeling good. It’s about understanding your body, trusting its wisdom, supporting its natural healing capacity, and knowing when to seek appropriate medical intervention. If you’re ready to explore how functional medicine can help you develop this deeper health knowledge while addressing root causes rather than just managing symptoms. You can get more information from serenityhealthcarecenter.com, or reach out directly to us through our social media channels until next time. I’m Dr. Dab, reminding you that your body is your wisest teacher. Learn to listen, trust the process, use medical care wisely when needed, and take care of your body, mind, and spirit. Be well, and we’ll see you on the next episode.The post Episode 250 -The Great Medical Deception first appeared on Let's Talk Wellness Now.

E se tivéssemos uma maneira de prever quais pacientes com X(T) terão recidiva precoce após a cirurgia?Foi isso que um grupo de pesquisadores chineses tentou descobrir através desse estudo publicado no American Journal of Ophthalmology em 2023.E a Dra Iluska Agra, da Universidade Federal da Bahia, estudou esse artigo para nos trazer seus principais achados de uma maneira bem didática!Vamos juntos?Link para o artigo https://www.ajo.com/article/S0002-9394(23)00094-6/abstractReferência: Wang Z, Li T, Zuo X, Liu L, Zhang T, Leng Z, Chen X, Liu H. Preoperative and Postoperative Clinical Factors in Predicting the Early Recurrence Risk of Intermittent Exotropia After Surgery. Am J Ophthalmol. 2023 Jul;251:115-125. doi: 10.1016/j.ajo.2023.02.024. Epub 2023 Mar 10. PMID: 36906096.

Candace Owens' Charlie Kirk Assassination Theory Implodes, FBI Targets General Flynn, Somali Fraud Schemes Implicate Democrat Party 

AJT January 2026 Editors' Picks Description:  Hosts Roz and Dr. Sanchez-Fueyo are joined by Dr. Al-Faraaz Kassam to discuss the key articles of the January issue of the American Journal of Transplantation. Al-Faraaz Kassam is an Assistant Professor in Transplant Surgery at Johns Hopkins University [03:45] Evaluation of kidney procurement biopsy and machine perfusion on allograft outcomes: A retrospective cohort study of the OPTN database [11:23] Improving the  histologic detection of donor-specific antibody-negative antibody-mediated rejection in kidney transplants [23:01] Exosome-primed T cell immunity is facilitated by complement activation [32:26] Landscape of subclinical rejection in a large international cohort of pediatric kidney transplant (kTx) recipients [42:19] Donor Heart Preservation at 10°C After Thoracoabdominal Normothermic Regional Perfusion Lowers Rates of Severe Primary Graft Dysfunction and Improves Recipient Transplant Outcomes  

About 24.2% of U.S. men today screen positive for erectile dysfunction (ED), while global rates range from 3% to 76.5%, showing it's a common health problem that affects men of all ages A 2025 study in the American Journal of Clinical and Experimental Urology found that ED is influenced by genes that also raise risk for obesity, diabetes, heart disease, and addiction, tying erection problems to long-term heart health ED is usually multifactorial, with vascular, neurogenic, hormonal, and psychogenic forms, and is strongly associated with conditions like heart disease, obesity, sleep apnea, and depression, making it a powerful early warning sign that something deeper is wrong While drugs like Viagra can temporarily improve erections, they don't work for everyone and may be unsafe for men taking heart and lung medications Instead of relying solely on pills, addressing root causes with a heart-focused check-up, a metabolic-friendly diet, pelvic floor training, restorative sleep, enough sunlight and mindful supplementation can help restore sexual function without more drugs

Trump Admin Freezes ALL Minnesota Child Care Payments & Pledges Prosecutions

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Trump Says Peace In Ukraine “Closer Than Ever Before” After Zelensky Meeting As European Defense Stocks Slide! Plus, Minnesota Fraud Scandal Deepens, Musk Says ‘Just Stop Caring If They Call You Racist

Send us a text*Disclaimer*   This episode is part of the Causes or Cures Public Health Is Weird bonus series and is for educational and entertainment purposes only. If you're worried about a child or pet eating a poinsettia, contact a medical professional or veterinarian. This podcast is not a poison control center.  :)Every December, poinsettias show up, and so does the panic.Suddenly, a festive red plant is treated like antifreeze with leaves: dangerous to kids, deadly to pets, and one accidental nibble away from an emergency vet visit. But where did this fear actually come from, and does the evidence support it?In this bonus episode of Causes or Cures, Dr. Eeks dives into one of the most persistent holiday health myths and asks a very public-health question: How did a weak claim turn into a century-long panic?Using poison-control data, toxicology studies, veterinary evidence, and a little personal history (including a dog named Barnaby and the hazards of NYC sidewalks), this episode unpacks what poinsettias really do, and don't do, to humans and animals.In this episode, you'll learn:Where the myth of the “deadly poinsettia” originated and why it stuckWhat large U.S. poison-control data shows about poinsettia exposures in childrenWhy poinsettias behave very differently in real life than in our imaginationsWhat toxicology studies in animals actually found (hint: no lethal effects)What the ASPCA Animal Poison Control Center reports when pets chew on poinsettiasWhy dose and curiosity matter more than fearHow risk is often exaggerated when kids, pets, and holidays collideWhether Dr. Eeks would let her own pets near a poinsettia (spoiler: probably not, but not for the reasons you think)A Christmas legend behind the poinsettia...and a gentle reminder that miracles don't pause for plant anatomyPublic health takeaway:Not everything we fear is dangerous. Sometimes fear does the exaggerating, not the risk.Work with me? Perhaps we are a good match. You can contact Dr. Eeks at bloomingwellness.com.Follow Eeks on Instagram here.Follow Public Health is WeirdOr Facebook here.Or X.On Youtube.Or TikTok.SUBSCRIBE to her WEEKLY newsletter here!References:All scientific references discussed in this episode are below and available on the accompanying blog post at BloomingWellness.com. New York Botanical Garden Article: Dispelling a Seasonal Myth: For Humans, The Poinsettia is Not a Toxic Plant – Science Talk ArchiveKrenzelok, E. P., Jacobsen, T. D., & Aronis, J. M. (1996). Poinsettia exposures have good outcomes… just as we thought. The American Journal of Emergency Medicine, 14(7), 671–674.Evens, Z. N, & Stellpflug, S. J. (2012). Holiday Plants with Toxic Misconceptions. Western Journal of Emergency Medicine: Integrating Emergency CaSupport the show

In 2002, the National Institute of Child Health and Human Development (NICHD) proposed the 3-Tier fetal heart rate (FHR) classification system that was subsequently adopted by many organizations, categorizing tracings into three groups: Category I (normal), Category II (indeterminate), and Category III (abnormal). Recently, our podcast team received an interesting question form one of our podcast family members: “If there is a change in the fetal heart rate tracing intrapartum, but it is still in the normal range (like 120 going to 150)- and variability is normal, is that an abnormality? And what is meant by a ‘ZigZag' FHT pattern (different than marked variability)?”. That is a fantastically complex question…and we will explain the answer in this episode.1. Zullo F, Di Mascio D, Raghuraman N, Wagner S, Brunelli R, Giancotti A, Mendez-Figueroa H, Cahill AG, Gupta M, Berghella V, Blackwell SC, Chauhan SP. Three-tiered fetal heart rate interpretation system and adverse neonatal and maternal outcomes: a systematic review and meta-analysis. Am J Obstet Gynecol. 2023 Oct;229(4):377-387. doi: 10.1016/j.ajog.2023.04.008. Epub 2023 Apr 11. PMID: 37044237.2. Ghi T, Di Pasquo E, Dall'Asta A, et al. Intrapartum Fetal Heart Rate Between 150 and 160 BPM at or After 40 Weeks and Labor Outcome.Acta Obstetricia Et Gynecologica Scandinavica. 2021;100(3):548-554. doi:10.1111/aogs.14024.3. The 3 Tier System: chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://ncc-efm.org/filz/NICHD_Reference_from_CCPR.pdf4. Jia YJ, Ghi T, Pereira S, Gracia Perez-Bonfils A, Chandraharan E. Pathophysiological Interpretation of Fetal Heart Rate Tracings in Clinical Practice. American Journal of Obstetrics and Gynecology. 2023;228(6):622-644. doi:10.1016/j.ajog.2022.05.0235. Ghi T, Di Pasquo E, Dall'Asta A, et al. Intrapartum Fetal Heart Rate Between 150 and 160 BPM at or After 40 Weeks and Labor Outcome. Acta Obstetricia Et Gynecologica Scandinavica. 2021;100(3):548-554. doi:10.1111/aogs.14024.6. Yang M, Stout MJ, López JD, Colvin R, Macones GA, Cahill AG. Association of Fetal Heart Rate Baseline Change and Neonatal Outcomes. Am J Perinatol. 2017 Jul;34(9):879-886. doi: 10.1055/s-0037-1600911. Epub 2017 Mar 16. PMID: 28301895.

POTUS To Host Holiday Peace Talks With Zelensky & Netanyahu At Mar-A-Lago Over The Weekend

Liberals Lose It Over Bogus Trump Claims In Latest Epstein Files, Plus Gold & Silver Skyrocket To Record Highs SKY PILOT RADIO The Soundtrack of your LIFE 60's thru the 80's

In this episode, we talk with Dr. Kyle Wiley, Assistant Professor of Sociology & Anthropology at the University of Texas at El Paso, about how social and traumatic stressors during pregnancy become biologically embedded and shape maternal and infant health. Kyle shares his path into biological anthropology and discusses his biosocial research on perinatal health disparities in the United States and Brazil. We explore his work on interpersonal violence during pregnancy in São Paulo, Brazil, focusing on how trauma affects maternal and infant cortisol regulation and what this means for fetal programming and intergenerational health. We also discuss his recent research on pica among Latina pregnant women, which takes a novel approach by examining stress hormones and inflammation rather than micronutrient deficiencies. The episode closes with a look at Kyle's new faculty role at UTEP, his current projects, and how he maintains work–life balance as an early-career scholar. ------------------------------ Find the work discussed in this episode: Wiley, K. S., Gouveia, G., Camilo, C., Euclydes, V., Panter-Brick, C., Matijasevich, A., Ferraro, A. A., Fracolli, L. A., Chiesa, A. M., Miguel, E. C., Polanczyk, G. V., & Brentani, H. (2025). A Preliminary Investigation of Associations Between Traumatic Events Experienced During Pregnancy and Salivary Diurnal Cortisol Levels of Brazilian Adolescent Mothers and Infants. American Journal of Human Biology, 37(2), e70004. https://doi.org/10.1002/ajhb.70004 Kwon, D., Knorr, D. A., Wiley, K. S., Young, S. L., & Fox, M. M. (2024). Association of pica with cortisol and inflammation among Latina pregnant women. American Journal of Human Biology, 36(5), e24025. https://doi.org/10.1002/ajhb.24025 ------------------------------ Contact Dr. Wylie: kwiley@utep.edu ------------------------------ Contact the Sausage of Science Podcast and Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Chris Lynn, Host Website: cdlynn.people.ua.edu/, E-mail: cdlynn@ua.edu, Twitter:@Chris_Ly Courtney Manthey, Co-Host, Website: holylaetoli.com/ E-mail: cmanthey@uccs.edu, Twitter: @HolyLaetoli Cristina Gildee, SoS Co-Producer, HBA Junior Fellow Website: cristinagildee.com, E-mail: cgildee@uw.edu,

To wrap up this year's author podcast series, The American Journal of Managed Care® speaks with Angela Liu, PhD, MPH, assistant research professor at the Johns Hopkins Bloomberg School of Public Health, about her December 2025 study, "Mental Health Care Use After Leaving Medicare Advantage for Traditional Medicare." Her research analyzed Medicare beneficiaries with mental health diagnoses who switched from Medicare Advantage (MA) to traditional Medicare (TM), examining their use of mental health services in the year before and after the switch. In this Managed Care Cast episode, Liu discusses what inspired her research, highlights the key findings, and explores ways to improve equitable access to mental health services for Medicare beneficiaries.

Epstein Files Further Expose CIA Ties, Show Deceased Pedo Posing With Young Children

In this episode, I'm joined by two pioneers at the forefront of reshaping our understanding of human consciousness - Professor Donald Hoffman and Dr Iain McGilchrist. Despite coming from very different backgrounds, they've both arrived at surprisingly similar conclusions about some of life's biggest questions and the nature of reality. This conversation explores the parallels—and differences—in their thinking, covering topics like: — The growing scientific evidence that consciousness may be fundamental — The shockingly complex structures that physicists are now discovering beyond spacetime and what this implies — The power of silence for creating breakthroughs in scientific and creative work — The need for both a rigorous scientific and embodied approach to understanding consciousness. And more. You can dive deeper into Iain's work through his book: The Matter with Things, and Don's via his book: The Case Against Reality. — Dr Iain McGilchrist is a Psychiatrist and Writer, who lives on the Isle of Skye, off the coast of North West Scotland. He is committed to the idea that the mind and brain can be understood only by seeing them in the broadest possible context, that of the whole of our physical and spiritual existence, and of the wider human culture in which they arise – the culture which helps to mould, and in turn is moulded by, our minds and brains. He was formerly a Consultant Psychiatrist of the Bethlem Royal and Maudsley NHS Trust in London, where he was Clinical Director of their southern sector Acute Mental Health Services. Dr McGilchrist has published original research and contributed chapters to books on a wide range of subjects, as well as original articles in papers and journals, including the British Journal of Psychiatry, American Journal of Psychiatry, The Wall Street Journal, The Sunday Telegraph and The Sunday Times. He has taken part in many radio and TV programmes, documentaries, and numerous podcasts, and interviews on YouTube, among them dialogues with Jordan Peterson, David Fuller of Rebel Wisdom, and philosopher Tim Freke. His books include Against Criticism, The Master and his Emissary: The Divided Brain and the Making of the Western World, The Divided Brain and the Search for Meaning, and Ways of Attending. He published his latest book: The Matter With Things, a book of epistemology and metaphysics. You can keep up to date with his work at https://channelmcgilchrist.com. – Prof. Donald Hoffman, PhD received his PhD from MIT, and joined the faculty of the University of California, Irvine in 1983, where he is a Professor Emeritus of Cognitive Sciences. He is an author of over 100 scientific papers and three books, including Visual Intelligence, and The Case Against Reality. He received a Distinguished Scientific Award from the American Psychological Association for early career research, the Rustum Roy Award of the Chopra Foundation, and the Troland Research Award of the US National Academy of Sciences. His writing has appeared in Edge, New Scientist, LA Review of Books, and Scientific American and his work has been featured in Wired, Quanta, The Atlantic, and Through the Wormhole with Morgan Freeman. You can watch his TED Talk titled “Do we see reality as it is?” and you can follow him on Twitter @donalddhoffman. --- Interview Links: — Dr McGilchirst's website - https://channelmcgilchrist.com — Dr McGilchirst's book - https://amzn.to/3oOSFIW — Prof Hoffman's profile - https://sites.socsci.uci.edu/~ddhoff/ — Prof Hoffman's book - https://bit.ly/3SCwTTA

The world of prehospital medicine is constantly evolving, driven by new research, technological advancements, and a shared commitment to improving patient care and provider well-being. As EMS professionals, staying informed about these developments goes beyond a professional obligation; it is an opportunity to improve our practice, champion our profession, and ultimately make a greater impact on saving lives. In this article, we will explore some of the latest research findings that are reshaping our field, from workplace culture to cutting-edge technology.   The Culture of Care: Supporting EMS Providers Our work is demanding, both physically and emotionally, and the culture within our agencies plays a critical role in our well-being. A recent systematic review in the International Journal of Environmental Research and Public Health revealed that many EMS providers avoid using organizational mental health services due to stigma and a perception that these programs lack genuine care. The study emphasizes the need for person-centered support and a cultural shift that normalizes seeking help as a sign of strength (Johnston et al., 2025). This cultural component also impacts retention. Another study in the same journal found that agencies with collaborative, team-oriented "clan" cultures had significantly lower turnover rates compared to those with rigid or chaotic structures. For leaders in EMS, fostering a supportive environment is not just about morale. It is a strategic imperative for retaining skilled clinicians (Kamholz et al., 2025).   Professional Recognition: Breaking Barriers Across the globe, paramedics are striving for recognition as integrated healthcare professionals. A qualitative study in BMC Health Services Research identified common barriers, including outdated legislation, inconsistent regulation, and insufficient funding. While the pandemic temporarily highlighted our capabilities, the momentum has waned. The study calls for targeted policy reforms and investments in education and leadership to solidify our role in the broader healthcare system (Feerick et al., 2025). Physical Demands and Injury Prevention The physical toll of our work is undeniable. A scoping review in Applied Ergonomics confirmed that musculoskeletal injuries, particularly to the back, are rampant in EMS. Tasks like handling stretchers and patient extractions are among the most strenuous. The review also highlighted fitness disparities, with male paramedics generally showing more strength but less flexibility than their female counterparts. These findings underscore the need for targeted injury prevention programs and realistic physical standards to keep us safe throughout our careers (Marsh et al., 2025).   Advancements in Cardiac Arrest Care When it comes to cardiac arrest, every second counts. A study in Resuscitation reinforced the value of bystander CPR, showing that dispatcher-assisted CPR significantly improves outcomes for untrained bystanders. For those with prior CPR training, acting independently yielded even better results. This highlights the importance of public CPR education alongside dispatcher support (Tagami et al., 2025). On the scene, our interventions matter immensely. Research in The Journal of Emergency Medicine found that for traumatic cardiac arrest patients, aggressive interventions like prehospital thoracostomy can be lifesaving (McWilliam et al., 2025). Meanwhile, a study in Critical Care Medicine revealed that extracorporeal CPR (ECPR) significantly improves outcomes for patients with refractory ventricular fibrillation, emphasizing the need for early transport to specialized centers.   The Role of Technology in EMS Technology is poised to revolutionize EMS, from dispatch to diagnosis. A study in The American Journal of Emergency Medicine demonstrated that large language models (LLMs) like ChatGPT could prioritize ambulance requests with remarkable accuracy, aligning with expert paramedic decisions over 76 percent of the time. This proof of concept suggests that AI could one day enhance resource allocation in dispatch centers (Shekhar et al., 2025). On the diagnostic front, machine learning is opening new possibilities. For example, a study in Bioengineering showed that analyzing photoplethysmography waveforms could estimate blood loss in trauma patients, offering a non-invasive way to guide resuscitation (Gonzalez et al., 2025). Similarly, research in Medical Engineering & Physics explored using multidimensional data to differentiate ischemic from hemorrhagic strokes in the field, potentially enabling more targeted prehospital care (Alshehri et al., 2025).   Addressing Disparities in Care Equity in EMS is a cornerstone of our profession, yet recent studies highlight troubling disparities. Research in JAMA Network Open found that ambulance offload times were significantly longer in communities with higher proportions of Black residents (Zhou et al., 2025). Another study in JAMA Surgery revealed that Black and Asian trauma patients were less likely to receive helicopter transport compared to White patients. These findings are a call to action for all of us to examine our systems and biases to ensure equitable care for every patient (Mpody et al., 2025).   Looking Ahead The research discussed here represents just a fraction of the advancements shaping EMS today. From improving workplace culture and injury prevention to leveraging AI and addressing systemic inequities, these findings have real-world implications for our protocols, training, and advocacy efforts. As EMS professionals, we have a responsibility to stay informed and apply these insights to our practice. For a deeper dive into these topics and more, I invite you to listen to the podcast, EMS Research with Professor Bram latest episode, https://youtu.be/rt_1AFzSLIk "Research Highlights and Innovations Shaping Our Field.”   References Alshehri, A., Panerai, R. B., Lam, M. Y., Llwyd, O., Robinson, T. G., & Minhas, J. S. (2025). Can we identify stroke sub-type without imaging? A multidimensional analysis. Medical Engineering & Physics. https://doi.org/10.1016/j.medengphy.2025.104364 Feerick, F., Coughlan, E., Knox, S., Murphy, A., Grady, I. O., & Deasy, C. (2025). Barriers to paramedic professionalisation: A qualitative enquiry across the UK, Canada, Australia, USA and the Republic of Ireland. BMC Health Services Research, 25(1), 993. https://doi.org/10.1186/s12913-025-10993-7 Gonzalez, J. M., Holland, L., Hernandez Torres, S. I., Arrington, J. G., Rodgers, T. M., & Snider, E. J. (2025). Enhancing trauma care: Machine learning-based photoplethysmography analysis for estimating blood volume during hemorrhage and resuscitation. Bioengineering, 12(8), 833. https://doi.org/10.3390/bioengineering12080833 Johnston, S., Waite, P., Laing, J., Rashid, L., Wilkins, A., Hooper, C., Hindhaugh, E., & Wild, J. (2025). Why do emergency medical service employees (not) seek organizational help for mental health support?: A systematic review. International Journal of Environmental Research and Public Health, 22(4), 629. https://doi.org/10.3390/ijerph22040629 Kamholz, J. C., Gage, C. B., van den Bergh, S. L., Logan, L. T., Powell, J. R., & Panchal, A. R. (2025). Association between organizational culture and emergency medical service clinician turnover. International Journal of Environmental Research and Public Health, 22(5), 756. https://doi.org/10.3390/ijerph22050756 Marsh, E., Orr, R., Canetti, E. F., & Schram, B. (2025). Profiling paramedic job tasks, injuries, and physical fitness: A scoping review. Applied Ergonomics, 125, 104459. https://doi.org/10.1016/j.apergo.2025.104459 McWilliam, S. E., Bach, J. P., Wilson, K. M., Bradford, J. M., Kempema, J., DuBose, J. J., ... & Brown, C. V. (2025). Should anything else be done besides prehospital CPR? The role of CPR and prehospital interventions after traumatic cardiac arrest. The Journal of Emergency Medicine. https://doi.org/10.1016/j.jemermed.2025.02.010 Mpody, C., Rudolph, M. I., Bastien, A., Karaye, I. M., Straker, T., Borngaesser, F., ... & Nafiu, O. O. (2025). Racial and ethnic disparities in use of helicopter transport after severe trauma in the US. JAMA Surgery, 160(3), 313–321. https://doi.org/10.1001/jamasurg.2024.5678 Shekhar, A. C., Kimbrell, J., Saharan, A., Stebel, J., Ashley, E., & Abbott, E. E. (2025). Use of a large language model (LLM) for ambulance dispatch and triage. The American Journal of Emergency Medicine, 89, 27–29. https://doi.org/10.1016/j.ajem.2025.05.004 Tagami, T., Takahashi, H., Suzuki, K., Kohri, M., Tabata, R., Hagiwara, S., ... & Ogawa, S. (2025). The impact of dispatcher-assisted CPR and prior bystander CPR training on neurologic outcomes in out-of-hospital cardiac arrest: A multicenter study. Resuscitation, 110617. https://doi.org/10.1016/j.resuscitation.2025.110617 Zhou, T., Wang, Y., Zhang, B., & Li, J. (2025). Racial and socioeconomic disparities in California ambulance patient offload times. JAMA Network Open, 8(5), e2510325. https://doi.org/10.1001/jamanetworkopen.2025.10325  

Israel Continues Trying To Drag USA Into War With Iran, Dems Renew Trump Impeachment Talk Over Epstein FilesSky Pilot Radio The Classics from the 60's thru the 80's 

In this episode, we dive into a compelling narrative review from the American Journal of Psychiatry Residents' Journal (September 2025) on harm reduction interventions specifically designed for women and gender minority individuals who use drugs.   While traditional harm reduction approaches save lives, this review highlights how gender-responsive programs—addressing overlapping risks like sexual health, violence, stigma, and criminalization—can deliver even stronger outcomes.   Join us as we discuss practical implications for clinicians, the power of meeting people where they are, and why prioritizing gender-specific harm reduction could transform addiction psychiatry. Essential listening for anyone passionate about equity, evidence-based care, and reducing harm in vulnerable communities.   The background music featured in this episode is "Open Up (Pour Your Spirit Out) (Instrumental Version)" by JOYSPRING, courtesy of Epidemic Sound. (Used under subscription license – thank you to the artist and Epidemic Sound for this uplifting, royalty-free track!)

DOJ Faces Epstein Files Deadline, Brown University Shooting Suspect Found Dead, Dem Judge Convicted For Obstructing ICE Agents

Trump Touts Economic Success In National Address, FBI Deputy Director Bongino Confirms January Exit, Brown University Shooter May Have Targeted College Republicans Vice President

Trump Orders Blockade Of Sanctioned Oil Tankers Entering & Exiting Venezuela, Set To Make Major Announcement Tonight

Pentagon Opens Command Investigation Into Seditious Sen. Kelly, Brown University Manhunt Continues

Fecal incontinence (FI) affects nearly 8% of adults worldwide, yet many people suffer in silence due to embarrassment, confusion, or the belief that nothing can be done. This episode is here to change that. We're joined by Dr. John William Blackett, gastroenterologist and lead author of "Fecal Incontinence in Adults: New Therapies," published in The American Journal of Gastroenterology. Dr. Blackett offers a compassionate, patient-centered overview of FI, including common causes, diagnostic testing, and the full range of treatment options available today—highlighting newer and emerging therapies. If you've experienced unexpected leakage, urgency, staining, or difficulty controlling bowel movements—or if you support someone who has—this conversation provides clarity, reassurance, and practical guidance. Effective treatments exist, and help is available. This episode is produced in collaboration with the American College of Gastroenterology Patient Care Committee.

On this episode of Managed Care Cast, we're talking with the co–editors in chief of The American Journal of Managed Care® (AJMC®), Mark Fendrick, MD, and Michael Chernew, PhD. They look back on the research and news that stood out to them from the past year and discuss what they're looking forward to in 2026. Check out the dedicated page featuring our efforts to celebrate AJMC's 30th anniversary: https://www.ajmc.com/anniversary

“Behind the Evidence” is the addiction medicine podcast of the Grayken Center for Addiction at Boston Medical Center, and a project of the Center's free bimonthly newsletter Alcohol, Other Drugs, and Health: Current Evidence (AODH). This episode was recorded 19 May 2025 and features an interview with J. Cedric Woods, PhD on his article, “Trends in Fatal Opioid-Related Overdose in American Indian and Alaska Native Communities, 1999-2021” published in The American Journal of Preventative Medicine. Click here to read AODH's summary of this article.Hosts: Honora L. Englander, MD and Marc R. Larochelle, MDProduction: Raquel Silveira, MBAEditing: Casy Calver, PhDMusic and cover art: Mary Tomanovich, MAMiriam Komaromy, MD is the Executive Director of the Grayken Center for Addiction, and co-Editor-in-Chief of AODH, together with David Fiellin, MDLearn more about AODH and subscribe for free at www.aodhealth.org“Behind the Evidence” is supported by the Grayken Center for Addiction at Boston Medical Center. It is intended for educational purposes only, and should not be considered medical advice. The views expressed here are our own, and do not necessarily reflect those of our employers or the authors of the articles we review. All patient information has been modified to protect their identities.

Two Students Killed In Brown University Shooting, Rob Reiner And Wife Murdered, Dems Attack 2nd Amendment

In this episode, hosts Chris and Mecca interview Dr. Cindi SturtzSreetharan about language decoding, why inclusive language matters for better science, the importance of clearly defining the terms we use, and how ethnographic methods help contextualize research. Dr. SturtzSreetharan is a President's Professor at the School of Human Evolution & Social Change at Arizona State University. She has a bachelor's degree in international relations from Willamette University, a master's in Asian studies from the University of Oregon, and a doctorate in Anthropology from the University of California at Davis. Her research interests center on a language-in-interaction approach to the construction of identities, including masculinity. Much of her earlier work focused on how Japanese men use language as a resource for creating, maintaining, or refuting a masculine identity. She has also worked on language use in reality TV shows, serial dramas, and film, focusing specifically on language and fatherhood. For the past decade, Dr. SturtzSreetharan has turned her attention to the intersection of language, the body, and medicine. Her current work is an investigation of metabolic syndrome in Japan, a so-called lifestyle condition that affects more men than women. She is particularly interested in the way that everyday, mundane language interactions contribute to the production of felt shame and stigma around body size, shape, and care. ------------------------------ Find the papers discussed in this episode: SturtzSreetharan, C.L & Shibamoto-Smith, J. It's not the language, it's us: Recommendations on what language can do and on what we as writers can do. American Journal of Human Biology 37(6): e70079 https://doi.org/10.1002/ajhb.70079 (2025) SturtzSreetharan, C.L., DuBois, L.Z., & Brewis, A. 2025. Defining and deploying gender/sex in human biology: Where are we? Where should we be? American Journal of Human Biology 37(6):e70093 https://doi.org/10.1002/ajhb.70093 (2025) ------------------------------ Contact Dr. SturtzSreetharan: cindi.sturtzsreetharan@asu.edu ------------------------------ Contact the Sausage of Science Podcast and the Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Chris Lynn, Co-Host Website: cdlynn.people.ua.edu/, E-mail: cdlynn@ua.edu, Twitter:@Chris_Ly Mecca Howe, Co-Host, HBA Fellow Email: howemecca@gmail.com, Linkedin: https://www.linkedin.com/in/mecca-howe-phd-22a48173/

In this episode, we talk with Dr. Molly Zuckerman, Professor of Biological Anthropology at Mississippi State University, about ethics, care, and responsibility in bioarchaeology. We discuss her recent article, “Exercises in ethically engaged work in biological anthropology,” and explore how human remains can be dehumanized in research and teaching collections, and how approaches such as osteobiographies can help restore personhood. Dr. Zuckerman also reflects on generational tensions in the field, the ethical challenges posed by climate change to archaeological sites, and how early-career scholars can develop thoughtful, context-specific ethical frameworks. ------------------------------ Find the work discussed in this episode: Zuckerman, M. K., Marklein, K. E., Austin, R. M., & Hofman, C. A. (2025). Exercises in ethically engaged work in biological anthropology. American Journal of Biological Anthropology, 186(1), e25015. ------------------------------ Contact Dr. Zuckerman: mzuckerman@anthro.msstate.edu ------------------------------ Contact the Sausage of Science Podcast and Human Biology Association: Facebook: facebook.com/groups/humanbiologyassociation/, Website: humbio.org, Twitter: @HumBioAssoc Cristina Gildee, Co-Host, Co-Producer, HBA Fellow Website: cristinagildee.com, E-mail: cgildee@uw.edu, Mecca Howe, Co-Host, Co-Producer, HBA Fellow E-mail: mhowebur@charlotte.edu

Media Hypes Measles Outbreak, Dems Move To Impeach RFK Jr., NATO Preparing For New World War 

U.S. Forces Seize Venezuelan Oil Tanker, Silver Hits Record High, GOP Introduces Legislation To Withdraw America From NATO

In our newest episode in our Tutorial series, we're joined by special guest (and SLP), Judy Southey to get the ABCs of PECS. Like, did you know saying, "Hand me a PEC" demonstrates a total misunderstanding of the acronym? Or, more importantly, the steps involved in training the usage of PECS for increasing verbal behavior? What comes first, second, last and what common misconceptions about PECS can interfer with the development of functional language? More questions, we've got the answers! This episode is available for 1.0 LEARNING CEU. Articles discussed this episode: Robertson, M. & Harris, T. (2024, December 30th). How to best determine if an autistic individual is using an effective communication system. Autism Spectrum News. https://autismspectrumnews.org/how-to-best-determine-if-an-autistic-individual-is-using-an-effective-communication-system Wannapaschaiyong, P., Vivattanasinchai, T., & Wongkwanmuang, A. (2025). Predictors of successful Picture Exchange Communication System training in children with communication impairments: Insights from a real-world intervention in a resource-limited setting. BMJ Paediatrics Open, 9, 1-13. doi: 10.1136/bmjpo-2024-003282 Ganz, J.B., Mason, R.A., Goodwyn, F.D., Boles, M.B., Heath, A.K., & Davis, J.L. (2014). Interaction of participant characteristics and type of AAC with individuals with ASD: A meta-analysis. American Journal on Intellectual and Developmental Disabilities, 119, 516-535. doi: 10.1352/1944-7558-119.6.516 If you're interested in ordering CEs for listening to this episode, click here to go to the store page. You'll need to enter your name, BCBA #, and the two episode secret code words to complete the purchase. Email us at abainsidetrack@gmail.com for further assistance.

Zelensky Says ‘Ready For Elections' After Trump Called Him Out For Being A Dictator! Plus, Musk Declares ‘No More White Guilt' As Gen Z Rejects Woke Racial Shaming Sky Pilot Radio 60's thru the 80's https://live365.com/station/Sky-Pilot-Radio-a43752

Zelensky Rejects Trump's Peace Plan, Refuses To Cede Territory To Russia! Plus, Border Czar Homan Says Over 60K Smuggled Children Rescued & Senior US Diplomats Slam EU's Censorship Against Americans on X

Major health organizations, including the CDC and ACOG, recommend universal Hepatitis C Virus (HCV) screening for all pregnant women during each pregnancy and at time of delivery. Ideally, pregnant women should be screened for hepatitis C virus infection at the first prenatal visit of each pregnancy. If the antibody screen result is positive, hepatitis C virus RNA polymerase chain reaction testing is done to confirm the diagnosis. The risk of perinatal transmission of HCV is up to 9%, with at least one-third of transmissions occurring antenatally. While antiviral therapy is recommended for Hepatitis B in pregnancy with a viral load greater than 200,000 international units/mL to decrease the risk of vertical transmission, the same is not the case for Hep C. According to the ACOG CPG #6 from September 2023, there are no standard treatment protocols for Hep C in pregnancy but a new publication from the PINK journal (7 Dec 2025) is calling for a change. That new publication is, “Hepatitis C Treatment During Pregnancy: Time for a Practice Change”. Listen in for details. 1. ACOG CPG #6; Sept 20262. Bhattacharya D, Aronsohn A, Price J, Lo Re V. Hepatitis C Guidance 2023 Update: AASLD-IDSA Recommendations for Testing, Managing, and Treating Hepatitis C Virus Infection. Clinical Infectious Diseases: An Official Publication of the Infectious Diseases Society of America. 2023;:ciad319. doi:10.1093/cid/ciad319.3. Chappell CA, Kiser JJ, Brooks KM, et al. Sofosbuvir/¬Velpatasvir Pharmacokinetics, Safety, and Efficacy in Pregnant People With Hepatitis C Virus. Clinical Infectious Diseases : An Official Publication of the Infectious Diseases Society of America. 2025;80(4):744-751. doi:10.1093/cid/ciae595.4. Reau N, Munoz SJ, Schiano T. Liver Disease During Pregnancy. The American Journal of Gastroenterology. 2022;117(10S):44-52. doi:10.14309/ajg.0000000000001960.5. Dutra, Karley et al. Hepatitis C Treatment During Pregnancy: Time for a Practice Change. American Journal of Obstetrics & Gynecology MFM, Volume 0, Issue 0, 1018656. Society for Maternal-Fetal Medicine Consult Series #56: Hepatitis C in Pregnancy-Updated Guidelines: Replaces Consult Number 43, November 2017. Society for Maternal-Fetal Medicine (SMFM). Electronic address: pubs@smfm.org, Dotters-Katz SK, Kuller JA, Hughes BL. American Journal of Obstetrics and Gynecology. 2021;225(3):B8-B18. doi:10.1016/j.ajog.2021.06.008

Biden Was Warned His Border Policies Would Cause “Chaos”­—Didn't Care

In this “Timelines” episode, we connect three iconic sites built during the same era: Petra's stunning rock-cut city in Jordan, the mysterious Nazca Lines etched across Peru's desert, and the monumental Great Wall of China. Explore how the Nabataeans engineered Petra's hidden oasis, why the Nazca created massive geoglyphs only visible from above, and what drove dynasties to construct thousands of miles of wall across China. Discover the origins, uses, and enduring mysteries of these world wonders, and see how ancient ingenuity and ambition shaped civilizations across continents—all within a shared moment in history.LinksSegment 1: PetraBedal, L. W. (2003). The Petra Pool Complex: A Hellenistic Paradeisos in the Nabataean Capital. American Journal of Archaeology.Parr, P. J. (2013). “Petra.” In Encyclopedia of Ancient History. Wiley-Blackwell.Schmid, S. G. (2001). “The Nabataeans: Travellers Between Lifestyles.” In Aram Periodical.UNESCO World Heritage Centre – PetraAmerican Center of Research (ACOR) – Petra Archaeological ParkBienkowski, P. (1990). Petra. British Museum Press.Hammond, P. C. (1973). “The Nabataeans: Their History, Culture, and Archaeology.” Biblical Archaeologist.Smithsonian Magazine – Petra's Great TempleBurckhardt, J. L. (1822). Travels in Syria and the Holy Land (rediscovery account).Segment 2: Nazca LinesSilverman, H., & Proulx, D. A. (2002). The Nasca. Blackwell Publishers.Reindel, M., & Isla, J. (2001). “Nasca: Wunder der Wüste.” C.H. Beck.UNESCO World Heritage Centre – Lines and Geoglyphs of Nasca and PalpaAveni, A. F. (2000). Between the Lines: The Mystery of the Giant Ground Drawings of Ancient Nasca, Peru. University of Texas Press.National Geographic – Nazca Lines: Mystery on the DesertOrefici, G. (2012). “Cahuachi: Capital of the Nasca World.” Andean Past.Ancient History Encyclopedia – The Geoglyphs of Palpa, PeruSilverman, H. (1993). Cahuachi in the Ancient Nasca World. University of Iowa Press.Isla, J., & Reindel, M. (2016). “Nasca and the ‘Puquios': Water and Ritual in the Peruvian Desert.” Antiquity.Segment 3: Great Wall of ChinaWaldron, A. (1990). The Great Wall of China: From History to Myth. Cambridge University Press.Lovell, J. (2006). The Great Wall: China Against the World, 1000 BC–AD 2000. Grove Press.UNESCO World Heritage Centre – The Great WallMan, J. (2008). The Great Wall: The Extraordinary Story of China's Wonder of the World. Da Capo Press.Steinhardt, N. S. (1990). The Great Wall of China: Dynasties, Dragons, and Warriors. Oxford University Press.The China Guide – Famous Sections of the Great WallState Administration of Cultural Heritage, China. “Archaeological Discoveries Along the Great Wall.”Barfield, T. J. (1989). The Perilous Frontier: Nomadic Empires and China. Blackwell.Friends of the Great Wall – Research and PreservationContactChris Websterchris@archaeologypodcastnetwork.comRachel Rodenrachel@unraveleddesigns.comRachelUnraveled (Instagram)ArchPodNetAPN Website: https://www.archpodnet.comAPN Discord: https://discord.com/invite/CWBhb2T2edAPN on Facebook: https://www.facebook.com/archpodnetAPN on Twitter: https://www.twitter.com/archpodnetAPN on Instagram: https://www.instagram.com/archpodnetAPN ShopAffiliatesMotion Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

In this “Timelines” episode, we connect three iconic sites built during the same era: Petra's stunning rock-cut city in Jordan, the mysterious Nazca Lines etched across Peru's desert, and the monumental Great Wall of China. Explore how the Nabataeans engineered Petra's hidden oasis, why the Nazca created massive geoglyphs only visible from above, and what drove dynasties to construct thousands of miles of wall across China. Discover the origins, uses, and enduring mysteries of these world wonders, and see how ancient ingenuity and ambition shaped civilizations across continents—all within a shared moment in history.LinksSegment 1: PetraBedal, L. W. (2003). The Petra Pool Complex: A Hellenistic Paradeisos in the Nabataean Capital. American Journal of Archaeology.Parr, P. J. (2013). “Petra.” In Encyclopedia of Ancient History. Wiley-Blackwell.Schmid, S. G. (2001). “The Nabataeans: Travellers Between Lifestyles.” In Aram Periodical.UNESCO World Heritage Centre – PetraAmerican Center of Research (ACOR) – Petra Archaeological ParkBienkowski, P. (1990). Petra. British Museum Press.Hammond, P. C. (1973). “The Nabataeans: Their History, Culture, and Archaeology.” Biblical Archaeologist.Smithsonian Magazine – Petra's Great TempleBurckhardt, J. L. (1822). Travels in Syria and the Holy Land (rediscovery account).Segment 2: Nazca LinesSilverman, H., & Proulx, D. A. (2002). The Nasca. Blackwell Publishers.Reindel, M., & Isla, J. (2001). “Nasca: Wunder der Wüste.” C.H. Beck.UNESCO World Heritage Centre – Lines and Geoglyphs of Nasca and PalpaAveni, A. F. (2000). Between the Lines: The Mystery of the Giant Ground Drawings of Ancient Nasca, Peru. University of Texas Press.National Geographic – Nazca Lines: Mystery on the DesertOrefici, G. (2012). “Cahuachi: Capital of the Nasca World.” Andean Past.Ancient History Encyclopedia – The Geoglyphs of Palpa, PeruSilverman, H. (1993). Cahuachi in the Ancient Nasca World. University of Iowa Press.Isla, J., & Reindel, M. (2016). “Nasca and the ‘Puquios': Water and Ritual in the Peruvian Desert.” Antiquity.Segment 3: Great Wall of ChinaWaldron, A. (1990). The Great Wall of China: From History to Myth. Cambridge University Press.Lovell, J. (2006). The Great Wall: China Against the World, 1000 BC–AD 2000. Grove Press.UNESCO World Heritage Centre – The Great WallMan, J. (2008). The Great Wall: The Extraordinary Story of China's Wonder of the World. Da Capo Press.Steinhardt, N. S. (1990). The Great Wall of China: Dynasties, Dragons, and Warriors. Oxford University Press.The China Guide – Famous Sections of the Great WallState Administration of Cultural Heritage, China. “Archaeological Discoveries Along the Great Wall.”Barfield, T. J. (1989). The Perilous Frontier: Nomadic Empires and China. Blackwell.Friends of the Great Wall – Research and PreservationContactChris Websterchris@archaeologypodcastnetwork.comRachel Rodenrachel@unraveleddesigns.comRachelUnraveled (Instagram)ArchPodNetAPN Website: https://www.archpodnet.comAPN Discord: https://discord.com/invite/CWBhb2T2edAPN on Facebook: https://www.facebook.com/archpodnetAPN on Twitter: https://www.twitter.com/archpodnetAPN on Instagram: https://www.instagram.com/archpodnetAPN ShopAffiliatesMotion Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

UK Suspends Elections, Trump Warns Mass Migration Has Europe Facing “Civilizational Erasure,” White House “At Odds” With NATO Over Ukraine/Russia War

FBI Arrests J6 Pipe Bomb Suspect, Deep State Going After Hegseth To Get To Trump & DOJ Moves To Clean Voter Rolls

Much like the amount of time the New England sun stays up, enjoy a short preview of what's coming out in the darkest days of December on the podcast. This month we've got three special guests including SLP, Judy Southey leading us through the new "How To" all about PECS; Denisha Gingles to lead us through a discussion of leadership practices in ABA, and Matt Cicoria leading us into the new year by reviewing what happened in ABA in 2025 in our yearly special episode. And, to round things out, a discussion about exactly what makes up assent practices. Yule love it all! Articles for December 2025 Tutorial: PECS with Judy Southey Robertson, M. & Harris, T. (2024, December 30th). How to best determine if an autistic individual is using an effective communication system. Autism Spectrum News. https://autismspectrumnews.org/how-to-best-determine-if-an-autistic-individual-is-using-an-effective-communication-system Wannapaschaiyong, P., Vivattanasinchai, T., & Wongkwanmuang, A. (2025). Predictors of successful Picture Exchange Communication System training in children with communication impairments: Insights from a real-world intervention in a resource-limited setting. BMJ Paediatrics Open, 9, 1-13. doi: 10.1136/bmjpo-2024-003282 Ganz, J.B., Mason, R.A., Goodwyn, F.D., Boles, M.B., Heath, A.K., & Davis, J.L. (2014). Interaction of participant characteristics and type of AAC with individuals with ASD: A meta-analysis. American Journal on Intellectual and Developmental Disabilities, 119, 516-535. doi: 10.1352/1944-7558-119.6.516   Culturally Reponsive Leadership Practices in ABA w/ Denisha Gingles Sriram, V., Atwal, A., & McKay, E.A. (2024). Exploring aspects of mentoring for black and minoritised healthcare professionals in the UK: A nominal group technique study. BMJ Open, 14. doi: 10.1136/bmjopen-2024-089121 Kemzang, J., Bekolo, G., Jaunky, S., Mathieu, J., Contant, H., Oguntala, J., Rahmani, M., Louisme, M.C., Medina, N., Kendall, C.E., Ewurabena, S., Hubert, D., Omecq, M.C., & Fotsing, S. (2024). Mentoring for admission and retention of black socio-ethnic minorities in medicine: A scoping review. Journal of Medical Education and Curricular Development, 11, 1-9. doi: 10.1177/23821205241283805 Shaikh, A.N., Gummaluri, S., Dhar, J., Carter, H., Kwag, D. (2024). Application of the principles of anti-oppression to address marginalized students and faculty's experiences in counselor education. Teaching and Supervision in Counseling, 6, 94-105. doi: 10.7290/tsc06laio Laloo, E. (2022). Ubuntu leadership - an explication of an Afrocentric leadership style. The Journal of Values-Based Leadership, 15, 1-9. doi: 10.22543/1948-0733.1383 Mathur, S.K. & Rodriguez, K.A. (2022). Cultural responsiveness curriculum for behavior analysts: A meaningful step toward social justice. Behavior Analysis in Practice, 15, 1023-1031. doi: 10.1007/s40617-021-00579-3   Operationalizing Assent Mead Jasperse, S.C., Kelly, M.P., Ward, S.N., Fernand, J.K., Joslyn, P.R., & van Dijk, W. (2025). Consent and assent practices in behavior analytic research. Behavior Analysis in Practice, 18, 826-841. doi: 10.1007/s40617-023-00838-5  Flowers, J. & Dawes, J. (2023). Dignity and respect: Why therapeutic assent matters. Behavior Analysis in Practice, 16, 913-920. doi: 10.1007/s40617-023-00772-6

In the original Løvset maneuver (described for breech presentations), the fetus is rotated in one direction to facilitate arm delivery. For shoulder dystocia, the reverse Løvset applies rotation in the opposite direction—specifically rotating the posterior shoulder toward a "belly down" position through up to 180 degrees of rotation. These maneuvers were first described by Norwegian obstetrician Jørgen Løvset in the 1940s. Now, in the current November 2025 AJOG, this maneuver is back in the spotlight. In this episode, we will review the reverse Løvset maneuver for shoulder dystocia and review its effectiveness. Which maneuver is more likely to result in fetal brachial plexus injury? Listen in for details. 1. A critical evaluation of the external and internal maneuvers for resolution of shoulder dystocia, March 2024; AJOG. https://www.ajog.org/article/S0002-9378(23)00022-4/fulltext2. Grindheim, Sindre et al.Reverse Løvset maneuver for shoulder dystocia, American Journal of Obstetrics & Gynecology, Volume 233, Issue 5, 505.e1 - 505.e43. Leung TY, Stuart O, Suen SS, Sahota DS, Lau TK, Lao TT. Comparison of perinatal outcomes of shoulder dystocia alleviated by different type and sequence of manoeuvres: a retrospective review. BJOG. 2011 Jul;118(8):985-90. doi: 10.1111/j.1471-0528.2011.02968.x. Epub 2011 Apr 12. PMID: 21481159.4. Grobman WA, Miller D, Burke C, Hornbogen A, Tam K, Costello R. Outcomes associated with introduction of a shoulder dystocia protocol. Am J Obstet Gynecol. 2011;205(6):513−517.STRONG COFFEE PROMO CODE:https://strongcoffeecompany.com/discount/CHAPANOSPINOBG

Trump Floats “Military Tribunal” For Obama, Hegseth Doubles Down On Striking Narco Boats & GOP Wins Tennessee Special Election

Where did arbitrary cut scores for norm-referenced language assessments come from, and why do they feel “safer” than relying on clinical judgement?I discuss this question and more in this third part of a three-part series, bilingual SLPs Destiny Johnson and Tiffany Shahoumian-Ruiz join me to continue our conversation about advocating for effective language evaluation practices in schools.Across these conversations, we explore:Sensitivity, specificity, reference standards, and diagnostic accuracyHow test development has evolved over time and why this matters Why the same cut-off score shouldn't apply across all testsThe math behind using two norm-referenced tests, and why it may complicate rather than clarify in some casesOther reasons we test beyond diagnosis (treatment planning, severity, monitoring progress)How do we do we to “sell” the concept of dynamic assessment to administratorsCase studies that show the pitfalls of over-reliance on standardized scoresMisconceptions clinicians often hold, and what they should know about assessmentDifferences in state eligibility standards, and what this means for service decisionsThis series is part myth-busting, part practical strategies, and part advocacy playbook—perfect for clinicians who want to move beyond compliance-driven evaluations toward assessments that truly reflect students' needs.Destiny Johnson, M.S., CCC-SLP, is a bilingual speech-language pathologist (English/Spanish) with a deep passion for culturally responsive assessment and treatment practices, as well as advocating for policy change. She has presented on dynamic assessment at the CSHA Convergence 2024, focusing on the importance of dynamic assessment in bilingual children. Destiny has experience working as a school-based SLP, in private practice, and in early intervention. She is also the founder and CEO of Multimodal Communication Speech Clinic P.C.Connect with Destiny on Instagram @destinyjohnsonslp, on her private practice website here, and on LinkedIn here.Listen to Destiny's previous episode on De Facto Leaders here: EP 187: Dynamic Assessment: Evaluations are a process, not a test (with Destiny Johnson)Tiffany Shahoumian-Ruiz is a bilingual high school SLP from Southern California who has primarily worked in the school systems and has experience at both the elementary and secondary level. She's also a member of Language Therapy Advance Foundations, and is involved in state and local advocacy work relating to dynamic assessments and special education eligibility.Connect with Tiffany on Instagram @tiffany.shahoumianListen to Tiffany's previous episode on De Facto Leaders here: High school language therapy: Do we still have time to make an impact? (with Tiffany Shahoumian-Ruiz)In this episode, I mention Language Therapy Advance Foundations, my program that gives SLPs and other service providers a system for language therapy. You can learn more about the program here.Additional Resources Mentioned in the episode:Daub, O., Cunningham, B. J., Bagatto, M. P., Johnson, A. M., Kwok, E. Y., Smyth, R. E., & Oram Cardy, J. (2021). Adopting a conceptual validity framework for testing in speech-language pathology. American Journal of Speech-Language Pathology, 30(4), 1894–1908. https://doi.org/10.1044/2021_AJSLP-20-00032Spaulding, T. J., Plante, E., & Farinella, K. A. (2006). Eligibility criteria for language impairment: Is the low end of normal always appropriate? Language, Speech, and Hearing Services in Schools, 37(1), 61–72. https://doi.org/10.1044/0161-1461(2006/007)DYMOND Norm-Referenced Dynamic AssessmentBilingual English-Spanish Assessment (BESA) We're thrilled to be sponsored by IXL. IXL's comprehensive teaching and learning platform for math, language arts, science, and social studies is accelerating achievement in 95 of the top 100 U.S. school districts. Loved by teachers and backed by independent research from Johns Hopkins University, IXL can help you do the following and more:Simplify and streamline technologySave teachers' timeReliably meet Tier 1 standardsImprove student performance on state assessments

Dems Call On Hegseth To Testify Before Congress Over Narco-Terror Boat Strikes, Trump Envoy Meets With Putin For Ukraine War Negotiations

Trump Goes Scorched Earth On Third World Immigration, Halts Asylum Claims & Says All Biden Autopen Actions Will Be “Terminated

Trump To Halt Third World Immigration & Deport Migrants Who Are “Non-Compatible With Western Civilization!” Plus, Billboards Emerge Calling On Troops To Defy Chain Of Command & Drive Country Into Civil War